ST. JOHN'S 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 , CIGNA , CITY OF SPRINGFIELD , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , CONSOCIATE GROUP , COVENTRY MEDICARE ADVENTRA , CURRENT HEALTH SOLUTIONS ," 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 , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HEALTHSCOPE , HFN , HOPETRUST , HUMANA , HUMANA CHOICE CARE HMO , HUMANA CHOICE CARE PPO , HUMANA MEDICARE , HUMANA MEDICARE ADVANTAGE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MAGELLAN BEHAVIORAL HEALTH , MENTAL HEALTH NETWORK , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , NAPHCARE , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , RUSHVILLE DETENTION CENTER , SAE MEMORIAL HOSPICE , ST CLAIR COUNTY HOUSING AUTHORITY , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST , WEXFORD HEALTH SOURCES ST. JOHN'S HOSPITAL,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$39,336.51 ","$2,504.32 ","$174,231.85 ","$174,231.85 ","$60,517.70 ","$32,800.59 ","$63,695.89 ","$16,944.96 ","$60,517.70 ","$63,695.89 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$59,307.35 ","$60,517.70 ","$23,040.00 ","$60,517.70 ","$64,332.85 ","$42,362.39 ","$63,695.89 ","$60,517.70 ","$59,307.35 ","$45,388.28 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$63,695.89 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$51,440.05 ","$60,517.70 ","$48,414.16 ","$22,391.55 ","$48,414.16 ","$63,695.89 ","$63,695.89 ", N/A ,"$32,800.59 ","$63,695.89 ","$15,916.16 ", N/A ,"$11,985.00 ","$2,623.58 ","$2,504.32 ","$66,880.69 ","$42,362.39 ","$60,517.70 ","$60,517.70 ","$16,944.96 ","$54,465.93 ","$43,572.74 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$60,517.70 ","$63,695.89 ","$29,048.50 ","$54,465.93 " ST. JOHN'S HOSPITAL,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$9,948.71 ","$1,598.00 ","$44,479.70 ","$44,479.70 ","$15,305.70 ","$8,295.69 ","$16,603.99 ","$4,285.60 ","$15,305.70 ","$16,603.99 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$3,072.00 ","$15,305.70 ","$16,770.03 ","$10,713.99 ","$16,603.99 ","$15,305.70 ","$15,305.70 ","$11,479.28 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$16,603.99 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$13,009.85 ","$15,305.70 ","$12,244.56 ","$5,663.11 ","$12,244.56 ","$16,603.99 ","$16,603.99 ", N/A ,"$8,295.69 ","$16,603.99 ","$4,025.40 ", N/A ,"$1,598.00 ","$2,623.58 ","$2,504.32 ","$17,434.19 ","$10,713.99 ","$15,305.70 ","$15,305.70 ","$4,285.60 ","$13,775.13 ","$11,020.10 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$16,603.99 ","$7,346.74 ","$13,775.13 " ST. JOHN'S HOSPITAL,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$7,445.85 ","$1,598.00 ","$33,430.45 ","$33,430.45 ","$11,455.16 ","$6,208.70 ","$12,483.11 ","$3,207.44 ","$11,455.16 ","$12,483.11 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$3,072.00 ","$11,455.16 ","$12,607.94 ","$8,018.61 ","$12,483.11 ","$11,455.16 ","$11,455.16 ","$8,591.37 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$12,483.11 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$9,736.89 ","$11,455.16 ","$9,164.13 ","$4,238.41 ","$9,164.13 ","$12,483.11 ","$12,483.11 ", N/A ,"$6,208.70 ","$12,483.11 ","$3,012.71 ", N/A ,"$1,598.00 ","$2,623.58 ","$2,504.32 ","$13,107.27 ","$8,018.61 ","$11,455.16 ","$11,455.16 ","$3,207.44 ","$10,309.64 ","$8,247.72 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$12,483.11 ","$5,498.48 ","$10,309.64 " ST. JOHN'S HOSPITAL,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$15,401.47 ","$2,397.00 ","$68,555.53 ","$68,555.53 ","$23,694.57 ","$12,842.46 ","$25,071.55 ","$6,634.48 ","$23,694.57 ","$25,071.55 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$23,220.68 ","$23,694.57 ","$4,608.00 ","$23,694.57 ","$25,322.26 ","$16,586.20 ","$25,071.55 ","$23,694.57 ","$23,220.68 ","$17,770.93 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$25,071.55 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$20,140.38 ","$23,694.57 ","$18,955.66 ","$8,766.99 ","$18,955.66 ","$25,071.55 ","$25,071.55 ", N/A ,"$12,842.46 ","$25,071.55 ","$6,231.67 ", N/A ,"$2,397.00 ","$2,623.58 ","$2,504.32 ","$26,325.12 ","$16,586.20 ","$23,694.57 ","$23,694.57 ","$6,634.48 ","$21,325.11 ","$17,060.09 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$25,071.55 ","$11,373.39 ","$21,325.11 " ST. JOHN'S HOSPITAL,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,438.60 ","$1,598.00 ","$20,153.03 ","$20,153.03 ","$6,828.61 ","$3,701.11 ","$7,531.22 ","$1,912.01 ","$6,828.61 ","$7,531.22 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$3,072.00 ","$6,828.61 ","$7,606.53 ","$4,780.03 ","$7,531.22 ","$6,828.61 ","$6,828.61 ","$5,121.46 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$7,531.22 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$5,804.32 ","$6,828.61 ","$5,462.89 ","$2,526.59 ","$5,462.89 ","$7,531.22 ","$7,531.22 ", N/A ,"$3,701.11 ","$7,531.22 ","$1,795.92 ", N/A ,"$1,598.00 ","$2,623.58 ","$2,504.32 ","$7,907.78 ","$4,780.03 ","$6,828.61 ","$6,828.61 ","$1,912.01 ","$6,145.75 ","$4,916.60 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$7,531.22 ","$3,277.73 ","$6,145.75 " ST. JOHN'S HOSPITAL,11100006,N/A,HC DAILY MED/SURG/GYN,111,1 ,"$1,300.00 ",$845.00 ,$341.90 ,"$1,300.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$704.60 , Inpatient Medicare ,$364.00 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,$910.00 , Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,$975.00 ,"$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,300.00 ","$1,105.00 ", Inpatient Medicare +150% ,"$1,040.00 ",$481.00 ,"$1,040.00 ", Inpatient Medicare , Inpatient Medicare , N/A ,$704.60 , Inpatient Medicare ,$341.90 ,, N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$910.00 , Inpatient Medicare +100% ,"$8,558.62 ",$364.00 ,"$1,170.00 ",$936.00 ,"$1,300.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$624.00 ,"$1,170.00 " ST. JOHN'S HOSPITAL,12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,"$1,300.00 ",$845.00 ,$341.90 ,"$1,300.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$704.60 , Inpatient Medicare ,$364.00 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,$910.00 , Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,$975.00 ,"$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,300.00 ","$1,105.00 ", Inpatient Medicare +150% ,"$1,040.00 ",$481.00 ,"$1,040.00 ", Inpatient Medicare , Inpatient Medicare , N/A ,$704.60 , Inpatient Medicare ,$341.90 , N/A ,$799.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$910.00 , Inpatient Medicare +100% ,"$8,558.62 ",$364.00 ,"$1,170.00 ",$936.00 ,"$1,300.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$624.00 ,"$1,170.00 " ST. JOHN'S HOSPITAL,12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,524.00 ",$990.60 ,$400.81 ,"$1,524.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$826.01 , Inpatient Medicare ,$426.72 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,066.80 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,143.00 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,524.00 ","$1,295.40 ", Inpatient Medicare +150% ,"$1,219.20 ",$563.88 ,"$1,219.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,$826.01 , Inpatient Medicare ,$400.81 , N/A ,$799.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,066.80 ", Inpatient Medicare +100% ,"$8,558.62 ",$426.72 ,"$1,371.60 ","$1,097.28 ","$1,524.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$731.52 ,"$1,371.60 " ST. JOHN'S HOSPITAL,12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,"$1,529.00 ",$993.85 ,$402.13 ,"$1,529.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$828.72 , Inpatient Medicare ,$428.12 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,070.30 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,146.75 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,529.00 ","$1,299.65 ", Inpatient Medicare +150% ,"$1,223.20 ",$565.73 ,"$1,223.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,$828.72 , Inpatient Medicare ,$402.13 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,070.30 ", Inpatient Medicare +100% ,"$8,558.62 ",$428.12 ,"$1,376.10 ","$1,100.88 ","$1,529.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$733.92 ,"$1,376.10 " ST. JOHN'S HOSPITAL,12300001,N/A,HC DAILY PEDIATRIC,123,1 ,"$1,560.00 ","$1,014.00 ",$410.28 ,"$1,560.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$845.52 , Inpatient Medicare ,$436.80 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,092.00 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,170.00 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,560.00 ","$1,326.00 ", Inpatient Medicare +150% ,"$1,248.00 ",$577.20 ,"$1,248.00 ", Inpatient Medicare , Inpatient Medicare , N/A ,$845.52 , Inpatient Medicare ,$410.28 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,092.00 ", Inpatient Medicare +100% ,"$8,558.62 ",$436.80 ,"$1,404.00 ","$1,123.20 ","$1,560.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$748.80 ,"$1,404.00 " ST. JOHN'S HOSPITAL,12400001,N/A,HC DAILY SERVICE PSYCH,124,1 ,"$1,420.00 ",$923.00 ,$373.46 ,"$1,420.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$769.64 , Inpatient Medicare ,$397.60 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ",$866.00 , Inpatient Medicare +150% , Inpatient Medicare +1% ,$994.00 , Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,065.00 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$1,420.00 ","$1,207.00 ", Inpatient Medicare +150% ,$923.00 ,$525.40 ,$923.00 , Inpatient Medicare , Inpatient Medicare , N/A ,$769.64 , Inpatient Medicare ,$373.46 ,$795.00 ,$799.00 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$994.00 , Inpatient Medicare +100% ,"$8,558.62 ",$397.60 ,"$1,278.00 ","$1,022.40 ","$1,420.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,$681.60 ,"$1,278.00 " ST. JOHN'S HOSPITAL,12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$985.00 ,$640.25 ,$259.06 ,$985.00 , Inpatient Medicare +150% ,"$13,365.00 ",$533.87 , Inpatient Medicare ,$275.80 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,$689.50 , Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,$738.75 ,$728.00 ,$655.00 ,$728.00 , Inpatient Medicare ,$728.00 ,$841.00 ,$841.00 ,$971.00 ,$985.00 ,$837.25 , Inpatient Medicare +150% ,$788.00 ,$364.45 ,$788.00 , Inpatient Medicare , Inpatient Medicare , N/A ,$533.87 , Inpatient Medicare ,$259.06 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$979.30 , Inpatient Medicare +100% ,"$8,558.62 ",$275.80 ,$886.50 ,$709.20 ,$985.00 ,$841.00 ,$830.00 ,$830.00 , Inpatient Medicare ,$472.80 ,$886.50 ST. JOHN'S HOSPITAL,17100001,N/A,HC DAILY INFANT SERVICE LEV 1,171,1 ,"$1,399.00 ",$909.35 ,$367.94 ,"$1,399.00 ", Inpatient Medicare +150% ,"$13,365.00 ",$758.26 , Inpatient Medicare ,$391.72 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,$408.00 ,"$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,$979.30 , Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,049.25 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ",$815.00 ,$815.00 ,$898.00 ,"$1,399.00 ","$1,189.15 ", Inpatient Medicare +150% ,"$1,119.20 ",$517.63 ,"$1,119.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,$758.26 , Inpatient Medicare ,$367.94 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,994.30 ", Inpatient Medicare +100% ,"$8,558.62 ",$391.72 ,"$1,259.10 ","$1,007.28 ","$1,399.00 ",$815.00 ,"$1,360.00 ","$1,360.00 ", Inpatient Medicare ,$671.52 ,"$1,259.10 " ST. JOHN'S HOSPITAL,17200002,N/A,HC DAILY INFANT SERVICE LEV 2,172,1 ,"$2,849.00 ","$1,851.85 ",$749.29 ,"$2,849.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$1,544.16 ", Inpatient Medicare ,$797.72 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,$408.00 ,"$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,994.30 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$2,136.75 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ",$815.00 ,$815.00 ,$898.00 ,"$2,849.00 ","$2,421.65 ", Inpatient Medicare +150% ,"$2,279.20 ","$1,054.13 ","$2,279.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$1,544.16 ", Inpatient Medicare ,$749.29 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,994.30 ", Inpatient Medicare +100% ,"$8,558.62 ",$797.72 ,"$2,564.10 ","$2,051.28 ","$2,849.00 ",$815.00 ,"$3,200.00 ","$3,200.00 ", Inpatient Medicare ,"$1,367.52 ","$2,564.10 " ST. JOHN'S HOSPITAL,17300002,N/A,HC DAILY INFANT SERVICE LEV 3,173,1 ,"$4,119.00 ","$2,677.35 ","$1,083.30 ","$4,119.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$2,232.50 ", Inpatient Medicare ,"$1,153.32 ","$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$1,506.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$2,883.30 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$3,089.25 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$1,632.00 ","$1,632.00 ","$1,795.00 ","$4,119.00 ","$3,501.15 ", Inpatient Medicare +150% ,"$3,295.20 ","$1,524.03 ","$3,295.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$2,232.50 ", Inpatient Medicare ,"$1,083.30 ", N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$2,883.30 ", Inpatient Medicare +100% ,"$8,558.62 ","$1,153.32 ","$3,707.10 ","$2,965.68 ","$4,119.00 ","$1,632.00 ","$5,000.00 ","$5,000.00 ", Inpatient Medicare ,"$1,977.12 ","$3,707.10 " ST. JOHN'S HOSPITAL,17400002,N/A,HC DAILY INFANT SERVICE LEV 4,174,1 ,"$5,775.00 ","$3,753.75 ","$1,518.83 ","$5,775.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$3,130.05 ", Inpatient Medicare ,"$1,617.00 ","$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$1,506.00 ","$1,536.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$4,042.50 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$4,331.25 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$1,632.00 ","$1,632.00 ","$1,795.00 ","$5,775.00 ","$4,908.75 ", Inpatient Medicare +150% ,"$4,620.00 ","$2,136.75 ","$4,620.00 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$3,130.05 ", Inpatient Medicare ,"$1,518.83 ", N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$4,042.50 ", Inpatient Medicare +100% ,"$8,558.62 ","$1,617.00 ","$5,197.50 ","$4,158.00 ","$5,775.00 ","$1,632.00 ","$5,400.00 ","$5,400.00 ", Inpatient Medicare ,"$2,772.00 ","$5,197.50 " ST. JOHN'S HOSPITAL,20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$3,765.00 ","$2,447.25 ",$990.20 ,"$3,765.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$2,040.63 ", Inpatient Medicare ,"$1,054.20 ","$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$3,695.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$2,635.50 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$2,823.75 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$3,765.00 ","$3,200.25 ", Inpatient Medicare +150% ,"$3,012.00 ","$1,393.05 ","$3,012.00 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$2,040.63 ", Inpatient Medicare ,$990.20 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$2,635.50 ", Inpatient Medicare +100% ,"$8,558.62 ","$1,054.20 ","$3,388.50 ","$2,710.80 ","$3,765.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,"$1,807.20 ","$3,388.50 " ST. JOHN'S HOSPITAL,20300001,N/A,HC DAILY PEDIATRIC IMC,203,1 ,"$3,009.00 ","$1,955.85 ",$791.37 ,"$3,009.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$1,630.88 ", Inpatient Medicare ,$842.52 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$3,695.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$2,106.30 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$2,256.75 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$3,009.00 ","$2,557.65 ", Inpatient Medicare +150% ,"$2,407.20 ","$1,113.33 ","$2,407.20 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$1,630.88 ", Inpatient Medicare ,$791.37 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$2,106.30 ", Inpatient Medicare +100% ,"$8,558.62 ",$842.52 ,"$2,708.10 ","$2,166.48 ","$3,009.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,"$1,444.32 ","$2,708.10 " ST. JOHN'S HOSPITAL,20300002,N/A,HC DAILY PEDIATRIC ICU,203,1 ,"$4,518.00 ","$2,936.70 ","$1,188.23 ","$4,518.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$2,448.76 ", Inpatient Medicare ,"$1,265.04 ","$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$3,695.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$3,162.60 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$3,388.50 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$4,518.00 ","$3,840.30 ", Inpatient Medicare +150% ,"$3,614.40 ","$1,671.66 ","$3,614.40 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$2,448.76 ", Inpatient Medicare ,"$1,188.23 ", N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$3,162.60 ", Inpatient Medicare +100% ,"$8,558.62 ","$1,265.04 ","$4,066.20 ","$3,252.96 ","$4,518.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,"$2,168.64 ","$4,066.20 " ST. JOHN'S HOSPITAL,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$2,508.00 ","$1,630.20 ",$659.60 ,"$2,508.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$1,359.34 ", Inpatient Medicare ,$702.24 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$3,695.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,755.60 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,881.00 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$2,508.00 ","$2,131.80 ", Inpatient Medicare +150% ,"$2,006.40 ",$927.96 ,"$2,006.40 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$1,359.34 ", Inpatient Medicare ,$659.60 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,755.60 ", Inpatient Medicare +100% ,"$8,558.62 ",$702.24 ,"$2,257.20 ","$1,805.76 ","$2,508.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,"$1,203.84 ","$2,257.20 " ST. JOHN'S HOSPITAL,21000002,N/A,HC DAILY CARDIAC CARE,210,1 ,"$2,508.00 ","$1,630.20 ",$659.60 ,"$2,508.00 ", Inpatient Medicare +150% ,"$13,365.00 ","$1,359.34 ", Inpatient Medicare ,$702.24 ,"$10,339.46 ", Inpatient Medicare ,"$11,884.08 ", Inpatient Medicare ,"$8,558.62 ","$8,558.62 ", Inpatient Medicare ,"$8,558.62 ", Inpatient Medicare +90% ,"$10,845.00 ","$3,695.00 ", Inpatient Medicare +150% , Inpatient Medicare +1% ,"$1,755.60 ", Inpatient Medicare ,"$9,875.00 ", Inpatient Medicare +2% ,"$1,881.00 ","$9,274.00 ","$8,346.00 ","$9,274.00 ", Inpatient Medicare ,"$9,274.00 ","$12,381.00 ","$12,381.00 ","$13,628.00 ","$2,508.00 ","$2,131.80 ", Inpatient Medicare +150% ,"$2,006.40 ",$927.96 ,"$2,006.40 ", Inpatient Medicare , Inpatient Medicare , N/A ,"$1,359.34 ", Inpatient Medicare ,$659.60 , N/A , N/A , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,755.60 ", Inpatient Medicare +100% ,"$8,558.62 ",$702.24 ,"$2,257.20 ","$1,805.76 ","$2,508.00 ","$12,381.00 ","$15,235.00 ","$15,235.00 ", Inpatient Medicare ,"$1,203.84 ","$2,257.20 " ST. JOHN'S HOSPITAL,23100005,N/A,HC NICU NURSING CARE PER HOUR,231,1 ,$288.00 ,$187.20 ,$75.74 ,$288.00 , N/A ,$132.48 ,$156.10 , N/A ,$80.64 ,$92.16 , N/A ,$105.98 , N/A ,$110.02 ,$110.02 , N/A ,$110.02 , N/A ,$151.49 ,$146.88 , N/A , N/A ,$201.60 , N/A ,$144.00 , N/A ,$216.00 ,$145.44 ,$131.04 ,$145.44 , N/A ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 , N/A ,$230.40 ,$106.56 ,$230.40 , N/A , N/A ,$288.00 ,$156.10 , N/A ,$75.74 , N/A , N/A , N/A , N/A , N/A ,$244.80 , N/A ,$110.02 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 , N/A ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$391.00 ,$254.15 ,$65.19 ,$491.61 ,$491.60 ,$179.86 ,$211.92 ,$196.64 ,$109.48 ,$134.90 ,$196.64 ,$150.14 ,$196.64 ,$149.36 ,$65.19 ,$196.64 ,$149.36 ,$373.63 ,$205.67 ,$199.41 ,$491.61 ,$196.64 ,$273.70 ,$196.64 ,$195.50 ,$200.58 ,$293.25 ,$197.46 ,$177.91 ,$197.46 ,$196.64 ,$197.46 ,$246.33 ,$246.33 ,$277.61 ,$391.00 ,$332.35 ,$391.00 ,$312.80 ,$144.67 ,$312.80 ,$196.64 ,$196.64 ,$391.00 ,$211.92 ,$196.64 ,$102.83 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$332.35 ,$442.45 ,$257.28 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$246.33 ,$246.33 ,$246.33 ,$196.64 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$332.00 ,$215.80 ,$23.36 ,$489.45 ,$96.18 ,$152.72 ,$179.94 ,$38.47 ,$92.96 ,$114.54 ,$38.47 ,$127.49 ,$38.47 ,$126.82 ,$23.36 ,$38.47 ,$126.82 ,$73.09 ,$174.63 ,$169.32 ,$96.17 ,$38.47 ,$232.40 ,$38.47 ,$166.00 ,$39.24 ,$249.00 ,$167.66 ,$151.06 ,$167.66 ,$38.47 ,$167.66 ,$209.16 ,$209.16 ,$235.72 ,$332.00 ,$282.20 ,$96.17 ,$265.60 ,$122.84 ,$265.60 ,$38.47 ,$38.47 ,$332.00 ,$179.94 ,$38.47 ,$87.32 , N/A , N/A ,$332.00 ,$489.45 ,$40.39 ,$282.20 ,$86.55 ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$209.16 ,$209.16 ,$209.16 ,$38.47 ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$391.00 ,$254.15 ,$100.13 ,$491.61 ,$491.60 ,$179.86 ,$211.92 ,$196.64 ,$109.48 ,$134.90 ,$196.64 ,$150.14 ,$196.64 ,$149.36 ,$100.13 ,$196.64 ,$149.36 ,$373.63 ,$205.67 ,$199.41 ,$491.61 ,$196.64 ,$273.70 ,$196.64 ,$195.50 ,$200.58 ,$293.25 ,$197.46 ,$177.91 ,$197.46 ,$196.64 ,$197.46 ,$246.33 ,$246.33 ,$277.61 ,$391.00 ,$332.35 ,$391.00 ,$312.80 ,$144.67 ,$312.80 ,$196.64 ,$196.64 ,$391.00 ,$211.92 ,$196.64 ,$102.83 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$332.35 ,$442.45 ,$257.28 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$246.33 ,$246.33 ,$246.33 ,$196.64 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$332.00 ,$215.80 ,$30.71 ,$489.45 ,$96.18 ,$152.72 ,$179.94 ,$38.47 ,$92.96 ,$114.54 ,$38.47 ,$127.49 ,$38.47 ,$126.82 ,$30.71 ,$38.47 ,$126.82 ,$73.09 ,$174.63 ,$169.32 ,$96.17 ,$38.47 ,$232.40 ,$38.47 ,$166.00 ,$39.24 ,$249.00 ,$167.66 ,$151.06 ,$167.66 ,$38.47 ,$167.66 ,$209.16 ,$209.16 ,$235.72 ,$332.00 ,$282.20 ,$96.17 ,$265.60 ,$122.84 ,$265.60 ,$38.47 ,$38.47 ,$332.00 ,$179.94 ,$38.47 ,$87.32 , N/A , N/A ,$332.00 ,$489.45 ,$40.39 ,$282.20 ,$86.55 ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$209.16 ,$209.16 ,$209.16 ,$38.47 ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$332.00 ,$215.80 ,$44.08 ,$332.00 ,$149.00 ,$152.72 ,$179.94 ,$59.60 ,$92.96 ,$114.54 ,$59.60 ,$127.49 ,$59.60 ,$126.82 ,$44.08 ,$59.60 ,$126.82 ,$113.23 ,$174.63 ,$169.32 ,$148.99 ,$59.60 ,$232.40 ,$59.60 ,$166.00 ,$60.79 ,$249.00 ,$167.66 ,$151.06 ,$167.66 ,$59.60 ,$167.66 ,$209.16 ,$209.16 ,$235.72 ,$332.00 ,$282.20 ,$148.99 ,$265.60 ,$122.84 ,$265.60 ,$59.60 ,$59.60 ,$332.00 ,$179.94 ,$59.60 ,$87.32 , N/A , N/A ,$328.00 ,$313.09 ,$62.58 ,$282.20 ,$134.09 ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$209.16 ,$209.16 ,$209.16 ,$59.60 ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,26000005,96368,HC INFUS CONCURRENT,260,1 ,$332.00 ,$215.80 ,$29.69 ,$332.00 , N/A ,$152.72 ,$179.94 , N/A ,$92.96 ,$114.54 , N/A ,$127.49 , N/A ,$126.82 ,$29.69 , N/A ,$126.82 , N/A ,$174.63 ,$169.32 , N/A , N/A ,$232.40 , N/A ,$166.00 , N/A ,$249.00 ,$167.66 ,$151.06 ,$167.66 , N/A ,$167.66 ,$209.16 ,$209.16 ,$235.72 ,$332.00 ,$282.20 , N/A ,$265.60 ,$122.84 ,$265.60 , N/A , N/A ,$332.00 ,$179.94 , N/A ,$87.32 , N/A , N/A ,$328.00 ,$313.09 , N/A ,$282.20 , N/A ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$209.16 ,$209.16 ,$209.16 , N/A ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,26000006,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$391.00 ,$254.15 ,$65.19 ,$491.61 ,$491.60 ,$179.86 ,$211.92 ,$196.64 ,$109.48 ,$134.90 ,$196.64 ,$150.14 ,$196.64 ,$149.36 ,$65.19 ,$196.64 ,$149.36 ,$373.63 ,$205.67 ,$199.41 ,$491.61 ,$196.64 ,$273.70 ,$196.64 ,$195.50 ,$200.58 ,$293.25 ,$197.46 ,$177.91 ,$197.46 ,$196.64 ,$197.46 ,$246.33 ,$246.33 ,$277.61 ,$391.00 ,$332.35 ,$391.00 ,$312.80 ,$144.67 ,$312.80 ,$196.64 ,$196.64 ,$391.00 ,$211.92 ,$196.64 ,$102.83 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$332.35 ,$442.45 ,$257.28 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$246.33 ,$246.33 ,$246.33 ,$196.64 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,26000007,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$391.00 ,$254.15 ,$100.13 ,$491.61 ,$491.60 ,$179.86 ,$211.92 ,$196.64 ,$109.48 ,$134.90 ,$196.64 ,$150.14 ,$196.64 ,$149.36 ,$100.13 ,$196.64 ,$149.36 ,$373.63 ,$205.67 ,$199.41 ,$491.61 ,$196.64 ,$273.70 ,$196.64 ,$195.50 ,$200.58 ,$293.25 ,$197.46 ,$177.91 ,$197.46 ,$196.64 ,$197.46 ,$246.33 ,$246.33 ,$277.61 ,$391.00 ,$332.35 ,$391.00 ,$312.80 ,$144.67 ,$312.80 ,$196.64 ,$196.64 ,$391.00 ,$211.92 ,$196.64 ,$102.83 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$332.35 ,$442.45 ,$257.28 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$246.33 ,$246.33 ,$246.33 ,$196.64 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,26000008,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$288.00 ,$187.20 ,$23.53 ,$288.00 ,$96.18 ,$132.48 ,$156.10 ,$38.47 ,$80.64 ,$99.36 ,$38.47 ,$110.59 ,$38.47 ,$110.02 ,$23.53 ,$38.47 ,$110.02 ,$73.09 ,$151.49 ,$146.88 ,$96.17 ,$38.47 ,$201.60 ,$38.47 ,$144.00 ,$39.24 ,$216.00 ,$145.44 ,$131.04 ,$145.44 ,$38.47 ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 ,$96.17 ,$230.40 ,$106.56 ,$230.40 ,$38.47 ,$38.47 ,$288.00 ,$156.10 ,$38.47 ,$75.74 , N/A , N/A , N/A , N/A ,$40.39 ,$244.80 ,$86.55 ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 ,$38.47 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,26000009,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$288.00 ,$187.20 ,$14.70 ,$288.00 , N/A ,$132.48 ,$156.10 , N/A ,$80.64 ,$99.36 , N/A ,$110.59 , N/A ,$110.02 ,$14.70 , N/A ,$110.02 , N/A ,$151.49 ,$146.88 , N/A , N/A ,$201.60 , N/A ,$144.00 , N/A ,$216.00 ,$145.44 ,$131.04 ,$145.44 , N/A ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 , N/A ,$230.40 ,$106.56 ,$230.40 , N/A , N/A ,$288.00 ,$156.10 , N/A ,$75.74 , N/A , N/A , N/A , N/A , N/A ,$244.80 , N/A ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 , N/A ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,26000010,96370,HC IV INFUSION THERPAY/PROPH SUBQ EA ADDL HR,260,1 ,$237.00 ,$154.05 ,$22.41 ,$489.45 ,$96.18 ,$109.02 ,$128.45 ,$38.47 ,$66.36 ,$81.77 ,$38.47 ,$91.01 ,$38.47 ,$90.53 ,$22.41 ,$38.47 ,$90.53 ,$73.09 ,$124.66 ,$120.87 ,$96.17 ,$38.47 ,$165.90 ,$38.47 ,$118.50 ,$39.24 ,$177.75 ,$119.69 ,$107.84 ,$119.69 ,$38.47 ,$119.69 ,$149.31 ,$149.31 ,$168.27 ,$237.00 ,$201.45 ,$96.17 ,$189.60 ,$87.69 ,$189.60 ,$38.47 ,$38.47 ,$237.00 ,$128.45 ,$38.47 ,$62.33 , N/A , N/A ,$237.00 ,$489.45 ,$40.39 ,$201.45 ,$86.55 ,$155.95 ,$66.36 ,$213.30 ,$170.64 ,$237.00 ,$149.31 ,$149.31 ,$149.31 ,$38.47 ,$113.76 ,$213.30 ST. JOHN'S HOSPITAL,26000011,96371,HC IV INFUSION THERPAY/PROPH SUBQ SECOND LOCATION,260,1 ,$300.00 ,$195.00 ,$59.60 ,$313.09 ,$149.00 ,$138.00 ,$162.60 ,$59.60 ,$84.00 ,$103.50 ,$59.60 ,$115.20 ,$59.60 ,$114.60 ,$89.82 ,$59.60 ,$114.60 ,$113.23 ,$157.80 ,$153.00 ,$148.99 ,$59.60 ,$210.00 ,$59.60 ,$150.00 ,$60.79 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$59.60 ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 ,$148.99 ,$240.00 ,$111.00 ,$240.00 ,$59.60 ,$59.60 ,$300.00 ,$162.60 ,$59.60 ,$78.90 , N/A , N/A ,$300.00 ,$313.09 ,$62.58 ,$255.00 ,$134.09 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 ,$59.60 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,26000012,96369,HC INFUSION THERAPY/PROPHLAXIS INIT <1HR,260,1 ,$553.00 ,$359.45 ,$145.44 ,$553.00 ,$491.60 ,$254.38 ,$299.73 ,$196.64 ,$154.84 ,$190.79 ,$196.64 ,$212.35 ,$196.64 ,$211.25 ,$230.16 ,$196.64 ,$211.25 ,$373.63 ,$290.88 ,$282.03 ,$491.61 ,$196.64 ,$387.10 ,$196.64 ,$276.50 ,$200.58 ,$414.75 ,$279.27 ,$251.62 ,$279.27 ,$196.64 ,$279.27 ,$348.39 ,$348.39 ,$392.63 ,$553.00 ,$470.05 ,$491.61 ,$442.40 ,$204.61 ,$442.40 ,$196.64 ,$196.64 ,$553.00 ,$299.73 ,$196.64 ,$145.44 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$470.05 ,$442.45 ,$363.87 ,$154.84 ,$497.70 ,$398.16 ,$553.00 ,$348.39 ,$348.39 ,$348.39 ,$196.64 ,$265.44 ,$497.70 ST. JOHN'S HOSPITAL,26000013,C8957,HC IV INFUSION THERAPY/DX >8 HRS W/IMPLANT PUMP,260,1 ,"$3,929.00 ","$2,553.85 ",$306.49 ,"$3,929.00 ",$766.23 ,"$1,807.34 ","$2,129.52 ",$306.49 ,"$1,100.12 ","$1,257.28 ",$306.49 ,"$1,445.87 ",$306.49 ,"$1,500.88 ","$1,571.60 ",$306.49 ,"$1,500.88 ",$582.34 ,"$2,066.65 ","$2,003.79 ",$766.23 ,$306.49 ,"$2,750.30 ",$306.49 ,"$1,964.50 ",$312.62 ,"$2,946.75 ","$1,984.15 ","$1,787.70 ","$1,984.15 ",$306.49 ,"$1,984.15 ","$2,475.27 ","$2,475.27 ","$2,789.59 ","$3,929.00 ","$3,339.65 ",$766.23 ,"$3,143.20 ","$1,453.73 ","$3,143.20 ",$306.49 ,$306.49 ,"$3,929.00 ","$2,129.52 ",$306.49 ,"$1,033.33 ", N/A , N/A ,$512.75 ,$489.45 ,$321.81 ,"$3,339.65 ",$689.61 ,"$2,585.28 ","$1,100.12 ","$3,536.10 ","$2,828.88 ","$3,929.00 ","$2,475.27 ","$2,475.27 ","$2,475.27 ",$306.49 ,"$1,885.92 ","$3,536.10 " ST. JOHN'S HOSPITAL,26000014,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB",260,1 ,$933.00 ,$606.45 ,$245.38 ,$933.00 , N/A ,$429.18 ,$505.69 , N/A ,$261.24 ,$298.56 , N/A ,$343.34 , N/A ,$356.41 ,$373.20 , N/A ,$356.41 , N/A ,$490.76 ,$475.83 , N/A , N/A ,$653.10 , N/A ,$466.50 , N/A ,$699.75 ,$471.17 ,$424.52 ,$471.17 , N/A ,$471.17 ,$587.79 ,$587.79 ,$662.43 ,$933.00 ,$793.05 , N/A ,$746.40 ,$345.21 ,$746.40 , N/A , N/A ,$933.00 ,$505.69 , N/A ,$245.38 , N/A , N/A , N/A , N/A , N/A ,$793.05 , N/A ,$613.91 ,$261.24 ,$839.70 ,$671.76 ,$933.00 ,$587.79 ,$587.79 ,$587.79 , N/A ,$447.84 ,$839.70 ST. JOHN'S HOSPITAL,26000015,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB ADMINISTRATION",260,1 ,$930.00 ,$604.50 ,$244.59 ,"$1,060.03 ","$1,060.03 ",$427.80 ,$504.06 ,$424.01 ,$260.40 ,$297.60 ,$424.01 ,$342.24 ,$424.01 ,$355.26 ,$372.00 ,$424.01 ,$355.26 ,$805.62 ,$489.18 ,$474.30 ,"$1,060.03 ",$424.01 ,$651.00 ,$424.01 ,$465.00 ,$432.49 ,$697.50 ,$469.65 ,$423.15 ,$469.65 ,$424.01 ,$469.65 ,$585.90 ,$585.90 ,$660.30 ,$930.00 ,$790.50 ,$930.00 ,$744.00 ,$344.10 ,$744.00 ,$424.01 ,$424.01 ,$930.00 ,$504.06 ,$424.01 ,$244.59 , N/A , N/A ,$328.00 ,$313.09 ,$445.21 ,$790.50 ,$954.02 ,$611.94 ,$260.40 ,$837.00 ,$669.60 ,$930.00 ,$585.90 ,$585.90 ,$585.90 ,$424.01 ,$446.40 ,$837.00 ST. JOHN'S HOSPITAL,26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$933.00 ,$606.45 ,$245.38 ,"$1,060.03 ","$1,060.03 ",$429.18 ,$505.69 ,$424.01 ,$261.24 ,$298.56 ,$424.01 ,$343.34 ,$424.01 ,$356.41 ,$373.20 ,$424.01 ,$356.41 ,$805.62 ,$490.76 ,$475.83 ,"$1,060.03 ",$424.01 ,$653.10 ,$424.01 ,$466.50 ,$432.49 ,$699.75 ,$471.17 ,$424.52 ,$471.17 ,$424.01 ,$471.17 ,$587.79 ,$587.79 ,$662.43 ,$933.00 ,$793.05 ,$933.00 ,$746.40 ,$345.21 ,$746.40 ,$424.01 ,$424.01 ,$933.00 ,$505.69 ,$424.01 ,$245.38 , N/A , N/A ,$328.00 ,$313.09 ,$445.21 ,$793.05 ,$954.02 ,$613.91 ,$261.24 ,$839.70 ,$671.76 ,$933.00 ,$587.79 ,$587.79 ,$587.79 ,$424.01 ,$447.84 ,$839.70 ST. JOHN'S HOSPITAL,27000002,A6250,HC CREAM MOISTURE BARRIER,270,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.52 , N/A ,$6.14 , N/A ,$6.11 ,$16.00 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27000007,N/A,HC ELECTRODE SCALP,270,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27000014,N/A,HC SET CYSTO IRRIGATION TUBING,270,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27000015,N/A,HC SET IV EXTENSION,270,1 ,$22.00 ,$14.30 ,$5.79 ,$22.00 , N/A ,$10.12 ,$11.92 , N/A ,$6.16 ,$7.04 , N/A ,$8.10 , N/A ,$8.40 ,$8.80 , N/A ,$8.40 , N/A ,$11.57 ,$11.22 , N/A , N/A ,$15.40 , N/A ,$11.00 , N/A ,$16.50 ,$11.11 ,$10.01 ,$11.11 , N/A ,$11.11 ,$13.86 ,$13.86 ,$15.62 ,$22.00 ,$18.70 , N/A ,$17.60 ,$8.14 ,$17.60 , N/A , N/A ,$22.00 ,$11.92 , N/A ,$5.79 , N/A , N/A , N/A , N/A , N/A ,$18.70 , N/A ,$14.48 ,$6.16 ,$19.80 ,$15.84 ,$22.00 ,$13.86 ,$13.86 ,$13.86 , N/A ,$10.56 ,$19.80 ST. JOHN'S HOSPITAL,27000024,N/A,HC TRAY SPINAL ANESTHESIA,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27000027,N/A,HC TRAY AMNIOCENTESIS,270,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27000045,N/A,HC BED SPECIALTY,270,1 ,$432.00 ,$280.80 ,$113.62 ,$432.00 , N/A ,$198.72 ,$234.14 , N/A ,$120.96 ,$138.24 , N/A ,$158.98 , N/A ,$165.02 ,$172.80 , N/A ,$165.02 , N/A ,$227.23 ,$220.32 , N/A , N/A ,$302.40 , N/A ,$216.00 , N/A ,$324.00 ,$218.16 ,$196.56 ,$218.16 , N/A ,$218.16 ,$272.16 ,$272.16 ,$306.72 ,$432.00 ,$367.20 , N/A ,$345.60 ,$159.84 ,$345.60 , N/A , N/A ,$432.00 ,$234.14 , N/A ,$113.62 , N/A , N/A , N/A , N/A , N/A ,$367.20 , N/A ,$284.26 ,$120.96 ,$388.80 ,$311.04 ,$432.00 ,$272.16 ,$272.16 ,$272.16 , N/A ,$207.36 ,$388.80 ST. JOHN'S HOSPITAL,27000048,N/A,HC CARTRIDGE CRRT INITIAL,270,1 ,"$1,092.00 ",$709.80 ,$287.20 ,"$1,092.00 ", N/A ,$502.32 ,$591.86 , N/A ,$305.76 ,$349.44 , N/A ,$401.86 , N/A ,$417.14 ,$436.80 , N/A ,$417.14 , N/A ,$574.39 ,$556.92 , N/A , N/A ,$764.40 , N/A ,$546.00 , N/A ,$819.00 ,$551.46 ,$496.86 ,$551.46 , N/A ,$551.46 ,$687.96 ,$687.96 ,$775.32 ,"$1,092.00 ",$928.20 , N/A ,$873.60 ,$404.04 ,$873.60 , N/A , N/A ,"$1,092.00 ",$591.86 , N/A ,$287.20 , N/A , N/A , N/A , N/A , N/A ,$928.20 , N/A ,$718.54 ,$305.76 ,$982.80 ,$786.24 ,"$1,092.00 ",$687.96 ,$687.96 ,$687.96 , N/A ,$524.16 ,$982.80 ST. JOHN'S HOSPITAL,27000049,N/A,HC CARTRIDGE CRRT ADDL,270,1 ,$808.00 ,$525.20 ,$212.50 ,$808.00 , N/A ,$371.68 ,$437.94 , N/A ,$226.24 ,$258.56 , N/A ,$297.34 , N/A ,$308.66 ,$323.20 , N/A ,$308.66 , N/A ,$425.01 ,$412.08 , N/A , N/A ,$565.60 , N/A ,$404.00 , N/A ,$606.00 ,$408.04 ,$367.64 ,$408.04 , N/A ,$408.04 ,$509.04 ,$509.04 ,$573.68 ,$808.00 ,$686.80 , N/A ,$646.40 ,$298.96 ,$646.40 , N/A , N/A ,$808.00 ,$437.94 , N/A ,$212.50 , N/A , N/A , N/A , N/A , N/A ,$686.80 , N/A ,$531.66 ,$226.24 ,$727.20 ,$581.76 ,$808.00 ,$509.04 ,$509.04 ,$509.04 , N/A ,$387.84 ,$727.20 ST. JOHN'S HOSPITAL,27000050,N/A,HC DEVICE THERAPEP,270,1 ,$116.00 ,$75.40 ,$30.51 ,$116.00 , N/A ,$53.36 ,$62.87 , N/A ,$32.48 ,$37.12 , N/A ,$42.69 , N/A ,$44.31 ,$46.40 , N/A ,$44.31 , N/A ,$61.02 ,$59.16 , N/A , N/A ,$81.20 , N/A ,$58.00 , N/A ,$87.00 ,$58.58 ,$52.78 ,$58.58 , N/A ,$58.58 ,$73.08 ,$73.08 ,$82.36 ,$116.00 ,$98.60 , N/A ,$92.80 ,$42.92 ,$92.80 , N/A , N/A ,$116.00 ,$62.87 , N/A ,$30.51 , N/A , N/A , N/A , N/A , N/A ,$98.60 , N/A ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$73.08 ,$73.08 ,$73.08 , N/A ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,27000051,N/A,HC DIALYSATE BAG 5 LITERS,270,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27000053,N/A,HC KIT ISOLATION SUPPLIES,270,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27000061,N/A,HC KIT CAST SUPPLIES SMALL,270,1 ,$88.00 ,$57.20 ,$23.14 ,$88.00 , N/A ,$40.48 ,$47.70 , N/A ,$24.64 ,$28.16 , N/A ,$32.38 , N/A ,$33.62 ,$35.20 , N/A ,$33.62 , N/A ,$46.29 ,$44.88 , N/A , N/A ,$61.60 , N/A ,$44.00 , N/A ,$66.00 ,$44.44 ,$40.04 ,$44.44 , N/A ,$44.44 ,$55.44 ,$55.44 ,$62.48 ,$88.00 ,$74.80 , N/A ,$70.40 ,$32.56 ,$70.40 , N/A , N/A ,$88.00 ,$47.70 , N/A ,$23.14 , N/A , N/A , N/A , N/A , N/A ,$74.80 , N/A ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$55.44 ,$55.44 ,$55.44 , N/A ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,27000062,N/A,HC KIT CAST SUPPLIES MEDIUM,270,1 ,$217.00 ,$141.05 ,$57.07 ,$217.00 , N/A ,$99.82 ,$117.61 , N/A ,$60.76 ,$69.44 , N/A ,$79.86 , N/A ,$82.89 ,$86.80 , N/A ,$82.89 , N/A ,$114.14 ,$110.67 , N/A , N/A ,$151.90 , N/A ,$108.50 , N/A ,$162.75 ,$109.59 ,$98.74 ,$109.59 , N/A ,$109.59 ,$136.71 ,$136.71 ,$154.07 ,$217.00 ,$184.45 , N/A ,$173.60 ,$80.29 ,$173.60 , N/A , N/A ,$217.00 ,$117.61 , N/A ,$57.07 , N/A , N/A , N/A , N/A , N/A ,$184.45 , N/A ,$142.79 ,$60.76 ,$195.30 ,$156.24 ,$217.00 ,$136.71 ,$136.71 ,$136.71 , N/A ,$104.16 ,$195.30 ST. JOHN'S HOSPITAL,27000063,N/A,HC KIT CAST SUPPLIES LARGE,270,1 ,$343.00 ,$222.95 ,$90.21 ,$343.00 , N/A ,$157.78 ,$185.91 , N/A ,$96.04 ,$109.76 , N/A ,$126.22 , N/A ,$131.03 ,$137.20 , N/A ,$131.03 , N/A ,$180.42 ,$174.93 , N/A , N/A ,$240.10 , N/A ,$171.50 , N/A ,$257.25 ,$173.22 ,$156.07 ,$173.22 , N/A ,$173.22 ,$216.09 ,$216.09 ,$243.53 ,$343.00 ,$291.55 , N/A ,$274.40 ,$126.91 ,$274.40 , N/A , N/A ,$343.00 ,$185.91 , N/A ,$90.21 , N/A , N/A , N/A , N/A , N/A ,$291.55 , N/A ,$225.69 ,$96.04 ,$308.70 ,$246.96 ,$343.00 ,$216.09 ,$216.09 ,$216.09 , N/A ,$164.64 ,$308.70 ST. JOHN'S HOSPITAL,27000064,N/A,HC KIT CAST SUPPLIES X-LARGE,270,1 ,$429.00 ,$278.85 ,$112.83 ,$429.00 , N/A ,$197.34 ,$232.52 , N/A ,$120.12 ,$137.28 , N/A ,$157.87 , N/A ,$163.88 ,$171.60 , N/A ,$163.88 , N/A ,$225.65 ,$218.79 , N/A , N/A ,$300.30 , N/A ,$214.50 , N/A ,$321.75 ,$216.65 ,$195.20 ,$216.65 , N/A ,$216.65 ,$270.27 ,$270.27 ,$304.59 ,$429.00 ,$364.65 , N/A ,$343.20 ,$158.73 ,$343.20 , N/A , N/A ,$429.00 ,$232.52 , N/A ,$112.83 , N/A , N/A , N/A , N/A , N/A ,$364.65 , N/A ,$282.28 ,$120.12 ,$386.10 ,$308.88 ,$429.00 ,$270.27 ,$270.27 ,$270.27 , N/A ,$205.92 ,$386.10 ST. JOHN'S HOSPITAL,27000073,N/A,HC DETECTOR CARBON DIOXIDE,270,1 ,$29.00 ,$18.85 ,$7.63 ,$29.00 , N/A ,$13.34 ,$15.72 , N/A ,$8.12 ,$9.28 , N/A ,$10.67 , N/A ,$11.08 ,$11.60 , N/A ,$11.08 , N/A ,$15.25 ,$14.79 , N/A , N/A ,$20.30 , N/A ,$14.50 , N/A ,$21.75 ,$14.65 ,$13.20 ,$14.65 , N/A ,$14.65 ,$18.27 ,$18.27 ,$20.59 ,$29.00 ,$24.65 , N/A ,$23.20 ,$10.73 ,$23.20 , N/A , N/A ,$29.00 ,$15.72 , N/A ,$7.63 , N/A , N/A , N/A , N/A , N/A ,$24.65 , N/A ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$18.27 ,$18.27 ,$18.27 , N/A ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,27000074,N/A,HC TAPE ADHESIVE,270,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27000075,N/A,HC TAPE CLEAR S1,270,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27000076,N/A,HC TAPE CLEAR S2,270,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27000077,N/A,HC TUBING CONNECTING,270,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27000078,N/A,HC WIPE ALCOHOL,270,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27000079,E0110,HC CRUTCHES FOREARM,270,1 ,$104.00 ,$67.60 ,$27.35 ,$224.38 ,$224.38 ,$47.84 ,$56.37 ,$89.75 ,$29.12 ,$33.28 ,$89.75 ,$38.27 ,$89.75 ,$39.73 ,$62.56 ,$89.75 ,$39.73 ,$104.00 ,$54.70 ,$53.04 ,$224.38 ,$89.75 ,$72.80 ,$89.75 ,$52.00 ,$91.55 ,$78.00 ,$52.52 ,$47.32 ,$52.52 ,$89.75 ,$52.52 ,$65.52 ,$65.52 ,$73.84 ,$104.00 ,$88.40 ,$104.00 ,$83.20 ,$38.48 ,$83.20 ,$89.75 ,$89.75 ,$104.00 ,$56.37 ,$89.75 ,$27.35 , N/A , N/A , N/A , N/A ,$94.24 ,$88.40 ,$201.94 ,$68.43 ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$65.52 ,$65.52 ,$65.52 ,$89.75 ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,27000080,N/A,HC WRAP ACE W/METAL CLIP,270,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27000081,N/A,HC BREAST MILK PER CC,270,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27000082,N/A,HC BREAST MILK FORTIFIER/ML,270,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27000084,N/A,HC FORMULA SPECIALTY BOTTLE,270,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27000085,N/A,HC FORMULA SPECIALTY CAN,270,1 ,$72.00 ,$46.80 ,$18.94 ,$72.00 , N/A ,$33.12 ,$39.02 , N/A ,$20.16 ,$23.04 , N/A ,$26.50 , N/A ,$27.50 ,$28.80 , N/A ,$27.50 , N/A ,$37.87 ,$36.72 , N/A , N/A ,$50.40 , N/A ,$36.00 , N/A ,$54.00 ,$36.36 ,$32.76 ,$36.36 , N/A ,$36.36 ,$45.36 ,$45.36 ,$51.12 ,$72.00 ,$61.20 , N/A ,$57.60 ,$26.64 ,$57.60 , N/A , N/A ,$72.00 ,$39.02 , N/A ,$18.94 , N/A , N/A , N/A , N/A , N/A ,$61.20 , N/A ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$45.36 ,$45.36 ,$45.36 , N/A ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,27000086,N/A,HC FORMULA SPECIALTY CASE,270,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27000087,N/A,HC FRAME ORTHOPEDIC DUAL,270,1 ,$161.00 ,$104.65 ,$42.34 ,$161.00 , N/A ,$74.06 ,$87.26 , N/A ,$45.08 ,$51.52 , N/A ,$59.25 , N/A ,$61.50 ,$64.40 , N/A ,$61.50 , N/A ,$84.69 ,$82.11 , N/A , N/A ,$112.70 , N/A ,$80.50 , N/A ,$120.75 ,$81.31 ,$73.26 ,$81.31 , N/A ,$81.31 ,$101.43 ,$101.43 ,$114.31 ,$161.00 ,$136.85 , N/A ,$128.80 ,$59.57 ,$128.80 , N/A , N/A ,$161.00 ,$87.26 , N/A ,$42.34 , N/A , N/A , N/A , N/A , N/A ,$136.85 , N/A ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$101.43 ,$101.43 ,$101.43 , N/A ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,27000088,N/A,HC FRAME ORTHOPEDIC SINGLE,270,1 ,$115.00 ,$74.75 ,$30.25 ,$115.00 , N/A ,$52.90 ,$62.33 , N/A ,$32.20 ,$36.80 , N/A ,$42.32 , N/A ,$43.93 ,$46.00 , N/A ,$43.93 , N/A ,$60.49 ,$58.65 , N/A , N/A ,$80.50 , N/A ,$57.50 , N/A ,$86.25 ,$58.08 ,$52.33 ,$58.08 , N/A ,$58.08 ,$72.45 ,$72.45 ,$81.65 ,$115.00 ,$97.75 , N/A ,$92.00 ,$42.55 ,$92.00 , N/A , N/A ,$115.00 ,$62.33 , N/A ,$30.25 , N/A , N/A , N/A , N/A , N/A ,$97.75 , N/A ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$72.45 ,$72.45 ,$72.45 , N/A ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,27000089,N/A,HC IV WARMER CARTRIDGE,270,1 ,$46.00 ,$29.90 ,$12.10 ,$46.00 , N/A ,$21.16 ,$24.93 , N/A ,$12.88 ,$14.72 , N/A ,$16.93 , N/A ,$17.57 ,$18.40 , N/A ,$17.57 , N/A ,$24.20 ,$23.46 , N/A , N/A ,$32.20 , N/A ,$23.00 , N/A ,$34.50 ,$23.23 ,$20.93 ,$23.23 , N/A ,$23.23 ,$28.98 ,$28.98 ,$32.66 ,$46.00 ,$39.10 , N/A ,$36.80 ,$17.02 ,$36.80 , N/A , N/A ,$46.00 ,$24.93 , N/A ,$12.10 , N/A , N/A , N/A , N/A , N/A ,$39.10 , N/A ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$28.98 ,$28.98 ,$28.98 , N/A ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,27000090,N/A,HC KIT REFILL PUMP SYNCHROMED,270,1 ,$81.00 ,$52.65 ,$21.30 ,$81.00 , N/A ,$37.26 ,$43.90 , N/A ,$22.68 ,$25.92 , N/A ,$29.81 , N/A ,$30.94 ,$32.40 , N/A ,$30.94 , N/A ,$42.61 ,$41.31 , N/A , N/A ,$56.70 , N/A ,$40.50 , N/A ,$60.75 ,$40.91 ,$36.86 ,$40.91 , N/A ,$40.91 ,$51.03 ,$51.03 ,$57.51 ,$81.00 ,$68.85 , N/A ,$64.80 ,$29.97 ,$64.80 , N/A , N/A ,$81.00 ,$43.90 , N/A ,$21.30 , N/A , N/A , N/A , N/A , N/A ,$68.85 , N/A ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$51.03 ,$51.03 ,$51.03 , N/A ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,27000091,N/A,HC KIT MEDICAL SUPPLY TRANSPORT IN,270,1 ,$480.00 ,$312.00 ,$126.24 ,$480.00 , N/A ,$220.80 ,$260.16 , N/A ,$134.40 ,$153.60 , N/A ,$176.64 , N/A ,$183.36 ,$192.00 , N/A ,$183.36 , N/A ,$252.48 ,$244.80 , N/A , N/A ,$336.00 , N/A ,$240.00 , N/A ,$360.00 ,$242.40 ,$218.40 ,$242.40 , N/A ,$242.40 ,$302.40 ,$302.40 ,$340.80 ,$480.00 ,$408.00 , N/A ,$384.00 ,$177.60 ,$384.00 , N/A , N/A ,$480.00 ,$260.16 , N/A ,$126.24 , N/A , N/A , N/A , N/A , N/A ,$408.00 , N/A ,$315.84 ,$134.40 ,$432.00 ,$345.60 ,$480.00 ,$302.40 ,$302.40 ,$302.40 , N/A ,$230.40 ,$432.00 ST. JOHN'S HOSPITAL,27000092,N/A,HC KIT MEDICAL SUPPLY TRANSPORT OUT,270,1 ,$435.00 ,$282.75 ,$114.41 ,$435.00 , N/A ,$200.10 ,$235.77 , N/A ,$121.80 ,$139.20 , N/A ,$160.08 , N/A ,$166.17 ,$174.00 , N/A ,$166.17 , N/A ,$228.81 ,$221.85 , N/A , N/A ,$304.50 , N/A ,$217.50 , N/A ,$326.25 ,$219.68 ,$197.93 ,$219.68 , N/A ,$219.68 ,$274.05 ,$274.05 ,$308.85 ,$435.00 ,$369.75 , N/A ,$348.00 ,$160.95 ,$348.00 , N/A , N/A ,$435.00 ,$235.77 , N/A ,$114.41 , N/A , N/A , N/A , N/A , N/A ,$369.75 , N/A ,$286.23 ,$121.80 ,$391.50 ,$313.20 ,$435.00 ,$274.05 ,$274.05 ,$274.05 , N/A ,$208.80 ,$391.50 ST. JOHN'S HOSPITAL,27000093,N/A,HC MATTRESS WARMING,270,1 ,$86.00 ,$55.90 ,$22.62 ,$86.00 , N/A ,$39.56 ,$46.61 , N/A ,$24.08 ,$27.52 , N/A ,$31.65 , N/A ,$32.85 ,$34.40 , N/A ,$32.85 , N/A ,$45.24 ,$43.86 , N/A , N/A ,$60.20 , N/A ,$43.00 , N/A ,$64.50 ,$43.43 ,$39.13 ,$43.43 , N/A ,$43.43 ,$54.18 ,$54.18 ,$61.06 ,$86.00 ,$73.10 , N/A ,$68.80 ,$31.82 ,$68.80 , N/A , N/A ,$86.00 ,$46.61 , N/A ,$22.62 , N/A , N/A , N/A , N/A , N/A ,$73.10 , N/A ,$56.59 ,$24.08 ,$77.40 ,$61.92 ,$86.00 ,$54.18 ,$54.18 ,$54.18 , N/A ,$41.28 ,$77.40 ST. JOHN'S HOSPITAL,27000094,N/A,HC NITRIC OXIDE 2 HOURS,270,1 ,"$1,241.00 ",$806.65 ,$326.38 ,"$1,241.00 ", N/A ,$570.86 ,$672.62 , N/A ,$347.48 ,$397.12 , N/A ,$456.69 , N/A ,$474.06 ,$496.40 , N/A ,$474.06 , N/A ,$652.77 ,$632.91 , N/A , N/A ,$868.70 , N/A ,$620.50 , N/A ,$930.75 ,$626.71 ,$564.66 ,$626.71 , N/A ,$626.71 ,$781.83 ,$781.83 ,$881.11 ,"$1,241.00 ","$1,054.85 ", N/A ,$992.80 ,$459.17 ,$992.80 , N/A , N/A ,"$1,241.00 ",$672.62 , N/A ,$326.38 , N/A , N/A , N/A , N/A , N/A ,"$1,054.85 ", N/A ,$816.58 ,$347.48 ,"$1,116.90 ",$893.52 ,"$1,241.00 ",$781.83 ,$781.83 ,$781.83 , N/A ,$595.68 ,"$1,116.90 " ST. JOHN'S HOSPITAL,27000095,N/A,HC PAD POSITIONER AID FROG NEO,270,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27000096,N/A,HC PAD POSITIONER NEO,270,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27000097,N/A,HC SHIELD STOMA,270,1 ,$36.00 ,$23.40 ,$9.47 ,$36.00 , N/A ,$16.56 ,$19.51 , N/A ,$10.08 ,$11.52 , N/A ,$13.25 , N/A ,$13.75 ,$14.40 , N/A ,$13.75 , N/A ,$18.94 ,$18.36 , N/A , N/A ,$25.20 , N/A ,$18.00 , N/A ,$27.00 ,$18.18 ,$16.38 ,$18.18 , N/A ,$18.18 ,$22.68 ,$22.68 ,$25.56 ,$36.00 ,$30.60 , N/A ,$28.80 ,$13.32 ,$28.80 , N/A , N/A ,$36.00 ,$19.51 , N/A ,$9.47 , N/A , N/A , N/A , N/A , N/A ,$30.60 , N/A ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$22.68 ,$22.68 ,$22.68 , N/A ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,27000098,N/A,HC SIMILAC POWDER,270,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27000099,N/A,HC WRAP ACE W/VELCRO,270,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27000100,A8000,HC HELMET PROTECTIVE PREFAB SOFT,270,1 ,$367.00 ,$238.55 ,$96.52 ,$558.78 ,$558.78 ,$168.82 ,$198.91 ,$223.51 ,$102.76 ,$117.44 ,$223.51 ,$135.06 ,$223.51 ,$140.19 ,$141.26 ,$223.51 ,$140.19 ,$367.00 ,$193.04 ,$187.17 ,$558.78 ,$223.51 ,$256.90 ,$223.51 ,$183.50 ,$227.98 ,$275.25 ,$185.34 ,$166.99 ,$185.34 ,$223.51 ,$185.34 ,$231.21 ,$231.21 ,$260.57 ,$367.00 ,$311.95 ,$367.00 ,$293.60 ,$135.79 ,$293.60 ,$223.51 ,$223.51 ,$367.00 ,$198.91 ,$223.51 ,$96.52 , N/A , N/A , N/A , N/A ,$234.69 ,$311.95 ,$502.90 ,$241.49 ,$102.76 ,$330.30 ,$264.24 ,$367.00 ,$231.21 ,$231.21 ,$231.21 ,$223.51 ,$176.16 ,$330.30 ST. JOHN'S HOSPITAL,27000101,A8001,HC HELMET PROTECTIVE PREFAB HARD,270,1 ,$367.00 ,$238.55 ,$96.52 ,$558.78 ,$558.78 ,$168.82 ,$198.91 ,$223.51 ,$102.76 ,$117.44 ,$223.51 ,$135.06 ,$223.51 ,$140.19 ,$141.26 ,$223.51 ,$140.19 ,$367.00 ,$193.04 ,$187.17 ,$558.78 ,$223.51 ,$256.90 ,$223.51 ,$183.50 ,$227.98 ,$275.25 ,$185.34 ,$166.99 ,$185.34 ,$223.51 ,$185.34 ,$231.21 ,$231.21 ,$260.57 ,$367.00 ,$311.95 ,$367.00 ,$293.60 ,$135.79 ,$293.60 ,$223.51 ,$223.51 ,$367.00 ,$198.91 ,$223.51 ,$96.52 , N/A , N/A , N/A , N/A ,$234.69 ,$311.95 ,$502.90 ,$241.49 ,$102.76 ,$330.30 ,$264.24 ,$367.00 ,$231.21 ,$231.21 ,$231.21 ,$223.51 ,$176.16 ,$330.30 ST. JOHN'S HOSPITAL,27000102,A9283,HC FOOT PRESSURE OFF LOAD/SUPPORT DEVICE,270,1 ,$612.00 ,$397.80 ,$122.00 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$122.00 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27000103,L0999,HC REPLACEMENT PADDING FOR CTO,270,1 ,$752.00 ,$488.80 ,$197.78 ,$752.00 , N/A ,$345.92 ,$407.58 , N/A ,$210.56 ,$240.64 , N/A ,$276.74 , N/A ,$287.26 ,$300.80 , N/A ,$287.26 , N/A ,$395.55 ,$383.52 , N/A , N/A ,$526.40 , N/A ,$376.00 , N/A ,$564.00 ,$379.76 ,$342.16 ,$379.76 , N/A ,$379.76 ,$473.76 ,$473.76 ,$533.92 ,$752.00 ,$639.20 , N/A ,$601.60 ,$278.24 ,$601.60 , N/A , N/A ,$752.00 ,$407.58 , N/A ,$197.78 , N/A , N/A , N/A , N/A , N/A ,$639.20 , N/A ,$494.82 ,$210.56 ,$676.80 ,$541.44 ,$752.00 ,$473.76 ,$473.76 ,$473.76 , N/A ,$360.96 ,$676.80 ST. JOHN'S HOSPITAL,27000127,N/A,HC FORMULA TOTAL COMFORT,270,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27100010,N/A,HC BACTERIA FILTER,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100063,N/A,HC HYPOTHERMIA BLANKETS AND HUGGER,271,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27100075,N/A,HC IPPB CIRCUITS,271,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$26.00 ,$16.90 ,$6.84 ,$26.00 , N/A ,$11.96 ,$14.09 , N/A ,$7.28 ,$8.32 , N/A ,$9.57 , N/A ,$9.93 ,$10.40 , N/A ,$9.93 , N/A ,$13.68 ,$13.26 , N/A , N/A ,$18.20 , N/A ,$13.00 , N/A ,$19.50 ,$13.13 ,$11.83 ,$13.13 , N/A ,$13.13 ,$16.38 ,$16.38 ,$18.46 ,$26.00 ,$22.10 , N/A ,$20.80 ,$9.62 ,$20.80 , N/A , N/A ,$26.00 ,$14.09 , N/A ,$6.84 , N/A , N/A , N/A , N/A , N/A ,$22.10 , N/A ,$17.11 ,$7.28 ,$23.40 ,$18.72 ,$26.00 ,$16.38 ,$16.38 ,$16.38 , N/A ,$12.48 ,$23.40 ST. JOHN'S HOSPITAL,27100104,N/A,HC OPTIFLOW CATH REPAIR KIT,271,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27100107,N/A,HC OXYGEN HOURLY,271,1 ,$17.00 ,$11.05 ,$4.47 ,$17.00 , N/A ,$7.82 ,$9.21 , N/A ,$4.76 ,$5.44 , N/A ,$6.26 , N/A ,$6.49 ,$6.80 , N/A ,$6.49 , N/A ,$8.94 ,$8.67 , N/A , N/A ,$11.90 , N/A ,$8.50 , N/A ,$12.75 ,$8.59 ,$7.74 ,$8.59 , N/A ,$8.59 ,$10.71 ,$10.71 ,$12.07 ,$17.00 ,$14.45 , N/A ,$13.60 ,$6.29 ,$13.60 , N/A , N/A ,$17.00 ,$9.21 , N/A ,$4.47 , N/A , N/A , N/A , N/A , N/A ,$14.45 , N/A ,$11.19 ,$4.76 ,$15.30 ,$12.24 ,$17.00 ,$10.71 ,$10.71 ,$10.71 , N/A ,$8.16 ,$15.30 ST. JOHN'S HOSPITAL,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$70.00 ,$45.50 ,$18.41 ,$70.00 , N/A ,$32.20 ,$37.94 , N/A ,$19.60 ,$22.40 , N/A ,$25.76 , N/A ,$26.74 ,$28.00 , N/A ,$26.74 , N/A ,$36.82 ,$35.70 , N/A , N/A ,$49.00 , N/A ,$35.00 , N/A ,$52.50 ,$35.35 ,$31.85 ,$35.35 , N/A ,$35.35 ,$44.10 ,$44.10 ,$49.70 ,$70.00 ,$59.50 , N/A ,$56.00 ,$25.90 ,$56.00 , N/A , N/A ,$70.00 ,$37.94 , N/A ,$18.41 , N/A , N/A , N/A , N/A , N/A ,$59.50 , N/A ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$44.10 ,$44.10 ,$44.10 , N/A ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,27100136,N/A,HC FINGER SPLINT,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100163,N/A,HC VENTILATOR CIRCUIT,271,1 ,$67.00 ,$43.55 ,$17.62 ,$67.00 , N/A ,$30.82 ,$36.31 , N/A ,$18.76 ,$21.44 , N/A ,$24.66 , N/A ,$25.59 ,$26.80 , N/A ,$25.59 , N/A ,$35.24 ,$34.17 , N/A , N/A ,$46.90 , N/A ,$33.50 , N/A ,$50.25 ,$33.84 ,$30.49 ,$33.84 , N/A ,$33.84 ,$42.21 ,$42.21 ,$47.57 ,$67.00 ,$56.95 , N/A ,$53.60 ,$24.79 ,$53.60 , N/A , N/A ,$67.00 ,$36.31 , N/A ,$17.62 , N/A , N/A , N/A , N/A , N/A ,$56.95 , N/A ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$42.21 ,$42.21 ,$42.21 , N/A ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,27100167,N/A,HC WARMING BLANKET DISPOSABLE,271,1 ,$45.00 ,$29.25 ,$11.84 ,$45.00 , N/A ,$20.70 ,$24.39 , N/A ,$12.60 ,$14.40 , N/A ,$16.56 , N/A ,$17.19 ,$18.00 , N/A ,$17.19 , N/A ,$23.67 ,$22.95 , N/A , N/A ,$31.50 , N/A ,$22.50 , N/A ,$33.75 ,$22.73 ,$20.48 ,$22.73 , N/A ,$22.73 ,$28.35 ,$28.35 ,$31.95 ,$45.00 ,$38.25 , N/A ,$36.00 ,$16.65 ,$36.00 , N/A , N/A ,$45.00 ,$24.39 , N/A ,$11.84 , N/A , N/A , N/A , N/A , N/A ,$38.25 , N/A ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$28.35 ,$28.35 ,$28.35 , N/A ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,27100186,L3260,HC BOOT/SHOE SURGICAL,274,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A , N/A ,$10.30 , N/A ,$5.32 ,$6.56 , N/A ,$7.30 , N/A ,$7.26 , N/A , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$9.50 ,$9.50 ,$9.50 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A , N/A ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$9.50 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27100190,E0191,HC PAD PROTECTOR HEEL ELBOW,271,1 ,$189.00 ,$122.85 ,$8.87 ,$189.00 ,$118.95 ,$86.94 ,$102.44 ,$47.58 ,$52.92 ,$60.48 ,$47.58 ,$69.55 ,$47.58 ,$72.20 ,$8.87 ,$47.58 ,$72.20 ,$90.39 ,$99.41 ,$96.39 ,$118.94 ,$47.58 ,$132.30 ,$47.58 ,$94.50 ,$48.53 ,$141.75 ,$95.45 ,$86.00 ,$95.45 ,$47.58 ,$95.45 ,$119.07 ,$119.07 ,$134.19 ,$189.00 ,$160.65 ,$118.94 ,$151.20 ,$69.93 ,$151.20 ,$47.58 ,$47.58 ,$189.00 ,$102.44 ,$47.58 ,$49.71 , N/A , N/A , N/A , N/A ,$49.96 ,$160.65 ,$107.05 ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$119.07 ,$119.07 ,$119.07 ,$47.58 ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,27100191,E0218,HC COLD THERAPY SYSTEM,271,1 ,$380.00 ,$247.00 ,$76.00 ,$380.00 ,$190.00 ,$174.80 ,$205.96 ,$76.00 ,$106.40 ,$121.60 ,$76.00 ,$139.84 ,$76.00 ,$145.16 ,$380.00 ,$76.00 ,$145.16 ,$144.40 ,$199.88 ,$193.80 ,$190.00 ,$76.00 ,$266.00 ,$76.00 ,$190.00 ,$77.52 ,$285.00 ,$191.90 ,$172.90 ,$191.90 ,$76.00 ,$191.90 ,$239.40 ,$239.40 ,$269.80 ,$380.00 ,$323.00 ,$190.00 ,$304.00 ,$140.60 ,$304.00 ,$76.00 ,$76.00 ,$380.00 ,$205.96 ,$76.00 ,$99.94 , N/A , N/A , N/A , N/A ,$79.80 ,$323.00 ,$171.00 ,$250.04 ,$106.40 ,$342.00 ,$273.60 ,$380.00 ,$239.40 ,$239.40 ,$239.40 ,$76.00 ,$182.40 ,$342.00 ST. JOHN'S HOSPITAL,27100196,N/A,HC SENSOR BIS,271,1 ,$48.00 ,$31.20 ,$12.62 ,$48.00 , N/A ,$22.08 ,$26.02 , N/A ,$13.44 ,$15.36 , N/A ,$17.66 , N/A ,$18.34 ,$19.20 , N/A ,$18.34 , N/A ,$25.25 ,$24.48 , N/A , N/A ,$33.60 , N/A ,$24.00 , N/A ,$36.00 ,$24.24 ,$21.84 ,$24.24 , N/A ,$24.24 ,$30.24 ,$30.24 ,$34.08 ,$48.00 ,$40.80 , N/A ,$38.40 ,$17.76 ,$38.40 , N/A , N/A ,$48.00 ,$26.02 , N/A ,$12.62 , N/A , N/A , N/A , N/A , N/A ,$40.80 , N/A ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$30.24 ,$30.24 ,$30.24 , N/A ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,27100197,N/A,HC ADHESIVE STOMAHESIVE,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100199,N/A,HC BOOT FOOT DROP,271,1 ,$93.00 ,$60.45 ,$24.46 ,$93.00 , N/A ,$42.78 ,$50.41 , N/A ,$26.04 ,$29.76 , N/A ,$34.22 , N/A ,$35.53 ,$37.20 , N/A ,$35.53 , N/A ,$48.92 ,$47.43 , N/A , N/A ,$65.10 , N/A ,$46.50 , N/A ,$69.75 ,$46.97 ,$42.32 ,$46.97 , N/A ,$46.97 ,$58.59 ,$58.59 ,$66.03 ,$93.00 ,$79.05 , N/A ,$74.40 ,$34.41 ,$74.40 , N/A , N/A ,$93.00 ,$50.41 , N/A ,$24.46 , N/A , N/A , N/A , N/A , N/A ,$79.05 , N/A ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$58.59 ,$58.59 ,$58.59 , N/A ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,27100201,N/A,HC CANNULA NASAL OXYGEN,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27100209,N/A,HC ENEMA BAG,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100210,N/A,HC KIT CANISTER SUCTION,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100213,N/A,HC PILLOW ABDUCTION,271,1 ,$56.00 ,$36.40 ,$14.73 ,$56.00 , N/A ,$25.76 ,$30.35 , N/A ,$15.68 ,$17.92 , N/A ,$20.61 , N/A ,$21.39 ,$22.40 , N/A ,$21.39 , N/A ,$29.46 ,$28.56 , N/A , N/A ,$39.20 , N/A ,$28.00 , N/A ,$42.00 ,$28.28 ,$25.48 ,$28.28 , N/A ,$28.28 ,$35.28 ,$35.28 ,$39.76 ,$56.00 ,$47.60 , N/A ,$44.80 ,$20.72 ,$44.80 , N/A , N/A ,$56.00 ,$30.35 , N/A ,$14.73 , N/A , N/A , N/A , N/A , N/A ,$47.60 , N/A ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$35.28 ,$35.28 ,$35.28 , N/A ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,27100215,N/A,HC RESTRAINT ANY TYPE,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100216,N/A,HC SET FLUID WARMER,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27100225,N/A,HC SPLINT KNEE,271,1 ,$94.00 ,$61.10 ,$24.72 ,$94.00 , N/A ,$43.24 ,$50.95 , N/A ,$26.32 ,$30.08 , N/A ,$34.59 , N/A ,$35.91 ,$37.60 , N/A ,$35.91 , N/A ,$49.44 ,$47.94 , N/A , N/A ,$65.80 , N/A ,$47.00 , N/A ,$70.50 ,$47.47 ,$42.77 ,$47.47 , N/A ,$47.47 ,$59.22 ,$59.22 ,$66.74 ,$94.00 ,$79.90 , N/A ,$75.20 ,$34.78 ,$75.20 , N/A , N/A ,$94.00 ,$50.95 , N/A ,$24.72 , N/A , N/A , N/A , N/A , N/A ,$79.90 , N/A ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$59.22 ,$59.22 ,$59.22 , N/A ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,27100256,N/A,HC ELECTRODE FETAL SCALP,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100258,N/A,HC KIT RT OXYGEN SUPPLY,271,1 ,$62.00 ,$40.30 ,$16.31 ,$62.00 , N/A ,$28.52 ,$33.60 , N/A ,$17.36 ,$19.84 , N/A ,$22.82 , N/A ,$23.68 ,$24.80 , N/A ,$23.68 , N/A ,$32.61 ,$31.62 , N/A , N/A ,$43.40 , N/A ,$31.00 , N/A ,$46.50 ,$31.31 ,$28.21 ,$31.31 , N/A ,$31.31 ,$39.06 ,$39.06 ,$44.02 ,$62.00 ,$52.70 , N/A ,$49.60 ,$22.94 ,$49.60 , N/A , N/A ,$62.00 ,$33.60 , N/A ,$16.31 , N/A , N/A , N/A , N/A , N/A ,$52.70 , N/A ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$39.06 ,$39.06 ,$39.06 , N/A ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27100259,N/A,HC LINER SUCTION CANISTER,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100260,N/A,HC PAD HYPOTHERMIA,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100264,N/A,HC PILLOW POSITIONING PRONE,271,1 ,$336.00 ,$218.40 ,$88.37 ,$336.00 , N/A ,$154.56 ,$182.11 , N/A ,$94.08 ,$107.52 , N/A ,$123.65 , N/A ,$128.35 ,$134.40 , N/A ,$128.35 , N/A ,$176.74 ,$171.36 , N/A , N/A ,$235.20 , N/A ,$168.00 , N/A ,$252.00 ,$169.68 ,$152.88 ,$169.68 , N/A ,$169.68 ,$211.68 ,$211.68 ,$238.56 ,$336.00 ,$285.60 , N/A ,$268.80 ,$124.32 ,$268.80 , N/A , N/A ,$336.00 ,$182.11 , N/A ,$88.37 , N/A , N/A , N/A , N/A , N/A ,$285.60 , N/A ,$221.09 ,$94.08 ,$302.40 ,$241.92 ,$336.00 ,$211.68 ,$211.68 ,$211.68 , N/A ,$161.28 ,$302.40 ST. JOHN'S HOSPITAL,27100266,N/A,HC SLEEVE SCD THIGH,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100267,N/A,HC SLEEVE SCD FOOT,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100273,N/A,HC SPLINT OCL CUSTOM,271,1 ,$42.00 ,$27.30 ,$11.05 ,$42.00 , N/A ,$19.32 ,$22.76 , N/A ,$11.76 ,$13.44 , N/A ,$15.46 , N/A ,$16.04 ,$16.80 , N/A ,$16.04 , N/A ,$22.09 ,$21.42 , N/A , N/A ,$29.40 , N/A ,$21.00 , N/A ,$31.50 ,$21.21 ,$19.11 ,$21.21 , N/A ,$21.21 ,$26.46 ,$26.46 ,$29.82 ,$42.00 ,$35.70 , N/A ,$33.60 ,$15.54 ,$33.60 , N/A , N/A ,$42.00 ,$22.76 , N/A ,$11.05 , N/A , N/A , N/A , N/A , N/A ,$35.70 , N/A ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$26.46 ,$26.46 ,$26.46 , N/A ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,27100274,N/A,HC SPLINT RIB,271,1 ,$34.00 ,$22.10 ,$8.94 ,$34.00 , N/A ,$15.64 ,$18.43 , N/A ,$9.52 ,$10.88 , N/A ,$12.51 , N/A ,$12.99 ,$13.60 , N/A ,$12.99 , N/A ,$17.88 ,$17.34 , N/A , N/A ,$23.80 , N/A ,$17.00 , N/A ,$25.50 ,$17.17 ,$15.47 ,$17.17 , N/A ,$17.17 ,$21.42 ,$21.42 ,$24.14 ,$34.00 ,$28.90 , N/A ,$27.20 ,$12.58 ,$27.20 , N/A , N/A ,$34.00 ,$18.43 , N/A ,$8.94 , N/A , N/A , N/A , N/A , N/A ,$28.90 , N/A ,$22.37 ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$21.42 ,$21.42 ,$21.42 , N/A ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,27100275,N/A,HC SPLINT ARM VELCRO,271,1 ,$41.00 ,$26.65 ,$10.78 ,$41.00 , N/A ,$18.86 ,$22.22 , N/A ,$11.48 ,$13.12 , N/A ,$15.09 , N/A ,$15.66 ,$16.40 , N/A ,$15.66 , N/A ,$21.57 ,$20.91 , N/A , N/A ,$28.70 , N/A ,$20.50 , N/A ,$30.75 ,$20.71 ,$18.66 ,$20.71 , N/A ,$20.71 ,$25.83 ,$25.83 ,$29.11 ,$41.00 ,$34.85 , N/A ,$32.80 ,$15.17 ,$32.80 , N/A , N/A ,$41.00 ,$22.22 , N/A ,$10.78 , N/A , N/A , N/A , N/A , N/A ,$34.85 , N/A ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$25.83 ,$25.83 ,$25.83 , N/A ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,27100277,N/A,HC BAG WASTE,271,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27100278,N/A,HC BANDAGE ELASTIC,271,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27100279,N/A,HC BASIN EMESIS,271,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27100280,N/A,HC LUBRICANT SURGILUBE 5GM,271,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27100281,N/A,HC PACK HOT/ COLD LARGE,271,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27100282,N/A,HC PACK HOT/ COLD SMALL,271,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27100283,N/A,HC PROBE/SENSOR PULSE OXIMETER S1,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100284,N/A,HC PROBE/SENSOR PULSE OXIMETER S2,271,1 ,$23.00 ,$14.95 ,$6.05 ,$23.00 , N/A ,$10.58 ,$12.47 , N/A ,$6.44 ,$7.36 , N/A ,$8.46 , N/A ,$8.79 ,$9.20 , N/A ,$8.79 , N/A ,$12.10 ,$11.73 , N/A , N/A ,$16.10 , N/A ,$11.50 , N/A ,$17.25 ,$11.62 ,$10.47 ,$11.62 , N/A ,$11.62 ,$14.49 ,$14.49 ,$16.33 ,$23.00 ,$19.55 , N/A ,$18.40 ,$8.51 ,$18.40 , N/A , N/A ,$23.00 ,$12.47 , N/A ,$6.05 , N/A , N/A , N/A , N/A , N/A ,$19.55 , N/A ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$14.49 ,$14.49 ,$14.49 , N/A ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,27100285,N/A,HC BINDER PELVIC,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100286,N/A,HC COLLAR EXTENSION,271,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27100287,E0114,HC CRUTCHES METAL,271,1 ,$151.00 ,$98.15 ,$39.71 ,$190.98 ,$190.98 ,$69.46 ,$81.84 ,$76.39 ,$42.28 ,$48.32 ,$76.39 ,$55.57 ,$76.39 ,$57.68 ,$41.90 ,$76.39 ,$57.68 ,$145.14 ,$79.43 ,$77.01 ,$190.98 ,$76.39 ,$105.70 ,$76.39 ,$75.50 ,$77.92 ,$113.25 ,$76.26 ,$68.71 ,$76.26 ,$76.39 ,$76.26 ,$95.13 ,$95.13 ,$107.21 ,$151.00 ,$128.35 ,$151.00 ,$120.80 ,$55.87 ,$120.80 ,$76.39 ,$76.39 ,$151.00 ,$81.84 ,$76.39 ,$39.71 , N/A , N/A , N/A , N/A ,$80.21 ,$128.35 ,$171.88 ,$99.36 ,$42.28 ,$135.90 ,$108.72 ,$151.00 ,$95.13 ,$95.13 ,$95.13 ,$76.39 ,$72.48 ,$135.90 ST. JOHN'S HOSPITAL,27100288,E0117,HC CRUTCHES SPRING ASSIST,271,1 ,$170.00 ,$110.50 ,$34.00 ,$170.00 ,$85.00 ,$78.20 ,$92.14 ,$34.00 ,$47.60 ,$54.40 ,$34.00 ,$62.56 ,$34.00 ,$64.94 ,$170.00 ,$34.00 ,$64.94 ,$64.60 ,$89.42 ,$86.70 ,$85.00 ,$34.00 ,$119.00 ,$34.00 ,$85.00 ,$34.68 ,$127.50 ,$85.85 ,$77.35 ,$85.85 ,$34.00 ,$85.85 ,$107.10 ,$107.10 ,$120.70 ,$170.00 ,$144.50 ,$85.00 ,$136.00 ,$62.90 ,$136.00 ,$34.00 ,$34.00 ,$170.00 ,$92.14 ,$34.00 ,$44.71 , N/A , N/A , N/A , N/A ,$35.70 ,$144.50 ,$76.50 ,$111.86 ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$107.10 ,$107.10 ,$107.10 ,$34.00 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,27100289,E0190,HC CUSHION POSITIONING,271,1 ,$50.00 ,$32.50 ,$13.15 ,$50.00 , N/A ,$23.00 ,$27.10 , N/A ,$14.00 ,$16.00 , N/A ,$18.40 , N/A ,$19.10 ,$50.00 , N/A ,$19.10 , N/A ,$26.30 ,$25.50 , N/A , N/A ,$35.00 , N/A ,$25.00 , N/A ,$37.50 ,$25.25 ,$22.75 ,$25.25 , N/A ,$25.25 ,$31.50 ,$31.50 ,$35.50 ,$50.00 ,$42.50 , N/A ,$40.00 ,$18.50 ,$40.00 , N/A , N/A ,$50.00 ,$27.10 , N/A ,$13.15 , N/A , N/A , N/A , N/A , N/A ,$42.50 , N/A ,$32.90 ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$31.50 ,$31.50 ,$31.50 , N/A ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,27100290,A4467,HC GARMENT ELASTIC,271,1 ,$47.00 ,$30.55 ,$12.36 ,$47.00 , N/A ,$21.62 ,$25.47 , N/A ,$13.16 ,$15.04 , N/A ,$17.30 , N/A ,$17.95 ,$47.00 , N/A ,$17.95 , N/A ,$24.72 ,$23.97 , N/A , N/A ,$32.90 , N/A ,$23.50 , N/A ,$35.25 ,$23.74 ,$21.39 ,$23.74 , N/A ,$23.74 ,$29.61 ,$29.61 ,$33.37 ,$47.00 ,$39.95 , N/A ,$37.60 ,$17.39 ,$37.60 , N/A , N/A ,$47.00 ,$25.47 , N/A ,$12.36 , N/A , N/A , N/A , N/A , N/A ,$39.95 , N/A ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$29.61 ,$29.61 ,$29.61 , N/A ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,27100291,L3650,HC IMMOBILIZER SHOULDER ADB RESTR,271,1 ,$12.00 ,$7.80 ,$3.16 ,$144.38 ,$144.38 ,$5.52 ,$6.50 ,$57.75 ,$3.36 ,$4.14 ,$57.75 ,$4.61 ,$12.00 ,$4.58 ,$12.00 ,$12.00 ,$4.58 ,$12.00 ,$6.31 ,$6.12 ,$144.38 ,$57.75 ,$8.40 ,$57.75 ,$6.00 ,$12.00 ,$9.00 ,$6.06 ,$5.46 ,$6.06 ,$57.75 ,$6.06 ,$7.56 ,$7.56 ,$8.52 ,$12.00 ,$10.20 ,$12.00 ,$9.60 ,$4.44 ,$9.60 ,$57.75 ,$57.75 ,$12.00 ,$6.50 ,$57.75 ,$3.16 , N/A , N/A , N/A , N/A ,$60.64 ,$10.20 ,$129.94 ,$7.90 ,$3.36 ,$10.80 ,$8.64 ,$12.00 ,$7.56 ,$7.56 ,$7.56 ,$57.75 ,$5.76 ,$10.80 ST. JOHN'S HOSPITAL,27100292,E0710,HC RESTRAINTS,271,1 ,$14.00 ,$9.10 ,$3.68 ,$14.00 , N/A ,$6.44 ,$7.59 , N/A ,$3.92 ,$4.48 , N/A ,$5.15 , N/A ,$5.35 ,$5.60 , N/A ,$5.35 , N/A ,$7.36 ,$7.14 , N/A , N/A ,$9.80 , N/A ,$7.00 , N/A ,$10.50 ,$7.07 ,$6.37 ,$7.07 , N/A ,$7.07 ,$8.82 ,$8.82 ,$9.94 ,$14.00 ,$11.90 , N/A ,$11.20 ,$5.18 ,$11.20 , N/A , N/A ,$14.00 ,$7.59 , N/A ,$3.68 , N/A , N/A , N/A , N/A , N/A ,$11.90 , N/A ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$8.82 ,$8.82 ,$8.82 , N/A ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,27100293,A4565,HC SLING T1,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$7.09 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100294,A4565,HC SLING T2,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$7.09 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100295,A4565,HC SLING W/ICE BAG,271,1 ,$37.00 ,$24.05 ,$7.09 ,$37.00 , N/A ,$17.02 ,$20.05 , N/A ,$10.36 ,$12.77 , N/A ,$14.21 , N/A ,$14.13 ,$7.09 , N/A ,$14.13 , N/A ,$19.46 ,$18.87 , N/A , N/A ,$25.90 , N/A ,$18.50 , N/A ,$27.75 ,$18.69 ,$16.84 ,$18.69 , N/A ,$18.69 ,$23.31 ,$23.31 ,$26.27 ,$37.00 ,$31.45 , N/A ,$29.60 ,$13.69 ,$29.60 , N/A , N/A ,$37.00 ,$20.05 , N/A ,$9.73 , N/A , N/A , N/A , N/A , N/A ,$31.45 , N/A ,$24.35 ,$10.36 ,$33.30 ,$26.64 ,$37.00 ,$23.31 ,$23.31 ,$23.31 , N/A ,$17.76 ,$33.30 ST. JOHN'S HOSPITAL,27100296,A4570,HC SPLINT FINGER,271,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$11.00 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27100297,A4570,HC SPLINT T1,271,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$21.00 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27100298,A4570,HC SPLINT T2,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$31.00 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100299,A4570,HC SPLINT T3,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$48.00 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100300,A4570,HC SPLINT T4,271,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$48.00 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27100301,E0143,HC WALKER FOLDING,271,1 ,$488.00 ,$317.20 ,$92.02 ,$488.00 ,$383.43 ,$224.48 ,$264.50 ,$153.37 ,$136.64 ,$156.16 ,$153.37 ,$179.58 ,$153.37 ,$186.42 ,$92.02 ,$153.37 ,$186.42 ,$291.40 ,$256.69 ,$248.88 ,$383.42 ,$153.37 ,$341.60 ,$153.37 ,$244.00 ,$156.44 ,$366.00 ,$246.44 ,$222.04 ,$246.44 ,$153.37 ,$246.44 ,$307.44 ,$307.44 ,$346.48 ,$488.00 ,$414.80 ,$383.42 ,$390.40 ,$180.56 ,$390.40 ,$153.37 ,$153.37 ,$488.00 ,$264.50 ,$153.37 ,$128.34 , N/A , N/A , N/A , N/A ,$161.04 ,$414.80 ,$345.08 ,$321.10 ,$136.64 ,$439.20 ,$351.36 ,$488.00 ,$307.44 ,$307.44 ,$307.44 ,$153.37 ,$234.24 ,$439.20 ST. JOHN'S HOSPITAL,27100302,E0135,HC WALKER SEMI FOLD ADULT,271,1 ,$230.00 ,$149.50 ,$60.49 ,$233.26 ,$233.25 ,$105.80 ,$124.66 ,$93.30 ,$64.40 ,$73.60 ,$93.30 ,$84.64 ,$93.30 ,$87.86 ,$64.17 ,$93.30 ,$87.86 ,$177.28 ,$120.98 ,$117.30 ,$233.26 ,$93.30 ,$161.00 ,$93.30 ,$115.00 ,$95.17 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$93.30 ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 ,$230.00 ,$184.00 ,$85.10 ,$184.00 ,$93.30 ,$93.30 ,$230.00 ,$124.66 ,$93.30 ,$60.49 , N/A , N/A , N/A , N/A ,$97.97 ,$195.50 ,$209.93 ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 ,$93.30 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27100303,A4565,HC SLING SHOULDER STROKE FLACCID L-XL,271,1 ,$153.00 ,$99.45 ,$7.09 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$46.50 , N/A ,$50.10 , N/A ,$58.45 ,$7.09 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27100306,N/A,HC BELT CHEST,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100307,N/A,HC KIT CONTACT CAST,271,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27100308,N/A,HC BLANKET/PAD WARMING FULL,271,1 ,$107.00 ,$69.55 ,$28.14 ,$107.00 , N/A ,$49.22 ,$57.99 , N/A ,$29.96 ,$34.24 , N/A ,$39.38 , N/A ,$40.87 ,$42.80 , N/A ,$40.87 , N/A ,$56.28 ,$54.57 , N/A , N/A ,$74.90 , N/A ,$53.50 , N/A ,$80.25 ,$54.04 ,$48.69 ,$54.04 , N/A ,$54.04 ,$67.41 ,$67.41 ,$75.97 ,$107.00 ,$90.95 , N/A ,$85.60 ,$39.59 ,$85.60 , N/A , N/A ,$107.00 ,$57.99 , N/A ,$28.14 , N/A , N/A , N/A , N/A , N/A ,$90.95 , N/A ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$67.41 ,$67.41 ,$67.41 , N/A ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,27100309,N/A,HC BLANKET WARMING UNDERBODY,271,1 ,$57.00 ,$37.05 ,$14.99 ,$57.00 , N/A ,$26.22 ,$30.89 , N/A ,$15.96 ,$18.24 , N/A ,$20.98 , N/A ,$21.77 ,$22.80 , N/A ,$21.77 , N/A ,$29.98 ,$29.07 , N/A , N/A ,$39.90 , N/A ,$28.50 , N/A ,$42.75 ,$28.79 ,$25.94 ,$28.79 , N/A ,$28.79 ,$35.91 ,$35.91 ,$40.47 ,$57.00 ,$48.45 , N/A ,$45.60 ,$21.09 ,$45.60 , N/A , N/A ,$57.00 ,$30.89 , N/A ,$14.99 , N/A , N/A , N/A , N/A , N/A ,$48.45 , N/A ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$35.91 ,$35.91 ,$35.91 , N/A ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,27100310,N/A,HC BLANKET/PAD WARMING INFANT,271,1 ,$92.00 ,$59.80 ,$24.20 ,$92.00 , N/A ,$42.32 ,$49.86 , N/A ,$25.76 ,$29.44 , N/A ,$33.86 , N/A ,$35.14 ,$36.80 , N/A ,$35.14 , N/A ,$48.39 ,$46.92 , N/A , N/A ,$64.40 , N/A ,$46.00 , N/A ,$69.00 ,$46.46 ,$41.86 ,$46.46 , N/A ,$46.46 ,$57.96 ,$57.96 ,$65.32 ,$92.00 ,$78.20 , N/A ,$73.60 ,$34.04 ,$73.60 , N/A , N/A ,$92.00 ,$49.86 , N/A ,$24.20 , N/A , N/A , N/A , N/A , N/A ,$78.20 , N/A ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$57.96 ,$57.96 ,$57.96 , N/A ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,27100311,N/A,HC COLLAR PATRIOT ADULT,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100312,N/A,HC COLLAR PATRIOT PEDI,271,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27100313,N/A,HC KIT CPAP SUPPLY ADULT,272,1 ,$908.00 ,$590.20 ,$238.80 ,$908.00 , N/A ,$417.68 ,$492.14 , N/A ,$254.24 ,$290.56 , N/A ,$334.14 , N/A ,$346.86 ,$363.20 , N/A ,$346.86 , N/A ,$477.61 ,$463.08 , N/A , N/A ,$635.60 , N/A ,$454.00 , N/A ,$681.00 ,$458.54 ,$413.14 ,$458.54 , N/A ,$458.54 ,$572.04 ,$572.04 ,$644.68 ,$908.00 ,$771.80 , N/A ,$726.40 ,$335.96 ,$726.40 , N/A , N/A ,$908.00 ,$492.14 , N/A ,$238.80 , N/A , N/A , N/A , N/A , N/A ,$771.80 , N/A ,$597.46 ,$254.24 ,$817.20 ,$653.76 ,$908.00 ,$572.04 ,$572.04 ,$572.04 , N/A ,$435.84 ,$817.20 ST. JOHN'S HOSPITAL,27100314,N/A,HC KIT CPAP SUPPLY NEONATAL,272,1 ,$54.00 ,$35.10 ,$14.20 ,$54.00 , N/A ,$24.84 ,$29.27 , N/A ,$15.12 ,$17.28 , N/A ,$19.87 , N/A ,$20.63 ,$21.60 , N/A ,$20.63 , N/A ,$28.40 ,$27.54 , N/A , N/A ,$37.80 , N/A ,$27.00 , N/A ,$40.50 ,$27.27 ,$24.57 ,$27.27 , N/A ,$27.27 ,$34.02 ,$34.02 ,$38.34 ,$54.00 ,$45.90 , N/A ,$43.20 ,$19.98 ,$43.20 , N/A , N/A ,$54.00 ,$29.27 , N/A ,$14.20 , N/A , N/A , N/A , N/A , N/A ,$45.90 , N/A ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$34.02 ,$34.02 ,$34.02 , N/A ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,27100315,N/A,HC KIT CPAP SUPPLY PEDIATRIC,272,1 ,$381.00 ,$247.65 ,$100.20 ,$381.00 , N/A ,$175.26 ,$206.50 , N/A ,$106.68 ,$121.92 , N/A ,$140.21 , N/A ,$145.54 ,$152.40 , N/A ,$145.54 , N/A ,$200.41 ,$194.31 , N/A , N/A ,$266.70 , N/A ,$190.50 , N/A ,$285.75 ,$192.41 ,$173.36 ,$192.41 , N/A ,$192.41 ,$240.03 ,$240.03 ,$270.51 ,$381.00 ,$323.85 , N/A ,$304.80 ,$140.97 ,$304.80 , N/A , N/A ,$381.00 ,$206.50 , N/A ,$100.20 , N/A , N/A , N/A , N/A , N/A ,$323.85 , N/A ,$250.70 ,$106.68 ,$342.90 ,$274.32 ,$381.00 ,$240.03 ,$240.03 ,$240.03 , N/A ,$182.88 ,$342.90 ST. JOHN'S HOSPITAL,27100316,N/A,HC KIT CPAP SUPPLY MASK,272,1 ,$71.00 ,$46.15 ,$18.67 ,$71.00 , N/A ,$32.66 ,$38.48 , N/A ,$19.88 ,$22.72 , N/A ,$26.13 , N/A ,$27.12 ,$28.40 , N/A ,$27.12 , N/A ,$37.35 ,$36.21 , N/A , N/A ,$49.70 , N/A ,$35.50 , N/A ,$53.25 ,$35.86 ,$32.31 ,$35.86 , N/A ,$35.86 ,$44.73 ,$44.73 ,$50.41 ,$71.00 ,$60.35 , N/A ,$56.80 ,$26.27 ,$56.80 , N/A , N/A ,$71.00 ,$38.48 , N/A ,$18.67 , N/A , N/A , N/A , N/A , N/A ,$60.35 , N/A ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$44.73 ,$44.73 ,$44.73 , N/A ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,27100317,N/A,HC CUP SPUTUM,271,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27100318,N/A,HC FOAM ROLL ROLYAN,271,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27100319,N/A,HC KIT EZPAP SUPPLY,271,1 ,$55.00 ,$35.75 ,$14.47 ,$55.00 , N/A ,$25.30 ,$29.81 , N/A ,$15.40 ,$17.60 , N/A ,$20.24 , N/A ,$21.01 ,$22.00 , N/A ,$21.01 , N/A ,$28.93 ,$28.05 , N/A , N/A ,$38.50 , N/A ,$27.50 , N/A ,$41.25 ,$27.78 ,$25.03 ,$27.78 , N/A ,$27.78 ,$34.65 ,$34.65 ,$39.05 ,$55.00 ,$46.75 , N/A ,$44.00 ,$20.35 ,$44.00 , N/A , N/A ,$55.00 ,$29.81 , N/A ,$14.47 , N/A , N/A , N/A , N/A , N/A ,$46.75 , N/A ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$34.65 ,$34.65 ,$34.65 , N/A ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,27100320,N/A,HC KIT MEDICAL SUPPLY TRANSPORT,271,1 ,$145.00 ,$94.25 ,$38.14 ,$145.00 , N/A ,$66.70 ,$78.59 , N/A ,$40.60 ,$46.40 , N/A ,$53.36 , N/A ,$55.39 ,$58.00 , N/A ,$55.39 , N/A ,$76.27 ,$73.95 , N/A , N/A ,$101.50 , N/A ,$72.50 , N/A ,$108.75 ,$73.23 ,$65.98 ,$73.23 , N/A ,$73.23 ,$91.35 ,$91.35 ,$102.95 ,$145.00 ,$123.25 , N/A ,$116.00 ,$53.65 ,$116.00 , N/A , N/A ,$145.00 ,$78.59 , N/A ,$38.14 , N/A , N/A , N/A , N/A , N/A ,$123.25 , N/A ,$95.41 ,$40.60 ,$130.50 ,$104.40 ,$145.00 ,$91.35 ,$91.35 ,$91.35 , N/A ,$69.60 ,$130.50 ST. JOHN'S HOSPITAL,27100321,N/A,HC KIT MOUTHCARE,271,1 ,$98.00 ,$63.70 ,$25.77 ,$98.00 , N/A ,$45.08 ,$53.12 , N/A ,$27.44 ,$31.36 , N/A ,$36.06 , N/A ,$37.44 ,$39.20 , N/A ,$37.44 , N/A ,$51.55 ,$49.98 , N/A , N/A ,$68.60 , N/A ,$49.00 , N/A ,$73.50 ,$49.49 ,$44.59 ,$49.49 , N/A ,$49.49 ,$61.74 ,$61.74 ,$69.58 ,$98.00 ,$83.30 , N/A ,$78.40 ,$36.26 ,$78.40 , N/A , N/A ,$98.00 ,$53.12 , N/A ,$25.77 , N/A , N/A , N/A , N/A , N/A ,$83.30 , N/A ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$61.74 ,$61.74 ,$61.74 , N/A ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,27100322,N/A,HC PENDANT OXYGEN,271,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27100323,N/A,HC CUSHION POSITIONING PRONE,271,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27100324,N/A,HC DRESSING SELF ADHESIVE ROLL,271,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27100325,N/A,HC SPACER MDI,271,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27100326,N/A,HC STOCKING ANTIEMBOLISM,271,1 ,$88.00 ,$57.20 ,$23.14 ,$88.00 , N/A ,$40.48 ,$47.70 , N/A ,$24.64 ,$28.16 , N/A ,$32.38 , N/A ,$33.62 ,$35.20 , N/A ,$33.62 , N/A ,$46.29 ,$44.88 , N/A , N/A ,$61.60 , N/A ,$44.00 , N/A ,$66.00 ,$44.44 ,$40.04 ,$44.44 , N/A ,$44.44 ,$55.44 ,$55.44 ,$62.48 ,$88.00 ,$74.80 , N/A ,$70.40 ,$32.56 ,$70.40 , N/A , N/A ,$88.00 ,$47.70 , N/A ,$23.14 , N/A , N/A , N/A , N/A , N/A ,$74.80 , N/A ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$55.44 ,$55.44 ,$55.44 , N/A ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,27100327,N/A,HC STOCKING JOBST PAIR,271,1 ,$56.00 ,$36.40 ,$14.73 ,$56.00 , N/A ,$25.76 ,$30.35 , N/A ,$15.68 ,$17.92 , N/A ,$20.61 , N/A ,$21.39 ,$22.40 , N/A ,$21.39 , N/A ,$29.46 ,$28.56 , N/A , N/A ,$39.20 , N/A ,$28.00 , N/A ,$42.00 ,$28.28 ,$25.48 ,$28.28 , N/A ,$28.28 ,$35.28 ,$35.28 ,$39.76 ,$56.00 ,$47.60 , N/A ,$44.80 ,$20.72 ,$44.80 , N/A , N/A ,$56.00 ,$30.35 , N/A ,$14.73 , N/A , N/A , N/A , N/A , N/A ,$47.60 , N/A ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$35.28 ,$35.28 ,$35.28 , N/A ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,27100541,N/A,HC NEEDLE ENDO 4MM ENDO,271,1 ,$199.00 ,$129.35 ,$52.34 ,$199.00 , N/A ,$91.54 ,$107.86 , N/A ,$55.72 ,$63.68 , N/A ,$73.23 , N/A ,$76.02 ,$79.60 , N/A ,$76.02 , N/A ,$104.67 ,$101.49 , N/A , N/A ,$139.30 , N/A ,$99.50 , N/A ,$149.25 ,$100.50 ,$90.55 ,$100.50 , N/A ,$100.50 ,$125.37 ,$125.37 ,$141.29 ,$199.00 ,$169.15 , N/A ,$159.20 ,$73.63 ,$159.20 , N/A , N/A ,$199.00 ,$107.86 , N/A ,$52.34 , N/A , N/A , N/A , N/A , N/A ,$169.15 , N/A ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$125.37 ,$125.37 ,$125.37 , N/A ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,27100542,N/A,HC NEEDLE ASP 700MM 21 GA 1.89 VISISHOT,271,1 ,"$1,620.00 ","$1,053.00 ",$426.06 ,"$1,620.00 ", N/A ,$745.20 ,$878.04 , N/A ,$453.60 ,$518.40 , N/A ,$596.16 , N/A ,$618.84 ,$648.00 , N/A ,$618.84 , N/A ,$852.12 ,$826.20 , N/A , N/A ,"$1,134.00 ", N/A ,$810.00 , N/A ,"$1,215.00 ",$818.10 ,$737.10 ,$818.10 , N/A ,$818.10 ,"$1,020.60 ","$1,020.60 ","$1,150.20 ","$1,620.00 ","$1,377.00 ", N/A ,"$1,296.00 ",$599.40 ,"$1,296.00 ", N/A , N/A ,"$1,620.00 ",$878.04 , N/A ,$426.06 , N/A , N/A , N/A , N/A , N/A ,"$1,377.00 ", N/A ,"$1,065.96 ",$453.60 ,"$1,458.00 ","$1,166.40 ","$1,620.00 ","$1,020.60 ","$1,020.60 ","$1,020.60 ", N/A ,$777.60 ,"$1,458.00 " ST. JOHN'S HOSPITAL,27100543,N/A,HC NEEDLE ASP 19GA 2MM VISISHOT FLX,271,1 ,$774.00 ,$503.10 ,$203.56 ,$774.00 , N/A ,$356.04 ,$419.51 , N/A ,$216.72 ,$247.68 , N/A ,$284.83 , N/A ,$295.67 ,$309.60 , N/A ,$295.67 , N/A ,$407.12 ,$394.74 , N/A , N/A ,$541.80 , N/A ,$387.00 , N/A ,$580.50 ,$390.87 ,$352.17 ,$390.87 , N/A ,$390.87 ,$487.62 ,$487.62 ,$549.54 ,$774.00 ,$657.90 , N/A ,$619.20 ,$286.38 ,$619.20 , N/A , N/A ,$774.00 ,$419.51 , N/A ,$203.56 , N/A , N/A , N/A , N/A , N/A ,$657.90 , N/A ,$509.29 ,$216.72 ,$696.60 ,$557.28 ,$774.00 ,$487.62 ,$487.62 ,$487.62 , N/A ,$371.52 ,$696.60 ST. JOHN'S HOSPITAL,27100544,N/A,HC NEEDLE 22GA 4.1 FR 5CM FINE PROCORE,271,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27100545,N/A,HC NEEDLE 25GA 4.1FR 5CM FINE PROCURE,271,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27100546,N/A,HC ENDOBRONCH ARNDT 65CM 7FR BLOCKER,271,1 ,$597.00 ,$388.05 ,$157.01 ,$597.00 , N/A ,$274.62 ,$323.57 , N/A ,$167.16 ,$191.04 , N/A ,$219.70 , N/A ,$228.05 ,$238.80 , N/A ,$228.05 , N/A ,$314.02 ,$304.47 , N/A , N/A ,$417.90 , N/A ,$298.50 , N/A ,$447.75 ,$301.49 ,$271.64 ,$301.49 , N/A ,$301.49 ,$376.11 ,$376.11 ,$423.87 ,$597.00 ,$507.45 , N/A ,$477.60 ,$220.89 ,$477.60 , N/A , N/A ,$597.00 ,$323.57 , N/A ,$157.01 , N/A , N/A , N/A , N/A , N/A ,$507.45 , N/A ,$392.83 ,$167.16 ,$537.30 ,$429.84 ,$597.00 ,$376.11 ,$376.11 ,$376.11 , N/A ,$286.56 ,$537.30 ST. JOHN'S HOSPITAL,27100547,N/A,HC MASK CPAP 2XS PED,271,1 ,$160.00 ,$104.00 ,$42.08 ,$160.00 , N/A ,$73.60 ,$86.72 , N/A ,$44.80 ,$51.20 , N/A ,$58.88 , N/A ,$61.12 ,$64.00 , N/A ,$61.12 , N/A ,$84.16 ,$81.60 , N/A , N/A ,$112.00 , N/A ,$80.00 , N/A ,$120.00 ,$80.80 ,$72.80 ,$80.80 , N/A ,$80.80 ,$100.80 ,$100.80 ,$113.60 ,$160.00 ,$136.00 , N/A ,$128.00 ,$59.20 ,$128.00 , N/A , N/A ,$160.00 ,$86.72 , N/A ,$42.08 , N/A , N/A , N/A , N/A , N/A ,$136.00 , N/A ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$100.80 ,$100.80 ,$100.80 , N/A ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,27100548,N/A,HC MASK CPAP XS PED,271,1 ,$160.00 ,$104.00 ,$42.08 ,$160.00 , N/A ,$73.60 ,$86.72 , N/A ,$44.80 ,$51.20 , N/A ,$58.88 , N/A ,$61.12 ,$64.00 , N/A ,$61.12 , N/A ,$84.16 ,$81.60 , N/A , N/A ,$112.00 , N/A ,$80.00 , N/A ,$120.00 ,$80.80 ,$72.80 ,$80.80 , N/A ,$80.80 ,$100.80 ,$100.80 ,$113.60 ,$160.00 ,$136.00 , N/A ,$128.00 ,$59.20 ,$128.00 , N/A , N/A ,$160.00 ,$86.72 , N/A ,$42.08 , N/A , N/A , N/A , N/A , N/A ,$136.00 , N/A ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$100.80 ,$100.80 ,$100.80 , N/A ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,27100549,N/A,HC MASK CPAP SM PED,271,1 ,$93.00 ,$60.45 ,$24.46 ,$93.00 , N/A ,$42.78 ,$50.41 , N/A ,$26.04 ,$29.76 , N/A ,$34.22 , N/A ,$35.53 ,$37.20 , N/A ,$35.53 , N/A ,$48.92 ,$47.43 , N/A , N/A ,$65.10 , N/A ,$46.50 , N/A ,$69.75 ,$46.97 ,$42.32 ,$46.97 , N/A ,$46.97 ,$58.59 ,$58.59 ,$66.03 ,$93.00 ,$79.05 , N/A ,$74.40 ,$34.41 ,$74.40 , N/A , N/A ,$93.00 ,$50.41 , N/A ,$24.46 , N/A , N/A , N/A , N/A , N/A ,$79.05 , N/A ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$58.59 ,$58.59 ,$58.59 , N/A ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,27100550,N/A,HC MASK CPAP LG PED,271,1 ,$93.00 ,$60.45 ,$24.46 ,$93.00 , N/A ,$42.78 ,$50.41 , N/A ,$26.04 ,$29.76 , N/A ,$34.22 , N/A ,$35.53 ,$37.20 , N/A ,$35.53 , N/A ,$48.92 ,$47.43 , N/A , N/A ,$65.10 , N/A ,$46.50 , N/A ,$69.75 ,$46.97 ,$42.32 ,$46.97 , N/A ,$46.97 ,$58.59 ,$58.59 ,$66.03 ,$93.00 ,$79.05 , N/A ,$74.40 ,$34.41 ,$74.40 , N/A , N/A ,$93.00 ,$50.41 , N/A ,$24.46 , N/A , N/A , N/A , N/A , N/A ,$79.05 , N/A ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$58.59 ,$58.59 ,$58.59 , N/A ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,27100551,N/A,HC MASK CPAP XL PED,271,1 ,$134.00 ,$87.10 ,$35.24 ,$134.00 , N/A ,$61.64 ,$72.63 , N/A ,$37.52 ,$42.88 , N/A ,$49.31 , N/A ,$51.19 ,$53.60 , N/A ,$51.19 , N/A ,$70.48 ,$68.34 , N/A , N/A ,$93.80 , N/A ,$67.00 , N/A ,$100.50 ,$67.67 ,$60.97 ,$67.67 , N/A ,$67.67 ,$84.42 ,$84.42 ,$95.14 ,$134.00 ,$113.90 , N/A ,$107.20 ,$49.58 ,$107.20 , N/A , N/A ,$134.00 ,$72.63 , N/A ,$35.24 , N/A , N/A , N/A , N/A , N/A ,$113.90 , N/A ,$88.17 ,$37.52 ,$120.60 ,$96.48 ,$134.00 ,$84.42 ,$84.42 ,$84.42 , N/A ,$64.32 ,$120.60 ST. JOHN'S HOSPITAL,27100552,N/A,HC MEDI HONEY,271,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27100553,N/A,HC HEEL PROTECTOR,271,1 ,$90.00 ,$58.50 ,$23.67 ,$90.00 , N/A ,$41.40 ,$48.78 , N/A ,$25.20 ,$28.80 , N/A ,$33.12 , N/A ,$34.38 ,$36.00 , N/A ,$34.38 , N/A ,$47.34 ,$45.90 , N/A , N/A ,$63.00 , N/A ,$45.00 , N/A ,$67.50 ,$45.45 ,$40.95 ,$45.45 , N/A ,$45.45 ,$56.70 ,$56.70 ,$63.90 ,$90.00 ,$76.50 , N/A ,$72.00 ,$33.30 ,$72.00 , N/A , N/A ,$90.00 ,$48.78 , N/A ,$23.67 , N/A , N/A , N/A , N/A , N/A ,$76.50 , N/A ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$56.70 ,$56.70 ,$56.70 , N/A ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,27200003,A7520,HC BIVONA TRACH TUBES CUFFD,272,1 ,$701.00 ,$455.65 ,$49.20 ,$701.00 , N/A ,$322.46 ,$379.94 , N/A ,$196.28 ,$241.85 , N/A ,$269.18 , N/A ,$267.78 ,$49.20 , N/A ,$267.78 , N/A ,$368.73 ,$357.51 , N/A , N/A ,$490.70 , N/A ,$350.50 , N/A ,$525.75 ,$354.01 ,$318.96 ,$354.01 , N/A ,$354.01 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 , N/A ,$560.80 ,$259.37 ,$560.80 , N/A , N/A ,$701.00 ,$379.94 , N/A ,$184.36 , N/A , N/A , N/A , N/A , N/A ,$595.85 , N/A ,$461.26 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$441.63 ,$441.63 , N/A ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,27200004,A7521,HC BIVONA TRACH TUBE CUFFLS,272,1 ,$701.00 ,$455.65 ,$48.74 ,$701.00 , N/A ,$322.46 ,$379.94 , N/A ,$196.28 ,$241.85 , N/A ,$269.18 , N/A ,$267.78 ,$48.74 , N/A ,$267.78 , N/A ,$368.73 ,$357.51 , N/A , N/A ,$490.70 , N/A ,$350.50 , N/A ,$525.75 ,$354.01 ,$318.96 ,$354.01 , N/A ,$354.01 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 , N/A ,$560.80 ,$259.37 ,$560.80 , N/A , N/A ,$701.00 ,$379.94 , N/A ,$184.36 , N/A , N/A , N/A , N/A , N/A ,$595.85 , N/A ,$461.26 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$441.63 ,$441.63 , N/A ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,27200035,C1729,HC CATHETER DRAINAGE PLEUREX,272,1 ,"$1,530.00 ",$994.50 ,$402.39 ,"$1,530.00 ", N/A ,$703.80 ,$829.26 , N/A ,$428.40 ,$489.60 , N/A ,$563.04 , N/A ,$584.46 ,$612.00 , N/A ,$584.46 , N/A ,$804.78 ,$780.30 , N/A , N/A ,"$1,071.00 ", N/A ,$765.00 , N/A ,"$1,147.50 ",$772.65 ,$696.15 ,$772.65 , N/A ,$772.65 ,$963.90 ,$963.90 ,"$1,086.30 ","$1,530.00 ","$1,300.50 ", N/A ,"$1,224.00 ",$566.10 ,"$1,224.00 ", N/A , N/A ,"$1,530.00 ",$829.26 , N/A ,$402.39 , N/A , N/A , N/A , N/A , N/A ,"$1,300.50 ", N/A ,"$1,006.74 ",$428.40 ,"$1,377.00 ","$1,101.60 ","$1,530.00 ",$963.90 ,$963.90 ,$963.90 , N/A ,$734.40 ,"$1,377.00 " ST. JOHN'S HOSPITAL,27200078,C1765,HC INTERCEED ADHESION BARRIER,278,1 ,$697.00 ,$453.05 ,$183.31 ,$697.00 , N/A , N/A ,$377.77 , N/A ,$195.16 ,$223.04 , N/A ,$256.50 , N/A ,$266.25 , N/A , N/A ,$266.25 , N/A ,$366.62 ,$355.47 , N/A , N/A ,$487.90 , N/A ,$348.50 , N/A ,$522.75 ,$351.99 ,$310.86 ,$351.99 , N/A ,$351.99 ,$348.50 ,$348.50 ,$348.50 ,$697.00 ,$592.45 , N/A ,$557.60 ,$257.89 ,$557.60 , N/A , N/A ,$697.00 ,$377.77 , N/A ,$183.31 , N/A , N/A , N/A , N/A , N/A ,$592.45 , N/A , N/A ,$195.16 ,$627.30 ,$501.84 ,$697.00 ,$348.50 ,$439.11 ,$439.11 , N/A ,$334.56 ,$627.30 ST. JOHN'S HOSPITAL,27200090,C1769,HC GDWIRE GLIDE STIFF ANG,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27200105,C1769,HC GUIDEWIRE 3MM J TIP,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200176,C2618,HC CRYO ABLATION SYSTEM,272,1 ,"$17,500.00 ","$11,375.00 ","$4,602.50 ","$17,500.00 ", N/A ,"$8,050.00 ","$9,485.00 ", N/A ,"$4,900.00 ","$5,600.00 ", N/A ,"$6,440.00 ", N/A ,"$6,685.00 ","$7,000.00 ", N/A ,"$6,685.00 ", N/A ,"$9,205.00 ","$8,925.00 ", N/A , N/A ,"$12,250.00 ", N/A ,"$8,750.00 ", N/A ,"$13,125.00 ","$8,837.50 ","$7,962.50 ","$8,837.50 ", N/A ,"$8,837.50 ","$11,025.00 ","$11,025.00 ","$12,425.00 ","$17,500.00 ","$14,875.00 ", N/A ,"$14,000.00 ","$6,475.00 ","$14,000.00 ", N/A , N/A ,"$17,500.00 ","$9,485.00 ", N/A ,"$4,602.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,875.00 ", N/A ,"$11,515.00 ","$4,900.00 ","$15,750.00 ","$12,600.00 ","$17,500.00 ","$11,025.00 ","$11,025.00 ","$11,025.00 ", N/A ,"$8,400.00 ","$15,750.00 " ST. JOHN'S HOSPITAL,27200201,N/A,HC ABTHERA CANNISTER WOUND VAC,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200202,N/A,HC ABTHERA DRESSING WOUND VAC,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27200219,N/A,HC ADAPTER Y CORONARY PERFUSION,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27200235,N/A,HC AIRWAY EXCHANGE CATHETER,272,1 ,$160.00 ,$104.00 ,$42.08 ,$160.00 , N/A ,$73.60 ,$86.72 , N/A ,$44.80 ,$51.20 , N/A ,$58.88 , N/A ,$61.12 ,$64.00 , N/A ,$61.12 , N/A ,$84.16 ,$81.60 , N/A , N/A ,$112.00 , N/A ,$80.00 , N/A ,$120.00 ,$80.80 ,$72.80 ,$80.80 , N/A ,$80.80 ,$100.80 ,$100.80 ,$113.60 ,$160.00 ,$136.00 , N/A ,$128.00 ,$59.20 ,$128.00 , N/A , N/A ,$160.00 ,$86.72 , N/A ,$42.08 , N/A , N/A , N/A , N/A , N/A ,$136.00 , N/A ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$100.80 ,$100.80 ,$100.80 , N/A ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,27200236,N/A,HC AIRWAY NASO-PHARYNGEAL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27200238,N/A,HC AMBU BAG PEDIATRIC,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200240,N/A,HC AMNIOTOMY HOOK,272,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27200288,N/A,HC BAG AMBU,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200289,N/A,HC BAG AUTOTRANSFUSE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27200290,N/A,HC BAG BILE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200455,N/A,HC BLADE CLIPPER (UROLOGY),272,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27200543,N/A,HC BLOOD FILTER,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27200571,N/A,HC BREAST PUMP KIT,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27200575,N/A,HC BREAST SHELLS,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200576,N/A,HC BREAST SHIELDS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200579,N/A,HC BRUSH CYTOLOGY,272,1 ,$40.00 ,$26.00 ,$10.52 ,$40.00 , N/A ,$18.40 ,$21.68 , N/A ,$11.20 ,$12.80 , N/A ,$14.72 , N/A ,$15.28 ,$16.00 , N/A ,$15.28 , N/A ,$21.04 ,$20.40 , N/A , N/A ,$28.00 , N/A ,$20.00 , N/A ,$30.00 ,$20.20 ,$18.20 ,$20.20 , N/A ,$20.20 ,$25.20 ,$25.20 ,$28.40 ,$40.00 ,$34.00 , N/A ,$32.00 ,$14.80 ,$32.00 , N/A , N/A ,$40.00 ,$21.68 , N/A ,$10.52 , N/A , N/A , N/A , N/A , N/A ,$34.00 , N/A ,$26.32 ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$25.20 ,$25.20 ,$25.20 , N/A ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,27200581,N/A,HC BRUSH MICROBIOLOGY SPEC,272,1 ,$79.00 ,$51.35 ,$20.78 ,$79.00 , N/A ,$36.34 ,$42.82 , N/A ,$22.12 ,$25.28 , N/A ,$29.07 , N/A ,$30.18 ,$31.60 , N/A ,$30.18 , N/A ,$41.55 ,$40.29 , N/A , N/A ,$55.30 , N/A ,$39.50 , N/A ,$59.25 ,$39.90 ,$35.95 ,$39.90 , N/A ,$39.90 ,$49.77 ,$49.77 ,$56.09 ,$79.00 ,$67.15 , N/A ,$63.20 ,$29.23 ,$63.20 , N/A , N/A ,$79.00 ,$42.82 , N/A ,$20.78 , N/A , N/A , N/A , N/A , N/A ,$67.15 , N/A ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$49.77 ,$49.77 ,$49.77 , N/A ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,27200685,N/A,HC CANNULA ARTERIAL EOPA,272,1 ,$149.00 ,$96.85 ,$39.19 ,$149.00 , N/A ,$68.54 ,$80.76 , N/A ,$41.72 ,$47.68 , N/A ,$54.83 , N/A ,$56.92 ,$59.60 , N/A ,$56.92 , N/A ,$78.37 ,$75.99 , N/A , N/A ,$104.30 , N/A ,$74.50 , N/A ,$111.75 ,$75.25 ,$67.80 ,$75.25 , N/A ,$75.25 ,$93.87 ,$93.87 ,$105.79 ,$149.00 ,$126.65 , N/A ,$119.20 ,$55.13 ,$119.20 , N/A , N/A ,$149.00 ,$80.76 , N/A ,$39.19 , N/A , N/A , N/A , N/A , N/A ,$126.65 , N/A ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$93.87 ,$93.87 ,$93.87 , N/A ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,27200701,N/A,HC CANNULA FEMORAL VENOUS,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27200716,N/A,HC CANNULA SHILEY DISP EACH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27200722,N/A,HC CANNULA VENOUS OVAL,272,1 ,$96.00 ,$62.40 ,$25.25 ,$96.00 , N/A ,$44.16 ,$52.03 , N/A ,$26.88 ,$30.72 , N/A ,$35.33 , N/A ,$36.67 ,$38.40 , N/A ,$36.67 , N/A ,$50.50 ,$48.96 , N/A , N/A ,$67.20 , N/A ,$48.00 , N/A ,$72.00 ,$48.48 ,$43.68 ,$48.48 , N/A ,$48.48 ,$60.48 ,$60.48 ,$68.16 ,$96.00 ,$81.60 , N/A ,$76.80 ,$35.52 ,$76.80 , N/A , N/A ,$96.00 ,$52.03 , N/A ,$25.25 , N/A , N/A , N/A , N/A , N/A ,$81.60 , N/A ,$63.17 ,$26.88 ,$86.40 ,$69.12 ,$96.00 ,$60.48 ,$60.48 ,$60.48 , N/A ,$46.08 ,$86.40 ST. JOHN'S HOSPITAL,27200780,N/A,HC CATH COUNCIL,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27200798,N/A,HC CATH INTRODUCER,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27200801,N/A,HC CATH LEG BAG (ALL SIZES),272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27200839,N/A,HC CATH URETHRAL RED RUBBER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200849,N/A,HC CATHETER - FOLEY,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200853,N/A,HC CATHETER COUDE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27200861,C1750,HC CATH HEMODIALYSIS PERITONEAL,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27200894,N/A,HC CHEST TUBE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27200907,N/A,HC CHLORAPREP,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200968,N/A,HC CONNECTOR Y,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27200975,N/A,HC CONTAINER 5OZ STERILE,272,1 ,$80.00 ,$52.00 ,$21.04 ,$80.00 , N/A ,$36.80 ,$43.36 , N/A ,$22.40 ,$25.60 , N/A ,$29.44 , N/A ,$30.56 ,$32.00 , N/A ,$30.56 , N/A ,$42.08 ,$40.80 , N/A , N/A ,$56.00 , N/A ,$40.00 , N/A ,$60.00 ,$40.40 ,$36.40 ,$40.40 , N/A ,$40.40 ,$50.40 ,$50.40 ,$56.80 ,$80.00 ,$68.00 , N/A ,$64.00 ,$29.60 ,$64.00 , N/A , N/A ,$80.00 ,$43.36 , N/A ,$21.04 , N/A , N/A , N/A , N/A , N/A ,$68.00 , N/A ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$50.40 ,$50.40 ,$50.40 , N/A ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,27201009,N/A,HC CRICOTHYROTOMY CATH SET,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27201042,N/A,HC DERMABOND,272,1 ,$53.00 ,$34.45 ,$13.94 ,$53.00 , N/A ,$24.38 ,$28.73 , N/A ,$14.84 ,$16.96 , N/A ,$19.50 , N/A ,$20.25 ,$21.20 , N/A ,$20.25 , N/A ,$27.88 ,$27.03 , N/A , N/A ,$37.10 , N/A ,$26.50 , N/A ,$39.75 ,$26.77 ,$24.12 ,$26.77 , N/A ,$26.77 ,$33.39 ,$33.39 ,$37.63 ,$53.00 ,$45.05 , N/A ,$42.40 ,$19.61 ,$42.40 , N/A , N/A ,$53.00 ,$28.73 , N/A ,$13.94 , N/A , N/A , N/A , N/A , N/A ,$45.05 , N/A ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$33.39 ,$33.39 ,$33.39 , N/A ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27201108,N/A,HC DRAIN PENROSE LONG,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27201138,N/A,HC WOUND VAC DRAPE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201185,N/A,HC ELASTIC GAUZE BANDAGE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27201186,N/A,HC ELASTOPLAST 3 INCH,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201214,N/A,HC ELECTRODES MEDTRONIC SUBDERMAL,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27201236,N/A,HC ENDOBRONCHIAL BLOCKER SET,272,1 ,$513.00 ,$333.45 ,$134.92 ,$513.00 , N/A ,$235.98 ,$278.05 , N/A ,$143.64 ,$164.16 , N/A ,$188.78 , N/A ,$195.97 ,$205.20 , N/A ,$195.97 , N/A ,$269.84 ,$261.63 , N/A , N/A ,$359.10 , N/A ,$256.50 , N/A ,$384.75 ,$259.07 ,$233.42 ,$259.07 , N/A ,$259.07 ,$323.19 ,$323.19 ,$364.23 ,$513.00 ,$436.05 , N/A ,$410.40 ,$189.81 ,$410.40 , N/A , N/A ,$513.00 ,$278.05 , N/A ,$134.92 , N/A , N/A , N/A , N/A , N/A ,$436.05 , N/A ,$337.55 ,$143.64 ,$461.70 ,$369.36 ,$513.00 ,$323.19 ,$323.19 ,$323.19 , N/A ,$246.24 ,$461.70 ST. JOHN'S HOSPITAL,27201247,N/A,HC ENDOTRACH TUBE HOLDER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201248,N/A,HC ENDOTRACHEAL TUBE (DUAL LUMEN),272,1 ,$226.00 ,$146.90 ,$59.44 ,$226.00 , N/A ,$103.96 ,$122.49 , N/A ,$63.28 ,$72.32 , N/A ,$83.17 , N/A ,$86.33 ,$90.40 , N/A ,$86.33 , N/A ,$118.88 ,$115.26 , N/A , N/A ,$158.20 , N/A ,$113.00 , N/A ,$169.50 ,$114.13 ,$102.83 ,$114.13 , N/A ,$114.13 ,$142.38 ,$142.38 ,$160.46 ,$226.00 ,$192.10 , N/A ,$180.80 ,$83.62 ,$180.80 , N/A , N/A ,$226.00 ,$122.49 , N/A ,$59.44 , N/A , N/A , N/A , N/A , N/A ,$192.10 , N/A ,$148.71 ,$63.28 ,$203.40 ,$162.72 ,$226.00 ,$142.38 ,$142.38 ,$142.38 , N/A ,$108.48 ,$203.40 ST. JOHN'S HOSPITAL,27201250,N/A,HC EPIDURAL TRAY SNGL USE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27201252,N/A,HC EPIDURAL TRAY,272,1 ,$73.00 ,$47.45 ,$19.20 ,$73.00 , N/A ,$33.58 ,$39.57 , N/A ,$20.44 ,$23.36 , N/A ,$26.86 , N/A ,$27.89 ,$29.20 , N/A ,$27.89 , N/A ,$38.40 ,$37.23 , N/A , N/A ,$51.10 , N/A ,$36.50 , N/A ,$54.75 ,$36.87 ,$33.22 ,$36.87 , N/A ,$36.87 ,$45.99 ,$45.99 ,$51.83 ,$73.00 ,$62.05 , N/A ,$58.40 ,$27.01 ,$58.40 , N/A , N/A ,$73.00 ,$39.57 , N/A ,$19.20 , N/A , N/A , N/A , N/A , N/A ,$62.05 , N/A ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$45.99 ,$45.99 ,$45.99 , N/A ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,27201262,N/A,HC EXT LINE CARDIOPLEGIA,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27201279,N/A,HC FECAL MANAGEMENT KIT,272,1 ,$357.00 ,$232.05 ,$93.89 ,$357.00 , N/A ,$164.22 ,$193.49 , N/A ,$99.96 ,$114.24 , N/A ,$131.38 , N/A ,$136.37 ,$142.80 , N/A ,$136.37 , N/A ,$187.78 ,$182.07 , N/A , N/A ,$249.90 , N/A ,$178.50 , N/A ,$267.75 ,$180.29 ,$162.44 ,$180.29 , N/A ,$180.29 ,$224.91 ,$224.91 ,$253.47 ,$357.00 ,$303.45 , N/A ,$285.60 ,$132.09 ,$285.60 , N/A , N/A ,$357.00 ,$193.49 , N/A ,$93.89 , N/A , N/A , N/A , N/A , N/A ,$303.45 , N/A ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$224.91 ,$224.91 ,$224.91 , N/A ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,27201280,N/A,HC FECAL MGT COLLECTION BAGS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201282,N/A,HC FEEDING TUBE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27201315,N/A,HC FLUTTER VALVE EQUIPMENT,272,1 ,$128.00 ,$83.20 ,$33.66 ,$128.00 , N/A ,$58.88 ,$69.38 , N/A ,$35.84 ,$40.96 , N/A ,$47.10 , N/A ,$48.90 ,$51.20 , N/A ,$48.90 , N/A ,$67.33 ,$65.28 , N/A , N/A ,$89.60 , N/A ,$64.00 , N/A ,$96.00 ,$64.64 ,$58.24 ,$64.64 , N/A ,$64.64 ,$80.64 ,$80.64 ,$90.88 ,$128.00 ,$108.80 , N/A ,$102.40 ,$47.36 ,$102.40 , N/A , N/A ,$128.00 ,$69.38 , N/A ,$33.66 , N/A , N/A , N/A , N/A , N/A ,$108.80 , N/A ,$84.22 ,$35.84 ,$115.20 ,$92.16 ,$128.00 ,$80.64 ,$80.64 ,$80.64 , N/A ,$61.44 ,$115.20 ST. JOHN'S HOSPITAL,27201319,N/A,HC FOLEY CATH W/URINE METER,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27201383,N/A,HC HALO VEST,272,1 ,"$4,425.00 ","$2,876.25 ","$1,163.78 ","$4,425.00 ", N/A ,"$2,035.50 ","$2,398.35 ", N/A ,"$1,239.00 ","$1,416.00 ", N/A ,"$1,628.40 ", N/A ,"$1,690.35 ","$1,770.00 ", N/A ,"$1,690.35 ", N/A ,"$2,327.55 ","$2,256.75 ", N/A , N/A ,"$3,097.50 ", N/A ,"$2,212.50 ", N/A ,"$3,318.75 ","$2,234.63 ","$2,013.38 ","$2,234.63 ", N/A ,"$2,234.63 ","$2,787.75 ","$2,787.75 ","$3,141.75 ","$4,425.00 ","$3,761.25 ", N/A ,"$3,540.00 ","$1,637.25 ","$3,540.00 ", N/A , N/A ,"$4,425.00 ","$2,398.35 ", N/A ,"$1,163.78 ", N/A , N/A , N/A , N/A , N/A ,"$3,761.25 ", N/A ,"$2,911.65 ","$1,239.00 ","$3,982.50 ","$3,186.00 ","$4,425.00 ","$2,787.75 ","$2,787.75 ","$2,787.75 ", N/A ,"$2,124.00 ","$3,982.50 " ST. JOHN'S HOSPITAL,27201394,N/A,HC HEMOCONCENTRATOR W/TUBING,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27201413,N/A,HC HI-LO EVAC ENDOTRACH TUBE,272,1 ,$46.00 ,$29.90 ,$12.10 ,$46.00 , N/A ,$21.16 ,$24.93 , N/A ,$12.88 ,$14.72 , N/A ,$16.93 , N/A ,$17.57 ,$18.40 , N/A ,$17.57 , N/A ,$24.20 ,$23.46 , N/A , N/A ,$32.20 , N/A ,$23.00 , N/A ,$34.50 ,$23.23 ,$20.93 ,$23.23 , N/A ,$23.23 ,$28.98 ,$28.98 ,$32.66 ,$46.00 ,$39.10 , N/A ,$36.80 ,$17.02 ,$36.80 , N/A , N/A ,$46.00 ,$24.93 , N/A ,$12.10 , N/A , N/A , N/A , N/A , N/A ,$39.10 , N/A ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$28.98 ,$28.98 ,$28.98 , N/A ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,27201419,N/A,HC HUBER NEEDLE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201423,N/A,HC HYSTEROSALPINGEOGRAM CATH,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27201499,N/A,HC KIT CRANIAL ACCESS,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27201526,N/A,HC KIT MONITOR ICP CAMINO,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27201644,N/A,HC DOUBLE BREAST PUMP KT,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27201709,N/A,HC NEEDLE PERCUTANEUS ACCESS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27201738,N/A,HC NIPPLE SHIELD,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27201748,N/A,HC OB KIT,272,1 ,$52.00 ,$33.80 ,$13.68 ,$52.00 , N/A ,$23.92 ,$28.18 , N/A ,$14.56 ,$16.64 , N/A ,$19.14 , N/A ,$19.86 ,$20.80 , N/A ,$19.86 , N/A ,$27.35 ,$26.52 , N/A , N/A ,$36.40 , N/A ,$26.00 , N/A ,$39.00 ,$26.26 ,$23.66 ,$26.26 , N/A ,$26.26 ,$32.76 ,$32.76 ,$36.92 ,$52.00 ,$44.20 , N/A ,$41.60 ,$19.24 ,$41.60 , N/A , N/A ,$52.00 ,$28.18 , N/A ,$13.68 , N/A , N/A , N/A , N/A , N/A ,$44.20 , N/A ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$32.76 ,$32.76 ,$32.76 , N/A ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,27201814,N/A,HC PARACENTESIS TRAY,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27201829,N/A,HC PELVIC BINDER,272,1 ,$429.00 ,$278.85 ,$112.83 ,$429.00 , N/A ,$197.34 ,$232.52 , N/A ,$120.12 ,$137.28 , N/A ,$157.87 , N/A ,$163.88 ,$171.60 , N/A ,$163.88 , N/A ,$225.65 ,$218.79 , N/A , N/A ,$300.30 , N/A ,$214.50 , N/A ,$321.75 ,$216.65 ,$195.20 ,$216.65 , N/A ,$216.65 ,$270.27 ,$270.27 ,$304.59 ,$429.00 ,$364.65 , N/A ,$343.20 ,$158.73 ,$343.20 , N/A , N/A ,$429.00 ,$232.52 , N/A ,$112.83 , N/A , N/A , N/A , N/A , N/A ,$364.65 , N/A ,$282.28 ,$120.12 ,$386.10 ,$308.88 ,$429.00 ,$270.27 ,$270.27 ,$270.27 , N/A ,$205.92 ,$386.10 ST. JOHN'S HOSPITAL,27201885,N/A,HC POUCH CLAMP,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27201887,N/A,HC POWDER GELFOAM,272,1 ,$13.00 ,$8.45 ,$3.42 ,$13.00 , N/A ,$5.98 ,$7.05 , N/A ,$3.64 ,$4.16 , N/A ,$4.78 , N/A ,$4.97 ,$5.20 , N/A ,$4.97 , N/A ,$6.84 ,$6.63 , N/A , N/A ,$9.10 , N/A ,$6.50 , N/A ,$9.75 ,$6.57 ,$5.92 ,$6.57 , N/A ,$6.57 ,$8.19 ,$8.19 ,$9.23 ,$13.00 ,$11.05 , N/A ,$10.40 ,$4.81 ,$10.40 , N/A , N/A ,$13.00 ,$7.05 , N/A ,$3.42 , N/A , N/A , N/A , N/A , N/A ,$11.05 , N/A ,$8.55 ,$3.64 ,$11.70 ,$9.36 ,$13.00 ,$8.19 ,$8.19 ,$8.19 , N/A ,$6.24 ,$11.70 ST. JOHN'S HOSPITAL,27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$28.00 ,$18.20 ,$7.36 ,$28.00 , N/A ,$12.88 ,$15.18 , N/A ,$7.84 ,$8.96 , N/A ,$10.30 , N/A ,$10.70 ,$11.20 , N/A ,$10.70 , N/A ,$14.73 ,$14.28 , N/A , N/A ,$19.60 , N/A ,$14.00 , N/A ,$21.00 ,$14.14 ,$12.74 ,$14.14 , N/A ,$14.14 ,$17.64 ,$17.64 ,$19.88 ,$28.00 ,$23.80 , N/A ,$22.40 ,$10.36 ,$22.40 , N/A , N/A ,$28.00 ,$15.18 , N/A ,$7.36 , N/A , N/A , N/A , N/A , N/A ,$23.80 , N/A ,$18.42 ,$7.84 ,$25.20 ,$20.16 ,$28.00 ,$17.64 ,$17.64 ,$17.64 , N/A ,$13.44 ,$25.20 ST. JOHN'S HOSPITAL,27202002,N/A,HC SCD SLEEVE KNEE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27202013,N/A,HC SEALANT FLOSEAL MATRIX,272,1 ,$447.00 ,$290.55 ,$117.56 ,$447.00 , N/A ,$205.62 ,$242.27 , N/A ,$125.16 ,$143.04 , N/A ,$164.50 , N/A ,$170.75 ,$178.80 , N/A ,$170.75 , N/A ,$235.12 ,$227.97 , N/A , N/A ,$312.90 , N/A ,$223.50 , N/A ,$335.25 ,$225.74 ,$203.39 ,$225.74 , N/A ,$225.74 ,$281.61 ,$281.61 ,$317.37 ,$447.00 ,$379.95 , N/A ,$357.60 ,$165.39 ,$357.60 , N/A , N/A ,$447.00 ,$242.27 , N/A ,$117.56 , N/A , N/A , N/A , N/A , N/A ,$379.95 , N/A ,$294.13 ,$125.16 ,$402.30 ,$321.84 ,$447.00 ,$281.61 ,$281.61 ,$281.61 , N/A ,$214.56 ,$402.30 ST. JOHN'S HOSPITAL,27202062,N/A,HC SPHINCTERTOME,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27202120,N/A,HC STAPLER SKIN,272,1 ,$151.00 ,$98.15 ,$39.71 ,$151.00 , N/A ,$69.46 ,$81.84 , N/A ,$42.28 ,$48.32 , N/A ,$55.57 , N/A ,$57.68 ,$60.40 , N/A ,$57.68 , N/A ,$79.43 ,$77.01 , N/A , N/A ,$105.70 , N/A ,$75.50 , N/A ,$113.25 ,$76.26 ,$68.71 ,$76.26 , N/A ,$76.26 ,$95.13 ,$95.13 ,$107.21 ,$151.00 ,$128.35 , N/A ,$120.80 ,$55.87 ,$120.80 , N/A , N/A ,$151.00 ,$81.84 , N/A ,$39.71 , N/A , N/A , N/A , N/A , N/A ,$128.35 , N/A ,$99.36 ,$42.28 ,$135.90 ,$108.72 ,$151.00 ,$95.13 ,$95.13 ,$95.13 , N/A ,$72.48 ,$135.90 ST. JOHN'S HOSPITAL,27202151,N/A,HC STOCKING TED KNEE HIGH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27202152,N/A,HC STOCKING TED THIGH HIGH,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27202182,N/A,HC SUPPORTER ADULT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27202184,N/A,HC SURGICEL,272,1 ,$529.00 ,$343.85 ,$139.13 ,$529.00 , N/A ,$243.34 ,$286.72 , N/A ,$148.12 ,$169.28 , N/A ,$194.67 , N/A ,$202.08 ,$211.60 , N/A ,$202.08 , N/A ,$278.25 ,$269.79 , N/A , N/A ,$370.30 , N/A ,$264.50 , N/A ,$396.75 ,$267.15 ,$240.70 ,$267.15 , N/A ,$267.15 ,$333.27 ,$333.27 ,$375.59 ,$529.00 ,$449.65 , N/A ,$423.20 ,$195.73 ,$423.20 , N/A , N/A ,$529.00 ,$286.72 , N/A ,$139.13 , N/A , N/A , N/A , N/A , N/A ,$449.65 , N/A ,$348.08 ,$148.12 ,$476.10 ,$380.88 ,$529.00 ,$333.27 ,$333.27 ,$333.27 , N/A ,$253.92 ,$476.10 ST. JOHN'S HOSPITAL,27202262,N/A,HC SUT ETHIBOND 5 GREEN 30IN,272,1 ,$41.00 ,$26.65 ,$10.78 ,$41.00 , N/A ,$18.86 ,$22.22 , N/A ,$11.48 ,$13.12 , N/A ,$15.09 , N/A ,$15.66 ,$16.40 , N/A ,$15.66 , N/A ,$21.57 ,$20.91 , N/A , N/A ,$28.70 , N/A ,$20.50 , N/A ,$30.75 ,$20.71 ,$18.66 ,$20.71 , N/A ,$20.71 ,$25.83 ,$25.83 ,$29.11 ,$41.00 ,$34.85 , N/A ,$32.80 ,$15.17 ,$32.80 , N/A , N/A ,$41.00 ,$22.22 , N/A ,$10.78 , N/A , N/A , N/A , N/A , N/A ,$34.85 , N/A ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$25.83 ,$25.83 ,$25.83 , N/A ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,27202665,N/A,HC THORACENTESIS TRAY,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27202729,N/A,HC TRANSDUCER COVER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27202739,N/A,HC TRAY BONE MARROW,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27202759,N/A,HC TRAY EPIDURAL CONTINUOUS,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27202807,N/A,HC TRAY SPINAL,272,1 ,$55.00 ,$35.75 ,$14.47 ,$55.00 , N/A ,$25.30 ,$29.81 , N/A ,$15.40 ,$17.60 , N/A ,$20.24 , N/A ,$21.01 ,$22.00 , N/A ,$21.01 , N/A ,$28.93 ,$28.05 , N/A , N/A ,$38.50 , N/A ,$27.50 , N/A ,$41.25 ,$27.78 ,$25.03 ,$27.78 , N/A ,$27.78 ,$34.65 ,$34.65 ,$39.05 ,$55.00 ,$46.75 , N/A ,$44.00 ,$20.35 ,$44.00 , N/A , N/A ,$55.00 ,$29.81 , N/A ,$14.47 , N/A , N/A , N/A , N/A , N/A ,$46.75 , N/A ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$34.65 ,$34.65 ,$34.65 , N/A ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,27202836,N/A,HC TRAY URETHRAL CATHETER,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27202882,N/A,HC TUBE HYPERFLEX TRACH,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27202903,N/A,HC TUBING 1/4IN FOR PUMP,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27202904,N/A,HC TUBING 3/8IN FOR PUMP,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27202905,N/A,HC TUBING 6FT BY 3/8IN CARMEDA,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27202970,N/A,HC VACUUM TUBING,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203019,N/A,HC WOUND VAC TRACK PADS,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203100,N/A,HC SET QUICK PRESSURE MONITOR,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203225,N/A,HC MRI BREAST BIOPSY KIT,272,1 ,$349.00 ,$226.85 ,$91.79 ,$349.00 , N/A ,$160.54 ,$189.16 , N/A ,$97.72 ,$111.68 , N/A ,$128.43 , N/A ,$133.32 ,$139.60 , N/A ,$133.32 , N/A ,$183.57 ,$177.99 , N/A , N/A ,$244.30 , N/A ,$174.50 , N/A ,$261.75 ,$176.25 ,$158.80 ,$176.25 , N/A ,$176.25 ,$219.87 ,$219.87 ,$247.79 ,$349.00 ,$296.65 , N/A ,$279.20 ,$129.13 ,$279.20 , N/A , N/A ,$349.00 ,$189.16 , N/A ,$91.79 , N/A , N/A , N/A , N/A , N/A ,$296.65 , N/A ,$229.64 ,$97.72 ,$314.10 ,$251.28 ,$349.00 ,$219.87 ,$219.87 ,$219.87 , N/A ,$167.52 ,$314.10 ST. JOHN'S HOSPITAL,27203290,N/A,HC ABVISER AUTOVALVE IAP DEVICE,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203291,N/A,HC DERMABOND PRINEO,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27203307,N/A,HC ARCTIC SUN PADS,272,1 ,$845.00 ,$549.25 ,$222.24 ,$845.00 , N/A ,$388.70 ,$457.99 , N/A ,$236.60 ,$270.40 , N/A ,$310.96 , N/A ,$322.79 ,$338.00 , N/A ,$322.79 , N/A ,$444.47 ,$430.95 , N/A , N/A ,$591.50 , N/A ,$422.50 , N/A ,$633.75 ,$426.73 ,$384.48 ,$426.73 , N/A ,$426.73 ,$532.35 ,$532.35 ,$599.95 ,$845.00 ,$718.25 , N/A ,$676.00 ,$312.65 ,$676.00 , N/A , N/A ,$845.00 ,$457.99 , N/A ,$222.24 , N/A , N/A , N/A , N/A , N/A ,$718.25 , N/A ,$556.01 ,$236.60 ,$760.50 ,$608.40 ,$845.00 ,$532.35 ,$532.35 ,$532.35 , N/A ,$405.60 ,$760.50 ST. JOHN'S HOSPITAL,27203312,N/A,HC FLOTRAC SENSOR,272,1 ,"$1,224.00 ",$795.60 ,$321.91 ,"$1,224.00 ", N/A ,$563.04 ,$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$489.60 , N/A ,$467.57 , N/A ,$643.82 ,$624.24 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$618.12 ,$556.92 ,$618.12 , N/A ,$618.12 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,"$1,224.00 ",$663.41 , N/A ,$321.91 , N/A , N/A , N/A , N/A , N/A ,"$1,040.40 ", N/A ,$805.39 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,27203494,N/A,HC PROLACT RTF 26 100ML- PER ML,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27203495,N/A,HC PROLACT RTF 28 100ML- PER ML,272,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27203497,N/A,HC PROLACT PLUS 6 15 ML- PER ML,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27203498,N/A,HC PROLACT CR 10ML- PER ML,272,1 ,$14.00 ,$9.10 ,$3.68 ,$14.00 , N/A ,$6.44 ,$7.59 , N/A ,$3.92 ,$4.48 , N/A ,$5.15 , N/A ,$5.35 ,$5.60 , N/A ,$5.35 , N/A ,$7.36 ,$7.14 , N/A , N/A ,$9.80 , N/A ,$7.00 , N/A ,$10.50 ,$7.07 ,$6.37 ,$7.07 , N/A ,$7.07 ,$8.82 ,$8.82 ,$9.94 ,$14.00 ,$11.90 , N/A ,$11.20 ,$5.18 ,$11.20 , N/A , N/A ,$14.00 ,$7.59 , N/A ,$3.68 , N/A , N/A , N/A , N/A , N/A ,$11.90 , N/A ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$8.82 ,$8.82 ,$8.82 , N/A ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,27203499,N/A,HC PROLACT PLUS 8 40ML- PER ML,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27203500,N/A,HC PROLACT PLUS 4 20 ML- PER ML,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27203501,N/A,HC PROLACT PLUS 6 30 ML- PER ML,272,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$376.00 ,$244.40 ,$98.89 ,$376.00 , N/A ,$172.96 ,$203.79 , N/A ,$105.28 ,$120.32 , N/A ,$138.37 , N/A ,$143.63 ,$150.40 , N/A ,$143.63 , N/A ,$197.78 ,$191.76 , N/A , N/A ,$263.20 , N/A ,$188.00 , N/A ,$282.00 ,$189.88 ,$171.08 ,$189.88 , N/A ,$189.88 ,$236.88 ,$236.88 ,$266.96 ,$376.00 ,$319.60 , N/A ,$300.80 ,$139.12 ,$300.80 , N/A , N/A ,$376.00 ,$203.79 , N/A ,$98.89 , N/A , N/A , N/A , N/A , N/A ,$319.60 , N/A ,$247.41 ,$105.28 ,$338.40 ,$270.72 ,$376.00 ,$236.88 ,$236.88 ,$236.88 , N/A ,$180.48 ,$338.40 ST. JOHN'S HOSPITAL,27203512,A6196,HC DRESSING ALGINATE <16,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$6.78 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27203517,A6213,HC DRESSING FOAM,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$21.00 , N/A ,$8.02 ,$9.45 ,$11.05 ,$10.71 ,$14.70 , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 ,$12.60 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27203519,A6223,HC DRESSING XEROFORM,272,1 ,$31.00 ,$20.15 ,$2.23 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$2.23 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27203521,A6234,HC DRESSING DUODERM <16 SQ CM,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$6.02 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27203522,A6235,HC DRESSING DUODERM >16 AND <48 SQ CM,623,1 ,$36.00 ,$23.40 ,$9.47 ,$36.00 , N/A ,$16.56 ,$19.51 , N/A ,$10.08 ,$12.42 , N/A ,$13.82 , N/A ,$13.75 ,$15.50 , N/A ,$13.75 , N/A ,$18.94 ,$18.36 , N/A , N/A ,$25.20 , N/A ,$18.00 , N/A ,$27.00 ,$18.18 ,$16.38 ,$18.18 , N/A ,$18.18 ,$22.68 ,$22.68 ,$25.56 ,$36.00 ,$30.60 , N/A ,$28.80 ,$13.32 ,$28.80 , N/A , N/A ,$36.00 ,$19.51 , N/A ,$9.47 , N/A , N/A , N/A , N/A , N/A ,$30.60 , N/A ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$22.68 ,$22.68 ,$22.68 , N/A ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,27203524,A6258,HC DRESSING TRANSPARENT >16 AND <48 SQ CM TIER 1,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$3.97 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27203525,A6258,HC DRESSING TRANSPARENT >16 AND <48 SQ CM TIER 2,623,1 ,$21.00 ,$13.65 ,$3.97 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$3.97 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27203526,A6266,HC PACKING GAUZE IODOFORM,272,1 ,$11.00 ,$7.15 ,$1.77 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$1.77 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27203531,C1751,HC CATHETER CV TRIPLE-LUMEN,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27203532,C1751,HC CATHETER CV DUAL-LUMEN,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203533,C1751,HC CATHETER CV SINGLE-LUMEN,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27203535,N/A,HC TRAY LUMBAR PUNCTURE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203536,N/A,HC KIT LUMBAR DRAIN,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27203538,N/A,HC KIT ARTERIAL LINE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27203543,N/A,HC CATHETER THERMODILUTION,272,1 ,$112.00 ,$72.80 ,$29.46 ,$112.00 , N/A ,$51.52 ,$60.70 , N/A ,$31.36 ,$35.84 , N/A ,$41.22 , N/A ,$42.78 ,$44.80 , N/A ,$42.78 , N/A ,$58.91 ,$57.12 , N/A , N/A ,$78.40 , N/A ,$56.00 , N/A ,$84.00 ,$56.56 ,$50.96 ,$56.56 , N/A ,$56.56 ,$70.56 ,$70.56 ,$79.52 ,$112.00 ,$95.20 , N/A ,$89.60 ,$41.44 ,$89.60 , N/A , N/A ,$112.00 ,$60.70 , N/A ,$29.46 , N/A , N/A , N/A , N/A , N/A ,$95.20 , N/A ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$70.56 ,$70.56 ,$70.56 , N/A ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,27203549,N/A,HC TRANSDUCER TUBING,272,1 ,"$1,102.00 ",$716.30 ,$289.83 ,"$1,102.00 ", N/A ,$506.92 ,$597.28 , N/A ,$308.56 ,$352.64 , N/A ,$405.54 , N/A ,$420.96 ,$440.80 , N/A ,$420.96 , N/A ,$579.65 ,$562.02 , N/A , N/A ,$771.40 , N/A ,$551.00 , N/A ,$826.50 ,$556.51 ,$501.41 ,$556.51 , N/A ,$556.51 ,$694.26 ,$694.26 ,$782.42 ,"$1,102.00 ",$936.70 , N/A ,$881.60 ,$407.74 ,$881.60 , N/A , N/A ,"$1,102.00 ",$597.28 , N/A ,$289.83 , N/A , N/A , N/A , N/A , N/A ,$936.70 , N/A ,$725.12 ,$308.56 ,$991.80 ,$793.44 ,"$1,102.00 ",$694.26 ,$694.26 ,$694.26 , N/A ,$528.96 ,$991.80 ST. JOHN'S HOSPITAL,27203555,N/A,HC KIT FEMORAL LINE,272,1 ,$189.00 ,$122.85 ,$49.71 ,$189.00 , N/A ,$86.94 ,$102.44 , N/A ,$52.92 ,$60.48 , N/A ,$69.55 , N/A ,$72.20 ,$75.60 , N/A ,$72.20 , N/A ,$99.41 ,$96.39 , N/A , N/A ,$132.30 , N/A ,$94.50 , N/A ,$141.75 ,$95.45 ,$86.00 ,$95.45 , N/A ,$95.45 ,$119.07 ,$119.07 ,$134.19 ,$189.00 ,$160.65 , N/A ,$151.20 ,$69.93 ,$151.20 , N/A , N/A ,$189.00 ,$102.44 , N/A ,$49.71 , N/A , N/A , N/A , N/A , N/A ,$160.65 , N/A ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$119.07 ,$119.07 ,$119.07 , N/A ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,27203557,N/A,HC CATHETER INTRAUTERINE,272,1 ,$97.00 ,$63.05 ,$25.51 ,$97.00 , N/A ,$44.62 ,$52.57 , N/A ,$27.16 ,$31.04 , N/A ,$35.70 , N/A ,$37.05 ,$38.80 , N/A ,$37.05 , N/A ,$51.02 ,$49.47 , N/A , N/A ,$67.90 , N/A ,$48.50 , N/A ,$72.75 ,$48.99 ,$44.14 ,$48.99 , N/A ,$48.99 ,$61.11 ,$61.11 ,$68.87 ,$97.00 ,$82.45 , N/A ,$77.60 ,$35.89 ,$77.60 , N/A , N/A ,$97.00 ,$52.57 , N/A ,$25.51 , N/A , N/A , N/A , N/A , N/A ,$82.45 , N/A ,$63.83 ,$27.16 ,$87.30 ,$69.84 ,$97.00 ,$61.11 ,$61.11 ,$61.11 , N/A ,$46.56 ,$87.30 ST. JOHN'S HOSPITAL,27203558,N/A,HC EXTRACTOR,272,1 ,$82.00 ,$53.30 ,$21.57 ,$82.00 , N/A ,$37.72 ,$44.44 , N/A ,$22.96 ,$26.24 , N/A ,$30.18 , N/A ,$31.32 ,$32.80 , N/A ,$31.32 , N/A ,$43.13 ,$41.82 , N/A , N/A ,$57.40 , N/A ,$41.00 , N/A ,$61.50 ,$41.41 ,$37.31 ,$41.41 , N/A ,$41.41 ,$51.66 ,$51.66 ,$58.22 ,$82.00 ,$69.70 , N/A ,$65.60 ,$30.34 ,$65.60 , N/A , N/A ,$82.00 ,$44.44 , N/A ,$21.57 , N/A , N/A , N/A , N/A , N/A ,$69.70 , N/A ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$51.66 ,$51.66 ,$51.66 , N/A ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,27203563,N/A,HC CATHETER TROCAR,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203564,N/A,HC CATHETER UMBILICAL ARTERY,272,1 ,$45.00 ,$29.25 ,$11.84 ,$45.00 , N/A ,$20.70 ,$24.39 , N/A ,$12.60 ,$14.40 , N/A ,$16.56 , N/A ,$17.19 ,$18.00 , N/A ,$17.19 , N/A ,$23.67 ,$22.95 , N/A , N/A ,$31.50 , N/A ,$22.50 , N/A ,$33.75 ,$22.73 ,$20.48 ,$22.73 , N/A ,$22.73 ,$28.35 ,$28.35 ,$31.95 ,$45.00 ,$38.25 , N/A ,$36.00 ,$16.65 ,$36.00 , N/A , N/A ,$45.00 ,$24.39 , N/A ,$11.84 , N/A , N/A , N/A , N/A , N/A ,$38.25 , N/A ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$28.35 ,$28.35 ,$28.35 , N/A ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,27203568,N/A,HC DRAIN CHEST,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27203572,N/A,HC DRESSING BIOPATCH,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27203586,N/A,HC SALEM SUMP,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203594,N/A,HC TRAY TRACHEOSTOMY,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203595,N/A,HC TUBE TRACH CUFFED,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203596,N/A,HC TUBE TRACH UNCUFFED,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203598,N/A,HC WAFER OSTOMY,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27203599,N/A,HC TUBE TRACH PEDIATRIC,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27203611,A6196,HC ROPE KALTOSTAT,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$6.78 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27203612,N/A,HC KIT TRACHEOSTOMY CARE,272,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27203614,N/A,HC NEEDLE LOCALIZATION,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203635,N/A,HC KIT SIALOGRAM,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203636,N/A,HC TRAY MYELOGRAM,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203651,N/A,HC FEMOSTOP COMPRESSION DEVICE,272,1 ,$245.00 ,$159.25 ,$64.44 ,$245.00 , N/A ,$112.70 ,$132.79 , N/A ,$68.60 ,$78.40 , N/A ,$90.16 , N/A ,$93.59 ,$98.00 , N/A ,$93.59 , N/A ,$128.87 ,$124.95 , N/A , N/A ,$171.50 , N/A ,$122.50 , N/A ,$183.75 ,$123.73 ,$111.48 ,$123.73 , N/A ,$123.73 ,$154.35 ,$154.35 ,$173.95 ,$245.00 ,$208.25 , N/A ,$196.00 ,$90.65 ,$196.00 , N/A , N/A ,$245.00 ,$132.79 , N/A ,$64.44 , N/A , N/A , N/A , N/A , N/A ,$208.25 , N/A ,$161.21 ,$68.60 ,$220.50 ,$176.40 ,$245.00 ,$154.35 ,$154.35 ,$154.35 , N/A ,$117.60 ,$220.50 ST. JOHN'S HOSPITAL,27203653,N/A,HC CATHETER PIGTAIL DUAL LUMEN,272,1 ,$545.00 ,$354.25 ,$143.34 ,$545.00 , N/A ,$250.70 ,$295.39 , N/A ,$152.60 ,$174.40 , N/A ,$200.56 , N/A ,$208.19 ,$218.00 , N/A ,$208.19 , N/A ,$286.67 ,$277.95 , N/A , N/A ,$381.50 , N/A ,$272.50 , N/A ,$408.75 ,$275.23 ,$247.98 ,$275.23 , N/A ,$275.23 ,$343.35 ,$343.35 ,$386.95 ,$545.00 ,$463.25 , N/A ,$436.00 ,$201.65 ,$436.00 , N/A , N/A ,$545.00 ,$295.39 , N/A ,$143.34 , N/A , N/A , N/A , N/A , N/A ,$463.25 , N/A ,$358.61 ,$152.60 ,$490.50 ,$392.40 ,$545.00 ,$343.35 ,$343.35 ,$343.35 , N/A ,$261.60 ,$490.50 ST. JOHN'S HOSPITAL,27203654,N/A,HC CATHETER SWAN GANZ,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27203657,C1769,HC GUIDEWIRE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27203658,C1769,HC GUIDEWIRE GLIDEWIRE,272,1 ,$34.00 ,$22.10 ,$8.94 ,$34.00 , N/A ,$15.64 ,$18.43 , N/A ,$9.52 ,$10.88 , N/A ,$12.51 , N/A ,$12.99 ,$13.60 , N/A ,$12.99 , N/A ,$17.88 ,$17.34 , N/A , N/A ,$23.80 , N/A ,$17.00 , N/A ,$25.50 ,$17.17 ,$15.47 ,$17.17 , N/A ,$17.17 ,$21.42 ,$21.42 ,$24.14 ,$34.00 ,$28.90 , N/A ,$27.20 ,$12.58 ,$27.20 , N/A , N/A ,$34.00 ,$18.43 , N/A ,$8.94 , N/A , N/A , N/A , N/A , N/A ,$28.90 , N/A ,$22.37 ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$21.42 ,$21.42 ,$21.42 , N/A ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,27203689,N/A,HC COVER PROBE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203691,N/A,HC TUBE GASTROSTOMY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203702,N/A,HC TRAY CATHETER PICC,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27203703,C1751,HC CATHETER PICC,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27203745,N/A,HC TUBING ASPIRATION,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27203839,N/A,HC ARCTIC SUN PADS LARGE,272,1 ,"$2,877.00 ","$1,870.05 ",$756.65 ,"$2,877.00 ", N/A ,"$1,323.42 ","$1,559.33 ", N/A ,$805.56 ,$920.64 , N/A ,"$1,058.74 ", N/A ,"$1,099.01 ","$1,150.80 ", N/A ,"$1,099.01 ", N/A ,"$1,513.30 ","$1,467.27 ", N/A , N/A ,"$2,013.90 ", N/A ,"$1,438.50 ", N/A ,"$2,157.75 ","$1,452.89 ","$1,309.04 ","$1,452.89 ", N/A ,"$1,452.89 ","$1,812.51 ","$1,812.51 ","$2,042.67 ","$2,877.00 ","$2,445.45 ", N/A ,"$2,301.60 ","$1,064.49 ","$2,301.60 ", N/A , N/A ,"$2,877.00 ","$1,559.33 ", N/A ,$756.65 , N/A , N/A , N/A , N/A , N/A ,"$2,445.45 ", N/A ,"$1,893.07 ",$805.56 ,"$2,589.30 ","$2,071.44 ","$2,877.00 ","$1,812.51 ","$1,812.51 ","$1,812.51 ", N/A ,"$1,380.96 ","$2,589.30 " ST. JOHN'S HOSPITAL,27203840,N/A,HC ARCTIC SUN PADS MEDIUM,272,1 ,"$2,877.00 ","$1,870.05 ",$756.65 ,"$2,877.00 ", N/A ,"$1,323.42 ","$1,559.33 ", N/A ,$805.56 ,$920.64 , N/A ,"$1,058.74 ", N/A ,"$1,099.01 ","$1,150.80 ", N/A ,"$1,099.01 ", N/A ,"$1,513.30 ","$1,467.27 ", N/A , N/A ,"$2,013.90 ", N/A ,"$1,438.50 ", N/A ,"$2,157.75 ","$1,452.89 ","$1,309.04 ","$1,452.89 ", N/A ,"$1,452.89 ","$1,812.51 ","$1,812.51 ","$2,042.67 ","$2,877.00 ","$2,445.45 ", N/A ,"$2,301.60 ","$1,064.49 ","$2,301.60 ", N/A , N/A ,"$2,877.00 ","$1,559.33 ", N/A ,$756.65 , N/A , N/A , N/A , N/A , N/A ,"$2,445.45 ", N/A ,"$1,893.07 ",$805.56 ,"$2,589.30 ","$2,071.44 ","$2,877.00 ","$1,812.51 ","$1,812.51 ","$1,812.51 ", N/A ,"$1,380.96 ","$2,589.30 " ST. JOHN'S HOSPITAL,27203841,N/A,HC BALLOON DILATOR CERVICAL,272,1 ,$132.00 ,$85.80 ,$34.72 ,$132.00 , N/A ,$60.72 ,$71.54 , N/A ,$36.96 ,$42.24 , N/A ,$48.58 , N/A ,$50.42 ,$52.80 , N/A ,$50.42 , N/A ,$69.43 ,$67.32 , N/A , N/A ,$92.40 , N/A ,$66.00 , N/A ,$99.00 ,$66.66 ,$60.06 ,$66.66 , N/A ,$66.66 ,$83.16 ,$83.16 ,$93.72 ,$132.00 ,$112.20 , N/A ,$105.60 ,$48.84 ,$105.60 , N/A , N/A ,$132.00 ,$71.54 , N/A ,$34.72 , N/A , N/A , N/A , N/A , N/A ,$112.20 , N/A ,$86.86 ,$36.96 ,$118.80 ,$95.04 ,$132.00 ,$83.16 ,$83.16 ,$83.16 , N/A ,$63.36 ,$118.80 ST. JOHN'S HOSPITAL,27203844,N/A,HC TRAY CHEST TUBE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$360.00 ,$234.00 ,$94.68 ,$360.00 , N/A ,$165.60 ,$195.12 , N/A ,$100.80 ,$115.20 , N/A ,$132.48 , N/A ,$137.52 ,$144.00 , N/A ,$137.52 , N/A ,$189.36 ,$183.60 , N/A , N/A ,$252.00 , N/A ,$180.00 , N/A ,$270.00 ,$181.80 ,$163.80 ,$181.80 , N/A ,$181.80 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 , N/A ,$288.00 ,$133.20 ,$288.00 , N/A , N/A ,$360.00 ,$195.12 , N/A ,$94.68 , N/A , N/A , N/A , N/A , N/A ,$306.00 , N/A ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$226.80 ,$226.80 , N/A ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,27203859,N/A,HC KIT DRESSING WOUND VAC WHITEFOAM,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27203860,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM SILVER,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203873,N/A,HC BAG RESUSCITATION PEDI,272,1 ,$63.00 ,$40.95 ,$16.57 ,$63.00 , N/A ,$28.98 ,$34.15 , N/A ,$17.64 ,$20.16 , N/A ,$23.18 , N/A ,$24.07 ,$25.20 , N/A ,$24.07 , N/A ,$33.14 ,$32.13 , N/A , N/A ,$44.10 , N/A ,$31.50 , N/A ,$47.25 ,$31.82 ,$28.67 ,$31.82 , N/A ,$31.82 ,$39.69 ,$39.69 ,$44.73 ,$63.00 ,$53.55 , N/A ,$50.40 ,$23.31 ,$50.40 , N/A , N/A ,$63.00 ,$34.15 , N/A ,$16.57 , N/A , N/A , N/A , N/A , N/A ,$53.55 , N/A ,$41.45 ,$17.64 ,$56.70 ,$45.36 ,$63.00 ,$39.69 ,$39.69 ,$39.69 , N/A ,$30.24 ,$56.70 ST. JOHN'S HOSPITAL,27203874,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM LARGE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27203885,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27203886,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27203887,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27203888,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27203889,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27203890,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27203891,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27203892,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27203893,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27203894,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27203895,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27203896,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27203897,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27203898,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27203899,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27203900,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27203901,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27203902,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27203903,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27203904,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27203905,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27203906,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27203907,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27203908,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T33,272,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,440.00 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$5,050.50 ","$5,605.50 ", N/A ,"$5,605.50 ","$6,993.00 ","$6,993.00 ","$7,881.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$7,303.80 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$6,993.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27203909,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T34,272,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,680.00 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,323.50 ","$5,908.50 ", N/A ,"$5,908.50 ","$7,371.00 ","$7,371.00 ","$8,307.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$7,698.60 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$7,371.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27203910,C1714,HC CATHETER ATHERECTOMY TRANSLUMINAL DIRECTIONAL T35,272,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,920.00 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,596.50 ","$6,211.50 ", N/A ,"$6,211.50 ","$7,749.00 ","$7,749.00 ","$8,733.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$8,093.40 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$7,749.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27203922,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27203923,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27203924,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27203925,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27203926,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27203927,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27203928,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27203929,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27203930,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27203931,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27203932,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27203933,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27203934,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27203935,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27203936,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27203937,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27203938,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27203939,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27203940,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27203941,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27203942,C1724,HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27203943,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27203944,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27203945,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27203946,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27203947,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27203948,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27203949,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27203950,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27203951,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27203952,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27203953,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27203954,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27203955,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27203956,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27203957,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27203958,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27203959,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27203960,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27203961,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27203962,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27203963,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27203964,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27203965,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27203966,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27203967,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27203968,C1725,HC CATHETER TRANSLUMINAL ANGIOPLASTY NON-LASER T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27203974,C1730,HC CATHETER EP DIAG <19 ELECTRODES T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27203975,C1730,HC CATHETER EP DIAG <19 ELECTRODES T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27203976,C1730,HC CATHETER EP DIAG <19 ELECTRODES T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27203977,C1730,HC CATHETER EP DIAG <19 ELECTRODES T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27203978,C1730,HC CATHETER EP DIAG <19 ELECTRODES T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27203979,C1730,HC CATHETER EP DIAG <19 ELECTRODES T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27203980,C1730,HC CATHETER EP DIAG <19 ELECTRODES T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27203981,C1730,HC CATHETER EP DIAG <19 ELECTRODES T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27203982,C1730,HC CATHETER EP DIAG <19 ELECTRODES T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27203983,C1730,HC CATHETER EP DIAG <19 ELECTRODES T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27203984,C1730,HC CATHETER EP DIAG <19 ELECTRODES T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27203985,C1730,HC CATHETER EP DIAG <19 ELECTRODES T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27203986,C1730,HC CATHETER EP DIAG <19 ELECTRODES T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27203987,C1730,HC CATHETER EP DIAG <19 ELECTRODES T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27203988,C1730,HC CATHETER EP DIAG <19 ELECTRODES T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27203989,C1730,HC CATHETER EP DIAG <19 ELECTRODES T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27203990,C1730,HC CATHETER EP DIAG <19 ELECTRODES T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204005,C1731,HC CATHETER EP DIAG >20 ELECTRODES T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204006,C1731,HC CATHETER EP DIAG >20 ELECTRODES T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204007,C1731,HC CATHETER EP DIAG >20 ELECTRODES T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204008,C1731,HC CATHETER EP DIAG >20 ELECTRODES T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204009,C1731,HC CATHETER EP DIAG >20 ELECTRODES T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204010,C1731,HC CATHETER EP DIAG >20 ELECTRODES T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204011,C1731,HC CATHETER EP DIAG >20 ELECTRODES T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204012,C1731,HC CATHETER EP DIAG >20 ELECTRODES T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204013,C1731,HC CATHETER EP DIAG >20 ELECTRODES T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204014,C1731,HC CATHETER EP DIAG >20 ELECTRODES T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204026,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204027,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204028,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204029,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204030,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204031,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204032,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204033,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204034,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204035,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204036,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204037,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204038,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204039,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204040,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204041,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204042,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204043,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204044,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204045,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204046,C1732,HC CATHETER EP DIAG/ABLATION 3D VECTOR T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204056,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204057,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204058,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204059,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204060,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204061,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204062,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204063,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204064,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204065,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204066,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204067,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204068,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204069,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204070,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204071,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204072,C1733,HC CATHETER EP DIAG/ABLATION OTHR COOL TIP T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204073,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T1,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204074,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T2,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204075,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T3,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204076,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T4,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204077,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T5,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204078,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T6,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204079,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T7,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204080,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T8,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204081,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T9,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204082,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T10,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204083,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T11,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204084,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T12,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204090,C1753,HC CATHETER US IMAGING/IVUS T5,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204091,C1753,HC CATHETER US IMAGING/IVUS T6,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204092,C1753,HC CATHETER US IMAGING/IVUS T7,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204093,C1753,HC CATHETER US IMAGING/IVUS T8,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204094,C1753,HC CATHETER US IMAGING/IVUS T9,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204095,C1753,HC CATHETER US IMAGING/IVUS T10,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204096,C1753,HC CATHETER US IMAGING/IVUS T11,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204097,C1753,HC CATHETER US IMAGING/IVUS T12,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204098,C1753,HC CATHETER US IMAGING/IVUS T13,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204099,C1753,HC CATHETER US IMAGING/IVUS T14,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204100,C1753,HC CATHETER US IMAGING/IVUS T15,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204105,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204106,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204107,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204108,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204109,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204110,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204111,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204112,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204113,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204114,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204115,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204116,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204117,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204118,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204119,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204120,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204121,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204122,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204123,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204124,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204125,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204126,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T26,272,1 ,"$7,038.00 ","$4,574.70 ","$1,850.99 ","$7,038.00 ", N/A ,"$3,237.48 ","$3,814.60 ", N/A ,"$1,970.64 ","$2,252.16 ", N/A ,"$2,589.98 ", N/A ,"$2,688.52 ","$2,815.20 ", N/A ,"$2,688.52 ", N/A ,"$3,701.99 ","$3,589.38 ", N/A , N/A ,"$4,926.60 ", N/A ,"$3,519.00 ", N/A ,"$5,278.50 ","$3,554.19 ","$3,202.29 ","$3,554.19 ", N/A ,"$3,554.19 ","$4,433.94 ","$4,433.94 ","$4,996.98 ","$7,038.00 ","$5,982.30 ", N/A ,"$5,630.40 ","$2,604.06 ","$5,630.40 ", N/A , N/A ,"$7,038.00 ","$3,814.60 ", N/A ,"$1,850.99 ", N/A , N/A , N/A , N/A , N/A ,"$5,982.30 ", N/A ,"$4,631.00 ","$1,970.64 ","$6,334.20 ","$5,067.36 ","$7,038.00 ","$4,433.94 ","$4,433.94 ","$4,433.94 ", N/A ,"$3,378.24 ","$6,334.20 " ST. JOHN'S HOSPITAL,27204127,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204128,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204129,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204130,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204131,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204132,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204133,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T33,272,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,440.00 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$5,050.50 ","$5,605.50 ", N/A ,"$5,605.50 ","$6,993.00 ","$6,993.00 ","$7,881.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$7,303.80 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$6,993.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27204134,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T34,272,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,680.00 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,323.50 ","$5,908.50 ", N/A ,"$5,908.50 ","$7,371.00 ","$7,371.00 ","$8,307.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$7,698.60 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$7,371.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27204135,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T35,272,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,920.00 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,596.50 ","$6,211.50 ", N/A ,"$6,211.50 ","$7,749.00 ","$7,749.00 ","$8,733.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$8,093.40 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$7,749.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27204136,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T36,272,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ","$5,160.00 ", N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,869.50 ","$6,514.50 ", N/A ,"$6,514.50 ","$8,127.00 ","$8,127.00 ","$9,159.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A ,"$8,488.20 ","$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$8,127.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27204137,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T37,272,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ","$5,400.00 ", N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,142.50 ","$6,817.50 ", N/A ,"$6,817.50 ","$8,505.00 ","$8,505.00 ","$9,585.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A ,"$8,883.00 ","$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$8,505.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27204138,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T38,272,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ","$5,640.00 ", N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,415.50 ","$7,120.50 ", N/A ,"$7,120.50 ","$8,883.00 ","$8,883.00 ","$10,011.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A ,"$9,277.80 ","$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$8,883.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27204139,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T39,272,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ","$5,880.00 ", N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,688.50 ","$7,423.50 ", N/A ,"$7,423.50 ","$9,261.00 ","$9,261.00 ","$10,437.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A ,"$9,672.60 ","$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$9,261.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27204140,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T40,272,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ","$6,060.00 ", N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,893.25 ","$7,650.75 ", N/A ,"$7,650.75 ","$9,544.50 ","$9,544.50 ","$10,756.50 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A ,"$9,968.70 ","$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$9,544.50 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27204145,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T45,272,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ","$6,960.00 ", N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,917.00 ","$8,787.00 ", N/A ,"$8,787.00 ","$10,962.00 ","$10,962.00 ","$12,354.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A ,"$11,449.20 ","$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$10,962.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27204146,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T46,272,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ","$7,140.00 ", N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$8,121.75 ","$9,014.25 ", N/A ,"$9,014.25 ","$11,245.50 ","$11,245.50 ","$12,673.50 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A ,"$11,745.30 ","$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$11,245.50 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27204147,C1757,HC CATHETER THROMBECTOMY/EMBOLECTOMY T47,272,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ","$7,400.00 ", N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,417.50 ","$9,342.50 ", N/A ,"$9,342.50 ","$11,655.00 ","$11,655.00 ","$13,135.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A ,"$12,173.00 ","$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$11,655.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27204153,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T6,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204154,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T7,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204155,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T8,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204156,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T9,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204157,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T10,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204158,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T11,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204159,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T12,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204160,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T13,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204161,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T14,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204162,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T15,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204163,C1759,HC CATHETER INTRACARDIAC ECHOCARDIOGRAPHY T16,272,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,440.00 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$5,050.50 ","$5,605.50 ", N/A ,"$5,605.50 ","$6,993.00 ","$6,993.00 ","$7,881.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$7,303.80 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$6,993.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27204166,C1760,HC DEVICE VASCULAR CLOSURE T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204167,C1760,HC DEVICE VASCULAR CLOSURE T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204168,C1760,HC DEVICE VASCULAR CLOSURE T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204169,C1760,HC DEVICE VASCULAR CLOSURE T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204170,C1760,HC DEVICE VASCULAR CLOSURE T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204171,C1760,HC DEVICE VASCULAR CLOSURE T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204172,C1760,HC DEVICE VASCULAR CLOSURE T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204173,C1760,HC DEVICE VASCULAR CLOSURE T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204174,C1760,HC DEVICE VASCULAR CLOSURE T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204175,C1760,HC DEVICE VASCULAR CLOSURE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204176,C1760,HC DEVICE VASCULAR CLOSURE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204177,C1760,HC DEVICE VASCULAR CLOSURE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204181,C1766,HC INTRODUCER/SHEATH STEERABLE OTHR-PEEL-AWAY T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204196,C1766,HC INTRODUCER/SHEATH STEERABLE OTHR-PEEL-AWAY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204197,C1766,HC INTRODUCER/SHEATH STEERABLE OTHR-PEEL-AWAY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204198,C1769,HC GUIDEWIRE GLIDEWIRE T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204199,C1769,HC GUIDEWIRE GLIDEWIRE T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204200,C1769,HC GUIDEWIRE GLIDEWIRE T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204201,C1769,HC GUIDEWIRE GLIDEWIRE T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204202,C1769,HC GUIDEWIRE GLIDEWIRE T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204203,C1769,HC GUIDEWIRE GLIDEWIRE T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204204,C1769,HC GUIDEWIRE GLIDEWIRE T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204205,C1769,HC GUIDEWIRE GLIDEWIRE T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204206,C1769,HC GUIDEWIRE GLIDEWIRE T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204207,C1769,HC GUIDEWIRE GLIDEWIRE T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204208,C1769,HC GUIDEWIRE GLIDEWIRE T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204209,C1769,HC GUIDEWIRE GLIDEWIRE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204210,C1769,HC GUIDEWIRE GLIDEWIRE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204211,C1769,HC GUIDEWIRE GLIDEWIRE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204212,C1769,HC GUIDEWIRE GLIDEWIRE T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204213,C1769,HC GUIDEWIRE GLIDEWIRE T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204214,C1769,HC GUIDEWIRE GLIDEWIRE T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204215,C1769,HC GUIDEWIRE GLIDEWIRE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204216,C1769,HC GUIDEWIRE GLIDEWIRE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204217,C1769,HC GUIDEWIRE GLIDEWIRE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204218,C1769,HC GUIDEWIRE T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204219,C1769,HC GUIDEWIRE T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204220,C1769,HC GUIDEWIRE T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204221,C1769,HC GUIDEWIRE T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204222,C1769,HC GUIDEWIRE T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204223,C1769,HC GUIDEWIRE T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204224,C1769,HC GUIDEWIRE T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204225,C1769,HC GUIDEWIRE T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204226,C1769,HC GUIDEWIRE T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204227,C1769,HC GUIDEWIRE T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204228,C1769,HC GUIDEWIRE T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204229,C1769,HC GUIDEWIRE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204230,C1769,HC GUIDEWIRE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204231,C1769,HC GUIDEWIRE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204232,C1769,HC GUIDEWIRE T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204233,C1769,HC GUIDEWIRE T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204234,C1769,HC GUIDEWIRE T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204235,C1769,HC GUIDEWIRE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204236,C1769,HC GUIDEWIRE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204237,C1769,HC GUIDEWIRE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204238,C1769,HC GUIDEWIRE T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204239,C1769,HC GUIDEWIRE T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204240,C1769,HC GUIDEWIRE T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204241,C1769,HC GUIDEWIRE T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204242,C1769,HC GUIDEWIRE T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204243,C1769,HC GUIDEWIRE T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204244,C1769,HC GUIDEWIRE T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204245,C1769,HC GUIDEWIRE T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204251,C1773,HC DEVICE RETRIEVAL INSERTABLE T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204252,C1773,HC DEVICE RETRIEVAL INSERTABLE T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204253,C1773,HC DEVICE RETRIEVAL INSERTABLE T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204254,C1773,HC DEVICE RETRIEVAL INSERTABLE T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204255,C1773,HC DEVICE RETRIEVAL INSERTABLE T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204256,C1773,HC DEVICE RETRIEVAL INSERTABLE T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204257,C1773,HC DEVICE RETRIEVAL INSERTABLE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204258,C1773,HC DEVICE RETRIEVAL INSERTABLE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204259,C1773,HC DEVICE RETRIEVAL INSERTABLE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204260,C1773,HC DEVICE RETRIEVAL INSERTABLE T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204261,C1773,HC DEVICE RETRIEVAL INSERTABLE T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204262,C1773,HC DEVICE RETRIEVAL INSERTABLE T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204263,C1773,HC DEVICE RETRIEVAL INSERTABLE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204264,C1773,HC DEVICE RETRIEVAL INSERTABLE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204265,C1773,HC DEVICE RETRIEVAL INSERTABLE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204266,C1773,HC DEVICE RETRIEVAL INSERTABLE T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204267,C1773,HC DEVICE RETRIEVAL INSERTABLE T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204268,C1773,HC DEVICE RETRIEVAL INSERTABLE T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204269,C1773,HC DEVICE RETRIEVAL INSERTABLE T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204270,C1773,HC DEVICE RETRIEVAL INSERTABLE T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204271,C1773,HC DEVICE RETRIEVAL INSERTABLE T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204272,C1773,HC DEVICE RETRIEVAL INSERTABLE T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204273,C1773,HC DEVICE RETRIEVAL INSERTABLE T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204274,C1773,HC DEVICE RETRIEVAL INSERTABLE T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204275,C1773,HC DEVICE RETRIEVAL INSERTABLE T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204276,C1773,HC DEVICE RETRIEVAL INSERTABLE T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204277,C1773,HC DEVICE RETRIEVAL INSERTABLE T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204289,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204290,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204291,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204292,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204293,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204294,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204295,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204296,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204297,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204298,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204299,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204300,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204301,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204302,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204311,C1885,HC CATHETER ANGIOPLASTY LASER T9,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204312,C1885,HC CATHETER ANGIOPLASTY LASER T10,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204313,C1885,HC CATHETER ANGIOPLASTY LASER T11,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204314,C1885,HC CATHETER ANGIOPLASTY LASER T12,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204315,C1885,HC CATHETER ANGIOPLASTY LASER T13,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204316,C1885,HC CATHETER ANGIOPLASTY LASER T14,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204317,C1885,HC CATHETER ANGIOPLASTY LASER T15,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204318,C1885,HC CATHETER ANGIOPLASTY LASER T16,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204319,C1885,HC CATHETER ANGIOPLASTY LASER T17,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204320,C1885,HC CATHETER ANGIOPLASTY LASER T18,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204321,C1885,HC CATHETER ANGIOPLASTY LASER T19,272,1 ,"$10,800.00 ","$7,020.00 ","$2,840.40 ","$10,800.00 ", N/A ,"$4,968.00 ","$5,853.60 ", N/A ,"$3,024.00 ","$3,456.00 ", N/A ,"$3,974.40 ", N/A ,"$4,125.60 ","$4,320.00 ", N/A ,"$4,125.60 ", N/A ,"$5,680.80 ","$5,508.00 ", N/A , N/A ,"$7,560.00 ", N/A ,"$5,400.00 ", N/A ,"$8,100.00 ","$5,454.00 ","$4,914.00 ","$5,454.00 ", N/A ,"$5,454.00 ","$6,804.00 ","$6,804.00 ","$7,668.00 ","$10,800.00 ","$9,180.00 ", N/A ,"$8,640.00 ","$3,996.00 ","$8,640.00 ", N/A , N/A ,"$10,800.00 ","$5,853.60 ", N/A ,"$2,840.40 ", N/A , N/A , N/A , N/A , N/A ,"$9,180.00 ", N/A ,"$7,106.40 ","$3,024.00 ","$9,720.00 ","$7,776.00 ","$10,800.00 ","$6,804.00 ","$6,804.00 ","$6,804.00 ", N/A ,"$5,184.00 ","$9,720.00 " ST. JOHN'S HOSPITAL,27204323,C1885,HC CATHETER ANGIOPLASTY LASER T21,272,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,680.00 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,323.50 ","$5,908.50 ", N/A ,"$5,908.50 ","$7,371.00 ","$7,371.00 ","$8,307.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$7,698.60 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$7,371.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27204324,C1885,HC CATHETER ANGIOPLASTY LASER T22,272,1 ,"$12,600.00 ","$8,190.00 ","$3,313.80 ","$12,600.00 ", N/A ,"$5,796.00 ","$6,829.20 ", N/A ,"$3,528.00 ","$4,032.00 ", N/A ,"$4,636.80 ", N/A ,"$4,813.20 ","$5,040.00 ", N/A ,"$4,813.20 ", N/A ,"$6,627.60 ","$6,426.00 ", N/A , N/A ,"$8,820.00 ", N/A ,"$6,300.00 ", N/A ,"$9,450.00 ","$6,363.00 ","$5,733.00 ","$6,363.00 ", N/A ,"$6,363.00 ","$7,938.00 ","$7,938.00 ","$8,946.00 ","$12,600.00 ","$10,710.00 ", N/A ,"$10,080.00 ","$4,662.00 ","$10,080.00 ", N/A , N/A ,"$12,600.00 ","$6,829.20 ", N/A ,"$3,313.80 ", N/A , N/A , N/A , N/A , N/A ,"$10,710.00 ", N/A ,"$8,290.80 ","$3,528.00 ","$11,340.00 ","$9,072.00 ","$12,600.00 ","$7,938.00 ","$7,938.00 ","$7,938.00 ", N/A ,"$6,048.00 ","$11,340.00 " ST. JOHN'S HOSPITAL,27204325,C1887,HC CATHETER GUIDING T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204326,C1887,HC CATHETER GUIDING T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204327,C1887,HC CATHETER GUIDING T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204328,C1887,HC CATHETER GUIDING T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204329,C1887,HC CATHETER GUIDING T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204330,C1887,HC CATHETER GUIDING T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204331,C1887,HC CATHETER GUIDING T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204332,C1887,HC CATHETER GUIDING T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204333,C1887,HC CATHETER GUIDING T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204334,C1887,HC CATHETER GUIDING T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204335,C1887,HC CATHETER GUIDING T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204336,C1887,HC CATHETER GUIDING T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204337,C1887,HC CATHETER GUIDING T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204338,C1887,HC CATHETER GUIDING T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204339,C1887,HC CATHETER GUIDING T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204340,C1887,HC CATHETER GUIDING T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204341,C1887,HC CATHETER GUIDING T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204342,C1887,HC CATHETER GUIDING T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204343,C1887,HC CATHETER GUIDING T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204344,C1887,HC CATHETER GUIDING T20,272,1 ,"$3,366.00 ","$2,187.90 ",$885.26 ,"$3,366.00 ", N/A ,"$1,548.36 ","$1,824.37 ", N/A ,$942.48 ,"$1,077.12 ", N/A ,"$1,238.69 ", N/A ,"$1,285.81 ","$1,346.40 ", N/A ,"$1,285.81 ", N/A ,"$1,770.52 ","$1,716.66 ", N/A , N/A ,"$2,356.20 ", N/A ,"$1,683.00 ", N/A ,"$2,524.50 ","$1,699.83 ","$1,531.53 ","$1,699.83 ", N/A ,"$1,699.83 ","$2,120.58 ","$2,120.58 ","$2,389.86 ","$3,366.00 ","$2,861.10 ", N/A ,"$2,692.80 ","$1,245.42 ","$2,692.80 ", N/A , N/A ,"$3,366.00 ","$1,824.37 ", N/A ,$885.26 , N/A , N/A , N/A , N/A , N/A ,"$2,861.10 ", N/A ,"$2,214.83 ",$942.48 ,"$3,029.40 ","$2,423.52 ","$3,366.00 ","$2,120.58 ","$2,120.58 ","$2,120.58 ", N/A ,"$1,615.68 ","$3,029.40 " ST. JOHN'S HOSPITAL,27204345,C1887,HC CATHETER GUIDING T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204346,C1887,HC CATHETER GUIDING T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204347,C1887,HC CATHETER GUIDING T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204348,C1887,HC CATHETER GUIDING T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204349,C1887,HC CATHETER GUIDING T25,272,1 ,$630.00 ,$409.50 ,$165.69 ,$630.00 , N/A ,$289.80 ,$341.46 , N/A ,$176.40 ,$201.60 , N/A ,$231.84 , N/A ,$240.66 ,$252.00 , N/A ,$240.66 , N/A ,$331.38 ,$321.30 , N/A , N/A ,$441.00 , N/A ,$315.00 , N/A ,$472.50 ,$318.15 ,$286.65 ,$318.15 , N/A ,$318.15 ,$396.90 ,$396.90 ,$447.30 ,$630.00 ,$535.50 , N/A ,$504.00 ,$233.10 ,$504.00 , N/A , N/A ,$630.00 ,$341.46 , N/A ,$165.69 , N/A , N/A , N/A , N/A , N/A ,$535.50 , N/A ,$414.54 ,$176.40 ,$567.00 ,$453.60 ,$630.00 ,$396.90 ,$396.90 ,$396.90 , N/A ,$302.40 ,$567.00 ST. JOHN'S HOSPITAL,27204350,C1887,HC CATHETER GUIDING T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204351,C1887,HC CATHETER GUIDING T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204352,C1887,HC CATHETER GUIDING T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204353,C1887,HC CATHETER GUIDING T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204354,C1887,HC CATHETER GUIDING T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204355,C1887,HC CATHETER GUIDING T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204356,C1887,HC CATHETER GUIDING T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204357,C1887,HC CATHETER GUIDING T33,272,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,440.00 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$5,050.50 ","$5,605.50 ", N/A ,"$5,605.50 ","$6,993.00 ","$6,993.00 ","$7,881.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$7,303.80 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$6,993.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27204358,C1887,HC CATHETER GUIDING T34,272,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,680.00 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,323.50 ","$5,908.50 ", N/A ,"$5,908.50 ","$7,371.00 ","$7,371.00 ","$8,307.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$7,698.60 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$7,371.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27204359,C1887,HC CATHETER GUIDING T35,272,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,920.00 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,596.50 ","$6,211.50 ", N/A ,"$6,211.50 ","$7,749.00 ","$7,749.00 ","$8,733.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$8,093.40 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$7,749.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27204364,C1888,HC CATHETER ABLATION NON-CARDIAC ENDO T5,278,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A , N/A ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 , N/A , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$66.90 ,$75.75 , N/A ,$75.75 ,$75.00 ,$75.00 ,$75.00 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A , N/A ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$75.00 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204365,C1888,HC CATHETER ABLATION NON-CARDIAC ENDO T6,278,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A , N/A ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 , N/A , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$100.35 ,$113.63 , N/A ,$113.63 ,$112.50 ,$112.50 ,$112.50 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A , N/A ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$112.50 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204370,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204371,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204372,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204373,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204374,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204375,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204376,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204377,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204378,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204379,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204380,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204381,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204382,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204383,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204384,C1892,HC INTRODUCER/SHEATH FIXED PEEL-AWAY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204392,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204393,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204394,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204395,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204396,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204397,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204398,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204399,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204400,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204401,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204402,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204403,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204404,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204405,C1893,HC INTRODUCER/SHEATH FIXED NON PEEL-AWAY T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204406,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204407,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204408,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204409,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204410,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204411,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204412,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204413,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204414,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204415,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204416,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204417,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204418,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204419,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204420,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204421,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204422,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204423,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204424,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204434,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204435,C1894,HC INTRODUCER/SHEATH NON-GUIDING NON-LASER T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204437,C2628,HC CATHETER OCCLUSION T3,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204438,C2628,HC CATHETER OCCLUSION T4,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204439,C2628,HC CATHETER OCCLUSION T5,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204442,C2628,HC CATHETER OCCLUSION T8,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204443,C2628,HC CATHETER OCCLUSION T9,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204444,C2628,HC CATHETER OCCLUSION T10,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204445,C2628,HC CATHETER OCCLUSION T11,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204446,C2628,HC CATHETER OCCLUSION T12,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204447,N/A,HC SUTURE T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204448,N/A,HC SUTURE T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204449,N/A,HC SUTURE T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204450,N/A,HC SUTURE T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204451,N/A,HC SURGICAL STERILE SUPPLY T1,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204452,N/A,HC SURGICAL STERILE SUPPLY T2,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204453,N/A,HC SURGICAL STERILE SUPPLY T3,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204454,N/A,HC SURGICAL STERILE SUPPLY T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204455,N/A,HC SURGICAL STERILE SUPPLY T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204456,N/A,HC SURGICAL STERILE SUPPLY T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204457,N/A,HC SURGICAL STERILE SUPPLY T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204458,N/A,HC SURGICAL STERILE SUPPLY T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204459,N/A,HC SURGICAL STERILE SUPPLY T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204460,N/A,HC SURGICAL STERILE SUPPLY T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204461,N/A,HC SURGICAL STERILE SUPPLY T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204462,N/A,HC SURGICAL STERILE SUPPLY T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204463,N/A,HC SURGICAL STERILE SUPPLY T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204464,N/A,HC SURGICAL STERILE SUPPLY T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204465,N/A,HC SURGICAL STERILE SUPPLY T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204466,N/A,HC SURGICAL STERILE SUPPLY T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204467,N/A,HC SURGICAL STERILE SUPPLY T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204468,N/A,HC SURGICAL STERILE SUPPLY T18,272,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 ,$840.00 , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$955.50 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,323.00 ","$1,323.00 ","$1,491.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A ,"$1,381.80 ",$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,323.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27204469,N/A,HC SURGICAL STERILE SUPPLY T19,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204470,N/A,HC SURGICAL STERILE SUPPLY T20,272,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ","$1,320.00 ", N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,501.50 ","$1,666.50 ", N/A ,"$1,666.50 ","$2,079.00 ","$2,079.00 ","$2,343.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A ,"$2,171.40 ",$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$2,079.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27204471,N/A,HC SURGICAL STERILE SUPPLY T21,272,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ","$1,560.00 ", N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,774.50 ","$1,969.50 ", N/A ,"$1,969.50 ","$2,457.00 ","$2,457.00 ","$2,769.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A ,"$2,566.20 ","$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$2,457.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27204472,N/A,HC SURGICAL STERILE SUPPLY T22,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204473,N/A,HC SURGICAL STERILE SUPPLY T23,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204474,N/A,HC SURGICAL STERILE SUPPLY T24,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204475,N/A,HC SURGICAL STERILE SUPPLY T25,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204476,N/A,HC SURGICAL STERILE SUPPLY T26,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204477,N/A,HC SURGICAL STERILE SUPPLY T27,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204478,N/A,HC SURGICAL STERILE SUPPLY T28,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204479,N/A,HC SURGICAL STERILE SUPPLY T29,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204480,N/A,HC SURGICAL STERILE SUPPLY T30,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204481,N/A,HC SURGICAL STERILE SUPPLY T31,272,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,960.00 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,504.50 ","$4,999.50 ", N/A ,"$4,999.50 ","$6,237.00 ","$6,237.00 ","$7,029.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$6,514.20 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$6,237.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27204482,N/A,HC SURGICAL STERILE SUPPLY T32,272,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,200.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,777.50 ","$5,302.50 ", N/A ,"$5,302.50 ","$6,615.00 ","$6,615.00 ","$7,455.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$6,909.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$6,615.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27204483,N/A,HC SURGICAL STERILE SUPPLY T33,272,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,440.00 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$5,050.50 ","$5,605.50 ", N/A ,"$5,605.50 ","$6,993.00 ","$6,993.00 ","$7,881.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$7,303.80 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$6,993.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27204484,N/A,HC SURGICAL STERILE SUPPLY T34,272,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,680.00 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,323.50 ","$5,908.50 ", N/A ,"$5,908.50 ","$7,371.00 ","$7,371.00 ","$8,307.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$7,698.60 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$7,371.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27204485,N/A,HC SURGICAL STERILE SUPPLY T35,272,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,920.00 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,596.50 ","$6,211.50 ", N/A ,"$6,211.50 ","$7,749.00 ","$7,749.00 ","$8,733.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$8,093.40 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$7,749.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27204486,N/A,HC SURGICAL STERILE SUPPLY T36,272,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ","$5,160.00 ", N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,869.50 ","$6,514.50 ", N/A ,"$6,514.50 ","$8,127.00 ","$8,127.00 ","$9,159.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A ,"$8,488.20 ","$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$8,127.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27204487,N/A,HC SURGICAL STERILE SUPPLY T37,272,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ","$5,400.00 ", N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,142.50 ","$6,817.50 ", N/A ,"$6,817.50 ","$8,505.00 ","$8,505.00 ","$9,585.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A ,"$8,883.00 ","$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$8,505.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27204488,N/A,HC SURGICAL STERILE SUPPLY T38,272,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ","$5,640.00 ", N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,415.50 ","$7,120.50 ", N/A ,"$7,120.50 ","$8,883.00 ","$8,883.00 ","$10,011.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A ,"$9,277.80 ","$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$8,883.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27204489,N/A,HC SURGICAL STERILE SUPPLY T39,272,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ","$5,880.00 ", N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,688.50 ","$7,423.50 ", N/A ,"$7,423.50 ","$9,261.00 ","$9,261.00 ","$10,437.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A ,"$9,672.60 ","$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$9,261.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27204490,N/A,HC SURGICAL STERILE SUPPLY T40,272,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ","$6,060.00 ", N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,893.25 ","$7,650.75 ", N/A ,"$7,650.75 ","$9,544.50 ","$9,544.50 ","$10,756.50 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A ,"$9,968.70 ","$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$9,544.50 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27204491,N/A,HC SURGICAL STERILE SUPPLY T41,272,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ","$6,240.00 ", N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$7,098.00 ","$7,878.00 ", N/A ,"$7,878.00 ","$9,828.00 ","$9,828.00 ","$11,076.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A ,"$10,264.80 ","$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$9,828.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27204492,N/A,HC SURGICAL STERILE SUPPLY T42,272,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ","$6,420.00 ", N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,302.75 ","$8,105.25 ", N/A ,"$8,105.25 ","$10,111.50 ","$10,111.50 ","$11,395.50 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A ,"$10,560.90 ","$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$10,111.50 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27204493,N/A,HC SURGICAL STERILE SUPPLY T43,272,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ","$6,600.00 ", N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,507.50 ","$8,332.50 ", N/A ,"$8,332.50 ","$10,395.00 ","$10,395.00 ","$11,715.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A ,"$10,857.00 ","$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$10,395.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27204494,N/A,HC SURGICAL STERILE SUPPLY T44,272,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ","$6,780.00 ", N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,712.25 ","$8,559.75 ", N/A ,"$8,559.75 ","$10,678.50 ","$10,678.50 ","$12,034.50 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A ,"$11,153.10 ","$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$10,678.50 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27204495,N/A,HC SURGICAL STERILE SUPPLY T45,272,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ","$6,960.00 ", N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,917.00 ","$8,787.00 ", N/A ,"$8,787.00 ","$10,962.00 ","$10,962.00 ","$12,354.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A ,"$11,449.20 ","$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$10,962.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27204496,N/A,HC SURGICAL STERILE SUPPLY T46,272,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ","$7,140.00 ", N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$8,121.75 ","$9,014.25 ", N/A ,"$9,014.25 ","$11,245.50 ","$11,245.50 ","$12,673.50 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A ,"$11,745.30 ","$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$11,245.50 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27204497,N/A,HC SURGICAL STERILE SUPPLY T47,272,1 ,"$18,870.00 ","$12,265.50 ","$4,962.81 ","$18,870.00 ", N/A ,"$8,680.20 ","$10,227.54 ", N/A ,"$5,283.60 ","$6,038.40 ", N/A ,"$6,944.16 ", N/A ,"$7,208.34 ","$7,548.00 ", N/A ,"$7,208.34 ", N/A ,"$9,925.62 ","$9,623.70 ", N/A , N/A ,"$13,209.00 ", N/A ,"$9,435.00 ", N/A ,"$14,152.50 ","$9,529.35 ","$8,585.85 ","$9,529.35 ", N/A ,"$9,529.35 ","$11,888.10 ","$11,888.10 ","$13,397.70 ","$18,870.00 ","$16,039.50 ", N/A ,"$15,096.00 ","$6,981.90 ","$15,096.00 ", N/A , N/A ,"$18,870.00 ","$10,227.54 ", N/A ,"$4,962.81 ", N/A , N/A , N/A , N/A , N/A ,"$16,039.50 ", N/A ,"$12,416.46 ","$5,283.60 ","$16,983.00 ","$13,586.40 ","$18,870.00 ","$11,888.10 ","$11,888.10 ","$11,888.10 ", N/A ,"$9,057.60 ","$16,983.00 " ST. JOHN'S HOSPITAL,27204498,N/A,HC SURGICAL STERILE SUPPLY T48,272,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ","$7,900.00 ", N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,986.25 ","$9,973.75 ", N/A ,"$9,973.75 ","$12,442.50 ","$12,442.50 ","$14,022.50 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A ,"$12,995.50 ","$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$12,442.50 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27204499,N/A,HC SURGICAL STERILE SUPPLY T49,272,1 ,"$21,000.00 ","$13,650.00 ","$5,523.00 ","$21,000.00 ", N/A ,"$9,660.00 ","$11,382.00 ", N/A ,"$5,880.00 ","$6,720.00 ", N/A ,"$7,728.00 ", N/A ,"$8,022.00 ","$8,400.00 ", N/A ,"$8,022.00 ", N/A ,"$11,046.00 ","$10,710.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$10,500.00 ", N/A ,"$15,750.00 ","$10,605.00 ","$9,555.00 ","$10,605.00 ", N/A ,"$10,605.00 ","$13,230.00 ","$13,230.00 ","$14,910.00 ","$21,000.00 ","$17,850.00 ", N/A ,"$16,800.00 ","$7,770.00 ","$16,800.00 ", N/A , N/A ,"$21,000.00 ","$11,382.00 ", N/A ,"$5,523.00 ", N/A , N/A , N/A , N/A , N/A ,"$17,850.00 ", N/A ,"$13,818.00 ","$5,880.00 ","$18,900.00 ","$15,120.00 ","$21,000.00 ","$13,230.00 ","$13,230.00 ","$13,230.00 ", N/A ,"$10,080.00 ","$18,900.00 " ST. JOHN'S HOSPITAL,27204500,N/A,HC SURGICAL STERILE SUPPLY T50,272,1 ,"$22,250.00 ","$14,462.50 ","$5,851.75 ","$22,250.00 ", N/A ,"$10,235.00 ","$12,059.50 ", N/A ,"$6,230.00 ","$7,120.00 ", N/A ,"$8,188.00 ", N/A ,"$8,499.50 ","$8,900.00 ", N/A ,"$8,499.50 ", N/A ,"$11,703.50 ","$11,347.50 ", N/A , N/A ,"$15,575.00 ", N/A ,"$11,125.00 ", N/A ,"$16,687.50 ","$11,236.25 ","$10,123.75 ","$11,236.25 ", N/A ,"$11,236.25 ","$14,017.50 ","$14,017.50 ","$15,797.50 ","$22,250.00 ","$18,912.50 ", N/A ,"$17,800.00 ","$8,232.50 ","$17,800.00 ", N/A , N/A ,"$22,250.00 ","$12,059.50 ", N/A ,"$5,851.75 ", N/A , N/A , N/A , N/A , N/A ,"$18,912.50 ", N/A ,"$14,640.50 ","$6,230.00 ","$20,025.00 ","$16,020.00 ","$22,250.00 ","$14,017.50 ","$14,017.50 ","$14,017.50 ", N/A ,"$10,680.00 ","$20,025.00 " ST. JOHN'S HOSPITAL,27204501,N/A,HC SURGICAL STERILE SUPPLY T51,272,1 ,"$23,500.00 ","$15,275.00 ","$6,180.50 ","$23,500.00 ", N/A ,"$10,810.00 ","$12,737.00 ", N/A ,"$6,580.00 ","$7,520.00 ", N/A ,"$8,648.00 ", N/A ,"$8,977.00 ","$9,400.00 ", N/A ,"$8,977.00 ", N/A ,"$12,361.00 ","$11,985.00 ", N/A , N/A ,"$16,450.00 ", N/A ,"$11,750.00 ", N/A ,"$17,625.00 ","$11,867.50 ","$10,692.50 ","$11,867.50 ", N/A ,"$11,867.50 ","$14,805.00 ","$14,805.00 ","$16,685.00 ","$23,500.00 ","$19,975.00 ", N/A ,"$18,800.00 ","$8,695.00 ","$18,800.00 ", N/A , N/A ,"$23,500.00 ","$12,737.00 ", N/A ,"$6,180.50 ", N/A , N/A , N/A , N/A , N/A ,"$19,975.00 ", N/A ,"$15,463.00 ","$6,580.00 ","$21,150.00 ","$16,920.00 ","$23,500.00 ","$14,805.00 ","$14,805.00 ","$14,805.00 ", N/A ,"$11,280.00 ","$21,150.00 " ST. JOHN'S HOSPITAL,27204502,N/A,HC SURGICAL STERILE SUPPLY T52,272,1 ,"$24,750.00 ","$16,087.50 ","$6,509.25 ","$24,750.00 ", N/A ,"$11,385.00 ","$13,414.50 ", N/A ,"$6,930.00 ","$7,920.00 ", N/A ,"$9,108.00 ", N/A ,"$9,454.50 ","$9,900.00 ", N/A ,"$9,454.50 ", N/A ,"$13,018.50 ","$12,622.50 ", N/A , N/A ,"$17,325.00 ", N/A ,"$12,375.00 ", N/A ,"$18,562.50 ","$12,498.75 ","$11,261.25 ","$12,498.75 ", N/A ,"$12,498.75 ","$15,592.50 ","$15,592.50 ","$17,572.50 ","$24,750.00 ","$21,037.50 ", N/A ,"$19,800.00 ","$9,157.50 ","$19,800.00 ", N/A , N/A ,"$24,750.00 ","$13,414.50 ", N/A ,"$6,509.25 ", N/A , N/A , N/A , N/A , N/A ,"$21,037.50 ", N/A ,"$16,285.50 ","$6,930.00 ","$22,275.00 ","$17,820.00 ","$24,750.00 ","$15,592.50 ","$15,592.50 ","$15,592.50 ", N/A ,"$11,880.00 ","$22,275.00 " ST. JOHN'S HOSPITAL,27204503,N/A,HC SURGICAL STERILE SUPPLY T53,272,1 ,"$26,000.00 ","$16,900.00 ","$6,838.00 ","$26,000.00 ", N/A ,"$11,960.00 ","$14,092.00 ", N/A ,"$7,280.00 ","$8,320.00 ", N/A ,"$9,568.00 ", N/A ,"$9,932.00 ","$10,400.00 ", N/A ,"$9,932.00 ", N/A ,"$13,676.00 ","$13,260.00 ", N/A , N/A ,"$18,200.00 ", N/A ,"$13,000.00 ", N/A ,"$19,500.00 ","$13,130.00 ","$11,830.00 ","$13,130.00 ", N/A ,"$13,130.00 ","$16,380.00 ","$16,380.00 ","$18,460.00 ","$26,000.00 ","$22,100.00 ", N/A ,"$20,800.00 ","$9,620.00 ","$20,800.00 ", N/A , N/A ,"$26,000.00 ","$14,092.00 ", N/A ,"$6,838.00 ", N/A , N/A , N/A , N/A , N/A ,"$22,100.00 ", N/A ,"$17,108.00 ","$7,280.00 ","$23,400.00 ","$18,720.00 ","$26,000.00 ","$16,380.00 ","$16,380.00 ","$16,380.00 ", N/A ,"$12,480.00 ","$23,400.00 " ST. JOHN'S HOSPITAL,27204504,N/A,HC SURGICAL STERILE SUPPLY T54,272,1 ,"$27,250.00 ","$17,712.50 ","$7,166.75 ","$27,250.00 ", N/A ,"$12,535.00 ","$14,769.50 ", N/A ,"$7,630.00 ","$8,720.00 ", N/A ,"$10,028.00 ", N/A ,"$10,409.50 ","$10,900.00 ", N/A ,"$10,409.50 ", N/A ,"$14,333.50 ","$13,897.50 ", N/A , N/A ,"$19,075.00 ", N/A ,"$13,625.00 ", N/A ,"$20,437.50 ","$13,761.25 ","$12,398.75 ","$13,761.25 ", N/A ,"$13,761.25 ","$17,167.50 ","$17,167.50 ","$19,347.50 ","$27,250.00 ","$23,162.50 ", N/A ,"$21,800.00 ","$10,082.50 ","$21,800.00 ", N/A , N/A ,"$27,250.00 ","$14,769.50 ", N/A ,"$7,166.75 ", N/A , N/A , N/A , N/A , N/A ,"$23,162.50 ", N/A ,"$17,930.50 ","$7,630.00 ","$24,525.00 ","$19,620.00 ","$27,250.00 ","$17,167.50 ","$17,167.50 ","$17,167.50 ", N/A ,"$13,080.00 ","$24,525.00 " ST. JOHN'S HOSPITAL,27204506,N/A,HC SURGICAL STERILE SUPPLY T55,272,1 ,"$28,500.00 ","$18,525.00 ","$7,495.50 ","$28,500.00 ", N/A ,"$13,110.00 ","$15,447.00 ", N/A ,"$7,980.00 ","$9,120.00 ", N/A ,"$10,488.00 ", N/A ,"$10,887.00 ","$11,400.00 ", N/A ,"$10,887.00 ", N/A ,"$14,991.00 ","$14,535.00 ", N/A , N/A ,"$19,950.00 ", N/A ,"$14,250.00 ", N/A ,"$21,375.00 ","$14,392.50 ","$12,967.50 ","$14,392.50 ", N/A ,"$14,392.50 ","$17,955.00 ","$17,955.00 ","$20,235.00 ","$28,500.00 ","$24,225.00 ", N/A ,"$22,800.00 ","$10,545.00 ","$22,800.00 ", N/A , N/A ,"$28,500.00 ","$15,447.00 ", N/A ,"$7,495.50 ", N/A , N/A , N/A , N/A , N/A ,"$24,225.00 ", N/A ,"$18,753.00 ","$7,980.00 ","$25,650.00 ","$20,520.00 ","$28,500.00 ","$17,955.00 ","$17,955.00 ","$17,955.00 ", N/A ,"$13,680.00 ","$25,650.00 " ST. JOHN'S HOSPITAL,27204507,N/A,HC SURGICAL STERILE SUPPLY T56,272,1 ,"$29,750.00 ","$19,337.50 ","$7,824.25 ","$29,750.00 ", N/A ,"$13,685.00 ","$16,124.50 ", N/A ,"$8,330.00 ","$9,520.00 ", N/A ,"$10,948.00 ", N/A ,"$11,364.50 ","$11,900.00 ", N/A ,"$11,364.50 ", N/A ,"$15,648.50 ","$15,172.50 ", N/A , N/A ,"$20,825.00 ", N/A ,"$14,875.00 ", N/A ,"$22,312.50 ","$15,023.75 ","$13,536.25 ","$15,023.75 ", N/A ,"$15,023.75 ","$18,742.50 ","$18,742.50 ","$21,122.50 ","$29,750.00 ","$25,287.50 ", N/A ,"$23,800.00 ","$11,007.50 ","$23,800.00 ", N/A , N/A ,"$29,750.00 ","$16,124.50 ", N/A ,"$7,824.25 ", N/A , N/A , N/A , N/A , N/A ,"$25,287.50 ", N/A ,"$19,575.50 ","$8,330.00 ","$26,775.00 ","$21,420.00 ","$29,750.00 ","$18,742.50 ","$18,742.50 ","$18,742.50 ", N/A ,"$14,280.00 ","$26,775.00 " ST. JOHN'S HOSPITAL,27204508,N/A,HC SURGICAL STERILE SUPPLY T57,272,1 ,"$31,000.00 ","$20,150.00 ","$8,153.00 ","$31,000.00 ", N/A ,"$14,260.00 ","$16,802.00 ", N/A ,"$8,680.00 ","$9,920.00 ", N/A ,"$11,408.00 ", N/A ,"$11,842.00 ","$12,400.00 ", N/A ,"$11,842.00 ", N/A ,"$16,306.00 ","$15,810.00 ", N/A , N/A ,"$21,700.00 ", N/A ,"$15,500.00 ", N/A ,"$23,250.00 ","$15,655.00 ","$14,105.00 ","$15,655.00 ", N/A ,"$15,655.00 ","$19,530.00 ","$19,530.00 ","$22,010.00 ","$31,000.00 ","$26,350.00 ", N/A ,"$24,800.00 ","$11,470.00 ","$24,800.00 ", N/A , N/A ,"$31,000.00 ","$16,802.00 ", N/A ,"$8,153.00 ", N/A , N/A , N/A , N/A , N/A ,"$26,350.00 ", N/A ,"$20,398.00 ","$8,680.00 ","$27,900.00 ","$22,320.00 ","$31,000.00 ","$19,530.00 ","$19,530.00 ","$19,530.00 ", N/A ,"$14,880.00 ","$27,900.00 " ST. JOHN'S HOSPITAL,27204509,N/A,HC SURGICAL STERILE SUPPLY T58,272,1 ,"$32,250.00 ","$20,962.50 ","$8,481.75 ","$32,250.00 ", N/A ,"$14,835.00 ","$17,479.50 ", N/A ,"$9,030.00 ","$10,320.00 ", N/A ,"$11,868.00 ", N/A ,"$12,319.50 ","$12,900.00 ", N/A ,"$12,319.50 ", N/A ,"$16,963.50 ","$16,447.50 ", N/A , N/A ,"$22,575.00 ", N/A ,"$16,125.00 ", N/A ,"$24,187.50 ","$16,286.25 ","$14,673.75 ","$16,286.25 ", N/A ,"$16,286.25 ","$20,317.50 ","$20,317.50 ","$22,897.50 ","$32,250.00 ","$27,412.50 ", N/A ,"$25,800.00 ","$11,932.50 ","$25,800.00 ", N/A , N/A ,"$32,250.00 ","$17,479.50 ", N/A ,"$8,481.75 ", N/A , N/A , N/A , N/A , N/A ,"$27,412.50 ", N/A ,"$21,220.50 ","$9,030.00 ","$29,025.00 ","$23,220.00 ","$32,250.00 ","$20,317.50 ","$20,317.50 ","$20,317.50 ", N/A ,"$15,480.00 ","$29,025.00 " ST. JOHN'S HOSPITAL,27204510,N/A,HC SURGICAL STERILE SUPPLY T59,272,1 ,"$33,500.00 ","$21,775.00 ","$8,810.50 ","$33,500.00 ", N/A ,"$15,410.00 ","$18,157.00 ", N/A ,"$9,380.00 ","$10,720.00 ", N/A ,"$12,328.00 ", N/A ,"$12,797.00 ","$13,400.00 ", N/A ,"$12,797.00 ", N/A ,"$17,621.00 ","$17,085.00 ", N/A , N/A ,"$23,450.00 ", N/A ,"$16,750.00 ", N/A ,"$25,125.00 ","$16,917.50 ","$15,242.50 ","$16,917.50 ", N/A ,"$16,917.50 ","$21,105.00 ","$21,105.00 ","$23,785.00 ","$33,500.00 ","$28,475.00 ", N/A ,"$26,800.00 ","$12,395.00 ","$26,800.00 ", N/A , N/A ,"$33,500.00 ","$18,157.00 ", N/A ,"$8,810.50 ", N/A , N/A , N/A , N/A , N/A ,"$28,475.00 ", N/A ,"$22,043.00 ","$9,380.00 ","$30,150.00 ","$24,120.00 ","$33,500.00 ","$21,105.00 ","$21,105.00 ","$21,105.00 ", N/A ,"$16,080.00 ","$30,150.00 " ST. JOHN'S HOSPITAL,27204511,N/A,HC SURGICAL STERILE SUPPLY T60,272,1 ,"$34,750.00 ","$22,587.50 ","$9,139.25 ","$34,750.00 ", N/A ,"$15,985.00 ","$18,834.50 ", N/A ,"$9,730.00 ","$11,120.00 ", N/A ,"$12,788.00 ", N/A ,"$13,274.50 ","$13,900.00 ", N/A ,"$13,274.50 ", N/A ,"$18,278.50 ","$17,722.50 ", N/A , N/A ,"$24,325.00 ", N/A ,"$17,375.00 ", N/A ,"$26,062.50 ","$17,548.75 ","$15,811.25 ","$17,548.75 ", N/A ,"$17,548.75 ","$21,892.50 ","$21,892.50 ","$24,672.50 ","$34,750.00 ","$29,537.50 ", N/A ,"$27,800.00 ","$12,857.50 ","$27,800.00 ", N/A , N/A ,"$34,750.00 ","$18,834.50 ", N/A ,"$9,139.25 ", N/A , N/A , N/A , N/A , N/A ,"$29,537.50 ", N/A ,"$22,865.50 ","$9,730.00 ","$31,275.00 ","$25,020.00 ","$34,750.00 ","$21,892.50 ","$21,892.50 ","$21,892.50 ", N/A ,"$16,680.00 ","$31,275.00 " ST. JOHN'S HOSPITAL,27204513,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T14,272,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ","$1,080.00 ", N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,228.50 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,701.00 ","$1,701.00 ","$1,917.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A ,"$1,776.60 ",$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,701.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27204516,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T17,272,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ","$1,800.00 ", N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,047.50 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,835.00 ","$2,835.00 ","$3,195.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A ,"$2,961.00 ","$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,835.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27204517,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T18,272,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ","$2,040.00 ", N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,320.50 ","$2,575.50 ", N/A ,"$2,575.50 ","$3,213.00 ","$3,213.00 ","$3,621.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A ,"$3,355.80 ","$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$3,213.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27204518,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T19,272,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,280.00 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,593.50 ","$2,878.50 ", N/A ,"$2,878.50 ","$3,591.00 ","$3,591.00 ","$4,047.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$3,750.60 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$3,591.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27204519,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T20,272,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,520.00 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,866.50 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,969.00 ","$3,969.00 ","$4,473.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$4,145.40 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,969.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27204520,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T21,272,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,760.00 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,139.50 ","$3,484.50 ", N/A ,"$3,484.50 ","$4,347.00 ","$4,347.00 ","$4,899.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$4,540.20 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$4,347.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27204521,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T22,272,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$3,000.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,412.50 ","$3,787.50 ", N/A ,"$3,787.50 ","$4,725.00 ","$4,725.00 ","$5,325.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$4,935.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$4,725.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27204522,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T23,272,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,240.00 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,685.50 ","$4,090.50 ", N/A ,"$4,090.50 ","$5,103.00 ","$5,103.00 ","$5,751.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$5,329.80 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$5,103.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27204523,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T24,272,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,480.00 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,958.50 ","$4,393.50 ", N/A ,"$4,393.50 ","$5,481.00 ","$5,481.00 ","$6,177.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$5,724.60 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$5,481.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27204524,C1751,HC CATHETER INFUSION PICC/CV/MIDLINE T25,272,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,720.00 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,231.50 ","$4,696.50 ", N/A ,"$4,696.50 ","$5,859.00 ","$5,859.00 ","$6,603.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$6,119.40 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$5,859.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27204525,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T1,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204529,C1887,HC SYSTEM THROMBOSIS CATHETER RETRIEVAL,272,1 ,"$18,238.00 ","$11,854.70 ","$4,796.59 ","$18,238.00 ", N/A ,"$8,389.48 ","$9,885.00 ", N/A ,"$5,106.64 ","$5,836.16 ", N/A ,"$6,711.58 ", N/A ,"$6,966.92 ","$7,295.20 ", N/A ,"$6,966.92 ", N/A ,"$9,593.19 ","$9,301.38 ", N/A , N/A ,"$12,766.60 ", N/A ,"$9,119.00 ", N/A ,"$13,678.50 ","$9,210.19 ","$8,298.29 ","$9,210.19 ", N/A ,"$9,210.19 ","$11,489.94 ","$11,489.94 ","$12,948.98 ","$18,238.00 ","$15,502.30 ", N/A ,"$14,590.40 ","$6,748.06 ","$14,590.40 ", N/A , N/A ,"$18,238.00 ","$9,885.00 ", N/A ,"$4,796.59 ", N/A , N/A , N/A , N/A , N/A ,"$15,502.30 ", N/A ,"$12,000.60 ","$5,106.64 ","$16,414.20 ","$13,131.36 ","$18,238.00 ","$11,489.94 ","$11,489.94 ","$11,489.94 ", N/A ,"$8,754.24 ","$16,414.20 " ST. JOHN'S HOSPITAL,27204546,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T2,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204547,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T3,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204548,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T4,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204549,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T5,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204550,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T6,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204551,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T7,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204552,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T8,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204553,C1752,HC CATHETER HEMODIALYSIS/PERITONEAL SHORT TERM T9,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204560,C1729,HC CATHETER DRAINAGE T4,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204561,C1729,HC CATHETER DRAINAGE T5,272,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A ,$69.00 ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 ,$60.00 , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$94.50 ,$94.50 ,$106.50 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$94.50 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27204562,C1729,HC CATHETER DRAINAGE T6,272,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A ,$103.50 ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 ,$90.00 , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$102.38 ,$113.63 , N/A ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27204563,C1729,HC CATHETER DRAINAGE T7,272,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$138.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$136.50 ,$151.50 , N/A ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27204564,C1729,HC CATHETER DRAINAGE T8,272,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A ,$172.50 ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 ,$150.00 , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27204565,C1729,HC CATHETER DRAINAGE T9,272,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A ,$207.00 ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 ,$180.00 , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$204.75 ,$227.25 , N/A ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27204566,C1729,HC CATHETER DRAINAGE T10,272,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A ,$241.50 ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 ,$210.00 , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$238.88 ,$265.13 , N/A ,$265.13 ,$330.75 ,$330.75 ,$372.75 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$330.75 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27204567,C1729,HC CATHETER DRAINAGE T11,272,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A ,$276.00 ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 ,$240.00 , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$273.00 ,$303.00 , N/A ,$303.00 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A ,$394.80 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27204568,C1729,HC CATHETER DRAINAGE T12,272,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A ,$345.00 ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 ,$300.00 , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$341.25 ,$378.75 , N/A ,$378.75 ,$472.50 ,$472.50 ,$532.50 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$472.50 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27204569,C1729,HC CATHETER DRAINAGE T13,272,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27204570,C1729,HC CATHETER DRAINAGE T14,272,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 ,$420.00 , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$477.75 ,$530.25 , N/A ,$530.25 ,$661.50 ,$661.50 ,$745.50 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A ,$690.90 ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$661.50 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27204571,C1729,HC CATHETER DRAINAGE T15,272,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 ,$480.00 , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$546.00 ,$606.00 , N/A ,$606.00 ,$756.00 ,$756.00 ,$852.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$756.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27204572,C1729,HC CATHETER DRAINAGE T16,272,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 ,$540.00 , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$614.25 ,$681.75 , N/A ,$681.75 ,$850.50 ,$850.50 ,$958.50 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A ,$888.30 ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$850.50 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27204573,C1729,HC CATHETER DRAINAGE T17,272,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 ,$600.00 , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$682.50 ,$757.50 , N/A ,$757.50 ,$945.00 ,$945.00 ,"$1,065.00 ","$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A ,$987.00 ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$945.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27204576,N/A,HC CANNULA RADIOFREQUENCY,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204579,N/A,HC DIALYZER,272,1 ,$80.00 ,$52.00 ,$21.04 ,$80.00 , N/A ,$36.80 ,$43.36 , N/A ,$22.40 ,$25.60 , N/A ,$29.44 , N/A ,$30.56 ,$32.00 , N/A ,$30.56 , N/A ,$42.08 ,$40.80 , N/A , N/A ,$56.00 , N/A ,$40.00 , N/A ,$60.00 ,$40.40 ,$36.40 ,$40.40 , N/A ,$40.40 ,$50.40 ,$50.40 ,$56.80 ,$80.00 ,$68.00 , N/A ,$64.00 ,$29.60 ,$64.00 , N/A , N/A ,$80.00 ,$43.36 , N/A ,$21.04 , N/A , N/A , N/A , N/A , N/A ,$68.00 , N/A ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$50.40 ,$50.40 ,$50.40 , N/A ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,27204582,N/A,HC FILTER IV,272,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A ,$4.60 ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 ,$4.00 , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.55 ,$5.05 , N/A ,$5.05 ,$6.30 ,$6.30 ,$7.10 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$6.30 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27204594,N/A,HC SPONGE GELFOAM,272,1 ,$355.00 ,$230.75 ,$93.37 ,$355.00 , N/A ,$163.30 ,$192.41 , N/A ,$99.40 ,$113.60 , N/A ,$130.64 , N/A ,$135.61 ,$142.00 , N/A ,$135.61 , N/A ,$186.73 ,$181.05 , N/A , N/A ,$248.50 , N/A ,$177.50 , N/A ,$266.25 ,$179.28 ,$161.53 ,$179.28 , N/A ,$179.28 ,$223.65 ,$223.65 ,$252.05 ,$355.00 ,$301.75 , N/A ,$284.00 ,$131.35 ,$284.00 , N/A , N/A ,$355.00 ,$192.41 , N/A ,$93.37 , N/A , N/A , N/A , N/A , N/A ,$301.75 , N/A ,$233.59 ,$99.40 ,$319.50 ,$255.60 ,$355.00 ,$223.65 ,$223.65 ,$223.65 , N/A ,$170.40 ,$319.50 ST. JOHN'S HOSPITAL,27204600,N/A,HC SUTURE VICRYL,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204602,N/A,HC TRAY LACERATION,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204603,N/A,HC TRAY UMBILICAL CATH,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204604,N/A,HC TUBE TRACH COMBITUBE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204607,N/A,HC TUBE NASOGASTRIC,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204608,N/A,HC TUBE PCA,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204609,N/A,HC TUBE PRESSURE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204611,N/A,HC TUBING EPIDURAL,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204612,N/A,HC TUBING EXTENSION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204613,N/A,HC TUBING HIGH PRESSURE,272,1 ,$112.00 ,$72.80 ,$29.46 ,$112.00 , N/A ,$51.52 ,$60.70 , N/A ,$31.36 ,$35.84 , N/A ,$41.22 , N/A ,$42.78 ,$44.80 , N/A ,$42.78 , N/A ,$58.91 ,$57.12 , N/A , N/A ,$78.40 , N/A ,$56.00 , N/A ,$84.00 ,$56.56 ,$50.96 ,$56.56 , N/A ,$56.56 ,$70.56 ,$70.56 ,$79.52 ,$112.00 ,$95.20 , N/A ,$89.60 ,$41.44 ,$89.60 , N/A , N/A ,$112.00 ,$60.70 , N/A ,$29.46 , N/A , N/A , N/A , N/A , N/A ,$95.20 , N/A ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$70.56 ,$70.56 ,$70.56 , N/A ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,27204614,N/A,HC TUBING IV,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204615,N/A,HC TUBING Y,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204623,N/A,HC NEEDLE GUIDE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204625,N/A,HC TRAY BREAST BIOPSY,272,1 ,"$1,147.00 ",$745.55 ,$301.66 ,"$1,147.00 ", N/A ,$527.62 ,$621.67 , N/A ,$321.16 ,$367.04 , N/A ,$422.10 , N/A ,$438.15 ,$458.80 , N/A ,$438.15 , N/A ,$603.32 ,$584.97 , N/A , N/A ,$802.90 , N/A ,$573.50 , N/A ,$860.25 ,$579.24 ,$521.89 ,$579.24 , N/A ,$579.24 ,$722.61 ,$722.61 ,$814.37 ,"$1,147.00 ",$974.95 , N/A ,$917.60 ,$424.39 ,$917.60 , N/A , N/A ,"$1,147.00 ",$621.67 , N/A ,$301.66 , N/A , N/A , N/A , N/A , N/A ,$974.95 , N/A ,$754.73 ,$321.16 ,"$1,032.30 ",$825.84 ,"$1,147.00 ",$722.61 ,$722.61 ,$722.61 , N/A ,$550.56 ,"$1,032.30 " ST. JOHN'S HOSPITAL,27204639,N/A,HC ADAPTER CHECK VALVE,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204640,N/A,HC AIRWAY NASAL S1,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204641,N/A,HC AIRWAY NASAL S2,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204642,N/A,HC AIRWAY NASAL S3,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204643,N/A,HC AIRWAY NASAL S4,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204644,N/A,HC AIRWAY NASAL S5,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204645,N/A,HC AIRWAY NASAL S6,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204646,N/A,HC AIRWAY NASAL S7,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204647,N/A,HC AIRWAY NASAL S8,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204648,N/A,HC AIRWAY NASAL S9,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204649,N/A,HC AIRWAY NASAL S10,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204650,N/A,HC AIRWAY ORAL S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204651,N/A,HC AIRWAY ORAL S2,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204652,N/A,HC AIRWAY ORAL S3,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204653,N/A,HC AIRWAY ORAL S4,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204654,N/A,HC BAG RESUSCITATE INFANT,272,1 ,$83.00 ,$53.95 ,$21.83 ,$83.00 , N/A ,$38.18 ,$44.99 , N/A ,$23.24 ,$26.56 , N/A ,$30.54 , N/A ,$31.71 ,$33.20 , N/A ,$31.71 , N/A ,$43.66 ,$42.33 , N/A , N/A ,$58.10 , N/A ,$41.50 , N/A ,$62.25 ,$41.92 ,$37.77 ,$41.92 , N/A ,$41.92 ,$52.29 ,$52.29 ,$58.93 ,$83.00 ,$70.55 , N/A ,$66.40 ,$30.71 ,$66.40 , N/A , N/A ,$83.00 ,$44.99 , N/A ,$21.83 , N/A , N/A , N/A , N/A , N/A ,$70.55 , N/A ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$52.29 ,$52.29 ,$52.29 , N/A ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,27204655,N/A,HC BAG RESUSCITATE PEDIATRIC,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204656,N/A,HC BAG RESUSCITOR,272,1 ,$23.00 ,$14.95 ,$6.05 ,$23.00 , N/A ,$10.58 ,$12.47 , N/A ,$6.44 ,$7.36 , N/A ,$8.46 , N/A ,$8.79 ,$9.20 , N/A ,$8.79 , N/A ,$12.10 ,$11.73 , N/A , N/A ,$16.10 , N/A ,$11.50 , N/A ,$17.25 ,$11.62 ,$10.47 ,$11.62 , N/A ,$11.62 ,$14.49 ,$14.49 ,$16.33 ,$23.00 ,$19.55 , N/A ,$18.40 ,$8.51 ,$18.40 , N/A , N/A ,$23.00 ,$12.47 , N/A ,$6.05 , N/A , N/A , N/A , N/A , N/A ,$19.55 , N/A ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$14.49 ,$14.49 ,$14.49 , N/A ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,27204657,N/A,HC CANISTER V.A.C.,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204658,N/A,HC CANNULA CO2 ADULT,272,1 ,$41.00 ,$26.65 ,$10.78 ,$41.00 , N/A ,$18.86 ,$22.22 , N/A ,$11.48 ,$13.12 , N/A ,$15.09 , N/A ,$15.66 ,$16.40 , N/A ,$15.66 , N/A ,$21.57 ,$20.91 , N/A , N/A ,$28.70 , N/A ,$20.50 , N/A ,$30.75 ,$20.71 ,$18.66 ,$20.71 , N/A ,$20.71 ,$25.83 ,$25.83 ,$29.11 ,$41.00 ,$34.85 , N/A ,$32.80 ,$15.17 ,$32.80 , N/A , N/A ,$41.00 ,$22.22 , N/A ,$10.78 , N/A , N/A , N/A , N/A , N/A ,$34.85 , N/A ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$25.83 ,$25.83 ,$25.83 , N/A ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,27204660,N/A,HC CANNULA NASAL OXYGEN,272,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27204661,N/A,HC CANNULA NASAL OXYGEN PEDI,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27204662,N/A,HC CATH IV ANGIOCATH S1,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204663,N/A,HC CATH IV ANGIOCATH S2,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204664,N/A,HC CATH IV ANGIOCATH S3,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204665,N/A,HC CATH IV ANGIOCATH S4,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204666,N/A,HC CATH IV ANGIOCATH S5,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204667,N/A,HC CATH IV ANGIOCATH S6,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204668,N/A,HC COLLAR CERVICAL ADJ ADULT,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204669,N/A,HC COLLAR CERVICAL ADJ PEDI,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204671,N/A,HC DRESSING KLING S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204672,N/A,HC DRESSING KLING S2,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204673,N/A,HC DRESSING KLING S3,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204674,N/A,HC DRESSING SALINE WET/DRY,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204675,N/A,HC ELECTRODE ADULT,272,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27204676,N/A,HC ELECTRODE PEDI,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204677,N/A,HC GLOVES LARGE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204678,N/A,HC GLOVES MEDIUM,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204679,N/A,HC GLOVES SMALL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204680,N/A,HC GLOVES XLARGE,272,1 ,$14.00 ,$9.10 ,$3.68 ,$14.00 , N/A ,$6.44 ,$7.59 , N/A ,$3.92 ,$4.48 , N/A ,$5.15 , N/A ,$5.35 ,$5.60 , N/A ,$5.35 , N/A ,$7.36 ,$7.14 , N/A , N/A ,$9.80 , N/A ,$7.00 , N/A ,$10.50 ,$7.07 ,$6.37 ,$7.07 , N/A ,$7.07 ,$8.82 ,$8.82 ,$9.94 ,$14.00 ,$11.90 , N/A ,$11.20 ,$5.18 ,$11.20 , N/A , N/A ,$14.00 ,$7.59 , N/A ,$3.68 , N/A , N/A , N/A , N/A , N/A ,$11.90 , N/A ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$8.82 ,$8.82 ,$8.82 , N/A ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,27204681,N/A,HC HOLDER TUBE ADULT,272,1 ,$12.00 ,$7.80 ,$3.16 ,$12.00 , N/A ,$5.52 ,$6.50 , N/A ,$3.36 ,$3.84 , N/A ,$4.42 , N/A ,$4.58 ,$4.80 , N/A ,$4.58 , N/A ,$6.31 ,$6.12 , N/A , N/A ,$8.40 , N/A ,$6.00 , N/A ,$9.00 ,$6.06 ,$5.46 ,$6.06 , N/A ,$6.06 ,$7.56 ,$7.56 ,$8.52 ,$12.00 ,$10.20 , N/A ,$9.60 ,$4.44 ,$9.60 , N/A , N/A ,$12.00 ,$6.50 , N/A ,$3.16 , N/A , N/A , N/A , N/A , N/A ,$10.20 , N/A ,$7.90 ,$3.36 ,$10.80 ,$8.64 ,$12.00 ,$7.56 ,$7.56 ,$7.56 , N/A ,$5.76 ,$10.80 ST. JOHN'S HOSPITAL,27204682,N/A,HC HOLDER TUBE PEDI,272,1 ,$12.00 ,$7.80 ,$3.16 ,$12.00 , N/A ,$5.52 ,$6.50 , N/A ,$3.36 ,$3.84 , N/A ,$4.42 , N/A ,$4.58 ,$4.80 , N/A ,$4.58 , N/A ,$6.31 ,$6.12 , N/A , N/A ,$8.40 , N/A ,$6.00 , N/A ,$9.00 ,$6.06 ,$5.46 ,$6.06 , N/A ,$6.06 ,$7.56 ,$7.56 ,$8.52 ,$12.00 ,$10.20 , N/A ,$9.60 ,$4.44 ,$9.60 , N/A , N/A ,$12.00 ,$6.50 , N/A ,$3.16 , N/A , N/A , N/A , N/A , N/A ,$10.20 , N/A ,$7.90 ,$3.36 ,$10.80 ,$8.64 ,$12.00 ,$7.56 ,$7.56 ,$7.56 , N/A ,$5.76 ,$10.80 ST. JOHN'S HOSPITAL,27204683,N/A,HC IV SET MICRODRIP PRIMARY,272,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27204684,N/A,HC KIT CPAP,272,1 ,$144.00 ,$93.60 ,$37.87 ,$144.00 , N/A ,$66.24 ,$78.05 , N/A ,$40.32 ,$46.08 , N/A ,$52.99 , N/A ,$55.01 ,$57.60 , N/A ,$55.01 , N/A ,$75.74 ,$73.44 , N/A , N/A ,$100.80 , N/A ,$72.00 , N/A ,$108.00 ,$72.72 ,$65.52 ,$72.72 , N/A ,$72.72 ,$90.72 ,$90.72 ,$102.24 ,$144.00 ,$122.40 , N/A ,$115.20 ,$53.28 ,$115.20 , N/A , N/A ,$144.00 ,$78.05 , N/A ,$37.87 , N/A , N/A , N/A , N/A , N/A ,$122.40 , N/A ,$94.75 ,$40.32 ,$129.60 ,$103.68 ,$144.00 ,$90.72 ,$90.72 ,$90.72 , N/A ,$69.12 ,$129.60 ST. JOHN'S HOSPITAL,27204685,N/A,HC KIT DECOMPRESSION CHEST,272,1 ,$326.00 ,$211.90 ,$85.74 ,$326.00 , N/A ,$149.96 ,$176.69 , N/A ,$91.28 ,$104.32 , N/A ,$119.97 , N/A ,$124.53 ,$130.40 , N/A ,$124.53 , N/A ,$171.48 ,$166.26 , N/A , N/A ,$228.20 , N/A ,$163.00 , N/A ,$244.50 ,$164.63 ,$148.33 ,$164.63 , N/A ,$164.63 ,$205.38 ,$205.38 ,$231.46 ,$326.00 ,$277.10 , N/A ,$260.80 ,$120.62 ,$260.80 , N/A , N/A ,$326.00 ,$176.69 , N/A ,$85.74 , N/A , N/A , N/A , N/A , N/A ,$277.10 , N/A ,$214.51 ,$91.28 ,$293.40 ,$234.72 ,$326.00 ,$205.38 ,$205.38 ,$205.38 , N/A ,$156.48 ,$293.40 ST. JOHN'S HOSPITAL,27204686,N/A,HC KIT IV START,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27204687,N/A,HC LANCET,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204688,N/A,HC MASK AEROSAL OXYGEN ADULT,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204689,N/A,HC MASK AEROSAL OXYGEN PEDI,272,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27204690,N/A,HC MASK NEBULIZER,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27204691,N/A,HC MASK NEBULIZER PEDI/INFANT,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204692,N/A,HC MASK NON-REBREATHER ADULT,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27204693,N/A,HC MASK NON-REBREATHER PED,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27204694,N/A,HC NEEDLE ANGIOGRAPHIC S1,272,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27204695,N/A,HC NEEDLE ANGIOGRAPHIC S2,272,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27204696,N/A,HC NEEDLE INTRAOSSEOUS S1,272,1 ,$35.00 ,$22.75 ,$9.21 ,$35.00 , N/A ,$16.10 ,$18.97 , N/A ,$9.80 ,$11.20 , N/A ,$12.88 , N/A ,$13.37 ,$14.00 , N/A ,$13.37 , N/A ,$18.41 ,$17.85 , N/A , N/A ,$24.50 , N/A ,$17.50 , N/A ,$26.25 ,$17.68 ,$15.93 ,$17.68 , N/A ,$17.68 ,$22.05 ,$22.05 ,$24.85 ,$35.00 ,$29.75 , N/A ,$28.00 ,$12.95 ,$28.00 , N/A , N/A ,$35.00 ,$18.97 , N/A ,$9.21 , N/A , N/A , N/A , N/A , N/A ,$29.75 , N/A ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$22.05 ,$22.05 ,$22.05 , N/A ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,27204697,N/A,HC NEEDLE INTRAOSSEOUS S2,272,1 ,$35.00 ,$22.75 ,$9.21 ,$35.00 , N/A ,$16.10 ,$18.97 , N/A ,$9.80 ,$11.20 , N/A ,$12.88 , N/A ,$13.37 ,$14.00 , N/A ,$13.37 , N/A ,$18.41 ,$17.85 , N/A , N/A ,$24.50 , N/A ,$17.50 , N/A ,$26.25 ,$17.68 ,$15.93 ,$17.68 , N/A ,$17.68 ,$22.05 ,$22.05 ,$24.85 ,$35.00 ,$29.75 , N/A ,$28.00 ,$12.95 ,$28.00 , N/A , N/A ,$35.00 ,$18.97 , N/A ,$9.21 , N/A , N/A , N/A , N/A , N/A ,$29.75 , N/A ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$22.05 ,$22.05 ,$22.05 , N/A ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,27204698,N/A,HC NEEDLE INTRAOSSEOUS S3,272,1 ,$303.00 ,$196.95 ,$79.69 ,$303.00 , N/A ,$139.38 ,$164.23 , N/A ,$84.84 ,$96.96 , N/A ,$111.50 , N/A ,$115.75 ,$121.20 , N/A ,$115.75 , N/A ,$159.38 ,$154.53 , N/A , N/A ,$212.10 , N/A ,$151.50 , N/A ,$227.25 ,$153.02 ,$137.87 ,$153.02 , N/A ,$153.02 ,$190.89 ,$190.89 ,$215.13 ,$303.00 ,$257.55 , N/A ,$242.40 ,$112.11 ,$242.40 , N/A , N/A ,$303.00 ,$164.23 , N/A ,$79.69 , N/A , N/A , N/A , N/A , N/A ,$257.55 , N/A ,$199.37 ,$84.84 ,$272.70 ,$218.16 ,$303.00 ,$190.89 ,$190.89 ,$190.89 , N/A ,$145.44 ,$272.70 ST. JOHN'S HOSPITAL,27204699,N/A,HC NEEDLE INTRAOSSEOUS S4,272,1 ,$352.00 ,$228.80 ,$92.58 ,$352.00 , N/A ,$161.92 ,$190.78 , N/A ,$98.56 ,$112.64 , N/A ,$129.54 , N/A ,$134.46 ,$140.80 , N/A ,$134.46 , N/A ,$185.15 ,$179.52 , N/A , N/A ,$246.40 , N/A ,$176.00 , N/A ,$264.00 ,$177.76 ,$160.16 ,$177.76 , N/A ,$177.76 ,$221.76 ,$221.76 ,$249.92 ,$352.00 ,$299.20 , N/A ,$281.60 ,$130.24 ,$281.60 , N/A , N/A ,$352.00 ,$190.78 , N/A ,$92.58 , N/A , N/A , N/A , N/A , N/A ,$299.20 , N/A ,$231.62 ,$98.56 ,$316.80 ,$253.44 ,$352.00 ,$221.76 ,$221.76 ,$221.76 , N/A ,$168.96 ,$316.80 ST. JOHN'S HOSPITAL,27204700,N/A,HC NEEDLE S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204701,N/A,HC NEEDLE S2,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204702,N/A,HC NEEDLE S3,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204703,N/A,HC PAD ABDOMINAL S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204704,N/A,HC PAD ABDOMINAL S2,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204705,N/A,HC PAD DEFIBRILLATOR ADULT,272,1 ,$50.00 ,$32.50 ,$13.15 ,$50.00 , N/A ,$23.00 ,$27.10 , N/A ,$14.00 ,$16.00 , N/A ,$18.40 , N/A ,$19.10 ,$20.00 , N/A ,$19.10 , N/A ,$26.30 ,$25.50 , N/A , N/A ,$35.00 , N/A ,$25.00 , N/A ,$37.50 ,$25.25 ,$22.75 ,$25.25 , N/A ,$25.25 ,$31.50 ,$31.50 ,$35.50 ,$50.00 ,$42.50 , N/A ,$40.00 ,$18.50 ,$40.00 , N/A , N/A ,$50.00 ,$27.10 , N/A ,$13.15 , N/A , N/A , N/A , N/A , N/A ,$42.50 , N/A ,$32.90 ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$31.50 ,$31.50 ,$31.50 , N/A ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,27204706,N/A,HC PAD DEFIBRILLATOR PEDI,272,1 ,$49.00 ,$31.85 ,$12.89 ,$49.00 , N/A ,$22.54 ,$26.56 , N/A ,$13.72 ,$15.68 , N/A ,$18.03 , N/A ,$18.72 ,$19.60 , N/A ,$18.72 , N/A ,$25.77 ,$24.99 , N/A , N/A ,$34.30 , N/A ,$24.50 , N/A ,$36.75 ,$24.75 ,$22.30 ,$24.75 , N/A ,$24.75 ,$30.87 ,$30.87 ,$34.79 ,$49.00 ,$41.65 , N/A ,$39.20 ,$18.13 ,$39.20 , N/A , N/A ,$49.00 ,$26.56 , N/A ,$12.89 , N/A , N/A , N/A , N/A , N/A ,$41.65 , N/A ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$30.87 ,$30.87 ,$30.87 , N/A ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,27204707,N/A,HC PAD DEFRIBILLATOR GEL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204708,N/A,HC SET EXTENSION LATEX FREE,272,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27204709,N/A,HC SET IV PRIMARY,272,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27204710,N/A,HC SPONGE GAUZE S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204711,N/A,HC SPONGE GAUZE S2,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204712,N/A,HC STYLET ADULT,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204713,N/A,HC STYLET PEDI,272,1 ,$7.00 ,$4.55 ,$1.84 ,$7.00 , N/A ,$3.22 ,$3.79 , N/A ,$1.96 ,$2.24 , N/A ,$2.58 , N/A ,$2.67 ,$2.80 , N/A ,$2.67 , N/A ,$3.68 ,$3.57 , N/A , N/A ,$4.90 , N/A ,$3.50 , N/A ,$5.25 ,$3.54 ,$3.19 ,$3.54 , N/A ,$3.54 ,$4.41 ,$4.41 ,$4.97 ,$7.00 ,$5.95 , N/A ,$5.60 ,$2.59 ,$5.60 , N/A , N/A ,$7.00 ,$3.79 , N/A ,$1.84 , N/A , N/A , N/A , N/A , N/A ,$5.95 , N/A ,$4.61 ,$1.96 ,$6.30 ,$5.04 ,$7.00 ,$4.41 ,$4.41 ,$4.41 , N/A ,$3.36 ,$6.30 ST. JOHN'S HOSPITAL,27204714,N/A,HC SUCTION YANKAUER,272,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27204715,N/A,HC SYRINGE PREFILLED .9%SC 12CC,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204716,N/A,HC SYRINGE STERILE S1,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204717,N/A,HC SYRINGE STERILE S2,272,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A ,$0.92 ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.26 ,$1.26 ,$1.42 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.26 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,27204718,N/A,HC SYRINGE STERILE S3,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204719,N/A,HC SYRINGE STERILE S4,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204720,N/A,HC SYRINGE STERILE S5,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27204721,N/A,HC TUBE ENDOTRACH PEDI S1,272,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27204722,N/A,HC TUBE ENDOTRACH PEDI S2,272,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27204723,N/A,HC TUBE ENDOTRACH PEDI S3,272,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27204724,N/A,HC TUBE ENDOTRACH PEDI S4,272,1 ,$5.00 ,$3.25 ,$1.32 ,$5.00 , N/A ,$2.30 ,$2.71 , N/A ,$1.40 ,$1.60 , N/A ,$1.84 , N/A ,$1.91 ,$2.00 , N/A ,$1.91 , N/A ,$2.63 ,$2.55 , N/A , N/A ,$3.50 , N/A ,$2.50 , N/A ,$3.75 ,$2.53 ,$2.28 ,$2.53 , N/A ,$2.53 ,$3.15 ,$3.15 ,$3.55 ,$5.00 ,$4.25 , N/A ,$4.00 ,$1.85 ,$4.00 , N/A , N/A ,$5.00 ,$2.71 , N/A ,$1.32 , N/A , N/A , N/A , N/A , N/A ,$4.25 , N/A ,$3.29 ,$1.40 ,$4.50 ,$3.60 ,$5.00 ,$3.15 ,$3.15 ,$3.15 , N/A ,$2.40 ,$4.50 ST. JOHN'S HOSPITAL,27204725,N/A,HC TUBE ENDOTRACH PEDI S5,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204726,N/A,HC TUBE ENDOTRACH PEDI S6,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204727,N/A,HC TUBE ENDOTRACH PEDI S7,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204728,N/A,HC TUBE ENDOTRACH S1,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204729,N/A,HC TUBE ENDOTRACH S2,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204730,N/A,HC TUBE ENDOTRACH S3,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204731,N/A,HC TUBE ENDOTRACH S4,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204732,N/A,HC TUBE ENDOTRACH S5,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204733,N/A,HC TUBE ENDOTRACH S6,272,1 ,$47.00 ,$30.55 ,$12.36 ,$47.00 , N/A ,$21.62 ,$25.47 , N/A ,$13.16 ,$15.04 , N/A ,$17.30 , N/A ,$17.95 ,$18.80 , N/A ,$17.95 , N/A ,$24.72 ,$23.97 , N/A , N/A ,$32.90 , N/A ,$23.50 , N/A ,$35.25 ,$23.74 ,$21.39 ,$23.74 , N/A ,$23.74 ,$29.61 ,$29.61 ,$33.37 ,$47.00 ,$39.95 , N/A ,$37.60 ,$17.39 ,$37.60 , N/A , N/A ,$47.00 ,$25.47 , N/A ,$12.36 , N/A , N/A , N/A , N/A , N/A ,$39.95 , N/A ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$29.61 ,$29.61 ,$29.61 , N/A ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,27204734,N/A,HC TUBE ENDOTRACH S7,272,1 ,$38.00 ,$24.70 ,$9.99 ,$38.00 , N/A ,$17.48 ,$20.60 , N/A ,$10.64 ,$12.16 , N/A ,$13.98 , N/A ,$14.52 ,$15.20 , N/A ,$14.52 , N/A ,$19.99 ,$19.38 , N/A , N/A ,$26.60 , N/A ,$19.00 , N/A ,$28.50 ,$19.19 ,$17.29 ,$19.19 , N/A ,$19.19 ,$23.94 ,$23.94 ,$26.98 ,$38.00 ,$32.30 , N/A ,$30.40 ,$14.06 ,$30.40 , N/A , N/A ,$38.00 ,$20.60 , N/A ,$9.99 , N/A , N/A , N/A , N/A , N/A ,$32.30 , N/A ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$23.94 ,$23.94 ,$23.94 , N/A ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,27204735,N/A,HC TUBE TRACH COMBITUBE,272,1 ,$162.00 ,$105.30 ,$42.61 ,$162.00 , N/A ,$74.52 ,$87.80 , N/A ,$45.36 ,$51.84 , N/A ,$59.62 , N/A ,$61.88 ,$64.80 , N/A ,$61.88 , N/A ,$85.21 ,$82.62 , N/A , N/A ,$113.40 , N/A ,$81.00 , N/A ,$121.50 ,$81.81 ,$73.71 ,$81.81 , N/A ,$81.81 ,$102.06 ,$102.06 ,$115.02 ,$162.00 ,$137.70 , N/A ,$129.60 ,$59.94 ,$129.60 , N/A , N/A ,$162.00 ,$87.80 , N/A ,$42.61 , N/A , N/A , N/A , N/A , N/A ,$137.70 , N/A ,$106.60 ,$45.36 ,$145.80 ,$116.64 ,$162.00 ,$102.06 ,$102.06 ,$102.06 , N/A ,$77.76 ,$145.80 ST. JOHN'S HOSPITAL,27204736,N/A,HC TUBE TRACH QUICK,272,1 ,$451.00 ,$293.15 ,$118.61 ,$451.00 , N/A ,$207.46 ,$244.44 , N/A ,$126.28 ,$144.32 , N/A ,$165.97 , N/A ,$172.28 ,$180.40 , N/A ,$172.28 , N/A ,$237.23 ,$230.01 , N/A , N/A ,$315.70 , N/A ,$225.50 , N/A ,$338.25 ,$227.76 ,$205.21 ,$227.76 , N/A ,$227.76 ,$284.13 ,$284.13 ,$320.21 ,$451.00 ,$383.35 , N/A ,$360.80 ,$166.87 ,$360.80 , N/A , N/A ,$451.00 ,$244.44 , N/A ,$118.61 , N/A , N/A , N/A , N/A , N/A ,$383.35 , N/A ,$296.76 ,$126.28 ,$405.90 ,$324.72 ,$451.00 ,$284.13 ,$284.13 ,$284.13 , N/A ,$216.48 ,$405.90 ST. JOHN'S HOSPITAL,27204737,C1729,HC CATHETER DRAINAGE T18,272,1 ,"$2,142.00 ","$1,392.30 ",$563.35 ,"$2,142.00 ", N/A ,$985.32 ,"$1,160.96 ", N/A ,$599.76 ,$685.44 , N/A ,$788.26 , N/A ,$818.24 ,$856.80 , N/A ,$818.24 , N/A ,"$1,126.69 ","$1,092.42 ", N/A , N/A ,"$1,499.40 ", N/A ,"$1,071.00 ", N/A ,"$1,606.50 ","$1,081.71 ",$974.61 ,"$1,081.71 ", N/A ,"$1,081.71 ","$1,349.46 ","$1,349.46 ","$1,520.82 ","$2,142.00 ","$1,820.70 ", N/A ,"$1,713.60 ",$792.54 ,"$1,713.60 ", N/A , N/A ,"$2,142.00 ","$1,160.96 ", N/A ,$563.35 , N/A , N/A , N/A , N/A , N/A ,"$1,820.70 ", N/A ,"$1,409.44 ",$599.76 ,"$1,927.80 ","$1,542.24 ","$2,142.00 ","$1,349.46 ","$1,349.46 ","$1,349.46 ", N/A ,"$1,028.16 ","$1,927.80 " ST. JOHN'S HOSPITAL,27204738,C1729,HC CATHETER DRAINAGE T19,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27204739,C1729,HC CATHETER DRAINAGE T20,272,1 ,"$3,366.00 ","$2,187.90 ",$885.26 ,"$3,366.00 ", N/A ,"$1,548.36 ","$1,824.37 ", N/A ,$942.48 ,"$1,077.12 ", N/A ,"$1,238.69 ", N/A ,"$1,285.81 ","$1,346.40 ", N/A ,"$1,285.81 ", N/A ,"$1,770.52 ","$1,716.66 ", N/A , N/A ,"$2,356.20 ", N/A ,"$1,683.00 ", N/A ,"$2,524.50 ","$1,699.83 ","$1,531.53 ","$1,699.83 ", N/A ,"$1,699.83 ","$2,120.58 ","$2,120.58 ","$2,389.86 ","$3,366.00 ","$2,861.10 ", N/A ,"$2,692.80 ","$1,245.42 ","$2,692.80 ", N/A , N/A ,"$3,366.00 ","$1,824.37 ", N/A ,$885.26 , N/A , N/A , N/A , N/A , N/A ,"$2,861.10 ", N/A ,"$2,214.83 ",$942.48 ,"$3,029.40 ","$2,423.52 ","$3,366.00 ","$2,120.58 ","$2,120.58 ","$2,120.58 ", N/A ,"$1,615.68 ","$3,029.40 " ST. JOHN'S HOSPITAL,27204740,C1729,HC CATHETER DRAINAGE T21,272,1 ,"$3,978.00 ","$2,585.70 ","$1,046.21 ","$3,978.00 ", N/A ,"$1,829.88 ","$2,156.08 ", N/A ,"$1,113.84 ","$1,272.96 ", N/A ,"$1,463.90 ", N/A ,"$1,519.60 ","$1,591.20 ", N/A ,"$1,519.60 ", N/A ,"$2,092.43 ","$2,028.78 ", N/A , N/A ,"$2,784.60 ", N/A ,"$1,989.00 ", N/A ,"$2,983.50 ","$2,008.89 ","$1,809.99 ","$2,008.89 ", N/A ,"$2,008.89 ","$2,506.14 ","$2,506.14 ","$2,824.38 ","$3,978.00 ","$3,381.30 ", N/A ,"$3,182.40 ","$1,471.86 ","$3,182.40 ", N/A , N/A ,"$3,978.00 ","$2,156.08 ", N/A ,"$1,046.21 ", N/A , N/A , N/A , N/A , N/A ,"$3,381.30 ", N/A ,"$2,617.52 ","$1,113.84 ","$3,580.20 ","$2,864.16 ","$3,978.00 ","$2,506.14 ","$2,506.14 ","$2,506.14 ", N/A ,"$1,909.44 ","$3,580.20 " ST. JOHN'S HOSPITAL,27204741,A4212,HC NEEDLE/STYLET W/ OR W/O CATHETER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$10.50 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204742,C1758,HC CATHETER URETERAL T1,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204743,C1758,HC CATHETER URETERAL T2,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204744,C1758,HC CATHETER URETERAL T3,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27204745,C1758,HC CATHETER URETERAL T4,272,1 ,$536.00 ,$348.40 ,$140.97 ,$536.00 , N/A ,$246.56 ,$290.51 , N/A ,$150.08 ,$171.52 , N/A ,$197.25 , N/A ,$204.75 ,$214.40 , N/A ,$204.75 , N/A ,$281.94 ,$273.36 , N/A , N/A ,$375.20 , N/A ,$268.00 , N/A ,$402.00 ,$270.68 ,$243.88 ,$270.68 , N/A ,$270.68 ,$337.68 ,$337.68 ,$380.56 ,$536.00 ,$455.60 , N/A ,$428.80 ,$198.32 ,$428.80 , N/A , N/A ,$536.00 ,$290.51 , N/A ,$140.97 , N/A , N/A , N/A , N/A , N/A ,$455.60 , N/A ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$337.68 ,$337.68 ,$337.68 , N/A ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,27204746,C1758,HC CATHETER URETERAL T5,272,1 ,$612.00 ,$397.80 ,$160.96 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$244.80 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27204747,C1758,HC CATHETER URETERAL T6,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204748,A6154,HC POUCH/WOUND SYSTEM,272,1 ,$412.00 ,$267.80 ,$12.84 ,$412.00 , N/A ,$189.52 ,$223.30 , N/A ,$115.36 ,$84.21 , N/A ,$90.74 , N/A ,$157.38 ,$12.84 , N/A ,$157.38 , N/A ,$216.71 ,$210.12 , N/A , N/A ,$288.40 , N/A ,$206.00 , N/A ,$309.00 ,$208.06 ,$187.46 ,$208.06 , N/A ,$208.06 ,$259.56 ,$259.56 ,$292.52 ,$412.00 ,$350.20 , N/A ,$329.60 ,$152.44 ,$329.60 , N/A , N/A ,$412.00 ,$223.30 , N/A ,$108.36 , N/A , N/A , N/A , N/A , N/A ,$350.20 , N/A ,$271.10 ,$115.36 ,$370.80 ,$296.64 ,$412.00 ,$259.56 ,$259.56 ,$259.56 , N/A ,$197.76 ,$370.80 ST. JOHN'S HOSPITAL,27204749,A7520,HC TUBE TRACH/LARGE NON-CUFFED,272,1 ,$995.00 ,$646.75 ,$49.20 ,$995.00 , N/A ,$457.70 ,$539.29 , N/A ,$278.60 ,$322.75 , N/A ,$347.76 , N/A ,$380.09 ,$49.20 , N/A ,$380.09 , N/A ,$523.37 ,$507.45 , N/A , N/A ,$696.50 , N/A ,$497.50 , N/A ,$746.25 ,$502.48 ,$452.73 ,$502.48 , N/A ,$502.48 ,$626.85 ,$626.85 ,$706.45 ,$995.00 ,$845.75 , N/A ,$796.00 ,$368.15 ,$796.00 , N/A , N/A ,$995.00 ,$539.29 , N/A ,$261.69 , N/A , N/A , N/A , N/A , N/A ,$845.75 , N/A ,$654.71 ,$278.60 ,$895.50 ,$716.40 ,$995.00 ,$626.85 ,$626.85 ,$626.85 , N/A ,$477.60 ,$895.50 ST. JOHN'S HOSPITAL,27204750,N/A,HC ADAPTER STRAIGHT TYPE II,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204751,N/A,HC PADS ADHESIVE REMOVER,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204752,N/A,HC PATIENT TRANSFER SYSTEM W/PAD,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204753,N/A,HC KIT AIRWAY,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204754,N/A,HC DEVICE BREAST BIOPSY ATEC,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204755,N/A,HC DEVICE BREAST BIOPSY,272,1 ,$612.00 ,$397.80 ,$160.96 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$244.80 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27204756,N/A,HC CLIP BREAST BIOPSY,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204757,N/A,HC PACK AUTOLOG ONE SOURCE,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204758,N/A,HC KIT BLOOD COLLECTION AUTOLOGOUS,272,1 ,$57.00 ,$37.05 ,$14.99 ,$57.00 , N/A ,$26.22 ,$30.89 , N/A ,$15.96 ,$18.24 , N/A ,$20.98 , N/A ,$21.77 ,$22.80 , N/A ,$21.77 , N/A ,$29.98 ,$29.07 , N/A , N/A ,$39.90 , N/A ,$28.50 , N/A ,$42.75 ,$28.79 ,$25.94 ,$28.79 , N/A ,$28.79 ,$35.91 ,$35.91 ,$40.47 ,$57.00 ,$48.45 , N/A ,$45.60 ,$21.09 ,$45.60 , N/A , N/A ,$57.00 ,$30.89 , N/A ,$14.99 , N/A , N/A , N/A , N/A , N/A ,$48.45 , N/A ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$35.91 ,$35.91 ,$35.91 , N/A ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,27204759,N/A,HC BAG WASTE AUTOLOGOUS,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204760,N/A,HC BLANKET BAIR HUGGER,272,1 ,$15.00 ,$9.75 ,$3.95 ,$15.00 , N/A ,$6.90 ,$8.13 , N/A ,$4.20 ,$4.80 , N/A ,$5.52 , N/A ,$5.73 ,$6.00 , N/A ,$5.73 , N/A ,$7.89 ,$7.65 , N/A , N/A ,$10.50 , N/A ,$7.50 , N/A ,$11.25 ,$7.58 ,$6.83 ,$7.58 , N/A ,$7.58 ,$9.45 ,$9.45 ,$10.65 ,$15.00 ,$12.75 , N/A ,$12.00 ,$5.55 ,$12.00 , N/A , N/A ,$15.00 ,$8.13 , N/A ,$3.95 , N/A , N/A , N/A , N/A , N/A ,$12.75 , N/A ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$9.45 ,$9.45 ,$9.45 , N/A ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,27204761,N/A,HC BAIR HUGGER ADULT FULL OVER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204762,N/A,HC BAIR HUGGER ADULT FULL UNDER,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204763,N/A,HC BAIR HUGGER ADULT LOWER BODY,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204764,N/A,HC BAIR HUGGER ADULT UPPER BODY,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204765,N/A,HC BAIR HUGGER PEDIATRIC LOWER BODY SMALL,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204766,N/A,HC BAIR HUGGER PEDIATRIC OVER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204767,N/A,HC BAIR HUGGER PEDIATRIC UNDER SMALL 36 INCH,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204768,N/A,HC BAIR HUGGER PEDIATRIC UNDER LARGE 60 INCH,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204769,N/A,HC BALLOON UTERINE TAMPON,272,1 ,$681.00 ,$442.65 ,$179.10 ,$681.00 , N/A ,$313.26 ,$369.10 , N/A ,$190.68 ,$217.92 , N/A ,$250.61 , N/A ,$260.14 ,$272.40 , N/A ,$260.14 , N/A ,$358.21 ,$347.31 , N/A , N/A ,$476.70 , N/A ,$340.50 , N/A ,$510.75 ,$343.91 ,$309.86 ,$343.91 , N/A ,$343.91 ,$429.03 ,$429.03 ,$483.51 ,$681.00 ,$578.85 , N/A ,$544.80 ,$251.97 ,$544.80 , N/A , N/A ,$681.00 ,$369.10 , N/A ,$179.10 , N/A , N/A , N/A , N/A , N/A ,$578.85 , N/A ,$448.10 ,$190.68 ,$612.90 ,$490.32 ,$681.00 ,$429.03 ,$429.03 ,$429.03 , N/A ,$326.88 ,$612.90 ST. JOHN'S HOSPITAL,27204770,N/A,HC EXHANGER/RESERVOIR HEAT LARGE VOLUME,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$62.00 ,$40.30 ,$16.31 ,$62.00 , N/A ,$28.52 ,$33.60 , N/A ,$17.36 ,$19.84 , N/A ,$22.82 , N/A ,$23.68 ,$24.80 , N/A ,$23.68 , N/A ,$32.61 ,$31.62 , N/A , N/A ,$43.40 , N/A ,$31.00 , N/A ,$46.50 ,$31.31 ,$28.21 ,$31.31 , N/A ,$31.31 ,$39.06 ,$39.06 ,$44.02 ,$62.00 ,$52.70 , N/A ,$49.60 ,$22.94 ,$49.60 , N/A , N/A ,$62.00 ,$33.60 , N/A ,$16.31 , N/A , N/A , N/A , N/A , N/A ,$52.70 , N/A ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$39.06 ,$39.06 ,$39.06 , N/A ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27204772,N/A,HC BLADE LARYNGEAL,272,1 ,$53.00 ,$34.45 ,$13.94 ,$53.00 , N/A ,$24.38 ,$28.73 , N/A ,$14.84 ,$16.96 , N/A ,$19.50 , N/A ,$20.25 ,$21.20 , N/A ,$20.25 , N/A ,$27.88 ,$27.03 , N/A , N/A ,$37.10 , N/A ,$26.50 , N/A ,$39.75 ,$26.77 ,$24.12 ,$26.77 , N/A ,$26.77 ,$33.39 ,$33.39 ,$37.63 ,$53.00 ,$45.05 , N/A ,$42.40 ,$19.61 ,$42.40 , N/A , N/A ,$53.00 ,$28.73 , N/A ,$13.94 , N/A , N/A , N/A , N/A , N/A ,$45.05 , N/A ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$33.39 ,$33.39 ,$33.39 , N/A ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,27204773,N/A,HC CAUTERY PEN HIGH TEMP,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204774,N/A,HC SENSOR OXIMETRY CEREBRAL,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204775,N/A,HC FILTER CHARCOAL,272,1 ,$222.00 ,$144.30 ,$58.39 ,$222.00 , N/A ,$102.12 ,$120.32 , N/A ,$62.16 ,$71.04 , N/A ,$81.70 , N/A ,$84.80 ,$88.80 , N/A ,$84.80 , N/A ,$116.77 ,$113.22 , N/A , N/A ,$155.40 , N/A ,$111.00 , N/A ,$166.50 ,$112.11 ,$101.01 ,$112.11 , N/A ,$112.11 ,$139.86 ,$139.86 ,$157.62 ,$222.00 ,$188.70 , N/A ,$177.60 ,$82.14 ,$177.60 , N/A , N/A ,$222.00 ,$120.32 , N/A ,$58.39 , N/A , N/A , N/A , N/A , N/A ,$188.70 , N/A ,$146.08 ,$62.16 ,$199.80 ,$159.84 ,$222.00 ,$139.86 ,$139.86 ,$139.86 , N/A ,$106.56 ,$199.80 ST. JOHN'S HOSPITAL,27204776,N/A,HC BLOOD PROCESSING TRANSFER SPIKE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204777,N/A,HC BONE WAX SURGICAL,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204778,N/A,HC BOOT ROOKE,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204779,N/A,HC BOOT WAFFLE UNIVERSAL W/STRAP,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204780,N/A,HC BRA POSTOP LARGE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204781,N/A,HC BRA POSTOP QUEEN,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204782,N/A,HC BRA POSTOP X-LARGE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204783,N/A,HC NASAL BRIDLE,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204784,N/A,HC CANISTER WATER CPAP,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204785,N/A,HC BUMPER PADS,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204786,N/A,HC KIT CRANIAL ACCESS CAMINO,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27204787,N/A,HC BAG EXTERNAL DRAINAGE ICP,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204788,N/A,HC BAG DRAINAGE ICP,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27204789,N/A,HC KIT MICRO VENTRICULAR BOLT,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27204790,N/A,HC KIT POST CRANIOTOMY,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27204791,N/A,HC CATHETER VENTRICULAR LARGE,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27204792,N/A,HC CANNULA ARTERIAL CURVED TERUMO,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204793,N/A,HC CANNULA ARTERIAL NON-VENTED,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204794,N/A,HC CANNULA ARTERIAL CURVED,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204795,N/A,HC CANNULA FEMORAL ARTERIAL,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204796,N/A,HC CANNULA FEMORAL ARTERIAL EDWARDS LIFESC,272,1 ,$612.00 ,$397.80 ,$160.96 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$244.80 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27204797,N/A,HC CANNUAL FEMORAL ARTERIAL MEDTRONIC,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204798,N/A,HC CANNULA FEMORAL VENOUS FEMTRAK,272,1 ,"$1,224.00 ",$795.60 ,$321.91 ,"$1,224.00 ", N/A ,$563.04 ,$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$489.60 , N/A ,$467.57 , N/A ,$643.82 ,$624.24 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$618.12 ,$556.92 ,$618.12 , N/A ,$618.12 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,"$1,224.00 ",$663.41 , N/A ,$321.91 , N/A , N/A , N/A , N/A , N/A ,"$1,040.40 ", N/A ,$805.39 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,27204799,N/A,HC CANNULA VENOUS CURVED,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204800,N/A,HC FOAM SUPPORT EAR CANNULA,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204801,N/A,HC CANNULA AID INFANT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204802,N/A,HC CART ENT PROCEDURE,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204803,N/A,HC CARTRIDGE APHERESIS,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27204804,N/A,HC DRAIN CHEST W/AUTO TRANSFUSE BAG,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204805,N/A,HC CHEST TUBE THAL-QUICK,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204806,N/A,HC CHLORAPREP W/TINT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204807,N/A,HC CIRCUIT EXTENSION,272,1 ,$25.00 ,$16.25 ,$6.58 ,$25.00 , N/A ,$11.50 ,$13.55 , N/A ,$7.00 ,$8.00 , N/A ,$9.20 , N/A ,$9.55 ,$10.00 , N/A ,$9.55 , N/A ,$13.15 ,$12.75 , N/A , N/A ,$17.50 , N/A ,$12.50 , N/A ,$18.75 ,$12.63 ,$11.38 ,$12.63 , N/A ,$12.63 ,$15.75 ,$15.75 ,$17.75 ,$25.00 ,$21.25 , N/A ,$20.00 ,$9.25 ,$20.00 , N/A , N/A ,$25.00 ,$13.55 , N/A ,$6.58 , N/A , N/A , N/A , N/A , N/A ,$21.25 , N/A ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$15.75 ,$15.75 ,$15.75 , N/A ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,27204808,N/A,HC CIRCUIT HIGH FREQ VENT,272,1 ,$847.00 ,$550.55 ,$222.76 ,$847.00 , N/A ,$389.62 ,$459.07 , N/A ,$237.16 ,$271.04 , N/A ,$311.70 , N/A ,$323.55 ,$338.80 , N/A ,$323.55 , N/A ,$445.52 ,$431.97 , N/A , N/A ,$592.90 , N/A ,$423.50 , N/A ,$635.25 ,$427.74 ,$385.39 ,$427.74 , N/A ,$427.74 ,$533.61 ,$533.61 ,$601.37 ,$847.00 ,$719.95 , N/A ,$677.60 ,$313.39 ,$677.60 , N/A , N/A ,$847.00 ,$459.07 , N/A ,$222.76 , N/A , N/A , N/A , N/A , N/A ,$719.95 , N/A ,$557.33 ,$237.16 ,$762.30 ,$609.84 ,$847.00 ,$533.61 ,$533.61 ,$533.61 , N/A ,$406.56 ,$762.30 ST. JOHN'S HOSPITAL,27204809,N/A,HC CIRCUIT NEBULIZER CONTINUOUS,272,1 ,$44.00 ,$28.60 ,$11.57 ,$44.00 , N/A ,$20.24 ,$23.85 , N/A ,$12.32 ,$14.08 , N/A ,$16.19 , N/A ,$16.81 ,$17.60 , N/A ,$16.81 , N/A ,$23.14 ,$22.44 , N/A , N/A ,$30.80 , N/A ,$22.00 , N/A ,$33.00 ,$22.22 ,$20.02 ,$22.22 , N/A ,$22.22 ,$27.72 ,$27.72 ,$31.24 ,$44.00 ,$37.40 , N/A ,$35.20 ,$16.28 ,$35.20 , N/A , N/A ,$44.00 ,$23.85 , N/A ,$11.57 , N/A , N/A , N/A , N/A , N/A ,$37.40 , N/A ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$27.72 ,$27.72 ,$27.72 , N/A ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,27204810,N/A,HC CIRCUIT NEBULIZER ULTRASONIC,272,1 ,$129.00 ,$83.85 ,$33.93 ,$129.00 , N/A ,$59.34 ,$69.92 , N/A ,$36.12 ,$41.28 , N/A ,$47.47 , N/A ,$49.28 ,$51.60 , N/A ,$49.28 , N/A ,$67.85 ,$65.79 , N/A , N/A ,$90.30 , N/A ,$64.50 , N/A ,$96.75 ,$65.15 ,$58.70 ,$65.15 , N/A ,$65.15 ,$81.27 ,$81.27 ,$91.59 ,$129.00 ,$109.65 , N/A ,$103.20 ,$47.73 ,$103.20 , N/A , N/A ,$129.00 ,$69.92 , N/A ,$33.93 , N/A , N/A , N/A , N/A , N/A ,$109.65 , N/A ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$81.27 ,$81.27 ,$81.27 , N/A ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,27204811,N/A,HC CIRCUIT ANESTHESIA NEONATAL,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27204812,N/A,HC CLAMP CLIPPERS CORD,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204813,N/A,HC CLAMP OCCLUDING PLASTIC,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204814,N/A,HC CLIP REMOVER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204815,N/A,HC FEEDING TUBE CLOG ZAPPER,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204816,N/A,HC PADS COMFORT GLIDE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204817,N/A,HC SHEET COMFORT GLIDE,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204818,N/A,HC COMPRESSION COBAN 2 LAYER,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204819,N/A,HC COMPRESSION WRAP SETOPRESS,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204820,N/A,HC BANDAGE COMPRESSION UNNA BOOT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204821,N/A,HC CONNECTOR STRAIGHT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204822,N/A,HC KIT NERVE BLOCK CONTINUOUS,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204823,N/A,HC KIT CRASH CART SUPPLY REPLACEMENT,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204824,N/A,HC NEEDLE RADIOFREQUENCY,272,1 ,"$3,366.00 ","$2,187.90 ",$885.26 ,"$3,366.00 ", N/A ,"$1,548.36 ","$1,824.37 ", N/A ,$942.48 ,"$1,077.12 ", N/A ,"$1,238.69 ", N/A ,"$1,285.81 ","$1,346.40 ", N/A ,"$1,285.81 ", N/A ,"$1,770.52 ","$1,716.66 ", N/A , N/A ,"$2,356.20 ", N/A ,"$1,683.00 ", N/A ,"$2,524.50 ","$1,699.83 ","$1,531.53 ","$1,699.83 ", N/A ,"$1,699.83 ","$2,120.58 ","$2,120.58 ","$2,389.86 ","$3,366.00 ","$2,861.10 ", N/A ,"$2,692.80 ","$1,245.42 ","$2,692.80 ", N/A , N/A ,"$3,366.00 ","$1,824.37 ", N/A ,$885.26 , N/A , N/A , N/A , N/A , N/A ,"$2,861.10 ", N/A ,"$2,214.83 ",$942.48 ,"$3,029.40 ","$2,423.52 ","$3,366.00 ","$2,120.58 ","$2,120.58 ","$2,120.58 ", N/A ,"$1,615.68 ","$3,029.40 " ST. JOHN'S HOSPITAL,27204825,N/A,HC WATER TRAP CRITICARE MONITOR,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204826,N/A,HC DEVICE DAMPING ROSE,272,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27204827,N/A,HC STYLET PEDI GLIDESCOPE,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27204828,N/A,HC DRAIN CHEST DRY SUCTION,272,1 ,$93.00 ,$60.45 ,$24.46 ,$93.00 , N/A ,$42.78 ,$50.41 , N/A ,$26.04 ,$29.76 , N/A ,$34.22 , N/A ,$35.53 ,$37.20 , N/A ,$35.53 , N/A ,$48.92 ,$47.43 , N/A , N/A ,$65.10 , N/A ,$46.50 , N/A ,$69.75 ,$46.97 ,$42.32 ,$46.97 , N/A ,$46.97 ,$58.59 ,$58.59 ,$66.03 ,$93.00 ,$79.05 , N/A ,$74.40 ,$34.41 ,$74.40 , N/A , N/A ,$93.00 ,$50.41 , N/A ,$24.46 , N/A , N/A , N/A , N/A , N/A ,$79.05 , N/A ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$58.59 ,$58.59 ,$58.59 , N/A ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,27204829,N/A,HC SYSTEM DRAINAGE/MONITORING CSF,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27204830,N/A,HC ELECTRODE CORTICAL PLATINUM,272,1 ,"$1,644.00 ","$1,068.60 ",$432.37 ,"$1,644.00 ", N/A ,$756.24 ,$891.05 , N/A ,$460.32 ,$526.08 , N/A ,$604.99 , N/A ,$628.01 ,$657.60 , N/A ,$628.01 , N/A ,$864.74 ,$838.44 , N/A , N/A ,"$1,150.80 ", N/A ,$822.00 , N/A ,"$1,233.00 ",$830.22 ,$748.02 ,$830.22 , N/A ,$830.22 ,"$1,035.72 ","$1,035.72 ","$1,167.24 ","$1,644.00 ","$1,397.40 ", N/A ,"$1,315.20 ",$608.28 ,"$1,315.20 ", N/A , N/A ,"$1,644.00 ",$891.05 , N/A ,$432.37 , N/A , N/A , N/A , N/A , N/A ,"$1,397.40 ", N/A ,"$1,081.75 ",$460.32 ,"$1,479.60 ","$1,183.68 ","$1,644.00 ","$1,035.72 ","$1,035.72 ","$1,035.72 ", N/A ,$789.12 ,"$1,479.60 " ST. JOHN'S HOSPITAL,27204831,N/A,HC ELECTRODE MONITOR STRIP/VITAL STIMULATION,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204832,N/A,HC ELECTRODE DISPERSIVE,272,1 ,$73.00 ,$47.45 ,$19.20 ,$73.00 , N/A ,$33.58 ,$39.57 , N/A ,$20.44 ,$23.36 , N/A ,$26.86 , N/A ,$27.89 ,$29.20 , N/A ,$27.89 , N/A ,$38.40 ,$37.23 , N/A , N/A ,$51.10 , N/A ,$36.50 , N/A ,$54.75 ,$36.87 ,$33.22 ,$36.87 , N/A ,$36.87 ,$45.99 ,$45.99 ,$51.83 ,$73.00 ,$62.05 , N/A ,$58.40 ,$27.01 ,$58.40 , N/A , N/A ,$73.00 ,$39.57 , N/A ,$19.20 , N/A , N/A , N/A , N/A , N/A ,$62.05 , N/A ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$45.99 ,$45.99 ,$45.99 , N/A ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,27204833,N/A,HC CANNULA NASAL ETCO2 LONG TERM,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204834,N/A,HC ENDOTRACH TUBE CHANGER,272,1 ,$25.00 ,$16.25 ,$6.58 ,$25.00 , N/A ,$11.50 ,$13.55 , N/A ,$7.00 ,$8.00 , N/A ,$9.20 , N/A ,$9.55 ,$10.00 , N/A ,$9.55 , N/A ,$13.15 ,$12.75 , N/A , N/A ,$17.50 , N/A ,$12.50 , N/A ,$18.75 ,$12.63 ,$11.38 ,$12.63 , N/A ,$12.63 ,$15.75 ,$15.75 ,$17.75 ,$25.00 ,$21.25 , N/A ,$20.00 ,$9.25 ,$20.00 , N/A , N/A ,$25.00 ,$13.55 , N/A ,$6.58 , N/A , N/A , N/A , N/A , N/A ,$21.25 , N/A ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$15.75 ,$15.75 ,$15.75 , N/A ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,27204835,N/A,HC FEEDING TUBE NEONATAL,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204836,N/A,HC FEEDING TUBE W/O STYLET,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204837,N/A,HC TUBE GASTROSTOMY FEEDING EXTENDED,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204838,N/A,HC TUBE FEEDING CORTRAK,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204839,N/A,HC ADAPTER SWIVEL FIBEROPTIC,272,1 ,$38.00 ,$24.70 ,$9.99 ,$38.00 , N/A ,$17.48 ,$20.60 , N/A ,$10.64 ,$12.16 , N/A ,$13.98 , N/A ,$14.52 ,$15.20 , N/A ,$14.52 , N/A ,$19.99 ,$19.38 , N/A , N/A ,$26.60 , N/A ,$19.00 , N/A ,$28.50 ,$19.19 ,$17.29 ,$19.19 , N/A ,$19.19 ,$23.94 ,$23.94 ,$26.98 ,$38.00 ,$32.30 , N/A ,$30.40 ,$14.06 ,$30.40 , N/A , N/A ,$38.00 ,$20.60 , N/A ,$9.99 , N/A , N/A , N/A , N/A , N/A ,$32.30 , N/A ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$23.94 ,$23.94 ,$23.94 , N/A ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,27204840,N/A,HC FILTER BLOOD LEUCOCYTE DEPLETION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204841,N/A,HC FILTER BLOOD TRANSFUSION,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204842,N/A,HC FILTER OXYGENATOR GAS,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204843,N/A,HC TUBING PRESSURE FLOTRAC,272,1 ,$92.00 ,$59.80 ,$24.20 ,$92.00 , N/A ,$42.32 ,$49.86 , N/A ,$25.76 ,$29.44 , N/A ,$33.86 , N/A ,$35.14 ,$36.80 , N/A ,$35.14 , N/A ,$48.39 ,$46.92 , N/A , N/A ,$64.40 , N/A ,$46.00 , N/A ,$69.00 ,$46.46 ,$41.86 ,$46.46 , N/A ,$46.46 ,$57.96 ,$57.96 ,$65.32 ,$92.00 ,$78.20 , N/A ,$73.60 ,$34.04 ,$73.60 , N/A , N/A ,$92.00 ,$49.86 , N/A ,$24.20 , N/A , N/A , N/A , N/A , N/A ,$78.20 , N/A ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$57.96 ,$57.96 ,$57.96 , N/A ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,27204844,N/A,HC FORCEP RADIAL JAW,272,1 ,$218.00 ,$141.70 ,$57.33 ,$218.00 , N/A ,$100.28 ,$118.16 , N/A ,$61.04 ,$69.76 , N/A ,$80.22 , N/A ,$83.28 ,$87.20 , N/A ,$83.28 , N/A ,$114.67 ,$111.18 , N/A , N/A ,$152.60 , N/A ,$109.00 , N/A ,$163.50 ,$110.09 ,$99.19 ,$110.09 , N/A ,$110.09 ,$137.34 ,$137.34 ,$154.78 ,$218.00 ,$185.30 , N/A ,$174.40 ,$80.66 ,$174.40 , N/A , N/A ,$218.00 ,$118.16 , N/A ,$57.33 , N/A , N/A , N/A , N/A , N/A ,$185.30 , N/A ,$143.44 ,$61.04 ,$196.20 ,$156.96 ,$218.00 ,$137.34 ,$137.34 ,$137.34 , N/A ,$104.64 ,$196.20 ST. JOHN'S HOSPITAL,27204845,N/A,HC FORMULA ELECARE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204846,N/A,HC FORMULA PEPTIDE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204847,N/A,HC FORMULA SPECIALTY BOTTLE W/NIPPLE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204848,N/A,HC BUTTON GASTRO,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204849,N/A,HC BUTTON GASTRO ANGLED,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204850,N/A,HC GAUZE QUICK CLOT,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204851,N/A,HC POSITIONER HEAD DONUT PREMIE,272,1 ,$33.00 ,$21.45 ,$8.68 ,$33.00 , N/A ,$15.18 ,$17.89 , N/A ,$9.24 ,$10.56 , N/A ,$12.14 , N/A ,$12.61 ,$13.20 , N/A ,$12.61 , N/A ,$17.36 ,$16.83 , N/A , N/A ,$23.10 , N/A ,$16.50 , N/A ,$24.75 ,$16.67 ,$15.02 ,$16.67 , N/A ,$16.67 ,$20.79 ,$20.79 ,$23.43 ,$33.00 ,$28.05 , N/A ,$26.40 ,$12.21 ,$26.40 , N/A , N/A ,$33.00 ,$17.89 , N/A ,$8.68 , N/A , N/A , N/A , N/A , N/A ,$28.05 , N/A ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$20.79 ,$20.79 ,$20.79 , N/A ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,27204852,C1769,HC GUIDEWIRE GLIDE STIFF STRAIGHT,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204853,C1769,HC KIT GUIDEWIRE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204854,C1769,HC GUIDEWIRE STRAIGHT TIP,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204855,N/A,HC GRID BREAST BIOPSY,272,1 ,$46.00 ,$29.90 ,$12.10 ,$46.00 , N/A ,$21.16 ,$24.93 , N/A ,$12.88 ,$14.72 , N/A ,$16.93 , N/A ,$17.57 ,$18.40 , N/A ,$17.57 , N/A ,$24.20 ,$23.46 , N/A , N/A ,$32.20 , N/A ,$23.00 , N/A ,$34.50 ,$23.23 ,$20.93 ,$23.23 , N/A ,$23.23 ,$28.98 ,$28.98 ,$32.66 ,$46.00 ,$39.10 , N/A ,$36.80 ,$17.02 ,$36.80 , N/A , N/A ,$46.00 ,$24.93 , N/A ,$12.10 , N/A , N/A , N/A , N/A , N/A ,$39.10 , N/A ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$28.98 ,$28.98 ,$28.98 , N/A ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,27204856,N/A,HC HALO TRACTION RING/TONGS,272,1 ,"$3,366.00 ","$2,187.90 ",$885.26 ,"$3,366.00 ", N/A ,"$1,548.36 ","$1,824.37 ", N/A ,$942.48 ,"$1,077.12 ", N/A ,"$1,238.69 ", N/A ,"$1,285.81 ","$1,346.40 ", N/A ,"$1,285.81 ", N/A ,"$1,770.52 ","$1,716.66 ", N/A , N/A ,"$2,356.20 ", N/A ,"$1,683.00 ", N/A ,"$2,524.50 ","$1,699.83 ","$1,531.53 ","$1,699.83 ", N/A ,"$1,699.83 ","$2,120.58 ","$2,120.58 ","$2,389.86 ","$3,366.00 ","$2,861.10 ", N/A ,"$2,692.80 ","$1,245.42 ","$2,692.80 ", N/A , N/A ,"$3,366.00 ","$1,824.37 ", N/A ,$885.26 , N/A , N/A , N/A , N/A , N/A ,"$2,861.10 ", N/A ,"$2,214.83 ",$942.48 ,"$3,029.40 ","$2,423.52 ","$3,366.00 ","$2,120.58 ","$2,120.58 ","$2,120.58 ", N/A ,"$1,615.68 ","$3,029.40 " ST. JOHN'S HOSPITAL,27204857,N/A,HC HALO VEST/RING,272,1 ,"$6,935.00 ","$4,507.75 ","$1,823.91 ","$6,935.00 ", N/A ,"$3,190.10 ","$3,758.77 ", N/A ,"$1,941.80 ","$2,219.20 ", N/A ,"$2,552.08 ", N/A ,"$2,649.17 ","$2,774.00 ", N/A ,"$2,649.17 ", N/A ,"$3,647.81 ","$3,536.85 ", N/A , N/A ,"$4,854.50 ", N/A ,"$3,467.50 ", N/A ,"$5,201.25 ","$3,502.18 ","$3,155.43 ","$3,502.18 ", N/A ,"$3,502.18 ","$4,369.05 ","$4,369.05 ","$4,923.85 ","$6,935.00 ","$5,894.75 ", N/A ,"$5,548.00 ","$2,565.95 ","$5,548.00 ", N/A , N/A ,"$6,935.00 ","$3,758.77 ", N/A ,"$1,823.91 ", N/A , N/A , N/A , N/A , N/A ,"$5,894.75 ", N/A ,"$4,563.23 ","$1,941.80 ","$6,241.50 ","$4,993.20 ","$6,935.00 ","$4,369.05 ","$4,369.05 ","$4,369.05 ", N/A ,"$3,328.80 ","$6,241.50 " ST. JOHN'S HOSPITAL,27204858,N/A,HC HEEL PROTECTOR WAFFLE CUSTOM,270,1 ,$74.00 ,$48.10 ,$19.46 ,$74.00 , N/A ,$34.04 ,$40.11 , N/A ,$20.72 ,$23.68 , N/A ,$27.23 , N/A ,$28.27 ,$29.60 , N/A ,$28.27 , N/A ,$38.92 ,$37.74 , N/A , N/A ,$51.80 , N/A ,$37.00 , N/A ,$55.50 ,$37.37 ,$33.67 ,$37.37 , N/A ,$37.37 ,$46.62 ,$46.62 ,$52.54 ,$74.00 ,$62.90 , N/A ,$59.20 ,$27.38 ,$59.20 , N/A , N/A ,$74.00 ,$40.11 , N/A ,$19.46 , N/A , N/A , N/A , N/A , N/A ,$62.90 , N/A ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$46.62 ,$46.62 ,$46.62 , N/A ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,27204859,N/A,HC HEMOSTAT SURGICAL,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204860,N/A,HC HEMOSTAT MATRIX,272,1 ,$431.00 ,$280.15 ,$113.35 ,$431.00 , N/A ,$198.26 ,$233.60 , N/A ,$120.68 ,$137.92 , N/A ,$158.61 , N/A ,$164.64 ,$172.40 , N/A ,$164.64 , N/A ,$226.71 ,$219.81 , N/A , N/A ,$301.70 , N/A ,$215.50 , N/A ,$323.25 ,$217.66 ,$196.11 ,$217.66 , N/A ,$217.66 ,$271.53 ,$271.53 ,$306.01 ,$431.00 ,$366.35 , N/A ,$344.80 ,$159.47 ,$344.80 , N/A , N/A ,$431.00 ,$233.60 , N/A ,$113.35 , N/A , N/A , N/A , N/A , N/A ,$366.35 , N/A ,$283.60 ,$120.68 ,$387.90 ,$310.32 ,$431.00 ,$271.53 ,$271.53 ,$271.53 , N/A ,$206.88 ,$387.90 ST. JOHN'S HOSPITAL,27204861,N/A,HC HIBICLENS,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204862,N/A,HC KIT IN LINE ETCO2 INFANT/NEONATAL,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204863,N/A,HC INFANT STARTER NUTRITIONAL SUPPLEMENT,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204864,N/A,HC INTRODUCER 6FR,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204865,N/A,HC INTRODUCER/SHEATH,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204866,N/A,HC AIRWAY INTUBATING W/OXYGEN DELIVERY,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27204867,N/A,HC AIRWAY INTUBATING LARYNGEAL W/STYLET,272,1 ,$25.00 ,$16.25 ,$6.58 ,$25.00 , N/A ,$11.50 ,$13.55 , N/A ,$7.00 ,$8.00 , N/A ,$9.20 , N/A ,$9.55 ,$10.00 , N/A ,$9.55 , N/A ,$13.15 ,$12.75 , N/A , N/A ,$17.50 , N/A ,$12.50 , N/A ,$18.75 ,$12.63 ,$11.38 ,$12.63 , N/A ,$12.63 ,$15.75 ,$15.75 ,$17.75 ,$25.00 ,$21.25 , N/A ,$20.00 ,$9.25 ,$20.00 , N/A , N/A ,$25.00 ,$13.55 , N/A ,$6.58 , N/A , N/A , N/A , N/A , N/A ,$21.25 , N/A ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$15.75 ,$15.75 ,$15.75 , N/A ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,27204868,N/A,HC SUTURE REMOVER IRIS,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204869,N/A,HC IV ANGIOCATH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204870,N/A,HC IV FEMORAL LINE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204871,N/A,HC IV PICC LINE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204872,N/A,HC STATLOCK IV PICC,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204873,N/A,HC TUBING IV PUMP BLOOD PEDIATRIC,272,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A ,$13.80 ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 ,$12.00 , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$18.90 ,$18.90 ,$21.30 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$18.90 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27204874,N/A,HC TUBING IV PUMP,272,1 ,$14.00 ,$9.10 ,$3.68 ,$14.00 , N/A ,$6.44 ,$7.59 , N/A ,$3.92 ,$4.48 , N/A ,$5.15 , N/A ,$5.35 ,$5.60 , N/A ,$5.35 , N/A ,$7.36 ,$7.14 , N/A , N/A ,$9.80 , N/A ,$7.00 , N/A ,$10.50 ,$7.07 ,$6.37 ,$7.07 , N/A ,$7.07 ,$8.82 ,$8.82 ,$9.94 ,$14.00 ,$11.90 , N/A ,$11.20 ,$5.18 ,$11.20 , N/A , N/A ,$14.00 ,$7.59 , N/A ,$3.68 , N/A , N/A , N/A , N/A , N/A ,$11.90 , N/A ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$8.82 ,$8.82 ,$8.82 , N/A ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,27204875,N/A,HC IV RADIAL ARTERY,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204876,N/A,HC IV SET NORMOTHERMIC,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204877,N/A,HC IV TUBING EXTENSION W/CLAVION,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204878,N/A,HC IV TUBING RADIAL ARTERY,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204879,N/A,HC IV UMBILICAL ARTERY DOUBLE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204880,N/A,HC IV UMBILICAL ARTERY SINGLE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204881,N/A,HC JAW BRA,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204882,N/A,HC KIT AEROSOL SUPPLY,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27204883,N/A,HC KIT AMNISURE,272,1 ,$184.00 ,$119.60 ,$48.39 ,$184.00 , N/A ,$84.64 ,$99.73 , N/A ,$51.52 ,$58.88 , N/A ,$67.71 , N/A ,$70.29 ,$73.60 , N/A ,$70.29 , N/A ,$96.78 ,$93.84 , N/A , N/A ,$128.80 , N/A ,$92.00 , N/A ,$138.00 ,$92.92 ,$83.72 ,$92.92 , N/A ,$92.92 ,$115.92 ,$115.92 ,$130.64 ,$184.00 ,$156.40 , N/A ,$147.20 ,$68.08 ,$147.20 , N/A , N/A ,$184.00 ,$99.73 , N/A ,$48.39 , N/A , N/A , N/A , N/A , N/A ,$156.40 , N/A ,$121.07 ,$51.52 ,$165.60 ,$132.48 ,$184.00 ,$115.92 ,$115.92 ,$115.92 , N/A ,$88.32 ,$165.60 ST. JOHN'S HOSPITAL,27204884,N/A,HC KIT ARTERIAL LINE PEDI,272,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A ,$34.50 ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 ,$30.00 , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$47.25 ,$47.25 ,$53.25 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$47.25 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27204885,N/A,HC ADAPTER ARTERIAL LINE,272,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27204886,N/A,HC KIT ARTERIAL STRAIGHTSHOT,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204888,N/A,HC KIT CATHETER PLEURX DRAINAGE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204889,N/A,HC TRAY CENTRAL LINE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204890,N/A,HC KIT CENTRAL LINE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204891,N/A,HC KIT CENTRAL LINE QUAD,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27204892,N/A,HC KIT CENTRAL LINE MULTI-LUMEN,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204893,N/A,HC KIT CHEST TUBE PNEUMO EMERGENCY,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204894,N/A,HC KIT CHEST TUBE INSERTION,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204895,N/A,HC KIT EVACUATOR,272,1 ,$15.00 ,$9.75 ,$3.95 ,$15.00 , N/A ,$6.90 ,$8.13 , N/A ,$4.20 ,$4.80 , N/A ,$5.52 , N/A ,$5.73 ,$6.00 , N/A ,$5.73 , N/A ,$7.89 ,$7.65 , N/A , N/A ,$10.50 , N/A ,$7.50 , N/A ,$11.25 ,$7.58 ,$6.83 ,$7.58 , N/A ,$7.58 ,$9.45 ,$9.45 ,$10.65 ,$15.00 ,$12.75 , N/A ,$12.00 ,$5.55 ,$12.00 , N/A , N/A ,$15.00 ,$8.13 , N/A ,$3.95 , N/A , N/A , N/A , N/A , N/A ,$12.75 , N/A ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$9.45 ,$9.45 ,$9.45 , N/A ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,27204896,N/A,HC KIT FEMORAL LINE,272,1 ,$189.00 ,$122.85 ,$49.71 ,$189.00 , N/A ,$86.94 ,$102.44 , N/A ,$52.92 ,$60.48 , N/A ,$69.55 , N/A ,$72.20 ,$75.60 , N/A ,$72.20 , N/A ,$99.41 ,$96.39 , N/A , N/A ,$132.30 , N/A ,$94.50 , N/A ,$141.75 ,$95.45 ,$86.00 ,$95.45 , N/A ,$95.45 ,$119.07 ,$119.07 ,$134.19 ,$189.00 ,$160.65 , N/A ,$151.20 ,$69.93 ,$151.20 , N/A , N/A ,$189.00 ,$102.44 , N/A ,$49.71 , N/A , N/A , N/A , N/A , N/A ,$160.65 , N/A ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$119.07 ,$119.07 ,$119.07 , N/A ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,27204897,N/A,HC KIT HEMOVAC,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204898,N/A,HC KIT INCISION AND DRAINAGE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204899,N/A,HC KIT IAP DAILY SUPPLY,272,1 ,$186.00 ,$120.90 ,$48.92 ,$186.00 , N/A ,$85.56 ,$100.81 , N/A ,$52.08 ,$59.52 , N/A ,$68.45 , N/A ,$71.05 ,$74.40 , N/A ,$71.05 , N/A ,$97.84 ,$94.86 , N/A , N/A ,$130.20 , N/A ,$93.00 , N/A ,$139.50 ,$93.93 ,$84.63 ,$93.93 , N/A ,$93.93 ,$117.18 ,$117.18 ,$132.06 ,$186.00 ,$158.10 , N/A ,$148.80 ,$68.82 ,$148.80 , N/A , N/A ,$186.00 ,$100.81 , N/A ,$48.92 , N/A , N/A , N/A , N/A , N/A ,$158.10 , N/A ,$122.39 ,$52.08 ,$167.40 ,$133.92 ,$186.00 ,$117.18 ,$117.18 ,$117.18 , N/A ,$89.28 ,$167.40 ST. JOHN'S HOSPITAL,27204900,N/A,HC KIT IAP MONITOR,272,1 ,$240.00 ,$156.00 ,$63.12 ,$240.00 , N/A ,$110.40 ,$130.08 , N/A ,$67.20 ,$76.80 , N/A ,$88.32 , N/A ,$91.68 ,$96.00 , N/A ,$91.68 , N/A ,$126.24 ,$122.40 , N/A , N/A ,$168.00 , N/A ,$120.00 , N/A ,$180.00 ,$121.20 ,$109.20 ,$121.20 , N/A ,$121.20 ,$151.20 ,$151.20 ,$170.40 ,$240.00 ,$204.00 , N/A ,$192.00 ,$88.80 ,$192.00 , N/A , N/A ,$240.00 ,$130.08 , N/A ,$63.12 , N/A , N/A , N/A , N/A , N/A ,$204.00 , N/A ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$151.20 ,$151.20 ,$151.20 , N/A ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,27204901,N/A,HC KIT IRRIGATION PISTON SYRINGE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204902,N/A,HC KIT MONITOR TRANSDUCER QUAD,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204903,N/A,HC KIT MONITOR TRANSDUCER DOUBLE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204904,N/A,HC KIT MONITOR TRANSDUCER SINGLE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204905,N/A,HC KIT MONITOR TRANSDUCER NEO/PEDI,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204906,N/A,HC KIT NASAL EXAM,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204907,N/A,HC KIT NASAL PACKING,272,1 ,$62.00 ,$40.30 ,$16.31 ,$62.00 , N/A ,$28.52 ,$33.60 , N/A ,$17.36 ,$19.84 , N/A ,$22.82 , N/A ,$23.68 ,$24.80 , N/A ,$23.68 , N/A ,$32.61 ,$31.62 , N/A , N/A ,$43.40 , N/A ,$31.00 , N/A ,$46.50 ,$31.31 ,$28.21 ,$31.31 , N/A ,$31.31 ,$39.06 ,$39.06 ,$44.02 ,$62.00 ,$52.70 , N/A ,$49.60 ,$22.94 ,$49.60 , N/A , N/A ,$62.00 ,$33.60 , N/A ,$16.31 , N/A , N/A , N/A , N/A , N/A ,$52.70 , N/A ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$39.06 ,$39.06 ,$39.06 , N/A ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27204908,N/A,HC KIT ORAL CARE PEDIATRIC,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204909,N/A,HC KIT ORAL CARE SUCTION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204910,N/A,HC KIT ORAL CARE LIMITED,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204911,N/A,HC KIT PERC TRACH INTRODUCER,272,1 ,$918.00 ,$596.70 ,$241.43 ,$918.00 , N/A ,$422.28 ,$497.56 , N/A ,$257.04 ,$293.76 , N/A ,$337.82 , N/A ,$350.68 ,$367.20 , N/A ,$350.68 , N/A ,$482.87 ,$468.18 , N/A , N/A ,$642.60 , N/A ,$459.00 , N/A ,$688.50 ,$463.59 ,$417.69 ,$463.59 , N/A ,$463.59 ,$578.34 ,$578.34 ,$651.78 ,$918.00 ,$780.30 , N/A ,$734.40 ,$339.66 ,$734.40 , N/A , N/A ,$918.00 ,$497.56 , N/A ,$241.43 , N/A , N/A , N/A , N/A , N/A ,$780.30 , N/A ,$604.04 ,$257.04 ,$826.20 ,$660.96 ,$918.00 ,$578.34 ,$578.34 ,$578.34 , N/A ,$440.64 ,$826.20 ST. JOHN'S HOSPITAL,27204912,N/A,HC KIT PERC TRACH,272,1 ,"$1,267.00 ",$823.55 ,$333.22 ,"$1,267.00 ", N/A ,$582.82 ,$686.71 , N/A ,$354.76 ,$405.44 , N/A ,$466.26 , N/A ,$483.99 ,$506.80 , N/A ,$483.99 , N/A ,$666.44 ,$646.17 , N/A , N/A ,$886.90 , N/A ,$633.50 , N/A ,$950.25 ,$639.84 ,$576.49 ,$639.84 , N/A ,$639.84 ,$798.21 ,$798.21 ,$899.57 ,"$1,267.00 ","$1,076.95 ", N/A ,"$1,013.60 ",$468.79 ,"$1,013.60 ", N/A , N/A ,"$1,267.00 ",$686.71 , N/A ,$333.22 , N/A , N/A , N/A , N/A , N/A ,"$1,076.95 ", N/A ,$833.69 ,$354.76 ,"$1,140.30 ",$912.24 ,"$1,267.00 ",$798.21 ,$798.21 ,$798.21 , N/A ,$608.16 ,"$1,140.30 " ST. JOHN'S HOSPITAL,27204913,N/A,HC KIT PERC VENOUS FEMORAL CATH/INTRODUCER,272,1 ,"$1,224.00 ",$795.60 ,$321.91 ,"$1,224.00 ", N/A ,$563.04 ,$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$489.60 , N/A ,$467.57 , N/A ,$643.82 ,$624.24 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$618.12 ,$556.92 ,$618.12 , N/A ,$618.12 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,"$1,224.00 ",$663.41 , N/A ,$321.91 , N/A , N/A , N/A , N/A , N/A ,"$1,040.40 ", N/A ,$805.39 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,27204914,N/A,HC KIT INSERTION PERCUTANEOUS,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204915,N/A,HC KIT PERICARDIOCENTESIS,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204916,N/A,HC KIT CHEST TUBE PIGTAIL,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204917,N/A,HC KIT PNEUMOTHORAX ARROW,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204918,N/A,HC KIT PICC POLY COMPLETE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204919,N/A,HC KIT RETINOPATHY EXAM,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204920,N/A,HC K-PAD UNIT ADJUSTABLE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204921,N/A,HC LASER ETT,272,1 ,$132.00 ,$85.80 ,$34.72 ,$132.00 , N/A ,$60.72 ,$71.54 , N/A ,$36.96 ,$42.24 , N/A ,$48.58 , N/A ,$50.42 ,$52.80 , N/A ,$50.42 , N/A ,$69.43 ,$67.32 , N/A , N/A ,$92.40 , N/A ,$66.00 , N/A ,$99.00 ,$66.66 ,$60.06 ,$66.66 , N/A ,$66.66 ,$83.16 ,$83.16 ,$93.72 ,$132.00 ,$112.20 , N/A ,$105.60 ,$48.84 ,$105.60 , N/A , N/A ,$132.00 ,$71.54 , N/A ,$34.72 , N/A , N/A , N/A , N/A , N/A ,$112.20 , N/A ,$86.86 ,$36.96 ,$118.80 ,$95.04 ,$132.00 ,$83.16 ,$83.16 ,$83.16 , N/A ,$63.36 ,$118.80 ST. JOHN'S HOSPITAL,27204922,N/A,HC LIFT SLING MEDIUM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204923,N/A,HC LIFT SLING LARGE/X-LARGE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204924,N/A,HC LIFT SLING CEILING REPOSITION,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27204925,N/A,HC LIGASURE T1,272,1 ,"$1,530.00 ",$994.50 ,$402.39 ,"$1,530.00 ", N/A ,$703.80 ,$829.26 , N/A ,$428.40 ,$489.60 , N/A ,$563.04 , N/A ,$584.46 ,$612.00 , N/A ,$584.46 , N/A ,$804.78 ,$780.30 , N/A , N/A ,"$1,071.00 ", N/A ,$765.00 , N/A ,"$1,147.50 ",$772.65 ,$696.15 ,$772.65 , N/A ,$772.65 ,$963.90 ,$963.90 ,"$1,086.30 ","$1,530.00 ","$1,300.50 ", N/A ,"$1,224.00 ",$566.10 ,"$1,224.00 ", N/A , N/A ,"$1,530.00 ",$829.26 , N/A ,$402.39 , N/A , N/A , N/A , N/A , N/A ,"$1,300.50 ", N/A ,"$1,006.74 ",$428.40 ,"$1,377.00 ","$1,101.60 ","$1,530.00 ",$963.90 ,$963.90 ,$963.90 , N/A ,$734.40 ,"$1,377.00 " ST. JOHN'S HOSPITAL,27204926,N/A,HC LIGASURE T2,272,1 ,"$2,142.00 ","$1,392.30 ",$563.35 ,"$2,142.00 ", N/A ,$985.32 ,"$1,160.96 ", N/A ,$599.76 ,$685.44 , N/A ,$788.26 , N/A ,$818.24 ,$856.80 , N/A ,$818.24 , N/A ,"$1,126.69 ","$1,092.42 ", N/A , N/A ,"$1,499.40 ", N/A ,"$1,071.00 ", N/A ,"$1,606.50 ","$1,081.71 ",$974.61 ,"$1,081.71 ", N/A ,"$1,081.71 ","$1,349.46 ","$1,349.46 ","$1,520.82 ","$2,142.00 ","$1,820.70 ", N/A ,"$1,713.60 ",$792.54 ,"$1,713.60 ", N/A , N/A ,"$2,142.00 ","$1,160.96 ", N/A ,$563.35 , N/A , N/A , N/A , N/A , N/A ,"$1,820.70 ", N/A ,"$1,409.44 ",$599.76 ,"$1,927.80 ","$1,542.24 ","$2,142.00 ","$1,349.46 ","$1,349.46 ","$1,349.46 ", N/A ,"$1,028.16 ","$1,927.80 " ST. JOHN'S HOSPITAL,27204927,N/A,HC LIGASURE T3,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27204928,N/A,HC MANIFOLD EXTENSION,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27204929,N/A,HC MATTRESS WARMING INFANT,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204930,N/A,HC MATTRESS EGGCRATE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204931,N/A,HC MATTRESS GEOMAT FOAM,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27204932,N/A,HC DRAIN JACKSON PRATT MINIVAC W/TROCAR,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204933,N/A,HC SPECIMEN TRAP MUCOUS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204934,N/A,HC NASAL CLIP,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204935,N/A,HC NEEDLE SCLEROTHERAPY,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204936,N/A,HC NEEDLE NERVE BLOCK ECHOGENIC,272,1 ,$48.00 ,$31.20 ,$12.62 ,$48.00 , N/A ,$22.08 ,$26.02 , N/A ,$13.44 ,$15.36 , N/A ,$17.66 , N/A ,$18.34 ,$19.20 , N/A ,$18.34 , N/A ,$25.25 ,$24.48 , N/A , N/A ,$33.60 , N/A ,$24.00 , N/A ,$36.00 ,$24.24 ,$21.84 ,$24.24 , N/A ,$24.24 ,$30.24 ,$30.24 ,$34.08 ,$48.00 ,$40.80 , N/A ,$38.40 ,$17.76 ,$38.40 , N/A , N/A ,$48.00 ,$26.02 , N/A ,$12.62 , N/A , N/A , N/A , N/A , N/A ,$40.80 , N/A ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$30.24 ,$30.24 ,$30.24 , N/A ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,27204937,N/A,HC NEEDLE NERVE BLOCK STIMULATING,272,1 ,$23.00 ,$14.95 ,$6.05 ,$23.00 , N/A ,$10.58 ,$12.47 , N/A ,$6.44 ,$7.36 , N/A ,$8.46 , N/A ,$8.79 ,$9.20 , N/A ,$8.79 , N/A ,$12.10 ,$11.73 , N/A , N/A ,$16.10 , N/A ,$11.50 , N/A ,$17.25 ,$11.62 ,$10.47 ,$11.62 , N/A ,$11.62 ,$14.49 ,$14.49 ,$16.33 ,$23.00 ,$19.55 , N/A ,$18.40 ,$8.51 ,$18.40 , N/A , N/A ,$23.00 ,$12.47 , N/A ,$6.05 , N/A , N/A , N/A , N/A , N/A ,$19.55 , N/A ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$14.49 ,$14.49 ,$14.49 , N/A ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,27204938,N/A,HC NEEDLE ASPIRATION,272,1 ,$159.00 ,$103.35 ,$41.82 ,$159.00 , N/A ,$73.14 ,$86.18 , N/A ,$44.52 ,$50.88 , N/A ,$58.51 , N/A ,$60.74 ,$63.60 , N/A ,$60.74 , N/A ,$83.63 ,$81.09 , N/A , N/A ,$111.30 , N/A ,$79.50 , N/A ,$119.25 ,$80.30 ,$72.35 ,$80.30 , N/A ,$80.30 ,$100.17 ,$100.17 ,$112.89 ,$159.00 ,$135.15 , N/A ,$127.20 ,$58.83 ,$127.20 , N/A , N/A ,$159.00 ,$86.18 , N/A ,$41.82 , N/A , N/A , N/A , N/A , N/A ,$135.15 , N/A ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$100.17 ,$100.17 ,$100.17 , N/A ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,27204939,N/A,HC NEEDLE ASPIRATION AORTIC,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204940,N/A,HC NEEDLE DECOMPRESSION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204941,N/A,HC NEEDLE EPIDURAL,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204942,N/A,HC NEEDLE BIOPSY BREAST,272,1 ,$597.00 ,$388.05 ,$157.01 ,$597.00 , N/A ,$274.62 ,$323.57 , N/A ,$167.16 ,$191.04 , N/A ,$219.70 , N/A ,$228.05 ,$238.80 , N/A ,$228.05 , N/A ,$314.02 ,$304.47 , N/A , N/A ,$417.90 , N/A ,$298.50 , N/A ,$447.75 ,$301.49 ,$271.64 ,$301.49 , N/A ,$301.49 ,$376.11 ,$376.11 ,$423.87 ,$597.00 ,$507.45 , N/A ,$477.60 ,$220.89 ,$477.60 , N/A , N/A ,$597.00 ,$323.57 , N/A ,$157.01 , N/A , N/A , N/A , N/A , N/A ,$507.45 , N/A ,$392.83 ,$167.16 ,$537.30 ,$429.84 ,$597.00 ,$376.11 ,$376.11 ,$376.11 , N/A ,$286.56 ,$537.30 ST. JOHN'S HOSPITAL,27204943,N/A,HC NEEDLE HUBER LIFEGUARD,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204944,N/A,HC NEEDLE SPINAL WHITACRE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204945,N/A,HC NEEDLE SPINAL QUINCKE,272,1 ,$40.00 ,$26.00 ,$10.52 ,$40.00 , N/A ,$18.40 ,$21.68 , N/A ,$11.20 ,$12.80 , N/A ,$14.72 , N/A ,$15.28 ,$16.00 , N/A ,$15.28 , N/A ,$21.04 ,$20.40 , N/A , N/A ,$28.00 , N/A ,$20.00 , N/A ,$30.00 ,$20.20 ,$18.20 ,$20.20 , N/A ,$20.20 ,$25.20 ,$25.20 ,$28.40 ,$40.00 ,$34.00 , N/A ,$32.00 ,$14.80 ,$32.00 , N/A , N/A ,$40.00 ,$21.68 , N/A ,$10.52 , N/A , N/A , N/A , N/A , N/A ,$34.00 , N/A ,$26.32 ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$25.20 ,$25.20 ,$25.20 , N/A ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,27204946,N/A,HC NEEDLE TRANSBRONCHIAL,272,1 ,$178.00 ,$115.70 ,$46.81 ,$178.00 , N/A ,$81.88 ,$96.48 , N/A ,$49.84 ,$56.96 , N/A ,$65.50 , N/A ,$68.00 ,$71.20 , N/A ,$68.00 , N/A ,$93.63 ,$90.78 , N/A , N/A ,$124.60 , N/A ,$89.00 , N/A ,$133.50 ,$89.89 ,$80.99 ,$89.89 , N/A ,$89.89 ,$112.14 ,$112.14 ,$126.38 ,$178.00 ,$151.30 , N/A ,$142.40 ,$65.86 ,$142.40 , N/A , N/A ,$178.00 ,$96.48 , N/A ,$46.81 , N/A , N/A , N/A , N/A , N/A ,$151.30 , N/A ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$112.14 ,$112.14 ,$112.14 , N/A ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,27204947,N/A,HC NEEDLE SPINAL PEDIATRIC,272,1 ,$9.00 ,$5.85 ,$2.37 ,$9.00 , N/A ,$4.14 ,$4.88 , N/A ,$2.52 ,$2.88 , N/A ,$3.31 , N/A ,$3.44 ,$3.60 , N/A ,$3.44 , N/A ,$4.73 ,$4.59 , N/A , N/A ,$6.30 , N/A ,$4.50 , N/A ,$6.75 ,$4.55 ,$4.10 ,$4.55 , N/A ,$4.55 ,$5.67 ,$5.67 ,$6.39 ,$9.00 ,$7.65 , N/A ,$7.20 ,$3.33 ,$7.20 , N/A , N/A ,$9.00 ,$4.88 , N/A ,$2.37 , N/A , N/A , N/A , N/A , N/A ,$7.65 , N/A ,$5.92 ,$2.52 ,$8.10 ,$6.48 ,$9.00 ,$5.67 ,$5.67 ,$5.67 , N/A ,$4.32 ,$8.10 ST. JOHN'S HOSPITAL,27204948,N/A,HC NEEDLE MONOPTY,272,1 ,$114.00 ,$74.10 ,$29.98 ,$114.00 , N/A ,$52.44 ,$61.79 , N/A ,$31.92 ,$36.48 , N/A ,$41.95 , N/A ,$43.55 ,$45.60 , N/A ,$43.55 , N/A ,$59.96 ,$58.14 , N/A , N/A ,$79.80 , N/A ,$57.00 , N/A ,$85.50 ,$57.57 ,$51.87 ,$57.57 , N/A ,$57.57 ,$71.82 ,$71.82 ,$80.94 ,$114.00 ,$96.90 , N/A ,$91.20 ,$42.18 ,$91.20 , N/A , N/A ,$114.00 ,$61.79 , N/A ,$29.98 , N/A , N/A , N/A , N/A , N/A ,$96.90 , N/A ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$71.82 ,$71.82 ,$71.82 , N/A ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,27204949,N/A,HC HOLDER ENDOTRACH NEOBAR,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204950,N/A,HC POWDER NEOSURE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204951,N/A,HC TUBE NG ANTI-REFLUX,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204952,N/A,HC NIPPLE BREAST FAST FLOW,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204953,N/A,HC NIPPLE BREAST SLOW FLOW,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204954,N/A,HC NITRAZINE PAPER,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204955,N/A,HC NO STING SPRAY,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204956,N/A,HC NO STING STICK,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204957,N/A,HC BARRIER PROTECTANT SENSI-CARE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204958,N/A,HC NOSE BETTER MOISTURIZER GEL,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204959,N/A,HC KIT OXYGEN MONITOR OPTICATH,272,1 ,$536.00 ,$348.40 ,$140.97 ,$536.00 , N/A ,$246.56 ,$290.51 , N/A ,$150.08 ,$171.52 , N/A ,$197.25 , N/A ,$204.75 ,$214.40 , N/A ,$204.75 , N/A ,$281.94 ,$273.36 , N/A , N/A ,$375.20 , N/A ,$268.00 , N/A ,$402.00 ,$270.68 ,$243.88 ,$270.68 , N/A ,$270.68 ,$337.68 ,$337.68 ,$380.56 ,$536.00 ,$455.60 , N/A ,$428.80 ,$198.32 ,$428.80 , N/A , N/A ,$536.00 ,$290.51 , N/A ,$140.97 , N/A , N/A , N/A , N/A , N/A ,$455.60 , N/A ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$337.68 ,$337.68 ,$337.68 , N/A ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,27204960,N/A,HC ORAL SUCTION SWAB SYSTEM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204961,N/A,HC NUTRITION SUPPLEMENT OSMOLITE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204962,N/A,HC OSTOMY/UROSTOMY ADAPTER,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204963,N/A,HC OSTOMY BARRIER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204964,N/A,HC OSTOMY BELT,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204965,N/A,HC OSTOMY CONE IRRIGATOR KIT,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204966,N/A,HC OSTOMY POUCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204967,N/A,HC OSTOMY RING,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204968,N/A,HC OSTOMY PASTE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204969,N/A,HC OSTOMY STOMAHESIVE POWDER,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204970,N/A,HC OSTOMY DRAINAGE NIGHT JUG,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204971,N/A,HC OXYGENATOR NEO/PEDI,272,1 ,"$3,978.00 ","$2,585.70 ","$1,046.21 ","$3,978.00 ", N/A ,"$1,829.88 ","$2,156.08 ", N/A ,"$1,113.84 ","$1,272.96 ", N/A ,"$1,463.90 ", N/A ,"$1,519.60 ","$1,591.20 ", N/A ,"$1,519.60 ", N/A ,"$2,092.43 ","$2,028.78 ", N/A , N/A ,"$2,784.60 ", N/A ,"$1,989.00 ", N/A ,"$2,983.50 ","$2,008.89 ","$1,809.99 ","$2,008.89 ", N/A ,"$2,008.89 ","$2,506.14 ","$2,506.14 ","$2,824.38 ","$3,978.00 ","$3,381.30 ", N/A ,"$3,182.40 ","$1,471.86 ","$3,182.40 ", N/A , N/A ,"$3,978.00 ","$2,156.08 ", N/A ,"$1,046.21 ", N/A , N/A , N/A , N/A , N/A ,"$3,381.30 ", N/A ,"$2,617.52 ","$1,113.84 ","$3,580.20 ","$2,864.16 ","$3,978.00 ","$2,506.14 ","$2,506.14 ","$2,506.14 ", N/A ,"$1,909.44 ","$3,580.20 " ST. JOHN'S HOSPITAL,27204972,N/A,HC OXYGENATOR,272,1 ,$918.00 ,$596.70 ,$241.43 ,$918.00 , N/A ,$422.28 ,$497.56 , N/A ,$257.04 ,$293.76 , N/A ,$337.82 , N/A ,$350.68 ,$367.20 , N/A ,$350.68 , N/A ,$482.87 ,$468.18 , N/A , N/A ,$642.60 , N/A ,$459.00 , N/A ,$688.50 ,$463.59 ,$417.69 ,$463.59 , N/A ,$463.59 ,$578.34 ,$578.34 ,$651.78 ,$918.00 ,$780.30 , N/A ,$734.40 ,$339.66 ,$734.40 , N/A , N/A ,$918.00 ,$497.56 , N/A ,$241.43 , N/A , N/A , N/A , N/A , N/A ,$780.30 , N/A ,$604.04 ,$257.04 ,$826.20 ,$660.96 ,$918.00 ,$578.34 ,$578.34 ,$578.34 , N/A ,$440.64 ,$826.20 ST. JOHN'S HOSPITAL,27204973,N/A,HC PACIFIER NEWBORN,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204974,N/A,HC PACK CEREBRAL MONITORING,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204975,N/A,HC PACK CIRCULATORY ARREST,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204976,N/A,HC PACK CARDIOPULMONARY PERFUSION MAQUET,272,1 ,"$6,426.00 ","$4,176.90 ","$1,690.04 ","$6,426.00 ", N/A ,"$2,955.96 ","$3,482.89 ", N/A ,"$1,799.28 ","$2,056.32 ", N/A ,"$2,364.77 ", N/A ,"$2,454.73 ","$2,570.40 ", N/A ,"$2,454.73 ", N/A ,"$3,380.08 ","$3,277.26 ", N/A , N/A ,"$4,498.20 ", N/A ,"$3,213.00 ", N/A ,"$4,819.50 ","$3,245.13 ","$2,923.83 ","$3,245.13 ", N/A ,"$3,245.13 ","$4,048.38 ","$4,048.38 ","$4,562.46 ","$6,426.00 ","$5,462.10 ", N/A ,"$5,140.80 ","$2,377.62 ","$5,140.80 ", N/A , N/A ,"$6,426.00 ","$3,482.89 ", N/A ,"$1,690.04 ", N/A , N/A , N/A , N/A , N/A ,"$5,462.10 ", N/A ,"$4,228.31 ","$1,799.28 ","$5,783.40 ","$4,626.72 ","$6,426.00 ","$4,048.38 ","$4,048.38 ","$4,048.38 ", N/A ,"$3,084.48 ","$5,783.40 " ST. JOHN'S HOSPITAL,27204977,N/A,HC PACK CARDIOPULMONARY PERFUSION MEDTRONIC,272,1 ,"$2,142.00 ","$1,392.30 ",$563.35 ,"$2,142.00 ", N/A ,$985.32 ,"$1,160.96 ", N/A ,$599.76 ,$685.44 , N/A ,$788.26 , N/A ,$818.24 ,$856.80 , N/A ,$818.24 , N/A ,"$1,126.69 ","$1,092.42 ", N/A , N/A ,"$1,499.40 ", N/A ,"$1,071.00 ", N/A ,"$1,606.50 ","$1,081.71 ",$974.61 ,"$1,081.71 ", N/A ,"$1,081.71 ","$1,349.46 ","$1,349.46 ","$1,520.82 ","$2,142.00 ","$1,820.70 ", N/A ,"$1,713.60 ",$792.54 ,"$1,713.60 ", N/A , N/A ,"$2,142.00 ","$1,160.96 ", N/A ,$563.35 , N/A , N/A , N/A , N/A , N/A ,"$1,820.70 ", N/A ,"$1,409.44 ",$599.76 ,"$1,927.80 ","$1,542.24 ","$2,142.00 ","$1,349.46 ","$1,349.46 ","$1,349.46 ", N/A ,"$1,028.16 ","$1,927.80 " ST. JOHN'S HOSPITAL,27204978,N/A,HC PACK CARDIOPULMONARY THORACIC DESCENDING,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27204979,N/A,HC PACK TUBING DOUBLE SPIKE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204980,N/A,HC PACK TUBING PERFUSION REVOLUTION,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27204981,N/A,HC PACK TUBING PRESSURE MONITOR,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204982,N/A,HC PACK TUBING SUCKER VENT LINE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27204983,N/A,HC PACK TUBING PERFUSION CUSTOM,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204984,N/A,HC ARCTIC SUN PADS SMALL,272,1 ,"$2,877.00 ","$1,870.05 ",$756.65 ,"$2,877.00 ", N/A ,"$1,323.42 ","$1,559.33 ", N/A ,$805.56 ,$920.64 , N/A ,"$1,058.74 ", N/A ,"$1,099.01 ","$1,150.80 ", N/A ,"$1,099.01 ", N/A ,"$1,513.30 ","$1,467.27 ", N/A , N/A ,"$2,013.90 ", N/A ,"$1,438.50 ", N/A ,"$2,157.75 ","$1,452.89 ","$1,309.04 ","$1,452.89 ", N/A ,"$1,452.89 ","$1,812.51 ","$1,812.51 ","$2,042.67 ","$2,877.00 ","$2,445.45 ", N/A ,"$2,301.60 ","$1,064.49 ","$2,301.60 ", N/A , N/A ,"$2,877.00 ","$1,559.33 ", N/A ,$756.65 , N/A , N/A , N/A , N/A , N/A ,"$2,445.45 ", N/A ,"$1,893.07 ",$805.56 ,"$2,589.30 ","$2,071.44 ","$2,877.00 ","$1,812.51 ","$1,812.51 ","$1,812.51 ", N/A ,"$1,380.96 ","$2,589.30 " ST. JOHN'S HOSPITAL,27204985,N/A,HC ARCTIC SUN PADS EXTRA SMALL,272,1 ,"$2,754.00 ","$1,790.10 ",$724.30 ,"$2,754.00 ", N/A ,"$1,266.84 ","$1,492.67 ", N/A ,$771.12 ,$881.28 , N/A ,"$1,013.47 ", N/A ,"$1,052.03 ","$1,101.60 ", N/A ,"$1,052.03 ", N/A ,"$1,448.60 ","$1,404.54 ", N/A , N/A ,"$1,927.80 ", N/A ,"$1,377.00 ", N/A ,"$2,065.50 ","$1,390.77 ","$1,253.07 ","$1,390.77 ", N/A ,"$1,390.77 ","$1,735.02 ","$1,735.02 ","$1,955.34 ","$2,754.00 ","$2,340.90 ", N/A ,"$2,203.20 ","$1,018.98 ","$2,203.20 ", N/A , N/A ,"$2,754.00 ","$1,492.67 ", N/A ,$724.30 , N/A , N/A , N/A , N/A , N/A ,"$2,340.90 ", N/A ,"$1,812.13 ",$771.12 ,"$2,478.60 ","$1,982.88 ","$2,754.00 ","$1,735.02 ","$1,735.02 ","$1,735.02 ", N/A ,"$1,321.92 ","$2,478.60 " ST. JOHN'S HOSPITAL,27204986,N/A,HC PERI WASH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27204987,N/A,HC DENTURE ADHESIVE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204988,N/A,HC BAG INFUSION PRESSURE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27204989,N/A,HC PROBE BIOPSY,272,1 ,$796.00 ,$517.40 ,$209.35 ,$796.00 , N/A ,$366.16 ,$431.43 , N/A ,$222.88 ,$254.72 , N/A ,$292.93 , N/A ,$304.07 ,$318.40 , N/A ,$304.07 , N/A ,$418.70 ,$405.96 , N/A , N/A ,$557.20 , N/A ,$398.00 , N/A ,$597.00 ,$401.98 ,$362.18 ,$401.98 , N/A ,$401.98 ,$501.48 ,$501.48 ,$565.16 ,$796.00 ,$676.60 , N/A ,$636.80 ,$294.52 ,$636.80 , N/A , N/A ,$796.00 ,$431.43 , N/A ,$209.35 , N/A , N/A , N/A , N/A , N/A ,$676.60 , N/A ,$523.77 ,$222.88 ,$716.40 ,$573.12 ,$796.00 ,$501.48 ,$501.48 ,$501.48 , N/A ,$382.08 ,$716.40 ST. JOHN'S HOSPITAL,27204990,N/A,HC PROBE OXIMETRY CENTRAL VENOUS,272,1 ,$612.00 ,$397.80 ,$160.96 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$244.80 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27204991,N/A,HC COVER PROBE ULTRASOUND,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27204992,N/A,HC PROBE ESOPHAGEAL TEMP SENSOR,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27204993,N/A,HC PROBE FOLEY CATH TEMP,272,1 ,$27.00 ,$17.55 ,$7.10 ,$27.00 , N/A ,$12.42 ,$14.63 , N/A ,$7.56 ,$8.64 , N/A ,$9.94 , N/A ,$10.31 ,$10.80 , N/A ,$10.31 , N/A ,$14.20 ,$13.77 , N/A , N/A ,$18.90 , N/A ,$13.50 , N/A ,$20.25 ,$13.64 ,$12.29 ,$13.64 , N/A ,$13.64 ,$17.01 ,$17.01 ,$19.17 ,$27.00 ,$22.95 , N/A ,$21.60 ,$9.99 ,$21.60 , N/A , N/A ,$27.00 ,$14.63 , N/A ,$7.10 , N/A , N/A , N/A , N/A , N/A ,$22.95 , N/A ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$17.01 ,$17.01 ,$17.01 , N/A ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,27204994,N/A,HC PROBE HYPOTHERMIA RECTAL,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204995,N/A,HC PROBE SKIN TEMP,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204996,N/A,HC PROBE TEMP SENSOR,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27204997,N/A,HC PROTECTOR HEEL ELBOW,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27204998,N/A,HC SENSOR PULSE OX FOREHEAD,272,1 ,$62.00 ,$40.30 ,$16.31 ,$62.00 , N/A ,$28.52 ,$33.60 , N/A ,$17.36 ,$19.84 , N/A ,$22.82 , N/A ,$23.68 ,$24.80 , N/A ,$23.68 , N/A ,$32.61 ,$31.62 , N/A , N/A ,$43.40 , N/A ,$31.00 , N/A ,$46.50 ,$31.31 ,$28.21 ,$31.31 , N/A ,$31.31 ,$39.06 ,$39.06 ,$44.02 ,$62.00 ,$52.70 , N/A ,$49.60 ,$22.94 ,$49.60 , N/A , N/A ,$62.00 ,$33.60 , N/A ,$16.31 , N/A , N/A , N/A , N/A , N/A ,$52.70 , N/A ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$39.06 ,$39.06 ,$39.06 , N/A ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27204999,N/A,HC SENSOR PULSE OX,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205000,N/A,HC PUMP BLOOD CENTRIMAG,272,1 ,"$31,620.00 ","$20,553.00 ","$8,316.06 ","$31,620.00 ", N/A ,"$14,545.20 ","$17,138.04 ", N/A ,"$8,853.60 ","$10,118.40 ", N/A ,"$11,636.16 ", N/A ,"$12,078.84 ","$12,648.00 ", N/A ,"$12,078.84 ", N/A ,"$16,632.12 ","$16,126.20 ", N/A , N/A ,"$22,134.00 ", N/A ,"$15,810.00 ", N/A ,"$23,715.00 ","$15,968.10 ","$14,387.10 ","$15,968.10 ", N/A ,"$15,968.10 ","$19,920.60 ","$19,920.60 ","$22,450.20 ","$31,620.00 ","$26,877.00 ", N/A ,"$25,296.00 ","$11,699.40 ","$25,296.00 ", N/A , N/A ,"$31,620.00 ","$17,138.04 ", N/A ,"$8,316.06 ", N/A , N/A , N/A , N/A , N/A ,"$26,877.00 ", N/A ,"$20,805.96 ","$8,853.60 ","$28,458.00 ","$22,766.40 ","$31,620.00 ","$19,920.60 ","$19,920.60 ","$19,920.60 ", N/A ,"$15,177.60 ","$28,458.00 " ST. JOHN'S HOSPITAL,27205001,N/A,HC TUBING BLOOD CENTRIMAG,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205002,N/A,HC PUMP HEAD BLOOD CENTRIMAG,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27205003,N/A,HC RESERVOIR BLOOD,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205004,N/A,HC RETAINER VISCERAL,272,1 ,$71.00 ,$46.15 ,$18.67 ,$71.00 , N/A ,$32.66 ,$38.48 , N/A ,$19.88 ,$22.72 , N/A ,$26.13 , N/A ,$27.12 ,$28.40 , N/A ,$27.12 , N/A ,$37.35 ,$36.21 , N/A , N/A ,$49.70 , N/A ,$35.50 , N/A ,$53.25 ,$35.86 ,$32.31 ,$35.86 , N/A ,$35.86 ,$44.73 ,$44.73 ,$50.41 ,$71.00 ,$60.35 , N/A ,$56.80 ,$26.27 ,$56.80 , N/A , N/A ,$71.00 ,$38.48 , N/A ,$18.67 , N/A , N/A , N/A , N/A , N/A ,$60.35 , N/A ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$44.73 ,$44.73 ,$44.73 , N/A ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,27205005,N/A,HC RETRACTOR ABDOMINAL T1,272,1 ,$193.00 ,$125.45 ,$50.76 ,$193.00 , N/A ,$88.78 ,$104.61 , N/A ,$54.04 ,$61.76 , N/A ,$71.02 , N/A ,$73.73 ,$77.20 , N/A ,$73.73 , N/A ,$101.52 ,$98.43 , N/A , N/A ,$135.10 , N/A ,$96.50 , N/A ,$144.75 ,$97.47 ,$87.82 ,$97.47 , N/A ,$97.47 ,$121.59 ,$121.59 ,$137.03 ,$193.00 ,$164.05 , N/A ,$154.40 ,$71.41 ,$154.40 , N/A , N/A ,$193.00 ,$104.61 , N/A ,$50.76 , N/A , N/A , N/A , N/A , N/A ,$164.05 , N/A ,$126.99 ,$54.04 ,$173.70 ,$138.96 ,$193.00 ,$121.59 ,$121.59 ,$121.59 , N/A ,$92.64 ,$173.70 ST. JOHN'S HOSPITAL,27205006,N/A,HC RETRACTOR ABDOMINAL T2,272,1 ,$242.00 ,$157.30 ,$63.65 ,$242.00 , N/A ,$111.32 ,$131.16 , N/A ,$67.76 ,$77.44 , N/A ,$89.06 , N/A ,$92.44 ,$96.80 , N/A ,$92.44 , N/A ,$127.29 ,$123.42 , N/A , N/A ,$169.40 , N/A ,$121.00 , N/A ,$181.50 ,$122.21 ,$110.11 ,$122.21 , N/A ,$122.21 ,$152.46 ,$152.46 ,$171.82 ,$242.00 ,$205.70 , N/A ,$193.60 ,$89.54 ,$193.60 , N/A , N/A ,$242.00 ,$131.16 , N/A ,$63.65 , N/A , N/A , N/A , N/A , N/A ,$205.70 , N/A ,$159.24 ,$67.76 ,$217.80 ,$174.24 ,$242.00 ,$152.46 ,$152.46 ,$152.46 , N/A ,$116.16 ,$217.80 ST. JOHN'S HOSPITAL,27205007,N/A,HC RETRACTOR ABDOMINAL T3,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205008,N/A,HC BLOOD PUMP BIOLINE COATING,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205009,N/A,HC BANDAGE PRESSURE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205010,N/A,HC VALVE ANTI-REFLUX SALEM,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205011,N/A,HC SENSOR NEAR-INFRARED SPECTRA LARGE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205012,N/A,HC SENSOR NEAR-INFRARED SPECTRA MEDIUM,272,1 ,$364.00 ,$236.60 ,$95.73 ,$364.00 , N/A ,$167.44 ,$197.29 , N/A ,$101.92 ,$116.48 , N/A ,$133.95 , N/A ,$139.05 ,$145.60 , N/A ,$139.05 , N/A ,$191.46 ,$185.64 , N/A , N/A ,$254.80 , N/A ,$182.00 , N/A ,$273.00 ,$183.82 ,$165.62 ,$183.82 , N/A ,$183.82 ,$229.32 ,$229.32 ,$258.44 ,$364.00 ,$309.40 , N/A ,$291.20 ,$134.68 ,$291.20 , N/A , N/A ,$364.00 ,$197.29 , N/A ,$95.73 , N/A , N/A , N/A , N/A , N/A ,$309.40 , N/A ,$239.51 ,$101.92 ,$327.60 ,$262.08 ,$364.00 ,$229.32 ,$229.32 ,$229.32 , N/A ,$174.72 ,$327.60 ST. JOHN'S HOSPITAL,27205013,N/A,HC SENSOR PELVIC EMG,272,1 ,$129.00 ,$83.85 ,$33.93 ,$129.00 , N/A ,$59.34 ,$69.92 , N/A ,$36.12 ,$41.28 , N/A ,$47.47 , N/A ,$49.28 ,$51.60 , N/A ,$49.28 , N/A ,$67.85 ,$65.79 , N/A , N/A ,$90.30 , N/A ,$64.50 , N/A ,$96.75 ,$65.15 ,$58.70 ,$65.15 , N/A ,$65.15 ,$81.27 ,$81.27 ,$91.59 ,$129.00 ,$109.65 , N/A ,$103.20 ,$47.73 ,$103.20 , N/A , N/A ,$129.00 ,$69.92 , N/A ,$33.93 , N/A , N/A , N/A , N/A , N/A ,$109.65 , N/A ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$81.27 ,$81.27 ,$81.27 , N/A ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,27205014,N/A,HC SENSOR SHUNT BLOOD MONITORING CDI,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205015,N/A,HC SET PERFUSION CARDIOPLEGIA,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205016,N/A,HC SET PRESSURE MONITOR,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205017,N/A,HC SHEATH 8.5 FR,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205018,N/A,HC SHEATH/INTRODUCER PERC,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205019,N/A,HC PROTECTOR SHEEPSKIN,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205020,N/A,HC SHIELD LARYNGECTOMY,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205021,N/A,HC PUMP SILICONE SALEM,272,1 ,$47.00 ,$30.55 ,$12.36 ,$47.00 , N/A ,$21.62 ,$25.47 , N/A ,$13.16 ,$15.04 , N/A ,$17.30 , N/A ,$17.95 ,$18.80 , N/A ,$17.95 , N/A ,$24.72 ,$23.97 , N/A , N/A ,$32.90 , N/A ,$23.50 , N/A ,$35.25 ,$23.74 ,$21.39 ,$23.74 , N/A ,$23.74 ,$29.61 ,$29.61 ,$33.37 ,$47.00 ,$39.95 , N/A ,$37.60 ,$17.39 ,$37.60 , N/A , N/A ,$47.00 ,$25.47 , N/A ,$12.36 , N/A , N/A , N/A , N/A , N/A ,$39.95 , N/A ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$29.61 ,$29.61 ,$29.61 , N/A ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,27205022,N/A,HC SITZ MARKER,272,1 ,$56.00 ,$36.40 ,$14.73 ,$56.00 , N/A ,$25.76 ,$30.35 , N/A ,$15.68 ,$17.92 , N/A ,$20.61 , N/A ,$21.39 ,$22.40 , N/A ,$21.39 , N/A ,$29.46 ,$28.56 , N/A , N/A ,$39.20 , N/A ,$28.00 , N/A ,$42.00 ,$28.28 ,$25.48 ,$28.28 , N/A ,$28.28 ,$35.28 ,$35.28 ,$39.76 ,$56.00 ,$47.60 , N/A ,$44.80 ,$20.72 ,$44.80 , N/A , N/A ,$56.00 ,$30.35 , N/A ,$14.73 , N/A , N/A , N/A , N/A , N/A ,$47.60 , N/A ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$35.28 ,$35.28 ,$35.28 , N/A ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,27205023,N/A,HC SNARE OVAL,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205024,N/A,HC BAG SPIKE SET IV,272,1 ,$373.00 ,$242.45 ,$98.10 ,$373.00 , N/A ,$171.58 ,$202.17 , N/A ,$104.44 ,$119.36 , N/A ,$137.26 , N/A ,$142.49 ,$149.20 , N/A ,$142.49 , N/A ,$196.20 ,$190.23 , N/A , N/A ,$261.10 , N/A ,$186.50 , N/A ,$279.75 ,$188.37 ,$169.72 ,$188.37 , N/A ,$188.37 ,$234.99 ,$234.99 ,$264.83 ,$373.00 ,$317.05 , N/A ,$298.40 ,$138.01 ,$298.40 , N/A , N/A ,$373.00 ,$202.17 , N/A ,$98.10 , N/A , N/A , N/A , N/A , N/A ,$317.05 , N/A ,$245.43 ,$104.44 ,$335.70 ,$268.56 ,$373.00 ,$234.99 ,$234.99 ,$234.99 , N/A ,$179.04 ,$335.70 ST. JOHN'S HOSPITAL,27205025,N/A,HC SPLINT MEMORY FUNCTION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205026,N/A,HC SPLINT CAST CONFORMABLE MEDIUM,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205027,N/A,HC SPLINT CAST CONFORMABLE LARGE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205028,N/A,HC STAPLE REMOVER SKIN,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205029,N/A,HC STATLOCK DEVICE FOLEY,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205030,N/A,HC STOCKINETTE PER FOOT,272,1 ,$3.00 ,$1.95 ,$0.79 ,$3.00 , N/A ,$1.38 ,$1.63 , N/A ,$0.84 ,$0.96 , N/A ,$1.10 , N/A ,$1.15 ,$1.20 , N/A ,$1.15 , N/A ,$1.58 ,$1.53 , N/A , N/A ,$2.10 , N/A ,$1.50 , N/A ,$2.25 ,$1.52 ,$1.37 ,$1.52 , N/A ,$1.52 ,$1.89 ,$1.89 ,$2.13 ,$3.00 ,$2.55 , N/A ,$2.40 ,$1.11 ,$2.40 , N/A , N/A ,$3.00 ,$1.63 , N/A ,$0.79 , N/A , N/A , N/A , N/A , N/A ,$2.55 , N/A ,$1.97 ,$0.84 ,$2.70 ,$2.16 ,$3.00 ,$1.89 ,$1.89 ,$1.89 , N/A ,$1.44 ,$2.70 ST. JOHN'S HOSPITAL,27205031,N/A,HC STOCKINETTE YARDS,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205032,N/A,HC STOCKINETTE TUBE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205033,N/A,HC STOPCOCK 4 WAY,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205034,N/A,HC SET INFUSION SUBCUTANEOUS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205035,N/A,HC SET SUCTION/ANTICOAGULANT,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205036,N/A,HC SUCTION CATH CLOSED Y,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205037,N/A,HC SUCTION CATH CLOSED ELBOW,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205038,N/A,HC SUCTION CATH REPLOGLE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205039,N/A,HC SUCTION SUMP LEFT HEART,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205040,N/A,HC SUTURE PROLENE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205041,N/A,HC SUTURE SILK,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205042,N/A,HC SWEET OIL,272,1 ,$15.00 ,$9.75 ,$3.95 ,$15.00 , N/A ,$6.90 ,$8.13 , N/A ,$4.20 ,$4.80 , N/A ,$5.52 , N/A ,$5.73 ,$6.00 , N/A ,$5.73 , N/A ,$7.89 ,$7.65 , N/A , N/A ,$10.50 , N/A ,$7.50 , N/A ,$11.25 ,$7.58 ,$6.83 ,$7.58 , N/A ,$7.58 ,$9.45 ,$9.45 ,$10.65 ,$15.00 ,$12.75 , N/A ,$12.00 ,$5.55 ,$12.00 , N/A , N/A ,$15.00 ,$8.13 , N/A ,$3.95 , N/A , N/A , N/A , N/A , N/A ,$12.75 , N/A ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$9.45 ,$9.45 ,$9.45 , N/A ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,27205043,N/A,HC SYRINGE INFLATION,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205044,N/A,HC SYRINGE NO RESISTANCE,272,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27205045,N/A,HC SYRINGE ATOMIZER,272,1 ,$23.00 ,$14.95 ,$6.05 ,$23.00 , N/A ,$10.58 ,$12.47 , N/A ,$6.44 ,$7.36 , N/A ,$8.46 , N/A ,$8.79 ,$9.20 , N/A ,$8.79 , N/A ,$12.10 ,$11.73 , N/A , N/A ,$16.10 , N/A ,$11.50 , N/A ,$17.25 ,$11.62 ,$10.47 ,$11.62 , N/A ,$11.62 ,$14.49 ,$14.49 ,$16.33 ,$23.00 ,$19.55 , N/A ,$18.40 ,$8.51 ,$18.40 , N/A , N/A ,$23.00 ,$12.47 , N/A ,$6.05 , N/A , N/A , N/A , N/A , N/A ,$19.55 , N/A ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$14.49 ,$14.49 ,$14.49 , N/A ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,27205046,N/A,HC SYRINGE ATOMIZER MUCOSAL,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27205047,N/A,HC SYSTEM WOUND MGMT FISTULA,272,1 ,$608.00 ,$395.20 ,$159.90 ,$608.00 , N/A ,$279.68 ,$329.54 , N/A ,$170.24 ,$194.56 , N/A ,$223.74 , N/A ,$232.26 ,$243.20 , N/A ,$232.26 , N/A ,$319.81 ,$310.08 , N/A , N/A ,$425.60 , N/A ,$304.00 , N/A ,$456.00 ,$307.04 ,$276.64 ,$307.04 , N/A ,$307.04 ,$383.04 ,$383.04 ,$431.68 ,$608.00 ,$516.80 , N/A ,$486.40 ,$224.96 ,$486.40 , N/A , N/A ,$608.00 ,$329.54 , N/A ,$159.90 , N/A , N/A , N/A , N/A , N/A ,$516.80 , N/A ,$400.06 ,$170.24 ,$547.20 ,$437.76 ,$608.00 ,$383.04 ,$383.04 ,$383.04 , N/A ,$291.84 ,$547.20 ST. JOHN'S HOSPITAL,27205048,N/A,HC TABS BED/CHAIR ALARM PAD,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205049,N/A,HC TAPE MEDIPORE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205050,N/A,HC TAPE SURGICAL FOAM,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205051,N/A,HC TAPE UMBILICAL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205052,N/A,HC TOURNIQUET COMBAT,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205053,N/A,HC TRACH HOLDER,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205054,N/A,HC TRAY CHEST PLEURAL BIOPSY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205055,N/A,HC TRAY CIRCUMCISION,272,1 ,$92.00 ,$59.80 ,$24.20 ,$92.00 , N/A ,$42.32 ,$49.86 , N/A ,$25.76 ,$29.44 , N/A ,$33.86 , N/A ,$35.14 ,$36.80 , N/A ,$35.14 , N/A ,$48.39 ,$46.92 , N/A , N/A ,$64.40 , N/A ,$46.00 , N/A ,$69.00 ,$46.46 ,$41.86 ,$46.46 , N/A ,$46.46 ,$57.96 ,$57.96 ,$65.32 ,$92.00 ,$78.20 , N/A ,$73.60 ,$34.04 ,$73.60 , N/A , N/A ,$92.00 ,$49.86 , N/A ,$24.20 , N/A , N/A , N/A , N/A , N/A ,$78.20 , N/A ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$57.96 ,$57.96 ,$57.96 , N/A ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,27205056,N/A,HC TRAY DEBRIDEMENT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205057,N/A,HC TRAY TRANSFUSION EXCHANGE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205058,N/A,HC TRAY FOLEY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205059,N/A,HC TRAY HYSTEROSALPINGOGRAM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205060,N/A,HC TRAY PICC LINE,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27205061,N/A,HC TRAY SKIN PUNCH BIOPSY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205062,N/A,HC TRAY STRAIGHT CATH,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205063,N/A,HC TRAY SUTURE REMOVAL,272,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,27205064,N/A,HC TRAY CHEST TUBE INSERTION THAL QUICK,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205065,N/A,HC TRAY TUBING THORACENTESIS,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205066,N/A,HC TRAY UROLOGY,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205067,N/A,HC TRAY CHEST PNEUMOTHORAX WAYNE,272,1 ,$536.00 ,$348.40 ,$140.97 ,$536.00 , N/A ,$246.56 ,$290.51 , N/A ,$150.08 ,$171.52 , N/A ,$197.25 , N/A ,$204.75 ,$214.40 , N/A ,$204.75 , N/A ,$281.94 ,$273.36 , N/A , N/A ,$375.20 , N/A ,$268.00 , N/A ,$402.00 ,$270.68 ,$243.88 ,$270.68 , N/A ,$270.68 ,$337.68 ,$337.68 ,$380.56 ,$536.00 ,$455.60 , N/A ,$428.80 ,$198.32 ,$428.80 , N/A , N/A ,$536.00 ,$290.51 , N/A ,$140.97 , N/A , N/A , N/A , N/A , N/A ,$455.60 , N/A ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$337.68 ,$337.68 ,$337.68 , N/A ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,27205068,N/A,HC TRANSDUCER SINGLE,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205069,N/A,HC TRANSDUCER DOUBLE,272,1 ,$147.00 ,$95.55 ,$38.66 ,$147.00 , N/A ,$67.62 ,$79.67 , N/A ,$41.16 ,$47.04 , N/A ,$54.10 , N/A ,$56.15 ,$58.80 , N/A ,$56.15 , N/A ,$77.32 ,$74.97 , N/A , N/A ,$102.90 , N/A ,$73.50 , N/A ,$110.25 ,$74.24 ,$66.89 ,$74.24 , N/A ,$74.24 ,$92.61 ,$92.61 ,$104.37 ,$147.00 ,$124.95 , N/A ,$117.60 ,$54.39 ,$117.60 , N/A , N/A ,$147.00 ,$79.67 , N/A ,$38.66 , N/A , N/A , N/A , N/A , N/A ,$124.95 , N/A ,$96.73 ,$41.16 ,$132.30 ,$105.84 ,$147.00 ,$92.61 ,$92.61 ,$92.61 , N/A ,$70.56 ,$132.30 ST. JOHN'S HOSPITAL,27205070,N/A,HC TRANSDUCER TRIPLE,272,1 ,$141.00 ,$91.65 ,$37.08 ,$141.00 , N/A ,$64.86 ,$76.42 , N/A ,$39.48 ,$45.12 , N/A ,$51.89 , N/A ,$53.86 ,$56.40 , N/A ,$53.86 , N/A ,$74.17 ,$71.91 , N/A , N/A ,$98.70 , N/A ,$70.50 , N/A ,$105.75 ,$71.21 ,$64.16 ,$71.21 , N/A ,$71.21 ,$88.83 ,$88.83 ,$100.11 ,$141.00 ,$119.85 , N/A ,$112.80 ,$52.17 ,$112.80 , N/A , N/A ,$141.00 ,$76.42 , N/A ,$37.08 , N/A , N/A , N/A , N/A , N/A ,$119.85 , N/A ,$92.78 ,$39.48 ,$126.90 ,$101.52 ,$141.00 ,$88.83 ,$88.83 ,$88.83 , N/A ,$67.68 ,$126.90 ST. JOHN'S HOSPITAL,27205071,N/A,HC TRANSDUCER QUAD,272,1 ,$160.00 ,$104.00 ,$42.08 ,$160.00 , N/A ,$73.60 ,$86.72 , N/A ,$44.80 ,$51.20 , N/A ,$58.88 , N/A ,$61.12 ,$64.00 , N/A ,$61.12 , N/A ,$84.16 ,$81.60 , N/A , N/A ,$112.00 , N/A ,$80.00 , N/A ,$120.00 ,$80.80 ,$72.80 ,$80.80 , N/A ,$80.80 ,$100.80 ,$100.80 ,$113.60 ,$160.00 ,$136.00 , N/A ,$128.00 ,$59.20 ,$128.00 , N/A , N/A ,$160.00 ,$86.72 , N/A ,$42.08 , N/A , N/A , N/A , N/A , N/A ,$136.00 , N/A ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$100.80 ,$100.80 ,$100.80 , N/A ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,27205072,N/A,HC BAG DRAINAGE GRAVITY,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205073,N/A,HC TUBE ENDOTRACH WIRE REINFORCED,272,1 ,$51.00 ,$33.15 ,$13.41 ,$51.00 , N/A ,$23.46 ,$27.64 , N/A ,$14.28 ,$16.32 , N/A ,$18.77 , N/A ,$19.48 ,$20.40 , N/A ,$19.48 , N/A ,$26.83 ,$26.01 , N/A , N/A ,$35.70 , N/A ,$25.50 , N/A ,$38.25 ,$25.76 ,$23.21 ,$25.76 , N/A ,$25.76 ,$32.13 ,$32.13 ,$36.21 ,$51.00 ,$43.35 , N/A ,$40.80 ,$18.87 ,$40.80 , N/A , N/A ,$51.00 ,$27.64 , N/A ,$13.41 , N/A , N/A , N/A , N/A , N/A ,$43.35 , N/A ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$32.13 ,$32.13 ,$32.13 , N/A ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,27205074,N/A,HC TUBE TRACH,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205075,N/A,HC TUBE ENDOTRACH MICROLARYNGEAL,272,1 ,$23.00 ,$14.95 ,$6.05 ,$23.00 , N/A ,$10.58 ,$12.47 , N/A ,$6.44 ,$7.36 , N/A ,$8.46 , N/A ,$8.79 ,$9.20 , N/A ,$8.79 , N/A ,$12.10 ,$11.73 , N/A , N/A ,$16.10 , N/A ,$11.50 , N/A ,$17.25 ,$11.62 ,$10.47 ,$11.62 , N/A ,$11.62 ,$14.49 ,$14.49 ,$16.33 ,$23.00 ,$19.55 , N/A ,$18.40 ,$8.51 ,$18.40 , N/A , N/A ,$23.00 ,$12.47 , N/A ,$6.05 , N/A , N/A , N/A , N/A , N/A ,$19.55 , N/A ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$14.49 ,$14.49 ,$14.49 , N/A ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,27205076,N/A,HC TUBE LARYNGEAL,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205077,N/A,HC TUBE LARYNGEAL BLOM SINGER,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205078,N/A,HC TUBE RECTAL,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205079,N/A,HC TUBE TRACH SHILEY,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205080,N/A,HC TUBE TRACH NEO UNCUFFED,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205081,N/A,HC TUBE TRACH PEDI UNCUFFED,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205082,N/A,HC TUBE TRACH NEO/PEDI TTS,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27205083,N/A,HC TUBING BLOOD WARMING,272,1 ,$54.00 ,$35.10 ,$14.20 ,$54.00 , N/A ,$24.84 ,$29.27 , N/A ,$15.12 ,$17.28 , N/A ,$19.87 , N/A ,$20.63 ,$21.60 , N/A ,$20.63 , N/A ,$28.40 ,$27.54 , N/A , N/A ,$37.80 , N/A ,$27.00 , N/A ,$40.50 ,$27.27 ,$24.57 ,$27.27 , N/A ,$27.27 ,$34.02 ,$34.02 ,$38.34 ,$54.00 ,$45.90 , N/A ,$43.20 ,$19.98 ,$43.20 , N/A , N/A ,$54.00 ,$29.27 , N/A ,$14.20 , N/A , N/A , N/A , N/A , N/A ,$45.90 , N/A ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$34.02 ,$34.02 ,$34.02 , N/A ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,27205084,N/A,HC TUBING FEEDING KANGAROO,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205085,N/A,HC SLING/WEDGE TUCKER,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205086,N/A,HC CANISTER WOUND VAC,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205087,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM SMALL/MEDIUM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205088,N/A,HC KIT DRESSING WOUND VAC INSTILL CASSETTE/TUBE,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205089,N/A,HC KIT DRESSING WOUND VAC INSTILL,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205090,N/A,HC KIT DRESSING WOUND VAC PREVENA CUT TO FIT,272,1 ,"$1,530.00 ",$994.50 ,$402.39 ,"$1,530.00 ", N/A ,$703.80 ,$829.26 , N/A ,$428.40 ,$489.60 , N/A ,$563.04 , N/A ,$584.46 ,$612.00 , N/A ,$584.46 , N/A ,$804.78 ,$780.30 , N/A , N/A ,"$1,071.00 ", N/A ,$765.00 , N/A ,"$1,147.50 ",$772.65 ,$696.15 ,$772.65 , N/A ,$772.65 ,$963.90 ,$963.90 ,"$1,086.30 ","$1,530.00 ","$1,300.50 ", N/A ,"$1,224.00 ",$566.10 ,"$1,224.00 ", N/A , N/A ,"$1,530.00 ",$829.26 , N/A ,$402.39 , N/A , N/A , N/A , N/A , N/A ,"$1,300.50 ", N/A ,"$1,006.74 ",$428.40 ,"$1,377.00 ","$1,101.60 ","$1,530.00 ",$963.90 ,$963.90 ,$963.90 , N/A ,$734.40 ,"$1,377.00 " ST. JOHN'S HOSPITAL,27205091,N/A,HC KIT DRESSING WOUND VAC PREVENA PEEL N PLACE,272,1 ,"$1,224.00 ",$795.60 ,$321.91 ,"$1,224.00 ", N/A ,$563.04 ,$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$489.60 , N/A ,$467.57 , N/A ,$643.82 ,$624.24 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$618.12 ,$556.92 ,$618.12 , N/A ,$618.12 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,"$1,224.00 ",$663.41 , N/A ,$321.91 , N/A , N/A , N/A , N/A , N/A ,"$1,040.40 ", N/A ,$805.39 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,27205092,N/A,HC VALVE VACUUM RELIEF,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205093,N/A,HC DILATOR VESSEL,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205094,N/A,HC CUSHION WAFFLE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205095,N/A,HC WEDGE WAFFLE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205096,N/A,HC WEDGE SUPPORT,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205097,C1819,HC WIRE BREAST,272,1 ,$62.00 ,$40.30 ,$16.31 ,$62.00 , N/A ,$28.52 ,$33.60 , N/A ,$17.36 ,$19.84 , N/A ,$22.82 , N/A ,$23.68 ,$24.80 , N/A ,$23.68 , N/A ,$32.61 ,$31.62 , N/A , N/A ,$43.40 , N/A ,$31.00 , N/A ,$46.50 ,$31.31 ,$28.21 ,$31.31 , N/A ,$31.31 ,$39.06 ,$39.06 ,$44.02 ,$62.00 ,$52.70 , N/A ,$49.60 ,$22.94 ,$49.60 , N/A , N/A ,$62.00 ,$33.60 , N/A ,$16.31 , N/A , N/A , N/A , N/A , N/A ,$52.70 , N/A ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$39.06 ,$39.06 ,$39.06 , N/A ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27205098,N/A,HC WRAP OCCULSIVE POLYTHLENE,272,1 ,$8.00 ,$5.20 ,$2.10 ,$8.00 , N/A ,$3.68 ,$4.34 , N/A ,$2.24 ,$2.56 , N/A ,$2.94 , N/A ,$3.06 ,$3.20 , N/A ,$3.06 , N/A ,$4.21 ,$4.08 , N/A , N/A ,$5.60 , N/A ,$4.00 , N/A ,$6.00 ,$4.04 ,$3.64 ,$4.04 , N/A ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 , N/A ,$6.40 ,$2.96 ,$6.40 , N/A , N/A ,$8.00 ,$4.34 , N/A ,$2.10 , N/A , N/A , N/A , N/A , N/A ,$6.80 , N/A ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 , N/A ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,27205099,N/A,HC PASTE ECONO UNNA BOOT,270,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27205100,N/A,HC DRESSING CENTRAL LINE OCCLUSIVE,272,1 ,$17.00 ,$11.05 ,$4.47 ,$17.00 , N/A ,$7.82 ,$9.21 , N/A ,$4.76 ,$5.44 , N/A ,$6.26 , N/A ,$6.49 ,$6.80 , N/A ,$6.49 , N/A ,$8.94 ,$8.67 , N/A , N/A ,$11.90 , N/A ,$8.50 , N/A ,$12.75 ,$8.59 ,$7.74 ,$8.59 , N/A ,$8.59 ,$10.71 ,$10.71 ,$12.07 ,$17.00 ,$14.45 , N/A ,$13.60 ,$6.29 ,$13.60 , N/A , N/A ,$17.00 ,$9.21 , N/A ,$4.47 , N/A , N/A , N/A , N/A , N/A ,$14.45 , N/A ,$11.19 ,$4.76 ,$15.30 ,$12.24 ,$17.00 ,$10.71 ,$10.71 ,$10.71 , N/A ,$8.16 ,$15.30 ST. JOHN'S HOSPITAL,27205101,N/A,HC DRESSING WEBRIL 2 INCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205102,N/A,HC DRESSING WEBRIL 3 INCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205103,N/A,HC DRESSING WEBRIL 4 INCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205104,N/A,HC DRESSING WEBRIL 6 INCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205105,N/A,HC DRESSING NASAL RHINO ROCKET RAPID,272,1 ,$89.00 ,$57.85 ,$23.41 ,$89.00 , N/A ,$40.94 ,$48.24 , N/A ,$24.92 ,$28.48 , N/A ,$32.75 , N/A ,$34.00 ,$35.60 , N/A ,$34.00 , N/A ,$46.81 ,$45.39 , N/A , N/A ,$62.30 , N/A ,$44.50 , N/A ,$66.75 ,$44.95 ,$40.50 ,$44.95 , N/A ,$44.95 ,$56.07 ,$56.07 ,$63.19 ,$89.00 ,$75.65 , N/A ,$71.20 ,$32.93 ,$71.20 , N/A , N/A ,$89.00 ,$48.24 , N/A ,$23.41 , N/A , N/A , N/A , N/A , N/A ,$75.65 , N/A ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$56.07 ,$56.07 ,$56.07 , N/A ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,27205106,N/A,HC DRESSING COBAN 4 INCH,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205107,N/A,HC KIT DRESSING INFUSAPORT,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205108,N/A,HC DRESSING NU GAUZE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205109,N/A,HC DRESSING IOBAN 2 INCH,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205110,N/A,HC DRESSING HYDROFERA BLUE ROPE,272,1 ,$27.00 ,$17.55 ,$7.10 ,$27.00 , N/A ,$12.42 ,$14.63 , N/A ,$7.56 ,$8.64 , N/A ,$9.94 , N/A ,$10.31 ,$10.80 , N/A ,$10.31 , N/A ,$14.20 ,$13.77 , N/A , N/A ,$18.90 , N/A ,$13.50 , N/A ,$20.25 ,$13.64 ,$12.29 ,$13.64 , N/A ,$13.64 ,$17.01 ,$17.01 ,$19.17 ,$27.00 ,$22.95 , N/A ,$21.60 ,$9.99 ,$21.60 , N/A , N/A ,$27.00 ,$14.63 , N/A ,$7.10 , N/A , N/A , N/A , N/A , N/A ,$22.95 , N/A ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$17.01 ,$17.01 ,$17.01 , N/A ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,27205111,N/A,HC DRESSING HYDROFERA BLUE,272,1 ,$24.00 ,$15.60 ,$6.31 ,$24.00 , N/A ,$11.04 ,$13.01 , N/A ,$6.72 ,$7.68 , N/A ,$8.83 , N/A ,$9.17 ,$9.60 , N/A ,$9.17 , N/A ,$12.62 ,$12.24 , N/A , N/A ,$16.80 , N/A ,$12.00 , N/A ,$18.00 ,$12.12 ,$10.92 ,$12.12 , N/A ,$12.12 ,$15.12 ,$15.12 ,$17.04 ,$24.00 ,$20.40 , N/A ,$19.20 ,$8.88 ,$19.20 , N/A , N/A ,$24.00 ,$13.01 , N/A ,$6.31 , N/A , N/A , N/A , N/A , N/A ,$20.40 , N/A ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$15.12 ,$15.12 ,$15.12 , N/A ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,27205112,N/A,HC DRESSING HYDROGEL TUBE,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27205113,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM X-LARGE,272,1 ,$268.00 ,$174.20 ,$70.48 ,$268.00 , N/A ,$123.28 ,$145.26 , N/A ,$75.04 ,$85.76 , N/A ,$98.62 , N/A ,$102.38 ,$107.20 , N/A ,$102.38 , N/A ,$140.97 ,$136.68 , N/A , N/A ,$187.60 , N/A ,$134.00 , N/A ,$201.00 ,$135.34 ,$121.94 ,$135.34 , N/A ,$135.34 ,$168.84 ,$168.84 ,$190.28 ,$268.00 ,$227.80 , N/A ,$214.40 ,$99.16 ,$214.40 , N/A , N/A ,$268.00 ,$145.26 , N/A ,$70.48 , N/A , N/A , N/A , N/A , N/A ,$227.80 , N/A ,$176.34 ,$75.04 ,$241.20 ,$192.96 ,$268.00 ,$168.84 ,$168.84 ,$168.84 , N/A ,$128.64 ,$241.20 ST. JOHN'S HOSPITAL,27205114,N/A,HC DRESSING SILVERLON,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205115,N/A,HC DRESSING AQUACEL AG,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205116,N/A,HC DRESSING AQUACEL AG FOAM/FLAT,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205117,N/A,HC DRESSING BURN,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205118,N/A,HC DRESSINIG WET SALINE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205119,N/A,HC DRESSING ABSORBABLE ADHESIVE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205120,N/A,HC DRESSING INTERDRY AG,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205121,N/A,HC CATHETER CBI 3WAY,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205122,N/A,HC TUBING CATHETER CBI Y,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205123,N/A,HC CATHETER CBI COUDE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205124,N/A,HC CATHETER GUARD SWAN GANZ,272,1 ,$35.00 ,$22.75 ,$9.21 ,$35.00 , N/A ,$16.10 ,$18.97 , N/A ,$9.80 ,$11.20 , N/A ,$12.88 , N/A ,$13.37 ,$14.00 , N/A ,$13.37 , N/A ,$18.41 ,$17.85 , N/A , N/A ,$24.50 , N/A ,$17.50 , N/A ,$26.25 ,$17.68 ,$15.93 ,$17.68 , N/A ,$17.68 ,$22.05 ,$22.05 ,$24.85 ,$35.00 ,$29.75 , N/A ,$28.00 ,$12.95 ,$28.00 , N/A , N/A ,$35.00 ,$18.97 , N/A ,$9.21 , N/A , N/A , N/A , N/A , N/A ,$29.75 , N/A ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$22.05 ,$22.05 ,$22.05 , N/A ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,27205125,N/A,HC CATHETER NASAL,272,1 ,$54.00 ,$35.10 ,$14.20 ,$54.00 , N/A ,$24.84 ,$29.27 , N/A ,$15.12 ,$17.28 , N/A ,$19.87 , N/A ,$20.63 ,$21.60 , N/A ,$20.63 , N/A ,$28.40 ,$27.54 , N/A , N/A ,$37.80 , N/A ,$27.00 , N/A ,$40.50 ,$27.27 ,$24.57 ,$27.27 , N/A ,$27.27 ,$34.02 ,$34.02 ,$38.34 ,$54.00 ,$45.90 , N/A ,$43.20 ,$19.98 ,$43.20 , N/A , N/A ,$54.00 ,$29.27 , N/A ,$14.20 , N/A , N/A , N/A , N/A , N/A ,$45.90 , N/A ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$34.02 ,$34.02 ,$34.02 , N/A ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,27205126,N/A,HC CATHETER NASAL EPISTAT,272,1 ,$219.00 ,$142.35 ,$57.60 ,$219.00 , N/A ,$100.74 ,$118.70 , N/A ,$61.32 ,$70.08 , N/A ,$80.59 , N/A ,$83.66 ,$87.60 , N/A ,$83.66 , N/A ,$115.19 ,$111.69 , N/A , N/A ,$153.30 , N/A ,$109.50 , N/A ,$164.25 ,$110.60 ,$99.65 ,$110.60 , N/A ,$110.60 ,$137.97 ,$137.97 ,$155.49 ,$219.00 ,$186.15 , N/A ,$175.20 ,$81.03 ,$175.20 , N/A , N/A ,$219.00 ,$118.70 , N/A ,$57.60 , N/A , N/A , N/A , N/A , N/A ,$186.15 , N/A ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$137.97 ,$137.97 ,$137.97 , N/A ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,27205127,C1886,HC CATHETER TISSUE ABLATION,272,1 ,"$14,178.00 ","$9,215.70 ","$3,728.81 ","$14,178.00 ", N/A ,"$6,521.88 ","$7,684.48 ", N/A ,"$3,969.84 ","$4,536.96 ", N/A ,"$5,217.50 ", N/A ,"$5,416.00 ","$5,671.20 ", N/A ,"$5,416.00 ", N/A ,"$7,457.63 ","$7,230.78 ", N/A , N/A ,"$9,924.60 ", N/A ,"$7,089.00 ", N/A ,"$10,633.50 ","$7,159.89 ","$6,450.99 ","$7,159.89 ", N/A ,"$7,159.89 ","$8,932.14 ","$8,932.14 ","$10,066.38 ","$14,178.00 ","$12,051.30 ", N/A ,"$11,342.40 ","$5,245.86 ","$11,342.40 ", N/A , N/A ,"$14,178.00 ","$7,684.48 ", N/A ,"$3,728.81 ", N/A , N/A , N/A , N/A , N/A ,"$12,051.30 ", N/A ,"$9,329.12 ","$3,969.84 ","$12,760.20 ","$10,208.16 ","$14,178.00 ","$8,932.14 ","$8,932.14 ","$8,932.14 ", N/A ,"$6,805.44 ","$12,760.20 " ST. JOHN'S HOSPITAL,27205128,C1751,HC CATHETER CV QUAD-LUMEN,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205129,N/A,HC CATHETER CENTRAL LINE QUAD LUMEN,272,1 ,$408.00 ,$265.20 ,$107.30 ,$408.00 , N/A ,$187.68 ,$221.14 , N/A ,$114.24 ,$130.56 , N/A ,$150.14 , N/A ,$155.86 ,$163.20 , N/A ,$155.86 , N/A ,$214.61 ,$208.08 , N/A , N/A ,$285.60 , N/A ,$204.00 , N/A ,$306.00 ,$206.04 ,$185.64 ,$206.04 , N/A ,$206.04 ,$257.04 ,$257.04 ,$289.68 ,$408.00 ,$346.80 , N/A ,$326.40 ,$150.96 ,$326.40 , N/A , N/A ,$408.00 ,$221.14 , N/A ,$107.30 , N/A , N/A , N/A , N/A , N/A ,$346.80 , N/A ,$268.46 ,$114.24 ,$367.20 ,$293.76 ,$408.00 ,$257.04 ,$257.04 ,$257.04 , N/A ,$195.84 ,$367.20 ST. JOHN'S HOSPITAL,27205130,N/A,HC CATHETER EPIDURAL,272,1 ,$38.00 ,$24.70 ,$9.99 ,$38.00 , N/A ,$17.48 ,$20.60 , N/A ,$10.64 ,$12.16 , N/A ,$13.98 , N/A ,$14.52 ,$15.20 , N/A ,$14.52 , N/A ,$19.99 ,$19.38 , N/A , N/A ,$26.60 , N/A ,$19.00 , N/A ,$28.50 ,$19.19 ,$17.29 ,$19.19 , N/A ,$19.19 ,$23.94 ,$23.94 ,$26.98 ,$38.00 ,$32.30 , N/A ,$30.40 ,$14.06 ,$30.40 , N/A , N/A ,$38.00 ,$20.60 , N/A ,$9.99 , N/A , N/A , N/A , N/A , N/A ,$32.30 , N/A ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$23.94 ,$23.94 ,$23.94 , N/A ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,27205131,N/A,HC CATHETER EPIDURAL STYLETTED,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205132,N/A,HC CATHETER CHEST CURVED,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205133,N/A,HC CATHETER CHEST STRAIGHT,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205134,N/A,HC CATHETER VENTRICULAR LARGE/TRAUMA,272,1 ,$536.00 ,$348.40 ,$140.97 ,$536.00 , N/A ,$246.56 ,$290.51 , N/A ,$150.08 ,$171.52 , N/A ,$197.25 , N/A ,$204.75 ,$214.40 , N/A ,$204.75 , N/A ,$281.94 ,$273.36 , N/A , N/A ,$375.20 , N/A ,$268.00 , N/A ,$402.00 ,$270.68 ,$243.88 ,$270.68 , N/A ,$270.68 ,$337.68 ,$337.68 ,$380.56 ,$536.00 ,$455.60 , N/A ,$428.80 ,$198.32 ,$428.80 , N/A , N/A ,$536.00 ,$290.51 , N/A ,$140.97 , N/A , N/A , N/A , N/A , N/A ,$455.60 , N/A ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$337.68 ,$337.68 ,$337.68 , N/A ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,27205135,N/A,HC CATHETER VENTRICULAR,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205136,N/A,HC CATHETER PULMONARY ENDOVENT,272,1 ,"$4,590.00 ","$2,983.50 ","$1,207.17 ","$4,590.00 ", N/A ,"$2,111.40 ","$2,487.78 ", N/A ,"$1,285.20 ","$1,468.80 ", N/A ,"$1,689.12 ", N/A ,"$1,753.38 ","$1,836.00 ", N/A ,"$1,753.38 ", N/A ,"$2,414.34 ","$2,340.90 ", N/A , N/A ,"$3,213.00 ", N/A ,"$2,295.00 ", N/A ,"$3,442.50 ","$2,317.95 ","$2,088.45 ","$2,317.95 ", N/A ,"$2,317.95 ","$2,891.70 ","$2,891.70 ","$3,258.90 ","$4,590.00 ","$3,901.50 ", N/A ,"$3,672.00 ","$1,698.30 ","$3,672.00 ", N/A , N/A ,"$4,590.00 ","$2,487.78 ", N/A ,"$1,207.17 ", N/A , N/A , N/A , N/A , N/A ,"$3,901.50 ", N/A ,"$3,020.22 ","$1,285.20 ","$4,131.00 ","$3,304.80 ","$4,590.00 ","$2,891.70 ","$2,891.70 ","$2,891.70 ", N/A ,"$2,203.20 ","$4,131.00 " ST. JOHN'S HOSPITAL,27205137,N/A,HC CATHETER PULMONARY OXIMETERIC,272,1 ,"$1,071.00 ",$696.15 ,$281.67 ,"$1,071.00 ", N/A ,$492.66 ,$580.48 , N/A ,$299.88 ,$342.72 , N/A ,$394.13 , N/A ,$409.12 ,$428.40 , N/A ,$409.12 , N/A ,$563.35 ,$546.21 , N/A , N/A ,$749.70 , N/A ,$535.50 , N/A ,$803.25 ,$540.86 ,$487.31 ,$540.86 , N/A ,$540.86 ,$674.73 ,$674.73 ,$760.41 ,"$1,071.00 ",$910.35 , N/A ,$856.80 ,$396.27 ,$856.80 , N/A , N/A ,"$1,071.00 ",$580.48 , N/A ,$281.67 , N/A , N/A , N/A , N/A , N/A ,$910.35 , N/A ,$704.72 ,$299.88 ,$963.90 ,$771.12 ,"$1,071.00 ",$674.73 ,$674.73 ,$674.73 , N/A ,$514.08 ,$963.90 ST. JOHN'S HOSPITAL,27205138,N/A,HC CATHETER RAPID INFUSION 7FR,272,1 ,$46.00 ,$29.90 ,$12.10 ,$46.00 , N/A ,$21.16 ,$24.93 , N/A ,$12.88 ,$14.72 , N/A ,$16.93 , N/A ,$17.57 ,$18.40 , N/A ,$17.57 , N/A ,$24.20 ,$23.46 , N/A , N/A ,$32.20 , N/A ,$23.00 , N/A ,$34.50 ,$23.23 ,$20.93 ,$23.23 , N/A ,$23.23 ,$28.98 ,$28.98 ,$32.66 ,$46.00 ,$39.10 , N/A ,$36.80 ,$17.02 ,$36.80 , N/A , N/A ,$46.00 ,$24.93 , N/A ,$12.10 , N/A , N/A , N/A , N/A , N/A ,$39.10 , N/A ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$28.98 ,$28.98 ,$28.98 , N/A ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,27205139,N/A,HC CATHETER INTUBATION AINTREE,272,1 ,$161.00 ,$104.65 ,$42.34 ,$161.00 , N/A ,$74.06 ,$87.26 , N/A ,$45.08 ,$51.52 , N/A ,$59.25 , N/A ,$61.50 ,$64.40 , N/A ,$61.50 , N/A ,$84.69 ,$82.11 , N/A , N/A ,$112.70 , N/A ,$80.50 , N/A ,$120.75 ,$81.31 ,$73.26 ,$81.31 , N/A ,$81.31 ,$101.43 ,$101.43 ,$114.31 ,$161.00 ,$136.85 , N/A ,$128.80 ,$59.57 ,$128.80 , N/A , N/A ,$161.00 ,$87.26 , N/A ,$42.34 , N/A , N/A , N/A , N/A , N/A ,$136.85 , N/A ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$101.43 ,$101.43 ,$101.43 , N/A ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,27205140,N/A,HC CATHETER OPTIFLOW,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27205141,N/A,HC CATHETER TRIPLE LUMEN DIALYSIS MAHURKAR,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205142,C1888,HC CATHETER FEEDING TUBE MILLER,278,1 ,$144.00 ,$93.60 ,$37.87 ,$144.00 , N/A , N/A ,$78.05 , N/A ,$40.32 ,$46.08 , N/A ,$52.99 , N/A ,$55.01 , N/A , N/A ,$55.01 , N/A ,$75.74 ,$73.44 , N/A , N/A ,$100.80 , N/A ,$72.00 , N/A ,$108.00 ,$72.72 ,$64.22 ,$72.72 , N/A ,$72.72 ,$72.00 ,$72.00 ,$72.00 ,$144.00 ,$122.40 , N/A ,$115.20 ,$53.28 ,$115.20 , N/A , N/A ,$144.00 ,$78.05 , N/A ,$37.87 , N/A , N/A , N/A , N/A , N/A ,$122.40 , N/A , N/A ,$40.32 ,$129.60 ,$103.68 ,$144.00 ,$72.00 ,$90.72 ,$90.72 , N/A ,$69.12 ,$129.60 ST. JOHN'S HOSPITAL,27205143,N/A,HC EYE PATCH PRESSURE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205147,N/A,HC CATHETER CYSTOGRAM,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205148,C1751,HC KIT POWER PICC,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27205149,N/A,HC CONTRAST DUAL INJECTION PACK,272,1 ,$46.00 ,$29.90 ,$12.10 ,$46.00 , N/A ,$21.16 ,$24.93 , N/A ,$12.88 ,$14.72 , N/A ,$16.93 , N/A ,$17.57 ,$18.40 , N/A ,$17.57 , N/A ,$24.20 ,$23.46 , N/A , N/A ,$32.20 , N/A ,$23.00 , N/A ,$34.50 ,$23.23 ,$20.93 ,$23.23 , N/A ,$23.23 ,$28.98 ,$28.98 ,$32.66 ,$46.00 ,$39.10 , N/A ,$36.80 ,$17.02 ,$36.80 , N/A , N/A ,$46.00 ,$24.93 , N/A ,$12.10 , N/A , N/A , N/A , N/A , N/A ,$39.10 , N/A ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$28.98 ,$28.98 ,$28.98 , N/A ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,27205150,C1751,HC CATHETER MIDLINE POWERGLIDE,272,1 ,$429.00 ,$278.85 ,$112.83 ,$429.00 , N/A ,$197.34 ,$232.52 , N/A ,$120.12 ,$137.28 , N/A ,$157.87 , N/A ,$163.88 ,$171.60 , N/A ,$163.88 , N/A ,$225.65 ,$218.79 , N/A , N/A ,$300.30 , N/A ,$214.50 , N/A ,$321.75 ,$216.65 ,$195.20 ,$216.65 , N/A ,$216.65 ,$270.27 ,$270.27 ,$304.59 ,$429.00 ,$364.65 , N/A ,$343.20 ,$158.73 ,$343.20 , N/A , N/A ,$429.00 ,$232.52 , N/A ,$112.83 , N/A , N/A , N/A , N/A , N/A ,$364.65 , N/A ,$282.28 ,$120.12 ,$386.10 ,$308.88 ,$429.00 ,$270.27 ,$270.27 ,$270.27 , N/A ,$205.92 ,$386.10 ST. JOHN'S HOSPITAL,27205151,N/A,HC INTRODUCER MONOPTY,272,1 ,$49.00 ,$31.85 ,$12.89 ,$49.00 , N/A ,$22.54 ,$26.56 , N/A ,$13.72 ,$15.68 , N/A ,$18.03 , N/A ,$18.72 ,$19.60 , N/A ,$18.72 , N/A ,$25.77 ,$24.99 , N/A , N/A ,$34.30 , N/A ,$24.50 , N/A ,$36.75 ,$24.75 ,$22.30 ,$24.75 , N/A ,$24.75 ,$30.87 ,$30.87 ,$34.79 ,$49.00 ,$41.65 , N/A ,$39.20 ,$18.13 ,$39.20 , N/A , N/A ,$49.00 ,$26.56 , N/A ,$12.89 , N/A , N/A , N/A , N/A , N/A ,$41.65 , N/A ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$30.87 ,$30.87 ,$30.87 , N/A ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,27205152,N/A,HC COVER PROBE RECTAL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205153,N/A,HC TUBE TRACH SHILEY XLT,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205154,N/A,HC IRRIGATION CBI NS/WATER 3000ML,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205155,N/A,HC SUTURE MERSILENE,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205156,N/A,HC SUTURE STRATTAFIX,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205157,N/A,HC ANTICOAGULANT CITRATE DEXTROSE SOLUTION,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205158,N/A,HC NUTRITION PROTEIN PIVOT 1.5,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205159,N/A,HC DOMEBORO PACKET,272,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27205160,N/A,HC ELECTROLYTE SOL PLASMALYTE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205161,N/A,HC NUTRITION GLUCERNA 1.2 CAL BOTTLE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205162,N/A,HC NUTRITION JEVITY 1.2 CAL BOTTLE,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205163,N/A,HC NUTRTION JEVITY 1.5 CAL BOTTLE,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205164,N/A,HC NUTRITION NEPRO CARB STEADY 1000ML,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205165,N/A,HC NUTRITION VITAL AF 1.2 RHI,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205166,N/A,HC NUTRITION VITAL AF HIGH PROTEIN 1000ML,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205167,N/A,HC PACK CARDIOPLEGIA TABLE LINE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205168,N/A,HC PACK CARDIOPLEGIA TABLE LINE CUSTOM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205169,N/A,HC CUVETTE BLOOD CLOTTING,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205170,N/A,HC SUCTION WAND,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205171,N/A,HC BAG REPLACEMENT CRRT/EVD,272,1 ,$19.00 ,$12.35 ,$5.00 ,$19.00 , N/A ,$8.74 ,$10.30 , N/A ,$5.32 ,$6.08 , N/A ,$6.99 , N/A ,$7.26 ,$7.60 , N/A ,$7.26 , N/A ,$9.99 ,$9.69 , N/A , N/A ,$13.30 , N/A ,$9.50 , N/A ,$14.25 ,$9.60 ,$8.65 ,$9.60 , N/A ,$9.60 ,$11.97 ,$11.97 ,$13.49 ,$19.00 ,$16.15 , N/A ,$15.20 ,$7.03 ,$15.20 , N/A , N/A ,$19.00 ,$10.30 , N/A ,$5.00 , N/A , N/A , N/A , N/A , N/A ,$16.15 , N/A ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$11.97 ,$11.97 ,$11.97 , N/A ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,27205172,N/A,HC TRAY FEMORAL ARTERIAL LINE COOK,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205173,N/A,HC CATHETER CENTRAL LINE HANDSOFF,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205174,N/A,HC CATHETER CENTRAL LINE,272,1 ,$612.00 ,$397.80 ,$160.96 ,$612.00 , N/A ,$281.52 ,$331.70 , N/A ,$171.36 ,$195.84 , N/A ,$225.22 , N/A ,$233.78 ,$244.80 , N/A ,$233.78 , N/A ,$321.91 ,$312.12 , N/A , N/A ,$428.40 , N/A ,$306.00 , N/A ,$459.00 ,$309.06 ,$278.46 ,$309.06 , N/A ,$309.06 ,$385.56 ,$385.56 ,$434.52 ,$612.00 ,$520.20 , N/A ,$489.60 ,$226.44 ,$489.60 , N/A , N/A ,$612.00 ,$331.70 , N/A ,$160.96 , N/A , N/A , N/A , N/A , N/A ,$520.20 , N/A ,$402.70 ,$171.36 ,$550.80 ,$440.64 ,$612.00 ,$385.56 ,$385.56 ,$385.56 , N/A ,$293.76 ,$550.80 ST. JOHN'S HOSPITAL,27205175,N/A,HC CATHETER PNEUMOTHORAX,272,1 ,$765.00 ,$497.25 ,$201.20 ,$765.00 , N/A ,$351.90 ,$414.63 , N/A ,$214.20 ,$244.80 , N/A ,$281.52 , N/A ,$292.23 ,$306.00 , N/A ,$292.23 , N/A ,$402.39 ,$390.15 , N/A , N/A ,$535.50 , N/A ,$382.50 , N/A ,$573.75 ,$386.33 ,$348.08 ,$386.33 , N/A ,$386.33 ,$481.95 ,$481.95 ,$543.15 ,$765.00 ,$650.25 , N/A ,$612.00 ,$283.05 ,$612.00 , N/A , N/A ,$765.00 ,$414.63 , N/A ,$201.20 , N/A , N/A , N/A , N/A , N/A ,$650.25 , N/A ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$481.95 ,$481.95 ,$481.95 , N/A ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,27205176,N/A,HC PACK WARMING,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205177,N/A,HC TRAY FEMORAL ARTERIAL LINE,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205178,N/A,HC WIPES COMFORT SHIELD PERINEAL,272,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$4.40 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,27205179,N/A,HC TRAY INTRODUCER CV,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205183,N/A,HC MASK AIRWAY DOUBLE ENTRY PORT,272,1 ,$25.00 ,$16.25 ,$6.58 ,$25.00 , N/A ,$11.50 ,$13.55 , N/A ,$7.00 ,$8.00 , N/A ,$9.20 , N/A ,$9.55 ,$10.00 , N/A ,$9.55 , N/A ,$13.15 ,$12.75 , N/A , N/A ,$17.50 , N/A ,$12.50 , N/A ,$18.75 ,$12.63 ,$11.38 ,$12.63 , N/A ,$12.63 ,$15.75 ,$15.75 ,$17.75 ,$25.00 ,$21.25 , N/A ,$20.00 ,$9.25 ,$20.00 , N/A , N/A ,$25.00 ,$13.55 , N/A ,$6.58 , N/A , N/A , N/A , N/A , N/A ,$21.25 , N/A ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$15.75 ,$15.75 ,$15.75 , N/A ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,27205184,N/A,HC SYSTEM BALLOON VCR,272,1 ,"$7,275.00 ","$4,728.75 ","$1,913.33 ","$7,275.00 ", N/A ,"$3,346.50 ","$3,943.05 ", N/A ,"$2,037.00 ","$2,328.00 ", N/A ,"$2,677.20 ", N/A ,"$2,779.05 ","$2,910.00 ", N/A ,"$2,779.05 ", N/A ,"$3,826.65 ","$3,710.25 ", N/A , N/A ,"$5,092.50 ", N/A ,"$3,637.50 ", N/A ,"$5,456.25 ","$3,673.88 ","$3,310.13 ","$3,673.88 ", N/A ,"$3,673.88 ","$4,583.25 ","$4,583.25 ","$5,165.25 ","$7,275.00 ","$6,183.75 ", N/A ,"$5,820.00 ","$2,691.75 ","$5,820.00 ", N/A , N/A ,"$7,275.00 ","$3,943.05 ", N/A ,"$1,913.33 ", N/A , N/A , N/A , N/A , N/A ,"$6,183.75 ", N/A ,"$4,786.95 ","$2,037.00 ","$6,547.50 ","$5,238.00 ","$7,275.00 ","$4,583.25 ","$4,583.25 ","$4,583.25 ", N/A ,"$3,492.00 ","$6,547.50 " ST. JOHN'S HOSPITAL,27205185,N/A,HC LINE AUTOLOG EXTENSION,272,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.40 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27205186,N/A,HC PUMP BLOOD BIOPUMP,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205187,N/A,HC PROBE BLOOD FLOW BIOPUMP,272,1 ,$77.00 ,$50.05 ,$20.25 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$30.80 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27205188,N/A,HC CATHETER DUAL VENO-VENOUS BI-CAVAL,272,1 ,"$7,038.00 ","$4,574.70 ","$1,850.99 ","$7,038.00 ", N/A ,"$3,237.48 ","$3,814.60 ", N/A ,"$1,970.64 ","$2,252.16 ", N/A ,"$2,589.98 ", N/A ,"$2,688.52 ","$2,815.20 ", N/A ,"$2,688.52 ", N/A ,"$3,701.99 ","$3,589.38 ", N/A , N/A ,"$4,926.60 ", N/A ,"$3,519.00 ", N/A ,"$5,278.50 ","$3,554.19 ","$3,202.29 ","$3,554.19 ", N/A ,"$3,554.19 ","$4,433.94 ","$4,433.94 ","$4,996.98 ","$7,038.00 ","$5,982.30 ", N/A ,"$5,630.40 ","$2,604.06 ","$5,630.40 ", N/A , N/A ,"$7,038.00 ","$3,814.60 ", N/A ,"$1,850.99 ", N/A , N/A , N/A , N/A , N/A ,"$5,982.30 ", N/A ,"$4,631.00 ","$1,970.64 ","$6,334.20 ","$5,067.36 ","$7,038.00 ","$4,433.94 ","$4,433.94 ","$4,433.94 ", N/A ,"$3,378.24 ","$6,334.20 " ST. JOHN'S HOSPITAL,27205189,N/A,HC NEEDLE INTRAOSSEOUS RED,272,1 ,$411.00 ,$267.15 ,$108.09 ,$411.00 , N/A ,$189.06 ,$222.76 , N/A ,$115.08 ,$131.52 , N/A ,$151.25 , N/A ,$157.00 ,$164.40 , N/A ,$157.00 , N/A ,$216.19 ,$209.61 , N/A , N/A ,$287.70 , N/A ,$205.50 , N/A ,$308.25 ,$207.56 ,$187.01 ,$207.56 , N/A ,$207.56 ,$258.93 ,$258.93 ,$291.81 ,$411.00 ,$349.35 , N/A ,$328.80 ,$152.07 ,$328.80 , N/A , N/A ,$411.00 ,$222.76 , N/A ,$108.09 , N/A , N/A , N/A , N/A , N/A ,$349.35 , N/A ,$270.44 ,$115.08 ,$369.90 ,$295.92 ,$411.00 ,$258.93 ,$258.93 ,$258.93 , N/A ,$197.28 ,$369.90 ST. JOHN'S HOSPITAL,27205190,N/A,HC STABILIZER INTRAOSSEOUS,272,1 ,$57.00 ,$37.05 ,$14.99 ,$57.00 , N/A ,$26.22 ,$30.89 , N/A ,$15.96 ,$18.24 , N/A ,$20.98 , N/A ,$21.77 ,$22.80 , N/A ,$21.77 , N/A ,$29.98 ,$29.07 , N/A , N/A ,$39.90 , N/A ,$28.50 , N/A ,$42.75 ,$28.79 ,$25.94 ,$28.79 , N/A ,$28.79 ,$35.91 ,$35.91 ,$40.47 ,$57.00 ,$48.45 , N/A ,$45.60 ,$21.09 ,$45.60 , N/A , N/A ,$57.00 ,$30.89 , N/A ,$14.99 , N/A , N/A , N/A , N/A , N/A ,$48.45 , N/A ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$35.91 ,$35.91 ,$35.91 , N/A ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,27205191,N/A,HC NEEDLE FILTER,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27205192,N/A,HC INTUBATION LINE ETCO2,272,1 ,$35.00 ,$22.75 ,$9.21 ,$35.00 , N/A ,$16.10 ,$18.97 , N/A ,$9.80 ,$11.20 , N/A ,$12.88 , N/A ,$13.37 ,$14.00 , N/A ,$13.37 , N/A ,$18.41 ,$17.85 , N/A , N/A ,$24.50 , N/A ,$17.50 , N/A ,$26.25 ,$17.68 ,$15.93 ,$17.68 , N/A ,$17.68 ,$22.05 ,$22.05 ,$24.85 ,$35.00 ,$29.75 , N/A ,$28.00 ,$12.95 ,$28.00 , N/A , N/A ,$35.00 ,$18.97 , N/A ,$9.21 , N/A , N/A , N/A , N/A , N/A ,$29.75 , N/A ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$22.05 ,$22.05 ,$22.05 , N/A ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,27205193,N/A,HC CANNULA ETCO2 PEDI,272,1 ,$32.00 ,$20.80 ,$8.42 ,$32.00 , N/A ,$14.72 ,$17.34 , N/A ,$8.96 ,$10.24 , N/A ,$11.78 , N/A ,$12.22 ,$12.80 , N/A ,$12.22 , N/A ,$16.83 ,$16.32 , N/A , N/A ,$22.40 , N/A ,$16.00 , N/A ,$24.00 ,$16.16 ,$14.56 ,$16.16 , N/A ,$16.16 ,$20.16 ,$20.16 ,$22.72 ,$32.00 ,$27.20 , N/A ,$25.60 ,$11.84 ,$25.60 , N/A , N/A ,$32.00 ,$17.34 , N/A ,$8.42 , N/A , N/A , N/A , N/A , N/A ,$27.20 , N/A ,$21.06 ,$8.96 ,$28.80 ,$23.04 ,$32.00 ,$20.16 ,$20.16 ,$20.16 , N/A ,$15.36 ,$28.80 ST. JOHN'S HOSPITAL,27205194,N/A,HC AIRWAY KING LTS D2,272,1 ,$187.00 ,$121.55 ,$49.18 ,$187.00 , N/A ,$86.02 ,$101.35 , N/A ,$52.36 ,$59.84 , N/A ,$68.82 , N/A ,$71.43 ,$74.80 , N/A ,$71.43 , N/A ,$98.36 ,$95.37 , N/A , N/A ,$130.90 , N/A ,$93.50 , N/A ,$140.25 ,$94.44 ,$85.09 ,$94.44 , N/A ,$94.44 ,$117.81 ,$117.81 ,$132.77 ,$187.00 ,$158.95 , N/A ,$149.60 ,$69.19 ,$149.60 , N/A , N/A ,$187.00 ,$101.35 , N/A ,$49.18 , N/A , N/A , N/A , N/A , N/A ,$158.95 , N/A ,$123.05 ,$52.36 ,$168.30 ,$134.64 ,$187.00 ,$117.81 ,$117.81 ,$117.81 , N/A ,$89.76 ,$168.30 ST. JOHN'S HOSPITAL,27205195,N/A,HC AIRWAY KING LTS D2.5,272,1 ,$187.00 ,$121.55 ,$49.18 ,$187.00 , N/A ,$86.02 ,$101.35 , N/A ,$52.36 ,$59.84 , N/A ,$68.82 , N/A ,$71.43 ,$74.80 , N/A ,$71.43 , N/A ,$98.36 ,$95.37 , N/A , N/A ,$130.90 , N/A ,$93.50 , N/A ,$140.25 ,$94.44 ,$85.09 ,$94.44 , N/A ,$94.44 ,$117.81 ,$117.81 ,$132.77 ,$187.00 ,$158.95 , N/A ,$149.60 ,$69.19 ,$149.60 , N/A , N/A ,$187.00 ,$101.35 , N/A ,$49.18 , N/A , N/A , N/A , N/A , N/A ,$158.95 , N/A ,$123.05 ,$52.36 ,$168.30 ,$134.64 ,$187.00 ,$117.81 ,$117.81 ,$117.81 , N/A ,$89.76 ,$168.30 ST. JOHN'S HOSPITAL,27205196,N/A,HC AIRWAY KING LTD D3,272,1 ,$115.00 ,$74.75 ,$30.25 ,$115.00 , N/A ,$52.90 ,$62.33 , N/A ,$32.20 ,$36.80 , N/A ,$42.32 , N/A ,$43.93 ,$46.00 , N/A ,$43.93 , N/A ,$60.49 ,$58.65 , N/A , N/A ,$80.50 , N/A ,$57.50 , N/A ,$86.25 ,$58.08 ,$52.33 ,$58.08 , N/A ,$58.08 ,$72.45 ,$72.45 ,$81.65 ,$115.00 ,$97.75 , N/A ,$92.00 ,$42.55 ,$92.00 , N/A , N/A ,$115.00 ,$62.33 , N/A ,$30.25 , N/A , N/A , N/A , N/A , N/A ,$97.75 , N/A ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$72.45 ,$72.45 ,$72.45 , N/A ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,27205197,N/A,HC AIRWAY KING LTS D4,272,1 ,$108.00 ,$70.20 ,$28.40 ,$108.00 , N/A ,$49.68 ,$58.54 , N/A ,$30.24 ,$34.56 , N/A ,$39.74 , N/A ,$41.26 ,$43.20 , N/A ,$41.26 , N/A ,$56.81 ,$55.08 , N/A , N/A ,$75.60 , N/A ,$54.00 , N/A ,$81.00 ,$54.54 ,$49.14 ,$54.54 , N/A ,$54.54 ,$68.04 ,$68.04 ,$76.68 ,$108.00 ,$91.80 , N/A ,$86.40 ,$39.96 ,$86.40 , N/A , N/A ,$108.00 ,$58.54 , N/A ,$28.40 , N/A , N/A , N/A , N/A , N/A ,$91.80 , N/A ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$68.04 ,$68.04 ,$68.04 , N/A ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,27205198,N/A,HC AIRWAY KING LTS D5,272,1 ,$108.00 ,$70.20 ,$28.40 ,$108.00 , N/A ,$49.68 ,$58.54 , N/A ,$30.24 ,$34.56 , N/A ,$39.74 , N/A ,$41.26 ,$43.20 , N/A ,$41.26 , N/A ,$56.81 ,$55.08 , N/A , N/A ,$75.60 , N/A ,$54.00 , N/A ,$81.00 ,$54.54 ,$49.14 ,$54.54 , N/A ,$54.54 ,$68.04 ,$68.04 ,$76.68 ,$108.00 ,$91.80 , N/A ,$86.40 ,$39.96 ,$86.40 , N/A , N/A ,$108.00 ,$58.54 , N/A ,$28.40 , N/A , N/A , N/A , N/A , N/A ,$91.80 , N/A ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$68.04 ,$68.04 ,$68.04 , N/A ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,27205199,N/A,HC SYRINGE 5ML,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 ,$0.40 , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27205201,N/A,HC SUTURE T5,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27205202,N/A,HC SUTURE T6,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27205203,N/A,HC SUTURE T7,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205204,N/A,HC SUTURE T8,272,1 ,$383.00 ,$248.95 ,$100.73 ,$383.00 , N/A ,$176.18 ,$207.59 , N/A ,$107.24 ,$122.56 , N/A ,$140.94 , N/A ,$146.31 ,$153.20 , N/A ,$146.31 , N/A ,$201.46 ,$195.33 , N/A , N/A ,$268.10 , N/A ,$191.50 , N/A ,$287.25 ,$193.42 ,$174.27 ,$193.42 , N/A ,$193.42 ,$241.29 ,$241.29 ,$271.93 ,$383.00 ,$325.55 , N/A ,$306.40 ,$141.71 ,$306.40 , N/A , N/A ,$383.00 ,$207.59 , N/A ,$100.73 , N/A , N/A , N/A , N/A , N/A ,$325.55 , N/A ,$252.01 ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$241.29 ,$241.29 ,$241.29 , N/A ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27205217,C1768,HC GRAFT VASCULAR T11,278,1 ,"$1,224.00 ",$795.60 ,$321.91 ,"$1,224.00 ", N/A ,$563.04 ,$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 , N/A , N/A ,$467.57 , N/A ,$643.82 ,$624.24 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$618.12 ,$545.90 ,$618.12 , N/A ,$618.12 ,$612.00 ,$612.00 ,$612.00 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,"$1,224.00 ",$663.41 , N/A ,$321.91 , N/A , N/A , N/A , N/A , N/A ,"$1,040.40 ", N/A , N/A ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$612.00 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,27205218,C1768,HC GRAFT VASCULAR T12,278,1 ,"$1,377.00 ",$895.05 ,$362.15 ,"$1,377.00 ", N/A ,$633.42 ,$746.33 , N/A ,$385.56 ,$440.64 , N/A ,$506.74 , N/A ,$526.01 , N/A , N/A ,$526.01 , N/A ,$724.30 ,$702.27 , N/A , N/A ,$963.90 , N/A ,$688.50 , N/A ,"$1,032.75 ",$695.39 ,$614.14 ,$695.39 , N/A ,$695.39 ,$688.50 ,$688.50 ,$688.50 ,"$1,377.00 ","$1,170.45 ", N/A ,"$1,101.60 ",$509.49 ,"$1,101.60 ", N/A , N/A ,"$1,377.00 ",$746.33 , N/A ,$362.15 , N/A , N/A , N/A , N/A , N/A ,"$1,170.45 ", N/A , N/A ,$385.56 ,"$1,239.30 ",$991.44 ,"$1,377.00 ",$688.50 ,$867.51 ,$867.51 , N/A ,$660.96 ,"$1,239.30 " ST. JOHN'S HOSPITAL,27205220,C1768,HC GRAFT VASCULAR T14,278,1 ,"$2,142.00 ","$1,392.30 ",$563.35 ,"$2,142.00 ", N/A ,$985.32 ,"$1,160.96 ", N/A ,$599.76 ,$685.44 , N/A ,$788.26 , N/A ,$818.24 , N/A , N/A ,$818.24 , N/A ,"$1,126.69 ","$1,092.42 ", N/A , N/A ,"$1,499.40 ", N/A ,"$1,071.00 ", N/A ,"$1,606.50 ","$1,081.71 ",$955.33 ,"$1,081.71 ", N/A ,"$1,081.71 ","$1,071.00 ","$1,071.00 ","$1,071.00 ","$2,142.00 ","$1,820.70 ", N/A ,"$1,713.60 ",$792.54 ,"$1,713.60 ", N/A , N/A ,"$2,142.00 ","$1,160.96 ", N/A ,$563.35 , N/A , N/A , N/A , N/A , N/A ,"$1,820.70 ", N/A , N/A ,$599.76 ,"$1,927.80 ","$1,542.24 ","$2,142.00 ","$1,071.00 ","$1,349.46 ","$1,349.46 ", N/A ,"$1,028.16 ","$1,927.80 " ST. JOHN'S HOSPITAL,27205226,C1768,HC GRAFT VASCULAR T20,278,1 ,"$5,814.00 ","$3,779.10 ","$1,529.08 ","$5,814.00 ", N/A ,"$2,674.44 ","$3,151.19 ", N/A ,"$1,627.92 ","$1,860.48 ", N/A ,"$2,139.55 ", N/A ,"$2,220.95 ", N/A , N/A ,"$2,220.95 ", N/A ,"$3,058.16 ","$2,965.14 ", N/A , N/A ,"$4,069.80 ", N/A ,"$2,907.00 ", N/A ,"$4,360.50 ","$2,936.07 ","$2,593.04 ","$2,936.07 ", N/A ,"$2,936.07 ","$2,907.00 ","$2,907.00 ","$2,907.00 ","$5,814.00 ","$4,941.90 ", N/A ,"$4,651.20 ","$2,151.18 ","$4,651.20 ", N/A , N/A ,"$5,814.00 ","$3,151.19 ", N/A ,"$1,529.08 ", N/A , N/A , N/A , N/A , N/A ,"$4,941.90 ", N/A , N/A ,"$1,627.92 ","$5,232.60 ","$4,186.08 ","$5,814.00 ","$2,907.00 ","$3,662.82 ","$3,662.82 ", N/A ,"$2,790.72 ","$5,232.60 " ST. JOHN'S HOSPITAL,27205230,N/A,HC EEC SUPPLY PACKAGE,272,1 ,"$2,584.00 ","$1,679.60 ",$679.59 ,"$2,584.00 ", N/A ,"$1,188.64 ","$1,400.53 ", N/A ,$723.52 ,$826.88 , N/A ,$950.91 , N/A ,$987.09 ,"$1,033.60 ", N/A ,$987.09 , N/A ,"$1,359.18 ","$1,317.84 ", N/A , N/A ,"$1,808.80 ", N/A ,"$1,292.00 ", N/A ,"$1,938.00 ","$1,304.92 ","$1,175.72 ","$1,304.92 ", N/A ,"$1,304.92 ","$1,627.92 ","$1,627.92 ","$1,834.64 ","$2,584.00 ","$2,196.40 ", N/A ,"$2,067.20 ",$956.08 ,"$2,067.20 ", N/A , N/A ,"$2,584.00 ","$1,400.53 ", N/A ,$679.59 , N/A , N/A , N/A , N/A , N/A ,"$2,196.40 ", N/A ,"$1,700.27 ",$723.52 ,"$2,325.60 ","$1,860.48 ","$2,584.00 ","$1,627.92 ","$1,627.92 ","$1,627.92 ", N/A ,"$1,240.32 ","$2,325.60 " ST. JOHN'S HOSPITAL,27205258,N/A,HC RETRACTOR ADBOMINAL ADHESIVE,272,1 ,$138.00 ,$89.70 ,$36.29 ,$138.00 , N/A ,$63.48 ,$74.80 , N/A ,$38.64 ,$44.16 , N/A ,$50.78 , N/A ,$52.72 ,$55.20 , N/A ,$52.72 , N/A ,$72.59 ,$70.38 , N/A , N/A ,$96.60 , N/A ,$69.00 , N/A ,$103.50 ,$69.69 ,$62.79 ,$69.69 , N/A ,$69.69 ,$86.94 ,$86.94 ,$97.98 ,$138.00 ,$117.30 , N/A ,$110.40 ,$51.06 ,$110.40 , N/A , N/A ,$138.00 ,$74.80 , N/A ,$36.29 , N/A , N/A , N/A , N/A , N/A ,$117.30 , N/A ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$86.94 ,$86.94 ,$86.94 , N/A ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,27205261,N/A,HC BRONCHOSCOPE SLIM,272,1 ,$826.00 ,$536.90 ,$217.24 ,$826.00 , N/A ,$379.96 ,$447.69 , N/A ,$231.28 ,$264.32 , N/A ,$303.97 , N/A ,$315.53 ,$330.40 , N/A ,$315.53 , N/A ,$434.48 ,$421.26 , N/A , N/A ,$578.20 , N/A ,$413.00 , N/A ,$619.50 ,$417.13 ,$375.83 ,$417.13 , N/A ,$417.13 ,$520.38 ,$520.38 ,$586.46 ,$826.00 ,$702.10 , N/A ,$660.80 ,$305.62 ,$660.80 , N/A , N/A ,$826.00 ,$447.69 , N/A ,$217.24 , N/A , N/A , N/A , N/A , N/A ,$702.10 , N/A ,$543.51 ,$231.28 ,$743.40 ,$594.72 ,$826.00 ,$520.38 ,$520.38 ,$520.38 , N/A ,$396.48 ,$743.40 ST. JOHN'S HOSPITAL,27205262,N/A,HC BRONCHOSCOPE,272,1 ,$826.00 ,$536.90 ,$217.24 ,$826.00 , N/A ,$379.96 ,$447.69 , N/A ,$231.28 ,$264.32 , N/A ,$303.97 , N/A ,$315.53 ,$330.40 , N/A ,$315.53 , N/A ,$434.48 ,$421.26 , N/A , N/A ,$578.20 , N/A ,$413.00 , N/A ,$619.50 ,$417.13 ,$375.83 ,$417.13 , N/A ,$417.13 ,$520.38 ,$520.38 ,$586.46 ,$826.00 ,$702.10 , N/A ,$660.80 ,$305.62 ,$660.80 , N/A , N/A ,$826.00 ,$447.69 , N/A ,$217.24 , N/A , N/A , N/A , N/A , N/A ,$702.10 , N/A ,$543.51 ,$231.28 ,$743.40 ,$594.72 ,$826.00 ,$520.38 ,$520.38 ,$520.38 , N/A ,$396.48 ,$743.40 ST. JOHN'S HOSPITAL,27205263,N/A,HC BRONCHOSCOPE LARGE,272,1 ,$952.00 ,$618.80 ,$250.38 ,$952.00 , N/A ,$437.92 ,$515.98 , N/A ,$266.56 ,$304.64 , N/A ,$350.34 , N/A ,$363.66 ,$380.80 , N/A ,$363.66 , N/A ,$500.75 ,$485.52 , N/A , N/A ,$666.40 , N/A ,$476.00 , N/A ,$714.00 ,$480.76 ,$433.16 ,$480.76 , N/A ,$480.76 ,$599.76 ,$599.76 ,$675.92 ,$952.00 ,$809.20 , N/A ,$761.60 ,$352.24 ,$761.60 , N/A , N/A ,$952.00 ,$515.98 , N/A ,$250.38 , N/A , N/A , N/A , N/A , N/A ,$809.20 , N/A ,$626.42 ,$266.56 ,$856.80 ,$685.44 ,$952.00 ,$599.76 ,$599.76 ,$599.76 , N/A ,$456.96 ,$856.80 ST. JOHN'S HOSPITAL,27205270,N/A,HC KIT ETT NEBULIZER,272,1 ,$6.00 ,$3.90 ,$1.58 ,$6.00 , N/A ,$2.76 ,$3.25 , N/A ,$1.68 ,$1.92 , N/A ,$2.21 , N/A ,$2.29 ,$2.40 , N/A ,$2.29 , N/A ,$3.16 ,$3.06 , N/A , N/A ,$4.20 , N/A ,$3.00 , N/A ,$4.50 ,$3.03 ,$2.73 ,$3.03 , N/A ,$3.03 ,$3.78 ,$3.78 ,$4.26 ,$6.00 ,$5.10 , N/A ,$4.80 ,$2.22 ,$4.80 , N/A , N/A ,$6.00 ,$3.25 , N/A ,$1.58 , N/A , N/A , N/A , N/A , N/A ,$5.10 , N/A ,$3.95 ,$1.68 ,$5.40 ,$4.32 ,$6.00 ,$3.78 ,$3.78 ,$3.78 , N/A ,$2.88 ,$5.40 ST. JOHN'S HOSPITAL,27205271,N/A,HC VALVE PEEP,272,1 ,$16.00 ,$10.40 ,$4.21 ,$16.00 , N/A ,$7.36 ,$8.67 , N/A ,$4.48 ,$5.12 , N/A ,$5.89 , N/A ,$6.11 ,$6.40 , N/A ,$6.11 , N/A ,$8.42 ,$8.16 , N/A , N/A ,$11.20 , N/A ,$8.00 , N/A ,$12.00 ,$8.08 ,$7.28 ,$8.08 , N/A ,$8.08 ,$10.08 ,$10.08 ,$11.36 ,$16.00 ,$13.60 , N/A ,$12.80 ,$5.92 ,$12.80 , N/A , N/A ,$16.00 ,$8.67 , N/A ,$4.21 , N/A , N/A , N/A , N/A , N/A ,$13.60 , N/A ,$10.53 ,$4.48 ,$14.40 ,$11.52 ,$16.00 ,$10.08 ,$10.08 ,$10.08 , N/A ,$7.68 ,$14.40 ST. JOHN'S HOSPITAL,27205274,N/A,HC CANNULA NASAL ETCO2 SHORT TERM,272,1 ,$41.00 ,$26.65 ,$10.78 ,$41.00 , N/A ,$18.86 ,$22.22 , N/A ,$11.48 ,$13.12 , N/A ,$15.09 , N/A ,$15.66 ,$16.40 , N/A ,$15.66 , N/A ,$21.57 ,$20.91 , N/A , N/A ,$28.70 , N/A ,$20.50 , N/A ,$30.75 ,$20.71 ,$18.66 ,$20.71 , N/A ,$20.71 ,$25.83 ,$25.83 ,$29.11 ,$41.00 ,$34.85 , N/A ,$32.80 ,$15.17 ,$32.80 , N/A , N/A ,$41.00 ,$22.22 , N/A ,$10.78 , N/A , N/A , N/A , N/A , N/A ,$34.85 , N/A ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$25.83 ,$25.83 ,$25.83 , N/A ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,27205303,N/A,HC VALVE SUCTION ENDOSCOPIC,272,1 ,$79.00 ,$51.35 ,$20.78 ,$79.00 , N/A ,$36.34 ,$42.82 , N/A ,$22.12 ,$25.28 , N/A ,$29.07 , N/A ,$30.18 ,$31.60 , N/A ,$30.18 , N/A ,$41.55 ,$40.29 , N/A , N/A ,$55.30 , N/A ,$39.50 , N/A ,$59.25 ,$39.90 ,$35.95 ,$39.90 , N/A ,$39.90 ,$49.77 ,$49.77 ,$56.09 ,$79.00 ,$67.15 , N/A ,$63.20 ,$29.23 ,$63.20 , N/A , N/A ,$79.00 ,$42.82 , N/A ,$20.78 , N/A , N/A , N/A , N/A , N/A ,$67.15 , N/A ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$49.77 ,$49.77 ,$49.77 , N/A ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,27205304,N/A,HC VALUE LIP INSTRUMENT CHANNEL,272,1 ,$42.00 ,$27.30 ,$11.05 ,$42.00 , N/A ,$19.32 ,$22.76 , N/A ,$11.76 ,$13.44 , N/A ,$15.46 , N/A ,$16.04 ,$16.80 , N/A ,$16.04 , N/A ,$22.09 ,$21.42 , N/A , N/A ,$29.40 , N/A ,$21.00 , N/A ,$31.50 ,$21.21 ,$19.11 ,$21.21 , N/A ,$21.21 ,$26.46 ,$26.46 ,$29.82 ,$42.00 ,$35.70 , N/A ,$33.60 ,$15.54 ,$33.60 , N/A , N/A ,$42.00 ,$22.76 , N/A ,$11.05 , N/A , N/A , N/A , N/A , N/A ,$35.70 , N/A ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$26.46 ,$26.46 ,$26.46 , N/A ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,27205342,N/A,HC DRESSING TEGADERM,272,1 ,$26.00 ,$16.90 ,$6.84 ,$26.00 , N/A ,$11.96 ,$14.09 , N/A ,$7.28 ,$8.32 , N/A ,$9.57 , N/A ,$9.93 ,$10.40 , N/A ,$9.93 , N/A ,$13.68 ,$13.26 , N/A , N/A ,$18.20 , N/A ,$13.00 , N/A ,$19.50 ,$13.13 ,$11.83 ,$13.13 , N/A ,$13.13 ,$16.38 ,$16.38 ,$18.46 ,$26.00 ,$22.10 , N/A ,$20.80 ,$9.62 ,$20.80 , N/A , N/A ,$26.00 ,$14.09 , N/A ,$6.84 , N/A , N/A , N/A , N/A , N/A ,$22.10 , N/A ,$17.11 ,$7.28 ,$23.40 ,$18.72 ,$26.00 ,$16.38 ,$16.38 ,$16.38 , N/A ,$12.48 ,$23.40 ST. JOHN'S HOSPITAL,27205350,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T26,272,1 ,"$7,038.00 ","$4,574.70 ","$1,850.99 ","$7,038.00 ", N/A ,"$3,237.48 ","$3,814.60 ", N/A ,"$1,970.64 ","$2,252.16 ", N/A ,"$2,589.98 ", N/A ,"$2,688.52 ","$2,815.20 ", N/A ,"$2,688.52 ", N/A ,"$3,701.99 ","$3,589.38 ", N/A , N/A ,"$4,926.60 ", N/A ,"$3,519.00 ", N/A ,"$5,278.50 ","$3,554.19 ","$3,202.29 ","$3,554.19 ", N/A ,"$3,554.19 ","$4,433.94 ","$4,433.94 ","$4,996.98 ","$7,038.00 ","$5,982.30 ", N/A ,"$5,630.40 ","$2,604.06 ","$5,630.40 ", N/A , N/A ,"$7,038.00 ","$3,814.60 ", N/A ,"$1,850.99 ", N/A , N/A , N/A , N/A , N/A ,"$5,982.30 ", N/A ,"$4,631.00 ","$1,970.64 ","$6,334.20 ","$5,067.36 ","$7,038.00 ","$4,433.94 ","$4,433.94 ","$4,433.94 ", N/A ,"$3,378.24 ","$6,334.20 " ST. JOHN'S HOSPITAL,27205351,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T27,272,1 ,"$7,650.00 ","$4,972.50 ","$2,011.95 ","$7,650.00 ", N/A ,"$3,519.00 ","$4,146.30 ", N/A ,"$2,142.00 ","$2,448.00 ", N/A ,"$2,815.20 ", N/A ,"$2,922.30 ","$3,060.00 ", N/A ,"$2,922.30 ", N/A ,"$4,023.90 ","$3,901.50 ", N/A , N/A ,"$5,355.00 ", N/A ,"$3,825.00 ", N/A ,"$5,737.50 ","$3,863.25 ","$3,480.75 ","$3,863.25 ", N/A ,"$3,863.25 ","$4,819.50 ","$4,819.50 ","$5,431.50 ","$7,650.00 ","$6,502.50 ", N/A ,"$6,120.00 ","$2,830.50 ","$6,120.00 ", N/A , N/A ,"$7,650.00 ","$4,146.30 ", N/A ,"$2,011.95 ", N/A , N/A , N/A , N/A , N/A ,"$6,502.50 ", N/A ,"$5,033.70 ","$2,142.00 ","$6,885.00 ","$5,508.00 ","$7,650.00 ","$4,819.50 ","$4,819.50 ","$4,819.50 ", N/A ,"$3,672.00 ","$6,885.00 " ST. JOHN'S HOSPITAL,27205352,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T28,272,1 ,"$8,262.00 ","$5,370.30 ","$2,172.91 ","$8,262.00 ", N/A ,"$3,800.52 ","$4,478.00 ", N/A ,"$2,313.36 ","$2,643.84 ", N/A ,"$3,040.42 ", N/A ,"$3,156.08 ","$3,304.80 ", N/A ,"$3,156.08 ", N/A ,"$4,345.81 ","$4,213.62 ", N/A , N/A ,"$5,783.40 ", N/A ,"$4,131.00 ", N/A ,"$6,196.50 ","$4,172.31 ","$3,759.21 ","$4,172.31 ", N/A ,"$4,172.31 ","$5,205.06 ","$5,205.06 ","$5,866.02 ","$8,262.00 ","$7,022.70 ", N/A ,"$6,609.60 ","$3,056.94 ","$6,609.60 ", N/A , N/A ,"$8,262.00 ","$4,478.00 ", N/A ,"$2,172.91 ", N/A , N/A , N/A , N/A , N/A ,"$7,022.70 ", N/A ,"$5,436.40 ","$2,313.36 ","$7,435.80 ","$5,948.64 ","$8,262.00 ","$5,205.06 ","$5,205.06 ","$5,205.06 ", N/A ,"$3,965.76 ","$7,435.80 " ST. JOHN'S HOSPITAL,27205353,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T29,272,1 ,"$8,874.00 ","$5,768.10 ","$2,333.86 ","$8,874.00 ", N/A ,"$4,082.04 ","$4,809.71 ", N/A ,"$2,484.72 ","$2,839.68 ", N/A ,"$3,265.63 ", N/A ,"$3,389.87 ","$3,549.60 ", N/A ,"$3,389.87 ", N/A ,"$4,667.72 ","$4,525.74 ", N/A , N/A ,"$6,211.80 ", N/A ,"$4,437.00 ", N/A ,"$6,655.50 ","$4,481.37 ","$4,037.67 ","$4,481.37 ", N/A ,"$4,481.37 ","$5,590.62 ","$5,590.62 ","$6,300.54 ","$8,874.00 ","$7,542.90 ", N/A ,"$7,099.20 ","$3,283.38 ","$7,099.20 ", N/A , N/A ,"$8,874.00 ","$4,809.71 ", N/A ,"$2,333.86 ", N/A , N/A , N/A , N/A , N/A ,"$7,542.90 ", N/A ,"$5,839.09 ","$2,484.72 ","$7,986.60 ","$6,389.28 ","$8,874.00 ","$5,590.62 ","$5,590.62 ","$5,590.62 ", N/A ,"$4,259.52 ","$7,986.60 " ST. JOHN'S HOSPITAL,27205354,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T30,272,1 ,"$9,486.00 ","$6,165.90 ","$2,494.82 ","$9,486.00 ", N/A ,"$4,363.56 ","$5,141.41 ", N/A ,"$2,656.08 ","$3,035.52 ", N/A ,"$3,490.85 ", N/A ,"$3,623.65 ","$3,794.40 ", N/A ,"$3,623.65 ", N/A ,"$4,989.64 ","$4,837.86 ", N/A , N/A ,"$6,640.20 ", N/A ,"$4,743.00 ", N/A ,"$7,114.50 ","$4,790.43 ","$4,316.13 ","$4,790.43 ", N/A ,"$4,790.43 ","$5,976.18 ","$5,976.18 ","$6,735.06 ","$9,486.00 ","$8,063.10 ", N/A ,"$7,588.80 ","$3,509.82 ","$7,588.80 ", N/A , N/A ,"$9,486.00 ","$5,141.41 ", N/A ,"$2,494.82 ", N/A , N/A , N/A , N/A , N/A ,"$8,063.10 ", N/A ,"$6,241.79 ","$2,656.08 ","$8,537.40 ","$6,829.92 ","$9,486.00 ","$5,976.18 ","$5,976.18 ","$5,976.18 ", N/A ,"$4,553.28 ","$8,537.40 " ST. JOHN'S HOSPITAL,27205355,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T31,272,1 ,"$10,098.00 ","$6,563.70 ","$2,655.77 ","$10,098.00 ", N/A ,"$4,645.08 ","$5,473.12 ", N/A ,"$2,827.44 ","$3,231.36 ", N/A ,"$3,716.06 ", N/A ,"$3,857.44 ","$4,039.20 ", N/A ,"$3,857.44 ", N/A ,"$5,311.55 ","$5,149.98 ", N/A , N/A ,"$7,068.60 ", N/A ,"$5,049.00 ", N/A ,"$7,573.50 ","$5,099.49 ","$4,594.59 ","$5,099.49 ", N/A ,"$5,099.49 ","$6,361.74 ","$6,361.74 ","$7,169.58 ","$10,098.00 ","$8,583.30 ", N/A ,"$8,078.40 ","$3,736.26 ","$8,078.40 ", N/A , N/A ,"$10,098.00 ","$5,473.12 ", N/A ,"$2,655.77 ", N/A , N/A , N/A , N/A , N/A ,"$8,583.30 ", N/A ,"$6,644.48 ","$2,827.44 ","$9,088.20 ","$7,270.56 ","$10,098.00 ","$6,361.74 ","$6,361.74 ","$6,361.74 ", N/A ,"$4,847.04 ","$9,088.20 " ST. JOHN'S HOSPITAL,27205356,C1884,HC SYSTEM EMBOLIZATION PROTECTIVE T32,272,1 ,"$10,710.00 ","$6,961.50 ","$2,816.73 ","$10,710.00 ", N/A ,"$4,926.60 ","$5,804.82 ", N/A ,"$2,998.80 ","$3,427.20 ", N/A ,"$3,941.28 ", N/A ,"$4,091.22 ","$4,284.00 ", N/A ,"$4,091.22 ", N/A ,"$5,633.46 ","$5,462.10 ", N/A , N/A ,"$7,497.00 ", N/A ,"$5,355.00 ", N/A ,"$8,032.50 ","$5,408.55 ","$4,873.05 ","$5,408.55 ", N/A ,"$5,408.55 ","$6,747.30 ","$6,747.30 ","$7,604.10 ","$10,710.00 ","$9,103.50 ", N/A ,"$8,568.00 ","$3,962.70 ","$8,568.00 ", N/A , N/A ,"$10,710.00 ","$5,804.82 ", N/A ,"$2,816.73 ", N/A , N/A , N/A , N/A , N/A ,"$9,103.50 ", N/A ,"$7,047.18 ","$2,998.80 ","$9,639.00 ","$7,711.20 ","$10,710.00 ","$6,747.30 ","$6,747.30 ","$6,747.30 ", N/A ,"$5,140.80 ","$9,639.00 " ST. JOHN'S HOSPITAL,27205366,N/A,HC SENSOR NASAL PULSE OX ALAR,272,1 ,$59.00 ,$38.35 ,$15.52 ,$59.00 , N/A ,$27.14 ,$31.98 , N/A ,$16.52 ,$18.88 , N/A ,$21.71 , N/A ,$22.54 ,$23.60 , N/A ,$22.54 , N/A ,$31.03 ,$30.09 , N/A , N/A ,$41.30 , N/A ,$29.50 , N/A ,$44.25 ,$29.80 ,$26.85 ,$29.80 , N/A ,$29.80 ,$37.17 ,$37.17 ,$41.89 ,$59.00 ,$50.15 , N/A ,$47.20 ,$21.83 ,$47.20 , N/A , N/A ,$59.00 ,$31.98 , N/A ,$15.52 , N/A , N/A , N/A , N/A , N/A ,$50.15 , N/A ,$38.82 ,$16.52 ,$53.10 ,$42.48 ,$59.00 ,$37.17 ,$37.17 ,$37.17 , N/A ,$28.32 ,$53.10 ST. JOHN'S HOSPITAL,27205374,C1751,HC KIT IV RADIAL ARTERY W/GUIDEWIRE,272,1 ,$106.00 ,$68.90 ,$27.88 ,$106.00 , N/A ,$48.76 ,$57.45 , N/A ,$29.68 ,$33.92 , N/A ,$39.01 , N/A ,$40.49 ,$42.40 , N/A ,$40.49 , N/A ,$55.76 ,$54.06 , N/A , N/A ,$74.20 , N/A ,$53.00 , N/A ,$79.50 ,$53.53 ,$48.23 ,$53.53 , N/A ,$53.53 ,$66.78 ,$66.78 ,$75.26 ,$106.00 ,$90.10 , N/A ,$84.80 ,$39.22 ,$84.80 , N/A , N/A ,$106.00 ,$57.45 , N/A ,$27.88 , N/A , N/A , N/A , N/A , N/A ,$90.10 , N/A ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$66.78 ,$66.78 ,$66.78 , N/A ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,27205375,A5120,HC WIPE SKIN BARRIER,272,1 ,$20.00 ,$13.00 ,$0.50 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$3.36 , N/A ,$3.62 , N/A ,$7.64 ,$0.50 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27205376,N/A,HC TUBE TRACH UNCUFFED NEO FLEXTEND,272,1 ,$532.00 ,$345.80 ,$139.92 ,$532.00 , N/A ,$244.72 ,$288.34 , N/A ,$148.96 ,$170.24 , N/A ,$195.78 , N/A ,$203.22 ,$212.80 , N/A ,$203.22 , N/A ,$279.83 ,$271.32 , N/A , N/A ,$372.40 , N/A ,$266.00 , N/A ,$399.00 ,$268.66 ,$242.06 ,$268.66 , N/A ,$268.66 ,$335.16 ,$335.16 ,$377.72 ,$532.00 ,$452.20 , N/A ,$425.60 ,$196.84 ,$425.60 , N/A , N/A ,$532.00 ,$288.34 , N/A ,$139.92 , N/A , N/A , N/A , N/A , N/A ,$452.20 , N/A ,$350.06 ,$148.96 ,$478.80 ,$383.04 ,$532.00 ,$335.16 ,$335.16 ,$335.16 , N/A ,$255.36 ,$478.80 ST. JOHN'S HOSPITAL,27205377,N/A,HC TUBE NASO-GASTRIC/INTESTINAL,272,1 ,$306.00 ,$198.90 ,$80.48 ,$306.00 , N/A ,$140.76 ,$165.85 , N/A ,$85.68 ,$97.92 , N/A ,$112.61 , N/A ,$116.89 ,$122.40 , N/A ,$116.89 , N/A ,$160.96 ,$156.06 , N/A , N/A ,$214.20 , N/A ,$153.00 , N/A ,$229.50 ,$154.53 ,$139.23 ,$154.53 , N/A ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 , N/A ,$244.80 ,$113.22 ,$244.80 , N/A , N/A ,$306.00 ,$165.85 , N/A ,$80.48 , N/A , N/A , N/A , N/A , N/A ,$260.10 , N/A ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 , N/A ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27205384,N/A,HC PROBE TEMP MYOCARDIA,272,1 ,$87.00 ,$56.55 ,$22.88 ,$87.00 , N/A ,$40.02 ,$47.15 , N/A ,$24.36 ,$27.84 , N/A ,$32.02 , N/A ,$33.23 ,$34.80 , N/A ,$33.23 , N/A ,$45.76 ,$44.37 , N/A , N/A ,$60.90 , N/A ,$43.50 , N/A ,$65.25 ,$43.94 ,$39.59 ,$43.94 , N/A ,$43.94 ,$54.81 ,$54.81 ,$61.77 ,$87.00 ,$73.95 , N/A ,$69.60 ,$32.19 ,$69.60 , N/A , N/A ,$87.00 ,$47.15 , N/A ,$22.88 , N/A , N/A , N/A , N/A , N/A ,$73.95 , N/A ,$57.25 ,$24.36 ,$78.30 ,$62.64 ,$87.00 ,$54.81 ,$54.81 ,$54.81 , N/A ,$41.76 ,$78.30 ST. JOHN'S HOSPITAL,27205385,N/A,HC SWITCH CARDIOPLEGIA,272,1 ,$113.00 ,$73.45 ,$29.72 ,$113.00 , N/A ,$51.98 ,$61.25 , N/A ,$31.64 ,$36.16 , N/A ,$41.58 , N/A ,$43.17 ,$45.20 , N/A ,$43.17 , N/A ,$59.44 ,$57.63 , N/A , N/A ,$79.10 , N/A ,$56.50 , N/A ,$84.75 ,$57.07 ,$51.42 ,$57.07 , N/A ,$57.07 ,$71.19 ,$71.19 ,$80.23 ,$113.00 ,$96.05 , N/A ,$90.40 ,$41.81 ,$90.40 , N/A , N/A ,$113.00 ,$61.25 , N/A ,$29.72 , N/A , N/A , N/A , N/A , N/A ,$96.05 , N/A ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$71.19 ,$71.19 ,$71.19 , N/A ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,27205390,E1399,HC SLEEVE COMPRESSION ARM,272,1 ,"$1,836.00 ","$1,193.40 ",$367.20 ,"$1,836.00 ",$918.00 ,$844.56 ,$995.11 ,$367.20 ,$514.08 ,$587.52 ,$367.20 ,$675.65 ,$367.20 ,$701.35 ,$734.40 ,$367.20 ,$701.35 ,$697.68 ,$965.74 ,$936.36 ,$918.00 ,$367.20 ,"$1,285.20 ",$367.20 ,$918.00 ,$374.54 ,"$1,377.00 ",$927.18 ,$835.38 ,$927.18 ,$367.20 ,$927.18 ,"$1,156.68 ","$1,156.68 ","$1,303.56 ","$1,836.00 ","$1,560.60 ",$918.00 ,"$1,468.80 ",$679.32 ,"$1,468.80 ",$367.20 ,$367.20 ,"$1,836.00 ",$995.11 ,$367.20 ,$482.87 , N/A , N/A , N/A , N/A ,$385.56 ,"$1,560.60 ",$826.20 ,"$1,208.09 ",$514.08 ,"$1,652.40 ","$1,321.92 ","$1,836.00 ","$1,156.68 ","$1,156.68 ","$1,156.68 ",$367.20 ,$881.28 ,"$1,652.40 " ST. JOHN'S HOSPITAL,27205397,N/A,HC SURGICEL HEMOSTAT FIBRILLAR 1X2,272,1 ,$181.00 ,$117.65 ,$47.60 ,$181.00 , N/A ,$83.26 ,$98.10 , N/A ,$50.68 ,$57.92 , N/A ,$66.61 , N/A ,$69.14 ,$72.40 , N/A ,$69.14 , N/A ,$95.21 ,$92.31 , N/A , N/A ,$126.70 , N/A ,$90.50 , N/A ,$135.75 ,$91.41 ,$82.36 ,$91.41 , N/A ,$91.41 ,$114.03 ,$114.03 ,$128.51 ,$181.00 ,$153.85 , N/A ,$144.80 ,$66.97 ,$144.80 , N/A , N/A ,$181.00 ,$98.10 , N/A ,$47.60 , N/A , N/A , N/A , N/A , N/A ,$153.85 , N/A ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$114.03 ,$114.03 ,$114.03 , N/A ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,27205398,N/A,HC SURGICEL HEMOSTAT 2X3,272,1 ,$94.00 ,$61.10 ,$24.72 ,$94.00 , N/A ,$43.24 ,$50.95 , N/A ,$26.32 ,$30.08 , N/A ,$34.59 , N/A ,$35.91 ,$37.60 , N/A ,$35.91 , N/A ,$49.44 ,$47.94 , N/A , N/A ,$65.80 , N/A ,$47.00 , N/A ,$70.50 ,$47.47 ,$42.77 ,$47.47 , N/A ,$47.47 ,$59.22 ,$59.22 ,$66.74 ,$94.00 ,$79.90 , N/A ,$75.20 ,$34.78 ,$75.20 , N/A , N/A ,$94.00 ,$50.95 , N/A ,$24.72 , N/A , N/A , N/A , N/A , N/A ,$79.90 , N/A ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$59.22 ,$59.22 ,$59.22 , N/A ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,27205399,N/A,HC SURGICEL HEMOSTAT FIBRILLAR 2X4,272,1 ,$333.00 ,$216.45 ,$87.58 ,$333.00 , N/A ,$153.18 ,$180.49 , N/A ,$93.24 ,$106.56 , N/A ,$122.54 , N/A ,$127.21 ,$133.20 , N/A ,$127.21 , N/A ,$175.16 ,$169.83 , N/A , N/A ,$233.10 , N/A ,$166.50 , N/A ,$249.75 ,$168.17 ,$151.52 ,$168.17 , N/A ,$168.17 ,$209.79 ,$209.79 ,$236.43 ,$333.00 ,$283.05 , N/A ,$266.40 ,$123.21 ,$266.40 , N/A , N/A ,$333.00 ,$180.49 , N/A ,$87.58 , N/A , N/A , N/A , N/A , N/A ,$283.05 , N/A ,$219.11 ,$93.24 ,$299.70 ,$239.76 ,$333.00 ,$209.79 ,$209.79 ,$209.79 , N/A ,$159.84 ,$299.70 ST. JOHN'S HOSPITAL,27205400,N/A,HC SURGICEL HEMOSTAT 4X8,272,1 ,$171.00 ,$111.15 ,$44.97 ,$171.00 , N/A ,$78.66 ,$92.68 , N/A ,$47.88 ,$54.72 , N/A ,$62.93 , N/A ,$65.32 ,$68.40 , N/A ,$65.32 , N/A ,$89.95 ,$87.21 , N/A , N/A ,$119.70 , N/A ,$85.50 , N/A ,$128.25 ,$86.36 ,$77.81 ,$86.36 , N/A ,$86.36 ,$107.73 ,$107.73 ,$121.41 ,$171.00 ,$145.35 , N/A ,$136.80 ,$63.27 ,$136.80 , N/A , N/A ,$171.00 ,$92.68 , N/A ,$44.97 , N/A , N/A , N/A , N/A , N/A ,$145.35 , N/A ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$107.73 ,$107.73 ,$107.73 , N/A ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,27205401,N/A,HC KIT HIPEC SUPPLY,272,1 ,"$11,781.00 ","$7,657.65 ","$3,098.40 ","$11,781.00 ", N/A ,"$5,419.26 ","$6,385.30 ", N/A ,"$3,298.68 ","$3,769.92 ", N/A ,"$4,335.41 ", N/A ,"$4,500.34 ","$4,712.40 ", N/A ,"$4,500.34 ", N/A ,"$6,196.81 ","$6,008.31 ", N/A , N/A ,"$8,246.70 ", N/A ,"$5,890.50 ", N/A ,"$8,835.75 ","$5,949.41 ","$5,360.36 ","$5,949.41 ", N/A ,"$5,949.41 ","$7,422.03 ","$7,422.03 ","$8,364.51 ","$11,781.00 ","$10,013.85 ", N/A ,"$9,424.80 ","$4,358.97 ","$9,424.80 ", N/A , N/A ,"$11,781.00 ","$6,385.30 ", N/A ,"$3,098.40 ", N/A , N/A , N/A , N/A , N/A ,"$10,013.85 ", N/A ,"$7,751.90 ","$3,298.68 ","$10,602.90 ","$8,482.32 ","$11,781.00 ","$7,422.03 ","$7,422.03 ","$7,422.03 ", N/A ,"$5,654.88 ","$10,602.90 " ST. JOHN'S HOSPITAL,27205402,N/A,HC BAG WASTE HIPEC,272,1 ,$55.00 ,$35.75 ,$14.47 ,$55.00 , N/A ,$25.30 ,$29.81 , N/A ,$15.40 ,$17.60 , N/A ,$20.24 , N/A ,$21.01 ,$22.00 , N/A ,$21.01 , N/A ,$28.93 ,$28.05 , N/A , N/A ,$38.50 , N/A ,$27.50 , N/A ,$41.25 ,$27.78 ,$25.03 ,$27.78 , N/A ,$27.78 ,$34.65 ,$34.65 ,$39.05 ,$55.00 ,$46.75 , N/A ,$44.00 ,$20.35 ,$44.00 , N/A , N/A ,$55.00 ,$29.81 , N/A ,$14.47 , N/A , N/A , N/A , N/A , N/A ,$46.75 , N/A ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$34.65 ,$34.65 ,$34.65 , N/A ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,27205403,N/A,HC TUBING LAPAROSCOPIC LASSO HIPEC,272,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$146.88 , N/A ,$168.91 , N/A ,$175.34 ,$183.60 , N/A ,$175.34 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$231.80 ,$208.85 ,$231.80 , N/A ,$231.80 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$302.02 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$289.17 ,$289.17 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,27205404,N/A,HC TUBING LASSO HIPEC,272,1 ,$239.00 ,$155.35 ,$62.86 ,$239.00 , N/A ,$109.94 ,$129.54 , N/A ,$66.92 ,$76.48 , N/A ,$87.95 , N/A ,$91.30 ,$95.60 , N/A ,$91.30 , N/A ,$125.71 ,$121.89 , N/A , N/A ,$167.30 , N/A ,$119.50 , N/A ,$179.25 ,$120.70 ,$108.75 ,$120.70 , N/A ,$120.70 ,$150.57 ,$150.57 ,$169.69 ,$239.00 ,$203.15 , N/A ,$191.20 ,$88.43 ,$191.20 , N/A , N/A ,$239.00 ,$129.54 , N/A ,$62.86 , N/A , N/A , N/A , N/A , N/A ,$203.15 , N/A ,$157.26 ,$66.92 ,$215.10 ,$172.08 ,$239.00 ,$150.57 ,$150.57 ,$150.57 , N/A ,$114.72 ,$215.10 ST. JOHN'S HOSPITAL,27205405,N/A,HC PROBE TEMP HIPEC,272,1 ,$92.00 ,$59.80 ,$24.20 ,$92.00 , N/A ,$42.32 ,$49.86 , N/A ,$25.76 ,$29.44 , N/A ,$33.86 , N/A ,$35.14 ,$36.80 , N/A ,$35.14 , N/A ,$48.39 ,$46.92 , N/A , N/A ,$64.40 , N/A ,$46.00 , N/A ,$69.00 ,$46.46 ,$41.86 ,$46.46 , N/A ,$46.46 ,$57.96 ,$57.96 ,$65.32 ,$92.00 ,$78.20 , N/A ,$73.60 ,$34.04 ,$73.60 , N/A , N/A ,$92.00 ,$49.86 , N/A ,$24.20 , N/A , N/A , N/A , N/A , N/A ,$78.20 , N/A ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$57.96 ,$57.96 ,$57.96 , N/A ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,27205450,N/A,HC I GEL PEDI,272,1 ,$57.00 ,$37.05 ,$14.99 ,$57.00 , N/A ,$26.22 ,$30.89 , N/A ,$15.96 ,$18.24 , N/A ,$20.98 , N/A ,$21.77 ,$22.80 , N/A ,$21.77 , N/A ,$29.98 ,$29.07 , N/A , N/A ,$39.90 , N/A ,$28.50 , N/A ,$42.75 ,$28.79 ,$25.94 ,$28.79 , N/A ,$28.79 ,$35.91 ,$35.91 ,$40.47 ,$57.00 ,$48.45 , N/A ,$45.60 ,$21.09 ,$45.60 , N/A , N/A ,$57.00 ,$30.89 , N/A ,$14.99 , N/A , N/A , N/A , N/A , N/A ,$48.45 , N/A ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$35.91 ,$35.91 ,$35.91 , N/A ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,27205451,N/A,HC I GEL ADULT,272,1 ,$99.00 ,$64.35 ,$26.04 ,$99.00 , N/A ,$45.54 ,$53.66 , N/A ,$27.72 ,$31.68 , N/A ,$36.43 , N/A ,$37.82 ,$39.60 , N/A ,$37.82 , N/A ,$52.07 ,$50.49 , N/A , N/A ,$69.30 , N/A ,$49.50 , N/A ,$74.25 ,$50.00 ,$45.05 ,$50.00 , N/A ,$50.00 ,$62.37 ,$62.37 ,$70.29 ,$99.00 ,$84.15 , N/A ,$79.20 ,$36.63 ,$79.20 , N/A , N/A ,$99.00 ,$53.66 , N/A ,$26.04 , N/A , N/A , N/A , N/A , N/A ,$84.15 , N/A ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$62.37 ,$62.37 ,$62.37 , N/A ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,27205452,N/A,HC T PIECE AND ELBOW ADAPTOR KIT,272,1 ,$12.00 ,$7.80 ,$3.16 ,$12.00 , N/A ,$5.52 ,$6.50 , N/A ,$3.36 ,$3.84 , N/A ,$4.42 , N/A ,$4.58 ,$4.80 , N/A ,$4.58 , N/A ,$6.31 ,$6.12 , N/A , N/A ,$8.40 , N/A ,$6.00 , N/A ,$9.00 ,$6.06 ,$5.46 ,$6.06 , N/A ,$6.06 ,$7.56 ,$7.56 ,$8.52 ,$12.00 ,$10.20 , N/A ,$9.60 ,$4.44 ,$9.60 , N/A , N/A ,$12.00 ,$6.50 , N/A ,$3.16 , N/A , N/A , N/A , N/A , N/A ,$10.20 , N/A ,$7.90 ,$3.36 ,$10.80 ,$8.64 ,$12.00 ,$7.56 ,$7.56 ,$7.56 , N/A ,$5.76 ,$10.80 ST. JOHN'S HOSPITAL,27205453,N/A,HC BOUGIE,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27205454,N/A,HC HEPA FILTER,272,1 ,$12.00 ,$7.80 ,$3.16 ,$12.00 , N/A ,$5.52 ,$6.50 , N/A ,$3.36 ,$3.84 , N/A ,$4.42 , N/A ,$4.58 ,$4.80 , N/A ,$4.58 , N/A ,$6.31 ,$6.12 , N/A , N/A ,$8.40 , N/A ,$6.00 , N/A ,$9.00 ,$6.06 ,$5.46 ,$6.06 , N/A ,$6.06 ,$7.56 ,$7.56 ,$8.52 ,$12.00 ,$10.20 , N/A ,$9.60 ,$4.44 ,$9.60 , N/A , N/A ,$12.00 ,$6.50 , N/A ,$3.16 , N/A , N/A , N/A , N/A , N/A ,$10.20 , N/A ,$7.90 ,$3.36 ,$10.80 ,$8.64 ,$12.00 ,$7.56 ,$7.56 ,$7.56 , N/A ,$5.76 ,$10.80 ST. JOHN'S HOSPITAL,27205472,N/A,HC CSE NEEDLE SET,272,1 ,$72.00 ,$46.80 ,$18.94 ,$72.00 , N/A ,$33.12 ,$39.02 , N/A ,$20.16 ,$23.04 , N/A ,$26.50 , N/A ,$27.50 ,$28.80 , N/A ,$27.50 , N/A ,$37.87 ,$36.72 , N/A , N/A ,$50.40 , N/A ,$36.00 , N/A ,$54.00 ,$36.36 ,$32.76 ,$36.36 , N/A ,$36.36 ,$45.36 ,$45.36 ,$51.12 ,$72.00 ,$61.20 , N/A ,$57.60 ,$26.64 ,$57.60 , N/A , N/A ,$72.00 ,$39.02 , N/A ,$18.94 , N/A , N/A , N/A , N/A , N/A ,$61.20 , N/A ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$45.36 ,$45.36 ,$45.36 , N/A ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,27205473,N/A,HC RESPIRATORY BELT,272,1 ,$27.00 ,$17.55 ,$7.10 ,$27.00 , N/A ,$12.42 ,$14.63 , N/A ,$7.56 ,$8.64 , N/A ,$9.94 , N/A ,$10.31 ,$10.80 , N/A ,$10.31 , N/A ,$14.20 ,$13.77 , N/A , N/A ,$18.90 , N/A ,$13.50 , N/A ,$20.25 ,$13.64 ,$12.29 ,$13.64 , N/A ,$13.64 ,$17.01 ,$17.01 ,$19.17 ,$27.00 ,$22.95 , N/A ,$21.60 ,$9.99 ,$21.60 , N/A , N/A ,$27.00 ,$14.63 , N/A ,$7.10 , N/A , N/A , N/A , N/A , N/A ,$22.95 , N/A ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$17.01 ,$17.01 ,$17.01 , N/A ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,27205474,N/A,HC REVELATION PACK,272,1 ,$342.00 ,$222.30 ,$89.95 ,$342.00 , N/A ,$157.32 ,$185.36 , N/A ,$95.76 ,$109.44 , N/A ,$125.86 , N/A ,$130.64 ,$136.80 , N/A ,$130.64 , N/A ,$179.89 ,$174.42 , N/A , N/A ,$239.40 , N/A ,$171.00 , N/A ,$256.50 ,$172.71 ,$155.61 ,$172.71 , N/A ,$172.71 ,$215.46 ,$215.46 ,$242.82 ,$342.00 ,$290.70 , N/A ,$273.60 ,$126.54 ,$273.60 , N/A , N/A ,$342.00 ,$185.36 , N/A ,$89.95 , N/A , N/A , N/A , N/A , N/A ,$290.70 , N/A ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$215.46 ,$215.46 ,$215.46 , N/A ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,27205495,N/A,HC EYEPROTECTOR,272,1 ,$18.00 ,$11.70 ,$4.73 ,$18.00 , N/A ,$8.28 ,$9.76 , N/A ,$5.04 ,$5.76 , N/A ,$6.62 , N/A ,$6.88 ,$7.20 , N/A ,$6.88 , N/A ,$9.47 ,$9.18 , N/A , N/A ,$12.60 , N/A ,$9.00 , N/A ,$13.50 ,$9.09 ,$8.19 ,$9.09 , N/A ,$9.09 ,$11.34 ,$11.34 ,$12.78 ,$18.00 ,$15.30 , N/A ,$14.40 ,$6.66 ,$14.40 , N/A , N/A ,$18.00 ,$9.76 , N/A ,$4.73 , N/A , N/A , N/A , N/A , N/A ,$15.30 , N/A ,$11.84 ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$11.34 ,$11.34 ,$11.34 , N/A ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27205500,N/A,HC CANNULA INNER SHILEY FLEX,272,1 ,$84.00 ,$54.60 ,$22.09 ,$84.00 , N/A ,$38.64 ,$45.53 , N/A ,$23.52 ,$26.88 , N/A ,$30.91 , N/A ,$32.09 ,$33.60 , N/A ,$32.09 , N/A ,$44.18 ,$42.84 , N/A , N/A ,$58.80 , N/A ,$42.00 , N/A ,$63.00 ,$42.42 ,$38.22 ,$42.42 , N/A ,$42.42 ,$52.92 ,$52.92 ,$59.64 ,$84.00 ,$71.40 , N/A ,$67.20 ,$31.08 ,$67.20 , N/A , N/A ,$84.00 ,$45.53 , N/A ,$22.09 , N/A , N/A , N/A , N/A , N/A ,$71.40 , N/A ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$52.92 ,$52.92 ,$52.92 , N/A ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,27206780,N/A,HC PILLOW HEART,272,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27272900,S2900,HC SURGERY ROBOTIC TECHNICAL SYSTEM,272,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 , N/A , N/A , N/A , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.51 ,$0.46 ,$0.51 , N/A ,$0.51 ,$0.63 ,$0.63 ,$0.71 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.63 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,27280173,N/A,HC MICROINTRODUCER SET 4.5 AND 5OF 7CM,272,1 ,$153.00 ,$99.45 ,$40.24 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$48.96 , N/A ,$56.30 , N/A ,$58.45 ,$61.20 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27280190,N/A,HC BASKET RETRIEVER TWISTER,272,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A ,$105.80 ,$124.66 , N/A ,$64.40 ,$73.60 , N/A ,$84.64 , N/A ,$87.86 ,$92.00 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$144.90 ,$144.90 ,$163.30 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$144.90 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27400006,L0150,HC PHILADELPHA COLLAR,274,1 ,$84.00 ,$54.60 ,$22.09 ,$267.86 ,$267.85 , N/A ,$45.53 ,$107.14 ,$23.52 ,$28.98 ,$107.14 ,$32.26 ,$84.00 ,$32.09 , N/A ,$84.00 ,$32.09 ,$84.00 ,$44.18 ,$42.84 ,$267.86 ,$107.14 ,$58.80 ,$107.14 ,$42.00 ,$84.00 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$107.14 ,$42.42 ,$42.00 ,$42.00 ,$42.00 ,$84.00 ,$71.40 ,$84.00 ,$67.20 ,$31.08 ,$67.20 ,$107.14 ,$107.14 ,$84.00 ,$45.53 ,$107.14 ,$22.09 , N/A , N/A , N/A , N/A ,$112.50 ,$71.40 ,$241.07 , N/A ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$42.00 ,$52.92 ,$52.92 ,$107.14 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,27400039,L3670,HC SHOULDER IMMOBILIZER FIT AND ADJ,274,1 ,$14.00 ,$9.10 ,$3.68 ,$225.33 ,$225.33 , N/A ,$7.59 ,$90.13 ,$3.92 ,$4.83 ,$90.13 ,$5.38 ,$14.00 ,$5.35 , N/A ,$14.00 ,$5.35 ,$14.00 ,$7.36 ,$7.14 ,$225.32 ,$90.13 ,$9.80 ,$90.13 ,$7.00 ,$14.00 ,$10.50 ,$7.07 ,$6.37 ,$7.07 ,$90.13 ,$7.07 ,$7.00 ,$7.00 ,$7.00 ,$14.00 ,$11.90 ,$14.00 ,$11.20 ,$5.18 ,$11.20 ,$90.13 ,$90.13 ,$14.00 ,$7.59 ,$90.13 ,$3.68 , N/A , N/A , N/A , N/A ,$94.64 ,$11.90 ,$202.79 , N/A ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$7.00 ,$8.82 ,$8.82 ,$90.13 ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,27400069,L8501,HC PASSEY MUIR VALVE,274,1 ,$230.00 ,$149.50 ,$60.49 ,$368.93 ,$368.93 , N/A ,$124.66 ,$147.57 ,$64.40 ,$79.35 ,$147.57 ,$88.32 ,$147.57 ,$87.86 , N/A ,$147.57 ,$87.86 ,$230.00 ,$120.98 ,$117.30 ,$368.92 ,$147.57 ,$161.00 ,$147.57 ,$115.00 ,$150.52 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$147.57 ,$116.15 ,$115.00 ,$115.00 ,$115.00 ,$230.00 ,$195.50 ,$230.00 ,$184.00 ,$85.10 ,$184.00 ,$147.57 ,$147.57 ,$230.00 ,$124.66 ,$147.57 ,$60.49 , N/A , N/A , N/A , N/A ,$154.95 ,$195.50 ,$332.03 , N/A ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$115.00 ,$144.90 ,$144.90 ,$147.57 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27400097,L0627,HC ORTHOSIS LUMBAR SAGITTAL PREFAB,274,1 ,$379.00 ,$246.35 ,$99.68 ,"$1,056.76 ","$1,056.75 ", N/A ,$205.42 ,$422.70 ,$106.12 ,$130.76 ,$422.70 ,$145.54 ,$379.00 ,$144.78 , N/A ,$379.00 ,$144.78 ,$379.00 ,$199.35 ,$193.29 ,"$1,056.76 ",$422.70 ,$265.30 ,$422.70 ,$189.50 ,$379.00 ,$284.25 ,$191.40 ,$172.45 ,$191.40 ,$422.70 ,$191.40 ,$189.50 ,$189.50 ,$189.50 ,$379.00 ,$322.15 ,$379.00 ,$303.20 ,$140.23 ,$303.20 ,$422.70 ,$422.70 ,$379.00 ,$205.42 ,$422.70 ,$99.68 , N/A , N/A , N/A , N/A ,$443.84 ,$322.15 ,$951.08 , N/A ,$106.12 ,$341.10 ,$272.88 ,$379.00 ,$189.50 ,$238.77 ,$238.77 ,$422.70 ,$181.92 ,$341.10 ST. JOHN'S HOSPITAL,27400101,L0859,HC HALO MRI COMPATIBLE SYSTEM,274,1 ,"$3,013.00 ","$1,958.45 ",$792.42 ,"$3,910.03 ","$3,910.03 ","$1,385.98 ","$1,633.05 ","$1,564.01 ",$843.64 ,"$1,039.49 ","$1,564.01 ","$1,156.99 ","$1,564.01 ","$1,150.97 ", N/A ,"$1,564.01 ","$1,150.97 ","$2,971.62 ","$1,584.84 ","$1,536.63 ","$3,910.02 ","$1,564.01 ","$2,109.10 ","$1,564.01 ","$1,506.50 ","$1,595.29 ","$2,259.75 ","$1,521.57 ","$1,370.92 ","$1,521.57 ","$1,564.01 ","$1,521.57 ","$1,506.50 ","$1,506.50 ","$1,506.50 ","$3,013.00 ","$2,561.05 ","$3,013.00 ","$2,410.40 ","$1,114.81 ","$2,410.40 ","$1,564.01 ","$1,564.01 ","$3,013.00 ","$1,633.05 ","$1,564.01 ",$792.42 , N/A , N/A , N/A , N/A ,"$1,642.21 ","$2,561.05 ","$3,519.02 ", N/A ,$843.64 ,"$2,711.70 ","$2,169.36 ","$3,013.00 ","$1,506.50 ","$1,898.19 ","$1,898.19 ","$1,564.01 ","$1,446.24 ","$2,711.70 " ST. JOHN'S HOSPITAL,27400105,L1831,HC ORTHOSIS KNEE LOCKING PREFAB,274,1 ,"$1,417.00 ",$921.05 ,$372.67 ,"$1,417.00 ","$1,329.53 ",$651.82 ,$768.01 ,$531.81 ,$396.76 ,$488.87 ,$531.81 ,$544.13 ,$531.81 ,$541.29 , N/A ,$531.81 ,$541.29 ,"$1,010.44 ",$745.34 ,$722.67 ,"$1,329.52 ",$531.81 ,$991.90 ,$531.81 ,$708.50 ,$542.44 ,"$1,062.75 ",$715.59 ,$644.74 ,$715.59 ,$531.81 ,$715.59 ,$708.50 ,$708.50 ,$708.50 ,"$1,417.00 ","$1,204.45 ","$1,329.52 ","$1,133.60 ",$524.29 ,"$1,133.60 ",$531.81 ,$531.81 ,"$1,417.00 ",$768.01 ,$531.81 ,$372.67 , N/A , N/A , N/A , N/A ,$558.40 ,"$1,204.45 ","$1,196.57 ", N/A ,$396.76 ,"$1,275.30 ","$1,020.24 ","$1,417.00 ",$708.50 ,$892.71 ,$892.71 ,$531.81 ,$680.16 ,"$1,275.30 " ST. JOHN'S HOSPITAL,27400106,L1832,HC ORTHOSIS KNEE PREFAB,274,1 ,"$1,417.00 ",$921.05 ,$372.67 ,"$2,161.90 ","$2,161.90 ",$651.82 ,$768.01 ,$864.76 ,$396.76 ,$488.87 ,$864.76 ,$544.13 ,$864.76 ,$541.29 , N/A ,$864.76 ,$541.29 ,"$1,417.00 ",$745.34 ,$722.67 ,"$2,161.90 ",$864.76 ,$991.90 ,$864.76 ,$708.50 ,$882.06 ,"$1,062.75 ",$715.59 ,$644.74 ,$715.59 ,$864.76 ,$715.59 ,$708.50 ,$708.50 ,$708.50 ,"$1,417.00 ","$1,204.45 ","$1,417.00 ","$1,133.60 ",$524.29 ,"$1,133.60 ",$864.76 ,$864.76 ,"$1,417.00 ",$768.01 ,$864.76 ,$372.67 , N/A , N/A , N/A , N/A ,$908.00 ,"$1,204.45 ","$1,945.71 ", N/A ,$396.76 ,"$1,275.30 ","$1,020.24 ","$1,417.00 ",$708.50 ,$892.71 ,$892.71 ,$864.76 ,$680.16 ,"$1,275.30 " ST. JOHN'S HOSPITAL,27400115,L3980,HC ORTHOSIS HUMERAL FRACTURE,274,1 ,$725.00 ,$471.25 ,$190.68 ,"$1,105.40 ","$1,105.40 ", N/A ,$392.95 ,$442.16 ,$203.00 ,$250.13 ,$442.16 ,$278.40 ,$442.16 ,$276.95 , N/A ,$442.16 ,$276.95 ,$725.00 ,$381.35 ,$369.75 ,"$1,105.40 ",$442.16 ,$507.50 ,$442.16 ,$362.50 ,$451.00 ,$543.75 ,$366.13 ,$329.88 ,$366.13 ,$442.16 ,$366.13 ,$362.50 ,$362.50 ,$362.50 ,$725.00 ,$616.25 ,$725.00 ,$580.00 ,$268.25 ,$580.00 ,$442.16 ,$442.16 ,$725.00 ,$392.95 ,$442.16 ,$190.68 , N/A , N/A , N/A , N/A ,$464.27 ,$616.25 ,$994.86 , N/A ,$203.00 ,$652.50 ,$522.00 ,$725.00 ,$362.50 ,$456.75 ,$456.75 ,$442.16 ,$348.00 ,$652.50 ST. JOHN'S HOSPITAL,27400117,L8460,HC PROSTHETIC SHRINKER ABOVE KNEE,274,1 ,$177.00 ,$115.05 ,$46.55 ,$228.60 ,$228.60 , N/A ,$95.93 ,$91.44 ,$49.56 ,$61.07 ,$91.44 ,$67.97 ,$91.44 ,$67.61 , N/A ,$91.44 ,$67.61 ,$173.74 ,$93.10 ,$90.27 ,$228.60 ,$91.44 ,$123.90 ,$91.44 ,$88.50 ,$93.27 ,$132.75 ,$89.39 ,$80.54 ,$89.39 ,$91.44 ,$89.39 ,$88.50 ,$88.50 ,$88.50 ,$177.00 ,$150.45 ,$177.00 ,$141.60 ,$65.49 ,$141.60 ,$91.44 ,$91.44 ,$177.00 ,$95.93 ,$91.44 ,$46.55 , N/A , N/A , N/A , N/A ,$96.01 ,$150.45 ,$205.74 , N/A ,$49.56 ,$159.30 ,$127.44 ,$177.00 ,$88.50 ,$111.51 ,$111.51 ,$91.44 ,$84.96 ,$159.30 ST. JOHN'S HOSPITAL,27400120,L0172,HC COLLAR MIAMI,274,1 ,$230.00 ,$149.50 ,$60.49 ,$413.85 ,$413.85 , N/A ,$124.66 ,$165.54 ,$64.40 ,$79.35 ,$165.54 ,$88.32 ,$165.54 ,$87.86 , N/A ,$165.54 ,$87.86 ,$230.00 ,$120.98 ,$117.30 ,$413.84 ,$165.54 ,$161.00 ,$165.54 ,$115.00 ,$168.85 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$165.54 ,$116.15 ,$115.00 ,$115.00 ,$115.00 ,$230.00 ,$195.50 ,$230.00 ,$184.00 ,$85.10 ,$184.00 ,$165.54 ,$165.54 ,$230.00 ,$124.66 ,$165.54 ,$60.49 , N/A , N/A , N/A , N/A ,$173.82 ,$195.50 ,$372.46 , N/A ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$115.00 ,$144.90 ,$144.90 ,$165.54 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,27400128,L1930,HC AFO ANKLE BRACE CUSTOM,274,1 ,$58.00 ,$37.70 ,$15.25 ,$560.58 ,$560.58 , N/A ,$31.44 ,$224.23 ,$16.24 ,$20.01 ,$224.23 ,$22.27 ,$58.00 ,$22.16 , N/A ,$58.00 ,$22.16 ,$58.00 ,$30.51 ,$29.58 ,$560.58 ,$224.23 ,$40.60 ,$224.23 ,$29.00 ,$58.00 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$224.23 ,$29.29 ,$29.00 ,$29.00 ,$29.00 ,$58.00 ,$49.30 ,$58.00 ,$46.40 ,$21.46 ,$46.40 ,$224.23 ,$224.23 ,$58.00 ,$31.44 ,$224.23 ,$15.25 , N/A , N/A , N/A , N/A ,$235.44 ,$49.30 ,$504.52 , N/A ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$29.00 ,$36.54 ,$36.54 ,$224.23 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,27400129,L1971,HC AFO ANKLE BRACE PREFAB,274,1 ,$144.00 ,$93.60 ,$37.87 ,"$1,061.10 ","$1,061.10 ", N/A ,$78.05 ,$424.44 ,$40.32 ,$49.68 ,$424.44 ,$55.30 ,$144.00 ,$55.01 , N/A ,$144.00 ,$55.01 ,$144.00 ,$75.74 ,$73.44 ,"$1,061.10 ",$424.44 ,$100.80 ,$424.44 ,$72.00 ,$144.00 ,$108.00 ,$72.72 ,$65.52 ,$72.72 ,$424.44 ,$72.72 ,$72.00 ,$72.00 ,$72.00 ,$144.00 ,$122.40 ,$144.00 ,$115.20 ,$53.28 ,$115.20 ,$424.44 ,$424.44 ,$144.00 ,$78.05 ,$424.44 ,$37.87 , N/A , N/A , N/A , N/A ,$445.66 ,$122.40 ,$954.99 , N/A ,$40.32 ,$129.60 ,$103.68 ,$144.00 ,$72.00 ,$90.72 ,$90.72 ,$424.44 ,$69.12 ,$129.60 ST. JOHN'S HOSPITAL,27400130,L4396,HC AFO ANKLE STATIC/DYNAMIC,274,1 ,$106.00 ,$68.90 ,$27.88 ,$407.10 ,$407.10 , N/A ,$57.45 ,$162.84 ,$29.68 ,$36.57 ,$162.84 ,$40.70 ,$106.00 ,$40.49 , N/A ,$106.00 ,$40.49 ,$106.00 ,$55.76 ,$54.06 ,$407.10 ,$162.84 ,$74.20 ,$162.84 ,$53.00 ,$106.00 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$162.84 ,$53.53 ,$53.00 ,$53.00 ,$53.00 ,$106.00 ,$90.10 ,$106.00 ,$84.80 ,$39.22 ,$84.80 ,$162.84 ,$162.84 ,$106.00 ,$57.45 ,$162.84 ,$27.88 , N/A , N/A , N/A , N/A ,$170.98 ,$90.10 ,$366.39 , N/A ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$53.00 ,$66.78 ,$66.78 ,$162.84 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,27400131,L0625,HC BELT MATERNITY,274,1 ,$64.00 ,$41.60 ,$16.83 ,$112.58 ,$112.58 , N/A ,$34.69 ,$45.03 ,$17.92 ,$22.08 ,$45.03 ,$24.58 ,$45.03 ,$24.45 , N/A ,$45.03 ,$24.45 ,$64.00 ,$33.66 ,$32.64 ,$112.58 ,$45.03 ,$44.80 ,$45.03 ,$32.00 ,$45.93 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$45.03 ,$32.32 ,$32.00 ,$32.00 ,$32.00 ,$64.00 ,$54.40 ,$64.00 ,$51.20 ,$23.68 ,$51.20 ,$45.03 ,$45.03 ,$64.00 ,$34.69 ,$45.03 ,$16.83 , N/A , N/A , N/A , N/A ,$47.28 ,$54.40 ,$101.32 , N/A ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$32.00 ,$40.32 ,$40.32 ,$45.03 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,27400132,L3260,HC BOOT ROOKE,274,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A , N/A ,$16.26 , N/A ,$8.40 ,$10.35 , N/A ,$11.52 , N/A ,$11.46 , N/A , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.65 ,$15.15 , N/A ,$15.15 ,$15.00 ,$15.00 ,$15.00 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A , N/A ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$15.00 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27400133,L4360,HC BOOT WALKING,274,1 ,$153.00 ,$99.45 ,$40.24 ,$622.80 ,$622.80 , N/A ,$82.93 ,$249.12 ,$42.84 ,$52.79 ,$249.12 ,$58.75 ,$153.00 ,$58.45 , N/A ,$153.00 ,$58.45 ,$153.00 ,$80.48 ,$78.03 ,$622.80 ,$249.12 ,$107.10 ,$249.12 ,$76.50 ,$153.00 ,$114.75 ,$77.27 ,$69.62 ,$77.27 ,$249.12 ,$77.27 ,$76.50 ,$76.50 ,$76.50 ,$153.00 ,$130.05 ,$153.00 ,$122.40 ,$56.61 ,$122.40 ,$249.12 ,$249.12 ,$153.00 ,$82.93 ,$249.12 ,$40.24 , N/A , N/A , N/A , N/A ,$261.58 ,$130.05 ,$560.52 , N/A ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$76.50 ,$96.39 ,$96.39 ,$249.12 ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27400134,L0172,HC COLLAR CERVICAL FOAM T1,274,1 ,$31.00 ,$20.15 ,$8.15 ,$314.35 ,$314.35 , N/A ,$16.80 ,$125.74 ,$8.68 ,$10.70 ,$125.74 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$314.34 ,$125.74 ,$21.70 ,$125.74 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$125.74 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$125.74 ,$125.74 ,$31.00 ,$16.80 ,$125.74 ,$8.15 , N/A , N/A , N/A , N/A ,$132.03 ,$26.35 ,$282.91 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$125.74 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400135,L0172,HC COLLAR CERVICAL FOAM T2,274,1 ,$77.00 ,$50.05 ,$20.25 ,$337.35 ,$337.35 , N/A ,$41.73 ,$134.94 ,$21.56 ,$26.57 ,$134.94 ,$29.57 ,$77.00 ,$29.41 , N/A ,$77.00 ,$29.41 ,$77.00 ,$40.50 ,$39.27 ,$337.34 ,$134.94 ,$53.90 ,$134.94 ,$38.50 ,$77.00 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$134.94 ,$38.89 ,$38.50 ,$38.50 ,$38.50 ,$77.00 ,$65.45 ,$77.00 ,$61.60 ,$28.49 ,$61.60 ,$134.94 ,$134.94 ,$77.00 ,$41.73 ,$134.94 ,$20.25 , N/A , N/A , N/A , N/A ,$141.69 ,$65.45 ,$303.61 , N/A ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$38.50 ,$48.51 ,$48.51 ,$134.94 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27400136,L0172,HC COLLAR CERVICAL FOAM T3,274,1 ,$153.00 ,$99.45 ,$40.24 ,$375.35 ,$375.35 , N/A ,$82.93 ,$150.14 ,$42.84 ,$52.79 ,$150.14 ,$58.75 ,$150.14 ,$58.45 , N/A ,$150.14 ,$58.45 ,$153.00 ,$80.48 ,$78.03 ,$375.34 ,$150.14 ,$107.10 ,$150.14 ,$76.50 ,$153.00 ,$114.75 ,$77.27 ,$69.62 ,$77.27 ,$150.14 ,$77.27 ,$76.50 ,$76.50 ,$76.50 ,$153.00 ,$130.05 ,$153.00 ,$122.40 ,$56.61 ,$122.40 ,$150.14 ,$150.14 ,$153.00 ,$82.93 ,$150.14 ,$40.24 , N/A , N/A , N/A , N/A ,$157.65 ,$130.05 ,$337.81 , N/A ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$76.50 ,$96.39 ,$96.39 ,$150.14 ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,27400137,L0120,HC COLLAR CERVICAL ADJUST T1,274,1 ,$62.00 ,$40.30 ,$16.31 ,$86.80 ,$86.80 , N/A ,$33.60 ,$34.72 ,$17.36 ,$21.39 ,$34.72 ,$23.81 ,$34.72 ,$23.68 , N/A ,$34.72 ,$23.68 ,$62.00 ,$32.61 ,$31.62 ,$86.80 ,$34.72 ,$43.40 ,$34.72 ,$31.00 ,$35.41 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$34.72 ,$31.31 ,$31.00 ,$31.00 ,$31.00 ,$62.00 ,$52.70 ,$62.00 ,$49.60 ,$22.94 ,$49.60 ,$34.72 ,$34.72 ,$62.00 ,$33.60 ,$34.72 ,$16.31 , N/A , N/A , N/A , N/A ,$36.46 ,$52.70 ,$78.12 , N/A ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$31.00 ,$39.06 ,$39.06 ,$34.72 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,27400138,L0120,HC COLLAR CERVICAL ADJUST T2,274,1 ,$94.00 ,$61.10 ,$24.72 ,$102.80 ,$102.80 , N/A ,$50.95 ,$41.12 ,$26.32 ,$32.43 ,$41.12 ,$36.10 ,$41.12 ,$35.91 , N/A ,$41.12 ,$35.91 ,$78.13 ,$49.44 ,$47.94 ,$102.80 ,$41.12 ,$65.80 ,$41.12 ,$47.00 ,$41.94 ,$70.50 ,$47.47 ,$42.77 ,$47.47 ,$41.12 ,$47.47 ,$47.00 ,$47.00 ,$47.00 ,$94.00 ,$79.90 ,$94.00 ,$75.20 ,$34.78 ,$75.20 ,$41.12 ,$41.12 ,$94.00 ,$50.95 ,$41.12 ,$24.72 , N/A , N/A , N/A , N/A ,$43.18 ,$79.90 ,$92.52 , N/A ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$47.00 ,$59.22 ,$59.22 ,$41.12 ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,27400139,L0174,HC COLLAR CERVICAL W/THOR EXT,274,1 ,$107.00 ,$69.55 ,$28.14 ,$641.13 ,$641.13 , N/A ,$57.99 ,$256.45 ,$29.96 ,$36.92 ,$256.45 ,$41.09 ,$107.00 ,$40.87 , N/A ,$107.00 ,$40.87 ,$107.00 ,$56.28 ,$54.57 ,$641.12 ,$256.45 ,$74.90 ,$256.45 ,$53.50 ,$107.00 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$256.45 ,$54.04 ,$53.50 ,$53.50 ,$53.50 ,$107.00 ,$90.95 ,$107.00 ,$85.60 ,$39.59 ,$85.60 ,$256.45 ,$256.45 ,$107.00 ,$57.99 ,$256.45 ,$28.14 , N/A , N/A , N/A , N/A ,$269.27 ,$90.95 ,$577.01 , N/A ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$53.50 ,$67.41 ,$67.41 ,$256.45 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,27400140,L1830,HC IMMOBILIZER KNEE T1,274,1 ,$31.00 ,$20.15 ,$8.15 ,$159.70 ,$159.70 , N/A ,$16.80 ,$63.88 ,$8.68 ,$10.70 ,$63.88 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$159.70 ,$63.88 ,$21.70 ,$63.88 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$63.88 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$63.88 ,$63.88 ,$31.00 ,$16.80 ,$63.88 ,$8.15 , N/A , N/A , N/A , N/A ,$67.07 ,$26.35 ,$143.73 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$63.88 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400141,L1830,HC IMMOBILIZER KNEE T2,274,1 ,$77.00 ,$50.05 ,$20.25 ,$182.70 ,$182.70 , N/A ,$41.73 ,$73.08 ,$21.56 ,$26.57 ,$73.08 ,$29.57 ,$73.08 ,$29.41 , N/A ,$73.08 ,$29.41 ,$77.00 ,$40.50 ,$39.27 ,$182.70 ,$73.08 ,$53.90 ,$73.08 ,$38.50 ,$74.54 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$73.08 ,$38.89 ,$38.50 ,$38.50 ,$38.50 ,$77.00 ,$65.45 ,$77.00 ,$61.60 ,$28.49 ,$61.60 ,$73.08 ,$73.08 ,$77.00 ,$41.73 ,$73.08 ,$20.25 , N/A , N/A , N/A , N/A ,$76.73 ,$65.45 ,$164.43 , N/A ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$38.50 ,$48.51 ,$48.51 ,$73.08 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27400142,L3670,HC IMMOBILIZER SHOULDER ACR/CLAV,274,1 ,$147.00 ,$95.55 ,$38.66 ,$291.83 ,$291.83 , N/A ,$79.67 ,$116.73 ,$41.16 ,$50.72 ,$116.73 ,$56.45 ,$116.73 ,$56.15 , N/A ,$116.73 ,$56.15 ,$147.00 ,$77.32 ,$74.97 ,$291.82 ,$116.73 ,$102.90 ,$116.73 ,$73.50 ,$119.06 ,$110.25 ,$74.24 ,$66.89 ,$74.24 ,$116.73 ,$74.24 ,$73.50 ,$73.50 ,$73.50 ,$147.00 ,$124.95 ,$147.00 ,$117.60 ,$54.39 ,$117.60 ,$116.73 ,$116.73 ,$147.00 ,$79.67 ,$116.73 ,$38.66 , N/A , N/A , N/A , N/A ,$122.57 ,$124.95 ,$262.64 , N/A ,$41.16 ,$132.30 ,$105.84 ,$147.00 ,$73.50 ,$92.61 ,$92.61 ,$116.73 ,$70.56 ,$132.30 ST. JOHN'S HOSPITAL,27400143,L3675,HC IMMOBILIZER SHOULDER VEST,274,1 ,$380.00 ,$247.00 ,$99.94 ,$527.06 , N/A , N/A ,$205.96 , N/A ,$106.40 ,$131.10 , N/A ,$145.92 , N/A ,$145.16 , N/A , N/A ,$145.16 , N/A ,$199.88 ,$193.80 ,$527.06 , N/A ,$266.00 , N/A ,$190.00 ,$215.04 ,$285.00 ,$191.90 ,$172.90 ,$191.90 , N/A ,$191.90 ,$190.00 ,$190.00 ,$190.00 ,$380.00 ,$323.00 , N/A ,$304.00 ,$140.60 ,$304.00 , N/A , N/A ,$380.00 ,$205.96 , N/A ,$99.94 , N/A , N/A , N/A , N/A , N/A ,$323.00 ,$474.35 , N/A ,$106.40 ,$342.00 ,$273.60 ,$380.00 ,$190.00 ,$239.40 ,$239.40 , N/A ,$182.40 ,$342.00 ST. JOHN'S HOSPITAL,27400144,L1810,HC KO BRACE KNEE ELASTIC,274,1 ,$190.00 ,$123.50 ,$49.97 ,$312.23 ,$312.23 , N/A ,$102.98 ,$124.89 ,$53.20 ,$60.80 ,$124.89 ,$69.92 ,$124.89 ,$72.58 , N/A ,$124.89 ,$72.58 ,$190.00 ,$99.94 ,$96.90 ,$312.22 ,$124.89 ,$133.00 ,$124.89 ,$95.00 ,$127.39 ,$142.50 ,$95.95 ,$86.45 ,$95.95 ,$124.89 ,$95.95 ,$95.00 ,$95.00 ,$95.00 ,$190.00 ,$161.50 ,$190.00 ,$152.00 ,$70.30 ,$152.00 ,$124.89 ,$124.89 ,$190.00 ,$102.98 ,$124.89 ,$49.97 , N/A , N/A , N/A , N/A ,$131.13 ,$161.50 ,$281.00 , N/A ,$53.20 ,$171.00 ,$136.80 ,$190.00 ,$95.00 ,$119.70 ,$119.70 ,$124.89 ,$91.20 ,$171.00 ST. JOHN'S HOSPITAL,27400145,L1832,HC KO KNEE TROM T1,274,1 ,$306.00 ,$198.90 ,$80.48 ,"$1,606.40 ","$1,606.40 ", N/A ,$165.85 ,$642.56 ,$85.68 ,$105.57 ,$642.56 ,$117.50 ,$306.00 ,$116.89 , N/A ,$306.00 ,$116.89 ,$306.00 ,$160.96 ,$156.06 ,"$1,606.40 ",$642.56 ,$214.20 ,$642.56 ,$153.00 ,$306.00 ,$229.50 ,$154.53 ,$139.23 ,$154.53 ,$642.56 ,$154.53 ,$153.00 ,$153.00 ,$153.00 ,$306.00 ,$260.10 ,$306.00 ,$244.80 ,$113.22 ,$244.80 ,$642.56 ,$642.56 ,$306.00 ,$165.85 ,$642.56 ,$80.48 , N/A , N/A , N/A , N/A ,$674.69 ,$260.10 ,"$1,445.76 ", N/A ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$153.00 ,$192.78 ,$192.78 ,$642.56 ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,27400146,L1832,HC KO KNEE TROM T2,274,1 ,$383.00 ,$248.95 ,$100.73 ,"$1,644.90 ","$1,644.90 ", N/A ,$207.59 ,$657.96 ,$107.24 ,$132.14 ,$657.96 ,$147.07 ,$383.00 ,$146.31 , N/A ,$383.00 ,$146.31 ,$383.00 ,$201.46 ,$195.33 ,"$1,644.90 ",$657.96 ,$268.10 ,$657.96 ,$191.50 ,$383.00 ,$287.25 ,$193.42 ,$174.27 ,$193.42 ,$657.96 ,$193.42 ,$191.50 ,$191.50 ,$191.50 ,$383.00 ,$325.55 ,$383.00 ,$306.40 ,$141.71 ,$306.40 ,$657.96 ,$657.96 ,$383.00 ,$207.59 ,$657.96 ,$100.73 , N/A , N/A , N/A , N/A ,$690.86 ,$325.55 ,"$1,480.41 ", N/A ,$107.24 ,$344.70 ,$275.76 ,$383.00 ,$191.50 ,$241.29 ,$241.29 ,$657.96 ,$183.84 ,$344.70 ST. JOHN'S HOSPITAL,27400147,L3999,HC MITT PALM PADDED,274,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A , N/A ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 , N/A , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$10.00 ,$10.00 ,$10.00 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A , N/A ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$10.00 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27400148,L2999,HC ORTHOSES LOWER EXT NOS,274,1 ,$32.00 ,$20.80 ,$8.42 ,$32.00 , N/A , N/A ,$17.34 , N/A ,$8.96 ,$10.24 , N/A ,$11.78 , N/A ,$12.22 , N/A , N/A ,$12.22 ,$14.40 ,$16.83 ,$16.32 ,$22.40 , N/A ,$22.40 , N/A ,$16.00 , N/A ,$24.00 ,$16.16 ,$14.56 ,$16.16 , N/A ,$16.16 ,$16.00 ,$16.00 ,$16.00 ,$32.00 ,$27.20 , N/A ,$25.60 ,$11.84 ,$25.60 , N/A , N/A ,$32.00 ,$17.34 , N/A ,$8.42 , N/A , N/A , N/A , N/A , N/A ,$27.20 ,$19.20 , N/A ,$8.96 ,$28.80 ,$23.04 ,$32.00 ,$16.00 ,$20.16 ,$20.16 , N/A ,$15.36 ,$28.80 ST. JOHN'S HOSPITAL,27400149,L4392,HC REPLACE AFO SOFT/STATIC,274,1 ,$78.00 ,$50.70 ,$20.51 ,$88.65 ,$88.65 , N/A ,$42.28 ,$35.46 ,$21.84 ,$26.91 ,$35.46 ,$29.95 ,$35.46 ,$29.80 , N/A ,$35.46 ,$29.80 ,$67.37 ,$41.03 ,$39.78 ,$88.64 ,$35.46 ,$54.60 ,$35.46 ,$39.00 ,$36.17 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$35.46 ,$39.39 ,$39.00 ,$39.00 ,$39.00 ,$78.00 ,$66.30 ,$78.00 ,$62.40 ,$28.86 ,$62.40 ,$35.46 ,$35.46 ,$78.00 ,$42.28 ,$35.46 ,$20.51 , N/A , N/A , N/A , N/A ,$37.23 ,$66.30 ,$79.78 , N/A ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$39.00 ,$49.14 ,$49.14 ,$35.46 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,27400150,L4210,HC REPAIR/REPLACE ORTHOTIC DEVICE,274,1 ,$35.00 ,$22.75 ,$9.21 ,$35.00 , N/A , N/A ,$18.97 , N/A ,$9.80 ,$12.08 , N/A ,$13.44 , N/A ,$13.37 , N/A , N/A ,$13.37 , N/A ,$18.41 ,$17.85 , N/A , N/A ,$24.50 , N/A ,$17.50 , N/A ,$26.25 ,$17.68 ,$15.93 ,$17.68 , N/A ,$17.68 ,$17.50 ,$17.50 ,$17.50 ,$35.00 ,$29.75 , N/A ,$28.00 ,$12.95 ,$28.00 , N/A , N/A ,$35.00 ,$18.97 , N/A ,$9.21 , N/A , N/A , N/A , N/A , N/A ,$29.75 , N/A , N/A ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$17.50 ,$22.05 ,$22.05 , N/A ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,27400151,L3265,HC SANDAL PLASTAZOTE T1,274,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A , N/A ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 , N/A , N/A ,$8.02 ,$9.45 ,$11.05 ,$10.71 ,$14.70 , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$10.50 ,$10.50 ,$10.50 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 ,$12.60 , N/A ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$10.50 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27400152,L3265,HC SANDAL PLASTAZOTE T2,274,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A , N/A ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 , N/A , N/A ,$11.84 ,$13.95 ,$16.31 ,$15.81 ,$21.70 , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 ,$18.60 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400153,L3260,HC SHOE WEDGE ORTHO,274,1 ,$40.00 ,$26.00 ,$10.52 ,$40.00 , N/A , N/A ,$21.68 , N/A ,$11.20 ,$13.80 , N/A ,$15.36 , N/A ,$15.28 , N/A , N/A ,$15.28 , N/A ,$21.04 ,$20.40 , N/A , N/A ,$28.00 , N/A ,$20.00 , N/A ,$30.00 ,$20.20 ,$18.20 ,$20.20 , N/A ,$20.20 ,$20.00 ,$20.00 ,$20.00 ,$40.00 ,$34.00 , N/A ,$32.00 ,$14.80 ,$32.00 , N/A , N/A ,$40.00 ,$21.68 , N/A ,$10.52 , N/A , N/A , N/A , N/A , N/A ,$34.00 , N/A , N/A ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$20.00 ,$25.20 ,$25.20 , N/A ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,27400154,L0621,HC SIO PELVIC-SAC SUPPORT PREFAB,274,1 ,$152.00 ,$98.80 ,$39.98 ,$213.58 ,$213.58 , N/A ,$82.38 ,$85.43 ,$42.56 ,$52.44 ,$85.43 ,$58.37 ,$85.43 ,$58.06 , N/A ,$85.43 ,$58.06 ,$152.00 ,$79.95 ,$77.52 ,$213.58 ,$85.43 ,$106.40 ,$85.43 ,$76.00 ,$87.14 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$85.43 ,$76.76 ,$76.00 ,$76.00 ,$76.00 ,$152.00 ,$129.20 ,$152.00 ,$121.60 ,$56.24 ,$121.60 ,$85.43 ,$85.43 ,$152.00 ,$82.38 ,$85.43 ,$39.98 , N/A , N/A , N/A , N/A ,$89.70 ,$129.20 ,$192.22 , N/A ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$76.00 ,$95.76 ,$95.76 ,$85.43 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,27400155,L3908,HC SPLINT WRIST COCK-UP T1,274,1 ,$21.00 ,$13.65 ,$5.52 ,$151.30 ,$151.30 , N/A ,$11.38 ,$60.52 ,$5.88 ,$7.25 ,$60.52 ,$8.06 ,$21.00 ,$8.02 , N/A ,$21.00 ,$8.02 ,$21.00 ,$11.05 ,$10.71 ,$151.30 ,$60.52 ,$14.70 ,$60.52 ,$10.50 ,$21.00 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$60.52 ,$10.61 ,$10.50 ,$10.50 ,$10.50 ,$21.00 ,$17.85 ,$21.00 ,$16.80 ,$7.77 ,$16.80 ,$60.52 ,$60.52 ,$21.00 ,$11.38 ,$60.52 ,$5.52 , N/A , N/A , N/A , N/A ,$63.55 ,$17.85 ,$136.17 , N/A ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$10.50 ,$13.23 ,$13.23 ,$60.52 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,27400156,L3908,HC SPLINT WRIST COCK-UP T2,274,1 ,$31.00 ,$20.15 ,$8.15 ,$156.30 ,$156.30 , N/A ,$16.80 ,$62.52 ,$8.68 ,$10.70 ,$62.52 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$156.30 ,$62.52 ,$21.70 ,$62.52 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$62.52 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$62.52 ,$62.52 ,$31.00 ,$16.80 ,$62.52 ,$8.15 , N/A , N/A , N/A , N/A ,$65.65 ,$26.35 ,$140.67 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$62.52 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400157,L4350,HC SUPPORT ANKLE RIGID PREFAB T1,274,1 ,$31.00 ,$20.15 ,$8.15 ,$219.66 ,$219.65 , N/A ,$16.80 ,$87.86 ,$8.68 ,$10.70 ,$87.86 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$219.66 ,$87.86 ,$21.70 ,$87.86 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$87.86 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$87.86 ,$87.86 ,$31.00 ,$16.80 ,$87.86 ,$8.15 , N/A , N/A , N/A , N/A ,$92.25 ,$26.35 ,$197.69 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$87.86 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400158,L4350,HC SUPPORT ANKLE RIGID PREFAB T2,274,1 ,$77.00 ,$50.05 ,$20.25 ,$242.66 ,$242.65 , N/A ,$41.73 ,$97.06 ,$21.56 ,$26.57 ,$97.06 ,$29.57 ,$77.00 ,$29.41 , N/A ,$77.00 ,$29.41 ,$77.00 ,$40.50 ,$39.27 ,$242.66 ,$97.06 ,$53.90 ,$97.06 ,$38.50 ,$77.00 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$97.06 ,$38.89 ,$38.50 ,$38.50 ,$38.50 ,$77.00 ,$65.45 ,$77.00 ,$61.60 ,$28.49 ,$61.60 ,$97.06 ,$97.06 ,$77.00 ,$41.73 ,$97.06 ,$20.25 , N/A , N/A , N/A , N/A ,$101.91 ,$65.45 ,$218.39 , N/A ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$38.50 ,$48.51 ,$48.51 ,$97.06 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27400159,L0626,HC SUPPORT LUMBOTRAIN,271,1 ,$242.00 ,$157.30 ,$61.91 ,$285.48 ,$285.48 ,$111.32 ,$131.16 ,$114.19 ,$67.76 ,$83.49 ,$114.19 ,$92.93 ,$114.19 ,$92.44 ,$61.91 ,$114.19 ,$92.44 ,$216.96 ,$127.29 ,$123.42 ,$285.48 ,$114.19 ,$169.40 ,$114.19 ,$121.00 ,$116.48 ,$181.50 ,$122.21 ,$110.11 ,$122.21 ,$114.19 ,$122.21 ,$152.46 ,$152.46 ,$171.82 ,$242.00 ,$205.70 ,$242.00 ,$193.60 ,$89.54 ,$193.60 ,$114.19 ,$114.19 ,$242.00 ,$131.16 ,$114.19 ,$63.65 , N/A , N/A , N/A , N/A ,$119.90 ,$205.70 ,$256.93 ,$159.24 ,$67.76 ,$217.80 ,$174.24 ,$242.00 ,$152.46 ,$152.46 ,$152.46 ,$114.19 ,$116.16 ,$217.80 ST. JOHN'S HOSPITAL,27400160,L0460,HC TLSO SPINAL SYSTEM,274,1 ,$741.00 ,$481.65 ,$194.88 ,"$2,488.65 ","$2,488.65 ", N/A ,$401.62 ,$995.46 ,$207.48 ,$255.65 ,$995.46 ,$284.54 ,$741.00 ,$283.06 , N/A ,$741.00 ,$283.06 ,$741.00 ,$389.77 ,$377.91 ,"$2,488.64 ",$995.46 ,$518.70 ,$995.46 ,$370.50 ,$741.00 ,$555.75 ,$374.21 ,$337.16 ,$374.21 ,$995.46 ,$374.21 ,$370.50 ,$370.50 ,$370.50 ,$741.00 ,$629.85 ,$741.00 ,$592.80 ,$274.17 ,$592.80 ,$995.46 ,$995.46 ,$741.00 ,$401.62 ,$995.46 ,$194.88 , N/A , N/A , N/A , N/A ,"$1,045.23 ",$629.85 ,"$2,239.78 ", N/A ,$207.48 ,$666.90 ,$533.52 ,$741.00 ,$370.50 ,$466.83 ,$466.83 ,$995.46 ,$355.68 ,$666.90 ST. JOHN'S HOSPITAL,27400161,L3807,HC WHFO W/O JOINTS PREFAB T1,274,1 ,$31.00 ,$20.15 ,$8.15 ,$495.66 ,$495.65 , N/A ,$16.80 ,$198.26 ,$8.68 ,$10.70 ,$198.26 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$495.66 ,$198.26 ,$21.70 ,$198.26 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$198.26 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$198.26 ,$198.26 ,$31.00 ,$16.80 ,$198.26 ,$8.15 , N/A , N/A , N/A , N/A ,$208.17 ,$26.35 ,$446.09 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$198.26 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400162,L3807,HC WHFO W/O JOINTS PREFAB T2,274,1 ,$77.00 ,$50.05 ,$20.25 ,$518.66 ,$518.65 , N/A ,$41.73 ,$207.46 ,$21.56 ,$26.57 ,$207.46 ,$29.57 ,$77.00 ,$29.41 , N/A ,$77.00 ,$29.41 ,$77.00 ,$40.50 ,$39.27 ,$518.66 ,$207.46 ,$53.90 ,$207.46 ,$38.50 ,$77.00 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$207.46 ,$38.89 ,$38.50 ,$38.50 ,$38.50 ,$77.00 ,$65.45 ,$77.00 ,$61.60 ,$28.49 ,$61.60 ,$207.46 ,$207.46 ,$77.00 ,$41.73 ,$207.46 ,$20.25 , N/A , N/A , N/A , N/A ,$217.83 ,$65.45 ,$466.79 , N/A ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$38.50 ,$48.51 ,$48.51 ,$207.46 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,27400163,L1620,HC BRACE ADBUCTION INFANT HIP,274,1 ,$203.00 ,$131.95 ,$53.39 ,$433.05 ,$433.05 , N/A ,$110.03 ,$173.22 ,$56.84 ,$70.04 ,$173.22 ,$77.95 ,$173.22 ,$77.55 , N/A ,$173.22 ,$77.55 ,$203.00 ,$106.78 ,$103.53 ,$433.04 ,$173.22 ,$142.10 ,$173.22 ,$101.50 ,$176.68 ,$152.25 ,$102.52 ,$92.37 ,$102.52 ,$173.22 ,$102.52 ,$101.50 ,$101.50 ,$101.50 ,$203.00 ,$172.55 ,$203.00 ,$162.40 ,$75.11 ,$162.40 ,$173.22 ,$173.22 ,$203.00 ,$110.03 ,$173.22 ,$53.39 , N/A , N/A , N/A , N/A ,$181.88 ,$172.55 ,$389.74 , N/A ,$56.84 ,$182.70 ,$146.16 ,$203.00 ,$101.50 ,$127.89 ,$127.89 ,$173.22 ,$97.44 ,$182.70 ST. JOHN'S HOSPITAL,27400164,L3931,HC WHFO RESTING HAND ADULT LARGE,274,1 ,$102.00 ,$66.30 ,$26.83 ,$451.38 ,$451.38 , N/A ,$55.28 ,$180.55 ,$28.56 ,$35.19 ,$180.55 ,$39.17 ,$102.00 ,$38.96 , N/A ,$102.00 ,$38.96 ,$102.00 ,$53.65 ,$52.02 ,$451.38 ,$180.55 ,$71.40 ,$180.55 ,$51.00 ,$102.00 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$180.55 ,$51.51 ,$51.00 ,$51.00 ,$51.00 ,$102.00 ,$86.70 ,$102.00 ,$81.60 ,$37.74 ,$81.60 ,$180.55 ,$180.55 ,$102.00 ,$55.28 ,$180.55 ,$26.83 , N/A , N/A , N/A , N/A ,$189.58 ,$86.70 ,$406.24 , N/A ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$51.00 ,$64.26 ,$64.26 ,$180.55 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,27400165,L3931,HC WHFO RESTING HAND ADULT MEDIUM,274,1 ,$86.00 ,$55.90 ,$22.62 ,$443.38 ,$443.38 , N/A ,$46.61 ,$177.35 ,$24.08 ,$29.67 ,$177.35 ,$33.02 ,$86.00 ,$32.85 , N/A ,$86.00 ,$32.85 ,$86.00 ,$45.24 ,$43.86 ,$443.38 ,$177.35 ,$60.20 ,$177.35 ,$43.00 ,$86.00 ,$64.50 ,$43.43 ,$39.13 ,$43.43 ,$177.35 ,$43.43 ,$43.00 ,$43.00 ,$43.00 ,$86.00 ,$73.10 ,$86.00 ,$68.80 ,$31.82 ,$68.80 ,$177.35 ,$177.35 ,$86.00 ,$46.61 ,$177.35 ,$22.62 , N/A , N/A , N/A , N/A ,$186.22 ,$73.10 ,$399.04 , N/A ,$24.08 ,$77.40 ,$61.92 ,$86.00 ,$43.00 ,$54.18 ,$54.18 ,$177.35 ,$41.28 ,$77.40 ST. JOHN'S HOSPITAL,27400166,L3931,HC WHFO RESTING HAND ADULT SMALL,274,1 ,$71.00 ,$46.15 ,$18.67 ,$435.88 ,$435.88 , N/A ,$38.48 ,$174.35 ,$19.88 ,$24.50 ,$174.35 ,$27.26 ,$71.00 ,$27.12 , N/A ,$71.00 ,$27.12 ,$71.00 ,$37.35 ,$36.21 ,$435.88 ,$174.35 ,$49.70 ,$174.35 ,$35.50 ,$71.00 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$174.35 ,$35.86 ,$35.50 ,$35.50 ,$35.50 ,$71.00 ,$60.35 ,$71.00 ,$56.80 ,$26.27 ,$56.80 ,$174.35 ,$174.35 ,$71.00 ,$38.48 ,$174.35 ,$18.67 , N/A , N/A , N/A , N/A ,$183.07 ,$60.35 ,$392.29 , N/A ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$35.50 ,$44.73 ,$44.73 ,$174.35 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,27400167,L3931,HC WHFO RESTING HAND ADULT X-LARGE,274,1 ,$121.00 ,$78.65 ,$31.82 ,$460.88 ,$460.88 , N/A ,$65.58 ,$184.35 ,$33.88 ,$41.75 ,$184.35 ,$46.46 ,$121.00 ,$46.22 , N/A ,$121.00 ,$46.22 ,$121.00 ,$63.65 ,$61.71 ,$460.88 ,$184.35 ,$84.70 ,$184.35 ,$60.50 ,$121.00 ,$90.75 ,$61.11 ,$55.06 ,$61.11 ,$184.35 ,$61.11 ,$60.50 ,$60.50 ,$60.50 ,$121.00 ,$102.85 ,$121.00 ,$96.80 ,$44.77 ,$96.80 ,$184.35 ,$184.35 ,$121.00 ,$65.58 ,$184.35 ,$31.82 , N/A , N/A , N/A , N/A ,$193.57 ,$102.85 ,$414.79 , N/A ,$33.88 ,$108.90 ,$87.12 ,$121.00 ,$60.50 ,$76.23 ,$76.23 ,$184.35 ,$58.08 ,$108.90 ST. JOHN'S HOSPITAL,27400168,L3931,HC WHFO RESTING HAND PED LARGE,274,1 ,$50.00 ,$32.50 ,$13.15 ,$425.38 ,$425.38 , N/A ,$27.10 ,$170.15 ,$14.00 ,$17.25 ,$170.15 ,$19.20 ,$50.00 ,$19.10 , N/A ,$50.00 ,$19.10 ,$50.00 ,$26.30 ,$25.50 ,$425.38 ,$170.15 ,$35.00 ,$170.15 ,$25.00 ,$50.00 ,$37.50 ,$25.25 ,$22.75 ,$25.25 ,$170.15 ,$25.25 ,$25.00 ,$25.00 ,$25.00 ,$50.00 ,$42.50 ,$50.00 ,$40.00 ,$18.50 ,$40.00 ,$170.15 ,$170.15 ,$50.00 ,$27.10 ,$170.15 ,$13.15 , N/A , N/A , N/A , N/A ,$178.66 ,$42.50 ,$382.84 , N/A ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$25.00 ,$31.50 ,$31.50 ,$170.15 ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,27400169,L3931,HC WHFO RESTING HAND PED MEDIUM,274,1 ,$36.00 ,$23.40 ,$9.47 ,$418.38 ,$418.38 , N/A ,$19.51 ,$167.35 ,$10.08 ,$12.42 ,$167.35 ,$13.82 ,$36.00 ,$13.75 , N/A ,$36.00 ,$13.75 ,$36.00 ,$18.94 ,$18.36 ,$418.38 ,$167.35 ,$25.20 ,$167.35 ,$18.00 ,$36.00 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$167.35 ,$18.18 ,$18.00 ,$18.00 ,$18.00 ,$36.00 ,$30.60 ,$36.00 ,$28.80 ,$13.32 ,$28.80 ,$167.35 ,$167.35 ,$36.00 ,$19.51 ,$167.35 ,$9.47 , N/A , N/A , N/A , N/A ,$175.72 ,$30.60 ,$376.54 , N/A ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$18.00 ,$22.68 ,$22.68 ,$167.35 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,27400170,L3931,HC WHFO RESTING HAND PED SMALL,274,1 ,$22.00 ,$14.30 ,$5.79 ,$411.38 ,$411.38 , N/A ,$11.92 ,$164.55 ,$6.16 ,$7.59 ,$164.55 ,$8.45 ,$22.00 ,$8.40 , N/A ,$22.00 ,$8.40 ,$22.00 ,$11.57 ,$11.22 ,$411.38 ,$164.55 ,$15.40 ,$164.55 ,$11.00 ,$22.00 ,$16.50 ,$11.11 ,$10.01 ,$11.11 ,$164.55 ,$11.11 ,$11.00 ,$11.00 ,$11.00 ,$22.00 ,$18.70 ,$22.00 ,$17.60 ,$8.14 ,$17.60 ,$164.55 ,$164.55 ,$22.00 ,$11.92 ,$164.55 ,$5.79 , N/A , N/A , N/A , N/A ,$172.78 ,$18.70 ,$370.24 , N/A ,$6.16 ,$19.80 ,$15.84 ,$22.00 ,$11.00 ,$13.86 ,$13.86 ,$164.55 ,$10.56 ,$19.80 ST. JOHN'S HOSPITAL,27400171,L3931,HC WHFO RESTING HAND PED X-SMALL,274,1 ,$13.00 ,$8.45 ,$3.42 ,$406.88 ,$406.88 , N/A ,$7.05 ,$162.75 ,$3.64 ,$4.49 ,$162.75 ,$4.99 ,$13.00 ,$4.97 , N/A ,$13.00 ,$4.97 ,$13.00 ,$6.84 ,$6.63 ,$406.88 ,$162.75 ,$9.10 ,$162.75 ,$6.50 ,$13.00 ,$9.75 ,$6.57 ,$5.92 ,$6.57 ,$162.75 ,$6.57 ,$6.50 ,$6.50 ,$6.50 ,$13.00 ,$11.05 ,$13.00 ,$10.40 ,$4.81 ,$10.40 ,$162.75 ,$162.75 ,$13.00 ,$7.05 ,$162.75 ,$3.42 , N/A , N/A , N/A , N/A ,$170.89 ,$11.05 ,$366.19 , N/A ,$3.64 ,$11.70 ,$9.36 ,$13.00 ,$6.50 ,$8.19 ,$8.19 ,$162.75 ,$6.24 ,$11.70 ST. JOHN'S HOSPITAL,27400172,L4396,HC AFO ANKLE STATIC/DYN ADULT LARGE,274,1 ,$182.00 ,$118.30 ,$47.87 ,$445.10 ,$445.10 , N/A ,$98.64 ,$178.04 ,$50.96 ,$62.79 ,$178.04 ,$69.89 ,$178.04 ,$69.52 , N/A ,$178.04 ,$69.52 ,$182.00 ,$95.73 ,$92.82 ,$445.10 ,$178.04 ,$127.40 ,$178.04 ,$91.00 ,$181.60 ,$136.50 ,$91.91 ,$82.81 ,$91.91 ,$178.04 ,$91.91 ,$91.00 ,$91.00 ,$91.00 ,$182.00 ,$154.70 ,$182.00 ,$145.60 ,$67.34 ,$145.60 ,$178.04 ,$178.04 ,$182.00 ,$98.64 ,$178.04 ,$47.87 , N/A , N/A , N/A , N/A ,$186.94 ,$154.70 ,$400.59 , N/A ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$91.00 ,$114.66 ,$114.66 ,$178.04 ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,27400173,L4396,HC AFO ANKLE STATIC/DYN ADULT MEDIUM,274,1 ,$139.00 ,$90.35 ,$36.56 ,$423.60 ,$423.60 , N/A ,$75.34 ,$169.44 ,$38.92 ,$47.96 ,$169.44 ,$53.38 ,$139.00 ,$53.10 , N/A ,$139.00 ,$53.10 ,$139.00 ,$73.11 ,$70.89 ,$423.60 ,$169.44 ,$97.30 ,$169.44 ,$69.50 ,$139.00 ,$104.25 ,$70.20 ,$63.25 ,$70.20 ,$169.44 ,$70.20 ,$69.50 ,$69.50 ,$69.50 ,$139.00 ,$118.15 ,$139.00 ,$111.20 ,$51.43 ,$111.20 ,$169.44 ,$169.44 ,$139.00 ,$75.34 ,$169.44 ,$36.56 , N/A , N/A , N/A , N/A ,$177.91 ,$118.15 ,$381.24 , N/A ,$38.92 ,$125.10 ,$100.08 ,$139.00 ,$69.50 ,$87.57 ,$87.57 ,$169.44 ,$66.72 ,$125.10 ST. JOHN'S HOSPITAL,27400174,L4396,HC AFO ANKLE STATIC/DYN ADULT SMALL,274,1 ,$101.00 ,$65.65 ,$26.56 ,$404.60 ,$404.60 , N/A ,$54.74 ,$161.84 ,$28.28 ,$34.85 ,$161.84 ,$38.78 ,$101.00 ,$38.58 , N/A ,$101.00 ,$38.58 ,$101.00 ,$53.13 ,$51.51 ,$404.60 ,$161.84 ,$70.70 ,$161.84 ,$50.50 ,$101.00 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$161.84 ,$51.01 ,$50.50 ,$50.50 ,$50.50 ,$101.00 ,$85.85 ,$101.00 ,$80.80 ,$37.37 ,$80.80 ,$161.84 ,$161.84 ,$101.00 ,$54.74 ,$161.84 ,$26.56 , N/A , N/A , N/A , N/A ,$169.93 ,$85.85 ,$364.14 , N/A ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$50.50 ,$63.63 ,$63.63 ,$161.84 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,27400175,L4396,HC AFO ANKLE STATIC/DYN ADULT X-LARGE,274,1 ,$216.00 ,$140.40 ,$56.81 ,$462.10 ,$462.10 , N/A ,$117.07 ,$184.84 ,$60.48 ,$74.52 ,$184.84 ,$82.94 ,$184.84 ,$82.51 , N/A ,$184.84 ,$82.51 ,$216.00 ,$113.62 ,$110.16 ,$462.10 ,$184.84 ,$151.20 ,$184.84 ,$108.00 ,$188.54 ,$162.00 ,$109.08 ,$98.28 ,$109.08 ,$184.84 ,$109.08 ,$108.00 ,$108.00 ,$108.00 ,$216.00 ,$183.60 ,$216.00 ,$172.80 ,$79.92 ,$172.80 ,$184.84 ,$184.84 ,$216.00 ,$117.07 ,$184.84 ,$56.81 , N/A , N/A , N/A , N/A ,$194.08 ,$183.60 ,$415.89 , N/A ,$60.48 ,$194.40 ,$155.52 ,$216.00 ,$108.00 ,$136.08 ,$136.08 ,$184.84 ,$103.68 ,$194.40 ST. JOHN'S HOSPITAL,27400176,L4396,HC AFO ANKLE STATIC/DYN PED LARGE,274,1 ,$105.00 ,$68.25 ,$27.62 ,$406.60 ,$406.60 , N/A ,$56.91 ,$162.64 ,$29.40 ,$36.23 ,$162.64 ,$40.32 ,$105.00 ,$40.11 , N/A ,$105.00 ,$40.11 ,$105.00 ,$55.23 ,$53.55 ,$406.60 ,$162.64 ,$73.50 ,$162.64 ,$52.50 ,$105.00 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$162.64 ,$53.03 ,$52.50 ,$52.50 ,$52.50 ,$105.00 ,$89.25 ,$105.00 ,$84.00 ,$38.85 ,$84.00 ,$162.64 ,$162.64 ,$105.00 ,$56.91 ,$162.64 ,$27.62 , N/A , N/A , N/A , N/A ,$170.77 ,$89.25 ,$365.94 , N/A ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$52.50 ,$66.15 ,$66.15 ,$162.64 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,27400177,L4396,HC AFO ANKLE STATIC/DYN PED MEDIUM,274,1 ,$50.00 ,$32.50 ,$13.15 ,$379.10 ,$379.10 , N/A ,$27.10 ,$151.64 ,$14.00 ,$17.25 ,$151.64 ,$19.20 ,$50.00 ,$19.10 , N/A ,$50.00 ,$19.10 ,$50.00 ,$26.30 ,$25.50 ,$379.10 ,$151.64 ,$35.00 ,$151.64 ,$25.00 ,$50.00 ,$37.50 ,$25.25 ,$22.75 ,$25.25 ,$151.64 ,$25.25 ,$25.00 ,$25.00 ,$25.00 ,$50.00 ,$42.50 ,$50.00 ,$40.00 ,$18.50 ,$40.00 ,$151.64 ,$151.64 ,$50.00 ,$27.10 ,$151.64 ,$13.15 , N/A , N/A , N/A , N/A ,$159.22 ,$42.50 ,$341.19 , N/A ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$25.00 ,$31.50 ,$31.50 ,$151.64 ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,27400178,L4396,HC AFO ANKLE STATIC/DYN PED SMALL,274,1 ,$31.00 ,$20.15 ,$8.15 ,$369.60 ,$369.60 , N/A ,$16.80 ,$147.84 ,$8.68 ,$10.70 ,$147.84 ,$11.90 ,$31.00 ,$11.84 , N/A ,$31.00 ,$11.84 ,$31.00 ,$16.31 ,$15.81 ,$369.60 ,$147.84 ,$21.70 ,$147.84 ,$15.50 ,$31.00 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$147.84 ,$15.66 ,$15.50 ,$15.50 ,$15.50 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$147.84 ,$147.84 ,$31.00 ,$16.80 ,$147.84 ,$8.15 , N/A , N/A , N/A , N/A ,$155.23 ,$26.35 ,$332.64 , N/A ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$15.50 ,$19.53 ,$19.53 ,$147.84 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,27400179,L4396,HC AFO ANKLE STATIC/DYN PED X-SMALL,274,1 ,$18.00 ,$11.70 ,$4.73 ,$363.10 ,$363.10 , N/A ,$9.76 ,$145.24 ,$5.04 ,$6.21 ,$145.24 ,$6.91 ,$18.00 ,$6.88 , N/A ,$18.00 ,$6.88 ,$18.00 ,$9.47 ,$9.18 ,$363.10 ,$145.24 ,$12.60 ,$145.24 ,$9.00 ,$18.00 ,$13.50 ,$9.09 ,$8.19 ,$9.09 ,$145.24 ,$9.09 ,$9.00 ,$9.00 ,$9.00 ,$18.00 ,$15.30 ,$18.00 ,$14.40 ,$6.66 ,$14.40 ,$145.24 ,$145.24 ,$18.00 ,$9.76 ,$145.24 ,$4.73 , N/A , N/A , N/A , N/A ,$152.50 ,$15.30 ,$326.79 , N/A ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$9.00 ,$11.34 ,$11.34 ,$145.24 ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27400180,L8509,HC PROSTH VOICE INDWELLING T1,274,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 ,$530.90 , N/A ,$325.20 ,$212.36 ,$168.00 ,$207.00 ,$212.36 ,$230.40 ,$212.36 ,$229.20 , N/A ,$212.36 ,$229.20 ,$403.48 ,$315.60 ,$306.00 ,$530.90 ,$212.36 ,$420.00 ,$212.36 ,$300.00 ,$216.61 ,$450.00 ,$303.00 ,$273.00 ,$303.00 ,$212.36 ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 ,$530.90 ,$480.00 ,$222.00 ,$480.00 ,$212.36 ,$212.36 ,$600.00 ,$325.20 ,$212.36 ,$157.80 , N/A , N/A , N/A , N/A ,$222.98 ,$510.00 ,$477.81 , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 ,$212.36 ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27400181,L8509,HC PROSTH VOICE INDWELLING T2,274,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 ,$605.90 , N/A ,$406.50 ,$242.36 ,$210.00 ,$258.75 ,$242.36 ,$288.00 ,$242.36 ,$286.50 , N/A ,$242.36 ,$286.50 ,$460.48 ,$394.50 ,$382.50 ,$605.90 ,$242.36 ,$525.00 ,$242.36 ,$375.00 ,$247.21 ,$562.50 ,$378.75 ,$341.25 ,$378.75 ,$242.36 ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 ,$605.90 ,$600.00 ,$277.50 ,$600.00 ,$242.36 ,$242.36 ,$750.00 ,$406.50 ,$242.36 ,$197.25 , N/A , N/A , N/A , N/A ,$254.48 ,$637.50 ,$545.31 , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 ,$242.36 ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27400182,L8509,HC PROSTH VOICE INDWELLING T3,274,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 ,$680.90 , N/A ,$487.80 ,$272.36 ,$252.00 ,$310.50 ,$272.36 ,$345.60 ,$272.36 ,$343.80 , N/A ,$272.36 ,$343.80 ,$517.48 ,$473.40 ,$459.00 ,$680.90 ,$272.36 ,$630.00 ,$272.36 ,$450.00 ,$277.81 ,$675.00 ,$454.50 ,$409.50 ,$454.50 ,$272.36 ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 ,$680.90 ,$720.00 ,$333.00 ,$720.00 ,$272.36 ,$272.36 ,$900.00 ,$487.80 ,$272.36 ,$236.70 , N/A , N/A , N/A , N/A ,$285.98 ,$765.00 ,$612.81 , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 ,$272.36 ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27400183,L8509,HC PROSTH VOICE INDWELLING T4,274,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ",$755.90 ,$483.00 ,$569.10 ,$302.36 ,$294.00 ,$362.25 ,$302.36 ,$403.20 ,$302.36 ,$401.10 , N/A ,$302.36 ,$401.10 ,$574.48 ,$552.30 ,$535.50 ,$755.90 ,$302.36 ,$735.00 ,$302.36 ,$525.00 ,$308.41 ,$787.50 ,$530.25 ,$477.75 ,$530.25 ,$302.36 ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 ,$755.90 ,$840.00 ,$388.50 ,$840.00 ,$302.36 ,$302.36 ,"$1,050.00 ",$569.10 ,$302.36 ,$276.15 , N/A , N/A , N/A , N/A ,$317.48 ,$892.50 ,$680.31 , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 ,$302.36 ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27400184,L0180,HC COLLAR CERV MULT POST OCC/MAND SUPPORTS ADJ,274,1 ,"$1,194.00 ",$776.10 ,$314.02 ,"$1,548.96 ","$1,548.95 ",$549.24 ,$647.15 ,$619.58 ,$334.32 ,$411.93 ,$619.58 ,$458.50 ,$619.58 ,$456.11 , N/A ,$619.58 ,$456.11 ,"$1,177.21 ",$628.04 ,$608.94 ,"$1,548.96 ",$619.58 ,$835.80 ,$619.58 ,$597.00 ,$631.98 ,$895.50 ,$602.97 ,$543.27 ,$602.97 ,$619.58 ,$602.97 ,$597.00 ,$597.00 ,$597.00 ,"$1,194.00 ","$1,014.90 ","$1,194.00 ",$955.20 ,$441.78 ,$955.20 ,$619.58 ,$619.58 ,"$1,194.00 ",$647.15 ,$619.58 ,$314.02 , N/A , N/A , N/A , N/A ,$650.56 ,"$1,014.90 ","$1,394.06 ", N/A ,$334.32 ,"$1,074.60 ",$859.68 ,"$1,194.00 ",$597.00 ,$752.22 ,$752.22 ,$619.58 ,$573.12 ,"$1,074.60 " ST. JOHN'S HOSPITAL,27400185,L0200,HC COLLAR CERV MULT POST OCC/MAND SUPPORTS ADJ W/THOR EXT,274,1 ,"$1,632.00 ","$1,060.80 ",$429.22 ,"$2,118.28 ","$2,118.28 ",$750.72 ,$884.54 ,$847.31 ,$456.96 ,$563.04 ,$847.31 ,$626.69 ,$847.31 ,$623.42 , N/A ,$847.31 ,$623.42 ,"$1,609.89 ",$858.43 ,$832.32 ,"$2,118.28 ",$847.31 ,"$1,142.40 ",$847.31 ,$816.00 ,$864.26 ,"$1,224.00 ",$824.16 ,$742.56 ,$824.16 ,$847.31 ,$824.16 ,$816.00 ,$816.00 ,$816.00 ,"$1,632.00 ","$1,387.20 ","$1,632.00 ","$1,305.60 ",$603.84 ,"$1,305.60 ",$847.31 ,$847.31 ,"$1,632.00 ",$884.54 ,$847.31 ,$429.22 , N/A , N/A , N/A , N/A ,$889.68 ,"$1,387.20 ","$1,906.45 ", N/A ,$456.96 ,"$1,468.80 ","$1,175.04 ","$1,632.00 ",$816.00 ,"$1,028.16 ","$1,028.16 ",$847.31 ,$783.36 ,"$1,468.80 " ST. JOHN'S HOSPITAL,27400186,L0456,HC TLSO TRUNK SUPPORT FLEX CUSTOM,274,1 ,"$2,047.00 ","$1,330.55 ",$538.36 ,"$3,122.10 ","$3,122.10 ",$941.62 ,"$1,109.47 ","$1,248.84 ",$573.16 ,$706.22 ,"$1,248.84 ",$786.05 ,"$1,248.84 ",$781.95 , N/A ,"$1,248.84 ",$781.95 ,"$2,047.00 ","$1,076.72 ","$1,043.97 ","$3,122.10 ","$1,248.84 ","$1,432.90 ","$1,248.84 ","$1,023.50 ","$1,273.82 ","$1,535.25 ","$1,033.74 ",$931.39 ,"$1,033.74 ","$1,248.84 ","$1,033.74 ","$1,023.50 ","$1,023.50 ","$1,023.50 ","$2,047.00 ","$1,739.95 ","$2,047.00 ","$1,637.60 ",$757.39 ,"$1,637.60 ","$1,248.84 ","$1,248.84 ","$2,047.00 ","$1,109.47 ","$1,248.84 ",$538.36 , N/A , N/A , N/A , N/A ,"$1,311.28 ","$1,739.95 ","$2,809.89 ", N/A ,$573.16 ,"$1,842.30 ","$1,473.84 ","$2,047.00 ","$1,023.50 ","$1,289.61 ","$1,289.61 ","$1,248.84 ",$982.56 ,"$1,842.30 " ST. JOHN'S HOSPITAL,27400187,L0464,HC TLSO TRIPLANAR CONTROL PREFAB,274,1 ,"$3,057.00 ","$1,987.05 ",$803.99 ,"$4,664.96 ","$4,664.95 ","$1,406.22 ","$1,656.89 ","$1,865.98 ",$855.96 ,"$1,054.67 ","$1,865.98 ","$1,173.89 ","$1,865.98 ","$1,167.77 ", N/A ,"$1,865.98 ","$1,167.77 ","$3,057.00 ","$1,607.98 ","$1,559.07 ","$4,664.96 ","$1,865.98 ","$2,139.90 ","$1,865.98 ","$1,528.50 ","$1,903.30 ","$2,292.75 ","$1,543.79 ","$1,390.94 ","$1,543.79 ","$1,865.98 ","$1,543.79 ","$1,528.50 ","$1,528.50 ","$1,528.50 ","$3,057.00 ","$2,598.45 ","$3,057.00 ","$2,445.60 ","$1,131.09 ","$2,445.60 ","$1,865.98 ","$1,865.98 ","$3,057.00 ","$1,656.89 ","$1,865.98 ",$803.99 , N/A , N/A , N/A , N/A ,"$1,959.28 ","$2,598.45 ","$4,198.46 ", N/A ,$855.96 ,"$2,751.30 ","$2,201.04 ","$3,057.00 ","$1,528.50 ","$1,925.91 ","$1,925.91 ","$1,865.98 ","$1,467.36 ","$2,751.30 " ST. JOHN'S HOSPITAL,27400188,L0486,HC TLSO TRIPLANAR CONTROL CAB/CAM CUSTOM,274,1 ,"$5,411.00 ","$3,517.15 ","$1,423.09 ","$7,023.25 ","$7,023.25 ","$2,489.06 ","$2,932.76 ","$2,809.30 ","$1,515.08 ","$1,866.80 ","$2,809.30 ","$2,077.82 ","$2,809.30 ","$2,067.00 ", N/A ,"$2,809.30 ","$2,067.00 ","$5,337.66 ","$2,846.19 ","$2,759.61 ","$7,023.24 ","$2,809.30 ","$3,787.70 ","$2,809.30 ","$2,705.50 ","$2,865.48 ","$4,058.25 ","$2,732.56 ","$2,462.01 ","$2,732.56 ","$2,809.30 ","$2,732.56 ","$2,705.50 ","$2,705.50 ","$2,705.50 ","$5,411.00 ","$4,599.35 ","$5,411.00 ","$4,328.80 ","$2,002.07 ","$4,328.80 ","$2,809.30 ","$2,809.30 ","$5,411.00 ","$2,932.76 ","$2,809.30 ","$1,423.09 ", N/A , N/A , N/A , N/A ,"$2,949.77 ","$4,599.35 ","$6,320.92 ", N/A ,"$1,515.08 ","$4,869.90 ","$3,895.92 ","$5,411.00 ","$2,705.50 ","$3,408.93 ","$3,408.93 ","$2,809.30 ","$2,597.28 ","$4,869.90 " ST. JOHN'S HOSPITAL,27400189,L0631,HC LUMBAR/SACRAL ORTHOSIS PREFAB,270,1 ,"$2,112.00 ","$1,372.80 ",$555.46 ,"$3,222.08 ","$3,222.08 ",$971.52 ,"$1,144.70 ","$1,288.83 ",$591.36 ,$728.64 ,"$1,288.83 ",$811.01 ,"$1,288.83 ",$806.78 ,$815.41 ,"$1,288.83 ",$806.78 ,"$2,112.00 ","$1,110.91 ","$1,077.12 ","$3,222.08 ","$1,288.83 ","$1,478.40 ","$1,288.83 ","$1,056.00 ","$1,314.61 ","$1,584.00 ","$1,066.56 ",$960.96 ,"$1,066.56 ","$1,288.83 ","$1,066.56 ","$1,330.56 ","$1,330.56 ","$1,499.52 ","$2,112.00 ","$1,795.20 ","$2,112.00 ","$1,689.60 ",$781.44 ,"$1,689.60 ","$1,288.83 ","$1,288.83 ","$2,112.00 ","$1,144.70 ","$1,288.83 ",$555.46 , N/A , N/A , N/A , N/A ,"$1,353.27 ","$1,795.20 ","$2,899.87 ","$1,389.70 ",$591.36 ,"$1,900.80 ","$1,520.64 ","$2,112.00 ","$1,330.56 ","$1,330.56 ","$1,330.56 ","$1,288.83 ","$1,013.76 ","$1,900.80 " ST. JOHN'S HOSPITAL,27400190,L0984,HC BODY SOCK PROTECTIVE PREFAB,274,1 ,$180.00 ,$117.00 ,$47.34 ,$232.78 ,$232.78 , N/A ,$97.56 ,$93.11 ,$50.40 ,$62.10 ,$93.11 ,$69.12 ,$93.11 ,$68.76 , N/A ,$93.11 ,$68.76 ,$176.91 ,$94.68 ,$91.80 ,$232.78 ,$93.11 ,$126.00 ,$93.11 ,$90.00 ,$94.97 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$93.11 ,$90.90 ,$90.00 ,$90.00 ,$90.00 ,$180.00 ,$153.00 ,$180.00 ,$144.00 ,$66.60 ,$144.00 ,$93.11 ,$93.11 ,$180.00 ,$97.56 ,$93.11 ,$47.34 , N/A , N/A , N/A , N/A ,$97.77 ,$153.00 ,$209.50 , N/A ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$90.00 ,$113.40 ,$113.40 ,$93.11 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,27400191,L1932,HC AFO RIGID ANTERIOR TIBIAL PREFAB,274,1 ,"$1,835.00 ","$1,192.75 ",$482.61 ,"$2,800.36 ","$2,800.35 ",$844.10 ,$994.57 ,"$1,120.14 ",$513.80 ,$633.08 ,"$1,120.14 ",$704.64 ,"$1,120.14 ",$700.97 , N/A ,"$1,120.14 ",$700.97 ,"$1,835.00 ",$965.21 ,$935.85 ,"$2,800.36 ","$1,120.14 ","$1,284.50 ","$1,120.14 ",$917.50 ,"$1,142.55 ","$1,376.25 ",$926.68 ,$834.93 ,$926.68 ,"$1,120.14 ",$926.68 ,$917.50 ,$917.50 ,$917.50 ,"$1,835.00 ","$1,559.75 ","$1,835.00 ","$1,468.00 ",$678.95 ,"$1,468.00 ","$1,120.14 ","$1,120.14 ","$1,835.00 ",$994.57 ,"$1,120.14 ",$482.61 , N/A , N/A , N/A , N/A ,"$1,176.15 ","$1,559.75 ","$2,520.32 ", N/A ,$513.80 ,"$1,651.50 ","$1,321.20 ","$1,835.00 ",$917.50 ,"$1,156.05 ","$1,156.05 ","$1,120.14 ",$880.80 ,"$1,651.50 " ST. JOHN'S HOSPITAL,27400192,L1945,HC AFO RIGID ANTERIOR TIBIAL CUSTOM,274,1 ,"$2,969.00 ","$1,929.85 ",$780.85 ,"$3,852.98 ","$3,852.98 ","$1,365.74 ","$1,609.20 ","$1,541.19 ",$831.32 ,"$1,024.31 ","$1,541.19 ","$1,140.10 ","$1,541.19 ","$1,134.16 ", N/A ,"$1,541.19 ","$1,134.16 ","$2,928.26 ","$1,561.69 ","$1,514.19 ","$3,852.98 ","$1,541.19 ","$2,078.30 ","$1,541.19 ","$1,484.50 ","$1,572.02 ","$2,226.75 ","$1,499.35 ","$1,350.90 ","$1,499.35 ","$1,541.19 ","$1,499.35 ","$1,484.50 ","$1,484.50 ","$1,484.50 ","$2,969.00 ","$2,523.65 ","$2,969.00 ","$2,375.20 ","$1,098.53 ","$2,375.20 ","$1,541.19 ","$1,541.19 ","$2,969.00 ","$1,609.20 ","$1,541.19 ",$780.85 , N/A , N/A , N/A , N/A ,"$1,618.25 ","$2,523.65 ","$3,467.68 ", N/A ,$831.32 ,"$2,672.10 ","$2,137.68 ","$2,969.00 ","$1,484.50 ","$1,870.47 ","$1,870.47 ","$1,541.19 ","$1,425.12 ","$2,672.10 " ST. JOHN'S HOSPITAL,27400193,L1951,HC AFO SPIRAL PREFAB,274,1 ,"$1,728.00 ","$1,123.20 ",$454.46 ,"$2,636.03 ","$2,636.03 ",$794.88 ,$936.58 ,"$1,054.41 ",$483.84 ,$596.16 ,"$1,054.41 ",$663.55 ,"$1,054.41 ",$660.10 , N/A ,"$1,054.41 ",$660.10 ,"$1,728.00 ",$908.93 ,$881.28 ,"$2,636.02 ","$1,054.41 ","$1,209.60 ","$1,054.41 ",$864.00 ,"$1,075.50 ","$1,296.00 ",$872.64 ,$786.24 ,$872.64 ,"$1,054.41 ",$872.64 ,$864.00 ,$864.00 ,$864.00 ,"$1,728.00 ","$1,468.80 ","$1,728.00 ","$1,382.40 ",$639.36 ,"$1,382.40 ","$1,054.41 ","$1,054.41 ","$1,728.00 ",$936.58 ,"$1,054.41 ",$454.46 , N/A , N/A , N/A , N/A ,"$1,107.13 ","$1,468.80 ","$2,372.42 ", N/A ,$483.84 ,"$1,555.20 ","$1,244.16 ","$1,728.00 ",$864.00 ,"$1,088.64 ","$1,088.64 ","$1,054.41 ",$829.44 ,"$1,555.20 " ST. JOHN'S HOSPITAL,27400194,L2220,HC LOWER EXTREMITY ADDITION DORSI/PLANTAR FLEXION,274,1 ,$215.00 ,$139.75 ,$56.55 ,$278.23 ,$278.23 , N/A ,$116.53 ,$111.29 ,$60.20 ,$74.18 ,$111.29 ,$82.56 ,$111.29 ,$82.13 , N/A ,$111.29 ,$82.13 ,$211.45 ,$113.09 ,$109.65 ,$278.22 ,$111.29 ,$150.50 ,$111.29 ,$107.50 ,$113.51 ,$161.25 ,$108.58 ,$97.83 ,$108.58 ,$111.29 ,$108.58 ,$107.50 ,$107.50 ,$107.50 ,$215.00 ,$182.75 ,$215.00 ,$172.00 ,$79.55 ,$172.00 ,$111.29 ,$111.29 ,$215.00 ,$116.53 ,$111.29 ,$56.55 , N/A , N/A , N/A , N/A ,$116.85 ,$182.75 ,$250.40 , N/A ,$60.20 ,$193.50 ,$154.80 ,$215.00 ,$107.50 ,$135.45 ,$135.45 ,$111.29 ,$103.20 ,$193.50 ST. JOHN'S HOSPITAL,27400195,L2405,HC KNEE JOINT ADDITION DROP LOCK,274,1 ,$231.00 ,$150.15 ,$60.75 ,$299.46 ,$299.45 , N/A ,$125.20 ,$119.78 ,$64.68 ,$79.70 ,$119.78 ,$88.70 ,$119.78 ,$88.24 , N/A ,$119.78 ,$88.24 ,$227.59 ,$121.51 ,$117.81 ,$299.46 ,$119.78 ,$161.70 ,$119.78 ,$115.50 ,$122.18 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$119.78 ,$116.66 ,$115.50 ,$115.50 ,$115.50 ,$231.00 ,$196.35 ,$231.00 ,$184.80 ,$85.47 ,$184.80 ,$119.78 ,$119.78 ,$231.00 ,$125.20 ,$119.78 ,$60.75 , N/A , N/A , N/A , N/A ,$125.77 ,$196.35 ,$269.51 , N/A ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$115.50 ,$145.53 ,$145.53 ,$119.78 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,27400197,L2820,HC LOWER EXTREMITY ADDITION BELOW KNEE,274,1 ,$380.00 ,$247.00 ,$99.94 ,$380.00 ,$361.35 , N/A ,$205.96 ,$144.54 ,$106.40 ,$131.10 ,$144.54 ,$145.92 ,$144.54 ,$145.16 , N/A ,$144.54 ,$145.16 ,$274.62 ,$199.88 ,$193.80 ,$361.34 ,$144.54 ,$266.00 ,$144.54 ,$190.00 ,$147.43 ,$285.00 ,$191.90 ,$172.90 ,$191.90 ,$144.54 ,$191.90 ,$190.00 ,$190.00 ,$190.00 ,$380.00 ,$323.00 ,$361.34 ,$304.00 ,$140.60 ,$304.00 ,$144.54 ,$144.54 ,$380.00 ,$205.96 ,$144.54 ,$99.94 , N/A , N/A , N/A , N/A ,$151.77 ,$323.00 ,$325.21 , N/A ,$106.40 ,$342.00 ,$273.60 ,$380.00 ,$190.00 ,$239.40 ,$239.40 ,$144.54 ,$182.40 ,$342.00 ST. JOHN'S HOSPITAL,27400198,L3720,HC ELBOW ORTHOSIS FOREARM/ARM CUFFS CUSTOM,274,1 ,"$1,645.00 ","$1,069.25 ",$432.64 ,"$2,134.63 ","$2,134.63 ",$756.70 ,$891.59 ,$853.85 ,$460.60 ,$567.53 ,$853.85 ,$631.68 ,$853.85 ,$628.39 , N/A ,$853.85 ,$628.39 ,"$1,622.31 ",$865.27 ,$838.95 ,"$2,134.62 ",$853.85 ,"$1,151.50 ",$853.85 ,$822.50 ,$870.92 ,"$1,233.75 ",$830.73 ,$748.48 ,$830.73 ,$853.85 ,$830.73 ,$822.50 ,$822.50 ,$822.50 ,"$1,645.00 ","$1,398.25 ","$1,645.00 ","$1,316.00 ",$608.65 ,"$1,316.00 ",$853.85 ,$853.85 ,"$1,645.00 ",$891.59 ,$853.85 ,$432.64 , N/A , N/A , N/A , N/A ,$896.54 ,"$1,398.25 ","$1,921.16 ", N/A ,$460.60 ,"$1,480.50 ","$1,184.40 ","$1,645.00 ",$822.50 ,"$1,036.35 ","$1,036.35 ",$853.85 ,$789.60 ,"$1,480.50 " ST. JOHN'S HOSPITAL,27400199,L4360,HC BOOT WALKING PNEUMATIC/VACUUM,274,1 ,$533.00 ,$346.45 ,$140.18 ,$812.80 ,$812.80 , N/A ,$288.89 ,$325.12 ,$149.24 ,$183.89 ,$325.12 ,$204.67 ,$325.12 ,$203.61 , N/A ,$325.12 ,$203.61 ,$533.00 ,$280.36 ,$271.83 ,$812.80 ,$325.12 ,$373.10 ,$325.12 ,$266.50 ,$331.62 ,$399.75 ,$269.17 ,$242.52 ,$269.17 ,$325.12 ,$269.17 ,$266.50 ,$266.50 ,$266.50 ,$533.00 ,$453.05 ,$533.00 ,$426.40 ,$197.21 ,$426.40 ,$325.12 ,$325.12 ,$533.00 ,$288.89 ,$325.12 ,$140.18 , N/A , N/A , N/A , N/A ,$341.38 ,$453.05 ,$731.52 , N/A ,$149.24 ,$479.70 ,$383.76 ,$533.00 ,$266.50 ,$335.79 ,$335.79 ,$325.12 ,$255.84 ,$479.70 ST. JOHN'S HOSPITAL,27400200,L4396,HC SPLINT ANKLE FOOT ORTHOSIS STATIC CUSTOM,274,1 ,$346.00 ,$224.90 ,$91.00 ,$527.10 ,$527.10 , N/A ,$187.53 ,$210.84 ,$96.88 ,$119.37 ,$210.84 ,$132.86 ,$210.84 ,$132.17 , N/A ,$210.84 ,$132.17 ,$346.00 ,$182.00 ,$176.46 ,$527.10 ,$210.84 ,$242.20 ,$210.84 ,$173.00 ,$215.06 ,$259.50 ,$174.73 ,$157.43 ,$174.73 ,$210.84 ,$174.73 ,$173.00 ,$173.00 ,$173.00 ,$346.00 ,$294.10 ,$346.00 ,$276.80 ,$128.02 ,$276.80 ,$210.84 ,$210.84 ,$346.00 ,$187.53 ,$210.84 ,$91.00 , N/A , N/A , N/A , N/A ,$221.38 ,$294.10 ,$474.39 , N/A ,$96.88 ,$311.40 ,$249.12 ,$346.00 ,$173.00 ,$217.98 ,$217.98 ,$210.84 ,$166.08 ,$311.40 ST. JOHN'S HOSPITAL,27400201,L5450,HC DRESSING NON-WEIGHT BEARING RIGID,274,1 ,"$1,393.00 ",$905.45 ,$366.36 ,"$1,696.36 ","$1,696.35 ",$640.78 ,$755.01 ,$678.54 ,$390.04 ,$480.59 ,$678.54 ,$534.91 ,$678.54 ,$532.13 , N/A ,$678.54 ,$532.13 ,"$1,289.23 ",$732.72 ,$710.43 ,"$1,696.36 ",$678.54 ,$975.10 ,$678.54 ,$696.50 ,$692.11 ,"$1,044.75 ",$703.47 ,$633.82 ,$703.47 ,$678.54 ,$703.47 ,$696.50 ,$696.50 ,$696.50 ,"$1,393.00 ","$1,184.05 ","$1,393.00 ","$1,114.40 ",$515.41 ,"$1,114.40 ",$678.54 ,$678.54 ,"$1,393.00 ",$755.01 ,$678.54 ,$366.36 , N/A , N/A , N/A , N/A ,$712.47 ,"$1,184.05 ","$1,526.72 ", N/A ,$390.04 ,"$1,253.70 ","$1,002.96 ","$1,393.00 ",$696.50 ,$877.59 ,$877.59 ,$678.54 ,$668.64 ,"$1,253.70 " ST. JOHN'S HOSPITAL,27400202,L5684,HC LOWER EXTREMITY ADDITION BELOW KNEE FORK STRAP,274,1 ,$142.00 ,$92.30 ,$37.35 ,$172.18 ,$172.18 , N/A ,$76.96 ,$68.87 ,$39.76 ,$48.99 ,$68.87 ,$54.53 ,$68.87 ,$54.24 , N/A ,$68.87 ,$54.24 ,$130.86 ,$74.69 ,$72.42 ,$172.18 ,$68.87 ,$99.40 ,$68.87 ,$71.00 ,$70.25 ,$106.50 ,$71.71 ,$64.61 ,$71.71 ,$68.87 ,$71.71 ,$71.00 ,$71.00 ,$71.00 ,$142.00 ,$120.70 ,$142.00 ,$113.60 ,$52.54 ,$113.60 ,$68.87 ,$68.87 ,$142.00 ,$76.96 ,$68.87 ,$37.35 , N/A , N/A , N/A , N/A ,$72.31 ,$120.70 ,$154.96 , N/A ,$39.76 ,$127.80 ,$102.24 ,$142.00 ,$71.00 ,$89.46 ,$89.46 ,$68.87 ,$68.16 ,$127.80 ST. JOHN'S HOSPITAL,27400203,L5688,HC LOWER EXTREMITY ADDITION BELOW KNEE WAIST BELT,274,1 ,$181.00 ,$117.65 ,$47.60 ,$219.75 ,$219.75 , N/A ,$98.10 ,$87.90 ,$50.68 ,$62.45 ,$87.90 ,$69.50 ,$87.90 ,$69.14 , N/A ,$87.90 ,$69.14 ,$167.00 ,$95.21 ,$92.31 ,$219.74 ,$87.90 ,$126.70 ,$87.90 ,$90.50 ,$89.65 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$87.90 ,$91.41 ,$90.50 ,$90.50 ,$90.50 ,$181.00 ,$153.85 ,$181.00 ,$144.80 ,$66.97 ,$144.80 ,$87.90 ,$87.90 ,$181.00 ,$98.10 ,$87.90 ,$47.60 , N/A , N/A , N/A , N/A ,$92.30 ,$153.85 ,$197.77 , N/A ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$90.50 ,$114.03 ,$114.03 ,$87.90 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,27400204,L8440,HC PROSTHETIC SHRINKER BELOW KNEE,274,1 ,$138.00 ,$89.70 ,$36.29 ,$167.55 ,$167.55 , N/A ,$74.80 ,$67.02 ,$38.64 ,$47.61 ,$67.02 ,$52.99 ,$67.02 ,$52.72 , N/A ,$67.02 ,$52.72 ,$127.33 ,$72.59 ,$70.38 ,$167.54 ,$67.02 ,$96.60 ,$67.02 ,$69.00 ,$68.36 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$67.02 ,$69.69 ,$69.00 ,$69.00 ,$69.00 ,$138.00 ,$117.30 ,$138.00 ,$110.40 ,$51.06 ,$110.40 ,$67.02 ,$67.02 ,$138.00 ,$74.80 ,$67.02 ,$36.29 , N/A , N/A , N/A , N/A ,$70.37 ,$117.30 ,$150.79 , N/A ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$69.00 ,$86.94 ,$86.94 ,$67.02 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,27400205,L0172,HC COLLAR CERVICAL SEMI-RIGID THERMO PLASTIC FOAM,274,1 ,$292.00 ,$189.80 ,$76.80 ,$444.85 ,$444.85 , N/A ,$158.26 ,$177.94 ,$81.76 ,$100.74 ,$177.94 ,$112.13 ,$177.94 ,$111.54 , N/A ,$177.94 ,$111.54 ,$292.00 ,$153.59 ,$148.92 ,$444.84 ,$177.94 ,$204.40 ,$177.94 ,$146.00 ,$181.49 ,$219.00 ,$147.46 ,$132.86 ,$147.46 ,$177.94 ,$147.46 ,$146.00 ,$146.00 ,$146.00 ,$292.00 ,$248.20 ,$292.00 ,$233.60 ,$108.04 ,$233.60 ,$177.94 ,$177.94 ,$292.00 ,$158.26 ,$177.94 ,$76.80 , N/A , N/A , N/A , N/A ,$186.84 ,$248.20 ,$400.36 , N/A ,$81.76 ,$262.80 ,$210.24 ,$292.00 ,$146.00 ,$183.96 ,$183.96 ,$177.94 ,$140.16 ,$262.80 ST. JOHN'S HOSPITAL,27400206,L0120,HC MIAMI J OCCIAN BACK COLLAR,274,1 ,$918.00 ,$596.70 ,$137.82 ,$918.00 ,$514.80 , N/A ,$497.56 ,$205.92 ,$257.04 ,$137.82 ,$205.92 ,$148.50 ,$205.92 ,$350.68 , N/A ,$205.92 ,$350.68 ,$391.25 ,$482.87 ,$468.18 ,$514.80 ,$205.92 ,$642.60 ,$205.92 ,$459.00 ,$210.04 ,$688.50 ,$463.59 ,$417.69 ,$463.59 ,$205.92 ,$463.59 ,$459.00 ,$459.00 ,$459.00 ,$918.00 ,$780.30 ,$514.80 ,$734.40 ,$339.66 ,$734.40 ,$205.92 ,$205.92 ,$918.00 ,$497.56 ,$205.92 ,$241.43 , N/A , N/A , N/A , N/A ,$216.22 ,$780.30 ,$463.32 , N/A ,$257.04 ,$826.20 ,$660.96 ,$918.00 ,$459.00 ,$578.34 ,$578.34 ,$205.92 ,$440.64 ,$826.20 ST. JOHN'S HOSPITAL,27400207,L1686,HC HIP ABDUCTION ORTHOSIS PREFAB,274,1 ,"$1,928.00 ","$1,253.20 ",$507.06 ,"$2,941.15 ","$2,941.15 ",$886.88 ,"$1,044.98 ","$1,176.46 ",$539.84 ,$665.16 ,"$1,176.46 ",$740.35 ,"$1,176.46 ",$736.50 , N/A ,"$1,176.46 ",$736.50 ,"$1,928.00 ","$1,014.13 ",$983.28 ,"$2,941.14 ","$1,176.46 ","$1,349.60 ","$1,176.46 ",$964.00 ,"$1,199.99 ","$1,446.00 ",$973.64 ,$877.24 ,$973.64 ,"$1,176.46 ",$973.64 ,$964.00 ,$964.00 ,$964.00 ,"$1,928.00 ","$1,638.80 ","$1,928.00 ","$1,542.40 ",$713.36 ,"$1,542.40 ","$1,176.46 ","$1,176.46 ","$1,928.00 ","$1,044.98 ","$1,176.46 ",$507.06 , N/A , N/A , N/A , N/A ,"$1,235.28 ","$1,638.80 ","$2,647.03 ", N/A ,$539.84 ,"$1,735.20 ","$1,388.16 ","$1,928.00 ",$964.00 ,"$1,214.64 ","$1,214.64 ","$1,176.46 ",$925.44 ,"$1,735.20 " ST. JOHN'S HOSPITAL,27400208,L5685,HC LOWER EXTREMITY SOFT INTERFACE,274,1 ,$233.00 ,$151.45 ,$61.28 ,$387.35 ,$387.35 , N/A ,$126.29 ,$154.94 ,$65.24 ,$80.39 ,$154.94 ,$89.47 ,$154.94 ,$89.01 , N/A ,$154.94 ,$89.01 ,$233.00 ,$122.56 ,$118.83 ,$387.34 ,$154.94 ,$163.10 ,$154.94 ,$116.50 ,$158.03 ,$174.75 ,$117.67 ,$106.02 ,$117.67 ,$154.94 ,$117.67 ,$116.50 ,$116.50 ,$116.50 ,$233.00 ,$198.05 ,$233.00 ,$186.40 ,$86.21 ,$186.40 ,$154.94 ,$154.94 ,$233.00 ,$126.29 ,$154.94 ,$61.28 , N/A , N/A , N/A , N/A ,$162.69 ,$198.05 ,$348.61 , N/A ,$65.24 ,$209.70 ,$167.76 ,$233.00 ,$116.50 ,$146.79 ,$146.79 ,$154.94 ,$111.84 ,$209.70 ST. JOHN'S HOSPITAL,27400217,L2624,HC LWR EXTR/PELVIC/HIP ADJUST FLEXION EXT ABDUCTION CONTROL,274,1 ,"$1,033.00 ",$671.45 ,$271.68 ,"$1,339.83 ","$1,339.83 ",$475.18 ,$559.89 ,$535.93 ,$289.24 ,$356.39 ,$535.93 ,$396.67 ,$535.93 ,$394.61 , N/A ,$535.93 ,$394.61 ,"$1,018.26 ",$543.36 ,$526.83 ,"$1,339.82 ",$535.93 ,$723.10 ,$535.93 ,$516.50 ,$546.65 ,$774.75 ,$521.67 ,$470.02 ,$521.67 ,$535.93 ,$521.67 ,$516.50 ,$516.50 ,$516.50 ,"$1,033.00 ",$878.05 ,"$1,033.00 ",$826.40 ,$382.21 ,$826.40 ,$535.93 ,$535.93 ,"$1,033.00 ",$559.89 ,$535.93 ,$271.68 , N/A , N/A , N/A , N/A ,$562.73 ,$878.05 ,"$1,205.84 ", N/A ,$289.24 ,$929.70 ,$743.76 ,"$1,033.00 ",$516.50 ,$650.79 ,$650.79 ,$535.93 ,$495.84 ,$929.70 ST. JOHN'S HOSPITAL,27400218,L8470,HC PROSTHETIC SOCK BELOW KNEE SINGLE PLY,274,1 ,$18.00 ,$11.70 ,$4.73 ,$23.03 ,$23.03 , N/A ,$9.76 ,$9.21 ,$5.04 ,$6.21 ,$9.21 ,$6.91 ,$9.21 ,$6.88 , N/A ,$9.21 ,$6.88 ,$17.50 ,$9.47 ,$9.18 ,$23.02 ,$9.21 ,$12.60 ,$9.21 ,$9.00 ,$9.39 ,$13.50 ,$9.09 ,$8.19 ,$9.09 ,$9.21 ,$9.09 ,$9.00 ,$9.00 ,$9.00 ,$18.00 ,$15.30 ,$18.00 ,$14.40 ,$6.66 ,$14.40 ,$9.21 ,$9.21 ,$18.00 ,$9.76 ,$9.21 ,$4.73 , N/A , N/A , N/A , N/A ,$9.67 ,$15.30 ,$20.72 , N/A ,$5.04 ,$16.20 ,$12.96 ,$18.00 ,$9.00 ,$11.34 ,$11.34 ,$9.21 ,$8.64 ,$16.20 ST. JOHN'S HOSPITAL,27400219,L8420,HC PROSTHETIC SOCK BELOW KNEE MULTIPLE PLY,274,1 ,$50.00 ,$32.50 ,$13.15 ,$69.10 ,$69.10 , N/A ,$27.10 ,$27.64 ,$14.00 ,$17.25 ,$27.64 ,$19.20 ,$27.64 ,$19.10 , N/A ,$27.64 ,$19.10 ,$50.00 ,$26.30 ,$25.50 ,$69.10 ,$27.64 ,$35.00 ,$27.64 ,$25.00 ,$28.19 ,$37.50 ,$25.25 ,$22.75 ,$25.25 ,$27.64 ,$25.25 ,$25.00 ,$25.00 ,$25.00 ,$50.00 ,$42.50 ,$50.00 ,$40.00 ,$18.50 ,$40.00 ,$27.64 ,$27.64 ,$50.00 ,$27.10 ,$27.64 ,$13.15 , N/A , N/A , N/A , N/A ,$29.02 ,$42.50 ,$62.19 , N/A ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$25.00 ,$31.50 ,$31.50 ,$27.64 ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,27500048,C1721,HC ICD DEFIB DUAL CHAMBER T6,275,1 ,"$32,250.00 ","$20,962.50 ","$8,481.75 ","$32,250.00 ", N/A ,"$14,835.00 ","$17,479.50 ", N/A ,"$9,030.00 ","$10,320.00 ", N/A ,"$11,868.00 ", N/A ,"$12,319.50 ","$12,319.50 ", N/A ,"$12,319.50 ", N/A ,"$16,963.50 ","$16,447.50 ", N/A , N/A ,"$22,575.00 ", N/A ,"$16,125.00 ", N/A ,"$24,187.50 ","$16,286.25 ","$14,383.50 ","$16,286.25 ", N/A ,"$16,286.25 ","$16,125.00 ","$16,125.00 ","$16,125.00 ","$32,250.00 ","$27,412.50 ", N/A ,"$25,800.00 ","$11,932.50 ","$25,800.00 ", N/A , N/A ,"$32,250.00 ","$17,479.50 ", N/A ,"$8,481.75 ", N/A , N/A , N/A , N/A , N/A ,"$27,412.50 ", N/A ,"$12,319.50 ","$9,030.00 ","$29,025.00 ","$23,220.00 ","$32,250.00 ","$16,125.00 ","$20,317.50 ","$20,317.50 ", N/A ,"$15,480.00 ","$29,025.00 " ST. JOHN'S HOSPITAL,27500049,C1721,HC ICD DEFIB DUAL CHAMBER T7,275,1 ,"$33,500.00 ","$21,775.00 ","$8,810.50 ","$33,500.00 ", N/A ,"$15,410.00 ","$18,157.00 ", N/A ,"$9,380.00 ","$10,720.00 ", N/A ,"$12,328.00 ", N/A ,"$12,797.00 ","$12,797.00 ", N/A ,"$12,797.00 ", N/A ,"$17,621.00 ","$17,085.00 ", N/A , N/A ,"$23,450.00 ", N/A ,"$16,750.00 ", N/A ,"$25,125.00 ","$16,917.50 ","$14,941.00 ","$16,917.50 ", N/A ,"$16,917.50 ","$16,750.00 ","$16,750.00 ","$16,750.00 ","$33,500.00 ","$28,475.00 ", N/A ,"$26,800.00 ","$12,395.00 ","$26,800.00 ", N/A , N/A ,"$33,500.00 ","$18,157.00 ", N/A ,"$8,810.50 ", N/A , N/A , N/A , N/A , N/A ,"$28,475.00 ", N/A ,"$12,797.00 ","$9,380.00 ","$30,150.00 ","$24,120.00 ","$33,500.00 ","$16,750.00 ","$21,105.00 ","$21,105.00 ", N/A ,"$16,080.00 ","$30,150.00 " ST. JOHN'S HOSPITAL,27500050,C1721,HC ICD DEFIB DUAL CHAMBER T8,275,1 ,"$34,750.00 ","$22,587.50 ","$9,139.25 ","$34,750.00 ", N/A ,"$15,985.00 ","$18,834.50 ", N/A ,"$9,730.00 ","$11,120.00 ", N/A ,"$12,788.00 ", N/A ,"$13,274.50 ","$13,274.50 ", N/A ,"$13,274.50 ", N/A ,"$18,278.50 ","$17,722.50 ", N/A , N/A ,"$24,325.00 ", N/A ,"$17,375.00 ", N/A ,"$26,062.50 ","$17,548.75 ","$15,498.50 ","$17,548.75 ", N/A ,"$17,548.75 ","$17,375.00 ","$17,375.00 ","$17,375.00 ","$34,750.00 ","$29,537.50 ", N/A ,"$27,800.00 ","$12,857.50 ","$27,800.00 ", N/A , N/A ,"$34,750.00 ","$18,834.50 ", N/A ,"$9,139.25 ", N/A , N/A , N/A , N/A , N/A ,"$29,537.50 ", N/A ,"$13,274.50 ","$9,730.00 ","$31,275.00 ","$25,020.00 ","$34,750.00 ","$17,375.00 ","$21,892.50 ","$21,892.50 ", N/A ,"$16,680.00 ","$31,275.00 " ST. JOHN'S HOSPITAL,27500051,C1721,HC ICD DEFIB DUAL CHAMBER T9,275,1 ,"$36,000.00 ","$23,400.00 ","$9,468.00 ","$36,000.00 ", N/A ,"$16,560.00 ","$19,512.00 ", N/A ,"$10,080.00 ","$11,520.00 ", N/A ,"$13,248.00 ", N/A ,"$13,752.00 ","$13,752.00 ", N/A ,"$13,752.00 ", N/A ,"$18,936.00 ","$18,360.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$18,000.00 ", N/A ,"$27,000.00 ","$18,180.00 ","$16,056.00 ","$18,180.00 ", N/A ,"$18,180.00 ","$18,000.00 ","$18,000.00 ","$18,000.00 ","$36,000.00 ","$30,600.00 ", N/A ,"$28,800.00 ","$13,320.00 ","$28,800.00 ", N/A , N/A ,"$36,000.00 ","$19,512.00 ", N/A ,"$9,468.00 ", N/A , N/A , N/A , N/A , N/A ,"$30,600.00 ", N/A ,"$13,752.00 ","$10,080.00 ","$32,400.00 ","$25,920.00 ","$36,000.00 ","$18,000.00 ","$22,680.00 ","$22,680.00 ", N/A ,"$17,280.00 ","$32,400.00 " ST. JOHN'S HOSPITAL,27500052,C1721,HC ICD DEFIB DUAL CHAMBER T10,275,1 ,"$37,250.00 ","$24,212.50 ","$9,796.75 ","$37,250.00 ", N/A ,"$17,135.00 ","$20,189.50 ", N/A ,"$10,430.00 ","$11,920.00 ", N/A ,"$13,708.00 ", N/A ,"$14,229.50 ","$14,229.50 ", N/A ,"$14,229.50 ", N/A ,"$19,593.50 ","$18,997.50 ", N/A , N/A ,"$26,075.00 ", N/A ,"$18,625.00 ", N/A ,"$27,937.50 ","$18,811.25 ","$16,613.50 ","$18,811.25 ", N/A ,"$18,811.25 ","$18,625.00 ","$18,625.00 ","$18,625.00 ","$37,250.00 ","$31,662.50 ", N/A ,"$29,800.00 ","$13,782.50 ","$29,800.00 ", N/A , N/A ,"$37,250.00 ","$20,189.50 ", N/A ,"$9,796.75 ", N/A , N/A , N/A , N/A , N/A ,"$31,662.50 ", N/A ,"$14,229.50 ","$10,430.00 ","$33,525.00 ","$26,820.00 ","$37,250.00 ","$18,625.00 ","$23,467.50 ","$23,467.50 ", N/A ,"$17,880.00 ","$33,525.00 " ST. JOHN'S HOSPITAL,27500053,C1721,HC ICD DEFIB DUAL CHAMBER T11,275,1 ,"$38,500.00 ","$25,025.00 ","$10,125.50 ","$38,500.00 ", N/A ,"$17,710.00 ","$20,867.00 ", N/A ,"$10,780.00 ","$12,320.00 ", N/A ,"$14,168.00 ", N/A ,"$14,707.00 ","$14,707.00 ", N/A ,"$14,707.00 ", N/A ,"$20,251.00 ","$19,635.00 ", N/A , N/A ,"$26,950.00 ", N/A ,"$19,250.00 ", N/A ,"$28,875.00 ","$19,442.50 ","$17,171.00 ","$19,442.50 ", N/A ,"$19,442.50 ","$19,250.00 ","$19,250.00 ","$19,250.00 ","$38,500.00 ","$32,725.00 ", N/A ,"$30,800.00 ","$14,245.00 ","$30,800.00 ", N/A , N/A ,"$38,500.00 ","$20,867.00 ", N/A ,"$10,125.50 ", N/A , N/A , N/A , N/A , N/A ,"$32,725.00 ", N/A ,"$14,707.00 ","$10,780.00 ","$34,650.00 ","$27,720.00 ","$38,500.00 ","$19,250.00 ","$24,255.00 ","$24,255.00 ", N/A ,"$18,480.00 ","$34,650.00 " ST. JOHN'S HOSPITAL,27500054,C1721,HC ICD DEFIB DUAL CHAMBER T12,275,1 ,"$39,750.00 ","$25,837.50 ","$10,454.25 ","$39,750.00 ", N/A ,"$18,285.00 ","$21,544.50 ", N/A ,"$11,130.00 ","$12,720.00 ", N/A ,"$14,628.00 ", N/A ,"$15,184.50 ","$15,184.50 ", N/A ,"$15,184.50 ", N/A ,"$20,908.50 ","$20,272.50 ", N/A , N/A ,"$27,825.00 ", N/A ,"$19,875.00 ", N/A ,"$29,812.50 ","$20,073.75 ","$17,728.50 ","$20,073.75 ", N/A ,"$20,073.75 ","$19,875.00 ","$19,875.00 ","$19,875.00 ","$39,750.00 ","$33,787.50 ", N/A ,"$31,800.00 ","$14,707.50 ","$31,800.00 ", N/A , N/A ,"$39,750.00 ","$21,544.50 ", N/A ,"$10,454.25 ", N/A , N/A , N/A , N/A , N/A ,"$33,787.50 ", N/A ,"$15,184.50 ","$11,130.00 ","$35,775.00 ","$28,620.00 ","$39,750.00 ","$19,875.00 ","$25,042.50 ","$25,042.50 ", N/A ,"$19,080.00 ","$35,775.00 " ST. JOHN'S HOSPITAL,27500055,C1721,HC ICD DEFIB DUAL CHAMBER T13,275,1 ,"$41,000.00 ","$26,650.00 ","$10,783.00 ","$41,000.00 ", N/A ,"$18,860.00 ","$22,222.00 ", N/A ,"$11,480.00 ","$13,120.00 ", N/A ,"$15,088.00 ", N/A ,"$15,662.00 ","$15,662.00 ", N/A ,"$15,662.00 ", N/A ,"$21,566.00 ","$20,910.00 ", N/A , N/A ,"$28,700.00 ", N/A ,"$20,500.00 ", N/A ,"$30,750.00 ","$20,705.00 ","$18,286.00 ","$20,705.00 ", N/A ,"$20,705.00 ","$20,500.00 ","$20,500.00 ","$20,500.00 ","$41,000.00 ","$34,850.00 ", N/A ,"$32,800.00 ","$15,170.00 ","$32,800.00 ", N/A , N/A ,"$41,000.00 ","$22,222.00 ", N/A ,"$10,783.00 ", N/A , N/A , N/A , N/A , N/A ,"$34,850.00 ", N/A ,"$15,662.00 ","$11,480.00 ","$36,900.00 ","$29,520.00 ","$41,000.00 ","$20,500.00 ","$25,830.00 ","$25,830.00 ", N/A ,"$19,680.00 ","$36,900.00 " ST. JOHN'S HOSPITAL,27500056,C1721,HC ICD DEFIB DUAL CHAMBER T14,275,1 ,"$42,250.00 ","$27,462.50 ","$11,111.75 ","$42,250.00 ", N/A ,"$19,435.00 ","$22,899.50 ", N/A ,"$11,830.00 ","$13,520.00 ", N/A ,"$15,548.00 ", N/A ,"$16,139.50 ","$16,139.50 ", N/A ,"$16,139.50 ", N/A ,"$22,223.50 ","$21,547.50 ", N/A , N/A ,"$29,575.00 ", N/A ,"$21,125.00 ", N/A ,"$31,687.50 ","$21,336.25 ","$18,843.50 ","$21,336.25 ", N/A ,"$21,336.25 ","$21,125.00 ","$21,125.00 ","$21,125.00 ","$42,250.00 ","$35,912.50 ", N/A ,"$33,800.00 ","$15,632.50 ","$33,800.00 ", N/A , N/A ,"$42,250.00 ","$22,899.50 ", N/A ,"$11,111.75 ", N/A , N/A , N/A , N/A , N/A ,"$35,912.50 ", N/A ,"$16,139.50 ","$11,830.00 ","$38,025.00 ","$30,420.00 ","$42,250.00 ","$21,125.00 ","$26,617.50 ","$26,617.50 ", N/A ,"$20,280.00 ","$38,025.00 " ST. JOHN'S HOSPITAL,27500057,C1721,HC ICD DEFIB DUAL CHAMBER T15,275,1 ,"$43,500.00 ","$28,275.00 ","$11,440.50 ","$43,500.00 ", N/A ,"$20,010.00 ","$23,577.00 ", N/A ,"$12,180.00 ","$13,920.00 ", N/A ,"$16,008.00 ", N/A ,"$16,617.00 ","$16,617.00 ", N/A ,"$16,617.00 ", N/A ,"$22,881.00 ","$22,185.00 ", N/A , N/A ,"$30,450.00 ", N/A ,"$21,750.00 ", N/A ,"$32,625.00 ","$21,967.50 ","$19,401.00 ","$21,967.50 ", N/A ,"$21,967.50 ","$21,750.00 ","$21,750.00 ","$21,750.00 ","$43,500.00 ","$36,975.00 ", N/A ,"$34,800.00 ","$16,095.00 ","$34,800.00 ", N/A , N/A ,"$43,500.00 ","$23,577.00 ", N/A ,"$11,440.50 ", N/A , N/A , N/A , N/A , N/A ,"$36,975.00 ", N/A ,"$16,617.00 ","$12,180.00 ","$39,150.00 ","$31,320.00 ","$43,500.00 ","$21,750.00 ","$27,405.00 ","$27,405.00 ", N/A ,"$20,880.00 ","$39,150.00 " ST. JOHN'S HOSPITAL,27500058,C1721,HC ICD DEFIB DUAL CHAMBER T16,275,1 ,"$44,750.00 ","$29,087.50 ","$11,769.25 ","$44,750.00 ", N/A ,"$20,585.00 ","$24,254.50 ", N/A ,"$12,530.00 ","$14,320.00 ", N/A ,"$16,468.00 ", N/A ,"$17,094.50 ","$17,094.50 ", N/A ,"$17,094.50 ", N/A ,"$23,538.50 ","$22,822.50 ", N/A , N/A ,"$31,325.00 ", N/A ,"$22,375.00 ", N/A ,"$33,562.50 ","$22,598.75 ","$19,958.50 ","$22,598.75 ", N/A ,"$22,598.75 ","$22,375.00 ","$22,375.00 ","$22,375.00 ","$44,750.00 ","$38,037.50 ", N/A ,"$35,800.00 ","$16,557.50 ","$35,800.00 ", N/A , N/A ,"$44,750.00 ","$24,254.50 ", N/A ,"$11,769.25 ", N/A , N/A , N/A , N/A , N/A ,"$38,037.50 ", N/A ,"$17,094.50 ","$12,530.00 ","$40,275.00 ","$32,220.00 ","$44,750.00 ","$22,375.00 ","$28,192.50 ","$28,192.50 ", N/A ,"$21,480.00 ","$40,275.00 " ST. JOHN'S HOSPITAL,27500059,C1721,HC ICD DEFIB DUAL CHAMBER T17,275,1 ,"$46,000.00 ","$29,900.00 ","$12,098.00 ","$46,000.00 ", N/A ,"$21,160.00 ","$24,932.00 ", N/A ,"$12,880.00 ","$14,720.00 ", N/A ,"$16,928.00 ", N/A ,"$17,572.00 ","$17,572.00 ", N/A ,"$17,572.00 ", N/A ,"$24,196.00 ","$23,460.00 ", N/A , N/A ,"$32,200.00 ", N/A ,"$23,000.00 ", N/A ,"$34,500.00 ","$23,230.00 ","$20,516.00 ","$23,230.00 ", N/A ,"$23,230.00 ","$23,000.00 ","$23,000.00 ","$23,000.00 ","$46,000.00 ","$39,100.00 ", N/A ,"$36,800.00 ","$17,020.00 ","$36,800.00 ", N/A , N/A ,"$46,000.00 ","$24,932.00 ", N/A ,"$12,098.00 ", N/A , N/A , N/A , N/A , N/A ,"$39,100.00 ", N/A ,"$17,572.00 ","$12,880.00 ","$41,400.00 ","$33,120.00 ","$46,000.00 ","$23,000.00 ","$28,980.00 ","$28,980.00 ", N/A ,"$22,080.00 ","$41,400.00 " ST. JOHN'S HOSPITAL,27500060,C1721,HC ICD DEFIB DUAL CHAMBER T18,275,1 ,"$47,250.00 ","$30,712.50 ","$12,426.75 ","$47,250.00 ", N/A ,"$21,735.00 ","$25,609.50 ", N/A ,"$13,230.00 ","$15,120.00 ", N/A ,"$17,388.00 ", N/A ,"$18,049.50 ","$18,049.50 ", N/A ,"$18,049.50 ", N/A ,"$24,853.50 ","$24,097.50 ", N/A , N/A ,"$33,075.00 ", N/A ,"$23,625.00 ", N/A ,"$35,437.50 ","$23,861.25 ","$21,073.50 ","$23,861.25 ", N/A ,"$23,861.25 ","$23,625.00 ","$23,625.00 ","$23,625.00 ","$47,250.00 ","$40,162.50 ", N/A ,"$37,800.00 ","$17,482.50 ","$37,800.00 ", N/A , N/A ,"$47,250.00 ","$25,609.50 ", N/A ,"$12,426.75 ", N/A , N/A , N/A , N/A , N/A ,"$40,162.50 ", N/A ,"$18,049.50 ","$13,230.00 ","$42,525.00 ","$34,020.00 ","$47,250.00 ","$23,625.00 ","$29,767.50 ","$29,767.50 ", N/A ,"$22,680.00 ","$42,525.00 " ST. JOHN'S HOSPITAL,27500061,C1721,HC ICD DEFIB DUAL CHAMBER T19,275,1 ,"$48,500.00 ","$31,525.00 ","$12,755.50 ","$48,500.00 ", N/A ,"$22,310.00 ","$26,287.00 ", N/A ,"$13,580.00 ","$15,520.00 ", N/A ,"$17,848.00 ", N/A ,"$18,527.00 ","$18,527.00 ", N/A ,"$18,527.00 ", N/A ,"$25,511.00 ","$24,735.00 ", N/A , N/A ,"$33,950.00 ", N/A ,"$24,250.00 ", N/A ,"$36,375.00 ","$24,492.50 ","$21,631.00 ","$24,492.50 ", N/A ,"$24,492.50 ","$24,250.00 ","$24,250.00 ","$24,250.00 ","$48,500.00 ","$41,225.00 ", N/A ,"$38,800.00 ","$17,945.00 ","$38,800.00 ", N/A , N/A ,"$48,500.00 ","$26,287.00 ", N/A ,"$12,755.50 ", N/A , N/A , N/A , N/A , N/A ,"$41,225.00 ", N/A ,"$18,527.00 ","$13,580.00 ","$43,650.00 ","$34,920.00 ","$48,500.00 ","$24,250.00 ","$30,555.00 ","$30,555.00 ", N/A ,"$23,280.00 ","$43,650.00 " ST. JOHN'S HOSPITAL,27500062,C1721,HC ICD DEFIB DUAL CHAMBER T20,275,1 ,"$49,750.00 ","$32,337.50 ","$13,084.25 ","$49,750.00 ", N/A ,"$22,885.00 ","$26,964.50 ", N/A ,"$13,930.00 ","$15,920.00 ", N/A ,"$18,308.00 ", N/A ,"$19,004.50 ","$19,004.50 ", N/A ,"$19,004.50 ", N/A ,"$26,168.50 ","$25,372.50 ", N/A , N/A ,"$34,825.00 ", N/A ,"$24,875.00 ", N/A ,"$37,312.50 ","$25,123.75 ","$22,188.50 ","$25,123.75 ", N/A ,"$25,123.75 ","$24,875.00 ","$24,875.00 ","$24,875.00 ","$49,750.00 ","$42,287.50 ", N/A ,"$39,800.00 ","$18,407.50 ","$39,800.00 ", N/A , N/A ,"$49,750.00 ","$26,964.50 ", N/A ,"$13,084.25 ", N/A , N/A , N/A , N/A , N/A ,"$42,287.50 ", N/A ,"$19,004.50 ","$13,930.00 ","$44,775.00 ","$35,820.00 ","$49,750.00 ","$24,875.00 ","$31,342.50 ","$31,342.50 ", N/A ,"$23,880.00 ","$44,775.00 " ST. JOHN'S HOSPITAL,27500063,C1721,HC ICD DEFIB DUAL CHAMBER T21,275,1 ,"$51,000.00 ","$33,150.00 ","$13,413.00 ","$51,000.00 ", N/A ,"$23,460.00 ","$27,642.00 ", N/A ,"$14,280.00 ","$16,320.00 ", N/A ,"$18,768.00 ", N/A ,"$19,482.00 ","$19,482.00 ", N/A ,"$19,482.00 ", N/A ,"$26,826.00 ","$26,010.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$25,500.00 ", N/A ,"$38,250.00 ","$25,755.00 ","$22,746.00 ","$25,755.00 ", N/A ,"$25,755.00 ","$25,500.00 ","$25,500.00 ","$25,500.00 ","$51,000.00 ","$43,350.00 ", N/A ,"$40,800.00 ","$18,870.00 ","$40,800.00 ", N/A , N/A ,"$51,000.00 ","$27,642.00 ", N/A ,"$13,413.00 ", N/A , N/A , N/A , N/A , N/A ,"$43,350.00 ", N/A ,"$19,482.00 ","$14,280.00 ","$45,900.00 ","$36,720.00 ","$51,000.00 ","$25,500.00 ","$32,130.00 ","$32,130.00 ", N/A ,"$24,480.00 ","$45,900.00 " ST. JOHN'S HOSPITAL,27500065,C1722,HC ICD DEFIB SINGLE CHAMBER T1,275,1 ,"$26,000.00 ","$16,900.00 ","$6,838.00 ","$26,000.00 ", N/A ,"$11,960.00 ","$14,092.00 ", N/A ,"$7,280.00 ","$8,320.00 ", N/A ,"$9,568.00 ", N/A ,"$9,932.00 ","$9,932.00 ", N/A ,"$9,932.00 ", N/A ,"$13,676.00 ","$13,260.00 ", N/A , N/A ,"$18,200.00 ", N/A ,"$13,000.00 ", N/A ,"$19,500.00 ","$13,130.00 ","$11,596.00 ","$13,130.00 ", N/A ,"$13,130.00 ","$13,000.00 ","$13,000.00 ","$13,000.00 ","$26,000.00 ","$22,100.00 ", N/A ,"$20,800.00 ","$9,620.00 ","$20,800.00 ", N/A , N/A ,"$26,000.00 ","$14,092.00 ", N/A ,"$6,838.00 ", N/A , N/A , N/A , N/A , N/A ,"$22,100.00 ", N/A ,"$9,932.00 ","$7,280.00 ","$23,400.00 ","$18,720.00 ","$26,000.00 ","$13,000.00 ","$16,380.00 ","$16,380.00 ", N/A ,"$12,480.00 ","$23,400.00 " ST. JOHN'S HOSPITAL,27500066,C1722,HC ICD DEFIB SINGLE CHAMBER T2,275,1 ,"$27,250.00 ","$17,712.50 ","$7,166.75 ","$27,250.00 ", N/A ,"$12,535.00 ","$14,769.50 ", N/A ,"$7,630.00 ","$8,720.00 ", N/A ,"$10,028.00 ", N/A ,"$10,409.50 ","$10,409.50 ", N/A ,"$10,409.50 ", N/A ,"$14,333.50 ","$13,897.50 ", N/A , N/A ,"$19,075.00 ", N/A ,"$13,625.00 ", N/A ,"$20,437.50 ","$13,761.25 ","$12,153.50 ","$13,761.25 ", N/A ,"$13,761.25 ","$13,625.00 ","$13,625.00 ","$13,625.00 ","$27,250.00 ","$23,162.50 ", N/A ,"$21,800.00 ","$10,082.50 ","$21,800.00 ", N/A , N/A ,"$27,250.00 ","$14,769.50 ", N/A ,"$7,166.75 ", N/A , N/A , N/A , N/A , N/A ,"$23,162.50 ", N/A ,"$10,409.50 ","$7,630.00 ","$24,525.00 ","$19,620.00 ","$27,250.00 ","$13,625.00 ","$17,167.50 ","$17,167.50 ", N/A ,"$13,080.00 ","$24,525.00 " ST. JOHN'S HOSPITAL,27500067,C1722,HC ICD DEFIB SINGLE CHAMBER T3,275,1 ,"$28,500.00 ","$18,525.00 ","$7,495.50 ","$28,500.00 ", N/A ,"$13,110.00 ","$15,447.00 ", N/A ,"$7,980.00 ","$9,120.00 ", N/A ,"$10,488.00 ", N/A ,"$10,887.00 ","$10,887.00 ", N/A ,"$10,887.00 ", N/A ,"$14,991.00 ","$14,535.00 ", N/A , N/A ,"$19,950.00 ", N/A ,"$14,250.00 ", N/A ,"$21,375.00 ","$14,392.50 ","$12,711.00 ","$14,392.50 ", N/A ,"$14,392.50 ","$14,250.00 ","$14,250.00 ","$14,250.00 ","$28,500.00 ","$24,225.00 ", N/A ,"$22,800.00 ","$10,545.00 ","$22,800.00 ", N/A , N/A ,"$28,500.00 ","$15,447.00 ", N/A ,"$7,495.50 ", N/A , N/A , N/A , N/A , N/A ,"$24,225.00 ", N/A ,"$10,887.00 ","$7,980.00 ","$25,650.00 ","$20,520.00 ","$28,500.00 ","$14,250.00 ","$17,955.00 ","$17,955.00 ", N/A ,"$13,680.00 ","$25,650.00 " ST. JOHN'S HOSPITAL,27500068,C1722,HC ICD DEFIB SINGLE CHAMBER T4,275,1 ,"$29,750.00 ","$19,337.50 ","$7,824.25 ","$29,750.00 ", N/A ,"$13,685.00 ","$16,124.50 ", N/A ,"$8,330.00 ","$9,520.00 ", N/A ,"$10,948.00 ", N/A ,"$11,364.50 ","$11,364.50 ", N/A ,"$11,364.50 ", N/A ,"$15,648.50 ","$15,172.50 ", N/A , N/A ,"$20,825.00 ", N/A ,"$14,875.00 ", N/A ,"$22,312.50 ","$15,023.75 ","$13,268.50 ","$15,023.75 ", N/A ,"$15,023.75 ","$14,875.00 ","$14,875.00 ","$14,875.00 ","$29,750.00 ","$25,287.50 ", N/A ,"$23,800.00 ","$11,007.50 ","$23,800.00 ", N/A , N/A ,"$29,750.00 ","$16,124.50 ", N/A ,"$7,824.25 ", N/A , N/A , N/A , N/A , N/A ,"$25,287.50 ", N/A ,"$11,364.50 ","$8,330.00 ","$26,775.00 ","$21,420.00 ","$29,750.00 ","$14,875.00 ","$18,742.50 ","$18,742.50 ", N/A ,"$14,280.00 ","$26,775.00 " ST. JOHN'S HOSPITAL,27500069,C1722,HC ICD DEFIB SINGLE CHAMBER T5,275,1 ,"$31,000.00 ","$20,150.00 ","$8,153.00 ","$31,000.00 ", N/A ,"$14,260.00 ","$16,802.00 ", N/A ,"$8,680.00 ","$9,920.00 ", N/A ,"$11,408.00 ", N/A ,"$11,842.00 ","$11,842.00 ", N/A ,"$11,842.00 ", N/A ,"$16,306.00 ","$15,810.00 ", N/A , N/A ,"$21,700.00 ", N/A ,"$15,500.00 ", N/A ,"$23,250.00 ","$15,655.00 ","$13,826.00 ","$15,655.00 ", N/A ,"$15,655.00 ","$15,500.00 ","$15,500.00 ","$15,500.00 ","$31,000.00 ","$26,350.00 ", N/A ,"$24,800.00 ","$11,470.00 ","$24,800.00 ", N/A , N/A ,"$31,000.00 ","$16,802.00 ", N/A ,"$8,153.00 ", N/A , N/A , N/A , N/A , N/A ,"$26,350.00 ", N/A ,"$11,842.00 ","$8,680.00 ","$27,900.00 ","$22,320.00 ","$31,000.00 ","$15,500.00 ","$19,530.00 ","$19,530.00 ", N/A ,"$14,880.00 ","$27,900.00 " ST. JOHN'S HOSPITAL,27500070,C1722,HC ICD DEFIB SINGLE CHAMBER T6,275,1 ,"$32,250.00 ","$20,962.50 ","$8,481.75 ","$32,250.00 ", N/A ,"$14,835.00 ","$17,479.50 ", N/A ,"$9,030.00 ","$10,320.00 ", N/A ,"$11,868.00 ", N/A ,"$12,319.50 ","$12,319.50 ", N/A ,"$12,319.50 ", N/A ,"$16,963.50 ","$16,447.50 ", N/A , N/A ,"$22,575.00 ", N/A ,"$16,125.00 ", N/A ,"$24,187.50 ","$16,286.25 ","$14,383.50 ","$16,286.25 ", N/A ,"$16,286.25 ","$16,125.00 ","$16,125.00 ","$16,125.00 ","$32,250.00 ","$27,412.50 ", N/A ,"$25,800.00 ","$11,932.50 ","$25,800.00 ", N/A , N/A ,"$32,250.00 ","$17,479.50 ", N/A ,"$8,481.75 ", N/A , N/A , N/A , N/A , N/A ,"$27,412.50 ", N/A ,"$12,319.50 ","$9,030.00 ","$29,025.00 ","$23,220.00 ","$32,250.00 ","$16,125.00 ","$20,317.50 ","$20,317.50 ", N/A ,"$15,480.00 ","$29,025.00 " ST. JOHN'S HOSPITAL,27500071,C1722,HC ICD DEFIB SINGLE CHAMBER T7,275,1 ,"$33,500.00 ","$21,775.00 ","$8,810.50 ","$33,500.00 ", N/A ,"$15,410.00 ","$18,157.00 ", N/A ,"$9,380.00 ","$10,720.00 ", N/A ,"$12,328.00 ", N/A ,"$12,797.00 ","$12,797.00 ", N/A ,"$12,797.00 ", N/A ,"$17,621.00 ","$17,085.00 ", N/A , N/A ,"$23,450.00 ", N/A ,"$16,750.00 ", N/A ,"$25,125.00 ","$16,917.50 ","$14,941.00 ","$16,917.50 ", N/A ,"$16,917.50 ","$16,750.00 ","$16,750.00 ","$16,750.00 ","$33,500.00 ","$28,475.00 ", N/A ,"$26,800.00 ","$12,395.00 ","$26,800.00 ", N/A , N/A ,"$33,500.00 ","$18,157.00 ", N/A ,"$8,810.50 ", N/A , N/A , N/A , N/A , N/A ,"$28,475.00 ", N/A ,"$12,797.00 ","$9,380.00 ","$30,150.00 ","$24,120.00 ","$33,500.00 ","$16,750.00 ","$21,105.00 ","$21,105.00 ", N/A ,"$16,080.00 ","$30,150.00 " ST. JOHN'S HOSPITAL,27500072,C1722,HC ICD DEFIB SINGLE CHAMBER T8,275,1 ,"$34,750.00 ","$22,587.50 ","$9,139.25 ","$34,750.00 ", N/A ,"$15,985.00 ","$18,834.50 ", N/A ,"$9,730.00 ","$11,120.00 ", N/A ,"$12,788.00 ", N/A ,"$13,274.50 ","$13,274.50 ", N/A ,"$13,274.50 ", N/A ,"$18,278.50 ","$17,722.50 ", N/A , N/A ,"$24,325.00 ", N/A ,"$17,375.00 ", N/A ,"$26,062.50 ","$17,548.75 ","$15,498.50 ","$17,548.75 ", N/A ,"$17,548.75 ","$17,375.00 ","$17,375.00 ","$17,375.00 ","$34,750.00 ","$29,537.50 ", N/A ,"$27,800.00 ","$12,857.50 ","$27,800.00 ", N/A , N/A ,"$34,750.00 ","$18,834.50 ", N/A ,"$9,139.25 ", N/A , N/A , N/A , N/A , N/A ,"$29,537.50 ", N/A ,"$13,274.50 ","$9,730.00 ","$31,275.00 ","$25,020.00 ","$34,750.00 ","$17,375.00 ","$21,892.50 ","$21,892.50 ", N/A ,"$16,680.00 ","$31,275.00 " ST. JOHN'S HOSPITAL,27500073,C1722,HC ICD DEFIB SINGLE CHAMBER T9,275,1 ,"$36,000.00 ","$23,400.00 ","$9,468.00 ","$36,000.00 ", N/A ,"$16,560.00 ","$19,512.00 ", N/A ,"$10,080.00 ","$11,520.00 ", N/A ,"$13,248.00 ", N/A ,"$13,752.00 ","$13,752.00 ", N/A ,"$13,752.00 ", N/A ,"$18,936.00 ","$18,360.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$18,000.00 ", N/A ,"$27,000.00 ","$18,180.00 ","$16,056.00 ","$18,180.00 ", N/A ,"$18,180.00 ","$18,000.00 ","$18,000.00 ","$18,000.00 ","$36,000.00 ","$30,600.00 ", N/A ,"$28,800.00 ","$13,320.00 ","$28,800.00 ", N/A , N/A ,"$36,000.00 ","$19,512.00 ", N/A ,"$9,468.00 ", N/A , N/A , N/A , N/A , N/A ,"$30,600.00 ", N/A ,"$13,752.00 ","$10,080.00 ","$32,400.00 ","$25,920.00 ","$36,000.00 ","$18,000.00 ","$22,680.00 ","$22,680.00 ", N/A ,"$17,280.00 ","$32,400.00 " ST. JOHN'S HOSPITAL,27500074,C1722,HC ICD DEFIB SINGLE CHAMBER T10,275,1 ,"$37,250.00 ","$24,212.50 ","$9,796.75 ","$37,250.00 ", N/A ,"$17,135.00 ","$20,189.50 ", N/A ,"$10,430.00 ","$11,920.00 ", N/A ,"$13,708.00 ", N/A ,"$14,229.50 ","$14,229.50 ", N/A ,"$14,229.50 ", N/A ,"$19,593.50 ","$18,997.50 ", N/A , N/A ,"$26,075.00 ", N/A ,"$18,625.00 ", N/A ,"$27,937.50 ","$18,811.25 ","$16,613.50 ","$18,811.25 ", N/A ,"$18,811.25 ","$18,625.00 ","$18,625.00 ","$18,625.00 ","$37,250.00 ","$31,662.50 ", N/A ,"$29,800.00 ","$13,782.50 ","$29,800.00 ", N/A , N/A ,"$37,250.00 ","$20,189.50 ", N/A ,"$9,796.75 ", N/A , N/A , N/A , N/A , N/A ,"$31,662.50 ", N/A ,"$14,229.50 ","$10,430.00 ","$33,525.00 ","$26,820.00 ","$37,250.00 ","$18,625.00 ","$23,467.50 ","$23,467.50 ", N/A ,"$17,880.00 ","$33,525.00 " ST. JOHN'S HOSPITAL,27500075,C1722,HC ICD DEFIB SINGLE CHAMBER T11,275,1 ,"$38,500.00 ","$25,025.00 ","$10,125.50 ","$38,500.00 ", N/A ,"$17,710.00 ","$20,867.00 ", N/A ,"$10,780.00 ","$12,320.00 ", N/A ,"$14,168.00 ", N/A ,"$14,707.00 ","$14,707.00 ", N/A ,"$14,707.00 ", N/A ,"$20,251.00 ","$19,635.00 ", N/A , N/A ,"$26,950.00 ", N/A ,"$19,250.00 ", N/A ,"$28,875.00 ","$19,442.50 ","$17,171.00 ","$19,442.50 ", N/A ,"$19,442.50 ","$19,250.00 ","$19,250.00 ","$19,250.00 ","$38,500.00 ","$32,725.00 ", N/A ,"$30,800.00 ","$14,245.00 ","$30,800.00 ", N/A , N/A ,"$38,500.00 ","$20,867.00 ", N/A ,"$10,125.50 ", N/A , N/A , N/A , N/A , N/A ,"$32,725.00 ", N/A ,"$14,707.00 ","$10,780.00 ","$34,650.00 ","$27,720.00 ","$38,500.00 ","$19,250.00 ","$24,255.00 ","$24,255.00 ", N/A ,"$18,480.00 ","$34,650.00 " ST. JOHN'S HOSPITAL,27500076,C1722,HC ICD DEFIB SINGLE CHAMBER T12,275,1 ,"$39,750.00 ","$25,837.50 ","$10,454.25 ","$39,750.00 ", N/A ,"$18,285.00 ","$21,544.50 ", N/A ,"$11,130.00 ","$12,720.00 ", N/A ,"$14,628.00 ", N/A ,"$15,184.50 ","$15,184.50 ", N/A ,"$15,184.50 ", N/A ,"$20,908.50 ","$20,272.50 ", N/A , N/A ,"$27,825.00 ", N/A ,"$19,875.00 ", N/A ,"$29,812.50 ","$20,073.75 ","$17,728.50 ","$20,073.75 ", N/A ,"$20,073.75 ","$19,875.00 ","$19,875.00 ","$19,875.00 ","$39,750.00 ","$33,787.50 ", N/A ,"$31,800.00 ","$14,707.50 ","$31,800.00 ", N/A , N/A ,"$39,750.00 ","$21,544.50 ", N/A ,"$10,454.25 ", N/A , N/A , N/A , N/A , N/A ,"$33,787.50 ", N/A ,"$15,184.50 ","$11,130.00 ","$35,775.00 ","$28,620.00 ","$39,750.00 ","$19,875.00 ","$25,042.50 ","$25,042.50 ", N/A ,"$19,080.00 ","$35,775.00 " ST. JOHN'S HOSPITAL,27500077,C1722,HC ICD DEFIB SINGLE CHAMBER T13,275,1 ,"$41,000.00 ","$26,650.00 ","$10,783.00 ","$41,000.00 ", N/A ,"$18,860.00 ","$22,222.00 ", N/A ,"$11,480.00 ","$13,120.00 ", N/A ,"$15,088.00 ", N/A ,"$15,662.00 ","$15,662.00 ", N/A ,"$15,662.00 ", N/A ,"$21,566.00 ","$20,910.00 ", N/A , N/A ,"$28,700.00 ", N/A ,"$20,500.00 ", N/A ,"$30,750.00 ","$20,705.00 ","$18,286.00 ","$20,705.00 ", N/A ,"$20,705.00 ","$20,500.00 ","$20,500.00 ","$20,500.00 ","$41,000.00 ","$34,850.00 ", N/A ,"$32,800.00 ","$15,170.00 ","$32,800.00 ", N/A , N/A ,"$41,000.00 ","$22,222.00 ", N/A ,"$10,783.00 ", N/A , N/A , N/A , N/A , N/A ,"$34,850.00 ", N/A ,"$15,662.00 ","$11,480.00 ","$36,900.00 ","$29,520.00 ","$41,000.00 ","$20,500.00 ","$25,830.00 ","$25,830.00 ", N/A ,"$19,680.00 ","$36,900.00 " ST. JOHN'S HOSPITAL,27500078,C1722,HC ICD DEFIB SINGLE CHAMBER T14,275,1 ,"$42,250.00 ","$27,462.50 ","$11,111.75 ","$42,250.00 ", N/A ,"$19,435.00 ","$22,899.50 ", N/A ,"$11,830.00 ","$13,520.00 ", N/A ,"$15,548.00 ", N/A ,"$16,139.50 ","$16,139.50 ", N/A ,"$16,139.50 ", N/A ,"$22,223.50 ","$21,547.50 ", N/A , N/A ,"$29,575.00 ", N/A ,"$21,125.00 ", N/A ,"$31,687.50 ","$21,336.25 ","$18,843.50 ","$21,336.25 ", N/A ,"$21,336.25 ","$21,125.00 ","$21,125.00 ","$21,125.00 ","$42,250.00 ","$35,912.50 ", N/A ,"$33,800.00 ","$15,632.50 ","$33,800.00 ", N/A , N/A ,"$42,250.00 ","$22,899.50 ", N/A ,"$11,111.75 ", N/A , N/A , N/A , N/A , N/A ,"$35,912.50 ", N/A ,"$16,139.50 ","$11,830.00 ","$38,025.00 ","$30,420.00 ","$42,250.00 ","$21,125.00 ","$26,617.50 ","$26,617.50 ", N/A ,"$20,280.00 ","$38,025.00 " ST. JOHN'S HOSPITAL,27500079,C1722,HC ICD DEFIB SINGLE CHAMBER T15,275,1 ,"$43,500.00 ","$28,275.00 ","$11,440.50 ","$43,500.00 ", N/A ,"$20,010.00 ","$23,577.00 ", N/A ,"$12,180.00 ","$13,920.00 ", N/A ,"$16,008.00 ", N/A ,"$16,617.00 ","$16,617.00 ", N/A ,"$16,617.00 ", N/A ,"$22,881.00 ","$22,185.00 ", N/A , N/A ,"$30,450.00 ", N/A ,"$21,750.00 ", N/A ,"$32,625.00 ","$21,967.50 ","$19,401.00 ","$21,967.50 ", N/A ,"$21,967.50 ","$21,750.00 ","$21,750.00 ","$21,750.00 ","$43,500.00 ","$36,975.00 ", N/A ,"$34,800.00 ","$16,095.00 ","$34,800.00 ", N/A , N/A ,"$43,500.00 ","$23,577.00 ", N/A ,"$11,440.50 ", N/A , N/A , N/A , N/A , N/A ,"$36,975.00 ", N/A ,"$16,617.00 ","$12,180.00 ","$39,150.00 ","$31,320.00 ","$43,500.00 ","$21,750.00 ","$27,405.00 ","$27,405.00 ", N/A ,"$20,880.00 ","$39,150.00 " ST. JOHN'S HOSPITAL,27500080,C1722,HC ICD DEFIB SINGLE CHAMBER T16,275,1 ,"$44,750.00 ","$29,087.50 ","$11,769.25 ","$44,750.00 ", N/A ,"$20,585.00 ","$24,254.50 ", N/A ,"$12,530.00 ","$14,320.00 ", N/A ,"$16,468.00 ", N/A ,"$17,094.50 ","$17,094.50 ", N/A ,"$17,094.50 ", N/A ,"$23,538.50 ","$22,822.50 ", N/A , N/A ,"$31,325.00 ", N/A ,"$22,375.00 ", N/A ,"$33,562.50 ","$22,598.75 ","$19,958.50 ","$22,598.75 ", N/A ,"$22,598.75 ","$22,375.00 ","$22,375.00 ","$22,375.00 ","$44,750.00 ","$38,037.50 ", N/A ,"$35,800.00 ","$16,557.50 ","$35,800.00 ", N/A , N/A ,"$44,750.00 ","$24,254.50 ", N/A ,"$11,769.25 ", N/A , N/A , N/A , N/A , N/A ,"$38,037.50 ", N/A ,"$17,094.50 ","$12,530.00 ","$40,275.00 ","$32,220.00 ","$44,750.00 ","$22,375.00 ","$28,192.50 ","$28,192.50 ", N/A ,"$21,480.00 ","$40,275.00 " ST. JOHN'S HOSPITAL,27500081,C1722,HC ICD DEFIB SINGLE CHAMBER T17,275,1 ,"$46,000.00 ","$29,900.00 ","$12,098.00 ","$46,000.00 ", N/A ,"$21,160.00 ","$24,932.00 ", N/A ,"$12,880.00 ","$14,720.00 ", N/A ,"$16,928.00 ", N/A ,"$17,572.00 ","$17,572.00 ", N/A ,"$17,572.00 ", N/A ,"$24,196.00 ","$23,460.00 ", N/A , N/A ,"$32,200.00 ", N/A ,"$23,000.00 ", N/A ,"$34,500.00 ","$23,230.00 ","$20,516.00 ","$23,230.00 ", N/A ,"$23,230.00 ","$23,000.00 ","$23,000.00 ","$23,000.00 ","$46,000.00 ","$39,100.00 ", N/A ,"$36,800.00 ","$17,020.00 ","$36,800.00 ", N/A , N/A ,"$46,000.00 ","$24,932.00 ", N/A ,"$12,098.00 ", N/A , N/A , N/A , N/A , N/A ,"$39,100.00 ", N/A ,"$17,572.00 ","$12,880.00 ","$41,400.00 ","$33,120.00 ","$46,000.00 ","$23,000.00 ","$28,980.00 ","$28,980.00 ", N/A ,"$22,080.00 ","$41,400.00 " ST. JOHN'S HOSPITAL,27500082,C1722,HC ICD DEFIB SINGLE CHAMBER T18,275,1 ,"$47,250.00 ","$30,712.50 ","$12,426.75 ","$47,250.00 ", N/A ,"$21,735.00 ","$25,609.50 ", N/A ,"$13,230.00 ","$15,120.00 ", N/A ,"$17,388.00 ", N/A ,"$18,049.50 ","$18,049.50 ", N/A ,"$18,049.50 ", N/A ,"$24,853.50 ","$24,097.50 ", N/A , N/A ,"$33,075.00 ", N/A ,"$23,625.00 ", N/A ,"$35,437.50 ","$23,861.25 ","$21,073.50 ","$23,861.25 ", N/A ,"$23,861.25 ","$23,625.00 ","$23,625.00 ","$23,625.00 ","$47,250.00 ","$40,162.50 ", N/A ,"$37,800.00 ","$17,482.50 ","$37,800.00 ", N/A , N/A ,"$47,250.00 ","$25,609.50 ", N/A ,"$12,426.75 ", N/A , N/A , N/A , N/A , N/A ,"$40,162.50 ", N/A ,"$18,049.50 ","$13,230.00 ","$42,525.00 ","$34,020.00 ","$47,250.00 ","$23,625.00 ","$29,767.50 ","$29,767.50 ", N/A ,"$22,680.00 ","$42,525.00 " ST. JOHN'S HOSPITAL,27500083,C1722,HC ICD DEFIB SINGLE CHAMBER T19,275,1 ,"$48,500.00 ","$31,525.00 ","$12,755.50 ","$48,500.00 ", N/A ,"$22,310.00 ","$26,287.00 ", N/A ,"$13,580.00 ","$15,520.00 ", N/A ,"$17,848.00 ", N/A ,"$18,527.00 ","$18,527.00 ", N/A ,"$18,527.00 ", N/A ,"$25,511.00 ","$24,735.00 ", N/A , N/A ,"$33,950.00 ", N/A ,"$24,250.00 ", N/A ,"$36,375.00 ","$24,492.50 ","$21,631.00 ","$24,492.50 ", N/A ,"$24,492.50 ","$24,250.00 ","$24,250.00 ","$24,250.00 ","$48,500.00 ","$41,225.00 ", N/A ,"$38,800.00 ","$17,945.00 ","$38,800.00 ", N/A , N/A ,"$48,500.00 ","$26,287.00 ", N/A ,"$12,755.50 ", N/A , N/A , N/A , N/A , N/A ,"$41,225.00 ", N/A ,"$18,527.00 ","$13,580.00 ","$43,650.00 ","$34,920.00 ","$48,500.00 ","$24,250.00 ","$30,555.00 ","$30,555.00 ", N/A ,"$23,280.00 ","$43,650.00 " ST. JOHN'S HOSPITAL,27500084,C1722,HC ICD DEFIB SINGLE CHAMBER T20,275,1 ,"$49,750.00 ","$32,337.50 ","$13,084.25 ","$49,750.00 ", N/A ,"$22,885.00 ","$26,964.50 ", N/A ,"$13,930.00 ","$15,920.00 ", N/A ,"$18,308.00 ", N/A ,"$19,004.50 ","$19,004.50 ", N/A ,"$19,004.50 ", N/A ,"$26,168.50 ","$25,372.50 ", N/A , N/A ,"$34,825.00 ", N/A ,"$24,875.00 ", N/A ,"$37,312.50 ","$25,123.75 ","$22,188.50 ","$25,123.75 ", N/A ,"$25,123.75 ","$24,875.00 ","$24,875.00 ","$24,875.00 ","$49,750.00 ","$42,287.50 ", N/A ,"$39,800.00 ","$18,407.50 ","$39,800.00 ", N/A , N/A ,"$49,750.00 ","$26,964.50 ", N/A ,"$13,084.25 ", N/A , N/A , N/A , N/A , N/A ,"$42,287.50 ", N/A ,"$19,004.50 ","$13,930.00 ","$44,775.00 ","$35,820.00 ","$49,750.00 ","$24,875.00 ","$31,342.50 ","$31,342.50 ", N/A ,"$23,880.00 ","$44,775.00 " ST. JOHN'S HOSPITAL,27500085,C1722,HC ICD DEFIB SINGLE CHAMBER T21,275,1 ,"$51,000.00 ","$33,150.00 ","$13,413.00 ","$51,000.00 ", N/A ,"$23,460.00 ","$27,642.00 ", N/A ,"$14,280.00 ","$16,320.00 ", N/A ,"$18,768.00 ", N/A ,"$19,482.00 ","$19,482.00 ", N/A ,"$19,482.00 ", N/A ,"$26,826.00 ","$26,010.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$25,500.00 ", N/A ,"$38,250.00 ","$25,755.00 ","$22,746.00 ","$25,755.00 ", N/A ,"$25,755.00 ","$25,500.00 ","$25,500.00 ","$25,500.00 ","$51,000.00 ","$43,350.00 ", N/A ,"$40,800.00 ","$18,870.00 ","$40,800.00 ", N/A , N/A ,"$51,000.00 ","$27,642.00 ", N/A ,"$13,413.00 ", N/A , N/A , N/A , N/A , N/A ,"$43,350.00 ", N/A ,"$19,482.00 ","$14,280.00 ","$45,900.00 ","$36,720.00 ","$51,000.00 ","$25,500.00 ","$32,130.00 ","$32,130.00 ", N/A ,"$24,480.00 ","$45,900.00 " ST. JOHN'S HOSPITAL,27500086,C1722,HC ICD DEFIB SINGLE CHAMBER T22,275,1 ,"$52,250.00 ","$33,962.50 ","$13,741.75 ","$52,250.00 ", N/A ,"$24,035.00 ","$28,319.50 ", N/A ,"$14,630.00 ","$16,720.00 ", N/A ,"$19,228.00 ", N/A ,"$19,959.50 ","$19,959.50 ", N/A ,"$19,959.50 ", N/A ,"$27,483.50 ","$26,647.50 ", N/A , N/A ,"$36,575.00 ", N/A ,"$26,125.00 ", N/A ,"$39,187.50 ","$26,386.25 ","$23,303.50 ","$26,386.25 ", N/A ,"$26,386.25 ","$26,125.00 ","$26,125.00 ","$26,125.00 ","$52,250.00 ","$44,412.50 ", N/A ,"$41,800.00 ","$19,332.50 ","$41,800.00 ", N/A , N/A ,"$52,250.00 ","$28,319.50 ", N/A ,"$13,741.75 ", N/A , N/A , N/A , N/A , N/A ,"$44,412.50 ", N/A ,"$19,959.50 ","$14,630.00 ","$47,025.00 ","$37,620.00 ","$52,250.00 ","$26,125.00 ","$32,917.50 ","$32,917.50 ", N/A ,"$25,080.00 ","$47,025.00 " ST. JOHN'S HOSPITAL,27500094,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T8,275,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,552.60 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$3,552.60 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27500095,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T9,275,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,781.80 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$3,781.80 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27500096,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T10,275,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,011.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$4,011.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27500097,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T11,275,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,240.20 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$4,240.20 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27500098,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T12,275,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,469.40 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$4,469.40 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27500099,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T13,275,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,698.60 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$4,698.60 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27500100,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T14,275,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ","$4,927.80 ", N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A ,"$4,927.80 ","$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27500101,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T15,275,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ","$5,157.00 ", N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A ,"$5,157.00 ","$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27500102,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T16,275,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ","$5,386.20 ", N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A ,"$5,386.20 ","$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27500103,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T17,275,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ","$5,615.40 ", N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A ,"$5,615.40 ","$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27500104,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T18,275,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ","$5,787.30 ", N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A ,"$5,787.30 ","$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27500105,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T19,275,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ","$5,959.20 ", N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A ,"$5,959.20 ","$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27500106,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T20,275,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ","$6,131.10 ", N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A ,"$6,131.10 ","$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27500107,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T21,275,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ","$6,303.00 ", N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A ,"$6,303.00 ","$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27500108,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T22,275,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ","$6,474.90 ", N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A ,"$6,474.90 ","$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27500109,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T23,275,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ","$6,646.80 ", N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A ,"$6,646.80 ","$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27500110,C1785,HC PACEMAKER DUAL CHAMBER RATE-RESP T24,275,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ","$6,818.70 ", N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A ,"$6,818.70 ","$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27500117,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T7,275,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ","$2,177.40 ", N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A ,"$2,177.40 ","$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27500118,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T8,275,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ","$2,406.60 ", N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A ,"$2,406.60 ","$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27500119,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T9,275,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ","$2,635.80 ", N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A ,"$2,635.80 ","$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27500120,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T10,275,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ","$2,865.00 ", N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A ,"$2,865.00 ","$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27500121,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T11,275,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ","$3,094.20 ", N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A ,"$3,094.20 ","$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27500122,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T12,275,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ","$3,323.40 ", N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A ,"$3,323.40 ","$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27500123,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T13,275,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ","$3,552.60 ", N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A ,"$3,552.60 ","$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27500124,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T14,275,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ","$3,781.80 ", N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A ,"$3,781.80 ","$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27500125,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T15,275,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ","$4,011.00 ", N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A ,"$4,011.00 ","$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27500126,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T16,275,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ","$4,240.20 ", N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A ,"$4,240.20 ","$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27500127,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T17,275,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,469.40 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$4,469.40 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27500128,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T18,275,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,698.60 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$4,698.60 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27500129,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T19,275,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ","$4,927.80 ", N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A ,"$4,927.80 ","$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27500130,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T20,275,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ","$5,157.00 ", N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A ,"$5,157.00 ","$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27500131,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T21,275,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ","$5,386.20 ", N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A ,"$5,386.20 ","$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27500132,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T22,275,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ","$5,615.40 ", N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A ,"$5,615.40 ","$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27500133,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T23,275,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ","$5,787.30 ", N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A ,"$5,787.30 ","$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27500134,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T24,275,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ","$5,959.20 ", N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A ,"$5,959.20 ","$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27500135,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T25,275,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ","$6,131.10 ", N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A ,"$6,131.10 ","$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27500136,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T26,275,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ","$6,303.00 ", N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A ,"$6,303.00 ","$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27500137,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T27,275,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ","$6,474.90 ", N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A ,"$6,474.90 ","$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27500138,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T28,275,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ","$6,646.80 ", N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A ,"$6,646.80 ","$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27500139,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T29,275,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ","$6,818.70 ", N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A ,"$6,818.70 ","$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27500150,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T11,275,1 ,"$38,500.00 ","$25,025.00 ","$10,125.50 ","$38,500.00 ", N/A ,"$17,710.00 ","$20,867.00 ", N/A ,"$10,780.00 ","$12,320.00 ", N/A ,"$14,168.00 ", N/A ,"$14,707.00 ","$14,707.00 ", N/A ,"$14,707.00 ", N/A ,"$20,251.00 ","$19,635.00 ", N/A , N/A ,"$26,950.00 ", N/A ,"$19,250.00 ", N/A ,"$28,875.00 ","$19,442.50 ","$17,171.00 ","$19,442.50 ", N/A ,"$19,442.50 ","$19,250.00 ","$19,250.00 ","$19,250.00 ","$38,500.00 ","$32,725.00 ", N/A ,"$30,800.00 ","$14,245.00 ","$30,800.00 ", N/A , N/A ,"$38,500.00 ","$20,867.00 ", N/A ,"$10,125.50 ", N/A , N/A , N/A , N/A , N/A ,"$32,725.00 ", N/A ,"$14,707.00 ","$10,780.00 ","$34,650.00 ","$27,720.00 ","$38,500.00 ","$19,250.00 ","$24,255.00 ","$24,255.00 ", N/A ,"$18,480.00 ","$34,650.00 " ST. JOHN'S HOSPITAL,27500151,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T12,275,1 ,"$39,750.00 ","$25,837.50 ","$10,454.25 ","$39,750.00 ", N/A ,"$18,285.00 ","$21,544.50 ", N/A ,"$11,130.00 ","$12,720.00 ", N/A ,"$14,628.00 ", N/A ,"$15,184.50 ","$15,184.50 ", N/A ,"$15,184.50 ", N/A ,"$20,908.50 ","$20,272.50 ", N/A , N/A ,"$27,825.00 ", N/A ,"$19,875.00 ", N/A ,"$29,812.50 ","$20,073.75 ","$17,728.50 ","$20,073.75 ", N/A ,"$20,073.75 ","$19,875.00 ","$19,875.00 ","$19,875.00 ","$39,750.00 ","$33,787.50 ", N/A ,"$31,800.00 ","$14,707.50 ","$31,800.00 ", N/A , N/A ,"$39,750.00 ","$21,544.50 ", N/A ,"$10,454.25 ", N/A , N/A , N/A , N/A , N/A ,"$33,787.50 ", N/A ,"$15,184.50 ","$11,130.00 ","$35,775.00 ","$28,620.00 ","$39,750.00 ","$19,875.00 ","$25,042.50 ","$25,042.50 ", N/A ,"$19,080.00 ","$35,775.00 " ST. JOHN'S HOSPITAL,27500152,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T13,275,1 ,"$41,000.00 ","$26,650.00 ","$10,783.00 ","$41,000.00 ", N/A ,"$18,860.00 ","$22,222.00 ", N/A ,"$11,480.00 ","$13,120.00 ", N/A ,"$15,088.00 ", N/A ,"$15,662.00 ","$15,662.00 ", N/A ,"$15,662.00 ", N/A ,"$21,566.00 ","$20,910.00 ", N/A , N/A ,"$28,700.00 ", N/A ,"$20,500.00 ", N/A ,"$30,750.00 ","$20,705.00 ","$18,286.00 ","$20,705.00 ", N/A ,"$20,705.00 ","$20,500.00 ","$20,500.00 ","$20,500.00 ","$41,000.00 ","$34,850.00 ", N/A ,"$32,800.00 ","$15,170.00 ","$32,800.00 ", N/A , N/A ,"$41,000.00 ","$22,222.00 ", N/A ,"$10,783.00 ", N/A , N/A , N/A , N/A , N/A ,"$34,850.00 ", N/A ,"$15,662.00 ","$11,480.00 ","$36,900.00 ","$29,520.00 ","$41,000.00 ","$20,500.00 ","$25,830.00 ","$25,830.00 ", N/A ,"$19,680.00 ","$36,900.00 " ST. JOHN'S HOSPITAL,27500153,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T14,275,1 ,"$42,250.00 ","$27,462.50 ","$11,111.75 ","$42,250.00 ", N/A ,"$19,435.00 ","$22,899.50 ", N/A ,"$11,830.00 ","$13,520.00 ", N/A ,"$15,548.00 ", N/A ,"$16,139.50 ","$16,139.50 ", N/A ,"$16,139.50 ", N/A ,"$22,223.50 ","$21,547.50 ", N/A , N/A ,"$29,575.00 ", N/A ,"$21,125.00 ", N/A ,"$31,687.50 ","$21,336.25 ","$18,843.50 ","$21,336.25 ", N/A ,"$21,336.25 ","$21,125.00 ","$21,125.00 ","$21,125.00 ","$42,250.00 ","$35,912.50 ", N/A ,"$33,800.00 ","$15,632.50 ","$33,800.00 ", N/A , N/A ,"$42,250.00 ","$22,899.50 ", N/A ,"$11,111.75 ", N/A , N/A , N/A , N/A , N/A ,"$35,912.50 ", N/A ,"$16,139.50 ","$11,830.00 ","$38,025.00 ","$30,420.00 ","$42,250.00 ","$21,125.00 ","$26,617.50 ","$26,617.50 ", N/A ,"$20,280.00 ","$38,025.00 " ST. JOHN'S HOSPITAL,27500154,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T15,275,1 ,"$43,500.00 ","$28,275.00 ","$11,440.50 ","$43,500.00 ", N/A ,"$20,010.00 ","$23,577.00 ", N/A ,"$12,180.00 ","$13,920.00 ", N/A ,"$16,008.00 ", N/A ,"$16,617.00 ","$16,617.00 ", N/A ,"$16,617.00 ", N/A ,"$22,881.00 ","$22,185.00 ", N/A , N/A ,"$30,450.00 ", N/A ,"$21,750.00 ", N/A ,"$32,625.00 ","$21,967.50 ","$19,401.00 ","$21,967.50 ", N/A ,"$21,967.50 ","$21,750.00 ","$21,750.00 ","$21,750.00 ","$43,500.00 ","$36,975.00 ", N/A ,"$34,800.00 ","$16,095.00 ","$34,800.00 ", N/A , N/A ,"$43,500.00 ","$23,577.00 ", N/A ,"$11,440.50 ", N/A , N/A , N/A , N/A , N/A ,"$36,975.00 ", N/A ,"$16,617.00 ","$12,180.00 ","$39,150.00 ","$31,320.00 ","$43,500.00 ","$21,750.00 ","$27,405.00 ","$27,405.00 ", N/A ,"$20,880.00 ","$39,150.00 " ST. JOHN'S HOSPITAL,27500155,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T16,275,1 ,"$44,750.00 ","$29,087.50 ","$11,769.25 ","$44,750.00 ", N/A ,"$20,585.00 ","$24,254.50 ", N/A ,"$12,530.00 ","$14,320.00 ", N/A ,"$16,468.00 ", N/A ,"$17,094.50 ","$17,094.50 ", N/A ,"$17,094.50 ", N/A ,"$23,538.50 ","$22,822.50 ", N/A , N/A ,"$31,325.00 ", N/A ,"$22,375.00 ", N/A ,"$33,562.50 ","$22,598.75 ","$19,958.50 ","$22,598.75 ", N/A ,"$22,598.75 ","$22,375.00 ","$22,375.00 ","$22,375.00 ","$44,750.00 ","$38,037.50 ", N/A ,"$35,800.00 ","$16,557.50 ","$35,800.00 ", N/A , N/A ,"$44,750.00 ","$24,254.50 ", N/A ,"$11,769.25 ", N/A , N/A , N/A , N/A , N/A ,"$38,037.50 ", N/A ,"$17,094.50 ","$12,530.00 ","$40,275.00 ","$32,220.00 ","$44,750.00 ","$22,375.00 ","$28,192.50 ","$28,192.50 ", N/A ,"$21,480.00 ","$40,275.00 " ST. JOHN'S HOSPITAL,27500156,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T17,275,1 ,"$46,000.00 ","$29,900.00 ","$12,098.00 ","$46,000.00 ", N/A ,"$21,160.00 ","$24,932.00 ", N/A ,"$12,880.00 ","$14,720.00 ", N/A ,"$16,928.00 ", N/A ,"$17,572.00 ","$17,572.00 ", N/A ,"$17,572.00 ", N/A ,"$24,196.00 ","$23,460.00 ", N/A , N/A ,"$32,200.00 ", N/A ,"$23,000.00 ", N/A ,"$34,500.00 ","$23,230.00 ","$20,516.00 ","$23,230.00 ", N/A ,"$23,230.00 ","$23,000.00 ","$23,000.00 ","$23,000.00 ","$46,000.00 ","$39,100.00 ", N/A ,"$36,800.00 ","$17,020.00 ","$36,800.00 ", N/A , N/A ,"$46,000.00 ","$24,932.00 ", N/A ,"$12,098.00 ", N/A , N/A , N/A , N/A , N/A ,"$39,100.00 ", N/A ,"$17,572.00 ","$12,880.00 ","$41,400.00 ","$33,120.00 ","$46,000.00 ","$23,000.00 ","$28,980.00 ","$28,980.00 ", N/A ,"$22,080.00 ","$41,400.00 " ST. JOHN'S HOSPITAL,27500157,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T18,275,1 ,"$47,250.00 ","$30,712.50 ","$12,426.75 ","$47,250.00 ", N/A ,"$21,735.00 ","$25,609.50 ", N/A ,"$13,230.00 ","$15,120.00 ", N/A ,"$17,388.00 ", N/A ,"$18,049.50 ","$18,049.50 ", N/A ,"$18,049.50 ", N/A ,"$24,853.50 ","$24,097.50 ", N/A , N/A ,"$33,075.00 ", N/A ,"$23,625.00 ", N/A ,"$35,437.50 ","$23,861.25 ","$21,073.50 ","$23,861.25 ", N/A ,"$23,861.25 ","$23,625.00 ","$23,625.00 ","$23,625.00 ","$47,250.00 ","$40,162.50 ", N/A ,"$37,800.00 ","$17,482.50 ","$37,800.00 ", N/A , N/A ,"$47,250.00 ","$25,609.50 ", N/A ,"$12,426.75 ", N/A , N/A , N/A , N/A , N/A ,"$40,162.50 ", N/A ,"$18,049.50 ","$13,230.00 ","$42,525.00 ","$34,020.00 ","$47,250.00 ","$23,625.00 ","$29,767.50 ","$29,767.50 ", N/A ,"$22,680.00 ","$42,525.00 " ST. JOHN'S HOSPITAL,27500158,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T19,275,1 ,"$48,500.00 ","$31,525.00 ","$12,755.50 ","$48,500.00 ", N/A ,"$22,310.00 ","$26,287.00 ", N/A ,"$13,580.00 ","$15,520.00 ", N/A ,"$17,848.00 ", N/A ,"$18,527.00 ","$18,527.00 ", N/A ,"$18,527.00 ", N/A ,"$25,511.00 ","$24,735.00 ", N/A , N/A ,"$33,950.00 ", N/A ,"$24,250.00 ", N/A ,"$36,375.00 ","$24,492.50 ","$21,631.00 ","$24,492.50 ", N/A ,"$24,492.50 ","$24,250.00 ","$24,250.00 ","$24,250.00 ","$48,500.00 ","$41,225.00 ", N/A ,"$38,800.00 ","$17,945.00 ","$38,800.00 ", N/A , N/A ,"$48,500.00 ","$26,287.00 ", N/A ,"$12,755.50 ", N/A , N/A , N/A , N/A , N/A ,"$41,225.00 ", N/A ,"$18,527.00 ","$13,580.00 ","$43,650.00 ","$34,920.00 ","$48,500.00 ","$24,250.00 ","$30,555.00 ","$30,555.00 ", N/A ,"$23,280.00 ","$43,650.00 " ST. JOHN'S HOSPITAL,27500159,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T20,275,1 ,"$49,750.00 ","$32,337.50 ","$13,084.25 ","$49,750.00 ", N/A ,"$22,885.00 ","$26,964.50 ", N/A ,"$13,930.00 ","$15,920.00 ", N/A ,"$18,308.00 ", N/A ,"$19,004.50 ","$19,004.50 ", N/A ,"$19,004.50 ", N/A ,"$26,168.50 ","$25,372.50 ", N/A , N/A ,"$34,825.00 ", N/A ,"$24,875.00 ", N/A ,"$37,312.50 ","$25,123.75 ","$22,188.50 ","$25,123.75 ", N/A ,"$25,123.75 ","$24,875.00 ","$24,875.00 ","$24,875.00 ","$49,750.00 ","$42,287.50 ", N/A ,"$39,800.00 ","$18,407.50 ","$39,800.00 ", N/A , N/A ,"$49,750.00 ","$26,964.50 ", N/A ,"$13,084.25 ", N/A , N/A , N/A , N/A , N/A ,"$42,287.50 ", N/A ,"$19,004.50 ","$13,930.00 ","$44,775.00 ","$35,820.00 ","$49,750.00 ","$24,875.00 ","$31,342.50 ","$31,342.50 ", N/A ,"$23,880.00 ","$44,775.00 " ST. JOHN'S HOSPITAL,27500160,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T21,275,1 ,"$51,000.00 ","$33,150.00 ","$13,413.00 ","$51,000.00 ", N/A ,"$23,460.00 ","$27,642.00 ", N/A ,"$14,280.00 ","$16,320.00 ", N/A ,"$18,768.00 ", N/A ,"$19,482.00 ","$19,482.00 ", N/A ,"$19,482.00 ", N/A ,"$26,826.00 ","$26,010.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$25,500.00 ", N/A ,"$38,250.00 ","$25,755.00 ","$22,746.00 ","$25,755.00 ", N/A ,"$25,755.00 ","$25,500.00 ","$25,500.00 ","$25,500.00 ","$51,000.00 ","$43,350.00 ", N/A ,"$40,800.00 ","$18,870.00 ","$40,800.00 ", N/A , N/A ,"$51,000.00 ","$27,642.00 ", N/A ,"$13,413.00 ", N/A , N/A , N/A , N/A , N/A ,"$43,350.00 ", N/A ,"$19,482.00 ","$14,280.00 ","$45,900.00 ","$36,720.00 ","$51,000.00 ","$25,500.00 ","$32,130.00 ","$32,130.00 ", N/A ,"$24,480.00 ","$45,900.00 " ST. JOHN'S HOSPITAL,27500161,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T22,275,1 ,"$52,250.00 ","$33,962.50 ","$13,741.75 ","$52,250.00 ", N/A ,"$24,035.00 ","$28,319.50 ", N/A ,"$14,630.00 ","$16,720.00 ", N/A ,"$19,228.00 ", N/A ,"$19,959.50 ","$19,959.50 ", N/A ,"$19,959.50 ", N/A ,"$27,483.50 ","$26,647.50 ", N/A , N/A ,"$36,575.00 ", N/A ,"$26,125.00 ", N/A ,"$39,187.50 ","$26,386.25 ","$23,303.50 ","$26,386.25 ", N/A ,"$26,386.25 ","$26,125.00 ","$26,125.00 ","$26,125.00 ","$52,250.00 ","$44,412.50 ", N/A ,"$41,800.00 ","$19,332.50 ","$41,800.00 ", N/A , N/A ,"$52,250.00 ","$28,319.50 ", N/A ,"$13,741.75 ", N/A , N/A , N/A , N/A , N/A ,"$44,412.50 ", N/A ,"$19,959.50 ","$14,630.00 ","$47,025.00 ","$37,620.00 ","$52,250.00 ","$26,125.00 ","$32,917.50 ","$32,917.50 ", N/A ,"$25,080.00 ","$47,025.00 " ST. JOHN'S HOSPITAL,27500162,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T23,275,1 ,"$53,500.00 ","$34,775.00 ","$14,070.50 ","$53,500.00 ", N/A ,"$24,610.00 ","$28,997.00 ", N/A ,"$14,980.00 ","$17,120.00 ", N/A ,"$19,688.00 ", N/A ,"$20,437.00 ","$20,437.00 ", N/A ,"$20,437.00 ", N/A ,"$28,141.00 ","$27,285.00 ", N/A , N/A ,"$37,450.00 ", N/A ,"$26,750.00 ", N/A ,"$40,125.00 ","$27,017.50 ","$23,861.00 ","$27,017.50 ", N/A ,"$27,017.50 ","$26,750.00 ","$26,750.00 ","$26,750.00 ","$53,500.00 ","$45,475.00 ", N/A ,"$42,800.00 ","$19,795.00 ","$42,800.00 ", N/A , N/A ,"$53,500.00 ","$28,997.00 ", N/A ,"$14,070.50 ", N/A , N/A , N/A , N/A , N/A ,"$45,475.00 ", N/A ,"$20,437.00 ","$14,980.00 ","$48,150.00 ","$38,520.00 ","$53,500.00 ","$26,750.00 ","$33,705.00 ","$33,705.00 ", N/A ,"$25,680.00 ","$48,150.00 " ST. JOHN'S HOSPITAL,27500163,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T24,275,1 ,"$54,750.00 ","$35,587.50 ","$14,399.25 ","$54,750.00 ", N/A ,"$25,185.00 ","$29,674.50 ", N/A ,"$15,330.00 ","$17,520.00 ", N/A ,"$20,148.00 ", N/A ,"$20,914.50 ","$20,914.50 ", N/A ,"$20,914.50 ", N/A ,"$28,798.50 ","$27,922.50 ", N/A , N/A ,"$38,325.00 ", N/A ,"$27,375.00 ", N/A ,"$41,062.50 ","$27,648.75 ","$24,418.50 ","$27,648.75 ", N/A ,"$27,648.75 ","$27,375.00 ","$27,375.00 ","$27,375.00 ","$54,750.00 ","$46,537.50 ", N/A ,"$43,800.00 ","$20,257.50 ","$43,800.00 ", N/A , N/A ,"$54,750.00 ","$29,674.50 ", N/A ,"$14,399.25 ", N/A , N/A , N/A , N/A , N/A ,"$46,537.50 ", N/A ,"$20,914.50 ","$15,330.00 ","$49,275.00 ","$39,420.00 ","$54,750.00 ","$27,375.00 ","$34,492.50 ","$34,492.50 ", N/A ,"$26,280.00 ","$49,275.00 " ST. JOHN'S HOSPITAL,27500164,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T25,275,1 ,"$56,000.00 ","$36,400.00 ","$14,728.00 ","$56,000.00 ", N/A ,"$25,760.00 ","$30,352.00 ", N/A ,"$15,680.00 ","$17,920.00 ", N/A ,"$20,608.00 ", N/A ,"$21,392.00 ","$21,392.00 ", N/A ,"$21,392.00 ", N/A ,"$29,456.00 ","$28,560.00 ", N/A , N/A ,"$39,200.00 ", N/A ,"$28,000.00 ", N/A ,"$42,000.00 ","$28,280.00 ","$24,976.00 ","$28,280.00 ", N/A ,"$28,280.00 ","$28,000.00 ","$28,000.00 ","$28,000.00 ","$56,000.00 ","$47,600.00 ", N/A ,"$44,800.00 ","$20,720.00 ","$44,800.00 ", N/A , N/A ,"$56,000.00 ","$30,352.00 ", N/A ,"$14,728.00 ", N/A , N/A , N/A , N/A , N/A ,"$47,600.00 ", N/A ,"$21,392.00 ","$15,680.00 ","$50,400.00 ","$40,320.00 ","$56,000.00 ","$28,000.00 ","$35,280.00 ","$35,280.00 ", N/A ,"$26,880.00 ","$50,400.00 " ST. JOHN'S HOSPITAL,27500165,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T26,275,1 ,"$57,250.00 ","$37,212.50 ","$15,056.75 ","$57,250.00 ", N/A ,"$26,335.00 ","$31,029.50 ", N/A ,"$16,030.00 ","$18,320.00 ", N/A ,"$21,068.00 ", N/A ,"$21,869.50 ","$21,869.50 ", N/A ,"$21,869.50 ", N/A ,"$30,113.50 ","$29,197.50 ", N/A , N/A ,"$40,075.00 ", N/A ,"$28,625.00 ", N/A ,"$42,937.50 ","$28,911.25 ","$25,533.50 ","$28,911.25 ", N/A ,"$28,911.25 ","$28,625.00 ","$28,625.00 ","$28,625.00 ","$57,250.00 ","$48,662.50 ", N/A ,"$45,800.00 ","$21,182.50 ","$45,800.00 ", N/A , N/A ,"$57,250.00 ","$31,029.50 ", N/A ,"$15,056.75 ", N/A , N/A , N/A , N/A , N/A ,"$48,662.50 ", N/A ,"$21,869.50 ","$16,030.00 ","$51,525.00 ","$41,220.00 ","$57,250.00 ","$28,625.00 ","$36,067.50 ","$36,067.50 ", N/A ,"$27,480.00 ","$51,525.00 " ST. JOHN'S HOSPITAL,27500166,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T27,275,1 ,"$58,500.00 ","$38,025.00 ","$15,385.50 ","$58,500.00 ", N/A ,"$26,910.00 ","$31,707.00 ", N/A ,"$16,380.00 ","$18,720.00 ", N/A ,"$21,528.00 ", N/A ,"$22,347.00 ","$22,347.00 ", N/A ,"$22,347.00 ", N/A ,"$30,771.00 ","$29,835.00 ", N/A , N/A ,"$40,950.00 ", N/A ,"$29,250.00 ", N/A ,"$43,875.00 ","$29,542.50 ","$26,091.00 ","$29,542.50 ", N/A ,"$29,542.50 ","$29,250.00 ","$29,250.00 ","$29,250.00 ","$58,500.00 ","$49,725.00 ", N/A ,"$46,800.00 ","$21,645.00 ","$46,800.00 ", N/A , N/A ,"$58,500.00 ","$31,707.00 ", N/A ,"$15,385.50 ", N/A , N/A , N/A , N/A , N/A ,"$49,725.00 ", N/A ,"$22,347.00 ","$16,380.00 ","$52,650.00 ","$42,120.00 ","$58,500.00 ","$29,250.00 ","$36,855.00 ","$36,855.00 ", N/A ,"$28,080.00 ","$52,650.00 " ST. JOHN'S HOSPITAL,27500167,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T28,275,1 ,"$59,750.00 ","$38,837.50 ","$15,714.25 ","$59,750.00 ", N/A ,"$27,485.00 ","$32,384.50 ", N/A ,"$16,730.00 ","$19,120.00 ", N/A ,"$21,988.00 ", N/A ,"$22,824.50 ","$22,824.50 ", N/A ,"$22,824.50 ", N/A ,"$31,428.50 ","$30,472.50 ", N/A , N/A ,"$41,825.00 ", N/A ,"$29,875.00 ", N/A ,"$44,812.50 ","$30,173.75 ","$26,648.50 ","$30,173.75 ", N/A ,"$30,173.75 ","$29,875.00 ","$29,875.00 ","$29,875.00 ","$59,750.00 ","$50,787.50 ", N/A ,"$47,800.00 ","$22,107.50 ","$47,800.00 ", N/A , N/A ,"$59,750.00 ","$32,384.50 ", N/A ,"$15,714.25 ", N/A , N/A , N/A , N/A , N/A ,"$50,787.50 ", N/A ,"$22,824.50 ","$16,730.00 ","$53,775.00 ","$43,020.00 ","$59,750.00 ","$29,875.00 ","$37,642.50 ","$37,642.50 ", N/A ,"$28,680.00 ","$53,775.00 " ST. JOHN'S HOSPITAL,27500168,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T29,275,1 ,"$61,000.00 ","$39,650.00 ","$16,043.00 ","$61,000.00 ", N/A ,"$28,060.00 ","$33,062.00 ", N/A ,"$17,080.00 ","$19,520.00 ", N/A ,"$22,448.00 ", N/A ,"$23,302.00 ","$23,302.00 ", N/A ,"$23,302.00 ", N/A ,"$32,086.00 ","$31,110.00 ", N/A , N/A ,"$42,700.00 ", N/A ,"$30,500.00 ", N/A ,"$45,750.00 ","$30,805.00 ","$27,206.00 ","$30,805.00 ", N/A ,"$30,805.00 ","$30,500.00 ","$30,500.00 ","$30,500.00 ","$61,000.00 ","$51,850.00 ", N/A ,"$48,800.00 ","$22,570.00 ","$48,800.00 ", N/A , N/A ,"$61,000.00 ","$33,062.00 ", N/A ,"$16,043.00 ", N/A , N/A , N/A , N/A , N/A ,"$51,850.00 ", N/A ,"$23,302.00 ","$17,080.00 ","$54,900.00 ","$43,920.00 ","$61,000.00 ","$30,500.00 ","$38,430.00 ","$38,430.00 ", N/A ,"$29,280.00 ","$54,900.00 " ST. JOHN'S HOSPITAL,27500169,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T30,275,1 ,"$62,250.00 ","$40,462.50 ","$16,371.75 ","$62,250.00 ", N/A ,"$28,635.00 ","$33,739.50 ", N/A ,"$17,430.00 ","$19,920.00 ", N/A ,"$22,908.00 ", N/A ,"$23,779.50 ","$23,779.50 ", N/A ,"$23,779.50 ", N/A ,"$32,743.50 ","$31,747.50 ", N/A , N/A ,"$43,575.00 ", N/A ,"$31,125.00 ", N/A ,"$46,687.50 ","$31,436.25 ","$27,763.50 ","$31,436.25 ", N/A ,"$31,436.25 ","$31,125.00 ","$31,125.00 ","$31,125.00 ","$62,250.00 ","$52,912.50 ", N/A ,"$49,800.00 ","$23,032.50 ","$49,800.00 ", N/A , N/A ,"$62,250.00 ","$33,739.50 ", N/A ,"$16,371.75 ", N/A , N/A , N/A , N/A , N/A ,"$52,912.50 ", N/A ,"$23,779.50 ","$17,430.00 ","$56,025.00 ","$44,820.00 ","$62,250.00 ","$31,125.00 ","$39,217.50 ","$39,217.50 ", N/A ,"$29,880.00 ","$56,025.00 " ST. JOHN'S HOSPITAL,27500170,C1882,HC ICD DEFIB OTHR SINGLE/DUAL CHAMBER T31,275,1 ,"$63,500.00 ","$41,275.00 ","$16,700.50 ","$63,500.00 ", N/A ,"$29,210.00 ","$34,417.00 ", N/A ,"$17,780.00 ","$20,320.00 ", N/A ,"$23,368.00 ", N/A ,"$24,257.00 ","$24,257.00 ", N/A ,"$24,257.00 ", N/A ,"$33,401.00 ","$32,385.00 ", N/A , N/A ,"$44,450.00 ", N/A ,"$31,750.00 ", N/A ,"$47,625.00 ","$32,067.50 ","$28,321.00 ","$32,067.50 ", N/A ,"$32,067.50 ","$31,750.00 ","$31,750.00 ","$31,750.00 ","$63,500.00 ","$53,975.00 ", N/A ,"$50,800.00 ","$23,495.00 ","$50,800.00 ", N/A , N/A ,"$63,500.00 ","$34,417.00 ", N/A ,"$16,700.50 ", N/A , N/A , N/A , N/A , N/A ,"$53,975.00 ", N/A ,"$24,257.00 ","$17,780.00 ","$57,150.00 ","$45,720.00 ","$63,500.00 ","$31,750.00 ","$40,005.00 ","$40,005.00 ", N/A ,"$30,480.00 ","$57,150.00 " ST. JOHN'S HOSPITAL,27500180,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T10,275,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ","$4,469.40 ", N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A ,"$4,469.40 ","$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27500181,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T11,275,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ","$4,698.60 ", N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A ,"$4,698.60 ","$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27500182,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T12,275,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ","$4,927.80 ", N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A ,"$4,927.80 ","$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27500183,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T13,275,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ","$5,157.00 ", N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A ,"$5,157.00 ","$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27500184,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T14,275,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ","$5,386.20 ", N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A ,"$5,386.20 ","$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27500185,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T15,275,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ","$5,615.40 ", N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A ,"$5,615.40 ","$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27500186,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T16,275,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ","$5,787.30 ", N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A ,"$5,787.30 ","$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27500187,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T17,275,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ","$5,959.20 ", N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A ,"$5,959.20 ","$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27500188,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T18,275,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ","$6,131.10 ", N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A ,"$6,131.10 ","$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27500189,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T19,275,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ","$6,303.00 ", N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A ,"$6,303.00 ","$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27500190,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T20,275,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ","$6,474.90 ", N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A ,"$6,474.90 ","$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27500191,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T21,275,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ","$6,646.80 ", N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A ,"$6,646.80 ","$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27500192,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T22,275,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ","$6,818.70 ", N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A ,"$6,818.70 ","$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27500193,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T23,275,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ","$7,067.00 ", N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,251.00 ","$9,342.50 ", N/A ,"$9,342.50 ","$9,250.00 ","$9,250.00 ","$9,250.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A ,"$7,067.00 ","$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$9,250.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27500194,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T24,275,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ","$7,544.50 ", N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,808.50 ","$9,973.75 ", N/A ,"$9,973.75 ","$9,875.00 ","$9,875.00 ","$9,875.00 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A ,"$7,544.50 ","$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$9,875.00 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27500195,C2621,HC PACEMAKER OTHER THAN SINGLE/DUAL T25,275,1 ,"$21,000.00 ","$13,650.00 ","$5,523.00 ","$21,000.00 ", N/A ,"$9,660.00 ","$11,382.00 ", N/A ,"$5,880.00 ","$6,720.00 ", N/A ,"$7,728.00 ", N/A ,"$8,022.00 ","$8,022.00 ", N/A ,"$8,022.00 ", N/A ,"$11,046.00 ","$10,710.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$10,500.00 ", N/A ,"$15,750.00 ","$10,605.00 ","$9,366.00 ","$10,605.00 ", N/A ,"$10,605.00 ","$10,500.00 ","$10,500.00 ","$10,500.00 ","$21,000.00 ","$17,850.00 ", N/A ,"$16,800.00 ","$7,770.00 ","$16,800.00 ", N/A , N/A ,"$21,000.00 ","$11,382.00 ", N/A ,"$5,523.00 ", N/A , N/A , N/A , N/A , N/A ,"$17,850.00 ", N/A ,"$8,022.00 ","$5,880.00 ","$18,900.00 ","$15,120.00 ","$21,000.00 ","$10,500.00 ","$13,230.00 ","$13,230.00 ", N/A ,"$10,080.00 ","$18,900.00 " ST. JOHN'S HOSPITAL,27500203,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T30,275,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ","$7,067.00 ", N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,251.00 ","$9,342.50 ", N/A ,"$9,342.50 ","$9,250.00 ","$9,250.00 ","$9,250.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A ,"$7,067.00 ","$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$9,250.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27500204,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T31,275,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ","$7,544.50 ", N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,808.50 ","$9,973.75 ", N/A ,"$9,973.75 ","$9,875.00 ","$9,875.00 ","$9,875.00 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A ,"$7,544.50 ","$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$9,875.00 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27500205,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T32,275,1 ,"$21,000.00 ","$13,650.00 ","$5,523.00 ","$21,000.00 ", N/A ,"$9,660.00 ","$11,382.00 ", N/A ,"$5,880.00 ","$6,720.00 ", N/A ,"$7,728.00 ", N/A ,"$8,022.00 ","$8,022.00 ", N/A ,"$8,022.00 ", N/A ,"$11,046.00 ","$10,710.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$10,500.00 ", N/A ,"$15,750.00 ","$10,605.00 ","$9,366.00 ","$10,605.00 ", N/A ,"$10,605.00 ","$10,500.00 ","$10,500.00 ","$10,500.00 ","$21,000.00 ","$17,850.00 ", N/A ,"$16,800.00 ","$7,770.00 ","$16,800.00 ", N/A , N/A ,"$21,000.00 ","$11,382.00 ", N/A ,"$5,523.00 ", N/A , N/A , N/A , N/A , N/A ,"$17,850.00 ", N/A ,"$8,022.00 ","$5,880.00 ","$18,900.00 ","$15,120.00 ","$21,000.00 ","$10,500.00 ","$13,230.00 ","$13,230.00 ", N/A ,"$10,080.00 ","$18,900.00 " ST. JOHN'S HOSPITAL,27500206,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T33,275,1 ,"$22,250.00 ","$14,462.50 ","$5,851.75 ","$22,250.00 ", N/A ,"$10,235.00 ","$12,059.50 ", N/A ,"$6,230.00 ","$7,120.00 ", N/A ,"$8,188.00 ", N/A ,"$8,499.50 ","$8,499.50 ", N/A ,"$8,499.50 ", N/A ,"$11,703.50 ","$11,347.50 ", N/A , N/A ,"$15,575.00 ", N/A ,"$11,125.00 ", N/A ,"$16,687.50 ","$11,236.25 ","$9,923.50 ","$11,236.25 ", N/A ,"$11,236.25 ","$11,125.00 ","$11,125.00 ","$11,125.00 ","$22,250.00 ","$18,912.50 ", N/A ,"$17,800.00 ","$8,232.50 ","$17,800.00 ", N/A , N/A ,"$22,250.00 ","$12,059.50 ", N/A ,"$5,851.75 ", N/A , N/A , N/A , N/A , N/A ,"$18,912.50 ", N/A ,"$8,499.50 ","$6,230.00 ","$20,025.00 ","$16,020.00 ","$22,250.00 ","$11,125.00 ","$14,017.50 ","$14,017.50 ", N/A ,"$10,680.00 ","$20,025.00 " ST. JOHN'S HOSPITAL,27500207,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T34,275,1 ,"$23,500.00 ","$15,275.00 ","$6,180.50 ","$23,500.00 ", N/A ,"$10,810.00 ","$12,737.00 ", N/A ,"$6,580.00 ","$7,520.00 ", N/A ,"$8,648.00 ", N/A ,"$8,977.00 ","$8,977.00 ", N/A ,"$8,977.00 ", N/A ,"$12,361.00 ","$11,985.00 ", N/A , N/A ,"$16,450.00 ", N/A ,"$11,750.00 ", N/A ,"$17,625.00 ","$11,867.50 ","$10,481.00 ","$11,867.50 ", N/A ,"$11,867.50 ","$11,750.00 ","$11,750.00 ","$11,750.00 ","$23,500.00 ","$19,975.00 ", N/A ,"$18,800.00 ","$8,695.00 ","$18,800.00 ", N/A , N/A ,"$23,500.00 ","$12,737.00 ", N/A ,"$6,180.50 ", N/A , N/A , N/A , N/A , N/A ,"$19,975.00 ", N/A ,"$8,977.00 ","$6,580.00 ","$21,150.00 ","$16,920.00 ","$23,500.00 ","$11,750.00 ","$14,805.00 ","$14,805.00 ", N/A ,"$11,280.00 ","$21,150.00 " ST. JOHN'S HOSPITAL,27500208,C1786,HC PACEMAKER SINGLE CHAMBER RATE-RESP T35,275,1 ,"$24,750.00 ","$16,087.50 ","$6,509.25 ","$24,750.00 ", N/A ,"$11,385.00 ","$13,414.50 ", N/A ,"$6,930.00 ","$7,920.00 ", N/A ,"$9,108.00 ", N/A ,"$9,454.50 ","$9,454.50 ", N/A ,"$9,454.50 ", N/A ,"$13,018.50 ","$12,622.50 ", N/A , N/A ,"$17,325.00 ", N/A ,"$12,375.00 ", N/A ,"$18,562.50 ","$12,498.75 ","$11,038.50 ","$12,498.75 ", N/A ,"$12,498.75 ","$12,375.00 ","$12,375.00 ","$12,375.00 ","$24,750.00 ","$21,037.50 ", N/A ,"$19,800.00 ","$9,157.50 ","$19,800.00 ", N/A , N/A ,"$24,750.00 ","$13,414.50 ", N/A ,"$6,509.25 ", N/A , N/A , N/A , N/A , N/A ,"$21,037.50 ", N/A ,"$9,454.50 ","$6,930.00 ","$22,275.00 ","$17,820.00 ","$24,750.00 ","$12,375.00 ","$15,592.50 ","$15,592.50 ", N/A ,"$11,880.00 ","$22,275.00 " ST. JOHN'S HOSPITAL,27500209,C1882,HC CARDIO DEFIB OTHER,275,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , N/A , 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 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ST. JOHN'S HOSPITAL,27800160,C1752,HC SHORT TERM DIALYSIS CATH,278,1 ,$316.00 ,$205.40 ,$83.11 ,$316.00 , N/A , N/A ,$171.27 , N/A ,$88.48 ,$101.12 , N/A ,$116.29 , N/A ,$120.71 , N/A , N/A ,$120.71 , N/A ,$166.22 ,$161.16 , N/A , N/A ,$221.20 , N/A ,$158.00 , N/A ,$237.00 ,$159.58 ,$140.94 ,$159.58 , N/A ,$159.58 ,$158.00 ,$158.00 ,$158.00 ,$316.00 ,$268.60 , N/A ,$252.80 ,$116.92 ,$252.80 , N/A , N/A ,$316.00 ,$171.27 , N/A ,$83.11 , N/A , N/A , N/A , N/A , N/A ,$268.60 , N/A , N/A ,$88.48 ,$284.40 ,$227.52 ,$316.00 ,$158.00 ,$199.08 ,$199.08 , N/A ,$151.68 ,$284.40 ST. JOHN'S HOSPITAL,27800166,C1760,HC DEVICE VASCULAR CLOSURE,278,1 ,$186.00 ,$120.90 ,$48.92 ,$186.00 , N/A , N/A ,$100.81 , N/A ,$52.08 ,$59.52 , N/A ,$68.45 , N/A ,$71.05 , N/A , N/A ,$71.05 , N/A ,$97.84 ,$94.86 , N/A , N/A ,$130.20 , N/A ,$93.00 , N/A ,$139.50 ,$93.93 ,$82.96 ,$93.93 , N/A ,$93.93 ,$93.00 ,$93.00 ,$93.00 ,$186.00 ,$158.10 , N/A ,$148.80 ,$68.82 ,$148.80 , N/A , N/A ,$186.00 ,$100.81 , N/A ,$48.92 , N/A , N/A , N/A , N/A , N/A ,$158.10 , N/A , N/A ,$52.08 ,$167.40 ,$133.92 ,$186.00 ,$93.00 ,$117.18 ,$117.18 , N/A ,$89.28 ,$167.40 ST. JOHN'S HOSPITAL,27800581,Q4110,HC SKIN SUBST PRIMATRIX PER SQCM,278,1 ,$34.00 ,$22.10 ,$8.94 ,$462.38 , N/A , N/A ,$18.43 , N/A ,$9.52 ,$11.73 , N/A ,$13.06 , N/A ,$12.99 , N/A , N/A ,$12.99 , N/A ,$17.88 ,$17.34 , N/A , N/A ,$23.80 , N/A ,$17.00 , N/A ,$25.50 ,$17.17 ,$15.16 ,$17.17 , N/A ,$17.17 ,$17.00 ,$17.00 ,$17.00 ,$34.00 ,$28.90 , N/A ,$27.20 ,$12.58 ,$27.20 , N/A , N/A ,$34.00 ,$18.43 , N/A ,$8.94 , N/A , N/A ,$34.00 ,$462.38 , N/A ,$28.90 , N/A , N/A ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$17.00 ,$21.42 ,$21.42 , N/A ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,27801470,C2616,HC YTTRIUM 90 PER SOURCE,278,1 ,"$57,275.00 ","$37,228.75 ","$15,063.33 ","$57,275.00 ","$44,408.03 ","$26,346.50 ","$31,043.05 ","$17,763.21 ","$16,037.00 ","$18,328.00 ","$17,763.21 ","$21,077.20 ","$17,763.21 ","$21,879.05 ", N/A ,"$17,763.21 ","$21,879.05 ","$33,750.10 ","$30,126.65 ","$29,210.25 ","$44,408.03 ","$17,763.21 ","$40,092.50 ","$17,763.21 ","$28,637.50 ","$18,118.47 ","$42,956.25 ","$28,923.88 ","$25,544.65 ","$28,923.88 ","$17,763.21 ","$28,923.88 ","$28,637.50 ","$28,637.50 ","$28,637.50 ","$57,275.00 ","$48,683.75 ","$44,408.03 ","$45,820.00 ","$21,191.75 ","$45,820.00 ","$17,763.21 ","$17,763.21 ","$57,275.00 ","$31,043.05 ","$17,763.21 ","$15,063.33 ", N/A , N/A ,"$16,287.01 ","$15,546.69 ","$18,651.37 ","$48,683.75 ","$39,967.22 ", N/A ,"$16,037.00 ","$51,547.50 ","$41,238.00 ","$57,275.00 ","$28,637.50 ","$36,083.25 ","$36,083.25 ","$17,763.21 ","$27,492.00 ","$51,547.50 " ST. JOHN'S HOSPITAL,27801590,C1764,HC RECORDER CARDIAC EVENT IMPLANT T8,278,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ", N/A , N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A , N/A ,"$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27801591,C1764,HC RECORDER CARDIAC EVENT IMPLANT T9,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27801592,C1764,HC RECORDER CARDIAC EVENT IMPLANT T10,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27801593,C1764,HC RECORDER CARDIAC EVENT IMPLANT T11,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27801594,C1764,HC RECORDER CARDIAC EVENT IMPLANT T12,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801595,C1764,HC RECORDER CARDIAC EVENT IMPLANT T13,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801596,C1764,HC RECORDER CARDIAC EVENT IMPLANT T14,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801597,C1764,HC RECORDER CARDIAC EVENT IMPLANT T15,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801598,C1764,HC RECORDER CARDIAC EVENT IMPLANT T16,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801599,C1764,HC RECORDER CARDIAC EVENT IMPLANT T17,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27801600,C1764,HC RECORDER CARDIAC EVENT IMPLANT T18,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801601,C1764,HC RECORDER CARDIAC EVENT IMPLANT T19,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27801602,C1764,HC RECORDER CARDIAC EVENT IMPLANT T20,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27801614,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T12,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801615,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T13,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801616,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T14,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801617,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T15,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801618,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T16,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801619,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T17,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27801620,C1777,HC LEAD AICD ENDOCARDIAL SINGLE COIL T18,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801627,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T7,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801628,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T8,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801629,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T9,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801630,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T10,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801631,C1779,HC LEAD PACEMAKER TRANSVENOUS VDD T11,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801634,C1781,HC MESH IMPLANTABLE T3,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801635,C1781,HC MESH IMPLANTABLE T4,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801644,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T9,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27801645,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T10,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27801646,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T11,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27801647,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T12,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801648,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T13,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801649,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T14,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801650,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T15,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801651,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T16,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801652,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T17,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27801653,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T18,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801654,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T19,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27801655,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T20,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27801656,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T21,278,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ", N/A , N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A , N/A ,"$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27801657,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T22,278,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ", N/A , N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A , N/A ,"$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27801658,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T23,278,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ", N/A , N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A , N/A ,"$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27801659,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T24,278,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ", N/A , N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A , N/A ,"$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27801660,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T25,278,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ", N/A , N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,251.00 ","$9,342.50 ", N/A ,"$9,342.50 ","$9,250.00 ","$9,250.00 ","$9,250.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A , N/A ,"$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$9,250.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27801661,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T26,278,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ", N/A , N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,808.50 ","$9,973.75 ", N/A ,"$9,973.75 ","$9,875.00 ","$9,875.00 ","$9,875.00 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A , N/A ,"$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$9,875.00 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27801662,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T27,278,1 ,"$21,000.00 ","$13,650.00 ","$5,523.00 ","$21,000.00 ", N/A ,"$9,660.00 ","$11,382.00 ", N/A ,"$5,880.00 ","$6,720.00 ", N/A ,"$7,728.00 ", N/A ,"$8,022.00 ", N/A , N/A ,"$8,022.00 ", N/A ,"$11,046.00 ","$10,710.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$10,500.00 ", N/A ,"$15,750.00 ","$10,605.00 ","$9,366.00 ","$10,605.00 ", N/A ,"$10,605.00 ","$10,500.00 ","$10,500.00 ","$10,500.00 ","$21,000.00 ","$17,850.00 ", N/A ,"$16,800.00 ","$7,770.00 ","$16,800.00 ", N/A , N/A ,"$21,000.00 ","$11,382.00 ", N/A ,"$5,523.00 ", N/A , N/A , N/A , N/A , N/A ,"$17,850.00 ", N/A , N/A ,"$5,880.00 ","$18,900.00 ","$15,120.00 ","$21,000.00 ","$10,500.00 ","$13,230.00 ","$13,230.00 ", N/A ,"$10,080.00 ","$18,900.00 " ST. JOHN'S HOSPITAL,27801663,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T28,278,1 ,"$22,250.00 ","$14,462.50 ","$5,851.75 ","$22,250.00 ", N/A ,"$10,235.00 ","$12,059.50 ", N/A ,"$6,230.00 ","$7,120.00 ", N/A ,"$8,188.00 ", N/A ,"$8,499.50 ", N/A , N/A ,"$8,499.50 ", N/A ,"$11,703.50 ","$11,347.50 ", N/A , N/A ,"$15,575.00 ", N/A ,"$11,125.00 ", N/A ,"$16,687.50 ","$11,236.25 ","$9,923.50 ","$11,236.25 ", N/A ,"$11,236.25 ","$11,125.00 ","$11,125.00 ","$11,125.00 ","$22,250.00 ","$18,912.50 ", N/A ,"$17,800.00 ","$8,232.50 ","$17,800.00 ", N/A , N/A ,"$22,250.00 ","$12,059.50 ", N/A ,"$5,851.75 ", N/A , N/A , N/A , N/A , N/A ,"$18,912.50 ", N/A , N/A ,"$6,230.00 ","$20,025.00 ","$16,020.00 ","$22,250.00 ","$11,125.00 ","$14,017.50 ","$14,017.50 ", N/A ,"$10,680.00 ","$20,025.00 " ST. JOHN'S HOSPITAL,27801664,C1817,HC IMPLANT SEPTAL DEFECT SYSTEM INTRA-CARDIAC T29,278,1 ,"$23,500.00 ","$15,275.00 ","$6,180.50 ","$23,500.00 ", N/A ,"$10,810.00 ","$12,737.00 ", N/A ,"$6,580.00 ","$7,520.00 ", N/A ,"$8,648.00 ", N/A ,"$8,977.00 ", N/A , N/A ,"$8,977.00 ", N/A ,"$12,361.00 ","$11,985.00 ", N/A , N/A ,"$16,450.00 ", N/A ,"$11,750.00 ", N/A ,"$17,625.00 ","$11,867.50 ","$10,481.00 ","$11,867.50 ", N/A ,"$11,867.50 ","$11,750.00 ","$11,750.00 ","$11,750.00 ","$23,500.00 ","$19,975.00 ", N/A ,"$18,800.00 ","$8,695.00 ","$18,800.00 ", N/A , N/A ,"$23,500.00 ","$12,737.00 ", N/A ,"$6,180.50 ", N/A , N/A , N/A , N/A , N/A ,"$19,975.00 ", N/A , N/A ,"$6,580.00 ","$21,150.00 ","$16,920.00 ","$23,500.00 ","$11,750.00 ","$14,805.00 ","$14,805.00 ", N/A ,"$11,280.00 ","$21,150.00 " ST. JOHN'S HOSPITAL,27801669,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T5,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801671,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T7,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801672,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T8,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801673,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T9,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801674,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T10,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801675,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T11,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801676,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T12,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27801677,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T13,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27801678,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T14,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27801679,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T15,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27801680,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T16,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27801681,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T17,278,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ", N/A , N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A , N/A ,"$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27801682,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T18,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27801683,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T19,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27801684,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T20,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27801685,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T21,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801686,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T22,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801687,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T23,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801688,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T24,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801689,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T25,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801690,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T26,278,1 ,"$14,994.00 ","$9,746.10 ","$3,943.42 ","$14,994.00 ", N/A ,"$6,897.24 ","$8,126.75 ", N/A ,"$4,198.32 ","$4,798.08 ", N/A ,"$5,517.79 ", N/A ,"$5,727.71 ", N/A , N/A ,"$5,727.71 ", N/A ,"$7,886.84 ","$7,646.94 ", N/A , N/A ,"$10,495.80 ", N/A ,"$7,497.00 ", N/A ,"$11,245.50 ","$7,571.97 ","$6,687.32 ","$7,571.97 ", N/A ,"$7,571.97 ","$7,497.00 ","$7,497.00 ","$7,497.00 ","$14,994.00 ","$12,744.90 ", N/A ,"$11,995.20 ","$5,547.78 ","$11,995.20 ", N/A , N/A ,"$14,994.00 ","$8,126.75 ", N/A ,"$3,943.42 ", N/A , N/A , N/A , N/A , N/A ,"$12,744.90 ", N/A , N/A ,"$4,198.32 ","$13,494.60 ","$10,795.68 ","$14,994.00 ","$7,497.00 ","$9,446.22 ","$9,446.22 ", N/A ,"$7,197.12 ","$13,494.60 " ST. JOHN'S HOSPITAL,27801691,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T27,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801692,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T28,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27801693,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T29,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27801694,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T30,278,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ", N/A , N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A , N/A ,"$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27801695,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T31,278,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ", N/A , N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A , N/A ,"$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27801696,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T32,278,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ", N/A , N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A , N/A ,"$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27801697,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T33,278,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ", N/A , N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A , N/A ,"$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27801698,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T34,278,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ", N/A , N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,251.00 ","$9,342.50 ", N/A ,"$9,342.50 ","$9,250.00 ","$9,250.00 ","$9,250.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A , N/A ,"$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$9,250.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27801699,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T35,278,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ", N/A , N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,808.50 ","$9,973.75 ", N/A ,"$9,973.75 ","$9,875.00 ","$9,875.00 ","$9,875.00 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A , N/A ,"$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$9,875.00 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27801700,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T36,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801701,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T37,278,1 ,"$22,250.00 ","$14,462.50 ","$5,851.75 ","$22,250.00 ", N/A ,"$10,235.00 ","$12,059.50 ", N/A ,"$6,230.00 ","$7,120.00 ", N/A ,"$8,188.00 ", N/A ,"$8,499.50 ", N/A , N/A ,"$8,499.50 ", N/A ,"$11,703.50 ","$11,347.50 ", N/A , N/A ,"$15,575.00 ", N/A ,"$11,125.00 ", N/A ,"$16,687.50 ","$11,236.25 ","$9,923.50 ","$11,236.25 ", N/A ,"$11,236.25 ","$11,125.00 ","$11,125.00 ","$11,125.00 ","$22,250.00 ","$18,912.50 ", N/A ,"$17,800.00 ","$8,232.50 ","$17,800.00 ", N/A , N/A ,"$22,250.00 ","$12,059.50 ", N/A ,"$5,851.75 ", N/A , N/A , N/A , N/A , N/A ,"$18,912.50 ", N/A , N/A ,"$6,230.00 ","$20,025.00 ","$16,020.00 ","$22,250.00 ","$11,125.00 ","$14,017.50 ","$14,017.50 ", N/A ,"$10,680.00 ","$20,025.00 " ST. JOHN'S HOSPITAL,27801702,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T38,278,1 ,"$23,500.00 ","$15,275.00 ","$6,180.50 ","$23,500.00 ", N/A ,"$10,810.00 ","$12,737.00 ", N/A ,"$6,580.00 ","$7,520.00 ", N/A ,"$8,648.00 ", N/A ,"$8,977.00 ", N/A , N/A ,"$8,977.00 ", N/A ,"$12,361.00 ","$11,985.00 ", N/A , N/A ,"$16,450.00 ", N/A ,"$11,750.00 ", N/A ,"$17,625.00 ","$11,867.50 ","$10,481.00 ","$11,867.50 ", N/A ,"$11,867.50 ","$11,750.00 ","$11,750.00 ","$11,750.00 ","$23,500.00 ","$19,975.00 ", N/A ,"$18,800.00 ","$8,695.00 ","$18,800.00 ", N/A , N/A ,"$23,500.00 ","$12,737.00 ", N/A ,"$6,180.50 ", N/A , N/A , N/A , N/A , N/A ,"$19,975.00 ", N/A , N/A ,"$6,580.00 ","$21,150.00 ","$16,920.00 ","$23,500.00 ","$11,750.00 ","$14,805.00 ","$14,805.00 ", N/A ,"$11,280.00 ","$21,150.00 " ST. JOHN'S HOSPITAL,27801703,C1874,HC STENT COATED/COVERED W/DEL SYSTEM T39,278,1 ,"$24,750.00 ","$16,087.50 ","$6,509.25 ","$24,750.00 ", N/A ,"$11,385.00 ","$13,414.50 ", N/A ,"$6,930.00 ","$7,920.00 ", N/A ,"$9,108.00 ", N/A ,"$9,454.50 ", N/A , N/A ,"$9,454.50 ", N/A ,"$13,018.50 ","$12,622.50 ", N/A , N/A ,"$17,325.00 ", N/A ,"$12,375.00 ", N/A ,"$18,562.50 ","$12,498.75 ","$11,038.50 ","$12,498.75 ", N/A ,"$12,498.75 ","$12,375.00 ","$12,375.00 ","$12,375.00 ","$24,750.00 ","$21,037.50 ", N/A ,"$19,800.00 ","$9,157.50 ","$19,800.00 ", N/A , N/A ,"$24,750.00 ","$13,414.50 ", N/A ,"$6,509.25 ", N/A , N/A , N/A , N/A , N/A ,"$21,037.50 ", N/A , N/A ,"$6,930.00 ","$22,275.00 ","$17,820.00 ","$24,750.00 ","$12,375.00 ","$15,592.50 ","$15,592.50 ", N/A ,"$11,880.00 ","$22,275.00 " ST. JOHN'S HOSPITAL,27801713,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T10,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27801714,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T11,278,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A , N/A ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 , N/A , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$267.60 ,$303.00 , N/A ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27801715,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T12,278,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A , N/A ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 , N/A , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$334.50 ,$378.75 , N/A ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27801716,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T13,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27801717,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T14,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27801718,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T15,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27801719,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T16,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801720,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T17,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801721,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T18,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801722,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T19,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801723,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T20,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801724,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T21,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801725,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T22,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801726,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T23,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801727,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T24,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801728,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T25,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27801729,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T26,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27801730,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T27,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27801731,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T28,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27801732,C1876,HC STENT NON-COATED/NON-COVERED W/DEL SYSTEM T29,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27801742,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T10,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27801743,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T11,278,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A , N/A ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 , N/A , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$267.60 ,$303.00 , N/A ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27801744,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T12,278,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A , N/A ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 , N/A , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$334.50 ,$378.75 , N/A ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27801745,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T13,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27801746,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T14,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27801747,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T15,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27801748,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T16,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801749,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T17,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801750,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T18,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801751,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T19,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801752,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T20,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801753,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T21,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801754,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T22,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801755,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM T23,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801760,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM AAA T5,278,1 ,"$31,000.00 ","$20,150.00 ","$8,153.00 ","$31,000.00 ", N/A ,"$14,260.00 ","$16,802.00 ", N/A ,"$8,680.00 ","$9,920.00 ", N/A ,"$11,408.00 ", N/A ,"$11,842.00 ", N/A , N/A ,"$11,842.00 ", N/A ,"$16,306.00 ","$15,810.00 ", N/A , N/A ,"$21,700.00 ", N/A ,"$15,500.00 ", N/A ,"$23,250.00 ","$15,655.00 ","$13,826.00 ","$15,655.00 ", N/A ,"$15,655.00 ","$15,500.00 ","$15,500.00 ","$15,500.00 ","$31,000.00 ","$26,350.00 ", N/A ,"$24,800.00 ","$11,470.00 ","$24,800.00 ", N/A , N/A ,"$31,000.00 ","$16,802.00 ", N/A ,"$8,153.00 ", N/A , N/A , N/A , N/A , N/A ,"$26,350.00 ", N/A , N/A ,"$8,680.00 ","$27,900.00 ","$22,320.00 ","$31,000.00 ","$15,500.00 ","$19,530.00 ","$19,530.00 ", N/A ,"$14,880.00 ","$27,900.00 " ST. JOHN'S HOSPITAL,27801761,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM AAA T6,278,1 ,"$32,250.00 ","$20,962.50 ","$8,481.75 ","$32,250.00 ", N/A ,"$14,835.00 ","$17,479.50 ", N/A ,"$9,030.00 ","$10,320.00 ", N/A ,"$11,868.00 ", N/A ,"$12,319.50 ", N/A , N/A ,"$12,319.50 ", N/A ,"$16,963.50 ","$16,447.50 ", N/A , N/A ,"$22,575.00 ", N/A ,"$16,125.00 ", N/A ,"$24,187.50 ","$16,286.25 ","$14,383.50 ","$16,286.25 ", N/A ,"$16,286.25 ","$16,125.00 ","$16,125.00 ","$16,125.00 ","$32,250.00 ","$27,412.50 ", N/A ,"$25,800.00 ","$11,932.50 ","$25,800.00 ", N/A , N/A ,"$32,250.00 ","$17,479.50 ", N/A ,"$8,481.75 ", N/A , N/A , N/A , N/A , N/A ,"$27,412.50 ", N/A , N/A ,"$9,030.00 ","$29,025.00 ","$23,220.00 ","$32,250.00 ","$16,125.00 ","$20,317.50 ","$20,317.50 ", N/A ,"$15,480.00 ","$29,025.00 " ST. JOHN'S HOSPITAL,27801762,C1877,HC STENT NON-COATED/NON-COVERED W/O DEL SYSTEM AAA T7,278,1 ,"$33,500.00 ","$21,775.00 ","$8,810.50 ","$33,500.00 ", N/A ,"$15,410.00 ","$18,157.00 ", N/A ,"$9,380.00 ","$10,720.00 ", N/A ,"$12,328.00 ", N/A ,"$12,797.00 ", N/A , N/A ,"$12,797.00 ", N/A ,"$17,621.00 ","$17,085.00 ", N/A , N/A ,"$23,450.00 ", N/A ,"$16,750.00 ", N/A ,"$25,125.00 ","$16,917.50 ","$14,941.00 ","$16,917.50 ", N/A ,"$16,917.50 ","$16,750.00 ","$16,750.00 ","$16,750.00 ","$33,500.00 ","$28,475.00 ", N/A ,"$26,800.00 ","$12,395.00 ","$26,800.00 ", N/A , N/A ,"$33,500.00 ","$18,157.00 ", N/A ,"$8,810.50 ", N/A , N/A , N/A , N/A , N/A ,"$28,475.00 ", N/A , N/A ,"$9,380.00 ","$30,150.00 ","$24,120.00 ","$33,500.00 ","$16,750.00 ","$21,105.00 ","$21,105.00 ", N/A ,"$16,080.00 ","$30,150.00 " ST. JOHN'S HOSPITAL,27801767,C1880,HC FILTER VENA CAVA T5,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801768,C1880,HC FILTER VENA CAVA T6,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801769,C1880,HC FILTER VENA CAVA T7,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801770,C1880,HC FILTER VENA CAVA T8,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801771,C1880,HC FILTER VENA CAVA T9,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801772,C1880,HC FILTER VENA CAVA T10,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801773,C1880,HC FILTER VENA CAVA T11,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801778,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T5,278,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A , N/A ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 , N/A , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$66.90 ,$75.75 , N/A ,$75.75 ,$75.00 ,$75.00 ,$75.00 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A , N/A ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$75.00 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27801779,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T6,278,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A , N/A ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 , N/A , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$100.35 ,$113.63 , N/A ,$113.63 ,$112.50 ,$112.50 ,$112.50 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A , N/A ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$112.50 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27801780,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T7,278,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A , N/A ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 , N/A , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$133.80 ,$151.50 , N/A ,$151.50 ,$150.00 ,$150.00 ,$150.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A , N/A ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$150.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27801781,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T8,278,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A , N/A ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 , N/A , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$167.25 ,$189.38 , N/A ,$189.38 ,$187.50 ,$187.50 ,$187.50 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A , N/A ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$187.50 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27801782,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T9,278,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A , N/A ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 , N/A , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$200.70 ,$227.25 , N/A ,$227.25 ,$225.00 ,$225.00 ,$225.00 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A , N/A ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$225.00 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27801783,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T10,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27801784,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T11,278,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A , N/A ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 , N/A , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$267.60 ,$303.00 , N/A ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27801785,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T12,278,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A , N/A ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 , N/A , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$334.50 ,$378.75 , N/A ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27801786,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T13,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27801787,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T14,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27801788,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T15,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27801789,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T16,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801790,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T17,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801791,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T18,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801792,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T19,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801793,C1883,HC ADAPTER/EXTENSION PACING/NEURO LEAD T20,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801794,C1889,HC COIL EMBOLIZATION T1,278,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A , N/A ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 , N/A , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$100.35 ,$113.63 , N/A ,$113.63 ,$112.50 ,$112.50 ,$112.50 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A , N/A ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$112.50 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27801795,C1889,HC COIL EMBOLIZATION T2,278,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A , N/A ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 , N/A , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$133.80 ,$151.50 , N/A ,$151.50 ,$150.00 ,$150.00 ,$150.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A , N/A ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$150.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27801796,C1889,HC COIL EMBOLIZATION T3,278,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A , N/A ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 , N/A , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$167.25 ,$189.38 , N/A ,$189.38 ,$187.50 ,$187.50 ,$187.50 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A , N/A ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$187.50 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27801797,C1889,HC COIL EMBOLIZATION T4,278,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A , N/A ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 , N/A , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$200.70 ,$227.25 , N/A ,$227.25 ,$225.00 ,$225.00 ,$225.00 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A , N/A ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$225.00 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27801798,C1889,HC COIL EMBOLIZATION T5,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27801799,C1889,HC COIL EMBOLIZATION T6,278,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A , N/A ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 , N/A , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$267.60 ,$303.00 , N/A ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27801800,C1889,HC COIL EMBOLIZATION T7,278,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A , N/A ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 , N/A , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$334.50 ,$378.75 , N/A ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27801801,C1889,HC COIL EMBOLIZATION T8,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27801802,C1889,HC COIL EMBOLIZATION T9,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27801803,C1889,HC COIL EMBOLIZATION T10,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27801804,C1889,HC COIL EMBOLIZATION T11,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801805,C1889,HC COIL EMBOLIZATION T12,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801806,C1889,HC COIL EMBOLIZATION T13,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801807,C1889,HC COIL EMBOLIZATION T14,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801808,C1889,HC COIL EMBOLIZATION T15,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801809,C1889,HC COIL EMBOLIZATION T16,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801810,C1889,HC COIL EMBOLIZATION T17,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801811,C1889,HC COIL EMBOLIZATION T18,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801812,C1889,HC COIL EMBOLIZATION T19,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801921,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T9,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27801922,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T10,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27801923,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T11,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27801924,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T12,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801925,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T13,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801926,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T14,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801927,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T15,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801928,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T16,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801929,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T17,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27801930,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T18,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801931,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T19,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27801932,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T20,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27801933,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T21,278,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ", N/A , N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A , N/A ,"$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27801934,C1895,HC LEAD ICD ENDOCARDIAL DUAL COIL T22,278,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ", N/A , N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A , N/A ,"$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27801940,C1896,HC LEAD ICD NON ENDOCARDIAL T6,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801941,C1896,HC LEAD ICD NON ENDOCARDIAL T7,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27801942,C1896,HC LEAD ICD NON ENDOCARDIAL T8,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27801943,C1896,HC LEAD ICD NON ENDOCARDIAL T9,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801944,C1896,HC LEAD ICD NON ENDOCARDIAL T10,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801945,C1896,HC LEAD ICD NON ENDOCARDIAL T11,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801946,C1896,HC LEAD ICD NON ENDOCARDIAL T12,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27801947,C1896,HC LEAD ICD NON ENDOCARDIAL T13,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27801948,C1896,HC LEAD ICD NON ENDOCARDIAL T14,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27801949,C1896,HC LEAD ICD NON ENDOCARDIAL T15,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27801950,C1896,HC LEAD ICD NON ENDOCARDIAL T16,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27801951,C1896,HC LEAD ICD NON ENDOCARDIAL T17,278,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ", N/A , N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A , N/A ,"$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27801952,C1896,HC LEAD ICD NON ENDOCARDIAL T18,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27801953,C1896,HC LEAD ICD NON ENDOCARDIAL T19,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27801954,C1896,HC LEAD ICD NON ENDOCARDIAL T20,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27801955,C1896,HC LEAD ICD NON ENDOCARDIAL T21,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27801956,C1896,HC LEAD ICD NON ENDOCARDIAL T22,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27801957,C1896,HC LEAD ICD NON ENDOCARDIAL T23,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27801958,C1896,HC LEAD ICD NON ENDOCARDIAL T24,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27801959,C1896,HC LEAD ICD NON ENDOCARDIAL T25,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27801960,C1896,HC LEAD ICD NON ENDOCARDIAL T26,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27801961,C1896,HC LEAD ICD NON ENDOCARDIAL T27,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27801962,C1896,HC LEAD ICD NON ENDOCARDIAL T28,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27801963,C1896,HC LEAD ICD NON ENDOCARDIAL T29,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27801964,C1896,HC LEAD ICD NON ENDOCARDIAL T30,278,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ", N/A , N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A , N/A ,"$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27801965,C1896,HC LEAD ICD NON ENDOCARDIAL T31,278,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ", N/A , N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A , N/A ,"$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27801966,C1896,HC LEAD ICD NON ENDOCARDIAL T32,278,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ", N/A , N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A , N/A ,"$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27801972,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T6,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27801973,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T7,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27801974,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T8,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27801975,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T9,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27801976,C1898,HC LEAD PACEMAKER NON TRANSVENOUS SINGLE PASS T10,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27801982,C1899,HC LEAD PACEMAKER/ICD COMBO T6,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27801983,C1899,HC LEAD PACEMAKER/ICD COMBO T7,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27801984,C1899,HC LEAD PACEMAKER/ICD COMBO T8,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27801985,C1899,HC LEAD PACEMAKER/ICD COMBO T9,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27801986,C1899,HC LEAD PACEMAKER/ICD COMBO T10,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27801990,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T4,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27801991,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T5,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27801992,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T6,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27801993,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T7,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27801994,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T8,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27801995,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T9,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27801996,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T10,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27801997,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T11,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27801998,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T12,278,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ", N/A , N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A , N/A ,"$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27801999,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T13,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27802000,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T14,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27802001,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T15,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27802002,C1900,HC LEAD VENTRICULAR CORONARY VENOUS T16,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27802006,C2629,HC INTRODUCER/SHEATH NON-GUIDING LASER T4,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27802007,C2629,HC INTRODUCER/SHEATH NON-GUIDING LASER T5,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27802008,C2629,HC INTRODUCER/SHEATH NON-GUIDING LASER T6,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27802009,C2629,HC INTRODUCER/SHEATH NON-GUIDING LASER T7,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27802012,C2630,HC CATHETER EP DIAG/ABLATION NON 3D/VECTOR COOL TIP T3,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27802013,C2630,HC CATHETER EP DIAG/ABLATION NON 3D/VECTOR COOL TIP T4,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27802014,C2630,HC CATHETER EP DIAG/ABLATION NON 3D/VECTOR COOL TIP T5,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27802015,C2630,HC CATHETER EP DIAG/ABLATION NON 3D/VECTOR COOL TIP T6,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27802016,N/A,HC IMPLANT SURGICAL T1,278,1 ,$10.00 ,$6.50 ,$2.63 ,$10.00 , N/A , N/A ,$5.42 , N/A ,$2.80 ,$3.20 , N/A ,$3.68 , N/A ,$3.82 , N/A , N/A ,$3.82 , N/A ,$5.26 ,$5.10 , N/A , N/A ,$7.00 , N/A ,$5.00 , N/A ,$7.50 ,$5.05 ,$4.46 ,$5.05 , N/A ,$5.05 ,$5.00 ,$5.00 ,$5.00 ,$10.00 ,$8.50 , N/A ,$8.00 ,$3.70 ,$8.00 , N/A , N/A ,$10.00 ,$5.42 , N/A ,$2.63 , N/A , N/A , N/A , N/A , N/A ,$8.50 , N/A , N/A ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$5.00 ,$6.30 ,$6.30 , N/A ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,27802017,N/A,HC IMPLANT SURGICAL T2,278,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A , N/A ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 , N/A , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$8.92 ,$10.10 , N/A ,$10.10 ,$10.00 ,$10.00 ,$10.00 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A , N/A ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$10.00 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,27802018,N/A,HC IMPLANT SURGICAL T3,278,1 ,$30.00 ,$19.50 ,$7.89 ,$30.00 , N/A , N/A ,$16.26 , N/A ,$8.40 ,$9.60 , N/A ,$11.04 , N/A ,$11.46 , N/A , N/A ,$11.46 , N/A ,$15.78 ,$15.30 , N/A , N/A ,$21.00 , N/A ,$15.00 , N/A ,$22.50 ,$15.15 ,$13.38 ,$15.15 , N/A ,$15.15 ,$15.00 ,$15.00 ,$15.00 ,$30.00 ,$25.50 , N/A ,$24.00 ,$11.10 ,$24.00 , N/A , N/A ,$30.00 ,$16.26 , N/A ,$7.89 , N/A , N/A , N/A , N/A , N/A ,$25.50 , N/A , N/A ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$15.00 ,$18.90 ,$18.90 , N/A ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,27802019,N/A,HC IMPLANT SURGICAL T4,278,1 ,$75.00 ,$48.75 ,$19.73 ,$75.00 , N/A , N/A ,$40.65 , N/A ,$21.00 ,$24.00 , N/A ,$27.60 , N/A ,$28.65 , N/A , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$33.45 ,$37.88 , N/A ,$37.88 ,$37.50 ,$37.50 ,$37.50 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A , N/A , N/A , N/A ,$63.75 , N/A , N/A ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$37.50 ,$47.25 ,$47.25 , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,27802020,N/A,HC IMPLANT SURGICAL T5,278,1 ,$150.00 ,$97.50 ,$39.45 ,$150.00 , N/A , N/A ,$81.30 , N/A ,$42.00 ,$48.00 , N/A ,$55.20 , N/A ,$57.30 , N/A , N/A ,$57.30 , N/A ,$78.90 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$66.90 ,$75.75 , N/A ,$75.75 ,$75.00 ,$75.00 ,$75.00 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$150.00 ,$81.30 , N/A ,$39.45 , N/A , N/A , N/A , N/A , N/A ,$127.50 , N/A , N/A ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$75.00 ,$94.50 ,$94.50 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,27802021,N/A,HC IMPLANT SURGICAL T6,278,1 ,$225.00 ,$146.25 ,$59.18 ,$225.00 , N/A , N/A ,$121.95 , N/A ,$63.00 ,$72.00 , N/A ,$82.80 , N/A ,$85.95 , N/A , N/A ,$85.95 , N/A ,$118.35 ,$114.75 , N/A , N/A ,$157.50 , N/A ,$112.50 , N/A ,$168.75 ,$113.63 ,$100.35 ,$113.63 , N/A ,$113.63 ,$112.50 ,$112.50 ,$112.50 ,$225.00 ,$191.25 , N/A ,$180.00 ,$83.25 ,$180.00 , N/A , N/A ,$225.00 ,$121.95 , N/A ,$59.18 , N/A , N/A , N/A , N/A , N/A ,$191.25 , N/A , N/A ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$112.50 ,$141.75 ,$141.75 , N/A ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,27802022,N/A,HC IMPLANT SURGICAL T7,278,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A , N/A ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 , N/A , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$151.50 ,$133.80 ,$151.50 , N/A ,$151.50 ,$150.00 ,$150.00 ,$150.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A , N/A , N/A , N/A ,$255.00 , N/A , N/A ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$150.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,27802023,N/A,HC IMPLANT SURGICAL T8,278,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A , N/A ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 , N/A , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$167.25 ,$189.38 , N/A ,$189.38 ,$187.50 ,$187.50 ,$187.50 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A , N/A ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$187.50 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27802024,N/A,HC IMPLANT SURGICAL T9,278,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A , N/A ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 , N/A , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$200.70 ,$227.25 , N/A ,$227.25 ,$225.00 ,$225.00 ,$225.00 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A , N/A ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$225.00 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27802025,N/A,HC IMPLANT SURGICAL T10,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27802026,N/A,HC IMPLANT SURGICAL T11,278,1 ,$600.00 ,$390.00 ,$157.80 ,$600.00 , N/A , N/A ,$325.20 , N/A ,$168.00 ,$192.00 , N/A ,$220.80 , N/A ,$229.20 , N/A , N/A ,$229.20 , N/A ,$315.60 ,$306.00 , N/A , N/A ,$420.00 , N/A ,$300.00 , N/A ,$450.00 ,$303.00 ,$267.60 ,$303.00 , N/A ,$303.00 ,$300.00 ,$300.00 ,$300.00 ,$600.00 ,$510.00 , N/A ,$480.00 ,$222.00 ,$480.00 , N/A , N/A ,$600.00 ,$325.20 , N/A ,$157.80 , N/A , N/A , N/A , N/A , N/A ,$510.00 , N/A , N/A ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$300.00 ,$378.00 ,$378.00 , N/A ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,27802027,N/A,HC IMPLANT SURGICAL T12,278,1 ,$750.00 ,$487.50 ,$197.25 ,$750.00 , N/A , N/A ,$406.50 , N/A ,$210.00 ,$240.00 , N/A ,$276.00 , N/A ,$286.50 , N/A , N/A ,$286.50 , N/A ,$394.50 ,$382.50 , N/A , N/A ,$525.00 , N/A ,$375.00 , N/A ,$562.50 ,$378.75 ,$334.50 ,$378.75 , N/A ,$378.75 ,$375.00 ,$375.00 ,$375.00 ,$750.00 ,$637.50 , N/A ,$600.00 ,$277.50 ,$600.00 , N/A , N/A ,$750.00 ,$406.50 , N/A ,$197.25 , N/A , N/A , N/A , N/A , N/A ,$637.50 , N/A , N/A ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$375.00 ,$472.50 ,$472.50 , N/A ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,27802028,N/A,HC IMPLANT SURGICAL T13,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27802029,N/A,HC IMPLANT SURGICAL T14,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27802030,N/A,HC IMPLANT SURGICAL T15,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27802031,N/A,HC IMPLANT SURGICAL T16,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27802032,N/A,HC IMPLANT SURGICAL T17,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27802033,N/A,HC IMPLANT SURGICAL T18,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27802034,N/A,HC IMPLANT SURGICAL T19,278,1 ,"$2,700.00 ","$1,755.00 ",$710.10 ,"$2,700.00 ", N/A ,"$1,242.00 ","$1,463.40 ", N/A ,$756.00 ,$864.00 , N/A ,$993.60 , N/A ,"$1,031.40 ", N/A , N/A ,"$1,031.40 ", N/A ,"$1,420.20 ","$1,377.00 ", N/A , N/A ,"$1,890.00 ", N/A ,"$1,350.00 ", N/A ,"$2,025.00 ","$1,363.50 ","$1,204.20 ","$1,363.50 ", N/A ,"$1,363.50 ","$1,350.00 ","$1,350.00 ","$1,350.00 ","$2,700.00 ","$2,295.00 ", N/A ,"$2,160.00 ",$999.00 ,"$2,160.00 ", N/A , N/A ,"$2,700.00 ","$1,463.40 ", N/A ,$710.10 , N/A , N/A , N/A , N/A , N/A ,"$2,295.00 ", N/A , N/A ,$756.00 ,"$2,430.00 ","$1,944.00 ","$2,700.00 ","$1,350.00 ","$1,701.00 ","$1,701.00 ", N/A ,"$1,296.00 ","$2,430.00 " ST. JOHN'S HOSPITAL,27802035,N/A,HC IMPLANT SURGICAL T20,278,1 ,"$3,300.00 ","$2,145.00 ",$867.90 ,"$3,300.00 ", N/A ,"$1,518.00 ","$1,788.60 ", N/A ,$924.00 ,"$1,056.00 ", N/A ,"$1,214.40 ", N/A ,"$1,260.60 ", N/A , N/A ,"$1,260.60 ", N/A ,"$1,735.80 ","$1,683.00 ", N/A , N/A ,"$2,310.00 ", N/A ,"$1,650.00 ", N/A ,"$2,475.00 ","$1,666.50 ","$1,471.80 ","$1,666.50 ", N/A ,"$1,666.50 ","$1,650.00 ","$1,650.00 ","$1,650.00 ","$3,300.00 ","$2,805.00 ", N/A ,"$2,640.00 ","$1,221.00 ","$2,640.00 ", N/A , N/A ,"$3,300.00 ","$1,788.60 ", N/A ,$867.90 , N/A , N/A , N/A , N/A , N/A ,"$2,805.00 ", N/A , N/A ,$924.00 ,"$2,970.00 ","$2,376.00 ","$3,300.00 ","$1,650.00 ","$2,079.00 ","$2,079.00 ", N/A ,"$1,584.00 ","$2,970.00 " ST. JOHN'S HOSPITAL,27802036,N/A,HC IMPLANT SURGICAL T21,278,1 ,"$3,900.00 ","$2,535.00 ","$1,025.70 ","$3,900.00 ", N/A ,"$1,794.00 ","$2,113.80 ", N/A ,"$1,092.00 ","$1,248.00 ", N/A ,"$1,435.20 ", N/A ,"$1,489.80 ", N/A , N/A ,"$1,489.80 ", N/A ,"$2,051.40 ","$1,989.00 ", N/A , N/A ,"$2,730.00 ", N/A ,"$1,950.00 ", N/A ,"$2,925.00 ","$1,969.50 ","$1,739.40 ","$1,969.50 ", N/A ,"$1,969.50 ","$1,950.00 ","$1,950.00 ","$1,950.00 ","$3,900.00 ","$3,315.00 ", N/A ,"$3,120.00 ","$1,443.00 ","$3,120.00 ", N/A , N/A ,"$3,900.00 ","$2,113.80 ", N/A ,"$1,025.70 ", N/A , N/A , N/A , N/A , N/A ,"$3,315.00 ", N/A , N/A ,"$1,092.00 ","$3,510.00 ","$2,808.00 ","$3,900.00 ","$1,950.00 ","$2,457.00 ","$2,457.00 ", N/A ,"$1,872.00 ","$3,510.00 " ST. JOHN'S HOSPITAL,27802037,N/A,HC IMPLANT SURGICAL T22,278,1 ,"$4,500.00 ","$2,925.00 ","$1,183.50 ","$4,500.00 ", N/A ,"$2,070.00 ","$2,439.00 ", N/A ,"$1,260.00 ","$1,440.00 ", N/A ,"$1,656.00 ", N/A ,"$1,719.00 ", N/A , N/A ,"$1,719.00 ", N/A ,"$2,367.00 ","$2,295.00 ", N/A , N/A ,"$3,150.00 ", N/A ,"$2,250.00 ", N/A ,"$3,375.00 ","$2,272.50 ","$2,007.00 ","$2,272.50 ", N/A ,"$2,272.50 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$4,500.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,665.00 ","$3,600.00 ", N/A , N/A ,"$4,500.00 ","$2,439.00 ", N/A ,"$1,183.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,825.00 ", N/A , N/A ,"$1,260.00 ","$4,050.00 ","$3,240.00 ","$4,500.00 ","$2,250.00 ","$2,835.00 ","$2,835.00 ", N/A ,"$2,160.00 ","$4,050.00 " ST. JOHN'S HOSPITAL,27802038,N/A,HC IMPLANT SURGICAL T23,278,1 ,"$5,100.00 ","$3,315.00 ","$1,341.30 ","$5,100.00 ", N/A ,"$2,346.00 ","$2,764.20 ", N/A ,"$1,428.00 ","$1,632.00 ", N/A ,"$1,876.80 ", N/A ,"$1,948.20 ", N/A , N/A ,"$1,948.20 ", N/A ,"$2,682.60 ","$2,601.00 ", N/A , N/A ,"$3,570.00 ", N/A ,"$2,550.00 ", N/A ,"$3,825.00 ","$2,575.50 ","$2,274.60 ","$2,575.50 ", N/A ,"$2,575.50 ","$2,550.00 ","$2,550.00 ","$2,550.00 ","$5,100.00 ","$4,335.00 ", N/A ,"$4,080.00 ","$1,887.00 ","$4,080.00 ", N/A , N/A ,"$5,100.00 ","$2,764.20 ", N/A ,"$1,341.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,335.00 ", N/A , N/A ,"$1,428.00 ","$4,590.00 ","$3,672.00 ","$5,100.00 ","$2,550.00 ","$3,213.00 ","$3,213.00 ", N/A ,"$2,448.00 ","$4,590.00 " ST. JOHN'S HOSPITAL,27802039,N/A,HC IMPLANT SURGICAL T24,278,1 ,"$5,700.00 ","$3,705.00 ","$1,499.10 ","$5,700.00 ", N/A ,"$2,622.00 ","$3,089.40 ", N/A ,"$1,596.00 ","$1,824.00 ", N/A ,"$2,097.60 ", N/A ,"$2,177.40 ", N/A , N/A ,"$2,177.40 ", N/A ,"$2,998.20 ","$2,907.00 ", N/A , N/A ,"$3,990.00 ", N/A ,"$2,850.00 ", N/A ,"$4,275.00 ","$2,878.50 ","$2,542.20 ","$2,878.50 ", N/A ,"$2,878.50 ","$2,850.00 ","$2,850.00 ","$2,850.00 ","$5,700.00 ","$4,845.00 ", N/A ,"$4,560.00 ","$2,109.00 ","$4,560.00 ", N/A , N/A ,"$5,700.00 ","$3,089.40 ", N/A ,"$1,499.10 ", N/A , N/A , N/A , N/A , N/A ,"$4,845.00 ", N/A , N/A ,"$1,596.00 ","$5,130.00 ","$4,104.00 ","$5,700.00 ","$2,850.00 ","$3,591.00 ","$3,591.00 ", N/A ,"$2,736.00 ","$5,130.00 " ST. JOHN'S HOSPITAL,27802040,N/A,HC IMPLANT SURGICAL T25,278,1 ,"$6,300.00 ","$4,095.00 ","$1,656.90 ","$6,300.00 ", N/A ,"$2,898.00 ","$3,414.60 ", N/A ,"$1,764.00 ","$2,016.00 ", N/A ,"$2,318.40 ", N/A ,"$2,406.60 ", N/A , N/A ,"$2,406.60 ", N/A ,"$3,313.80 ","$3,213.00 ", N/A , N/A ,"$4,410.00 ", N/A ,"$3,150.00 ", N/A ,"$4,725.00 ","$3,181.50 ","$2,809.80 ","$3,181.50 ", N/A ,"$3,181.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ","$6,300.00 ","$5,355.00 ", N/A ,"$5,040.00 ","$2,331.00 ","$5,040.00 ", N/A , N/A ,"$6,300.00 ","$3,414.60 ", N/A ,"$1,656.90 ", N/A , N/A , N/A , N/A , N/A ,"$5,355.00 ", N/A , N/A ,"$1,764.00 ","$5,670.00 ","$4,536.00 ","$6,300.00 ","$3,150.00 ","$3,969.00 ","$3,969.00 ", N/A ,"$3,024.00 ","$5,670.00 " ST. JOHN'S HOSPITAL,27802041,N/A,HC IMPLANT SURGICAL T26,278,1 ,"$6,900.00 ","$4,485.00 ","$1,814.70 ","$6,900.00 ", N/A ,"$3,174.00 ","$3,739.80 ", N/A ,"$1,932.00 ","$2,208.00 ", N/A ,"$2,539.20 ", N/A ,"$2,635.80 ", N/A , N/A ,"$2,635.80 ", N/A ,"$3,629.40 ","$3,519.00 ", N/A , N/A ,"$4,830.00 ", N/A ,"$3,450.00 ", N/A ,"$5,175.00 ","$3,484.50 ","$3,077.40 ","$3,484.50 ", N/A ,"$3,484.50 ","$3,450.00 ","$3,450.00 ","$3,450.00 ","$6,900.00 ","$5,865.00 ", N/A ,"$5,520.00 ","$2,553.00 ","$5,520.00 ", N/A , N/A ,"$6,900.00 ","$3,739.80 ", N/A ,"$1,814.70 ", N/A , N/A , N/A , N/A , N/A ,"$5,865.00 ", N/A , N/A ,"$1,932.00 ","$6,210.00 ","$4,968.00 ","$6,900.00 ","$3,450.00 ","$4,347.00 ","$4,347.00 ", N/A ,"$3,312.00 ","$6,210.00 " ST. JOHN'S HOSPITAL,27802042,N/A,HC IMPLANT SURGICAL T27,278,1 ,"$7,500.00 ","$4,875.00 ","$1,972.50 ","$7,500.00 ", N/A ,"$3,450.00 ","$4,065.00 ", N/A ,"$2,100.00 ","$2,400.00 ", N/A ,"$2,760.00 ", N/A ,"$2,865.00 ", N/A , N/A ,"$2,865.00 ", N/A ,"$3,945.00 ","$3,825.00 ", N/A , N/A ,"$5,250.00 ", N/A ,"$3,750.00 ", N/A ,"$5,625.00 ","$3,787.50 ","$3,345.00 ","$3,787.50 ", N/A ,"$3,787.50 ","$3,750.00 ","$3,750.00 ","$3,750.00 ","$7,500.00 ","$6,375.00 ", N/A ,"$6,000.00 ","$2,775.00 ","$6,000.00 ", N/A , N/A ,"$7,500.00 ","$4,065.00 ", N/A ,"$1,972.50 ", N/A , N/A , N/A , N/A , N/A ,"$6,375.00 ", N/A , N/A ,"$2,100.00 ","$6,750.00 ","$5,400.00 ","$7,500.00 ","$3,750.00 ","$4,725.00 ","$4,725.00 ", N/A ,"$3,600.00 ","$6,750.00 " ST. JOHN'S HOSPITAL,27802043,N/A,HC IMPLANT SURGICAL T28,278,1 ,"$8,100.00 ","$5,265.00 ","$2,130.30 ","$8,100.00 ", N/A ,"$3,726.00 ","$4,390.20 ", N/A ,"$2,268.00 ","$2,592.00 ", N/A ,"$2,980.80 ", N/A ,"$3,094.20 ", N/A , N/A ,"$3,094.20 ", N/A ,"$4,260.60 ","$4,131.00 ", N/A , N/A ,"$5,670.00 ", N/A ,"$4,050.00 ", N/A ,"$6,075.00 ","$4,090.50 ","$3,612.60 ","$4,090.50 ", N/A ,"$4,090.50 ","$4,050.00 ","$4,050.00 ","$4,050.00 ","$8,100.00 ","$6,885.00 ", N/A ,"$6,480.00 ","$2,997.00 ","$6,480.00 ", N/A , N/A ,"$8,100.00 ","$4,390.20 ", N/A ,"$2,130.30 ", N/A , N/A , N/A , N/A , N/A ,"$6,885.00 ", N/A , N/A ,"$2,268.00 ","$7,290.00 ","$5,832.00 ","$8,100.00 ","$4,050.00 ","$5,103.00 ","$5,103.00 ", N/A ,"$3,888.00 ","$7,290.00 " ST. JOHN'S HOSPITAL,27802044,N/A,HC IMPLANT SURGICAL T29,278,1 ,"$8,700.00 ","$5,655.00 ","$2,288.10 ","$8,700.00 ", N/A ,"$4,002.00 ","$4,715.40 ", N/A ,"$2,436.00 ","$2,784.00 ", N/A ,"$3,201.60 ", N/A ,"$3,323.40 ", N/A , N/A ,"$3,323.40 ", N/A ,"$4,576.20 ","$4,437.00 ", N/A , N/A ,"$6,090.00 ", N/A ,"$4,350.00 ", N/A ,"$6,525.00 ","$4,393.50 ","$3,880.20 ","$4,393.50 ", N/A ,"$4,393.50 ","$4,350.00 ","$4,350.00 ","$4,350.00 ","$8,700.00 ","$7,395.00 ", N/A ,"$6,960.00 ","$3,219.00 ","$6,960.00 ", N/A , N/A ,"$8,700.00 ","$4,715.40 ", N/A ,"$2,288.10 ", N/A , N/A , N/A , N/A , N/A ,"$7,395.00 ", N/A , N/A ,"$2,436.00 ","$7,830.00 ","$6,264.00 ","$8,700.00 ","$4,350.00 ","$5,481.00 ","$5,481.00 ", N/A ,"$4,176.00 ","$7,830.00 " ST. JOHN'S HOSPITAL,27802045,N/A,HC IMPLANT SURGICAL T30,278,1 ,"$9,300.00 ","$6,045.00 ","$2,445.90 ","$9,300.00 ", N/A ,"$4,278.00 ","$5,040.60 ", N/A ,"$2,604.00 ","$2,976.00 ", N/A ,"$3,422.40 ", N/A ,"$3,552.60 ", N/A , N/A ,"$3,552.60 ", N/A ,"$4,891.80 ","$4,743.00 ", N/A , N/A ,"$6,510.00 ", N/A ,"$4,650.00 ", N/A ,"$6,975.00 ","$4,696.50 ","$4,147.80 ","$4,696.50 ", N/A ,"$4,696.50 ","$4,650.00 ","$4,650.00 ","$4,650.00 ","$9,300.00 ","$7,905.00 ", N/A ,"$7,440.00 ","$3,441.00 ","$7,440.00 ", N/A , N/A ,"$9,300.00 ","$5,040.60 ", N/A ,"$2,445.90 ", N/A , N/A , N/A , N/A , N/A ,"$7,905.00 ", N/A , N/A ,"$2,604.00 ","$8,370.00 ","$6,696.00 ","$9,300.00 ","$4,650.00 ","$5,859.00 ","$5,859.00 ", N/A ,"$4,464.00 ","$8,370.00 " ST. JOHN'S HOSPITAL,27802046,N/A,HC IMPLANT SURGICAL T31,278,1 ,"$9,900.00 ","$6,435.00 ","$2,603.70 ","$9,900.00 ", N/A ,"$4,554.00 ","$5,365.80 ", N/A ,"$2,772.00 ","$3,168.00 ", N/A ,"$3,643.20 ", N/A ,"$3,781.80 ", N/A , N/A ,"$3,781.80 ", N/A ,"$5,207.40 ","$5,049.00 ", N/A , N/A ,"$6,930.00 ", N/A ,"$4,950.00 ", N/A ,"$7,425.00 ","$4,999.50 ","$4,415.40 ","$4,999.50 ", N/A ,"$4,999.50 ","$4,950.00 ","$4,950.00 ","$4,950.00 ","$9,900.00 ","$8,415.00 ", N/A ,"$7,920.00 ","$3,663.00 ","$7,920.00 ", N/A , N/A ,"$9,900.00 ","$5,365.80 ", N/A ,"$2,603.70 ", N/A , N/A , N/A , N/A , N/A ,"$8,415.00 ", N/A , N/A ,"$2,772.00 ","$8,910.00 ","$7,128.00 ","$9,900.00 ","$4,950.00 ","$6,237.00 ","$6,237.00 ", N/A ,"$4,752.00 ","$8,910.00 " ST. JOHN'S HOSPITAL,27802047,N/A,HC IMPLANT SURGICAL T32,278,1 ,"$10,500.00 ","$6,825.00 ","$2,761.50 ","$10,500.00 ", N/A ,"$4,830.00 ","$5,691.00 ", N/A ,"$2,940.00 ","$3,360.00 ", N/A ,"$3,864.00 ", N/A ,"$4,011.00 ", N/A , N/A ,"$4,011.00 ", N/A ,"$5,523.00 ","$5,355.00 ", N/A , N/A ,"$7,350.00 ", N/A ,"$5,250.00 ", N/A ,"$7,875.00 ","$5,302.50 ","$4,683.00 ","$5,302.50 ", N/A ,"$5,302.50 ","$5,250.00 ","$5,250.00 ","$5,250.00 ","$10,500.00 ","$8,925.00 ", N/A ,"$8,400.00 ","$3,885.00 ","$8,400.00 ", N/A , N/A ,"$10,500.00 ","$5,691.00 ", N/A ,"$2,761.50 ", N/A , N/A , N/A , N/A , N/A ,"$8,925.00 ", N/A , N/A ,"$2,940.00 ","$9,450.00 ","$7,560.00 ","$10,500.00 ","$5,250.00 ","$6,615.00 ","$6,615.00 ", N/A ,"$5,040.00 ","$9,450.00 " ST. JOHN'S HOSPITAL,27802048,N/A,HC IMPLANT SURGICAL T33,278,1 ,"$11,100.00 ","$7,215.00 ","$2,919.30 ","$11,100.00 ", N/A ,"$5,106.00 ","$6,016.20 ", N/A ,"$3,108.00 ","$3,552.00 ", N/A ,"$4,084.80 ", N/A ,"$4,240.20 ", N/A , N/A ,"$4,240.20 ", N/A ,"$5,838.60 ","$5,661.00 ", N/A , N/A ,"$7,770.00 ", N/A ,"$5,550.00 ", N/A ,"$8,325.00 ","$5,605.50 ","$4,950.60 ","$5,605.50 ", N/A ,"$5,605.50 ","$5,550.00 ","$5,550.00 ","$5,550.00 ","$11,100.00 ","$9,435.00 ", N/A ,"$8,880.00 ","$4,107.00 ","$8,880.00 ", N/A , N/A ,"$11,100.00 ","$6,016.20 ", N/A ,"$2,919.30 ", N/A , N/A , N/A , N/A , N/A ,"$9,435.00 ", N/A , N/A ,"$3,108.00 ","$9,990.00 ","$7,992.00 ","$11,100.00 ","$5,550.00 ","$6,993.00 ","$6,993.00 ", N/A ,"$5,328.00 ","$9,990.00 " ST. JOHN'S HOSPITAL,27802049,N/A,HC IMPLANT SURGICAL T34,278,1 ,"$11,700.00 ","$7,605.00 ","$3,077.10 ","$11,700.00 ", N/A ,"$5,382.00 ","$6,341.40 ", N/A ,"$3,276.00 ","$3,744.00 ", N/A ,"$4,305.60 ", N/A ,"$4,469.40 ", N/A , N/A ,"$4,469.40 ", N/A ,"$6,154.20 ","$5,967.00 ", N/A , N/A ,"$8,190.00 ", N/A ,"$5,850.00 ", N/A ,"$8,775.00 ","$5,908.50 ","$5,218.20 ","$5,908.50 ", N/A ,"$5,908.50 ","$5,850.00 ","$5,850.00 ","$5,850.00 ","$11,700.00 ","$9,945.00 ", N/A ,"$9,360.00 ","$4,329.00 ","$9,360.00 ", N/A , N/A ,"$11,700.00 ","$6,341.40 ", N/A ,"$3,077.10 ", N/A , N/A , N/A , N/A , N/A ,"$9,945.00 ", N/A , N/A ,"$3,276.00 ","$10,530.00 ","$8,424.00 ","$11,700.00 ","$5,850.00 ","$7,371.00 ","$7,371.00 ", N/A ,"$5,616.00 ","$10,530.00 " ST. JOHN'S HOSPITAL,27802050,N/A,HC IMPLANT SURGICAL T35,278,1 ,"$12,300.00 ","$7,995.00 ","$3,234.90 ","$12,300.00 ", N/A ,"$5,658.00 ","$6,666.60 ", N/A ,"$3,444.00 ","$3,936.00 ", N/A ,"$4,526.40 ", N/A ,"$4,698.60 ", N/A , N/A ,"$4,698.60 ", N/A ,"$6,469.80 ","$6,273.00 ", N/A , N/A ,"$8,610.00 ", N/A ,"$6,150.00 ", N/A ,"$9,225.00 ","$6,211.50 ","$5,485.80 ","$6,211.50 ", N/A ,"$6,211.50 ","$6,150.00 ","$6,150.00 ","$6,150.00 ","$12,300.00 ","$10,455.00 ", N/A ,"$9,840.00 ","$4,551.00 ","$9,840.00 ", N/A , N/A ,"$12,300.00 ","$6,666.60 ", N/A ,"$3,234.90 ", N/A , N/A , N/A , N/A , N/A ,"$10,455.00 ", N/A , N/A ,"$3,444.00 ","$11,070.00 ","$8,856.00 ","$12,300.00 ","$6,150.00 ","$7,749.00 ","$7,749.00 ", N/A ,"$5,904.00 ","$11,070.00 " ST. JOHN'S HOSPITAL,27802051,N/A,HC IMPLANT SURGICAL T36,278,1 ,"$12,900.00 ","$8,385.00 ","$3,392.70 ","$12,900.00 ", N/A ,"$5,934.00 ","$6,991.80 ", N/A ,"$3,612.00 ","$4,128.00 ", N/A ,"$4,747.20 ", N/A ,"$4,927.80 ", N/A , N/A ,"$4,927.80 ", N/A ,"$6,785.40 ","$6,579.00 ", N/A , N/A ,"$9,030.00 ", N/A ,"$6,450.00 ", N/A ,"$9,675.00 ","$6,514.50 ","$5,753.40 ","$6,514.50 ", N/A ,"$6,514.50 ","$6,450.00 ","$6,450.00 ","$6,450.00 ","$12,900.00 ","$10,965.00 ", N/A ,"$10,320.00 ","$4,773.00 ","$10,320.00 ", N/A , N/A ,"$12,900.00 ","$6,991.80 ", N/A ,"$3,392.70 ", N/A , N/A , N/A , N/A , N/A ,"$10,965.00 ", N/A , N/A ,"$3,612.00 ","$11,610.00 ","$9,288.00 ","$12,900.00 ","$6,450.00 ","$8,127.00 ","$8,127.00 ", N/A ,"$6,192.00 ","$11,610.00 " ST. JOHN'S HOSPITAL,27802052,N/A,HC IMPLANT SURGICAL T37,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27802053,N/A,HC IMPLANT SURGICAL T38,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ", N/A ,"$6,486.00 ","$7,642.20 ", N/A ,"$3,948.00 ","$4,512.00 ", N/A ,"$5,188.80 ", N/A ,"$5,386.20 ", N/A , N/A ,"$5,386.20 ", N/A ,"$7,416.60 ","$7,191.00 ", N/A , N/A ,"$9,870.00 ", N/A ,"$7,050.00 ", N/A ,"$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ", N/A ,"$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ", N/A ,"$11,280.00 ","$5,217.00 ","$11,280.00 ", N/A , N/A ,"$14,100.00 ","$7,642.20 ", N/A ,"$3,708.30 ", N/A , N/A , N/A , N/A , N/A ,"$11,985.00 ", N/A , N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ", N/A ,"$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27802054,N/A,HC IMPLANT SURGICAL T39,278,1 ,"$14,700.00 ","$9,555.00 ","$3,866.10 ","$14,700.00 ", N/A ,"$6,762.00 ","$7,967.40 ", N/A ,"$4,116.00 ","$4,704.00 ", N/A ,"$5,409.60 ", N/A ,"$5,615.40 ", N/A , N/A ,"$5,615.40 ", N/A ,"$7,732.20 ","$7,497.00 ", N/A , N/A ,"$10,290.00 ", N/A ,"$7,350.00 ", N/A ,"$11,025.00 ","$7,423.50 ","$6,556.20 ","$7,423.50 ", N/A ,"$7,423.50 ","$7,350.00 ","$7,350.00 ","$7,350.00 ","$14,700.00 ","$12,495.00 ", N/A ,"$11,760.00 ","$5,439.00 ","$11,760.00 ", N/A , N/A ,"$14,700.00 ","$7,967.40 ", N/A ,"$3,866.10 ", N/A , N/A , N/A , N/A , N/A ,"$12,495.00 ", N/A , N/A ,"$4,116.00 ","$13,230.00 ","$10,584.00 ","$14,700.00 ","$7,350.00 ","$9,261.00 ","$9,261.00 ", N/A ,"$7,056.00 ","$13,230.00 " ST. JOHN'S HOSPITAL,27802055,N/A,HC IMPLANT SURGICAL T40,278,1 ,"$15,150.00 ","$9,847.50 ","$3,984.45 ","$15,150.00 ", N/A ,"$6,969.00 ","$8,211.30 ", N/A ,"$4,242.00 ","$4,848.00 ", N/A ,"$5,575.20 ", N/A ,"$5,787.30 ", N/A , N/A ,"$5,787.30 ", N/A ,"$7,968.90 ","$7,726.50 ", N/A , N/A ,"$10,605.00 ", N/A ,"$7,575.00 ", N/A ,"$11,362.50 ","$7,650.75 ","$6,756.90 ","$7,650.75 ", N/A ,"$7,650.75 ","$7,575.00 ","$7,575.00 ","$7,575.00 ","$15,150.00 ","$12,877.50 ", N/A ,"$12,120.00 ","$5,605.50 ","$12,120.00 ", N/A , N/A ,"$15,150.00 ","$8,211.30 ", N/A ,"$3,984.45 ", N/A , N/A , N/A , N/A , N/A ,"$12,877.50 ", N/A , N/A ,"$4,242.00 ","$13,635.00 ","$10,908.00 ","$15,150.00 ","$7,575.00 ","$9,544.50 ","$9,544.50 ", N/A ,"$7,272.00 ","$13,635.00 " ST. JOHN'S HOSPITAL,27802056,N/A,HC IMPLANT SURGICAL T41,278,1 ,"$15,600.00 ","$10,140.00 ","$4,102.80 ","$15,600.00 ", N/A ,"$7,176.00 ","$8,455.20 ", N/A ,"$4,368.00 ","$4,992.00 ", N/A ,"$5,740.80 ", N/A ,"$5,959.20 ", N/A , N/A ,"$5,959.20 ", N/A ,"$8,205.60 ","$7,956.00 ", N/A , N/A ,"$10,920.00 ", N/A ,"$7,800.00 ", N/A ,"$11,700.00 ","$7,878.00 ","$6,957.60 ","$7,878.00 ", N/A ,"$7,878.00 ","$7,800.00 ","$7,800.00 ","$7,800.00 ","$15,600.00 ","$13,260.00 ", N/A ,"$12,480.00 ","$5,772.00 ","$12,480.00 ", N/A , N/A ,"$15,600.00 ","$8,455.20 ", N/A ,"$4,102.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,260.00 ", N/A , N/A ,"$4,368.00 ","$14,040.00 ","$11,232.00 ","$15,600.00 ","$7,800.00 ","$9,828.00 ","$9,828.00 ", N/A ,"$7,488.00 ","$14,040.00 " ST. JOHN'S HOSPITAL,27802057,N/A,HC IMPLANT SURGICAL T42,278,1 ,"$16,050.00 ","$10,432.50 ","$4,221.15 ","$16,050.00 ", N/A ,"$7,383.00 ","$8,699.10 ", N/A ,"$4,494.00 ","$5,136.00 ", N/A ,"$5,906.40 ", N/A ,"$6,131.10 ", N/A , N/A ,"$6,131.10 ", N/A ,"$8,442.30 ","$8,185.50 ", N/A , N/A ,"$11,235.00 ", N/A ,"$8,025.00 ", N/A ,"$12,037.50 ","$8,105.25 ","$7,158.30 ","$8,105.25 ", N/A ,"$8,105.25 ","$8,025.00 ","$8,025.00 ","$8,025.00 ","$16,050.00 ","$13,642.50 ", N/A ,"$12,840.00 ","$5,938.50 ","$12,840.00 ", N/A , N/A ,"$16,050.00 ","$8,699.10 ", N/A ,"$4,221.15 ", N/A , N/A , N/A , N/A , N/A ,"$13,642.50 ", N/A , N/A ,"$4,494.00 ","$14,445.00 ","$11,556.00 ","$16,050.00 ","$8,025.00 ","$10,111.50 ","$10,111.50 ", N/A ,"$7,704.00 ","$14,445.00 " ST. JOHN'S HOSPITAL,27802058,N/A,HC IMPLANT SURGICAL T43,278,1 ,"$16,500.00 ","$10,725.00 ","$4,339.50 ","$16,500.00 ", N/A ,"$7,590.00 ","$8,943.00 ", N/A ,"$4,620.00 ","$5,280.00 ", N/A ,"$6,072.00 ", N/A ,"$6,303.00 ", N/A , N/A ,"$6,303.00 ", N/A ,"$8,679.00 ","$8,415.00 ", N/A , N/A ,"$11,550.00 ", N/A ,"$8,250.00 ", N/A ,"$12,375.00 ","$8,332.50 ","$7,359.00 ","$8,332.50 ", N/A ,"$8,332.50 ","$8,250.00 ","$8,250.00 ","$8,250.00 ","$16,500.00 ","$14,025.00 ", N/A ,"$13,200.00 ","$6,105.00 ","$13,200.00 ", N/A , N/A ,"$16,500.00 ","$8,943.00 ", N/A ,"$4,339.50 ", N/A , N/A , N/A , N/A , N/A ,"$14,025.00 ", N/A , N/A ,"$4,620.00 ","$14,850.00 ","$11,880.00 ","$16,500.00 ","$8,250.00 ","$10,395.00 ","$10,395.00 ", N/A ,"$7,920.00 ","$14,850.00 " ST. JOHN'S HOSPITAL,27802059,N/A,HC IMPLANT SURGICAL T44,278,1 ,"$16,950.00 ","$11,017.50 ","$4,457.85 ","$16,950.00 ", N/A ,"$7,797.00 ","$9,186.90 ", N/A ,"$4,746.00 ","$5,424.00 ", N/A ,"$6,237.60 ", N/A ,"$6,474.90 ", N/A , N/A ,"$6,474.90 ", N/A ,"$8,915.70 ","$8,644.50 ", N/A , N/A ,"$11,865.00 ", N/A ,"$8,475.00 ", N/A ,"$12,712.50 ","$8,559.75 ","$7,559.70 ","$8,559.75 ", N/A ,"$8,559.75 ","$8,475.00 ","$8,475.00 ","$8,475.00 ","$16,950.00 ","$14,407.50 ", N/A ,"$13,560.00 ","$6,271.50 ","$13,560.00 ", N/A , N/A ,"$16,950.00 ","$9,186.90 ", N/A ,"$4,457.85 ", N/A , N/A , N/A , N/A , N/A ,"$14,407.50 ", N/A , N/A ,"$4,746.00 ","$15,255.00 ","$12,204.00 ","$16,950.00 ","$8,475.00 ","$10,678.50 ","$10,678.50 ", N/A ,"$8,136.00 ","$15,255.00 " ST. JOHN'S HOSPITAL,27802060,N/A,HC IMPLANT SURGICAL T45,278,1 ,"$17,400.00 ","$11,310.00 ","$4,576.20 ","$17,400.00 ", N/A ,"$8,004.00 ","$9,430.80 ", N/A ,"$4,872.00 ","$5,568.00 ", N/A ,"$6,403.20 ", N/A ,"$6,646.80 ", N/A , N/A ,"$6,646.80 ", N/A ,"$9,152.40 ","$8,874.00 ", N/A , N/A ,"$12,180.00 ", N/A ,"$8,700.00 ", N/A ,"$13,050.00 ","$8,787.00 ","$7,760.40 ","$8,787.00 ", N/A ,"$8,787.00 ","$8,700.00 ","$8,700.00 ","$8,700.00 ","$17,400.00 ","$14,790.00 ", N/A ,"$13,920.00 ","$6,438.00 ","$13,920.00 ", N/A , N/A ,"$17,400.00 ","$9,430.80 ", N/A ,"$4,576.20 ", N/A , N/A , N/A , N/A , N/A ,"$14,790.00 ", N/A , N/A ,"$4,872.00 ","$15,660.00 ","$12,528.00 ","$17,400.00 ","$8,700.00 ","$10,962.00 ","$10,962.00 ", N/A ,"$8,352.00 ","$15,660.00 " ST. JOHN'S HOSPITAL,27802061,N/A,HC IMPLANT SURGICAL T46,278,1 ,"$17,850.00 ","$11,602.50 ","$4,694.55 ","$17,850.00 ", N/A ,"$8,211.00 ","$9,674.70 ", N/A ,"$4,998.00 ","$5,712.00 ", N/A ,"$6,568.80 ", N/A ,"$6,818.70 ", N/A , N/A ,"$6,818.70 ", N/A ,"$9,389.10 ","$9,103.50 ", N/A , N/A ,"$12,495.00 ", N/A ,"$8,925.00 ", N/A ,"$13,387.50 ","$9,014.25 ","$7,961.10 ","$9,014.25 ", N/A ,"$9,014.25 ","$8,925.00 ","$8,925.00 ","$8,925.00 ","$17,850.00 ","$15,172.50 ", N/A ,"$14,280.00 ","$6,604.50 ","$14,280.00 ", N/A , N/A ,"$17,850.00 ","$9,674.70 ", N/A ,"$4,694.55 ", N/A , N/A , N/A , N/A , N/A ,"$15,172.50 ", N/A , N/A ,"$4,998.00 ","$16,065.00 ","$12,852.00 ","$17,850.00 ","$8,925.00 ","$11,245.50 ","$11,245.50 ", N/A ,"$8,568.00 ","$16,065.00 " ST. JOHN'S HOSPITAL,27802062,N/A,HC IMPLANT SURGICAL T47,278,1 ,"$18,500.00 ","$12,025.00 ","$4,865.50 ","$18,500.00 ", N/A ,"$8,510.00 ","$10,027.00 ", N/A ,"$5,180.00 ","$5,920.00 ", N/A ,"$6,808.00 ", N/A ,"$7,067.00 ", N/A , N/A ,"$7,067.00 ", N/A ,"$9,731.00 ","$9,435.00 ", N/A , N/A ,"$12,950.00 ", N/A ,"$9,250.00 ", N/A ,"$13,875.00 ","$9,342.50 ","$8,251.00 ","$9,342.50 ", N/A ,"$9,342.50 ","$9,250.00 ","$9,250.00 ","$9,250.00 ","$18,500.00 ","$15,725.00 ", N/A ,"$14,800.00 ","$6,845.00 ","$14,800.00 ", N/A , N/A ,"$18,500.00 ","$10,027.00 ", N/A ,"$4,865.50 ", N/A , N/A , N/A , N/A , N/A ,"$15,725.00 ", N/A , N/A ,"$5,180.00 ","$16,650.00 ","$13,320.00 ","$18,500.00 ","$9,250.00 ","$11,655.00 ","$11,655.00 ", N/A ,"$8,880.00 ","$16,650.00 " ST. JOHN'S HOSPITAL,27802063,N/A,HC IMPLANT SURGICAL T48,278,1 ,"$19,750.00 ","$12,837.50 ","$5,194.25 ","$19,750.00 ", N/A ,"$9,085.00 ","$10,704.50 ", N/A ,"$5,530.00 ","$6,320.00 ", N/A ,"$7,268.00 ", N/A ,"$7,544.50 ", N/A , N/A ,"$7,544.50 ", N/A ,"$10,388.50 ","$10,072.50 ", N/A , N/A ,"$13,825.00 ", N/A ,"$9,875.00 ", N/A ,"$14,812.50 ","$9,973.75 ","$8,808.50 ","$9,973.75 ", N/A ,"$9,973.75 ","$9,875.00 ","$9,875.00 ","$9,875.00 ","$19,750.00 ","$16,787.50 ", N/A ,"$15,800.00 ","$7,307.50 ","$15,800.00 ", N/A , N/A ,"$19,750.00 ","$10,704.50 ", N/A ,"$5,194.25 ", N/A , N/A , N/A , N/A , N/A ,"$16,787.50 ", N/A , N/A ,"$5,530.00 ","$17,775.00 ","$14,220.00 ","$19,750.00 ","$9,875.00 ","$12,442.50 ","$12,442.50 ", N/A ,"$9,480.00 ","$17,775.00 " ST. JOHN'S HOSPITAL,27802064,N/A,HC IMPLANT SURGICAL T49,278,1 ,"$21,000.00 ","$13,650.00 ","$5,523.00 ","$21,000.00 ", N/A ,"$9,660.00 ","$11,382.00 ", N/A ,"$5,880.00 ","$6,720.00 ", N/A ,"$7,728.00 ", N/A ,"$8,022.00 ", N/A , N/A ,"$8,022.00 ", N/A ,"$11,046.00 ","$10,710.00 ", N/A , N/A ,"$14,700.00 ", N/A ,"$10,500.00 ", N/A ,"$15,750.00 ","$10,605.00 ","$9,366.00 ","$10,605.00 ", N/A ,"$10,605.00 ","$10,500.00 ","$10,500.00 ","$10,500.00 ","$21,000.00 ","$17,850.00 ", N/A ,"$16,800.00 ","$7,770.00 ","$16,800.00 ", N/A , N/A ,"$21,000.00 ","$11,382.00 ", N/A ,"$5,523.00 ", N/A , N/A , N/A , N/A , N/A ,"$17,850.00 ", N/A , N/A ,"$5,880.00 ","$18,900.00 ","$15,120.00 ","$21,000.00 ","$10,500.00 ","$13,230.00 ","$13,230.00 ", N/A ,"$10,080.00 ","$18,900.00 " ST. JOHN'S HOSPITAL,27802065,N/A,HC IMPLANT SURGICAL T50,278,1 ,"$22,250.00 ","$14,462.50 ","$5,851.75 ","$22,250.00 ", N/A ,"$10,235.00 ","$12,059.50 ", N/A ,"$6,230.00 ","$7,120.00 ", N/A ,"$8,188.00 ", N/A ,"$8,499.50 ", N/A , N/A ,"$8,499.50 ", N/A ,"$11,703.50 ","$11,347.50 ", N/A , N/A ,"$15,575.00 ", N/A ,"$11,125.00 ", N/A ,"$16,687.50 ","$11,236.25 ","$9,923.50 ","$11,236.25 ", N/A ,"$11,236.25 ","$11,125.00 ","$11,125.00 ","$11,125.00 ","$22,250.00 ","$18,912.50 ", N/A ,"$17,800.00 ","$8,232.50 ","$17,800.00 ", N/A , N/A ,"$22,250.00 ","$12,059.50 ", N/A ,"$5,851.75 ", N/A , N/A , N/A , N/A , N/A ,"$18,912.50 ", N/A , N/A ,"$6,230.00 ","$20,025.00 ","$16,020.00 ","$22,250.00 ","$11,125.00 ","$14,017.50 ","$14,017.50 ", N/A ,"$10,680.00 ","$20,025.00 " ST. JOHN'S HOSPITAL,27802066,N/A,HC IMPLANT SURGICAL T51,278,1 ,"$23,500.00 ","$15,275.00 ","$6,180.50 ","$23,500.00 ", N/A ,"$10,810.00 ","$12,737.00 ", N/A ,"$6,580.00 ","$7,520.00 ", N/A ,"$8,648.00 ", N/A ,"$8,977.00 ", N/A , N/A ,"$8,977.00 ", N/A ,"$12,361.00 ","$11,985.00 ", N/A , N/A ,"$16,450.00 ", N/A ,"$11,750.00 ", N/A ,"$17,625.00 ","$11,867.50 ","$10,481.00 ","$11,867.50 ", N/A ,"$11,867.50 ","$11,750.00 ","$11,750.00 ","$11,750.00 ","$23,500.00 ","$19,975.00 ", N/A ,"$18,800.00 ","$8,695.00 ","$18,800.00 ", N/A , N/A ,"$23,500.00 ","$12,737.00 ", N/A ,"$6,180.50 ", N/A , N/A , N/A , N/A , N/A ,"$19,975.00 ", N/A , N/A ,"$6,580.00 ","$21,150.00 ","$16,920.00 ","$23,500.00 ","$11,750.00 ","$14,805.00 ","$14,805.00 ", N/A ,"$11,280.00 ","$21,150.00 " ST. JOHN'S HOSPITAL,27802067,N/A,HC IMPLANT SURGICAL T52,278,1 ,"$24,750.00 ","$16,087.50 ","$6,509.25 ","$24,750.00 ", N/A ,"$11,385.00 ","$13,414.50 ", N/A ,"$6,930.00 ","$7,920.00 ", N/A ,"$9,108.00 ", N/A ,"$9,454.50 ", N/A , N/A ,"$9,454.50 ", N/A ,"$13,018.50 ","$12,622.50 ", N/A , N/A ,"$17,325.00 ", N/A ,"$12,375.00 ", N/A ,"$18,562.50 ","$12,498.75 ","$11,038.50 ","$12,498.75 ", N/A ,"$12,498.75 ","$12,375.00 ","$12,375.00 ","$12,375.00 ","$24,750.00 ","$21,037.50 ", N/A ,"$19,800.00 ","$9,157.50 ","$19,800.00 ", N/A , N/A ,"$24,750.00 ","$13,414.50 ", N/A ,"$6,509.25 ", N/A , N/A , N/A , N/A , N/A ,"$21,037.50 ", N/A , N/A ,"$6,930.00 ","$22,275.00 ","$17,820.00 ","$24,750.00 ","$12,375.00 ","$15,592.50 ","$15,592.50 ", N/A ,"$11,880.00 ","$22,275.00 " ST. JOHN'S HOSPITAL,27802068,N/A,HC IMPLANT SURGICAL T53,278,1 ,"$26,000.00 ","$16,900.00 ","$6,838.00 ","$26,000.00 ", N/A ,"$11,960.00 ","$14,092.00 ", N/A ,"$7,280.00 ","$8,320.00 ", N/A ,"$9,568.00 ", N/A ,"$9,932.00 ", N/A , N/A ,"$9,932.00 ", N/A ,"$13,676.00 ","$13,260.00 ", N/A , N/A ,"$18,200.00 ", N/A ,"$13,000.00 ", N/A ,"$19,500.00 ","$13,130.00 ","$11,596.00 ","$13,130.00 ", N/A ,"$13,130.00 ","$13,000.00 ","$13,000.00 ","$13,000.00 ","$26,000.00 ","$22,100.00 ", N/A ,"$20,800.00 ","$9,620.00 ","$20,800.00 ", N/A , N/A ,"$26,000.00 ","$14,092.00 ", N/A ,"$6,838.00 ", N/A , N/A , N/A , N/A , N/A ,"$22,100.00 ", N/A , N/A ,"$7,280.00 ","$23,400.00 ","$18,720.00 ","$26,000.00 ","$13,000.00 ","$16,380.00 ","$16,380.00 ", N/A ,"$12,480.00 ","$23,400.00 " ST. JOHN'S HOSPITAL,27802069,N/A,HC IMPLANT SURGICAL T54,278,1 ,"$27,250.00 ","$17,712.50 ","$7,166.75 ","$27,250.00 ", N/A ,"$12,535.00 ","$14,769.50 ", N/A ,"$7,630.00 ","$8,720.00 ", N/A ,"$10,028.00 ", N/A ,"$10,409.50 ", N/A , N/A ,"$10,409.50 ", N/A ,"$14,333.50 ","$13,897.50 ", N/A , N/A ,"$19,075.00 ", N/A ,"$13,625.00 ", N/A ,"$20,437.50 ","$13,761.25 ","$12,153.50 ","$13,761.25 ", N/A ,"$13,761.25 ","$13,625.00 ","$13,625.00 ","$13,625.00 ","$27,250.00 ","$23,162.50 ", N/A ,"$21,800.00 ","$10,082.50 ","$21,800.00 ", N/A , N/A ,"$27,250.00 ","$14,769.50 ", N/A ,"$7,166.75 ", N/A , N/A , N/A , N/A , N/A ,"$23,162.50 ", N/A , N/A ,"$7,630.00 ","$24,525.00 ","$19,620.00 ","$27,250.00 ","$13,625.00 ","$17,167.50 ","$17,167.50 ", N/A ,"$13,080.00 ","$24,525.00 " ST. JOHN'S HOSPITAL,27802070,N/A,HC IMPLANT SURGICAL T55,278,1 ,"$28,500.00 ","$18,525.00 ","$7,495.50 ","$28,500.00 ", N/A ,"$13,110.00 ","$15,447.00 ", N/A ,"$7,980.00 ","$9,120.00 ", N/A ,"$10,488.00 ", N/A ,"$10,887.00 ", N/A , N/A ,"$10,887.00 ", N/A ,"$14,991.00 ","$14,535.00 ", N/A , N/A ,"$19,950.00 ", N/A ,"$14,250.00 ", N/A ,"$21,375.00 ","$14,392.50 ","$12,711.00 ","$14,392.50 ", N/A ,"$14,392.50 ","$14,250.00 ","$14,250.00 ","$14,250.00 ","$28,500.00 ","$24,225.00 ", N/A ,"$22,800.00 ","$10,545.00 ","$22,800.00 ", N/A , N/A ,"$28,500.00 ","$15,447.00 ", N/A ,"$7,495.50 ", N/A , N/A , N/A , N/A , N/A ,"$24,225.00 ", N/A , N/A ,"$7,980.00 ","$25,650.00 ","$20,520.00 ","$28,500.00 ","$14,250.00 ","$17,955.00 ","$17,955.00 ", N/A ,"$13,680.00 ","$25,650.00 " ST. JOHN'S HOSPITAL,27802071,N/A,HC IMPLANT SURGICAL T56,278,1 ,"$29,750.00 ","$19,337.50 ","$7,824.25 ","$29,750.00 ", N/A ,"$13,685.00 ","$16,124.50 ", N/A ,"$8,330.00 ","$9,520.00 ", N/A ,"$10,948.00 ", N/A ,"$11,364.50 ", N/A , N/A ,"$11,364.50 ", N/A ,"$15,648.50 ","$15,172.50 ", N/A , N/A ,"$20,825.00 ", N/A ,"$14,875.00 ", N/A ,"$22,312.50 ","$15,023.75 ","$13,268.50 ","$15,023.75 ", N/A ,"$15,023.75 ","$14,875.00 ","$14,875.00 ","$14,875.00 ","$29,750.00 ","$25,287.50 ", N/A ,"$23,800.00 ","$11,007.50 ","$23,800.00 ", N/A , N/A ,"$29,750.00 ","$16,124.50 ", N/A ,"$7,824.25 ", N/A , N/A , N/A , N/A , N/A ,"$25,287.50 ", N/A , N/A ,"$8,330.00 ","$26,775.00 ","$21,420.00 ","$29,750.00 ","$14,875.00 ","$18,742.50 ","$18,742.50 ", N/A ,"$14,280.00 ","$26,775.00 " ST. JOHN'S HOSPITAL,27802072,N/A,HC IMPLANT SURGICAL T57,278,1 ,"$31,000.00 ","$20,150.00 ","$8,153.00 ","$31,000.00 ", N/A ,"$14,260.00 ","$16,802.00 ", N/A ,"$8,680.00 ","$9,920.00 ", N/A ,"$11,408.00 ", N/A ,"$11,842.00 ", N/A , N/A ,"$11,842.00 ", N/A ,"$16,306.00 ","$15,810.00 ", N/A , N/A ,"$21,700.00 ", N/A ,"$15,500.00 ", N/A ,"$23,250.00 ","$15,655.00 ","$13,826.00 ","$15,655.00 ", N/A ,"$15,655.00 ","$15,500.00 ","$15,500.00 ","$15,500.00 ","$31,000.00 ","$26,350.00 ", N/A ,"$24,800.00 ","$11,470.00 ","$24,800.00 ", N/A , N/A ,"$31,000.00 ","$16,802.00 ", N/A ,"$8,153.00 ", N/A , N/A , N/A , N/A , N/A ,"$26,350.00 ", N/A , N/A ,"$8,680.00 ","$27,900.00 ","$22,320.00 ","$31,000.00 ","$15,500.00 ","$19,530.00 ","$19,530.00 ", N/A ,"$14,880.00 ","$27,900.00 " ST. JOHN'S HOSPITAL,27802073,N/A,HC IMPLANT SURGICAL T58,278,1 ,"$32,250.00 ","$20,962.50 ","$8,481.75 ","$32,250.00 ", N/A ,"$14,835.00 ","$17,479.50 ", N/A ,"$9,030.00 ","$10,320.00 ", N/A ,"$11,868.00 ", N/A ,"$12,319.50 ", N/A , N/A ,"$12,319.50 ", N/A ,"$16,963.50 ","$16,447.50 ", N/A , N/A ,"$22,575.00 ", N/A ,"$16,125.00 ", N/A ,"$24,187.50 ","$16,286.25 ","$14,383.50 ","$16,286.25 ", N/A ,"$16,286.25 ","$16,125.00 ","$16,125.00 ","$16,125.00 ","$32,250.00 ","$27,412.50 ", N/A ,"$25,800.00 ","$11,932.50 ","$25,800.00 ", N/A , N/A ,"$32,250.00 ","$17,479.50 ", N/A ,"$8,481.75 ", N/A , N/A , N/A , N/A , N/A ,"$27,412.50 ", N/A , N/A ,"$9,030.00 ","$29,025.00 ","$23,220.00 ","$32,250.00 ","$16,125.00 ","$20,317.50 ","$20,317.50 ", N/A ,"$15,480.00 ","$29,025.00 " ST. JOHN'S HOSPITAL,27802074,N/A,HC IMPLANT SURGICAL T59,278,1 ,"$33,500.00 ","$21,775.00 ","$8,810.50 ","$33,500.00 ", N/A ,"$15,410.00 ","$18,157.00 ", N/A ,"$9,380.00 ","$10,720.00 ", N/A ,"$12,328.00 ", N/A ,"$12,797.00 ", N/A , N/A ,"$12,797.00 ", N/A ,"$17,621.00 ","$17,085.00 ", N/A , N/A ,"$23,450.00 ", N/A ,"$16,750.00 ", N/A ,"$25,125.00 ","$16,917.50 ","$14,941.00 ","$16,917.50 ", N/A ,"$16,917.50 ","$16,750.00 ","$16,750.00 ","$16,750.00 ","$33,500.00 ","$28,475.00 ", N/A ,"$26,800.00 ","$12,395.00 ","$26,800.00 ", N/A , N/A ,"$33,500.00 ","$18,157.00 ", N/A ,"$8,810.50 ", N/A , N/A , N/A , N/A , N/A ,"$28,475.00 ", N/A , N/A ,"$9,380.00 ","$30,150.00 ","$24,120.00 ","$33,500.00 ","$16,750.00 ","$21,105.00 ","$21,105.00 ", N/A ,"$16,080.00 ","$30,150.00 " ST. JOHN'S HOSPITAL,27802075,N/A,HC IMPLANT SURGICAL T60,278,1 ,"$34,750.00 ","$22,587.50 ","$9,139.25 ","$34,750.00 ", N/A ,"$15,985.00 ","$18,834.50 ", N/A ,"$9,730.00 ","$11,120.00 ", N/A ,"$12,788.00 ", N/A ,"$13,274.50 ", N/A , N/A ,"$13,274.50 ", N/A ,"$18,278.50 ","$17,722.50 ", N/A , N/A ,"$24,325.00 ", N/A ,"$17,375.00 ", N/A ,"$26,062.50 ","$17,548.75 ","$15,498.50 ","$17,548.75 ", N/A ,"$17,548.75 ","$17,375.00 ","$17,375.00 ","$17,375.00 ","$34,750.00 ","$29,537.50 ", N/A ,"$27,800.00 ","$12,857.50 ","$27,800.00 ", N/A , N/A ,"$34,750.00 ","$18,834.50 ", N/A ,"$9,139.25 ", N/A , N/A , N/A , N/A , N/A ,"$29,537.50 ", N/A , N/A ,"$9,730.00 ","$31,275.00 ","$25,020.00 ","$34,750.00 ","$17,375.00 ","$21,892.50 ","$21,892.50 ", N/A ,"$16,680.00 ","$31,275.00 " ST. JOHN'S HOSPITAL,27802076,N/A,HC IMPLANT SURGICAL T61,278,1 ,"$36,000.00 ","$23,400.00 ","$9,468.00 ","$36,000.00 ", N/A ,"$16,560.00 ","$19,512.00 ", N/A ,"$10,080.00 ","$11,520.00 ", N/A ,"$13,248.00 ", N/A ,"$13,752.00 ", N/A , N/A ,"$13,752.00 ", N/A ,"$18,936.00 ","$18,360.00 ", N/A , N/A ,"$25,200.00 ", N/A ,"$18,000.00 ", N/A ,"$27,000.00 ","$18,180.00 ","$16,056.00 ","$18,180.00 ", N/A ,"$18,180.00 ","$18,000.00 ","$18,000.00 ","$18,000.00 ","$36,000.00 ","$30,600.00 ", N/A ,"$28,800.00 ","$13,320.00 ","$28,800.00 ", N/A , N/A ,"$36,000.00 ","$19,512.00 ", N/A ,"$9,468.00 ", N/A , N/A , N/A , N/A , N/A ,"$30,600.00 ", N/A , N/A ,"$10,080.00 ","$32,400.00 ","$25,920.00 ","$36,000.00 ","$18,000.00 ","$22,680.00 ","$22,680.00 ", N/A ,"$17,280.00 ","$32,400.00 " ST. JOHN'S HOSPITAL,27802077,N/A,HC IMPLANT SURGICAL T62,278,1 ,"$37,250.00 ","$24,212.50 ","$9,796.75 ","$37,250.00 ", N/A ,"$17,135.00 ","$20,189.50 ", N/A ,"$10,430.00 ","$11,920.00 ", N/A ,"$13,708.00 ", N/A ,"$14,229.50 ", N/A , N/A ,"$14,229.50 ", N/A ,"$19,593.50 ","$18,997.50 ", N/A , N/A ,"$26,075.00 ", N/A ,"$18,625.00 ", N/A ,"$27,937.50 ","$18,811.25 ","$16,613.50 ","$18,811.25 ", N/A ,"$18,811.25 ","$18,625.00 ","$18,625.00 ","$18,625.00 ","$37,250.00 ","$31,662.50 ", N/A ,"$29,800.00 ","$13,782.50 ","$29,800.00 ", N/A , N/A ,"$37,250.00 ","$20,189.50 ", N/A ,"$9,796.75 ", N/A , N/A , N/A , N/A , N/A ,"$31,662.50 ", N/A , N/A ,"$10,430.00 ","$33,525.00 ","$26,820.00 ","$37,250.00 ","$18,625.00 ","$23,467.50 ","$23,467.50 ", N/A ,"$17,880.00 ","$33,525.00 " ST. JOHN'S HOSPITAL,27802078,N/A,HC IMPLANT SURGICAL T63,278,1 ,"$38,500.00 ","$25,025.00 ","$10,125.50 ","$38,500.00 ", N/A ,"$17,710.00 ","$20,867.00 ", N/A ,"$10,780.00 ","$12,320.00 ", N/A ,"$14,168.00 ", N/A ,"$14,707.00 ", N/A , N/A ,"$14,707.00 ", N/A ,"$20,251.00 ","$19,635.00 ", N/A , N/A ,"$26,950.00 ", N/A ,"$19,250.00 ", N/A ,"$28,875.00 ","$19,442.50 ","$17,171.00 ","$19,442.50 ", N/A ,"$19,442.50 ","$19,250.00 ","$19,250.00 ","$19,250.00 ","$38,500.00 ","$32,725.00 ", N/A ,"$30,800.00 ","$14,245.00 ","$30,800.00 ", N/A , N/A ,"$38,500.00 ","$20,867.00 ", N/A ,"$10,125.50 ", N/A , N/A , N/A , N/A , N/A ,"$32,725.00 ", N/A , N/A ,"$10,780.00 ","$34,650.00 ","$27,720.00 ","$38,500.00 ","$19,250.00 ","$24,255.00 ","$24,255.00 ", N/A ,"$18,480.00 ","$34,650.00 " ST. JOHN'S HOSPITAL,27802079,N/A,HC IMPLANT SURGICAL T64,278,1 ,"$39,750.00 ","$25,837.50 ","$10,454.25 ","$39,750.00 ", N/A ,"$18,285.00 ","$21,544.50 ", N/A ,"$11,130.00 ","$12,720.00 ", N/A ,"$14,628.00 ", N/A ,"$15,184.50 ", N/A , N/A ,"$15,184.50 ", N/A ,"$20,908.50 ","$20,272.50 ", N/A , N/A ,"$27,825.00 ", N/A ,"$19,875.00 ", N/A ,"$29,812.50 ","$20,073.75 ","$17,728.50 ","$20,073.75 ", N/A ,"$20,073.75 ","$19,875.00 ","$19,875.00 ","$19,875.00 ","$39,750.00 ","$33,787.50 ", N/A ,"$31,800.00 ","$14,707.50 ","$31,800.00 ", N/A , N/A ,"$39,750.00 ","$21,544.50 ", N/A ,"$10,454.25 ", N/A , N/A , N/A , N/A , N/A ,"$33,787.50 ", N/A , N/A ,"$11,130.00 ","$35,775.00 ","$28,620.00 ","$39,750.00 ","$19,875.00 ","$25,042.50 ","$25,042.50 ", N/A ,"$19,080.00 ","$35,775.00 " ST. JOHN'S HOSPITAL,27802080,N/A,HC IMPLANT SURGICAL T65,278,1 ,"$41,000.00 ","$26,650.00 ","$10,783.00 ","$41,000.00 ", N/A ,"$18,860.00 ","$22,222.00 ", N/A ,"$11,480.00 ","$13,120.00 ", N/A ,"$15,088.00 ", N/A ,"$15,662.00 ", N/A , N/A ,"$15,662.00 ", N/A ,"$21,566.00 ","$20,910.00 ", N/A , N/A ,"$28,700.00 ", N/A ,"$20,500.00 ", N/A ,"$30,750.00 ","$20,705.00 ","$18,286.00 ","$20,705.00 ", N/A ,"$20,705.00 ","$20,500.00 ","$20,500.00 ","$20,500.00 ","$41,000.00 ","$34,850.00 ", N/A ,"$32,800.00 ","$15,170.00 ","$32,800.00 ", N/A , N/A ,"$41,000.00 ","$22,222.00 ", N/A ,"$10,783.00 ", N/A , N/A , N/A , N/A , N/A ,"$34,850.00 ", N/A , N/A ,"$11,480.00 ","$36,900.00 ","$29,520.00 ","$41,000.00 ","$20,500.00 ","$25,830.00 ","$25,830.00 ", N/A ,"$19,680.00 ","$36,900.00 " ST. JOHN'S HOSPITAL,27802081,N/A,HC IMPLANT SURGICAL T66,278,1 ,"$42,250.00 ","$27,462.50 ","$11,111.75 ","$42,250.00 ", N/A ,"$19,435.00 ","$22,899.50 ", N/A ,"$11,830.00 ","$13,520.00 ", N/A ,"$15,548.00 ", N/A ,"$16,139.50 ", N/A , N/A ,"$16,139.50 ", N/A ,"$22,223.50 ","$21,547.50 ", N/A , N/A ,"$29,575.00 ", N/A ,"$21,125.00 ", N/A ,"$31,687.50 ","$21,336.25 ","$18,843.50 ","$21,336.25 ", N/A ,"$21,336.25 ","$21,125.00 ","$21,125.00 ","$21,125.00 ","$42,250.00 ","$35,912.50 ", N/A ,"$33,800.00 ","$15,632.50 ","$33,800.00 ", N/A , N/A ,"$42,250.00 ","$22,899.50 ", N/A ,"$11,111.75 ", N/A , N/A , N/A , N/A , N/A ,"$35,912.50 ", N/A , N/A ,"$11,830.00 ","$38,025.00 ","$30,420.00 ","$42,250.00 ","$21,125.00 ","$26,617.50 ","$26,617.50 ", N/A ,"$20,280.00 ","$38,025.00 " ST. JOHN'S HOSPITAL,27802082,N/A,HC IMPLANT SURGICAL T67,278,1 ,"$43,500.00 ","$28,275.00 ","$11,440.50 ","$43,500.00 ", N/A ,"$20,010.00 ","$23,577.00 ", N/A ,"$12,180.00 ","$13,920.00 ", N/A ,"$16,008.00 ", N/A ,"$16,617.00 ", N/A , N/A ,"$16,617.00 ", N/A ,"$22,881.00 ","$22,185.00 ", N/A , N/A ,"$30,450.00 ", N/A ,"$21,750.00 ", N/A ,"$32,625.00 ","$21,967.50 ","$19,401.00 ","$21,967.50 ", N/A ,"$21,967.50 ","$21,750.00 ","$21,750.00 ","$21,750.00 ","$43,500.00 ","$36,975.00 ", N/A ,"$34,800.00 ","$16,095.00 ","$34,800.00 ", N/A , N/A ,"$43,500.00 ","$23,577.00 ", N/A ,"$11,440.50 ", N/A , N/A , N/A , N/A , N/A ,"$36,975.00 ", N/A , N/A ,"$12,180.00 ","$39,150.00 ","$31,320.00 ","$43,500.00 ","$21,750.00 ","$27,405.00 ","$27,405.00 ", N/A ,"$20,880.00 ","$39,150.00 " ST. JOHN'S HOSPITAL,27802083,N/A,HC IMPLANT SURGICAL T68,278,1 ,"$44,750.00 ","$29,087.50 ","$11,769.25 ","$44,750.00 ", N/A ,"$20,585.00 ","$24,254.50 ", N/A ,"$12,530.00 ","$14,320.00 ", N/A ,"$16,468.00 ", N/A ,"$17,094.50 ", N/A , N/A ,"$17,094.50 ", N/A ,"$23,538.50 ","$22,822.50 ", N/A , N/A ,"$31,325.00 ", N/A ,"$22,375.00 ", N/A ,"$33,562.50 ","$22,598.75 ","$19,958.50 ","$22,598.75 ", N/A ,"$22,598.75 ","$22,375.00 ","$22,375.00 ","$22,375.00 ","$44,750.00 ","$38,037.50 ", N/A ,"$35,800.00 ","$16,557.50 ","$35,800.00 ", N/A , N/A ,"$44,750.00 ","$24,254.50 ", N/A ,"$11,769.25 ", N/A , N/A , N/A , N/A , N/A ,"$38,037.50 ", N/A , N/A ,"$12,530.00 ","$40,275.00 ","$32,220.00 ","$44,750.00 ","$22,375.00 ","$28,192.50 ","$28,192.50 ", N/A ,"$21,480.00 ","$40,275.00 " ST. JOHN'S HOSPITAL,27802084,N/A,HC IMPLANT SURGICAL T69,278,1 ,"$46,000.00 ","$29,900.00 ","$12,098.00 ","$46,000.00 ", N/A ,"$21,160.00 ","$24,932.00 ", N/A ,"$12,880.00 ","$14,720.00 ", N/A ,"$16,928.00 ", N/A ,"$17,572.00 ", N/A , N/A ,"$17,572.00 ", N/A ,"$24,196.00 ","$23,460.00 ", N/A , N/A ,"$32,200.00 ", N/A ,"$23,000.00 ", N/A ,"$34,500.00 ","$23,230.00 ","$20,516.00 ","$23,230.00 ", N/A ,"$23,230.00 ","$23,000.00 ","$23,000.00 ","$23,000.00 ","$46,000.00 ","$39,100.00 ", N/A ,"$36,800.00 ","$17,020.00 ","$36,800.00 ", N/A , N/A ,"$46,000.00 ","$24,932.00 ", N/A ,"$12,098.00 ", N/A , N/A , N/A , N/A , N/A ,"$39,100.00 ", N/A , N/A ,"$12,880.00 ","$41,400.00 ","$33,120.00 ","$46,000.00 ","$23,000.00 ","$28,980.00 ","$28,980.00 ", N/A ,"$22,080.00 ","$41,400.00 " ST. JOHN'S HOSPITAL,27802085,N/A,HC IMPLANT SURGICAL T70,278,1 ,"$47,250.00 ","$30,712.50 ","$12,426.75 ","$47,250.00 ", N/A ,"$21,735.00 ","$25,609.50 ", N/A ,"$13,230.00 ","$15,120.00 ", N/A ,"$17,388.00 ", N/A ,"$18,049.50 ", N/A , N/A ,"$18,049.50 ", N/A ,"$24,853.50 ","$24,097.50 ", N/A , N/A ,"$33,075.00 ", N/A ,"$23,625.00 ", N/A ,"$35,437.50 ","$23,861.25 ","$21,073.50 ","$23,861.25 ", N/A ,"$23,861.25 ","$23,625.00 ","$23,625.00 ","$23,625.00 ","$47,250.00 ","$40,162.50 ", N/A ,"$37,800.00 ","$17,482.50 ","$37,800.00 ", N/A , N/A ,"$47,250.00 ","$25,609.50 ", N/A ,"$12,426.75 ", N/A , N/A , N/A , N/A , N/A ,"$40,162.50 ", N/A , N/A ,"$13,230.00 ","$42,525.00 ","$34,020.00 ","$47,250.00 ","$23,625.00 ","$29,767.50 ","$29,767.50 ", N/A ,"$22,680.00 ","$42,525.00 " ST. JOHN'S HOSPITAL,27802086,N/A,HC IMPLANT SURGICAL T71,278,1 ,"$48,500.00 ","$31,525.00 ","$12,755.50 ","$48,500.00 ", N/A ,"$22,310.00 ","$26,287.00 ", N/A ,"$13,580.00 ","$15,520.00 ", N/A ,"$17,848.00 ", N/A ,"$18,527.00 ", N/A , N/A ,"$18,527.00 ", N/A ,"$25,511.00 ","$24,735.00 ", N/A , N/A ,"$33,950.00 ", N/A ,"$24,250.00 ", N/A ,"$36,375.00 ","$24,492.50 ","$21,631.00 ","$24,492.50 ", N/A ,"$24,492.50 ","$24,250.00 ","$24,250.00 ","$24,250.00 ","$48,500.00 ","$41,225.00 ", N/A ,"$38,800.00 ","$17,945.00 ","$38,800.00 ", N/A , N/A ,"$48,500.00 ","$26,287.00 ", N/A ,"$12,755.50 ", N/A , N/A , N/A , N/A , N/A ,"$41,225.00 ", N/A , N/A ,"$13,580.00 ","$43,650.00 ","$34,920.00 ","$48,500.00 ","$24,250.00 ","$30,555.00 ","$30,555.00 ", N/A ,"$23,280.00 ","$43,650.00 " ST. JOHN'S HOSPITAL,27802087,N/A,HC IMPLANT SURGICAL T72,278,1 ,"$49,750.00 ","$32,337.50 ","$13,084.25 ","$49,750.00 ", N/A ,"$22,885.00 ","$26,964.50 ", N/A ,"$13,930.00 ","$15,920.00 ", N/A ,"$18,308.00 ", N/A ,"$19,004.50 ", N/A , N/A ,"$19,004.50 ", N/A ,"$26,168.50 ","$25,372.50 ", N/A , N/A ,"$34,825.00 ", N/A ,"$24,875.00 ", N/A ,"$37,312.50 ","$25,123.75 ","$22,188.50 ","$25,123.75 ", N/A ,"$25,123.75 ","$24,875.00 ","$24,875.00 ","$24,875.00 ","$49,750.00 ","$42,287.50 ", N/A ,"$39,800.00 ","$18,407.50 ","$39,800.00 ", N/A , N/A ,"$49,750.00 ","$26,964.50 ", N/A ,"$13,084.25 ", N/A , N/A , N/A , N/A , N/A ,"$42,287.50 ", N/A , N/A ,"$13,930.00 ","$44,775.00 ","$35,820.00 ","$49,750.00 ","$24,875.00 ","$31,342.50 ","$31,342.50 ", N/A ,"$23,880.00 ","$44,775.00 " ST. JOHN'S HOSPITAL,27802088,N/A,HC IMPLANT SURGICAL T73,278,1 ,"$51,000.00 ","$33,150.00 ","$13,413.00 ","$51,000.00 ", N/A ,"$23,460.00 ","$27,642.00 ", N/A ,"$14,280.00 ","$16,320.00 ", N/A ,"$18,768.00 ", N/A ,"$19,482.00 ", N/A , N/A ,"$19,482.00 ", N/A ,"$26,826.00 ","$26,010.00 ", N/A , N/A ,"$35,700.00 ", N/A ,"$25,500.00 ", N/A ,"$38,250.00 ","$25,755.00 ","$22,746.00 ","$25,755.00 ", N/A ,"$25,755.00 ","$25,500.00 ","$25,500.00 ","$25,500.00 ","$51,000.00 ","$43,350.00 ", N/A ,"$40,800.00 ","$18,870.00 ","$40,800.00 ", N/A , N/A ,"$51,000.00 ","$27,642.00 ", N/A ,"$13,413.00 ", N/A , N/A , N/A , N/A , N/A ,"$43,350.00 ", N/A , N/A ,"$14,280.00 ","$45,900.00 ","$36,720.00 ","$51,000.00 ","$25,500.00 ","$32,130.00 ","$32,130.00 ", N/A ,"$24,480.00 ","$45,900.00 " ST. JOHN'S HOSPITAL,27802089,N/A,HC IMPLANT SURGICAL T74,278,1 ,"$52,250.00 ","$33,962.50 ","$13,741.75 ","$52,250.00 ", N/A ,"$24,035.00 ","$28,319.50 ", N/A ,"$14,630.00 ","$16,720.00 ", N/A ,"$19,228.00 ", N/A ,"$19,959.50 ", N/A , N/A ,"$19,959.50 ", N/A ,"$27,483.50 ","$26,647.50 ", N/A , N/A ,"$36,575.00 ", N/A ,"$26,125.00 ", N/A ,"$39,187.50 ","$26,386.25 ","$23,303.50 ","$26,386.25 ", N/A ,"$26,386.25 ","$26,125.00 ","$26,125.00 ","$26,125.00 ","$52,250.00 ","$44,412.50 ", N/A ,"$41,800.00 ","$19,332.50 ","$41,800.00 ", N/A , N/A ,"$52,250.00 ","$28,319.50 ", N/A ,"$13,741.75 ", N/A , N/A , N/A , N/A , N/A ,"$44,412.50 ", N/A , N/A ,"$14,630.00 ","$47,025.00 ","$37,620.00 ","$52,250.00 ","$26,125.00 ","$32,917.50 ","$32,917.50 ", N/A ,"$25,080.00 ","$47,025.00 " ST. JOHN'S HOSPITAL,27802102,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T13,278,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A , N/A ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 , N/A , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$401.40 ,$454.50 , N/A ,$454.50 ,$450.00 ,$450.00 ,$450.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A , N/A ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$450.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,27802103,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T14,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27802108,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T5,278,1 ,"$7,550.00 ","$4,907.50 ","$1,985.65 ","$7,550.00 ", N/A ,"$3,473.00 ","$4,092.10 ", N/A ,"$2,114.00 ","$2,416.00 ", N/A ,"$2,778.40 ", N/A ,"$2,884.10 ", N/A , N/A ,"$2,884.10 ", N/A ,"$3,971.30 ","$3,850.50 ", N/A , N/A ,"$5,285.00 ", N/A ,"$3,775.00 ", N/A ,"$5,662.50 ","$3,812.75 ","$3,367.30 ","$3,812.75 ", N/A ,"$3,812.75 ","$3,775.00 ","$3,775.00 ","$3,775.00 ","$7,550.00 ","$6,417.50 ", N/A ,"$6,040.00 ","$2,793.50 ","$6,040.00 ", N/A , N/A ,"$7,550.00 ","$4,092.10 ", N/A ,"$1,985.65 ", N/A , N/A , N/A , N/A , N/A ,"$6,417.50 ", N/A , N/A ,"$2,114.00 ","$6,795.00 ","$5,436.00 ","$7,550.00 ","$3,775.00 ","$4,756.50 ","$4,756.50 ", N/A ,"$3,624.00 ","$6,795.00 " ST. JOHN'S HOSPITAL,27802110,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T7,278,1 ,"$8,430.00 ","$5,479.50 ","$2,217.09 ","$8,430.00 ", N/A ,"$3,877.80 ","$4,569.06 ", N/A ,"$2,360.40 ","$2,697.60 ", N/A ,"$3,102.24 ", N/A ,"$3,220.26 ", N/A , N/A ,"$3,220.26 ", N/A ,"$4,434.18 ","$4,299.30 ", N/A , N/A ,"$5,901.00 ", N/A ,"$4,215.00 ", N/A ,"$6,322.50 ","$4,257.15 ","$3,759.78 ","$4,257.15 ", N/A ,"$4,257.15 ","$4,215.00 ","$4,215.00 ","$4,215.00 ","$8,430.00 ","$7,165.50 ", N/A ,"$6,744.00 ","$3,119.10 ","$6,744.00 ", N/A , N/A ,"$8,430.00 ","$4,569.06 ", N/A ,"$2,217.09 ", N/A , N/A , N/A , N/A , N/A ,"$7,165.50 ", N/A , N/A ,"$2,360.40 ","$7,587.00 ","$6,069.60 ","$8,430.00 ","$4,215.00 ","$5,310.90 ","$5,310.90 ", N/A ,"$4,046.40 ","$7,587.00 " ST. JOHN'S HOSPITAL,27802112,C2623,HC CATHETER TRANS ANGIO DRUG COATED NON-LASER T9,278,1 ,"$9,070.00 ","$5,895.50 ","$2,385.41 ","$9,070.00 ", N/A ,"$4,172.20 ","$4,915.94 ", N/A ,"$2,539.60 ","$2,902.40 ", N/A ,"$3,337.76 ", N/A ,"$3,464.74 ", N/A , N/A ,"$3,464.74 ", N/A ,"$4,770.82 ","$4,625.70 ", N/A , N/A ,"$6,349.00 ", N/A ,"$4,535.00 ", N/A ,"$6,802.50 ","$4,580.35 ","$4,045.22 ","$4,580.35 ", N/A ,"$4,580.35 ","$4,535.00 ","$4,535.00 ","$4,535.00 ","$9,070.00 ","$7,709.50 ", N/A ,"$7,256.00 ","$3,355.90 ","$7,256.00 ", N/A , N/A ,"$9,070.00 ","$4,915.94 ", N/A ,"$2,385.41 ", N/A , N/A , N/A , N/A , N/A ,"$7,709.50 ", N/A , N/A ,"$2,539.60 ","$8,163.00 ","$6,530.40 ","$9,070.00 ","$4,535.00 ","$5,714.10 ","$5,714.10 ", N/A ,"$4,353.60 ","$8,163.00 " ST. JOHN'S HOSPITAL,27802130,C2624,HC SENSOR PULM ARTERY W/CATHETER,278,1 ,"$54,825.00 ","$35,636.25 ","$14,418.98 ","$54,825.00 ", N/A ,"$25,219.50 ","$29,715.15 ", N/A ,"$15,351.00 ","$17,544.00 ", N/A ,"$20,175.60 ", N/A ,"$20,943.15 ", N/A , N/A ,"$20,943.15 ", N/A ,"$28,837.95 ","$27,960.75 ", N/A , N/A ,"$38,377.50 ", N/A ,"$27,412.50 ", N/A ,"$41,118.75 ","$27,686.63 ","$24,451.95 ","$27,686.63 ", N/A ,"$27,686.63 ","$27,412.50 ","$27,412.50 ","$27,412.50 ","$54,825.00 ","$46,601.25 ", N/A ,"$43,860.00 ","$20,285.25 ","$43,860.00 ", N/A , N/A ,"$54,825.00 ","$29,715.15 ", N/A ,"$14,418.98 ", N/A , N/A , N/A , N/A , N/A ,"$46,601.25 ", N/A , N/A ,"$15,351.00 ","$49,342.50 ","$39,474.00 ","$54,825.00 ","$27,412.50 ","$34,539.75 ","$34,539.75 ", N/A ,"$26,316.00 ","$49,342.50 " ST. JOHN'S HOSPITAL,27802132,N/A,HC DEVICE CLOSURE LAA,278,1 ,"$43,350.00 ","$28,177.50 ","$11,401.05 ","$43,350.00 ", N/A ,"$19,941.00 ","$23,495.70 ", N/A ,"$12,138.00 ","$13,872.00 ", N/A ,"$15,952.80 ", N/A ,"$16,559.70 ", N/A , N/A ,"$16,559.70 ", N/A ,"$22,802.10 ","$22,108.50 ", N/A , N/A ,"$30,345.00 ", N/A ,"$21,675.00 ", N/A ,"$32,512.50 ","$21,891.75 ","$19,334.10 ","$21,891.75 ", N/A ,"$21,891.75 ","$21,675.00 ","$21,675.00 ","$21,675.00 ","$43,350.00 ","$36,847.50 ", N/A ,"$34,680.00 ","$16,039.50 ","$34,680.00 ", N/A , N/A ,"$43,350.00 ","$23,495.70 ", N/A ,"$11,401.05 ", N/A , N/A , N/A , N/A , N/A ,"$36,847.50 ", N/A , N/A ,"$12,138.00 ","$39,015.00 ","$31,212.00 ","$43,350.00 ","$21,675.00 ","$27,310.50 ","$27,310.50 ", N/A ,"$20,808.00 ","$39,015.00 " ST. JOHN'S HOSPITAL,27802133,N/A,HC DEVICE HEART ASSIST IMPELLA,278,1 ,"$71,400.00 ","$46,410.00 ","$18,778.20 ","$71,400.00 ", N/A ,"$32,844.00 ","$38,698.80 ", N/A ,"$19,992.00 ","$22,848.00 ", N/A ,"$26,275.20 ", N/A ,"$27,274.80 ", N/A , N/A ,"$27,274.80 ", N/A ,"$37,556.40 ","$36,414.00 ", N/A , N/A ,"$49,980.00 ", N/A ,"$35,700.00 ", N/A ,"$53,550.00 ","$36,057.00 ","$31,844.40 ","$36,057.00 ", N/A ,"$36,057.00 ","$35,700.00 ","$35,700.00 ","$35,700.00 ","$71,400.00 ","$60,690.00 ", N/A ,"$57,120.00 ","$26,418.00 ","$57,120.00 ", N/A , N/A ,"$71,400.00 ","$38,698.80 ", N/A ,"$18,778.20 ", N/A , N/A , N/A , N/A , N/A ,"$60,690.00 ", N/A , N/A ,"$19,992.00 ","$64,260.00 ","$51,408.00 ","$71,400.00 ","$35,700.00 ","$44,982.00 ","$44,982.00 ", N/A ,"$34,272.00 ","$64,260.00 " ST. JOHN'S HOSPITAL,27802134,N/A,HC DEVICE VENTRICULAR ASSIST LEFT,278,1 ,"$63,750.00 ","$41,437.50 ","$16,766.25 ","$63,750.00 ", N/A ,"$29,325.00 ","$34,552.50 ", N/A ,"$17,850.00 ","$20,400.00 ", N/A ,"$23,460.00 ", N/A ,"$24,352.50 ", N/A , N/A ,"$24,352.50 ", N/A ,"$33,532.50 ","$32,512.50 ", N/A , N/A ,"$44,625.00 ", N/A ,"$31,875.00 ", N/A ,"$47,812.50 ","$32,193.75 ","$28,432.50 ","$32,193.75 ", N/A ,"$32,193.75 ","$31,875.00 ","$31,875.00 ","$31,875.00 ","$63,750.00 ","$54,187.50 ", N/A ,"$51,000.00 ","$23,587.50 ","$51,000.00 ", N/A , N/A ,"$63,750.00 ","$34,552.50 ", N/A ,"$16,766.25 ", N/A , N/A , N/A , N/A , N/A ,"$54,187.50 ", N/A , N/A ,"$17,850.00 ","$57,375.00 ","$45,900.00 ","$63,750.00 ","$31,875.00 ","$40,162.50 ","$40,162.50 ", N/A ,"$30,600.00 ","$57,375.00 " ST. JOHN'S HOSPITAL,27802135,N/A,HC SYSTEM CLIP MITRAL VALVE,278,1 ,"$76,500.00 ","$49,725.00 ","$20,119.50 ","$76,500.00 ", N/A ,"$35,190.00 ","$41,463.00 ", N/A ,"$21,420.00 ","$24,480.00 ", N/A ,"$28,152.00 ", N/A ,"$29,223.00 ", N/A , N/A ,"$29,223.00 ", N/A ,"$40,239.00 ","$39,015.00 ", N/A , N/A ,"$53,550.00 ", N/A ,"$38,250.00 ", N/A ,"$57,375.00 ","$38,632.50 ","$34,119.00 ","$38,632.50 ", N/A ,"$38,632.50 ","$38,250.00 ","$38,250.00 ","$38,250.00 ","$76,500.00 ","$65,025.00 ", N/A ,"$61,200.00 ","$28,305.00 ","$61,200.00 ", N/A , N/A ,"$76,500.00 ","$41,463.00 ", N/A ,"$20,119.50 ", N/A , N/A , N/A , N/A , N/A ,"$65,025.00 ", N/A , N/A ,"$21,420.00 ","$68,850.00 ","$55,080.00 ","$76,500.00 ","$38,250.00 ","$48,195.00 ","$48,195.00 ", N/A ,"$36,720.00 ","$68,850.00 " ST. JOHN'S HOSPITAL,27802136,N/A,HC SYSTEM HEART VALVE TRANSCATH COREVALVE,278,1 ,"$76,500.00 ","$49,725.00 ","$20,119.50 ","$76,500.00 ", N/A ,"$35,190.00 ","$41,463.00 ", N/A ,"$21,420.00 ","$24,480.00 ", N/A ,"$28,152.00 ", N/A ,"$29,223.00 ", N/A , N/A ,"$29,223.00 ", N/A ,"$40,239.00 ","$39,015.00 ", N/A , N/A ,"$53,550.00 ", N/A ,"$38,250.00 ", N/A ,"$57,375.00 ","$38,632.50 ","$34,119.00 ","$38,632.50 ", N/A ,"$38,632.50 ","$38,250.00 ","$38,250.00 ","$38,250.00 ","$76,500.00 ","$65,025.00 ", N/A ,"$61,200.00 ","$28,305.00 ","$61,200.00 ", N/A , N/A ,"$76,500.00 ","$41,463.00 ", N/A ,"$20,119.50 ", N/A , N/A , N/A , N/A , N/A ,"$65,025.00 ", N/A , N/A ,"$21,420.00 ","$68,850.00 ","$55,080.00 ","$76,500.00 ","$38,250.00 ","$48,195.00 ","$48,195.00 ", N/A ,"$36,720.00 ","$68,850.00 " ST. JOHN'S HOSPITAL,27802137,N/A,HC SYSTEM HEART VALVE TRANSCATH SAPIEN 3,278,1 ,"$76,500.00 ","$49,725.00 ","$20,119.50 ","$76,500.00 ", N/A ,"$35,190.00 ","$41,463.00 ", N/A ,"$21,420.00 ","$24,480.00 ", N/A ,"$28,152.00 ", N/A ,"$29,223.00 ", N/A , N/A ,"$29,223.00 ", N/A ,"$40,239.00 ","$39,015.00 ", N/A , N/A ,"$53,550.00 ", N/A ,"$38,250.00 ", N/A ,"$57,375.00 ","$38,632.50 ","$34,119.00 ","$38,632.50 ", N/A ,"$38,632.50 ","$38,250.00 ","$38,250.00 ","$38,250.00 ","$76,500.00 ","$65,025.00 ", N/A ,"$61,200.00 ","$28,305.00 ","$61,200.00 ", N/A , N/A ,"$76,500.00 ","$41,463.00 ", N/A ,"$20,119.50 ", N/A , N/A , N/A , N/A , N/A ,"$65,025.00 ", N/A , N/A ,"$21,420.00 ","$68,850.00 ","$55,080.00 ","$76,500.00 ","$38,250.00 ","$48,195.00 ","$48,195.00 ", N/A ,"$36,720.00 ","$68,850.00 " ST. JOHN'S HOSPITAL,27802138,N/A,HC SYSTEM HEART VALVE TRANSCATH SAPIEN XT,278,1 ,"$82,875.00 ","$53,868.75 ","$21,796.13 ","$82,875.00 ", N/A ,"$38,122.50 ","$44,918.25 ", N/A ,"$23,205.00 ","$26,520.00 ", N/A ,"$30,498.00 ", N/A ,"$31,658.25 ", N/A , N/A ,"$31,658.25 ", N/A ,"$43,592.25 ","$42,266.25 ", N/A , N/A ,"$58,012.50 ", N/A ,"$41,437.50 ", N/A ,"$62,156.25 ","$41,851.88 ","$36,962.25 ","$41,851.88 ", N/A ,"$41,851.88 ","$41,437.50 ","$41,437.50 ","$41,437.50 ","$82,875.00 ","$70,443.75 ", N/A ,"$66,300.00 ","$30,663.75 ","$66,300.00 ", N/A , N/A ,"$82,875.00 ","$44,918.25 ", N/A ,"$21,796.13 ", N/A , N/A , N/A , N/A , N/A ,"$70,443.75 ", N/A , N/A ,"$23,205.00 ","$74,587.50 ","$59,670.00 ","$82,875.00 ","$41,437.50 ","$52,211.25 ","$52,211.25 ", N/A ,"$39,780.00 ","$74,587.50 " ST. JOHN'S HOSPITAL,27802139,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T15,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27802140,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T16,278,1 ,"$1,350.00 ",$877.50 ,$355.05 ,"$1,350.00 ", N/A ,$621.00 ,$731.70 , N/A ,$378.00 ,$432.00 , N/A ,$496.80 , N/A ,$515.70 , N/A , N/A ,$515.70 , N/A ,$710.10 ,$688.50 , N/A , N/A ,$945.00 , N/A ,$675.00 , N/A ,"$1,012.50 ",$681.75 ,$602.10 ,$681.75 , N/A ,$681.75 ,$675.00 ,$675.00 ,$675.00 ,"$1,350.00 ","$1,147.50 ", N/A ,"$1,080.00 ",$499.50 ,"$1,080.00 ", N/A , N/A ,"$1,350.00 ",$731.70 , N/A ,$355.05 , N/A , N/A , N/A , N/A , N/A ,"$1,147.50 ", N/A , N/A ,$378.00 ,"$1,215.00 ",$972.00 ,"$1,350.00 ",$675.00 ,$850.50 ,$850.50 , N/A ,$648.00 ,"$1,215.00 " ST. JOHN'S HOSPITAL,27802141,C1750,HC CATHETER HEMODIALYSIS/PERITONEAL LONG TERM T17,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27802152,C2615,HC SEALANT PULMONARY LIQUID,278,1 ,"$8,939.00 ","$5,810.35 ","$2,350.96 ","$8,939.00 ", N/A ,"$4,111.94 ","$4,844.94 ", N/A ,"$2,502.92 ","$2,860.48 ", N/A ,"$3,289.55 ", N/A ,"$3,414.70 ", N/A , N/A ,"$3,414.70 ", N/A ,"$4,701.91 ","$4,558.89 ", N/A , N/A ,"$6,257.30 ", N/A ,"$4,469.50 ", N/A ,"$6,704.25 ","$4,514.20 ","$3,986.79 ","$4,514.20 ", N/A ,"$4,514.20 ","$4,469.50 ","$4,469.50 ","$4,469.50 ","$8,939.00 ","$7,598.15 ", N/A ,"$7,151.20 ","$3,307.43 ","$7,151.20 ", N/A , N/A ,"$8,939.00 ","$4,844.94 ", N/A ,"$2,350.96 ", N/A , N/A , N/A , N/A , N/A ,"$7,598.15 ", N/A , N/A ,"$2,502.92 ","$8,045.10 ","$6,436.08 ","$8,939.00 ","$4,469.50 ","$5,631.57 ","$5,631.57 ", N/A ,"$4,290.72 ","$8,045.10 " ST. JOHN'S HOSPITAL,27802153,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T1,278,1 ,$375.00 ,$243.75 ,$98.63 ,$375.00 , N/A , N/A ,$203.25 , N/A ,$105.00 ,$120.00 , N/A ,$138.00 , N/A ,$143.25 , N/A , N/A ,$143.25 , N/A ,$197.25 ,$191.25 , N/A , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$167.25 ,$189.38 , N/A ,$189.38 ,$187.50 ,$187.50 ,$187.50 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A , N/A , N/A , N/A ,$318.75 , N/A , N/A ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$187.50 ,$236.25 ,$236.25 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,27802154,C1788,HC PORT INDWELLING T1,278,1 ,"$1,050.00 ",$682.50 ,$276.15 ,"$1,050.00 ", N/A ,$483.00 ,$569.10 , N/A ,$294.00 ,$336.00 , N/A ,$386.40 , N/A ,$401.10 , N/A , N/A ,$401.10 , N/A ,$552.30 ,$535.50 , N/A , N/A ,$735.00 , N/A ,$525.00 , N/A ,$787.50 ,$530.25 ,$468.30 ,$530.25 , N/A ,$530.25 ,$525.00 ,$525.00 ,$525.00 ,"$1,050.00 ",$892.50 , N/A ,$840.00 ,$388.50 ,$840.00 , N/A , N/A ,"$1,050.00 ",$569.10 , N/A ,$276.15 , N/A , N/A , N/A , N/A , N/A ,$892.50 , N/A , N/A ,$294.00 ,$945.00 ,$756.00 ,"$1,050.00 ",$525.00 ,$661.50 ,$661.50 , N/A ,$504.00 ,$945.00 ST. JOHN'S HOSPITAL,27802155,C1788,HC PORT INDWELLING T2,278,1 ,"$1,200.00 ",$780.00 ,$315.60 ,"$1,200.00 ", N/A ,$552.00 ,$650.40 , N/A ,$336.00 ,$384.00 , N/A ,$441.60 , N/A ,$458.40 , N/A , N/A ,$458.40 , N/A ,$631.20 ,$612.00 , N/A , N/A ,$840.00 , N/A ,$600.00 , N/A ,$900.00 ,$606.00 ,$535.20 ,$606.00 , N/A ,$606.00 ,$600.00 ,$600.00 ,$600.00 ,"$1,200.00 ","$1,020.00 ", N/A ,$960.00 ,$444.00 ,$960.00 , N/A , N/A ,"$1,200.00 ",$650.40 , N/A ,$315.60 , N/A , N/A , N/A , N/A , N/A ,"$1,020.00 ", N/A , N/A ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$600.00 ,$756.00 ,$756.00 , N/A ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,27802156,C1788,HC PORT INDWELLING T3,278,1 ,"$13,500.00 ","$8,775.00 ","$3,550.50 ","$13,500.00 ", N/A ,"$6,210.00 ","$7,317.00 ", N/A ,"$3,780.00 ","$4,320.00 ", N/A ,"$4,968.00 ", N/A ,"$5,157.00 ", N/A , N/A ,"$5,157.00 ", N/A ,"$7,101.00 ","$6,885.00 ", N/A , N/A ,"$9,450.00 ", N/A ,"$6,750.00 ", N/A ,"$10,125.00 ","$6,817.50 ","$6,021.00 ","$6,817.50 ", N/A ,"$6,817.50 ","$6,750.00 ","$6,750.00 ","$6,750.00 ","$13,500.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$4,995.00 ","$10,800.00 ", N/A , N/A ,"$13,500.00 ","$7,317.00 ", N/A ,"$3,550.50 ", N/A , N/A , N/A , N/A , N/A ,"$11,475.00 ", N/A , N/A ,"$3,780.00 ","$12,150.00 ","$9,720.00 ","$13,500.00 ","$6,750.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$6,480.00 ","$12,150.00 " ST. JOHN'S HOSPITAL,27802157,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T2,278,1 ,$450.00 ,$292.50 ,$118.35 ,$450.00 , N/A , N/A ,$243.90 , N/A ,$126.00 ,$144.00 , N/A ,$165.60 , N/A ,$171.90 , N/A , N/A ,$171.90 , N/A ,$236.70 ,$229.50 , N/A , N/A ,$315.00 , N/A ,$225.00 , N/A ,$337.50 ,$227.25 ,$200.70 ,$227.25 , N/A ,$227.25 ,$225.00 ,$225.00 ,$225.00 ,$450.00 ,$382.50 , N/A ,$360.00 ,$166.50 ,$360.00 , N/A , N/A ,$450.00 ,$243.90 , N/A ,$118.35 , N/A , N/A , N/A , N/A , N/A ,$382.50 , N/A , N/A ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$225.00 ,$283.50 ,$283.50 , N/A ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,27802158,C2617,HC STENT NONCORONARY TEMPORARY W/O DELIVERY SYSTEM T3,278,1 ,$525.00 ,$341.25 ,$138.08 ,$525.00 , N/A , N/A ,$284.55 , N/A ,$147.00 ,$168.00 , N/A ,$193.20 , N/A ,$200.55 , N/A , N/A ,$200.55 , N/A ,$276.15 ,$267.75 , N/A , N/A ,$367.50 , N/A ,$262.50 , N/A ,$393.75 ,$265.13 ,$234.15 ,$265.13 , N/A ,$265.13 ,$262.50 ,$262.50 ,$262.50 ,$525.00 ,$446.25 , N/A ,$420.00 ,$194.25 ,$420.00 , N/A , N/A ,$525.00 ,$284.55 , N/A ,$138.08 , N/A , N/A , N/A , N/A , N/A ,$446.25 , N/A , N/A ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$262.50 ,$330.75 ,$330.75 , N/A ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,27802159,C2642,HC BRACHY STRANDED CESIUM-131 PER SOURCE,278,1 ,$209.00 ,$135.85 ,$54.97 ,"$1,828.58 ",$183.43 , N/A ,$113.28 ,$73.37 ,$58.52 ,$66.88 ,$73.37 ,$76.91 ,$73.37 ,$79.84 , N/A ,$73.37 ,$79.84 ,$139.40 ,$109.93 ,$106.59 ,$183.43 ,$73.37 ,$146.30 ,$73.37 ,$104.50 ,$74.84 ,$156.75 ,$105.55 ,$93.21 ,$105.55 ,$73.37 ,$105.55 ,$104.50 ,$104.50 ,$104.50 ,$209.00 ,$177.65 ,$183.43 ,$167.20 ,$77.33 ,$167.20 ,$73.37 ,$73.37 ,$209.00 ,$113.28 ,$73.37 ,$54.97 , N/A , N/A ,$209.00 ,"$1,828.58 ",$77.04 ,$177.65 ,$165.08 , N/A ,$58.52 ,$188.10 ,$150.48 ,$209.00 ,$104.50 ,$131.67 ,$131.67 ,$73.37 ,$100.32 ,$188.10 ST. JOHN'S HOSPITAL,27802165,C1788,HC PORT INDWELLING T4,278,1 ,"$1,500.00 ",$975.00 ,$394.50 ,"$1,500.00 ", N/A ,$690.00 ,$813.00 , N/A ,$420.00 ,$480.00 , N/A ,$552.00 , N/A ,$573.00 , N/A , N/A ,$573.00 , N/A ,$789.00 ,$765.00 , N/A , N/A ,"$1,050.00 ", N/A ,$750.00 , N/A ,"$1,125.00 ",$757.50 ,$669.00 ,$757.50 , N/A ,$757.50 ,$750.00 ,$750.00 ,$750.00 ,"$1,500.00 ","$1,275.00 ", N/A ,"$1,200.00 ",$555.00 ,"$1,200.00 ", N/A , N/A ,"$1,500.00 ",$813.00 , N/A ,$394.50 , N/A , N/A , N/A , N/A , N/A ,"$1,275.00 ", N/A , N/A ,$420.00 ,"$1,350.00 ","$1,080.00 ","$1,500.00 ",$750.00 ,$945.00 ,$945.00 , N/A ,$720.00 ,"$1,350.00 " ST. JOHN'S HOSPITAL,27802166,C1788,HC PORT INDWELLING T5,278,1 ,"$1,650.00 ","$1,072.50 ",$433.95 ,"$1,650.00 ", N/A ,$759.00 ,$894.30 , N/A ,$462.00 ,$528.00 , N/A ,$607.20 , N/A ,$630.30 , N/A , N/A ,$630.30 , N/A ,$867.90 ,$841.50 , N/A , N/A ,"$1,155.00 ", N/A ,$825.00 , N/A ,"$1,237.50 ",$833.25 ,$735.90 ,$833.25 , N/A ,$833.25 ,$825.00 ,$825.00 ,$825.00 ,"$1,650.00 ","$1,402.50 ", N/A ,"$1,320.00 ",$610.50 ,"$1,320.00 ", N/A , N/A ,"$1,650.00 ",$894.30 , N/A ,$433.95 , N/A , N/A , N/A , N/A , N/A ,"$1,402.50 ", N/A , N/A ,$462.00 ,"$1,485.00 ","$1,188.00 ","$1,650.00 ",$825.00 ,"$1,039.50 ","$1,039.50 ", N/A ,$792.00 ,"$1,485.00 " ST. JOHN'S HOSPITAL,27802167,C1788,HC PORT INDWELLING T6,278,1 ,"$1,800.00 ","$1,170.00 ",$473.40 ,"$1,800.00 ", N/A ,$828.00 ,$975.60 , N/A ,$504.00 ,$576.00 , N/A ,$662.40 , N/A ,$687.60 , N/A , N/A ,$687.60 , N/A ,$946.80 ,$918.00 , N/A , N/A ,"$1,260.00 ", N/A ,$900.00 , N/A ,"$1,350.00 ",$909.00 ,$802.80 ,$909.00 , N/A ,$909.00 ,$900.00 ,$900.00 ,$900.00 ,"$1,800.00 ","$1,530.00 ", N/A ,"$1,440.00 ",$666.00 ,"$1,440.00 ", N/A , N/A ,"$1,800.00 ",$975.60 , N/A ,$473.40 , N/A , N/A , N/A , N/A , N/A ,"$1,530.00 ", N/A , N/A ,$504.00 ,"$1,620.00 ","$1,296.00 ","$1,800.00 ",$900.00 ,"$1,134.00 ","$1,134.00 ", N/A ,$864.00 ,"$1,620.00 " ST. JOHN'S HOSPITAL,27802168,C1788,HC PORT INDWELLING T7,278,1 ,"$1,950.00 ","$1,267.50 ",$512.85 ,"$1,950.00 ", N/A ,$897.00 ,"$1,056.90 ", N/A ,$546.00 ,$624.00 , N/A ,$717.60 , N/A ,$744.90 , N/A , N/A ,$744.90 , N/A ,"$1,025.70 ",$994.50 , N/A , N/A ,"$1,365.00 ", N/A ,$975.00 , N/A ,"$1,462.50 ",$984.75 ,$869.70 ,$984.75 , N/A ,$984.75 ,$975.00 ,$975.00 ,$975.00 ,"$1,950.00 ","$1,657.50 ", N/A ,"$1,560.00 ",$721.50 ,"$1,560.00 ", N/A , N/A ,"$1,950.00 ","$1,056.90 ", N/A ,$512.85 , N/A , N/A , N/A , N/A , N/A ,"$1,657.50 ", N/A , N/A ,$546.00 ,"$1,755.00 ","$1,404.00 ","$1,950.00 ",$975.00 ,"$1,228.50 ","$1,228.50 ", N/A ,$936.00 ,"$1,755.00 " ST. JOHN'S HOSPITAL,27802169,C1788,HC PORT INDWELLING T8,278,1 ,"$2,100.00 ","$1,365.00 ",$552.30 ,"$2,100.00 ", N/A ,$966.00 ,"$1,138.20 ", N/A ,$588.00 ,$672.00 , N/A ,$772.80 , N/A ,$802.20 , N/A , N/A ,$802.20 , N/A ,"$1,104.60 ","$1,071.00 ", N/A , N/A ,"$1,470.00 ", N/A ,"$1,050.00 ", N/A ,"$1,575.00 ","$1,060.50 ",$936.60 ,"$1,060.50 ", N/A ,"$1,060.50 ","$1,050.00 ","$1,050.00 ","$1,050.00 ","$2,100.00 ","$1,785.00 ", N/A ,"$1,680.00 ",$777.00 ,"$1,680.00 ", N/A , N/A ,"$2,100.00 ","$1,138.20 ", N/A ,$552.30 , N/A , N/A , N/A , N/A , N/A ,"$1,785.00 ", N/A , N/A ,$588.00 ,"$1,890.00 ","$1,512.00 ","$2,100.00 ","$1,050.00 ","$1,323.00 ","$1,323.00 ", N/A ,"$1,008.00 ","$1,890.00 " ST. JOHN'S HOSPITAL,27802172,N/A,HC SYSTEM HEART VALVE TRANSCATH ACURATE NEO2,278,1 ,"$85,680.00 ","$55,692.00 ","$22,533.84 ","$85,680.00 ", N/A ,"$39,412.80 ","$46,438.56 ", N/A ,"$23,990.40 ","$27,417.60 ", N/A ,"$31,530.24 ", N/A ,"$32,729.76 ", N/A , N/A ,"$32,729.76 ", N/A ,"$45,067.68 ","$43,696.80 ", N/A , N/A ,"$59,976.00 ", N/A ,"$42,840.00 ", N/A ,"$64,260.00 ","$43,268.40 ","$38,213.28 ","$43,268.40 ", N/A ,"$43,268.40 ","$42,840.00 ","$42,840.00 ","$42,840.00 ","$85,680.00 ","$72,828.00 ", N/A ,"$68,544.00 ","$31,701.60 ","$68,544.00 ", N/A , N/A ,"$85,680.00 ","$46,438.56 ", N/A ,"$22,533.84 ", N/A , N/A , N/A , N/A , N/A ,"$72,828.00 ", N/A , N/A ,"$23,990.40 ","$77,112.00 ","$61,689.60 ","$85,680.00 ","$42,840.00 ","$53,978.40 ","$53,978.40 ", N/A ,"$41,126.40 ","$77,112.00 " ST. JOHN'S HOSPITAL,27802184,C1761,HC CATHETER TRANS INTRA LITHOTRIPSY CORONARY,278,1 ,"$14,100.00 ","$9,165.00 ","$3,708.30 ","$14,100.00 ","$12,020.25 ","$6,486.00 ","$7,642.20 ","$4,808.10 ","$3,948.00 ","$4,512.00 ","$4,808.10 ","$5,188.80 ","$4,808.10 ","$5,386.20 ", N/A ,"$4,808.10 ","$5,386.20 ","$9,135.39 ","$7,416.60 ","$7,191.00 ","$12,020.25 ","$4,808.10 ","$9,870.00 ","$4,808.10 ","$7,050.00 ","$4,904.26 ","$10,575.00 ","$7,120.50 ","$6,288.60 ","$7,120.50 ","$4,808.10 ","$7,120.50 ","$7,050.00 ","$7,050.00 ","$7,050.00 ","$14,100.00 ","$11,985.00 ","$12,020.25 ","$11,280.00 ","$5,217.00 ","$11,280.00 ","$4,808.10 ","$4,808.10 ","$14,100.00 ","$7,642.20 ","$4,808.10 ","$3,708.30 ", N/A , N/A , N/A , N/A ,"$5,048.51 ","$11,985.00 ","$10,818.23 ", N/A ,"$3,948.00 ","$12,690.00 ","$10,152.00 ","$14,100.00 ","$7,050.00 ","$8,883.00 ","$8,883.00 ","$4,808.10 ","$6,768.00 ","$12,690.00 " ST. JOHN'S HOSPITAL,27803022,C2635,"HC BRACHYTX, NON STR HA P-103",278,1 ,$170.00 ,$110.50 ,$44.71 ,"$1,828.58 ",$114.05 , N/A ,$92.14 ,$45.62 ,$47.60 ,$54.40 ,$45.62 ,$62.56 ,$45.62 ,$64.94 , N/A ,$45.62 ,$64.94 ,$86.68 ,$89.42 ,$86.70 ,$114.05 ,$45.62 ,$119.00 ,$45.62 ,$85.00 ,$46.53 ,$127.50 ,$85.85 ,$75.82 ,$85.85 ,$45.62 ,$85.85 ,$85.00 ,$85.00 ,$85.00 ,$170.00 ,$144.50 ,$114.05 ,$136.00 ,$62.90 ,$136.00 ,$45.62 ,$45.62 ,$170.00 ,$92.14 ,$45.62 ,$44.71 , N/A , N/A ,$170.00 ,"$1,828.58 ",$47.90 ,$144.50 ,$102.65 , N/A ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$85.00 ,$107.10 ,$107.10 ,$45.62 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,27803023,C2636,HC BRACHY LINEAR NON STR P-103,278,1 ,$109.00 ,$70.85 ,$28.67 ,"$1,828.58 ",$131.43 , N/A ,$59.08 ,$52.57 ,$30.52 ,$34.88 ,$52.57 ,$40.11 ,$52.57 ,$41.64 , N/A ,$52.57 ,$41.64 ,$99.88 ,$57.33 ,$55.59 ,$131.43 ,$52.57 ,$76.30 ,$52.57 ,$54.50 ,$53.62 ,$81.75 ,$55.05 ,$48.61 ,$55.05 ,$52.57 ,$55.05 ,$54.50 ,$54.50 ,$54.50 ,$109.00 ,$92.65 ,$109.00 ,$87.20 ,$40.33 ,$87.20 ,$52.57 ,$52.57 ,$109.00 ,$59.08 ,$52.57 ,$28.67 , N/A , N/A ,$109.00 ,"$1,828.58 ",$55.20 ,$92.65 ,$118.28 , N/A ,$30.52 ,$98.10 ,$78.48 ,$109.00 ,$54.50 ,$68.67 ,$68.67 ,$52.57 ,$52.32 ,$98.10 ST. JOHN'S HOSPITAL,27803025,C2640,HC BRACHYTX STRANDED P-103,278,1 ,$251.00 ,$163.15 ,$66.01 ,"$1,828.58 ",$223.98 , N/A ,$136.04 ,$89.59 ,$70.28 ,$80.32 ,$89.59 ,$92.37 ,$89.59 ,$95.88 , N/A ,$89.59 ,$95.88 ,$170.22 ,$132.03 ,$128.01 ,$223.98 ,$89.59 ,$175.70 ,$89.59 ,$125.50 ,$91.38 ,$188.25 ,$126.76 ,$111.95 ,$126.76 ,$89.59 ,$126.76 ,$125.50 ,$125.50 ,$125.50 ,$251.00 ,$213.35 ,$223.98 ,$200.80 ,$92.87 ,$200.80 ,$89.59 ,$89.59 ,$251.00 ,$136.04 ,$89.59 ,$66.01 , N/A , N/A ,$251.00 ,"$1,828.58 ",$94.07 ,$213.35 ,$201.58 , N/A ,$70.28 ,$225.90 ,$180.72 ,$251.00 ,$125.50 ,$158.13 ,$158.13 ,$89.59 ,$120.48 ,$225.90 ST. JOHN'S HOSPITAL,27803026,C2641,HC BRACHYTX NON STRANDED P-103,278,1 ,$209.00 ,$135.85 ,$54.97 ,"$1,828.58 ",$177.38 , N/A ,$113.28 ,$70.95 ,$58.52 ,$66.88 ,$70.95 ,$76.91 ,$70.95 ,$79.84 , N/A ,$70.95 ,$79.84 ,$134.81 ,$109.93 ,$106.59 ,$177.38 ,$70.95 ,$146.30 ,$70.95 ,$104.50 ,$72.37 ,$156.75 ,$105.55 ,$93.21 ,$105.55 ,$70.95 ,$105.55 ,$104.50 ,$104.50 ,$104.50 ,$209.00 ,$177.65 ,$177.38 ,$167.20 ,$77.33 ,$167.20 ,$70.95 ,$70.95 ,$209.00 ,$113.28 ,$70.95 ,$54.97 , N/A , N/A ,$209.00 ,"$1,828.58 ",$74.50 ,$177.65 ,$159.64 , N/A ,$58.52 ,$188.10 ,$150.48 ,$209.00 ,$104.50 ,$131.67 ,$131.67 ,$70.95 ,$100.32 ,$188.10 ST. JOHN'S HOSPITAL,27803027,C2643,HC BRACHYTX NON STRANDED C-131,278,1 ,$288.00 ,$187.20 ,$75.74 ,"$1,828.58 ",$205.08 , N/A ,$156.10 ,$82.03 ,$80.64 ,$92.16 ,$82.03 ,$105.98 ,$82.03 ,$110.02 , N/A ,$82.03 ,$110.02 ,$155.86 ,$151.49 ,$146.88 ,$205.08 ,$82.03 ,$201.60 ,$82.03 ,$144.00 ,$83.67 ,$216.00 ,$145.44 ,$128.45 ,$145.44 ,$82.03 ,$145.44 ,$144.00 ,$144.00 ,$144.00 ,$288.00 ,$244.80 ,$205.08 ,$230.40 ,$106.56 ,$230.40 ,$82.03 ,$82.03 ,$288.00 ,$156.10 ,$82.03 ,$75.74 , N/A , N/A ,$288.00 ,"$1,828.58 ",$86.13 ,$244.80 ,$184.57 , N/A ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$144.00 ,$181.44 ,$181.44 ,$82.03 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,27803029,C2645,HC BRACHYTX PLANAR P-103,278,1 ,$15.00 ,$9.75 ,$3.95 ,"$1,828.58 ",$11.73 , N/A ,$8.13 ,$4.69 ,$4.20 ,$4.80 ,$4.69 ,$5.52 ,$4.69 ,$5.73 , N/A ,$4.69 ,$5.73 ,$8.91 ,$7.89 ,$7.65 ,$11.73 ,$4.69 ,$10.50 ,$4.69 ,$7.50 ,$4.78 ,$11.25 ,$7.58 ,$6.69 ,$7.58 ,$4.69 ,$7.58 ,$7.50 ,$7.50 ,$7.50 ,$15.00 ,$12.75 ,$11.73 ,$12.00 ,$5.55 ,$12.00 ,$4.69 ,$4.69 ,$15.00 ,$8.13 ,$4.69 ,$3.95 , N/A , N/A ,$15.00 ,"$1,828.58 ",$4.92 ,$12.75 ,$10.55 , N/A ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$7.50 ,$9.45 ,$9.45 ,$4.69 ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,27803030,C2698,HC BRACHYTX STRANDED NOS,278,1 ,$104.00 ,$67.60 ,$27.35 ,"$1,828.58 ",$95.48 , N/A ,$56.37 ,$38.19 ,$29.12 ,$33.28 ,$38.19 ,$38.27 ,$38.19 ,$39.73 , N/A ,$38.19 ,$39.73 ,$72.56 ,$54.70 ,$53.04 ,$95.48 ,$38.19 ,$72.80 ,$38.19 ,$52.00 ,$38.95 ,$78.00 ,$52.52 ,$46.38 ,$52.52 ,$38.19 ,$52.52 ,$52.00 ,$52.00 ,$52.00 ,$104.00 ,$88.40 ,$95.48 ,$83.20 ,$38.48 ,$83.20 ,$38.19 ,$38.19 ,$104.00 ,$56.37 ,$38.19 ,$27.35 , N/A , N/A ,$104.00 ,"$1,828.58 ",$40.10 ,$88.40 ,$85.93 , N/A ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$52.00 ,$65.52 ,$65.52 ,$38.19 ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,27803031,C2699,HC BRACHYTX NON-STRANDED NOS,278,1 ,$107.00 ,$69.55 ,$28.14 ,"$1,828.58 ",$87.05 , N/A ,$57.99 ,$34.82 ,$29.96 ,$34.24 ,$34.82 ,$39.38 ,$34.82 ,$40.87 , N/A ,$34.82 ,$40.87 ,$66.16 ,$56.28 ,$54.57 ,$87.05 ,$34.82 ,$74.90 ,$34.82 ,$53.50 ,$35.52 ,$80.25 ,$54.04 ,$47.72 ,$54.04 ,$34.82 ,$54.04 ,$53.50 ,$53.50 ,$53.50 ,$107.00 ,$90.95 ,$87.05 ,$85.60 ,$39.59 ,$85.60 ,$34.82 ,$34.82 ,$107.00 ,$57.99 ,$34.82 ,$28.14 , N/A , N/A ,$107.00 ,"$1,828.58 ",$36.56 ,$90.95 ,$78.35 , N/A ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$53.50 ,$67.41 ,$67.41 ,$34.82 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,27803032,C1716,HC BRACHYTX NON-STR GOLD-198,278,1 ,$350.00 ,$227.50 ,$92.05 ,"$1,828.58 ","$1,541.53 ", N/A ,$189.70 ,$616.61 ,$98.00 ,$112.00 ,$616.61 ,$128.80 ,$350.00 ,$133.70 , N/A ,$350.00 ,$133.70 ,$350.00 ,$184.10 ,$178.50 ,"$1,541.53 ",$616.61 ,$245.00 ,$616.61 ,$175.00 ,$350.00 ,$262.50 ,$176.75 ,$156.10 ,$176.75 ,$616.61 ,$176.75 ,$175.00 ,$175.00 ,$175.00 ,$350.00 ,$297.50 ,$350.00 ,$280.00 ,$129.50 ,$280.00 ,$616.61 ,$616.61 ,$350.00 ,$189.70 ,$616.61 ,$92.05 , N/A , N/A ,$350.00 ,"$1,828.58 ",$647.44 ,$297.50 ,"$1,387.37 ", N/A ,$98.00 ,$315.00 ,$252.00 ,$350.00 ,$175.00 ,$220.50 ,$220.50 ,$616.61 ,$168.00 ,$315.00 ST. JOHN'S HOSPITAL,28000001,G0498,HC CHEMO IV W/PUMP EXTENDED,280,1 ,$933.00 ,$606.45 ,$245.38 ,$933.00 ,$766.23 ,$429.18 ,$505.69 ,$306.49 ,$261.24 ,$298.56 ,$306.49 ,$343.34 ,$306.49 ,$356.41 ,$278.40 ,$306.49 ,$356.41 ,$582.34 ,$490.76 ,$475.83 ,$766.23 ,$306.49 ,$653.10 ,$306.49 ,$466.50 ,$312.62 ,$699.75 ,$471.17 ,$424.52 ,$471.17 ,$306.49 ,$471.17 ,$587.79 ,$587.79 ,$662.43 ,$933.00 ,$793.05 ,$766.23 ,$746.40 ,$345.21 ,$746.40 ,$306.49 ,$306.49 ,$933.00 ,$505.69 ,$306.49 ,$245.38 , N/A , N/A ,$512.75 ,$489.45 ,$321.81 ,$793.05 ,$689.61 ,$613.91 ,$261.24 ,$839.70 ,$671.76 ,$933.00 ,$587.79 ,$587.79 ,$587.79 ,$306.49 ,$447.84 ,$839.70 ST. JOHN'S HOSPITAL,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$31.00 ,$20.15 ,$6.28 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$10.00 , N/A ,$11.84 , N/A ,$7.59 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$21.70 ,$21.70 ,$21.70 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$21.70 ,$6.28 ,$6.28 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30000010,36415,HC VENIPUNCTURE,300,1 ,$31.00 ,$20.15 ,$2.35 ,$31.00 ,$7.50 ,$14.26 ,$16.80 ,$3.00 ,$8.68 ,$9.92 ,$3.00 ,$11.41 ,$3.00 ,$11.84 ,$10.00 ,$3.00 ,$11.84 ,$5.70 ,$7.25 ,$15.81 ,$7.50 ,$3.00 ,$21.70 ,$3.00 ,$15.50 ,$3.06 ,$23.25 , N/A , N/A , N/A ,$3.00 , N/A ,$3.90 ,$3.90 ,$3.90 ,$31.00 ,$26.35 ,$7.50 ,$24.80 ,$11.47 ,$24.80 ,$3.00 ,$3.00 ,$3.00 ,$16.80 ,$3.00 ,$8.15 , N/A , N/A ,$2.46 ,$2.35 ,$3.15 ,$26.35 ,$6.75 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$3.90 ,$6.00 ,$6.00 ,$3.00 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30000014,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$234.00 ,$152.10 ,$48.51 ,$270.98 ,$270.98 ,$107.64 ,$126.83 ,$108.39 ,$65.52 ,$74.88 ,$108.39 ,$86.11 ,$108.39 ,$89.39 ,$49.05 ,$108.39 ,$89.39 ,$205.94 ,$123.08 ,$119.34 ,$270.97 ,$108.39 ,$163.80 ,$108.39 ,$117.00 ,$110.56 ,$175.50 ,$118.17 ,$106.47 ,$118.17 ,$108.39 ,$118.17 ,$163.80 ,$163.80 ,$163.80 ,$234.00 ,$198.90 ,$234.00 ,$187.20 ,$86.58 ,$187.20 ,$108.39 ,$108.39 ,$234.00 ,$126.83 ,$108.39 ,$61.54 , N/A , N/A ,$50.82 ,$48.51 ,$113.81 ,$198.90 ,$243.87 ,$153.97 ,$65.52 ,$210.60 ,$168.48 ,$234.00 ,$163.80 , N/A , N/A ,$108.39 ,$112.32 ,$210.60 ST. JOHN'S HOSPITAL,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$210.00 ,$136.50 ,$34.62 ,$270.98 ,$270.98 ,$96.60 ,$113.82 ,$108.39 ,$58.80 ,$67.20 ,$108.39 ,$77.28 ,$108.39 ,$80.22 ,$34.62 ,$108.39 ,$80.22 ,$205.94 ,$110.46 ,$107.10 ,$270.97 ,$108.39 ,$147.00 ,$108.39 ,$105.00 ,$110.56 ,$157.50 ,$106.05 ,$95.55 ,$106.05 ,$108.39 ,$106.05 ,$147.00 ,$147.00 ,$147.00 ,$210.00 ,$178.50 ,$210.00 ,$168.00 ,$77.70 ,$168.00 ,$108.39 ,$108.39 ,$210.00 ,$113.82 ,$108.39 ,$55.23 , N/A , N/A ,$50.82 ,$48.51 ,$113.81 ,$178.50 ,$243.87 ,$138.18 ,$58.80 ,$189.00 ,$151.20 ,$210.00 ,$147.00 , N/A , N/A ,$108.39 ,$100.80 ,$189.00 ST. JOHN'S HOSPITAL,30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$194.00 ,$126.10 ,$48.51 ,$270.98 ,$270.98 ,$89.24 ,$105.15 ,$108.39 ,$54.32 ,$62.08 ,$108.39 ,$71.39 ,$108.39 ,$74.11 ,$54.89 ,$108.39 ,$74.11 ,$194.00 ,$102.04 ,$98.94 ,$270.97 ,$108.39 ,$135.80 ,$108.39 ,$97.00 ,$110.56 ,$145.50 ,$97.97 ,$88.27 ,$97.97 ,$108.39 ,$97.97 ,$135.80 ,$135.80 ,$135.80 ,$194.00 ,$164.90 ,$194.00 ,$155.20 ,$71.78 ,$155.20 ,$108.39 ,$108.39 ,$194.00 ,$105.15 ,$108.39 ,$51.02 , N/A , N/A ,$50.82 ,$48.51 ,$113.81 ,$164.90 ,$243.87 ,$127.65 ,$54.32 ,$174.60 ,$139.68 ,$194.00 ,$135.80 , N/A , N/A ,$108.39 ,$93.12 ,$174.60 ST. JOHN'S HOSPITAL,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$234.00 ,$152.10 ,$48.51 ,$270.98 ,$270.98 ,$107.64 ,$126.83 ,$108.39 ,$65.52 ,$74.88 ,$108.39 ,$86.11 ,$108.39 ,$89.39 ,$49.05 ,$108.39 ,$89.39 ,$205.94 ,$123.08 ,$119.34 ,$270.97 ,$108.39 ,$163.80 ,$108.39 ,$117.00 ,$110.56 ,$175.50 ,$118.17 ,$106.47 ,$118.17 ,$108.39 ,$118.17 ,$163.80 ,$163.80 ,$163.80 ,$234.00 ,$198.90 ,$234.00 ,$187.20 ,$86.58 ,$187.20 ,$108.39 ,$108.39 ,$234.00 ,$126.83 ,$108.39 ,$61.54 , N/A , N/A ,$50.82 ,$48.51 ,$113.81 ,$198.90 ,$243.87 ,$153.97 ,$65.52 ,$210.60 ,$168.48 ,$234.00 ,$163.80 , N/A , N/A ,$108.39 ,$112.32 ,$210.60 ST. JOHN'S HOSPITAL,30000222,89050,HC BODY FLUID CELL COUNT,300,1 ,$121.00 ,$78.65 ,$3.50 ,$121.00 ,$11.80 ,$9.68 ,$65.58 ,$4.72 ,$33.88 ,$26.47 ,$4.72 ,$26.47 ,$4.72 ,$46.22 ,$3.50 ,$4.72 ,$46.22 ,$8.97 ,$16.59 ,$61.71 ,$11.80 ,$4.72 ,$84.70 ,$4.72 ,$60.50 ,$4.81 ,$90.75 ,$61.11 ,$55.06 ,$61.11 ,$4.72 ,$61.11 ,$6.83 ,$6.83 ,$6.83 ,$121.00 ,$102.85 ,$11.80 ,$96.80 ,$44.77 ,$96.80 ,$4.72 ,$4.72 ,$121.00 ,$65.58 ,$4.72 ,$31.82 , N/A , N/A ,$33.75 ,$32.21 ,$4.96 ,$102.85 ,$10.62 ,$79.62 ,$33.88 ,$108.90 ,$87.12 ,$121.00 ,$6.83 ,$9.44 ,$9.44 ,$4.72 ,$58.08 ,$108.90 ST. JOHN'S HOSPITAL,30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$280.00 ,$182.00 ,$3.50 ,$280.00 ,$14.00 ,$11.25 ,$151.76 ,$5.60 ,$78.40 ,$30.86 ,$5.60 ,$30.86 ,$5.60 ,$106.96 ,$3.50 ,$5.60 ,$106.96 ,$10.64 ,$18.93 ,$142.80 ,$14.00 ,$5.60 ,$196.00 ,$5.60 ,$140.00 ,$5.71 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$5.60 ,$141.40 ,$7.96 ,$7.96 ,$7.96 ,$280.00 ,$238.00 ,$14.00 ,$224.00 ,$103.60 ,$224.00 ,$5.60 ,$5.60 ,$280.00 ,$151.76 ,$5.60 ,$73.64 , N/A , N/A ,$33.75 ,$32.21 ,$5.88 ,$238.00 ,$12.60 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$7.96 ,$11.20 ,$11.20 ,$5.60 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,30000224,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$10.68 ,$8.73 ,$24.93 ,$4.27 ,$12.88 ,$15.87 ,$4.27 ,$17.66 ,$4.27 ,$17.57 ,$3.50 ,$4.27 ,$17.57 ,$8.11 ,$14.21 ,$23.46 ,$10.68 ,$4.27 ,$32.20 ,$4.27 ,$23.00 ,$4.36 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$4.27 ,$23.23 ,$6.18 ,$6.18 ,$6.18 ,$46.00 ,$39.10 ,$10.68 ,$36.80 ,$17.02 ,$36.80 ,$4.27 ,$4.27 ,$46.00 ,$24.93 ,$4.27 ,$12.10 , N/A , N/A ,$7.34 ,$7.00 ,$4.48 ,$39.10 ,$9.61 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30000230,99001,HC LAB HANDLING CHARGE SPECIMEN,300,1 ,$58.00 ,$37.70 ,$11.32 ,$58.00 , N/A ,$26.68 ,$31.44 , N/A ,$16.24 ,$20.01 , N/A ,$22.27 , N/A ,$22.16 ,$11.32 , N/A ,$22.16 , N/A ,$30.51 ,$29.58 , N/A , N/A ,$40.60 , N/A ,$29.00 , N/A ,$43.50 ,$29.29 ,$26.39 ,$29.29 , N/A ,$29.29 ,$40.60 ,$40.60 ,$40.60 ,$58.00 ,$49.30 , N/A ,$46.40 ,$21.46 ,$46.40 , N/A , N/A ,$58.00 ,$31.44 , N/A ,$15.25 , N/A , N/A , N/A , N/A , N/A ,$49.30 , N/A ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$40.60 ,$13.26 ,$13.26 , N/A ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30000240,36415,HC VENIPUNCTURE,300,1 ,$31.00 ,$20.15 ,$2.35 ,$31.00 ,$7.50 ,$14.26 ,$16.80 ,$3.00 ,$8.68 ,$9.92 ,$3.00 ,$11.41 ,$3.00 ,$11.84 ,$10.00 ,$3.00 ,$11.84 ,$5.70 ,$7.25 ,$15.81 ,$7.50 ,$3.00 ,$21.70 ,$3.00 ,$15.50 ,$3.06 ,$23.25 , N/A , N/A , N/A ,$3.00 , N/A ,$3.90 ,$3.90 ,$3.90 ,$31.00 ,$26.35 ,$7.50 ,$24.80 ,$11.47 ,$24.80 ,$3.00 ,$3.00 ,$3.00 ,$16.80 ,$3.00 ,$8.15 , N/A , N/A ,$2.46 ,$2.35 ,$3.15 ,$26.35 ,$6.75 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$3.90 ,$6.00 ,$6.00 ,$3.00 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30000241,36415,HC VENIPUNCTURE,300,1 ,$31.00 ,$20.15 ,$2.35 ,$31.00 ,$7.50 ,$14.26 ,$16.80 ,$3.00 ,$8.68 ,$9.92 ,$3.00 ,$11.41 ,$3.00 ,$11.84 ,$10.00 ,$3.00 ,$11.84 ,$5.70 ,$7.25 ,$15.81 ,$7.50 ,$3.00 ,$21.70 ,$3.00 ,$15.50 ,$3.06 ,$23.25 , N/A , N/A , N/A ,$3.00 , N/A ,$3.90 ,$3.90 ,$3.90 ,$31.00 ,$26.35 ,$7.50 ,$24.80 ,$11.47 ,$24.80 ,$3.00 ,$3.00 ,$3.00 ,$16.80 ,$3.00 ,$8.15 , N/A , N/A ,$2.46 ,$2.35 ,$3.15 ,$26.35 ,$6.75 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$3.90 ,$6.00 ,$6.00 ,$3.00 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30000244,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$14.00 ,$11.25 ,$33.60 ,$5.60 ,$17.36 ,$21.39 ,$5.60 ,$23.81 ,$5.60 ,$23.68 ,$3.50 ,$5.60 ,$23.68 ,$10.64 ,$18.93 ,$31.62 ,$14.00 ,$5.60 ,$43.40 ,$5.60 ,$31.00 ,$5.71 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$5.60 ,$31.31 ,$7.96 ,$7.96 ,$7.96 ,$62.00 ,$52.70 ,$14.00 ,$49.60 ,$22.94 ,$49.60 ,$5.60 ,$5.60 ,$62.00 ,$33.60 ,$5.60 ,$16.31 , N/A , N/A ,$33.75 ,$32.21 ,$5.88 ,$52.70 ,$12.60 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$7.96 ,$11.20 ,$11.20 ,$5.60 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30000246,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$135.00 ,$87.75 ,$5.64 ,$135.00 ,$18.33 ,$14.63 ,$73.17 ,$7.33 ,$37.80 ,$29.62 ,$7.33 ,$29.62 ,$7.33 ,$51.57 ,$5.64 ,$7.33 ,$51.57 ,$13.93 ,$24.85 ,$68.85 ,$18.33 ,$7.33 ,$94.50 ,$7.33 ,$67.50 ,$7.48 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$7.33 ,$68.18 ,$10.34 ,$10.34 ,$10.34 ,$135.00 ,$114.75 ,$18.33 ,$108.00 ,$49.95 ,$108.00 ,$7.33 ,$7.33 ,$135.00 ,$73.17 ,$7.33 ,$35.51 , N/A , N/A ,$33.75 ,$32.21 ,$7.70 ,$114.75 ,$16.49 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$10.34 ,$14.66 ,$14.66 ,$7.33 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30000248,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$14.48 ,$9.71 ,$43.36 ,$5.79 ,$22.40 ,$26.63 ,$5.79 ,$26.63 ,$5.79 ,$30.56 ,$3.50 ,$5.79 ,$30.56 ,$11.00 ,$20.13 ,$40.80 ,$14.48 ,$5.79 ,$56.00 ,$5.79 ,$40.00 ,$5.91 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$5.79 ,$40.40 ,$7.53 ,$7.53 ,$7.53 ,$80.00 ,$68.00 ,$14.48 ,$64.00 ,$29.60 ,$64.00 ,$5.79 ,$5.79 ,$80.00 ,$43.36 ,$5.79 ,$21.04 , N/A , N/A ,$33.75 ,$32.21 ,$6.08 ,$68.00 ,$13.03 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$7.53 ,$11.58 ,$11.58 ,$5.79 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30000251,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$504.00 ,$327.60 ,$3.50 ,$504.00 ,$30.13 ,$20.56 ,$273.17 ,$12.05 ,$141.12 ,$67.54 ,$12.05 ,$67.54 ,$12.05 ,$192.53 ,$3.50 ,$12.05 ,$192.53 ,$22.90 ,$41.44 ,$257.04 ,$30.13 ,$12.05 ,$352.80 ,$12.05 ,$252.00 ,$12.29 ,$378.00 ,$254.52 ,$229.32 ,$254.52 ,$12.05 ,$254.52 ,$17.41 ,$17.41 ,$17.41 ,$504.00 ,$428.40 ,$30.13 ,$403.20 ,$186.48 ,$403.20 ,$12.05 ,$12.05 ,$504.00 ,$273.17 ,$12.05 ,$132.55 , N/A , N/A ,$33.75 ,$32.21 ,$12.65 ,$428.40 ,$27.11 ,$331.63 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,30000254,S3620,HC NEWBORN METABOLIC SCREEN-90,300,1 ,$182.00 ,$118.30 ,$8.66 ,$182.00 , N/A ,$8.66 ,$98.64 , N/A ,$50.96 ,$62.79 , N/A ,$69.89 , N/A ,$69.52 ,$159.00 , N/A ,$69.52 , N/A ,$95.73 ,$92.82 , N/A , N/A ,$127.40 , N/A ,$91.00 , N/A ,$136.50 ,$91.91 ,$82.81 ,$91.91 , N/A ,$91.91 ,$127.40 ,$127.40 ,$127.40 ,$182.00 ,$154.70 , N/A ,$145.60 ,$67.34 ,$145.60 , N/A , N/A ,$182.00 ,$98.64 , N/A ,$47.87 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$154.70 , N/A ,$119.76 ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$127.40 , N/A , N/A , N/A ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,30002031,36415,HC VENIPUNCTURE,300,1 ,$31.00 ,$20.15 ,$2.35 ,$31.00 ,$7.50 ,$14.26 ,$16.80 ,$3.00 ,$8.68 ,$9.92 ,$3.00 ,$11.41 ,$3.00 ,$11.84 ,$10.00 ,$3.00 ,$11.84 ,$5.70 ,$7.25 ,$15.81 ,$7.50 ,$3.00 ,$21.70 ,$3.00 ,$15.50 ,$3.06 ,$23.25 , N/A , N/A , N/A ,$3.00 , N/A ,$3.90 ,$3.90 ,$3.90 ,$31.00 ,$26.35 ,$7.50 ,$24.80 ,$11.47 ,$24.80 ,$3.00 ,$3.00 ,$3.00 ,$16.80 ,$3.00 ,$8.15 , N/A , N/A ,$2.46 ,$2.35 ,$3.15 ,$26.35 ,$6.75 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$3.90 ,$6.00 ,$6.00 ,$3.00 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30002032,80369,HC SKELETAL MUSCLE RELAXTANTS 1-2 -90,300,1 ,$117.00 ,$76.05 ,$0.02 ,$117.00 , N/A ,$0.02 ,$63.41 , N/A ,$32.76 , N/A , N/A , N/A , N/A ,$44.69 , N/A , N/A ,$44.69 , N/A ,$61.54 ,$59.67 , N/A , N/A ,$81.90 , N/A ,$58.50 , N/A ,$87.75 ,$59.09 ,$53.24 ,$59.09 , N/A ,$59.09 ,$17.36 ,$17.36 ,$17.36 ,$117.00 ,$99.45 , N/A ,$93.60 ,$43.29 ,$93.60 , N/A , N/A ,$117.00 ,$63.41 , N/A ,$30.77 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$99.45 , N/A ,$76.99 ,$32.76 ,$105.30 ,$84.24 ,$117.00 ,$17.36 , N/A , N/A , N/A ,$56.16 ,$105.30 ST. JOHN'S HOSPITAL,30002034,N/A,HC EXECUTIVE PANEL LEADWELL,300,1 ,$41.33 ,$26.86 ,$10.87 ,$41.33 , N/A ,$19.01 ,$22.40 , N/A ,$11.57 ,$13.23 , N/A ,$15.21 , N/A ,$15.79 ,$16.53 , N/A ,$15.79 , N/A ,$21.74 ,$21.08 , N/A , N/A ,$28.93 , N/A ,$20.67 , N/A ,$31.00 ,$20.87 ,$18.81 ,$20.87 , N/A ,$20.87 ,$28.93 ,$28.93 ,$28.93 ,$41.33 ,$35.13 , N/A ,$33.06 ,$15.29 ,$33.06 , N/A , N/A ,$41.33 ,$22.40 , N/A ,$10.87 , N/A , N/A , N/A , N/A , N/A ,$35.13 , N/A ,$27.19 ,$11.57 ,$37.20 ,$29.76 ,$41.33 ,$28.93 ,$20.67 ,$20.67 , N/A ,$19.84 ,$37.20 ST. JOHN'S HOSPITAL,30002035,N/A,HC EXECUTIVE PANEL W/PSA LEADWELL,300,1 ,$49.28 ,$32.03 ,$12.96 ,$49.28 , N/A ,$22.67 ,$26.71 , N/A ,$13.80 ,$15.77 , N/A ,$18.14 , N/A ,$18.83 ,$19.71 , N/A ,$18.83 , N/A ,$25.92 ,$25.13 , N/A , N/A ,$34.50 , N/A ,$24.64 , N/A ,$36.96 ,$24.89 ,$22.42 ,$24.89 , N/A ,$24.89 ,$34.50 ,$34.50 ,$34.50 ,$49.28 ,$41.89 , N/A ,$39.42 ,$18.23 ,$39.42 , N/A , N/A ,$49.28 ,$26.71 , N/A ,$12.96 , N/A , N/A , N/A , N/A , N/A ,$41.89 , N/A ,$32.43 ,$13.80 ,$44.35 ,$35.48 ,$49.28 ,$34.50 ,$24.64 ,$24.64 , N/A ,$23.65 ,$44.35 ST. JOHN'S HOSPITAL,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$134.00 ,$87.10 ,$3.50 ,$134.00 ,$21.15 ,$17.31 ,$72.63 ,$8.46 ,$37.52 ,$46.23 ,$8.46 ,$51.46 ,$8.46 ,$51.19 ,$3.50 ,$8.46 ,$51.19 ,$16.07 ,$28.42 ,$68.34 ,$21.15 ,$8.46 ,$93.80 ,$8.46 ,$67.00 ,$8.63 ,$100.50 ,$67.67 ,$60.97 ,$67.67 ,$8.46 ,$67.67 ,$12.22 ,$12.22 ,$12.22 ,$134.00 ,$113.90 ,$21.15 ,$107.20 ,$49.58 ,$107.20 ,$8.46 ,$8.46 ,$8.46 ,$72.63 ,$8.46 ,$35.24 , N/A , N/A ,$10.77 ,$10.28 ,$8.88 ,$113.90 ,$19.04 ,$88.17 ,$37.52 ,$120.60 ,$96.48 ,$134.00 ,$12.22 ,$16.92 ,$16.92 ,$8.46 ,$64.32 ,$120.60 ST. JOHN'S HOSPITAL,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$102.00 ,$66.30 ,$3.50 ,$102.00 ,$17.53 ,$14.33 ,$55.28 ,$7.01 ,$28.56 ,$35.19 ,$7.01 ,$39.17 ,$7.01 ,$38.96 ,$3.50 ,$7.01 ,$38.96 ,$13.32 ,$23.66 ,$52.02 ,$17.53 ,$7.01 ,$71.40 ,$7.01 ,$51.00 ,$7.15 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$7.01 ,$51.51 ,$10.13 ,$10.13 ,$10.13 ,$102.00 ,$86.70 ,$17.53 ,$81.60 ,$37.74 ,$81.60 ,$7.01 ,$7.01 ,$102.00 ,$55.28 ,$7.01 ,$26.83 , N/A , N/A ,$10.77 ,$10.28 ,$7.36 ,$86.70 ,$15.77 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$10.13 ,$14.02 ,$14.02 ,$7.01 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$168.00 ,$109.20 ,$3.50 ,$168.00 ,$26.40 ,$21.61 ,$91.06 ,$10.56 ,$47.04 ,$57.96 ,$10.56 ,$64.51 ,$10.56 ,$64.18 ,$3.50 ,$10.56 ,$64.18 ,$20.06 ,$35.53 ,$85.68 ,$26.40 ,$10.56 ,$117.60 ,$10.56 ,$84.00 ,$10.77 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$10.56 ,$84.84 ,$15.26 ,$15.26 ,$15.26 ,$168.00 ,$142.80 ,$26.40 ,$134.40 ,$62.16 ,$134.40 ,$10.56 ,$10.56 ,$10.56 ,$91.06 ,$10.56 ,$44.18 , N/A , N/A ,$10.77 ,$10.28 ,$11.09 ,$142.80 ,$23.76 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$15.26 ,$21.12 ,$21.12 ,$10.56 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,30100107,80061,HC LIPID PANEL,301,1 ,$184.00 ,$119.60 ,$3.50 ,$184.00 ,$33.48 ,$27.41 ,$99.73 ,$13.39 ,$51.52 ,$63.48 ,$13.39 ,$70.66 ,$13.39 ,$70.29 ,$3.50 ,$13.39 ,$70.29 ,$25.44 ,$44.97 ,$93.84 ,$33.48 ,$13.39 ,$128.80 ,$13.39 ,$92.00 ,$13.66 ,$138.00 ,$92.92 ,$83.72 ,$92.92 ,$13.39 ,$92.92 ,$19.34 ,$19.34 ,$19.34 ,$184.00 ,$156.40 ,$33.48 ,$147.20 ,$68.08 ,$147.20 ,$13.39 ,$13.39 ,$184.00 ,$99.73 ,$13.39 ,$48.39 , N/A , N/A ,$10.77 ,$10.28 ,$14.06 ,$156.40 ,$30.13 ,$121.07 ,$51.52 ,$165.60 ,$132.48 ,$184.00 ,$19.34 ,$26.78 ,$26.78 ,$13.39 ,$88.32 ,$165.60 ST. JOHN'S HOSPITAL,30100108,80069,HC RENAL PANEL,301,1 ,$150.00 ,$97.50 ,$3.50 ,$150.00 ,$21.70 ,$17.76 ,$81.30 ,$8.68 ,$42.00 ,$48.66 ,$8.68 ,$48.66 ,$8.68 ,$57.30 ,$3.50 ,$8.68 ,$57.30 ,$16.49 ,$29.61 ,$76.50 ,$21.70 ,$8.68 ,$105.00 ,$8.68 ,$75.00 ,$8.85 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$8.68 ,$75.75 ,$12.55 ,$12.55 ,$12.55 ,$150.00 ,$127.50 ,$21.70 ,$120.00 ,$55.50 ,$120.00 ,$8.68 ,$8.68 ,$150.00 ,$81.30 ,$8.68 ,$39.45 , N/A , N/A ,$10.77 ,$10.28 ,$9.11 ,$127.50 ,$19.53 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$12.55 ,$17.36 ,$17.36 ,$8.68 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30100109,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$437.00 ,$284.05 ,$3.50 ,$437.00 ,$119.08 ,$97.39 ,$236.85 ,$47.63 ,$122.36 ,$150.77 ,$47.63 ,$167.81 ,$47.63 ,$166.93 ,$3.50 ,$47.63 ,$166.93 ,$90.50 ,$162.19 ,$222.87 ,$119.08 ,$47.63 ,$305.90 ,$47.63 ,$218.50 ,$48.58 ,$327.75 ,$220.69 ,$198.84 ,$220.69 ,$47.63 ,$220.69 ,$68.81 ,$68.81 ,$68.81 ,$437.00 ,$371.45 ,$119.08 ,$349.60 ,$161.69 ,$349.60 ,$47.63 ,$47.63 ,$437.00 ,$236.85 ,$47.63 ,$114.93 , N/A , N/A ,$10.77 ,$10.28 ,$50.01 ,$371.45 ,$107.17 ,$287.55 ,$122.36 ,$393.30 ,$314.64 ,$437.00 ,$68.81 ,$95.26 ,$95.26 ,$47.63 ,$209.76 ,$393.30 ST. JOHN'S HOSPITAL,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$20.43 ,$16.71 ,$67.21 ,$8.17 ,$34.72 ,$33.85 ,$8.17 ,$33.85 ,$8.17 ,$47.37 ,$3.50 ,$8.17 ,$47.37 ,$15.52 ,$27.23 ,$63.24 ,$20.43 ,$8.17 ,$86.80 ,$8.17 ,$62.00 ,$8.33 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$8.17 ,$62.62 ,$11.80 ,$11.80 ,$11.80 ,$124.00 ,$105.40 ,$20.43 ,$99.20 ,$45.88 ,$99.20 ,$8.17 ,$8.17 ,$124.00 ,$67.21 ,$8.17 ,$32.61 , N/A , N/A ,$10.77 ,$10.28 ,$8.58 ,$105.40 ,$18.38 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$11.80 ,$16.34 ,$16.34 ,$8.17 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30100111,80150,HC AMIKACIN,301,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$37.70 ,$23.19 ,$29.27 ,$15.08 ,$15.12 ,$18.63 ,$15.08 ,$20.74 ,$15.08 ,$20.63 ,$3.50 ,$15.08 ,$20.63 ,$28.65 ,$50.89 ,$27.54 ,$37.70 ,$15.08 ,$37.80 ,$15.08 ,$27.00 ,$15.38 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$15.08 ,$27.27 ,$21.78 ,$21.78 ,$21.78 ,$54.00 ,$45.90 ,$37.70 ,$43.20 ,$19.98 ,$43.20 ,$15.08 ,$15.08 ,$54.00 ,$29.27 ,$15.08 ,$14.20 , N/A , N/A ,$13.56 ,$12.95 ,$15.83 ,$45.90 ,$33.93 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$21.78 ,$30.16 ,$30.16 ,$15.08 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$137.00 ,$89.05 ,$3.50 ,$137.00 ,$36.43 ,$29.79 ,$74.25 ,$14.57 ,$38.36 ,$47.27 ,$14.57 ,$52.61 ,$14.57 ,$52.33 ,$3.50 ,$14.57 ,$52.33 ,$27.68 ,$49.74 ,$69.87 ,$36.43 ,$14.57 ,$95.90 ,$14.57 ,$68.50 ,$14.86 ,$102.75 ,$69.19 ,$62.34 ,$69.19 ,$14.57 ,$69.19 ,$21.03 ,$21.03 ,$21.03 ,$137.00 ,$116.45 ,$36.43 ,$109.60 ,$50.69 ,$109.60 ,$14.57 ,$14.57 ,$137.00 ,$74.25 ,$14.57 ,$36.03 , N/A , N/A ,$13.56 ,$12.95 ,$15.30 ,$116.45 ,$32.78 ,$90.15 ,$38.36 ,$123.30 ,$98.64 ,$137.00 ,$21.03 ,$29.14 ,$29.14 ,$14.57 ,$65.76 ,$123.30 ST. JOHN'S HOSPITAL,30100118,80158,HC CYCLOSPORINE,301,1 ,$179.00 ,$116.35 ,$3.50 ,$179.00 ,$45.13 ,$36.91 ,$97.02 ,$18.05 ,$50.12 ,$61.76 ,$18.05 ,$68.74 ,$18.05 ,$68.38 ,$3.50 ,$18.05 ,$68.38 ,$34.30 ,$61.57 ,$91.29 ,$45.13 ,$18.05 ,$125.30 ,$18.05 ,$89.50 ,$18.41 ,$134.25 ,$90.40 ,$81.45 ,$90.40 ,$18.05 ,$90.40 ,$26.08 ,$26.08 ,$26.08 ,$179.00 ,$152.15 ,$45.13 ,$143.20 ,$66.23 ,$143.20 ,$18.05 ,$18.05 ,$179.00 ,$97.02 ,$18.05 ,$47.08 , N/A , N/A ,$13.56 ,$12.95 ,$18.95 ,$152.15 ,$40.61 ,$117.78 ,$50.12 ,$161.10 ,$128.88 ,$179.00 ,$26.08 ,$36.10 ,$36.10 ,$18.05 ,$85.92 ,$161.10 ST. JOHN'S HOSPITAL,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$74.00 ,$48.10 ,$3.50 ,$74.00 ,$33.20 ,$27.14 ,$40.11 ,$13.28 ,$20.72 ,$25.53 ,$13.28 ,$28.42 ,$13.28 ,$28.27 ,$3.50 ,$13.28 ,$28.27 ,$25.23 ,$44.97 ,$37.74 ,$33.20 ,$13.28 ,$51.80 ,$13.28 ,$37.00 ,$13.55 ,$55.50 ,$37.37 ,$33.67 ,$37.37 ,$13.28 ,$37.37 ,$19.18 ,$19.18 ,$19.18 ,$74.00 ,$62.90 ,$33.20 ,$59.20 ,$27.38 ,$59.20 ,$13.28 ,$13.28 ,$74.00 ,$40.11 ,$13.28 ,$19.46 , N/A , N/A ,$13.56 ,$12.95 ,$13.94 ,$62.90 ,$29.88 ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$19.18 ,$26.56 ,$26.56 ,$13.28 ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,30100121,80164,HC VALPROIC ACID,301,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$33.85 ,$27.72 ,$57.45 ,$13.54 ,$29.68 ,$36.57 ,$13.54 ,$40.70 ,$13.54 ,$40.49 ,$3.50 ,$13.54 ,$40.49 ,$25.73 ,$46.17 ,$54.06 ,$33.85 ,$13.54 ,$74.20 ,$13.54 ,$53.00 ,$13.81 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$13.54 ,$53.53 ,$19.57 ,$19.57 ,$19.57 ,$106.00 ,$90.10 ,$33.85 ,$84.80 ,$39.22 ,$84.80 ,$13.54 ,$13.54 ,$106.00 ,$57.45 ,$13.54 ,$27.88 , N/A , N/A ,$13.56 ,$12.95 ,$14.22 ,$90.10 ,$30.47 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$19.57 ,$27.08 ,$27.08 ,$13.54 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30100124,80170,HC GENTAMICIN,301,1 ,$157.00 ,$102.05 ,$3.50 ,$157.00 ,$40.95 ,$33.51 ,$85.09 ,$16.38 ,$43.96 ,$54.17 ,$16.38 ,$60.29 ,$16.38 ,$59.97 ,$3.50 ,$16.38 ,$59.97 ,$31.12 ,$55.65 ,$80.07 ,$40.95 ,$16.38 ,$109.90 ,$16.38 ,$78.50 ,$16.71 ,$117.75 ,$79.29 ,$71.44 ,$79.29 ,$16.38 ,$79.29 ,$23.66 ,$23.66 ,$23.66 ,$157.00 ,$133.45 ,$40.95 ,$125.60 ,$58.09 ,$125.60 ,$16.38 ,$16.38 ,$157.00 ,$85.09 ,$16.38 ,$41.29 , N/A , N/A ,$13.56 ,$12.95 ,$17.20 ,$133.45 ,$36.86 ,$103.31 ,$43.96 ,$141.30 ,$113.04 ,$157.00 ,$23.66 ,$32.76 ,$32.76 ,$16.38 ,$75.36 ,$141.30 ST. JOHN'S HOSPITAL,30100127,80178,HC LITHIUM,301,1 ,$91.00 ,$59.15 ,$3.50 ,$91.00 ,$16.53 ,$13.53 ,$49.32 ,$6.61 ,$25.48 ,$31.40 ,$6.61 ,$34.94 ,$6.61 ,$34.76 ,$3.50 ,$6.61 ,$34.76 ,$12.56 ,$22.51 ,$46.41 ,$16.53 ,$6.61 ,$63.70 ,$6.61 ,$45.50 ,$6.74 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$6.61 ,$45.96 ,$9.56 ,$9.56 ,$9.56 ,$91.00 ,$77.35 ,$16.53 ,$72.80 ,$33.67 ,$72.80 ,$6.61 ,$6.61 ,$91.00 ,$49.32 ,$6.61 ,$23.93 , N/A , N/A ,$13.56 ,$12.95 ,$6.94 ,$77.35 ,$14.87 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$9.56 ,$13.22 ,$13.22 ,$6.61 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30100129,80184,HC PHENOBARBITAL,301,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$38.25 ,$22.77 ,$57.45 ,$15.30 ,$29.68 ,$36.57 ,$15.30 ,$40.70 ,$15.30 ,$40.49 ,$3.50 ,$15.30 ,$40.49 ,$29.07 ,$52.08 ,$54.06 ,$38.25 ,$15.30 ,$74.20 ,$15.30 ,$53.00 ,$15.61 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$15.30 ,$53.53 ,$19.89 ,$19.89 ,$19.89 ,$106.00 ,$90.10 ,$38.25 ,$84.80 ,$39.22 ,$84.80 ,$15.30 ,$15.30 ,$106.00 ,$57.45 ,$15.30 ,$27.88 , N/A , N/A ,$13.56 ,$12.95 ,$16.07 ,$90.10 ,$34.43 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$19.89 ,$30.60 ,$30.60 ,$15.30 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$33.13 ,$27.11 ,$62.87 ,$13.25 ,$32.48 ,$40.02 ,$13.25 ,$44.54 ,$13.25 ,$44.31 ,$3.50 ,$13.25 ,$44.31 ,$25.18 ,$44.97 ,$59.16 ,$33.13 ,$13.25 ,$81.20 ,$13.25 ,$58.00 ,$13.52 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$13.25 ,$58.58 ,$19.15 ,$19.15 ,$19.15 ,$116.00 ,$98.60 ,$33.13 ,$92.80 ,$42.92 ,$92.80 ,$13.25 ,$13.25 ,$116.00 ,$62.87 ,$13.25 ,$30.51 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$98.60 ,$29.81 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30100138,80198,HC THEOPHYLLINE,301,1 ,$118.00 ,$76.70 ,$3.50 ,$118.00 ,$35.35 ,$28.93 ,$63.96 ,$14.14 ,$33.04 ,$40.71 ,$14.14 ,$45.31 ,$14.14 ,$45.08 ,$3.50 ,$14.14 ,$45.08 ,$26.87 ,$48.55 ,$60.18 ,$35.35 ,$14.14 ,$82.60 ,$14.14 ,$59.00 ,$14.42 ,$88.50 ,$59.59 ,$53.69 ,$59.59 ,$14.14 ,$59.59 ,$20.42 ,$20.42 ,$20.42 ,$118.00 ,$100.30 ,$35.35 ,$94.40 ,$43.66 ,$94.40 ,$14.14 ,$14.14 ,$118.00 ,$63.96 ,$14.14 ,$31.03 , N/A , N/A ,$13.56 ,$12.95 ,$14.85 ,$100.30 ,$31.82 ,$77.64 ,$33.04 ,$106.20 ,$84.96 ,$118.00 ,$20.42 ,$28.28 ,$28.28 ,$14.14 ,$56.64 ,$106.20 ST. JOHN'S HOSPITAL,30100139,80200,HC TOBRAMYCIN,301,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$40.33 ,$23.19 ,$97.56 ,$16.13 ,$50.40 ,$62.10 ,$16.13 ,$66.77 ,$16.13 ,$68.76 ,$3.50 ,$16.13 ,$68.76 ,$30.65 ,$54.46 ,$91.80 ,$40.33 ,$16.13 ,$126.00 ,$16.13 ,$90.00 ,$16.45 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$16.13 ,$90.90 ,$23.30 ,$23.30 ,$23.30 ,$180.00 ,$153.00 ,$40.33 ,$144.00 ,$66.60 ,$144.00 ,$16.13 ,$16.13 ,$180.00 ,$97.56 ,$16.13 ,$47.34 , N/A , N/A ,$13.56 ,$12.95 ,$16.94 ,$153.00 ,$36.29 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$23.30 ,$32.26 ,$32.26 ,$16.13 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30100141,80202,HC VANCOMYCIN,301,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$33.85 ,$27.72 ,$101.90 ,$13.54 ,$52.64 ,$56.09 ,$13.54 ,$56.09 ,$13.54 ,$71.82 ,$3.50 ,$13.54 ,$71.82 ,$25.73 ,$46.17 ,$95.88 ,$33.85 ,$13.54 ,$131.60 ,$13.54 ,$94.00 ,$13.81 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$13.54 ,$94.94 ,$19.57 ,$19.57 ,$19.57 ,$188.00 ,$159.80 ,$33.85 ,$150.40 ,$69.56 ,$150.40 ,$13.54 ,$13.54 ,$188.00 ,$101.90 ,$13.54 ,$49.44 , N/A , N/A ,$13.56 ,$12.95 ,$14.22 ,$159.80 ,$30.47 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$19.57 ,$27.08 ,$27.08 ,$13.54 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$100.00 ,$65.00 ,$3.50 ,$100.00 ,$20.43 ,$16.71 ,$54.20 ,$8.17 ,$28.00 ,$34.50 ,$8.17 ,$38.40 ,$8.17 ,$38.20 ,$3.50 ,$8.17 ,$38.20 ,$15.52 ,$27.23 ,$51.00 ,$20.43 ,$8.17 ,$70.00 ,$8.17 ,$50.00 ,$8.33 ,$75.00 ,$50.50 ,$45.50 ,$50.50 ,$8.17 ,$50.50 ,$11.80 ,$11.80 ,$11.80 ,$100.00 ,$85.00 ,$20.43 ,$80.00 ,$37.00 ,$80.00 ,$8.17 ,$8.17 ,$100.00 ,$54.20 ,$8.17 ,$26.30 , N/A , N/A ,$11.81 ,$11.28 ,$8.58 ,$85.00 ,$18.38 ,$65.80 ,$28.00 ,$90.00 ,$72.00 ,$100.00 ,$11.80 ,$16.34 ,$16.34 ,$8.17 ,$48.00 ,$90.00 ST. JOHN'S HOSPITAL,30100165,82040,HC ALBUMIN SERUM,301,1 ,$27.00 ,$17.55 ,$3.50 ,$27.00 ,$12.38 ,$10.12 ,$14.63 ,$4.95 ,$7.56 ,$9.32 ,$4.95 ,$10.37 ,$4.95 ,$10.31 ,$3.50 ,$4.95 ,$10.31 ,$9.41 ,$16.59 ,$13.77 ,$12.38 ,$4.95 ,$18.90 ,$4.95 ,$13.50 ,$5.05 ,$20.25 ,$13.64 ,$12.29 ,$13.64 ,$4.95 ,$13.64 ,$7.15 ,$7.15 ,$7.15 ,$27.00 ,$22.95 ,$12.38 ,$21.60 ,$9.99 ,$21.60 ,$4.95 ,$4.95 ,$27.00 ,$14.63 ,$4.95 ,$7.10 , N/A , N/A ,$5.26 ,$5.02 ,$5.20 ,$22.95 ,$11.14 ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$7.15 ,$9.90 ,$9.90 ,$4.95 ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,30100166,82042,HC ALBUMIN BODY FLUID,301,1 ,$34.00 ,$22.10 ,$3.50 ,$34.00 ,$19.45 ,$10.57 ,$18.43 ,$7.78 ,$9.52 ,$11.73 ,$7.78 ,$13.06 ,$7.78 ,$12.99 ,$3.50 ,$7.78 ,$12.99 ,$14.78 ,$26.04 ,$17.34 ,$19.45 ,$7.78 ,$23.80 ,$7.78 ,$17.00 ,$7.94 ,$25.50 ,$17.17 ,$15.47 ,$17.17 ,$7.78 ,$17.17 ,$10.11 ,$10.11 ,$10.11 ,$34.00 ,$28.90 ,$19.45 ,$27.20 ,$12.58 ,$27.20 ,$7.78 ,$7.78 ,$34.00 ,$18.43 ,$7.78 ,$8.94 , N/A , N/A ,$5.26 ,$5.02 ,$8.17 ,$28.90 ,$17.51 ,$22.37 ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$10.11 ,$15.56 ,$15.56 ,$7.78 ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$67.00 ,$43.55 ,$3.50 ,$67.00 ,$14.45 ,$11.83 ,$36.31 ,$5.78 ,$18.76 ,$23.12 ,$5.78 ,$25.73 ,$5.78 ,$25.59 ,$3.50 ,$5.78 ,$25.59 ,$10.98 ,$20.13 ,$34.17 ,$14.45 ,$5.78 ,$46.90 ,$5.78 ,$33.50 ,$5.90 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$5.78 ,$33.84 ,$8.35 ,$8.35 ,$8.35 ,$67.00 ,$56.95 ,$14.45 ,$53.60 ,$24.79 ,$53.60 ,$5.78 ,$5.78 ,$67.00 ,$36.31 ,$5.78 ,$17.62 , N/A , N/A ,$4.21 ,$4.02 ,$6.07 ,$56.95 ,$13.01 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$8.35 ,$11.56 ,$11.56 ,$5.78 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30100175,82105,HC ALPHA FETOPROTEIN SERUM,301,1 ,$197.00 ,$128.05 ,$3.50 ,$197.00 ,$41.93 ,$34.30 ,$106.77 ,$16.77 ,$55.16 ,$67.97 ,$16.77 ,$69.45 ,$16.77 ,$75.25 ,$3.50 ,$16.77 ,$75.25 ,$31.86 ,$56.80 ,$100.47 ,$41.93 ,$16.77 ,$137.90 ,$16.77 ,$98.50 ,$17.11 ,$147.75 ,$99.49 ,$89.64 ,$99.49 ,$16.77 ,$99.49 ,$24.23 ,$24.23 ,$24.23 ,$197.00 ,$167.45 ,$41.93 ,$157.60 ,$72.89 ,$157.60 ,$16.77 ,$16.77 ,$197.00 ,$106.77 ,$16.77 ,$51.81 , N/A , N/A ,$11.81 ,$11.28 ,$17.61 ,$167.45 ,$37.73 ,$129.63 ,$55.16 ,$177.30 ,$141.84 ,$197.00 ,$24.23 ,$33.54 ,$33.54 ,$16.77 ,$94.56 ,$177.30 ST. JOHN'S HOSPITAL,30100186,82140,HC AMMONIA,301,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$36.43 ,$29.80 ,$84.01 ,$14.57 ,$43.40 ,$53.48 ,$14.57 ,$59.52 ,$14.57 ,$59.21 ,$3.50 ,$14.57 ,$59.21 ,$27.68 ,$49.74 ,$79.05 ,$36.43 ,$14.57 ,$108.50 ,$14.57 ,$77.50 ,$14.86 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$14.57 ,$78.28 ,$21.05 ,$21.05 ,$21.05 ,$155.00 ,$131.75 ,$36.43 ,$124.00 ,$57.35 ,$124.00 ,$14.57 ,$14.57 ,$155.00 ,$84.01 ,$14.57 ,$40.77 , N/A , N/A ,$11.81 ,$11.28 ,$15.30 ,$131.75 ,$32.78 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$21.05 ,$29.14 ,$29.14 ,$14.57 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30100188,82150,HC AMYLASE,301,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$16.20 ,$13.25 ,$45.53 ,$6.48 ,$23.52 ,$28.98 ,$6.48 ,$32.26 ,$6.48 ,$32.09 ,$3.50 ,$6.48 ,$32.09 ,$12.31 ,$22.51 ,$42.84 ,$16.20 ,$6.48 ,$58.80 ,$6.48 ,$42.00 ,$6.61 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$6.48 ,$42.42 ,$9.36 ,$9.36 ,$9.36 ,$84.00 ,$71.40 ,$16.20 ,$67.20 ,$31.08 ,$67.20 ,$6.48 ,$6.48 ,$84.00 ,$45.53 ,$6.48 ,$22.09 , N/A , N/A ,$11.81 ,$11.28 ,$6.80 ,$71.40 ,$14.58 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$9.36 ,$12.96 ,$12.96 ,$6.48 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30100192,82172,HC APOLIPOPROTEIN SERUM,301,1 ,$81.00 ,$52.65 ,$3.50 ,$81.00 ,$52.73 ,$31.69 ,$43.90 ,$21.09 ,$22.68 ,$27.95 ,$21.09 ,$31.10 ,$21.09 ,$30.94 ,$3.50 ,$21.09 ,$30.94 ,$40.07 ,$71.01 ,$41.31 ,$52.73 ,$21.09 ,$56.70 ,$21.09 ,$40.50 ,$21.51 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$21.09 ,$40.91 ,$27.42 ,$27.42 ,$27.42 ,$81.00 ,$68.85 ,$52.73 ,$64.80 ,$29.97 ,$64.80 ,$21.09 ,$21.09 ,$81.00 ,$43.90 ,$21.09 ,$21.30 , N/A , N/A ,$11.81 ,$11.28 ,$22.14 ,$68.85 ,$47.45 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$27.42 ,$42.18 ,$42.18 ,$21.09 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$82.00 ,$53.30 ,$3.50 ,$82.00 ,$12.55 ,$10.27 ,$44.44 ,$5.02 ,$22.96 ,$28.12 ,$5.02 ,$28.12 ,$5.02 ,$31.32 ,$3.50 ,$5.02 ,$31.32 ,$9.54 ,$16.59 ,$41.82 ,$12.55 ,$5.02 ,$57.40 ,$5.02 ,$41.00 ,$5.12 ,$61.50 ,$41.41 ,$37.31 ,$41.41 ,$5.02 ,$41.41 ,$7.24 ,$7.24 ,$7.24 ,$82.00 ,$69.70 ,$12.55 ,$65.60 ,$30.34 ,$65.60 ,$5.02 ,$5.02 ,$82.00 ,$44.44 ,$5.02 ,$21.57 , N/A , N/A ,$5.26 ,$5.02 ,$5.27 ,$69.70 ,$11.30 ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$7.24 ,$10.04 ,$10.04 ,$5.02 ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$12.55 ,$10.27 ,$35.23 ,$5.02 ,$18.20 ,$22.43 ,$5.02 ,$24.96 ,$5.02 ,$24.83 ,$3.50 ,$5.02 ,$24.83 ,$9.54 ,$16.59 ,$33.15 ,$12.55 ,$5.02 ,$45.50 ,$5.02 ,$32.50 ,$5.12 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$5.02 ,$32.83 ,$7.24 ,$7.24 ,$7.24 ,$65.00 ,$55.25 ,$12.55 ,$52.00 ,$24.05 ,$52.00 ,$5.02 ,$5.02 ,$65.00 ,$35.23 ,$5.02 ,$17.10 , N/A , N/A ,$5.26 ,$5.02 ,$5.27 ,$55.25 ,$11.30 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$7.24 ,$10.04 ,$10.04 ,$5.02 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30100205,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$10.95 ,$6.67 ,$13.55 ,$4.38 ,$7.00 ,$8.63 ,$4.38 ,$9.60 ,$4.38 ,$9.55 ,$3.50 ,$4.38 ,$9.55 ,$8.32 ,$15.40 ,$12.75 ,$10.95 ,$4.38 ,$17.50 ,$4.38 ,$12.50 ,$4.47 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$4.38 ,$12.63 ,$5.69 ,$5.69 ,$5.69 ,$25.00 ,$21.25 ,$10.95 ,$20.00 ,$9.25 ,$20.00 ,$4.38 ,$4.38 ,$25.00 ,$13.55 ,$4.38 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$4.60 ,$21.25 ,$9.86 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$5.69 ,$8.76 ,$8.76 ,$4.38 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30100206,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$13.30 ,$6.67 ,$13.55 ,$5.32 ,$7.00 ,$8.63 ,$5.32 ,$9.60 ,$5.32 ,$9.55 ,$3.50 ,$5.32 ,$9.55 ,$10.11 ,$17.74 ,$12.75 ,$13.30 ,$5.32 ,$17.50 ,$5.32 ,$12.50 ,$5.43 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$5.32 ,$12.63 ,$6.92 ,$6.92 ,$6.92 ,$25.00 ,$21.25 ,$13.30 ,$20.00 ,$9.25 ,$20.00 ,$5.32 ,$5.32 ,$25.00 ,$13.55 ,$5.32 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$5.59 ,$21.25 ,$11.97 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$6.92 ,$10.64 ,$10.64 ,$5.32 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$170.00 ,$110.50 ,$3.50 ,$170.00 ,$74.00 ,$60.55 ,$92.14 ,$29.60 ,$47.60 ,$58.65 ,$29.60 ,$65.28 ,$29.60 ,$64.94 ,$3.50 ,$29.60 ,$64.94 ,$56.24 ,$100.63 ,$86.70 ,$74.00 ,$29.60 ,$119.00 ,$29.60 ,$85.00 ,$30.19 ,$127.50 ,$85.85 ,$77.35 ,$85.85 ,$29.60 ,$85.85 ,$42.76 ,$42.76 ,$42.76 ,$170.00 ,$144.50 ,$74.00 ,$136.00 ,$62.90 ,$136.00 ,$29.60 ,$29.60 ,$170.00 ,$92.14 ,$29.60 ,$44.71 , N/A , N/A ,$31.80 ,$30.36 ,$31.08 ,$144.50 ,$66.60 ,$111.86 ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$42.76 ,$59.20 ,$59.20 ,$29.60 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,30100214,82310,HC CALCIUM,301,1 ,$27.00 ,$17.55 ,$3.50 ,$27.00 ,$12.90 ,$10.55 ,$14.63 ,$5.16 ,$7.56 ,$9.32 ,$5.16 ,$10.37 ,$5.16 ,$10.31 ,$3.50 ,$5.16 ,$10.31 ,$9.80 ,$17.74 ,$13.77 ,$12.90 ,$5.16 ,$18.90 ,$5.16 ,$13.50 ,$5.26 ,$20.25 ,$13.64 ,$12.29 ,$13.64 ,$5.16 ,$13.64 ,$7.45 ,$7.45 ,$7.45 ,$27.00 ,$22.95 ,$12.90 ,$21.60 ,$9.99 ,$21.60 ,$5.16 ,$5.16 ,$27.00 ,$14.63 ,$5.16 ,$7.10 , N/A , N/A ,$5.26 ,$5.02 ,$5.42 ,$22.95 ,$11.61 ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$7.45 ,$10.32 ,$10.32 ,$5.16 ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,30100215,82330,HC CALCIUM IONIZED,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$34.20 ,$27.95 ,$62.87 ,$13.68 ,$32.48 ,$40.02 ,$13.68 ,$44.54 ,$13.68 ,$44.31 ,$3.50 ,$13.68 ,$44.31 ,$25.99 ,$46.17 ,$59.16 ,$34.20 ,$13.68 ,$81.20 ,$13.68 ,$58.00 ,$13.95 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$13.68 ,$58.58 ,$19.76 ,$19.76 ,$19.76 ,$116.00 ,$98.60 ,$34.20 ,$92.80 ,$42.92 ,$92.80 ,$13.68 ,$13.68 ,$116.00 ,$62.87 ,$13.68 ,$30.51 , N/A , N/A ,$11.81 ,$11.28 ,$14.36 ,$98.60 ,$30.78 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$19.76 ,$27.36 ,$27.36 ,$13.68 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$110.00 ,$71.50 ,$3.50 ,$110.00 ,$15.08 ,$12.34 ,$59.62 ,$6.03 ,$30.80 ,$24.97 ,$6.03 ,$24.97 ,$6.03 ,$42.02 ,$3.50 ,$6.03 ,$42.02 ,$11.46 ,$20.13 ,$56.10 ,$15.08 ,$6.03 ,$77.00 ,$6.03 ,$55.00 ,$6.15 ,$82.50 ,$55.55 ,$50.05 ,$55.55 ,$6.03 ,$55.55 ,$8.71 ,$8.71 ,$8.71 ,$110.00 ,$93.50 ,$15.08 ,$88.00 ,$40.70 ,$88.00 ,$6.03 ,$6.03 ,$110.00 ,$59.62 ,$6.03 ,$28.93 , N/A , N/A ,$11.81 ,$11.28 ,$6.33 ,$93.50 ,$13.57 ,$72.38 ,$30.80 ,$99.00 ,$79.20 ,$110.00 ,$8.71 ,$12.06 ,$12.06 ,$6.03 ,$52.80 ,$99.00 ST. JOHN'S HOSPITAL,30100222,82374,HC BICARBONATE,301,1 ,$30.00 ,$19.50 ,$3.50 ,$30.00 ,$12.20 ,$9.99 ,$16.26 ,$4.88 ,$8.40 ,$10.35 ,$4.88 ,$11.52 ,$4.88 ,$11.46 ,$3.50 ,$4.88 ,$11.46 ,$9.27 ,$16.59 ,$15.30 ,$12.20 ,$4.88 ,$21.00 ,$4.88 ,$15.00 ,$4.98 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$4.88 ,$15.15 ,$7.06 ,$7.06 ,$7.06 ,$30.00 ,$25.50 ,$12.20 ,$24.00 ,$11.10 ,$24.00 ,$4.88 ,$4.88 ,$30.00 ,$16.26 ,$4.88 ,$7.89 , N/A , N/A ,$5.26 ,$5.02 ,$5.12 ,$25.50 ,$10.98 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$7.06 ,$9.76 ,$9.76 ,$4.88 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30100225,82375,HC CARBOXYHEMOGLOBIN,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$30.80 ,$11.85 ,$62.87 ,$12.32 ,$32.48 ,$40.02 ,$12.32 ,$44.54 ,$12.32 ,$44.31 ,$3.50 ,$12.32 ,$44.31 ,$23.41 ,$41.44 ,$59.16 ,$30.80 ,$12.32 ,$81.20 ,$12.32 ,$58.00 ,$12.57 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$12.32 ,$58.58 ,$17.80 ,$17.80 ,$17.80 ,$116.00 ,$98.60 ,$30.80 ,$92.80 ,$42.92 ,$92.80 ,$12.32 ,$12.32 ,$116.00 ,$62.87 ,$12.32 ,$30.51 , N/A , N/A ,$11.81 ,$11.28 ,$12.94 ,$98.60 ,$27.72 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$17.80 ,$24.64 ,$24.64 ,$12.32 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30100226,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$176.00 ,$114.40 ,$3.50 ,$176.00 ,$47.40 ,$38.80 ,$95.39 ,$18.96 ,$49.28 ,$60.72 ,$18.96 ,$67.58 ,$18.96 ,$67.23 ,$3.50 ,$18.96 ,$67.23 ,$36.02 ,$63.91 ,$89.76 ,$47.40 ,$18.96 ,$123.20 ,$18.96 ,$88.00 ,$19.34 ,$132.00 ,$88.88 ,$80.08 ,$88.88 ,$18.96 ,$88.88 ,$27.39 ,$27.39 ,$27.39 ,$176.00 ,$149.60 ,$47.40 ,$140.80 ,$65.12 ,$140.80 ,$18.96 ,$18.96 ,$176.00 ,$95.39 ,$18.96 ,$46.29 , N/A , N/A ,$11.81 ,$11.28 ,$19.91 ,$149.60 ,$42.66 ,$115.81 ,$49.28 ,$158.40 ,$126.72 ,$176.00 ,$27.39 ,$37.92 ,$37.92 ,$18.96 ,$84.48 ,$158.40 ST. JOHN'S HOSPITAL,30100237,82435,HC CHLORIDE,301,1 ,$30.00 ,$19.50 ,$3.50 ,$30.00 ,$11.50 ,$9.40 ,$16.26 ,$4.60 ,$8.40 ,$10.35 ,$4.60 ,$11.52 ,$4.60 ,$11.46 ,$3.50 ,$4.60 ,$11.46 ,$8.74 ,$15.40 ,$15.30 ,$11.50 ,$4.60 ,$21.00 ,$4.60 ,$15.00 ,$4.69 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$4.60 ,$15.15 ,$6.64 ,$6.64 ,$6.64 ,$30.00 ,$25.50 ,$11.50 ,$24.00 ,$11.10 ,$24.00 ,$4.60 ,$4.60 ,$30.00 ,$16.26 ,$4.60 ,$7.89 , N/A , N/A ,$5.26 ,$5.02 ,$4.83 ,$25.50 ,$10.35 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$6.64 ,$9.20 ,$9.20 ,$4.60 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30100238,82436,HC CHLORIDE URINE,301,1 ,$82.00 ,$53.30 ,$3.50 ,$82.00 ,$14.38 ,$10.27 ,$44.44 ,$5.75 ,$22.96 ,$20.85 ,$5.75 ,$20.85 ,$5.75 ,$31.32 ,$3.50 ,$5.75 ,$31.32 ,$10.93 ,$18.93 ,$41.82 ,$14.38 ,$5.75 ,$57.40 ,$5.75 ,$41.00 ,$5.87 ,$61.50 ,$41.41 ,$37.31 ,$41.41 ,$5.75 ,$41.41 ,$7.48 ,$7.48 ,$7.48 ,$82.00 ,$69.70 ,$14.38 ,$65.60 ,$30.34 ,$65.60 ,$5.75 ,$5.75 ,$82.00 ,$44.44 ,$5.75 ,$21.57 , N/A , N/A ,$5.26 ,$5.02 ,$6.04 ,$69.70 ,$12.94 ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$7.48 ,$11.50 ,$11.50 ,$5.75 ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,30100240,82438,HC CHLORIDE OTHER SOURCE,301,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$12.50 ,$9.99 ,$49.86 ,$5.00 ,$25.76 ,$20.23 ,$5.00 ,$20.23 ,$5.00 ,$35.14 ,$3.50 ,$5.00 ,$35.14 ,$9.50 ,$16.59 ,$46.92 ,$12.50 ,$5.00 ,$64.40 ,$5.00 ,$46.00 ,$5.10 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$5.00 ,$46.46 ,$7.06 ,$7.06 ,$7.06 ,$92.00 ,$78.20 ,$12.50 ,$73.60 ,$34.04 ,$73.60 ,$5.00 ,$5.00 ,$92.00 ,$49.86 ,$5.00 ,$24.20 , N/A , N/A ,$5.26 ,$5.02 ,$5.25 ,$78.20 ,$11.25 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$7.06 ,$10.00 ,$10.00 ,$5.00 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30100241,82465,HC CHOLESTEROL,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$10.88 ,$8.89 ,$17.89 ,$4.35 ,$9.24 ,$11.39 ,$4.35 ,$12.67 ,$4.35 ,$12.61 ,$3.50 ,$4.35 ,$12.61 ,$8.27 ,$14.21 ,$16.83 ,$10.88 ,$4.35 ,$23.10 ,$4.35 ,$16.50 ,$4.44 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$4.35 ,$16.67 ,$6.29 ,$6.29 ,$6.29 ,$33.00 ,$28.05 ,$10.88 ,$26.40 ,$12.21 ,$26.40 ,$4.35 ,$4.35 ,$33.00 ,$17.89 ,$4.35 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.57 ,$28.05 ,$9.79 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$6.29 ,$8.70 ,$8.70 ,$4.35 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30100254,82533,HC CORTISOL TOTAL,301,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$40.75 ,$33.34 ,$82.38 ,$16.30 ,$42.56 ,$52.44 ,$16.30 ,$58.37 ,$16.30 ,$58.06 ,$3.50 ,$16.30 ,$58.06 ,$30.97 ,$55.65 ,$77.52 ,$40.75 ,$16.30 ,$106.40 ,$16.30 ,$76.00 ,$16.63 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$16.30 ,$76.76 ,$23.54 ,$23.54 ,$23.54 ,$152.00 ,$129.20 ,$40.75 ,$121.60 ,$56.24 ,$121.60 ,$16.30 ,$16.30 ,$152.00 ,$82.38 ,$16.30 ,$39.98 , N/A , N/A ,$27.64 ,$26.39 ,$17.12 ,$129.20 ,$36.68 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$23.54 ,$32.60 ,$32.60 ,$16.30 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$83.00 ,$53.95 ,$3.50 ,$83.00 ,$16.28 ,$13.32 ,$44.99 ,$6.51 ,$23.24 ,$28.64 ,$6.51 ,$31.87 ,$6.51 ,$31.71 ,$3.50 ,$6.51 ,$31.71 ,$12.37 ,$22.51 ,$42.33 ,$16.28 ,$6.51 ,$58.10 ,$6.51 ,$41.50 ,$6.64 ,$62.25 ,$41.92 ,$37.77 ,$41.92 ,$6.51 ,$41.92 ,$9.40 ,$9.40 ,$9.40 ,$83.00 ,$70.55 ,$16.28 ,$66.40 ,$30.71 ,$66.40 ,$6.51 ,$6.51 ,$83.00 ,$44.99 ,$6.51 ,$21.83 , N/A , N/A ,$5.26 ,$5.02 ,$6.84 ,$70.55 ,$14.65 ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$9.40 ,$13.02 ,$13.02 ,$6.51 ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$166.00 ,$107.90 ,$3.50 ,$166.00 ,$28.88 ,$23.61 ,$89.97 ,$11.55 ,$46.48 ,$47.83 ,$11.55 ,$47.83 ,$11.55 ,$63.41 ,$3.50 ,$11.55 ,$63.41 ,$21.95 ,$39.06 ,$84.66 ,$28.88 ,$11.55 ,$116.20 ,$11.55 ,$83.00 ,$11.78 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$11.55 ,$83.83 ,$16.68 ,$16.68 ,$16.68 ,$166.00 ,$141.10 ,$28.88 ,$132.80 ,$61.42 ,$132.80 ,$11.55 ,$11.55 ,$166.00 ,$89.97 ,$11.55 ,$43.66 , N/A , N/A ,$11.81 ,$11.28 ,$12.13 ,$141.10 ,$25.99 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$16.68 ,$23.10 ,$23.10 ,$11.55 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30100262,82565,HC CREATININE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$12.80 ,$10.47 ,$17.89 ,$5.12 ,$9.24 ,$11.39 ,$5.12 ,$12.67 ,$5.12 ,$12.61 ,$3.50 ,$5.12 ,$12.61 ,$9.73 ,$17.74 ,$16.83 ,$12.80 ,$5.12 ,$23.10 ,$5.12 ,$16.50 ,$5.22 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$5.12 ,$16.67 ,$7.40 ,$7.40 ,$7.40 ,$33.00 ,$28.05 ,$12.80 ,$26.40 ,$12.21 ,$26.40 ,$5.12 ,$5.12 ,$5.12 ,$17.89 ,$5.12 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$5.38 ,$28.05 ,$11.52 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$7.40 ,$10.24 ,$10.24 ,$5.12 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$83.00 ,$53.95 ,$3.50 ,$83.00 ,$12.95 ,$10.57 ,$44.99 ,$5.18 ,$23.24 ,$28.64 ,$5.18 ,$29.00 ,$5.18 ,$31.71 ,$3.50 ,$5.18 ,$31.71 ,$9.84 ,$17.74 ,$42.33 ,$12.95 ,$5.18 ,$58.10 ,$5.18 ,$41.50 ,$5.28 ,$62.25 ,$41.92 ,$37.77 ,$41.92 ,$5.18 ,$41.92 ,$7.48 ,$7.48 ,$7.48 ,$83.00 ,$70.55 ,$12.95 ,$66.40 ,$30.71 ,$66.40 ,$5.18 ,$5.18 ,$83.00 ,$44.99 ,$5.18 ,$21.83 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$70.55 ,$11.66 ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$177.00 ,$115.05 ,$3.50 ,$177.00 ,$23.65 ,$19.32 ,$95.93 ,$9.46 ,$49.56 ,$39.16 ,$9.46 ,$39.16 ,$9.46 ,$67.61 ,$3.50 ,$9.46 ,$67.61 ,$17.97 ,$31.95 ,$90.27 ,$23.65 ,$9.46 ,$123.90 ,$9.46 ,$88.50 ,$9.65 ,$132.75 ,$89.39 ,$80.54 ,$89.39 ,$9.46 ,$89.39 ,$13.66 ,$13.66 ,$13.66 ,$177.00 ,$150.45 ,$23.65 ,$141.60 ,$65.49 ,$141.60 ,$9.46 ,$9.46 ,$177.00 ,$95.93 ,$9.46 ,$46.55 , N/A , N/A ,$11.81 ,$11.28 ,$9.93 ,$150.45 ,$21.29 ,$116.47 ,$49.56 ,$159.30 ,$127.44 ,$177.00 ,$13.66 ,$18.92 ,$18.92 ,$9.46 ,$84.96 ,$159.30 ST. JOHN'S HOSPITAL,30100269,82607,HC VITAMIN B12,301,1 ,$171.00 ,$111.15 ,$3.50 ,$171.00 ,$37.70 ,$30.82 ,$92.68 ,$15.08 ,$47.88 ,$59.00 ,$15.08 ,$62.44 ,$15.08 ,$65.32 ,$3.50 ,$15.08 ,$65.32 ,$28.65 ,$50.89 ,$87.21 ,$37.70 ,$15.08 ,$119.70 ,$15.08 ,$85.50 ,$15.38 ,$128.25 ,$86.36 ,$77.81 ,$86.36 ,$15.08 ,$86.36 ,$21.78 ,$21.78 ,$21.78 ,$171.00 ,$145.35 ,$37.70 ,$136.80 ,$63.27 ,$136.80 ,$15.08 ,$15.08 ,$171.00 ,$92.68 ,$15.08 ,$44.97 , N/A , N/A ,$15.90 ,$15.17 ,$15.83 ,$145.35 ,$33.93 ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$21.78 ,$30.16 ,$30.16 ,$15.08 ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,30100276,82670,HC ESTRADIOL,301,1 ,$73.00 ,$47.45 ,$3.50 ,$73.00 ,$69.85 ,$23.19 ,$39.57 ,$27.94 ,$20.44 ,$25.19 ,$27.94 ,$28.03 ,$27.94 ,$27.89 ,$3.50 ,$27.94 ,$27.89 ,$53.09 ,$73.00 ,$37.23 ,$69.85 ,$27.94 ,$51.10 ,$27.94 ,$36.50 ,$28.50 ,$54.75 ,$36.87 ,$33.22 ,$36.87 ,$27.94 ,$36.87 ,$40.35 ,$40.35 ,$40.35 ,$73.00 ,$62.05 ,$69.85 ,$58.40 ,$27.01 ,$58.40 ,$27.94 ,$27.94 ,$73.00 ,$39.57 ,$27.94 ,$19.20 , N/A , N/A ,$27.64 ,$26.39 ,$29.34 ,$62.05 ,$62.87 ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$40.35 ,$55.88 ,$55.88 ,$27.94 ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,30100290,82728,HC FERRITIN,301,1 ,$146.00 ,$94.90 ,$3.50 ,$146.00 ,$34.08 ,$27.86 ,$79.13 ,$13.63 ,$40.88 ,$50.37 ,$13.63 ,$56.06 ,$13.63 ,$55.77 ,$3.50 ,$13.63 ,$55.77 ,$25.90 ,$46.17 ,$74.46 ,$34.08 ,$13.63 ,$102.20 ,$13.63 ,$73.00 ,$13.90 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$13.63 ,$73.73 ,$19.70 ,$19.70 ,$19.70 ,$146.00 ,$124.10 ,$34.08 ,$116.80 ,$54.02 ,$116.80 ,$13.63 ,$13.63 ,$146.00 ,$79.13 ,$13.63 ,$38.40 , N/A , N/A ,$11.81 ,$11.28 ,$14.31 ,$124.10 ,$30.67 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$19.70 ,$27.26 ,$27.26 ,$13.63 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,30100291,82731,HC FETAL FIBRONECTIN,301,1 ,$518.00 ,$336.70 ,$3.50 ,$518.00 ,$161.03 ,$95.71 ,$280.76 ,$64.41 ,$145.04 ,$178.71 ,$64.41 ,$198.91 ,$64.41 ,$197.88 ,$3.50 ,$64.41 ,$197.88 ,$122.38 ,$219.00 ,$264.18 ,$161.03 ,$64.41 ,$362.60 ,$64.41 ,$259.00 ,$65.70 ,$388.50 ,$261.59 ,$235.69 ,$261.59 ,$64.41 ,$261.59 ,$93.04 ,$93.04 ,$93.04 ,$518.00 ,$440.30 ,$161.03 ,$414.40 ,$191.66 ,$414.40 ,$64.41 ,$64.41 ,$518.00 ,$280.76 ,$64.41 ,$136.23 , N/A , N/A ,$31.80 ,$30.36 ,$67.63 ,$440.30 ,$144.92 ,$340.84 ,$145.04 ,$466.20 ,$372.96 ,$518.00 ,$93.04 ,$128.82 ,$128.82 ,$64.41 ,$248.64 ,$466.20 ST. JOHN'S HOSPITAL,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$149.00 ,$96.85 ,$3.50 ,$149.00 ,$36.75 ,$30.07 ,$80.76 ,$14.70 ,$41.72 ,$51.41 ,$14.70 ,$57.22 ,$14.70 ,$56.92 ,$3.50 ,$14.70 ,$56.92 ,$27.93 ,$49.74 ,$75.99 ,$36.75 ,$14.70 ,$104.30 ,$14.70 ,$74.50 ,$14.99 ,$111.75 ,$75.25 ,$67.80 ,$75.25 ,$14.70 ,$75.25 ,$21.24 ,$21.24 ,$21.24 ,$149.00 ,$126.65 ,$36.75 ,$119.20 ,$55.13 ,$119.20 ,$14.70 ,$14.70 ,$149.00 ,$80.76 ,$14.70 ,$39.19 , N/A , N/A ,$11.81 ,$11.28 ,$15.44 ,$126.65 ,$33.08 ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$21.24 ,$29.40 ,$29.40 ,$14.70 ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,30100295,82784,HC GAMMAGLOBULIN,301,1 ,$123.00 ,$79.95 ,$3.50 ,$123.00 ,$23.25 ,$19.01 ,$66.67 ,$9.30 ,$34.44 ,$38.49 ,$9.30 ,$38.49 ,$9.30 ,$46.99 ,$3.50 ,$9.30 ,$46.99 ,$17.67 ,$31.95 ,$62.73 ,$23.25 ,$9.30 ,$86.10 ,$9.30 ,$61.50 ,$9.49 ,$92.25 ,$62.12 ,$55.97 ,$62.12 ,$9.30 ,$62.12 ,$13.44 ,$13.44 ,$13.44 ,$123.00 ,$104.55 ,$23.25 ,$98.40 ,$45.51 ,$98.40 ,$9.30 ,$9.30 ,$123.00 ,$66.67 ,$9.30 ,$32.35 , N/A , N/A ,$11.81 ,$11.28 ,$9.77 ,$104.55 ,$20.93 ,$80.93 ,$34.44 ,$110.70 ,$88.56 ,$123.00 ,$13.44 ,$18.60 ,$18.60 ,$9.30 ,$59.04 ,$110.70 ST. JOHN'S HOSPITAL,30100305,82800,HC BLOOD GAS PH,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$27.50 ,$12.44 ,$24.93 ,$11.00 ,$12.88 ,$15.87 ,$11.00 ,$17.66 ,$11.00 ,$17.57 ,$3.50 ,$11.00 ,$17.57 ,$20.90 ,$37.87 ,$23.46 ,$27.50 ,$11.00 ,$32.20 ,$11.00 ,$23.00 ,$11.22 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$11.00 ,$23.23 ,$14.30 ,$14.30 ,$14.30 ,$46.00 ,$39.10 ,$27.50 ,$36.80 ,$17.02 ,$36.80 ,$11.00 ,$11.00 ,$46.00 ,$24.93 ,$11.00 ,$12.10 , N/A , N/A ,$11.81 ,$11.28 ,$11.55 ,$39.10 ,$24.75 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$14.30 ,$22.00 ,$22.00 ,$11.00 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30100306,82803,HC BLOOD GAS PH PO2 AND /OR PCO2,301,1 ,$214.00 ,$139.10 ,$3.50 ,$214.00 ,$65.18 ,$24.68 ,$115.99 ,$26.07 ,$59.92 ,$73.83 ,$26.07 ,$82.18 ,$26.07 ,$81.75 ,$3.50 ,$26.07 ,$81.75 ,$49.53 ,$88.80 ,$109.14 ,$65.18 ,$26.07 ,$149.80 ,$26.07 ,$107.00 ,$26.59 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$26.07 ,$108.07 ,$33.89 ,$33.89 ,$33.89 ,$214.00 ,$181.90 ,$65.18 ,$171.20 ,$79.18 ,$171.20 ,$26.07 ,$26.07 ,$214.00 ,$115.99 ,$26.07 ,$56.28 , N/A , N/A ,$11.81 ,$11.28 ,$27.37 ,$181.90 ,$58.66 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$33.89 ,$52.14 ,$52.14 ,$26.07 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,30100307,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$214.00 ,$139.10 ,$3.50 ,$214.00 ,$196.93 ,$57.91 ,$115.99 ,$78.77 ,$59.92 ,$73.83 ,$78.77 ,$82.18 ,$78.77 ,$81.75 ,$3.50 ,$78.77 ,$81.75 ,$149.66 ,$214.00 ,$109.14 ,$196.93 ,$78.77 ,$149.80 ,$78.77 ,$107.00 ,$80.35 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$78.77 ,$108.07 ,$102.40 ,$102.40 ,$102.40 ,$214.00 ,$181.90 ,$196.93 ,$171.20 ,$79.18 ,$171.20 ,$78.77 ,$78.77 ,$214.00 ,$115.99 ,$78.77 ,$56.28 , N/A , N/A ,$11.81 ,$11.28 ,$82.71 ,$181.90 ,$177.23 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$102.40 ,$157.54 ,$157.54 ,$78.77 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,30100308,82810,HC BLOOD GAS O2 SAT ONLY,301,1 ,$154.00 ,$100.10 ,$3.50 ,$154.00 ,$24.43 ,$17.85 ,$83.47 ,$9.77 ,$43.12 ,$48.92 ,$9.77 ,$48.92 ,$9.77 ,$58.83 ,$3.50 ,$9.77 ,$58.83 ,$18.56 ,$33.15 ,$78.54 ,$24.43 ,$9.77 ,$107.80 ,$9.77 ,$77.00 ,$9.97 ,$115.50 ,$77.77 ,$70.07 ,$77.77 ,$9.77 ,$77.77 ,$12.70 ,$12.70 ,$12.70 ,$154.00 ,$130.90 ,$24.43 ,$123.20 ,$56.98 ,$123.20 ,$9.77 ,$9.77 ,$154.00 ,$83.47 ,$9.77 ,$40.50 , N/A , N/A ,$11.81 ,$11.28 ,$10.26 ,$130.90 ,$21.98 ,$101.33 ,$43.12 ,$138.60 ,$110.88 ,$154.00 ,$12.70 ,$19.54 ,$19.54 ,$9.77 ,$73.92 ,$138.60 ST. JOHN'S HOSPITAL,30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$59.00 ,$38.35 ,$3.50 ,$59.00 ,$9.83 ,$8.02 ,$31.98 ,$3.93 ,$16.52 ,$20.36 ,$3.93 ,$22.03 ,$3.93 ,$22.54 ,$3.50 ,$3.93 ,$22.54 ,$7.47 ,$13.02 ,$30.09 ,$9.83 ,$3.93 ,$41.30 ,$3.93 ,$29.50 ,$4.01 ,$44.25 ,$29.80 ,$26.85 ,$29.80 ,$3.93 ,$29.80 ,$5.68 ,$5.68 ,$5.68 ,$59.00 ,$50.15 ,$9.83 ,$47.20 ,$21.83 ,$47.20 ,$3.93 ,$3.93 ,$59.00 ,$31.98 ,$3.93 ,$15.52 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$50.15 ,$8.84 ,$38.82 ,$16.52 ,$53.10 ,$42.48 ,$59.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$28.32 ,$53.10 ST. JOHN'S HOSPITAL,30100312,82947,HC GLUCOSE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$9.83 ,$8.02 ,$17.89 ,$3.93 ,$9.24 ,$11.39 ,$3.93 ,$12.67 ,$3.93 ,$12.61 ,$3.50 ,$3.93 ,$12.61 ,$7.47 ,$13.02 ,$16.83 ,$9.83 ,$3.93 ,$23.10 ,$3.93 ,$16.50 ,$4.01 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$3.93 ,$16.67 ,$5.68 ,$5.68 ,$5.68 ,$33.00 ,$28.05 ,$9.83 ,$26.40 ,$12.21 ,$26.40 ,$3.93 ,$3.93 ,$33.00 ,$17.89 ,$3.93 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$28.05 ,$8.84 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$70.00 ,$45.50 ,$3.50 ,$70.00 ,$11.88 ,$9.71 ,$37.94 ,$4.75 ,$19.60 ,$24.15 ,$4.75 ,$26.63 ,$4.75 ,$26.74 ,$3.50 ,$4.75 ,$26.74 ,$9.03 ,$16.59 ,$35.70 ,$11.88 ,$4.75 ,$49.00 ,$4.75 ,$35.00 ,$4.85 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$4.75 ,$35.35 ,$6.85 ,$6.85 ,$6.85 ,$70.00 ,$59.50 ,$11.88 ,$56.00 ,$25.90 ,$56.00 ,$4.75 ,$4.75 ,$70.00 ,$37.94 ,$4.75 ,$18.41 , N/A , N/A ,$5.26 ,$5.02 ,$4.99 ,$59.50 ,$10.69 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$6.85 ,$9.50 ,$9.50 ,$4.75 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$164.00 ,$106.60 ,$3.50 ,$164.00 ,$32.18 ,$26.32 ,$88.89 ,$12.87 ,$45.92 ,$56.58 ,$12.87 ,$62.98 ,$12.87 ,$62.65 ,$3.50 ,$12.87 ,$62.65 ,$24.45 ,$43.78 ,$83.64 ,$32.18 ,$12.87 ,$114.80 ,$12.87 ,$82.00 ,$13.13 ,$123.00 ,$82.82 ,$74.62 ,$82.82 ,$12.87 ,$82.82 ,$18.59 ,$18.59 ,$18.59 ,$164.00 ,$139.40 ,$32.18 ,$131.20 ,$60.68 ,$131.20 ,$12.87 ,$12.87 ,$164.00 ,$88.89 ,$12.87 ,$43.13 , N/A , N/A ,$11.81 ,$11.28 ,$13.51 ,$139.40 ,$28.96 ,$107.91 ,$45.92 ,$147.60 ,$118.08 ,$164.00 ,$18.59 ,$25.74 ,$25.74 ,$12.87 ,$78.72 ,$147.60 ST. JOHN'S HOSPITAL,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$73.00 ,$47.45 ,$3.50 ,$73.00 ,$9.80 ,$8.02 ,$39.57 ,$3.92 ,$20.44 ,$21.98 ,$3.92 ,$21.98 ,$3.92 ,$27.89 ,$3.50 ,$3.92 ,$27.89 ,$7.45 ,$13.02 ,$37.23 ,$9.80 ,$3.92 ,$51.10 ,$3.92 ,$36.50 ,$4.00 ,$54.75 ,$36.87 ,$33.22 ,$36.87 ,$3.92 ,$36.87 ,$5.67 ,$5.67 ,$5.67 ,$73.00 ,$62.05 ,$9.80 ,$58.40 ,$27.01 ,$58.40 ,$3.92 ,$3.92 ,$73.00 ,$39.57 ,$3.92 ,$19.20 , N/A , N/A ,$11.81 ,$11.28 ,$4.12 ,$62.05 ,$8.82 ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$5.67 ,$7.84 ,$7.84 ,$3.92 ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$23.00 ,$14.95 ,$3.28 ,$23.00 ,$8.20 ,$4.80 ,$12.47 ,$3.28 ,$6.44 ,$7.94 ,$3.28 ,$8.83 ,$3.28 ,$8.79 ,$3.50 ,$3.28 ,$8.79 ,$6.23 ,$10.64 ,$11.73 ,$8.20 ,$3.28 ,$16.10 ,$3.28 ,$11.50 ,$3.35 ,$17.25 ,$11.62 ,$10.47 ,$11.62 ,$3.28 ,$11.62 ,$4.26 ,$4.26 ,$4.26 ,$23.00 ,$19.55 ,$8.20 ,$18.40 ,$8.51 ,$18.40 ,$3.28 ,$3.28 ,$23.00 ,$12.47 ,$3.28 ,$6.05 , N/A , N/A ,$5.26 ,$5.02 ,$3.44 ,$19.55 ,$7.38 ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$4.26 ,$6.56 ,$6.56 ,$3.28 ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,30100319,82977,HC GGT/GGTP,301,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$18.00 ,$14.74 ,$58.54 ,$7.20 ,$30.24 ,$37.26 ,$7.20 ,$40.35 ,$7.20 ,$41.26 ,$3.50 ,$7.20 ,$41.26 ,$13.68 ,$24.85 ,$55.08 ,$18.00 ,$7.20 ,$75.60 ,$7.20 ,$54.00 ,$7.34 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$7.20 ,$54.54 ,$10.40 ,$10.40 ,$10.40 ,$108.00 ,$91.80 ,$18.00 ,$86.40 ,$39.96 ,$86.40 ,$7.20 ,$7.20 ,$108.00 ,$58.54 ,$7.20 ,$28.40 , N/A , N/A ,$5.26 ,$5.02 ,$7.56 ,$91.80 ,$16.20 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$10.40 ,$14.40 ,$14.40 ,$7.20 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30100322,83001,HC FSH,301,1 ,$208.00 ,$135.20 ,$3.50 ,$208.00 ,$46.45 ,$37.99 ,$112.74 ,$18.58 ,$58.24 ,$71.76 ,$18.58 ,$79.87 ,$18.58 ,$79.46 ,$3.50 ,$18.58 ,$79.46 ,$35.30 ,$62.76 ,$106.08 ,$46.45 ,$18.58 ,$145.60 ,$18.58 ,$104.00 ,$18.95 ,$156.00 ,$105.04 ,$94.64 ,$105.04 ,$18.58 ,$105.04 ,$26.85 ,$26.85 ,$26.85 ,$208.00 ,$176.80 ,$46.45 ,$166.40 ,$76.96 ,$166.40 ,$18.58 ,$18.58 ,$208.00 ,$112.74 ,$18.58 ,$54.70 , N/A , N/A ,$27.64 ,$26.39 ,$19.51 ,$176.80 ,$41.81 ,$136.86 ,$58.24 ,$187.20 ,$149.76 ,$208.00 ,$26.85 ,$37.16 ,$37.16 ,$18.58 ,$99.84 ,$187.20 ST. JOHN'S HOSPITAL,30100325,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$181.00 ,$117.65 ,$3.50 ,$181.00 ,$46.30 ,$37.87 ,$98.10 ,$18.52 ,$50.68 ,$62.45 ,$18.52 ,$69.50 ,$18.52 ,$69.14 ,$3.50 ,$18.52 ,$69.14 ,$35.19 ,$62.76 ,$92.31 ,$46.30 ,$18.52 ,$126.70 ,$18.52 ,$90.50 ,$18.89 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$18.52 ,$91.41 ,$26.74 ,$26.74 ,$26.74 ,$181.00 ,$153.85 ,$46.30 ,$144.80 ,$66.97 ,$144.80 ,$18.52 ,$18.52 ,$181.00 ,$98.10 ,$18.52 ,$47.60 , N/A , N/A ,$27.64 ,$26.39 ,$19.45 ,$153.85 ,$41.67 ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$26.74 ,$37.04 ,$37.04 ,$18.52 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,30100327,83010,HC HAPTOGLOBIN,301,1 ,$169.00 ,$109.85 ,$3.50 ,$169.00 ,$31.45 ,$25.73 ,$91.60 ,$12.58 ,$47.32 ,$52.06 ,$12.58 ,$52.06 ,$12.58 ,$64.56 ,$3.50 ,$12.58 ,$64.56 ,$23.90 ,$42.63 ,$86.19 ,$31.45 ,$12.58 ,$118.30 ,$12.58 ,$84.50 ,$12.83 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$12.58 ,$85.35 ,$18.16 ,$18.16 ,$18.16 ,$169.00 ,$143.65 ,$31.45 ,$135.20 ,$62.53 ,$135.20 ,$12.58 ,$12.58 ,$169.00 ,$91.60 ,$12.58 ,$44.45 , N/A , N/A ,$11.81 ,$11.28 ,$13.21 ,$143.65 ,$28.31 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$18.16 ,$25.16 ,$25.16 ,$12.58 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$24.28 ,$19.85 ,$65.04 ,$9.71 ,$33.60 ,$41.40 ,$9.71 ,$46.08 ,$9.71 ,$45.84 ,$3.50 ,$9.71 ,$45.84 ,$18.45 ,$33.15 ,$61.20 ,$24.28 ,$9.71 ,$84.00 ,$9.71 ,$60.00 ,$9.90 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$9.71 ,$60.60 ,$14.03 ,$14.03 ,$14.03 ,$120.00 ,$102.00 ,$24.28 ,$96.00 ,$44.40 ,$96.00 ,$9.71 ,$9.71 ,$120.00 ,$65.04 ,$9.71 ,$31.56 , N/A , N/A ,$11.81 ,$11.28 ,$10.20 ,$102.00 ,$21.85 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$14.03 ,$19.42 ,$19.42 ,$9.71 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30100338,83050,HC METHEMOGLOBIN,301,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$20.50 ,$7.19 ,$26.56 ,$8.20 ,$13.72 ,$16.91 ,$8.20 ,$18.82 ,$8.20 ,$18.72 ,$3.50 ,$8.20 ,$18.72 ,$15.58 ,$28.42 ,$24.99 ,$20.50 ,$8.20 ,$34.30 ,$8.20 ,$24.50 ,$8.36 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$8.20 ,$24.75 ,$10.66 ,$10.66 ,$10.66 ,$49.00 ,$41.65 ,$20.50 ,$39.20 ,$18.13 ,$39.20 ,$8.20 ,$8.20 ,$49.00 ,$26.56 ,$8.20 ,$12.89 , N/A , N/A ,$11.81 ,$11.28 ,$8.61 ,$41.65 ,$18.45 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$10.66 ,$16.40 ,$16.40 ,$8.20 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30100346,83090,HC HOMOCYSTEINE,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$44.80 ,$34.49 ,$48.78 ,$17.92 ,$25.20 ,$31.05 ,$17.92 ,$34.56 ,$17.92 ,$34.38 ,$3.50 ,$17.92 ,$34.38 ,$34.05 ,$60.38 ,$45.90 ,$44.80 ,$17.92 ,$63.00 ,$17.92 ,$45.00 ,$18.28 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$17.92 ,$45.45 ,$24.36 ,$24.36 ,$24.36 ,$90.00 ,$76.50 ,$44.80 ,$72.00 ,$33.30 ,$72.00 ,$17.92 ,$17.92 ,$90.00 ,$48.78 ,$17.92 ,$23.67 , N/A , N/A ,$27.64 ,$26.39 ,$18.82 ,$76.50 ,$40.32 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$24.36 ,$35.84 ,$35.84 ,$17.92 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30100393,83540,HC IRON TOTAL,301,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$16.18 ,$13.25 ,$47.70 ,$6.47 ,$24.64 ,$26.78 ,$6.47 ,$26.78 ,$6.47 ,$33.62 ,$3.50 ,$6.47 ,$33.62 ,$12.29 ,$22.51 ,$44.88 ,$16.18 ,$6.47 ,$61.60 ,$6.47 ,$44.00 ,$6.60 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$6.47 ,$44.44 ,$9.35 ,$9.35 ,$9.35 ,$88.00 ,$74.80 ,$16.18 ,$70.40 ,$32.56 ,$70.40 ,$6.47 ,$6.47 ,$88.00 ,$47.70 ,$6.47 ,$23.14 , N/A , N/A ,$5.26 ,$5.02 ,$6.79 ,$74.80 ,$14.56 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$9.35 ,$12.94 ,$12.94 ,$6.47 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$98.00 ,$63.70 ,$3.50 ,$98.00 ,$21.85 ,$17.89 ,$53.12 ,$8.74 ,$27.44 ,$33.81 ,$8.74 ,$36.17 ,$8.74 ,$37.44 ,$3.50 ,$8.74 ,$37.44 ,$16.61 ,$29.61 ,$49.98 ,$21.85 ,$8.74 ,$68.60 ,$8.74 ,$49.00 ,$8.91 ,$73.50 ,$49.49 ,$44.59 ,$49.49 ,$8.74 ,$49.49 ,$12.62 ,$12.62 ,$12.62 ,$98.00 ,$83.30 ,$21.85 ,$78.40 ,$36.26 ,$78.40 ,$8.74 ,$8.74 ,$98.00 ,$53.12 ,$8.74 ,$25.77 , N/A , N/A ,$11.81 ,$11.28 ,$9.18 ,$83.30 ,$19.67 ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$12.62 ,$17.48 ,$17.48 ,$8.74 ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$130.00 ,$84.50 ,$3.50 ,$130.00 ,$28.93 ,$21.84 ,$70.46 ,$11.57 ,$36.40 ,$44.85 ,$11.57 ,$49.92 ,$11.57 ,$49.66 ,$3.50 ,$11.57 ,$49.66 ,$21.98 ,$39.06 ,$66.30 ,$28.93 ,$11.57 ,$91.00 ,$11.57 ,$65.00 ,$11.80 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$11.57 ,$65.65 ,$15.43 ,$15.43 ,$15.43 ,$130.00 ,$110.50 ,$28.93 ,$104.00 ,$48.10 ,$104.00 ,$11.57 ,$11.57 ,$130.00 ,$70.46 ,$11.57 ,$34.19 , N/A , N/A ,$11.81 ,$11.28 ,$12.15 ,$110.50 ,$26.03 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$15.43 ,$23.14 ,$23.14 ,$11.57 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$51.00 ,$33.15 ,$3.50 ,$51.00 ,$15.10 ,$12.36 ,$27.64 ,$6.04 ,$14.28 ,$17.60 ,$6.04 ,$19.58 ,$6.04 ,$19.48 ,$3.50 ,$6.04 ,$19.48 ,$11.48 ,$20.13 ,$26.01 ,$15.10 ,$6.04 ,$35.70 ,$6.04 ,$25.50 ,$6.16 ,$38.25 ,$25.76 ,$23.21 ,$25.76 ,$6.04 ,$25.76 ,$8.72 ,$8.72 ,$8.72 ,$51.00 ,$43.35 ,$15.10 ,$40.80 ,$18.87 ,$40.80 ,$6.04 ,$6.04 ,$51.00 ,$27.64 ,$6.04 ,$13.41 , N/A , N/A ,$5.26 ,$5.02 ,$6.34 ,$43.35 ,$13.59 ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$8.72 ,$12.08 ,$12.08 ,$6.04 ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,30100408,83663,HC FETAL LUNG MATURITY,301,1 ,$520.00 ,$338.00 ,$3.50 ,$520.00 ,$47.28 ,$38.68 ,$281.84 ,$18.91 ,$145.60 ,$78.33 ,$18.91 ,$78.33 ,$18.91 ,$198.64 ,$3.50 ,$18.91 ,$198.64 ,$35.93 ,$63.91 ,$265.20 ,$47.28 ,$18.91 ,$364.00 ,$18.91 ,$260.00 ,$19.29 ,$390.00 ,$262.60 ,$236.60 ,$262.60 ,$18.91 ,$262.60 ,$27.31 ,$27.31 ,$27.31 ,$520.00 ,$442.00 ,$47.28 ,$416.00 ,$192.40 ,$416.00 ,$18.91 ,$18.91 ,$520.00 ,$281.84 ,$18.91 ,$136.76 , N/A , N/A ,$33.75 ,$32.21 ,$19.86 ,$442.00 ,$42.55 ,$342.16 ,$145.60 ,$468.00 ,$374.40 ,$520.00 ,$27.31 ,$37.82 ,$37.82 ,$18.91 ,$249.60 ,$468.00 ST. JOHN'S HOSPITAL,30100409,83690,HC LIPASE,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$17.23 ,$14.09 ,$48.78 ,$6.89 ,$25.20 ,$28.53 ,$6.89 ,$28.53 ,$6.89 ,$34.38 ,$3.50 ,$6.89 ,$34.38 ,$13.09 ,$23.66 ,$45.90 ,$17.23 ,$6.89 ,$63.00 ,$6.89 ,$45.00 ,$7.03 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$6.89 ,$45.45 ,$9.95 ,$9.95 ,$9.95 ,$90.00 ,$76.50 ,$17.23 ,$72.00 ,$33.30 ,$72.00 ,$6.89 ,$6.89 ,$90.00 ,$48.78 ,$6.89 ,$23.67 , N/A , N/A ,$5.26 ,$5.02 ,$7.23 ,$76.50 ,$15.50 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$9.95 ,$13.78 ,$13.78 ,$6.89 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30100410,83695,HC LIPOPROTEIN,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$35.80 ,$26.48 ,$42.82 ,$14.32 ,$22.12 ,$27.26 ,$14.32 ,$30.34 ,$14.32 ,$30.18 ,$3.50 ,$14.32 ,$30.18 ,$27.21 ,$48.55 ,$40.29 ,$35.80 ,$14.32 ,$55.30 ,$14.32 ,$39.50 ,$14.61 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$14.32 ,$39.90 ,$18.71 ,$18.71 ,$18.71 ,$79.00 ,$67.15 ,$35.80 ,$63.20 ,$29.23 ,$63.20 ,$14.32 ,$14.32 ,$79.00 ,$42.82 ,$14.32 ,$20.78 , N/A , N/A ,$11.81 ,$11.28 ,$15.04 ,$67.15 ,$32.22 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$18.71 ,$28.64 ,$28.64 ,$14.32 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$20.48 ,$16.75 ,$56.91 ,$8.19 ,$29.40 ,$36.23 ,$8.19 ,$40.32 ,$8.19 ,$40.11 ,$3.50 ,$8.19 ,$40.11 ,$15.56 ,$27.23 ,$53.55 ,$20.48 ,$8.19 ,$73.50 ,$8.19 ,$52.50 ,$8.35 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$8.19 ,$53.03 ,$11.83 ,$11.83 ,$11.83 ,$105.00 ,$89.25 ,$20.48 ,$84.00 ,$38.85 ,$84.00 ,$8.19 ,$8.19 ,$105.00 ,$56.91 ,$8.19 ,$27.62 , N/A , N/A ,$11.81 ,$11.28 ,$8.60 ,$89.25 ,$18.43 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$11.83 ,$16.38 ,$16.38 ,$8.19 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$52.00 ,$33.80 ,$3.50 ,$52.00 ,$26.25 ,$19.50 ,$28.18 ,$10.50 ,$14.56 ,$17.94 ,$10.50 ,$19.97 ,$10.50 ,$19.86 ,$3.50 ,$10.50 ,$19.86 ,$19.95 ,$35.53 ,$26.52 ,$26.25 ,$10.50 ,$36.40 ,$10.50 ,$26.00 ,$10.71 ,$39.00 ,$26.26 ,$23.66 ,$26.26 ,$10.50 ,$26.26 ,$13.78 ,$13.78 ,$13.78 ,$52.00 ,$44.20 ,$26.25 ,$41.60 ,$19.24 ,$41.60 ,$10.50 ,$10.50 ,$52.00 ,$28.18 ,$10.50 ,$13.68 , N/A , N/A ,$11.81 ,$11.28 ,$11.03 ,$44.20 ,$23.63 ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$13.78 ,$21.00 ,$21.00 ,$10.50 ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,30100417,83735,HC MAGNESIUM,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$16.75 ,$13.70 ,$56.91 ,$6.70 ,$29.40 ,$36.23 ,$6.70 ,$37.56 ,$6.70 ,$40.11 ,$3.50 ,$6.70 ,$40.11 ,$12.73 ,$22.51 ,$53.55 ,$16.75 ,$6.70 ,$73.50 ,$6.70 ,$52.50 ,$6.83 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$6.70 ,$53.03 ,$9.67 ,$9.67 ,$9.67 ,$105.00 ,$89.25 ,$16.75 ,$84.00 ,$38.85 ,$84.00 ,$6.70 ,$6.70 ,$105.00 ,$56.91 ,$6.70 ,$27.62 , N/A , N/A ,$5.26 ,$5.02 ,$7.04 ,$89.25 ,$15.08 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$9.67 ,$13.40 ,$13.40 ,$6.70 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30100435,83874,HC MYOGLOBIN,301,1 ,$217.00 ,$141.05 ,$3.50 ,$217.00 ,$32.30 ,$26.41 ,$117.61 ,$12.92 ,$60.76 ,$53.51 ,$12.92 ,$53.51 ,$12.92 ,$82.89 ,$3.50 ,$12.92 ,$82.89 ,$24.55 ,$43.78 ,$110.67 ,$32.30 ,$12.92 ,$151.90 ,$12.92 ,$108.50 ,$13.18 ,$162.75 ,$109.59 ,$98.74 ,$109.59 ,$12.92 ,$109.59 ,$18.66 ,$18.66 ,$18.66 ,$217.00 ,$184.45 ,$32.30 ,$173.60 ,$80.29 ,$173.60 ,$12.92 ,$12.92 ,$217.00 ,$117.61 ,$12.92 ,$57.07 , N/A , N/A ,$11.81 ,$11.28 ,$13.57 ,$184.45 ,$29.07 ,$142.79 ,$60.76 ,$195.30 ,$156.24 ,$217.00 ,$18.66 ,$25.84 ,$25.84 ,$12.92 ,$104.16 ,$195.30 ST. JOHN'S HOSPITAL,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$193.00 ,$125.45 ,$3.50 ,$193.00 ,$98.15 ,$57.98 ,$104.61 ,$39.26 ,$54.04 ,$66.59 ,$39.26 ,$74.11 ,$39.26 ,$73.73 ,$3.50 ,$39.26 ,$73.73 ,$74.59 ,$133.77 ,$98.43 ,$98.15 ,$39.26 ,$135.10 ,$39.26 ,$96.50 ,$40.05 ,$144.75 ,$97.47 ,$87.82 ,$97.47 ,$39.26 ,$97.47 ,$51.04 ,$51.04 ,$51.04 ,$193.00 ,$164.05 ,$98.15 ,$154.40 ,$71.41 ,$154.40 ,$39.26 ,$39.26 ,$193.00 ,$104.61 ,$39.26 ,$50.76 , N/A , N/A ,$31.80 ,$30.36 ,$41.22 ,$164.05 ,$88.34 ,$126.99 ,$54.04 ,$173.70 ,$138.96 ,$193.00 ,$51.04 ,$78.52 ,$78.52 ,$39.26 ,$92.64 ,$173.70 ST. JOHN'S HOSPITAL,30100668,83930,HC OSMOLALITY BLOOD,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$16.53 ,$13.13 ,$56.91 ,$6.61 ,$29.40 ,$27.35 ,$6.61 ,$27.35 ,$6.61 ,$40.11 ,$3.50 ,$6.61 ,$40.11 ,$12.56 ,$22.51 ,$53.55 ,$16.53 ,$6.61 ,$73.50 ,$6.61 ,$52.50 ,$6.74 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$6.61 ,$53.03 ,$9.56 ,$9.56 ,$9.56 ,$105.00 ,$89.25 ,$16.53 ,$84.00 ,$38.85 ,$84.00 ,$6.61 ,$6.61 ,$105.00 ,$56.91 ,$6.61 ,$27.62 , N/A , N/A ,$5.26 ,$5.02 ,$6.94 ,$89.25 ,$14.87 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$9.56 ,$13.22 ,$13.22 ,$6.61 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30100669,83935,HC OSMOLALITY URINE,301,1 ,$138.00 ,$89.70 ,$3.50 ,$138.00 ,$17.05 ,$13.93 ,$74.80 ,$6.82 ,$38.64 ,$28.23 ,$6.82 ,$28.23 ,$6.82 ,$52.72 ,$3.50 ,$6.82 ,$52.72 ,$12.96 ,$23.66 ,$70.38 ,$17.05 ,$6.82 ,$96.60 ,$6.82 ,$69.00 ,$6.96 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$6.82 ,$69.69 ,$9.84 ,$9.84 ,$9.84 ,$138.00 ,$117.30 ,$17.05 ,$110.40 ,$51.06 ,$110.40 ,$6.82 ,$6.82 ,$138.00 ,$74.80 ,$6.82 ,$36.29 , N/A , N/A ,$5.26 ,$5.02 ,$7.16 ,$117.30 ,$15.35 ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$9.84 ,$13.64 ,$13.64 ,$6.82 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,30100672,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$285.00 ,$185.25 ,$3.50 ,$285.00 ,$103.20 ,$84.40 ,$154.47 ,$41.28 ,$79.80 ,$98.33 ,$41.28 ,$109.44 ,$41.28 ,$108.87 ,$3.50 ,$41.28 ,$108.87 ,$78.43 ,$139.69 ,$145.35 ,$103.20 ,$41.28 ,$199.50 ,$41.28 ,$142.50 ,$42.11 ,$213.75 ,$143.93 ,$129.68 ,$143.93 ,$41.28 ,$143.93 ,$59.62 ,$59.62 ,$59.62 ,$285.00 ,$242.25 ,$103.20 ,$228.00 ,$105.45 ,$228.00 ,$41.28 ,$41.28 ,$285.00 ,$154.47 ,$41.28 ,$74.96 , N/A , N/A ,$27.64 ,$26.39 ,$43.34 ,$242.25 ,$92.88 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$59.62 ,$82.56 ,$82.56 ,$41.28 ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30100673,83986,HC PH BODY FLUID,301,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$8.95 ,$7.32 ,$35.23 ,$3.58 ,$18.20 ,$20.07 ,$3.58 ,$20.07 ,$3.58 ,$24.83 ,$3.50 ,$3.58 ,$24.83 ,$6.80 ,$11.83 ,$33.15 ,$8.95 ,$3.58 ,$45.50 ,$3.58 ,$32.50 ,$3.65 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$3.58 ,$32.83 ,$5.17 ,$5.17 ,$5.17 ,$65.00 ,$55.25 ,$8.95 ,$52.00 ,$24.05 ,$52.00 ,$3.58 ,$3.58 ,$65.00 ,$35.23 ,$3.58 ,$17.10 , N/A , N/A ,$5.26 ,$5.02 ,$3.76 ,$55.25 ,$8.06 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$5.17 ,$7.16 ,$7.16 ,$3.58 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$12.95 ,$10.57 ,$17.89 ,$5.18 ,$9.24 ,$11.39 ,$5.18 ,$12.67 ,$5.18 ,$12.61 ,$3.50 ,$5.18 ,$12.61 ,$9.84 ,$17.74 ,$16.83 ,$12.95 ,$5.18 ,$23.10 ,$5.18 ,$16.50 ,$5.28 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$5.18 ,$16.67 ,$7.48 ,$7.48 ,$7.48 ,$33.00 ,$28.05 ,$12.95 ,$26.40 ,$12.21 ,$26.40 ,$5.18 ,$5.18 ,$33.00 ,$17.89 ,$5.18 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$28.05 ,$11.66 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30100684,84100,HC PHOSPHORUS,301,1 ,$30.00 ,$19.50 ,$3.50 ,$30.00 ,$11.85 ,$9.70 ,$16.26 ,$4.74 ,$8.40 ,$10.35 ,$4.74 ,$11.52 ,$4.74 ,$11.46 ,$3.50 ,$4.74 ,$11.46 ,$9.01 ,$16.59 ,$15.30 ,$11.85 ,$4.74 ,$21.00 ,$4.74 ,$15.00 ,$4.83 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$4.74 ,$15.15 ,$6.85 ,$6.85 ,$6.85 ,$30.00 ,$25.50 ,$11.85 ,$24.00 ,$11.10 ,$24.00 ,$4.74 ,$4.74 ,$30.00 ,$16.26 ,$4.74 ,$7.89 , N/A , N/A ,$5.26 ,$5.02 ,$4.98 ,$25.50 ,$10.67 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$6.85 ,$9.48 ,$9.48 ,$4.74 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30100685,84105,HC PHOSPHORUS URINE,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$14.45 ,$10.57 ,$42.82 ,$5.78 ,$22.12 ,$21.41 ,$5.78 ,$21.41 ,$5.78 ,$30.18 ,$3.50 ,$5.78 ,$30.18 ,$10.98 ,$20.13 ,$40.29 ,$14.45 ,$5.78 ,$55.30 ,$5.78 ,$39.50 ,$5.90 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$5.78 ,$39.90 ,$7.51 ,$7.51 ,$7.51 ,$79.00 ,$67.15 ,$14.45 ,$63.20 ,$29.23 ,$63.20 ,$5.78 ,$5.78 ,$79.00 ,$42.82 ,$5.78 ,$20.78 , N/A , N/A ,$5.26 ,$5.02 ,$6.07 ,$67.15 ,$13.01 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$7.51 ,$11.56 ,$11.56 ,$5.78 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30100688,84112,HC PLACENTAL ALPHA MICROGLOBULIN,301,1 ,$259.00 ,$168.35 ,$3.50 ,$259.00 ,$245.28 ,$95.71 ,$140.38 ,$98.11 ,$72.52 ,$89.36 ,$98.11 ,$99.46 ,$98.11 ,$98.94 ,$3.50 ,$98.11 ,$98.94 ,$186.41 ,$259.00 ,$132.09 ,$245.28 ,$98.11 ,$181.30 ,$98.11 ,$129.50 ,$100.07 ,$194.25 ,$130.80 ,$117.85 ,$130.80 ,$98.11 ,$130.80 ,$127.54 ,$127.54 ,$127.54 ,$259.00 ,$220.15 ,$245.28 ,$207.20 ,$95.83 ,$207.20 ,$98.11 ,$98.11 ,$259.00 ,$140.38 ,$98.11 ,$68.12 , N/A , N/A ,$31.80 ,$30.36 ,$103.02 ,$220.15 ,$220.75 ,$170.42 ,$72.52 ,$233.10 ,$186.48 ,$259.00 ,$127.54 ,$196.22 ,$196.22 ,$98.11 ,$124.32 ,$233.10 ST. JOHN'S HOSPITAL,30100691,84132,HC POTASSIUM,301,1 ,$30.00 ,$19.50 ,$3.50 ,$30.00 ,$11.90 ,$9.40 ,$16.26 ,$4.76 ,$8.40 ,$10.35 ,$4.76 ,$11.52 ,$4.76 ,$11.46 ,$3.50 ,$4.76 ,$11.46 ,$9.04 ,$16.59 ,$15.30 ,$11.90 ,$4.76 ,$21.00 ,$4.76 ,$15.00 ,$4.86 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$4.76 ,$15.15 ,$6.64 ,$6.64 ,$6.64 ,$30.00 ,$25.50 ,$11.90 ,$24.00 ,$11.10 ,$24.00 ,$4.76 ,$4.76 ,$30.00 ,$16.26 ,$4.76 ,$7.89 , N/A , N/A ,$5.26 ,$5.02 ,$5.00 ,$25.50 ,$10.71 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$6.64 ,$9.52 ,$9.52 ,$4.76 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30100694,84133,HC POTASSIUM URINE,301,1 ,$98.00 ,$63.70 ,$3.50 ,$98.00 ,$11.83 ,$8.79 ,$53.12 ,$4.73 ,$27.44 ,$17.85 ,$4.73 ,$17.85 ,$4.73 ,$37.44 ,$3.50 ,$4.73 ,$37.44 ,$8.99 ,$16.59 ,$49.98 ,$11.83 ,$4.73 ,$68.60 ,$4.73 ,$49.00 ,$4.82 ,$73.50 ,$49.49 ,$44.59 ,$49.49 ,$4.73 ,$49.49 ,$6.23 ,$6.23 ,$6.23 ,$98.00 ,$83.30 ,$11.83 ,$78.40 ,$36.26 ,$78.40 ,$4.73 ,$4.73 ,$98.00 ,$53.12 ,$4.73 ,$25.77 , N/A , N/A ,$5.26 ,$5.02 ,$4.97 ,$83.30 ,$10.64 ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$6.23 ,$9.46 ,$9.46 ,$4.73 ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,30100695,84134,HC PREALBUMIN,301,1 ,$130.00 ,$84.50 ,$3.50 ,$130.00 ,$36.48 ,$29.82 ,$70.46 ,$14.59 ,$36.40 ,$44.85 ,$14.59 ,$49.92 ,$14.59 ,$49.66 ,$3.50 ,$14.59 ,$49.66 ,$27.72 ,$49.74 ,$66.30 ,$36.48 ,$14.59 ,$91.00 ,$14.59 ,$65.00 ,$14.88 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$14.59 ,$65.65 ,$21.07 ,$21.07 ,$21.07 ,$130.00 ,$110.50 ,$36.48 ,$104.00 ,$48.10 ,$104.00 ,$14.59 ,$14.59 ,$130.00 ,$70.46 ,$14.59 ,$34.19 , N/A , N/A ,$11.81 ,$11.28 ,$15.32 ,$110.50 ,$32.83 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$21.07 ,$29.18 ,$29.18 ,$14.59 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30100696,84144,HC PROGESTERONE,301,1 ,$176.00 ,$114.40 ,$3.50 ,$176.00 ,$52.15 ,$42.67 ,$95.39 ,$20.86 ,$49.28 ,$60.72 ,$20.86 ,$67.58 ,$20.86 ,$67.23 ,$3.50 ,$20.86 ,$67.23 ,$39.63 ,$71.01 ,$89.76 ,$52.15 ,$20.86 ,$123.20 ,$20.86 ,$88.00 ,$21.28 ,$132.00 ,$88.88 ,$80.08 ,$88.88 ,$20.86 ,$88.88 ,$30.13 ,$30.13 ,$30.13 ,$176.00 ,$149.60 ,$52.15 ,$140.80 ,$65.12 ,$140.80 ,$20.86 ,$20.86 ,$176.00 ,$95.39 ,$20.86 ,$46.29 , N/A , N/A ,$15.90 ,$15.17 ,$21.90 ,$149.60 ,$46.94 ,$115.81 ,$49.28 ,$158.40 ,$126.72 ,$176.00 ,$30.13 ,$41.72 ,$41.72 ,$20.86 ,$84.48 ,$158.40 ST. JOHN'S HOSPITAL,30100697,84146,HC PROLACTIN,301,1 ,$197.00 ,$128.05 ,$3.50 ,$197.00 ,$48.45 ,$39.62 ,$106.77 ,$19.38 ,$55.16 ,$67.97 ,$19.38 ,$75.65 ,$19.38 ,$75.25 ,$3.50 ,$19.38 ,$75.25 ,$36.82 ,$66.29 ,$100.47 ,$48.45 ,$19.38 ,$137.90 ,$19.38 ,$98.50 ,$19.77 ,$147.75 ,$99.49 ,$89.64 ,$99.49 ,$19.38 ,$99.49 ,$27.99 ,$27.99 ,$27.99 ,$197.00 ,$167.45 ,$48.45 ,$157.60 ,$72.89 ,$157.60 ,$19.38 ,$19.38 ,$197.00 ,$106.77 ,$19.38 ,$51.81 , N/A , N/A ,$27.64 ,$26.39 ,$20.35 ,$167.45 ,$43.61 ,$129.63 ,$55.16 ,$177.30 ,$141.84 ,$197.00 ,$27.99 ,$38.76 ,$38.76 ,$19.38 ,$94.56 ,$177.30 ST. JOHN'S HOSPITAL,30100698,84153,HC PSA TOTAL,301,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$45.98 ,$37.63 ,$53.66 ,$18.39 ,$27.72 ,$34.16 ,$18.39 ,$38.02 ,$18.39 ,$37.82 ,$3.50 ,$18.39 ,$37.82 ,$34.94 ,$62.76 ,$50.49 ,$45.98 ,$18.39 ,$69.30 ,$18.39 ,$49.50 ,$18.76 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$18.39 ,$50.00 ,$26.57 ,$26.57 ,$26.57 ,$99.00 ,$84.15 ,$45.98 ,$79.20 ,$36.63 ,$79.20 ,$18.39 ,$18.39 ,$99.00 ,$53.66 ,$18.39 ,$26.04 , N/A , N/A ,$11.81 ,$11.28 ,$19.31 ,$84.15 ,$41.38 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$26.57 ,$36.78 ,$36.78 ,$18.39 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30100699,84154,HC PSA FREE,301,1 ,$171.00 ,$111.15 ,$3.50 ,$171.00 ,$45.98 ,$37.63 ,$92.68 ,$18.39 ,$47.88 ,$59.00 ,$18.39 ,$65.66 ,$18.39 ,$65.32 ,$3.50 ,$18.39 ,$65.32 ,$34.94 ,$62.76 ,$87.21 ,$45.98 ,$18.39 ,$119.70 ,$18.39 ,$85.50 ,$18.76 ,$128.25 ,$86.36 ,$77.81 ,$86.36 ,$18.39 ,$86.36 ,$26.57 ,$26.57 ,$26.57 ,$171.00 ,$145.35 ,$45.98 ,$136.80 ,$63.27 ,$136.80 ,$18.39 ,$18.39 ,$171.00 ,$92.68 ,$18.39 ,$44.97 , N/A , N/A ,$11.81 ,$11.28 ,$19.31 ,$145.35 ,$41.38 ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$26.57 ,$36.78 ,$36.78 ,$18.39 ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,30100700,84155,HC PROTEIN TOTAL,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$9.18 ,$7.49 ,$13.55 ,$3.67 ,$7.00 ,$8.63 ,$3.67 ,$9.60 ,$3.67 ,$9.55 ,$3.50 ,$3.67 ,$9.55 ,$6.97 ,$13.02 ,$12.75 ,$9.18 ,$3.67 ,$17.50 ,$3.67 ,$12.50 ,$3.74 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$3.67 ,$12.63 ,$5.29 ,$5.29 ,$5.29 ,$25.00 ,$21.25 ,$9.18 ,$20.00 ,$9.25 ,$20.00 ,$3.67 ,$3.67 ,$25.00 ,$13.55 ,$3.67 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$3.85 ,$21.25 ,$8.26 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$5.29 ,$7.34 ,$7.34 ,$3.67 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$9.18 ,$7.49 ,$39.02 ,$3.67 ,$20.16 ,$15.17 ,$3.67 ,$15.17 ,$3.67 ,$27.50 ,$3.50 ,$3.67 ,$27.50 ,$6.97 ,$13.02 ,$36.72 ,$9.18 ,$3.67 ,$50.40 ,$3.67 ,$36.00 ,$3.74 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$3.67 ,$36.36 ,$5.29 ,$5.29 ,$5.29 ,$72.00 ,$61.20 ,$9.18 ,$57.60 ,$26.64 ,$57.60 ,$3.67 ,$3.67 ,$72.00 ,$39.02 ,$3.67 ,$18.94 , N/A , N/A ,$5.26 ,$5.02 ,$3.85 ,$61.20 ,$8.26 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$5.29 ,$7.34 ,$7.34 ,$3.67 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$87.00 ,$56.55 ,$3.50 ,$87.00 ,$10.00 ,$7.49 ,$47.15 ,$4.00 ,$24.36 ,$20.59 ,$4.00 ,$20.59 ,$4.00 ,$33.23 ,$3.50 ,$4.00 ,$33.23 ,$7.60 ,$13.02 ,$44.37 ,$10.00 ,$4.00 ,$60.90 ,$4.00 ,$43.50 ,$4.08 ,$65.25 ,$43.94 ,$39.59 ,$43.94 ,$4.00 ,$43.94 ,$5.29 ,$5.29 ,$5.29 ,$87.00 ,$73.95 ,$10.00 ,$69.60 ,$32.19 ,$69.60 ,$4.00 ,$4.00 ,$87.00 ,$47.15 ,$4.00 ,$22.88 , N/A , N/A ,$5.26 ,$5.02 ,$4.20 ,$73.95 ,$9.00 ,$57.25 ,$24.36 ,$78.30 ,$62.64 ,$87.00 ,$5.29 ,$8.00 ,$8.00 ,$4.00 ,$41.76 ,$78.30 ST. JOHN'S HOSPITAL,30100720,84270,HC SEX HORMONE BIND GLOB,301,1 ,$168.00 ,$109.20 ,$3.50 ,$168.00 ,$54.33 ,$44.43 ,$91.06 ,$21.73 ,$47.04 ,$57.96 ,$21.73 ,$64.51 ,$21.73 ,$64.18 ,$3.50 ,$21.73 ,$64.18 ,$41.29 ,$73.40 ,$85.68 ,$54.33 ,$21.73 ,$117.60 ,$21.73 ,$84.00 ,$22.16 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$21.73 ,$84.84 ,$31.40 ,$31.40 ,$31.40 ,$168.00 ,$142.80 ,$54.33 ,$134.40 ,$62.16 ,$134.40 ,$21.73 ,$21.73 ,$168.00 ,$91.06 ,$21.73 ,$44.18 , N/A , N/A ,$11.81 ,$11.28 ,$22.82 ,$142.80 ,$48.89 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$31.40 ,$43.46 ,$43.46 ,$21.73 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,30100721,84295,HC SODIUM,301,1 ,$34.00 ,$22.10 ,$3.50 ,$34.00 ,$12.03 ,$9.85 ,$18.43 ,$4.81 ,$9.52 ,$11.73 ,$4.81 ,$13.06 ,$4.81 ,$12.99 ,$3.50 ,$4.81 ,$12.99 ,$9.14 ,$16.59 ,$17.34 ,$12.03 ,$4.81 ,$23.80 ,$4.81 ,$17.00 ,$4.91 ,$25.50 ,$17.17 ,$15.47 ,$17.17 ,$4.81 ,$17.17 ,$6.96 ,$6.96 ,$6.96 ,$34.00 ,$28.90 ,$12.03 ,$27.20 ,$12.58 ,$27.20 ,$4.81 ,$4.81 ,$34.00 ,$18.43 ,$4.81 ,$8.94 , N/A , N/A ,$5.26 ,$5.02 ,$5.05 ,$28.90 ,$10.82 ,$22.37 ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$6.96 ,$9.62 ,$9.62 ,$4.81 ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,30100724,84300,HC SODIUM URINE,301,1 ,$96.00 ,$62.40 ,$3.50 ,$96.00 ,$12.65 ,$9.96 ,$52.03 ,$5.06 ,$26.88 ,$20.12 ,$5.06 ,$20.12 ,$5.06 ,$36.67 ,$3.50 ,$5.06 ,$36.67 ,$9.61 ,$17.74 ,$48.96 ,$12.65 ,$5.06 ,$67.20 ,$5.06 ,$48.00 ,$5.16 ,$72.00 ,$48.48 ,$43.68 ,$48.48 ,$5.06 ,$48.48 ,$7.02 ,$7.02 ,$7.02 ,$96.00 ,$81.60 ,$12.65 ,$76.80 ,$35.52 ,$76.80 ,$5.06 ,$5.06 ,$96.00 ,$52.03 ,$5.06 ,$25.25 , N/A , N/A ,$5.26 ,$5.02 ,$5.31 ,$81.60 ,$11.39 ,$63.17 ,$26.88 ,$86.40 ,$69.12 ,$96.00 ,$7.02 ,$10.12 ,$10.12 ,$5.06 ,$46.08 ,$86.40 ST. JOHN'S HOSPITAL,30100725,84302,HC SODIUM OTHER FLUID,301,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$12.15 ,$9.96 ,$45.53 ,$4.86 ,$23.52 ,$20.12 ,$4.86 ,$20.12 ,$4.86 ,$32.09 ,$3.50 ,$4.86 ,$32.09 ,$9.23 ,$16.59 ,$42.84 ,$12.15 ,$4.86 ,$58.80 ,$4.86 ,$42.00 ,$4.96 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$4.86 ,$42.42 ,$7.02 ,$7.02 ,$7.02 ,$84.00 ,$71.40 ,$12.15 ,$67.20 ,$31.08 ,$67.20 ,$4.86 ,$4.86 ,$84.00 ,$45.53 ,$4.86 ,$22.09 , N/A , N/A ,$5.26 ,$5.02 ,$5.10 ,$71.40 ,$10.94 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$7.02 ,$9.72 ,$9.72 ,$4.86 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30100727,84311,HC SPECTROPHOTOMETRY,301,1 ,$81.00 ,$52.65 ,$3.50 ,$81.00 ,$20.25 ,$14.30 ,$43.90 ,$8.10 ,$22.68 ,$27.95 ,$8.10 ,$28.95 ,$8.10 ,$30.94 ,$3.50 ,$8.10 ,$30.94 ,$15.39 ,$27.23 ,$41.31 ,$20.25 ,$8.10 ,$56.70 ,$8.10 ,$40.50 ,$8.26 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$8.10 ,$40.91 ,$10.53 ,$10.53 ,$10.53 ,$81.00 ,$68.85 ,$20.25 ,$64.80 ,$29.97 ,$64.80 ,$8.10 ,$8.10 ,$81.00 ,$43.90 ,$8.10 ,$21.30 , N/A , N/A ,$11.81 ,$11.28 ,$8.51 ,$68.85 ,$18.23 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$10.53 ,$16.20 ,$16.20 ,$8.10 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30100730,84315,HC SPEC GRAVITY NON UR,301,1 ,$17.00 ,$11.05 ,$3.28 ,$17.00 ,$8.20 ,$5.13 ,$9.21 ,$3.28 ,$4.76 ,$5.87 ,$3.28 ,$6.53 ,$3.28 ,$6.49 ,$3.50 ,$3.28 ,$6.49 ,$6.23 ,$10.64 ,$8.67 ,$8.20 ,$3.28 ,$11.90 ,$3.28 ,$8.50 ,$3.35 ,$12.75 ,$8.59 ,$7.74 ,$8.59 ,$3.28 ,$8.59 ,$4.26 ,$4.26 ,$4.26 ,$17.00 ,$14.45 ,$8.20 ,$13.60 ,$6.29 ,$13.60 ,$3.28 ,$3.28 ,$17.00 ,$9.21 ,$3.28 ,$4.47 , N/A , N/A ,$5.26 ,$5.02 ,$3.44 ,$14.45 ,$7.38 ,$11.19 ,$4.76 ,$15.30 ,$12.24 ,$17.00 ,$4.26 ,$6.56 ,$6.56 ,$3.28 ,$8.16 ,$15.30 ST. JOHN'S HOSPITAL,30100733,84403,HC TESTOSTERONE TOTAL,301,1 ,$143.00 ,$92.95 ,$3.50 ,$143.00 ,$64.53 ,$52.80 ,$77.51 ,$25.81 ,$40.04 ,$49.34 ,$25.81 ,$54.91 ,$25.81 ,$54.63 ,$3.50 ,$25.81 ,$54.63 ,$49.04 ,$87.61 ,$72.93 ,$64.53 ,$25.81 ,$100.10 ,$25.81 ,$71.50 ,$26.33 ,$107.25 ,$72.22 ,$65.07 ,$72.22 ,$25.81 ,$72.22 ,$37.28 ,$37.28 ,$37.28 ,$143.00 ,$121.55 ,$64.53 ,$114.40 ,$52.91 ,$114.40 ,$25.81 ,$25.81 ,$143.00 ,$77.51 ,$25.81 ,$37.61 , N/A , N/A ,$27.64 ,$26.39 ,$27.10 ,$121.55 ,$58.07 ,$94.09 ,$40.04 ,$128.70 ,$102.96 ,$143.00 ,$37.28 ,$51.62 ,$51.62 ,$25.81 ,$68.64 ,$128.70 ST. JOHN'S HOSPITAL,30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$67.00 ,$43.55 ,$3.50 ,$67.00 ,$17.18 ,$14.04 ,$36.31 ,$6.87 ,$18.76 ,$23.12 ,$6.87 ,$25.73 ,$6.87 ,$25.59 ,$3.50 ,$6.87 ,$25.59 ,$13.05 ,$23.66 ,$34.17 ,$17.18 ,$6.87 ,$46.90 ,$6.87 ,$33.50 ,$7.01 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$6.87 ,$33.84 ,$9.92 ,$9.92 ,$9.92 ,$67.00 ,$56.95 ,$17.18 ,$53.60 ,$24.79 ,$53.60 ,$6.87 ,$6.87 ,$67.00 ,$36.31 ,$6.87 ,$17.62 , N/A , N/A ,$15.90 ,$15.17 ,$7.21 ,$56.95 ,$15.46 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$9.92 ,$13.74 ,$13.74 ,$6.87 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30100740,84439,HC T4 FREE,301,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$22.55 ,$18.45 ,$84.01 ,$9.02 ,$43.40 ,$37.31 ,$9.02 ,$37.31 ,$9.02 ,$59.21 ,$3.50 ,$9.02 ,$59.21 ,$17.14 ,$30.76 ,$79.05 ,$22.55 ,$9.02 ,$108.50 ,$9.02 ,$77.50 ,$9.20 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$9.02 ,$78.28 ,$13.03 ,$13.03 ,$13.03 ,$155.00 ,$131.75 ,$22.55 ,$124.00 ,$57.35 ,$124.00 ,$9.02 ,$9.02 ,$155.00 ,$84.01 ,$9.02 ,$40.77 , N/A , N/A ,$15.90 ,$15.17 ,$9.47 ,$131.75 ,$20.30 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$13.03 ,$18.04 ,$18.04 ,$9.02 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$42.00 ,$34.37 ,$84.01 ,$16.80 ,$43.40 ,$53.48 ,$16.80 ,$59.52 ,$16.80 ,$59.21 ,$3.50 ,$16.80 ,$59.21 ,$31.92 ,$56.80 ,$79.05 ,$42.00 ,$16.80 ,$108.50 ,$16.80 ,$77.50 ,$17.14 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$16.80 ,$78.28 ,$24.27 ,$24.27 ,$24.27 ,$155.00 ,$131.75 ,$42.00 ,$124.00 ,$57.35 ,$124.00 ,$16.80 ,$16.80 ,$155.00 ,$84.01 ,$16.80 ,$40.77 , N/A , N/A ,$15.90 ,$15.17 ,$17.64 ,$131.75 ,$37.80 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$24.27 ,$33.60 ,$33.60 ,$16.80 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30100746,84450,HC AST,301,1 ,$38.00 ,$24.70 ,$3.50 ,$38.00 ,$12.95 ,$10.57 ,$20.60 ,$5.18 ,$10.64 ,$13.11 ,$5.18 ,$14.59 ,$5.18 ,$14.52 ,$3.50 ,$5.18 ,$14.52 ,$9.84 ,$17.74 ,$19.38 ,$12.95 ,$5.18 ,$26.60 ,$5.18 ,$19.00 ,$5.28 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$5.18 ,$19.19 ,$7.48 ,$7.48 ,$7.48 ,$38.00 ,$32.30 ,$12.95 ,$30.40 ,$14.06 ,$30.40 ,$5.18 ,$5.18 ,$38.00 ,$20.60 ,$5.18 ,$9.99 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$32.30 ,$11.66 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30100747,84460,HC ALT,301,1 ,$38.00 ,$24.70 ,$3.50 ,$38.00 ,$13.25 ,$10.82 ,$20.60 ,$5.30 ,$10.64 ,$13.11 ,$5.30 ,$14.59 ,$5.30 ,$14.52 ,$3.50 ,$5.30 ,$14.52 ,$10.07 ,$17.74 ,$19.38 ,$13.25 ,$5.30 ,$26.60 ,$5.30 ,$19.00 ,$5.41 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$5.30 ,$19.19 ,$7.66 ,$7.66 ,$7.66 ,$38.00 ,$32.30 ,$13.25 ,$30.40 ,$14.06 ,$30.40 ,$5.30 ,$5.30 ,$38.00 ,$20.60 ,$5.30 ,$9.99 , N/A , N/A ,$5.26 ,$5.02 ,$5.57 ,$32.30 ,$11.93 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$7.66 ,$10.60 ,$10.60 ,$5.30 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30100748,84466,HC TRANSFERRIN,301,1 ,$164.00 ,$106.60 ,$3.50 ,$164.00 ,$31.90 ,$26.11 ,$88.89 ,$12.76 ,$45.92 ,$52.84 ,$12.76 ,$52.84 ,$12.76 ,$62.65 ,$3.50 ,$12.76 ,$62.65 ,$24.24 ,$43.78 ,$83.64 ,$31.90 ,$12.76 ,$114.80 ,$12.76 ,$82.00 ,$13.02 ,$123.00 ,$82.82 ,$74.62 ,$82.82 ,$12.76 ,$82.82 ,$18.43 ,$18.43 ,$18.43 ,$164.00 ,$139.40 ,$31.90 ,$131.20 ,$60.68 ,$131.20 ,$12.76 ,$12.76 ,$164.00 ,$88.89 ,$12.76 ,$43.13 , N/A , N/A ,$11.81 ,$11.28 ,$13.40 ,$139.40 ,$28.71 ,$107.91 ,$45.92 ,$147.60 ,$118.08 ,$164.00 ,$18.43 ,$25.52 ,$25.52 ,$12.76 ,$78.72 ,$147.60 ST. JOHN'S HOSPITAL,30100750,84478,HC TRIGLYCERIDES,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$14.35 ,$11.76 ,$48.78 ,$5.74 ,$25.20 ,$31.05 ,$5.74 ,$32.20 ,$5.74 ,$34.38 ,$3.50 ,$5.74 ,$34.38 ,$10.91 ,$18.93 ,$45.90 ,$14.35 ,$5.74 ,$63.00 ,$5.74 ,$45.00 ,$5.85 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$5.74 ,$45.45 ,$8.29 ,$8.29 ,$8.29 ,$90.00 ,$76.50 ,$14.35 ,$72.00 ,$33.30 ,$72.00 ,$5.74 ,$5.74 ,$90.00 ,$48.78 ,$5.74 ,$23.67 , N/A , N/A ,$5.26 ,$5.02 ,$6.03 ,$76.50 ,$12.92 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$8.29 ,$11.48 ,$11.48 ,$5.74 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30100753,84479,HC T3 UPTAKE,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$16.18 ,$13.23 ,$48.78 ,$6.47 ,$25.20 ,$26.78 ,$6.47 ,$26.78 ,$6.47 ,$34.38 ,$3.50 ,$6.47 ,$34.38 ,$12.29 ,$22.51 ,$45.90 ,$16.18 ,$6.47 ,$63.00 ,$6.47 ,$45.00 ,$6.60 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$6.47 ,$45.45 ,$9.33 ,$9.33 ,$9.33 ,$90.00 ,$76.50 ,$16.18 ,$72.00 ,$33.30 ,$72.00 ,$6.47 ,$6.47 ,$90.00 ,$48.78 ,$6.47 ,$23.67 , N/A , N/A ,$15.90 ,$15.17 ,$6.79 ,$76.50 ,$14.56 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30100754,84480,HC T3 TOTAL,301,1 ,$197.00 ,$128.05 ,$3.50 ,$197.00 ,$35.45 ,$22.56 ,$106.77 ,$14.18 ,$55.16 ,$58.72 ,$14.18 ,$58.72 ,$14.18 ,$75.25 ,$3.50 ,$14.18 ,$75.25 ,$26.94 ,$48.55 ,$100.47 ,$35.45 ,$14.18 ,$137.90 ,$14.18 ,$98.50 ,$14.46 ,$147.75 ,$99.49 ,$89.64 ,$99.49 ,$14.18 ,$99.49 ,$20.48 ,$20.48 ,$20.48 ,$197.00 ,$167.45 ,$35.45 ,$157.60 ,$72.89 ,$157.60 ,$14.18 ,$14.18 ,$197.00 ,$106.77 ,$14.18 ,$51.81 , N/A , N/A ,$15.90 ,$15.17 ,$14.89 ,$167.45 ,$31.91 ,$129.63 ,$55.16 ,$177.30 ,$141.84 ,$197.00 ,$20.48 ,$28.36 ,$28.36 ,$14.18 ,$94.56 ,$177.30 ST. JOHN'S HOSPITAL,30100755,84481,HC T3 FREE,301,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$42.35 ,$23.19 ,$38.48 ,$16.94 ,$19.88 ,$24.50 ,$16.94 ,$27.26 ,$16.94 ,$27.12 ,$3.50 ,$16.94 ,$27.12 ,$32.19 ,$57.99 ,$36.21 ,$42.35 ,$16.94 ,$49.70 ,$16.94 ,$35.50 ,$17.28 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$16.94 ,$35.86 ,$24.47 ,$24.47 ,$24.47 ,$71.00 ,$60.35 ,$42.35 ,$56.80 ,$26.27 ,$56.80 ,$16.94 ,$16.94 ,$71.00 ,$38.48 ,$16.94 ,$18.67 , N/A , N/A ,$15.90 ,$15.17 ,$17.79 ,$60.35 ,$38.12 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$24.47 ,$33.88 ,$33.88 ,$16.94 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30100758,84484,HC TROPONIN QN,301,1 ,$217.00 ,$141.05 ,$3.50 ,$217.00 ,$31.18 ,$20.13 ,$117.61 ,$12.47 ,$60.76 ,$41.85 ,$12.47 ,$41.85 ,$12.47 ,$82.89 ,$3.50 ,$12.47 ,$82.89 ,$23.69 ,$42.63 ,$110.67 ,$31.18 ,$12.47 ,$151.90 ,$12.47 ,$108.50 ,$12.72 ,$162.75 ,$109.59 ,$98.74 ,$109.59 ,$12.47 ,$109.59 ,$16.21 ,$16.21 ,$16.21 ,$217.00 ,$184.45 ,$31.18 ,$173.60 ,$80.29 ,$173.60 ,$12.47 ,$12.47 ,$217.00 ,$117.61 ,$12.47 ,$57.07 , N/A , N/A ,$11.81 ,$11.28 ,$13.09 ,$184.45 ,$28.06 ,$142.79 ,$60.76 ,$195.30 ,$156.24 ,$217.00 ,$16.21 ,$24.94 ,$24.94 ,$12.47 ,$104.16 ,$195.30 ST. JOHN'S HOSPITAL,30100761,84520,HC BUN,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$9.88 ,$8.09 ,$24.93 ,$3.95 ,$12.88 ,$15.87 ,$3.95 ,$17.66 ,$3.95 ,$17.57 ,$3.50 ,$3.95 ,$17.57 ,$7.51 ,$13.02 ,$23.46 ,$9.88 ,$3.95 ,$32.20 ,$3.95 ,$23.00 ,$4.03 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$3.95 ,$23.23 ,$5.71 ,$5.71 ,$5.71 ,$46.00 ,$39.10 ,$9.88 ,$36.80 ,$17.02 ,$36.80 ,$3.95 ,$3.95 ,$3.95 ,$24.93 ,$3.95 ,$12.10 , N/A , N/A ,$5.26 ,$5.02 ,$4.15 ,$39.10 ,$8.89 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$5.71 ,$7.90 ,$7.90 ,$3.95 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30100764,84540,HC UREA URINE,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$13.90 ,$9.71 ,$42.82 ,$5.56 ,$22.12 ,$19.66 ,$5.56 ,$19.66 ,$5.56 ,$30.18 ,$3.50 ,$5.56 ,$30.18 ,$10.56 ,$18.93 ,$40.29 ,$13.90 ,$5.56 ,$55.30 ,$5.56 ,$39.50 ,$5.67 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$5.56 ,$39.90 ,$7.23 ,$7.23 ,$7.23 ,$79.00 ,$67.15 ,$13.90 ,$63.20 ,$29.23 ,$63.20 ,$5.56 ,$5.56 ,$79.00 ,$42.82 ,$5.56 ,$20.78 , N/A , N/A ,$5.26 ,$5.02 ,$5.84 ,$67.15 ,$12.51 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$7.23 ,$11.12 ,$11.12 ,$5.56 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30100765,84550,HC URIC ACID,301,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$11.30 ,$9.24 ,$31.44 ,$4.52 ,$16.24 ,$20.01 ,$4.52 ,$22.27 ,$4.52 ,$22.16 ,$3.50 ,$4.52 ,$22.16 ,$8.59 ,$15.40 ,$29.58 ,$11.30 ,$4.52 ,$40.60 ,$4.52 ,$29.00 ,$4.61 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$4.52 ,$29.29 ,$6.53 ,$6.53 ,$6.53 ,$58.00 ,$49.30 ,$11.30 ,$46.40 ,$21.46 ,$46.40 ,$4.52 ,$4.52 ,$58.00 ,$31.44 ,$4.52 ,$15.25 , N/A , N/A ,$5.26 ,$5.02 ,$4.75 ,$49.30 ,$10.17 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$6.53 ,$9.04 ,$9.04 ,$4.52 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30100766,84560,HC URIC ACID OTH SRC,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$12.70 ,$9.71 ,$62.87 ,$5.08 ,$32.48 ,$19.66 ,$5.08 ,$19.66 ,$5.08 ,$44.31 ,$3.50 ,$5.08 ,$44.31 ,$9.65 ,$17.74 ,$59.16 ,$12.70 ,$5.08 ,$81.20 ,$5.08 ,$58.00 ,$5.18 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$5.08 ,$58.58 ,$6.85 ,$6.85 ,$6.85 ,$116.00 ,$98.60 ,$12.70 ,$92.80 ,$42.92 ,$92.80 ,$5.08 ,$5.08 ,$116.00 ,$62.87 ,$5.08 ,$30.51 , N/A , N/A ,$5.26 ,$5.02 ,$5.33 ,$98.60 ,$11.43 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$6.85 ,$10.16 ,$10.16 ,$5.08 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30100802,84702,HC HCG QN,301,1 ,$91.00 ,$59.15 ,$3.50 ,$91.00 ,$37.63 ,$30.80 ,$49.32 ,$15.05 ,$25.48 ,$31.40 ,$15.05 ,$34.94 ,$15.05 ,$34.76 ,$3.50 ,$15.05 ,$34.76 ,$28.60 ,$50.89 ,$46.41 ,$37.63 ,$15.05 ,$63.70 ,$15.05 ,$45.50 ,$15.35 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$15.05 ,$45.96 ,$21.75 ,$21.75 ,$21.75 ,$91.00 ,$77.35 ,$37.63 ,$72.80 ,$33.67 ,$72.80 ,$15.05 ,$15.05 ,$91.00 ,$49.32 ,$15.05 ,$23.93 , N/A , N/A ,$15.90 ,$15.17 ,$15.80 ,$77.35 ,$33.86 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30100808,84703,HC HCG QL,301,1 ,$91.00 ,$59.15 ,$3.50 ,$91.00 ,$18.80 ,$15.37 ,$49.32 ,$7.52 ,$25.48 ,$31.40 ,$7.52 ,$34.94 ,$7.52 ,$34.76 ,$3.50 ,$7.52 ,$34.76 ,$14.29 ,$26.04 ,$46.41 ,$18.80 ,$7.52 ,$63.70 ,$7.52 ,$45.50 ,$7.67 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$7.52 ,$45.96 ,$10.87 ,$10.87 ,$10.87 ,$91.00 ,$77.35 ,$18.80 ,$72.80 ,$33.67 ,$72.80 ,$7.52 ,$7.52 ,$91.00 ,$49.32 ,$7.52 ,$23.93 , N/A , N/A ,$11.81 ,$11.28 ,$7.90 ,$77.35 ,$16.92 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$10.87 ,$15.04 ,$15.04 ,$7.52 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30100810,88720,HC BILICHECK TEST,301,1 ,$40.00 ,$26.00 ,$3.50 ,$40.00 ,$12.55 ,$10.27 ,$21.68 ,$5.02 ,$11.20 ,$13.80 ,$5.02 ,$15.36 ,$5.02 ,$15.28 ,$3.50 ,$5.02 ,$15.28 ,$9.54 ,$16.59 ,$20.40 ,$12.55 ,$5.02 ,$28.00 ,$5.02 ,$20.00 ,$5.12 ,$30.00 ,$20.20 ,$18.20 ,$20.20 ,$5.02 ,$20.20 ,$7.24 ,$7.24 ,$7.24 ,$40.00 ,$34.00 ,$12.55 ,$32.00 ,$14.80 ,$32.00 ,$5.02 ,$5.02 ,$40.00 ,$21.68 ,$5.02 ,$10.52 , N/A , N/A ,$5.26 ,$5.02 ,$5.27 ,$34.00 ,$11.30 ,$26.32 ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$7.24 ,$10.04 ,$10.04 ,$5.02 ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,30100860,84145,HC PROCALCITONIN,301,1 ,$382.00 ,$248.30 ,$3.50 ,$382.00 ,$68.05 ,$54.78 ,$207.04 ,$27.22 ,$106.96 ,$110.94 ,$27.22 ,$110.94 ,$27.22 ,$145.92 ,$3.50 ,$27.22 ,$145.92 ,$51.72 ,$92.33 ,$194.82 ,$68.05 ,$27.22 ,$267.40 ,$27.22 ,$191.00 ,$27.76 ,$286.50 ,$192.91 ,$173.81 ,$192.91 ,$27.22 ,$192.91 ,$38.70 ,$38.70 ,$38.70 ,$382.00 ,$324.70 ,$68.05 ,$305.60 ,$141.34 ,$305.60 ,$27.22 ,$27.22 ,$382.00 ,$207.04 ,$27.22 ,$100.47 , N/A , N/A ,$27.64 ,$26.39 ,$28.58 ,$324.70 ,$61.25 ,$251.36 ,$106.96 ,$343.80 ,$275.04 ,$382.00 ,$38.70 ,$54.44 ,$54.44 ,$27.22 ,$183.36 ,$343.80 ST. JOHN'S HOSPITAL,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$208.00 ,$135.20 ,$11.28 ,$208.00 ,$48.28 ,$37.63 ,$112.74 ,$19.31 ,$58.24 ,$71.76 ,$19.31 ,$76.16 ,$19.31 ,$79.46 ,$14.51 ,$19.31 ,$79.46 ,$36.69 ,$65.10 ,$106.08 ,$48.28 ,$19.31 ,$145.60 ,$19.31 ,$104.00 ,$19.70 ,$156.00 ,$105.04 ,$94.64 ,$105.04 ,$19.31 ,$105.04 ,$26.57 ,$26.57 ,$26.57 ,$208.00 ,$176.80 ,$48.28 ,$166.40 ,$76.96 ,$166.40 ,$19.31 ,$19.31 ,$208.00 ,$112.74 ,$19.31 ,$54.70 , N/A , N/A ,$11.81 ,$11.28 ,$20.28 ,$176.80 ,$43.45 ,$136.86 ,$58.24 ,$187.20 ,$149.76 ,$208.00 ,$26.57 ,$38.62 ,$38.62 ,$19.31 ,$99.84 ,$187.20 ST. JOHN'S HOSPITAL,30101064,83519,HC ACETYLCHOLINE RECEPTR AB TIER 2-90,301,1 ,$322.00 ,$209.30 ,$3.50 ,$322.00 ,$46.00 ,$27.62 ,$174.52 ,$18.40 ,$90.16 ,$61.71 ,$18.40 ,$61.71 ,$18.40 ,$123.00 ,$3.50 ,$18.40 ,$123.00 ,$34.96 ,$62.76 ,$164.22 ,$46.00 ,$18.40 ,$225.40 ,$18.40 ,$161.00 ,$18.77 ,$241.50 ,$162.61 ,$146.51 ,$162.61 ,$18.40 ,$162.61 ,$23.92 ,$23.92 ,$23.92 ,$322.00 ,$273.70 ,$46.00 ,$257.60 ,$119.14 ,$257.60 ,$18.40 ,$18.40 ,$322.00 ,$174.52 ,$18.40 ,$84.69 , N/A , N/A ,$10.58 ,$10.10 ,$19.32 ,$273.70 ,$41.40 ,$211.88 ,$90.16 ,$289.80 ,$231.84 ,$322.00 ,$23.92 ,$36.80 ,$36.80 ,$18.40 ,$154.56 ,$289.80 ST. JOHN'S HOSPITAL,30101077,80051,HC ELECTROLYTE PANEL,301,1 ,$102.00 ,$66.30 ,$3.50 ,$102.00 ,$17.53 ,$14.33 ,$55.28 ,$7.01 ,$28.56 ,$35.19 ,$7.01 ,$39.17 ,$7.01 ,$38.96 ,$3.50 ,$7.01 ,$38.96 ,$13.32 ,$23.66 ,$52.02 ,$17.53 ,$7.01 ,$71.40 ,$7.01 ,$51.00 ,$7.15 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$7.01 ,$51.51 ,$10.13 ,$10.13 ,$10.13 ,$102.00 ,$86.70 ,$17.53 ,$81.60 ,$37.74 ,$81.60 ,$7.01 ,$7.01 ,$102.00 ,$55.28 ,$7.01 ,$26.83 , N/A , N/A ,$10.77 ,$10.28 ,$7.36 ,$86.70 ,$15.77 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$10.13 ,$14.02 ,$14.02 ,$7.01 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30101078,80051,HC ELECTROLYTE PANEL,301,1 ,$102.00 ,$66.30 ,$3.50 ,$102.00 ,$17.53 ,$14.33 ,$55.28 ,$7.01 ,$28.56 ,$35.19 ,$7.01 ,$39.17 ,$7.01 ,$38.96 ,$3.50 ,$7.01 ,$38.96 ,$13.32 ,$23.66 ,$52.02 ,$17.53 ,$7.01 ,$71.40 ,$7.01 ,$51.00 ,$7.15 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$7.01 ,$51.51 ,$10.13 ,$10.13 ,$10.13 ,$102.00 ,$86.70 ,$17.53 ,$81.60 ,$37.74 ,$81.60 ,$7.01 ,$7.01 ,$102.00 ,$55.28 ,$7.01 ,$26.83 , N/A , N/A ,$10.77 ,$10.28 ,$7.36 ,$86.70 ,$15.77 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$10.13 ,$14.02 ,$14.02 ,$7.01 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30101085,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$437.00 ,$284.05 ,$3.50 ,$437.00 ,$119.08 ,$97.39 ,$236.85 ,$47.63 ,$122.36 ,$150.77 ,$47.63 ,$167.81 ,$47.63 ,$166.93 ,$3.50 ,$47.63 ,$166.93 ,$90.50 ,$162.19 ,$222.87 ,$119.08 ,$47.63 ,$305.90 ,$47.63 ,$218.50 ,$48.58 ,$327.75 ,$220.69 ,$198.84 ,$220.69 ,$47.63 ,$220.69 ,$68.81 ,$68.81 ,$68.81 ,$437.00 ,$371.45 ,$119.08 ,$349.60 ,$161.69 ,$349.60 ,$47.63 ,$47.63 ,$437.00 ,$236.85 ,$47.63 ,$114.93 , N/A , N/A ,$10.77 ,$10.28 ,$50.01 ,$371.45 ,$107.17 ,$287.55 ,$122.36 ,$393.30 ,$314.64 ,$437.00 ,$68.81 ,$95.26 ,$95.26 ,$47.63 ,$209.76 ,$393.30 ST. JOHN'S HOSPITAL,30101087,80074,HC HEPATITIS PANEL ACUTE - 90,301,1 ,$535.00 ,$347.75 ,$3.50 ,$535.00 ,$119.08 ,$97.39 ,$289.97 ,$47.63 ,$149.80 ,$184.58 ,$47.63 ,$197.27 ,$47.63 ,$204.37 ,$3.50 ,$47.63 ,$204.37 ,$90.50 ,$162.19 ,$272.85 ,$119.08 ,$47.63 ,$374.50 ,$47.63 ,$267.50 ,$48.58 ,$401.25 ,$270.18 ,$243.43 ,$270.18 ,$47.63 ,$270.18 ,$68.81 ,$68.81 ,$68.81 ,$535.00 ,$454.75 ,$119.08 ,$428.00 ,$197.95 ,$428.00 ,$47.63 ,$47.63 ,$535.00 ,$289.97 ,$47.63 ,$140.71 , N/A , N/A ,$10.77 ,$10.28 ,$50.01 ,$454.75 ,$107.17 ,$352.03 ,$149.80 ,$481.50 ,$385.20 ,$535.00 ,$68.81 ,$95.26 ,$95.26 ,$47.63 ,$256.80 ,$481.50 ST. JOHN'S HOSPITAL,30101089,80150,HC AMIKACIN - 90,301,1 ,$112.00 ,$72.80 ,$3.50 ,$112.00 ,$37.70 ,$23.19 ,$60.70 ,$15.08 ,$31.36 ,$38.64 ,$15.08 ,$43.01 ,$15.08 ,$42.78 ,$3.50 ,$15.08 ,$42.78 ,$28.65 ,$50.89 ,$57.12 ,$37.70 ,$15.08 ,$78.40 ,$15.08 ,$56.00 ,$15.38 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$15.08 ,$56.56 ,$21.78 ,$21.78 ,$21.78 ,$112.00 ,$95.20 ,$37.70 ,$89.60 ,$41.44 ,$89.60 ,$15.08 ,$15.08 ,$112.00 ,$60.70 ,$15.08 ,$29.46 , N/A , N/A ,$13.56 ,$12.95 ,$15.83 ,$95.20 ,$33.93 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$21.78 ,$30.16 ,$30.16 ,$15.08 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,30101090,80155,HC CAFFEINE - 90,301,1 ,$75.00 ,$48.75 ,$3.50 ,$96.43 ,$96.43 ,$28.72 ,$40.65 ,$38.57 ,$21.00 ,$25.88 ,$38.57 ,$28.80 ,$38.57 ,$28.65 ,$3.50 ,$38.57 ,$28.65 ,$73.28 ,$75.00 ,$38.25 ,$96.43 ,$38.57 ,$52.50 ,$38.57 ,$37.50 ,$39.34 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$38.57 ,$37.88 ,$50.14 ,$50.14 ,$50.14 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$38.57 ,$38.57 ,$75.00 ,$40.65 ,$38.57 ,$19.73 , N/A , N/A ,$13.56 ,$12.95 ,$40.50 ,$63.75 ,$86.78 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$50.14 ,$75.00 ,$75.00 ,$38.57 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$36.43 ,$29.79 ,$31.44 ,$14.57 ,$16.24 ,$20.01 ,$14.57 ,$22.27 ,$14.57 ,$22.16 ,$3.50 ,$14.57 ,$22.16 ,$27.68 ,$49.74 ,$29.58 ,$36.43 ,$14.57 ,$40.60 ,$14.57 ,$29.00 ,$14.86 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$14.57 ,$29.29 ,$21.03 ,$21.03 ,$21.03 ,$58.00 ,$49.30 ,$36.43 ,$46.40 ,$21.46 ,$46.40 ,$14.57 ,$14.57 ,$58.00 ,$31.44 ,$14.57 ,$15.25 , N/A , N/A ,$13.56 ,$12.95 ,$15.30 ,$49.30 ,$32.78 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$21.03 ,$29.14 ,$29.14 ,$14.57 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30101093,80157,HC CARBAMAZEPINE FREE - 90,301,1 ,$56.00 ,$36.40 ,$3.50 ,$56.00 ,$33.13 ,$27.11 ,$30.35 ,$13.25 ,$15.68 ,$19.32 ,$13.25 ,$21.50 ,$13.25 ,$21.39 ,$3.50 ,$13.25 ,$21.39 ,$25.18 ,$44.97 ,$28.56 ,$33.13 ,$13.25 ,$39.20 ,$13.25 ,$28.00 ,$13.52 ,$42.00 ,$28.28 ,$25.48 ,$28.28 ,$13.25 ,$28.28 ,$19.15 ,$19.15 ,$19.15 ,$56.00 ,$47.60 ,$33.13 ,$44.80 ,$20.72 ,$44.80 ,$13.25 ,$13.25 ,$56.00 ,$30.35 ,$13.25 ,$14.73 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$47.60 ,$29.81 ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$50.00 ,$32.50 ,$3.50 ,$50.00 ,$45.13 ,$36.91 ,$27.10 ,$18.05 ,$14.00 ,$17.25 ,$18.05 ,$19.20 ,$18.05 ,$19.10 ,$3.50 ,$18.05 ,$19.10 ,$34.30 ,$50.00 ,$25.50 ,$45.13 ,$18.05 ,$35.00 ,$18.05 ,$25.00 ,$18.41 ,$37.50 ,$25.25 ,$22.75 ,$25.25 ,$18.05 ,$25.25 ,$26.08 ,$26.08 ,$26.08 ,$50.00 ,$42.50 ,$45.13 ,$40.00 ,$18.50 ,$40.00 ,$18.05 ,$18.05 ,$50.00 ,$27.10 ,$18.05 ,$13.15 , N/A , N/A ,$13.56 ,$12.95 ,$18.95 ,$42.50 ,$40.61 ,$32.90 ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$26.08 ,$36.10 ,$36.10 ,$18.05 ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,30101095,80159,HC CLOZAPINE - 90,301,1 ,$20.00 ,$13.00 ,$3.50 ,$50.00 ,$50.00 ,$20.00 ,$10.84 ,$20.00 ,$5.60 ,$6.90 ,$20.00 ,$7.68 ,$20.00 ,$7.64 ,$3.50 ,$20.00 ,$7.64 ,$20.00 ,$20.00 ,$10.20 ,$50.00 ,$20.00 ,$14.00 ,$20.00 ,$10.00 ,$20.00 ,$15.00 ,$10.10 ,$9.10 ,$10.10 ,$20.00 ,$10.10 ,$20.00 ,$20.00 ,$20.00 ,$20.00 ,$17.00 ,$20.00 ,$16.00 ,$7.40 ,$16.00 ,$20.00 ,$20.00 ,$20.00 ,$10.84 ,$20.00 ,$5.26 , N/A , N/A ,$13.56 ,$12.95 ,$21.00 ,$17.00 ,$45.00 ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$20.00 ,$20.00 ,$20.00 ,$20.00 ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,30101097,80164,HC VALPROIC ACID - 90,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$33.85 ,$27.72 ,$48.78 ,$13.54 ,$25.20 ,$31.05 ,$13.54 ,$34.56 ,$13.54 ,$34.38 ,$3.50 ,$13.54 ,$34.38 ,$25.73 ,$46.17 ,$45.90 ,$33.85 ,$13.54 ,$63.00 ,$13.54 ,$45.00 ,$13.81 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$13.54 ,$45.45 ,$19.57 ,$19.57 ,$19.57 ,$90.00 ,$76.50 ,$33.85 ,$72.00 ,$33.30 ,$72.00 ,$13.54 ,$13.54 ,$90.00 ,$48.78 ,$13.54 ,$23.67 , N/A , N/A ,$13.56 ,$12.95 ,$14.22 ,$76.50 ,$30.47 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$19.57 ,$27.08 ,$27.08 ,$13.54 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101098,80165,HC VALPROIC ACID FREE - 90,301,1 ,$89.00 ,$57.85 ,$3.50 ,$89.00 ,$33.85 ,$27.42 ,$48.24 ,$13.54 ,$24.92 ,$30.71 ,$13.54 ,$34.18 ,$13.54 ,$34.00 ,$3.50 ,$13.54 ,$34.00 ,$25.73 ,$46.17 ,$45.39 ,$33.85 ,$13.54 ,$62.30 ,$13.54 ,$44.50 ,$13.81 ,$66.75 ,$44.95 ,$40.50 ,$44.95 ,$13.54 ,$44.95 ,$19.57 ,$19.57 ,$19.57 ,$89.00 ,$75.65 ,$33.85 ,$71.20 ,$32.93 ,$71.20 ,$13.54 ,$13.54 ,$89.00 ,$48.24 ,$13.54 ,$23.41 , N/A , N/A ,$13.56 ,$12.95 ,$14.22 ,$75.65 ,$30.47 ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$19.57 ,$27.08 ,$27.08 ,$13.54 ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$66.00 ,$42.90 ,$3.50 ,$66.00 ,$40.85 ,$33.43 ,$35.77 ,$16.34 ,$18.48 ,$22.77 ,$16.34 ,$25.34 ,$16.34 ,$25.21 ,$3.50 ,$16.34 ,$25.21 ,$31.05 ,$55.65 ,$33.66 ,$40.85 ,$16.34 ,$46.20 ,$16.34 ,$33.00 ,$16.67 ,$49.50 ,$33.33 ,$30.03 ,$33.33 ,$16.34 ,$33.33 ,$23.60 ,$23.60 ,$23.60 ,$66.00 ,$56.10 ,$40.85 ,$52.80 ,$24.42 ,$52.80 ,$16.34 ,$16.34 ,$66.00 ,$35.77 ,$16.34 ,$17.36 , N/A , N/A ,$13.56 ,$12.95 ,$17.16 ,$56.10 ,$36.77 ,$43.43 ,$18.48 ,$59.40 ,$47.52 ,$66.00 ,$23.60 ,$32.68 ,$32.68 ,$16.34 ,$31.68 ,$59.40 ST. JOHN'S HOSPITAL,30101102,80171,HC GABAPENTIN PLASMA - 90,301,1 ,$135.00 ,$87.75 ,$3.50 ,$135.00 ,$54.18 ,$26.92 ,$73.17 ,$21.67 ,$37.80 ,$46.58 ,$21.67 ,$51.84 ,$21.67 ,$51.57 ,$3.50 ,$21.67 ,$51.57 ,$41.17 ,$73.40 ,$68.85 ,$54.18 ,$21.67 ,$94.50 ,$21.67 ,$67.50 ,$22.10 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$21.67 ,$68.18 ,$28.17 ,$28.17 ,$28.17 ,$135.00 ,$114.75 ,$54.18 ,$108.00 ,$49.95 ,$108.00 ,$21.67 ,$21.67 ,$135.00 ,$73.17 ,$21.67 ,$35.51 , N/A , N/A ,$13.56 ,$12.95 ,$22.75 ,$114.75 ,$48.76 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$28.17 ,$43.34 ,$43.34 ,$21.67 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30101103,80173,HC HALOPERIDOL - 90,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$39.45 ,$29.79 ,$56.91 ,$15.78 ,$29.40 ,$36.23 ,$15.78 ,$40.32 ,$15.78 ,$40.11 ,$3.50 ,$15.78 ,$40.11 ,$29.98 ,$53.27 ,$53.55 ,$39.45 ,$15.78 ,$73.50 ,$15.78 ,$52.50 ,$16.10 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$15.78 ,$53.03 ,$21.03 ,$21.03 ,$21.03 ,$105.00 ,$89.25 ,$39.45 ,$84.00 ,$38.85 ,$84.00 ,$15.78 ,$15.78 ,$105.00 ,$56.91 ,$15.78 ,$27.62 , N/A , N/A ,$13.56 ,$12.95 ,$16.57 ,$89.25 ,$35.51 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$21.03 ,$31.56 ,$31.56 ,$15.78 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30101104,80175,HC LAMOTRIGINE - 90,301,1 ,$24.00 ,$15.60 ,$3.50 ,$33.13 ,$33.13 ,$24.00 ,$13.01 ,$13.25 ,$6.72 ,$8.28 ,$13.25 ,$9.22 ,$13.25 ,$9.17 ,$3.50 ,$13.25 ,$9.17 ,$24.00 ,$24.00 ,$12.24 ,$33.13 ,$13.25 ,$16.80 ,$13.25 ,$12.00 ,$13.52 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$13.25 ,$12.12 ,$19.15 ,$19.15 ,$19.15 ,$24.00 ,$20.40 ,$24.00 ,$19.20 ,$8.88 ,$19.20 ,$13.25 ,$13.25 ,$24.00 ,$13.01 ,$13.25 ,$6.31 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$20.40 ,$29.81 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$19.15 ,$24.00 ,$24.00 ,$13.25 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,30101105,80176,HC LIDOCAINE - 90,301,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$36.73 ,$30.03 ,$29.81 ,$14.69 ,$15.40 ,$18.98 ,$14.69 ,$21.12 ,$14.69 ,$21.01 ,$3.50 ,$14.69 ,$21.01 ,$27.91 ,$49.74 ,$28.05 ,$36.73 ,$14.69 ,$38.50 ,$14.69 ,$27.50 ,$14.98 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$14.69 ,$27.78 ,$21.22 ,$21.22 ,$21.22 ,$55.00 ,$46.75 ,$36.73 ,$44.00 ,$20.35 ,$44.00 ,$14.69 ,$14.69 ,$55.00 ,$29.81 ,$14.69 ,$14.47 , N/A , N/A ,$13.56 ,$12.95 ,$15.42 ,$46.75 ,$33.05 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$21.22 ,$29.38 ,$29.38 ,$14.69 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101106,80177,HC LEVETIRACETAM - 90,301,1 ,$82.00 ,$53.30 ,$3.50 ,$82.00 ,$33.13 ,$26.92 ,$44.44 ,$13.25 ,$22.96 ,$28.29 ,$13.25 ,$31.49 ,$13.25 ,$31.32 ,$3.50 ,$13.25 ,$31.32 ,$25.18 ,$44.97 ,$41.82 ,$33.13 ,$13.25 ,$57.40 ,$13.25 ,$41.00 ,$13.52 ,$61.50 ,$41.41 ,$37.31 ,$41.41 ,$13.25 ,$41.41 ,$19.15 ,$19.15 ,$19.15 ,$82.00 ,$69.70 ,$33.13 ,$65.60 ,$30.34 ,$65.60 ,$13.25 ,$13.25 ,$82.00 ,$44.44 ,$13.25 ,$21.57 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$69.70 ,$29.81 ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,30101108,80180,HC MYCOPHENOLATE/MYCOPHENOLIC ACID - 90,301,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$45.13 ,$36.65 ,$65.04 ,$18.05 ,$33.60 ,$41.40 ,$18.05 ,$46.08 ,$18.05 ,$45.84 ,$3.50 ,$18.05 ,$45.84 ,$34.30 ,$61.57 ,$61.20 ,$45.13 ,$18.05 ,$84.00 ,$18.05 ,$60.00 ,$18.41 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$18.05 ,$60.60 ,$26.08 ,$26.08 ,$26.08 ,$120.00 ,$102.00 ,$45.13 ,$96.00 ,$44.40 ,$96.00 ,$18.05 ,$18.05 ,$120.00 ,$65.04 ,$18.05 ,$31.56 , N/A , N/A ,$13.56 ,$12.95 ,$18.95 ,$102.00 ,$40.61 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$26.08 ,$36.10 ,$36.10 ,$18.05 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30101109,80183,HC OXCARBAZEPINE - 90,301,1 ,$81.00 ,$52.65 ,$3.50 ,$81.00 ,$33.13 ,$26.92 ,$43.90 ,$13.25 ,$22.68 ,$27.95 ,$13.25 ,$31.10 ,$13.25 ,$30.94 ,$3.50 ,$13.25 ,$30.94 ,$25.18 ,$44.97 ,$41.31 ,$33.13 ,$13.25 ,$56.70 ,$13.25 ,$40.50 ,$13.52 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$13.25 ,$40.91 ,$19.15 ,$19.15 ,$19.15 ,$81.00 ,$68.85 ,$33.13 ,$64.80 ,$29.97 ,$64.80 ,$13.25 ,$13.25 ,$81.00 ,$43.90 ,$13.25 ,$21.30 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$68.85 ,$29.81 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$38.25 ,$22.77 ,$24.93 ,$15.30 ,$12.88 ,$15.87 ,$15.30 ,$17.66 ,$15.30 ,$17.57 ,$3.50 ,$15.30 ,$17.57 ,$29.07 ,$46.00 ,$23.46 ,$38.25 ,$15.30 ,$32.20 ,$15.30 ,$23.00 ,$15.61 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$15.30 ,$23.23 ,$19.89 ,$19.89 ,$19.89 ,$46.00 ,$39.10 ,$38.25 ,$36.80 ,$17.02 ,$36.80 ,$15.30 ,$15.30 ,$46.00 ,$24.93 ,$15.30 ,$12.10 , N/A , N/A ,$13.56 ,$12.95 ,$16.07 ,$39.10 ,$34.43 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$19.89 ,$30.60 ,$30.60 ,$15.30 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30101113,80185,HC PHENYTOIN TOTAL - 90,301,1 ,$53.00 ,$34.45 ,$3.50 ,$53.00 ,$33.13 ,$27.11 ,$28.73 ,$13.25 ,$14.84 ,$18.29 ,$13.25 ,$20.35 ,$13.25 ,$20.25 ,$3.50 ,$13.25 ,$20.25 ,$25.18 ,$44.97 ,$27.03 ,$33.13 ,$13.25 ,$37.10 ,$13.25 ,$26.50 ,$13.52 ,$39.75 ,$26.77 ,$24.12 ,$26.77 ,$13.25 ,$26.77 ,$19.15 ,$19.15 ,$19.15 ,$53.00 ,$45.05 ,$33.13 ,$42.40 ,$19.61 ,$42.40 ,$13.25 ,$13.25 ,$53.00 ,$28.73 ,$13.25 ,$13.94 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$45.05 ,$29.81 ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$34.40 ,$28.14 ,$29.81 ,$13.76 ,$15.40 ,$18.98 ,$13.76 ,$21.12 ,$13.76 ,$21.01 ,$3.50 ,$13.76 ,$21.01 ,$26.14 ,$46.17 ,$28.05 ,$34.40 ,$13.76 ,$38.50 ,$13.76 ,$27.50 ,$14.04 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$13.76 ,$27.78 ,$19.88 ,$19.88 ,$19.88 ,$55.00 ,$46.75 ,$34.40 ,$44.00 ,$20.35 ,$44.00 ,$13.76 ,$13.76 ,$55.00 ,$29.81 ,$13.76 ,$14.47 , N/A , N/A ,$13.56 ,$12.95 ,$14.45 ,$46.75 ,$30.96 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$19.88 ,$27.52 ,$27.52 ,$13.76 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101115,80188,HC PRIMIDONE - 90,301,1 ,$61.00 ,$39.65 ,$3.50 ,$61.00 ,$41.48 ,$30.47 ,$33.06 ,$16.59 ,$17.08 ,$21.05 ,$16.59 ,$23.42 ,$16.59 ,$23.30 ,$3.50 ,$16.59 ,$23.30 ,$31.52 ,$56.80 ,$31.11 ,$41.48 ,$16.59 ,$42.70 ,$16.59 ,$30.50 ,$16.92 ,$45.75 ,$30.81 ,$27.76 ,$30.81 ,$16.59 ,$30.81 ,$23.97 ,$23.97 ,$23.97 ,$61.00 ,$51.85 ,$41.48 ,$48.80 ,$22.57 ,$48.80 ,$16.59 ,$16.59 ,$61.00 ,$33.06 ,$16.59 ,$16.04 , N/A , N/A ,$13.56 ,$12.95 ,$17.42 ,$51.85 ,$37.33 ,$40.14 ,$17.08 ,$54.90 ,$43.92 ,$61.00 ,$23.97 ,$33.18 ,$33.18 ,$16.59 ,$29.28 ,$54.90 ST. JOHN'S HOSPITAL,30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$77.00 ,$50.05 ,$3.50 ,$77.00 ,$41.88 ,$34.27 ,$41.73 ,$16.75 ,$21.56 ,$26.57 ,$16.75 ,$29.57 ,$16.75 ,$29.41 ,$3.50 ,$16.75 ,$29.41 ,$31.83 ,$56.80 ,$39.27 ,$41.88 ,$16.75 ,$53.90 ,$16.75 ,$38.50 ,$17.09 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$16.75 ,$38.89 ,$24.19 ,$24.19 ,$24.19 ,$77.00 ,$65.45 ,$41.88 ,$61.60 ,$28.49 ,$61.60 ,$16.75 ,$16.75 ,$77.00 ,$41.73 ,$16.75 ,$20.25 , N/A , N/A ,$13.56 ,$12.95 ,$17.59 ,$65.45 ,$37.69 ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$24.19 ,$33.50 ,$33.50 ,$16.75 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,30101117,80194,HC QUINIDINE - 90,301,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$36.50 ,$29.86 ,$29.27 ,$14.60 ,$15.12 ,$18.63 ,$14.60 ,$20.74 ,$14.60 ,$20.63 ,$3.50 ,$14.60 ,$20.63 ,$27.74 ,$49.74 ,$27.54 ,$36.50 ,$14.60 ,$37.80 ,$14.60 ,$27.00 ,$14.89 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$14.60 ,$27.27 ,$21.09 ,$21.09 ,$21.09 ,$54.00 ,$45.90 ,$36.50 ,$43.20 ,$19.98 ,$43.20 ,$14.60 ,$14.60 ,$54.00 ,$29.27 ,$14.60 ,$14.20 , N/A , N/A ,$13.56 ,$12.95 ,$15.33 ,$45.90 ,$32.85 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$21.09 ,$29.20 ,$29.20 ,$14.60 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30101118,80195,HC RAPAMYCIN (SIROLIMUS) - 90,301,1 ,$103.00 ,$66.95 ,$3.50 ,$103.00 ,$34.33 ,$28.07 ,$55.83 ,$13.73 ,$28.84 ,$35.54 ,$13.73 ,$39.55 ,$13.73 ,$39.35 ,$3.50 ,$13.73 ,$39.35 ,$26.09 ,$46.17 ,$52.53 ,$34.33 ,$13.73 ,$72.10 ,$13.73 ,$51.50 ,$14.00 ,$77.25 ,$52.02 ,$46.87 ,$52.02 ,$13.73 ,$52.02 ,$19.84 ,$19.84 ,$19.84 ,$103.00 ,$87.55 ,$34.33 ,$82.40 ,$38.11 ,$82.40 ,$13.73 ,$13.73 ,$103.00 ,$55.83 ,$13.73 ,$27.09 , N/A , N/A ,$13.56 ,$12.95 ,$14.42 ,$87.55 ,$30.89 ,$67.77 ,$28.84 ,$92.70 ,$74.16 ,$103.00 ,$19.84 ,$27.46 ,$27.46 ,$13.73 ,$49.44 ,$92.70 ST. JOHN'S HOSPITAL,30101119,80197,HC TACROLIMUS - 90,301,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$34.33 ,$28.07 ,$38.48 ,$13.73 ,$19.88 ,$24.50 ,$13.73 ,$27.26 ,$13.73 ,$27.12 ,$3.50 ,$13.73 ,$27.12 ,$26.09 ,$46.17 ,$36.21 ,$34.33 ,$13.73 ,$49.70 ,$13.73 ,$35.50 ,$14.00 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$13.73 ,$35.86 ,$19.84 ,$19.84 ,$19.84 ,$71.00 ,$60.35 ,$34.33 ,$56.80 ,$26.27 ,$56.80 ,$13.73 ,$13.73 ,$71.00 ,$38.48 ,$13.73 ,$18.67 , N/A , N/A ,$13.56 ,$12.95 ,$14.42 ,$60.35 ,$30.89 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$19.84 ,$27.46 ,$27.46 ,$13.73 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30101121,80199,HC TIAGABINE - 90,301,1 ,$179.00 ,$116.35 ,$3.50 ,$179.00 ,$67.78 ,$36.65 ,$97.02 ,$27.11 ,$50.12 ,$61.76 ,$27.11 ,$68.74 ,$27.11 ,$68.38 ,$3.50 ,$27.11 ,$68.38 ,$51.51 ,$92.33 ,$91.29 ,$67.78 ,$27.11 ,$125.30 ,$27.11 ,$89.50 ,$27.65 ,$134.25 ,$90.40 ,$81.45 ,$90.40 ,$27.11 ,$90.40 ,$35.24 ,$35.24 ,$35.24 ,$179.00 ,$152.15 ,$67.78 ,$143.20 ,$66.23 ,$143.20 ,$27.11 ,$27.11 ,$179.00 ,$97.02 ,$27.11 ,$47.08 , N/A , N/A ,$13.56 ,$12.95 ,$28.47 ,$152.15 ,$61.00 ,$117.78 ,$50.12 ,$161.10 ,$128.88 ,$179.00 ,$35.24 ,$54.22 ,$54.22 ,$27.11 ,$85.92 ,$161.10 ST. JOHN'S HOSPITAL,30101124,80201,HC TOPIRAMATE - 90,301,1 ,$73.00 ,$47.45 ,$3.50 ,$73.00 ,$29.80 ,$24.38 ,$39.57 ,$11.92 ,$20.44 ,$25.19 ,$11.92 ,$28.03 ,$11.92 ,$27.89 ,$3.50 ,$11.92 ,$27.89 ,$22.65 ,$40.25 ,$37.23 ,$29.80 ,$11.92 ,$51.10 ,$11.92 ,$36.50 ,$12.16 ,$54.75 ,$36.87 ,$33.22 ,$36.87 ,$11.92 ,$36.87 ,$17.21 ,$17.21 ,$17.21 ,$73.00 ,$62.05 ,$29.80 ,$58.40 ,$27.01 ,$58.40 ,$11.92 ,$11.92 ,$73.00 ,$39.57 ,$11.92 ,$19.20 , N/A , N/A ,$13.56 ,$12.95 ,$12.52 ,$62.05 ,$26.82 ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$17.21 ,$23.84 ,$23.84 ,$11.92 ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,30101126,80203,HC ZONISAMIDE - 90,301,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$33.13 ,$26.92 ,$96.48 ,$13.25 ,$49.84 ,$54.85 ,$13.25 ,$54.85 ,$13.25 ,$68.00 ,$3.50 ,$13.25 ,$68.00 ,$25.18 ,$44.97 ,$90.78 ,$33.13 ,$13.25 ,$124.60 ,$13.25 ,$89.00 ,$13.52 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$13.25 ,$89.89 ,$19.15 ,$19.15 ,$19.15 ,$178.00 ,$151.30 ,$33.13 ,$142.40 ,$65.86 ,$142.40 ,$13.25 ,$13.25 ,$178.00 ,$96.48 ,$13.25 ,$46.81 , N/A , N/A ,$13.56 ,$12.95 ,$13.91 ,$151.30 ,$29.81 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$19.15 ,$26.50 ,$26.50 ,$13.25 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30101127,80299,HC THERAPEUTIC DRUG OTHER,301,1 ,$492.00 ,$319.80 ,$3.50 ,$492.00 ,$46.60 ,$27.72 ,$266.66 ,$18.64 ,$137.76 ,$62.54 ,$18.64 ,$62.54 ,$18.64 ,$187.94 ,$3.50 ,$18.64 ,$187.94 ,$35.42 ,$62.76 ,$250.92 ,$46.60 ,$18.64 ,$344.40 ,$18.64 ,$246.00 ,$19.01 ,$369.00 ,$248.46 ,$223.86 ,$248.46 ,$18.64 ,$248.46 ,$24.23 ,$24.23 ,$24.23 ,$492.00 ,$418.20 ,$46.60 ,$393.60 ,$182.04 ,$393.60 ,$18.64 ,$18.64 ,$492.00 ,$266.66 ,$18.64 ,$129.40 , N/A , N/A ,$13.56 ,$12.95 ,$19.57 ,$418.20 ,$41.94 ,$323.74 ,$137.76 ,$442.80 ,$354.24 ,$492.00 ,$24.23 ,$37.28 ,$37.28 ,$18.64 ,$236.16 ,$442.80 ST. JOHN'S HOSPITAL,30101129,80299,HC WARFARIN - 90,301,1 ,$251.00 ,$163.15 ,$3.50 ,$251.00 ,$46.60 ,$27.72 ,$136.04 ,$18.64 ,$70.28 ,$62.54 ,$18.64 ,$62.54 ,$18.64 ,$95.88 ,$3.50 ,$18.64 ,$95.88 ,$35.42 ,$62.76 ,$128.01 ,$46.60 ,$18.64 ,$175.70 ,$18.64 ,$125.50 ,$19.01 ,$188.25 ,$126.76 ,$114.21 ,$126.76 ,$18.64 ,$126.76 ,$24.23 ,$24.23 ,$24.23 ,$251.00 ,$213.35 ,$46.60 ,$200.80 ,$92.87 ,$200.80 ,$18.64 ,$18.64 ,$251.00 ,$136.04 ,$18.64 ,$66.01 , N/A , N/A ,$13.56 ,$12.95 ,$19.57 ,$213.35 ,$41.94 ,$165.16 ,$70.28 ,$225.90 ,$180.72 ,$251.00 ,$24.23 ,$37.28 ,$37.28 ,$18.64 ,$120.48 ,$225.90 ST. JOHN'S HOSPITAL,30101130,80299,HC ITRACONAZOLE HPLC - 90,301,1 ,$173.00 ,$112.45 ,$3.50 ,$173.00 ,$46.60 ,$27.72 ,$93.77 ,$18.64 ,$48.44 ,$59.69 ,$18.64 ,$62.54 ,$18.64 ,$66.09 ,$3.50 ,$18.64 ,$66.09 ,$35.42 ,$62.76 ,$88.23 ,$46.60 ,$18.64 ,$121.10 ,$18.64 ,$86.50 ,$19.01 ,$129.75 ,$87.37 ,$78.72 ,$87.37 ,$18.64 ,$87.37 ,$24.23 ,$24.23 ,$24.23 ,$173.00 ,$147.05 ,$46.60 ,$138.40 ,$64.01 ,$138.40 ,$18.64 ,$18.64 ,$173.00 ,$93.77 ,$18.64 ,$45.50 , N/A , N/A ,$13.56 ,$12.95 ,$19.57 ,$147.05 ,$41.94 ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$24.23 ,$37.28 ,$37.28 ,$18.64 ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$46.60 ,$27.72 ,$46.07 ,$18.64 ,$23.80 ,$29.33 ,$18.64 ,$32.64 ,$18.64 ,$32.47 ,$3.50 ,$18.64 ,$32.47 ,$35.42 ,$62.76 ,$43.35 ,$46.60 ,$18.64 ,$59.50 ,$18.64 ,$42.50 ,$19.01 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$18.64 ,$42.93 ,$24.23 ,$24.23 ,$24.23 ,$85.00 ,$72.25 ,$46.60 ,$68.00 ,$31.45 ,$68.00 ,$18.64 ,$18.64 ,$85.00 ,$46.07 ,$18.64 ,$22.36 , N/A , N/A ,$13.56 ,$12.95 ,$19.57 ,$72.25 ,$41.94 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$24.23 ,$37.28 ,$37.28 ,$18.64 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30101134,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1,301,1 ,$29.00 ,$18.85 ,$3.50 ,$72.50 ,$72.50 ,$29.00 ,$15.72 ,$29.00 ,$8.12 ,$10.01 ,$29.00 ,$11.14 ,$29.00 ,$11.08 ,$3.50 ,$29.00 ,$11.08 ,$29.00 ,$29.00 ,$14.79 ,$72.50 ,$29.00 ,$20.30 ,$29.00 ,$14.50 ,$29.00 ,$21.75 ,$14.65 ,$13.20 ,$14.65 ,$29.00 ,$14.65 ,$29.00 ,$29.00 ,$29.00 ,$29.00 ,$24.65 ,$29.00 ,$23.20 ,$10.73 ,$23.20 ,$29.00 ,$29.00 ,$29.00 ,$15.72 ,$29.00 ,$7.63 , N/A , N/A ,$29.00 ,$30.36 ,$30.45 ,$24.65 ,$65.25 ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$29.00 ,$29.00 ,$29.00 ,$29.00 ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,30101135,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2,301,1 ,$90.00 ,$58.50 ,$3.50 ,$155.35 ,$155.35 ,$90.00 ,$48.78 ,$62.14 ,$25.20 ,$31.05 ,$62.14 ,$34.56 ,$62.14 ,$34.38 ,$3.50 ,$62.14 ,$34.38 ,$90.00 ,$90.00 ,$45.90 ,$155.35 ,$62.14 ,$63.00 ,$62.14 ,$45.00 ,$63.38 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$62.14 ,$45.45 ,$84.05 ,$84.05 ,$84.05 ,$90.00 ,$76.50 ,$90.00 ,$72.00 ,$33.30 ,$72.00 ,$62.14 ,$62.14 ,$90.00 ,$48.78 ,$62.14 ,$23.67 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$76.50 ,$139.82 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$84.05 ,$90.00 ,$90.00 ,$62.14 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101136,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T3,301,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$155.35 ,$118.72 ,$97.56 ,$62.14 ,$50.40 ,$62.10 ,$62.14 ,$69.12 ,$62.14 ,$68.76 ,$3.50 ,$62.14 ,$68.76 ,$118.07 ,$180.00 ,$91.80 ,$155.35 ,$62.14 ,$126.00 ,$62.14 ,$90.00 ,$63.38 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$62.14 ,$90.90 ,$84.05 ,$84.05 ,$84.05 ,$180.00 ,$153.00 ,$155.35 ,$144.00 ,$66.60 ,$144.00 ,$62.14 ,$62.14 ,$180.00 ,$97.56 ,$62.14 ,$47.34 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$153.00 ,$139.82 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30101137,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4,301,1 ,$270.00 ,$175.50 ,$3.50 ,$270.00 ,$155.35 ,$118.72 ,$146.34 ,$62.14 ,$75.60 ,$93.15 ,$62.14 ,$103.68 ,$62.14 ,$103.14 ,$3.50 ,$62.14 ,$103.14 ,$118.07 ,$210.70 ,$137.70 ,$155.35 ,$62.14 ,$189.00 ,$62.14 ,$135.00 ,$63.38 ,$202.50 ,$136.35 ,$122.85 ,$136.35 ,$62.14 ,$136.35 ,$84.05 ,$84.05 ,$84.05 ,$270.00 ,$229.50 ,$155.35 ,$216.00 ,$99.90 ,$216.00 ,$62.14 ,$62.14 ,$270.00 ,$146.34 ,$62.14 ,$71.01 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$229.50 ,$139.82 ,$177.66 ,$75.60 ,$243.00 ,$194.40 ,$270.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$129.60 ,$243.00 ST. JOHN'S HOSPITAL,30101138,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T5,301,1 ,$322.00 ,$209.30 ,$3.50 ,$322.00 ,$155.35 ,$118.72 ,$174.52 ,$62.14 ,$90.16 ,$111.09 ,$62.14 ,$123.65 ,$62.14 ,$123.00 ,$3.50 ,$62.14 ,$123.00 ,$118.07 ,$210.70 ,$164.22 ,$155.35 ,$62.14 ,$225.40 ,$62.14 ,$161.00 ,$63.38 ,$241.50 ,$162.61 ,$146.51 ,$162.61 ,$62.14 ,$162.61 ,$84.05 ,$84.05 ,$84.05 ,$322.00 ,$273.70 ,$155.35 ,$257.60 ,$119.14 ,$257.60 ,$62.14 ,$62.14 ,$322.00 ,$174.52 ,$62.14 ,$84.69 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$273.70 ,$139.82 ,$211.88 ,$90.16 ,$289.80 ,$231.84 ,$322.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$154.56 ,$289.80 ST. JOHN'S HOSPITAL,30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$75.00 ,$48.75 ,$3.50 ,$155.35 ,$155.35 ,$75.00 ,$40.65 ,$62.14 ,$21.00 ,$25.88 ,$62.14 ,$28.80 ,$62.14 ,$28.65 ,$3.50 ,$62.14 ,$28.65 ,$75.00 ,$75.00 ,$38.25 ,$155.35 ,$62.14 ,$52.50 ,$62.14 ,$37.50 ,$63.38 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$62.14 ,$37.88 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$62.14 ,$62.14 ,$75.00 ,$40.65 ,$62.14 ,$19.73 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$63.75 ,$139.82 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$62.14 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101141,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2-90,301,1 ,$150.00 ,$97.50 ,$3.50 ,$155.35 ,$155.35 ,$118.72 ,$81.30 ,$62.14 ,$42.00 ,$51.75 ,$62.14 ,$57.60 ,$62.14 ,$57.30 ,$3.50 ,$62.14 ,$57.30 ,$118.07 ,$150.00 ,$76.50 ,$155.35 ,$62.14 ,$105.00 ,$62.14 ,$75.00 ,$63.38 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$62.14 ,$75.75 ,$84.05 ,$84.05 ,$84.05 ,$150.00 ,$127.50 ,$150.00 ,$120.00 ,$55.50 ,$120.00 ,$62.14 ,$62.14 ,$150.00 ,$81.30 ,$62.14 ,$39.45 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$127.50 ,$139.82 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30101142,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T3-90,301,1 ,$225.00 ,$146.25 ,$3.50 ,$225.00 ,$155.35 ,$118.72 ,$121.95 ,$62.14 ,$63.00 ,$77.63 ,$62.14 ,$86.40 ,$62.14 ,$85.95 ,$3.50 ,$62.14 ,$85.95 ,$118.07 ,$210.70 ,$114.75 ,$155.35 ,$62.14 ,$157.50 ,$62.14 ,$112.50 ,$63.38 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$62.14 ,$113.63 ,$84.05 ,$84.05 ,$84.05 ,$225.00 ,$191.25 ,$155.35 ,$180.00 ,$83.25 ,$180.00 ,$62.14 ,$62.14 ,$225.00 ,$121.95 ,$62.14 ,$59.18 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$191.25 ,$139.82 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,30101143,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4-90,301,1 ,$300.00 ,$195.00 ,$3.50 ,$300.00 ,$155.35 ,$118.72 ,$162.60 ,$62.14 ,$84.00 ,$103.50 ,$62.14 ,$115.20 ,$62.14 ,$114.60 ,$3.50 ,$62.14 ,$114.60 ,$118.07 ,$210.70 ,$153.00 ,$155.35 ,$62.14 ,$210.00 ,$62.14 ,$150.00 ,$63.38 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$62.14 ,$151.50 ,$84.05 ,$84.05 ,$84.05 ,$300.00 ,$255.00 ,$155.35 ,$240.00 ,$111.00 ,$240.00 ,$62.14 ,$62.14 ,$300.00 ,$162.60 ,$62.14 ,$78.90 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$255.00 ,$139.82 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,30101144,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T5-90,301,1 ,$381.00 ,$247.65 ,$3.50 ,$381.00 ,$155.35 ,$118.72 ,$206.50 ,$62.14 ,$106.68 ,$131.45 ,$62.14 ,$146.30 ,$62.14 ,$145.54 ,$3.50 ,$62.14 ,$145.54 ,$118.07 ,$210.70 ,$194.31 ,$155.35 ,$62.14 ,$266.70 ,$62.14 ,$190.50 ,$63.38 ,$285.75 ,$192.41 ,$173.36 ,$192.41 ,$62.14 ,$192.41 ,$84.05 ,$84.05 ,$84.05 ,$381.00 ,$323.85 ,$155.35 ,$304.80 ,$140.97 ,$304.80 ,$62.14 ,$62.14 ,$381.00 ,$206.50 ,$62.14 ,$100.20 , N/A , N/A ,$31.80 ,$30.36 ,$65.25 ,$323.85 ,$139.82 ,$250.70 ,$106.68 ,$342.90 ,$274.32 ,$381.00 ,$84.05 ,$124.28 ,$124.28 ,$62.14 ,$182.88 ,$342.90 ST. JOHN'S HOSPITAL,30101145,80320,HC ALCOHOLS - 90,301,1 ,$178.00 ,$115.70 ,$0.02 ,$178.00 , N/A ,$0.02 ,$96.48 , N/A ,$49.84 , N/A , N/A , N/A , N/A ,$68.00 , N/A , N/A ,$68.00 , N/A ,$93.63 ,$90.78 , N/A , N/A ,$124.60 , N/A ,$89.00 , N/A ,$133.50 ,$89.89 ,$80.99 ,$89.89 , N/A ,$89.89 ,$14.57 ,$14.57 ,$14.57 ,$178.00 ,$151.30 , N/A ,$142.40 ,$65.86 ,$142.40 , N/A , N/A ,$178.00 ,$96.48 , N/A ,$46.81 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$151.30 , N/A ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$14.57 , N/A , N/A , N/A ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30101146,80323,HC NICOTINE - 90,301,1 ,$173.00 ,$112.45 ,$0.02 ,$173.00 , N/A ,$0.02 ,$93.77 , N/A ,$48.44 , N/A , N/A , N/A , N/A ,$66.09 , N/A , N/A ,$66.09 , N/A ,$91.00 ,$88.23 , N/A , N/A ,$121.10 , N/A ,$86.50 , N/A ,$129.75 ,$87.37 ,$78.72 ,$87.37 , N/A ,$87.37 ,$26.46 ,$26.46 ,$26.46 ,$173.00 ,$147.05 , N/A ,$138.40 ,$64.01 ,$138.40 , N/A , N/A ,$173.00 ,$93.77 , N/A ,$45.50 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$147.05 , N/A ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$26.46 , N/A , N/A , N/A ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,30101147,80323,HC NICOTINE URINE - 90,301,1 ,$126.00 ,$81.90 ,$0.02 ,$126.00 , N/A ,$0.02 ,$68.29 , N/A ,$35.28 , N/A , N/A , N/A , N/A ,$48.13 , N/A , N/A ,$48.13 , N/A ,$66.28 ,$64.26 , N/A , N/A ,$88.20 , N/A ,$63.00 , N/A ,$94.50 ,$63.63 ,$57.33 ,$63.63 , N/A ,$63.63 ,$26.46 ,$26.46 ,$26.46 ,$126.00 ,$107.10 , N/A ,$100.80 ,$46.62 ,$100.80 , N/A , N/A ,$126.00 ,$68.29 , N/A ,$33.14 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$107.10 , N/A ,$82.91 ,$35.28 ,$113.40 ,$90.72 ,$126.00 ,$26.46 , N/A , N/A , N/A ,$60.48 ,$113.40 ST. JOHN'S HOSPITAL,30101149,80342,HC ANTIPSYCHOTICS NOT 1-3 -90,301,1 ,$20.00 ,$13.00 ,$0.02 ,$30.36 , N/A ,$0.02 ,$10.84 , N/A ,$5.60 , N/A , N/A , N/A , N/A ,$7.64 , N/A , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$18.20 ,$18.20 ,$18.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A ,$20.00 ,$30.36 , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$18.20 , N/A , N/A , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,30101150,80346,HC BENZODIAZEPINES 1-12 -90,301,1 ,$221.00 ,$143.65 ,$0.02 ,$221.00 , N/A ,$0.02 ,$119.78 , N/A ,$61.88 , N/A , N/A , N/A , N/A ,$84.42 , N/A , N/A ,$84.42 , N/A ,$116.25 ,$112.71 , N/A , N/A ,$154.70 , N/A ,$110.50 , N/A ,$165.75 ,$111.61 ,$100.56 ,$111.61 , N/A ,$111.61 ,$20.94 ,$20.94 ,$20.94 ,$221.00 ,$187.85 , N/A ,$176.80 ,$81.77 ,$176.80 , N/A , N/A ,$221.00 ,$119.78 , N/A ,$58.12 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$187.85 , N/A ,$145.42 ,$61.88 ,$198.90 ,$159.12 ,$221.00 ,$20.94 , N/A , N/A , N/A ,$106.08 ,$198.90 ST. JOHN'S HOSPITAL,30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$75.00 ,$48.75 ,$0.02 ,$75.00 , N/A ,$0.02 ,$40.65 , N/A ,$21.00 , N/A , N/A , N/A , N/A ,$28.65 , N/A , N/A ,$28.65 , N/A ,$39.45 ,$38.25 , N/A , N/A ,$52.50 , N/A ,$37.50 , N/A ,$56.25 ,$37.88 ,$34.13 ,$37.88 , N/A ,$37.88 ,$17.45 ,$17.45 ,$17.45 ,$75.00 ,$63.75 , N/A ,$60.00 ,$27.75 ,$60.00 , N/A , N/A ,$75.00 ,$40.65 , N/A ,$19.73 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$63.75 , N/A ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$17.45 , N/A , N/A , N/A ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101153,80359,HC METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA -90,301,1 ,$33.00 ,$21.45 ,$0.02 ,$33.00 , N/A ,$0.02 ,$17.89 , N/A ,$9.24 , N/A , N/A , N/A , N/A ,$12.61 , N/A , N/A ,$12.61 , N/A ,$17.36 ,$16.83 , N/A , N/A ,$23.10 , N/A ,$16.50 , N/A ,$24.75 ,$16.67 ,$15.02 ,$16.67 , N/A ,$16.67 ,$13.16 ,$13.16 ,$13.16 ,$33.00 ,$28.05 , N/A ,$26.40 ,$12.21 ,$26.40 , N/A , N/A ,$33.00 ,$17.89 , N/A ,$8.68 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$28.05 , N/A ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$13.16 , N/A , N/A , N/A ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$25.00 ,$16.25 ,$0.02 ,$30.36 , N/A ,$0.02 ,$13.55 , N/A ,$7.00 , N/A , N/A , N/A , N/A ,$9.55 , N/A , N/A ,$9.55 , N/A ,$13.15 ,$12.75 , N/A , N/A ,$17.50 , N/A ,$12.50 , N/A ,$18.75 ,$12.63 ,$11.38 ,$12.63 , N/A ,$12.63 ,$22.10 ,$22.10 ,$22.10 ,$25.00 ,$21.25 , N/A ,$20.00 ,$9.25 ,$20.00 , N/A , N/A ,$25.00 ,$13.55 , N/A ,$6.58 , N/A , N/A ,$25.00 ,$30.36 , N/A ,$21.25 , N/A ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$22.10 , N/A , N/A , N/A ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101155,82010,HC ACETONE KETONES SERUM QN-90,301,1 ,$100.00 ,$65.00 ,$3.50 ,$100.00 ,$20.43 ,$16.71 ,$54.20 ,$8.17 ,$28.00 ,$34.50 ,$8.17 ,$38.40 ,$8.17 ,$38.20 ,$3.50 ,$8.17 ,$38.20 ,$15.52 ,$27.23 ,$51.00 ,$20.43 ,$8.17 ,$70.00 ,$8.17 ,$50.00 ,$8.33 ,$75.00 ,$50.50 ,$45.50 ,$50.50 ,$8.17 ,$50.50 ,$11.80 ,$11.80 ,$11.80 ,$100.00 ,$85.00 ,$20.43 ,$80.00 ,$37.00 ,$80.00 ,$8.17 ,$8.17 ,$100.00 ,$54.20 ,$8.17 ,$26.30 , N/A , N/A ,$11.81 ,$11.28 ,$8.58 ,$85.00 ,$18.38 ,$65.80 ,$28.00 ,$90.00 ,$72.00 ,$100.00 ,$11.80 ,$16.34 ,$16.34 ,$8.17 ,$48.00 ,$90.00 ST. JOHN'S HOSPITAL,30101156,82013,HC ACETYLCHOLINESTERASE-90,301,1 ,$107.00 ,$69.55 ,$3.50 ,$107.00 ,$30.73 ,$22.86 ,$57.99 ,$12.29 ,$29.96 ,$36.92 ,$12.29 ,$41.09 ,$12.29 ,$40.87 ,$3.50 ,$12.29 ,$40.87 ,$23.35 ,$41.44 ,$54.57 ,$30.73 ,$12.29 ,$74.90 ,$12.29 ,$53.50 ,$12.54 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$12.29 ,$54.04 ,$16.13 ,$16.13 ,$16.13 ,$107.00 ,$90.95 ,$30.73 ,$85.60 ,$39.59 ,$85.60 ,$12.29 ,$12.29 ,$107.00 ,$57.99 ,$12.29 ,$28.14 , N/A , N/A ,$11.81 ,$11.28 ,$12.90 ,$90.95 ,$27.65 ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$16.13 ,$24.58 ,$24.58 ,$12.29 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$256.00 ,$166.40 ,$3.50 ,$256.00 ,$42.18 ,$34.48 ,$138.75 ,$16.87 ,$71.68 ,$69.87 ,$16.87 ,$69.87 ,$16.87 ,$97.79 ,$3.50 ,$16.87 ,$97.79 ,$32.05 ,$56.80 ,$130.56 ,$42.18 ,$16.87 ,$179.20 ,$16.87 ,$128.00 ,$17.21 ,$192.00 ,$129.28 ,$116.48 ,$129.28 ,$16.87 ,$129.28 ,$24.36 ,$24.36 ,$24.36 ,$256.00 ,$217.60 ,$42.18 ,$204.80 ,$94.72 ,$204.80 ,$16.87 ,$16.87 ,$256.00 ,$138.75 ,$16.87 ,$67.33 , N/A , N/A ,$11.81 ,$11.28 ,$17.71 ,$217.60 ,$37.96 ,$168.45 ,$71.68 ,$230.40 ,$184.32 ,$256.00 ,$24.36 ,$33.74 ,$33.74 ,$16.87 ,$122.88 ,$230.40 ST. JOHN'S HOSPITAL,30101158,82024,HC ACTH -90,301,1 ,$165.00 ,$107.25 ,$3.50 ,$165.00 ,$96.55 ,$79.00 ,$89.43 ,$38.62 ,$46.20 ,$56.93 ,$38.62 ,$63.36 ,$38.62 ,$63.03 ,$3.50 ,$38.62 ,$63.03 ,$73.38 ,$131.39 ,$84.15 ,$96.55 ,$38.62 ,$115.50 ,$38.62 ,$82.50 ,$39.39 ,$123.75 ,$83.33 ,$75.08 ,$83.33 ,$38.62 ,$83.33 ,$55.78 ,$55.78 ,$55.78 ,$165.00 ,$140.25 ,$96.55 ,$132.00 ,$61.05 ,$132.00 ,$38.62 ,$38.62 ,$165.00 ,$89.43 ,$38.62 ,$43.40 , N/A , N/A ,$27.64 ,$26.39 ,$40.55 ,$140.25 ,$86.90 ,$108.57 ,$46.20 ,$148.50 ,$118.80 ,$165.00 ,$55.78 ,$77.24 ,$77.24 ,$38.62 ,$79.20 ,$148.50 ST. JOHN'S HOSPITAL,30101159,82040,HC ALBUMIN-90,301,1 ,$27.00 ,$17.55 ,$3.50 ,$27.00 ,$12.38 ,$10.12 ,$14.63 ,$4.95 ,$7.56 ,$9.32 ,$4.95 ,$10.37 ,$4.95 ,$10.31 ,$3.50 ,$4.95 ,$10.31 ,$9.41 ,$16.59 ,$13.77 ,$12.38 ,$4.95 ,$18.90 ,$4.95 ,$13.50 ,$5.05 ,$20.25 ,$13.64 ,$12.29 ,$13.64 ,$4.95 ,$13.64 ,$7.15 ,$7.15 ,$7.15 ,$27.00 ,$22.95 ,$12.38 ,$21.60 ,$9.99 ,$21.60 ,$4.95 ,$4.95 ,$27.00 ,$14.63 ,$4.95 ,$7.10 , N/A , N/A ,$5.26 ,$5.02 ,$5.20 ,$22.95 ,$11.14 ,$17.77 ,$7.56 ,$24.30 ,$19.44 ,$27.00 ,$7.15 ,$9.90 ,$9.90 ,$4.95 ,$12.96 ,$24.30 ST. JOHN'S HOSPITAL,30101160,82042,HC ALBUMIN OTHER SOURCE-90,301,1 ,$21.00 ,$13.65 ,$3.50 ,$21.00 ,$19.45 ,$10.57 ,$11.38 ,$7.78 ,$5.88 ,$7.25 ,$7.78 ,$8.06 ,$7.78 ,$8.02 ,$3.50 ,$7.78 ,$8.02 ,$14.78 ,$21.00 ,$10.71 ,$19.45 ,$7.78 ,$14.70 ,$7.78 ,$10.50 ,$7.94 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$7.78 ,$10.61 ,$10.11 ,$10.11 ,$10.11 ,$21.00 ,$17.85 ,$19.45 ,$16.80 ,$7.77 ,$16.80 ,$7.78 ,$7.78 ,$21.00 ,$11.38 ,$7.78 ,$5.52 , N/A , N/A ,$5.26 ,$5.02 ,$8.17 ,$17.85 ,$17.51 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$10.11 ,$15.56 ,$15.56 ,$7.78 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,30101162,82085,HC ALDOLASE-90,301,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$24.28 ,$19.85 ,$19.51 ,$9.71 ,$10.08 ,$12.42 ,$9.71 ,$13.82 ,$9.71 ,$13.75 ,$3.50 ,$9.71 ,$13.75 ,$18.45 ,$33.15 ,$18.36 ,$24.28 ,$9.71 ,$25.20 ,$9.71 ,$18.00 ,$9.90 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$9.71 ,$18.18 ,$14.03 ,$14.03 ,$14.03 ,$36.00 ,$30.60 ,$24.28 ,$28.80 ,$13.32 ,$28.80 ,$9.71 ,$9.71 ,$36.00 ,$19.51 ,$9.71 ,$9.47 , N/A , N/A ,$11.81 ,$11.28 ,$10.20 ,$30.60 ,$21.85 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$14.03 ,$19.42 ,$19.42 ,$9.71 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30101163,82088,HC ALDOSTERONE-90,301,1 ,$150.00 ,$97.50 ,$3.50 ,$150.00 ,$101.88 ,$83.34 ,$81.30 ,$40.75 ,$42.00 ,$51.75 ,$40.75 ,$57.60 ,$40.75 ,$57.30 ,$3.50 ,$40.75 ,$57.30 ,$77.43 ,$138.50 ,$76.50 ,$101.88 ,$40.75 ,$105.00 ,$40.75 ,$75.00 ,$41.57 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$40.75 ,$75.75 ,$58.86 ,$58.86 ,$58.86 ,$150.00 ,$127.50 ,$101.88 ,$120.00 ,$55.50 ,$120.00 ,$40.75 ,$40.75 ,$150.00 ,$81.30 ,$40.75 ,$39.45 , N/A , N/A ,$27.64 ,$26.39 ,$42.79 ,$127.50 ,$91.69 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$58.86 ,$81.50 ,$81.50 ,$40.75 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$141.00 ,$91.65 ,$3.50 ,$141.00 ,$33.60 ,$27.48 ,$76.42 ,$13.44 ,$39.48 ,$48.65 ,$13.44 ,$54.14 ,$13.44 ,$53.86 ,$3.50 ,$13.44 ,$53.86 ,$25.54 ,$46.17 ,$71.91 ,$33.60 ,$13.44 ,$98.70 ,$13.44 ,$70.50 ,$13.71 ,$105.75 ,$71.21 ,$64.16 ,$71.21 ,$13.44 ,$71.21 ,$19.41 ,$19.41 ,$19.41 ,$141.00 ,$119.85 ,$33.60 ,$112.80 ,$52.17 ,$112.80 ,$13.44 ,$13.44 ,$141.00 ,$76.42 ,$13.44 ,$37.08 , N/A , N/A ,$11.81 ,$11.28 ,$14.11 ,$119.85 ,$30.24 ,$92.78 ,$39.48 ,$126.90 ,$101.52 ,$141.00 ,$19.41 ,$26.88 ,$26.88 ,$13.44 ,$67.68 ,$126.90 ST. JOHN'S HOSPITAL,30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$211.00 ,$137.15 ,$3.50 ,$211.00 ,$36.15 ,$29.58 ,$114.36 ,$14.46 ,$59.08 ,$59.91 ,$14.46 ,$59.91 ,$14.46 ,$80.60 ,$3.50 ,$14.46 ,$80.60 ,$27.47 ,$48.55 ,$107.61 ,$36.15 ,$14.46 ,$147.70 ,$14.46 ,$105.50 ,$14.75 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$14.46 ,$106.56 ,$20.89 ,$20.89 ,$20.89 ,$211.00 ,$179.35 ,$36.15 ,$168.80 ,$78.07 ,$168.80 ,$14.46 ,$14.46 ,$211.00 ,$114.36 ,$14.46 ,$55.49 , N/A , N/A ,$11.81 ,$11.28 ,$15.18 ,$179.35 ,$32.54 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$20.89 ,$28.92 ,$28.92 ,$14.46 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$171.00 ,$111.15 ,$3.50 ,$171.00 ,$41.93 ,$34.30 ,$92.68 ,$16.77 ,$47.88 ,$59.00 ,$16.77 ,$65.66 ,$16.77 ,$65.32 ,$3.50 ,$16.77 ,$65.32 ,$31.86 ,$56.80 ,$87.21 ,$41.93 ,$16.77 ,$119.70 ,$16.77 ,$85.50 ,$17.11 ,$128.25 ,$86.36 ,$77.81 ,$86.36 ,$16.77 ,$86.36 ,$24.23 ,$24.23 ,$24.23 ,$171.00 ,$145.35 ,$41.93 ,$136.80 ,$63.27 ,$136.80 ,$16.77 ,$16.77 ,$171.00 ,$92.68 ,$16.77 ,$44.97 , N/A , N/A ,$11.81 ,$11.28 ,$17.61 ,$145.35 ,$37.73 ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$24.23 ,$33.54 ,$33.54 ,$16.77 ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,30101167,82105,HC ALPHA FETOPROTEIN SERUM SINGLE-90,301,1 ,$25.00 ,$16.25 ,$3.50 ,$41.93 ,$41.93 ,$25.00 ,$13.55 ,$16.77 ,$7.00 ,$8.63 ,$16.77 ,$9.60 ,$16.77 ,$9.55 ,$3.50 ,$16.77 ,$9.55 ,$25.00 ,$25.00 ,$12.75 ,$41.93 ,$16.77 ,$17.50 ,$16.77 ,$12.50 ,$17.11 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$16.77 ,$12.63 ,$24.23 ,$24.23 ,$24.23 ,$25.00 ,$21.25 ,$25.00 ,$20.00 ,$9.25 ,$20.00 ,$16.77 ,$16.77 ,$25.00 ,$13.55 ,$16.77 ,$6.58 , N/A , N/A ,$11.81 ,$11.28 ,$17.61 ,$21.25 ,$37.73 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$24.23 ,$25.00 ,$25.00 ,$16.77 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101168,82106,HC ALPHA FETOPROTEIN AMNIOTIC FLUID-90,301,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$42.50 ,$34.30 ,$58.54 ,$17.00 ,$30.24 ,$37.26 ,$17.00 ,$41.47 ,$17.00 ,$41.26 ,$3.50 ,$17.00 ,$41.26 ,$32.30 ,$57.99 ,$55.08 ,$42.50 ,$17.00 ,$75.60 ,$17.00 ,$54.00 ,$17.34 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$17.00 ,$54.54 ,$24.23 ,$24.23 ,$24.23 ,$108.00 ,$91.80 ,$42.50 ,$86.40 ,$39.96 ,$86.40 ,$17.00 ,$17.00 ,$108.00 ,$58.54 ,$17.00 ,$28.40 , N/A , N/A ,$11.81 ,$11.28 ,$17.85 ,$91.80 ,$38.25 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$24.23 ,$34.00 ,$34.00 ,$17.00 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30101169,82108,HC ALUMINUM-90,301,1 ,$95.00 ,$61.75 ,$3.50 ,$95.00 ,$63.70 ,$52.10 ,$51.49 ,$25.48 ,$26.60 ,$32.78 ,$25.48 ,$36.48 ,$25.48 ,$36.29 ,$3.50 ,$25.48 ,$36.29 ,$48.41 ,$86.42 ,$48.45 ,$63.70 ,$25.48 ,$66.50 ,$25.48 ,$47.50 ,$25.99 ,$71.25 ,$47.98 ,$43.23 ,$47.98 ,$25.48 ,$47.98 ,$36.80 ,$36.80 ,$36.80 ,$95.00 ,$80.75 ,$63.70 ,$76.00 ,$35.15 ,$76.00 ,$25.48 ,$25.48 ,$95.00 ,$51.49 ,$25.48 ,$24.99 , N/A , N/A ,$14.41 ,$13.76 ,$26.75 ,$80.75 ,$57.33 ,$62.51 ,$26.60 ,$85.50 ,$68.40 ,$95.00 ,$36.80 ,$50.96 ,$50.96 ,$25.48 ,$45.60 ,$85.50 ST. JOHN'S HOSPITAL,30101170,82127,HC AMINO ACID SINGLE QL EA SPECIMEN-90,301,1 ,$114.00 ,$74.10 ,$3.50 ,$114.00 ,$35.45 ,$28.35 ,$61.79 ,$14.18 ,$31.92 ,$39.33 ,$14.18 ,$43.78 ,$14.18 ,$43.55 ,$3.50 ,$14.18 ,$43.55 ,$26.94 ,$48.55 ,$58.14 ,$35.45 ,$14.18 ,$79.80 ,$14.18 ,$57.00 ,$14.46 ,$85.50 ,$57.57 ,$51.87 ,$57.57 ,$14.18 ,$57.57 ,$20.03 ,$20.03 ,$20.03 ,$114.00 ,$96.90 ,$35.45 ,$91.20 ,$42.18 ,$91.20 ,$14.18 ,$14.18 ,$114.00 ,$61.79 ,$14.18 ,$29.98 , N/A , N/A ,$11.81 ,$11.28 ,$14.89 ,$96.90 ,$31.91 ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$20.03 ,$28.36 ,$28.36 ,$14.18 ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$42.00 ,$27.30 ,$3.50 ,$57.45 ,$57.45 ,$34.48 ,$22.76 ,$22.98 ,$11.76 ,$14.49 ,$22.98 ,$16.13 ,$22.98 ,$16.04 ,$3.50 ,$22.98 ,$16.04 ,$42.00 ,$42.00 ,$21.42 ,$57.45 ,$22.98 ,$29.40 ,$22.98 ,$21.00 ,$23.44 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$22.98 ,$21.21 ,$29.87 ,$29.87 ,$29.87 ,$42.00 ,$35.70 ,$42.00 ,$33.60 ,$15.54 ,$33.60 ,$22.98 ,$22.98 ,$42.00 ,$22.76 ,$22.98 ,$11.05 , N/A , N/A ,$11.81 ,$11.28 ,$24.13 ,$35.70 ,$51.71 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$29.87 ,$42.00 ,$42.00 ,$22.98 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30101173,82135,HC AMINOLEVULINIC ACID 24 HR UR-90,301,1 ,$70.00 ,$45.50 ,$3.50 ,$70.00 ,$41.13 ,$29.68 ,$37.94 ,$16.45 ,$19.60 ,$24.15 ,$16.45 ,$26.88 ,$16.45 ,$26.74 ,$3.50 ,$16.45 ,$26.74 ,$31.26 ,$55.65 ,$35.70 ,$41.13 ,$16.45 ,$49.00 ,$16.45 ,$35.00 ,$16.78 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$16.45 ,$35.35 ,$23.76 ,$23.76 ,$23.76 ,$70.00 ,$59.50 ,$41.13 ,$56.00 ,$25.90 ,$56.00 ,$16.45 ,$16.45 ,$70.00 ,$37.94 ,$16.45 ,$18.41 , N/A , N/A ,$11.81 ,$11.28 ,$17.27 ,$59.50 ,$37.01 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$23.76 ,$32.90 ,$32.90 ,$16.45 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$368.00 ,$239.20 ,$3.50 ,$368.00 ,$42.18 ,$34.48 ,$199.46 ,$16.87 ,$103.04 ,$69.87 ,$16.87 ,$69.87 ,$16.87 ,$140.58 ,$3.50 ,$16.87 ,$140.58 ,$32.05 ,$56.80 ,$187.68 ,$42.18 ,$16.87 ,$257.60 ,$16.87 ,$184.00 ,$17.21 ,$276.00 ,$185.84 ,$167.44 ,$185.84 ,$16.87 ,$185.84 ,$24.36 ,$24.36 ,$24.36 ,$368.00 ,$312.80 ,$42.18 ,$294.40 ,$136.16 ,$294.40 ,$16.87 ,$16.87 ,$368.00 ,$199.46 ,$16.87 ,$96.78 , N/A , N/A ,$11.81 ,$11.28 ,$17.71 ,$312.80 ,$37.96 ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$24.36 ,$33.74 ,$33.74 ,$16.87 ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,30101176,82140,HC AMMONIA-90,301,1 ,$208.00 ,$135.20 ,$3.50 ,$208.00 ,$36.43 ,$29.80 ,$112.74 ,$14.57 ,$58.24 ,$60.32 ,$14.57 ,$60.32 ,$14.57 ,$79.46 ,$3.50 ,$14.57 ,$79.46 ,$27.68 ,$49.74 ,$106.08 ,$36.43 ,$14.57 ,$145.60 ,$14.57 ,$104.00 ,$14.86 ,$156.00 ,$105.04 ,$94.64 ,$105.04 ,$14.57 ,$105.04 ,$21.05 ,$21.05 ,$21.05 ,$208.00 ,$176.80 ,$36.43 ,$166.40 ,$76.96 ,$166.40 ,$14.57 ,$14.57 ,$208.00 ,$112.74 ,$14.57 ,$54.70 , N/A , N/A ,$11.81 ,$11.28 ,$15.30 ,$176.80 ,$32.78 ,$136.86 ,$58.24 ,$187.20 ,$149.76 ,$208.00 ,$21.05 ,$29.14 ,$29.14 ,$14.57 ,$99.84 ,$187.20 ST. JOHN'S HOSPITAL,30101177,82150,HC AMYLASE-90,301,1 ,$23.00 ,$14.95 ,$3.50 ,$23.00 ,$16.20 ,$13.25 ,$12.47 ,$6.48 ,$6.44 ,$7.94 ,$6.48 ,$8.83 ,$6.48 ,$8.79 ,$3.50 ,$6.48 ,$8.79 ,$12.31 ,$22.51 ,$11.73 ,$16.20 ,$6.48 ,$16.10 ,$6.48 ,$11.50 ,$6.61 ,$17.25 ,$11.62 ,$10.47 ,$11.62 ,$6.48 ,$11.62 ,$9.36 ,$9.36 ,$9.36 ,$23.00 ,$19.55 ,$16.20 ,$18.40 ,$8.51 ,$18.40 ,$6.48 ,$6.48 ,$23.00 ,$12.47 ,$6.48 ,$6.05 , N/A , N/A ,$11.81 ,$11.28 ,$6.80 ,$19.55 ,$14.58 ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$9.36 ,$12.96 ,$12.96 ,$6.48 ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$73.20 ,$59.85 ,$58.54 ,$29.28 ,$30.24 ,$37.26 ,$29.28 ,$41.47 ,$29.28 ,$41.26 ,$3.50 ,$29.28 ,$41.26 ,$55.63 ,$99.44 ,$55.08 ,$73.20 ,$29.28 ,$75.60 ,$29.28 ,$54.00 ,$29.87 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$29.28 ,$54.54 ,$42.29 ,$42.29 ,$42.29 ,$108.00 ,$91.80 ,$73.20 ,$86.40 ,$39.96 ,$86.40 ,$29.28 ,$29.28 ,$108.00 ,$58.54 ,$29.28 ,$28.40 , N/A , N/A ,$27.64 ,$26.39 ,$30.74 ,$91.80 ,$65.88 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$42.29 ,$58.56 ,$58.56 ,$29.28 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$36.50 ,$29.86 ,$35.23 ,$14.60 ,$18.20 ,$22.43 ,$14.60 ,$24.96 ,$14.60 ,$24.83 ,$3.50 ,$14.60 ,$24.83 ,$27.74 ,$49.74 ,$33.15 ,$36.50 ,$14.60 ,$45.50 ,$14.60 ,$32.50 ,$14.89 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$14.60 ,$32.83 ,$21.09 ,$21.09 ,$21.09 ,$65.00 ,$55.25 ,$36.50 ,$52.00 ,$24.05 ,$52.00 ,$14.60 ,$14.60 ,$65.00 ,$35.23 ,$14.60 ,$17.10 , N/A , N/A ,$11.81 ,$11.28 ,$15.33 ,$55.25 ,$32.85 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$21.09 ,$29.20 ,$29.20 ,$14.60 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$81.00 ,$52.65 ,$3.50 ,$81.00 ,$52.73 ,$31.69 ,$43.90 ,$21.09 ,$22.68 ,$27.95 ,$21.09 ,$31.10 ,$21.09 ,$30.94 ,$3.50 ,$21.09 ,$30.94 ,$40.07 ,$71.01 ,$41.31 ,$52.73 ,$21.09 ,$56.70 ,$21.09 ,$40.50 ,$21.51 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$21.09 ,$40.91 ,$27.42 ,$27.42 ,$27.42 ,$81.00 ,$68.85 ,$52.73 ,$64.80 ,$29.97 ,$64.80 ,$21.09 ,$21.09 ,$81.00 ,$43.90 ,$21.09 ,$21.30 , N/A , N/A ,$11.81 ,$11.28 ,$22.14 ,$68.85 ,$47.45 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$27.42 ,$42.18 ,$42.18 ,$21.09 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30101181,82175,HC ARSENIC-90,301,1 ,$74.00 ,$48.10 ,$3.50 ,$74.00 ,$47.43 ,$38.80 ,$40.11 ,$18.97 ,$20.72 ,$25.53 ,$18.97 ,$28.42 ,$18.97 ,$28.27 ,$3.50 ,$18.97 ,$28.27 ,$36.04 ,$63.91 ,$37.74 ,$47.43 ,$18.97 ,$51.80 ,$18.97 ,$37.00 ,$19.35 ,$55.50 ,$37.37 ,$33.67 ,$37.37 ,$18.97 ,$37.37 ,$27.40 ,$27.40 ,$27.40 ,$74.00 ,$62.90 ,$47.43 ,$59.20 ,$27.38 ,$59.20 ,$18.97 ,$18.97 ,$74.00 ,$40.11 ,$18.97 ,$19.46 , N/A , N/A ,$14.41 ,$13.76 ,$19.92 ,$62.90 ,$42.68 ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$27.40 ,$37.94 ,$37.94 ,$18.97 ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$24.73 ,$11.85 ,$35.23 ,$9.89 ,$18.20 ,$22.43 ,$9.89 ,$24.96 ,$9.89 ,$24.83 ,$3.50 ,$9.89 ,$24.83 ,$18.79 ,$33.15 ,$33.15 ,$24.73 ,$9.89 ,$45.50 ,$9.89 ,$32.50 ,$10.09 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$9.89 ,$32.83 ,$14.27 ,$14.27 ,$14.27 ,$65.00 ,$55.25 ,$24.73 ,$52.00 ,$24.05 ,$52.00 ,$9.89 ,$9.89 ,$65.00 ,$35.23 ,$9.89 ,$17.10 , N/A , N/A ,$11.81 ,$11.28 ,$10.38 ,$55.25 ,$22.25 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$14.27 ,$19.78 ,$19.78 ,$9.89 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$40.45 ,$33.08 ,$34.69 ,$16.18 ,$17.92 ,$22.08 ,$16.18 ,$24.58 ,$16.18 ,$24.45 ,$3.50 ,$16.18 ,$24.45 ,$30.74 ,$54.46 ,$32.64 ,$40.45 ,$16.18 ,$44.80 ,$16.18 ,$32.00 ,$16.50 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$16.18 ,$32.32 ,$23.36 ,$23.36 ,$23.36 ,$64.00 ,$54.40 ,$40.45 ,$51.20 ,$23.68 ,$51.20 ,$16.18 ,$16.18 ,$64.00 ,$34.69 ,$16.18 ,$16.83 , N/A , N/A ,$27.64 ,$26.39 ,$16.99 ,$54.40 ,$36.41 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$23.36 ,$32.36 ,$32.36 ,$16.18 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101185,82239,HC BILE ACID TOTAL-90,301,1 ,$30.00 ,$19.50 ,$3.50 ,$42.80 ,$42.80 ,$30.00 ,$16.26 ,$17.12 ,$8.40 ,$10.35 ,$17.12 ,$11.52 ,$17.12 ,$11.46 ,$3.50 ,$17.12 ,$11.46 ,$30.00 ,$30.00 ,$15.30 ,$42.80 ,$17.12 ,$21.00 ,$17.12 ,$15.00 ,$17.46 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$17.12 ,$15.15 ,$24.74 ,$24.74 ,$24.74 ,$30.00 ,$25.50 ,$30.00 ,$24.00 ,$11.10 ,$24.00 ,$17.12 ,$17.12 ,$30.00 ,$16.26 ,$17.12 ,$7.89 , N/A , N/A ,$11.81 ,$11.28 ,$17.98 ,$25.50 ,$38.52 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$24.74 ,$30.00 ,$30.00 ,$17.12 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$74.00 ,$48.10 ,$3.50 ,$74.00 ,$12.55 ,$10.27 ,$40.11 ,$5.02 ,$20.72 ,$25.53 ,$5.02 ,$28.12 ,$5.02 ,$28.27 ,$3.50 ,$5.02 ,$28.27 ,$9.54 ,$16.59 ,$37.74 ,$12.55 ,$5.02 ,$51.80 ,$5.02 ,$37.00 ,$5.12 ,$55.50 ,$37.37 ,$33.67 ,$37.37 ,$5.02 ,$37.37 ,$7.24 ,$7.24 ,$7.24 ,$74.00 ,$62.90 ,$12.55 ,$59.20 ,$27.38 ,$59.20 ,$5.02 ,$5.02 ,$74.00 ,$40.11 ,$5.02 ,$19.46 , N/A , N/A ,$5.26 ,$5.02 ,$5.27 ,$62.90 ,$11.30 ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$7.24 ,$10.04 ,$10.04 ,$5.02 ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,30101187,82261,HC BIOTINIDASE-90,301,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$42.18 ,$34.48 ,$33.60 ,$16.87 ,$17.36 ,$21.39 ,$16.87 ,$23.81 ,$16.87 ,$23.68 ,$3.50 ,$16.87 ,$23.68 ,$32.05 ,$56.80 ,$31.62 ,$42.18 ,$16.87 ,$43.40 ,$16.87 ,$31.00 ,$17.21 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$16.87 ,$31.31 ,$24.36 ,$24.36 ,$24.36 ,$62.00 ,$52.70 ,$42.18 ,$49.60 ,$22.94 ,$49.60 ,$16.87 ,$16.87 ,$62.00 ,$33.60 ,$16.87 ,$16.31 , N/A , N/A ,$11.81 ,$11.28 ,$17.71 ,$52.70 ,$37.96 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$24.36 ,$33.74 ,$33.74 ,$16.87 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30101190,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$10.95 ,$6.67 ,$13.55 ,$4.38 ,$7.00 ,$8.63 ,$4.38 ,$9.60 ,$4.38 ,$9.55 ,$3.50 ,$4.38 ,$9.55 ,$8.32 ,$15.40 ,$12.75 ,$10.95 ,$4.38 ,$17.50 ,$4.38 ,$12.50 ,$4.47 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$4.38 ,$12.63 ,$5.69 ,$5.69 ,$5.69 ,$25.00 ,$21.25 ,$10.95 ,$20.00 ,$9.25 ,$20.00 ,$4.38 ,$4.38 ,$25.00 ,$13.55 ,$4.38 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$4.60 ,$21.25 ,$9.86 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$5.69 ,$8.76 ,$8.76 ,$4.38 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$13.30 ,$6.67 ,$13.55 ,$5.32 ,$7.00 ,$8.63 ,$5.32 ,$9.60 ,$5.32 ,$9.55 ,$3.50 ,$5.32 ,$9.55 ,$10.11 ,$17.74 ,$12.75 ,$13.30 ,$5.32 ,$17.50 ,$5.32 ,$12.50 ,$5.43 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$5.32 ,$12.63 ,$6.92 ,$6.92 ,$6.92 ,$25.00 ,$21.25 ,$13.30 ,$20.00 ,$9.25 ,$20.00 ,$5.32 ,$5.32 ,$25.00 ,$13.55 ,$5.32 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$5.59 ,$21.25 ,$11.97 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$6.92 ,$10.64 ,$10.64 ,$5.32 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101193,82271,HC OCCULT BLOOD GASTRIC-QW,301,1 ,$25.00 ,$16.25 ,$3.50 ,$25.00 ,$13.30 ,$6.67 ,$13.55 ,$5.32 ,$7.00 ,$8.63 ,$5.32 ,$9.60 ,$5.32 ,$9.55 ,$3.50 ,$5.32 ,$9.55 ,$10.11 ,$17.74 ,$12.75 ,$13.30 ,$5.32 ,$17.50 ,$5.32 ,$12.50 ,$5.43 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$5.32 ,$12.63 ,$6.92 ,$6.92 ,$6.92 ,$25.00 ,$21.25 ,$13.30 ,$20.00 ,$9.25 ,$20.00 ,$5.32 ,$5.32 ,$25.00 ,$13.55 ,$5.32 ,$6.58 , N/A , N/A ,$5.26 ,$5.02 ,$5.59 ,$21.25 ,$11.97 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$6.92 ,$10.64 ,$10.64 ,$5.32 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101194,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$51.00 ,$33.15 ,$3.50 ,$51.00 ,$10.58 ,$6.67 ,$27.64 ,$4.23 ,$14.28 ,$17.60 ,$4.23 ,$19.20 ,$4.23 ,$19.48 ,$3.50 ,$4.23 ,$19.48 ,$8.04 ,$14.21 ,$26.01 ,$10.58 ,$4.23 ,$35.70 ,$4.23 ,$25.50 ,$4.31 ,$38.25 ,$25.76 ,$23.21 ,$25.76 ,$4.23 ,$25.76 ,$5.50 ,$5.50 ,$5.50 ,$51.00 ,$43.35 ,$10.58 ,$40.80 ,$18.87 ,$40.80 ,$4.23 ,$4.23 ,$51.00 ,$27.64 ,$4.23 ,$13.41 , N/A , N/A ,$5.26 ,$5.02 ,$4.44 ,$43.35 ,$9.52 ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$5.50 ,$8.46 ,$8.46 ,$4.23 ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,30101196,82300,HC CADMIUM-90,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$59.10 ,$47.32 ,$48.78 ,$23.64 ,$25.20 ,$31.05 ,$23.64 ,$34.56 ,$23.64 ,$34.38 ,$3.50 ,$23.64 ,$34.38 ,$44.92 ,$80.50 ,$45.90 ,$59.10 ,$23.64 ,$63.00 ,$23.64 ,$45.00 ,$24.11 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$23.64 ,$45.45 ,$33.44 ,$33.44 ,$33.44 ,$90.00 ,$76.50 ,$59.10 ,$72.00 ,$33.30 ,$72.00 ,$23.64 ,$23.64 ,$90.00 ,$48.78 ,$23.64 ,$23.67 , N/A , N/A ,$14.41 ,$13.76 ,$24.82 ,$76.50 ,$53.19 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$33.44 ,$47.28 ,$47.28 ,$23.64 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101197,82306,HC VITAMIN D 25 OH-90,301,1 ,$109.00 ,$70.85 ,$3.50 ,$109.00 ,$74.00 ,$60.55 ,$59.08 ,$29.60 ,$30.52 ,$37.61 ,$29.60 ,$41.86 ,$29.60 ,$41.64 ,$3.50 ,$29.60 ,$41.64 ,$56.24 ,$100.63 ,$55.59 ,$74.00 ,$29.60 ,$76.30 ,$29.60 ,$54.50 ,$30.19 ,$81.75 ,$55.05 ,$49.60 ,$55.05 ,$29.60 ,$55.05 ,$42.76 ,$42.76 ,$42.76 ,$109.00 ,$92.65 ,$74.00 ,$87.20 ,$40.33 ,$87.20 ,$29.60 ,$29.60 ,$109.00 ,$59.08 ,$29.60 ,$28.67 , N/A , N/A ,$31.80 ,$30.36 ,$31.08 ,$92.65 ,$66.60 ,$71.72 ,$30.52 ,$98.10 ,$78.48 ,$109.00 ,$42.76 ,$59.20 ,$59.20 ,$29.60 ,$52.32 ,$98.10 ST. JOHN'S HOSPITAL,30101199,82308,HC CALCITONIN-90,301,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$66.98 ,$54.78 ,$53.66 ,$26.79 ,$27.72 ,$34.16 ,$26.79 ,$38.02 ,$26.79 ,$37.82 ,$3.50 ,$26.79 ,$37.82 ,$50.90 ,$91.14 ,$50.49 ,$66.98 ,$26.79 ,$69.30 ,$26.79 ,$49.50 ,$27.33 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$26.79 ,$50.00 ,$38.70 ,$38.70 ,$38.70 ,$99.00 ,$84.15 ,$66.98 ,$79.20 ,$36.63 ,$79.20 ,$26.79 ,$26.79 ,$99.00 ,$53.66 ,$26.79 ,$26.04 , N/A , N/A ,$27.64 ,$26.39 ,$28.13 ,$84.15 ,$60.28 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$38.70 ,$53.58 ,$53.58 ,$26.79 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30101200,82310,HC CALCIUM-90,301,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$12.90 ,$10.55 ,$47.70 ,$5.16 ,$24.64 ,$28.95 ,$5.16 ,$28.95 ,$5.16 ,$33.62 ,$3.50 ,$5.16 ,$33.62 ,$9.80 ,$17.74 ,$44.88 ,$12.90 ,$5.16 ,$61.60 ,$5.16 ,$44.00 ,$5.26 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$5.16 ,$44.44 ,$7.45 ,$7.45 ,$7.45 ,$88.00 ,$74.80 ,$12.90 ,$70.40 ,$32.56 ,$70.40 ,$5.16 ,$5.16 ,$88.00 ,$47.70 ,$5.16 ,$23.14 , N/A , N/A ,$5.26 ,$5.02 ,$5.42 ,$74.80 ,$11.61 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$7.45 ,$10.32 ,$10.32 ,$5.16 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30101201,82330,HC CALCIUM IONIZED,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$34.20 ,$27.95 ,$62.87 ,$13.68 ,$32.48 ,$40.02 ,$13.68 ,$44.54 ,$13.68 ,$44.31 ,$3.50 ,$13.68 ,$44.31 ,$25.99 ,$46.17 ,$59.16 ,$34.20 ,$13.68 ,$81.20 ,$13.68 ,$58.00 ,$13.95 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$13.68 ,$58.58 ,$19.76 ,$19.76 ,$19.76 ,$116.00 ,$98.60 ,$34.20 ,$92.80 ,$42.92 ,$92.80 ,$13.68 ,$13.68 ,$116.00 ,$62.87 ,$13.68 ,$30.51 , N/A , N/A ,$11.81 ,$11.28 ,$14.36 ,$98.60 ,$30.78 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$19.76 ,$27.36 ,$27.36 ,$13.68 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30101202,82330,HC CALCIUM IONIZED,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$34.20 ,$27.95 ,$62.87 ,$13.68 ,$32.48 ,$40.02 ,$13.68 ,$44.54 ,$13.68 ,$44.31 ,$3.50 ,$13.68 ,$44.31 ,$25.99 ,$46.17 ,$59.16 ,$34.20 ,$13.68 ,$81.20 ,$13.68 ,$58.00 ,$13.95 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$13.68 ,$58.58 ,$19.76 ,$19.76 ,$19.76 ,$116.00 ,$98.60 ,$34.20 ,$92.80 ,$42.92 ,$92.80 ,$13.68 ,$13.68 ,$116.00 ,$62.87 ,$13.68 ,$30.51 , N/A , N/A ,$11.81 ,$11.28 ,$14.36 ,$98.60 ,$30.78 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$19.76 ,$27.36 ,$27.36 ,$13.68 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30101203,82340,HC CALCIUM URINE QN TIMED-90,301,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$15.08 ,$12.34 ,$49.86 ,$6.03 ,$25.76 ,$24.97 ,$6.03 ,$24.97 ,$6.03 ,$35.14 ,$3.50 ,$6.03 ,$35.14 ,$11.46 ,$20.13 ,$46.92 ,$15.08 ,$6.03 ,$64.40 ,$6.03 ,$46.00 ,$6.15 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$6.03 ,$46.46 ,$8.71 ,$8.71 ,$8.71 ,$92.00 ,$78.20 ,$15.08 ,$73.60 ,$34.04 ,$73.60 ,$6.03 ,$6.03 ,$92.00 ,$49.86 ,$6.03 ,$24.20 , N/A , N/A ,$11.81 ,$11.28 ,$6.33 ,$78.20 ,$13.57 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$8.71 ,$12.06 ,$12.06 ,$6.03 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$32.25 ,$21.77 ,$34.69 ,$12.90 ,$17.92 ,$22.08 ,$12.90 ,$24.58 ,$12.90 ,$24.45 ,$3.50 ,$12.90 ,$24.45 ,$24.51 ,$43.78 ,$32.64 ,$32.25 ,$12.90 ,$44.80 ,$12.90 ,$32.00 ,$13.16 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$12.90 ,$32.32 ,$18.63 ,$18.63 ,$18.63 ,$64.00 ,$54.40 ,$32.25 ,$51.20 ,$23.68 ,$51.20 ,$12.90 ,$12.90 ,$64.00 ,$34.69 ,$12.90 ,$16.83 , N/A , N/A ,$11.81 ,$11.28 ,$13.55 ,$54.40 ,$29.03 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$18.63 ,$25.80 ,$25.80 ,$12.90 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101206,82373,HC CARBOHY DEFICIENT TRANSFER-90,301,1 ,$143.00 ,$92.95 ,$3.50 ,$143.00 ,$45.15 ,$36.93 ,$77.51 ,$18.06 ,$40.04 ,$49.34 ,$18.06 ,$54.91 ,$18.06 ,$54.63 ,$3.50 ,$18.06 ,$54.63 ,$34.31 ,$61.57 ,$72.93 ,$45.15 ,$18.06 ,$100.10 ,$18.06 ,$71.50 ,$18.42 ,$107.25 ,$72.22 ,$65.07 ,$72.22 ,$18.06 ,$72.22 ,$26.08 ,$26.08 ,$26.08 ,$143.00 ,$121.55 ,$45.15 ,$114.40 ,$52.91 ,$114.40 ,$18.06 ,$18.06 ,$143.00 ,$77.51 ,$18.06 ,$37.61 , N/A , N/A ,$11.81 ,$11.28 ,$18.96 ,$121.55 ,$40.64 ,$94.09 ,$40.04 ,$128.70 ,$102.96 ,$143.00 ,$26.08 ,$36.12 ,$36.12 ,$18.06 ,$68.64 ,$128.70 ST. JOHN'S HOSPITAL,30101207,82373,HC CARBOHY DEFICIENT TRANSFER CONGENTIAL-90,301,1 ,$643.00 ,$417.95 ,$3.50 ,$643.00 ,$45.15 ,$36.93 ,$348.51 ,$18.06 ,$180.04 ,$74.77 ,$18.06 ,$74.77 ,$18.06 ,$245.63 ,$3.50 ,$18.06 ,$245.63 ,$34.31 ,$61.57 ,$327.93 ,$45.15 ,$18.06 ,$450.10 ,$18.06 ,$321.50 ,$18.42 ,$482.25 ,$324.72 ,$292.57 ,$324.72 ,$18.06 ,$324.72 ,$26.08 ,$26.08 ,$26.08 ,$643.00 ,$546.55 ,$45.15 ,$514.40 ,$237.91 ,$514.40 ,$18.06 ,$18.06 ,$643.00 ,$348.51 ,$18.06 ,$169.11 , N/A , N/A ,$11.81 ,$11.28 ,$18.96 ,$546.55 ,$40.64 ,$423.09 ,$180.04 ,$578.70 ,$462.96 ,$643.00 ,$26.08 ,$36.12 ,$36.12 ,$18.06 ,$308.64 ,$578.70 ST. JOHN'S HOSPITAL,30101208,82378,HC CARBINOEMBRYONIC AG (CEA)-90,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$47.40 ,$38.80 ,$56.91 ,$18.96 ,$29.40 ,$36.23 ,$18.96 ,$40.32 ,$18.96 ,$40.11 ,$3.50 ,$18.96 ,$40.11 ,$36.02 ,$63.91 ,$53.55 ,$47.40 ,$18.96 ,$73.50 ,$18.96 ,$52.50 ,$19.34 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$18.96 ,$53.03 ,$27.39 ,$27.39 ,$27.39 ,$105.00 ,$89.25 ,$47.40 ,$84.00 ,$38.85 ,$84.00 ,$18.96 ,$18.96 ,$105.00 ,$56.91 ,$18.96 ,$27.62 , N/A , N/A ,$11.81 ,$11.28 ,$19.91 ,$89.25 ,$42.66 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$27.39 ,$37.92 ,$37.92 ,$18.96 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$388.00 ,$252.20 ,$3.50 ,$388.00 ,$42.18 ,$34.48 ,$210.30 ,$16.87 ,$108.64 ,$69.87 ,$16.87 ,$69.87 ,$16.87 ,$148.22 ,$3.50 ,$16.87 ,$148.22 ,$32.05 ,$56.80 ,$197.88 ,$42.18 ,$16.87 ,$271.60 ,$16.87 ,$194.00 ,$17.21 ,$291.00 ,$195.94 ,$176.54 ,$195.94 ,$16.87 ,$195.94 ,$24.36 ,$24.36 ,$24.36 ,$388.00 ,$329.80 ,$42.18 ,$310.40 ,$143.56 ,$310.40 ,$16.87 ,$16.87 ,$388.00 ,$210.30 ,$16.87 ,$102.04 , N/A , N/A ,$11.81 ,$11.28 ,$17.71 ,$329.80 ,$37.96 ,$255.30 ,$108.64 ,$349.20 ,$279.36 ,$388.00 ,$24.36 ,$33.74 ,$33.74 ,$16.87 ,$186.24 ,$349.20 ST. JOHN'S HOSPITAL,30101210,82380,HC CAROTENE-90,301,1 ,$43.00 ,$27.95 ,$3.50 ,$43.00 ,$23.05 ,$18.87 ,$23.31 ,$9.22 ,$12.04 ,$14.84 ,$9.22 ,$16.51 ,$9.22 ,$16.43 ,$3.50 ,$9.22 ,$16.43 ,$17.52 ,$30.76 ,$21.93 ,$23.05 ,$9.22 ,$30.10 ,$9.22 ,$21.50 ,$9.40 ,$32.25 ,$21.72 ,$19.57 ,$21.72 ,$9.22 ,$21.72 ,$13.33 ,$13.33 ,$13.33 ,$43.00 ,$36.55 ,$23.05 ,$34.40 ,$15.91 ,$34.40 ,$9.22 ,$9.22 ,$43.00 ,$23.31 ,$9.22 ,$11.31 , N/A , N/A ,$11.81 ,$11.28 ,$9.68 ,$36.55 ,$20.75 ,$28.29 ,$12.04 ,$38.70 ,$30.96 ,$43.00 ,$13.33 ,$18.44 ,$18.44 ,$9.22 ,$20.64 ,$38.70 ST. JOHN'S HOSPITAL,30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$226.00 ,$146.90 ,$3.50 ,$226.00 ,$63.13 ,$51.63 ,$122.49 ,$25.25 ,$63.28 ,$77.97 ,$25.25 ,$86.78 ,$25.25 ,$86.33 ,$3.50 ,$25.25 ,$86.33 ,$47.98 ,$85.23 ,$115.26 ,$63.13 ,$25.25 ,$158.20 ,$25.25 ,$113.00 ,$25.76 ,$169.50 ,$114.13 ,$102.83 ,$114.13 ,$25.25 ,$114.13 ,$36.48 ,$36.48 ,$36.48 ,$226.00 ,$192.10 ,$63.13 ,$180.80 ,$83.62 ,$180.80 ,$25.25 ,$25.25 ,$226.00 ,$122.49 ,$25.25 ,$59.44 , N/A , N/A ,$27.64 ,$26.39 ,$26.51 ,$192.10 ,$56.81 ,$148.71 ,$63.28 ,$203.40 ,$162.72 ,$226.00 ,$36.48 ,$50.50 ,$50.50 ,$25.25 ,$108.48 ,$203.40 ST. JOHN'S HOSPITAL,30101212,82390,HC CERULOPLASMIN-90,301,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$26.85 ,$21.96 ,$22.76 ,$10.74 ,$11.76 ,$14.49 ,$10.74 ,$16.13 ,$10.74 ,$16.04 ,$3.50 ,$10.74 ,$16.04 ,$20.41 ,$36.68 ,$21.42 ,$26.85 ,$10.74 ,$29.40 ,$10.74 ,$21.00 ,$10.95 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$10.74 ,$21.21 ,$15.51 ,$15.51 ,$15.51 ,$42.00 ,$35.70 ,$26.85 ,$33.60 ,$15.54 ,$33.60 ,$10.74 ,$10.74 ,$42.00 ,$22.76 ,$10.74 ,$11.05 , N/A , N/A ,$11.81 ,$11.28 ,$11.28 ,$35.70 ,$24.17 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$211.00 ,$137.15 ,$3.50 ,$211.00 ,$35.30 ,$28.89 ,$114.36 ,$14.12 ,$59.08 ,$58.46 ,$14.12 ,$58.46 ,$14.12 ,$80.60 ,$3.50 ,$14.12 ,$80.60 ,$26.83 ,$47.36 ,$107.61 ,$35.30 ,$14.12 ,$147.70 ,$14.12 ,$105.50 ,$14.40 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$14.12 ,$106.56 ,$20.40 ,$20.40 ,$20.40 ,$211.00 ,$179.35 ,$35.30 ,$168.80 ,$78.07 ,$168.80 ,$14.12 ,$14.12 ,$211.00 ,$114.36 ,$14.12 ,$55.49 , N/A , N/A ,$11.81 ,$11.28 ,$14.83 ,$179.35 ,$31.77 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$20.40 ,$28.24 ,$28.24 ,$14.12 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30101214,82436,HC CHLORIDE URINE -90,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$14.38 ,$10.27 ,$48.78 ,$5.75 ,$25.20 ,$20.85 ,$5.75 ,$20.85 ,$5.75 ,$34.38 ,$3.50 ,$5.75 ,$34.38 ,$10.93 ,$18.93 ,$45.90 ,$14.38 ,$5.75 ,$63.00 ,$5.75 ,$45.00 ,$5.87 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$5.75 ,$45.45 ,$7.48 ,$7.48 ,$7.48 ,$90.00 ,$76.50 ,$14.38 ,$72.00 ,$33.30 ,$72.00 ,$5.75 ,$5.75 ,$90.00 ,$48.78 ,$5.75 ,$23.67 , N/A , N/A ,$5.26 ,$5.02 ,$6.04 ,$76.50 ,$12.94 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$7.48 ,$11.50 ,$11.50 ,$5.75 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,$21.00 ,$13.65 ,$3.50 ,$21.00 ,$12.50 ,$9.99 ,$11.38 ,$5.00 ,$5.88 ,$7.25 ,$5.00 ,$8.06 ,$5.00 ,$8.02 ,$3.50 ,$5.00 ,$8.02 ,$9.50 ,$16.59 ,$10.71 ,$12.50 ,$5.00 ,$14.70 ,$5.00 ,$10.50 ,$5.10 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$5.00 ,$10.61 ,$7.06 ,$7.06 ,$7.06 ,$21.00 ,$17.85 ,$12.50 ,$16.80 ,$7.77 ,$16.80 ,$5.00 ,$5.00 ,$21.00 ,$11.38 ,$5.00 ,$5.52 , N/A , N/A ,$5.26 ,$5.02 ,$5.25 ,$17.85 ,$11.25 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$7.06 ,$10.00 ,$10.00 ,$5.00 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,30101216,82480,HC CHOLINESTERASE PSEUDO-90,301,1 ,$29.00 ,$18.85 ,$3.50 ,$29.00 ,$19.68 ,$16.12 ,$15.72 ,$7.87 ,$8.12 ,$10.01 ,$7.87 ,$11.14 ,$7.87 ,$11.08 ,$3.50 ,$7.87 ,$11.08 ,$14.95 ,$27.23 ,$14.79 ,$19.68 ,$7.87 ,$20.30 ,$7.87 ,$14.50 ,$8.03 ,$21.75 ,$14.65 ,$13.20 ,$14.65 ,$7.87 ,$14.65 ,$11.38 ,$11.38 ,$11.38 ,$29.00 ,$24.65 ,$19.68 ,$23.20 ,$10.73 ,$23.20 ,$7.87 ,$7.87 ,$29.00 ,$15.72 ,$7.87 ,$7.63 , N/A , N/A ,$11.81 ,$11.28 ,$8.26 ,$24.65 ,$17.71 ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$11.38 ,$15.74 ,$15.74 ,$7.87 ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,30101217,82482,HC CHOLINESTERASE RBC-90,301,1 ,$29.00 ,$18.85 ,$3.50 ,$29.00 ,$24.53 ,$15.72 ,$15.72 ,$9.81 ,$8.12 ,$10.01 ,$9.81 ,$11.14 ,$9.81 ,$11.08 ,$3.50 ,$9.81 ,$11.08 ,$18.64 ,$29.00 ,$14.79 ,$24.53 ,$9.81 ,$20.30 ,$9.81 ,$14.50 ,$10.01 ,$21.75 ,$14.65 ,$13.20 ,$14.65 ,$9.81 ,$14.65 ,$12.75 ,$12.75 ,$12.75 ,$29.00 ,$24.65 ,$24.53 ,$23.20 ,$10.73 ,$23.20 ,$9.81 ,$9.81 ,$29.00 ,$15.72 ,$9.81 ,$7.63 , N/A , N/A ,$11.81 ,$11.28 ,$10.30 ,$24.65 ,$22.07 ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$12.75 ,$19.62 ,$19.62 ,$9.81 ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$50.70 ,$41.48 ,$43.36 ,$20.28 ,$22.40 ,$27.60 ,$20.28 ,$30.72 ,$20.28 ,$30.56 ,$3.50 ,$20.28 ,$30.56 ,$38.53 ,$68.67 ,$40.80 ,$50.70 ,$20.28 ,$56.00 ,$20.28 ,$40.00 ,$20.69 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$20.28 ,$40.40 ,$29.29 ,$29.29 ,$29.29 ,$80.00 ,$68.00 ,$50.70 ,$64.00 ,$29.60 ,$64.00 ,$20.28 ,$20.28 ,$80.00 ,$43.36 ,$20.28 ,$21.04 , N/A , N/A ,$14.41 ,$13.76 ,$21.29 ,$68.00 ,$45.63 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$29.29 ,$40.56 ,$40.56 ,$20.28 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30101219,82507,HC CITRATE-90,301,1 ,$87.00 ,$56.55 ,$3.50 ,$87.00 ,$69.50 ,$26.15 ,$47.15 ,$27.80 ,$24.36 ,$30.02 ,$27.80 ,$33.41 ,$27.80 ,$33.23 ,$3.50 ,$27.80 ,$33.23 ,$52.82 ,$87.00 ,$44.37 ,$69.50 ,$27.80 ,$60.90 ,$27.80 ,$43.50 ,$28.36 ,$65.25 ,$43.94 ,$39.59 ,$43.94 ,$27.80 ,$43.94 ,$40.16 ,$40.16 ,$40.16 ,$87.00 ,$73.95 ,$69.50 ,$69.60 ,$32.19 ,$69.60 ,$27.80 ,$27.80 ,$87.00 ,$47.15 ,$27.80 ,$22.88 , N/A , N/A ,$11.81 ,$11.28 ,$29.19 ,$73.95 ,$62.55 ,$57.25 ,$24.36 ,$78.30 ,$62.64 ,$87.00 ,$40.16 ,$55.60 ,$55.60 ,$27.80 ,$41.76 ,$78.30 ST. JOHN'S HOSPITAL,30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$209.00 ,$135.85 ,$3.50 ,$209.00 ,$46.70 ,$38.22 ,$113.28 ,$18.68 ,$58.52 ,$72.11 ,$18.68 ,$80.26 ,$18.68 ,$79.84 ,$3.50 ,$18.68 ,$79.84 ,$35.49 ,$63.91 ,$106.59 ,$46.70 ,$18.68 ,$146.30 ,$18.68 ,$104.50 ,$19.05 ,$156.75 ,$105.55 ,$95.10 ,$105.55 ,$18.68 ,$105.55 ,$26.99 ,$26.99 ,$26.99 ,$209.00 ,$177.65 ,$46.70 ,$167.20 ,$77.33 ,$167.20 ,$18.68 ,$18.68 ,$209.00 ,$113.28 ,$18.68 ,$54.97 , N/A , N/A ,$18.24 ,$17.41 ,$19.61 ,$177.65 ,$42.03 ,$137.52 ,$58.52 ,$188.10 ,$150.48 ,$209.00 ,$26.99 ,$37.36 ,$37.36 ,$18.68 ,$100.32 ,$188.10 ST. JOHN'S HOSPITAL,30101221,82525,HC COPPER-90,301,1 ,$77.00 ,$50.05 ,$3.50 ,$77.00 ,$31.03 ,$24.62 ,$41.73 ,$12.41 ,$21.56 ,$26.57 ,$12.41 ,$29.57 ,$12.41 ,$29.41 ,$3.50 ,$12.41 ,$29.41 ,$23.58 ,$42.63 ,$39.27 ,$31.03 ,$12.41 ,$53.90 ,$12.41 ,$38.50 ,$12.66 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$12.41 ,$38.89 ,$17.93 ,$17.93 ,$17.93 ,$77.00 ,$65.45 ,$31.03 ,$61.60 ,$28.49 ,$61.60 ,$12.41 ,$12.41 ,$77.00 ,$41.73 ,$12.41 ,$20.25 , N/A , N/A ,$14.41 ,$13.76 ,$13.03 ,$65.45 ,$27.92 ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$17.93 ,$24.82 ,$24.82 ,$12.41 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,30101222,82530,HC CORTISOL FREE-90,301,1 ,$31.00 ,$20.15 ,$3.50 ,$41.78 ,$41.78 ,$31.00 ,$16.80 ,$16.71 ,$8.68 ,$10.70 ,$16.71 ,$11.90 ,$16.71 ,$11.84 ,$3.50 ,$16.71 ,$11.84 ,$31.00 ,$31.00 ,$15.81 ,$41.78 ,$16.71 ,$21.70 ,$16.71 ,$15.50 ,$17.04 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$16.71 ,$15.66 ,$24.14 ,$24.14 ,$24.14 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$16.71 ,$16.71 ,$31.00 ,$16.80 ,$16.71 ,$8.15 , N/A , N/A ,$11.81 ,$11.28 ,$17.55 ,$26.35 ,$37.60 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$24.14 ,$31.00 ,$31.00 ,$16.71 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$40.75 ,$33.34 ,$43.36 ,$16.30 ,$22.40 ,$27.60 ,$16.30 ,$30.72 ,$16.30 ,$30.56 ,$3.50 ,$16.30 ,$30.56 ,$30.97 ,$55.65 ,$40.80 ,$40.75 ,$16.30 ,$56.00 ,$16.30 ,$40.00 ,$16.63 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$16.30 ,$40.40 ,$23.54 ,$23.54 ,$23.54 ,$80.00 ,$68.00 ,$40.75 ,$64.00 ,$29.60 ,$64.00 ,$16.30 ,$16.30 ,$80.00 ,$43.36 ,$16.30 ,$21.04 , N/A , N/A ,$27.64 ,$26.39 ,$17.12 ,$68.00 ,$36.68 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$23.54 ,$32.60 ,$32.60 ,$16.30 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$277.00 ,$180.05 ,$3.50 ,$277.00 ,$60.23 ,$36.93 ,$150.13 ,$24.09 ,$77.56 ,$80.81 ,$24.09 ,$80.81 ,$24.09 ,$105.81 ,$3.50 ,$24.09 ,$105.81 ,$45.77 ,$81.69 ,$141.27 ,$60.23 ,$24.09 ,$193.90 ,$24.09 ,$138.50 ,$24.57 ,$207.75 ,$139.89 ,$126.04 ,$139.89 ,$24.09 ,$139.89 ,$31.32 ,$31.32 ,$31.32 ,$277.00 ,$235.45 ,$60.23 ,$221.60 ,$102.49 ,$221.60 ,$24.09 ,$24.09 ,$277.00 ,$150.13 ,$24.09 ,$72.85 , N/A , N/A ,$11.81 ,$11.28 ,$25.29 ,$235.45 ,$54.20 ,$182.27 ,$77.56 ,$249.30 ,$199.44 ,$277.00 ,$31.32 ,$48.18 ,$48.18 ,$24.09 ,$132.96 ,$249.30 ST. JOHN'S HOSPITAL,30101225,82550,HC CREATINE KINASE (CPK) TOTAL-90,301,1 ,$13.00 ,$8.45 ,$3.42 ,$16.28 ,$16.28 ,$13.00 ,$7.05 ,$6.51 ,$3.64 ,$4.49 ,$6.51 ,$4.99 ,$6.51 ,$4.97 ,$3.50 ,$6.51 ,$4.97 ,$12.37 ,$13.00 ,$6.63 ,$16.28 ,$6.51 ,$9.10 ,$6.51 ,$6.50 ,$6.64 ,$9.75 ,$6.57 ,$5.92 ,$6.57 ,$6.51 ,$6.57 ,$9.40 ,$9.40 ,$9.40 ,$13.00 ,$11.05 ,$13.00 ,$10.40 ,$4.81 ,$10.40 ,$6.51 ,$6.51 ,$13.00 ,$7.05 ,$6.51 ,$3.42 , N/A , N/A ,$5.26 ,$5.02 ,$6.84 ,$11.05 ,$14.65 ,$8.55 ,$3.64 ,$11.70 ,$9.36 ,$13.00 ,$9.40 ,$13.00 ,$13.00 ,$6.51 ,$6.24 ,$11.70 ST. JOHN'S HOSPITAL,30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$13.00 ,$8.45 ,$3.42 ,$32.50 ,$32.50 ,$13.00 ,$7.05 ,$13.00 ,$3.64 ,$4.49 ,$13.00 ,$4.99 ,$13.00 ,$4.97 ,$3.50 ,$13.00 ,$4.97 ,$13.00 ,$13.00 ,$6.63 ,$32.50 ,$13.00 ,$9.10 ,$13.00 ,$6.50 ,$13.00 ,$9.75 ,$6.57 ,$5.92 ,$6.57 ,$13.00 ,$6.57 ,$13.00 ,$13.00 ,$13.00 ,$13.00 ,$11.05 ,$13.00 ,$10.40 ,$4.81 ,$10.40 ,$13.00 ,$13.00 ,$13.00 ,$7.05 ,$13.00 ,$3.42 , N/A , N/A ,$11.81 ,$11.28 ,$13.65 ,$11.05 ,$29.25 ,$8.55 ,$3.64 ,$11.70 ,$9.36 ,$13.00 ,$13.00 ,$13.00 ,$13.00 ,$13.00 ,$6.24 ,$11.70 ST. JOHN'S HOSPITAL,30101229,82565,HC CREATININE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$12.80 ,$10.47 ,$17.89 ,$5.12 ,$9.24 ,$11.39 ,$5.12 ,$12.67 ,$5.12 ,$12.61 ,$3.50 ,$5.12 ,$12.61 ,$9.73 ,$17.74 ,$16.83 ,$12.80 ,$5.12 ,$23.10 ,$5.12 ,$16.50 ,$5.22 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$5.12 ,$16.67 ,$7.40 ,$7.40 ,$7.40 ,$33.00 ,$28.05 ,$12.80 ,$26.40 ,$12.21 ,$26.40 ,$5.12 ,$5.12 ,$5.12 ,$17.89 ,$5.12 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$5.38 ,$28.05 ,$11.52 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$7.40 ,$10.24 ,$10.24 ,$5.12 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101230,82565,HC CREATININE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$12.80 ,$10.47 ,$17.89 ,$5.12 ,$9.24 ,$11.39 ,$5.12 ,$12.67 ,$5.12 ,$12.61 ,$3.50 ,$5.12 ,$12.61 ,$9.73 ,$17.74 ,$16.83 ,$12.80 ,$5.12 ,$23.10 ,$5.12 ,$16.50 ,$5.22 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$5.12 ,$16.67 ,$7.40 ,$7.40 ,$7.40 ,$33.00 ,$28.05 ,$12.80 ,$26.40 ,$12.21 ,$26.40 ,$5.12 ,$5.12 ,$5.12 ,$17.89 ,$5.12 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$5.38 ,$28.05 ,$11.52 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$7.40 ,$10.24 ,$10.24 ,$5.12 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$19.00 ,$12.35 ,$3.50 ,$19.00 ,$12.95 ,$10.57 ,$10.30 ,$5.18 ,$5.32 ,$6.56 ,$5.18 ,$7.30 ,$5.18 ,$7.26 ,$3.50 ,$5.18 ,$7.26 ,$9.84 ,$17.74 ,$9.69 ,$12.95 ,$5.18 ,$13.30 ,$5.18 ,$9.50 ,$5.28 ,$14.25 ,$9.60 ,$8.65 ,$9.60 ,$5.18 ,$9.60 ,$7.48 ,$7.48 ,$7.48 ,$19.00 ,$16.15 ,$12.95 ,$15.20 ,$7.03 ,$15.20 ,$5.18 ,$5.18 ,$19.00 ,$10.30 ,$5.18 ,$5.00 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$16.15 ,$11.66 ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,30101232,82585,HC CRYOFIBRINOGEN-90,301,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$35.35 ,$17.55 ,$22.76 ,$14.14 ,$11.76 ,$14.49 ,$14.14 ,$16.13 ,$14.14 ,$16.04 ,$3.50 ,$14.14 ,$16.04 ,$26.87 ,$42.00 ,$21.42 ,$35.35 ,$14.14 ,$29.40 ,$14.14 ,$21.00 ,$14.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$14.14 ,$21.21 ,$18.38 ,$18.38 ,$18.38 ,$42.00 ,$35.70 ,$35.35 ,$33.60 ,$15.54 ,$33.60 ,$14.14 ,$14.14 ,$42.00 ,$22.76 ,$14.14 ,$11.05 , N/A , N/A ,$11.81 ,$11.28 ,$14.85 ,$35.70 ,$31.82 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$18.38 ,$28.28 ,$28.28 ,$14.14 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$16.18 ,$13.23 ,$22.76 ,$6.47 ,$11.76 ,$14.49 ,$6.47 ,$16.13 ,$6.47 ,$16.04 ,$3.50 ,$6.47 ,$16.04 ,$12.29 ,$22.51 ,$21.42 ,$16.18 ,$6.47 ,$29.40 ,$6.47 ,$21.00 ,$6.60 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$6.47 ,$21.21 ,$9.33 ,$9.33 ,$9.33 ,$42.00 ,$35.70 ,$16.18 ,$33.60 ,$15.54 ,$33.60 ,$6.47 ,$6.47 ,$42.00 ,$22.76 ,$6.47 ,$11.05 , N/A , N/A ,$11.81 ,$11.28 ,$6.79 ,$35.70 ,$14.56 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30101234,82600,HC CYANIDE-90,301,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$48.50 ,$39.66 ,$38.48 ,$19.40 ,$19.88 ,$24.50 ,$19.40 ,$27.26 ,$19.40 ,$27.12 ,$3.50 ,$19.40 ,$27.12 ,$36.86 ,$66.29 ,$36.21 ,$48.50 ,$19.40 ,$49.70 ,$19.40 ,$35.50 ,$19.79 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$19.40 ,$35.86 ,$28.02 ,$28.02 ,$28.02 ,$71.00 ,$60.35 ,$48.50 ,$56.80 ,$26.27 ,$56.80 ,$19.40 ,$19.40 ,$71.00 ,$38.48 ,$19.40 ,$18.67 , N/A , N/A ,$14.41 ,$13.76 ,$20.37 ,$60.35 ,$43.65 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$28.02 ,$38.80 ,$38.80 ,$19.40 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30101235,82607,HC VITAMIN B12-90,301,1 ,$173.00 ,$112.45 ,$3.50 ,$173.00 ,$37.70 ,$30.82 ,$93.77 ,$15.08 ,$48.44 ,$59.69 ,$15.08 ,$62.44 ,$15.08 ,$66.09 ,$3.50 ,$15.08 ,$66.09 ,$28.65 ,$50.89 ,$88.23 ,$37.70 ,$15.08 ,$121.10 ,$15.08 ,$86.50 ,$15.38 ,$129.75 ,$87.37 ,$78.72 ,$87.37 ,$15.08 ,$87.37 ,$21.78 ,$21.78 ,$21.78 ,$173.00 ,$147.05 ,$37.70 ,$138.40 ,$64.01 ,$138.40 ,$15.08 ,$15.08 ,$173.00 ,$93.77 ,$15.08 ,$45.50 , N/A , N/A ,$15.90 ,$15.17 ,$15.83 ,$147.05 ,$33.93 ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$21.78 ,$30.16 ,$30.16 ,$15.08 ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$35.80 ,$29.28 ,$57.45 ,$14.32 ,$29.68 ,$36.57 ,$14.32 ,$40.70 ,$14.32 ,$40.49 ,$3.50 ,$14.32 ,$40.49 ,$27.21 ,$48.55 ,$54.06 ,$35.80 ,$14.32 ,$74.20 ,$14.32 ,$53.00 ,$14.61 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$14.32 ,$53.53 ,$20.68 ,$20.68 ,$20.68 ,$106.00 ,$90.10 ,$35.80 ,$84.80 ,$39.22 ,$84.80 ,$14.32 ,$14.32 ,$106.00 ,$57.45 ,$14.32 ,$27.88 , N/A , N/A ,$11.81 ,$11.28 ,$15.04 ,$90.10 ,$32.22 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$20.68 ,$28.64 ,$28.64 ,$14.32 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30101237,82626,HC DHEA-90,301,1 ,$93.00 ,$60.45 ,$3.50 ,$93.00 ,$63.18 ,$51.68 ,$50.41 ,$25.27 ,$26.04 ,$32.09 ,$25.27 ,$35.71 ,$25.27 ,$35.53 ,$3.50 ,$25.27 ,$35.53 ,$48.01 ,$85.23 ,$47.43 ,$63.18 ,$25.27 ,$65.10 ,$25.27 ,$46.50 ,$25.78 ,$69.75 ,$46.97 ,$42.32 ,$46.97 ,$25.27 ,$46.97 ,$36.50 ,$36.50 ,$36.50 ,$93.00 ,$79.05 ,$63.18 ,$74.40 ,$34.41 ,$74.40 ,$25.27 ,$25.27 ,$93.00 ,$50.41 ,$25.27 ,$24.46 , N/A , N/A ,$11.81 ,$11.28 ,$26.53 ,$79.05 ,$56.86 ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$36.50 ,$50.54 ,$50.54 ,$25.27 ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,30101238,82627,HC DHEA SULFATE-90,301,1 ,$87.00 ,$56.55 ,$3.50 ,$87.00 ,$55.58 ,$45.47 ,$47.15 ,$22.23 ,$24.36 ,$30.02 ,$22.23 ,$33.41 ,$22.23 ,$33.23 ,$3.50 ,$22.23 ,$33.23 ,$42.24 ,$75.78 ,$44.37 ,$55.58 ,$22.23 ,$60.90 ,$22.23 ,$43.50 ,$22.67 ,$65.25 ,$43.94 ,$39.59 ,$43.94 ,$22.23 ,$43.94 ,$32.12 ,$32.12 ,$32.12 ,$87.00 ,$73.95 ,$55.58 ,$69.60 ,$32.19 ,$69.60 ,$22.23 ,$22.23 ,$87.00 ,$47.15 ,$22.23 ,$22.88 , N/A , N/A ,$27.64 ,$26.39 ,$23.34 ,$73.95 ,$50.02 ,$57.25 ,$24.36 ,$78.30 ,$62.64 ,$87.00 ,$32.12 ,$44.46 ,$44.46 ,$22.23 ,$41.76 ,$78.30 ST. JOHN'S HOSPITAL,30101239,82634,HC DEOXYCORTISOL-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$73.20 ,$73.20 ,$35.60 ,$34.69 ,$29.28 ,$17.92 ,$22.08 ,$29.28 ,$24.58 ,$29.28 ,$24.45 ,$3.50 ,$29.28 ,$24.45 ,$55.63 ,$64.00 ,$32.64 ,$73.20 ,$29.28 ,$44.80 ,$29.28 ,$32.00 ,$29.87 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$29.28 ,$32.32 ,$42.29 ,$42.29 ,$42.29 ,$64.00 ,$54.40 ,$64.00 ,$51.20 ,$23.68 ,$51.20 ,$29.28 ,$29.28 ,$64.00 ,$34.69 ,$29.28 ,$16.83 , N/A , N/A ,$27.64 ,$26.39 ,$30.74 ,$54.40 ,$65.88 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$42.29 ,$58.56 ,$58.56 ,$29.28 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$38.00 ,$24.70 ,$3.50 ,$95.00 ,$95.00 ,$38.00 ,$20.60 ,$38.00 ,$10.64 ,$13.11 ,$38.00 ,$14.59 ,$38.00 ,$14.52 ,$3.50 ,$38.00 ,$14.52 ,$38.00 ,$38.00 ,$19.38 ,$95.00 ,$38.00 ,$26.60 ,$38.00 ,$19.00 ,$38.00 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$38.00 ,$19.19 ,$38.00 ,$38.00 ,$38.00 ,$38.00 ,$32.30 ,$38.00 ,$30.40 ,$14.06 ,$30.40 ,$38.00 ,$38.00 ,$38.00 ,$20.60 ,$38.00 ,$9.99 , N/A , N/A ,$31.80 ,$30.36 ,$39.90 ,$32.30 ,$85.50 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$38.00 ,$38.00 ,$38.00 ,$38.00 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$125.00 ,$81.25 ,$3.50 ,$125.00 ,$28.83 ,$23.59 ,$67.75 ,$11.53 ,$35.00 ,$43.13 ,$11.53 ,$47.78 ,$11.53 ,$47.75 ,$3.50 ,$11.53 ,$47.75 ,$21.91 ,$39.06 ,$63.75 ,$28.83 ,$11.53 ,$87.50 ,$11.53 ,$62.50 ,$11.76 ,$93.75 ,$63.13 ,$56.88 ,$63.13 ,$11.53 ,$63.13 ,$16.65 ,$16.65 ,$16.65 ,$125.00 ,$106.25 ,$28.83 ,$100.00 ,$46.25 ,$100.00 ,$11.53 ,$11.53 ,$125.00 ,$67.75 ,$11.53 ,$32.88 , N/A , N/A ,$11.81 ,$11.28 ,$12.11 ,$106.25 ,$25.94 ,$82.25 ,$35.00 ,$112.50 ,$90.00 ,$125.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$60.00 ,$112.50 ST. JOHN'S HOSPITAL,30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$55.43 ,$36.93 ,$67.21 ,$22.17 ,$34.72 ,$42.78 ,$22.17 ,$47.62 ,$22.17 ,$47.37 ,$3.50 ,$22.17 ,$47.37 ,$42.12 ,$75.78 ,$63.24 ,$55.43 ,$22.17 ,$86.80 ,$22.17 ,$62.00 ,$22.61 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$22.17 ,$62.62 ,$28.82 ,$28.82 ,$28.82 ,$124.00 ,$105.40 ,$55.43 ,$99.20 ,$45.88 ,$99.20 ,$22.17 ,$22.17 ,$124.00 ,$67.21 ,$22.17 ,$32.61 , N/A , N/A ,$11.81 ,$11.28 ,$23.28 ,$105.40 ,$49.88 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$28.82 ,$44.34 ,$44.34 ,$22.17 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30101243,82657,HC ENZYME ACT NONRAD SUBS LYE-90,301,1 ,$840.00 ,$546.00 ,$3.50 ,$840.00 ,$55.43 ,$36.93 ,$455.28 ,$22.17 ,$235.20 ,$74.77 ,$22.17 ,$74.77 ,$22.17 ,$320.88 ,$3.50 ,$22.17 ,$320.88 ,$42.12 ,$75.78 ,$428.40 ,$55.43 ,$22.17 ,$588.00 ,$22.17 ,$420.00 ,$22.61 ,$630.00 ,$424.20 ,$382.20 ,$424.20 ,$22.17 ,$424.20 ,$28.82 ,$28.82 ,$28.82 ,$840.00 ,$714.00 ,$55.43 ,$672.00 ,$310.80 ,$672.00 ,$22.17 ,$22.17 ,$840.00 ,$455.28 ,$22.17 ,$220.92 , N/A , N/A ,$11.81 ,$11.28 ,$23.28 ,$714.00 ,$49.88 ,$552.72 ,$235.20 ,$756.00 ,$604.80 ,$840.00 ,$28.82 ,$44.34 ,$44.34 ,$22.17 ,$403.20 ,$756.00 ST. JOHN'S HOSPITAL,30101244,82664,HC ELECTROPHORETIC TEST-90,301,1 ,$173.00 ,$112.45 ,$3.50 ,$173.00 ,$153.75 ,$56.49 ,$93.77 ,$61.50 ,$48.44 ,$59.69 ,$61.50 ,$66.43 ,$61.50 ,$66.09 ,$3.50 ,$61.50 ,$66.09 ,$116.85 ,$173.00 ,$88.23 ,$153.75 ,$61.50 ,$121.10 ,$61.50 ,$86.50 ,$62.73 ,$129.75 ,$87.37 ,$78.72 ,$87.37 ,$61.50 ,$87.37 ,$79.95 ,$79.95 ,$79.95 ,$173.00 ,$147.05 ,$153.75 ,$138.40 ,$64.01 ,$138.40 ,$61.50 ,$61.50 ,$173.00 ,$93.77 ,$61.50 ,$45.50 , N/A , N/A ,$31.80 ,$30.36 ,$64.58 ,$147.05 ,$138.38 ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$79.95 ,$123.00 ,$123.00 ,$61.50 ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$73.00 ,$47.45 ,$3.50 ,$73.00 ,$46.98 ,$38.43 ,$39.57 ,$18.79 ,$20.44 ,$25.19 ,$18.79 ,$28.03 ,$18.79 ,$27.89 ,$3.50 ,$18.79 ,$27.89 ,$35.70 ,$63.91 ,$37.23 ,$46.98 ,$18.79 ,$51.10 ,$18.79 ,$36.50 ,$19.17 ,$54.75 ,$36.87 ,$33.22 ,$36.87 ,$18.79 ,$36.87 ,$27.14 ,$27.14 ,$27.14 ,$73.00 ,$62.05 ,$46.98 ,$58.40 ,$27.01 ,$58.40 ,$18.79 ,$18.79 ,$73.00 ,$39.57 ,$18.79 ,$19.20 , N/A , N/A ,$11.81 ,$11.28 ,$19.73 ,$62.05 ,$42.28 ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$27.14 ,$37.58 ,$37.58 ,$18.79 ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,30101246,82670,HC ESTRADIOL-90,301,1 ,$56.00 ,$36.40 ,$3.50 ,$69.85 ,$69.85 ,$23.19 ,$30.35 ,$27.94 ,$15.68 ,$19.32 ,$27.94 ,$21.50 ,$27.94 ,$21.39 ,$3.50 ,$27.94 ,$21.39 ,$53.09 ,$56.00 ,$28.56 ,$69.85 ,$27.94 ,$39.20 ,$27.94 ,$28.00 ,$28.50 ,$42.00 ,$28.28 ,$25.48 ,$28.28 ,$27.94 ,$28.28 ,$40.35 ,$40.35 ,$40.35 ,$56.00 ,$47.60 ,$56.00 ,$44.80 ,$20.72 ,$44.80 ,$27.94 ,$27.94 ,$56.00 ,$30.35 ,$27.94 ,$14.73 , N/A , N/A ,$27.64 ,$26.39 ,$29.34 ,$47.60 ,$62.87 ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$40.35 ,$55.88 ,$55.88 ,$27.94 ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,30101247,82670,HC ESTRADIOL FREE-90,301,1 ,$249.00 ,$161.85 ,$3.50 ,$249.00 ,$69.85 ,$23.19 ,$134.96 ,$27.94 ,$69.72 ,$85.91 ,$27.94 ,$95.62 ,$27.94 ,$95.12 ,$3.50 ,$27.94 ,$95.12 ,$53.09 ,$94.71 ,$126.99 ,$69.85 ,$27.94 ,$174.30 ,$27.94 ,$124.50 ,$28.50 ,$186.75 ,$125.75 ,$113.30 ,$125.75 ,$27.94 ,$125.75 ,$40.35 ,$40.35 ,$40.35 ,$249.00 ,$211.65 ,$69.85 ,$199.20 ,$92.13 ,$199.20 ,$27.94 ,$27.94 ,$249.00 ,$134.96 ,$27.94 ,$65.49 , N/A , N/A ,$27.64 ,$26.39 ,$29.34 ,$211.65 ,$62.87 ,$163.84 ,$69.72 ,$224.10 ,$179.28 ,$249.00 ,$40.35 ,$55.88 ,$55.88 ,$27.94 ,$119.52 ,$224.10 ST. JOHN'S HOSPITAL,30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$223.00 ,$144.95 ,$3.50 ,$223.00 ,$80.75 ,$52.29 ,$120.87 ,$32.30 ,$62.44 ,$76.94 ,$32.30 ,$85.63 ,$32.30 ,$85.19 ,$3.50 ,$32.30 ,$85.19 ,$61.37 ,$110.07 ,$113.73 ,$80.75 ,$32.30 ,$156.10 ,$32.30 ,$111.50 ,$32.95 ,$167.25 ,$112.62 ,$101.47 ,$112.62 ,$32.30 ,$112.62 ,$46.66 ,$46.66 ,$46.66 ,$223.00 ,$189.55 ,$80.75 ,$178.40 ,$82.51 ,$178.40 ,$32.30 ,$32.30 ,$223.00 ,$120.87 ,$32.30 ,$58.65 , N/A , N/A ,$27.64 ,$26.39 ,$33.92 ,$189.55 ,$72.68 ,$146.73 ,$62.44 ,$200.70 ,$160.56 ,$223.00 ,$46.66 ,$64.60 ,$64.60 ,$32.30 ,$107.04 ,$200.70 ST. JOHN'S HOSPITAL,30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$239.00 ,$155.35 ,$3.50 ,$239.00 ,$54.25 ,$44.36 ,$129.54 ,$21.70 ,$66.92 ,$82.46 ,$21.70 ,$89.84 ,$21.70 ,$91.30 ,$3.50 ,$21.70 ,$91.30 ,$41.23 ,$73.40 ,$121.89 ,$54.25 ,$21.70 ,$167.30 ,$21.70 ,$119.50 ,$22.13 ,$179.25 ,$120.70 ,$108.75 ,$120.70 ,$21.70 ,$120.70 ,$31.34 ,$31.34 ,$31.34 ,$239.00 ,$203.15 ,$54.25 ,$191.20 ,$88.43 ,$191.20 ,$21.70 ,$21.70 ,$239.00 ,$129.54 ,$21.70 ,$62.86 , N/A , N/A ,$27.64 ,$26.39 ,$22.79 ,$203.15 ,$48.83 ,$157.26 ,$66.92 ,$215.10 ,$172.08 ,$239.00 ,$31.34 ,$43.40 ,$43.40 ,$21.70 ,$114.72 ,$215.10 ST. JOHN'S HOSPITAL,30101250,82677,HC ESTRIOL-90,301,1 ,$163.00 ,$105.95 ,$3.50 ,$163.00 ,$60.45 ,$22.77 ,$88.35 ,$24.18 ,$45.64 ,$56.24 ,$24.18 ,$62.59 ,$24.18 ,$62.27 ,$3.50 ,$24.18 ,$62.27 ,$45.94 ,$81.69 ,$83.13 ,$60.45 ,$24.18 ,$114.10 ,$24.18 ,$81.50 ,$24.66 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$24.18 ,$82.32 ,$34.93 ,$34.93 ,$34.93 ,$163.00 ,$138.55 ,$60.45 ,$130.40 ,$60.31 ,$130.40 ,$24.18 ,$24.18 ,$163.00 ,$88.35 ,$24.18 ,$42.87 , N/A , N/A ,$27.64 ,$26.39 ,$25.39 ,$138.55 ,$54.41 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$34.93 ,$48.36 ,$48.36 ,$24.18 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,30101251,82679,HC ESTRONE-90,301,1 ,$112.00 ,$72.80 ,$3.50 ,$112.00 ,$62.38 ,$22.86 ,$60.70 ,$24.95 ,$31.36 ,$38.64 ,$24.95 ,$43.01 ,$24.95 ,$42.78 ,$3.50 ,$24.95 ,$42.78 ,$47.41 ,$85.23 ,$57.12 ,$62.38 ,$24.95 ,$78.40 ,$24.95 ,$56.00 ,$25.45 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$24.95 ,$56.56 ,$36.05 ,$36.05 ,$36.05 ,$112.00 ,$95.20 ,$62.38 ,$89.60 ,$41.44 ,$89.60 ,$24.95 ,$24.95 ,$112.00 ,$60.70 ,$24.95 ,$29.46 , N/A , N/A ,$27.64 ,$26.39 ,$26.20 ,$95.20 ,$56.14 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$36.05 ,$49.90 ,$49.90 ,$24.95 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,30101252,82693,HC ETHYLENE GLYCOL-90,301,1 ,$219.00 ,$142.35 ,$3.50 ,$219.00 ,$37.25 ,$30.47 ,$118.70 ,$14.90 ,$61.32 ,$61.71 ,$14.90 ,$61.71 ,$14.90 ,$83.66 ,$3.50 ,$14.90 ,$83.66 ,$28.31 ,$50.89 ,$111.69 ,$37.25 ,$14.90 ,$153.30 ,$14.90 ,$109.50 ,$15.20 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$14.90 ,$110.60 ,$21.53 ,$21.53 ,$21.53 ,$219.00 ,$186.15 ,$37.25 ,$175.20 ,$81.03 ,$175.20 ,$14.90 ,$14.90 ,$219.00 ,$118.70 ,$14.90 ,$57.60 , N/A , N/A ,$14.41 ,$13.76 ,$15.65 ,$186.15 ,$33.53 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$21.53 ,$29.80 ,$29.80 ,$14.90 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$52.00 ,$33.80 ,$3.50 ,$52.00 ,$12.75 ,$5.81 ,$28.18 ,$5.10 ,$14.56 ,$17.94 ,$5.10 ,$19.97 ,$5.10 ,$19.86 ,$3.50 ,$5.10 ,$19.86 ,$9.69 ,$17.74 ,$26.52 ,$12.75 ,$5.10 ,$36.40 ,$5.10 ,$26.00 ,$5.20 ,$39.00 ,$26.26 ,$23.66 ,$26.26 ,$5.10 ,$26.26 ,$7.36 ,$7.36 ,$7.36 ,$52.00 ,$44.20 ,$12.75 ,$41.60 ,$19.24 ,$41.60 ,$5.10 ,$5.10 ,$52.00 ,$28.18 ,$5.10 ,$13.68 , N/A , N/A ,$5.26 ,$5.02 ,$5.36 ,$44.20 ,$11.48 ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$7.36 ,$10.20 ,$10.20 ,$5.10 ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,30101254,82710,HC FECAL FAT QN-90,301,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$42.00 ,$7.12 ,$31.44 ,$16.80 ,$16.24 ,$20.01 ,$16.80 ,$22.27 ,$16.80 ,$22.16 ,$3.50 ,$16.80 ,$22.16 ,$31.92 ,$56.80 ,$29.58 ,$42.00 ,$16.80 ,$40.60 ,$16.80 ,$29.00 ,$17.14 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$16.80 ,$29.29 ,$24.27 ,$24.27 ,$24.27 ,$58.00 ,$49.30 ,$42.00 ,$46.40 ,$21.46 ,$46.40 ,$16.80 ,$16.80 ,$58.00 ,$31.44 ,$16.80 ,$15.25 , N/A , N/A ,$11.81 ,$11.28 ,$17.64 ,$49.30 ,$37.80 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$24.27 ,$33.60 ,$33.60 ,$16.80 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30101255,82726,HC FATTY ACIDS VERY LONG CHAIN-90,301,1 ,$644.00 ,$418.60 ,$3.50 ,$644.00 ,$49.38 ,$36.93 ,$349.05 ,$19.75 ,$180.32 ,$74.77 ,$19.75 ,$74.77 ,$19.75 ,$246.01 ,$3.50 ,$19.75 ,$246.01 ,$37.53 ,$67.48 ,$328.44 ,$49.38 ,$19.75 ,$450.80 ,$19.75 ,$322.00 ,$20.15 ,$483.00 ,$325.22 ,$293.02 ,$325.22 ,$19.75 ,$325.22 ,$26.08 ,$26.08 ,$26.08 ,$644.00 ,$547.40 ,$49.38 ,$515.20 ,$238.28 ,$515.20 ,$19.75 ,$19.75 ,$644.00 ,$349.05 ,$19.75 ,$169.37 , N/A , N/A ,$11.81 ,$11.28 ,$20.74 ,$547.40 ,$44.44 ,$423.75 ,$180.32 ,$579.60 ,$463.68 ,$644.00 ,$26.08 ,$39.50 ,$39.50 ,$19.75 ,$309.12 ,$579.60 ST. JOHN'S HOSPITAL,30101256,82728,HC FERRITIN-90,301,1 ,$205.00 ,$133.25 ,$3.50 ,$205.00 ,$34.08 ,$27.86 ,$111.11 ,$13.63 ,$57.40 ,$56.45 ,$13.63 ,$56.45 ,$13.63 ,$78.31 ,$3.50 ,$13.63 ,$78.31 ,$25.90 ,$46.17 ,$104.55 ,$34.08 ,$13.63 ,$143.50 ,$13.63 ,$102.50 ,$13.90 ,$153.75 ,$103.53 ,$93.28 ,$103.53 ,$13.63 ,$103.53 ,$19.70 ,$19.70 ,$19.70 ,$205.00 ,$174.25 ,$34.08 ,$164.00 ,$75.85 ,$164.00 ,$13.63 ,$13.63 ,$205.00 ,$111.11 ,$13.63 ,$53.92 , N/A , N/A ,$11.81 ,$11.28 ,$14.31 ,$174.25 ,$30.67 ,$134.89 ,$57.40 ,$184.50 ,$147.60 ,$205.00 ,$19.70 ,$27.26 ,$27.26 ,$13.63 ,$98.40 ,$184.50 ST. JOHN'S HOSPITAL,30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$44.13 ,$35.42 ,$101.90 ,$17.65 ,$52.64 ,$64.86 ,$17.65 ,$71.72 ,$17.65 ,$71.82 ,$3.50 ,$17.65 ,$71.82 ,$33.54 ,$60.38 ,$95.88 ,$44.13 ,$17.65 ,$131.60 ,$17.65 ,$94.00 ,$18.00 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$17.65 ,$94.94 ,$25.03 ,$25.03 ,$25.03 ,$188.00 ,$159.80 ,$44.13 ,$150.40 ,$69.56 ,$150.40 ,$17.65 ,$17.65 ,$188.00 ,$101.90 ,$17.65 ,$49.44 , N/A , N/A ,$7.34 ,$7.00 ,$18.53 ,$159.80 ,$39.71 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$25.03 ,$35.30 ,$35.30 ,$17.65 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30101261,82775,HC GALACTOSE TRANSFERASE QN-90,301,1 ,$103.00 ,$66.95 ,$3.50 ,$103.00 ,$52.68 ,$36.24 ,$55.83 ,$21.07 ,$28.84 ,$35.54 ,$21.07 ,$39.55 ,$21.07 ,$39.35 ,$3.50 ,$21.07 ,$39.35 ,$40.03 ,$71.01 ,$52.53 ,$52.68 ,$21.07 ,$72.10 ,$21.07 ,$51.50 ,$21.49 ,$77.25 ,$52.02 ,$46.87 ,$52.02 ,$21.07 ,$52.02 ,$30.43 ,$30.43 ,$30.43 ,$103.00 ,$87.55 ,$52.68 ,$82.40 ,$38.11 ,$82.40 ,$21.07 ,$21.07 ,$103.00 ,$55.83 ,$21.07 ,$27.09 , N/A , N/A ,$11.81 ,$11.28 ,$22.12 ,$87.55 ,$47.41 ,$67.77 ,$28.84 ,$92.70 ,$74.16 ,$103.00 ,$30.43 ,$42.14 ,$42.14 ,$21.07 ,$49.44 ,$92.70 ST. JOHN'S HOSPITAL,30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$98.00 ,$63.70 ,$3.50 ,$98.00 ,$23.25 ,$19.01 ,$53.12 ,$9.30 ,$27.44 ,$33.81 ,$9.30 ,$37.63 ,$9.30 ,$37.44 ,$3.50 ,$9.30 ,$37.44 ,$17.67 ,$31.95 ,$49.98 ,$23.25 ,$9.30 ,$68.60 ,$9.30 ,$49.00 ,$9.49 ,$73.50 ,$49.49 ,$44.59 ,$49.49 ,$9.30 ,$49.49 ,$13.44 ,$13.44 ,$13.44 ,$98.00 ,$83.30 ,$23.25 ,$78.40 ,$36.26 ,$78.40 ,$9.30 ,$9.30 ,$98.00 ,$53.12 ,$9.30 ,$25.77 , N/A , N/A ,$11.81 ,$11.28 ,$9.77 ,$83.30 ,$20.93 ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$13.44 ,$18.60 ,$18.60 ,$9.30 ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,30101264,82785,HC GAMMAGLOBULIN IGE,301,1 ,$197.00 ,$128.05 ,$3.50 ,$197.00 ,$41.15 ,$33.67 ,$106.77 ,$16.46 ,$55.16 ,$67.97 ,$16.46 ,$68.16 ,$16.46 ,$75.25 ,$3.50 ,$16.46 ,$75.25 ,$31.27 ,$55.65 ,$100.47 ,$41.15 ,$16.46 ,$137.90 ,$16.46 ,$98.50 ,$16.79 ,$147.75 ,$99.49 ,$89.64 ,$99.49 ,$16.46 ,$99.49 ,$23.78 ,$23.78 ,$23.78 ,$197.00 ,$167.45 ,$41.15 ,$157.60 ,$72.89 ,$157.60 ,$16.46 ,$16.46 ,$197.00 ,$106.77 ,$16.46 ,$51.81 , N/A , N/A ,$11.81 ,$11.28 ,$17.28 ,$167.45 ,$37.04 ,$129.63 ,$55.16 ,$177.30 ,$141.84 ,$197.00 ,$23.78 ,$32.92 ,$32.92 ,$16.46 ,$94.56 ,$177.30 ST. JOHN'S HOSPITAL,30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$35.00 ,$22.75 ,$3.50 ,$35.00 ,$20.05 ,$16.42 ,$18.97 ,$8.02 ,$9.80 ,$12.08 ,$8.02 ,$13.44 ,$8.02 ,$13.37 ,$3.50 ,$8.02 ,$13.37 ,$15.24 ,$27.23 ,$17.85 ,$20.05 ,$8.02 ,$24.50 ,$8.02 ,$17.50 ,$8.18 ,$26.25 ,$17.68 ,$15.93 ,$17.68 ,$8.02 ,$17.68 ,$11.58 ,$11.58 ,$11.58 ,$35.00 ,$29.75 ,$20.05 ,$28.00 ,$12.95 ,$28.00 ,$8.02 ,$8.02 ,$35.00 ,$18.97 ,$8.02 ,$9.21 , N/A , N/A ,$18.24 ,$17.41 ,$8.42 ,$29.75 ,$18.05 ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$11.58 ,$16.04 ,$16.04 ,$8.02 ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,30101266,82803,HC BLOOD GAS PH PO2 AND /OR PCO2,301,1 ,$214.00 ,$139.10 ,$3.50 ,$214.00 ,$65.18 ,$24.68 ,$115.99 ,$26.07 ,$59.92 ,$73.83 ,$26.07 ,$82.18 ,$26.07 ,$81.75 ,$3.50 ,$26.07 ,$81.75 ,$49.53 ,$88.80 ,$109.14 ,$65.18 ,$26.07 ,$149.80 ,$26.07 ,$107.00 ,$26.59 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$26.07 ,$108.07 ,$33.89 ,$33.89 ,$33.89 ,$214.00 ,$181.90 ,$65.18 ,$171.20 ,$79.18 ,$171.20 ,$26.07 ,$26.07 ,$214.00 ,$115.99 ,$26.07 ,$56.28 , N/A , N/A ,$11.81 ,$11.28 ,$27.37 ,$181.90 ,$58.66 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$33.89 ,$52.14 ,$52.14 ,$26.07 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,30101268,82941,HC GASTRIN-90,301,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$44.08 ,$36.05 ,$35.23 ,$17.63 ,$18.20 ,$22.43 ,$17.63 ,$24.96 ,$17.63 ,$24.83 ,$3.50 ,$17.63 ,$24.83 ,$33.50 ,$60.38 ,$33.15 ,$44.08 ,$17.63 ,$45.50 ,$17.63 ,$32.50 ,$17.98 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$17.63 ,$32.83 ,$25.47 ,$25.47 ,$25.47 ,$65.00 ,$55.25 ,$44.08 ,$52.00 ,$24.05 ,$52.00 ,$17.63 ,$17.63 ,$65.00 ,$35.23 ,$17.63 ,$17.10 , N/A , N/A ,$27.64 ,$26.39 ,$18.51 ,$55.25 ,$39.67 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$25.47 ,$35.26 ,$35.26 ,$17.63 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30101269,82945,HC GLUCOSE BODY FLUID-90,301,1 ,$114.00 ,$74.10 ,$3.50 ,$114.00 ,$9.83 ,$8.02 ,$61.79 ,$3.93 ,$31.92 ,$22.03 ,$3.93 ,$22.03 ,$3.93 ,$43.55 ,$3.50 ,$3.93 ,$43.55 ,$7.47 ,$13.02 ,$58.14 ,$9.83 ,$3.93 ,$79.80 ,$3.93 ,$57.00 ,$4.01 ,$85.50 ,$57.57 ,$51.87 ,$57.57 ,$3.93 ,$57.57 ,$5.68 ,$5.68 ,$5.68 ,$114.00 ,$96.90 ,$9.83 ,$91.20 ,$42.18 ,$91.20 ,$3.93 ,$3.93 ,$114.00 ,$61.79 ,$3.93 ,$29.98 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$96.90 ,$8.84 ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,30101270,82947,HC GLUCOSE-GZ,301,1 ,$33.00 ,$21.45 ,$3.50 ,$82.50 ,$82.50 ,$8.02 ,$17.89 ,$33.00 ,$9.24 ,$11.39 ,$33.00 ,$12.67 ,$33.00 ,$12.61 ,$3.50 ,$33.00 ,$12.61 ,$33.00 ,$13.02 ,$16.83 , N/A ,$33.00 ,$23.10 ,$33.00 ,$16.50 , N/A ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$33.00 ,$16.67 ,$5.68 ,$5.68 ,$5.68 ,$33.00 ,$28.05 ,$33.00 ,$26.40 ,$12.21 ,$26.40 ,$33.00 ,$33.00 ,$33.00 ,$17.89 ,$33.00 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$34.65 ,$28.05 , N/A ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$5.68 ,$7.86 ,$7.86 ,$33.00 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101271,82947,HC GLUCOSE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$9.83 ,$8.02 ,$17.89 ,$3.93 ,$9.24 ,$11.39 ,$3.93 ,$12.67 ,$3.93 ,$12.61 ,$3.50 ,$3.93 ,$12.61 ,$7.47 ,$13.02 ,$16.83 ,$9.83 ,$3.93 ,$23.10 ,$3.93 ,$16.50 ,$4.01 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$3.93 ,$16.67 ,$5.68 ,$5.68 ,$5.68 ,$33.00 ,$28.05 ,$9.83 ,$26.40 ,$12.21 ,$26.40 ,$3.93 ,$3.93 ,$33.00 ,$17.89 ,$3.93 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$28.05 ,$8.84 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101272,82947,HC GLUCOSE,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$9.83 ,$8.02 ,$17.89 ,$3.93 ,$9.24 ,$11.39 ,$3.93 ,$12.67 ,$3.93 ,$12.61 ,$3.50 ,$3.93 ,$12.61 ,$7.47 ,$13.02 ,$16.83 ,$9.83 ,$3.93 ,$23.10 ,$3.93 ,$16.50 ,$4.01 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$3.93 ,$16.67 ,$5.68 ,$5.68 ,$5.68 ,$33.00 ,$28.05 ,$9.83 ,$26.40 ,$12.21 ,$26.40 ,$3.93 ,$3.93 ,$33.00 ,$17.89 ,$3.93 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$28.05 ,$8.84 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101274,82955,HC G6PD ENZYME QN-90,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$24.25 ,$19.83 ,$39.02 ,$9.70 ,$20.16 ,$24.84 ,$9.70 ,$27.65 ,$9.70 ,$27.50 ,$3.50 ,$9.70 ,$27.50 ,$18.43 ,$33.15 ,$36.72 ,$24.25 ,$9.70 ,$50.40 ,$9.70 ,$36.00 ,$9.89 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$9.70 ,$36.36 ,$14.00 ,$14.00 ,$14.00 ,$72.00 ,$61.20 ,$24.25 ,$57.60 ,$26.64 ,$57.60 ,$9.70 ,$9.70 ,$72.00 ,$39.02 ,$9.70 ,$18.94 , N/A , N/A ,$11.81 ,$11.28 ,$10.19 ,$61.20 ,$21.83 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$14.00 ,$19.40 ,$19.40 ,$9.70 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30101275,82977,HC GGT/GGTP-90,301,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$18.00 ,$14.74 ,$58.54 ,$7.20 ,$30.24 ,$37.26 ,$7.20 ,$40.35 ,$7.20 ,$41.26 ,$3.50 ,$7.20 ,$41.26 ,$13.68 ,$24.85 ,$55.08 ,$18.00 ,$7.20 ,$75.60 ,$7.20 ,$54.00 ,$7.34 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$7.20 ,$54.54 ,$10.40 ,$10.40 ,$10.40 ,$108.00 ,$91.80 ,$18.00 ,$86.40 ,$39.96 ,$86.40 ,$7.20 ,$7.20 ,$108.00 ,$58.54 ,$7.20 ,$28.40 , N/A , N/A ,$5.26 ,$5.02 ,$7.56 ,$91.80 ,$16.20 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$10.40 ,$14.40 ,$14.40 ,$7.20 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$41.90 ,$30.82 ,$39.02 ,$16.76 ,$20.16 ,$24.84 ,$16.76 ,$27.65 ,$16.76 ,$27.50 ,$3.50 ,$16.76 ,$27.50 ,$31.84 ,$56.80 ,$36.72 ,$41.90 ,$16.76 ,$50.40 ,$16.76 ,$36.00 ,$17.10 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$16.76 ,$36.36 ,$21.79 ,$21.79 ,$21.79 ,$72.00 ,$61.20 ,$41.90 ,$57.60 ,$26.64 ,$57.60 ,$16.76 ,$16.76 ,$72.00 ,$39.02 ,$16.76 ,$18.94 , N/A , N/A ,$11.81 ,$11.28 ,$17.60 ,$61.20 ,$37.71 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$21.79 ,$33.52 ,$33.52 ,$16.76 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30101277,83001,HC FSH-90,301,1 ,$237.00 ,$154.05 ,$3.50 ,$237.00 ,$46.45 ,$37.99 ,$128.45 ,$18.58 ,$66.36 ,$81.77 ,$18.58 ,$91.01 ,$18.58 ,$90.53 ,$3.50 ,$18.58 ,$90.53 ,$35.30 ,$62.76 ,$120.87 ,$46.45 ,$18.58 ,$165.90 ,$18.58 ,$118.50 ,$18.95 ,$177.75 ,$119.69 ,$107.84 ,$119.69 ,$18.58 ,$119.69 ,$26.85 ,$26.85 ,$26.85 ,$237.00 ,$201.45 ,$46.45 ,$189.60 ,$87.69 ,$189.60 ,$18.58 ,$18.58 ,$237.00 ,$128.45 ,$18.58 ,$62.33 , N/A , N/A ,$27.64 ,$26.39 ,$19.51 ,$201.45 ,$41.81 ,$155.95 ,$66.36 ,$213.30 ,$170.64 ,$237.00 ,$26.85 ,$37.16 ,$37.16 ,$18.58 ,$113.76 ,$213.30 ST. JOHN'S HOSPITAL,30101278,83002,HC LUTEINIZING HORMONE (LH)-90,301,1 ,$240.00 ,$156.00 ,$3.50 ,$240.00 ,$46.30 ,$37.87 ,$130.08 ,$18.52 ,$67.20 ,$82.80 ,$18.52 ,$92.16 ,$18.52 ,$91.68 ,$3.50 ,$18.52 ,$91.68 ,$35.19 ,$62.76 ,$122.40 ,$46.30 ,$18.52 ,$168.00 ,$18.52 ,$120.00 ,$18.89 ,$180.00 ,$121.20 ,$109.20 ,$121.20 ,$18.52 ,$121.20 ,$26.74 ,$26.74 ,$26.74 ,$240.00 ,$204.00 ,$46.30 ,$192.00 ,$88.80 ,$192.00 ,$18.52 ,$18.52 ,$240.00 ,$130.08 ,$18.52 ,$63.12 , N/A , N/A ,$27.64 ,$26.39 ,$19.45 ,$204.00 ,$41.67 ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$26.74 ,$37.04 ,$37.04 ,$18.52 ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$41.68 ,$33.36 ,$34.69 ,$16.67 ,$17.92 ,$22.08 ,$16.67 ,$24.58 ,$16.67 ,$24.45 ,$3.50 ,$16.67 ,$24.45 ,$31.67 ,$56.80 ,$32.64 ,$41.68 ,$16.67 ,$44.80 ,$16.67 ,$32.00 ,$17.00 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$16.67 ,$32.32 ,$24.08 ,$24.08 ,$24.08 ,$64.00 ,$54.40 ,$41.68 ,$51.20 ,$23.68 ,$51.20 ,$16.67 ,$16.67 ,$64.00 ,$34.69 ,$16.67 ,$16.83 , N/A , N/A ,$27.64 ,$26.39 ,$17.50 ,$54.40 ,$37.51 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$24.08 ,$33.34 ,$33.34 ,$16.67 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101280,83003,HC GROWTH HORMONE (HGH) STIM-90,301,1 ,$35.00 ,$22.75 ,$3.50 ,$41.68 ,$41.68 ,$33.36 ,$18.97 ,$16.67 ,$9.80 ,$12.08 ,$16.67 ,$13.44 ,$16.67 ,$13.37 ,$3.50 ,$16.67 ,$13.37 ,$31.67 ,$35.00 ,$17.85 ,$41.68 ,$16.67 ,$24.50 ,$16.67 ,$17.50 ,$17.00 ,$26.25 ,$17.68 ,$15.93 ,$17.68 ,$16.67 ,$17.68 ,$24.08 ,$24.08 ,$24.08 ,$35.00 ,$29.75 ,$35.00 ,$28.00 ,$12.95 ,$28.00 ,$16.67 ,$16.67 ,$35.00 ,$18.97 ,$16.67 ,$9.21 , N/A , N/A ,$27.64 ,$26.39 ,$17.50 ,$29.75 ,$37.51 ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$24.08 ,$33.34 ,$33.34 ,$16.67 ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$31.45 ,$25.73 ,$26.56 ,$12.58 ,$13.72 ,$16.91 ,$12.58 ,$18.82 ,$12.58 ,$18.72 ,$3.50 ,$12.58 ,$18.72 ,$23.90 ,$42.63 ,$24.99 ,$31.45 ,$12.58 ,$34.30 ,$12.58 ,$24.50 ,$12.83 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$12.58 ,$24.75 ,$18.16 ,$18.16 ,$18.16 ,$49.00 ,$41.65 ,$31.45 ,$39.20 ,$18.13 ,$39.20 ,$12.58 ,$12.58 ,$49.00 ,$26.56 ,$12.58 ,$12.89 , N/A , N/A ,$11.81 ,$11.28 ,$13.21 ,$41.65 ,$28.31 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$18.16 ,$25.16 ,$25.16 ,$12.58 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$54.90 ,$44.91 ,$82.38 ,$21.96 ,$42.56 ,$52.44 ,$21.96 ,$58.37 ,$21.96 ,$58.06 ,$3.50 ,$21.96 ,$58.06 ,$41.72 ,$74.59 ,$77.52 ,$54.90 ,$21.96 ,$106.40 ,$21.96 ,$76.00 ,$22.40 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$21.96 ,$76.76 ,$31.73 ,$31.73 ,$31.73 ,$152.00 ,$129.20 ,$54.90 ,$121.60 ,$56.24 ,$121.60 ,$21.96 ,$21.96 ,$152.00 ,$82.38 ,$21.96 ,$39.98 , N/A , N/A ,$14.41 ,$13.76 ,$23.06 ,$129.20 ,$49.41 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$31.73 ,$43.92 ,$43.92 ,$21.96 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$56.00 ,$36.40 ,$10.15 ,$56.00 ,$32.18 ,$20.20 ,$30.35 ,$12.87 ,$15.68 ,$19.32 ,$12.87 ,$21.50 ,$12.87 ,$21.39 ,$10.15 ,$12.87 ,$21.39 ,$24.45 ,$43.78 ,$28.56 ,$32.18 ,$12.87 ,$39.20 ,$12.87 ,$28.00 ,$13.13 ,$42.00 ,$28.28 ,$25.48 ,$28.28 ,$12.87 ,$28.28 ,$18.59 ,$18.59 ,$18.59 ,$56.00 ,$47.60 ,$32.18 ,$44.80 ,$20.72 ,$44.80 ,$12.87 ,$12.87 ,$56.00 ,$30.35 ,$12.87 ,$14.73 , N/A , N/A ,$11.81 ,$11.28 ,$13.51 ,$47.60 ,$28.96 ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$18.59 ,$25.74 ,$25.74 ,$12.87 ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$45.15 ,$36.93 ,$53.66 ,$18.06 ,$27.72 ,$34.16 ,$18.06 ,$38.02 ,$18.06 ,$37.82 ,$3.50 ,$18.06 ,$37.82 ,$34.31 ,$61.57 ,$50.49 ,$45.15 ,$18.06 ,$69.30 ,$18.06 ,$49.50 ,$18.42 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$18.06 ,$50.00 ,$26.08 ,$26.08 ,$26.08 ,$99.00 ,$84.15 ,$45.15 ,$79.20 ,$36.63 ,$79.20 ,$18.06 ,$18.06 ,$99.00 ,$53.66 ,$18.06 ,$26.04 , N/A , N/A ,$11.17 ,$10.66 ,$18.96 ,$84.15 ,$40.64 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$26.08 ,$36.12 ,$36.12 ,$18.06 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30101287,83033,HC HEMOGLOBIN FETAL QL,301,1 ,$210.00 ,$136.50 ,$3.50 ,$210.00 ,$20.00 ,$12.18 ,$113.82 ,$8.00 ,$58.80 ,$26.83 ,$8.00 ,$26.83 ,$8.00 ,$80.22 ,$3.50 ,$8.00 ,$80.22 ,$15.20 ,$27.23 ,$107.10 ,$20.00 ,$8.00 ,$147.00 ,$8.00 ,$105.00 ,$8.16 ,$157.50 ,$106.05 ,$95.55 ,$106.05 ,$8.00 ,$106.05 ,$10.40 ,$10.40 ,$10.40 ,$210.00 ,$178.50 ,$20.00 ,$168.00 ,$77.70 ,$168.00 ,$8.00 ,$8.00 ,$210.00 ,$113.82 ,$8.00 ,$55.23 , N/A , N/A ,$11.81 ,$11.28 ,$8.40 ,$178.50 ,$18.00 ,$138.18 ,$58.80 ,$189.00 ,$151.20 ,$210.00 ,$10.40 ,$16.00 ,$16.00 ,$8.00 ,$100.80 ,$189.00 ST. JOHN'S HOSPITAL,30101289,83051,HC HEMOGLOBIN PLASMA-90,301,1 ,$210.00 ,$136.50 ,$3.50 ,$210.00 ,$18.28 ,$7.30 ,$113.82 ,$7.31 ,$58.80 ,$30.29 ,$7.31 ,$30.29 ,$7.31 ,$80.22 ,$3.50 ,$7.31 ,$80.22 ,$13.89 ,$24.85 ,$107.10 ,$18.28 ,$7.31 ,$147.00 ,$7.31 ,$105.00 ,$7.46 ,$157.50 ,$106.05 ,$95.55 ,$106.05 ,$7.31 ,$106.05 ,$10.56 ,$10.56 ,$10.56 ,$210.00 ,$178.50 ,$18.28 ,$168.00 ,$77.70 ,$168.00 ,$7.31 ,$7.31 ,$210.00 ,$113.82 ,$7.31 ,$55.23 , N/A , N/A ,$11.81 ,$11.28 ,$7.68 ,$178.50 ,$16.45 ,$138.18 ,$58.80 ,$189.00 ,$151.20 ,$210.00 ,$10.56 ,$14.62 ,$14.62 ,$7.31 ,$100.80 ,$189.00 ST. JOHN'S HOSPITAL,30101290,83068,HC HEMOGLOBIN UNSTABLE-90,301,1 ,$158.00 ,$102.70 ,$3.50 ,$158.00 ,$23.68 ,$7.30 ,$85.64 ,$9.47 ,$44.24 ,$35.04 ,$9.47 ,$35.04 ,$9.47 ,$60.36 ,$3.50 ,$9.47 ,$60.36 ,$17.99 ,$31.95 ,$80.58 ,$23.68 ,$9.47 ,$110.60 ,$9.47 ,$79.00 ,$9.66 ,$118.50 ,$79.79 ,$71.89 ,$79.79 ,$9.47 ,$79.79 ,$12.31 ,$12.31 ,$12.31 ,$158.00 ,$134.30 ,$23.68 ,$126.40 ,$58.46 ,$126.40 ,$9.47 ,$9.47 ,$158.00 ,$85.64 ,$9.47 ,$41.55 , N/A , N/A ,$11.81 ,$11.28 ,$9.94 ,$134.30 ,$21.31 ,$103.96 ,$44.24 ,$142.20 ,$113.76 ,$158.00 ,$12.31 ,$18.94 ,$18.94 ,$9.47 ,$75.84 ,$142.20 ST. JOHN'S HOSPITAL,30101291,83088,HC HISTAMINE-90,301,1 ,$243.00 ,$157.95 ,$3.50 ,$243.00 ,$73.83 ,$60.39 ,$131.71 ,$29.53 ,$68.04 ,$83.84 ,$29.53 ,$93.31 ,$29.53 ,$92.83 ,$3.50 ,$29.53 ,$92.83 ,$56.11 ,$100.63 ,$123.93 ,$73.83 ,$29.53 ,$170.10 ,$29.53 ,$121.50 ,$30.12 ,$182.25 ,$122.72 ,$110.57 ,$122.72 ,$29.53 ,$122.72 ,$42.65 ,$42.65 ,$42.65 ,$243.00 ,$206.55 ,$73.83 ,$194.40 ,$89.91 ,$194.40 ,$29.53 ,$29.53 ,$243.00 ,$131.71 ,$29.53 ,$63.91 , N/A , N/A ,$31.80 ,$30.36 ,$31.01 ,$206.55 ,$66.44 ,$159.89 ,$68.04 ,$218.70 ,$174.96 ,$243.00 ,$42.65 ,$59.06 ,$59.06 ,$29.53 ,$116.64 ,$218.70 ST. JOHN'S HOSPITAL,30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$83.00 ,$53.95 ,$3.50 ,$83.00 ,$44.80 ,$34.49 ,$44.99 ,$17.92 ,$23.24 ,$28.64 ,$17.92 ,$31.87 ,$17.92 ,$31.71 ,$3.50 ,$17.92 ,$31.71 ,$34.05 ,$60.38 ,$42.33 ,$44.80 ,$17.92 ,$58.10 ,$17.92 ,$41.50 ,$18.28 ,$62.25 ,$41.92 ,$37.77 ,$41.92 ,$17.92 ,$41.92 ,$24.36 ,$24.36 ,$24.36 ,$83.00 ,$70.55 ,$44.80 ,$66.40 ,$30.71 ,$66.40 ,$17.92 ,$17.92 ,$83.00 ,$44.99 ,$17.92 ,$21.83 , N/A , N/A ,$27.64 ,$26.39 ,$18.82 ,$70.55 ,$40.32 ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$24.36 ,$35.84 ,$35.84 ,$17.92 ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,30101293,83150,HC HOMOVANILLIC ACID (HVA)-90,301,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$56.03 ,$39.57 ,$38.48 ,$22.41 ,$19.88 ,$24.50 ,$22.41 ,$27.26 ,$22.41 ,$27.12 ,$3.50 ,$22.41 ,$27.12 ,$42.58 ,$71.00 ,$36.21 ,$56.03 ,$22.41 ,$49.70 ,$22.41 ,$35.50 ,$22.86 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$22.41 ,$35.86 ,$29.13 ,$29.13 ,$29.13 ,$71.00 ,$60.35 ,$56.03 ,$56.80 ,$26.27 ,$56.80 ,$22.41 ,$22.41 ,$71.00 ,$38.48 ,$22.41 ,$18.67 , N/A , N/A ,$27.64 ,$26.39 ,$23.53 ,$60.35 ,$50.42 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$29.13 ,$44.82 ,$44.82 ,$22.41 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$32.25 ,$26.36 ,$39.02 ,$12.90 ,$20.16 ,$24.84 ,$12.90 ,$27.65 ,$12.90 ,$27.50 ,$3.50 ,$12.90 ,$27.50 ,$24.51 ,$43.78 ,$36.72 ,$32.25 ,$12.90 ,$50.40 ,$12.90 ,$36.00 ,$13.16 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$12.90 ,$36.36 ,$18.63 ,$18.63 ,$18.63 ,$72.00 ,$61.20 ,$32.25 ,$57.60 ,$26.64 ,$57.60 ,$12.90 ,$12.90 ,$72.00 ,$39.02 ,$12.90 ,$18.94 , N/A , N/A ,$15.90 ,$15.17 ,$13.55 ,$61.20 ,$29.03 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$18.63 ,$25.80 ,$25.80 ,$12.90 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$100.00 ,$65.00 ,$3.50 ,$100.00 ,$67.93 ,$55.56 ,$54.20 ,$27.17 ,$28.00 ,$34.50 ,$27.17 ,$38.40 ,$27.17 ,$38.20 ,$3.50 ,$27.17 ,$38.20 ,$51.62 ,$92.33 ,$51.00 ,$67.93 ,$27.17 ,$70.00 ,$27.17 ,$50.00 ,$27.71 ,$75.00 ,$50.50 ,$45.50 ,$50.50 ,$27.17 ,$50.50 ,$39.25 ,$39.25 ,$39.25 ,$100.00 ,$85.00 ,$67.93 ,$80.00 ,$37.00 ,$80.00 ,$27.17 ,$27.17 ,$100.00 ,$54.20 ,$27.17 ,$26.30 , N/A , N/A ,$27.64 ,$26.39 ,$28.53 ,$85.00 ,$61.13 ,$65.80 ,$28.00 ,$90.00 ,$72.00 ,$100.00 ,$39.25 ,$54.34 ,$54.34 ,$27.17 ,$48.00 ,$90.00 ST. JOHN'S HOSPITAL,30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$28.83 ,$23.59 ,$39.02 ,$11.53 ,$20.16 ,$24.84 ,$11.53 ,$27.65 ,$11.53 ,$27.50 ,$3.50 ,$11.53 ,$27.50 ,$21.91 ,$39.06 ,$36.72 ,$28.83 ,$11.53 ,$50.40 ,$11.53 ,$36.00 ,$11.76 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$11.53 ,$36.36 ,$16.65 ,$16.65 ,$16.65 ,$72.00 ,$61.20 ,$28.83 ,$57.60 ,$26.64 ,$57.60 ,$11.53 ,$11.53 ,$72.00 ,$39.02 ,$11.53 ,$18.94 , N/A , N/A ,$10.58 ,$10.10 ,$12.11 ,$61.20 ,$25.94 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30101299,83516,HC MLT NON INFECT QL/SQ TTG,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$28.83 ,$23.59 ,$42.82 ,$11.53 ,$22.12 ,$27.26 ,$11.53 ,$30.34 ,$11.53 ,$30.18 ,$3.50 ,$11.53 ,$30.18 ,$21.91 ,$39.06 ,$40.29 ,$28.83 ,$11.53 ,$55.30 ,$11.53 ,$39.50 ,$11.76 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$11.53 ,$39.90 ,$16.65 ,$16.65 ,$16.65 ,$79.00 ,$67.15 ,$28.83 ,$63.20 ,$29.23 ,$63.20 ,$11.53 ,$11.53 ,$79.00 ,$42.82 ,$11.53 ,$20.78 , N/A , N/A ,$10.58 ,$10.10 ,$12.11 ,$67.15 ,$25.94 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30101300,83516,HC MLT NON INFECT QL/SQ TTG-90,301,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$28.83 ,$23.59 ,$37.40 ,$11.53 ,$19.32 ,$23.81 ,$11.53 ,$26.50 ,$11.53 ,$26.36 ,$3.50 ,$11.53 ,$26.36 ,$21.91 ,$39.06 ,$35.19 ,$28.83 ,$11.53 ,$48.30 ,$11.53 ,$34.50 ,$11.76 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$11.53 ,$34.85 ,$16.65 ,$16.65 ,$16.65 ,$69.00 ,$58.65 ,$28.83 ,$55.20 ,$25.53 ,$55.20 ,$11.53 ,$11.53 ,$69.00 ,$37.40 ,$11.53 ,$18.15 , N/A , N/A ,$10.58 ,$10.10 ,$12.11 ,$58.65 ,$25.94 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30101301,83516,HC MLT NON INFECT QL/SQ,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$28.83 ,$23.59 ,$42.82 ,$11.53 ,$22.12 ,$27.26 ,$11.53 ,$30.34 ,$11.53 ,$30.18 ,$3.50 ,$11.53 ,$30.18 ,$21.91 ,$39.06 ,$40.29 ,$28.83 ,$11.53 ,$55.30 ,$11.53 ,$39.50 ,$11.76 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$11.53 ,$39.90 ,$16.65 ,$16.65 ,$16.65 ,$79.00 ,$67.15 ,$28.83 ,$63.20 ,$29.23 ,$63.20 ,$11.53 ,$11.53 ,$79.00 ,$42.82 ,$11.53 ,$20.78 , N/A , N/A ,$10.58 ,$10.10 ,$12.11 ,$67.15 ,$25.94 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30101302,83519,HC QN RIA-90,301,1 ,$259.00 ,$168.35 ,$3.50 ,$259.00 ,$46.00 ,$27.62 ,$140.38 ,$18.40 ,$72.52 ,$61.71 ,$18.40 ,$61.71 ,$18.40 ,$98.94 ,$3.50 ,$18.40 ,$98.94 ,$34.96 ,$62.76 ,$132.09 ,$46.00 ,$18.40 ,$181.30 ,$18.40 ,$129.50 ,$18.77 ,$194.25 ,$130.80 ,$117.85 ,$130.80 ,$18.40 ,$130.80 ,$23.92 ,$23.92 ,$23.92 ,$259.00 ,$220.15 ,$46.00 ,$207.20 ,$95.83 ,$207.20 ,$18.40 ,$18.40 ,$259.00 ,$140.38 ,$18.40 ,$68.12 , N/A , N/A ,$10.58 ,$10.10 ,$19.32 ,$220.15 ,$41.40 ,$170.42 ,$72.52 ,$233.10 ,$186.48 ,$259.00 ,$23.92 ,$36.80 ,$36.80 ,$18.40 ,$124.32 ,$233.10 ST. JOHN'S HOSPITAL,30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$132.00 ,$85.80 ,$3.50 ,$132.00 ,$43.18 ,$26.48 ,$71.54 ,$17.27 ,$36.96 ,$45.54 ,$17.27 ,$50.69 ,$17.27 ,$50.42 ,$3.50 ,$17.27 ,$50.42 ,$32.81 ,$57.99 ,$67.32 ,$43.18 ,$17.27 ,$92.40 ,$17.27 ,$66.00 ,$17.62 ,$99.00 ,$66.66 ,$60.06 ,$66.66 ,$17.27 ,$66.66 ,$22.45 ,$22.45 ,$22.45 ,$132.00 ,$112.20 ,$43.18 ,$105.60 ,$48.84 ,$105.60 ,$17.27 ,$17.27 ,$132.00 ,$71.54 ,$17.27 ,$34.72 , N/A , N/A ,$10.58 ,$10.10 ,$18.13 ,$112.20 ,$38.86 ,$86.86 ,$36.96 ,$118.80 ,$95.04 ,$132.00 ,$22.45 ,$34.54 ,$34.54 ,$17.27 ,$63.36 ,$118.80 ST. JOHN'S HOSPITAL,30101304,83520,HC IMMUNOASSAY QN OTHER NEWBORN-90,301,1 ,$168.00 ,$109.20 ,$3.50 ,$168.00 ,$43.18 ,$26.48 ,$91.06 ,$17.27 ,$47.04 ,$57.96 ,$17.27 ,$64.51 ,$17.27 ,$64.18 ,$3.50 ,$17.27 ,$64.18 ,$32.81 ,$57.99 ,$85.68 ,$43.18 ,$17.27 ,$117.60 ,$17.27 ,$84.00 ,$17.62 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$17.27 ,$84.84 ,$22.45 ,$22.45 ,$22.45 ,$168.00 ,$142.80 ,$43.18 ,$134.40 ,$62.16 ,$134.40 ,$17.27 ,$17.27 ,$168.00 ,$91.06 ,$17.27 ,$44.18 , N/A , N/A ,$10.58 ,$10.10 ,$18.13 ,$142.80 ,$38.86 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$22.45 ,$34.54 ,$34.54 ,$17.27 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,30101305,83520,HC IMMUNOASSAY QN OTHER MBL-90,301,1 ,$254.00 ,$165.10 ,$3.50 ,$254.00 ,$43.18 ,$26.48 ,$137.67 ,$17.27 ,$71.12 ,$78.43 ,$17.27 ,$78.43 ,$17.27 ,$97.03 ,$3.50 ,$17.27 ,$97.03 ,$32.81 ,$57.99 ,$129.54 ,$43.18 ,$17.27 ,$177.80 ,$17.27 ,$127.00 ,$17.62 ,$190.50 ,$128.27 ,$115.57 ,$128.27 ,$17.27 ,$128.27 ,$22.45 ,$22.45 ,$22.45 ,$254.00 ,$215.90 ,$43.18 ,$203.20 ,$93.98 ,$203.20 ,$17.27 ,$17.27 ,$254.00 ,$137.67 ,$17.27 ,$66.80 , N/A , N/A ,$10.58 ,$10.10 ,$18.13 ,$215.90 ,$38.86 ,$167.13 ,$71.12 ,$228.60 ,$182.88 ,$254.00 ,$22.45 ,$34.54 ,$34.54 ,$17.27 ,$121.92 ,$228.60 ST. JOHN'S HOSPITAL,30101306,83520,HC IMMUNOASSAY QN ENZYME-90,301,1 ,$25.00 ,$16.25 ,$3.50 ,$43.18 ,$43.18 ,$25.00 ,$13.55 ,$17.27 ,$7.00 ,$8.63 ,$17.27 ,$9.60 ,$17.27 ,$9.55 ,$3.50 ,$17.27 ,$9.55 ,$25.00 ,$25.00 ,$12.75 ,$43.18 ,$17.27 ,$17.50 ,$17.27 ,$12.50 ,$17.62 ,$18.75 ,$12.63 ,$11.38 ,$12.63 ,$17.27 ,$12.63 ,$22.45 ,$22.45 ,$22.45 ,$25.00 ,$21.25 ,$25.00 ,$20.00 ,$9.25 ,$20.00 ,$17.27 ,$17.27 ,$25.00 ,$13.55 ,$17.27 ,$6.58 , N/A , N/A ,$10.58 ,$10.10 ,$18.13 ,$21.25 ,$38.86 ,$16.45 ,$7.00 ,$22.50 ,$18.00 ,$25.00 ,$22.45 ,$25.00 ,$25.00 ,$17.27 ,$12.00 ,$22.50 ST. JOHN'S HOSPITAL,30101307,83525,HC INSULIN TOTAL-90,301,1 ,$56.00 ,$36.40 ,$3.50 ,$56.00 ,$28.58 ,$23.36 ,$30.35 ,$11.43 ,$15.68 ,$19.32 ,$11.43 ,$21.50 ,$11.43 ,$21.39 ,$3.50 ,$11.43 ,$21.39 ,$21.72 ,$39.06 ,$28.56 ,$28.58 ,$11.43 ,$39.20 ,$11.43 ,$28.00 ,$11.66 ,$42.00 ,$28.28 ,$25.48 ,$28.28 ,$11.43 ,$28.28 ,$16.51 ,$16.51 ,$16.51 ,$56.00 ,$47.60 ,$28.58 ,$44.80 ,$20.72 ,$44.80 ,$11.43 ,$11.43 ,$56.00 ,$30.35 ,$11.43 ,$14.73 , N/A , N/A ,$15.90 ,$15.17 ,$12.00 ,$47.60 ,$25.72 ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$16.51 ,$22.86 ,$22.86 ,$11.43 ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,30101309,83540,HC IRON TOTAL-90,301,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$16.18 ,$13.25 ,$37.40 ,$6.47 ,$19.32 ,$23.81 ,$6.47 ,$26.50 ,$6.47 ,$26.36 ,$3.50 ,$6.47 ,$26.36 ,$12.29 ,$22.51 ,$35.19 ,$16.18 ,$6.47 ,$48.30 ,$6.47 ,$34.50 ,$6.60 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$6.47 ,$34.85 ,$9.35 ,$9.35 ,$9.35 ,$69.00 ,$58.65 ,$16.18 ,$55.20 ,$25.53 ,$55.20 ,$6.47 ,$6.47 ,$69.00 ,$37.40 ,$6.47 ,$18.15 , N/A , N/A ,$5.26 ,$5.02 ,$6.79 ,$58.65 ,$14.56 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$9.35 ,$12.94 ,$12.94 ,$6.47 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30101311,83605,HC LACTATE/LACTIC ACID-90,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$28.93 ,$21.84 ,$48.78 ,$11.57 ,$25.20 ,$31.05 ,$11.57 ,$34.56 ,$11.57 ,$34.38 ,$3.50 ,$11.57 ,$34.38 ,$21.98 ,$39.06 ,$45.90 ,$28.93 ,$11.57 ,$63.00 ,$11.57 ,$45.00 ,$11.80 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$11.57 ,$45.45 ,$15.43 ,$15.43 ,$15.43 ,$90.00 ,$76.50 ,$28.93 ,$72.00 ,$33.30 ,$72.00 ,$11.57 ,$11.57 ,$90.00 ,$48.78 ,$11.57 ,$23.67 , N/A , N/A ,$11.81 ,$11.28 ,$12.15 ,$76.50 ,$26.03 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$15.43 ,$23.14 ,$23.14 ,$11.57 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$15.10 ,$12.36 ,$19.51 ,$6.04 ,$10.08 ,$12.42 ,$6.04 ,$13.82 ,$6.04 ,$13.75 ,$3.50 ,$6.04 ,$13.75 ,$11.48 ,$20.13 ,$18.36 ,$15.10 ,$6.04 ,$25.20 ,$6.04 ,$18.00 ,$6.16 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$6.04 ,$18.18 ,$8.72 ,$8.72 ,$8.72 ,$36.00 ,$30.60 ,$15.10 ,$28.80 ,$13.32 ,$28.80 ,$6.04 ,$6.04 ,$36.00 ,$19.51 ,$6.04 ,$9.47 , N/A , N/A ,$5.26 ,$5.02 ,$6.34 ,$30.60 ,$13.59 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$8.72 ,$12.08 ,$12.08 ,$6.04 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$43.00 ,$27.95 ,$3.50 ,$43.00 ,$31.98 ,$23.50 ,$23.31 ,$12.79 ,$12.04 ,$14.84 ,$12.79 ,$16.51 ,$12.79 ,$16.43 ,$3.50 ,$12.79 ,$16.43 ,$24.30 ,$43.00 ,$21.93 ,$31.98 ,$12.79 ,$30.10 ,$12.79 ,$21.50 ,$13.05 ,$32.25 ,$21.72 ,$19.57 ,$21.72 ,$12.79 ,$21.72 ,$18.49 ,$18.49 ,$18.49 ,$43.00 ,$36.55 ,$31.98 ,$34.40 ,$15.91 ,$34.40 ,$12.79 ,$12.79 ,$43.00 ,$23.31 ,$12.79 ,$11.31 , N/A , N/A ,$11.81 ,$11.28 ,$13.43 ,$36.55 ,$28.78 ,$28.29 ,$12.04 ,$38.70 ,$30.96 ,$43.00 ,$18.49 ,$25.58 ,$25.58 ,$12.79 ,$20.64 ,$38.70 ST. JOHN'S HOSPITAL,30101316,83655,HC LEAD-90,301,1 ,$56.00 ,$36.40 ,$3.50 ,$56.00 ,$30.28 ,$24.75 ,$30.35 ,$12.11 ,$15.68 ,$19.32 ,$12.11 ,$21.50 ,$12.11 ,$21.39 ,$3.50 ,$12.11 ,$21.39 ,$23.01 ,$41.44 ,$28.56 ,$30.28 ,$12.11 ,$39.20 ,$12.11 ,$28.00 ,$12.35 ,$42.00 ,$28.28 ,$25.48 ,$28.28 ,$12.11 ,$28.28 ,$17.49 ,$17.49 ,$17.49 ,$56.00 ,$47.60 ,$30.28 ,$44.80 ,$20.72 ,$44.80 ,$12.11 ,$12.11 ,$56.00 ,$30.35 ,$12.11 ,$14.73 , N/A , N/A ,$14.41 ,$13.76 ,$12.72 ,$47.60 ,$27.25 ,$36.85 ,$15.68 ,$50.40 ,$40.32 ,$56.00 ,$17.49 ,$24.22 ,$24.22 ,$12.11 ,$26.88 ,$50.40 ST. JOHN'S HOSPITAL,30101318,83690,HC LIPASE-90,301,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$17.23 ,$14.09 ,$96.48 ,$6.89 ,$49.84 ,$28.53 ,$6.89 ,$28.53 ,$6.89 ,$68.00 ,$3.50 ,$6.89 ,$68.00 ,$13.09 ,$23.66 ,$90.78 ,$17.23 ,$6.89 ,$124.60 ,$6.89 ,$89.00 ,$7.03 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$6.89 ,$89.89 ,$9.95 ,$9.95 ,$9.95 ,$178.00 ,$151.30 ,$17.23 ,$142.40 ,$65.86 ,$142.40 ,$6.89 ,$6.89 ,$178.00 ,$96.48 ,$6.89 ,$46.81 , N/A , N/A ,$5.26 ,$5.02 ,$7.23 ,$151.30 ,$15.50 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$9.95 ,$13.78 ,$13.78 ,$6.89 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30101319,83695,HC LIPOPROTEIN-90,301,1 ,$138.00 ,$89.70 ,$3.50 ,$138.00 ,$35.80 ,$26.48 ,$74.80 ,$14.32 ,$38.64 ,$47.61 ,$14.32 ,$52.99 ,$14.32 ,$52.72 ,$3.50 ,$14.32 ,$52.72 ,$27.21 ,$48.55 ,$70.38 ,$35.80 ,$14.32 ,$96.60 ,$14.32 ,$69.00 ,$14.61 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$14.32 ,$69.69 ,$18.71 ,$18.71 ,$18.71 ,$138.00 ,$117.30 ,$35.80 ,$110.40 ,$51.06 ,$110.40 ,$14.32 ,$14.32 ,$138.00 ,$74.80 ,$14.32 ,$36.29 , N/A , N/A ,$11.81 ,$11.28 ,$15.04 ,$117.30 ,$32.22 ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$18.71 ,$28.64 ,$28.64 ,$14.32 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,30101320,83695,HC LIPOPROTEIN,301,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$35.80 ,$26.48 ,$42.82 ,$14.32 ,$22.12 ,$27.26 ,$14.32 ,$30.34 ,$14.32 ,$30.18 ,$3.50 ,$14.32 ,$30.18 ,$27.21 ,$48.55 ,$40.29 ,$35.80 ,$14.32 ,$55.30 ,$14.32 ,$39.50 ,$14.61 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$14.32 ,$39.90 ,$18.71 ,$18.71 ,$18.71 ,$79.00 ,$67.15 ,$35.80 ,$63.20 ,$29.23 ,$63.20 ,$14.32 ,$14.32 ,$79.00 ,$42.82 ,$14.32 ,$20.78 , N/A , N/A ,$11.81 ,$11.28 ,$15.04 ,$67.15 ,$32.22 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$18.71 ,$28.64 ,$28.64 ,$14.32 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30101323,83721,HC CHOLESTEROL LDL,301,1 ,$52.00 ,$33.80 ,$3.50 ,$52.00 ,$26.25 ,$19.50 ,$28.18 ,$10.50 ,$14.56 ,$17.94 ,$10.50 ,$19.97 ,$10.50 ,$19.86 ,$3.50 ,$10.50 ,$19.86 ,$19.95 ,$35.53 ,$26.52 ,$26.25 ,$10.50 ,$36.40 ,$10.50 ,$26.00 ,$10.71 ,$39.00 ,$26.26 ,$23.66 ,$26.26 ,$10.50 ,$26.26 ,$13.78 ,$13.78 ,$13.78 ,$52.00 ,$44.20 ,$26.25 ,$41.60 ,$19.24 ,$41.60 ,$10.50 ,$10.50 ,$52.00 ,$28.18 ,$10.50 ,$13.68 , N/A , N/A ,$11.81 ,$11.28 ,$11.03 ,$44.20 ,$23.63 ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$13.78 ,$21.00 ,$21.00 ,$10.50 ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,30101326,83735,HC MAGNESIUM-90,301,1 ,$157.00 ,$102.05 ,$3.50 ,$157.00 ,$16.75 ,$13.70 ,$85.09 ,$6.70 ,$43.96 ,$37.56 ,$6.70 ,$37.56 ,$6.70 ,$59.97 ,$3.50 ,$6.70 ,$59.97 ,$12.73 ,$22.51 ,$80.07 ,$16.75 ,$6.70 ,$109.90 ,$6.70 ,$78.50 ,$6.83 ,$117.75 ,$79.29 ,$71.44 ,$79.29 ,$6.70 ,$79.29 ,$9.67 ,$9.67 ,$9.67 ,$157.00 ,$133.45 ,$16.75 ,$125.60 ,$58.09 ,$125.60 ,$6.70 ,$6.70 ,$157.00 ,$85.09 ,$6.70 ,$41.29 , N/A , N/A ,$5.26 ,$5.02 ,$7.04 ,$133.45 ,$15.08 ,$103.31 ,$43.96 ,$141.30 ,$113.04 ,$157.00 ,$9.67 ,$13.40 ,$13.40 ,$6.70 ,$75.36 ,$141.30 ST. JOHN'S HOSPITAL,30101327,83785,HC MANGANESE-90,301,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$66.63 ,$50.28 ,$62.33 ,$26.65 ,$32.20 ,$39.68 ,$26.65 ,$44.16 ,$26.65 ,$43.93 ,$3.50 ,$26.65 ,$43.93 ,$50.64 ,$89.99 ,$58.65 ,$66.63 ,$26.65 ,$80.50 ,$26.65 ,$57.50 ,$27.18 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$26.65 ,$58.08 ,$35.53 ,$35.53 ,$35.53 ,$115.00 ,$97.75 ,$66.63 ,$92.00 ,$42.55 ,$92.00 ,$26.65 ,$26.65 ,$115.00 ,$62.33 ,$26.65 ,$30.25 , N/A , N/A ,$14.41 ,$13.76 ,$27.98 ,$97.75 ,$59.96 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$35.53 ,$53.30 ,$53.30 ,$26.65 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$239.00 ,$155.35 ,$3.50 ,$239.00 ,$60.28 ,$36.93 ,$129.54 ,$24.11 ,$66.92 ,$80.86 ,$24.11 ,$80.86 ,$24.11 ,$91.30 ,$3.50 ,$24.11 ,$91.30 ,$45.81 ,$81.69 ,$121.89 ,$60.28 ,$24.11 ,$167.30 ,$24.11 ,$119.50 ,$24.59 ,$179.25 ,$120.70 ,$108.75 ,$120.70 ,$24.11 ,$120.70 ,$31.34 ,$31.34 ,$31.34 ,$239.00 ,$203.15 ,$60.28 ,$191.20 ,$88.43 ,$191.20 ,$24.11 ,$24.11 ,$239.00 ,$129.54 ,$24.11 ,$62.86 , N/A , N/A ,$11.81 ,$11.28 ,$25.32 ,$203.15 ,$54.25 ,$157.26 ,$66.92 ,$215.10 ,$172.08 ,$239.00 ,$31.34 ,$48.22 ,$48.22 ,$24.11 ,$114.72 ,$215.10 ST. JOHN'S HOSPITAL,30101329,83825,HC MERCURY-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$40.65 ,$33.25 ,$34.69 ,$16.26 ,$17.92 ,$22.08 ,$16.26 ,$24.58 ,$16.26 ,$24.45 ,$3.50 ,$16.26 ,$24.45 ,$30.89 ,$55.65 ,$32.64 ,$40.65 ,$16.26 ,$44.80 ,$16.26 ,$32.00 ,$16.59 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$16.26 ,$32.32 ,$23.48 ,$23.48 ,$23.48 ,$64.00 ,$54.40 ,$40.65 ,$51.20 ,$23.68 ,$51.20 ,$16.26 ,$16.26 ,$64.00 ,$34.69 ,$16.26 ,$16.83 , N/A , N/A ,$14.41 ,$13.76 ,$17.07 ,$54.40 ,$36.59 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$23.48 ,$32.52 ,$32.52 ,$16.26 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101330,83835,HC METANEPHRINES-90,301,1 ,$87.00 ,$56.55 ,$3.50 ,$87.00 ,$42.35 ,$34.65 ,$47.15 ,$16.94 ,$24.36 ,$30.02 ,$16.94 ,$33.41 ,$16.94 ,$33.23 ,$3.50 ,$16.94 ,$33.23 ,$32.19 ,$57.99 ,$44.37 ,$42.35 ,$16.94 ,$60.90 ,$16.94 ,$43.50 ,$17.28 ,$65.25 ,$43.94 ,$39.59 ,$43.94 ,$16.94 ,$43.94 ,$24.47 ,$24.47 ,$24.47 ,$87.00 ,$73.95 ,$42.35 ,$69.60 ,$32.19 ,$69.60 ,$16.94 ,$16.94 ,$87.00 ,$47.15 ,$16.94 ,$22.88 , N/A , N/A ,$27.64 ,$26.39 ,$17.79 ,$73.95 ,$38.12 ,$57.25 ,$24.36 ,$78.30 ,$62.64 ,$87.00 ,$24.47 ,$33.88 ,$33.88 ,$16.94 ,$41.76 ,$78.30 ST. JOHN'S HOSPITAL,30101331,83835,HC METANEPHRINES PLASMA-90,301,1 ,$235.00 ,$152.75 ,$3.50 ,$235.00 ,$42.35 ,$34.65 ,$127.37 ,$16.94 ,$65.80 ,$70.18 ,$16.94 ,$70.18 ,$16.94 ,$89.77 ,$3.50 ,$16.94 ,$89.77 ,$32.19 ,$57.99 ,$119.85 ,$42.35 ,$16.94 ,$164.50 ,$16.94 ,$117.50 ,$17.28 ,$176.25 ,$118.68 ,$106.93 ,$118.68 ,$16.94 ,$118.68 ,$24.47 ,$24.47 ,$24.47 ,$235.00 ,$199.75 ,$42.35 ,$188.00 ,$86.95 ,$188.00 ,$16.94 ,$16.94 ,$235.00 ,$127.37 ,$16.94 ,$61.81 , N/A , N/A ,$27.64 ,$26.39 ,$17.79 ,$199.75 ,$38.12 ,$154.63 ,$65.80 ,$211.50 ,$169.20 ,$235.00 ,$24.47 ,$33.88 ,$33.88 ,$16.94 ,$112.80 ,$211.50 ST. JOHN'S HOSPITAL,30101332,83864,HC MUCOPOLYSACCHARIDES ACID QN-90,301,1 ,$248.00 ,$161.20 ,$3.50 ,$248.00 ,$71.25 ,$40.71 ,$134.42 ,$28.50 ,$69.44 ,$85.56 ,$28.50 ,$95.23 ,$28.50 ,$94.74 ,$3.50 ,$28.50 ,$94.74 ,$54.15 ,$97.05 ,$126.48 ,$71.25 ,$28.50 ,$173.60 ,$28.50 ,$124.00 ,$29.07 ,$186.00 ,$125.24 ,$112.84 ,$125.24 ,$28.50 ,$125.24 ,$37.05 ,$37.05 ,$37.05 ,$248.00 ,$210.80 ,$71.25 ,$198.40 ,$91.76 ,$198.40 ,$28.50 ,$28.50 ,$248.00 ,$134.42 ,$28.50 ,$65.22 , N/A , N/A ,$11.81 ,$11.28 ,$29.93 ,$210.80 ,$64.13 ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$37.05 ,$57.00 ,$57.00 ,$28.50 ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$43.00 ,$33.36 ,$58.54 ,$17.20 ,$30.24 ,$37.26 ,$17.20 ,$41.47 ,$17.20 ,$41.26 ,$3.50 ,$17.20 ,$41.26 ,$32.68 ,$57.99 ,$55.08 ,$43.00 ,$17.20 ,$75.60 ,$17.20 ,$54.00 ,$17.54 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$17.20 ,$54.54 ,$24.86 ,$24.86 ,$24.86 ,$108.00 ,$91.80 ,$43.00 ,$86.40 ,$39.96 ,$86.40 ,$17.20 ,$17.20 ,$108.00 ,$58.54 ,$17.20 ,$28.40 , N/A , N/A ,$11.81 ,$11.28 ,$18.06 ,$91.80 ,$38.70 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$24.86 ,$34.40 ,$34.40 ,$17.20 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30101334,83874,HC MYOGLOBIN-90,301,1 ,$89.00 ,$57.85 ,$3.50 ,$89.00 ,$32.30 ,$26.41 ,$48.24 ,$12.92 ,$24.92 ,$30.71 ,$12.92 ,$34.18 ,$12.92 ,$34.00 ,$3.50 ,$12.92 ,$34.00 ,$24.55 ,$43.78 ,$45.39 ,$32.30 ,$12.92 ,$62.30 ,$12.92 ,$44.50 ,$13.18 ,$66.75 ,$44.95 ,$40.50 ,$44.95 ,$12.92 ,$44.95 ,$18.66 ,$18.66 ,$18.66 ,$89.00 ,$75.65 ,$32.30 ,$71.20 ,$32.93 ,$71.20 ,$12.92 ,$12.92 ,$89.00 ,$48.24 ,$12.92 ,$23.41 , N/A , N/A ,$11.81 ,$11.28 ,$13.57 ,$75.65 ,$29.07 ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$18.66 ,$25.84 ,$25.84 ,$12.92 ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,30101336,83880,HC BNP NATRIURETIC PEPTIDE-90,301,1 ,$331.00 ,$215.15 ,$3.50 ,$331.00 ,$98.15 ,$57.98 ,$179.40 ,$39.26 ,$92.68 ,$114.20 ,$39.26 ,$127.10 ,$39.26 ,$126.44 ,$3.50 ,$39.26 ,$126.44 ,$74.59 ,$133.77 ,$168.81 ,$98.15 ,$39.26 ,$231.70 ,$39.26 ,$165.50 ,$40.05 ,$248.25 ,$167.16 ,$150.61 ,$167.16 ,$39.26 ,$167.16 ,$51.04 ,$51.04 ,$51.04 ,$331.00 ,$281.35 ,$98.15 ,$264.80 ,$122.47 ,$264.80 ,$39.26 ,$39.26 ,$331.00 ,$179.40 ,$39.26 ,$87.05 , N/A , N/A ,$31.80 ,$30.36 ,$41.22 ,$281.35 ,$88.34 ,$217.80 ,$92.68 ,$297.90 ,$238.32 ,$331.00 ,$51.04 ,$78.52 ,$78.52 ,$39.26 ,$158.88 ,$297.90 ST. JOHN'S HOSPITAL,30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$91.00 ,$59.15 ,$3.50 ,$91.00 ,$34.00 ,$27.81 ,$49.32 ,$13.60 ,$25.48 ,$31.40 ,$13.60 ,$34.94 ,$13.60 ,$34.76 ,$3.50 ,$13.60 ,$34.76 ,$25.84 ,$46.17 ,$46.41 ,$34.00 ,$13.60 ,$63.70 ,$13.60 ,$45.50 ,$13.87 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$13.60 ,$45.96 ,$19.64 ,$19.64 ,$19.64 ,$91.00 ,$77.35 ,$34.00 ,$72.80 ,$33.67 ,$72.80 ,$13.60 ,$13.60 ,$91.00 ,$49.32 ,$13.60 ,$23.93 , N/A , N/A ,$18.24 ,$17.41 ,$14.28 ,$77.35 ,$30.60 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$19.64 ,$27.20 ,$27.20 ,$13.60 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$27.88 ,$22.80 ,$97.56 ,$11.15 ,$50.40 ,$46.18 ,$11.15 ,$46.18 ,$11.15 ,$68.76 ,$3.50 ,$11.15 ,$68.76 ,$21.19 ,$37.87 ,$91.80 ,$27.88 ,$11.15 ,$126.00 ,$11.15 ,$90.00 ,$11.37 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$11.15 ,$90.90 ,$16.11 ,$16.11 ,$16.11 ,$180.00 ,$153.00 ,$27.88 ,$144.00 ,$66.60 ,$144.00 ,$11.15 ,$11.15 ,$180.00 ,$97.56 ,$11.15 ,$47.34 , N/A , N/A ,$11.81 ,$11.28 ,$11.71 ,$153.00 ,$25.09 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$16.11 ,$22.30 ,$22.30 ,$11.15 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$68.48 ,$41.11 ,$43.36 ,$27.39 ,$22.40 ,$27.60 ,$27.39 ,$30.72 ,$27.39 ,$30.56 ,$3.50 ,$27.39 ,$30.56 ,$52.04 ,$80.00 ,$40.80 ,$68.48 ,$27.39 ,$56.00 ,$27.39 ,$40.00 ,$27.94 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$27.39 ,$40.40 ,$35.61 ,$35.61 ,$35.61 ,$80.00 ,$68.00 ,$68.48 ,$64.00 ,$29.60 ,$64.00 ,$27.39 ,$27.39 ,$80.00 ,$43.36 ,$27.39 ,$21.04 , N/A , N/A ,$11.81 ,$11.28 ,$28.76 ,$68.00 ,$61.63 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$35.61 ,$54.78 ,$54.78 ,$27.39 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$341.00 ,$221.65 ,$3.50 ,$341.00 ,$59.00 ,$33.65 ,$184.82 ,$23.60 ,$95.48 ,$79.15 ,$23.60 ,$79.15 ,$23.60 ,$130.26 ,$3.50 ,$23.60 ,$130.26 ,$44.84 ,$80.50 ,$173.91 ,$59.00 ,$23.60 ,$238.70 ,$23.60 ,$170.50 ,$24.07 ,$255.75 ,$172.21 ,$155.16 ,$172.21 ,$23.60 ,$172.21 ,$30.68 ,$30.68 ,$30.68 ,$341.00 ,$289.85 ,$59.00 ,$272.80 ,$126.17 ,$272.80 ,$23.60 ,$23.60 ,$341.00 ,$184.82 ,$23.60 ,$89.68 , N/A , N/A ,$14.41 ,$13.76 ,$24.78 ,$289.85 ,$53.10 ,$224.38 ,$95.48 ,$306.90 ,$245.52 ,$341.00 ,$30.68 ,$47.20 ,$47.20 ,$23.60 ,$163.68 ,$306.90 ST. JOHN'S HOSPITAL,30101342,83919,HC ORGANIC ACIDS QL-90,301,1 ,$342.00 ,$222.30 ,$3.50 ,$342.00 ,$41.13 ,$33.65 ,$185.36 ,$16.45 ,$95.76 ,$68.11 ,$16.45 ,$68.11 ,$16.45 ,$130.64 ,$3.50 ,$16.45 ,$130.64 ,$31.26 ,$55.65 ,$174.42 ,$41.13 ,$16.45 ,$239.40 ,$16.45 ,$171.00 ,$16.78 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$16.45 ,$172.71 ,$23.76 ,$23.76 ,$23.76 ,$342.00 ,$290.70 ,$41.13 ,$273.60 ,$126.54 ,$273.60 ,$16.45 ,$16.45 ,$342.00 ,$185.36 ,$16.45 ,$89.95 , N/A , N/A ,$11.81 ,$11.28 ,$17.27 ,$290.70 ,$37.01 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$23.76 ,$32.90 ,$32.90 ,$16.45 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,30101343,83935,HC OSMOLALITY URINE-90,301,1 ,$130.00 ,$84.50 ,$3.50 ,$130.00 ,$17.05 ,$13.93 ,$70.46 ,$6.82 ,$36.40 ,$28.23 ,$6.82 ,$28.23 ,$6.82 ,$49.66 ,$3.50 ,$6.82 ,$49.66 ,$12.96 ,$23.66 ,$66.30 ,$17.05 ,$6.82 ,$91.00 ,$6.82 ,$65.00 ,$6.96 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$6.82 ,$65.65 ,$9.84 ,$9.84 ,$9.84 ,$130.00 ,$110.50 ,$17.05 ,$104.00 ,$48.10 ,$104.00 ,$6.82 ,$6.82 ,$130.00 ,$70.46 ,$6.82 ,$34.19 , N/A , N/A ,$5.26 ,$5.02 ,$7.16 ,$110.50 ,$15.35 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$9.84 ,$13.64 ,$13.64 ,$6.82 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30101344,83937,HC OSTEOCALCIN-90,301,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$74.63 ,$61.04 ,$62.87 ,$29.85 ,$32.48 ,$40.02 ,$29.85 ,$44.54 ,$29.85 ,$44.31 ,$3.50 ,$29.85 ,$44.31 ,$56.72 ,$101.82 ,$59.16 ,$74.63 ,$29.85 ,$81.20 ,$29.85 ,$58.00 ,$30.45 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$29.85 ,$58.58 ,$43.11 ,$43.11 ,$43.11 ,$116.00 ,$98.60 ,$74.63 ,$92.80 ,$42.92 ,$92.80 ,$29.85 ,$29.85 ,$116.00 ,$62.87 ,$29.85 ,$30.51 , N/A , N/A ,$27.64 ,$26.39 ,$31.34 ,$98.60 ,$67.16 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$43.11 ,$59.70 ,$59.70 ,$29.85 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30101345,83945,HC OXALATE-90,301,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$36.13 ,$26.32 ,$30.89 ,$14.45 ,$15.96 ,$19.67 ,$14.45 ,$21.89 ,$14.45 ,$21.77 ,$3.50 ,$14.45 ,$21.77 ,$27.46 ,$48.55 ,$29.07 ,$36.13 ,$14.45 ,$39.90 ,$14.45 ,$28.50 ,$14.74 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$14.45 ,$28.79 ,$18.79 ,$18.79 ,$18.79 ,$57.00 ,$48.45 ,$36.13 ,$45.60 ,$21.09 ,$45.60 ,$14.45 ,$14.45 ,$57.00 ,$30.89 ,$14.45 ,$14.99 , N/A , N/A ,$11.81 ,$11.28 ,$15.17 ,$48.45 ,$32.51 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$18.79 ,$28.90 ,$28.90 ,$14.45 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30101347,83970,HC PARATHYROID HORMONE (PTH)-90,301,1 ,$382.00 ,$248.30 ,$3.50 ,$382.00 ,$103.20 ,$84.40 ,$207.04 ,$41.28 ,$106.96 ,$131.79 ,$41.28 ,$146.69 ,$41.28 ,$145.92 ,$3.50 ,$41.28 ,$145.92 ,$78.43 ,$139.69 ,$194.82 ,$103.20 ,$41.28 ,$267.40 ,$41.28 ,$191.00 ,$42.11 ,$286.50 ,$192.91 ,$173.81 ,$192.91 ,$41.28 ,$192.91 ,$59.62 ,$59.62 ,$59.62 ,$382.00 ,$324.70 ,$103.20 ,$305.60 ,$141.34 ,$305.60 ,$41.28 ,$41.28 ,$382.00 ,$207.04 ,$41.28 ,$100.47 , N/A , N/A ,$27.64 ,$26.39 ,$43.34 ,$324.70 ,$92.88 ,$251.36 ,$106.96 ,$343.80 ,$275.04 ,$382.00 ,$59.62 ,$82.56 ,$82.56 ,$41.28 ,$183.36 ,$343.80 ST. JOHN'S HOSPITAL,30101348,83986,HC PH BODY FLUID NOT BLOOD-90,301,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$8.95 ,$7.32 ,$40.65 ,$3.58 ,$21.00 ,$20.07 ,$3.58 ,$20.07 ,$3.58 ,$28.65 ,$3.50 ,$3.58 ,$28.65 ,$6.80 ,$11.83 ,$38.25 ,$8.95 ,$3.58 ,$52.50 ,$3.58 ,$37.50 ,$3.65 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$3.58 ,$37.88 ,$5.17 ,$5.17 ,$5.17 ,$75.00 ,$63.75 ,$8.95 ,$60.00 ,$27.75 ,$60.00 ,$3.58 ,$3.58 ,$75.00 ,$40.65 ,$3.58 ,$19.73 , N/A , N/A ,$5.26 ,$5.02 ,$3.76 ,$63.75 ,$8.06 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$5.17 ,$7.16 ,$7.16 ,$3.58 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101349,83992,HC PHENCYCLIDINE (PCP)-90,301,1 ,$55.00 ,$35.75 ,$0.02 ,$55.00 , N/A ,$0.02 ,$29.81 , N/A ,$15.40 ,$18.98 , N/A ,$21.12 , N/A ,$21.01 ,$3.50 , N/A ,$21.01 , N/A ,$55.00 ,$28.05 , N/A , N/A ,$38.50 , N/A ,$27.50 , N/A ,$41.25 ,$27.78 ,$25.03 ,$27.78 , N/A ,$27.78 ,$21.84 ,$21.84 ,$21.84 ,$55.00 ,$46.75 , N/A ,$44.00 ,$20.35 ,$44.00 , N/A , N/A ,$55.00 ,$29.81 , N/A ,$14.47 , N/A , N/A ,$14.41 ,$13.76 , N/A ,$46.75 , N/A ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$21.84 ,$55.00 ,$55.00 , N/A ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$420.00 ,$273.00 ,$3.50 ,$420.00 ,$49.08 ,$40.13 ,$227.64 ,$19.63 ,$117.60 ,$81.32 ,$19.63 ,$81.32 ,$19.63 ,$160.44 ,$3.50 ,$19.63 ,$160.44 ,$37.30 ,$66.29 ,$214.20 ,$49.08 ,$19.63 ,$294.00 ,$19.63 ,$210.00 ,$20.02 ,$315.00 ,$212.10 ,$191.10 ,$212.10 ,$19.63 ,$212.10 ,$28.35 ,$28.35 ,$28.35 ,$420.00 ,$357.00 ,$49.08 ,$336.00 ,$155.40 ,$336.00 ,$19.63 ,$19.63 ,$420.00 ,$227.64 ,$19.63 ,$110.46 , N/A , N/A ,$11.81 ,$11.28 ,$20.61 ,$357.00 ,$44.17 ,$276.36 ,$117.60 ,$378.00 ,$302.40 ,$420.00 ,$28.35 ,$39.26 ,$39.26 ,$19.63 ,$201.60 ,$378.00 ST. JOHN'S HOSPITAL,30101352,84030,HC NEWBORN SCREEN PKU-90,301,1 ,$24.00 ,$15.60 ,$3.50 ,$24.00 ,$13.75 ,$11.25 ,$13.01 ,$5.50 ,$6.72 ,$8.28 ,$5.50 ,$9.22 ,$5.50 ,$9.17 ,$3.50 ,$5.50 ,$9.17 ,$10.45 ,$18.93 ,$12.24 ,$13.75 ,$5.50 ,$16.80 ,$5.50 ,$12.00 ,$5.61 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$5.50 ,$12.12 ,$7.94 ,$7.94 ,$7.94 ,$24.00 ,$20.40 ,$13.75 ,$19.20 ,$8.88 ,$19.20 ,$5.50 ,$5.50 ,$24.00 ,$13.01 ,$5.50 ,$6.31 , N/A , N/A ,$5.26 ,$5.02 ,$5.78 ,$20.40 ,$12.38 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$7.94 ,$11.00 ,$11.00 ,$5.50 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,30101353,84066,HC PHOSPHATASE ACID PROSTATIC-90,301,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$24.15 ,$19.76 ,$22.76 ,$9.66 ,$11.76 ,$14.49 ,$9.66 ,$16.13 ,$9.66 ,$16.04 ,$3.50 ,$9.66 ,$16.04 ,$18.35 ,$33.15 ,$21.42 ,$24.15 ,$9.66 ,$29.40 ,$9.66 ,$21.00 ,$9.85 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$9.66 ,$21.21 ,$13.95 ,$13.95 ,$13.95 ,$42.00 ,$35.70 ,$24.15 ,$33.60 ,$15.54 ,$33.60 ,$9.66 ,$9.66 ,$42.00 ,$22.76 ,$9.66 ,$11.05 , N/A , N/A ,$11.81 ,$11.28 ,$10.14 ,$35.70 ,$21.74 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$13.95 ,$19.32 ,$19.32 ,$9.66 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$48.00 ,$31.20 ,$3.50 ,$48.00 ,$12.95 ,$10.57 ,$26.02 ,$5.18 ,$13.44 ,$16.56 ,$5.18 ,$18.43 ,$5.18 ,$18.34 ,$3.50 ,$5.18 ,$18.34 ,$9.84 ,$17.74 ,$24.48 ,$12.95 ,$5.18 ,$33.60 ,$5.18 ,$24.00 ,$5.28 ,$36.00 ,$24.24 ,$21.84 ,$24.24 ,$5.18 ,$24.24 ,$7.48 ,$7.48 ,$7.48 ,$48.00 ,$40.80 ,$12.95 ,$38.40 ,$17.76 ,$38.40 ,$5.18 ,$5.18 ,$48.00 ,$26.02 ,$5.18 ,$12.62 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$40.80 ,$11.66 ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$36.95 ,$30.24 ,$29.81 ,$14.78 ,$15.40 ,$18.98 ,$14.78 ,$21.12 ,$14.78 ,$21.01 ,$3.50 ,$14.78 ,$21.01 ,$28.08 ,$49.74 ,$28.05 ,$36.95 ,$14.78 ,$38.50 ,$14.78 ,$27.50 ,$15.08 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$14.78 ,$27.78 ,$21.36 ,$21.36 ,$21.36 ,$55.00 ,$46.75 ,$36.95 ,$44.00 ,$20.35 ,$44.00 ,$14.78 ,$14.78 ,$55.00 ,$29.81 ,$14.78 ,$14.47 , N/A , N/A ,$11.81 ,$11.28 ,$15.52 ,$46.75 ,$33.26 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$21.36 ,$29.56 ,$29.56 ,$14.78 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101357,84081,HC PHOSPHATIDYLGLYCEROL (PG)-90,301,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$41.30 ,$33.78 ,$30.89 ,$16.52 ,$15.96 ,$19.67 ,$16.52 ,$21.89 ,$16.52 ,$21.77 ,$3.50 ,$16.52 ,$21.77 ,$31.39 ,$55.65 ,$29.07 ,$41.30 ,$16.52 ,$39.90 ,$16.52 ,$28.50 ,$16.85 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$16.52 ,$28.79 ,$23.86 ,$23.86 ,$23.86 ,$57.00 ,$48.45 ,$41.30 ,$45.60 ,$21.09 ,$45.60 ,$16.52 ,$16.52 ,$57.00 ,$30.89 ,$16.52 ,$14.99 , N/A , N/A ,$11.81 ,$11.28 ,$17.35 ,$48.45 ,$37.17 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$23.86 ,$33.04 ,$33.04 ,$16.52 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,"$1,703.00 ","$1,106.95 ",$3.50 ,"$1,703.00 ",$14.45 ,$10.57 ,$923.03 ,$5.78 ,$476.84 ,$21.41 ,$5.78 ,$21.41 ,$5.78 ,$650.55 ,$3.50 ,$5.78 ,$650.55 ,$10.98 ,$20.13 ,$868.53 ,$14.45 ,$5.78 ,"$1,192.10 ",$5.78 ,$851.50 ,$5.90 ,"$1,277.25 ",$860.02 ,$774.87 ,$860.02 ,$5.78 ,$860.02 ,$7.51 ,$7.51 ,$7.51 ,"$1,703.00 ","$1,447.55 ",$14.45 ,"$1,362.40 ",$630.11 ,"$1,362.40 ",$5.78 ,$5.78 ,"$1,703.00 ",$923.03 ,$5.78 ,$447.89 , N/A , N/A ,$5.26 ,$5.02 ,$6.07 ,"$1,447.55 ",$13.01 ,"$1,120.57 ",$476.84 ,"$1,532.70 ","$1,226.16 ","$1,703.00 ",$7.51 ,$11.56 ,$11.56 ,$5.78 ,$817.44 ,"$1,532.70 " ST. JOHN'S HOSPITAL,30101359,84110,HC PORPHOBILINOGEN QN-90,301,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$21.10 ,$17.26 ,$96.48 ,$8.44 ,$49.84 ,$34.93 ,$8.44 ,$34.93 ,$8.44 ,$68.00 ,$3.50 ,$8.44 ,$68.00 ,$16.04 ,$28.42 ,$90.78 ,$21.10 ,$8.44 ,$124.60 ,$8.44 ,$89.00 ,$8.61 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$8.44 ,$89.89 ,$12.19 ,$12.19 ,$12.19 ,$178.00 ,$151.30 ,$21.10 ,$142.40 ,$65.86 ,$142.40 ,$8.44 ,$8.44 ,$178.00 ,$96.48 ,$8.44 ,$46.81 , N/A , N/A ,$11.81 ,$11.28 ,$8.86 ,$151.30 ,$18.99 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$12.19 ,$16.88 ,$16.88 ,$8.44 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30101361,84120,HC PORPHYRINS QN FRACT-90,301,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$36.78 ,$30.08 ,$29.81 ,$14.71 ,$15.40 ,$18.98 ,$14.71 ,$21.12 ,$14.71 ,$21.01 ,$3.50 ,$14.71 ,$21.01 ,$27.95 ,$49.74 ,$28.05 ,$36.78 ,$14.71 ,$38.50 ,$14.71 ,$27.50 ,$15.00 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$14.71 ,$27.78 ,$21.26 ,$21.26 ,$21.26 ,$55.00 ,$46.75 ,$36.78 ,$44.00 ,$20.35 ,$44.00 ,$14.71 ,$14.71 ,$55.00 ,$29.81 ,$14.71 ,$14.47 , N/A , N/A ,$11.81 ,$11.28 ,$15.45 ,$46.75 ,$33.10 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$21.26 ,$29.42 ,$29.42 ,$14.71 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101363,84132,HC POTASSIUM,301,1 ,$30.00 ,$19.50 ,$3.50 ,$30.00 ,$11.90 ,$9.40 ,$16.26 ,$4.76 ,$8.40 ,$10.35 ,$4.76 ,$11.52 ,$4.76 ,$11.46 ,$3.50 ,$4.76 ,$11.46 ,$9.04 ,$16.59 ,$15.30 ,$11.90 ,$4.76 ,$21.00 ,$4.76 ,$15.00 ,$4.86 ,$22.50 ,$15.15 ,$13.65 ,$15.15 ,$4.76 ,$15.15 ,$6.64 ,$6.64 ,$6.64 ,$30.00 ,$25.50 ,$11.90 ,$24.00 ,$11.10 ,$24.00 ,$4.76 ,$4.76 ,$30.00 ,$16.26 ,$4.76 ,$7.89 , N/A , N/A ,$5.26 ,$5.02 ,$5.00 ,$25.50 ,$10.71 ,$19.74 ,$8.40 ,$27.00 ,$21.60 ,$30.00 ,$6.64 ,$9.52 ,$9.52 ,$4.76 ,$14.40 ,$27.00 ST. JOHN'S HOSPITAL,30101364,84133,HC POTASSIUM URINE-90,301,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$11.83 ,$8.79 ,$46.07 ,$4.73 ,$23.80 ,$17.85 ,$4.73 ,$17.85 ,$4.73 ,$32.47 ,$3.50 ,$4.73 ,$32.47 ,$8.99 ,$16.59 ,$43.35 ,$11.83 ,$4.73 ,$59.50 ,$4.73 ,$42.50 ,$4.82 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$4.73 ,$42.93 ,$6.23 ,$6.23 ,$6.23 ,$85.00 ,$72.25 ,$11.83 ,$68.00 ,$31.45 ,$68.00 ,$4.73 ,$4.73 ,$85.00 ,$46.07 ,$4.73 ,$22.36 , N/A , N/A ,$5.26 ,$5.02 ,$4.97 ,$72.25 ,$10.64 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$6.23 ,$9.46 ,$9.46 ,$4.73 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30101366,84140,HC PREGNENOLONE-90,301,1 ,$181.00 ,$117.65 ,$3.50 ,$181.00 ,$51.68 ,$42.28 ,$98.10 ,$20.67 ,$50.68 ,$62.45 ,$20.67 ,$69.50 ,$20.67 ,$69.14 ,$3.50 ,$20.67 ,$69.14 ,$39.27 ,$69.86 ,$92.31 ,$51.68 ,$20.67 ,$126.70 ,$20.67 ,$90.50 ,$21.08 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$20.67 ,$91.41 ,$29.86 ,$29.86 ,$29.86 ,$181.00 ,$153.85 ,$51.68 ,$144.80 ,$66.97 ,$144.80 ,$20.67 ,$20.67 ,$181.00 ,$98.10 ,$20.67 ,$47.60 , N/A , N/A ,$27.64 ,$26.39 ,$21.70 ,$153.85 ,$46.51 ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$29.86 ,$41.34 ,$41.34 ,$20.67 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,30101367,84143,HC 17-HYDROXYPREGNENOLONE-90,301,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$57.03 ,$46.66 ,$82.38 ,$22.81 ,$42.56 ,$52.44 ,$22.81 ,$58.37 ,$22.81 ,$58.06 ,$3.50 ,$22.81 ,$58.06 ,$43.34 ,$76.93 ,$77.52 ,$57.03 ,$22.81 ,$106.40 ,$22.81 ,$76.00 ,$23.27 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$22.81 ,$76.76 ,$32.94 ,$32.94 ,$32.94 ,$152.00 ,$129.20 ,$57.03 ,$121.60 ,$56.24 ,$121.60 ,$22.81 ,$22.81 ,$152.00 ,$82.38 ,$22.81 ,$39.98 , N/A , N/A ,$27.64 ,$26.39 ,$23.95 ,$129.20 ,$51.32 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$32.94 ,$45.62 ,$45.62 ,$22.81 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30101368,84144,HC PROGESTERONE-90,301,1 ,$211.00 ,$137.15 ,$3.50 ,$211.00 ,$52.15 ,$42.67 ,$114.36 ,$20.86 ,$59.08 ,$72.80 ,$20.86 ,$81.02 ,$20.86 ,$80.60 ,$3.50 ,$20.86 ,$80.60 ,$39.63 ,$71.01 ,$107.61 ,$52.15 ,$20.86 ,$147.70 ,$20.86 ,$105.50 ,$21.28 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$20.86 ,$106.56 ,$30.13 ,$30.13 ,$30.13 ,$211.00 ,$179.35 ,$52.15 ,$168.80 ,$78.07 ,$168.80 ,$20.86 ,$20.86 ,$211.00 ,$114.36 ,$20.86 ,$55.49 , N/A , N/A ,$15.90 ,$15.17 ,$21.90 ,$179.35 ,$46.94 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$30.13 ,$41.72 ,$41.72 ,$20.86 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30101370,84153,HC PSA TOTAL-90,301,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$45.98 ,$37.63 ,$39.02 ,$18.39 ,$20.16 ,$24.84 ,$18.39 ,$27.65 ,$18.39 ,$27.50 ,$3.50 ,$18.39 ,$27.50 ,$34.94 ,$62.76 ,$36.72 ,$45.98 ,$18.39 ,$50.40 ,$18.39 ,$36.00 ,$18.76 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$18.39 ,$36.36 ,$26.57 ,$26.57 ,$26.57 ,$72.00 ,$61.20 ,$45.98 ,$57.60 ,$26.64 ,$57.60 ,$18.39 ,$18.39 ,$72.00 ,$39.02 ,$18.39 ,$18.94 , N/A , N/A ,$11.81 ,$11.28 ,$19.31 ,$61.20 ,$41.38 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$26.57 ,$36.78 ,$36.78 ,$18.39 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30101371,84154,HC PSA FREE-90,301,1 ,$68.00 ,$44.20 ,$3.50 ,$68.00 ,$45.98 ,$37.63 ,$36.86 ,$18.39 ,$19.04 ,$23.46 ,$18.39 ,$26.11 ,$18.39 ,$25.98 ,$3.50 ,$18.39 ,$25.98 ,$34.94 ,$62.76 ,$34.68 ,$45.98 ,$18.39 ,$47.60 ,$18.39 ,$34.00 ,$18.76 ,$51.00 ,$34.34 ,$30.94 ,$34.34 ,$18.39 ,$34.34 ,$26.57 ,$26.57 ,$26.57 ,$68.00 ,$57.80 ,$45.98 ,$54.40 ,$25.16 ,$54.40 ,$18.39 ,$18.39 ,$68.00 ,$36.86 ,$18.39 ,$17.88 , N/A , N/A ,$11.81 ,$11.28 ,$19.31 ,$57.80 ,$41.38 ,$44.74 ,$19.04 ,$61.20 ,$48.96 ,$68.00 ,$26.57 ,$36.78 ,$36.78 ,$18.39 ,$32.64 ,$61.20 ST. JOHN'S HOSPITAL,30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$9.18 ,$7.49 ,$45.53 ,$3.67 ,$23.52 ,$20.59 ,$3.67 ,$20.59 ,$3.67 ,$32.09 ,$3.50 ,$3.67 ,$32.09 ,$6.97 ,$13.02 ,$42.84 ,$9.18 ,$3.67 ,$58.80 ,$3.67 ,$42.00 ,$3.74 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$3.67 ,$42.42 ,$5.29 ,$5.29 ,$5.29 ,$84.00 ,$71.40 ,$9.18 ,$67.20 ,$31.08 ,$67.20 ,$3.67 ,$3.67 ,$84.00 ,$45.53 ,$3.67 ,$22.09 , N/A , N/A ,$5.26 ,$5.02 ,$3.85 ,$71.40 ,$8.26 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$5.29 ,$7.34 ,$7.34 ,$3.67 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$103.00 ,$66.95 ,$3.50 ,$103.00 ,$9.18 ,$7.49 ,$55.83 ,$3.67 ,$28.84 ,$15.17 ,$3.67 ,$15.17 ,$3.67 ,$39.35 ,$3.50 ,$3.67 ,$39.35 ,$6.97 ,$13.02 ,$52.53 ,$9.18 ,$3.67 ,$72.10 ,$3.67 ,$51.50 ,$3.74 ,$77.25 ,$52.02 ,$46.87 ,$52.02 ,$3.67 ,$52.02 ,$5.29 ,$5.29 ,$5.29 ,$103.00 ,$87.55 ,$9.18 ,$82.40 ,$38.11 ,$82.40 ,$3.67 ,$3.67 ,$103.00 ,$55.83 ,$3.67 ,$27.09 , N/A , N/A ,$5.26 ,$5.02 ,$3.85 ,$87.55 ,$8.26 ,$67.77 ,$28.84 ,$92.70 ,$74.16 ,$103.00 ,$5.29 ,$7.34 ,$7.34 ,$3.67 ,$49.44 ,$92.70 ST. JOHN'S HOSPITAL,30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$10.00 ,$7.49 ,$67.21 ,$4.00 ,$34.72 ,$20.59 ,$4.00 ,$20.59 ,$4.00 ,$47.37 ,$3.50 ,$4.00 ,$47.37 ,$7.60 ,$13.02 ,$63.24 ,$10.00 ,$4.00 ,$86.80 ,$4.00 ,$62.00 ,$4.08 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$4.00 ,$62.62 ,$5.29 ,$5.29 ,$5.29 ,$124.00 ,$105.40 ,$10.00 ,$99.20 ,$45.88 ,$99.20 ,$4.00 ,$4.00 ,$124.00 ,$67.21 ,$4.00 ,$32.61 , N/A , N/A ,$5.26 ,$5.02 ,$4.20 ,$105.40 ,$9.00 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$5.29 ,$8.00 ,$8.00 ,$4.00 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30101375,84165,HC PROTEIN ELECTROPHORESIS-90,301,1 ,$169.00 ,$109.85 ,$8.47 ,$169.00 ,$26.85 ,$21.96 ,$91.60 ,$10.74 ,$47.32 ,$44.48 ,$10.74 ,$44.48 ,$10.74 ,$64.56 ,$8.47 ,$10.74 ,$64.56 ,$20.41 ,$36.68 ,$86.19 ,$26.85 ,$10.74 ,$118.30 ,$10.74 ,$84.50 ,$10.95 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$10.74 ,$85.35 ,$15.51 ,$15.51 ,$15.51 ,$169.00 ,$143.65 ,$26.85 ,$135.20 ,$62.53 ,$135.20 ,$10.74 ,$10.74 ,$169.00 ,$91.60 ,$10.74 ,$44.45 , N/A , N/A ,$11.81 ,$11.28 ,$11.28 ,$143.65 ,$24.17 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,30101376,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$311.00 ,$202.15 ,$8.47 ,$311.00 ,$26.85 ,$21.96 ,$168.56 ,$10.74 ,$87.08 ,$44.48 ,$10.74 ,$44.48 ,$10.74 ,$118.80 ,$8.47 ,$10.74 ,$118.80 ,$20.41 ,$36.68 ,$158.61 ,$26.85 ,$10.74 ,$217.70 ,$10.74 ,$155.50 ,$10.95 ,$233.25 ,$157.06 ,$141.51 ,$157.06 ,$10.74 ,$157.06 ,$15.51 ,$15.51 ,$15.51 ,$311.00 ,$264.35 ,$26.85 ,$248.80 ,$115.07 ,$248.80 ,$10.74 ,$10.74 ,$311.00 ,$168.56 ,$10.74 ,$81.79 , N/A , N/A ,$11.81 ,$11.28 ,$11.28 ,$264.35 ,$24.17 ,$204.64 ,$87.08 ,$279.90 ,$223.92 ,$311.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$149.28 ,$279.90 ST. JOHN'S HOSPITAL,30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$187.00 ,$121.55 ,$11.28 ,$187.00 ,$44.58 ,$36.47 ,$101.35 ,$17.83 ,$52.36 ,$64.52 ,$17.83 ,$71.81 ,$17.83 ,$71.43 ,$14.07 ,$17.83 ,$71.43 ,$33.88 ,$60.38 ,$95.37 ,$44.58 ,$17.83 ,$130.90 ,$17.83 ,$93.50 ,$18.19 ,$140.25 ,$94.44 ,$85.09 ,$94.44 ,$17.83 ,$94.44 ,$25.75 ,$25.75 ,$25.75 ,$187.00 ,$158.95 ,$44.58 ,$149.60 ,$69.19 ,$149.60 ,$17.83 ,$17.83 ,$187.00 ,$101.35 ,$17.83 ,$49.18 , N/A , N/A ,$11.81 ,$11.28 ,$18.72 ,$158.95 ,$40.12 ,$123.05 ,$52.36 ,$168.30 ,$134.64 ,$187.00 ,$25.75 ,$35.66 ,$35.66 ,$17.83 ,$89.76 ,$168.30 ST. JOHN'S HOSPITAL,30101378,84166,HC PROTEIN EP OTH FLUID,301,1 ,$344.00 ,$223.60 ,$11.28 ,$344.00 ,$44.58 ,$36.47 ,$186.45 ,$17.83 ,$96.32 ,$73.84 ,$17.83 ,$73.84 ,$17.83 ,$131.41 ,$14.07 ,$17.83 ,$131.41 ,$33.88 ,$60.38 ,$175.44 ,$44.58 ,$17.83 ,$240.80 ,$17.83 ,$172.00 ,$18.19 ,$258.00 ,$173.72 ,$156.52 ,$173.72 ,$17.83 ,$173.72 ,$25.75 ,$25.75 ,$25.75 ,$344.00 ,$292.40 ,$44.58 ,$275.20 ,$127.28 ,$275.20 ,$17.83 ,$17.83 ,$344.00 ,$186.45 ,$17.83 ,$90.47 , N/A , N/A ,$11.81 ,$11.28 ,$18.72 ,$292.40 ,$40.12 ,$226.35 ,$96.32 ,$309.60 ,$247.68 ,$344.00 ,$25.75 ,$35.66 ,$35.66 ,$17.83 ,$165.12 ,$309.60 ST. JOHN'S HOSPITAL,30101379,84181,HC PROTEIN WESTERN BLOT-90,301,1 ,$231.00 ,$150.15 ,$10.10 ,$231.00 ,$42.58 ,$34.83 ,$125.20 ,$17.03 ,$64.68 ,$70.49 ,$17.03 ,$70.49 ,$17.03 ,$88.24 ,$13.43 ,$17.03 ,$88.24 ,$32.36 ,$57.99 ,$117.81 ,$42.58 ,$17.03 ,$161.70 ,$17.03 ,$115.50 ,$17.37 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$17.03 ,$116.66 ,$24.60 ,$24.60 ,$24.60 ,$231.00 ,$196.35 ,$42.58 ,$184.80 ,$85.47 ,$184.80 ,$17.03 ,$17.03 ,$231.00 ,$125.20 ,$17.03 ,$60.75 , N/A , N/A ,$10.58 ,$10.10 ,$17.88 ,$196.35 ,$38.32 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$24.60 ,$34.06 ,$34.06 ,$17.03 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,30101380,84182,HC PROTEIN WEST BLOT BAND ID-90,301,1 ,$199.00 ,$129.35 ,$17.41 ,$199.00 ,$73.03 ,$36.80 ,$107.86 ,$29.21 ,$55.72 ,$68.66 ,$29.21 ,$76.42 ,$29.21 ,$76.02 ,$20.74 ,$29.21 ,$76.02 ,$55.50 ,$99.44 ,$101.49 ,$73.03 ,$29.21 ,$139.30 ,$29.21 ,$99.50 ,$29.79 ,$149.25 ,$100.50 ,$90.55 ,$100.50 ,$29.21 ,$100.50 ,$37.97 ,$37.97 ,$37.97 ,$199.00 ,$169.15 ,$73.03 ,$159.20 ,$73.63 ,$159.20 ,$29.21 ,$29.21 ,$199.00 ,$107.86 ,$29.21 ,$52.34 , N/A , N/A ,$18.24 ,$17.41 ,$30.67 ,$169.15 ,$65.72 ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$37.97 ,$58.42 ,$58.42 ,$29.21 ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,30101381,84202,HC PROTOPORPHYRIN-90,301,1 ,$232.00 ,$150.80 ,$3.50 ,$232.00 ,$35.88 ,$29.33 ,$125.74 ,$14.35 ,$64.96 ,$59.39 ,$14.35 ,$59.39 ,$14.35 ,$88.62 ,$3.50 ,$14.35 ,$88.62 ,$27.27 ,$48.55 ,$118.32 ,$35.88 ,$14.35 ,$162.40 ,$14.35 ,$116.00 ,$14.64 ,$174.00 ,$117.16 ,$105.56 ,$117.16 ,$14.35 ,$117.16 ,$20.72 ,$20.72 ,$20.72 ,$232.00 ,$197.20 ,$35.88 ,$185.60 ,$85.84 ,$185.60 ,$14.35 ,$14.35 ,$232.00 ,$125.74 ,$14.35 ,$61.02 , N/A , N/A ,$11.81 ,$11.28 ,$15.07 ,$197.20 ,$32.29 ,$152.66 ,$64.96 ,$208.80 ,$167.04 ,$232.00 ,$20.72 ,$28.70 ,$28.70 ,$14.35 ,$111.36 ,$208.80 ST. JOHN'S HOSPITAL,30101382,84206,HC PROINSULIN-90,301,1 ,$381.00 ,$247.65 ,$3.50 ,$381.00 ,$66.73 ,$36.44 ,$206.50 ,$26.69 ,$106.68 ,$89.53 ,$26.69 ,$89.53 ,$26.69 ,$145.54 ,$3.50 ,$26.69 ,$145.54 ,$50.71 ,$89.99 ,$194.31 ,$66.73 ,$26.69 ,$266.70 ,$26.69 ,$190.50 ,$27.22 ,$285.75 ,$192.41 ,$173.36 ,$192.41 ,$26.69 ,$192.41 ,$34.70 ,$34.70 ,$34.70 ,$381.00 ,$323.85 ,$66.73 ,$304.80 ,$140.97 ,$304.80 ,$26.69 ,$26.69 ,$381.00 ,$206.50 ,$26.69 ,$100.20 , N/A , N/A ,$27.64 ,$26.39 ,$28.02 ,$323.85 ,$60.05 ,$250.70 ,$106.68 ,$342.90 ,$274.32 ,$381.00 ,$34.70 ,$53.38 ,$53.38 ,$26.69 ,$182.88 ,$342.90 ST. JOHN'S HOSPITAL,30101383,84207,HC VITAMIN B6-90,301,1 ,$110.00 ,$71.50 ,$3.50 ,$110.00 ,$70.25 ,$57.45 ,$59.62 ,$28.10 ,$30.80 ,$37.95 ,$28.10 ,$42.24 ,$28.10 ,$42.02 ,$3.50 ,$28.10 ,$42.02 ,$53.39 ,$95.90 ,$56.10 ,$70.25 ,$28.10 ,$77.00 ,$28.10 ,$55.00 ,$28.66 ,$82.50 ,$55.55 ,$50.05 ,$55.55 ,$28.10 ,$55.55 ,$40.59 ,$40.59 ,$40.59 ,$110.00 ,$93.50 ,$70.25 ,$88.00 ,$40.70 ,$88.00 ,$28.10 ,$28.10 ,$110.00 ,$59.62 ,$28.10 ,$28.93 , N/A , N/A ,$11.81 ,$11.28 ,$29.51 ,$93.50 ,$63.23 ,$72.38 ,$30.80 ,$99.00 ,$79.20 ,$110.00 ,$40.59 ,$56.20 ,$56.20 ,$28.10 ,$52.80 ,$99.00 ST. JOHN'S HOSPITAL,30101384,84210,HC PYRUVATE-90,301,1 ,$86.00 ,$55.90 ,$3.50 ,$86.00 ,$36.20 ,$22.19 ,$46.61 ,$14.48 ,$24.08 ,$29.67 ,$14.48 ,$33.02 ,$14.48 ,$32.85 ,$3.50 ,$14.48 ,$32.85 ,$27.51 ,$48.55 ,$43.86 ,$36.20 ,$14.48 ,$60.20 ,$14.48 ,$43.00 ,$14.77 ,$64.50 ,$43.43 ,$39.13 ,$43.43 ,$14.48 ,$43.43 ,$18.82 ,$18.82 ,$18.82 ,$86.00 ,$73.10 ,$36.20 ,$68.80 ,$31.82 ,$68.80 ,$14.48 ,$14.48 ,$86.00 ,$46.61 ,$14.48 ,$22.62 , N/A , N/A ,$11.81 ,$11.28 ,$15.20 ,$73.10 ,$32.58 ,$56.59 ,$24.08 ,$77.40 ,$61.92 ,$86.00 ,$18.82 ,$28.96 ,$28.96 ,$14.48 ,$41.28 ,$77.40 ST. JOHN'S HOSPITAL,30101385,84220,HC PYRUVATE KINASE-90,301,1 ,$193.00 ,$125.45 ,$3.50 ,$193.00 ,$23.60 ,$19.29 ,$104.61 ,$9.44 ,$54.04 ,$39.11 ,$9.44 ,$39.11 ,$9.44 ,$73.73 ,$3.50 ,$9.44 ,$73.73 ,$17.94 ,$31.95 ,$98.43 ,$23.60 ,$9.44 ,$135.10 ,$9.44 ,$96.50 ,$9.63 ,$144.75 ,$97.47 ,$87.82 ,$97.47 ,$9.44 ,$97.47 ,$13.64 ,$13.64 ,$13.64 ,$193.00 ,$164.05 ,$23.60 ,$154.40 ,$71.41 ,$154.40 ,$9.44 ,$9.44 ,$193.00 ,$104.61 ,$9.44 ,$50.76 , N/A , N/A ,$11.81 ,$11.28 ,$9.91 ,$164.05 ,$21.24 ,$126.99 ,$54.04 ,$173.70 ,$138.96 ,$193.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$92.64 ,$173.70 ST. JOHN'S HOSPITAL,30101386,84238,HC RECEPTOR ASSAY NON ENDO-90,301,1 ,$495.00 ,$321.75 ,$3.50 ,$495.00 ,$91.43 ,$74.78 ,$268.29 ,$36.57 ,$138.60 ,$151.39 ,$36.57 ,$151.39 ,$36.57 ,$189.09 ,$3.50 ,$36.57 ,$189.09 ,$69.48 ,$124.29 ,$252.45 ,$91.43 ,$36.57 ,$346.50 ,$36.57 ,$247.50 ,$37.30 ,$371.25 ,$249.98 ,$225.23 ,$249.98 ,$36.57 ,$249.98 ,$52.82 ,$52.82 ,$52.82 ,$495.00 ,$420.75 ,$91.43 ,$396.00 ,$183.15 ,$396.00 ,$36.57 ,$36.57 ,$495.00 ,$268.29 ,$36.57 ,$130.19 , N/A , N/A ,$31.80 ,$30.36 ,$38.40 ,$420.75 ,$82.28 ,$325.71 ,$138.60 ,$445.50 ,$356.40 ,$495.00 ,$52.82 ,$73.14 ,$73.14 ,$36.57 ,$237.60 ,$445.50 ST. JOHN'S HOSPITAL,30101387,84244,HC RENIN-90,301,1 ,$86.00 ,$55.90 ,$3.50 ,$86.00 ,$54.98 ,$44.98 ,$46.61 ,$21.99 ,$24.08 ,$29.67 ,$21.99 ,$33.02 ,$21.99 ,$32.85 ,$3.50 ,$21.99 ,$32.85 ,$41.78 ,$74.59 ,$43.86 ,$54.98 ,$21.99 ,$60.20 ,$21.99 ,$43.00 ,$22.43 ,$64.50 ,$43.43 ,$39.13 ,$43.43 ,$21.99 ,$43.43 ,$31.77 ,$31.77 ,$31.77 ,$86.00 ,$73.10 ,$54.98 ,$68.80 ,$31.82 ,$68.80 ,$21.99 ,$21.99 ,$86.00 ,$46.61 ,$21.99 ,$22.62 , N/A , N/A ,$27.64 ,$26.39 ,$23.09 ,$73.10 ,$49.48 ,$56.59 ,$24.08 ,$77.40 ,$61.92 ,$86.00 ,$31.77 ,$43.98 ,$43.98 ,$21.99 ,$41.28 ,$77.40 ST. JOHN'S HOSPITAL,30101388,84255,HC SELENIUM-90,301,1 ,$95.00 ,$61.75 ,$3.50 ,$95.00 ,$63.83 ,$52.22 ,$51.49 ,$25.53 ,$26.60 ,$32.78 ,$25.53 ,$36.48 ,$25.53 ,$36.29 ,$3.50 ,$25.53 ,$36.29 ,$48.51 ,$86.42 ,$48.45 ,$63.83 ,$25.53 ,$66.50 ,$25.53 ,$47.50 ,$26.04 ,$71.25 ,$47.98 ,$43.23 ,$47.98 ,$25.53 ,$47.98 ,$36.88 ,$36.88 ,$36.88 ,$95.00 ,$80.75 ,$63.83 ,$76.00 ,$35.15 ,$76.00 ,$25.53 ,$25.53 ,$95.00 ,$51.49 ,$25.53 ,$24.99 , N/A , N/A ,$11.81 ,$11.28 ,$26.81 ,$80.75 ,$57.44 ,$62.51 ,$26.60 ,$85.50 ,$68.40 ,$95.00 ,$36.88 ,$51.06 ,$51.06 ,$25.53 ,$45.60 ,$85.50 ST. JOHN'S HOSPITAL,30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$128.00 ,$83.20 ,$3.50 ,$128.00 ,$50.60 ,$41.39 ,$69.38 ,$20.24 ,$35.84 ,$44.16 ,$20.24 ,$49.15 ,$20.24 ,$48.90 ,$3.50 ,$20.24 ,$48.90 ,$38.46 ,$68.67 ,$65.28 ,$50.60 ,$20.24 ,$89.60 ,$20.24 ,$64.00 ,$20.64 ,$96.00 ,$64.64 ,$58.24 ,$64.64 ,$20.24 ,$64.64 ,$29.24 ,$29.24 ,$29.24 ,$128.00 ,$108.80 ,$50.60 ,$102.40 ,$47.36 ,$102.40 ,$20.24 ,$20.24 ,$128.00 ,$69.38 ,$20.24 ,$33.66 , N/A , N/A ,$11.81 ,$11.28 ,$21.25 ,$108.80 ,$45.54 ,$84.22 ,$35.84 ,$115.20 ,$92.16 ,$128.00 ,$29.24 ,$40.48 ,$40.48 ,$20.24 ,$61.44 ,$115.20 ST. JOHN'S HOSPITAL,30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$54.33 ,$44.43 ,$46.07 ,$21.73 ,$23.80 ,$29.33 ,$21.73 ,$32.64 ,$21.73 ,$32.47 ,$3.50 ,$21.73 ,$32.47 ,$41.29 ,$73.40 ,$43.35 ,$54.33 ,$21.73 ,$59.50 ,$21.73 ,$42.50 ,$22.16 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$21.73 ,$42.93 ,$31.40 ,$31.40 ,$31.40 ,$85.00 ,$72.25 ,$54.33 ,$68.00 ,$31.45 ,$68.00 ,$21.73 ,$21.73 ,$85.00 ,$46.07 ,$21.73 ,$22.36 , N/A , N/A ,$11.81 ,$11.28 ,$22.82 ,$72.25 ,$48.89 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$31.40 ,$43.46 ,$43.46 ,$21.73 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30101392,84260,HC SEROTONIN-90,301,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$77.45 ,$11.85 ,$49.86 ,$30.98 ,$25.76 ,$31.74 ,$30.98 ,$35.33 ,$30.98 ,$35.14 ,$3.50 ,$30.98 ,$35.14 ,$58.86 ,$92.00 ,$46.92 ,$77.45 ,$30.98 ,$64.40 ,$30.98 ,$46.00 ,$31.60 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$30.98 ,$46.46 ,$44.76 ,$44.76 ,$44.76 ,$92.00 ,$78.20 ,$77.45 ,$73.60 ,$34.04 ,$73.60 ,$30.98 ,$30.98 ,$92.00 ,$49.86 ,$30.98 ,$24.20 , N/A , N/A ,$27.64 ,$26.39 ,$32.53 ,$78.20 ,$69.71 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$44.76 ,$61.96 ,$61.96 ,$30.98 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30101393,84295,HC SODIUM,301,1 ,$34.00 ,$22.10 ,$3.50 ,$34.00 ,$12.03 ,$9.85 ,$18.43 ,$4.81 ,$9.52 ,$11.73 ,$4.81 ,$13.06 ,$4.81 ,$12.99 ,$3.50 ,$4.81 ,$12.99 ,$9.14 ,$16.59 ,$17.34 ,$12.03 ,$4.81 ,$23.80 ,$4.81 ,$17.00 ,$4.91 ,$25.50 ,$17.17 ,$15.47 ,$17.17 ,$4.81 ,$17.17 ,$6.96 ,$6.96 ,$6.96 ,$34.00 ,$28.90 ,$12.03 ,$27.20 ,$12.58 ,$27.20 ,$4.81 ,$4.81 ,$34.00 ,$18.43 ,$4.81 ,$8.94 , N/A , N/A ,$5.26 ,$5.02 ,$5.05 ,$28.90 ,$10.82 ,$22.37 ,$9.52 ,$30.60 ,$24.48 ,$34.00 ,$6.96 ,$9.62 ,$9.62 ,$4.81 ,$16.32 ,$30.60 ST. JOHN'S HOSPITAL,30101394,84300,HC SODIUM URINE-90,301,1 ,$89.00 ,$57.85 ,$3.50 ,$89.00 ,$12.65 ,$9.96 ,$48.24 ,$5.06 ,$24.92 ,$20.12 ,$5.06 ,$20.12 ,$5.06 ,$34.00 ,$3.50 ,$5.06 ,$34.00 ,$9.61 ,$17.74 ,$45.39 ,$12.65 ,$5.06 ,$62.30 ,$5.06 ,$44.50 ,$5.16 ,$66.75 ,$44.95 ,$40.50 ,$44.95 ,$5.06 ,$44.95 ,$7.02 ,$7.02 ,$7.02 ,$89.00 ,$75.65 ,$12.65 ,$71.20 ,$32.93 ,$71.20 ,$5.06 ,$5.06 ,$89.00 ,$48.24 ,$5.06 ,$23.41 , N/A , N/A ,$5.26 ,$5.02 ,$5.31 ,$75.65 ,$11.39 ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$7.02 ,$10.12 ,$10.12 ,$5.06 ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$21.00 ,$13.65 ,$3.50 ,$21.00 ,$12.15 ,$9.96 ,$11.38 ,$4.86 ,$5.88 ,$7.25 ,$4.86 ,$8.06 ,$4.86 ,$8.02 ,$3.50 ,$4.86 ,$8.02 ,$9.23 ,$16.59 ,$10.71 ,$12.15 ,$4.86 ,$14.70 ,$4.86 ,$10.50 ,$4.96 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$4.86 ,$10.61 ,$7.02 ,$7.02 ,$7.02 ,$21.00 ,$17.85 ,$12.15 ,$16.80 ,$7.77 ,$16.80 ,$4.86 ,$4.86 ,$21.00 ,$11.38 ,$4.86 ,$5.52 , N/A , N/A ,$5.26 ,$5.02 ,$5.10 ,$17.85 ,$10.94 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$7.02 ,$9.72 ,$9.72 ,$4.86 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,30101396,84305,HC SOMATOMEDIN-90,301,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$53.15 ,$43.47 ,$47.70 ,$21.26 ,$24.64 ,$30.36 ,$21.26 ,$33.79 ,$21.26 ,$33.62 ,$3.50 ,$21.26 ,$33.62 ,$40.39 ,$72.21 ,$44.88 ,$53.15 ,$21.26 ,$61.60 ,$21.26 ,$44.00 ,$21.69 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$21.26 ,$44.44 ,$30.72 ,$30.72 ,$30.72 ,$88.00 ,$74.80 ,$53.15 ,$70.40 ,$32.56 ,$70.40 ,$21.26 ,$21.26 ,$88.00 ,$47.70 ,$21.26 ,$23.14 , N/A , N/A ,$27.64 ,$26.39 ,$22.32 ,$74.80 ,$47.84 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$30.72 ,$42.52 ,$42.52 ,$21.26 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$22.00 ,$14.30 ,$3.50 ,$22.00 ,$20.25 ,$14.30 ,$11.92 ,$8.10 ,$6.16 ,$7.59 ,$8.10 ,$8.45 ,$8.10 ,$8.40 ,$3.50 ,$8.10 ,$8.40 ,$15.39 ,$22.00 ,$11.22 ,$20.25 ,$8.10 ,$15.40 ,$8.10 ,$11.00 ,$8.26 ,$16.50 ,$11.11 ,$10.01 ,$11.11 ,$8.10 ,$11.11 ,$10.53 ,$10.53 ,$10.53 ,$22.00 ,$18.70 ,$20.25 ,$17.60 ,$8.14 ,$17.60 ,$8.10 ,$8.10 ,$22.00 ,$11.92 ,$8.10 ,$5.79 , N/A , N/A ,$11.81 ,$11.28 ,$8.51 ,$18.70 ,$18.23 ,$14.48 ,$6.16 ,$19.80 ,$15.84 ,$22.00 ,$10.53 ,$16.20 ,$16.20 ,$8.10 ,$10.56 ,$19.80 ST. JOHN'S HOSPITAL,30101399,84311,HC SPECTROPHOTOMETRY FECAL-90,301,1 ,$181.00 ,$117.65 ,$3.50 ,$181.00 ,$20.25 ,$14.30 ,$98.10 ,$8.10 ,$50.68 ,$28.95 ,$8.10 ,$28.95 ,$8.10 ,$69.14 ,$3.50 ,$8.10 ,$69.14 ,$15.39 ,$27.23 ,$92.31 ,$20.25 ,$8.10 ,$126.70 ,$8.10 ,$90.50 ,$8.26 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$8.10 ,$91.41 ,$10.53 ,$10.53 ,$10.53 ,$181.00 ,$153.85 ,$20.25 ,$144.80 ,$66.97 ,$144.80 ,$8.10 ,$8.10 ,$181.00 ,$98.10 ,$8.10 ,$47.60 , N/A , N/A ,$11.81 ,$11.28 ,$8.51 ,$153.85 ,$18.23 ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$10.53 ,$16.20 ,$16.20 ,$8.10 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,30101402,84376,HC SUGARS SINGLE QL-90,301,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$13.75 ,$11.25 ,$69.92 ,$5.50 ,$36.12 ,$22.76 ,$5.50 ,$22.76 ,$5.50 ,$49.28 ,$3.50 ,$5.50 ,$49.28 ,$10.45 ,$18.93 ,$65.79 ,$13.75 ,$5.50 ,$90.30 ,$5.50 ,$64.50 ,$5.61 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$5.50 ,$65.15 ,$7.94 ,$7.94 ,$7.94 ,$129.00 ,$109.65 ,$13.75 ,$103.20 ,$47.73 ,$103.20 ,$5.50 ,$5.50 ,$129.00 ,$69.92 ,$5.50 ,$33.93 , N/A , N/A ,$5.26 ,$5.02 ,$5.78 ,$109.65 ,$12.38 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$7.94 ,$11.00 ,$11.00 ,$5.50 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30101403,84378,HC SUGARS SINGLE QN-90,301,1 ,$196.00 ,$127.40 ,$3.50 ,$196.00 ,$28.83 ,$23.56 ,$106.23 ,$11.53 ,$54.88 ,$47.73 ,$11.53 ,$47.73 ,$11.53 ,$74.87 ,$3.50 ,$11.53 ,$74.87 ,$21.91 ,$39.06 ,$99.96 ,$28.83 ,$11.53 ,$137.20 ,$11.53 ,$98.00 ,$11.76 ,$147.00 ,$98.98 ,$89.18 ,$98.98 ,$11.53 ,$98.98 ,$16.65 ,$16.65 ,$16.65 ,$196.00 ,$166.60 ,$28.83 ,$156.80 ,$72.52 ,$156.80 ,$11.53 ,$11.53 ,$196.00 ,$106.23 ,$11.53 ,$51.55 , N/A , N/A ,$11.81 ,$11.28 ,$12.11 ,$166.60 ,$25.94 ,$128.97 ,$54.88 ,$176.40 ,$141.12 ,$196.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$94.08 ,$176.40 ST. JOHN'S HOSPITAL,30101404,84378,HC SUGARS SINGLE QN,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$28.83 ,$23.56 ,$34.69 ,$11.53 ,$17.92 ,$22.08 ,$11.53 ,$24.58 ,$11.53 ,$24.45 ,$3.50 ,$11.53 ,$24.45 ,$21.91 ,$39.06 ,$32.64 ,$28.83 ,$11.53 ,$44.80 ,$11.53 ,$32.00 ,$11.76 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$11.53 ,$32.32 ,$16.65 ,$16.65 ,$16.65 ,$64.00 ,$54.40 ,$28.83 ,$51.20 ,$23.68 ,$51.20 ,$11.53 ,$11.53 ,$64.00 ,$34.69 ,$11.53 ,$16.83 , N/A , N/A ,$11.81 ,$11.28 ,$12.11 ,$54.40 ,$25.94 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101405,84392,HC SULFATE URINE-90,301,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$13.73 ,$9.71 ,$30.89 ,$5.49 ,$15.96 ,$19.66 ,$5.49 ,$19.66 ,$5.49 ,$21.77 ,$3.50 ,$5.49 ,$21.77 ,$10.43 ,$18.93 ,$29.07 ,$13.73 ,$5.49 ,$39.90 ,$5.49 ,$28.50 ,$5.60 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$5.49 ,$28.79 ,$7.14 ,$7.14 ,$7.14 ,$57.00 ,$48.45 ,$13.73 ,$45.60 ,$21.09 ,$45.60 ,$5.49 ,$5.49 ,$57.00 ,$30.89 ,$5.49 ,$14.99 , N/A , N/A ,$4.21 ,$4.02 ,$5.76 ,$48.45 ,$12.35 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$7.14 ,$10.98 ,$10.98 ,$5.49 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$93.00 ,$60.45 ,$3.50 ,$93.00 ,$63.68 ,$52.06 ,$50.41 ,$25.47 ,$26.04 ,$32.09 ,$25.47 ,$35.71 ,$25.47 ,$35.53 ,$3.50 ,$25.47 ,$35.53 ,$48.39 ,$86.42 ,$47.43 ,$63.68 ,$25.47 ,$65.10 ,$25.47 ,$46.50 ,$25.98 ,$69.75 ,$46.97 ,$42.32 ,$46.97 ,$25.47 ,$46.97 ,$36.79 ,$36.79 ,$36.79 ,$93.00 ,$79.05 ,$63.68 ,$74.40 ,$34.41 ,$74.40 ,$25.47 ,$25.47 ,$93.00 ,$50.41 ,$25.47 ,$24.46 , N/A , N/A ,$27.64 ,$26.39 ,$26.74 ,$79.05 ,$57.31 ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$36.79 ,$50.94 ,$50.94 ,$25.47 ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$102.00 ,$66.30 ,$3.50 ,$102.00 ,$64.53 ,$52.80 ,$55.28 ,$25.81 ,$28.56 ,$35.19 ,$25.81 ,$39.17 ,$25.81 ,$38.96 ,$3.50 ,$25.81 ,$38.96 ,$49.04 ,$87.61 ,$52.02 ,$64.53 ,$25.81 ,$71.40 ,$25.81 ,$51.00 ,$26.33 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$25.81 ,$51.51 ,$37.28 ,$37.28 ,$37.28 ,$102.00 ,$86.70 ,$64.53 ,$81.60 ,$37.74 ,$81.60 ,$25.81 ,$25.81 ,$102.00 ,$55.28 ,$25.81 ,$26.83 , N/A , N/A ,$27.64 ,$26.39 ,$27.10 ,$86.70 ,$58.07 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$37.28 ,$51.62 ,$51.62 ,$25.81 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30101408,84425,HC VITAMIN B1-90,301,1 ,$59.00 ,$38.35 ,$3.50 ,$59.00 ,$53.08 ,$43.42 ,$31.98 ,$21.23 ,$16.52 ,$20.36 ,$21.23 ,$22.66 ,$21.23 ,$22.54 ,$3.50 ,$21.23 ,$22.54 ,$40.34 ,$59.00 ,$30.09 ,$53.08 ,$21.23 ,$41.30 ,$21.23 ,$29.50 ,$21.65 ,$44.25 ,$29.80 ,$26.85 ,$29.80 ,$21.23 ,$29.80 ,$30.67 ,$30.67 ,$30.67 ,$59.00 ,$50.15 ,$53.08 ,$47.20 ,$21.83 ,$47.20 ,$21.23 ,$21.23 ,$59.00 ,$31.98 ,$21.23 ,$15.52 , N/A , N/A ,$11.81 ,$11.28 ,$22.29 ,$50.15 ,$47.77 ,$38.82 ,$16.52 ,$53.10 ,$42.48 ,$59.00 ,$30.67 ,$42.46 ,$42.46 ,$21.23 ,$28.32 ,$53.10 ST. JOHN'S HOSPITAL,30101409,84430,HC THIOCYANATE-90,301,1 ,$123.00 ,$79.95 ,$3.50 ,$123.00 ,$29.08 ,$23.78 ,$66.67 ,$11.63 ,$34.44 ,$42.44 ,$11.63 ,$47.23 ,$11.63 ,$46.99 ,$3.50 ,$11.63 ,$46.99 ,$22.10 ,$39.06 ,$62.73 ,$29.08 ,$11.63 ,$86.10 ,$11.63 ,$61.50 ,$11.86 ,$92.25 ,$62.12 ,$55.97 ,$62.12 ,$11.63 ,$62.12 ,$16.81 ,$16.81 ,$16.81 ,$123.00 ,$104.55 ,$29.08 ,$98.40 ,$45.51 ,$98.40 ,$11.63 ,$11.63 ,$123.00 ,$66.67 ,$11.63 ,$32.35 , N/A , N/A ,$14.41 ,$13.76 ,$12.21 ,$104.55 ,$26.17 ,$80.93 ,$34.44 ,$110.70 ,$88.56 ,$123.00 ,$16.81 ,$23.26 ,$23.26 ,$11.63 ,$59.04 ,$110.70 ST. JOHN'S HOSPITAL,30101410,84432,HC THYROGLOBULIN-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$40.15 ,$32.85 ,$34.69 ,$16.06 ,$17.92 ,$22.08 ,$16.06 ,$24.58 ,$16.06 ,$24.45 ,$3.50 ,$16.06 ,$24.45 ,$30.51 ,$54.46 ,$32.64 ,$40.15 ,$16.06 ,$44.80 ,$16.06 ,$32.00 ,$16.38 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$16.06 ,$32.32 ,$23.19 ,$23.19 ,$23.19 ,$64.00 ,$54.40 ,$40.15 ,$51.20 ,$23.68 ,$51.20 ,$16.06 ,$16.06 ,$64.00 ,$34.69 ,$16.06 ,$16.83 , N/A , N/A ,$27.64 ,$26.39 ,$16.86 ,$54.40 ,$36.14 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$23.19 ,$32.12 ,$32.12 ,$16.06 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101411,84432,HC THYROGLOBULIN FNA-90,301,1 ,$651.00 ,$423.15 ,$3.50 ,$651.00 ,$40.15 ,$32.85 ,$352.84 ,$16.06 ,$182.28 ,$66.51 ,$16.06 ,$66.51 ,$16.06 ,$248.68 ,$3.50 ,$16.06 ,$248.68 ,$30.51 ,$54.46 ,$332.01 ,$40.15 ,$16.06 ,$455.70 ,$16.06 ,$325.50 ,$16.38 ,$488.25 ,$328.76 ,$296.21 ,$328.76 ,$16.06 ,$328.76 ,$23.19 ,$23.19 ,$23.19 ,$651.00 ,$553.35 ,$40.15 ,$520.80 ,$240.87 ,$520.80 ,$16.06 ,$16.06 ,$651.00 ,$352.84 ,$16.06 ,$171.21 , N/A , N/A ,$27.64 ,$26.39 ,$16.86 ,$553.35 ,$36.14 ,$428.36 ,$182.28 ,$585.90 ,$468.72 ,$651.00 ,$23.19 ,$32.12 ,$32.12 ,$16.06 ,$312.48 ,$585.90 ST. JOHN'S HOSPITAL,30101413,84439,HC T4 FREE-90,301,1 ,$168.00 ,$109.20 ,$3.50 ,$168.00 ,$22.55 ,$18.45 ,$91.06 ,$9.02 ,$47.04 ,$37.31 ,$9.02 ,$37.31 ,$9.02 ,$64.18 ,$3.50 ,$9.02 ,$64.18 ,$17.14 ,$30.76 ,$85.68 ,$22.55 ,$9.02 ,$117.60 ,$9.02 ,$84.00 ,$9.20 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$9.02 ,$84.84 ,$13.03 ,$13.03 ,$13.03 ,$168.00 ,$142.80 ,$22.55 ,$134.40 ,$62.16 ,$134.40 ,$9.02 ,$9.02 ,$168.00 ,$91.06 ,$9.02 ,$44.18 , N/A , N/A ,$15.90 ,$15.17 ,$9.47 ,$142.80 ,$20.30 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$13.03 ,$18.04 ,$18.04 ,$9.02 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$36.95 ,$30.24 ,$29.81 ,$14.78 ,$15.40 ,$18.98 ,$14.78 ,$21.12 ,$14.78 ,$21.01 ,$3.50 ,$14.78 ,$21.01 ,$28.08 ,$49.74 ,$28.05 ,$36.95 ,$14.78 ,$38.50 ,$14.78 ,$27.50 ,$15.08 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$14.78 ,$27.78 ,$21.36 ,$21.36 ,$21.36 ,$55.00 ,$46.75 ,$36.95 ,$44.00 ,$20.35 ,$44.00 ,$14.78 ,$14.78 ,$55.00 ,$29.81 ,$14.78 ,$14.47 , N/A , N/A ,$15.90 ,$15.17 ,$15.52 ,$46.75 ,$33.26 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$21.36 ,$29.56 ,$29.56 ,$14.78 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$199.00 ,$129.35 ,$3.50 ,$199.00 ,$127.15 ,$103.99 ,$107.86 ,$50.86 ,$55.72 ,$68.66 ,$50.86 ,$76.42 ,$50.86 ,$76.02 ,$3.50 ,$50.86 ,$76.02 ,$96.63 ,$172.83 ,$101.49 ,$127.15 ,$50.86 ,$139.30 ,$50.86 ,$99.50 ,$51.88 ,$149.25 ,$100.50 ,$90.55 ,$100.50 ,$50.86 ,$100.50 ,$73.46 ,$73.46 ,$73.46 ,$199.00 ,$169.15 ,$127.15 ,$159.20 ,$73.63 ,$159.20 ,$50.86 ,$50.86 ,$199.00 ,$107.86 ,$50.86 ,$52.34 , N/A , N/A ,$27.64 ,$26.39 ,$53.40 ,$169.15 ,$114.44 ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$73.46 ,$101.72 ,$101.72 ,$50.86 ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,30101418,84446,HC VITAMIN E-90,301,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$35.45 ,$29.00 ,$19.51 ,$14.18 ,$10.08 ,$12.42 ,$14.18 ,$13.82 ,$14.18 ,$13.75 ,$3.50 ,$14.18 ,$13.75 ,$26.94 ,$36.00 ,$18.36 ,$35.45 ,$14.18 ,$25.20 ,$14.18 ,$18.00 ,$14.46 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$14.18 ,$18.18 ,$20.48 ,$20.48 ,$20.48 ,$36.00 ,$30.60 ,$35.45 ,$28.80 ,$13.32 ,$28.80 ,$14.18 ,$14.18 ,$36.00 ,$19.51 ,$14.18 ,$9.47 , N/A , N/A ,$11.81 ,$11.28 ,$14.89 ,$30.60 ,$31.91 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$20.48 ,$28.36 ,$28.36 ,$14.18 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30101419,84460,HC ALT-90,301,1 ,$38.00 ,$24.70 ,$3.50 ,$38.00 ,$13.25 ,$10.82 ,$20.60 ,$5.30 ,$10.64 ,$13.11 ,$5.30 ,$14.59 ,$5.30 ,$14.52 ,$3.50 ,$5.30 ,$14.52 ,$10.07 ,$17.74 ,$19.38 ,$13.25 ,$5.30 ,$26.60 ,$5.30 ,$19.00 ,$5.41 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$5.30 ,$19.19 ,$7.66 ,$7.66 ,$7.66 ,$38.00 ,$32.30 ,$13.25 ,$30.40 ,$14.06 ,$30.40 ,$5.30 ,$5.30 ,$38.00 ,$20.60 ,$5.30 ,$9.99 , N/A , N/A ,$5.26 ,$5.02 ,$5.57 ,$32.30 ,$11.93 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$7.66 ,$10.60 ,$10.60 ,$5.30 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30101420,84466,HC TRANSFERRIN-90,301,1 ,$143.00 ,$92.95 ,$3.50 ,$143.00 ,$31.90 ,$26.11 ,$77.51 ,$12.76 ,$40.04 ,$49.34 ,$12.76 ,$52.84 ,$12.76 ,$54.63 ,$3.50 ,$12.76 ,$54.63 ,$24.24 ,$43.78 ,$72.93 ,$31.90 ,$12.76 ,$100.10 ,$12.76 ,$71.50 ,$13.02 ,$107.25 ,$72.22 ,$65.07 ,$72.22 ,$12.76 ,$72.22 ,$18.43 ,$18.43 ,$18.43 ,$143.00 ,$121.55 ,$31.90 ,$114.40 ,$52.91 ,$114.40 ,$12.76 ,$12.76 ,$143.00 ,$77.51 ,$12.76 ,$37.61 , N/A , N/A ,$11.81 ,$11.28 ,$13.40 ,$121.55 ,$28.71 ,$94.09 ,$40.04 ,$128.70 ,$102.96 ,$143.00 ,$18.43 ,$25.52 ,$25.52 ,$12.76 ,$68.64 ,$128.70 ST. JOHN'S HOSPITAL,30101421,84478,HC TRIGLYCERIDES-90,301,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$14.35 ,$11.76 ,$48.78 ,$5.74 ,$25.20 ,$31.05 ,$5.74 ,$32.20 ,$5.74 ,$34.38 ,$3.50 ,$5.74 ,$34.38 ,$10.91 ,$18.93 ,$45.90 ,$14.35 ,$5.74 ,$63.00 ,$5.74 ,$45.00 ,$5.85 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$5.74 ,$45.45 ,$8.29 ,$8.29 ,$8.29 ,$90.00 ,$76.50 ,$14.35 ,$72.00 ,$33.30 ,$72.00 ,$5.74 ,$5.74 ,$90.00 ,$48.78 ,$5.74 ,$23.67 , N/A , N/A ,$5.26 ,$5.02 ,$6.03 ,$76.50 ,$12.92 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$8.29 ,$11.48 ,$11.48 ,$5.74 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101425,84482,HC T3 REVERSE-90,301,1 ,$204.00 ,$132.60 ,$3.50 ,$204.00 ,$39.40 ,$32.24 ,$110.57 ,$15.76 ,$57.12 ,$65.27 ,$15.76 ,$65.27 ,$15.76 ,$77.93 ,$3.50 ,$15.76 ,$77.93 ,$29.94 ,$53.27 ,$104.04 ,$39.40 ,$15.76 ,$142.80 ,$15.76 ,$102.00 ,$16.08 ,$153.00 ,$103.02 ,$92.82 ,$103.02 ,$15.76 ,$103.02 ,$22.76 ,$22.76 ,$22.76 ,$204.00 ,$173.40 ,$39.40 ,$163.20 ,$75.48 ,$163.20 ,$15.76 ,$15.76 ,$204.00 ,$110.57 ,$15.76 ,$53.65 , N/A , N/A ,$15.90 ,$15.17 ,$16.55 ,$173.40 ,$35.46 ,$134.23 ,$57.12 ,$183.60 ,$146.88 ,$204.00 ,$22.76 ,$31.52 ,$31.52 ,$15.76 ,$97.92 ,$183.60 ST. JOHN'S HOSPITAL,30101426,84484,HC TROPONIN QN-90,301,1 ,$262.00 ,$170.30 ,$3.50 ,$262.00 ,$31.18 ,$20.13 ,$142.00 ,$12.47 ,$73.36 ,$41.85 ,$12.47 ,$41.85 ,$12.47 ,$100.08 ,$3.50 ,$12.47 ,$100.08 ,$23.69 ,$42.63 ,$133.62 ,$31.18 ,$12.47 ,$183.40 ,$12.47 ,$131.00 ,$12.72 ,$196.50 ,$132.31 ,$119.21 ,$132.31 ,$12.47 ,$132.31 ,$16.21 ,$16.21 ,$16.21 ,$262.00 ,$222.70 ,$31.18 ,$209.60 ,$96.94 ,$209.60 ,$12.47 ,$12.47 ,$262.00 ,$142.00 ,$12.47 ,$68.91 , N/A , N/A ,$11.81 ,$11.28 ,$13.09 ,$222.70 ,$28.06 ,$172.40 ,$73.36 ,$235.80 ,$188.64 ,$262.00 ,$16.21 ,$24.94 ,$24.94 ,$12.47 ,$125.76 ,$235.80 ST. JOHN'S HOSPITAL,30101427,84484,HC TROPONIN QN,301,1 ,$217.00 ,$141.05 ,$3.50 ,$217.00 ,$31.18 ,$20.13 ,$117.61 ,$12.47 ,$60.76 ,$41.85 ,$12.47 ,$41.85 ,$12.47 ,$82.89 ,$3.50 ,$12.47 ,$82.89 ,$23.69 ,$42.63 ,$110.67 ,$31.18 ,$12.47 ,$151.90 ,$12.47 ,$108.50 ,$12.72 ,$162.75 ,$109.59 ,$98.74 ,$109.59 ,$12.47 ,$109.59 ,$16.21 ,$16.21 ,$16.21 ,$217.00 ,$184.45 ,$31.18 ,$173.60 ,$80.29 ,$173.60 ,$12.47 ,$12.47 ,$217.00 ,$117.61 ,$12.47 ,$57.07 , N/A , N/A ,$11.81 ,$11.28 ,$13.09 ,$184.45 ,$28.06 ,$142.79 ,$60.76 ,$195.30 ,$156.24 ,$217.00 ,$16.21 ,$24.94 ,$24.94 ,$12.47 ,$104.16 ,$195.30 ST. JOHN'S HOSPITAL,30101428,84488,HC TRYPSIN FECES QL-90,301,1 ,$70.00 ,$45.50 ,$3.50 ,$70.00 ,$18.25 ,$14.93 ,$37.94 ,$7.30 ,$19.60 ,$24.15 ,$7.30 ,$26.88 ,$7.30 ,$26.74 ,$3.50 ,$7.30 ,$26.74 ,$13.87 ,$24.85 ,$35.70 ,$18.25 ,$7.30 ,$49.00 ,$7.30 ,$35.00 ,$7.45 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$7.30 ,$35.35 ,$10.54 ,$10.54 ,$10.54 ,$70.00 ,$59.50 ,$18.25 ,$56.00 ,$25.90 ,$56.00 ,$7.30 ,$7.30 ,$70.00 ,$37.94 ,$7.30 ,$18.41 , N/A , N/A ,$11.81 ,$11.28 ,$7.67 ,$59.50 ,$16.43 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$10.54 ,$14.60 ,$14.60 ,$7.30 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30101429,84510,HC TYROSINE-90,301,1 ,$117.00 ,$76.05 ,$3.50 ,$117.00 ,$26.58 ,$21.28 ,$63.41 ,$10.63 ,$32.76 ,$40.37 ,$10.63 ,$43.09 ,$10.63 ,$44.69 ,$3.50 ,$10.63 ,$44.69 ,$20.20 ,$35.53 ,$59.67 ,$26.58 ,$10.63 ,$81.90 ,$10.63 ,$58.50 ,$10.84 ,$87.75 ,$59.09 ,$53.24 ,$59.09 ,$10.63 ,$59.09 ,$15.03 ,$15.03 ,$15.03 ,$117.00 ,$99.45 ,$26.58 ,$93.60 ,$43.29 ,$93.60 ,$10.63 ,$10.63 ,$117.00 ,$63.41 ,$10.63 ,$30.77 , N/A , N/A ,$11.81 ,$11.28 ,$11.16 ,$99.45 ,$23.92 ,$76.99 ,$32.76 ,$105.30 ,$84.24 ,$117.00 ,$15.03 ,$21.26 ,$21.26 ,$10.63 ,$56.16 ,$105.30 ST. JOHN'S HOSPITAL,30101431,84520,HC BUN,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$9.88 ,$8.09 ,$24.93 ,$3.95 ,$12.88 ,$15.87 ,$3.95 ,$17.66 ,$3.95 ,$17.57 ,$3.50 ,$3.95 ,$17.57 ,$7.51 ,$13.02 ,$23.46 ,$9.88 ,$3.95 ,$32.20 ,$3.95 ,$23.00 ,$4.03 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$3.95 ,$23.23 ,$5.71 ,$5.71 ,$5.71 ,$46.00 ,$39.10 ,$9.88 ,$36.80 ,$17.02 ,$36.80 ,$3.95 ,$3.95 ,$3.95 ,$24.93 ,$3.95 ,$12.10 , N/A , N/A ,$5.26 ,$5.02 ,$4.15 ,$39.10 ,$8.89 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$5.71 ,$7.90 ,$7.90 ,$3.95 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30101432,84520,HC BUN,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$9.88 ,$8.09 ,$24.93 ,$3.95 ,$12.88 ,$15.87 ,$3.95 ,$17.66 ,$3.95 ,$17.57 ,$3.50 ,$3.95 ,$17.57 ,$7.51 ,$13.02 ,$23.46 ,$9.88 ,$3.95 ,$32.20 ,$3.95 ,$23.00 ,$4.03 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$3.95 ,$23.23 ,$5.71 ,$5.71 ,$5.71 ,$46.00 ,$39.10 ,$9.88 ,$36.80 ,$17.02 ,$36.80 ,$3.95 ,$3.95 ,$3.95 ,$24.93 ,$3.95 ,$12.10 , N/A , N/A ,$5.26 ,$5.02 ,$4.15 ,$39.10 ,$8.89 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$5.71 ,$7.90 ,$7.90 ,$3.95 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30101433,84540,HC UREA URINE-90,301,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$13.90 ,$9.71 ,$53.66 ,$5.56 ,$27.72 ,$19.66 ,$5.56 ,$19.66 ,$5.56 ,$37.82 ,$3.50 ,$5.56 ,$37.82 ,$10.56 ,$18.93 ,$50.49 ,$13.90 ,$5.56 ,$69.30 ,$5.56 ,$49.50 ,$5.67 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$5.56 ,$50.00 ,$7.23 ,$7.23 ,$7.23 ,$99.00 ,$84.15 ,$13.90 ,$79.20 ,$36.63 ,$79.20 ,$5.56 ,$5.56 ,$99.00 ,$53.66 ,$5.56 ,$26.04 , N/A , N/A ,$5.26 ,$5.02 ,$5.84 ,$84.15 ,$12.51 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$7.23 ,$11.12 ,$11.12 ,$5.56 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$81.00 ,$52.65 ,$3.50 ,$81.00 ,$12.70 ,$9.71 ,$43.90 ,$5.08 ,$22.68 ,$19.66 ,$5.08 ,$19.66 ,$5.08 ,$30.94 ,$3.50 ,$5.08 ,$30.94 ,$9.65 ,$17.74 ,$41.31 ,$12.70 ,$5.08 ,$56.70 ,$5.08 ,$40.50 ,$5.18 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$5.08 ,$40.91 ,$6.85 ,$6.85 ,$6.85 ,$81.00 ,$68.85 ,$12.70 ,$64.80 ,$29.97 ,$64.80 ,$5.08 ,$5.08 ,$81.00 ,$43.90 ,$5.08 ,$21.30 , N/A , N/A ,$5.26 ,$5.02 ,$5.33 ,$68.85 ,$11.43 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$6.85 ,$10.16 ,$10.16 ,$5.08 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$67.00 ,$43.55 ,$3.50 ,$67.00 ,$38.75 ,$31.69 ,$36.31 ,$15.50 ,$18.76 ,$23.12 ,$15.50 ,$25.73 ,$15.50 ,$25.59 ,$3.50 ,$15.50 ,$25.59 ,$29.45 ,$52.08 ,$34.17 ,$38.75 ,$15.50 ,$46.90 ,$15.50 ,$33.50 ,$15.81 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$15.50 ,$33.84 ,$22.39 ,$22.39 ,$22.39 ,$67.00 ,$56.95 ,$38.75 ,$53.60 ,$24.79 ,$53.60 ,$15.50 ,$15.50 ,$67.00 ,$36.31 ,$15.50 ,$17.62 , N/A , N/A ,$27.64 ,$26.39 ,$16.28 ,$56.95 ,$34.88 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$22.39 ,$31.00 ,$31.00 ,$15.50 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$171.00 ,$111.15 ,$3.50 ,$171.00 ,$88.33 ,$72.24 ,$92.68 ,$35.33 ,$47.88 ,$59.00 ,$35.33 ,$65.66 ,$35.33 ,$65.32 ,$3.50 ,$35.33 ,$65.32 ,$67.13 ,$119.56 ,$87.21 ,$88.33 ,$35.33 ,$119.70 ,$35.33 ,$85.50 ,$36.04 ,$128.25 ,$86.36 ,$77.81 ,$86.36 ,$35.33 ,$86.36 ,$51.04 ,$51.04 ,$51.04 ,$171.00 ,$145.35 ,$88.33 ,$136.80 ,$63.27 ,$136.80 ,$35.33 ,$35.33 ,$171.00 ,$92.68 ,$35.33 ,$44.97 , N/A , N/A ,$27.64 ,$26.39 ,$37.10 ,$145.35 ,$79.49 ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$51.04 ,$70.66 ,$70.66 ,$35.33 ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,30101437,84588,HC VASOPRESSIN (ADH)-90,301,1 ,$240.00 ,$156.00 ,$3.50 ,$240.00 ,$84.85 ,$57.98 ,$130.08 ,$33.94 ,$67.20 ,$82.80 ,$33.94 ,$92.16 ,$33.94 ,$91.68 ,$3.50 ,$33.94 ,$91.68 ,$64.49 ,$114.84 ,$122.40 ,$84.85 ,$33.94 ,$168.00 ,$33.94 ,$120.00 ,$34.62 ,$180.00 ,$121.20 ,$109.20 ,$121.20 ,$33.94 ,$121.20 ,$49.02 ,$49.02 ,$49.02 ,$240.00 ,$204.00 ,$84.85 ,$192.00 ,$88.80 ,$192.00 ,$33.94 ,$33.94 ,$240.00 ,$130.08 ,$33.94 ,$63.12 , N/A , N/A ,$27.64 ,$26.39 ,$35.64 ,$204.00 ,$76.37 ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$49.02 ,$67.88 ,$67.88 ,$33.94 ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,30101438,84590,HC VITAMIN A-90,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$29.03 ,$23.73 ,$24.93 ,$11.61 ,$12.88 ,$15.87 ,$11.61 ,$17.66 ,$11.61 ,$17.57 ,$3.50 ,$11.61 ,$17.57 ,$22.06 ,$39.06 ,$23.46 ,$29.03 ,$11.61 ,$32.20 ,$11.61 ,$23.00 ,$11.84 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$11.61 ,$23.23 ,$16.77 ,$16.77 ,$16.77 ,$46.00 ,$39.10 ,$29.03 ,$36.80 ,$17.02 ,$36.80 ,$11.61 ,$11.61 ,$46.00 ,$24.93 ,$11.61 ,$12.10 , N/A , N/A ,$11.81 ,$11.28 ,$12.19 ,$39.10 ,$26.12 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$16.77 ,$23.22 ,$23.22 ,$11.61 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30101440,84597,HC VITAMIN K-90,301,1 ,$267.00 ,$173.55 ,$3.50 ,$267.00 ,$34.30 ,$23.19 ,$144.71 ,$13.72 ,$74.76 ,$56.81 ,$13.72 ,$56.81 ,$13.72 ,$101.99 ,$3.50 ,$13.72 ,$101.99 ,$26.07 ,$46.17 ,$136.17 ,$34.30 ,$13.72 ,$186.90 ,$13.72 ,$133.50 ,$13.99 ,$200.25 ,$134.84 ,$121.49 ,$134.84 ,$13.72 ,$134.84 ,$19.81 ,$19.81 ,$19.81 ,$267.00 ,$226.95 ,$34.30 ,$213.60 ,$98.79 ,$213.60 ,$13.72 ,$13.72 ,$267.00 ,$144.71 ,$13.72 ,$70.22 , N/A , N/A ,$11.81 ,$11.28 ,$14.41 ,$226.95 ,$30.87 ,$175.69 ,$74.76 ,$240.30 ,$192.24 ,$267.00 ,$19.81 ,$27.44 ,$27.44 ,$13.72 ,$128.16 ,$240.30 ST. JOHN'S HOSPITAL,30101441,84600,HC VOLATILES-90,301,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$42.78 ,$32.53 ,$24.93 ,$17.11 ,$12.88 ,$15.87 ,$17.11 ,$17.66 ,$17.11 ,$17.57 ,$3.50 ,$17.11 ,$17.57 ,$32.51 ,$46.00 ,$23.46 ,$42.78 ,$17.11 ,$32.20 ,$17.11 ,$23.00 ,$17.45 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$17.11 ,$23.23 ,$23.23 ,$23.23 ,$23.23 ,$46.00 ,$39.10 ,$42.78 ,$36.80 ,$17.02 ,$36.80 ,$17.11 ,$17.11 ,$46.00 ,$24.93 ,$17.11 ,$12.10 , N/A , N/A ,$11.81 ,$11.28 ,$17.97 ,$39.10 ,$38.50 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$23.23 ,$34.22 ,$34.22 ,$17.11 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30101442,84630,HC ZINC-90,301,1 ,$45.00 ,$29.25 ,$3.50 ,$45.00 ,$28.48 ,$23.14 ,$24.39 ,$11.39 ,$12.60 ,$15.53 ,$11.39 ,$17.28 ,$11.39 ,$17.19 ,$3.50 ,$11.39 ,$17.19 ,$21.64 ,$39.06 ,$22.95 ,$28.48 ,$11.39 ,$31.50 ,$11.39 ,$22.50 ,$11.62 ,$33.75 ,$22.73 ,$20.48 ,$22.73 ,$11.39 ,$22.73 ,$16.45 ,$16.45 ,$16.45 ,$45.00 ,$38.25 ,$28.48 ,$36.00 ,$16.65 ,$36.00 ,$11.39 ,$11.39 ,$45.00 ,$24.39 ,$11.39 ,$11.84 , N/A , N/A ,$14.41 ,$13.76 ,$11.96 ,$38.25 ,$25.63 ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$16.45 ,$22.78 ,$22.78 ,$11.39 ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,30101443,84681,HC C PEPTIDE-90,301,1 ,$77.00 ,$50.05 ,$3.50 ,$77.00 ,$52.03 ,$42.56 ,$41.73 ,$20.81 ,$21.56 ,$26.57 ,$20.81 ,$29.57 ,$20.81 ,$29.41 ,$3.50 ,$20.81 ,$29.41 ,$39.54 ,$71.01 ,$39.27 ,$52.03 ,$20.81 ,$53.90 ,$20.81 ,$38.50 ,$21.23 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$20.81 ,$38.89 ,$30.07 ,$30.07 ,$30.07 ,$77.00 ,$65.45 ,$52.03 ,$61.60 ,$28.49 ,$61.60 ,$20.81 ,$20.81 ,$77.00 ,$41.73 ,$20.81 ,$20.25 , N/A , N/A ,$11.81 ,$11.28 ,$21.85 ,$65.45 ,$46.82 ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,30101444,84702,HC HCG QN-90,301,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$37.63 ,$30.80 ,$34.69 ,$15.05 ,$17.92 ,$22.08 ,$15.05 ,$24.58 ,$15.05 ,$24.45 ,$3.50 ,$15.05 ,$24.45 ,$28.60 ,$50.89 ,$32.64 ,$37.63 ,$15.05 ,$44.80 ,$15.05 ,$32.00 ,$15.35 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$15.05 ,$32.32 ,$21.75 ,$21.75 ,$21.75 ,$64.00 ,$54.40 ,$37.63 ,$51.20 ,$23.68 ,$51.20 ,$15.05 ,$15.05 ,$64.00 ,$34.69 ,$15.05 ,$16.83 , N/A , N/A ,$15.90 ,$15.17 ,$15.80 ,$54.40 ,$33.86 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30101448,84999,HC WBC CYSTINE CELL PREP,301,1 ,$285.00 ,$185.25 ,$11.28 ,$285.00 , N/A ,$131.10 ,$154.47 , N/A ,$79.80 ,$91.20 , N/A ,$104.88 , N/A ,$108.87 ,$114.00 , N/A ,$108.87 ,$128.25 ,$85.52 ,$145.35 ,$199.50 , N/A ,$199.50 , N/A ,$142.50 , N/A ,$213.75 ,$143.93 ,$129.68 ,$143.93 , N/A ,$143.93 ,$199.50 ,$199.50 ,$199.50 ,$285.00 ,$242.25 , N/A ,$228.00 ,$105.45 ,$228.00 , N/A , N/A ,$285.00 ,$154.47 , N/A ,$74.96 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$242.25 ,$171.00 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$199.50 ,$142.50 ,$142.50 , N/A ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30101450,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T1,301,1 ,$24.00 ,$15.60 ,$3.50 ,$60.00 ,$60.00 ,$24.00 ,$13.01 ,$24.00 ,$6.72 ,$8.28 ,$24.00 ,$9.22 ,$24.00 ,$9.17 ,$3.50 ,$24.00 ,$9.17 ,$24.00 ,$24.00 ,$12.24 ,$60.00 ,$24.00 ,$16.80 ,$24.00 ,$12.00 ,$24.00 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$24.00 ,$12.12 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$20.40 ,$24.00 ,$19.20 ,$8.88 ,$19.20 ,$24.00 ,$24.00 ,$24.00 ,$13.01 ,$24.00 ,$6.31 , N/A , N/A ,$24.00 ,$30.36 ,$25.20 ,$20.40 ,$54.00 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,30101451,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T2,301,1 ,$75.00 ,$48.75 ,$3.50 ,$187.50 ,$187.50 ,$75.00 ,$40.65 ,$75.00 ,$21.00 ,$18.06 ,$75.00 ,$18.06 ,$75.00 ,$28.65 ,$3.50 ,$75.00 ,$28.65 ,$75.00 ,$75.00 ,$38.25 ,$187.50 ,$75.00 ,$52.50 ,$75.00 ,$37.50 ,$75.00 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$75.00 ,$37.88 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$75.00 ,$75.00 ,$75.00 ,$40.65 ,$75.00 ,$19.73 , N/A , N/A ,$31.80 ,$30.36 ,$78.75 ,$63.75 ,$168.75 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101452,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T3,301,1 ,$150.00 ,$97.50 ,$3.50 ,$286.08 ,$286.08 ,$118.91 ,$81.30 ,$114.43 ,$42.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$57.30 ,$3.50 ,$114.43 ,$57.30 ,$150.00 ,$150.00 ,$76.50 ,$286.08 ,$114.43 ,$105.00 ,$114.43 ,$75.00 ,$116.72 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$114.43 ,$75.75 ,$148.76 ,$148.76 ,$148.76 ,$150.00 ,$127.50 ,$150.00 ,$120.00 ,$55.50 ,$120.00 ,$114.43 ,$114.43 ,$150.00 ,$81.30 ,$114.43 ,$39.45 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$127.50 ,$257.47 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$148.76 ,$150.00 ,$150.00 ,$114.43 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30101453,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T4,301,1 ,$225.00 ,$146.25 ,$3.50 ,$286.08 ,$286.08 ,$118.91 ,$121.95 ,$114.43 ,$63.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$85.95 ,$3.50 ,$114.43 ,$85.95 ,$217.42 ,$225.00 ,$114.75 ,$286.08 ,$114.43 ,$157.50 ,$114.43 ,$112.50 ,$116.72 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$114.43 ,$113.63 ,$148.76 ,$148.76 ,$148.76 ,$225.00 ,$191.25 ,$225.00 ,$180.00 ,$83.25 ,$180.00 ,$114.43 ,$114.43 ,$225.00 ,$121.95 ,$114.43 ,$59.18 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$191.25 ,$257.47 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$148.76 ,$225.00 ,$225.00 ,$114.43 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,30101454,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T5,301,1 ,$300.00 ,$195.00 ,$3.50 ,$300.00 ,$286.08 ,$118.91 ,$162.60 ,$114.43 ,$84.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$114.60 ,$3.50 ,$114.43 ,$114.60 ,$217.42 ,$300.00 ,$153.00 ,$286.08 ,$114.43 ,$210.00 ,$114.43 ,$150.00 ,$116.72 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$114.43 ,$151.50 ,$148.76 ,$148.76 ,$148.76 ,$300.00 ,$255.00 ,$286.08 ,$240.00 ,$111.00 ,$240.00 ,$114.43 ,$114.43 ,$300.00 ,$162.60 ,$114.43 ,$78.90 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$255.00 ,$257.47 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$148.76 ,$228.86 ,$228.86 ,$114.43 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$24.00 ,$15.60 ,$3.50 ,$60.00 ,$60.00 ,$24.00 ,$13.01 ,$24.00 ,$6.72 ,$8.28 ,$24.00 ,$9.22 ,$24.00 ,$9.17 ,$3.50 ,$24.00 ,$9.17 ,$24.00 ,$24.00 ,$12.24 ,$60.00 ,$24.00 ,$16.80 ,$24.00 ,$12.00 ,$24.00 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$24.00 ,$12.12 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$20.40 ,$24.00 ,$19.20 ,$8.88 ,$19.20 ,$24.00 ,$24.00 ,$24.00 ,$13.01 ,$24.00 ,$6.31 , N/A , N/A ,$24.00 ,$30.36 ,$25.20 ,$20.40 ,$54.00 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,30101456,G0480,HC DRUG SCRN DEFNT 1-7 CLS T2-90,301,1 ,$75.00 ,$48.75 ,$3.50 ,$187.50 ,$187.50 ,$75.00 ,$40.65 ,$75.00 ,$21.00 ,$18.06 ,$75.00 ,$18.06 ,$75.00 ,$28.65 ,$3.50 ,$75.00 ,$28.65 ,$75.00 ,$75.00 ,$38.25 ,$187.50 ,$75.00 ,$52.50 ,$75.00 ,$37.50 ,$75.00 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$75.00 ,$37.88 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$75.00 ,$75.00 ,$75.00 ,$40.65 ,$75.00 ,$19.73 , N/A , N/A ,$31.80 ,$30.36 ,$78.75 ,$63.75 ,$168.75 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$75.00 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30101457,G0480,HC DRUG SCRN DEFNT 1-7 CLS T3-90,301,1 ,$150.00 ,$97.50 ,$3.50 ,$286.08 ,$286.08 ,$118.91 ,$81.30 ,$114.43 ,$42.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$57.30 ,$3.50 ,$114.43 ,$57.30 ,$150.00 ,$150.00 ,$76.50 ,$286.08 ,$114.43 ,$105.00 ,$114.43 ,$75.00 ,$116.72 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$114.43 ,$75.75 ,$148.76 ,$148.76 ,$148.76 ,$150.00 ,$127.50 ,$150.00 ,$120.00 ,$55.50 ,$120.00 ,$114.43 ,$114.43 ,$150.00 ,$81.30 ,$114.43 ,$39.45 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$127.50 ,$257.47 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$148.76 ,$150.00 ,$150.00 ,$114.43 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30101458,G0480,HC DRUG SCRN DEFNT 1-7 CLS T4-90,301,1 ,$225.00 ,$146.25 ,$3.50 ,$286.08 ,$286.08 ,$118.91 ,$121.95 ,$114.43 ,$63.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$85.95 ,$3.50 ,$114.43 ,$85.95 ,$217.42 ,$225.00 ,$114.75 ,$286.08 ,$114.43 ,$157.50 ,$114.43 ,$112.50 ,$116.72 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$114.43 ,$113.63 ,$148.76 ,$148.76 ,$148.76 ,$225.00 ,$191.25 ,$225.00 ,$180.00 ,$83.25 ,$180.00 ,$114.43 ,$114.43 ,$225.00 ,$121.95 ,$114.43 ,$59.18 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$191.25 ,$257.47 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$148.76 ,$225.00 ,$225.00 ,$114.43 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,30101459,G0480,HC DRUG SCRN DEFNT 1-7 CLS T5-90,301,1 ,$300.00 ,$195.00 ,$3.50 ,$300.00 ,$286.08 ,$118.91 ,$162.60 ,$114.43 ,$84.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$114.60 ,$3.50 ,$114.43 ,$114.60 ,$217.42 ,$300.00 ,$153.00 ,$286.08 ,$114.43 ,$210.00 ,$114.43 ,$150.00 ,$116.72 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$114.43 ,$151.50 ,$148.76 ,$148.76 ,$148.76 ,$300.00 ,$255.00 ,$286.08 ,$240.00 ,$111.00 ,$240.00 ,$114.43 ,$114.43 ,$300.00 ,$162.60 ,$114.43 ,$78.90 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$255.00 ,$257.47 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$148.76 ,$228.86 ,$228.86 ,$114.43 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,30101460,G0480,HC DRUG SCRN DEFNT 1-7 CLS T6-90,301,1 ,$375.00 ,$243.75 ,$3.50 ,$375.00 ,$286.08 ,$118.91 ,$203.25 ,$114.43 ,$105.00 ,$18.06 ,$114.43 ,$18.06 ,$114.43 ,$143.25 ,$3.50 ,$114.43 ,$143.25 ,$217.42 ,$375.00 ,$191.25 ,$286.08 ,$114.43 ,$262.50 ,$114.43 ,$187.50 ,$116.72 ,$281.25 ,$189.38 ,$170.63 ,$189.38 ,$114.43 ,$189.38 ,$148.76 ,$148.76 ,$148.76 ,$375.00 ,$318.75 ,$286.08 ,$300.00 ,$138.75 ,$300.00 ,$114.43 ,$114.43 ,$375.00 ,$203.25 ,$114.43 ,$98.63 , N/A , N/A ,$31.80 ,$30.36 ,$120.15 ,$318.75 ,$257.47 ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$148.76 ,$228.86 ,$228.86 ,$114.43 ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$113.00 ,$73.45 ,$3.50 ,$113.00 ,$53.03 ,$33.65 ,$61.25 ,$21.21 ,$31.64 ,$38.99 ,$21.21 ,$43.39 ,$21.21 ,$43.17 ,$3.50 ,$21.21 ,$43.17 ,$40.30 ,$72.21 ,$57.63 ,$53.03 ,$21.21 ,$79.10 ,$21.21 ,$56.50 ,$21.63 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$21.21 ,$57.07 ,$27.57 ,$27.57 ,$27.57 ,$113.00 ,$96.05 ,$53.03 ,$90.40 ,$41.81 ,$90.40 ,$21.21 ,$21.21 ,$113.00 ,$61.25 ,$21.21 ,$29.72 , N/A , N/A ,$11.81 ,$11.28 ,$22.27 ,$96.05 ,$47.72 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$27.57 ,$42.42 ,$42.42 ,$21.21 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,30101473,80339,HC ANTIEPILIPTICS NOS 1-3 -90,301,1 ,$200.00 ,$130.00 ,$0.02 ,$200.00 , N/A ,$0.02 ,$108.40 , N/A ,$56.00 , N/A , N/A , N/A , N/A ,$76.40 , N/A , N/A ,$76.40 , N/A ,$105.20 ,$102.00 , N/A , N/A ,$140.00 , N/A ,$100.00 , N/A ,$150.00 ,$101.00 ,$91.00 ,$101.00 , N/A ,$101.00 ,$6.50 ,$6.50 ,$6.50 ,$200.00 ,$170.00 , N/A ,$160.00 ,$74.00 ,$160.00 , N/A , N/A ,$200.00 ,$108.40 , N/A ,$52.60 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$170.00 , N/A ,$131.60 ,$56.00 ,$180.00 ,$144.00 ,$200.00 ,$6.50 , N/A , N/A , N/A ,$96.00 ,$180.00 ST. JOHN'S HOSPITAL,30101475,80375,HC DRUG THIOPURINE METAOLITES-90,301,1 ,$232.00 ,$150.80 ,$0.02 ,$232.00 , N/A ,$0.02 ,$125.74 , N/A ,$64.96 , N/A , N/A , N/A , N/A ,$88.62 , N/A , N/A ,$88.62 , N/A ,$122.03 ,$118.32 , N/A , N/A ,$162.40 , N/A ,$116.00 , N/A ,$174.00 ,$117.16 ,$105.56 ,$117.16 , N/A ,$117.16 ,$27.99 ,$27.99 ,$27.99 ,$232.00 ,$197.20 , N/A ,$185.60 ,$85.84 ,$185.60 , N/A , N/A ,$232.00 ,$125.74 , N/A ,$61.02 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$197.20 , N/A ,$152.66 ,$64.96 ,$208.80 ,$167.04 ,$232.00 ,$27.99 , N/A , N/A , N/A ,$111.36 ,$208.80 ST. JOHN'S HOSPITAL,30101476,82610,HC CYSTATIN C -90,301,1 ,$224.00 ,$145.60 ,$3.50 ,$224.00 ,$46.30 ,$27.81 ,$121.41 ,$18.52 ,$62.72 ,$62.13 ,$18.52 ,$62.13 ,$18.52 ,$85.57 ,$3.50 ,$18.52 ,$85.57 ,$35.19 ,$62.76 ,$114.24 ,$46.30 ,$18.52 ,$156.80 ,$18.52 ,$112.00 ,$18.89 ,$168.00 ,$113.12 ,$101.92 ,$113.12 ,$18.52 ,$113.12 ,$24.08 ,$24.08 ,$24.08 ,$224.00 ,$190.40 ,$46.30 ,$179.20 ,$82.88 ,$179.20 ,$18.52 ,$18.52 ,$224.00 ,$121.41 ,$18.52 ,$58.91 , N/A , N/A ,$11.81 ,$11.28 ,$19.45 ,$190.40 ,$41.67 ,$147.39 ,$62.72 ,$201.60 ,$161.28 ,$224.00 ,$24.08 ,$37.04 ,$37.04 ,$18.52 ,$107.52 ,$201.60 ST. JOHN'S HOSPITAL,30101477,83519,HC QN RIA MUSK-90,301,1 ,$311.00 ,$202.15 ,$3.50 ,$311.00 ,$46.00 ,$27.62 ,$168.56 ,$18.40 ,$87.08 ,$61.71 ,$18.40 ,$61.71 ,$18.40 ,$118.80 ,$3.50 ,$18.40 ,$118.80 ,$34.96 ,$62.76 ,$158.61 ,$46.00 ,$18.40 ,$217.70 ,$18.40 ,$155.50 ,$18.77 ,$233.25 ,$157.06 ,$141.51 ,$157.06 ,$18.40 ,$157.06 ,$23.92 ,$23.92 ,$23.92 ,$311.00 ,$264.35 ,$46.00 ,$248.80 ,$115.07 ,$248.80 ,$18.40 ,$18.40 ,$311.00 ,$168.56 ,$18.40 ,$81.79 , N/A , N/A ,$10.58 ,$10.10 ,$19.32 ,$264.35 ,$41.40 ,$204.64 ,$87.08 ,$279.90 ,$223.92 ,$311.00 ,$23.92 ,$36.80 ,$36.80 ,$18.40 ,$149.28 ,$279.90 ST. JOHN'S HOSPITAL,30101496,82679,HC ESTRONE/ESTROGEN -90,301,1 ,$112.00 ,$72.80 ,$3.50 ,$112.00 ,$62.38 ,$22.86 ,$60.70 ,$24.95 ,$31.36 ,$38.64 ,$24.95 ,$43.01 ,$24.95 ,$42.78 ,$3.50 ,$24.95 ,$42.78 ,$47.41 ,$85.23 ,$57.12 ,$62.38 ,$24.95 ,$78.40 ,$24.95 ,$56.00 ,$25.45 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$24.95 ,$56.56 ,$36.05 ,$36.05 ,$36.05 ,$112.00 ,$95.20 ,$62.38 ,$89.60 ,$41.44 ,$89.60 ,$24.95 ,$24.95 ,$112.00 ,$60.70 ,$24.95 ,$29.46 , N/A , N/A ,$27.64 ,$26.39 ,$26.20 ,$95.20 ,$56.14 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$36.05 ,$49.90 ,$49.90 ,$24.95 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,30101497,80373,HC TRAMADOL-90,301,1 ,$139.00 ,$90.35 ,$0.02 ,$139.00 , N/A ,$0.02 ,$75.34 , N/A ,$38.92 , N/A , N/A , N/A , N/A ,$53.10 , N/A , N/A ,$53.10 , N/A ,$73.11 ,$70.89 , N/A , N/A ,$97.30 , N/A ,$69.50 , N/A ,$104.25 ,$70.20 ,$63.25 ,$70.20 , N/A ,$70.20 ,$15.99 ,$15.99 ,$15.99 ,$139.00 ,$118.15 , N/A ,$111.20 ,$51.43 ,$111.20 , N/A , N/A ,$139.00 ,$75.34 , N/A ,$36.56 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$118.15 , N/A ,$91.46 ,$38.92 ,$125.10 ,$100.08 ,$139.00 ,$15.99 , N/A , N/A , N/A ,$66.72 ,$125.10 ST. JOHN'S HOSPITAL,30101499,83664,HC LAMELLAR BODY CT-90,301,1 ,$285.00 ,$185.25 ,$3.50 ,$285.00 ,$48.30 ,$38.68 ,$154.47 ,$19.32 ,$79.80 ,$78.33 ,$19.32 ,$78.33 ,$19.32 ,$108.87 ,$3.50 ,$19.32 ,$108.87 ,$36.71 ,$65.10 ,$145.35 ,$48.30 ,$19.32 ,$199.50 ,$19.32 ,$142.50 ,$19.71 ,$213.75 ,$143.93 ,$129.68 ,$143.93 ,$19.32 ,$143.93 ,$27.31 ,$27.31 ,$27.31 ,$285.00 ,$242.25 ,$48.30 ,$228.00 ,$105.45 ,$228.00 ,$19.32 ,$19.32 ,$285.00 ,$154.47 ,$19.32 ,$74.96 , N/A , N/A ,$33.75 ,$32.21 ,$20.29 ,$242.25 ,$43.47 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$27.31 ,$38.64 ,$38.64 ,$19.32 ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30101500,82943,HC GLUCAGON-90,301,1 ,$175.00 ,$113.75 ,$3.50 ,$175.00 ,$35.73 ,$15.94 ,$94.85 ,$14.29 ,$49.00 ,$59.19 ,$14.29 ,$59.19 ,$14.29 ,$66.85 ,$3.50 ,$14.29 ,$66.85 ,$27.15 ,$48.55 ,$89.25 ,$35.73 ,$14.29 ,$122.50 ,$14.29 ,$87.50 ,$14.58 ,$131.25 ,$88.38 ,$79.63 ,$88.38 ,$14.29 ,$88.38 ,$20.64 ,$20.64 ,$20.64 ,$175.00 ,$148.75 ,$35.73 ,$140.00 ,$64.75 ,$140.00 ,$14.29 ,$14.29 ,$175.00 ,$94.85 ,$14.29 ,$46.03 , N/A , N/A ,$27.64 ,$26.39 ,$15.00 ,$148.75 ,$32.15 ,$115.15 ,$49.00 ,$157.50 ,$126.00 ,$175.00 ,$20.64 ,$28.58 ,$28.58 ,$14.29 ,$84.00 ,$157.50 ST. JOHN'S HOSPITAL,30101511,80345,HC BARBITURATE -90,301,1 ,$122.00 ,$79.30 ,$0.02 ,$122.00 , N/A ,$0.02 ,$66.12 , N/A ,$34.16 , N/A , N/A , N/A , N/A ,$46.60 , N/A , N/A ,$46.60 , N/A ,$64.17 ,$62.22 , N/A , N/A ,$85.40 , N/A ,$61.00 , N/A ,$91.50 ,$61.61 ,$55.51 ,$61.61 , N/A ,$61.61 ,$14.17 ,$14.17 ,$14.17 ,$122.00 ,$103.70 , N/A ,$97.60 ,$45.14 ,$97.60 , N/A , N/A ,$122.00 ,$66.12 , N/A ,$32.09 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$103.70 , N/A ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$14.17 , N/A , N/A , N/A ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30101513,80365,HC OXYCODONE -90,301,1 ,$148.00 ,$96.20 ,$0.02 ,$148.00 , N/A ,$0.02 ,$80.22 , N/A ,$41.44 , N/A , N/A , N/A , N/A ,$56.54 , N/A , N/A ,$56.54 , N/A ,$77.85 ,$75.48 , N/A , N/A ,$103.60 , N/A ,$74.00 , N/A ,$111.00 ,$74.74 ,$67.34 ,$74.74 , N/A ,$74.74 ,$18.43 ,$18.43 ,$18.43 ,$148.00 ,$125.80 , N/A ,$118.40 ,$54.76 ,$118.40 , N/A , N/A ,$148.00 ,$80.22 , N/A ,$38.92 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$125.80 , N/A ,$97.38 ,$41.44 ,$133.20 ,$106.56 ,$148.00 ,$18.43 , N/A , N/A , N/A ,$71.04 ,$133.20 ST. JOHN'S HOSPITAL,30101515,80352,HC CANNABINOIDS SYNTHETIC >7 - 90,301,1 ,$90.00 ,$58.50 ,$0.02 ,$90.00 , N/A ,$0.02 ,$48.78 , N/A ,$25.20 , N/A , N/A , N/A , N/A ,$34.38 , N/A , N/A ,$34.38 , N/A ,$47.34 ,$45.90 , N/A , N/A ,$63.00 , N/A ,$45.00 , N/A ,$67.50 ,$45.45 ,$40.95 ,$45.45 , N/A ,$45.45 ,$20.93 ,$20.93 ,$20.93 ,$90.00 ,$76.50 , N/A ,$72.00 ,$33.30 ,$72.00 , N/A , N/A ,$90.00 ,$48.78 , N/A ,$23.67 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$76.50 , N/A ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$20.93 , N/A , N/A , N/A ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30101518,84145,HC PROCALCITONIN,301,1 ,$382.00 ,$248.30 ,$3.50 ,$382.00 ,$68.05 ,$54.78 ,$207.04 ,$27.22 ,$106.96 ,$110.94 ,$27.22 ,$110.94 ,$27.22 ,$145.92 ,$3.50 ,$27.22 ,$145.92 ,$51.72 ,$92.33 ,$194.82 ,$68.05 ,$27.22 ,$267.40 ,$27.22 ,$191.00 ,$27.76 ,$286.50 ,$192.91 ,$173.81 ,$192.91 ,$27.22 ,$192.91 ,$38.70 ,$38.70 ,$38.70 ,$382.00 ,$324.70 ,$68.05 ,$305.60 ,$141.34 ,$305.60 ,$27.22 ,$27.22 ,$382.00 ,$207.04 ,$27.22 ,$100.47 , N/A , N/A ,$27.64 ,$26.39 ,$28.58 ,$324.70 ,$61.25 ,$251.36 ,$106.96 ,$343.80 ,$275.04 ,$382.00 ,$38.70 ,$54.44 ,$54.44 ,$27.22 ,$183.36 ,$343.80 ST. JOHN'S HOSPITAL,30101522,82274,HC OCCULT BLOOD FECAL HGB,301,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$39.80 ,$32.52 ,$37.40 ,$15.92 ,$19.32 ,$23.81 ,$15.92 ,$26.50 ,$15.92 ,$26.36 ,$3.50 ,$15.92 ,$26.36 ,$30.25 ,$54.46 ,$35.19 ,$39.80 ,$15.92 ,$48.30 ,$15.92 ,$34.50 ,$16.24 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$15.92 ,$34.85 ,$22.97 ,$22.97 ,$22.97 ,$69.00 ,$58.65 ,$39.80 ,$55.20 ,$25.53 ,$55.20 ,$15.92 ,$15.92 ,$69.00 ,$37.40 ,$15.92 ,$18.15 , N/A , N/A ,$11.81 ,$11.28 ,$16.72 ,$58.65 ,$35.82 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$22.97 ,$31.84 ,$31.84 ,$15.92 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30101524,83721,HC CHOLESTEROL LDL,301,1 ,$52.00 ,$33.80 ,$3.50 ,$52.00 ,$26.25 ,$19.50 ,$28.18 ,$10.50 ,$14.56 ,$17.94 ,$10.50 ,$19.97 ,$10.50 ,$19.86 ,$3.50 ,$10.50 ,$19.86 ,$19.95 ,$35.53 ,$26.52 ,$26.25 ,$10.50 ,$36.40 ,$10.50 ,$26.00 ,$10.71 ,$39.00 ,$26.26 ,$23.66 ,$26.26 ,$10.50 ,$26.26 ,$13.78 ,$13.78 ,$13.78 ,$52.00 ,$44.20 ,$26.25 ,$41.60 ,$19.24 ,$41.60 ,$10.50 ,$10.50 ,$52.00 ,$28.18 ,$10.50 ,$13.68 , N/A , N/A ,$11.81 ,$11.28 ,$11.03 ,$44.20 ,$23.63 ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$13.78 ,$21.00 ,$21.00 ,$10.50 ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,30101525,82465,HC CHOLESTEROL -90,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$10.88 ,$8.89 ,$17.89 ,$4.35 ,$9.24 ,$11.39 ,$4.35 ,$12.67 ,$4.35 ,$12.61 ,$3.50 ,$4.35 ,$12.61 ,$8.27 ,$14.21 ,$16.83 ,$10.88 ,$4.35 ,$23.10 ,$4.35 ,$16.50 ,$4.44 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$4.35 ,$16.67 ,$6.29 ,$6.29 ,$6.29 ,$33.00 ,$28.05 ,$10.88 ,$26.40 ,$12.21 ,$26.40 ,$4.35 ,$4.35 ,$33.00 ,$17.89 ,$4.35 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.57 ,$28.05 ,$9.79 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$6.29 ,$8.70 ,$8.70 ,$4.35 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101526,82947,HC GLUCOSE -90,301,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$9.83 ,$8.02 ,$17.89 ,$3.93 ,$9.24 ,$11.39 ,$3.93 ,$12.67 ,$3.93 ,$12.61 ,$3.50 ,$3.93 ,$12.61 ,$7.47 ,$13.02 ,$16.83 ,$9.83 ,$3.93 ,$23.10 ,$3.93 ,$16.50 ,$4.01 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$3.93 ,$16.67 ,$5.68 ,$5.68 ,$5.68 ,$33.00 ,$28.05 ,$9.83 ,$26.40 ,$12.21 ,$26.40 ,$3.93 ,$3.93 ,$33.00 ,$17.89 ,$3.93 ,$8.68 , N/A , N/A ,$5.26 ,$5.02 ,$4.13 ,$28.05 ,$8.84 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$5.68 ,$7.86 ,$7.86 ,$3.93 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30101527,84450,HC AST -90,301,1 ,$38.00 ,$24.70 ,$3.50 ,$38.00 ,$12.95 ,$10.57 ,$20.60 ,$5.18 ,$10.64 ,$13.11 ,$5.18 ,$14.59 ,$5.18 ,$14.52 ,$3.50 ,$5.18 ,$14.52 ,$9.84 ,$17.74 ,$19.38 ,$12.95 ,$5.18 ,$26.60 ,$5.18 ,$19.00 ,$5.28 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$5.18 ,$19.19 ,$7.48 ,$7.48 ,$7.48 ,$38.00 ,$32.30 ,$12.95 ,$30.40 ,$14.06 ,$30.40 ,$5.18 ,$5.18 ,$38.00 ,$20.60 ,$5.18 ,$9.99 , N/A , N/A ,$5.26 ,$5.02 ,$5.44 ,$32.30 ,$11.66 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$46.93 ,$27.23 ,$84.01 ,$18.77 ,$43.40 ,$53.48 ,$18.77 ,$59.52 ,$18.77 ,$59.21 ,$3.50 ,$18.77 ,$59.21 ,$35.66 ,$63.91 ,$79.05 ,$46.93 ,$18.77 ,$108.50 ,$18.77 ,$77.50 ,$19.15 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$18.77 ,$78.28 ,$24.40 ,$24.40 ,$24.40 ,$155.00 ,$131.75 ,$46.93 ,$124.00 ,$57.35 ,$124.00 ,$18.77 ,$18.77 ,$155.00 ,$84.01 ,$18.77 ,$40.77 , N/A , N/A ,$11.81 ,$11.28 ,$19.71 ,$131.75 ,$42.23 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$24.40 ,$37.54 ,$37.54 ,$18.77 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30101530,82528,HC CORTICOSTERONE-90,301,1 ,$245.00 ,$159.25 ,$3.50 ,$245.00 ,$56.30 ,$46.04 ,$132.79 ,$22.52 ,$68.60 ,$84.53 ,$22.52 ,$93.24 ,$22.52 ,$93.59 ,$3.50 ,$22.52 ,$93.59 ,$42.79 ,$76.93 ,$124.95 ,$56.30 ,$22.52 ,$171.50 ,$22.52 ,$122.50 ,$22.97 ,$183.75 ,$123.73 ,$111.48 ,$123.73 ,$22.52 ,$123.73 ,$32.53 ,$32.53 ,$32.53 ,$245.00 ,$208.25 ,$56.30 ,$196.00 ,$90.65 ,$196.00 ,$22.52 ,$22.52 ,$245.00 ,$132.79 ,$22.52 ,$64.44 , N/A , N/A ,$27.64 ,$26.39 ,$23.65 ,$208.25 ,$50.67 ,$161.21 ,$68.60 ,$220.50 ,$176.40 ,$245.00 ,$32.53 ,$45.04 ,$45.04 ,$22.52 ,$117.60 ,$220.50 ST. JOHN'S HOSPITAL,30101531,82633,HC DESOXYCORTICOSTERONE 11 -90,301,1 ,$257.00 ,$167.05 ,$3.50 ,$257.00 ,$77.45 ,$56.49 ,$139.29 ,$30.98 ,$71.96 ,$88.67 ,$30.98 ,$98.69 ,$30.98 ,$98.17 ,$3.50 ,$30.98 ,$98.17 ,$58.86 ,$105.35 ,$131.07 ,$77.45 ,$30.98 ,$179.90 ,$30.98 ,$128.50 ,$31.60 ,$192.75 ,$129.79 ,$116.94 ,$129.79 ,$30.98 ,$129.79 ,$44.76 ,$44.76 ,$44.76 ,$257.00 ,$218.45 ,$77.45 ,$205.60 ,$95.09 ,$205.60 ,$30.98 ,$30.98 ,$257.00 ,$139.29 ,$30.98 ,$67.59 , N/A , N/A ,$27.64 ,$26.39 ,$32.53 ,$218.45 ,$69.71 ,$169.11 ,$71.96 ,$231.30 ,$185.04 ,$257.00 ,$44.76 ,$61.96 ,$61.96 ,$30.98 ,$123.36 ,$231.30 ST. JOHN'S HOSPITAL,30101532,80299,HC AMIODARONE -90,301,1 ,$230.00 ,$149.50 ,$3.50 ,$230.00 ,$46.60 ,$27.72 ,$124.66 ,$18.64 ,$64.40 ,$62.54 ,$18.64 ,$62.54 ,$18.64 ,$87.86 ,$3.50 ,$18.64 ,$87.86 ,$35.42 ,$62.76 ,$117.30 ,$46.60 ,$18.64 ,$161.00 ,$18.64 ,$115.00 ,$19.01 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$18.64 ,$116.15 ,$24.23 ,$24.23 ,$24.23 ,$230.00 ,$195.50 ,$46.60 ,$184.00 ,$85.10 ,$184.00 ,$18.64 ,$18.64 ,$230.00 ,$124.66 ,$18.64 ,$60.49 , N/A , N/A ,$13.56 ,$12.95 ,$19.57 ,$195.50 ,$41.94 ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$24.23 ,$37.28 ,$37.28 ,$18.64 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,30101533,82107,HC AFP-L3 FRACTION ISOFORM AND TOTAL AFP W/RATIO-90,301,1 ,$389.00 ,$252.85 ,$3.50 ,$389.00 ,$161.03 ,$95.71 ,$210.84 ,$64.41 ,$108.92 ,$134.21 ,$64.41 ,$149.38 ,$64.41 ,$148.60 ,$3.50 ,$64.41 ,$148.60 ,$122.38 ,$219.00 ,$198.39 ,$161.03 ,$64.41 ,$272.30 ,$64.41 ,$194.50 ,$65.70 ,$291.75 ,$196.45 ,$177.00 ,$196.45 ,$64.41 ,$196.45 ,$93.04 ,$93.04 ,$93.04 ,$389.00 ,$330.65 ,$161.03 ,$311.20 ,$143.93 ,$311.20 ,$64.41 ,$64.41 ,$389.00 ,$210.84 ,$64.41 ,$102.31 , N/A , N/A ,$31.80 ,$30.36 ,$67.63 ,$330.65 ,$144.92 ,$255.96 ,$108.92 ,$350.10 ,$280.08 ,$389.00 ,$93.04 ,$128.82 ,$128.82 ,$64.41 ,$186.72 ,$350.10 ST. JOHN'S HOSPITAL,30101534,80377,HC PANEL HYPOGLYCEMIC QL-90,301,1 ,$203.00 ,$131.95 ,$0.02 ,$203.00 , N/A ,$0.02 ,$110.03 , N/A ,$56.84 , N/A , N/A , N/A , N/A ,$77.55 , N/A , N/A ,$77.55 , N/A ,$106.78 ,$103.53 , N/A , N/A ,$142.10 , N/A ,$101.50 , N/A ,$152.25 ,$102.52 ,$92.37 ,$102.52 , N/A ,$102.52 ,$10.10 ,$10.10 ,$10.10 ,$203.00 ,$172.55 , N/A ,$162.40 ,$75.11 ,$162.40 , N/A , N/A ,$203.00 ,$110.03 , N/A ,$53.39 , N/A , N/A ,$31.80 ,$30.36 , N/A ,$172.55 , N/A ,$133.57 ,$56.84 ,$182.70 ,$146.16 ,$203.00 ,$10.10 , N/A , N/A , N/A ,$97.44 ,$182.70 ST. JOHN'S HOSPITAL,30101535,84106,HC PRORPHOBILINOGEN QL-90,301,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$14.55 ,$8.75 ,$49.86 ,$5.82 ,$25.76 ,$19.50 ,$5.82 ,$19.50 ,$5.82 ,$35.14 ,$3.50 ,$5.82 ,$35.14 ,$11.06 ,$20.13 ,$46.92 ,$14.55 ,$5.82 ,$64.40 ,$5.82 ,$46.00 ,$5.94 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$5.82 ,$46.46 ,$7.57 ,$7.57 ,$7.57 ,$92.00 ,$78.20 ,$14.55 ,$73.60 ,$34.04 ,$73.60 ,$5.82 ,$5.82 ,$92.00 ,$49.86 ,$5.82 ,$24.20 , N/A , N/A ,$11.81 ,$11.28 ,$6.11 ,$78.20 ,$13.10 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$7.57 ,$11.64 ,$11.64 ,$5.82 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30101536,84443,HC THYROID STIMULATING HORM-90,301,1 ,$232.00 ,$150.80 ,$3.50 ,$232.00 ,$42.00 ,$34.37 ,$125.74 ,$16.80 ,$64.96 ,$80.04 ,$16.80 ,$89.09 ,$16.80 ,$88.62 ,$3.50 ,$16.80 ,$88.62 ,$31.92 ,$56.80 ,$118.32 ,$42.00 ,$16.80 ,$162.40 ,$16.80 ,$116.00 ,$17.14 ,$174.00 ,$117.16 ,$105.56 ,$117.16 ,$16.80 ,$117.16 ,$24.27 ,$24.27 ,$24.27 ,$232.00 ,$197.20 ,$42.00 ,$185.60 ,$85.84 ,$185.60 ,$16.80 ,$16.80 ,$232.00 ,$125.74 ,$16.80 ,$61.02 , N/A , N/A ,$15.90 ,$15.17 ,$17.64 ,$197.20 ,$37.80 ,$152.66 ,$64.96 ,$208.80 ,$167.04 ,$232.00 ,$24.27 ,$33.60 ,$33.60 ,$16.80 ,$111.36 ,$208.80 ST. JOHN'S HOSPITAL,30101537,84377,HC SUGARS MULTIPLE QL EA-90,301,1 ,$98.00 ,$63.70 ,$3.50 ,$98.00 ,$13.75 ,$11.25 ,$53.12 ,$5.50 ,$27.44 ,$22.76 ,$5.50 ,$22.76 ,$5.50 ,$37.44 ,$3.50 ,$5.50 ,$37.44 ,$10.45 ,$18.93 ,$49.98 ,$13.75 ,$5.50 ,$68.60 ,$5.50 ,$49.00 ,$5.61 ,$73.50 ,$49.49 ,$44.59 ,$49.49 ,$5.50 ,$49.49 ,$7.94 ,$7.94 ,$7.94 ,$98.00 ,$83.30 ,$13.75 ,$78.40 ,$36.26 ,$78.40 ,$5.50 ,$5.50 ,$98.00 ,$53.12 ,$5.50 ,$25.77 , N/A , N/A ,$5.26 ,$5.02 ,$5.78 ,$83.30 ,$12.38 ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$7.94 ,$11.00 ,$11.00 ,$5.50 ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,30101538,83491,HC CORTICOSTEROIDS 17D -90,301,1 ,"$1,703.00 ","$1,106.95 ",$3.50 ,"$1,703.00 ",$44.75 ,$35.82 ,$923.03 ,$17.90 ,$476.84 ,$72.60 ,$17.90 ,$72.60 ,$17.90 ,$650.55 ,$3.50 ,$17.90 ,$650.55 ,$34.01 ,$60.38 ,$868.53 ,$44.75 ,$17.90 ,"$1,192.10 ",$17.90 ,$851.50 ,$18.26 ,"$1,277.25 ",$860.02 ,$774.87 ,$860.02 ,$17.90 ,$860.02 ,$25.31 ,$25.31 ,$25.31 ,"$1,703.00 ","$1,447.55 ",$44.75 ,"$1,362.40 ",$630.11 ,"$1,362.40 ",$17.90 ,$17.90 ,"$1,703.00 ",$923.03 ,$17.90 ,$447.89 , N/A , N/A ,$27.64 ,$26.39 ,$18.80 ,"$1,447.55 ",$40.28 ,"$1,120.57 ",$476.84 ,"$1,532.70 ","$1,226.16 ","$1,703.00 ",$25.31 ,$35.80 ,$35.80 ,$17.90 ,$817.44 ,"$1,532.70 " ST. JOHN'S HOSPITAL,30101539,82248,HC BILIRUBIN DIRECT-90,301,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$12.55 ,$10.27 ,$96.48 ,$5.02 ,$49.84 ,$28.12 ,$5.02 ,$28.12 ,$5.02 ,$68.00 ,$3.50 ,$5.02 ,$68.00 ,$9.54 ,$16.59 ,$90.78 ,$12.55 ,$5.02 ,$124.60 ,$5.02 ,$89.00 ,$5.12 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$5.02 ,$89.89 ,$7.24 ,$7.24 ,$7.24 ,$178.00 ,$151.30 ,$12.55 ,$142.40 ,$65.86 ,$142.40 ,$5.02 ,$5.02 ,$178.00 ,$96.48 ,$5.02 ,$46.81 , N/A , N/A ,$5.26 ,$5.02 ,$5.27 ,$151.30 ,$11.30 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$7.24 ,$10.04 ,$10.04 ,$5.02 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30101540,84163,HC PLASMA PROTEIN-A PREGNANCY ASSOCIATED-90,301,1 ,$158.00 ,$102.70 ,$3.50 ,$158.00 ,$37.63 ,$30.80 ,$85.64 ,$15.05 ,$44.24 ,$54.51 ,$15.05 ,$60.67 ,$15.05 ,$60.36 ,$3.50 ,$15.05 ,$60.36 ,$28.60 ,$50.89 ,$80.58 ,$37.63 ,$15.05 ,$110.60 ,$15.05 ,$79.00 ,$15.35 ,$118.50 ,$79.79 ,$71.89 ,$79.79 ,$15.05 ,$79.79 ,$21.75 ,$21.75 ,$21.75 ,$158.00 ,$134.30 ,$37.63 ,$126.40 ,$58.46 ,$126.40 ,$15.05 ,$15.05 ,$158.00 ,$85.64 ,$15.05 ,$41.55 , N/A , N/A ,$11.81 ,$11.28 ,$15.80 ,$134.30 ,$33.86 ,$103.96 ,$44.24 ,$142.20 ,$113.76 ,$158.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$75.84 ,$142.20 ST. JOHN'S HOSPITAL,30101541,83700,HC LIPOPROTEIN BLOOD ELECTROPHORETIC SEPARATION AND QUANTIFICAION-90,301,1 ,$136.00 ,$88.40 ,$3.50 ,$136.00 ,$28.15 ,$23.01 ,$73.71 ,$11.26 ,$38.08 ,$46.65 ,$11.26 ,$46.65 ,$11.26 ,$51.95 ,$3.50 ,$11.26 ,$51.95 ,$21.39 ,$37.87 ,$69.36 ,$28.15 ,$11.26 ,$95.20 ,$11.26 ,$68.00 ,$11.49 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$11.26 ,$68.68 ,$16.26 ,$16.26 ,$16.26 ,$136.00 ,$115.60 ,$28.15 ,$108.80 ,$50.32 ,$108.80 ,$11.26 ,$11.26 ,$136.00 ,$73.71 ,$11.26 ,$35.77 , N/A , N/A ,$11.81 ,$11.28 ,$11.82 ,$115.60 ,$25.34 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$16.26 ,$22.52 ,$22.52 ,$11.26 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,$848.00 ,$551.20 ,$3.50 ,$848.00 , N/A ,$78.75 ,$459.62 , N/A ,$237.44 ,$18.06 , N/A ,$18.06 , N/A ,$323.94 ,$3.50 , N/A ,$323.94 ,$381.60 ,$406.34 ,$432.48 ,$593.60 , N/A ,$593.60 , N/A ,$424.00 , N/A ,$636.00 ,$428.24 ,$385.84 ,$428.24 , N/A ,$428.24 ,$593.60 ,$593.60 ,$593.60 ,$848.00 ,$720.80 , N/A ,$678.40 ,$313.76 ,$678.40 , N/A , N/A ,$848.00 ,$459.62 , N/A ,$223.02 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$720.80 ,$508.80 ,$557.98 ,$237.44 ,$763.20 ,$610.56 ,$848.00 ,$593.60 ,$424.00 ,$424.00 , N/A ,$407.04 ,$763.20 ST. JOHN'S HOSPITAL,30101582,82746,HC FOLIC ACID SERUM - 90,301,1 ,$181.00 ,$117.65 ,$3.50 ,$181.00 ,$36.75 ,$30.07 ,$98.10 ,$14.70 ,$50.68 ,$60.89 ,$14.70 ,$60.89 ,$14.70 ,$69.14 ,$3.50 ,$14.70 ,$69.14 ,$27.93 ,$49.74 ,$92.31 ,$36.75 ,$14.70 ,$126.70 ,$14.70 ,$90.50 ,$14.99 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$14.70 ,$91.41 ,$21.24 ,$21.24 ,$21.24 ,$181.00 ,$153.85 ,$36.75 ,$144.80 ,$66.97 ,$144.80 ,$14.70 ,$14.70 ,$181.00 ,$98.10 ,$14.70 ,$47.60 , N/A , N/A ,$11.81 ,$11.28 ,$15.44 ,$153.85 ,$33.08 ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$21.24 ,$29.40 ,$29.40 ,$14.70 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,30101633,83070,HC HEMOSIDERIN QL - 90,301,1 ,$97.00 ,$63.05 ,$3.50 ,$97.00 ,$11.88 ,$7.12 ,$52.57 ,$4.75 ,$27.16 ,$19.66 ,$4.75 ,$19.66 ,$4.75 ,$37.05 ,$3.50 ,$4.75 ,$37.05 ,$9.03 ,$16.59 ,$49.47 ,$11.88 ,$4.75 ,$67.90 ,$4.75 ,$48.50 ,$4.85 ,$72.75 ,$48.99 ,$44.14 ,$48.99 ,$4.75 ,$48.99 ,$6.85 ,$6.85 ,$6.85 ,$97.00 ,$82.45 ,$11.88 ,$77.60 ,$35.89 ,$77.60 ,$4.75 ,$4.75 ,$97.00 ,$52.57 ,$4.75 ,$25.51 , N/A , N/A ,$11.81 ,$11.28 ,$4.99 ,$82.45 ,$10.69 ,$63.83 ,$27.16 ,$87.30 ,$69.84 ,$97.00 ,$6.85 ,$9.50 ,$9.50 ,$4.75 ,$46.56 ,$87.30 ST. JOHN'S HOSPITAL,30101634,80348,HC BUPRENORPHINE -90,301,1 ,$92.00 ,$59.80 ,$0.02 ,$92.00 , N/A ,$0.02 ,$49.86 , N/A ,$25.76 , N/A , N/A , N/A , N/A ,$35.14 , N/A , N/A ,$35.14 , N/A ,$48.39 ,$46.92 , N/A , N/A ,$64.40 , N/A ,$46.00 , N/A ,$69.00 ,$46.46 ,$41.86 ,$46.46 , N/A ,$46.46 ,$21.27 ,$21.27 ,$21.27 ,$92.00 ,$78.20 , N/A ,$73.60 ,$34.04 ,$73.60 , N/A , N/A ,$92.00 ,$49.86 , N/A ,$24.20 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$78.20 , N/A ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$21.27 , N/A , N/A , N/A ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30101642,84999,HC OSMOLALITY FECAL-90,301,1 ,$296.00 ,$192.40 ,$11.28 ,$296.00 , N/A ,$136.16 ,$160.43 , N/A ,$82.88 ,$94.72 , N/A ,$108.93 , N/A ,$113.07 ,$118.40 , N/A ,$113.07 ,$133.20 ,$85.52 ,$150.96 ,$207.20 , N/A ,$207.20 , N/A ,$148.00 , N/A ,$222.00 ,$149.48 ,$134.68 ,$149.48 , N/A ,$149.48 ,$207.20 ,$207.20 ,$207.20 ,$296.00 ,$251.60 , N/A ,$236.80 ,$109.52 ,$236.80 , N/A , N/A ,$296.00 ,$160.43 , N/A ,$77.85 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$251.60 ,$177.60 ,$194.77 ,$82.88 ,$266.40 ,$213.12 ,$296.00 ,$207.20 ,$148.00 ,$148.00 , N/A ,$142.08 ,$266.40 ST. JOHN'S HOSPITAL,30101643,81596,HC CHRONIC HEP C VIRUS ASSAYS-90,301,1 ,$858.00 ,$557.70 ,$3.50 ,$858.00 ,$180.48 ,$107.38 ,$465.04 ,$72.19 ,$240.24 ,$274.56 ,$72.19 ,$315.74 ,$72.19 ,$327.76 ,$3.50 ,$72.19 ,$327.76 ,$137.16 ,$245.04 ,$437.58 ,$180.48 ,$72.19 ,$600.60 ,$72.19 ,$429.00 ,$73.63 ,$643.50 ,$433.29 ,$390.39 ,$433.29 ,$72.19 ,$433.29 ,$93.85 ,$93.85 ,$93.85 ,$858.00 ,$729.30 ,$180.48 ,$686.40 ,$317.46 ,$686.40 ,$72.19 ,$72.19 ,$858.00 ,$465.04 ,$72.19 ,$225.65 , N/A , N/A ,$41.92 ,$40.02 ,$75.80 ,$729.30 ,$162.43 ,$564.56 ,$240.24 ,$772.20 ,$617.76 ,$858.00 ,$93.85 ,$144.38 ,$144.38 ,$72.19 ,$411.84 ,$772.20 ST. JOHN'S HOSPITAL,30101644,82540,HC CREATINE ASSAY-90,301,1 ,$136.00 ,$88.40 ,$3.50 ,$136.00 ,$11.60 ,$9.47 ,$73.71 ,$4.64 ,$38.08 ,$19.20 ,$4.64 ,$19.20 ,$4.64 ,$51.95 ,$3.50 ,$4.64 ,$51.95 ,$8.82 ,$15.40 ,$69.36 ,$11.60 ,$4.64 ,$95.20 ,$4.64 ,$68.00 ,$4.73 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$4.64 ,$68.68 ,$6.70 ,$6.70 ,$6.70 ,$136.00 ,$115.60 ,$11.60 ,$108.80 ,$50.32 ,$108.80 ,$4.64 ,$4.64 ,$136.00 ,$73.71 ,$4.64 ,$35.77 , N/A , N/A ,$5.26 ,$5.02 ,$4.87 ,$115.60 ,$10.44 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$6.70 ,$9.28 ,$9.28 ,$4.64 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30101645,83951,HC ONCOPROTEIN DCP-90,301,1 ,$374.00 ,$243.10 ,$3.50 ,$374.00 ,$161.03 ,$95.71 ,$202.71 ,$64.41 ,$104.72 ,$129.03 ,$64.41 ,$143.62 ,$64.41 ,$142.87 ,$3.50 ,$64.41 ,$142.87 ,$122.38 ,$219.00 ,$190.74 ,$161.03 ,$64.41 ,$261.80 ,$64.41 ,$187.00 ,$65.70 ,$280.50 ,$188.87 ,$170.17 ,$188.87 ,$64.41 ,$188.87 ,$93.04 ,$93.04 ,$93.04 ,$374.00 ,$317.90 ,$161.03 ,$299.20 ,$138.38 ,$299.20 ,$64.41 ,$64.41 ,$374.00 ,$202.71 ,$64.41 ,$98.36 , N/A , N/A ,$37.13 ,$35.44 ,$67.63 ,$317.90 ,$144.92 ,$246.09 ,$104.72 ,$336.60 ,$269.28 ,$374.00 ,$93.04 ,$128.82 ,$128.82 ,$64.41 ,$179.52 ,$336.60 ST. JOHN'S HOSPITAL,30101647,82274,HC OCCULT BLOOD FECAL HGB-90,301,1 ,$110.00 ,$71.50 ,$3.50 ,$110.00 ,$39.80 ,$32.52 ,$59.62 ,$15.92 ,$30.80 ,$37.95 ,$15.92 ,$42.24 ,$15.92 ,$42.02 ,$3.50 ,$15.92 ,$42.02 ,$30.25 ,$54.46 ,$56.10 ,$39.80 ,$15.92 ,$77.00 ,$15.92 ,$55.00 ,$16.24 ,$82.50 ,$55.55 ,$50.05 ,$55.55 ,$15.92 ,$55.55 ,$22.97 ,$22.97 ,$22.97 ,$110.00 ,$93.50 ,$39.80 ,$88.00 ,$40.70 ,$88.00 ,$15.92 ,$15.92 ,$110.00 ,$59.62 ,$15.92 ,$28.93 , N/A , N/A ,$11.81 ,$11.28 ,$16.72 ,$93.50 ,$35.82 ,$72.38 ,$30.80 ,$99.00 ,$79.20 ,$110.00 ,$22.97 ,$31.84 ,$31.84 ,$15.92 ,$52.80 ,$99.00 ST. JOHN'S HOSPITAL,30101651,84150,HC PROSTAGLANDIN-90,301,1 ,$507.00 ,$329.55 ,$3.50 ,$507.00 ,$104.43 ,$21.77 ,$274.79 ,$41.77 ,$141.96 ,$140.09 ,$41.77 ,$140.09 ,$41.77 ,$193.67 ,$3.50 ,$41.77 ,$193.67 ,$79.36 ,$142.07 ,$258.57 ,$104.43 ,$41.77 ,$354.90 ,$41.77 ,$253.50 ,$42.61 ,$380.25 ,$256.04 ,$230.69 ,$256.04 ,$41.77 ,$256.04 ,$54.30 ,$54.30 ,$54.30 ,$507.00 ,$430.95 ,$104.43 ,$405.60 ,$187.59 ,$405.60 ,$41.77 ,$41.77 ,$507.00 ,$274.79 ,$41.77 ,$133.34 , N/A , N/A ,$27.64 ,$26.39 ,$43.86 ,$430.95 ,$93.98 ,$333.61 ,$141.96 ,$456.30 ,$365.04 ,$507.00 ,$54.30 ,$83.54 ,$83.54 ,$41.77 ,$243.36 ,$456.30 ST. JOHN'S HOSPITAL,30101652,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2-90,301,1 ,$256.00 ,$166.40 ,$3.50 ,$256.00 ,$115.78 ,$57.98 ,$138.75 ,$46.31 ,$71.68 ,$88.32 ,$46.31 ,$98.30 ,$46.31 ,$97.79 ,$3.50 ,$46.31 ,$97.79 ,$87.99 ,$157.43 ,$130.56 ,$115.78 ,$46.31 ,$179.20 ,$46.31 ,$128.00 ,$47.24 ,$192.00 ,$129.28 ,$116.48 ,$129.28 ,$46.31 ,$129.28 ,$60.20 ,$60.20 ,$60.20 ,$256.00 ,$217.60 ,$115.78 ,$204.80 ,$94.72 ,$204.80 ,$46.31 ,$46.31 ,$256.00 ,$138.75 ,$46.31 ,$67.33 , N/A , N/A ,$31.80 ,$30.36 ,$48.63 ,$217.60 ,$104.20 ,$168.45 ,$71.68 ,$230.40 ,$184.32 ,$256.00 ,$60.20 ,$92.62 ,$92.62 ,$46.31 ,$122.88 ,$230.40 ST. JOHN'S HOSPITAL,30101653,82642,HC DIHYDROTESTOSTERONE-90,301,1 ,$182.00 ,$118.30 ,$3.50 ,$182.00 ,$73.20 ,$48.39 ,$98.64 ,$29.28 ,$50.96 ,$58.24 ,$29.28 ,$66.98 ,$29.28 ,$69.52 ,$3.50 ,$29.28 ,$69.52 ,$55.63 ,$99.44 ,$92.82 ,$73.20 ,$29.28 ,$127.40 ,$29.28 ,$91.00 ,$29.87 ,$136.50 ,$91.91 ,$82.81 ,$91.91 ,$29.28 ,$91.91 ,$42.29 ,$42.29 ,$42.29 ,$182.00 ,$154.70 ,$73.20 ,$145.60 ,$67.34 ,$145.60 ,$29.28 ,$29.28 ,$182.00 ,$98.64 ,$29.28 ,$47.87 , N/A , N/A ,$15.90 ,$15.17 ,$30.74 ,$154.70 ,$65.88 ,$119.76 ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$42.29 ,$58.56 ,$58.56 ,$29.28 ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,30101655,82009,HC ACETONE SERUM-90,301,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$11.30 ,$9.24 ,$56.91 ,$4.52 ,$29.40 ,$18.73 ,$4.52 ,$18.73 ,$4.52 ,$40.11 ,$3.50 ,$4.52 ,$40.11 ,$8.59 ,$15.40 ,$53.55 ,$11.30 ,$4.52 ,$73.50 ,$4.52 ,$52.50 ,$4.61 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$4.52 ,$53.03 ,$6.53 ,$6.53 ,$6.53 ,$105.00 ,$89.25 ,$11.30 ,$84.00 ,$38.85 ,$84.00 ,$4.52 ,$4.52 ,$105.00 ,$56.91 ,$4.52 ,$27.62 , N/A , N/A ,$5.26 ,$5.02 ,$4.75 ,$89.25 ,$10.17 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$6.53 ,$9.04 ,$9.04 ,$4.52 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30101663,83631,HC LACTOFERRIN FECAL QN-90,301,1 ,$280.00 ,$182.00 ,$3.50 ,$280.00 ,$49.08 ,$40.13 ,$151.76 ,$19.63 ,$78.40 ,$81.32 ,$19.63 ,$81.32 ,$19.63 ,$106.96 ,$3.50 ,$19.63 ,$106.96 ,$37.30 ,$66.29 ,$142.80 ,$49.08 ,$19.63 ,$196.00 ,$19.63 ,$140.00 ,$20.02 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$19.63 ,$141.40 ,$28.35 ,$28.35 ,$28.35 ,$280.00 ,$238.00 ,$49.08 ,$224.00 ,$103.60 ,$224.00 ,$19.63 ,$19.63 ,$280.00 ,$151.76 ,$19.63 ,$73.64 , N/A , N/A ,$11.81 ,$11.28 ,$20.61 ,$238.00 ,$44.17 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$28.35 ,$39.26 ,$39.26 ,$19.63 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,30101667,84432,HC THYROGLOBULIN LC/MS/MS -90,301,1 ,$266.00 ,$172.90 ,$3.50 ,$266.00 ,$40.15 ,$32.85 ,$144.17 ,$16.06 ,$74.48 ,$66.51 ,$16.06 ,$66.51 ,$16.06 ,$101.61 ,$3.50 ,$16.06 ,$101.61 ,$30.51 ,$54.46 ,$135.66 ,$40.15 ,$16.06 ,$186.20 ,$16.06 ,$133.00 ,$16.38 ,$199.50 ,$134.33 ,$121.03 ,$134.33 ,$16.06 ,$134.33 ,$23.19 ,$23.19 ,$23.19 ,$266.00 ,$226.10 ,$40.15 ,$212.80 ,$98.42 ,$212.80 ,$16.06 ,$16.06 ,$266.00 ,$144.17 ,$16.06 ,$69.96 , N/A , N/A ,$27.64 ,$26.39 ,$16.86 ,$226.10 ,$36.14 ,$175.03 ,$74.48 ,$239.40 ,$191.52 ,$266.00 ,$23.19 ,$32.12 ,$32.12 ,$16.06 ,$127.68 ,$239.40 ST. JOHN'S HOSPITAL,30101670,83930,HC OSMOLALITY BLOOD -90,301,1 ,$138.00 ,$89.70 ,$3.50 ,$138.00 ,$16.53 ,$13.13 ,$74.80 ,$6.61 ,$38.64 ,$27.35 ,$6.61 ,$27.35 ,$6.61 ,$52.72 ,$3.50 ,$6.61 ,$52.72 ,$12.56 ,$22.51 ,$70.38 ,$16.53 ,$6.61 ,$96.60 ,$6.61 ,$69.00 ,$6.74 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$6.61 ,$69.69 ,$9.56 ,$9.56 ,$9.56 ,$138.00 ,$117.30 ,$16.53 ,$110.40 ,$51.06 ,$110.40 ,$6.61 ,$6.61 ,$138.00 ,$74.80 ,$6.61 ,$36.29 , N/A , N/A ,$5.26 ,$5.02 ,$6.94 ,$117.30 ,$14.87 ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$9.56 ,$13.22 ,$13.22 ,$6.61 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,30101679,83500,HC HYDROXYPROLINE FREE-90,301,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$56.63 ,$46.31 ,$65.04 ,$22.65 ,$33.60 ,$41.40 ,$22.65 ,$46.08 ,$22.65 ,$45.84 ,$3.50 ,$22.65 ,$45.84 ,$43.04 ,$76.93 ,$61.20 ,$56.63 ,$22.65 ,$84.00 ,$22.65 ,$60.00 ,$23.10 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$22.65 ,$60.60 ,$32.72 ,$32.72 ,$32.72 ,$120.00 ,$102.00 ,$56.63 ,$96.00 ,$44.40 ,$96.00 ,$22.65 ,$22.65 ,$120.00 ,$65.04 ,$22.65 ,$31.56 , N/A , N/A ,$27.64 ,$26.39 ,$23.78 ,$102.00 ,$50.96 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$32.72 ,$45.30 ,$45.30 ,$22.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30101681,82820,HC HEMOGLOBIN-OXYGEN AFFINITY-90,301,1 ,"$1,371.00 ",$891.15 ,$3.50 ,"$1,371.00 ",$33.35 ,$20.42 ,$743.08 ,$13.34 ,$383.88 ,$60.58 ,$13.34 ,$60.58 ,$13.34 ,$523.72 ,$3.50 ,$13.34 ,$523.72 ,$25.35 ,$44.97 ,$699.21 ,$33.35 ,$13.34 ,$959.70 ,$13.34 ,$685.50 ,$13.61 ,"$1,028.25 ",$692.36 ,$623.81 ,$692.36 ,$13.34 ,$692.36 ,$17.34 ,$17.34 ,$17.34 ,"$1,371.00 ","$1,165.35 ",$33.35 ,"$1,096.80 ",$507.27 ,"$1,096.80 ",$13.34 ,$13.34 ,"$1,371.00 ",$743.08 ,$13.34 ,$360.57 , N/A , N/A ,$7.34 ,$7.00 ,$14.01 ,"$1,165.35 ",$30.02 ,$902.12 ,$383.88 ,"$1,233.90 ",$987.12 ,"$1,371.00 ",$17.34 ,$26.68 ,$26.68 ,$13.34 ,$658.08 ,"$1,233.90 " ST. JOHN'S HOSPITAL,30101709,80285,HC VORICONAZOLE - 90,301,1 ,$225.00 ,$146.25 ,$3.50 ,$225.00 ,$67.78 ,$40.32 ,$121.95 ,$27.11 ,$63.00 ,$72.00 ,$27.11 ,$82.80 ,$27.11 ,$85.95 ,$3.50 ,$27.11 ,$85.95 ,$51.51 ,$92.33 ,$114.75 ,$67.78 ,$27.11 ,$157.50 ,$27.11 ,$112.50 ,$27.65 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$27.11 ,$113.63 ,$35.24 ,$35.24 ,$35.24 ,$225.00 ,$191.25 ,$67.78 ,$180.00 ,$83.25 ,$180.00 ,$27.11 ,$27.11 ,$225.00 ,$121.95 ,$27.11 ,$59.18 , N/A , N/A ,$13.56 ,$12.95 ,$28.47 ,$191.25 ,$61.00 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$35.24 ,$54.22 ,$54.22 ,$27.11 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,30101714,80374,HC METHAMPHETAMINE- 90,301,1 ,$301.00 ,$195.65 ,$0.02 ,$301.00 , N/A ,$0.02 ,$163.14 , N/A ,$84.28 , N/A , N/A , N/A , N/A ,$114.98 , N/A , N/A ,$114.98 , N/A ,$158.33 ,$153.51 , N/A , N/A ,$210.70 , N/A ,$150.50 , N/A ,$225.75 ,$152.01 ,$136.96 ,$152.01 , N/A ,$152.01 ,$15.34 ,$15.34 ,$15.34 ,$301.00 ,$255.85 , N/A ,$240.80 ,$111.37 ,$240.80 , N/A , N/A ,$301.00 ,$163.14 , N/A ,$79.16 , N/A , N/A ,$11.81 ,$11.28 , N/A ,$255.85 , N/A ,$198.06 ,$84.28 ,$270.90 ,$216.72 ,$301.00 ,$15.34 , N/A , N/A , N/A ,$144.48 ,$270.90 ST. JOHN'S HOSPITAL,30101716,80187,HC POSACONAZOLE -90,301,1 ,$213.00 ,$138.45 ,$3.50 ,$213.00 ,$67.78 ,$40.32 ,$115.45 ,$27.11 ,$59.64 ,$68.16 ,$27.11 ,$78.38 ,$27.11 ,$81.37 ,$3.50 ,$27.11 ,$81.37 ,$51.51 ,$92.33 ,$108.63 ,$67.78 ,$27.11 ,$149.10 ,$27.11 ,$106.50 ,$27.65 ,$159.75 ,$107.57 ,$96.92 ,$107.57 ,$27.11 ,$107.57 ,$35.24 ,$35.24 ,$35.24 ,$213.00 ,$181.05 ,$67.78 ,$170.40 ,$78.81 ,$170.40 ,$27.11 ,$27.11 ,$213.00 ,$115.45 ,$27.11 ,$56.02 , N/A , N/A ,$13.56 ,$12.95 ,$28.47 ,$181.05 ,$61.00 ,$140.15 ,$59.64 ,$191.70 ,$153.36 ,$213.00 ,$35.24 ,$54.22 ,$54.22 ,$27.11 ,$102.24 ,$191.70 ST. JOHN'S HOSPITAL,30101719,87635,HC COVID-19,301,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30101723,82397,HC ANTIMULLERIAN ASSAY-90,301,1 ,$239.00 ,$155.35 ,$3.50 ,$239.00 ,$35.30 ,$28.89 ,$129.54 ,$14.12 ,$66.92 ,$58.46 ,$14.12 ,$58.46 ,$14.12 ,$91.30 ,$3.50 ,$14.12 ,$91.30 ,$26.83 ,$47.36 ,$121.89 ,$35.30 ,$14.12 ,$167.30 ,$14.12 ,$119.50 ,$14.40 ,$179.25 ,$120.70 ,$108.75 ,$120.70 ,$14.12 ,$120.70 ,$20.40 ,$20.40 ,$20.40 ,$239.00 ,$203.15 ,$35.30 ,$191.20 ,$88.43 ,$191.20 ,$14.12 ,$14.12 ,$239.00 ,$129.54 ,$14.12 ,$62.86 , N/A , N/A ,$11.81 ,$11.28 ,$14.83 ,$203.15 ,$31.77 ,$157.26 ,$66.92 ,$215.10 ,$172.08 ,$239.00 ,$20.40 ,$28.24 ,$28.24 ,$14.12 ,$114.72 ,$215.10 ST. JOHN'S HOSPITAL,30101736,87635,HC COVID-19 - 2 DAY COMPLETION,301,1 ,$81.00 ,$52.65 ,$21.30 ,$128.28 ,$128.28 ,$81.00 ,$43.90 ,$51.31 ,$22.68 ,$25.92 ,$51.31 ,$29.81 ,$51.31 ,$30.94 ,$32.40 ,$51.31 ,$30.94 ,$81.00 ,$42.61 ,$41.31 ,$128.28 ,$51.31 ,$56.70 ,$51.31 ,$40.50 ,$52.34 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$51.31 ,$40.91 ,$56.70 ,$56.70 ,$56.70 ,$81.00 ,$68.85 ,$81.00 ,$64.80 ,$29.97 ,$64.80 ,$51.31 ,$51.31 ,$51.31 ,$43.90 ,$51.31 ,$21.30 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$68.85 ,$115.45 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$56.70 ,$81.00 ,$81.00 ,$51.31 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30101743,82777,HC GALECTIN-3 - 90,301,1 ,$224.00 ,$145.60 ,$3.50 ,$224.00 ,$110.63 ,$26.48 ,$121.41 ,$44.25 ,$62.72 ,$77.28 ,$44.25 ,$86.02 ,$44.25 ,$85.57 ,$3.50 ,$44.25 ,$85.57 ,$84.08 ,$150.33 ,$114.24 ,$110.63 ,$44.25 ,$156.80 ,$44.25 ,$112.00 ,$45.14 ,$168.00 ,$113.12 ,$101.92 ,$113.12 ,$44.25 ,$113.12 ,$57.53 ,$57.53 ,$57.53 ,$224.00 ,$190.40 ,$110.63 ,$179.20 ,$82.88 ,$179.20 ,$44.25 ,$44.25 ,$224.00 ,$121.41 ,$44.25 ,$58.91 , N/A , N/A ,$11.81 ,$11.28 ,$46.46 ,$190.40 ,$99.56 ,$147.39 ,$62.72 ,$201.60 ,$161.28 ,$224.00 ,$57.53 ,$88.50 ,$88.50 ,$44.25 ,$107.52 ,$201.60 ST. JOHN'S HOSPITAL,30101765,83872,HC ASSAY SYNOVIAL FLUID MUCIN- 90,301,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$14.65 ,$11.99 ,$33.60 ,$5.86 ,$17.36 ,$21.39 ,$5.86 ,$23.81 ,$5.86 ,$23.68 ,$3.50 ,$5.86 ,$23.68 ,$11.13 ,$20.13 ,$31.62 ,$14.65 ,$5.86 ,$43.40 ,$5.86 ,$31.00 ,$5.98 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$5.86 ,$31.31 ,$8.46 ,$8.46 ,$8.46 ,$62.00 ,$52.70 ,$14.65 ,$49.60 ,$22.94 ,$49.60 ,$5.86 ,$5.86 ,$62.00 ,$33.60 ,$5.86 ,$16.31 , N/A , N/A ,$5.26 ,$5.02 ,$6.15 ,$52.70 ,$13.19 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$8.46 ,$11.72 ,$11.72 ,$5.86 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30101775,84275,HC SIALIC ACID- 90,301,1 ,$149.00 ,$96.85 ,$3.50 ,$149.00 ,$33.60 ,$27.48 ,$80.76 ,$13.44 ,$41.72 ,$51.41 ,$13.44 ,$55.62 ,$13.44 ,$56.92 ,$3.50 ,$13.44 ,$56.92 ,$25.54 ,$46.17 ,$75.99 ,$33.60 ,$13.44 ,$104.30 ,$13.44 ,$74.50 ,$13.71 ,$111.75 ,$75.25 ,$67.80 ,$75.25 ,$13.44 ,$75.25 ,$19.41 ,$19.41 ,$19.41 ,$149.00 ,$126.65 ,$33.60 ,$119.20 ,$55.13 ,$119.20 ,$13.44 ,$13.44 ,$149.00 ,$80.76 ,$13.44 ,$39.19 , N/A , N/A ,$11.81 ,$11.28 ,$14.11 ,$126.65 ,$30.24 ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$19.41 ,$26.88 ,$26.88 ,$13.44 ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,30200102,86003,HC ALLERGEN IGE QN EA,302,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$13.05 ,$10.66 ,$65.04 ,$5.22 ,$33.60 ,$21.62 ,$5.22 ,$21.62 ,$5.22 ,$45.84 ,$3.50 ,$5.22 ,$45.84 ,$9.92 ,$17.74 ,$61.20 ,$13.05 ,$5.22 ,$84.00 ,$5.22 ,$60.00 ,$5.32 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$5.22 ,$60.60 ,$7.54 ,$7.54 ,$7.54 ,$120.00 ,$102.00 ,$13.05 ,$96.00 ,$44.40 ,$96.00 ,$5.22 ,$5.22 ,$120.00 ,$65.04 ,$5.22 ,$31.56 , N/A , N/A ,$10.58 ,$10.10 ,$5.48 ,$102.00 ,$11.75 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$7.54 ,$10.44 ,$10.44 ,$5.22 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200119,86038,HC ANA SCREEN,302,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$30.23 ,$24.73 ,$34.69 ,$12.09 ,$17.92 ,$22.08 ,$12.09 ,$24.58 ,$12.09 ,$24.45 ,$3.50 ,$12.09 ,$24.45 ,$22.97 ,$41.44 ,$32.64 ,$30.23 ,$12.09 ,$44.80 ,$12.09 ,$32.00 ,$12.33 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$12.09 ,$32.32 ,$17.46 ,$17.46 ,$17.46 ,$64.00 ,$54.40 ,$30.23 ,$51.20 ,$23.68 ,$51.20 ,$12.09 ,$12.09 ,$64.00 ,$34.69 ,$12.09 ,$16.83 , N/A , N/A ,$10.58 ,$10.10 ,$12.69 ,$54.40 ,$27.20 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$17.46 ,$24.18 ,$24.18 ,$12.09 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30200121,86060,HC ASO,302,1 ,$101.00 ,$65.65 ,$3.50 ,$101.00 ,$18.25 ,$14.93 ,$54.74 ,$7.30 ,$28.28 ,$30.24 ,$7.30 ,$30.24 ,$7.30 ,$38.58 ,$3.50 ,$7.30 ,$38.58 ,$13.87 ,$24.85 ,$51.51 ,$18.25 ,$7.30 ,$70.70 ,$7.30 ,$50.50 ,$7.45 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$7.30 ,$51.01 ,$10.54 ,$10.54 ,$10.54 ,$101.00 ,$85.85 ,$18.25 ,$80.80 ,$37.37 ,$80.80 ,$7.30 ,$7.30 ,$101.00 ,$54.74 ,$7.30 ,$26.56 , N/A , N/A ,$10.58 ,$10.10 ,$7.67 ,$85.85 ,$16.43 ,$66.46 ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$10.54 ,$14.60 ,$14.60 ,$7.30 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,30200126,86147,HC CARDIOLIPIN AB EA,302,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$63.63 ,$52.01 ,$65.04 ,$25.45 ,$33.60 ,$41.40 ,$25.45 ,$46.08 ,$25.45 ,$45.84 ,$3.50 ,$25.45 ,$45.84 ,$48.36 ,$86.42 ,$61.20 ,$63.63 ,$25.45 ,$84.00 ,$25.45 ,$60.00 ,$25.96 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$25.45 ,$60.60 ,$36.76 ,$36.76 ,$36.76 ,$120.00 ,$102.00 ,$63.63 ,$96.00 ,$44.40 ,$96.00 ,$25.45 ,$25.45 ,$120.00 ,$65.04 ,$25.45 ,$31.56 , N/A , N/A ,$18.24 ,$17.41 ,$26.72 ,$102.00 ,$57.26 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$36.76 ,$50.90 ,$50.90 ,$25.45 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200130,86160,HC COMPLEMENT AG EA (C3),302,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$30.00 ,$24.55 ,$86.72 ,$12.00 ,$44.80 ,$49.69 ,$12.00 ,$49.69 ,$12.00 ,$61.12 ,$3.50 ,$12.00 ,$61.12 ,$22.80 ,$40.25 ,$81.60 ,$30.00 ,$12.00 ,$112.00 ,$12.00 ,$80.00 ,$12.24 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$12.00 ,$80.80 ,$17.33 ,$17.33 ,$17.33 ,$160.00 ,$136.00 ,$30.00 ,$128.00 ,$59.20 ,$128.00 ,$12.00 ,$12.00 ,$160.00 ,$86.72 ,$12.00 ,$42.08 , N/A , N/A ,$10.58 ,$10.10 ,$12.60 ,$136.00 ,$27.00 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$17.33 ,$24.00 ,$24.00 ,$12.00 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30200131,86160,HC COMPLEMENT AG EA (C4),302,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$30.00 ,$24.55 ,$86.72 ,$12.00 ,$44.80 ,$49.69 ,$12.00 ,$49.69 ,$12.00 ,$61.12 ,$3.50 ,$12.00 ,$61.12 ,$22.80 ,$40.25 ,$81.60 ,$30.00 ,$12.00 ,$112.00 ,$12.00 ,$80.00 ,$12.24 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$12.00 ,$80.80 ,$17.33 ,$17.33 ,$17.33 ,$160.00 ,$136.00 ,$30.00 ,$128.00 ,$59.20 ,$128.00 ,$12.00 ,$12.00 ,$160.00 ,$86.72 ,$12.00 ,$42.08 , N/A , N/A ,$10.58 ,$10.10 ,$12.60 ,$136.00 ,$27.00 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$17.33 ,$24.00 ,$24.00 ,$12.00 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30200137,86225,HC DNA DOUBLE STRAND AB,302,1 ,$74.00 ,$48.10 ,$3.50 ,$74.00 ,$34.35 ,$28.09 ,$40.11 ,$13.74 ,$20.72 ,$25.53 ,$13.74 ,$28.42 ,$13.74 ,$28.27 ,$3.50 ,$13.74 ,$28.27 ,$26.11 ,$46.17 ,$37.74 ,$34.35 ,$13.74 ,$51.80 ,$13.74 ,$37.00 ,$14.01 ,$55.50 ,$37.37 ,$33.67 ,$37.37 ,$13.74 ,$37.37 ,$19.85 ,$19.85 ,$19.85 ,$74.00 ,$62.90 ,$34.35 ,$59.20 ,$27.38 ,$59.20 ,$13.74 ,$13.74 ,$74.00 ,$40.11 ,$13.74 ,$19.46 , N/A , N/A ,$10.58 ,$10.10 ,$14.43 ,$62.90 ,$30.92 ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$19.85 ,$27.48 ,$27.48 ,$13.74 ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,30200138,86235,HC ENA AB,302,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$44.83 ,$36.24 ,$43.36 ,$17.93 ,$22.40 ,$27.60 ,$17.93 ,$30.72 ,$17.93 ,$30.56 ,$3.50 ,$17.93 ,$30.56 ,$34.07 ,$60.38 ,$40.80 ,$44.83 ,$17.93 ,$56.00 ,$17.93 ,$40.00 ,$18.29 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$17.93 ,$40.40 ,$25.91 ,$25.91 ,$25.91 ,$80.00 ,$68.00 ,$44.83 ,$64.00 ,$29.60 ,$64.00 ,$17.93 ,$17.93 ,$80.00 ,$43.36 ,$17.93 ,$21.04 , N/A , N/A ,$18.24 ,$17.41 ,$18.83 ,$68.00 ,$40.34 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$25.91 ,$35.86 ,$35.86 ,$17.93 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30200158,86300,HC TUMOR AG CA 15-3 (27.29),302,1 ,$198.00 ,$128.70 ,$3.50 ,$198.00 ,$52.03 ,$42.56 ,$107.32 ,$20.81 ,$55.44 ,$68.31 ,$20.81 ,$76.03 ,$20.81 ,$75.64 ,$3.50 ,$20.81 ,$75.64 ,$39.54 ,$71.01 ,$100.98 ,$52.03 ,$20.81 ,$138.60 ,$20.81 ,$99.00 ,$21.23 ,$148.50 ,$99.99 ,$90.09 ,$99.99 ,$20.81 ,$99.99 ,$30.07 ,$30.07 ,$30.07 ,$198.00 ,$168.30 ,$52.03 ,$158.40 ,$73.26 ,$158.40 ,$20.81 ,$20.81 ,$198.00 ,$107.32 ,$20.81 ,$52.07 , N/A , N/A ,$28.04 ,$26.76 ,$21.85 ,$168.30 ,$46.82 ,$130.28 ,$55.44 ,$178.20 ,$142.56 ,$198.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$95.04 ,$178.20 ST. JOHN'S HOSPITAL,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$83.00 ,$53.95 ,$3.50 ,$83.00 ,$12.95 ,$10.57 ,$44.99 ,$5.18 ,$23.24 ,$28.64 ,$5.18 ,$29.00 ,$5.18 ,$31.71 ,$3.50 ,$5.18 ,$31.71 ,$9.84 ,$17.74 ,$42.33 ,$12.95 ,$5.18 ,$58.10 ,$5.18 ,$41.50 ,$5.28 ,$62.25 ,$41.92 ,$37.77 ,$41.92 ,$5.18 ,$41.92 ,$7.48 ,$7.48 ,$7.48 ,$83.00 ,$70.55 ,$12.95 ,$66.40 ,$30.71 ,$66.40 ,$5.18 ,$5.18 ,$83.00 ,$44.99 ,$5.18 ,$21.83 , N/A , N/A ,$10.58 ,$10.10 ,$5.44 ,$70.55 ,$11.66 ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,30200167,86331,HC IMMUNODIFF EL EA AG AB QL,302,1 ,$142.00 ,$92.30 ,$3.50 ,$142.00 ,$29.95 ,$24.50 ,$76.96 ,$11.98 ,$39.76 ,$48.99 ,$11.98 ,$49.59 ,$11.98 ,$54.24 ,$3.50 ,$11.98 ,$54.24 ,$22.76 ,$40.25 ,$72.42 ,$29.95 ,$11.98 ,$99.40 ,$11.98 ,$71.00 ,$12.22 ,$106.50 ,$71.71 ,$64.61 ,$71.71 ,$11.98 ,$71.71 ,$17.30 ,$17.30 ,$17.30 ,$142.00 ,$120.70 ,$29.95 ,$113.60 ,$52.54 ,$113.60 ,$11.98 ,$11.98 ,$142.00 ,$76.96 ,$11.98 ,$37.35 , N/A , N/A ,$18.24 ,$17.41 ,$12.58 ,$120.70 ,$26.96 ,$93.44 ,$39.76 ,$127.80 ,$102.24 ,$142.00 ,$17.30 ,$23.96 ,$23.96 ,$11.98 ,$68.16 ,$127.80 ST. JOHN'S HOSPITAL,30200169,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$295.00 ,$191.75 ,$17.41 ,$295.00 ,$55.85 ,$45.68 ,$159.89 ,$22.34 ,$82.60 ,$92.52 ,$22.34 ,$92.52 ,$22.34 ,$112.69 ,$17.63 ,$22.34 ,$112.69 ,$42.45 ,$75.78 ,$150.45 ,$55.85 ,$22.34 ,$206.50 ,$22.34 ,$147.50 ,$22.79 ,$221.25 ,$148.98 ,$134.23 ,$148.98 ,$22.34 ,$148.98 ,$32.28 ,$32.28 ,$32.28 ,$295.00 ,$250.75 ,$55.85 ,$236.00 ,$109.15 ,$236.00 ,$22.34 ,$22.34 ,$295.00 ,$159.89 ,$22.34 ,$77.59 , N/A , N/A ,$18.24 ,$17.41 ,$23.46 ,$250.75 ,$50.27 ,$194.11 ,$82.60 ,$265.50 ,$212.40 ,$295.00 ,$32.28 ,$44.68 ,$44.68 ,$22.34 ,$141.60 ,$265.50 ST. JOHN'S HOSPITAL,30200171,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$295.00 ,$191.75 ,$17.41 ,$295.00 ,$73.38 ,$60.01 ,$159.89 ,$29.35 ,$82.60 ,$101.78 ,$29.35 ,$113.28 ,$29.35 ,$112.69 ,$23.15 ,$29.35 ,$112.69 ,$55.77 ,$99.44 ,$150.45 ,$73.38 ,$29.35 ,$206.50 ,$29.35 ,$147.50 ,$29.94 ,$221.25 ,$148.98 ,$134.23 ,$148.98 ,$29.35 ,$148.98 ,$42.39 ,$42.39 ,$42.39 ,$295.00 ,$250.75 ,$73.38 ,$236.00 ,$109.15 ,$236.00 ,$29.35 ,$29.35 ,$295.00 ,$159.89 ,$29.35 ,$77.59 , N/A , N/A ,$18.24 ,$17.41 ,$30.82 ,$250.75 ,$66.04 ,$194.11 ,$82.60 ,$265.50 ,$212.40 ,$295.00 ,$42.39 ,$58.70 ,$58.70 ,$29.35 ,$141.60 ,$265.50 ST. JOHN'S HOSPITAL,30200181,86355,HC B CELLS TOTAL COUNT,302,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$94.33 ,$77.12 ,$105.69 ,$37.73 ,$54.60 ,$67.28 ,$37.73 ,$74.88 ,$37.73 ,$74.49 ,$3.50 ,$37.73 ,$74.49 ,$71.69 ,$127.86 ,$99.45 ,$94.33 ,$37.73 ,$136.50 ,$37.73 ,$97.50 ,$38.48 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$37.73 ,$98.48 ,$54.50 ,$54.50 ,$54.50 ,$195.00 ,$165.75 ,$94.33 ,$156.00 ,$72.15 ,$156.00 ,$37.73 ,$37.73 ,$195.00 ,$105.69 ,$37.73 ,$51.29 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$165.75 ,$84.89 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$54.50 ,$75.46 ,$75.46 ,$37.73 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30200182,86357,HC CD8 TOTAL COUNT,302,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$94.33 ,$77.12 ,$105.69 ,$37.73 ,$54.60 ,$67.28 ,$37.73 ,$74.88 ,$37.73 ,$74.49 ,$3.50 ,$37.73 ,$74.49 ,$71.69 ,$127.86 ,$99.45 ,$94.33 ,$37.73 ,$136.50 ,$37.73 ,$97.50 ,$38.48 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$37.73 ,$98.48 ,$54.50 ,$54.50 ,$54.50 ,$195.00 ,$165.75 ,$94.33 ,$156.00 ,$72.15 ,$156.00 ,$37.73 ,$37.73 ,$195.00 ,$105.69 ,$37.73 ,$51.29 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$165.75 ,$84.89 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$54.50 ,$75.46 ,$75.46 ,$37.73 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30200184,86360,HC ABS T CELLS CD4 CD8 RATIO,302,1 ,$242.00 ,$157.30 ,$3.50 ,$242.00 ,$117.45 ,$96.08 ,$131.16 ,$46.98 ,$67.76 ,$83.49 ,$46.98 ,$92.93 ,$46.98 ,$92.44 ,$3.50 ,$46.98 ,$92.44 ,$89.26 ,$159.81 ,$123.42 ,$117.45 ,$46.98 ,$169.40 ,$46.98 ,$121.00 ,$47.92 ,$181.50 ,$122.21 ,$110.11 ,$122.21 ,$46.98 ,$122.21 ,$67.86 ,$67.86 ,$67.86 ,$242.00 ,$205.70 ,$117.45 ,$193.60 ,$89.54 ,$193.60 ,$46.98 ,$46.98 ,$242.00 ,$131.16 ,$46.98 ,$63.65 , N/A , N/A ,$18.24 ,$17.41 ,$49.33 ,$205.70 ,$105.71 ,$159.24 ,$67.76 ,$217.80 ,$174.24 ,$242.00 ,$67.86 ,$93.96 ,$93.96 ,$46.98 ,$116.16 ,$217.80 ST. JOHN'S HOSPITAL,30200189,86376,HC MICROSOMAL AB,302,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$36.38 ,$29.73 ,$45.53 ,$14.55 ,$23.52 ,$28.98 ,$14.55 ,$32.26 ,$14.55 ,$32.09 ,$3.50 ,$14.55 ,$32.09 ,$27.65 ,$49.74 ,$42.84 ,$36.38 ,$14.55 ,$58.80 ,$14.55 ,$42.00 ,$14.84 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$14.55 ,$42.42 ,$21.02 ,$21.02 ,$21.02 ,$84.00 ,$71.40 ,$36.38 ,$67.20 ,$31.08 ,$67.20 ,$14.55 ,$14.55 ,$84.00 ,$45.53 ,$14.55 ,$22.09 , N/A , N/A ,$27.64 ,$26.39 ,$15.28 ,$71.40 ,$32.74 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$21.02 ,$29.10 ,$29.10 ,$14.55 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30200199,86480,HC TB QUANTIFERON GOLD,302,1 ,$272.00 ,$176.80 ,$3.50 ,$272.00 ,$154.95 ,$126.74 ,$147.42 ,$61.98 ,$76.16 ,$93.84 ,$61.98 ,$104.45 ,$61.98 ,$103.90 ,$3.50 ,$61.98 ,$103.90 ,$117.76 ,$210.70 ,$138.72 ,$154.95 ,$61.98 ,$190.40 ,$61.98 ,$136.00 ,$63.22 ,$204.00 ,$137.36 ,$123.76 ,$137.36 ,$61.98 ,$137.36 ,$89.53 ,$89.53 ,$89.53 ,$272.00 ,$231.20 ,$154.95 ,$217.60 ,$100.64 ,$217.60 ,$61.98 ,$61.98 ,$272.00 ,$147.42 ,$61.98 ,$71.54 , N/A , N/A ,$18.24 ,$17.41 ,$65.08 ,$231.20 ,$139.46 ,$178.98 ,$76.16 ,$244.80 ,$195.84 ,$272.00 ,$89.53 ,$123.96 ,$123.96 ,$61.98 ,$130.56 ,$244.80 ST. JOHN'S HOSPITAL,30200201,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$10.68 ,$8.73 ,$22.76 ,$4.27 ,$11.76 ,$14.49 ,$4.27 ,$16.13 ,$4.27 ,$16.04 ,$3.50 ,$4.27 ,$16.04 ,$8.11 ,$14.21 ,$21.42 ,$10.68 ,$4.27 ,$29.40 ,$4.27 ,$21.00 ,$4.36 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$4.27 ,$21.21 ,$6.18 ,$6.18 ,$6.18 ,$42.00 ,$35.70 ,$10.68 ,$33.60 ,$15.54 ,$33.60 ,$4.27 ,$4.27 ,$42.00 ,$22.76 ,$4.27 ,$11.05 , N/A , N/A ,$10.58 ,$10.10 ,$4.48 ,$35.70 ,$9.61 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30200204,86593,HC SYPHILIS VDRL RPR QN,302,1 ,$252.00 ,$163.80 ,$3.50 ,$252.00 ,$11.00 ,$9.00 ,$136.58 ,$4.40 ,$70.56 ,$18.27 ,$4.40 ,$18.27 ,$4.40 ,$96.26 ,$3.50 ,$4.40 ,$96.26 ,$8.36 ,$15.40 ,$128.52 ,$11.00 ,$4.40 ,$176.40 ,$4.40 ,$126.00 ,$4.49 ,$189.00 ,$127.26 ,$114.66 ,$127.26 ,$4.40 ,$127.26 ,$6.36 ,$6.36 ,$6.36 ,$252.00 ,$214.20 ,$11.00 ,$201.60 ,$93.24 ,$201.60 ,$4.40 ,$4.40 ,$252.00 ,$136.58 ,$4.40 ,$66.28 , N/A , N/A ,$10.58 ,$10.10 ,$4.62 ,$214.20 ,$9.90 ,$165.82 ,$70.56 ,$226.80 ,$181.44 ,$252.00 ,$6.36 ,$8.80 ,$8.80 ,$4.40 ,$120.96 ,$226.80 ST. JOHN'S HOSPITAL,30200207,86606,HC ASPERGILLUS AB,302,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$37.63 ,$30.80 ,$41.19 ,$15.05 ,$21.28 ,$26.22 ,$15.05 ,$29.18 ,$15.05 ,$29.03 ,$3.50 ,$15.05 ,$29.03 ,$28.60 ,$50.89 ,$38.76 ,$37.63 ,$15.05 ,$53.20 ,$15.05 ,$38.00 ,$15.35 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$15.05 ,$38.38 ,$21.75 ,$21.75 ,$21.75 ,$76.00 ,$64.60 ,$37.63 ,$60.80 ,$28.12 ,$60.80 ,$15.05 ,$15.05 ,$76.00 ,$41.19 ,$15.05 ,$19.99 , N/A , N/A ,$18.24 ,$17.41 ,$15.80 ,$64.60 ,$33.86 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30200213,86612,HC BLASTOMYCES AB,302,1 ,$66.00 ,$42.90 ,$3.50 ,$66.00 ,$32.25 ,$26.39 ,$35.77 ,$12.90 ,$18.48 ,$22.77 ,$12.90 ,$25.34 ,$12.90 ,$25.21 ,$3.50 ,$12.90 ,$25.21 ,$24.51 ,$43.78 ,$33.66 ,$32.25 ,$12.90 ,$46.20 ,$12.90 ,$33.00 ,$13.16 ,$49.50 ,$33.33 ,$30.03 ,$33.33 ,$12.90 ,$33.33 ,$18.64 ,$18.64 ,$18.64 ,$66.00 ,$56.10 ,$32.25 ,$52.80 ,$24.42 ,$52.80 ,$12.90 ,$12.90 ,$66.00 ,$35.77 ,$12.90 ,$17.36 , N/A , N/A ,$18.24 ,$17.41 ,$13.55 ,$56.10 ,$29.03 ,$43.43 ,$18.48 ,$59.40 ,$47.52 ,$66.00 ,$18.64 ,$25.80 ,$25.80 ,$12.90 ,$31.68 ,$59.40 ST. JOHN'S HOSPITAL,30200231,86635,HC COCCIDIOIDES AB,302,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$28.68 ,$23.45 ,$31.44 ,$11.47 ,$16.24 ,$20.01 ,$11.47 ,$22.27 ,$11.47 ,$22.16 ,$3.50 ,$11.47 ,$22.16 ,$21.79 ,$39.06 ,$29.58 ,$28.68 ,$11.47 ,$40.60 ,$11.47 ,$29.00 ,$11.70 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$11.47 ,$29.29 ,$16.58 ,$16.58 ,$16.58 ,$58.00 ,$49.30 ,$28.68 ,$46.40 ,$21.46 ,$46.40 ,$11.47 ,$11.47 ,$58.00 ,$31.44 ,$11.47 ,$15.25 , N/A , N/A ,$18.24 ,$17.41 ,$12.04 ,$49.30 ,$25.81 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$16.58 ,$22.94 ,$22.94 ,$11.47 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30200235,86645,HC CMV AB IGM,302,1 ,$127.00 ,$82.55 ,$3.50 ,$127.00 ,$42.13 ,$34.44 ,$68.83 ,$16.85 ,$35.56 ,$43.82 ,$16.85 ,$48.77 ,$16.85 ,$48.51 ,$3.50 ,$16.85 ,$48.51 ,$32.02 ,$56.80 ,$64.77 ,$42.13 ,$16.85 ,$88.90 ,$16.85 ,$63.50 ,$17.19 ,$95.25 ,$64.14 ,$57.79 ,$64.14 ,$16.85 ,$64.14 ,$24.34 ,$24.34 ,$24.34 ,$127.00 ,$107.95 ,$42.13 ,$101.60 ,$46.99 ,$101.60 ,$16.85 ,$16.85 ,$127.00 ,$68.83 ,$16.85 ,$33.40 , N/A , N/A ,$18.24 ,$17.41 ,$17.69 ,$107.95 ,$37.91 ,$83.57 ,$35.56 ,$114.30 ,$91.44 ,$127.00 ,$24.34 ,$33.70 ,$33.70 ,$16.85 ,$60.96 ,$114.30 ST. JOHN'S HOSPITAL,30200251,86677,HC H PYLORI AB,302,1 ,$135.00 ,$87.75 ,$3.50 ,$135.00 ,$42.13 ,$29.68 ,$73.17 ,$16.85 ,$37.80 ,$46.58 ,$16.85 ,$51.84 ,$16.85 ,$51.57 ,$3.50 ,$16.85 ,$51.57 ,$32.02 ,$56.80 ,$68.85 ,$42.13 ,$16.85 ,$94.50 ,$16.85 ,$67.50 ,$17.19 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$16.85 ,$68.18 ,$21.91 ,$21.91 ,$21.91 ,$135.00 ,$114.75 ,$42.13 ,$108.00 ,$49.95 ,$108.00 ,$16.85 ,$16.85 ,$135.00 ,$73.17 ,$16.85 ,$35.51 , N/A , N/A ,$18.24 ,$17.41 ,$17.69 ,$114.75 ,$37.91 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$21.91 ,$33.70 ,$33.70 ,$16.85 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30200265,86698,HC HISTOPLASMA AB,302,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$34.48 ,$25.55 ,$30.89 ,$13.79 ,$15.96 ,$19.67 ,$13.79 ,$21.89 ,$13.79 ,$21.77 ,$3.50 ,$13.79 ,$21.77 ,$26.20 ,$47.36 ,$29.07 ,$34.48 ,$13.79 ,$39.90 ,$13.79 ,$28.50 ,$14.07 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$13.79 ,$28.79 ,$18.04 ,$18.04 ,$18.04 ,$57.00 ,$48.45 ,$34.48 ,$45.60 ,$21.09 ,$45.60 ,$13.79 ,$13.79 ,$57.00 ,$30.89 ,$13.79 ,$14.99 , N/A , N/A ,$18.24 ,$17.41 ,$14.48 ,$48.45 ,$31.03 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$18.04 ,$27.58 ,$27.58 ,$13.79 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30200270,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$34.28 ,$28.04 ,$86.72 ,$13.71 ,$44.80 ,$55.20 ,$13.71 ,$61.44 ,$13.71 ,$61.12 ,$3.50 ,$13.71 ,$61.12 ,$26.05 ,$46.17 ,$81.60 ,$34.28 ,$13.71 ,$112.00 ,$13.71 ,$80.00 ,$13.98 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$13.71 ,$80.80 ,$19.80 ,$19.80 ,$19.80 ,$160.00 ,$136.00 ,$34.28 ,$128.00 ,$59.20 ,$128.00 ,$13.71 ,$13.71 ,$160.00 ,$86.72 ,$13.71 ,$42.08 , N/A , N/A ,$10.58 ,$10.10 ,$14.40 ,$136.00 ,$30.85 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$19.80 ,$27.42 ,$27.42 ,$13.71 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30200273,86706,HC HEP B SURFACE AB,302,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$26.85 ,$21.96 ,$65.04 ,$10.74 ,$33.60 ,$41.40 ,$10.74 ,$44.48 ,$10.74 ,$45.84 ,$3.50 ,$10.74 ,$45.84 ,$20.41 ,$36.68 ,$61.20 ,$26.85 ,$10.74 ,$84.00 ,$10.74 ,$60.00 ,$10.95 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$10.74 ,$60.60 ,$15.51 ,$15.51 ,$15.51 ,$120.00 ,$102.00 ,$26.85 ,$96.00 ,$44.40 ,$96.00 ,$10.74 ,$10.74 ,$120.00 ,$65.04 ,$10.74 ,$31.56 , N/A , N/A ,$10.58 ,$10.10 ,$11.28 ,$102.00 ,$24.17 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200276,86708,HC HEP A AB TOTAL,302,1 ,$126.00 ,$81.90 ,$3.50 ,$126.00 ,$30.98 ,$25.34 ,$68.29 ,$12.39 ,$35.28 ,$43.47 ,$12.39 ,$48.38 ,$12.39 ,$48.13 ,$3.50 ,$12.39 ,$48.13 ,$23.54 ,$42.63 ,$64.26 ,$30.98 ,$12.39 ,$88.20 ,$12.39 ,$63.00 ,$12.64 ,$94.50 ,$63.63 ,$57.33 ,$63.63 ,$12.39 ,$63.63 ,$17.89 ,$17.89 ,$17.89 ,$126.00 ,$107.10 ,$30.98 ,$100.80 ,$46.62 ,$100.80 ,$12.39 ,$12.39 ,$126.00 ,$68.29 ,$12.39 ,$33.14 , N/A , N/A ,$10.58 ,$10.10 ,$13.01 ,$107.10 ,$27.88 ,$82.91 ,$35.28 ,$113.40 ,$90.72 ,$126.00 ,$17.89 ,$24.78 ,$24.78 ,$12.39 ,$60.48 ,$113.40 ST. JOHN'S HOSPITAL,30200277,86709,HC HEP A AB IGM,302,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$28.15 ,$23.01 ,$66.12 ,$11.26 ,$34.16 ,$42.09 ,$11.26 ,$46.65 ,$11.26 ,$46.60 ,$3.50 ,$11.26 ,$46.60 ,$21.39 ,$37.87 ,$62.22 ,$28.15 ,$11.26 ,$85.40 ,$11.26 ,$61.00 ,$11.49 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$11.26 ,$61.61 ,$16.26 ,$16.26 ,$16.26 ,$122.00 ,$103.70 ,$28.15 ,$97.60 ,$45.14 ,$97.60 ,$11.26 ,$11.26 ,$122.00 ,$66.12 ,$11.26 ,$32.09 , N/A , N/A ,$10.58 ,$10.10 ,$11.82 ,$103.70 ,$25.34 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$16.26 ,$22.52 ,$22.52 ,$11.26 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30200282,86735,HC MUMPS AB,302,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$32.63 ,$26.69 ,$38.48 ,$13.05 ,$19.88 ,$24.50 ,$13.05 ,$27.26 ,$13.05 ,$27.12 ,$3.50 ,$13.05 ,$27.12 ,$24.80 ,$43.78 ,$36.21 ,$32.63 ,$13.05 ,$49.70 ,$13.05 ,$35.50 ,$13.31 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$13.05 ,$35.86 ,$18.85 ,$18.85 ,$18.85 ,$71.00 ,$60.35 ,$32.63 ,$56.80 ,$26.27 ,$56.80 ,$13.05 ,$13.05 ,$71.00 ,$38.48 ,$13.05 ,$18.67 , N/A , N/A ,$10.58 ,$10.10 ,$13.70 ,$60.35 ,$29.36 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$18.85 ,$26.10 ,$26.10 ,$13.05 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30200288,86762,HC RUBELLA AB,302,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$35.98 ,$29.44 ,$39.02 ,$14.39 ,$20.16 ,$24.84 ,$14.39 ,$27.65 ,$14.39 ,$27.50 ,$3.50 ,$14.39 ,$27.50 ,$27.34 ,$48.55 ,$36.72 ,$35.98 ,$14.39 ,$50.40 ,$14.39 ,$36.00 ,$14.68 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$14.39 ,$36.36 ,$20.79 ,$20.79 ,$20.79 ,$72.00 ,$61.20 ,$35.98 ,$57.60 ,$26.64 ,$57.60 ,$14.39 ,$14.39 ,$72.00 ,$39.02 ,$14.39 ,$18.94 , N/A , N/A ,$10.58 ,$10.10 ,$15.11 ,$61.20 ,$32.38 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30200290,86762,HC RUBELLA AB IGG/IGM,302,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$35.98 ,$29.44 ,$24.93 ,$14.39 ,$12.88 ,$15.87 ,$14.39 ,$17.66 ,$14.39 ,$17.57 ,$3.50 ,$14.39 ,$17.57 ,$27.34 ,$46.00 ,$23.46 ,$35.98 ,$14.39 ,$32.20 ,$14.39 ,$23.00 ,$14.68 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$14.39 ,$23.23 ,$20.79 ,$20.79 ,$20.79 ,$46.00 ,$39.10 ,$35.98 ,$36.80 ,$17.02 ,$36.80 ,$14.39 ,$14.39 ,$46.00 ,$24.93 ,$14.39 ,$12.10 , N/A , N/A ,$10.58 ,$10.10 ,$15.11 ,$39.10 ,$32.38 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30200291,86765,HC RUBEOLA AB,302,1 ,$103.00 ,$66.95 ,$3.50 ,$103.00 ,$32.20 ,$26.34 ,$55.83 ,$12.88 ,$28.84 ,$35.54 ,$12.88 ,$39.55 ,$12.88 ,$39.35 ,$3.50 ,$12.88 ,$39.35 ,$24.47 ,$43.78 ,$52.53 ,$32.20 ,$12.88 ,$72.10 ,$12.88 ,$51.50 ,$13.14 ,$77.25 ,$52.02 ,$46.87 ,$52.02 ,$12.88 ,$52.02 ,$18.60 ,$18.60 ,$18.60 ,$103.00 ,$87.55 ,$32.20 ,$82.40 ,$38.11 ,$82.40 ,$12.88 ,$12.88 ,$103.00 ,$55.83 ,$12.88 ,$27.09 , N/A , N/A ,$10.58 ,$10.10 ,$13.52 ,$87.55 ,$28.98 ,$67.77 ,$28.84 ,$92.70 ,$74.16 ,$103.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$49.44 ,$92.70 ST. JOHN'S HOSPITAL,30200296,86777,HC TOXOPLASMA AB,302,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$35.98 ,$29.44 ,$82.38 ,$14.39 ,$42.56 ,$52.44 ,$14.39 ,$58.37 ,$14.39 ,$58.06 ,$3.50 ,$14.39 ,$58.06 ,$27.34 ,$48.55 ,$77.52 ,$35.98 ,$14.39 ,$106.40 ,$14.39 ,$76.00 ,$14.68 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$14.39 ,$76.76 ,$20.79 ,$20.79 ,$20.79 ,$152.00 ,$129.20 ,$35.98 ,$121.60 ,$56.24 ,$121.60 ,$14.39 ,$14.39 ,$152.00 ,$82.38 ,$14.39 ,$39.98 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$129.20 ,$32.38 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30200297,86778,HC TOXOPLASMA AB IGM,302,1 ,$63.00 ,$40.95 ,$3.50 ,$63.00 ,$36.03 ,$29.45 ,$34.15 ,$14.41 ,$17.64 ,$21.74 ,$14.41 ,$24.19 ,$14.41 ,$24.07 ,$3.50 ,$14.41 ,$24.07 ,$27.38 ,$48.55 ,$32.13 ,$36.03 ,$14.41 ,$44.10 ,$14.41 ,$31.50 ,$14.70 ,$47.25 ,$31.82 ,$28.67 ,$31.82 ,$14.41 ,$31.82 ,$20.81 ,$20.81 ,$20.81 ,$63.00 ,$53.55 ,$36.03 ,$50.40 ,$23.31 ,$50.40 ,$14.41 ,$14.41 ,$63.00 ,$34.15 ,$14.41 ,$16.57 , N/A , N/A ,$18.24 ,$17.41 ,$15.13 ,$53.55 ,$32.42 ,$41.45 ,$17.64 ,$56.70 ,$45.36 ,$63.00 ,$20.81 ,$28.82 ,$28.82 ,$14.41 ,$30.24 ,$56.70 ST. JOHN'S HOSPITAL,30200299,86787,HC VARICELLA ZOSTER ATB,302,1 ,$141.00 ,$91.65 ,$3.50 ,$141.00 ,$32.20 ,$26.34 ,$76.42 ,$12.88 ,$39.48 ,$48.65 ,$12.88 ,$53.35 ,$12.88 ,$53.86 ,$3.50 ,$12.88 ,$53.86 ,$24.47 ,$43.78 ,$71.91 ,$32.20 ,$12.88 ,$98.70 ,$12.88 ,$70.50 ,$13.14 ,$105.75 ,$71.21 ,$64.16 ,$71.21 ,$12.88 ,$71.21 ,$18.60 ,$18.60 ,$18.60 ,$141.00 ,$119.85 ,$32.20 ,$112.80 ,$52.17 ,$112.80 ,$12.88 ,$12.88 ,$141.00 ,$76.42 ,$12.88 ,$37.08 , N/A , N/A ,$10.58 ,$10.10 ,$13.52 ,$119.85 ,$28.98 ,$92.78 ,$39.48 ,$126.90 ,$101.52 ,$141.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$67.68 ,$126.90 ST. JOHN'S HOSPITAL,30200312,86800,HC THYROGLOBULIN AB,302,1 ,$73.00 ,$47.45 ,$3.50 ,$73.00 ,$39.78 ,$32.52 ,$39.57 ,$15.91 ,$20.44 ,$25.19 ,$15.91 ,$28.03 ,$15.91 ,$27.89 ,$3.50 ,$15.91 ,$27.89 ,$30.23 ,$54.46 ,$37.23 ,$39.78 ,$15.91 ,$51.10 ,$15.91 ,$36.50 ,$16.23 ,$54.75 ,$36.87 ,$33.22 ,$36.87 ,$15.91 ,$36.87 ,$22.97 ,$22.97 ,$22.97 ,$73.00 ,$62.05 ,$39.78 ,$58.40 ,$27.01 ,$58.40 ,$15.91 ,$15.91 ,$73.00 ,$39.57 ,$15.91 ,$19.20 , N/A , N/A ,$27.64 ,$26.39 ,$16.71 ,$62.05 ,$35.80 ,$48.03 ,$20.44 ,$65.70 ,$52.56 ,$73.00 ,$22.97 ,$31.82 ,$31.82 ,$15.91 ,$35.04 ,$65.70 ST. JOHN'S HOSPITAL,30200314,86803,HC HEP C AB,302,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$35.68 ,$29.19 ,$105.69 ,$14.27 ,$54.60 ,$67.28 ,$14.27 ,$74.88 ,$14.27 ,$74.49 ,$3.50 ,$14.27 ,$74.49 ,$27.11 ,$48.55 ,$99.45 ,$35.68 ,$14.27 ,$136.50 ,$14.27 ,$97.50 ,$14.56 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$14.27 ,$98.48 ,$20.61 ,$20.61 ,$20.61 ,$195.00 ,$165.75 ,$35.68 ,$156.00 ,$72.15 ,$156.00 ,$14.27 ,$14.27 ,$195.00 ,$105.69 ,$14.27 ,$51.29 , N/A , N/A ,$18.24 ,$17.41 ,$14.98 ,$165.75 ,$32.11 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$20.61 ,$28.54 ,$28.54 ,$14.27 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30200343,86891,HC BLOOD SALVAGE AUTOLOOUS INTRA,302,1 ,"$1,427.00 ",$927.55 ,$40.76 ,"$1,574.85 ","$1,574.85 ",$131.57 ,$773.43 ,$629.94 ,$399.56 ,$492.32 ,$629.94 ,$547.97 ,$629.94 ,$545.11 ,$210.06 ,$629.94 ,$545.11 ,"$1,196.88 ",$492.45 ,$727.77 ,"$1,574.84 ",$629.94 ,$998.90 ,$629.94 ,$713.50 ,$642.53 ,"$1,070.25 ",$720.64 ,$649.29 ,$720.64 ,$629.94 ,$720.64 ,$998.90 ,$998.90 ,$998.90 ,"$1,427.00 ","$1,212.95 ","$1,427.00 ","$1,141.60 ",$527.99 ,"$1,141.60 ",$629.94 ,$629.94 ,"$1,427.00 ",$773.43 ,$629.94 ,$375.30 , N/A , N/A ,$42.70 ,$40.76 ,$661.44 ,"$1,212.95 ","$1,417.36 ",$938.97 ,$399.56 ,"$1,284.30 ","$1,027.44 ","$1,427.00 ",$998.90 ,"$1,312.30 ","$1,312.30 ",$629.94 ,$684.96 ,"$1,284.30 " ST. JOHN'S HOSPITAL,30200507,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$135.00 ,$87.75 ,$3.50 ,$135.00 ,$32.38 ,$26.48 ,$73.17 ,$12.95 ,$37.80 ,$46.58 ,$12.95 ,$51.84 ,$12.95 ,$51.57 ,$3.50 ,$12.95 ,$51.57 ,$24.61 ,$43.78 ,$68.85 ,$32.38 ,$12.95 ,$94.50 ,$12.95 ,$67.50 ,$13.21 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$12.95 ,$68.18 ,$18.71 ,$18.71 ,$18.71 ,$135.00 ,$114.75 ,$32.38 ,$108.00 ,$49.95 ,$108.00 ,$12.95 ,$12.95 ,$135.00 ,$73.17 ,$12.95 ,$35.51 , N/A , N/A ,$10.58 ,$10.10 ,$13.60 ,$114.75 ,$29.14 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$18.71 ,$25.90 ,$25.90 ,$12.95 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30200515,86304,HC TUMOR AG CA 125,302,1 ,$138.00 ,$89.70 ,$3.50 ,$138.00 ,$52.03 ,$42.56 ,$74.80 ,$20.81 ,$38.64 ,$47.61 ,$20.81 ,$52.99 ,$20.81 ,$52.72 ,$3.50 ,$20.81 ,$52.72 ,$39.54 ,$71.01 ,$70.38 ,$52.03 ,$20.81 ,$96.60 ,$20.81 ,$69.00 ,$21.23 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$20.81 ,$69.69 ,$30.07 ,$30.07 ,$30.07 ,$138.00 ,$117.30 ,$52.03 ,$110.40 ,$51.06 ,$110.40 ,$20.81 ,$20.81 ,$138.00 ,$74.80 ,$20.81 ,$36.29 , N/A , N/A ,$28.04 ,$26.76 ,$21.85 ,$117.30 ,$46.82 ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,30200523,86431,HC RHEUMATOID FACTOR QN,302,1 ,$71.00 ,$46.15 ,$3.50 ,$71.00 ,$14.18 ,$11.60 ,$38.48 ,$5.67 ,$19.88 ,$23.48 ,$5.67 ,$23.48 ,$5.67 ,$27.12 ,$3.50 ,$5.67 ,$27.12 ,$10.77 ,$18.93 ,$36.21 ,$14.18 ,$5.67 ,$49.70 ,$5.67 ,$35.50 ,$5.78 ,$53.25 ,$35.86 ,$32.31 ,$35.86 ,$5.67 ,$35.86 ,$8.19 ,$8.19 ,$8.19 ,$71.00 ,$60.35 ,$14.18 ,$56.80 ,$26.27 ,$56.80 ,$5.67 ,$5.67 ,$71.00 ,$38.48 ,$5.67 ,$18.67 , N/A , N/A ,$10.58 ,$10.10 ,$5.95 ,$60.35 ,$12.76 ,$46.72 ,$19.88 ,$63.90 ,$51.12 ,$71.00 ,$8.19 ,$11.34 ,$11.34 ,$5.67 ,$34.08 ,$63.90 ST. JOHN'S HOSPITAL,30200542,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$34.28 ,$28.04 ,$86.72 ,$13.71 ,$44.80 ,$55.20 ,$13.71 ,$61.44 ,$13.71 ,$61.12 ,$3.50 ,$13.71 ,$61.12 ,$26.05 ,$46.17 ,$81.60 ,$34.28 ,$13.71 ,$112.00 ,$13.71 ,$80.00 ,$13.98 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$13.71 ,$80.80 ,$19.80 ,$19.80 ,$19.80 ,$160.00 ,$136.00 ,$34.28 ,$128.00 ,$59.20 ,$128.00 ,$13.71 ,$13.71 ,$160.00 ,$86.72 ,$13.71 ,$42.08 , N/A , N/A ,$10.58 ,$10.10 ,$14.40 ,$136.00 ,$30.85 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$19.80 ,$27.42 ,$27.42 ,$13.71 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30200543,86704,HC HEP CORE AB,302,1 ,$131.00 ,$85.15 ,$3.50 ,$131.00 ,$30.13 ,$24.64 ,$71.00 ,$12.05 ,$36.68 ,$45.20 ,$12.05 ,$49.90 ,$12.05 ,$50.04 ,$3.50 ,$12.05 ,$50.04 ,$22.90 ,$41.44 ,$66.81 ,$30.13 ,$12.05 ,$91.70 ,$12.05 ,$65.50 ,$12.29 ,$98.25 ,$66.16 ,$59.61 ,$66.16 ,$12.05 ,$66.16 ,$17.41 ,$17.41 ,$17.41 ,$131.00 ,$111.35 ,$30.13 ,$104.80 ,$48.47 ,$104.80 ,$12.05 ,$12.05 ,$131.00 ,$71.00 ,$12.05 ,$34.45 , N/A , N/A ,$10.58 ,$10.10 ,$12.65 ,$111.35 ,$27.11 ,$86.20 ,$36.68 ,$117.90 ,$94.32 ,$131.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$62.88 ,$117.90 ST. JOHN'S HOSPITAL,30200544,86705,HC HEP B CORE IGM,302,1 ,$113.00 ,$73.45 ,$3.50 ,$113.00 ,$29.43 ,$24.06 ,$61.25 ,$11.77 ,$31.64 ,$38.99 ,$11.77 ,$43.39 ,$11.77 ,$43.17 ,$3.50 ,$11.77 ,$43.17 ,$22.36 ,$40.25 ,$57.63 ,$29.43 ,$11.77 ,$79.10 ,$11.77 ,$56.50 ,$12.01 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$11.77 ,$57.07 ,$17.00 ,$17.00 ,$17.00 ,$113.00 ,$96.05 ,$29.43 ,$90.40 ,$41.81 ,$90.40 ,$11.77 ,$11.77 ,$113.00 ,$61.25 ,$11.77 ,$29.72 , N/A , N/A ,$10.58 ,$10.10 ,$12.36 ,$96.05 ,$26.48 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$17.00 ,$23.54 ,$23.54 ,$11.77 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,30200545,86706,HC HEP B SURFACE AB,302,1 ,$175.00 ,$113.75 ,$3.50 ,$175.00 ,$26.85 ,$21.96 ,$94.85 ,$10.74 ,$49.00 ,$44.48 ,$10.74 ,$44.48 ,$10.74 ,$66.85 ,$3.50 ,$10.74 ,$66.85 ,$20.41 ,$36.68 ,$89.25 ,$26.85 ,$10.74 ,$122.50 ,$10.74 ,$87.50 ,$10.95 ,$131.25 ,$88.38 ,$79.63 ,$88.38 ,$10.74 ,$88.38 ,$15.51 ,$15.51 ,$15.51 ,$175.00 ,$148.75 ,$26.85 ,$140.00 ,$64.75 ,$140.00 ,$10.74 ,$10.74 ,$175.00 ,$94.85 ,$10.74 ,$46.03 , N/A , N/A ,$10.58 ,$10.10 ,$11.28 ,$148.75 ,$24.17 ,$115.15 ,$49.00 ,$157.50 ,$126.00 ,$175.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$84.00 ,$157.50 ST. JOHN'S HOSPITAL,30200548,86709,HC HEP A AB IGM,302,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$28.15 ,$23.01 ,$66.12 ,$11.26 ,$34.16 ,$42.09 ,$11.26 ,$46.65 ,$11.26 ,$46.60 ,$3.50 ,$11.26 ,$46.60 ,$21.39 ,$37.87 ,$62.22 ,$28.15 ,$11.26 ,$85.40 ,$11.26 ,$61.00 ,$11.49 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$11.26 ,$61.61 ,$16.26 ,$16.26 ,$16.26 ,$122.00 ,$103.70 ,$28.15 ,$97.60 ,$45.14 ,$97.60 ,$11.26 ,$11.26 ,$122.00 ,$66.12 ,$11.26 ,$32.09 , N/A , N/A ,$10.58 ,$10.10 ,$11.82 ,$103.70 ,$25.34 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$16.26 ,$22.52 ,$22.52 ,$11.26 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30200560,86860,HC ELUTION,302,1 ,$280.00 ,$182.00 ,$10.10 ,$358.41 ,$358.40 ,$29.44 ,$151.76 ,$143.36 ,$78.40 ,$96.60 ,$143.36 ,$107.52 ,$143.36 ,$106.96 ,$47.08 ,$143.36 ,$106.96 ,$272.39 ,$111.27 ,$142.80 ,$358.41 ,$143.36 ,$196.00 ,$143.36 ,$140.00 ,$146.23 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$143.36 ,$141.40 ,$196.00 ,$196.00 ,$196.00 ,$280.00 ,$238.00 ,$280.00 ,$224.00 ,$103.60 ,$224.00 ,$143.36 ,$143.36 ,$280.00 ,$151.76 ,$143.36 ,$73.64 , N/A , N/A ,$10.58 ,$10.10 ,$150.53 ,$238.00 ,$322.57 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$196.00 ,$280.00 ,$280.00 ,$143.36 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,30200561,86870,HC RBC AB ID PANEL,302,1 ,$231.00 ,$150.15 ,$10.10 ,$699.90 ,$699.90 ,$40.48 ,$125.20 ,$279.96 ,$64.68 ,$79.70 ,$279.96 ,$88.70 ,$231.00 ,$88.24 ,$64.67 ,$231.00 ,$88.24 ,$231.00 ,$151.52 ,$117.81 ,$699.90 ,$279.96 ,$161.70 ,$279.96 ,$115.50 ,$231.00 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$279.96 ,$116.66 ,$161.70 ,$161.70 ,$161.70 ,$231.00 ,$196.35 ,$231.00 ,$184.80 ,$85.47 ,$184.80 ,$279.96 ,$279.96 ,$231.00 ,$125.20 ,$279.96 ,$60.75 , N/A , N/A ,$10.58 ,$10.10 ,$293.96 ,$196.35 ,$629.91 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$161.70 ,$231.00 ,$231.00 ,$279.96 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,30200562,86880,HC COOMBS DIRECT,302,1 ,$110.00 ,$71.50 ,$3.50 ,$133.78 ,$133.78 ,$10.99 ,$59.62 ,$53.51 ,$30.80 ,$22.29 ,$53.51 ,$22.29 ,$53.51 ,$42.02 ,$3.50 ,$53.51 ,$42.02 ,$101.66 ,$17.74 ,$56.10 ,$133.77 ,$53.51 ,$77.00 ,$53.51 ,$55.00 ,$54.58 ,$82.50 ,$55.55 ,$50.05 ,$55.55 ,$53.51 ,$55.55 ,$7.79 ,$7.79 ,$7.79 ,$110.00 ,$93.50 ,$110.00 ,$88.00 ,$40.70 ,$88.00 ,$53.51 ,$53.51 ,$110.00 ,$59.62 ,$53.51 ,$28.93 , N/A , N/A ,$10.58 ,$10.10 ,$56.19 ,$93.50 ,$120.39 ,$72.38 ,$30.80 ,$99.00 ,$79.20 ,$110.00 ,$7.79 ,$10.78 ,$10.78 ,$53.51 ,$52.80 ,$99.00 ST. JOHN'S HOSPITAL,30200564,86890,HC AUTOLOGOUS PROCESSING FEE,302,1 ,$460.00 ,$299.00 ,$40.76 ,$460.00 ,$358.40 ,$92.93 ,$249.32 ,$143.36 ,$128.80 ,$158.70 ,$143.36 ,$176.64 ,$143.36 ,$175.72 ,$148.49 ,$143.36 ,$175.72 ,$272.39 ,$349.23 ,$234.60 ,$358.41 ,$143.36 ,$322.00 ,$143.36 ,$230.00 ,$146.23 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$143.36 ,$232.30 ,$322.00 ,$322.00 ,$322.00 ,$460.00 ,$391.00 ,$358.41 ,$368.00 ,$170.20 ,$368.00 ,$143.36 ,$143.36 ,$460.00 ,$249.32 ,$143.36 ,$120.98 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$391.00 ,$322.57 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$322.00 ,$298.32 ,$298.32 ,$143.36 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$67.00 ,$43.55 ,$3.50 ,$270.98 ,$270.98 ,$6.11 ,$36.31 ,$108.39 ,$18.76 ,$12.38 ,$108.39 ,$12.38 ,$67.00 ,$25.59 ,$3.50 ,$67.00 ,$25.59 ,$67.00 ,$10.64 ,$34.17 ,$270.97 ,$108.39 ,$46.90 ,$108.39 ,$33.50 ,$67.00 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$108.39 ,$33.84 ,$4.32 ,$4.32 ,$4.32 ,$67.00 ,$56.95 ,$67.00 ,$53.60 ,$24.79 ,$53.60 ,$108.39 ,$108.39 ,$67.00 ,$36.31 ,$108.39 ,$17.62 , N/A , N/A ,$6.56 ,$6.26 ,$113.81 ,$56.95 ,$243.87 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$4.32 ,$5.98 ,$5.98 ,$108.39 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30200566,86901,HC BLOOD TYPING RH,302,1 ,$67.00 ,$43.55 ,$3.50 ,$81.35 ,$81.35 ,$6.11 ,$36.31 ,$32.54 ,$18.76 ,$12.38 ,$32.54 ,$12.38 ,$32.54 ,$25.59 ,$3.50 ,$32.54 ,$25.59 ,$61.82 ,$10.64 ,$34.17 ,$81.34 ,$32.54 ,$46.90 ,$32.54 ,$33.50 ,$33.19 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$32.54 ,$33.84 ,$4.32 ,$4.32 ,$4.32 ,$67.00 ,$56.95 ,$67.00 ,$53.60 ,$24.79 ,$53.60 ,$32.54 ,$32.54 ,$67.00 ,$36.31 ,$32.54 ,$17.62 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$56.95 ,$73.21 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$4.32 ,$5.98 ,$5.98 ,$32.54 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$89.00 ,$57.85 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$48.24 ,$279.96 ,$24.92 ,$21.31 ,$279.96 ,$21.31 ,$89.00 ,$34.00 ,$3.50 ,$89.00 ,$34.00 ,$89.00 ,$21.32 ,$45.39 ,$699.90 ,$279.96 ,$62.30 ,$279.96 ,$44.50 ,$89.00 ,$66.75 ,$44.95 ,$40.50 ,$44.95 ,$279.96 ,$44.95 ,$8.26 ,$8.26 ,$8.26 ,$89.00 ,$75.65 ,$89.00 ,$71.20 ,$32.93 ,$71.20 ,$279.96 ,$279.96 ,$89.00 ,$48.24 ,$279.96 ,$23.41 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$75.65 ,$629.91 ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$94.00 ,$61.10 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$50.95 ,$279.96 ,$26.32 ,$15.84 ,$279.96 ,$15.84 ,$94.00 ,$35.91 ,$3.50 ,$94.00 ,$35.91 ,$94.00 ,$13.02 ,$47.94 ,$699.90 ,$279.96 ,$65.80 ,$279.96 ,$47.00 ,$94.00 ,$70.50 ,$47.47 ,$42.77 ,$47.47 ,$279.96 ,$47.47 ,$5.53 ,$5.53 ,$5.53 ,$94.00 ,$79.90 ,$94.00 ,$75.20 ,$34.78 ,$75.20 ,$279.96 ,$279.96 ,$94.00 ,$50.95 ,$279.96 ,$24.72 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$79.90 ,$629.91 ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$155.00 ,$100.75 ,$6.26 ,$358.41 ,$358.40 ,$32.66 ,$84.01 ,$143.36 ,$43.40 ,$53.48 ,$143.36 ,$59.52 ,$143.36 ,$59.21 ,$52.26 ,$143.36 ,$59.21 ,$155.00 ,$123.13 ,$79.05 ,$358.41 ,$143.36 ,$108.50 ,$143.36 ,$77.50 ,$146.23 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$143.36 ,$78.28 ,$108.50 ,$108.50 ,$108.50 ,$155.00 ,$131.75 ,$155.00 ,$124.00 ,$57.35 ,$124.00 ,$143.36 ,$143.36 ,$155.00 ,$84.01 ,$143.36 ,$40.77 , N/A , N/A ,$6.56 ,$6.26 ,$150.53 ,$131.75 ,$322.57 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$108.50 ,$155.00 ,$155.00 ,$143.36 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30200571,86922,HC CROSSMATCH AHG,302,1 ,$172.00 ,$111.80 ,$34.97 ,$358.41 ,$358.40 ,$34.97 ,$93.22 ,$143.36 ,$48.16 ,$59.34 ,$143.36 ,$66.05 ,$143.36 ,$65.70 ,$55.88 ,$143.36 ,$65.70 ,$172.00 ,$131.39 ,$87.72 ,$358.41 ,$143.36 ,$120.40 ,$143.36 ,$86.00 ,$146.23 ,$129.00 ,$86.86 ,$78.26 ,$86.86 ,$143.36 ,$86.86 ,$120.40 ,$120.40 ,$120.40 ,$172.00 ,$146.20 ,$172.00 ,$137.60 ,$63.64 ,$137.60 ,$143.36 ,$143.36 ,$172.00 ,$93.22 ,$143.36 ,$45.24 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$146.20 ,$322.57 ,$113.18 ,$48.16 ,$154.80 ,$123.84 ,$172.00 ,$120.40 ,$172.00 ,$172.00 ,$143.36 ,$82.56 ,$154.80 ST. JOHN'S HOSPITAL,30200572,86923,HC CROSSMATCH ELECTRONIC,302,1 ,$75.00 ,$48.75 ,$19.73 ,$358.41 ,$358.40 ,$26.22 ,$40.65 ,$143.36 ,$21.00 ,$25.88 ,$143.36 ,$28.80 ,$75.00 ,$28.65 ,$41.91 ,$75.00 ,$28.65 ,$75.00 ,$75.00 ,$38.25 ,$358.41 ,$143.36 ,$52.50 ,$143.36 ,$37.50 ,$75.00 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$143.36 ,$37.88 ,$52.50 ,$52.50 ,$52.50 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$143.36 ,$143.36 ,$75.00 ,$40.65 ,$143.36 ,$19.73 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$63.75 ,$322.57 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$52.50 ,$75.00 ,$75.00 ,$143.36 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$163.00 ,$105.95 ,$6.26 ,$163.00 ,$81.35 ,$32.66 ,$88.35 ,$32.54 ,$45.64 ,$56.24 ,$32.54 ,$62.59 ,$32.54 ,$62.27 ,$52.26 ,$32.54 ,$62.27 ,$61.82 ,$123.13 ,$83.13 ,$81.34 ,$32.54 ,$114.10 ,$32.54 ,$81.50 ,$33.19 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$32.54 ,$82.32 ,$114.10 ,$114.10 ,$114.10 ,$163.00 ,$138.55 ,$81.34 ,$130.40 ,$60.31 ,$130.40 ,$32.54 ,$32.54 ,$163.00 ,$88.35 ,$32.54 ,$42.87 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$138.55 ,$73.21 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$114.10 ,$67.68 ,$67.68 ,$32.54 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,30200574,87272,HC CRYPTOSPORIDIUM,302,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$29.95 ,$24.54 ,$41.19 ,$11.98 ,$21.28 ,$26.22 ,$11.98 ,$29.18 ,$11.98 ,$29.03 ,$3.50 ,$11.98 ,$29.03 ,$22.76 ,$40.25 ,$38.76 ,$29.95 ,$11.98 ,$53.20 ,$11.98 ,$38.00 ,$12.22 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$11.98 ,$38.38 ,$17.32 ,$17.32 ,$17.32 ,$76.00 ,$64.60 ,$29.95 ,$60.80 ,$28.12 ,$60.80 ,$11.98 ,$11.98 ,$76.00 ,$41.19 ,$11.98 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$64.60 ,$26.96 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30200822,86705,HC HEP B CORE IGM,302,1 ,$113.00 ,$73.45 ,$3.50 ,$113.00 ,$29.43 ,$24.06 ,$61.25 ,$11.77 ,$31.64 ,$38.99 ,$11.77 ,$43.39 ,$11.77 ,$43.17 ,$3.50 ,$11.77 ,$43.17 ,$22.36 ,$40.25 ,$57.63 ,$29.43 ,$11.77 ,$79.10 ,$11.77 ,$56.50 ,$12.01 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$11.77 ,$57.07 ,$17.00 ,$17.00 ,$17.00 ,$113.00 ,$96.05 ,$29.43 ,$90.40 ,$41.81 ,$90.40 ,$11.77 ,$11.77 ,$113.00 ,$61.25 ,$11.77 ,$29.72 , N/A , N/A ,$10.58 ,$10.10 ,$12.36 ,$96.05 ,$26.48 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$17.00 ,$23.54 ,$23.54 ,$11.77 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,30200824,86644,HC CMV AB,302,1 ,$113.00 ,$73.45 ,$3.50 ,$113.00 ,$35.98 ,$29.44 ,$61.25 ,$14.39 ,$31.64 ,$38.99 ,$14.39 ,$43.39 ,$14.39 ,$43.17 ,$3.50 ,$14.39 ,$43.17 ,$27.34 ,$48.55 ,$57.63 ,$35.98 ,$14.39 ,$79.10 ,$14.39 ,$56.50 ,$14.68 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$14.39 ,$57.07 ,$20.79 ,$20.79 ,$20.79 ,$113.00 ,$96.05 ,$35.98 ,$90.40 ,$41.81 ,$90.40 ,$14.39 ,$14.39 ,$113.00 ,$61.25 ,$14.39 ,$29.72 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$96.05 ,$32.38 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$17.45 ,$14.28 ,$101.90 ,$6.98 ,$52.64 ,$28.90 ,$6.98 ,$28.90 ,$6.98 ,$71.82 ,$3.50 ,$6.98 ,$71.82 ,$13.26 ,$23.66 ,$95.88 ,$17.45 ,$6.98 ,$131.60 ,$6.98 ,$94.00 ,$7.12 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$6.98 ,$94.94 ,$10.09 ,$10.09 ,$10.09 ,$188.00 ,$159.80 ,$17.45 ,$150.40 ,$69.56 ,$150.40 ,$6.98 ,$6.98 ,$188.00 ,$101.90 ,$6.98 ,$49.44 , N/A , N/A ,$10.58 ,$10.10 ,$7.33 ,$159.80 ,$15.71 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$10.09 ,$13.96 ,$13.96 ,$6.98 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$37.00 ,$24.05 ,$3.50 ,$37.00 ,$19.55 ,$10.66 ,$20.05 ,$7.82 ,$10.36 ,$12.77 ,$7.82 ,$14.21 ,$7.82 ,$14.13 ,$3.50 ,$7.82 ,$14.13 ,$14.86 ,$26.04 ,$18.87 ,$19.55 ,$7.82 ,$25.90 ,$7.82 ,$18.50 ,$7.98 ,$27.75 ,$18.69 ,$16.84 ,$18.69 ,$7.82 ,$18.69 ,$10.17 ,$10.17 ,$10.17 ,$37.00 ,$31.45 ,$19.55 ,$29.60 ,$13.69 ,$29.60 ,$7.82 ,$7.82 ,$37.00 ,$20.05 ,$7.82 ,$9.73 , N/A , N/A ,$10.58 ,$10.10 ,$8.21 ,$31.45 ,$17.60 ,$24.35 ,$10.36 ,$33.30 ,$26.64 ,$37.00 ,$10.17 ,$15.64 ,$15.64 ,$7.82 ,$17.76 ,$33.30 ST. JOHN'S HOSPITAL,30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$13.05 ,$10.66 ,$30.89 ,$5.22 ,$15.96 ,$19.67 ,$5.22 ,$21.62 ,$5.22 ,$21.77 ,$3.50 ,$5.22 ,$21.77 ,$9.92 ,$17.74 ,$29.07 ,$13.05 ,$5.22 ,$39.90 ,$5.22 ,$28.50 ,$5.32 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$5.22 ,$28.79 ,$7.54 ,$7.54 ,$7.54 ,$57.00 ,$48.45 ,$13.05 ,$45.60 ,$21.09 ,$45.60 ,$5.22 ,$5.22 ,$57.00 ,$30.89 ,$5.22 ,$14.99 , N/A , N/A ,$10.58 ,$10.10 ,$5.48 ,$48.45 ,$11.75 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$7.54 ,$10.44 ,$10.44 ,$5.22 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30200846,86003,HC RAST ALLERGEN IGE PANEL,302,1 ,$47.00 ,$30.55 ,$3.50 ,$47.00 ,$13.05 ,$10.66 ,$25.47 ,$5.22 ,$13.16 ,$16.22 ,$5.22 ,$18.05 ,$5.22 ,$17.95 ,$3.50 ,$5.22 ,$17.95 ,$9.92 ,$17.74 ,$23.97 ,$13.05 ,$5.22 ,$32.90 ,$5.22 ,$23.50 ,$5.32 ,$35.25 ,$23.74 ,$21.39 ,$23.74 ,$5.22 ,$23.74 ,$7.54 ,$7.54 ,$7.54 ,$47.00 ,$39.95 ,$13.05 ,$37.60 ,$17.39 ,$37.60 ,$5.22 ,$5.22 ,$47.00 ,$25.47 ,$5.22 ,$12.36 , N/A , N/A ,$10.58 ,$10.10 ,$5.48 ,$39.95 ,$11.75 ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$7.54 ,$10.44 ,$10.44 ,$5.22 ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,30200847,86021,HC LEUKO AB ID-90,302,1 ,$38.00 ,$24.70 ,$3.50 ,$38.00 ,$37.63 ,$30.80 ,$20.60 ,$15.05 ,$10.64 ,$13.11 ,$15.05 ,$14.59 ,$15.05 ,$14.52 ,$3.50 ,$15.05 ,$14.52 ,$28.60 ,$38.00 ,$19.38 ,$37.63 ,$15.05 ,$26.60 ,$15.05 ,$19.00 ,$15.35 ,$28.50 ,$19.19 ,$17.29 ,$19.19 ,$15.05 ,$19.19 ,$21.75 ,$21.75 ,$21.75 ,$38.00 ,$32.30 ,$37.63 ,$30.40 ,$14.06 ,$30.40 ,$15.05 ,$15.05 ,$38.00 ,$20.60 ,$15.05 ,$9.99 , N/A , N/A ,$10.58 ,$10.10 ,$15.80 ,$32.30 ,$33.86 ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,30200848,86021,HC LEUKO AB ID ANTIBODY TITER-90,302,1 ,$109.00 ,$70.85 ,$3.50 ,$109.00 ,$37.63 ,$30.80 ,$59.08 ,$15.05 ,$30.52 ,$37.61 ,$15.05 ,$41.86 ,$15.05 ,$41.64 ,$3.50 ,$15.05 ,$41.64 ,$28.60 ,$50.89 ,$55.59 ,$37.63 ,$15.05 ,$76.30 ,$15.05 ,$54.50 ,$15.35 ,$81.75 ,$55.05 ,$49.60 ,$55.05 ,$15.05 ,$55.05 ,$21.75 ,$21.75 ,$21.75 ,$109.00 ,$92.65 ,$37.63 ,$87.20 ,$40.33 ,$87.20 ,$15.05 ,$15.05 ,$109.00 ,$59.08 ,$15.05 ,$28.67 , N/A , N/A ,$10.58 ,$10.10 ,$15.80 ,$92.65 ,$33.86 ,$71.72 ,$30.52 ,$98.10 ,$78.48 ,$109.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$52.32 ,$98.10 ST. JOHN'S HOSPITAL,30200849,86021,HC LEUKO AB ID ATYPICAL PANCA-90,302,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$37.63 ,$30.80 ,$97.56 ,$15.05 ,$50.40 ,$62.10 ,$15.05 ,$62.33 ,$15.05 ,$68.76 ,$3.50 ,$15.05 ,$68.76 ,$28.60 ,$50.89 ,$91.80 ,$37.63 ,$15.05 ,$126.00 ,$15.05 ,$90.00 ,$15.35 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$15.05 ,$90.90 ,$21.75 ,$21.75 ,$21.75 ,$180.00 ,$153.00 ,$37.63 ,$144.00 ,$66.60 ,$144.00 ,$15.05 ,$15.05 ,$180.00 ,$97.56 ,$15.05 ,$47.34 , N/A , N/A ,$10.58 ,$10.10 ,$15.80 ,$153.00 ,$33.86 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30200850,86021,HC LEUKO AB ID-90,302,1 ,$313.00 ,$203.45 ,$3.50 ,$313.00 ,$37.63 ,$30.80 ,$169.65 ,$15.05 ,$87.64 ,$62.33 ,$15.05 ,$62.33 ,$15.05 ,$119.57 ,$3.50 ,$15.05 ,$119.57 ,$28.60 ,$50.89 ,$159.63 ,$37.63 ,$15.05 ,$219.10 ,$15.05 ,$156.50 ,$15.35 ,$234.75 ,$158.07 ,$142.42 ,$158.07 ,$15.05 ,$158.07 ,$21.75 ,$21.75 ,$21.75 ,$313.00 ,$266.05 ,$37.63 ,$250.40 ,$115.81 ,$250.40 ,$15.05 ,$15.05 ,$313.00 ,$169.65 ,$15.05 ,$82.32 , N/A , N/A ,$10.58 ,$10.10 ,$15.80 ,$266.05 ,$33.86 ,$205.95 ,$87.64 ,$281.70 ,$225.36 ,$313.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$150.24 ,$281.70 ST. JOHN'S HOSPITAL,30200851,86022,HC PLATELET AB ID-90,302,1 ,$44.00 ,$28.60 ,$3.50 ,$45.93 ,$45.93 ,$29.82 ,$23.85 ,$18.37 ,$12.32 ,$15.18 ,$18.37 ,$16.90 ,$18.37 ,$16.81 ,$3.50 ,$18.37 ,$16.81 ,$34.90 ,$44.00 ,$22.44 ,$45.93 ,$18.37 ,$30.80 ,$18.37 ,$22.00 ,$18.74 ,$33.00 ,$22.22 ,$20.02 ,$22.22 ,$18.37 ,$22.22 ,$26.53 ,$26.53 ,$26.53 ,$44.00 ,$37.40 ,$44.00 ,$35.20 ,$16.28 ,$35.20 ,$18.37 ,$18.37 ,$44.00 ,$23.85 ,$18.37 ,$11.57 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$37.40 ,$41.33 ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,30200852,86022,HC PLATE AB SEROTONIN RELEASE-90,302,1 ,$760.00 ,$494.00 ,$3.50 ,$760.00 ,$45.93 ,$29.82 ,$411.92 ,$18.37 ,$212.80 ,$76.06 ,$18.37 ,$76.06 ,$18.37 ,$290.32 ,$3.50 ,$18.37 ,$290.32 ,$34.90 ,$62.76 ,$387.60 ,$45.93 ,$18.37 ,$532.00 ,$18.37 ,$380.00 ,$18.74 ,$570.00 ,$383.80 ,$345.80 ,$383.80 ,$18.37 ,$383.80 ,$26.53 ,$26.53 ,$26.53 ,$760.00 ,$646.00 ,$45.93 ,$608.00 ,$281.20 ,$608.00 ,$18.37 ,$18.37 ,$760.00 ,$411.92 ,$18.37 ,$199.88 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$646.00 ,$41.33 ,$500.08 ,$212.80 ,$684.00 ,$547.20 ,$760.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$364.80 ,$684.00 ST. JOHN'S HOSPITAL,30200853,86022,HC PLATELET AB ID MANUAL-90,302,1 ,$563.00 ,$365.95 ,$3.50 ,$563.00 ,$45.93 ,$29.82 ,$305.15 ,$18.37 ,$157.64 ,$76.06 ,$18.37 ,$76.06 ,$18.37 ,$215.07 ,$3.50 ,$18.37 ,$215.07 ,$34.90 ,$62.76 ,$287.13 ,$45.93 ,$18.37 ,$394.10 ,$18.37 ,$281.50 ,$18.74 ,$422.25 ,$284.32 ,$256.17 ,$284.32 ,$18.37 ,$284.32 ,$26.53 ,$26.53 ,$26.53 ,$563.00 ,$478.55 ,$45.93 ,$450.40 ,$208.31 ,$450.40 ,$18.37 ,$18.37 ,$563.00 ,$305.15 ,$18.37 ,$148.07 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$478.55 ,$41.33 ,$370.45 ,$157.64 ,$506.70 ,$405.36 ,$563.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$270.24 ,$506.70 ST. JOHN'S HOSPITAL,30200854,86022,HC PLATELET AB ID AUTO-90,302,1 ,$750.00 ,$487.50 ,$3.50 ,$750.00 ,$45.93 ,$29.82 ,$406.50 ,$18.37 ,$210.00 ,$76.06 ,$18.37 ,$76.06 ,$18.37 ,$286.50 ,$3.50 ,$18.37 ,$286.50 ,$34.90 ,$62.76 ,$382.50 ,$45.93 ,$18.37 ,$525.00 ,$18.37 ,$375.00 ,$18.74 ,$562.50 ,$378.75 ,$341.25 ,$378.75 ,$18.37 ,$378.75 ,$26.53 ,$26.53 ,$26.53 ,$750.00 ,$637.50 ,$45.93 ,$600.00 ,$277.50 ,$600.00 ,$18.37 ,$18.37 ,$750.00 ,$406.50 ,$18.37 ,$197.25 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$637.50 ,$41.33 ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,30200855,86022,HC PLATELET AB ID,302,1 ,$350.00 ,$227.50 ,$3.50 ,$350.00 ,$45.93 ,$29.82 ,$189.70 ,$18.37 ,$98.00 ,$76.06 ,$18.37 ,$76.06 ,$18.37 ,$133.70 ,$3.50 ,$18.37 ,$133.70 ,$34.90 ,$62.76 ,$178.50 ,$45.93 ,$18.37 ,$245.00 ,$18.37 ,$175.00 ,$18.74 ,$262.50 ,$176.75 ,$159.25 ,$176.75 ,$18.37 ,$176.75 ,$26.53 ,$26.53 ,$26.53 ,$350.00 ,$297.50 ,$45.93 ,$280.00 ,$129.50 ,$280.00 ,$18.37 ,$18.37 ,$350.00 ,$189.70 ,$18.37 ,$92.05 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$297.50 ,$41.33 ,$230.30 ,$98.00 ,$315.00 ,$252.00 ,$350.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$168.00 ,$315.00 ST. JOHN'S HOSPITAL,30200858,86038,HC ANA SCREEN-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$30.23 ,$24.73 ,$33.60 ,$12.09 ,$17.36 ,$21.39 ,$12.09 ,$23.81 ,$12.09 ,$23.68 ,$3.50 ,$12.09 ,$23.68 ,$22.97 ,$41.44 ,$31.62 ,$30.23 ,$12.09 ,$43.40 ,$12.09 ,$31.00 ,$12.33 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$12.09 ,$31.31 ,$17.46 ,$17.46 ,$17.46 ,$62.00 ,$52.70 ,$30.23 ,$49.60 ,$22.94 ,$49.60 ,$12.09 ,$12.09 ,$62.00 ,$33.60 ,$12.09 ,$16.31 , N/A , N/A ,$10.58 ,$10.10 ,$12.69 ,$52.70 ,$27.20 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$17.46 ,$24.18 ,$24.18 ,$12.09 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200859,86039,HC ANA TITER-90,302,1 ,$21.00 ,$13.65 ,$3.50 ,$27.90 ,$27.90 ,$21.00 ,$11.38 ,$11.16 ,$5.88 ,$7.25 ,$11.16 ,$8.06 ,$11.16 ,$8.02 ,$3.50 ,$11.16 ,$8.02 ,$21.00 ,$21.00 ,$10.71 ,$27.90 ,$11.16 ,$14.70 ,$11.16 ,$10.50 ,$11.38 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$11.16 ,$10.61 ,$16.12 ,$16.12 ,$16.12 ,$21.00 ,$17.85 ,$21.00 ,$16.80 ,$7.77 ,$16.80 ,$11.16 ,$11.16 ,$21.00 ,$11.38 ,$11.16 ,$5.52 , N/A , N/A ,$10.58 ,$10.10 ,$11.72 ,$17.85 ,$25.11 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$16.12 ,$21.00 ,$21.00 ,$11.16 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,30200861,86140,HC C-REACTIVE PROTEIN-90,302,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$12.95 ,$10.57 ,$67.21 ,$5.18 ,$34.72 ,$21.41 ,$5.18 ,$21.41 ,$5.18 ,$47.37 ,$3.50 ,$5.18 ,$47.37 ,$9.84 ,$17.74 ,$63.24 ,$12.95 ,$5.18 ,$86.80 ,$5.18 ,$62.00 ,$5.28 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$5.18 ,$62.62 ,$7.48 ,$7.48 ,$7.48 ,$124.00 ,$105.40 ,$12.95 ,$99.20 ,$45.88 ,$99.20 ,$5.18 ,$5.18 ,$124.00 ,$67.21 ,$5.18 ,$32.61 , N/A , N/A ,$10.58 ,$10.10 ,$5.44 ,$105.40 ,$11.66 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$140.00 ,$91.00 ,$3.50 ,$140.00 ,$12.95 ,$10.57 ,$75.88 ,$5.18 ,$39.20 ,$21.41 ,$5.18 ,$21.41 ,$5.18 ,$53.48 ,$3.50 ,$5.18 ,$53.48 ,$9.84 ,$17.74 ,$71.40 ,$12.95 ,$5.18 ,$98.00 ,$5.18 ,$70.00 ,$5.28 ,$105.00 ,$70.70 ,$63.70 ,$70.70 ,$5.18 ,$70.70 ,$7.48 ,$7.48 ,$7.48 ,$140.00 ,$119.00 ,$12.95 ,$112.00 ,$51.80 ,$112.00 ,$5.18 ,$5.18 ,$140.00 ,$75.88 ,$5.18 ,$36.82 , N/A , N/A ,$10.58 ,$10.10 ,$5.44 ,$119.00 ,$11.66 ,$92.12 ,$39.20 ,$126.00 ,$100.80 ,$140.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$67.20 ,$126.00 ST. JOHN'S HOSPITAL,30200863,86141,HC C-REACTIVE PROTEIN (HS)-90,302,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$32.38 ,$26.48 ,$29.27 ,$12.95 ,$15.12 ,$18.63 ,$12.95 ,$20.74 ,$12.95 ,$20.63 ,$3.50 ,$12.95 ,$20.63 ,$24.61 ,$43.78 ,$27.54 ,$32.38 ,$12.95 ,$37.80 ,$12.95 ,$27.00 ,$13.21 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$12.95 ,$27.27 ,$18.71 ,$18.71 ,$18.71 ,$54.00 ,$45.90 ,$32.38 ,$43.20 ,$19.98 ,$43.20 ,$12.95 ,$12.95 ,$54.00 ,$29.27 ,$12.95 ,$14.20 , N/A , N/A ,$10.58 ,$10.10 ,$13.60 ,$45.90 ,$29.14 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$18.71 ,$25.90 ,$25.90 ,$12.95 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$63.63 ,$52.01 ,$42.28 ,$25.45 ,$21.84 ,$26.91 ,$25.45 ,$29.95 ,$25.45 ,$29.80 ,$3.50 ,$25.45 ,$29.80 ,$48.36 ,$78.00 ,$39.78 ,$63.63 ,$25.45 ,$54.60 ,$25.45 ,$39.00 ,$25.96 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$25.45 ,$39.39 ,$36.76 ,$36.76 ,$36.76 ,$78.00 ,$66.30 ,$63.63 ,$62.40 ,$28.86 ,$62.40 ,$25.45 ,$25.45 ,$78.00 ,$42.28 ,$25.45 ,$20.51 , N/A , N/A ,$11.81 ,$11.28 ,$26.72 ,$66.30 ,$57.26 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$36.76 ,$50.90 ,$50.90 ,$25.45 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$63.63 ,$52.01 ,$42.28 ,$25.45 ,$21.84 ,$26.91 ,$25.45 ,$29.95 ,$25.45 ,$29.80 ,$3.50 ,$25.45 ,$29.80 ,$48.36 ,$78.00 ,$39.78 ,$63.63 ,$25.45 ,$54.60 ,$25.45 ,$39.00 ,$25.96 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$25.45 ,$39.39 ,$36.76 ,$36.76 ,$36.76 ,$78.00 ,$66.30 ,$63.63 ,$62.40 ,$28.86 ,$62.40 ,$25.45 ,$25.45 ,$78.00 ,$42.28 ,$25.45 ,$20.51 , N/A , N/A ,$18.24 ,$17.41 ,$26.72 ,$66.30 ,$57.26 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$36.76 ,$50.90 ,$50.90 ,$25.45 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$107.00 ,$69.55 ,$3.50 ,$107.00 ,$40.18 ,$32.85 ,$57.99 ,$16.07 ,$29.96 ,$36.92 ,$16.07 ,$41.09 ,$16.07 ,$40.87 ,$3.50 ,$16.07 ,$40.87 ,$30.53 ,$54.46 ,$54.57 ,$40.18 ,$16.07 ,$74.90 ,$16.07 ,$53.50 ,$16.39 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$16.07 ,$54.04 ,$23.21 ,$23.21 ,$23.21 ,$107.00 ,$90.95 ,$40.18 ,$85.60 ,$39.59 ,$85.60 ,$16.07 ,$16.07 ,$107.00 ,$57.99 ,$16.07 ,$28.14 , N/A , N/A ,$11.81 ,$11.28 ,$16.87 ,$90.95 ,$36.16 ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$23.21 ,$32.14 ,$32.14 ,$16.07 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,30200867,86156,HC COLD AGGLUTININ SCREEN-90,302,1 ,$91.00 ,$59.15 ,$3.50 ,$91.00 ,$20.18 ,$13.70 ,$49.32 ,$8.07 ,$25.48 ,$27.76 ,$8.07 ,$27.76 ,$8.07 ,$34.76 ,$3.50 ,$8.07 ,$34.76 ,$15.33 ,$27.23 ,$46.41 ,$20.18 ,$8.07 ,$63.70 ,$8.07 ,$45.50 ,$8.23 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$8.07 ,$45.96 ,$10.49 ,$10.49 ,$10.49 ,$91.00 ,$77.35 ,$20.18 ,$72.80 ,$33.67 ,$72.80 ,$8.07 ,$8.07 ,$91.00 ,$49.32 ,$8.07 ,$23.93 , N/A , N/A ,$10.58 ,$10.10 ,$8.47 ,$77.35 ,$18.16 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$10.49 ,$16.14 ,$16.14 ,$8.07 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$20.15 ,$16.50 ,$49.86 ,$8.06 ,$25.76 ,$31.74 ,$8.06 ,$33.39 ,$8.06 ,$35.14 ,$3.50 ,$8.06 ,$35.14 ,$15.31 ,$27.23 ,$46.92 ,$20.15 ,$8.06 ,$64.40 ,$8.06 ,$46.00 ,$8.22 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$8.06 ,$46.46 ,$11.65 ,$11.65 ,$11.65 ,$92.00 ,$78.20 ,$20.15 ,$73.60 ,$34.04 ,$73.60 ,$8.06 ,$8.06 ,$92.00 ,$49.86 ,$8.06 ,$24.20 , N/A , N/A ,$10.58 ,$10.10 ,$8.46 ,$78.20 ,$18.14 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$11.65 ,$16.12 ,$16.12 ,$8.06 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$131.00 ,$85.15 ,$3.50 ,$131.00 ,$30.00 ,$24.55 ,$71.00 ,$12.00 ,$36.68 ,$45.20 ,$12.00 ,$49.69 ,$12.00 ,$50.04 ,$3.50 ,$12.00 ,$50.04 ,$22.80 ,$40.25 ,$66.81 ,$30.00 ,$12.00 ,$91.70 ,$12.00 ,$65.50 ,$12.24 ,$98.25 ,$66.16 ,$59.61 ,$66.16 ,$12.00 ,$66.16 ,$17.33 ,$17.33 ,$17.33 ,$131.00 ,$111.35 ,$30.00 ,$104.80 ,$48.47 ,$104.80 ,$12.00 ,$12.00 ,$131.00 ,$71.00 ,$12.00 ,$34.45 , N/A , N/A ,$10.58 ,$10.10 ,$12.60 ,$111.35 ,$27.00 ,$86.20 ,$36.68 ,$117.90 ,$94.32 ,$131.00 ,$17.33 ,$24.00 ,$24.00 ,$12.00 ,$62.88 ,$117.90 ST. JOHN'S HOSPITAL,30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$30.00 ,$24.55 ,$24.93 ,$12.00 ,$12.88 ,$15.87 ,$12.00 ,$17.66 ,$12.00 ,$17.57 ,$3.50 ,$12.00 ,$17.57 ,$22.80 ,$40.25 ,$23.46 ,$30.00 ,$12.00 ,$32.20 ,$12.00 ,$23.00 ,$12.24 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$12.00 ,$23.23 ,$17.33 ,$17.33 ,$17.33 ,$46.00 ,$39.10 ,$30.00 ,$36.80 ,$17.02 ,$36.80 ,$12.00 ,$12.00 ,$46.00 ,$24.93 ,$12.00 ,$12.10 , N/A , N/A ,$10.58 ,$10.10 ,$12.60 ,$39.10 ,$27.00 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$17.33 ,$24.00 ,$24.00 ,$12.00 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$83.00 ,$53.95 ,$3.50 ,$83.00 ,$50.80 ,$41.55 ,$44.99 ,$20.32 ,$23.24 ,$28.64 ,$20.32 ,$31.87 ,$20.32 ,$31.71 ,$3.50 ,$20.32 ,$31.71 ,$38.61 ,$68.67 ,$42.33 ,$50.80 ,$20.32 ,$58.10 ,$20.32 ,$41.50 ,$20.73 ,$62.25 ,$41.92 ,$37.77 ,$41.92 ,$20.32 ,$41.92 ,$29.35 ,$29.35 ,$29.35 ,$83.00 ,$70.55 ,$50.80 ,$66.40 ,$30.71 ,$66.40 ,$20.32 ,$20.32 ,$83.00 ,$44.99 ,$20.32 ,$21.83 , N/A , N/A ,$10.58 ,$10.10 ,$21.34 ,$70.55 ,$45.72 ,$54.61 ,$23.24 ,$74.70 ,$59.76 ,$83.00 ,$29.35 ,$40.64 ,$40.64 ,$20.32 ,$39.84 ,$74.70 ST. JOHN'S HOSPITAL,30200872,86171,HC COMPLEMENT FIXATION EA ANTIGEN-90,302,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$25.03 ,$20.48 ,$26.56 ,$10.01 ,$13.72 ,$16.91 ,$10.01 ,$18.82 ,$10.01 ,$18.72 ,$3.50 ,$10.01 ,$18.72 ,$19.02 ,$34.34 ,$24.99 ,$25.03 ,$10.01 ,$34.30 ,$10.01 ,$24.50 ,$10.21 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$10.01 ,$24.75 ,$14.46 ,$14.46 ,$14.46 ,$49.00 ,$41.65 ,$25.03 ,$39.20 ,$18.13 ,$39.20 ,$10.01 ,$10.01 ,$49.00 ,$26.56 ,$10.01 ,$12.89 , N/A , N/A ,$10.58 ,$10.10 ,$10.51 ,$41.65 ,$22.52 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$14.46 ,$20.02 ,$20.02 ,$10.01 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30200873,86200,HC CCP AB-90,302,1 ,$170.00 ,$110.50 ,$3.50 ,$170.00 ,$32.38 ,$26.48 ,$92.14 ,$12.95 ,$47.60 ,$53.61 ,$12.95 ,$53.61 ,$12.95 ,$64.94 ,$3.50 ,$12.95 ,$64.94 ,$24.61 ,$43.78 ,$86.70 ,$32.38 ,$12.95 ,$119.00 ,$12.95 ,$85.00 ,$13.21 ,$127.50 ,$85.85 ,$77.35 ,$85.85 ,$12.95 ,$85.85 ,$18.71 ,$18.71 ,$18.71 ,$170.00 ,$144.50 ,$32.38 ,$136.00 ,$62.90 ,$136.00 ,$12.95 ,$12.95 ,$170.00 ,$92.14 ,$12.95 ,$44.71 , N/A , N/A ,$10.58 ,$10.10 ,$13.60 ,$144.50 ,$29.14 ,$111.86 ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$18.71 ,$25.90 ,$25.90 ,$12.95 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$33.13 ,$27.09 ,$29.81 ,$13.25 ,$15.40 ,$18.98 ,$13.25 ,$21.12 ,$13.25 ,$21.01 ,$3.50 ,$13.25 ,$21.01 ,$25.18 ,$44.97 ,$28.05 ,$33.13 ,$13.25 ,$38.50 ,$13.25 ,$27.50 ,$13.52 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$13.25 ,$27.78 ,$19.14 ,$19.14 ,$19.14 ,$55.00 ,$46.75 ,$33.13 ,$44.00 ,$20.35 ,$44.00 ,$13.25 ,$13.25 ,$55.00 ,$29.81 ,$13.25 ,$14.47 , N/A , N/A ,$10.58 ,$10.10 ,$13.91 ,$46.75 ,$29.81 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$19.14 ,$26.50 ,$26.50 ,$13.25 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$100.00 ,$65.00 ,$3.50 ,$100.00 ,$34.35 ,$28.09 ,$54.20 ,$13.74 ,$28.00 ,$34.50 ,$13.74 ,$38.40 ,$13.74 ,$38.20 ,$3.50 ,$13.74 ,$38.20 ,$26.11 ,$46.17 ,$51.00 ,$34.35 ,$13.74 ,$70.00 ,$13.74 ,$50.00 ,$14.01 ,$75.00 ,$50.50 ,$45.50 ,$50.50 ,$13.74 ,$50.50 ,$19.85 ,$19.85 ,$19.85 ,$100.00 ,$85.00 ,$34.35 ,$80.00 ,$37.00 ,$80.00 ,$13.74 ,$13.74 ,$100.00 ,$54.20 ,$13.74 ,$26.30 , N/A , N/A ,$10.58 ,$10.10 ,$14.43 ,$85.00 ,$30.92 ,$65.80 ,$28.00 ,$90.00 ,$72.00 ,$100.00 ,$19.85 ,$27.48 ,$27.48 ,$13.74 ,$48.00 ,$90.00 ST. JOHN'S HOSPITAL,30200876,86226,HC DNA SINGLE STRAND AB-90,302,1 ,$50.00 ,$32.50 ,$3.50 ,$50.00 ,$30.28 ,$24.76 ,$27.10 ,$12.11 ,$14.00 ,$17.25 ,$12.11 ,$19.20 ,$12.11 ,$19.10 ,$3.50 ,$12.11 ,$19.10 ,$23.01 ,$41.44 ,$25.50 ,$30.28 ,$12.11 ,$35.00 ,$12.11 ,$25.00 ,$12.35 ,$37.50 ,$25.25 ,$22.75 ,$25.25 ,$12.11 ,$25.25 ,$17.49 ,$17.49 ,$17.49 ,$50.00 ,$42.50 ,$30.28 ,$40.00 ,$18.50 ,$40.00 ,$12.11 ,$12.11 ,$50.00 ,$27.10 ,$12.11 ,$13.15 , N/A , N/A ,$10.58 ,$10.10 ,$12.72 ,$42.50 ,$27.25 ,$32.90 ,$14.00 ,$45.00 ,$36.00 ,$50.00 ,$17.49 ,$24.22 ,$24.22 ,$12.11 ,$24.00 ,$45.00 ST. JOHN'S HOSPITAL,30200877,86235,HC ENA AB-90,302,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$44.83 ,$36.24 ,$39.02 ,$17.93 ,$20.16 ,$24.84 ,$17.93 ,$27.65 ,$17.93 ,$27.50 ,$3.50 ,$17.93 ,$27.50 ,$34.07 ,$60.38 ,$36.72 ,$44.83 ,$17.93 ,$50.40 ,$17.93 ,$36.00 ,$18.29 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$17.93 ,$36.36 ,$25.91 ,$25.91 ,$25.91 ,$72.00 ,$61.20 ,$44.83 ,$57.60 ,$26.64 ,$57.60 ,$17.93 ,$17.93 ,$72.00 ,$39.02 ,$17.93 ,$18.94 , N/A , N/A ,$18.24 ,$17.41 ,$18.83 ,$61.20 ,$40.34 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$25.91 ,$35.86 ,$35.86 ,$17.93 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30200878,86255,HC FLUOR AB SCR-90,302,1 ,$153.00 ,$99.45 ,$9.51 ,$153.00 ,$30.13 ,$24.64 ,$82.93 ,$12.05 ,$42.84 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$58.45 ,$9.51 ,$12.05 ,$58.45 ,$22.90 ,$41.44 ,$78.03 ,$30.13 ,$12.05 ,$107.10 ,$12.05 ,$76.50 ,$12.29 ,$114.75 ,$77.27 ,$69.62 ,$77.27 ,$12.05 ,$77.27 ,$17.41 ,$17.41 ,$17.41 ,$153.00 ,$130.05 ,$30.13 ,$122.40 ,$56.61 ,$122.40 ,$12.05 ,$12.05 ,$153.00 ,$82.93 ,$12.05 ,$40.24 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$130.05 ,$27.11 ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,30200879,86256,HC FLUOR AB TITER-90,302,1 ,$91.00 ,$59.15 ,$9.51 ,$91.00 ,$30.13 ,$24.64 ,$49.32 ,$12.05 ,$25.48 ,$31.40 ,$12.05 ,$34.94 ,$12.05 ,$34.76 ,$9.51 ,$12.05 ,$34.76 ,$22.90 ,$41.44 ,$46.41 ,$30.13 ,$12.05 ,$63.70 ,$12.05 ,$45.50 ,$12.29 ,$68.25 ,$45.96 ,$41.41 ,$45.96 ,$12.05 ,$45.96 ,$17.41 ,$17.41 ,$17.41 ,$91.00 ,$77.35 ,$30.13 ,$72.80 ,$33.67 ,$72.80 ,$12.05 ,$12.05 ,$91.00 ,$49.32 ,$12.05 ,$23.93 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$77.35 ,$27.11 ,$59.88 ,$25.48 ,$81.90 ,$65.52 ,$91.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$43.68 ,$81.90 ST. JOHN'S HOSPITAL,30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$86.00 ,$55.90 ,$3.50 ,$86.00 ,$52.03 ,$42.56 ,$46.61 ,$20.81 ,$24.08 ,$29.67 ,$20.81 ,$33.02 ,$20.81 ,$32.85 ,$3.50 ,$20.81 ,$32.85 ,$39.54 ,$71.01 ,$43.86 ,$52.03 ,$20.81 ,$60.20 ,$20.81 ,$43.00 ,$21.23 ,$64.50 ,$43.43 ,$39.13 ,$43.43 ,$20.81 ,$43.43 ,$30.07 ,$30.07 ,$30.07 ,$86.00 ,$73.10 ,$52.03 ,$68.80 ,$31.82 ,$68.80 ,$20.81 ,$20.81 ,$86.00 ,$46.61 ,$20.81 ,$22.62 , N/A , N/A ,$28.04 ,$26.76 ,$21.85 ,$73.10 ,$46.82 ,$56.59 ,$24.08 ,$77.40 ,$61.92 ,$86.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$41.28 ,$77.40 ST. JOHN'S HOSPITAL,30200881,86301,HC TUMOR AG CA 19-9 -90,302,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$52.03 ,$42.56 ,$46.07 ,$20.81 ,$23.80 ,$29.33 ,$20.81 ,$32.64 ,$20.81 ,$32.47 ,$3.50 ,$20.81 ,$32.47 ,$39.54 ,$71.01 ,$43.35 ,$52.03 ,$20.81 ,$59.50 ,$20.81 ,$42.50 ,$21.23 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$20.81 ,$42.93 ,$30.07 ,$30.07 ,$30.07 ,$85.00 ,$72.25 ,$52.03 ,$68.00 ,$31.45 ,$68.00 ,$20.81 ,$20.81 ,$85.00 ,$46.07 ,$20.81 ,$22.36 , N/A , N/A ,$28.04 ,$26.76 ,$21.85 ,$72.25 ,$46.82 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30200883,86305,HC HE4 OVARIAN CANCER-90,302,1 ,$323.00 ,$209.95 ,$3.50 ,$323.00 ,$52.03 ,$42.56 ,$175.07 ,$20.81 ,$90.44 ,$86.22 ,$20.81 ,$86.22 ,$20.81 ,$123.39 ,$3.50 ,$20.81 ,$123.39 ,$39.54 ,$71.01 ,$164.73 ,$52.03 ,$20.81 ,$226.10 ,$20.81 ,$161.50 ,$21.23 ,$242.25 ,$163.12 ,$146.97 ,$163.12 ,$20.81 ,$163.12 ,$30.07 ,$30.07 ,$30.07 ,$323.00 ,$274.55 ,$52.03 ,$258.40 ,$119.51 ,$258.40 ,$20.81 ,$20.81 ,$323.00 ,$175.07 ,$20.81 ,$84.95 , N/A , N/A ,$28.04 ,$26.76 ,$21.85 ,$274.55 ,$46.82 ,$212.53 ,$90.44 ,$290.70 ,$232.56 ,$323.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$155.04 ,$290.70 ST. JOHN'S HOSPITAL,30200886,86632,HC CHLAMYDIA AB IGM-90,302,1 ,$53.00 ,$34.45 ,$3.50 ,$53.00 ,$31.70 ,$25.94 ,$28.73 ,$12.68 ,$14.84 ,$18.29 ,$12.68 ,$20.35 ,$12.68 ,$20.25 ,$3.50 ,$12.68 ,$20.25 ,$24.09 ,$42.63 ,$27.03 ,$31.70 ,$12.68 ,$37.10 ,$12.68 ,$26.50 ,$12.93 ,$39.75 ,$26.77 ,$24.12 ,$26.77 ,$12.68 ,$26.77 ,$18.32 ,$18.32 ,$18.32 ,$53.00 ,$45.05 ,$31.70 ,$42.40 ,$19.61 ,$42.40 ,$12.68 ,$12.68 ,$53.00 ,$28.73 ,$12.68 ,$13.94 , N/A , N/A ,$8.44 ,$8.05 ,$13.31 ,$45.05 ,$28.53 ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$18.32 ,$25.36 ,$25.36 ,$12.68 ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$48.00 ,$31.20 ,$3.50 ,$48.00 ,$28.68 ,$23.45 ,$26.02 ,$11.47 ,$13.44 ,$16.56 ,$11.47 ,$18.43 ,$11.47 ,$18.34 ,$3.50 ,$11.47 ,$18.34 ,$21.79 ,$39.06 ,$24.48 ,$28.68 ,$11.47 ,$33.60 ,$11.47 ,$24.00 ,$11.70 ,$36.00 ,$24.24 ,$21.84 ,$24.24 ,$11.47 ,$24.24 ,$16.58 ,$16.58 ,$16.58 ,$48.00 ,$40.80 ,$28.68 ,$38.40 ,$17.76 ,$38.40 ,$11.47 ,$11.47 ,$48.00 ,$26.02 ,$11.47 ,$12.62 , N/A , N/A ,$18.24 ,$17.41 ,$12.04 ,$40.80 ,$25.81 ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$16.58 ,$22.94 ,$22.94 ,$11.47 ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,30200888,86638,HC Q FEVER AB-90,302,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$30.30 ,$24.78 ,$41.19 ,$12.12 ,$21.28 ,$26.22 ,$12.12 ,$29.18 ,$12.12 ,$29.03 ,$3.50 ,$12.12 ,$29.03 ,$23.03 ,$41.44 ,$38.76 ,$30.30 ,$12.12 ,$53.20 ,$12.12 ,$38.00 ,$12.36 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$12.12 ,$38.38 ,$17.51 ,$17.51 ,$17.51 ,$76.00 ,$64.60 ,$30.30 ,$60.80 ,$28.12 ,$60.80 ,$12.12 ,$12.12 ,$76.00 ,$41.19 ,$12.12 ,$19.99 , N/A , N/A ,$18.24 ,$17.41 ,$12.73 ,$64.60 ,$27.27 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.51 ,$24.24 ,$24.24 ,$12.12 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30200890,86644,HC CMV AB-90,302,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$35.98 ,$29.44 ,$82.38 ,$14.39 ,$42.56 ,$52.44 ,$14.39 ,$58.37 ,$14.39 ,$58.06 ,$3.50 ,$14.39 ,$58.06 ,$27.34 ,$48.55 ,$77.52 ,$35.98 ,$14.39 ,$106.40 ,$14.39 ,$76.00 ,$14.68 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$14.39 ,$76.76 ,$20.79 ,$20.79 ,$20.79 ,$152.00 ,$129.20 ,$35.98 ,$121.60 ,$56.24 ,$121.60 ,$14.39 ,$14.39 ,$152.00 ,$82.38 ,$14.39 ,$39.98 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$129.20 ,$32.38 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30200892,86648,HC DIPTHERIA-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$38.03 ,$31.10 ,$33.60 ,$15.21 ,$17.36 ,$21.39 ,$15.21 ,$23.81 ,$15.21 ,$23.68 ,$3.50 ,$15.21 ,$23.68 ,$28.90 ,$52.08 ,$31.62 ,$38.03 ,$15.21 ,$43.40 ,$15.21 ,$31.00 ,$15.51 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$15.21 ,$31.31 ,$21.97 ,$21.97 ,$21.97 ,$62.00 ,$52.70 ,$38.03 ,$49.60 ,$22.94 ,$49.60 ,$15.21 ,$15.21 ,$62.00 ,$33.60 ,$15.21 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$15.97 ,$52.70 ,$34.22 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$21.97 ,$30.42 ,$30.42 ,$15.21 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200893,86651,HC ENCEPHALITIS CALIFORNIA AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$32.98 ,$26.97 ,$33.60 ,$13.19 ,$17.36 ,$21.39 ,$13.19 ,$23.81 ,$13.19 ,$23.68 ,$3.50 ,$13.19 ,$23.68 ,$25.06 ,$44.97 ,$31.62 ,$32.98 ,$13.19 ,$43.40 ,$13.19 ,$31.00 ,$13.45 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$13.19 ,$31.31 ,$19.05 ,$19.05 ,$19.05 ,$62.00 ,$52.70 ,$32.98 ,$49.60 ,$22.94 ,$49.60 ,$13.19 ,$13.19 ,$62.00 ,$33.60 ,$13.19 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$52.70 ,$29.68 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200894,86652,HC ENCEPHALITIS EAST EQUINE AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$32.98 ,$26.97 ,$33.60 ,$13.19 ,$17.36 ,$21.39 ,$13.19 ,$23.81 ,$13.19 ,$23.68 ,$3.50 ,$13.19 ,$23.68 ,$25.06 ,$44.97 ,$31.62 ,$32.98 ,$13.19 ,$43.40 ,$13.19 ,$31.00 ,$13.45 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$13.19 ,$31.31 ,$19.05 ,$19.05 ,$19.05 ,$62.00 ,$52.70 ,$32.98 ,$49.60 ,$22.94 ,$49.60 ,$13.19 ,$13.19 ,$62.00 ,$33.60 ,$13.19 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$52.70 ,$29.68 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200895,86653,HC ENCEPHALITIS ST LOUIS AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$32.98 ,$26.97 ,$33.60 ,$13.19 ,$17.36 ,$21.39 ,$13.19 ,$23.81 ,$13.19 ,$23.68 ,$3.50 ,$13.19 ,$23.68 ,$25.06 ,$44.97 ,$31.62 ,$32.98 ,$13.19 ,$43.40 ,$13.19 ,$31.00 ,$13.45 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$13.19 ,$31.31 ,$19.05 ,$19.05 ,$19.05 ,$62.00 ,$52.70 ,$32.98 ,$49.60 ,$22.94 ,$49.60 ,$13.19 ,$13.19 ,$62.00 ,$33.60 ,$13.19 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$52.70 ,$29.68 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200896,86654,HC ENCEPHALITIS WEST EQUINE AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$32.98 ,$26.97 ,$33.60 ,$13.19 ,$17.36 ,$21.39 ,$13.19 ,$23.81 ,$13.19 ,$23.68 ,$3.50 ,$13.19 ,$23.68 ,$25.06 ,$44.97 ,$31.62 ,$32.98 ,$13.19 ,$43.40 ,$13.19 ,$31.00 ,$13.45 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$13.19 ,$31.31 ,$19.05 ,$19.05 ,$19.05 ,$62.00 ,$52.70 ,$32.98 ,$49.60 ,$22.94 ,$49.60 ,$13.19 ,$13.19 ,$62.00 ,$33.60 ,$13.19 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$52.70 ,$29.68 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$32.58 ,$26.64 ,$29.81 ,$13.03 ,$15.40 ,$18.98 ,$13.03 ,$21.12 ,$13.03 ,$21.01 ,$3.50 ,$13.03 ,$21.01 ,$24.76 ,$43.78 ,$28.05 ,$32.58 ,$13.03 ,$38.50 ,$13.03 ,$27.50 ,$13.29 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$13.03 ,$27.78 ,$18.81 ,$18.81 ,$18.81 ,$55.00 ,$46.75 ,$32.58 ,$44.00 ,$20.35 ,$44.00 ,$13.03 ,$13.03 ,$55.00 ,$29.81 ,$13.03 ,$14.47 , N/A , N/A ,$18.24 ,$17.41 ,$13.68 ,$46.75 ,$29.32 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$18.81 ,$26.06 ,$26.06 ,$13.03 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30200898,86663,HC EBV EARLY AG-90,302,1 ,$137.00 ,$89.05 ,$3.50 ,$137.00 ,$32.80 ,$26.83 ,$74.25 ,$13.12 ,$38.36 ,$47.27 ,$13.12 ,$52.61 ,$13.12 ,$52.33 ,$3.50 ,$13.12 ,$52.33 ,$24.93 ,$44.97 ,$69.87 ,$32.80 ,$13.12 ,$95.90 ,$13.12 ,$68.50 ,$13.38 ,$102.75 ,$69.19 ,$62.34 ,$69.19 ,$13.12 ,$69.19 ,$18.95 ,$18.95 ,$18.95 ,$137.00 ,$116.45 ,$32.80 ,$109.60 ,$50.69 ,$109.60 ,$13.12 ,$13.12 ,$137.00 ,$74.25 ,$13.12 ,$36.03 , N/A , N/A ,$18.24 ,$17.41 ,$13.78 ,$116.45 ,$29.52 ,$90.15 ,$38.36 ,$123.30 ,$98.64 ,$137.00 ,$18.95 ,$26.24 ,$26.24 ,$13.12 ,$65.76 ,$123.30 ST. JOHN'S HOSPITAL,30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$63.00 ,$40.95 ,$3.50 ,$63.00 ,$38.23 ,$31.29 ,$34.15 ,$15.29 ,$17.64 ,$21.74 ,$15.29 ,$24.19 ,$15.29 ,$24.07 ,$3.50 ,$15.29 ,$24.07 ,$29.05 ,$52.08 ,$32.13 ,$38.23 ,$15.29 ,$44.10 ,$15.29 ,$31.50 ,$15.60 ,$47.25 ,$31.82 ,$28.67 ,$31.82 ,$15.29 ,$31.82 ,$22.09 ,$22.09 ,$22.09 ,$63.00 ,$53.55 ,$38.23 ,$50.40 ,$23.31 ,$50.40 ,$15.29 ,$15.29 ,$63.00 ,$34.15 ,$15.29 ,$16.57 , N/A , N/A ,$18.24 ,$17.41 ,$16.05 ,$53.55 ,$34.40 ,$41.45 ,$17.64 ,$56.70 ,$45.36 ,$63.00 ,$22.09 ,$30.58 ,$30.58 ,$15.29 ,$30.24 ,$56.70 ST. JOHN'S HOSPITAL,30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$45.35 ,$37.10 ,$40.65 ,$18.14 ,$21.00 ,$25.88 ,$18.14 ,$28.80 ,$18.14 ,$28.65 ,$3.50 ,$18.14 ,$28.65 ,$34.47 ,$61.57 ,$38.25 ,$45.35 ,$18.14 ,$52.50 ,$18.14 ,$37.50 ,$18.50 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$18.14 ,$37.88 ,$26.21 ,$26.21 ,$26.21 ,$75.00 ,$63.75 ,$45.35 ,$60.00 ,$27.75 ,$60.00 ,$18.14 ,$18.14 ,$75.00 ,$40.65 ,$18.14 ,$19.73 , N/A , N/A ,$18.24 ,$17.41 ,$19.05 ,$63.75 ,$40.82 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$26.21 ,$36.28 ,$36.28 ,$18.14 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30200901,86666,HC EHRLICHIA AB-90,302,1 ,$67.00 ,$43.55 ,$3.50 ,$67.00 ,$25.45 ,$20.81 ,$36.31 ,$10.18 ,$18.76 ,$23.12 ,$10.18 ,$25.73 ,$10.18 ,$25.59 ,$3.50 ,$10.18 ,$25.59 ,$19.34 ,$34.34 ,$34.17 ,$25.45 ,$10.18 ,$46.90 ,$10.18 ,$33.50 ,$10.38 ,$50.25 ,$33.84 ,$30.49 ,$33.84 ,$10.18 ,$33.84 ,$14.70 ,$14.70 ,$14.70 ,$67.00 ,$56.95 ,$25.45 ,$53.60 ,$24.79 ,$53.60 ,$10.18 ,$10.18 ,$67.00 ,$36.31 ,$10.18 ,$17.62 , N/A , N/A ,$18.24 ,$17.41 ,$10.69 ,$56.95 ,$22.91 ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$14.70 ,$20.36 ,$20.36 ,$10.18 ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,30200902,86668,HC FRANCISELLA AB-90,302,1 ,$140.00 ,$91.00 ,$3.50 ,$140.00 ,$35.40 ,$21.28 ,$75.88 ,$14.16 ,$39.20 ,$47.47 ,$14.16 ,$47.47 ,$14.16 ,$53.48 ,$3.50 ,$14.16 ,$53.48 ,$26.90 ,$48.55 ,$71.40 ,$35.40 ,$14.16 ,$98.00 ,$14.16 ,$70.00 ,$14.44 ,$105.00 ,$70.70 ,$63.70 ,$70.70 ,$14.16 ,$70.70 ,$18.41 ,$18.41 ,$18.41 ,$140.00 ,$119.00 ,$35.40 ,$112.00 ,$51.80 ,$112.00 ,$14.16 ,$14.16 ,$140.00 ,$75.88 ,$14.16 ,$36.82 , N/A , N/A ,$18.24 ,$17.41 ,$14.87 ,$119.00 ,$31.86 ,$92.12 ,$39.20 ,$126.00 ,$100.80 ,$140.00 ,$18.41 ,$28.32 ,$28.32 ,$14.16 ,$67.20 ,$126.00 ST. JOHN'S HOSPITAL,30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$252.00 ,$163.80 ,$3.50 ,$252.00 ,$30.63 ,$25.06 ,$136.58 ,$12.25 ,$70.56 ,$50.72 ,$12.25 ,$50.72 ,$12.25 ,$96.26 ,$3.50 ,$12.25 ,$96.26 ,$23.28 ,$41.44 ,$128.52 ,$30.63 ,$12.25 ,$176.40 ,$12.25 ,$126.00 ,$12.50 ,$189.00 ,$127.26 ,$114.66 ,$127.26 ,$12.25 ,$127.26 ,$17.71 ,$17.71 ,$17.71 ,$252.00 ,$214.20 ,$30.63 ,$201.60 ,$93.24 ,$201.60 ,$12.25 ,$12.25 ,$252.00 ,$136.58 ,$12.25 ,$66.28 , N/A , N/A ,$10.58 ,$10.10 ,$12.86 ,$214.20 ,$27.56 ,$165.82 ,$70.56 ,$226.80 ,$181.44 ,$252.00 ,$17.71 ,$24.50 ,$24.50 ,$12.25 ,$120.96 ,$226.80 ST. JOHN'S HOSPITAL,30200904,86674,HC GIARDIA LAMBLIA AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$36.80 ,$30.10 ,$33.60 ,$14.72 ,$17.36 ,$21.39 ,$14.72 ,$23.81 ,$14.72 ,$23.68 ,$3.50 ,$14.72 ,$23.68 ,$27.97 ,$49.74 ,$31.62 ,$36.80 ,$14.72 ,$43.40 ,$14.72 ,$31.00 ,$15.01 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$14.72 ,$31.31 ,$21.26 ,$21.26 ,$21.26 ,$62.00 ,$52.70 ,$36.80 ,$49.60 ,$22.94 ,$49.60 ,$14.72 ,$14.72 ,$62.00 ,$33.60 ,$14.72 ,$16.31 , N/A , N/A ,$10.58 ,$10.10 ,$15.46 ,$52.70 ,$33.12 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$21.26 ,$29.44 ,$29.44 ,$14.72 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200905,86677,HC H PYLORI AB-90,302,1 ,$95.00 ,$61.75 ,$3.50 ,$95.00 ,$42.13 ,$29.68 ,$51.49 ,$16.85 ,$26.60 ,$32.78 ,$16.85 ,$36.48 ,$16.85 ,$36.29 ,$3.50 ,$16.85 ,$36.29 ,$32.02 ,$56.80 ,$48.45 ,$42.13 ,$16.85 ,$66.50 ,$16.85 ,$47.50 ,$17.19 ,$71.25 ,$47.98 ,$43.23 ,$47.98 ,$16.85 ,$47.98 ,$21.91 ,$21.91 ,$21.91 ,$95.00 ,$80.75 ,$42.13 ,$76.00 ,$35.15 ,$76.00 ,$16.85 ,$16.85 ,$95.00 ,$51.49 ,$16.85 ,$24.99 , N/A , N/A ,$18.24 ,$17.41 ,$17.69 ,$80.75 ,$37.91 ,$62.51 ,$26.60 ,$85.50 ,$68.40 ,$95.00 ,$21.91 ,$33.70 ,$33.70 ,$16.85 ,$45.60 ,$85.50 ST. JOHN'S HOSPITAL,30200906,86682,HC HELMINTH ANTIBODY-90,302,1 ,$95.00 ,$61.75 ,$3.50 ,$95.00 ,$32.53 ,$26.60 ,$51.49 ,$13.01 ,$26.60 ,$32.78 ,$13.01 ,$36.48 ,$13.01 ,$36.29 ,$3.50 ,$13.01 ,$36.29 ,$24.72 ,$43.78 ,$48.45 ,$32.53 ,$13.01 ,$66.50 ,$13.01 ,$47.50 ,$13.27 ,$71.25 ,$47.98 ,$43.23 ,$47.98 ,$13.01 ,$47.98 ,$18.79 ,$18.79 ,$18.79 ,$95.00 ,$80.75 ,$32.53 ,$76.00 ,$35.15 ,$76.00 ,$13.01 ,$13.01 ,$95.00 ,$51.49 ,$13.01 ,$24.99 , N/A , N/A ,$10.58 ,$10.10 ,$13.66 ,$80.75 ,$29.27 ,$62.51 ,$26.60 ,$85.50 ,$68.40 ,$95.00 ,$18.79 ,$26.02 ,$26.02 ,$13.01 ,$45.60 ,$85.50 ST. JOHN'S HOSPITAL,30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$134.00 ,$87.10 ,$3.50 ,$134.00 ,$39.60 ,$32.39 ,$72.63 ,$15.84 ,$37.52 ,$46.23 ,$15.84 ,$51.46 ,$15.84 ,$51.19 ,$3.50 ,$15.84 ,$51.19 ,$30.10 ,$53.27 ,$68.34 ,$39.60 ,$15.84 ,$93.80 ,$15.84 ,$67.00 ,$16.16 ,$100.50 ,$67.67 ,$60.97 ,$67.67 ,$15.84 ,$67.67 ,$22.88 ,$22.88 ,$22.88 ,$134.00 ,$113.90 ,$39.60 ,$107.20 ,$49.58 ,$107.20 ,$15.84 ,$15.84 ,$134.00 ,$72.63 ,$15.84 ,$35.24 , N/A , N/A ,$10.58 ,$10.10 ,$16.63 ,$113.90 ,$35.64 ,$88.17 ,$37.52 ,$120.60 ,$96.48 ,$134.00 ,$22.88 ,$31.68 ,$31.68 ,$15.84 ,$64.32 ,$120.60 ST. JOHN'S HOSPITAL,30200909,86689,HC HTLV OR HIV AB CONF-90,302,1 ,$130.00 ,$84.50 ,$3.50 ,$130.00 ,$48.38 ,$39.57 ,$70.46 ,$19.35 ,$36.40 ,$44.85 ,$19.35 ,$49.92 ,$19.35 ,$49.66 ,$3.50 ,$19.35 ,$49.66 ,$36.77 ,$65.10 ,$66.30 ,$48.38 ,$19.35 ,$91.00 ,$19.35 ,$65.00 ,$19.74 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$19.35 ,$65.65 ,$27.96 ,$27.96 ,$27.96 ,$130.00 ,$110.50 ,$48.38 ,$104.00 ,$48.10 ,$104.00 ,$19.35 ,$19.35 ,$130.00 ,$70.46 ,$19.35 ,$34.19 , N/A , N/A ,$18.24 ,$17.41 ,$20.32 ,$110.50 ,$43.54 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$27.96 ,$38.70 ,$38.70 ,$19.35 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$114.00 ,$74.10 ,$3.50 ,$114.00 ,$32.98 ,$26.97 ,$61.79 ,$13.19 ,$31.92 ,$39.33 ,$13.19 ,$43.78 ,$13.19 ,$43.55 ,$3.50 ,$13.19 ,$43.55 ,$25.06 ,$44.97 ,$58.14 ,$32.98 ,$13.19 ,$79.80 ,$13.19 ,$57.00 ,$13.45 ,$85.50 ,$57.57 ,$51.87 ,$57.57 ,$13.19 ,$57.57 ,$19.05 ,$19.05 ,$19.05 ,$114.00 ,$96.90 ,$32.98 ,$91.20 ,$42.18 ,$91.20 ,$13.19 ,$13.19 ,$114.00 ,$61.79 ,$13.19 ,$29.98 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$96.90 ,$29.68 ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$114.00 ,$74.10 ,$3.50 ,$114.00 ,$48.38 ,$39.57 ,$61.79 ,$19.35 ,$31.92 ,$39.33 ,$19.35 ,$43.78 ,$19.35 ,$43.55 ,$3.50 ,$19.35 ,$43.55 ,$36.77 ,$65.10 ,$58.14 ,$48.38 ,$19.35 ,$79.80 ,$19.35 ,$57.00 ,$19.74 ,$85.50 ,$57.57 ,$51.87 ,$57.57 ,$19.35 ,$57.57 ,$27.96 ,$27.96 ,$27.96 ,$114.00 ,$96.90 ,$48.38 ,$91.20 ,$42.18 ,$91.20 ,$19.35 ,$19.35 ,$114.00 ,$61.79 ,$19.35 ,$29.98 , N/A , N/A ,$10.58 ,$10.10 ,$20.32 ,$96.90 ,$43.54 ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$27.96 ,$38.70 ,$38.70 ,$19.35 ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$19.00 ,$12.35 ,$3.50 ,$34.48 ,$34.48 ,$19.00 ,$10.30 ,$13.79 ,$5.32 ,$6.56 ,$13.79 ,$7.30 ,$13.79 ,$7.26 ,$3.50 ,$13.79 ,$7.26 ,$19.00 ,$19.00 ,$9.69 ,$34.48 ,$13.79 ,$13.30 ,$13.79 ,$9.50 ,$14.07 ,$14.25 ,$9.60 ,$8.65 ,$9.60 ,$13.79 ,$9.60 ,$18.04 ,$18.04 ,$18.04 ,$19.00 ,$16.15 ,$19.00 ,$15.20 ,$7.03 ,$15.20 ,$13.79 ,$13.79 ,$19.00 ,$10.30 ,$13.79 ,$5.00 , N/A , N/A ,$18.24 ,$17.41 ,$14.48 ,$16.15 ,$31.03 ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$18.04 ,$19.00 ,$19.00 ,$13.79 ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,30200915,86701,HC HIV-1 AB-90,302,1 ,$163.00 ,$105.95 ,$3.50 ,$163.00 ,$22.23 ,$18.17 ,$88.35 ,$8.89 ,$45.64 ,$49.79 ,$8.89 ,$49.79 ,$8.89 ,$62.27 ,$3.50 ,$8.89 ,$62.27 ,$16.89 ,$29.61 ,$83.13 ,$22.23 ,$8.89 ,$114.10 ,$8.89 ,$81.50 ,$9.07 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$8.89 ,$82.32 ,$12.83 ,$12.83 ,$12.83 ,$163.00 ,$138.55 ,$22.23 ,$130.40 ,$60.31 ,$130.40 ,$8.89 ,$8.89 ,$163.00 ,$88.35 ,$8.89 ,$42.87 , N/A , N/A ,$10.58 ,$10.10 ,$9.33 ,$138.55 ,$20.00 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$12.83 ,$17.78 ,$17.78 ,$8.89 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,30200916,86701,HC HIV-1 AB,302,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$22.23 ,$18.17 ,$56.91 ,$8.89 ,$29.40 ,$36.23 ,$8.89 ,$40.32 ,$8.89 ,$40.11 ,$3.50 ,$8.89 ,$40.11 ,$16.89 ,$29.61 ,$53.55 ,$22.23 ,$8.89 ,$73.50 ,$8.89 ,$52.50 ,$9.07 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$8.89 ,$53.03 ,$12.83 ,$12.83 ,$12.83 ,$105.00 ,$89.25 ,$22.23 ,$84.00 ,$38.85 ,$84.00 ,$8.89 ,$8.89 ,$105.00 ,$56.91 ,$8.89 ,$27.62 , N/A , N/A ,$10.58 ,$10.10 ,$9.33 ,$89.25 ,$20.00 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$12.83 ,$17.78 ,$17.78 ,$8.89 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30200917,86701,HC HIV-1 AB,302,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$22.23 ,$18.17 ,$56.91 ,$8.89 ,$29.40 ,$36.23 ,$8.89 ,$40.32 ,$8.89 ,$40.11 ,$3.50 ,$8.89 ,$40.11 ,$16.89 ,$29.61 ,$53.55 ,$22.23 ,$8.89 ,$73.50 ,$8.89 ,$52.50 ,$9.07 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$8.89 ,$53.03 ,$12.83 ,$12.83 ,$12.83 ,$105.00 ,$89.25 ,$22.23 ,$84.00 ,$38.85 ,$84.00 ,$8.89 ,$8.89 ,$105.00 ,$56.91 ,$8.89 ,$27.62 , N/A , N/A ,$10.58 ,$10.10 ,$9.33 ,$89.25 ,$20.00 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$12.83 ,$17.78 ,$17.78 ,$8.89 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30200918,86702,HC HIV-2 AB-90,302,1 ,$165.00 ,$107.25 ,$3.50 ,$165.00 ,$33.80 ,$27.63 ,$89.43 ,$13.52 ,$46.20 ,$55.99 ,$13.52 ,$55.99 ,$13.52 ,$63.03 ,$3.50 ,$13.52 ,$63.03 ,$25.69 ,$46.17 ,$84.15 ,$33.80 ,$13.52 ,$115.50 ,$13.52 ,$82.50 ,$13.79 ,$123.75 ,$83.33 ,$75.08 ,$83.33 ,$13.52 ,$83.33 ,$19.53 ,$19.53 ,$19.53 ,$165.00 ,$140.25 ,$33.80 ,$132.00 ,$61.05 ,$132.00 ,$13.52 ,$13.52 ,$165.00 ,$89.43 ,$13.52 ,$43.40 , N/A , N/A ,$10.58 ,$10.10 ,$14.20 ,$140.25 ,$30.42 ,$108.57 ,$46.20 ,$148.50 ,$118.80 ,$165.00 ,$19.53 ,$27.04 ,$27.04 ,$13.52 ,$79.20 ,$148.50 ST. JOHN'S HOSPITAL,30200919,86704,HC HEP CORE AB-90,302,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$30.13 ,$24.64 ,$22.76 ,$12.05 ,$11.76 ,$14.49 ,$12.05 ,$16.13 ,$12.05 ,$16.04 ,$3.50 ,$12.05 ,$16.04 ,$22.90 ,$41.44 ,$21.42 ,$30.13 ,$12.05 ,$29.40 ,$12.05 ,$21.00 ,$12.29 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$12.05 ,$21.21 ,$17.41 ,$17.41 ,$17.41 ,$42.00 ,$35.70 ,$30.13 ,$33.60 ,$15.54 ,$33.60 ,$12.05 ,$12.05 ,$42.00 ,$22.76 ,$12.05 ,$11.05 , N/A , N/A ,$10.58 ,$10.10 ,$12.65 ,$35.70 ,$27.11 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30200921,86706,HC HEP B SURFACE AB-90,302,1 ,$47.00 ,$30.55 ,$3.50 ,$47.00 ,$26.85 ,$21.96 ,$25.47 ,$10.74 ,$13.16 ,$16.22 ,$10.74 ,$18.05 ,$10.74 ,$17.95 ,$3.50 ,$10.74 ,$17.95 ,$20.41 ,$36.68 ,$23.97 ,$26.85 ,$10.74 ,$32.90 ,$10.74 ,$23.50 ,$10.95 ,$35.25 ,$23.74 ,$21.39 ,$23.74 ,$10.74 ,$23.74 ,$15.51 ,$15.51 ,$15.51 ,$47.00 ,$39.95 ,$26.85 ,$37.60 ,$17.39 ,$37.60 ,$10.74 ,$10.74 ,$47.00 ,$25.47 ,$10.74 ,$12.36 , N/A , N/A ,$10.58 ,$10.10 ,$11.28 ,$39.95 ,$24.17 ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$15.51 ,$21.48 ,$21.48 ,$10.74 ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,30200923,86707,HC HEP B E AB-90,302,1 ,$51.00 ,$33.15 ,$3.50 ,$51.00 ,$28.93 ,$23.66 ,$27.64 ,$11.57 ,$14.28 ,$17.60 ,$11.57 ,$19.58 ,$11.57 ,$19.48 ,$3.50 ,$11.57 ,$19.48 ,$21.98 ,$39.06 ,$26.01 ,$28.93 ,$11.57 ,$35.70 ,$11.57 ,$25.50 ,$11.80 ,$38.25 ,$25.76 ,$23.21 ,$25.76 ,$11.57 ,$25.76 ,$16.71 ,$16.71 ,$16.71 ,$51.00 ,$43.35 ,$28.93 ,$40.80 ,$18.87 ,$40.80 ,$11.57 ,$11.57 ,$51.00 ,$27.64 ,$11.57 ,$13.41 , N/A , N/A ,$10.58 ,$10.10 ,$12.15 ,$43.35 ,$26.03 ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$16.71 ,$23.14 ,$23.14 ,$11.57 ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$30.98 ,$25.34 ,$47.70 ,$12.39 ,$24.64 ,$30.36 ,$12.39 ,$33.79 ,$12.39 ,$33.62 ,$3.50 ,$12.39 ,$33.62 ,$23.54 ,$42.63 ,$44.88 ,$30.98 ,$12.39 ,$61.60 ,$12.39 ,$44.00 ,$12.64 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$12.39 ,$44.44 ,$17.89 ,$17.89 ,$17.89 ,$88.00 ,$74.80 ,$30.98 ,$70.40 ,$32.56 ,$70.40 ,$12.39 ,$12.39 ,$88.00 ,$47.70 ,$12.39 ,$23.14 , N/A , N/A ,$10.58 ,$10.10 ,$13.01 ,$74.80 ,$27.88 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$17.89 ,$24.78 ,$24.78 ,$12.39 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30200925,86709,HC HEP A AB IGM-90,302,1 ,$503.00 ,$326.95 ,$3.50 ,$503.00 ,$28.15 ,$23.01 ,$272.63 ,$11.26 ,$140.84 ,$46.65 ,$11.26 ,$46.65 ,$11.26 ,$192.15 ,$3.50 ,$11.26 ,$192.15 ,$21.39 ,$37.87 ,$256.53 ,$28.15 ,$11.26 ,$352.10 ,$11.26 ,$251.50 ,$11.49 ,$377.25 ,$254.02 ,$228.87 ,$254.02 ,$11.26 ,$254.02 ,$16.26 ,$16.26 ,$16.26 ,$503.00 ,$427.55 ,$28.15 ,$402.40 ,$186.11 ,$402.40 ,$11.26 ,$11.26 ,$503.00 ,$272.63 ,$11.26 ,$132.29 , N/A , N/A ,$10.58 ,$10.10 ,$11.82 ,$427.55 ,$25.34 ,$330.97 ,$140.84 ,$452.70 ,$362.16 ,$503.00 ,$16.26 ,$22.52 ,$22.52 ,$11.26 ,$241.44 ,$452.70 ST. JOHN'S HOSPITAL,30200926,86710,HC INFLUENZA AB-90,302,1 ,$57.00 ,$37.05 ,$3.50 ,$57.00 ,$33.88 ,$27.72 ,$30.89 ,$13.55 ,$15.96 ,$19.67 ,$13.55 ,$21.89 ,$13.55 ,$21.77 ,$3.50 ,$13.55 ,$21.77 ,$25.75 ,$46.17 ,$29.07 ,$33.88 ,$13.55 ,$39.90 ,$13.55 ,$28.50 ,$13.82 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$13.55 ,$28.79 ,$19.58 ,$19.58 ,$19.58 ,$57.00 ,$48.45 ,$33.88 ,$45.60 ,$21.09 ,$45.60 ,$13.55 ,$13.55 ,$57.00 ,$30.89 ,$13.55 ,$14.99 , N/A , N/A ,$10.58 ,$10.10 ,$14.23 ,$48.45 ,$30.49 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$19.58 ,$27.10 ,$27.10 ,$13.55 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,30200929,86720,HC LEPTOSPIRA AB-90,302,1 ,$163.00 ,$105.95 ,$3.50 ,$163.00 ,$40.50 ,$26.97 ,$88.35 ,$16.20 ,$45.64 ,$54.59 ,$16.20 ,$54.59 ,$16.20 ,$62.27 ,$3.50 ,$16.20 ,$62.27 ,$30.78 ,$54.46 ,$83.13 ,$40.50 ,$16.20 ,$114.10 ,$16.20 ,$81.50 ,$16.52 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$16.20 ,$82.32 ,$21.06 ,$21.06 ,$21.06 ,$163.00 ,$138.55 ,$40.50 ,$130.40 ,$60.31 ,$130.40 ,$16.20 ,$16.20 ,$163.00 ,$88.35 ,$16.20 ,$42.87 , N/A , N/A ,$18.24 ,$17.41 ,$17.01 ,$138.55 ,$36.45 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$21.06 ,$32.40 ,$32.40 ,$16.20 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,30200931,86735,HC MUMPS AB-90,302,1 ,$47.00 ,$30.55 ,$3.50 ,$47.00 ,$32.63 ,$26.69 ,$25.47 ,$13.05 ,$13.16 ,$16.22 ,$13.05 ,$18.05 ,$13.05 ,$17.95 ,$3.50 ,$13.05 ,$17.95 ,$24.80 ,$43.78 ,$23.97 ,$32.63 ,$13.05 ,$32.90 ,$13.05 ,$23.50 ,$13.31 ,$35.25 ,$23.74 ,$21.39 ,$23.74 ,$13.05 ,$23.74 ,$18.85 ,$18.85 ,$18.85 ,$47.00 ,$39.95 ,$32.63 ,$37.60 ,$17.39 ,$37.60 ,$13.05 ,$13.05 ,$47.00 ,$25.47 ,$13.05 ,$12.36 , N/A , N/A ,$10.58 ,$10.10 ,$13.70 ,$39.95 ,$29.36 ,$30.93 ,$13.16 ,$42.30 ,$33.84 ,$47.00 ,$18.85 ,$26.10 ,$26.10 ,$13.05 ,$22.56 ,$42.30 ST. JOHN'S HOSPITAL,30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$143.00 ,$92.95 ,$3.50 ,$143.00 ,$33.10 ,$27.07 ,$77.51 ,$13.24 ,$40.04 ,$49.34 ,$13.24 ,$54.80 ,$13.24 ,$54.63 ,$3.50 ,$13.24 ,$54.63 ,$25.16 ,$44.97 ,$72.93 ,$33.10 ,$13.24 ,$100.10 ,$13.24 ,$71.50 ,$13.50 ,$107.25 ,$72.22 ,$65.07 ,$72.22 ,$13.24 ,$72.22 ,$19.12 ,$19.12 ,$19.12 ,$143.00 ,$121.55 ,$33.10 ,$114.40 ,$52.91 ,$114.40 ,$13.24 ,$13.24 ,$143.00 ,$77.51 ,$13.24 ,$37.61 , N/A , N/A ,$18.24 ,$17.41 ,$13.90 ,$121.55 ,$29.79 ,$94.09 ,$40.04 ,$128.70 ,$102.96 ,$143.00 ,$19.12 ,$26.48 ,$26.48 ,$13.24 ,$68.64 ,$128.70 ST. JOHN'S HOSPITAL,30200933,86738,HC MYCOPLASMA AB IFA-90,302,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$33.10 ,$27.07 ,$96.48 ,$13.24 ,$49.84 ,$54.80 ,$13.24 ,$54.80 ,$13.24 ,$68.00 ,$3.50 ,$13.24 ,$68.00 ,$25.16 ,$44.97 ,$90.78 ,$33.10 ,$13.24 ,$124.60 ,$13.24 ,$89.00 ,$13.50 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$13.24 ,$89.89 ,$19.12 ,$19.12 ,$19.12 ,$178.00 ,$151.30 ,$33.10 ,$142.40 ,$65.86 ,$142.40 ,$13.24 ,$13.24 ,$178.00 ,$96.48 ,$13.24 ,$46.81 , N/A , N/A ,$18.24 ,$17.41 ,$13.90 ,$151.30 ,$29.79 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$19.12 ,$26.48 ,$26.48 ,$13.24 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$37.58 ,$30.75 ,$33.60 ,$15.03 ,$17.36 ,$21.39 ,$15.03 ,$23.81 ,$15.03 ,$23.68 ,$3.50 ,$15.03 ,$23.68 ,$28.56 ,$50.89 ,$31.62 ,$37.58 ,$15.03 ,$43.40 ,$15.03 ,$31.00 ,$15.33 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$15.03 ,$31.31 ,$21.71 ,$21.71 ,$21.71 ,$62.00 ,$52.70 ,$37.58 ,$49.60 ,$22.94 ,$49.60 ,$15.03 ,$15.03 ,$62.00 ,$33.60 ,$15.03 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$15.78 ,$52.70 ,$33.82 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$21.71 ,$30.06 ,$30.06 ,$15.03 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200936,86750,HC PLASMODIUM MALARIA-90,302,1 ,$137.00 ,$89.05 ,$3.50 ,$137.00 ,$32.98 ,$26.97 ,$74.25 ,$13.19 ,$38.36 ,$47.27 ,$13.19 ,$52.61 ,$13.19 ,$52.33 ,$3.50 ,$13.19 ,$52.33 ,$25.06 ,$44.97 ,$69.87 ,$32.98 ,$13.19 ,$95.90 ,$13.19 ,$68.50 ,$13.45 ,$102.75 ,$69.19 ,$62.34 ,$69.19 ,$13.19 ,$69.19 ,$19.05 ,$19.05 ,$19.05 ,$137.00 ,$116.45 ,$32.98 ,$109.60 ,$50.69 ,$109.60 ,$13.19 ,$13.19 ,$137.00 ,$74.25 ,$13.19 ,$36.03 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$116.45 ,$29.68 ,$90.15 ,$38.36 ,$123.30 ,$98.64 ,$137.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$65.76 ,$123.30 ST. JOHN'S HOSPITAL,30200937,86753,HC PROTOZOA AB-90,302,1 ,$93.00 ,$60.45 ,$3.50 ,$93.00 ,$30.98 ,$25.34 ,$50.41 ,$12.39 ,$26.04 ,$32.09 ,$12.39 ,$35.71 ,$12.39 ,$35.53 ,$3.50 ,$12.39 ,$35.53 ,$23.54 ,$42.63 ,$47.43 ,$30.98 ,$12.39 ,$65.10 ,$12.39 ,$46.50 ,$12.64 ,$69.75 ,$46.97 ,$42.32 ,$46.97 ,$12.39 ,$46.97 ,$17.89 ,$17.89 ,$17.89 ,$93.00 ,$79.05 ,$30.98 ,$74.40 ,$34.41 ,$74.40 ,$12.39 ,$12.39 ,$93.00 ,$50.41 ,$12.39 ,$24.46 , N/A , N/A ,$10.58 ,$10.10 ,$13.01 ,$79.05 ,$27.88 ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$17.89 ,$24.78 ,$24.78 ,$12.39 ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,30200939,86757,HC RICKETTSIA AB-90,302,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$48.38 ,$39.57 ,$43.36 ,$19.35 ,$22.40 ,$27.60 ,$19.35 ,$30.72 ,$19.35 ,$30.56 ,$3.50 ,$19.35 ,$30.56 ,$36.77 ,$65.10 ,$40.80 ,$48.38 ,$19.35 ,$56.00 ,$19.35 ,$40.00 ,$19.74 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$19.35 ,$40.40 ,$27.96 ,$27.96 ,$27.96 ,$80.00 ,$68.00 ,$48.38 ,$64.00 ,$29.60 ,$64.00 ,$19.35 ,$19.35 ,$80.00 ,$43.36 ,$19.35 ,$21.04 , N/A , N/A ,$18.24 ,$17.41 ,$20.32 ,$68.00 ,$43.54 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$27.96 ,$38.70 ,$38.70 ,$19.35 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30200940,86762,HC RUBELLA AB-90,302,1 ,$46.00 ,$29.90 ,$3.50 ,$46.00 ,$35.98 ,$29.44 ,$24.93 ,$14.39 ,$12.88 ,$15.87 ,$14.39 ,$17.66 ,$14.39 ,$17.57 ,$3.50 ,$14.39 ,$17.57 ,$27.34 ,$46.00 ,$23.46 ,$35.98 ,$14.39 ,$32.20 ,$14.39 ,$23.00 ,$14.68 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$14.39 ,$23.23 ,$20.79 ,$20.79 ,$20.79 ,$46.00 ,$39.10 ,$35.98 ,$36.80 ,$17.02 ,$36.80 ,$14.39 ,$14.39 ,$46.00 ,$24.93 ,$14.39 ,$12.10 , N/A , N/A ,$10.58 ,$10.10 ,$15.11 ,$39.10 ,$32.38 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30200941,86765,HC RUBEOLA AB-90,302,1 ,$53.00 ,$34.45 ,$3.50 ,$53.00 ,$32.20 ,$26.34 ,$28.73 ,$12.88 ,$14.84 ,$18.29 ,$12.88 ,$20.35 ,$12.88 ,$20.25 ,$3.50 ,$12.88 ,$20.25 ,$24.47 ,$43.78 ,$27.03 ,$32.20 ,$12.88 ,$37.10 ,$12.88 ,$26.50 ,$13.14 ,$39.75 ,$26.77 ,$24.12 ,$26.77 ,$12.88 ,$26.77 ,$18.60 ,$18.60 ,$18.60 ,$53.00 ,$45.05 ,$32.20 ,$42.40 ,$19.61 ,$42.40 ,$12.88 ,$12.88 ,$53.00 ,$28.73 ,$12.88 ,$13.94 , N/A , N/A ,$10.58 ,$10.10 ,$13.52 ,$45.05 ,$28.98 ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,30200942,86768,HC SALMONELLA-90,302,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$32.98 ,$26.97 ,$48.78 ,$13.19 ,$25.20 ,$31.05 ,$13.19 ,$34.56 ,$13.19 ,$34.38 ,$3.50 ,$13.19 ,$34.38 ,$25.06 ,$44.97 ,$45.90 ,$32.98 ,$13.19 ,$63.00 ,$13.19 ,$45.00 ,$13.45 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$13.19 ,$45.45 ,$19.05 ,$19.05 ,$19.05 ,$90.00 ,$76.50 ,$32.98 ,$72.00 ,$33.30 ,$72.00 ,$13.19 ,$13.19 ,$90.00 ,$48.78 ,$13.19 ,$23.67 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$76.50 ,$29.68 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30200943,86774,HC TETANUS AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$37.00 ,$30.26 ,$33.60 ,$14.80 ,$17.36 ,$21.39 ,$14.80 ,$23.81 ,$14.80 ,$23.68 ,$3.50 ,$14.80 ,$23.68 ,$28.12 ,$49.74 ,$31.62 ,$37.00 ,$14.80 ,$43.40 ,$14.80 ,$31.00 ,$15.10 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$14.80 ,$31.31 ,$21.37 ,$21.37 ,$21.37 ,$62.00 ,$52.70 ,$37.00 ,$49.60 ,$22.94 ,$49.60 ,$14.80 ,$14.80 ,$62.00 ,$33.60 ,$14.80 ,$16.31 , N/A , N/A ,$18.24 ,$17.41 ,$15.54 ,$52.70 ,$33.30 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$21.37 ,$29.60 ,$29.60 ,$14.80 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$63.00 ,$40.95 ,$3.50 ,$63.00 ,$35.98 ,$29.44 ,$34.15 ,$14.39 ,$17.64 ,$21.74 ,$14.39 ,$24.19 ,$14.39 ,$24.07 ,$3.50 ,$14.39 ,$24.07 ,$27.34 ,$48.55 ,$32.13 ,$35.98 ,$14.39 ,$44.10 ,$14.39 ,$31.50 ,$14.68 ,$47.25 ,$31.82 ,$28.67 ,$31.82 ,$14.39 ,$31.82 ,$20.79 ,$20.79 ,$20.79 ,$63.00 ,$53.55 ,$35.98 ,$50.40 ,$23.31 ,$50.40 ,$14.39 ,$14.39 ,$63.00 ,$34.15 ,$14.39 ,$16.57 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$53.55 ,$32.38 ,$41.45 ,$17.64 ,$56.70 ,$45.36 ,$63.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$30.24 ,$56.70 ST. JOHN'S HOSPITAL,30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$63.00 ,$40.95 ,$3.50 ,$63.00 ,$36.03 ,$29.45 ,$34.15 ,$14.41 ,$17.64 ,$21.74 ,$14.41 ,$24.19 ,$14.41 ,$24.07 ,$3.50 ,$14.41 ,$24.07 ,$27.38 ,$48.55 ,$32.13 ,$36.03 ,$14.41 ,$44.10 ,$14.41 ,$31.50 ,$14.70 ,$47.25 ,$31.82 ,$28.67 ,$31.82 ,$14.41 ,$31.82 ,$20.81 ,$20.81 ,$20.81 ,$63.00 ,$53.55 ,$36.03 ,$50.40 ,$23.31 ,$50.40 ,$14.41 ,$14.41 ,$63.00 ,$34.15 ,$14.41 ,$16.57 , N/A , N/A ,$18.24 ,$17.41 ,$15.13 ,$53.55 ,$32.42 ,$41.45 ,$17.64 ,$56.70 ,$45.36 ,$63.00 ,$20.81 ,$28.82 ,$28.82 ,$14.41 ,$30.24 ,$56.70 ST. JOHN'S HOSPITAL,30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$131.00 ,$85.15 ,$3.50 ,$131.00 ,$33.10 ,$27.07 ,$71.00 ,$13.24 ,$36.68 ,$45.20 ,$13.24 ,$50.30 ,$13.24 ,$50.04 ,$3.50 ,$13.24 ,$50.04 ,$25.16 ,$44.97 ,$66.81 ,$33.10 ,$13.24 ,$91.70 ,$13.24 ,$65.50 ,$13.50 ,$98.25 ,$66.16 ,$59.61 ,$66.16 ,$13.24 ,$66.16 ,$19.12 ,$19.12 ,$19.12 ,$131.00 ,$111.35 ,$33.10 ,$104.80 ,$48.47 ,$104.80 ,$13.24 ,$13.24 ,$131.00 ,$71.00 ,$13.24 ,$34.45 , N/A , N/A ,$18.24 ,$17.41 ,$13.90 ,$111.35 ,$29.79 ,$86.20 ,$36.68 ,$117.90 ,$94.32 ,$131.00 ,$19.12 ,$26.48 ,$26.48 ,$13.24 ,$62.88 ,$117.90 ST. JOHN'S HOSPITAL,30200947,86784,HC TRICHANELLA AB-90,302,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$31.40 ,$25.69 ,$66.12 ,$12.56 ,$34.16 ,$42.09 ,$12.56 ,$46.85 ,$12.56 ,$46.60 ,$3.50 ,$12.56 ,$46.60 ,$23.86 ,$42.63 ,$62.22 ,$31.40 ,$12.56 ,$85.40 ,$12.56 ,$61.00 ,$12.81 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$12.56 ,$61.61 ,$18.15 ,$18.15 ,$18.15 ,$122.00 ,$103.70 ,$31.40 ,$97.60 ,$45.14 ,$97.60 ,$12.56 ,$12.56 ,$122.00 ,$66.12 ,$12.56 ,$32.09 , N/A , N/A ,$18.24 ,$17.41 ,$13.19 ,$103.70 ,$28.26 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$18.15 ,$25.12 ,$25.12 ,$12.56 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$60.00 ,$39.00 ,$3.50 ,$60.00 ,$32.20 ,$26.34 ,$32.52 ,$12.88 ,$16.80 ,$20.70 ,$12.88 ,$23.04 ,$12.88 ,$22.92 ,$3.50 ,$12.88 ,$22.92 ,$24.47 ,$43.78 ,$30.60 ,$32.20 ,$12.88 ,$42.00 ,$12.88 ,$30.00 ,$13.14 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$12.88 ,$30.30 ,$18.60 ,$18.60 ,$18.60 ,$60.00 ,$51.00 ,$32.20 ,$48.00 ,$22.20 ,$48.00 ,$12.88 ,$12.88 ,$60.00 ,$32.52 ,$12.88 ,$15.78 , N/A , N/A ,$10.58 ,$10.10 ,$13.52 ,$51.00 ,$28.98 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$42.13 ,$34.44 ,$37.40 ,$16.85 ,$19.32 ,$23.81 ,$16.85 ,$26.50 ,$16.85 ,$26.36 ,$3.50 ,$16.85 ,$26.36 ,$32.02 ,$56.80 ,$35.19 ,$42.13 ,$16.85 ,$48.30 ,$16.85 ,$34.50 ,$17.19 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$16.85 ,$34.85 ,$24.34 ,$24.34 ,$24.34 ,$69.00 ,$58.65 ,$42.13 ,$55.20 ,$25.53 ,$55.20 ,$16.85 ,$16.85 ,$69.00 ,$37.40 ,$16.85 ,$18.15 , N/A , N/A ,$18.24 ,$17.41 ,$17.69 ,$58.65 ,$37.91 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$24.34 ,$33.70 ,$33.70 ,$16.85 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30200950,86789,HC WEST NILE AB-90,302,1 ,$60.00 ,$39.00 ,$3.50 ,$60.00 ,$35.98 ,$29.44 ,$32.52 ,$14.39 ,$16.80 ,$20.70 ,$14.39 ,$23.04 ,$14.39 ,$22.92 ,$3.50 ,$14.39 ,$22.92 ,$27.34 ,$48.55 ,$30.60 ,$35.98 ,$14.39 ,$42.00 ,$14.39 ,$30.00 ,$14.68 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$14.39 ,$30.30 ,$20.79 ,$20.79 ,$20.79 ,$60.00 ,$51.00 ,$35.98 ,$48.00 ,$22.20 ,$48.00 ,$14.39 ,$14.39 ,$60.00 ,$32.52 ,$14.39 ,$15.78 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$51.00 ,$32.38 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$68.00 ,$44.20 ,$3.50 ,$68.00 ,$32.20 ,$26.34 ,$36.86 ,$12.88 ,$19.04 ,$23.46 ,$12.88 ,$26.11 ,$12.88 ,$25.98 ,$3.50 ,$12.88 ,$25.98 ,$24.47 ,$43.78 ,$34.68 ,$32.20 ,$12.88 ,$47.60 ,$12.88 ,$34.00 ,$13.14 ,$51.00 ,$34.34 ,$30.94 ,$34.34 ,$12.88 ,$34.34 ,$18.60 ,$18.60 ,$18.60 ,$68.00 ,$57.80 ,$32.20 ,$54.40 ,$25.16 ,$54.40 ,$12.88 ,$12.88 ,$68.00 ,$36.86 ,$12.88 ,$17.88 , N/A , N/A ,$10.58 ,$10.10 ,$13.52 ,$57.80 ,$28.98 ,$44.74 ,$19.04 ,$61.20 ,$48.96 ,$68.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$32.64 ,$61.20 ST. JOHN'S HOSPITAL,30200952,86793,HC YERSINA-90,302,1 ,$231.00 ,$150.15 ,$3.50 ,$231.00 ,$32.98 ,$26.97 ,$125.20 ,$13.19 ,$64.68 ,$54.59 ,$13.19 ,$54.59 ,$13.19 ,$88.24 ,$3.50 ,$13.19 ,$88.24 ,$25.06 ,$44.97 ,$117.81 ,$32.98 ,$13.19 ,$161.70 ,$13.19 ,$115.50 ,$13.45 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$13.19 ,$116.66 ,$19.05 ,$19.05 ,$19.05 ,$231.00 ,$196.35 ,$32.98 ,$184.80 ,$85.47 ,$184.80 ,$13.19 ,$13.19 ,$231.00 ,$125.20 ,$13.19 ,$60.75 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$196.35 ,$29.68 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$66.00 ,$42.90 ,$3.50 ,$66.00 ,$39.78 ,$32.52 ,$35.77 ,$15.91 ,$18.48 ,$22.77 ,$15.91 ,$25.34 ,$15.91 ,$25.21 ,$3.50 ,$15.91 ,$25.21 ,$30.23 ,$54.46 ,$33.66 ,$39.78 ,$15.91 ,$46.20 ,$15.91 ,$33.00 ,$16.23 ,$49.50 ,$33.33 ,$30.03 ,$33.33 ,$15.91 ,$33.33 ,$22.97 ,$22.97 ,$22.97 ,$66.00 ,$56.10 ,$39.78 ,$52.80 ,$24.42 ,$52.80 ,$15.91 ,$15.91 ,$66.00 ,$35.77 ,$15.91 ,$17.36 , N/A , N/A ,$27.64 ,$26.39 ,$16.71 ,$56.10 ,$35.80 ,$43.43 ,$18.48 ,$59.40 ,$47.52 ,$66.00 ,$22.97 ,$31.82 ,$31.82 ,$15.91 ,$31.68 ,$59.40 ST. JOHN'S HOSPITAL,30200955,86803,HC HEP C AB,302,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$35.68 ,$29.19 ,$105.69 ,$14.27 ,$54.60 ,$67.28 ,$14.27 ,$74.88 ,$14.27 ,$74.49 ,$3.50 ,$14.27 ,$74.49 ,$27.11 ,$48.55 ,$99.45 ,$35.68 ,$14.27 ,$136.50 ,$14.27 ,$97.50 ,$14.56 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$14.27 ,$98.48 ,$20.61 ,$20.61 ,$20.61 ,$195.00 ,$165.75 ,$35.68 ,$156.00 ,$72.15 ,$156.00 ,$14.27 ,$14.27 ,$195.00 ,$105.69 ,$14.27 ,$51.29 , N/A , N/A ,$18.24 ,$17.41 ,$14.98 ,$165.75 ,$32.11 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$20.61 ,$28.54 ,$28.54 ,$14.27 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30200957,86805,HC LYMPHOCYTOTOXICTY W/TITRATN-90,302,1 ,$313.00 ,$203.45 ,$3.50 ,$473.78 ,$473.78 ,$106.93 ,$169.65 ,$189.51 ,$87.64 ,$107.99 ,$189.51 ,$120.19 ,$189.51 ,$119.57 ,$3.50 ,$189.51 ,$119.57 ,$313.00 ,$313.00 ,$159.63 ,$473.78 ,$189.51 ,$219.10 ,$189.51 ,$156.50 ,$193.30 ,$234.75 ,$158.07 ,$142.42 ,$158.07 ,$189.51 ,$158.07 ,$246.36 ,$246.36 ,$246.36 ,$313.00 ,$266.05 ,$313.00 ,$250.40 ,$115.81 ,$250.40 ,$189.51 ,$189.51 ,$313.00 ,$169.65 ,$189.51 ,$82.32 , N/A , N/A ,$42.70 ,$40.76 ,$198.99 ,$266.05 ,$426.40 ,$205.95 ,$87.64 ,$281.70 ,$225.36 ,$313.00 ,$246.36 ,$313.00 ,$313.00 ,$189.51 ,$150.24 ,$281.70 ST. JOHN'S HOSPITAL,30200959,86807,HC CYTOTOXIC PRA STND-90,302,1 ,$313.00 ,$203.45 ,$3.50 ,$313.00 ,$196.63 ,$80.92 ,$169.65 ,$78.65 ,$87.64 ,$107.99 ,$78.65 ,$120.19 ,$78.65 ,$119.57 ,$3.50 ,$78.65 ,$119.57 ,$149.44 ,$266.35 ,$159.63 ,$196.63 ,$78.65 ,$219.10 ,$78.65 ,$156.50 ,$80.22 ,$234.75 ,$158.07 ,$142.42 ,$158.07 ,$78.65 ,$158.07 ,$102.25 ,$102.25 ,$102.25 ,$313.00 ,$266.05 ,$196.63 ,$250.40 ,$115.81 ,$250.40 ,$78.65 ,$78.65 ,$313.00 ,$169.65 ,$78.65 ,$82.32 , N/A , N/A ,$42.70 ,$40.76 ,$82.58 ,$266.05 ,$176.96 ,$205.95 ,$87.64 ,$281.70 ,$225.36 ,$313.00 ,$102.25 ,$157.30 ,$157.30 ,$78.65 ,$150.24 ,$281.70 ST. JOHN'S HOSPITAL,30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$64.53 ,$52.78 ,$57.45 ,$25.81 ,$29.68 ,$36.57 ,$25.81 ,$40.70 ,$25.81 ,$40.49 ,$3.50 ,$25.81 ,$40.49 ,$49.04 ,$87.61 ,$54.06 ,$64.53 ,$25.81 ,$74.20 ,$25.81 ,$53.00 ,$26.33 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$25.81 ,$53.53 ,$37.27 ,$37.27 ,$37.27 ,$106.00 ,$90.10 ,$64.53 ,$84.80 ,$39.22 ,$84.80 ,$25.81 ,$25.81 ,$106.00 ,$57.45 ,$25.81 ,$27.88 , N/A , N/A ,$42.70 ,$40.76 ,$27.10 ,$90.10 ,$58.07 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$37.27 ,$51.62 ,$51.62 ,$25.81 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30200961,86813,HC HLA TYPING MULTI A/B/C,302,1 ,$375.00 ,$243.75 ,$3.50 ,$375.00 ,$145.00 ,$114.49 ,$203.25 ,$58.00 ,$105.00 ,$129.38 ,$58.00 ,$144.00 ,$58.00 ,$143.25 ,$3.50 ,$58.00 ,$143.25 ,$110.20 ,$196.53 ,$191.25 ,$145.00 ,$58.00 ,$262.50 ,$58.00 ,$187.50 ,$59.16 ,$281.25 ,$189.38 ,$170.63 ,$189.38 ,$58.00 ,$189.38 ,$83.77 ,$83.77 ,$83.77 ,$375.00 ,$318.75 ,$145.00 ,$300.00 ,$138.75 ,$300.00 ,$58.00 ,$58.00 ,$375.00 ,$203.25 ,$58.00 ,$98.63 , N/A , N/A ,$42.70 ,$40.76 ,$60.90 ,$318.75 ,$130.50 ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$83.77 ,$116.00 ,$116.00 ,$58.00 ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,30200964,86850,HC AB SCREEN-90,302,1 ,$120.00 ,$78.00 ,$6.94 ,$120.00 ,$119.43 ,$23.00 ,$65.04 ,$47.77 ,$33.60 ,$32.77 ,$47.77 ,$32.77 ,$47.77 ,$45.84 ,$6.94 ,$47.77 ,$45.84 ,$90.76 ,$33.15 ,$61.20 ,$119.41 ,$47.77 ,$84.00 ,$47.77 ,$60.00 ,$48.72 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$47.77 ,$60.60 ,$12.70 ,$12.70 ,$12.70 ,$120.00 ,$102.00 ,$119.41 ,$96.00 ,$44.40 ,$96.00 ,$47.77 ,$47.77 ,$120.00 ,$65.04 ,$47.77 ,$31.56 , N/A , N/A ,$10.58 ,$10.10 ,$50.16 ,$102.00 ,$107.47 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$12.70 ,$19.54 ,$19.54 ,$47.77 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200965,86850,HC AB SCREEN W/INCUBATION-90,302,1 ,$90.00 ,$58.50 ,$6.94 ,$119.43 ,$119.43 ,$23.00 ,$48.78 ,$47.77 ,$25.20 ,$31.05 ,$47.77 ,$32.77 ,$47.77 ,$34.38 ,$6.94 ,$47.77 ,$34.38 ,$90.00 ,$33.15 ,$45.90 ,$119.41 ,$47.77 ,$63.00 ,$47.77 ,$45.00 ,$48.72 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$47.77 ,$45.45 ,$12.70 ,$12.70 ,$12.70 ,$90.00 ,$76.50 ,$90.00 ,$72.00 ,$33.30 ,$72.00 ,$47.77 ,$47.77 ,$90.00 ,$48.78 ,$47.77 ,$23.67 , N/A , N/A ,$10.58 ,$10.10 ,$50.16 ,$76.50 ,$107.47 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$12.70 ,$19.54 ,$19.54 ,$47.77 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30200967,86850,HC AB SCR TUBE METHOD,302,1 ,$45.00 ,$29.25 ,$6.94 ,$119.43 ,$119.43 ,$23.00 ,$24.39 ,$47.77 ,$12.60 ,$15.53 ,$47.77 ,$17.28 ,$45.00 ,$17.19 ,$6.94 ,$45.00 ,$17.19 ,$45.00 ,$33.15 ,$22.95 ,$119.41 ,$47.77 ,$31.50 ,$47.77 ,$22.50 ,$45.00 ,$33.75 ,$22.73 ,$20.48 ,$22.73 ,$47.77 ,$22.73 ,$12.70 ,$12.70 ,$12.70 ,$45.00 ,$38.25 ,$45.00 ,$36.00 ,$16.65 ,$36.00 ,$47.77 ,$47.77 ,$45.00 ,$24.39 ,$47.77 ,$11.84 , N/A , N/A ,$10.58 ,$10.10 ,$50.16 ,$38.25 ,$107.47 ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$12.70 ,$19.54 ,$19.54 ,$47.77 ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,30200968,86850,HC AB SCR GEL METHOD,302,1 ,$107.00 ,$69.55 ,$6.94 ,$119.43 ,$119.43 ,$23.00 ,$57.99 ,$47.77 ,$29.96 ,$32.77 ,$47.77 ,$32.77 ,$47.77 ,$40.87 ,$6.94 ,$47.77 ,$40.87 ,$90.76 ,$33.15 ,$54.57 ,$119.41 ,$47.77 ,$74.90 ,$47.77 ,$53.50 ,$48.72 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$47.77 ,$54.04 ,$12.70 ,$12.70 ,$12.70 ,$107.00 ,$90.95 ,$107.00 ,$85.60 ,$39.59 ,$85.60 ,$47.77 ,$47.77 ,$107.00 ,$57.99 ,$47.77 ,$28.14 , N/A , N/A ,$10.58 ,$10.10 ,$50.16 ,$90.95 ,$107.47 ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$12.70 ,$19.54 ,$19.54 ,$47.77 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,30200969,86850,HC AB SCR GEL METHOD NEONATE,302,1 ,$70.00 ,$45.50 ,$6.94 ,$119.43 ,$119.43 ,$23.00 ,$37.94 ,$47.77 ,$19.60 ,$24.15 ,$47.77 ,$26.88 ,$47.77 ,$26.74 ,$6.94 ,$47.77 ,$26.74 ,$70.00 ,$33.15 ,$35.70 ,$119.41 ,$47.77 ,$49.00 ,$47.77 ,$35.00 ,$48.72 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$47.77 ,$35.35 ,$12.70 ,$12.70 ,$12.70 ,$70.00 ,$59.50 ,$70.00 ,$56.00 ,$25.90 ,$56.00 ,$47.77 ,$47.77 ,$70.00 ,$37.94 ,$47.77 ,$18.41 , N/A , N/A ,$10.58 ,$10.10 ,$50.16 ,$59.50 ,$107.47 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$12.70 ,$19.54 ,$19.54 ,$47.77 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30200971,86860,HC ELUTION-90,302,1 ,$271.00 ,$176.15 ,$10.10 ,$358.41 ,$358.40 ,$29.44 ,$146.88 ,$143.36 ,$75.88 ,$93.50 ,$143.36 ,$104.06 ,$143.36 ,$103.52 ,$47.08 ,$143.36 ,$103.52 ,$271.00 ,$111.27 ,$138.21 ,$358.41 ,$143.36 ,$189.70 ,$143.36 ,$135.50 ,$146.23 ,$203.25 ,$136.86 ,$123.31 ,$136.86 ,$143.36 ,$136.86 ,$189.70 ,$189.70 ,$189.70 ,$271.00 ,$230.35 ,$271.00 ,$216.80 ,$100.27 ,$216.80 ,$143.36 ,$143.36 ,$271.00 ,$146.88 ,$143.36 ,$71.27 , N/A , N/A ,$10.58 ,$10.10 ,$150.53 ,$230.35 ,$322.57 ,$178.32 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$189.70 ,$271.00 ,$271.00 ,$143.36 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,30200972,86870,HC RBC AB ID PANEL-90,302,1 ,$211.00 ,$137.15 ,$10.10 ,$699.90 ,$699.90 ,$40.48 ,$114.36 ,$279.96 ,$59.08 ,$72.80 ,$279.96 ,$81.02 ,$211.00 ,$80.60 ,$64.67 ,$211.00 ,$80.60 ,$211.00 ,$151.52 ,$107.61 ,$699.90 ,$279.96 ,$147.70 ,$279.96 ,$105.50 ,$211.00 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$279.96 ,$106.56 ,$147.70 ,$147.70 ,$147.70 ,$211.00 ,$179.35 ,$211.00 ,$168.80 ,$78.07 ,$168.80 ,$279.96 ,$279.96 ,$211.00 ,$114.36 ,$279.96 ,$55.49 , N/A , N/A ,$10.58 ,$10.10 ,$293.96 ,$179.35 ,$629.91 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$147.70 ,$211.00 ,$211.00 ,$279.96 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30200973,86870,HC RBC AB ID PANEL SERUM-90,302,1 ,$60.00 ,$39.00 ,$10.10 ,$699.90 ,$699.90 ,$40.48 ,$32.52 ,$279.96 ,$16.80 ,$20.70 ,$279.96 ,$23.04 ,$60.00 ,$22.92 ,$60.00 ,$60.00 ,$22.92 ,$60.00 ,$60.00 ,$30.60 ,$699.90 ,$279.96 ,$42.00 ,$279.96 ,$30.00 ,$60.00 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$279.96 ,$30.30 ,$42.00 ,$42.00 ,$42.00 ,$60.00 ,$51.00 ,$60.00 ,$48.00 ,$22.20 ,$48.00 ,$279.96 ,$279.96 ,$60.00 ,$32.52 ,$279.96 ,$15.78 , N/A , N/A ,$10.58 ,$10.10 ,$293.96 ,$51.00 ,$629.91 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$42.00 ,$60.00 ,$60.00 ,$279.96 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30200975,86880,HC COOMBS DIRECT-90,302,1 ,$90.00 ,$58.50 ,$3.50 ,$133.78 ,$133.78 ,$10.99 ,$48.78 ,$53.51 ,$25.20 ,$22.29 ,$53.51 ,$22.29 ,$53.51 ,$34.38 ,$3.50 ,$53.51 ,$34.38 ,$90.00 ,$17.74 ,$45.90 ,$133.77 ,$53.51 ,$63.00 ,$53.51 ,$45.00 ,$54.58 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$53.51 ,$45.45 ,$7.79 ,$7.79 ,$7.79 ,$90.00 ,$76.50 ,$90.00 ,$72.00 ,$33.30 ,$72.00 ,$53.51 ,$53.51 ,$90.00 ,$48.78 ,$53.51 ,$23.67 , N/A , N/A ,$10.58 ,$10.10 ,$56.19 ,$76.50 ,$120.39 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$7.79 ,$10.78 ,$10.78 ,$53.51 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30200977,86880,HC COOMBS DIRECT FETAL,302,1 ,$45.00 ,$29.25 ,$3.50 ,$133.78 ,$133.78 ,$10.99 ,$24.39 ,$53.51 ,$12.60 ,$15.53 ,$53.51 ,$17.28 ,$45.00 ,$17.19 ,$3.50 ,$45.00 ,$17.19 ,$45.00 ,$17.74 ,$22.95 ,$133.77 ,$53.51 ,$31.50 ,$53.51 ,$22.50 ,$45.00 ,$33.75 ,$22.73 ,$20.48 ,$22.73 ,$53.51 ,$22.73 ,$7.79 ,$7.79 ,$7.79 ,$45.00 ,$38.25 ,$45.00 ,$36.00 ,$16.65 ,$36.00 ,$53.51 ,$53.51 ,$45.00 ,$24.39 ,$53.51 ,$11.84 , N/A , N/A ,$10.58 ,$10.10 ,$56.19 ,$38.25 ,$120.39 ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$7.79 ,$10.78 ,$10.78 ,$53.51 ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,30200978,86886,HC INDIRECT TITER-90,302,1 ,$329.00 ,$213.85 ,$3.50 ,$358.41 ,$358.40 ,$10.57 ,$178.32 ,$143.36 ,$92.12 ,$21.41 ,$143.36 ,$21.41 ,$143.36 ,$125.68 ,$3.50 ,$143.36 ,$125.68 ,$272.39 ,$17.74 ,$167.79 ,$358.41 ,$143.36 ,$230.30 ,$143.36 ,$164.50 ,$146.23 ,$246.75 ,$166.15 ,$149.70 ,$166.15 ,$143.36 ,$166.15 ,$7.48 ,$7.48 ,$7.48 ,$329.00 ,$279.65 ,$329.00 ,$263.20 ,$121.73 ,$263.20 ,$143.36 ,$143.36 ,$329.00 ,$178.32 ,$143.36 ,$86.53 , N/A , N/A ,$10.58 ,$10.10 ,$150.53 ,$279.65 ,$322.57 ,$216.48 ,$92.12 ,$296.10 ,$236.88 ,$329.00 ,$7.48 ,$10.36 ,$10.36 ,$143.36 ,$157.92 ,$296.10 ST. JOHN'S HOSPITAL,30200979,86886,HC INDIRECT TITER,302,1 ,$159.00 ,$103.35 ,$3.50 ,$358.41 ,$358.40 ,$10.57 ,$86.18 ,$143.36 ,$44.52 ,$21.41 ,$143.36 ,$21.41 ,$143.36 ,$60.74 ,$3.50 ,$143.36 ,$60.74 ,$159.00 ,$17.74 ,$81.09 ,$358.41 ,$143.36 ,$111.30 ,$143.36 ,$79.50 ,$146.23 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$143.36 ,$80.30 ,$7.48 ,$7.48 ,$7.48 ,$159.00 ,$135.15 ,$159.00 ,$127.20 ,$58.83 ,$127.20 ,$143.36 ,$143.36 ,$159.00 ,$86.18 ,$143.36 ,$41.82 , N/A , N/A ,$10.58 ,$10.10 ,$150.53 ,$135.15 ,$322.57 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$7.48 ,$10.36 ,$10.36 ,$143.36 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,30200980,86900,HC BLOOD TYPING ABO-90,302,1 ,$46.00 ,$29.90 ,$3.50 ,$270.98 ,$270.98 ,$6.11 ,$24.93 ,$108.39 ,$12.88 ,$12.38 ,$108.39 ,$12.38 ,$46.00 ,$17.57 ,$3.50 ,$46.00 ,$17.57 ,$46.00 ,$10.64 ,$23.46 ,$270.97 ,$108.39 ,$32.20 ,$108.39 ,$23.00 ,$46.00 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$108.39 ,$23.23 ,$4.32 ,$4.32 ,$4.32 ,$46.00 ,$39.10 ,$46.00 ,$36.80 ,$17.02 ,$36.80 ,$108.39 ,$108.39 ,$46.00 ,$24.93 ,$108.39 ,$12.10 , N/A , N/A ,$6.56 ,$6.26 ,$113.81 ,$39.10 ,$243.87 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$4.32 ,$5.98 ,$5.98 ,$108.39 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30200982,86901,HC BLOOD TYPING RH-90,302,1 ,$46.00 ,$29.90 ,$3.50 ,$81.35 ,$81.35 ,$6.11 ,$24.93 ,$32.54 ,$12.88 ,$12.38 ,$32.54 ,$12.38 ,$32.54 ,$17.57 ,$3.50 ,$32.54 ,$17.57 ,$46.00 ,$10.64 ,$23.46 ,$81.34 ,$32.54 ,$32.20 ,$32.54 ,$23.00 ,$33.19 ,$34.50 ,$23.23 ,$20.93 ,$23.23 ,$32.54 ,$23.23 ,$4.32 ,$4.32 ,$4.32 ,$46.00 ,$39.10 ,$46.00 ,$36.80 ,$17.02 ,$36.80 ,$32.54 ,$32.54 ,$46.00 ,$24.93 ,$32.54 ,$12.10 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$39.10 ,$73.21 ,$30.27 ,$12.88 ,$41.40 ,$33.12 ,$46.00 ,$4.32 ,$5.98 ,$5.98 ,$32.54 ,$22.08 ,$41.40 ST. JOHN'S HOSPITAL,30200984,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$120.00 ,$78.00 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$65.04 ,$279.96 ,$33.60 ,$21.31 ,$279.96 ,$21.31 ,$120.00 ,$45.84 ,$3.50 ,$120.00 ,$45.84 ,$120.00 ,$21.32 ,$61.20 ,$699.90 ,$279.96 ,$84.00 ,$279.96 ,$60.00 ,$120.00 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$279.96 ,$60.60 ,$8.26 ,$8.26 ,$8.26 ,$120.00 ,$102.00 ,$120.00 ,$96.00 ,$44.40 ,$96.00 ,$279.96 ,$279.96 ,$120.00 ,$65.04 ,$279.96 ,$31.56 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$102.00 ,$629.91 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200985,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$211.00 ,$137.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$114.36 ,$279.96 ,$59.08 ,$21.31 ,$279.96 ,$21.31 ,$211.00 ,$80.60 ,$3.50 ,$211.00 ,$80.60 ,$211.00 ,$21.32 ,$107.61 ,$699.90 ,$279.96 ,$147.70 ,$279.96 ,$105.50 ,$211.00 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$279.96 ,$106.56 ,$8.26 ,$8.26 ,$8.26 ,$211.00 ,$179.35 ,$211.00 ,$168.80 ,$78.07 ,$168.80 ,$279.96 ,$279.96 ,$211.00 ,$114.36 ,$279.96 ,$55.49 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$179.35 ,$629.91 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30200986,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$271.00 ,$176.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$146.88 ,$279.96 ,$75.88 ,$21.31 ,$279.96 ,$21.31 ,$271.00 ,$103.52 ,$3.50 ,$271.00 ,$103.52 ,$271.00 ,$21.32 ,$138.21 ,$699.90 ,$279.96 ,$189.70 ,$279.96 ,$135.50 ,$271.00 ,$203.25 ,$136.86 ,$123.31 ,$136.86 ,$279.96 ,$136.86 ,$8.26 ,$8.26 ,$8.26 ,$271.00 ,$230.35 ,$271.00 ,$216.80 ,$100.27 ,$216.80 ,$279.96 ,$279.96 ,$271.00 ,$146.88 ,$279.96 ,$71.27 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$230.35 ,$629.91 ,$178.32 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,30200987,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$331.00 ,$215.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$179.40 ,$279.96 ,$92.68 ,$21.31 ,$279.96 ,$21.31 ,$279.96 ,$126.44 ,$3.50 ,$279.96 ,$126.44 ,$331.00 ,$21.32 ,$168.81 ,$699.90 ,$279.96 ,$231.70 ,$279.96 ,$165.50 ,$285.56 ,$248.25 ,$167.16 ,$150.61 ,$167.16 ,$279.96 ,$167.16 ,$8.26 ,$8.26 ,$8.26 ,$331.00 ,$281.35 ,$331.00 ,$264.80 ,$122.47 ,$264.80 ,$279.96 ,$279.96 ,$331.00 ,$179.40 ,$279.96 ,$87.05 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$281.35 ,$629.91 ,$217.80 ,$92.68 ,$297.90 ,$238.32 ,$331.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$158.88 ,$297.90 ST. JOHN'S HOSPITAL,30200988,86902,HC RBC AG SCR RGT SERUM ANTISERA-90,302,1 ,$451.00 ,$293.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$244.44 ,$279.96 ,$126.28 ,$21.31 ,$279.96 ,$21.31 ,$279.96 ,$172.28 ,$3.50 ,$279.96 ,$172.28 ,$451.00 ,$21.32 ,$230.01 ,$699.90 ,$279.96 ,$315.70 ,$279.96 ,$225.50 ,$285.56 ,$338.25 ,$227.76 ,$205.21 ,$227.76 ,$279.96 ,$227.76 ,$8.26 ,$8.26 ,$8.26 ,$451.00 ,$383.35 ,$451.00 ,$360.80 ,$166.87 ,$360.80 ,$279.96 ,$279.96 ,$451.00 ,$244.44 ,$279.96 ,$118.61 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$383.35 ,$629.91 ,$296.76 ,$126.28 ,$405.90 ,$324.72 ,$451.00 ,$8.26 ,$12.70 ,$12.70 ,$279.96 ,$216.48 ,$405.90 ST. JOHN'S HOSPITAL,30200991,86904,HC RBC AG SCR PAT SERUM,302,1 ,$78.00 ,$50.70 ,$3.50 ,$81.35 ,$81.35 ,$19.44 ,$42.28 ,$32.54 ,$21.84 ,$26.91 ,$32.54 ,$29.95 ,$32.54 ,$29.80 ,$3.50 ,$32.54 ,$29.80 ,$61.82 ,$55.65 ,$39.78 ,$81.34 ,$32.54 ,$54.60 ,$32.54 ,$39.00 ,$33.19 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$32.54 ,$39.39 ,$21.24 ,$21.24 ,$21.24 ,$78.00 ,$66.30 ,$78.00 ,$62.40 ,$28.86 ,$62.40 ,$32.54 ,$32.54 ,$78.00 ,$42.28 ,$32.54 ,$20.51 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$66.30 ,$73.21 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$21.24 ,$32.68 ,$32.68 ,$32.54 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30200992,86905,HC RBC AG TYPING NON ABO/RH T1-90,302,1 ,$120.00 ,$78.00 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$65.04 ,$279.96 ,$33.60 ,$15.84 ,$279.96 ,$15.84 ,$120.00 ,$45.84 ,$3.50 ,$120.00 ,$45.84 ,$120.00 ,$13.02 ,$61.20 ,$699.90 ,$279.96 ,$84.00 ,$279.96 ,$60.00 ,$120.00 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$279.96 ,$60.60 ,$5.53 ,$5.53 ,$5.53 ,$120.00 ,$102.00 ,$120.00 ,$96.00 ,$44.40 ,$96.00 ,$279.96 ,$279.96 ,$120.00 ,$65.04 ,$279.96 ,$31.56 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$102.00 ,$629.91 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30200993,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$211.00 ,$137.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$114.36 ,$279.96 ,$59.08 ,$15.84 ,$279.96 ,$15.84 ,$211.00 ,$80.60 ,$3.50 ,$211.00 ,$80.60 ,$211.00 ,$13.02 ,$107.61 ,$699.90 ,$279.96 ,$147.70 ,$279.96 ,$105.50 ,$211.00 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$279.96 ,$106.56 ,$5.53 ,$5.53 ,$5.53 ,$211.00 ,$179.35 ,$211.00 ,$168.80 ,$78.07 ,$168.80 ,$279.96 ,$279.96 ,$211.00 ,$114.36 ,$279.96 ,$55.49 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$179.35 ,$629.91 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,30200994,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$271.00 ,$176.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$146.88 ,$279.96 ,$75.88 ,$15.84 ,$279.96 ,$15.84 ,$271.00 ,$103.52 ,$3.50 ,$271.00 ,$103.52 ,$271.00 ,$13.02 ,$138.21 ,$699.90 ,$279.96 ,$189.70 ,$279.96 ,$135.50 ,$271.00 ,$203.25 ,$136.86 ,$123.31 ,$136.86 ,$279.96 ,$136.86 ,$5.53 ,$5.53 ,$5.53 ,$271.00 ,$230.35 ,$271.00 ,$216.80 ,$100.27 ,$216.80 ,$279.96 ,$279.96 ,$271.00 ,$146.88 ,$279.96 ,$71.27 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$230.35 ,$629.91 ,$178.32 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,30200995,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$331.00 ,$215.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$179.40 ,$279.96 ,$92.68 ,$15.84 ,$279.96 ,$15.84 ,$279.96 ,$126.44 ,$3.50 ,$279.96 ,$126.44 ,$331.00 ,$13.02 ,$168.81 ,$699.90 ,$279.96 ,$231.70 ,$279.96 ,$165.50 ,$285.56 ,$248.25 ,$167.16 ,$150.61 ,$167.16 ,$279.96 ,$167.16 ,$5.53 ,$5.53 ,$5.53 ,$331.00 ,$281.35 ,$331.00 ,$264.80 ,$122.47 ,$264.80 ,$279.96 ,$279.96 ,$331.00 ,$179.40 ,$279.96 ,$87.05 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$281.35 ,$629.91 ,$217.80 ,$92.68 ,$297.90 ,$238.32 ,$331.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$158.88 ,$297.90 ST. JOHN'S HOSPITAL,30200996,86905,HC RBC AG TYP NABO/RH ANTISERA-90,302,1 ,$451.00 ,$293.15 ,$3.50 ,$699.90 ,$699.90 ,$7.81 ,$244.44 ,$279.96 ,$126.28 ,$15.84 ,$279.96 ,$15.84 ,$279.96 ,$172.28 ,$3.50 ,$279.96 ,$172.28 ,$451.00 ,$13.02 ,$230.01 ,$699.90 ,$279.96 ,$315.70 ,$279.96 ,$225.50 ,$285.56 ,$338.25 ,$227.76 ,$205.21 ,$227.76 ,$279.96 ,$227.76 ,$5.53 ,$5.53 ,$5.53 ,$451.00 ,$383.35 ,$451.00 ,$360.80 ,$166.87 ,$360.80 ,$279.96 ,$279.96 ,$451.00 ,$244.44 ,$279.96 ,$118.61 , N/A , N/A ,$6.56 ,$6.26 ,$293.96 ,$383.35 ,$629.91 ,$296.76 ,$126.28 ,$405.90 ,$324.72 ,$451.00 ,$5.53 ,$7.66 ,$7.66 ,$279.96 ,$216.48 ,$405.90 ST. JOHN'S HOSPITAL,30201000,86922,HC CROSSMATCH AHG-90,302,1 ,$301.00 ,$195.65 ,$34.97 ,$358.41 ,$358.40 ,$34.97 ,$163.14 ,$143.36 ,$84.28 ,$103.85 ,$143.36 ,$115.58 ,$143.36 ,$114.98 ,$55.88 ,$143.36 ,$114.98 ,$272.39 ,$131.39 ,$153.51 ,$358.41 ,$143.36 ,$210.70 ,$143.36 ,$150.50 ,$146.23 ,$225.75 ,$152.01 ,$136.96 ,$152.01 ,$143.36 ,$152.01 ,$210.70 ,$210.70 ,$210.70 ,$301.00 ,$255.85 ,$301.00 ,$240.80 ,$111.37 ,$240.80 ,$143.36 ,$143.36 ,$301.00 ,$163.14 ,$143.36 ,$79.16 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$255.85 ,$322.57 ,$198.06 ,$84.28 ,$270.90 ,$216.72 ,$301.00 ,$210.70 ,$298.32 ,$298.32 ,$143.36 ,$144.48 ,$270.90 ST. JOHN'S HOSPITAL,30201001,86940,HC HEOLYSIN AGG AUTO SCREEN-90,302,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$21.93 ,$16.77 ,$26.56 ,$8.77 ,$13.72 ,$16.91 ,$8.77 ,$18.82 ,$8.77 ,$18.72 ,$3.50 ,$8.77 ,$18.72 ,$16.66 ,$29.61 ,$24.99 ,$21.93 ,$8.77 ,$34.30 ,$8.77 ,$24.50 ,$8.95 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$8.77 ,$24.75 ,$11.84 ,$11.84 ,$11.84 ,$49.00 ,$41.65 ,$21.93 ,$39.20 ,$18.13 ,$39.20 ,$8.77 ,$8.77 ,$49.00 ,$26.56 ,$8.77 ,$12.89 , N/A , N/A ,$18.24 ,$17.41 ,$9.21 ,$41.65 ,$19.73 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$11.84 ,$17.54 ,$17.54 ,$8.77 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30201002,86970,HC RBC PRETREAT CHEM-90,302,1 ,$166.00 ,$107.90 ,$27.60 ,$166.00 ,$81.35 ,$27.60 ,$89.97 ,$32.54 ,$46.48 ,$57.27 ,$32.54 ,$63.74 ,$32.54 ,$63.41 ,$43.98 ,$32.54 ,$63.41 ,$61.82 ,$103.01 ,$84.66 ,$81.34 ,$32.54 ,$116.20 ,$32.54 ,$83.00 ,$33.19 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$32.54 ,$83.83 ,$116.20 ,$116.20 ,$116.20 ,$166.00 ,$141.10 ,$81.34 ,$132.80 ,$61.42 ,$132.80 ,$32.54 ,$32.54 ,$166.00 ,$89.97 ,$32.54 ,$43.66 , N/A , N/A ,$42.70 ,$40.76 ,$34.17 ,$141.10 ,$73.21 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$116.20 ,$67.68 ,$67.68 ,$32.54 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30201004,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$60.00 ,$39.00 ,$15.78 ,$699.90 ,$699.90 ,$22.09 ,$32.52 ,$279.96 ,$16.80 ,$20.70 ,$279.96 ,$23.04 ,$60.00 ,$22.92 ,$35.18 ,$60.00 ,$22.92 ,$60.00 ,$60.00 ,$30.60 ,$699.90 ,$279.96 ,$42.00 ,$279.96 ,$30.00 ,$60.00 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$279.96 ,$30.30 ,$42.00 ,$42.00 ,$42.00 ,$60.00 ,$51.00 ,$60.00 ,$48.00 ,$22.20 ,$48.00 ,$279.96 ,$279.96 ,$60.00 ,$32.52 ,$279.96 ,$15.78 , N/A , N/A ,$42.70 ,$40.76 ,$293.96 ,$51.00 ,$629.91 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$42.00 ,$60.00 ,$60.00 ,$279.96 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30201006,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$136.00 ,$88.40 ,$35.77 ,$358.41 ,$358.40 ,$38.19 ,$73.71 ,$143.36 ,$38.08 ,$46.92 ,$143.36 ,$52.22 ,$136.00 ,$51.95 ,$61.05 ,$136.00 ,$51.95 ,$136.00 ,$136.00 ,$69.36 ,$358.41 ,$143.36 ,$95.20 ,$143.36 ,$68.00 ,$136.00 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$143.36 ,$68.68 ,$95.20 ,$95.20 ,$95.20 ,$136.00 ,$115.60 ,$136.00 ,$108.80 ,$50.32 ,$108.80 ,$143.36 ,$143.36 ,$136.00 ,$73.71 ,$143.36 ,$35.77 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$115.60 ,$322.57 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$95.20 ,$136.00 ,$136.00 ,$143.36 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30201013,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT LEWIS-90,302,1 ,$256.00 ,$166.40 ,$32.66 ,$358.41 ,$358.40 ,$32.66 ,$138.75 ,$143.36 ,$71.68 ,$88.32 ,$143.36 ,$98.30 ,$143.36 ,$97.79 ,$52.26 ,$143.36 ,$97.79 ,$256.00 ,$123.13 ,$130.56 ,$358.41 ,$143.36 ,$179.20 ,$143.36 ,$128.00 ,$146.23 ,$192.00 ,$129.28 ,$116.48 ,$129.28 ,$143.36 ,$129.28 ,$179.20 ,$179.20 ,$179.20 ,$256.00 ,$217.60 ,$256.00 ,$204.80 ,$94.72 ,$204.80 ,$143.36 ,$143.36 ,$256.00 ,$138.75 ,$143.36 ,$67.33 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$217.60 ,$322.57 ,$168.45 ,$71.68 ,$230.40 ,$184.32 ,$256.00 ,$179.20 ,$256.00 ,$256.00 ,$143.36 ,$122.88 ,$230.40 ST. JOHN'S HOSPITAL,30201014,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT P1-90,302,1 ,$226.00 ,$146.90 ,$32.66 ,$358.41 ,$358.40 ,$32.66 ,$122.49 ,$143.36 ,$63.28 ,$77.97 ,$143.36 ,$86.78 ,$143.36 ,$86.33 ,$52.26 ,$143.36 ,$86.33 ,$226.00 ,$123.13 ,$115.26 ,$358.41 ,$143.36 ,$158.20 ,$143.36 ,$113.00 ,$146.23 ,$169.50 ,$114.13 ,$102.83 ,$114.13 ,$143.36 ,$114.13 ,$158.20 ,$158.20 ,$158.20 ,$226.00 ,$192.10 ,$226.00 ,$180.80 ,$83.62 ,$180.80 ,$143.36 ,$143.36 ,$226.00 ,$122.49 ,$143.36 ,$59.44 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$192.10 ,$322.57 ,$148.71 ,$63.28 ,$203.40 ,$162.72 ,$226.00 ,$158.20 ,$226.00 ,$226.00 ,$143.36 ,$108.48 ,$203.40 ST. JOHN'S HOSPITAL,30201015,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT-90,302,1 ,$136.00 ,$88.40 ,$32.66 ,$358.41 ,$358.40 ,$32.66 ,$73.71 ,$143.36 ,$38.08 ,$46.92 ,$143.36 ,$52.22 ,$136.00 ,$51.95 ,$52.26 ,$136.00 ,$51.95 ,$136.00 ,$123.13 ,$69.36 ,$358.41 ,$143.36 ,$95.20 ,$143.36 ,$68.00 ,$136.00 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$143.36 ,$68.68 ,$95.20 ,$95.20 ,$95.20 ,$136.00 ,$115.60 ,$136.00 ,$108.80 ,$50.32 ,$108.80 ,$143.36 ,$143.36 ,$136.00 ,$73.71 ,$143.36 ,$35.77 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$115.60 ,$322.57 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$95.20 ,$136.00 ,$136.00 ,$143.36 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30201018,86978,HC RBC PRETREAT ABSOR AUTO,302,1 ,$166.00 ,$107.90 ,$6.26 ,$166.00 ,$81.35 ,$32.66 ,$89.97 ,$32.54 ,$46.48 ,$57.27 ,$32.54 ,$63.74 ,$32.54 ,$63.41 ,$52.26 ,$32.54 ,$63.41 ,$61.82 ,$123.13 ,$84.66 ,$81.34 ,$32.54 ,$116.20 ,$32.54 ,$83.00 ,$33.19 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$32.54 ,$83.83 ,$116.20 ,$116.20 ,$116.20 ,$166.00 ,$141.10 ,$81.34 ,$132.80 ,$61.42 ,$132.80 ,$32.54 ,$32.54 ,$166.00 ,$89.97 ,$32.54 ,$43.66 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$141.10 ,$73.21 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$116.20 ,$67.68 ,$67.68 ,$32.54 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30201019,86978,HC RBC PRETREAT ABSOR STROMAL-90,302,1 ,$226.00 ,$146.90 ,$6.26 ,$226.00 ,$81.35 ,$32.66 ,$122.49 ,$32.54 ,$63.28 ,$77.97 ,$32.54 ,$86.78 ,$32.54 ,$86.33 ,$52.26 ,$32.54 ,$86.33 ,$61.82 ,$123.13 ,$115.26 ,$81.34 ,$32.54 ,$158.20 ,$32.54 ,$113.00 ,$33.19 ,$169.50 ,$114.13 ,$102.83 ,$114.13 ,$32.54 ,$114.13 ,$158.20 ,$158.20 ,$158.20 ,$226.00 ,$192.10 ,$81.34 ,$180.80 ,$83.62 ,$180.80 ,$32.54 ,$32.54 ,$226.00 ,$122.49 ,$32.54 ,$59.44 , N/A , N/A ,$6.56 ,$6.26 ,$34.17 ,$192.10 ,$73.21 ,$148.71 ,$63.28 ,$203.40 ,$162.72 ,$226.00 ,$158.20 ,$67.68 ,$67.68 ,$32.54 ,$108.48 ,$203.40 ST. JOHN'S HOSPITAL,30201021,86999,HC ANTIGEN HISTORICL NEG EA UN-90,302,1 ,$76.00 ,$49.40 ,$19.99 ,$76.00 ,$59.38 ,$34.96 ,$41.19 ,$23.75 ,$21.28 ,$24.32 ,$23.75 ,$27.97 ,$23.75 ,$29.03 ,$30.40 ,$23.75 ,$29.03 ,$45.12 ,$55.58 ,$38.76 ,$59.37 ,$23.75 ,$53.20 ,$23.75 ,$38.00 ,$24.22 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$23.75 ,$38.38 ,$53.20 ,$53.20 ,$53.20 ,$76.00 ,$64.60 ,$59.37 ,$60.80 ,$28.12 ,$60.80 ,$23.75 ,$23.75 ,$76.00 ,$41.19 ,$23.75 ,$19.99 , N/A , N/A ,$42.70 ,$40.76 ,$24.94 ,$64.60 ,$53.43 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$53.20 ,$49.34 ,$49.34 ,$23.75 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30201022,87801,HC INFECT MLT ORG AMP-90,302,1 ,$258.00 ,$167.70 ,$3.50 ,$258.00 ,$175.50 ,$143.54 ,$139.84 ,$70.20 ,$72.24 ,$89.01 ,$70.20 ,$99.07 ,$70.20 ,$98.56 ,$3.50 ,$70.20 ,$98.56 ,$133.38 ,$237.93 ,$131.58 ,$175.50 ,$70.20 ,$180.60 ,$70.20 ,$129.00 ,$71.60 ,$193.50 ,$130.29 ,$117.39 ,$130.29 ,$70.20 ,$130.29 ,$101.39 ,$101.39 ,$101.39 ,$258.00 ,$219.30 ,$175.50 ,$206.40 ,$95.46 ,$206.40 ,$70.20 ,$70.20 ,$258.00 ,$139.84 ,$70.20 ,$67.85 , N/A , N/A ,$8.44 ,$8.05 ,$73.71 ,$219.30 ,$157.95 ,$169.76 ,$72.24 ,$232.20 ,$185.76 ,$258.00 ,$101.39 ,$140.40 ,$140.40 ,$70.20 ,$123.84 ,$232.20 ST. JOHN'S HOSPITAL,30201024,G0433,HC ELISA HIV 1 HIV 2 SCREEN,302,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$45.73 ,$28.04 ,$86.72 ,$18.29 ,$44.80 ,$18.06 ,$18.29 ,$18.06 ,$18.29 ,$61.12 ,$3.50 ,$18.29 ,$61.12 ,$34.75 ,$61.57 ,$81.60 ,$45.73 ,$18.29 ,$112.00 ,$18.29 ,$80.00 ,$18.66 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$18.29 ,$80.80 ,$23.78 ,$23.78 ,$23.78 ,$160.00 ,$136.00 ,$45.73 ,$128.00 ,$59.20 ,$128.00 ,$18.29 ,$18.29 ,$160.00 ,$86.72 ,$18.29 ,$42.08 , N/A , N/A ,$8.44 ,$8.05 ,$19.20 ,$136.00 ,$41.15 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$23.78 ,$36.58 ,$36.58 ,$18.29 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$52.03 ,$42.56 ,$48.78 ,$20.81 ,$25.20 ,$31.05 ,$20.81 ,$34.56 ,$20.81 ,$34.38 ,$3.50 ,$20.81 ,$34.38 ,$39.54 ,$71.01 ,$45.90 ,$52.03 ,$20.81 ,$63.00 ,$20.81 ,$45.00 ,$21.23 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$20.81 ,$45.45 ,$30.07 ,$30.07 ,$30.07 ,$90.00 ,$76.50 ,$52.03 ,$72.00 ,$33.30 ,$72.00 ,$20.81 ,$20.81 ,$90.00 ,$48.78 ,$20.81 ,$23.67 , N/A , N/A ,$11.81 ,$11.28 ,$21.85 ,$76.50 ,$46.82 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$30.07 ,$41.62 ,$41.62 ,$20.81 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$10.00 ,$6.50 ,$2.63 ,$25.00 ,$25.00 ,$10.00 ,$5.42 ,$10.00 ,$2.80 ,$3.45 ,$10.00 ,$3.84 ,$10.00 ,$3.82 ,$3.50 ,$10.00 ,$3.82 ,$10.00 ,$10.00 ,$5.10 ,$25.00 ,$10.00 ,$7.00 ,$10.00 ,$5.00 ,$10.00 ,$7.50 ,$5.05 ,$4.55 ,$5.05 ,$10.00 ,$5.05 ,$10.00 ,$10.00 ,$10.00 ,$10.00 ,$8.50 ,$10.00 ,$8.00 ,$3.70 ,$8.00 ,$10.00 ,$10.00 ,$10.00 ,$5.42 ,$10.00 ,$2.63 , N/A , N/A ,$10.00 ,$17.41 ,$10.50 ,$8.50 ,$22.50 ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$10.00 ,$10.00 ,$10.00 ,$10.00 ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,30201027,86318,HC INFECTIOUS AB QL-90,302,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$45.23 ,$26.48 ,$42.28 ,$18.09 ,$21.84 ,$26.91 ,$18.09 ,$29.95 ,$18.09 ,$29.80 ,$3.50 ,$18.09 ,$29.80 ,$34.37 ,$61.57 ,$39.78 ,$45.23 ,$18.09 ,$54.60 ,$18.09 ,$39.00 ,$18.45 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$18.09 ,$39.39 ,$23.52 ,$23.52 ,$23.52 ,$78.00 ,$66.30 ,$45.23 ,$62.40 ,$28.86 ,$62.40 ,$18.09 ,$18.09 ,$78.00 ,$42.28 ,$18.09 ,$20.51 , N/A , N/A ,$18.24 ,$17.41 ,$18.99 ,$66.30 ,$40.70 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$23.52 ,$36.18 ,$36.18 ,$18.09 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30201028,86329,HC IMMUNODIFFUSION NOS-90,302,1 ,$135.00 ,$87.75 ,$3.50 ,$135.00 ,$35.13 ,$28.72 ,$73.17 ,$14.05 ,$37.80 ,$46.58 ,$14.05 ,$51.84 ,$14.05 ,$51.57 ,$3.50 ,$14.05 ,$51.57 ,$26.70 ,$47.36 ,$68.85 ,$35.13 ,$14.05 ,$94.50 ,$14.05 ,$67.50 ,$14.33 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$14.05 ,$68.18 ,$20.29 ,$20.29 ,$20.29 ,$135.00 ,$114.75 ,$35.13 ,$108.00 ,$49.95 ,$108.00 ,$14.05 ,$14.05 ,$135.00 ,$73.17 ,$14.05 ,$35.51 , N/A , N/A ,$18.24 ,$17.41 ,$14.75 ,$114.75 ,$31.61 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$20.29 ,$28.10 ,$28.10 ,$14.05 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30201029,86331,HC IMMUNODIFF EL EA AG AB QL-90,302,1 ,$94.00 ,$61.10 ,$3.50 ,$94.00 ,$29.95 ,$24.50 ,$50.95 ,$11.98 ,$26.32 ,$32.43 ,$11.98 ,$36.10 ,$11.98 ,$35.91 ,$3.50 ,$11.98 ,$35.91 ,$22.76 ,$40.25 ,$47.94 ,$29.95 ,$11.98 ,$65.80 ,$11.98 ,$47.00 ,$12.22 ,$70.50 ,$47.47 ,$42.77 ,$47.47 ,$11.98 ,$47.47 ,$17.30 ,$17.30 ,$17.30 ,$94.00 ,$79.90 ,$29.95 ,$75.20 ,$34.78 ,$75.20 ,$11.98 ,$11.98 ,$94.00 ,$50.95 ,$11.98 ,$24.72 , N/A , N/A ,$18.24 ,$17.41 ,$12.58 ,$79.90 ,$26.96 ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$17.30 ,$23.96 ,$23.96 ,$11.98 ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,30201030,86332,HC IMMUNE COMPLEX ASSAY-90,302,1 ,$236.00 ,$153.40 ,$3.50 ,$236.00 ,$60.93 ,$49.84 ,$127.91 ,$24.37 ,$66.08 ,$81.42 ,$24.37 ,$90.62 ,$24.37 ,$90.15 ,$3.50 ,$24.37 ,$90.15 ,$46.30 ,$82.88 ,$120.36 ,$60.93 ,$24.37 ,$165.20 ,$24.37 ,$118.00 ,$24.86 ,$177.00 ,$119.18 ,$107.38 ,$119.18 ,$24.37 ,$119.18 ,$35.20 ,$35.20 ,$35.20 ,$236.00 ,$200.60 ,$60.93 ,$188.80 ,$87.32 ,$188.80 ,$24.37 ,$24.37 ,$236.00 ,$127.91 ,$24.37 ,$62.07 , N/A , N/A ,$18.24 ,$17.41 ,$25.59 ,$200.60 ,$54.83 ,$155.29 ,$66.08 ,$212.40 ,$169.92 ,$236.00 ,$35.20 ,$48.74 ,$48.74 ,$24.37 ,$113.28 ,$212.40 ST. JOHN'S HOSPITAL,30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$173.00 ,$112.45 ,$17.41 ,$173.00 ,$55.85 ,$45.68 ,$93.77 ,$22.34 ,$48.44 ,$59.69 ,$22.34 ,$66.43 ,$22.34 ,$66.09 ,$17.63 ,$22.34 ,$66.09 ,$42.45 ,$75.78 ,$88.23 ,$55.85 ,$22.34 ,$121.10 ,$22.34 ,$86.50 ,$22.79 ,$129.75 ,$87.37 ,$78.72 ,$87.37 ,$22.34 ,$87.37 ,$32.28 ,$32.28 ,$32.28 ,$173.00 ,$147.05 ,$55.85 ,$138.40 ,$64.01 ,$138.40 ,$22.34 ,$22.34 ,$173.00 ,$93.77 ,$22.34 ,$45.50 , N/A , N/A ,$18.24 ,$17.41 ,$23.46 ,$147.05 ,$50.27 ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$32.28 ,$44.68 ,$44.68 ,$22.34 ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$248.00 ,$161.20 ,$17.41 ,$248.00 ,$73.38 ,$60.01 ,$134.42 ,$29.35 ,$69.44 ,$85.56 ,$29.35 ,$95.23 ,$29.35 ,$94.74 ,$23.15 ,$29.35 ,$94.74 ,$55.77 ,$99.44 ,$126.48 ,$73.38 ,$29.35 ,$173.60 ,$29.35 ,$124.00 ,$29.94 ,$186.00 ,$125.24 ,$112.84 ,$125.24 ,$29.35 ,$125.24 ,$42.39 ,$42.39 ,$42.39 ,$248.00 ,$210.80 ,$73.38 ,$198.40 ,$91.76 ,$198.40 ,$29.35 ,$29.35 ,$248.00 ,$134.42 ,$29.35 ,$65.22 , N/A , N/A ,$18.24 ,$17.41 ,$30.82 ,$210.80 ,$66.04 ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$42.39 ,$58.70 ,$58.70 ,$29.35 ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,30201033,86336,HC INHIBIN A-90,302,1 ,$214.00 ,$139.10 ,$3.50 ,$214.00 ,$38.98 ,$31.87 ,$115.99 ,$15.59 ,$59.92 ,$64.55 ,$15.59 ,$64.55 ,$15.59 ,$81.75 ,$3.50 ,$15.59 ,$81.75 ,$29.62 ,$53.27 ,$109.14 ,$38.98 ,$15.59 ,$149.80 ,$15.59 ,$107.00 ,$15.90 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$15.59 ,$108.07 ,$22.52 ,$22.52 ,$22.52 ,$214.00 ,$181.90 ,$38.98 ,$171.20 ,$79.18 ,$171.20 ,$15.59 ,$15.59 ,$214.00 ,$115.99 ,$15.59 ,$56.28 , N/A , N/A ,$11.81 ,$11.28 ,$16.37 ,$181.90 ,$35.08 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$22.52 ,$31.18 ,$31.18 ,$15.59 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,30201034,86337,HC INSULIN AB-90,302,1 ,$270.00 ,$175.50 ,$3.50 ,$270.00 ,$53.53 ,$43.79 ,$146.34 ,$21.41 ,$75.60 ,$88.65 ,$21.41 ,$88.65 ,$21.41 ,$103.14 ,$3.50 ,$21.41 ,$103.14 ,$40.68 ,$72.21 ,$137.70 ,$53.53 ,$21.41 ,$189.00 ,$21.41 ,$135.00 ,$21.84 ,$202.50 ,$136.35 ,$122.85 ,$136.35 ,$21.41 ,$136.35 ,$30.93 ,$30.93 ,$30.93 ,$270.00 ,$229.50 ,$53.53 ,$216.00 ,$99.90 ,$216.00 ,$21.41 ,$21.41 ,$270.00 ,$146.34 ,$21.41 ,$71.01 , N/A , N/A ,$27.64 ,$26.39 ,$22.48 ,$229.50 ,$48.17 ,$177.66 ,$75.60 ,$243.00 ,$194.40 ,$270.00 ,$30.93 ,$42.82 ,$42.82 ,$21.41 ,$129.60 ,$243.00 ST. JOHN'S HOSPITAL,30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$37.70 ,$30.82 ,$33.60 ,$15.08 ,$17.36 ,$21.39 ,$15.08 ,$23.81 ,$15.08 ,$23.68 ,$3.50 ,$15.08 ,$23.68 ,$28.65 ,$50.89 ,$31.62 ,$37.70 ,$15.08 ,$43.40 ,$15.08 ,$31.00 ,$15.38 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$15.08 ,$31.31 ,$21.78 ,$21.78 ,$21.78 ,$62.00 ,$52.70 ,$37.70 ,$49.60 ,$22.94 ,$49.60 ,$15.08 ,$15.08 ,$62.00 ,$33.60 ,$15.08 ,$16.31 , N/A , N/A ,$27.64 ,$26.39 ,$15.83 ,$52.70 ,$33.93 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$21.78 ,$30.16 ,$30.16 ,$15.08 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30201036,86341,HC ISLET CELL AB-90,302,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$58.93 ,$40.46 ,$56.91 ,$23.57 ,$29.40 ,$36.23 ,$23.57 ,$40.32 ,$23.57 ,$40.11 ,$3.50 ,$23.57 ,$40.11 ,$44.78 ,$80.50 ,$53.55 ,$58.93 ,$23.57 ,$73.50 ,$23.57 ,$52.50 ,$24.04 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$23.57 ,$53.03 ,$30.64 ,$30.64 ,$30.64 ,$105.00 ,$89.25 ,$58.93 ,$84.00 ,$38.85 ,$84.00 ,$23.57 ,$23.57 ,$105.00 ,$56.91 ,$23.57 ,$27.62 , N/A , N/A ,$18.24 ,$17.41 ,$24.75 ,$89.25 ,$53.03 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$30.64 ,$47.14 ,$47.14 ,$23.57 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30201037,86343,HC LEUKOCYTE HISTAMINE RELEASE-90,302,1 ,$223.00 ,$144.95 ,$3.50 ,$223.00 ,$31.15 ,$25.48 ,$120.87 ,$12.46 ,$62.44 ,$51.60 ,$12.46 ,$51.60 ,$12.46 ,$85.19 ,$3.50 ,$12.46 ,$85.19 ,$23.67 ,$42.63 ,$113.73 ,$31.15 ,$12.46 ,$156.10 ,$12.46 ,$111.50 ,$12.71 ,$167.25 ,$112.62 ,$101.47 ,$112.62 ,$12.46 ,$112.62 ,$17.99 ,$17.99 ,$17.99 ,$223.00 ,$189.55 ,$31.15 ,$178.40 ,$82.51 ,$178.40 ,$12.46 ,$12.46 ,$223.00 ,$120.87 ,$12.46 ,$58.65 , N/A , N/A ,$18.24 ,$17.41 ,$13.08 ,$189.55 ,$28.04 ,$146.73 ,$62.44 ,$200.70 ,$160.56 ,$223.00 ,$17.99 ,$24.92 ,$24.92 ,$12.46 ,$107.04 ,$200.70 ST. JOHN'S HOSPITAL,30201038,86352,HC CELL FUNC W/BIOMARKER-90,302,1 ,$630.00 ,$409.50 ,$3.50 ,$630.00 ,$339.65 ,$277.80 ,$341.46 ,$135.86 ,$176.40 ,$217.35 ,$135.86 ,$241.92 ,$135.86 ,$240.66 ,$3.50 ,$135.86 ,$240.66 ,$258.13 ,$460.50 ,$321.30 ,$339.65 ,$135.86 ,$441.00 ,$135.86 ,$315.00 ,$138.58 ,$472.50 ,$318.15 ,$286.65 ,$318.15 ,$135.86 ,$318.15 ,$196.25 ,$196.25 ,$196.25 ,$630.00 ,$535.50 ,$339.65 ,$504.00 ,$233.10 ,$504.00 ,$135.86 ,$135.86 ,$630.00 ,$341.46 ,$135.86 ,$165.69 , N/A , N/A ,$18.24 ,$17.41 ,$142.65 ,$535.50 ,$305.69 ,$414.54 ,$176.40 ,$567.00 ,$453.60 ,$630.00 ,$196.25 ,$271.72 ,$271.72 ,$135.86 ,$302.40 ,$567.00 ST. JOHN'S HOSPITAL,30201039,86353,HC LYMPHOCYTE TRANFORM MITOGENS-90,302,1 ,$443.00 ,$287.95 ,$3.50 ,$443.00 ,$122.58 ,$100.24 ,$240.11 ,$49.03 ,$124.04 ,$152.84 ,$49.03 ,$170.11 ,$49.03 ,$169.23 ,$3.50 ,$49.03 ,$169.23 ,$93.16 ,$166.92 ,$225.93 ,$122.58 ,$49.03 ,$310.10 ,$49.03 ,$221.50 ,$50.01 ,$332.25 ,$223.72 ,$201.57 ,$223.72 ,$49.03 ,$223.72 ,$70.81 ,$70.81 ,$70.81 ,$443.00 ,$376.55 ,$122.58 ,$354.40 ,$163.91 ,$354.40 ,$49.03 ,$49.03 ,$443.00 ,$240.11 ,$49.03 ,$116.51 , N/A , N/A ,$18.24 ,$17.41 ,$51.48 ,$376.55 ,$110.32 ,$291.49 ,$124.04 ,$398.70 ,$318.96 ,$443.00 ,$70.81 ,$98.06 ,$98.06 ,$49.03 ,$212.64 ,$398.70 ST. JOHN'S HOSPITAL,30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$70.00 ,$45.50 ,$3.50 ,$94.33 ,$94.33 ,$70.00 ,$37.94 ,$37.73 ,$19.60 ,$24.15 ,$37.73 ,$26.88 ,$37.73 ,$26.74 ,$3.50 ,$37.73 ,$26.74 ,$70.00 ,$70.00 ,$35.70 ,$94.33 ,$37.73 ,$49.00 ,$37.73 ,$35.00 ,$38.48 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$37.73 ,$35.35 ,$54.50 ,$54.50 ,$54.50 ,$70.00 ,$59.50 ,$70.00 ,$56.00 ,$25.90 ,$56.00 ,$37.73 ,$37.73 ,$70.00 ,$37.94 ,$37.73 ,$18.41 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$59.50 ,$84.89 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$54.50 ,$70.00 ,$70.00 ,$37.73 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30201041,86356,HC MOL ANTIGEN QN EA-90,302,1 ,$236.00 ,$153.40 ,$3.50 ,$236.00 ,$66.95 ,$27.63 ,$127.91 ,$26.78 ,$66.08 ,$81.42 ,$26.78 ,$90.62 ,$26.78 ,$90.15 ,$3.50 ,$26.78 ,$90.15 ,$50.88 ,$91.14 ,$120.36 ,$66.95 ,$26.78 ,$165.20 ,$26.78 ,$118.00 ,$27.32 ,$177.00 ,$119.18 ,$107.38 ,$119.18 ,$26.78 ,$119.18 ,$38.68 ,$38.68 ,$38.68 ,$236.00 ,$200.60 ,$66.95 ,$188.80 ,$87.32 ,$188.80 ,$26.78 ,$26.78 ,$236.00 ,$127.91 ,$26.78 ,$62.07 , N/A , N/A ,$18.24 ,$17.41 ,$28.12 ,$200.60 ,$60.26 ,$155.29 ,$66.08 ,$212.40 ,$169.92 ,$236.00 ,$38.68 ,$53.56 ,$53.56 ,$26.78 ,$113.28 ,$212.40 ST. JOHN'S HOSPITAL,30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$215.00 ,$139.75 ,$3.50 ,$215.00 ,$94.33 ,$77.12 ,$116.53 ,$37.73 ,$60.20 ,$74.18 ,$37.73 ,$82.56 ,$37.73 ,$82.13 ,$3.50 ,$37.73 ,$82.13 ,$71.69 ,$127.86 ,$109.65 ,$94.33 ,$37.73 ,$150.50 ,$37.73 ,$107.50 ,$38.48 ,$161.25 ,$108.58 ,$97.83 ,$108.58 ,$37.73 ,$108.58 ,$54.50 ,$54.50 ,$54.50 ,$215.00 ,$182.75 ,$94.33 ,$172.00 ,$79.55 ,$172.00 ,$37.73 ,$37.73 ,$215.00 ,$116.53 ,$37.73 ,$56.55 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$182.75 ,$84.89 ,$141.47 ,$60.20 ,$193.50 ,$154.80 ,$215.00 ,$54.50 ,$75.46 ,$75.46 ,$37.73 ,$103.20 ,$193.50 ST. JOHN'S HOSPITAL,30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$230.00 ,$149.50 ,$3.50 ,$230.00 ,$94.33 ,$77.12 ,$124.66 ,$37.73 ,$64.40 ,$79.35 ,$37.73 ,$88.32 ,$37.73 ,$87.86 ,$3.50 ,$37.73 ,$87.86 ,$71.69 ,$127.86 ,$117.30 ,$94.33 ,$37.73 ,$161.00 ,$37.73 ,$115.00 ,$38.48 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$37.73 ,$116.15 ,$54.50 ,$54.50 ,$54.50 ,$230.00 ,$195.50 ,$94.33 ,$184.00 ,$85.10 ,$184.00 ,$37.73 ,$37.73 ,$230.00 ,$124.66 ,$37.73 ,$60.49 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$195.50 ,$84.89 ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$54.50 ,$75.46 ,$75.46 ,$37.73 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,30201044,86359,HC T CELLS TOTAL COUNT,302,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$94.33 ,$77.12 ,$105.69 ,$37.73 ,$54.60 ,$67.28 ,$37.73 ,$74.88 ,$37.73 ,$74.49 ,$3.50 ,$37.73 ,$74.49 ,$71.69 ,$127.86 ,$99.45 ,$94.33 ,$37.73 ,$136.50 ,$37.73 ,$97.50 ,$38.48 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$37.73 ,$98.48 ,$54.50 ,$54.50 ,$54.50 ,$195.00 ,$165.75 ,$94.33 ,$156.00 ,$72.15 ,$156.00 ,$37.73 ,$37.73 ,$195.00 ,$105.69 ,$37.73 ,$51.29 , N/A , N/A ,$18.24 ,$17.41 ,$39.62 ,$165.75 ,$84.89 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$54.50 ,$75.46 ,$75.46 ,$37.73 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$322.00 ,$209.30 ,$3.50 ,$322.00 ,$117.45 ,$96.08 ,$174.52 ,$46.98 ,$90.16 ,$111.09 ,$46.98 ,$123.65 ,$46.98 ,$123.00 ,$3.50 ,$46.98 ,$123.00 ,$89.26 ,$159.81 ,$164.22 ,$117.45 ,$46.98 ,$225.40 ,$46.98 ,$161.00 ,$47.92 ,$241.50 ,$162.61 ,$146.51 ,$162.61 ,$46.98 ,$162.61 ,$67.86 ,$67.86 ,$67.86 ,$322.00 ,$273.70 ,$117.45 ,$257.60 ,$119.14 ,$257.60 ,$46.98 ,$46.98 ,$322.00 ,$174.52 ,$46.98 ,$84.69 , N/A , N/A ,$18.24 ,$17.41 ,$49.33 ,$273.70 ,$105.71 ,$211.88 ,$90.16 ,$289.80 ,$231.84 ,$322.00 ,$67.86 ,$93.96 ,$93.96 ,$46.98 ,$154.56 ,$289.80 ST. JOHN'S HOSPITAL,30201047,86376,HC MICROSOMAL AB-90,302,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$36.38 ,$29.73 ,$35.23 ,$14.55 ,$18.20 ,$22.43 ,$14.55 ,$24.96 ,$14.55 ,$24.83 ,$3.50 ,$14.55 ,$24.83 ,$27.65 ,$49.74 ,$33.15 ,$36.38 ,$14.55 ,$45.50 ,$14.55 ,$32.50 ,$14.84 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$14.55 ,$32.83 ,$21.02 ,$21.02 ,$21.02 ,$65.00 ,$55.25 ,$36.38 ,$52.00 ,$24.05 ,$52.00 ,$14.55 ,$14.55 ,$65.00 ,$35.23 ,$14.55 ,$17.10 , N/A , N/A ,$27.64 ,$26.39 ,$15.28 ,$55.25 ,$32.74 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$21.02 ,$29.10 ,$29.10 ,$14.55 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30201048,86382,HC NEUTRALIZATION TEST VIRAL-90,302,1 ,$229.00 ,$148.85 ,$3.50 ,$229.00 ,$42.28 ,$34.58 ,$124.12 ,$16.91 ,$64.12 ,$70.02 ,$16.91 ,$70.02 ,$16.91 ,$87.48 ,$3.50 ,$16.91 ,$87.48 ,$32.13 ,$56.80 ,$116.79 ,$42.28 ,$16.91 ,$160.30 ,$16.91 ,$114.50 ,$17.25 ,$171.75 ,$115.65 ,$104.20 ,$115.65 ,$16.91 ,$115.65 ,$24.43 ,$24.43 ,$24.43 ,$229.00 ,$194.65 ,$42.28 ,$183.20 ,$84.73 ,$183.20 ,$16.91 ,$16.91 ,$229.00 ,$124.12 ,$16.91 ,$60.23 , N/A , N/A ,$18.24 ,$17.41 ,$17.76 ,$194.65 ,$38.05 ,$150.68 ,$64.12 ,$206.10 ,$164.88 ,$229.00 ,$24.43 ,$33.82 ,$33.82 ,$16.91 ,$109.92 ,$206.10 ST. JOHN'S HOSPITAL,30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$119.00 ,$77.35 ,$3.50 ,$119.00 ,$28.85 ,$10.19 ,$64.50 ,$11.54 ,$33.32 ,$41.06 ,$11.54 ,$45.70 ,$11.54 ,$45.46 ,$3.50 ,$11.54 ,$45.46 ,$21.93 ,$39.06 ,$60.69 ,$28.85 ,$11.54 ,$83.30 ,$11.54 ,$59.50 ,$11.77 ,$89.25 ,$60.10 ,$54.15 ,$60.10 ,$11.54 ,$60.10 ,$15.00 ,$15.00 ,$15.00 ,$119.00 ,$101.15 ,$28.85 ,$95.20 ,$44.03 ,$95.20 ,$11.54 ,$11.54 ,$119.00 ,$64.50 ,$11.54 ,$31.30 , N/A , N/A ,$10.58 ,$10.10 ,$12.12 ,$101.15 ,$25.97 ,$78.30 ,$33.32 ,$107.10 ,$85.68 ,$119.00 ,$15.00 ,$23.08 ,$23.08 ,$11.54 ,$57.12 ,$107.10 ST. JOHN'S HOSPITAL,30201050,86403,HC PARTICLE AGG SCREEN,302,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$28.85 ,$10.19 ,$45.53 ,$11.54 ,$23.52 ,$28.98 ,$11.54 ,$32.26 ,$11.54 ,$32.09 ,$3.50 ,$11.54 ,$32.09 ,$21.93 ,$39.06 ,$42.84 ,$28.85 ,$11.54 ,$58.80 ,$11.54 ,$42.00 ,$11.77 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$11.54 ,$42.42 ,$15.00 ,$15.00 ,$15.00 ,$84.00 ,$71.40 ,$28.85 ,$67.20 ,$31.08 ,$67.20 ,$11.54 ,$11.54 ,$84.00 ,$45.53 ,$11.54 ,$22.09 , N/A , N/A ,$10.58 ,$10.10 ,$12.12 ,$71.40 ,$25.97 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$15.00 ,$23.08 ,$23.08 ,$11.54 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$98.00 ,$63.70 ,$3.50 ,$98.00 ,$26.60 ,$21.75 ,$53.12 ,$10.64 ,$27.44 ,$33.81 ,$10.64 ,$37.63 ,$10.64 ,$37.44 ,$3.50 ,$10.64 ,$37.44 ,$20.22 ,$35.53 ,$49.98 ,$26.60 ,$10.64 ,$68.60 ,$10.64 ,$49.00 ,$10.85 ,$73.50 ,$49.49 ,$44.59 ,$49.49 ,$10.64 ,$49.49 ,$15.37 ,$15.37 ,$15.37 ,$98.00 ,$83.30 ,$26.60 ,$78.40 ,$36.26 ,$78.40 ,$10.64 ,$10.64 ,$98.00 ,$53.12 ,$10.64 ,$25.77 , N/A , N/A ,$10.58 ,$10.10 ,$11.17 ,$83.30 ,$23.94 ,$64.48 ,$27.44 ,$88.20 ,$70.56 ,$98.00 ,$15.37 ,$21.28 ,$21.28 ,$10.64 ,$47.04 ,$88.20 ST. JOHN'S HOSPITAL,30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$62.00 ,$40.30 ,$3.50 ,$62.00 ,$10.68 ,$8.73 ,$33.60 ,$4.27 ,$17.36 ,$17.70 ,$4.27 ,$17.70 ,$4.27 ,$23.68 ,$3.50 ,$4.27 ,$23.68 ,$8.11 ,$14.21 ,$31.62 ,$10.68 ,$4.27 ,$43.40 ,$4.27 ,$31.00 ,$4.36 ,$46.50 ,$31.31 ,$28.21 ,$31.31 ,$4.27 ,$31.31 ,$6.18 ,$6.18 ,$6.18 ,$62.00 ,$52.70 ,$10.68 ,$49.60 ,$22.94 ,$49.60 ,$4.27 ,$4.27 ,$62.00 ,$33.60 ,$4.27 ,$16.31 , N/A , N/A ,$10.58 ,$10.10 ,$4.48 ,$52.70 ,$9.61 ,$40.80 ,$17.36 ,$55.80 ,$44.64 ,$62.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$29.76 ,$55.80 ST. JOHN'S HOSPITAL,30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$144.00 ,$93.60 ,$3.50 ,$144.00 ,$32.18 ,$26.32 ,$78.05 ,$12.87 ,$40.32 ,$49.68 ,$12.87 ,$53.30 ,$12.87 ,$55.01 ,$3.50 ,$12.87 ,$55.01 ,$24.45 ,$43.78 ,$73.44 ,$32.18 ,$12.87 ,$100.80 ,$12.87 ,$72.00 ,$13.13 ,$108.00 ,$72.72 ,$65.52 ,$72.72 ,$12.87 ,$72.72 ,$18.59 ,$18.59 ,$18.59 ,$144.00 ,$122.40 ,$32.18 ,$115.20 ,$53.28 ,$115.20 ,$12.87 ,$12.87 ,$144.00 ,$78.05 ,$12.87 ,$37.87 , N/A , N/A ,$18.24 ,$17.41 ,$13.51 ,$122.40 ,$28.96 ,$94.75 ,$40.32 ,$129.60 ,$103.68 ,$144.00 ,$18.59 ,$25.74 ,$25.74 ,$12.87 ,$69.12 ,$129.60 ST. JOHN'S HOSPITAL,30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$119.00 ,$77.35 ,$3.50 ,$119.00 ,$37.63 ,$30.80 ,$64.50 ,$15.05 ,$33.32 ,$41.06 ,$15.05 ,$45.70 ,$15.05 ,$45.46 ,$3.50 ,$15.05 ,$45.46 ,$28.60 ,$50.89 ,$60.69 ,$37.63 ,$15.05 ,$83.30 ,$15.05 ,$59.50 ,$15.35 ,$89.25 ,$60.10 ,$54.15 ,$60.10 ,$15.05 ,$60.10 ,$21.75 ,$21.75 ,$21.75 ,$119.00 ,$101.15 ,$37.63 ,$95.20 ,$44.03 ,$95.20 ,$15.05 ,$15.05 ,$119.00 ,$64.50 ,$15.05 ,$31.30 , N/A , N/A ,$18.24 ,$17.41 ,$15.80 ,$101.15 ,$33.86 ,$78.30 ,$33.32 ,$107.10 ,$85.68 ,$119.00 ,$21.75 ,$30.10 ,$30.10 ,$15.05 ,$57.12 ,$107.10 ST. JOHN'S HOSPITAL,30201057,86609,HC BACTERIUM AB NOS-90,302,1 ,$108.00 ,$70.20 ,$3.50 ,$108.00 ,$32.20 ,$26.34 ,$58.54 ,$12.88 ,$30.24 ,$37.26 ,$12.88 ,$41.47 ,$12.88 ,$41.26 ,$3.50 ,$12.88 ,$41.26 ,$24.47 ,$43.78 ,$55.08 ,$32.20 ,$12.88 ,$75.60 ,$12.88 ,$54.00 ,$13.14 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$12.88 ,$54.54 ,$18.60 ,$18.60 ,$18.60 ,$108.00 ,$91.80 ,$32.20 ,$86.40 ,$39.96 ,$86.40 ,$12.88 ,$12.88 ,$108.00 ,$58.54 ,$12.88 ,$28.40 , N/A , N/A ,$28.04 ,$26.76 ,$13.52 ,$91.80 ,$28.98 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$18.60 ,$25.76 ,$25.76 ,$12.88 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$25.45 ,$20.81 ,$39.02 ,$10.18 ,$20.16 ,$24.84 ,$10.18 ,$27.65 ,$10.18 ,$27.50 ,$3.50 ,$10.18 ,$27.50 ,$19.34 ,$34.34 ,$36.72 ,$25.45 ,$10.18 ,$50.40 ,$10.18 ,$36.00 ,$10.38 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$10.18 ,$36.36 ,$14.70 ,$14.70 ,$14.70 ,$72.00 ,$61.20 ,$25.45 ,$57.60 ,$26.64 ,$57.60 ,$10.18 ,$10.18 ,$72.00 ,$39.02 ,$10.18 ,$18.94 , N/A , N/A ,$18.24 ,$17.41 ,$10.69 ,$61.20 ,$22.91 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$14.70 ,$20.36 ,$20.36 ,$10.18 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30201059,86611,HC BARTONELLA SCREEN AB IGG-90,302,1 ,$29.00 ,$18.85 ,$3.50 ,$29.00 ,$25.45 ,$20.81 ,$15.72 ,$10.18 ,$8.12 ,$10.01 ,$10.18 ,$11.14 ,$10.18 ,$11.08 ,$3.50 ,$10.18 ,$11.08 ,$19.34 ,$29.00 ,$14.79 ,$25.45 ,$10.18 ,$20.30 ,$10.18 ,$14.50 ,$10.38 ,$21.75 ,$14.65 ,$13.20 ,$14.65 ,$10.18 ,$14.65 ,$14.70 ,$14.70 ,$14.70 ,$29.00 ,$24.65 ,$25.45 ,$23.20 ,$10.73 ,$23.20 ,$10.18 ,$10.18 ,$29.00 ,$15.72 ,$10.18 ,$7.63 , N/A , N/A ,$18.24 ,$17.41 ,$10.69 ,$24.65 ,$22.91 ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$14.70 ,$20.36 ,$20.36 ,$10.18 ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$32.25 ,$26.39 ,$29.27 ,$12.90 ,$15.12 ,$18.63 ,$12.90 ,$20.74 ,$12.90 ,$20.63 ,$3.50 ,$12.90 ,$20.63 ,$24.51 ,$43.78 ,$27.54 ,$32.25 ,$12.90 ,$37.80 ,$12.90 ,$27.00 ,$13.16 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$12.90 ,$27.27 ,$18.64 ,$18.64 ,$18.64 ,$54.00 ,$45.90 ,$32.25 ,$43.20 ,$19.98 ,$43.20 ,$12.90 ,$12.90 ,$54.00 ,$29.27 ,$12.90 ,$14.20 , N/A , N/A ,$18.24 ,$17.41 ,$13.55 ,$45.90 ,$29.03 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$18.64 ,$25.80 ,$25.80 ,$12.90 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30201061,86615,HC BORDETELLA AB-90,302,1 ,$135.00 ,$87.75 ,$3.50 ,$135.00 ,$32.98 ,$26.97 ,$73.17 ,$13.19 ,$37.80 ,$46.58 ,$13.19 ,$51.84 ,$13.19 ,$51.57 ,$3.50 ,$13.19 ,$51.57 ,$25.06 ,$44.97 ,$68.85 ,$32.98 ,$13.19 ,$94.50 ,$13.19 ,$67.50 ,$13.45 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$13.19 ,$68.18 ,$19.05 ,$19.05 ,$19.05 ,$135.00 ,$114.75 ,$32.98 ,$108.00 ,$49.95 ,$108.00 ,$13.19 ,$13.19 ,$135.00 ,$73.17 ,$13.19 ,$35.51 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$114.75 ,$29.68 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$38.73 ,$31.69 ,$35.23 ,$15.49 ,$18.20 ,$22.43 ,$15.49 ,$24.96 ,$15.49 ,$24.83 ,$3.50 ,$15.49 ,$24.83 ,$29.43 ,$52.08 ,$33.15 ,$38.73 ,$15.49 ,$45.50 ,$15.49 ,$32.50 ,$15.80 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$15.49 ,$32.83 ,$22.37 ,$22.37 ,$22.37 ,$65.00 ,$55.25 ,$38.73 ,$52.00 ,$24.05 ,$52.00 ,$15.49 ,$15.49 ,$65.00 ,$35.23 ,$15.49 ,$17.10 , N/A , N/A ,$18.24 ,$17.41 ,$16.26 ,$55.25 ,$34.85 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$22.37 ,$30.98 ,$30.98 ,$15.49 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30201063,86618,HC LYME AB-90,302,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$42.58 ,$34.83 ,$45.53 ,$17.03 ,$23.52 ,$28.98 ,$17.03 ,$32.26 ,$17.03 ,$32.09 ,$3.50 ,$17.03 ,$32.09 ,$32.36 ,$57.99 ,$42.84 ,$42.58 ,$17.03 ,$58.80 ,$17.03 ,$42.00 ,$17.37 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$17.03 ,$42.42 ,$24.60 ,$24.60 ,$24.60 ,$84.00 ,$71.40 ,$42.58 ,$67.20 ,$31.08 ,$67.20 ,$17.03 ,$17.03 ,$84.00 ,$45.53 ,$17.03 ,$22.09 , N/A , N/A ,$18.24 ,$17.41 ,$17.88 ,$71.40 ,$38.32 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$24.60 ,$34.06 ,$34.06 ,$17.03 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30201065,86622,HC BRUCELLA AB-90,302,1 ,$123.00 ,$79.95 ,$3.50 ,$123.00 ,$22.33 ,$18.27 ,$66.67 ,$8.93 ,$34.44 ,$37.00 ,$8.93 ,$37.00 ,$8.93 ,$46.99 ,$3.50 ,$8.93 ,$46.99 ,$16.97 ,$30.76 ,$62.73 ,$22.33 ,$8.93 ,$86.10 ,$8.93 ,$61.50 ,$9.11 ,$92.25 ,$62.12 ,$55.97 ,$62.12 ,$8.93 ,$62.12 ,$12.90 ,$12.90 ,$12.90 ,$123.00 ,$104.55 ,$22.33 ,$98.40 ,$45.51 ,$98.40 ,$8.93 ,$8.93 ,$123.00 ,$66.67 ,$8.93 ,$32.35 , N/A , N/A ,$18.24 ,$17.41 ,$9.38 ,$104.55 ,$20.09 ,$80.93 ,$34.44 ,$110.70 ,$88.56 ,$123.00 ,$12.90 ,$17.86 ,$17.86 ,$8.93 ,$59.04 ,$110.70 ST. JOHN'S HOSPITAL,30201066,86628,HC CANDIDA AB-90,302,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$30.03 ,$24.55 ,$62.33 ,$12.01 ,$32.20 ,$39.68 ,$12.01 ,$44.16 ,$12.01 ,$43.93 ,$3.50 ,$12.01 ,$43.93 ,$22.82 ,$40.25 ,$58.65 ,$30.03 ,$12.01 ,$80.50 ,$12.01 ,$57.50 ,$12.25 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$12.01 ,$58.08 ,$17.34 ,$17.34 ,$17.34 ,$115.00 ,$97.75 ,$30.03 ,$92.00 ,$42.55 ,$92.00 ,$12.01 ,$12.01 ,$115.00 ,$62.33 ,$12.01 ,$30.25 , N/A , N/A ,$8.44 ,$8.05 ,$12.61 ,$97.75 ,$27.02 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$17.34 ,$24.02 ,$24.02 ,$12.01 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30201067,86631,HC CHLAMYDIA AB-90,302,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$29.55 ,$24.19 ,$26.56 ,$11.82 ,$13.72 ,$16.91 ,$11.82 ,$18.82 ,$11.82 ,$18.72 ,$3.50 ,$11.82 ,$18.72 ,$22.46 ,$40.25 ,$24.99 ,$29.55 ,$11.82 ,$34.30 ,$11.82 ,$24.50 ,$12.06 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$11.82 ,$24.75 ,$17.08 ,$17.08 ,$17.08 ,$49.00 ,$41.65 ,$29.55 ,$39.20 ,$18.13 ,$39.20 ,$11.82 ,$11.82 ,$49.00 ,$26.56 ,$11.82 ,$12.89 , N/A , N/A ,$8.44 ,$8.05 ,$12.41 ,$41.65 ,$26.60 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$17.08 ,$23.64 ,$23.64 ,$11.82 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30201072,86341,HC ISLET CELL AB TITER-90,302,1 ,$31.00 ,$20.15 ,$3.50 ,$58.93 ,$58.93 ,$31.00 ,$16.80 ,$23.57 ,$8.68 ,$10.70 ,$23.57 ,$11.90 ,$23.57 ,$11.84 ,$3.50 ,$23.57 ,$11.84 ,$31.00 ,$31.00 ,$15.81 ,$58.93 ,$23.57 ,$21.70 ,$23.57 ,$15.50 ,$24.04 ,$23.25 ,$15.66 ,$14.11 ,$15.66 ,$23.57 ,$15.66 ,$30.64 ,$30.64 ,$30.64 ,$31.00 ,$26.35 ,$31.00 ,$24.80 ,$11.47 ,$24.80 ,$23.57 ,$23.57 ,$31.00 ,$16.80 ,$23.57 ,$8.15 , N/A , N/A ,$18.24 ,$17.41 ,$24.75 ,$26.35 ,$53.03 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$30.64 ,$31.00 ,$31.00 ,$23.57 ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,30201073,86644,HC CMV AB MICROPLATE -90,302,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$35.98 ,$29.44 ,$40.65 ,$14.39 ,$21.00 ,$25.88 ,$14.39 ,$28.80 ,$14.39 ,$28.65 ,$3.50 ,$14.39 ,$28.65 ,$27.34 ,$48.55 ,$38.25 ,$35.98 ,$14.39 ,$52.50 ,$14.39 ,$37.50 ,$14.68 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$14.39 ,$37.88 ,$20.79 ,$20.79 ,$20.79 ,$75.00 ,$63.75 ,$35.98 ,$60.00 ,$27.75 ,$60.00 ,$14.39 ,$14.39 ,$75.00 ,$40.65 ,$14.39 ,$19.73 , N/A , N/A ,$18.24 ,$17.41 ,$15.11 ,$63.75 ,$32.38 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$20.79 ,$28.78 ,$28.78 ,$14.39 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30201074,86695,HC HERPES SIMPLEX AB I W/O TITER-90,302,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$32.98 ,$26.97 ,$29.27 ,$13.19 ,$15.12 ,$18.63 ,$13.19 ,$20.74 ,$13.19 ,$20.63 ,$3.50 ,$13.19 ,$20.63 ,$25.06 ,$44.97 ,$27.54 ,$32.98 ,$13.19 ,$37.80 ,$13.19 ,$27.00 ,$13.45 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$13.19 ,$27.27 ,$19.05 ,$19.05 ,$19.05 ,$54.00 ,$45.90 ,$32.98 ,$43.20 ,$19.98 ,$43.20 ,$13.19 ,$13.19 ,$54.00 ,$29.27 ,$13.19 ,$14.20 , N/A , N/A ,$18.24 ,$17.41 ,$13.85 ,$45.90 ,$29.68 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$19.05 ,$26.38 ,$26.38 ,$13.19 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30201075,86696,HC HERPES SIMPLEX AB II W/O TITER-90,302,1 ,$80.00 ,$52.00 ,$3.50 ,$80.00 ,$48.38 ,$39.57 ,$43.36 ,$19.35 ,$22.40 ,$27.60 ,$19.35 ,$30.72 ,$19.35 ,$30.56 ,$3.50 ,$19.35 ,$30.56 ,$36.77 ,$65.10 ,$40.80 ,$48.38 ,$19.35 ,$56.00 ,$19.35 ,$40.00 ,$19.74 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$19.35 ,$40.40 ,$27.96 ,$27.96 ,$27.96 ,$80.00 ,$68.00 ,$48.38 ,$64.00 ,$29.60 ,$64.00 ,$19.35 ,$19.35 ,$80.00 ,$43.36 ,$19.35 ,$21.04 , N/A , N/A ,$10.58 ,$10.10 ,$20.32 ,$68.00 ,$43.54 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$27.96 ,$38.70 ,$38.70 ,$19.35 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30201078,86713,HC LEGIONELLA AB TOTAL-90,302,1 ,$21.00 ,$13.65 ,$3.50 ,$38.25 ,$38.25 ,$21.00 ,$11.38 ,$15.30 ,$5.88 ,$7.25 ,$15.30 ,$8.06 ,$15.30 ,$8.02 ,$3.50 ,$15.30 ,$8.02 ,$21.00 ,$21.00 ,$10.71 ,$38.25 ,$15.30 ,$14.70 ,$15.30 ,$10.50 ,$15.61 ,$15.75 ,$10.61 ,$9.56 ,$10.61 ,$15.30 ,$10.61 ,$21.00 ,$21.00 ,$21.00 ,$21.00 ,$17.85 ,$21.00 ,$16.80 ,$7.77 ,$16.80 ,$15.30 ,$15.30 ,$21.00 ,$11.38 ,$15.30 ,$5.52 , N/A , N/A ,$18.24 ,$17.41 ,$16.07 ,$17.85 ,$34.43 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$21.00 ,$21.00 ,$21.00 ,$15.30 ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,30201079,86711,HC AB JOHN CUNNINGHAM VIRUS-90,302,1 ,"$1,630.00 ","$1,059.50 ",$3.50 ,"$1,630.00 ",$42.23 ,$29.44 ,$883.46 ,$16.89 ,$456.40 ,$59.60 ,$16.89 ,$59.60 ,$16.89 ,$622.66 ,$3.50 ,$16.89 ,$622.66 ,$32.09 ,$56.80 ,$831.30 ,$42.23 ,$16.89 ,"$1,141.00 ",$16.89 ,$815.00 ,$17.23 ,"$1,222.50 ",$823.15 ,$741.65 ,$823.15 ,$16.89 ,$823.15 ,$21.96 ,$21.96 ,$21.96 ,"$1,630.00 ","$1,385.50 ",$42.23 ,"$1,304.00 ",$603.10 ,"$1,304.00 ",$16.89 ,$16.89 ,"$1,630.00 ",$883.46 ,$16.89 ,$428.69 , N/A , N/A ,$10.58 ,$10.10 ,$17.73 ,"$1,385.50 ",$38.00 ,"$1,072.54 ",$456.40 ,"$1,467.00 ","$1,173.60 ","$1,630.00 ",$21.96 ,$33.78 ,$33.78 ,$16.89 ,$782.40 ,"$1,467.00 " ST. JOHN'S HOSPITAL,30201086,86703,HC HIV 1 HIV 2 AB SGL ASSAY-90,302,1 ,$186.00 ,$120.90 ,$3.50 ,$186.00 ,$34.28 ,$28.04 ,$100.81 ,$13.71 ,$52.08 ,$64.17 ,$13.71 ,$71.42 ,$13.71 ,$71.05 ,$3.50 ,$13.71 ,$71.05 ,$26.05 ,$46.17 ,$94.86 ,$34.28 ,$13.71 ,$130.20 ,$13.71 ,$93.00 ,$13.98 ,$139.50 ,$93.93 ,$84.63 ,$93.93 ,$13.71 ,$93.93 ,$19.80 ,$19.80 ,$19.80 ,$186.00 ,$158.10 ,$34.28 ,$148.80 ,$68.82 ,$148.80 ,$13.71 ,$13.71 ,$186.00 ,$100.81 ,$13.71 ,$48.92 , N/A , N/A ,$10.58 ,$10.10 ,$14.40 ,$158.10 ,$30.85 ,$122.39 ,$52.08 ,$167.40 ,$133.92 ,$186.00 ,$19.80 ,$27.42 ,$27.42 ,$13.71 ,$89.28 ,$167.40 ST. JOHN'S HOSPITAL,30201088,86008,HC ALLERGEN IGE QN/SEMI-QN RECOMB/COMP EA-90,302,1 ,$26.00 ,$16.90 ,$3.50 ,$44.83 ,$44.83 ,$26.00 ,$14.09 ,$17.93 ,$7.28 ,$8.97 ,$17.93 ,$9.98 ,$17.93 ,$9.93 ,$3.50 ,$17.93 ,$9.93 ,$26.00 ,$26.00 ,$13.26 ,$44.83 ,$17.93 ,$18.20 ,$17.93 ,$13.00 ,$18.29 ,$19.50 ,$13.13 ,$11.83 ,$13.13 ,$17.93 ,$13.13 ,$25.91 ,$25.91 ,$25.91 ,$26.00 ,$22.10 ,$26.00 ,$20.80 ,$9.62 ,$20.80 ,$17.93 ,$17.93 ,$26.00 ,$14.09 ,$17.93 ,$6.84 , N/A , N/A ,$10.58 ,$10.10 ,$18.83 ,$22.10 ,$40.34 ,$17.11 ,$7.28 ,$23.40 ,$18.72 ,$26.00 ,$25.91 ,$26.00 ,$26.00 ,$17.93 ,$12.48 ,$23.40 ST. JOHN'S HOSPITAL,30201089,86430,HC RHEUMATOID FACTOR-90,302,1 ,$113.00 ,$73.45 ,$3.50 ,$113.00 ,$15.35 ,$11.60 ,$61.25 ,$6.14 ,$31.64 ,$23.48 ,$6.14 ,$23.48 ,$6.14 ,$43.17 ,$3.50 ,$6.14 ,$43.17 ,$11.67 ,$21.32 ,$57.63 ,$15.35 ,$6.14 ,$79.10 ,$6.14 ,$56.50 ,$6.26 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$6.14 ,$57.07 ,$8.19 ,$8.19 ,$8.19 ,$113.00 ,$96.05 ,$15.35 ,$90.40 ,$41.81 ,$90.40 ,$6.14 ,$6.14 ,$113.00 ,$61.25 ,$6.14 ,$29.72 , N/A , N/A ,$10.58 ,$10.10 ,$6.45 ,$96.05 ,$13.82 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$8.19 ,$12.28 ,$12.28 ,$6.14 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,30201091,86794,HC ZIKA VIRUS AB IGM-90,302,1 ,$278.00 ,$180.70 ,$3.50 ,$278.00 ,$42.13 ,$30.94 ,$150.68 ,$16.85 ,$77.84 ,$69.76 ,$16.85 ,$69.76 ,$16.85 ,$106.20 ,$3.50 ,$16.85 ,$106.20 ,$32.02 ,$56.80 ,$141.78 ,$42.13 ,$16.85 ,$194.60 ,$16.85 ,$139.00 ,$17.19 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$16.85 ,$140.39 ,$24.34 ,$24.34 ,$24.34 ,$278.00 ,$236.30 ,$42.13 ,$222.40 ,$102.86 ,$222.40 ,$16.85 ,$16.85 ,$278.00 ,$150.68 ,$16.85 ,$73.11 , N/A , N/A ,$10.58 ,$10.10 ,$17.69 ,$236.30 ,$37.91 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$24.34 ,$33.70 ,$33.70 ,$16.85 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,30201145,86832,HC HLA AB ID CLASS I HIGH DEF-90,302,1 ,$856.00 ,$556.40 ,$3.50 ,$856.00 ,$809.38 ,$259.42 ,$463.95 ,$323.75 ,$239.68 ,$295.32 ,$323.75 ,$328.70 ,$323.75 ,$326.99 ,$3.50 ,$323.75 ,$326.99 ,$615.13 ,$856.00 ,$436.56 ,$809.38 ,$323.75 ,$599.20 ,$323.75 ,$428.00 ,$330.23 ,$642.00 ,$432.28 ,$389.48 ,$432.28 ,$323.75 ,$432.28 ,$420.88 ,$420.88 ,$420.88 ,$856.00 ,$727.60 ,$809.38 ,$684.80 ,$316.72 ,$684.80 ,$323.75 ,$323.75 ,$856.00 ,$463.95 ,$323.75 ,$225.13 , N/A , N/A ,$42.70 ,$40.76 ,$339.94 ,$727.60 ,$728.44 ,$563.25 ,$239.68 ,$770.40 ,$616.32 ,$856.00 ,$420.88 ,$647.50 ,$647.50 ,$323.75 ,$410.88 ,$770.40 ST. JOHN'S HOSPITAL,30201149,86327,HC IMMUNOELECTROPHORESIS ASSAY CROSSED-90,302,1 ,$179.00 ,$116.35 ,$11.28 ,$179.00 ,$74.80 ,$33.36 ,$97.02 ,$29.92 ,$50.12 ,$61.76 ,$29.92 ,$68.74 ,$29.92 ,$68.38 ,$21.24 ,$29.92 ,$68.38 ,$56.85 ,$101.82 ,$91.29 ,$74.80 ,$29.92 ,$125.30 ,$29.92 ,$89.50 ,$30.52 ,$134.25 ,$90.40 ,$81.45 ,$90.40 ,$29.92 ,$90.40 ,$38.90 ,$38.90 ,$38.90 ,$179.00 ,$152.15 ,$74.80 ,$143.20 ,$66.23 ,$143.20 ,$29.92 ,$29.92 ,$179.00 ,$97.02 ,$29.92 ,$47.08 , N/A , N/A ,$11.81 ,$11.28 ,$31.42 ,$152.15 ,$67.32 ,$117.78 ,$50.12 ,$161.10 ,$128.88 ,$179.00 ,$38.90 ,$59.84 ,$59.84 ,$29.92 ,$85.92 ,$161.10 ST. JOHN'S HOSPITAL,30201150,86828,HC HLA CLASS I AND II ANTIBODY ANTIGENS QL-90,302,1 ,$200.00 ,$130.00 ,$3.50 ,$200.00 ,$160.48 ,$80.92 ,$108.40 ,$64.19 ,$56.00 ,$69.00 ,$64.19 ,$76.80 ,$64.19 ,$76.40 ,$3.50 ,$64.19 ,$76.40 ,$121.96 ,$200.00 ,$102.00 ,$160.48 ,$64.19 ,$140.00 ,$64.19 ,$100.00 ,$65.47 ,$150.00 ,$101.00 ,$91.00 ,$101.00 ,$64.19 ,$101.00 ,$83.45 ,$83.45 ,$83.45 ,$200.00 ,$170.00 ,$160.48 ,$160.00 ,$74.00 ,$160.00 ,$64.19 ,$64.19 ,$200.00 ,$108.40 ,$64.19 ,$52.60 , N/A , N/A ,$42.70 ,$40.76 ,$67.40 ,$170.00 ,$144.43 ,$131.60 ,$56.00 ,$180.00 ,$144.00 ,$200.00 ,$83.45 ,$128.38 ,$128.38 ,$64.19 ,$96.00 ,$180.00 ST. JOHN'S HOSPITAL,30201151,86022,HC PLATELET CROSSMATCH -90,302,1 ,$159.00 ,$103.35 ,$3.50 ,$159.00 ,$45.93 ,$29.82 ,$86.18 ,$18.37 ,$44.52 ,$54.86 ,$18.37 ,$61.06 ,$18.37 ,$60.74 ,$3.50 ,$18.37 ,$60.74 ,$34.90 ,$62.76 ,$81.09 ,$45.93 ,$18.37 ,$111.30 ,$18.37 ,$79.50 ,$18.74 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$18.37 ,$80.30 ,$26.53 ,$26.53 ,$26.53 ,$159.00 ,$135.15 ,$45.93 ,$127.20 ,$58.83 ,$127.20 ,$18.37 ,$18.37 ,$159.00 ,$86.18 ,$18.37 ,$41.82 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$135.15 ,$41.33 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,30201152,86255,HC FLUOR AB SCR AQUAPORIN-90,302,1 ,$731.00 ,$475.15 ,$9.51 ,$731.00 ,$30.13 ,$24.64 ,$396.20 ,$12.05 ,$204.68 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$279.24 ,$9.51 ,$12.05 ,$279.24 ,$22.90 ,$41.44 ,$372.81 ,$30.13 ,$12.05 ,$511.70 ,$12.05 ,$365.50 ,$12.29 ,$548.25 ,$369.16 ,$332.61 ,$369.16 ,$12.05 ,$369.16 ,$17.41 ,$17.41 ,$17.41 ,$731.00 ,$621.35 ,$30.13 ,$584.80 ,$270.47 ,$584.80 ,$12.05 ,$12.05 ,$731.00 ,$396.20 ,$12.05 ,$192.25 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$621.35 ,$27.11 ,$481.00 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$350.88 ,$657.90 ST. JOHN'S HOSPITAL,30201153,86256,HC FLUOR AB SCR AQUAPORIN TITER-90,302,1 ,$885.00 ,$575.25 ,$9.51 ,$885.00 ,$30.13 ,$24.64 ,$479.67 ,$12.05 ,$247.80 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$338.07 ,$9.51 ,$12.05 ,$338.07 ,$22.90 ,$41.44 ,$451.35 ,$30.13 ,$12.05 ,$619.50 ,$12.05 ,$442.50 ,$12.29 ,$663.75 ,$446.93 ,$402.68 ,$446.93 ,$12.05 ,$446.93 ,$17.41 ,$17.41 ,$17.41 ,$885.00 ,$752.25 ,$30.13 ,$708.00 ,$327.45 ,$708.00 ,$12.05 ,$12.05 ,$885.00 ,$479.67 ,$12.05 ,$232.76 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$752.25 ,$27.11 ,$582.33 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,30201154,86256,HC FLUOR AB ACT PARANEOPLASTIC TITER-90,302,1 ,$885.00 ,$575.25 ,$9.51 ,$885.00 ,$30.13 ,$24.64 ,$479.67 ,$12.05 ,$247.80 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$338.07 ,$9.51 ,$12.05 ,$338.07 ,$22.90 ,$41.44 ,$451.35 ,$30.13 ,$12.05 ,$619.50 ,$12.05 ,$442.50 ,$12.29 ,$663.75 ,$446.93 ,$402.68 ,$446.93 ,$12.05 ,$446.93 ,$17.41 ,$17.41 ,$17.41 ,$885.00 ,$752.25 ,$30.13 ,$708.00 ,$327.45 ,$708.00 ,$12.05 ,$12.05 ,$885.00 ,$479.67 ,$12.05 ,$232.76 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$752.25 ,$27.11 ,$582.33 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,30201155,86256,HC FLUOR AB SCR NEURONAL NUCLEAR TITER-90,302,1 ,$885.00 ,$575.25 ,$9.51 ,$885.00 ,$30.13 ,$24.64 ,$479.67 ,$12.05 ,$247.80 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$338.07 ,$9.51 ,$12.05 ,$338.07 ,$22.90 ,$41.44 ,$451.35 ,$30.13 ,$12.05 ,$619.50 ,$12.05 ,$442.50 ,$12.29 ,$663.75 ,$446.93 ,$402.68 ,$446.93 ,$12.05 ,$446.93 ,$17.41 ,$17.41 ,$17.41 ,$885.00 ,$752.25 ,$30.13 ,$708.00 ,$327.45 ,$708.00 ,$12.05 ,$12.05 ,$885.00 ,$479.67 ,$12.05 ,$232.76 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$752.25 ,$27.11 ,$582.33 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,30201156,86256,HC FLUOR AB SCR PURKINJE CELL CYTOPLASMIC TITER-90,302,1 ,$885.00 ,$575.25 ,$9.51 ,$885.00 ,$30.13 ,$24.64 ,$479.67 ,$12.05 ,$247.80 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$338.07 ,$9.51 ,$12.05 ,$338.07 ,$22.90 ,$41.44 ,$451.35 ,$30.13 ,$12.05 ,$619.50 ,$12.05 ,$442.50 ,$12.29 ,$663.75 ,$446.93 ,$402.68 ,$446.93 ,$12.05 ,$446.93 ,$17.41 ,$17.41 ,$17.41 ,$885.00 ,$752.25 ,$30.13 ,$708.00 ,$327.45 ,$708.00 ,$12.05 ,$12.05 ,$885.00 ,$479.67 ,$12.05 ,$232.76 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$752.25 ,$27.11 ,$582.33 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,30201157,86255,HC FLUOR AB SCR PARANEOPLASTIC-90,302,1 ,$420.00 ,$273.00 ,$9.51 ,$420.00 ,$30.13 ,$24.64 ,$227.64 ,$12.05 ,$117.60 ,$49.90 ,$12.05 ,$49.90 ,$12.05 ,$160.44 ,$9.51 ,$12.05 ,$160.44 ,$22.90 ,$41.44 ,$214.20 ,$30.13 ,$12.05 ,$294.00 ,$12.05 ,$210.00 ,$12.29 ,$315.00 ,$212.10 ,$191.10 ,$212.10 ,$12.05 ,$212.10 ,$17.41 ,$17.41 ,$17.41 ,$420.00 ,$357.00 ,$30.13 ,$336.00 ,$155.40 ,$336.00 ,$12.05 ,$12.05 ,$420.00 ,$227.64 ,$12.05 ,$110.46 , N/A , N/A ,$18.24 ,$17.41 ,$12.65 ,$357.00 ,$27.11 ,$276.36 ,$117.60 ,$378.00 ,$302.40 ,$420.00 ,$17.41 ,$24.10 ,$24.10 ,$12.05 ,$201.60 ,$378.00 ST. JOHN'S HOSPITAL,30201161,86833,HC HLA ANTIBODY-90,302,1 ,"$1,021.00 ",$663.65 ,$3.50 ,"$1,021.00 ",$814.50 ,$235.85 ,$553.38 ,$325.80 ,$285.88 ,$352.25 ,$325.80 ,$392.06 ,$325.80 ,$390.02 ,$3.50 ,$325.80 ,$390.02 ,$619.02 ,"$1,021.00 ",$520.71 ,$814.50 ,$325.80 ,$714.70 ,$325.80 ,$510.50 ,$332.32 ,$765.75 ,$515.61 ,$464.56 ,$515.61 ,$325.80 ,$515.61 ,$423.54 ,$423.54 ,$423.54 ,"$1,021.00 ",$867.85 ,$814.50 ,$816.80 ,$377.77 ,$816.80 ,$325.80 ,$325.80 ,"$1,021.00 ",$553.38 ,$325.80 ,$268.52 , N/A , N/A ,$42.70 ,$40.76 ,$342.09 ,$867.85 ,$733.05 ,$671.82 ,$285.88 ,$918.90 ,$735.12 ,"$1,021.00 ",$423.54 ,$651.60 ,$651.60 ,$325.80 ,$490.08 ,$918.90 ST. JOHN'S HOSPITAL,30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$140.00 ,$91.00 ,$3.50 ,$140.00 ,$29.95 ,$24.54 ,$75.88 ,$11.98 ,$39.20 ,$48.30 ,$11.98 ,$49.64 ,$11.98 ,$53.48 ,$3.50 ,$11.98 ,$53.48 ,$22.76 ,$40.25 ,$71.40 ,$29.95 ,$11.98 ,$98.00 ,$11.98 ,$70.00 ,$12.22 ,$105.00 ,$70.70 ,$63.70 ,$70.70 ,$11.98 ,$70.70 ,$17.32 ,$17.32 ,$17.32 ,$140.00 ,$119.00 ,$29.95 ,$112.00 ,$51.80 ,$112.00 ,$11.98 ,$11.98 ,$140.00 ,$75.88 ,$11.98 ,$36.82 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$119.00 ,$26.96 ,$92.12 ,$39.20 ,$126.00 ,$100.80 ,$140.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$67.20 ,$126.00 ST. JOHN'S HOSPITAL,30201180,86940,HC HEMOLYSINS AGGLUTININS AUTO- 90,302,1 ,$146.00 ,$94.90 ,$3.50 ,$146.00 ,$21.93 ,$16.77 ,$79.13 ,$8.77 ,$40.88 ,$33.95 ,$8.77 ,$33.95 ,$8.77 ,$55.77 ,$3.50 ,$8.77 ,$55.77 ,$16.66 ,$29.61 ,$74.46 ,$21.93 ,$8.77 ,$102.20 ,$8.77 ,$73.00 ,$8.95 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$8.77 ,$73.73 ,$11.84 ,$11.84 ,$11.84 ,$146.00 ,$124.10 ,$21.93 ,$116.80 ,$54.02 ,$116.80 ,$8.77 ,$8.77 ,$146.00 ,$79.13 ,$8.77 ,$38.40 , N/A , N/A ,$18.24 ,$17.41 ,$9.21 ,$124.10 ,$19.73 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$11.84 ,$17.54 ,$17.54 ,$8.77 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,30201181,86328,HC IA NFCT AB SARSCOV2- 90,302,1 ,$150.00 ,$97.50 ,$10.10 ,$150.00 ,$113.20 ,$79.15 ,$81.30 ,$45.28 ,$42.00 ,$48.00 ,$45.28 ,$55.20 ,$45.28 ,$57.30 ,$60.00 ,$45.28 ,$57.30 ,$86.03 ,$78.90 ,$76.50 ,$113.20 ,$45.28 ,$105.00 ,$45.28 ,$75.00 ,$46.19 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$45.28 ,$75.75 ,$105.00 ,$105.00 ,$105.00 ,$150.00 ,$127.50 ,$113.20 ,$120.00 ,$55.50 ,$120.00 ,$45.28 ,$45.28 ,$150.00 ,$81.30 ,$45.28 ,$39.45 , N/A , N/A ,$10.58 ,$10.10 ,$47.54 ,$127.50 ,$101.88 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$105.00 ,$90.56 ,$90.56 ,$45.28 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$23.00 ,$14.95 ,$3.50 ,$23.00 ,$9.50 ,$7.04 ,$12.47 ,$3.80 ,$6.44 ,$7.94 ,$3.80 ,$8.83 ,$3.80 ,$8.79 ,$3.50 ,$3.80 ,$8.79 ,$7.22 ,$13.02 ,$11.73 ,$9.50 ,$3.80 ,$16.10 ,$3.80 ,$11.50 ,$3.88 ,$17.25 ,$11.62 ,$10.47 ,$11.62 ,$3.80 ,$11.62 ,$4.97 ,$4.97 ,$4.97 ,$23.00 ,$19.55 ,$9.50 ,$18.40 ,$8.51 ,$18.40 ,$3.80 ,$3.80 ,$23.00 ,$12.47 ,$3.80 ,$6.05 , N/A , N/A ,$7.34 ,$7.00 ,$3.99 ,$19.55 ,$8.55 ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$4.97 ,$7.60 ,$7.60 ,$3.80 ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,30500104,85014,HC HEMATOCRIT,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500106,85018,HC HGB,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$19.43 ,$15.91 ,$57.45 ,$7.77 ,$29.68 ,$36.57 ,$7.77 ,$40.70 ,$7.77 ,$40.49 ,$3.50 ,$7.77 ,$40.49 ,$14.76 ,$26.04 ,$54.06 ,$19.43 ,$7.77 ,$74.20 ,$7.77 ,$53.00 ,$7.93 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$7.77 ,$53.53 ,$11.22 ,$11.22 ,$11.22 ,$106.00 ,$90.10 ,$19.43 ,$84.80 ,$39.22 ,$84.80 ,$7.77 ,$7.77 ,$7.77 ,$57.45 ,$7.77 ,$27.88 , N/A , N/A ,$7.34 ,$7.00 ,$8.16 ,$90.10 ,$17.48 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$11.22 ,$15.54 ,$15.54 ,$7.77 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30500108,85027,HC CBC W/O DIFF,305,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$16.18 ,$13.23 ,$46.07 ,$6.47 ,$23.80 ,$29.33 ,$6.47 ,$32.64 ,$6.47 ,$32.47 ,$3.50 ,$6.47 ,$32.47 ,$12.29 ,$22.51 ,$43.35 ,$16.18 ,$6.47 ,$59.50 ,$6.47 ,$42.50 ,$6.60 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$6.47 ,$42.93 ,$9.33 ,$9.33 ,$9.33 ,$85.00 ,$72.25 ,$16.18 ,$68.00 ,$31.45 ,$68.00 ,$6.47 ,$6.47 ,$6.47 ,$46.07 ,$6.47 ,$22.36 , N/A , N/A ,$7.34 ,$7.00 ,$6.79 ,$72.25 ,$14.56 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$42.00 ,$27.30 ,$2.54 ,$42.00 ,$6.35 ,$5.20 ,$22.76 ,$2.54 ,$11.76 ,$14.19 ,$2.54 ,$14.19 ,$2.54 ,$16.04 ,$3.50 ,$2.54 ,$16.04 ,$4.83 ,$8.30 ,$21.42 ,$6.35 ,$2.54 ,$29.40 ,$2.54 ,$21.00 ,$2.59 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.54 ,$21.21 ,$3.67 ,$3.67 ,$3.67 ,$42.00 ,$35.70 ,$6.35 ,$33.60 ,$15.54 ,$33.60 ,$2.54 ,$2.54 ,$42.00 ,$22.76 ,$2.54 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.67 ,$35.70 ,$5.72 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.67 ,$5.08 ,$5.08 ,$2.54 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$11.20 ,$9.15 ,$22.76 ,$4.48 ,$11.76 ,$14.49 ,$4.48 ,$16.13 ,$4.48 ,$16.04 ,$3.50 ,$4.48 ,$16.04 ,$8.51 ,$15.40 ,$21.42 ,$11.20 ,$4.48 ,$29.40 ,$4.48 ,$21.00 ,$4.57 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$4.48 ,$21.21 ,$6.46 ,$6.46 ,$6.46 ,$42.00 ,$35.70 ,$11.20 ,$33.60 ,$15.54 ,$33.60 ,$4.48 ,$4.48 ,$42.00 ,$22.76 ,$4.48 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$4.70 ,$35.70 ,$10.08 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$6.46 ,$8.96 ,$8.96 ,$4.48 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500125,85230,HC FACTOR VII,305,1 ,$105.00 ,$68.25 ,$3.50 ,$105.00 ,$44.75 ,$36.61 ,$56.91 ,$17.90 ,$29.40 ,$36.23 ,$17.90 ,$40.32 ,$17.90 ,$40.11 ,$3.50 ,$17.90 ,$40.11 ,$34.01 ,$60.38 ,$53.55 ,$44.75 ,$17.90 ,$73.50 ,$17.90 ,$52.50 ,$18.26 ,$78.75 ,$53.03 ,$47.78 ,$53.03 ,$17.90 ,$53.03 ,$25.86 ,$25.86 ,$25.86 ,$105.00 ,$89.25 ,$44.75 ,$84.00 ,$38.85 ,$84.00 ,$17.90 ,$17.90 ,$105.00 ,$56.91 ,$17.90 ,$27.62 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$89.25 ,$40.28 ,$69.09 ,$29.40 ,$94.50 ,$75.60 ,$105.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$50.40 ,$94.50 ST. JOHN'S HOSPITAL,30500126,85240,HC FACTOR VIII AHG,305,1 ,$117.00 ,$76.05 ,$3.50 ,$117.00 ,$44.75 ,$36.61 ,$63.41 ,$17.90 ,$32.76 ,$40.37 ,$17.90 ,$44.93 ,$17.90 ,$44.69 ,$3.50 ,$17.90 ,$44.69 ,$34.01 ,$60.38 ,$59.67 ,$44.75 ,$17.90 ,$81.90 ,$17.90 ,$58.50 ,$18.26 ,$87.75 ,$59.09 ,$53.24 ,$59.09 ,$17.90 ,$59.09 ,$25.86 ,$25.86 ,$25.86 ,$117.00 ,$99.45 ,$44.75 ,$93.60 ,$43.29 ,$93.60 ,$17.90 ,$17.90 ,$117.00 ,$63.41 ,$17.90 ,$30.77 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$99.45 ,$40.28 ,$76.99 ,$32.76 ,$105.30 ,$84.24 ,$117.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$56.16 ,$105.30 ST. JOHN'S HOSPITAL,30500149,85300,HC ANTITHROMBIN III ACT,305,1 ,$101.00 ,$65.65 ,$3.50 ,$101.00 ,$29.63 ,$24.24 ,$54.74 ,$11.85 ,$28.28 ,$34.85 ,$11.85 ,$38.78 ,$11.85 ,$38.58 ,$3.50 ,$11.85 ,$38.58 ,$22.52 ,$40.25 ,$51.51 ,$29.63 ,$11.85 ,$70.70 ,$11.85 ,$50.50 ,$12.09 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$11.85 ,$51.01 ,$17.12 ,$17.12 ,$17.12 ,$101.00 ,$85.85 ,$29.63 ,$80.80 ,$37.37 ,$80.80 ,$11.85 ,$11.85 ,$101.00 ,$54.74 ,$11.85 ,$26.56 , N/A , N/A ,$12.72 ,$12.14 ,$12.44 ,$85.85 ,$26.66 ,$66.46 ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$17.12 ,$23.70 ,$23.70 ,$11.85 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,30500168,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$10.70 ,$7.30 ,$42.28 ,$4.28 ,$21.84 ,$17.65 ,$4.28 ,$17.65 ,$4.28 ,$29.80 ,$3.50 ,$4.28 ,$29.80 ,$8.13 ,$14.21 ,$39.78 ,$10.70 ,$4.28 ,$54.60 ,$4.28 ,$39.00 ,$4.37 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$4.28 ,$39.39 ,$6.15 ,$6.15 ,$6.15 ,$78.00 ,$66.30 ,$10.70 ,$62.40 ,$28.86 ,$62.40 ,$4.28 ,$4.28 ,$78.00 ,$42.28 ,$4.28 ,$20.51 , N/A , N/A ,$4.28 ,$4.08 ,$4.49 ,$66.30 ,$9.63 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$6.15 ,$8.56 ,$8.56 ,$4.28 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500175,85379,HC D DIMER QN,305,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$25.45 ,$20.81 ,$34.69 ,$10.18 ,$17.92 ,$22.08 ,$10.18 ,$24.58 ,$10.18 ,$24.45 ,$3.50 ,$10.18 ,$24.45 ,$19.34 ,$34.34 ,$32.64 ,$25.45 ,$10.18 ,$44.80 ,$10.18 ,$32.00 ,$10.38 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$10.18 ,$32.32 ,$14.70 ,$14.70 ,$14.70 ,$64.00 ,$54.40 ,$25.45 ,$51.20 ,$23.68 ,$51.20 ,$10.18 ,$10.18 ,$64.00 ,$34.69 ,$10.18 ,$16.83 , N/A , N/A ,$12.72 ,$12.14 ,$10.69 ,$54.40 ,$22.91 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$14.70 ,$20.36 ,$20.36 ,$10.18 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30500176,85384,HC FIBRINOGEN,305,1 ,$116.00 ,$75.40 ,$3.50 ,$116.00 ,$24.30 ,$17.38 ,$62.87 ,$9.72 ,$32.48 ,$35.19 ,$9.72 ,$35.19 ,$9.72 ,$44.31 ,$3.50 ,$9.72 ,$44.31 ,$18.47 ,$33.15 ,$59.16 ,$24.30 ,$9.72 ,$81.20 ,$9.72 ,$58.00 ,$9.91 ,$87.00 ,$58.58 ,$52.78 ,$58.58 ,$9.72 ,$58.58 ,$12.64 ,$12.64 ,$12.64 ,$116.00 ,$98.60 ,$24.30 ,$92.80 ,$42.92 ,$92.80 ,$9.72 ,$9.72 ,$116.00 ,$62.87 ,$9.72 ,$30.51 , N/A , N/A ,$4.28 ,$4.08 ,$10.21 ,$98.60 ,$21.87 ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$12.64 ,$19.44 ,$19.44 ,$9.72 ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,30500187,85520,HC HEPARIN ASSAY,305,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$32.73 ,$26.78 ,$84.01 ,$13.09 ,$43.40 ,$53.48 ,$13.09 ,$54.18 ,$13.09 ,$59.21 ,$3.50 ,$13.09 ,$59.21 ,$24.87 ,$44.97 ,$79.05 ,$32.73 ,$13.09 ,$108.50 ,$13.09 ,$77.50 ,$13.35 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$13.09 ,$78.28 ,$18.92 ,$18.92 ,$18.92 ,$155.00 ,$131.75 ,$32.73 ,$124.00 ,$57.35 ,$124.00 ,$13.09 ,$13.09 ,$155.00 ,$84.01 ,$13.09 ,$40.77 , N/A , N/A ,$12.72 ,$12.14 ,$13.74 ,$131.75 ,$29.45 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$18.92 ,$26.18 ,$26.18 ,$13.09 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$224.00 ,$145.60 ,$12.14 ,$224.00 ,$62.28 ,$43.93 ,$121.41 ,$24.91 ,$62.72 ,$77.28 ,$24.91 ,$86.02 ,$24.91 ,$85.57 ,$23.66 ,$24.91 ,$85.57 ,$47.33 ,$84.03 ,$114.24 ,$62.28 ,$24.91 ,$156.80 ,$24.91 ,$112.00 ,$25.41 ,$168.00 ,$113.12 ,$101.92 ,$113.12 ,$24.91 ,$113.12 ,$32.38 ,$32.38 ,$32.38 ,$224.00 ,$190.40 ,$62.28 ,$179.20 ,$82.88 ,$179.20 ,$24.91 ,$24.91 ,$224.00 ,$121.41 ,$24.91 ,$58.91 , N/A , N/A ,$12.72 ,$12.14 ,$26.16 ,$190.40 ,$56.05 ,$147.39 ,$62.72 ,$201.60 ,$161.28 ,$224.00 ,$32.38 ,$49.82 ,$49.82 ,$24.91 ,$107.52 ,$201.60 ST. JOHN'S HOSPITAL,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$77.00 ,$50.05 ,$3.50 ,$77.00 ,$10.73 ,$8.03 ,$41.73 ,$4.29 ,$21.56 ,$22.03 ,$4.29 ,$22.03 ,$4.29 ,$29.41 ,$3.50 ,$4.29 ,$29.41 ,$8.15 ,$14.21 ,$39.27 ,$10.73 ,$4.29 ,$53.90 ,$4.29 ,$38.50 ,$4.38 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$4.29 ,$38.89 ,$5.68 ,$5.68 ,$5.68 ,$77.00 ,$65.45 ,$10.73 ,$61.60 ,$28.49 ,$61.60 ,$4.29 ,$4.29 ,$77.00 ,$41.73 ,$4.29 ,$20.25 , N/A , N/A ,$4.28 ,$4.08 ,$4.50 ,$65.45 ,$9.65 ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$5.68 ,$8.58 ,$8.58 ,$4.29 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,30500202,85613,HC RUSSELL VIPER VENOM DIL,305,1 ,$97.00 ,$63.05 ,$3.50 ,$97.00 ,$23.95 ,$19.58 ,$52.57 ,$9.58 ,$27.16 ,$33.47 ,$9.58 ,$37.25 ,$9.58 ,$37.05 ,$3.50 ,$9.58 ,$37.05 ,$18.20 ,$31.95 ,$49.47 ,$23.95 ,$9.58 ,$67.90 ,$9.58 ,$48.50 ,$9.77 ,$72.75 ,$48.99 ,$44.14 ,$48.99 ,$9.58 ,$48.99 ,$13.83 ,$13.83 ,$13.83 ,$97.00 ,$82.45 ,$23.95 ,$77.60 ,$35.89 ,$77.60 ,$9.58 ,$9.58 ,$97.00 ,$52.57 ,$9.58 ,$25.51 , N/A , N/A ,$12.72 ,$12.14 ,$10.06 ,$82.45 ,$21.56 ,$63.83 ,$27.16 ,$87.30 ,$69.84 ,$97.00 ,$13.83 ,$19.16 ,$19.16 ,$9.58 ,$46.56 ,$87.30 ST. JOHN'S HOSPITAL,30500205,85652,HC SED RATE AUTO,305,1 ,$61.00 ,$39.65 ,$2.70 ,$61.00 ,$6.75 ,$5.51 ,$33.06 ,$2.70 ,$17.08 ,$15.12 ,$2.70 ,$15.12 ,$2.70 ,$23.30 ,$3.50 ,$2.70 ,$23.30 ,$5.13 ,$9.49 ,$31.11 ,$6.75 ,$2.70 ,$42.70 ,$2.70 ,$30.50 ,$2.75 ,$45.75 ,$30.81 ,$27.76 ,$30.81 ,$2.70 ,$30.81 ,$3.90 ,$3.90 ,$3.90 ,$61.00 ,$51.85 ,$6.75 ,$48.80 ,$22.57 ,$48.80 ,$2.70 ,$2.70 ,$61.00 ,$33.06 ,$2.70 ,$16.04 , N/A , N/A ,$7.34 ,$7.00 ,$2.84 ,$51.85 ,$6.08 ,$40.14 ,$17.08 ,$54.90 ,$43.92 ,$61.00 ,$3.90 ,$5.40 ,$5.40 ,$2.70 ,$29.28 ,$54.90 ST. JOHN'S HOSPITAL,30500207,85670,HC THROMBIN TIME PLASMA,305,1 ,$109.00 ,$70.85 ,$3.50 ,$109.00 ,$14.43 ,$11.80 ,$59.08 ,$5.77 ,$30.52 ,$23.89 ,$5.77 ,$23.89 ,$5.77 ,$41.64 ,$3.50 ,$5.77 ,$41.64 ,$10.96 ,$20.13 ,$55.59 ,$14.43 ,$5.77 ,$76.30 ,$5.77 ,$54.50 ,$5.89 ,$81.75 ,$55.05 ,$49.60 ,$55.05 ,$5.77 ,$55.05 ,$8.33 ,$8.33 ,$8.33 ,$109.00 ,$92.65 ,$14.43 ,$87.20 ,$40.33 ,$87.20 ,$5.77 ,$5.77 ,$109.00 ,$59.08 ,$5.77 ,$28.67 , N/A , N/A ,$4.28 ,$4.08 ,$6.06 ,$92.65 ,$12.98 ,$71.72 ,$30.52 ,$98.10 ,$78.48 ,$109.00 ,$8.33 ,$11.54 ,$11.54 ,$5.77 ,$52.32 ,$98.10 ST. JOHN'S HOSPITAL,30500211,85730,HC PTT,305,1 ,$93.00 ,$60.45 ,$3.50 ,$93.00 ,$15.03 ,$12.27 ,$50.41 ,$6.01 ,$26.04 ,$32.09 ,$6.01 ,$33.69 ,$6.01 ,$35.53 ,$3.50 ,$6.01 ,$35.53 ,$11.42 ,$20.13 ,$47.43 ,$15.03 ,$6.01 ,$65.10 ,$6.01 ,$46.50 ,$6.13 ,$69.75 ,$46.97 ,$42.32 ,$46.97 ,$6.01 ,$46.97 ,$8.67 ,$8.67 ,$8.67 ,$93.00 ,$79.05 ,$15.03 ,$74.40 ,$34.41 ,$74.40 ,$6.01 ,$6.01 ,$93.00 ,$50.41 ,$6.01 ,$24.46 , N/A , N/A ,$4.28 ,$4.08 ,$6.31 ,$79.05 ,$13.52 ,$61.19 ,$26.04 ,$83.70 ,$66.96 ,$93.00 ,$8.67 ,$12.02 ,$12.02 ,$6.01 ,$44.64 ,$83.70 ST. JOHN'S HOSPITAL,30500230,85055,HC IMMATURE PLATELET FRACTION,305,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$89.35 ,$27.63 ,$86.72 ,$35.74 ,$44.80 ,$55.20 ,$35.74 ,$61.44 ,$35.74 ,$61.12 ,$3.50 ,$35.74 ,$61.12 ,$67.91 ,$120.75 ,$81.60 ,$89.35 ,$35.74 ,$112.00 ,$35.74 ,$80.00 ,$36.45 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$35.74 ,$80.80 ,$46.46 ,$46.46 ,$46.46 ,$160.00 ,$136.00 ,$89.35 ,$128.00 ,$59.20 ,$128.00 ,$35.74 ,$35.74 ,$160.00 ,$86.72 ,$35.74 ,$42.08 , N/A , N/A ,$12.72 ,$12.14 ,$37.53 ,$136.00 ,$80.42 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$46.46 ,$71.48 ,$71.48 ,$35.74 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30500232,85002,HC BLEEDING TIME,305,1 ,$89.00 ,$57.85 ,$3.50 ,$89.00 ,$12.05 ,$9.21 ,$48.24 ,$4.82 ,$24.92 ,$25.28 ,$4.82 ,$25.28 ,$4.82 ,$34.00 ,$3.50 ,$4.82 ,$34.00 ,$9.16 ,$16.59 ,$45.39 ,$12.05 ,$4.82 ,$62.30 ,$4.82 ,$44.50 ,$4.92 ,$66.75 ,$44.95 ,$40.50 ,$44.95 ,$4.82 ,$44.95 ,$6.51 ,$6.51 ,$6.51 ,$89.00 ,$75.65 ,$12.05 ,$71.20 ,$32.93 ,$71.20 ,$4.82 ,$4.82 ,$89.00 ,$48.24 ,$4.82 ,$23.41 , N/A , N/A ,$4.28 ,$4.08 ,$5.06 ,$75.65 ,$10.85 ,$58.56 ,$24.92 ,$80.10 ,$64.08 ,$89.00 ,$6.51 ,$9.64 ,$9.64 ,$4.82 ,$42.72 ,$80.10 ST. JOHN'S HOSPITAL,30500233,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$23.00 ,$14.95 ,$3.50 ,$23.00 ,$9.50 ,$7.04 ,$12.47 ,$3.80 ,$6.44 ,$7.94 ,$3.80 ,$8.83 ,$3.80 ,$8.79 ,$3.50 ,$3.80 ,$8.79 ,$7.22 ,$13.02 ,$11.73 ,$9.50 ,$3.80 ,$16.10 ,$3.80 ,$11.50 ,$3.88 ,$17.25 ,$11.62 ,$10.47 ,$11.62 ,$3.80 ,$11.62 ,$4.97 ,$4.97 ,$4.97 ,$23.00 ,$19.55 ,$9.50 ,$18.40 ,$8.51 ,$18.40 ,$3.80 ,$3.80 ,$23.00 ,$12.47 ,$3.80 ,$6.05 , N/A , N/A ,$7.34 ,$7.00 ,$3.99 ,$19.55 ,$8.55 ,$15.13 ,$6.44 ,$20.70 ,$16.56 ,$23.00 ,$4.97 ,$7.60 ,$7.60 ,$3.80 ,$11.04 ,$20.70 ST. JOHN'S HOSPITAL,30500234,85014,HC HEMATOCRIT-90,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500235,85014,HC HEMATOCRIT,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500236,85014,HC HEMATOCRIT,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500237,85018,HC HGB,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500238,85018,HC HGB-90,305,1 ,$42.00 ,$27.30 ,$2.37 ,$42.00 ,$5.93 ,$4.85 ,$22.76 ,$2.37 ,$11.76 ,$13.31 ,$2.37 ,$13.31 ,$2.37 ,$16.04 ,$3.50 ,$2.37 ,$16.04 ,$4.50 ,$8.30 ,$21.42 ,$5.93 ,$2.37 ,$29.40 ,$2.37 ,$21.00 ,$2.42 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$2.37 ,$21.21 ,$3.42 ,$3.42 ,$3.42 ,$42.00 ,$35.70 ,$5.93 ,$33.60 ,$15.54 ,$33.60 ,$2.37 ,$2.37 ,$2.37 ,$22.76 ,$2.37 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$2.49 ,$35.70 ,$5.33 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$3.42 ,$4.74 ,$4.74 ,$2.37 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500241,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$19.43 ,$15.91 ,$57.45 ,$7.77 ,$29.68 ,$36.57 ,$7.77 ,$40.70 ,$7.77 ,$40.49 ,$3.50 ,$7.77 ,$40.49 ,$14.76 ,$26.04 ,$54.06 ,$19.43 ,$7.77 ,$74.20 ,$7.77 ,$53.00 ,$7.93 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$7.77 ,$53.53 ,$11.22 ,$11.22 ,$11.22 ,$106.00 ,$90.10 ,$19.43 ,$84.80 ,$39.22 ,$84.80 ,$7.77 ,$7.77 ,$7.77 ,$57.45 ,$7.77 ,$27.88 , N/A , N/A ,$7.34 ,$7.00 ,$8.16 ,$90.10 ,$17.48 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$11.22 ,$15.54 ,$15.54 ,$7.77 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30500243,85027,HC CBC W/O DIFF,305,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$16.18 ,$13.23 ,$46.07 ,$6.47 ,$23.80 ,$29.33 ,$6.47 ,$32.64 ,$6.47 ,$32.47 ,$3.50 ,$6.47 ,$32.47 ,$12.29 ,$22.51 ,$43.35 ,$16.18 ,$6.47 ,$59.50 ,$6.47 ,$42.50 ,$6.60 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$6.47 ,$42.93 ,$9.33 ,$9.33 ,$9.33 ,$85.00 ,$72.25 ,$16.18 ,$68.00 ,$31.45 ,$68.00 ,$6.47 ,$6.47 ,$6.47 ,$46.07 ,$6.47 ,$22.36 , N/A , N/A ,$7.34 ,$7.00 ,$6.79 ,$72.25 ,$14.56 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$24.00 ,$15.60 ,$3.02 ,$24.00 ,$7.55 ,$5.39 ,$13.01 ,$3.02 ,$6.72 ,$8.28 ,$3.02 ,$9.22 ,$3.02 ,$9.17 ,$3.50 ,$3.02 ,$9.17 ,$5.74 ,$10.64 ,$12.24 ,$7.55 ,$3.02 ,$16.80 ,$3.02 ,$12.00 ,$3.08 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$3.02 ,$12.12 ,$4.36 ,$4.36 ,$4.36 ,$24.00 ,$20.40 ,$7.55 ,$19.20 ,$8.88 ,$19.20 ,$3.02 ,$3.02 ,$24.00 ,$13.01 ,$3.02 ,$6.31 , N/A , N/A ,$7.34 ,$7.00 ,$3.17 ,$20.40 ,$6.80 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$4.36 ,$6.04 ,$6.04 ,$3.02 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,30500245,85046,HC BLOOD COUNT RETICULOCYTES AUTO,305,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$13.93 ,$11.41 ,$19.51 ,$5.57 ,$10.08 ,$12.42 ,$5.57 ,$13.82 ,$5.57 ,$13.75 ,$3.50 ,$5.57 ,$13.75 ,$10.58 ,$18.93 ,$18.36 ,$13.93 ,$5.57 ,$25.20 ,$5.57 ,$18.00 ,$5.68 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$5.57 ,$18.18 ,$8.05 ,$8.05 ,$8.05 ,$36.00 ,$30.60 ,$13.93 ,$28.80 ,$13.32 ,$28.80 ,$5.57 ,$5.57 ,$36.00 ,$19.51 ,$5.57 ,$9.47 , N/A , N/A ,$7.34 ,$7.00 ,$5.85 ,$30.60 ,$12.53 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$8.05 ,$11.14 ,$11.14 ,$5.57 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30500246,85049,HC PLATELET COUNT AUTO,305,1 ,$42.00 ,$27.30 ,$3.50 ,$42.00 ,$11.20 ,$9.15 ,$22.76 ,$4.48 ,$11.76 ,$14.49 ,$4.48 ,$16.13 ,$4.48 ,$16.04 ,$3.50 ,$4.48 ,$16.04 ,$8.51 ,$15.40 ,$21.42 ,$11.20 ,$4.48 ,$29.40 ,$4.48 ,$21.00 ,$4.57 ,$31.50 ,$21.21 ,$19.11 ,$21.21 ,$4.48 ,$21.21 ,$6.46 ,$6.46 ,$6.46 ,$42.00 ,$35.70 ,$11.20 ,$33.60 ,$15.54 ,$33.60 ,$4.48 ,$4.48 ,$42.00 ,$22.76 ,$4.48 ,$11.05 , N/A , N/A ,$7.34 ,$7.00 ,$4.70 ,$35.70 ,$10.08 ,$27.64 ,$11.76 ,$37.80 ,$30.24 ,$42.00 ,$6.46 ,$8.96 ,$8.96 ,$4.48 ,$20.16 ,$37.80 ST. JOHN'S HOSPITAL,30500248,85130,HC CHROMOGENIC SUBSTRATE-90,305,1 ,$184.00 ,$119.60 ,$3.50 ,$184.00 ,$29.73 ,$24.33 ,$99.73 ,$11.89 ,$51.52 ,$49.23 ,$11.89 ,$49.23 ,$11.89 ,$70.29 ,$3.50 ,$11.89 ,$70.29 ,$22.59 ,$40.25 ,$93.84 ,$29.73 ,$11.89 ,$128.80 ,$11.89 ,$92.00 ,$12.13 ,$138.00 ,$92.92 ,$83.72 ,$92.92 ,$11.89 ,$92.92 ,$17.17 ,$17.17 ,$17.17 ,$184.00 ,$156.40 ,$29.73 ,$147.20 ,$68.08 ,$147.20 ,$11.89 ,$11.89 ,$184.00 ,$99.73 ,$11.89 ,$48.39 , N/A , N/A ,$11.17 ,$10.66 ,$12.48 ,$156.40 ,$26.75 ,$121.07 ,$51.52 ,$165.60 ,$132.48 ,$184.00 ,$17.17 ,$23.78 ,$23.78 ,$11.89 ,$88.32 ,$165.60 ST. JOHN'S HOSPITAL,30500249,85210,HC FACTOR II-90,305,1 ,$240.00 ,$156.00 ,$3.50 ,$240.00 ,$32.45 ,$26.55 ,$130.08 ,$12.98 ,$67.20 ,$72.81 ,$12.98 ,$72.81 ,$12.98 ,$91.68 ,$3.50 ,$12.98 ,$91.68 ,$24.66 ,$43.78 ,$122.40 ,$32.45 ,$12.98 ,$168.00 ,$12.98 ,$120.00 ,$13.24 ,$180.00 ,$121.20 ,$109.20 ,$121.20 ,$12.98 ,$121.20 ,$18.76 ,$18.76 ,$18.76 ,$240.00 ,$204.00 ,$32.45 ,$192.00 ,$88.80 ,$192.00 ,$12.98 ,$12.98 ,$240.00 ,$130.08 ,$12.98 ,$63.12 , N/A , N/A ,$4.28 ,$4.08 ,$13.63 ,$204.00 ,$29.21 ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$18.76 ,$25.96 ,$25.96 ,$12.98 ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,30500250,85220,HC FACTOR V-90,305,1 ,$240.00 ,$156.00 ,$3.50 ,$240.00 ,$44.13 ,$36.09 ,$130.08 ,$17.65 ,$67.20 ,$73.07 ,$17.65 ,$73.07 ,$17.65 ,$91.68 ,$3.50 ,$17.65 ,$91.68 ,$33.54 ,$60.38 ,$122.40 ,$44.13 ,$17.65 ,$168.00 ,$17.65 ,$120.00 ,$18.00 ,$180.00 ,$121.20 ,$109.20 ,$121.20 ,$17.65 ,$121.20 ,$25.49 ,$25.49 ,$25.49 ,$240.00 ,$204.00 ,$44.13 ,$192.00 ,$88.80 ,$192.00 ,$17.65 ,$17.65 ,$240.00 ,$130.08 ,$17.65 ,$63.12 , N/A , N/A ,$12.72 ,$12.14 ,$18.53 ,$204.00 ,$39.71 ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$25.49 ,$35.30 ,$35.30 ,$17.65 ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,30500251,85230,HC FACTOR VII-90,305,1 ,$225.00 ,$146.25 ,$3.50 ,$225.00 ,$44.75 ,$36.61 ,$121.95 ,$17.90 ,$63.00 ,$74.15 ,$17.90 ,$74.15 ,$17.90 ,$85.95 ,$3.50 ,$17.90 ,$85.95 ,$34.01 ,$60.38 ,$114.75 ,$44.75 ,$17.90 ,$157.50 ,$17.90 ,$112.50 ,$18.26 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$17.90 ,$113.63 ,$25.86 ,$25.86 ,$25.86 ,$225.00 ,$191.25 ,$44.75 ,$180.00 ,$83.25 ,$180.00 ,$17.90 ,$17.90 ,$225.00 ,$121.95 ,$17.90 ,$59.18 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$191.25 ,$40.28 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,30500252,85240,HC FACTOR VIII AHG-90,305,1 ,$145.00 ,$94.25 ,$3.50 ,$145.00 ,$44.75 ,$36.61 ,$78.59 ,$17.90 ,$40.60 ,$50.03 ,$17.90 ,$55.68 ,$17.90 ,$55.39 ,$3.50 ,$17.90 ,$55.39 ,$34.01 ,$60.38 ,$73.95 ,$44.75 ,$17.90 ,$101.50 ,$17.90 ,$72.50 ,$18.26 ,$108.75 ,$73.23 ,$65.98 ,$73.23 ,$17.90 ,$73.23 ,$25.86 ,$25.86 ,$25.86 ,$145.00 ,$123.25 ,$44.75 ,$116.00 ,$53.65 ,$116.00 ,$17.90 ,$17.90 ,$145.00 ,$78.59 ,$17.90 ,$38.14 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$123.25 ,$40.28 ,$95.41 ,$40.60 ,$130.50 ,$104.40 ,$145.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$69.60 ,$130.50 ST. JOHN'S HOSPITAL,30500253,85245,HC FACTOR VIII VW RISTO-90,305,1 ,$155.00 ,$100.75 ,$3.50 ,$155.00 ,$57.35 ,$28.98 ,$84.01 ,$22.94 ,$43.40 ,$53.48 ,$22.94 ,$59.52 ,$22.94 ,$59.21 ,$3.50 ,$22.94 ,$59.21 ,$43.59 ,$78.12 ,$79.05 ,$57.35 ,$22.94 ,$108.50 ,$22.94 ,$77.50 ,$23.40 ,$116.25 ,$78.28 ,$70.53 ,$78.28 ,$22.94 ,$78.28 ,$33.14 ,$33.14 ,$33.14 ,$155.00 ,$131.75 ,$57.35 ,$124.00 ,$57.35 ,$124.00 ,$22.94 ,$22.94 ,$155.00 ,$84.01 ,$22.94 ,$40.77 , N/A , N/A ,$12.72 ,$12.14 ,$24.09 ,$131.75 ,$51.62 ,$101.99 ,$43.40 ,$139.50 ,$111.60 ,$155.00 ,$33.14 ,$45.88 ,$45.88 ,$22.94 ,$74.40 ,$139.50 ST. JOHN'S HOSPITAL,30500254,85246,HC FACTOR VIII VW AG-90,305,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$57.35 ,$28.98 ,$97.56 ,$22.94 ,$50.40 ,$62.10 ,$22.94 ,$69.12 ,$22.94 ,$68.76 ,$3.50 ,$22.94 ,$68.76 ,$43.59 ,$78.12 ,$91.80 ,$57.35 ,$22.94 ,$126.00 ,$22.94 ,$90.00 ,$23.40 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$22.94 ,$90.90 ,$33.14 ,$33.14 ,$33.14 ,$180.00 ,$153.00 ,$57.35 ,$144.00 ,$66.60 ,$144.00 ,$22.94 ,$22.94 ,$180.00 ,$97.56 ,$22.94 ,$47.34 , N/A , N/A ,$12.72 ,$12.14 ,$24.09 ,$153.00 ,$51.62 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$33.14 ,$45.88 ,$45.88 ,$22.94 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30500255,85247,HC FACTOR VW MULTIM ANALY-90,305,1 ,$102.00 ,$66.30 ,$3.50 ,$102.00 ,$57.35 ,$28.98 ,$55.28 ,$22.94 ,$28.56 ,$35.19 ,$22.94 ,$39.17 ,$22.94 ,$38.96 ,$3.50 ,$22.94 ,$38.96 ,$43.59 ,$78.12 ,$52.02 ,$57.35 ,$22.94 ,$71.40 ,$22.94 ,$51.00 ,$23.40 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$22.94 ,$51.51 ,$33.14 ,$33.14 ,$33.14 ,$102.00 ,$86.70 ,$57.35 ,$81.60 ,$37.74 ,$81.60 ,$22.94 ,$22.94 ,$102.00 ,$55.28 ,$22.94 ,$26.83 , N/A , N/A ,$12.72 ,$12.14 ,$24.09 ,$86.70 ,$51.62 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$33.14 ,$45.88 ,$45.88 ,$22.94 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30500256,85250,HC FACTOR IX-90,305,1 ,$138.00 ,$89.70 ,$3.50 ,$138.00 ,$47.60 ,$38.92 ,$74.80 ,$19.04 ,$38.64 ,$47.61 ,$19.04 ,$52.99 ,$19.04 ,$52.72 ,$3.50 ,$19.04 ,$52.72 ,$36.18 ,$65.10 ,$70.38 ,$47.60 ,$19.04 ,$96.60 ,$19.04 ,$69.00 ,$19.42 ,$103.50 ,$69.69 ,$62.79 ,$69.69 ,$19.04 ,$69.69 ,$27.51 ,$27.51 ,$27.51 ,$138.00 ,$117.30 ,$47.60 ,$110.40 ,$51.06 ,$110.40 ,$19.04 ,$19.04 ,$138.00 ,$74.80 ,$19.04 ,$36.29 , N/A , N/A ,$12.72 ,$12.14 ,$19.99 ,$117.30 ,$42.84 ,$90.80 ,$38.64 ,$124.20 ,$99.36 ,$138.00 ,$27.51 ,$38.08 ,$38.08 ,$19.04 ,$66.24 ,$124.20 ST. JOHN'S HOSPITAL,30500257,85260,HC FACTOR X-90,305,1 ,$121.00 ,$78.65 ,$3.50 ,$121.00 ,$44.75 ,$36.61 ,$65.58 ,$17.90 ,$33.88 ,$41.75 ,$17.90 ,$46.46 ,$17.90 ,$46.22 ,$3.50 ,$17.90 ,$46.22 ,$34.01 ,$60.38 ,$61.71 ,$44.75 ,$17.90 ,$84.70 ,$17.90 ,$60.50 ,$18.26 ,$90.75 ,$61.11 ,$55.06 ,$61.11 ,$17.90 ,$61.11 ,$25.86 ,$25.86 ,$25.86 ,$121.00 ,$102.85 ,$44.75 ,$96.80 ,$44.77 ,$96.80 ,$17.90 ,$17.90 ,$121.00 ,$65.58 ,$17.90 ,$31.82 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$102.85 ,$40.28 ,$79.62 ,$33.88 ,$108.90 ,$87.12 ,$121.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$58.08 ,$108.90 ST. JOHN'S HOSPITAL,30500258,85270,HC FACTOR XI-90,305,1 ,$168.00 ,$109.20 ,$3.50 ,$168.00 ,$44.75 ,$36.61 ,$91.06 ,$17.90 ,$47.04 ,$57.96 ,$17.90 ,$64.51 ,$17.90 ,$64.18 ,$3.50 ,$17.90 ,$64.18 ,$34.01 ,$60.38 ,$85.68 ,$44.75 ,$17.90 ,$117.60 ,$17.90 ,$84.00 ,$18.26 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$17.90 ,$84.84 ,$25.86 ,$25.86 ,$25.86 ,$168.00 ,$142.80 ,$44.75 ,$134.40 ,$62.16 ,$134.40 ,$17.90 ,$17.90 ,$168.00 ,$91.06 ,$17.90 ,$44.18 , N/A , N/A ,$12.72 ,$12.14 ,$18.80 ,$142.80 ,$40.28 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$25.86 ,$35.80 ,$35.80 ,$17.90 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,30500259,85280,HC FACTOR XI-90,305,1 ,$166.00 ,$107.90 ,$3.50 ,$166.00 ,$48.38 ,$39.57 ,$89.97 ,$19.35 ,$46.48 ,$57.27 ,$19.35 ,$63.74 ,$19.35 ,$63.41 ,$3.50 ,$19.35 ,$63.41 ,$36.77 ,$65.10 ,$84.66 ,$48.38 ,$19.35 ,$116.20 ,$19.35 ,$83.00 ,$19.74 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$19.35 ,$83.83 ,$27.95 ,$27.95 ,$27.95 ,$166.00 ,$141.10 ,$48.38 ,$132.80 ,$61.42 ,$132.80 ,$19.35 ,$19.35 ,$166.00 ,$89.97 ,$19.35 ,$43.66 , N/A , N/A ,$12.72 ,$12.14 ,$20.32 ,$141.10 ,$43.54 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$27.95 ,$38.70 ,$38.70 ,$19.35 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30500260,85291,HC FACTOR XII-90,305,1 ,$139.00 ,$90.35 ,$3.50 ,$139.00 ,$22.78 ,$18.18 ,$75.34 ,$9.11 ,$38.92 ,$36.84 ,$9.11 ,$36.84 ,$9.11 ,$53.10 ,$3.50 ,$9.11 ,$53.10 ,$17.31 ,$30.76 ,$70.89 ,$22.78 ,$9.11 ,$97.30 ,$9.11 ,$69.50 ,$9.29 ,$104.25 ,$70.20 ,$63.25 ,$70.20 ,$9.11 ,$70.20 ,$12.84 ,$12.84 ,$12.84 ,$139.00 ,$118.15 ,$22.78 ,$111.20 ,$51.43 ,$111.20 ,$9.11 ,$9.11 ,$139.00 ,$75.34 ,$9.11 ,$36.56 , N/A , N/A ,$12.72 ,$12.14 ,$9.57 ,$118.15 ,$20.50 ,$91.46 ,$38.92 ,$125.10 ,$100.08 ,$139.00 ,$12.84 ,$18.22 ,$18.22 ,$9.11 ,$66.72 ,$125.10 ST. JOHN'S HOSPITAL,30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$29.63 ,$24.24 ,$42.28 ,$11.85 ,$21.84 ,$26.91 ,$11.85 ,$29.95 ,$11.85 ,$29.80 ,$3.50 ,$11.85 ,$29.80 ,$22.52 ,$40.25 ,$39.78 ,$29.63 ,$11.85 ,$54.60 ,$11.85 ,$39.00 ,$12.09 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$11.85 ,$39.39 ,$17.12 ,$17.12 ,$17.12 ,$78.00 ,$66.30 ,$29.63 ,$62.40 ,$28.86 ,$62.40 ,$11.85 ,$11.85 ,$78.00 ,$42.28 ,$11.85 ,$20.51 , N/A , N/A ,$12.72 ,$12.14 ,$12.44 ,$66.30 ,$26.66 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$17.12 ,$23.70 ,$23.70 ,$11.85 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$55.00 ,$35.75 ,$3.50 ,$55.00 ,$27.03 ,$22.10 ,$29.81 ,$10.81 ,$15.40 ,$18.98 ,$10.81 ,$21.12 ,$10.81 ,$21.01 ,$3.50 ,$10.81 ,$21.01 ,$20.54 ,$36.68 ,$28.05 ,$27.03 ,$10.81 ,$38.50 ,$10.81 ,$27.50 ,$11.03 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$10.81 ,$27.78 ,$15.61 ,$15.61 ,$15.61 ,$55.00 ,$46.75 ,$27.03 ,$44.00 ,$20.35 ,$44.00 ,$10.81 ,$10.81 ,$55.00 ,$29.81 ,$10.81 ,$14.47 , N/A , N/A ,$12.72 ,$12.14 ,$11.35 ,$46.75 ,$24.32 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$15.61 ,$21.62 ,$21.62 ,$10.81 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,30500263,85302,HC PROTEIN C AG-90,305,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$30.03 ,$24.57 ,$41.19 ,$12.01 ,$21.28 ,$26.22 ,$12.01 ,$29.18 ,$12.01 ,$29.03 ,$3.50 ,$12.01 ,$29.03 ,$22.82 ,$40.25 ,$38.76 ,$30.03 ,$12.01 ,$53.20 ,$12.01 ,$38.00 ,$12.25 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$12.01 ,$38.38 ,$17.36 ,$17.36 ,$17.36 ,$76.00 ,$64.60 ,$30.03 ,$60.80 ,$28.12 ,$60.80 ,$12.01 ,$12.01 ,$76.00 ,$41.19 ,$12.01 ,$19.99 , N/A , N/A ,$12.72 ,$12.14 ,$12.61 ,$64.60 ,$27.02 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.36 ,$24.02 ,$24.02 ,$12.01 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$34.60 ,$28.28 ,$39.02 ,$13.84 ,$20.16 ,$24.84 ,$13.84 ,$27.65 ,$13.84 ,$27.50 ,$3.50 ,$13.84 ,$27.50 ,$26.30 ,$47.36 ,$36.72 ,$34.60 ,$13.84 ,$50.40 ,$13.84 ,$36.00 ,$14.12 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$13.84 ,$36.36 ,$19.98 ,$19.98 ,$19.98 ,$72.00 ,$61.20 ,$34.60 ,$57.60 ,$26.64 ,$57.60 ,$13.84 ,$13.84 ,$72.00 ,$39.02 ,$13.84 ,$18.94 , N/A , N/A ,$12.72 ,$12.14 ,$14.53 ,$61.20 ,$31.14 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$19.98 ,$27.68 ,$27.68 ,$13.84 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$29.03 ,$23.73 ,$39.02 ,$11.61 ,$20.16 ,$24.84 ,$11.61 ,$27.65 ,$11.61 ,$27.50 ,$3.50 ,$11.61 ,$27.50 ,$22.06 ,$39.06 ,$36.72 ,$29.03 ,$11.61 ,$50.40 ,$11.61 ,$36.00 ,$11.84 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$11.61 ,$36.36 ,$16.77 ,$16.77 ,$16.77 ,$72.00 ,$61.20 ,$29.03 ,$57.60 ,$26.64 ,$57.60 ,$11.61 ,$11.61 ,$72.00 ,$39.02 ,$11.61 ,$18.94 , N/A , N/A ,$12.72 ,$12.14 ,$12.19 ,$61.20 ,$26.12 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$16.77 ,$23.22 ,$23.22 ,$11.61 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30500266,85306,HC PROTEIN S FREE-90,305,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$38.30 ,$31.33 ,$39.02 ,$15.32 ,$20.16 ,$24.84 ,$15.32 ,$27.65 ,$15.32 ,$27.50 ,$3.50 ,$15.32 ,$27.50 ,$29.11 ,$52.08 ,$36.72 ,$38.30 ,$15.32 ,$50.40 ,$15.32 ,$36.00 ,$15.63 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$15.32 ,$36.36 ,$22.14 ,$22.14 ,$22.14 ,$72.00 ,$61.20 ,$38.30 ,$57.60 ,$26.64 ,$57.60 ,$15.32 ,$15.32 ,$72.00 ,$39.02 ,$15.32 ,$18.94 , N/A , N/A ,$12.72 ,$12.14 ,$16.09 ,$61.20 ,$34.47 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$22.14 ,$30.64 ,$30.64 ,$15.32 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$38.30 ,$31.33 ,$42.28 ,$15.32 ,$21.84 ,$26.91 ,$15.32 ,$29.95 ,$15.32 ,$29.80 ,$3.50 ,$15.32 ,$29.80 ,$29.11 ,$52.08 ,$39.78 ,$38.30 ,$15.32 ,$54.60 ,$15.32 ,$39.00 ,$15.63 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$15.32 ,$39.39 ,$22.14 ,$22.14 ,$22.14 ,$78.00 ,$66.30 ,$38.30 ,$62.40 ,$28.86 ,$62.40 ,$15.32 ,$15.32 ,$78.00 ,$42.28 ,$15.32 ,$20.51 , N/A , N/A ,$11.81 ,$11.28 ,$16.09 ,$66.30 ,$34.47 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$22.14 ,$30.64 ,$30.64 ,$15.32 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500268,85335,HC FACTOR INHIBITOR-90,305,1 ,$292.00 ,$189.80 ,$3.50 ,$292.00 ,$32.18 ,$26.32 ,$158.26 ,$12.87 ,$81.76 ,$53.30 ,$12.87 ,$53.30 ,$12.87 ,$111.54 ,$3.50 ,$12.87 ,$111.54 ,$24.45 ,$43.78 ,$148.92 ,$32.18 ,$12.87 ,$204.40 ,$12.87 ,$146.00 ,$13.13 ,$219.00 ,$147.46 ,$132.86 ,$147.46 ,$12.87 ,$147.46 ,$18.59 ,$18.59 ,$18.59 ,$292.00 ,$248.20 ,$32.18 ,$233.60 ,$108.04 ,$233.60 ,$12.87 ,$12.87 ,$292.00 ,$158.26 ,$12.87 ,$76.80 , N/A , N/A ,$12.72 ,$12.14 ,$13.51 ,$248.20 ,$28.96 ,$192.14 ,$81.76 ,$262.80 ,$210.24 ,$292.00 ,$18.59 ,$25.74 ,$25.74 ,$12.87 ,$140.16 ,$262.80 ST. JOHN'S HOSPITAL,30500269,85362,HC FDP/FSP AGGLUT SQ-90,305,1 ,$64.00 ,$41.60 ,$3.50 ,$64.00 ,$17.23 ,$14.09 ,$34.69 ,$6.89 ,$17.92 ,$22.08 ,$6.89 ,$24.58 ,$6.89 ,$24.45 ,$3.50 ,$6.89 ,$24.45 ,$13.09 ,$23.66 ,$32.64 ,$17.23 ,$6.89 ,$44.80 ,$6.89 ,$32.00 ,$7.03 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$6.89 ,$32.32 ,$9.95 ,$9.95 ,$9.95 ,$64.00 ,$54.40 ,$17.23 ,$51.20 ,$23.68 ,$51.20 ,$6.89 ,$6.89 ,$64.00 ,$34.69 ,$6.89 ,$16.83 , N/A , N/A ,$4.28 ,$4.08 ,$7.23 ,$54.40 ,$15.50 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$9.95 ,$13.78 ,$13.78 ,$6.89 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,30500270,85347,HC ACTIVATED CLOTTING TIME,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$10.70 ,$7.30 ,$42.28 ,$4.28 ,$21.84 ,$17.65 ,$4.28 ,$17.65 ,$4.28 ,$29.80 ,$3.50 ,$4.28 ,$29.80 ,$8.13 ,$14.21 ,$39.78 ,$10.70 ,$4.28 ,$54.60 ,$4.28 ,$39.00 ,$4.37 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$4.28 ,$39.39 ,$6.15 ,$6.15 ,$6.15 ,$78.00 ,$66.30 ,$10.70 ,$62.40 ,$28.86 ,$62.40 ,$4.28 ,$4.28 ,$78.00 ,$42.28 ,$4.28 ,$20.51 , N/A , N/A ,$4.28 ,$4.08 ,$4.49 ,$66.30 ,$9.63 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$6.15 ,$8.56 ,$8.56 ,$4.28 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500271,85366,HC FDP/FSP PARACOAGULATION SQ-90,305,1 ,$218.00 ,$141.70 ,$3.50 ,$218.00 ,$201.15 ,$14.47 ,$118.16 ,$80.46 ,$61.04 ,$75.21 ,$80.46 ,$83.71 ,$80.46 ,$83.28 ,$3.50 ,$80.46 ,$83.28 ,$152.87 ,$218.00 ,$111.18 ,$201.15 ,$80.46 ,$152.60 ,$80.46 ,$109.00 ,$82.07 ,$163.50 ,$110.09 ,$99.19 ,$110.09 ,$80.46 ,$110.09 ,$104.60 ,$104.60 ,$104.60 ,$218.00 ,$185.30 ,$201.15 ,$174.40 ,$80.66 ,$174.40 ,$80.46 ,$80.46 ,$218.00 ,$118.16 ,$80.46 ,$57.33 , N/A , N/A ,$4.28 ,$4.08 ,$84.48 ,$185.30 ,$181.04 ,$143.44 ,$61.04 ,$196.20 ,$156.96 ,$218.00 ,$104.60 ,$160.92 ,$160.92 ,$80.46 ,$104.64 ,$196.20 ST. JOHN'S HOSPITAL,30500272,85379,HC D DIMER QN-90,305,1 ,$114.00 ,$74.10 ,$3.50 ,$114.00 ,$25.45 ,$20.81 ,$61.79 ,$10.18 ,$31.92 ,$39.33 ,$10.18 ,$42.11 ,$10.18 ,$43.55 ,$3.50 ,$10.18 ,$43.55 ,$19.34 ,$34.34 ,$58.14 ,$25.45 ,$10.18 ,$79.80 ,$10.18 ,$57.00 ,$10.38 ,$85.50 ,$57.57 ,$51.87 ,$57.57 ,$10.18 ,$57.57 ,$14.70 ,$14.70 ,$14.70 ,$114.00 ,$96.90 ,$25.45 ,$91.20 ,$42.18 ,$91.20 ,$10.18 ,$10.18 ,$114.00 ,$61.79 ,$10.18 ,$29.98 , N/A , N/A ,$12.72 ,$12.14 ,$10.69 ,$96.90 ,$22.91 ,$75.01 ,$31.92 ,$102.60 ,$82.08 ,$114.00 ,$14.70 ,$20.36 ,$20.36 ,$10.18 ,$54.72 ,$102.60 ST. JOHN'S HOSPITAL,30500273,85384,HC FIBRINOGEN-90,305,1 ,$95.00 ,$61.75 ,$3.50 ,$95.00 ,$24.30 ,$17.38 ,$51.49 ,$9.72 ,$26.60 ,$32.78 ,$9.72 ,$35.19 ,$9.72 ,$36.29 ,$3.50 ,$9.72 ,$36.29 ,$18.47 ,$33.15 ,$48.45 ,$24.30 ,$9.72 ,$66.50 ,$9.72 ,$47.50 ,$9.91 ,$71.25 ,$47.98 ,$43.23 ,$47.98 ,$9.72 ,$47.98 ,$12.64 ,$12.64 ,$12.64 ,$95.00 ,$80.75 ,$24.30 ,$76.00 ,$35.15 ,$76.00 ,$9.72 ,$9.72 ,$95.00 ,$51.49 ,$9.72 ,$24.99 , N/A , N/A ,$4.28 ,$4.08 ,$10.21 ,$80.75 ,$21.87 ,$62.51 ,$26.60 ,$85.50 ,$68.40 ,$95.00 ,$12.64 ,$19.44 ,$19.44 ,$9.72 ,$45.60 ,$85.50 ST. JOHN'S HOSPITAL,30500274,85385,HC FIBRINOGEN AG-90,305,1 ,$160.00 ,$104.00 ,$3.50 ,$160.00 ,$36.15 ,$17.38 ,$86.72 ,$14.46 ,$44.80 ,$48.50 ,$14.46 ,$48.50 ,$14.46 ,$61.12 ,$3.50 ,$14.46 ,$61.12 ,$27.47 ,$48.55 ,$81.60 ,$36.15 ,$14.46 ,$112.00 ,$14.46 ,$80.00 ,$14.75 ,$120.00 ,$80.80 ,$72.80 ,$80.80 ,$14.46 ,$80.80 ,$18.80 ,$18.80 ,$18.80 ,$160.00 ,$136.00 ,$36.15 ,$128.00 ,$59.20 ,$128.00 ,$14.46 ,$14.46 ,$160.00 ,$86.72 ,$14.46 ,$42.08 , N/A , N/A ,$4.28 ,$4.08 ,$15.18 ,$136.00 ,$32.54 ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$18.80 ,$28.92 ,$28.92 ,$14.46 ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$437.00 ,$284.05 ,$3.50 ,$437.00 ,$77.15 ,$28.98 ,$236.85 ,$30.86 ,$122.36 ,$103.51 ,$30.86 ,$103.51 ,$30.86 ,$166.93 ,$3.50 ,$30.86 ,$166.93 ,$58.63 ,$104.16 ,$222.87 ,$77.15 ,$30.86 ,$305.90 ,$30.86 ,$218.50 ,$31.48 ,$327.75 ,$220.69 ,$198.84 ,$220.69 ,$30.86 ,$220.69 ,$40.12 ,$40.12 ,$40.12 ,$437.00 ,$371.45 ,$77.15 ,$349.60 ,$161.69 ,$349.60 ,$30.86 ,$30.86 ,$437.00 ,$236.85 ,$30.86 ,$114.93 , N/A , N/A ,$12.72 ,$12.14 ,$32.40 ,$371.45 ,$69.44 ,$287.55 ,$122.36 ,$393.30 ,$314.64 ,$437.00 ,$40.12 ,$61.72 ,$61.72 ,$30.86 ,$209.76 ,$393.30 ST. JOHN'S HOSPITAL,30500277,85415,HC PLASMINGEN ACTIVATOR INHIB-90,305,1 ,$231.00 ,$150.15 ,$3.50 ,$231.00 ,$42.98 ,$35.16 ,$125.20 ,$17.19 ,$64.68 ,$71.16 ,$17.19 ,$71.16 ,$17.19 ,$88.24 ,$3.50 ,$17.19 ,$88.24 ,$32.66 ,$57.99 ,$117.81 ,$42.98 ,$17.19 ,$161.70 ,$17.19 ,$115.50 ,$17.53 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$17.19 ,$116.66 ,$24.83 ,$24.83 ,$24.83 ,$231.00 ,$196.35 ,$42.98 ,$184.80 ,$85.47 ,$184.80 ,$17.19 ,$17.19 ,$231.00 ,$125.20 ,$17.19 ,$60.75 , N/A , N/A ,$12.72 ,$12.14 ,$18.05 ,$196.35 ,$38.68 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$24.83 ,$34.38 ,$34.38 ,$17.19 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,30500278,85420,HC PLASMINOGEN ACTIVITY-90,305,1 ,$205.00 ,$133.25 ,$3.50 ,$205.00 ,$16.33 ,$13.35 ,$111.11 ,$6.53 ,$57.40 ,$27.04 ,$6.53 ,$27.04 ,$6.53 ,$78.31 ,$3.50 ,$6.53 ,$78.31 ,$12.41 ,$22.51 ,$104.55 ,$16.33 ,$6.53 ,$143.50 ,$6.53 ,$102.50 ,$6.66 ,$153.75 ,$103.53 ,$93.28 ,$103.53 ,$6.53 ,$103.53 ,$9.44 ,$9.44 ,$9.44 ,$205.00 ,$174.25 ,$16.33 ,$164.00 ,$75.85 ,$164.00 ,$6.53 ,$6.53 ,$205.00 ,$111.11 ,$6.53 ,$53.92 , N/A , N/A ,$12.72 ,$12.14 ,$6.86 ,$174.25 ,$14.69 ,$134.89 ,$57.40 ,$184.50 ,$147.60 ,$205.00 ,$9.44 ,$13.06 ,$13.06 ,$6.53 ,$98.40 ,$184.50 ST. JOHN'S HOSPITAL,30500279,85421,HC PLASMINOGEN ANTIGENIC ACT-90,305,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$25.45 ,$20.83 ,$69.92 ,$10.18 ,$36.12 ,$42.16 ,$10.18 ,$42.16 ,$10.18 ,$49.28 ,$3.50 ,$10.18 ,$49.28 ,$19.34 ,$34.34 ,$65.79 ,$25.45 ,$10.18 ,$90.30 ,$10.18 ,$64.50 ,$10.38 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$10.18 ,$65.15 ,$14.72 ,$14.72 ,$14.72 ,$129.00 ,$109.65 ,$25.45 ,$103.20 ,$47.73 ,$103.20 ,$10.18 ,$10.18 ,$129.00 ,$69.92 ,$10.18 ,$33.93 , N/A , N/A ,$12.72 ,$12.14 ,$10.69 ,$109.65 ,$22.91 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$14.72 ,$20.36 ,$20.36 ,$10.18 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30500281,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$224.00 ,$145.60 ,$3.50 ,$224.00 ,$19.33 ,$7.30 ,$121.41 ,$7.73 ,$62.72 ,$32.04 ,$7.73 ,$32.04 ,$7.73 ,$85.57 ,$3.50 ,$7.73 ,$85.57 ,$14.69 ,$26.04 ,$114.24 ,$19.33 ,$7.73 ,$156.80 ,$7.73 ,$112.00 ,$7.88 ,$168.00 ,$113.12 ,$101.92 ,$113.12 ,$7.73 ,$113.12 ,$11.17 ,$11.17 ,$11.17 ,$224.00 ,$190.40 ,$19.33 ,$179.20 ,$82.88 ,$179.20 ,$7.73 ,$7.73 ,$224.00 ,$121.41 ,$7.73 ,$58.91 , N/A , N/A ,$11.17 ,$10.66 ,$8.12 ,$190.40 ,$17.39 ,$147.39 ,$62.72 ,$201.60 ,$161.28 ,$224.00 ,$11.17 ,$15.46 ,$15.46 ,$7.73 ,$107.52 ,$201.60 ST. JOHN'S HOSPITAL,30500282,85461,HC FETAL HGB ROSETTE,305,1 ,$60.00 ,$39.00 ,$3.50 ,$60.00 ,$23.40 ,$13.56 ,$32.52 ,$9.36 ,$16.80 ,$20.70 ,$9.36 ,$23.04 ,$9.36 ,$22.92 ,$3.50 ,$9.36 ,$22.92 ,$17.78 ,$31.95 ,$30.60 ,$23.40 ,$9.36 ,$42.00 ,$9.36 ,$30.00 ,$9.55 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$9.36 ,$30.30 ,$12.17 ,$12.17 ,$12.17 ,$60.00 ,$51.00 ,$23.40 ,$48.00 ,$22.20 ,$48.00 ,$9.36 ,$9.36 ,$60.00 ,$32.52 ,$9.36 ,$15.78 , N/A , N/A ,$7.34 ,$7.00 ,$9.83 ,$51.00 ,$21.06 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$12.17 ,$18.72 ,$18.72 ,$9.36 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30500286,85540,HC LEUKOCYTE ALK PHOS-90,305,1 ,$207.00 ,$134.55 ,$3.50 ,$207.00 ,$21.50 ,$17.61 ,$112.19 ,$8.60 ,$57.96 ,$35.60 ,$8.60 ,$35.60 ,$8.60 ,$79.07 ,$3.50 ,$8.60 ,$79.07 ,$16.34 ,$29.61 ,$105.57 ,$21.50 ,$8.60 ,$144.90 ,$8.60 ,$103.50 ,$8.77 ,$155.25 ,$104.54 ,$94.19 ,$104.54 ,$8.60 ,$104.54 ,$12.43 ,$12.43 ,$12.43 ,$207.00 ,$175.95 ,$21.50 ,$165.60 ,$76.59 ,$165.60 ,$8.60 ,$8.60 ,$207.00 ,$112.19 ,$8.60 ,$54.44 , N/A , N/A ,$7.34 ,$7.00 ,$9.03 ,$175.95 ,$19.35 ,$136.21 ,$57.96 ,$186.30 ,$149.04 ,$207.00 ,$12.43 ,$17.20 ,$17.20 ,$8.60 ,$99.36 ,$186.30 ST. JOHN'S HOSPITAL,30500287,85549,HC MURAMIDASE-90,305,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$46.88 ,$38.34 ,$37.40 ,$18.75 ,$19.32 ,$23.81 ,$18.75 ,$26.50 ,$18.75 ,$26.36 ,$3.50 ,$18.75 ,$26.36 ,$35.63 ,$63.91 ,$35.19 ,$46.88 ,$18.75 ,$48.30 ,$18.75 ,$34.50 ,$19.13 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$18.75 ,$34.85 ,$27.08 ,$27.08 ,$27.08 ,$69.00 ,$58.65 ,$46.88 ,$55.20 ,$25.53 ,$55.20 ,$18.75 ,$18.75 ,$69.00 ,$37.40 ,$18.75 ,$18.15 , N/A , N/A ,$11.81 ,$11.28 ,$19.69 ,$58.65 ,$42.19 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$27.08 ,$37.50 ,$37.50 ,$18.75 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30500288,85557,HC OSMOTIC FRAG RBC INCUB-90,305,1 ,$103.00 ,$66.95 ,$3.50 ,$103.00 ,$33.40 ,$11.66 ,$55.83 ,$13.36 ,$28.84 ,$35.54 ,$13.36 ,$39.55 ,$13.36 ,$39.35 ,$3.50 ,$13.36 ,$39.35 ,$25.38 ,$44.97 ,$52.53 ,$33.40 ,$13.36 ,$72.10 ,$13.36 ,$51.50 ,$13.63 ,$77.25 ,$52.02 ,$46.87 ,$52.02 ,$13.36 ,$52.02 ,$19.29 ,$19.29 ,$19.29 ,$103.00 ,$87.55 ,$33.40 ,$82.40 ,$38.11 ,$82.40 ,$13.36 ,$13.36 ,$103.00 ,$55.83 ,$13.36 ,$27.09 , N/A , N/A ,$11.17 ,$10.66 ,$14.03 ,$87.55 ,$30.06 ,$67.77 ,$28.84 ,$92.70 ,$74.16 ,$103.00 ,$19.29 ,$26.72 ,$26.72 ,$13.36 ,$49.44 ,$92.70 ST. JOHN'S HOSPITAL,30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$36.00 ,$23.40 ,$3.50 ,$44.95 ,$44.95 ,$36.00 ,$19.51 ,$17.98 ,$10.08 ,$12.42 ,$17.98 ,$13.82 ,$17.98 ,$13.75 ,$3.50 ,$17.98 ,$13.75 ,$34.16 ,$36.00 ,$18.36 ,$44.95 ,$17.98 ,$25.20 ,$17.98 ,$18.00 ,$18.34 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$17.98 ,$18.18 ,$25.96 ,$25.96 ,$25.96 ,$36.00 ,$30.60 ,$36.00 ,$28.80 ,$13.32 ,$28.80 ,$17.98 ,$17.98 ,$36.00 ,$19.51 ,$17.98 ,$9.47 , N/A , N/A ,$12.72 ,$12.14 ,$18.88 ,$30.60 ,$40.46 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$25.96 ,$35.96 ,$35.96 ,$17.98 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$44.95 ,$36.75 ,$42.28 ,$17.98 ,$21.84 ,$26.91 ,$17.98 ,$29.95 ,$17.98 ,$29.80 ,$3.50 ,$17.98 ,$29.80 ,$34.16 ,$61.57 ,$39.78 ,$44.95 ,$17.98 ,$54.60 ,$17.98 ,$39.00 ,$18.34 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$17.98 ,$39.39 ,$25.96 ,$25.96 ,$25.96 ,$78.00 ,$66.30 ,$44.95 ,$62.40 ,$28.86 ,$62.40 ,$17.98 ,$17.98 ,$78.00 ,$42.28 ,$17.98 ,$20.51 , N/A , N/A ,$12.72 ,$12.14 ,$18.88 ,$66.30 ,$40.46 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$25.96 ,$35.96 ,$35.96 ,$17.98 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500291,85598,HC HEXAGN NEUTRALIZATION PHOSPH 9 PROFILE-90,305,1 ,$36.00 ,$23.40 ,$3.50 ,$44.95 ,$44.95 ,$36.00 ,$19.51 ,$17.98 ,$10.08 ,$12.42 ,$17.98 ,$13.82 ,$17.98 ,$13.75 ,$3.50 ,$17.98 ,$13.75 ,$34.16 ,$36.00 ,$18.36 ,$44.95 ,$17.98 ,$25.20 ,$17.98 ,$18.00 ,$18.34 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$17.98 ,$18.18 ,$25.96 ,$25.96 ,$25.96 ,$36.00 ,$30.60 ,$36.00 ,$28.80 ,$13.32 ,$28.80 ,$17.98 ,$17.98 ,$36.00 ,$19.51 ,$17.98 ,$9.47 , N/A , N/A ,$12.72 ,$12.14 ,$18.88 ,$30.60 ,$40.46 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$25.96 ,$35.96 ,$35.96 ,$17.98 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30500292,85610,HC PROTHROMBIN TIME (PT)-90,305,1 ,$14.00 ,$9.10 ,$3.50 ,$14.00 ,$10.73 ,$8.03 ,$7.59 ,$4.29 ,$3.92 ,$4.83 ,$4.29 ,$5.38 ,$4.29 ,$5.35 ,$3.50 ,$4.29 ,$5.35 ,$8.15 ,$14.00 ,$7.14 ,$10.73 ,$4.29 ,$9.80 ,$4.29 ,$7.00 ,$4.38 ,$10.50 ,$7.07 ,$6.37 ,$7.07 ,$4.29 ,$7.07 ,$5.68 ,$5.68 ,$5.68 ,$14.00 ,$11.90 ,$10.73 ,$11.20 ,$5.18 ,$11.20 ,$4.29 ,$4.29 ,$14.00 ,$7.59 ,$4.29 ,$3.68 , N/A , N/A ,$4.28 ,$4.08 ,$4.50 ,$11.90 ,$9.65 ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$5.68 ,$8.58 ,$8.58 ,$4.29 ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,30500294,85610,HC PROTHROMBIN TIME (PT),305,1 ,$77.00 ,$50.05 ,$3.50 ,$77.00 ,$10.73 ,$8.03 ,$41.73 ,$4.29 ,$21.56 ,$22.03 ,$4.29 ,$22.03 ,$4.29 ,$29.41 ,$3.50 ,$4.29 ,$29.41 ,$8.15 ,$14.21 ,$39.27 ,$10.73 ,$4.29 ,$53.90 ,$4.29 ,$38.50 ,$4.38 ,$57.75 ,$38.89 ,$35.04 ,$38.89 ,$4.29 ,$38.89 ,$5.68 ,$5.68 ,$5.68 ,$77.00 ,$65.45 ,$10.73 ,$61.60 ,$28.49 ,$61.60 ,$4.29 ,$4.29 ,$77.00 ,$41.73 ,$4.29 ,$20.25 , N/A , N/A ,$4.28 ,$4.08 ,$4.50 ,$65.45 ,$9.65 ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$5.68 ,$8.58 ,$8.58 ,$4.29 ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,30500295,85611,HC PT MIX STUDY-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$9.85 ,$8.07 ,$42.28 ,$3.94 ,$21.84 ,$16.36 ,$3.94 ,$16.36 ,$3.94 ,$29.80 ,$3.50 ,$3.94 ,$29.80 ,$7.49 ,$13.02 ,$39.78 ,$9.85 ,$3.94 ,$54.60 ,$3.94 ,$39.00 ,$4.02 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$3.94 ,$39.39 ,$5.69 ,$5.69 ,$5.69 ,$78.00 ,$66.30 ,$9.85 ,$62.40 ,$28.86 ,$62.40 ,$3.94 ,$3.94 ,$78.00 ,$42.28 ,$3.94 ,$20.51 , N/A , N/A ,$4.28 ,$4.08 ,$4.14 ,$66.30 ,$8.87 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$5.69 ,$7.88 ,$7.88 ,$3.94 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$15.00 ,$9.75 ,$3.50 ,$23.95 ,$23.95 ,$15.00 ,$8.13 ,$9.58 ,$4.20 ,$5.18 ,$9.58 ,$5.76 ,$9.58 ,$5.73 ,$3.50 ,$9.58 ,$5.73 ,$15.00 ,$15.00 ,$7.65 ,$23.95 ,$9.58 ,$10.50 ,$9.58 ,$7.50 ,$9.77 ,$11.25 ,$7.58 ,$6.83 ,$7.58 ,$9.58 ,$7.58 ,$13.83 ,$13.83 ,$13.83 ,$15.00 ,$12.75 ,$15.00 ,$12.00 ,$5.55 ,$12.00 ,$9.58 ,$9.58 ,$15.00 ,$8.13 ,$9.58 ,$3.95 , N/A , N/A ,$12.72 ,$12.14 ,$10.06 ,$12.75 ,$21.56 ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$13.83 ,$15.00 ,$15.00 ,$9.58 ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,30500298,85613,HC RUSSELL VIPER VENOM SCR T2-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$23.95 ,$19.58 ,$42.28 ,$9.58 ,$21.84 ,$26.91 ,$9.58 ,$29.95 ,$9.58 ,$29.80 ,$3.50 ,$9.58 ,$29.80 ,$18.20 ,$31.95 ,$39.78 ,$23.95 ,$9.58 ,$54.60 ,$9.58 ,$39.00 ,$9.77 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$9.58 ,$39.39 ,$13.83 ,$13.83 ,$13.83 ,$78.00 ,$66.30 ,$23.95 ,$62.40 ,$28.86 ,$62.40 ,$9.58 ,$9.58 ,$78.00 ,$42.28 ,$9.58 ,$20.51 , N/A , N/A ,$12.72 ,$12.14 ,$10.06 ,$66.30 ,$21.56 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$13.83 ,$19.16 ,$19.16 ,$9.58 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500299,85613,HC RUSSELL VIPER VENOM SCR T3-90,305,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$23.95 ,$19.58 ,$48.78 ,$9.58 ,$25.20 ,$31.05 ,$9.58 ,$34.56 ,$9.58 ,$34.38 ,$3.50 ,$9.58 ,$34.38 ,$18.20 ,$31.95 ,$45.90 ,$23.95 ,$9.58 ,$63.00 ,$9.58 ,$45.00 ,$9.77 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$9.58 ,$45.45 ,$13.83 ,$13.83 ,$13.83 ,$90.00 ,$76.50 ,$23.95 ,$72.00 ,$33.30 ,$72.00 ,$9.58 ,$9.58 ,$90.00 ,$48.78 ,$9.58 ,$23.67 , N/A , N/A ,$12.72 ,$12.14 ,$10.06 ,$76.50 ,$21.56 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$13.83 ,$19.16 ,$19.16 ,$9.58 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30500300,85635,HC REPTILASE TEST-90,305,1 ,$121.00 ,$78.65 ,$3.50 ,$121.00 ,$24.63 ,$8.68 ,$65.58 ,$9.85 ,$33.88 ,$40.76 ,$9.85 ,$40.76 ,$9.85 ,$46.22 ,$3.50 ,$9.85 ,$46.22 ,$18.72 ,$33.15 ,$61.71 ,$24.63 ,$9.85 ,$84.70 ,$9.85 ,$60.50 ,$10.05 ,$90.75 ,$61.11 ,$55.06 ,$61.11 ,$9.85 ,$61.11 ,$14.22 ,$14.22 ,$14.22 ,$121.00 ,$102.85 ,$24.63 ,$96.80 ,$44.77 ,$96.80 ,$9.85 ,$9.85 ,$121.00 ,$65.58 ,$9.85 ,$31.82 , N/A , N/A ,$11.17 ,$10.66 ,$10.34 ,$102.85 ,$22.16 ,$79.62 ,$33.88 ,$108.90 ,$87.12 ,$121.00 ,$14.22 ,$19.70 ,$19.70 ,$9.85 ,$58.08 ,$108.90 ST. JOHN'S HOSPITAL,30500301,85660,HC SICKLE CELL RBC-90,305,1 ,$301.00 ,$195.65 ,$3.50 ,$301.00 ,$13.78 ,$11.29 ,$163.14 ,$5.51 ,$84.28 ,$22.81 ,$5.51 ,$22.81 ,$5.51 ,$114.98 ,$3.50 ,$5.51 ,$114.98 ,$10.47 ,$18.93 ,$153.51 ,$13.78 ,$5.51 ,$210.70 ,$5.51 ,$150.50 ,$5.62 ,$225.75 ,$152.01 ,$136.96 ,$152.01 ,$5.51 ,$152.01 ,$7.96 ,$7.96 ,$7.96 ,$301.00 ,$255.85 ,$13.78 ,$240.80 ,$111.37 ,$240.80 ,$5.51 ,$5.51 ,$301.00 ,$163.14 ,$5.51 ,$79.16 , N/A , N/A ,$7.34 ,$7.00 ,$5.79 ,$255.85 ,$12.40 ,$198.06 ,$84.28 ,$270.90 ,$216.72 ,$301.00 ,$7.96 ,$11.02 ,$11.02 ,$5.51 ,$144.48 ,$270.90 ST. JOHN'S HOSPITAL,30500302,85660,HC SICKLE CELL RBC-90,305,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$13.78 ,$11.29 ,$40.65 ,$5.51 ,$21.00 ,$22.81 ,$5.51 ,$22.81 ,$5.51 ,$28.65 ,$3.50 ,$5.51 ,$28.65 ,$10.47 ,$18.93 ,$38.25 ,$13.78 ,$5.51 ,$52.50 ,$5.51 ,$37.50 ,$5.62 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$5.51 ,$37.88 ,$7.96 ,$7.96 ,$7.96 ,$75.00 ,$63.75 ,$13.78 ,$60.00 ,$27.75 ,$60.00 ,$5.51 ,$5.51 ,$75.00 ,$40.65 ,$5.51 ,$19.73 , N/A , N/A ,$7.34 ,$7.00 ,$5.79 ,$63.75 ,$12.40 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$7.96 ,$11.02 ,$11.02 ,$5.51 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30500303,85660,HC SICKLE CELL RBC,305,1 ,$90.00 ,$58.50 ,$3.50 ,$90.00 ,$13.78 ,$11.29 ,$48.78 ,$5.51 ,$25.20 ,$22.81 ,$5.51 ,$22.81 ,$5.51 ,$34.38 ,$3.50 ,$5.51 ,$34.38 ,$10.47 ,$18.93 ,$45.90 ,$13.78 ,$5.51 ,$63.00 ,$5.51 ,$45.00 ,$5.62 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$5.51 ,$45.45 ,$7.96 ,$7.96 ,$7.96 ,$90.00 ,$76.50 ,$13.78 ,$72.00 ,$33.30 ,$72.00 ,$5.51 ,$5.51 ,$90.00 ,$48.78 ,$5.51 ,$23.67 , N/A , N/A ,$7.34 ,$7.00 ,$5.79 ,$76.50 ,$12.40 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$7.96 ,$11.02 ,$11.02 ,$5.51 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$14.00 ,$9.10 ,$3.50 ,$14.43 ,$14.43 ,$11.80 ,$7.59 ,$5.77 ,$3.92 ,$4.83 ,$5.77 ,$5.38 ,$5.77 ,$5.35 ,$3.50 ,$5.77 ,$5.35 ,$10.96 ,$14.00 ,$7.14 ,$14.43 ,$5.77 ,$9.80 ,$5.77 ,$7.00 ,$5.89 ,$10.50 ,$7.07 ,$6.37 ,$7.07 ,$5.77 ,$7.07 ,$8.33 ,$8.33 ,$8.33 ,$14.00 ,$11.90 ,$14.00 ,$11.20 ,$5.18 ,$11.20 ,$5.77 ,$5.77 ,$14.00 ,$7.59 ,$5.77 ,$3.68 , N/A , N/A ,$4.28 ,$4.08 ,$6.06 ,$11.90 ,$12.98 ,$9.21 ,$3.92 ,$12.60 ,$10.08 ,$14.00 ,$8.33 ,$11.54 ,$11.54 ,$5.77 ,$6.72 ,$12.60 ST. JOHN'S HOSPITAL,30500305,85730,HC PTT-90,305,1 ,$72.00 ,$46.80 ,$3.50 ,$72.00 ,$15.03 ,$12.27 ,$39.02 ,$6.01 ,$20.16 ,$24.84 ,$6.01 ,$27.65 ,$6.01 ,$27.50 ,$3.50 ,$6.01 ,$27.50 ,$11.42 ,$20.13 ,$36.72 ,$15.03 ,$6.01 ,$50.40 ,$6.01 ,$36.00 ,$6.13 ,$54.00 ,$36.36 ,$32.76 ,$36.36 ,$6.01 ,$36.36 ,$8.67 ,$8.67 ,$8.67 ,$72.00 ,$61.20 ,$15.03 ,$57.60 ,$26.64 ,$57.60 ,$6.01 ,$6.01 ,$72.00 ,$39.02 ,$6.01 ,$18.94 , N/A , N/A ,$4.28 ,$4.08 ,$6.31 ,$61.20 ,$13.52 ,$47.38 ,$20.16 ,$64.80 ,$51.84 ,$72.00 ,$8.67 ,$12.02 ,$12.02 ,$6.01 ,$34.56 ,$64.80 ST. JOHN'S HOSPITAL,30500306,85730,HC PTT PROFILE-90,305,1 ,$15.00 ,$9.75 ,$3.50 ,$15.03 ,$15.03 ,$12.27 ,$8.13 ,$6.01 ,$4.20 ,$5.18 ,$6.01 ,$5.76 ,$6.01 ,$5.73 ,$3.50 ,$6.01 ,$5.73 ,$11.42 ,$15.00 ,$7.65 ,$15.03 ,$6.01 ,$10.50 ,$6.01 ,$7.50 ,$6.13 ,$11.25 ,$7.58 ,$6.83 ,$7.58 ,$6.01 ,$7.58 ,$8.67 ,$8.67 ,$8.67 ,$15.00 ,$12.75 ,$15.00 ,$12.00 ,$5.55 ,$12.00 ,$6.01 ,$6.01 ,$15.00 ,$8.13 ,$6.01 ,$3.95 , N/A , N/A ,$4.28 ,$4.08 ,$6.31 ,$12.75 ,$13.52 ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$8.67 ,$12.02 ,$12.02 ,$6.01 ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,30500307,85732,HC PTT MIXING STUDY T1-90,305,1 ,$10.00 ,$6.50 ,$2.63 ,$16.18 ,$16.18 ,$10.00 ,$5.42 ,$6.47 ,$2.80 ,$3.45 ,$6.47 ,$3.84 ,$6.47 ,$3.82 ,$3.50 ,$6.47 ,$3.82 ,$10.00 ,$10.00 ,$5.10 ,$16.18 ,$6.47 ,$7.00 ,$6.47 ,$5.00 ,$6.60 ,$7.50 ,$5.05 ,$4.55 ,$5.05 ,$6.47 ,$5.05 ,$9.33 ,$9.33 ,$9.33 ,$10.00 ,$8.50 ,$10.00 ,$8.00 ,$3.70 ,$8.00 ,$6.47 ,$6.47 ,$10.00 ,$5.42 ,$6.47 ,$2.63 , N/A , N/A ,$4.28 ,$4.08 ,$6.79 ,$8.50 ,$14.56 ,$6.58 ,$2.80 ,$9.00 ,$7.20 ,$10.00 ,$9.33 ,$10.00 ,$10.00 ,$6.47 ,$4.80 ,$9.00 ST. JOHN'S HOSPITAL,30500308,85732,HC PTT MIXING STUDY T2-90,305,1 ,$33.00 ,$21.45 ,$3.50 ,$33.00 ,$16.18 ,$13.23 ,$17.89 ,$6.47 ,$9.24 ,$11.39 ,$6.47 ,$12.67 ,$6.47 ,$12.61 ,$3.50 ,$6.47 ,$12.61 ,$12.29 ,$22.51 ,$16.83 ,$16.18 ,$6.47 ,$23.10 ,$6.47 ,$16.50 ,$6.60 ,$24.75 ,$16.67 ,$15.02 ,$16.67 ,$6.47 ,$16.67 ,$9.33 ,$9.33 ,$9.33 ,$33.00 ,$28.05 ,$16.18 ,$26.40 ,$12.21 ,$26.40 ,$6.47 ,$6.47 ,$33.00 ,$17.89 ,$6.47 ,$8.68 , N/A , N/A ,$4.28 ,$4.08 ,$6.79 ,$28.05 ,$14.56 ,$21.71 ,$9.24 ,$29.70 ,$23.76 ,$33.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$15.84 ,$29.70 ST. JOHN'S HOSPITAL,30500309,85732,HC PTT MIXING STUDY T3-90,305,1 ,$78.00 ,$50.70 ,$3.50 ,$78.00 ,$16.18 ,$13.23 ,$42.28 ,$6.47 ,$21.84 ,$26.78 ,$6.47 ,$26.78 ,$6.47 ,$29.80 ,$3.50 ,$6.47 ,$29.80 ,$12.29 ,$22.51 ,$39.78 ,$16.18 ,$6.47 ,$54.60 ,$6.47 ,$39.00 ,$6.60 ,$58.50 ,$39.39 ,$35.49 ,$39.39 ,$6.47 ,$39.39 ,$9.33 ,$9.33 ,$9.33 ,$78.00 ,$66.30 ,$16.18 ,$62.40 ,$28.86 ,$62.40 ,$6.47 ,$6.47 ,$78.00 ,$42.28 ,$6.47 ,$20.51 , N/A , N/A ,$4.28 ,$4.08 ,$6.79 ,$66.30 ,$14.56 ,$51.32 ,$21.84 ,$70.20 ,$56.16 ,$78.00 ,$9.33 ,$12.94 ,$12.94 ,$6.47 ,$37.44 ,$70.20 ST. JOHN'S HOSPITAL,30500310,85810,HC VISCOSITY-90,305,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$29.18 ,$23.85 ,$40.65 ,$11.67 ,$21.00 ,$25.88 ,$11.67 ,$28.80 ,$11.67 ,$28.65 ,$3.50 ,$11.67 ,$28.65 ,$22.17 ,$39.06 ,$38.25 ,$29.18 ,$11.67 ,$52.50 ,$11.67 ,$37.50 ,$11.90 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$11.67 ,$37.88 ,$16.86 ,$16.86 ,$16.86 ,$75.00 ,$63.75 ,$29.18 ,$60.00 ,$27.75 ,$60.00 ,$11.67 ,$11.67 ,$75.00 ,$40.65 ,$11.67 ,$19.73 , N/A , N/A ,$11.17 ,$10.66 ,$12.25 ,$63.75 ,$26.26 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$16.86 ,$23.34 ,$23.34 ,$11.67 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30500341,85046,HC BLOOD COUNT RETICULOCYTES AUTO,305,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$13.93 ,$11.41 ,$19.51 ,$5.57 ,$10.08 ,$12.42 ,$5.57 ,$13.82 ,$5.57 ,$13.75 ,$3.50 ,$5.57 ,$13.75 ,$10.58 ,$18.93 ,$18.36 ,$13.93 ,$5.57 ,$25.20 ,$5.57 ,$18.00 ,$5.68 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$5.57 ,$18.18 ,$8.05 ,$8.05 ,$8.05 ,$36.00 ,$30.60 ,$13.93 ,$28.80 ,$13.32 ,$28.80 ,$5.57 ,$5.57 ,$36.00 ,$19.51 ,$5.57 ,$9.47 , N/A , N/A ,$7.34 ,$7.00 ,$5.85 ,$30.60 ,$12.53 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$8.05 ,$11.14 ,$11.14 ,$5.57 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30500342,85597,HC PLATELET NEUTRALIZATION,305,1 ,$178.00 ,$115.70 ,$3.50 ,$178.00 ,$44.95 ,$36.75 ,$96.48 ,$17.98 ,$49.84 ,$61.41 ,$17.98 ,$68.35 ,$17.98 ,$68.00 ,$3.50 ,$17.98 ,$68.00 ,$34.16 ,$61.57 ,$90.78 ,$44.95 ,$17.98 ,$124.60 ,$17.98 ,$89.00 ,$18.34 ,$133.50 ,$89.89 ,$80.99 ,$89.89 ,$17.98 ,$89.89 ,$25.96 ,$25.96 ,$25.96 ,$178.00 ,$151.30 ,$44.95 ,$142.40 ,$65.86 ,$142.40 ,$17.98 ,$17.98 ,$178.00 ,$96.48 ,$17.98 ,$46.81 , N/A , N/A ,$12.72 ,$12.14 ,$18.88 ,$151.30 ,$40.46 ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$25.96 ,$35.96 ,$35.96 ,$17.98 ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,30500344,85576,HC PLATELET AGGREGATION/FUNCTION P2Y12,305,1 ,$245.00 ,$159.25 ,$12.14 ,$245.00 ,$62.28 ,$43.93 ,$132.79 ,$24.91 ,$68.60 ,$84.53 ,$24.91 ,$94.08 ,$24.91 ,$93.59 ,$23.66 ,$24.91 ,$93.59 ,$47.33 ,$84.03 ,$124.95 ,$62.28 ,$24.91 ,$171.50 ,$24.91 ,$122.50 ,$25.41 ,$183.75 ,$123.73 ,$111.48 ,$123.73 ,$24.91 ,$123.73 ,$32.38 ,$32.38 ,$32.38 ,$245.00 ,$208.25 ,$62.28 ,$196.00 ,$90.65 ,$196.00 ,$24.91 ,$24.91 ,$245.00 ,$132.79 ,$24.91 ,$64.44 , N/A , N/A ,$12.72 ,$12.14 ,$26.16 ,$208.25 ,$56.05 ,$161.21 ,$68.60 ,$220.50 ,$176.40 ,$245.00 ,$32.38 ,$49.82 ,$49.82 ,$24.91 ,$117.60 ,$220.50 ST. JOHN'S HOSPITAL,30500346,85360,HC EUGLOBULIN LYSIS-90,305,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$21.03 ,$17.19 ,$101.90 ,$8.41 ,$52.64 ,$34.83 ,$8.41 ,$34.83 ,$8.41 ,$71.82 ,$3.50 ,$8.41 ,$71.82 ,$15.98 ,$28.42 ,$95.88 ,$21.03 ,$8.41 ,$131.60 ,$8.41 ,$94.00 ,$8.58 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$8.41 ,$94.94 ,$12.14 ,$12.14 ,$12.14 ,$188.00 ,$159.80 ,$21.03 ,$150.40 ,$69.56 ,$150.40 ,$8.41 ,$8.41 ,$188.00 ,$101.90 ,$8.41 ,$49.44 , N/A , N/A ,$11.17 ,$10.66 ,$8.83 ,$159.80 ,$18.92 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$12.14 ,$16.82 ,$16.82 ,$8.41 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30500843,85293,HC FACTOR CLOTTING HI MOLECULAR WEIGHT KINIOGEN ASSAY -90,305,1 ,$340.00 ,$221.00 ,$3.50 ,$340.00 ,$47.33 ,$38.73 ,$184.28 ,$18.93 ,$95.20 ,$78.38 ,$18.93 ,$78.38 ,$18.93 ,$129.88 ,$3.50 ,$18.93 ,$129.88 ,$35.97 ,$63.91 ,$173.40 ,$47.33 ,$18.93 ,$238.00 ,$18.93 ,$170.00 ,$19.31 ,$255.00 ,$171.70 ,$154.70 ,$171.70 ,$18.93 ,$171.70 ,$27.35 ,$27.35 ,$27.35 ,$340.00 ,$289.00 ,$47.33 ,$272.00 ,$125.80 ,$272.00 ,$18.93 ,$18.93 ,$340.00 ,$184.28 ,$18.93 ,$89.42 , N/A , N/A ,$12.72 ,$12.14 ,$19.88 ,$289.00 ,$42.59 ,$223.72 ,$95.20 ,$306.00 ,$244.80 ,$340.00 ,$27.35 ,$37.86 ,$37.86 ,$18.93 ,$163.20 ,$306.00 ST. JOHN'S HOSPITAL,30500844,85292,HC FACTOR CLOTTING PREALLIKREIN ASSAY-90,305,1 ,$377.00 ,$245.05 ,$3.50 ,$377.00 ,$47.33 ,$38.73 ,$204.33 ,$18.93 ,$105.56 ,$78.38 ,$18.93 ,$78.38 ,$18.93 ,$144.01 ,$3.50 ,$18.93 ,$144.01 ,$35.97 ,$63.91 ,$192.27 ,$47.33 ,$18.93 ,$263.90 ,$18.93 ,$188.50 ,$19.31 ,$282.75 ,$190.39 ,$171.54 ,$190.39 ,$18.93 ,$190.39 ,$27.35 ,$27.35 ,$27.35 ,$377.00 ,$320.45 ,$47.33 ,$301.60 ,$139.49 ,$301.60 ,$18.93 ,$18.93 ,$377.00 ,$204.33 ,$18.93 ,$99.15 , N/A , N/A ,$12.72 ,$12.14 ,$19.88 ,$320.45 ,$42.59 ,$248.07 ,$105.56 ,$339.30 ,$271.44 ,$377.00 ,$27.35 ,$37.86 ,$37.86 ,$18.93 ,$180.96 ,$339.30 ST. JOHN'S HOSPITAL,30500845,85290,HC CLOTTING FACTOR XIII FIBRIN-90,305,1 ,$278.00 ,$180.70 ,$3.50 ,$278.00 ,$40.85 ,$33.43 ,$150.68 ,$16.34 ,$77.84 ,$67.65 ,$16.34 ,$67.65 ,$16.34 ,$106.20 ,$3.50 ,$16.34 ,$106.20 ,$31.05 ,$55.65 ,$141.78 ,$40.85 ,$16.34 ,$194.60 ,$16.34 ,$139.00 ,$16.67 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$16.34 ,$140.39 ,$23.60 ,$23.60 ,$23.60 ,$278.00 ,$236.30 ,$40.85 ,$222.40 ,$102.86 ,$222.40 ,$16.34 ,$16.34 ,$278.00 ,$150.68 ,$16.34 ,$73.11 , N/A , N/A ,$12.72 ,$12.14 ,$17.16 ,$236.30 ,$36.77 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$23.60 ,$32.68 ,$32.68 ,$16.34 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,30530180,85999,HC URINE EOSINOPHIL COUNT- 90,305,1 ,$120.00 ,$78.00 ,$7.00 ,$120.00 , N/A ,$55.20 ,$65.04 , N/A ,$33.60 ,$38.40 , N/A ,$44.16 , N/A ,$45.84 ,$48.00 , N/A ,$45.84 ,$54.00 ,$85.52 ,$61.20 ,$84.00 , N/A ,$84.00 , N/A ,$60.00 , N/A ,$90.00 ,$60.60 ,$54.60 ,$60.60 , N/A ,$60.60 ,$84.00 ,$84.00 ,$84.00 ,$120.00 ,$102.00 , N/A ,$96.00 ,$44.40 ,$96.00 , N/A , N/A ,$120.00 ,$65.04 , N/A ,$31.56 , N/A , N/A ,$7.34 ,$7.00 , N/A ,$102.00 ,$72.00 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$84.00 ,$60.00 ,$60.00 , N/A ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30540229,86022,HC PLATELET AB (HIT),305,1 ,$420.00 ,$273.00 ,$3.50 ,$420.00 ,$45.93 ,$29.82 ,$227.64 ,$18.37 ,$117.60 ,$76.06 ,$18.37 ,$76.06 ,$18.37 ,$160.44 ,$3.50 ,$18.37 ,$160.44 ,$34.90 ,$62.76 ,$214.20 ,$45.93 ,$18.37 ,$294.00 ,$18.37 ,$210.00 ,$18.74 ,$315.00 ,$212.10 ,$191.10 ,$212.10 ,$18.37 ,$212.10 ,$26.53 ,$26.53 ,$26.53 ,$420.00 ,$357.00 ,$45.93 ,$336.00 ,$155.40 ,$336.00 ,$18.37 ,$18.37 ,$420.00 ,$227.64 ,$18.37 ,$110.46 , N/A , N/A ,$10.58 ,$10.10 ,$19.29 ,$357.00 ,$41.33 ,$276.36 ,$117.60 ,$378.00 ,$302.40 ,$420.00 ,$26.53 ,$36.74 ,$36.74 ,$18.37 ,$201.60 ,$378.00 ST. JOHN'S HOSPITAL,30600096,87480,HC CANDIDA SPECIES DNA SCREEN,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$50.13 ,$41.00 ,$62.33 ,$20.05 ,$32.20 ,$39.68 ,$20.05 ,$44.16 ,$20.05 ,$43.93 ,$3.50 ,$20.05 ,$43.93 ,$38.10 ,$67.48 ,$58.65 ,$50.13 ,$20.05 ,$80.50 ,$20.05 ,$57.50 ,$20.45 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$20.05 ,$58.08 ,$28.96 ,$28.96 ,$28.96 ,$115.00 ,$97.75 ,$50.13 ,$92.00 ,$42.55 ,$92.00 ,$20.05 ,$20.05 ,$115.00 ,$62.33 ,$20.05 ,$30.25 , N/A , N/A ,$10.58 ,$10.10 ,$21.05 ,$97.75 ,$45.11 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$28.96 ,$40.10 ,$40.10 ,$20.05 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600097,87660,HC TRICHOMONAS DNA SCREEN,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$50.13 ,$41.00 ,$62.33 ,$20.05 ,$32.20 ,$39.68 ,$20.05 ,$44.16 ,$20.05 ,$43.93 ,$3.50 ,$20.05 ,$43.93 ,$38.10 ,$67.48 ,$58.65 ,$50.13 ,$20.05 ,$80.50 ,$20.05 ,$57.50 ,$20.45 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$20.05 ,$58.08 ,$28.96 ,$28.96 ,$28.96 ,$115.00 ,$97.75 ,$50.13 ,$92.00 ,$42.55 ,$92.00 ,$20.05 ,$20.05 ,$115.00 ,$62.33 ,$20.05 ,$30.25 , N/A , N/A ,$28.04 ,$26.76 ,$21.05 ,$97.75 ,$45.11 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$28.96 ,$40.10 ,$40.10 ,$20.05 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600098,87510,HC G VAGINALIS DNA SCREEN,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$50.13 ,$41.00 ,$62.33 ,$20.05 ,$32.20 ,$39.68 ,$20.05 ,$44.16 ,$20.05 ,$43.93 ,$3.50 ,$20.05 ,$43.93 ,$38.10 ,$67.48 ,$58.65 ,$50.13 ,$20.05 ,$80.50 ,$20.05 ,$57.50 ,$20.45 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$20.05 ,$58.08 ,$28.96 ,$28.96 ,$28.96 ,$115.00 ,$97.75 ,$50.13 ,$92.00 ,$42.55 ,$92.00 ,$20.05 ,$20.05 ,$115.00 ,$62.33 ,$20.05 ,$30.25 , N/A , N/A ,$28.04 ,$26.76 ,$21.05 ,$97.75 ,$45.11 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$28.96 ,$40.10 ,$40.10 ,$20.05 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$44.00 ,$28.60 ,$3.50 ,$44.00 ,$16.70 ,$13.65 ,$23.85 ,$6.68 ,$12.32 ,$15.18 ,$6.68 ,$16.90 ,$6.68 ,$16.81 ,$3.50 ,$6.68 ,$16.81 ,$12.69 ,$22.51 ,$22.44 ,$16.70 ,$6.68 ,$30.80 ,$6.68 ,$22.00 ,$6.81 ,$33.00 ,$22.22 ,$20.02 ,$22.22 ,$6.68 ,$22.22 ,$9.65 ,$9.65 ,$9.65 ,$44.00 ,$37.40 ,$16.70 ,$35.20 ,$16.28 ,$35.20 ,$6.68 ,$6.68 ,$44.00 ,$23.85 ,$6.68 ,$11.57 , N/A , N/A ,$8.44 ,$8.05 ,$7.01 ,$37.40 ,$15.03 ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$9.65 ,$13.36 ,$13.36 ,$6.68 ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,30600102,87040,HC BLOOD CULTURE,306,1 ,$268.00 ,$174.20 ,$3.50 ,$268.00 ,$25.80 ,$21.11 ,$145.26 ,$10.32 ,$75.04 ,$42.72 ,$10.32 ,$42.72 ,$10.32 ,$102.38 ,$3.50 ,$10.32 ,$102.38 ,$19.61 ,$35.53 ,$136.68 ,$25.80 ,$10.32 ,$187.60 ,$10.32 ,$134.00 ,$10.53 ,$201.00 ,$135.34 ,$121.94 ,$135.34 ,$10.32 ,$135.34 ,$14.91 ,$14.91 ,$14.91 ,$268.00 ,$227.80 ,$25.80 ,$214.40 ,$99.16 ,$214.40 ,$10.32 ,$10.32 ,$268.00 ,$145.26 ,$10.32 ,$70.48 , N/A , N/A ,$28.04 ,$26.76 ,$10.84 ,$227.80 ,$23.22 ,$176.34 ,$75.04 ,$241.20 ,$192.96 ,$268.00 ,$14.91 ,$20.64 ,$20.64 ,$10.32 ,$128.64 ,$241.20 ST. JOHN'S HOSPITAL,30600103,87045,HC STOOL CULTURE,306,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$23.60 ,$19.29 ,$66.12 ,$9.44 ,$34.16 ,$39.11 ,$9.44 ,$39.11 ,$9.44 ,$46.60 ,$3.50 ,$9.44 ,$46.60 ,$17.94 ,$31.95 ,$62.22 ,$23.60 ,$9.44 ,$85.40 ,$9.44 ,$61.00 ,$9.63 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$9.44 ,$61.61 ,$13.64 ,$13.64 ,$13.64 ,$122.00 ,$103.70 ,$23.60 ,$97.60 ,$45.14 ,$97.60 ,$9.44 ,$9.44 ,$122.00 ,$66.12 ,$9.44 ,$32.09 , N/A , N/A ,$8.44 ,$8.05 ,$9.91 ,$103.70 ,$21.24 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30600104,87046,HC STOOL CULTURE ADD ISO,306,1 ,$60.00 ,$39.00 ,$3.50 ,$60.00 ,$23.60 ,$19.29 ,$32.52 ,$9.44 ,$16.80 ,$20.70 ,$9.44 ,$23.04 ,$9.44 ,$22.92 ,$3.50 ,$9.44 ,$22.92 ,$17.94 ,$31.95 ,$30.60 ,$23.60 ,$9.44 ,$42.00 ,$9.44 ,$30.00 ,$9.63 ,$45.00 ,$30.30 ,$27.30 ,$30.30 ,$9.44 ,$30.30 ,$13.64 ,$13.64 ,$13.64 ,$60.00 ,$51.00 ,$23.60 ,$48.00 ,$22.20 ,$48.00 ,$9.44 ,$9.44 ,$60.00 ,$32.52 ,$9.44 ,$15.78 , N/A , N/A ,$8.44 ,$8.05 ,$9.91 ,$51.00 ,$21.24 ,$39.48 ,$16.80 ,$54.00 ,$43.20 ,$60.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$28.80 ,$54.00 ST. JOHN'S HOSPITAL,30600109,87070,HC BODY FLUID CULTURE,306,1 ,$204.00 ,$132.60 ,$3.50 ,$204.00 ,$21.55 ,$17.61 ,$110.57 ,$8.62 ,$57.12 ,$48.30 ,$8.62 ,$48.30 ,$8.62 ,$77.93 ,$3.50 ,$8.62 ,$77.93 ,$16.38 ,$29.61 ,$104.04 ,$21.55 ,$8.62 ,$142.80 ,$8.62 ,$102.00 ,$8.79 ,$153.00 ,$103.02 ,$92.82 ,$103.02 ,$8.62 ,$103.02 ,$12.44 ,$12.44 ,$12.44 ,$204.00 ,$173.40 ,$21.55 ,$163.20 ,$75.48 ,$163.20 ,$8.62 ,$8.62 ,$204.00 ,$110.57 ,$8.62 ,$53.65 , N/A , N/A ,$8.44 ,$8.05 ,$9.05 ,$173.40 ,$19.40 ,$134.23 ,$57.12 ,$183.60 ,$146.88 ,$204.00 ,$12.44 ,$17.24 ,$17.24 ,$8.62 ,$97.92 ,$183.60 ST. JOHN'S HOSPITAL,30600119,87075,HC CULTURE ANAEROBIC,306,1 ,$191.00 ,$124.15 ,$3.50 ,$191.00 ,$23.68 ,$19.36 ,$103.52 ,$9.47 ,$53.48 ,$39.22 ,$9.47 ,$39.22 ,$9.47 ,$72.96 ,$3.50 ,$9.47 ,$72.96 ,$17.99 ,$31.95 ,$97.41 ,$23.68 ,$9.47 ,$133.70 ,$9.47 ,$95.50 ,$9.66 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$9.47 ,$96.46 ,$13.68 ,$13.68 ,$13.68 ,$191.00 ,$162.35 ,$23.68 ,$152.80 ,$70.67 ,$152.80 ,$9.47 ,$9.47 ,$191.00 ,$103.52 ,$9.47 ,$50.23 , N/A , N/A ,$8.44 ,$8.05 ,$9.94 ,$162.35 ,$21.31 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$13.68 ,$18.94 ,$18.94 ,$9.47 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,30600121,87076,HC CULTURE ANAEROBIC ID,306,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$20.20 ,$8.68 ,$46.07 ,$8.08 ,$23.80 ,$29.33 ,$8.08 ,$32.64 ,$8.08 ,$32.47 ,$3.50 ,$8.08 ,$32.47 ,$15.35 ,$27.23 ,$43.35 ,$20.20 ,$8.08 ,$59.50 ,$8.08 ,$42.50 ,$8.24 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$8.08 ,$42.93 ,$11.66 ,$11.66 ,$11.66 ,$85.00 ,$72.25 ,$20.20 ,$68.00 ,$31.45 ,$68.00 ,$8.08 ,$8.08 ,$85.00 ,$46.07 ,$8.08 ,$22.36 , N/A , N/A ,$8.44 ,$8.05 ,$8.48 ,$72.25 ,$18.18 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$11.66 ,$16.16 ,$16.16 ,$8.08 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30600134,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$164.00 ,$106.60 ,$3.50 ,$164.00 ,$20.18 ,$16.52 ,$88.89 ,$8.07 ,$45.92 ,$45.20 ,$8.07 ,$45.20 ,$8.07 ,$62.65 ,$3.50 ,$8.07 ,$62.65 ,$15.33 ,$27.23 ,$83.64 ,$20.18 ,$8.07 ,$114.80 ,$8.07 ,$82.00 ,$8.23 ,$123.00 ,$82.82 ,$74.62 ,$82.82 ,$8.07 ,$82.82 ,$11.66 ,$11.66 ,$11.66 ,$164.00 ,$139.40 ,$20.18 ,$131.20 ,$60.68 ,$131.20 ,$8.07 ,$8.07 ,$164.00 ,$88.89 ,$8.07 ,$43.13 , N/A , N/A ,$8.44 ,$8.05 ,$8.47 ,$139.40 ,$18.16 ,$107.91 ,$45.92 ,$147.60 ,$118.08 ,$164.00 ,$11.66 ,$16.14 ,$16.14 ,$8.07 ,$78.72 ,$147.60 ST. JOHN'S HOSPITAL,30600135,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$20.23 ,$16.56 ,$49.86 ,$8.09 ,$25.76 ,$31.74 ,$8.09 ,$35.33 ,$8.09 ,$35.14 ,$3.50 ,$8.09 ,$35.14 ,$15.37 ,$27.23 ,$46.92 ,$20.23 ,$8.09 ,$64.40 ,$8.09 ,$46.00 ,$8.25 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$8.09 ,$46.46 ,$11.69 ,$11.69 ,$11.69 ,$92.00 ,$78.20 ,$20.23 ,$73.60 ,$34.04 ,$73.60 ,$8.09 ,$8.09 ,$92.00 ,$49.86 ,$8.09 ,$24.20 , N/A , N/A ,$8.44 ,$8.05 ,$8.49 ,$78.20 ,$18.20 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$11.69 ,$16.18 ,$16.18 ,$8.09 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30600136,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$19.28 ,$15.77 ,$62.33 ,$7.71 ,$32.20 ,$31.89 ,$7.71 ,$31.89 ,$7.71 ,$43.93 ,$3.50 ,$7.71 ,$43.93 ,$14.65 ,$26.04 ,$58.65 ,$19.28 ,$7.71 ,$80.50 ,$7.71 ,$57.50 ,$7.86 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$7.71 ,$58.08 ,$11.13 ,$11.13 ,$11.13 ,$115.00 ,$97.75 ,$19.28 ,$92.00 ,$42.55 ,$92.00 ,$7.71 ,$7.71 ,$115.00 ,$62.33 ,$7.71 ,$30.25 , N/A , N/A ,$8.44 ,$8.05 ,$8.10 ,$97.75 ,$17.35 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$11.13 ,$15.42 ,$15.42 ,$7.71 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600138,87102,HC CULTURE FUNGUS OTHER,306,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$21.03 ,$17.19 ,$101.90 ,$8.41 ,$52.64 ,$34.83 ,$8.41 ,$34.83 ,$8.41 ,$71.82 ,$3.50 ,$8.41 ,$71.82 ,$15.98 ,$28.42 ,$95.88 ,$21.03 ,$8.41 ,$131.60 ,$8.41 ,$94.00 ,$8.58 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$8.41 ,$94.94 ,$12.14 ,$12.14 ,$12.14 ,$188.00 ,$159.80 ,$21.03 ,$150.40 ,$69.56 ,$150.40 ,$8.41 ,$8.41 ,$188.00 ,$101.90 ,$8.41 ,$49.44 , N/A , N/A ,$8.44 ,$8.05 ,$8.83 ,$159.80 ,$18.92 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$12.14 ,$16.82 ,$16.82 ,$8.41 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30600140,87103,HC CULTURE FUNGUS BLOOD,306,1 ,$222.00 ,$144.30 ,$3.50 ,$222.00 ,$51.15 ,$18.45 ,$120.32 ,$20.46 ,$62.16 ,$68.63 ,$20.46 ,$68.63 ,$20.46 ,$84.80 ,$3.50 ,$20.46 ,$84.80 ,$38.87 ,$69.86 ,$113.22 ,$51.15 ,$20.46 ,$155.40 ,$20.46 ,$111.00 ,$20.87 ,$166.50 ,$112.11 ,$101.01 ,$112.11 ,$20.46 ,$112.11 ,$26.60 ,$26.60 ,$26.60 ,$222.00 ,$188.70 ,$51.15 ,$177.60 ,$82.14 ,$177.60 ,$20.46 ,$20.46 ,$222.00 ,$120.32 ,$20.46 ,$58.39 , N/A , N/A ,$28.04 ,$26.76 ,$21.48 ,$188.70 ,$46.04 ,$146.08 ,$62.16 ,$199.80 ,$159.84 ,$222.00 ,$26.60 ,$40.92 ,$40.92 ,$20.46 ,$106.56 ,$199.80 ST. JOHN'S HOSPITAL,30600142,87106,HC CULTURE FUNGUS ID,306,1 ,$118.00 ,$76.70 ,$3.50 ,$118.00 ,$25.80 ,$21.11 ,$63.96 ,$10.32 ,$33.04 ,$40.71 ,$10.32 ,$42.72 ,$10.32 ,$45.08 ,$3.50 ,$10.32 ,$45.08 ,$19.61 ,$35.53 ,$60.18 ,$25.80 ,$10.32 ,$82.60 ,$10.32 ,$59.00 ,$10.53 ,$88.50 ,$59.59 ,$53.69 ,$59.59 ,$10.32 ,$59.59 ,$14.91 ,$14.91 ,$14.91 ,$118.00 ,$100.30 ,$25.80 ,$94.40 ,$43.66 ,$94.40 ,$10.32 ,$10.32 ,$118.00 ,$63.96 ,$10.32 ,$31.03 , N/A , N/A ,$8.44 ,$8.05 ,$10.84 ,$100.30 ,$23.22 ,$77.64 ,$33.04 ,$106.20 ,$84.96 ,$118.00 ,$14.91 ,$20.64 ,$20.64 ,$10.32 ,$56.64 ,$106.20 ST. JOHN'S HOSPITAL,30600145,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$25.80 ,$21.11 ,$62.33 ,$10.32 ,$32.20 ,$39.68 ,$10.32 ,$42.72 ,$10.32 ,$43.93 ,$3.50 ,$10.32 ,$43.93 ,$19.61 ,$35.53 ,$58.65 ,$25.80 ,$10.32 ,$80.50 ,$10.32 ,$57.50 ,$10.53 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$10.32 ,$58.08 ,$14.91 ,$14.91 ,$14.91 ,$115.00 ,$97.75 ,$25.80 ,$92.00 ,$42.55 ,$92.00 ,$10.32 ,$10.32 ,$115.00 ,$62.33 ,$10.32 ,$30.25 , N/A , N/A ,$28.04 ,$26.76 ,$10.84 ,$97.75 ,$23.22 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$14.91 ,$20.64 ,$20.64 ,$10.32 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600148,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$27.00 ,$22.09 ,$101.90 ,$10.80 ,$52.64 ,$44.74 ,$10.80 ,$44.74 ,$10.80 ,$71.82 ,$3.50 ,$10.80 ,$71.82 ,$20.52 ,$36.68 ,$95.88 ,$27.00 ,$10.80 ,$131.60 ,$10.80 ,$94.00 ,$11.02 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$10.80 ,$94.94 ,$15.60 ,$15.60 ,$15.60 ,$188.00 ,$159.80 ,$27.00 ,$150.40 ,$69.56 ,$150.40 ,$10.80 ,$10.80 ,$188.00 ,$101.90 ,$10.80 ,$49.44 , N/A , N/A ,$28.04 ,$26.76 ,$11.34 ,$159.80 ,$24.30 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$15.60 ,$21.60 ,$21.60 ,$10.80 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30600159,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$12.95 ,$10.57 ,$31.44 ,$5.18 ,$16.24 ,$20.01 ,$5.18 ,$21.41 ,$5.18 ,$22.16 ,$3.50 ,$5.18 ,$22.16 ,$9.84 ,$17.74 ,$29.58 ,$12.95 ,$5.18 ,$40.60 ,$5.18 ,$29.00 ,$5.28 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$5.18 ,$29.29 ,$7.48 ,$7.48 ,$7.48 ,$58.00 ,$49.30 ,$12.95 ,$46.40 ,$21.46 ,$46.40 ,$5.18 ,$5.18 ,$58.00 ,$31.44 ,$5.18 ,$15.25 , N/A , N/A ,$8.44 ,$8.05 ,$5.44 ,$49.30 ,$11.66 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30600160,87150,HC ID NUCLEAR ACID PROBE,306,1 ,$19.00 ,$12.35 ,$3.50 ,$47.50 ,$47.50 ,$19.00 ,$10.30 ,$19.00 ,$5.32 ,$6.56 ,$19.00 ,$7.30 ,$19.00 ,$7.26 ,$3.50 ,$19.00 ,$7.26 ,$19.00 ,$19.00 ,$9.69 ,$47.50 ,$19.00 ,$13.30 ,$19.00 ,$9.50 ,$19.00 ,$14.25 ,$9.60 ,$8.65 ,$9.60 ,$19.00 ,$9.60 ,$19.00 ,$19.00 ,$19.00 ,$19.00 ,$16.15 ,$19.00 ,$15.20 ,$7.03 ,$15.20 ,$19.00 ,$19.00 ,$19.00 ,$10.30 ,$19.00 ,$5.00 , N/A , N/A ,$8.44 ,$8.05 ,$19.95 ,$16.15 ,$42.75 ,$12.50 ,$5.32 ,$17.10 ,$13.68 ,$19.00 ,$19.00 ,$19.00 ,$19.00 ,$19.00 ,$9.12 ,$17.10 ST. JOHN'S HOSPITAL,30600163,87172,HC PINWORM EXAM,306,1 ,$101.00 ,$65.65 ,$3.50 ,$101.00 ,$10.68 ,$8.73 ,$54.74 ,$4.27 ,$28.28 ,$23.94 ,$4.27 ,$23.94 ,$4.27 ,$38.58 ,$3.50 ,$4.27 ,$38.58 ,$8.11 ,$14.21 ,$51.51 ,$10.68 ,$4.27 ,$70.70 ,$4.27 ,$50.50 ,$4.36 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$4.27 ,$51.01 ,$6.18 ,$6.18 ,$6.18 ,$101.00 ,$85.85 ,$10.68 ,$80.80 ,$37.37 ,$80.80 ,$4.27 ,$4.27 ,$101.00 ,$54.74 ,$4.27 ,$26.56 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$85.85 ,$9.61 ,$66.46 ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,30600166,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$11.88 ,$9.71 ,$53.66 ,$4.75 ,$27.72 ,$26.63 ,$4.75 ,$26.63 ,$4.75 ,$37.82 ,$3.50 ,$4.75 ,$37.82 ,$9.03 ,$16.59 ,$50.49 ,$11.88 ,$4.75 ,$69.30 ,$4.75 ,$49.50 ,$4.85 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$4.75 ,$50.00 ,$6.85 ,$6.85 ,$6.85 ,$99.00 ,$84.15 ,$11.88 ,$79.20 ,$36.63 ,$79.20 ,$4.75 ,$4.75 ,$99.00 ,$53.66 ,$4.75 ,$26.04 , N/A , N/A ,$8.44 ,$8.05 ,$4.99 ,$84.15 ,$10.69 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$6.85 ,$9.50 ,$9.50 ,$4.75 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30600169,87184,HC SENSITIVITY DISK KB,306,1 ,$136.00 ,$88.40 ,$3.50 ,$136.00 ,$18.70 ,$14.12 ,$73.71 ,$7.48 ,$38.08 ,$38.65 ,$7.48 ,$38.65 ,$7.48 ,$51.95 ,$3.50 ,$7.48 ,$51.95 ,$14.21 ,$24.85 ,$69.36 ,$18.70 ,$7.48 ,$95.20 ,$7.48 ,$68.00 ,$7.63 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$7.48 ,$68.68 ,$9.96 ,$9.96 ,$9.96 ,$136.00 ,$115.60 ,$18.70 ,$108.80 ,$50.32 ,$108.80 ,$7.48 ,$7.48 ,$136.00 ,$73.71 ,$7.48 ,$35.77 , N/A , N/A ,$8.44 ,$8.05 ,$7.85 ,$115.60 ,$16.83 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$9.96 ,$14.96 ,$14.96 ,$7.48 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30600171,87185,HC BETA LACTAMASE,306,1 ,$36.00 ,$23.40 ,$3.50 ,$36.00 ,$11.88 ,$9.71 ,$19.51 ,$4.75 ,$10.08 ,$12.42 ,$4.75 ,$13.82 ,$4.75 ,$13.75 ,$3.50 ,$4.75 ,$13.75 ,$9.03 ,$16.59 ,$18.36 ,$11.88 ,$4.75 ,$25.20 ,$4.75 ,$18.00 ,$4.85 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$4.75 ,$18.18 ,$6.85 ,$6.85 ,$6.85 ,$36.00 ,$30.60 ,$11.88 ,$28.80 ,$13.32 ,$28.80 ,$4.75 ,$4.75 ,$36.00 ,$19.51 ,$4.75 ,$9.47 , N/A , N/A ,$8.44 ,$8.05 ,$4.99 ,$30.60 ,$10.69 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$6.85 ,$9.50 ,$9.50 ,$4.75 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30600172,87186,HC SENSITIVITY MIC,306,1 ,$185.00 ,$120.25 ,$3.50 ,$185.00 ,$21.63 ,$17.68 ,$100.27 ,$8.65 ,$51.80 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$70.67 ,$3.50 ,$8.65 ,$70.67 ,$16.44 ,$29.61 ,$94.35 ,$21.63 ,$8.65 ,$129.50 ,$8.65 ,$92.50 ,$8.82 ,$138.75 ,$93.43 ,$84.18 ,$93.43 ,$8.65 ,$93.43 ,$12.49 ,$12.49 ,$12.49 ,$185.00 ,$157.25 ,$21.63 ,$148.00 ,$68.45 ,$148.00 ,$8.65 ,$8.65 ,$185.00 ,$100.27 ,$8.65 ,$48.66 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$157.25 ,$19.46 ,$121.73 ,$51.80 ,$166.50 ,$133.20 ,$185.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$88.80 ,$166.50 ST. JOHN'S HOSPITAL,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$69.00 ,$44.85 ,$3.50 ,$69.00 ,$10.68 ,$8.73 ,$37.40 ,$4.27 ,$19.32 ,$23.81 ,$4.27 ,$23.94 ,$4.27 ,$26.36 ,$3.50 ,$4.27 ,$26.36 ,$8.11 ,$14.21 ,$35.19 ,$10.68 ,$4.27 ,$48.30 ,$4.27 ,$34.50 ,$4.36 ,$51.75 ,$34.85 ,$31.40 ,$34.85 ,$4.27 ,$34.85 ,$6.18 ,$6.18 ,$6.18 ,$69.00 ,$58.65 ,$10.68 ,$55.20 ,$25.53 ,$55.20 ,$4.27 ,$4.27 ,$69.00 ,$37.40 ,$4.27 ,$18.15 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$58.65 ,$9.61 ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,30600176,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$13.48 ,$10.99 ,$53.66 ,$5.39 ,$27.72 ,$30.19 ,$5.39 ,$30.19 ,$5.39 ,$37.82 ,$3.50 ,$5.39 ,$37.82 ,$10.24 ,$17.74 ,$50.49 ,$13.48 ,$5.39 ,$69.30 ,$5.39 ,$49.50 ,$5.50 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$5.39 ,$50.00 ,$7.79 ,$7.79 ,$7.79 ,$99.00 ,$84.15 ,$13.48 ,$79.20 ,$36.63 ,$79.20 ,$5.39 ,$5.39 ,$99.00 ,$53.66 ,$5.39 ,$26.04 , N/A , N/A ,$8.44 ,$8.05 ,$5.66 ,$84.15 ,$12.13 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$7.79 ,$10.78 ,$10.78 ,$5.39 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$94.00 ,$61.10 ,$3.50 ,$94.00 ,$14.55 ,$8.73 ,$50.95 ,$5.82 ,$26.32 ,$26.42 ,$5.82 ,$26.42 ,$5.82 ,$35.91 ,$3.50 ,$5.82 ,$35.91 ,$11.06 ,$20.13 ,$47.94 ,$14.55 ,$5.82 ,$65.80 ,$5.82 ,$47.00 ,$5.94 ,$70.50 ,$47.47 ,$42.77 ,$47.47 ,$5.82 ,$47.47 ,$7.57 ,$7.57 ,$7.57 ,$94.00 ,$79.90 ,$14.55 ,$75.20 ,$34.78 ,$75.20 ,$5.82 ,$5.82 ,$94.00 ,$50.95 ,$5.82 ,$24.72 , N/A , N/A ,$8.44 ,$8.05 ,$6.11 ,$79.90 ,$13.10 ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$7.57 ,$11.64 ,$11.64 ,$5.82 ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,30600185,87220,HC TISSUE KOH PREP,306,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$10.68 ,$8.73 ,$40.65 ,$4.27 ,$21.00 ,$23.94 ,$4.27 ,$23.94 ,$4.27 ,$28.65 ,$3.50 ,$4.27 ,$28.65 ,$8.11 ,$14.21 ,$38.25 ,$10.68 ,$4.27 ,$52.50 ,$4.27 ,$37.50 ,$4.36 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$4.27 ,$37.88 ,$6.18 ,$6.18 ,$6.18 ,$75.00 ,$63.75 ,$10.68 ,$60.00 ,$27.75 ,$60.00 ,$4.27 ,$4.27 ,$75.00 ,$40.65 ,$4.27 ,$19.73 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$63.75 ,$9.61 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30600200,87260,HC IF ADENOVIRUS AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$36.08 ,$24.54 ,$41.19 ,$14.43 ,$21.28 ,$26.22 ,$14.43 ,$29.18 ,$14.43 ,$29.03 ,$3.50 ,$14.43 ,$29.03 ,$27.42 ,$48.55 ,$38.76 ,$36.08 ,$14.43 ,$53.20 ,$14.43 ,$38.00 ,$14.72 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$14.43 ,$38.38 ,$18.76 ,$18.76 ,$18.76 ,$76.00 ,$64.60 ,$36.08 ,$60.80 ,$28.12 ,$60.80 ,$14.43 ,$14.43 ,$76.00 ,$41.19 ,$14.43 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$15.15 ,$64.60 ,$32.47 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$18.76 ,$28.86 ,$28.86 ,$14.43 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600202,87273,HC IF HERPES SIMPLEX 2 AG,306,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$29.95 ,$24.54 ,$29.27 ,$11.98 ,$15.12 ,$18.63 ,$11.98 ,$20.74 ,$11.98 ,$20.63 ,$3.50 ,$11.98 ,$20.63 ,$22.76 ,$40.25 ,$27.54 ,$29.95 ,$11.98 ,$37.80 ,$11.98 ,$27.00 ,$12.22 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$11.98 ,$27.27 ,$17.32 ,$17.32 ,$17.32 ,$54.00 ,$45.90 ,$29.95 ,$43.20 ,$19.98 ,$43.20 ,$11.98 ,$11.98 ,$54.00 ,$29.27 ,$11.98 ,$14.20 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$45.90 ,$26.96 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30600203,87274,HC IF HERPES SIMPLEX 1 AG,306,1 ,$54.00 ,$35.10 ,$3.50 ,$54.00 ,$29.95 ,$24.54 ,$29.27 ,$11.98 ,$15.12 ,$18.63 ,$11.98 ,$20.74 ,$11.98 ,$20.63 ,$3.50 ,$11.98 ,$20.63 ,$22.76 ,$40.25 ,$27.54 ,$29.95 ,$11.98 ,$37.80 ,$11.98 ,$27.00 ,$12.22 ,$40.50 ,$27.27 ,$24.57 ,$27.27 ,$11.98 ,$27.27 ,$17.32 ,$17.32 ,$17.32 ,$54.00 ,$45.90 ,$29.95 ,$43.20 ,$19.98 ,$43.20 ,$11.98 ,$11.98 ,$54.00 ,$29.27 ,$11.98 ,$14.20 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$45.90 ,$26.96 ,$35.53 ,$15.12 ,$48.60 ,$38.88 ,$54.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$25.92 ,$48.60 ST. JOHN'S HOSPITAL,30600204,87275,HC IF INFLUENZA B AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$30.63 ,$24.54 ,$41.19 ,$12.25 ,$21.28 ,$26.22 ,$12.25 ,$29.18 ,$12.25 ,$29.03 ,$3.50 ,$12.25 ,$29.03 ,$23.28 ,$41.44 ,$38.76 ,$30.63 ,$12.25 ,$53.20 ,$12.25 ,$38.00 ,$12.50 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$12.25 ,$38.38 ,$17.32 ,$17.32 ,$17.32 ,$76.00 ,$64.60 ,$30.63 ,$60.80 ,$28.12 ,$60.80 ,$12.25 ,$12.25 ,$76.00 ,$41.19 ,$12.25 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$12.86 ,$64.60 ,$27.56 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.32 ,$24.50 ,$24.50 ,$12.25 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600205,87276,HC IF INFLUENZA A AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$40.18 ,$24.54 ,$41.19 ,$16.07 ,$21.28 ,$26.22 ,$16.07 ,$29.18 ,$16.07 ,$29.03 ,$3.50 ,$16.07 ,$29.03 ,$30.53 ,$54.46 ,$38.76 ,$40.18 ,$16.07 ,$53.20 ,$16.07 ,$38.00 ,$16.39 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$16.07 ,$38.38 ,$20.89 ,$20.89 ,$20.89 ,$76.00 ,$64.60 ,$40.18 ,$60.80 ,$28.12 ,$60.80 ,$16.07 ,$16.07 ,$76.00 ,$41.19 ,$16.07 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$16.87 ,$64.60 ,$36.16 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$20.89 ,$32.14 ,$32.14 ,$16.07 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600206,87278,HC IF LEGIONELLA AG,306,1 ,$175.00 ,$113.75 ,$3.50 ,$175.00 ,$39.00 ,$24.54 ,$94.85 ,$15.60 ,$49.00 ,$52.32 ,$15.60 ,$52.32 ,$15.60 ,$66.85 ,$3.50 ,$15.60 ,$66.85 ,$29.64 ,$53.27 ,$89.25 ,$39.00 ,$15.60 ,$122.50 ,$15.60 ,$87.50 ,$15.91 ,$131.25 ,$88.38 ,$79.63 ,$88.38 ,$15.60 ,$88.38 ,$20.28 ,$20.28 ,$20.28 ,$175.00 ,$148.75 ,$39.00 ,$140.00 ,$64.75 ,$140.00 ,$15.60 ,$15.60 ,$175.00 ,$94.85 ,$15.60 ,$46.03 , N/A , N/A ,$10.58 ,$10.10 ,$16.38 ,$148.75 ,$35.10 ,$115.15 ,$49.00 ,$157.50 ,$126.00 ,$175.00 ,$20.28 ,$31.20 ,$31.20 ,$15.60 ,$84.00 ,$157.50 ST. JOHN'S HOSPITAL,30600207,87279,HC IF PARAFLUENZA AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$41.08 ,$24.54 ,$41.19 ,$16.43 ,$21.28 ,$26.22 ,$16.43 ,$29.18 ,$16.43 ,$29.03 ,$3.50 ,$16.43 ,$29.03 ,$31.22 ,$55.65 ,$38.76 ,$41.08 ,$16.43 ,$53.20 ,$16.43 ,$38.00 ,$16.76 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$16.43 ,$38.38 ,$21.36 ,$21.36 ,$21.36 ,$76.00 ,$64.60 ,$41.08 ,$60.80 ,$28.12 ,$60.80 ,$16.43 ,$16.43 ,$76.00 ,$41.19 ,$16.43 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$17.25 ,$64.60 ,$36.97 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$21.36 ,$32.86 ,$32.86 ,$16.43 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600208,87280,HC IF RSV AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$33.55 ,$24.54 ,$41.19 ,$13.42 ,$21.28 ,$26.22 ,$13.42 ,$29.18 ,$13.42 ,$29.03 ,$3.50 ,$13.42 ,$29.03 ,$25.50 ,$44.97 ,$38.76 ,$33.55 ,$13.42 ,$53.20 ,$13.42 ,$38.00 ,$13.69 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$13.42 ,$38.38 ,$17.45 ,$17.45 ,$17.45 ,$76.00 ,$64.60 ,$33.55 ,$60.80 ,$28.12 ,$60.80 ,$13.42 ,$13.42 ,$76.00 ,$41.19 ,$13.42 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$14.09 ,$64.60 ,$30.20 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.45 ,$26.84 ,$26.84 ,$13.42 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600210,87290,HC IF VARICELLA ZOETER AG,306,1 ,$146.00 ,$94.90 ,$3.50 ,$146.00 ,$33.55 ,$24.54 ,$79.13 ,$13.42 ,$40.88 ,$49.64 ,$13.42 ,$49.64 ,$13.42 ,$55.77 ,$3.50 ,$13.42 ,$55.77 ,$25.50 ,$44.97 ,$74.46 ,$33.55 ,$13.42 ,$102.20 ,$13.42 ,$73.00 ,$13.69 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$13.42 ,$73.73 ,$17.45 ,$17.45 ,$17.45 ,$146.00 ,$124.10 ,$33.55 ,$116.80 ,$54.02 ,$116.80 ,$13.42 ,$13.42 ,$146.00 ,$79.13 ,$13.42 ,$38.40 , N/A , N/A ,$10.58 ,$10.10 ,$14.09 ,$124.10 ,$30.20 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$17.45 ,$26.84 ,$26.84 ,$13.42 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$171.00 ,$111.15 ,$3.50 ,$171.00 ,$29.95 ,$24.54 ,$92.68 ,$11.98 ,$47.88 ,$49.64 ,$11.98 ,$49.64 ,$11.98 ,$65.32 ,$3.50 ,$11.98 ,$65.32 ,$22.76 ,$40.25 ,$87.21 ,$29.95 ,$11.98 ,$119.70 ,$11.98 ,$85.50 ,$12.22 ,$128.25 ,$86.36 ,$77.81 ,$86.36 ,$11.98 ,$86.36 ,$17.32 ,$17.32 ,$17.32 ,$171.00 ,$145.35 ,$29.95 ,$136.80 ,$63.27 ,$136.80 ,$11.98 ,$11.98 ,$171.00 ,$92.68 ,$11.98 ,$44.97 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$145.35 ,$26.96 ,$112.52 ,$47.88 ,$153.90 ,$123.12 ,$171.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$82.08 ,$153.90 ST. JOHN'S HOSPITAL,30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$35.33 ,$24.54 ,$66.12 ,$14.13 ,$34.16 ,$42.09 ,$14.13 ,$46.85 ,$14.13 ,$46.60 ,$3.50 ,$14.13 ,$46.60 ,$26.85 ,$47.36 ,$62.22 ,$35.33 ,$14.13 ,$85.40 ,$14.13 ,$61.00 ,$14.41 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$14.13 ,$61.61 ,$18.37 ,$18.37 ,$18.37 ,$122.00 ,$103.70 ,$35.33 ,$97.60 ,$45.14 ,$97.60 ,$14.13 ,$14.13 ,$122.00 ,$66.12 ,$14.13 ,$32.09 , N/A , N/A ,$18.24 ,$17.41 ,$14.84 ,$103.70 ,$31.79 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$18.37 ,$28.26 ,$28.26 ,$14.13 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30600228,87430,HC RAPID STREP,306,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$42.03 ,$24.54 ,$45.53 ,$16.81 ,$23.52 ,$28.98 ,$16.81 ,$32.26 ,$16.81 ,$32.09 ,$3.50 ,$16.81 ,$32.09 ,$31.94 ,$56.80 ,$42.84 ,$42.03 ,$16.81 ,$58.80 ,$16.81 ,$42.00 ,$17.15 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$16.81 ,$42.42 ,$21.85 ,$21.85 ,$21.85 ,$84.00 ,$71.40 ,$42.03 ,$67.20 ,$31.08 ,$67.20 ,$16.81 ,$16.81 ,$84.00 ,$45.53 ,$16.81 ,$22.09 , N/A , N/A ,$10.58 ,$10.10 ,$17.65 ,$71.40 ,$37.82 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$21.85 ,$33.62 ,$33.62 ,$16.81 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$250.00 ,$162.50 ,$3.50 ,$250.00 ,$93.18 ,$71.75 ,$135.50 ,$37.27 ,$70.00 ,$86.25 ,$37.27 ,$96.00 ,$37.27 ,$95.50 ,$3.50 ,$37.27 ,$95.50 ,$70.81 ,$126.67 ,$127.50 ,$93.18 ,$37.27 ,$175.00 ,$37.27 ,$125.00 ,$38.02 ,$187.50 ,$126.25 ,$113.75 ,$126.25 ,$37.27 ,$126.25 ,$50.69 ,$50.69 ,$50.69 ,$250.00 ,$212.50 ,$93.18 ,$200.00 ,$92.50 ,$200.00 ,$37.27 ,$37.27 ,$250.00 ,$135.50 ,$37.27 ,$65.75 , N/A , N/A ,$10.58 ,$10.10 ,$39.13 ,$212.50 ,$83.86 ,$164.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$50.69 ,$74.54 ,$74.54 ,$37.27 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,30600239,87498,HC ENTEROVIRUS AMP PROBE,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600244,87529,HC HERPES SIMPLEX AMP,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600252,87624,HC HPV AMP,306,1 ,$269.00 ,$174.85 ,$3.50 ,$269.00 ,$87.73 ,$71.05 ,$145.80 ,$35.09 ,$75.32 ,$92.81 ,$35.09 ,$103.30 ,$35.09 ,$102.76 ,$3.50 ,$35.09 ,$102.76 ,$66.67 ,$119.56 ,$137.19 ,$87.73 ,$35.09 ,$188.30 ,$35.09 ,$134.50 ,$35.79 ,$201.75 ,$135.85 ,$122.40 ,$135.85 ,$35.09 ,$135.85 ,$50.69 ,$50.69 ,$50.69 ,$269.00 ,$228.65 ,$87.73 ,$215.20 ,$99.53 ,$215.20 ,$35.09 ,$35.09 ,$35.09 ,$145.80 ,$35.09 ,$70.75 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$228.65 ,$78.95 ,$177.00 ,$75.32 ,$242.10 ,$193.68 ,$269.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$129.12 ,$242.10 ST. JOHN'S HOSPITAL,30600257,87653,HC INFECT AMP (GRP B STREP),306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600269,87807,HC QL RSV,306,1 ,$75.00 ,$48.75 ,$3.50 ,$75.00 ,$32.75 ,$24.54 ,$40.65 ,$13.10 ,$21.00 ,$25.88 ,$13.10 ,$28.80 ,$13.10 ,$28.65 ,$3.50 ,$13.10 ,$28.65 ,$24.89 ,$44.97 ,$38.25 ,$32.75 ,$13.10 ,$52.50 ,$13.10 ,$37.50 ,$13.36 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$13.10 ,$37.88 ,$17.32 ,$17.32 ,$17.32 ,$75.00 ,$63.75 ,$32.75 ,$60.00 ,$27.75 ,$60.00 ,$13.10 ,$13.10 ,$75.00 ,$40.65 ,$13.10 ,$19.73 , N/A , N/A ,$8.44 ,$8.05 ,$13.76 ,$63.75 ,$29.48 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$17.32 ,$26.20 ,$26.20 ,$13.10 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$139.00 ,$90.35 ,$3.50 ,$139.00 ,$40.18 ,$24.54 ,$75.34 ,$16.07 ,$38.92 ,$47.96 ,$16.07 ,$53.38 ,$16.07 ,$53.10 ,$3.50 ,$16.07 ,$53.10 ,$30.53 ,$54.46 ,$70.89 ,$40.18 ,$16.07 ,$97.30 ,$16.07 ,$69.50 ,$16.39 ,$104.25 ,$70.20 ,$63.25 ,$70.20 ,$16.07 ,$70.20 ,$20.89 ,$20.89 ,$20.89 ,$139.00 ,$118.15 ,$40.18 ,$111.20 ,$51.43 ,$111.20 ,$16.07 ,$16.07 ,$139.00 ,$75.34 ,$16.07 ,$36.56 , N/A , N/A ,$8.44 ,$8.05 ,$16.87 ,$118.15 ,$36.16 ,$91.46 ,$38.92 ,$125.10 ,$100.08 ,$139.00 ,$20.89 ,$32.14 ,$32.14 ,$16.07 ,$66.72 ,$125.10 ST. JOHN'S HOSPITAL,30600283,87804,HC QL INFLUENZA A/B,306,1 ,$208.00 ,$135.20 ,$3.50 ,$208.00 ,$41.38 ,$24.54 ,$112.74 ,$16.55 ,$58.24 ,$71.76 ,$16.55 ,$75.13 ,$16.55 ,$79.46 ,$3.50 ,$16.55 ,$79.46 ,$31.45 ,$55.65 ,$106.08 ,$41.38 ,$16.55 ,$145.60 ,$16.55 ,$104.00 ,$16.88 ,$156.00 ,$105.04 ,$94.64 ,$105.04 ,$16.55 ,$105.04 ,$21.52 ,$21.52 ,$21.52 ,$208.00 ,$176.80 ,$41.38 ,$166.40 ,$76.96 ,$166.40 ,$16.55 ,$16.55 ,$208.00 ,$112.74 ,$16.55 ,$54.70 , N/A , N/A ,$8.44 ,$8.05 ,$17.38 ,$176.80 ,$37.24 ,$136.86 ,$58.24 ,$187.20 ,$149.76 ,$208.00 ,$21.52 ,$33.10 ,$33.10 ,$16.55 ,$99.84 ,$187.20 ST. JOHN'S HOSPITAL,30600294,87496,HC INFECT AMP (CMV) MENI,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600295,87532,HC INFECT AMP (HHSV6) MENI,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600299,87071,HC CULTURE AEROBIC OTHER SOURCE QN,306,1 ,$175.00 ,$113.75 ,$3.50 ,$175.00 ,$24.73 ,$19.29 ,$94.85 ,$9.89 ,$49.00 ,$39.11 ,$9.89 ,$39.11 ,$9.89 ,$66.85 ,$3.50 ,$9.89 ,$66.85 ,$18.79 ,$33.15 ,$89.25 ,$24.73 ,$9.89 ,$122.50 ,$9.89 ,$87.50 ,$10.09 ,$131.25 ,$88.38 ,$79.63 ,$88.38 ,$9.89 ,$88.38 ,$13.64 ,$13.64 ,$13.64 ,$175.00 ,$148.75 ,$24.73 ,$140.00 ,$64.75 ,$140.00 ,$9.89 ,$9.89 ,$175.00 ,$94.85 ,$9.89 ,$46.03 , N/A , N/A ,$8.44 ,$8.05 ,$10.38 ,$148.75 ,$22.25 ,$115.15 ,$49.00 ,$157.50 ,$126.00 ,$175.00 ,$13.64 ,$19.78 ,$19.78 ,$9.89 ,$84.00 ,$157.50 ST. JOHN'S HOSPITAL,30600302,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$544.00 ,$353.60 ,$3.50 ,$544.00 ,$50.13 ,$41.00 ,$294.85 ,$20.05 ,$152.32 ,$83.02 ,$20.05 ,$83.02 ,$20.05 ,$207.81 ,$3.50 ,$20.05 ,$207.81 ,$38.10 ,$67.48 ,$277.44 ,$50.13 ,$20.05 ,$380.80 ,$20.05 ,$272.00 ,$20.45 ,$408.00 ,$274.72 ,$247.52 ,$274.72 ,$20.05 ,$274.72 ,$28.96 ,$28.96 ,$28.96 ,$544.00 ,$462.40 ,$50.13 ,$435.20 ,$201.28 ,$435.20 ,$20.05 ,$20.05 ,$544.00 ,$294.85 ,$20.05 ,$143.07 , N/A , N/A ,$8.44 ,$8.05 ,$21.05 ,$462.40 ,$45.11 ,$357.95 ,$152.32 ,$489.60 ,$391.68 ,$544.00 ,$28.96 ,$40.10 ,$40.10 ,$20.05 ,$261.12 ,$489.60 ST. JOHN'S HOSPITAL,30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$65.00 ,$42.25 ,$3.50 ,$65.00 ,$14.70 ,$12.04 ,$35.23 ,$5.88 ,$18.20 ,$22.43 ,$5.88 ,$24.36 ,$5.88 ,$24.83 ,$3.50 ,$5.88 ,$24.83 ,$11.17 ,$20.13 ,$33.15 ,$14.70 ,$5.88 ,$45.50 ,$5.88 ,$32.50 ,$6.00 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$5.88 ,$32.83 ,$8.50 ,$8.50 ,$8.50 ,$65.00 ,$55.25 ,$14.70 ,$52.00 ,$24.05 ,$52.00 ,$5.88 ,$5.88 ,$65.00 ,$35.23 ,$5.88 ,$17.10 , N/A , N/A ,$8.44 ,$8.05 ,$6.17 ,$55.25 ,$13.23 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$8.50 ,$11.76 ,$11.76 ,$5.88 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,30600308,87252,HC CULTURE VIRUS ID TISSUE,306,1 ,$305.00 ,$198.25 ,$3.50 ,$305.00 ,$65.18 ,$47.48 ,$165.31 ,$26.07 ,$85.40 ,$105.23 ,$26.07 ,$107.95 ,$26.07 ,$116.51 ,$3.50 ,$26.07 ,$116.51 ,$49.53 ,$88.80 ,$155.55 ,$65.18 ,$26.07 ,$213.50 ,$26.07 ,$152.50 ,$26.59 ,$228.75 ,$154.03 ,$138.78 ,$154.03 ,$26.07 ,$154.03 ,$37.66 ,$37.66 ,$37.66 ,$305.00 ,$259.25 ,$65.18 ,$244.00 ,$112.85 ,$244.00 ,$26.07 ,$26.07 ,$305.00 ,$165.31 ,$26.07 ,$80.22 , N/A , N/A ,$28.04 ,$26.76 ,$27.37 ,$259.25 ,$58.66 ,$200.69 ,$85.40 ,$274.50 ,$219.60 ,$305.00 ,$37.66 ,$52.14 ,$52.14 ,$26.07 ,$146.40 ,$274.50 ST. JOHN'S HOSPITAL,30600309,87269,HC IF GIARDIA AG,306,1 ,$76.00 ,$49.40 ,$3.50 ,$76.00 ,$34.03 ,$24.54 ,$41.19 ,$13.61 ,$21.28 ,$26.22 ,$13.61 ,$29.18 ,$13.61 ,$29.03 ,$3.50 ,$13.61 ,$29.03 ,$25.86 ,$46.17 ,$38.76 ,$34.03 ,$13.61 ,$53.20 ,$13.61 ,$38.00 ,$13.88 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$13.61 ,$38.38 ,$17.69 ,$17.69 ,$17.69 ,$76.00 ,$64.60 ,$34.03 ,$60.80 ,$28.12 ,$60.80 ,$13.61 ,$13.61 ,$76.00 ,$41.19 ,$13.61 ,$19.99 , N/A , N/A ,$10.58 ,$10.10 ,$14.29 ,$64.60 ,$30.62 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$17.69 ,$27.22 ,$27.22 ,$13.61 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,30600314,87340,HC EIA QL HEPATITIS B AG,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$25.83 ,$21.12 ,$87.26 ,$10.33 ,$45.08 ,$42.78 ,$10.33 ,$42.78 ,$10.33 ,$61.50 ,$3.50 ,$10.33 ,$61.50 ,$19.63 ,$35.53 ,$82.11 ,$25.83 ,$10.33 ,$112.70 ,$10.33 ,$80.50 ,$10.54 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$10.33 ,$81.31 ,$14.92 ,$14.92 ,$14.92 ,$161.00 ,$136.85 ,$25.83 ,$128.80 ,$59.57 ,$128.80 ,$10.33 ,$10.33 ,$161.00 ,$87.26 ,$10.33 ,$42.34 , N/A , N/A ,$10.58 ,$10.10 ,$10.85 ,$136.85 ,$23.24 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$14.92 ,$20.66 ,$20.66 ,$10.33 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600316,87389,HC HIV-1 AG W/HIV-1 AND HIV-2 AB,306,1 ,$230.00 ,$149.50 ,$3.50 ,$230.00 ,$60.20 ,$49.25 ,$124.66 ,$24.08 ,$64.40 ,$79.35 ,$24.08 ,$88.32 ,$24.08 ,$87.86 ,$3.50 ,$24.08 ,$87.86 ,$45.75 ,$81.69 ,$117.30 ,$60.20 ,$24.08 ,$161.00 ,$24.08 ,$115.00 ,$24.56 ,$172.50 ,$116.15 ,$104.65 ,$116.15 ,$24.08 ,$116.15 ,$34.78 ,$34.78 ,$34.78 ,$230.00 ,$195.50 ,$60.20 ,$184.00 ,$85.10 ,$184.00 ,$24.08 ,$24.08 ,$230.00 ,$124.66 ,$24.08 ,$60.49 , N/A , N/A ,$10.58 ,$10.10 ,$25.28 ,$195.50 ,$54.18 ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$34.78 ,$48.16 ,$48.16 ,$24.08 ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,30600317,87427,HC SHIGELLA LIKE TOXIN AG,306,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$29.95 ,$24.54 ,$46.07 ,$11.98 ,$23.80 ,$29.33 ,$11.98 ,$32.64 ,$11.98 ,$32.47 ,$3.50 ,$11.98 ,$32.47 ,$22.76 ,$40.25 ,$43.35 ,$29.95 ,$11.98 ,$59.50 ,$11.98 ,$42.50 ,$12.22 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$11.98 ,$42.93 ,$17.32 ,$17.32 ,$17.32 ,$85.00 ,$72.25 ,$29.95 ,$68.00 ,$31.45 ,$68.00 ,$11.98 ,$11.98 ,$85.00 ,$46.07 ,$11.98 ,$22.36 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$72.25 ,$26.96 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$248.00 ,$161.20 ,$3.50 ,$248.00 ,$29.95 ,$24.54 ,$134.42 ,$11.98 ,$69.44 ,$67.18 ,$11.98 ,$67.18 ,$11.98 ,$94.74 ,$3.50 ,$11.98 ,$94.74 ,$22.76 ,$40.25 ,$126.48 ,$29.95 ,$11.98 ,$173.60 ,$11.98 ,$124.00 ,$12.22 ,$186.00 ,$125.24 ,$112.84 ,$125.24 ,$11.98 ,$125.24 ,$17.32 ,$17.32 ,$17.32 ,$248.00 ,$210.80 ,$29.95 ,$198.40 ,$91.76 ,$198.40 ,$11.98 ,$11.98 ,$248.00 ,$134.42 ,$11.98 ,$65.22 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$210.80 ,$26.96 ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,30600336,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$802.00 ,$521.30 ,$3.50 ,"$1,041.95 ","$1,041.95 ",$802.00 ,$434.68 ,$416.78 ,$224.56 ,$276.69 ,$416.78 ,$307.97 ,$416.78 ,$306.36 ,$3.50 ,$416.78 ,$306.36 ,$791.88 ,$802.00 ,$409.02 ,"$1,041.95 ",$416.78 ,$561.40 ,$416.78 ,$401.00 ,$425.12 ,$601.50 ,$405.01 ,$364.91 ,$405.01 ,$416.78 ,$405.01 ,$602.02 ,$602.02 ,$602.02 ,$802.00 ,$681.70 ,$802.00 ,$641.60 ,$296.74 ,$641.60 ,$416.78 ,$416.78 ,$802.00 ,$434.68 ,$416.78 ,$210.93 , N/A , N/A ,$28.04 ,$26.76 ,$437.62 ,$681.70 ,$937.76 ,$527.72 ,$224.56 ,$721.80 ,$577.44 ,$802.00 ,$602.02 ,$802.00 ,$802.00 ,$416.78 ,$384.96 ,$721.80 ST. JOHN'S HOSPITAL,30600338,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600339,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,"$1,420.00 ",$923.00 ,$3.50 ,"$1,420.00 ","$1,041.95 ",$852.20 ,$769.64 ,$416.78 ,$397.60 ,$489.90 ,$416.78 ,$545.28 ,$416.78 ,$542.44 ,$3.50 ,$416.78 ,$542.44 ,$791.88 ,"$1,413.45 ",$724.20 ,"$1,041.95 ",$416.78 ,$994.00 ,$416.78 ,$710.00 ,$425.12 ,"$1,065.00 ",$717.10 ,$646.10 ,$717.10 ,$416.78 ,$717.10 ,$602.02 ,$602.02 ,$602.02 ,"$1,420.00 ","$1,207.00 ","$1,041.95 ","$1,136.00 ",$525.40 ,"$1,136.00 ",$416.78 ,$416.78 ,"$1,420.00 ",$769.64 ,$416.78 ,$373.46 , N/A , N/A ,$28.04 ,$26.76 ,$437.62 ,"$1,207.00 ",$937.76 ,$934.36 ,$397.60 ,"$1,278.00 ","$1,022.40 ","$1,420.00 ",$602.02 ,$833.56 ,$833.56 ,$416.78 ,$681.60 ,"$1,278.00 " ST. JOHN'S HOSPITAL,30600348,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,$746.00 ,$484.90 ,$3.50 ,"$1,041.95 ","$1,041.95 ",$746.00 ,$404.33 ,$416.78 ,$208.88 ,$257.37 ,$416.78 ,$286.46 ,$416.78 ,$284.97 ,$3.50 ,$416.78 ,$284.97 ,$746.00 ,$746.00 ,$380.46 ,"$1,041.95 ",$416.78 ,$522.20 ,$416.78 ,$373.00 ,$425.12 ,$559.50 ,$376.73 ,$339.43 ,$376.73 ,$416.78 ,$376.73 ,$602.02 ,$602.02 ,$602.02 ,$746.00 ,$634.10 ,$746.00 ,$596.80 ,$276.02 ,$596.80 ,$416.78 ,$416.78 ,$746.00 ,$404.33 ,$416.78 ,$196.20 , N/A , N/A ,$28.04 ,$26.76 ,$437.62 ,$634.10 ,$937.76 ,$490.87 ,$208.88 ,$671.40 ,$537.12 ,$746.00 ,$602.02 ,$746.00 ,$746.00 ,$416.78 ,$358.08 ,$671.40 ST. JOHN'S HOSPITAL,30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$41.00 ,$26.65 ,$3.50 ,$41.00 ,$16.70 ,$13.65 ,$22.22 ,$6.68 ,$11.48 ,$14.15 ,$6.68 ,$15.74 ,$6.68 ,$15.66 ,$3.50 ,$6.68 ,$15.66 ,$12.69 ,$22.51 ,$20.91 ,$16.70 ,$6.68 ,$28.70 ,$6.68 ,$20.50 ,$6.81 ,$30.75 ,$20.71 ,$18.66 ,$20.71 ,$6.68 ,$20.71 ,$9.65 ,$9.65 ,$9.65 ,$41.00 ,$34.85 ,$16.70 ,$32.80 ,$15.17 ,$32.80 ,$6.68 ,$6.68 ,$41.00 ,$22.22 ,$6.68 ,$10.78 , N/A , N/A ,$8.44 ,$8.05 ,$7.01 ,$34.85 ,$15.03 ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$9.65 ,$13.36 ,$13.36 ,$6.68 ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,30600354,87046,HC STOOL CULTURE OTHER SOURCE,306,1 ,$181.00 ,$117.65 ,$3.50 ,$181.00 ,$23.60 ,$19.29 ,$98.10 ,$9.44 ,$50.68 ,$39.11 ,$9.44 ,$39.11 ,$9.44 ,$69.14 ,$3.50 ,$9.44 ,$69.14 ,$17.94 ,$31.95 ,$92.31 ,$23.60 ,$9.44 ,$126.70 ,$9.44 ,$90.50 ,$9.63 ,$135.75 ,$91.41 ,$82.36 ,$91.41 ,$9.44 ,$91.41 ,$13.64 ,$13.64 ,$13.64 ,$181.00 ,$153.85 ,$23.60 ,$144.80 ,$66.97 ,$144.80 ,$9.44 ,$9.44 ,$181.00 ,$98.10 ,$9.44 ,$47.60 , N/A , N/A ,$8.44 ,$8.05 ,$9.91 ,$153.85 ,$21.24 ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,30600356,87077,HC CULTURE AEROBIC ID ADDL-90,306,1 ,$279.00 ,$181.35 ,$3.50 ,$279.00 ,$20.20 ,$8.68 ,$151.22 ,$8.08 ,$78.12 ,$45.25 ,$8.08 ,$45.25 ,$8.08 ,$106.58 ,$3.50 ,$8.08 ,$106.58 ,$15.35 ,$27.23 ,$142.29 ,$20.20 ,$8.08 ,$195.30 ,$8.08 ,$139.50 ,$8.24 ,$209.25 ,$140.90 ,$126.95 ,$140.90 ,$8.08 ,$140.90 ,$11.66 ,$11.66 ,$11.66 ,$279.00 ,$237.15 ,$20.20 ,$223.20 ,$103.23 ,$223.20 ,$8.08 ,$8.08 ,$279.00 ,$151.22 ,$8.08 ,$73.38 , N/A , N/A ,$8.44 ,$8.05 ,$8.48 ,$237.15 ,$18.18 ,$183.58 ,$78.12 ,$251.10 ,$200.88 ,$279.00 ,$11.66 ,$16.16 ,$16.16 ,$8.08 ,$133.92 ,$251.10 ST. JOHN'S HOSPITAL,30600357,87077,HC CULTURE AEROBIC ID ADDL T1,306,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$20.20 ,$8.68 ,$26.56 ,$8.08 ,$13.72 ,$16.91 ,$8.08 ,$18.82 ,$8.08 ,$18.72 ,$3.50 ,$8.08 ,$18.72 ,$15.35 ,$27.23 ,$24.99 ,$20.20 ,$8.08 ,$34.30 ,$8.08 ,$24.50 ,$8.24 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$8.08 ,$24.75 ,$11.66 ,$11.66 ,$11.66 ,$49.00 ,$41.65 ,$20.20 ,$39.20 ,$18.13 ,$39.20 ,$8.08 ,$8.08 ,$49.00 ,$26.56 ,$8.08 ,$12.89 , N/A , N/A ,$8.44 ,$8.05 ,$8.48 ,$41.65 ,$18.18 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$11.66 ,$16.16 ,$16.16 ,$8.08 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30600358,87077,HC CULTURE AEROBIC ID ADDL T2,306,1 ,$112.00 ,$72.80 ,$3.50 ,$112.00 ,$20.20 ,$8.68 ,$60.70 ,$8.08 ,$31.36 ,$38.64 ,$8.08 ,$43.01 ,$8.08 ,$42.78 ,$3.50 ,$8.08 ,$42.78 ,$15.35 ,$27.23 ,$57.12 ,$20.20 ,$8.08 ,$78.40 ,$8.08 ,$56.00 ,$8.24 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$8.08 ,$56.56 ,$11.66 ,$11.66 ,$11.66 ,$112.00 ,$95.20 ,$20.20 ,$89.60 ,$41.44 ,$89.60 ,$8.08 ,$8.08 ,$112.00 ,$60.70 ,$8.08 ,$29.46 , N/A , N/A ,$8.44 ,$8.05 ,$8.48 ,$95.20 ,$18.18 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$11.66 ,$16.16 ,$16.16 ,$8.08 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$125.00 ,$81.25 ,$3.50 ,$125.00 ,$16.58 ,$13.56 ,$67.75 ,$6.63 ,$35.00 ,$37.15 ,$6.63 ,$37.15 ,$6.63 ,$47.75 ,$3.50 ,$6.63 ,$47.75 ,$12.60 ,$22.51 ,$63.75 ,$16.58 ,$6.63 ,$87.50 ,$6.63 ,$62.50 ,$6.76 ,$93.75 ,$63.13 ,$56.88 ,$63.13 ,$6.63 ,$63.13 ,$9.57 ,$9.57 ,$9.57 ,$125.00 ,$106.25 ,$16.58 ,$100.00 ,$46.25 ,$100.00 ,$6.63 ,$6.63 ,$125.00 ,$67.75 ,$6.63 ,$32.88 , N/A , N/A ,$8.44 ,$8.05 ,$6.96 ,$106.25 ,$14.92 ,$82.25 ,$35.00 ,$112.50 ,$90.00 ,$125.00 ,$9.57 ,$13.26 ,$13.26 ,$6.63 ,$60.00 ,$112.50 ST. JOHN'S HOSPITAL,30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$44.00 ,$28.60 ,$3.50 ,$44.00 ,$16.58 ,$13.56 ,$23.85 ,$6.63 ,$12.32 ,$15.18 ,$6.63 ,$16.90 ,$6.63 ,$16.81 ,$3.50 ,$6.63 ,$16.81 ,$12.60 ,$22.51 ,$22.44 ,$16.58 ,$6.63 ,$30.80 ,$6.63 ,$22.00 ,$6.76 ,$33.00 ,$22.22 ,$20.02 ,$22.22 ,$6.63 ,$22.22 ,$9.57 ,$9.57 ,$9.57 ,$44.00 ,$37.40 ,$16.58 ,$35.20 ,$16.28 ,$35.20 ,$6.63 ,$6.63 ,$44.00 ,$23.85 ,$6.63 ,$11.57 , N/A , N/A ,$8.44 ,$8.05 ,$6.96 ,$37.40 ,$14.92 ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$9.57 ,$13.26 ,$13.26 ,$6.63 ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,30600361,87081,HC CULTURE SCR PRESUMP PATHOGENS T2,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$16.58 ,$13.56 ,$62.33 ,$6.63 ,$32.20 ,$37.15 ,$6.63 ,$37.15 ,$6.63 ,$43.93 ,$3.50 ,$6.63 ,$43.93 ,$12.60 ,$22.51 ,$58.65 ,$16.58 ,$6.63 ,$80.50 ,$6.63 ,$57.50 ,$6.76 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$6.63 ,$58.08 ,$9.57 ,$9.57 ,$9.57 ,$115.00 ,$97.75 ,$16.58 ,$92.00 ,$42.55 ,$92.00 ,$6.63 ,$6.63 ,$115.00 ,$62.33 ,$6.63 ,$30.25 , N/A , N/A ,$8.44 ,$8.05 ,$6.96 ,$97.75 ,$14.92 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$9.57 ,$13.26 ,$13.26 ,$6.63 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600362,87084,HC CULTURE SCR COLONY W/EST,306,1 ,$122.00 ,$79.30 ,$3.50 ,$122.00 ,$67.68 ,$10.19 ,$66.12 ,$27.07 ,$34.16 ,$42.09 ,$27.07 ,$46.85 ,$27.07 ,$46.60 ,$3.50 ,$27.07 ,$46.60 ,$51.43 ,$92.33 ,$62.22 ,$67.68 ,$27.07 ,$85.40 ,$27.07 ,$61.00 ,$27.61 ,$91.50 ,$61.61 ,$55.51 ,$61.61 ,$27.07 ,$61.61 ,$35.19 ,$35.19 ,$35.19 ,$122.00 ,$103.70 ,$67.68 ,$97.60 ,$45.14 ,$97.60 ,$27.07 ,$27.07 ,$122.00 ,$66.12 ,$27.07 ,$32.09 , N/A , N/A ,$8.44 ,$8.05 ,$28.42 ,$103.70 ,$60.91 ,$80.28 ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$35.19 ,$54.14 ,$54.14 ,$27.07 ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,30600364,87106,HC CULTURE FUNGUS ID YEAST-90,306,1 ,$360.00 ,$234.00 ,$3.50 ,$360.00 ,$25.80 ,$21.11 ,$195.12 ,$10.32 ,$100.80 ,$42.72 ,$10.32 ,$42.72 ,$10.32 ,$137.52 ,$3.50 ,$10.32 ,$137.52 ,$19.61 ,$35.53 ,$183.60 ,$25.80 ,$10.32 ,$252.00 ,$10.32 ,$180.00 ,$10.53 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$10.32 ,$181.80 ,$14.91 ,$14.91 ,$14.91 ,$360.00 ,$306.00 ,$25.80 ,$288.00 ,$133.20 ,$288.00 ,$10.32 ,$10.32 ,$360.00 ,$195.12 ,$10.32 ,$94.68 , N/A , N/A ,$8.44 ,$8.05 ,$10.84 ,$306.00 ,$23.22 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$14.91 ,$20.64 ,$20.64 ,$10.32 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,30600365,87107,HC CULTURE FUNGUS ID MOLD-90,306,1 ,$360.00 ,$234.00 ,$3.50 ,$360.00 ,$25.80 ,$21.11 ,$195.12 ,$10.32 ,$100.80 ,$42.72 ,$10.32 ,$42.72 ,$10.32 ,$137.52 ,$3.50 ,$10.32 ,$137.52 ,$19.61 ,$35.53 ,$183.60 ,$25.80 ,$10.32 ,$252.00 ,$10.32 ,$180.00 ,$10.53 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$10.32 ,$181.80 ,$14.91 ,$14.91 ,$14.91 ,$360.00 ,$306.00 ,$25.80 ,$288.00 ,$133.20 ,$288.00 ,$10.32 ,$10.32 ,$360.00 ,$195.12 ,$10.32 ,$94.68 , N/A , N/A ,$28.04 ,$26.76 ,$10.84 ,$306.00 ,$23.22 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$14.91 ,$20.64 ,$20.64 ,$10.32 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,30600366,87109,HC CULTURE MYCOPLASMA-90,306,1 ,$36.00 ,$23.40 ,$3.50 ,$38.48 ,$38.48 ,$31.47 ,$19.51 ,$15.39 ,$10.08 ,$12.42 ,$15.39 ,$13.82 ,$15.39 ,$13.75 ,$3.50 ,$15.39 ,$13.75 ,$29.24 ,$36.00 ,$18.36 ,$38.48 ,$15.39 ,$25.20 ,$15.39 ,$18.00 ,$15.70 ,$27.00 ,$18.18 ,$16.38 ,$18.18 ,$15.39 ,$18.18 ,$22.23 ,$22.23 ,$22.23 ,$36.00 ,$30.60 ,$36.00 ,$28.80 ,$13.32 ,$28.80 ,$15.39 ,$15.39 ,$36.00 ,$19.51 ,$15.39 ,$9.47 , N/A , N/A ,$28.04 ,$26.76 ,$16.16 ,$30.60 ,$34.63 ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$22.23 ,$30.78 ,$30.78 ,$15.39 ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,30600367,87110,HC CULTURE CHLAMYDIA-90,306,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$49.00 ,$40.06 ,$47.70 ,$19.60 ,$24.64 ,$30.36 ,$19.60 ,$33.79 ,$19.60 ,$33.62 ,$3.50 ,$19.60 ,$33.62 ,$37.24 ,$66.29 ,$44.88 ,$49.00 ,$19.60 ,$61.60 ,$19.60 ,$44.00 ,$19.99 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$19.60 ,$44.44 ,$28.30 ,$28.30 ,$28.30 ,$88.00 ,$74.80 ,$49.00 ,$70.40 ,$32.56 ,$70.40 ,$19.60 ,$19.60 ,$88.00 ,$47.70 ,$19.60 ,$23.14 , N/A , N/A ,$8.44 ,$8.05 ,$20.58 ,$74.80 ,$44.10 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$28.30 ,$39.20 ,$39.20 ,$19.60 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$27.00 ,$22.09 ,$101.90 ,$10.80 ,$52.64 ,$44.74 ,$10.80 ,$44.74 ,$10.80 ,$71.82 ,$3.50 ,$10.80 ,$71.82 ,$20.52 ,$36.68 ,$95.88 ,$27.00 ,$10.80 ,$131.60 ,$10.80 ,$94.00 ,$11.02 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$10.80 ,$94.94 ,$15.60 ,$15.60 ,$15.60 ,$188.00 ,$159.80 ,$27.00 ,$150.40 ,$69.56 ,$150.40 ,$10.80 ,$10.80 ,$188.00 ,$101.90 ,$10.80 ,$49.44 , N/A , N/A ,$28.04 ,$26.76 ,$11.34 ,$159.80 ,$24.30 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$15.60 ,$21.60 ,$21.60 ,$10.80 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30600369,87118,HC CULTURE MYCOBACTERIA ID-90,306,1 ,$255.00 ,$165.75 ,$3.50 ,$255.00 ,$36.53 ,$22.37 ,$138.21 ,$14.61 ,$71.40 ,$49.02 ,$14.61 ,$49.02 ,$14.61 ,$97.41 ,$3.50 ,$14.61 ,$97.41 ,$27.76 ,$49.74 ,$130.05 ,$36.53 ,$14.61 ,$178.50 ,$14.61 ,$127.50 ,$14.90 ,$191.25 ,$128.78 ,$116.03 ,$128.78 ,$14.61 ,$128.78 ,$18.99 ,$18.99 ,$18.99 ,$255.00 ,$216.75 ,$36.53 ,$204.00 ,$94.35 ,$204.00 ,$14.61 ,$14.61 ,$255.00 ,$138.21 ,$14.61 ,$67.07 , N/A , N/A ,$28.04 ,$26.76 ,$15.34 ,$216.75 ,$32.87 ,$167.79 ,$71.40 ,$229.50 ,$183.60 ,$255.00 ,$18.99 ,$29.22 ,$29.22 ,$14.61 ,$122.40 ,$229.50 ST. JOHN'S HOSPITAL,30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$88.00 ,$57.20 ,$3.50 ,$88.00 ,$13.93 ,$11.41 ,$47.70 ,$5.57 ,$24.64 ,$23.07 ,$5.57 ,$23.07 ,$5.57 ,$33.62 ,$3.50 ,$5.57 ,$33.62 ,$10.58 ,$18.93 ,$44.88 ,$13.93 ,$5.57 ,$61.60 ,$5.57 ,$44.00 ,$5.68 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$5.57 ,$44.44 ,$8.05 ,$8.05 ,$8.05 ,$88.00 ,$74.80 ,$13.93 ,$70.40 ,$32.56 ,$70.40 ,$5.57 ,$5.57 ,$88.00 ,$47.70 ,$5.57 ,$23.14 , N/A , N/A ,$28.04 ,$26.76 ,$5.85 ,$74.80 ,$12.53 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$8.05 ,$11.14 ,$11.14 ,$5.57 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,30600371,87143,HC CULTURE TYPE GLC OR HPLC-90,306,1 ,$159.00 ,$103.35 ,$3.50 ,$159.00 ,$31.30 ,$25.62 ,$86.18 ,$12.52 ,$44.52 ,$51.86 ,$12.52 ,$51.86 ,$12.52 ,$60.74 ,$3.50 ,$12.52 ,$60.74 ,$23.79 ,$42.63 ,$81.09 ,$31.30 ,$12.52 ,$111.30 ,$12.52 ,$79.50 ,$12.77 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$12.52 ,$80.30 ,$18.10 ,$18.10 ,$18.10 ,$159.00 ,$135.15 ,$31.30 ,$127.20 ,$58.83 ,$127.20 ,$12.52 ,$12.52 ,$159.00 ,$86.18 ,$12.52 ,$41.82 , N/A , N/A ,$28.04 ,$26.76 ,$13.15 ,$135.15 ,$28.17 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$18.10 ,$25.04 ,$25.04 ,$12.52 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,30600373,87147,HC CULTURE TYPE SEROLOGIC-91,306,1 ,$58.00 ,$37.70 ,$3.50 ,$58.00 ,$12.95 ,$10.57 ,$31.44 ,$5.18 ,$16.24 ,$20.01 ,$5.18 ,$21.41 ,$5.18 ,$22.16 ,$3.50 ,$5.18 ,$22.16 ,$9.84 ,$17.74 ,$29.58 ,$12.95 ,$5.18 ,$40.60 ,$5.18 ,$29.00 ,$5.28 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$5.18 ,$29.29 ,$7.48 ,$7.48 ,$7.48 ,$58.00 ,$49.30 ,$12.95 ,$46.40 ,$21.46 ,$46.40 ,$5.18 ,$5.18 ,$58.00 ,$31.44 ,$5.18 ,$15.25 , N/A , N/A ,$8.44 ,$8.05 ,$5.44 ,$49.30 ,$11.66 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,30600374,87147,HC CULTURE TYPE SEROLOGIC PBP,306,1 ,$152.00 ,$98.80 ,$3.50 ,$152.00 ,$12.95 ,$10.57 ,$82.38 ,$5.18 ,$42.56 ,$21.41 ,$5.18 ,$21.41 ,$5.18 ,$58.06 ,$3.50 ,$5.18 ,$58.06 ,$9.84 ,$17.74 ,$77.52 ,$12.95 ,$5.18 ,$106.40 ,$5.18 ,$76.00 ,$5.28 ,$114.00 ,$76.76 ,$69.16 ,$76.76 ,$5.18 ,$76.76 ,$7.48 ,$7.48 ,$7.48 ,$152.00 ,$129.20 ,$12.95 ,$121.60 ,$56.24 ,$121.60 ,$5.18 ,$5.18 ,$152.00 ,$82.38 ,$5.18 ,$39.98 , N/A , N/A ,$8.44 ,$8.05 ,$5.44 ,$129.20 ,$11.66 ,$100.02 ,$42.56 ,$136.80 ,$109.44 ,$152.00 ,$7.48 ,$10.36 ,$10.36 ,$5.18 ,$72.96 ,$136.80 ST. JOHN'S HOSPITAL,30600375,87149,HC CULTURE TYPING ID NUCLEIC ACID-90,306,1 ,$250.00 ,$162.50 ,$3.50 ,$250.00 ,$50.13 ,$41.00 ,$135.50 ,$20.05 ,$70.00 ,$83.02 ,$20.05 ,$83.02 ,$20.05 ,$95.50 ,$3.50 ,$20.05 ,$95.50 ,$38.10 ,$67.48 ,$127.50 ,$50.13 ,$20.05 ,$175.00 ,$20.05 ,$125.00 ,$20.45 ,$187.50 ,$126.25 ,$113.75 ,$126.25 ,$20.05 ,$126.25 ,$28.96 ,$28.96 ,$28.96 ,$250.00 ,$212.50 ,$50.13 ,$200.00 ,$92.50 ,$200.00 ,$20.05 ,$20.05 ,$250.00 ,$135.50 ,$20.05 ,$65.75 , N/A , N/A ,$8.44 ,$8.05 ,$21.05 ,$212.50 ,$45.11 ,$164.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$28.96 ,$40.10 ,$40.10 ,$20.05 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,30600376,87153,HC ID NUCLEAR ACID SEQ METH PROF-90,306,1 ,$368.00 ,$239.20 ,$3.50 ,$368.00 ,$288.40 ,$235.87 ,$199.46 ,$115.36 ,$103.04 ,$126.96 ,$115.36 ,$141.31 ,$115.36 ,$140.58 ,$3.50 ,$115.36 ,$140.58 ,$219.18 ,$368.00 ,$187.68 ,$288.40 ,$115.36 ,$257.60 ,$115.36 ,$184.00 ,$117.67 ,$276.00 ,$185.84 ,$167.44 ,$185.84 ,$115.36 ,$185.84 ,$166.62 ,$166.62 ,$166.62 ,$368.00 ,$312.80 ,$288.40 ,$294.40 ,$136.16 ,$294.40 ,$115.36 ,$115.36 ,$368.00 ,$199.46 ,$115.36 ,$96.78 , N/A , N/A ,$28.04 ,$26.76 ,$121.13 ,$312.80 ,$259.56 ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$166.62 ,$230.72 ,$230.72 ,$115.36 ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,30600377,87153,HC ID NUCLEAR ACID SEQ METH ID-90,306,1 ,$914.00 ,$594.10 ,$3.50 ,$914.00 ,$288.40 ,$235.87 ,$495.39 ,$115.36 ,$255.92 ,$315.33 ,$115.36 ,$350.98 ,$115.36 ,$349.15 ,$3.50 ,$115.36 ,$349.15 ,$219.18 ,$391.83 ,$466.14 ,$288.40 ,$115.36 ,$639.80 ,$115.36 ,$457.00 ,$117.67 ,$685.50 ,$461.57 ,$415.87 ,$461.57 ,$115.36 ,$461.57 ,$166.62 ,$166.62 ,$166.62 ,$914.00 ,$776.90 ,$288.40 ,$731.20 ,$338.18 ,$731.20 ,$115.36 ,$115.36 ,$914.00 ,$495.39 ,$115.36 ,$240.38 , N/A , N/A ,$28.04 ,$26.76 ,$121.13 ,$776.90 ,$259.56 ,$601.41 ,$255.92 ,$822.60 ,$658.08 ,$914.00 ,$166.62 ,$230.72 ,$230.72 ,$115.36 ,$438.72 ,$822.60 ST. JOHN'S HOSPITAL,30600378,87153,HC ID NUCLEAR ACID SEQ YEAST/MOLD-90,306,1 ,$360.00 ,$234.00 ,$3.50 ,$360.00 ,$288.40 ,$235.87 ,$195.12 ,$115.36 ,$100.80 ,$124.20 ,$115.36 ,$138.24 ,$115.36 ,$137.52 ,$3.50 ,$115.36 ,$137.52 ,$219.18 ,$360.00 ,$183.60 ,$288.40 ,$115.36 ,$252.00 ,$115.36 ,$180.00 ,$117.67 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$115.36 ,$181.80 ,$166.62 ,$166.62 ,$166.62 ,$360.00 ,$306.00 ,$288.40 ,$288.00 ,$133.20 ,$288.00 ,$115.36 ,$115.36 ,$360.00 ,$195.12 ,$115.36 ,$94.68 , N/A , N/A ,$28.04 ,$26.76 ,$121.13 ,$306.00 ,$259.56 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$166.62 ,$230.72 ,$230.72 ,$115.36 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,30600379,87176,HC HOMOGENIZATION TISSUE-90,306,1 ,$84.00 ,$54.60 ,$3.50 ,$84.00 ,$14.70 ,$12.04 ,$45.53 ,$5.88 ,$23.52 ,$24.36 ,$5.88 ,$24.36 ,$5.88 ,$32.09 ,$3.50 ,$5.88 ,$32.09 ,$11.17 ,$20.13 ,$42.84 ,$14.70 ,$5.88 ,$58.80 ,$5.88 ,$42.00 ,$6.00 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$5.88 ,$42.42 ,$8.50 ,$8.50 ,$8.50 ,$84.00 ,$71.40 ,$14.70 ,$67.20 ,$31.08 ,$67.20 ,$5.88 ,$5.88 ,$84.00 ,$45.53 ,$5.88 ,$22.09 , N/A , N/A ,$8.44 ,$8.05 ,$6.17 ,$71.40 ,$13.23 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$8.50 ,$11.76 ,$11.76 ,$5.88 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$145.00 ,$94.25 ,$3.50 ,$145.00 ,$22.25 ,$17.80 ,$78.59 ,$8.90 ,$40.60 ,$49.90 ,$8.90 ,$49.90 ,$8.90 ,$55.39 ,$3.50 ,$8.90 ,$55.39 ,$16.91 ,$30.76 ,$73.95 ,$22.25 ,$8.90 ,$101.50 ,$8.90 ,$72.50 ,$9.08 ,$108.75 ,$73.23 ,$65.98 ,$73.23 ,$8.90 ,$73.23 ,$12.86 ,$12.86 ,$12.86 ,$145.00 ,$123.25 ,$22.25 ,$116.00 ,$53.65 ,$116.00 ,$8.90 ,$8.90 ,$145.00 ,$78.59 ,$8.90 ,$38.14 , N/A , N/A ,$8.44 ,$8.05 ,$9.35 ,$123.25 ,$20.03 ,$95.41 ,$40.60 ,$130.50 ,$104.40 ,$145.00 ,$12.86 ,$17.80 ,$17.80 ,$8.90 ,$69.60 ,$130.50 ST. JOHN'S HOSPITAL,30600381,87181,HC SENSITIVITY STUDY AGAR-90,306,1 ,$360.00 ,$234.00 ,$3.50 ,$360.00 ,$11.88 ,$9.71 ,$195.12 ,$4.75 ,$100.80 ,$26.63 ,$4.75 ,$26.63 ,$4.75 ,$137.52 ,$3.50 ,$4.75 ,$137.52 ,$9.03 ,$16.59 ,$183.60 ,$11.88 ,$4.75 ,$252.00 ,$4.75 ,$180.00 ,$4.85 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$4.75 ,$181.80 ,$6.85 ,$6.85 ,$6.85 ,$360.00 ,$306.00 ,$11.88 ,$288.00 ,$133.20 ,$288.00 ,$4.75 ,$4.75 ,$360.00 ,$195.12 ,$4.75 ,$94.68 , N/A , N/A ,$8.44 ,$8.05 ,$4.99 ,$306.00 ,$10.69 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$6.85 ,$9.50 ,$9.50 ,$4.75 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,30600384,87186,HC SENSITIVITY MIC 15DG/MLTPLT-90,306,1 ,$835.00 ,$542.75 ,$3.50 ,$835.00 ,$21.63 ,$17.68 ,$452.57 ,$8.65 ,$233.80 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$318.97 ,$3.50 ,$8.65 ,$318.97 ,$16.44 ,$29.61 ,$425.85 ,$21.63 ,$8.65 ,$584.50 ,$8.65 ,$417.50 ,$8.82 ,$626.25 ,$421.68 ,$379.93 ,$421.68 ,$8.65 ,$421.68 ,$12.49 ,$12.49 ,$12.49 ,$835.00 ,$709.75 ,$21.63 ,$668.00 ,$308.95 ,$668.00 ,$8.65 ,$8.65 ,$835.00 ,$452.57 ,$8.65 ,$219.61 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$709.75 ,$19.46 ,$549.43 ,$233.80 ,$751.50 ,$601.20 ,$835.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$400.80 ,$751.50 ST. JOHN'S HOSPITAL,30600385,87186,HC SENSITIVITY MIC FUNGUS-90,306,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$21.63 ,$17.68 ,$105.69 ,$8.65 ,$54.60 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$74.49 ,$3.50 ,$8.65 ,$74.49 ,$16.44 ,$29.61 ,$99.45 ,$21.63 ,$8.65 ,$136.50 ,$8.65 ,$97.50 ,$8.82 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$8.65 ,$98.48 ,$12.49 ,$12.49 ,$12.49 ,$195.00 ,$165.75 ,$21.63 ,$156.00 ,$72.15 ,$156.00 ,$8.65 ,$8.65 ,$195.00 ,$105.69 ,$8.65 ,$51.29 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$165.75 ,$19.46 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,30600386,87186,HC SENSITIVITY MIC 10DG/SGLPLT-90,306,1 ,"$1,169.00 ",$759.85 ,$3.50 ,"$1,169.00 ",$21.63 ,$17.68 ,$633.60 ,$8.65 ,$327.32 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$446.56 ,$3.50 ,$8.65 ,$446.56 ,$16.44 ,$29.61 ,$596.19 ,$21.63 ,$8.65 ,$818.30 ,$8.65 ,$584.50 ,$8.82 ,$876.75 ,$590.35 ,$531.90 ,$590.35 ,$8.65 ,$590.35 ,$12.49 ,$12.49 ,$12.49 ,"$1,169.00 ",$993.65 ,$21.63 ,$935.20 ,$432.53 ,$935.20 ,$8.65 ,$8.65 ,"$1,169.00 ",$633.60 ,$8.65 ,$307.45 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$993.65 ,$19.46 ,$769.20 ,$327.32 ,"$1,052.10 ",$841.68 ,"$1,169.00 ",$12.49 ,$17.30 ,$17.30 ,$8.65 ,$561.12 ,"$1,052.10 " ST. JOHN'S HOSPITAL,30600387,87186,HC SENSITIVITY MIC 20DG/SGLPLT-90,306,1 ,$360.00 ,$234.00 ,$3.50 ,$360.00 ,$21.63 ,$17.68 ,$195.12 ,$8.65 ,$100.80 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$137.52 ,$3.50 ,$8.65 ,$137.52 ,$16.44 ,$29.61 ,$183.60 ,$21.63 ,$8.65 ,$252.00 ,$8.65 ,$180.00 ,$8.82 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$8.65 ,$181.80 ,$12.49 ,$12.49 ,$12.49 ,$360.00 ,$306.00 ,$21.63 ,$288.00 ,$133.20 ,$288.00 ,$8.65 ,$8.65 ,$360.00 ,$195.12 ,$8.65 ,$94.68 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$306.00 ,$19.46 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,30600388,87186,HC SENSITIVITY MIC INIT PLATE-90,306,1 ,$180.00 ,$117.00 ,$3.50 ,$180.00 ,$21.63 ,$17.68 ,$97.56 ,$8.65 ,$50.40 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$68.76 ,$3.50 ,$8.65 ,$68.76 ,$16.44 ,$29.61 ,$91.80 ,$21.63 ,$8.65 ,$126.00 ,$8.65 ,$90.00 ,$8.82 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$8.65 ,$90.90 ,$12.49 ,$12.49 ,$12.49 ,$180.00 ,$153.00 ,$21.63 ,$144.00 ,$66.60 ,$144.00 ,$8.65 ,$8.65 ,$180.00 ,$97.56 ,$8.65 ,$47.34 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$153.00 ,$19.46 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,30600389,87186,HC SENSITIVITY MIC EA AD PLATE-90,306,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$21.63 ,$17.68 ,$69.92 ,$8.65 ,$36.12 ,$35.81 ,$8.65 ,$35.81 ,$8.65 ,$49.28 ,$3.50 ,$8.65 ,$49.28 ,$16.44 ,$29.61 ,$65.79 ,$21.63 ,$8.65 ,$90.30 ,$8.65 ,$64.50 ,$8.82 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$8.65 ,$65.15 ,$12.49 ,$12.49 ,$12.49 ,$129.00 ,$109.65 ,$21.63 ,$103.20 ,$47.73 ,$103.20 ,$8.65 ,$8.65 ,$129.00 ,$69.92 ,$8.65 ,$33.93 , N/A , N/A ,$8.44 ,$8.05 ,$9.08 ,$109.65 ,$19.46 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$12.49 ,$17.30 ,$17.30 ,$8.65 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30600391,87188,HC MACROTUBE DIL METH 4DRG PNL-90,306,1 ,$85.00 ,$55.25 ,$3.50 ,$85.00 ,$16.60 ,$13.56 ,$46.07 ,$6.64 ,$23.80 ,$27.50 ,$6.64 ,$27.50 ,$6.64 ,$32.47 ,$3.50 ,$6.64 ,$32.47 ,$12.62 ,$22.51 ,$43.35 ,$16.60 ,$6.64 ,$59.50 ,$6.64 ,$42.50 ,$6.77 ,$63.75 ,$42.93 ,$38.68 ,$42.93 ,$6.64 ,$42.93 ,$9.59 ,$9.59 ,$9.59 ,$85.00 ,$72.25 ,$16.60 ,$68.00 ,$31.45 ,$68.00 ,$6.64 ,$6.64 ,$85.00 ,$46.07 ,$6.64 ,$22.36 , N/A , N/A ,$8.44 ,$8.05 ,$6.97 ,$72.25 ,$14.94 ,$55.93 ,$23.80 ,$76.50 ,$61.20 ,$85.00 ,$9.59 ,$13.28 ,$13.28 ,$6.64 ,$40.80 ,$76.50 ST. JOHN'S HOSPITAL,30600392,87190,HC SENSITIVITY AFB-90,306,1 ,$35.00 ,$22.75 ,$3.50 ,$35.00 ,$18.28 ,$11.55 ,$18.97 ,$7.31 ,$9.80 ,$12.08 ,$7.31 ,$13.44 ,$7.31 ,$13.37 ,$3.50 ,$7.31 ,$13.37 ,$13.89 ,$24.85 ,$17.85 ,$18.28 ,$7.31 ,$24.50 ,$7.31 ,$17.50 ,$7.46 ,$26.25 ,$17.68 ,$15.93 ,$17.68 ,$7.31 ,$17.68 ,$9.50 ,$9.50 ,$9.50 ,$35.00 ,$29.75 ,$18.28 ,$28.00 ,$12.95 ,$28.00 ,$7.31 ,$7.31 ,$35.00 ,$18.97 ,$7.31 ,$9.21 , N/A , N/A ,$8.44 ,$8.05 ,$7.68 ,$29.75 ,$16.45 ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$9.50 ,$14.62 ,$14.62 ,$7.31 ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,30600394,87197,HC BACTERIAL TITER (SCHLICTER),306,1 ,$491.00 ,$319.15 ,$3.50 ,$491.00 ,$37.55 ,$30.71 ,$266.12 ,$15.02 ,$137.48 ,$62.23 ,$15.02 ,$62.23 ,$15.02 ,$187.56 ,$3.50 ,$15.02 ,$187.56 ,$28.54 ,$50.89 ,$250.41 ,$37.55 ,$15.02 ,$343.70 ,$15.02 ,$245.50 ,$15.32 ,$368.25 ,$247.96 ,$223.41 ,$247.96 ,$15.02 ,$247.96 ,$21.70 ,$21.70 ,$21.70 ,$491.00 ,$417.35 ,$37.55 ,$392.80 ,$181.67 ,$392.80 ,$15.02 ,$15.02 ,$491.00 ,$266.12 ,$15.02 ,$129.13 , N/A , N/A ,$8.44 ,$8.05 ,$15.77 ,$417.35 ,$33.80 ,$323.08 ,$137.48 ,$441.90 ,$353.52 ,$491.00 ,$21.70 ,$30.04 ,$30.04 ,$15.02 ,$235.68 ,$441.90 ST. JOHN'S HOSPITAL,30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$99.00 ,$64.35 ,$3.50 ,$99.00 ,$13.48 ,$10.99 ,$53.66 ,$5.39 ,$27.72 ,$30.19 ,$5.39 ,$30.19 ,$5.39 ,$37.82 ,$3.50 ,$5.39 ,$37.82 ,$10.24 ,$17.74 ,$50.49 ,$13.48 ,$5.39 ,$69.30 ,$5.39 ,$49.50 ,$5.50 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$5.39 ,$50.00 ,$7.79 ,$7.79 ,$7.79 ,$99.00 ,$84.15 ,$13.48 ,$79.20 ,$36.63 ,$79.20 ,$5.39 ,$5.39 ,$99.00 ,$53.66 ,$5.39 ,$26.04 , N/A , N/A ,$8.44 ,$8.05 ,$5.66 ,$84.15 ,$12.13 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$7.79 ,$10.78 ,$10.78 ,$5.39 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$166.00 ,$107.90 ,$4.73 ,$166.00 ,$14.98 ,$12.25 ,$89.97 ,$5.99 ,$46.48 ,$24.82 ,$5.99 ,$24.82 ,$5.99 ,$63.41 ,$4.73 ,$5.99 ,$63.41 ,$11.38 ,$20.13 ,$84.66 ,$14.98 ,$5.99 ,$116.20 ,$5.99 ,$83.00 ,$6.11 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$5.99 ,$83.83 ,$8.66 ,$8.66 ,$8.66 ,$166.00 ,$141.10 ,$14.98 ,$132.80 ,$61.42 ,$132.80 ,$5.99 ,$5.99 ,$166.00 ,$89.97 ,$5.99 ,$43.66 , N/A , N/A ,$8.44 ,$8.05 ,$6.29 ,$141.10 ,$13.48 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$8.66 ,$11.98 ,$11.98 ,$5.99 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30600399,87209,HC OVA AND PARASITE W/STAIN-90,306,1 ,$41.00 ,$26.65 ,$3.50 ,$44.95 ,$44.95 ,$36.75 ,$22.22 ,$17.98 ,$11.48 ,$14.15 ,$17.98 ,$15.74 ,$17.98 ,$15.66 ,$3.50 ,$17.98 ,$15.66 ,$34.16 ,$41.00 ,$20.91 ,$44.95 ,$17.98 ,$28.70 ,$17.98 ,$20.50 ,$18.34 ,$30.75 ,$20.71 ,$18.66 ,$20.71 ,$17.98 ,$20.71 ,$25.96 ,$25.96 ,$25.96 ,$41.00 ,$34.85 ,$41.00 ,$32.80 ,$15.17 ,$32.80 ,$17.98 ,$17.98 ,$41.00 ,$22.22 ,$17.98 ,$10.78 , N/A , N/A ,$28.04 ,$26.76 ,$18.88 ,$34.85 ,$40.46 ,$26.98 ,$11.48 ,$36.90 ,$29.52 ,$41.00 ,$25.96 ,$35.96 ,$35.96 ,$17.98 ,$19.68 ,$36.90 ST. JOHN'S HOSPITAL,30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$378.00 ,$245.70 ,$3.50 ,$378.00 ,$65.18 ,$47.48 ,$204.88 ,$26.07 ,$105.84 ,$107.95 ,$26.07 ,$107.95 ,$26.07 ,$144.40 ,$3.50 ,$26.07 ,$144.40 ,$49.53 ,$88.80 ,$192.78 ,$65.18 ,$26.07 ,$264.60 ,$26.07 ,$189.00 ,$26.59 ,$283.50 ,$190.89 ,$171.99 ,$190.89 ,$26.07 ,$190.89 ,$37.66 ,$37.66 ,$37.66 ,$378.00 ,$321.30 ,$65.18 ,$302.40 ,$139.86 ,$302.40 ,$26.07 ,$26.07 ,$378.00 ,$204.88 ,$26.07 ,$99.41 , N/A , N/A ,$28.04 ,$26.76 ,$27.37 ,$321.30 ,$58.66 ,$248.72 ,$105.84 ,$340.20 ,$272.16 ,$378.00 ,$37.66 ,$52.14 ,$52.14 ,$26.07 ,$181.44 ,$340.20 ST. JOHN'S HOSPITAL,30600403,87253,HC CULTURE VIRUS ID ADDL EA-90,306,1 ,$204.00 ,$132.60 ,$3.50 ,$204.00 ,$50.50 ,$41.30 ,$110.57 ,$20.20 ,$57.12 ,$70.38 ,$20.20 ,$78.34 ,$20.20 ,$77.93 ,$3.50 ,$20.20 ,$77.93 ,$38.38 ,$68.67 ,$104.04 ,$50.50 ,$20.20 ,$142.80 ,$20.20 ,$102.00 ,$20.60 ,$153.00 ,$103.02 ,$92.82 ,$103.02 ,$20.20 ,$103.02 ,$29.19 ,$29.19 ,$29.19 ,$204.00 ,$173.40 ,$50.50 ,$163.20 ,$75.48 ,$163.20 ,$20.20 ,$20.20 ,$204.00 ,$110.57 ,$20.20 ,$53.65 , N/A , N/A ,$28.04 ,$26.76 ,$21.21 ,$173.40 ,$45.45 ,$134.23 ,$57.12 ,$183.60 ,$146.88 ,$204.00 ,$29.19 ,$40.40 ,$40.40 ,$20.20 ,$97.92 ,$183.60 ST. JOHN'S HOSPITAL,30600404,87253,HC CULTURE VIRUS ID ADDL EA,306,1 ,$154.00 ,$100.10 ,$3.50 ,$154.00 ,$50.50 ,$41.30 ,$83.47 ,$20.20 ,$43.12 ,$53.13 ,$20.20 ,$59.14 ,$20.20 ,$58.83 ,$3.50 ,$20.20 ,$58.83 ,$38.38 ,$68.67 ,$78.54 ,$50.50 ,$20.20 ,$107.80 ,$20.20 ,$77.00 ,$20.60 ,$115.50 ,$77.77 ,$70.07 ,$77.77 ,$20.20 ,$77.77 ,$29.19 ,$29.19 ,$29.19 ,$154.00 ,$130.90 ,$50.50 ,$123.20 ,$56.98 ,$123.20 ,$20.20 ,$20.20 ,$154.00 ,$83.47 ,$20.20 ,$40.50 , N/A , N/A ,$28.04 ,$26.76 ,$21.21 ,$130.90 ,$45.45 ,$101.33 ,$43.12 ,$138.60 ,$110.88 ,$154.00 ,$29.19 ,$40.40 ,$40.40 ,$20.20 ,$73.92 ,$138.60 ST. JOHN'S HOSPITAL,30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$236.00 ,$153.40 ,$3.50 ,$236.00 ,$48.90 ,$39.99 ,$127.91 ,$19.56 ,$66.08 ,$81.01 ,$19.56 ,$81.01 ,$19.56 ,$90.15 ,$3.50 ,$19.56 ,$90.15 ,$37.16 ,$66.29 ,$120.36 ,$48.90 ,$19.56 ,$165.20 ,$19.56 ,$118.00 ,$19.95 ,$177.00 ,$119.18 ,$107.38 ,$119.18 ,$19.56 ,$119.18 ,$28.25 ,$28.25 ,$28.25 ,$236.00 ,$200.60 ,$48.90 ,$188.80 ,$87.32 ,$188.80 ,$19.56 ,$19.56 ,$236.00 ,$127.91 ,$19.56 ,$62.07 , N/A , N/A ,$28.04 ,$26.76 ,$20.54 ,$200.60 ,$44.01 ,$155.29 ,$66.08 ,$212.40 ,$169.92 ,$236.00 ,$28.25 ,$39.12 ,$39.12 ,$19.56 ,$113.28 ,$212.40 ST. JOHN'S HOSPITAL,30600406,87254,HC VIRUS ISOL SHELL ID,306,1 ,$79.00 ,$51.35 ,$3.50 ,$79.00 ,$48.90 ,$39.99 ,$42.82 ,$19.56 ,$22.12 ,$27.26 ,$19.56 ,$30.34 ,$19.56 ,$30.18 ,$3.50 ,$19.56 ,$30.18 ,$37.16 ,$66.29 ,$40.29 ,$48.90 ,$19.56 ,$55.30 ,$19.56 ,$39.50 ,$19.95 ,$59.25 ,$39.90 ,$35.95 ,$39.90 ,$19.56 ,$39.90 ,$28.25 ,$28.25 ,$28.25 ,$79.00 ,$67.15 ,$48.90 ,$63.20 ,$29.23 ,$63.20 ,$19.56 ,$19.56 ,$79.00 ,$42.82 ,$19.56 ,$20.78 , N/A , N/A ,$28.04 ,$26.76 ,$20.54 ,$67.15 ,$44.01 ,$51.98 ,$22.12 ,$71.10 ,$56.88 ,$79.00 ,$28.25 ,$39.12 ,$39.12 ,$19.56 ,$37.92 ,$71.10 ST. JOHN'S HOSPITAL,30600413,87290,HC IF VARICELLA ZOETER AG-90,306,1 ,$149.00 ,$96.85 ,$3.50 ,$149.00 ,$33.55 ,$24.54 ,$80.76 ,$13.42 ,$41.72 ,$49.64 ,$13.42 ,$49.64 ,$13.42 ,$56.92 ,$3.50 ,$13.42 ,$56.92 ,$25.50 ,$44.97 ,$75.99 ,$33.55 ,$13.42 ,$104.30 ,$13.42 ,$74.50 ,$13.69 ,$111.75 ,$75.25 ,$67.80 ,$75.25 ,$13.42 ,$75.25 ,$17.45 ,$17.45 ,$17.45 ,$149.00 ,$126.65 ,$33.55 ,$119.20 ,$55.13 ,$119.20 ,$13.42 ,$13.42 ,$149.00 ,$80.76 ,$13.42 ,$39.19 , N/A , N/A ,$10.58 ,$10.10 ,$14.09 ,$126.65 ,$30.20 ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$17.45 ,$26.84 ,$26.84 ,$13.42 ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$136.00 ,$88.40 ,$3.50 ,$136.00 ,$40.25 ,$24.54 ,$73.71 ,$16.10 ,$38.08 ,$46.92 ,$16.10 ,$52.22 ,$16.10 ,$51.95 ,$3.50 ,$16.10 ,$51.95 ,$30.59 ,$54.46 ,$69.36 ,$40.25 ,$16.10 ,$95.20 ,$16.10 ,$68.00 ,$16.42 ,$102.00 ,$68.68 ,$61.88 ,$68.68 ,$16.10 ,$68.68 ,$20.93 ,$20.93 ,$20.93 ,$136.00 ,$115.60 ,$40.25 ,$108.80 ,$50.32 ,$108.80 ,$16.10 ,$16.10 ,$136.00 ,$73.71 ,$16.10 ,$35.77 , N/A , N/A ,$10.58 ,$10.10 ,$16.91 ,$115.60 ,$36.23 ,$89.49 ,$38.08 ,$122.40 ,$97.92 ,$136.00 ,$20.93 ,$32.20 ,$32.20 ,$16.10 ,$65.28 ,$122.40 ST. JOHN'S HOSPITAL,30600415,87305,HC EIA QL ASPERGILLUS AG-90,306,1 ,$285.00 ,$185.25 ,$3.50 ,$285.00 ,$29.95 ,$24.54 ,$154.47 ,$11.98 ,$79.80 ,$49.64 ,$11.98 ,$49.64 ,$11.98 ,$108.87 ,$3.50 ,$11.98 ,$108.87 ,$22.76 ,$40.25 ,$145.35 ,$29.95 ,$11.98 ,$199.50 ,$11.98 ,$142.50 ,$12.22 ,$213.75 ,$143.93 ,$129.68 ,$143.93 ,$11.98 ,$143.93 ,$17.32 ,$17.32 ,$17.32 ,$285.00 ,$242.25 ,$29.95 ,$228.00 ,$105.45 ,$228.00 ,$11.98 ,$11.98 ,$285.00 ,$154.47 ,$11.98 ,$74.96 , N/A , N/A ,$8.44 ,$8.05 ,$12.58 ,$242.25 ,$26.96 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30600416,87327,HC EIA QL CRYPTOCOCCUS AG-90,306,1 ,$49.00 ,$31.85 ,$3.50 ,$49.00 ,$33.55 ,$24.54 ,$26.56 ,$13.42 ,$13.72 ,$16.91 ,$13.42 ,$18.82 ,$13.42 ,$18.72 ,$3.50 ,$13.42 ,$18.72 ,$25.50 ,$44.97 ,$24.99 ,$33.55 ,$13.42 ,$34.30 ,$13.42 ,$24.50 ,$13.69 ,$36.75 ,$24.75 ,$22.30 ,$24.75 ,$13.42 ,$24.75 ,$17.45 ,$17.45 ,$17.45 ,$49.00 ,$41.65 ,$33.55 ,$39.20 ,$18.13 ,$39.20 ,$13.42 ,$13.42 ,$49.00 ,$26.56 ,$13.42 ,$12.89 , N/A , N/A ,$10.58 ,$10.10 ,$14.09 ,$41.65 ,$30.20 ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$17.45 ,$26.84 ,$26.84 ,$13.42 ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,30600417,87327,HC EIA QL CRYPTOCOCCUS AG,306,1 ,$118.00 ,$76.70 ,$3.50 ,$118.00 ,$33.55 ,$24.54 ,$63.96 ,$13.42 ,$33.04 ,$40.71 ,$13.42 ,$45.31 ,$13.42 ,$45.08 ,$3.50 ,$13.42 ,$45.08 ,$25.50 ,$44.97 ,$60.18 ,$33.55 ,$13.42 ,$82.60 ,$13.42 ,$59.00 ,$13.69 ,$88.50 ,$59.59 ,$53.69 ,$59.59 ,$13.42 ,$59.59 ,$17.45 ,$17.45 ,$17.45 ,$118.00 ,$100.30 ,$33.55 ,$94.40 ,$43.66 ,$94.40 ,$13.42 ,$13.42 ,$118.00 ,$63.96 ,$13.42 ,$31.03 , N/A , N/A ,$10.58 ,$10.10 ,$14.09 ,$100.30 ,$30.20 ,$77.64 ,$33.04 ,$106.20 ,$84.96 ,$118.00 ,$17.45 ,$26.84 ,$26.84 ,$13.42 ,$56.64 ,$106.20 ST. JOHN'S HOSPITAL,30600420,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$209.00 ,$135.85 ,$3.50 ,$209.00 ,$35.95 ,$29.40 ,$113.28 ,$14.38 ,$58.52 ,$72.11 ,$14.38 ,$80.26 ,$14.38 ,$79.84 ,$3.50 ,$14.38 ,$79.84 ,$27.32 ,$48.55 ,$106.59 ,$35.95 ,$14.38 ,$146.30 ,$14.38 ,$104.50 ,$14.67 ,$156.75 ,$105.55 ,$95.10 ,$105.55 ,$14.38 ,$105.55 ,$20.77 ,$20.77 ,$20.77 ,$209.00 ,$177.65 ,$35.95 ,$167.20 ,$77.33 ,$167.20 ,$14.38 ,$14.38 ,$209.00 ,$113.28 ,$14.38 ,$54.97 , N/A , N/A ,$10.58 ,$10.10 ,$15.10 ,$177.65 ,$32.36 ,$137.52 ,$58.52 ,$188.10 ,$150.48 ,$209.00 ,$20.77 ,$28.76 ,$28.76 ,$14.38 ,$100.32 ,$188.10 ST. JOHN'S HOSPITAL,30600421,87340,HC EIA QL HEPATITIS B AG-90,306,1 ,$106.00 ,$68.90 ,$3.50 ,$106.00 ,$25.83 ,$21.12 ,$57.45 ,$10.33 ,$29.68 ,$36.57 ,$10.33 ,$40.70 ,$10.33 ,$40.49 ,$3.50 ,$10.33 ,$40.49 ,$19.63 ,$35.53 ,$54.06 ,$25.83 ,$10.33 ,$74.20 ,$10.33 ,$53.00 ,$10.54 ,$79.50 ,$53.53 ,$48.23 ,$53.53 ,$10.33 ,$53.53 ,$14.92 ,$14.92 ,$14.92 ,$106.00 ,$90.10 ,$25.83 ,$84.80 ,$39.22 ,$84.80 ,$10.33 ,$10.33 ,$106.00 ,$57.45 ,$10.33 ,$27.88 , N/A , N/A ,$10.58 ,$10.10 ,$10.85 ,$90.10 ,$23.24 ,$69.75 ,$29.68 ,$95.40 ,$76.32 ,$106.00 ,$14.92 ,$20.66 ,$20.66 ,$10.33 ,$50.88 ,$95.40 ST. JOHN'S HOSPITAL,30600422,87340,HC EIA QL HEPATITIS B AG,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$25.83 ,$21.12 ,$87.26 ,$10.33 ,$45.08 ,$42.78 ,$10.33 ,$42.78 ,$10.33 ,$61.50 ,$3.50 ,$10.33 ,$61.50 ,$19.63 ,$35.53 ,$82.11 ,$25.83 ,$10.33 ,$112.70 ,$10.33 ,$80.50 ,$10.54 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$10.33 ,$81.31 ,$14.92 ,$14.92 ,$14.92 ,$161.00 ,$136.85 ,$25.83 ,$128.80 ,$59.57 ,$128.80 ,$10.33 ,$10.33 ,$161.00 ,$87.26 ,$10.33 ,$42.34 , N/A , N/A ,$10.58 ,$10.10 ,$10.85 ,$136.85 ,$23.24 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$14.92 ,$20.66 ,$20.66 ,$10.33 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600423,87341,HC EIA QL HEPATITIS B AG NEUT-90,306,1 ,$40.00 ,$26.00 ,$3.50 ,$40.00 ,$25.83 ,$21.12 ,$21.68 ,$10.33 ,$11.20 ,$13.80 ,$10.33 ,$15.36 ,$10.33 ,$15.28 ,$3.50 ,$10.33 ,$15.28 ,$19.63 ,$35.53 ,$20.40 ,$25.83 ,$10.33 ,$28.00 ,$10.33 ,$20.00 ,$10.54 ,$30.00 ,$20.20 ,$18.20 ,$20.20 ,$10.33 ,$20.20 ,$14.92 ,$14.92 ,$14.92 ,$40.00 ,$34.00 ,$25.83 ,$32.00 ,$14.80 ,$32.00 ,$10.33 ,$10.33 ,$40.00 ,$21.68 ,$10.33 ,$10.52 , N/A , N/A ,$10.58 ,$10.10 ,$10.85 ,$34.00 ,$23.24 ,$26.32 ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$14.92 ,$20.66 ,$20.66 ,$10.33 ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$66.00 ,$42.90 ,$3.50 ,$66.00 ,$28.83 ,$23.56 ,$35.77 ,$11.53 ,$18.48 ,$22.77 ,$11.53 ,$25.34 ,$11.53 ,$25.21 ,$3.50 ,$11.53 ,$25.21 ,$21.91 ,$39.06 ,$33.66 ,$28.83 ,$11.53 ,$46.20 ,$11.53 ,$33.00 ,$11.76 ,$49.50 ,$33.33 ,$30.03 ,$33.33 ,$11.53 ,$33.33 ,$16.65 ,$16.65 ,$16.65 ,$66.00 ,$56.10 ,$28.83 ,$52.80 ,$24.42 ,$52.80 ,$11.53 ,$11.53 ,$66.00 ,$35.77 ,$11.53 ,$17.36 , N/A , N/A ,$10.58 ,$10.10 ,$12.11 ,$56.10 ,$25.94 ,$43.43 ,$18.48 ,$59.40 ,$47.52 ,$66.00 ,$16.65 ,$23.06 ,$23.06 ,$11.53 ,$31.68 ,$59.40 ST. JOHN'S HOSPITAL,30600425,87380,HC HEPATITIS DELTA AGENT-90,306,1 ,$70.00 ,$45.50 ,$3.50 ,$70.00 ,$45.90 ,$33.57 ,$37.94 ,$18.36 ,$19.60 ,$24.15 ,$18.36 ,$26.88 ,$18.36 ,$26.74 ,$3.50 ,$18.36 ,$26.74 ,$34.88 ,$62.76 ,$35.70 ,$45.90 ,$18.36 ,$49.00 ,$18.36 ,$35.00 ,$18.73 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$18.36 ,$35.35 ,$23.87 ,$23.87 ,$23.87 ,$70.00 ,$59.50 ,$45.90 ,$56.00 ,$25.90 ,$56.00 ,$18.36 ,$18.36 ,$70.00 ,$37.94 ,$18.36 ,$18.41 , N/A , N/A ,$10.58 ,$10.10 ,$19.28 ,$59.50 ,$41.31 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$23.87 ,$36.72 ,$36.72 ,$18.36 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$218.00 ,$141.70 ,$3.50 ,$218.00 ,$33.13 ,$24.54 ,$118.16 ,$13.25 ,$61.04 ,$49.64 ,$13.25 ,$49.64 ,$13.25 ,$83.28 ,$3.50 ,$13.25 ,$83.28 ,$25.18 ,$44.97 ,$111.18 ,$33.13 ,$13.25 ,$152.60 ,$13.25 ,$109.00 ,$13.52 ,$163.50 ,$110.09 ,$99.19 ,$110.09 ,$13.25 ,$110.09 ,$17.32 ,$17.32 ,$17.32 ,$218.00 ,$185.30 ,$33.13 ,$174.40 ,$80.66 ,$174.40 ,$13.25 ,$13.25 ,$218.00 ,$118.16 ,$13.25 ,$57.33 , N/A , N/A ,$10.58 ,$10.10 ,$13.91 ,$185.30 ,$29.81 ,$143.44 ,$61.04 ,$196.20 ,$156.96 ,$218.00 ,$17.32 ,$26.50 ,$26.50 ,$13.25 ,$104.64 ,$196.20 ST. JOHN'S HOSPITAL,30600428,87420,HC RSV AG QL,306,1 ,$191.00 ,$124.15 ,$3.50 ,$191.00 ,$34.78 ,$24.54 ,$103.52 ,$13.91 ,$53.48 ,$49.64 ,$13.91 ,$49.64 ,$13.91 ,$72.96 ,$3.50 ,$13.91 ,$72.96 ,$26.43 ,$47.36 ,$97.41 ,$34.78 ,$13.91 ,$133.70 ,$13.91 ,$95.50 ,$14.19 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$13.91 ,$96.46 ,$18.08 ,$18.08 ,$18.08 ,$191.00 ,$162.35 ,$34.78 ,$152.80 ,$70.67 ,$152.80 ,$13.91 ,$13.91 ,$191.00 ,$103.52 ,$13.91 ,$50.23 , N/A , N/A ,$28.04 ,$26.76 ,$14.61 ,$162.35 ,$31.30 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$18.08 ,$27.82 ,$27.82 ,$13.91 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,30600429,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$205.00 ,$133.25 ,$3.50 ,$205.00 ,$29.95 ,$24.54 ,$111.11 ,$11.98 ,$57.40 ,$49.64 ,$11.98 ,$49.64 ,$11.98 ,$78.31 ,$3.50 ,$11.98 ,$78.31 ,$22.76 ,$40.25 ,$104.55 ,$29.95 ,$11.98 ,$143.50 ,$11.98 ,$102.50 ,$12.22 ,$153.75 ,$103.53 ,$93.28 ,$103.53 ,$11.98 ,$103.53 ,$17.32 ,$17.32 ,$17.32 ,$205.00 ,$174.25 ,$29.95 ,$164.00 ,$75.85 ,$164.00 ,$11.98 ,$11.98 ,$205.00 ,$111.11 ,$11.98 ,$53.92 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$174.25 ,$26.96 ,$134.89 ,$57.40 ,$184.50 ,$147.60 ,$205.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$98.40 ,$184.50 ST. JOHN'S HOSPITAL,30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$263.00 ,$170.95 ,$3.50 ,$263.00 ,$29.95 ,$24.54 ,$142.55 ,$11.98 ,$73.64 ,$67.18 ,$11.98 ,$67.18 ,$11.98 ,$100.47 ,$3.50 ,$11.98 ,$100.47 ,$22.76 ,$40.25 ,$134.13 ,$29.95 ,$11.98 ,$184.10 ,$11.98 ,$131.50 ,$12.22 ,$197.25 ,$132.82 ,$119.67 ,$132.82 ,$11.98 ,$132.82 ,$17.32 ,$17.32 ,$17.32 ,$263.00 ,$223.55 ,$29.95 ,$210.40 ,$97.31 ,$210.40 ,$11.98 ,$11.98 ,$263.00 ,$142.55 ,$11.98 ,$69.17 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$223.55 ,$26.96 ,$173.05 ,$73.64 ,$236.70 ,$189.36 ,$263.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$126.24 ,$236.70 ST. JOHN'S HOSPITAL,30600436,87471,HC INF AGT BARTONELLA HENSELAE-90,306,1 ,$632.00 ,$410.80 ,$3.50 ,$632.00 ,$87.73 ,$71.75 ,$342.54 ,$35.09 ,$176.96 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$241.42 ,$3.50 ,$35.09 ,$241.42 ,$66.67 ,$119.56 ,$322.32 ,$87.73 ,$35.09 ,$442.40 ,$35.09 ,$316.00 ,$35.79 ,$474.00 ,$319.16 ,$287.56 ,$319.16 ,$35.09 ,$319.16 ,$50.69 ,$50.69 ,$50.69 ,$632.00 ,$537.20 ,$87.73 ,$505.60 ,$233.84 ,$505.60 ,$35.09 ,$35.09 ,$632.00 ,$342.54 ,$35.09 ,$166.22 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$537.20 ,$78.95 ,$415.86 ,$176.96 ,$568.80 ,$455.04 ,$632.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$303.36 ,$568.80 ST. JOHN'S HOSPITAL,30600437,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$87.73 ,$71.75 ,$87.26 ,$35.09 ,$45.08 ,$55.55 ,$35.09 ,$61.82 ,$35.09 ,$61.50 ,$3.50 ,$35.09 ,$61.50 ,$66.67 ,$119.56 ,$82.11 ,$87.73 ,$35.09 ,$112.70 ,$35.09 ,$80.50 ,$35.79 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$35.09 ,$81.31 ,$50.69 ,$50.69 ,$50.69 ,$161.00 ,$136.85 ,$87.73 ,$128.80 ,$59.57 ,$128.80 ,$35.09 ,$35.09 ,$161.00 ,$87.26 ,$35.09 ,$42.34 , N/A , N/A ,$10.58 ,$10.10 ,$36.84 ,$136.85 ,$78.95 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600439,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$191.00 ,$124.15 ,$3.50 ,$191.00 ,$87.73 ,$71.75 ,$103.52 ,$35.09 ,$53.48 ,$65.90 ,$35.09 ,$73.34 ,$35.09 ,$72.96 ,$3.50 ,$35.09 ,$72.96 ,$66.67 ,$119.56 ,$97.41 ,$87.73 ,$35.09 ,$133.70 ,$35.09 ,$95.50 ,$35.79 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$35.09 ,$96.46 ,$50.69 ,$50.69 ,$50.69 ,$191.00 ,$162.35 ,$87.73 ,$152.80 ,$70.67 ,$152.80 ,$35.09 ,$35.09 ,$191.00 ,$103.52 ,$35.09 ,$50.23 , N/A , N/A ,$10.58 ,$10.10 ,$36.84 ,$162.35 ,$78.95 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,30600441,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$250.00 ,$162.50 ,$3.50 ,$250.00 ,$93.18 ,$71.75 ,$135.50 ,$37.27 ,$70.00 ,$86.25 ,$37.27 ,$96.00 ,$37.27 ,$95.50 ,$3.50 ,$37.27 ,$95.50 ,$70.81 ,$126.67 ,$127.50 ,$93.18 ,$37.27 ,$175.00 ,$37.27 ,$125.00 ,$38.02 ,$187.50 ,$126.25 ,$113.75 ,$126.25 ,$37.27 ,$126.25 ,$50.69 ,$50.69 ,$50.69 ,$250.00 ,$212.50 ,$93.18 ,$200.00 ,$92.50 ,$200.00 ,$37.27 ,$37.27 ,$250.00 ,$135.50 ,$37.27 ,$65.75 , N/A , N/A ,$10.58 ,$10.10 ,$39.13 ,$212.50 ,$83.86 ,$164.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$50.69 ,$74.54 ,$74.54 ,$37.27 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$87.73 ,$71.75 ,$69.92 ,$35.09 ,$36.12 ,$44.51 ,$35.09 ,$49.54 ,$35.09 ,$49.28 ,$3.50 ,$35.09 ,$49.28 ,$66.67 ,$119.56 ,$65.79 ,$87.73 ,$35.09 ,$90.30 ,$35.09 ,$64.50 ,$35.79 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$35.09 ,$65.15 ,$50.69 ,$50.69 ,$50.69 ,$129.00 ,$109.65 ,$87.73 ,$103.20 ,$47.73 ,$103.20 ,$35.09 ,$35.09 ,$129.00 ,$69.92 ,$35.09 ,$33.93 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$109.65 ,$78.95 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30600443,87497,HC CMV QN-90,306,1 ,$275.00 ,$178.75 ,$3.50 ,$275.00 ,$107.10 ,$87.59 ,$149.05 ,$42.84 ,$77.00 ,$94.88 ,$42.84 ,$105.60 ,$42.84 ,$105.05 ,$3.50 ,$42.84 ,$105.05 ,$81.40 ,$145.60 ,$140.25 ,$107.10 ,$42.84 ,$192.50 ,$42.84 ,$137.50 ,$43.70 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$42.84 ,$138.88 ,$61.88 ,$61.88 ,$61.88 ,$275.00 ,$233.75 ,$107.10 ,$220.00 ,$101.75 ,$220.00 ,$42.84 ,$42.84 ,$275.00 ,$149.05 ,$42.84 ,$72.33 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$233.75 ,$96.39 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,30600444,87498,HC ENTEROVIRUS AMP PROBE-90,306,1 ,$285.00 ,$185.25 ,$3.50 ,$285.00 ,$87.73 ,$71.75 ,$154.47 ,$35.09 ,$79.80 ,$98.33 ,$35.09 ,$109.44 ,$35.09 ,$108.87 ,$3.50 ,$35.09 ,$108.87 ,$66.67 ,$119.56 ,$145.35 ,$87.73 ,$35.09 ,$199.50 ,$35.09 ,$142.50 ,$35.79 ,$213.75 ,$143.93 ,$129.68 ,$143.93 ,$35.09 ,$143.93 ,$50.69 ,$50.69 ,$50.69 ,$285.00 ,$242.25 ,$87.73 ,$228.00 ,$105.45 ,$228.00 ,$35.09 ,$35.09 ,$285.00 ,$154.47 ,$35.09 ,$74.96 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$242.25 ,$78.95 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30600445,87498,HC ENTEROVIRUS PCR-90,306,1 ,$293.00 ,$190.45 ,$3.50 ,$293.00 ,$87.73 ,$71.75 ,$158.81 ,$35.09 ,$82.04 ,$101.09 ,$35.09 ,$112.51 ,$35.09 ,$111.93 ,$3.50 ,$35.09 ,$111.93 ,$66.67 ,$119.56 ,$149.43 ,$87.73 ,$35.09 ,$205.10 ,$35.09 ,$146.50 ,$35.79 ,$219.75 ,$147.97 ,$133.32 ,$147.97 ,$35.09 ,$147.97 ,$50.69 ,$50.69 ,$50.69 ,$293.00 ,$249.05 ,$87.73 ,$234.40 ,$108.41 ,$234.40 ,$35.09 ,$35.09 ,$293.00 ,$158.81 ,$35.09 ,$77.06 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$249.05 ,$78.95 ,$192.79 ,$82.04 ,$263.70 ,$210.96 ,$293.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$140.64 ,$263.70 ST. JOHN'S HOSPITAL,30600448,87517,HC HEPATITIS B QN-90,306,1 ,$355.00 ,$230.75 ,$3.50 ,$355.00 ,$107.10 ,$87.59 ,$192.41 ,$42.84 ,$99.40 ,$122.48 ,$42.84 ,$136.32 ,$42.84 ,$135.61 ,$3.50 ,$42.84 ,$135.61 ,$81.40 ,$145.60 ,$181.05 ,$107.10 ,$42.84 ,$248.50 ,$42.84 ,$177.50 ,$43.70 ,$266.25 ,$179.28 ,$161.53 ,$179.28 ,$42.84 ,$179.28 ,$61.88 ,$61.88 ,$61.88 ,$355.00 ,$301.75 ,$107.10 ,$284.00 ,$131.35 ,$284.00 ,$42.84 ,$42.84 ,$355.00 ,$192.41 ,$42.84 ,$93.37 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$301.75 ,$96.39 ,$233.59 ,$99.40 ,$319.50 ,$255.60 ,$355.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$170.40 ,$319.50 ST. JOHN'S HOSPITAL,30600449,87521,HC HEPATITIS C PROBE AND RVRS TRNSC-90,306,1 ,$174.00 ,$113.10 ,$3.50 ,$174.00 ,$87.73 ,$71.75 ,$94.31 ,$35.09 ,$48.72 ,$60.03 ,$35.09 ,$66.82 ,$35.09 ,$66.47 ,$3.50 ,$35.09 ,$66.47 ,$66.67 ,$119.56 ,$88.74 ,$87.73 ,$35.09 ,$121.80 ,$35.09 ,$87.00 ,$35.79 ,$130.50 ,$87.87 ,$79.17 ,$87.87 ,$35.09 ,$87.87 ,$50.69 ,$50.69 ,$50.69 ,$174.00 ,$147.90 ,$87.73 ,$139.20 ,$64.38 ,$139.20 ,$35.09 ,$35.09 ,$174.00 ,$94.31 ,$35.09 ,$45.76 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$147.90 ,$78.95 ,$114.49 ,$48.72 ,$156.60 ,$125.28 ,$174.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$83.52 ,$156.60 ST. JOHN'S HOSPITAL,30600450,87521,HC HEPATITIS C PROBE AND RVRS TRNSC,306,1 ,$725.00 ,$471.25 ,$3.50 ,$725.00 ,$87.73 ,$71.75 ,$392.95 ,$35.09 ,$203.00 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$276.95 ,$3.50 ,$35.09 ,$276.95 ,$66.67 ,$119.56 ,$369.75 ,$87.73 ,$35.09 ,$507.50 ,$35.09 ,$362.50 ,$35.79 ,$543.75 ,$366.13 ,$329.88 ,$366.13 ,$35.09 ,$366.13 ,$50.69 ,$50.69 ,$50.69 ,$725.00 ,$616.25 ,$87.73 ,$580.00 ,$268.25 ,$580.00 ,$35.09 ,$35.09 ,$725.00 ,$392.95 ,$35.09 ,$190.68 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$616.25 ,$78.95 ,$477.05 ,$203.00 ,$652.50 ,$522.00 ,$725.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$348.00 ,$652.50 ST. JOHN'S HOSPITAL,30600451,87522,HC HEPATITIS C QN-90,306,1 ,$302.00 ,$196.30 ,$3.50 ,$302.00 ,$107.10 ,$87.59 ,$163.68 ,$42.84 ,$84.56 ,$104.19 ,$42.84 ,$115.97 ,$42.84 ,$115.36 ,$3.50 ,$42.84 ,$115.36 ,$81.40 ,$145.60 ,$154.02 ,$107.10 ,$42.84 ,$211.40 ,$42.84 ,$151.00 ,$43.70 ,$226.50 ,$152.51 ,$137.41 ,$152.51 ,$42.84 ,$152.51 ,$61.88 ,$61.88 ,$61.88 ,$302.00 ,$256.70 ,$107.10 ,$241.60 ,$111.74 ,$241.60 ,$42.84 ,$42.84 ,$302.00 ,$163.68 ,$42.84 ,$79.43 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$256.70 ,$96.39 ,$198.72 ,$84.56 ,$271.80 ,$217.44 ,$302.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$144.96 ,$271.80 ST. JOHN'S HOSPITAL,30600452,87522,HC HEPATITIS C QN,306,1 ,$554.00 ,$360.10 ,$3.50 ,$554.00 ,$107.10 ,$87.59 ,$300.27 ,$42.84 ,$155.12 ,$177.35 ,$42.84 ,$177.35 ,$42.84 ,$211.63 ,$3.50 ,$42.84 ,$211.63 ,$81.40 ,$145.60 ,$282.54 ,$107.10 ,$42.84 ,$387.80 ,$42.84 ,$277.00 ,$43.70 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$42.84 ,$279.77 ,$61.88 ,$61.88 ,$61.88 ,$554.00 ,$470.90 ,$107.10 ,$443.20 ,$204.98 ,$443.20 ,$42.84 ,$42.84 ,$554.00 ,$300.27 ,$42.84 ,$145.70 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$470.90 ,$96.39 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$209.00 ,$135.85 ,$3.50 ,$209.00 ,$87.73 ,$71.75 ,$113.28 ,$35.09 ,$58.52 ,$72.11 ,$35.09 ,$80.26 ,$35.09 ,$79.84 ,$3.50 ,$35.09 ,$79.84 ,$66.67 ,$119.56 ,$106.59 ,$87.73 ,$35.09 ,$146.30 ,$35.09 ,$104.50 ,$35.79 ,$156.75 ,$105.55 ,$95.10 ,$105.55 ,$35.09 ,$105.55 ,$50.69 ,$50.69 ,$50.69 ,$209.00 ,$177.65 ,$87.73 ,$167.20 ,$77.33 ,$167.20 ,$35.09 ,$35.09 ,$209.00 ,$113.28 ,$35.09 ,$54.97 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$177.65 ,$78.95 ,$137.52 ,$58.52 ,$188.10 ,$150.48 ,$209.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$100.32 ,$188.10 ST. JOHN'S HOSPITAL,30600454,87530,HC HSV QUANT-90,306,1 ,$300.00 ,$195.00 ,$3.50 ,$300.00 ,$107.10 ,$87.59 ,$162.60 ,$42.84 ,$84.00 ,$103.50 ,$42.84 ,$115.20 ,$42.84 ,$114.60 ,$3.50 ,$42.84 ,$114.60 ,$81.40 ,$145.60 ,$153.00 ,$107.10 ,$42.84 ,$210.00 ,$42.84 ,$150.00 ,$43.70 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$42.84 ,$151.50 ,$61.88 ,$61.88 ,$61.88 ,$300.00 ,$255.00 ,$107.10 ,$240.00 ,$111.00 ,$240.00 ,$42.84 ,$42.84 ,$300.00 ,$162.60 ,$42.84 ,$78.90 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$255.00 ,$96.39 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,30600455,87532,HC INFECT AMP (HHSV6) MENI-90,306,1 ,"$1,392.00 ",$904.80 ,$3.50 ,"$1,392.00 ",$87.73 ,$71.75 ,$754.46 ,$35.09 ,$389.76 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$531.74 ,$3.50 ,$35.09 ,$531.74 ,$66.67 ,$119.56 ,$709.92 ,$87.73 ,$35.09 ,$974.40 ,$35.09 ,$696.00 ,$35.79 ,"$1,044.00 ",$702.96 ,$633.36 ,$702.96 ,$35.09 ,$702.96 ,$50.69 ,$50.69 ,$50.69 ,"$1,392.00 ","$1,183.20 ",$87.73 ,"$1,113.60 ",$515.04 ,"$1,113.60 ",$35.09 ,$35.09 ,"$1,392.00 ",$754.46 ,$35.09 ,$366.10 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,"$1,183.20 ",$78.95 ,$915.94 ,$389.76 ,"$1,252.80 ","$1,002.24 ","$1,392.00 ",$50.69 ,$70.18 ,$70.18 ,$35.09 ,$668.16 ,"$1,252.80 " ST. JOHN'S HOSPITAL,30600456,87535,HC PROBE HIV-1 AMP-90,306,1 ,$338.00 ,$219.70 ,$3.50 ,$338.00 ,$87.73 ,$71.75 ,$183.20 ,$35.09 ,$94.64 ,$116.61 ,$35.09 ,$129.79 ,$35.09 ,$129.12 ,$3.50 ,$35.09 ,$129.12 ,$66.67 ,$119.56 ,$172.38 ,$87.73 ,$35.09 ,$236.60 ,$35.09 ,$169.00 ,$35.79 ,$253.50 ,$170.69 ,$153.79 ,$170.69 ,$35.09 ,$170.69 ,$50.69 ,$50.69 ,$50.69 ,$338.00 ,$287.30 ,$87.73 ,$270.40 ,$125.06 ,$270.40 ,$35.09 ,$35.09 ,$338.00 ,$183.20 ,$35.09 ,$88.89 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$287.30 ,$78.95 ,$222.40 ,$94.64 ,$304.20 ,$243.36 ,$338.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$162.24 ,$304.20 ST. JOHN'S HOSPITAL,30600457,87535,HC PROBE HIV-1 RNA QUAL TMA-90,306,1 ,$750.00 ,$487.50 ,$3.50 ,$750.00 ,$87.73 ,$71.75 ,$406.50 ,$35.09 ,$210.00 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$286.50 ,$3.50 ,$35.09 ,$286.50 ,$66.67 ,$119.56 ,$382.50 ,$87.73 ,$35.09 ,$525.00 ,$35.09 ,$375.00 ,$35.79 ,$562.50 ,$378.75 ,$341.25 ,$378.75 ,$35.09 ,$378.75 ,$50.69 ,$50.69 ,$50.69 ,$750.00 ,$637.50 ,$87.73 ,$600.00 ,$277.50 ,$600.00 ,$35.09 ,$35.09 ,$750.00 ,$406.50 ,$35.09 ,$197.25 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$637.50 ,$78.95 ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,30600458,87536,HC HIV-1 QN-90,306,1 ,$391.00 ,$254.15 ,$3.50 ,$391.00 ,$212.75 ,$173.99 ,$211.92 ,$85.10 ,$109.48 ,$134.90 ,$85.10 ,$150.14 ,$85.10 ,$149.36 ,$3.50 ,$85.10 ,$149.36 ,$161.69 ,$288.86 ,$199.41 ,$212.75 ,$85.10 ,$273.70 ,$85.10 ,$195.50 ,$86.80 ,$293.25 ,$197.46 ,$177.91 ,$197.46 ,$85.10 ,$197.46 ,$122.92 ,$122.92 ,$122.92 ,$391.00 ,$332.35 ,$212.75 ,$312.80 ,$144.67 ,$312.80 ,$85.10 ,$85.10 ,$391.00 ,$211.92 ,$85.10 ,$102.83 , N/A , N/A ,$28.04 ,$26.76 ,$89.36 ,$332.35 ,$191.48 ,$257.28 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$122.92 ,$170.20 ,$170.20 ,$85.10 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,30600459,87556,HC MTB COMPLEX PCR-90,306,1 ,$518.00 ,$336.70 ,$3.50 ,$518.00 ,$104.20 ,$71.75 ,$280.76 ,$41.68 ,$145.04 ,$145.31 ,$41.68 ,$145.31 ,$41.68 ,$197.88 ,$3.50 ,$41.68 ,$197.88 ,$79.19 ,$140.88 ,$264.18 ,$104.20 ,$41.68 ,$362.60 ,$41.68 ,$259.00 ,$42.51 ,$388.50 ,$261.59 ,$235.69 ,$261.59 ,$41.68 ,$261.59 ,$54.18 ,$54.18 ,$54.18 ,$518.00 ,$440.30 ,$104.20 ,$414.40 ,$191.66 ,$414.40 ,$41.68 ,$41.68 ,$518.00 ,$280.76 ,$41.68 ,$136.23 , N/A , N/A ,$28.04 ,$26.76 ,$43.76 ,$440.30 ,$93.78 ,$340.84 ,$145.04 ,$466.20 ,$372.96 ,$518.00 ,$54.18 ,$83.36 ,$83.36 ,$41.68 ,$248.64 ,$466.20 ST. JOHN'S HOSPITAL,30600460,87591,HC NEISSERIA AMP-90,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$87.73 ,$71.75 ,$87.26 ,$35.09 ,$45.08 ,$55.55 ,$35.09 ,$61.82 ,$35.09 ,$61.50 ,$3.50 ,$35.09 ,$61.50 ,$66.67 ,$119.56 ,$82.11 ,$87.73 ,$35.09 ,$112.70 ,$35.09 ,$80.50 ,$35.79 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$35.09 ,$81.31 ,$50.69 ,$50.69 ,$50.69 ,$161.00 ,$136.85 ,$87.73 ,$128.80 ,$59.57 ,$128.80 ,$35.09 ,$35.09 ,$161.00 ,$87.26 ,$35.09 ,$42.34 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$136.85 ,$78.95 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600461,87591,HC NEISSERIA AMP,306,1 ,$191.00 ,$124.15 ,$3.50 ,$191.00 ,$87.73 ,$71.75 ,$103.52 ,$35.09 ,$53.48 ,$65.90 ,$35.09 ,$73.34 ,$35.09 ,$72.96 ,$3.50 ,$35.09 ,$72.96 ,$66.67 ,$119.56 ,$97.41 ,$87.73 ,$35.09 ,$133.70 ,$35.09 ,$95.50 ,$35.79 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$35.09 ,$96.46 ,$50.69 ,$50.69 ,$50.69 ,$191.00 ,$162.35 ,$87.73 ,$152.80 ,$70.67 ,$152.80 ,$35.09 ,$35.09 ,$191.00 ,$103.52 ,$35.09 ,$50.23 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$162.35 ,$78.95 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,30600462,87624,HC HPV AMP HIGH RISK ALL OTHERS-90,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$87.73 ,$71.05 ,$87.26 ,$35.09 ,$45.08 ,$55.55 ,$35.09 ,$61.82 ,$35.09 ,$61.50 ,$3.50 ,$35.09 ,$61.50 ,$66.67 ,$119.56 ,$82.11 ,$87.73 ,$35.09 ,$112.70 ,$35.09 ,$80.50 ,$35.79 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$35.09 ,$81.31 ,$50.69 ,$50.69 ,$50.69 ,$161.00 ,$136.85 ,$87.73 ,$128.80 ,$59.57 ,$128.80 ,$35.09 ,$35.09 ,$35.09 ,$87.26 ,$35.09 ,$42.34 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$136.85 ,$78.95 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600463,87625,HC HPV GENOTYPE 16 18/45-90,306,1 ,$75.00 ,$48.75 ,$3.50 ,$101.38 ,$101.38 ,$71.05 ,$40.65 ,$40.55 ,$21.00 ,$25.88 ,$40.55 ,$28.80 ,$40.55 ,$28.65 ,$3.50 ,$40.55 ,$28.65 ,$75.00 ,$75.00 ,$38.25 ,$101.38 ,$40.55 ,$52.50 ,$40.55 ,$37.50 ,$41.36 ,$56.25 ,$37.88 ,$34.13 ,$37.88 ,$40.55 ,$37.88 ,$52.72 ,$52.72 ,$52.72 ,$75.00 ,$63.75 ,$75.00 ,$60.00 ,$27.75 ,$60.00 ,$40.55 ,$40.55 ,$40.55 ,$40.65 ,$40.55 ,$19.73 , N/A , N/A ,$28.04 ,$26.76 ,$42.58 ,$63.75 ,$91.24 ,$49.35 ,$21.00 ,$67.50 ,$54.00 ,$75.00 ,$52.72 ,$75.00 ,$75.00 ,$40.55 ,$36.00 ,$67.50 ST. JOHN'S HOSPITAL,30600465,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS-90,306,1 ,$525.00 ,$341.25 ,$3.50 ,"$1,041.95 ","$1,041.95 ",$525.00 ,$284.55 ,$416.78 ,$147.00 ,$181.13 ,$416.78 ,$201.60 ,$416.78 ,$200.55 ,$3.50 ,$416.78 ,$200.55 ,$525.00 ,$525.00 ,$267.75 ,"$1,041.95 ",$416.78 ,$367.50 ,$416.78 ,$262.50 ,$425.12 ,$393.75 ,$265.13 ,$238.88 ,$265.13 ,$416.78 ,$265.13 ,$525.00 ,$525.00 ,$525.00 ,$525.00 ,$446.25 ,$525.00 ,$420.00 ,$194.25 ,$420.00 ,$416.78 ,$416.78 ,$525.00 ,$284.55 ,$416.78 ,$138.08 , N/A , N/A ,$28.04 ,$26.76 ,$437.62 ,$446.25 ,$937.76 ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$525.00 ,$525.00 ,$525.00 ,$416.78 ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,30600466,87641,HC MRSA AMP,306,1 ,$285.00 ,$185.25 ,$3.50 ,$285.00 ,$87.73 ,$71.75 ,$154.47 ,$35.09 ,$79.80 ,$98.33 ,$35.09 ,$109.44 ,$35.09 ,$108.87 ,$3.50 ,$35.09 ,$108.87 ,$66.67 ,$119.56 ,$145.35 ,$87.73 ,$35.09 ,$199.50 ,$35.09 ,$142.50 ,$35.79 ,$213.75 ,$143.93 ,$129.68 ,$143.93 ,$35.09 ,$143.93 ,$50.69 ,$50.69 ,$50.69 ,$285.00 ,$242.25 ,$87.73 ,$228.00 ,$105.45 ,$228.00 ,$35.09 ,$35.09 ,$285.00 ,$154.47 ,$35.09 ,$74.96 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$242.25 ,$78.95 ,$187.53 ,$79.80 ,$256.50 ,$205.20 ,$285.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$136.80 ,$256.50 ST. JOHN'S HOSPITAL,30600468,87653,HC INFECT AMP (GRP B STREP),306,1 ,$199.00 ,$129.35 ,$3.50 ,$199.00 ,$87.73 ,$71.75 ,$107.86 ,$35.09 ,$55.72 ,$68.66 ,$35.09 ,$76.42 ,$35.09 ,$76.02 ,$3.50 ,$35.09 ,$76.02 ,$66.67 ,$119.56 ,$101.49 ,$87.73 ,$35.09 ,$139.30 ,$35.09 ,$99.50 ,$35.79 ,$149.25 ,$100.50 ,$90.55 ,$100.50 ,$35.09 ,$100.50 ,$50.69 ,$50.69 ,$50.69 ,$199.00 ,$169.15 ,$87.73 ,$159.20 ,$73.63 ,$159.20 ,$35.09 ,$35.09 ,$199.00 ,$107.86 ,$35.09 ,$52.34 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$169.15 ,$78.95 ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$246.00 ,$159.90 ,$3.50 ,$246.00 ,$87.73 ,$71.21 ,$133.33 ,$35.09 ,$68.88 ,$84.87 ,$35.09 ,$94.46 ,$35.09 ,$93.97 ,$3.50 ,$35.09 ,$93.97 ,$66.67 ,$119.56 ,$125.46 ,$87.73 ,$35.09 ,$172.20 ,$35.09 ,$123.00 ,$35.79 ,$184.50 ,$124.23 ,$111.93 ,$124.23 ,$35.09 ,$124.23 ,$50.69 ,$50.69 ,$50.69 ,$246.00 ,$209.10 ,$87.73 ,$196.80 ,$91.02 ,$196.80 ,$35.09 ,$35.09 ,$246.00 ,$133.33 ,$35.09 ,$64.70 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$209.10 ,$78.95 ,$161.87 ,$68.88 ,$221.40 ,$177.12 ,$246.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$118.08 ,$221.40 ST. JOHN'S HOSPITAL,30600470,87797,HC INFECT NUC ACD DIR PRBE NOS-90,306,1 ,$465.00 ,$302.25 ,$3.50 ,$465.00 ,$75.08 ,$41.00 ,$252.03 ,$30.03 ,$130.20 ,$136.38 ,$30.03 ,$136.38 ,$30.03 ,$177.63 ,$3.50 ,$30.03 ,$177.63 ,$57.06 ,$101.82 ,$237.15 ,$75.08 ,$30.03 ,$325.50 ,$30.03 ,$232.50 ,$30.63 ,$348.75 ,$234.83 ,$211.58 ,$234.83 ,$30.03 ,$234.83 ,$39.04 ,$39.04 ,$39.04 ,$465.00 ,$395.25 ,$75.08 ,$372.00 ,$172.05 ,$372.00 ,$30.03 ,$30.03 ,$465.00 ,$252.03 ,$30.03 ,$122.30 , N/A , N/A ,$28.04 ,$26.76 ,$31.53 ,$395.25 ,$67.57 ,$305.97 ,$130.20 ,$418.50 ,$334.80 ,$465.00 ,$39.04 ,$60.06 ,$60.06 ,$30.03 ,$223.20 ,$418.50 ST. JOHN'S HOSPITAL,30600471,87798,HC INFECT AMP-90,306,1 ,$150.00 ,$97.50 ,$3.50 ,$150.00 ,$87.73 ,$71.75 ,$81.30 ,$35.09 ,$42.00 ,$51.75 ,$35.09 ,$57.60 ,$35.09 ,$57.30 ,$3.50 ,$35.09 ,$57.30 ,$66.67 ,$119.56 ,$76.50 ,$87.73 ,$35.09 ,$105.00 ,$35.09 ,$75.00 ,$35.79 ,$112.50 ,$75.75 ,$68.25 ,$75.75 ,$35.09 ,$75.75 ,$50.69 ,$50.69 ,$50.69 ,$150.00 ,$127.50 ,$87.73 ,$120.00 ,$55.50 ,$120.00 ,$35.09 ,$35.09 ,$150.00 ,$81.30 ,$35.09 ,$39.45 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$127.50 ,$78.95 ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,30600472,87798,HC INFECT AMP H1N1-90,306,1 ,$630.00 ,$409.50 ,$3.50 ,$630.00 ,$87.73 ,$71.75 ,$341.46 ,$35.09 ,$176.40 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$240.66 ,$3.50 ,$35.09 ,$240.66 ,$66.67 ,$119.56 ,$321.30 ,$87.73 ,$35.09 ,$441.00 ,$35.09 ,$315.00 ,$35.79 ,$472.50 ,$318.15 ,$286.65 ,$318.15 ,$35.09 ,$318.15 ,$50.69 ,$50.69 ,$50.69 ,$630.00 ,$535.50 ,$87.73 ,$504.00 ,$233.10 ,$504.00 ,$35.09 ,$35.09 ,$630.00 ,$341.46 ,$35.09 ,$165.69 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$535.50 ,$78.95 ,$414.54 ,$176.40 ,$567.00 ,$453.60 ,$630.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$302.40 ,$567.00 ST. JOHN'S HOSPITAL,30600473,87798,HC INFECT AMP UREAPLASMA-90,306,1 ,$249.00 ,$161.85 ,$3.50 ,$249.00 ,$87.73 ,$71.75 ,$134.96 ,$35.09 ,$69.72 ,$85.91 ,$35.09 ,$95.62 ,$35.09 ,$95.12 ,$3.50 ,$35.09 ,$95.12 ,$66.67 ,$119.56 ,$126.99 ,$87.73 ,$35.09 ,$174.30 ,$35.09 ,$124.50 ,$35.79 ,$186.75 ,$125.75 ,$113.30 ,$125.75 ,$35.09 ,$125.75 ,$50.69 ,$50.69 ,$50.69 ,$249.00 ,$211.65 ,$87.73 ,$199.20 ,$92.13 ,$199.20 ,$35.09 ,$35.09 ,$249.00 ,$134.96 ,$35.09 ,$65.49 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$211.65 ,$78.95 ,$163.84 ,$69.72 ,$224.10 ,$179.28 ,$249.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$119.52 ,$224.10 ST. JOHN'S HOSPITAL,30600474,87798,HC INFECT AMP DRUG RESIST TB-90,306,1 ,$260.00 ,$169.00 ,$3.50 ,$260.00 ,$87.73 ,$71.75 ,$140.92 ,$35.09 ,$72.80 ,$89.70 ,$35.09 ,$99.84 ,$35.09 ,$99.32 ,$3.50 ,$35.09 ,$99.32 ,$66.67 ,$119.56 ,$132.60 ,$87.73 ,$35.09 ,$182.00 ,$35.09 ,$130.00 ,$35.79 ,$195.00 ,$131.30 ,$118.30 ,$131.30 ,$35.09 ,$131.30 ,$50.69 ,$50.69 ,$50.69 ,$260.00 ,$221.00 ,$87.73 ,$208.00 ,$96.20 ,$208.00 ,$35.09 ,$35.09 ,$260.00 ,$140.92 ,$35.09 ,$68.38 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$221.00 ,$78.95 ,$171.08 ,$72.80 ,$234.00 ,$187.20 ,$260.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$124.80 ,$234.00 ST. JOHN'S HOSPITAL,30600475,87798,HC PROBE VZV DNA QUAL RT PCR-90,306,1 ,$555.00 ,$360.75 ,$3.50 ,$555.00 ,$87.73 ,$71.75 ,$300.81 ,$35.09 ,$155.40 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$212.01 ,$3.50 ,$35.09 ,$212.01 ,$66.67 ,$119.56 ,$283.05 ,$87.73 ,$35.09 ,$388.50 ,$35.09 ,$277.50 ,$35.79 ,$416.25 ,$280.28 ,$252.53 ,$280.28 ,$35.09 ,$280.28 ,$50.69 ,$50.69 ,$50.69 ,$555.00 ,$471.75 ,$87.73 ,$444.00 ,$205.35 ,$444.00 ,$35.09 ,$35.09 ,$555.00 ,$300.81 ,$35.09 ,$145.97 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$471.75 ,$78.95 ,$365.19 ,$155.40 ,$499.50 ,$399.60 ,$555.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$266.40 ,$499.50 ST. JOHN'S HOSPITAL,30600476,87798,HC INFECT AMP T1,306,1 ,$120.00 ,$78.00 ,$3.50 ,$120.00 ,$87.73 ,$71.75 ,$65.04 ,$35.09 ,$33.60 ,$41.40 ,$35.09 ,$46.08 ,$35.09 ,$45.84 ,$3.50 ,$35.09 ,$45.84 ,$66.67 ,$119.56 ,$61.20 ,$87.73 ,$35.09 ,$84.00 ,$35.09 ,$60.00 ,$35.79 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$35.09 ,$60.60 ,$50.69 ,$50.69 ,$50.69 ,$120.00 ,$102.00 ,$87.73 ,$96.00 ,$44.40 ,$96.00 ,$35.09 ,$35.09 ,$120.00 ,$65.04 ,$35.09 ,$31.56 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$102.00 ,$78.95 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,30600477,87798,HC INFECT AMP T2,306,1 ,$179.00 ,$116.35 ,$3.50 ,$179.00 ,$87.73 ,$71.75 ,$97.02 ,$35.09 ,$50.12 ,$61.76 ,$35.09 ,$68.74 ,$35.09 ,$68.38 ,$3.50 ,$35.09 ,$68.38 ,$66.67 ,$119.56 ,$91.29 ,$87.73 ,$35.09 ,$125.30 ,$35.09 ,$89.50 ,$35.79 ,$134.25 ,$90.40 ,$81.45 ,$90.40 ,$35.09 ,$90.40 ,$50.69 ,$50.69 ,$50.69 ,$179.00 ,$152.15 ,$87.73 ,$143.20 ,$66.23 ,$143.20 ,$35.09 ,$35.09 ,$179.00 ,$97.02 ,$35.09 ,$47.08 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$152.15 ,$78.95 ,$117.78 ,$50.12 ,$161.10 ,$128.88 ,$179.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$85.92 ,$161.10 ST. JOHN'S HOSPITAL,30600478,87799,HC INFECT AGENT QN-90,306,1 ,$650.00 ,$422.50 ,$3.50 ,$650.00 ,$107.10 ,$87.59 ,$352.30 ,$42.84 ,$182.00 ,$177.35 ,$42.84 ,$177.35 ,$42.84 ,$248.30 ,$3.50 ,$42.84 ,$248.30 ,$81.40 ,$145.60 ,$331.50 ,$107.10 ,$42.84 ,$455.00 ,$42.84 ,$325.00 ,$43.70 ,$487.50 ,$328.25 ,$295.75 ,$328.25 ,$42.84 ,$328.25 ,$61.88 ,$61.88 ,$61.88 ,$650.00 ,$552.50 ,$107.10 ,$520.00 ,$240.50 ,$520.00 ,$42.84 ,$42.84 ,$650.00 ,$352.30 ,$42.84 ,$170.95 , N/A , N/A ,$28.04 ,$26.76 ,$44.98 ,$552.50 ,$96.39 ,$427.70 ,$182.00 ,$585.00 ,$468.00 ,$650.00 ,$61.88 ,$85.68 ,$85.68 ,$42.84 ,$312.00 ,$585.00 ST. JOHN'S HOSPITAL,30600479,87880,HC OPTICAL STREP A IMMUNO,306,1 ,$115.00 ,$74.75 ,$3.50 ,$115.00 ,$41.33 ,$24.54 ,$62.33 ,$16.53 ,$32.20 ,$39.68 ,$16.53 ,$44.16 ,$16.53 ,$43.93 ,$3.50 ,$16.53 ,$43.93 ,$31.41 ,$55.65 ,$58.65 ,$41.33 ,$16.53 ,$80.50 ,$16.53 ,$57.50 ,$16.86 ,$86.25 ,$58.08 ,$52.33 ,$58.08 ,$16.53 ,$58.08 ,$21.49 ,$21.49 ,$21.49 ,$115.00 ,$97.75 ,$41.33 ,$92.00 ,$42.55 ,$92.00 ,$16.53 ,$16.53 ,$115.00 ,$62.33 ,$16.53 ,$30.25 , N/A , N/A ,$8.44 ,$8.05 ,$17.36 ,$97.75 ,$37.19 ,$75.67 ,$32.20 ,$103.50 ,$82.80 ,$115.00 ,$21.49 ,$33.06 ,$33.06 ,$16.53 ,$55.20 ,$103.50 ST. JOHN'S HOSPITAL,30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$158.00 ,$102.70 ,$3.50 ,$158.00 ,$40.18 ,$24.54 ,$85.64 ,$16.07 ,$44.24 ,$54.51 ,$16.07 ,$60.67 ,$16.07 ,$60.36 ,$3.50 ,$16.07 ,$60.36 ,$30.53 ,$54.46 ,$80.58 ,$40.18 ,$16.07 ,$110.60 ,$16.07 ,$79.00 ,$16.39 ,$118.50 ,$79.79 ,$71.89 ,$79.79 ,$16.07 ,$79.79 ,$20.89 ,$20.89 ,$20.89 ,$158.00 ,$134.30 ,$40.18 ,$126.40 ,$58.46 ,$126.40 ,$16.07 ,$16.07 ,$158.00 ,$85.64 ,$16.07 ,$41.55 , N/A , N/A ,$8.44 ,$8.05 ,$16.87 ,$134.30 ,$36.16 ,$103.96 ,$44.24 ,$142.20 ,$113.76 ,$158.00 ,$20.89 ,$32.14 ,$32.14 ,$16.07 ,$75.84 ,$142.20 ST. JOHN'S HOSPITAL,30600481,87900,HC PHENOTYPE INFCT AGT DRG SUS-90,306,1 ,$448.00 ,$291.20 ,$3.50 ,$448.00 ,$325.88 ,$237.37 ,$242.82 ,$130.35 ,$125.44 ,$154.56 ,$130.35 ,$172.03 ,$130.35 ,$171.14 ,$3.50 ,$130.35 ,$171.14 ,$247.67 ,$442.75 ,$228.48 ,$325.88 ,$130.35 ,$313.60 ,$130.35 ,$224.00 ,$132.96 ,$336.00 ,$226.24 ,$203.84 ,$226.24 ,$130.35 ,$226.24 ,$188.28 ,$188.28 ,$188.28 ,$448.00 ,$380.80 ,$325.88 ,$358.40 ,$165.76 ,$358.40 ,$130.35 ,$130.35 ,$448.00 ,$242.82 ,$130.35 ,$117.82 , N/A , N/A ,$28.04 ,$26.76 ,$136.87 ,$380.80 ,$293.29 ,$294.78 ,$125.44 ,$403.20 ,$322.56 ,$448.00 ,$188.28 ,$260.70 ,$260.70 ,$130.35 ,$215.04 ,$403.20 ST. JOHN'S HOSPITAL,30600482,87901,HC GENOTYPE HIV 1-90,306,1 ,"$1,035.00 ",$672.75 ,$3.50 ,"$1,035.00 ",$643.63 ,$526.40 ,$560.97 ,$257.45 ,$289.80 ,$357.08 ,$257.45 ,$397.44 ,$257.45 ,$395.37 ,$3.50 ,$257.45 ,$395.37 ,$489.16 ,$873.64 ,$527.85 ,$643.63 ,$257.45 ,$724.50 ,$257.45 ,$517.50 ,$262.60 ,$776.25 ,$522.68 ,$470.93 ,$522.68 ,$257.45 ,$522.68 ,$371.87 ,$371.87 ,$371.87 ,"$1,035.00 ",$879.75 ,$643.63 ,$828.00 ,$382.95 ,$828.00 ,$257.45 ,$257.45 ,"$1,035.00 ",$560.97 ,$257.45 ,$272.21 , N/A , N/A ,$28.04 ,$26.76 ,$270.32 ,$879.75 ,$579.26 ,$681.03 ,$289.80 ,$931.50 ,$745.20 ,"$1,035.00 ",$371.87 ,$514.90 ,$514.90 ,$257.45 ,$496.80 ,$931.50 ST. JOHN'S HOSPITAL,30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$945.00 ,$614.25 ,$3.50 ,$945.00 ,$643.63 ,$526.40 ,$512.19 ,$257.45 ,$264.60 ,$326.03 ,$257.45 ,$362.88 ,$257.45 ,$360.99 ,$3.50 ,$257.45 ,$360.99 ,$489.16 ,$873.64 ,$481.95 ,$643.63 ,$257.45 ,$661.50 ,$257.45 ,$472.50 ,$262.60 ,$708.75 ,$477.23 ,$429.98 ,$477.23 ,$257.45 ,$477.23 ,$371.87 ,$371.87 ,$371.87 ,$945.00 ,$803.25 ,$643.63 ,$756.00 ,$349.65 ,$756.00 ,$257.45 ,$257.45 ,$945.00 ,$512.19 ,$257.45 ,$248.54 , N/A , N/A ,$28.04 ,$26.76 ,$270.32 ,$803.25 ,$579.26 ,$621.81 ,$264.60 ,$850.50 ,$680.40 ,$945.00 ,$371.87 ,$514.90 ,$514.90 ,$257.45 ,$453.60 ,$850.50 ST. JOHN'S HOSPITAL,30600490,87272,HC IF CRYPTOSPORIDIUM AG-90,306,1 ,$142.00 ,$92.30 ,$3.50 ,$142.00 ,$29.95 ,$24.54 ,$76.96 ,$11.98 ,$39.76 ,$48.99 ,$11.98 ,$49.64 ,$11.98 ,$54.24 ,$3.50 ,$11.98 ,$54.24 ,$22.76 ,$40.25 ,$72.42 ,$29.95 ,$11.98 ,$99.40 ,$11.98 ,$71.00 ,$12.22 ,$106.50 ,$71.71 ,$64.61 ,$71.71 ,$11.98 ,$71.71 ,$17.32 ,$17.32 ,$17.32 ,$142.00 ,$120.70 ,$29.95 ,$113.60 ,$52.54 ,$113.60 ,$11.98 ,$11.98 ,$142.00 ,$76.96 ,$11.98 ,$37.35 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$120.70 ,$26.96 ,$93.44 ,$39.76 ,$127.80 ,$102.24 ,$142.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$68.16 ,$127.80 ST. JOHN'S HOSPITAL,30600492,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS-90,306,1 ,$802.00 ,$521.30 ,$3.50 ,"$1,041.95 ","$1,041.95 ",$802.00 ,$434.68 ,$416.78 ,$224.56 ,$276.69 ,$416.78 ,$307.97 ,$416.78 ,$306.36 ,$3.50 ,$416.78 ,$306.36 ,$791.88 ,$802.00 ,$409.02 ,"$1,041.95 ",$416.78 ,$561.40 ,$416.78 ,$401.00 ,$425.12 ,$601.50 ,$405.01 ,$364.91 ,$405.01 ,$416.78 ,$405.01 ,$602.02 ,$602.02 ,$602.02 ,$802.00 ,$681.70 ,$802.00 ,$641.60 ,$296.74 ,$641.60 ,$416.78 ,$416.78 ,$802.00 ,$434.68 ,$416.78 ,$210.93 , N/A , N/A ,$28.04 ,$26.76 ,$437.62 ,$681.70 ,$937.76 ,$527.72 ,$224.56 ,$721.80 ,$577.44 ,$802.00 ,$602.02 ,$802.00 ,$802.00 ,$416.78 ,$384.96 ,$721.80 ST. JOHN'S HOSPITAL,30600494,87301,HC IF POLYVALENT MULT ORG AG-90,306,1 ,$201.00 ,$130.65 ,$3.50 ,$201.00 ,$29.95 ,$24.54 ,$108.94 ,$11.98 ,$56.28 ,$49.64 ,$11.98 ,$49.64 ,$11.98 ,$76.78 ,$3.50 ,$11.98 ,$76.78 ,$22.76 ,$40.25 ,$102.51 ,$29.95 ,$11.98 ,$140.70 ,$11.98 ,$100.50 ,$12.22 ,$150.75 ,$101.51 ,$91.46 ,$101.51 ,$11.98 ,$101.51 ,$17.32 ,$17.32 ,$17.32 ,$201.00 ,$170.85 ,$29.95 ,$160.80 ,$74.37 ,$160.80 ,$11.98 ,$11.98 ,$201.00 ,$108.94 ,$11.98 ,$52.86 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$170.85 ,$26.96 ,$132.26 ,$56.28 ,$180.90 ,$144.72 ,$201.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$96.48 ,$180.90 ST. JOHN'S HOSPITAL,30600504,87046,HC STOOL CULTURE ADD ISO-90,306,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$23.60 ,$19.29 ,$69.92 ,$9.44 ,$36.12 ,$39.11 ,$9.44 ,$39.11 ,$9.44 ,$49.28 ,$3.50 ,$9.44 ,$49.28 ,$17.94 ,$31.95 ,$65.79 ,$23.60 ,$9.44 ,$90.30 ,$9.44 ,$64.50 ,$9.63 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$9.44 ,$65.15 ,$13.64 ,$13.64 ,$13.64 ,$129.00 ,$109.65 ,$23.60 ,$103.20 ,$47.73 ,$103.20 ,$9.44 ,$9.44 ,$129.00 ,$69.92 ,$9.44 ,$33.93 , N/A , N/A ,$8.44 ,$8.05 ,$9.91 ,$109.65 ,$21.24 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30600505,87329,HC EIA QL GIARDIA AG-90,306,1 ,$166.00 ,$107.90 ,$3.50 ,$166.00 ,$29.95 ,$24.54 ,$89.97 ,$11.98 ,$46.48 ,$49.64 ,$11.98 ,$49.64 ,$11.98 ,$63.41 ,$3.50 ,$11.98 ,$63.41 ,$22.76 ,$40.25 ,$84.66 ,$29.95 ,$11.98 ,$116.20 ,$11.98 ,$83.00 ,$12.22 ,$124.50 ,$83.83 ,$75.53 ,$83.83 ,$11.98 ,$83.83 ,$17.32 ,$17.32 ,$17.32 ,$166.00 ,$141.10 ,$29.95 ,$132.80 ,$61.42 ,$132.80 ,$11.98 ,$11.98 ,$166.00 ,$89.97 ,$11.98 ,$43.66 , N/A , N/A ,$10.58 ,$10.10 ,$12.58 ,$141.10 ,$26.96 ,$109.23 ,$46.48 ,$149.40 ,$119.52 ,$166.00 ,$17.32 ,$23.96 ,$23.96 ,$11.98 ,$79.68 ,$149.40 ST. JOHN'S HOSPITAL,30600506,87624,HC HPV HR GENOTYPES,306,1 ,$161.00 ,$104.65 ,$3.50 ,$161.00 ,$87.73 ,$71.05 ,$87.26 ,$35.09 ,$45.08 ,$55.55 ,$35.09 ,$61.82 ,$35.09 ,$61.50 ,$3.50 ,$35.09 ,$61.50 ,$66.67 ,$119.56 ,$82.11 ,$87.73 ,$35.09 ,$112.70 ,$35.09 ,$80.50 ,$35.79 ,$120.75 ,$81.31 ,$73.26 ,$81.31 ,$35.09 ,$81.31 ,$50.69 ,$50.69 ,$50.69 ,$161.00 ,$136.85 ,$87.73 ,$128.80 ,$59.57 ,$128.80 ,$35.09 ,$35.09 ,$35.09 ,$87.26 ,$35.09 ,$42.34 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$136.85 ,$78.95 ,$105.94 ,$45.08 ,$144.90 ,$115.92 ,$161.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$77.28 ,$144.90 ST. JOHN'S HOSPITAL,30600507,87541,HC INFECT AGT LEGIONELLA PNEUMOPHILA PROBE-90,306,1 ,$366.00 ,$237.90 ,$3.50 ,$366.00 ,$87.73 ,$71.75 ,$198.37 ,$35.09 ,$102.48 ,$126.27 ,$35.09 ,$140.54 ,$35.09 ,$139.81 ,$3.50 ,$35.09 ,$139.81 ,$66.67 ,$119.56 ,$186.66 ,$87.73 ,$35.09 ,$256.20 ,$35.09 ,$183.00 ,$35.79 ,$274.50 ,$184.83 ,$166.53 ,$184.83 ,$35.09 ,$184.83 ,$50.69 ,$50.69 ,$50.69 ,$366.00 ,$311.10 ,$87.73 ,$292.80 ,$135.42 ,$292.80 ,$35.09 ,$35.09 ,$366.00 ,$198.37 ,$35.09 ,$96.26 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$311.10 ,$78.95 ,$240.83 ,$102.48 ,$329.40 ,$263.52 ,$366.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$175.68 ,$329.40 ST. JOHN'S HOSPITAL,30600508,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$254.00 ,$165.10 ,$3.50 ,$254.00 ,$101.38 ,$71.05 ,$137.67 ,$40.55 ,$71.12 ,$87.63 ,$40.55 ,$97.54 ,$40.55 ,$97.03 ,$3.50 ,$40.55 ,$97.03 ,$77.05 ,$137.31 ,$129.54 ,$101.38 ,$40.55 ,$177.80 ,$40.55 ,$127.00 ,$41.36 ,$190.50 ,$128.27 ,$115.57 ,$128.27 ,$40.55 ,$128.27 ,$52.72 ,$52.72 ,$52.72 ,$254.00 ,$215.90 ,$101.38 ,$203.20 ,$93.98 ,$203.20 ,$40.55 ,$40.55 ,$40.55 ,$137.67 ,$40.55 ,$66.80 , N/A , N/A ,$28.04 ,$26.76 ,$42.58 ,$215.90 ,$91.24 ,$167.13 ,$71.12 ,$228.60 ,$182.88 ,$254.00 ,$52.72 ,$81.10 ,$81.10 ,$40.55 ,$121.92 ,$228.60 ST. JOHN'S HOSPITAL,30600510,87798,HC WEST NILE VIRUS RNA-90,306,1 ,$392.00 ,$254.80 ,$3.50 ,$392.00 ,$87.73 ,$71.75 ,$212.46 ,$35.09 ,$109.76 ,$135.24 ,$35.09 ,$145.31 ,$35.09 ,$149.74 ,$3.50 ,$35.09 ,$149.74 ,$66.67 ,$119.56 ,$199.92 ,$87.73 ,$35.09 ,$274.40 ,$35.09 ,$196.00 ,$35.79 ,$294.00 ,$197.96 ,$178.36 ,$197.96 ,$35.09 ,$197.96 ,$50.69 ,$50.69 ,$50.69 ,$392.00 ,$333.20 ,$87.73 ,$313.60 ,$145.04 ,$313.60 ,$35.09 ,$35.09 ,$392.00 ,$212.46 ,$35.09 ,$103.10 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$333.20 ,$78.95 ,$257.94 ,$109.76 ,$352.80 ,$282.24 ,$392.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$188.16 ,$352.80 ST. JOHN'S HOSPITAL,30600511,87798,HC WEST NILE VIRUS RNA CSF-90,306,1 ,$392.00 ,$254.80 ,$3.50 ,$392.00 ,$87.73 ,$71.75 ,$212.46 ,$35.09 ,$109.76 ,$135.24 ,$35.09 ,$145.31 ,$35.09 ,$149.74 ,$3.50 ,$35.09 ,$149.74 ,$66.67 ,$119.56 ,$199.92 ,$87.73 ,$35.09 ,$274.40 ,$35.09 ,$196.00 ,$35.79 ,$294.00 ,$197.96 ,$178.36 ,$197.96 ,$35.09 ,$197.96 ,$50.69 ,$50.69 ,$50.69 ,$392.00 ,$333.20 ,$87.73 ,$313.60 ,$145.04 ,$313.60 ,$35.09 ,$35.09 ,$392.00 ,$212.46 ,$35.09 ,$103.10 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$333.20 ,$78.95 ,$257.94 ,$109.76 ,$352.80 ,$282.24 ,$392.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$188.16 ,$352.80 ST. JOHN'S HOSPITAL,30600514,87476,HC LYMES DNA DETECT PCR-90,306,1 ,$508.00 ,$330.20 ,$3.50 ,$508.00 ,$87.73 ,$71.75 ,$275.34 ,$35.09 ,$142.24 ,$145.31 ,$35.09 ,$145.31 ,$35.09 ,$194.06 ,$3.50 ,$35.09 ,$194.06 ,$66.67 ,$119.56 ,$259.08 ,$87.73 ,$35.09 ,$355.60 ,$35.09 ,$254.00 ,$35.79 ,$381.00 ,$256.54 ,$231.14 ,$256.54 ,$35.09 ,$256.54 ,$50.69 ,$50.69 ,$50.69 ,$508.00 ,$431.80 ,$87.73 ,$406.40 ,$187.96 ,$406.40 ,$35.09 ,$35.09 ,$508.00 ,$275.34 ,$35.09 ,$133.60 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$431.80 ,$78.95 ,$334.26 ,$142.24 ,$457.20 ,$365.76 ,$508.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$243.84 ,$457.20 ST. JOHN'S HOSPITAL,30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$308.00 ,$200.20 ,$3.50 ,$308.00 ,$84.65 ,$69.25 ,$166.94 ,$33.86 ,$86.24 ,$106.26 ,$33.86 ,$118.27 ,$33.86 ,$117.66 ,$3.50 ,$33.86 ,$117.66 ,$64.33 ,$114.84 ,$157.08 ,$84.65 ,$33.86 ,$215.60 ,$33.86 ,$154.00 ,$34.54 ,$231.00 ,$155.54 ,$140.14 ,$155.54 ,$33.86 ,$155.54 ,$48.91 ,$48.91 ,$48.91 ,$308.00 ,$261.80 ,$84.65 ,$246.40 ,$113.96 ,$246.40 ,$33.86 ,$33.86 ,$308.00 ,$166.94 ,$33.86 ,$81.00 , N/A , N/A ,$28.04 ,$26.76 ,$35.55 ,$261.80 ,$76.19 ,$202.66 ,$86.24 ,$277.20 ,$221.76 ,$308.00 ,$48.91 ,$67.72 ,$67.72 ,$33.86 ,$147.84 ,$277.20 ST. JOHN'S HOSPITAL,30600588,87662,HC IF AGENT DNA/RNA ZIKA VIRUS AMP PROBE TECH-90,306,1 ,$314.00 ,$204.10 ,$3.50 ,$314.00 ,$128.28 ,$94.24 ,$170.19 ,$51.31 ,$87.92 ,$108.33 ,$51.31 ,$120.58 ,$51.31 ,$119.95 ,$3.50 ,$51.31 ,$119.95 ,$97.49 ,$174.02 ,$160.14 ,$128.28 ,$51.31 ,$219.80 ,$51.31 ,$157.00 ,$52.34 ,$235.50 ,$158.57 ,$142.87 ,$158.57 ,$51.31 ,$158.57 ,$74.13 ,$74.13 ,$74.13 ,$314.00 ,$266.90 ,$128.28 ,$251.20 ,$116.18 ,$251.20 ,$51.31 ,$51.31 ,$314.00 ,$170.19 ,$51.31 ,$82.58 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$266.90 ,$115.45 ,$206.61 ,$87.92 ,$282.60 ,$226.08 ,$314.00 ,$74.13 ,$102.62 ,$102.62 ,$51.31 ,$150.72 ,$282.60 ST. JOHN'S HOSPITAL,30600602,87526,HC HEPATITIS G DNA/RNA AMP PROBE-90,306,1 ,$112.00 ,$72.80 ,$3.50 ,$112.00 ,$98.15 ,$71.75 ,$60.70 ,$39.26 ,$31.36 ,$38.64 ,$39.26 ,$43.01 ,$39.26 ,$42.78 ,$3.50 ,$39.26 ,$42.78 ,$74.59 ,$112.00 ,$57.12 ,$98.15 ,$39.26 ,$78.40 ,$39.26 ,$56.00 ,$40.05 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$39.26 ,$56.56 ,$51.04 ,$51.04 ,$51.04 ,$112.00 ,$95.20 ,$98.15 ,$89.60 ,$41.44 ,$89.60 ,$39.26 ,$39.26 ,$112.00 ,$60.70 ,$39.26 ,$29.46 , N/A , N/A ,$28.04 ,$26.76 ,$41.22 ,$95.20 ,$88.34 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$51.04 ,$78.52 ,$78.52 ,$39.26 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,30600603,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$254.00 ,$165.10 ,$3.50 ,$254.00 ,$101.38 ,$71.05 ,$137.67 ,$40.55 ,$71.12 ,$87.63 ,$40.55 ,$97.54 ,$40.55 ,$97.03 ,$3.50 ,$40.55 ,$97.03 ,$77.05 ,$137.31 ,$129.54 ,$101.38 ,$40.55 ,$177.80 ,$40.55 ,$127.00 ,$41.36 ,$190.50 ,$128.27 ,$115.57 ,$128.27 ,$40.55 ,$128.27 ,$52.72 ,$52.72 ,$52.72 ,$254.00 ,$215.90 ,$101.38 ,$203.20 ,$93.98 ,$203.20 ,$40.55 ,$40.55 ,$40.55 ,$137.67 ,$40.55 ,$66.80 , N/A , N/A ,$28.04 ,$26.76 ,$42.58 ,$215.90 ,$91.24 ,$167.13 ,$71.12 ,$228.60 ,$182.88 ,$254.00 ,$52.72 ,$81.10 ,$81.10 ,$40.55 ,$121.92 ,$228.60 ST. JOHN'S HOSPITAL,30600604,87912,HC INFECTIOUS AGENT GENOTYPE HEPATITIS B-90,306,1 ,"$1,098.00 ",$713.70 ,$3.50 ,"$1,098.00 ",$643.63 ,$526.40 ,$595.12 ,$257.45 ,$307.44 ,$378.81 ,$257.45 ,$421.63 ,$257.45 ,$419.44 ,$3.50 ,$257.45 ,$419.44 ,$489.16 ,$873.64 ,$559.98 ,$643.63 ,$257.45 ,$768.60 ,$257.45 ,$549.00 ,$262.60 ,$823.50 ,$554.49 ,$499.59 ,$554.49 ,$257.45 ,$554.49 ,$371.87 ,$371.87 ,$371.87 ,"$1,098.00 ",$933.30 ,$643.63 ,$878.40 ,$406.26 ,$878.40 ,$257.45 ,$257.45 ,"$1,098.00 ",$595.12 ,$257.45 ,$288.77 , N/A , N/A ,$18.24 ,$17.41 ,$270.32 ,$933.30 ,$579.26 ,$722.48 ,$307.44 ,$988.20 ,$790.56 ,"$1,098.00 ",$371.87 ,$514.90 ,$514.90 ,$257.45 ,$527.04 ,$988.20 ST. JOHN'S HOSPITAL,30600607,87661,HC TRICHOMONAS BAG AMP PROBE,306,1 ,$255.00 ,$165.75 ,$3.50 ,$255.00 ,$87.73 ,$71.21 ,$138.21 ,$35.09 ,$71.40 ,$87.98 ,$35.09 ,$97.92 ,$35.09 ,$97.41 ,$3.50 ,$35.09 ,$97.41 ,$66.67 ,$119.56 ,$130.05 ,$87.73 ,$35.09 ,$178.50 ,$35.09 ,$127.50 ,$35.79 ,$191.25 ,$128.78 ,$116.03 ,$128.78 ,$35.09 ,$128.78 ,$50.69 ,$50.69 ,$50.69 ,$255.00 ,$216.75 ,$87.73 ,$204.00 ,$94.35 ,$204.00 ,$35.09 ,$35.09 ,$255.00 ,$138.21 ,$35.09 ,$67.07 , N/A , N/A ,$28.04 ,$26.76 ,$36.84 ,$216.75 ,$78.95 ,$167.79 ,$71.40 ,$229.50 ,$183.60 ,$255.00 ,$50.69 ,$70.18 ,$70.18 ,$35.09 ,$122.40 ,$229.50 ST. JOHN'S HOSPITAL,30600608,87045,HC STOOL CULTURE -90,306,1 ,$248.00 ,$161.20 ,$3.50 ,$248.00 ,$23.60 ,$19.29 ,$134.42 ,$9.44 ,$69.44 ,$39.11 ,$9.44 ,$39.11 ,$9.44 ,$94.74 ,$3.50 ,$9.44 ,$94.74 ,$17.94 ,$31.95 ,$126.48 ,$23.60 ,$9.44 ,$173.60 ,$9.44 ,$124.00 ,$9.63 ,$186.00 ,$125.24 ,$112.84 ,$125.24 ,$9.44 ,$125.24 ,$13.64 ,$13.64 ,$13.64 ,$248.00 ,$210.80 ,$23.60 ,$198.40 ,$91.76 ,$198.40 ,$9.44 ,$9.44 ,$248.00 ,$134.42 ,$9.44 ,$65.22 , N/A , N/A ,$8.44 ,$8.05 ,$9.91 ,$210.80 ,$21.24 ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$13.64 ,$18.88 ,$18.88 ,$9.44 ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,30600612,87210,HC SMEAR WET MOUNT-90,306,1 ,$129.00 ,$83.85 ,$3.50 ,$129.00 ,$14.55 ,$8.73 ,$69.92 ,$5.82 ,$36.12 ,$26.42 ,$5.82 ,$26.42 ,$5.82 ,$49.28 ,$3.50 ,$5.82 ,$49.28 ,$11.06 ,$20.13 ,$65.79 ,$14.55 ,$5.82 ,$90.30 ,$5.82 ,$64.50 ,$5.94 ,$96.75 ,$65.15 ,$58.70 ,$65.15 ,$5.82 ,$65.15 ,$7.57 ,$7.57 ,$7.57 ,$129.00 ,$109.65 ,$14.55 ,$103.20 ,$47.73 ,$103.20 ,$5.82 ,$5.82 ,$129.00 ,$69.92 ,$5.82 ,$33.93 , N/A , N/A ,$8.44 ,$8.05 ,$6.11 ,$109.65 ,$13.10 ,$84.88 ,$36.12 ,$116.10 ,$92.88 ,$129.00 ,$7.57 ,$11.64 ,$11.64 ,$5.82 ,$61.92 ,$116.10 ST. JOHN'S HOSPITAL,30600615,87169,HC PARASITE ID-90,306,1 ,$104.00 ,$67.60 ,$3.50 ,$104.00 ,$10.78 ,$8.73 ,$56.37 ,$4.31 ,$29.12 ,$17.70 ,$4.31 ,$17.70 ,$4.31 ,$39.73 ,$3.50 ,$4.31 ,$39.73 ,$8.19 ,$14.21 ,$53.04 ,$10.78 ,$4.31 ,$72.80 ,$4.31 ,$52.00 ,$4.40 ,$78.00 ,$52.52 ,$47.32 ,$52.52 ,$4.31 ,$52.52 ,$6.18 ,$6.18 ,$6.18 ,$104.00 ,$88.40 ,$10.78 ,$83.20 ,$38.48 ,$83.20 ,$4.31 ,$4.31 ,$104.00 ,$56.37 ,$4.31 ,$27.35 , N/A , N/A ,$8.44 ,$8.05 ,$4.53 ,$88.40 ,$9.70 ,$68.43 ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$6.18 ,$8.62 ,$8.62 ,$4.31 ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30600625,87172,HC PINWORM- 90,306,1 ,$92.00 ,$59.80 ,$3.50 ,$92.00 ,$10.68 ,$8.73 ,$49.86 ,$4.27 ,$25.76 ,$23.94 ,$4.27 ,$23.94 ,$4.27 ,$35.14 ,$3.50 ,$4.27 ,$35.14 ,$8.11 ,$14.21 ,$46.92 ,$10.68 ,$4.27 ,$64.40 ,$4.27 ,$46.00 ,$4.36 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$4.27 ,$46.46 ,$6.18 ,$6.18 ,$6.18 ,$92.00 ,$78.20 ,$10.68 ,$73.60 ,$34.04 ,$73.60 ,$4.27 ,$4.27 ,$92.00 ,$49.86 ,$4.27 ,$24.20 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$78.20 ,$9.61 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,30600626,87220,HC SCABIES- 90,306,1 ,$96.00 ,$62.40 ,$3.50 ,$96.00 ,$10.68 ,$8.73 ,$52.03 ,$4.27 ,$26.88 ,$23.94 ,$4.27 ,$23.94 ,$4.27 ,$36.67 ,$3.50 ,$4.27 ,$36.67 ,$8.11 ,$14.21 ,$48.96 ,$10.68 ,$4.27 ,$67.20 ,$4.27 ,$48.00 ,$4.36 ,$72.00 ,$48.48 ,$43.68 ,$48.48 ,$4.27 ,$48.48 ,$6.18 ,$6.18 ,$6.18 ,$96.00 ,$81.60 ,$10.68 ,$76.80 ,$35.52 ,$76.80 ,$4.27 ,$4.27 ,$96.00 ,$52.03 ,$4.27 ,$25.25 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$81.60 ,$9.61 ,$63.17 ,$26.88 ,$86.40 ,$69.12 ,$96.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$46.08 ,$86.40 ST. JOHN'S HOSPITAL,30600633,87168,HC TICK AND OTHER ANTROPODS- 90,306,1 ,$119.00 ,$77.35 ,$3.50 ,$119.00 ,$10.68 ,$8.73 ,$64.50 ,$4.27 ,$33.32 ,$17.70 ,$4.27 ,$17.70 ,$4.27 ,$45.46 ,$3.50 ,$4.27 ,$45.46 ,$8.11 ,$14.21 ,$60.69 ,$10.68 ,$4.27 ,$83.30 ,$4.27 ,$59.50 ,$4.36 ,$89.25 ,$60.10 ,$54.15 ,$60.10 ,$4.27 ,$60.10 ,$6.18 ,$6.18 ,$6.18 ,$119.00 ,$101.15 ,$10.68 ,$95.20 ,$44.03 ,$95.20 ,$4.27 ,$4.27 ,$119.00 ,$64.50 ,$4.27 ,$31.30 , N/A , N/A ,$8.44 ,$8.05 ,$4.48 ,$101.15 ,$9.61 ,$78.30 ,$33.32 ,$107.10 ,$85.68 ,$119.00 ,$6.18 ,$8.54 ,$8.54 ,$4.27 ,$57.12 ,$107.10 ST. JOHN'S HOSPITAL,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$125.00 ,$81.25 ,$8.05 ,$125.00 ,$103.45 ,$72.42 ,$67.75 ,$41.38 ,$35.00 ,$40.00 ,$41.38 ,$46.00 ,$41.38 ,$47.75 ,$50.00 ,$41.38 ,$47.75 ,$78.62 ,$65.75 ,$63.75 ,$103.45 ,$41.38 ,$87.50 ,$41.38 ,$62.50 ,$42.21 ,$93.75 ,$63.13 ,$56.88 ,$63.13 ,$41.38 ,$63.13 ,$87.50 ,$87.50 ,$87.50 ,$125.00 ,$106.25 ,$103.45 ,$100.00 ,$46.25 ,$100.00 ,$41.38 ,$41.38 ,$125.00 ,$67.75 ,$41.38 ,$32.88 , N/A , N/A ,$8.44 ,$8.05 ,$43.45 ,$106.25 ,$93.11 ,$82.25 ,$35.00 ,$112.50 ,$90.00 ,$125.00 ,$87.50 ,$83.04 ,$83.04 ,$41.38 ,$60.00 ,$112.50 ST. JOHN'S HOSPITAL,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$81.00 ,$52.65 ,$21.30 ,$128.28 ,$128.28 ,$81.00 ,$43.90 ,$51.31 ,$22.68 ,$25.92 ,$51.31 ,$29.81 ,$51.31 ,$30.94 ,$32.40 ,$51.31 ,$30.94 ,$81.00 ,$42.61 ,$41.31 ,$128.28 ,$51.31 ,$56.70 ,$51.31 ,$40.50 ,$52.34 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$51.31 ,$40.91 ,$56.70 ,$56.70 ,$56.70 ,$81.00 ,$68.85 ,$81.00 ,$64.80 ,$29.97 ,$64.80 ,$51.31 ,$51.31 ,$51.31 ,$43.90 ,$51.31 ,$21.30 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$68.85 ,$115.45 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$56.70 ,$81.00 ,$81.00 ,$51.31 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30600640,0097U,HC GI PATHOGENS 22 TARGETS- 90,306,1 ,"$1,758.00 ","$1,142.70 ",$26.76 ,"$1,758.00 ",$907.60 ,$445.73 ,$952.84 ,$363.04 ,$492.24 ,$562.56 ,$363.04 ,$646.94 ,$363.04 ,$671.56 ,$703.20 ,$363.04 ,$671.56 ,$689.78 ,"$1,231.13 ",$896.58 ,$907.60 ,$363.04 ,"$1,230.60 ",$363.04 ,$879.00 ,$370.30 ,"$1,318.50 ",$887.79 ,$799.89 ,$887.79 ,$363.04 ,$887.79 ,"$1,230.60 ","$1,230.60 ","$1,230.60 ","$1,758.00 ","$1,494.30 ",$907.60 ,"$1,406.40 ",$650.46 ,"$1,406.40 ",$363.04 ,$363.04 ,"$1,758.00 ",$952.84 ,$363.04 ,$462.35 , N/A , N/A ,$28.04 ,$26.76 ,$381.19 ,"$1,494.30 ",$816.84 ,"$1,156.76 ",$492.24 ,"$1,582.20 ","$1,265.76 ","$1,758.00 ","$1,230.60 ",$726.08 ,$726.08 ,$363.04 ,$843.84 ,"$1,582.20 " ST. JOHN'S HOSPITAL,30682003,87910,HC INFECTIUS AGENT GENOTYPE ANALYSIS-90,306,1 ,"$2,220.00 ","$1,443.00 ",$3.50 ,"$2,220.00 ",$643.63 ,$526.40 ,"$1,203.24 ",$257.45 ,$621.60 ,$765.90 ,$257.45 ,$852.48 ,$257.45 ,$848.04 ,$3.50 ,$257.45 ,$848.04 ,$489.16 ,$873.64 ,"$1,132.20 ",$643.63 ,$257.45 ,"$1,554.00 ",$257.45 ,"$1,110.00 ",$262.60 ,"$1,665.00 ","$1,121.10 ","$1,010.10 ","$1,121.10 ",$257.45 ,"$1,121.10 ",$371.87 ,$371.87 ,$371.87 ,"$2,220.00 ","$1,887.00 ",$643.63 ,"$1,776.00 ",$821.40 ,"$1,776.00 ",$257.45 ,$257.45 ,"$2,220.00 ","$1,203.24 ",$257.45 ,$583.86 , N/A , N/A ,$18.24 ,$17.41 ,$270.32 ,"$1,887.00 ",$579.26 ,"$1,460.76 ",$621.60 ,"$1,998.00 ","$1,598.40 ","$2,220.00 ",$371.87 ,$514.90 ,$514.90 ,$257.45 ,"$1,065.60 ","$1,998.00 " ST. JOHN'S HOSPITAL,30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30682012,87635,HC COVID-19 LAB TEST,306,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30682013,87635,HC COVID-19 LAB TEST,306,1 ,$428.00 ,$278.20 ,$26.76 ,$428.00 ,$128.28 ,$89.79 ,$231.98 ,$51.31 ,$119.84 ,$136.96 ,$51.31 ,$157.50 ,$51.31 ,$163.50 ,$171.20 ,$51.31 ,$163.50 ,$97.49 ,$225.13 ,$218.28 ,$128.28 ,$51.31 ,$299.60 ,$51.31 ,$214.00 ,$52.34 ,$321.00 ,$216.14 ,$194.74 ,$216.14 ,$51.31 ,$216.14 ,$299.60 ,$299.60 ,$299.60 ,$428.00 ,$363.80 ,$128.28 ,$342.40 ,$158.36 ,$342.40 ,$51.31 ,$51.31 ,$51.31 ,$231.98 ,$51.31 ,$112.56 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$363.80 ,$115.45 ,$281.62 ,$119.84 ,$385.20 ,$308.16 ,$428.00 ,$299.60 ,$102.62 ,$102.62 ,$51.31 ,$205.44 ,$385.20 ST. JOHN'S HOSPITAL,30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$130.00 ,$84.50 ,$10.10 ,$130.00 ,$105.33 ,$73.73 ,$70.46 ,$42.13 ,$36.40 ,$41.60 ,$42.13 ,$47.84 ,$42.13 ,$49.66 ,$52.00 ,$42.13 ,$49.66 ,$80.05 ,$68.38 ,$66.30 ,$105.33 ,$42.13 ,$91.00 ,$42.13 ,$65.00 ,$42.97 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$42.13 ,$65.65 ,$91.00 ,$91.00 ,$91.00 ,$130.00 ,$110.50 ,$105.33 ,$104.00 ,$48.10 ,$104.00 ,$42.13 ,$42.13 ,$130.00 ,$70.46 ,$42.13 ,$34.19 , N/A , N/A ,$10.58 ,$10.10 ,$44.24 ,$110.50 ,$94.79 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$91.00 ,$84.26 ,$84.26 ,$42.13 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30682021,86769,HC SARS-COV-2 COVID-19 ANTIBODY IN-HOUSE,306,1 ,$130.00 ,$84.50 ,$10.10 ,$130.00 ,$105.33 ,$73.73 ,$70.46 ,$42.13 ,$36.40 ,$41.60 ,$42.13 ,$47.84 ,$42.13 ,$49.66 ,$52.00 ,$42.13 ,$49.66 ,$80.05 ,$68.38 ,$66.30 ,$105.33 ,$42.13 ,$91.00 ,$42.13 ,$65.00 ,$42.97 ,$97.50 ,$65.65 ,$59.15 ,$65.65 ,$42.13 ,$65.65 ,$91.00 ,$91.00 ,$91.00 ,$130.00 ,$110.50 ,$105.33 ,$104.00 ,$48.10 ,$104.00 ,$42.13 ,$42.13 ,$130.00 ,$70.46 ,$42.13 ,$34.19 , N/A , N/A ,$10.58 ,$10.10 ,$44.24 ,$110.50 ,$94.79 ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$91.00 ,$84.26 ,$84.26 ,$42.13 ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,30682022,87102,HC CULTURE FUNGUS OTHER-90,306,1 ,$188.00 ,$122.20 ,$3.50 ,$188.00 ,$21.03 ,$17.19 ,$101.90 ,$8.41 ,$52.64 ,$34.83 ,$8.41 ,$34.83 ,$8.41 ,$71.82 ,$3.50 ,$8.41 ,$71.82 ,$15.98 ,$28.42 ,$95.88 ,$21.03 ,$8.41 ,$131.60 ,$8.41 ,$94.00 ,$8.58 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$8.41 ,$94.94 ,$12.14 ,$12.14 ,$12.14 ,$188.00 ,$159.80 ,$21.03 ,$150.40 ,$69.56 ,$150.40 ,$8.41 ,$8.41 ,$188.00 ,$101.90 ,$8.41 ,$49.44 , N/A , N/A ,$8.44 ,$8.05 ,$8.83 ,$159.80 ,$18.92 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$12.14 ,$16.82 ,$16.82 ,$8.41 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$94.00 ,$61.10 ,$8.05 ,$94.00 ,$88.33 ,$79.15 ,$50.95 ,$35.33 ,$26.32 ,$30.08 ,$35.33 ,$34.59 ,$35.33 ,$35.91 ,$37.60 ,$35.33 ,$35.91 ,$67.13 ,$49.44 ,$47.94 ,$88.33 ,$35.33 ,$65.80 ,$35.33 ,$47.00 ,$36.04 ,$70.50 ,$47.47 ,$42.77 ,$47.47 ,$35.33 ,$47.47 ,$65.80 ,$65.80 ,$65.80 ,$94.00 ,$79.90 ,$88.33 ,$75.20 ,$34.78 ,$75.20 ,$35.33 ,$35.33 ,$37.79 ,$50.95 ,$35.33 ,$24.72 , N/A , N/A ,$8.44 ,$8.05 ,$37.10 ,$79.90 ,$79.49 ,$61.85 ,$26.32 ,$84.60 ,$67.68 ,$94.00 ,$65.80 ,$90.72 ,$90.72 ,$35.33 ,$45.12 ,$84.60 ST. JOHN'S HOSPITAL,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$81.00 ,$52.65 ,$21.30 ,$128.28 ,$128.28 ,$81.00 ,$43.90 ,$51.31 ,$22.68 ,$25.92 ,$51.31 ,$29.81 ,$51.31 ,$30.94 ,$32.40 ,$51.31 ,$30.94 ,$81.00 ,$42.61 ,$41.31 ,$128.28 ,$51.31 ,$56.70 ,$51.31 ,$40.50 ,$52.34 ,$60.75 ,$40.91 ,$36.86 ,$40.91 ,$51.31 ,$40.91 ,$56.70 ,$56.70 ,$56.70 ,$81.00 ,$68.85 ,$81.00 ,$64.80 ,$29.97 ,$64.80 ,$51.31 ,$51.31 ,$51.31 ,$43.90 ,$51.31 ,$21.30 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$68.85 ,$115.45 ,$53.30 ,$22.68 ,$72.90 ,$58.32 ,$81.00 ,$56.70 ,$81.00 ,$81.00 ,$51.31 ,$38.88 ,$72.90 ST. JOHN'S HOSPITAL,30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$82.00 ,$53.30 ,$21.57 ,$128.28 ,$128.28 ,$82.00 ,$44.44 ,$51.31 ,$22.96 ,$26.24 ,$51.31 ,$30.18 ,$51.31 ,$31.32 ,$32.80 ,$51.31 ,$31.32 ,$82.00 ,$43.13 ,$41.82 ,$128.28 ,$51.31 ,$57.40 ,$51.31 ,$41.00 ,$52.34 ,$61.50 ,$41.41 ,$37.31 ,$41.41 ,$51.31 ,$41.41 ,$57.40 ,$57.40 ,$57.40 ,$82.00 ,$69.70 ,$82.00 ,$65.60 ,$30.34 ,$65.60 ,$51.31 ,$51.31 ,$51.31 ,$44.44 ,$51.31 ,$21.57 , N/A , N/A ,$28.04 ,$26.76 ,$53.88 ,$69.70 ,$115.45 ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$57.40 ,$82.00 ,$82.00 ,$51.31 ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,30700102,81003,HC URINALYSIS DIP STICK,307,1 ,$51.00 ,$33.15 ,$2.25 ,$51.00 ,$5.63 ,$4.60 ,$27.64 ,$2.25 ,$14.28 ,$12.59 ,$2.25 ,$12.59 ,$2.25 ,$19.48 ,$3.50 ,$2.25 ,$19.48 ,$4.28 ,$7.11 ,$26.01 ,$5.63 ,$2.25 ,$35.70 ,$2.25 ,$25.50 ,$2.30 ,$38.25 ,$25.76 ,$23.21 ,$25.76 ,$2.25 ,$25.76 ,$3.24 ,$3.24 ,$3.24 ,$51.00 ,$43.35 ,$5.63 ,$40.80 ,$18.87 ,$40.80 ,$2.25 ,$2.25 ,$51.00 ,$27.64 ,$2.25 ,$13.41 , N/A , N/A ,$2.66 ,$2.54 ,$2.36 ,$43.35 ,$5.06 ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$3.24 ,$4.50 ,$4.50 ,$2.25 ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$21.53 ,$12.95 ,$67.21 ,$8.61 ,$34.72 ,$39.11 ,$8.61 ,$39.11 ,$8.61 ,$47.37 ,$3.50 ,$8.61 ,$47.37 ,$16.36 ,$29.61 ,$63.24 ,$21.53 ,$8.61 ,$86.80 ,$8.61 ,$62.00 ,$8.78 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$8.61 ,$62.62 ,$11.19 ,$11.19 ,$11.19 ,$124.00 ,$105.40 ,$21.53 ,$99.20 ,$45.88 ,$99.20 ,$8.61 ,$8.61 ,$8.61 ,$67.21 ,$8.61 ,$32.61 , N/A , N/A ,$4.21 ,$4.02 ,$9.04 ,$105.40 ,$19.37 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$11.19 ,$17.22 ,$17.22 ,$8.61 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$44.00 ,$28.60 ,$2.54 ,$44.00 ,$8.70 ,$5.23 ,$23.85 ,$3.48 ,$12.32 ,$15.18 ,$3.48 ,$15.79 ,$3.48 ,$16.81 ,$3.50 ,$3.48 ,$16.81 ,$6.61 ,$11.83 ,$22.44 ,$8.70 ,$3.48 ,$30.80 ,$3.48 ,$22.00 ,$3.55 ,$33.00 ,$22.22 ,$20.02 ,$22.22 ,$3.48 ,$22.22 ,$4.52 ,$4.52 ,$4.52 ,$44.00 ,$37.40 ,$8.70 ,$35.20 ,$16.28 ,$35.20 ,$3.48 ,$3.48 ,$44.00 ,$23.85 ,$3.48 ,$11.57 , N/A , N/A ,$2.66 ,$2.54 ,$3.65 ,$37.40 ,$7.83 ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$4.52 ,$6.96 ,$6.96 ,$3.48 ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,30700121,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$80.00 ,$52.00 ,$3.17 ,$80.00 ,$7.93 ,$6.48 ,$43.36 ,$3.17 ,$22.40 ,$17.80 ,$3.17 ,$17.80 ,$3.17 ,$30.56 ,$3.50 ,$3.17 ,$30.56 ,$6.02 ,$10.64 ,$40.80 ,$7.93 ,$3.17 ,$56.00 ,$3.17 ,$40.00 ,$3.23 ,$60.00 ,$40.40 ,$36.40 ,$40.40 ,$3.17 ,$40.40 ,$4.58 ,$4.58 ,$4.58 ,$80.00 ,$68.00 ,$7.93 ,$64.00 ,$29.60 ,$64.00 ,$3.17 ,$3.17 ,$3.17 ,$43.36 ,$3.17 ,$21.04 , N/A , N/A ,$4.21 ,$4.02 ,$3.33 ,$68.00 ,$7.13 ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$4.58 ,$6.34 ,$6.34 ,$3.17 ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,30700122,81002,HC URINALYSIS NON AUTO W/O MICRO -90,307,1 ,$102.00 ,$66.30 ,$2.54 ,$102.00 ,$8.70 ,$5.23 ,$55.28 ,$3.48 ,$28.56 ,$15.79 ,$3.48 ,$15.79 ,$3.48 ,$38.96 ,$3.50 ,$3.48 ,$38.96 ,$6.61 ,$11.83 ,$52.02 ,$8.70 ,$3.48 ,$71.40 ,$3.48 ,$51.00 ,$3.55 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$3.48 ,$51.51 ,$4.52 ,$4.52 ,$4.52 ,$102.00 ,$86.70 ,$8.70 ,$81.60 ,$37.74 ,$81.60 ,$3.48 ,$3.48 ,$102.00 ,$55.28 ,$3.48 ,$26.83 , N/A , N/A ,$2.66 ,$2.54 ,$3.65 ,$86.70 ,$7.83 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$4.52 ,$6.96 ,$6.96 ,$3.48 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,30700125,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$51.00 ,$33.15 ,$2.25 ,$51.00 ,$5.63 ,$4.60 ,$27.64 ,$2.25 ,$14.28 ,$12.59 ,$2.25 ,$12.59 ,$2.25 ,$19.48 ,$3.50 ,$2.25 ,$19.48 ,$4.28 ,$7.11 ,$26.01 ,$5.63 ,$2.25 ,$35.70 ,$2.25 ,$25.50 ,$2.30 ,$38.25 ,$25.76 ,$23.21 ,$25.76 ,$2.25 ,$25.76 ,$3.24 ,$3.24 ,$3.24 ,$51.00 ,$43.35 ,$5.63 ,$40.80 ,$18.87 ,$40.80 ,$2.25 ,$2.25 ,$51.00 ,$27.64 ,$2.25 ,$13.41 , N/A , N/A ,$2.66 ,$2.54 ,$2.36 ,$43.35 ,$5.06 ,$33.56 ,$14.28 ,$45.90 ,$36.72 ,$51.00 ,$3.24 ,$4.50 ,$4.50 ,$2.25 ,$24.48 ,$45.90 ST. JOHN'S HOSPITAL,30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$59.00 ,$38.35 ,$2.17 ,$59.00 ,$5.43 ,$4.43 ,$31.98 ,$2.17 ,$16.52 ,$12.13 ,$2.17 ,$12.13 ,$2.17 ,$22.54 ,$3.50 ,$2.17 ,$22.54 ,$4.12 ,$7.11 ,$30.09 ,$5.43 ,$2.17 ,$41.30 ,$2.17 ,$29.50 ,$2.21 ,$44.25 ,$29.80 ,$26.85 ,$29.80 ,$2.17 ,$29.80 ,$3.13 ,$3.13 ,$3.13 ,$59.00 ,$50.15 ,$5.43 ,$47.20 ,$21.83 ,$47.20 ,$2.17 ,$2.17 ,$59.00 ,$31.98 ,$2.17 ,$15.52 , N/A , N/A ,$4.21 ,$4.02 ,$2.28 ,$50.15 ,$4.88 ,$38.82 ,$16.52 ,$53.10 ,$42.48 ,$59.00 ,$3.13 ,$4.34 ,$4.34 ,$2.17 ,$28.32 ,$53.10 ST. JOHN'S HOSPITAL,30700128,81025,HC URINE PREGNANCY TEST,307,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$21.53 ,$12.95 ,$67.21 ,$8.61 ,$34.72 ,$39.11 ,$8.61 ,$39.11 ,$8.61 ,$47.37 ,$3.50 ,$8.61 ,$47.37 ,$16.36 ,$29.61 ,$63.24 ,$21.53 ,$8.61 ,$86.80 ,$8.61 ,$62.00 ,$8.78 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$8.61 ,$62.62 ,$11.19 ,$11.19 ,$11.19 ,$124.00 ,$105.40 ,$21.53 ,$99.20 ,$45.88 ,$99.20 ,$8.61 ,$8.61 ,$8.61 ,$67.21 ,$8.61 ,$32.61 , N/A , N/A ,$4.21 ,$4.02 ,$9.04 ,$105.40 ,$19.37 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$11.19 ,$17.22 ,$17.22 ,$8.61 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30700130,81025,HC URINE PREGNANCY TEST VISUAL,307,1 ,$124.00 ,$80.60 ,$3.50 ,$124.00 ,$21.53 ,$12.95 ,$67.21 ,$8.61 ,$34.72 ,$39.11 ,$8.61 ,$39.11 ,$8.61 ,$47.37 ,$3.50 ,$8.61 ,$47.37 ,$16.36 ,$29.61 ,$63.24 ,$21.53 ,$8.61 ,$86.80 ,$8.61 ,$62.00 ,$8.78 ,$93.00 ,$62.62 ,$56.42 ,$62.62 ,$8.61 ,$62.62 ,$11.19 ,$11.19 ,$11.19 ,$124.00 ,$105.40 ,$21.53 ,$99.20 ,$45.88 ,$99.20 ,$8.61 ,$8.61 ,$8.61 ,$67.21 ,$8.61 ,$32.61 , N/A , N/A ,$4.21 ,$4.02 ,$9.04 ,$105.40 ,$19.37 ,$81.59 ,$34.72 ,$111.60 ,$89.28 ,$124.00 ,$11.19 ,$17.22 ,$17.22 ,$8.61 ,$59.52 ,$111.60 ST. JOHN'S HOSPITAL,30700131,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$96.00 ,$62.40 ,$3.50 ,$96.00 ,$9.10 ,$6.13 ,$52.03 ,$3.64 ,$26.88 ,$12.44 ,$3.64 ,$12.44 ,$3.64 ,$36.67 ,$3.50 ,$3.64 ,$36.67 ,$6.92 ,$11.83 ,$48.96 ,$9.10 ,$3.64 ,$67.20 ,$3.64 ,$48.00 ,$3.71 ,$72.00 ,$48.48 ,$43.68 ,$48.48 ,$3.64 ,$48.48 ,$4.73 ,$4.73 ,$4.73 ,$96.00 ,$81.60 ,$9.10 ,$76.80 ,$35.52 ,$76.80 ,$3.64 ,$3.64 ,$96.00 ,$52.03 ,$3.64 ,$25.25 , N/A , N/A ,$4.21 ,$4.02 ,$3.82 ,$81.60 ,$8.19 ,$63.17 ,$26.88 ,$86.40 ,$69.12 ,$96.00 ,$4.73 ,$7.28 ,$7.28 ,$3.64 ,$46.08 ,$86.40 ST. JOHN'S HOSPITAL,30700136,81015,HC URINALYSIS MICROSCOPIC- 90,307,1 ,$52.00 ,$33.80 ,$3.05 ,$52.00 ,$7.63 ,$6.21 ,$28.18 ,$3.05 ,$14.56 ,$17.08 ,$3.05 ,$17.08 ,$3.05 ,$19.86 ,$3.50 ,$3.05 ,$19.86 ,$5.80 ,$10.64 ,$26.52 ,$7.63 ,$3.05 ,$36.40 ,$3.05 ,$26.00 ,$3.11 ,$39.00 ,$26.26 ,$23.66 ,$26.26 ,$3.05 ,$26.26 ,$4.41 ,$4.41 ,$4.41 ,$52.00 ,$44.20 ,$7.63 ,$41.60 ,$19.24 ,$41.60 ,$3.05 ,$3.05 ,$52.00 ,$28.18 ,$3.05 ,$13.68 , N/A , N/A ,$4.21 ,$4.02 ,$3.20 ,$44.20 ,$6.86 ,$34.22 ,$14.56 ,$46.80 ,$37.44 ,$52.00 ,$4.41 ,$6.10 ,$6.10 ,$3.05 ,$24.96 ,$46.80 ST. JOHN'S HOSPITAL,31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$335.00 ,$217.75 ,$3.50 ,$409.90 ,$409.90 ,$102.18 ,$181.57 ,$163.96 ,$93.80 ,$115.58 ,$163.96 ,$128.64 ,$163.96 ,$127.97 ,$3.50 ,$163.96 ,$127.97 ,$311.52 ,$335.00 ,$170.85 ,$409.90 ,$163.96 ,$234.50 ,$163.96 ,$167.50 ,$167.24 ,$251.25 ,$169.18 ,$152.43 ,$169.18 ,$163.96 ,$169.18 ,$236.83 ,$236.83 ,$236.83 ,$335.00 ,$284.75 ,$335.00 ,$268.00 ,$123.95 ,$268.00 ,$163.96 ,$163.96 ,$335.00 ,$181.57 ,$163.96 ,$88.11 , N/A , N/A ,$136.48 ,$130.27 ,$172.16 ,$284.75 ,$368.91 ,$220.43 ,$93.80 ,$301.50 ,$241.20 ,$335.00 ,$236.83 ,$327.92 ,$327.92 ,$163.96 ,$160.80 ,$301.50 ST. JOHN'S HOSPITAL,31000130,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN MONITOR -90,310,1 ,$828.00 ,$538.20 ,$3.50 ,$828.00 ,$409.90 ,$102.18 ,$448.78 ,$163.96 ,$231.84 ,$285.66 ,$163.96 ,$317.95 ,$163.96 ,$316.30 ,$3.50 ,$163.96 ,$316.30 ,$311.52 ,$556.40 ,$422.28 ,$409.90 ,$163.96 ,$579.60 ,$163.96 ,$414.00 ,$167.24 ,$621.00 ,$418.14 ,$376.74 ,$418.14 ,$163.96 ,$418.14 ,$236.83 ,$236.83 ,$236.83 ,$828.00 ,$703.80 ,$409.90 ,$662.40 ,$306.36 ,$662.40 ,$163.96 ,$163.96 ,$828.00 ,$448.78 ,$163.96 ,$217.76 , N/A , N/A ,$136.48 ,$130.27 ,$172.16 ,$703.80 ,$368.91 ,$544.82 ,$231.84 ,$745.20 ,$596.16 ,$828.00 ,$236.83 ,$327.92 ,$327.92 ,$163.96 ,$397.44 ,$745.20 ST. JOHN'S HOSPITAL,31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$335.00 ,$217.75 ,$3.50 ,$362.10 ,$362.10 ,$90.91 ,$181.57 ,$144.84 ,$93.80 ,$115.58 ,$144.84 ,$128.64 ,$144.84 ,$127.97 ,$3.50 ,$144.84 ,$127.97 ,$275.20 ,$335.00 ,$170.85 ,$362.10 ,$144.84 ,$234.50 ,$144.84 ,$167.50 ,$147.74 ,$251.25 ,$169.18 ,$152.43 ,$169.18 ,$144.84 ,$169.18 ,$209.21 ,$209.21 ,$209.21 ,$335.00 ,$284.75 ,$335.00 ,$268.00 ,$123.95 ,$268.00 ,$144.84 ,$144.84 ,$335.00 ,$181.57 ,$144.84 ,$88.11 , N/A , N/A ,$136.48 ,$130.27 ,$152.08 ,$284.75 ,$325.89 ,$220.43 ,$93.80 ,$301.50 ,$241.20 ,$335.00 ,$209.21 ,$289.68 ,$289.68 ,$144.84 ,$160.80 ,$301.50 ST. JOHN'S HOSPITAL,31000132,81207,HC BCR/ABL1 GENE MINOR BP MONITOR -90,310,1 ,"$1,178.00 ",$765.70 ,$3.50 ,"$1,178.00 ",$362.10 ,$90.91 ,$638.48 ,$144.84 ,$329.84 ,$406.41 ,$144.84 ,$452.35 ,$144.84 ,$450.00 ,$3.50 ,$144.84 ,$450.00 ,$275.20 ,$491.26 ,$600.78 ,$362.10 ,$144.84 ,$824.60 ,$144.84 ,$589.00 ,$147.74 ,$883.50 ,$594.89 ,$535.99 ,$594.89 ,$144.84 ,$594.89 ,$209.21 ,$209.21 ,$209.21 ,"$1,178.00 ","$1,001.30 ",$362.10 ,$942.40 ,$435.86 ,$942.40 ,$144.84 ,$144.84 ,"$1,178.00 ",$638.48 ,$144.84 ,$309.81 , N/A , N/A ,$136.48 ,$130.27 ,$152.08 ,"$1,001.30 ",$325.89 ,$775.12 ,$329.84 ,"$1,060.20 ",$848.16 ,"$1,178.00 ",$209.21 ,$289.68 ,$289.68 ,$144.84 ,$565.44 ,"$1,060.20 " ST. JOHN'S HOSPITAL,31000133,81208,HC BCR/ABL1 GENE OTH BP QL/QN-90,310,1 ,$362.00 ,$235.30 ,$3.50 ,$536.55 ,$536.55 ,$90.91 ,$196.20 ,$214.62 ,$101.36 ,$124.89 ,$214.62 ,$139.01 ,$214.62 ,$138.28 ,$3.50 ,$214.62 ,$138.28 ,$362.00 ,$362.00 ,$184.62 ,$536.55 ,$214.62 ,$253.40 ,$214.62 ,$181.00 ,$218.91 ,$271.50 ,$182.81 ,$164.71 ,$182.81 ,$214.62 ,$182.81 ,$279.01 ,$279.01 ,$279.01 ,$362.00 ,$307.70 ,$362.00 ,$289.60 ,$133.94 ,$289.60 ,$214.62 ,$214.62 ,$362.00 ,$196.20 ,$214.62 ,$95.21 , N/A , N/A ,$136.48 ,$130.27 ,$225.35 ,$307.70 ,$482.90 ,$238.20 ,$101.36 ,$325.80 ,$260.64 ,$362.00 ,$279.01 ,$362.00 ,$362.00 ,$214.62 ,$173.76 ,$325.80 ST. JOHN'S HOSPITAL,31000134,81210,HC BRAF GENE ANALYS V600E VAR-90,310,1 ,$810.00 ,$526.50 ,$3.50 ,$810.00 ,$438.50 ,$78.75 ,$439.02 ,$175.40 ,$226.80 ,$279.45 ,$175.40 ,$311.04 ,$175.40 ,$309.42 ,$3.50 ,$175.40 ,$309.42 ,$333.26 ,$595.46 ,$413.10 ,$438.50 ,$175.40 ,$567.00 ,$175.40 ,$405.00 ,$178.91 ,$607.50 ,$409.05 ,$368.55 ,$409.05 ,$175.40 ,$409.05 ,$228.02 ,$228.02 ,$228.02 ,$810.00 ,$688.50 ,$438.50 ,$648.00 ,$299.70 ,$648.00 ,$175.40 ,$175.40 ,$810.00 ,$439.02 ,$175.40 ,$213.03 , N/A , N/A ,$136.48 ,$130.27 ,$184.17 ,$688.50 ,$394.65 ,$532.98 ,$226.80 ,$729.00 ,$583.20 ,$810.00 ,$228.02 ,$350.80 ,$350.80 ,$175.40 ,$388.80 ,$729.00 ST. JOHN'S HOSPITAL,31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,$195.00 ,$126.75 ,$3.50 ,$487.50 ,$487.50 ,$195.00 ,$105.69 ,$195.00 ,$54.60 ,$67.28 ,$195.00 ,$74.88 ,$195.00 ,$74.49 ,$3.50 ,$195.00 ,$74.49 ,$195.00 ,$195.00 ,$99.45 ,$487.50 ,$195.00 ,$136.50 ,$195.00 ,$97.50 ,$195.00 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$195.00 ,$98.48 ,$195.00 ,$195.00 ,$195.00 ,$195.00 ,$165.75 ,$195.00 ,$156.00 ,$72.15 ,$156.00 ,$195.00 ,$195.00 ,$195.00 ,$105.69 ,$195.00 ,$51.29 , N/A , N/A ,$41.92 ,$40.02 ,$204.75 ,$165.75 ,$438.75 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$195.00 ,$195.00 ,$195.00 ,$195.00 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,31000138,81228,HC CYTOGENIC MICROARRY COPY NUMBER VARIANTS - 90,310,1 ,"$1,699.00 ","$1,104.35 ",$3.50 ,"$2,250.00 ","$2,250.00 ",$321.30 ,$920.86 ,$900.00 ,$475.72 ,$586.16 ,$900.00 ,$652.42 ,$900.00 ,$649.02 ,$3.50 ,$900.00 ,$649.02 ,"$1,699.00 ","$1,699.00 ",$866.49 ,"$2,250.00 ",$900.00 ,"$1,189.30 ",$900.00 ,$849.50 ,$918.00 ,"$1,274.25 ",$858.00 ,$773.05 ,$858.00 ,$900.00 ,$858.00 ,"$1,170.00 ","$1,170.00 ","$1,170.00 ","$1,699.00 ","$1,444.15 ","$1,699.00 ","$1,359.20 ",$628.63 ,"$1,359.20 ",$900.00 ,$900.00 ,"$1,699.00 ",$920.86 ,$900.00 ,$446.84 , N/A , N/A ,$387.31 ,$369.71 ,$945.00 ,"$1,444.15 ","$2,025.00 ","$1,117.94 ",$475.72 ,"$1,529.10 ","$1,223.28 ","$1,699.00 ","$1,170.00 ","$1,699.00 ","$1,699.00 ",$900.00 ,$815.52 ,"$1,529.10 " ST. JOHN'S HOSPITAL,31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$2,562.00 ","$1,665.30 ",$3.50 ,"$2,900.00 ","$2,900.00 ",$321.30 ,"$1,388.60 ","$1,160.00 ",$717.36 ,$883.89 ,"$1,160.00 ",$983.81 ,"$1,160.00 ",$978.68 ,$3.50 ,"$1,160.00 ",$978.68 ,"$2,204.00 ","$2,562.00 ","$1,306.62 ","$2,900.00 ","$1,160.00 ","$1,793.40 ","$1,160.00 ","$1,281.00 ","$1,183.20 ","$1,921.50 ","$1,293.81 ","$1,165.71 ","$1,293.81 ","$1,160.00 ","$1,293.81 ","$1,508.00 ","$1,508.00 ","$1,508.00 ","$2,562.00 ","$2,177.70 ","$2,562.00 ","$2,049.60 ",$947.94 ,"$2,049.60 ","$1,160.00 ","$1,160.00 ","$2,562.00 ","$1,388.60 ","$1,160.00 ",$673.81 , N/A , N/A ,$387.31 ,$369.71 ,"$1,218.00 ","$2,177.70 ","$2,610.00 ","$1,685.80 ",$717.36 ,"$2,305.80 ","$1,844.64 ","$2,562.00 ","$1,508.00 ","$2,320.00 ","$2,320.00 ","$1,160.00 ","$1,229.76 ","$2,305.80 " ST. JOHN'S HOSPITAL,31000141,81235,HC EGFR GENE COM VARIANTS -90,310,1 ,"$2,193.00 ","$1,425.45 ",$3.50 ,"$2,193.00 ",$811.45 ,$311.06 ,"$1,188.61 ",$324.58 ,$614.04 ,$756.59 ,$324.58 ,$842.11 ,$324.58 ,$837.73 ,$3.50 ,$324.58 ,$837.73 ,$616.70 ,"$1,100.93 ","$1,118.43 ",$811.45 ,$324.58 ,"$1,535.10 ",$324.58 ,"$1,096.50 ",$331.07 ,"$1,644.75 ","$1,107.47 ",$997.82 ,"$1,107.47 ",$324.58 ,"$1,107.47 ",$421.95 ,$421.95 ,$421.95 ,"$2,193.00 ","$1,864.05 ",$811.45 ,"$1,754.40 ",$811.41 ,"$1,754.40 ",$324.58 ,$324.58 ,"$2,193.00 ","$1,188.61 ",$324.58 ,$576.76 , N/A , N/A ,$136.48 ,$130.27 ,$340.81 ,"$1,864.05 ",$730.31 ,"$1,442.99 ",$614.04 ,"$1,973.70 ","$1,578.96 ","$2,193.00 ",$421.95 ,$649.16 ,$649.16 ,$324.58 ,"$1,052.64 ","$1,973.70 " ST. JOHN'S HOSPITAL,31000142,81240,HC F2 GENE ANAL 20210G A VAR,310,1 ,$256.00 ,$166.40 ,$3.50 ,$256.00 ,$164.23 ,$53.11 ,$138.75 ,$65.69 ,$71.68 ,$88.32 ,$65.69 ,$98.30 ,$65.69 ,$97.79 ,$3.50 ,$65.69 ,$97.79 ,$124.81 ,$222.57 ,$130.56 ,$164.23 ,$65.69 ,$179.20 ,$65.69 ,$128.00 ,$67.00 ,$192.00 ,$129.28 ,$116.48 ,$129.28 ,$65.69 ,$129.28 ,$85.40 ,$85.40 ,$85.40 ,$256.00 ,$217.60 ,$164.23 ,$204.80 ,$94.72 ,$204.80 ,$65.69 ,$65.69 ,$256.00 ,$138.75 ,$65.69 ,$67.33 , N/A , N/A ,$41.92 ,$40.02 ,$68.97 ,$217.60 ,$147.80 ,$168.45 ,$71.68 ,$230.40 ,$184.32 ,$256.00 ,$85.40 ,$131.38 ,$131.38 ,$65.69 ,$122.88 ,$230.40 ST. JOHN'S HOSPITAL,31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$123.00 ,$79.95 ,$3.50 ,$164.23 ,$164.23 ,$53.11 ,$66.67 ,$65.69 ,$34.44 ,$42.44 ,$65.69 ,$47.23 ,$65.69 ,$46.99 ,$3.50 ,$65.69 ,$46.99 ,$123.00 ,$123.00 ,$62.73 ,$164.23 ,$65.69 ,$86.10 ,$65.69 ,$61.50 ,$67.00 ,$92.25 ,$62.12 ,$55.97 ,$62.12 ,$65.69 ,$62.12 ,$85.40 ,$85.40 ,$85.40 ,$123.00 ,$104.55 ,$123.00 ,$98.40 ,$45.51 ,$98.40 ,$65.69 ,$65.69 ,$123.00 ,$66.67 ,$65.69 ,$32.35 , N/A , N/A ,$41.92 ,$40.02 ,$68.97 ,$104.55 ,$147.80 ,$80.93 ,$34.44 ,$110.70 ,$88.56 ,$123.00 ,$85.40 ,$123.00 ,$123.00 ,$65.69 ,$59.04 ,$110.70 ST. JOHN'S HOSPITAL,31000144,81241,HC F5 GENE ANAL LEIDEN VAR,310,1 ,$256.00 ,$166.40 ,$3.50 ,$256.00 ,$183.43 ,$47.58 ,$138.75 ,$73.37 ,$71.68 ,$88.32 ,$73.37 ,$98.30 ,$73.37 ,$97.79 ,$3.50 ,$73.37 ,$97.79 ,$139.40 ,$248.61 ,$130.56 ,$183.43 ,$73.37 ,$179.20 ,$73.37 ,$128.00 ,$74.84 ,$192.00 ,$129.28 ,$116.48 ,$129.28 ,$73.37 ,$129.28 ,$95.38 ,$95.38 ,$95.38 ,$256.00 ,$217.60 ,$183.43 ,$204.80 ,$94.72 ,$204.80 ,$73.37 ,$73.37 ,$256.00 ,$138.75 ,$73.37 ,$67.33 , N/A , N/A ,$41.92 ,$40.02 ,$77.04 ,$217.60 ,$165.08 ,$168.45 ,$71.68 ,$230.40 ,$184.32 ,$256.00 ,$95.38 ,$146.74 ,$146.74 ,$73.37 ,$122.88 ,$230.40 ST. JOHN'S HOSPITAL,31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$120.00 ,$78.00 ,$3.50 ,$183.43 ,$183.43 ,$47.58 ,$65.04 ,$73.37 ,$33.60 ,$41.40 ,$73.37 ,$46.08 ,$73.37 ,$45.84 ,$3.50 ,$73.37 ,$45.84 ,$120.00 ,$120.00 ,$61.20 ,$183.43 ,$73.37 ,$84.00 ,$73.37 ,$60.00 ,$74.84 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$73.37 ,$60.60 ,$95.38 ,$95.38 ,$95.38 ,$120.00 ,$102.00 ,$120.00 ,$96.00 ,$44.40 ,$96.00 ,$73.37 ,$73.37 ,$120.00 ,$65.04 ,$73.37 ,$31.56 , N/A , N/A ,$41.92 ,$40.02 ,$77.04 ,$102.00 ,$165.08 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$95.38 ,$120.00 ,$120.00 ,$73.37 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,31000146,81243,HC FMR1 GENE DETECTION -90,310,1 ,$375.00 ,$243.75 ,$3.50 ,$375.00 , N/A ,$92.49 ,$203.25 , N/A ,$105.00 ,$129.38 , N/A ,$144.00 , N/A ,$143.25 ,$3.50 , N/A ,$143.25 ,$168.75 ,$192.96 ,$191.25 ,$262.50 , N/A ,$262.50 , N/A ,$187.50 , N/A ,$281.25 ,$189.38 ,$170.63 ,$189.38 , N/A ,$189.38 ,$74.15 ,$74.15 ,$74.15 ,$375.00 ,$318.75 , N/A ,$300.00 ,$138.75 ,$300.00 , N/A , N/A ,$375.00 ,$203.25 , N/A ,$98.63 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$318.75 ,$225.00 ,$246.75 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$74.15 ,$114.08 ,$114.08 , N/A ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,31000147,81244,HC FMR1 GENE CHARACTERIZATION - 90,310,1 ,$195.00 ,$126.75 ,$3.50 ,$195.00 ,$112.23 ,$29.52 ,$105.69 ,$44.89 ,$54.60 ,$67.28 ,$44.89 ,$74.88 ,$44.89 ,$74.49 ,$3.50 ,$44.89 ,$74.49 ,$85.29 ,$152.71 ,$99.45 ,$112.23 ,$44.89 ,$136.50 ,$44.89 ,$97.50 ,$45.79 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$44.89 ,$98.48 ,$58.36 ,$58.36 ,$58.36 ,$195.00 ,$165.75 ,$112.23 ,$156.00 ,$72.15 ,$156.00 ,$44.89 ,$44.89 ,$195.00 ,$105.69 ,$44.89 ,$51.29 , N/A , N/A ,$41.92 ,$40.02 ,$47.13 ,$165.75 ,$101.00 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$58.36 ,$89.78 ,$89.78 ,$44.89 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$279.00 ,$181.35 ,$3.50 ,$279.00 ,$163.40 ,$69.81 ,$151.22 ,$65.36 ,$78.12 ,$96.26 ,$65.36 ,$107.14 ,$65.36 ,$106.58 ,$3.50 ,$65.36 ,$106.58 ,$124.18 ,$221.38 ,$142.29 ,$163.40 ,$65.36 ,$195.30 ,$65.36 ,$139.50 ,$66.67 ,$209.25 ,$140.90 ,$126.95 ,$140.90 ,$65.36 ,$140.90 ,$94.41 ,$94.41 ,$94.41 ,$279.00 ,$237.15 ,$163.40 ,$223.20 ,$103.23 ,$223.20 ,$65.36 ,$65.36 ,$279.00 ,$151.22 ,$65.36 ,$73.38 , N/A , N/A ,$41.92 ,$40.02 ,$68.63 ,$237.15 ,$147.06 ,$183.58 ,$78.12 ,$251.10 ,$200.88 ,$279.00 ,$94.41 ,$130.72 ,$130.72 ,$65.36 ,$133.92 ,$251.10 ST. JOHN'S HOSPITAL,31000150,81257,HC HBA1/HBA2 GENE ANALYSIS COM DELETE OR VARIANTS -90,310,1 ,$293.00 ,$190.45 ,$3.50 ,$293.00 , N/A ,$136.19 ,$158.81 , N/A ,$82.04 ,$101.09 , N/A ,$112.51 , N/A ,$111.93 ,$3.50 , N/A ,$111.93 ,$131.85 ,$293.00 ,$149.43 ,$205.10 , N/A ,$205.10 , N/A ,$146.50 , N/A ,$219.75 ,$147.97 ,$133.32 ,$147.97 , N/A ,$147.97 ,$132.94 ,$132.94 ,$132.94 ,$293.00 ,$249.05 , N/A ,$234.40 ,$108.41 ,$234.40 , N/A , N/A ,$293.00 ,$158.81 , N/A ,$77.06 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$249.05 ,$175.80 ,$192.79 ,$82.04 ,$263.70 ,$210.96 ,$293.00 ,$132.94 ,$204.52 ,$204.52 , N/A ,$140.64 ,$263.70 ST. JOHN'S HOSPITAL,31000151,81261,HC IGH GENE ANALYSIS REARRANGEMENT AMP-90,310,1 ,"$1,229.00 ",$798.85 ,$3.50 ,"$1,229.00 ",$494.98 ,$109.45 ,$666.12 ,$197.99 ,$344.12 ,$424.01 ,$197.99 ,$471.94 ,$197.99 ,$469.48 ,$3.50 ,$197.99 ,$469.48 ,$376.18 ,$671.20 ,$626.79 ,$494.98 ,$197.99 ,$860.30 ,$197.99 ,$614.50 ,$201.95 ,$921.75 ,$620.65 ,$559.20 ,$620.65 ,$197.99 ,$620.65 ,$285.99 ,$285.99 ,$285.99 ,"$1,229.00 ","$1,044.65 ",$494.98 ,$983.20 ,$454.73 ,$983.20 ,$197.99 ,$197.99 ,"$1,229.00 ",$666.12 ,$197.99 ,$323.23 , N/A , N/A ,$136.48 ,$130.27 ,$207.89 ,"$1,044.65 ",$445.48 ,$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$285.99 ,$395.98 ,$395.98 ,$197.99 ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,31000152,81262,HC IGH GENE REARRANGE DIRECT PROBE-90,310,1 ,"$1,229.00 ",$798.85 ,$3.50 ,"$1,229.00 ",$171.38 ,$53.15 ,$666.12 ,$68.55 ,$344.12 ,$229.93 ,$68.55 ,$229.93 ,$68.55 ,$469.48 ,$3.50 ,$68.55 ,$469.48 ,$130.25 ,$232.02 ,$626.79 ,$171.38 ,$68.55 ,$860.30 ,$68.55 ,$614.50 ,$69.92 ,$921.75 ,$620.65 ,$559.20 ,$620.65 ,$68.55 ,$620.65 ,$89.12 ,$89.12 ,$89.12 ,"$1,229.00 ","$1,044.65 ",$171.38 ,$983.20 ,$454.73 ,$983.20 ,$68.55 ,$68.55 ,"$1,229.00 ",$666.12 ,$68.55 ,$323.23 , N/A , N/A ,$41.92 ,$40.02 ,$71.98 ,"$1,044.65 ",$154.24 ,$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$89.12 ,$137.10 ,$137.10 ,$68.55 ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,31000153,81264,HC IGK GENE REARRANGE ANALYSIS-90,310,1 ,"$1,219.00 ",$792.35 ,$3.50 ,"$1,219.00 ",$431.83 ,$181.83 ,$660.70 ,$172.73 ,$341.32 ,$420.56 ,$172.73 ,$468.10 ,$172.73 ,$465.66 ,$3.50 ,$172.73 ,$465.66 ,$328.19 ,$585.97 ,$621.69 ,$431.83 ,$172.73 ,$853.30 ,$172.73 ,$609.50 ,$176.18 ,$914.25 ,$615.60 ,$554.65 ,$615.60 ,$172.73 ,$615.60 ,$224.55 ,$224.55 ,$224.55 ,"$1,219.00 ","$1,036.15 ",$431.83 ,$975.20 ,$451.03 ,$975.20 ,$172.73 ,$172.73 ,"$1,219.00 ",$660.70 ,$172.73 ,$320.60 , N/A , N/A ,$136.48 ,$130.27 ,$181.37 ,"$1,036.15 ",$388.64 ,$802.10 ,$341.32 ,"$1,097.10 ",$877.68 ,"$1,219.00 ",$224.55 ,$345.46 ,$345.46 ,$172.73 ,$585.12 ,"$1,097.10 " ST. JOHN'S HOSPITAL,31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,"$1,164.00 ",$756.60 ,$3.50 ,"$1,164.00 ",$229.15 ,$60.43 ,$630.89 ,$91.66 ,$325.92 ,$379.57 ,$91.66 ,$379.57 ,$91.66 ,$444.65 ,$3.50 ,$91.66 ,$444.65 ,$174.15 ,$311.33 ,$593.64 ,$229.15 ,$91.66 ,$814.80 ,$91.66 ,$582.00 ,$93.49 ,$873.00 ,$587.82 ,$529.62 ,$587.82 ,$91.66 ,$587.82 ,$132.41 ,$132.41 ,$132.41 ,"$1,164.00 ",$989.40 ,$229.15 ,$931.20 ,$430.68 ,$931.20 ,$91.66 ,$91.66 ,"$1,164.00 ",$630.89 ,$91.66 ,$306.13 , N/A , N/A ,$41.92 ,$40.02 ,$96.24 ,$989.40 ,$206.24 ,$765.91 ,$325.92 ,"$1,047.60 ",$838.08 ,"$1,164.00 ",$132.41 ,$183.32 ,$183.32 ,$91.66 ,$558.72 ,"$1,047.60 " ST. JOHN'S HOSPITAL,31000155,81273,HC KIT GENE ANALYSIS D816 VAR-90,310,1 ,"$1,010.00 ",$656.50 ,$3.50 ,"$1,010.00 ",$312.18 ,$185.75 ,$547.42 ,$124.87 ,$282.80 ,$348.45 ,$124.87 ,$387.84 ,$124.87 ,$385.82 ,$3.50 ,$124.87 ,$385.82 ,$237.25 ,$423.78 ,$515.10 ,$312.18 ,$124.87 ,$707.00 ,$124.87 ,$505.00 ,$127.37 ,$757.50 ,$510.05 ,$459.55 ,$510.05 ,$124.87 ,$510.05 ,$162.33 ,$162.33 ,$162.33 ,"$1,010.00 ",$858.50 ,$312.18 ,$808.00 ,$373.70 ,$808.00 ,$124.87 ,$124.87 ,"$1,010.00 ",$547.42 ,$124.87 ,$265.63 , N/A , N/A ,$41.92 ,$40.02 ,$131.11 ,$858.50 ,$280.96 ,$664.58 ,$282.80 ,$909.00 ,$727.20 ,"$1,010.00 ",$162.33 ,$249.74 ,$249.74 ,$124.87 ,$484.80 ,$909.00 ST. JOHN'S HOSPITAL,31000156,81275,HC KRAS GENE ANALYSIS-90,310,1 ,$979.00 ,$636.35 ,$3.50 ,$979.00 ,$483.13 ,$158.04 ,$530.62 ,$193.25 ,$274.12 ,$337.76 ,$193.25 ,$375.94 ,$193.25 ,$373.98 ,$3.50 ,$193.25 ,$373.98 ,$367.18 ,$655.84 ,$499.29 ,$483.13 ,$193.25 ,$685.30 ,$193.25 ,$489.50 ,$197.12 ,$734.25 ,$494.40 ,$445.45 ,$494.40 ,$193.25 ,$494.40 ,$251.23 ,$251.23 ,$251.23 ,$979.00 ,$832.15 ,$483.13 ,$783.20 ,$362.23 ,$783.20 ,$193.25 ,$193.25 ,$979.00 ,$530.62 ,$193.25 ,$257.48 , N/A , N/A ,$136.48 ,$130.27 ,$202.91 ,$832.15 ,$434.81 ,$644.18 ,$274.12 ,$881.10 ,$704.88 ,$979.00 ,$251.23 ,$386.50 ,$386.50 ,$193.25 ,$469.92 ,$881.10 ST. JOHN'S HOSPITAL,31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$255.00 ,$165.75 ,$3.50 ,$255.00 ,$163.35 ,$81.38 ,$138.21 ,$65.34 ,$71.40 ,$87.98 ,$65.34 ,$97.92 ,$65.34 ,$97.41 ,$3.50 ,$65.34 ,$97.41 ,$124.15 ,$221.38 ,$130.05 ,$163.35 ,$65.34 ,$178.50 ,$65.34 ,$127.50 ,$66.65 ,$191.25 ,$128.78 ,$116.03 ,$128.78 ,$65.34 ,$128.78 ,$84.94 ,$84.94 ,$84.94 ,$255.00 ,$216.75 ,$163.35 ,$204.00 ,$94.35 ,$204.00 ,$65.34 ,$65.34 ,$255.00 ,$138.21 ,$65.34 ,$67.07 , N/A , N/A ,$41.92 ,$40.02 ,$68.61 ,$216.75 ,$147.02 ,$167.79 ,$71.40 ,$229.50 ,$183.60 ,$255.00 ,$84.94 ,$130.68 ,$130.68 ,$65.34 ,$122.40 ,$229.50 ST. JOHN'S HOSPITAL,31000158,81292,HC MLH1 GENE FULL SEQ ANALYSIS-90,310,1 ,"$1,677.00 ","$1,090.05 ",$3.50 ,"$1,688.50 ","$1,688.50 ",$682.50 ,$908.93 ,$675.40 ,$469.56 ,$578.57 ,$675.40 ,$643.97 ,$675.40 ,$640.61 ,$3.50 ,$675.40 ,$640.61 ,"$1,283.26 ","$1,677.00 ",$855.27 ,"$1,688.50 ",$675.40 ,"$1,173.90 ",$675.40 ,$838.50 ,$688.91 ,"$1,257.75 ",$846.89 ,$763.04 ,$846.89 ,$675.40 ,$846.89 ,$878.02 ,$878.02 ,$878.02 ,"$1,677.00 ","$1,425.45 ","$1,677.00 ","$1,341.60 ",$620.49 ,"$1,341.60 ",$675.40 ,$675.40 ,"$1,677.00 ",$908.93 ,$675.40 ,$441.05 , N/A , N/A ,$387.31 ,$369.71 ,$709.17 ,"$1,425.45 ","$1,519.65 ","$1,103.47 ",$469.56 ,"$1,509.30 ","$1,207.44 ","$1,677.00 ",$878.02 ,"$1,350.80 ","$1,350.80 ",$675.40 ,$804.96 ,"$1,509.30 " ST. JOHN'S HOSPITAL,31000159,81294,HC MLH1 GENE DUPL/DELETE VARIANT-90,310,1 ,$608.00 ,$395.20 ,$3.50 ,$608.00 ,$506.00 ,$406.65 ,$329.54 ,$202.40 ,$170.24 ,$209.76 ,$202.40 ,$233.47 ,$202.40 ,$232.26 ,$3.50 ,$202.40 ,$232.26 ,$384.56 ,$608.00 ,$310.08 ,$506.00 ,$202.40 ,$425.60 ,$202.40 ,$304.00 ,$206.45 ,$456.00 ,$307.04 ,$276.64 ,$307.04 ,$202.40 ,$307.04 ,$263.12 ,$263.12 ,$263.12 ,$608.00 ,$516.80 ,$506.00 ,$486.40 ,$224.96 ,$486.40 ,$202.40 ,$202.40 ,$608.00 ,$329.54 ,$202.40 ,$159.90 , N/A , N/A ,$136.48 ,$130.27 ,$212.52 ,$516.80 ,$455.40 ,$400.06 ,$170.24 ,$547.20 ,$437.76 ,$608.00 ,$263.12 ,$404.80 ,$404.80 ,$202.40 ,$291.84 ,$547.20 ST. JOHN'S HOSPITAL,31000160,81295,HC MLH2 GENE FULL SEQ ANALYSIS-90,310,1 ,$735.00 ,$477.75 ,$3.50 ,$954.25 ,$954.25 ,$630.00 ,$398.37 ,$381.70 ,$205.80 ,$253.58 ,$381.70 ,$282.24 ,$381.70 ,$280.77 ,$3.50 ,$381.70 ,$280.77 ,$725.23 ,$735.00 ,$374.85 ,$954.25 ,$381.70 ,$514.50 ,$381.70 ,$367.50 ,$389.33 ,$551.25 ,$371.18 ,$334.43 ,$371.18 ,$381.70 ,$371.18 ,$496.21 ,$496.21 ,$496.21 ,$735.00 ,$624.75 ,$735.00 ,$588.00 ,$271.95 ,$588.00 ,$381.70 ,$381.70 ,$735.00 ,$398.37 ,$381.70 ,$193.31 , N/A , N/A ,$136.48 ,$130.27 ,$400.79 ,$624.75 ,$858.83 ,$483.63 ,$205.80 ,$661.50 ,$529.20 ,$735.00 ,$496.21 ,$735.00 ,$735.00 ,$381.70 ,$352.80 ,$661.50 ST. JOHN'S HOSPITAL,31000161,81297,HC MLH2 GENE DUPL/DELETE VARIANT-90,310,1 ,$602.00 ,$391.30 ,$3.50 ,$602.00 ,$533.25 ,$360.62 ,$326.28 ,$213.30 ,$168.56 ,$207.69 ,$213.30 ,$231.17 ,$213.30 ,$229.96 ,$3.50 ,$213.30 ,$229.96 ,$405.27 ,$602.00 ,$307.02 ,$533.25 ,$213.30 ,$421.40 ,$213.30 ,$301.00 ,$217.57 ,$451.50 ,$304.01 ,$273.91 ,$304.01 ,$213.30 ,$304.01 ,$277.29 ,$277.29 ,$277.29 ,$602.00 ,$511.70 ,$533.25 ,$481.60 ,$222.74 ,$481.60 ,$213.30 ,$213.30 ,$602.00 ,$326.28 ,$213.30 ,$158.33 , N/A , N/A ,$136.48 ,$130.27 ,$223.97 ,$511.70 ,$479.93 ,$396.12 ,$168.56 ,$541.80 ,$433.44 ,$602.00 ,$277.29 ,$426.60 ,$426.60 ,$213.30 ,$288.96 ,$541.80 ST. JOHN'S HOSPITAL,31000162,81299,HC MLH2 GENE FAMILIAL VARIANT-90,310,1 ,"$3,990.00 ","$2,593.50 ",$3.50 ,"$3,990.00 ",$770.00 ,$69.81 ,"$2,162.58 ",$308.00 ,"$1,117.20 ","$1,033.03 ",$308.00 ,"$1,033.03 ",$308.00 ,"$1,524.18 ",$3.50 ,$308.00 ,"$1,524.18 ",$585.20 ,"$1,045.28 ","$2,034.90 ",$770.00 ,$308.00 ,"$2,793.00 ",$308.00 ,"$1,995.00 ",$314.16 ,"$2,992.50 ","$2,014.95 ","$1,815.45 ","$2,014.95 ",$308.00 ,"$2,014.95 ",$400.40 ,$400.40 ,$400.40 ,"$3,990.00 ","$3,391.50 ",$770.00 ,"$3,192.00 ","$1,476.30 ","$3,192.00 ",$308.00 ,$308.00 ,"$3,990.00 ","$2,162.58 ",$308.00 ,"$1,049.37 ", N/A , N/A ,$136.48 ,$130.27 ,$323.40 ,"$3,391.50 ",$693.00 ,"$2,625.42 ","$1,117.20 ","$3,591.00 ","$2,872.80 ","$3,990.00 ",$400.40 ,$616.00 ,$616.00 ,$308.00 ,"$1,915.20 ","$3,591.00 " ST. JOHN'S HOSPITAL,31000164,81302,HC MECP2 GENE ANALYSIS FULL SEQ-90,310,1 ,"$1,455.00 ",$945.75 ,$3.50 ,"$1,455.00 ","$1,319.68 ",$338.75 ,$788.61 ,$527.87 ,$407.40 ,$501.98 ,$527.87 ,$558.72 ,$527.87 ,$555.81 ,$3.50 ,$527.87 ,$555.81 ,"$1,002.95 ","$1,455.00 ",$742.05 ,"$1,319.68 ",$527.87 ,"$1,018.50 ",$527.87 ,$727.50 ,$538.43 ,"$1,091.25 ",$734.78 ,$662.03 ,$734.78 ,$527.87 ,$734.78 ,$686.23 ,$686.23 ,$686.23 ,"$1,455.00 ","$1,236.75 ","$1,319.68 ","$1,164.00 ",$538.35 ,"$1,164.00 ",$527.87 ,$527.87 ,"$1,455.00 ",$788.61 ,$527.87 ,$382.67 , N/A , N/A ,$41.92 ,$40.02 ,$554.26 ,"$1,236.75 ","$1,187.71 ",$957.39 ,$407.40 ,"$1,309.50 ","$1,047.60 ","$1,455.00 ",$686.23 ,"$1,055.74 ","$1,055.74 ",$527.87 ,$698.40 ,"$1,309.50 " ST. JOHN'S HOSPITAL,31000166,81310,HC NPM1 GENE EXON 12 VARIANT-90,310,1 ,$765.00 ,$497.25 ,$3.50 ,$765.00 ,$616.30 ,$43.73 ,$414.63 ,$246.52 ,$214.20 ,$263.93 ,$246.52 ,$293.76 ,$246.52 ,$292.23 ,$3.50 ,$246.52 ,$292.23 ,$468.39 ,$765.00 ,$390.15 ,$616.30 ,$246.52 ,$535.50 ,$246.52 ,$382.50 ,$251.45 ,$573.75 ,$386.33 ,$348.08 ,$386.33 ,$246.52 ,$386.33 ,$320.48 ,$320.48 ,$320.48 ,$765.00 ,$650.25 ,$616.30 ,$612.00 ,$283.05 ,$612.00 ,$246.52 ,$246.52 ,$765.00 ,$414.63 ,$246.52 ,$201.20 , N/A , N/A ,$136.48 ,$130.27 ,$258.85 ,$650.25 ,$554.67 ,$503.37 ,$214.20 ,$688.50 ,$550.80 ,$765.00 ,$320.48 ,$493.04 ,$493.04 ,$246.52 ,$367.20 ,$688.50 ST. JOHN'S HOSPITAL,31000167,81313,HC PCA3/KLK3 PROSTATE ANTIGEN-90,310,1 ,$848.00 ,$551.20 ,$3.50 ,$848.00 ,$637.63 ,$350.00 ,$459.62 ,$255.05 ,$237.44 ,$292.56 ,$255.05 ,$325.63 ,$255.05 ,$323.94 ,$3.50 ,$255.05 ,$323.94 ,$484.60 ,$848.00 ,$432.48 ,$637.63 ,$255.05 ,$593.60 ,$255.05 ,$424.00 ,$260.15 ,$636.00 ,$428.24 ,$385.84 ,$428.24 ,$255.05 ,$428.24 ,$331.57 ,$331.57 ,$331.57 ,$848.00 ,$720.80 ,$637.63 ,$678.40 ,$313.76 ,$678.40 ,$255.05 ,$255.05 ,$848.00 ,$459.62 ,$255.05 ,$223.02 , N/A , N/A ,$136.48 ,$130.27 ,$267.80 ,$720.80 ,$573.86 ,$557.98 ,$237.44 ,$763.20 ,$610.56 ,$848.00 ,$331.57 ,$510.10 ,$510.10 ,$255.05 ,$407.04 ,$763.20 ST. JOHN'S HOSPITAL,31000168,81315,HC PML/RAR COMM BREAKPOINTS QL/QN-90,310,1 ,$985.00 ,$640.25 ,$3.50 ,$985.00 ,$518.28 ,$118.86 ,$533.87 ,$207.31 ,$275.80 ,$339.83 ,$207.31 ,$378.24 ,$207.31 ,$376.27 ,$3.50 ,$207.31 ,$376.27 ,$393.89 ,$703.19 ,$502.35 ,$518.28 ,$207.31 ,$689.50 ,$207.31 ,$492.50 ,$211.46 ,$738.75 ,$497.43 ,$448.18 ,$497.43 ,$207.31 ,$497.43 ,$299.46 ,$299.46 ,$299.46 ,$985.00 ,$837.25 ,$518.28 ,$788.00 ,$364.45 ,$788.00 ,$207.31 ,$207.31 ,$985.00 ,$533.87 ,$207.31 ,$259.06 , N/A , N/A ,$136.48 ,$130.27 ,$217.68 ,$837.25 ,$466.45 ,$648.13 ,$275.80 ,$886.50 ,$709.20 ,$985.00 ,$299.46 ,$414.62 ,$414.62 ,$207.31 ,$472.80 ,$886.50 ST. JOHN'S HOSPITAL,31000171,81332,HC SERPINA 1 GENE ANALYSIS-90,310,1 ,$55.00 ,$35.75 ,$3.50 ,$109.13 ,$109.13 ,$55.00 ,$29.81 ,$43.65 ,$15.40 ,$18.98 ,$43.65 ,$21.12 ,$43.65 ,$21.01 ,$3.50 ,$43.65 ,$21.01 ,$55.00 ,$55.00 ,$28.05 ,$109.13 ,$43.65 ,$38.50 ,$43.65 ,$27.50 ,$44.52 ,$41.25 ,$27.78 ,$25.03 ,$27.78 ,$43.65 ,$27.78 ,$55.00 ,$55.00 ,$55.00 ,$55.00 ,$46.75 ,$55.00 ,$44.00 ,$20.35 ,$44.00 ,$43.65 ,$43.65 ,$55.00 ,$29.81 ,$43.65 ,$14.47 , N/A , N/A ,$41.92 ,$40.02 ,$45.83 ,$46.75 ,$98.21 ,$36.19 ,$15.40 ,$49.50 ,$39.60 ,$55.00 ,$55.00 ,$55.00 ,$55.00 ,$43.65 ,$26.40 ,$49.50 ST. JOHN'S HOSPITAL,31000172,81340,HC TRB GENE ANALYSIS-90,310,1 ,"$1,176.00 ",$764.40 ,$3.50 ,"$1,176.00 ",$522.30 ,$202.13 ,$637.39 ,$208.92 ,$329.28 ,$405.72 ,$208.92 ,$451.58 ,$208.92 ,$449.23 ,$3.50 ,$208.92 ,$449.23 ,$396.95 ,$709.11 ,$599.76 ,$522.30 ,$208.92 ,$823.20 ,$208.92 ,$588.00 ,$213.10 ,$882.00 ,$593.88 ,$535.08 ,$593.88 ,$208.92 ,$593.88 ,$301.77 ,$301.77 ,$301.77 ,"$1,176.00 ",$999.60 ,$522.30 ,$940.80 ,$435.12 ,$940.80 ,$208.92 ,$208.92 ,"$1,176.00 ",$637.39 ,$208.92 ,$309.29 , N/A , N/A ,$136.48 ,$130.27 ,$219.37 ,$999.60 ,$470.07 ,$773.81 ,$329.28 ,"$1,058.40 ",$846.72 ,"$1,176.00 ",$301.77 ,$417.84 ,$417.84 ,$208.92 ,$564.48 ,"$1,058.40 " ST. JOHN'S HOSPITAL,31000173,81342,HC TRB GENE ANALYSIS DIRECT PROBE-90,310,1 ,"$1,176.00 ",$764.40 ,$3.50 ,"$1,176.00 ",$503.75 ,$169.05 ,$637.39 ,$201.50 ,$329.28 ,$405.72 ,$201.50 ,$451.58 ,$201.50 ,$449.23 ,$3.50 ,$201.50 ,$449.23 ,$382.85 ,$683.07 ,$599.76 ,$503.75 ,$201.50 ,$823.20 ,$201.50 ,$588.00 ,$205.53 ,$882.00 ,$593.88 ,$535.08 ,$593.88 ,$201.50 ,$593.88 ,$291.04 ,$291.04 ,$291.04 ,"$1,176.00 ",$999.60 ,$503.75 ,$940.80 ,$435.12 ,$940.80 ,$201.50 ,$201.50 ,"$1,176.00 ",$637.39 ,$201.50 ,$309.29 , N/A , N/A ,$136.48 ,$130.27 ,$211.58 ,$999.60 ,$453.38 ,$773.81 ,$329.28 ,"$1,058.40 ",$846.72 ,"$1,176.00 ",$291.04 ,$403.00 ,$403.00 ,$201.50 ,$564.48 ,"$1,058.40 " ST. JOHN'S HOSPITAL,31000174,81372,HC CLASS 1 TYPING COMPLETE LOW RESOLUTION-90,310,1 ,"$1,184.00 ",$769.60 ,$3.50 ,"$1,184.00 ","$1,008.98 ",$502.46 ,$641.73 ,$403.59 ,$331.52 ,$408.48 ,$403.59 ,$454.66 ,$403.59 ,$452.29 ,$3.50 ,$403.59 ,$452.29 ,$766.82 ,"$1,184.00 ",$603.84 ,"$1,008.98 ",$403.59 ,$828.80 ,$403.59 ,$592.00 ,$411.66 ,$888.00 ,$597.92 ,$538.72 ,$597.92 ,$403.59 ,$597.92 ,$524.67 ,$524.67 ,$524.67 ,"$1,184.00 ","$1,006.40 ","$1,008.98 ",$947.20 ,$438.08 ,$947.20 ,$403.59 ,$403.59 ,"$1,184.00 ",$641.73 ,$403.59 ,$311.39 , N/A , N/A ,$136.48 ,$130.27 ,$423.77 ,"$1,006.40 ",$908.08 ,$779.07 ,$331.52 ,"$1,065.60 ",$852.48 ,"$1,184.00 ",$524.67 ,$807.18 ,$807.18 ,$403.59 ,$568.32 ,"$1,065.60 " ST. JOHN'S HOSPITAL,31000175,81373,HC HLA CLS I TYPING 1 LOCUS EA-90,310,1 ,$475.00 ,$308.75 ,$3.50 ,$475.00 ,$318.58 ,$170.29 ,$257.45 ,$127.43 ,$133.00 ,$163.88 ,$127.43 ,$182.40 ,$127.43 ,$181.45 ,$3.50 ,$127.43 ,$181.45 ,$242.12 ,$432.08 ,$242.25 ,$318.58 ,$127.43 ,$332.50 ,$127.43 ,$237.50 ,$129.98 ,$356.25 ,$239.88 ,$216.13 ,$239.88 ,$127.43 ,$239.88 ,$165.66 ,$165.66 ,$165.66 ,$475.00 ,$403.75 ,$318.58 ,$380.00 ,$175.75 ,$380.00 ,$127.43 ,$127.43 ,$475.00 ,$257.45 ,$127.43 ,$124.93 , N/A , N/A ,$136.48 ,$130.27 ,$133.80 ,$403.75 ,$286.72 ,$312.55 ,$133.00 ,$427.50 ,$342.00 ,$475.00 ,$165.66 ,$254.86 ,$254.86 ,$127.43 ,$228.00 ,$427.50 ST. JOHN'S HOSPITAL,31000177,81376,HC HLA CLASS 2 TYPE LOW RESOLUTION 1 LOCUS-90,310,1 ,$437.00 ,$284.05 ,$3.50 ,$437.00 ,$305.55 ,$99.47 ,$236.85 ,$122.22 ,$122.36 ,$150.77 ,$122.22 ,$167.81 ,$122.22 ,$166.93 ,$3.50 ,$122.22 ,$166.93 ,$232.22 ,$414.33 ,$222.87 ,$305.55 ,$122.22 ,$305.90 ,$122.22 ,$218.50 ,$124.66 ,$327.75 ,$220.69 ,$198.84 ,$220.69 ,$122.22 ,$220.69 ,$176.54 ,$176.54 ,$176.54 ,$437.00 ,$371.45 ,$305.55 ,$349.60 ,$161.69 ,$349.60 ,$122.22 ,$122.22 ,$437.00 ,$236.85 ,$122.22 ,$114.93 , N/A , N/A ,$136.48 ,$130.27 ,$128.33 ,$371.45 ,$275.00 ,$287.55 ,$122.36 ,$393.30 ,$314.64 ,$437.00 ,$176.54 ,$244.44 ,$244.44 ,$122.22 ,$209.76 ,$393.30 ST. JOHN'S HOSPITAL,31000179,81381,HC HLA 1 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$599.00 ,$389.35 ,$3.50 ,$599.00 ,$424.75 ,$170.26 ,$324.66 ,$169.90 ,$167.72 ,$206.66 ,$169.90 ,$230.02 ,$169.90 ,$228.82 ,$3.50 ,$169.90 ,$228.82 ,$322.81 ,$576.53 ,$305.49 ,$424.75 ,$169.90 ,$419.30 ,$169.90 ,$299.50 ,$173.30 ,$449.25 ,$302.50 ,$272.55 ,$302.50 ,$169.90 ,$302.50 ,$220.87 ,$220.87 ,$220.87 ,$599.00 ,$509.15 ,$424.75 ,$479.20 ,$221.63 ,$479.20 ,$169.90 ,$169.90 ,$599.00 ,$324.66 ,$169.90 ,$157.54 , N/A , N/A ,$41.92 ,$40.02 ,$178.40 ,$509.15 ,$382.28 ,$394.14 ,$167.72 ,$539.10 ,$431.28 ,$599.00 ,$220.87 ,$339.80 ,$339.80 ,$169.90 ,$287.52 ,$539.10 ST. JOHN'S HOSPITAL,31000182,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$48.00 ,$31.20 ,$3.50 ,$120.00 ,$120.00 ,$48.00 ,$26.02 ,$48.00 ,$13.44 ,$16.56 ,$48.00 ,$18.43 ,$48.00 ,$18.34 ,$3.50 ,$48.00 ,$18.34 ,$48.00 ,$48.00 ,$24.48 ,$120.00 ,$48.00 ,$33.60 ,$48.00 ,$24.00 ,$48.00 ,$36.00 ,$24.24 ,$21.84 ,$24.24 ,$48.00 ,$24.24 ,$48.00 ,$48.00 ,$48.00 ,$48.00 ,$40.80 ,$48.00 ,$38.40 ,$17.76 ,$38.40 ,$48.00 ,$48.00 ,$48.00 ,$26.02 ,$48.00 ,$12.62 , N/A , N/A ,$41.92 ,$40.02 ,$50.40 ,$40.80 ,$108.00 ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$48.00 ,$48.00 ,$48.00 ,$48.00 ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$536.00 ,$348.40 ,$3.50 ,$536.00 , N/A ,$68.25 ,$290.51 , N/A ,$150.08 ,$184.92 , N/A ,$205.82 , N/A ,$204.75 ,$3.50 , N/A ,$204.75 ,$241.20 ,$465.22 ,$273.36 ,$375.20 , N/A ,$375.20 , N/A ,$268.00 , N/A ,$402.00 ,$270.68 ,$243.88 ,$270.68 , N/A ,$270.68 ,$178.10 ,$178.10 ,$178.10 ,$536.00 ,$455.60 , N/A ,$428.80 ,$198.32 ,$428.80 , N/A , N/A ,$536.00 ,$290.51 , N/A ,$140.97 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$455.60 ,$321.60 ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$178.10 ,$274.00 ,$274.00 , N/A ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,$293.00 ,$190.45 ,$3.50 ,$293.00 , N/A ,$105.00 ,$158.81 , N/A ,$82.04 ,$101.09 , N/A ,$112.51 , N/A ,$111.93 ,$3.50 , N/A ,$111.93 ,$131.85 ,$293.00 ,$149.43 ,$205.10 , N/A ,$205.10 , N/A ,$146.50 , N/A ,$219.75 ,$147.97 ,$133.32 ,$147.97 , N/A ,$147.97 ,$240.76 ,$240.76 ,$240.76 ,$293.00 ,$249.05 , N/A ,$234.40 ,$108.41 ,$234.40 , N/A , N/A ,$293.00 ,$158.81 , N/A ,$77.06 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$249.05 ,$175.80 ,$192.79 ,$82.04 ,$263.70 ,$210.96 ,$293.00 ,$240.76 ,$293.00 ,$293.00 , N/A ,$140.64 ,$263.70 ST. JOHN'S HOSPITAL,31000185,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,"$1,605.00 ","$1,043.25 ",$3.50 ,"$1,605.00 ", N/A ,$105.00 ,$869.91 , N/A ,$449.40 ,$553.73 , N/A ,$616.32 , N/A ,$613.11 ,$3.50 , N/A ,$613.11 ,$722.25 ,$628.61 ,$818.55 ,"$1,123.50 ", N/A ,"$1,123.50 ", N/A ,$802.50 , N/A ,"$1,203.75 ",$810.53 ,$730.28 ,$810.53 , N/A ,$810.53 ,$240.76 ,$240.76 ,$240.76 ,"$1,605.00 ","$1,364.25 ", N/A ,"$1,284.00 ",$593.85 ,"$1,284.00 ", N/A , N/A ,"$1,605.00 ",$869.91 , N/A ,$422.12 , N/A , N/A ,$41.92 ,$40.02 , N/A ,"$1,364.25 ",$963.00 ,"$1,056.09 ",$449.40 ,"$1,444.50 ","$1,155.60 ","$1,605.00 ",$240.76 ,$370.40 ,$370.40 , N/A ,$770.40 ,"$1,444.50 " ST. JOHN'S HOSPITAL,31000186,81404,HC MOLECULAR PATH PROC LEVEL 5-90,310,1 ,$293.00 ,$190.45 ,$3.50 ,$293.00 , N/A ,$183.75 ,$158.81 , N/A ,$82.04 ,$101.09 , N/A ,$112.51 , N/A ,$111.93 ,$3.50 , N/A ,$111.93 ,$131.85 ,$293.00 ,$149.43 ,$205.10 , N/A ,$205.10 , N/A ,$146.50 , N/A ,$219.75 ,$147.97 ,$133.32 ,$147.97 , N/A ,$147.97 ,$293.00 ,$293.00 ,$293.00 ,$293.00 ,$249.05 , N/A ,$234.40 ,$108.41 ,$234.40 , N/A , N/A ,$293.00 ,$158.81 , N/A ,$77.06 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$249.05 ,$175.80 ,$192.79 ,$82.04 ,$263.70 ,$210.96 ,$293.00 ,$293.00 ,$293.00 ,$293.00 , N/A ,$140.64 ,$263.70 ST. JOHN'S HOSPITAL,31000187,81405,HC MOLECULAR PATH PROC LEVEL 6-90,310,1 ,"$1,497.00 ",$973.05 ,$3.50 ,"$1,497.00 ", N/A ,$183.75 ,$811.37 , N/A ,$419.16 ,$516.47 , N/A ,$574.85 , N/A ,$571.85 ,$3.50 , N/A ,$571.85 ,$673.65 ,"$1,022.81 ",$763.47 ,"$1,047.90 ", N/A ,"$1,047.90 ", N/A ,$748.50 , N/A ,"$1,122.75 ",$755.99 ,$681.14 ,$755.99 , N/A ,$755.99 ,$391.76 ,$391.76 ,$391.76 ,"$1,497.00 ","$1,272.45 ", N/A ,"$1,197.60 ",$553.89 ,"$1,197.60 ", N/A , N/A ,"$1,497.00 ",$811.37 , N/A ,$393.71 , N/A , N/A ,$41.92 ,$40.02 , N/A ,"$1,272.45 ",$898.20 ,$985.03 ,$419.16 ,"$1,347.30 ","$1,077.84 ","$1,497.00 ",$391.76 ,$602.70 ,$602.70 , N/A ,$718.56 ,"$1,347.30 " ST. JOHN'S HOSPITAL,31000188,81406,HC MOLECULAR PATH PROC LEVEL 7-90,310,1 ,"$2,555.00 ","$1,660.75 ",$3.50 ,"$2,555.00 ", N/A ,$104.65 ,"$1,384.81 ", N/A ,$715.40 ,$881.48 , N/A ,$948.77 , N/A ,$976.01 ,$3.50 , N/A ,$976.01 ,"$1,149.75 ",$960.06 ,"$1,303.05 ","$1,788.50 ", N/A ,"$1,788.50 ", N/A ,"$1,277.50 ", N/A ,"$1,916.25 ","$1,290.28 ","$1,162.53 ","$1,290.28 ", N/A ,"$1,290.28 ",$367.74 ,$367.74 ,$367.74 ,"$2,555.00 ","$2,171.75 ", N/A ,"$2,044.00 ",$945.35 ,"$2,044.00 ", N/A , N/A ,"$2,555.00 ","$1,384.81 ", N/A ,$671.97 , N/A , N/A ,$136.48 ,$130.27 , N/A ,"$2,171.75 ","$1,533.00 ","$1,681.19 ",$715.40 ,"$2,299.50 ","$1,839.60 ","$2,555.00 ",$367.74 ,$565.76 ,$565.76 , N/A ,"$1,226.40 ","$2,299.50 " ST. JOHN'S HOSPITAL,31000189,81407,HC MOLECULAR PATH PROC LEVEL 8-90,310,1 ,"$2,424.00 ","$1,575.60 ",$3.50 ,"$2,424.00 ", N/A ,"$1,260.00 ","$1,313.81 ", N/A ,$678.72 ,$836.28 , N/A ,$930.82 , N/A ,$925.97 ,$3.50 , N/A ,$925.97 ,"$1,090.80 ","$2,424.00 ","$1,236.24 ","$1,696.80 ", N/A ,"$1,696.80 ", N/A ,"$1,212.00 ", N/A ,"$1,818.00 ","$1,224.12 ","$1,102.92 ","$1,224.12 ", N/A ,"$1,224.12 ","$1,100.15 ","$1,100.15 ","$1,100.15 ","$2,424.00 ","$2,060.40 ", N/A ,"$1,939.20 ",$896.88 ,"$1,939.20 ", N/A , N/A ,"$2,424.00 ","$1,313.81 ", N/A ,$637.51 , N/A , N/A ,$136.48 ,$130.27 , N/A ,"$2,060.40 ","$1,454.40 ","$1,594.99 ",$678.72 ,"$2,181.60 ","$1,745.28 ","$2,424.00 ","$1,100.15 ","$1,692.54 ","$1,692.54 ", N/A ,"$1,163.52 ","$2,181.60 " ST. JOHN'S HOSPITAL,31000191,81479,HC IBD CELIAC UNLISTED MOLECULAR PATH-90,310,1 ,$149.00 ,$96.85 ,$3.50 ,$149.00 , N/A ,$78.75 ,$80.76 , N/A ,$41.72 ,$18.06 , N/A ,$18.06 , N/A ,$56.92 ,$3.50 , N/A ,$56.92 ,$67.05 ,$149.00 ,$75.99 ,$104.30 , N/A ,$104.30 , N/A ,$74.50 , N/A ,$111.75 ,$75.25 ,$67.80 ,$75.25 , N/A ,$75.25 ,$104.30 ,$104.30 ,$104.30 ,$149.00 ,$126.65 , N/A ,$119.20 ,$55.13 ,$119.20 , N/A , N/A ,$149.00 ,$80.76 , N/A ,$39.19 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$126.65 ,$89.40 ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$104.30 ,$74.50 ,$74.50 , N/A ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,31000192,81479,HC RHD ZYGOSITY-90,310,1 ,"$1,056.00 ",$686.40 ,$3.50 ,"$1,056.00 ", N/A ,$78.75 ,$572.35 , N/A ,$295.68 ,$18.06 , N/A ,$18.06 , N/A ,$403.39 ,$3.50 , N/A ,$403.39 ,$475.20 ,$406.34 ,$538.56 ,$739.20 , N/A ,$739.20 , N/A ,$528.00 , N/A ,$792.00 ,$533.28 ,$480.48 ,$533.28 , N/A ,$533.28 ,$739.20 ,$739.20 ,$739.20 ,"$1,056.00 ",$897.60 , N/A ,$844.80 ,$390.72 ,$844.80 , N/A , N/A ,"$1,056.00 ",$572.35 , N/A ,$277.73 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$897.60 ,$633.60 ,$694.85 ,$295.68 ,$950.40 ,$760.32 ,"$1,056.00 ",$739.20 ,$528.00 ,$528.00 , N/A ,$506.88 ,$950.40 ST. JOHN'S HOSPITAL,31000193,81508,HC FETAL CONGENTIAL ABNORM 2 PROTEINS-90,310,1 ,$237.00 ,$154.05 ,$3.50 ,$237.00 ,$135.75 ,$153.13 ,$128.45 ,$54.30 ,$66.36 ,$81.77 ,$54.30 ,$91.01 ,$54.30 ,$90.53 ,$3.50 ,$54.30 ,$90.53 ,$103.17 ,$184.66 ,$120.87 ,$135.75 ,$54.30 ,$165.90 ,$54.30 ,$118.50 ,$55.39 ,$177.75 ,$119.69 ,$107.84 ,$119.69 ,$54.30 ,$119.69 ,$70.59 ,$70.59 ,$70.59 ,$237.00 ,$201.45 ,$135.75 ,$189.60 ,$87.69 ,$189.60 ,$54.30 ,$54.30 ,$237.00 ,$128.45 ,$54.30 ,$62.33 , N/A , N/A ,$41.92 ,$40.02 ,$57.02 ,$201.45 ,$122.18 ,$155.95 ,$66.36 ,$213.30 ,$170.64 ,$237.00 ,$70.59 ,$108.60 ,$108.60 ,$54.30 ,$113.76 ,$213.30 ST. JOHN'S HOSPITAL,31000194,81511,HC FETAL CONGENTIAL ABNORM 4 ANALYTES-90,310,1 ,$90.00 ,$58.50 ,$3.50 ,$225.00 ,$225.00 ,$90.00 ,$48.78 ,$90.00 ,$25.20 ,$31.05 ,$90.00 ,$34.56 ,$90.00 ,$34.38 ,$3.50 ,$90.00 ,$34.38 ,$90.00 ,$90.00 ,$45.90 ,$225.00 ,$90.00 ,$63.00 ,$90.00 ,$45.00 ,$90.00 ,$67.50 ,$45.45 ,$40.95 ,$45.45 ,$90.00 ,$45.45 ,$90.00 ,$90.00 ,$90.00 ,$90.00 ,$76.50 ,$90.00 ,$72.00 ,$33.30 ,$72.00 ,$90.00 ,$90.00 ,$90.00 ,$48.78 ,$90.00 ,$23.67 , N/A , N/A ,$41.92 ,$40.02 ,$94.50 ,$76.50 ,$202.50 ,$59.22 ,$25.20 ,$81.00 ,$64.80 ,$90.00 ,$90.00 ,$90.00 ,$90.00 ,$90.00 ,$43.20 ,$81.00 ST. JOHN'S HOSPITAL,31000199,81287,HC MGMT GENE METHYLATION ANALYSIS-90,310,1 ,$745.00 ,$484.25 ,$3.50 ,$745.00 ,$311.60 ,$612.50 ,$403.79 ,$124.64 ,$208.60 ,$257.03 ,$124.64 ,$286.08 ,$124.64 ,$284.59 ,$3.50 ,$124.64 ,$284.59 ,$236.82 ,$391.87 ,$379.95 ,$311.60 ,$124.64 ,$521.50 ,$124.64 ,$372.50 ,$127.13 ,$558.75 ,$376.23 ,$338.98 ,$376.23 ,$124.64 ,$376.23 ,$162.03 ,$162.03 ,$162.03 ,$745.00 ,$633.25 ,$311.60 ,$596.00 ,$275.65 ,$596.00 ,$124.64 ,$124.64 ,$745.00 ,$403.79 ,$124.64 ,$195.94 , N/A , N/A ,$41.92 ,$40.02 ,$130.87 ,$633.25 ,$280.44 ,$490.21 ,$208.60 ,$670.50 ,$536.40 ,$745.00 ,$162.03 ,$249.28 ,$249.28 ,$124.64 ,$357.60 ,$670.50 ST. JOHN'S HOSPITAL,31000200,0001U,HC RBC DNA HUMAN GENE ANLYS 35 AG 11 BLOOD GRP-90,310,1 ,"$1,725.00 ","$1,121.25 ",$40.02 ,"$1,800.00 ","$1,800.00 ",$512.05 ,$934.95 ,$720.00 ,$483.00 ,$552.00 ,$720.00 ,$634.80 ,$720.00 ,$658.95 ,$690.00 ,$720.00 ,$658.95 ,"$1,368.00 ",$907.35 ,$879.75 ,"$1,800.00 ",$720.00 ,"$1,207.50 ",$720.00 ,$862.50 ,$734.40 ,"$1,293.75 ",$871.13 ,$784.88 ,$871.13 ,$720.00 ,$871.13 ,$936.00 ,$936.00 ,$936.00 ,"$1,725.00 ","$1,466.25 ","$1,725.00 ","$1,380.00 ",$638.25 ,"$1,380.00 ",$720.00 ,$720.00 ,"$1,725.00 ",$934.95 ,$720.00 ,$453.68 , N/A , N/A ,$41.92 ,$40.02 ,$756.00 ,"$1,466.25 ","$1,620.00 ","$1,135.05 ",$483.00 ,"$1,552.50 ","$1,242.00 ","$1,725.00 ",$936.00 ,"$1,440.00 ","$1,440.00 ",$720.00 ,$828.00 ,"$1,552.50 " ST. JOHN'S HOSPITAL,31000201,81311,HC NRAS GENE VARIANTS EXON 2 AND 3 - 90,310,1 ,"$1,103.00 ",$716.95 ,$3.50 ,"$1,103.00 ",$739.48 ,$439.99 ,$597.83 ,$295.79 ,$308.84 ,$380.54 ,$295.79 ,$423.55 ,$295.79 ,$421.35 ,$3.50 ,$295.79 ,$421.35 ,$562.00 ,"$1,003.84 ",$562.53 ,$739.48 ,$295.79 ,$772.10 ,$295.79 ,$551.50 ,$301.71 ,$827.25 ,$557.02 ,$501.87 ,$557.02 ,$295.79 ,$557.02 ,$384.53 ,$384.53 ,$384.53 ,"$1,103.00 ",$937.55 ,$739.48 ,$882.40 ,$408.11 ,$882.40 ,$295.79 ,$295.79 ,"$1,103.00 ",$597.83 ,$295.79 ,$290.09 , N/A , N/A ,$136.48 ,$130.27 ,$310.58 ,$937.55 ,$665.53 ,$725.77 ,$308.84 ,$992.70 ,$794.16 ,"$1,103.00 ",$384.53 ,$591.58 ,$591.58 ,$295.79 ,$529.44 ,$992.70 ST. JOHN'S HOSPITAL,31000203,88362,HC NERVE TEASING PREPARATIONS-90,310,1 ,"$1,234.00 ",$802.10 ,$35.44 ,"$1,574.85 ","$1,574.85 ",$275.05 ,$668.83 ,$629.94 ,$345.52 ,$425.73 ,$629.94 ,$473.86 ,$629.94 ,$471.39 ,$140.02 ,$629.94 ,$471.39 ,"$1,196.88 ",$378.32 ,$629.34 ,"$1,574.84 ",$629.94 ,$863.80 ,$629.94 ,$617.00 ,$642.53 ,$925.50 ,$623.17 ,$561.47 ,$623.17 ,$629.94 ,$623.17 ,$116.52 ,$116.52 ,$116.52 ,"$1,234.00 ","$1,048.90 ","$1,234.00 ",$987.20 ,$456.58 ,$987.20 ,$629.94 ,$629.94 ,"$1,234.00 ",$668.83 ,$629.94 ,$324.54 , N/A , N/A ,$37.13 ,$35.44 ,$661.44 ,"$1,048.90 ","$1,417.36 ",$811.97 ,$345.52 ,"$1,110.60 ",$888.48 ,"$1,234.00 ",$116.52 ,"$1,234.00 ","$1,234.00 ",$629.94 ,$592.32 ,"$1,110.60 " ST. JOHN'S HOSPITAL,31000204,81170,HC ABL1 GENE ANALYSIS KINASE DOMAIN-90,310,1 ,"$1,042.00 ",$677.30 ,$3.50 ,"$1,042.00 ",$750.00 ,$490.14 ,$564.76 ,$300.00 ,$291.76 ,$359.49 ,$300.00 ,$400.13 ,$300.00 ,$398.04 ,$3.50 ,$300.00 ,$398.04 ,$570.00 ,"$1,018.05 ",$531.42 ,$750.00 ,$300.00 ,$729.40 ,$300.00 ,$521.00 ,$306.00 ,$781.50 ,$526.21 ,$474.11 ,$526.21 ,$300.00 ,$526.21 ,$390.00 ,$390.00 ,$390.00 ,"$1,042.00 ",$885.70 ,$750.00 ,$833.60 ,$385.54 ,$833.60 ,$300.00 ,$300.00 ,"$1,042.00 ",$564.76 ,$300.00 ,$274.05 , N/A , N/A ,$136.48 ,$130.27 ,$315.00 ,$885.70 ,$675.00 ,$685.64 ,$291.76 ,$937.80 ,$750.24 ,"$1,042.00 ",$390.00 ,$600.00 ,$600.00 ,$300.00 ,$500.16 ,$937.80 ST. JOHN'S HOSPITAL,31000205,81219,HC CALR GENE ANALYSIS EXON 9-90,310,1 ,$788.00 ,$512.20 ,$3.50 ,$788.00 ,$304.08 ,$246.45 ,$427.10 ,$121.63 ,$220.64 ,$271.86 ,$121.63 ,$302.59 ,$121.63 ,$301.02 ,$3.50 ,$121.63 ,$301.02 ,$231.10 ,$413.14 ,$401.88 ,$304.08 ,$121.63 ,$551.60 ,$121.63 ,$394.00 ,$124.06 ,$591.00 ,$397.94 ,$358.54 ,$397.94 ,$121.63 ,$397.94 ,$175.68 ,$175.68 ,$175.68 ,$788.00 ,$669.80 ,$304.08 ,$630.40 ,$291.56 ,$630.40 ,$121.63 ,$121.63 ,$788.00 ,$427.10 ,$121.63 ,$207.24 , N/A , N/A ,$136.48 ,$130.27 ,$127.71 ,$669.80 ,$273.67 ,$518.50 ,$220.64 ,$709.20 ,$567.36 ,$788.00 ,$175.68 ,$243.26 ,$243.26 ,$121.63 ,$378.24 ,$709.20 ST. JOHN'S HOSPITAL,31000207,81276,HC KRAS GENE ANALYSIS ADDL VAR-90,310,1 ,$665.00 ,$432.25 ,$3.50 ,$665.00 ,$483.13 ,$293.32 ,$360.43 ,$193.25 ,$186.20 ,$229.43 ,$193.25 ,$255.36 ,$193.25 ,$254.03 ,$3.50 ,$193.25 ,$254.03 ,$367.18 ,$655.84 ,$339.15 ,$483.13 ,$193.25 ,$465.50 ,$193.25 ,$332.50 ,$197.12 ,$498.75 ,$335.83 ,$302.58 ,$335.83 ,$193.25 ,$335.83 ,$251.23 ,$251.23 ,$251.23 ,$665.00 ,$565.25 ,$483.13 ,$532.00 ,$246.05 ,$532.00 ,$193.25 ,$193.25 ,$665.00 ,$360.43 ,$193.25 ,$174.90 , N/A , N/A ,$136.48 ,$130.27 ,$202.91 ,$565.25 ,$434.81 ,$437.57 ,$186.20 ,$598.50 ,$478.80 ,$665.00 ,$251.23 ,$386.50 ,$386.50 ,$193.25 ,$319.20 ,$598.50 ST. JOHN'S HOSPITAL,31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$810.00 ,$526.50 ,$3.50 ,$810.00 , N/A ,$105.00 ,$439.02 , N/A ,$226.80 ,$279.45 , N/A ,$311.04 , N/A ,$309.42 ,$3.50 , N/A ,$309.42 ,$364.50 ,$510.24 ,$413.10 ,$567.00 , N/A ,$567.00 , N/A ,$405.00 , N/A ,$607.50 ,$409.05 ,$368.55 ,$409.05 , N/A ,$409.05 ,$195.43 ,$195.43 ,$195.43 ,$810.00 ,$688.50 , N/A ,$648.00 ,$299.70 ,$648.00 , N/A , N/A ,$810.00 ,$439.02 , N/A ,$213.03 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$688.50 ,$486.00 ,$532.98 ,$226.80 ,$729.00 ,$583.20 ,$810.00 ,$195.43 ,$300.66 ,$300.66 , N/A ,$388.80 ,$729.00 ST. JOHN'S HOSPITAL,31000213,0027U,HC JAK2 GENE ANALYSIS TARGETS EXONS 12-15 -90,310,1 ,$693.00 ,$450.45 ,$40.02 ,$693.00 , N/A ,$223.90 ,$375.61 , N/A ,$194.04 ,$221.76 , N/A ,$255.02 , N/A ,$264.73 ,$277.20 , N/A ,$264.73 ,$311.85 ,$413.14 ,$353.43 ,$485.10 , N/A ,$485.10 , N/A ,$346.50 , N/A ,$519.75 ,$349.97 ,$315.32 ,$349.97 , N/A ,$349.97 ,$195.68 ,$195.68 ,$195.68 ,$693.00 ,$589.05 , N/A ,$554.40 ,$256.41 ,$554.40 , N/A , N/A ,$693.00 ,$375.61 , N/A ,$182.26 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$589.05 ,$415.80 ,$455.99 ,$194.04 ,$623.70 ,$498.96 ,$693.00 ,$195.68 ,$243.82 ,$243.82 , N/A ,$332.64 ,$623.70 ST. JOHN'S HOSPITAL,31000215,81364,HC HBB FULL GENE SEQUENCE-90,310,1 ,"$1,605.00 ","$1,043.25 ",$3.50 ,"$1,605.00 ",$811.45 ,$482.81 ,$869.91 ,$324.58 ,$449.40 ,$553.73 ,$324.58 ,$616.32 ,$324.58 ,$613.11 ,$3.50 ,$324.58 ,$613.11 ,$616.70 ,"$1,100.93 ",$818.55 ,$811.45 ,$324.58 ,"$1,123.50 ",$324.58 ,$802.50 ,$331.07 ,"$1,203.75 ",$810.53 ,$730.28 ,$810.53 ,$324.58 ,$810.53 ,$421.95 ,$421.95 ,$421.95 ,"$1,605.00 ","$1,364.25 ",$811.45 ,"$1,284.00 ",$593.85 ,"$1,284.00 ",$324.58 ,$324.58 ,"$1,605.00 ",$869.91 ,$324.58 ,$422.12 , N/A , N/A ,$136.48 ,$130.27 ,$340.81 ,"$1,364.25 ",$730.31 ,"$1,056.09 ",$449.40 ,"$1,444.50 ","$1,155.60 ","$1,605.00 ",$421.95 ,$649.16 ,$649.16 ,$324.58 ,$770.40 ,"$1,444.50 " ST. JOHN'S HOSPITAL,31000216,81382,HC HLA CLASS 2 HIGH RESOLUTION ONE LOCUS EA - 90,310,1 ,$730.00 ,$474.50 ,$3.50 ,$730.00 ,$309.20 ,$100.75 ,$395.66 ,$123.68 ,$204.40 ,$251.85 ,$123.68 ,$280.32 ,$123.68 ,$278.86 ,$3.50 ,$123.68 ,$278.86 ,$234.99 ,$419.06 ,$372.30 ,$309.20 ,$123.68 ,$511.00 ,$123.68 ,$365.00 ,$126.15 ,$547.50 ,$368.65 ,$332.15 ,$368.65 ,$123.68 ,$368.65 ,$178.65 ,$178.65 ,$178.65 ,$730.00 ,$620.50 ,$309.20 ,$584.00 ,$270.10 ,$584.00 ,$123.68 ,$123.68 ,$730.00 ,$395.66 ,$123.68 ,$191.99 , N/A , N/A ,$136.48 ,$130.27 ,$129.86 ,$620.50 ,$278.28 ,$480.34 ,$204.40 ,$657.00 ,$525.60 ,$730.00 ,$178.65 ,$247.36 ,$247.36 ,$123.68 ,$350.40 ,$657.00 ST. JOHN'S HOSPITAL,31000217,81298,HC MSH6 GENE ANALYSIS FULL SEQ -90,310,1 ,$848.00 ,$551.20 ,$3.50 ,"$1,604.63 ","$1,604.63 ",$848.00 ,$459.62 ,$641.85 ,$237.44 ,$292.56 ,$641.85 ,$325.63 ,$641.85 ,$323.94 ,$3.50 ,$641.85 ,$323.94 ,$848.00 ,$848.00 ,$432.48 ,"$1,604.63 ",$641.85 ,$593.60 ,$641.85 ,$424.00 ,$654.69 ,$636.00 ,$428.24 ,$385.84 ,$428.24 ,$641.85 ,$428.24 ,$834.41 ,$834.41 ,$834.41 ,$848.00 ,$720.80 ,$848.00 ,$678.40 ,$313.76 ,$678.40 ,$641.85 ,$641.85 ,$848.00 ,$459.62 ,$641.85 ,$223.02 , N/A , N/A ,$136.48 ,$130.27 ,$673.94 ,$720.80 ,"$1,444.16 ",$557.98 ,$237.44 ,$763.20 ,$610.56 ,$848.00 ,$834.41 ,$848.00 ,$848.00 ,$641.85 ,$407.04 ,$763.20 ST. JOHN'S HOSPITAL,31000218,81300,HC MSH6 GENE ANALYSIS DUP/DEL VARIANTS-90,310,1 ,$511.00 ,$332.15 ,$3.50 ,$595.00 ,$595.00 ,$157.50 ,$276.96 ,$238.00 ,$143.08 ,$176.30 ,$238.00 ,$196.22 ,$238.00 ,$195.20 ,$3.50 ,$238.00 ,$195.20 ,$452.20 ,$511.00 ,$260.61 ,$595.00 ,$238.00 ,$357.70 ,$238.00 ,$255.50 ,$242.76 ,$383.25 ,$258.06 ,$232.51 ,$258.06 ,$238.00 ,$258.06 ,$309.40 ,$309.40 ,$309.40 ,$511.00 ,$434.35 ,$511.00 ,$408.80 ,$189.07 ,$408.80 ,$238.00 ,$238.00 ,$511.00 ,$276.96 ,$238.00 ,$134.39 , N/A , N/A ,$136.48 ,$130.27 ,$249.90 ,$434.35 ,$535.50 ,$336.24 ,$143.08 ,$459.90 ,$367.92 ,$511.00 ,$309.40 ,$476.00 ,$476.00 ,$238.00 ,$245.28 ,$459.90 ST. JOHN'S HOSPITAL,31000219,81317,HC PMS2 GENE ANALYSIS FULL SEQ -90,310,1 ,"$1,514.00 ",$984.10 ,$3.50 ,"$1,691.25 ","$1,691.25 ",$701.93 ,$820.59 ,$676.50 ,$423.92 ,$522.33 ,$676.50 ,$581.38 ,$676.50 ,$578.35 ,$3.50 ,$676.50 ,$578.35 ,"$1,285.35 ","$1,514.00 ",$772.14 ,"$1,691.25 ",$676.50 ,"$1,059.80 ",$676.50 ,$757.00 ,$690.03 ,"$1,135.50 ",$764.57 ,$688.87 ,$764.57 ,$676.50 ,$764.57 ,$879.45 ,$879.45 ,$879.45 ,"$1,514.00 ","$1,286.90 ","$1,514.00 ","$1,211.20 ",$560.18 ,"$1,211.20 ",$676.50 ,$676.50 ,"$1,514.00 ",$820.59 ,$676.50 ,$398.18 , N/A , N/A ,$387.31 ,$369.71 ,$710.33 ,"$1,286.90 ","$1,522.13 ",$996.21 ,$423.92 ,"$1,362.60 ","$1,090.08 ","$1,514.00 ",$879.45 ,"$1,353.00 ","$1,353.00 ",$676.50 ,$726.72 ,"$1,362.60 " ST. JOHN'S HOSPITAL,31000220,81319,HC PMS2 GENE ANALYSIS DUP/DEL VARIANTS -90,310,1 ,$597.00 ,$388.05 ,$3.50 ,$597.00 ,$508.75 ,$182.18 ,$323.57 ,$203.50 ,$167.16 ,$205.97 ,$203.50 ,$229.25 ,$203.50 ,$228.05 ,$3.50 ,$203.50 ,$228.05 ,$386.65 ,$597.00 ,$304.47 ,$508.75 ,$203.50 ,$417.90 ,$203.50 ,$298.50 ,$207.57 ,$447.75 ,$301.49 ,$271.64 ,$301.49 ,$203.50 ,$301.49 ,$264.55 ,$264.55 ,$264.55 ,$597.00 ,$507.45 ,$508.75 ,$477.60 ,$220.89 ,$477.60 ,$203.50 ,$203.50 ,$597.00 ,$323.57 ,$203.50 ,$157.01 , N/A , N/A ,$136.48 ,$130.27 ,$213.68 ,$507.45 ,$457.88 ,$392.83 ,$167.16 ,$537.30 ,$429.84 ,$597.00 ,$264.55 ,$407.00 ,$407.00 ,$203.50 ,$286.56 ,$537.30 ST. JOHN'S HOSPITAL,31000221,88249,HC CHROMOSOME BREAKAGE SYNDROMES SCORE 100 CELLS-90,310,1 ,"$1,243.00 ",$807.95 ,$3.50 ,"$1,243.00 ",$432.93 ,$354.08 ,$673.71 ,$173.17 ,$348.04 ,$428.84 ,$173.17 ,$477.31 ,$173.17 ,$474.83 ,$3.50 ,$173.17 ,$474.83 ,$329.02 ,$587.16 ,$633.93 ,$432.93 ,$173.17 ,$870.10 ,$173.17 ,$621.50 ,$176.63 ,$932.25 ,$627.72 ,$565.57 ,$627.72 ,$173.17 ,$627.72 ,$250.15 ,$250.15 ,$250.15 ,"$1,243.00 ","$1,056.55 ",$432.93 ,$994.40 ,$459.91 ,$994.40 ,$173.17 ,$173.17 ,"$1,243.00 ",$673.71 ,$173.17 ,$326.91 , N/A , N/A ,$41.92 ,$40.02 ,$181.83 ,"$1,056.55 ",$389.63 ,$817.89 ,$348.04 ,"$1,118.70 ",$894.96 ,"$1,243.00 ",$250.15 ,$346.34 ,$346.34 ,$173.17 ,$596.64 ,"$1,118.70 " ST. JOHN'S HOSPITAL,31000222,81120,HC IDH1 COMMON VARIANTS -90,310,1 ,$637.00 ,$414.05 ,$3.50 ,$637.00 ,$483.13 ,$287.46 ,$345.25 ,$193.25 ,$178.36 ,$219.77 ,$193.25 ,$244.61 ,$193.25 ,$243.33 ,$3.50 ,$193.25 ,$243.33 ,$367.18 ,$637.00 ,$324.87 ,$483.13 ,$193.25 ,$445.90 ,$193.25 ,$318.50 ,$197.12 ,$477.75 ,$321.69 ,$289.84 ,$321.69 ,$193.25 ,$321.69 ,$251.23 ,$251.23 ,$251.23 ,$637.00 ,$541.45 ,$483.13 ,$509.60 ,$235.69 ,$509.60 ,$193.25 ,$193.25 ,$637.00 ,$345.25 ,$193.25 ,$167.53 , N/A , N/A ,$41.92 ,$40.02 ,$202.91 ,$541.45 ,$434.81 ,$419.15 ,$178.36 ,$573.30 ,$458.64 ,$637.00 ,$251.23 ,$386.50 ,$386.50 ,$193.25 ,$305.76 ,$573.30 ST. JOHN'S HOSPITAL,31000223,81121,HC IDH2 COMMON VARIANTS -90,310,1 ,$768.00 ,$499.20 ,$3.50 ,$768.00 ,$739.48 ,$439.99 ,$416.26 ,$295.79 ,$215.04 ,$264.96 ,$295.79 ,$294.91 ,$295.79 ,$293.38 ,$3.50 ,$295.79 ,$293.38 ,$562.00 ,$768.00 ,$391.68 ,$739.48 ,$295.79 ,$537.60 ,$295.79 ,$384.00 ,$301.71 ,$576.00 ,$387.84 ,$349.44 ,$387.84 ,$295.79 ,$387.84 ,$384.53 ,$384.53 ,$384.53 ,$768.00 ,$652.80 ,$739.48 ,$614.40 ,$284.16 ,$614.40 ,$295.79 ,$295.79 ,$768.00 ,$416.26 ,$295.79 ,$201.98 , N/A , N/A ,$387.31 ,$369.71 ,$310.58 ,$652.80 ,$665.53 ,$505.34 ,$215.04 ,$691.20 ,$552.96 ,$768.00 ,$384.53 ,$591.58 ,$591.58 ,$295.79 ,$368.64 ,$691.20 ST. JOHN'S HOSPITAL,31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$180.00 ,$117.00 ,$3.50 ,$437.03 ,$437.03 ,$180.00 ,$97.56 ,$174.81 ,$50.40 ,$62.10 ,$174.81 ,$69.12 ,$174.81 ,$68.76 ,$3.50 ,$174.81 ,$68.76 ,$180.00 ,$180.00 ,$91.80 ,$437.03 ,$174.81 ,$126.00 ,$174.81 ,$90.00 ,$178.31 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$174.81 ,$90.90 ,$180.00 ,$180.00 ,$180.00 ,$180.00 ,$153.00 ,$180.00 ,$144.00 ,$66.60 ,$144.00 ,$174.81 ,$174.81 ,$180.00 ,$97.56 ,$174.81 ,$47.34 , N/A , N/A ,$136.48 ,$130.27 ,$183.55 ,$153.00 ,$393.32 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$180.00 ,$180.00 ,$180.00 ,$174.81 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,31000225,81539,HC PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS-90,310,1 ,"$1,656.00 ","$1,076.40 ",$3.50 ,"$1,900.00 ","$1,900.00 ",$895.63 ,$897.55 ,$760.00 ,$463.68 ,$571.32 ,$760.00 ,$635.90 ,$760.00 ,$632.59 ,$3.50 ,$760.00 ,$632.59 ,"$1,444.00 ","$1,656.00 ",$844.56 ,"$1,900.00 ",$760.00 ,"$1,159.20 ",$760.00 ,$828.00 ,$775.20 ,"$1,242.00 ",$836.28 ,$753.48 ,$836.28 ,$760.00 ,$836.28 ,$988.00 ,$988.00 ,$988.00 ,"$1,656.00 ","$1,407.60 ","$1,656.00 ","$1,324.80 ",$612.72 ,"$1,324.80 ",$760.00 ,$760.00 ,"$1,656.00 ",$897.55 ,$760.00 ,$435.53 , N/A , N/A ,$387.31 ,$369.71 ,$798.00 ,"$1,407.60 ","$1,710.00 ","$1,089.65 ",$463.68 ,"$1,490.40 ","$1,192.32 ","$1,656.00 ",$988.00 ,"$1,520.00 ","$1,520.00 ",$760.00 ,$794.88 ,"$1,490.40 " ST. JOHN'S HOSPITAL,31000226,81450,HC TARGET GENOMIC SEQ ANALYSIS HEMATOLYMPHOID 5-50 GENES-90,310,1 ,"$3,406.00 ","$2,213.90 ",$3.50 ,"$3,406.00 ","$1,898.83 ","$1,258.37 ","$1,846.05 ",$759.53 ,$953.68 ,"$1,175.07 ",$759.53 ,"$1,307.90 ",$759.53 ,"$1,301.09 ",$3.50 ,$759.53 ,"$1,301.09 ","$1,443.11 ","$2,577.14 ","$1,737.06 ","$1,898.83 ",$759.53 ,"$2,384.20 ",$759.53 ,"$1,703.00 ",$774.72 ,"$2,554.50 ","$1,720.03 ","$1,549.73 ","$1,720.03 ",$759.53 ,"$1,720.03 ",$987.39 ,$987.39 ,$987.39 ,"$3,406.00 ","$2,895.10 ","$1,898.83 ","$2,724.80 ","$1,260.22 ","$2,724.80 ",$759.53 ,$759.53 ,"$3,406.00 ","$1,846.05 ",$759.53 ,$895.78 , N/A , N/A ,$136.48 ,$130.27 ,$797.51 ,"$2,895.10 ","$1,708.94 ","$2,241.15 ",$953.68 ,"$3,065.40 ","$2,452.32 ","$3,406.00 ",$987.39 ,"$1,519.06 ","$1,519.06 ",$759.53 ,"$1,634.88 ","$3,065.40 " ST. JOHN'S HOSPITAL,31000227,81445,HC GENE SEQ SOLID ORGAN NEOPLASM 5-50 GENES-90,310,1 ,"$3,043.00 ","$1,977.95 ",$3.50 ,"$3,043.00 ","$1,494.78 ","$1,258.37 ","$1,649.31 ",$597.91 ,$852.04 ,"$1,049.84 ",$597.91 ,"$1,168.51 ",$597.91 ,"$1,162.43 ",$3.50 ,$597.91 ,"$1,162.43 ","$1,136.03 ","$2,029.04 ","$1,551.93 ","$1,494.78 ",$597.91 ,"$2,130.10 ",$597.91 ,"$1,521.50 ",$609.87 ,"$2,282.25 ","$1,536.72 ","$1,384.57 ","$1,536.72 ",$597.91 ,"$1,536.72 ",$777.28 ,$777.28 ,$777.28 ,"$3,043.00 ","$2,586.55 ","$1,494.78 ","$2,434.40 ","$1,125.91 ","$2,434.40 ",$597.91 ,$597.91 ,"$3,043.00 ","$1,649.31 ",$597.91 ,$800.31 , N/A , N/A ,$387.31 ,$369.71 ,$627.81 ,"$2,586.55 ","$1,345.30 ","$2,002.29 ",$852.04 ,"$2,738.70 ","$2,190.96 ","$3,043.00 ",$777.28 ,"$1,195.82 ","$1,195.82 ",$597.91 ,"$1,460.64 ","$2,738.70 " ST. JOHN'S HOSPITAL,31000228,81350,HC UGT1A1 GENE ANALYSIS COM VARIANTS-90,310,1 ,"$1,031.00 ",$670.15 ,$3.50 ,"$1,031.00 ",$585.00 ,$87.08 ,$558.80 ,$234.00 ,$288.68 ,$355.70 ,$234.00 ,$395.90 ,$234.00 ,$393.84 ,$3.50 ,$234.00 ,$393.84 ,$444.60 ,$794.33 ,$525.81 ,$585.00 ,$234.00 ,$721.70 ,$234.00 ,$515.50 ,$238.68 ,$773.25 ,$520.66 ,$469.11 ,$520.66 ,$234.00 ,$520.66 ,$304.20 ,$304.20 ,$304.20 ,"$1,031.00 ",$876.35 ,$585.00 ,$824.80 ,$381.47 ,$824.80 ,$234.00 ,$234.00 ,"$1,031.00 ",$558.80 ,$234.00 ,$271.15 , N/A , N/A ,$41.92 ,$40.02 ,$245.70 ,$876.35 ,$526.50 ,$678.40 ,$288.68 ,$927.90 ,$742.32 ,"$1,031.00 ",$304.20 ,$468.00 ,$468.00 ,$234.00 ,$494.88 ,$927.90 ST. JOHN'S HOSPITAL,31000229,81439,HC INHERITED CARDIOMYOPATHY SEQ ANALYSIS >5 GENES -90,310,1 ,"$2,134.00 ","$1,387.10 ",$3.50 ,"$2,134.00 ","$1,462.25 ","$1,193.47 ","$1,156.63 ",$584.90 ,$597.52 ,$736.23 ,$584.90 ,$819.46 ,$584.90 ,$815.19 ,$3.50 ,$584.90 ,$815.19 ,"$1,111.31 ","$1,984.06 ","$1,088.34 ","$1,462.25 ",$584.90 ,"$1,493.80 ",$584.90 ,"$1,067.00 ",$596.60 ,"$1,600.50 ","$1,077.67 ",$970.97 ,"$1,077.67 ",$584.90 ,"$1,077.67 ",$844.86 ,$844.86 ,$844.86 ,"$2,134.00 ","$1,813.90 ","$1,462.25 ","$1,707.20 ",$789.58 ,"$1,707.20 ",$584.90 ,$584.90 ,"$2,134.00 ","$1,156.63 ",$584.90 ,$561.24 , N/A , N/A ,$387.31 ,$369.71 ,$614.15 ,"$1,813.90 ","$1,316.03 ","$1,404.17 ",$597.52 ,"$1,920.60 ","$1,536.48 ","$2,134.00 ",$844.86 ,"$1,169.80 ","$1,169.80 ",$584.90 ,"$1,024.32 ","$1,920.60 " ST. JOHN'S HOSPITAL,31000230,81218,HC CEBPA GENE ANALYSIS FULL SEQUENCE-90,310,1 ,$833.00 ,$541.45 ,$3.50 ,$833.00 ,$604.75 ,$490.14 ,$451.49 ,$241.90 ,$233.24 ,$287.39 ,$241.90 ,$319.87 ,$241.90 ,$318.21 ,$3.50 ,$241.90 ,$318.21 ,$459.61 ,$820.37 ,$424.83 ,$604.75 ,$241.90 ,$583.10 ,$241.90 ,$416.50 ,$246.74 ,$624.75 ,$420.67 ,$379.02 ,$420.67 ,$241.90 ,$420.67 ,$349.40 ,$349.40 ,$349.40 ,$833.00 ,$708.05 ,$604.75 ,$666.40 ,$308.21 ,$666.40 ,$241.90 ,$241.90 ,$833.00 ,$451.49 ,$241.90 ,$219.08 , N/A , N/A ,$136.48 ,$130.27 ,$254.00 ,$708.05 ,$544.28 ,$548.11 ,$233.24 ,$749.70 ,$599.76 ,$833.00 ,$349.40 ,$483.80 ,$483.80 ,$241.90 ,$399.84 ,$749.70 ST. JOHN'S HOSPITAL,31000234,81272,HC V KIT GENE ANALYSIS TARGETED SEQ -90,310,1 ,"$1,046.00 ",$679.90 ,$3.50 ,"$1,046.00 ",$823.78 ,$490.14 ,$566.93 ,$329.51 ,$292.88 ,$360.87 ,$329.51 ,$401.66 ,$329.51 ,$399.57 ,$3.50 ,$329.51 ,$399.57 ,$626.07 ,"$1,046.00 ",$533.46 ,$823.78 ,$329.51 ,$732.20 ,$329.51 ,$523.00 ,$336.10 ,$784.50 ,$528.23 ,$475.93 ,$528.23 ,$329.51 ,$528.23 ,$428.36 ,$428.36 ,$428.36 ,"$1,046.00 ",$889.10 ,$823.78 ,$836.80 ,$387.02 ,$836.80 ,$329.51 ,$329.51 ,"$1,046.00 ",$566.93 ,$329.51 ,$275.10 , N/A , N/A ,$136.48 ,$130.27 ,$345.99 ,$889.10 ,$741.40 ,$688.27 ,$292.88 ,$941.40 ,$753.12 ,"$1,046.00 ",$428.36 ,$659.02 ,$659.02 ,$329.51 ,$502.08 ,$941.40 ST. JOHN'S HOSPITAL,31000241,81105,HC HPA-1 GENOTYPING ANALYSIS COMM VAR-90,310,1 ,$537.00 ,$349.05 ,$3.50 ,$537.00 ,$305.55 ,$224.46 ,$291.05 ,$122.22 ,$150.36 ,$185.27 ,$122.22 ,$206.21 ,$122.22 ,$205.13 ,$3.50 ,$122.22 ,$205.13 ,$232.22 ,$414.33 ,$273.87 ,$305.55 ,$122.22 ,$375.90 ,$122.22 ,$268.50 ,$124.66 ,$402.75 ,$271.19 ,$244.34 ,$271.19 ,$122.22 ,$271.19 ,$176.54 ,$176.54 ,$176.54 ,$537.00 ,$456.45 ,$305.55 ,$429.60 ,$198.69 ,$429.60 ,$122.22 ,$122.22 ,$537.00 ,$291.05 ,$122.22 ,$141.23 , N/A , N/A ,$136.48 ,$130.27 ,$128.33 ,$456.45 ,$275.00 ,$353.35 ,$150.36 ,$483.30 ,$386.64 ,$537.00 ,$176.54 ,$244.44 ,$244.44 ,$122.22 ,$257.76 ,$483.30 ST. JOHN'S HOSPITAL,31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS-90,310,1 ,"$1,326.00 ",$861.90 ,$3.50 ,"$1,326.00 ",$342.50 ,$203.79 ,$718.69 ,$137.00 ,$371.28 ,$424.32 ,$137.00 ,$487.97 ,$137.00 ,$506.53 ,$3.50 ,$137.00 ,$506.53 ,$260.30 ,$465.22 ,$676.26 ,$342.50 ,$137.00 ,$928.20 ,$137.00 ,$663.00 ,$139.74 ,$994.50 ,$669.63 ,$603.33 ,$669.63 ,$137.00 ,$669.63 ,$178.10 ,$178.10 ,$178.10 ,"$1,326.00 ","$1,127.10 ",$342.50 ,"$1,060.80 ",$490.62 ,"$1,060.80 ",$137.00 ,$137.00 ,"$1,326.00 ",$718.69 ,$137.00 ,$348.74 , N/A , N/A ,$41.92 ,$40.02 ,$143.85 ,"$1,127.10 ",$308.25 ,$872.51 ,$371.28 ,"$1,193.40 ",$954.72 ,"$1,326.00 ",$178.10 ,$274.00 ,$274.00 ,$137.00 ,$636.48 ,"$1,193.40 " ST. JOHN'S HOSPITAL,31000243,81305,HC MYD99 GENE ANALYSIS VARIANT-90,310,1 ,"$1,717.00 ","$1,116.05 ",$3.50 ,"$1,717.00 ",$438.50 ,$260.91 ,$930.61 ,$175.40 ,$480.76 ,$549.44 ,$175.40 ,$631.86 ,$175.40 ,$655.89 ,$3.50 ,$175.40 ,$655.89 ,$333.26 ,$595.46 ,$875.67 ,$438.50 ,$175.40 ,"$1,201.90 ",$175.40 ,$858.50 ,$178.91 ,"$1,287.75 ",$867.09 ,$781.24 ,$867.09 ,$175.40 ,$867.09 ,$228.02 ,$228.02 ,$228.02 ,"$1,717.00 ","$1,459.45 ",$438.50 ,"$1,373.60 ",$635.29 ,"$1,373.60 ",$175.40 ,$175.40 ,"$1,717.00 ",$930.61 ,$175.40 ,$451.57 , N/A , N/A ,$136.48 ,$130.27 ,$184.17 ,"$1,459.45 ",$394.65 ,"$1,129.79 ",$480.76 ,"$1,545.30 ","$1,236.24 ","$1,717.00 ",$228.02 ,$350.80 ,$350.80 ,$175.40 ,$824.16 ,"$1,545.30 " ST. JOHN'S HOSPITAL,31000249,81412,HC ASHKENAZI JEWISH ASSOC DIS GENE SEQ ANALYSIS 9 -90,310,1 ,"$2,250.00 ","$1,462.50 ",$3.50 ,"$5,625.00 ","$5,625.00 ",$889.37 ,"$1,219.50 ","$2,250.00 ",$630.00 ,$776.25 ,"$2,250.00 ",$864.00 ,"$2,250.00 ",$859.50 ,$3.50 ,"$2,250.00 ",$859.50 ,"$2,250.00 ","$2,250.00 ","$1,147.50 ","$5,625.00 ","$2,250.00 ","$1,575.00 ","$2,250.00 ","$1,125.00 ","$2,250.00 ","$1,687.50 ","$1,136.25 ","$1,023.75 ","$1,136.25 ","$2,250.00 ","$1,136.25 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$1,912.50 ","$2,250.00 ","$1,800.00 ",$832.50 ,"$1,800.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$1,219.50 ","$2,250.00 ",$591.75 , N/A , N/A ,$41.92 ,$40.02 ,"$2,362.50 ","$1,912.50 ","$5,062.50 ","$1,480.50 ",$630.00 ,"$2,025.00 ","$1,620.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$2,250.00 ","$1,080.00 ","$2,025.00 " ST. JOHN'S HOSPITAL,31000258,81269,HC HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS-90,310,1 ,$880.00 ,$572.00 ,$3.50 ,$880.00 ,$506.00 ,$301.07 ,$476.96 ,$202.40 ,$246.40 ,$303.60 ,$202.40 ,$337.92 ,$202.40 ,$336.16 ,$3.50 ,$202.40 ,$336.16 ,$384.56 ,$686.60 ,$448.80 ,$506.00 ,$202.40 ,$616.00 ,$202.40 ,$440.00 ,$206.45 ,$660.00 ,$444.40 ,$400.40 ,$444.40 ,$202.40 ,$444.40 ,$263.12 ,$263.12 ,$263.12 ,$880.00 ,$748.00 ,$506.00 ,$704.00 ,$325.60 ,$704.00 ,$202.40 ,$202.40 ,$880.00 ,$476.96 ,$202.40 ,$231.44 , N/A , N/A ,$387.31 ,$369.71 ,$212.52 ,$748.00 ,$455.40 ,$579.04 ,$246.40 ,$792.00 ,$633.60 ,$880.00 ,$263.12 ,$404.80 ,$404.80 ,$202.40 ,$422.40 ,$792.00 ST. JOHN'S HOSPITAL,31000259,81265,HC SHORT TANDEM REPEAT MARKERS SPECIMEN ANAL-90,310,1 ,"$1,647.00 ","$1,070.55 ",$3.50 ,"$1,647.00 ",$582.68 ,$472.50 ,$892.67 ,$233.07 ,$461.16 ,$568.22 ,$233.07 ,$632.45 ,$233.07 ,$629.15 ,$3.50 ,$233.07 ,$629.15 ,$442.83 ,$790.76 ,$839.97 ,$582.68 ,$233.07 ,"$1,152.90 ",$233.07 ,$823.50 ,$237.73 ,"$1,235.25 ",$831.74 ,$749.39 ,$831.74 ,$233.07 ,$831.74 ,$310.62 ,$310.62 ,$310.62 ,"$1,647.00 ","$1,399.95 ",$582.68 ,"$1,317.60 ",$609.39 ,"$1,317.60 ",$233.07 ,$233.07 ,"$1,647.00 ",$892.67 ,$233.07 ,$433.16 , N/A , N/A ,$136.48 ,$130.27 ,$244.72 ,"$1,399.95 ",$524.41 ,"$1,083.73 ",$461.16 ,"$1,482.30 ","$1,185.84 ","$1,647.00 ",$310.62 ,$466.14 ,$466.14 ,$233.07 ,$790.56 ,"$1,482.30 " ST. JOHN'S HOSPITAL,31000278,81259,HC HBA1 / HBA2 FULL GENE SEQ- 90,310,1 ,$899.00 ,$584.35 ,$3.50 ,"$1,500.00 ","$1,500.00 ",$892.50 ,$487.26 ,$600.00 ,$251.72 ,$310.16 ,$600.00 ,$345.22 ,$600.00 ,$343.42 ,$3.50 ,$600.00 ,$343.42 ,$899.00 ,$899.00 ,$458.49 ,"$1,500.00 ",$600.00 ,$629.30 ,$600.00 ,$449.50 ,$612.00 ,$674.25 ,$454.00 ,$409.05 ,$454.00 ,$600.00 ,$454.00 ,$780.00 ,$780.00 ,$780.00 ,$899.00 ,$764.15 ,$899.00 ,$719.20 ,$332.63 ,$719.20 ,$600.00 ,$600.00 ,$899.00 ,$487.26 ,$600.00 ,$236.44 , N/A , N/A ,$387.31 ,$369.71 ,$630.00 ,$764.15 ,"$1,350.00 ",$591.54 ,$251.72 ,$809.10 ,$647.28 ,$899.00 ,$780.00 ,$899.00 ,$899.00 ,$600.00 ,$431.52 ,$809.10 ST. JOHN'S HOSPITAL,31000279,81363,HC HBB GENE DUP/DEL,310,1 ,$825.00 ,$536.25 ,$3.50 ,$825.00 ,$506.00 ,$301.07 ,$447.15 ,$202.40 ,$231.00 ,$284.63 ,$202.40 ,$316.80 ,$202.40 ,$315.15 ,$3.50 ,$202.40 ,$315.15 ,$384.56 ,$686.60 ,$420.75 ,$506.00 ,$202.40 ,$577.50 ,$202.40 ,$412.50 ,$206.45 ,$618.75 ,$416.63 ,$375.38 ,$416.63 ,$202.40 ,$416.63 ,$263.12 ,$263.12 ,$263.12 ,$825.00 ,$701.25 ,$506.00 ,$660.00 ,$305.25 ,$660.00 ,$202.40 ,$202.40 ,$825.00 ,$447.15 ,$202.40 ,$216.98 , N/A , N/A ,$136.48 ,$130.27 ,$212.52 ,$701.25 ,$455.40 ,$542.85 ,$231.00 ,$742.50 ,$594.00 ,$825.00 ,$263.12 ,$404.80 ,$404.80 ,$202.40 ,$396.00 ,$742.50 ST. JOHN'S HOSPITAL,31000284,81339,HC MPL GENE SEQ ANLY EXON- 90,310,1 ,$803.00 ,$521.95 ,$130.27 ,$803.00 ,$463.00 ,$275.49 ,$435.23 ,$185.20 ,$224.84 ,$256.96 ,$185.20 ,$295.50 ,$185.20 ,$306.75 ,$321.20 ,$185.20 ,$306.75 ,$351.88 ,$628.61 ,$409.53 ,$463.00 ,$185.20 ,$562.10 ,$185.20 ,$401.50 ,$188.90 ,$602.25 ,$405.52 ,$365.37 ,$405.52 ,$185.20 ,$405.52 ,$562.10 ,$562.10 ,$562.10 ,$803.00 ,$682.55 ,$463.00 ,$642.40 ,$297.11 ,$642.40 ,$185.20 ,$185.20 ,$803.00 ,$435.23 ,$185.20 ,$211.19 , N/A , N/A ,$136.48 ,$130.27 ,$194.46 ,$682.55 ,$416.70 ,$528.37 ,$224.84 ,$722.70 ,$578.16 ,$803.00 ,$562.10 ,$370.40 ,$370.40 ,$185.20 ,$385.44 ,$722.70 ST. JOHN'S HOSPITAL,31000287,81448,HC HEREDITY PERPH NEUR GEN SEQ- 90,310,1 ,"$3,540.00 ","$2,301.00 ",$3.50 ,"$3,540.00 ","$1,462.25 ","$1,074.13 ","$1,918.68 ",$584.90 ,$991.20 ,"$1,221.30 ",$584.90 ,"$1,359.36 ",$584.90 ,"$1,352.28 ",$3.50 ,$584.90 ,"$1,352.28 ","$1,111.31 ","$1,984.06 ","$1,805.40 ","$1,462.25 ",$584.90 ,"$2,478.00 ",$584.90 ,"$1,770.00 ",$596.60 ,"$2,655.00 ","$1,787.70 ","$1,610.70 ","$1,787.70 ",$584.90 ,"$1,787.70 ",$844.86 ,$844.86 ,$844.86 ,"$3,540.00 ","$3,009.00 ","$1,462.25 ","$2,832.00 ","$1,309.80 ","$2,832.00 ",$584.90 ,$584.90 ,"$3,540.00 ","$1,918.68 ",$584.90 ,$931.02 , N/A , N/A ,$136.48 ,$130.27 ,$614.15 ,"$3,009.00 ","$1,316.03 ","$2,329.32 ",$991.20 ,"$3,186.00 ","$2,548.80 ","$3,540.00 ",$844.86 ,"$1,169.80 ","$1,169.80 ",$584.90 ,"$1,699.20 ","$3,186.00 " ST. JOHN'S HOSPITAL,31040112,81279,HC JAK2 GENE TARGETED SEQ ALYS- 90,310,1 ,$850.00 ,$552.50 ,$130.27 ,$850.00 ,$463.00 ,$275.49 ,$460.70 ,$185.20 ,$238.00 ,$272.00 ,$185.20 ,$312.80 ,$185.20 ,$324.70 ,$340.00 ,$185.20 ,$324.70 ,$351.88 ,$628.61 ,$433.50 ,$463.00 ,$185.20 ,$595.00 ,$185.20 ,$425.00 ,$188.90 ,$637.50 ,$429.25 ,$386.75 ,$429.25 ,$185.20 ,$429.25 ,$595.00 ,$595.00 ,$595.00 ,$850.00 ,$722.50 ,$463.00 ,$680.00 ,$314.50 ,$680.00 ,$185.20 ,$185.20 ,$850.00 ,$460.70 ,$185.20 ,$223.55 , N/A , N/A ,$136.48 ,$130.27 ,$194.46 ,$722.50 ,$416.70 ,$559.30 ,$238.00 ,$765.00 ,$612.00 ,$850.00 ,$595.00 ,$370.40 ,$370.40 ,$185.20 ,$408.00 ,$765.00 ST. JOHN'S HOSPITAL,31100101,88104,HC CYTOPATH FLD SMEAR,311,1 ,$243.00 ,$157.95 ,$32.21 ,$243.00 ,$81.35 ,$64.63 ,$131.71 ,$32.54 ,$68.04 ,$83.84 ,$32.54 ,$93.31 ,$32.54 ,$92.83 ,$60.18 ,$32.54 ,$92.83 ,$61.82 ,$135.30 ,$123.93 ,$81.34 ,$32.54 ,$170.10 ,$32.54 ,$121.50 ,$33.19 ,$182.25 ,$122.72 ,$110.57 ,$122.72 ,$32.54 ,$122.72 ,$50.08 ,$50.08 ,$50.08 ,$243.00 ,$206.55 ,$81.34 ,$194.40 ,$89.91 ,$194.40 ,$32.54 ,$32.54 ,$243.00 ,$131.71 ,$32.54 ,$63.91 , N/A , N/A ,$33.75 ,$32.21 ,$34.17 ,$206.55 ,$73.21 ,$159.89 ,$68.04 ,$218.70 ,$174.96 ,$243.00 ,$50.08 ,$67.68 ,$67.68 ,$32.54 ,$116.64 ,$218.70 ST. JOHN'S HOSPITAL,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$254.00 ,$165.10 ,$35.44 ,$254.00 ,$119.43 ,$69.69 ,$137.67 ,$47.77 ,$71.12 ,$87.63 ,$47.77 ,$97.54 ,$47.77 ,$97.03 ,$56.56 ,$47.77 ,$97.03 ,$90.76 ,$135.30 ,$129.54 ,$119.41 ,$47.77 ,$177.80 ,$47.77 ,$127.00 ,$48.72 ,$190.50 ,$128.27 ,$115.57 ,$128.27 ,$47.77 ,$128.27 ,$47.06 ,$47.06 ,$47.06 ,$254.00 ,$215.90 ,$119.41 ,$203.20 ,$93.98 ,$203.20 ,$47.77 ,$47.77 ,$254.00 ,$137.67 ,$47.77 ,$66.80 , N/A , N/A ,$37.13 ,$35.44 ,$50.16 ,$215.90 ,$107.47 ,$167.13 ,$71.12 ,$228.60 ,$182.88 ,$254.00 ,$47.06 ,$99.52 ,$99.52 ,$47.77 ,$121.92 ,$228.60 ST. JOHN'S HOSPITAL,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$526.00 ,$341.90 ,$21.05 ,$526.00 ,$358.40 ,$26.44 ,$285.09 ,$143.36 ,$147.28 ,$181.47 ,$143.36 ,$201.98 ,$143.36 ,$200.93 ,$28.62 ,$143.36 ,$200.93 ,$272.39 ,$67.82 ,$268.26 ,$358.41 ,$143.36 ,$368.20 ,$143.36 ,$263.00 ,$146.23 ,$394.50 ,$265.63 ,$239.33 ,$265.63 ,$143.36 ,$265.63 ,$23.82 ,$23.82 ,$23.82 ,$526.00 ,$447.10 ,$358.41 ,$420.80 ,$194.62 ,$420.80 ,$143.36 ,$143.36 ,$21.05 ,$285.09 ,$143.36 ,$138.34 , N/A , N/A ,$33.75 ,$32.21 ,$150.53 ,$447.10 ,$322.57 ,$346.11 ,$147.28 ,$473.40 ,$378.72 ,$526.00 ,$23.82 ,$298.32 ,$298.32 ,$143.36 ,$252.48 ,$473.40 ST. JOHN'S HOSPITAL,31100116,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$156.00 ,$101.40 ,$8.61 ,$156.00 , N/A ,$10.80 ,$84.55 , N/A ,$43.68 ,$53.82 , N/A ,$59.90 , N/A ,$59.59 ,$10.35 , N/A ,$59.59 , N/A ,$24.85 ,$79.56 , N/A , N/A ,$109.20 , N/A ,$78.00 , N/A ,$117.00 ,$78.78 ,$70.98 ,$78.78 , N/A ,$78.78 ,$8.61 ,$8.61 ,$8.61 ,$156.00 ,$132.60 , N/A ,$124.80 ,$57.72 ,$124.80 , N/A , N/A ,$156.00 ,$84.55 , N/A ,$41.03 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$132.60 , N/A ,$102.65 ,$43.68 ,$140.40 ,$112.32 ,$156.00 ,$8.61 ,$14.66 ,$14.66 , N/A ,$74.88 ,$140.40 ST. JOHN'S HOSPITAL,31100239,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$254.00 ,$165.10 ,$23.75 ,$254.00 ,$59.38 ,$89.92 ,$137.67 ,$23.75 ,$71.12 ,$87.63 ,$23.75 ,$97.54 ,$23.75 ,$97.03 ,$64.84 ,$23.75 ,$97.03 ,$45.12 ,$161.34 ,$129.54 ,$59.37 ,$23.75 ,$177.80 ,$23.75 ,$127.00 ,$24.22 ,$190.50 ,$128.27 ,$115.57 ,$128.27 ,$23.75 ,$128.27 ,$53.95 ,$53.95 ,$53.95 ,$254.00 ,$215.90 ,$59.37 ,$203.20 ,$93.98 ,$203.20 ,$23.75 ,$23.75 ,$254.00 ,$137.67 ,$23.75 ,$66.80 , N/A , N/A ,$33.75 ,$32.21 ,$24.94 ,$215.90 ,$53.43 ,$167.13 ,$71.12 ,$228.60 ,$182.88 ,$254.00 ,$53.95 ,$49.34 ,$49.34 ,$23.75 ,$121.92 ,$228.60 ST. JOHN'S HOSPITAL,31100243,88175,HC CYTOPATH SM C/V AUTO FLUD REDO,311,1 ,$183.00 ,$118.95 ,$3.50 ,$183.00 ,$66.53 ,$53.90 ,$99.19 ,$26.61 ,$51.24 ,$63.14 ,$26.61 ,$70.27 ,$26.61 ,$69.91 ,$3.50 ,$26.61 ,$69.91 ,$50.56 ,$89.99 ,$93.33 ,$66.53 ,$26.61 ,$128.10 ,$26.61 ,$91.50 ,$27.14 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$26.61 ,$92.42 ,$38.27 ,$38.27 ,$38.27 ,$183.00 ,$155.55 ,$66.53 ,$146.40 ,$67.71 ,$146.40 ,$26.61 ,$26.61 ,$20.26 ,$99.19 ,$26.61 ,$48.13 , N/A , N/A ,$24.46 ,$23.35 ,$27.94 ,$155.55 ,$59.87 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$38.27 ,$53.22 ,$53.22 ,$26.61 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$170.00 ,$110.50 ,$35.44 ,$699.90 ,$699.90 ,$120.28 ,$92.14 ,$279.96 ,$47.60 ,$58.65 ,$279.96 ,$65.28 ,$170.00 ,$64.94 ,$97.60 ,$170.00 ,$64.94 ,$170.00 ,$170.00 ,$86.70 ,$699.90 ,$279.96 ,$119.00 ,$279.96 ,$85.00 ,$170.00 ,$127.50 ,$85.85 ,$77.35 ,$85.85 ,$279.96 ,$85.85 ,$81.21 ,$81.21 ,$81.21 ,$170.00 ,$144.50 ,$170.00 ,$136.00 ,$62.90 ,$136.00 ,$279.96 ,$279.96 ,$170.00 ,$92.14 ,$279.96 ,$44.71 , N/A , N/A ,$37.13 ,$35.44 ,$293.96 ,$144.50 ,$629.91 ,$111.86 ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$81.21 ,$170.00 ,$170.00 ,$279.96 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,31100245,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$357.00 ,$232.05 ,$35.44 ,$699.90 ,$699.90 ,$120.28 ,$193.49 ,$279.96 ,$99.96 ,$123.17 ,$279.96 ,$137.09 ,$279.96 ,$136.37 ,$97.60 ,$279.96 ,$136.37 ,$357.00 ,$237.45 ,$182.07 ,$699.90 ,$279.96 ,$249.90 ,$279.96 ,$178.50 ,$285.56 ,$267.75 ,$180.29 ,$162.44 ,$180.29 ,$279.96 ,$180.29 ,$81.21 ,$81.21 ,$81.21 ,$357.00 ,$303.45 ,$357.00 ,$285.60 ,$132.09 ,$285.60 ,$279.96 ,$279.96 ,$357.00 ,$193.49 ,$279.96 ,$93.89 , N/A , N/A ,$37.13 ,$35.44 ,$293.96 ,$303.45 ,$629.91 ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$81.21 ,$357.00 ,$357.00 ,$279.96 ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$113.00 ,$73.45 ,$29.71 ,$113.00 , N/A ,$73.36 ,$61.25 , N/A ,$31.64 ,$38.99 , N/A ,$43.39 , N/A ,$43.17 ,$35.19 , N/A ,$43.17 , N/A ,$78.12 ,$57.63 , N/A , N/A ,$79.10 , N/A ,$56.50 , N/A ,$84.75 ,$57.07 ,$51.42 ,$57.07 , N/A ,$57.07 ,$29.71 ,$29.71 ,$29.71 ,$113.00 ,$96.05 , N/A ,$90.40 ,$41.81 ,$90.40 , N/A , N/A ,$113.00 ,$61.25 , N/A ,$29.72 , N/A , N/A ,$37.13 ,$35.44 , N/A ,$96.05 , N/A ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$29.71 ,$46.06 ,$46.06 , N/A ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,31100247,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$277.00 ,$180.05 ,$29.71 ,$277.00 , N/A ,$73.36 ,$150.13 , N/A ,$77.56 ,$95.57 , N/A ,$106.37 , N/A ,$105.81 ,$35.19 , N/A ,$105.81 , N/A ,$78.12 ,$141.27 , N/A , N/A ,$193.90 , N/A ,$138.50 , N/A ,$207.75 ,$139.89 ,$126.04 ,$139.89 , N/A ,$139.89 ,$29.71 ,$29.71 ,$29.71 ,$277.00 ,$235.45 , N/A ,$221.60 ,$102.49 ,$221.60 , N/A , N/A ,$277.00 ,$150.13 , N/A ,$72.85 , N/A , N/A ,$37.13 ,$35.44 , N/A ,$235.45 , N/A ,$182.27 ,$77.56 ,$249.30 ,$199.44 ,$277.00 ,$29.71 ,$46.06 ,$46.06 , N/A ,$132.96 ,$249.30 ST. JOHN'S HOSPITAL,31100248,88187,HC FLOW CYTO INT 2-8 MARKERS-90,311,1 ,$329.00 ,$213.85 ,$32.21 ,$329.00 , N/A ,$100.92 ,$178.32 , N/A ,$92.12 ,$113.51 , N/A ,$126.34 , N/A ,$125.68 ,$59.74 , N/A ,$125.68 , N/A ,$88.57 ,$167.79 , N/A , N/A ,$230.30 , N/A ,$164.50 , N/A ,$246.75 ,$166.15 ,$149.70 ,$166.15 , N/A ,$166.15 ,$49.71 ,$49.71 ,$49.71 ,$329.00 ,$279.65 , N/A ,$263.20 ,$121.73 ,$263.20 , N/A , N/A ,$329.00 ,$178.32 , N/A ,$86.53 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$279.65 , N/A ,$216.48 ,$92.12 ,$296.10 ,$236.88 ,$329.00 ,$49.71 ,$73.28 ,$73.28 , N/A ,$157.92 ,$296.10 ST. JOHN'S HOSPITAL,31100249,88188,HC FLOW CYTO INT 9-15 MARKERS-90,311,1 ,$181.00 ,$117.65 ,$32.21 ,$181.00 , N/A ,$128.64 ,$98.10 , N/A ,$50.68 ,$62.45 , N/A ,$69.50 , N/A ,$69.14 ,$101.13 , N/A ,$69.14 , N/A ,$151.85 ,$92.31 , N/A , N/A ,$126.70 , N/A ,$90.50 , N/A ,$135.75 ,$91.41 ,$82.36 ,$91.41 , N/A ,$91.41 ,$84.16 ,$84.16 ,$84.16 ,$181.00 ,$153.85 , N/A ,$144.80 ,$66.97 ,$144.80 , N/A , N/A ,$181.00 ,$98.10 , N/A ,$47.60 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$153.85 , N/A ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$84.16 ,$125.62 ,$125.62 , N/A ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,$385.00 ,$250.25 ,$3.50 ,$385.00 ,$291.23 ,$238.21 ,$208.67 ,$116.49 ,$107.80 ,$132.83 ,$116.49 ,$147.84 ,$116.49 ,$147.07 ,$3.50 ,$116.49 ,$147.07 ,$221.33 ,$385.00 ,$196.35 ,$291.23 ,$116.49 ,$269.50 ,$116.49 ,$192.50 ,$118.82 ,$288.75 ,$194.43 ,$175.18 ,$194.43 ,$116.49 ,$194.43 ,$168.27 ,$168.27 ,$168.27 ,$385.00 ,$327.25 ,$291.23 ,$308.00 ,$142.45 ,$308.00 ,$116.49 ,$116.49 ,$385.00 ,$208.67 ,$116.49 ,$101.26 , N/A , N/A ,$37.13 ,$35.44 ,$122.31 ,$327.25 ,$262.10 ,$253.33 ,$107.80 ,$346.50 ,$277.20 ,$385.00 ,$168.27 ,$232.98 ,$232.98 ,$116.49 ,$184.80 ,$346.50 ST. JOHN'S HOSPITAL,31100252,88233,HC TISSUE CULT SKIN/OTH SOLID-90,311,1 ,$517.00 ,$336.05 ,$3.50 ,$517.00 ,$351.83 ,$287.74 ,$280.21 ,$140.73 ,$144.76 ,$178.37 ,$140.73 ,$198.53 ,$140.73 ,$197.49 ,$3.50 ,$140.73 ,$197.49 ,$267.39 ,$477.05 ,$263.67 ,$351.83 ,$140.73 ,$361.90 ,$140.73 ,$258.50 ,$143.54 ,$387.75 ,$261.09 ,$235.24 ,$261.09 ,$140.73 ,$261.09 ,$203.27 ,$203.27 ,$203.27 ,$517.00 ,$439.45 ,$351.83 ,$413.60 ,$191.29 ,$413.60 ,$140.73 ,$140.73 ,$517.00 ,$280.21 ,$140.73 ,$135.97 , N/A , N/A ,$37.13 ,$35.44 ,$147.77 ,$439.45 ,$316.64 ,$340.19 ,$144.76 ,$465.30 ,$372.24 ,$517.00 ,$203.27 ,$281.46 ,$281.46 ,$140.73 ,$248.16 ,$465.30 ST. JOHN'S HOSPITAL,31100253,88235,HC TISSUE CULT AMNIO/CHORION-90,311,1 ,$300.00 ,$195.00 ,$3.50 ,$375.75 ,$375.75 ,$300.00 ,$162.60 ,$150.30 ,$84.00 ,$103.50 ,$150.30 ,$115.20 ,$150.30 ,$114.60 ,$3.50 ,$150.30 ,$114.60 ,$285.57 ,$300.00 ,$153.00 ,$375.75 ,$150.30 ,$210.00 ,$150.30 ,$150.00 ,$153.31 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$150.30 ,$151.50 ,$212.72 ,$212.72 ,$212.72 ,$300.00 ,$255.00 ,$300.00 ,$240.00 ,$111.00 ,$240.00 ,$150.30 ,$150.30 ,$300.00 ,$162.60 ,$150.30 ,$78.90 , N/A , N/A ,$37.13 ,$35.44 ,$157.82 ,$255.00 ,$338.18 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$212.72 ,$300.00 ,$300.00 ,$150.30 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,31100254,88235,HC TISSUE CULT AMNIO/CHORION PRENATAL-90,311,1 ,$662.00 ,$430.30 ,$3.50 ,$662.00 ,$375.75 ,$301.11 ,$358.80 ,$150.30 ,$185.36 ,$228.39 ,$150.30 ,$254.21 ,$150.30 ,$252.88 ,$3.50 ,$150.30 ,$252.88 ,$285.57 ,$510.24 ,$337.62 ,$375.75 ,$150.30 ,$463.40 ,$150.30 ,$331.00 ,$153.31 ,$496.50 ,$334.31 ,$301.21 ,$334.31 ,$150.30 ,$334.31 ,$212.72 ,$212.72 ,$212.72 ,$662.00 ,$562.70 ,$375.75 ,$529.60 ,$244.94 ,$529.60 ,$150.30 ,$150.30 ,$662.00 ,$358.80 ,$150.30 ,$174.11 , N/A , N/A ,$37.13 ,$35.44 ,$157.82 ,$562.70 ,$338.18 ,$435.60 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$212.72 ,$300.60 ,$300.60 ,$150.30 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,31100255,88237,HC TISSUE CULT BONE/BLD-90,311,1 ,$464.00 ,$301.60 ,$3.50 ,$464.00 ,$359.38 ,$258.27 ,$251.49 ,$143.75 ,$129.92 ,$160.08 ,$143.75 ,$178.18 ,$143.75 ,$177.25 ,$3.50 ,$143.75 ,$177.25 ,$273.13 ,$464.00 ,$236.64 ,$359.38 ,$143.75 ,$324.80 ,$143.75 ,$232.00 ,$146.63 ,$348.00 ,$234.32 ,$211.12 ,$234.32 ,$143.75 ,$234.32 ,$186.88 ,$186.88 ,$186.88 ,$464.00 ,$394.40 ,$359.38 ,$371.20 ,$171.68 ,$371.20 ,$143.75 ,$143.75 ,$464.00 ,$251.49 ,$143.75 ,$122.03 , N/A , N/A ,$37.13 ,$35.44 ,$150.94 ,$394.40 ,$323.44 ,$305.31 ,$129.92 ,$417.60 ,$334.08 ,$464.00 ,$186.88 ,$287.50 ,$287.50 ,$143.75 ,$222.72 ,$417.60 ST. JOHN'S HOSPITAL,31100256,88239,HC TISSUE CULT TUMOR-90,311,1 ,$630.00 ,$409.50 ,$3.50 ,$630.00 ,$368.80 ,$301.63 ,$341.46 ,$147.52 ,$176.40 ,$217.35 ,$147.52 ,$241.92 ,$147.52 ,$240.66 ,$3.50 ,$147.52 ,$240.66 ,$280.29 ,$500.75 ,$321.30 ,$368.80 ,$147.52 ,$441.00 ,$147.52 ,$315.00 ,$150.47 ,$472.50 ,$318.15 ,$286.65 ,$318.15 ,$147.52 ,$318.15 ,$213.08 ,$213.08 ,$213.08 ,$630.00 ,$535.50 ,$368.80 ,$504.00 ,$233.10 ,$504.00 ,$147.52 ,$147.52 ,$630.00 ,$341.46 ,$147.52 ,$165.69 , N/A , N/A ,$37.13 ,$35.44 ,$154.90 ,$535.50 ,$331.92 ,$414.54 ,$176.40 ,$567.00 ,$453.60 ,$630.00 ,$213.08 ,$295.04 ,$295.04 ,$147.52 ,$302.40 ,$567.00 ST. JOHN'S HOSPITAL,31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$385.00 ,$250.25 ,$3.50 ,$385.00 ,$313.73 ,$254.85 ,$208.67 ,$125.49 ,$107.80 ,$132.83 ,$125.49 ,$147.84 ,$125.49 ,$147.07 ,$3.50 ,$125.49 ,$147.07 ,$238.43 ,$385.00 ,$196.35 ,$313.73 ,$125.49 ,$269.50 ,$125.49 ,$192.50 ,$128.00 ,$288.75 ,$194.43 ,$175.18 ,$194.43 ,$125.49 ,$194.43 ,$180.04 ,$180.04 ,$180.04 ,$385.00 ,$327.25 ,$313.73 ,$308.00 ,$142.45 ,$308.00 ,$125.49 ,$125.49 ,$385.00 ,$208.67 ,$125.49 ,$101.26 , N/A , N/A ,$41.92 ,$40.02 ,$131.76 ,$327.25 ,$282.35 ,$253.33 ,$107.80 ,$346.50 ,$277.20 ,$385.00 ,$180.04 ,$250.98 ,$250.98 ,$125.49 ,$184.80 ,$346.50 ST. JOHN'S HOSPITAL,31100258,88264,HC CHROM ANLYS ANALYZE 20-90,311,1 ,$508.00 ,$330.20 ,$3.50 ,$508.00 ,$361.53 ,$254.85 ,$275.34 ,$144.61 ,$142.24 ,$175.26 ,$144.61 ,$195.07 ,$144.61 ,$194.06 ,$3.50 ,$144.61 ,$194.06 ,$274.76 ,$490.11 ,$259.08 ,$361.53 ,$144.61 ,$355.60 ,$144.61 ,$254.00 ,$147.50 ,$381.00 ,$256.54 ,$231.14 ,$256.54 ,$144.61 ,$256.54 ,$187.99 ,$187.99 ,$187.99 ,$508.00 ,$431.80 ,$361.53 ,$406.40 ,$187.96 ,$406.40 ,$144.61 ,$144.61 ,$508.00 ,$275.34 ,$144.61 ,$133.60 , N/A , N/A ,$41.92 ,$40.02 ,$151.84 ,$431.80 ,$325.37 ,$334.26 ,$142.24 ,$457.20 ,$365.76 ,$508.00 ,$187.99 ,$289.22 ,$289.22 ,$144.61 ,$243.84 ,$457.20 ST. JOHN'S HOSPITAL,31100259,88267,HC CHROM COUNT AMNIOTIC 15/1-90,311,1 ,$659.00 ,$428.35 ,$3.50 ,$659.00 ,$471.43 ,$367.57 ,$357.18 ,$188.57 ,$184.52 ,$227.36 ,$188.57 ,$253.06 ,$188.57 ,$251.74 ,$3.50 ,$188.57 ,$251.74 ,$358.28 ,$639.24 ,$336.09 ,$471.43 ,$188.57 ,$461.30 ,$188.57 ,$329.50 ,$192.34 ,$494.25 ,$332.80 ,$299.85 ,$332.80 ,$188.57 ,$332.80 ,$259.68 ,$259.68 ,$259.68 ,$659.00 ,$560.15 ,$471.43 ,$527.20 ,$243.83 ,$527.20 ,$188.57 ,$188.57 ,$659.00 ,$357.18 ,$188.57 ,$173.32 , N/A , N/A ,$41.92 ,$40.02 ,$198.00 ,$560.15 ,$424.28 ,$433.62 ,$184.52 ,$593.10 ,$474.48 ,$659.00 ,$259.68 ,$377.14 ,$377.14 ,$188.57 ,$316.32 ,$593.10 ST. JOHN'S HOSPITAL,31100260,88269,HC CHROM CT AMNIOTIC INSITU-90,311,1 ,$300.00 ,$195.00 ,$3.50 ,$434.15 ,$434.15 ,$300.00 ,$162.60 ,$173.66 ,$84.00 ,$103.50 ,$173.66 ,$115.20 ,$173.66 ,$114.60 ,$3.50 ,$173.66 ,$114.60 ,$300.00 ,$300.00 ,$153.00 ,$434.15 ,$173.66 ,$210.00 ,$173.66 ,$150.00 ,$177.13 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$173.66 ,$151.50 ,$240.25 ,$240.25 ,$240.25 ,$300.00 ,$255.00 ,$300.00 ,$240.00 ,$111.00 ,$240.00 ,$173.66 ,$173.66 ,$300.00 ,$162.60 ,$173.66 ,$78.90 , N/A , N/A ,$41.92 ,$40.02 ,$182.34 ,$255.00 ,$390.74 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$240.25 ,$300.00 ,$300.00 ,$173.66 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,31100261,88271,HC MCG DNA PROBE(FISH)-90,311,1 ,$70.00 ,$45.50 ,$3.50 ,$70.00 ,$53.55 ,$29.61 ,$37.94 ,$21.42 ,$19.60 ,$24.15 ,$21.42 ,$26.88 ,$21.42 ,$26.74 ,$3.50 ,$21.42 ,$26.74 ,$40.70 ,$70.00 ,$35.70 ,$53.55 ,$21.42 ,$49.00 ,$21.42 ,$35.00 ,$21.85 ,$52.50 ,$35.35 ,$31.85 ,$35.35 ,$21.42 ,$35.35 ,$30.94 ,$30.94 ,$30.94 ,$70.00 ,$59.50 ,$53.55 ,$56.00 ,$25.90 ,$56.00 ,$21.42 ,$21.42 ,$70.00 ,$37.94 ,$21.42 ,$18.41 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$59.50 ,$48.20 ,$46.06 ,$19.60 ,$63.00 ,$50.40 ,$70.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$33.60 ,$63.00 ST. JOHN'S HOSPITAL,31100262,88271,HC MCG DNA PROBE(BCR/ABL)-90,311,1 ,$163.00 ,$105.95 ,$3.50 ,$163.00 ,$53.55 ,$29.61 ,$88.35 ,$21.42 ,$45.64 ,$56.24 ,$21.42 ,$62.59 ,$21.42 ,$62.27 ,$3.50 ,$21.42 ,$62.27 ,$40.70 ,$72.21 ,$83.13 ,$53.55 ,$21.42 ,$114.10 ,$21.42 ,$81.50 ,$21.85 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$21.42 ,$82.32 ,$30.94 ,$30.94 ,$30.94 ,$163.00 ,$138.55 ,$53.55 ,$130.40 ,$60.31 ,$130.40 ,$21.42 ,$21.42 ,$163.00 ,$88.35 ,$21.42 ,$42.87 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$138.55 ,$48.20 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,31100263,88271,HC MCG DNA PROBE (FISH MDS)-90,311,1 ,$362.00 ,$235.30 ,$3.50 ,$362.00 ,$53.55 ,$29.61 ,$196.20 ,$21.42 ,$101.36 ,$88.70 ,$21.42 ,$88.70 ,$21.42 ,$138.28 ,$3.50 ,$21.42 ,$138.28 ,$40.70 ,$72.21 ,$184.62 ,$53.55 ,$21.42 ,$253.40 ,$21.42 ,$181.00 ,$21.85 ,$271.50 ,$182.81 ,$164.71 ,$182.81 ,$21.42 ,$182.81 ,$30.94 ,$30.94 ,$30.94 ,$362.00 ,$307.70 ,$53.55 ,$289.60 ,$133.94 ,$289.60 ,$21.42 ,$21.42 ,$362.00 ,$196.20 ,$21.42 ,$95.21 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$307.70 ,$48.20 ,$238.20 ,$101.36 ,$325.80 ,$260.64 ,$362.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$173.76 ,$325.80 ST. JOHN'S HOSPITAL,31100264,88271,HC MCG DNA PROBE (B CELL)-90,311,1 ,$252.00 ,$163.80 ,$3.50 ,$252.00 ,$53.55 ,$29.61 ,$136.58 ,$21.42 ,$70.56 ,$86.94 ,$21.42 ,$88.70 ,$21.42 ,$96.26 ,$3.50 ,$21.42 ,$96.26 ,$40.70 ,$72.21 ,$128.52 ,$53.55 ,$21.42 ,$176.40 ,$21.42 ,$126.00 ,$21.85 ,$189.00 ,$127.26 ,$114.66 ,$127.26 ,$21.42 ,$127.26 ,$30.94 ,$30.94 ,$30.94 ,$252.00 ,$214.20 ,$53.55 ,$201.60 ,$93.24 ,$201.60 ,$21.42 ,$21.42 ,$252.00 ,$136.58 ,$21.42 ,$66.28 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$214.20 ,$48.20 ,$165.82 ,$70.56 ,$226.80 ,$181.44 ,$252.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$120.96 ,$226.80 ST. JOHN'S HOSPITAL,31100265,88271,HC MCG DNA PROBE (FISH SPEC)-90,311,1 ,$163.00 ,$105.95 ,$3.50 ,$163.00 ,$53.55 ,$29.61 ,$88.35 ,$21.42 ,$45.64 ,$56.24 ,$21.42 ,$62.59 ,$21.42 ,$62.27 ,$3.50 ,$21.42 ,$62.27 ,$40.70 ,$72.21 ,$83.13 ,$53.55 ,$21.42 ,$114.10 ,$21.42 ,$81.50 ,$21.85 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$21.42 ,$82.32 ,$30.94 ,$30.94 ,$30.94 ,$163.00 ,$138.55 ,$53.55 ,$130.40 ,$60.31 ,$130.40 ,$21.42 ,$21.42 ,$163.00 ,$88.35 ,$21.42 ,$42.87 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$138.55 ,$48.20 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,31100266,88271,HC MCG DNA PROBE (FISH CONCEPT)-90,311,1 ,$263.00 ,$170.95 ,$3.50 ,$263.00 ,$53.55 ,$29.61 ,$142.55 ,$21.42 ,$73.64 ,$88.70 ,$21.42 ,$88.70 ,$21.42 ,$100.47 ,$3.50 ,$21.42 ,$100.47 ,$40.70 ,$72.21 ,$134.13 ,$53.55 ,$21.42 ,$184.10 ,$21.42 ,$131.50 ,$21.85 ,$197.25 ,$132.82 ,$119.67 ,$132.82 ,$21.42 ,$132.82 ,$30.94 ,$30.94 ,$30.94 ,$263.00 ,$223.55 ,$53.55 ,$210.40 ,$97.31 ,$210.40 ,$21.42 ,$21.42 ,$263.00 ,$142.55 ,$21.42 ,$69.17 , N/A , N/A ,$41.92 ,$40.02 ,$22.49 ,$223.55 ,$48.20 ,$173.05 ,$73.64 ,$236.70 ,$189.36 ,$263.00 ,$30.94 ,$42.84 ,$42.84 ,$21.42 ,$126.24 ,$236.70 ST. JOHN'S HOSPITAL,31100267,88273,HC MCG CHROM INSITU 10-30 -90,311,1 ,$173.00 ,$112.45 ,$3.50 ,$173.00 ,$87.03 ,$65.70 ,$93.77 ,$34.81 ,$48.44 ,$59.69 ,$34.81 ,$66.43 ,$34.81 ,$66.09 ,$3.50 ,$34.81 ,$66.09 ,$66.14 ,$118.37 ,$88.23 ,$87.03 ,$34.81 ,$121.10 ,$34.81 ,$86.50 ,$35.51 ,$129.75 ,$87.37 ,$78.72 ,$87.37 ,$34.81 ,$87.37 ,$46.41 ,$46.41 ,$46.41 ,$173.00 ,$147.05 ,$87.03 ,$138.40 ,$64.01 ,$138.40 ,$34.81 ,$34.81 ,$173.00 ,$93.77 ,$34.81 ,$45.50 , N/A , N/A ,$41.92 ,$40.02 ,$36.55 ,$147.05 ,$78.32 ,$113.83 ,$48.44 ,$155.70 ,$124.56 ,$173.00 ,$46.41 ,$69.62 ,$69.62 ,$34.81 ,$83.04 ,$155.70 ST. JOHN'S HOSPITAL,31100268,88274,HC MCG INTERPHASE INSITU 25 -90,311,1 ,$348.00 ,$226.20 ,$3.50 ,$348.00 ,$105.95 ,$71.17 ,$188.62 ,$42.38 ,$97.44 ,$120.06 ,$42.38 ,$133.63 ,$42.38 ,$132.94 ,$3.50 ,$42.38 ,$132.94 ,$80.52 ,$143.26 ,$177.48 ,$105.95 ,$42.38 ,$243.60 ,$42.38 ,$174.00 ,$43.23 ,$261.00 ,$175.74 ,$158.34 ,$175.74 ,$42.38 ,$175.74 ,$55.09 ,$55.09 ,$55.09 ,$348.00 ,$295.80 ,$105.95 ,$278.40 ,$128.76 ,$278.40 ,$42.38 ,$42.38 ,$348.00 ,$188.62 ,$42.38 ,$91.52 , N/A , N/A ,$41.92 ,$40.02 ,$44.50 ,$295.80 ,$95.36 ,$228.98 ,$97.44 ,$313.20 ,$250.56 ,$348.00 ,$55.09 ,$84.76 ,$84.76 ,$42.38 ,$167.04 ,$313.20 ST. JOHN'S HOSPITAL,31100269,88275,HC MCG INTERPH INSITU 100 -90,311,1 ,$410.00 ,$266.50 ,$3.50 ,$410.00 ,$127.98 ,$82.11 ,$222.22 ,$51.19 ,$114.80 ,$141.45 ,$51.19 ,$157.44 ,$51.19 ,$156.62 ,$3.50 ,$51.19 ,$156.62 ,$97.26 ,$174.02 ,$209.10 ,$127.98 ,$51.19 ,$287.00 ,$51.19 ,$205.00 ,$52.21 ,$307.50 ,$207.05 ,$186.55 ,$207.05 ,$51.19 ,$207.05 ,$66.55 ,$66.55 ,$66.55 ,$410.00 ,$348.50 ,$127.98 ,$328.00 ,$151.70 ,$328.00 ,$51.19 ,$51.19 ,$410.00 ,$222.22 ,$51.19 ,$107.83 , N/A , N/A ,$41.92 ,$40.02 ,$53.75 ,$348.50 ,$115.18 ,$269.78 ,$114.80 ,$369.00 ,$295.20 ,$410.00 ,$66.55 ,$102.38 ,$102.38 ,$51.19 ,$196.80 ,$369.00 ST. JOHN'S HOSPITAL,31100270,88275,HC MCG INTERPH INSITU FISH 100-90,311,1 ,$231.00 ,$150.15 ,$3.50 ,$231.00 ,$127.98 ,$82.11 ,$125.20 ,$51.19 ,$64.68 ,$79.70 ,$51.19 ,$88.70 ,$51.19 ,$88.24 ,$3.50 ,$51.19 ,$88.24 ,$97.26 ,$174.02 ,$117.81 ,$127.98 ,$51.19 ,$161.70 ,$51.19 ,$115.50 ,$52.21 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$51.19 ,$116.66 ,$66.55 ,$66.55 ,$66.55 ,$231.00 ,$196.35 ,$127.98 ,$184.80 ,$85.47 ,$184.80 ,$51.19 ,$51.19 ,$231.00 ,$125.20 ,$51.19 ,$60.75 , N/A , N/A ,$41.92 ,$40.02 ,$53.75 ,$196.35 ,$115.18 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$66.55 ,$102.38 ,$102.38 ,$51.19 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,31100271,88275,HC MCG INTER INSIT BCR/ABL 100-90,311,1 ,$190.00 ,$123.50 ,$3.50 ,$190.00 ,$127.98 ,$82.11 ,$102.98 ,$51.19 ,$53.20 ,$65.55 ,$51.19 ,$72.96 ,$51.19 ,$72.58 ,$3.50 ,$51.19 ,$72.58 ,$97.26 ,$174.02 ,$96.90 ,$127.98 ,$51.19 ,$133.00 ,$51.19 ,$95.00 ,$52.21 ,$142.50 ,$95.95 ,$86.45 ,$95.95 ,$51.19 ,$95.95 ,$66.55 ,$66.55 ,$66.55 ,$190.00 ,$161.50 ,$127.98 ,$152.00 ,$70.30 ,$152.00 ,$51.19 ,$51.19 ,$190.00 ,$102.98 ,$51.19 ,$49.97 , N/A , N/A ,$41.92 ,$40.02 ,$53.75 ,$161.50 ,$115.18 ,$125.02 ,$53.20 ,$171.00 ,$136.80 ,$190.00 ,$66.55 ,$102.38 ,$102.38 ,$51.19 ,$91.20 ,$171.00 ST. JOHN'S HOSPITAL,31100272,88275,HC MCG INTERPH INSITU MDS 100-90,311,1 ,$65.00 ,$42.25 ,$3.50 ,$127.98 ,$127.98 ,$65.00 ,$35.23 ,$51.19 ,$18.20 ,$22.43 ,$51.19 ,$24.96 ,$51.19 ,$24.83 ,$3.50 ,$51.19 ,$24.83 ,$65.00 ,$65.00 ,$33.15 ,$127.98 ,$51.19 ,$45.50 ,$51.19 ,$32.50 ,$52.21 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$51.19 ,$32.83 ,$65.00 ,$65.00 ,$65.00 ,$65.00 ,$55.25 ,$65.00 ,$52.00 ,$24.05 ,$52.00 ,$51.19 ,$51.19 ,$65.00 ,$35.23 ,$51.19 ,$17.10 , N/A , N/A ,$41.92 ,$40.02 ,$53.75 ,$55.25 ,$115.18 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$65.00 ,$65.00 ,$65.00 ,$51.19 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,31100273,88280,HC CHROM ADDL KARYO-90,311,1 ,$300.00 ,$195.00 ,$3.50 ,$300.00 ,$83.68 ,$51.33 ,$162.60 ,$33.47 ,$84.00 ,$103.50 ,$33.47 ,$112.28 ,$33.47 ,$114.60 ,$3.50 ,$33.47 ,$114.60 ,$63.59 ,$113.65 ,$153.00 ,$83.68 ,$33.47 ,$210.00 ,$33.47 ,$150.00 ,$34.14 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$33.47 ,$151.50 ,$43.51 ,$43.51 ,$43.51 ,$300.00 ,$255.00 ,$83.68 ,$240.00 ,$111.00 ,$240.00 ,$33.47 ,$33.47 ,$300.00 ,$162.60 ,$33.47 ,$78.90 , N/A , N/A ,$41.92 ,$40.02 ,$35.14 ,$255.00 ,$75.31 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$43.51 ,$66.94 ,$66.94 ,$33.47 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,$385.00 ,$250.25 ,$3.50 ,$385.00 ,$86.08 ,$60.39 ,$208.67 ,$34.43 ,$107.80 ,$132.83 ,$34.43 ,$142.57 ,$34.43 ,$147.07 ,$3.50 ,$34.43 ,$147.07 ,$65.42 ,$117.18 ,$196.35 ,$86.08 ,$34.43 ,$269.50 ,$34.43 ,$192.50 ,$35.12 ,$288.75 ,$194.43 ,$175.18 ,$194.43 ,$34.43 ,$194.43 ,$49.74 ,$49.74 ,$49.74 ,$385.00 ,$327.25 ,$86.08 ,$308.00 ,$142.45 ,$308.00 ,$34.43 ,$34.43 ,$385.00 ,$208.67 ,$34.43 ,$101.26 , N/A , N/A ,$41.92 ,$40.02 ,$36.15 ,$327.25 ,$77.47 ,$253.33 ,$107.80 ,$346.50 ,$277.20 ,$385.00 ,$49.74 ,$68.86 ,$68.86 ,$34.43 ,$184.80 ,$346.50 ST. JOHN'S HOSPITAL,31100275,88291,HC INTERPRETATION-90,311,1 ,$299.00 ,$194.35 ,$40.02 ,$299.00 , N/A ,$137.54 ,$162.06 , N/A ,$83.72 ,$103.16 , N/A ,$114.82 , N/A ,$114.22 ,$51.33 , N/A ,$114.22 , N/A ,$81.84 ,$152.49 , N/A , N/A ,$209.30 , N/A ,$149.50 , N/A ,$224.25 ,$151.00 ,$136.05 ,$151.00 , N/A ,$151.00 ,$42.72 ,$42.72 ,$42.72 ,$299.00 ,$254.15 , N/A ,$239.20 ,$110.63 ,$239.20 , N/A , N/A ,$299.00 ,$162.06 , N/A ,$78.64 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$254.15 , N/A ,$196.74 ,$83.72 ,$269.10 ,$215.28 ,$299.00 ,$42.72 ,$67.70 ,$67.70 , N/A ,$143.52 ,$269.10 ST. JOHN'S HOSPITAL,31100277,88291,HC INTERP CHROMOSOMES POC/FETAL-90,311,1 ,$318.00 ,$206.70 ,$40.02 ,$318.00 , N/A ,$146.28 ,$172.36 , N/A ,$89.04 ,$109.71 , N/A ,$122.11 , N/A ,$121.48 ,$51.33 , N/A ,$121.48 , N/A ,$81.84 ,$162.18 , N/A , N/A ,$222.60 , N/A ,$159.00 , N/A ,$238.50 ,$160.59 ,$144.69 ,$160.59 , N/A ,$160.59 ,$42.72 ,$42.72 ,$42.72 ,$318.00 ,$270.30 , N/A ,$254.40 ,$117.66 ,$254.40 , N/A , N/A ,$318.00 ,$172.36 , N/A ,$83.63 , N/A , N/A ,$41.92 ,$40.02 , N/A ,$270.30 , N/A ,$209.24 ,$89.04 ,$286.20 ,$228.96 ,$318.00 ,$42.72 ,$67.70 ,$67.70 , N/A ,$152.64 ,$286.20 ST. JOHN'S HOSPITAL,31100279,88299,HC FSH MOL PATH CYTOGEN UNLSTD-90,311,1 ,$579.00 ,$376.35 ,$40.02 ,$579.00 ,$119.43 ,$266.34 ,$313.82 ,$47.77 ,$162.12 ,$185.28 ,$47.77 ,$213.07 ,$47.77 ,$221.18 ,$231.60 ,$47.77 ,$221.18 ,$90.76 ,$119.64 ,$295.29 ,$119.41 ,$47.77 ,$405.30 ,$47.77 ,$289.50 ,$48.72 ,$434.25 ,$292.40 ,$263.45 ,$292.40 ,$47.77 ,$292.40 ,$405.30 ,$405.30 ,$405.30 ,$579.00 ,$492.15 ,$119.41 ,$463.20 ,$214.23 ,$463.20 ,$47.77 ,$47.77 ,$579.00 ,$313.82 ,$47.77 ,$152.28 , N/A , N/A ,$41.92 ,$40.02 ,$50.16 ,$492.15 ,$107.47 ,$380.98 ,$162.12 ,$521.10 ,$416.88 ,$579.00 ,$405.30 ,$99.52 ,$99.52 ,$47.77 ,$277.92 ,$521.10 ST. JOHN'S HOSPITAL,31100281,G0145,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$275.00 ,$178.75 ,$20.90 ,$275.00 ,$66.23 ,$53.90 ,$149.05 ,$26.49 ,$77.00 ,$94.88 ,$26.49 ,$105.60 ,$26.49 ,$105.05 ,$20.90 ,$26.49 ,$105.05 ,$50.33 ,$89.99 ,$140.25 ,$66.23 ,$26.49 ,$192.50 ,$26.49 ,$137.50 ,$27.02 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$26.49 ,$138.88 ,$38.27 ,$38.27 ,$38.27 ,$275.00 ,$233.75 ,$66.23 ,$220.00 ,$101.75 ,$220.00 ,$26.49 ,$26.49 ,$275.00 ,$149.05 ,$26.49 ,$72.33 , N/A , N/A ,$24.46 ,$23.35 ,$27.81 ,$233.75 ,$59.60 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$38.27 ,$52.98 ,$52.98 ,$26.49 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,31100282,88164,HC CYTOPATH SCR BETHESDA-90,311,1 ,$43.00 ,$27.95 ,$3.50 ,$43.00 ,$39.80 ,$21.61 ,$23.31 ,$15.92 ,$12.04 ,$14.84 ,$15.92 ,$16.51 ,$15.92 ,$16.43 ,$3.50 ,$15.92 ,$16.43 ,$30.25 ,$43.00 ,$21.93 ,$39.80 ,$15.92 ,$30.10 ,$15.92 ,$21.50 ,$16.24 ,$32.25 ,$21.72 ,$19.57 ,$21.72 ,$15.92 ,$21.72 ,$19.49 ,$19.49 ,$19.49 ,$43.00 ,$36.55 ,$39.80 ,$34.40 ,$15.91 ,$34.40 ,$15.92 ,$15.92 ,$15.15 ,$23.31 ,$15.92 ,$11.31 , N/A , N/A ,$24.46 ,$23.35 ,$16.72 ,$36.55 ,$35.82 ,$28.29 ,$12.04 ,$38.70 ,$30.96 ,$43.00 ,$19.49 ,$30.30 ,$30.30 ,$15.92 ,$20.64 ,$38.70 ST. JOHN'S HOSPITAL,31100289,88141,HC CYTOPATH SMEAR GYN-90,311,1 ,$112.00 ,$72.80 ,$23.35 ,$112.00 , N/A ,$45.36 ,$60.70 , N/A ,$31.36 ,$38.64 , N/A ,$43.01 , N/A ,$42.78 ,$48.81 , N/A ,$42.78 , N/A ,$53.16 ,$57.12 , N/A , N/A ,$78.40 , N/A ,$56.00 , N/A ,$84.00 ,$56.56 ,$50.96 ,$56.56 , N/A ,$56.56 ,$40.61 ,$40.61 ,$40.61 ,$112.00 ,$95.20 , N/A ,$89.60 ,$41.44 ,$89.60 , N/A , N/A ,$112.00 ,$60.70 , N/A ,$29.46 , N/A , N/A ,$24.46 ,$23.35 , N/A ,$95.20 , N/A ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$40.61 ,$43.96 ,$43.96 , N/A ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,31100290,88142,HC THINPREP PAP-90,311,1 ,$149.00 ,$96.85 ,$3.50 ,$149.00 ,$50.65 ,$41.42 ,$80.76 ,$20.26 ,$41.72 ,$51.41 ,$20.26 ,$57.22 ,$20.26 ,$56.92 ,$3.50 ,$20.26 ,$56.92 ,$38.49 ,$68.67 ,$75.99 ,$50.65 ,$20.26 ,$104.30 ,$20.26 ,$74.50 ,$20.67 ,$111.75 ,$75.25 ,$67.80 ,$75.25 ,$20.26 ,$75.25 ,$29.26 ,$29.26 ,$29.26 ,$149.00 ,$126.65 ,$50.65 ,$119.20 ,$55.13 ,$119.20 ,$20.26 ,$20.26 ,$20.26 ,$80.76 ,$20.26 ,$39.19 , N/A , N/A ,$24.46 ,$23.35 ,$21.27 ,$126.65 ,$45.59 ,$98.04 ,$41.72 ,$134.10 ,$107.28 ,$149.00 ,$29.26 ,$40.52 ,$40.52 ,$20.26 ,$71.52 ,$134.10 ST. JOHN'S HOSPITAL,31100312,88189,HC FLOW CYTO INT >16 MARKERS-90,311,1 ,$424.00 ,$275.60 ,$32.21 ,$424.00 , N/A ,$156.85 ,$229.81 , N/A ,$118.72 ,$146.28 , N/A ,$162.82 , N/A ,$161.97 ,$135.82 , N/A ,$161.97 , N/A ,$205.86 ,$216.24 , N/A , N/A ,$296.80 , N/A ,$212.00 , N/A ,$318.00 ,$214.12 ,$192.92 ,$214.12 , N/A ,$214.12 ,$113.02 ,$113.02 ,$113.02 ,$424.00 ,$360.40 , N/A ,$339.20 ,$156.88 ,$339.20 , N/A , N/A ,$424.00 ,$229.81 , N/A ,$111.51 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$360.40 , N/A ,$278.99 ,$118.72 ,$381.60 ,$305.28 ,$424.00 ,$113.02 ,$170.28 ,$170.28 , N/A ,$203.52 ,$381.60 ST. JOHN'S HOSPITAL,31100313,88112,HC CYTOPATH CELL ENHANCE-90,311,1 ,$287.00 ,$186.55 ,$35.44 ,$287.00 ,$119.43 ,$69.69 ,$155.55 ,$47.77 ,$80.36 ,$99.02 ,$47.77 ,$110.21 ,$47.77 ,$109.63 ,$56.56 ,$47.77 ,$109.63 ,$90.76 ,$135.30 ,$146.37 ,$119.41 ,$47.77 ,$200.90 ,$47.77 ,$143.50 ,$48.72 ,$215.25 ,$144.94 ,$130.59 ,$144.94 ,$47.77 ,$144.94 ,$47.06 ,$47.06 ,$47.06 ,$287.00 ,$243.95 ,$119.41 ,$229.60 ,$106.19 ,$229.60 ,$47.77 ,$47.77 ,$287.00 ,$155.55 ,$47.77 ,$75.48 , N/A , N/A ,$37.13 ,$35.44 ,$50.16 ,$243.95 ,$107.47 ,$188.85 ,$80.36 ,$258.30 ,$206.64 ,$287.00 ,$47.06 ,$99.52 ,$99.52 ,$47.77 ,$137.76 ,$258.30 ST. JOHN'S HOSPITAL,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$137.00 ,$89.05 ,$13.91 ,$137.00 ,$59.38 ,$14.02 ,$74.25 ,$23.75 ,$38.36 ,$47.27 ,$23.75 ,$52.61 ,$23.75 ,$52.33 ,$16.72 ,$23.75 ,$52.33 ,$45.12 ,$38.24 ,$69.87 ,$59.37 ,$23.75 ,$95.90 ,$23.75 ,$68.50 ,$24.22 ,$102.75 ,$69.19 ,$62.34 ,$69.19 ,$23.75 ,$69.19 ,$13.91 ,$13.91 ,$13.91 ,$137.00 ,$116.45 ,$59.37 ,$109.60 ,$50.69 ,$109.60 ,$23.75 ,$23.75 ,$137.00 ,$74.25 ,$23.75 ,$36.03 , N/A , N/A ,$33.75 ,$32.21 ,$24.94 ,$116.45 ,$53.43 ,$90.15 ,$38.36 ,$123.30 ,$98.64 ,$137.00 ,$13.91 ,$49.34 ,$49.34 ,$23.75 ,$65.76 ,$123.30 ST. JOHN'S HOSPITAL,31200102,88302,HC GROSS AND MICRO LEVEL II,312,1 ,$245.00 ,$159.25 ,$23.75 ,$245.00 ,$59.38 ,$32.88 ,$132.79 ,$23.75 ,$68.60 ,$84.53 ,$23.75 ,$94.08 ,$23.75 ,$93.59 ,$34.83 ,$23.75 ,$93.59 ,$45.12 ,$85.60 ,$124.95 ,$59.37 ,$23.75 ,$171.50 ,$23.75 ,$122.50 ,$24.22 ,$183.75 ,$123.73 ,$111.48 ,$123.73 ,$23.75 ,$123.73 ,$28.98 ,$28.98 ,$28.98 ,$245.00 ,$208.25 ,$59.37 ,$196.00 ,$90.65 ,$196.00 ,$23.75 ,$23.75 ,$245.00 ,$132.79 ,$23.75 ,$64.44 , N/A , N/A ,$33.75 ,$32.21 ,$24.94 ,$208.25 ,$53.43 ,$161.21 ,$68.60 ,$220.50 ,$176.40 ,$245.00 ,$28.98 ,$49.34 ,$49.34 ,$23.75 ,$117.60 ,$220.50 ST. JOHN'S HOSPITAL,31200103,88304,HC GROSS AND MICRO LEVEL III,312,1 ,$280.00 ,$182.00 ,$32.21 ,$280.00 ,$119.43 ,$45.31 ,$151.76 ,$47.77 ,$78.40 ,$96.60 ,$47.77 ,$107.52 ,$47.77 ,$106.96 ,$42.07 ,$47.77 ,$106.96 ,$90.76 ,$104.53 ,$142.80 ,$119.41 ,$47.77 ,$196.00 ,$47.77 ,$140.00 ,$48.72 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$47.77 ,$141.40 ,$35.01 ,$35.01 ,$35.01 ,$280.00 ,$238.00 ,$119.41 ,$224.00 ,$103.60 ,$224.00 ,$47.77 ,$47.77 ,$280.00 ,$151.76 ,$47.77 ,$73.64 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$238.00 ,$107.47 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$35.01 ,$99.52 ,$99.52 ,$47.77 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,31200108,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$337.00 ,$219.05 ,$32.21 ,$337.00 ,$119.43 ,$45.31 ,$182.65 ,$47.77 ,$94.36 ,$116.27 ,$47.77 ,$129.41 ,$47.77 ,$128.73 ,$105.00 ,$47.77 ,$128.73 ,$90.76 ,$115.17 ,$171.87 ,$119.41 ,$47.77 ,$235.90 ,$47.77 ,$168.50 ,$48.72 ,$252.75 ,$170.19 ,$153.34 ,$170.19 ,$47.77 ,$170.19 ,$36.74 ,$36.74 ,$36.74 ,$337.00 ,$286.45 ,$119.41 ,$269.60 ,$124.69 ,$269.60 ,$47.77 ,$47.77 ,$35.62 ,$182.65 ,$47.77 ,$88.63 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$286.45 ,$107.47 ,$221.75 ,$94.36 ,$303.30 ,$242.64 ,$337.00 ,$36.74 ,$99.52 ,$99.52 ,$47.77 ,$161.76 ,$303.30 ST. JOHN'S HOSPITAL,31200110,88307,HC GROSS AND MICRO LEVEL V,312,1 ,$618.00 ,$401.70 ,$35.44 ,$699.90 ,$699.90 ,$291.43 ,$334.96 ,$279.96 ,$173.04 ,$213.21 ,$279.96 ,$237.31 ,$279.96 ,$236.08 ,$268.34 ,$279.96 ,$236.08 ,$531.92 ,$618.00 ,$315.18 ,$699.90 ,$279.96 ,$432.60 ,$279.96 ,$309.00 ,$285.56 ,$463.50 ,$312.09 ,$281.19 ,$312.09 ,$279.96 ,$312.09 ,$223.30 ,$223.30 ,$223.30 ,$618.00 ,$525.30 ,$618.00 ,$494.40 ,$228.66 ,$494.40 ,$279.96 ,$279.96 ,$217.17 ,$334.96 ,$279.96 ,$162.53 , N/A , N/A ,$37.13 ,$35.44 ,$293.96 ,$525.30 ,$629.91 ,$406.64 ,$173.04 ,$556.20 ,$444.96 ,$618.00 ,$223.30 ,$582.52 ,$582.52 ,$279.96 ,$296.64 ,$556.20 ST. JOHN'S HOSPITAL,31200113,88309,HC GROSS AND MICRO LEVEL VI,312,1 ,$842.00 ,$547.30 ,$35.44 ,"$1,574.85 ","$1,574.85 ",$412.39 ,$456.36 ,$629.94 ,$235.76 ,$290.49 ,$629.94 ,$323.33 ,$629.94 ,$321.64 ,$376.64 ,$629.94 ,$321.64 ,$842.00 ,$842.00 ,$429.42 ,"$1,574.84 ",$629.94 ,$589.40 ,$629.94 ,$421.00 ,$642.53 ,$631.50 ,$425.21 ,$383.11 ,$425.21 ,$629.94 ,$425.21 ,$313.42 ,$313.42 ,$313.42 ,$842.00 ,$715.70 ,$842.00 ,$673.60 ,$311.54 ,$673.60 ,$629.94 ,$629.94 ,$842.00 ,$456.36 ,$629.94 ,$221.45 , N/A , N/A ,$37.13 ,$35.44 ,$661.44 ,$715.70 ,"$1,417.36 ",$554.04 ,$235.76 ,$757.80 ,$606.24 ,$842.00 ,$313.42 ,$842.00 ,$842.00 ,$629.94 ,$404.16 ,$757.80 ST. JOHN'S HOSPITAL,31200116,88311,HC DECALCIFICATION,312,1 ,$100.00 ,$65.00 ,$10.89 ,$100.00 , N/A ,$11.25 ,$54.20 , N/A ,$28.00 ,$34.50 , N/A ,$38.40 , N/A ,$38.20 ,$13.10 , N/A ,$38.20 , N/A ,$29.95 ,$51.00 , N/A , N/A ,$70.00 , N/A ,$50.00 , N/A ,$75.00 ,$50.50 ,$45.50 ,$50.50 , N/A ,$50.50 ,$10.89 ,$10.89 ,$10.89 ,$100.00 ,$85.00 , N/A ,$80.00 ,$37.00 ,$80.00 , N/A , N/A ,$100.00 ,$54.20 , N/A ,$26.30 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$85.00 , N/A ,$65.80 ,$28.00 ,$90.00 ,$72.00 ,$100.00 ,$10.89 ,$17.44 ,$17.44 , N/A ,$48.00 ,$90.00 ST. JOHN'S HOSPITAL,31200123,88312,HC SPECIAL STAIN I,312,1 ,$332.00 ,$215.80 ,$32.21 ,$332.00 ,$119.43 ,$96.37 ,$179.94 ,$47.77 ,$92.96 ,$114.54 ,$47.77 ,$127.49 ,$47.77 ,$126.82 ,$106.75 ,$47.77 ,$126.82 ,$90.76 ,$292.76 ,$169.32 ,$119.41 ,$47.77 ,$232.40 ,$47.77 ,$166.00 ,$48.72 ,$249.00 ,$167.66 ,$151.06 ,$167.66 ,$47.77 ,$167.66 ,$88.83 ,$88.83 ,$88.83 ,$332.00 ,$282.20 ,$119.41 ,$265.60 ,$122.84 ,$265.60 ,$47.77 ,$47.77 ,$332.00 ,$179.94 ,$47.77 ,$87.32 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$282.20 ,$107.47 ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$88.83 ,$99.52 ,$99.52 ,$47.77 ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,31200125,88313,HC SPECIAL STAIN II,312,1 ,$283.00 ,$183.95 ,$32.21 ,$283.00 ,$81.35 ,$75.67 ,$153.39 ,$32.54 ,$79.24 ,$97.64 ,$32.54 ,$108.67 ,$32.54 ,$108.11 ,$88.12 ,$32.54 ,$108.11 ,$61.82 ,$235.92 ,$144.33 ,$81.34 ,$32.54 ,$198.10 ,$32.54 ,$141.50 ,$33.19 ,$212.25 ,$142.92 ,$128.77 ,$142.92 ,$32.54 ,$142.92 ,$73.33 ,$73.33 ,$73.33 ,$283.00 ,$240.55 ,$81.34 ,$226.40 ,$104.71 ,$226.40 ,$32.54 ,$32.54 ,$283.00 ,$153.39 ,$32.54 ,$74.43 , N/A , N/A ,$33.75 ,$32.21 ,$34.17 ,$240.55 ,$73.21 ,$186.21 ,$79.24 ,$254.70 ,$203.76 ,$283.00 ,$73.33 ,$67.68 ,$67.68 ,$32.54 ,$135.84 ,$254.70 ST. JOHN'S HOSPITAL,31200164,88323,HC CONSULT/SLIDE PREP,312,1 ,$290.00 ,$188.50 ,$32.21 ,$290.00 ,$119.43 ,$79.35 ,$157.18 ,$47.77 ,$81.20 ,$100.05 ,$47.77 ,$111.36 ,$47.77 ,$110.78 ,$38.97 ,$47.77 ,$110.78 ,$90.76 ,$92.70 ,$147.90 ,$119.41 ,$47.77 ,$203.00 ,$47.77 ,$145.00 ,$48.72 ,$217.50 ,$146.45 ,$131.95 ,$146.45 ,$47.77 ,$146.45 ,$32.42 ,$32.42 ,$32.42 ,$290.00 ,$246.50 ,$119.41 ,$232.00 ,$107.30 ,$232.00 ,$47.77 ,$47.77 ,$290.00 ,$157.18 ,$47.77 ,$76.27 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$246.50 ,$107.47 ,$190.82 ,$81.20 ,$261.00 ,$208.80 ,$290.00 ,$32.42 ,$99.52 ,$99.52 ,$47.77 ,$139.20 ,$261.00 ST. JOHN'S HOSPITAL,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$247.00 ,$160.55 ,$32.21 ,$358.41 ,$358.40 ,$52.20 ,$133.87 ,$143.36 ,$69.16 ,$85.22 ,$143.36 ,$94.85 ,$143.36 ,$94.35 ,$48.28 ,$143.36 ,$94.35 ,$247.00 ,$143.59 ,$125.97 ,$358.41 ,$143.36 ,$172.90 ,$143.36 ,$123.50 ,$146.23 ,$185.25 ,$124.74 ,$112.39 ,$124.74 ,$143.36 ,$124.74 ,$40.18 ,$40.18 ,$40.18 ,$247.00 ,$209.95 ,$247.00 ,$197.60 ,$91.39 ,$197.60 ,$143.36 ,$143.36 ,$44.37 ,$133.87 ,$143.36 ,$64.96 , N/A , N/A ,$33.75 ,$32.21 ,$150.53 ,$209.95 ,$322.57 ,$162.53 ,$69.16 ,$222.30 ,$177.84 ,$247.00 ,$40.18 ,$247.00 ,$247.00 ,$143.36 ,$118.56 ,$222.30 ST. JOHN'S HOSPITAL,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$150.00 ,$97.50 ,$18.17 ,$150.00 , N/A ,$18.17 ,$81.30 , N/A ,$42.00 ,$51.75 , N/A ,$57.60 , N/A ,$57.30 ,$31.72 , N/A ,$57.30 , N/A ,$82.03 ,$76.50 , N/A , N/A ,$105.00 , N/A ,$75.00 , N/A ,$112.50 ,$75.75 ,$68.25 ,$75.75 , N/A ,$75.75 ,$26.40 ,$26.40 ,$26.40 ,$150.00 ,$127.50 , N/A ,$120.00 ,$55.50 ,$120.00 , N/A , N/A ,$25.42 ,$81.30 , N/A ,$39.45 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$127.50 , N/A ,$98.70 ,$42.00 ,$135.00 ,$108.00 ,$150.00 ,$26.40 ,$48.16 ,$48.16 , N/A ,$72.00 ,$135.00 ST. JOHN'S HOSPITAL,31200249,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,"$1,091.00 ",$709.15 ,$32.21 ,"$1,091.00 ",$699.90 ,$104.13 ,$591.32 ,$279.96 ,$305.48 ,$376.40 ,$279.96 ,$418.94 ,$279.96 ,$416.76 ,$192.63 ,$279.96 ,$416.76 ,$531.92 ,$475.04 ,$556.41 ,$699.90 ,$279.96 ,$763.70 ,$279.96 ,$545.50 ,$285.56 ,$818.25 ,$550.96 ,$496.41 ,$550.96 ,$279.96 ,$550.96 ,$160.30 ,$160.30 ,$160.30 ,"$1,091.00 ",$927.35 ,$699.90 ,$872.80 ,$403.67 ,$872.80 ,$279.96 ,$279.96 ,"$1,091.00 ",$591.32 ,$279.96 ,$286.93 , N/A , N/A ,$33.75 ,$32.21 ,$293.96 ,$927.35 ,$629.91 ,$717.88 ,$305.48 ,$981.90 ,$785.52 ,"$1,091.00 ",$160.30 ,$582.52 ,$582.52 ,$279.96 ,$523.68 ,$981.90 ST. JOHN'S HOSPITAL,31200252,88305,HC GROSS AND MICRO LEVEL IV-90,312,1 ,$277.00 ,$180.05 ,$32.21 ,$277.00 ,$119.43 ,$45.31 ,$150.13 ,$47.77 ,$77.56 ,$95.57 ,$47.77 ,$106.37 ,$47.77 ,$105.81 ,$105.00 ,$47.77 ,$105.81 ,$90.76 ,$115.17 ,$141.27 ,$119.41 ,$47.77 ,$193.90 ,$47.77 ,$138.50 ,$48.72 ,$207.75 ,$139.89 ,$126.04 ,$139.89 ,$47.77 ,$139.89 ,$36.74 ,$36.74 ,$36.74 ,$277.00 ,$235.45 ,$119.41 ,$221.60 ,$102.49 ,$221.60 ,$47.77 ,$47.77 ,$35.62 ,$150.13 ,$47.77 ,$72.85 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$235.45 ,$107.47 ,$182.27 ,$77.56 ,$249.30 ,$199.44 ,$277.00 ,$36.74 ,$99.52 ,$99.52 ,$47.77 ,$132.96 ,$249.30 ST. JOHN'S HOSPITAL,31200253,88305,HC CELLIENT CELL BLOCK,312,1 ,$9.16 ,$5.95 ,$2.41 ,$119.43 ,$119.43 ,$9.16 ,$4.96 ,$47.77 ,$2.56 ,$3.16 ,$47.77 ,$3.52 ,$9.16 ,$3.50 ,$9.16 ,$9.16 ,$3.50 ,$9.16 ,$9.16 ,$4.67 ,$119.41 ,$47.77 ,$6.41 ,$47.77 ,$4.58 ,$9.16 ,$6.87 ,$4.63 ,$4.17 ,$4.63 ,$47.77 ,$4.63 ,$9.16 ,$9.16 ,$9.16 ,$9.16 ,$7.79 ,$9.16 ,$7.33 ,$3.39 ,$7.33 ,$47.77 ,$47.77 ,$9.16 ,$4.96 ,$47.77 ,$2.41 , N/A , N/A ,$9.16 ,$32.21 ,$50.16 ,$7.79 ,$107.47 ,$6.03 ,$2.56 ,$8.24 ,$6.60 ,$9.16 ,$9.16 ,$9.16 ,$9.16 ,$47.77 ,$4.40 ,$8.24 ST. JOHN'S HOSPITAL,31200254,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$337.00 ,$219.05 ,$32.21 ,$337.00 ,$119.43 ,$45.31 ,$182.65 ,$47.77 ,$94.36 ,$116.27 ,$47.77 ,$129.41 ,$47.77 ,$128.73 ,$105.00 ,$47.77 ,$128.73 ,$90.76 ,$115.17 ,$171.87 ,$119.41 ,$47.77 ,$235.90 ,$47.77 ,$168.50 ,$48.72 ,$252.75 ,$170.19 ,$153.34 ,$170.19 ,$47.77 ,$170.19 ,$36.74 ,$36.74 ,$36.74 ,$337.00 ,$286.45 ,$119.41 ,$269.60 ,$124.69 ,$269.60 ,$47.77 ,$47.77 ,$35.62 ,$182.65 ,$47.77 ,$88.63 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$286.45 ,$107.47 ,$221.75 ,$94.36 ,$303.30 ,$242.64 ,$337.00 ,$36.74 ,$99.52 ,$99.52 ,$47.77 ,$161.76 ,$303.30 ST. JOHN'S HOSPITAL,31200256,88313,HC SPECIAL STAIN II-90,312,1 ,$108.00 ,$70.20 ,$28.40 ,$108.00 ,$81.35 ,$75.67 ,$58.54 ,$32.54 ,$30.24 ,$37.26 ,$32.54 ,$41.47 ,$32.54 ,$41.26 ,$88.12 ,$32.54 ,$41.26 ,$61.82 ,$108.00 ,$55.08 ,$81.34 ,$32.54 ,$75.60 ,$32.54 ,$54.00 ,$33.19 ,$81.00 ,$54.54 ,$49.14 ,$54.54 ,$32.54 ,$54.54 ,$73.33 ,$73.33 ,$73.33 ,$108.00 ,$91.80 ,$81.34 ,$86.40 ,$39.96 ,$86.40 ,$32.54 ,$32.54 ,$108.00 ,$58.54 ,$32.54 ,$28.40 , N/A , N/A ,$33.75 ,$32.21 ,$34.17 ,$91.80 ,$73.21 ,$71.06 ,$30.24 ,$97.20 ,$77.76 ,$108.00 ,$73.33 ,$67.68 ,$67.68 ,$32.54 ,$51.84 ,$97.20 ST. JOHN'S HOSPITAL,31200260,88319,HC HISTOCHEM ENZYME STAIN,312,1 ,$699.00 ,$454.35 ,$35.44 ,"$1,574.85 ","$1,574.85 ",$81.64 ,$378.86 ,$629.94 ,$195.72 ,$241.16 ,$629.94 ,$268.42 ,$629.94 ,$267.02 ,$102.09 ,$629.94 ,$267.02 ,$699.00 ,$349.90 ,$356.49 ,"$1,574.84 ",$629.94 ,$489.30 ,$629.94 ,$349.50 ,$642.53 ,$524.25 ,$353.00 ,$318.05 ,$353.00 ,$629.94 ,$353.00 ,$84.96 ,$84.96 ,$84.96 ,$699.00 ,$594.15 ,$699.00 ,$559.20 ,$258.63 ,$559.20 ,$629.94 ,$629.94 ,$699.00 ,$378.86 ,$629.94 ,$183.84 , N/A , N/A ,$37.13 ,$35.44 ,$661.44 ,$594.15 ,"$1,417.36 ",$459.94 ,$195.72 ,$629.10 ,$503.28 ,$699.00 ,$84.96 ,$699.00 ,$699.00 ,$629.94 ,$335.52 ,$629.10 ST. JOHN'S HOSPITAL,31200261,88321,HC CONSULT REFERRED SLIDES-90,312,1 ,$470.00 ,$305.50 ,$32.21 ,$470.00 ,$81.35 ,$122.38 ,$254.74 ,$32.54 ,$131.60 ,$162.15 ,$32.54 ,$180.48 ,$32.54 ,$179.54 ,$133.95 ,$32.54 ,$179.54 ,$61.82 ,$205.01 ,$239.70 ,$81.34 ,$32.54 ,$329.00 ,$32.54 ,$235.00 ,$33.19 ,$352.50 ,$237.35 ,$213.85 ,$237.35 ,$32.54 ,$237.35 ,$129.97 ,$129.97 ,$129.97 ,$470.00 ,$399.50 ,$81.34 ,$376.00 ,$173.90 ,$376.00 ,$32.54 ,$32.54 ,$470.00 ,$254.74 ,$32.54 ,$123.61 , N/A , N/A ,$33.75 ,$32.21 ,$34.17 ,$399.50 ,$73.21 ,$309.26 ,$131.60 ,$423.00 ,$338.40 ,$470.00 ,$129.97 ,$67.68 ,$67.68 ,$32.54 ,$225.60 ,$423.00 ST. JOHN'S HOSPITAL,31200262,88323,HC CONSULT/SLIDE PREP-90,312,1 ,$484.00 ,$314.60 ,$32.21 ,$484.00 ,$119.43 ,$79.35 ,$262.33 ,$47.77 ,$135.52 ,$166.98 ,$47.77 ,$185.86 ,$47.77 ,$184.89 ,$38.97 ,$47.77 ,$184.89 ,$90.76 ,$92.70 ,$246.84 ,$119.41 ,$47.77 ,$338.80 ,$47.77 ,$242.00 ,$48.72 ,$363.00 ,$244.42 ,$220.22 ,$244.42 ,$47.77 ,$244.42 ,$32.42 ,$32.42 ,$32.42 ,$484.00 ,$411.40 ,$119.41 ,$387.20 ,$179.08 ,$387.20 ,$47.77 ,$47.77 ,$484.00 ,$262.33 ,$47.77 ,$127.29 , N/A , N/A ,$33.75 ,$32.21 ,$50.16 ,$411.40 ,$107.47 ,$318.47 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$32.42 ,$99.52 ,$99.52 ,$47.77 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,31200263,88323,HC CONSULT/SLIDE PREP,312,1 ,$1.00 ,$0.65 ,$0.26 ,$119.43 ,$119.43 ,$1.00 ,$0.54 ,$47.77 ,$0.28 ,$0.35 ,$47.77 ,$0.38 ,$1.00 ,$0.38 ,$1.00 ,$1.00 ,$0.38 ,$1.00 ,$1.00 ,$0.51 ,$119.41 ,$47.77 ,$0.70 ,$47.77 ,$0.50 ,$1.00 ,$0.75 ,$0.51 ,$0.46 ,$0.51 ,$47.77 ,$0.51 ,$1.00 ,$1.00 ,$1.00 ,$1.00 ,$0.85 ,$1.00 ,$0.80 ,$0.37 ,$0.80 ,$47.77 ,$47.77 ,$1.00 ,$0.54 ,$47.77 ,$0.26 , N/A , N/A ,$1.00 ,$32.21 ,$50.16 ,$0.85 ,$107.47 ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$1.00 ,$1.00 ,$1.00 ,$47.77 ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,31200265,88341,HC IMMUNOHISOCHEM EA AD SGL STN-90,312,1 ,$330.00 ,$214.50 ,$32.21 ,$330.00 , N/A ,$62.07 ,$178.86 , N/A ,$92.40 ,$113.85 , N/A ,$126.72 , N/A ,$126.06 ,$92.61 , N/A ,$126.06 , N/A ,$221.38 ,$168.30 , N/A , N/A ,$231.00 , N/A ,$165.00 , N/A ,$247.50 ,$166.65 ,$150.15 ,$166.65 , N/A ,$166.65 ,$77.06 ,$77.06 ,$77.06 ,$330.00 ,$280.50 , N/A ,$264.00 ,$122.10 ,$264.00 , N/A , N/A ,$68.12 ,$178.86 , N/A ,$86.79 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$280.50 , N/A ,$217.14 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$77.06 ,$130.50 ,$130.50 , N/A ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,31200266,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$436.00 ,$283.40 ,$32.21 ,$436.00 , N/A ,$62.07 ,$236.31 , N/A ,$122.08 ,$150.42 , N/A ,$167.42 , N/A ,$166.55 ,$92.61 , N/A ,$166.55 , N/A ,$221.38 ,$222.36 , N/A , N/A ,$305.20 , N/A ,$218.00 , N/A ,$327.00 ,$220.18 ,$198.38 ,$220.18 , N/A ,$220.18 ,$77.06 ,$77.06 ,$77.06 ,$436.00 ,$370.60 , N/A ,$348.80 ,$161.32 ,$348.80 , N/A , N/A ,$68.12 ,$236.31 , N/A ,$114.67 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$370.60 , N/A ,$286.89 ,$122.08 ,$392.40 ,$313.92 ,$436.00 ,$77.06 ,$130.50 ,$130.50 , N/A ,$209.28 ,$392.40 ST. JOHN'S HOSPITAL,31200267,88342,HC IMMUNOHISTOCHEM EA AB-90,312,1 ,$407.00 ,$264.55 ,$32.21 ,$407.00 ,$358.40 ,$99.12 ,$220.59 ,$143.36 ,$113.96 ,$140.42 ,$143.36 ,$156.29 ,$143.36 ,$155.47 ,$102.61 ,$143.36 ,$155.47 ,$272.39 ,$240.65 ,$207.57 ,$358.41 ,$143.36 ,$284.90 ,$143.36 ,$203.50 ,$146.23 ,$305.25 ,$205.54 ,$185.19 ,$205.54 ,$143.36 ,$205.54 ,$85.38 ,$85.38 ,$85.38 ,$407.00 ,$345.95 ,$358.41 ,$325.60 ,$150.59 ,$325.60 ,$143.36 ,$143.36 ,$74.24 ,$220.59 ,$143.36 ,$107.04 , N/A , N/A ,$33.75 ,$32.21 ,$150.53 ,$345.95 ,$322.57 ,$267.81 ,$113.96 ,$366.30 ,$293.04 ,$407.00 ,$85.38 ,$298.32 ,$298.32 ,$143.36 ,$195.36 ,$366.30 ST. JOHN'S HOSPITAL,31200269,88342,HC IMMUNOHISOCHEMISTR EA AB INIT-90,312,1 ,$390.00 ,$253.50 ,$32.21 ,$390.00 ,$358.40 ,$99.12 ,$211.38 ,$143.36 ,$109.20 ,$134.55 ,$143.36 ,$149.76 ,$143.36 ,$148.98 ,$102.61 ,$143.36 ,$148.98 ,$272.39 ,$240.65 ,$198.90 ,$358.41 ,$143.36 ,$273.00 ,$143.36 ,$195.00 ,$146.23 ,$292.50 ,$196.95 ,$177.45 ,$196.95 ,$143.36 ,$196.95 ,$85.38 ,$85.38 ,$85.38 ,$390.00 ,$331.50 ,$358.41 ,$312.00 ,$144.30 ,$312.00 ,$143.36 ,$143.36 ,$74.24 ,$211.38 ,$143.36 ,$102.57 , N/A , N/A ,$33.75 ,$32.21 ,$150.53 ,$331.50 ,$322.57 ,$256.62 ,$109.20 ,$351.00 ,$280.80 ,$390.00 ,$85.38 ,$298.32 ,$298.32 ,$143.36 ,$187.20 ,$351.00 ST. JOHN'S HOSPITAL,31200270,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$436.00 ,$283.40 ,$32.21 ,$436.00 ,$358.40 ,$99.12 ,$236.31 ,$143.36 ,$122.08 ,$150.42 ,$143.36 ,$167.42 ,$143.36 ,$166.55 ,$102.61 ,$143.36 ,$166.55 ,$272.39 ,$240.65 ,$222.36 ,$358.41 ,$143.36 ,$305.20 ,$143.36 ,$218.00 ,$146.23 ,$327.00 ,$220.18 ,$198.38 ,$220.18 ,$143.36 ,$220.18 ,$85.38 ,$85.38 ,$85.38 ,$436.00 ,$370.60 ,$358.41 ,$348.80 ,$161.32 ,$348.80 ,$143.36 ,$143.36 ,$74.24 ,$236.31 ,$143.36 ,$114.67 , N/A , N/A ,$33.75 ,$32.21 ,$150.53 ,$370.60 ,$322.57 ,$286.89 ,$122.08 ,$392.40 ,$313.92 ,$436.00 ,$85.38 ,$298.32 ,$298.32 ,$143.36 ,$209.28 ,$392.40 ST. JOHN'S HOSPITAL,31200272,88346,HC IF DIRECT-90,312,1 ,$194.00 ,$126.10 ,$32.21 ,$699.90 ,$699.90 ,$91.30 ,$105.15 ,$279.96 ,$54.32 ,$66.93 ,$279.96 ,$74.50 ,$194.00 ,$74.11 ,$106.75 ,$194.00 ,$74.11 ,$194.00 ,$194.00 ,$98.94 ,$699.90 ,$279.96 ,$135.80 ,$279.96 ,$97.00 ,$194.00 ,$145.50 ,$97.97 ,$88.27 ,$97.97 ,$279.96 ,$97.97 ,$88.83 ,$88.83 ,$88.83 ,$194.00 ,$164.90 ,$194.00 ,$155.20 ,$71.78 ,$155.20 ,$279.96 ,$279.96 ,$194.00 ,$105.15 ,$279.96 ,$51.02 , N/A , N/A ,$33.75 ,$32.21 ,$293.96 ,$164.90 ,$629.91 ,$127.65 ,$54.32 ,$174.60 ,$139.68 ,$194.00 ,$88.83 ,$194.00 ,$194.00 ,$279.96 ,$93.12 ,$174.60 ST. JOHN'S HOSPITAL,31200273,88348,HC ELECTRON MICRO DIAG-90,312,1 ,$454.00 ,$295.10 ,$35.44 ,"$1,574.85 ","$1,574.85 ",$454.00 ,$246.07 ,$629.94 ,$127.12 ,$156.63 ,$629.94 ,$174.34 ,$454.00 ,$173.43 ,$411.63 ,$454.00 ,$173.43 ,$454.00 ,$454.00 ,$231.54 ,"$1,574.84 ",$629.94 ,$317.80 ,$629.94 ,$227.00 ,$454.00 ,$340.50 ,$229.27 ,$206.57 ,$229.27 ,$629.94 ,$229.27 ,$342.54 ,$342.54 ,$342.54 ,$454.00 ,$385.90 ,$454.00 ,$363.20 ,$167.98 ,$363.20 ,$629.94 ,$629.94 ,$454.00 ,$246.07 ,$629.94 ,$119.40 , N/A , N/A ,$37.13 ,$35.44 ,$661.44 ,$385.90 ,"$1,417.36 ",$298.73 ,$127.12 ,$408.60 ,$326.88 ,$454.00 ,$342.54 ,$454.00 ,$454.00 ,$629.94 ,$217.92 ,$408.60 ST. JOHN'S HOSPITAL,31200274,88350,HC IMMUNOFLUOR PER SPEC EA ADDN SINGLE STAIN-90,312,1 ,$287.00 ,$186.55 ,$32.21 ,$287.00 , N/A ,$59.06 ,$155.55 , N/A ,$80.36 ,$99.02 , N/A ,$110.21 , N/A ,$109.63 ,$69.85 , N/A ,$109.63 , N/A ,$276.17 ,$146.37 , N/A , N/A ,$200.90 , N/A ,$143.50 , N/A ,$215.25 ,$144.94 ,$130.59 ,$144.94 , N/A ,$144.94 ,$58.12 ,$58.12 ,$58.12 ,$287.00 ,$243.95 , N/A ,$229.60 ,$106.19 ,$229.60 , N/A , N/A ,$287.00 ,$155.55 , N/A ,$75.48 , N/A , N/A ,$33.75 ,$32.21 , N/A ,$243.95 , N/A ,$188.85 ,$80.36 ,$258.30 ,$206.64 ,$287.00 ,$58.12 ,$162.60 ,$162.60 , N/A ,$137.76 ,$258.30 ST. JOHN'S HOSPITAL,31200275,88360,HC MORPHO ANLYS TUMOR MAN-90,312,1 ,$460.00 ,$299.00 ,$35.44 ,$460.00 ,$358.40 ,$101.43 ,$249.32 ,$143.36 ,$128.80 ,$158.70 ,$143.36 ,$176.64 ,$143.36 ,$175.72 ,$122.79 ,$143.36 ,$175.72 ,$272.39 ,$280.90 ,$234.60 ,$358.41 ,$143.36 ,$322.00 ,$143.36 ,$230.00 ,$146.23 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$143.36 ,$232.30 ,$102.18 ,$102.18 ,$102.18 ,$460.00 ,$391.00 ,$358.41 ,$368.00 ,$170.20 ,$368.00 ,$143.36 ,$143.36 ,$86.62 ,$249.32 ,$143.36 ,$120.98 , N/A , N/A ,$37.13 ,$35.44 ,$150.53 ,$391.00 ,$322.57 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$102.18 ,$298.32 ,$298.32 ,$143.36 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,31200276,88361,HC MORPHO ANLYS COMP ASSIST-90,312,1 ,$497.00 ,$323.05 ,$35.44 ,$699.90 ,$699.90 ,$134.54 ,$269.37 ,$279.96 ,$139.16 ,$171.47 ,$279.96 ,$190.85 ,$279.96 ,$189.85 ,$124.34 ,$279.96 ,$189.85 ,$497.00 ,$272.64 ,$253.47 ,$699.90 ,$279.96 ,$347.90 ,$279.96 ,$248.50 ,$285.56 ,$372.75 ,$250.99 ,$226.14 ,$250.99 ,$279.96 ,$250.99 ,$103.47 ,$103.47 ,$103.47 ,$497.00 ,$422.45 ,$497.00 ,$397.60 ,$183.89 ,$397.60 ,$279.96 ,$279.96 ,$84.07 ,$269.37 ,$279.96 ,$130.71 , N/A , N/A ,$37.13 ,$35.44 ,$293.96 ,$422.45 ,$629.91 ,$327.03 ,$139.16 ,$447.30 ,$357.84 ,$497.00 ,$103.47 ,$497.00 ,$497.00 ,$279.96 ,$238.56 ,$447.30 ST. JOHN'S HOSPITAL,31200277,88363,HC EXAM ARCHIVE TISS MOL ANLYS,312,1 ,$24.00 ,$15.60 ,$6.31 ,$59.38 ,$59.38 ,$24.00 ,$13.01 ,$23.75 ,$6.72 ,$8.28 ,$23.75 ,$9.22 ,$23.75 ,$9.17 ,$24.00 ,$23.75 ,$9.17 ,$24.00 ,$24.00 ,$12.24 ,$59.37 ,$23.75 ,$16.80 ,$23.75 ,$12.00 ,$24.00 ,$18.00 ,$12.12 ,$10.92 ,$12.12 ,$23.75 ,$12.12 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$20.40 ,$24.00 ,$19.20 ,$8.88 ,$19.20 ,$23.75 ,$23.75 ,$24.00 ,$13.01 ,$23.75 ,$6.31 , N/A , N/A ,$24.00 ,$32.21 ,$24.94 ,$20.40 ,$53.43 ,$15.79 ,$6.72 ,$21.60 ,$17.28 ,$24.00 ,$24.00 ,$24.00 ,$24.00 ,$23.75 ,$11.52 ,$21.60 ST. JOHN'S HOSPITAL,31200283,88374,HC MORPH ANLY AUTO EA MULTIPLX-90,312,1 ,$741.00 ,$481.65 ,$35.44 ,$741.00 ,$358.40 ,$215.81 ,$401.62 ,$143.36 ,$207.48 ,$255.65 ,$143.36 ,$284.54 ,$143.36 ,$283.06 ,$408.91 ,$143.36 ,$283.06 ,$272.39 ,$741.00 ,$377.91 ,$358.41 ,$143.36 ,$518.70 ,$143.36 ,$370.50 ,$146.23 ,$555.75 ,$374.21 ,$337.16 ,$374.21 ,$143.36 ,$374.21 ,$340.28 ,$340.28 ,$340.28 ,$741.00 ,$629.85 ,$358.41 ,$592.80 ,$274.17 ,$592.80 ,$143.36 ,$143.36 ,$741.00 ,$401.62 ,$143.36 ,$194.88 , N/A , N/A ,$37.13 ,$35.44 ,$150.53 ,$629.85 ,$322.57 ,$487.58 ,$207.48 ,$666.90 ,$533.52 ,$741.00 ,$340.28 ,$298.32 ,$298.32 ,$143.36 ,$355.68 ,$666.90 ST. JOHN'S HOSPITAL,31200284,88377,HC MORPH ANLZ INST HYB EA MTPL-90,312,1 ,"$1,073.00 ",$697.45 ,$35.44 ,"$1,073.00 ",$358.40 ,$200.81 ,$581.57 ,$143.36 ,$300.44 ,$370.19 ,$143.36 ,$412.03 ,$143.36 ,$409.89 ,$469.60 ,$143.36 ,$409.89 ,$272.39 ,"$1,073.00 ",$547.23 ,$358.41 ,$143.36 ,$751.10 ,$143.36 ,$536.50 ,$146.23 ,$804.75 ,$541.87 ,$488.22 ,$541.87 ,$143.36 ,$541.87 ,$390.79 ,$390.79 ,$390.79 ,"$1,073.00 ",$912.05 ,$358.41 ,$858.40 ,$397.01 ,$858.40 ,$143.36 ,$143.36 ,"$1,073.00 ",$581.57 ,$143.36 ,$282.20 , N/A , N/A ,$37.13 ,$35.44 ,$150.53 ,$912.05 ,$322.57 ,$706.03 ,$300.44 ,$965.70 ,$772.56 ,"$1,073.00 ",$390.79 ,$298.32 ,$298.32 ,$143.36 ,$515.04 ,$965.70 ST. JOHN'S HOSPITAL,31200285,88380,HC MICRODISSECTION LASER CAPTR-90,312,1 ,"$1,318.00 ",$856.70 ,$35.44 ,"$1,318.00 ", N/A ,$606.28 ,$714.36 , N/A ,$369.04 ,$454.71 , N/A ,$506.11 , N/A ,$503.48 ,$113.64 , N/A ,$503.48 , N/A ,$268.25 ,$672.18 , N/A , N/A ,$922.60 , N/A ,$659.00 , N/A ,$988.50 ,$665.59 ,$599.69 ,$665.59 , N/A ,$665.59 ,$94.56 ,$94.56 ,$94.56 ,"$1,318.00 ","$1,120.30 ", N/A ,"$1,054.40 ",$487.66 ,"$1,054.40 ", N/A , N/A ,"$1,318.00 ",$714.36 , N/A ,$346.63 , N/A , N/A ,$37.13 ,$35.44 , N/A ,"$1,120.30 ", N/A ,$867.24 ,$369.04 ,"$1,186.20 ",$948.96 ,"$1,318.00 ",$94.56 ,$157.72 ,$157.72 , N/A ,$632.64 ,"$1,186.20 " ST. JOHN'S HOSPITAL,31200286,88381,HC MICRODISSECTION MANUAL-90,312,1 ,$471.00 ,$306.15 ,$35.44 ,$471.00 , N/A ,$216.66 ,$255.28 , N/A ,$131.88 ,$162.50 , N/A ,$180.86 , N/A ,$179.92 ,$187.11 , N/A ,$179.92 , N/A ,$471.00 ,$240.21 , N/A , N/A ,$329.70 , N/A ,$235.50 , N/A ,$353.25 ,$237.86 ,$214.31 ,$237.86 , N/A ,$237.86 ,$155.70 ,$155.70 ,$155.70 ,$471.00 ,$400.35 , N/A ,$376.80 ,$174.27 ,$376.80 , N/A , N/A ,$471.00 ,$255.28 , N/A ,$123.87 , N/A , N/A ,$37.13 ,$35.44 , N/A ,$400.35 , N/A ,$309.92 ,$131.88 ,$423.90 ,$339.12 ,$471.00 ,$155.70 ,$360.10 ,$360.10 , N/A ,$226.08 ,$423.90 ST. JOHN'S HOSPITAL,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$211.00 ,$137.15 ,$55.49 ,$211.00 , N/A ,$97.06 ,$114.36 , N/A ,$59.08 ,$67.52 , N/A ,$77.65 , N/A ,$80.60 ,$116.85 , N/A ,$80.60 , N/A ,$110.99 ,$107.61 , N/A , N/A ,$147.70 , N/A ,$105.50 , N/A ,$158.25 ,$94.11 ,$84.61 ,$94.11 , N/A ,$94.11 ,$147.70 ,$147.70 ,$147.70 ,$211.00 ,$179.35 , N/A ,$168.80 ,$78.07 ,$168.80 , N/A , N/A ,$211.00 ,$114.36 , N/A ,$55.49 , N/A , N/A , N/A , N/A , N/A ,$179.35 , N/A ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$147.70 ,$132.93 ,$132.93 , N/A ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$140.00 ,$91.00 ,$36.82 ,$140.00 , N/A ,$64.40 ,$75.88 , N/A ,$39.20 ,$44.80 , N/A ,$51.52 , N/A ,$53.48 ,$116.85 , N/A ,$53.48 , N/A ,$73.64 ,$71.40 , N/A , N/A ,$98.00 , N/A ,$70.00 , N/A ,$105.00 ,$62.44 ,$56.14 ,$62.44 , N/A ,$62.44 ,$98.00 ,$98.00 ,$98.00 ,$140.00 ,$119.00 , N/A ,$112.00 ,$51.80 ,$112.00 , N/A , N/A ,$140.00 ,$75.88 , N/A ,$36.82 , N/A , N/A , N/A , N/A , N/A ,$119.00 , N/A ,$92.12 ,$39.20 ,$126.00 ,$100.80 ,$140.00 ,$98.00 ,$88.20 ,$88.20 , N/A ,$67.20 ,$126.00 ST. JOHN'S HOSPITAL,32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$133.00 ,$86.45 ,$34.98 ,$133.00 , N/A ,$61.18 ,$72.09 , N/A ,$37.24 ,$42.56 , N/A ,$48.94 , N/A ,$50.81 ,$133.00 , N/A ,$50.81 , N/A ,$69.96 ,$67.83 , N/A , N/A ,$93.10 , N/A ,$66.50 , N/A ,$99.75 ,$59.32 ,$53.33 ,$59.32 , N/A ,$59.32 ,$93.10 ,$93.10 ,$93.10 ,$133.00 ,$113.05 , N/A ,$106.40 ,$49.21 ,$106.40 , N/A , N/A ,$133.00 ,$72.09 , N/A ,$34.98 , N/A , N/A , N/A , N/A , N/A ,$113.05 , N/A ,$87.51 ,$37.24 ,$119.70 ,$95.76 ,$133.00 ,$93.10 ,$83.79 ,$83.79 , N/A ,$63.84 ,$119.70 ST. JOHN'S HOSPITAL,32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$199.00 ,$129.35 ,$52.34 ,$199.00 , N/A ,$91.54 ,$107.86 , N/A ,$55.72 ,$63.68 , N/A ,$73.23 , N/A ,$76.02 ,$154.92 , N/A ,$76.02 , N/A ,$104.67 ,$101.49 , N/A , N/A ,$139.30 , N/A ,$99.50 , N/A ,$149.25 ,$88.75 ,$79.80 ,$88.75 , N/A ,$88.75 ,$139.30 ,$139.30 ,$139.30 ,$199.00 ,$169.15 , N/A ,$159.20 ,$73.63 ,$159.20 , N/A , N/A ,$199.00 ,$107.86 , N/A ,$52.34 , N/A , N/A , N/A , N/A , N/A ,$169.15 , N/A ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$139.30 ,$125.37 ,$125.37 , N/A ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$133.00 ,$86.45 ,$34.98 ,$347.40 , N/A ,$61.18 ,$72.09 , N/A ,$37.24 ,$42.56 , N/A ,$48.94 , N/A ,$50.81 ,$133.00 , N/A ,$50.81 , N/A ,$69.96 ,$67.83 , N/A , N/A ,$93.10 , N/A ,$66.50 , N/A ,$99.75 ,$59.32 ,$53.33 ,$59.32 , N/A ,$59.32 ,$93.10 ,$93.10 ,$93.10 ,$133.00 ,$113.05 , N/A ,$106.40 ,$49.21 ,$106.40 , N/A , N/A ,$133.00 ,$72.09 , N/A ,$34.98 , N/A , N/A ,$133.00 ,$347.40 , N/A ,$113.05 , N/A ,$87.51 ,$37.24 ,$119.70 ,$95.76 ,$133.00 ,$93.10 ,$83.79 ,$83.79 , N/A ,$63.84 ,$119.70 ST. JOHN'S HOSPITAL,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$199.00 ,$129.35 ,$52.34 ,$521.10 , N/A ,$91.54 ,$107.86 , N/A ,$55.72 ,$63.68 , N/A ,$73.23 , N/A ,$76.02 ,$171.76 , N/A ,$76.02 , N/A ,$104.67 ,$101.49 , N/A , N/A ,$139.30 , N/A ,$99.50 , N/A ,$149.25 ,$88.75 ,$79.80 ,$88.75 , N/A ,$88.75 ,$139.30 ,$139.30 ,$139.30 ,$199.00 ,$169.15 , N/A ,$159.20 ,$73.63 ,$159.20 , N/A , N/A ,$199.00 ,$107.86 , N/A ,$52.34 , N/A , N/A ,$199.00 ,$521.10 , N/A ,$169.15 , N/A ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$139.30 ,$125.37 ,$125.37 , N/A ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$127.00 ,$82.55 ,$33.40 ,$347.40 , N/A ,$58.42 ,$68.83 , N/A ,$35.56 ,$40.64 , N/A ,$46.74 , N/A ,$48.51 ,$127.00 , N/A ,$48.51 , N/A ,$66.80 ,$64.77 , N/A , N/A ,$88.90 , N/A ,$63.50 , N/A ,$95.25 ,$56.64 ,$50.93 ,$56.64 , N/A ,$56.64 ,$88.90 ,$88.90 ,$88.90 ,$127.00 ,$107.95 , N/A ,$101.60 ,$46.99 ,$101.60 , N/A , N/A ,$127.00 ,$68.83 , N/A ,$33.40 , N/A , N/A ,$127.00 ,$347.40 , N/A ,$107.95 , N/A ,$83.57 ,$35.56 ,$114.30 ,$91.44 ,$127.00 ,$88.90 ,$80.01 ,$80.01 , N/A ,$60.96 ,$114.30 ST. JOHN'S HOSPITAL,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$219.00 ,$142.35 ,$57.60 ,$219.00 , N/A ,$100.74 ,$118.70 , N/A ,$61.32 ,$70.08 , N/A ,$80.59 , N/A ,$83.66 ,$93.26 , N/A ,$83.66 , N/A ,$115.19 ,$111.69 , N/A , N/A ,$153.30 , N/A ,$109.50 , N/A ,$164.25 ,$97.67 ,$87.82 ,$97.67 , N/A ,$97.67 ,$153.30 ,$153.30 ,$153.30 ,$219.00 ,$186.15 , N/A ,$175.20 ,$81.03 ,$175.20 , N/A , N/A ,$219.00 ,$118.70 , N/A ,$57.60 , N/A , N/A , N/A , N/A , N/A ,$186.15 , N/A ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$153.30 ,$137.97 ,$137.97 , N/A ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$145.00 ,$94.25 ,$38.14 ,$145.00 , N/A ,$66.70 ,$78.59 , N/A ,$40.60 ,$46.40 , N/A ,$53.36 , N/A ,$55.39 ,$93.26 , N/A ,$55.39 , N/A ,$76.27 ,$73.95 , N/A , N/A ,$101.50 , N/A ,$72.50 , N/A ,$108.75 ,$64.67 ,$58.15 ,$64.67 , N/A ,$64.67 ,$101.50 ,$101.50 ,$101.50 ,$145.00 ,$123.25 , N/A ,$116.00 ,$53.65 ,$116.00 , N/A , N/A ,$145.00 ,$78.59 , N/A ,$38.14 , N/A , N/A , N/A , N/A , N/A ,$123.25 , N/A ,$95.41 ,$40.60 ,$130.50 ,$104.40 ,$145.00 ,$101.50 ,$91.35 ,$91.35 , N/A ,$69.60 ,$130.50 ST. JOHN'S HOSPITAL,32000016,27648,HC ARTHROGRAM INJ ANKLE,320,1 ,$133.00 ,$86.45 ,$34.98 ,$347.40 , N/A ,$61.18 ,$72.09 , N/A ,$37.24 ,$42.56 , N/A ,$48.94 , N/A ,$50.81 ,$121.20 , N/A ,$50.81 , N/A ,$69.96 ,$67.83 , N/A , N/A ,$93.10 , N/A ,$66.50 , N/A ,$99.75 ,$59.32 ,$53.33 ,$59.32 , N/A ,$59.32 ,$93.10 ,$93.10 ,$93.10 ,$133.00 ,$113.05 , N/A ,$106.40 ,$49.21 ,$106.40 , N/A , N/A ,$133.00 ,$72.09 , N/A ,$34.98 , N/A , N/A ,$133.00 ,$347.40 , N/A ,$113.05 , N/A ,$87.51 ,$37.24 ,$119.70 ,$95.76 ,$133.00 ,$93.10 ,$83.79 ,$83.79 , N/A ,$63.84 ,$119.70 ST. JOHN'S HOSPITAL,32000016,27648,HC ARTHROGRAM INJ ANKLE,320,1 ,$199.00 ,$129.35 ,$52.34 ,$521.10 , N/A ,$91.54 ,$107.86 , N/A ,$55.72 ,$63.68 , N/A ,$73.23 , N/A ,$76.02 ,$121.20 , N/A ,$76.02 , N/A ,$104.67 ,$101.49 , N/A , N/A ,$139.30 , N/A ,$99.50 , N/A ,$149.25 ,$88.75 ,$79.80 ,$88.75 , N/A ,$88.75 ,$139.30 ,$139.30 ,$139.30 ,$199.00 ,$169.15 , N/A ,$159.20 ,$73.63 ,$159.20 , N/A , N/A ,$199.00 ,$107.86 , N/A ,$52.34 , N/A , N/A ,$199.00 ,$521.10 , N/A ,$169.15 , N/A ,$130.94 ,$55.72 ,$179.10 ,$143.28 ,$199.00 ,$139.30 ,$125.37 ,$125.37 , N/A ,$95.52 ,$179.10 ST. JOHN'S HOSPITAL,32000018,32550,HC INSERT CATH PLEURAL INDWELL W/,320,1 ,"$6,356.00 ","$4,131.40 ",$150.00 ,"$7,645.73 ","$7,645.73 ","$2,923.76 ","$3,444.95 ","$3,058.29 ","$1,779.68 ","$2,033.92 ","$3,058.29 ","$2,339.01 ","$3,058.29 ","$2,427.99 ",$386.80 ,"$3,058.29 ","$2,427.99 ","$5,810.75 ","$3,343.26 ","$3,241.56 ","$7,645.72 ","$3,058.29 ","$4,449.20 ","$3,058.29 ","$3,178.00 ","$3,119.45 ","$4,767.00 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$4,449.20 ","$4,449.20 ","$4,449.20 ","$6,356.00 ","$5,402.60 ","$6,356.00 ","$5,084.80 ","$2,351.72 ","$5,084.80 ","$3,058.29 ","$3,058.29 ","$6,356.00 ","$3,444.95 ","$3,058.29 ","$1,671.63 ", N/A , N/A ,$725.23 ,$692.27 ,"$3,211.20 ","$5,402.60 ","$6,881.15 ","$4,182.25 ","$1,779.68 ","$5,720.40 ","$4,576.32 ","$6,356.00 ","$4,449.20 ","$4,004.28 ","$4,004.28 ","$3,058.29 ","$3,050.88 ","$5,720.40 " ST. JOHN'S HOSPITAL,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$1,545.00 ","$1,004.25 ",$150.00 ,"$3,379.28 ","$3,379.28 ",$710.70 ,$837.39 ,"$1,351.71 ",$432.60 ,$494.40 ,"$1,351.71 ",$568.56 ,"$1,351.71 ",$590.19 ,$295.09 ,"$1,351.71 ",$590.19 ,"$1,545.00 ",$812.67 ,$787.95 ,"$3,379.28 ","$1,351.71 ","$1,081.50 ","$1,351.71 ",$772.50 ,"$1,378.75 ","$1,158.75 ",$166.00 ,$150.00 ,$166.00 ,"$1,351.71 ",$166.00 ,"$1,081.50 ","$1,081.50 ","$1,081.50 ","$1,545.00 ","$1,313.25 ","$1,545.00 ","$1,236.00 ",$571.65 ,"$1,236.00 ","$1,351.71 ","$1,351.71 ","$1,545.00 ",$837.39 ,"$1,351.71 ",$406.34 , N/A , N/A ,$725.23 ,$692.27 ,"$1,419.30 ","$1,313.25 ","$3,041.36 ","$1,016.61 ",$432.60 ,"$1,390.50 ","$1,112.40 ","$1,545.00 ","$1,081.50 ",$973.35 ,$973.35 ,"$1,351.71 ",$741.60 ,"$1,390.50 " ST. JOHN'S HOSPITAL,32000020,32552,HC REMOVAL TUNNELED PLEURAL CATH,320,1 ,"$4,322.00 ","$2,809.30 ",$150.00 ,"$4,322.00 ","$1,298.95 ","$1,988.12 ","$2,342.52 ",$519.58 ,"$1,210.16 ","$1,383.04 ",$519.58 ,"$1,590.50 ",$519.58 ,"$1,651.00 ",$290.98 ,$519.58 ,"$1,651.00 ",$987.20 ,"$2,273.37 ","$2,204.22 ","$1,298.95 ",$519.58 ,"$3,025.40 ",$519.58 ,"$2,161.00 ",$529.97 ,"$3,241.50 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$3,025.40 ","$3,025.40 ","$3,025.40 ","$4,322.00 ","$3,673.70 ","$1,298.95 ","$3,457.60 ","$1,599.14 ","$3,457.60 ",$519.58 ,$519.58 ,"$4,322.00 ","$2,342.52 ",$519.58 ,"$1,136.69 ", N/A , N/A ,$725.23 ,$692.27 ,$545.56 ,"$3,673.70 ","$1,169.06 ","$2,843.88 ","$1,210.16 ","$3,889.80 ","$3,111.84 ","$4,322.00 ","$3,025.40 ","$2,722.86 ","$2,722.86 ",$519.58 ,"$2,074.56 ","$3,889.80 " ST. JOHN'S HOSPITAL,32000021,32561,HC INSTILL FIBRO CHEST TUBE INIT,320,1 ,"$1,841.00 ","$1,196.65 ",$127.42 ,"$1,841.00 ","$1,298.95 ",$846.86 ,$997.82 ,$519.58 ,$515.48 ,$589.12 ,$519.58 ,$677.49 ,$519.58 ,$703.26 ,$127.42 ,$519.58 ,$703.26 ,$987.20 ,$968.37 ,$938.91 ,"$1,298.95 ",$519.58 ,"$1,288.70 ",$519.58 ,$920.50 ,$529.97 ,"$1,380.75 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$1,288.70 ","$1,288.70 ","$1,288.70 ","$1,841.00 ","$1,564.85 ","$1,298.95 ","$1,472.80 ",$681.17 ,"$1,472.80 ",$519.58 ,$519.58 ,"$1,841.00 ",$997.82 ,$519.58 ,$484.18 , N/A , N/A ,$702.00 ,$670.09 ,$545.56 ,"$1,564.85 ","$1,169.06 ","$1,211.38 ",$515.48 ,"$1,656.90 ","$1,325.52 ","$1,841.00 ","$1,288.70 ","$1,159.83 ","$1,159.83 ",$519.58 ,$883.68 ,"$1,656.90 " ST. JOHN'S HOSPITAL,32000022,32562,HC INSTILL FIBRO CHEST TUBE SUBSQ DAY,320,1 ,"$1,841.00 ","$1,196.65 ",$113.94 ,"$1,841.00 ","$1,298.95 ",$846.86 ,$997.82 ,$519.58 ,$515.48 ,$589.12 ,$519.58 ,$677.49 ,$519.58 ,$703.26 ,$113.94 ,$519.58 ,$703.26 ,$987.20 ,$968.37 ,$938.91 ,"$1,298.95 ",$519.58 ,"$1,288.70 ",$519.58 ,$920.50 ,$529.97 ,"$1,380.75 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$1,288.70 ","$1,288.70 ","$1,288.70 ","$1,841.00 ","$1,564.85 ","$1,298.95 ","$1,472.80 ",$681.17 ,"$1,472.80 ",$519.58 ,$519.58 ,"$1,841.00 ",$997.82 ,$519.58 ,$484.18 , N/A , N/A ,$702.00 ,$670.09 ,$545.56 ,"$1,564.85 ","$1,169.06 ","$1,211.38 ",$515.48 ,"$1,656.90 ","$1,325.52 ","$1,841.00 ","$1,288.70 ","$1,159.83 ","$1,159.83 ",$519.58 ,$883.68 ,"$1,656.90 " ST. JOHN'S HOSPITAL,32000026,36000,HC IV START > 3YR OLD,320,1 ,$357.00 ,$232.05 ,$16.51 ,$357.00 , N/A ,$164.22 ,$193.49 , N/A ,$99.96 ,$114.24 , N/A ,$131.38 , N/A ,$136.37 ,$16.51 , N/A ,$136.37 , N/A ,$187.78 ,$182.07 , N/A , N/A ,$249.90 , N/A ,$178.50 , N/A ,$267.75 ,$159.22 ,$143.16 ,$159.22 , N/A ,$159.22 ,$249.90 ,$249.90 ,$249.90 ,$357.00 ,$303.45 , N/A ,$285.60 ,$132.09 ,$285.60 , N/A , N/A ,$357.00 ,$193.49 , N/A ,$93.89 , N/A , N/A ,$292.42 ,$279.13 , N/A ,$303.45 , N/A ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$249.90 ,$224.91 ,$224.91 , N/A ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,32000027,36002,HC INJ PSEUDOANEURYSM (THROMBIN),320,1 ,"$2,094.00 ","$1,361.10 ",$150.00 ,"$2,094.00 ","$1,298.95 ",$963.24 ,"$1,134.95 ",$519.58 ,$586.32 ,$670.08 ,$519.58 ,$770.59 ,$519.58 ,$799.91 ,$186.56 ,$519.58 ,$799.91 ,$987.20 ,"$1,101.44 ","$1,067.94 ","$1,298.95 ",$519.58 ,"$1,465.80 ",$519.58 ,"$1,047.00 ",$529.97 ,"$1,570.50 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$1,465.80 ","$1,465.80 ","$1,465.80 ","$2,094.00 ","$1,779.90 ","$1,298.95 ","$1,675.20 ",$774.78 ,"$1,675.20 ",$519.58 ,$519.58 ,"$2,094.00 ","$1,134.95 ",$519.58 ,$550.72 , N/A , N/A , N/A , N/A ,$545.56 ,"$1,779.90 ","$1,169.06 ","$1,377.85 ",$586.32 ,"$1,884.60 ","$1,507.68 ","$2,094.00 ","$1,465.80 ","$1,319.22 ","$1,319.22 ",$519.58 ,"$1,005.12 ","$1,884.60 " ST. JOHN'S HOSPITAL,32000028,36005,HC VENOGRAM INJECTION 36005,320,1 ,$787.00 ,$511.55 ,$86.52 ,$787.00 , N/A ,$362.02 ,$426.55 , N/A ,$220.36 ,$251.84 , N/A ,$289.62 , N/A ,$300.63 ,$86.52 , N/A ,$300.63 , N/A ,$413.96 ,$401.37 , N/A , N/A ,$550.90 , N/A ,$393.50 , N/A ,$590.25 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$550.90 ,$550.90 ,$550.90 ,$787.00 ,$668.95 , N/A ,$629.60 ,$291.19 ,$629.60 , N/A , N/A ,$787.00 ,$426.55 , N/A ,$206.98 , N/A , N/A ,$363.95 ,$347.40 , N/A ,$668.95 , N/A ,$517.85 ,$220.36 ,$708.30 ,$566.64 ,$787.00 ,$550.90 ,$495.81 ,$495.81 , N/A ,$377.76 ,$708.30 ST. JOHN'S HOSPITAL,32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$292.00 ,$189.80 ,$48.51 ,$292.00 , N/A ,$134.32 ,$158.26 , N/A ,$81.76 ,$93.44 , N/A ,$107.46 , N/A ,$111.54 ,$111.54 , N/A ,$111.54 , N/A ,$153.59 ,$146.00 , N/A , N/A ,$204.40 , N/A ,$146.00 , N/A ,$219.00 ,$130.23 ,$117.09 ,$130.23 , N/A ,$130.23 ,$183.96 ,$183.96 ,$207.32 ,$292.00 ,$248.20 , N/A ,$233.60 ,$108.04 ,$233.60 , N/A , N/A ,$292.00 ,$158.26 , N/A ,$76.80 , N/A , N/A ,$50.82 ,$48.51 , N/A ,$248.20 , N/A ,$111.54 ,$81.76 ,$262.80 ,$210.24 ,$292.00 ,$183.96 ,$183.96 ,$183.96 , N/A ,$140.16 ,$262.80 ST. JOHN'S HOSPITAL,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$371.00 ,$241.15 ,$81.45 ,"$1,703.32 ",$491.60 ,$170.66 ,$201.08 ,$196.64 ,$103.88 ,$118.72 ,$196.64 ,$136.53 ,$196.64 ,$141.72 ,$81.45 ,$196.64 ,$141.72 ,$371.00 ,$195.15 ,$189.21 ,$491.61 ,$196.64 ,$259.70 ,$196.64 ,$185.50 ,$200.58 ,$278.25 ,$165.47 ,$148.77 ,$165.47 ,$196.64 ,$165.47 ,$259.70 ,$259.70 ,$259.70 ,$371.00 ,$315.35 ,$371.00 ,$296.80 ,$137.27 ,$296.80 ,$196.64 ,$196.64 ,$371.00 ,$201.08 ,$196.64 ,$97.57 , N/A , N/A ,$371.00 ,"$1,703.32 ",$206.47 ,$315.35 ,$442.45 ,$244.12 ,$103.88 ,$333.90 ,$267.12 ,$371.00 ,$259.70 ,$233.73 ,$233.73 ,$196.64 ,$178.08 ,$333.90 ST. JOHN'S HOSPITAL,32000032,42400,HC BX GLAND SALIVARY NEEDLE,320,1 ,"$2,209.00 ","$1,435.85 ",$93.39 ,"$2,209.00 ","$1,495.43 ","$1,016.14 ","$1,197.28 ",$598.17 ,$618.52 ,$706.88 ,$598.17 ,$812.91 ,$598.17 ,$843.84 ,$93.39 ,$598.17 ,$843.84 ,"$1,136.52 ","$1,161.93 ","$1,126.59 ","$1,495.43 ",$598.17 ,"$1,546.30 ",$598.17 ,"$1,104.50 ",$610.13 ,"$1,656.75 ",$166.00 ,$150.00 ,$166.00 ,$598.17 ,$166.00 ,"$1,546.30 ","$1,546.30 ","$1,546.30 ","$2,209.00 ","$1,877.65 ","$1,495.43 ","$1,767.20 ",$817.33 ,"$1,767.20 ",$598.17 ,$598.17 ,"$2,209.00 ","$1,197.28 ",$598.17 ,$580.97 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,877.65 ","$1,345.88 ","$1,453.52 ",$618.52 ,"$1,988.10 ","$1,590.48 ","$2,209.00 ","$1,546.30 ","$1,391.67 ","$1,391.67 ",$598.17 ,"$1,060.32 ","$1,988.10 " ST. JOHN'S HOSPITAL,32000033,42550,HC SIALOGRAM INJECTION,320,1 ,$318.00 ,$206.70 ,$83.63 ,$347.40 , N/A ,$146.28 ,$172.36 , N/A ,$89.04 ,$101.76 , N/A ,$117.02 , N/A ,$121.48 ,$112.94 , N/A ,$121.48 , N/A ,$167.27 ,$162.18 , N/A , N/A ,$222.60 , N/A ,$159.00 , N/A ,$238.50 ,$141.83 ,$127.52 ,$141.83 , N/A ,$141.83 ,$222.60 ,$222.60 ,$222.60 ,$318.00 ,$270.30 , N/A ,$254.40 ,$117.66 ,$254.40 , N/A , N/A ,$318.00 ,$172.36 , N/A ,$83.63 , N/A , N/A ,$318.00 ,$347.40 , N/A ,$270.30 , N/A ,$209.24 ,$89.04 ,$286.20 ,$228.96 ,$318.00 ,$222.60 ,$200.34 ,$200.34 , N/A ,$152.64 ,$286.20 ST. JOHN'S HOSPITAL,32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$742.00 ,$482.30 ,$71.96 ,$742.00 ,$652.20 ,$341.32 ,$402.16 ,$260.88 ,$207.76 ,$237.44 ,$260.88 ,$273.06 ,$260.88 ,$283.44 ,$71.96 ,$260.88 ,$283.44 ,$495.68 ,$390.29 ,$378.42 ,$652.20 ,$260.88 ,$519.40 ,$260.88 ,$371.00 ,$266.10 ,$556.50 ,$166.00 ,$150.00 ,$166.00 ,$260.88 ,$166.00 ,$519.40 ,$519.40 ,$519.40 ,$742.00 ,$630.70 ,$652.20 ,$593.60 ,$274.54 ,$593.60 ,$260.88 ,$260.88 ,$742.00 ,$402.16 ,$260.88 ,$195.15 , N/A , N/A ,$631.26 ,$602.56 ,$273.92 ,$630.70 ,$586.98 ,$488.24 ,$207.76 ,$667.80 ,$534.24 ,$742.00 ,$519.40 ,$467.46 ,$467.46 ,$260.88 ,$356.16 ,$667.80 ST. JOHN'S HOSPITAL,32000036,43761,HC REPOSITION G-TUBE,320,1 ,"$2,311.00 ","$1,502.15 ",$119.50 ,"$2,311.00 ",$639.48 ,"$1,063.06 ","$1,252.56 ",$255.79 ,$647.08 ,$739.52 ,$255.79 ,$850.45 ,$255.79 ,$882.80 ,$183.83 ,$255.79 ,$882.80 ,$486.00 ,"$1,215.59 ","$1,178.61 ",$639.47 ,$255.79 ,"$1,617.70 ",$255.79 ,"$1,155.50 ",$260.91 ,"$1,733.25 ",$166.00 ,$150.00 ,$166.00 ,$255.79 ,$166.00 ,"$1,617.70 ","$1,617.70 ","$1,617.70 ","$2,311.00 ","$1,964.35 ",$639.47 ,"$1,848.80 ",$855.07 ,"$1,848.80 ",$255.79 ,$255.79 ,"$2,311.00 ","$1,252.56 ",$255.79 ,$607.79 , N/A , N/A ,$125.19 ,$119.50 ,$268.58 ,"$1,964.35 ",$575.53 ,"$1,520.64 ",$647.08 ,"$2,079.90 ","$1,663.92 ","$2,311.00 ","$1,617.70 ","$1,455.93 ","$1,455.93 ",$255.79 ,"$1,109.28 ","$2,079.90 " ST. JOHN'S HOSPITAL,32000038,44500,HC INTRO TUBE GI LONG,320,1 ,"$1,470.00 ",$955.50 ,$34.30 ,"$1,944.50 ","$1,944.50 ",$676.20 ,$796.74 ,$777.80 ,$411.60 ,$470.40 ,$777.80 ,$540.96 ,$777.80 ,$561.54 ,$34.30 ,$777.80 ,$561.54 ,"$1,470.00 ",$773.22 ,$749.70 ,"$1,944.50 ",$777.80 ,"$1,029.00 ",$777.80 ,$735.00 ,$793.35 ,"$1,102.50 ",$166.00 ,$150.00 ,$166.00 ,$777.80 ,$166.00 ,"$1,029.00 ","$1,029.00 ","$1,029.00 ","$1,470.00 ","$1,249.50 ","$1,470.00 ","$1,176.00 ",$543.90 ,"$1,176.00 ",$777.80 ,$777.80 ,"$1,470.00 ",$796.74 ,$777.80 ,$386.61 , N/A , N/A ,$631.26 ,$602.56 ,$816.69 ,"$1,249.50 ","$1,750.05 ",$967.26 ,$411.60 ,"$1,323.00 ","$1,058.40 ","$1,470.00 ","$1,029.00 ",$926.10 ,$926.10 ,$777.80 ,$705.60 ,"$1,323.00 " ST. JOHN'S HOSPITAL,32000043,47536,HC CHG PERC BIL DRAIN CATH,320,1 ,"$10,229.00 ","$6,648.85 ",$150.00 ,"$10,229.00 ","$7,645.73 ","$4,705.34 ","$5,544.12 ","$3,058.29 ","$2,864.12 ","$3,273.28 ","$3,058.29 ","$3,764.27 ","$3,058.29 ","$3,907.48 ",$235.34 ,"$3,058.29 ","$3,907.48 ","$5,810.75 ","$5,380.45 ","$5,216.79 ","$7,645.72 ","$3,058.29 ","$7,160.30 ","$3,058.29 ","$5,114.50 ","$3,119.45 ","$7,671.75 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$7,160.30 ","$7,160.30 ","$7,160.30 ","$10,229.00 ","$8,694.65 ","$7,645.72 ","$8,183.20 ","$3,784.73 ","$8,183.20 ","$3,058.29 ","$3,058.29 ","$10,229.00 ","$5,544.12 ","$3,058.29 ","$2,690.23 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ","$3,211.20 ","$8,694.65 ","$6,881.15 ","$6,730.68 ","$2,864.12 ","$9,206.10 ","$7,364.88 ","$10,229.00 ","$7,160.30 ","$6,444.27 ","$6,444.27 ","$3,058.29 ","$4,909.92 ","$9,206.10 " ST. JOHN'S HOSPITAL,32000044,47535,HC REVISE/REINSERT TUBE TRNSHEPAT,320,1 ,"$10,229.00 ","$6,648.85 ",$150.00 ,"$10,229.00 ","$7,645.73 ","$4,705.34 ","$5,544.12 ","$3,058.29 ","$2,864.12 ","$3,273.28 ","$3,058.29 ","$3,764.27 ","$3,058.29 ","$3,907.48 ",$352.70 ,"$3,058.29 ","$3,907.48 ","$5,810.75 ","$5,380.45 ","$5,216.79 ","$7,645.72 ","$3,058.29 ","$7,160.30 ","$3,058.29 ","$5,114.50 ","$3,119.45 ","$7,671.75 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$7,160.30 ","$7,160.30 ","$7,160.30 ","$10,229.00 ","$8,694.65 ","$7,645.72 ","$8,183.20 ","$3,784.73 ","$8,183.20 ","$3,058.29 ","$3,058.29 ","$10,229.00 ","$5,544.12 ","$3,058.29 ","$2,690.23 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ","$3,211.20 ","$8,694.65 ","$6,881.15 ","$6,730.68 ","$2,864.12 ","$9,206.10 ","$7,364.88 ","$10,229.00 ","$7,160.30 ","$6,444.27 ","$6,444.27 ","$3,058.29 ","$4,909.92 ","$9,206.10 " ST. JOHN'S HOSPITAL,32000046,47539,HC ENDO BILIARY DIL DUCT W/STENT,320,1 ,"$19,636.00 ","$12,763.40 ",$150.00 ,"$19,636.00 ","$12,159.58 ","$9,032.56 ","$10,642.71 ","$4,863.83 ","$5,498.08 ","$6,283.52 ","$4,863.83 ","$7,226.05 ","$4,863.83 ","$7,500.95 ",$763.93 ,"$4,863.83 ","$7,500.95 ","$9,241.28 ","$10,328.54 ","$10,014.36 ","$12,159.57 ","$4,863.83 ","$13,745.20 ","$4,863.83 ","$9,818.00 ","$4,961.11 ","$14,727.00 ",$166.00 ,$150.00 ,$166.00 ,"$4,863.83 ",$166.00 ,"$13,745.20 ","$13,745.20 ","$13,745.20 ","$19,636.00 ","$16,690.60 ","$12,159.57 ","$15,708.80 ","$7,265.32 ","$15,708.80 ","$4,863.83 ","$4,863.83 ","$19,636.00 ","$10,642.71 ","$4,863.83 ","$5,164.27 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ","$5,107.02 ","$16,690.60 ","$10,943.62 ","$12,920.49 ","$5,498.08 ","$17,672.40 ","$14,137.92 ","$19,636.00 ","$13,745.20 ","$12,370.68 ","$12,370.68 ","$4,863.83 ","$9,425.28 ","$17,672.40 " ST. JOHN'S HOSPITAL,32000051,49406,HC DRN ABSC RETROPERITONEAL PERC,320,1 ,"$6,183.00 ","$4,018.95 ",$150.00 ,"$6,183.00 ","$3,381.25 ","$2,844.18 ","$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,32000053,49423,HC EXCHG CATH ABSC/CYST DRAIN,320,1 ,"$5,669.00 ","$3,684.85 ",$127.24 ,"$5,669.00 ","$3,903.18 ","$2,607.74 ","$3,072.60 ","$1,561.27 ","$1,587.32 ","$1,814.08 ","$1,561.27 ","$2,086.19 ","$1,561.27 ","$2,165.56 ",$127.24 ,"$1,561.27 ","$2,165.56 ","$2,966.42 ","$2,981.89 ","$2,891.19 ","$3,903.18 ","$1,561.27 ","$3,968.30 ","$1,561.27 ","$2,834.50 ","$1,592.50 ","$4,251.75 ",$166.00 ,$150.00 ,$166.00 ,"$1,561.27 ",$166.00 ,"$3,968.30 ","$3,968.30 ","$3,968.30 ","$5,669.00 ","$4,818.65 ","$3,903.18 ","$4,535.20 ","$2,097.53 ","$4,535.20 ","$1,561.27 ","$1,561.27 ","$5,669.00 ","$3,072.60 ","$1,561.27 ","$1,490.95 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,639.33 ","$4,818.65 ","$3,512.86 ","$3,730.20 ","$1,587.32 ","$5,102.10 ","$4,081.68 ","$5,669.00 ","$3,968.30 ","$3,571.47 ","$3,571.47 ","$1,561.27 ","$2,721.12 ","$5,102.10 " ST. JOHN'S HOSPITAL,32000054,49424,HC INJ CONTRAST ABSC/CYST,320,1 ,"$1,854.00 ","$1,205.10 ",$67.55 ,"$1,854.00 ", N/A ,$852.84 ,"$1,004.87 ", N/A ,$519.12 ,$593.28 , N/A ,$682.27 , N/A ,$708.23 ,$67.55 , N/A ,$708.23 , N/A ,$975.20 ,$945.54 , N/A , N/A ,"$1,297.80 ", N/A ,$927.00 , N/A ,"$1,390.50 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,297.80 ","$1,297.80 ","$1,297.80 ","$1,854.00 ","$1,575.90 ", N/A ,"$1,483.20 ",$685.98 ,"$1,483.20 ", N/A , N/A ,"$1,854.00 ","$1,004.87 ", N/A ,$487.60 , N/A , N/A ,$363.95 ,$347.40 , N/A ,"$1,575.90 ", N/A ,"$1,219.93 ",$519.12 ,"$1,668.60 ","$1,334.88 ","$1,854.00 ","$1,297.80 ","$1,168.02 ","$1,168.02 ", N/A ,$889.92 ,"$1,668.60 " ST. JOHN'S HOSPITAL,32000056,49440,HC INSERT GASTRO TUBE FLUORO,320,1 ,"$3,265.00 ","$2,122.25 ",$150.00 ,"$3,903.18 ","$3,903.18 ","$1,501.90 ","$1,769.63 ","$1,561.27 ",$914.20 ,"$1,044.80 ","$1,561.27 ","$1,201.52 ","$1,561.27 ","$1,247.23 ",$364.89 ,"$1,561.27 ","$1,247.23 ","$2,966.42 ","$1,717.39 ","$1,665.15 ","$3,903.18 ","$1,561.27 ","$2,285.50 ","$1,561.27 ","$1,632.50 ","$1,592.50 ","$2,448.75 ",$166.00 ,$150.00 ,$166.00 ,"$1,561.27 ",$166.00 ,"$2,285.50 ","$2,285.50 ","$2,285.50 ","$3,265.00 ","$2,775.25 ","$3,265.00 ","$2,612.00 ","$1,208.05 ","$2,612.00 ","$1,561.27 ","$1,561.27 ","$3,265.00 ","$1,769.63 ","$1,561.27 ",$858.70 , N/A , N/A ,$820.50 ,$783.21 ,"$1,639.33 ","$2,775.25 ","$3,512.86 ","$2,148.37 ",$914.20 ,"$2,938.50 ","$2,350.80 ","$3,265.00 ","$2,285.50 ","$2,056.95 ","$2,056.95 ","$1,561.27 ","$1,567.20 ","$2,938.50 " ST. JOHN'S HOSPITAL,32000059,49446,HC CHG G-TB TO GJ-TB PERC FLUORO,320,1 ,"$3,265.00 ","$2,122.25 ",$150.00 ,"$3,903.18 ","$3,903.18 ","$1,501.90 ","$1,769.63 ","$1,561.27 ",$914.20 ,"$1,044.80 ","$1,561.27 ","$1,201.52 ","$1,561.27 ","$1,247.23 ",$264.44 ,"$1,561.27 ","$1,247.23 ","$2,966.42 ","$1,717.39 ","$1,665.15 ","$3,903.18 ","$1,561.27 ","$2,285.50 ","$1,561.27 ","$1,632.50 ","$1,592.50 ","$2,448.75 ",$166.00 ,$150.00 ,$166.00 ,"$1,561.27 ",$166.00 ,"$2,285.50 ","$2,285.50 ","$2,285.50 ","$3,265.00 ","$2,775.25 ","$3,265.00 ","$2,612.00 ","$1,208.05 ","$2,612.00 ","$1,561.27 ","$1,561.27 ","$3,265.00 ","$1,769.63 ","$1,561.27 ",$858.70 , N/A , N/A ,"$1,132.53 ","$1,081.05 ","$1,639.33 ","$2,775.25 ","$3,512.86 ","$2,148.37 ",$914.20 ,"$2,938.50 ","$2,350.80 ","$3,265.00 ","$2,285.50 ","$2,056.95 ","$2,056.95 ","$1,561.27 ","$1,567.20 ","$2,938.50 " ST. JOHN'S HOSPITAL,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$3,265.00 ","$2,122.25 ",$118.21 ,"$3,265.00 ","$1,944.50 ","$1,501.90 ","$1,769.63 ",$777.80 ,$914.20 ,"$1,044.80 ",$777.80 ,"$1,201.52 ",$777.80 ,"$1,247.23 ",$118.21 ,$777.80 ,"$1,247.23 ","$1,477.82 ","$1,717.39 ","$1,665.15 ","$1,944.50 ",$777.80 ,"$2,285.50 ",$777.80 ,"$1,632.50 ",$793.35 ,"$2,448.75 ",$166.00 ,$150.00 ,$166.00 ,$777.80 ,$166.00 ,"$2,285.50 ","$2,285.50 ","$2,285.50 ","$3,265.00 ","$2,775.25 ","$1,944.50 ","$2,612.00 ","$1,208.05 ","$2,612.00 ",$777.80 ,$777.80 ,"$3,265.00 ","$1,769.63 ",$777.80 ,$858.70 , N/A , N/A ,$631.26 ,$602.56 ,$816.69 ,"$2,775.25 ","$1,750.05 ","$2,148.37 ",$914.20 ,"$2,938.50 ","$2,350.80 ","$3,265.00 ","$2,285.50 ","$2,056.95 ","$2,056.95 ",$777.80 ,"$1,567.20 ","$2,938.50 " ST. JOHN'S HOSPITAL,32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,"$3,216.00 ","$2,090.40 ",$150.00 ,"$3,216.00 ","$1,944.50 ","$1,479.36 ","$1,743.07 ",$777.80 ,$900.48 ,"$1,029.12 ",$777.80 ,"$1,183.49 ",$777.80 ,"$1,228.51 ",$161.28 ,$777.80 ,"$1,228.51 ","$1,477.82 ","$1,691.62 ","$1,640.16 ","$1,944.50 ",$777.80 ,"$2,251.20 ",$777.80 ,"$1,608.00 ",$793.35 ,"$2,412.00 ",$166.00 ,$150.00 ,$166.00 ,$777.80 ,$166.00 ,"$2,251.20 ","$2,251.20 ","$2,251.20 ","$3,216.00 ","$2,733.60 ","$1,944.50 ","$2,572.80 ","$1,189.92 ","$2,572.80 ",$777.80 ,$777.80 ,"$3,216.00 ","$1,743.07 ",$777.80 ,$845.81 , N/A , N/A ,$631.26 ,$602.56 ,$816.69 ,"$2,733.60 ","$1,750.05 ","$2,116.13 ",$900.48 ,"$2,894.40 ","$2,315.52 ","$3,216.00 ","$2,251.20 ","$2,026.08 ","$2,026.08 ",$777.80 ,"$1,543.68 ","$2,894.40 " ST. JOHN'S HOSPITAL,32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,"$3,265.00 ","$2,122.25 ",$602.56 ,"$3,265.00 ","$1,944.50 ","$2,300.00 ","$1,769.63 ",$777.80 ,$914.20 ,"$1,044.80 ",$777.80 ,"$1,201.52 ",$777.80 ,"$1,247.23 ","$1,247.23 ",$777.80 ,"$1,247.23 ","$1,477.82 ","$1,717.39 ","$1,632.50 ","$1,944.50 ",$777.80 ,"$2,285.50 ",$777.80 ,"$1,632.50 ",$793.35 ,"$2,448.75 ","$1,456.19 ","$1,309.27 ","$1,456.19 ",$777.80 ,"$1,456.19 ","$2,056.95 ","$2,056.95 ","$2,318.15 ","$3,265.00 ","$2,775.25 ","$1,944.50 ","$2,612.00 ","$1,208.05 ","$2,612.00 ",$777.80 ,$777.80 ,"$3,265.00 ","$1,769.63 ",$777.80 ,$858.70 , N/A , N/A ,$631.26 ,$602.56 ,$816.69 ,"$2,775.25 ","$1,750.05 ","$1,247.23 ",$914.20 ,"$2,938.50 ","$2,350.80 ","$3,265.00 ","$2,056.95 ","$2,056.95 ","$2,056.95 ",$777.80 ,"$1,567.20 ","$2,938.50 " ST. JOHN'S HOSPITAL,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$841.00 ,$546.65 ,$54.56 ,$841.00 ,$552.95 ,$386.86 ,$455.82 ,$221.18 ,$235.48 ,$269.12 ,$221.18 ,$309.49 ,$221.18 ,$321.26 ,$54.56 ,$221.18 ,$321.26 ,$420.25 ,$442.37 ,$428.91 ,$552.96 ,$221.18 ,$588.70 ,$221.18 ,$420.50 ,$225.61 ,$630.75 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$588.70 ,$588.70 ,$588.70 ,$841.00 ,$714.85 ,$552.96 ,$672.80 ,$311.17 ,$672.80 ,$221.18 ,$221.18 ,$841.00 ,$455.82 ,$221.18 ,$221.18 , N/A , N/A ,$363.95 ,$347.40 ,$232.24 ,$714.85 ,$497.66 ,$553.38 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$588.70 ,$529.83 ,$529.83 ,$221.18 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,32000065,49999,HC ABD/PERITONEUM/OMNTM UNLSTD,320,1 ,"$4,291.00 ","$2,789.15 ",$150.00 ,"$4,291.00 ","$1,944.50 ","$1,973.86 ","$2,325.72 ",$777.80 ,"$1,201.48 ","$1,373.12 ",$777.80 ,"$1,579.09 ",$777.80 ,"$1,639.16 ","$1,716.40 ",$777.80 ,"$1,639.16 ","$1,477.82 ","$2,257.07 ","$2,188.41 ","$1,944.50 ",$777.80 ,"$3,003.70 ",$777.80 ,"$2,145.50 ",$793.35 ,"$3,218.25 ",$166.00 ,$150.00 ,$166.00 ,$777.80 ,$166.00 ,"$3,003.70 ","$3,003.70 ","$3,003.70 ","$4,291.00 ","$3,647.35 ","$1,944.50 ","$3,432.80 ","$1,587.67 ","$3,432.80 ",$777.80 ,$777.80 ,"$4,291.00 ","$2,325.72 ",$777.80 ,"$1,128.53 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ",$816.69 ,"$3,647.35 ","$1,750.05 ","$2,823.48 ","$1,201.48 ","$3,861.90 ","$3,089.52 ","$4,291.00 ","$3,003.70 ","$2,703.33 ","$2,703.33 ",$777.80 ,"$2,059.68 ","$3,861.90 " ST. JOHN'S HOSPITAL,32000066,49405,HC DRN ABSC PERIRENAL PERC,320,1 ,"$6,183.00 ","$4,018.95 ",$150.00 ,"$6,183.00 ","$3,381.25 ","$2,844.18 ","$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,32000067,50382,HC CHANGE URETERAL STENT PERCU,320,1 ,"$8,834.00 ","$5,742.10 ",$150.00 ,"$8,834.00 ","$4,302.83 ","$4,063.64 ","$4,788.03 ","$1,721.13 ","$2,473.52 ","$2,826.88 ","$1,721.13 ","$3,250.91 ","$1,721.13 ","$3,374.59 ",$676.78 ,"$1,721.13 ","$3,374.59 ","$3,270.14 ","$4,646.68 ","$4,505.34 ","$4,302.81 ","$1,721.13 ","$6,183.80 ","$1,721.13 ","$4,417.00 ","$1,755.55 ","$6,625.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$6,183.80 ","$6,183.80 ","$6,183.80 ","$8,834.00 ","$7,508.90 ","$4,302.81 ","$7,067.20 ","$3,268.58 ","$7,067.20 ","$1,721.13 ","$1,721.13 ","$8,834.00 ","$4,788.03 ","$1,721.13 ","$2,323.34 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$1,807.19 ","$7,508.90 ","$3,872.53 ","$5,812.77 ","$2,473.52 ","$7,950.60 ","$6,360.48 ","$8,834.00 ","$6,183.80 ","$5,565.42 ","$5,565.42 ","$1,721.13 ","$4,240.32 ","$7,950.60 " ST. JOHN'S HOSPITAL,32000068,50384,HC REM URETERAL STENT PERCU,320,1 ,"$3,798.00 ","$2,468.70 ",$150.00 ,"$4,302.83 ","$4,302.83 ","$1,747.08 ","$2,058.52 ","$1,721.13 ","$1,063.44 ","$1,215.36 ","$1,721.13 ","$1,397.66 ","$1,721.13 ","$1,450.84 ",$606.62 ,"$1,721.13 ","$1,450.84 ","$3,270.14 ","$1,997.75 ","$1,936.98 ","$4,302.81 ","$1,721.13 ","$2,658.60 ","$1,721.13 ","$1,899.00 ","$1,755.55 ","$2,848.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$2,658.60 ","$2,658.60 ","$2,658.60 ","$3,798.00 ","$3,228.30 ","$3,798.00 ","$3,038.40 ","$1,405.26 ","$3,038.40 ","$1,721.13 ","$1,721.13 ","$3,798.00 ","$2,058.52 ","$1,721.13 ",$998.87 , N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$3,228.30 ","$3,872.53 ","$2,499.08 ","$1,063.44 ","$3,418.20 ","$2,734.56 ","$3,798.00 ","$2,658.60 ","$2,392.74 ","$2,392.74 ","$1,721.13 ","$1,823.04 ","$3,418.20 " ST. JOHN'S HOSPITAL,32000071,50387,HC CHANGE EXT/INT URET STENT,320,1 ,"$3,086.00 ","$2,005.90 ",$150.00 ,"$4,302.83 ","$4,302.83 ","$1,419.56 ","$1,672.61 ","$1,721.13 ",$864.08 ,$987.52 ,"$1,721.13 ","$1,135.65 ","$1,721.13 ","$1,178.85 ",$220.67 ,"$1,721.13 ","$1,178.85 ","$3,086.00 ","$1,623.24 ","$1,573.86 ","$4,302.81 ","$1,721.13 ","$2,160.20 ","$1,721.13 ","$1,543.00 ","$1,755.55 ","$2,314.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$2,160.20 ","$2,160.20 ","$2,160.20 ","$3,086.00 ","$2,623.10 ","$3,086.00 ","$2,468.80 ","$1,141.82 ","$2,468.80 ","$1,721.13 ","$1,721.13 ","$3,086.00 ","$1,672.61 ","$1,721.13 ",$811.62 , N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$2,623.10 ","$3,872.53 ","$2,030.59 ",$864.08 ,"$2,777.40 ","$2,221.92 ","$3,086.00 ","$2,160.20 ","$1,944.18 ","$1,944.18 ","$1,721.13 ","$1,481.28 ","$2,777.40 " ST. JOHN'S HOSPITAL,32000071,50387,HC CHANGE EXT/INT URET STENT,320,1 ,"$4,630.00 ","$3,009.50 ",$150.00 ,"$4,630.00 ","$4,302.83 ","$2,129.80 ","$2,509.46 ","$1,721.13 ","$1,296.40 ","$1,481.60 ","$1,721.13 ","$1,703.84 ","$1,721.13 ","$1,768.66 ",$220.67 ,"$1,721.13 ","$1,768.66 ","$3,270.14 ","$2,435.38 ","$2,361.30 ","$4,302.81 ","$1,721.13 ","$3,241.00 ","$1,721.13 ","$2,315.00 ","$1,755.55 ","$3,472.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$3,241.00 ","$3,241.00 ","$3,241.00 ","$4,630.00 ","$3,935.50 ","$4,302.81 ","$3,704.00 ","$1,713.10 ","$3,704.00 ","$1,721.13 ","$1,721.13 ","$4,630.00 ","$2,509.46 ","$1,721.13 ","$1,217.69 ", N/A , N/A ,"$1,706.88 ","$1,629.30 ","$1,807.19 ","$3,935.50 ","$3,872.53 ","$3,046.54 ","$1,296.40 ","$4,167.00 ","$3,333.60 ","$4,630.00 ","$3,241.00 ","$2,916.90 ","$2,916.90 ","$1,721.13 ","$2,222.40 ","$4,167.00 " ST. JOHN'S HOSPITAL,32000072,50389,HC REM NEPHRO TUBE FLUORO,320,1 ,"$2,401.00 ","$1,560.65 ",$141.59 ,"$2,401.00 ","$1,382.53 ","$1,104.46 ","$1,301.34 ",$553.01 ,$672.28 ,$768.32 ,$553.01 ,$883.57 ,$553.01 ,$917.18 ,$141.59 ,$553.01 ,$917.18 ,"$1,050.72 ","$1,262.93 ","$1,224.51 ","$1,382.53 ",$553.01 ,"$1,680.70 ",$553.01 ,"$1,200.50 ",$564.07 ,"$1,800.75 ",$166.00 ,$150.00 ,$166.00 ,$553.01 ,$166.00 ,"$1,680.70 ","$1,680.70 ","$1,680.70 ","$2,401.00 ","$2,040.85 ","$1,382.53 ","$1,920.80 ",$888.37 ,"$1,920.80 ",$553.01 ,$553.01 ,"$2,401.00 ","$1,301.34 ",$553.01 ,$631.46 , N/A , N/A ,"$1,137.92 ","$1,086.19 ",$580.66 ,"$2,040.85 ","$1,244.28 ","$1,579.86 ",$672.28 ,"$2,160.90 ","$1,728.72 ","$2,401.00 ","$1,680.70 ","$1,512.63 ","$1,512.63 ",$553.01 ,"$1,152.48 ","$2,160.90 " ST. JOHN'S HOSPITAL,32000077,50693,HC INTRO GUIDE RENAL PELVIS URET DIL,320,1 ,"$13,374.00 ","$8,693.10 ",$150.00 ,"$13,374.00 ","$7,388.53 ","$6,152.04 ","$7,248.71 ","$2,955.41 ","$3,744.72 ","$4,279.68 ","$2,955.41 ","$4,921.63 ","$2,955.41 ","$5,108.87 ",$536.62 ,"$2,955.41 ","$5,108.87 ","$5,615.27 ","$7,034.72 ","$6,820.74 ","$7,388.51 ","$2,955.41 ","$9,361.80 ","$2,955.41 ","$6,687.00 ","$3,014.51 ","$10,030.50 ",$166.00 ,$150.00 ,$166.00 ,"$2,955.41 ",$166.00 ,"$9,361.80 ","$9,361.80 ","$9,361.80 ","$13,374.00 ","$11,367.90 ","$7,388.51 ","$10,699.20 ","$4,948.38 ","$10,699.20 ","$2,955.41 ","$2,955.41 ","$13,374.00 ","$7,248.71 ","$2,955.41 ","$3,517.36 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$3,103.18 ","$11,367.90 ","$6,649.66 ","$8,800.09 ","$3,744.72 ","$12,036.60 ","$9,629.28 ","$13,374.00 ","$9,361.80 ","$8,425.62 ","$8,425.62 ","$2,955.41 ","$6,419.52 ","$12,036.60 " ST. JOHN'S HOSPITAL,32000077,50693,HC INTRO GUIDE RENAL PELVIS URET DIL,320,1 ,"$20,061.00 ","$13,039.65 ",$150.00 ,"$20,061.00 ","$7,388.53 ","$9,228.06 ","$10,873.06 ","$2,955.41 ","$5,617.08 ","$6,419.52 ","$2,955.41 ","$7,382.45 ","$2,955.41 ","$7,663.30 ",$536.62 ,"$2,955.41 ","$7,663.30 ","$5,615.27 ","$10,552.09 ","$10,231.11 ","$7,388.51 ","$2,955.41 ","$14,042.70 ","$2,955.41 ","$10,030.50 ","$3,014.51 ","$15,045.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,955.41 ",$166.00 ,"$14,042.70 ","$14,042.70 ","$14,042.70 ","$20,061.00 ","$17,051.85 ","$7,388.51 ","$16,048.80 ","$7,422.57 ","$16,048.80 ","$2,955.41 ","$2,955.41 ","$20,061.00 ","$10,873.06 ","$2,955.41 ","$5,276.04 ", N/A , N/A ,"$3,630.74 ","$3,465.70 ","$3,103.18 ","$17,051.85 ","$6,649.66 ","$13,200.14 ","$5,617.08 ","$18,054.90 ","$14,443.92 ","$20,061.00 ","$14,042.70 ","$12,638.43 ","$12,638.43 ","$2,955.41 ","$9,629.28 ","$18,054.90 " ST. JOHN'S HOSPITAL,32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$2,596.00 ","$1,687.40 ",$150.00 ,"$4,302.83 ","$4,302.83 ","$1,194.16 ","$1,407.03 ","$1,721.13 ",$726.88 ,$830.72 ,"$1,721.13 ",$955.33 ,"$1,721.13 ",$991.67 ,$260.86 ,"$1,721.13 ",$991.67 ,"$2,596.00 ","$1,365.50 ","$1,323.96 ","$4,302.81 ","$1,721.13 ","$1,817.20 ","$1,721.13 ","$1,298.00 ","$1,755.55 ","$1,947.00 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$1,817.20 ","$1,817.20 ","$1,817.20 ","$2,596.00 ","$2,206.60 ","$2,596.00 ","$2,076.80 ",$960.52 ,"$2,076.80 ","$1,721.13 ","$1,721.13 ","$2,596.00 ","$1,407.03 ","$1,721.13 ",$682.75 , N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$2,206.60 ","$3,872.53 ","$1,708.17 ",$726.88 ,"$2,336.40 ","$1,869.12 ","$2,596.00 ","$1,817.20 ","$1,635.48 ","$1,635.48 ","$1,721.13 ","$1,246.08 ","$2,336.40 " ST. JOHN'S HOSPITAL,32000079,50435,HC CHANGE NEPHROSTOMY TUBE,320,1 ,"$3,895.00 ","$2,531.75 ",$150.00 ,"$4,302.83 ","$4,302.83 ","$1,791.70 ","$2,111.09 ","$1,721.13 ","$1,090.60 ","$1,246.40 ","$1,721.13 ","$1,433.36 ","$1,721.13 ","$1,487.89 ",$260.86 ,"$1,721.13 ","$1,487.89 ","$3,270.14 ","$2,048.77 ","$1,986.45 ","$4,302.81 ","$1,721.13 ","$2,726.50 ","$1,721.13 ","$1,947.50 ","$1,755.55 ","$2,921.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$2,726.50 ","$2,726.50 ","$2,726.50 ","$3,895.00 ","$3,310.75 ","$3,895.00 ","$3,116.00 ","$1,441.15 ","$3,116.00 ","$1,721.13 ","$1,721.13 ","$3,895.00 ","$2,111.09 ","$1,721.13 ","$1,024.39 ", N/A , N/A ,"$1,706.88 ","$1,629.30 ","$1,807.19 ","$3,310.75 ","$3,872.53 ","$2,562.91 ","$1,090.60 ","$3,505.50 ","$2,804.40 ","$3,895.00 ","$2,726.50 ","$2,453.85 ","$2,453.85 ","$1,721.13 ","$1,869.60 ","$3,505.50 " ST. JOHN'S HOSPITAL,32000081,50684,HC INJ URETEROGRAPHY,320,1 ,"$1,196.00 ",$777.40 ,$129.32 ,"$1,196.00 ", N/A ,$550.16 ,$648.23 , N/A ,$334.88 ,$382.72 , N/A ,$440.13 , N/A ,$456.87 ,$129.32 , N/A ,$456.87 , N/A ,$629.10 ,$609.96 , N/A , N/A ,$837.20 , N/A ,$598.00 , N/A ,$897.00 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$837.20 ,$837.20 ,$837.20 ,"$1,196.00 ","$1,016.60 ", N/A ,$956.80 ,$442.52 ,$956.80 , N/A , N/A ,"$1,196.00 ",$648.23 , N/A ,$314.55 , N/A , N/A ,$363.95 ,$347.40 , N/A ,"$1,016.60 ", N/A ,$786.97 ,$334.88 ,"$1,076.40 ",$861.12 ,"$1,196.00 ",$837.20 ,$753.48 ,$753.48 , N/A ,$574.08 ,"$1,076.40 " ST. JOHN'S HOSPITAL,32000082,50688,HC CHG TUBE URETEROSTOMY,320,1 ,"$4,351.00 ","$2,828.15 ",$150.00 ,"$4,351.00 ","$4,302.83 ","$2,001.46 ","$2,358.24 ","$1,721.13 ","$1,218.28 ","$1,392.32 ","$1,721.13 ","$1,601.17 ","$1,721.13 ","$1,662.08 ",$200.45 ,"$1,721.13 ","$1,662.08 ","$3,270.14 ","$2,288.63 ","$2,219.01 ","$4,302.81 ","$1,721.13 ","$3,045.70 ","$1,721.13 ","$2,175.50 ","$1,755.55 ","$3,263.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$3,045.70 ","$3,045.70 ","$3,045.70 ","$4,351.00 ","$3,698.35 ","$4,302.81 ","$3,480.80 ","$1,609.87 ","$3,480.80 ","$1,721.13 ","$1,721.13 ","$4,351.00 ","$2,358.24 ","$1,721.13 ","$1,144.31 ", N/A , N/A ,$219.10 ,$209.14 ,"$1,807.19 ","$3,698.35 ","$3,872.53 ","$2,862.96 ","$1,218.28 ","$3,915.90 ","$3,132.72 ","$4,351.00 ","$3,045.70 ","$2,741.13 ","$2,741.13 ","$1,721.13 ","$2,088.48 ","$3,915.90 " ST. JOHN'S HOSPITAL,32000083,50690,HC INJ ILEAL CONDUIT,320,1 ,"$1,182.00 ",$768.30 ,$150.00 ,"$1,182.00 ", N/A ,$543.72 ,$640.64 , N/A ,$330.96 ,$378.24 , N/A ,$434.98 , N/A ,$451.52 ,$180.87 , N/A ,$451.52 , N/A ,$621.73 ,$602.82 , N/A , N/A ,$827.40 , N/A ,$591.00 , N/A ,$886.50 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$827.40 ,$827.40 ,$827.40 ,"$1,182.00 ","$1,004.70 ", N/A ,$945.60 ,$437.34 ,$945.60 , N/A , N/A ,"$1,182.00 ",$640.64 , N/A ,$310.87 , N/A , N/A ,$363.95 ,$347.40 , N/A ,"$1,004.70 ", N/A ,$777.76 ,$330.96 ,"$1,063.80 ",$851.04 ,"$1,182.00 ",$827.40 ,$744.66 ,$744.66 , N/A ,$567.36 ,"$1,063.80 " ST. JOHN'S HOSPITAL,32000085,51600,HC INJ CYSTOGRAM,320,1 ,$116.00 ,$75.40 ,$30.51 ,$347.40 , N/A ,$53.36 ,$62.87 , N/A ,$32.48 ,$37.12 , N/A ,$42.69 , N/A ,$44.31 ,$116.00 , N/A ,$44.31 , N/A ,$61.02 ,$59.16 , N/A , N/A ,$81.20 , N/A ,$58.00 , N/A ,$87.00 ,$51.74 ,$46.52 ,$51.74 , N/A ,$51.74 ,$81.20 ,$81.20 ,$81.20 ,$116.00 ,$98.60 , N/A ,$92.80 ,$42.92 ,$92.80 , N/A , N/A ,$116.00 ,$62.87 , N/A ,$30.51 , N/A , N/A ,$116.00 ,$347.40 , N/A ,$98.60 , N/A ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$81.20 ,$73.08 ,$73.08 , N/A ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,32000086,51610,HC INJ URETHROCYSTOGRAM RETRO,320,1 ,$116.00 ,$75.40 ,$30.51 ,$347.40 , N/A ,$53.36 ,$62.87 , N/A ,$32.48 ,$37.12 , N/A ,$42.69 , N/A ,$44.31 ,$116.00 , N/A ,$44.31 , N/A ,$61.02 ,$59.16 , N/A , N/A ,$81.20 , N/A ,$58.00 , N/A ,$87.00 ,$51.74 ,$46.52 ,$51.74 , N/A ,$51.74 ,$81.20 ,$81.20 ,$81.20 ,$116.00 ,$98.60 , N/A ,$92.80 ,$42.92 ,$92.80 , N/A , N/A ,$116.00 ,$62.87 , N/A ,$30.51 , N/A , N/A ,$116.00 ,$347.40 , N/A ,$98.60 , N/A ,$76.33 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$81.20 ,$73.08 ,$73.08 , N/A ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$708.00 ,$460.20 ,$99.66 ,$708.00 , N/A ,$325.68 ,$383.74 , N/A ,$198.24 ,$226.56 , N/A ,$260.54 , N/A ,$270.46 ,$99.66 , N/A ,$270.46 , N/A ,$372.41 ,$361.08 , N/A , N/A ,$495.60 , N/A ,$354.00 , N/A ,$531.00 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$495.60 ,$495.60 ,$495.60 ,$708.00 ,$601.80 , N/A ,$566.40 ,$261.96 ,$566.40 , N/A , N/A ,$708.00 ,$383.74 , N/A ,$186.20 , N/A , N/A ,$363.95 ,$347.40 , N/A ,$601.80 , N/A ,$465.86 ,$198.24 ,$637.20 ,$509.76 ,$708.00 ,$495.60 ,$446.04 ,$446.04 , N/A ,$339.84 ,$637.20 ST. JOHN'S HOSPITAL,32000088,61055,HC PUNCT CISTERNAL/LAT W/INJ,320,1 ,"$2,881.00 ","$1,872.65 ",$150.00 ,"$2,881.00 ",$627.85 ,"$1,325.26 ","$1,561.50 ",$251.14 ,$806.68 ,$921.92 ,$251.14 ,"$1,060.21 ",$251.14 ,"$1,100.54 ",$257.23 ,$251.14 ,"$1,100.54 ",$477.17 ,"$1,515.41 ","$1,469.31 ",$627.85 ,$251.14 ,"$2,016.70 ",$251.14 ,"$1,440.50 ",$256.16 ,"$2,160.75 ",$166.00 ,$150.00 ,$166.00 ,$251.14 ,$166.00 ,"$2,016.70 ","$2,016.70 ","$2,016.70 ","$2,881.00 ","$2,448.85 ",$627.85 ,"$2,304.80 ","$1,065.97 ","$2,304.80 ",$251.14 ,$251.14 ,"$2,881.00 ","$1,561.50 ",$251.14 ,$757.70 , N/A , N/A ,$461.03 ,$440.08 ,$263.70 ,"$2,448.85 ",$565.07 ,"$1,895.70 ",$806.68 ,"$2,592.90 ","$2,074.32 ","$2,881.00 ","$2,016.70 ","$1,815.03 ","$1,815.03 ",$251.14 ,"$1,382.88 ","$2,592.90 " ST. JOHN'S HOSPITAL,32000089,61070,HC PUNCT ASP/INJ SHUNT TUBE,320,1 ,"$2,218.00 ","$1,441.70 ",$115.17 ,"$2,218.00 ","$1,525.98 ","$1,020.28 ","$1,202.16 ",$610.39 ,$621.04 ,$709.76 ,$610.39 ,$816.22 ,$610.39 ,$847.28 ,$115.17 ,$610.39 ,$847.28 ,"$1,159.74 ","$1,166.67 ","$1,131.18 ","$1,525.97 ",$610.39 ,"$1,552.60 ",$610.39 ,"$1,109.00 ",$622.59 ,"$1,663.50 ",$166.00 ,$150.00 ,$166.00 ,$610.39 ,$166.00 ,"$1,552.60 ","$1,552.60 ","$1,552.60 ","$2,218.00 ","$1,885.30 ","$1,525.97 ","$1,774.40 ",$820.66 ,"$1,774.40 ",$610.39 ,$610.39 ,"$2,218.00 ","$1,202.16 ",$610.39 ,$583.33 , N/A , N/A ,$363.95 ,$347.40 ,$640.91 ,"$1,885.30 ","$1,373.37 ","$1,459.44 ",$621.04 ,"$1,996.20 ","$1,596.96 ","$2,218.00 ","$1,552.60 ","$1,397.34 ","$1,397.34 ",$610.39 ,"$1,064.64 ","$1,996.20 " ST. JOHN'S HOSPITAL,32000090,62272,HC LUMBAR PUNCTURE DRAIN,320,1 ,"$1,649.00 ","$1,071.85 ",$150.00 ,"$1,649.00 ","$1,525.98 ",$758.54 ,$893.76 ,$610.39 ,$461.72 ,$527.68 ,$610.39 ,$606.83 ,$610.39 ,$629.92 ,$171.12 ,$610.39 ,$629.92 ,"$1,159.74 ",$867.37 ,$840.99 ,"$1,525.97 ",$610.39 ,"$1,154.30 ",$610.39 ,$824.50 ,$622.59 ,"$1,236.75 ",$166.00 ,$150.00 ,$166.00 ,$610.39 ,$166.00 ,"$1,154.30 ","$1,154.30 ","$1,154.30 ","$1,649.00 ","$1,401.65 ","$1,525.97 ","$1,319.20 ",$610.13 ,"$1,319.20 ",$610.39 ,$610.39 ,"$1,649.00 ",$893.76 ,$610.39 ,$433.69 , N/A , N/A ,$541.64 ,$517.02 ,$640.91 ,"$1,401.65 ","$1,373.37 ","$1,085.04 ",$461.72 ,"$1,484.10 ","$1,187.28 ","$1,649.00 ","$1,154.30 ","$1,038.87 ","$1,038.87 ",$610.39 ,$791.52 ,"$1,484.10 " ST. JOHN'S HOSPITAL,32000093,62290,HC INJ DISKOGRAM LUMBAR EA LEVEL,320,1 ,"$2,141.00 ","$1,391.65 ",$150.00 ,"$2,141.00 ", N/A ,$984.86 ,"$1,160.42 ", N/A ,$599.48 ,$685.12 , N/A ,$787.89 , N/A ,$817.86 ,$336.34 , N/A ,$817.86 , N/A ,"$1,126.17 ","$1,091.91 ", N/A , N/A ,"$1,498.70 ", N/A ,"$1,070.50 ", N/A ,"$1,605.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,498.70 ","$1,498.70 ","$1,498.70 ","$2,141.00 ","$1,819.85 ", N/A ,"$1,712.80 ",$792.17 ,"$1,712.80 ", N/A , N/A ,"$2,141.00 ","$1,160.42 ", N/A ,$563.08 , N/A , N/A ,$634.90 ,$606.04 , N/A ,"$1,819.85 ", N/A ,"$1,408.78 ",$599.48 ,"$1,926.90 ","$1,541.52 ","$2,141.00 ","$1,498.70 ","$1,348.83 ","$1,348.83 ", N/A ,"$1,027.68 ","$1,926.90 " ST. JOHN'S HOSPITAL,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$267.00 ,$173.55 ,$29.46 ,$267.00 ,$194.38 ,$35.50 ,$144.71 ,$77.75 ,$74.76 ,$92.12 ,$77.75 ,$102.53 ,$77.75 ,$101.99 ,$43.39 ,$77.75 ,$101.99 ,$147.73 ,$80.84 ,$136.17 ,$194.38 ,$77.75 ,$186.90 ,$77.75 ,$133.50 ,$79.31 ,$200.25 ,$119.08 ,$107.07 ,$119.08 ,$77.75 ,$119.08 ,$29.46 ,$29.46 ,$29.46 ,$267.00 ,$226.95 ,$194.38 ,$213.60 ,$98.79 ,$213.60 ,$77.75 ,$77.75 ,$267.00 ,$144.71 ,$77.75 ,$70.22 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$226.95 ,$174.94 ,$175.69 ,$74.76 ,$240.30 ,$192.24 ,$267.00 ,$29.46 ,$168.21 ,$168.21 ,$77.75 ,$128.16 ,$240.30 ST. JOHN'S HOSPITAL,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$841.00 ,$546.65 ,$38.42 ,$841.00 ,$261.63 ,$46.50 ,$455.82 ,$104.65 ,$235.48 ,$187.31 ,$104.65 ,$225.06 ,$104.65 ,$321.26 ,$56.56 ,$104.65 ,$321.26 ,$198.84 ,$109.26 ,$428.91 ,$261.63 ,$104.65 ,$588.70 ,$104.65 ,$420.50 ,$106.75 ,$630.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$38.42 ,$38.42 ,$38.42 ,$841.00 ,$714.85 ,$261.63 ,$672.80 ,$311.17 ,$672.80 ,$104.65 ,$104.65 ,$841.00 ,$455.82 ,$104.65 ,$221.18 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$714.85 ,$235.47 ,$553.38 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$38.42 ,$529.83 ,$529.83 ,$104.65 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$434.00 ,$282.10 ,$28.47 ,$434.00 ,$194.38 ,$34.38 ,$235.23 ,$77.75 ,$121.52 ,$142.98 ,$77.75 ,$166.66 ,$77.75 ,$165.79 ,$41.93 ,$77.75 ,$165.79 ,$147.73 ,$77.30 ,$221.34 ,$194.38 ,$77.75 ,$303.80 ,$77.75 ,$217.00 ,$79.31 ,$325.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.47 ,$28.47 ,$28.47 ,$434.00 ,$368.90 ,$194.38 ,$347.20 ,$160.58 ,$347.20 ,$77.75 ,$77.75 ,$434.00 ,$235.23 ,$77.75 ,$114.14 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$368.90 ,$174.94 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$28.47 ,$273.42 ,$273.42 ,$77.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$766.00 ,$497.90 ,$42.39 ,$766.00 ,$261.63 ,$50.90 ,$415.17 ,$104.65 ,$214.48 ,$208.15 ,$104.65 ,$250.11 ,$104.65 ,$292.61 ,$62.41 ,$104.65 ,$292.61 ,$198.84 ,$119.90 ,$390.66 ,$261.63 ,$104.65 ,$536.20 ,$104.65 ,$383.00 ,$106.75 ,$574.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$42.39 ,$42.39 ,$42.39 ,$766.00 ,$651.10 ,$261.63 ,$612.80 ,$283.42 ,$612.80 ,$104.65 ,$104.65 ,$766.00 ,$415.17 ,$104.65 ,$201.46 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$651.10 ,$235.47 ,$504.03 ,$214.48 ,$689.40 ,$551.52 ,$766.00 ,$42.39 ,$482.58 ,$482.58 ,$104.65 ,$367.68 ,$689.40 ST. JOHN'S HOSPITAL,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$244.00 ,$158.60 ,$35.93 ,$244.00 ,$194.38 ,$42.64 ,$132.25 ,$77.75 ,$68.32 ,$84.18 ,$77.75 ,$93.70 ,$77.75 ,$93.21 ,$52.90 ,$77.75 ,$93.21 ,$147.73 ,$102.15 ,$124.44 ,$194.38 ,$77.75 ,$170.80 ,$77.75 ,$122.00 ,$79.31 ,$183.00 ,$108.82 ,$97.84 ,$108.82 ,$77.75 ,$108.82 ,$35.93 ,$35.93 ,$35.93 ,$244.00 ,$207.40 ,$194.38 ,$195.20 ,$90.28 ,$195.20 ,$77.75 ,$77.75 ,$244.00 ,$132.25 ,$77.75 ,$64.17 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$207.40 ,$174.94 ,$160.55 ,$68.32 ,$219.60 ,$175.68 ,$244.00 ,$35.93 ,$153.72 ,$153.72 ,$77.75 ,$117.12 ,$219.60 ST. JOHN'S HOSPITAL,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$589.00 ,$382.85 ,$41.88 ,$589.00 ,$261.63 ,$50.90 ,$319.24 ,$104.65 ,$164.92 ,$203.21 ,$104.65 ,$226.18 ,$104.65 ,$225.00 ,$61.68 ,$104.65 ,$225.00 ,$198.84 ,$119.90 ,$300.39 ,$261.63 ,$104.65 ,$412.30 ,$104.65 ,$294.50 ,$106.75 ,$441.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$41.88 ,$41.88 ,$41.88 ,$589.00 ,$500.65 ,$261.63 ,$471.20 ,$217.93 ,$471.20 ,$104.65 ,$104.65 ,$589.00 ,$319.24 ,$104.65 ,$154.91 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$500.65 ,$235.47 ,$387.56 ,$164.92 ,$530.10 ,$424.08 ,$589.00 ,$41.88 ,$371.07 ,$371.07 ,$104.65 ,$282.72 ,$530.10 ST. JOHN'S HOSPITAL,32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$368.00 ,$239.20 ,$31.95 ,$368.00 ,$194.38 ,$38.24 ,$199.46 ,$77.75 ,$103.04 ,$126.96 ,$77.75 ,$141.31 ,$77.75 ,$140.58 ,$47.05 ,$77.75 ,$140.58 ,$147.73 ,$82.03 ,$187.68 ,$194.38 ,$77.75 ,$257.60 ,$77.75 ,$184.00 ,$79.31 ,$276.00 ,$164.13 ,$147.57 ,$164.13 ,$77.75 ,$164.13 ,$31.95 ,$31.95 ,$31.95 ,$368.00 ,$312.80 ,$194.38 ,$294.40 ,$136.16 ,$294.40 ,$77.75 ,$77.75 ,$368.00 ,$199.46 ,$77.75 ,$96.78 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$312.80 ,$174.94 ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$31.95 ,$231.84 ,$231.84 ,$77.75 ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$868.00 ,$564.20 ,$36.92 ,$868.00 ,$194.38 ,$45.40 ,$470.46 ,$77.75 ,$243.04 ,$184.68 ,$77.75 ,$221.90 ,$77.75 ,$331.58 ,$54.36 ,$77.75 ,$331.58 ,$147.73 ,$93.86 ,$442.68 ,$194.38 ,$77.75 ,$607.60 ,$77.75 ,$434.00 ,$79.31 ,$651.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$36.92 ,$36.92 ,$36.92 ,$868.00 ,$737.80 ,$194.38 ,$694.40 ,$321.16 ,$694.40 ,$77.75 ,$77.75 ,$868.00 ,$470.46 ,$77.75 ,$228.28 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$737.80 ,$174.94 ,$571.14 ,$243.04 ,$781.20 ,$624.96 ,$868.00 ,$36.92 ,$546.84 ,$546.84 ,$77.75 ,$416.64 ,$781.20 ST. JOHN'S HOSPITAL,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$670.00 ,$435.50 ,$35.43 ,$670.00 ,$261.63 ,$42.64 ,$363.14 ,$104.65 ,$187.60 ,$176.88 ,$104.65 ,$212.54 ,$104.65 ,$255.94 ,$52.17 ,$104.65 ,$255.94 ,$198.84 ,$92.70 ,$341.70 ,$261.63 ,$104.65 ,$469.00 ,$104.65 ,$335.00 ,$106.75 ,$502.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$35.43 ,$35.43 ,$35.43 ,$670.00 ,$569.50 ,$261.63 ,$536.00 ,$247.90 ,$536.00 ,$104.65 ,$104.65 ,$670.00 ,$363.14 ,$104.65 ,$176.21 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$569.50 ,$235.47 ,$440.86 ,$187.60 ,$603.00 ,$482.40 ,$670.00 ,$35.43 ,$422.10 ,$422.10 ,$104.65 ,$321.60 ,$603.00 ST. JOHN'S HOSPITAL,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$815.00 ,$529.75 ,$41.88 ,$815.00 ,$261.63 ,$51.46 ,$441.73 ,$104.65 ,$228.20 ,$208.15 ,$104.65 ,$250.11 ,$104.65 ,$311.33 ,$61.68 ,$104.65 ,$311.33 ,$198.84 ,$108.07 ,$415.65 ,$261.63 ,$104.65 ,$570.50 ,$104.65 ,$407.50 ,$106.75 ,$611.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$41.88 ,$41.88 ,$41.88 ,$815.00 ,$692.75 ,$261.63 ,$652.00 ,$301.55 ,$652.00 ,$104.65 ,$104.65 ,$815.00 ,$441.73 ,$104.65 ,$214.35 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$692.75 ,$235.47 ,$536.27 ,$228.20 ,$733.50 ,$586.80 ,$815.00 ,$41.88 ,$513.45 ,$513.45 ,$104.65 ,$391.20 ,$733.50 ST. JOHN'S HOSPITAL,32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$439.00 ,$285.35 ,$51.83 ,$439.00 ,$194.38 ,$61.36 ,$237.94 ,$77.75 ,$122.92 ,$151.46 ,$77.75 ,$168.58 ,$77.75 ,$167.70 ,$76.31 ,$77.75 ,$167.70 ,$147.73 ,$144.78 ,$223.89 ,$194.38 ,$77.75 ,$307.30 ,$77.75 ,$219.50 ,$79.31 ,$329.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$51.83 ,$51.83 ,$51.83 ,$439.00 ,$373.15 ,$194.38 ,$351.20 ,$162.43 ,$351.20 ,$77.75 ,$77.75 ,$439.00 ,$237.94 ,$77.75 ,$115.46 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$373.15 ,$174.94 ,$288.86 ,$122.92 ,$395.10 ,$316.08 ,$439.00 ,$51.83 ,$276.57 ,$276.57 ,$77.75 ,$210.72 ,$395.10 ST. JOHN'S HOSPITAL,32000114,70336,HC MRI TMJ,320,1 ,"$6,850.00 ","$4,452.50 ",$150.00 ,"$6,850.00 ",$552.95 ,$510.92 ,"$3,712.70 ",$221.18 ,"$1,918.00 ","$1,836.75 ",$221.18 ,"$2,206.95 ",$221.18 ,"$2,616.70 ",$495.70 ,$221.18 ,"$2,616.70 ",$420.25 ,$799.76 ,"$3,493.50 ",$552.96 ,$221.18 ,"$4,795.00 ",$221.18 ,"$3,425.00 ",$225.61 ,"$5,137.50 ",$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$318.27 ,$318.27 ,$318.27 ,"$6,850.00 ","$5,822.50 ",$552.96 ,"$5,480.00 ","$2,534.50 ","$5,480.00 ",$221.18 ,$221.18 ,"$6,850.00 ","$3,712.70 ",$221.18 ,"$1,801.55 ", N/A , N/A ,$245.12 ,$233.98 ,$232.24 ,"$5,822.50 ",$497.66 ,"$4,507.30 ","$1,918.00 ","$6,165.00 ","$4,932.00 ","$6,850.00 ",$318.27 ,"$4,315.50 ","$4,315.50 ",$221.18 ,"$3,288.00 ","$6,165.00 " ST. JOHN'S HOSPITAL,32000115,70355,HC XRAY PAN MANDIBLE/MAXLA,320,1 ,$566.00 ,$367.90 ,$12.57 ,$566.00 ,$194.38 ,$17.32 ,$306.77 ,$77.75 ,$158.48 ,$72.60 ,$77.75 ,$87.23 ,$77.75 ,$216.21 ,$18.52 ,$77.75 ,$216.21 ,$147.73 ,$28.76 ,$288.66 ,$194.38 ,$77.75 ,$396.20 ,$77.75 ,$283.00 ,$79.31 ,$424.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$12.57 ,$12.57 ,$12.57 ,$566.00 ,$481.10 ,$194.38 ,$452.80 ,$209.42 ,$452.80 ,$77.75 ,$77.75 ,$566.00 ,$306.77 ,$77.75 ,$148.86 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$481.10 ,$174.94 ,$372.43 ,$158.48 ,$509.40 ,$407.52 ,$566.00 ,$12.57 ,$356.58 ,$356.58 ,$77.75 ,$271.68 ,$509.40 ST. JOHN'S HOSPITAL,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$483.00 ,$313.95 ,$30.47 ,$483.00 ,$194.38 ,$33.28 ,$261.79 ,$77.75 ,$135.24 ,$148.20 ,$77.75 ,$178.06 ,$77.75 ,$184.51 ,$44.85 ,$77.75 ,$184.51 ,$147.73 ,$78.49 ,$246.33 ,$194.38 ,$77.75 ,$338.10 ,$77.75 ,$241.50 ,$79.31 ,$362.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$30.47 ,$30.47 ,$30.47 ,$483.00 ,$410.55 ,$194.38 ,$386.40 ,$178.71 ,$386.40 ,$77.75 ,$77.75 ,$483.00 ,$261.79 ,$77.75 ,$127.03 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$410.55 ,$174.94 ,$317.81 ,$135.24 ,$434.70 ,$347.76 ,$483.00 ,$30.47 ,$304.29 ,$304.29 ,$77.75 ,$231.84 ,$434.70 ST. JOHN'S HOSPITAL,32000120,70390,HC XRAY SIALOGRAPHY,320,1 ,"$1,271.00 ",$826.15 ,$117.41 ,"$1,271.00 ",$552.95 ,$138.98 ,$688.88 ,$221.18 ,$355.88 ,$438.50 ,$221.18 ,$488.06 ,$221.18 ,$485.52 ,$172.87 ,$221.18 ,$485.52 ,$420.25 ,$351.95 ,$648.21 ,$552.96 ,$221.18 ,$889.70 ,$221.18 ,$635.50 ,$225.61 ,$953.25 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$117.41 ,$117.41 ,$117.41 ,"$1,271.00 ","$1,080.35 ",$552.96 ,"$1,016.80 ",$470.27 ,"$1,016.80 ",$221.18 ,$221.18 ,"$1,271.00 ",$688.88 ,$221.18 ,$334.27 , N/A , N/A ,$332.48 ,$317.36 ,$232.24 ,"$1,080.35 ",$497.66 ,$836.32 ,$355.88 ,"$1,143.90 ",$915.12 ,"$1,271.00 ",$117.41 ,$800.73 ,$800.73 ,$221.18 ,$610.08 ,"$1,143.90 " ST. JOHN'S HOSPITAL,32000121,71045,HC XR CHEST 1V,320,1 ,$356.00 ,$231.40 ,$17.86 ,$356.00 ,$194.38 ,$17.86 ,$192.95 ,$77.75 ,$99.68 ,$80.44 ,$77.75 ,$96.66 ,$77.75 ,$135.99 ,$32.42 ,$77.75 ,$135.99 ,$147.73 ,$58.37 ,$181.56 ,$194.38 ,$77.75 ,$249.20 ,$77.75 ,$178.00 ,$79.31 ,$267.00 ,$158.78 ,$142.76 ,$158.78 ,$77.75 ,$158.78 ,$22.02 ,$22.02 ,$22.02 ,$356.00 ,$302.60 ,$194.38 ,$284.80 ,$131.72 ,$284.80 ,$77.75 ,$77.75 ,$18.14 ,$192.95 ,$77.75 ,$93.63 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$302.60 ,$174.94 ,$234.25 ,$99.68 ,$320.40 ,$256.32 ,$356.00 ,$22.02 ,$224.28 ,$224.28 ,$77.75 ,$170.88 ,$320.40 ST. JOHN'S HOSPITAL,32000127,71046,HC XR CHEST 2V,320,1 ,$390.00 ,$253.50 ,$24.70 ,$390.00 ,$194.38 ,$32.58 ,$211.38 ,$77.75 ,$109.20 ,$134.55 ,$77.75 ,$149.76 ,$77.75 ,$148.98 ,$42.66 ,$77.75 ,$148.98 ,$147.73 ,$79.68 ,$198.90 ,$194.38 ,$77.75 ,$273.00 ,$77.75 ,$195.00 ,$79.31 ,$292.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$390.00 ,$331.50 ,$194.38 ,$312.00 ,$144.30 ,$312.00 ,$77.75 ,$77.75 ,$24.70 ,$211.38 ,$77.75 ,$102.57 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$331.50 ,$174.94 ,$256.62 ,$109.20 ,$351.00 ,$280.80 ,$390.00 ,$28.97 ,$245.70 ,$245.70 ,$77.75 ,$187.20 ,$351.00 ST. JOHN'S HOSPITAL,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$377.00 ,$245.05 ,$35.93 ,$377.00 ,$194.38 ,$41.40 ,$204.33 ,$77.75 ,$105.56 ,$130.07 ,$77.75 ,$144.77 ,$77.75 ,$144.01 ,$52.90 ,$77.75 ,$144.01 ,$147.73 ,$100.96 ,$192.27 ,$194.38 ,$77.75 ,$263.90 ,$77.75 ,$188.50 ,$79.31 ,$282.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$35.93 ,$35.93 ,$35.93 ,$377.00 ,$320.45 ,$194.38 ,$301.60 ,$139.49 ,$301.60 ,$77.75 ,$77.75 ,$377.00 ,$204.33 ,$77.75 ,$99.15 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$320.45 ,$174.94 ,$248.07 ,$105.56 ,$339.30 ,$271.44 ,$377.00 ,$35.93 ,$237.51 ,$237.51 ,$77.75 ,$180.96 ,$339.30 ST. JOHN'S HOSPITAL,32000131,71048,HC XR CHEST PA/LAT W/OBLIQUES,320,1 ,$378.00 ,$245.70 ,$37.41 ,$378.00 ,$261.63 ,$42.58 ,$204.88 ,$104.65 ,$105.84 ,$130.41 ,$104.65 ,$145.15 ,$104.65 ,$144.40 ,$55.09 ,$104.65 ,$144.40 ,$198.84 ,$104.53 ,$192.78 ,$261.63 ,$104.65 ,$264.60 ,$104.65 ,$189.00 ,$106.75 ,$283.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$37.41 ,$37.41 ,$37.41 ,$378.00 ,$321.30 ,$261.63 ,$302.40 ,$139.86 ,$302.40 ,$104.65 ,$104.65 ,$378.00 ,$204.88 ,$104.65 ,$99.41 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$321.30 ,$235.47 ,$248.72 ,$105.84 ,$340.20 ,$272.16 ,$378.00 ,$37.41 ,$238.14 ,$238.14 ,$104.65 ,$181.44 ,$340.20 ST. JOHN'S HOSPITAL,32000133,71048,HC XR CHEST 4+V,320,1 ,$339.00 ,$220.35 ,$37.41 ,$339.00 ,$261.63 ,$42.58 ,$183.74 ,$104.65 ,$94.92 ,$116.96 ,$104.65 ,$130.18 ,$104.65 ,$129.50 ,$55.09 ,$104.65 ,$129.50 ,$198.84 ,$104.53 ,$172.89 ,$261.63 ,$104.65 ,$237.30 ,$104.65 ,$169.50 ,$106.75 ,$254.25 ,$151.19 ,$135.94 ,$151.19 ,$104.65 ,$151.19 ,$37.41 ,$37.41 ,$37.41 ,$339.00 ,$288.15 ,$261.63 ,$271.20 ,$125.43 ,$271.20 ,$104.65 ,$104.65 ,$339.00 ,$183.74 ,$104.65 ,$89.16 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$288.15 ,$235.47 ,$223.06 ,$94.92 ,$305.10 ,$244.08 ,$339.00 ,$37.41 ,$213.57 ,$213.57 ,$104.65 ,$162.72 ,$305.10 ST. JOHN'S HOSPITAL,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$349.00 ,$226.85 ,$24.70 ,$349.00 ,$194.38 ,$32.58 ,$189.16 ,$77.75 ,$97.72 ,$120.41 ,$77.75 ,$134.02 ,$77.75 ,$133.32 ,$42.66 ,$77.75 ,$133.32 ,$147.73 ,$79.68 ,$177.99 ,$194.38 ,$77.75 ,$244.30 ,$77.75 ,$174.50 ,$79.31 ,$261.75 ,$155.65 ,$139.95 ,$155.65 ,$77.75 ,$155.65 ,$28.97 ,$28.97 ,$28.97 ,$349.00 ,$296.65 ,$194.38 ,$279.20 ,$129.13 ,$279.20 ,$77.75 ,$77.75 ,$24.70 ,$189.16 ,$77.75 ,$91.79 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$296.65 ,$174.94 ,$229.64 ,$97.72 ,$314.10 ,$251.28 ,$349.00 ,$28.97 ,$219.87 ,$219.87 ,$77.75 ,$167.52 ,$314.10 ST. JOHN'S HOSPITAL,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$586.00 ,$380.90 ,$32.45 ,$586.00 ,$194.38 ,$36.60 ,$317.61 ,$77.75 ,$164.08 ,$163.83 ,$77.75 ,$196.85 ,$77.75 ,$223.85 ,$47.78 ,$77.75 ,$223.85 ,$147.73 ,$89.13 ,$298.86 ,$194.38 ,$77.75 ,$410.20 ,$77.75 ,$293.00 ,$79.31 ,$439.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$32.45 ,$32.45 ,$32.45 ,$586.00 ,$498.10 ,$194.38 ,$468.80 ,$216.82 ,$468.80 ,$77.75 ,$77.75 ,$586.00 ,$317.61 ,$77.75 ,$154.12 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$498.10 ,$174.94 ,$385.59 ,$164.08 ,$527.40 ,$421.92 ,$586.00 ,$32.45 ,$369.18 ,$369.18 ,$77.75 ,$281.28 ,$527.40 ST. JOHN'S HOSPITAL,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$685.00 ,$445.25 ,$35.93 ,$685.00 ,$261.63 ,$44.84 ,$371.27 ,$104.65 ,$191.80 ,$182.10 ,$104.65 ,$218.80 ,$104.65 ,$261.67 ,$52.90 ,$104.65 ,$261.67 ,$198.84 ,$100.96 ,$349.35 ,$261.63 ,$104.65 ,$479.50 ,$104.65 ,$342.50 ,$106.75 ,$513.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$35.93 ,$35.93 ,$35.93 ,$685.00 ,$582.25 ,$261.63 ,$548.00 ,$253.45 ,$548.00 ,$104.65 ,$104.65 ,$685.00 ,$371.27 ,$104.65 ,$180.16 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$582.25 ,$235.47 ,$450.73 ,$191.80 ,$616.50 ,$493.20 ,$685.00 ,$35.93 ,$431.55 ,$431.55 ,$104.65 ,$328.80 ,$616.50 ST. JOHN'S HOSPITAL,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$865.00 ,$562.25 ,$36.92 ,$865.00 ,$261.63 ,$46.50 ,$468.83 ,$104.65 ,$242.20 ,$187.31 ,$104.65 ,$225.06 ,$104.65 ,$330.43 ,$54.36 ,$104.65 ,$330.43 ,$198.84 ,$103.34 ,$441.15 ,$261.63 ,$104.65 ,$605.50 ,$104.65 ,$432.50 ,$106.75 ,$648.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$36.92 ,$36.92 ,$36.92 ,$865.00 ,$735.25 ,$261.63 ,$692.00 ,$320.05 ,$692.00 ,$104.65 ,$104.65 ,$865.00 ,$468.83 ,$104.65 ,$227.50 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$735.25 ,$235.47 ,$569.17 ,$242.20 ,$778.50 ,$622.80 ,$865.00 ,$36.92 ,$544.95 ,$544.95 ,$104.65 ,$415.20 ,$778.50 ST. JOHN'S HOSPITAL,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$837.00 ,$544.05 ,$45.36 ,$837.00 ,$261.63 ,$63.56 ,$453.65 ,$104.65 ,$234.36 ,$226.37 ,$104.65 ,$271.99 ,$104.65 ,$319.73 ,$66.80 ,$104.65 ,$319.73 ,$198.84 ,$128.19 ,$426.87 ,$261.63 ,$104.65 ,$585.90 ,$104.65 ,$418.50 ,$106.75 ,$627.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$45.36 ,$45.36 ,$45.36 ,$837.00 ,$711.45 ,$261.63 ,$669.60 ,$309.69 ,$669.60 ,$104.65 ,$104.65 ,$837.00 ,$453.65 ,$104.65 ,$220.13 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$711.45 ,$235.47 ,$550.75 ,$234.36 ,$753.30 ,$602.64 ,$837.00 ,$45.36 ,$527.31 ,$527.31 ,$104.65 ,$401.76 ,$753.30 ST. JOHN'S HOSPITAL,32000141,71120,HC XR STERNUM 2+V,320,1 ,$489.00 ,$317.85 ,$29.46 ,$489.00 ,$194.38 ,$37.14 ,$265.04 ,$77.75 ,$136.92 ,$145.62 ,$77.75 ,$174.96 ,$77.75 ,$186.80 ,$43.39 ,$77.75 ,$186.80 ,$147.73 ,$83.22 ,$249.39 ,$194.38 ,$77.75 ,$342.30 ,$77.75 ,$244.50 ,$79.31 ,$366.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$29.46 ,$29.46 ,$29.46 ,$489.00 ,$415.65 ,$194.38 ,$391.20 ,$180.93 ,$391.20 ,$77.75 ,$77.75 ,$489.00 ,$265.04 ,$77.75 ,$128.61 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$415.65 ,$174.94 ,$321.76 ,$136.92 ,$440.10 ,$352.08 ,$489.00 ,$29.46 ,$308.07 ,$308.07 ,$77.75 ,$234.72 ,$440.10 ST. JOHN'S HOSPITAL,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$411.00 ,$267.15 ,$36.92 ,$411.00 ,$194.38 ,$44.84 ,$222.76 ,$77.75 ,$115.08 ,$141.80 ,$77.75 ,$157.82 ,$77.75 ,$157.00 ,$54.36 ,$77.75 ,$157.00 ,$147.73 ,$106.88 ,$209.61 ,$194.38 ,$77.75 ,$287.70 ,$77.75 ,$205.50 ,$79.31 ,$308.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$36.92 ,$36.92 ,$36.92 ,$411.00 ,$349.35 ,$194.38 ,$328.80 ,$152.07 ,$328.80 ,$77.75 ,$77.75 ,$411.00 ,$222.76 ,$77.75 ,$108.09 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$349.35 ,$174.94 ,$270.44 ,$115.08 ,$369.90 ,$295.92 ,$411.00 ,$36.92 ,$258.93 ,$258.93 ,$77.75 ,$197.28 ,$369.90 ST. JOHN'S HOSPITAL,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,976.00 ","$1,934.40 ",$104.65 ,"$2,976.00 ",$261.63 ,$750.00 ,"$1,612.99 ",$104.65 ,$833.28 ,$976.63 ,$104.65 ,"$1,142.78 ",$104.65 ,"$1,136.83 ",$205.79 ,$104.65 ,"$1,136.83 ",$198.84 ,$315.23 ,"$1,517.76 ",$261.63 ,$104.65 ,"$2,083.20 ",$104.65 ,"$1,488.00 ",$106.75 ,"$2,232.00 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$139.76 ,$139.76 ,$139.76 ,"$2,976.00 ","$2,529.60 ",$261.63 ,"$2,380.80 ","$1,101.12 ","$2,380.80 ",$104.65 ,$104.65 ,"$2,976.00 ","$1,612.99 ",$104.65 ,$782.69 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,529.60 ",$235.47 ,"$1,958.21 ",$833.28 ,"$2,678.40 ","$2,142.72 ","$2,976.00 ",$139.76 ,"$1,874.88 ","$1,874.88 ",$104.65 ,"$1,428.48 ","$2,678.40 " ST. JOHN'S HOSPITAL,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$3,342.00 ","$2,172.30 ",$138.95 ,"$3,342.00 ",$429.25 ,$750.00 ,"$1,811.36 ",$171.70 ,$935.76 ,"$1,152.99 ",$171.70 ,"$1,283.33 ",$171.70 ,"$1,276.64 ",$275.28 ,$171.70 ,"$1,276.64 ",$326.24 ,$432.45 ,"$1,704.42 ",$429.26 ,$171.70 ,"$2,339.40 ",$171.70 ,"$1,671.00 ",$175.14 ,"$2,506.50 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$186.96 ,$186.96 ,$186.96 ,"$3,342.00 ","$2,840.70 ",$429.26 ,"$2,673.60 ","$1,236.54 ","$2,673.60 ",$171.70 ,$171.70 ,"$3,342.00 ","$1,811.36 ",$171.70 ,$878.95 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$2,840.70 ",$386.33 ,"$2,199.04 ",$935.76 ,"$3,007.80 ","$2,406.24 ","$3,342.00 ",$186.96 ,"$2,105.46 ","$2,105.46 ",$171.70 ,"$1,604.16 ","$3,007.80 " ST. JOHN'S HOSPITAL,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$3,991.00 ","$2,594.15 ",$138.95 ,"$3,991.00 ",$429.25 ,$750.00 ,"$2,163.12 ",$171.70 ,"$1,117.48 ","$1,224.62 ",$171.70 ,"$1,471.45 ",$171.70 ,"$1,524.56 ",$336.00 ,$171.70 ,"$1,524.56 ",$326.24 ,$535.42 ,"$2,035.41 ",$429.26 ,$171.70 ,"$2,793.70 ",$171.70 ,"$1,995.50 ",$175.14 ,"$2,993.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$228.18 ,$228.18 ,$228.18 ,"$3,991.00 ","$3,392.35 ",$429.26 ,"$3,192.80 ","$1,476.67 ","$3,192.80 ",$171.70 ,$171.70 ,"$3,991.00 ","$2,163.12 ",$171.70 ,"$1,049.63 ", N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,392.35 ",$386.33 ,"$2,626.08 ","$1,117.48 ","$3,591.90 ","$2,873.52 ","$3,991.00 ",$228.18 ,"$2,514.33 ","$2,514.33 ",$171.70 ,"$1,915.68 ","$3,591.90 " ST. JOHN'S HOSPITAL,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$4,471.00 ","$2,906.15 ",$171.70 ,"$4,471.00 ",$429.25 ,$750.00 ,"$2,423.28 ",$171.70 ,"$1,251.88 ","$1,542.22 ",$171.70 ,"$1,716.86 ",$171.70 ,"$1,707.92 ",$432.79 ,$171.70 ,"$1,707.92 ",$326.24 ,$744.11 ,"$2,280.21 ",$429.26 ,$171.70 ,"$3,129.70 ",$171.70 ,"$2,235.50 ",$175.14 ,"$3,353.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,471.00 ","$3,800.35 ",$429.26 ,"$3,576.80 ","$1,654.27 ","$3,576.80 ",$171.70 ,$171.70 ,"$4,471.00 ","$2,423.28 ",$171.70 ,"$1,175.87 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$3,800.35 ",$386.33 ,"$2,941.92 ","$1,251.88 ","$4,023.90 ","$3,219.12 ","$4,471.00 ",$278.52 ,"$2,816.73 ","$2,816.73 ",$171.70 ,"$2,146.08 ","$4,023.90 " ST. JOHN'S HOSPITAL,32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$4,332.00 ","$2,815.80 ",$221.18 ,"$4,332.00 ",$552.95 ,"$1,100.00 ","$2,347.94 ",$221.18 ,"$1,212.96 ","$1,494.54 ",$221.18 ,"$1,663.49 ",$221.18 ,"$1,654.82 ",$683.70 ,$221.18 ,"$1,654.82 ",$420.25 ,"$1,099.26 ","$2,209.32 ",$552.96 ,$221.18 ,"$3,032.40 ",$221.18 ,"$2,166.00 ",$225.61 ,"$3,249.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$317.61 ,$317.61 ,$317.61 ,"$4,332.00 ","$3,682.20 ",$552.96 ,"$3,465.60 ","$1,602.84 ","$3,465.60 ",$221.18 ,$221.18 ,"$4,332.00 ","$2,347.94 ",$221.18 ,"$1,139.32 ", N/A , N/A ,$499.26 ,$476.56 ,$232.24 ,"$3,682.20 ",$497.66 ,"$2,850.46 ","$1,212.96 ","$3,898.80 ","$3,119.04 ","$4,332.00 ",$317.61 ,"$2,729.16 ","$2,729.16 ",$221.18 ,"$2,079.36 ","$3,898.80 " ST. JOHN'S HOSPITAL,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$4,640.00 ","$3,016.00 ",$476.56 ,"$4,640.00 ","$1,719.28 ","$1,100.00 ","$2,514.88 ",$687.71 ,"$1,299.20 ","$1,600.80 ",$687.71 ,"$1,781.76 ",$687.71 ,"$1,772.48 ",$744.42 ,$687.71 ,"$1,772.48 ","$1,306.64 ","$1,192.30 ","$2,366.40 ","$1,719.27 ",$687.71 ,"$3,248.00 ",$687.71 ,"$2,320.00 ",$701.46 ,"$3,480.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$687.71 ,"$1,606.00 ",$505.56 ,$505.56 ,$505.56 ,"$4,640.00 ","$3,944.00 ","$1,719.27 ","$3,712.00 ","$1,716.80 ","$3,712.00 ",$687.71 ,$687.71 ,"$4,640.00 ","$2,514.88 ",$687.71 ,"$1,220.32 ", N/A , N/A ,$499.26 ,$476.56 ,$722.10 ,"$3,944.00 ","$1,547.34 ","$3,053.12 ","$1,299.20 ","$4,176.00 ","$3,340.80 ","$4,640.00 ",$505.56 ,"$2,923.20 ","$2,923.20 ",$687.71 ,"$2,227.20 ","$4,176.00 " ST. JOHN'S HOSPITAL,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$4,879.00 ","$3,171.35 ",$353.98 ,"$4,879.00 ",$884.95 ,"$1,100.00 ","$2,644.42 ",$353.98 ,"$1,366.12 ","$1,683.26 ",$353.98 ,"$1,873.54 ",$353.98 ,"$1,863.78 ",$932.65 ,$353.98 ,"$1,863.78 ",$672.55 ,"$1,501.28 ","$2,488.29 ",$884.94 ,$353.98 ,"$3,415.30 ",$353.98 ,"$2,439.50 ",$361.06 ,"$3,659.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$532.55 ,$532.55 ,$532.55 ,"$4,879.00 ","$4,147.15 ",$884.94 ,"$3,903.20 ","$1,805.23 ","$3,903.20 ",$353.98 ,$353.98 ,"$4,879.00 ","$2,644.42 ",$353.98 ,"$1,283.18 ", N/A , N/A ,$499.26 ,$476.56 ,$371.68 ,"$4,147.15 ",$796.45 ,"$3,210.38 ","$1,366.12 ","$4,391.10 ","$3,512.88 ","$4,879.00 ",$532.55 ,"$3,073.77 ","$3,073.77 ",$353.98 ,"$2,341.92 ","$4,391.10 " ST. JOHN'S HOSPITAL,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$653.00 ,$424.45 ,$21.53 ,$653.00 ,$194.38 ,$27.24 ,$353.93 ,$77.75 ,$182.84 ,$109.08 ,$77.75 ,$131.07 ,$77.75 ,$249.45 ,$31.69 ,$77.75 ,$249.45 ,$147.73 ,$58.37 ,$333.03 ,$194.38 ,$77.75 ,$457.10 ,$77.75 ,$326.50 ,$79.31 ,$489.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$21.53 ,$21.53 ,$21.53 ,$653.00 ,$555.05 ,$194.38 ,$522.40 ,$241.61 ,$522.40 ,$77.75 ,$77.75 ,$653.00 ,$353.93 ,$77.75 ,$171.74 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$555.05 ,$174.94 ,$429.67 ,$182.84 ,$587.70 ,$470.16 ,$653.00 ,$21.53 ,$411.39 ,$411.39 ,$77.75 ,$313.44 ,$587.70 ST. JOHN'S HOSPITAL,32000156,72020,HC XR C-SPINE 1V,320,1 ,$653.00 ,$424.45 ,$21.53 ,$653.00 ,$194.38 ,$27.24 ,$353.93 ,$77.75 ,$182.84 ,$109.08 ,$77.75 ,$131.07 ,$77.75 ,$249.45 ,$31.69 ,$77.75 ,$249.45 ,$147.73 ,$58.37 ,$333.03 ,$194.38 ,$77.75 ,$457.10 ,$77.75 ,$326.50 ,$79.31 ,$489.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$21.53 ,$21.53 ,$21.53 ,$653.00 ,$555.05 ,$194.38 ,$522.40 ,$241.61 ,$522.40 ,$77.75 ,$77.75 ,$653.00 ,$353.93 ,$77.75 ,$171.74 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$555.05 ,$174.94 ,$429.67 ,$182.84 ,$587.70 ,$470.16 ,$653.00 ,$21.53 ,$411.39 ,$411.39 ,$77.75 ,$313.44 ,$587.70 ST. JOHN'S HOSPITAL,32000160,72020,HC XR SPINE 1V (T SPINE),320,1 ,$653.00 ,$424.45 ,$21.53 ,$653.00 ,$194.38 ,$27.24 ,$353.93 ,$77.75 ,$182.84 ,$109.08 ,$77.75 ,$131.07 ,$77.75 ,$249.45 ,$31.69 ,$77.75 ,$249.45 ,$147.73 ,$58.37 ,$333.03 ,$194.38 ,$77.75 ,$457.10 ,$77.75 ,$326.50 ,$79.31 ,$489.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$21.53 ,$21.53 ,$21.53 ,$653.00 ,$555.05 ,$194.38 ,$522.40 ,$241.61 ,$522.40 ,$77.75 ,$77.75 ,$653.00 ,$353.93 ,$77.75 ,$171.74 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$555.05 ,$174.94 ,$429.67 ,$182.84 ,$587.70 ,$470.16 ,$653.00 ,$21.53 ,$411.39 ,$411.39 ,$77.75 ,$313.44 ,$587.70 ST. JOHN'S HOSPITAL,32000161,72020,HC XR L-SPINE 1V,320,1 ,$653.00 ,$424.45 ,$21.53 ,$653.00 ,$194.38 ,$27.24 ,$353.93 ,$77.75 ,$182.84 ,$109.08 ,$77.75 ,$131.07 ,$77.75 ,$249.45 ,$31.69 ,$77.75 ,$249.45 ,$147.73 ,$58.37 ,$333.03 ,$194.38 ,$77.75 ,$457.10 ,$77.75 ,$326.50 ,$79.31 ,$489.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$21.53 ,$21.53 ,$21.53 ,$653.00 ,$555.05 ,$194.38 ,$522.40 ,$241.61 ,$522.40 ,$77.75 ,$77.75 ,$653.00 ,$353.93 ,$77.75 ,$171.74 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$555.05 ,$174.94 ,$429.67 ,$182.84 ,$587.70 ,$470.16 ,$653.00 ,$21.53 ,$411.39 ,$411.39 ,$77.75 ,$313.44 ,$587.70 ST. JOHN'S HOSPITAL,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$771.00 ,$501.15 ,$35.43 ,$771.00 ,$194.38 ,$41.00 ,$417.88 ,$77.75 ,$215.88 ,$163.83 ,$77.75 ,$196.85 ,$77.75 ,$294.52 ,$52.17 ,$77.75 ,$294.52 ,$147.73 ,$98.62 ,$393.21 ,$194.38 ,$77.75 ,$539.70 ,$77.75 ,$385.50 ,$79.31 ,$578.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$35.43 ,$35.43 ,$35.43 ,$771.00 ,$655.35 ,$194.38 ,$616.80 ,$285.27 ,$616.80 ,$77.75 ,$77.75 ,$771.00 ,$417.88 ,$77.75 ,$202.77 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$655.35 ,$174.94 ,$507.32 ,$215.88 ,$693.90 ,$555.12 ,$771.00 ,$35.43 ,$485.73 ,$485.73 ,$77.75 ,$370.08 ,$693.90 ST. JOHN'S HOSPITAL,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$836.00 ,$543.40 ,$48.35 ,$836.00 ,$261.63 ,$55.30 ,$453.11 ,$104.65 ,$234.08 ,$276.83 ,$104.65 ,$321.02 ,$104.65 ,$319.35 ,$71.19 ,$104.65 ,$319.35 ,$198.84 ,$136.49 ,$426.36 ,$261.63 ,$104.65 ,$585.20 ,$104.65 ,$418.00 ,$106.75 ,$627.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$48.35 ,$48.35 ,$48.35 ,$836.00 ,$710.60 ,$261.63 ,$668.80 ,$309.32 ,$668.80 ,$104.65 ,$104.65 ,$836.00 ,$453.11 ,$104.65 ,$219.87 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$710.60 ,$235.47 ,$550.09 ,$234.08 ,$752.40 ,$601.92 ,$836.00 ,$48.35 ,$526.68 ,$526.68 ,$104.65 ,$401.28 ,$752.40 ST. JOHN'S HOSPITAL,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,"$1,149.00 ",$746.85 ,$55.69 ,"$1,149.00 ",$261.63 ,$74.58 ,$622.76 ,$104.65 ,$321.72 ,$278.54 ,$104.65 ,$334.68 ,$104.65 ,$438.92 ,$85.82 ,$104.65 ,$438.92 ,$198.84 ,$164.91 ,$585.99 ,$261.63 ,$104.65 ,$804.30 ,$104.65 ,$574.50 ,$106.75 ,$861.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$58.28 ,$58.28 ,$58.28 ,"$1,149.00 ",$976.65 ,$261.63 ,$919.20 ,$425.13 ,$919.20 ,$104.65 ,$104.65 ,"$1,149.00 ",$622.76 ,$104.65 ,$302.19 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$976.65 ,$235.47 ,$756.04 ,$321.72 ,"$1,034.10 ",$827.28 ,"$1,149.00 ",$58.28 ,$723.87 ,$723.87 ,$104.65 ,$551.52 ,"$1,034.10 " ST. JOHN'S HOSPITAL,32000172,72070,HC XR T-SPINE 2V,320,1 ,$610.00 ,$396.50 ,$31.95 ,$610.00 ,$261.63 ,$38.80 ,$330.62 ,$104.65 ,$170.80 ,$169.04 ,$104.65 ,$203.11 ,$104.65 ,$233.02 ,$47.05 ,$104.65 ,$233.02 ,$198.84 ,$78.49 ,$311.10 ,$261.63 ,$104.65 ,$427.00 ,$104.65 ,$305.00 ,$106.75 ,$457.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$31.95 ,$31.95 ,$31.95 ,$610.00 ,$518.50 ,$261.63 ,$488.00 ,$225.70 ,$488.00 ,$104.65 ,$104.65 ,$610.00 ,$330.62 ,$104.65 ,$160.43 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$518.50 ,$235.47 ,$401.38 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$31.95 ,$384.30 ,$384.30 ,$104.65 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,32000174,72072,HC XR T-SPINE 3V,320,1 ,$973.00 ,$632.45 ,$35.43 ,$973.00 ,$261.63 ,$44.84 ,$527.37 ,$104.65 ,$272.44 ,$176.88 ,$104.65 ,$212.54 ,$104.65 ,$371.69 ,$52.17 ,$104.65 ,$371.69 ,$198.84 ,$97.43 ,$496.23 ,$261.63 ,$104.65 ,$681.10 ,$104.65 ,$486.50 ,$106.75 ,$729.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$35.43 ,$35.43 ,$35.43 ,$973.00 ,$827.05 ,$261.63 ,$778.40 ,$360.01 ,$778.40 ,$104.65 ,$104.65 ,$973.00 ,$527.37 ,$104.65 ,$255.90 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$827.05 ,$235.47 ,$640.23 ,$272.44 ,$875.70 ,$700.56 ,$973.00 ,$35.43 ,$612.99 ,$612.99 ,$104.65 ,$467.04 ,$875.70 ST. JOHN'S HOSPITAL,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$752.00 ,$488.80 ,$35.43 ,$752.00 ,$261.63 ,$41.54 ,$407.58 ,$104.65 ,$210.56 ,$176.88 ,$104.65 ,$212.54 ,$104.65 ,$287.26 ,$52.17 ,$104.65 ,$287.26 ,$198.84 ,$99.81 ,$383.52 ,$261.63 ,$104.65 ,$526.40 ,$104.65 ,$376.00 ,$106.75 ,$564.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$35.43 ,$35.43 ,$35.43 ,$752.00 ,$639.20 ,$261.63 ,$601.60 ,$278.24 ,$601.60 ,$104.65 ,$104.65 ,$752.00 ,$407.58 ,$104.65 ,$197.78 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$639.20 ,$235.47 ,$494.82 ,$210.56 ,$676.80 ,$541.44 ,$752.00 ,$35.43 ,$473.76 ,$473.76 ,$104.65 ,$360.96 ,$676.80 ST. JOHN'S HOSPITAL,32000181,72110,HC XR L-SPINE 4+V,320,1 ,$957.00 ,$622.05 ,$49.34 ,$957.00 ,$261.63 ,$56.40 ,$518.69 ,$104.65 ,$267.96 ,$309.86 ,$104.65 ,$367.49 ,$104.65 ,$365.57 ,$72.65 ,$104.65 ,$365.57 ,$198.84 ,$131.76 ,$488.07 ,$261.63 ,$104.65 ,$669.90 ,$104.65 ,$478.50 ,$106.75 ,$717.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$49.34 ,$49.34 ,$49.34 ,$957.00 ,$813.45 ,$261.63 ,$765.60 ,$354.09 ,$765.60 ,$104.65 ,$104.65 ,$957.00 ,$518.69 ,$104.65 ,$251.69 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$813.45 ,$235.47 ,$629.71 ,$267.96 ,$861.30 ,$689.04 ,$957.00 ,$49.34 ,$602.91 ,$602.91 ,$104.65 ,$459.36 ,$861.30 ST. JOHN'S HOSPITAL,32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,$669.00 ,$434.85 ,$44.37 ,$669.00 ,$261.63 ,$52.00 ,$362.60 ,$104.65 ,$187.32 ,$218.58 ,$104.65 ,$256.90 ,$104.65 ,$255.56 ,$65.34 ,$104.65 ,$255.56 ,$198.84 ,$103.34 ,$341.19 ,$261.63 ,$104.65 ,$468.30 ,$104.65 ,$334.50 ,$106.75 ,$501.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,$669.00 ,$568.65 ,$261.63 ,$535.20 ,$247.53 ,$535.20 ,$104.65 ,$104.65 ,$669.00 ,$362.60 ,$104.65 ,$175.95 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$568.65 ,$235.47 ,$440.20 ,$187.32 ,$602.10 ,$481.68 ,$669.00 ,$44.37 ,$421.47 ,$421.47 ,$104.65 ,$321.12 ,$602.10 ST. JOHN'S HOSPITAL,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,080.00 ",$702.00 ,$55.69 ,"$1,080.00 ",$261.63 ,$80.08 ,$585.36 ,$104.65 ,$302.40 ,$333.23 ,$104.65 ,$400.40 ,$104.65 ,$412.56 ,$85.82 ,$104.65 ,$412.56 ,$198.84 ,$163.72 ,$550.80 ,$261.63 ,$104.65 ,$756.00 ,$104.65 ,$540.00 ,$106.75 ,$810.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$58.28 ,$58.28 ,$58.28 ,"$1,080.00 ",$918.00 ,$261.63 ,$864.00 ,$399.60 ,$864.00 ,$104.65 ,$104.65 ,"$1,080.00 ",$585.36 ,$104.65 ,$284.04 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$918.00 ,$235.47 ,$710.64 ,$302.40 ,$972.00 ,$777.60 ,"$1,080.00 ",$58.28 ,$680.40 ,$680.40 ,$104.65 ,$518.40 ,$972.00 ST. JOHN'S HOSPITAL,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$557.00 ,$362.05 ,$33.84 ,$557.00 ,$261.63 ,$33.84 ,$301.89 ,$104.65 ,$155.96 ,$171.67 ,$104.65 ,$206.27 ,$104.65 ,$212.77 ,$49.97 ,$104.65 ,$212.77 ,$198.84 ,$66.63 ,$284.07 ,$261.63 ,$104.65 ,$389.90 ,$104.65 ,$278.50 ,$106.75 ,$417.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$33.95 ,$33.95 ,$33.95 ,$557.00 ,$473.45 ,$261.63 ,$445.60 ,$206.09 ,$445.60 ,$104.65 ,$104.65 ,$557.00 ,$301.89 ,$104.65 ,$146.49 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$473.45 ,$235.47 ,$366.51 ,$155.96 ,$501.30 ,$401.04 ,$557.00 ,$33.95 ,$350.91 ,$350.91 ,$104.65 ,$267.36 ,$501.30 ST. JOHN'S HOSPITAL,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$885.00 ,$575.25 ,$40.40 ,$885.00 ,$261.63 ,$54.76 ,$479.67 ,$104.65 ,$247.80 ,$200.31 ,$104.65 ,$240.68 ,$104.65 ,$338.07 ,$59.48 ,$104.65 ,$338.07 ,$198.84 ,$102.15 ,$451.35 ,$261.63 ,$104.65 ,$619.50 ,$104.65 ,$442.50 ,$106.75 ,$663.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$40.40 ,$40.40 ,$40.40 ,$885.00 ,$752.25 ,$261.63 ,$708.00 ,$327.45 ,$708.00 ,$104.65 ,$104.65 ,$885.00 ,$479.67 ,$104.65 ,$232.76 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$752.25 ,$235.47 ,$582.33 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$40.40 ,$557.55 ,$557.55 ,$104.65 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$549.00 ,$356.85 ,$35.43 ,$549.00 ,$261.63 ,$43.20 ,$297.56 ,$104.65 ,$153.72 ,$174.25 ,$104.65 ,$209.37 ,$104.65 ,$209.72 ,$52.17 ,$104.65 ,$209.72 ,$198.84 ,$97.43 ,$279.99 ,$261.63 ,$104.65 ,$384.30 ,$104.65 ,$274.50 ,$106.75 ,$411.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$35.43 ,$35.43 ,$35.43 ,$549.00 ,$466.65 ,$261.63 ,$439.20 ,$203.13 ,$439.20 ,$104.65 ,$104.65 ,$549.00 ,$297.56 ,$104.65 ,$144.39 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$466.65 ,$235.47 ,$361.24 ,$153.72 ,$494.10 ,$395.28 ,$549.00 ,$35.43 ,$345.87 ,$345.87 ,$104.65 ,$263.52 ,$494.10 ST. JOHN'S HOSPITAL,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$589.00 ,$382.85 ,$30.47 ,$589.00 ,$194.38 ,$34.94 ,$319.24 ,$77.75 ,$164.92 ,$145.62 ,$77.75 ,$174.96 ,$77.75 ,$225.00 ,$44.85 ,$77.75 ,$225.00 ,$147.73 ,$82.03 ,$300.39 ,$194.38 ,$77.75 ,$412.30 ,$77.75 ,$294.50 ,$79.31 ,$441.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$30.47 ,$30.47 ,$30.47 ,$589.00 ,$500.65 ,$194.38 ,$471.20 ,$217.93 ,$471.20 ,$77.75 ,$77.75 ,$589.00 ,$319.24 ,$77.75 ,$154.91 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$500.65 ,$174.94 ,$387.56 ,$164.92 ,$530.10 ,$424.08 ,$589.00 ,$30.47 ,$371.07 ,$371.07 ,$77.75 ,$282.72 ,$530.10 ST. JOHN'S HOSPITAL,32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$3,646.00 ","$2,369.90 ",$150.00 ,"$3,646.00 ","$1,719.28 ","$1,677.16 ","$1,976.13 ",$687.71 ,"$1,020.88 ","$1,257.87 ",$687.71 ,"$1,400.06 ",$687.71 ,"$1,392.77 ",$246.23 ,$687.71 ,"$1,392.77 ","$1,306.64 ","$1,917.80 ","$1,859.46 ","$1,719.27 ",$687.71 ,"$2,552.20 ",$687.71 ,"$1,823.00 ",$701.46 ,"$2,734.50 ",$166.00 ,$150.00 ,$166.00 ,$687.71 ,$166.00 ,"$2,552.20 ","$2,552.20 ","$2,552.20 ","$3,646.00 ","$3,099.10 ","$1,719.27 ","$2,916.80 ","$1,349.02 ","$2,916.80 ",$687.71 ,$687.71 ,"$3,646.00 ","$1,976.13 ",$687.71 ,$958.90 , N/A , N/A ,$634.90 ,$606.04 ,$722.10 ,"$3,099.10 ","$1,547.34 ","$2,399.07 ","$1,020.88 ","$3,281.40 ","$2,625.12 ","$3,646.00 ","$2,552.20 ","$2,296.98 ","$2,296.98 ",$687.71 ,"$1,750.08 ","$3,281.40 " ST. JOHN'S HOSPITAL,32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$3,646.00 ","$2,369.90 ",$150.00 ,"$3,646.00 ","$1,719.28 ","$1,677.16 ","$1,976.13 ",$687.71 ,"$1,020.88 ","$1,257.87 ",$687.71 ,"$1,400.06 ",$687.71 ,"$1,392.77 ",$246.23 ,$687.71 ,"$1,392.77 ","$1,306.64 ","$1,917.80 ","$1,859.46 ","$1,719.27 ",$687.71 ,"$2,552.20 ",$687.71 ,"$1,823.00 ",$701.46 ,"$2,734.50 ",$166.00 ,$150.00 ,$166.00 ,$687.71 ,$166.00 ,"$2,552.20 ","$2,552.20 ","$2,552.20 ","$3,646.00 ","$3,099.10 ","$1,719.27 ","$2,916.80 ","$1,349.02 ","$2,916.80 ",$687.71 ,$687.71 ,"$3,646.00 ","$1,976.13 ",$687.71 ,$958.90 , N/A , N/A ,$634.90 ,$606.04 ,$722.10 ,"$3,099.10 ","$1,547.34 ","$2,399.07 ","$1,020.88 ","$3,281.40 ","$2,625.12 ","$3,646.00 ","$2,552.20 ","$2,296.98 ","$2,296.98 ",$687.71 ,"$1,750.08 ","$3,281.40 " ST. JOHN'S HOSPITAL,32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$3,646.00 ","$2,369.90 ",$150.00 ,"$3,646.00 ","$1,719.28 ","$1,677.16 ","$1,976.13 ",$687.71 ,"$1,020.88 ","$1,257.87 ",$687.71 ,"$1,400.06 ",$687.71 ,"$1,392.77 ",$242.08 ,$687.71 ,"$1,392.77 ","$1,306.64 ","$1,917.80 ","$1,859.46 ","$1,719.27 ",$687.71 ,"$2,552.20 ",$687.71 ,"$1,823.00 ",$701.46 ,"$2,734.50 ",$166.00 ,$150.00 ,$166.00 ,$687.71 ,$166.00 ,"$2,552.20 ","$2,552.20 ","$2,552.20 ","$3,646.00 ","$3,099.10 ","$1,719.27 ","$2,916.80 ","$1,349.02 ","$2,916.80 ",$687.71 ,$687.71 ,"$3,646.00 ","$1,976.13 ",$687.71 ,$958.90 , N/A , N/A ,$634.90 ,$606.04 ,$722.10 ,"$3,099.10 ","$1,547.34 ","$2,399.07 ","$1,020.88 ","$3,281.40 ","$2,625.12 ","$3,646.00 ","$2,552.20 ","$2,296.98 ","$2,296.98 ",$687.71 ,"$1,750.08 ","$3,281.40 " ST. JOHN'S HOSPITAL,32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$3,646.00 ","$2,369.90 ",$150.00 ,"$3,646.00 ","$1,719.28 ","$1,677.16 ","$1,976.13 ",$687.71 ,"$1,020.88 ","$1,257.87 ",$687.71 ,"$1,400.06 ",$687.71 ,"$1,392.77 ",$252.65 ,$687.71 ,"$1,392.77 ","$1,306.64 ","$1,917.80 ","$1,859.46 ","$1,719.27 ",$687.71 ,"$2,552.20 ",$687.71 ,"$1,823.00 ",$701.46 ,"$2,734.50 ",$166.00 ,$150.00 ,$166.00 ,$687.71 ,$166.00 ,"$2,552.20 ","$2,552.20 ","$2,552.20 ","$3,646.00 ","$3,099.10 ","$1,719.27 ","$2,916.80 ","$1,349.02 ","$2,916.80 ",$687.71 ,$687.71 ,"$3,646.00 ","$1,976.13 ",$687.71 ,$958.90 , N/A , N/A ,$634.90 ,$606.04 ,$722.10 ,"$3,099.10 ","$1,547.34 ","$2,399.07 ","$1,020.88 ","$3,281.40 ","$2,625.12 ","$3,646.00 ","$2,552.20 ","$2,296.98 ","$2,296.98 ",$687.71 ,"$1,750.08 ","$3,281.40 " ST. JOHN'S HOSPITAL,32000200,72295,HC XR DISKOGRAM L-SPINE,320,1 ,"$2,918.00 ","$1,896.70 ",$83.12 ,"$4,219.66 ","$4,219.65 ",$99.90 ,"$1,581.56 ","$1,687.86 ",$817.04 ,$398.40 ,"$1,687.86 ",$478.70 ,"$1,687.86 ","$1,114.68 ",$122.39 ,"$1,687.86 ","$1,114.68 ","$2,918.00 ",$247.75 ,"$1,488.18 ","$4,219.66 ","$1,687.86 ","$2,042.60 ","$1,687.86 ","$1,459.00 ","$1,721.62 ","$2,188.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,687.86 ",$166.00 ,$83.12 ,$83.12 ,$83.12 ,"$2,918.00 ","$2,480.30 ","$2,918.00 ","$2,334.40 ","$1,079.66 ","$2,334.40 ","$1,687.86 ","$1,687.86 ","$2,918.00 ","$1,581.56 ","$1,687.86 ",$767.43 , N/A , N/A ,$332.48 ,$317.36 ,"$1,772.25 ","$2,480.30 ","$3,797.69 ","$1,920.04 ",$817.04 ,"$2,626.20 ","$2,100.96 ","$2,918.00 ",$83.12 ,"$1,838.34 ","$1,838.34 ","$1,687.86 ","$1,400.64 ","$2,626.20 " ST. JOHN'S HOSPITAL,32000201,73000,HC XRAY CLAVICLE,320,1 ,$485.00 ,$315.25 ,$28.97 ,$485.00 ,$194.38 ,$35.50 ,$262.87 ,$77.75 ,$135.80 ,$145.62 ,$77.75 ,$174.96 ,$77.75 ,$185.27 ,$42.66 ,$77.75 ,$185.27 ,$147.73 ,$83.22 ,$247.35 ,$194.38 ,$77.75 ,$339.50 ,$77.75 ,$242.50 ,$79.31 ,$363.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$485.00 ,$412.25 ,$194.38 ,$388.00 ,$179.45 ,$388.00 ,$77.75 ,$77.75 ,$485.00 ,$262.87 ,$77.75 ,$127.56 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$412.25 ,$174.94 ,$319.13 ,$135.80 ,$436.50 ,$349.20 ,$485.00 ,$28.97 ,$305.55 ,$305.55 ,$77.75 ,$232.80 ,$436.50 ST. JOHN'S HOSPITAL,32000201,73000,HC XRAY CLAVICLE,320,1 ,$728.00 ,$473.20 ,$28.97 ,$728.00 ,$194.38 ,$35.50 ,$394.58 ,$77.75 ,$203.84 ,$145.62 ,$77.75 ,$174.96 ,$77.75 ,$278.10 ,$42.66 ,$77.75 ,$278.10 ,$147.73 ,$83.22 ,$371.28 ,$194.38 ,$77.75 ,$509.60 ,$77.75 ,$364.00 ,$79.31 ,$546.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$728.00 ,$618.80 ,$194.38 ,$582.40 ,$269.36 ,$582.40 ,$77.75 ,$77.75 ,$728.00 ,$394.58 ,$77.75 ,$191.46 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$618.80 ,$174.94 ,$479.02 ,$203.84 ,$655.20 ,$524.16 ,$728.00 ,$28.97 ,$458.64 ,$458.64 ,$77.75 ,$349.44 ,$655.20 ST. JOHN'S HOSPITAL,32000204,73010,HC XRAY SCAPULA,320,1 ,$563.00 ,$365.95 ,$31.95 ,$563.00 ,$261.63 ,$38.80 ,$305.15 ,$104.65 ,$157.64 ,$158.62 ,$104.65 ,$190.59 ,$104.65 ,$215.07 ,$47.05 ,$104.65 ,$215.07 ,$198.84 ,$51.26 ,$287.13 ,$261.63 ,$104.65 ,$394.10 ,$104.65 ,$281.50 ,$106.75 ,$422.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$31.95 ,$31.95 ,$31.95 ,$563.00 ,$478.55 ,$261.63 ,$450.40 ,$208.31 ,$450.40 ,$104.65 ,$104.65 ,$563.00 ,$305.15 ,$104.65 ,$148.07 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$478.55 ,$235.47 ,$370.45 ,$157.64 ,$506.70 ,$405.36 ,$563.00 ,$31.95 ,$354.69 ,$354.69 ,$104.65 ,$270.24 ,$506.70 ST. JOHN'S HOSPITAL,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$489.00 ,$317.85 ,$22.02 ,$489.00 ,$194.38 ,$27.78 ,$265.04 ,$77.75 ,$136.92 ,$111.71 ,$77.75 ,$134.23 ,$77.75 ,$186.80 ,$32.42 ,$77.75 ,$186.80 ,$147.73 ,$48.88 ,$249.39 ,$194.38 ,$77.75 ,$342.30 ,$77.75 ,$244.50 ,$79.31 ,$366.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$22.02 ,$22.02 ,$22.02 ,$489.00 ,$415.65 ,$194.38 ,$391.20 ,$180.93 ,$391.20 ,$77.75 ,$77.75 ,$489.00 ,$265.04 ,$77.75 ,$128.61 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$415.65 ,$174.94 ,$321.76 ,$136.92 ,$440.10 ,$352.08 ,$489.00 ,$22.02 ,$308.07 ,$308.07 ,$77.75 ,$234.72 ,$440.10 ST. JOHN'S HOSPITAL,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$926.00 ,$601.90 ,$28.97 ,$926.00 ,$194.38 ,$36.04 ,$501.89 ,$77.75 ,$259.28 ,$187.72 ,$77.75 ,$225.56 ,$77.75 ,$353.73 ,$42.66 ,$77.75 ,$353.73 ,$147.73 ,$86.75 ,$472.26 ,$194.38 ,$77.75 ,$648.20 ,$77.75 ,$463.00 ,$79.31 ,$694.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$926.00 ,$787.10 ,$194.38 ,$740.80 ,$342.62 ,$740.80 ,$77.75 ,$77.75 ,$926.00 ,$501.89 ,$77.75 ,$243.54 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$787.10 ,$174.94 ,$609.31 ,$259.28 ,$833.40 ,$666.72 ,$926.00 ,$28.97 ,$583.38 ,$583.38 ,$77.75 ,$444.48 ,$833.40 ST. JOHN'S HOSPITAL,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$618.00 ,$401.70 ,$28.97 ,$618.00 ,$194.38 ,$36.04 ,$334.96 ,$77.75 ,$173.04 ,$187.72 ,$77.75 ,$225.56 ,$77.75 ,$236.08 ,$42.66 ,$77.75 ,$236.08 ,$147.73 ,$86.75 ,$315.18 ,$194.38 ,$77.75 ,$432.60 ,$77.75 ,$309.00 ,$79.31 ,$463.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$618.00 ,$525.30 ,$194.38 ,$494.40 ,$228.66 ,$494.40 ,$77.75 ,$77.75 ,$618.00 ,$334.96 ,$77.75 ,$162.53 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$525.30 ,$174.94 ,$406.64 ,$173.04 ,$556.20 ,$444.96 ,$618.00 ,$28.97 ,$389.34 ,$389.34 ,$77.75 ,$296.64 ,$556.20 ST. JOHN'S HOSPITAL,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,368.00 ",$889.20 ,$116.40 ,"$1,368.00 ",$884.95 ,$133.48 ,$741.46 ,$353.98 ,$383.04 ,$471.96 ,$353.98 ,$525.31 ,$353.98 ,$522.58 ,$171.41 ,$353.98 ,$522.58 ,$672.55 ,$360.21 ,$697.68 ,$884.94 ,$353.98 ,$957.60 ,$353.98 ,$684.00 ,$361.06 ,"$1,026.00 ",$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$116.40 ,$116.40 ,$116.40 ,"$1,368.00 ","$1,162.80 ",$884.94 ,"$1,094.40 ",$506.16 ,"$1,094.40 ",$353.98 ,$353.98 ,"$1,368.00 ",$741.46 ,$353.98 ,$359.78 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,"$1,162.80 ",$796.45 ,$900.14 ,$383.04 ,"$1,231.20 ",$984.96 ,"$1,368.00 ",$116.40 ,$861.84 ,$861.84 ,$353.98 ,$656.64 ,"$1,231.20 " ST. JOHN'S HOSPITAL,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$833.00 ,$541.45 ,$37.41 ,$833.00 ,$194.38 ,$50.36 ,$451.49 ,$77.75 ,$233.24 ,$187.31 ,$77.75 ,$225.06 ,$77.75 ,$318.21 ,$55.09 ,$77.75 ,$318.21 ,$147.73 ,$66.63 ,$424.83 ,$194.38 ,$77.75 ,$583.10 ,$77.75 ,$416.50 ,$79.31 ,$624.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$37.41 ,$37.41 ,$37.41 ,$833.00 ,$708.05 ,$194.38 ,$666.40 ,$308.21 ,$666.40 ,$77.75 ,$77.75 ,$833.00 ,$451.49 ,$77.75 ,$219.08 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$708.05 ,$174.94 ,$548.11 ,$233.24 ,$749.70 ,$599.76 ,$833.00 ,$37.41 ,$524.79 ,$524.79 ,$77.75 ,$399.84 ,$749.70 ST. JOHN'S HOSPITAL,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$881.00 ,$572.65 ,$30.47 ,$881.00 ,$194.38 ,$34.94 ,$477.50 ,$77.75 ,$246.68 ,$153.41 ,$77.75 ,$184.33 ,$77.75 ,$336.54 ,$44.85 ,$77.75 ,$336.54 ,$147.73 ,$83.22 ,$449.31 ,$194.38 ,$77.75 ,$616.70 ,$77.75 ,$440.50 ,$79.31 ,$660.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$30.47 ,$30.47 ,$30.47 ,$881.00 ,$748.85 ,$194.38 ,$704.80 ,$325.97 ,$704.80 ,$77.75 ,$77.75 ,$881.00 ,$477.50 ,$77.75 ,$231.70 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$748.85 ,$174.94 ,$579.70 ,$246.68 ,$792.90 ,$634.32 ,$881.00 ,$30.47 ,$555.03 ,$555.03 ,$77.75 ,$422.88 ,$792.90 ST. JOHN'S HOSPITAL,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$587.00 ,$381.55 ,$30.47 ,$587.00 ,$194.38 ,$34.94 ,$318.15 ,$77.75 ,$164.36 ,$153.41 ,$77.75 ,$184.33 ,$77.75 ,$224.23 ,$44.85 ,$77.75 ,$224.23 ,$147.73 ,$83.22 ,$299.37 ,$194.38 ,$77.75 ,$410.90 ,$77.75 ,$293.50 ,$79.31 ,$440.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$30.47 ,$30.47 ,$30.47 ,$587.00 ,$498.95 ,$194.38 ,$469.60 ,$217.19 ,$469.60 ,$77.75 ,$77.75 ,$587.00 ,$318.15 ,$77.75 ,$154.38 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$498.95 ,$174.94 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$30.47 ,$369.81 ,$369.81 ,$77.75 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$847.00 ,$550.55 ,$26.49 ,$847.00 ,$194.38 ,$35.50 ,$459.07 ,$77.75 ,$237.16 ,$142.98 ,$77.75 ,$171.80 ,$77.75 ,$323.55 ,$39.00 ,$77.75 ,$323.55 ,$147.73 ,$72.58 ,$431.97 ,$194.38 ,$77.75 ,$592.90 ,$77.75 ,$423.50 ,$79.31 ,$635.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.49 ,$26.49 ,$26.49 ,$847.00 ,$719.95 ,$194.38 ,$677.60 ,$313.39 ,$677.60 ,$77.75 ,$77.75 ,$847.00 ,$459.07 ,$77.75 ,$222.76 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$719.95 ,$174.94 ,$557.33 ,$237.16 ,$762.30 ,$609.84 ,$847.00 ,$26.49 ,$533.61 ,$533.61 ,$77.75 ,$406.56 ,$762.30 ST. JOHN'S HOSPITAL,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$564.00 ,$366.60 ,$26.49 ,$564.00 ,$194.38 ,$35.50 ,$305.69 ,$77.75 ,$157.92 ,$142.98 ,$77.75 ,$171.80 ,$77.75 ,$215.45 ,$39.00 ,$77.75 ,$215.45 ,$147.73 ,$72.58 ,$287.64 ,$194.38 ,$77.75 ,$394.80 ,$77.75 ,$282.00 ,$79.31 ,$423.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.49 ,$26.49 ,$26.49 ,$564.00 ,$479.40 ,$194.38 ,$451.20 ,$208.68 ,$451.20 ,$77.75 ,$77.75 ,$564.00 ,$305.69 ,$77.75 ,$148.33 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$479.40 ,$174.94 ,$371.11 ,$157.92 ,$507.60 ,$406.08 ,$564.00 ,$26.49 ,$355.32 ,$355.32 ,$77.75 ,$270.72 ,$507.60 ST. JOHN'S HOSPITAL,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$864.00 ,$561.60 ,$29.46 ,$864.00 ,$194.38 ,$42.64 ,$468.29 ,$77.75 ,$241.92 ,$169.04 ,$77.75 ,$203.11 ,$77.75 ,$330.05 ,$43.39 ,$77.75 ,$330.05 ,$147.73 ,$82.03 ,$440.64 ,$194.38 ,$77.75 ,$604.80 ,$77.75 ,$432.00 ,$79.31 ,$648.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$29.46 ,$29.46 ,$29.46 ,$864.00 ,$734.40 ,$194.38 ,$691.20 ,$319.68 ,$691.20 ,$77.75 ,$77.75 ,$864.00 ,$468.29 ,$77.75 ,$227.23 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$734.40 ,$174.94 ,$568.51 ,$241.92 ,$777.60 ,$622.08 ,$864.00 ,$29.46 ,$544.32 ,$544.32 ,$77.75 ,$414.72 ,$777.60 ST. JOHN'S HOSPITAL,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$576.00 ,$374.40 ,$29.46 ,$576.00 ,$194.38 ,$42.64 ,$312.19 ,$77.75 ,$161.28 ,$169.04 ,$77.75 ,$203.11 ,$77.75 ,$220.03 ,$43.39 ,$77.75 ,$220.03 ,$147.73 ,$82.03 ,$293.76 ,$194.38 ,$77.75 ,$403.20 ,$77.75 ,$288.00 ,$79.31 ,$432.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$29.46 ,$29.46 ,$29.46 ,$576.00 ,$489.60 ,$194.38 ,$460.80 ,$213.12 ,$460.80 ,$77.75 ,$77.75 ,$576.00 ,$312.19 ,$77.75 ,$151.49 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$489.60 ,$174.94 ,$379.01 ,$161.28 ,$518.40 ,$414.72 ,$576.00 ,$29.46 ,$362.88 ,$362.88 ,$77.75 ,$276.48 ,$518.40 ST. JOHN'S HOSPITAL,32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$953.00 ,$619.45 ,$107.96 ,$953.00 ,$884.95 ,$124.68 ,$516.53 ,$353.98 ,$266.84 ,$328.79 ,$353.98 ,$365.95 ,$353.98 ,$364.05 ,$158.97 ,$353.98 ,$364.05 ,$672.55 ,$310.51 ,$486.03 ,$884.94 ,$353.98 ,$667.10 ,$353.98 ,$476.50 ,$361.06 ,$714.75 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$107.96 ,$107.96 ,$107.96 ,$953.00 ,$810.05 ,$884.94 ,$762.40 ,$352.61 ,$762.40 ,$353.98 ,$353.98 ,$953.00 ,$516.53 ,$353.98 ,$250.64 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$810.05 ,$796.45 ,$627.07 ,$266.84 ,$857.70 ,$686.16 ,$953.00 ,$107.96 ,$600.39 ,$600.39 ,$353.98 ,$457.44 ,$857.70 ST. JOHN'S HOSPITAL,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$478.00 ,$310.70 ,$27.48 ,$478.00 ,$194.38 ,$33.84 ,$259.08 ,$77.75 ,$133.84 ,$129.98 ,$77.75 ,$156.18 ,$77.75 ,$182.60 ,$40.46 ,$77.75 ,$182.60 ,$147.73 ,$73.73 ,$243.78 ,$194.38 ,$77.75 ,$334.60 ,$77.75 ,$239.00 ,$79.31 ,$358.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$27.48 ,$27.48 ,$27.48 ,$478.00 ,$406.30 ,$194.38 ,$382.40 ,$176.86 ,$382.40 ,$77.75 ,$77.75 ,$478.00 ,$259.08 ,$77.75 ,$125.71 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$406.30 ,$174.94 ,$314.52 ,$133.84 ,$430.20 ,$344.16 ,$478.00 ,$27.48 ,$301.14 ,$301.14 ,$77.75 ,$229.44 ,$430.20 ST. JOHN'S HOSPITAL,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$717.00 ,$466.05 ,$27.48 ,$717.00 ,$194.38 ,$33.84 ,$388.61 ,$77.75 ,$200.76 ,$129.98 ,$77.75 ,$156.18 ,$77.75 ,$273.89 ,$40.46 ,$77.75 ,$273.89 ,$147.73 ,$73.73 ,$365.67 ,$194.38 ,$77.75 ,$501.90 ,$77.75 ,$358.50 ,$79.31 ,$537.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$27.48 ,$27.48 ,$27.48 ,$717.00 ,$609.45 ,$194.38 ,$573.60 ,$265.29 ,$573.60 ,$77.75 ,$77.75 ,$717.00 ,$388.61 ,$77.75 ,$188.57 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$609.45 ,$174.94 ,$471.79 ,$200.76 ,$645.30 ,$516.24 ,$717.00 ,$27.48 ,$451.71 ,$451.71 ,$77.75 ,$344.16 ,$645.30 ST. JOHN'S HOSPITAL,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$477.00 ,$310.05 ,$28.97 ,$477.00 ,$261.63 ,$41.54 ,$258.53 ,$104.65 ,$133.56 ,$142.98 ,$104.65 ,$171.80 ,$104.65 ,$182.21 ,$42.66 ,$104.65 ,$182.21 ,$198.84 ,$82.03 ,$243.27 ,$261.63 ,$104.65 ,$333.90 ,$104.65 ,$238.50 ,$106.75 ,$357.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$477.00 ,$405.45 ,$261.63 ,$381.60 ,$176.49 ,$381.60 ,$104.65 ,$104.65 ,$477.00 ,$258.53 ,$104.65 ,$125.45 , N/A , N/A ,$87.52 ,$83.54 ,$109.88 ,$405.45 ,$235.47 ,$313.87 ,$133.56 ,$429.30 ,$343.44 ,$477.00 ,$28.97 ,$300.51 ,$300.51 ,$104.65 ,$228.96 ,$429.30 ST. JOHN'S HOSPITAL,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$280.00 ,$182.00 ,$28.97 ,$280.00 ,$261.63 ,$41.54 ,$151.76 ,$104.65 ,$78.40 ,$96.60 ,$104.65 ,$107.52 ,$104.65 ,$106.96 ,$42.66 ,$104.65 ,$106.96 ,$198.84 ,$82.03 ,$142.80 ,$261.63 ,$104.65 ,$196.00 ,$104.65 ,$140.00 ,$106.75 ,$210.00 ,$124.88 ,$112.28 ,$124.88 ,$104.65 ,$124.88 ,$28.97 ,$28.97 ,$28.97 ,$280.00 ,$238.00 ,$261.63 ,$224.00 ,$103.60 ,$224.00 ,$104.65 ,$104.65 ,$280.00 ,$151.76 ,$104.65 ,$73.64 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$238.00 ,$235.47 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$28.97 ,$176.40 ,$176.40 ,$104.65 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$553.00 ,$359.45 ,$32.94 ,$553.00 ,$194.38 ,$39.34 ,$299.73 ,$77.75 ,$154.84 ,$169.04 ,$77.75 ,$203.11 ,$77.75 ,$211.25 ,$48.51 ,$77.75 ,$211.25 ,$147.73 ,$89.13 ,$282.03 ,$194.38 ,$77.75 ,$387.10 ,$77.75 ,$276.50 ,$79.31 ,$414.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$32.94 ,$32.94 ,$32.94 ,$553.00 ,$470.05 ,$194.38 ,$442.40 ,$204.61 ,$442.40 ,$77.75 ,$77.75 ,$553.00 ,$299.73 ,$77.75 ,$145.44 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$470.05 ,$174.94 ,$363.87 ,$154.84 ,$497.70 ,$398.16 ,$553.00 ,$32.94 ,$348.39 ,$348.39 ,$77.75 ,$265.44 ,$497.70 ST. JOHN'S HOSPITAL,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$830.00 ,$539.50 ,$32.94 ,$830.00 ,$194.38 ,$39.34 ,$449.86 ,$77.75 ,$232.40 ,$169.04 ,$77.75 ,$203.11 ,$77.75 ,$317.06 ,$48.51 ,$77.75 ,$317.06 ,$147.73 ,$89.13 ,$423.30 ,$194.38 ,$77.75 ,$581.00 ,$77.75 ,$415.00 ,$79.31 ,$622.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$32.94 ,$32.94 ,$32.94 ,$830.00 ,$705.50 ,$194.38 ,$664.00 ,$307.10 ,$664.00 ,$77.75 ,$77.75 ,$830.00 ,$449.86 ,$77.75 ,$218.29 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$705.50 ,$174.94 ,$546.14 ,$232.40 ,$747.00 ,$597.60 ,$830.00 ,$32.94 ,$522.90 ,$522.90 ,$77.75 ,$398.40 ,$747.00 ST. JOHN'S HOSPITAL,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$545.00 ,$354.25 ,$38.91 ,$545.00 ,$194.38 ,$49.80 ,$295.39 ,$77.75 ,$152.60 ,$188.03 ,$77.75 ,$209.28 ,$77.75 ,$208.19 ,$57.29 ,$77.75 ,$208.19 ,$147.73 ,$110.45 ,$277.95 ,$194.38 ,$77.75 ,$381.50 ,$77.75 ,$272.50 ,$79.31 ,$408.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$38.91 ,$38.91 ,$38.91 ,$545.00 ,$463.25 ,$194.38 ,$436.00 ,$201.65 ,$436.00 ,$77.75 ,$77.75 ,$545.00 ,$295.39 ,$77.75 ,$143.34 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$463.25 ,$174.94 ,$358.61 ,$152.60 ,$490.50 ,$392.40 ,$545.00 ,$38.91 ,$343.35 ,$343.35 ,$77.75 ,$261.60 ,$490.50 ST. JOHN'S HOSPITAL,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$817.00 ,$531.05 ,$38.91 ,$817.00 ,$194.38 ,$49.80 ,$442.81 ,$77.75 ,$228.76 ,$195.10 ,$77.75 ,$234.42 ,$77.75 ,$312.09 ,$57.29 ,$77.75 ,$312.09 ,$147.73 ,$110.45 ,$416.67 ,$194.38 ,$77.75 ,$571.90 ,$77.75 ,$408.50 ,$79.31 ,$612.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$38.91 ,$38.91 ,$38.91 ,$817.00 ,$694.45 ,$194.38 ,$653.60 ,$302.29 ,$653.60 ,$77.75 ,$77.75 ,$817.00 ,$442.81 ,$77.75 ,$214.87 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$694.45 ,$174.94 ,$537.59 ,$228.76 ,$735.30 ,$588.24 ,$817.00 ,$38.91 ,$514.71 ,$514.71 ,$77.75 ,$392.16 ,$735.30 ST. JOHN'S HOSPITAL,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,$953.00 ,$619.45 ,$125.36 ,$953.00 ,$884.95 ,$141.74 ,$516.53 ,$353.98 ,$266.84 ,$328.79 ,$353.98 ,$365.95 ,$353.98 ,$364.05 ,$184.57 ,$353.98 ,$364.05 ,$672.55 ,$379.18 ,$486.03 ,$884.94 ,$353.98 ,$667.10 ,$353.98 ,$476.50 ,$361.06 ,$714.75 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$125.36 ,$125.36 ,$125.36 ,$953.00 ,$810.05 ,$884.94 ,$762.40 ,$352.61 ,$762.40 ,$353.98 ,$353.98 ,$953.00 ,$516.53 ,$353.98 ,$250.64 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$810.05 ,$796.45 ,$627.07 ,$266.84 ,$857.70 ,$686.16 ,$953.00 ,$125.36 ,$600.39 ,$600.39 ,$353.98 ,$457.44 ,$857.70 ST. JOHN'S HOSPITAL,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$472.00 ,$306.80 ,$28.97 ,$472.00 ,$261.63 ,$33.28 ,$255.82 ,$104.65 ,$132.16 ,$148.20 ,$104.65 ,$178.06 ,$104.65 ,$180.30 ,$42.66 ,$104.65 ,$180.30 ,$198.84 ,$79.68 ,$240.72 ,$261.63 ,$104.65 ,$330.40 ,$104.65 ,$236.00 ,$106.75 ,$354.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$472.00 ,$401.20 ,$261.63 ,$377.60 ,$174.64 ,$377.60 ,$104.65 ,$104.65 ,$472.00 ,$255.82 ,$104.65 ,$124.14 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$401.20 ,$235.47 ,$310.58 ,$132.16 ,$424.80 ,$339.84 ,$472.00 ,$28.97 ,$297.36 ,$297.36 ,$104.65 ,$226.56 ,$424.80 ST. JOHN'S HOSPITAL,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$708.00 ,$460.20 ,$28.97 ,$708.00 ,$261.63 ,$33.28 ,$383.74 ,$104.65 ,$198.24 ,$148.20 ,$104.65 ,$178.06 ,$104.65 ,$270.46 ,$42.66 ,$104.65 ,$270.46 ,$198.84 ,$79.68 ,$361.08 ,$261.63 ,$104.65 ,$495.60 ,$104.65 ,$354.00 ,$106.75 ,$531.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$28.97 ,$28.97 ,$28.97 ,$708.00 ,$601.80 ,$261.63 ,$566.40 ,$261.96 ,$566.40 ,$104.65 ,$104.65 ,$708.00 ,$383.74 ,$104.65 ,$186.20 , N/A , N/A ,$87.52 ,$83.54 ,$109.88 ,$601.80 ,$235.47 ,$465.86 ,$198.24 ,$637.20 ,$509.76 ,$708.00 ,$28.97 ,$446.04 ,$446.04 ,$104.65 ,$339.84 ,$637.20 ST. JOHN'S HOSPITAL,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$809.00 ,$525.85 ,$34.44 ,$809.00 ,$194.38 ,$41.00 ,$438.48 ,$77.75 ,$226.52 ,$171.67 ,$77.75 ,$206.27 ,$77.75 ,$309.04 ,$50.71 ,$77.75 ,$309.04 ,$147.73 ,$96.24 ,$412.59 ,$194.38 ,$77.75 ,$566.30 ,$77.75 ,$404.50 ,$79.31 ,$606.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$34.44 ,$34.44 ,$34.44 ,$809.00 ,$687.65 ,$194.38 ,$647.20 ,$299.33 ,$647.20 ,$77.75 ,$77.75 ,$809.00 ,$438.48 ,$77.75 ,$212.77 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$687.65 ,$174.94 ,$532.32 ,$226.52 ,$728.10 ,$582.48 ,$809.00 ,$34.44 ,$509.67 ,$509.67 ,$77.75 ,$388.32 ,$728.10 ST. JOHN'S HOSPITAL,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$539.00 ,$350.35 ,$34.44 ,$539.00 ,$194.38 ,$41.00 ,$292.14 ,$77.75 ,$150.92 ,$171.67 ,$77.75 ,$206.27 ,$77.75 ,$205.90 ,$50.71 ,$77.75 ,$205.90 ,$147.73 ,$96.24 ,$274.89 ,$194.38 ,$77.75 ,$377.30 ,$77.75 ,$269.50 ,$79.31 ,$404.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$34.44 ,$34.44 ,$34.44 ,$539.00 ,$458.15 ,$194.38 ,$431.20 ,$199.43 ,$431.20 ,$77.75 ,$77.75 ,$539.00 ,$292.14 ,$77.75 ,$141.76 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$458.15 ,$174.94 ,$354.66 ,$150.92 ,$485.10 ,$388.08 ,$539.00 ,$34.44 ,$339.57 ,$339.57 ,$77.75 ,$258.72 ,$485.10 ST. JOHN'S HOSPITAL,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$451.00 ,$293.15 ,$37.41 ,$451.00 ,$194.38 ,$45.96 ,$244.44 ,$77.75 ,$126.28 ,$155.60 ,$77.75 ,$173.18 ,$77.75 ,$172.28 ,$55.09 ,$77.75 ,$172.28 ,$147.73 ,$105.72 ,$230.01 ,$194.38 ,$77.75 ,$315.70 ,$77.75 ,$225.50 ,$79.31 ,$338.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$37.41 ,$37.41 ,$37.41 ,$451.00 ,$383.35 ,$194.38 ,$360.80 ,$166.87 ,$360.80 ,$77.75 ,$77.75 ,$451.00 ,$244.44 ,$77.75 ,$118.61 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$383.35 ,$174.94 ,$296.76 ,$126.28 ,$405.90 ,$324.72 ,$451.00 ,$37.41 ,$284.13 ,$284.13 ,$77.75 ,$216.48 ,$405.90 ST. JOHN'S HOSPITAL,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,429.00 ",$928.85 ,$116.91 ,"$1,429.00 ",$884.95 ,$130.18 ,$774.52 ,$353.98 ,$400.12 ,$493.01 ,$353.98 ,$548.74 ,$353.98 ,$545.88 ,$172.14 ,$353.98 ,$545.88 ,$672.55 ,$367.31 ,$728.79 ,$884.94 ,$353.98 ,"$1,000.30 ",$353.98 ,$714.50 ,$361.06 ,"$1,071.75 ",$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$116.91 ,$116.91 ,$116.91 ,"$1,429.00 ","$1,214.65 ",$884.94 ,"$1,143.20 ",$528.73 ,"$1,143.20 ",$353.98 ,$353.98 ,"$1,429.00 ",$774.52 ,$353.98 ,$375.83 , N/A , N/A ,$498.71 ,$476.04 ,$371.68 ,"$1,214.65 ",$796.45 ,$940.28 ,$400.12 ,"$1,286.10 ","$1,028.88 ","$1,429.00 ",$116.91 ,$900.27 ,$900.27 ,$353.98 ,$685.92 ,"$1,286.10 " ST. JOHN'S HOSPITAL,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,$953.00 ,$619.45 ,$116.91 ,$953.00 ,$884.95 ,$130.18 ,$516.53 ,$353.98 ,$266.84 ,$328.79 ,$353.98 ,$365.95 ,$353.98 ,$364.05 ,$172.14 ,$353.98 ,$364.05 ,$672.55 ,$367.31 ,$486.03 ,$884.94 ,$353.98 ,$667.10 ,$353.98 ,$476.50 ,$361.06 ,$714.75 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$116.91 ,$116.91 ,$116.91 ,$953.00 ,$810.05 ,$884.94 ,$762.40 ,$352.61 ,$762.40 ,$353.98 ,$353.98 ,$953.00 ,$516.53 ,$353.98 ,$250.64 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$810.05 ,$796.45 ,$627.07 ,$266.84 ,$857.70 ,$686.16 ,$953.00 ,$116.91 ,$600.39 ,$600.39 ,$353.98 ,$457.44 ,$857.70 ST. JOHN'S HOSPITAL,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$792.00 ,$514.80 ,$33.44 ,$792.00 ,$194.38 ,$37.14 ,$429.26 ,$77.75 ,$221.76 ,$170.23 ,$77.75 ,$204.54 ,$77.75 ,$302.54 ,$49.24 ,$77.75 ,$302.54 ,$147.73 ,$90.32 ,$403.92 ,$194.38 ,$77.75 ,$554.40 ,$77.75 ,$396.00 ,$79.31 ,$594.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$33.44 ,$33.44 ,$33.44 ,$792.00 ,$673.20 ,$194.38 ,$633.60 ,$293.04 ,$633.60 ,$77.75 ,$77.75 ,$792.00 ,$429.26 ,$77.75 ,$208.30 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$673.20 ,$174.94 ,$521.14 ,$221.76 ,$712.80 ,$570.24 ,$792.00 ,$33.44 ,$498.96 ,$498.96 ,$77.75 ,$380.16 ,$712.80 ST. JOHN'S HOSPITAL,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$528.00 ,$343.20 ,$33.44 ,$528.00 ,$194.38 ,$37.14 ,$286.18 ,$77.75 ,$147.84 ,$170.23 ,$77.75 ,$202.75 ,$77.75 ,$201.70 ,$49.24 ,$77.75 ,$201.70 ,$147.73 ,$90.32 ,$269.28 ,$194.38 ,$77.75 ,$369.60 ,$77.75 ,$264.00 ,$79.31 ,$396.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$33.44 ,$33.44 ,$33.44 ,$528.00 ,$448.80 ,$194.38 ,$422.40 ,$195.36 ,$422.40 ,$77.75 ,$77.75 ,$528.00 ,$286.18 ,$77.75 ,$138.86 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$448.80 ,$174.94 ,$347.42 ,$147.84 ,$475.20 ,$380.16 ,$528.00 ,$33.44 ,$332.64 ,$332.64 ,$77.75 ,$253.44 ,$475.20 ST. JOHN'S HOSPITAL,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$965.00 ,$627.25 ,$38.91 ,$965.00 ,$194.38 ,$47.60 ,$523.03 ,$77.75 ,$270.20 ,$247.11 ,$77.75 ,$296.92 ,$77.75 ,$368.63 ,$57.29 ,$77.75 ,$368.63 ,$147.73 ,$108.07 ,$492.15 ,$194.38 ,$77.75 ,$675.50 ,$77.75 ,$482.50 ,$79.31 ,$723.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$38.91 ,$38.91 ,$38.91 ,$965.00 ,$820.25 ,$194.38 ,$772.00 ,$357.05 ,$772.00 ,$77.75 ,$77.75 ,$965.00 ,$523.03 ,$77.75 ,$253.80 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$820.25 ,$174.94 ,$634.97 ,$270.20 ,$868.50 ,$694.80 ,$965.00 ,$38.91 ,$607.95 ,$607.95 ,$77.75 ,$463.20 ,$868.50 ST. JOHN'S HOSPITAL,32000263,73562,HC XRAY KNEE (3 V),320,1 ,"$1,644.00 ","$1,068.60 ",$38.91 ,"$1,644.00 ",$194.38 ,$47.60 ,$891.05 ,$77.75 ,$460.32 ,$247.11 ,$77.75 ,$296.92 ,$77.75 ,$628.01 ,$57.29 ,$77.75 ,$628.01 ,$147.73 ,$108.07 ,$838.44 ,$194.38 ,$77.75 ,"$1,150.80 ",$77.75 ,$822.00 ,$79.31 ,"$1,233.00 ",$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$38.91 ,$38.91 ,$38.91 ,"$1,644.00 ","$1,397.40 ",$194.38 ,"$1,315.20 ",$608.28 ,"$1,315.20 ",$77.75 ,$77.75 ,"$1,644.00 ",$891.05 ,$77.75 ,$432.37 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,"$1,397.40 ",$174.94 ,"$1,081.75 ",$460.32 ,"$1,479.60 ","$1,183.68 ","$1,644.00 ",$38.91 ,"$1,035.72 ","$1,035.72 ",$77.75 ,$789.12 ,"$1,479.60 " ST. JOHN'S HOSPITAL,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$965.00 ,$627.25 ,$42.39 ,$965.00 ,$261.63 ,$54.76 ,$523.03 ,$104.65 ,$270.20 ,$212.23 ,$104.65 ,$255.01 ,$104.65 ,$368.63 ,$62.41 ,$104.65 ,$368.63 ,$198.84 ,$121.09 ,$492.15 ,$261.63 ,$104.65 ,$675.50 ,$104.65 ,$482.50 ,$106.75 ,$723.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$42.39 ,$42.39 ,$42.39 ,$965.00 ,$820.25 ,$261.63 ,$772.00 ,$357.05 ,$772.00 ,$104.65 ,$104.65 ,$965.00 ,$523.03 ,$104.65 ,$253.80 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$820.25 ,$235.47 ,$634.97 ,$270.20 ,$868.50 ,$694.80 ,$965.00 ,$42.39 ,$607.95 ,$607.95 ,$104.65 ,$463.20 ,$868.50 ST. JOHN'S HOSPITAL,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,"$1,644.00 ","$1,068.60 ",$42.39 ,"$1,644.00 ",$261.63 ,$54.76 ,$891.05 ,$104.65 ,$460.32 ,$212.23 ,$104.65 ,$255.01 ,$104.65 ,$628.01 ,$62.41 ,$104.65 ,$628.01 ,$198.84 ,$121.09 ,$838.44 ,$261.63 ,$104.65 ,"$1,150.80 ",$104.65 ,$822.00 ,$106.75 ,"$1,233.00 ",$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$42.39 ,$42.39 ,$42.39 ,"$1,644.00 ","$1,397.40 ",$261.63 ,"$1,315.20 ",$608.28 ,"$1,315.20 ",$104.65 ,$104.65 ,"$1,644.00 ",$891.05 ,$104.65 ,$432.37 , N/A , N/A ,$87.52 ,$83.54 ,$109.88 ,"$1,397.40 ",$235.47 ,"$1,081.75 ",$460.32 ,"$1,479.60 ","$1,183.68 ","$1,644.00 ",$42.39 ,"$1,035.72 ","$1,035.72 ",$104.65 ,$789.12 ,"$1,479.60 " ST. JOHN'S HOSPITAL,32000267,73565,HC XR KNEE STAND,320,1 ,$610.00 ,$396.50 ,$39.90 ,$610.00 ,$194.38 ,$44.84 ,$330.62 ,$77.75 ,$170.80 ,$201.70 ,$77.75 ,$234.24 ,$77.75 ,$233.02 ,$58.75 ,$77.75 ,$233.02 ,$147.73 ,$111.64 ,$311.10 ,$194.38 ,$77.75 ,$427.00 ,$77.75 ,$305.00 ,$79.31 ,$457.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$39.90 ,$39.90 ,$39.90 ,$610.00 ,$518.50 ,$194.38 ,$488.00 ,$225.70 ,$488.00 ,$77.75 ,$77.75 ,$610.00 ,$330.62 ,$77.75 ,$160.43 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$518.50 ,$174.94 ,$401.38 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$39.90 ,$384.30 ,$384.30 ,$77.75 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,$953.00 ,$619.45 ,$137.78 ,$953.00 ,$884.95 ,$172.56 ,$516.53 ,$353.98 ,$266.84 ,$328.79 ,$353.98 ,$365.95 ,$353.98 ,$364.05 ,$202.86 ,$353.98 ,$364.05 ,$672.55 ,$409.94 ,$486.03 ,$884.94 ,$353.98 ,$667.10 ,$353.98 ,$476.50 ,$361.06 ,$714.75 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$137.78 ,$137.78 ,$137.78 ,$953.00 ,$810.05 ,$884.94 ,$762.40 ,$352.61 ,$762.40 ,$353.98 ,$353.98 ,$953.00 ,$516.53 ,$353.98 ,$250.64 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$810.05 ,$796.45 ,$627.07 ,$266.84 ,$857.70 ,$686.16 ,$953.00 ,$137.78 ,$600.39 ,$600.39 ,$353.98 ,$457.44 ,$857.70 ST. JOHN'S HOSPITAL,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$841.00 ,$546.65 ,$29.97 ,$841.00 ,$194.38 ,$32.74 ,$455.82 ,$77.75 ,$235.48 ,$151.86 ,$77.75 ,$182.47 ,$77.75 ,$321.26 ,$44.12 ,$77.75 ,$321.26 ,$147.73 ,$82.03 ,$428.91 ,$194.38 ,$77.75 ,$588.70 ,$77.75 ,$420.50 ,$79.31 ,$630.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$29.97 ,$29.97 ,$29.97 ,$841.00 ,$714.85 ,$194.38 ,$672.80 ,$311.17 ,$672.80 ,$77.75 ,$77.75 ,$841.00 ,$455.82 ,$77.75 ,$221.18 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$714.85 ,$174.94 ,$553.38 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$29.97 ,$529.83 ,$529.83 ,$77.75 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$561.00 ,$364.65 ,$29.97 ,$561.00 ,$194.38 ,$32.74 ,$304.06 ,$77.75 ,$157.08 ,$151.86 ,$77.75 ,$182.47 ,$77.75 ,$214.30 ,$44.12 ,$77.75 ,$214.30 ,$147.73 ,$82.03 ,$286.11 ,$194.38 ,$77.75 ,$392.70 ,$77.75 ,$280.50 ,$79.31 ,$420.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$29.97 ,$29.97 ,$29.97 ,$561.00 ,$476.85 ,$194.38 ,$448.80 ,$207.57 ,$448.80 ,$77.75 ,$77.75 ,$561.00 ,$304.06 ,$77.75 ,$147.54 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$476.85 ,$174.94 ,$369.14 ,$157.08 ,$504.90 ,$403.92 ,$561.00 ,$29.97 ,$353.43 ,$353.43 ,$77.75 ,$269.28 ,$504.90 ST. JOHN'S HOSPITAL,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$318.00 ,$206.70 ,$28.97 ,$318.00 ,$194.38 ,$34.38 ,$172.36 ,$77.75 ,$89.04 ,$109.71 ,$77.75 ,$122.11 ,$77.75 ,$121.48 ,$42.66 ,$77.75 ,$121.48 ,$147.73 ,$82.03 ,$162.18 ,$194.38 ,$77.75 ,$222.60 ,$77.75 ,$159.00 ,$79.31 ,$238.50 ,$141.83 ,$127.52 ,$141.83 ,$77.75 ,$141.83 ,$28.97 ,$28.97 ,$28.97 ,$318.00 ,$270.30 ,$194.38 ,$254.40 ,$117.66 ,$254.40 ,$77.75 ,$77.75 ,$318.00 ,$172.36 ,$77.75 ,$83.63 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$270.30 ,$174.94 ,$209.24 ,$89.04 ,$286.20 ,$228.96 ,$318.00 ,$28.97 ,$200.34 ,$200.34 ,$77.75 ,$152.64 ,$286.20 ST. JOHN'S HOSPITAL,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$889.00 ,$577.85 ,$31.46 ,$889.00 ,$194.38 ,$35.50 ,$481.84 ,$77.75 ,$248.92 ,$159.75 ,$77.75 ,$191.95 ,$77.75 ,$339.60 ,$46.32 ,$77.75 ,$339.60 ,$147.73 ,$84.41 ,$453.39 ,$194.38 ,$77.75 ,$622.30 ,$77.75 ,$444.50 ,$79.31 ,$666.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$31.46 ,$31.46 ,$31.46 ,$889.00 ,$755.65 ,$194.38 ,$711.20 ,$328.93 ,$711.20 ,$77.75 ,$77.75 ,$889.00 ,$481.84 ,$77.75 ,$233.81 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$755.65 ,$174.94 ,$584.96 ,$248.92 ,$800.10 ,$640.08 ,$889.00 ,$31.46 ,$560.07 ,$560.07 ,$77.75 ,$426.72 ,$800.10 ST. JOHN'S HOSPITAL,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$593.00 ,$385.45 ,$31.46 ,$593.00 ,$194.38 ,$35.50 ,$321.41 ,$77.75 ,$166.04 ,$159.75 ,$77.75 ,$191.95 ,$77.75 ,$226.53 ,$46.32 ,$77.75 ,$226.53 ,$147.73 ,$84.41 ,$302.43 ,$194.38 ,$77.75 ,$415.10 ,$77.75 ,$296.50 ,$79.31 ,$444.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$31.46 ,$31.46 ,$31.46 ,$593.00 ,$504.05 ,$194.38 ,$474.40 ,$219.41 ,$474.40 ,$77.75 ,$77.75 ,$593.00 ,$321.41 ,$77.75 ,$155.96 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$504.05 ,$174.94 ,$390.19 ,$166.04 ,$533.70 ,$426.96 ,$593.00 ,$31.46 ,$373.59 ,$373.59 ,$77.75 ,$284.64 ,$533.70 ST. JOHN'S HOSPITAL,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$616.00 ,$400.40 ,$34.44 ,$616.00 ,$194.38 ,$42.64 ,$333.87 ,$77.75 ,$172.48 ,$170.23 ,$77.75 ,$204.54 ,$77.75 ,$235.31 ,$50.71 ,$77.75 ,$235.31 ,$147.73 ,$97.43 ,$314.16 ,$194.38 ,$77.75 ,$431.20 ,$77.75 ,$308.00 ,$79.31 ,$462.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$34.44 ,$34.44 ,$34.44 ,$616.00 ,$523.60 ,$194.38 ,$492.80 ,$227.92 ,$492.80 ,$77.75 ,$77.75 ,$616.00 ,$333.87 ,$77.75 ,$162.01 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$523.60 ,$174.94 ,$405.33 ,$172.48 ,$554.40 ,$443.52 ,$616.00 ,$34.44 ,$388.08 ,$388.08 ,$77.75 ,$295.68 ,$554.40 ST. JOHN'S HOSPITAL,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$925.00 ,$601.25 ,$34.44 ,$925.00 ,$194.38 ,$42.64 ,$501.35 ,$77.75 ,$259.00 ,$170.23 ,$77.75 ,$204.54 ,$77.75 ,$353.35 ,$50.71 ,$77.75 ,$353.35 ,$147.73 ,$97.43 ,$471.75 ,$194.38 ,$77.75 ,$647.50 ,$77.75 ,$462.50 ,$79.31 ,$693.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$34.44 ,$34.44 ,$34.44 ,$925.00 ,$786.25 ,$194.38 ,$740.00 ,$342.25 ,$740.00 ,$77.75 ,$77.75 ,$925.00 ,$501.35 ,$77.75 ,$243.28 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$786.25 ,$174.94 ,$608.65 ,$259.00 ,$832.50 ,$666.00 ,$925.00 ,$34.44 ,$582.75 ,$582.75 ,$77.75 ,$444.00 ,$832.50 ST. JOHN'S HOSPITAL,32000278,73615,HC XRAY ARTHRO ANKLE,320,1 ,$953.00 ,$619.45 ,$124.86 ,$953.00 ,$884.95 ,$130.72 ,$516.53 ,$353.98 ,$266.84 ,$328.79 ,$353.98 ,$365.95 ,$353.98 ,$364.05 ,$183.84 ,$353.98 ,$364.05 ,$672.55 ,$377.99 ,$486.03 ,$884.94 ,$353.98 ,$667.10 ,$353.98 ,$476.50 ,$361.06 ,$714.75 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$124.86 ,$124.86 ,$124.86 ,$953.00 ,$810.05 ,$884.94 ,$762.40 ,$352.61 ,$762.40 ,$353.98 ,$353.98 ,$953.00 ,$516.53 ,$353.98 ,$250.64 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$810.05 ,$796.45 ,$627.07 ,$266.84 ,$857.70 ,$686.16 ,$953.00 ,$124.86 ,$600.39 ,$600.39 ,$353.98 ,$457.44 ,$857.70 ST. JOHN'S HOSPITAL,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$806.00 ,$523.90 ,$26.99 ,$806.00 ,$194.38 ,$34.38 ,$436.85 ,$77.75 ,$225.68 ,$138.75 ,$77.75 ,$166.72 ,$77.75 ,$307.89 ,$39.73 ,$77.75 ,$307.89 ,$147.73 ,$72.58 ,$411.06 ,$194.38 ,$77.75 ,$564.20 ,$77.75 ,$403.00 ,$79.31 ,$604.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.99 ,$26.99 ,$26.99 ,$806.00 ,$685.10 ,$194.38 ,$644.80 ,$298.22 ,$644.80 ,$77.75 ,$77.75 ,$806.00 ,$436.85 ,$77.75 ,$211.98 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$685.10 ,$174.94 ,$530.35 ,$225.68 ,$725.40 ,$580.32 ,$806.00 ,$26.99 ,$507.78 ,$507.78 ,$77.75 ,$386.88 ,$725.40 ST. JOHN'S HOSPITAL,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$537.00 ,$349.05 ,$26.99 ,$537.00 ,$194.38 ,$34.38 ,$291.05 ,$77.75 ,$150.36 ,$138.75 ,$77.75 ,$166.72 ,$77.75 ,$205.13 ,$39.73 ,$77.75 ,$205.13 ,$147.73 ,$72.58 ,$273.87 ,$194.38 ,$77.75 ,$375.90 ,$77.75 ,$268.50 ,$79.31 ,$402.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.99 ,$26.99 ,$26.99 ,$537.00 ,$456.45 ,$194.38 ,$429.60 ,$198.69 ,$429.60 ,$77.75 ,$77.75 ,$537.00 ,$291.05 ,$77.75 ,$141.23 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$456.45 ,$174.94 ,$353.35 ,$150.36 ,$483.30 ,$386.64 ,$537.00 ,$26.99 ,$338.31 ,$338.31 ,$77.75 ,$257.76 ,$483.30 ST. JOHN'S HOSPITAL,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$809.00 ,$525.85 ,$31.95 ,$809.00 ,$194.38 ,$39.90 ,$438.48 ,$77.75 ,$226.52 ,$157.12 ,$77.75 ,$188.79 ,$77.75 ,$309.04 ,$47.05 ,$77.75 ,$309.04 ,$147.73 ,$90.32 ,$412.59 ,$194.38 ,$77.75 ,$566.30 ,$77.75 ,$404.50 ,$79.31 ,$606.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$31.95 ,$31.95 ,$31.95 ,$809.00 ,$687.65 ,$194.38 ,$647.20 ,$299.33 ,$647.20 ,$77.75 ,$77.75 ,$809.00 ,$438.48 ,$77.75 ,$212.77 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$687.65 ,$174.94 ,$532.32 ,$226.52 ,$728.10 ,$582.48 ,$809.00 ,$31.95 ,$509.67 ,$509.67 ,$77.75 ,$388.32 ,$728.10 ST. JOHN'S HOSPITAL,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$539.00 ,$350.35 ,$31.95 ,$539.00 ,$194.38 ,$39.90 ,$292.14 ,$77.75 ,$150.92 ,$157.12 ,$77.75 ,$188.79 ,$77.75 ,$205.90 ,$47.05 ,$77.75 ,$205.90 ,$147.73 ,$90.32 ,$274.89 ,$194.38 ,$77.75 ,$377.30 ,$77.75 ,$269.50 ,$79.31 ,$404.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$31.95 ,$31.95 ,$31.95 ,$539.00 ,$458.15 ,$194.38 ,$431.20 ,$199.43 ,$431.20 ,$77.75 ,$77.75 ,$539.00 ,$292.14 ,$77.75 ,$141.76 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$458.15 ,$174.94 ,$354.66 ,$150.92 ,$485.10 ,$388.08 ,$539.00 ,$31.95 ,$339.57 ,$339.57 ,$77.75 ,$258.72 ,$485.10 ST. JOHN'S HOSPITAL,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$719.00 ,$467.35 ,$26.49 ,$719.00 ,$194.38 ,$35.50 ,$389.70 ,$77.75 ,$201.32 ,$143.96 ,$77.75 ,$172.98 ,$77.75 ,$274.66 ,$39.00 ,$77.75 ,$274.66 ,$147.73 ,$72.58 ,$366.69 ,$194.38 ,$77.75 ,$503.30 ,$77.75 ,$359.50 ,$79.31 ,$539.25 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.49 ,$26.49 ,$26.49 ,$719.00 ,$611.15 ,$194.38 ,$575.20 ,$266.03 ,$575.20 ,$77.75 ,$77.75 ,$719.00 ,$389.70 ,$77.75 ,$189.10 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$611.15 ,$174.94 ,$473.10 ,$201.32 ,$647.10 ,$517.68 ,$719.00 ,$26.49 ,$452.97 ,$452.97 ,$77.75 ,$345.12 ,$647.10 ST. JOHN'S HOSPITAL,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$422.00 ,$274.30 ,$26.49 ,$422.00 ,$194.38 ,$35.50 ,$228.72 ,$77.75 ,$118.16 ,$143.96 ,$77.75 ,$162.05 ,$77.75 ,$161.20 ,$39.00 ,$77.75 ,$161.20 ,$147.73 ,$72.58 ,$215.22 ,$194.38 ,$77.75 ,$295.40 ,$77.75 ,$211.00 ,$79.31 ,$316.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.49 ,$26.49 ,$26.49 ,$422.00 ,$358.70 ,$194.38 ,$337.60 ,$156.14 ,$337.60 ,$77.75 ,$77.75 ,$422.00 ,$228.72 ,$77.75 ,$110.99 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$358.70 ,$174.94 ,$277.68 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$26.49 ,$265.86 ,$265.86 ,$77.75 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$473.00 ,$307.45 ,$30.96 ,$473.00 ,$194.38 ,$41.00 ,$256.37 ,$77.75 ,$132.44 ,$162.33 ,$77.75 ,$181.63 ,$77.75 ,$180.69 ,$45.58 ,$77.75 ,$180.69 ,$147.73 ,$78.49 ,$241.23 ,$194.38 ,$77.75 ,$331.10 ,$77.75 ,$236.50 ,$79.31 ,$354.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$30.96 ,$30.96 ,$30.96 ,$473.00 ,$402.05 ,$194.38 ,$378.40 ,$175.01 ,$378.40 ,$77.75 ,$77.75 ,$473.00 ,$256.37 ,$77.75 ,$124.40 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$402.05 ,$174.94 ,$311.23 ,$132.44 ,$425.70 ,$340.56 ,$473.00 ,$30.96 ,$297.99 ,$297.99 ,$77.75 ,$227.04 ,$425.70 ST. JOHN'S HOSPITAL,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$486.00 ,$315.90 ,$26.99 ,$486.00 ,$194.38 ,$30.22 ,$263.41 ,$77.75 ,$136.08 ,$136.53 ,$77.75 ,$164.05 ,$77.75 ,$185.65 ,$39.73 ,$77.75 ,$185.65 ,$147.73 ,$72.58 ,$247.86 ,$194.38 ,$77.75 ,$340.20 ,$77.75 ,$243.00 ,$79.31 ,$364.50 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$26.99 ,$26.99 ,$26.99 ,$486.00 ,$413.10 ,$194.38 ,$388.80 ,$179.82 ,$388.80 ,$77.75 ,$77.75 ,$486.00 ,$263.41 ,$77.75 ,$127.82 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$413.10 ,$174.94 ,$319.79 ,$136.08 ,$437.40 ,$349.92 ,$486.00 ,$26.99 ,$306.18 ,$306.18 ,$77.75 ,$233.28 ,$437.40 ST. JOHN'S HOSPITAL,32000294,74019,HC XRAY ABDOMEN AP AND LAT (2 V OR 3 V),320,1 ,$631.00 ,$410.15 ,$32.45 ,$631.00 ,$261.63 ,$36.10 ,$342.00 ,$104.65 ,$176.68 ,$162.90 ,$104.65 ,$195.73 ,$104.65 ,$241.04 ,$47.78 ,$104.65 ,$241.04 ,$198.84 ,$89.13 ,$321.81 ,$261.63 ,$104.65 ,$441.70 ,$104.65 ,$315.50 ,$106.75 ,$473.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$32.45 ,$32.45 ,$32.45 ,$631.00 ,$536.35 ,$261.63 ,$504.80 ,$233.47 ,$504.80 ,$104.65 ,$104.65 ,$631.00 ,$342.00 ,$104.65 ,$165.95 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$536.35 ,$235.47 ,$415.20 ,$176.68 ,$567.90 ,$454.32 ,$631.00 ,$32.45 ,$397.53 ,$397.53 ,$104.65 ,$302.88 ,$567.90 ST. JOHN'S HOSPITAL,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$666.00 ,$432.90 ,$42.39 ,$666.00 ,$261.63 ,$56.40 ,$360.97 ,$104.65 ,$186.48 ,$212.23 ,$104.65 ,$255.01 ,$104.65 ,$254.41 ,$62.41 ,$104.65 ,$254.41 ,$198.84 ,$118.74 ,$339.66 ,$261.63 ,$104.65 ,$466.20 ,$104.65 ,$333.00 ,$106.75 ,$499.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$42.39 ,$42.39 ,$42.39 ,$666.00 ,$566.10 ,$261.63 ,$532.80 ,$246.42 ,$532.80 ,$104.65 ,$104.65 ,$666.00 ,$360.97 ,$104.65 ,$175.16 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$566.10 ,$235.47 ,$438.23 ,$186.48 ,$599.40 ,$479.52 ,$666.00 ,$42.39 ,$419.58 ,$419.58 ,$104.65 ,$319.68 ,$599.40 ST. JOHN'S HOSPITAL,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$891.00 ,$579.15 ,$55.69 ,$891.00 ,$429.25 ,$115.86 ,$482.92 ,$171.70 ,$249.48 ,$307.40 ,$171.70 ,$342.14 ,$171.70 ,$340.36 ,$129.71 ,$171.70 ,$340.36 ,$326.24 ,$248.94 ,$454.41 ,$429.26 ,$171.70 ,$623.70 ,$171.70 ,$445.50 ,$175.14 ,$668.25 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$88.10 ,$88.10 ,$88.10 ,$891.00 ,$757.35 ,$429.26 ,$712.80 ,$329.67 ,$712.80 ,$171.70 ,$171.70 ,$891.00 ,$482.92 ,$171.70 ,$234.33 , N/A , N/A ,$58.34 ,$55.69 ,$180.29 ,$757.35 ,$386.33 ,$586.28 ,$249.48 ,$801.90 ,$641.52 ,$891.00 ,$88.10 ,$561.33 ,$561.33 ,$171.70 ,$427.68 ,$801.90 ST. JOHN'S HOSPITAL,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,"$1,156.00 ",$751.40 ,$109.80 ,"$1,156.00 ",$429.25 ,$109.80 ,$626.55 ,$171.70 ,$323.68 ,$398.82 ,$171.70 ,$443.90 ,$171.70 ,$441.59 ,$207.25 ,$171.70 ,$441.59 ,$326.24 ,$373.26 ,$589.56 ,$429.26 ,$171.70 ,$809.20 ,$171.70 ,$578.00 ,$175.14 ,$867.00 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$140.75 ,$140.75 ,$140.75 ,"$1,156.00 ",$982.60 ,$429.26 ,$924.80 ,$427.72 ,$924.80 ,$171.70 ,$171.70 ,"$1,156.00 ",$626.55 ,$171.70 ,$304.03 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,$982.60 ,$386.33 ,$760.65 ,$323.68 ,"$1,040.40 ",$832.32 ,"$1,156.00 ",$140.75 ,$728.28 ,$728.28 ,$171.70 ,$554.88 ,"$1,040.40 " ST. JOHN'S HOSPITAL,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,"$1,123.00 ",$729.95 ,$122.37 ,"$1,123.00 ",$429.25 ,$135.14 ,$608.67 ,$171.70 ,$314.44 ,$387.44 ,$171.70 ,$431.23 ,$171.70 ,$428.99 ,$180.18 ,$171.70 ,$428.99 ,$326.24 ,$301.02 ,$572.73 ,$429.26 ,$171.70 ,$786.10 ,$171.70 ,$561.50 ,$175.14 ,$842.25 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$122.37 ,$122.37 ,$122.37 ,"$1,123.00 ",$954.55 ,$429.26 ,$898.40 ,$415.51 ,$898.40 ,$171.70 ,$171.70 ,"$1,123.00 ",$608.67 ,$171.70 ,$295.35 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,$954.55 ,$386.33 ,$738.93 ,$314.44 ,"$1,010.70 ",$808.56 ,"$1,123.00 ",$122.37 ,$707.49 ,$707.49 ,$171.70 ,$539.04 ,"$1,010.70 " ST. JOHN'S HOSPITAL,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,"$1,378.00 ",$895.70 ,$122.47 ,"$1,378.00 ",$429.25 ,$159.90 ,$746.88 ,$171.70 ,$385.84 ,$475.41 ,$171.70 ,$529.15 ,$171.70 ,$526.40 ,$209.45 ,$171.70 ,$526.40 ,$326.24 ,$349.57 ,$702.78 ,$429.26 ,$171.70 ,$964.60 ,$171.70 ,$689.00 ,$175.14 ,"$1,033.50 ",$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$142.25 ,$142.25 ,$142.25 ,"$1,378.00 ","$1,171.30 ",$429.26 ,"$1,102.40 ",$509.86 ,"$1,102.40 ",$171.70 ,$171.70 ,"$1,378.00 ",$746.88 ,$171.70 ,$362.41 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,"$1,171.30 ",$386.33 ,$906.72 ,$385.84 ,"$1,240.20 ",$992.16 ,"$1,378.00 ",$142.25 ,$868.14 ,$868.14 ,$171.70 ,$661.44 ,"$1,240.20 " ST. JOHN'S HOSPITAL,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,"$1,087.00 ",$706.55 ,$122.47 ,"$1,087.00 ",$429.25 ,$134.02 ,$589.15 ,$171.70 ,$304.36 ,$375.02 ,$171.70 ,$417.41 ,$171.70 ,$415.23 ,$183.84 ,$171.70 ,$415.23 ,$326.24 ,$301.02 ,$554.37 ,$429.26 ,$171.70 ,$760.90 ,$171.70 ,$543.50 ,$175.14 ,$815.25 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$124.86 ,$124.86 ,$124.86 ,"$1,087.00 ",$923.95 ,$429.26 ,$869.60 ,$402.19 ,$869.60 ,$171.70 ,$171.70 ,"$1,087.00 ",$589.15 ,$171.70 ,$285.88 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,$923.95 ,$386.33 ,$715.25 ,$304.36 ,$978.30 ,$782.64 ,"$1,087.00 ",$124.86 ,$684.81 ,$684.81 ,$171.70 ,$521.76 ,$978.30 ST. JOHN'S HOSPITAL,32000315,74270,HC XRAY COLON BARIUM,320,1 ,"$1,232.00 ",$800.80 ,$122.47 ,"$1,232.00 ",$429.25 ,$198.98 ,$667.74 ,$171.70 ,$344.96 ,$425.04 ,$171.70 ,$473.09 ,$171.70 ,$470.62 ,$260.65 ,$171.70 ,$470.62 ,$326.24 ,$379.18 ,$628.32 ,$429.26 ,$171.70 ,$862.40 ,$171.70 ,$616.00 ,$175.14 ,$924.00 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$177.02 ,$177.02 ,$177.02 ,"$1,232.00 ","$1,047.20 ",$429.26 ,$985.60 ,$455.84 ,$985.60 ,$171.70 ,$171.70 ,"$1,232.00 ",$667.74 ,$171.70 ,$324.02 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,"$1,047.20 ",$386.33 ,$810.66 ,$344.96 ,"$1,108.80 ",$887.04 ,"$1,232.00 ",$177.02 ,$776.16 ,$776.16 ,$171.70 ,$591.36 ,"$1,108.80 " ST. JOHN'S HOSPITAL,32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,"$1,232.00 ",$800.80 ,$122.47 ,"$1,232.00 ",$429.25 ,$198.98 ,$667.74 ,$171.70 ,$344.96 ,$425.04 ,$171.70 ,$473.09 ,$171.70 ,$470.62 ,$260.65 ,$171.70 ,$470.62 ,$326.24 ,$379.18 ,$628.32 ,$429.26 ,$171.70 ,$862.40 ,$171.70 ,$616.00 ,$175.14 ,$924.00 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$177.02 ,$177.02 ,$177.02 ,"$1,232.00 ","$1,047.20 ",$429.26 ,$985.60 ,$455.84 ,$985.60 ,$171.70 ,$171.70 ,"$1,232.00 ",$667.74 ,$171.70 ,$324.02 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,"$1,047.20 ",$386.33 ,$810.66 ,$344.96 ,"$1,108.80 ",$887.04 ,"$1,232.00 ",$177.02 ,$776.16 ,$776.16 ,$171.70 ,$591.36 ,"$1,108.80 " ST. JOHN'S HOSPITAL,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,"$1,232.00 ",$800.80 ,$122.47 ,"$1,232.00 ",$429.25 ,$198.98 ,$667.74 ,$171.70 ,$344.96 ,$425.04 ,$171.70 ,$473.09 ,$171.70 ,$470.62 ,$260.65 ,$171.70 ,$470.62 ,$326.24 ,$379.18 ,$628.32 ,$429.26 ,$171.70 ,$862.40 ,$171.70 ,$616.00 ,$175.14 ,$924.00 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$177.02 ,$177.02 ,$177.02 ,"$1,232.00 ","$1,047.20 ",$429.26 ,$985.60 ,$455.84 ,$985.60 ,$171.70 ,$171.70 ,"$1,232.00 ",$667.74 ,$171.70 ,$324.02 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,"$1,047.20 ",$386.33 ,$810.66 ,$344.96 ,"$1,108.80 ",$887.04 ,"$1,232.00 ",$177.02 ,$776.16 ,$776.16 ,$171.70 ,$591.36 ,"$1,108.80 " ST. JOHN'S HOSPITAL,32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,451.00 ",$943.15 ,$122.47 ,"$1,451.00 ",$429.25 ,$198.98 ,$786.44 ,$171.70 ,$406.28 ,$500.60 ,$171.70 ,$557.18 ,$171.70 ,$554.28 ,$365.99 ,$171.70 ,$554.28 ,$326.24 ,$588.69 ,$740.01 ,$429.26 ,$171.70 ,"$1,015.70 ",$171.70 ,$725.50 ,$175.14 ,"$1,088.25 ",$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$248.55 ,$248.55 ,$248.55 ,"$1,451.00 ","$1,233.35 ",$429.26 ,"$1,160.80 ",$536.87 ,"$1,160.80 ",$171.70 ,$171.70 ,"$1,451.00 ",$786.44 ,$171.70 ,$381.61 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,"$1,233.35 ",$386.33 ,$954.76 ,$406.28 ,"$1,305.90 ","$1,044.72 ","$1,451.00 ",$248.55 ,$914.13 ,$914.13 ,$171.70 ,$696.48 ,"$1,305.90 " ST. JOHN'S HOSPITAL,32000322,74283,HC THERAPEUTIC COLON,320,1 ,$634.00 ,$412.10 ,$122.47 ,$634.00 ,$429.25 ,$176.42 ,$343.63 ,$171.70 ,$177.52 ,$218.73 ,$171.70 ,$243.46 ,$171.70 ,$242.19 ,$268.70 ,$171.70 ,$242.19 ,$326.24 ,$566.22 ,$323.34 ,$429.26 ,$171.70 ,$443.80 ,$171.70 ,$317.00 ,$175.14 ,$475.50 ,$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$182.48 ,$182.48 ,$182.48 ,$634.00 ,$538.90 ,$429.26 ,$507.20 ,$234.58 ,$507.20 ,$171.70 ,$171.70 ,$634.00 ,$343.63 ,$171.70 ,$166.74 , N/A , N/A ,$128.30 ,$122.47 ,$180.29 ,$538.90 ,$386.33 ,$417.17 ,$177.52 ,$570.60 ,$456.48 ,$634.00 ,$182.48 ,$399.42 ,$399.42 ,$171.70 ,$304.32 ,$570.60 ST. JOHN'S HOSPITAL,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,061.00 ",$689.65 ,$47.34 ,"$1,061.00 ", N/A ,$54.70 ,$575.06 , N/A ,$297.08 ,$265.89 , N/A ,$319.49 , N/A ,$405.30 ,$72.11 , N/A ,$405.30 , N/A ,$558.09 ,$541.11 , N/A , N/A ,$742.70 , N/A ,$530.50 , N/A ,$795.75 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$47.34 ,$47.34 ,$47.34 ,"$1,061.00 ",$901.85 , N/A ,$848.80 ,$392.57 ,$848.80 , N/A , N/A ,"$1,061.00 ",$575.06 , N/A ,$279.04 , N/A , N/A ,$332.48 ,$317.36 , N/A ,$901.85 , N/A ,$698.14 ,$297.08 ,$954.90 ,$763.92 ,"$1,061.00 ",$47.34 ,$668.43 ,$668.43 , N/A ,$509.28 ,$954.90 ST. JOHN'S HOSPITAL,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,"$9,965.00 ","$6,477.25 ",$122.47 ,"$9,965.00 ","$7,645.73 ","$4,583.90 ","$5,401.03 ","$3,058.29 ","$2,790.20 ","$3,188.80 ","$3,058.29 ","$3,667.12 ","$3,058.29 ","$3,806.63 ",$125.69 ,"$3,058.29 ","$3,806.63 ","$5,810.75 ","$5,241.59 ","$5,082.15 ","$7,645.72 ","$3,058.29 ","$6,975.50 ","$3,058.29 ","$4,982.50 ","$3,119.45 ","$7,473.75 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$6,975.50 ","$6,975.50 ","$6,975.50 ","$9,965.00 ","$8,470.25 ","$7,645.72 ","$7,972.00 ","$3,687.05 ","$7,972.00 ","$3,058.29 ","$3,058.29 ","$9,965.00 ","$5,401.03 ","$3,058.29 ","$2,620.80 ", N/A , N/A ,$128.30 ,$122.47 ,"$3,211.20 ","$8,470.25 ","$6,881.15 ","$6,556.97 ","$2,790.20 ","$8,968.50 ","$7,174.80 ","$9,965.00 ","$6,975.50 ","$6,277.95 ","$6,277.95 ","$3,058.29 ","$4,783.20 ","$8,968.50 " ST. JOHN'S HOSPITAL,32000326,47532,HC PERCUTAN CHOLANGIOGRAM,320,1 ,"$7,443.00 ","$4,837.95 ",$150.00 ,"$7,645.73 ","$7,645.73 ","$3,423.78 ","$4,034.11 ","$3,058.29 ","$2,084.04 ","$2,381.76 ","$3,058.29 ","$2,739.02 ","$3,058.29 ","$2,843.23 ",$379.53 ,"$3,058.29 ","$2,843.23 ","$5,810.75 ","$3,915.02 ","$3,795.93 ","$7,645.72 ","$3,058.29 ","$5,210.10 ","$3,058.29 ","$3,721.50 ","$3,119.45 ","$5,582.25 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$5,210.10 ","$5,210.10 ","$5,210.10 ","$7,443.00 ","$6,326.55 ","$7,443.00 ","$5,954.40 ","$2,753.91 ","$5,954.40 ","$3,058.29 ","$3,058.29 ","$7,443.00 ","$4,034.11 ","$3,058.29 ","$1,957.51 ", N/A , N/A ,$363.95 ,$347.40 ,"$3,211.20 ","$6,326.55 ","$6,881.15 ","$4,897.49 ","$2,084.04 ","$6,698.70 ","$5,358.96 ","$7,443.00 ","$5,210.10 ","$4,689.09 ","$4,689.09 ","$3,058.29 ","$3,572.64 ","$6,698.70 " ST. JOHN'S HOSPITAL,32000328,74328,HC XRAY ERCP BILIARY ONLY,320,1 ,"$1,309.00 ",$850.85 ,$135.22 ,"$1,309.00 ", N/A ,$135.22 ,$709.48 , N/A ,$366.52 ,$451.61 , N/A ,$502.66 , N/A ,$500.04 ,$175.40 , N/A ,$500.04 , N/A ,$688.53 ,$667.59 , N/A , N/A ,$916.30 , N/A ,$654.50 , N/A ,$981.75 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$179.49 ,$179.49 ,$179.49 ,"$1,309.00 ","$1,112.65 ", N/A ,"$1,047.20 ",$484.33 ,"$1,047.20 ", N/A , N/A ,"$1,309.00 ",$709.48 , N/A ,$344.27 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,112.65 ", N/A ,$861.32 ,$366.52 ,"$1,178.10 ",$942.48 ,"$1,309.00 ",$179.49 ,$824.67 ,$824.67 , N/A ,$628.32 ,"$1,178.10 " ST. JOHN'S HOSPITAL,32000330,74330,HC XRAY ERCP CATH BILIARY AND PANCREAS,320,1 ,"$2,163.00 ","$1,405.95 ",$150.00 ,"$2,163.00 ", N/A ,$201.18 ,"$1,172.35 ", N/A ,$605.64 ,$746.24 , N/A ,$830.59 , N/A ,$826.27 ,$259.21 , N/A ,$826.27 , N/A ,"$1,137.74 ","$1,103.13 ", N/A , N/A ,"$1,514.10 ", N/A ,"$1,081.50 ", N/A ,"$1,622.25 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$179.49 ,$179.49 ,$179.49 ,"$2,163.00 ","$1,838.55 ", N/A ,"$1,730.40 ",$800.31 ,"$1,730.40 ", N/A , N/A ,"$2,163.00 ","$1,172.35 ", N/A ,$568.87 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,838.55 ", N/A ,"$1,423.25 ",$605.64 ,"$1,946.70 ","$1,557.36 ","$2,163.00 ",$179.49 ,"$1,362.69 ","$1,362.69 ", N/A ,"$1,038.24 ","$1,946.70 " ST. JOHN'S HOSPITAL,32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,"$1,105.00 ",$718.25 ,$131.92 ,"$1,105.00 ", N/A ,$131.92 ,$598.91 , N/A ,$309.40 ,$381.23 , N/A ,$424.32 , N/A ,$422.11 ,$171.74 , N/A ,$422.11 , N/A ,$581.23 ,$563.55 , N/A , N/A ,$773.50 , N/A ,$552.50 , N/A ,$828.75 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$149.27 ,$149.27 ,$149.27 ,"$1,105.00 ",$939.25 , N/A ,$884.00 ,$408.85 ,$884.00 , N/A , N/A ,"$1,105.00 ",$598.91 , N/A ,$290.62 , N/A , N/A ,$332.48 ,$317.36 , N/A ,$939.25 , N/A ,$727.09 ,$309.40 ,$994.50 ,$795.60 ,"$1,105.00 ",$149.27 ,$696.15 ,$696.15 , N/A ,$530.40 ,$994.50 ST. JOHN'S HOSPITAL,32000333,74363,HC BILIARY DILITAT W OR W/O STENT,320,1 ,"$2,501.00 ","$1,625.65 ",$131.92 ,"$2,501.00 ", N/A ,$131.92 ,"$1,355.54 ", N/A ,$700.28 ,$615.38 , N/A ,$739.41 , N/A ,$955.38 ,$168.59 , N/A ,$955.38 , N/A ,"$1,315.53 ","$1,275.51 ", N/A , N/A ,"$1,750.70 ", N/A ,"$1,250.50 ", N/A ,"$1,875.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$149.27 ,$149.27 ,$149.27 ,"$2,501.00 ","$2,125.85 ", N/A ,"$2,000.80 ",$925.37 ,"$2,000.80 ", N/A , N/A ,"$2,501.00 ","$1,355.54 ", N/A ,$657.76 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$2,125.85 ", N/A ,"$1,645.66 ",$700.28 ,"$2,250.90 ","$1,800.72 ","$2,501.00 ",$149.27 ,"$1,575.63 ","$1,575.63 ", N/A ,"$1,200.48 ","$2,250.90 " ST. JOHN'S HOSPITAL,32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,"$1,425.00 ",$926.25 ,$132.30 ,"$1,425.00 ",$429.25 ,$149.44 ,$772.35 ,$171.70 ,$399.00 ,$491.63 ,$171.70 ,$547.20 ,$171.70 ,$544.35 ,$194.82 ,$171.70 ,$544.35 ,$326.24 ,$391.01 ,$726.75 ,$429.26 ,$171.70 ,$997.50 ,$171.70 ,$712.50 ,$175.14 ,"$1,068.75 ",$166.00 ,$150.00 ,$166.00 ,$171.70 ,$166.00 ,$132.30 ,$132.30 ,$132.30 ,"$1,425.00 ","$1,211.25 ",$429.26 ,"$1,140.00 ",$527.25 ,"$1,140.00 ",$171.70 ,$171.70 ,"$1,425.00 ",$772.35 ,$171.70 ,$374.78 , N/A , N/A ,$363.95 ,$347.40 ,$180.29 ,"$1,211.25 ",$386.33 ,$937.65 ,$399.00 ,"$1,282.50 ","$1,026.00 ","$1,425.00 ",$132.30 ,$897.75 ,$897.75 ,$171.70 ,$684.00 ,"$1,282.50 " ST. JOHN'S HOSPITAL,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,"$1,239.00 ",$805.35 ,$64.25 ,"$1,239.00 ",$884.95 ,$339.36 ,$671.54 ,$353.98 ,$346.92 ,$427.46 ,$353.98 ,$475.78 ,$353.98 ,$473.30 ,$94.60 ,$353.98 ,$473.30 ,$672.55 ,$180.27 ,$631.89 ,$884.94 ,$353.98 ,$867.30 ,$353.98 ,$619.50 ,$361.06 ,$929.25 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$64.25 ,$64.25 ,$64.25 ,"$1,239.00 ","$1,053.15 ",$884.94 ,$991.20 ,$458.43 ,$991.20 ,$353.98 ,$353.98 ,"$1,239.00 ",$671.54 ,$353.98 ,$325.86 , N/A , N/A ,$363.95 ,$347.40 ,$371.68 ,"$1,053.15 ",$796.45 ,$815.26 ,$346.92 ,"$1,115.10 ",$892.08 ,"$1,239.00 ",$64.25 ,$780.57 ,$780.57 ,$353.98 ,$594.72 ,"$1,115.10 " ST. JOHN'S HOSPITAL,32000340,74425,HC XRAY UROGRAM ANTEGRADE,320,1 ,"$1,339.00 ",$870.35 ,$74.36 ,"$1,339.00 ",$884.95 ,$339.36 ,$725.74 ,$353.98 ,$374.92 ,$370.13 ,$353.98 ,$444.73 ,$353.98 ,$511.50 ,$100.37 ,$353.98 ,$511.50 ,$672.55 ,$398.11 ,$682.89 ,$884.94 ,$353.98 ,$937.30 ,$353.98 ,$669.50 ,$361.06 ,"$1,004.25 ",$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$74.36 ,$74.36 ,$74.36 ,"$1,339.00 ","$1,138.15 ",$884.94 ,"$1,071.20 ",$495.43 ,"$1,071.20 ",$353.98 ,$353.98 ,"$1,339.00 ",$725.74 ,$353.98 ,$352.16 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,"$1,138.15 ",$796.45 ,$881.06 ,$374.92 ,"$1,205.10 ",$964.08 ,"$1,339.00 ",$74.36 ,$843.57 ,$843.57 ,$353.98 ,$642.72 ,"$1,205.10 " ST. JOHN'S HOSPITAL,32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$2,726.00 ","$1,771.90 ",$150.00 ,"$2,726.00 ","$1,382.53 ","$1,253.96 ","$1,477.49 ",$553.01 ,$763.28 ,$872.32 ,$553.01 ,"$1,003.17 ",$553.01 ,"$1,041.33 ",$170.10 ,$553.01 ,"$1,041.33 ","$1,050.72 ","$1,433.88 ","$1,390.26 ","$1,382.53 ",$553.01 ,"$1,908.20 ",$553.01 ,"$1,363.00 ",$564.07 ,"$2,044.50 ",$166.00 ,$150.00 ,$166.00 ,$553.01 ,$166.00 ,"$1,908.20 ","$1,908.20 ","$1,908.20 ","$2,726.00 ","$2,317.10 ","$1,382.53 ","$2,180.80 ","$1,008.62 ","$2,180.80 ",$553.01 ,$553.01 ,"$2,726.00 ","$1,477.49 ",$553.01 ,$716.94 , N/A , N/A ,$545.92 ,$521.10 ,$580.66 ,"$2,317.10 ","$1,244.28 ","$1,793.71 ",$763.28 ,"$2,453.40 ","$1,962.72 ","$2,726.00 ","$1,908.20 ","$1,717.38 ","$1,717.38 ",$553.01 ,"$1,308.48 ","$2,453.40 " ST. JOHN'S HOSPITAL,32000341,50431,HC ANGIO NEPHROSTGRAM,320,1 ,"$1,817.00 ","$1,181.05 ",$150.00 ,"$1,817.00 ","$1,382.53 ",$835.82 ,$984.81 ,$553.01 ,$508.76 ,$581.44 ,$553.01 ,$668.66 ,$553.01 ,$694.09 ,$170.10 ,$553.01 ,$694.09 ,"$1,050.72 ",$955.74 ,$926.67 ,"$1,382.53 ",$553.01 ,"$1,271.90 ",$553.01 ,$908.50 ,$564.07 ,"$1,362.75 ",$166.00 ,$150.00 ,$166.00 ,$553.01 ,$166.00 ,"$1,271.90 ","$1,271.90 ","$1,271.90 ","$1,817.00 ","$1,544.45 ","$1,382.53 ","$1,453.60 ",$672.29 ,"$1,453.60 ",$553.01 ,$553.01 ,"$1,817.00 ",$984.81 ,$553.01 ,$477.87 , N/A , N/A ,$363.95 ,$347.40 ,$580.66 ,"$1,544.45 ","$1,244.28 ","$1,195.59 ",$508.76 ,"$1,635.30 ","$1,308.24 ","$1,817.00 ","$1,271.90 ","$1,144.71 ","$1,144.71 ",$553.01 ,$872.16 ,"$1,635.30 " ST. JOHN'S HOSPITAL,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,"$1,030.00 ",$669.50 ,$32.45 ,"$1,030.00 ",$884.95 ,$43.20 ,$558.26 ,$353.98 ,$288.40 ,$164.97 ,$353.98 ,$198.21 ,$353.98 ,$393.46 ,$47.78 ,$353.98 ,$393.46 ,$672.55 ,$89.13 ,$525.30 ,$884.94 ,$353.98 ,$721.00 ,$353.98 ,$515.00 ,$361.06 ,$772.50 ,$166.00 ,$150.00 ,$166.00 ,$353.98 ,$166.00 ,$32.45 ,$32.45 ,$32.45 ,"$1,030.00 ",$875.50 ,$884.94 ,$824.00 ,$381.10 ,$824.00 ,$353.98 ,$353.98 ,"$1,030.00 ",$558.26 ,$353.98 ,$270.89 , N/A , N/A ,$332.48 ,$317.36 ,$371.68 ,$875.50 ,$796.45 ,$677.74 ,$288.40 ,$927.00 ,$741.60 ,"$1,030.00 ",$32.45 ,$648.90 ,$648.90 ,$353.98 ,$494.40 ,$927.00 ST. JOHN'S HOSPITAL,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,"$1,323.00 ",$859.95 ,$83.03 ,"$1,323.00 ",$552.95 ,$339.36 ,$717.07 ,$221.18 ,$370.44 ,$430.14 ,$221.18 ,$508.03 ,$221.18 ,$505.39 ,$116.69 ,$221.18 ,$505.39 ,$420.25 ,$185.11 ,$674.73 ,$552.96 ,$221.18 ,$926.10 ,$221.18 ,$661.50 ,$225.61 ,$992.25 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$83.03 ,$83.03 ,$83.03 ,"$1,323.00 ","$1,124.55 ",$552.96 ,"$1,058.40 ",$489.51 ,"$1,058.40 ",$221.18 ,$221.18 ,"$1,323.00 ",$717.07 ,$221.18 ,$347.95 , N/A , N/A ,$332.48 ,$317.36 ,$232.24 ,"$1,124.55 ",$497.66 ,$870.53 ,$370.44 ,"$1,190.70 ",$952.56 ,"$1,323.00 ",$83.03 ,$833.49 ,$833.49 ,$221.18 ,$635.04 ,"$1,190.70 " ST. JOHN'S HOSPITAL,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,"$1,123.00 ",$729.95 ,$103.49 ,"$1,123.00 ",$552.95 ,$115.32 ,$608.67 ,$221.18 ,$314.44 ,$387.44 ,$221.18 ,$431.23 ,$221.18 ,$428.99 ,$152.39 ,$221.18 ,$428.99 ,$420.25 ,$312.89 ,$572.73 ,$552.96 ,$221.18 ,$786.10 ,$221.18 ,$561.50 ,$225.61 ,$842.25 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$103.49 ,$103.49 ,$103.49 ,"$1,123.00 ",$954.55 ,$552.96 ,$898.40 ,$415.51 ,$898.40 ,$221.18 ,$221.18 ,"$1,123.00 ",$608.67 ,$221.18 ,$295.35 , N/A , N/A ,$332.48 ,$317.36 ,$232.24 ,$954.55 ,$497.66 ,$738.93 ,$314.44 ,"$1,010.70 ",$808.56 ,"$1,123.00 ",$103.49 ,$707.49 ,$707.49 ,$221.18 ,$539.04 ,"$1,010.70 " ST. JOHN'S HOSPITAL,32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$7,183.00 ","$4,668.95 ",$150.00 ,"$7,183.00 ","$4,302.83 ","$3,304.18 ","$3,893.19 ","$1,721.13 ","$2,011.24 ","$2,298.56 ","$1,721.13 ","$2,643.34 ","$1,721.13 ","$2,743.91 ",$540.27 ,"$1,721.13 ","$2,743.91 ","$3,270.14 ","$3,778.26 ","$3,663.33 ","$4,302.81 ","$1,721.13 ","$5,028.10 ","$1,721.13 ","$3,591.50 ","$1,755.55 ","$5,387.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,"$5,028.10 ","$5,028.10 ","$5,028.10 ","$7,183.00 ","$6,105.55 ","$4,302.81 ","$5,746.40 ","$2,657.71 ","$5,746.40 ","$1,721.13 ","$1,721.13 ","$7,183.00 ","$3,893.19 ","$1,721.13 ","$1,889.13 ", N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$6,105.55 ","$3,872.53 ","$4,726.41 ","$2,011.24 ","$6,464.70 ","$5,171.76 ","$7,183.00 ","$5,028.10 ","$4,525.29 ","$4,525.29 ","$1,721.13 ","$3,447.84 ","$6,464.70 " ST. JOHN'S HOSPITAL,32000349,50432,HC PERCUTANEOUS NEPHRO CATH PLCMT,320,1 ,"$10,775.00 ","$7,003.75 ",$150.00 ,"$10,775.00 ","$7,388.53 ","$4,956.50 ","$5,840.05 ","$2,955.41 ","$3,017.00 ","$3,448.00 ","$2,955.41 ","$3,965.20 ","$2,955.41 ","$4,116.05 ",$540.27 ,"$2,955.41 ","$4,116.05 ","$5,615.27 ","$5,667.65 ","$5,495.25 ","$7,388.51 ","$2,955.41 ","$7,542.50 ","$2,955.41 ","$5,387.50 ","$3,014.51 ","$8,081.25 ",$166.00 ,$150.00 ,$166.00 ,"$2,955.41 ",$166.00 ,"$7,542.50 ","$7,542.50 ","$7,542.50 ","$10,775.00 ","$9,158.75 ","$7,388.51 ","$8,620.00 ","$3,986.75 ","$8,620.00 ","$2,955.41 ","$2,955.41 ","$10,775.00 ","$5,840.05 ","$2,955.41 ","$2,833.83 ", N/A , N/A ,"$1,706.88 ","$1,629.30 ","$3,103.18 ","$9,158.75 ","$6,649.66 ","$7,089.95 ","$3,017.00 ","$9,697.50 ","$7,758.00 ","$10,775.00 ","$7,542.50 ","$6,788.25 ","$6,788.25 ","$2,955.41 ","$5,172.00 ","$9,697.50 " ST. JOHN'S HOSPITAL,32000352,74485,"HC DILITATN NEPHRO,URETER,URETHRA",320,1 ,"$2,037.00 ","$1,324.05 ",$93.56 ,"$4,302.83 ","$4,302.83 ",$119.72 ,"$1,104.05 ","$1,721.13 ",$570.36 ,$495.67 ,"$1,721.13 ",$595.57 ,"$1,721.13 ",$778.13 ,$137.76 ,"$1,721.13 ",$778.13 ,"$2,037.00 ",$279.74 ,"$1,038.87 ","$4,302.81 ","$1,721.13 ","$1,425.90 ","$1,721.13 ","$1,018.50 ","$1,755.55 ","$1,527.75 ",$166.00 ,$150.00 ,$166.00 ,"$1,721.13 ",$166.00 ,$93.56 ,$93.56 ,$93.56 ,"$2,037.00 ","$1,731.45 ","$2,037.00 ","$1,629.60 ",$753.69 ,"$1,629.60 ","$1,721.13 ","$1,721.13 ","$2,037.00 ","$1,104.05 ","$1,721.13 ",$535.73 , N/A , N/A ,$332.48 ,$317.36 ,"$1,807.19 ","$1,731.45 ","$3,872.53 ","$1,340.35 ",$570.36 ,"$1,833.30 ","$1,466.64 ","$2,037.00 ",$93.56 ,"$1,283.31 ","$1,283.31 ","$1,721.13 ",$977.76 ,"$1,833.30 " ST. JOHN'S HOSPITAL,32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$1,200.00 ",$780.00 ,$88.59 ,"$1,200.00 ",$552.95 ,$99.34 ,$650.40 ,$221.18 ,$336.00 ,$414.00 ,$221.18 ,$460.80 ,$221.18 ,$458.40 ,$130.44 ,$221.18 ,$458.40 ,$420.25 ,$274.98 ,$612.00 ,$552.96 ,$221.18 ,$840.00 ,$221.18 ,$600.00 ,$225.61 ,$900.00 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$88.59 ,$88.59 ,$88.59 ,"$1,200.00 ","$1,020.00 ",$552.96 ,$960.00 ,$444.00 ,$960.00 ,$221.18 ,$221.18 ,"$1,200.00 ",$650.40 ,$221.18 ,$315.60 , N/A , N/A ,$332.48 ,$317.36 ,$232.24 ,"$1,020.00 ",$497.66 ,$789.60 ,$336.00 ,"$1,080.00 ",$864.00 ,"$1,200.00 ",$88.59 ,$756.00 ,$756.00 ,$221.18 ,$576.00 ,"$1,080.00 " ST. JOHN'S HOSPITAL,32000355,75605,HC THORACIC AORTA,320,1 ,"$2,686.00 ","$1,745.90 ",$109.46 ,"$11,459.70 ","$11,459.70 ",$165.96 ,"$1,455.81 ","$4,583.88 ",$752.08 ,$611.15 ,"$4,583.88 ",$734.33 ,"$2,686.00 ","$1,026.05 ",$161.17 ,"$2,686.00 ","$1,026.05 ","$2,686.00 ",$252.51 ,"$1,369.86 ","$11,459.70 ","$4,583.88 ","$1,880.20 ","$4,583.88 ","$1,343.00 ","$2,686.00 ","$2,014.50 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,$109.46 ,$109.46 ,$109.46 ,"$2,686.00 ","$2,283.10 ","$2,686.00 ","$2,148.80 ",$993.82 ,"$2,148.80 ","$4,583.88 ","$4,583.88 ","$2,686.00 ","$1,455.81 ","$4,583.88 ",$706.42 , N/A , N/A ,$332.48 ,$317.36 ,"$4,813.07 ","$2,283.10 ","$10,313.73 ","$1,767.39 ",$752.08 ,"$2,417.40 ","$1,933.92 ","$2,686.00 ",$109.46 ,"$1,692.18 ","$1,692.18 ","$4,583.88 ","$1,289.28 ","$2,417.40 " ST. JOHN'S HOSPITAL,32000356,75625,HC ABDOMINAL AORTAGRAM 75625,320,1 ,"$5,591.00 ","$3,634.15 ",$106.97 ,"$6,879.30 ","$6,879.30 ",$166.50 ,"$3,030.32 ","$2,751.72 ","$1,565.48 ",$603.26 ,"$2,751.72 ",$724.84 ,"$2,751.72 ","$2,135.76 ",$157.51 ,"$2,751.72 ","$2,135.76 ","$5,228.27 ",$230.01 ,"$2,851.41 ","$6,879.30 ","$2,751.72 ","$3,913.70 ","$2,751.72 ","$2,795.50 ","$2,806.76 ","$4,193.25 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$106.97 ,$106.97 ,$106.97 ,"$5,591.00 ","$4,752.35 ","$5,591.00 ","$4,472.80 ","$2,068.67 ","$4,472.80 ","$2,751.72 ","$2,751.72 ","$5,591.00 ","$3,030.32 ","$2,751.72 ","$1,470.43 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$4,752.35 ","$6,191.37 ","$3,678.88 ","$1,565.48 ","$5,031.90 ","$4,025.52 ","$5,591.00 ",$106.97 ,"$3,522.33 ","$3,522.33 ","$2,751.72 ","$2,683.68 ","$5,031.90 " ST. JOHN'S HOSPITAL,32000357,75630,HC AORTA WITH RUNOFF 75630,320,1 ,"$7,297.00 ","$4,743.05 ",$108.96 ,"$7,297.00 ","$6,879.30 ",$164.86 ,"$3,954.97 ","$2,751.72 ","$2,043.16 ",$611.15 ,"$2,751.72 ",$734.33 ,"$2,751.72 ","$2,787.45 ",$160.43 ,"$2,751.72 ","$2,787.45 ","$5,228.27 ",$244.22 ,"$3,721.47 ","$6,879.30 ","$2,751.72 ","$5,107.90 ","$2,751.72 ","$3,648.50 ","$2,806.76 ","$5,472.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$108.96 ,$108.96 ,$108.96 ,"$7,297.00 ","$6,202.45 ","$6,879.30 ","$5,837.60 ","$2,699.89 ","$5,837.60 ","$2,751.72 ","$2,751.72 ","$7,297.00 ","$3,954.97 ","$2,751.72 ","$1,919.11 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$6,202.45 ","$6,191.37 ","$4,801.43 ","$2,043.16 ","$6,567.30 ","$5,253.84 ","$7,297.00 ",$108.96 ,"$4,597.11 ","$4,597.11 ","$2,751.72 ","$3,502.56 ","$6,567.30 " ST. JOHN'S HOSPITAL,32000370,75705,HC ANGIO SPINAL,320,1 ,"$14,599.00 ","$9,489.35 ",$150.00 ,"$14,599.00 ","$11,459.70 ",$234.78 ,"$7,912.66 ","$4,583.88 ","$4,087.72 ","$1,025.45 ","$4,583.88 ","$1,232.13 ","$4,583.88 ","$5,576.82 ",$279.17 ,"$4,583.88 ","$5,576.82 ","$8,709.37 ",$467.12 ,"$7,445.49 ","$11,459.70 ","$4,583.88 ","$10,219.30 ","$4,583.88 ","$7,299.50 ","$4,675.56 ","$10,949.25 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,$189.60 ,$189.60 ,$189.60 ,"$14,599.00 ","$12,409.15 ","$11,459.70 ","$11,679.20 ","$5,401.63 ","$11,679.20 ","$4,583.88 ","$4,583.88 ","$14,599.00 ","$7,912.66 ","$4,583.88 ","$3,839.54 ", N/A , N/A ,$332.48 ,$317.36 ,"$4,813.07 ","$12,409.15 ","$10,313.73 ","$9,606.14 ","$4,087.72 ","$13,139.10 ","$10,511.28 ","$14,599.00 ",$189.60 ,"$9,197.37 ","$9,197.37 ","$4,583.88 ","$7,007.52 ","$13,139.10 " ST. JOHN'S HOSPITAL,32000371,75710,HC ANGIO EXTREMITY UNI 75710,320,1 ,"$6,580.00 ","$4,277.00 ",$113.43 ,"$6,879.30 ","$6,879.30 ",$208.90 ,"$3,566.36 ","$2,751.72 ","$1,842.40 ",$637.41 ,"$2,751.72 ",$765.89 ,"$2,751.72 ","$2,513.56 ",$167.02 ,"$2,751.72 ","$2,513.56 ","$5,228.27 ",$260.77 ,"$3,355.80 ","$6,879.30 ","$2,751.72 ","$4,606.00 ","$2,751.72 ","$3,290.00 ","$2,806.76 ","$4,935.00 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$113.43 ,$113.43 ,$113.43 ,"$6,580.00 ","$5,593.00 ","$6,580.00 ","$5,264.00 ","$2,434.60 ","$5,264.00 ","$2,751.72 ","$2,751.72 ","$6,580.00 ","$3,566.36 ","$2,751.72 ","$1,730.54 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$5,593.00 ","$6,191.37 ","$4,329.64 ","$1,842.40 ","$5,922.00 ","$4,737.60 ","$6,580.00 ",$113.43 ,"$4,145.40 ","$4,145.40 ","$2,751.72 ","$3,158.40 ","$5,922.00 " ST. JOHN'S HOSPITAL,32000373,75716,HC ANGIO EXTREMITY BILAT 75716,320,1 ,"$6,630.00 ","$4,309.50 ",$114.92 ,"$6,879.30 ","$6,879.30 ",$252.90 ,"$3,593.46 ","$2,751.72 ","$1,856.40 ",$734.47 ,"$2,751.72 ",$882.51 ,"$2,751.72 ","$2,532.66 ",$169.21 ,"$2,751.72 ","$2,532.66 ","$5,228.27 ",$268.25 ,"$3,381.30 ","$6,879.30 ","$2,751.72 ","$4,641.00 ","$2,751.72 ","$3,315.00 ","$2,806.76 ","$4,972.50 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$114.92 ,$114.92 ,$114.92 ,"$6,630.00 ","$5,635.50 ","$6,630.00 ","$5,304.00 ","$2,453.10 ","$5,304.00 ","$2,751.72 ","$2,751.72 ","$6,630.00 ","$3,593.46 ","$2,751.72 ","$1,743.69 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$5,635.50 ","$6,191.37 ","$4,362.54 ","$1,856.40 ","$5,967.00 ","$4,773.60 ","$6,630.00 ",$114.92 ,"$4,176.90 ","$4,176.90 ","$2,751.72 ","$3,182.40 ","$5,967.00 " ST. JOHN'S HOSPITAL,32000375,36251,HC ANGIO SEL RENAL UNILA 36251,320,1 ,"$11,593.00 ","$7,535.45 ",$150.00 ,"$11,593.00 ","$6,879.30 ","$5,332.78 ","$6,283.41 ","$2,751.72 ","$3,246.04 ","$3,709.76 ","$2,751.72 ","$4,266.22 ","$2,751.72 ","$4,428.53 ",$484.91 ,"$2,751.72 ","$4,428.53 ","$5,228.27 ","$6,097.92 ","$5,912.43 ","$6,879.30 ","$2,751.72 ","$8,115.10 ","$2,751.72 ","$5,796.50 ","$2,806.76 ","$8,694.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,"$8,115.10 ","$8,115.10 ","$8,115.10 ","$11,593.00 ","$9,854.05 ","$6,879.30 ","$9,274.40 ","$4,289.41 ","$9,274.40 ","$2,751.72 ","$2,751.72 ","$11,593.00 ","$6,283.41 ","$2,751.72 ","$3,048.96 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$9,854.05 ","$6,191.37 ","$7,628.19 ","$3,246.04 ","$10,433.70 ","$8,346.96 ","$11,593.00 ","$8,115.10 ","$7,303.59 ","$7,303.59 ","$2,751.72 ","$5,564.64 ","$10,433.70 " ST. JOHN'S HOSPITAL,32000376,36252,HC ANGIO SEL RENAL BILAT 36252,320,1 ,"$11,593.00 ","$7,535.45 ",$150.00 ,"$11,593.00 ","$6,879.30 ","$5,332.78 ","$6,283.41 ","$2,751.72 ","$3,246.04 ","$3,709.76 ","$2,751.72 ","$4,266.22 ","$2,751.72 ","$4,428.53 ",$676.24 ,"$2,751.72 ","$4,428.53 ","$5,228.27 ","$6,097.92 ","$5,912.43 ","$6,879.30 ","$2,751.72 ","$8,115.10 ","$2,751.72 ","$5,796.50 ","$2,806.76 ","$8,694.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,"$8,115.10 ","$8,115.10 ","$8,115.10 ","$11,593.00 ","$9,854.05 ","$6,879.30 ","$9,274.40 ","$4,289.41 ","$9,274.40 ","$2,751.72 ","$2,751.72 ","$11,593.00 ","$6,283.41 ","$2,751.72 ","$3,048.96 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$9,854.05 ","$6,191.37 ","$7,628.19 ","$3,246.04 ","$10,433.70 ","$8,346.96 ","$11,593.00 ","$8,115.10 ","$7,303.59 ","$7,303.59 ","$2,751.72 ","$5,564.64 ","$10,433.70 " ST. JOHN'S HOSPITAL,32000378,75726,"HC ANGIO VISERAL, SEL, OR SUPRASEL 75726",320,1 ,"$5,591.00 ","$3,634.15 ",$125.36 ,"$11,459.70 ","$11,459.70 ",$207.80 ,"$3,030.32 ","$4,583.88 ","$1,565.48 ",$697.74 ,"$4,583.88 ",$838.36 ,"$4,583.88 ","$2,135.76 ",$184.57 ,"$4,583.88 ","$2,135.76 ","$5,591.00 ",$289.56 ,"$2,851.41 ","$11,459.70 ","$4,583.88 ","$3,913.70 ","$4,583.88 ","$2,795.50 ","$4,675.56 ","$4,193.25 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,$125.36 ,$125.36 ,$125.36 ,"$5,591.00 ","$4,752.35 ","$5,591.00 ","$4,472.80 ","$2,068.67 ","$4,472.80 ","$4,583.88 ","$4,583.88 ","$5,591.00 ","$3,030.32 ","$4,583.88 ","$1,470.43 ", N/A , N/A ,$332.48 ,$317.36 ,"$4,813.07 ","$4,752.35 ","$10,313.73 ","$3,678.88 ","$1,565.48 ","$5,031.90 ","$4,025.52 ","$5,591.00 ",$125.36 ,"$3,522.33 ","$3,522.33 ","$4,583.88 ","$2,683.68 ","$5,031.90 " ST. JOHN'S HOSPITAL,32000384,75736,HC ANGIO PELVIC SELECT,320,1 ,"$3,419.00 ","$2,222.35 ",$140.42 ,"$11,459.70 ","$11,459.70 ",$200.64 ,"$1,853.10 ","$4,583.88 ",$957.32 ,$781.38 ,"$4,583.88 ",$938.87 ,"$3,419.00 ","$1,306.06 ",$206.75 ,"$3,419.00 ","$1,306.06 ","$3,419.00 ",$323.86 ,"$1,743.69 ","$11,459.70 ","$4,583.88 ","$2,393.30 ","$4,583.88 ","$1,709.50 ","$3,419.00 ","$2,564.25 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,$140.42 ,$140.42 ,$140.42 ,"$3,419.00 ","$2,906.15 ","$3,419.00 ","$2,735.20 ","$1,265.03 ","$2,735.20 ","$4,583.88 ","$4,583.88 ","$3,419.00 ","$1,853.10 ","$4,583.88 ",$899.20 , N/A , N/A ,$332.48 ,$317.36 ,"$4,813.07 ","$2,906.15 ","$10,313.73 ","$2,249.70 ",$957.32 ,"$3,077.10 ","$2,461.68 ","$3,419.00 ",$140.42 ,"$2,153.97 ","$2,153.97 ","$4,583.88 ","$1,641.12 ","$3,077.10 " ST. JOHN'S HOSPITAL,32000385,75741,HC ANGIO PULMONARY UNILAT,320,1 ,"$2,897.00 ","$1,883.05 ",$115.91 ,"$6,879.30 ","$6,879.30 ",$165.40 ,"$1,570.17 ","$2,751.72 ",$811.16 ,$645.26 ,"$2,751.72 ",$775.31 ,"$2,751.72 ","$1,106.65 ",$170.68 ,"$2,751.72 ","$1,106.65 ","$2,897.00 ",$265.53 ,"$1,477.47 ","$6,879.30 ","$2,751.72 ","$2,027.90 ","$2,751.72 ","$1,448.50 ","$2,806.76 ","$2,172.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$115.91 ,$115.91 ,$115.91 ,"$2,897.00 ","$2,462.45 ","$2,897.00 ","$2,317.60 ","$1,071.89 ","$2,317.60 ","$2,751.72 ","$2,751.72 ","$2,897.00 ","$1,570.17 ","$2,751.72 ",$761.91 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,462.45 ","$6,191.37 ","$1,906.23 ",$811.16 ,"$2,607.30 ","$2,085.84 ","$2,897.00 ",$115.91 ,"$1,825.11 ","$1,825.11 ","$2,751.72 ","$1,390.56 ","$2,607.30 " ST. JOHN'S HOSPITAL,32000386,75743,HC ANGIO PULMONARY BILAT,320,1 ,"$2,559.00 ","$1,663.35 ",$117.41 ,"$6,879.30 ","$6,879.30 ",$182.48 ,"$1,386.98 ","$2,751.72 ",$716.52 ,$653.15 ,"$2,751.72 ",$784.80 ,"$2,559.00 ",$977.54 ,$172.87 ,"$2,559.00 ",$977.54 ,"$2,559.00 ",$269.07 ,"$1,305.09 ","$6,879.30 ","$2,751.72 ","$1,791.30 ","$2,751.72 ","$1,279.50 ","$2,559.00 ","$1,919.25 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$117.41 ,$117.41 ,$117.41 ,"$2,559.00 ","$2,175.15 ","$2,559.00 ","$2,047.20 ",$946.83 ,"$2,047.20 ","$2,751.72 ","$2,751.72 ","$2,559.00 ","$1,386.98 ","$2,751.72 ",$673.02 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,175.15 ","$6,191.37 ","$1,683.82 ",$716.52 ,"$2,303.10 ","$1,842.48 ","$2,559.00 ",$117.41 ,"$1,612.17 ","$1,612.17 ","$2,751.72 ","$1,228.32 ","$2,303.10 " ST. JOHN'S HOSPITAL,32000389,75774,HC ANGIO EA VESSEL ADDL 75774,320,1 ,"$1,741.00 ","$1,131.65 ",$91.56 ,"$1,741.00 ", N/A ,$138.44 ,$943.62 , N/A ,$487.48 ,$516.67 , N/A ,$620.81 , N/A ,$665.06 ,$134.83 , N/A ,$665.06 , N/A ,$915.77 ,$887.91 , N/A , N/A ,"$1,218.70 ", N/A ,$870.50 , N/A ,"$1,305.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$91.56 ,$91.56 ,$91.56 ,"$1,741.00 ","$1,479.85 ", N/A ,"$1,392.80 ",$644.17 ,"$1,392.80 ", N/A , N/A ,"$1,741.00 ",$943.62 , N/A ,$457.88 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,479.85 ", N/A ,"$1,145.58 ",$487.48 ,"$1,566.90 ","$1,253.52 ","$1,741.00 ",$91.56 ,"$1,096.83 ","$1,096.83 ", N/A ,$835.68 ,"$1,566.90 " ST. JOHN'S HOSPITAL,32000395,75820,HC VENOGRAM EXTREMITY UNI 75820,320,1 ,"$4,419.00 ","$2,872.35 ",$107.46 ,"$4,419.00 ","$3,379.28 ",$153.84 ,"$2,395.10 ","$1,351.71 ","$1,237.32 ",$600.62 ,"$1,351.71 ",$721.68 ,"$1,351.71 ","$1,688.06 ",$158.24 ,"$1,351.71 ","$1,688.06 ","$2,568.26 ",$233.54 ,"$2,253.69 ","$3,379.28 ","$1,351.71 ","$3,093.30 ","$1,351.71 ","$2,209.50 ","$1,378.75 ","$3,314.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,351.71 ",$166.00 ,$107.46 ,$107.46 ,$107.46 ,"$4,419.00 ","$3,756.15 ","$3,379.28 ","$3,535.20 ","$1,635.03 ","$3,535.20 ","$1,351.71 ","$1,351.71 ","$4,419.00 ","$2,395.10 ","$1,351.71 ","$1,162.20 ", N/A , N/A ,$332.48 ,$317.36 ,"$1,419.30 ","$3,756.15 ","$3,041.36 ","$2,907.70 ","$1,237.32 ","$3,977.10 ","$3,181.68 ","$4,419.00 ",$107.46 ,"$2,783.97 ","$2,783.97 ","$1,351.71 ","$2,121.12 ","$3,977.10 " ST. JOHN'S HOSPITAL,32000397,75822,HC VENOGRAM EXTREMITY BILAT,320,1 ,"$6,630.00 ","$4,309.50 ",$109.95 ,"$6,630.00 ","$3,379.28 ",$176.96 ,"$3,593.46 ","$1,351.71 ","$1,856.40 ",$621.63 ,"$1,351.71 ",$746.91 ,"$1,351.71 ","$2,532.66 ",$161.90 ,"$1,351.71 ","$2,532.66 ","$2,568.26 ",$247.75 ,"$3,381.30 ","$3,379.28 ","$1,351.71 ","$4,641.00 ","$1,351.71 ","$3,315.00 ","$1,378.75 ","$4,972.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,351.71 ",$166.00 ,$109.95 ,$109.95 ,$109.95 ,"$6,630.00 ","$5,635.50 ","$3,379.28 ","$5,304.00 ","$2,453.10 ","$5,304.00 ","$1,351.71 ","$1,351.71 ","$6,630.00 ","$3,593.46 ","$1,351.71 ","$1,743.69 ", N/A , N/A ,$332.48 ,$317.36 ,"$1,419.30 ","$5,635.50 ","$3,041.36 ","$4,362.54 ","$1,856.40 ","$5,967.00 ","$4,773.60 ","$6,630.00 ",$109.95 ,"$4,176.90 ","$4,176.90 ","$1,351.71 ","$3,182.40 ","$5,967.00 " ST. JOHN'S HOSPITAL,32000398,75825,HC VENOGRAPHY CAVAL INFERIOR,320,1 ,"$4,419.00 ","$2,872.35 ",$104.49 ,"$6,879.30 ","$6,879.30 ",$157.70 ,"$2,395.10 ","$2,751.72 ","$1,237.32 ",$584.89 ,"$2,751.72 ",$702.77 ,"$2,751.72 ","$1,688.06 ",$153.85 ,"$2,751.72 ","$1,688.06 ","$4,419.00 ",$233.54 ,"$2,253.69 ","$6,879.30 ","$2,751.72 ","$3,093.30 ","$2,751.72 ","$2,209.50 ","$2,806.76 ","$3,314.25 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$104.49 ,$104.49 ,$104.49 ,"$4,419.00 ","$3,756.15 ","$4,419.00 ","$3,535.20 ","$1,635.03 ","$3,535.20 ","$2,751.72 ","$2,751.72 ","$4,419.00 ","$2,395.10 ","$2,751.72 ","$1,162.20 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$3,756.15 ","$6,191.37 ","$2,907.70 ","$1,237.32 ","$3,977.10 ","$3,181.68 ","$4,419.00 ",$104.49 ,"$2,783.97 ","$2,783.97 ","$2,751.72 ","$2,121.12 ","$3,977.10 " ST. JOHN'S HOSPITAL,32000399,75827,HC VENOGRAPHY CAVAL SUPERIOR,320,1 ,"$3,631.00 ","$2,360.15 ",$110.45 ,"$3,631.00 ","$3,379.28 ",$163.76 ,"$1,968.00 ","$1,351.71 ","$1,016.68 ",$613.78 ,"$1,351.71 ",$737.49 ,"$1,351.71 ","$1,387.04 ",$162.63 ,"$1,351.71 ","$1,387.04 ","$2,568.26 ",$251.32 ,"$1,851.81 ","$3,379.28 ","$1,351.71 ","$2,541.70 ","$1,351.71 ","$1,815.50 ","$1,378.75 ","$2,723.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,351.71 ",$166.00 ,$110.45 ,$110.45 ,$110.45 ,"$3,631.00 ","$3,086.35 ","$3,379.28 ","$2,904.80 ","$1,343.47 ","$2,904.80 ","$1,351.71 ","$1,351.71 ","$3,631.00 ","$1,968.00 ","$1,351.71 ",$954.95 , N/A , N/A ,$332.48 ,$317.36 ,"$1,419.30 ","$3,086.35 ","$3,041.36 ","$2,389.20 ","$1,016.68 ","$3,267.90 ","$2,614.32 ","$3,631.00 ",$110.45 ,"$2,287.53 ","$2,287.53 ","$1,351.71 ","$1,742.88 ","$3,267.90 " ST. JOHN'S HOSPITAL,32000400,75831,HC VENOGRAM RENAL UNILAT,320,1 ,"$2,633.00 ","$1,711.45 ",$113.43 ,"$6,879.30 ","$6,879.30 ",$167.06 ,"$1,427.09 ","$2,751.72 ",$737.24 ,$632.15 ,"$2,751.72 ",$759.56 ,"$2,633.00 ","$1,005.81 ",$167.02 ,"$2,633.00 ","$1,005.81 ","$2,633.00 ",$254.86 ,"$1,342.83 ","$6,879.30 ","$2,751.72 ","$1,843.10 ","$2,751.72 ","$1,316.50 ","$2,633.00 ","$1,974.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$113.43 ,$113.43 ,$113.43 ,"$2,633.00 ","$2,238.05 ","$2,633.00 ","$2,106.40 ",$974.21 ,"$2,106.40 ","$2,751.72 ","$2,751.72 ","$2,633.00 ","$1,427.09 ","$2,751.72 ",$692.48 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,238.05 ","$6,191.37 ","$1,732.51 ",$737.24 ,"$2,369.70 ","$1,895.76 ","$2,633.00 ",$113.43 ,"$1,658.79 ","$1,658.79 ","$2,751.72 ","$1,263.84 ","$2,369.70 " ST. JOHN'S HOSPITAL,32000401,75833,HC VENOGRAM RENAL BILAT,320,1 ,"$6,630.00 ","$4,309.50 ",$123.53 ,"$6,879.30 ","$6,879.30 ",$194.58 ,"$3,593.46 ","$2,751.72 ","$1,856.40 ",$694.74 ,"$2,751.72 ",$834.77 ,"$2,751.72 ","$2,532.66 ",$181.88 ,"$2,751.72 ","$2,532.66 ","$5,228.27 ",$284.80 ,"$3,381.30 ","$6,879.30 ","$2,751.72 ","$4,641.00 ","$2,751.72 ","$3,315.00 ","$2,806.76 ","$4,972.50 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$123.53 ,$123.53 ,$123.53 ,"$6,630.00 ","$5,635.50 ","$6,630.00 ","$5,304.00 ","$2,453.10 ","$5,304.00 ","$2,751.72 ","$2,751.72 ","$6,630.00 ","$3,593.46 ","$2,751.72 ","$1,743.69 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$5,635.50 ","$6,191.37 ","$4,362.54 ","$1,856.40 ","$5,967.00 ","$4,773.60 ","$6,630.00 ",$123.53 ,"$4,176.90 ","$4,176.90 ","$2,751.72 ","$3,182.40 ","$5,967.00 " ST. JOHN'S HOSPITAL,32000404,75860,HC VENOGRAPHY SINUS/ JUGULAR,320,1 ,"$6,580.00 ","$4,277.00 ",$118.89 ,"$6,879.30 ","$6,879.30 ",$165.96 ,"$3,566.36 ","$2,751.72 ","$1,842.40 ",$655.78 ,"$2,751.72 ",$787.96 ,"$2,751.72 ","$2,513.56 ",$175.06 ,"$2,751.72 ","$2,513.56 ","$5,228.27 ",$274.98 ,"$3,355.80 ","$6,879.30 ","$2,751.72 ","$4,606.00 ","$2,751.72 ","$3,290.00 ","$2,806.76 ","$4,935.00 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$118.89 ,$118.89 ,$118.89 ,"$6,580.00 ","$5,593.00 ","$6,580.00 ","$5,264.00 ","$2,434.60 ","$5,264.00 ","$2,751.72 ","$2,751.72 ","$6,580.00 ","$3,566.36 ","$2,751.72 ","$1,730.54 ", N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$5,593.00 ","$6,191.37 ","$4,329.64 ","$1,842.40 ","$5,922.00 ","$4,737.60 ","$6,580.00 ",$118.89 ,"$4,145.40 ","$4,145.40 ","$2,751.72 ","$3,158.40 ","$5,922.00 " ST. JOHN'S HOSPITAL,32000409,75885,HC TRANSHEPATIC PORTOGRAPHY W/ HEMO,320,1 ,"$2,633.00 ","$1,711.45 ",$117.90 ,"$6,879.30 ","$6,879.30 ",$167.06 ,"$1,427.09 ","$2,751.72 ",$737.24 ,$655.78 ,"$2,751.72 ",$787.96 ,"$2,633.00 ","$1,005.81 ",$173.60 ,"$2,633.00 ","$1,005.81 ","$2,633.00 ",$269.07 ,"$1,342.83 ","$6,879.30 ","$2,751.72 ","$1,843.10 ","$2,751.72 ","$1,316.50 ","$2,633.00 ","$1,974.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$117.90 ,$117.90 ,$117.90 ,"$2,633.00 ","$2,238.05 ","$2,633.00 ","$2,106.40 ",$974.21 ,"$2,106.40 ","$2,751.72 ","$2,751.72 ","$2,633.00 ","$1,427.09 ","$2,751.72 ",$692.48 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,238.05 ","$6,191.37 ","$1,732.51 ",$737.24 ,"$2,369.70 ","$1,895.76 ","$2,633.00 ",$117.90 ,"$1,658.79 ","$1,658.79 ","$2,751.72 ","$1,263.84 ","$2,369.70 " ST. JOHN'S HOSPITAL,32000411,75889,HC VENOGRAM HEPATIC W/HEMO,320,1 ,"$2,997.00 ","$1,948.05 ",$118.40 ,"$6,879.30 ","$6,879.30 ",$168.16 ,"$1,624.37 ","$2,751.72 ",$839.16 ,$661.00 ,"$2,751.72 ",$794.22 ,"$2,751.72 ","$1,144.85 ",$174.33 ,"$2,751.72 ","$1,144.85 ","$2,997.00 ",$270.26 ,"$1,528.47 ","$6,879.30 ","$2,751.72 ","$2,097.90 ","$2,751.72 ","$1,498.50 ","$2,806.76 ","$2,247.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$118.40 ,$118.40 ,$118.40 ,"$2,997.00 ","$2,547.45 ","$2,997.00 ","$2,397.60 ","$1,108.89 ","$2,397.60 ","$2,751.72 ","$2,751.72 ","$2,997.00 ","$1,624.37 ","$2,751.72 ",$788.21 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,547.45 ","$6,191.37 ","$1,972.03 ",$839.16 ,"$2,697.30 ","$2,157.84 ","$2,997.00 ",$118.40 ,"$1,888.11 ","$1,888.11 ","$2,751.72 ","$1,438.56 ","$2,697.30 " ST. JOHN'S HOSPITAL,32000412,75891,HC VENOGRAM HEPATIC W/O HEMO,320,1 ,"$2,633.00 ","$1,711.45 ",$119.88 ,"$6,879.30 ","$6,879.30 ",$167.62 ,"$1,427.09 ","$2,751.72 ",$737.24 ,$663.63 ,"$2,751.72 ",$797.38 ,"$2,633.00 ","$1,005.81 ",$176.53 ,"$2,633.00 ","$1,005.81 ","$2,633.00 ",$272.64 ,"$1,342.83 ","$6,879.30 ","$2,751.72 ","$1,843.10 ","$2,751.72 ","$1,316.50 ","$2,633.00 ","$1,974.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$119.88 ,$119.88 ,$119.88 ,"$2,633.00 ","$2,238.05 ","$2,633.00 ","$2,106.40 ",$974.21 ,"$2,106.40 ","$2,751.72 ","$2,751.72 ","$2,633.00 ","$1,427.09 ","$2,751.72 ",$692.48 , N/A , N/A ,$332.48 ,$317.36 ,"$2,889.31 ","$2,238.05 ","$6,191.37 ","$1,732.51 ",$737.24 ,"$2,369.70 ","$1,895.76 ","$2,633.00 ",$119.88 ,"$1,658.79 ","$1,658.79 ","$2,751.72 ","$1,263.84 ","$2,369.70 " ST. JOHN'S HOSPITAL,32000413,75893,HC VENOGRAM SAMPLING CATH,320,1 ,"$3,129.00 ","$2,033.85 ",$126.84 ,"$11,459.70 ","$11,459.70 ",$167.62 ,"$1,695.92 ","$4,583.88 ",$876.12 ,$692.52 ,"$4,583.88 ",$832.10 ,"$3,129.00 ","$1,195.28 ",$186.77 ,"$3,129.00 ","$1,195.28 ","$3,129.00 ",$295.11 ,"$1,595.79 ","$11,459.70 ","$4,583.88 ","$2,190.30 ","$4,583.88 ","$1,564.50 ","$3,129.00 ","$2,346.75 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,$126.84 ,$126.84 ,$126.84 ,"$3,129.00 ","$2,659.65 ","$3,129.00 ","$2,503.20 ","$1,157.73 ","$2,503.20 ","$4,583.88 ","$4,583.88 ","$3,129.00 ","$1,695.92 ","$4,583.88 ",$822.93 , N/A , N/A ,$332.48 ,$317.36 ,"$4,813.07 ","$2,659.65 ","$10,313.73 ","$2,058.88 ",$876.12 ,"$2,816.10 ","$2,252.88 ","$3,129.00 ",$126.84 ,"$1,971.27 ","$1,971.27 ","$4,583.88 ","$1,501.92 ","$2,816.10 " ST. JOHN'S HOSPITAL,32000414,75894,HC TRANSCATH EMBOLIZATION 75894,320,1 ,"$5,044.00 ","$3,278.60 ",$150.00 ,"$5,044.00 ", N/A ,"$1,437.42 ","$2,733.85 ", N/A ,"$1,412.32 ","$1,740.18 ", N/A ,"$1,936.90 ", N/A ,"$1,926.81 ","$2,033.70 ", N/A ,"$1,926.81 ", N/A ,"$2,653.14 ","$2,572.44 ", N/A , N/A ,"$3,530.80 ", N/A ,"$2,522.00 ", N/A ,"$3,783.00 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,372.26 ","$1,372.26 ","$1,372.26 ","$5,044.00 ","$4,287.40 ", N/A ,"$4,035.20 ","$1,866.28 ","$4,035.20 ", N/A , N/A ,"$5,044.00 ","$2,733.85 ", N/A ,"$1,326.57 ", N/A , N/A ,$332.48 ,$317.36 , N/A ,"$4,287.40 ", N/A ,"$3,318.95 ","$1,412.32 ","$4,539.60 ","$3,631.68 ","$5,044.00 ","$1,372.26 ","$3,177.72 ","$3,177.72 ", N/A ,"$2,421.12 ","$4,539.60 " ST. JOHN'S HOSPITAL,32000417,75898,HC TRANSCATH ANGIO EXIST 75898,320,1 ,"$1,409.00 ",$915.85 ,$59.91 ,"$6,879.30 ","$6,879.30 ",$535.90 ,$763.68 ,"$2,751.72 ",$394.52 ,$344.28 ,"$2,751.72 ",$413.66 ,"$1,409.00 ",$538.24 ,$94.28 ,"$1,409.00 ",$538.24 ,"$1,409.00 ",$152.45 ,$718.59 ,"$6,879.30 ","$2,751.72 ",$986.30 ,"$2,751.72 ",$704.50 ,"$1,409.00 ","$1,056.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,$59.91 ,$59.91 ,$59.91 ,"$1,409.00 ","$1,197.65 ","$1,409.00 ","$1,127.20 ",$521.33 ,"$1,127.20 ","$2,751.72 ","$2,751.72 ","$1,409.00 ",$763.68 ,"$2,751.72 ",$370.57 , N/A , N/A ,$363.95 ,$347.40 ,"$2,889.31 ","$1,197.65 ","$6,191.37 ",$927.12 ,$394.52 ,"$1,268.10 ","$1,014.48 ","$1,409.00 ",$59.91 ,$887.67 ,$887.67 ,"$2,751.72 ",$676.32 ,"$1,268.10 " ST. JOHN'S HOSPITAL,32000421,75901,HC REMOVE PERICATH OBST CV CATH,320,1 ,"$1,368.00 ",$889.20 ,$150.00 ,"$1,368.00 ", N/A ,$251.28 ,$741.46 , N/A ,$383.04 ,$471.96 , N/A ,$525.31 , N/A ,$522.58 ,$362.33 , N/A ,$522.58 , N/A ,$719.57 ,$697.68 , N/A , N/A ,$957.60 , N/A ,$684.00 , N/A ,"$1,026.00 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$246.08 ,$246.08 ,$246.08 ,"$1,368.00 ","$1,162.80 ", N/A ,"$1,094.40 ",$506.16 ,"$1,094.40 ", N/A , N/A ,"$1,368.00 ",$741.46 , N/A ,$359.78 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,162.80 ", N/A ,$900.14 ,$383.04 ,"$1,231.20 ",$984.96 ,"$1,368.00 ",$246.08 ,$861.84 ,$861.84 , N/A ,$656.64 ,"$1,231.20 " ST. JOHN'S HOSPITAL,32000422,75902,HC REMOVE INTRALUMN OBST CV CATH,320,1 ,"$1,537.00 ",$999.05 ,$83.63 ,"$1,537.00 ", N/A ,$94.40 ,$833.05 , N/A ,$430.36 ,$395.93 , N/A ,$475.73 , N/A ,$587.13 ,$123.13 , N/A ,$587.13 , N/A ,$808.46 ,$783.87 , N/A , N/A ,"$1,075.90 ", N/A ,$768.50 , N/A ,"$1,152.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$83.63 ,$83.63 ,$83.63 ,"$1,537.00 ","$1,306.45 ", N/A ,"$1,229.60 ",$568.69 ,"$1,229.60 ", N/A , N/A ,"$1,537.00 ",$833.05 , N/A ,$404.23 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,306.45 ", N/A ,"$1,011.35 ",$430.36 ,"$1,383.30 ","$1,106.64 ","$1,537.00 ",$83.63 ,$968.31 ,$968.31 , N/A ,$737.76 ,"$1,383.30 " ST. JOHN'S HOSPITAL,32000423,37191,HC IVC FILTER PLACEMENT 37191,320,1 ,"$17,377.00 ","$11,295.05 ",$150.00 ,"$17,377.00 ","$11,459.70 ","$7,993.42 ","$9,418.33 ","$4,583.88 ","$4,865.56 ","$5,560.64 ","$4,583.88 ","$6,394.74 ","$4,583.88 ","$6,638.01 ",$568.66 ,"$4,583.88 ","$6,638.01 ","$8,709.37 ","$9,140.30 ","$8,862.27 ","$11,459.70 ","$4,583.88 ","$12,163.90 ","$4,583.88 ","$8,688.50 ","$4,675.56 ","$13,032.75 ",$166.00 ,$150.00 ,$166.00 ,"$4,583.88 ",$166.00 ,"$12,163.90 ","$12,163.90 ","$12,163.90 ","$17,377.00 ","$14,770.45 ","$11,459.70 ","$13,901.60 ","$6,429.49 ","$13,901.60 ","$4,583.88 ","$4,583.88 ","$17,377.00 ","$9,418.33 ","$4,583.88 ","$4,570.15 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$14,770.45 ","$10,313.73 ","$11,434.07 ","$4,865.56 ","$15,639.30 ","$12,511.44 ","$17,377.00 ","$12,163.90 ","$10,947.51 ","$10,947.51 ","$4,583.88 ","$8,340.96 ","$15,639.30 " ST. JOHN'S HOSPITAL,32000435,75970,HC TRANSCATH BX,320,1 ,"$4,989.00 ","$3,242.85 ",$150.00 ,"$4,989.00 ", N/A ,$672.26 ,"$2,704.04 ", N/A ,"$1,396.92 ","$1,721.21 ", N/A ,"$1,915.78 ", N/A ,"$1,905.80 ",$849.24 , N/A ,"$1,905.80 ", N/A ,"$2,624.21 ","$2,544.39 ", N/A , N/A ,"$3,492.30 ", N/A ,"$2,494.50 ", N/A ,"$3,741.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$655.58 ,$655.58 ,$655.58 ,"$4,989.00 ","$4,240.65 ", N/A ,"$3,991.20 ","$1,845.93 ","$3,991.20 ", N/A , N/A ,"$4,989.00 ","$2,704.04 ", N/A ,"$1,312.11 ", N/A , N/A ,$332.48 ,$317.36 , N/A ,"$4,240.65 ", N/A ,"$3,282.76 ","$1,396.92 ","$4,490.10 ","$3,592.08 ","$4,989.00 ",$655.58 ,"$3,143.07 ","$3,143.07 ", N/A ,"$2,394.72 ","$4,490.10 " ST. JOHN'S HOSPITAL,32000438,47533,HC TRANSHEPATIC DRAINAGE,320,1 ,"$12,786.00 ","$8,310.90 ",$150.00 ,"$12,786.00 ","$7,645.73 ","$5,881.56 ","$6,930.01 ","$3,058.29 ","$3,580.08 ","$4,091.52 ","$3,058.29 ","$4,705.25 ","$3,058.29 ","$4,884.25 ",$475.24 ,"$3,058.29 ","$4,884.25 ","$5,810.75 ","$6,725.44 ","$6,520.86 ","$7,645.72 ","$3,058.29 ","$8,950.20 ","$3,058.29 ","$6,393.00 ","$3,119.45 ","$9,589.50 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$8,950.20 ","$8,950.20 ","$8,950.20 ","$12,786.00 ","$10,868.10 ","$7,645.72 ","$10,228.80 ","$4,730.82 ","$10,228.80 ","$3,058.29 ","$3,058.29 ","$12,786.00 ","$6,930.01 ","$3,058.29 ","$3,362.72 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ","$3,211.20 ","$10,868.10 ","$6,881.15 ","$8,413.19 ","$3,580.08 ","$11,507.40 ","$9,205.92 ","$12,786.00 ","$8,950.20 ","$8,055.18 ","$8,055.18 ","$3,058.29 ","$6,137.28 ","$11,507.40 " ST. JOHN'S HOSPITAL,32000439,47534,HC PLACE BILIARY DRAINAGE CATH,320,1 ,"$12,786.00 ","$8,310.90 ",$150.00 ,"$12,786.00 ","$7,645.73 ","$5,881.56 ","$6,930.01 ","$3,058.29 ","$3,580.08 ","$4,091.52 ","$3,058.29 ","$4,705.25 ","$3,058.29 ","$4,884.25 ",$663.99 ,"$3,058.29 ","$4,884.25 ","$5,810.75 ","$6,725.44 ","$6,520.86 ","$7,645.72 ","$3,058.29 ","$8,950.20 ","$3,058.29 ","$6,393.00 ","$3,119.45 ","$9,589.50 ",$166.00 ,$150.00 ,$166.00 ,"$3,058.29 ",$166.00 ,"$8,950.20 ","$8,950.20 ","$8,950.20 ","$12,786.00 ","$10,868.10 ","$7,645.72 ","$10,228.80 ","$4,730.82 ","$10,228.80 ","$3,058.29 ","$3,058.29 ","$12,786.00 ","$6,930.01 ","$3,058.29 ","$3,362.72 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ","$3,211.20 ","$10,868.10 ","$6,881.15 ","$8,413.19 ","$3,580.08 ","$11,507.40 ","$9,205.92 ","$12,786.00 ","$8,950.20 ","$8,055.18 ","$8,055.18 ","$3,058.29 ","$6,137.28 ","$11,507.40 " ST. JOHN'S HOSPITAL,32000440,75984,HC CHANGE PERC DRAINAGE TUBE OR CATH,320,1 ,"$2,325.00 ","$1,511.25 ",$94.55 ,"$2,325.00 ", N/A ,$128.52 ,"$1,260.15 ", N/A ,$651.00 ,$529.78 , N/A ,$636.55 , N/A ,$888.15 ,$139.22 , N/A ,$888.15 , N/A ,"$1,222.95 ","$1,185.75 ", N/A , N/A ,"$1,627.50 ", N/A ,"$1,162.50 ", N/A ,"$1,743.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$94.55 ,$94.55 ,$94.55 ,"$2,325.00 ","$1,976.25 ", N/A ,"$1,860.00 ",$860.25 ,"$1,860.00 ", N/A , N/A ,"$2,325.00 ","$1,260.15 ", N/A ,$611.48 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,976.25 ", N/A ,"$1,529.85 ",$651.00 ,"$2,092.50 ","$1,674.00 ","$2,325.00 ",$94.55 ,"$1,464.75 ","$1,464.75 ", N/A ,"$1,116.00 ","$2,092.50 " ST. JOHN'S HOSPITAL,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$6,183.00 ","$4,018.95 ",$150.00 ,"$6,183.00 ","$3,381.25 ","$2,844.18 ","$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$4,834.00 ","$3,142.10 ",$88.10 ,"$4,834.00 ", N/A ,$127.70 ,"$2,620.03 ", N/A ,"$1,353.52 ",$469.41 , N/A ,$564.01 , N/A ,"$1,846.59 ",$129.71 , N/A ,"$1,846.59 ", N/A ,"$2,542.68 ","$2,465.34 ", N/A , N/A ,"$3,383.80 ", N/A ,"$2,417.00 ", N/A ,"$3,625.50 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$88.10 ,$88.10 ,$88.10 ,"$4,834.00 ","$4,108.90 ", N/A ,"$3,867.20 ","$1,788.58 ","$3,867.20 ", N/A , N/A ,"$4,834.00 ","$2,620.03 ", N/A ,"$1,271.34 ", N/A , N/A ,$332.48 ,$317.36 , N/A ,"$4,108.90 ", N/A ,"$3,180.77 ","$1,353.52 ","$4,350.60 ","$3,480.48 ","$4,834.00 ",$88.10 ,"$3,045.42 ","$3,045.42 ", N/A ,"$2,320.32 ","$4,350.60 " ST. JOHN'S HOSPITAL,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$685.00 ,$445.25 ,$44.37 ,$685.00 ,$552.95 ,$72.38 ,$371.27 ,$221.18 ,$191.80 ,$236.33 ,$221.18 ,$263.04 ,$221.18 ,$261.67 ,$65.34 ,$221.18 ,$261.67 ,$420.25 ,$95.05 ,$349.35 ,$552.96 ,$221.18 ,$479.50 ,$221.18 ,$342.50 ,$225.61 ,$513.75 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,$685.00 ,$582.25 ,$552.96 ,$548.00 ,$253.45 ,$548.00 ,$221.18 ,$221.18 ,$685.00 ,$371.27 ,$221.18 ,$180.16 , N/A , N/A ,$58.34 ,$55.69 ,$232.24 ,$582.25 ,$497.66 ,$450.73 ,$191.80 ,$616.50 ,$493.20 ,$685.00 ,$44.37 ,$431.55 ,$431.55 ,$221.18 ,$328.80 ,$616.50 ST. JOHN'S HOSPITAL,32000464,76010,HC BABYGRAM,320,1 ,$517.00 ,$336.05 ,$25.50 ,$517.00 ,$194.38 ,$30.54 ,$280.21 ,$77.75 ,$144.76 ,$128.23 ,$77.75 ,$154.07 ,$77.75 ,$197.49 ,$37.54 ,$77.75 ,$197.49 ,$147.73 ,$72.58 ,$263.67 ,$194.38 ,$77.75 ,$361.90 ,$77.75 ,$258.50 ,$79.31 ,$387.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$25.50 ,$25.50 ,$25.50 ,$517.00 ,$439.45 ,$194.38 ,$413.60 ,$191.29 ,$413.60 ,$77.75 ,$77.75 ,$517.00 ,$280.21 ,$77.75 ,$135.97 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$439.45 ,$174.94 ,$340.19 ,$144.76 ,$465.30 ,$372.24 ,$517.00 ,$25.50 ,$325.71 ,$325.71 ,$77.75 ,$248.16 ,$465.30 ST. JOHN'S HOSPITAL,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,"$1,124.00 ",$730.60 ,$43.38 ,"$1,161.16 ","$1,161.15 ",$58.06 ,$609.21 ,$464.46 ,$314.72 ,$214.86 ,$464.46 ,$258.17 ,$464.46 ,$429.37 ,$63.87 ,$464.46 ,$429.37 ,$882.48 ,$122.28 ,$573.24 ,"$1,161.16 ",$464.46 ,$786.80 ,$464.46 ,$562.00 ,$473.75 ,$843.00 ,$166.00 ,$150.00 ,$166.00 ,$464.46 ,$166.00 ,$43.38 ,$43.38 ,$43.38 ,"$1,124.00 ",$955.40 ,"$1,124.00 ",$899.20 ,$415.88 ,$899.20 ,$464.46 ,$464.46 ,"$1,124.00 ",$609.21 ,$464.46 ,$295.61 , N/A , N/A ,$332.48 ,$317.36 ,$487.68 ,$955.40 ,"$1,045.04 ",$739.59 ,$314.72 ,"$1,011.60 ",$809.28 ,"$1,124.00 ",$43.38 ,$708.12 ,$708.12 ,$464.46 ,$539.52 ,"$1,011.60 " ST. JOHN'S HOSPITAL,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$380.00 ,$247.00 ,$12.08 ,"$1,161.16 ","$1,161.15 ",$18.42 ,$205.96 ,$464.46 ,$106.40 ,$67.85 ,$464.46 ,$81.53 ,$380.00 ,$145.16 ,$17.79 ,$380.00 ,$145.16 ,$380.00 ,$92.70 ,$193.80 ,"$1,161.16 ",$464.46 ,$266.00 ,$464.46 ,$190.00 ,$380.00 ,$285.00 ,$166.00 ,$150.00 ,$166.00 ,$464.46 ,$166.00 ,$12.08 ,$12.08 ,$12.08 ,$380.00 ,$323.00 ,$380.00 ,$304.00 ,$140.60 ,$304.00 ,$464.46 ,$464.46 ,$28.70 ,$205.96 ,$464.46 ,$99.94 , N/A , N/A ,$58.34 ,$55.69 ,$487.68 ,$323.00 ,"$1,045.04 ",$250.04 ,$106.40 ,$342.00 ,$273.60 ,$380.00 ,$12.08 ,$239.40 ,$239.40 ,$464.46 ,$182.40 ,$342.00 ST. JOHN'S HOSPITAL,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,803.00 ","$1,171.95 ",$100.52 ,"$1,803.00 ", N/A ,$166.50 ,$977.23 , N/A ,$504.84 ,$487.77 , N/A ,$586.09 , N/A ,$688.75 ,$148.00 , N/A ,$688.75 , N/A ,$948.38 ,$919.53 , N/A , N/A ,"$1,262.10 ", N/A ,$901.50 , N/A ,"$1,352.25 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$100.52 ,$100.52 ,$100.52 ,"$1,803.00 ","$1,532.55 ", N/A ,"$1,442.40 ",$667.11 ,"$1,442.40 ", N/A , N/A ,"$1,803.00 ",$977.23 , N/A ,$474.19 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,532.55 ", N/A ,"$1,186.37 ",$504.84 ,"$1,622.70 ","$1,298.16 ","$1,803.00 ",$100.52 ,"$1,135.89 ","$1,135.89 ", N/A ,$865.44 ,"$1,622.70 " ST. JOHN'S HOSPITAL,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$232.00 ,$150.80 ,$61.02 ,$317.36 , N/A ,$85.58 ,$125.74 , N/A ,$64.96 ,$80.04 , N/A ,$89.09 , N/A ,$88.62 ,$151.66 , N/A ,$88.62 , N/A ,$122.03 ,$118.32 , N/A , N/A ,$162.40 , N/A ,$116.00 , N/A ,$174.00 ,$103.47 ,$93.03 ,$103.47 , N/A ,$103.47 ,$102.99 ,$102.99 ,$102.99 ,$232.00 ,$197.20 , N/A ,$185.60 ,$85.84 ,$185.60 , N/A , N/A ,$232.00 ,$125.74 , N/A ,$61.02 , N/A , N/A ,$232.00 ,$317.36 , N/A ,$197.20 , N/A ,$152.66 ,$64.96 ,$208.80 ,$167.04 ,$232.00 ,$102.99 ,$146.16 ,$146.16 , N/A ,$111.36 ,$208.80 ST. JOHN'S HOSPITAL,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$479.00 ,$311.35 ,$95.04 ,$479.00 , N/A ,$106.50 ,$259.62 , N/A ,$134.12 ,$165.26 , N/A ,$183.94 , N/A ,$182.98 ,$139.95 , N/A ,$182.98 , N/A ,$251.95 ,$244.29 , N/A , N/A ,$335.30 , N/A ,$239.50 , N/A ,$359.25 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$95.04 ,$95.04 ,$95.04 ,$479.00 ,$407.15 , N/A ,$383.20 ,$177.23 ,$383.20 , N/A , N/A ,$479.00 ,$259.62 , N/A ,$125.98 , N/A , N/A ,$332.48 ,$317.36 , N/A ,$407.15 , N/A ,$315.18 ,$134.12 ,$431.10 ,$344.88 ,$479.00 ,$95.04 ,$301.77 ,$301.77 , N/A ,$229.92 ,$431.10 ST. JOHN'S HOSPITAL,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$9,309.00 ","$6,050.85 ",$150.00 ,"$9,309.00 ","$5,697.90 ","$4,282.14 ","$5,045.48 ","$2,279.16 ","$2,606.52 ","$2,978.88 ","$2,279.16 ","$3,425.71 ","$2,279.16 ","$3,556.04 ",$292.07 ,"$2,279.16 ","$3,556.04 ","$4,330.41 ","$4,896.53 ","$4,747.59 ","$5,697.91 ","$2,279.16 ","$6,516.30 ","$2,279.16 ","$4,654.50 ","$2,324.75 ","$6,981.75 ",$166.00 ,$150.00 ,$166.00 ,"$2,279.16 ",$166.00 ,"$6,516.30 ","$6,516.30 ","$6,516.30 ","$9,309.00 ","$7,912.65 ","$5,697.91 ","$7,447.20 ","$3,444.33 ","$7,447.20 ","$2,279.16 ","$2,279.16 ",$619.99 ,"$5,045.48 ","$2,279.16 ","$2,448.27 ", N/A , N/A ,"$1,938.46 ","$1,850.35 ","$2,393.12 ","$7,912.65 ","$5,128.12 ","$6,125.32 ","$2,606.52 ","$8,378.10 ","$6,702.48 ","$9,309.00 ","$6,516.30 ","$5,864.67 ","$5,864.67 ","$2,279.16 ","$4,468.32 ","$8,378.10 " ST. JOHN'S HOSPITAL,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$6,206.00 ","$4,033.90 ",$150.00 ,"$6,206.00 ","$3,381.25 ","$2,854.76 ","$3,363.65 ","$1,352.50 ","$1,737.68 ","$1,985.92 ","$1,352.50 ","$2,283.81 ","$1,352.50 ","$2,370.69 ",$292.07 ,"$1,352.50 ","$2,370.69 ","$2,569.74 ","$3,264.36 ","$3,165.06 ","$3,381.24 ","$1,352.50 ","$4,344.20 ","$1,352.50 ","$3,103.00 ","$1,379.54 ","$4,654.50 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,344.20 ","$4,344.20 ","$4,344.20 ","$6,206.00 ","$5,275.10 ","$3,381.24 ","$4,964.80 ","$2,296.22 ","$4,964.80 ","$1,352.50 ","$1,352.50 ",$619.99 ,"$3,363.65 ","$1,352.50 ","$1,632.18 ", N/A , N/A ,"$1,292.31 ","$1,233.57 ","$1,420.13 ","$5,275.10 ","$3,043.11 ","$4,083.55 ","$1,737.68 ","$5,585.40 ","$4,468.32 ","$6,206.00 ","$4,344.20 ","$3,909.78 ","$3,909.78 ","$1,352.50 ","$2,978.88 ","$5,585.40 " ST. JOHN'S HOSPITAL,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$4,920.00 ","$3,198.00 ",$150.00 ,"$4,920.00 ","$1,495.43 ","$2,263.20 ","$2,666.64 ",$598.17 ,"$1,377.60 ","$1,574.40 ",$598.17 ,"$1,810.56 ",$598.17 ,"$1,879.44 ",$174.74 ,$598.17 ,"$1,879.44 ","$1,136.52 ","$2,587.92 ","$2,509.20 ","$1,495.43 ",$598.17 ,"$3,444.00 ",$598.17 ,"$2,460.00 ",$610.13 ,"$3,690.00 ",$166.00 ,$150.00 ,$166.00 ,$598.17 ,$166.00 ,"$3,444.00 ","$3,444.00 ","$3,444.00 ","$4,920.00 ","$4,182.00 ","$1,495.43 ","$3,936.00 ","$1,820.40 ","$3,936.00 ",$598.17 ,$598.17 ,$266.06 ,"$2,666.64 ",$598.17 ,"$1,293.96 ", N/A , N/A ,$187.78 ,$179.25 ,$628.08 ,"$4,182.00 ","$1,345.88 ","$3,237.36 ","$1,377.60 ","$4,428.00 ","$3,542.40 ","$4,920.00 ","$3,444.00 ","$3,099.60 ","$3,099.60 ",$598.17 ,"$2,361.60 ","$4,428.00 " ST. JOHN'S HOSPITAL,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$3,280.00 ","$2,132.00 ",$119.50 ,"$3,280.00 ","$1,495.43 ","$1,508.80 ","$1,777.76 ",$598.17 ,$918.40 ,"$1,049.60 ",$598.17 ,"$1,207.04 ",$598.17 ,"$1,252.96 ",$174.74 ,$598.17 ,"$1,252.96 ","$1,136.52 ","$1,725.28 ","$1,672.80 ","$1,495.43 ",$598.17 ,"$2,296.00 ",$598.17 ,"$1,640.00 ",$610.13 ,"$2,460.00 ",$166.00 ,$150.00 ,$166.00 ,$598.17 ,$166.00 ,"$2,296.00 ","$2,296.00 ","$2,296.00 ","$3,280.00 ","$2,788.00 ","$1,495.43 ","$2,624.00 ","$1,213.60 ","$2,624.00 ",$598.17 ,$598.17 ,$266.06 ,"$1,777.76 ",$598.17 ,$862.64 , N/A , N/A ,$125.19 ,$119.50 ,$628.08 ,"$2,788.00 ","$1,345.88 ","$2,158.24 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,296.00 ","$2,066.40 ","$2,066.40 ",$598.17 ,"$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,$759.00 ,$493.35 ,$40.72 ,$759.00 ,$552.95 ,$69.62 ,$411.38 ,$221.18 ,$212.52 ,$261.86 ,$221.18 ,$291.46 ,$221.18 ,$289.94 ,$81.43 ,$221.18 ,$289.94 ,$420.25 ,$131.76 ,$387.09 ,$552.96 ,$221.18 ,$531.30 ,$221.18 ,$379.50 ,$225.61 ,$569.25 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$55.31 ,$55.31 ,$55.31 ,$759.00 ,$645.15 ,$552.96 ,$607.20 ,$280.83 ,$607.20 ,$221.18 ,$221.18 ,$40.72 ,$411.38 ,$221.18 ,$199.62 , N/A , N/A ,$332.48 ,$317.36 ,$232.24 ,$645.15 ,$497.66 ,$499.42 ,$212.52 ,$683.10 ,$546.48 ,$759.00 ,$55.31 ,$478.17 ,$478.17 ,$221.18 ,$364.32 ,$683.10 ST. JOHN'S HOSPITAL,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$713.00 ,$463.45 ,$32.45 ,$713.00 ,$261.63 ,$40.44 ,$386.45 ,$104.65 ,$199.64 ,$162.33 ,$104.65 ,$195.05 ,$104.65 ,$272.37 ,$47.78 ,$104.65 ,$272.37 ,$198.84 ,$110.45 ,$363.63 ,$261.63 ,$104.65 ,$499.10 ,$104.65 ,$356.50 ,$106.75 ,$534.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$32.45 ,$32.45 ,$32.45 ,$713.00 ,$606.05 ,$261.63 ,$570.40 ,$263.81 ,$570.40 ,$104.65 ,$104.65 ,$713.00 ,$386.45 ,$104.65 ,$187.52 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$606.05 ,$235.47 ,$469.15 ,$199.64 ,$641.70 ,$513.36 ,$713.00 ,$32.45 ,$449.19 ,$449.19 ,$104.65 ,$342.24 ,$641.70 ST. JOHN'S HOSPITAL,32000493,77074,HC BONE SURVEY LIMITED,320,1 ,$728.00 ,$473.20 ,$55.69 ,$728.00 ,$261.63 ,$80.64 ,$394.58 ,$104.65 ,$203.84 ,$251.16 ,$104.65 ,$279.55 ,$104.65 ,$278.10 ,$92.40 ,$104.65 ,$278.10 ,$198.84 ,$151.89 ,$371.28 ,$261.63 ,$104.65 ,$509.60 ,$104.65 ,$364.00 ,$106.75 ,$546.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$62.76 ,$62.76 ,$62.76 ,$728.00 ,$618.80 ,$261.63 ,$582.40 ,$269.36 ,$582.40 ,$104.65 ,$104.65 ,$728.00 ,$394.58 ,$104.65 ,$191.46 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$618.80 ,$235.47 ,$479.02 ,$203.84 ,$655.20 ,$524.16 ,$728.00 ,$62.76 ,$458.64 ,$458.64 ,$104.65 ,$349.44 ,$655.20 ST. JOHN'S HOSPITAL,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,195.00 ",$776.75 ,$55.69 ,"$1,195.00 ",$261.63 ,$114.76 ,$647.69 ,$104.65 ,$334.60 ,$412.28 ,$104.65 ,$458.88 ,$104.65 ,$456.49 ,$134.10 ,$104.65 ,$456.49 ,$198.84 ,$248.94 ,$609.45 ,$261.63 ,$104.65 ,$836.50 ,$104.65 ,$597.50 ,$106.75 ,$896.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$91.07 ,$91.07 ,$91.07 ,"$1,195.00 ","$1,015.75 ",$261.63 ,$956.00 ,$442.15 ,$956.00 ,$104.65 ,$104.65 ,"$1,195.00 ",$647.69 ,$104.65 ,$314.29 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,"$1,015.75 ",$235.47 ,$786.31 ,$334.60 ,"$1,075.50 ",$860.40 ,"$1,195.00 ",$91.07 ,$752.85 ,$752.85 ,$104.65 ,$573.60 ,"$1,075.50 " ST. JOHN'S HOSPITAL,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$664.00 ,$431.60 ,$55.69 ,$664.00 ,$261.63 ,$114.76 ,$359.89 ,$104.65 ,$185.92 ,$229.08 ,$104.65 ,$254.98 ,$104.65 ,$253.65 ,$135.56 ,$104.65 ,$253.65 ,$198.84 ,$251.32 ,$338.64 ,$261.63 ,$104.65 ,$464.80 ,$104.65 ,$332.00 ,$106.75 ,$498.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$92.07 ,$92.07 ,$92.07 ,$664.00 ,$564.40 ,$261.63 ,$531.20 ,$245.68 ,$531.20 ,$104.65 ,$104.65 ,$664.00 ,$359.89 ,$104.65 ,$174.63 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$564.40 ,$235.47 ,$436.91 ,$185.92 ,$597.60 ,$478.08 ,$664.00 ,$92.07 ,$418.32 ,$418.32 ,$104.65 ,$318.72 ,$597.60 ST. JOHN'S HOSPITAL,32000496,77080,HC BONE DENSITY DXA,320,1 ,$898.00 ,$583.70 ,$42.39 ,$898.00 ,$261.63 ,$65.76 ,$486.72 ,$104.65 ,$251.44 ,$299.95 ,$104.65 ,$344.83 ,$104.65 ,$343.04 ,$62.41 ,$104.65 ,$343.04 ,$198.84 ,$98.62 ,$457.98 ,$261.63 ,$104.65 ,$628.60 ,$104.65 ,$449.00 ,$106.75 ,$673.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$42.39 ,$42.39 ,$42.39 ,$898.00 ,$763.30 ,$261.63 ,$718.40 ,$332.26 ,$718.40 ,$104.65 ,$104.65 ,$898.00 ,$486.72 ,$104.65 ,$236.17 , N/A , N/A ,$92.16 ,$87.97 ,$109.88 ,$763.30 ,$235.47 ,$590.88 ,$251.44 ,$808.20 ,$646.56 ,$898.00 ,$42.39 ,$565.74 ,$565.74 ,$104.65 ,$431.04 ,$808.20 ST. JOHN'S HOSPITAL,32000497,77081,HC BONE DENSITY PERIPHERAL,320,1 ,$688.00 ,$447.20 ,$28.88 ,$688.00 ,$194.38 ,$28.88 ,$372.90 ,$77.75 ,$192.64 ,$164.60 ,$77.75 ,$197.78 ,$77.75 ,$262.82 ,$47.78 ,$77.75 ,$262.82 ,$147.73 ,$74.92 ,$350.88 ,$194.38 ,$77.75 ,$481.60 ,$77.75 ,$344.00 ,$79.31 ,$516.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$32.45 ,$32.45 ,$32.45 ,$688.00 ,$584.80 ,$194.38 ,$550.40 ,$254.56 ,$550.40 ,$77.75 ,$77.75 ,$688.00 ,$372.90 ,$77.75 ,$180.94 , N/A , N/A ,$92.16 ,$87.97 ,$81.64 ,$584.80 ,$174.94 ,$452.70 ,$192.64 ,$619.20 ,$495.36 ,$688.00 ,$32.45 ,$433.44 ,$433.44 ,$77.75 ,$330.24 ,$619.20 ST. JOHN'S HOSPITAL,32000499,0238T,HC TRNLUM PERIP ATHRC ILIAC ARTY 0238T,320,1 ,"$31,600.00 ","$20,540.00 ",$150.00 ,"$38,594.64 ","$38,594.63 ","$4,073.09 ","$17,127.20 ","$15,437.85 ","$8,848.00 ","$10,112.00 ","$15,437.85 ","$11,628.80 ","$15,437.85 ","$12,071.20 ","$12,640.00 ","$15,437.85 ","$12,071.20 ","$29,331.92 ","$16,621.60 ","$16,116.00 ","$38,594.64 ","$15,437.85 ","$22,120.00 ","$15,437.85 ","$15,800.00 ","$15,746.61 ","$23,700.00 ",$166.00 ,$150.00 ,$166.00 ,"$15,437.85 ",$166.00 ,"$22,120.00 ","$22,120.00 ","$22,120.00 ","$31,600.00 ","$26,860.00 ","$31,600.00 ","$25,280.00 ","$11,692.00 ","$25,280.00 ","$15,437.85 ","$15,437.85 ","$31,600.00 ","$17,127.20 ","$15,437.85 ","$8,310.80 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$26,860.00 ","$34,735.17 ","$20,792.80 ","$8,848.00 ","$28,440.00 ","$22,752.00 ","$31,600.00 ","$22,120.00 ","$19,908.00 ","$19,908.00 ","$15,437.85 ","$15,168.00 ","$28,440.00 " ST. JOHN'S HOSPITAL,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$685.00 ,$445.25 ,$44.37 ,$685.00 ,$552.95 ,$72.38 ,$371.27 ,$221.18 ,$191.80 ,$236.33 ,$221.18 ,$263.04 ,$221.18 ,$261.67 ,$65.34 ,$221.18 ,$261.67 ,$420.25 ,$95.05 ,$349.35 ,$552.96 ,$221.18 ,$479.50 ,$221.18 ,$342.50 ,$225.61 ,$513.75 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,$685.00 ,$582.25 ,$552.96 ,$548.00 ,$253.45 ,$548.00 ,$221.18 ,$221.18 ,$685.00 ,$371.27 ,$221.18 ,$180.16 , N/A , N/A ,$58.34 ,$55.69 ,$232.24 ,$582.25 ,$497.66 ,$450.73 ,$191.80 ,$616.50 ,$493.20 ,$685.00 ,$44.37 ,$431.55 ,$431.55 ,$221.18 ,$328.80 ,$616.50 ST. JOHN'S HOSPITAL,32000503,20501,HC INJ TRACT SINOGRAM DIAG,320,1 ,$744.00 ,$483.60 ,$86.84 ,$744.00 , N/A ,$342.24 ,$403.25 , N/A ,$208.32 ,$238.08 , N/A ,$273.79 , N/A ,$284.21 ,$86.84 , N/A ,$284.21 , N/A ,$391.34 ,$379.44 , N/A , N/A ,$520.80 , N/A ,$372.00 , N/A ,$558.00 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$520.80 ,$520.80 ,$520.80 ,$744.00 ,$632.40 , N/A ,$595.20 ,$275.28 ,$595.20 , N/A , N/A ,$744.00 ,$403.25 , N/A ,$195.67 , N/A , N/A ,$363.95 ,$347.40 , N/A ,$632.40 , N/A ,$489.55 ,$208.32 ,$669.60 ,$535.68 ,$744.00 ,$520.80 ,$468.72 ,$468.72 , N/A ,$357.12 ,$669.60 ST. JOHN'S HOSPITAL,32000509,77072,HC BONE AGE STUDIES,320,1 ,$604.00 ,$392.60 ,$20.52 ,$604.00 ,$261.63 ,$23.94 ,$327.37 ,$104.65 ,$169.12 ,$102.01 ,$104.65 ,$122.57 ,$104.65 ,$230.73 ,$30.22 ,$104.65 ,$230.73 ,$198.84 ,$58.37 ,$308.04 ,$261.63 ,$104.65 ,$422.80 ,$104.65 ,$302.00 ,$106.75 ,$453.00 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$20.52 ,$20.52 ,$20.52 ,$604.00 ,$513.40 ,$261.63 ,$483.20 ,$223.48 ,$483.20 ,$104.65 ,$104.65 ,$604.00 ,$327.37 ,$104.65 ,$158.85 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$513.40 ,$235.47 ,$397.43 ,$169.12 ,$543.60 ,$434.88 ,$604.00 ,$20.52 ,$380.52 ,$380.52 ,$104.65 ,$289.92 ,$543.60 ST. JOHN'S HOSPITAL,32000515,G0278,HC ILIAC ARTERY ANGIO W CATH G0278,320,1 ,"$5,013.00 ","$3,258.45 ",$32.25 ,"$5,013.00 ", N/A ,"$2,305.98 ","$2,717.05 ", N/A ,"$1,403.64 ",$116.87 , N/A ,$140.43 , N/A ,"$1,914.97 ",$32.25 , N/A ,"$1,914.97 ", N/A ,"$2,636.84 ","$2,556.63 ", N/A , N/A ,"$3,509.10 ", N/A ,"$2,506.50 ", N/A ,"$3,759.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$3,509.10 ","$3,509.10 ","$3,509.10 ","$5,013.00 ","$4,261.05 ", N/A ,"$4,010.40 ","$1,854.81 ","$4,010.40 ", N/A , N/A ,"$5,013.00 ","$2,717.05 ", N/A ,"$1,318.42 ", N/A , N/A , N/A , N/A , N/A ,"$4,261.05 ", N/A ,"$3,298.55 ","$1,403.64 ","$4,511.70 ","$3,609.36 ","$5,013.00 ","$3,509.10 ","$3,158.19 ","$3,158.19 ", N/A ,"$2,406.24 ","$4,511.70 " ST. JOHN'S HOSPITAL,32000528,47543,HC ENDO BILIARY PERC DX WITH SPECIMEN,320,1 ,"$1,641.00 ","$1,066.65 ",$150.00 ,"$1,641.00 ", N/A ,$754.86 ,$889.42 , N/A ,$459.48 ,$525.12 , N/A ,$603.89 , N/A ,$626.86 ,$258.46 , N/A ,$626.86 , N/A ,$863.17 ,$836.91 , N/A , N/A ,"$1,148.70 ", N/A ,$820.50 , N/A ,"$1,230.75 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,148.70 ","$1,148.70 ","$1,148.70 ","$1,641.00 ","$1,394.85 ", N/A ,"$1,312.80 ",$607.17 ,"$1,312.80 ", N/A , N/A ,"$1,641.00 ",$889.42 , N/A ,$431.58 , N/A , N/A , N/A , N/A , N/A ,"$1,394.85 ", N/A ,"$1,079.78 ",$459.48 ,"$1,476.90 ","$1,181.52 ","$1,641.00 ","$1,148.70 ","$1,033.83 ","$1,033.83 ", N/A ,$787.68 ,"$1,476.90 " ST. JOHN'S HOSPITAL,32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,"$2,169.00 ","$1,409.85 ",$150.00 ,"$2,169.00 ","$1,298.95 ",$997.74 ,"$1,175.60 ",$519.58 ,$607.32 ,$694.08 ,$519.58 ,$798.19 ,$519.58 ,$828.56 ,$166.75 ,$519.58 ,$828.56 ,$987.20 ,"$1,140.89 ","$1,106.19 ","$1,298.95 ",$519.58 ,"$1,518.30 ",$519.58 ,"$1,084.50 ",$529.97 ,"$1,626.75 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$1,518.30 ","$1,518.30 ","$1,518.30 ","$2,169.00 ","$1,843.65 ","$1,298.95 ","$1,735.20 ",$802.53 ,"$1,735.20 ",$519.58 ,$519.58 ,"$2,169.00 ","$1,175.60 ",$519.58 ,$570.45 , N/A , N/A ,$725.23 ,$692.27 ,$545.56 ,"$1,843.65 ","$1,169.06 ","$1,427.20 ",$607.32 ,"$1,952.10 ","$1,561.68 ","$2,169.00 ","$1,518.30 ","$1,366.47 ","$1,366.47 ",$519.58 ,"$1,041.12 ","$1,952.10 " ST. JOHN'S HOSPITAL,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$5,988.00 ","$3,892.20 ",$150.00 ,"$5,988.00 ","$1,948.43 ","$2,754.48 ","$3,245.50 ",$779.37 ,"$1,676.64 ","$1,916.16 ",$779.37 ,"$2,203.58 ",$779.37 ,"$2,287.42 ",$207.23 ,$779.37 ,"$2,287.42 ","$1,480.80 ","$3,149.69 ","$3,053.88 ","$1,948.43 ",$779.37 ,"$4,191.60 ",$779.37 ,"$2,994.00 ",$794.96 ,"$4,491.00 ",$166.00 ,$150.00 ,$166.00 ,$779.37 ,$166.00 ,"$4,191.60 ","$4,191.60 ","$4,191.60 ","$5,988.00 ","$5,089.80 ","$1,948.43 ","$4,790.40 ","$2,215.56 ","$4,790.40 ",$779.37 ,$779.37 ,"$5,988.00 ","$3,245.50 ",$779.37 ,"$1,574.84 ", N/A , N/A ,"$1,087.85 ","$1,038.40 ",$818.34 ,"$5,089.80 ","$1,753.58 ","$3,940.10 ","$1,676.64 ","$5,389.20 ","$4,311.36 ","$5,988.00 ","$4,191.60 ","$3,772.44 ","$3,772.44 ",$779.37 ,"$2,874.24 ","$5,389.20 " ST. JOHN'S HOSPITAL,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,"$3,991.00 ","$2,594.15 ",$150.00 ,"$3,991.00 ","$1,298.95 ","$1,835.86 ","$2,163.12 ",$519.58 ,"$1,117.48 ","$1,277.12 ",$519.58 ,"$1,468.69 ",$519.58 ,"$1,524.56 ",$207.23 ,$519.58 ,"$1,524.56 ",$987.20 ,"$2,099.27 ","$2,035.41 ","$1,298.95 ",$519.58 ,"$2,793.70 ",$519.58 ,"$1,995.50 ",$529.97 ,"$2,993.25 ",$166.00 ,$150.00 ,$166.00 ,$519.58 ,$166.00 ,"$2,793.70 ","$2,793.70 ","$2,793.70 ","$3,991.00 ","$3,392.35 ","$1,298.95 ","$3,192.80 ","$1,476.67 ","$3,192.80 ",$519.58 ,$519.58 ,"$3,991.00 ","$2,163.12 ",$519.58 ,"$1,049.63 ", N/A , N/A ,$725.23 ,$692.27 ,$545.56 ,"$3,392.35 ","$1,169.06 ","$2,626.08 ","$1,117.48 ","$3,591.90 ","$2,873.52 ","$3,991.00 ","$2,793.70 ","$2,514.33 ","$2,514.33 ",$519.58 ,"$1,915.68 ","$3,591.90 " ST. JOHN'S HOSPITAL,32000532,32556,HC PLEURAL DRAINAGE W/O IMAGING 32556,450,1 ,"$4,876.00 ","$3,169.40 ",$425.00 ,"$4,876.00 ","$3,903.18 ","$2,242.96 ","$2,642.79 ","$1,561.27 ","$1,365.28 ","$1,682.22 ","$1,561.27 ","$1,921.14 ","$1,561.27 ","$1,950.40 ","$1,950.40 ","$1,561.27 ","$1,950.40 ","$2,966.42 ","$2,564.78 ","$1,049.00 ","$3,903.18 ","$1,561.27 ","$3,413.20 ","$1,561.27 ","$2,438.00 ","$1,592.50 ","$3,657.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,561.27 ","$1,856.00 ","$3,071.88 ","$3,071.88 ","$3,461.96 ","$4,876.00 ","$4,144.60 ","$3,903.18 ","$3,900.80 ","$1,804.12 ","$3,900.80 ","$1,561.27 ","$1,561.27 ","$4,876.00 ","$2,642.79 ","$1,561.27 ","$1,282.39 ", N/A , N/A , N/A , N/A ,"$1,639.33 ","$4,144.60 ","$3,512.86 ","$1,950.40 ","$1,365.28 ","$4,388.40 ","$3,510.72 ","$4,876.00 ","$3,071.88 ",$425.00 ,$425.00 ,"$1,561.27 ","$2,340.48 ","$4,388.40 " ST. JOHN'S HOSPITAL,32000533,32557,HC PLEURAL DRAINAGE W/IMAGING 32557,320,1 ,"$7,308.00 ","$4,750.20 ",$150.00 ,"$7,308.00 ","$3,379.28 ","$3,361.68 ","$3,960.94 ","$1,351.71 ","$2,046.24 ","$2,338.56 ","$1,351.71 ","$2,689.34 ","$1,351.71 ","$2,791.66 ",$282.86 ,"$1,351.71 ","$2,791.66 ","$2,568.26 ","$3,844.01 ","$3,727.08 ","$3,379.28 ","$1,351.71 ","$5,115.60 ","$1,351.71 ","$3,654.00 ","$1,378.75 ","$5,481.00 ",$166.00 ,$150.00 ,$166.00 ,"$1,351.71 ",$166.00 ,"$5,115.60 ","$5,115.60 ","$5,115.60 ","$7,308.00 ","$6,211.80 ","$3,379.28 ","$5,846.40 ","$2,703.96 ","$5,846.40 ","$1,351.71 ","$1,351.71 ","$7,308.00 ","$3,960.94 ","$1,351.71 ","$1,922.00 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,419.30 ","$6,211.80 ","$3,041.36 ","$4,808.66 ","$2,046.24 ","$6,577.20 ","$5,261.76 ","$7,308.00 ","$5,115.60 ","$4,604.04 ","$4,604.04 ","$1,351.71 ","$3,507.84 ","$6,577.20 " ST. JOHN'S HOSPITAL,32000533,32557,HC PLEURAL DRAINAGE W/IMAGING 32557,320,1 ,"$10,962.00 ","$7,125.30 ",$150.00 ,"$10,962.00 ","$6,879.30 ","$5,042.52 ","$5,941.40 ","$2,751.72 ","$3,069.36 ","$3,507.84 ","$2,751.72 ","$4,034.02 ","$2,751.72 ","$4,187.48 ",$282.86 ,"$2,751.72 ","$4,187.48 ","$5,228.27 ","$5,766.01 ","$5,590.62 ","$6,879.30 ","$2,751.72 ","$7,673.40 ","$2,751.72 ","$5,481.00 ","$2,806.76 ","$8,221.50 ",$166.00 ,$150.00 ,$166.00 ,"$2,751.72 ",$166.00 ,"$7,673.40 ","$7,673.40 ","$7,673.40 ","$10,962.00 ","$9,317.70 ","$6,879.30 ","$8,769.60 ","$4,055.94 ","$8,769.60 ","$2,751.72 ","$2,751.72 ","$10,962.00 ","$5,941.40 ","$2,751.72 ","$2,883.01 ", N/A , N/A ,"$1,087.85 ","$1,038.40 ","$2,889.31 ","$9,317.70 ","$6,191.37 ","$7,213.00 ","$3,069.36 ","$9,865.80 ","$7,892.64 ","$10,962.00 ","$7,673.40 ","$6,906.06 ","$6,906.06 ","$2,751.72 ","$5,261.76 ","$9,865.80 " ST. JOHN'S HOSPITAL,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$838.00 ,$544.70 ,$40.40 ,$838.00 ,$261.63 ,$56.96 ,$454.20 ,$104.65 ,$234.64 ,$208.15 ,$104.65 ,$250.11 ,$104.65 ,$320.12 ,$59.48 ,$104.65 ,$320.12 ,$198.84 ,$112.83 ,$427.38 ,$261.63 ,$104.65 ,$586.60 ,$104.65 ,$419.00 ,$106.75 ,$628.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$40.40 ,$40.40 ,$40.40 ,$838.00 ,$712.30 ,$261.63 ,$670.40 ,$310.06 ,$670.40 ,$104.65 ,$104.65 ,$838.00 ,$454.20 ,$104.65 ,$220.39 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$712.30 ,$235.47 ,$551.40 ,$234.64 ,$754.20 ,$603.36 ,$838.00 ,$40.40 ,$527.94 ,$527.94 ,$104.65 ,$402.24 ,$754.20 ST. JOHN'S HOSPITAL,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$304.00 ,$197.60 ,$31.46 ,$304.00 ,$261.63 ,$40.44 ,$164.77 ,$104.65 ,$85.12 ,$104.88 ,$104.65 ,$116.74 ,$104.65 ,$116.13 ,$46.32 ,$104.65 ,$116.13 ,$198.84 ,$104.53 ,$155.04 ,$261.63 ,$104.65 ,$212.80 ,$104.65 ,$152.00 ,$106.75 ,$228.00 ,$135.58 ,$121.90 ,$135.58 ,$104.65 ,$135.58 ,$31.46 ,$31.46 ,$31.46 ,$304.00 ,$258.40 ,$261.63 ,$243.20 ,$112.48 ,$243.20 ,$104.65 ,$104.65 ,$304.00 ,$164.77 ,$104.65 ,$79.95 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$258.40 ,$235.47 ,$200.03 ,$85.12 ,$273.60 ,$218.88 ,$304.00 ,$31.46 ,$191.52 ,$191.52 ,$104.65 ,$145.92 ,$273.60 ST. JOHN'S HOSPITAL,32000553,70320,HC XR FULL MOUTH,320,1 ,$557.00 ,$362.05 ,$55.69 ,$557.00 ,$552.95 ,$58.62 ,$301.89 ,$221.18 ,$155.96 ,$192.17 ,$221.18 ,$213.89 ,$221.18 ,$212.77 ,$86.55 ,$221.18 ,$212.77 ,$420.25 ,$156.61 ,$284.07 ,$552.96 ,$221.18 ,$389.90 ,$221.18 ,$278.50 ,$225.61 ,$417.75 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$58.79 ,$58.79 ,$58.79 ,$557.00 ,$473.45 ,$552.96 ,$445.60 ,$206.09 ,$445.60 ,$221.18 ,$221.18 ,$557.00 ,$301.89 ,$221.18 ,$146.49 , N/A , N/A ,$58.34 ,$55.69 ,$232.24 ,$473.45 ,$497.66 ,$366.51 ,$155.96 ,$501.30 ,$401.04 ,$557.00 ,$58.79 ,$350.91 ,$350.91 ,$221.18 ,$267.36 ,$501.30 ST. JOHN'S HOSPITAL,32000556,77071,HC XR JOINT STRESS BY PHYS,320,1 ,$608.00 ,$395.20 ,$73.94 ,$608.00 ,$194.38 ,$88.84 ,$329.54 ,$77.75 ,$170.24 ,$209.76 ,$77.75 ,$233.47 ,$77.75 ,$232.26 ,$108.86 ,$77.75 ,$232.26 ,$147.73 ,$307.27 ,$310.08 ,$194.38 ,$77.75 ,$425.60 ,$77.75 ,$304.00 ,$79.31 ,$456.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$73.94 ,$73.94 ,$73.94 ,$608.00 ,$516.80 ,$194.38 ,$486.40 ,$224.96 ,$486.40 ,$77.75 ,$77.75 ,$608.00 ,$329.54 ,$77.75 ,$159.90 , N/A , N/A , N/A , N/A ,$81.64 ,$516.80 ,$174.94 ,$400.06 ,$170.24 ,$547.20 ,$437.76 ,$608.00 ,$73.94 ,$383.04 ,$383.04 ,$77.75 ,$291.84 ,$547.20 ST. JOHN'S HOSPITAL,32000560,49460,HC MECHAN REMOVAL OF OBSTRUCT MATERIAL FROM G/J/D TUBE FLUOR/CONT,320,1 ,"$2,522.00 ","$1,639.30 ",$85.56 ,"$2,522.00 ","$1,944.50 ","$1,160.12 ","$1,366.92 ",$777.80 ,$706.16 ,$807.04 ,$777.80 ,$928.10 ,$777.80 ,$963.40 ,$85.56 ,$777.80 ,$963.40 ,"$1,477.82 ","$1,326.57 ","$1,286.22 ","$1,944.50 ",$777.80 ,"$1,765.40 ",$777.80 ,"$1,261.00 ",$793.35 ,"$1,891.50 ",$166.00 ,$150.00 ,$166.00 ,$777.80 ,$166.00 ,"$1,765.40 ","$1,765.40 ","$1,765.40 ","$2,522.00 ","$2,143.70 ","$1,944.50 ","$2,017.60 ",$933.14 ,"$2,017.60 ",$777.80 ,$777.80 ,"$2,522.00 ","$1,366.92 ",$777.80 ,$663.29 , N/A , N/A ,$631.26 ,$602.56 ,$816.69 ,"$2,143.70 ","$1,750.05 ","$1,659.48 ",$706.16 ,"$2,269.80 ","$1,815.84 ","$2,522.00 ","$1,765.40 ","$1,588.86 ","$1,588.86 ",$777.80 ,"$1,210.56 ","$2,269.80 " ST. JOHN'S HOSPITAL,32000561,49405,HC ABSCESS DRAIN KIDN/LIV/SPLN/LUNG VISERAL 49405,320,1 ,"$6,183.00 ","$4,018.95 ",$150.00 ,"$6,183.00 ","$3,381.25 ","$2,844.18 ","$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,32000562,49406,HC ABSCESS DRAIN PERI/ RETROPER PERC 49406,320,1 ,"$6,183.00 ","$4,018.95 ",$150.00 ,"$6,183.00 ","$3,381.25 ","$2,844.18 ","$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,32000563,49407,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER TV OR TR,320,1 ,"$4,152.00 ","$2,698.80 ",$150.00 ,"$4,152.00 ","$3,381.25 ","$1,909.92 ","$2,250.38 ","$1,352.50 ","$1,162.56 ","$1,328.64 ","$1,352.50 ","$1,527.94 ","$1,352.50 ","$1,586.06 ",$372.71 ,"$1,352.50 ","$1,586.06 ","$2,569.74 ","$2,183.95 ","$2,117.52 ","$3,381.24 ","$1,352.50 ","$2,906.40 ","$1,352.50 ","$2,076.00 ","$1,379.54 ","$3,114.00 ",$166.00 ,$150.00 ,$166.00 ,"$1,352.50 ",$166.00 ,"$2,906.40 ","$2,906.40 ","$2,906.40 ","$4,152.00 ","$3,529.20 ","$3,381.24 ","$3,321.60 ","$1,536.24 ","$3,321.60 ","$1,352.50 ","$1,352.50 ","$4,152.00 ","$2,250.38 ","$1,352.50 ","$1,091.98 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$3,529.20 ","$3,043.11 ","$2,732.02 ","$1,162.56 ","$3,736.80 ","$2,989.44 ","$4,152.00 ","$2,906.40 ","$2,615.76 ","$2,615.76 ","$1,352.50 ","$1,992.96 ","$3,736.80 " ST. JOHN'S HOSPITAL,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$329.00 ,$213.85 ,$35.43 ,$329.00 ,$194.38 ,$43.74 ,$178.32 ,$77.75 ,$92.12 ,$113.51 ,$77.75 ,$126.34 ,$77.75 ,$125.68 ,$52.17 ,$77.75 ,$125.68 ,$147.73 ,$102.15 ,$167.79 ,$194.38 ,$77.75 ,$230.30 ,$77.75 ,$164.50 ,$79.31 ,$246.75 ,$146.73 ,$131.93 ,$146.73 ,$77.75 ,$146.73 ,$35.43 ,$35.43 ,$35.43 ,$329.00 ,$279.65 ,$194.38 ,$263.20 ,$121.73 ,$263.20 ,$77.75 ,$77.75 ,$329.00 ,$178.32 ,$77.75 ,$86.53 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$279.65 ,$174.94 ,$216.48 ,$92.12 ,$296.10 ,$236.88 ,$329.00 ,$35.43 ,$207.27 ,$207.27 ,$77.75 ,$157.92 ,$296.10 ST. JOHN'S HOSPITAL,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$311.00 ,$202.15 ,$37.41 ,$311.00 ,$194.38 ,$41.36 ,$168.56 ,$77.75 ,$87.08 ,$107.30 ,$77.75 ,$119.42 ,$77.75 ,$118.80 ,$55.09 ,$77.75 ,$118.80 ,$147.73 ,$102.15 ,$158.61 ,$194.38 ,$77.75 ,$217.70 ,$77.75 ,$155.50 ,$79.31 ,$233.25 ,$138.71 ,$124.71 ,$138.71 ,$77.75 ,$138.71 ,$37.41 ,$37.41 ,$37.41 ,$311.00 ,$264.35 ,$194.38 ,$248.80 ,$115.07 ,$248.80 ,$77.75 ,$77.75 ,$311.00 ,$168.56 ,$77.75 ,$81.79 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$264.35 ,$174.94 ,$204.64 ,$87.08 ,$279.90 ,$223.92 ,$311.00 ,$37.41 ,$195.93 ,$195.93 ,$77.75 ,$149.28 ,$279.90 ST. JOHN'S HOSPITAL,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$513.00 ,$333.45 ,$55.69 ,$513.00 ,$261.63 ,$74.96 ,$278.05 ,$104.65 ,$143.64 ,$176.99 ,$104.65 ,$196.99 ,$104.65 ,$195.97 ,$100.45 ,$104.65 ,$195.97 ,$198.84 ,$189.76 ,$261.63 ,$261.63 ,$104.65 ,$359.10 ,$104.65 ,$256.50 ,$106.75 ,$384.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$68.22 ,$68.22 ,$68.22 ,$513.00 ,$436.05 ,$261.63 ,$410.40 ,$189.81 ,$410.40 ,$104.65 ,$104.65 ,$513.00 ,$278.05 ,$104.65 ,$134.92 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$436.05 ,$235.47 ,$337.55 ,$143.64 ,$461.70 ,$369.36 ,$513.00 ,$68.22 ,$323.19 ,$323.19 ,$104.65 ,$246.24 ,$461.70 ST. JOHN'S HOSPITAL,32000572,72083,HC XR SPINE/CERV SCOLIOSIS 4-5VW,320,1 ,$750.00 ,$487.50 ,$55.69 ,$750.00 ,$261.63 ,$81.32 ,$406.50 ,$104.65 ,$210.00 ,$258.75 ,$104.65 ,$288.00 ,$104.65 ,$286.50 ,$120.20 ,$104.65 ,$286.50 ,$198.84 ,$213.42 ,$382.50 ,$261.63 ,$104.65 ,$525.00 ,$104.65 ,$375.00 ,$106.75 ,$562.50 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$81.63 ,$81.63 ,$81.63 ,$750.00 ,$637.50 ,$261.63 ,$600.00 ,$277.50 ,$600.00 ,$104.65 ,$104.65 ,$750.00 ,$406.50 ,$104.65 ,$197.25 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$637.50 ,$235.47 ,$493.50 ,$210.00 ,$675.00 ,$540.00 ,$750.00 ,$81.63 ,$472.50 ,$472.50 ,$104.65 ,$360.00 ,$675.00 ST. JOHN'S HOSPITAL,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$311.00 ,$202.15 ,$29.97 ,$311.00 ,$194.38 ,$32.66 ,$168.56 ,$77.75 ,$87.08 ,$107.30 ,$77.75 ,$119.42 ,$77.75 ,$118.80 ,$44.12 ,$77.75 ,$118.80 ,$147.73 ,$79.68 ,$158.61 ,$194.38 ,$77.75 ,$217.70 ,$77.75 ,$155.50 ,$79.31 ,$233.25 ,$138.71 ,$124.71 ,$138.71 ,$77.75 ,$138.71 ,$29.97 ,$29.97 ,$29.97 ,$311.00 ,$264.35 ,$194.38 ,$248.80 ,$115.07 ,$248.80 ,$77.75 ,$77.75 ,$311.00 ,$168.56 ,$77.75 ,$81.79 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$264.35 ,$174.94 ,$204.64 ,$87.08 ,$279.90 ,$223.92 ,$311.00 ,$29.97 ,$195.93 ,$195.93 ,$77.75 ,$149.28 ,$279.90 ST. JOHN'S HOSPITAL,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$513.00 ,$333.45 ,$44.37 ,$513.00 ,$194.38 ,$48.88 ,$278.05 ,$77.75 ,$143.64 ,$176.99 ,$77.75 ,$196.99 ,$77.75 ,$195.97 ,$65.34 ,$77.75 ,$195.97 ,$147.73 ,$123.47 ,$261.63 ,$194.38 ,$77.75 ,$359.10 ,$77.75 ,$256.50 ,$79.31 ,$384.75 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,$513.00 ,$436.05 ,$194.38 ,$410.40 ,$189.81 ,$410.40 ,$77.75 ,$77.75 ,$513.00 ,$278.05 ,$77.75 ,$134.92 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$436.05 ,$174.94 ,$337.55 ,$143.64 ,$461.70 ,$369.36 ,$513.00 ,$44.37 ,$323.19 ,$323.19 ,$77.75 ,$246.24 ,$461.70 ST. JOHN'S HOSPITAL,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$513.00 ,$333.45 ,$37.92 ,$513.00 ,$261.63 ,$45.40 ,$278.05 ,$104.65 ,$143.64 ,$176.99 ,$104.65 ,$196.99 ,$104.65 ,$195.97 ,$55.83 ,$104.65 ,$195.97 ,$198.84 ,$104.53 ,$261.63 ,$261.63 ,$104.65 ,$359.10 ,$104.65 ,$256.50 ,$106.75 ,$384.75 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$37.92 ,$37.92 ,$37.92 ,$513.00 ,$436.05 ,$261.63 ,$410.40 ,$189.81 ,$410.40 ,$104.65 ,$104.65 ,$513.00 ,$278.05 ,$104.65 ,$134.92 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$436.05 ,$235.47 ,$337.55 ,$143.64 ,$461.70 ,$369.36 ,$513.00 ,$37.92 ,$323.19 ,$323.19 ,$104.65 ,$246.24 ,$461.70 ST. JOHN'S HOSPITAL,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$475.00 ,$308.75 ,$48.84 ,$475.00 ,$261.63 ,$54.68 ,$257.45 ,$104.65 ,$133.00 ,$163.88 ,$104.65 ,$182.40 ,$104.65 ,$181.45 ,$71.92 ,$104.65 ,$181.45 ,$198.84 ,$135.30 ,$242.25 ,$261.63 ,$104.65 ,$332.50 ,$104.65 ,$237.50 ,$106.75 ,$356.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$48.84 ,$48.84 ,$48.84 ,$475.00 ,$403.75 ,$261.63 ,$380.00 ,$175.75 ,$380.00 ,$104.65 ,$104.65 ,$475.00 ,$257.45 ,$104.65 ,$124.93 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$403.75 ,$235.47 ,$312.55 ,$133.00 ,$427.50 ,$342.00 ,$475.00 ,$48.84 ,$299.25 ,$299.25 ,$104.65 ,$228.00 ,$427.50 ST. JOHN'S HOSPITAL,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$623.00 ,$404.95 ,$55.69 ,$623.00 ,$261.63 ,$65.68 ,$337.67 ,$104.65 ,$174.44 ,$214.94 ,$104.65 ,$239.23 ,$104.65 ,$237.99 ,$87.28 ,$104.65 ,$237.99 ,$198.84 ,$160.15 ,$317.73 ,$261.63 ,$104.65 ,$436.10 ,$104.65 ,$311.50 ,$106.75 ,$467.25 ,$166.00 ,$150.00 ,$166.00 ,$104.65 ,$166.00 ,$59.28 ,$59.28 ,$59.28 ,$623.00 ,$529.55 ,$261.63 ,$498.40 ,$230.51 ,$498.40 ,$104.65 ,$104.65 ,$623.00 ,$337.67 ,$104.65 ,$163.85 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$529.55 ,$235.47 ,$409.93 ,$174.44 ,$560.70 ,$448.56 ,$623.00 ,$59.28 ,$392.49 ,$392.49 ,$104.65 ,$299.04 ,$560.70 ST. JOHN'S HOSPITAL,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$337.00 ,$219.05 ,$27.98 ,$337.00 ,$194.38 ,$31.50 ,$182.65 ,$77.75 ,$94.36 ,$116.27 ,$77.75 ,$129.41 ,$77.75 ,$128.73 ,$41.20 ,$77.75 ,$128.73 ,$147.73 ,$73.73 ,$171.87 ,$194.38 ,$77.75 ,$235.90 ,$77.75 ,$168.50 ,$79.31 ,$252.75 ,$150.30 ,$135.14 ,$150.30 ,$77.75 ,$150.30 ,$27.98 ,$27.98 ,$27.98 ,$337.00 ,$286.45 ,$194.38 ,$269.60 ,$124.69 ,$269.60 ,$77.75 ,$77.75 ,$337.00 ,$182.65 ,$77.75 ,$88.63 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$286.45 ,$174.94 ,$221.75 ,$94.36 ,$303.30 ,$242.64 ,$337.00 ,$27.98 ,$212.31 ,$212.31 ,$77.75 ,$161.76 ,$303.30 ST. JOHN'S HOSPITAL,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$198.00 ,$128.70 ,$27.98 ,$198.00 ,$194.38 ,$31.50 ,$107.32 ,$77.75 ,$55.44 ,$68.31 ,$77.75 ,$76.03 ,$77.75 ,$75.64 ,$41.20 ,$77.75 ,$75.64 ,$147.73 ,$73.73 ,$100.98 ,$194.38 ,$77.75 ,$138.60 ,$77.75 ,$99.00 ,$79.31 ,$148.50 ,$88.31 ,$79.40 ,$88.31 ,$77.75 ,$88.31 ,$27.98 ,$27.98 ,$27.98 ,$198.00 ,$168.30 ,$194.38 ,$158.40 ,$73.26 ,$158.40 ,$77.75 ,$77.75 ,$198.00 ,$107.32 ,$77.75 ,$52.07 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$168.30 ,$174.94 ,$130.28 ,$55.44 ,$178.20 ,$142.56 ,$198.00 ,$27.98 ,$124.74 ,$124.74 ,$77.75 ,$95.04 ,$178.20 ST. JOHN'S HOSPITAL,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$804.00 ,$522.60 ,$33.95 ,$804.00 ,$194.38 ,$37.30 ,$435.77 ,$77.75 ,$225.12 ,$175.49 ,$77.75 ,$210.86 ,$77.75 ,$307.13 ,$49.97 ,$77.75 ,$307.13 ,$147.73 ,$91.51 ,$410.04 ,$194.38 ,$77.75 ,$562.80 ,$77.75 ,$402.00 ,$79.31 ,$603.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$33.95 ,$33.95 ,$33.95 ,$804.00 ,$683.40 ,$194.38 ,$643.20 ,$297.48 ,$643.20 ,$77.75 ,$77.75 ,$804.00 ,$435.77 ,$77.75 ,$211.45 , N/A , N/A ,$87.52 ,$83.54 ,$81.64 ,$683.40 ,$174.94 ,$529.03 ,$225.12 ,$723.60 ,$578.88 ,$804.00 ,$33.95 ,$506.52 ,$506.52 ,$77.75 ,$385.92 ,$723.60 ST. JOHN'S HOSPITAL,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$536.00 ,$348.40 ,$33.95 ,$536.00 ,$194.38 ,$37.30 ,$290.51 ,$77.75 ,$150.08 ,$175.49 ,$77.75 ,$205.82 ,$77.75 ,$204.75 ,$49.97 ,$77.75 ,$204.75 ,$147.73 ,$91.51 ,$273.36 ,$194.38 ,$77.75 ,$375.20 ,$77.75 ,$268.00 ,$79.31 ,$402.00 ,$166.00 ,$150.00 ,$166.00 ,$77.75 ,$166.00 ,$33.95 ,$33.95 ,$33.95 ,$536.00 ,$455.60 ,$194.38 ,$428.80 ,$198.32 ,$428.80 ,$77.75 ,$77.75 ,$536.00 ,$290.51 ,$77.75 ,$140.97 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$455.60 ,$174.94 ,$352.69 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$33.95 ,$337.68 ,$337.68 ,$77.75 ,$257.28 ,$482.40 ST. JOHN'S HOSPITAL,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$361.00 ,$234.65 ,$30.96 ,$361.00 ,$261.63 ,$36.04 ,$195.66 ,$104.65 ,$101.08 ,$124.55 ,$104.65 ,$138.62 ,$104.65 ,$137.90 ,$45.58 ,$104.65 ,$137.90 ,$198.84 ,$85.60 ,$184.11 ,$261.63 ,$104.65 ,$252.70 ,$104.65 ,$180.50 ,$106.75 ,$270.75 ,$161.01 ,$144.76 ,$161.01 ,$104.65 ,$161.01 ,$30.96 ,$30.96 ,$30.96 ,$361.00 ,$306.85 ,$261.63 ,$288.80 ,$133.57 ,$288.80 ,$104.65 ,$104.65 ,$361.00 ,$195.66 ,$104.65 ,$94.94 , N/A , N/A ,$58.34 ,$55.69 ,$109.88 ,$306.85 ,$235.47 ,$237.54 ,$101.08 ,$324.90 ,$259.92 ,$361.00 ,$30.96 ,$227.43 ,$227.43 ,$104.65 ,$173.28 ,$324.90 ST. JOHN'S HOSPITAL,32000588,72275,HC XR EPIDUROGRAPHY,320,1 ,$716.00 ,$465.40 ,$117.90 ,$716.00 , N/A ,$136.24 ,$388.07 , N/A ,$200.48 ,$247.02 , N/A ,$274.94 , N/A ,$273.51 ,$173.60 , N/A ,$273.51 , N/A ,$376.62 ,$365.16 , N/A , N/A ,$501.20 , N/A ,$358.00 , N/A ,$537.00 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$117.90 ,$117.90 ,$117.90 ,$716.00 ,$608.60 , N/A ,$572.80 ,$264.92 ,$572.80 , N/A , N/A ,$716.00 ,$388.07 , N/A ,$188.31 , N/A , N/A , N/A , N/A , N/A ,$608.60 , N/A ,$471.13 ,$200.48 ,$644.40 ,$515.52 ,$716.00 ,$117.90 ,$451.08 ,$451.08 , N/A ,$343.68 ,$644.40 ST. JOHN'S HOSPITAL,32000591,75956,HC ENDOVASC REPR THOR AORTA W/SUBCL S AND I,320,1 ,"$2,016.00 ","$1,310.40 ",$150.00 ,"$2,016.00 ", N/A ,$652.74 ,"$1,092.67 ", N/A ,$564.48 ,$695.52 , N/A ,$774.14 , N/A ,$770.11 ,$792.48 , N/A ,$770.11 , N/A ,"$1,060.42 ","$1,028.16 ", N/A , N/A ,"$1,411.20 ", N/A ,"$1,008.00 ", N/A ,"$1,512.00 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,411.20 ","$1,411.20 ","$1,411.20 ","$2,016.00 ","$1,713.60 ", N/A ,"$1,612.80 ",$745.92 ,"$1,612.80 ", N/A , N/A ,"$2,016.00 ","$1,092.67 ", N/A ,$530.21 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,713.60 ", N/A ,"$1,326.53 ",$564.48 ,"$1,814.40 ","$1,451.52 ","$2,016.00 ","$1,411.20 ","$1,270.08 ","$1,270.08 ", N/A ,$967.68 ,"$1,814.40 " ST. JOHN'S HOSPITAL,32000592,75957,HC ENDOVASC REPR THOR AORTA W/O SUBCL S AND I,320,1 ,"$2,318.00 ","$1,506.70 ",$150.00 ,"$2,318.00 ", N/A ,$556.50 ,"$1,256.36 ", N/A ,$649.04 ,$799.71 , N/A ,$890.11 , N/A ,$885.48 ,$680.67 , N/A ,$885.48 , N/A ,"$1,219.27 ","$1,182.18 ", N/A , N/A ,"$1,622.60 ", N/A ,"$1,159.00 ", N/A ,"$1,738.50 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,622.60 ","$1,622.60 ","$1,622.60 ","$2,318.00 ","$1,970.30 ", N/A ,"$1,854.40 ",$857.66 ,"$1,854.40 ", N/A , N/A ,"$2,318.00 ","$1,256.36 ", N/A ,$609.63 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,970.30 ", N/A ,"$1,525.24 ",$649.04 ,"$2,086.20 ","$1,668.96 ","$2,318.00 ","$1,622.60 ","$1,460.34 ","$1,460.34 ", N/A ,"$1,112.64 ","$2,086.20 " ST. JOHN'S HOSPITAL,32000593,75958,HC PLACE PROX EXT PROSTH ENDOVASC THOR AORTA S AND I,320,1 ,"$1,994.00 ","$1,296.10 ",$150.00 ,"$1,994.00 ", N/A ,$371.34 ,"$1,080.75 ", N/A ,$558.32 ,$687.93 , N/A ,$765.70 , N/A ,$761.71 ,$451.78 , N/A ,$761.71 , N/A ,"$1,048.84 ","$1,016.94 ", N/A , N/A ,"$1,395.80 ", N/A ,$997.00 , N/A ,"$1,495.50 ",$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,"$1,395.80 ","$1,395.80 ","$1,395.80 ","$1,994.00 ","$1,694.90 ", N/A ,"$1,595.20 ",$737.78 ,"$1,595.20 ", N/A , N/A ,"$1,994.00 ","$1,080.75 ", N/A ,$524.42 , N/A , N/A ,$332.48 ,$317.36 , N/A ,"$1,694.90 ", N/A ,"$1,312.05 ",$558.32 ,"$1,794.60 ","$1,435.68 ","$1,994.00 ","$1,395.80 ","$1,256.22 ","$1,256.22 ", N/A ,$957.12 ,"$1,794.60 " ST. JOHN'S HOSPITAL,32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,$957.00 ,$622.05 ,$44.37 ,$957.00 ,$552.95 ,$72.38 ,$518.69 ,$221.18 ,$267.96 ,$290.97 ,$221.18 ,$349.62 ,$221.18 ,$365.57 ,$65.34 ,$221.18 ,$365.57 ,$420.25 ,$95.05 ,$488.07 ,$552.96 ,$221.18 ,$669.90 ,$221.18 ,$478.50 ,$225.61 ,$717.75 ,$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,$957.00 ,$813.45 ,$552.96 ,$765.60 ,$354.09 ,$765.60 ,$221.18 ,$221.18 ,$957.00 ,$518.69 ,$221.18 ,$251.69 , N/A , N/A ,$58.34 ,$55.69 ,$232.24 ,$813.45 ,$497.66 ,$629.71 ,$267.96 ,$861.30 ,$689.04 ,$957.00 ,$44.37 ,$602.91 ,$602.91 ,$221.18 ,$459.36 ,$861.30 ST. JOHN'S HOSPITAL,32000598,76000,HC FLUOROSCOPY >4 HR,320,1 ,"$1,368.00 ",$889.20 ,$44.37 ,"$1,368.00 ",$552.95 ,$72.38 ,$741.46 ,$221.18 ,$383.04 ,$290.97 ,$221.18 ,$349.62 ,$221.18 ,$522.58 ,$65.34 ,$221.18 ,$522.58 ,$420.25 ,$95.05 ,$697.68 ,$552.96 ,$221.18 ,$957.60 ,$221.18 ,$684.00 ,$225.61 ,"$1,026.00 ",$166.00 ,$150.00 ,$166.00 ,$221.18 ,$166.00 ,$44.37 ,$44.37 ,$44.37 ,"$1,368.00 ","$1,162.80 ",$552.96 ,"$1,094.40 ",$506.16 ,"$1,094.40 ",$221.18 ,$221.18 ,"$1,368.00 ",$741.46 ,$221.18 ,$359.78 , N/A , N/A ,$58.34 ,$55.69 ,$232.24 ,"$1,162.80 ",$497.66 ,$900.14 ,$383.04 ,"$1,231.20 ",$984.96 ,"$1,368.00 ",$44.37 ,$861.84 ,$861.84 ,$221.18 ,$656.64 ,"$1,231.20 " ST. JOHN'S HOSPITAL,32000605,71045,HC XR CHEST 1V W/PICC INS,320,1 ,$356.00 ,$231.40 ,$17.86 ,$356.00 ,$194.38 ,$17.86 ,$192.95 ,$77.75 ,$99.68 ,$80.44 ,$77.75 ,$96.66 ,$77.75 ,$135.99 ,$32.42 ,$77.75 ,$135.99 ,$147.73 ,$58.37 ,$181.56 ,$194.38 ,$77.75 ,$249.20 ,$77.75 ,$178.00 ,$79.31 ,$267.00 ,$158.78 ,$142.76 ,$158.78 ,$77.75 ,$158.78 ,$22.02 ,$22.02 ,$22.02 ,$356.00 ,$302.60 ,$194.38 ,$284.80 ,$131.72 ,$284.80 ,$77.75 ,$77.75 ,$18.14 ,$192.95 ,$77.75 ,$93.63 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$302.60 ,$174.94 ,$234.25 ,$99.68 ,$320.40 ,$256.32 ,$356.00 ,$22.02 ,$224.28 ,$224.28 ,$77.75 ,$170.88 ,$320.40 ST. JOHN'S HOSPITAL,32000606,76125,HC CINERADIOGRAPHY/VIDEORADIOGRAPHY EXAM,320,1 ,$645.00 ,$419.25 ,$44.91 ,$645.00 , N/A ,$51.38 ,$349.59 , N/A ,$180.60 ,$222.53 , N/A ,$247.68 , N/A ,$246.39 ,$66.03 , N/A ,$246.39 , N/A ,$339.27 ,$328.95 , N/A , N/A ,$451.50 , N/A ,$322.50 , N/A ,$483.75 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$44.91 ,$44.91 ,$44.91 ,$645.00 ,$548.25 , N/A ,$516.00 ,$238.65 ,$516.00 , N/A , N/A ,$645.00 ,$349.59 , N/A ,$169.64 , N/A , N/A ,$58.34 ,$55.69 , N/A ,$548.25 , N/A ,$424.41 ,$180.60 ,$580.50 ,$464.40 ,$645.00 ,$44.91 ,$406.35 ,$406.35 , N/A ,$309.60 ,$580.50 ST. JOHN'S HOSPITAL,32000608,70300,HC XR TEETH 1 VIEW,320,1 ,$355.00 ,$230.75 ,$12.08 ,$355.00 ,$194.38 ,$15.68 ,$192.41 ,$77.75 ,$99.40 ,$67.39 ,$77.75 ,$80.97 ,$77.75 ,$135.61 ,$17.79 ,$77.75 ,$135.61 ,$147.73 ,$27.57 ,$181.05 ,$194.38 ,$77.75 ,$248.50 ,$77.75 ,$177.50 ,$79.31 ,$266.25 ,$158.33 ,$142.36 ,$158.33 ,$77.75 ,$158.33 ,$12.08 ,$12.08 ,$12.08 ,$355.00 ,$301.75 ,$194.38 ,$284.00 ,$131.35 ,$284.00 ,$77.75 ,$77.75 ,$355.00 ,$192.41 ,$77.75 ,$93.37 , N/A , N/A ,$58.34 ,$55.69 ,$81.64 ,$301.75 ,$174.94 ,$233.59 ,$99.40 ,$319.50 ,$255.60 ,$355.00 ,$12.08 ,$223.65 ,$223.65 ,$77.75 ,$170.40 ,$319.50 ST. JOHN'S HOSPITAL,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,318.00 ",$856.70 ,$55.69 ,"$1,318.00 ", N/A ,$78.22 ,$714.36 , N/A ,$369.04 ,$421.76 , N/A ,$485.02 , N/A ,$503.48 ,$96.98 , N/A ,$503.48 , N/A ,$693.27 ,$672.18 , N/A , N/A ,$922.60 , N/A ,$659.00 , N/A ,$988.50 ,$166.00 ,$150.00 ,$166.00 , N/A ,$166.00 ,$65.96 ,$65.96 ,$65.96 ,"$1,318.00 ","$1,120.30 ", N/A ,"$1,054.40 ",$487.66 ,"$1,054.40 ", N/A , N/A ,"$1,318.00 ",$714.36 , N/A ,$346.63 , N/A , N/A ,$58.34 ,$55.69 , N/A ,"$1,120.30 ", N/A ,$867.24 ,$369.04 ,"$1,186.20 ",$948.96 ,"$1,318.00 ",$65.96 ,$830.34 ,$830.34 , N/A ,$632.64 ,"$1,186.20 " ST. JOHN'S HOSPITAL,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$1.00 ,$0.65 ,$0.26 ,$1.00 , N/A ,$0.46 ,$0.54 , N/A ,$0.28 ,$0.32 , N/A ,$0.37 , N/A ,$0.38 , N/A , N/A ,$0.38 , N/A ,$0.53 ,$0.51 , N/A , N/A ,$0.70 , N/A ,$0.50 , N/A ,$0.75 ,$0.45 ,$0.40 ,$0.45 , N/A ,$0.45 ,$0.70 ,$0.70 ,$0.70 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.37 ,$0.80 , N/A , N/A ,$1.00 ,$0.54 , N/A ,$0.26 , N/A , N/A , N/A , N/A , N/A ,$0.85 , N/A ,$0.66 ,$0.28 ,$0.90 ,$0.72 ,$1.00 ,$0.70 ,$0.63 ,$0.63 , N/A ,$0.48 ,$0.90 ST. JOHN'S HOSPITAL,33100001,96405,HC CHEMO IV INTRALESION UP TO 7 LESIONS,331,1 ,$573.00 ,$372.45 ,$58.48 ,$573.00 ,$149.00 ,$263.58 ,$310.57 ,$59.60 ,$160.44 ,$197.69 ,$59.60 ,$220.03 ,$59.60 ,$218.89 ,$58.48 ,$59.60 ,$218.89 ,$113.23 ,$301.40 ,$292.23 ,$148.99 ,$59.60 ,$401.10 ,$59.60 ,$286.50 ,$60.79 ,$429.75 ,$289.37 ,$260.72 ,$289.37 ,$59.60 ,$289.37 ,$401.10 ,$401.10 ,$401.10 ,$573.00 ,$487.05 ,$148.99 ,$458.40 ,$212.01 ,$458.40 ,$59.60 ,$59.60 ,$573.00 ,$310.57 ,$59.60 ,$150.70 , N/A , N/A ,$321.44 ,$306.83 ,$62.58 ,$487.05 ,$134.09 ,$377.03 ,$160.44 ,$515.70 ,$412.56 ,$573.00 ,$401.10 ,$360.99 ,$360.99 ,$59.60 ,$275.04 ,$515.70 ST. JOHN'S HOSPITAL,33100002,96406,HC CHEMO IV INTRALESION >7 LESIONS,331,1 ,$534.00 ,$347.10 ,$91.41 ,$534.00 ,$491.60 ,$245.64 ,$289.43 ,$196.64 ,$149.52 ,$184.23 ,$196.64 ,$205.06 ,$196.64 ,$203.99 ,$91.41 ,$196.64 ,$203.99 ,$373.63 ,$280.88 ,$272.34 ,$491.61 ,$196.64 ,$373.80 ,$196.64 ,$267.00 ,$200.58 ,$400.50 ,$269.67 ,$242.97 ,$269.67 ,$196.64 ,$269.67 ,$373.80 ,$373.80 ,$373.80 ,$534.00 ,$453.90 ,$491.61 ,$427.20 ,$197.58 ,$427.20 ,$196.64 ,$196.64 ,$534.00 ,$289.43 ,$196.64 ,$140.44 , N/A , N/A ,$321.44 ,$306.83 ,$206.47 ,$453.90 ,$442.45 ,$351.37 ,$149.52 ,$480.60 ,$384.48 ,$534.00 ,$373.80 ,$336.42 ,$336.42 ,$196.64 ,$256.32 ,$480.60 ST. JOHN'S HOSPITAL,33100003,96420,HC CHEMO IV INTRA ART PUSH TECH,331,1 ,$352.00 ,$228.80 ,$92.58 ,$766.23 ,$766.23 ,$161.92 ,$190.78 ,$306.49 ,$98.56 ,$121.44 ,$306.49 ,$135.17 ,$306.49 ,$134.46 ,$195.32 ,$306.49 ,$134.46 ,$352.00 ,$185.15 ,$179.52 ,$766.23 ,$306.49 ,$246.40 ,$306.49 ,$176.00 ,$312.62 ,$264.00 ,$177.76 ,$160.16 ,$177.76 ,$306.49 ,$177.76 ,$246.40 ,$246.40 ,$246.40 ,$352.00 ,$299.20 ,$352.00 ,$281.60 ,$130.24 ,$281.60 ,$306.49 ,$306.49 ,$352.00 ,$190.78 ,$306.49 ,$92.58 , N/A , N/A , N/A , N/A ,$321.81 ,$299.20 ,$689.61 ,$231.62 ,$98.56 ,$316.80 ,$253.44 ,$352.00 ,$246.40 ,$221.76 ,$221.76 ,$306.49 ,$168.96 ,$316.80 ST. JOHN'S HOSPITAL,33300001,C1717,HC HDR BRACHYTX SOURCE IR192,333,1 ,$967.00 ,$628.55 ,$254.32 ,"$1,828.58 ",$854.30 ,$444.82 ,$524.11 ,$341.72 ,$270.76 ,$309.44 ,$341.72 ,$355.86 ,$341.72 ,$369.39 ,$386.80 ,$341.72 ,$369.39 ,$649.27 ,$508.64 ,$493.17 ,$854.30 ,$341.72 ,$676.90 ,$341.72 ,$483.50 ,$348.55 ,$725.25 ,$488.34 ,$439.99 ,$488.34 ,$341.72 ,$488.34 ,$676.90 ,$676.90 ,$676.90 ,$967.00 ,$821.95 ,$854.30 ,$773.60 ,$357.79 ,$773.60 ,$341.72 ,$341.72 ,$967.00 ,$524.11 ,$341.72 ,$254.32 , N/A , N/A ,$967.00 ,"$1,828.58 ",$358.81 ,$821.95 ,$768.87 ,$636.29 ,$270.76 ,$870.30 ,$696.24 ,$967.00 ,$676.90 ,$609.21 ,$609.21 ,$341.72 ,$464.16 ,$870.30 ST. JOHN'S HOSPITAL,33300002,C1719,HC IRRIDIUM SOURCE/RIBBONS,333,1 ,$189.00 ,$122.85 ,$49.71 ,"$1,828.58 ",$514.55 ,$86.94 ,$102.44 ,$205.82 ,$52.92 ,$60.48 ,$205.82 ,$69.55 ,$189.00 ,$72.20 ,$75.60 ,$189.00 ,$72.20 ,$189.00 ,$99.41 ,$96.39 ,$514.55 ,$205.82 ,$132.30 ,$205.82 ,$94.50 ,$189.00 ,$141.75 ,$95.45 ,$86.00 ,$95.45 ,$205.82 ,$95.45 ,$132.30 ,$132.30 ,$132.30 ,$189.00 ,$160.65 ,$189.00 ,$151.20 ,$69.93 ,$151.20 ,$205.82 ,$205.82 ,$189.00 ,$102.44 ,$205.82 ,$49.71 , N/A , N/A ,$189.00 ,"$1,828.58 ",$216.11 ,$160.65 ,$463.10 ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$132.30 ,$119.07 ,$119.07 ,$205.82 ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,33300005,C2634,HC IODINE 125 HIGH ACTIVITY,333,1 ,$170.00 ,$110.50 ,$44.71 ,"$1,828.58 ",$378.00 ,$78.20 ,$92.14 ,$151.20 ,$47.60 ,$54.40 ,$151.20 ,$62.56 ,$151.20 ,$64.94 ,$68.00 ,$151.20 ,$64.94 ,$170.00 ,$89.42 ,$86.70 ,$378.00 ,$151.20 ,$119.00 ,$151.20 ,$85.00 ,$154.22 ,$127.50 ,$85.85 ,$77.35 ,$85.85 ,$151.20 ,$85.85 ,$119.00 ,$119.00 ,$119.00 ,$170.00 ,$144.50 ,$170.00 ,$136.00 ,$62.90 ,$136.00 ,$151.20 ,$151.20 ,$170.00 ,$92.14 ,$151.20 ,$44.71 , N/A , N/A ,$170.00 ,"$1,828.58 ",$158.76 ,$144.50 ,$340.20 ,$111.86 ,$47.60 ,$153.00 ,$122.40 ,$170.00 ,$119.00 ,$107.10 ,$107.10 ,$151.20 ,$81.60 ,$153.00 ST. JOHN'S HOSPITAL,33300006,C2639,HC IODINE 125 PER SOURCE NON STRANDED,333,1 ,$107.00 ,$69.55 ,$28.14 ,"$1,828.58 ",$87.05 ,$49.22 ,$57.99 ,$34.82 ,$29.96 ,$34.24 ,$34.82 ,$39.38 ,$34.82 ,$40.87 ,$42.80 ,$34.82 ,$40.87 ,$66.16 ,$56.28 ,$54.57 ,$87.05 ,$34.82 ,$74.90 ,$34.82 ,$53.50 ,$35.52 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$34.82 ,$54.04 ,$74.90 ,$74.90 ,$74.90 ,$107.00 ,$90.95 ,$87.05 ,$85.60 ,$39.59 ,$85.60 ,$34.82 ,$34.82 ,$107.00 ,$57.99 ,$34.82 ,$28.14 , N/A , N/A ,$107.00 ,"$1,828.58 ",$36.56 ,$90.95 ,$78.35 ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$74.90 ,$67.41 ,$67.41 ,$34.82 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,33300009,77285,HC SIMULATION INTERMED,333,1 ,"$2,391.00 ","$1,554.15 ",$325.51 ,"$2,391.00 ",$813.78 ,$434.60 ,"$1,295.92 ",$325.51 ,$669.48 ,$824.90 ,$325.51 ,$918.14 ,$325.51 ,$913.36 ,$831.24 ,$325.51 ,$913.36 ,$618.48 ,"$1,433.09 ","$1,219.41 ",$813.79 ,$325.51 ,"$1,673.70 ",$325.51 ,"$1,195.50 ",$332.02 ,"$1,793.25 ","$1,207.46 ","$1,087.91 ","$1,207.46 ",$325.51 ,"$1,207.46 ",$564.53 ,$564.53 ,$564.53 ,"$2,391.00 ","$2,032.35 ",$813.79 ,"$1,912.80 ",$884.67 ,"$1,912.80 ",$325.51 ,$325.51 ,"$2,391.00 ","$1,295.92 ",$325.51 ,$628.83 , N/A , N/A ,$634.70 ,$605.85 ,$341.79 ,"$2,032.35 ",$732.41 ,"$1,573.28 ",$669.48 ,"$2,151.90 ","$1,721.52 ","$2,391.00 ",$564.53 ,"$1,506.33 ","$1,506.33 ",$325.51 ,"$1,147.68 ","$2,151.90 " ST. JOHN'S HOSPITAL,33300010,77290,HC SIMULATION COMPLEX,333,1 ,"$3,069.00 ","$1,994.85 ",$325.51 ,"$3,069.00 ",$813.78 ,$735.72 ,"$1,663.40 ",$325.51 ,$859.32 ,"$1,058.81 ",$325.51 ,"$1,178.50 ",$325.51 ,"$1,172.36 ",$885.37 ,$325.51 ,"$1,172.36 ",$618.48 ,"$1,422.45 ","$1,565.19 ",$813.79 ,$325.51 ,"$2,148.30 ",$325.51 ,"$1,534.50 ",$332.02 ,"$2,301.75 ","$1,549.85 ","$1,396.40 ","$1,549.85 ",$325.51 ,"$1,549.85 ",$601.29 ,$601.29 ,$601.29 ,"$3,069.00 ","$2,608.65 ",$813.79 ,"$2,455.20 ","$1,135.53 ","$2,455.20 ",$325.51 ,$325.51 ,"$3,069.00 ","$1,663.40 ",$325.51 ,$807.15 , N/A , N/A ,$634.70 ,$605.85 ,$341.79 ,"$2,608.65 ",$732.41 ,"$2,019.40 ",$859.32 ,"$2,762.10 ","$2,209.68 ","$3,069.00 ",$601.29 ,"$1,933.47 ","$1,933.47 ",$325.51 ,"$1,473.12 ","$2,762.10 " ST. JOHN'S HOSPITAL,33300011,77295,HC SIMULATION 3-D,333,1 ,"$9,855.00 ","$6,405.75 ",$355.56 ,"$9,855.00 ","$3,034.60 ",$355.56 ,"$5,341.41 ","$1,213.84 ","$2,759.40 ","$2,055.80 ","$1,213.84 ","$2,470.14 ","$1,213.84 ","$3,764.61 ",$552.72 ,"$1,213.84 ","$3,764.61 ","$2,306.29 ",$899.09 ,"$5,026.05 ","$3,034.59 ","$1,213.84 ","$6,898.50 ","$1,213.84 ","$4,927.50 ","$1,238.11 ","$7,391.25 ","$4,976.78 ","$4,484.03 ","$4,976.78 ","$1,213.84 ","$4,976.78 ",$375.38 ,$375.38 ,$375.38 ,"$9,855.00 ","$8,376.75 ","$3,034.59 ","$7,884.00 ","$3,646.35 ","$7,884.00 ","$1,213.84 ","$1,213.84 ","$9,855.00 ","$5,341.41 ","$1,213.84 ","$2,591.87 ", N/A , N/A ,$634.70 ,$605.85 ,"$1,274.53 ","$8,376.75 ","$2,731.13 ","$6,484.59 ","$2,759.40 ","$8,869.50 ","$7,095.60 ","$9,855.00 ",$375.38 ,"$6,208.65 ","$6,208.65 ","$1,213.84 ","$4,730.40 ","$8,869.50 " ST. JOHN'S HOSPITAL,33300015,77300,HC DOSIMETRY CALCULATION BASIC,333,1 ,$962.00 ,$625.30 ,$47.85 ,$962.00 ,$304.93 ,$58.62 ,$521.40 ,$121.97 ,$269.36 ,$329.67 ,$121.97 ,$369.41 ,$121.97 ,$367.48 ,$70.46 ,$121.97 ,$367.48 ,$231.74 ,$117.55 ,$490.62 ,$304.93 ,$121.97 ,$673.40 ,$121.97 ,$481.00 ,$124.41 ,$721.50 ,$485.81 ,$437.71 ,$485.81 ,$121.97 ,$485.81 ,$47.85 ,$47.85 ,$47.85 ,$962.00 ,$817.70 ,$304.93 ,$769.60 ,$355.94 ,$769.60 ,$121.97 ,$121.97 ,$962.00 ,$521.40 ,$121.97 ,$253.01 , N/A , N/A ,$102.93 ,$98.25 ,$128.07 ,$817.70 ,$274.43 ,$633.00 ,$269.36 ,$865.80 ,$692.64 ,$962.00 ,$47.85 ,$606.06 ,$606.06 ,$121.97 ,$461.76 ,$865.80 ST. JOHN'S HOSPITAL,33300017,77301,HC IMRT TX PLAN,333,1 ,"$9,694.00 ","$6,301.10 ",$428.00 ,"$9,694.00 ","$3,034.60 ","$2,585.32 ","$5,254.15 ","$1,213.84 ","$2,714.32 ","$3,344.43 ","$1,213.84 ","$3,722.50 ","$1,213.84 ","$3,703.11 ","$3,160.58 ","$1,213.84 ","$3,703.11 ","$2,306.29 ","$5,142.75 ","$4,943.94 ","$3,034.59 ","$1,213.84 ","$6,785.80 ","$1,213.84 ","$4,847.00 ","$1,238.11 ","$7,270.50 ","$4,895.47 ","$4,410.77 ","$4,895.47 ","$1,213.84 ","$4,895.47 ","$2,146.44 ","$2,146.44 ","$2,146.44 ","$9,694.00 ","$8,239.90 ","$3,034.59 ","$7,755.20 ","$3,586.78 ","$7,755.20 ","$1,213.84 ","$1,213.84 ","$9,694.00 ","$5,254.15 ","$1,213.84 ","$2,549.52 ", N/A , N/A ,$448.38 ,$428.00 ,"$1,274.53 ","$8,239.90 ","$2,731.13 ","$6,378.65 ","$2,714.32 ","$8,724.60 ","$6,979.68 ","$9,694.00 ","$2,146.44 ","$6,107.22 ","$6,107.22 ","$1,213.84 ","$4,653.12 ","$8,724.60 " ST. JOHN'S HOSPITAL,33300018,77306,HC ISODOSE PLAN SIMPLE,333,1 ,"$2,111.00 ","$1,372.15 ",$107.63 ,"$2,111.00 ",$813.78 ,$118.82 ,"$1,144.16 ",$325.51 ,$591.08 ,$589.79 ,$325.51 ,$708.66 ,$325.51 ,$806.40 ,$158.47 ,$325.51 ,$806.40 ,$618.48 ,$259.95 ,"$1,076.61 ",$813.79 ,$325.51 ,"$1,477.70 ",$325.51 ,"$1,055.50 ",$332.02 ,"$1,583.25 ","$1,066.06 ",$960.51 ,"$1,066.06 ",$325.51 ,"$1,066.06 ",$107.63 ,$107.63 ,$107.63 ,"$2,111.00 ","$1,794.35 ",$813.79 ,"$1,688.80 ",$781.07 ,"$1,688.80 ",$325.51 ,$325.51 ,"$2,111.00 ","$1,144.16 ",$325.51 ,$555.19 , N/A , N/A ,$448.38 ,$428.00 ,$341.79 ,"$1,794.35 ",$732.41 ,"$1,389.04 ",$591.08 ,"$1,899.90 ","$1,519.92 ","$2,111.00 ",$107.63 ,"$1,329.93 ","$1,329.93 ",$325.51 ,"$1,013.28 ","$1,899.90 " ST. JOHN'S HOSPITAL,33300022,77307,HC ISODOSE PLAN COMPLEX,333,1 ,"$2,739.00 ","$1,780.35 ",$194.22 ,"$2,739.00 ",$813.78 ,$218.18 ,"$1,484.54 ",$325.51 ,$766.92 ,$944.96 ,$325.51 ,"$1,051.78 ",$325.51 ,"$1,046.30 ",$285.98 ,$325.51 ,"$1,046.30 ",$618.48 ,$471.36 ,"$1,396.89 ",$813.79 ,$325.51 ,"$1,917.30 ",$325.51 ,"$1,369.50 ",$332.02 ,"$2,054.25 ","$1,383.20 ","$1,246.25 ","$1,383.20 ",$325.51 ,"$1,383.20 ",$194.22 ,$194.22 ,$194.22 ,"$2,739.00 ","$2,328.15 ",$813.79 ,"$2,191.20 ","$1,013.43 ","$2,191.20 ",$325.51 ,$325.51 ,"$2,739.00 ","$1,484.54 ",$325.51 ,$720.36 , N/A , N/A ,$448.38 ,$428.00 ,$341.79 ,"$2,328.15 ",$732.41 ,"$1,802.26 ",$766.92 ,"$2,465.10 ","$1,972.08 ","$2,739.00 ",$194.22 ,"$1,725.57 ","$1,725.57 ",$325.51 ,"$1,314.72 ","$2,465.10 " ST. JOHN'S HOSPITAL,33300024,77321,HC PORT PLAN SPECIAL,333,1 ,"$1,040.00 ",$676.00 ,$61.76 ,"$1,040.00 ",$813.78 ,$71.28 ,$563.68 ,$325.51 ,$291.20 ,$335.55 ,$325.51 ,$399.36 ,$325.51 ,$397.28 ,$90.94 ,$325.51 ,$397.28 ,$618.48 ,$154.23 ,$530.40 ,$813.79 ,$325.51 ,$728.00 ,$325.51 ,$520.00 ,$332.02 ,$780.00 ,$525.20 ,$473.20 ,$525.20 ,$325.51 ,$525.20 ,$61.76 ,$61.76 ,$61.76 ,"$1,040.00 ",$884.00 ,$813.79 ,$832.00 ,$384.80 ,$832.00 ,$325.51 ,$325.51 ,"$1,040.00 ",$563.68 ,$325.51 ,$273.52 , N/A , N/A ,$448.38 ,$428.00 ,$341.79 ,$884.00 ,$732.41 ,$684.32 ,$291.20 ,$936.00 ,$748.80 ,"$1,040.00 ",$61.76 ,$655.20 ,$655.20 ,$325.51 ,$499.20 ,$936.00 ST. JOHN'S HOSPITAL,33300029,77331,HC DOSIMETRY CALCULATION SPECIAL,333,1 ,$835.00 ,$542.75 ,$26.99 ,$835.00 ,$304.93 ,$31.08 ,$452.57 ,$121.97 ,$233.80 ,$146.60 ,$121.97 ,$176.14 ,$121.97 ,$318.97 ,$39.73 ,$121.97 ,$318.97 ,$231.74 ,$66.63 ,$425.85 ,$304.93 ,$121.97 ,$584.50 ,$121.97 ,$417.50 ,$124.41 ,$626.25 ,$421.68 ,$379.93 ,$421.68 ,$121.97 ,$421.68 ,$26.99 ,$26.99 ,$26.99 ,$835.00 ,$709.75 ,$304.93 ,$668.00 ,$308.95 ,$668.00 ,$121.97 ,$121.97 ,$835.00 ,$452.57 ,$121.97 ,$219.61 , N/A , N/A ,$102.93 ,$98.25 ,$128.07 ,$709.75 ,$274.43 ,$549.43 ,$233.80 ,$751.50 ,$601.20 ,$835.00 ,$26.99 ,$526.05 ,$526.05 ,$121.97 ,$400.80 ,$751.50 ST. JOHN'S HOSPITAL,33300030,77332,HC TREATMENT DEVICE SIMPLE,333,1 ,"$1,552.00 ","$1,008.80 ",$40.40 ,"$1,552.00 ",$304.93 ,$86.68 ,$841.18 ,$121.97 ,$434.56 ,$264.71 ,$121.97 ,$318.06 ,$121.97 ,$592.86 ,$59.48 ,$121.97 ,$592.86 ,$231.74 ,$63.09 ,$791.52 ,$304.93 ,$121.97 ,"$1,086.40 ",$121.97 ,$776.00 ,$124.41 ,"$1,164.00 ",$783.76 ,$706.16 ,$783.76 ,$121.97 ,$783.76 ,$40.40 ,$40.40 ,$40.40 ,"$1,552.00 ","$1,319.20 ",$304.93 ,"$1,241.60 ",$574.24 ,"$1,241.60 ",$121.97 ,$121.97 ,"$1,552.00 ",$841.18 ,$121.97 ,$408.18 , N/A , N/A ,$216.69 ,$206.84 ,$128.07 ,"$1,319.20 ",$274.43 ,"$1,021.22 ",$434.56 ,"$1,396.80 ","$1,117.44 ","$1,552.00 ",$40.40 ,$977.76 ,$977.76 ,$121.97 ,$744.96 ,"$1,396.80 " ST. JOHN'S HOSPITAL,33300031,77333,HC TREATMENT DEVICE INTERM,333,1 ,"$1,738.00 ","$1,129.70 ",$15.68 ,"$1,738.00 ",$304.93 ,$15.68 ,$942.00 ,$121.97 ,$486.64 ,$443.19 ,$121.97 ,$532.52 ,$121.97 ,$663.92 ,$145.07 ,$121.97 ,$663.92 ,$231.74 ,$324.72 ,$886.38 ,$304.93 ,$121.97 ,"$1,216.60 ",$121.97 ,$869.00 ,$124.41 ,"$1,303.50 ",$877.69 ,$790.79 ,$877.69 ,$121.97 ,$877.69 ,$98.52 ,$98.52 ,$98.52 ,"$1,738.00 ","$1,477.30 ",$304.93 ,"$1,390.40 ",$643.06 ,"$1,390.40 ",$121.97 ,$121.97 ,"$1,738.00 ",$942.00 ,$121.97 ,$457.09 , N/A , N/A ,$216.69 ,$206.84 ,$128.07 ,"$1,477.30 ",$274.43 ,"$1,143.60 ",$486.64 ,"$1,564.20 ","$1,251.36 ","$1,738.00 ",$98.52 ,"$1,094.94 ","$1,094.94 ",$121.97 ,$834.24 ,"$1,564.20 " ST. JOHN'S HOSPITAL,33300032,77334,HC TREATMENT DEVICE COMPLEX,333,1 ,"$2,273.00 ","$1,477.45 ",$95.54 ,"$2,273.00 ",$813.78 ,$144.48 ,"$1,231.97 ",$325.51 ,$636.44 ,$656.46 ,$325.51 ,$788.76 ,$325.51 ,$868.29 ,$140.68 ,$325.51 ,$868.29 ,$618.48 ,$228.82 ,"$1,159.23 ",$813.79 ,$325.51 ,"$1,591.10 ",$325.51 ,"$1,136.50 ",$332.02 ,"$1,704.75 ","$1,147.87 ","$1,034.22 ","$1,147.87 ",$325.51 ,"$1,147.87 ",$95.54 ,$95.54 ,$95.54 ,"$2,273.00 ","$1,932.05 ",$813.79 ,"$1,818.40 ",$841.01 ,"$1,818.40 ",$325.51 ,$325.51 ,"$2,273.00 ","$1,231.97 ",$325.51 ,$597.80 , N/A , N/A ,$216.69 ,$206.84 ,$341.79 ,"$1,932.05 ",$732.41 ,"$1,495.63 ",$636.44 ,"$2,045.70 ","$1,636.56 ","$2,273.00 ",$95.54 ,"$1,431.99 ","$1,431.99 ",$325.51 ,"$1,091.04 ","$2,045.70 " ST. JOHN'S HOSPITAL,33300033,77336,HC MEDICAL PHYSICS CONTINUING,333,1 ,"$1,163.00 ",$755.95 ,$71.28 ,"$1,163.00 ",$304.93 ,$71.28 ,$630.35 ,$121.97 ,$325.64 ,$401.24 ,$121.97 ,$446.59 ,$121.97 ,$444.27 ,$166.70 ,$121.97 ,$444.27 ,$231.74 ,$481.85 ,$593.13 ,$304.93 ,$121.97 ,$814.10 ,$121.97 ,$581.50 ,$124.41 ,$872.25 ,$587.32 ,$529.17 ,$587.32 ,$121.97 ,$587.32 ,$113.22 ,$113.22 ,$113.22 ,"$1,163.00 ",$988.55 ,$304.93 ,$930.40 ,$430.31 ,$930.40 ,$121.97 ,$121.97 ,"$1,163.00 ",$630.35 ,$121.97 ,$305.87 , N/A , N/A ,$125.84 ,$120.12 ,$128.07 ,$988.55 ,$274.43 ,$765.25 ,$325.64 ,"$1,046.70 ",$837.36 ,"$1,163.00 ",$113.22 ,$732.69 ,$732.69 ,$121.97 ,$558.24 ,"$1,046.70 " ST. JOHN'S HOSPITAL,33300034,77338,HC MLC DEVICE FOR IMRT,333,1 ,"$1,938.00 ","$1,259.70 ",$325.51 ,"$1,938.00 ",$813.78 ,$467.30 ,"$1,050.40 ",$325.51 ,$542.64 ,$668.61 ,$325.51 ,$744.19 ,$325.51 ,$740.32 ,$569.04 ,$325.51 ,$740.32 ,$618.48 ,$863.90 ,$988.38 ,$813.79 ,$325.51 ,"$1,356.60 ",$325.51 ,$969.00 ,$332.02 ,"$1,453.50 ",$978.69 ,$881.79 ,$978.69 ,$325.51 ,$978.69 ,$386.46 ,$386.46 ,$386.46 ,"$1,938.00 ","$1,647.30 ",$813.79 ,"$1,550.40 ",$717.06 ,"$1,550.40 ",$325.51 ,$325.51 ,"$1,938.00 ","$1,050.40 ",$325.51 ,$509.69 , N/A , N/A ,$863.67 ,$824.41 ,$341.79 ,"$1,647.30 ",$732.41 ,"$1,275.20 ",$542.64 ,"$1,744.20 ","$1,395.36 ","$1,938.00 ",$386.46 ,"$1,220.94 ","$1,220.94 ",$325.51 ,$930.24 ,"$1,744.20 " ST. JOHN'S HOSPITAL,33300036,77370,HC SPECIAL MED PHYSICS CONSULT,333,1 ,"$2,721.00 ","$1,768.65 ",$120.12 ,"$2,721.00 ",$304.93 ,$192.06 ,"$1,474.78 ",$121.97 ,$761.88 ,$938.75 ,$121.97 ,"$1,044.86 ",$121.97 ,"$1,039.42 ",$260.26 ,$121.97 ,"$1,039.42 ",$231.74 ,$481.85 ,"$1,387.71 ",$304.93 ,$121.97 ,"$1,904.70 ",$121.97 ,"$1,360.50 ",$124.41 ,"$2,040.75 ","$1,374.11 ","$1,238.06 ","$1,374.11 ",$121.97 ,"$1,374.11 ",$176.75 ,$176.75 ,$176.75 ,"$2,721.00 ","$2,312.85 ",$304.93 ,"$2,176.80 ","$1,006.77 ","$2,176.80 ",$121.97 ,$121.97 ,"$2,721.00 ","$1,474.78 ",$121.97 ,$715.62 , N/A , N/A ,$125.84 ,$120.12 ,$128.07 ,"$2,312.85 ",$274.43 ,"$1,790.42 ",$761.88 ,"$2,448.90 ","$1,959.12 ","$2,721.00 ",$176.75 ,"$1,714.23 ","$1,714.23 ",$121.97 ,"$1,306.08 ","$2,448.90 " ST. JOHN'S HOSPITAL,33300037,77402,HC RAD THRPY SIMPLE >1MEV,333,1 ,$841.00 ,$546.65 ,$115.15 ,$841.00 ,$287.88 ,$251.28 ,$455.82 ,$115.15 ,$235.48 ,$290.15 ,$115.15 ,$322.94 ,$115.15 ,$321.26 ,$286.26 ,$115.15 ,$321.26 ,$218.78 ,$457.82 ,$428.91 ,$287.87 ,$115.15 ,$588.70 ,$115.15 ,$420.50 ,$117.45 ,$630.75 ,$424.71 ,$382.66 ,$424.71 ,$115.15 ,$424.71 ,$588.70 ,$588.70 ,$588.70 ,$841.00 ,$714.85 ,$287.87 ,$672.80 ,$311.17 ,$672.80 ,$115.15 ,$115.15 ,$841.00 ,$455.82 ,$115.15 ,$221.18 , N/A , N/A ,$311.96 ,$297.78 ,$120.91 ,$714.85 ,$259.08 ,$553.38 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$588.70 ,$529.83 ,$529.83 ,$115.15 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,33300041,77407,HC RAD THRPY INTERMEDIATE,333,1 ,"$1,044.00 ",$678.60 ,$232.35 ,"$1,044.00 ",$580.88 ,$365.78 ,$565.85 ,$232.35 ,$292.32 ,$360.18 ,$232.35 ,$400.90 ,$232.35 ,$398.81 ,$407.69 ,$232.35 ,$398.81 ,$441.47 ,$917.95 ,$532.44 ,$580.89 ,$232.35 ,$730.80 ,$232.35 ,$522.00 ,$237.00 ,$783.00 ,$527.22 ,$475.02 ,$527.22 ,$232.35 ,$527.22 ,$730.80 ,$730.80 ,$730.80 ,"$1,044.00 ",$887.40 ,$580.89 ,$835.20 ,$386.28 ,$835.20 ,$232.35 ,$232.35 ,"$1,044.00 ",$565.85 ,$232.35 ,$274.57 , N/A , N/A ,$863.67 ,$824.41 ,$243.97 ,$887.40 ,$522.80 ,$686.95 ,$292.32 ,$939.60 ,$751.68 ,"$1,044.00 ",$730.80 ,$657.72 ,$657.72 ,$232.35 ,$501.12 ,$939.60 ST. JOHN'S HOSPITAL,33300045,77412,HC RAD THRPY COMPLEX,333,1 ,"$1,258.00 ",$817.70 ,$232.35 ,"$1,258.00 ",$580.88 ,$388.92 ,$681.84 ,$232.35 ,$352.24 ,$434.01 ,$232.35 ,$483.07 ,$232.35 ,$480.56 ,$545.22 ,$232.35 ,$480.56 ,$441.47 ,$917.95 ,$641.58 ,$580.89 ,$232.35 ,$880.60 ,$232.35 ,$629.00 ,$237.00 ,$943.50 ,$635.29 ,$572.39 ,$635.29 ,$232.35 ,$635.29 ,$880.60 ,$880.60 ,$880.60 ,"$1,258.00 ","$1,069.30 ",$580.89 ,"$1,006.40 ",$465.46 ,"$1,006.40 ",$232.35 ,$232.35 ,"$1,258.00 ",$681.84 ,$232.35 ,$330.85 , N/A , N/A ,$863.67 ,$824.41 ,$243.97 ,"$1,069.30 ",$522.80 ,$827.76 ,$352.24 ,"$1,132.20 ",$905.76 ,"$1,258.00 ",$880.60 ,$792.54 ,$792.54 ,$232.35 ,$603.84 ,"$1,132.20 " ST. JOHN'S HOSPITAL,33300051,77386,HC IMRT TREATMENT COMPLEX,333,1 ,"$4,765.00 ","$3,097.25 ",$521.54 ,"$4,765.00 ","$1,303.85 ",$648.24 ,"$2,582.63 ",$521.54 ,"$1,334.20 ","$1,643.93 ",$521.54 ,"$1,829.76 ",$521.54 ,"$1,820.23 ",$733.95 ,$521.54 ,"$1,820.23 ",$990.92 ,"$2,060.66 ","$2,430.15 ","$1,303.84 ",$521.54 ,"$3,335.50 ",$521.54 ,"$2,382.50 ",$531.97 ,"$3,573.75 ","$2,406.33 ","$2,168.08 ","$2,406.33 ",$521.54 ,"$2,406.33 ","$3,335.50 ","$3,335.50 ","$3,335.50 ","$4,765.00 ","$4,050.25 ","$1,303.84 ","$3,812.00 ","$1,763.05 ","$3,812.00 ",$521.54 ,$521.54 ,"$4,765.00 ","$2,582.63 ",$521.54 ,"$1,253.20 ", N/A , N/A ,$863.67 ,$824.41 ,$547.62 ,"$4,050.25 ","$1,173.46 ","$3,135.37 ","$1,334.20 ","$4,288.50 ","$3,430.80 ","$4,765.00 ","$3,335.50 ","$3,001.95 ","$3,001.95 ",$521.54 ,"$2,287.20 ","$4,288.50 " ST. JOHN'S HOSPITAL,33300052,77417,HC PORT FILMS,333,1 ,$565.00 ,$367.25 ,$16.05 ,$565.00 , N/A ,$23.38 ,$306.23 , N/A ,$158.20 ,$108.46 , N/A ,$130.32 , N/A ,$215.83 ,$23.64 , N/A ,$215.83 , N/A ,$297.19 ,$288.15 , N/A , N/A ,$395.50 , N/A ,$282.50 , N/A ,$423.75 ,$285.33 ,$257.08 ,$285.33 , N/A ,$285.33 ,$16.05 ,$16.05 ,$16.05 ,$565.00 ,$480.25 , N/A ,$452.00 ,$209.05 ,$452.00 , N/A , N/A ,$565.00 ,$306.23 , N/A ,$148.60 , N/A , N/A ,$58.34 ,$55.69 , N/A ,$480.25 , N/A ,$371.77 ,$158.20 ,$508.50 ,$406.80 ,$565.00 ,$16.05 ,$355.95 ,$355.95 , N/A ,$271.20 ,$508.50 ST. JOHN'S HOSPITAL,33300054,77385,HC IMRT TREATMENT SIMPLE,333,1 ,"$4,098.00 ","$2,663.70 ",$521.54 ,"$4,098.00 ","$1,303.85 ",$645.84 ,"$2,221.12 ",$521.54 ,"$1,147.44 ","$1,413.81 ",$521.54 ,"$1,573.63 ",$521.54 ,"$1,565.44 ",$736.83 ,$521.54 ,"$1,565.44 ",$990.92 ,"$2,060.66 ","$2,089.98 ","$1,303.84 ",$521.54 ,"$2,868.60 ",$521.54 ,"$2,049.00 ",$531.97 ,"$3,073.50 ","$2,069.49 ","$1,864.59 ","$2,069.49 ",$521.54 ,"$2,069.49 ","$2,868.60 ","$2,868.60 ","$2,868.60 ","$4,098.00 ","$3,483.30 ","$1,303.84 ","$3,278.40 ","$1,516.26 ","$3,278.40 ",$521.54 ,$521.54 ,"$4,098.00 ","$2,221.12 ",$521.54 ,"$1,077.77 ", N/A , N/A ,$863.67 ,$824.41 ,$547.62 ,"$3,483.30 ","$1,173.46 ","$2,696.48 ","$1,147.44 ","$3,688.20 ","$2,950.56 ","$4,098.00 ","$2,868.60 ","$2,581.74 ","$2,581.74 ",$521.54 ,"$1,967.04 ","$3,688.20 " ST. JOHN'S HOSPITAL,33300055,77387,HC STEREOSCOPIC X RAY GUIDANCE,333,1 ,"$1,072.00 ",$696.80 ,$62.34 ,"$1,072.00 ", N/A ,$62.34 ,$581.02 , N/A ,$300.16 ,$343.04 , N/A ,$394.50 , N/A ,$409.50 ,$400.00 , N/A ,$409.50 , N/A ,$308.13 ,$546.72 , N/A , N/A ,$750.40 , N/A ,$536.00 , N/A ,$804.00 ,$541.36 ,$487.76 ,$541.36 , N/A ,$541.36 ,$750.40 ,$750.40 ,$750.40 ,"$1,072.00 ",$911.20 , N/A ,$857.60 ,$396.64 ,$857.60 , N/A , N/A ,"$1,072.00 ",$581.02 , N/A ,$281.94 , N/A , N/A , N/A , N/A , N/A ,$911.20 , N/A ,$705.38 ,$300.16 ,$964.80 ,$771.84 ,"$1,072.00 ",$750.40 ,$675.36 ,$675.36 , N/A ,$514.56 ,$964.80 ST. JOHN'S HOSPITAL,33300057,77470,HC SPECIAL TREATMENT PROCEDURE,333,1 ,"$3,879.00 ","$2,521.35 ",$35.93 ,"$3,879.00 ","$1,303.85 ",$77.88 ,"$2,102.42 ",$521.54 ,"$1,086.12 ",$296.65 ,$521.54 ,$356.44 ,$521.54 ,"$1,481.78 ",$52.90 ,$521.54 ,"$1,481.78 ",$990.92 ,$90.32 ,"$1,978.29 ","$1,303.84 ",$521.54 ,"$2,715.30 ",$521.54 ,"$1,939.50 ",$531.97 ,"$2,909.25 ","$1,958.90 ","$1,764.95 ","$1,958.90 ",$521.54 ,"$1,958.90 ",$35.93 ,$35.93 ,$35.93 ,"$3,879.00 ","$3,297.15 ","$1,303.84 ","$3,103.20 ","$1,435.23 ","$3,103.20 ",$521.54 ,$521.54 ,"$3,879.00 ","$2,102.42 ",$521.54 ,"$1,020.18 ", N/A , N/A ,"$1,220.08 ","$1,164.62 ",$547.62 ,"$3,297.15 ","$1,173.46 ","$2,552.38 ","$1,086.12 ","$3,491.10 ","$2,792.88 ","$3,879.00 ",$35.93 ,"$2,443.77 ","$2,443.77 ",$521.54 ,"$1,861.92 ","$3,491.10 " ST. JOHN'S HOSPITAL,33300072,77373,HC SRT TREATMENT,333,1 ,"$7,094.00 ","$4,611.10 ",$824.41 ,"$7,094.00 ","$4,167.83 ","$2,054.62 ","$3,844.95 ","$1,667.13 ","$1,986.32 ","$2,447.43 ","$1,667.13 ","$2,724.10 ","$1,667.13 ","$2,709.91 ","$2,682.71 ","$1,667.13 ","$2,709.91 ","$3,167.54 ","$3,983.75 ","$3,617.94 ","$4,167.82 ","$1,667.13 ","$4,965.80 ","$1,667.13 ","$3,547.00 ","$1,700.47 ","$5,320.50 ","$3,582.47 ","$3,227.77 ","$3,582.47 ","$1,667.13 ","$3,582.47 ","$1,821.90 ","$1,821.90 ","$1,821.90 ","$7,094.00 ","$6,029.90 ","$4,167.82 ","$5,675.20 ","$2,624.78 ","$5,675.20 ","$1,667.13 ","$1,667.13 ","$7,094.00 ","$3,844.95 ","$1,667.13 ","$1,865.72 ", N/A , N/A ,$863.67 ,$824.41 ,"$1,750.49 ","$6,029.90 ","$3,751.04 ","$4,667.85 ","$1,986.32 ","$6,384.60 ","$5,107.68 ","$7,094.00 ","$1,821.90 ","$4,469.22 ","$4,469.22 ","$1,667.13 ","$3,405.12 ","$6,384.60 " ST. JOHN'S HOSPITAL,33300084,77293,HC RESPIRATORY MOTION MGMT SIM,333,1 ,"$2,126.00 ","$1,381.90 ",$500.60 ,"$2,126.00 ", N/A ,$531.76 ,"$1,152.29 ", N/A ,$595.28 ,$733.47 , N/A ,$816.38 , N/A ,$812.13 ,$737.10 , N/A ,$812.13 , N/A ,"$1,184.00 ","$1,084.26 ", N/A , N/A ,"$1,488.20 ", N/A ,"$1,063.00 ", N/A ,"$1,594.50 ","$1,073.63 ",$967.33 ,"$1,073.63 ", N/A ,"$1,073.63 ",$500.60 ,$500.60 ,$500.60 ,"$2,126.00 ","$1,807.10 ", N/A ,"$1,700.80 ",$786.62 ,"$1,700.80 ", N/A , N/A ,"$2,126.00 ","$1,152.29 ", N/A ,$559.14 , N/A , N/A ,$634.70 ,$605.85 , N/A ,"$1,807.10 ", N/A ,"$1,398.91 ",$595.28 ,"$1,913.40 ","$1,530.72 ","$2,126.00 ",$500.60 ,"$1,339.38 ","$1,339.38 ", N/A ,"$1,020.48 ","$1,913.40 " ST. JOHN'S HOSPITAL,33300085,C2638,HC IODINE 125 PER SOURCE STRANDED,333,1 ,$104.00 ,$67.60 ,$27.35 ,"$1,828.58 ",$95.48 ,$47.84 ,$56.37 ,$38.19 ,$29.12 ,$33.28 ,$38.19 ,$38.27 ,$38.19 ,$39.73 ,$41.60 ,$38.19 ,$39.73 ,$72.56 ,$54.70 ,$53.04 ,$95.48 ,$38.19 ,$72.80 ,$38.19 ,$52.00 ,$38.95 ,$78.00 ,$52.52 ,$47.32 ,$52.52 ,$38.19 ,$52.52 ,$72.80 ,$72.80 ,$72.80 ,$104.00 ,$88.40 ,$95.48 ,$83.20 ,$38.48 ,$83.20 ,$38.19 ,$38.19 ,$104.00 ,$56.37 ,$38.19 ,$27.35 , N/A , N/A ,$104.00 ,"$1,828.58 ",$40.10 ,$88.40 ,$85.93 ,$68.43 ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$72.80 ,$65.52 ,$65.52 ,$38.19 ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,33300108,20555,HC PLACEMENT NEEDLES MUSCLE SUBQ RADIOELEMENT,333,1 ,"$8,485.00 ","$5,515.25 ",$754.88 ,"$8,485.00 ","$6,805.53 ","$3,903.10 ","$4,598.87 ","$2,722.21 ","$2,375.80 ","$2,715.20 ","$2,722.21 ","$3,122.48 ","$2,722.21 ","$3,241.27 ",$754.88 ,"$2,722.21 ","$3,241.27 ","$5,172.21 ","$4,463.11 ","$4,327.35 ","$6,805.53 ","$2,722.21 ","$5,939.50 ","$2,722.21 ","$4,242.50 ","$2,776.66 ","$6,363.75 ","$4,284.93 ","$3,860.68 ","$4,284.93 ","$2,722.21 ","$4,284.93 ","$5,939.50 ","$5,939.50 ","$5,939.50 ","$8,485.00 ","$7,212.25 ","$6,805.53 ","$6,788.00 ","$3,139.45 ","$6,788.00 ","$2,722.21 ","$2,722.21 ","$8,485.00 ","$4,598.87 ","$2,722.21 ","$2,231.56 ", N/A , N/A ,"$3,016.45 ","$2,879.34 ","$2,858.32 ","$7,212.25 ","$6,124.98 ","$5,583.13 ","$2,375.80 ","$7,636.50 ","$6,109.20 ","$8,485.00 ","$5,939.50 ","$5,345.55 ","$5,345.55 ","$2,722.21 ","$4,072.80 ","$7,636.50 " ST. JOHN'S HOSPITAL,33300109,20660,HC APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX,333,1 ,"$4,885.00 ","$3,175.25 ",$575.22 ,"$4,885.00 ","$3,347.18 ","$2,247.10 ","$2,647.67 ","$1,338.87 ","$1,367.80 ","$1,563.20 ","$1,338.87 ","$1,797.68 ","$1,338.87 ","$1,866.07 ",$575.22 ,"$1,338.87 ","$1,866.07 ","$2,543.85 ","$2,569.51 ","$2,491.35 ","$3,347.17 ","$1,338.87 ","$3,419.50 ","$1,338.87 ","$2,442.50 ","$1,365.64 ","$3,663.75 ","$2,466.93 ","$2,222.68 ","$2,466.93 ","$1,338.87 ","$2,466.93 ","$3,419.50 ","$3,419.50 ","$3,419.50 ","$4,885.00 ","$4,152.25 ","$3,347.17 ","$3,908.00 ","$1,807.45 ","$3,908.00 ","$1,338.87 ","$1,338.87 ","$4,885.00 ","$2,647.67 ","$1,338.87 ","$1,284.76 ", N/A , N/A ,"$1,866.14 ","$1,781.31 ","$1,405.81 ","$4,152.25 ","$3,012.45 ","$3,214.33 ","$1,367.80 ","$4,396.50 ","$3,517.20 ","$4,885.00 ","$3,419.50 ","$3,077.55 ","$3,077.55 ","$1,338.87 ","$2,344.80 ","$4,396.50 " ST. JOHN'S HOSPITAL,33300110,A9527,HC IODINE 1-125 SODIUM IODIDE,333,1 ,$101.00 ,$65.65 ,$26.56 ,$101.00 ,$100.93 ,$46.46 ,$54.74 ,$40.37 ,$28.28 ,$32.32 ,$40.37 ,$37.17 ,$40.37 ,$38.58 ,$40.40 ,$40.37 ,$38.58 ,$76.70 ,$53.13 ,$51.51 ,$100.93 ,$40.37 ,$70.70 ,$40.37 ,$50.50 ,$41.18 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$40.37 ,$51.01 ,$70.70 ,$70.70 ,$70.70 ,$101.00 ,$85.85 ,$100.93 ,$80.80 ,$37.37 ,$80.80 ,$40.37 ,$40.37 ,$101.00 ,$54.74 ,$40.37 ,$26.56 , N/A , N/A , N/A , N/A ,$42.39 ,$85.85 ,$90.83 ,$66.46 ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$70.70 ,$63.63 ,$63.63 ,$40.37 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,33300112,C9725,HC PLACE ENDORECTAL APP,333,1 ,"$2,368.00 ","$1,539.20 ",$622.78 ,"$3,585.30 ","$1,907.05 ","$1,089.28 ","$1,283.46 ",$762.82 ,$663.04 ,$757.76 ,$762.82 ,$871.42 ,$762.82 ,$904.58 ,$947.20 ,$762.82 ,$904.58 ,"$1,449.37 ","$1,245.57 ","$1,207.68 ","$1,907.06 ",$762.82 ,"$1,657.60 ",$762.82 ,"$1,184.00 ",$778.08 ,"$1,776.00 ","$1,195.84 ","$1,077.44 ","$1,195.84 ",$762.82 ,"$1,195.84 ","$1,657.60 ","$1,657.60 ","$1,657.60 ","$2,368.00 ","$2,012.80 ","$1,907.06 ","$1,894.40 ",$876.16 ,"$1,894.40 ",$762.82 ,$762.82 ,"$2,368.00 ","$1,283.46 ",$762.82 ,$622.78 , N/A , N/A ,"$2,368.00 ","$3,585.30 ",$800.96 ,"$2,012.80 ","$1,716.35 ","$1,558.14 ",$663.04 ,"$2,131.20 ","$1,704.96 ","$2,368.00 ","$1,657.60 ","$1,491.84 ","$1,491.84 ",$762.82 ,"$1,136.64 ","$2,131.20 " ST. JOHN'S HOSPITAL,33301001,31575,HC LARYNGOSCOPY FLEX FIBEROPTC,333,1 ,"$1,286.00 ",$835.90 ,$121.11 ,"$1,286.00 ",$395.58 ,$591.56 ,$697.01 ,$158.23 ,$360.08 ,$411.52 ,$158.23 ,$473.25 ,$158.23 ,$491.25 ,$121.11 ,$158.23 ,$491.25 ,$300.65 ,$676.44 ,$655.86 ,$395.59 ,$158.23 ,$900.20 ,$158.23 ,$643.00 ,$161.40 ,$964.50 ,$649.43 ,$585.13 ,$649.43 ,$158.23 ,$649.43 ,$900.20 ,$900.20 ,$900.20 ,"$1,286.00 ","$1,093.10 ",$395.59 ,"$1,028.80 ",$475.82 ,"$1,028.80 ",$158.23 ,$158.23 ,"$1,286.00 ",$697.01 ,$158.23 ,$338.22 , N/A , N/A ,$423.39 ,$404.15 ,$166.14 ,"$1,093.10 ",$356.03 ,$846.19 ,$360.08 ,"$1,157.40 ",$925.92 ,"$1,286.00 ",$900.20 ,$810.18 ,$810.18 ,$158.23 ,$617.28 ,"$1,157.40 " ST. JOHN'S HOSPITAL,33301005,77280,HC SIMULATION SMP,333,1 ,"$1,611.00 ","$1,047.15 ",$121.97 ,"$1,611.00 ",$304.93 ,$237.52 ,$873.16 ,$121.97 ,$451.08 ,$555.80 ,$121.97 ,$618.62 ,$121.97 ,$615.40 ,$496.20 ,$121.97 ,$615.40 ,$231.74 ,$852.70 ,$821.61 ,$304.93 ,$121.97 ,"$1,127.70 ",$121.97 ,$805.50 ,$124.41 ,"$1,208.25 ",$813.56 ,$733.01 ,$813.56 ,$121.97 ,$813.56 ,$336.99 ,$336.99 ,$336.99 ,"$1,611.00 ","$1,369.35 ",$304.93 ,"$1,288.80 ",$596.07 ,"$1,288.80 ",$121.97 ,$121.97 ,"$1,611.00 ",$873.16 ,$121.97 ,$423.69 , N/A , N/A ,$448.38 ,$428.00 ,$128.07 ,"$1,369.35 ",$274.43 ,"$1,060.04 ",$451.08 ,"$1,449.90 ","$1,159.92 ","$1,611.00 ",$336.99 ,"$1,014.93 ","$1,014.93 ",$121.97 ,$773.28 ,"$1,449.90 " ST. JOHN'S HOSPITAL,33301008,77399,HC IMAGE FUSION DOSIMETRY,333,1 ,$392.00 ,$254.80 ,$103.10 ,$392.00 ,$304.93 ,$180.32 ,$212.46 ,$121.97 ,$109.76 ,$125.44 ,$121.97 ,$144.26 ,$121.97 ,$149.74 ,$156.80 ,$121.97 ,$149.74 ,$231.74 ,$392.00 ,$199.92 ,$304.93 ,$121.97 ,$274.40 ,$121.97 ,$196.00 ,$124.41 ,$294.00 ,$197.96 ,$178.36 ,$197.96 ,$121.97 ,$197.96 ,$274.40 ,$274.40 ,$274.40 ,$392.00 ,$333.20 ,$304.93 ,$313.60 ,$145.04 ,$313.60 ,$121.97 ,$121.97 ,$392.00 ,$212.46 ,$121.97 ,$103.10 , N/A , N/A ,$129.15 ,$123.28 ,$128.07 ,$333.20 ,$274.43 ,$257.94 ,$109.76 ,$352.80 ,$282.24 ,$392.00 ,$274.40 ,$246.96 ,$246.96 ,$121.97 ,$188.16 ,$352.80 ST. JOHN'S HOSPITAL,33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$277.00 ,$180.05 ,$59.60 ,$277.00 ,$149.00 ,$127.42 ,$150.13 ,$59.60 ,$77.56 ,$95.57 ,$59.60 ,$106.37 ,$59.60 ,$105.81 ,$148.56 ,$59.60 ,$105.81 ,$113.23 ,$145.70 ,$141.27 ,$148.99 ,$59.60 ,$193.90 ,$59.60 ,$138.50 ,$60.79 ,$207.75 ,$139.89 ,$126.04 ,$139.89 ,$59.60 ,$139.89 ,$193.90 ,$193.90 ,$193.90 ,$277.00 ,$235.45 ,$148.99 ,$221.60 ,$102.49 ,$221.60 ,$59.60 ,$59.60 ,$277.00 ,$150.13 ,$59.60 ,$72.85 , N/A , N/A , N/A , N/A ,$62.58 ,$235.45 ,$134.09 ,$182.27 ,$77.56 ,$249.30 ,$199.44 ,$277.00 ,$193.90 ,$174.51 ,$174.51 ,$59.60 ,$132.96 ,$249.30 ST. JOHN'S HOSPITAL,33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$397.00 ,$258.05 ,$104.41 ,$491.61 ,$491.60 ,$182.62 ,$215.17 ,$196.64 ,$111.16 ,$136.97 ,$196.64 ,$152.45 ,$196.64 ,$151.65 ,$202.05 ,$196.64 ,$151.65 ,$373.63 ,$208.82 ,$202.47 ,$491.61 ,$196.64 ,$277.90 ,$196.64 ,$198.50 ,$200.58 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$196.64 ,$200.49 ,$277.90 ,$277.90 ,$277.90 ,$397.00 ,$337.45 ,$397.00 ,$317.60 ,$146.89 ,$317.60 ,$196.64 ,$196.64 ,$397.00 ,$215.17 ,$196.64 ,$104.41 , N/A , N/A , N/A , N/A ,$206.47 ,$337.45 ,$442.45 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$277.90 ,$250.11 ,$250.11 ,$196.64 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,33500004,96411,HC CHEMO IV PUSH ADDL DRUG,335,1 ,$352.00 ,$228.80 ,$59.60 ,$352.00 ,$149.00 ,$161.92 ,$190.78 ,$59.60 ,$98.56 ,$121.44 ,$59.60 ,$135.17 ,$59.60 ,$134.46 ,$109.55 ,$59.60 ,$134.46 ,$113.23 ,$185.15 ,$179.52 ,$148.99 ,$59.60 ,$246.40 ,$59.60 ,$176.00 ,$60.79 ,$264.00 ,$177.76 ,$160.16 ,$177.76 ,$59.60 ,$177.76 ,$246.40 ,$246.40 ,$246.40 ,$352.00 ,$299.20 ,$148.99 ,$281.60 ,$130.24 ,$281.60 ,$59.60 ,$59.60 ,$352.00 ,$190.78 ,$59.60 ,$92.58 , N/A , N/A , N/A , N/A ,$62.58 ,$299.20 ,$134.09 ,$231.62 ,$98.56 ,$316.80 ,$253.44 ,$352.00 ,$246.40 ,$221.76 ,$221.76 ,$59.60 ,$168.96 ,$316.80 ST. JOHN'S HOSPITAL,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$517.00 ,$336.05 ,$135.97 ,$766.23 ,$766.23 ,$237.82 ,$280.21 ,$306.49 ,$144.76 ,$178.37 ,$306.49 ,$198.53 ,$306.49 ,$197.49 ,$278.40 ,$306.49 ,$197.49 ,$517.00 ,$271.94 ,$263.67 ,$766.23 ,$306.49 ,$361.90 ,$306.49 ,$258.50 ,$312.62 ,$387.75 ,$261.09 ,$235.24 ,$261.09 ,$306.49 ,$261.09 ,$361.90 ,$361.90 ,$361.90 ,$517.00 ,$439.45 ,$517.00 ,$413.60 ,$191.29 ,$413.60 ,$306.49 ,$306.49 ,$517.00 ,$280.21 ,$306.49 ,$135.97 , N/A , N/A ,$328.00 ,$313.09 ,$321.81 ,$439.45 ,$689.61 ,$340.19 ,$144.76 ,$465.30 ,$372.24 ,$517.00 ,$361.90 ,$325.71 ,$325.71 ,$306.49 ,$248.16 ,$465.30 ST. JOHN'S HOSPITAL,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$357.00 ,$232.05 ,$57.68 ,$489.45 ,$149.00 ,$164.22 ,$193.49 ,$59.60 ,$99.96 ,$123.17 ,$59.60 ,$137.09 ,$59.60 ,$136.37 ,$57.68 ,$59.60 ,$136.37 ,$113.23 ,$187.78 ,$182.07 ,$148.99 ,$59.60 ,$249.90 ,$59.60 ,$178.50 ,$60.79 ,$267.75 ,$180.29 ,$162.44 ,$180.29 ,$59.60 ,$180.29 ,$249.90 ,$249.90 ,$249.90 ,$357.00 ,$303.45 ,$148.99 ,$285.60 ,$132.09 ,$285.60 ,$59.60 ,$59.60 ,$357.00 ,$193.49 ,$59.60 ,$93.89 , N/A , N/A ,$357.00 ,$489.45 ,$62.58 ,$303.45 ,$134.09 ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$249.90 ,$224.91 ,$224.91 ,$59.60 ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,33500007,96416,HC CHEMO ADMIN INTRAV INFUS >8HR,335,1 ,"$2,893.00 ","$1,880.45 ",$305.64 ,"$2,893.00 ",$766.23 ,"$1,330.78 ","$1,568.01 ",$306.49 ,$810.04 ,$998.09 ,$306.49 ,"$1,110.91 ",$306.49 ,"$1,105.13 ",$305.64 ,$306.49 ,"$1,105.13 ",$582.34 ,"$1,521.72 ","$1,475.43 ",$766.23 ,$306.49 ,"$2,025.10 ",$306.49 ,"$1,446.50 ",$312.62 ,"$2,169.75 ","$1,460.97 ","$1,316.32 ","$1,460.97 ",$306.49 ,"$1,460.97 ","$2,025.10 ","$2,025.10 ","$2,025.10 ","$2,893.00 ","$2,459.05 ",$766.23 ,"$2,314.40 ","$1,070.41 ","$2,314.40 ",$306.49 ,$306.49 ,"$2,893.00 ","$1,568.01 ",$306.49 ,$760.86 , N/A , N/A ,$512.75 ,$489.45 ,$321.81 ,"$2,459.05 ",$689.61 ,"$1,903.59 ",$810.04 ,"$2,603.70 ","$2,082.96 ","$2,893.00 ","$2,025.10 ","$1,822.59 ","$1,822.59 ",$306.49 ,"$1,388.64 ","$2,603.70 " ST. JOHN'S HOSPITAL,33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$357.00 ,$232.05 ,$59.60 ,$357.00 ,$149.00 ,$164.22 ,$193.49 ,$59.60 ,$99.96 ,$123.17 ,$59.60 ,$137.09 ,$59.60 ,$136.37 ,$127.45 ,$59.60 ,$136.37 ,$113.23 ,$187.78 ,$182.07 ,$148.99 ,$59.60 ,$249.90 ,$59.60 ,$178.50 ,$60.79 ,$267.75 ,$180.29 ,$162.44 ,$180.29 ,$59.60 ,$180.29 ,$249.90 ,$249.90 ,$249.90 ,$357.00 ,$303.45 ,$148.99 ,$285.60 ,$132.09 ,$285.60 ,$59.60 ,$59.60 ,$357.00 ,$193.49 ,$59.60 ,$93.89 , N/A , N/A ,$328.00 ,$313.09 ,$62.58 ,$303.45 ,$134.09 ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$249.90 ,$224.91 ,$224.91 ,$59.60 ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,33500009,96422,HC CHEMO ADMIN INTRA-ARTR INFUS<1HR,335,1 ,$517.00 ,$336.05 ,$135.97 ,$517.00 ,$491.60 ,$237.82 ,$280.21 ,$196.64 ,$144.76 ,$178.37 ,$196.64 ,$198.53 ,$196.64 ,$197.49 ,$319.85 ,$196.64 ,$197.49 ,$373.63 ,$271.94 ,$263.67 ,$491.61 ,$196.64 ,$361.90 ,$196.64 ,$258.50 ,$200.58 ,$387.75 ,$261.09 ,$235.24 ,$261.09 ,$196.64 ,$261.09 ,$361.90 ,$361.90 ,$361.90 ,$517.00 ,$439.45 ,$491.61 ,$413.60 ,$191.29 ,$413.60 ,$196.64 ,$196.64 ,$517.00 ,$280.21 ,$196.64 ,$135.97 , N/A , N/A ,$328.00 ,$313.09 ,$206.47 ,$439.45 ,$442.45 ,$340.19 ,$144.76 ,$465.30 ,$372.24 ,$517.00 ,$361.90 ,$325.71 ,$325.71 ,$196.64 ,$248.16 ,$465.30 ST. JOHN'S HOSPITAL,33500010,96423,HC CHEMO ADMN INTR-ARTR EA ADD HR,335,1 ,$357.00 ,$232.05 ,$38.47 ,$489.45 ,$96.18 ,$164.22 ,$193.49 ,$38.47 ,$99.96 ,$123.17 ,$38.47 ,$137.09 ,$38.47 ,$136.37 ,$148.33 ,$38.47 ,$136.37 ,$73.09 ,$187.78 ,$182.07 ,$96.17 ,$38.47 ,$249.90 ,$38.47 ,$178.50 ,$39.24 ,$267.75 ,$180.29 ,$162.44 ,$180.29 ,$38.47 ,$180.29 ,$249.90 ,$249.90 ,$249.90 ,$357.00 ,$303.45 ,$96.17 ,$285.60 ,$132.09 ,$285.60 ,$38.47 ,$38.47 ,$357.00 ,$193.49 ,$38.47 ,$93.89 , N/A , N/A ,$357.00 ,$489.45 ,$40.39 ,$303.45 ,$86.55 ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$249.90 ,$224.91 ,$224.91 ,$38.47 ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,33500011,96446,HC CHEMO PERITONEAL CAVITY,335,1 ,$534.00 ,$347.10 ,$58.46 ,$766.23 ,$766.23 ,$245.64 ,$289.43 ,$306.49 ,$149.52 ,$170.88 ,$306.49 ,$196.51 ,$306.49 ,$203.99 ,$58.46 ,$306.49 ,$203.99 ,$534.00 ,$280.88 ,$272.34 ,$766.23 ,$306.49 ,$373.80 ,$306.49 ,$267.00 ,$312.62 ,$400.50 ,$269.67 ,$242.97 ,$269.67 ,$306.49 ,$269.67 ,$373.80 ,$373.80 ,$373.80 ,$534.00 ,$453.90 ,$534.00 ,$427.20 ,$197.58 ,$427.20 ,$306.49 ,$306.49 ,$534.00 ,$289.43 ,$306.49 ,$140.44 , N/A , N/A ,$328.00 ,$313.09 ,$321.81 ,$453.90 ,$689.61 ,$351.37 ,$149.52 ,$480.60 ,$384.48 ,$534.00 ,$373.80 ,$336.42 ,$336.42 ,$306.49 ,$256.32 ,$480.60 ST. JOHN'S HOSPITAL,33500012,96450,HC CHEMO CNS,335,1 ,"$1,169.00 ",$759.85 ,$159.56 ,"$1,169.00 ",$766.23 ,$537.74 ,$633.60 ,$306.49 ,$327.32 ,$403.31 ,$306.49 ,$448.90 ,$306.49 ,$446.56 ,$159.56 ,$306.49 ,$446.56 ,$582.34 ,$614.89 ,$596.19 ,$766.23 ,$306.49 ,$818.30 ,$306.49 ,$584.50 ,$312.62 ,$876.75 ,$590.35 ,$531.90 ,$590.35 ,$306.49 ,$590.35 ,$818.30 ,$818.30 ,$818.30 ,"$1,169.00 ",$993.65 ,$766.23 ,$935.20 ,$432.53 ,$935.20 ,$306.49 ,$306.49 ,"$1,169.00 ",$633.60 ,$306.49 ,$307.45 , N/A , N/A ,$512.75 ,$489.45 ,$321.81 ,$993.65 ,$689.61 ,$769.20 ,$327.32 ,"$1,052.10 ",$841.68 ,"$1,169.00 ",$818.30 ,$736.47 ,$736.47 ,$306.49 ,$561.12 ,"$1,052.10 " ST. JOHN'S HOSPITAL,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$277.00 ,$180.05 ,$58.13 ,$277.00 ,$149.00 ,$127.42 ,$150.13 ,$59.60 ,$77.56 ,$95.57 ,$59.60 ,$106.37 ,$59.60 ,$105.81 ,$58.13 ,$59.60 ,$105.81 ,$113.23 ,$145.70 ,$141.27 ,$148.99 ,$59.60 ,$193.90 ,$59.60 ,$138.50 ,$60.79 ,$207.75 ,$139.89 ,$126.04 ,$139.89 ,$59.60 ,$139.89 ,$193.90 ,$193.90 ,$193.90 ,$277.00 ,$235.45 ,$148.99 ,$221.60 ,$102.49 ,$221.60 ,$59.60 ,$59.60 ,$277.00 ,$150.13 ,$59.60 ,$72.85 , N/A , N/A , N/A , N/A ,$62.58 ,$235.45 ,$134.09 ,$182.27 ,$77.56 ,$249.30 ,$199.44 ,$277.00 ,$193.90 ,$174.51 ,$174.51 ,$59.60 ,$132.96 ,$249.30 ST. JOHN'S HOSPITAL,33500014,96521,HC REFILLING/MAINTENANCE PORTABLE PUMP,335,1 ,$613.00 ,$398.45 ,$119.50 ,$613.00 ,$491.60 ,$281.98 ,$332.25 ,$196.64 ,$171.64 ,$211.49 ,$196.64 ,$235.39 ,$196.64 ,$234.17 ,$272.63 ,$196.64 ,$234.17 ,$373.63 ,$322.44 ,$312.63 ,$491.61 ,$196.64 ,$429.10 ,$196.64 ,$306.50 ,$200.58 ,$459.75 ,$309.57 ,$278.92 ,$309.57 ,$196.64 ,$309.57 ,$429.10 ,$429.10 ,$429.10 ,$613.00 ,$521.05 ,$491.61 ,$490.40 ,$226.81 ,$490.40 ,$196.64 ,$196.64 ,$613.00 ,$332.25 ,$196.64 ,$161.22 , N/A , N/A ,$125.19 ,$119.50 ,$206.47 ,$521.05 ,$442.45 ,$403.35 ,$171.64 ,$551.70 ,$441.36 ,$613.00 ,$429.10 ,$386.19 ,$386.19 ,$196.64 ,$294.24 ,$551.70 ST. JOHN'S HOSPITAL,33500027,96425,HC CHEMO INTRA-ART PROLONGED INFUSION W/PUMP,335,1 ,"$1,079.00 ",$701.35 ,$283.78 ,"$1,079.00 ",$766.23 ,$496.34 ,$584.82 ,$306.49 ,$302.12 ,$372.26 ,$306.49 ,$414.34 ,$306.49 ,$412.18 ,$339.20 ,$306.49 ,$412.18 ,$582.34 ,$567.55 ,$550.29 ,$766.23 ,$306.49 ,$755.30 ,$306.49 ,$539.50 ,$312.62 ,$809.25 ,$544.90 ,$490.95 ,$544.90 ,$306.49 ,$544.90 ,$755.30 ,$755.30 ,$755.30 ,"$1,079.00 ",$917.15 ,$766.23 ,$863.20 ,$399.23 ,$863.20 ,$306.49 ,$306.49 ,"$1,079.00 ",$584.82 ,$306.49 ,$283.78 , N/A , N/A ,$512.75 ,$489.45 ,$321.81 ,$917.15 ,$689.61 ,$709.98 ,$302.12 ,$971.10 ,$776.88 ,"$1,079.00 ",$755.30 ,$679.77 ,$679.77 ,$306.49 ,$517.92 ,$971.10 ST. JOHN'S HOSPITAL,33500028,96440,HC CHEMO ADMIN PLEURAL CAVITY W/THORACENTESIS,335,1 ,$573.00 ,$372.45 ,$150.70 ,$766.23 ,$766.23 ,$263.58 ,$310.57 ,$306.49 ,$160.44 ,$197.69 ,$306.49 ,$220.03 ,$306.49 ,$218.89 ,$255.47 ,$306.49 ,$218.89 ,$573.00 ,$301.40 ,$292.23 ,$766.23 ,$306.49 ,$401.10 ,$306.49 ,$286.50 ,$312.62 ,$429.75 ,$289.37 ,$260.72 ,$289.37 ,$306.49 ,$289.37 ,$401.10 ,$401.10 ,$401.10 ,$573.00 ,$487.05 ,$573.00 ,$458.40 ,$212.01 ,$458.40 ,$306.49 ,$306.49 ,$573.00 ,$310.57 ,$306.49 ,$150.70 , N/A , N/A ,$573.00 ,$692.27 ,$321.81 ,$487.05 ,$689.61 ,$377.03 ,$160.44 ,$515.70 ,$412.56 ,$573.00 ,$401.10 ,$360.99 ,$360.99 ,$306.49 ,$275.04 ,$515.70 ST. JOHN'S HOSPITAL,33500029,96522,HC PUMP MAINT SYSTEMIC,335,1 ,$613.00 ,$398.45 ,$119.50 ,$613.00 ,$491.60 ,$281.98 ,$332.25 ,$196.64 ,$171.64 ,$211.49 ,$196.64 ,$235.39 ,$196.64 ,$234.17 ,$224.50 ,$196.64 ,$234.17 ,$373.63 ,$322.44 ,$312.63 ,$491.61 ,$196.64 ,$429.10 ,$196.64 ,$306.50 ,$200.58 ,$459.75 ,$309.57 ,$278.92 ,$309.57 ,$196.64 ,$309.57 ,$429.10 ,$429.10 ,$429.10 ,$613.00 ,$521.05 ,$491.61 ,$490.40 ,$226.81 ,$490.40 ,$196.64 ,$196.64 ,$613.00 ,$332.25 ,$196.64 ,$161.22 , N/A , N/A ,$125.19 ,$119.50 ,$206.47 ,$521.05 ,$442.45 ,$403.35 ,$171.64 ,$551.70 ,$441.36 ,$613.00 ,$429.10 ,$386.19 ,$386.19 ,$196.64 ,$294.24 ,$551.70 ST. JOHN'S HOSPITAL,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$1,480.00 ",$962.00 ,$310.97 ,"$1,480.00 ",$905.88 ,$354.74 ,$802.16 ,$362.35 ,$414.40 ,$510.60 ,$362.35 ,$568.32 ,$362.35 ,$565.36 ,$457.89 ,$362.35 ,$565.36 ,$688.47 ,$751.92 ,$754.80 ,$905.88 ,$362.35 ,"$1,036.00 ",$362.35 ,$740.00 ,$369.60 ,"$1,110.00 ",$747.40 ,$673.40 ,$747.40 ,$362.35 ,$747.40 ,$310.97 ,$310.97 ,$310.97 ,"$1,480.00 ","$1,258.00 ",$905.88 ,"$1,184.00 ",$547.60 ,"$1,184.00 ",$362.35 ,$362.35 ,"$1,480.00 ",$802.16 ,$362.35 ,$389.24 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,258.00 ",$815.29 ,$973.84 ,$414.40 ,"$1,332.00 ","$1,065.60 ","$1,480.00 ",$310.97 ,$932.40 ,$932.40 ,$362.35 ,$710.40 ,"$1,332.00 " ST. JOHN'S HOSPITAL,34000007,78018,HC NM THYROID CA METS WHOLE BODY,340,1 ,"$3,967.00 ","$2,578.55 ",$391.11 ,"$3,967.00 ","$1,175.98 ",$457.68 ,"$2,150.11 ",$470.39 ,"$1,110.76 ","$1,368.62 ",$470.39 ,"$1,523.33 ",$470.39 ,"$1,515.39 ",$575.90 ,$470.39 ,"$1,515.39 ",$893.75 ,$955.89 ,"$2,023.17 ","$1,175.98 ",$470.39 ,"$2,776.90 ",$470.39 ,"$1,983.50 ",$479.80 ,"$2,975.25 ","$2,003.34 ","$1,804.99 ","$2,003.34 ",$470.39 ,"$2,003.34 ",$391.11 ,$391.11 ,$391.11 ,"$3,967.00 ","$3,371.95 ","$1,175.98 ","$3,173.60 ","$1,467.79 ","$3,173.60 ",$470.39 ,$470.39 ,"$3,967.00 ","$2,150.11 ",$470.39 ,"$1,043.32 ", N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$3,371.95 ","$1,058.38 ","$2,610.29 ","$1,110.76 ","$3,570.30 ","$2,856.24 ","$3,967.00 ",$391.11 ,"$2,499.21 ","$2,499.21 ",$470.39 ,"$1,904.16 ","$3,570.30 " ST. JOHN'S HOSPITAL,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,795.00 ","$1,166.75 ",$362.35 ,"$1,795.00 ",$905.88 ,$377.86 ,$972.89 ,$362.35 ,$502.60 ,$619.28 ,$362.35 ,$689.28 ,$362.35 ,$685.69 ,$549.33 ,$362.35 ,$685.69 ,$688.47 ,$897.52 ,$915.45 ,$905.88 ,$362.35 ,"$1,256.50 ",$362.35 ,$897.50 ,$369.60 ,"$1,346.25 ",$906.48 ,$816.73 ,$906.48 ,$362.35 ,$906.48 ,$373.07 ,$373.07 ,$373.07 ,"$1,795.00 ","$1,525.75 ",$905.88 ,"$1,436.00 ",$664.15 ,"$1,436.00 ",$362.35 ,$362.35 ,"$1,795.00 ",$972.89 ,$362.35 ,$472.09 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,525.75 ",$815.29 ,"$1,181.11 ",$502.60 ,"$1,615.50 ","$1,292.40 ","$1,795.00 ",$373.07 ,"$1,130.85 ","$1,130.85 ",$362.35 ,$861.60 ,"$1,615.50 " ST. JOHN'S HOSPITAL,34000011,78104,HC BONE MARROW IMAGING WHOLE BODY,340,1 ,"$1,397.00 ",$908.05 ,$301.04 ,"$1,397.00 ",$905.88 ,$353.64 ,$757.17 ,$362.35 ,$391.16 ,$481.97 ,$362.35 ,$536.45 ,$362.35 ,$533.65 ,$443.26 ,$362.35 ,$533.65 ,$688.47 ,$737.71 ,$712.47 ,$905.88 ,$362.35 ,$977.90 ,$362.35 ,$698.50 ,$369.60 ,"$1,047.75 ",$705.49 ,$635.64 ,$705.49 ,$362.35 ,$705.49 ,$301.04 ,$301.04 ,$301.04 ,"$1,397.00 ","$1,187.45 ",$905.88 ,"$1,117.60 ",$516.89 ,"$1,117.60 ",$362.35 ,$362.35 ,"$1,397.00 ",$757.17 ,$362.35 ,$367.41 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,187.45 ",$815.29 ,$919.23 ,$391.16 ,"$1,257.30 ","$1,005.84 ","$1,397.00 ",$301.04 ,$880.11 ,$880.11 ,$362.35 ,$670.56 ,"$1,257.30 " ST. JOHN'S HOSPITAL,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$2,880.00 ","$1,872.00 ",$421.12 ,"$2,880.00 ","$1,175.98 ",$453.84 ,"$1,560.96 ",$470.39 ,$806.40 ,$993.60 ,$470.39 ,"$1,105.92 ",$470.39 ,"$1,100.16 ",$630.03 ,$470.39 ,"$1,100.16 ",$893.75 ,"$1,041.12 ","$1,468.80 ","$1,175.98 ",$470.39 ,"$2,016.00 ",$470.39 ,"$1,440.00 ",$479.80 ,"$2,160.00 ","$1,454.40 ","$1,310.40 ","$1,454.40 ",$470.39 ,"$1,454.40 ",$427.88 ,$427.88 ,$427.88 ,"$2,880.00 ","$2,448.00 ","$1,175.98 ","$2,304.00 ","$1,065.60 ","$2,304.00 ",$470.39 ,$470.39 ,"$2,880.00 ","$1,560.96 ",$470.39 ,$757.44 , N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$2,448.00 ","$1,058.38 ","$1,895.04 ",$806.40 ,"$2,592.00 ","$2,073.60 ","$2,880.00 ",$427.88 ,"$1,814.40 ","$1,814.40 ",$470.39 ,"$1,382.40 ","$2,592.00 " ST. JOHN'S HOSPITAL,34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$2,244.00 ","$1,458.60 ",$244.89 ,"$2,244.00 ",$905.88 ,$288.14 ,"$1,216.25 ",$362.35 ,$628.32 ,$774.18 ,$362.35 ,$861.70 ,$362.35 ,$857.21 ,$360.60 ,$362.35 ,$857.21 ,$688.47 ,$602.79 ,"$1,144.44 ",$905.88 ,$362.35 ,"$1,570.80 ",$362.35 ,"$1,122.00 ",$369.60 ,"$1,683.00 ","$1,133.22 ","$1,021.02 ","$1,133.22 ",$362.35 ,"$1,133.22 ",$244.89 ,$244.89 ,$244.89 ,"$2,244.00 ","$1,907.40 ",$905.88 ,"$1,795.20 ",$830.28 ,"$1,795.20 ",$362.35 ,$362.35 ,"$2,244.00 ","$1,216.25 ",$362.35 ,$590.17 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,907.40 ",$815.29 ,"$1,476.55 ",$628.32 ,"$2,019.60 ","$1,615.68 ","$2,244.00 ",$244.89 ,"$1,413.72 ","$1,413.72 ",$362.35 ,"$1,077.12 ","$2,019.60 " ST. JOHN'S HOSPITAL,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$3,649.00 ","$2,371.85 ",$362.35 ,"$3,649.00 ",$905.88 ,$509.44 ,"$1,977.76 ",$362.35 ,"$1,021.72 ","$1,258.91 ",$362.35 ,"$1,401.22 ",$362.35 ,"$1,393.92 ",$621.25 ,$362.35 ,"$1,393.92 ",$688.47 ,"$1,019.80 ","$1,860.99 ",$905.88 ,$362.35 ,"$2,554.30 ",$362.35 ,"$1,824.50 ",$369.60 ,"$2,736.75 ","$1,842.75 ","$1,660.30 ","$1,842.75 ",$362.35 ,"$1,842.75 ",$421.91 ,$421.91 ,$421.91 ,"$3,649.00 ","$3,101.65 ",$905.88 ,"$2,919.20 ","$1,350.13 ","$2,919.20 ",$362.35 ,$362.35 ,"$3,649.00 ","$1,977.76 ",$362.35 ,$959.69 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$3,101.65 ",$815.29 ,"$2,401.04 ","$1,021.72 ","$3,284.10 ","$2,627.28 ","$3,649.00 ",$421.91 ,"$2,298.87 ","$2,298.87 ",$362.35 ,"$1,751.52 ","$3,284.10 " ST. JOHN'S HOSPITAL,34000025,78262,HC GASTROESOPHAGEAL REFLUX,340,1 ,"$2,381.00 ","$1,547.65 ",$299.04 ,"$2,381.00 ",$905.88 ,$366.86 ,"$1,290.50 ",$362.35 ,$666.68 ,$821.45 ,$362.35 ,$914.30 ,$362.35 ,$909.54 ,$440.34 ,$362.35 ,$909.54 ,$688.47 ,$731.80 ,"$1,214.31 ",$905.88 ,$362.35 ,"$1,666.70 ",$362.35 ,"$1,190.50 ",$369.60 ,"$1,785.75 ","$1,202.41 ","$1,083.36 ","$1,202.41 ",$362.35 ,"$1,202.41 ",$299.04 ,$299.04 ,$299.04 ,"$2,381.00 ","$2,023.85 ",$905.88 ,"$1,904.80 ",$880.97 ,"$1,904.80 ",$362.35 ,$362.35 ,"$2,381.00 ","$1,290.50 ",$362.35 ,$626.20 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$2,023.85 ",$815.29 ,"$1,566.70 ",$666.68 ,"$2,142.90 ","$1,714.32 ","$2,381.00 ",$299.04 ,"$1,500.03 ","$1,500.03 ",$362.35 ,"$1,142.88 ","$2,142.90 " ST. JOHN'S HOSPITAL,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$2,858.00 ","$1,857.70 ",$362.35 ,"$2,858.00 ",$905.88 ,$416.40 ,"$1,549.04 ",$362.35 ,$800.24 ,$986.01 ,$362.35 ,"$1,097.47 ",$362.35 ,"$1,091.76 ",$626.37 ,$362.35 ,"$1,091.76 ",$688.47 ,"$1,028.10 ","$1,457.58 ",$905.88 ,$362.35 ,"$2,000.60 ",$362.35 ,"$1,429.00 ",$369.60 ,"$2,143.50 ","$1,443.29 ","$1,300.39 ","$1,443.29 ",$362.35 ,"$1,443.29 ",$425.39 ,$425.39 ,$425.39 ,"$2,858.00 ","$2,429.30 ",$905.88 ,"$2,286.40 ","$1,057.46 ","$2,286.40 ",$362.35 ,$362.35 ,"$2,858.00 ","$1,549.04 ",$362.35 ,$751.65 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$2,429.30 ",$815.29 ,"$1,880.56 ",$800.24 ,"$2,572.20 ","$2,057.76 ","$2,858.00 ",$425.39 ,"$1,800.54 ","$1,800.54 ",$362.35 ,"$1,371.84 ","$2,572.20 " ST. JOHN'S HOSPITAL,34000027,78278,HC GI BLEED SCAN,340,1 ,"$2,333.00 ","$1,516.45 ",$362.35 ,"$2,333.00 ",$905.88 ,$415.60 ,"$1,264.49 ",$362.35 ,$653.24 ,$804.89 ,$362.35 ,$895.87 ,$362.35 ,$891.21 ,$635.15 ,$362.35 ,$891.21 ,$688.47 ,"$1,051.79 ","$1,189.83 ",$905.88 ,$362.35 ,"$1,633.10 ",$362.35 ,"$1,166.50 ",$369.60 ,"$1,749.75 ","$1,178.17 ","$1,061.52 ","$1,178.17 ",$362.35 ,"$1,178.17 ",$431.36 ,$431.36 ,$431.36 ,"$2,333.00 ","$1,983.05 ",$905.88 ,"$1,866.40 ",$863.21 ,"$1,866.40 ",$362.35 ,$362.35 ,"$2,333.00 ","$1,264.49 ",$362.35 ,$613.58 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,983.05 ",$815.29 ,"$1,535.11 ",$653.24 ,"$2,099.70 ","$1,679.76 ","$2,333.00 ",$431.36 ,"$1,469.79 ","$1,469.79 ",$362.35 ,"$1,119.84 ","$2,099.70 " ST. JOHN'S HOSPITAL,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$2,712.00 ","$1,762.80 ",$362.35 ,"$2,712.00 ",$905.88 ,$415.60 ,"$1,469.90 ",$362.35 ,$759.36 ,$935.64 ,$362.35 ,"$1,041.41 ",$362.35 ,"$1,035.98 ",$628.57 ,$362.35 ,"$1,035.98 ",$688.47 ,"$1,039.93 ","$1,383.12 ",$905.88 ,$362.35 ,"$1,898.40 ",$362.35 ,"$1,356.00 ",$369.60 ,"$2,034.00 ","$1,369.56 ","$1,233.96 ","$1,369.56 ",$362.35 ,"$1,369.56 ",$426.89 ,$426.89 ,$426.89 ,"$2,712.00 ","$2,305.20 ",$905.88 ,"$2,169.60 ","$1,003.44 ","$2,169.60 ",$362.35 ,$362.35 ,"$2,712.00 ","$1,469.90 ",$362.35 ,$713.26 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,305.20 ",$815.29 ,"$1,784.50 ",$759.36 ,"$2,440.80 ","$1,952.64 ","$2,712.00 ",$426.89 ,"$1,708.56 ","$1,708.56 ",$362.35 ,"$1,301.76 ","$2,440.80 " ST. JOHN'S HOSPITAL,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$2,505.00 ","$1,628.25 ",$252.90 ,"$2,505.00 ",$905.88 ,$252.90 ,"$1,357.71 ",$362.35 ,$701.40 ,$864.23 ,$362.35 ,$961.92 ,$362.35 ,$956.91 ,$421.09 ,$362.35 ,$956.91 ,$688.47 ,$697.46 ,"$1,277.55 ",$905.88 ,$362.35 ,"$1,753.50 ",$362.35 ,"$1,252.50 ",$369.60 ,"$1,878.75 ","$1,265.03 ","$1,139.78 ","$1,265.03 ",$362.35 ,"$1,265.03 ",$285.98 ,$285.98 ,$285.98 ,"$2,505.00 ","$2,129.25 ",$905.88 ,"$2,004.00 ",$926.85 ,"$2,004.00 ",$362.35 ,$362.35 ,"$2,505.00 ","$1,357.71 ",$362.35 ,$658.82 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,129.25 ",$815.29 ,"$1,648.29 ",$701.40 ,"$2,254.50 ","$1,803.60 ","$2,505.00 ",$285.98 ,"$1,578.15 ","$1,578.15 ",$362.35 ,"$1,202.40 ","$2,254.50 " ST. JOHN'S HOSPITAL,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,183.00 ",$768.95 ,$311.13 ,"$1,183.00 ",$905.88 ,$331.62 ,$641.19 ,$362.35 ,$331.24 ,$408.14 ,$362.35 ,$454.27 ,$362.35 ,$451.91 ,$506.17 ,$362.35 ,$451.91 ,$688.47 ,$833.61 ,$603.33 ,$905.88 ,$362.35 ,$828.10 ,$362.35 ,$591.50 ,$369.60 ,$887.25 ,$597.42 ,$538.27 ,$597.42 ,$362.35 ,$597.42 ,$343.76 ,$343.76 ,$343.76 ,"$1,183.00 ","$1,005.55 ",$905.88 ,$946.40 ,$437.71 ,$946.40 ,$362.35 ,$362.35 ,"$1,183.00 ",$641.19 ,$362.35 ,$311.13 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,005.55 ",$815.29 ,$778.41 ,$331.24 ,"$1,064.70 ",$851.76 ,"$1,183.00 ",$343.76 ,$745.29 ,$745.29 ,$362.35 ,$567.84 ,"$1,064.70 " ST. JOHN'S HOSPITAL,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$2,961.00 ","$1,924.65 ",$353.10 ,"$2,961.00 ",$905.88 ,$353.10 ,"$1,604.86 ",$362.35 ,$829.08 ,"$1,021.55 ",$362.35 ,"$1,137.02 ",$362.35 ,"$1,131.10 ",$550.06 ,$362.35 ,"$1,131.10 ",$688.47 ,$902.29 ,"$1,510.11 ",$905.88 ,$362.35 ,"$2,072.70 ",$362.35 ,"$1,480.50 ",$369.60 ,"$2,220.75 ","$1,495.31 ","$1,347.26 ","$1,495.31 ",$362.35 ,"$1,495.31 ",$373.56 ,$373.56 ,$373.56 ,"$2,961.00 ","$2,516.85 ",$905.88 ,"$2,368.80 ","$1,095.57 ","$2,368.80 ",$362.35 ,$362.35 ,"$2,961.00 ","$1,604.86 ",$362.35 ,$778.74 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,516.85 ",$815.29 ,"$1,948.34 ",$829.08 ,"$2,664.90 ","$2,131.92 ","$2,961.00 ",$373.56 ,"$1,865.43 ","$1,865.43 ",$362.35 ,"$1,421.28 ","$2,664.90 " ST. JOHN'S HOSPITAL,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$2,946.00 ","$1,914.90 ",$362.35 ,"$2,946.00 ",$905.88 ,$424.66 ,"$1,596.73 ",$362.35 ,$824.88 ,"$1,016.37 ",$362.35 ,"$1,131.26 ",$362.35 ,"$1,125.37 ",$627.10 ,$362.35 ,"$1,125.37 ",$688.47 ,"$1,039.93 ","$1,502.46 ",$905.88 ,$362.35 ,"$2,062.20 ",$362.35 ,"$1,473.00 ",$369.60 ,"$2,209.50 ","$1,487.73 ","$1,340.43 ","$1,487.73 ",$362.35 ,"$1,487.73 ",$425.88 ,$425.88 ,$425.88 ,"$2,946.00 ","$2,504.10 ",$905.88 ,"$2,356.80 ","$1,090.02 ","$2,356.80 ",$362.35 ,$362.35 ,"$2,946.00 ","$1,596.73 ",$362.35 ,$774.80 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,504.10 ",$815.29 ,"$1,938.47 ",$824.88 ,"$2,651.40 ","$2,121.12 ","$2,946.00 ",$425.88 ,"$1,855.98 ","$1,855.98 ",$362.35 ,"$1,414.08 ","$2,651.40 " ST. JOHN'S HOSPITAL,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$4,130.00 ","$2,684.50 ",$391.11 ,"$4,130.00 ","$3,140.35 ",$478.06 ,"$2,238.46 ","$1,256.14 ","$1,156.40 ","$1,424.85 ","$1,256.14 ","$1,585.92 ","$1,256.14 ","$1,577.66 ",$575.90 ,"$1,256.14 ","$1,577.66 ","$2,386.67 ",$961.81 ,"$2,106.30 ","$3,140.36 ","$1,256.14 ","$2,891.00 ","$1,256.14 ","$2,065.00 ","$1,281.27 ","$3,097.50 ","$2,085.65 ","$1,879.15 ","$2,085.65 ","$1,256.14 ","$2,085.65 ",$391.11 ,$391.11 ,$391.11 ,"$4,130.00 ","$3,510.50 ","$3,140.36 ","$3,304.00 ","$1,528.10 ","$3,304.00 ","$1,256.14 ","$1,256.14 ","$4,130.00 ","$2,238.46 ","$1,256.14 ","$1,086.19 ", N/A , N/A ,$441.18 ,$421.12 ,"$1,318.95 ","$3,510.50 ","$2,826.32 ","$2,717.54 ","$1,156.40 ","$3,717.00 ","$2,973.60 ","$4,130.00 ",$391.11 ,"$2,601.90 ","$2,601.90 ","$1,256.14 ","$1,982.40 ","$3,717.00 " ST. JOHN'S HOSPITAL,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$5,433.00 ","$3,531.45 ",$565.31 ,"$5,433.00 ","$3,140.35 ",$689.70 ,"$2,944.69 ","$1,256.14 ","$1,521.24 ","$1,874.39 ","$1,256.14 ","$2,086.27 ","$1,256.14 ","$2,075.41 ",$832.39 ,"$1,256.14 ","$2,075.41 ","$2,386.67 ","$1,388.34 ","$2,770.83 ","$3,140.36 ","$1,256.14 ","$3,803.10 ","$1,256.14 ","$2,716.50 ","$1,281.27 ","$4,074.75 ","$2,743.67 ","$2,472.02 ","$2,743.67 ","$1,256.14 ","$2,743.67 ",$565.31 ,$565.31 ,$565.31 ,"$5,433.00 ","$4,618.05 ","$3,140.36 ","$4,346.40 ","$2,010.21 ","$4,346.40 ","$1,256.14 ","$1,256.14 ","$5,433.00 ","$2,944.69 ","$1,256.14 ","$1,428.88 ", N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$4,618.05 ","$2,826.32 ","$3,574.91 ","$1,521.24 ","$4,889.70 ","$3,911.76 ","$5,433.00 ",$565.31 ,"$3,422.79 ","$3,422.79 ","$1,256.14 ","$2,607.84 ","$4,889.70 " ST. JOHN'S HOSPITAL,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$3,667.00 ","$2,383.55 ",$259.80 ,"$3,667.00 ",$905.88 ,$311.80 ,"$1,987.51 ",$362.35 ,"$1,026.76 ","$1,265.12 ",$362.35 ,"$1,408.13 ",$362.35 ,"$1,400.79 ",$382.55 ,$362.35 ,"$1,400.79 ",$688.47 ,$634.74 ,"$1,870.17 ",$905.88 ,$362.35 ,"$2,566.90 ",$362.35 ,"$1,833.50 ",$369.60 ,"$2,750.25 ","$1,851.84 ","$1,668.49 ","$1,851.84 ",$362.35 ,"$1,851.84 ",$259.80 ,$259.80 ,$259.80 ,"$3,667.00 ","$3,116.95 ",$905.88 ,"$2,933.60 ","$1,356.79 ","$2,933.60 ",$362.35 ,$362.35 ,"$3,667.00 ","$1,987.51 ",$362.35 ,$964.42 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$3,116.95 ",$815.29 ,"$2,412.89 ","$1,026.76 ","$3,300.30 ","$2,640.24 ","$3,667.00 ",$259.80 ,"$2,310.21 ","$2,310.21 ",$362.35 ,"$1,760.16 ","$3,300.30 " ST. JOHN'S HOSPITAL,34000047,78580,HC LUNG PERFUS,340,1 ,"$2,130.00 ","$1,384.50 ",$290.10 ,"$2,130.00 ",$905.88 ,$340.44 ,"$1,154.46 ",$362.35 ,$596.40 ,$734.85 ,$362.35 ,$817.92 ,$362.35 ,$813.66 ,$427.17 ,$362.35 ,$813.66 ,$688.47 ,$703.38 ,"$1,086.30 ",$905.88 ,$362.35 ,"$1,491.00 ",$362.35 ,"$1,065.00 ",$369.60 ,"$1,597.50 ","$1,075.65 ",$969.15 ,"$1,075.65 ",$362.35 ,"$1,075.65 ",$290.10 ,$290.10 ,$290.10 ,"$2,130.00 ","$1,810.50 ",$905.88 ,"$1,704.00 ",$788.10 ,"$1,704.00 ",$362.35 ,$362.35 ,"$2,130.00 ","$1,154.46 ",$362.35 ,$560.19 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,810.50 ",$815.29 ,"$1,401.54 ",$596.40 ,"$1,917.00 ","$1,533.60 ","$2,130.00 ",$290.10 ,"$1,341.90 ","$1,341.90 ",$362.35 ,"$1,022.40 ","$1,917.00 " ST. JOHN'S HOSPITAL,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$3,949.00 ","$2,566.85 ",$405.02 ,"$3,949.00 ","$1,175.98 ",$545.22 ,"$2,140.36 ",$470.39 ,"$1,105.72 ","$1,362.41 ",$470.39 ,"$1,516.42 ",$470.39 ,"$1,508.52 ",$596.38 ,$470.39 ,"$1,508.52 ",$893.75 ,$986.66 ,"$2,013.99 ","$1,175.98 ",$470.39 ,"$2,764.30 ",$470.39 ,"$1,974.50 ",$479.80 ,"$2,961.75 ","$1,994.25 ","$1,796.80 ","$1,994.25 ",$470.39 ,"$1,994.25 ",$405.02 ,$405.02 ,$405.02 ,"$3,949.00 ","$3,356.65 ","$1,175.98 ","$3,159.20 ","$1,461.13 ","$3,159.20 ",$470.39 ,$470.39 ,"$3,949.00 ","$2,140.36 ",$470.39 ,"$1,038.59 ", N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$3,356.65 ","$1,058.38 ","$2,598.44 ","$1,105.72 ","$3,554.10 ","$2,843.28 ","$3,949.00 ",$405.02 ,"$2,487.87 ","$2,487.87 ",$470.39 ,"$1,895.52 ","$3,554.10 " ST. JOHN'S HOSPITAL,34000053,78601,HC BRAIN W/FLOW < 4 VIEWS STAT,340,1 ,"$1,397.00 ",$908.05 ,$275.21 ,"$1,397.00 ",$905.88 ,$322.26 ,$757.17 ,$362.35 ,$391.16 ,$481.97 ,$362.35 ,$536.45 ,$362.35 ,$533.65 ,$405.22 ,$362.35 ,$533.65 ,$688.47 ,$670.23 ,$712.47 ,$905.88 ,$362.35 ,$977.90 ,$362.35 ,$698.50 ,$369.60 ,"$1,047.75 ",$705.49 ,$635.64 ,$705.49 ,$362.35 ,$705.49 ,$275.21 ,$275.21 ,$275.21 ,"$1,397.00 ","$1,187.45 ",$905.88 ,"$1,117.60 ",$516.89 ,"$1,117.60 ",$362.35 ,$362.35 ,"$1,397.00 ",$757.17 ,$362.35 ,$367.41 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,187.45 ",$815.29 ,$919.23 ,$391.16 ,"$1,257.30 ","$1,005.84 ","$1,397.00 ",$275.21 ,$880.11 ,$880.11 ,$362.35 ,$670.56 ,"$1,257.30 " ST. JOHN'S HOSPITAL,34000054,78606,HC BRAIN SC W/VASCULAR FLOW > 4 VIEWS,340,1 ,"$2,592.00 ","$1,684.80 ",$375.84 ,"$2,592.00 ","$1,175.98 ",$507.24 ,"$1,404.86 ",$470.39 ,$725.76 ,$894.24 ,$470.39 ,$995.33 ,$470.39 ,$990.14 ,$630.76 ,$470.39 ,$990.14 ,$893.75 ,"$1,050.60 ","$1,321.92 ","$1,175.98 ",$470.39 ,"$1,814.40 ",$470.39 ,"$1,296.00 ",$479.80 ,"$1,944.00 ","$1,308.96 ","$1,179.36 ","$1,308.96 ",$470.39 ,"$1,308.96 ",$428.37 ,$428.37 ,$428.37 ,"$2,592.00 ","$2,203.20 ","$1,175.98 ","$2,073.60 ",$959.04 ,"$2,073.60 ",$470.39 ,$470.39 ,"$2,592.00 ","$1,404.86 ",$470.39 ,$681.70 , N/A , N/A ,$393.73 ,$375.84 ,$493.91 ,"$2,203.20 ","$1,058.38 ","$1,705.54 ",$725.76 ,"$2,332.80 ","$1,866.24 ","$2,592.00 ",$428.37 ,"$1,632.96 ","$1,632.96 ",$470.39 ,"$1,244.16 ","$2,332.80 " ST. JOHN'S HOSPITAL,34000056,78630,HC CISTERNOGRAPHY,340,1 ,"$2,609.00 ","$1,695.85 ",$421.12 ,"$2,609.00 ","$1,175.98 ",$524.30 ,"$1,414.08 ",$470.39 ,$730.52 ,$900.11 ,$470.39 ,"$1,001.86 ",$470.39 ,$996.64 ,$643.20 ,$470.39 ,$996.64 ,$893.75 ,"$1,064.81 ","$1,330.59 ","$1,175.98 ",$470.39 ,"$1,826.30 ",$470.39 ,"$1,304.50 ",$479.80 ,"$1,956.75 ","$1,317.55 ","$1,187.10 ","$1,317.55 ",$470.39 ,"$1,317.55 ",$436.82 ,$436.82 ,$436.82 ,"$2,609.00 ","$2,217.65 ","$1,175.98 ","$2,087.20 ",$965.33 ,"$2,087.20 ",$470.39 ,$470.39 ,"$2,609.00 ","$1,414.08 ",$470.39 ,$686.17 , N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$2,217.65 ","$1,058.38 ","$1,716.72 ",$730.52 ,"$2,348.10 ","$1,878.48 ","$2,609.00 ",$436.82 ,"$1,643.67 ","$1,643.67 ",$470.39 ,"$1,252.32 ","$2,348.10 " ST. JOHN'S HOSPITAL,34000057,78645,HC CSF SHUNT EVALUATION,340,1 ,"$2,849.00 ","$1,851.85 ",$375.84 ,"$2,849.00 ","$1,175.98 ",$428.52 ,"$1,544.16 ",$470.39 ,$797.72 ,$982.91 ,$470.39 ,"$1,094.02 ",$470.39 ,"$1,088.32 ",$628.57 ,$470.39 ,"$1,088.32 ",$893.75 ,"$1,037.58 ","$1,452.99 ","$1,175.98 ",$470.39 ,"$1,994.30 ",$470.39 ,"$1,424.50 ",$479.80 ,"$2,136.75 ","$1,438.75 ","$1,296.30 ","$1,438.75 ",$470.39 ,"$1,438.75 ",$426.89 ,$426.89 ,$426.89 ,"$2,849.00 ","$2,421.65 ","$1,175.98 ","$2,279.20 ","$1,054.13 ","$2,279.20 ",$470.39 ,$470.39 ,"$2,849.00 ","$1,544.16 ",$470.39 ,$749.29 , N/A , N/A ,$393.73 ,$375.84 ,$493.91 ,"$2,421.65 ","$1,058.38 ","$1,874.64 ",$797.72 ,"$2,564.10 ","$2,051.28 ","$2,849.00 ",$426.89 ,"$1,794.87 ","$1,794.87 ",$470.39 ,"$1,367.52 ","$2,564.10 " ST. JOHN'S HOSPITAL,34000058,78650,HC CSF LEAK DETECTION,340,1 ,"$3,672.00 ","$2,386.80 ",$356.84 ,"$3,672.00 ","$3,140.35 ",$510.54 ,"$1,990.22 ","$1,256.14 ","$1,028.16 ","$1,266.84 ","$1,256.14 ","$1,410.05 ","$1,256.14 ","$1,402.70 ",$525.42 ,"$1,256.14 ","$1,402.70 ","$2,386.67 ",$882.50 ,"$1,872.72 ","$3,140.36 ","$1,256.14 ","$2,570.40 ","$1,256.14 ","$1,836.00 ","$1,281.27 ","$2,754.00 ","$1,854.36 ","$1,670.76 ","$1,854.36 ","$1,256.14 ","$1,854.36 ",$356.84 ,$356.84 ,$356.84 ,"$3,672.00 ","$3,121.20 ","$3,140.36 ","$2,937.60 ","$1,358.64 ","$2,937.60 ","$1,256.14 ","$1,256.14 ","$3,672.00 ","$1,990.22 ","$1,256.14 ",$965.74 , N/A , N/A ,$393.73 ,$375.84 ,"$1,318.95 ","$3,121.20 ","$2,826.32 ","$2,416.18 ","$1,028.16 ","$3,304.80 ","$2,643.84 ","$3,672.00 ",$356.84 ,"$2,313.36 ","$2,313.36 ","$1,256.14 ","$1,762.56 ","$3,304.80 " ST. JOHN'S HOSPITAL,34000059,78660,HC TEAR DUCT SCAN,340,1 ,"$2,971.00 ","$1,931.15 ",$224.52 ,"$2,971.00 ",$905.88 ,$272.72 ,"$1,610.28 ",$362.35 ,$831.88 ,"$1,025.00 ",$362.35 ,"$1,140.86 ",$362.35 ,"$1,134.92 ",$330.61 ,$362.35 ,"$1,134.92 ",$688.47 ,$573.18 ,"$1,515.21 ",$905.88 ,$362.35 ,"$2,079.70 ",$362.35 ,"$1,485.50 ",$369.60 ,"$2,228.25 ","$1,500.36 ","$1,351.81 ","$1,500.36 ",$362.35 ,"$1,500.36 ",$224.52 ,$224.52 ,$224.52 ,"$2,971.00 ","$2,525.35 ",$905.88 ,"$2,376.80 ","$1,099.27 ","$2,376.80 ",$362.35 ,$362.35 ,"$2,971.00 ","$1,610.28 ",$362.35 ,$781.37 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,525.35 ",$815.29 ,"$1,954.92 ",$831.88 ,"$2,673.90 ","$2,139.12 ","$2,971.00 ",$224.52 ,"$1,871.73 ","$1,871.73 ",$362.35 ,"$1,426.08 ","$2,673.90 " ST. JOHN'S HOSPITAL,34000060,78700,HC KIDNEY SCAN,340,1 ,"$3,494.00 ","$2,271.10 ",$214.10 ,"$3,494.00 ",$905.88 ,$260.62 ,"$1,893.75 ",$362.35 ,$978.32 ,"$1,166.83 ",$362.35 ,"$1,341.70 ",$362.35 ,"$1,334.71 ",$315.25 ,$362.35 ,"$1,334.71 ",$688.47 ,$525.82 ,"$1,781.94 ",$905.88 ,$362.35 ,"$2,445.80 ",$362.35 ,"$1,747.00 ",$369.60 ,"$2,620.50 ","$1,764.47 ","$1,589.77 ","$1,764.47 ",$362.35 ,"$1,764.47 ",$214.10 ,$214.10 ,$214.10 ,"$3,494.00 ","$2,969.90 ",$905.88 ,"$2,795.20 ","$1,292.78 ","$2,795.20 ",$362.35 ,$362.35 ,"$3,494.00 ","$1,893.75 ",$362.35 ,$918.92 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,969.90 ",$815.29 ,"$2,299.05 ",$978.32 ,"$3,144.60 ","$2,515.68 ","$3,494.00 ",$214.10 ,"$2,201.22 ","$2,201.22 ",$362.35 ,"$1,677.12 ","$3,144.60 " ST. JOHN'S HOSPITAL,34000061,78701,HC KIDNEY SCAN W/FLOW,340,1 ,"$2,503.00 ","$1,626.95 ",$277.19 ,"$2,503.00 ",$905.88 ,$318.42 ,"$1,356.63 ",$362.35 ,$700.84 ,$863.54 ,$362.35 ,$961.15 ,$362.35 ,$956.15 ,$408.15 ,$362.35 ,$956.15 ,$688.47 ,$688.01 ,"$1,276.53 ",$905.88 ,$362.35 ,"$1,752.10 ",$362.35 ,"$1,251.50 ",$369.60 ,"$1,877.25 ","$1,264.02 ","$1,138.87 ","$1,264.02 ",$362.35 ,"$1,264.02 ",$277.19 ,$277.19 ,$277.19 ,"$2,503.00 ","$2,127.55 ",$905.88 ,"$2,002.40 ",$926.11 ,"$2,002.40 ",$362.35 ,$362.35 ,"$2,503.00 ","$1,356.63 ",$362.35 ,$658.29 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$2,127.55 ",$815.29 ,"$1,646.97 ",$700.84 ,"$2,252.70 ","$1,802.16 ","$2,503.00 ",$277.19 ,"$1,576.89 ","$1,576.89 ",$362.35 ,"$1,201.44 ","$2,252.70 " ST. JOHN'S HOSPITAL,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$2,513.00 ","$1,633.45 ",$170.04 ,"$2,513.00 ","$1,175.98 ",$192.90 ,"$1,362.05 ",$470.39 ,$703.64 ,$866.99 ,$470.39 ,$964.99 ,$470.39 ,$959.97 ,$250.37 ,$470.39 ,$959.97 ,$893.75 ,$419.62 ,"$1,281.63 ","$1,175.98 ",$470.39 ,"$1,759.10 ",$470.39 ,"$1,256.50 ",$479.80 ,"$1,884.75 ","$1,269.07 ","$1,143.42 ","$1,269.07 ",$470.39 ,"$1,269.07 ",$170.04 ,$170.04 ,$170.04 ,"$2,513.00 ","$2,136.05 ","$1,175.98 ","$2,010.40 ",$929.81 ,"$2,010.40 ",$470.39 ,$470.39 ,"$2,513.00 ","$1,362.05 ",$470.39 ,$660.92 , N/A , N/A ,$393.73 ,$375.84 ,$493.91 ,"$2,136.05 ","$1,058.38 ","$1,653.55 ",$703.64 ,"$2,261.70 ","$1,809.36 ","$2,513.00 ",$170.04 ,"$1,583.19 ","$1,583.19 ",$470.39 ,"$1,206.24 ","$2,261.70 " ST. JOHN'S HOSPITAL,34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$4,978.00 ","$3,235.70 ",$375.84 ,"$4,978.00 ","$1,175.98 ",$506.14 ,"$2,698.08 ",$470.39 ,"$1,393.84 ","$1,717.41 ",$470.39 ,"$1,911.55 ",$470.39 ,"$1,901.60 ",$634.42 ,$470.39 ,"$1,901.60 ",$893.75 ,"$1,054.14 ","$2,538.78 ","$1,175.98 ",$470.39 ,"$3,484.60 ",$470.39 ,"$2,489.00 ",$479.80 ,"$3,733.50 ","$2,513.89 ","$2,264.99 ","$2,513.89 ",$470.39 ,"$2,513.89 ",$430.86 ,$430.86 ,$430.86 ,"$4,978.00 ","$4,231.30 ","$1,175.98 ","$3,982.40 ","$1,841.86 ","$3,982.40 ",$470.39 ,$470.39 ,"$4,978.00 ","$2,698.08 ",$470.39 ,"$1,309.21 ", N/A , N/A ,$393.73 ,$375.84 ,$493.91 ,"$4,231.30 ","$1,058.38 ","$3,275.52 ","$1,393.84 ","$4,480.20 ","$3,584.16 ","$4,978.00 ",$430.86 ,"$3,136.14 ","$3,136.14 ",$470.39 ,"$2,389.44 ","$4,480.20 " ST. JOHN'S HOSPITAL,34000066,78740,HC URETERAL REFLUX STUDY,340,1 ,"$2,268.00 ","$1,474.20 ",$274.20 ,"$2,268.00 ",$905.88 ,$342.08 ,"$1,229.26 ",$362.35 ,$635.04 ,$782.46 ,$362.35 ,$870.91 ,$362.35 ,$866.38 ,$403.76 ,$362.35 ,$866.38 ,$688.47 ,$677.34 ,"$1,156.68 ",$905.88 ,$362.35 ,"$1,587.60 ",$362.35 ,"$1,134.00 ",$369.60 ,"$1,701.00 ","$1,145.34 ","$1,031.94 ","$1,145.34 ",$362.35 ,"$1,145.34 ",$274.20 ,$274.20 ,$274.20 ,"$2,268.00 ","$1,927.80 ",$905.88 ,"$1,814.40 ",$839.16 ,"$1,814.40 ",$362.35 ,$362.35 ,"$2,268.00 ","$1,229.26 ",$362.35 ,$596.48 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,927.80 ",$815.29 ,"$1,492.34 ",$635.04 ,"$2,041.20 ","$1,632.96 ","$2,268.00 ",$274.20 ,"$1,428.84 ","$1,428.84 ",$362.35 ,"$1,088.64 ","$2,041.20 " ST. JOHN'S HOSPITAL,34000067,78761,HC TESTICULAR IMAG W/FLOW,340,1 ,"$2,026.00 ","$1,316.90 ",$252.35 ,"$2,026.00 ",$905.88 ,$305.20 ,"$1,098.09 ",$362.35 ,$567.28 ,$698.97 ,$362.35 ,$777.98 ,$362.35 ,$773.93 ,$371.57 ,$362.35 ,$773.93 ,$688.47 ,$619.34 ,"$1,033.26 ",$905.88 ,$362.35 ,"$1,418.20 ",$362.35 ,"$1,013.00 ",$369.60 ,"$1,519.50 ","$1,023.13 ",$921.83 ,"$1,023.13 ",$362.35 ,"$1,023.13 ",$252.35 ,$252.35 ,$252.35 ,"$2,026.00 ","$1,722.10 ",$905.88 ,"$1,620.80 ",$749.62 ,"$1,620.80 ",$362.35 ,$362.35 ,"$2,026.00 ","$1,098.09 ",$362.35 ,$532.84 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,722.10 ",$815.29 ,"$1,333.11 ",$567.28 ,"$1,823.40 ","$1,458.72 ","$2,026.00 ",$252.35 ,"$1,276.38 ","$1,276.38 ",$362.35 ,$972.48 ,"$1,823.40 " ST. JOHN'S HOSPITAL,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$1,336.00 ",$868.40 ,$231.48 ,"$1,336.00 ",$905.88 ,$265.02 ,$724.11 ,$362.35 ,$374.08 ,$460.92 ,$362.35 ,$513.02 ,$362.35 ,$510.35 ,$340.85 ,$362.35 ,$510.35 ,$688.47 ,$785.07 ,$681.36 ,$905.88 ,$362.35 ,$935.20 ,$362.35 ,$668.00 ,$369.60 ,"$1,002.00 ",$674.68 ,$607.88 ,$674.68 ,$362.35 ,$674.68 ,$231.48 ,$231.48 ,$231.48 ,"$1,336.00 ","$1,135.60 ",$905.88 ,"$1,068.80 ",$494.32 ,"$1,068.80 ",$362.35 ,$362.35 ,"$1,336.00 ",$724.11 ,$362.35 ,$351.37 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,135.60 ",$815.29 ,$879.09 ,$374.08 ,"$1,202.40 ",$961.92 ,"$1,336.00 ",$231.48 ,$841.68 ,$841.68 ,$362.35 ,$641.28 ,"$1,202.40 " ST. JOHN'S HOSPITAL,34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$12,958.00 ","$8,422.70 ",$313.46 ,"$12,958.00 ",$905.88 ,$345.94 ,"$7,023.24 ",$362.35 ,"$3,628.24 ","$1,710.08 ",$362.35 ,"$2,054.74 ",$362.35 ,"$4,949.96 ",$461.55 ,$362.35 ,"$4,949.96 ",$688.47 ,$864.38 ,"$6,608.58 ",$905.88 ,$362.35 ,"$9,070.60 ",$362.35 ,"$6,479.00 ",$369.60 ,"$9,718.50 ","$6,543.79 ","$5,895.89 ","$6,543.79 ",$362.35 ,"$6,543.79 ",$313.46 ,$313.46 ,$313.46 ,"$12,958.00 ","$11,014.30 ",$905.88 ,"$10,366.40 ","$4,794.46 ","$10,366.40 ",$362.35 ,$362.35 ,"$12,958.00 ","$7,023.24 ",$362.35 ,"$3,407.95 ", N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$11,014.30 ",$815.29 ,"$8,526.36 ","$3,628.24 ","$11,662.20 ","$9,329.76 ","$12,958.00 ",$313.46 ,"$8,163.54 ","$8,163.54 ",$362.35 ,"$6,219.84 ","$11,662.20 " ST. JOHN'S HOSPITAL,34000070,78802,HC TUMOR IMAGE-WHOLE BODY-1 DAY,340,1 ,"$4,493.00 ","$2,920.45 ",$403.53 ,"$4,493.00 ","$3,140.35 ",$474.20 ,"$2,435.21 ","$1,256.14 ","$1,258.04 ","$1,550.09 ","$1,256.14 ","$1,725.31 ","$1,256.14 ","$1,716.33 ",$594.19 ,"$1,256.14 ","$1,716.33 ","$2,386.67 ",$961.47 ,"$2,291.43 ","$3,140.36 ","$1,256.14 ","$3,145.10 ","$1,256.14 ","$2,246.50 ","$1,281.27 ","$3,369.75 ","$2,268.97 ","$2,044.32 ","$2,268.97 ","$1,256.14 ","$2,268.97 ",$403.53 ,$403.53 ,$403.53 ,"$4,493.00 ","$3,819.05 ","$3,140.36 ","$3,594.40 ","$1,662.41 ","$3,594.40 ","$1,256.14 ","$1,256.14 ","$4,493.00 ","$2,435.21 ","$1,256.14 ","$1,181.66 ", N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$3,819.05 ","$2,826.32 ","$2,956.39 ","$1,258.04 ","$4,043.70 ","$3,234.96 ","$4,493.00 ",$403.53 ,"$2,830.59 ","$2,830.59 ","$1,256.14 ","$2,156.64 ","$4,043.70 " ST. JOHN'S HOSPITAL,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000072,78803,HC TUMOR IMAGING (SPECT) MIBG,340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000073,78803,HC TUMOR IMAGING (SPECT) GALLIUM,340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000074,78803,HC TUMOR IMAGING (SPECT) NON GATED,340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000075,78803,HC TUMOR IMAGING (SPECT) OCTREO,340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000076,78803,HC TUMOR IMAGING (SPECT) PARATHYROID,340,1 ,"$1,731.00 ","$1,125.15 ",$414.47 ,"$3,140.36 ","$3,140.35 ",$486.86 ,$938.20 ,"$1,256.14 ",$484.68 ,$597.20 ,"$1,256.14 ",$664.70 ,"$1,256.14 ",$661.24 ,$610.28 ,"$1,256.14 ",$661.24 ,"$1,731.00 ","$1,174.89 ",$882.81 ,"$3,140.36 ","$1,256.14 ","$1,211.70 ","$1,256.14 ",$865.50 ,"$1,281.27 ","$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,"$1,256.14 ",$874.16 ,$414.47 ,$414.47 ,$414.47 ,"$1,731.00 ","$1,471.35 ","$1,731.00 ","$1,384.80 ",$640.47 ,"$1,384.80 ","$1,256.14 ","$1,256.14 ","$1,731.00 ",$938.20 ,"$1,256.14 ",$455.25 , N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$1,471.35 ","$2,826.32 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$414.47 ,"$1,090.53 ","$1,090.53 ","$1,256.14 ",$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000077,78804,HC TUMOR/INF-WHOLE BODY-MULT DAY,340,1 ,"$4,488.00 ","$2,917.20 ",$741.33 ,"$4,488.00 ","$3,140.35 ",$868.88 ,"$2,432.50 ","$1,256.14 ","$1,256.64 ","$1,548.36 ","$1,256.14 ","$1,723.39 ","$1,256.14 ","$1,714.42 ","$1,091.58 ","$1,256.14 ","$1,714.42 ","$2,386.67 ","$2,138.74 ","$2,288.88 ","$3,140.36 ","$1,256.14 ","$3,141.60 ","$1,256.14 ","$2,244.00 ","$1,281.27 ","$3,366.00 ","$2,266.44 ","$2,042.04 ","$2,266.44 ","$1,256.14 ","$2,266.44 ",$741.33 ,$741.33 ,$741.33 ,"$4,488.00 ","$3,814.80 ","$3,140.36 ","$3,590.40 ","$1,660.56 ","$3,590.40 ","$1,256.14 ","$1,256.14 ","$4,488.00 ","$2,432.50 ","$1,256.14 ","$1,180.34 ", N/A , N/A ,$965.94 ,$922.04 ,"$1,318.95 ","$3,814.80 ","$2,826.32 ","$2,953.10 ","$1,256.64 ","$4,039.20 ","$3,231.36 ","$4,488.00 ",$741.33 ,"$2,827.44 ","$2,827.44 ","$1,256.14 ","$2,154.24 ","$4,039.20 " ST. JOHN'S HOSPITAL,34000081,79005,HC NM RADIOPAHARM THRPY ORAL,340,1 ,"$2,513.00 ","$1,633.45 ",$70.37 ,"$2,513.00 ",$608.05 ,$80.64 ,"$1,362.05 ",$243.22 ,$703.64 ,$371.93 ,$243.22 ,$446.90 ,$243.22 ,$959.97 ,$103.60 ,$243.22 ,$959.97 ,$462.13 ,$179.45 ,"$1,281.63 ",$608.06 ,$243.22 ,"$1,759.10 ",$243.22 ,"$1,256.50 ",$248.09 ,"$1,884.75 ","$1,269.07 ","$1,143.42 ","$1,269.07 ",$243.22 ,"$1,269.07 ",$70.37 ,$70.37 ,$70.37 ,"$2,513.00 ","$2,136.05 ",$608.06 ,"$2,010.40 ",$929.81 ,"$2,010.40 ",$243.22 ,$243.22 ,"$2,513.00 ","$1,362.05 ",$243.22 ,$660.92 , N/A , N/A ,$320.40 ,$305.83 ,$255.38 ,"$2,136.05 ",$547.26 ,"$1,653.55 ",$703.64 ,"$2,261.70 ","$1,809.36 ","$2,513.00 ",$70.37 ,"$1,583.19 ","$1,583.19 ",$243.22 ,"$1,206.24 ","$2,261.70 " ST. JOHN'S HOSPITAL,34000083,79101,HC NM RADIOPAHARM THRPY IV,340,1 ,"$2,370.00 ","$1,540.50 ",$69.71 ,"$2,370.00 ",$608.05 ,$83.38 ,"$1,284.54 ",$243.22 ,$663.60 ,$364.45 ,$243.22 ,$437.91 ,$243.22 ,$905.34 ,$102.64 ,$243.22 ,$905.34 ,$462.13 ,$185.37 ,"$1,208.70 ",$608.06 ,$243.22 ,"$1,659.00 ",$243.22 ,"$1,185.00 ",$248.09 ,"$1,777.50 ","$1,196.85 ","$1,078.35 ","$1,196.85 ",$243.22 ,"$1,196.85 ",$69.71 ,$69.71 ,$69.71 ,"$2,370.00 ","$2,014.50 ",$608.06 ,"$1,896.00 ",$876.90 ,"$1,896.00 ",$243.22 ,$243.22 ,"$2,370.00 ","$1,284.54 ",$243.22 ,$623.31 , N/A , N/A ,$320.40 ,$305.83 ,$255.38 ,"$2,014.50 ",$547.26 ,"$1,559.46 ",$663.60 ,"$2,133.00 ","$1,706.40 ","$2,370.00 ",$69.71 ,"$1,493.10 ","$1,493.10 ",$243.22 ,"$1,137.60 ","$2,133.00 " ST. JOHN'S HOSPITAL,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$1,183.00 ",$768.95 ,$237.78 ,"$1,183.00 ",$905.88 ,$336.32 ,$641.19 ,$362.35 ,$331.24 ,$408.14 ,$362.35 ,$454.27 ,$362.35 ,$451.91 ,$350.13 ,$362.35 ,$451.91 ,$688.47 ,$586.20 ,$603.33 ,$905.88 ,$362.35 ,$828.10 ,$362.35 ,$591.50 ,$369.60 ,$887.25 ,$597.42 ,$538.27 ,$597.42 ,$362.35 ,$597.42 ,$237.78 ,$237.78 ,$237.78 ,"$1,183.00 ","$1,005.55 ",$905.88 ,$946.40 ,$437.71 ,$946.40 ,$362.35 ,$362.35 ,"$1,183.00 ",$641.19 ,$362.35 ,$311.13 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,005.55 ",$815.29 ,$778.41 ,$331.24 ,"$1,064.70 ",$851.76 ,"$1,183.00 ",$237.78 ,$745.29 ,$745.29 ,$362.35 ,$567.84 ,"$1,064.70 " ST. JOHN'S HOSPITAL,34000091,78598,HC NM PULM VENT AND PERF DIFF W/IMG,340,1 ,"$1,731.00 ","$1,125.15 ",$379.68 ,"$1,731.00 ","$1,175.98 ",$522.64 ,$938.20 ,$470.39 ,$484.68 ,$597.20 ,$470.39 ,$664.70 ,$470.39 ,$661.24 ,$559.07 ,$470.39 ,$661.24 ,$893.75 ,$922.41 ,$882.81 ,"$1,175.98 ",$470.39 ,"$1,211.70 ",$470.39 ,$865.50 ,$479.80 ,"$1,298.25 ",$874.16 ,$787.61 ,$874.16 ,$470.39 ,$874.16 ,$379.68 ,$379.68 ,$379.68 ,"$1,731.00 ","$1,471.35 ","$1,175.98 ","$1,384.80 ",$640.47 ,"$1,384.80 ",$470.39 ,$470.39 ,"$1,731.00 ",$938.20 ,$470.39 ,$455.25 , N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$1,471.35 ","$1,058.38 ","$1,139.00 ",$484.68 ,"$1,557.90 ","$1,246.32 ","$1,731.00 ",$379.68 ,"$1,090.53 ","$1,090.53 ",$470.39 ,$830.88 ,"$1,557.90 " ST. JOHN'S HOSPITAL,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$3,649.00 ","$2,371.85 ",$421.12 ,"$3,649.00 ","$1,175.98 ",$509.44 ,"$1,977.76 ",$470.39 ,"$1,021.72 ","$1,258.91 ",$470.39 ,"$1,401.22 ",$470.39 ,"$1,393.92 ",$849.72 ,$470.39 ,"$1,393.92 ",$893.75 ,"$1,387.97 ","$1,860.99 ","$1,175.98 ",$470.39 ,"$2,554.30 ",$470.39 ,"$1,824.50 ",$479.80 ,"$2,736.75 ","$1,842.75 ","$1,660.30 ","$1,842.75 ",$470.39 ,"$1,842.75 ",$577.07 ,$577.07 ,$577.07 ,"$3,649.00 ","$3,101.65 ","$1,175.98 ","$2,919.20 ","$1,350.13 ","$2,919.20 ",$470.39 ,$470.39 ,"$3,649.00 ","$1,977.76 ",$470.39 ,$959.69 , N/A , N/A ,$441.18 ,$421.12 ,$493.91 ,"$3,101.65 ","$1,058.38 ","$2,401.04 ","$1,021.72 ","$3,284.10 ","$2,627.28 ","$3,649.00 ",$577.07 ,"$2,298.87 ","$2,298.87 ",$470.39 ,"$1,751.52 ","$3,284.10 " ST. JOHN'S HOSPITAL,34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$1,414.00 ",$919.10 ,$362.35 ,"$1,414.00 ",$905.88 ,$494.58 ,$766.39 ,$362.35 ,$395.92 ,$487.83 ,$362.35 ,$542.98 ,$362.35 ,$540.15 ,$630.03 ,$362.35 ,$540.15 ,$688.47 ,"$1,032.86 ",$721.14 ,$905.88 ,$362.35 ,$989.80 ,$362.35 ,$707.00 ,$369.60 ,"$1,060.50 ",$714.07 ,$643.37 ,$714.07 ,$362.35 ,$714.07 ,$427.88 ,$427.88 ,$427.88 ,"$1,414.00 ","$1,201.90 ",$905.88 ,"$1,131.20 ",$523.18 ,"$1,131.20 ",$362.35 ,$362.35 ,"$1,414.00 ",$766.39 ,$362.35 ,$371.88 , N/A , N/A ,$393.73 ,$375.84 ,$380.47 ,"$1,201.90 ",$815.29 ,$930.41 ,$395.92 ,"$1,272.60 ","$1,018.08 ","$1,414.00 ",$427.88 ,$890.82 ,$890.82 ,$362.35 ,$678.72 ,"$1,272.60 " ST. JOHN'S HOSPITAL,34000094,78072,HC PARATHYROID IMG W/SPECT AND CT 78072,340,1 ,"$1,589.00 ","$1,032.85 ",$375.84 ,"$1,589.00 ","$1,175.98 ",$586.04 ,$861.24 ,$470.39 ,$444.92 ,$548.21 ,$470.39 ,$610.18 ,$470.39 ,$607.00 ,$660.75 ,$470.39 ,$607.00 ,$893.75 ,"$1,290.91 ",$810.39 ,"$1,175.98 ",$470.39 ,"$1,112.30 ",$470.39 ,$794.50 ,$479.80 ,"$1,191.75 ",$802.45 ,$723.00 ,$802.45 ,$470.39 ,$802.45 ,$448.74 ,$448.74 ,$448.74 ,"$1,589.00 ","$1,350.65 ","$1,175.98 ","$1,271.20 ",$587.93 ,"$1,271.20 ",$470.39 ,$470.39 ,"$1,589.00 ",$861.24 ,$470.39 ,$417.91 , N/A , N/A ,$393.73 ,$375.84 ,$493.91 ,"$1,350.65 ","$1,058.38 ","$1,045.56 ",$444.92 ,"$1,430.10 ","$1,144.08 ","$1,589.00 ",$448.74 ,"$1,001.07 ","$1,001.07 ",$470.39 ,$762.72 ,"$1,430.10 " ST. JOHN'S HOSPITAL,34000200,79200,HC RP THERAPY INRACAVITARY ADMINISTRATION,340,1 ,$812.00 ,$527.80 ,$73.34 ,$812.00 ,$608.05 ,$92.20 ,$440.10 ,$243.22 ,$227.36 ,$280.14 ,$243.22 ,$311.81 ,$243.22 ,$310.18 ,$107.99 ,$243.22 ,$310.18 ,$462.13 ,$190.09 ,$414.12 ,$608.06 ,$243.22 ,$568.40 ,$243.22 ,$406.00 ,$248.09 ,$609.00 ,$410.06 ,$369.46 ,$410.06 ,$243.22 ,$410.06 ,$73.34 ,$73.34 ,$73.34 ,$812.00 ,$690.20 ,$608.06 ,$649.60 ,$300.44 ,$649.60 ,$243.22 ,$243.22 ,$812.00 ,$440.10 ,$243.22 ,$213.56 , N/A , N/A ,$320.40 ,$305.83 ,$255.38 ,$690.20 ,$547.26 ,$534.30 ,$227.36 ,$730.80 ,$584.64 ,$812.00 ,$73.34 ,$511.56 ,$511.56 ,$243.22 ,$389.76 ,$730.80 ST. JOHN'S HOSPITAL,34000201,79440,HC RP THERAPY INTRA-ARTICULAR ADMINISTRATION,340,1 ,$812.00 ,$527.80 ,$54.30 ,$812.00 ,$608.05 ,$78.42 ,$440.10 ,$243.22 ,$227.36 ,$280.14 ,$243.22 ,$311.81 ,$243.22 ,$310.18 ,$79.97 ,$243.22 ,$310.18 ,$462.13 ,$142.77 ,$414.12 ,$608.06 ,$243.22 ,$568.40 ,$243.22 ,$406.00 ,$248.09 ,$609.00 ,$410.06 ,$369.46 ,$410.06 ,$243.22 ,$410.06 ,$54.30 ,$54.30 ,$54.30 ,$812.00 ,$690.20 ,$608.06 ,$649.60 ,$300.44 ,$649.60 ,$243.22 ,$243.22 ,$812.00 ,$440.10 ,$243.22 ,$213.56 , N/A , N/A ,$320.40 ,$305.83 ,$255.38 ,$690.20 ,$547.26 ,$534.30 ,$227.36 ,$730.80 ,$584.64 ,$812.00 ,$54.30 ,$511.56 ,$511.56 ,$243.22 ,$389.76 ,$730.80 ST. JOHN'S HOSPITAL,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,343,1 ,$229.00 ,$148.85 ,$48.00 ,$229.00 , N/A , N/A ,$124.12 , N/A ,$64.12 ,$79.01 , N/A ,$87.94 , N/A ,$87.48 ,$48.00 , N/A ,$87.48 , N/A ,$120.45 ,$116.79 , N/A , N/A ,$160.30 , N/A ,$114.50 , N/A ,$171.75 ,$115.65 ,$104.20 ,$115.65 , N/A ,$115.65 ,$160.30 ,$160.30 ,$160.30 ,$229.00 ,$194.65 , N/A ,$183.20 ,$84.73 ,$183.20 , N/A , N/A ,$229.00 ,$124.12 , N/A ,$60.23 , N/A , N/A , N/A , N/A , N/A ,$194.65 , N/A ,$150.68 ,$64.12 ,$206.10 ,$164.88 ,$229.00 ,$160.30 ,$144.27 ,$144.27 , N/A ,$109.92 ,$206.10 ST. JOHN'S HOSPITAL,34100008,78291,HC NM PERITNEAL VENOUS SHUNT,343,1 ,"$2,141.00 ","$1,391.65 ",$307.49 ,"$2,141.00 ",$905.88 ,$877.81 ,"$1,160.42 ",$362.35 ,$599.48 ,$738.65 ,$362.35 ,$822.14 ,$362.35 ,$817.86 ,$452.77 ,$362.35 ,$817.86 ,$688.47 ,$732.99 ,"$1,091.91 ",$905.88 ,$362.35 ,"$1,498.70 ",$362.35 ,"$1,070.50 ",$369.60 ,"$1,605.75 ","$1,081.21 ",$974.16 ,"$1,081.21 ",$362.35 ,"$1,081.21 ",$307.49 ,$307.49 ,$307.49 ,"$2,141.00 ","$1,819.85 ",$905.88 ,"$1,712.80 ",$792.17 ,"$1,712.80 ",$362.35 ,$362.35 ,"$2,141.00 ","$1,160.42 ",$362.35 ,$563.08 , N/A , N/A ,$441.18 ,$421.12 ,$380.47 ,"$1,819.85 ",$815.29 ,"$1,408.78 ",$599.48 ,"$1,926.90 ","$1,541.52 ","$2,141.00 ",$307.49 ,"$1,348.83 ","$1,348.83 ",$362.35 ,"$1,027.68 ","$1,926.90 " ST. JOHN'S HOSPITAL,34100020,0042T,HC CT CEREBRAL PERFUSION W/BLOOD FLOW,351,1 ,"$2,807.00 ","$1,824.55 ",$285.95 ,"$2,807.00 ", N/A ,$750.00 ,"$1,521.39 ", N/A ,$785.96 ,$898.24 , N/A ,"$1,032.98 ", N/A ,"$1,072.27 ","$1,122.80 ", N/A ,"$1,072.27 ", N/A ,"$1,476.48 ","$1,431.57 ", N/A , N/A ,"$1,964.90 ", N/A ,"$1,403.50 ", N/A ,"$2,105.25 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,"$1,964.90 ","$1,964.90 ","$1,964.90 ","$2,807.00 ","$2,385.95 ", N/A ,"$2,245.60 ","$1,038.59 ","$2,245.60 ", N/A , N/A ,"$2,807.00 ","$1,521.39 ", N/A ,$738.24 , N/A , N/A ,$299.56 ,$285.95 , N/A ,"$2,385.95 ", N/A ,"$1,847.01 ",$785.96 ,"$2,526.30 ","$2,021.04 ","$2,807.00 ","$1,964.90 ","$1,768.41 ","$1,768.41 ", N/A ,"$1,347.36 ","$2,526.30 " ST. JOHN'S HOSPITAL,34100031,79300,HC RADIOPHARM TX INTERSTITIAL COLLOID ADMIN,341,1 ,$812.00 ,$527.80 ,$87.40 ,$812.00 ,$608.05 ,$87.40 ,$440.10 ,$243.22 ,$227.36 ,$280.14 ,$243.22 ,$311.81 ,$243.22 ,$310.18 ,$94.28 ,$243.22 ,$310.18 ,$462.13 ,$151.26 ,$414.12 ,$608.06 ,$243.22 ,$568.40 ,$243.22 ,$406.00 ,$248.09 ,$609.00 ,$410.06 ,$369.46 ,$410.06 ,$243.22 ,$410.06 ,$244.79 ,$244.79 ,$244.79 ,$812.00 ,$690.20 ,$608.06 ,$649.60 ,$300.44 ,$649.60 ,$243.22 ,$243.22 ,$812.00 ,$440.10 ,$243.22 ,$213.56 , N/A , N/A ,$320.40 ,$305.83 ,$255.38 ,$690.20 ,$547.26 ,$534.30 ,$227.36 ,$730.80 ,$584.64 ,$812.00 ,$244.79 ,$511.56 ,$511.56 ,$243.22 ,$389.76 ,$730.80 ST. JOHN'S HOSPITAL,34100032,78494,HC MUGA RESTING W/SPECT,341,1 ,"$2,993.00 ","$1,945.45 ",$241.92 ,"$2,993.00 ",$905.88 ,$292.54 ,"$1,622.21 ",$362.35 ,$838.04 ,"$1,032.59 ",$362.35 ,"$1,149.31 ",$362.35 ,"$1,143.33 ",$356.21 ,$362.35 ,"$1,143.33 ",$688.47 ,$600.41 ,"$1,526.43 ",$905.88 ,$362.35 ,"$2,095.10 ",$362.35 ,"$1,496.50 ",$369.60 ,"$2,244.75 ","$1,511.47 ","$1,361.82 ","$1,511.47 ",$362.35 ,"$1,511.47 ",$241.92 ,$241.92 ,$241.92 ,"$2,993.00 ","$2,544.05 ",$905.88 ,"$2,394.40 ","$1,107.41 ","$2,394.40 ",$362.35 ,$362.35 ,"$2,993.00 ","$1,622.21 ",$362.35 ,$787.16 , N/A , N/A ,$965.94 ,$922.04 ,$380.47 ,"$2,544.05 ",$815.29 ,"$1,969.39 ",$838.04 ,"$2,693.70 ","$2,154.96 ","$2,993.00 ",$241.92 ,"$1,885.59 ","$1,885.59 ",$362.35 ,"$1,436.64 ","$2,693.70 " ST. JOHN'S HOSPITAL,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$493.00 ,$320.45 ,$128.10 ,$493.00 , N/A , N/A ,$267.21 , N/A ,$138.04 ,$170.09 , N/A ,$189.31 , N/A ,$188.33 ,$128.10 , N/A ,$188.33 , N/A ,$259.32 ,$251.43 , N/A , N/A ,$345.10 , N/A ,$246.50 , N/A ,$369.75 ,$248.97 ,$224.32 ,$248.97 , N/A ,$248.97 ,$345.10 ,$345.10 ,$345.10 ,$493.00 ,$419.05 , N/A ,$394.40 ,$182.41 ,$394.40 , N/A , N/A ,$493.00 ,$267.21 , N/A ,$129.66 , N/A , N/A , N/A , N/A , N/A ,$419.05 , N/A ,$324.39 ,$138.04 ,$443.70 ,$354.96 ,$493.00 ,$345.10 ,$310.59 ,$310.59 , N/A ,$236.64 ,$443.70 ST. JOHN'S HOSPITAL,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$278.00 ,$180.70 ,$15.60 ,$278.00 , N/A , N/A ,$150.68 , N/A ,$77.84 ,$80.50 , N/A ,$96.72 , N/A ,$106.20 ,$15.60 , N/A ,$106.20 , N/A ,$146.23 ,$141.78 , N/A , N/A ,$194.60 , N/A ,$139.00 , N/A ,$208.50 ,$140.39 ,$126.49 ,$140.39 , N/A ,$140.39 ,$194.60 ,$194.60 ,$194.60 ,$278.00 ,$236.30 , N/A ,$222.40 ,$102.86 ,$222.40 , N/A , N/A ,$278.00 ,$150.68 , N/A ,$73.11 , N/A , N/A , N/A , N/A , N/A ,$236.30 , N/A ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$194.60 ,$175.14 ,$175.14 , N/A ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$230.00 ,$149.50 ,$60.49 ,$230.00 , N/A , N/A ,$124.66 , N/A ,$64.40 ,$79.35 , N/A ,$88.32 , N/A ,$87.86 ,$182.89 , N/A ,$87.86 , N/A ,$120.98 ,$117.30 , N/A , N/A ,$161.00 , N/A ,$115.00 , N/A ,$172.50 ,$116.15 ,$104.65 ,$116.15 , N/A ,$116.15 ,$161.00 ,$161.00 ,$161.00 ,$230.00 ,$195.50 , N/A ,$184.00 ,$85.10 ,$184.00 , N/A , N/A ,$230.00 ,$124.66 , N/A ,$60.49 , N/A , N/A , N/A , N/A , N/A ,$195.50 , N/A ,$151.34 ,$64.40 ,$207.00 ,$165.60 ,$230.00 ,$161.00 ,$144.90 ,$144.90 , N/A ,$110.40 ,$207.00 ST. JOHN'S HOSPITAL,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$2.00 ,$1.30 ,$0.53 ,$2.00 , N/A , N/A ,$1.08 , N/A ,$0.56 ,$0.64 , N/A ,$0.74 , N/A ,$0.76 ,$0.80 , N/A ,$0.76 , N/A ,$1.05 ,$1.02 , N/A , N/A ,$1.40 , N/A ,$1.00 , N/A ,$1.50 ,$1.01 ,$0.91 ,$1.01 , N/A ,$1.01 ,$1.40 ,$1.40 ,$1.40 ,$2.00 ,$1.70 , N/A ,$1.60 ,$0.74 ,$1.60 , N/A , N/A ,$2.00 ,$1.08 , N/A ,$0.53 , N/A , N/A , N/A , N/A , N/A ,$1.70 , N/A ,$1.32 ,$0.56 ,$1.80 ,$1.44 ,$2.00 ,$1.40 ,$1.26 ,$1.26 , N/A ,$0.96 ,$1.80 ST. JOHN'S HOSPITAL,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$356.00 ,$231.40 ,$93.63 ,$356.00 , N/A , N/A ,$192.95 , N/A ,$99.68 ,$122.82 , N/A ,$136.70 , N/A ,$135.99 ,$217.00 , N/A ,$135.99 , N/A ,$187.26 ,$181.56 , N/A , N/A ,$249.20 , N/A ,$178.00 , N/A ,$267.00 ,$179.78 ,$161.98 ,$179.78 , N/A ,$179.78 ,$249.20 ,$249.20 ,$249.20 ,$356.00 ,$302.60 , N/A ,$284.80 ,$131.72 ,$284.80 , N/A , N/A ,$356.00 ,$192.95 , N/A ,$93.63 , N/A , N/A , N/A , N/A , N/A ,$302.60 , N/A ,$234.25 ,$99.68 ,$320.40 ,$256.32 ,$356.00 ,$249.20 ,$224.28 ,$224.28 , N/A ,$170.88 ,$320.40 ST. JOHN'S HOSPITAL,34300014,A9528,HC DIAGNUCLIDE I131 NECK/CHST,343,1 ,$74.00 ,$48.10 ,$19.46 ,$74.00 , N/A , N/A ,$40.11 , N/A ,$20.72 ,$23.68 , N/A ,$27.23 , N/A ,$28.27 ,$29.60 , N/A ,$28.27 , N/A ,$38.92 ,$37.74 , N/A , N/A ,$51.80 , N/A ,$37.00 , N/A ,$55.50 ,$37.37 ,$33.67 ,$37.37 , N/A ,$37.37 ,$51.80 ,$51.80 ,$51.80 ,$74.00 ,$62.90 , N/A ,$59.20 ,$27.38 ,$59.20 , N/A , N/A ,$74.00 ,$40.11 , N/A ,$19.46 , N/A , N/A , N/A , N/A , N/A ,$62.90 , N/A ,$48.69 ,$20.72 ,$66.60 ,$53.28 ,$74.00 ,$51.80 ,$46.62 ,$46.62 , N/A ,$35.52 ,$66.60 ST. JOHN'S HOSPITAL,34300015,A9530,HC THERAPEUTIC ISOTOPE SOLUTION PER MCI,343,1 ,$35.00 ,$22.75 ,$9.21 ,$319.59 ,$33.35 ,$14.35 ,$18.97 ,$13.34 ,$9.80 ,$11.20 ,$13.34 ,$12.88 ,$13.34 ,$13.37 ,$14.00 ,$13.34 ,$13.37 ,$25.35 ,$18.41 ,$17.85 ,$33.35 ,$13.34 ,$24.50 ,$13.34 ,$17.50 ,$13.61 ,$26.25 ,$17.68 ,$15.93 ,$17.68 ,$13.34 ,$17.68 ,$24.50 ,$24.50 ,$24.50 ,$35.00 ,$29.75 ,$33.35 ,$28.00 ,$12.95 ,$28.00 ,$13.34 ,$13.34 ,$35.00 ,$18.97 ,$13.34 ,$9.21 , N/A , N/A ,$35.00 ,$319.59 ,$14.01 ,$29.75 ,$30.02 ,$23.03 ,$9.80 ,$31.50 ,$25.20 ,$35.00 ,$24.50 ,$22.05 ,$22.05 ,$13.34 ,$16.80 ,$31.50 ST. JOHN'S HOSPITAL,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$333.00 ,$216.45 ,$66.38 ,$333.00 , N/A , N/A ,$180.49 , N/A ,$93.24 ,$114.89 , N/A ,$127.87 , N/A ,$127.21 ,$66.38 , N/A ,$127.21 , N/A ,$175.16 ,$169.83 , N/A , N/A ,$233.10 , N/A ,$166.50 , N/A ,$249.75 ,$168.17 ,$151.52 ,$168.17 , N/A ,$168.17 ,$233.10 ,$233.10 ,$233.10 ,$333.00 ,$283.05 , N/A ,$266.40 ,$123.21 ,$266.40 , N/A , N/A ,$333.00 ,$180.49 , N/A ,$87.58 , N/A , N/A , N/A , N/A , N/A ,$283.05 , N/A ,$219.11 ,$93.24 ,$299.70 ,$239.76 ,$333.00 ,$233.10 ,$209.79 ,$209.79 , N/A ,$159.84 ,$299.70 ST. JOHN'S HOSPITAL,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$423.00 ,$274.95 ,$37.60 ,$423.00 , N/A , N/A ,$229.27 , N/A ,$118.44 ,$145.94 , N/A ,$162.43 , N/A ,$161.59 ,$37.60 , N/A ,$161.59 , N/A ,$222.50 ,$215.73 , N/A , N/A ,$296.10 , N/A ,$211.50 , N/A ,$317.25 ,$213.62 ,$192.47 ,$213.62 , N/A ,$213.62 ,$296.10 ,$296.10 ,$296.10 ,$423.00 ,$359.55 , N/A ,$338.40 ,$156.51 ,$338.40 , N/A , N/A ,$423.00 ,$229.27 , N/A ,$111.25 , N/A , N/A , N/A , N/A , N/A ,$359.55 , N/A ,$278.33 ,$118.44 ,$380.70 ,$304.56 ,$423.00 ,$296.10 ,$266.49 ,$266.49 , N/A ,$203.04 ,$380.70 ST. JOHN'S HOSPITAL,34300018,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$610.00 ,$396.50 ,$36.00 ,$610.00 , N/A , N/A ,$330.62 , N/A ,$170.80 ,$185.76 , N/A ,$223.20 , N/A ,$233.02 ,$36.00 , N/A ,$233.02 , N/A ,$320.86 ,$311.10 , N/A , N/A ,$427.00 , N/A ,$305.00 , N/A ,$457.50 ,$308.05 ,$277.55 ,$308.05 , N/A ,$308.05 ,$427.00 ,$427.00 ,$427.00 ,$610.00 ,$518.50 , N/A ,$488.00 ,$225.70 ,$488.00 , N/A , N/A ,$610.00 ,$330.62 , N/A ,$160.43 , N/A , N/A , N/A , N/A , N/A ,$518.50 , N/A ,$401.38 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$427.00 ,$384.30 ,$384.30 , N/A ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$610.00 ,$396.50 ,$36.00 ,$610.00 , N/A , N/A ,$330.62 , N/A ,$170.80 ,$185.76 , N/A ,$223.20 , N/A ,$233.02 ,$36.00 , N/A ,$233.02 , N/A ,$320.86 ,$311.10 , N/A , N/A ,$427.00 , N/A ,$305.00 , N/A ,$457.50 ,$308.05 ,$277.55 ,$308.05 , N/A ,$308.05 ,$427.00 ,$427.00 ,$427.00 ,$610.00 ,$518.50 , N/A ,$488.00 ,$225.70 ,$488.00 , N/A , N/A ,$610.00 ,$330.62 , N/A ,$160.43 , N/A , N/A , N/A , N/A , N/A ,$518.50 , N/A ,$401.38 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$427.00 ,$384.30 ,$384.30 , N/A ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,"$1,010.00 ",$656.50 ,$64.17 ,"$1,010.00 ", N/A , N/A ,$547.42 , N/A ,$282.80 ,$331.12 , N/A ,$387.84 , N/A ,$385.82 ,$64.17 , N/A ,$385.82 , N/A ,$531.26 ,$515.10 , N/A , N/A ,$707.00 , N/A ,$505.00 , N/A ,$757.50 ,$510.05 ,$459.55 ,$510.05 , N/A ,$510.05 ,$707.00 ,$707.00 ,$707.00 ,"$1,010.00 ",$858.50 , N/A ,$808.00 ,$373.70 ,$808.00 , N/A , N/A ,"$1,010.00 ",$547.42 , N/A ,$265.63 , N/A , N/A , N/A , N/A , N/A ,$858.50 , N/A ,$664.58 ,$282.80 ,$909.00 ,$727.20 ,"$1,010.00 ",$707.00 ,$636.30 ,$636.30 , N/A ,$484.80 ,$909.00 ST. JOHN'S HOSPITAL,34300024,A9547,HC DIAGNUCLIDE IN OXINE .5 MCI,343,1 ,"$5,346.00 ","$3,474.90 ","$1,406.00 ","$5,346.00 ", N/A , N/A ,"$2,897.53 ", N/A ,"$1,496.88 ","$1,844.37 ", N/A ,"$2,052.86 ", N/A ,"$2,042.17 ","$2,145.75 ", N/A ,"$2,042.17 ", N/A ,"$2,812.00 ","$2,726.46 ", N/A , N/A ,"$3,742.20 ", N/A ,"$2,673.00 ", N/A ,"$4,009.50 ","$2,699.73 ","$2,432.43 ","$2,699.73 ", N/A ,"$2,699.73 ","$3,742.20 ","$3,742.20 ","$3,742.20 ","$5,346.00 ","$4,544.10 ", N/A ,"$4,276.80 ","$1,978.02 ","$4,276.80 ", N/A , N/A ,"$5,346.00 ","$2,897.53 ", N/A ,"$1,406.00 ", N/A , N/A , N/A , N/A , N/A ,"$4,544.10 ", N/A ,"$3,517.67 ","$1,496.88 ","$4,811.40 ","$3,849.12 ","$5,346.00 ","$3,742.20 ","$3,367.98 ","$3,367.98 ", N/A ,"$2,566.08 ","$4,811.40 " ST. JOHN'S HOSPITAL,34300028,A9551,HC DIAGNUCLIDE DMSA,343,1 ,"$2,320.00 ","$1,508.00 ",$610.16 ,"$2,320.00 ", N/A , N/A ,"$1,257.44 ", N/A ,$649.60 ,$800.40 , N/A ,$890.88 , N/A ,$886.24 ,$719.30 , N/A ,$886.24 , N/A ,"$1,220.32 ","$1,183.20 ", N/A , N/A ,"$1,624.00 ", N/A ,"$1,160.00 ", N/A ,"$1,740.00 ","$1,171.60 ","$1,055.60 ","$1,171.60 ", N/A ,"$1,171.60 ","$1,624.00 ","$1,624.00 ","$1,624.00 ","$2,320.00 ","$1,972.00 ", N/A ,"$1,856.00 ",$858.40 ,"$1,856.00 ", N/A , N/A ,"$2,320.00 ","$1,257.44 ", N/A ,$610.16 , N/A , N/A , N/A , N/A , N/A ,"$1,972.00 ", N/A ,"$1,526.56 ",$649.60 ,"$2,088.00 ","$1,670.40 ","$2,320.00 ","$1,624.00 ","$1,461.60 ","$1,461.60 ", N/A ,"$1,113.60 ","$2,088.00 " ST. JOHN'S HOSPITAL,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$1,038.00 ",$674.70 ,$272.99 ,"$1,038.00 ", N/A , N/A ,$562.60 , N/A ,$290.64 ,$358.11 , N/A ,$398.59 , N/A ,$396.52 ,$723.00 , N/A ,$396.52 , N/A ,$545.99 ,$529.38 , N/A , N/A ,$726.60 , N/A ,$519.00 , N/A ,$778.50 ,$524.19 ,$472.29 ,$524.19 , N/A ,$524.19 ,$726.60 ,$726.60 ,$726.60 ,"$1,038.00 ",$882.30 , N/A ,$830.40 ,$384.06 ,$830.40 , N/A , N/A ,"$1,038.00 ",$562.60 , N/A ,$272.99 , N/A , N/A , N/A , N/A , N/A ,$882.30 , N/A ,$683.00 ,$290.64 ,$934.20 ,$747.36 ,"$1,038.00 ",$726.60 ,$653.94 ,$653.94 , N/A ,$498.24 ,$934.20 ST. JOHN'S HOSPITAL,34300033,A9558,HC DIAGNUCLIDE XE133 10 MCI,343,1 ,$708.00 ,$460.20 ,$186.20 ,$708.00 , N/A , N/A ,$383.74 , N/A ,$198.24 ,$236.12 , N/A ,$271.87 , N/A ,$270.46 ,$251.65 , N/A ,$270.46 , N/A ,$372.41 ,$361.08 , N/A , N/A ,$495.60 , N/A ,$354.00 , N/A ,$531.00 ,$357.54 ,$322.14 ,$357.54 , N/A ,$357.54 ,$495.60 ,$495.60 ,$495.60 ,$708.00 ,$601.80 , N/A ,$566.40 ,$261.96 ,$566.40 , N/A , N/A ,$708.00 ,$383.74 , N/A ,$186.20 , N/A , N/A , N/A , N/A , N/A ,$601.80 , N/A ,$465.86 ,$198.24 ,$637.20 ,$509.76 ,$708.00 ,$495.60 ,$446.04 ,$446.04 , N/A ,$339.84 ,$637.20 ST. JOHN'S HOSPITAL,34300035,A9560,HC TC99M GI BLD MUGA UP TO 30MCI,343,1 ,$807.00 ,$524.55 ,$112.08 ,$807.00 , N/A , N/A ,$437.39 , N/A ,$225.96 ,$278.42 , N/A ,$309.89 , N/A ,$308.27 ,$112.08 , N/A ,$308.27 , N/A ,$424.48 ,$411.57 , N/A , N/A ,$564.90 , N/A ,$403.50 , N/A ,$605.25 ,$407.54 ,$367.19 ,$407.54 , N/A ,$407.54 ,$564.90 ,$564.90 ,$564.90 ,$807.00 ,$685.95 , N/A ,$645.60 ,$298.59 ,$645.60 , N/A , N/A ,$807.00 ,$437.39 , N/A ,$212.24 , N/A , N/A , N/A , N/A , N/A ,$685.95 , N/A ,$531.01 ,$225.96 ,$726.30 ,$581.04 ,$807.00 ,$564.90 ,$508.41 ,$508.41 , N/A ,$387.36 ,$726.30 ST. JOHN'S HOSPITAL,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$807.00 ,$524.55 ,$112.08 ,$807.00 , N/A , N/A ,$437.39 , N/A ,$225.96 ,$278.42 , N/A ,$309.89 , N/A ,$308.27 ,$112.08 , N/A ,$308.27 , N/A ,$424.48 ,$411.57 , N/A , N/A ,$564.90 , N/A ,$403.50 , N/A ,$605.25 ,$407.54 ,$367.19 ,$407.54 , N/A ,$407.54 ,$564.90 ,$564.90 ,$564.90 ,$807.00 ,$685.95 , N/A ,$645.60 ,$298.59 ,$645.60 , N/A , N/A ,$807.00 ,$437.39 , N/A ,$212.24 , N/A , N/A , N/A , N/A , N/A ,$685.95 , N/A ,$531.01 ,$225.96 ,$726.30 ,$581.04 ,$807.00 ,$564.90 ,$508.41 ,$508.41 , N/A ,$387.36 ,$726.30 ST. JOHN'S HOSPITAL,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,"$1,491.00 ",$969.15 ,$392.13 ,"$1,491.00 ", N/A , N/A ,$808.12 , N/A ,$417.48 ,$514.40 , N/A ,$572.54 , N/A ,$569.56 ,$929.73 , N/A ,$569.56 , N/A ,$784.27 ,$760.41 , N/A , N/A ,"$1,043.70 ", N/A ,$745.50 , N/A ,"$1,118.25 ",$752.96 ,$678.41 ,$752.96 , N/A ,$752.96 ,"$1,043.70 ","$1,043.70 ","$1,043.70 ","$1,491.00 ","$1,267.35 ", N/A ,"$1,192.80 ",$551.67 ,"$1,192.80 ", N/A , N/A ,"$1,491.00 ",$808.12 , N/A ,$392.13 , N/A , N/A , N/A , N/A , N/A ,"$1,267.35 ", N/A ,$981.08 ,$417.48 ,"$1,341.90 ","$1,073.52 ","$1,491.00 ","$1,043.70 ",$939.33 ,$939.33 , N/A ,$715.68 ,"$1,341.90 " ST. JOHN'S HOSPITAL,34300038,A9572,HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI,343,1 ,"$14,609.00 ","$9,495.85 ","$3,842.17 ","$14,609.00 ", N/A , N/A ,"$7,918.08 ", N/A ,"$4,090.52 ","$5,040.11 ", N/A ,"$5,609.86 ", N/A ,"$5,580.64 ","$6,811.20 ", N/A ,"$5,580.64 ", N/A ,"$7,684.33 ","$7,450.59 ", N/A , N/A ,"$10,226.30 ", N/A ,"$7,304.50 ", N/A ,"$10,956.75 ","$7,377.55 ","$6,647.10 ","$7,377.55 ", N/A ,"$7,377.55 ","$10,226.30 ","$10,226.30 ","$10,226.30 ","$14,609.00 ","$12,417.65 ", N/A ,"$11,687.20 ","$5,405.33 ","$11,687.20 ", N/A , N/A ,"$14,609.00 ","$7,918.08 ", N/A ,"$3,842.17 ", N/A , N/A , N/A , N/A , N/A ,"$12,417.65 ", N/A ,"$9,612.72 ","$4,090.52 ","$13,148.10 ","$10,518.48 ","$14,609.00 ","$10,226.30 ","$9,203.67 ","$9,203.67 ", N/A ,"$7,012.32 ","$13,148.10 " ST. JOHN'S HOSPITAL,34300039,A9582,HC DIAGNUCLIDE I 123 MIBG,343,1 ,"$12,682.00 ","$8,243.30 ","$3,335.37 ","$12,682.00 ", N/A ,"$5,199.62 ","$6,873.64 ", N/A ,"$3,550.96 ","$4,375.29 ", N/A ,"$4,869.89 ", N/A ,"$4,844.52 ","$7,085.01 ", N/A ,"$4,844.52 ", N/A ,"$6,670.73 ","$6,467.82 ", N/A , N/A ,"$8,877.40 ", N/A ,"$6,341.00 ", N/A ,"$9,511.50 ","$6,404.41 ","$5,770.31 ","$6,404.41 ", N/A ,"$6,404.41 ","$8,877.40 ","$8,877.40 ","$8,877.40 ","$12,682.00 ","$10,779.70 ", N/A ,"$10,145.60 ","$4,692.34 ","$10,145.60 ", N/A , N/A ,"$12,682.00 ","$6,873.64 ", N/A ,"$3,335.37 ", N/A , N/A , N/A , N/A , N/A ,"$10,779.70 ", N/A ,"$8,344.76 ","$3,550.96 ","$11,413.80 ","$9,131.04 ","$12,682.00 ","$8,877.40 ","$7,989.66 ","$7,989.66 ", N/A ,"$6,087.36 ","$11,413.80 " ST. JOHN'S HOSPITAL,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$238.00 ,$154.70 ,$62.59 ,$238.00 , N/A ,$97.58 ,$129.00 , N/A ,$66.64 ,$82.11 , N/A ,$91.39 , N/A ,$90.92 ,$95.20 , N/A ,$90.92 , N/A ,$125.19 ,$121.38 , N/A , N/A ,$166.60 , N/A ,$119.00 , N/A ,$178.50 ,$120.19 ,$108.29 ,$120.19 , N/A ,$120.19 ,$149.94 ,$149.94 ,$168.98 ,$238.00 ,$202.30 , N/A ,$190.40 ,$88.06 ,$190.40 , N/A , N/A ,$238.00 ,$129.00 , N/A ,$62.59 , N/A , N/A ,$143.10 ,$136.59 , N/A ,$202.30 , N/A ,$156.60 ,$66.64 ,$214.20 ,$171.36 ,$238.00 ,$149.94 ,$149.94 ,$149.94 , N/A ,$114.24 ,$214.20 ST. JOHN'S HOSPITAL,34300049,A9509,HC DIAGNUCLIDE I123 CAP PER MILLICURIE,343,1 ,$496.00 ,$322.40 ,$130.45 ,$496.00 , N/A , N/A ,$268.83 , N/A ,$138.88 ,$171.12 , N/A ,$190.46 , N/A ,$189.47 ,$496.00 , N/A ,$189.47 , N/A ,$260.90 ,$252.96 , N/A , N/A ,$347.20 , N/A ,$248.00 , N/A ,$372.00 ,$250.48 ,$225.68 ,$250.48 , N/A ,$250.48 ,$347.20 ,$347.20 ,$347.20 ,$496.00 ,$421.60 , N/A ,$396.80 ,$183.52 ,$396.80 , N/A , N/A ,$496.00 ,$268.83 , N/A ,$130.45 , N/A , N/A , N/A , N/A , N/A ,$421.60 , N/A ,$326.37 ,$138.88 ,$446.40 ,$357.12 ,$496.00 ,$347.20 ,$312.48 ,$312.48 , N/A ,$238.08 ,$446.40 ST. JOHN'S HOSPITAL,34300054,A9587,HC GALLIUM GA-68 DOTATATE DIAG 0.1 MCI,343,1 ,$207.00 ,$134.55 ,$54.44 ,$207.00 , N/A , N/A ,$112.19 , N/A ,$57.96 ,$71.42 , N/A ,$79.49 , N/A ,$79.07 ,$77.78 , N/A ,$79.07 , N/A ,$108.88 ,$105.57 , N/A , N/A ,$144.90 , N/A ,$103.50 , N/A ,$155.25 ,$104.54 ,$94.19 ,$104.54 , N/A ,$104.54 ,$144.90 ,$144.90 ,$144.90 ,$207.00 ,$175.95 , N/A ,$165.60 ,$76.59 ,$165.60 , N/A , N/A ,$207.00 ,$112.19 , N/A ,$54.44 , N/A , N/A , N/A , N/A , N/A ,$175.95 , N/A ,$136.21 ,$57.96 ,$186.30 ,$149.04 ,$207.00 ,$144.90 ,$130.41 ,$130.41 , N/A ,$99.36 ,$186.30 ST. JOHN'S HOSPITAL,34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$493.00 ,$320.45 ,$128.10 ,$493.00 , N/A , N/A ,$267.21 , N/A ,$138.04 ,$170.09 , N/A ,$189.31 , N/A ,$188.33 ,$128.10 , N/A ,$188.33 , N/A ,$259.32 ,$251.43 , N/A , N/A ,$345.10 , N/A ,$246.50 , N/A ,$369.75 ,$248.97 ,$224.32 ,$248.97 , N/A ,$248.97 ,$345.10 ,$345.10 ,$345.10 ,$493.00 ,$419.05 , N/A ,$394.40 ,$182.41 ,$394.40 , N/A , N/A ,$493.00 ,$267.21 , N/A ,$129.66 , N/A , N/A , N/A , N/A , N/A ,$419.05 , N/A ,$324.39 ,$138.04 ,$443.70 ,$354.96 ,$493.00 ,$345.10 ,$310.59 ,$310.59 , N/A ,$236.64 ,$443.70 ST. JOHN'S HOSPITAL,34300060,A9520,HC DIAGNUCLIDE TC-99 TILMANOCEPT DIAG UP TO 0.5 MCI,343,1 ,"$2,168.00 ","$1,409.20 ",$563.76 ,"$2,168.00 ", N/A , N/A ,"$1,175.06 ", N/A ,$607.04 ,$747.96 , N/A ,$832.51 , N/A ,$828.18 ,$563.76 , N/A ,$828.18 , N/A ,"$1,140.37 ","$1,105.68 ", N/A , N/A ,"$1,517.60 ", N/A ,"$1,084.00 ", N/A ,"$1,626.00 ","$1,094.84 ",$986.44 ,"$1,094.84 ", N/A ,"$1,094.84 ","$1,517.60 ","$1,517.60 ","$1,517.60 ","$2,168.00 ","$1,842.80 ", N/A ,"$1,734.40 ",$802.16 ,"$1,734.40 ", N/A , N/A ,"$2,168.00 ","$1,175.06 ", N/A ,$570.18 , N/A , N/A , N/A , N/A , N/A ,"$1,842.80 ", N/A ,"$1,426.54 ",$607.04 ,"$1,951.20 ","$1,560.96 ","$2,168.00 ","$1,517.60 ","$1,365.84 ","$1,365.84 ", N/A ,"$1,040.64 ","$1,951.20 " ST. JOHN'S HOSPITAL,34300061,A9557,HC DIAGNUCLIDE TC-99 BICISATE PER STUDY UP TO 25MCI,343,1 ,"$2,571.00 ","$1,671.15 ",$446.51 ,"$2,571.00 ", N/A , N/A ,"$1,393.48 ", N/A ,$719.88 ,$887.00 , N/A ,$987.26 , N/A ,$982.12 ,$446.51 , N/A ,$982.12 , N/A ,"$1,352.35 ","$1,311.21 ", N/A , N/A ,"$1,799.70 ", N/A ,"$1,285.50 ", N/A ,"$1,928.25 ","$1,298.36 ","$1,169.81 ","$1,298.36 ", N/A ,"$1,298.36 ","$1,799.70 ","$1,799.70 ","$1,799.70 ","$2,571.00 ","$2,185.35 ", N/A ,"$2,056.80 ",$951.27 ,"$2,056.80 ", N/A , N/A ,"$2,571.00 ","$1,393.48 ", N/A ,$676.17 , N/A , N/A , N/A , N/A , N/A ,"$2,185.35 ", N/A ,"$1,691.72 ",$719.88 ,"$2,313.90 ","$1,851.12 ","$2,571.00 ","$1,799.70 ","$1,619.73 ","$1,619.73 ", N/A ,"$1,234.08 ","$2,313.90 " ST. JOHN'S HOSPITAL,34300062,A9562,HC DIAGNUCLIDE TC-99 MERTIATIDE PER STUDY UP TO 15MCI,343,1 ,"$1,491.00 ",$969.15 ,$392.13 ,"$1,491.00 ", N/A , N/A ,$808.12 , N/A ,$417.48 ,$514.40 , N/A ,$572.54 , N/A ,$569.56 ,$929.73 , N/A ,$569.56 , N/A ,$784.27 ,$760.41 , N/A , N/A ,"$1,043.70 ", N/A ,$745.50 , N/A ,"$1,118.25 ",$752.96 ,$678.41 ,$752.96 , N/A ,$752.96 ,"$1,043.70 ","$1,043.70 ","$1,043.70 ","$1,491.00 ","$1,267.35 ", N/A ,"$1,192.80 ",$551.67 ,"$1,192.80 ", N/A , N/A ,"$1,491.00 ",$808.12 , N/A ,$392.13 , N/A , N/A , N/A , N/A , N/A ,"$1,267.35 ", N/A ,$981.08 ,$417.48 ,"$1,341.90 ","$1,073.52 ","$1,491.00 ","$1,043.70 ",$939.33 ,$939.33 , N/A ,$715.68 ,"$1,341.90 " ST. JOHN'S HOSPITAL,35000002,20615,HC ASP/INJ CYST BONE,350,1 ,"$1,610.00 ","$1,046.50 ",$363.34 ,"$1,781.31 ","$1,495.43 ",$750.00 ,$872.62 ,$598.17 ,$450.80 ,$515.20 ,$598.17 ,$592.48 ,$598.17 ,$615.02 ,$363.34 ,$598.17 ,$615.02 ,"$1,136.52 ",$846.86 ,$821.10 ,"$1,495.43 ",$598.17 ,"$1,127.00 ",$598.17 ,$805.00 ,$610.13 ,"$1,207.50 ",$681.00 ,$612.00 ,$681.00 ,$598.17 ,$681.00 ,"$1,127.00 ","$1,127.00 ","$1,127.00 ","$1,610.00 ","$1,368.50 ","$1,495.43 ","$1,288.00 ",$595.70 ,"$1,288.00 ",$598.17 ,$598.17 ,"$1,610.00 ",$872.62 ,$598.17 ,$423.43 , N/A , N/A ,"$1,610.00 ","$1,781.31 ",$628.08 ,"$1,368.50 ","$1,345.88 ","$1,059.38 ",$450.80 ,"$1,449.00 ","$1,159.20 ","$1,610.00 ","$1,127.00 ","$1,014.30 ","$1,014.30 ",$598.17 ,$772.80 ,"$1,449.00 " ST. JOHN'S HOSPITAL,35000003,20982,HC ABLATION BONE TUMOR RADIOFREQUENCY,350,1 ,"$18,712.00 ","$12,162.80 ",$612.00 ,"$18,712.00 ","$15,052.25 ",$750.00 ,"$10,141.90 ","$6,020.90 ","$5,239.36 ","$5,987.84 ","$6,020.90 ","$6,886.02 ","$6,020.90 ","$7,147.98 ",$844.33 ,"$6,020.90 ","$7,147.98 ","$11,439.72 ","$9,842.51 ","$9,543.12 ","$15,052.26 ","$6,020.90 ","$13,098.40 ","$6,020.90 ","$9,356.00 ","$6,141.32 ","$14,034.00 ",$681.00 ,$612.00 ,$681.00 ,"$6,020.90 ",$681.00 ,"$13,098.40 ","$13,098.40 ","$13,098.40 ","$18,712.00 ","$15,905.20 ","$15,052.26 ","$14,969.60 ","$6,923.44 ","$14,969.60 ","$6,020.90 ","$6,020.90 ","$18,712.00 ","$10,141.90 ","$6,020.90 ","$4,921.26 ", N/A , N/A ,"$3,016.45 ","$2,879.34 ","$6,321.95 ","$15,905.20 ","$13,547.03 ","$12,312.50 ","$5,239.36 ","$16,840.80 ","$13,472.64 ","$18,712.00 ","$13,098.40 ","$11,788.56 ","$11,788.56 ","$6,020.90 ","$8,981.76 ","$16,840.80 " ST. JOHN'S HOSPITAL,35000004,20999,HC MUSCULOSKELETAL UNLSTD PROC,350,1 ,"$4,131.00 ","$2,685.15 ",$198.12 ,"$4,131.00 ",$495.30 ,$750.00 ,"$2,239.00 ",$198.12 ,"$1,156.68 ","$1,321.92 ",$198.12 ,"$1,520.21 ",$198.12 ,"$1,578.04 ","$1,652.40 ",$198.12 ,"$1,578.04 ",$376.43 ,"$2,172.91 ","$2,106.81 ",$495.31 ,$198.12 ,"$2,891.70 ",$198.12 ,"$2,065.50 ",$202.09 ,"$3,098.25 ",$681.00 ,$612.00 ,$681.00 ,$198.12 ,$681.00 ,"$2,891.70 ","$2,891.70 ","$2,891.70 ","$4,131.00 ","$3,511.35 ",$495.31 ,"$3,304.80 ","$1,528.47 ","$3,304.80 ",$198.12 ,$198.12 ,"$4,131.00 ","$2,239.00 ",$198.12 ,"$1,086.45 ", N/A , N/A ,"$1,866.14 ","$1,781.31 ",$208.03 ,"$3,511.35 ",$445.78 ,"$2,718.20 ","$1,156.68 ","$3,717.90 ","$2,974.32 ","$4,131.00 ","$2,891.70 ","$2,602.53 ","$2,602.53 ",$198.12 ,"$1,982.88 ","$3,717.90 " ST. JOHN'S HOSPITAL,35000005,21501,HC I AND D ABSC NECK/THORAX,350,1 ,"$10,181.00 ","$6,617.65 ",$612.00 ,"$10,181.00 ","$5,697.90 ",$750.00 ,"$5,518.10 ","$2,279.16 ","$2,850.68 ","$3,257.92 ","$2,279.16 ","$3,746.61 ","$2,279.16 ","$3,889.14 ",$728.19 ,"$2,279.16 ","$3,889.14 ","$4,330.41 ","$5,355.21 ","$5,192.31 ","$5,697.91 ","$2,279.16 ","$7,126.70 ","$2,279.16 ","$5,090.50 ","$2,324.75 ","$7,635.75 ",$681.00 ,$612.00 ,$681.00 ,"$2,279.16 ",$681.00 ,"$7,126.70 ","$7,126.70 ","$7,126.70 ","$10,181.00 ","$8,653.85 ","$5,697.91 ","$8,144.80 ","$3,766.97 ","$8,144.80 ","$2,279.16 ","$2,279.16 ","$10,181.00 ","$5,518.10 ","$2,279.16 ","$2,677.60 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$2,393.12 ","$8,653.85 ","$5,128.12 ","$6,699.10 ","$2,850.68 ","$9,162.90 ","$7,330.32 ","$10,181.00 ","$7,126.70 ","$6,414.03 ","$6,414.03 ","$2,279.16 ","$4,886.88 ","$9,162.90 " ST. JOHN'S HOSPITAL,35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$8,180.00 ","$5,317.00 ",$353.08 ,"$8,180.00 ","$3,381.25 ",$750.00 ,"$4,433.56 ","$1,352.50 ","$2,290.40 ","$2,617.60 ","$1,352.50 ","$3,010.24 ","$1,352.50 ","$3,124.76 ",$353.08 ,"$1,352.50 ","$3,124.76 ","$2,569.74 ","$4,302.68 ","$4,171.80 ","$3,381.24 ","$1,352.50 ","$5,726.00 ","$1,352.50 ","$4,090.00 ","$1,379.54 ","$6,135.00 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$5,726.00 ","$5,726.00 ","$5,726.00 ","$8,180.00 ","$6,953.00 ","$3,381.24 ","$6,544.00 ","$3,026.60 ","$6,544.00 ","$1,352.50 ","$1,352.50 ","$8,180.00 ","$4,433.56 ","$1,352.50 ","$2,151.34 ", N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$6,953.00 ","$3,043.11 ","$5,382.44 ","$2,290.40 ","$7,362.00 ","$5,889.60 ","$8,180.00 ","$5,726.00 ","$5,153.40 ","$5,153.40 ","$1,352.50 ","$3,926.40 ","$7,362.00 " ST. JOHN'S HOSPITAL,35000013,32400,HC BX PLEURA NEEDLE PERC,350,1 ,"$2,200.00 ","$1,430.00 ",$161.11 ,"$3,381.25 ","$3,381.25 ",$750.00 ,"$1,192.40 ","$1,352.50 ",$616.00 ,$704.00 ,"$1,352.50 ",$809.60 ,"$1,352.50 ",$840.40 ,$161.11 ,"$1,352.50 ",$840.40 ,"$2,200.00 ","$1,157.20 ","$1,122.00 ","$3,381.24 ","$1,352.50 ","$1,540.00 ","$1,352.50 ","$1,100.00 ","$1,379.54 ","$1,650.00 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$1,540.00 ","$1,540.00 ","$1,540.00 ","$2,200.00 ","$1,870.00 ","$2,200.00 ","$1,760.00 ",$814.00 ,"$1,760.00 ","$1,352.50 ","$1,352.50 ","$2,200.00 ","$1,192.40 ","$1,352.50 ",$578.60 , N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$1,870.00 ","$3,043.11 ","$1,447.60 ",$616.00 ,"$1,980.00 ","$1,584.00 ","$2,200.00 ","$1,540.00 ","$1,386.00 ","$1,386.00 ","$1,352.50 ","$1,056.00 ","$1,980.00 " ST. JOHN'S HOSPITAL,35000016,32999,HC UNLISTED PROCEDURE LUNG PLEURA,350,1 ,"$2,087.00 ","$1,356.55 ",$519.58 ,"$2,087.00 ","$1,298.95 ",$750.00 ,"$1,131.15 ",$519.58 ,$584.36 ,$667.84 ,$519.58 ,$768.02 ,$519.58 ,$797.23 ,$834.80 ,$519.58 ,$797.23 ,$987.20 ,"$1,097.76 ","$1,064.37 ","$1,298.95 ",$519.58 ,"$1,460.90 ",$519.58 ,"$1,043.50 ",$529.97 ,"$1,565.25 ",$681.00 ,$612.00 ,$681.00 ,$519.58 ,$681.00 ,"$1,460.90 ","$1,460.90 ","$1,460.90 ","$2,087.00 ","$1,773.95 ","$1,298.95 ","$1,669.60 ",$772.19 ,"$1,669.60 ",$519.58 ,$519.58 ,"$2,087.00 ","$1,131.15 ",$519.58 ,$548.88 , N/A , N/A ,$725.23 ,$692.27 ,$545.56 ,"$1,773.95 ","$1,169.06 ","$1,373.25 ",$584.36 ,"$1,878.30 ","$1,502.64 ","$2,087.00 ","$1,460.90 ","$1,314.81 ","$1,314.81 ",$519.58 ,"$1,001.76 ","$1,878.30 " ST. JOHN'S HOSPITAL,35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$3,722.00 ","$2,419.30 ",$157.52 ,"$3,722.00 ","$3,381.25 ",$750.00 ,"$2,017.32 ","$1,352.50 ","$1,042.16 ","$1,191.04 ","$1,352.50 ","$1,369.70 ","$1,352.50 ","$1,421.80 ",$157.52 ,"$1,352.50 ","$1,421.80 ","$2,569.74 ","$1,957.77 ","$1,898.22 ","$3,381.24 ","$1,352.50 ","$2,605.40 ","$1,352.50 ","$1,861.00 ","$1,379.54 ","$2,791.50 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$2,605.40 ","$2,605.40 ","$2,605.40 ","$3,722.00 ","$3,163.70 ","$3,381.24 ","$2,977.60 ","$1,377.14 ","$2,977.60 ","$1,352.50 ","$1,352.50 ","$3,722.00 ","$2,017.32 ","$1,352.50 ",$978.89 , N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$3,163.70 ","$3,043.11 ","$2,449.08 ","$1,042.16 ","$3,349.80 ","$2,679.84 ","$3,722.00 ","$2,605.40 ","$2,344.86 ","$2,344.86 ","$1,352.50 ","$1,786.56 ","$3,349.80 " ST. JOHN'S HOSPITAL,35000020,49405,HC PERC DRN ABSC/HEM/CYST VISCERAL,350,1 ,"$6,183.00 ","$4,018.95 ",$351.25 ,"$6,183.00 ","$3,381.25 ",$750.00 ,"$3,351.19 ","$1,352.50 ","$1,731.24 ","$1,978.56 ","$1,352.50 ","$2,275.34 ","$1,352.50 ","$2,361.91 ",$351.25 ,"$1,352.50 ","$2,361.91 ","$2,569.74 ","$3,252.26 ","$3,153.33 ","$3,381.24 ","$1,352.50 ","$4,328.10 ","$1,352.50 ","$3,091.50 ","$1,379.54 ","$4,637.25 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ","$3,381.24 ","$4,946.40 ","$2,287.71 ","$4,946.40 ","$1,352.50 ","$1,352.50 ","$6,183.00 ","$3,351.19 ","$1,352.50 ","$1,626.13 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,255.55 ","$3,043.11 ","$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ","$1,352.50 ","$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,35000021,47382,HC ABLATION TUMR LIVER RADIO PERC,350,1 ,"$19,580.00 ","$12,727.00 ",$612.00 ,"$19,580.00 ","$12,159.58 ",$750.00 ,"$10,612.36 ","$4,863.83 ","$5,482.40 ","$6,265.60 ","$4,863.83 ","$7,205.44 ","$4,863.83 ","$7,479.56 ","$1,321.93 ","$4,863.83 ","$7,479.56 ","$9,241.28 ","$10,299.08 ","$9,985.80 ","$12,159.57 ","$4,863.83 ","$13,706.00 ","$4,863.83 ","$9,790.00 ","$4,961.11 ","$14,685.00 ",$681.00 ,$612.00 ,$681.00 ,"$4,863.83 ",$681.00 ,"$13,706.00 ","$13,706.00 ","$13,706.00 ","$19,580.00 ","$16,643.00 ","$12,159.57 ","$15,664.00 ","$7,244.60 ","$15,664.00 ","$4,863.83 ","$4,863.83 ","$19,580.00 ","$10,612.36 ","$4,863.83 ","$5,149.54 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ","$5,107.02 ","$16,643.00 ","$10,943.62 ","$12,883.64 ","$5,482.40 ","$17,622.00 ","$14,097.60 ","$19,580.00 ","$13,706.00 ","$12,335.40 ","$12,335.40 ","$4,863.83 ","$9,398.40 ","$17,622.00 " ST. JOHN'S HOSPITAL,35000023,48102,HC BX PANCREAS NEEDLE PERC,350,1 ,"$3,658.00 ","$2,377.70 ",$425.89 ,"$3,658.00 ","$3,381.25 ",$750.00 ,"$1,982.64 ","$1,352.50 ","$1,024.24 ","$1,170.56 ","$1,352.50 ","$1,346.14 ","$1,352.50 ","$1,397.36 ",$425.89 ,"$1,352.50 ","$1,397.36 ","$2,569.74 ","$1,924.11 ","$1,865.58 ","$3,381.24 ","$1,352.50 ","$2,560.60 ","$1,352.50 ","$1,829.00 ","$1,379.54 ","$2,743.50 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$2,560.60 ","$2,560.60 ","$2,560.60 ","$3,658.00 ","$3,109.30 ","$3,381.24 ","$2,926.40 ","$1,353.46 ","$2,926.40 ","$1,352.50 ","$1,352.50 ","$3,658.00 ","$1,982.64 ","$1,352.50 ",$962.05 , N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$3,109.30 ","$3,043.11 ","$2,406.96 ","$1,024.24 ","$3,292.20 ","$2,633.76 ","$3,658.00 ","$2,560.60 ","$2,304.54 ","$2,304.54 ","$1,352.50 ","$1,755.84 ","$3,292.20 " ST. JOHN'S HOSPITAL,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$3,160.00 ","$2,054.00 ",$151.10 ,"$3,381.25 ","$3,381.25 ",$750.00 ,"$1,712.72 ","$1,352.50 ",$884.80 ,"$1,011.20 ","$1,352.50 ","$1,162.88 ","$1,352.50 ","$1,207.12 ",$151.10 ,"$1,352.50 ","$1,207.12 ","$2,569.74 ","$1,662.16 ","$1,611.60 ","$3,381.24 ","$1,352.50 ","$2,212.00 ","$1,352.50 ","$1,580.00 ","$1,379.54 ","$2,370.00 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$2,212.00 ","$2,212.00 ","$2,212.00 ","$3,160.00 ","$2,686.00 ","$3,160.00 ","$2,528.00 ","$1,169.20 ","$2,528.00 ","$1,352.50 ","$1,352.50 ","$3,160.00 ","$1,712.72 ","$1,352.50 ",$831.08 , N/A , N/A ,$637.68 ,$608.70 ,"$1,420.13 ","$2,686.00 ","$3,043.11 ","$2,079.28 ",$884.80 ,"$2,844.00 ","$2,275.20 ","$3,160.00 ","$2,212.00 ","$1,990.80 ","$1,990.80 ","$1,352.50 ","$1,516.80 ","$2,844.00 " ST. JOHN'S HOSPITAL,35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$3,220.00 ","$2,093.00 ",$334.77 ,"$3,381.25 ","$3,381.25 ",$750.00 ,"$1,745.24 ","$1,352.50 ",$901.60 ,"$1,030.40 ","$1,352.50 ","$1,184.96 ","$1,352.50 ","$1,230.04 ",$334.77 ,"$1,352.50 ","$1,230.04 ","$2,569.74 ","$1,693.72 ","$1,642.20 ","$3,381.24 ","$1,352.50 ","$2,254.00 ","$1,352.50 ","$1,610.00 ","$1,379.54 ","$2,415.00 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$2,254.00 ","$2,254.00 ","$2,254.00 ","$3,220.00 ","$2,737.00 ","$3,220.00 ","$2,576.00 ","$1,191.40 ","$2,576.00 ","$1,352.50 ","$1,352.50 ","$3,220.00 ","$1,745.24 ","$1,352.50 ",$846.86 , N/A , N/A ,$637.68 ,$608.70 ,"$1,420.13 ","$2,737.00 ","$3,043.11 ","$2,118.76 ",$901.60 ,"$2,898.00 ","$2,318.40 ","$3,220.00 ","$2,254.00 ","$2,028.60 ","$2,028.60 ","$1,352.50 ","$1,545.60 ","$2,898.00 " ST. JOHN'S HOSPITAL,35000026,50200,"HC PERC BIOPSY/KIDNEY, NEEDLE",350,1 ,"$4,831.00 ","$3,140.15 ",$334.77 ,"$4,831.00 ","$3,381.25 ",$750.00 ,"$2,618.40 ","$1,352.50 ","$1,352.68 ","$1,545.92 ","$1,352.50 ","$1,777.81 ","$1,352.50 ","$1,845.44 ",$334.77 ,"$1,352.50 ","$1,845.44 ","$2,569.74 ","$2,541.11 ","$2,463.81 ","$3,381.24 ","$1,352.50 ","$3,381.70 ","$1,352.50 ","$2,415.50 ","$1,379.54 ","$3,623.25 ",$681.00 ,$612.00 ,$681.00 ,"$1,352.50 ",$681.00 ,"$3,381.70 ","$3,381.70 ","$3,381.70 ","$4,831.00 ","$4,106.35 ","$3,381.24 ","$3,864.80 ","$1,787.47 ","$3,864.80 ","$1,352.50 ","$1,352.50 ","$4,831.00 ","$2,618.40 ","$1,352.50 ","$1,270.55 ", N/A , N/A ,$956.53 ,$913.05 ,"$1,420.13 ","$4,106.35 ","$3,043.11 ","$3,178.80 ","$1,352.68 ","$4,347.90 ","$3,478.32 ","$4,831.00 ","$3,381.70 ","$3,043.53 ","$3,043.53 ","$1,352.50 ","$2,318.88 ","$4,347.90 " ST. JOHN'S HOSPITAL,35000027,50390,HC RENAL CYST/PELVIS ASP/INJ,350,1 ,"$1,768.00 ","$1,149.20 ",$252.10 ,"$1,768.00 ","$1,495.43 ",$750.00 ,$958.26 ,$598.17 ,$495.04 ,$565.76 ,$598.17 ,$650.62 ,$598.17 ,$675.38 ,$252.10 ,$598.17 ,$675.38 ,"$1,136.52 ",$929.97 ,$901.68 ,"$1,495.43 ",$598.17 ,"$1,237.60 ",$598.17 ,$884.00 ,$610.13 ,"$1,326.00 ",$681.00 ,$612.00 ,$681.00 ,$598.17 ,$681.00 ,"$1,237.60 ","$1,237.60 ","$1,237.60 ","$1,768.00 ","$1,502.80 ","$1,495.43 ","$1,414.40 ",$654.16 ,"$1,414.40 ",$598.17 ,$598.17 ,"$1,768.00 ",$958.26 ,$598.17 ,$464.98 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,502.80 ","$1,345.88 ","$1,163.34 ",$495.04 ,"$1,591.20 ","$1,272.96 ","$1,768.00 ","$1,237.60 ","$1,113.84 ","$1,113.84 ",$598.17 ,$848.64 ,"$1,591.20 " ST. JOHN'S HOSPITAL,35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,"$2,221.00 ","$1,443.65 ",$155.65 ,"$2,221.00 ","$1,495.43 ",$750.00 ,"$1,203.78 ",$598.17 ,$621.88 ,$710.72 ,$598.17 ,$817.33 ,$598.17 ,$848.42 ,$155.65 ,$598.17 ,$848.42 ,"$1,136.52 ","$1,168.25 ","$1,132.71 ","$1,495.43 ",$598.17 ,"$1,554.70 ",$598.17 ,"$1,110.50 ",$610.13 ,"$1,665.75 ",$681.00 ,$612.00 ,$681.00 ,$598.17 ,$681.00 ,"$1,554.70 ","$1,554.70 ","$1,554.70 ","$2,221.00 ","$1,887.85 ","$1,495.43 ","$1,776.80 ",$821.77 ,"$1,776.80 ",$598.17 ,$598.17 ,"$2,221.00 ","$1,203.78 ",$598.17 ,$584.12 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,887.85 ","$1,345.88 ","$1,461.42 ",$621.88 ,"$1,998.90 ","$1,599.12 ","$2,221.00 ","$1,554.70 ","$1,399.23 ","$1,399.23 ",$598.17 ,"$1,066.08 ","$1,998.90 " ST. JOHN'S HOSPITAL,35000032,64430,HC INJ ANEST AGENT PUDENDAL NERVE,350,1 ,"$2,908.00 ","$1,890.20 ",$161.30 ,"$2,908.00 ","$1,978.25 ",$750.00 ,"$1,576.14 ",$791.30 ,$814.24 ,$930.56 ,$791.30 ,"$1,070.14 ",$791.30 ,"$1,110.86 ",$161.30 ,$791.30 ,"$1,110.86 ","$1,503.46 ","$1,529.61 ","$1,483.08 ","$1,978.24 ",$791.30 ,"$2,035.60 ",$791.30 ,"$1,454.00 ",$807.12 ,"$2,181.00 ",$681.00 ,$612.00 ,$681.00 ,$791.30 ,$681.00 ,"$2,035.60 ","$2,035.60 ","$2,035.60 ","$2,908.00 ","$2,471.80 ","$1,978.24 ","$2,326.40 ","$1,075.96 ","$2,326.40 ",$791.30 ,$791.30 ,"$2,908.00 ","$1,576.14 ",$791.30 ,$764.80 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$2,471.80 ","$1,780.41 ","$1,913.46 ",$814.24 ,"$2,617.20 ","$2,093.76 ","$2,908.00 ","$2,035.60 ","$1,832.04 ","$1,832.04 ",$791.30 ,"$1,395.84 ","$2,617.20 " ST. JOHN'S HOSPITAL,35000034,64530,HC INJ CELIAC PLEXUS BLOCK,350,1 ,"$3,969.00 ","$2,579.85 ",$183.31 ,"$3,969.00 ","$1,978.25 ",$750.00 ,"$2,151.20 ",$791.30 ,"$1,111.32 ","$1,270.08 ",$791.30 ,"$1,460.59 ",$791.30 ,"$1,516.16 ",$183.31 ,$791.30 ,"$1,516.16 ","$1,503.46 ","$2,087.69 ","$2,024.19 ","$1,978.24 ",$791.30 ,"$2,778.30 ",$791.30 ,"$1,984.50 ",$807.12 ,"$2,976.75 ",$681.00 ,$612.00 ,$681.00 ,$791.30 ,$681.00 ,"$2,778.30 ","$2,778.30 ","$2,778.30 ","$3,969.00 ","$3,373.65 ","$1,978.24 ","$3,175.20 ","$1,468.53 ","$3,175.20 ",$791.30 ,$791.30 ,"$3,969.00 ","$2,151.20 ",$791.30 ,"$1,043.85 ", N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$3,373.65 ","$1,780.41 ","$2,611.60 ","$1,111.32 ","$3,572.10 ","$2,857.68 ","$3,969.00 ","$2,778.30 ","$2,500.47 ","$2,500.47 ",$791.30 ,"$1,905.12 ","$3,572.10 " ST. JOHN'S HOSPITAL,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,789.00 ","$1,812.85 ",$102.00 ,"$2,789.00 ",$261.63 ,$750.00 ,"$1,511.64 ",$104.65 ,$780.92 ,$541.75 ,$104.65 ,$650.94 ,$104.65 ,"$1,065.40 ",$150.19 ,$104.65 ,"$1,065.40 ",$198.84 ,$252.51 ,"$1,422.39 ",$261.63 ,$104.65 ,"$1,952.30 ",$104.65 ,"$1,394.50 ",$106.75 ,"$2,091.75 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$102.00 ,$102.00 ,$102.00 ,"$2,789.00 ","$2,370.65 ",$261.63 ,"$2,231.20 ","$1,031.93 ","$2,231.20 ",$104.65 ,$104.65 ,"$2,789.00 ","$1,511.64 ",$104.65 ,$733.51 , N/A , N/A ,$299.56 ,$285.95 ,$109.88 ,"$2,370.65 ",$235.47 ,"$1,835.16 ",$780.92 ,"$2,510.10 ","$2,008.08 ","$2,789.00 ",$102.00 ,"$1,757.07 ","$1,757.07 ",$104.65 ,"$1,338.72 ","$2,510.10 " ST. JOHN'S HOSPITAL,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$3,163.00 ","$2,055.95 ",$148.70 ,"$3,163.00 ",$429.25 ,$750.00 ,"$1,714.35 ",$171.70 ,$885.64 ,$784.17 ,$171.70 ,$942.21 ,$171.70 ,"$1,208.27 ",$218.96 ,$171.70 ,"$1,208.27 ",$326.24 ,$366.16 ,"$1,613.13 ",$429.26 ,$171.70 ,"$2,214.10 ",$171.70 ,"$1,581.50 ",$175.14 ,"$2,372.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$148.70 ,$148.70 ,$148.70 ,"$3,163.00 ","$2,688.55 ",$429.26 ,"$2,530.40 ","$1,170.31 ","$2,530.40 ",$171.70 ,$171.70 ,"$3,163.00 ","$1,714.35 ",$171.70 ,$831.87 , N/A , N/A ,$299.56 ,$285.95 ,$180.29 ,"$2,688.55 ",$386.33 ,"$2,081.25 ",$885.64 ,"$2,846.70 ","$2,277.36 ","$3,163.00 ",$148.70 ,"$1,992.69 ","$1,992.69 ",$171.70 ,"$1,518.24 ","$2,846.70 " ST. JOHN'S HOSPITAL,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$3,883.00 ","$2,523.95 ",$171.70 ,"$3,883.00 ",$429.25 ,$750.00 ,"$2,104.59 ",$171.70 ,"$1,087.24 ",$943.14 ,$171.70 ,"$1,133.24 ",$171.70 ,"$1,483.31 ",$262.12 ,$171.70 ,"$1,483.31 ",$326.24 ,$440.71 ,"$1,980.33 ",$429.26 ,$171.70 ,"$2,718.10 ",$171.70 ,"$1,941.50 ",$175.14 ,"$2,912.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$178.01 ,$178.01 ,$178.01 ,"$3,883.00 ","$3,300.55 ",$429.26 ,"$3,106.40 ","$1,436.71 ","$3,106.40 ",$171.70 ,$171.70 ,"$3,883.00 ","$2,104.59 ",$171.70 ,"$1,021.23 ", N/A , N/A ,$299.56 ,$285.95 ,$180.29 ,"$3,300.55 ",$386.33 ,"$2,555.01 ","$1,087.24 ","$3,494.70 ","$2,795.76 ","$3,883.00 ",$178.01 ,"$2,446.29 ","$2,446.29 ",$171.70 ,"$1,863.84 ","$3,494.70 " ST. JOHN'S HOSPITAL,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$3,336.00 ","$2,168.40 ",$104.65 ,"$3,336.00 ",$261.63 ,$750.00 ,"$1,808.11 ",$104.65 ,$934.08 ,"$1,150.92 ",$104.65 ,"$1,281.02 ",$104.65 ,"$1,274.35 ",$346.24 ,$104.65 ,"$1,274.35 ",$198.84 ,$377.99 ,"$1,701.36 ",$261.63 ,$104.65 ,"$2,335.20 ",$104.65 ,"$1,668.00 ",$106.75 ,"$2,502.00 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.66 ,$155.66 ,$155.66 ,"$3,336.00 ","$2,835.60 ",$261.63 ,"$2,668.80 ","$1,234.32 ","$2,668.80 ",$104.65 ,$104.65 ,"$3,336.00 ","$1,808.11 ",$104.65 ,$877.37 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,835.60 ",$235.47 ,"$2,195.09 ",$934.08 ,"$3,002.40 ","$2,401.92 ","$3,336.00 ",$155.66 ,"$2,101.68 ","$2,101.68 ",$104.65 ,"$1,601.28 ","$3,002.40 " ST. JOHN'S HOSPITAL,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$3,547.00 ","$2,305.55 ",$138.95 ,"$3,547.00 ",$429.25 ,$750.00 ,"$1,922.47 ",$171.70 ,$993.16 ,"$1,223.72 ",$171.70 ,"$1,362.05 ",$171.70 ,"$1,354.95 ",$423.78 ,$171.70 ,"$1,354.95 ",$326.24 ,$492.83 ,"$1,808.97 ",$429.26 ,$171.70 ,"$2,482.90 ",$171.70 ,"$1,773.50 ",$175.14 ,"$2,660.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,547.00 ","$3,014.95 ",$429.26 ,"$2,837.60 ","$1,312.39 ","$2,837.60 ",$171.70 ,$171.70 ,"$3,547.00 ","$1,922.47 ",$171.70 ,$932.86 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,014.95 ",$386.33 ,"$2,333.93 ",$993.16 ,"$3,192.30 ","$2,553.84 ","$3,547.00 ",$278.37 ,"$2,234.61 ","$2,234.61 ",$171.70 ,"$1,702.56 ","$3,192.30 " ST. JOHN'S HOSPITAL,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$3,787.00 ","$2,461.55 ",$138.95 ,"$3,787.00 ",$429.25 ,$750.00 ,"$2,052.55 ",$171.70 ,"$1,060.36 ","$1,306.52 ",$171.70 ,"$1,454.21 ",$171.70 ,"$1,446.63 ",$467.90 ,$171.70 ,"$1,446.63 ",$326.24 ,$591.41 ,"$1,931.37 ",$429.26 ,$171.70 ,"$2,650.90 ",$171.70 ,"$1,893.50 ",$175.14 ,"$2,840.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$3,787.00 ","$3,218.95 ",$429.26 ,"$3,029.60 ","$1,401.19 ","$3,029.60 ",$171.70 ,$171.70 ,"$3,787.00 ","$2,052.55 ",$171.70 ,$995.98 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,218.95 ",$386.33 ,"$2,491.85 ","$1,060.36 ","$3,408.30 ","$2,726.64 ","$3,787.00 ",$278.52 ,"$2,385.81 ","$2,385.81 ",$171.70 ,"$1,817.76 ","$3,408.30 " ST. JOHN'S HOSPITAL,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$2,971.00 ","$1,931.15 ",$104.65 ,"$2,971.00 ",$261.63 ,$750.00 ,"$1,610.28 ",$104.65 ,$831.88 ,$900.73 ,$104.65 ,"$1,082.27 ",$104.65 ,"$1,134.92 ",$197.74 ,$104.65 ,"$1,134.92 ",$198.84 ,$335.36 ,"$1,515.21 ",$261.63 ,$104.65 ,"$2,079.70 ",$104.65 ,"$1,485.50 ",$106.75 ,"$2,228.25 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$134.30 ,$134.30 ,$134.30 ,"$2,971.00 ","$2,525.35 ",$261.63 ,"$2,376.80 ","$1,099.27 ","$2,376.80 ",$104.65 ,$104.65 ,"$2,971.00 ","$1,610.28 ",$104.65 ,$781.37 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,525.35 ",$235.47 ,"$1,954.92 ",$831.88 ,"$2,673.90 ","$2,139.12 ","$2,971.00 ",$134.30 ,"$1,871.73 ","$1,871.73 ",$104.65 ,"$1,426.08 ","$2,673.90 " ST. JOHN'S HOSPITAL,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$3,676.00 ","$2,389.40 ",$138.95 ,"$3,676.00 ",$429.25 ,$750.00 ,"$1,992.39 ",$171.70 ,"$1,029.28 ",$820.65 ,$171.70 ,$986.05 ,$171.70 ,"$1,404.23 ",$227.73 ,$171.70 ,"$1,404.23 ",$326.24 ,$382.71 ,"$1,874.76 ",$429.26 ,$171.70 ,"$2,573.20 ",$171.70 ,"$1,838.00 ",$175.14 ,"$2,757.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$154.67 ,$154.67 ,$154.67 ,"$3,676.00 ","$3,124.60 ",$429.26 ,"$2,940.80 ","$1,360.12 ","$2,940.80 ",$171.70 ,$171.70 ,"$3,676.00 ","$1,992.39 ",$171.70 ,$966.79 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,124.60 ",$386.33 ,"$2,418.81 ","$1,029.28 ","$3,308.40 ","$2,646.72 ","$3,676.00 ",$154.67 ,"$2,315.88 ","$2,315.88 ",$171.70 ,"$1,764.48 ","$3,308.40 " ST. JOHN'S HOSPITAL,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$4,204.00 ","$2,732.60 ",$138.95 ,"$4,204.00 ",$429.25 ,$750.00 ,"$2,278.57 ",$171.70 ,"$1,177.12 ","$1,036.95 ",$171.70 ,"$1,245.95 ",$171.70 ,"$1,605.93 ",$287.72 ,$171.70 ,"$1,605.93 ",$326.24 ,$486.87 ,"$2,144.04 ",$429.26 ,$171.70 ,"$2,942.80 ",$171.70 ,"$2,102.00 ",$175.14 ,"$3,153.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$195.41 ,$195.41 ,$195.41 ,"$4,204.00 ","$3,573.40 ",$429.26 ,"$3,363.20 ","$1,555.48 ","$3,363.20 ",$171.70 ,$171.70 ,"$4,204.00 ","$2,278.57 ",$171.70 ,"$1,105.65 ", N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,573.40 ",$386.33 ,"$2,766.23 ","$1,177.12 ","$3,783.60 ","$3,026.88 ","$4,204.00 ",$195.41 ,"$2,648.52 ","$2,648.52 ",$171.70 ,"$2,017.92 ","$3,783.60 " ST. JOHN'S HOSPITAL,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$3,098.00 ","$2,013.70 ",$104.65 ,"$3,098.00 ",$261.63 ,$750.00 ,"$1,679.12 ",$104.65 ,$867.44 ,$765.90 ,$104.65 ,$920.27 ,$104.65 ,"$1,183.44 ",$205.79 ,$104.65 ,"$1,183.44 ",$198.84 ,$347.19 ,"$1,579.98 ",$261.63 ,$104.65 ,"$2,168.60 ",$104.65 ,"$1,549.00 ",$106.75 ,"$2,323.50 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$139.76 ,$139.76 ,$139.76 ,"$3,098.00 ","$2,633.30 ",$261.63 ,"$2,478.40 ","$1,146.26 ","$2,478.40 ",$104.65 ,$104.65 ,"$3,098.00 ","$1,679.12 ",$104.65 ,$814.77 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,633.30 ",$235.47 ,"$2,038.48 ",$867.44 ,"$2,788.20 ","$2,230.56 ","$3,098.00 ",$139.76 ,"$1,951.74 ","$1,951.74 ",$104.65 ,"$1,487.04 ","$2,788.20 " ST. JOHN'S HOSPITAL,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$3,509.00 ","$2,280.85 ",$138.95 ,"$3,509.00 ",$429.25 ,$750.00 ,"$1,901.88 ",$171.70 ,$982.52 ,"$1,210.61 ",$171.70 ,"$1,347.46 ",$171.70 ,"$1,340.44 ",$273.82 ,$171.70 ,"$1,340.44 ",$326.24 ,$464.40 ,"$1,789.59 ",$429.26 ,$171.70 ,"$2,456.30 ",$171.70 ,"$1,754.50 ",$175.14 ,"$2,631.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$185.96 ,$185.96 ,$185.96 ,"$3,509.00 ","$2,982.65 ",$429.26 ,"$2,807.20 ","$1,298.33 ","$2,807.20 ",$171.70 ,$171.70 ,"$3,509.00 ","$1,901.88 ",$171.70 ,$922.87 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$2,982.65 ",$386.33 ,"$2,308.92 ",$982.52 ,"$3,158.10 ","$2,526.48 ","$3,509.00 ",$185.96 ,"$2,210.67 ","$2,210.67 ",$171.70 ,"$1,684.32 ","$3,158.10 " ST. JOHN'S HOSPITAL,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$3,980.00 ","$2,587.00 ",$138.95 ,"$3,980.00 ",$429.25 ,$750.00 ,"$2,157.16 ",$171.70 ,"$1,114.40 ","$1,206.41 ",$171.70 ,"$1,449.56 ",$171.70 ,"$1,520.36 ",$335.27 ,$171.70 ,"$1,520.36 ",$326.24 ,$568.56 ,"$2,029.80 ",$429.26 ,$171.70 ,"$2,786.00 ",$171.70 ,"$1,990.00 ",$175.14 ,"$2,985.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$227.69 ,$227.69 ,$227.69 ,"$3,980.00 ","$3,383.00 ",$429.26 ,"$3,184.00 ","$1,472.60 ","$3,184.00 ",$171.70 ,$171.70 ,"$3,980.00 ","$2,157.16 ",$171.70 ,"$1,046.74 ", N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,383.00 ",$386.33 ,"$2,618.84 ","$1,114.40 ","$3,582.00 ","$2,865.60 ","$3,980.00 ",$227.69 ,"$2,507.40 ","$2,507.40 ",$171.70 ,"$1,910.40 ","$3,582.00 " ST. JOHN'S HOSPITAL,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$4,161.00 ","$2,704.65 ",$171.70 ,"$4,161.00 ",$429.25 ,$750.00 ,"$2,255.26 ",$171.70 ,"$1,165.08 ","$1,435.55 ",$171.70 ,"$1,597.82 ",$171.70 ,"$1,589.50 ",$426.21 ,$171.70 ,"$1,589.50 ",$326.24 ,$734.66 ,"$2,122.11 ",$429.26 ,$171.70 ,"$2,912.70 ",$171.70 ,"$2,080.50 ",$175.14 ,"$3,120.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,161.00 ","$3,536.85 ",$429.26 ,"$3,328.80 ","$1,539.57 ","$3,328.80 ",$171.70 ,$171.70 ,"$4,161.00 ","$2,255.26 ",$171.70 ,"$1,094.34 ", N/A , N/A ,$383.68 ,$366.24 ,$180.29 ,"$3,536.85 ",$386.33 ,"$2,737.94 ","$1,165.08 ","$3,744.90 ","$2,995.92 ","$4,161.00 ",$278.52 ,"$2,621.43 ","$2,621.43 ",$171.70 ,"$1,997.28 ","$3,744.90 " ST. JOHN'S HOSPITAL,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$4,175.00 ","$2,713.75 ",$138.95 ,"$4,175.00 ",$429.25 ,$750.00 ,"$2,262.85 ",$171.70 ,"$1,169.00 ","$1,440.38 ",$171.70 ,"$1,603.20 ",$171.70 ,"$1,594.85 ",$424.74 ,$171.70 ,"$1,594.85 ",$326.24 ,$733.47 ,"$2,129.25 ",$429.26 ,$171.70 ,"$2,922.50 ",$171.70 ,"$2,087.50 ",$175.14 ,"$3,131.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,175.00 ","$3,548.75 ",$429.26 ,"$3,340.00 ","$1,544.75 ","$3,340.00 ",$171.70 ,$171.70 ,"$4,175.00 ","$2,262.85 ",$171.70 ,"$1,098.03 ", N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,548.75 ",$386.33 ,"$2,747.15 ","$1,169.00 ","$3,757.50 ","$3,006.00 ","$4,175.00 ",$278.52 ,"$2,630.25 ","$2,630.25 ",$171.70 ,"$2,004.00 ","$3,757.50 " ST. JOHN'S HOSPITAL,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$4,094.00 ","$2,661.10 ",$221.18 ,"$4,094.00 ",$552.95 ,"$1,100.00 ","$2,218.95 ",$221.18 ,"$1,146.32 ","$1,412.43 ",$221.18 ,"$1,572.10 ",$221.18 ,"$1,563.91 ",$406.96 ,$221.18 ,"$1,563.91 ",$420.25 ,$658.89 ,"$2,087.94 ",$552.96 ,$221.18 ,"$2,865.80 ",$221.18 ,"$2,047.00 ",$225.61 ,"$3,070.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$276.38 ,$276.38 ,$276.38 ,"$4,094.00 ","$3,479.90 ",$552.96 ,"$3,275.20 ","$1,514.78 ","$3,275.20 ",$221.18 ,$221.18 ,"$4,094.00 ","$2,218.95 ",$221.18 ,"$1,076.72 ", N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$3,479.90 ",$497.66 ,"$2,693.85 ","$1,146.32 ","$3,684.60 ","$2,947.68 ","$4,094.00 ",$276.38 ,"$2,579.22 ","$2,579.22 ",$221.18 ,"$1,965.12 ","$3,684.60 " ST. JOHN'S HOSPITAL,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$3,623.00 ","$2,354.95 ",$104.65 ,"$3,623.00 ",$261.63 ,$750.00 ,"$1,963.67 ",$104.65 ,"$1,014.44 ",$966.62 ,$104.65 ,"$1,161.45 ",$104.65 ,"$1,383.99 ",$267.97 ,$104.65 ,"$1,383.99 ",$198.84 ,$318.80 ,"$1,847.73 ",$261.63 ,$104.65 ,"$2,536.10 ",$104.65 ,"$1,811.50 ",$106.75 ,"$2,717.25 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$3,623.00 ","$3,079.55 ",$261.63 ,"$2,898.40 ","$1,340.51 ","$2,898.40 ",$104.65 ,$104.65 ,"$3,623.00 ","$1,963.67 ",$104.65 ,$952.85 , N/A , N/A ,$165.23 ,$157.72 ,$109.88 ,"$3,079.55 ",$235.47 ,"$2,383.93 ","$1,014.44 ","$3,260.70 ","$2,608.56 ","$3,623.00 ",$155.16 ,"$2,282.49 ","$2,282.49 ",$104.65 ,"$1,739.04 ","$3,260.70 " ST. JOHN'S HOSPITAL,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$3,737.00 ","$2,429.05 ",$157.72 ,"$3,737.00 ",$884.95 ,$750.00 ,"$2,025.45 ",$353.98 ,"$1,046.36 ","$1,229.83 ",$353.98 ,"$1,435.01 ",$353.98 ,"$1,427.53 ",$341.12 ,$353.98 ,"$1,427.53 ",$672.55 ,$430.07 ,"$1,905.87 ",$884.94 ,$353.98 ,"$2,615.90 ",$353.98 ,"$1,868.50 ",$361.06 ,"$2,802.75 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$231.66 ,$231.66 ,$231.66 ,"$3,737.00 ","$3,176.45 ",$884.94 ,"$2,989.60 ","$1,382.69 ","$2,989.60 ",$353.98 ,$353.98 ,"$3,737.00 ","$2,025.45 ",$353.98 ,$982.83 , N/A , N/A ,$165.23 ,$157.72 ,$371.68 ,"$3,176.45 ",$796.45 ,"$2,458.95 ","$1,046.36 ","$3,363.30 ","$2,690.64 ","$3,737.00 ",$231.66 ,"$2,354.31 ","$2,354.31 ",$353.98 ,"$1,793.76 ","$3,363.30 " ST. JOHN'S HOSPITAL,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$3,977.00 ","$2,585.05 ",$157.72 ,"$3,977.00 ",$429.25 ,$750.00 ,"$2,155.53 ",$171.70 ,"$1,113.56 ","$1,372.07 ",$171.70 ,"$1,527.17 ",$171.70 ,"$1,519.21 ",$423.05 ,$171.70 ,"$1,519.21 ",$326.24 ,$533.08 ,"$2,028.27 ",$429.26 ,$171.70 ,"$2,783.90 ",$171.70 ,"$1,988.50 ",$175.14 ,"$2,982.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,977.00 ","$3,380.45 ",$429.26 ,"$3,181.60 ","$1,471.49 ","$3,181.60 ",$171.70 ,$171.70 ,"$3,977.00 ","$2,155.53 ",$171.70 ,"$1,045.95 ", N/A , N/A ,$165.23 ,$157.72 ,$180.29 ,"$3,380.45 ",$386.33 ,"$2,616.87 ","$1,113.56 ","$3,579.30 ","$2,863.44 ","$3,977.00 ",$278.37 ,"$2,505.51 ","$2,505.51 ",$171.70 ,"$1,908.96 ","$3,579.30 " ST. JOHN'S HOSPITAL,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$2,943.00 ","$1,912.95 ",$104.65 ,"$2,943.00 ",$261.63 ,$750.00 ,"$1,595.11 ",$104.65 ,$824.04 ,$961.41 ,$104.65 ,"$1,130.11 ",$104.65 ,"$1,124.23 ",$267.24 ,$104.65 ,"$1,124.23 ",$198.84 ,$317.61 ,"$1,500.93 ",$261.63 ,$104.65 ,"$2,060.10 ",$104.65 ,"$1,471.50 ",$106.75 ,"$2,207.25 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$2,943.00 ","$2,501.55 ",$261.63 ,"$2,354.40 ","$1,088.91 ","$2,354.40 ",$104.65 ,$104.65 ,"$2,943.00 ","$1,595.11 ",$104.65 ,$774.01 , N/A , N/A ,$165.23 ,$157.72 ,$109.88 ,"$2,501.55 ",$235.47 ,"$1,936.49 ",$824.04 ,"$2,648.70 ","$2,118.96 ","$2,943.00 ",$155.16 ,"$1,854.09 ","$1,854.09 ",$104.65 ,"$1,412.64 ","$2,648.70 " ST. JOHN'S HOSPITAL,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$3,201.00 ","$2,080.65 ",$157.72 ,"$3,201.00 ",$429.25 ,$750.00 ,"$1,734.94 ",$171.70 ,$896.28 ,"$1,104.35 ",$171.70 ,"$1,229.18 ",$171.70 ,"$1,222.78 ",$344.05 ,$171.70 ,"$1,222.78 ",$326.24 ,$433.60 ,"$1,632.51 ",$429.26 ,$171.70 ,"$2,240.70 ",$171.70 ,"$1,600.50 ",$175.14 ,"$2,400.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$233.66 ,$233.66 ,$233.66 ,"$3,201.00 ","$2,720.85 ",$429.26 ,"$2,560.80 ","$1,184.37 ","$2,560.80 ",$171.70 ,$171.70 ,"$3,201.00 ","$1,734.94 ",$171.70 ,$841.86 , N/A , N/A ,$165.23 ,$157.72 ,$180.29 ,"$2,720.85 ",$386.33 ,"$2,106.26 ",$896.28 ,"$2,880.90 ","$2,304.72 ","$3,201.00 ",$233.66 ,"$2,016.63 ","$2,016.63 ",$171.70 ,"$1,536.48 ","$2,880.90 " ST. JOHN'S HOSPITAL,35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,"$3,415.00 ","$2,219.75 ",$157.72 ,"$3,415.00 ",$429.25 ,$750.00 ,"$1,850.93 ",$171.70 ,$956.20 ,"$1,178.18 ",$171.70 ,"$1,311.36 ",$171.70 ,"$1,304.53 ",$423.78 ,$171.70 ,"$1,304.53 ",$326.24 ,$536.61 ,"$1,741.65 ",$429.26 ,$171.70 ,"$2,390.50 ",$171.70 ,"$1,707.50 ",$175.14 ,"$2,561.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,415.00 ","$2,902.75 ",$429.26 ,"$2,732.00 ","$1,263.55 ","$2,732.00 ",$171.70 ,$171.70 ,"$3,415.00 ","$1,850.93 ",$171.70 ,$898.15 , N/A , N/A ,$165.23 ,$157.72 ,$180.29 ,"$2,902.75 ",$386.33 ,"$2,247.07 ",$956.20 ,"$3,073.50 ","$2,458.80 ","$3,415.00 ",$278.37 ,"$2,151.45 ","$2,151.45 ",$171.70 ,"$1,639.20 ","$3,073.50 " ST. JOHN'S HOSPITAL,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$3,000.00 ","$1,950.00 ",$104.65 ,"$3,000.00 ",$261.63 ,$750.00 ,"$1,626.00 ",$104.65 ,$840.00 ,$956.20 ,$104.65 ,"$1,148.92 ",$104.65 ,"$1,146.00 ",$265.77 ,$104.65 ,"$1,146.00 ",$198.84 ,$316.42 ,"$1,530.00 ",$261.63 ,$104.65 ,"$2,100.00 ",$104.65 ,"$1,500.00 ",$106.75 ,"$2,250.00 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$3,000.00 ","$2,550.00 ",$261.63 ,"$2,400.00 ","$1,110.00 ","$2,400.00 ",$104.65 ,$104.65 ,"$3,000.00 ","$1,626.00 ",$104.65 ,$789.00 , N/A , N/A ,$165.23 ,$157.72 ,$109.88 ,"$2,550.00 ",$235.47 ,"$1,974.00 ",$840.00 ,"$2,700.00 ","$2,160.00 ","$3,000.00 ",$155.16 ,"$1,890.00 ","$1,890.00 ",$104.65 ,"$1,440.00 ","$2,700.00 " ST. JOHN'S HOSPITAL,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$3,344.00 ","$2,173.60 ",$157.72 ,"$3,344.00 ",$884.95 ,$750.00 ,"$1,812.45 ",$353.98 ,$936.32 ,"$1,153.68 ",$353.98 ,"$1,284.10 ",$353.98 ,"$1,277.41 ",$341.85 ,$353.98 ,"$1,277.41 ",$672.55 ,$430.07 ,"$1,705.44 ",$884.94 ,$353.98 ,"$2,340.80 ",$353.98 ,"$1,672.00 ",$361.06 ,"$2,508.00 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$232.16 ,$232.16 ,$232.16 ,"$3,344.00 ","$2,842.40 ",$884.94 ,"$2,675.20 ","$1,237.28 ","$2,675.20 ",$353.98 ,$353.98 ,"$3,344.00 ","$1,812.45 ",$353.98 ,$879.47 , N/A , N/A ,$165.23 ,$157.72 ,$371.68 ,"$2,842.40 ",$796.45 ,"$2,200.35 ",$936.32 ,"$3,009.60 ","$2,407.68 ","$3,344.00 ",$232.16 ,"$2,106.72 ","$2,106.72 ",$353.98 ,"$1,605.12 ","$3,009.60 " ST. JOHN'S HOSPITAL,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$3,635.00 ","$2,362.75 ",$157.72 ,"$3,635.00 ",$429.25 ,$750.00 ,"$1,970.17 ",$171.70 ,"$1,017.80 ","$1,254.08 ",$171.70 ,"$1,395.84 ",$171.70 ,"$1,388.57 ",$420.86 ,$171.70 ,"$1,388.57 ",$326.24 ,$533.08 ,"$1,853.85 ",$429.26 ,$171.70 ,"$2,544.50 ",$171.70 ,"$1,817.50 ",$175.14 ,"$2,726.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,635.00 ","$3,089.75 ",$429.26 ,"$2,908.00 ","$1,344.95 ","$2,908.00 ",$171.70 ,$171.70 ,"$3,635.00 ","$1,970.17 ",$171.70 ,$956.01 , N/A , N/A ,$165.23 ,$157.72 ,$180.29 ,"$3,089.75 ",$386.33 ,"$2,391.83 ","$1,017.80 ","$3,271.50 ","$2,617.20 ","$3,635.00 ",$278.37 ,"$2,290.05 ","$2,290.05 ",$171.70 ,"$1,744.80 ","$3,271.50 " ST. JOHN'S HOSPITAL,35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$4,104.00 ","$2,667.60 ",$171.70 ,"$4,104.00 ",$429.25 ,$750.00 ,"$2,224.37 ",$171.70 ,"$1,149.12 ","$1,415.88 ",$171.70 ,"$1,575.94 ",$171.70 ,"$1,567.73 ",$460.59 ,$171.70 ,"$1,567.73 ",$326.24 ,$838.82 ,"$2,093.04 ",$429.26 ,$171.70 ,"$2,872.80 ",$171.70 ,"$2,052.00 ",$175.14 ,"$3,078.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,104.00 ","$3,488.40 ",$429.26 ,"$3,283.20 ","$1,518.48 ","$3,283.20 ",$171.70 ,$171.70 ,"$4,104.00 ","$2,224.37 ",$171.70 ,"$1,079.35 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$3,488.40 ",$386.33 ,"$2,700.43 ","$1,149.12 ","$3,693.60 ","$2,954.88 ","$4,104.00 ",$278.52 ,"$2,585.52 ","$2,585.52 ",$171.70 ,"$1,969.92 ","$3,693.60 " ST. JOHN'S HOSPITAL,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$3,099.00 ","$2,014.35 ",$104.65 ,"$3,099.00 ",$261.63 ,$750.00 ,"$1,679.66 ",$104.65 ,$867.72 ,$854.50 ,$104.65 ,"$1,026.72 ",$104.65 ,"$1,183.82 ",$186.77 ,$104.65 ,"$1,183.82 ",$198.84 ,$315.23 ,"$1,580.49 ",$261.63 ,$104.65 ,"$2,169.30 ",$104.65 ,"$1,549.50 ",$106.75 ,"$2,324.25 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$126.84 ,$126.84 ,$126.84 ,"$3,099.00 ","$2,634.15 ",$261.63 ,"$2,479.20 ","$1,146.63 ","$2,479.20 ",$104.65 ,$104.65 ,"$3,099.00 ","$1,679.66 ",$104.65 ,$815.04 , N/A , N/A ,$329.30 ,$314.33 ,$109.88 ,"$2,634.15 ",$235.47 ,"$2,039.14 ",$867.72 ,"$2,789.10 ","$2,231.28 ","$3,099.00 ",$126.84 ,"$1,952.37 ","$1,952.37 ",$104.65 ,"$1,487.52 ","$2,789.10 " ST. JOHN'S HOSPITAL,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$3,460.00 ","$2,249.00 ",$171.70 ,"$3,460.00 ",$429.25 ,$750.00 ,"$1,875.32 ",$171.70 ,$968.80 ,"$1,193.70 ",$171.70 ,"$1,328.64 ",$171.70 ,"$1,321.72 ",$360.87 ,$171.70 ,"$1,321.72 ",$326.24 ,$668.00 ,"$1,764.60 ",$429.26 ,$171.70 ,"$2,422.00 ",$171.70 ,"$1,730.00 ",$175.14 ,"$2,595.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$245.09 ,$245.09 ,$245.09 ,"$3,460.00 ","$2,941.00 ",$429.26 ,"$2,768.00 ","$1,280.20 ","$2,768.00 ",$171.70 ,$171.70 ,"$3,460.00 ","$1,875.32 ",$171.70 ,$909.98 , N/A , N/A ,$329.30 ,$314.33 ,$180.29 ,"$2,941.00 ",$386.33 ,"$2,276.68 ",$968.80 ,"$3,114.00 ","$2,491.20 ","$3,460.00 ",$245.09 ,"$2,179.80 ","$2,179.80 ",$171.70 ,"$1,660.80 ","$3,114.00 " ST. JOHN'S HOSPITAL,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$3,976.00 ","$2,584.40 ",$171.70 ,"$3,976.00 ",$429.25 ,$750.00 ,"$2,154.99 ",$171.70 ,"$1,113.28 ","$1,371.72 ",$171.70 ,"$1,526.78 ",$171.70 ,"$1,518.83 ",$420.86 ,$171.70 ,"$1,518.83 ",$326.24 ,$757.13 ,"$2,027.76 ",$429.26 ,$171.70 ,"$2,783.20 ",$171.70 ,"$1,988.00 ",$175.14 ,"$2,982.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,976.00 ","$3,379.60 ",$429.26 ,"$3,180.80 ","$1,471.12 ","$3,180.80 ",$171.70 ,$171.70 ,"$3,976.00 ","$2,154.99 ",$171.70 ,"$1,045.69 ", N/A , N/A ,$329.30 ,$314.33 ,$180.29 ,"$3,379.60 ",$386.33 ,"$2,616.21 ","$1,113.28 ","$3,578.40 ","$2,862.72 ","$3,976.00 ",$278.37 ,"$2,504.88 ","$2,504.88 ",$171.70 ,"$1,908.48 ","$3,578.40 " ST. JOHN'S HOSPITAL,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$5,094.00 ","$3,311.10 ",$155.16 ,"$5,094.00 ",$538.95 ,$750.00 ,"$2,760.95 ",$215.58 ,"$1,426.32 ",$953.57 ,$215.58 ,"$1,145.76 ",$215.58 ,"$1,945.91 ",$265.04 ,$215.58 ,"$1,945.91 ",$409.61 ,$449.00 ,"$2,597.94 ",$538.95 ,$215.58 ,"$3,565.80 ",$215.58 ,"$2,547.00 ",$219.89 ,"$3,820.50 ",$681.00 ,$612.00 ,$681.00 ,$215.58 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$5,094.00 ","$4,329.90 ",$538.95 ,"$4,075.20 ","$1,884.78 ","$4,075.20 ",$215.58 ,$215.58 ,"$5,094.00 ","$2,760.95 ",$215.58 ,"$1,339.72 ", N/A , N/A ,$218.35 ,$208.43 ,$226.36 ,"$4,329.90 ",$485.06 ,"$3,351.85 ","$1,426.32 ","$4,584.60 ","$3,667.68 ","$5,094.00 ",$155.16 ,"$3,209.22 ","$3,209.22 ",$215.58 ,"$2,445.12 ","$4,584.60 " ST. JOHN'S HOSPITAL,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$3,396.00 ","$2,207.40 ",$104.65 ,"$3,396.00 ",$261.63 ,$750.00 ,"$1,840.63 ",$104.65 ,$950.88 ,$953.57 ,$104.65 ,"$1,145.76 ",$104.65 ,"$1,297.27 ",$265.04 ,$104.65 ,"$1,297.27 ",$198.84 ,$449.00 ,"$1,731.96 ",$261.63 ,$104.65 ,"$2,377.20 ",$104.65 ,"$1,698.00 ",$106.75 ,"$2,547.00 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$3,396.00 ","$2,886.60 ",$261.63 ,"$2,716.80 ","$1,256.52 ","$2,716.80 ",$104.65 ,$104.65 ,"$3,396.00 ","$1,840.63 ",$104.65 ,$893.15 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,886.60 ",$235.47 ,"$2,234.57 ",$950.88 ,"$3,056.40 ","$2,445.12 ","$3,396.00 ",$155.16 ,"$2,139.48 ","$2,139.48 ",$104.65 ,"$1,630.08 ","$3,056.40 " ST. JOHN'S HOSPITAL,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$5,328.00 ","$3,463.20 ",$208.43 ,"$5,328.00 ","$1,046.05 ",$750.00 ,"$2,887.78 ",$418.42 ,"$1,491.84 ","$1,211.62 ",$418.42 ,"$1,455.82 ",$418.42 ,"$2,035.30 ",$338.19 ,$418.42 ,"$2,035.30 ",$795.00 ,$573.33 ,"$2,717.28 ","$1,046.05 ",$418.42 ,"$3,729.60 ",$418.42 ,"$2,664.00 ",$426.79 ,"$3,996.00 ",$681.00 ,$612.00 ,$681.00 ,$418.42 ,$681.00 ,$229.68 ,$229.68 ,$229.68 ,"$5,328.00 ","$4,528.80 ","$1,046.05 ","$4,262.40 ","$1,971.36 ","$4,262.40 ",$418.42 ,$418.42 ,"$5,328.00 ","$2,887.78 ",$418.42 ,"$1,401.26 ", N/A , N/A ,$218.35 ,$208.43 ,$439.34 ,"$4,528.80 ",$941.44 ,"$3,505.82 ","$1,491.84 ","$4,795.20 ","$3,836.16 ","$5,328.00 ",$229.68 ,"$3,356.64 ","$3,356.64 ",$418.42 ,"$2,557.44 ","$4,795.20 " ST. JOHN'S HOSPITAL,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$3,552.00 ","$2,308.80 ",$138.95 ,"$3,552.00 ",$884.95 ,$750.00 ,"$1,925.18 ",$353.98 ,$994.56 ,"$1,211.62 ",$353.98 ,"$1,363.97 ",$353.98 ,"$1,356.86 ",$338.19 ,$353.98 ,"$1,356.86 ",$672.55 ,$573.33 ,"$1,811.52 ",$884.94 ,$353.98 ,"$2,486.40 ",$353.98 ,"$1,776.00 ",$361.06 ,"$2,664.00 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$229.68 ,$229.68 ,$229.68 ,"$3,552.00 ","$3,019.20 ",$884.94 ,"$2,841.60 ","$1,314.24 ","$2,841.60 ",$353.98 ,$353.98 ,"$3,552.00 ","$1,925.18 ",$353.98 ,$934.18 , N/A , N/A ,$145.56 ,$138.95 ,$371.68 ,"$3,019.20 ",$796.45 ,"$2,337.22 ",$994.56 ,"$3,196.80 ","$2,557.44 ","$3,552.00 ",$229.68 ,"$2,237.76 ","$2,237.76 ",$353.98 ,"$1,704.96 ","$3,196.80 " ST. JOHN'S HOSPITAL,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$3,597.00 ","$2,338.05 ",$138.95 ,"$3,597.00 ",$429.25 ,$750.00 ,"$1,949.57 ",$171.70 ,"$1,007.16 ","$1,240.97 ",$171.70 ,"$1,381.25 ",$171.70 ,"$1,374.05 ",$445.00 ,$171.70 ,"$1,374.05 ",$326.24 ,$755.98 ,"$1,834.47 ",$429.26 ,$171.70 ,"$2,517.90 ",$171.70 ,"$1,798.50 ",$175.14 ,"$2,697.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,597.00 ","$3,057.45 ",$429.26 ,"$2,877.60 ","$1,330.89 ","$2,877.60 ",$171.70 ,$171.70 ,"$3,597.00 ","$1,949.57 ",$171.70 ,$946.01 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,057.45 ",$386.33 ,"$2,366.83 ","$1,007.16 ","$3,237.30 ","$2,589.84 ","$3,597.00 ",$278.37 ,"$2,266.11 ","$2,266.11 ",$171.70 ,"$1,726.56 ","$3,237.30 " ST. JOHN'S HOSPITAL,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$5,118.00 ","$3,326.70 ",$171.70 ,"$5,118.00 ",$429.25 ,$750.00 ,"$2,773.96 ",$171.70 ,"$1,433.04 ","$1,758.58 ",$171.70 ,"$1,965.31 ",$171.70 ,"$1,955.08 ",$489.85 ,$171.70 ,"$1,955.08 ",$326.24 ,$832.42 ,"$2,610.18 ",$429.26 ,$171.70 ,"$3,582.60 ",$171.70 ,"$2,559.00 ",$175.14 ,"$3,838.50 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$5,118.00 ","$4,350.30 ",$429.26 ,"$4,094.40 ","$1,893.66 ","$4,094.40 ",$171.70 ,$171.70 ,"$5,118.00 ","$2,773.96 ",$171.70 ,"$1,346.03 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$4,350.30 ",$386.33 ,"$3,367.64 ","$1,433.04 ","$4,606.20 ","$3,684.96 ","$5,118.00 ",$278.52 ,"$3,224.34 ","$3,224.34 ",$171.70 ,"$2,456.64 ","$4,606.20 " ST. JOHN'S HOSPITAL,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$4,414.00 ","$2,869.10 ",$155.16 ,"$4,414.00 ",$538.95 ,$750.00 ,"$2,392.39 ",$215.58 ,"$1,235.92 ",$962.80 ,$215.58 ,"$1,156.86 ",$215.58 ,"$1,686.15 ",$265.77 ,$215.58 ,"$1,686.15 ",$409.61 ,$316.42 ,"$2,251.14 ",$538.95 ,$215.58 ,"$3,089.80 ",$215.58 ,"$2,207.00 ",$219.89 ,"$3,310.50 ",$681.00 ,$612.00 ,$681.00 ,$215.58 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$4,414.00 ","$3,751.90 ",$538.95 ,"$3,531.20 ","$1,633.18 ","$3,531.20 ",$215.58 ,$215.58 ,"$4,414.00 ","$2,392.39 ",$215.58 ,"$1,160.88 ", N/A , N/A ,$218.35 ,$208.43 ,$226.36 ,"$3,751.90 ",$485.06 ,"$2,904.41 ","$1,235.92 ","$3,972.60 ","$3,178.08 ","$4,414.00 ",$155.16 ,"$2,780.82 ","$2,780.82 ",$215.58 ,"$2,118.72 ","$3,972.60 " ST. JOHN'S HOSPITAL,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$2,943.00 ","$1,912.95 ",$104.65 ,"$2,943.00 ",$261.63 ,$750.00 ,"$1,595.11 ",$104.65 ,$824.04 ,$962.80 ,$104.65 ,"$1,130.11 ",$104.65 ,"$1,124.23 ",$265.77 ,$104.65 ,"$1,124.23 ",$198.84 ,$316.42 ,"$1,500.93 ",$261.63 ,$104.65 ,"$2,060.10 ",$104.65 ,"$1,471.50 ",$106.75 ,"$2,207.25 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$155.16 ,$155.16 ,$155.16 ,"$2,943.00 ","$2,501.55 ",$261.63 ,"$2,354.40 ","$1,088.91 ","$2,354.40 ",$104.65 ,$104.65 ,"$2,943.00 ","$1,595.11 ",$104.65 ,$774.01 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,"$2,501.55 ",$235.47 ,"$1,936.49 ",$824.04 ,"$2,648.70 ","$2,118.96 ","$2,943.00 ",$155.16 ,"$1,854.09 ","$1,854.09 ",$104.65 ,"$1,412.64 ","$2,648.70 " ST. JOHN'S HOSPITAL,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$4,572.00 ","$2,971.80 ",$208.43 ,"$4,572.00 ","$1,046.05 ",$750.00 ,"$2,478.02 ",$418.42 ,"$1,280.16 ","$1,243.66 ",$418.42 ,"$1,494.32 ",$418.42 ,"$1,746.50 ",$344.05 ,$418.42 ,"$1,746.50 ",$795.00 ,$432.45 ,"$2,331.72 ","$1,046.05 ",$418.42 ,"$3,200.40 ",$418.42 ,"$2,286.00 ",$426.79 ,"$3,429.00 ",$681.00 ,$612.00 ,$681.00 ,$418.42 ,$681.00 ,$233.66 ,$233.66 ,$233.66 ,"$4,572.00 ","$3,886.20 ","$1,046.05 ","$3,657.60 ","$1,691.64 ","$3,657.60 ",$418.42 ,$418.42 ,"$4,572.00 ","$2,478.02 ",$418.42 ,"$1,202.44 ", N/A , N/A ,$218.35 ,$208.43 ,$439.34 ,"$3,886.20 ",$941.44 ,"$3,008.38 ","$1,280.16 ","$4,114.80 ","$3,291.84 ","$4,572.00 ",$233.66 ,"$2,880.36 ","$2,880.36 ",$418.42 ,"$2,194.56 ","$4,114.80 " ST. JOHN'S HOSPITAL,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$3,048.00 ","$1,981.20 ",$138.95 ,"$3,048.00 ",$429.25 ,$750.00 ,"$1,652.02 ",$171.70 ,$853.44 ,"$1,051.56 ",$171.70 ,"$1,170.43 ",$171.70 ,"$1,164.34 ",$344.05 ,$171.70 ,"$1,164.34 ",$326.24 ,$432.45 ,"$1,554.48 ",$429.26 ,$171.70 ,"$2,133.60 ",$171.70 ,"$1,524.00 ",$175.14 ,"$2,286.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$233.66 ,$233.66 ,$233.66 ,"$3,048.00 ","$2,590.80 ",$429.26 ,"$2,438.40 ","$1,127.76 ","$2,438.40 ",$171.70 ,$171.70 ,"$3,048.00 ","$1,652.02 ",$171.70 ,$801.62 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$2,590.80 ",$386.33 ,"$2,005.58 ",$853.44 ,"$2,743.20 ","$2,194.56 ","$3,048.00 ",$233.66 ,"$1,920.24 ","$1,920.24 ",$171.70 ,"$1,463.04 ","$2,743.20 " ST. JOHN'S HOSPITAL,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$5,309.00 ","$3,450.85 ",$208.43 ,"$5,309.00 ","$1,046.05 ",$750.00 ,"$2,877.48 ",$418.42 ,"$1,486.52 ","$1,584.84 ",$418.42 ,"$1,904.27 ",$418.42 ,"$2,028.04 ",$436.95 ,$418.42 ,"$2,028.04 ",$795.00 ,$528.31 ,"$2,707.59 ","$1,046.05 ",$418.42 ,"$3,716.30 ",$418.42 ,"$2,654.50 ",$426.79 ,"$3,981.75 ",$681.00 ,$612.00 ,$681.00 ,$418.42 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$5,309.00 ","$4,512.65 ","$1,046.05 ","$4,247.20 ","$1,964.33 ","$4,247.20 ",$418.42 ,$418.42 ,"$5,309.00 ","$2,877.48 ",$418.42 ,"$1,396.27 ", N/A , N/A ,$218.35 ,$208.43 ,$439.34 ,"$4,512.65 ",$941.44 ,"$3,493.32 ","$1,486.52 ","$4,778.10 ","$3,822.48 ","$5,309.00 ",$278.37 ,"$3,344.67 ","$3,344.67 ",$418.42 ,"$2,548.32 ","$4,778.10 " ST. JOHN'S HOSPITAL,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$3,538.00 ","$2,299.70 ",$138.95 ,"$3,538.00 ",$429.25 ,$750.00 ,"$1,917.60 ",$171.70 ,$990.64 ,"$1,220.61 ",$171.70 ,"$1,358.59 ",$171.70 ,"$1,351.52 ",$436.95 ,$171.70 ,"$1,351.52 ",$326.24 ,$528.31 ,"$1,804.38 ",$429.26 ,$171.70 ,"$2,476.60 ",$171.70 ,"$1,769.00 ",$175.14 ,"$2,653.50 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$3,538.00 ","$3,007.30 ",$429.26 ,"$2,830.40 ","$1,309.06 ","$2,830.40 ",$171.70 ,$171.70 ,"$3,538.00 ","$1,917.60 ",$171.70 ,$930.49 , N/A , N/A ,$145.56 ,$138.95 ,$180.29 ,"$3,007.30 ",$386.33 ,"$2,328.00 ",$990.64 ,"$3,184.20 ","$2,547.36 ","$3,538.00 ",$278.37 ,"$2,228.94 ","$2,228.94 ",$171.70 ,"$1,698.24 ","$3,184.20 " ST. JOHN'S HOSPITAL,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$6,799.00 ","$4,419.35 ",$171.70 ,"$6,799.00 ",$429.25 ,$750.00 ,"$3,685.06 ",$171.70 ,"$1,903.72 ","$1,941.04 ",$171.70 ,"$2,332.25 ",$171.70 ,"$2,597.22 ",$536.90 ,$171.70 ,"$2,597.22 ",$326.24 ,$911.73 ,"$3,467.49 ",$429.26 ,$171.70 ,"$4,759.30 ",$171.70 ,"$3,399.50 ",$175.14 ,"$5,099.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.03 ,$278.03 ,$278.03 ,"$6,799.00 ","$5,779.15 ",$429.26 ,"$5,439.20 ","$2,515.63 ","$5,439.20 ",$171.70 ,$171.70 ,"$6,799.00 ","$3,685.06 ",$171.70 ,"$1,788.14 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$5,779.15 ",$386.33 ,"$4,473.74 ","$1,903.72 ","$6,119.10 ","$4,895.28 ","$6,799.00 ",$278.03 ,"$4,283.37 ","$4,283.37 ",$171.70 ,"$3,263.52 ","$6,119.10 " ST. JOHN'S HOSPITAL,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$10,199.00 ","$6,629.35 ",$278.03 ,"$10,199.00 ","$1,046.05 ",$750.00 ,"$5,527.86 ",$418.42 ,"$2,855.72 ","$1,941.04 ",$418.42 ,"$2,332.25 ",$418.42 ,"$3,896.02 ",$536.90 ,$418.42 ,"$3,896.02 ",$795.00 ,$911.73 ,"$5,201.49 ","$1,046.05 ",$418.42 ,"$7,139.30 ",$418.42 ,"$5,099.50 ",$426.79 ,"$7,649.25 ",$681.00 ,$612.00 ,$681.00 ,$418.42 ,$681.00 ,$278.03 ,$278.03 ,$278.03 ,"$10,199.00 ","$8,669.15 ","$1,046.05 ","$8,159.20 ","$3,773.63 ","$8,159.20 ",$418.42 ,$418.42 ,"$10,199.00 ","$5,527.86 ",$418.42 ,"$2,682.34 ", N/A , N/A ,$493.45 ,$471.02 ,$439.34 ,"$8,669.15 ",$941.44 ,"$6,710.94 ","$2,855.72 ","$9,179.10 ","$7,343.28 ","$10,199.00 ",$278.03 ,"$6,425.37 ","$6,425.37 ",$418.42 ,"$4,895.52 ","$9,179.10 " ST. JOHN'S HOSPITAL,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$3,309.00 ","$2,150.85 ",$104.65 ,"$3,309.00 ",$261.63 ,$750.00 ,"$1,793.48 ",$104.65 ,$926.52 ,$841.29 ,$104.65 ,"$1,010.85 ",$104.65 ,"$1,264.04 ",$184.57 ,$104.65 ,"$1,264.04 ",$198.84 ,$311.70 ,"$1,687.59 ",$261.63 ,$104.65 ,"$2,316.30 ",$104.65 ,"$1,654.50 ",$106.75 ,"$2,481.75 ",$681.00 ,$612.00 ,$681.00 ,$104.65 ,$681.00 ,$125.36 ,$125.36 ,$125.36 ,"$3,309.00 ","$2,812.65 ",$261.63 ,"$2,647.20 ","$1,224.33 ","$2,647.20 ",$104.65 ,$104.65 ,"$3,309.00 ","$1,793.48 ",$104.65 ,$870.27 , N/A , N/A ,$329.30 ,$314.33 ,$109.88 ,"$2,812.65 ",$235.47 ,"$2,177.32 ",$926.52 ,"$2,978.10 ","$2,382.48 ","$3,309.00 ",$125.36 ,"$2,084.67 ","$2,084.67 ",$104.65 ,"$1,588.32 ","$2,978.10 " ST. JOHN'S HOSPITAL,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$4,013.00 ","$2,608.45 ",$171.70 ,"$4,013.00 ",$429.25 ,$750.00 ,"$2,175.05 ",$171.70 ,"$1,123.64 ","$1,384.49 ",$171.70 ,"$1,540.99 ",$171.70 ,"$1,532.97 ",$359.41 ,$171.70 ,"$1,532.97 ",$326.24 ,$665.66 ,"$2,046.63 ",$429.26 ,$171.70 ,"$2,809.10 ",$171.70 ,"$2,006.50 ",$175.14 ,"$3,009.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$244.08 ,$244.08 ,$244.08 ,"$4,013.00 ","$3,411.05 ",$429.26 ,"$3,210.40 ","$1,484.81 ","$3,210.40 ",$171.70 ,$171.70 ,"$4,013.00 ","$2,175.05 ",$171.70 ,"$1,055.42 ", N/A , N/A ,$329.30 ,$314.33 ,$180.29 ,"$3,411.05 ",$386.33 ,"$2,640.55 ","$1,123.64 ","$3,611.70 ","$2,889.36 ","$4,013.00 ",$244.08 ,"$2,528.19 ","$2,528.19 ",$171.70 ,"$1,926.24 ","$3,611.70 " ST. JOHN'S HOSPITAL,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$4,168.00 ","$2,709.20 ",$171.70 ,"$4,168.00 ",$429.25 ,$750.00 ,"$2,259.06 ",$171.70 ,"$1,167.04 ","$1,437.96 ",$171.70 ,"$1,600.51 ",$171.70 ,"$1,592.18 ",$412.08 ,$171.70 ,"$1,592.18 ",$326.24 ,$754.79 ,"$2,125.68 ",$429.26 ,$171.70 ,"$2,917.60 ",$171.70 ,"$2,084.00 ",$175.14 ,"$3,126.00 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.37 ,$278.37 ,$278.37 ,"$4,168.00 ","$3,542.80 ",$429.26 ,"$3,334.40 ","$1,542.16 ","$3,334.40 ",$171.70 ,$171.70 ,"$4,168.00 ","$2,259.06 ",$171.70 ,"$1,096.18 ", N/A , N/A ,$329.30 ,$314.33 ,$180.29 ,"$3,542.80 ",$386.33 ,"$2,742.54 ","$1,167.04 ","$3,751.20 ","$3,000.96 ","$4,168.00 ",$278.37 ,"$2,625.84 ","$2,625.84 ",$171.70 ,"$2,000.64 ","$3,751.20 " ST. JOHN'S HOSPITAL,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$4,359.00 ","$2,833.35 ",$171.70 ,"$4,359.00 ",$429.25 ,$750.00 ,"$2,362.58 ",$171.70 ,"$1,220.52 ","$1,503.86 ",$171.70 ,"$1,673.86 ",$171.70 ,"$1,665.14 ",$461.32 ,$171.70 ,"$1,665.14 ",$326.24 ,$836.48 ,"$2,223.09 ",$429.26 ,$171.70 ,"$3,051.30 ",$171.70 ,"$2,179.50 ",$175.14 ,"$3,269.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,359.00 ","$3,705.15 ",$429.26 ,"$3,487.20 ","$1,612.83 ","$3,487.20 ",$171.70 ,$171.70 ,"$4,359.00 ","$2,362.58 ",$171.70 ,"$1,146.42 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$3,705.15 ",$386.33 ,"$2,868.22 ","$1,220.52 ","$3,923.10 ","$3,138.48 ","$4,359.00 ",$278.52 ,"$2,746.17 ","$2,746.17 ",$171.70 ,"$2,092.32 ","$3,923.10 " ST. JOHN'S HOSPITAL,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$5,977.00 ","$3,885.05 ",$157.64 ,"$5,977.00 ",$552.95 ,$750.00 ,"$3,239.53 ",$221.18 ,"$1,673.56 ","$1,059.19 ",$221.18 ,"$1,272.67 ",$221.18 ,"$2,283.21 ",$232.12 ,$221.18 ,"$2,283.21 ",$420.25 ,$389.82 ,"$3,048.27 ",$552.96 ,$221.18 ,"$4,183.90 ",$221.18 ,"$2,988.50 ",$225.61 ,"$4,482.75 ",$681.00 ,$612.00 ,$681.00 ,$221.18 ,$681.00 ,$157.64 ,$157.64 ,$157.64 ,"$5,977.00 ","$5,080.45 ",$552.96 ,"$4,781.60 ","$2,211.49 ","$4,781.60 ",$221.18 ,$221.18 ,"$5,977.00 ","$3,239.53 ",$221.18 ,"$1,571.95 ", N/A , N/A ,$329.30 ,$314.33 ,$232.24 ,"$5,080.45 ",$497.66 ,"$3,932.87 ","$1,673.56 ","$5,379.30 ","$4,303.44 ","$5,977.00 ",$157.64 ,"$3,765.51 ","$3,765.51 ",$221.18 ,"$2,868.96 ","$5,379.30 " ST. JOHN'S HOSPITAL,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$6,414.00 ","$4,169.10 ",$314.33 ,"$6,414.00 ",$884.95 ,$750.00 ,"$3,476.39 ",$353.98 ,"$1,795.92 ","$2,056.11 ",$353.98 ,"$2,462.98 ",$353.98 ,"$2,450.15 ",$467.67 ,$353.98 ,"$2,450.15 ",$672.55 ,$847.12 ,"$3,271.14 ",$884.94 ,$353.98 ,"$4,489.80 ",$353.98 ,"$3,207.00 ",$361.06 ,"$4,810.50 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$317.61 ,$317.61 ,$317.61 ,"$6,414.00 ","$5,451.90 ",$884.94 ,"$5,131.20 ","$2,373.18 ","$5,131.20 ",$353.98 ,$353.98 ,"$6,414.00 ","$3,476.39 ",$353.98 ,"$1,686.88 ", N/A , N/A ,$329.30 ,$314.33 ,$371.68 ,"$5,451.90 ",$796.45 ,"$4,220.41 ","$1,795.92 ","$5,772.60 ","$4,618.08 ","$6,414.00 ",$317.61 ,"$4,040.82 ","$4,040.82 ",$353.98 ,"$3,078.72 ","$5,772.60 " ST. JOHN'S HOSPITAL,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$7,046.00 ","$4,579.90 ",$314.33 ,"$7,046.00 ",$884.95 ,$750.00 ,"$3,818.93 ",$353.98 ,"$1,972.88 ","$2,362.61 ",$353.98 ,"$2,705.66 ",$353.98 ,"$2,691.57 ",$534.47 ,$353.98 ,"$2,691.57 ",$672.55 ,$957.19 ,"$3,593.46 ",$884.94 ,$353.98 ,"$4,932.20 ",$353.98 ,"$3,523.00 ",$361.06 ,"$5,284.50 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$362.97 ,$362.97 ,$362.97 ,"$7,046.00 ","$5,989.10 ",$884.94 ,"$5,636.80 ","$2,607.02 ","$5,636.80 ",$353.98 ,$353.98 ,"$7,046.00 ","$3,818.93 ",$353.98 ,"$1,853.10 ", N/A , N/A ,$329.30 ,$314.33 ,$371.68 ,"$5,989.10 ",$796.45 ,"$4,636.27 ","$1,972.88 ","$6,341.40 ","$5,073.12 ","$7,046.00 ",$362.97 ,"$4,438.98 ","$4,438.98 ",$353.98 ,"$3,382.08 ","$6,341.40 " ST. JOHN'S HOSPITAL,35000087,75571,HC CT HRT W/O DYE W/CA TEST,350,1 ,$99.00 ,$64.35 ,$26.04 ,$194.38 ,$194.38 ,$99.00 ,$53.66 ,$77.75 ,$27.72 ,$34.16 ,$77.75 ,$38.02 ,$77.75 ,$37.82 ,$99.00 ,$77.75 ,$37.82 ,$99.00 ,$99.00 ,$50.49 ,$194.38 ,$77.75 ,$69.30 ,$77.75 ,$49.50 ,$79.31 ,$74.25 ,$44.15 ,$39.70 ,$44.15 ,$77.75 ,$44.15 ,$86.10 ,$86.10 ,$86.10 ,$99.00 ,$84.15 ,$99.00 ,$79.20 ,$36.63 ,$79.20 ,$77.75 ,$77.75 ,$99.00 ,$53.66 ,$77.75 ,$26.04 , N/A , N/A , N/A , N/A ,$81.64 ,$84.15 ,$174.94 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$86.10 ,$62.37 ,$62.37 ,$77.75 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,35000088,N/A,HC CT HRT W/O DYE W/CA TEST (PROMO),350,1 ,$99.00 ,$64.35 ,$26.04 ,$99.00 , N/A ,$99.00 ,$53.66 , N/A ,$27.72 ,$31.68 , N/A ,$36.43 , N/A ,$37.82 ,$39.60 , N/A ,$37.82 , N/A ,$52.07 ,$50.49 , N/A , N/A ,$69.30 , N/A ,$49.50 , N/A ,$74.25 ,$44.15 ,$39.70 ,$44.15 , N/A ,$44.15 ,$69.30 ,$69.30 ,$69.30 ,$99.00 ,$84.15 , N/A ,$79.20 ,$36.63 ,$79.20 , N/A , N/A ,$99.00 ,$53.66 , N/A ,$26.04 , N/A , N/A , N/A , N/A , N/A ,$84.15 , N/A ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$69.30 ,$62.37 ,$62.37 , N/A ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,35000089,75572,HC CT HEART WO/W CONT FUNCT EVAL,350,1 ,"$3,077.00 ","$2,000.05 ",$171.70 ,"$3,077.00 ",$429.25 ,$750.00 ,"$1,667.73 ",$171.70 ,$861.56 ,"$1,061.57 ",$171.70 ,"$1,181.57 ",$171.70 ,"$1,175.41 ",$369.88 ,$171.70 ,"$1,175.41 ",$326.24 ,$655.35 ,"$1,569.27 ",$429.26 ,$171.70 ,"$2,153.90 ",$171.70 ,"$1,538.50 ",$175.14 ,"$2,307.75 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$251.19 ,$251.19 ,$251.19 ,"$3,077.00 ","$2,615.45 ",$429.26 ,"$2,461.60 ","$1,138.49 ","$2,461.60 ",$171.70 ,$171.70 ,"$3,077.00 ","$1,667.73 ",$171.70 ,$809.25 , N/A , N/A , N/A , N/A ,$180.29 ,"$2,615.45 ",$386.33 ,"$2,024.67 ",$861.56 ,"$2,769.30 ","$2,215.44 ","$3,077.00 ",$251.19 ,"$1,938.51 ","$1,938.51 ",$171.70 ,"$1,476.96 ","$2,769.30 " ST. JOHN'S HOSPITAL,35000094,75574,HC CTA HEART CORONARY W/CONTRAST 3D POST,350,1 ,"$4,471.00 ","$2,906.15 ",$171.70 ,"$4,471.00 ",$429.25 ,$750.00 ,"$2,423.28 ",$171.70 ,"$1,251.88 ","$1,542.50 ",$171.70 ,"$1,716.86 ",$171.70 ,"$1,707.92 ",$562.50 ,$171.70 ,"$1,707.92 ",$326.24 ,$982.79 ,"$2,280.21 ",$429.26 ,$171.70 ,"$3,129.70 ",$171.70 ,"$2,235.50 ",$175.14 ,"$3,353.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,471.00 ","$3,800.35 ",$429.26 ,"$3,576.80 ","$1,654.27 ","$3,576.80 ",$171.70 ,$171.70 ,"$4,471.00 ","$2,423.28 ",$171.70 ,"$1,175.87 ", N/A , N/A , N/A , N/A ,$180.29 ,"$3,800.35 ",$386.33 ,"$2,941.92 ","$1,251.88 ","$4,023.90 ","$3,219.12 ","$4,471.00 ",$278.52 ,"$2,816.73 ","$2,816.73 ",$171.70 ,"$2,146.08 ","$4,023.90 " ST. JOHN'S HOSPITAL,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$4,419.00 ","$2,872.35 ",$171.70 ,"$4,419.00 ",$429.25 ,$750.00 ,"$2,395.10 ",$171.70 ,"$1,237.32 ","$1,524.56 ",$171.70 ,"$1,696.90 ",$171.70 ,"$1,688.06 ",$664.91 ,$171.70 ,"$1,688.06 ",$326.24 ,"$1,142.60 ","$2,253.69 ",$429.26 ,$171.70 ,"$3,093.30 ",$171.70 ,"$2,209.50 ",$175.14 ,"$3,314.25 ",$681.00 ,$612.00 ,$681.00 ,$171.70 ,$681.00 ,$278.52 ,$278.52 ,$278.52 ,"$4,419.00 ","$3,756.15 ",$429.26 ,"$3,535.20 ","$1,635.03 ","$3,535.20 ",$171.70 ,$171.70 ,"$4,419.00 ","$2,395.10 ",$171.70 ,"$1,162.20 ", N/A , N/A ,$328.97 ,$314.01 ,$180.29 ,"$3,756.15 ",$386.33 ,"$2,907.70 ","$1,237.32 ","$3,977.10 ","$3,181.68 ","$4,419.00 ",$278.52 ,"$2,783.97 ","$2,783.97 ",$171.70 ,"$2,121.12 ","$3,977.10 " ST. JOHN'S HOSPITAL,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,$749.00 ,$486.85 ,$18.54 ,$749.00 , N/A ,$344.54 ,$405.96 , N/A ,$209.72 ,$128.28 , N/A ,$154.13 , N/A ,$286.12 ,$27.30 , N/A ,$286.12 , N/A ,$393.97 ,$381.99 , N/A , N/A ,$524.30 , N/A ,$374.50 , N/A ,$561.75 ,$334.05 ,$300.35 ,$334.05 , N/A ,$334.05 ,$18.54 ,$18.54 ,$18.54 ,$749.00 ,$636.65 , N/A ,$599.20 ,$277.13 ,$599.20 , N/A , N/A ,$749.00 ,$405.96 , N/A ,$196.99 , N/A , N/A , N/A , N/A , N/A ,$636.65 , N/A ,$492.84 ,$209.72 ,$674.10 ,$539.28 ,$749.00 ,$18.54 ,$471.87 ,$471.87 , N/A ,$359.52 ,$674.10 ST. JOHN'S HOSPITAL,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,$722.00 ,$469.30 ,$43.88 ,$722.00 , N/A ,$332.12 ,$391.32 , N/A ,$202.16 ,$233.23 , N/A ,$277.25 , N/A ,$275.80 ,$64.60 , N/A ,$275.80 , N/A ,$379.77 ,$368.22 , N/A , N/A ,$505.40 , N/A ,$361.00 , N/A ,$541.50 ,$322.01 ,$289.52 ,$322.01 , N/A ,$322.01 ,$43.88 ,$43.88 ,$43.88 ,$722.00 ,$613.70 , N/A ,$577.60 ,$267.14 ,$577.60 , N/A , N/A ,$722.00 ,$391.32 , N/A ,$189.89 , N/A , N/A , N/A , N/A , N/A ,$613.70 , N/A ,$475.08 ,$202.16 ,$649.80 ,$519.84 ,$722.00 ,$43.88 ,$454.86 ,$454.86 , N/A ,$346.56 ,$649.80 ST. JOHN'S HOSPITAL,35000101,76380,HC CT LMTD OR LOCALIZ FU STUDY,350,1 ,"$2,605.00 ","$1,693.25 ",$77.75 ,"$2,605.00 ",$194.38 ,$750.00 ,"$1,411.91 ",$77.75 ,$729.40 ,$716.10 ,$77.75 ,$860.44 ,$77.75 ,$995.11 ,$197.01 ,$77.75 ,$995.11 ,$147.73 ,$335.36 ,"$1,328.55 ",$194.38 ,$77.75 ,"$1,823.50 ",$77.75 ,"$1,302.50 ",$79.31 ,"$1,953.75 ",$681.00 ,$612.00 ,$681.00 ,$77.75 ,$681.00 ,$86.10 ,$86.10 ,$86.10 ,"$2,605.00 ","$2,214.25 ",$194.38 ,"$2,084.00 ",$963.85 ,"$2,084.00 ",$77.75 ,$77.75 ,"$2,605.00 ","$1,411.91 ",$77.75 ,$685.12 , N/A , N/A ,$145.56 ,$138.95 ,$81.64 ,"$2,214.25 ",$174.94 ,"$1,714.09 ",$729.40 ,"$2,344.50 ","$1,875.60 ","$2,605.00 ",$86.10 ,"$1,641.15 ","$1,641.15 ",$77.75 ,"$1,250.40 ","$2,344.50 " ST. JOHN'S HOSPITAL,35000104,77011,HC CT GUIDED LOCALIZATION STEREO,350,1 ,"$7,779.00 ","$5,056.35 ",$107.17 ,"$7,779.00 ", N/A ,$750.00 ,"$4,216.22 ", N/A ,"$2,178.12 ","$1,531.23 ", N/A ,"$1,839.85 ", N/A ,"$2,971.58 ",$342.58 , N/A ,"$2,971.58 ", N/A ,"$4,091.75 ","$3,967.29 ", N/A , N/A ,"$5,445.30 ", N/A ,"$3,889.50 ", N/A ,"$5,834.25 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,$232.67 ,$232.67 ,$232.67 ,"$7,779.00 ","$6,612.15 ", N/A ,"$6,223.20 ","$2,878.23 ","$6,223.20 ", N/A , N/A ,"$7,779.00 ","$4,216.22 ", N/A ,"$2,045.88 ", N/A , N/A ,$112.28 ,$107.17 , N/A ,"$6,612.15 ", N/A ,"$5,118.58 ","$2,178.12 ","$7,001.10 ","$5,600.88 ","$7,779.00 ",$232.67 ,"$4,900.77 ","$4,900.77 ", N/A ,"$3,733.92 ","$7,001.10 " ST. JOHN'S HOSPITAL,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$4,383.00 ","$2,848.95 ",$107.17 ,"$4,383.00 ", N/A ,$750.00 ,"$2,375.59 ", N/A ,"$1,227.24 ",$630.04 , N/A ,$757.02 , N/A ,"$1,674.31 ",$158.97 , N/A ,"$1,674.31 ", N/A ,"$2,305.46 ","$2,235.33 ", N/A , N/A ,"$3,068.10 ", N/A ,"$2,191.50 ", N/A ,"$3,287.25 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,$107.96 ,$107.96 ,$107.96 ,"$4,383.00 ","$3,725.55 ", N/A ,"$3,506.40 ","$1,621.71 ","$3,506.40 ", N/A , N/A ,"$4,383.00 ","$2,375.59 ", N/A ,"$1,152.73 ", N/A , N/A ,$112.28 ,$107.17 , N/A ,"$3,725.55 ", N/A ,"$2,884.01 ","$1,227.24 ","$3,944.70 ","$3,155.76 ","$4,383.00 ",$107.96 ,"$2,761.29 ","$2,761.29 ", N/A ,"$2,103.84 ","$3,944.70 " ST. JOHN'S HOSPITAL,35000109,77013,HC CT GUIDED FOR ABLATION,350,1 ,"$3,565.00 ","$2,317.25 ",$107.17 ,"$3,565.00 ", N/A ,$750.00 ,"$1,932.23 ", N/A ,$998.20 ,"$1,229.93 ", N/A ,"$1,368.96 ", N/A ,"$1,361.83 ",$721.58 , N/A ,"$1,361.83 ", N/A ,"$1,875.19 ","$1,818.15 ", N/A , N/A ,"$2,495.50 ", N/A ,"$1,782.50 ", N/A ,"$2,673.75 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,$612.69 ,$612.69 ,$612.69 ,"$3,565.00 ","$3,030.25 ", N/A ,"$2,852.00 ","$1,319.05 ","$2,852.00 ", N/A , N/A ,"$3,565.00 ","$1,932.23 ", N/A ,$937.60 , N/A , N/A ,$112.28 ,$107.17 , N/A ,"$3,030.25 ", N/A ,"$2,345.77 ",$998.20 ,"$3,208.50 ","$2,566.80 ","$3,565.00 ",$612.69 ,"$2,245.95 ","$2,245.95 ", N/A ,"$1,711.20 ","$3,208.50 " ST. JOHN'S HOSPITAL,35000111,77014,HC CT GUIDED THRPY PLACEMENT UNENHAN,350,1 ,$954.00 ,$620.10 ,$106.47 ,$954.00 , N/A ,$750.00 ,$517.07 , N/A ,$267.12 ,$329.13 , N/A ,$366.34 , N/A ,$364.43 ,$156.78 , N/A ,$364.43 , N/A ,$501.80 ,$486.54 , N/A , N/A ,$667.80 , N/A ,$477.00 , N/A ,$715.50 ,$425.48 ,$382.55 ,$425.48 , N/A ,$425.48 ,$106.47 ,$106.47 ,$106.47 ,$954.00 ,$810.90 , N/A ,$763.20 ,$352.98 ,$763.20 , N/A , N/A ,$954.00 ,$517.07 , N/A ,$250.90 , N/A , N/A ,$112.28 ,$107.17 , N/A ,$810.90 , N/A ,$627.73 ,$267.12 ,$858.60 ,$686.88 ,$954.00 ,$106.47 ,$601.02 ,$601.02 , N/A ,$457.92 ,$858.60 ST. JOHN'S HOSPITAL,35000113,51102,HC ASPIRATION OF BLADDER AND INSERT SUPRAPUBIC CATH,350,1 ,"$4,148.00 ","$2,696.20 ",$377.87 ,"$4,302.83 ","$4,302.83 ",$750.00 ,"$2,248.22 ","$1,721.13 ","$1,161.44 ","$1,327.36 ","$1,721.13 ","$1,526.46 ","$1,721.13 ","$1,584.54 ",$377.87 ,"$1,721.13 ","$1,584.54 ","$3,270.14 ","$2,181.85 ","$2,115.48 ","$4,302.81 ","$1,721.13 ","$2,903.60 ","$1,721.13 ","$2,074.00 ","$1,755.55 ","$3,111.00 ",$681.00 ,$612.00 ,$681.00 ,"$1,721.13 ",$681.00 ,"$2,903.60 ","$2,903.60 ","$2,903.60 ","$4,148.00 ","$3,525.80 ","$4,148.00 ","$3,318.40 ","$1,534.76 ","$3,318.40 ","$1,721.13 ","$1,721.13 ","$4,148.00 ","$2,248.22 ","$1,721.13 ","$1,090.92 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$1,807.19 ","$3,525.80 ","$3,872.53 ","$2,729.38 ","$1,161.44 ","$3,733.20 ","$2,986.56 ","$4,148.00 ","$2,903.60 ","$2,613.24 ","$2,613.24 ","$1,721.13 ","$1,991.04 ","$3,733.20 " ST. JOHN'S HOSPITAL,35000120,74174,HC CT ANGIO ABD/PELV W AND WO CONTRAST,350,1 ,"$7,054.00 ","$4,585.10 ",$314.33 ,"$7,054.00 ",$884.95 ,$750.00 ,"$3,823.27 ",$353.98 ,"$1,975.12 ","$2,072.62 ",$353.98 ,"$2,490.35 ",$353.98 ,"$2,694.63 ",$590.07 ,$353.98 ,"$2,694.63 ",$672.55 ,"$1,057.34 ","$3,597.54 ",$884.94 ,$353.98 ,"$4,937.80 ",$353.98 ,"$3,527.00 ",$361.06 ,"$5,290.50 ",$681.00 ,$612.00 ,$681.00 ,$353.98 ,$681.00 ,$400.73 ,$400.73 ,$400.73 ,"$7,054.00 ","$5,995.90 ",$884.94 ,"$5,643.20 ","$2,609.98 ","$5,643.20 ",$353.98 ,$353.98 ,"$7,054.00 ","$3,823.27 ",$353.98 ,"$1,855.20 ", N/A , N/A ,$329.30 ,$314.33 ,$371.68 ,"$5,995.90 ",$796.45 ,"$4,641.53 ","$1,975.12 ","$6,348.60 ","$5,078.88 ","$7,054.00 ",$400.73 ,"$4,444.02 ","$4,444.02 ",$353.98 ,"$3,385.92 ","$6,348.60 " ST. JOHN'S HOSPITAL,35000121,G0260,HC INJ ARTHROGRAM SI W/ANES,350,1 ,"$5,409.00 ","$3,515.85 ",$323.93 ,"$5,409.00 ","$1,525.98 ",$750.00 ,"$2,931.68 ",$610.39 ,"$1,514.52 ","$1,730.88 ",$610.39 ,"$1,990.51 ",$610.39 ,"$2,066.24 ","$2,163.60 ",$610.39 ,"$2,066.24 ","$1,159.74 ","$2,845.13 ","$2,758.59 ","$1,525.97 ",$610.39 ,"$3,786.30 ",$610.39 ,"$2,704.50 ",$622.59 ,"$4,056.75 ",$681.00 ,$612.00 ,$681.00 ,$610.39 ,$681.00 ,"$3,786.30 ","$3,786.30 ","$3,786.30 ","$5,409.00 ","$4,597.65 ","$1,525.97 ","$4,327.20 ","$2,001.33 ","$4,327.20 ",$610.39 ,$610.39 ,"$5,409.00 ","$2,931.68 ",$610.39 ,"$1,422.57 ", N/A , N/A ,$339.35 ,$323.93 ,$640.91 ,"$4,597.65 ","$1,373.37 ","$3,559.12 ","$1,514.52 ","$4,868.10 ","$3,894.48 ","$5,409.00 ","$3,786.30 ","$3,407.67 ","$3,407.67 ",$610.39 ,"$2,596.32 ","$4,868.10 " ST. JOHN'S HOSPITAL,35000121,G0260,HC INJ ARTHROGRAM SI W/ANES,350,1 ,"$3,606.00 ","$2,343.90 ",$323.93 ,"$3,606.00 ","$1,525.98 ",$750.00 ,"$1,954.45 ",$610.39 ,"$1,009.68 ","$1,153.92 ",$610.39 ,"$1,327.01 ",$610.39 ,"$1,377.49 ","$1,442.40 ",$610.39 ,"$1,377.49 ","$1,159.74 ","$1,896.76 ","$1,839.06 ","$1,525.97 ",$610.39 ,"$2,524.20 ",$610.39 ,"$1,803.00 ",$622.59 ,"$2,704.50 ",$681.00 ,$612.00 ,$681.00 ,$610.39 ,$681.00 ,"$2,524.20 ","$2,524.20 ","$2,524.20 ","$3,606.00 ","$3,065.10 ","$1,525.97 ","$2,884.80 ","$1,334.22 ","$2,884.80 ",$610.39 ,$610.39 ,"$3,606.00 ","$1,954.45 ",$610.39 ,$948.38 , N/A , N/A ,$339.35 ,$323.93 ,$640.91 ,"$3,065.10 ","$1,373.37 ","$2,372.75 ","$1,009.68 ","$3,245.40 ","$2,596.32 ","$3,606.00 ","$2,524.20 ","$2,271.78 ","$2,271.78 ",$610.39 ,"$1,730.88 ","$3,245.40 " ST. JOHN'S HOSPITAL,35000132,G0260,HC INJECTION SACRO JOINT W/ ANESTH,350,1 ,"$5,409.00 ","$3,515.85 ",$323.93 ,"$5,409.00 ","$1,525.98 ",$750.00 ,"$2,931.68 ",$610.39 ,"$1,514.52 ","$1,730.88 ",$610.39 ,"$1,990.51 ",$610.39 ,"$2,066.24 ","$2,163.60 ",$610.39 ,"$2,066.24 ","$1,159.74 ","$2,845.13 ","$2,758.59 ","$1,525.97 ",$610.39 ,"$3,786.30 ",$610.39 ,"$2,704.50 ",$622.59 ,"$4,056.75 ",$681.00 ,$612.00 ,$681.00 ,$610.39 ,$681.00 ,"$3,786.30 ","$3,786.30 ","$3,786.30 ","$5,409.00 ","$4,597.65 ","$1,525.97 ","$4,327.20 ","$2,001.33 ","$4,327.20 ",$610.39 ,$610.39 ,"$5,409.00 ","$2,931.68 ",$610.39 ,"$1,422.57 ", N/A , N/A ,$339.35 ,$323.93 ,$640.91 ,"$4,597.65 ","$1,373.37 ","$3,559.12 ","$1,514.52 ","$4,868.10 ","$3,894.48 ","$5,409.00 ","$3,786.30 ","$3,407.67 ","$3,407.67 ",$610.39 ,"$2,596.32 ","$4,868.10 " ST. JOHN'S HOSPITAL,35000132,G0260,HC INJECTION SACRO JOINT W/ ANESTH,350,1 ,"$3,606.00 ","$2,343.90 ",$323.93 ,"$3,606.00 ","$1,525.98 ",$750.00 ,"$1,954.45 ",$610.39 ,"$1,009.68 ","$1,153.92 ",$610.39 ,"$1,327.01 ",$610.39 ,"$1,377.49 ","$1,442.40 ",$610.39 ,"$1,377.49 ","$1,159.74 ","$1,896.76 ","$1,839.06 ","$1,525.97 ",$610.39 ,"$2,524.20 ",$610.39 ,"$1,803.00 ",$622.59 ,"$2,704.50 ",$681.00 ,$612.00 ,$681.00 ,$610.39 ,$681.00 ,"$2,524.20 ","$2,524.20 ","$2,524.20 ","$3,606.00 ","$3,065.10 ","$1,525.97 ","$2,884.80 ","$1,334.22 ","$2,884.80 ",$610.39 ,$610.39 ,"$3,606.00 ","$1,954.45 ",$610.39 ,$948.38 , N/A , N/A ,$339.35 ,$323.93 ,$640.91 ,"$3,065.10 ","$1,373.37 ","$2,372.75 ","$1,009.68 ","$3,245.40 ","$2,596.32 ","$3,606.00 ","$2,524.20 ","$2,271.78 ","$2,271.78 ",$610.39 ,"$1,730.88 ","$3,245.40 " ST. JOHN'S HOSPITAL,35000135,22513,HC VERTEBROPLASTY INJ PERC THOR KYPHOPLASTY,350,1 ,"$19,383.00 ","$12,598.95 ",$612.00 ,"$19,383.00 ","$15,052.25 ",$750.00 ,"$10,505.59 ","$6,020.90 ","$5,427.24 ","$6,202.56 ","$6,020.90 ","$7,132.94 ","$6,020.90 ","$7,404.31 ","$1,194.91 ","$6,020.90 ","$7,404.31 ","$11,439.72 ","$10,195.46 ","$9,885.33 ","$15,052.26 ","$6,020.90 ","$13,568.10 ","$6,020.90 ","$9,691.50 ","$6,141.32 ","$14,537.25 ",$681.00 ,$612.00 ,$681.00 ,"$6,020.90 ",$681.00 ,"$13,568.10 ","$13,568.10 ","$13,568.10 ","$19,383.00 ","$16,475.55 ","$15,052.26 ","$15,506.40 ","$7,171.71 ","$15,506.40 ","$6,020.90 ","$6,020.90 ","$19,383.00 ","$10,505.59 ","$6,020.90 ","$5,097.73 ", N/A , N/A ,"$13,050.43 ","$12,457.23 ","$6,321.95 ","$16,475.55 ","$13,547.03 ","$12,754.01 ","$5,427.24 ","$17,444.70 ","$13,955.76 ","$19,383.00 ","$13,568.10 ","$12,211.29 ","$12,211.29 ","$6,020.90 ","$9,303.84 ","$17,444.70 " ST. JOHN'S HOSPITAL,35000136,22514,HC VERTEBROPLASTY INJ PERC LUMBAR KYPHOPLASTY,350,1 ,"$19,383.00 ","$12,598.95 ",$612.00 ,"$19,383.00 ","$15,052.25 ",$750.00 ,"$10,505.59 ","$6,020.90 ","$5,427.24 ","$6,202.56 ","$6,020.90 ","$7,132.94 ","$6,020.90 ","$7,404.31 ","$1,112.71 ","$6,020.90 ","$7,404.31 ","$11,439.72 ","$10,195.46 ","$9,885.33 ","$15,052.26 ","$6,020.90 ","$13,568.10 ","$6,020.90 ","$9,691.50 ","$6,141.32 ","$14,537.25 ",$681.00 ,$612.00 ,$681.00 ,"$6,020.90 ",$681.00 ,"$13,568.10 ","$13,568.10 ","$13,568.10 ","$19,383.00 ","$16,475.55 ","$15,052.26 ","$15,506.40 ","$7,171.71 ","$15,506.40 ","$6,020.90 ","$6,020.90 ","$19,383.00 ","$10,505.59 ","$6,020.90 ","$5,097.73 ", N/A , N/A ,"$13,050.43 ","$12,457.23 ","$6,321.95 ","$16,475.55 ","$13,547.03 ","$12,754.01 ","$5,427.24 ","$17,444.70 ","$13,955.76 ","$19,383.00 ","$13,568.10 ","$12,211.29 ","$12,211.29 ","$6,020.90 ","$9,303.84 ","$17,444.70 " ST. JOHN'S HOSPITAL,35000137,22515,HC VERTEBROPLASTY INJ PERC EA ADDNT THOR OR LUMB KYPHO,350,1 ,"$14,538.00 ","$9,449.70 ",$520.10 ,"$14,538.00 ", N/A ,$750.00 ,"$7,879.60 ", N/A ,"$4,070.64 ","$4,652.16 ", N/A ,"$5,349.98 ", N/A ,"$5,553.52 ",$520.10 , N/A ,"$5,553.52 ", N/A ,"$7,646.99 ","$7,414.38 ", N/A , N/A ,"$10,176.60 ", N/A ,"$7,269.00 ", N/A ,"$10,903.50 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,"$10,176.60 ","$10,176.60 ","$10,176.60 ","$14,538.00 ","$12,357.30 ", N/A ,"$11,630.40 ","$5,379.06 ","$11,630.40 ", N/A , N/A ,"$14,538.00 ","$7,879.60 ", N/A ,"$3,823.49 ", N/A , N/A ,"$13,050.43 ","$12,457.23 ", N/A ,"$12,357.30 ", N/A ,"$9,566.00 ","$4,070.64 ","$13,084.20 ","$10,467.36 ","$14,538.00 ","$10,176.60 ","$9,158.94 ","$9,158.94 ", N/A ,"$6,978.24 ","$13,084.20 " ST. JOHN'S HOSPITAL,35000151,G0288,HC CT RECONSTRUCTION AORTA FOR VASC SURG,350,1 ,"$2,646.00 ","$1,719.90 ",$51.74 ,"$2,646.00 ", N/A ,"$1,217.16 ","$1,434.13 ", N/A ,$740.88 ,$292.93 , N/A ,$351.97 , N/A ,"$1,010.77 ",$76.18 , N/A ,"$1,010.77 ", N/A ,"$1,391.80 ","$1,349.46 ", N/A , N/A ,"$1,852.20 ", N/A ,"$1,323.00 ", N/A ,"$1,984.50 ",$681.00 ,$612.00 ,$681.00 , N/A ,$681.00 ,$51.74 ,$51.74 ,$51.74 ,"$2,646.00 ","$2,249.10 ", N/A ,"$2,116.80 ",$979.02 ,"$2,116.80 ", N/A , N/A ,"$2,646.00 ","$1,434.13 ", N/A ,$695.90 , N/A , N/A , N/A , N/A , N/A ,"$2,249.10 ", N/A ,"$1,741.07 ",$740.88 ,"$2,381.40 ","$1,905.12 ","$2,646.00 ",$51.74 ,"$1,666.98 ","$1,666.98 ", N/A ,"$1,270.08 ","$2,381.40 " ST. JOHN'S HOSPITAL,35000152,0503T,HC CORONARY FFR CTA DATA ANALYSIS,350,1 ,"$4,160.00 ","$2,704.00 ",$253.49 ,"$4,160.00 ","$2,236.53 ",$750.00 ,"$2,254.72 ",$894.61 ,"$1,164.80 ","$1,331.20 ",$894.61 ,"$1,530.88 ",$894.61 ,"$1,589.12 ","$1,664.00 ",$894.61 ,"$1,589.12 ","$1,699.76 ","$2,188.16 ","$2,121.60 ","$2,236.53 ",$894.61 ,"$2,912.00 ",$894.61 ,"$2,080.00 ",$912.50 ,"$3,120.00 ",$681.00 ,$612.00 ,$681.00 ,$894.61 ,$681.00 ,"$2,912.00 ","$2,912.00 ","$2,912.00 ","$4,160.00 ","$3,536.00 ","$2,236.53 ","$3,328.00 ","$1,539.20 ","$3,328.00 ",$894.61 ,$894.61 ,"$4,160.00 ","$2,254.72 ",$894.61 ,"$1,094.08 ", N/A , N/A ,$265.56 ,$253.49 ,$939.34 ,"$3,536.00 ","$2,012.87 ","$2,737.28 ","$1,164.80 ","$3,744.00 ","$2,995.20 ","$4,160.00 ","$2,912.00 ","$2,620.80 ","$2,620.80 ",$894.61 ,"$1,996.80 ","$3,744.00 " ST. JOHN'S HOSPITAL,35000153,0502T,HC CORONARY FFR CTA DATA PREP AND TRANSMISSION,350,1 ,$300.00 ,$195.00 ,$78.90 ,$300.00 , N/A ,$300.00 ,$162.60 , N/A ,$84.00 ,$96.00 , N/A ,$110.40 , N/A ,$114.60 ,$120.00 , N/A ,$114.60 , N/A ,$157.80 ,$153.00 , N/A , N/A ,$210.00 , N/A ,$150.00 , N/A ,$225.00 ,$133.80 ,$120.30 ,$133.80 , N/A ,$133.80 ,$210.00 ,$210.00 ,$210.00 ,$300.00 ,$255.00 , N/A ,$240.00 ,$111.00 ,$240.00 , N/A , N/A ,$300.00 ,$162.60 , N/A ,$78.90 , N/A , N/A ,$265.56 ,$253.49 , N/A ,$255.00 , N/A ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$210.00 ,$189.00 ,$189.00 , N/A ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$420.00 ,$273.00 ,$104.65 ,$420.00 ,$261.63 ,$420.00 ,$227.64 ,$104.65 ,$117.60 ,$134.40 ,$104.65 ,$154.56 ,$104.65 ,$160.44 ,$168.00 ,$104.65 ,$160.44 ,$198.84 ,$331.82 ,$214.20 ,$261.63 ,$104.65 ,$294.00 ,$104.65 ,$210.00 ,$106.75 ,$315.00 ,$187.32 ,$168.42 ,$187.32 ,$104.65 ,$187.32 ,$294.00 ,$294.00 ,$294.00 ,$420.00 ,$357.00 ,$261.63 ,$336.00 ,$155.40 ,$336.00 ,$104.65 ,$104.65 ,$420.00 ,$227.64 ,$104.65 ,$110.46 , N/A , N/A ,$145.56 ,$138.95 ,$109.88 ,$357.00 ,$235.47 ,$276.36 ,$117.60 ,$378.00 ,$302.40 ,$420.00 ,$294.00 ,$264.60 ,$264.60 ,$104.65 ,$201.60 ,$378.00 ST. JOHN'S HOSPITAL,36000002,N/A,HC MINOR PROCEDURE,360,1 ,"$3,329.00 ","$2,163.85 ",$875.53 ,"$3,329.00 ", N/A ,"$1,531.34 ","$1,804.32 ", N/A ,$932.12 ,"$1,065.28 ", N/A ,"$1,225.07 ", N/A ,"$1,271.68 ","$1,271.68 ", N/A ,"$1,271.68 ", N/A ,"$1,751.05 ", N/A , N/A , N/A ,"$2,330.30 ", N/A ,"$1,664.50 ", N/A ,"$2,496.75 ","$1,484.73 ","$1,334.93 ","$1,484.73 ", N/A ,"$1,484.73 ","$2,097.27 ","$2,097.27 ","$2,363.59 ","$3,329.00 ","$2,829.65 ", N/A ,"$2,663.20 ","$1,231.73 ","$2,663.20 ", N/A , N/A ,"$3,329.00 ","$1,804.32 ", N/A ,$875.53 , N/A , N/A , N/A , N/A , N/A ,"$2,829.65 ", N/A ,"$1,271.68 ",$932.12 ,"$2,996.10 ","$2,396.88 ","$3,329.00 ","$2,097.27 ","$2,097.27 ","$2,097.27 ", N/A ,"$1,597.92 ","$2,996.10 " ST. JOHN'S HOSPITAL,36000025,10021,HC ASP FINE NDL W/O IMAGING GUIDE,360,1 ,$944.00 ,$613.60 ,$112.87 ,$944.00 ,$830.60 ,$944.00 ,$511.65 ,$332.24 ,$264.32 ,$302.08 ,$332.24 ,$347.39 ,$332.24 ,$360.61 ,$360.61 ,$332.24 ,$360.61 ,$631.26 ,$496.54 , N/A ,$830.61 ,$332.24 ,$660.80 ,$332.24 ,$472.00 ,$338.89 ,$708.00 ,$421.02 ,$378.54 ,$421.02 ,$332.24 ,$421.02 ,$594.72 ,$594.72 ,$670.24 ,$944.00 ,$802.40 ,$830.61 ,$755.20 ,$349.28 ,$755.20 ,$332.24 ,$332.24 ,$112.87 ,$511.65 ,$332.24 ,$248.27 , N/A , N/A ,$637.68 ,$608.70 ,$348.85 ,$802.40 ,$747.55 ,$360.61 ,$264.32 ,$849.60 ,$679.68 ,$944.00 ,$594.72 ,$594.72 ,$594.72 ,$332.24 ,$453.12 ,$849.60 ST. JOHN'S HOSPITAL,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$726.00 ,$393.49 ,$172.62 ,$203.28 ,$232.32 ,$172.62 ,$267.17 ,$172.62 ,$277.33 ,$277.33 ,$172.62 ,$277.33 ,$327.97 ,$381.88 ,$363.00 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A ,$315.02 ,$300.70 ,$181.25 ,$617.10 ,$388.39 ,$277.33 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$457.38 ,$457.38 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,"$6,051.00 ","$3,933.15 ","$1,048.78 ","$6,051.00 ","$3,381.25 ","$2,300.00 ","$3,279.64 ","$1,352.50 ","$1,694.28 ","$1,936.32 ","$1,352.50 ","$2,226.77 ","$1,352.50 ","$2,311.48 ","$2,311.48 ","$1,352.50 ","$2,311.48 ","$2,569.74 ","$3,182.83 ","$3,025.50 ","$3,381.24 ","$1,352.50 ","$4,235.70 ","$1,352.50 ","$3,025.50 ","$1,379.54 ","$4,538.25 ","$2,698.75 ","$2,426.45 ","$2,698.75 ","$1,352.50 ","$2,698.75 ","$3,812.13 ","$3,812.13 ","$4,296.21 ","$6,051.00 ","$5,143.35 ","$3,381.24 ","$4,840.80 ","$2,238.87 ","$4,840.80 ","$1,352.50 ","$1,352.50 ","$6,051.00 ","$3,279.64 ","$1,352.50 ","$1,591.41 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$1,420.13 ","$5,143.35 ","$3,043.11 ","$2,311.48 ","$1,694.28 ","$5,445.90 ","$4,356.72 ","$6,051.00 ","$3,812.13 ","$3,812.13 ","$3,812.13 ","$1,352.50 ","$2,904.48 ","$5,445.90 " ST. JOHN'S HOSPITAL,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$929.00 ,$603.85 ,$244.33 ,$929.00 ,$830.60 ,$929.00 ,$503.52 ,$332.24 ,$260.12 ,$297.28 ,$332.24 ,$341.87 ,$332.24 ,$354.88 ,$354.88 ,$332.24 ,$354.88 ,$631.26 ,$488.65 ,$464.50 ,$830.61 ,$332.24 ,$650.30 ,$332.24 ,$464.50 ,$338.89 ,$696.75 ,$414.33 ,$372.53 ,$414.33 ,$332.24 ,$414.33 ,$585.27 ,$585.27 ,$659.59 ,$929.00 ,$789.65 ,$830.61 ,$743.20 ,$343.73 ,$743.20 ,$332.24 ,$332.24 ,$929.00 ,$503.52 ,$332.24 ,$244.33 , N/A , N/A ,$315.02 ,$300.70 ,$348.85 ,$789.65 ,$747.55 ,$354.88 ,$260.12 ,$836.10 ,$668.88 ,$929.00 ,$585.27 ,$585.27 ,$585.27 ,$332.24 ,$445.92 ,$836.10 ST. JOHN'S HOSPITAL,36000035,10030,HC GUIDE CATHET FLUID DRAINAGE,360,1 ,"$2,478.00 ","$1,610.70 ",$598.17 ,"$2,478.00 ","$1,495.43 ","$2,478.00 ","$1,343.08 ",$598.17 ,$693.84 ,$792.96 ,$598.17 ,$911.90 ,$598.17 ,$946.60 ,$946.60 ,$598.17 ,$946.60 ,"$1,136.52 ","$1,303.43 ","$1,239.00 ","$1,495.43 ",$598.17 ,"$1,734.60 ",$598.17 ,"$1,239.00 ",$610.13 ,"$1,858.50 ","$1,105.19 ",$993.68 ,"$1,105.19 ",$598.17 ,"$1,105.19 ","$1,561.14 ","$1,561.14 ","$1,759.38 ","$2,478.00 ","$2,106.30 ","$1,495.43 ","$1,982.40 ",$916.86 ,"$1,982.40 ",$598.17 ,$598.17 ,"$2,478.00 ","$1,343.08 ",$598.17 ,$651.71 , N/A , N/A ,"$1,098.72 ","$1,048.78 ",$628.08 ,"$2,106.30 ","$1,345.88 ",$946.60 ,$693.84 ,"$2,230.20 ","$1,784.16 ","$2,478.00 ","$1,561.14 ","$1,561.14 ","$1,561.14 ",$598.17 ,"$1,189.44 ","$2,230.20 " ST. JOHN'S HOSPITAL,36000040,31652,HC BRONCH RIGID/FLEX EBUS 1 OR 2 NODES,360,1 ,"$8,259.00 ","$5,368.35 ","$1,732.44 ","$8,259.00 ","$7,443.90 ","$3,400.00 ","$4,476.38 ","$2,977.56 ","$2,312.52 ","$2,642.88 ","$2,977.56 ","$3,039.31 ","$2,977.56 ","$3,154.94 ","$3,154.94 ","$2,977.56 ","$3,154.94 ","$5,657.37 ","$4,344.23 ","$3,351.00 ","$7,443.90 ","$2,977.56 ","$5,781.30 ","$2,977.56 ","$4,129.50 ","$3,037.11 ","$6,194.25 ","$3,683.51 ","$3,311.86 ","$3,683.51 ","$2,977.56 ","$3,683.51 ","$5,203.17 ","$5,203.17 ","$5,863.89 ","$8,259.00 ","$7,020.15 ","$7,443.90 ","$6,607.20 ","$3,055.83 ","$6,607.20 ","$2,977.56 ","$2,977.56 ","$8,259.00 ","$4,476.38 ","$2,977.56 ","$2,172.12 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$3,126.44 ","$7,020.15 ","$6,699.51 ","$3,154.94 ","$2,312.52 ","$7,433.10 ","$5,946.48 ","$8,259.00 ","$5,203.17 ","$5,203.17 ","$5,203.17 ","$2,977.56 ","$3,964.32 ","$7,433.10 " ST. JOHN'S HOSPITAL,36000042,31654,HC BRONCH RIGID/FLEX EBUS FOR PHERIPHERAL LESIONS ADD ON,360,1 ,"$3,416.00 ","$2,220.40 ",$898.41 ,"$3,416.00 ", N/A ,"$2,300.00 ","$1,851.47 ", N/A ,$956.48 ,"$1,093.12 ", N/A ,"$1,257.09 ", N/A ,"$1,304.91 ","$1,304.91 ", N/A ,"$1,304.91 ", N/A ,"$1,796.82 ","$1,708.00 ", N/A , N/A ,"$2,391.20 ", N/A ,"$1,708.00 ", N/A ,"$2,562.00 ","$1,523.54 ","$1,369.82 ","$1,523.54 ", N/A ,"$1,523.54 ","$2,152.08 ","$2,152.08 ","$2,425.36 ","$3,416.00 ","$2,903.60 ", N/A ,"$2,732.80 ","$1,263.92 ","$2,732.80 ", N/A , N/A ,"$3,416.00 ","$1,851.47 ", N/A ,$898.41 , N/A , N/A ,"$1,814.93 ","$1,732.44 ", N/A ,"$2,903.60 ", N/A ,"$1,304.91 ",$956.48 ,"$3,074.40 ","$2,459.52 ","$3,416.00 ","$2,152.08 ","$2,152.08 ","$2,152.08 ", N/A ,"$1,639.68 ","$3,074.40 " ST. JOHN'S HOSPITAL,36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,300.00 ",$845.00 ,$177.68 ,"$1,495.43 ","$1,495.43 ","$1,300.00 ",$704.60 ,$598.17 ,$364.00 ,$416.00 ,$598.17 ,$478.40 ,$598.17 ,$496.60 ,$496.60 ,$598.17 ,$496.60 ,"$1,136.52 ",$683.80 ,$650.00 ,"$1,495.43 ",$598.17 ,$910.00 ,$598.17 ,$650.00 ,$610.13 ,$975.00 ,$579.80 ,$521.30 ,$579.80 ,$598.17 ,$579.80 ,$819.00 ,$819.00 ,$923.00 ,"$1,300.00 ","$1,105.00 ","$1,300.00 ","$1,040.00 ",$481.00 ,"$1,040.00 ",$598.17 ,$598.17 ,$177.68 ,$704.60 ,$598.17 ,$341.90 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,105.00 ","$1,345.88 ",$496.60 ,$364.00 ,"$1,170.00 ",$936.00 ,"$1,300.00 ",$819.00 ,$819.00 ,$819.00 ,$598.17 ,$624.00 ,"$1,170.00 " ST. JOHN'S HOSPITAL,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$650.00 ,$422.50 ,$29.74 ,$650.00 , N/A ,$650.00 ,$352.30 , N/A ,$182.00 ,$208.00 , N/A ,$239.20 , N/A ,$248.30 ,$248.30 , N/A ,$248.30 , N/A ,$341.90 ,$325.00 , N/A , N/A ,$455.00 , N/A ,$325.00 , N/A ,$487.50 ,$289.90 ,$260.65 ,$289.90 , N/A ,$289.90 ,$409.50 ,$409.50 ,$461.50 ,$650.00 ,$552.50 , N/A ,$520.00 ,$240.50 ,$520.00 , N/A , N/A ,$29.74 ,$352.30 , N/A ,$170.95 , N/A , N/A ,$637.68 ,$608.70 , N/A ,$552.50 , N/A ,$248.30 ,$182.00 ,$585.00 ,$468.00 ,$650.00 ,$409.50 ,$409.50 ,$409.50 , N/A ,$312.00 ,$585.00 ST. JOHN'S HOSPITAL,36000080,19020,HC BREAST ABSCESS DRAINAGE,360,1 ,"$3,908.00 ","$2,540.20 ","$1,027.80 ","$3,908.00 ","$3,381.25 ","$3,400.00 ","$2,118.14 ","$1,352.50 ","$1,094.24 ","$1,250.56 ","$1,352.50 ","$1,438.14 ","$1,352.50 ","$1,492.86 ","$1,492.86 ","$1,352.50 ","$1,492.86 ","$2,569.74 ","$2,055.61 ","$1,536.00 ","$3,381.24 ","$1,352.50 ","$2,735.60 ","$1,352.50 ","$1,954.00 ","$1,379.54 ","$2,931.00 ","$1,742.97 ","$1,567.11 ","$1,742.97 ","$1,352.50 ","$1,742.97 ","$2,462.04 ","$2,462.04 ","$2,774.68 ","$3,908.00 ","$3,321.80 ","$3,381.24 ","$3,126.40 ","$1,445.96 ","$3,126.40 ","$1,352.50 ","$1,352.50 ","$3,908.00 ","$2,118.14 ","$1,352.50 ","$1,027.80 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$1,420.13 ","$3,321.80 ","$3,043.11 ","$1,492.86 ","$1,094.24 ","$3,517.20 ","$2,813.76 ","$3,908.00 ","$2,462.04 ","$2,462.04 ","$2,462.04 ","$1,352.50 ","$1,875.84 ","$3,517.20 " ST. JOHN'S HOSPITAL,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,"$1,459.00 ",$948.35 ,$383.72 ,"$1,459.00 ", N/A ,"$1,459.00 ",$790.78 , N/A ,$408.52 ,$466.88 , N/A ,$536.91 , N/A ,$557.34 ,$557.34 , N/A ,$557.34 , N/A ,$767.43 ,$729.50 , N/A , N/A ,"$1,021.30 ", N/A ,$729.50 , N/A ,"$1,094.25 ",$650.71 ,$585.06 ,$650.71 , N/A ,$650.71 ,$919.17 ,$919.17 ,"$1,035.89 ","$1,459.00 ","$1,240.15 ", N/A ,"$1,167.20 ",$539.83 ,"$1,167.20 ", N/A , N/A ,"$1,459.00 ",$790.78 , N/A ,$383.72 , N/A , N/A , N/A , N/A , N/A ,"$1,240.15 ", N/A ,$557.34 ,$408.52 ,"$1,313.10 ","$1,050.48 ","$1,459.00 ",$919.17 ,$919.17 ,$919.17 , N/A ,$700.32 ,"$1,313.10 " ST. JOHN'S HOSPITAL,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,"$2,188.00 ","$1,422.20 ",$575.44 ,"$2,188.00 ", N/A ,"$2,188.00 ","$1,185.90 ", N/A ,$612.64 ,$700.16 , N/A ,$805.18 , N/A ,$835.82 ,$835.82 , N/A ,$835.82 , N/A ,"$1,150.89 ","$1,094.00 ", N/A , N/A ,"$1,531.60 ", N/A ,"$1,094.00 ", N/A ,"$1,641.00 ",$975.85 ,$877.39 ,$975.85 , N/A ,$975.85 ,"$1,378.44 ","$1,378.44 ","$1,553.48 ","$2,188.00 ","$1,859.80 ", N/A ,"$1,750.40 ",$809.56 ,"$1,750.40 ", N/A , N/A ,"$2,188.00 ","$1,185.90 ", N/A ,$575.44 , N/A , N/A , N/A , N/A , N/A ,"$1,859.80 ", N/A ,$835.82 ,$612.64 ,"$1,969.20 ","$1,575.36 ","$2,188.00 ","$1,378.44 ","$1,378.44 ","$1,378.44 ", N/A ,"$1,050.24 ","$1,969.20 " ST. JOHN'S HOSPITAL,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$5,630.00 ","$3,659.50 ",$620.94 ,"$5,697.91 ","$5,697.90 ","$5,100.00 ","$3,051.46 ","$2,279.16 ","$1,576.40 ","$1,801.60 ","$2,279.16 ","$2,071.84 ","$2,279.16 ","$2,150.66 ","$2,150.66 ","$2,279.16 ","$2,150.66 ","$4,330.41 ","$2,961.38 ","$2,815.00 ","$5,697.91 ","$2,279.16 ","$3,941.00 ","$2,279.16 ","$2,815.00 ","$2,324.75 ","$4,222.50 ","$2,510.98 ","$2,257.63 ","$2,510.98 ","$2,279.16 ","$2,510.98 ","$3,546.90 ","$3,546.90 ","$3,997.30 ","$5,630.00 ","$4,785.50 ","$5,630.00 ","$4,504.00 ","$2,083.10 ","$4,504.00 ","$2,279.16 ","$2,279.16 ",$620.94 ,"$3,051.46 ","$2,279.16 ","$1,480.69 ", N/A , N/A ,"$1,938.46 ","$1,850.35 ","$2,393.12 ","$4,785.50 ","$5,128.12 ","$2,150.66 ","$1,576.40 ","$5,067.00 ","$4,053.60 ","$5,630.00 ","$3,546.90 ","$3,546.90 ","$3,546.90 ","$2,279.16 ","$2,702.40 ","$5,067.00 " ST. JOHN'S HOSPITAL,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,753.00 ","$2,439.45 ",$620.94 ,"$3,753.00 ","$3,381.25 ","$3,400.00 ","$2,034.13 ","$1,352.50 ","$1,050.84 ","$1,200.96 ","$1,352.50 ","$1,381.10 ","$1,352.50 ","$1,433.65 ","$1,433.65 ","$1,352.50 ","$1,433.65 ","$2,569.74 ","$1,974.08 ","$1,876.50 ","$3,381.24 ","$1,352.50 ","$2,627.10 ","$1,352.50 ","$1,876.50 ","$1,379.54 ","$2,814.75 ","$1,673.84 ","$1,504.95 ","$1,673.84 ","$1,352.50 ","$1,673.84 ","$2,364.39 ","$2,364.39 ","$2,664.63 ","$3,753.00 ","$3,190.05 ","$3,381.24 ","$3,002.40 ","$1,388.61 ","$3,002.40 ","$1,352.50 ","$1,352.50 ",$620.94 ,"$2,034.13 ","$1,352.50 ",$987.04 , N/A , N/A ,"$1,292.31 ","$1,233.57 ","$1,420.13 ","$3,190.05 ","$3,043.11 ","$1,433.65 ","$1,050.84 ","$3,377.70 ","$2,702.16 ","$3,753.00 ","$2,364.39 ","$2,364.39 ","$2,364.39 ","$1,352.50 ","$1,801.44 ","$3,377.70 " ST. JOHN'S HOSPITAL,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$5,564.00 ","$3,616.60 ",$179.25 ,"$5,564.00 ","$1,495.43 ","$5,100.00 ","$3,015.69 ",$598.17 ,"$1,557.92 ","$1,780.48 ",$598.17 ,"$2,047.55 ",$598.17 ,"$2,125.45 ","$2,125.45 ",$598.17 ,"$2,125.45 ","$1,136.52 ","$2,926.66 ","$2,782.00 ","$1,495.43 ",$598.17 ,"$3,894.80 ",$598.17 ,"$2,782.00 ",$610.13 ,"$4,173.00 ","$2,481.54 ","$2,231.16 ","$2,481.54 ",$598.17 ,"$2,481.54 ","$3,505.32 ","$3,505.32 ","$3,950.44 ","$5,564.00 ","$4,729.40 ","$1,495.43 ","$4,451.20 ","$2,058.68 ","$4,451.20 ",$598.17 ,$598.17 ,$464.28 ,"$3,015.69 ",$598.17 ,"$1,463.33 ", N/A , N/A ,$187.78 ,$179.25 ,$628.08 ,"$4,729.40 ","$1,345.88 ","$2,125.45 ","$1,557.92 ","$5,007.60 ","$4,006.08 ","$5,564.00 ","$3,505.32 ","$3,505.32 ","$3,505.32 ",$598.17 ,"$2,670.72 ","$5,007.60 " ST. JOHN'S HOSPITAL,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$3,709.00 ","$2,410.85 ",$119.50 ,"$3,709.00 ","$1,495.43 ","$3,400.00 ","$2,010.28 ",$598.17 ,"$1,038.52 ","$1,186.88 ",$598.17 ,"$1,364.91 ",$598.17 ,"$1,416.84 ","$1,416.84 ",$598.17 ,"$1,416.84 ","$1,136.52 ","$1,950.93 ","$1,854.50 ","$1,495.43 ",$598.17 ,"$2,596.30 ",$598.17 ,"$1,854.50 ",$610.13 ,"$2,781.75 ","$1,654.21 ","$1,487.31 ","$1,654.21 ",$598.17 ,"$1,654.21 ","$2,336.67 ","$2,336.67 ","$2,633.39 ","$3,709.00 ","$3,152.65 ","$1,495.43 ","$2,967.20 ","$1,372.33 ","$2,967.20 ",$598.17 ,$598.17 ,$464.28 ,"$2,010.28 ",$598.17 ,$975.47 , N/A , N/A ,$125.19 ,$119.50 ,$628.08 ,"$3,152.65 ","$1,345.88 ","$1,416.84 ","$1,038.52 ","$3,338.10 ","$2,670.48 ","$3,709.00 ","$2,336.67 ","$2,336.67 ","$2,336.67 ",$598.17 ,"$1,780.32 ","$3,338.10 " ST. JOHN'S HOSPITAL,36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,"$1,858.00 ","$1,207.70 ",$488.65 ,"$3,381.25 ","$3,381.25 ","$1,858.00 ","$1,007.04 ","$1,352.50 ",$520.24 ,$594.56 ,"$1,352.50 ",$683.74 ,"$1,352.50 ",$709.76 ,$709.76 ,"$1,352.50 ",$709.76 ,"$1,858.00 ",$977.31 ,"$1,398.00 ","$3,381.24 ","$1,352.50 ","$1,300.60 ","$1,352.50 ",$929.00 ,"$1,379.54 ","$1,393.50 ",$828.67 ,$745.06 ,$828.67 ,"$1,352.50 ",$828.67 ,"$1,170.54 ","$1,170.54 ","$1,319.18 ","$1,858.00 ","$1,579.30 ","$1,858.00 ","$1,486.40 ",$687.46 ,"$1,486.40 ","$1,352.50 ","$1,352.50 ","$1,858.00 ","$1,007.04 ","$1,352.50 ",$488.65 , N/A , N/A ,$637.68 ,$608.70 ,"$1,420.13 ","$1,579.30 ","$3,043.11 ",$709.76 ,$520.24 ,"$1,672.20 ","$1,337.76 ","$1,858.00 ","$1,170.54 ","$1,170.54 ","$1,170.54 ","$1,352.50 ",$891.84 ,"$1,672.20 " ST. JOHN'S HOSPITAL,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$2,044.00 ","$1,328.60 ",$537.57 ,"$3,381.25 ","$3,381.25 ","$2,044.00 ","$1,107.85 ","$1,352.50 ",$572.32 ,$654.08 ,"$1,352.50 ",$752.19 ,"$1,352.50 ",$780.81 ,$780.81 ,"$1,352.50 ",$780.81 ,"$2,044.00 ","$1,075.14 ","$1,398.00 ","$3,381.24 ","$1,352.50 ","$1,430.80 ","$1,352.50 ","$1,022.00 ","$1,379.54 ","$1,533.00 ",$911.62 ,$819.64 ,$911.62 ,"$1,352.50 ",$911.62 ,"$1,287.72 ","$1,287.72 ","$1,451.24 ","$2,044.00 ","$1,737.40 ","$2,044.00 ","$1,635.20 ",$756.28 ,"$1,635.20 ","$1,352.50 ","$1,352.50 ","$2,044.00 ","$1,107.85 ","$1,352.50 ",$537.57 , N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$1,737.40 ","$3,043.11 ",$780.81 ,$572.32 ,"$1,839.60 ","$1,471.68 ","$2,044.00 ","$1,287.72 ","$1,287.72 ","$1,287.72 ","$1,352.50 ",$981.12 ,"$1,839.60 " ST. JOHN'S HOSPITAL,36000090,20225,HC BX BONE NEEDLE DEEP,360,1 ,"$5,595.00 ","$3,636.75 ",$644.88 ,"$5,595.00 ","$3,381.25 ","$3,400.00 ","$3,032.49 ","$1,352.50 ","$1,566.60 ","$1,790.40 ","$1,352.50 ","$2,058.96 ","$1,352.50 ","$2,137.29 ","$2,137.29 ","$1,352.50 ","$2,137.29 ","$2,569.74 ","$2,942.97 ","$1,536.00 ","$3,381.24 ","$1,352.50 ","$3,916.50 ","$1,352.50 ","$2,797.50 ","$1,379.54 ","$4,196.25 ","$2,495.37 ","$2,243.60 ","$2,495.37 ","$1,352.50 ","$2,495.37 ","$3,524.85 ","$3,524.85 ","$3,972.45 ","$5,595.00 ","$4,755.75 ","$3,381.24 ","$4,476.00 ","$2,070.15 ","$4,476.00 ","$1,352.50 ","$1,352.50 ","$5,595.00 ","$3,032.49 ","$1,352.50 ","$1,471.49 ", N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$4,755.75 ","$3,043.11 ","$2,137.29 ","$1,566.60 ","$5,035.50 ","$4,028.40 ","$5,595.00 ","$3,524.85 ","$3,524.85 ","$3,524.85 ","$1,352.50 ","$2,685.60 ","$5,035.50 " ST. JOHN'S HOSPITAL,36000092,20500,HC INJ TRACT SINUS THERAPEUTIC,360,1 ,"$5,650.00 ","$3,672.50 ","$1,280.65 ","$5,650.00 ","$3,250.78 ","$2,300.00 ","$3,062.30 ","$1,300.31 ","$1,582.00 ","$1,808.00 ","$1,300.31 ","$2,079.20 ","$1,300.31 ","$2,158.30 ","$2,158.30 ","$1,300.31 ","$2,158.30 ","$2,470.58 ","$2,971.90 ","$2,825.00 ","$3,250.76 ","$1,300.31 ","$3,955.00 ","$1,300.31 ","$2,825.00 ","$1,326.31 ","$4,237.50 ","$2,519.90 ","$2,265.65 ","$2,519.90 ","$1,300.31 ","$2,519.90 ","$3,559.50 ","$3,559.50 ","$4,011.50 ","$5,650.00 ","$4,802.50 ","$3,250.76 ","$4,520.00 ","$2,090.50 ","$4,520.00 ","$1,300.31 ","$1,300.31 ","$5,650.00 ","$3,062.30 ","$1,300.31 ","$1,485.95 ", N/A , N/A ,"$1,341.64 ","$1,280.65 ","$1,365.33 ","$4,802.50 ","$2,925.69 ","$2,158.30 ","$1,582.00 ","$5,085.00 ","$4,068.00 ","$5,650.00 ","$3,559.50 ","$3,559.50 ","$3,559.50 ","$1,300.31 ","$2,712.00 ","$5,085.00 " ST. JOHN'S HOSPITAL,36000101,29085,HC CAST APPL; HAND AND FOREARM,360,1 ,$484.00 ,$314.60 ,$127.29 ,$484.00 ,$339.53 ,$222.64 ,$262.33 ,$135.81 ,$135.52 ,$154.88 ,$135.81 ,$178.11 ,$135.81 ,$184.89 ,$184.89 ,$135.81 ,$184.89 ,$258.03 ,$254.58 ,$242.00 ,$339.51 ,$135.81 ,$338.80 ,$135.81 ,$242.00 ,$138.52 ,$363.00 ,$215.86 ,$194.08 ,$215.86 ,$135.81 ,$215.86 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$339.51 ,$387.20 ,$179.08 ,$387.20 ,$135.81 ,$135.81 ,$484.00 ,$262.33 ,$135.81 ,$127.29 , N/A , N/A ,$340.85 ,$325.35 ,$142.60 ,$411.40 ,$305.56 ,$184.89 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$304.92 ,$304.92 ,$135.81 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$2,613.00 ","$1,698.45 ",$494.86 ,"$2,613.00 ", N/A ,"$2,300.00 ","$1,416.25 ", N/A ,$731.64 ,$836.16 , N/A ,$961.58 , N/A ,$998.17 ,$998.17 , N/A ,$998.17 , N/A ,"$1,374.44 ","$1,306.50 ", N/A , N/A ,"$1,829.10 ", N/A ,"$1,306.50 ", N/A ,"$1,959.75 ","$1,165.40 ","$1,047.81 ","$1,165.40 ", N/A ,"$1,165.40 ","$1,646.19 ","$1,646.19 ","$1,855.23 ","$2,613.00 ","$2,221.05 ", N/A ,"$2,090.40 ",$966.81 ,"$2,090.40 ", N/A , N/A ,$494.86 ,"$1,416.25 ", N/A ,$687.22 , N/A , N/A ,"$1,292.31 ","$1,233.57 ", N/A ,"$2,221.05 ", N/A ,$998.17 ,$731.64 ,"$2,351.70 ","$1,881.36 ","$2,613.00 ","$1,646.19 ","$1,646.19 ","$1,646.19 ", N/A ,"$1,254.24 ","$2,351.70 " ST. JOHN'S HOSPITAL,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$1,255.00 ",$815.75 ,$330.07 ,"$1,255.00 ", N/A ,"$1,255.00 ",$680.21 , N/A ,$351.40 ,$401.60 , N/A ,$461.84 , N/A ,$479.41 ,$479.41 , N/A ,$479.41 , N/A ,$660.13 ,$627.50 , N/A , N/A ,$878.50 , N/A ,$627.50 , N/A ,$941.25 ,$559.73 ,$503.26 ,$559.73 , N/A ,$559.73 ,$790.65 ,$790.65 ,$891.05 ,"$1,255.00 ","$1,066.75 ", N/A ,"$1,004.00 ",$464.35 ,"$1,004.00 ", N/A , N/A ,$485.95 ,$680.21 , N/A ,$330.07 , N/A , N/A ,"$1,255.00 ","$1,233.57 ", N/A ,"$1,066.75 ", N/A ,$479.41 ,$351.40 ,"$1,129.50 ",$903.60 ,"$1,255.00 ",$790.65 ,$790.65 ,$790.65 , N/A ,$602.40 ,"$1,129.50 " ST. JOHN'S HOSPITAL,36000110,19085,HC BX BREAST 1ST LESION MR IMAG,360,1 ,"$9,233.00 ","$6,001.45 ",$949.78 ,"$9,233.00 ","$5,697.90 ","$6,300.00 ","$5,004.29 ","$2,279.16 ","$2,585.24 ","$2,954.56 ","$2,279.16 ","$3,397.74 ","$2,279.16 ","$3,527.01 ","$3,527.01 ","$2,279.16 ","$3,527.01 ","$4,330.41 ","$4,856.56 ","$3,351.00 ","$5,697.91 ","$2,279.16 ","$6,463.10 ","$2,279.16 ","$4,616.50 ","$2,324.75 ","$6,924.75 ","$4,117.92 ","$3,702.43 ","$4,117.92 ","$2,279.16 ","$4,117.92 ","$5,816.79 ","$5,816.79 ","$6,555.43 ","$9,233.00 ","$7,848.05 ","$5,697.91 ","$7,386.40 ","$3,416.21 ","$7,386.40 ","$2,279.16 ","$2,279.16 ",$949.78 ,"$5,004.29 ","$2,279.16 ","$2,428.28 ", N/A , N/A ,"$1,938.46 ","$1,850.35 ","$2,393.12 ","$7,848.05 ","$5,128.12 ","$3,527.01 ","$2,585.24 ","$8,309.70 ","$6,647.76 ","$9,233.00 ","$5,816.79 ","$5,816.79 ","$5,816.79 ","$2,279.16 ","$4,431.84 ","$8,309.70 " ST. JOHN'S HOSPITAL,36000110,19085,HC BX BREAST 1ST LESION MR IMAG,360,1 ,"$6,155.00 ","$4,000.75 ",$949.78 ,"$6,155.00 ","$3,381.25 ","$4,200.00 ","$3,336.01 ","$1,352.50 ","$1,723.40 ","$1,969.60 ","$1,352.50 ","$2,265.04 ","$1,352.50 ","$2,351.21 ","$2,351.21 ","$1,352.50 ","$2,351.21 ","$2,569.74 ","$3,237.53 ","$3,077.50 ","$3,381.24 ","$1,352.50 ","$4,308.50 ","$1,352.50 ","$3,077.50 ","$1,379.54 ","$4,616.25 ","$2,745.13 ","$2,468.16 ","$2,745.13 ","$1,352.50 ","$2,745.13 ","$3,877.65 ","$3,877.65 ","$4,370.05 ","$6,155.00 ","$5,231.75 ","$3,381.24 ","$4,924.00 ","$2,277.35 ","$4,924.00 ","$1,352.50 ","$1,352.50 ",$949.78 ,"$3,336.01 ","$1,352.50 ","$1,618.77 ", N/A , N/A ,"$1,292.31 ","$1,233.57 ","$1,420.13 ","$5,231.75 ","$3,043.11 ","$2,351.21 ","$1,723.40 ","$5,539.50 ","$4,431.60 ","$6,155.00 ","$3,877.65 ","$3,877.65 ","$3,877.65 ","$1,352.50 ","$2,954.40 ","$5,539.50 " ST. JOHN'S HOSPITAL,36000111,19086,HC BX BREAST ADDN LESION MR IMAG,360,1 ,"$2,467.00 ","$1,603.55 ",$648.82 ,"$2,467.00 ", N/A ,"$2,300.00 ","$1,337.11 ", N/A ,$690.76 ,$789.44 , N/A ,$907.86 , N/A ,$942.39 ,$942.39 , N/A ,$942.39 , N/A ,"$1,297.64 ","$1,233.50 ", N/A , N/A ,"$1,726.90 ", N/A ,"$1,233.50 ", N/A ,"$1,850.25 ","$1,100.28 ",$989.27 ,"$1,100.28 ", N/A ,"$1,100.28 ","$1,554.21 ","$1,554.21 ","$1,751.57 ","$2,467.00 ","$2,096.95 ", N/A ,"$1,973.60 ",$912.79 ,"$1,973.60 ", N/A , N/A ,$751.20 ,"$1,337.11 ", N/A ,$648.82 , N/A , N/A ,"$1,292.31 ","$1,233.57 ", N/A ,"$2,096.95 ", N/A ,$942.39 ,$690.76 ,"$2,220.30 ","$1,776.24 ","$2,467.00 ","$1,554.21 ","$1,554.21 ","$1,554.21 ", N/A ,"$1,184.16 ","$2,220.30 " ST. JOHN'S HOSPITAL,36000112,19287,HC PERCUTAN DEV BREAST 1ST MR GUIDE,360,1 ,"$6,338.00 ","$4,119.70 ",$179.25 ,"$6,338.00 ","$1,495.43 ","$6,300.00 ","$3,435.20 ",$598.17 ,"$1,774.64 ","$2,028.16 ",$598.17 ,"$2,332.38 ",$598.17 ,"$2,421.12 ","$2,421.12 ",$598.17 ,"$2,421.12 ","$1,136.52 ","$3,333.79 ","$3,169.00 ","$1,495.43 ",$598.17 ,"$4,436.60 ",$598.17 ,"$3,169.00 ",$610.13 ,"$4,753.50 ","$2,826.75 ","$2,541.54 ","$2,826.75 ",$598.17 ,"$2,826.75 ","$3,992.94 ","$3,992.94 ","$4,499.98 ","$6,338.00 ","$5,387.30 ","$1,495.43 ","$5,070.40 ","$2,345.06 ","$5,070.40 ",$598.17 ,$598.17 ,$796.53 ,"$3,435.20 ",$598.17 ,"$1,666.89 ", N/A , N/A ,$187.78 ,$179.25 ,$628.08 ,"$5,387.30 ","$1,345.88 ","$2,421.12 ","$1,774.64 ","$5,704.20 ","$4,563.36 ","$6,338.00 ","$3,992.94 ","$3,992.94 ","$3,992.94 ",$598.17 ,"$3,042.24 ","$5,704.20 " ST. JOHN'S HOSPITAL,36000112,19287,HC PERCUTAN DEV BREAST 1ST MR GUIDE,360,1 ,"$4,225.00 ","$2,746.25 ",$119.50 ,"$4,225.00 ","$1,495.43 ","$4,200.00 ","$2,289.95 ",$598.17 ,"$1,183.00 ","$1,352.00 ",$598.17 ,"$1,554.80 ",$598.17 ,"$1,613.95 ","$1,613.95 ",$598.17 ,"$1,613.95 ","$1,136.52 ","$2,222.35 ","$2,112.50 ","$1,495.43 ",$598.17 ,"$2,957.50 ",$598.17 ,"$2,112.50 ",$610.13 ,"$3,168.75 ","$1,884.35 ","$1,694.23 ","$1,884.35 ",$598.17 ,"$1,884.35 ","$2,661.75 ","$2,661.75 ","$2,999.75 ","$4,225.00 ","$3,591.25 ","$1,495.43 ","$3,380.00 ","$1,563.25 ","$3,380.00 ",$598.17 ,$598.17 ,$796.53 ,"$2,289.95 ",$598.17 ,"$1,111.18 ", N/A , N/A ,$125.19 ,$119.50 ,$628.08 ,"$3,591.25 ","$1,345.88 ","$1,613.95 ","$1,183.00 ","$3,802.50 ","$3,042.00 ","$4,225.00 ","$2,661.75 ","$2,661.75 ","$2,661.75 ",$598.17 ,"$2,028.00 ","$3,802.50 " ST. JOHN'S HOSPITAL,36000113,19288,HC PERCUTAN DEV BREAST ADDN MR GUIDE,360,1 ,"$1,224.00 ",$795.60 ,$119.50 ,"$1,224.00 ", N/A ,"$1,224.00 ",$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$467.57 , N/A ,$467.57 , N/A ,$643.82 ,$612.00 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$545.90 ,$490.82 ,$545.90 , N/A ,$545.90 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,$628.63 ,$663.41 , N/A ,$321.91 , N/A , N/A ,$125.19 ,$119.50 , N/A ,"$1,040.40 ", N/A ,$467.57 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,224.00 ",$795.60 ,$119.50 ,"$1,224.00 ", N/A ,"$1,224.00 ",$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$467.57 , N/A ,$467.57 , N/A ,$643.82 ,$612.00 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$545.90 ,$490.82 ,$545.90 , N/A ,$545.90 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,$189.78 ,$663.41 , N/A ,$321.91 , N/A , N/A ,$125.19 ,$119.50 , N/A ,"$1,040.40 ", N/A ,$467.57 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,36000116,19286,HC BREAST NDL LOC BX ULTRA ADDN LESION,360,1 ,"$1,224.00 ",$795.60 ,$119.50 ,"$1,224.00 ", N/A ,"$1,224.00 ",$663.41 , N/A ,$342.72 ,$391.68 , N/A ,$450.43 , N/A ,$467.57 ,$467.57 , N/A ,$467.57 , N/A ,$643.82 ,$612.00 , N/A , N/A ,$856.80 , N/A ,$612.00 , N/A ,$918.00 ,$545.90 ,$490.82 ,$545.90 , N/A ,$545.90 ,$771.12 ,$771.12 ,$869.04 ,"$1,224.00 ","$1,040.40 ", N/A ,$979.20 ,$452.88 ,$979.20 , N/A , N/A ,$391.77 ,$663.41 , N/A ,$321.91 , N/A , N/A ,$125.19 ,$119.50 , N/A ,"$1,040.40 ", N/A ,$467.57 ,$342.72 ,"$1,101.60 ",$881.28 ,"$1,224.00 ",$771.12 ,$771.12 ,$771.12 , N/A ,$587.52 ,"$1,101.60 " ST. JOHN'S HOSPITAL,36000118,36470,HC INJ SCLEROSING SOLUTION SINGLE VEIN,360,1 ,$695.00 ,$451.75 ,$182.79 ,$878.23 ,$830.60 ,$695.00 ,$376.69 ,$332.24 ,$194.60 ,$222.40 ,$332.24 ,$255.76 ,$332.24 ,$265.49 ,$265.49 ,$332.24 ,$265.49 ,$631.26 ,$365.57 ,$347.50 ,$830.61 ,$332.24 ,$486.50 ,$332.24 ,$347.50 ,$338.89 ,$521.25 ,$309.97 ,$278.70 ,$309.97 ,$332.24 ,$309.97 ,$437.85 ,$437.85 ,$493.45 ,$695.00 ,$590.75 ,$695.00 ,$556.00 ,$257.15 ,$556.00 ,$332.24 ,$332.24 ,$695.00 ,$376.69 ,$332.24 ,$182.79 , N/A , N/A ,$695.00 ,$878.23 ,$348.85 ,$590.75 ,$747.55 ,$265.49 ,$194.60 ,$625.50 ,$500.40 ,$695.00 ,$437.85 ,$437.85 ,$437.85 ,$332.24 ,$333.60 ,$625.50 ST. JOHN'S HOSPITAL,36000120,36481,HC CATH VEIN PORTAL PERC,360,1 ,"$5,063.00 ","$3,290.95 ","$1,331.57 ","$5,063.00 ", N/A ,"$2,300.00 ","$2,744.15 ", N/A ,"$1,417.64 ","$1,620.16 ", N/A ,"$1,863.18 ", N/A ,"$1,934.07 ","$1,934.07 ", N/A ,"$1,934.07 ", N/A ,"$2,663.14 ","$2,531.50 ", N/A , N/A ,"$3,544.10 ", N/A ,"$2,531.50 ", N/A ,"$3,797.25 ","$2,258.10 ","$2,030.26 ","$2,258.10 ", N/A ,"$2,258.10 ","$3,189.69 ","$3,189.69 ","$3,594.73 ","$5,063.00 ","$4,303.55 ", N/A ,"$4,050.40 ","$1,873.31 ","$4,050.40 ", N/A , N/A ,"$5,063.00 ","$2,744.15 ", N/A ,"$1,331.57 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$4,303.55 ", N/A ,"$1,934.07 ","$1,417.64 ","$4,556.70 ","$3,645.36 ","$5,063.00 ","$3,189.69 ","$3,189.69 ","$3,189.69 ", N/A ,"$2,430.24 ","$4,556.70 " ST. JOHN'S HOSPITAL,36000121,36500,HC CATH VENOUS BLOOD SELECT SMPL,360,1 ,"$1,724.00 ","$1,120.60 ",$453.41 ,"$1,724.00 ", N/A ,"$1,724.00 ",$934.41 , N/A ,$482.72 ,$551.68 , N/A ,$634.43 , N/A ,$658.57 ,$658.57 , N/A ,$658.57 , N/A ,$906.82 ,$862.00 , N/A , N/A ,"$1,206.80 ", N/A ,$862.00 , N/A ,"$1,293.00 ",$768.90 ,$691.32 ,$768.90 , N/A ,$768.90 ,"$1,086.12 ","$1,086.12 ","$1,224.04 ","$1,724.00 ","$1,465.40 ", N/A ,"$1,379.20 ",$637.88 ,"$1,379.20 ", N/A , N/A ,"$1,724.00 ",$934.41 , N/A ,$453.41 , N/A , N/A , N/A , N/A , N/A ,"$1,465.40 ", N/A ,$658.57 ,$482.72 ,"$1,551.60 ","$1,241.28 ","$1,724.00 ","$1,086.12 ","$1,086.12 ","$1,086.12 ", N/A ,$827.52 ,"$1,551.60 " ST. JOHN'S HOSPITAL,36000122,36555,HC INS CATH CV NON-TUNL <5 YRS,360,1 ,"$4,171.00 ","$2,711.15 ","$1,096.97 ","$6,879.30 ","$6,879.30 ","$2,300.00 ","$2,260.68 ","$2,751.72 ","$1,167.88 ","$1,334.72 ","$2,751.72 ","$1,534.93 ","$2,751.72 ","$1,593.32 ","$1,593.32 ","$2,751.72 ","$1,593.32 ","$4,171.00 ","$2,193.95 ","$1,398.00 ","$6,879.30 ","$2,751.72 ","$2,919.70 ","$2,751.72 ","$2,085.50 ","$2,806.76 ","$3,128.25 ","$1,860.27 ","$1,672.57 ","$1,860.27 ","$2,751.72 ","$1,860.27 ","$2,627.73 ","$2,627.73 ","$2,961.41 ","$4,171.00 ","$3,545.35 ","$4,171.00 ","$3,336.80 ","$1,543.27 ","$3,336.80 ","$2,751.72 ","$2,751.72 ","$4,171.00 ","$2,260.68 ","$2,751.72 ","$1,096.97 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$3,545.35 ","$6,191.37 ","$1,593.32 ","$1,167.88 ","$3,753.90 ","$3,003.12 ","$4,171.00 ","$2,627.73 ","$2,627.73 ","$2,627.73 ","$2,751.72 ","$2,002.08 ","$3,753.90 " ST. JOHN'S HOSPITAL,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$4,171.00 ","$2,711.15 ","$1,096.97 ","$6,879.30 ","$6,879.30 ","$2,300.00 ","$2,260.68 ","$2,751.72 ","$1,167.88 ","$1,334.72 ","$2,751.72 ","$1,534.93 ","$2,751.72 ","$1,593.32 ","$1,593.32 ","$2,751.72 ","$1,593.32 ","$4,171.00 ","$2,193.95 ","$1,398.00 ","$6,879.30 ","$2,751.72 ","$2,919.70 ","$2,751.72 ","$2,085.50 ","$2,806.76 ","$3,128.25 ","$1,860.27 ","$1,672.57 ","$1,860.27 ","$2,751.72 ","$1,860.27 ","$2,627.73 ","$2,627.73 ","$2,961.41 ","$4,171.00 ","$3,545.35 ","$4,171.00 ","$3,336.80 ","$1,543.27 ","$3,336.80 ","$2,751.72 ","$2,751.72 ","$4,171.00 ","$2,260.68 ","$2,751.72 ","$1,096.97 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$3,545.35 ","$6,191.37 ","$1,593.32 ","$1,167.88 ","$3,753.90 ","$3,003.12 ","$4,171.00 ","$2,627.73 ","$2,627.73 ","$2,627.73 ","$2,751.72 ","$2,002.08 ","$3,753.90 " ST. JOHN'S HOSPITAL,36000124,36557,HC INSERT TUNNELED CVC <5 YEARS OLD,360,1 ,"$6,394.00 ","$4,156.10 ","$1,536.00 ","$11,459.70 ","$11,459.70 ","$3,400.00 ","$3,465.55 ","$4,583.88 ","$1,790.32 ","$2,046.08 ","$4,583.88 ","$2,352.99 ","$4,583.88 ","$2,442.51 ","$2,442.51 ","$4,583.88 ","$2,442.51 ","$6,394.00 ","$3,363.24 ","$1,536.00 ","$11,459.70 ","$4,583.88 ","$4,475.80 ","$4,583.88 ","$3,197.00 ","$4,675.56 ","$4,795.50 ","$2,851.72 ","$2,563.99 ","$2,851.72 ","$4,583.88 ","$2,851.72 ","$4,028.22 ","$4,028.22 ","$4,539.74 ","$6,394.00 ","$5,434.90 ","$6,394.00 ","$5,115.20 ","$2,365.78 ","$5,115.20 ","$4,583.88 ","$4,583.88 ","$6,394.00 ","$3,465.55 ","$4,583.88 ","$1,681.62 ", N/A , N/A , N/A , N/A ,"$4,813.07 ","$5,434.90 ","$10,313.73 ","$2,442.51 ","$1,790.32 ","$5,754.60 ","$4,603.68 ","$6,394.00 ","$4,028.22 ","$4,028.22 ","$4,028.22 ","$4,583.88 ","$3,069.12 ","$5,754.60 " ST. JOHN'S HOSPITAL,36000125,36558,HC INSERT TUNNELED CVC > 5 YEARS OLD,360,1 ,"$9,459.00 ","$6,148.35 ","$1,536.00 ","$9,459.00 ","$6,879.30 ","$3,400.00 ","$5,126.78 ","$2,751.72 ","$2,648.52 ","$3,026.88 ","$2,751.72 ","$3,480.91 ","$2,751.72 ","$3,613.34 ","$3,613.34 ","$2,751.72 ","$3,613.34 ","$5,228.27 ","$4,975.43 ","$1,536.00 ","$6,879.30 ","$2,751.72 ","$6,621.30 ","$2,751.72 ","$4,729.50 ","$2,806.76 ","$7,094.25 ","$4,218.71 ","$3,793.06 ","$4,218.71 ","$2,751.72 ","$4,218.71 ","$5,959.17 ","$5,959.17 ","$6,715.89 ","$9,459.00 ","$8,040.15 ","$6,879.30 ","$7,567.20 ","$3,499.83 ","$7,567.20 ","$2,751.72 ","$2,751.72 ","$9,459.00 ","$5,126.78 ","$2,751.72 ","$2,487.72 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$8,040.15 ","$6,191.37 ","$3,613.34 ","$2,648.52 ","$8,513.10 ","$6,810.48 ","$9,459.00 ","$5,959.17 ","$5,959.17 ","$5,959.17 ","$2,751.72 ","$4,540.32 ","$8,513.10 " ST. JOHN'S HOSPITAL,36000126,36560,HC INS DEVICE CV W/PORT <5 YRS,360,1 ,"$7,104.00 ","$4,617.60 ","$1,676.00 ","$7,104.00 ","$6,879.30 ","$4,200.00 ","$3,850.37 ","$2,751.72 ","$1,989.12 ","$2,273.28 ","$2,751.72 ","$2,614.27 ","$2,751.72 ","$2,713.73 ","$2,713.73 ","$2,751.72 ","$2,713.73 ","$5,228.27 ","$3,736.70 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$4,972.80 ","$2,751.72 ","$3,552.00 ","$2,806.76 ","$5,328.00 ","$3,168.38 ","$2,848.70 ","$3,168.38 ","$2,751.72 ","$3,168.38 ","$4,475.52 ","$4,475.52 ","$5,043.84 ","$7,104.00 ","$6,038.40 ","$6,879.30 ","$5,683.20 ","$2,628.48 ","$5,683.20 ","$2,751.72 ","$2,751.72 ","$7,104.00 ","$3,850.37 ","$2,751.72 ","$1,868.35 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$6,038.40 ","$6,191.37 ","$2,713.73 ","$1,989.12 ","$6,393.60 ","$5,114.88 ","$7,104.00 ","$4,475.52 ","$4,475.52 ","$4,475.52 ","$2,751.72 ","$3,409.92 ","$6,393.60 " ST. JOHN'S HOSPITAL,36000127,36561,HC INSERT TUNEL CV CATH>5YR W/PORT,360,1 ,"$12,215.00 ","$7,939.75 ","$1,703.32 ","$12,215.00 ","$6,879.30 ","$4,200.00 ","$6,620.53 ","$2,751.72 ","$3,420.20 ","$3,908.80 ","$2,751.72 ","$4,495.12 ","$2,751.72 ","$4,666.13 ","$4,666.13 ","$2,751.72 ","$4,666.13 ","$5,228.27 ","$6,425.09 ","$6,107.50 ","$6,879.30 ","$2,751.72 ","$8,550.50 ","$2,751.72 ","$6,107.50 ","$2,806.76 ","$9,161.25 ","$5,447.89 ","$4,898.22 ","$5,447.89 ","$2,751.72 ","$5,447.89 ","$7,695.45 ","$7,695.45 ","$8,672.65 ","$12,215.00 ","$10,382.75 ","$6,879.30 ","$9,772.00 ","$4,519.55 ","$9,772.00 ","$2,751.72 ","$2,751.72 ","$12,215.00 ","$6,620.53 ","$2,751.72 ","$3,212.55 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$10,382.75 ","$6,191.37 ","$4,666.13 ","$3,420.20 ","$10,993.50 ","$8,794.80 ","$12,215.00 ","$7,695.45 ","$7,695.45 ","$7,695.45 ","$2,751.72 ","$5,863.20 ","$10,993.50 " ST. JOHN'S HOSPITAL,36000131,36568,HC INS CATH PERIPH CV W/O PORT <5,360,1 ,"$4,511.00 ","$2,932.15 ","$1,186.39 ","$4,511.00 ","$3,379.28 ","$2,300.00 ","$2,444.96 ","$1,351.71 ","$1,263.08 ","$1,443.52 ","$1,351.71 ","$1,660.05 ","$1,351.71 ","$1,723.20 ","$1,723.20 ","$1,351.71 ","$1,723.20 ","$2,568.26 ","$2,372.79 ","$1,398.00 ","$3,379.28 ","$1,351.71 ","$3,157.70 ","$1,351.71 ","$2,255.50 ","$1,378.75 ","$3,383.25 ","$2,011.91 ","$1,808.91 ","$2,011.91 ","$1,351.71 ","$2,011.91 ","$2,841.93 ","$2,841.93 ","$3,202.81 ","$4,511.00 ","$3,834.35 ","$3,379.28 ","$3,608.80 ","$1,669.07 ","$3,608.80 ","$1,351.71 ","$1,351.71 ","$4,511.00 ","$2,444.96 ","$1,351.71 ","$1,186.39 ", N/A , N/A , N/A , N/A ,"$1,419.30 ","$3,834.35 ","$3,041.36 ","$1,723.20 ","$1,263.08 ","$4,059.90 ","$3,247.92 ","$4,511.00 ","$2,841.93 ","$2,841.93 ","$2,841.93 ","$1,351.71 ","$2,165.28 ","$4,059.90 " ST. JOHN'S HOSPITAL,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$4,511.00 ","$2,932.15 ",$495.83 ,"$4,511.00 ","$3,379.28 ","$2,300.00 ","$2,444.96 ","$1,351.71 ","$1,263.08 ","$1,443.52 ","$1,351.71 ","$1,660.05 ","$1,351.71 ","$1,723.20 ","$1,723.20 ","$1,351.71 ","$1,723.20 ","$2,568.26 ","$2,372.79 ","$1,398.00 ","$3,379.28 ","$1,351.71 ","$3,157.70 ","$1,351.71 ","$2,255.50 ","$1,378.75 ","$3,383.25 ","$2,011.91 ","$1,808.91 ","$2,011.91 ","$1,351.71 ","$2,011.91 ","$2,841.93 ","$2,841.93 ","$3,202.81 ","$4,511.00 ","$3,834.35 ","$3,379.28 ","$3,608.80 ","$1,669.07 ","$3,608.80 ","$1,351.71 ","$1,351.71 ","$4,511.00 ","$2,444.96 ","$1,351.71 ","$1,186.39 ", N/A , N/A ,$519.44 ,$495.83 ,"$1,419.30 ","$3,834.35 ","$3,041.36 ","$1,723.20 ","$1,263.08 ","$4,059.90 ","$3,247.92 ","$4,511.00 ","$2,841.93 ","$2,841.93 ","$2,841.93 ","$1,351.71 ","$2,165.28 ","$4,059.90 " ST. JOHN'S HOSPITAL,36000133,36576,HC RPR CATH CV W/PORT/PUMP,360,1 ,"$3,652.00 ","$2,373.80 ",$495.83 ,"$3,652.00 ","$3,379.28 ","$3,400.00 ","$1,979.38 ","$1,351.71 ","$1,022.56 ","$1,168.64 ","$1,351.71 ","$1,343.94 ","$1,351.71 ","$1,395.06 ","$1,395.06 ","$1,351.71 ","$1,395.06 ","$2,568.26 ","$1,920.95 ","$1,536.00 ","$3,379.28 ","$1,351.71 ","$2,556.40 ","$1,351.71 ","$1,826.00 ","$1,378.75 ","$2,739.00 ","$1,628.79 ","$1,464.45 ","$1,628.79 ","$1,351.71 ","$1,628.79 ","$2,300.76 ","$2,300.76 ","$2,592.92 ","$3,652.00 ","$3,104.20 ","$3,379.28 ","$2,921.60 ","$1,351.24 ","$2,921.60 ","$1,351.71 ","$1,351.71 ","$3,652.00 ","$1,979.38 ","$1,351.71 ",$960.48 , N/A , N/A ,$519.44 ,$495.83 ,"$1,419.30 ","$3,104.20 ","$3,041.36 ","$1,395.06 ","$1,022.56 ","$3,286.80 ","$2,629.44 ","$3,652.00 ","$2,300.76 ","$2,300.76 ","$2,300.76 ","$1,351.71 ","$1,752.96 ","$3,286.80 " ST. JOHN'S HOSPITAL,36000134,36578,HC REPLACE CATH CV W/PORT/PUMP,360,1 ,"$4,402.00 ","$2,861.30 ",$495.83 ,"$6,879.30 ","$6,879.30 ","$3,400.00 ","$2,385.88 ","$2,751.72 ","$1,232.56 ","$1,408.64 ","$2,751.72 ","$1,619.94 ","$2,751.72 ","$1,681.56 ","$1,681.56 ","$2,751.72 ","$1,681.56 ","$4,402.00 ","$2,315.45 ","$1,536.00 ","$6,879.30 ","$2,751.72 ","$3,081.40 ","$2,751.72 ","$2,201.00 ","$2,806.76 ","$3,301.50 ","$1,963.29 ","$1,765.20 ","$1,963.29 ","$2,751.72 ","$1,963.29 ","$2,773.26 ","$2,773.26 ","$3,125.42 ","$4,402.00 ","$3,741.70 ","$4,402.00 ","$3,521.60 ","$1,628.74 ","$3,521.60 ","$2,751.72 ","$2,751.72 ","$4,402.00 ","$2,385.88 ","$2,751.72 ","$1,157.73 ", N/A , N/A ,$519.44 ,$495.83 ,"$2,889.31 ","$3,741.70 ","$6,191.37 ","$1,681.56 ","$1,232.56 ","$3,961.80 ","$3,169.44 ","$4,402.00 ","$2,773.26 ","$2,773.26 ","$2,773.26 ","$2,751.72 ","$2,112.96 ","$3,961.80 " ST. JOHN'S HOSPITAL,36000135,36580,HC REPL CATH CV NON-TNL W/O PORT,360,1 ,"$1,910.00 ","$1,241.50 ",$495.83 ,"$3,379.28 ","$3,379.28 ","$1,910.00 ","$1,035.22 ","$1,351.71 ",$534.80 ,$611.20 ,"$1,351.71 ",$702.88 ,"$1,351.71 ",$729.62 ,$729.62 ,"$1,351.71 ",$729.62 ,"$1,910.00 ","$1,004.66 ","$1,398.00 ","$3,379.28 ","$1,351.71 ","$1,337.00 ","$1,351.71 ",$955.00 ,"$1,378.75 ","$1,432.50 ",$851.86 ,$765.91 ,$851.86 ,"$1,351.71 ",$851.86 ,"$1,203.30 ","$1,203.30 ","$1,356.10 ","$1,910.00 ","$1,623.50 ","$1,910.00 ","$1,528.00 ",$706.70 ,"$1,528.00 ","$1,351.71 ","$1,351.71 ","$1,910.00 ","$1,035.22 ","$1,351.71 ",$502.33 , N/A , N/A ,$519.44 ,$495.83 ,"$1,419.30 ","$1,623.50 ","$3,041.36 ",$729.62 ,$534.80 ,"$1,719.00 ","$1,375.20 ","$1,910.00 ","$1,203.30 ","$1,203.30 ","$1,203.30 ","$1,351.71 ",$916.80 ,"$1,719.00 " ST. JOHN'S HOSPITAL,36000136,36581,HC REPL CATH CV TNL W/O PORT,360,1 ,"$10,780.00 ","$7,007.00 ","$1,536.00 ","$10,780.00 ","$6,879.30 ","$3,400.00 ","$5,842.76 ","$2,751.72 ","$3,018.40 ","$3,449.60 ","$2,751.72 ","$3,967.04 ","$2,751.72 ","$4,117.96 ","$4,117.96 ","$2,751.72 ","$4,117.96 ","$5,228.27 ","$5,670.28 ","$1,536.00 ","$6,879.30 ","$2,751.72 ","$7,546.00 ","$2,751.72 ","$5,390.00 ","$2,806.76 ","$8,085.00 ","$4,807.88 ","$4,322.78 ","$4,807.88 ","$2,751.72 ","$4,807.88 ","$6,791.40 ","$6,791.40 ","$7,653.80 ","$10,780.00 ","$9,163.00 ","$6,879.30 ","$8,624.00 ","$3,988.60 ","$8,624.00 ","$2,751.72 ","$2,751.72 ","$10,780.00 ","$5,842.76 ","$2,751.72 ","$2,835.14 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$9,163.00 ","$6,191.37 ","$4,117.96 ","$3,018.40 ","$9,702.00 ","$7,761.60 ","$10,780.00 ","$6,791.40 ","$6,791.40 ","$6,791.40 ","$2,751.72 ","$5,174.40 ","$9,702.00 " ST. JOHN'S HOSPITAL,36000137,36582,HC REPL DEVICE CV TNL W/PORT,360,1 ,"$9,192.00 ","$5,974.80 ","$1,676.00 ","$9,192.00 ","$6,879.30 ","$4,200.00 ","$4,982.06 ","$2,751.72 ","$2,573.76 ","$2,941.44 ","$2,751.72 ","$3,382.66 ","$2,751.72 ","$3,511.34 ","$3,511.34 ","$2,751.72 ","$3,511.34 ","$5,228.27 ","$4,834.99 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$6,434.40 ","$2,751.72 ","$4,596.00 ","$2,806.76 ","$6,894.00 ","$4,099.63 ","$3,685.99 ","$4,099.63 ","$2,751.72 ","$4,099.63 ","$5,790.96 ","$5,790.96 ","$6,526.32 ","$9,192.00 ","$7,813.20 ","$6,879.30 ","$7,353.60 ","$3,401.04 ","$7,353.60 ","$2,751.72 ","$2,751.72 ","$9,192.00 ","$4,982.06 ","$2,751.72 ","$2,417.50 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$7,813.20 ","$6,191.37 ","$3,511.34 ","$2,573.76 ","$8,272.80 ","$6,618.24 ","$9,192.00 ","$5,790.96 ","$5,790.96 ","$5,790.96 ","$2,751.72 ","$4,412.16 ","$8,272.80 " ST. JOHN'S HOSPITAL,36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$4,572.00 ","$2,971.80 ",$141.92 ,"$4,572.00 ","$3,379.28 ","$2,300.00 ","$2,478.02 ","$1,351.71 ","$1,280.16 ","$1,463.04 ","$1,351.71 ","$1,682.50 ","$1,351.71 ","$1,746.50 ","$1,746.50 ","$1,351.71 ","$1,746.50 ","$2,568.26 ","$2,404.87 ","$1,398.00 ","$3,379.28 ","$1,351.71 ","$3,200.40 ","$1,351.71 ","$2,286.00 ","$1,378.75 ","$3,429.00 ","$2,039.11 ","$1,833.37 ","$2,039.11 ","$1,351.71 ","$2,039.11 ","$2,880.36 ","$2,880.36 ","$3,246.12 ","$4,572.00 ","$3,886.20 ","$3,379.28 ","$3,657.60 ","$1,691.64 ","$3,657.60 ","$1,351.71 ","$1,351.71 ","$4,572.00 ","$2,478.02 ","$1,351.71 ","$1,202.44 ", N/A , N/A ,$148.68 ,$141.92 ,"$1,419.30 ","$3,886.20 ","$3,041.36 ","$1,746.50 ","$1,280.16 ","$4,114.80 ","$3,291.84 ","$4,572.00 ","$2,880.36 ","$2,880.36 ","$2,880.36 ","$1,351.71 ","$2,194.56 ","$4,114.80 " ST. JOHN'S HOSPITAL,36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,"$5,194.00 ","$3,376.10 ",$141.92 ,"$5,194.00 ","$1,298.95 ","$2,300.00 ","$2,815.15 ",$519.58 ,"$1,454.32 ","$1,662.08 ",$519.58 ,"$1,911.39 ",$519.58 ,"$1,984.11 ","$1,984.11 ",$519.58 ,"$1,984.11 ",$987.20 ,"$2,732.04 ","$1,398.00 ","$1,298.95 ",$519.58 ,"$3,635.80 ",$519.58 ,"$2,597.00 ",$529.97 ,"$3,895.50 ","$2,316.52 ","$2,082.79 ","$2,316.52 ",$519.58 ,"$2,316.52 ","$3,272.22 ","$3,272.22 ","$3,687.74 ","$5,194.00 ","$4,414.90 ","$1,298.95 ","$4,155.20 ","$1,921.78 ","$4,155.20 ",$519.58 ,$519.58 ,"$5,194.00 ","$2,815.15 ",$519.58 ,"$1,366.02 ", N/A , N/A ,$148.68 ,$141.92 ,$545.56 ,"$4,414.90 ","$1,169.06 ","$1,984.11 ","$1,454.32 ","$4,674.60 ","$3,739.68 ","$5,194.00 ","$3,272.22 ","$3,272.22 ","$3,272.22 ",$519.58 ,"$2,493.12 ","$4,674.60 " ST. JOHN'S HOSPITAL,36000142,36590,HC REM TNL CV ACC W/PORT/PUMP,360,1 ,"$4,761.00 ","$3,094.65 ","$1,252.14 ","$4,761.00 ","$3,379.28 ","$2,300.00 ","$2,580.46 ","$1,351.71 ","$1,333.08 ","$1,523.52 ","$1,351.71 ","$1,752.05 ","$1,351.71 ","$1,818.70 ","$1,818.70 ","$1,351.71 ","$1,818.70 ","$2,568.26 ","$2,504.29 ","$1,398.00 ","$3,379.28 ","$1,351.71 ","$3,332.70 ","$1,351.71 ","$2,380.50 ","$1,378.75 ","$3,570.75 ","$2,123.41 ","$1,909.16 ","$2,123.41 ","$1,351.71 ","$2,123.41 ","$2,999.43 ","$2,999.43 ","$3,380.31 ","$4,761.00 ","$4,046.85 ","$3,379.28 ","$3,808.80 ","$1,761.57 ","$3,808.80 ","$1,351.71 ","$1,351.71 ","$4,761.00 ","$2,580.46 ","$1,351.71 ","$1,252.14 ", N/A , N/A ,"$1,351.17 ","$1,289.76 ","$1,419.30 ","$4,046.85 ","$3,041.36 ","$1,818.70 ","$1,333.08 ","$4,284.90 ","$3,427.92 ","$4,761.00 ","$2,999.43 ","$2,999.43 ","$2,999.43 ","$1,351.71 ","$2,285.28 ","$4,284.90 " ST. JOHN'S HOSPITAL,36000144,36595,HC REM PERICATHETER MAT CV DEV,360,1 ,"$4,321.00 ","$2,808.65 ","$1,136.42 ","$6,879.30 ","$6,879.30 ","$4,321.00 ","$2,341.98 ","$2,751.72 ","$1,209.88 ","$1,382.72 ","$2,751.72 ","$1,590.13 ","$2,751.72 ","$1,650.62 ","$1,650.62 ","$2,751.72 ","$1,650.62 ","$4,321.00 ","$2,272.85 ","$2,160.50 ","$6,879.30 ","$2,751.72 ","$3,024.70 ","$2,751.72 ","$2,160.50 ","$2,806.76 ","$3,240.75 ","$1,927.17 ","$1,732.72 ","$1,927.17 ","$2,751.72 ","$1,927.17 ","$2,722.23 ","$2,722.23 ","$3,067.91 ","$4,321.00 ","$3,672.85 ","$4,321.00 ","$3,456.80 ","$1,598.77 ","$3,456.80 ","$2,751.72 ","$2,751.72 ","$4,321.00 ","$2,341.98 ","$2,751.72 ","$1,136.42 ", N/A , N/A ,"$1,351.17 ","$1,289.76 ","$2,889.31 ","$3,672.85 ","$6,191.37 ","$1,650.62 ","$1,209.88 ","$3,888.90 ","$3,111.12 ","$4,321.00 ","$2,722.23 ","$2,722.23 ","$2,722.23 ","$2,751.72 ","$2,074.08 ","$3,888.90 " ST. JOHN'S HOSPITAL,36000145,36596,HC REM INTRALUM MAT CV LUMEN,360,1 ,"$4,321.00 ","$2,808.65 ",$141.92 ,"$4,321.00 ","$3,379.28 ","$2,300.00 ","$2,341.98 ","$1,351.71 ","$1,209.88 ","$1,382.72 ","$1,351.71 ","$1,590.13 ","$1,351.71 ","$1,650.62 ","$1,650.62 ","$1,351.71 ","$1,650.62 ","$2,568.26 ","$2,272.85 ","$2,160.50 ","$3,379.28 ","$1,351.71 ","$3,024.70 ","$1,351.71 ","$2,160.50 ","$1,378.75 ","$3,240.75 ","$1,927.17 ","$1,732.72 ","$1,927.17 ","$1,351.71 ","$1,927.17 ","$2,722.23 ","$2,722.23 ","$3,067.91 ","$4,321.00 ","$3,672.85 ","$3,379.28 ","$3,456.80 ","$1,598.77 ","$3,456.80 ","$1,351.71 ","$1,351.71 ","$4,321.00 ","$2,341.98 ","$1,351.71 ","$1,136.42 ", N/A , N/A ,$148.68 ,$141.92 ,"$1,419.30 ","$3,672.85 ","$3,041.36 ","$1,650.62 ","$1,209.88 ","$3,888.90 ","$3,111.12 ","$4,321.00 ","$2,722.23 ","$2,722.23 ","$2,722.23 ","$1,351.71 ","$2,074.08 ","$3,888.90 " ST. JOHN'S HOSPITAL,36000146,36597,HC REPOSITION CENTRAL VENOUS CATH,360,1 ,"$2,228.00 ","$1,448.20 ",$585.96 ,"$3,379.28 ","$3,379.28 ","$2,228.00 ","$1,207.58 ","$1,351.71 ",$623.84 ,$712.96 ,"$1,351.71 ",$819.90 ,"$1,351.71 ",$851.10 ,$851.10 ,"$1,351.71 ",$851.10 ,"$2,228.00 ","$1,171.93 ","$1,114.00 ","$3,379.28 ","$1,351.71 ","$1,559.60 ","$1,351.71 ","$1,114.00 ","$1,378.75 ","$1,671.00 ",$993.69 ,$893.43 ,$993.69 ,"$1,351.71 ",$993.69 ,"$1,403.64 ","$1,403.64 ","$1,581.88 ","$2,228.00 ","$1,893.80 ","$2,228.00 ","$1,782.40 ",$824.36 ,"$1,782.40 ","$1,351.71 ","$1,351.71 ","$2,228.00 ","$1,207.58 ","$1,351.71 ",$585.96 , N/A , N/A ,"$1,784.43 ","$1,703.32 ","$1,419.30 ","$1,893.80 ","$3,041.36 ",$851.10 ,$623.84 ,"$2,005.20 ","$1,604.16 ","$2,228.00 ","$1,403.64 ","$1,403.64 ","$1,403.64 ","$1,351.71 ","$1,069.44 ","$2,005.20 " ST. JOHN'S HOSPITAL,36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,"$1,352.00 ",$878.80 ,$355.58 ,"$2,677.70 ", N/A ,"$1,352.00 ",$732.78 , N/A ,$378.56 ,$432.64 , N/A ,$497.54 , N/A ,$516.46 ,$516.46 , N/A ,$516.46 , N/A ,$711.15 ,$676.00 , N/A , N/A ,$946.40 , N/A ,$676.00 , N/A ,"$1,014.00 ",$602.99 ,$542.15 ,$602.99 , N/A ,$602.99 ,$851.76 ,$851.76 ,$959.92 ,"$1,352.00 ","$1,149.20 ", N/A ,"$1,081.60 ",$500.24 ,"$1,081.60 ", N/A , N/A ,"$1,352.00 ",$732.78 , N/A ,$355.58 , N/A , N/A ,"$1,352.00 ","$2,677.70 ", N/A ,"$1,149.20 ", N/A ,$516.46 ,$378.56 ,"$1,216.80 ",$973.44 ,"$1,352.00 ",$851.76 ,$851.76 ,$851.76 , N/A ,$648.96 ,"$1,216.80 " ST. JOHN'S HOSPITAL,36000150,36860,HC CANNULA DECLOTTING WO,360,1 ,"$5,174.00 ","$3,363.10 ",$141.92 ,"$5,174.00 ","$3,379.28 ","$3,400.00 ","$2,804.31 ","$1,351.71 ","$1,448.72 ","$1,655.68 ","$1,351.71 ","$1,904.03 ","$1,351.71 ","$1,976.47 ","$1,976.47 ","$1,351.71 ","$1,976.47 ","$2,568.26 ","$2,721.52 ","$1,536.00 ","$3,379.28 ","$1,351.71 ","$3,621.80 ","$1,351.71 ","$2,587.00 ","$1,378.75 ","$3,880.50 ","$2,307.60 ","$2,074.77 ","$2,307.60 ","$1,351.71 ","$2,307.60 ","$3,259.62 ","$3,259.62 ","$3,673.54 ","$5,174.00 ","$4,397.90 ","$3,379.28 ","$4,139.20 ","$1,914.38 ","$4,139.20 ","$1,351.71 ","$1,351.71 ","$5,174.00 ","$2,804.31 ","$1,351.71 ","$1,360.76 ", N/A , N/A ,$148.68 ,$141.92 ,"$1,419.30 ","$4,397.90 ","$3,041.36 ","$1,976.47 ","$1,448.72 ","$4,656.60 ","$3,725.28 ","$5,174.00 ","$3,259.62 ","$3,259.62 ","$3,259.62 ","$1,351.71 ","$2,483.52 ","$4,656.60 " ST. JOHN'S HOSPITAL,36000151,36861,HC CANNULA DECLOTTING W,360,1 ,"$5,174.00 ","$3,363.10 ","$1,360.76 ","$11,459.70 ","$11,459.70 ","$4,200.00 ","$2,804.31 ","$4,583.88 ","$1,448.72 ","$1,655.68 ","$4,583.88 ","$1,904.03 ","$4,583.88 ","$1,976.47 ","$1,976.47 ","$4,583.88 ","$1,976.47 ","$5,174.00 ","$2,721.52 ","$1,676.00 ","$11,459.70 ","$4,583.88 ","$3,621.80 ","$4,583.88 ","$2,587.00 ","$4,675.56 ","$3,880.50 ","$2,307.60 ","$2,074.77 ","$2,307.60 ","$4,583.88 ","$2,307.60 ","$3,259.62 ","$3,259.62 ","$3,673.54 ","$5,174.00 ","$4,397.90 ","$5,174.00 ","$4,139.20 ","$1,914.38 ","$4,139.20 ","$4,583.88 ","$4,583.88 ","$5,174.00 ","$2,804.31 ","$4,583.88 ","$1,360.76 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$4,813.07 ","$4,397.90 ","$10,313.73 ","$1,976.47 ","$1,448.72 ","$4,656.60 ","$3,725.28 ","$5,174.00 ","$3,259.62 ","$3,259.62 ","$3,259.62 ","$4,583.88 ","$2,483.52 ","$4,656.60 " ST. JOHN'S HOSPITAL,36000154,37182,HC TIPS,360,1 ,"$16,274.00 ","$10,578.10 ","$4,280.06 ","$16,274.00 ", N/A ,"$5,500.00 ","$8,820.51 ", N/A ,"$4,556.72 ","$5,207.68 ", N/A ,"$5,988.83 ", N/A ,"$5,419.24 ","$5,419.24 ", N/A ,"$5,419.24 ", N/A ,"$8,560.12 ","$8,137.00 ", N/A , N/A ,"$11,391.80 ", N/A ,"$8,137.00 ", N/A ,"$12,205.50 ","$7,258.20 ","$6,525.87 ","$7,258.20 ", N/A ,"$7,258.20 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$16,274.00 ","$13,832.90 ", N/A ,"$13,019.20 ","$6,021.38 ","$13,019.20 ", N/A , N/A ,"$16,274.00 ","$8,820.51 ", N/A ,"$4,280.06 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ", N/A ,"$13,832.90 ", N/A ,"$5,419.24 ","$4,556.72 ","$14,646.60 ","$11,717.28 ","$16,274.00 ","$9,391.00 ","$10,252.62 ","$10,252.62 ", N/A ,"$7,811.52 ","$14,646.60 " ST. JOHN'S HOSPITAL,36000156,37183,HC TIPS REVISION,360,1 ,"$15,201.00 ","$9,880.65 ","$3,997.86 ","$15,201.00 ","$11,910.63 ","$5,500.00 ","$8,238.94 ","$4,764.25 ","$4,256.28 ","$4,864.32 ","$4,764.25 ","$5,593.97 ","$4,764.25 ","$5,061.93 ","$5,061.93 ","$4,764.25 ","$5,061.93 ","$9,052.08 ","$7,995.73 ","$7,600.50 ","$11,910.63 ","$4,764.25 ","$10,640.70 ","$4,764.25 ","$7,600.50 ","$4,859.54 ","$11,400.75 ","$6,779.65 ","$6,095.60 ","$6,779.65 ","$4,764.25 ","$6,779.65 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$15,201.00 ","$12,920.85 ","$11,910.63 ","$12,160.80 ","$5,624.37 ","$12,160.80 ","$4,764.25 ","$4,764.25 ","$15,201.00 ","$8,238.94 ","$4,764.25 ","$3,997.86 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$5,002.46 ","$12,920.85 ","$10,719.56 ","$5,061.93 ","$4,256.28 ","$13,680.90 ","$10,944.72 ","$15,201.00 ","$9,391.00 ","$9,576.63 ","$9,576.63 ","$4,764.25 ","$7,296.48 ","$13,680.90 " ST. JOHN'S HOSPITAL,36000157,38220,HC ASP BONE MARROW ONLY,360,1 ,"$5,831.00 ","$3,790.15 ",$608.70 ,"$5,831.00 ","$3,381.25 ","$2,300.00 ","$3,160.40 ","$1,352.50 ","$1,632.68 ","$1,865.92 ","$1,352.50 ","$2,145.81 ","$1,352.50 ","$2,227.44 ","$2,227.44 ","$1,352.50 ","$2,227.44 ","$2,569.74 ","$3,067.11 ","$2,915.50 ","$3,381.24 ","$1,352.50 ","$4,081.70 ","$1,352.50 ","$2,915.50 ","$1,379.54 ","$4,373.25 ","$2,600.63 ","$2,338.23 ","$2,600.63 ","$1,352.50 ","$2,600.63 ","$3,673.53 ","$3,673.53 ","$4,140.01 ","$5,831.00 ","$4,956.35 ","$3,381.24 ","$4,664.80 ","$2,157.47 ","$4,664.80 ","$1,352.50 ","$1,352.50 ","$5,831.00 ","$3,160.40 ","$1,352.50 ","$1,533.55 ", N/A , N/A ,$637.68 ,$608.70 ,"$1,420.13 ","$4,956.35 ","$3,043.11 ","$2,227.44 ","$1,632.68 ","$5,247.90 ","$4,198.32 ","$5,831.00 ","$3,673.53 ","$3,673.53 ","$3,673.53 ","$1,352.50 ","$2,798.88 ","$5,247.90 " ST. JOHN'S HOSPITAL,36000158,38221,HC BX BONE MARROW ONLY,360,1 ,"$5,831.00 ","$3,790.15 ",$608.70 ,"$5,831.00 ","$3,381.25 ","$2,300.00 ","$3,160.40 ","$1,352.50 ","$1,632.68 ","$1,865.92 ","$1,352.50 ","$2,145.81 ","$1,352.50 ","$2,227.44 ","$2,227.44 ","$1,352.50 ","$2,227.44 ","$2,569.74 ","$3,067.11 ","$2,915.50 ","$3,381.24 ","$1,352.50 ","$4,081.70 ","$1,352.50 ","$2,915.50 ","$1,379.54 ","$4,373.25 ","$2,600.63 ","$2,338.23 ","$2,600.63 ","$1,352.50 ","$2,600.63 ","$3,673.53 ","$3,673.53 ","$4,140.01 ","$5,831.00 ","$4,956.35 ","$3,381.24 ","$4,664.80 ","$2,157.47 ","$4,664.80 ","$1,352.50 ","$1,352.50 ","$5,831.00 ","$3,160.40 ","$1,352.50 ","$1,533.55 ", N/A , N/A ,$637.68 ,$608.70 ,"$1,420.13 ","$4,956.35 ","$3,043.11 ","$2,227.44 ","$1,632.68 ","$5,247.90 ","$4,198.32 ","$5,831.00 ","$3,673.53 ","$3,673.53 ","$3,673.53 ","$1,352.50 ","$2,798.88 ","$5,247.90 " ST. JOHN'S HOSPITAL,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$5,430.00 ","$3,529.50 ",$644.88 ,"$5,430.00 ","$3,381.25 ","$2,300.00 ","$2,943.06 ","$1,352.50 ","$1,520.40 ","$1,737.60 ","$1,352.50 ","$1,998.24 ","$1,352.50 ","$2,074.26 ","$2,074.26 ","$1,352.50 ","$2,074.26 ","$2,569.74 ","$2,856.18 ","$1,398.00 ","$3,381.24 ","$1,352.50 ","$3,801.00 ","$1,352.50 ","$2,715.00 ","$1,379.54 ","$4,072.50 ","$2,421.78 ","$2,177.43 ","$2,421.78 ","$1,352.50 ","$2,421.78 ","$3,420.90 ","$3,420.90 ","$3,855.30 ","$5,430.00 ","$4,615.50 ","$3,381.24 ","$4,344.00 ","$2,009.10 ","$4,344.00 ","$1,352.50 ","$1,352.50 ","$5,430.00 ","$2,943.06 ","$1,352.50 ","$1,428.09 ", N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$4,615.50 ","$3,043.11 ","$2,074.26 ","$1,520.40 ","$4,887.00 ","$3,909.60 ","$5,430.00 ","$3,420.90 ","$3,420.90 ","$3,420.90 ","$1,352.50 ","$2,606.40 ","$4,887.00 " ST. JOHN'S HOSPITAL,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$1,437.00 ",$934.05 ,$362.35 ,"$1,437.00 ",$905.88 ,"$1,437.00 ",$778.85 ,$362.35 ,$402.36 ,$459.84 ,$362.35 ,$528.82 ,$362.35 ,$548.93 ,$548.93 ,$362.35 ,$548.93 ,$688.47 ,$755.86 ,$718.50 ,$905.88 ,$362.35 ,"$1,005.90 ",$362.35 ,$718.50 ,$369.60 ,"$1,077.75 ",$640.90 ,$576.24 ,$640.90 ,$362.35 ,$640.90 ,$905.31 ,$905.31 ,"$1,020.27 ","$1,437.00 ","$1,221.45 ",$905.88 ,"$1,149.60 ",$531.69 ,"$1,149.60 ",$362.35 ,$362.35 ,"$1,437.00 ",$778.85 ,$362.35 ,$377.93 , N/A , N/A , N/A , N/A ,$380.47 ,"$1,221.45 ",$815.29 ,$548.93 ,$402.36 ,"$1,293.30 ","$1,034.64 ","$1,437.00 ",$905.31 ,$905.31 ,$905.31 ,$362.35 ,$689.76 ,"$1,293.30 " ST. JOHN'S HOSPITAL,36000171,47490,HC CHOLECYSTOSTOMY PERC,360,1 ,"$10,101.00 ","$6,565.65 ","$1,684.67 ","$10,101.00 ","$7,645.73 ","$7,500.00 ","$5,474.74 ","$3,058.29 ","$2,828.28 ","$3,232.32 ","$3,058.29 ","$3,717.17 ","$3,058.29 ","$3,858.58 ","$3,858.58 ","$3,058.29 ","$3,858.58 ","$5,810.75 ","$5,313.13 ","$3,351.00 ","$7,645.72 ","$3,058.29 ","$7,070.70 ","$3,058.29 ","$5,050.50 ","$3,119.45 ","$7,575.75 ","$4,505.05 ","$4,050.50 ","$4,505.05 ","$3,058.29 ","$4,505.05 ","$6,363.63 ","$6,363.63 ","$7,171.71 ","$10,101.00 ","$8,585.85 ","$7,645.72 ","$8,080.80 ","$3,737.37 ","$8,080.80 ","$3,058.29 ","$3,058.29 ","$10,101.00 ","$5,474.74 ","$3,058.29 ","$2,656.56 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ","$3,211.20 ","$8,585.85 ","$6,881.15 ","$3,858.58 ","$2,828.28 ","$9,090.90 ","$7,272.72 ","$10,101.00 ","$6,363.63 ","$6,363.63 ","$6,363.63 ","$3,058.29 ","$4,848.48 ","$9,090.90 " ST. JOHN'S HOSPITAL,36000176,49418,HC INSERT INTRAPERITONEAL CATH,360,1 ,"$10,955.00 ","$7,120.75 ",$602.56 ,"$10,955.00 ","$7,645.73 ","$3,400.00 ","$5,937.61 ","$3,058.29 ","$3,067.40 ","$3,505.60 ","$3,058.29 ","$4,031.44 ","$3,058.29 ","$4,184.81 ","$4,184.81 ","$3,058.29 ","$4,184.81 ","$5,810.75 ","$5,762.33 ","$3,351.00 ","$7,645.72 ","$3,058.29 ","$7,668.50 ","$3,058.29 ","$5,477.50 ","$3,119.45 ","$8,216.25 ","$4,885.93 ","$4,392.96 ","$4,885.93 ","$3,058.29 ","$4,885.93 ","$6,901.65 ","$6,901.65 ","$7,778.05 ","$10,955.00 ","$9,311.75 ","$7,645.72 ","$8,764.00 ","$4,053.35 ","$8,764.00 ","$3,058.29 ","$3,058.29 ","$10,955.00 ","$5,937.61 ","$3,058.29 ","$2,881.17 ", N/A , N/A ,$631.26 ,$602.56 ,"$3,211.20 ","$9,311.75 ","$6,881.15 ","$4,184.81 ","$3,067.40 ","$9,859.50 ","$7,887.60 ","$10,955.00 ","$6,901.65 ","$6,901.65 ","$6,901.65 ","$3,058.29 ","$5,258.40 ","$9,859.50 " ST. JOHN'S HOSPITAL,36000178,49422,HC REM CATH INTRAPERITONEAL,360,1 ,"$10,780.00 ","$7,007.00 ",$692.27 ,"$10,780.00 ","$6,879.30 ","$2,300.00 ","$5,842.76 ","$2,751.72 ","$3,018.40 ","$3,449.60 ","$2,751.72 ","$3,967.04 ","$2,751.72 ","$4,117.96 ","$4,117.96 ","$2,751.72 ","$4,117.96 ","$5,228.27 ","$5,670.28 ","$1,398.00 ","$6,879.30 ","$2,751.72 ","$7,546.00 ","$2,751.72 ","$5,390.00 ","$2,806.76 ","$8,085.00 ","$4,807.88 ","$4,322.78 ","$4,807.88 ","$2,751.72 ","$4,807.88 ","$6,791.40 ","$6,791.40 ","$7,653.80 ","$10,780.00 ","$9,163.00 ","$6,879.30 ","$8,624.00 ","$3,988.60 ","$8,624.00 ","$2,751.72 ","$2,751.72 ","$10,780.00 ","$5,842.76 ","$2,751.72 ","$2,835.14 ", N/A , N/A ,$725.23 ,$692.27 ,"$2,889.31 ","$9,163.00 ","$6,191.37 ","$4,117.96 ","$3,018.40 ","$9,702.00 ","$7,761.60 ","$10,780.00 ","$6,791.40 ","$6,791.40 ","$6,791.40 ","$2,751.72 ","$5,174.40 ","$9,702.00 " ST. JOHN'S HOSPITAL,36000183,51710,HC CHG TUBE CYSTOSTOMY CPLX,360,1 ,"$2,531.00 ","$1,645.15 ",$209.14 ,"$2,531.00 ","$1,382.53 ","$2,300.00 ","$1,371.80 ",$553.01 ,$708.68 ,$809.92 ,$553.01 ,$931.41 ,$553.01 ,$966.84 ,$966.84 ,$553.01 ,$966.84 ,"$1,050.72 ","$1,331.31 ","$1,398.00 ","$1,382.53 ",$553.01 ,"$1,771.70 ",$553.01 ,"$1,265.50 ",$564.07 ,"$1,898.25 ","$1,128.83 ","$1,014.93 ","$1,128.83 ",$553.01 ,"$1,128.83 ","$1,594.53 ","$1,594.53 ","$1,797.01 ","$2,531.00 ","$2,151.35 ","$1,382.53 ","$2,024.80 ",$936.47 ,"$2,024.80 ",$553.01 ,$553.01 ,"$2,531.00 ","$1,371.80 ",$553.01 ,$665.65 , N/A , N/A ,$219.10 ,$209.14 ,$580.66 ,"$2,151.35 ","$1,244.28 ",$966.84 ,$708.68 ,"$2,277.90 ","$1,822.32 ","$2,531.00 ","$1,594.53 ","$1,594.53 ","$1,594.53 ",$553.01 ,"$1,214.88 ","$2,277.90 " ST. JOHN'S HOSPITAL,36000186,53899,HC URINARY SYSTEM UNLSTD PROC,360,1 ,"$1,635.00 ","$1,062.75 ",$255.79 ,"$1,635.00 ",$639.48 ,"$1,635.00 ",$886.17 ,$255.79 ,$457.80 ,$523.20 ,$255.79 ,$601.68 ,$255.79 ,$624.57 ,$624.57 ,$255.79 ,$624.57 ,$486.00 ,$860.01 ,$817.50 ,$639.47 ,$255.79 ,"$1,144.50 ",$255.79 ,$817.50 ,$260.91 ,"$1,226.25 ",$729.21 ,$655.64 ,$729.21 ,$255.79 ,$729.21 ,"$1,030.05 ","$1,030.05 ","$1,160.85 ","$1,635.00 ","$1,389.75 ",$639.47 ,"$1,308.00 ",$604.95 ,"$1,308.00 ",$255.79 ,$255.79 ,"$1,635.00 ",$886.17 ,$255.79 ,$430.01 , N/A , N/A ,"$1,137.92 ","$1,086.19 ",$268.58 ,"$1,389.75 ",$575.53 ,$624.57 ,$457.80 ,"$1,471.50 ","$1,177.20 ","$1,635.00 ","$1,030.05 ","$1,030.05 ","$1,030.05 ",$255.79 ,$784.80 ,"$1,471.50 " ST. JOHN'S HOSPITAL,36000188,55700,HC BX PROSTATE NEEDLE/PUNCH,360,1 ,"$3,000.00 ","$1,950.00 ",$789.00 ,"$4,302.83 ","$4,302.83 ","$3,000.00 ","$1,626.00 ","$1,721.13 ",$840.00 ,$960.00 ,"$1,721.13 ","$1,104.00 ","$1,721.13 ","$1,146.00 ","$1,146.00 ","$1,721.13 ","$1,146.00 ","$3,000.00 ","$1,578.00 ","$1,536.00 ","$4,302.81 ","$1,721.13 ","$2,100.00 ","$1,721.13 ","$1,500.00 ","$1,755.55 ","$2,250.00 ","$1,338.00 ","$1,203.00 ","$1,338.00 ","$1,721.13 ","$1,338.00 ","$1,890.00 ","$1,890.00 ","$2,130.00 ","$3,000.00 ","$2,550.00 ","$3,000.00 ","$2,400.00 ","$1,110.00 ","$2,400.00 ","$1,721.13 ","$1,721.13 ","$3,000.00 ","$1,626.00 ","$1,721.13 ",$789.00 , N/A , N/A ,"$1,210.54 ","$1,155.51 ","$1,807.19 ","$2,550.00 ","$3,872.53 ","$1,146.00 ",$840.00 ,"$2,700.00 ","$2,160.00 ","$3,000.00 ","$1,890.00 ","$1,890.00 ","$1,890.00 ","$1,721.13 ","$1,440.00 ","$2,700.00 " ST. JOHN'S HOSPITAL,36000189,58100,HC BIOPSY OF UTERUS PERCUTANEOUS,360,1 ,$600.00 ,$390.00 ,$114.03 ,$600.00 ,$409.40 ,$600.00 ,$325.20 ,$163.76 ,$168.00 ,$192.00 ,$163.76 ,$220.80 ,$163.76 ,$229.20 ,$229.20 ,$163.76 ,$229.20 ,$311.14 ,$315.60 ,$300.00 ,$409.40 ,$163.76 ,$420.00 ,$163.76 ,$300.00 ,$167.03 ,$450.00 ,$267.60 ,$240.60 ,$267.60 ,$163.76 ,$267.60 ,$378.00 ,$378.00 ,$426.00 ,$600.00 ,$510.00 ,$409.40 ,$480.00 ,$222.00 ,$480.00 ,$163.76 ,$163.76 ,$114.03 ,$325.20 ,$163.76 ,$157.80 , N/A , N/A ,$188.14 ,$179.59 ,$171.95 ,$510.00 ,$368.46 ,$229.20 ,$168.00 ,$540.00 ,$432.00 ,$600.00 ,$378.00 ,$378.00 ,$378.00 ,$163.76 ,$288.00 ,$540.00 ST. JOHN'S HOSPITAL,36000190,61624,HC OCC/EMB TRANSCATH CNS PERC,360,1 ,"$6,346.00 ","$4,124.90 ","$1,669.00 ","$6,346.00 ", N/A ,"$6,346.00 ","$3,439.53 ", N/A ,"$1,776.88 ","$2,030.72 ", N/A ,"$2,335.33 ", N/A ,"$2,424.17 ","$2,424.17 ", N/A ,"$2,424.17 ", N/A ,"$3,338.00 ","$3,173.00 ", N/A , N/A ,"$4,442.20 ", N/A ,"$3,173.00 ", N/A ,"$4,759.50 ","$2,830.32 ","$2,544.75 ","$2,830.32 ", N/A ,"$2,830.32 ","$3,997.98 ","$3,997.98 ","$4,505.66 ","$6,346.00 ","$5,394.10 ", N/A ,"$5,076.80 ","$2,348.02 ","$5,076.80 ", N/A , N/A ,"$6,346.00 ","$3,439.53 ", N/A ,"$1,669.00 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ", N/A ,"$5,394.10 ", N/A ,"$2,424.17 ","$1,776.88 ","$5,711.40 ","$4,569.12 ","$6,346.00 ","$3,997.98 ","$3,997.98 ","$3,997.98 ", N/A ,"$3,046.08 ","$5,711.40 " ST. JOHN'S HOSPITAL,36000191,61626,HC OCC/EMB TRANSCATH EXT CRAN VSS,360,1 ,"$6,585.00 ","$4,280.25 ","$1,731.86 ","$24,138.23 ","$24,138.23 ","$6,000.00 ","$3,569.07 ","$9,655.29 ","$1,843.80 ","$2,107.20 ","$9,655.29 ","$2,423.28 ","$6,585.00 ","$2,515.47 ","$2,515.47 ","$6,585.00 ","$2,515.47 ","$6,585.00 ","$3,463.71 ","$3,292.50 ","$24,138.23 ","$9,655.29 ","$4,609.50 ","$9,655.29 ","$3,292.50 ","$6,585.00 ","$4,938.75 ","$2,936.91 ","$2,640.59 ","$2,936.91 ","$9,655.29 ","$2,936.91 ","$4,148.55 ","$4,148.55 ","$4,675.35 ","$6,585.00 ","$5,597.25 ","$6,585.00 ","$5,268.00 ","$2,436.45 ","$5,268.00 ","$9,655.29 ","$9,655.29 ","$6,585.00 ","$3,569.07 ","$9,655.29 ","$1,731.86 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$10,138.05 ","$5,597.25 ","$21,724.40 ","$2,515.47 ","$1,843.80 ","$5,926.50 ","$4,741.20 ","$6,585.00 ","$4,148.55 ","$4,148.55 ","$4,148.55 ","$9,655.29 ","$3,160.80 ","$5,926.50 " ST. JOHN'S HOSPITAL,36000192,61783,HC STEALTH IMAGE GUIDED,360,1 ,"$2,710.00 ","$1,761.50 ",$712.73 ,"$2,710.00 ", N/A ,"$2,300.00 ","$1,468.82 ", N/A ,$758.80 ,$867.20 , N/A ,$997.28 , N/A ,"$1,035.22 ","$1,035.22 ", N/A ,"$1,035.22 ", N/A ,"$1,425.46 ","$1,355.00 ", N/A , N/A ,"$1,897.00 ", N/A ,"$1,355.00 ", N/A ,"$2,032.50 ","$1,208.66 ","$1,086.71 ","$1,208.66 ", N/A ,"$1,208.66 ","$1,707.30 ","$1,707.30 ","$1,924.10 ","$2,710.00 ","$2,303.50 ", N/A ,"$2,168.00 ","$1,002.70 ","$2,168.00 ", N/A , N/A ,"$2,710.00 ","$1,468.82 ", N/A ,$712.73 , N/A , N/A , N/A , N/A , N/A ,"$2,303.50 ", N/A ,"$1,035.22 ",$758.80 ,"$2,439.00 ","$1,951.20 ","$2,710.00 ","$1,707.30 ","$1,707.30 ","$1,707.30 ", N/A ,"$1,300.80 ","$2,439.00 " ST. JOHN'S HOSPITAL,36000193,62267,HC DISC ASPIRATION,360,1 ,"$4,548.00 ","$2,956.20 ",$598.17 ,"$4,548.00 ","$1,495.43 ","$2,300.00 ","$2,465.02 ",$598.17 ,"$1,273.44 ","$1,455.36 ",$598.17 ,"$1,673.66 ",$598.17 ,"$1,737.34 ","$1,737.34 ",$598.17 ,"$1,737.34 ","$1,136.52 ","$2,392.25 ","$2,274.00 ","$1,495.43 ",$598.17 ,"$3,183.60 ",$598.17 ,"$2,274.00 ",$610.13 ,"$3,411.00 ","$2,028.41 ","$1,823.75 ","$2,028.41 ",$598.17 ,"$2,028.41 ","$2,865.24 ","$2,865.24 ","$3,229.08 ","$4,548.00 ","$3,865.80 ","$1,495.43 ","$3,638.40 ","$1,682.76 ","$3,638.40 ",$598.17 ,$598.17 ,"$4,548.00 ","$2,465.02 ",$598.17 ,"$1,196.12 ", N/A , N/A ,$836.14 ,$798.14 ,$628.08 ,"$3,865.80 ","$1,345.88 ","$1,737.34 ","$1,273.44 ","$4,093.20 ","$3,274.56 ","$4,548.00 ","$2,865.24 ","$2,865.24 ","$2,865.24 ",$598.17 ,"$2,183.04 ","$4,093.20 " ST. JOHN'S HOSPITAL,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,"$1,208.00 ",$785.20 ,$317.70 ,"$1,525.98 ","$1,525.98 ","$1,208.00 ",$654.74 ,$610.39 ,$338.24 ,$386.56 ,$610.39 ,$444.54 ,$610.39 ,$461.46 ,$461.46 ,$610.39 ,$461.46 ,"$1,159.74 ",$635.41 ,"$1,208.00 ","$1,525.97 ",$610.39 ,$845.60 ,$610.39 ,$604.00 ,$622.59 ,$906.00 ,$538.77 ,$484.41 ,$538.77 ,$610.39 ,$538.77 ,$761.04 ,$761.04 ,$857.68 ,"$1,208.00 ","$1,026.80 ","$1,208.00 ",$966.40 ,$446.96 ,$966.40 ,$610.39 ,$610.39 ,"$1,208.00 ",$654.74 ,$610.39 ,$317.70 , N/A , N/A ,$541.64 ,$517.02 ,$640.91 ,"$1,026.80 ","$1,373.37 ",$461.46 ,$338.24 ,"$1,087.20 ",$869.76 ,"$1,208.00 ",$761.04 ,$761.04 ,$761.04 ,$610.39 ,$579.84 ,"$1,087.20 " ST. JOHN'S HOSPITAL,36000214,31660,HC BRONCHOSCOPY THERMOPLASTY 1 LOBE,360,1 ,"$9,850.00 ","$6,402.50 ","$1,732.44 ","$13,994.43 ","$13,994.43 ","$4,200.00 ","$5,338.70 ","$5,597.77 ","$2,758.00 ","$3,152.00 ","$5,597.77 ","$3,624.80 ","$5,597.77 ","$3,762.70 ","$3,762.70 ","$5,597.77 ","$3,762.70 ","$9,850.00 ","$5,181.10 ","$3,351.00 ","$13,994.42 ","$5,597.77 ","$6,895.00 ","$5,597.77 ","$4,925.00 ","$5,709.72 ","$7,387.50 ","$4,393.10 ","$3,949.85 ","$4,393.10 ","$5,597.77 ","$4,393.10 ","$6,205.50 ","$6,205.50 ","$6,993.50 ","$9,850.00 ","$8,372.50 ","$9,850.00 ","$7,880.00 ","$3,644.50 ","$7,880.00 ","$5,597.77 ","$5,597.77 ","$9,850.00 ","$5,338.70 ","$5,597.77 ","$2,590.55 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$5,877.66 ","$8,372.50 ","$12,594.98 ","$3,762.70 ","$2,758.00 ","$8,865.00 ","$7,092.00 ","$9,850.00 ","$6,205.50 ","$6,205.50 ","$6,205.50 ","$5,597.77 ","$4,728.00 ","$8,865.00 " ST. JOHN'S HOSPITAL,36000215,31661,HC BRONCHOSCOPY THERMOPLASTY 2 OR MORE LOBES,360,1 ,"$11,025.00 ","$7,166.25 ","$1,732.44 ","$13,994.43 ","$13,994.43 ","$4,200.00 ","$5,975.55 ","$5,597.77 ","$3,087.00 ","$3,528.00 ","$5,597.77 ","$4,057.20 ","$5,597.77 ","$4,211.55 ","$4,211.55 ","$5,597.77 ","$4,211.55 ","$10,635.76 ","$5,799.15 ","$3,351.00 ","$13,994.42 ","$5,597.77 ","$7,717.50 ","$5,597.77 ","$5,512.50 ","$5,709.72 ","$8,268.75 ","$4,917.15 ","$4,421.03 ","$4,917.15 ","$5,597.77 ","$4,917.15 ","$6,945.75 ","$6,945.75 ","$7,827.75 ","$11,025.00 ","$9,371.25 ","$11,025.00 ","$8,820.00 ","$4,079.25 ","$8,820.00 ","$5,597.77 ","$5,597.77 ","$11,025.00 ","$5,975.55 ","$5,597.77 ","$2,899.58 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$5,877.66 ","$9,371.25 ","$12,594.98 ","$4,211.55 ","$3,087.00 ","$9,922.50 ","$7,938.00 ","$11,025.00 ","$6,945.75 ","$6,945.75 ","$6,945.75 ","$5,597.77 ","$5,292.00 ","$9,922.50 " ST. JOHN'S HOSPITAL,36000216,50593,HC ABLATION RENAL PERC CRYO,360,1 ,"$29,481.00 ","$19,162.65 ","$2,310.47 ","$29,481.00 ","$21,403.98 ","$5,500.00 ","$15,978.70 ","$8,561.59 ","$8,254.68 ","$8,343.12 ","$8,561.59 ","$9,551.84 ","$8,561.59 ","$9,817.17 ","$9,817.17 ","$8,561.59 ","$9,817.17 ","$16,267.02 ","$15,507.01 ","$14,740.50 ","$21,403.97 ","$8,561.59 ","$20,636.70 ","$8,561.59 ","$14,740.50 ","$8,732.82 ","$22,110.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$8,561.59 ","$8,656.00 ","$18,573.03 ","$18,573.03 ","$20,931.51 ","$29,481.00 ","$25,058.85 ","$21,403.97 ","$23,584.80 ","$10,907.97 ","$23,584.80 ","$8,561.59 ","$8,561.59 ","$29,481.00 ","$15,978.70 ","$8,561.59 ","$7,753.50 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$8,989.67 ","$25,058.85 ","$19,263.57 ","$9,817.17 ","$8,254.68 ","$26,532.90 ","$21,226.32 ","$29,481.00 ","$18,573.03 ","$18,573.03 ","$18,573.03 ","$8,561.59 ","$14,150.88 ","$26,532.90 " ST. JOHN'S HOSPITAL,36000223,36575,HC REPAIR CATH CV W/O PORT/PUMP,360,1 ,"$3,416.00 ","$2,220.40 ",$495.83 ,"$3,416.00 ","$1,298.95 ","$3,400.00 ","$1,851.47 ",$519.58 ,$956.48 ,"$1,093.12 ",$519.58 ,"$1,257.09 ",$519.58 ,"$1,304.91 ","$1,304.91 ",$519.58 ,"$1,304.91 ",$987.20 ,"$1,796.82 ","$1,536.00 ","$1,298.95 ",$519.58 ,"$2,391.20 ",$519.58 ,"$1,708.00 ",$529.97 ,"$2,562.00 ","$1,523.54 ","$1,369.82 ","$1,523.54 ",$519.58 ,"$1,523.54 ","$2,152.08 ","$2,152.08 ","$2,425.36 ","$3,416.00 ","$2,903.60 ","$1,298.95 ","$2,732.80 ","$1,263.92 ","$2,732.80 ",$519.58 ,$519.58 ,"$3,416.00 ","$1,851.47 ",$519.58 ,$898.41 , N/A , N/A ,$519.44 ,$495.83 ,$545.56 ,"$2,903.60 ","$1,169.06 ","$1,304.91 ",$956.48 ,"$3,074.40 ","$2,459.52 ","$3,416.00 ","$2,152.08 ","$2,152.08 ","$2,152.08 ",$519.58 ,"$1,639.68 ","$3,074.40 " ST. JOHN'S HOSPITAL,36000240,42300,HC DRAIN ABSC PAROTID SMP,360,1 ,"$3,760.00 ","$2,444.00 ",$988.88 ,"$3,760.00 ","$3,250.78 ","$2,300.00 ","$2,037.92 ","$1,300.31 ","$1,052.80 ","$1,203.20 ","$1,300.31 ","$1,383.68 ","$1,300.31 ","$1,436.32 ","$1,436.32 ","$1,300.31 ","$1,436.32 ","$2,470.58 ","$1,977.76 ","$1,398.00 ","$3,250.76 ","$1,300.31 ","$2,632.00 ","$1,300.31 ","$1,880.00 ","$1,326.31 ","$2,820.00 ","$1,676.96 ","$1,507.76 ","$1,676.96 ","$1,300.31 ","$1,676.96 ","$2,368.80 ","$2,368.80 ","$2,669.60 ","$3,760.00 ","$3,196.00 ","$3,250.76 ","$3,008.00 ","$1,391.20 ","$3,008.00 ","$1,300.31 ","$1,300.31 ","$3,760.00 ","$2,037.92 ","$1,300.31 ",$988.88 , N/A , N/A ,"$1,341.64 ","$1,280.65 ","$1,365.33 ","$3,196.00 ","$2,925.69 ","$1,436.32 ","$1,052.80 ","$3,384.00 ","$2,707.20 ","$3,760.00 ","$2,368.80 ","$2,368.80 ","$2,368.80 ","$1,300.31 ","$1,804.80 ","$3,384.00 " ST. JOHN'S HOSPITAL,36000300,64635,HC RADIOFREQ;LUMBO/SACRAL;SINGLE,360,1 ,"$5,297.00 ","$3,443.05 ",$798.14 ,"$5,297.00 ","$4,219.65 ","$2,300.00 ","$2,870.97 ","$1,687.86 ","$1,483.16 ","$1,695.04 ","$1,687.86 ","$1,949.30 ","$1,687.86 ","$2,023.45 ","$2,023.45 ","$1,687.86 ","$2,023.45 ","$3,206.94 ","$2,786.22 ","$2,648.50 ","$4,219.66 ","$1,687.86 ","$3,707.90 ","$1,687.86 ","$2,648.50 ","$1,721.62 ","$3,972.75 ","$2,362.46 ","$2,124.10 ","$2,362.46 ","$1,687.86 ","$2,362.46 ","$3,337.11 ","$3,337.11 ","$3,760.87 ","$5,297.00 ","$4,502.45 ","$4,219.66 ","$4,237.60 ","$1,959.89 ","$4,237.60 ","$1,687.86 ","$1,687.86 ","$5,297.00 ","$2,870.97 ","$1,687.86 ","$1,393.11 ", N/A , N/A ,$836.14 ,$798.14 ,"$1,772.25 ","$4,502.45 ","$3,797.69 ","$2,023.45 ","$1,483.16 ","$4,767.30 ","$3,813.84 ","$5,297.00 ","$3,337.11 ","$3,337.11 ","$3,337.11 ","$1,687.86 ","$2,542.56 ","$4,767.30 " ST. JOHN'S HOSPITAL,36000301,64636,HC RADIOFREQ;LUMBO/SACRAL;ADDTL,360,1 ,"$5,297.00 ","$3,443.05 ",$798.14 ,"$5,297.00 ", N/A ,"$2,300.00 ","$2,870.97 ", N/A ,"$1,483.16 ","$1,695.04 ", N/A ,"$1,949.30 ", N/A ,"$2,023.45 ","$2,023.45 ", N/A ,"$2,023.45 ", N/A ,"$2,786.22 ","$2,648.50 ", N/A , N/A ,"$3,707.90 ", N/A ,"$2,648.50 ", N/A ,"$3,972.75 ","$2,362.46 ","$2,124.10 ","$2,362.46 ", N/A ,"$2,362.46 ","$3,337.11 ","$3,337.11 ","$3,760.87 ","$5,297.00 ","$4,502.45 ", N/A ,"$4,237.60 ","$1,959.89 ","$4,237.60 ", N/A , N/A ,"$5,297.00 ","$2,870.97 ", N/A ,"$1,393.11 ", N/A , N/A ,$836.14 ,$798.14 , N/A ,"$4,502.45 ", N/A ,"$2,023.45 ","$1,483.16 ","$4,767.30 ","$3,813.84 ","$5,297.00 ","$3,337.11 ","$3,337.11 ","$3,337.11 ", N/A ,"$2,542.56 ","$4,767.30 " ST. JOHN'S HOSPITAL,36000302,64633,HC RADIOFREQ;CERV/THOR;SINGLE,360,1 ,"$7,673.00 ","$4,987.45 ","$1,197.21 ","$7,673.00 ","$4,219.65 ","$3,450.00 ","$4,158.77 ","$1,687.86 ","$2,148.44 ","$2,455.36 ","$1,687.86 ","$2,823.66 ","$1,687.86 ","$2,931.09 ","$2,931.09 ","$1,687.86 ","$2,931.09 ","$3,206.94 ","$4,036.00 ","$3,351.00 ","$4,219.66 ","$1,687.86 ","$5,371.10 ","$1,687.86 ","$3,836.50 ","$1,721.62 ","$5,754.75 ","$3,422.16 ","$3,076.87 ","$3,422.16 ","$1,687.86 ","$3,422.16 ","$4,833.99 ","$4,833.99 ","$5,447.83 ","$7,673.00 ","$6,522.05 ","$4,219.66 ","$6,138.40 ","$2,839.01 ","$6,138.40 ","$1,687.86 ","$1,687.86 ","$7,673.00 ","$4,158.77 ","$1,687.86 ","$2,018.00 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,772.25 ","$6,522.05 ","$3,797.69 ","$2,931.09 ","$2,148.44 ","$6,905.70 ","$5,524.56 ","$7,673.00 ","$4,833.99 ","$4,833.99 ","$4,833.99 ","$1,687.86 ","$3,683.04 ","$6,905.70 " ST. JOHN'S HOSPITAL,36000302,64633,HC RADIOFREQ;CERV/THOR;SINGLE,360,1 ,"$5,115.00 ","$3,324.75 ",$798.14 ,"$5,115.00 ","$4,219.65 ","$2,300.00 ","$2,772.33 ","$1,687.86 ","$1,432.20 ","$1,636.80 ","$1,687.86 ","$1,882.32 ","$1,687.86 ","$1,953.93 ","$1,953.93 ","$1,687.86 ","$1,953.93 ","$3,206.94 ","$2,690.49 ","$2,557.50 ","$4,219.66 ","$1,687.86 ","$3,580.50 ","$1,687.86 ","$2,557.50 ","$1,721.62 ","$3,836.25 ","$2,281.29 ","$2,051.12 ","$2,281.29 ","$1,687.86 ","$2,281.29 ","$3,222.45 ","$3,222.45 ","$3,631.65 ","$5,115.00 ","$4,347.75 ","$4,219.66 ","$4,092.00 ","$1,892.55 ","$4,092.00 ","$1,687.86 ","$1,687.86 ","$5,115.00 ","$2,772.33 ","$1,687.86 ","$1,345.25 ", N/A , N/A ,$836.14 ,$798.14 ,"$1,772.25 ","$4,347.75 ","$3,797.69 ","$1,953.93 ","$1,432.20 ","$4,603.50 ","$3,682.80 ","$5,115.00 ","$3,222.45 ","$3,222.45 ","$3,222.45 ","$1,687.86 ","$2,455.20 ","$4,603.50 " ST. JOHN'S HOSPITAL,36000303,64634,HC RADIOFREQ;CERV/THOR;ADDTL,360,1 ,"$5,297.00 ","$3,443.05 ",$798.14 ,"$5,297.00 ", N/A ,"$2,300.00 ","$2,870.97 ", N/A ,"$1,483.16 ","$1,695.04 ", N/A ,"$1,949.30 ", N/A ,"$2,023.45 ","$2,023.45 ", N/A ,"$2,023.45 ", N/A ,"$2,786.22 ","$2,648.50 ", N/A , N/A ,"$3,707.90 ", N/A ,"$2,648.50 ", N/A ,"$3,972.75 ","$2,362.46 ","$2,124.10 ","$2,362.46 ", N/A ,"$2,362.46 ","$3,337.11 ","$3,337.11 ","$3,760.87 ","$5,297.00 ","$4,502.45 ", N/A ,"$4,237.60 ","$1,959.89 ","$4,237.60 ", N/A , N/A ,"$5,297.00 ","$2,870.97 ", N/A ,"$1,393.11 ", N/A , N/A ,$836.14 ,$798.14 , N/A ,"$4,502.45 ", N/A ,"$2,023.45 ","$1,483.16 ","$4,767.30 ","$3,813.84 ","$5,297.00 ","$3,337.11 ","$3,337.11 ","$3,337.11 ", N/A ,"$2,542.56 ","$4,767.30 " ST. JOHN'S HOSPITAL,36000304,64640,HC RADIOFREQ;PERIPHERAL NERVE,360,1 ,"$10,089.00 ","$6,557.85 ","$1,186.94 ","$10,089.00 ","$2,967.35 ","$3,450.00 ","$5,468.24 ","$1,186.94 ","$2,824.92 ","$3,228.48 ","$1,186.94 ","$3,712.75 ","$1,186.94 ","$3,854.00 ","$3,854.00 ","$1,186.94 ","$3,854.00 ","$2,255.19 ","$5,306.81 ","$3,351.00 ","$2,967.36 ","$1,186.94 ","$7,062.30 ","$1,186.94 ","$5,044.50 ","$1,210.68 ","$7,566.75 ","$4,499.69 ","$4,045.69 ","$4,499.69 ","$1,186.94 ","$4,499.69 ","$6,356.07 ","$6,356.07 ","$7,163.19 ","$10,089.00 ","$8,575.65 ","$2,967.36 ","$8,071.20 ","$3,732.93 ","$8,071.20 ","$1,186.94 ","$1,186.94 ","$10,089.00 ","$5,468.24 ","$1,186.94 ","$2,653.41 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$8,575.65 ","$2,670.62 ","$3,854.00 ","$2,824.92 ","$9,080.10 ","$7,264.08 ","$10,089.00 ","$6,356.07 ","$6,356.07 ","$6,356.07 ","$1,186.94 ","$4,842.72 ","$9,080.10 " ST. JOHN'S HOSPITAL,36000304,64640,HC RADIOFREQ;PERIPHERAL NERVE,360,1 ,"$6,725.00 ","$4,371.25 ",$791.30 ,"$6,725.00 ","$1,978.25 ","$2,300.00 ","$3,644.95 ",$791.30 ,"$1,883.00 ","$2,152.00 ",$791.30 ,"$2,474.80 ",$791.30 ,"$2,568.95 ","$2,568.95 ",$791.30 ,"$2,568.95 ","$1,503.46 ","$3,537.35 ","$3,351.00 ","$1,978.24 ",$791.30 ,"$4,707.50 ",$791.30 ,"$3,362.50 ",$807.12 ,"$5,043.75 ","$2,999.35 ","$2,696.73 ","$2,999.35 ",$791.30 ,"$2,999.35 ","$4,236.75 ","$4,236.75 ","$4,774.75 ","$6,725.00 ","$5,716.25 ","$1,978.24 ","$5,380.00 ","$2,488.25 ","$5,380.00 ",$791.30 ,$791.30 ,"$6,725.00 ","$3,644.95 ",$791.30 ,"$1,768.68 ", N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$5,716.25 ","$1,780.41 ","$2,568.95 ","$1,883.00 ","$6,052.50 ","$4,842.00 ","$6,725.00 ","$4,236.75 ","$4,236.75 ","$4,236.75 ",$791.30 ,"$3,228.00 ","$6,052.50 " ST. JOHN'S HOSPITAL,36000308,27096,HC INJECTION SACRAL JOINT W/IMAGING GUIDANCE,360,1 ,"$1,165.00 ",$757.25 ,$306.40 ,"$1,165.00 ", N/A ,"$1,165.00 ",$631.43 , N/A ,$326.20 ,$372.80 , N/A ,$428.72 , N/A ,$445.03 ,$445.03 , N/A ,$445.03 , N/A ,$612.79 ,$582.50 , N/A , N/A ,$815.50 , N/A ,$582.50 , N/A ,$873.75 ,$519.59 ,$467.17 ,$519.59 , N/A ,$519.59 ,$733.95 ,$733.95 ,$827.15 ,"$1,165.00 ",$990.25 , N/A ,$932.00 ,$431.05 ,$932.00 , N/A , N/A ,"$1,165.00 ",$631.43 , N/A ,$306.40 , N/A , N/A ,$339.35 ,$323.93 , N/A ,$990.25 , N/A ,$445.03 ,$326.20 ,"$1,048.50 ",$838.80 ,"$1,165.00 ",$733.95 ,$733.95 ,$733.95 , N/A ,$559.20 ,"$1,048.50 " ST. JOHN'S HOSPITAL,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,"$1,904.00 ","$1,237.60 ",$440.08 ,"$1,904.00 ","$1,525.98 ","$1,904.00 ","$1,031.97 ",$610.39 ,$533.12 ,$609.28 ,$610.39 ,$700.67 ,$610.39 ,$727.33 ,$727.33 ,$610.39 ,$727.33 ,"$1,159.74 ","$1,001.50 ","$1,398.00 ","$1,525.97 ",$610.39 ,"$1,332.80 ",$610.39 ,$952.00 ,$622.59 ,"$1,428.00 ",$849.18 ,$763.50 ,$849.18 ,$610.39 ,$849.18 ,"$1,199.52 ","$1,199.52 ","$1,351.84 ","$1,904.00 ","$1,618.40 ","$1,525.97 ","$1,523.20 ",$704.48 ,"$1,523.20 ",$610.39 ,$610.39 ,"$1,904.00 ","$1,031.97 ",$610.39 ,$500.75 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,618.40 ","$1,373.37 ",$727.33 ,$533.12 ,"$1,713.60 ","$1,370.88 ","$1,904.00 ","$1,199.52 ","$1,199.52 ","$1,199.52 ",$610.39 ,$913.92 ,"$1,713.60 " ST. JOHN'S HOSPITAL,36000313,64493,HC INJ FACET LUMBO SACRAL;SINGLE,360,1 ,"$2,408.00 ","$1,565.20 ",$633.30 ,"$2,408.00 ","$1,978.25 ","$2,300.00 ","$1,305.14 ",$791.30 ,$674.24 ,$770.56 ,$791.30 ,$886.14 ,$791.30 ,$919.86 ,$919.86 ,$791.30 ,$919.86 ,"$1,503.46 ","$1,266.61 ","$1,204.00 ","$1,978.24 ",$791.30 ,"$1,685.60 ",$791.30 ,"$1,204.00 ",$807.12 ,"$1,806.00 ","$1,073.97 ",$965.61 ,"$1,073.97 ",$791.30 ,"$1,073.97 ","$1,517.04 ","$1,517.04 ","$1,709.68 ","$2,408.00 ","$2,046.80 ","$1,978.24 ","$1,926.40 ",$890.96 ,"$1,926.40 ",$791.30 ,$791.30 ,"$2,408.00 ","$1,305.14 ",$791.30 ,$633.30 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,046.80 ","$1,780.41 ",$919.86 ,$674.24 ,"$2,167.20 ","$1,733.76 ","$2,408.00 ","$1,517.04 ","$1,517.04 ","$1,517.04 ",$791.30 ,"$1,155.84 ","$2,167.20 " ST. JOHN'S HOSPITAL,36000313,64493,HC INJ FACET LUMBO SACRAL;SINGLE,360,1 ,"$3,612.00 ","$2,347.80 ",$949.96 ,"$3,612.00 ","$2,967.35 ","$3,450.00 ","$1,957.70 ","$1,186.94 ","$1,011.36 ","$1,155.84 ","$1,186.94 ","$1,329.22 ","$1,186.94 ","$1,379.78 ","$1,379.78 ","$1,186.94 ","$1,379.78 ","$2,255.19 ","$1,899.91 ","$1,806.00 ","$2,967.36 ","$1,186.94 ","$2,528.40 ","$1,186.94 ","$1,806.00 ","$1,210.68 ","$2,709.00 ","$1,610.95 ","$1,448.41 ","$1,610.95 ","$1,186.94 ","$1,610.95 ","$2,275.56 ","$2,275.56 ","$2,564.52 ","$3,612.00 ","$3,070.20 ","$2,967.36 ","$2,889.60 ","$1,336.44 ","$2,889.60 ","$1,186.94 ","$1,186.94 ","$3,612.00 ","$1,957.70 ","$1,186.94 ",$949.96 , N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$3,070.20 ","$2,670.62 ","$1,379.78 ","$1,011.36 ","$3,250.80 ","$2,600.64 ","$3,612.00 ","$2,275.56 ","$2,275.56 ","$2,275.56 ","$1,186.94 ","$1,733.76 ","$3,250.80 " ST. JOHN'S HOSPITAL,36000314,64494,HC INJ FACET LUMBO/SACRAL;2ND LEVEL,360,1 ,"$2,160.00 ","$1,404.00 ",$568.08 ,"$2,160.00 ", N/A ,"$2,160.00 ","$1,170.72 ", N/A ,$604.80 ,$691.20 , N/A ,$794.88 , N/A ,$825.12 ,$825.12 , N/A ,$825.12 , N/A ,"$1,136.16 ","$1,080.00 ", N/A , N/A ,"$1,512.00 ", N/A ,"$1,080.00 ", N/A ,"$1,620.00 ",$963.36 ,$866.16 ,$963.36 , N/A ,$963.36 ,"$1,360.80 ","$1,360.80 ","$1,533.60 ","$2,160.00 ","$1,836.00 ", N/A ,"$1,728.00 ",$799.20 ,"$1,728.00 ", N/A , N/A ,"$2,160.00 ","$1,170.72 ", N/A ,$568.08 , N/A , N/A ,"$1,254.22 ","$1,197.21 ", N/A ,"$1,836.00 ", N/A ,$825.12 ,$604.80 ,"$1,944.00 ","$1,555.20 ","$2,160.00 ","$1,360.80 ","$1,360.80 ","$1,360.80 ", N/A ,"$1,036.80 ","$1,944.00 " ST. JOHN'S HOSPITAL,36000314,64494,HC INJ FACET LUMBO/SACRAL;2ND LEVEL,360,1 ,"$1,440.00 ",$936.00 ,$378.72 ,"$1,440.00 ", N/A ,"$1,440.00 ",$780.48 , N/A ,$403.20 ,$460.80 , N/A ,$529.92 , N/A ,$550.08 ,$550.08 , N/A ,$550.08 , N/A ,$757.44 ,$720.00 , N/A , N/A ,"$1,008.00 ", N/A ,$720.00 , N/A ,"$1,080.00 ",$642.24 ,$577.44 ,$642.24 , N/A ,$642.24 ,$907.20 ,$907.20 ,"$1,022.40 ","$1,440.00 ","$1,224.00 ", N/A ,"$1,152.00 ",$532.80 ,"$1,152.00 ", N/A , N/A ,"$1,440.00 ",$780.48 , N/A ,$378.72 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$1,224.00 ", N/A ,$550.08 ,$403.20 ,"$1,296.00 ","$1,036.80 ","$1,440.00 ",$907.20 ,$907.20 ,$907.20 , N/A ,$691.20 ,"$1,296.00 " ST. JOHN'S HOSPITAL,36000315,64495,HC INJ FACET LUMBO/SACRAL;3RD LEVEL,360,1 ,"$1,440.00 ",$936.00 ,$378.72 ,"$1,440.00 ", N/A ,"$1,440.00 ",$780.48 , N/A ,$403.20 ,$460.80 , N/A ,$529.92 , N/A ,$550.08 ,$550.08 , N/A ,$550.08 , N/A ,$757.44 ,$720.00 , N/A , N/A ,"$1,008.00 ", N/A ,$720.00 , N/A ,"$1,080.00 ",$642.24 ,$577.44 ,$642.24 , N/A ,$642.24 ,$907.20 ,$907.20 ,"$1,022.40 ","$1,440.00 ","$1,224.00 ", N/A ,"$1,152.00 ",$532.80 ,"$1,152.00 ", N/A , N/A ,"$1,440.00 ",$780.48 , N/A ,$378.72 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$1,224.00 ", N/A ,$550.08 ,$403.20 ,"$1,296.00 ","$1,036.80 ","$1,440.00 ",$907.20 ,$907.20 ,$907.20 , N/A ,$691.20 ,"$1,296.00 " ST. JOHN'S HOSPITAL,36000316,64490,HC INJ FACET CER/THORACIC;SINGLE,360,1 ,"$2,369.00 ","$1,539.85 ",$623.05 ,"$2,369.00 ","$1,978.25 ","$2,300.00 ","$1,284.00 ",$791.30 ,$663.32 ,$758.08 ,$791.30 ,$871.79 ,$791.30 ,$904.96 ,$904.96 ,$791.30 ,$904.96 ,"$1,503.46 ","$1,246.09 ","$1,184.50 ","$1,978.24 ",$791.30 ,"$1,658.30 ",$791.30 ,"$1,184.50 ",$807.12 ,"$1,776.75 ","$1,056.57 ",$949.97 ,"$1,056.57 ",$791.30 ,"$1,056.57 ","$1,492.47 ","$1,492.47 ","$1,681.99 ","$2,369.00 ","$2,013.65 ","$1,978.24 ","$1,895.20 ",$876.53 ,"$1,895.20 ",$791.30 ,$791.30 ,"$2,369.00 ","$1,284.00 ",$791.30 ,$623.05 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,013.65 ","$1,780.41 ",$904.96 ,$663.32 ,"$2,132.10 ","$1,705.68 ","$2,369.00 ","$1,492.47 ","$1,492.47 ","$1,492.47 ",$791.30 ,"$1,137.12 ","$2,132.10 " ST. JOHN'S HOSPITAL,36000316,64490,HC INJ FACET CER/THORACIC;SINGLE,360,1 ,"$3,552.00 ","$2,308.80 ",$934.18 ,"$3,552.00 ","$2,967.35 ","$3,450.00 ","$1,925.18 ","$1,186.94 ",$994.56 ,"$1,136.64 ","$1,186.94 ","$1,307.14 ","$1,186.94 ","$1,356.86 ","$1,356.86 ","$1,186.94 ","$1,356.86 ","$2,255.19 ","$1,868.35 ","$1,776.00 ","$2,967.36 ","$1,186.94 ","$2,486.40 ","$1,186.94 ","$1,776.00 ","$1,210.68 ","$2,664.00 ","$1,584.19 ","$1,424.35 ","$1,584.19 ","$1,186.94 ","$1,584.19 ","$2,237.76 ","$2,237.76 ","$2,521.92 ","$3,552.00 ","$3,019.20 ","$2,967.36 ","$2,841.60 ","$1,314.24 ","$2,841.60 ","$1,186.94 ","$1,186.94 ","$3,552.00 ","$1,925.18 ","$1,186.94 ",$934.18 , N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$3,019.20 ","$2,670.62 ","$1,356.86 ",$994.56 ,"$3,196.80 ","$2,557.44 ","$3,552.00 ","$2,237.76 ","$2,237.76 ","$2,237.76 ","$1,186.94 ","$1,704.96 ","$3,196.80 " ST. JOHN'S HOSPITAL,36000317,64491,HC INJ FACET CER/THORACIC 2ND LEVEL,360,1 ,"$1,288.00 ",$837.20 ,$338.74 ,"$1,288.00 ", N/A ,"$1,288.00 ",$698.10 , N/A ,$360.64 ,$412.16 , N/A ,$473.98 , N/A ,$492.02 ,$492.02 , N/A ,$492.02 , N/A ,$677.49 ,$644.00 , N/A , N/A ,$901.60 , N/A ,$644.00 , N/A ,$966.00 ,$574.45 ,$516.49 ,$574.45 , N/A ,$574.45 ,$811.44 ,$811.44 ,$914.48 ,"$1,288.00 ","$1,094.80 ", N/A ,"$1,030.40 ",$476.56 ,"$1,030.40 ", N/A , N/A ,"$1,288.00 ",$698.10 , N/A ,$338.74 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$1,094.80 ", N/A ,$492.02 ,$360.64 ,"$1,159.20 ",$927.36 ,"$1,288.00 ",$811.44 ,$811.44 ,$811.44 , N/A ,$618.24 ,"$1,159.20 " ST. JOHN'S HOSPITAL,36000317,64491,HC INJ FACET CER/THORACIC 2ND LEVEL,360,1 ,"$1,931.00 ","$1,255.15 ",$507.85 ,"$1,931.00 ", N/A ,"$1,931.00 ","$1,046.60 ", N/A ,$540.68 ,$617.92 , N/A ,$710.61 , N/A ,$737.64 ,$737.64 , N/A ,$737.64 , N/A ,"$1,015.71 ",$965.50 , N/A , N/A ,"$1,351.70 ", N/A ,$965.50 , N/A ,"$1,448.25 ",$861.23 ,$774.33 ,$861.23 , N/A ,$861.23 ,"$1,216.53 ","$1,216.53 ","$1,371.01 ","$1,931.00 ","$1,641.35 ", N/A ,"$1,544.80 ",$714.47 ,"$1,544.80 ", N/A , N/A ,"$1,931.00 ","$1,046.60 ", N/A ,$507.85 , N/A , N/A ,"$1,254.22 ","$1,197.21 ", N/A ,"$1,641.35 ", N/A ,$737.64 ,$540.68 ,"$1,737.90 ","$1,390.32 ","$1,931.00 ","$1,216.53 ","$1,216.53 ","$1,216.53 ", N/A ,$926.88 ,"$1,737.90 " ST. JOHN'S HOSPITAL,36000318,64492,HC INJ FACET CER/THORACIC 3RD LEVEL,360,1 ,"$1,245.00 ",$809.25 ,$327.44 ,"$1,245.00 ", N/A ,"$1,245.00 ",$674.79 , N/A ,$348.60 ,$398.40 , N/A ,$458.16 , N/A ,$475.59 ,$475.59 , N/A ,$475.59 , N/A ,$654.87 ,$622.50 , N/A , N/A ,$871.50 , N/A ,$622.50 , N/A ,$933.75 ,$555.27 ,$499.25 ,$555.27 , N/A ,$555.27 ,$784.35 ,$784.35 ,$883.95 ,"$1,245.00 ","$1,058.25 ", N/A ,$996.00 ,$460.65 ,$996.00 , N/A , N/A ,"$1,245.00 ",$674.79 , N/A ,$327.44 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$1,058.25 ", N/A ,$475.59 ,$348.60 ,"$1,120.50 ",$896.40 ,"$1,245.00 ",$784.35 ,$784.35 ,$784.35 , N/A ,$597.60 ,"$1,120.50 " ST. JOHN'S HOSPITAL,36000318,64492,HC INJ FACET CER/THORACIC 3RD LEVEL,360,1 ,"$1,868.00 ","$1,214.20 ",$491.28 ,"$1,868.00 ", N/A ,"$1,868.00 ","$1,012.46 ", N/A ,$523.04 ,$597.76 , N/A ,$687.42 , N/A ,$713.58 ,$713.58 , N/A ,$713.58 , N/A ,$982.57 ,$934.00 , N/A , N/A ,"$1,307.60 ", N/A ,$934.00 , N/A ,"$1,401.00 ",$833.13 ,$749.07 ,$833.13 , N/A ,$833.13 ,"$1,176.84 ","$1,176.84 ","$1,326.28 ","$1,868.00 ","$1,587.80 ", N/A ,"$1,494.40 ",$691.16 ,"$1,494.40 ", N/A , N/A ,"$1,868.00 ","$1,012.46 ", N/A ,$491.28 , N/A , N/A ,"$1,254.22 ","$1,197.21 ", N/A ,"$1,587.80 ", N/A ,$713.58 ,$523.04 ,"$1,681.20 ","$1,344.96 ","$1,868.00 ","$1,176.84 ","$1,176.84 ","$1,176.84 ", N/A ,$896.64 ,"$1,681.20 " ST. JOHN'S HOSPITAL,36000322,64479,HC INJ TRANSF CERV/THORACIC SINGLE,360,1 ,"$6,134.00 ","$3,987.10 ","$1,186.94 ","$6,134.00 ","$2,967.35 ","$3,450.00 ","$3,324.63 ","$1,186.94 ","$1,717.52 ","$1,962.88 ","$1,186.94 ","$2,257.31 ","$1,186.94 ","$2,343.19 ","$2,343.19 ","$1,186.94 ","$2,343.19 ","$2,255.19 ","$3,226.48 ","$1,398.00 ","$2,967.36 ","$1,186.94 ","$4,293.80 ","$1,186.94 ","$3,067.00 ","$1,210.68 ","$4,600.50 ","$2,735.76 ","$2,459.73 ","$2,735.76 ","$1,186.94 ","$2,735.76 ","$3,864.42 ","$3,864.42 ","$4,355.14 ","$6,134.00 ","$5,213.90 ","$2,967.36 ","$4,907.20 ","$2,269.58 ","$4,907.20 ","$1,186.94 ","$1,186.94 ","$6,134.00 ","$3,324.63 ","$1,186.94 ","$1,613.24 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$5,213.90 ","$2,670.62 ","$2,343.19 ","$1,717.52 ","$5,520.60 ","$4,416.48 ","$6,134.00 ","$3,864.42 ","$3,864.42 ","$3,864.42 ","$1,186.94 ","$2,944.32 ","$5,520.60 " ST. JOHN'S HOSPITAL,36000322,64479,HC INJ TRANSF CERV/THORACIC SINGLE,360,1 ,"$4,090.00 ","$2,658.50 ",$791.30 ,"$4,090.00 ","$1,978.25 ","$2,300.00 ","$2,216.78 ",$791.30 ,"$1,145.20 ","$1,308.80 ",$791.30 ,"$1,505.12 ",$791.30 ,"$1,562.38 ","$1,562.38 ",$791.30 ,"$1,562.38 ","$1,503.46 ","$2,151.34 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,863.00 ",$791.30 ,"$2,045.00 ",$807.12 ,"$3,067.50 ","$1,824.14 ","$1,640.09 ","$1,824.14 ",$791.30 ,"$1,824.14 ","$2,576.70 ","$2,576.70 ","$2,903.90 ","$4,090.00 ","$3,476.50 ","$1,978.24 ","$3,272.00 ","$1,513.30 ","$3,272.00 ",$791.30 ,$791.30 ,"$4,090.00 ","$2,216.78 ",$791.30 ,"$1,075.67 ", N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$3,476.50 ","$1,780.41 ","$1,562.38 ","$1,145.20 ","$3,681.00 ","$2,944.80 ","$4,090.00 ","$2,576.70 ","$2,576.70 ","$2,576.70 ",$791.30 ,"$1,963.20 ","$3,681.00 " ST. JOHN'S HOSPITAL,36000323,64480,HC INJ TRANSF CERV/THORACIC ADDL,360,1 ,"$2,682.00 ","$1,743.30 ",$705.37 ,"$2,682.00 ", N/A ,"$2,300.00 ","$1,453.64 ", N/A ,$750.96 ,$858.24 , N/A ,$986.98 , N/A ,"$1,024.52 ","$1,024.52 ", N/A ,"$1,024.52 ", N/A ,"$1,410.73 ","$1,398.00 ", N/A , N/A ,"$1,877.40 ", N/A ,"$1,341.00 ", N/A ,"$2,011.50 ","$1,196.17 ","$1,075.48 ","$1,196.17 ", N/A ,"$1,196.17 ","$1,689.66 ","$1,689.66 ","$1,904.22 ","$2,682.00 ","$2,279.70 ", N/A ,"$2,145.60 ",$992.34 ,"$2,145.60 ", N/A , N/A ,"$2,682.00 ","$1,453.64 ", N/A ,$705.37 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$2,279.70 ", N/A ,"$1,024.52 ",$750.96 ,"$2,413.80 ","$1,931.04 ","$2,682.00 ","$1,689.66 ","$1,689.66 ","$1,689.66 ", N/A ,"$1,287.36 ","$2,413.80 " ST. JOHN'S HOSPITAL,36000323,64480,HC INJ TRANSF CERV/THORACIC ADDL,360,1 ,"$4,024.00 ","$2,615.60 ","$1,058.31 ","$4,024.00 ", N/A ,"$3,450.00 ","$2,181.01 ", N/A ,"$1,126.72 ","$1,287.68 ", N/A ,"$1,480.83 ", N/A ,"$1,537.17 ","$1,537.17 ", N/A ,"$1,537.17 ", N/A ,"$2,116.62 ","$1,398.00 ", N/A , N/A ,"$2,816.80 ", N/A ,"$2,012.00 ", N/A ,"$3,018.00 ","$1,794.70 ","$1,613.62 ","$1,794.70 ", N/A ,"$1,794.70 ","$2,535.12 ","$2,535.12 ","$2,857.04 ","$4,024.00 ","$3,420.40 ", N/A ,"$3,219.20 ","$1,488.88 ","$3,219.20 ", N/A , N/A ,"$4,024.00 ","$2,181.01 ", N/A ,"$1,058.31 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ", N/A ,"$3,420.40 ", N/A ,"$1,537.17 ","$1,126.72 ","$3,621.60 ","$2,897.28 ","$4,024.00 ","$2,535.12 ","$2,535.12 ","$2,535.12 ", N/A ,"$1,931.52 ","$3,621.60 " ST. JOHN'S HOSPITAL,36000324,64483,HC INJ TRANSF LUMBAR SACRAL SINGLE,360,1 ,"$3,976.00 ","$2,584.40 ",$791.30 ,"$3,976.00 ","$1,978.25 ","$2,300.00 ","$2,154.99 ",$791.30 ,"$1,113.28 ","$1,272.32 ",$791.30 ,"$1,463.17 ",$791.30 ,"$1,518.83 ","$1,518.83 ",$791.30 ,"$1,518.83 ","$1,503.46 ","$2,091.38 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,783.20 ",$791.30 ,"$1,988.00 ",$807.12 ,"$2,982.00 ","$1,773.30 ","$1,594.38 ","$1,773.30 ",$791.30 ,"$1,773.30 ","$2,504.88 ","$2,504.88 ","$2,822.96 ","$3,976.00 ","$3,379.60 ","$1,978.24 ","$3,180.80 ","$1,471.12 ","$3,180.80 ",$791.30 ,$791.30 ,"$3,976.00 ","$2,154.99 ",$791.30 ,"$1,045.69 ", N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$3,379.60 ","$1,780.41 ","$1,518.83 ","$1,113.28 ","$3,578.40 ","$2,862.72 ","$3,976.00 ","$2,504.88 ","$2,504.88 ","$2,504.88 ",$791.30 ,"$1,908.48 ","$3,578.40 " ST. JOHN'S HOSPITAL,36000324,64483,HC INJ TRANSF LUMBAR SACRAL SINGLE,360,1 ,"$4,548.00 ","$2,956.20 ","$1,186.94 ","$4,548.00 ","$2,967.35 ","$3,450.00 ","$2,465.02 ","$1,186.94 ","$1,273.44 ","$1,455.36 ","$1,186.94 ","$1,673.66 ","$1,186.94 ","$1,737.34 ","$1,737.34 ","$1,186.94 ","$1,737.34 ","$2,255.19 ","$2,392.25 ","$1,398.00 ","$2,967.36 ","$1,186.94 ","$3,183.60 ","$1,186.94 ","$2,274.00 ","$1,210.68 ","$3,411.00 ","$2,028.41 ","$1,823.75 ","$2,028.41 ","$1,186.94 ","$2,028.41 ","$2,865.24 ","$2,865.24 ","$3,229.08 ","$4,548.00 ","$3,865.80 ","$2,967.36 ","$3,638.40 ","$1,682.76 ","$3,638.40 ","$1,186.94 ","$1,186.94 ","$4,548.00 ","$2,465.02 ","$1,186.94 ","$1,196.12 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$3,865.80 ","$2,670.62 ","$1,737.34 ","$1,273.44 ","$4,093.20 ","$3,274.56 ","$4,548.00 ","$2,865.24 ","$2,865.24 ","$2,865.24 ","$1,186.94 ","$2,183.04 ","$4,093.20 " ST. JOHN'S HOSPITAL,36000325,64484,HC INJ TRANSF LUMBAR SACRAL ADDL,360,1 ,"$3,332.00 ","$2,165.80 ",$876.32 ,"$3,332.00 ", N/A ,"$3,332.00 ","$1,805.94 ", N/A ,$932.96 ,"$1,066.24 ", N/A ,"$1,226.18 ", N/A ,"$1,272.82 ","$1,272.82 ", N/A ,"$1,272.82 ", N/A ,"$1,752.63 ","$1,398.00 ", N/A , N/A ,"$2,332.40 ", N/A ,"$1,666.00 ", N/A ,"$2,499.00 ","$1,486.07 ","$1,336.13 ","$1,486.07 ", N/A ,"$1,486.07 ","$2,099.16 ","$2,099.16 ","$2,365.72 ","$3,332.00 ","$2,832.20 ", N/A ,"$2,665.60 ","$1,232.84 ","$2,665.60 ", N/A , N/A ,"$3,332.00 ","$1,805.94 ", N/A ,$876.32 , N/A , N/A ,"$1,254.22 ","$1,197.21 ", N/A ,"$2,832.20 ", N/A ,"$1,272.82 ",$932.96 ,"$2,998.80 ","$2,399.04 ","$3,332.00 ","$2,099.16 ","$2,099.16 ","$2,099.16 ", N/A ,"$1,599.36 ","$2,998.80 " ST. JOHN'S HOSPITAL,36000325,64484,HC INJ TRANSF LUMBAR SACRAL ADDL,360,1 ,"$2,221.00 ","$1,443.65 ",$584.12 ,"$2,221.00 ", N/A ,"$2,221.00 ","$1,203.78 ", N/A ,$621.88 ,$710.72 , N/A ,$817.33 , N/A ,$848.42 ,$848.42 , N/A ,$848.42 , N/A ,"$1,168.25 ","$1,398.00 ", N/A , N/A ,"$1,554.70 ", N/A ,"$1,110.50 ", N/A ,"$1,665.75 ",$990.57 ,$890.62 ,$990.57 , N/A ,$990.57 ,"$1,399.23 ","$1,399.23 ","$1,576.91 ","$2,221.00 ","$1,887.85 ", N/A ,"$1,776.80 ",$821.77 ,"$1,776.80 ", N/A , N/A ,"$2,221.00 ","$1,203.78 ", N/A ,$584.12 , N/A , N/A ,$836.14 ,$798.14 , N/A ,"$1,887.85 ", N/A ,$848.42 ,$621.88 ,"$1,998.90 ","$1,599.12 ","$2,221.00 ","$1,399.23 ","$1,399.23 ","$1,399.23 ", N/A ,"$1,066.08 ","$1,998.90 " ST. JOHN'S HOSPITAL,36000326,64405,HC NERVE BLOCK; OCCIPITAL,360,1 ,"$1,535.00 ",$997.75 ,$251.14 ,"$1,535.00 ",$627.85 ,"$1,535.00 ",$831.97 ,$251.14 ,$429.80 ,$491.20 ,$251.14 ,$564.88 ,$251.14 ,$586.37 ,$586.37 ,$251.14 ,$586.37 ,$477.17 ,$807.41 ,$767.50 ,$627.85 ,$251.14 ,"$1,074.50 ",$251.14 ,$767.50 ,$256.16 ,"$1,151.25 ",$684.61 ,$615.54 ,$684.61 ,$251.14 ,$684.61 ,$967.05 ,$967.05 ,"$1,089.85 ","$1,535.00 ","$1,304.75 ",$627.85 ,"$1,228.00 ",$567.95 ,"$1,228.00 ",$251.14 ,$251.14 ,"$1,535.00 ",$831.97 ,$251.14 ,$403.71 , N/A , N/A ,$461.03 ,$440.08 ,$263.70 ,"$1,304.75 ",$565.07 ,$586.37 ,$429.80 ,"$1,381.50 ","$1,105.20 ","$1,535.00 ",$967.05 ,$967.05 ,$967.05 ,$251.14 ,$736.80 ,"$1,381.50 " ST. JOHN'S HOSPITAL,36000350,61020,HC OMAYA VENTRICULAR PUNCTURE - NO INJ,360,1 ,"$1,342.00 ",$872.30 ,$352.95 ,"$1,978.25 ","$1,978.25 ","$1,342.00 ",$727.36 ,$791.30 ,$375.76 ,$429.44 ,$791.30 ,$493.86 ,$791.30 ,$512.64 ,$512.64 ,$791.30 ,$512.64 ,"$1,342.00 ",$705.89 ,"$1,342.00 ","$1,978.24 ",$791.30 ,$939.40 ,$791.30 ,$671.00 ,$807.12 ,"$1,006.50 ",$598.53 ,$538.14 ,$598.53 ,$791.30 ,$598.53 ,$845.46 ,$845.46 ,$952.82 ,"$1,342.00 ","$1,140.70 ","$1,342.00 ","$1,073.60 ",$496.54 ,"$1,073.60 ",$791.30 ,$791.30 ,"$1,342.00 ",$727.36 ,$791.30 ,$352.95 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$1,140.70 ","$1,780.41 ",$512.64 ,$375.76 ,"$1,207.80 ",$966.24 ,"$1,342.00 ",$845.46 ,$845.46 ,$845.46 ,$791.30 ,$644.16 ,"$1,207.80 " ST. JOHN'S HOSPITAL,36000354,36830,HC AV FISTULA CREATION OTHER THAN DIRECT AV ANAST,360,1 ,"$12,850.00 ","$8,352.50 ","$3,379.55 ","$12,850.00 ","$11,459.70 ","$5,000.00 ","$6,964.70 ","$4,583.88 ","$3,598.00 ","$4,112.00 ","$4,583.88 ","$4,728.80 ","$4,583.88 ","$4,908.70 ","$4,908.70 ","$4,583.88 ","$4,908.70 ","$8,709.37 ","$6,759.10 ","$6,425.00 ","$11,459.70 ","$4,583.88 ","$8,995.00 ","$4,583.88 ","$6,425.00 ","$4,675.56 ","$9,637.50 ","$5,731.10 ","$5,152.85 ","$5,731.10 ","$4,583.88 ","$5,731.10 ","$8,095.50 ","$8,095.50 ","$9,123.50 ","$12,850.00 ","$10,922.50 ","$11,459.70 ","$10,280.00 ","$4,754.50 ","$10,280.00 ","$4,583.88 ","$4,583.88 ","$12,850.00 ","$6,964.70 ","$4,583.88 ","$3,379.55 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$10,922.50 ","$10,313.73 ","$4,908.70 ","$3,598.00 ","$11,565.00 ","$9,252.00 ","$12,850.00 ","$8,095.50 ","$8,095.50 ","$8,095.50 ","$4,583.88 ","$6,168.00 ","$11,565.00 " ST. JOHN'S HOSPITAL,36000357,36833,HC AV FISTULA OPEN WITH THROMBECTOMY,360,1 ,"$13,382.00 ","$8,698.30 ","$3,519.47 ","$13,382.00 ","$11,459.70 ","$5,000.00 ","$7,253.04 ","$4,583.88 ","$3,746.96 ","$4,282.24 ","$4,583.88 ","$4,924.58 ","$4,583.88 ","$5,000.00 ","$5,000.00 ","$4,583.88 ","$5,000.00 ","$8,709.37 ","$7,038.93 ","$6,691.00 ","$11,459.70 ","$4,583.88 ","$9,367.40 ","$4,583.88 ","$6,691.00 ","$4,675.56 ","$10,036.50 ","$5,968.37 ","$5,366.18 ","$5,968.37 ","$4,583.88 ","$5,968.37 ","$8,430.66 ","$8,430.66 ","$9,501.22 ","$13,382.00 ","$11,374.70 ","$11,459.70 ","$10,705.60 ","$4,951.34 ","$10,705.60 ","$4,583.88 ","$4,583.88 ","$13,382.00 ","$7,253.04 ","$4,583.88 ","$3,519.47 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$11,374.70 ","$10,313.73 ","$5,000.00 ","$3,746.96 ","$12,043.80 ","$9,635.04 ","$13,382.00 ","$8,430.66 ","$8,430.66 ","$8,430.66 ","$4,583.88 ","$6,423.36 ","$12,043.80 " ST. JOHN'S HOSPITAL,36000358,0345T,HC RPR TRNSCTH MITRAL VLV CORSINU,360,1 ,"$28,526.00 ","$18,541.90 ","$7,500.00 ","$28,526.00 ", N/A ,"$7,500.00 ","$15,461.09 ", N/A ,"$7,987.28 ","$8,072.86 ", N/A ,"$9,242.42 ", N/A ,"$9,499.16 ","$9,499.16 ", N/A ,"$9,499.16 ", N/A ,"$15,004.68 ", N/A , N/A , N/A ,"$19,968.20 ", N/A ,"$14,263.00 ", N/A ,"$21,394.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$17,971.38 ","$17,971.38 ","$10,333.00 ","$28,526.00 ","$24,247.10 ", N/A ,"$22,820.80 ","$10,554.62 ","$22,820.80 ", N/A , N/A ,"$28,526.00 ","$15,461.09 ", N/A ,"$7,502.34 ", N/A , N/A , N/A , N/A , N/A ,"$24,247.10 ", N/A ,"$9,499.16 ","$7,987.28 ","$25,673.40 ","$20,538.72 ","$28,526.00 ","$17,971.38 ","$17,971.38 ","$17,971.38 ", N/A ,"$13,692.48 ","$25,673.40 " ST. JOHN'S HOSPITAL,36000359,33880,HC ENDOVASC REPAIR TAA W/LT SUBCLVN ARTERY,360,1 ,"$20,476.00 ","$13,309.40 ","$5,385.19 ","$20,476.00 ", N/A ,"$7,500.00 ","$11,097.99 ", N/A ,"$5,733.28 ","$5,794.71 ", N/A ,"$6,634.22 ", N/A ,"$6,818.51 ","$6,818.51 ", N/A ,"$6,818.51 ", N/A ,"$10,770.38 ","$10,238.00 ", N/A , N/A ,"$14,333.20 ", N/A ,"$10,238.00 ", N/A ,"$15,357.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,476.00 ","$17,404.60 ", N/A ,"$16,380.80 ","$7,576.12 ","$16,380.80 ", N/A , N/A ,"$20,476.00 ","$11,097.99 ", N/A ,"$5,385.19 ", N/A , N/A , N/A , N/A , N/A ,"$17,404.60 ", N/A ,"$6,818.51 ","$5,733.28 ","$18,428.40 ","$14,742.72 ","$20,476.00 ","$9,391.00 ","$12,899.88 ","$12,899.88 ", N/A ,"$9,828.48 ","$18,428.40 " ST. JOHN'S HOSPITAL,36000360,33881,HC ENDOVASC REPAIR TAA W/O LT SUBCLVN ARTERY,360,1 ,"$26,792.00 ","$17,414.80 ","$7,046.30 ","$26,792.00 ", N/A ,"$7,500.00 ","$14,521.26 ", N/A ,"$7,501.76 ","$7,582.14 ", N/A ,"$8,680.61 ", N/A ,"$8,921.74 ","$8,921.74 ", N/A ,"$8,921.74 ", N/A ,"$14,092.59 ","$13,396.00 ", N/A , N/A ,"$18,754.40 ", N/A ,"$13,396.00 ", N/A ,"$20,094.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$16,878.96 ","$16,878.96 ","$10,333.00 ","$26,792.00 ","$22,773.20 ", N/A ,"$21,433.60 ","$9,913.04 ","$21,433.60 ", N/A , N/A ,"$26,792.00 ","$14,521.26 ", N/A ,"$7,046.30 ", N/A , N/A , N/A , N/A , N/A ,"$22,773.20 ", N/A ,"$8,921.74 ","$7,501.76 ","$24,112.80 ","$19,290.24 ","$26,792.00 ","$16,878.96 ","$16,878.96 ","$16,878.96 ", N/A ,"$12,860.16 ","$24,112.80 " ST. JOHN'S HOSPITAL,36000361,33883,HC PLACE ENDOVASC PROSTHESIS PROXM EXT TAA INIT,360,1 ,"$20,476.00 ","$13,309.40 ","$5,385.19 ","$20,476.00 ", N/A ,"$7,500.00 ","$11,097.99 ", N/A ,"$5,733.28 ","$5,794.71 ", N/A ,"$6,634.22 ", N/A ,"$6,818.51 ","$6,818.51 ", N/A ,"$6,818.51 ", N/A ,"$10,770.38 ","$10,238.00 ", N/A , N/A ,"$14,333.20 ", N/A ,"$10,238.00 ", N/A ,"$15,357.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,476.00 ","$17,404.60 ", N/A ,"$16,380.80 ","$7,576.12 ","$16,380.80 ", N/A , N/A ,"$20,476.00 ","$11,097.99 ", N/A ,"$5,385.19 ", N/A , N/A , N/A , N/A , N/A ,"$17,404.60 ", N/A ,"$6,818.51 ","$5,733.28 ","$18,428.40 ","$14,742.72 ","$20,476.00 ","$9,391.00 ","$12,899.88 ","$12,899.88 ", N/A ,"$9,828.48 ","$18,428.40 " ST. JOHN'S HOSPITAL,36000362,33884,HC PLACE ENDOVASC PROSTHESIS PROXM EXT TAA EA ADDL,360,1 ,"$8,180.00 ","$5,317.00 ","$2,151.34 ","$8,180.00 ", N/A ,"$7,500.00 ","$4,433.56 ", N/A ,"$2,290.40 ","$2,617.60 ", N/A ,"$3,010.24 ", N/A ,"$3,124.76 ","$3,124.76 ", N/A ,"$3,124.76 ", N/A ,"$4,302.68 ","$3,351.00 ", N/A , N/A ,"$5,726.00 ", N/A ,"$4,090.00 ", N/A ,"$6,135.00 ","$3,648.28 ","$3,280.18 ","$3,648.28 ", N/A ,"$3,648.28 ","$5,153.40 ","$5,153.40 ","$5,807.80 ","$8,180.00 ","$6,953.00 ", N/A ,"$6,544.00 ","$3,026.60 ","$6,544.00 ", N/A , N/A ,"$8,180.00 ","$4,433.56 ", N/A ,"$2,151.34 ", N/A , N/A , N/A , N/A , N/A ,"$6,953.00 ", N/A ,"$3,124.76 ","$2,290.40 ","$7,362.00 ","$5,889.60 ","$8,180.00 ","$5,153.40 ","$5,153.40 ","$5,153.40 ", N/A ,"$3,926.40 ","$7,362.00 " ST. JOHN'S HOSPITAL,36000368,34808,HC ENDOVASC PLACEMENT ILIAC ARTRY OCCLUSION DEVICE,360,1 ,"$12,808.00 ","$8,325.20 ","$3,368.50 ","$12,808.00 ", N/A ,"$7,500.00 ","$6,941.94 ", N/A ,"$3,586.24 ","$4,098.56 ", N/A ,"$4,713.34 ", N/A ,"$4,892.66 ","$4,892.66 ", N/A ,"$4,892.66 ", N/A ,"$6,737.01 ","$6,404.00 ", N/A , N/A ,"$8,965.60 ", N/A ,"$6,404.00 ", N/A ,"$9,606.00 ","$5,712.37 ","$5,136.01 ","$5,712.37 ", N/A ,"$5,712.37 ","$8,069.04 ","$8,069.04 ","$9,093.68 ","$12,808.00 ","$10,886.80 ", N/A ,"$10,246.40 ","$4,738.96 ","$10,246.40 ", N/A , N/A ,"$12,808.00 ","$6,941.94 ", N/A ,"$3,368.50 ", N/A , N/A , N/A , N/A , N/A ,"$10,886.80 ", N/A ,"$4,892.66 ","$3,586.24 ","$11,527.20 ","$9,221.76 ","$12,808.00 ","$8,069.04 ","$8,069.04 ","$8,069.04 ", N/A ,"$6,147.84 ","$11,527.20 " ST. JOHN'S HOSPITAL,36000371,35875,HC THROMBECTOMY ART/VEN GRAFT,360,1 ,"$12,336.00 ","$8,018.40 ","$3,244.37 ","$12,336.00 ","$11,459.70 ","$12,000.00 ","$6,686.11 ","$4,583.88 ","$3,454.08 ","$3,947.52 ","$4,583.88 ","$4,539.65 ","$4,583.88 ","$4,712.35 ","$4,712.35 ","$4,583.88 ","$4,712.35 ","$8,709.37 ","$6,488.74 ","$6,168.00 ","$11,459.70 ","$4,583.88 ","$8,635.20 ","$4,583.88 ","$6,168.00 ","$4,675.56 ","$9,252.00 ","$5,501.86 ","$4,946.74 ","$5,501.86 ","$4,583.88 ","$5,501.86 ","$7,771.68 ","$7,771.68 ","$8,758.56 ","$12,336.00 ","$10,485.60 ","$11,459.70 ","$9,868.80 ","$4,564.32 ","$9,868.80 ","$4,583.88 ","$4,583.88 ","$12,336.00 ","$6,686.11 ","$4,583.88 ","$3,244.37 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$10,485.60 ","$10,313.73 ","$4,712.35 ","$3,454.08 ","$11,102.40 ","$8,881.92 ","$12,336.00 ","$7,771.68 ","$7,771.68 ","$7,771.68 ","$4,583.88 ","$5,921.28 ","$11,102.40 " ST. JOHN'S HOSPITAL,36000372,35876,HC THROMBECTOMY W/REV ART/VEN GRAFT,360,1 ,"$12,336.00 ","$8,018.40 ","$3,244.37 ","$12,336.00 ","$11,459.70 ","$12,000.00 ","$6,686.11 ","$4,583.88 ","$3,454.08 ","$3,947.52 ","$4,583.88 ","$4,539.65 ","$4,583.88 ","$4,712.35 ","$4,712.35 ","$4,583.88 ","$4,712.35 ","$8,709.37 ","$6,488.74 ","$6,168.00 ","$11,459.70 ","$4,583.88 ","$8,635.20 ","$4,583.88 ","$6,168.00 ","$4,675.56 ","$9,252.00 ","$5,501.86 ","$4,946.74 ","$5,501.86 ","$4,583.88 ","$5,501.86 ","$7,771.68 ","$7,771.68 ","$8,758.56 ","$12,336.00 ","$10,485.60 ","$11,459.70 ","$9,868.80 ","$4,564.32 ","$9,868.80 ","$4,583.88 ","$4,583.88 ","$12,336.00 ","$6,686.11 ","$4,583.88 ","$3,244.37 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$10,485.60 ","$10,313.73 ","$4,712.35 ","$3,454.08 ","$11,102.40 ","$8,881.92 ","$12,336.00 ","$7,771.68 ","$7,771.68 ","$7,771.68 ","$4,583.88 ","$5,921.28 ","$11,102.40 " ST. JOHN'S HOSPITAL,36000381,47555,HC ENDOSCOPY BILIARY W/DILAT BIL DUCT W/O STENT,360,1 ,"$5,458.00 ","$3,547.70 ","$1,435.45 ","$7,645.73 ","$7,645.73 ","$4,200.00 ","$2,958.24 ","$3,058.29 ","$1,528.24 ","$1,746.56 ","$3,058.29 ","$2,008.54 ","$3,058.29 ","$2,084.96 ","$2,084.96 ","$3,058.29 ","$2,084.96 ","$5,458.00 ","$2,870.91 ","$1,676.00 ","$7,645.72 ","$3,058.29 ","$3,820.60 ","$3,058.29 ","$2,729.00 ","$3,119.45 ","$4,093.50 ","$2,434.27 ","$2,188.66 ","$2,434.27 ","$3,058.29 ","$2,434.27 ","$3,438.54 ","$3,438.54 ","$3,875.18 ","$5,458.00 ","$4,639.30 ","$5,458.00 ","$4,366.40 ","$2,019.46 ","$4,366.40 ","$3,058.29 ","$3,058.29 ","$5,458.00 ","$2,958.24 ","$3,058.29 ","$1,435.45 ", N/A , N/A ,"$2,394.92 ","$2,286.06 ","$3,211.20 ","$4,639.30 ","$6,881.15 ","$2,084.96 ","$1,528.24 ","$4,912.20 ","$3,929.76 ","$5,458.00 ","$3,438.54 ","$3,438.54 ","$3,438.54 ","$3,058.29 ","$2,619.84 ","$4,912.20 " ST. JOHN'S HOSPITAL,36000382,47556,HC ENDOSCOPY BILIARY W/DILAT BIL DUCT W/STENT,360,1 ,"$7,011.00 ","$4,557.15 ","$1,843.89 ","$12,159.58 ","$12,159.58 ","$4,200.00 ","$3,799.96 ","$4,863.83 ","$1,963.08 ","$2,243.52 ","$4,863.83 ","$2,580.05 ","$4,863.83 ","$2,678.20 ","$2,678.20 ","$4,863.83 ","$2,678.20 ","$7,011.00 ","$3,687.79 ","$3,351.00 ","$12,159.57 ","$4,863.83 ","$4,907.70 ","$4,863.83 ","$3,505.50 ","$4,961.11 ","$5,258.25 ","$3,126.91 ","$2,811.41 ","$3,126.91 ","$4,863.83 ","$3,126.91 ","$4,416.93 ","$4,416.93 ","$4,977.81 ","$7,011.00 ","$5,959.35 ","$7,011.00 ","$5,608.80 ","$2,594.07 ","$5,608.80 ","$4,863.83 ","$4,863.83 ","$7,011.00 ","$3,799.96 ","$4,863.83 ","$1,843.89 ", N/A , N/A ,"$2,394.92 ","$2,286.06 ","$5,107.02 ","$5,959.35 ","$10,943.62 ","$2,678.20 ","$1,963.08 ","$6,309.90 ","$5,047.92 ","$7,011.00 ","$4,416.93 ","$4,416.93 ","$4,416.93 ","$4,863.83 ","$3,365.28 ","$6,309.90 " ST. JOHN'S HOSPITAL,36000386,59320,HC CERCLAGE CERVIX VAGINAL W/PREG,360,1 ,"$3,370.00 ","$2,190.50 ",$886.31 ,"$6,305.00 ","$6,305.00 ","$2,300.00 ","$1,826.54 ","$2,522.00 ",$943.60 ,"$1,078.40 ","$2,522.00 ","$1,240.16 ","$2,522.00 ","$1,287.34 ","$1,287.34 ","$2,522.00 ","$1,287.34 ","$3,370.00 ","$1,772.62 ","$1,398.00 ","$6,305.00 ","$2,522.00 ","$2,359.00 ","$2,522.00 ","$1,685.00 ","$2,572.44 ","$2,527.50 ","$1,503.02 ","$1,351.37 ","$1,503.02 ","$2,522.00 ","$1,503.02 ","$2,123.10 ","$2,123.10 ","$2,392.70 ","$3,370.00 ","$2,864.50 ","$3,370.00 ","$2,696.00 ","$1,246.90 ","$2,696.00 ","$2,522.00 ","$2,522.00 ","$3,370.00 ","$1,826.54 ","$2,522.00 ",$886.31 , N/A , N/A , N/A , N/A ,"$2,648.10 ","$2,864.50 ","$5,674.50 ","$1,287.34 ",$943.60 ,"$3,033.00 ","$2,426.40 ","$3,370.00 ","$2,123.10 ","$2,123.10 ","$2,123.10 ","$2,522.00 ","$1,617.60 ","$3,033.00 " ST. JOHN'S HOSPITAL,36000387,61623,HC ENDOVASC TEMP BALLOON ART OCCLUS HEAD/NECK,360,1 ,"$34,565.00 ","$22,467.25 ","$6,000.00 ","$34,565.00 ","$24,138.23 ","$6,000.00 ","$18,734.23 ","$9,655.29 ","$9,678.20 ","$9,781.90 ","$9,655.29 ","$11,199.06 ","$9,655.29 ","$11,510.15 ","$11,510.15 ","$9,655.29 ","$11,510.15 ","$18,345.05 ","$18,181.19 ","$17,282.50 ","$24,138.23 ","$9,655.29 ","$24,195.50 ","$9,655.29 ","$17,282.50 ","$9,848.40 ","$25,923.75 ","$8,865.00 ","$9,111.65 ","$8,865.00 ","$9,655.29 ","$8,865.00 ","$21,775.95 ","$21,775.95 ","$24,541.15 ","$34,565.00 ","$29,380.25 ","$24,138.23 ","$27,652.00 ","$12,789.05 ","$27,652.00 ","$9,655.29 ","$9,655.29 ","$34,565.00 ","$18,734.23 ","$9,655.29 ","$9,090.60 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$29,380.25 ","$21,724.40 ","$11,510.15 ","$9,678.20 ","$31,108.50 ","$24,886.80 ","$34,565.00 ","$21,775.95 ","$21,775.95 ","$21,775.95 ","$9,655.29 ","$16,591.20 ","$31,108.50 " ST. JOHN'S HOSPITAL,36000389,61635,HC PLACE STENT INTRACRAN/INTRAVASC,360,1 ,"$20,909.00 ","$13,590.85 ","$4,951.86 ","$20,909.00 ", N/A ,"$7,500.00 ","$11,332.68 ", N/A ,"$5,854.52 ","$5,917.25 ", N/A ,"$6,774.52 ", N/A ,"$6,962.70 ","$6,962.70 ", N/A ,"$6,962.70 ", N/A ,"$10,998.13 ","$10,454.50 ", N/A , N/A ,"$14,636.30 ", N/A ,"$10,454.50 ", N/A ,"$15,681.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,909.00 ","$17,772.65 ", N/A ,"$16,727.20 ","$7,736.33 ","$16,727.20 ", N/A , N/A ,"$20,909.00 ","$11,332.68 ", N/A ,"$5,499.07 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$17,772.65 ", N/A ,"$6,962.70 ","$5,854.52 ","$18,818.10 ","$15,054.48 ","$20,909.00 ","$9,391.00 ","$13,172.67 ","$13,172.67 ", N/A ,"$10,036.32 ","$18,818.10 " ST. JOHN'S HOSPITAL,36000393,61645,HC PERC ART THROMBECTOMY/INFUS W/GUID,360,1 ,"$20,570.00 ","$13,370.50 ","$3,984.06 ","$20,570.00 ", N/A ,"$6,000.00 ","$11,148.94 ", N/A ,"$5,759.60 ","$5,821.31 ", N/A ,"$6,664.68 ", N/A ,"$6,849.81 ","$6,849.81 ", N/A ,"$6,849.81 ", N/A ,"$10,819.82 ","$10,285.00 ", N/A , N/A ,"$14,399.00 ", N/A ,"$10,285.00 ", N/A ,"$15,427.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,570.00 ","$17,484.50 ", N/A ,"$16,456.00 ","$7,610.90 ","$16,456.00 ", N/A , N/A ,"$20,570.00 ","$11,148.94 ", N/A ,"$5,409.91 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ", N/A ,"$17,484.50 ", N/A ,"$6,849.81 ","$5,759.60 ","$18,513.00 ","$14,810.40 ","$20,570.00 ","$9,391.00 ","$12,959.10 ","$12,959.10 ", N/A ,"$9,873.60 ","$18,513.00 " ST. JOHN'S HOSPITAL,36000394,61710,HC EMBOLIZ INTRA-ART INJ/BALLOON CAROTID,360,1 ,"$13,187.00 ","$8,571.55 ","$3,468.18 ","$13,187.00 ", N/A ,"$7,500.00 ","$7,147.35 ", N/A ,"$3,692.36 ","$4,219.84 ", N/A ,"$4,852.82 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$6,936.36 ","$6,593.50 ", N/A , N/A ,"$9,230.90 ", N/A ,"$6,593.50 ", N/A ,"$9,890.25 ","$5,881.40 ","$5,287.99 ","$5,881.40 ", N/A ,"$5,881.40 ","$8,307.81 ","$8,307.81 ","$9,362.77 ","$13,187.00 ","$11,208.95 ", N/A ,"$10,549.60 ","$4,879.19 ","$10,549.60 ", N/A , N/A ,"$13,187.00 ","$7,147.35 ", N/A ,"$3,468.18 ", N/A , N/A , N/A , N/A , N/A ,"$11,208.95 ", N/A ,"$5,000.00 ","$3,692.36 ","$11,868.30 ","$9,494.64 ","$13,187.00 ","$8,307.81 ","$8,307.81 ","$8,307.81 ", N/A ,"$6,329.76 ","$11,868.30 " ST. JOHN'S HOSPITAL,36000397,27301,HC I AND D ABSC/BURSA THIGH/KNEE,360,1 ,"$3,472.00 ","$2,256.80 ",$913.14 ,"$5,697.91 ","$5,697.90 ","$3,472.00 ","$1,881.82 ","$2,279.16 ",$972.16 ,"$1,111.04 ","$2,279.16 ","$1,277.70 ","$2,279.16 ","$1,326.30 ","$1,326.30 ","$2,279.16 ","$1,326.30 ","$3,472.00 ","$1,826.27 ","$1,676.00 ","$5,697.91 ","$2,279.16 ","$2,430.40 ","$2,279.16 ","$1,736.00 ","$2,324.75 ","$2,604.00 ","$1,548.51 ","$1,392.27 ","$1,548.51 ","$2,279.16 ","$1,548.51 ","$2,187.36 ","$2,187.36 ","$2,465.12 ","$3,472.00 ","$2,951.20 ","$3,472.00 ","$2,777.60 ","$1,284.64 ","$2,777.60 ","$2,279.16 ","$2,279.16 ","$3,472.00 ","$1,881.82 ","$2,279.16 ",$913.14 , N/A , N/A ,"$1,098.72 ","$1,048.78 ","$2,393.12 ","$2,951.20 ","$5,128.12 ","$1,326.30 ",$972.16 ,"$3,124.80 ","$2,499.84 ","$3,472.00 ","$2,187.36 ","$2,187.36 ","$2,187.36 ","$2,279.16 ","$1,666.56 ","$3,124.80 " ST. JOHN'S HOSPITAL,36000400,N/A,HC PERFUSION PER HR,360,1 ,$463.00 ,$300.95 ,$121.77 ,$463.00 , N/A ,$212.98 ,$250.95 , N/A ,$129.64 ,$148.16 , N/A ,$170.38 , N/A ,$176.87 ,$176.87 , N/A ,$176.87 , N/A ,$243.54 , N/A , N/A , N/A ,$324.10 , N/A ,$231.50 , N/A ,$347.25 ,$206.50 ,$185.66 ,$206.50 , N/A ,$206.50 ,$291.69 ,$291.69 ,$328.73 ,$463.00 ,$393.55 , N/A ,$370.40 ,$171.31 ,$370.40 , N/A , N/A ,$463.00 ,$250.95 , N/A ,$121.77 , N/A , N/A , N/A , N/A , N/A ,$393.55 , N/A ,$176.87 ,$129.64 ,$416.70 ,$333.36 ,$463.00 ,$291.69 ,$291.69 ,$291.69 , N/A ,$222.24 ,$416.70 ST. JOHN'S HOSPITAL,36000419,26727,HC TX FX FINGER/THUMB W/MANIP EACH,360,1 ,"$5,170.00 ","$3,360.50 ","$1,359.71 ","$6,805.53 ","$6,805.53 ","$5,170.00 ","$2,802.14 ","$2,722.21 ","$1,447.60 ","$1,654.40 ","$2,722.21 ","$1,902.56 ","$2,722.21 ","$1,974.94 ","$1,974.94 ","$2,722.21 ","$1,974.94 ","$5,170.00 ","$2,719.42 ","$2,584.00 ","$6,805.53 ","$2,722.21 ","$3,619.00 ","$2,722.21 ","$2,585.00 ","$2,776.66 ","$3,877.50 ","$2,305.82 ","$2,073.17 ","$2,305.82 ","$2,722.21 ","$2,305.82 ","$3,257.10 ","$3,257.10 ","$3,670.70 ","$5,170.00 ","$4,394.50 ","$5,170.00 ","$4,136.00 ","$1,912.90 ","$4,136.00 ","$2,722.21 ","$2,722.21 ","$5,170.00 ","$2,802.14 ","$2,722.21 ","$1,359.71 ", N/A , N/A ,"$4,698.86 ","$4,485.27 ","$2,858.32 ","$4,394.50 ","$6,124.98 ","$1,974.94 ","$1,447.60 ","$4,653.00 ","$3,722.40 ","$5,170.00 ","$3,257.10 ","$3,257.10 ","$3,257.10 ","$2,722.21 ","$2,481.60 ","$4,653.00 " ST. JOHN'S HOSPITAL,36000420,26735,HC TX FX OPEN SHAFT FINGER/THUMB W/INT FIX EACH,360,1 ,"$5,972.00 ","$3,881.80 ","$1,570.64 ","$6,805.53 ","$6,805.53 ","$5,000.00 ","$3,236.82 ","$2,722.21 ","$1,672.16 ","$1,911.04 ","$2,722.21 ","$2,197.70 ","$2,722.21 ","$2,281.30 ","$2,281.30 ","$2,722.21 ","$2,281.30 ","$5,172.21 ","$3,141.27 ","$1,816.00 ","$6,805.53 ","$2,722.21 ","$4,180.40 ","$2,722.21 ","$2,986.00 ","$2,776.66 ","$4,479.00 ","$2,663.51 ","$2,394.77 ","$2,663.51 ","$2,722.21 ","$2,663.51 ","$3,762.36 ","$3,762.36 ","$4,240.12 ","$5,972.00 ","$5,076.20 ","$5,972.00 ","$4,777.60 ","$2,209.64 ","$4,777.60 ","$2,722.21 ","$2,722.21 ","$5,972.00 ","$3,236.82 ","$2,722.21 ","$1,570.64 ", N/A , N/A ,"$4,698.86 ","$4,485.27 ","$2,858.32 ","$5,076.20 ","$6,124.98 ","$2,281.30 ","$1,672.16 ","$5,374.80 ","$4,299.84 ","$5,972.00 ","$3,762.36 ","$3,762.36 ","$3,762.36 ","$2,722.21 ","$2,866.56 ","$5,374.80 " ST. JOHN'S HOSPITAL,36000423,27650,HC RPR ACHILLES TENDON OPEN/PERC PRIMARY,360,1 ,"$7,594.00 ","$4,936.10 ","$1,676.00 ","$15,052.26 ","$15,052.25 ","$4,200.00 ","$4,115.95 ","$6,020.90 ","$2,126.32 ","$2,430.08 ","$6,020.90 ","$2,794.59 ","$6,020.90 ","$2,900.91 ","$2,900.91 ","$6,020.90 ","$2,900.91 ","$7,594.00 ","$3,994.44 ","$1,676.00 ","$15,052.26 ","$6,020.90 ","$5,315.80 ","$6,020.90 ","$3,797.00 ","$6,141.32 ","$5,695.50 ","$3,386.92 ","$3,045.19 ","$3,386.92 ","$6,020.90 ","$3,386.92 ","$4,784.22 ","$4,784.22 ","$5,391.74 ","$7,594.00 ","$6,454.90 ","$7,594.00 ","$6,075.20 ","$2,809.78 ","$6,075.20 ","$6,020.90 ","$6,020.90 ","$7,594.00 ","$4,115.95 ","$6,020.90 ","$1,997.22 ", N/A , N/A ,"$3,016.45 ","$2,879.34 ","$6,321.95 ","$6,454.90 ","$13,547.03 ","$2,900.91 ","$2,126.32 ","$6,834.60 ","$5,467.68 ","$7,594.00 ","$4,784.22 ","$4,784.22 ","$4,784.22 ","$6,020.90 ","$3,645.12 ","$6,834.60 " ST. JOHN'S HOSPITAL,36000440,31622,HC BRONCHOSCOPY DIAG W/W/O WASHING,360,1 ,"$3,558.00 ","$2,312.70 ",$935.75 ,"$3,595.38 ","$3,595.38 ","$3,400.00 ","$1,928.44 ","$1,438.15 ",$996.24 ,"$1,138.56 ","$1,438.15 ","$1,309.34 ","$1,438.15 ","$1,359.16 ","$1,359.16 ","$1,438.15 ","$1,359.16 ","$2,732.49 ","$1,871.51 ","$1,398.00 ","$3,595.38 ","$1,438.15 ","$2,490.60 ","$1,438.15 ","$1,779.00 ","$1,466.92 ","$2,668.50 ","$1,586.87 ","$1,426.76 ","$1,586.87 ","$1,438.15 ","$1,586.87 ","$2,241.54 ","$2,241.54 ","$2,526.18 ","$3,558.00 ","$3,024.30 ","$3,558.00 ","$2,846.40 ","$1,316.46 ","$2,846.40 ","$1,438.15 ","$1,438.15 ","$3,558.00 ","$1,928.44 ","$1,438.15 ",$935.75 , N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$3,024.30 ","$3,235.85 ","$1,359.16 ",$996.24 ,"$3,202.20 ","$2,561.76 ","$3,558.00 ","$2,241.54 ","$2,241.54 ","$2,241.54 ","$1,438.15 ","$1,707.84 ","$3,202.20 " ST. JOHN'S HOSPITAL,36000441,37618,HC LIGATION ARTERY EXTREMITY,360,1 ,"$2,549.00 ","$1,656.85 ",$670.39 ,"$2,549.00 ", N/A ,"$2,549.00 ","$1,381.56 ", N/A ,$713.72 ,$815.68 , N/A ,$938.03 , N/A ,$973.72 ,$973.72 , N/A ,$973.72 , N/A ,"$1,340.77 ","$1,274.50 ", N/A , N/A ,"$1,784.30 ", N/A ,"$1,274.50 ", N/A ,"$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ", N/A ,"$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ", N/A ,"$2,039.20 ",$943.13 ,"$2,039.20 ", N/A , N/A ,"$2,549.00 ","$1,381.56 ", N/A ,$670.39 , N/A , N/A ,"$2,159.67 ","$2,061.51 ", N/A ,"$2,166.65 ", N/A ,$973.72 ,$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ","$1,605.87 ","$1,605.87 ", N/A ,"$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,36000464,54001,HC SLITTING PREPUCE DORSAL/LATERAL,360,1 ,"$6,441.00 ","$4,186.65 ","$1,500.01 ","$6,441.00 ","$4,302.83 ","$3,400.00 ","$3,491.02 ","$1,721.13 ","$1,803.48 ","$2,061.12 ","$1,721.13 ","$2,370.29 ","$1,721.13 ","$2,460.46 ","$2,460.46 ","$1,721.13 ","$2,460.46 ","$3,270.14 ","$3,387.97 ","$1,536.00 ","$4,302.81 ","$1,721.13 ","$4,508.70 ","$1,721.13 ","$3,220.50 ","$1,755.55 ","$4,830.75 ","$2,872.69 ","$2,582.84 ","$2,872.69 ","$1,721.13 ","$2,872.69 ","$4,057.83 ","$4,057.83 ","$4,573.11 ","$6,441.00 ","$5,474.85 ","$4,302.81 ","$5,152.80 ","$2,383.17 ","$5,152.80 ","$1,721.13 ","$1,721.13 ","$6,441.00 ","$3,491.02 ","$1,721.13 ","$1,693.98 ", N/A , N/A ,"$1,571.44 ","$1,500.01 ","$1,807.19 ","$5,474.85 ","$3,872.53 ","$2,460.46 ","$1,803.48 ","$5,796.90 ","$4,637.52 ","$6,441.00 ","$4,057.83 ","$4,057.83 ","$4,057.83 ","$1,721.13 ","$3,091.68 ","$5,796.90 " ST. JOHN'S HOSPITAL,36000480,59160,HC D AND C POST DELIVERY,360,1 ,"$2,998.00 ","$1,948.70 ",$788.47 ,"$6,305.00 ","$6,305.00 ","$2,998.00 ","$1,624.92 ","$2,522.00 ",$839.44 ,$959.36 ,"$2,522.00 ","$1,103.26 ","$2,522.00 ","$1,145.24 ","$1,145.24 ","$2,522.00 ","$1,145.24 ","$2,998.00 ","$1,576.95 ","$1,676.00 ","$6,305.00 ","$2,522.00 ","$2,098.60 ","$2,522.00 ","$1,499.00 ","$2,572.44 ","$2,248.50 ","$1,337.11 ","$1,202.20 ","$1,337.11 ","$2,522.00 ","$1,337.11 ","$1,888.74 ","$1,888.74 ","$2,128.58 ","$2,998.00 ","$2,548.30 ","$2,998.00 ","$2,398.40 ","$1,109.26 ","$2,398.40 ","$2,522.00 ","$2,522.00 ","$2,998.00 ","$1,624.92 ","$2,522.00 ",$788.47 , N/A , N/A , N/A , N/A ,"$2,648.10 ","$2,548.30 ","$5,674.50 ","$1,145.24 ",$839.44 ,"$2,698.20 ","$2,158.56 ","$2,998.00 ","$1,888.74 ","$1,888.74 ","$1,888.74 ","$2,522.00 ","$1,439.04 ","$2,698.20 " ST. JOHN'S HOSPITAL,36000488,67840,HC REMOVE LESION EYELID,360,1 ,"$2,909.00 ","$1,890.85 ",$606.90 ,"$2,909.00 ","$1,946.08 ","$2,909.00 ","$1,576.68 ",$778.43 ,$814.52 ,$930.88 ,$778.43 ,"$1,070.51 ",$778.43 ,"$1,111.24 ","$1,111.24 ",$778.43 ,"$1,111.24 ","$1,479.01 ","$1,530.13 ","$1,454.50 ","$1,946.07 ",$778.43 ,"$2,036.30 ",$778.43 ,"$1,454.50 ",$794.00 ,"$2,181.75 ","$1,297.41 ","$1,166.51 ","$1,297.41 ",$778.43 ,"$1,297.41 ","$1,832.67 ","$1,832.67 ","$2,065.39 ","$2,909.00 ","$2,472.65 ","$1,946.07 ","$2,327.20 ","$1,076.33 ","$2,327.20 ",$778.43 ,$778.43 ,"$2,909.00 ","$1,576.68 ",$778.43 ,$765.07 , N/A , N/A ,$635.80 ,$606.90 ,$817.35 ,"$2,472.65 ","$1,751.47 ","$1,111.24 ",$814.52 ,"$2,618.10 ","$2,094.48 ","$2,909.00 ","$1,832.67 ","$1,832.67 ","$1,832.67 ",$778.43 ,"$1,396.32 ","$2,618.10 " ST. JOHN'S HOSPITAL,36000575,26756,HC FIXATION FX PERCUT DISTAL FINGER/THUMB EACH,360,1 ,"$7,508.00 ","$4,880.20 ","$1,536.00 ","$7,508.00 ","$6,805.53 ","$3,400.00 ","$4,069.34 ","$2,722.21 ","$2,102.24 ","$2,402.56 ","$2,722.21 ","$2,762.94 ","$2,722.21 ","$2,868.06 ","$2,868.06 ","$2,722.21 ","$2,868.06 ","$5,172.21 ","$3,949.21 ","$1,536.00 ","$6,805.53 ","$2,722.21 ","$5,255.60 ","$2,722.21 ","$3,754.00 ","$2,776.66 ","$5,631.00 ","$3,348.57 ","$3,010.71 ","$3,348.57 ","$2,722.21 ","$3,348.57 ","$4,730.04 ","$4,730.04 ","$5,330.68 ","$7,508.00 ","$6,381.80 ","$6,805.53 ","$6,006.40 ","$2,777.96 ","$6,006.40 ","$2,722.21 ","$2,722.21 ","$7,508.00 ","$4,069.34 ","$2,722.21 ","$1,974.60 ", N/A , N/A ,"$4,698.86 ","$4,485.27 ","$2,858.32 ","$6,381.80 ","$6,124.98 ","$2,868.06 ","$2,102.24 ","$6,757.20 ","$5,405.76 ","$7,508.00 ","$4,730.04 ","$4,730.04 ","$4,730.04 ","$2,722.21 ","$3,603.84 ","$6,757.20 " ST. JOHN'S HOSPITAL,36000576,52310,HC CYSTOURETHROSCOPY W/REM FB/STONE/STENT,360,1 ,"$2,705.00 ","$1,758.25 ",$711.42 ,"$4,302.83 ","$4,302.83 ","$2,705.00 ","$1,466.11 ","$1,721.13 ",$757.40 ,$865.60 ,"$1,721.13 ",$995.44 ,"$1,721.13 ","$1,033.31 ","$1,033.31 ","$1,721.13 ","$1,033.31 ","$2,705.00 ","$1,422.83 ","$1,536.00 ","$4,302.81 ","$1,721.13 ","$1,893.50 ","$1,721.13 ","$1,352.50 ","$1,755.55 ","$2,028.75 ","$1,206.43 ","$1,084.71 ","$1,206.43 ","$1,721.13 ","$1,206.43 ","$1,704.15 ","$1,704.15 ","$1,920.55 ","$2,705.00 ","$2,299.25 ","$2,705.00 ","$2,164.00 ","$1,000.85 ","$2,164.00 ","$1,721.13 ","$1,721.13 ","$2,705.00 ","$1,466.11 ","$1,721.13 ",$711.42 , N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$2,299.25 ","$3,872.53 ","$1,033.31 ",$757.40 ,"$2,434.50 ","$1,947.60 ","$2,705.00 ","$1,704.15 ","$1,704.15 ","$1,704.15 ","$1,721.13 ","$1,298.40 ","$2,434.50 " ST. JOHN'S HOSPITAL,36000578,15240,HC SKIN FULL GRAFT FACE/GENTL/HAND/FEET<20SQCM,360,1 ,"$4,120.00 ","$2,678.00 ","$1,083.56 ","$4,120.00 ","$4,116.00 ","$4,120.00 ","$2,233.04 ","$1,646.40 ","$1,153.60 ","$1,318.40 ","$1,646.40 ","$1,516.16 ","$1,646.40 ","$1,573.84 ","$1,573.84 ","$1,646.40 ","$1,573.84 ","$3,128.17 ","$2,167.12 ","$1,676.00 ","$4,116.01 ","$1,646.40 ","$2,884.00 ","$1,646.40 ","$2,060.00 ","$1,679.33 ","$3,090.00 ","$1,837.52 ","$1,652.12 ","$1,837.52 ","$1,646.40 ","$1,837.52 ","$2,595.60 ","$2,595.60 ","$2,925.20 ","$4,120.00 ","$3,502.00 ","$4,116.01 ","$3,296.00 ","$1,524.40 ","$3,296.00 ","$1,646.40 ","$1,646.40 ","$4,120.00 ","$2,233.04 ","$1,646.40 ","$1,083.56 ", N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$3,502.00 ","$3,704.41 ","$1,573.84 ","$1,153.60 ","$3,708.00 ","$2,966.40 ","$4,120.00 ","$2,595.60 ","$2,595.60 ","$2,595.60 ","$1,646.40 ","$1,977.60 ","$3,708.00 " ST. JOHN'S HOSPITAL,36000584,33990,HC INSERT VAD ARTERIAL ACCESS,360,1 ,"$14,328.00 ","$9,313.20 ","$3,768.26 ","$14,328.00 ", N/A ,"$7,500.00 ","$7,765.78 ", N/A ,"$4,011.84 ","$4,584.96 ", N/A ,"$5,272.70 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,536.53 ","$7,164.00 ", N/A , N/A ,"$10,029.60 ", N/A ,"$7,164.00 ", N/A ,"$10,746.00 ","$6,390.29 ","$5,745.53 ","$6,390.29 ", N/A ,"$6,390.29 ","$9,026.64 ","$9,026.64 ","$10,172.88 ","$14,328.00 ","$12,178.80 ", N/A ,"$11,462.40 ","$5,301.36 ","$11,462.40 ", N/A , N/A ,"$14,328.00 ","$7,765.78 ", N/A ,"$3,768.26 ", N/A , N/A , N/A , N/A , N/A ,"$12,178.80 ", N/A ,"$5,000.00 ","$4,011.84 ","$12,895.20 ","$10,316.16 ","$14,328.00 ","$9,026.64 ","$9,026.64 ","$9,026.64 ", N/A ,"$6,877.44 ","$12,895.20 " ST. JOHN'S HOSPITAL,36000589,19020,HC MASTOTOMY W/EXPL/DRAIN ABSCESS DEEP-LT,360,1 ,"$3,908.00 ","$2,540.20 ","$1,027.80 ","$3,908.00 ","$3,381.25 ","$3,400.00 ","$2,118.14 ","$1,352.50 ","$1,094.24 ","$1,250.56 ","$1,352.50 ","$1,438.14 ","$1,352.50 ","$1,492.86 ","$1,492.86 ","$1,352.50 ","$1,492.86 ","$2,569.74 ","$2,055.61 ","$1,536.00 ","$3,381.24 ","$1,352.50 ","$2,735.60 ","$1,352.50 ","$1,954.00 ","$1,379.54 ","$2,931.00 ","$1,742.97 ","$1,567.11 ","$1,742.97 ","$1,352.50 ","$1,742.97 ","$2,462.04 ","$2,462.04 ","$2,774.68 ","$3,908.00 ","$3,321.80 ","$3,381.24 ","$3,126.40 ","$1,445.96 ","$3,126.40 ","$1,352.50 ","$1,352.50 ","$3,908.00 ","$2,118.14 ","$1,352.50 ","$1,027.80 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$1,420.13 ","$3,321.80 ","$3,043.11 ","$1,492.86 ","$1,094.24 ","$3,517.20 ","$2,813.76 ","$3,908.00 ","$2,462.04 ","$2,462.04 ","$2,462.04 ","$1,352.50 ","$1,875.84 ","$3,517.20 " ST. JOHN'S HOSPITAL,36000590,19020,HC MASTOTOMY W/EXPL/DRAIN ABSCESS DEEP-RT,360,1 ,"$3,908.00 ","$2,540.20 ","$1,027.80 ","$3,908.00 ","$3,381.25 ","$3,400.00 ","$2,118.14 ","$1,352.50 ","$1,094.24 ","$1,250.56 ","$1,352.50 ","$1,438.14 ","$1,352.50 ","$1,492.86 ","$1,492.86 ","$1,352.50 ","$1,492.86 ","$2,569.74 ","$2,055.61 ","$1,536.00 ","$3,381.24 ","$1,352.50 ","$2,735.60 ","$1,352.50 ","$1,954.00 ","$1,379.54 ","$2,931.00 ","$1,742.97 ","$1,567.11 ","$1,742.97 ","$1,352.50 ","$1,742.97 ","$2,462.04 ","$2,462.04 ","$2,774.68 ","$3,908.00 ","$3,321.80 ","$3,381.24 ","$3,126.40 ","$1,445.96 ","$3,126.40 ","$1,352.50 ","$1,352.50 ","$3,908.00 ","$2,118.14 ","$1,352.50 ","$1,027.80 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$1,420.13 ","$3,321.80 ","$3,043.11 ","$1,492.86 ","$1,094.24 ","$3,517.20 ","$2,813.76 ","$3,908.00 ","$2,462.04 ","$2,462.04 ","$2,462.04 ","$1,352.50 ","$1,875.84 ","$3,517.20 " ST. JOHN'S HOSPITAL,36000591,69420,HC MYRINGOTOMY ASPIR W/EUSTACHIAN INFLATION,360,1 ,$901.00 ,$585.65 ,$203.37 ,"$1,280.65 ",$508.43 ,$901.00 ,$488.34 ,$203.37 ,$252.28 ,$288.32 ,$203.37 ,$331.57 ,$203.37 ,$344.18 ,$344.18 ,$203.37 ,$344.18 ,$386.39 ,$473.93 ,$450.50 ,$508.41 ,$203.37 ,$630.70 ,$203.37 ,$450.50 ,$207.43 ,$675.75 ,$401.85 ,$361.30 ,$401.85 ,$203.37 ,$401.85 ,$567.63 ,$567.63 ,$639.71 ,$901.00 ,$765.85 ,$508.41 ,$720.80 ,$333.37 ,$720.80 ,$203.37 ,$203.37 ,$901.00 ,$488.34 ,$203.37 ,$236.96 , N/A , N/A ,$901.00 ,"$1,280.65 ",$213.54 ,$765.85 ,$457.57 ,$344.18 ,$252.28 ,$810.90 ,$648.72 ,$901.00 ,$567.63 ,$567.63 ,$567.63 ,$203.37 ,$432.48 ,$810.90 ST. JOHN'S HOSPITAL,36000594,N/A,HC ANGIOVAC VENOUS DRAINAGE,360,1 ,"$3,628.00 ","$2,358.20 ",$954.16 ,"$3,628.00 ", N/A ,"$1,668.88 ","$1,966.38 ", N/A ,"$1,015.84 ","$1,160.96 ", N/A ,"$1,335.10 ", N/A ,"$1,385.90 ","$1,385.90 ", N/A ,"$1,385.90 ", N/A ,"$1,908.33 ", N/A , N/A , N/A ,"$2,539.60 ", N/A ,"$1,814.00 ", N/A ,"$2,721.00 ","$1,618.09 ","$1,454.83 ","$1,618.09 ", N/A ,"$1,618.09 ","$2,285.64 ","$2,285.64 ","$2,575.88 ","$3,628.00 ","$3,083.80 ", N/A ,"$2,902.40 ","$1,342.36 ","$2,902.40 ", N/A , N/A ,"$3,628.00 ","$1,966.38 ", N/A ,$954.16 , N/A , N/A , N/A , N/A , N/A ,"$3,083.80 ", N/A ,"$1,385.90 ","$1,015.84 ","$3,265.20 ","$2,612.16 ","$3,628.00 ","$2,285.64 ","$2,285.64 ","$2,285.64 ", N/A ,"$1,741.44 ","$3,265.20 " ST. JOHN'S HOSPITAL,36000595,N/A,HC ECMO/ECLS PERF MANAGEMENT PER HR,360,1 ,$487.00 ,$316.55 ,$128.08 ,$487.00 , N/A ,$224.02 ,$263.95 , N/A ,$136.36 ,$155.84 , N/A ,$179.22 , N/A ,$186.03 ,$186.03 , N/A ,$186.03 , N/A ,$256.16 , N/A , N/A , N/A ,$340.90 , N/A ,$243.50 , N/A ,$365.25 ,$217.20 ,$195.29 ,$217.20 , N/A ,$217.20 ,$306.81 ,$306.81 ,$345.77 ,$487.00 ,$413.95 , N/A ,$389.60 ,$180.19 ,$389.60 , N/A , N/A ,$487.00 ,$263.95 , N/A ,$128.08 , N/A , N/A , N/A , N/A , N/A ,$413.95 , N/A ,$186.03 ,$136.36 ,$438.30 ,$350.64 ,$487.00 ,$306.81 ,$306.81 ,$306.81 , N/A ,$233.76 ,$438.30 ST. JOHN'S HOSPITAL,36000596,N/A,HC EEC PROCEDURE,360,1 ,"$3,623.00 ","$2,354.95 ",$952.85 ,"$3,623.00 ", N/A ,"$1,666.58 ","$1,963.67 ", N/A ,"$1,014.44 ","$1,159.36 ", N/A ,"$1,333.26 ", N/A ,"$1,383.99 ","$1,383.99 ", N/A ,"$1,383.99 ", N/A ,"$1,905.70 ", N/A , N/A , N/A ,"$2,536.10 ", N/A ,"$1,811.50 ", N/A ,"$2,717.25 ","$1,615.86 ","$1,452.82 ","$1,615.86 ", N/A ,"$1,615.86 ","$2,282.49 ","$2,282.49 ","$2,572.33 ","$3,623.00 ","$3,079.55 ", N/A ,"$2,898.40 ","$1,340.51 ","$2,898.40 ", N/A , N/A ,"$3,623.00 ","$1,963.67 ", N/A ,$952.85 , N/A , N/A , N/A , N/A , N/A ,"$3,079.55 ", N/A ,"$1,383.99 ","$1,014.44 ","$3,260.70 ","$2,608.56 ","$3,623.00 ","$2,282.49 ","$2,282.49 ","$2,282.49 ", N/A ,"$1,739.04 ","$3,260.70 " ST. JOHN'S HOSPITAL,36000597,N/A,HC EEC PROCEDURE 30 MIN,360,1 ,$233.00 ,$151.45 ,$61.28 ,$233.00 , N/A ,$107.18 ,$126.29 , N/A ,$65.24 ,$74.56 , N/A ,$85.74 , N/A ,$89.01 ,$89.01 , N/A ,$89.01 , N/A ,$122.56 , N/A , N/A , N/A ,$163.10 , N/A ,$116.50 , N/A ,$174.75 ,$103.92 ,$93.43 ,$103.92 , N/A ,$103.92 ,$146.79 ,$146.79 ,$165.43 ,$233.00 ,$198.05 , N/A ,$186.40 ,$86.21 ,$186.40 , N/A , N/A ,$233.00 ,$126.29 , N/A ,$61.28 , N/A , N/A , N/A , N/A , N/A ,$198.05 , N/A ,$89.01 ,$65.24 ,$209.70 ,$167.76 ,$233.00 ,$146.79 ,$146.79 ,$146.79 , N/A ,$111.84 ,$209.70 ST. JOHN'S HOSPITAL,36000598,N/A,HC SYSTEM VENTRIC ASSIST PER DAY,360,1 ,"$1,850.00 ","$1,202.50 ",$486.55 ,"$1,850.00 ", N/A ,$851.00 ,"$1,002.70 ", N/A ,$518.00 ,$592.00 , N/A ,$680.80 , N/A ,$706.70 ,$706.70 , N/A ,$706.70 , N/A ,$973.10 , N/A , N/A , N/A ,"$1,295.00 ", N/A ,$925.00 , N/A ,"$1,387.50 ",$825.10 ,$741.85 ,$825.10 , N/A ,$825.10 ,"$1,165.50 ","$1,165.50 ","$1,313.50 ","$1,850.00 ","$1,572.50 ", N/A ,"$1,480.00 ",$684.50 ,"$1,480.00 ", N/A , N/A ,"$1,850.00 ","$1,002.70 ", N/A ,$486.55 , N/A , N/A , N/A , N/A , N/A ,"$1,572.50 ", N/A ,$706.70 ,$518.00 ,"$1,665.00 ","$1,332.00 ","$1,850.00 ","$1,165.50 ","$1,165.50 ","$1,165.50 ", N/A ,$888.00 ,"$1,665.00 " ST. JOHN'S HOSPITAL,36000599,33300,HC REPAIR CARDIAC WOUND W/O BYPASS,360,1 ,"$10,004.00 ","$6,502.60 ","$2,631.05 ","$10,004.00 ", N/A ,"$7,500.00 ","$5,422.17 ", N/A ,"$2,801.12 ","$3,201.28 ", N/A ,"$3,681.47 ", N/A ,"$3,821.53 ","$3,821.53 ", N/A ,"$3,821.53 ", N/A ,"$5,262.10 ","$3,351.00 ", N/A , N/A ,"$7,002.80 ", N/A ,"$5,002.00 ", N/A ,"$7,503.00 ","$4,461.78 ","$4,011.60 ","$4,461.78 ", N/A ,"$4,461.78 ","$6,302.52 ","$6,302.52 ","$7,102.84 ","$10,004.00 ","$8,503.40 ", N/A ,"$8,003.20 ","$3,701.48 ","$8,003.20 ", N/A , N/A ,"$10,004.00 ","$5,422.17 ", N/A ,"$2,631.05 ", N/A , N/A , N/A , N/A , N/A ,"$8,503.40 ", N/A ,"$3,821.53 ","$2,801.12 ","$9,003.60 ","$7,202.88 ","$10,004.00 ","$6,302.52 ","$6,302.52 ","$6,302.52 ", N/A ,"$4,801.92 ","$9,003.60 " ST. JOHN'S HOSPITAL,36000600,33548,HC RESTORE/REMODEL VENTRICULAR W/PATCH,360,1 ,"$15,619.00 ","$10,152.35 ","$4,107.80 ","$15,619.00 ", N/A ,"$7,500.00 ","$8,465.50 ", N/A ,"$4,373.32 ","$4,998.08 ", N/A ,"$5,747.79 ", N/A ,"$5,201.13 ","$5,201.13 ", N/A ,"$5,201.13 ", N/A ,"$8,215.59 ","$7,809.50 ", N/A , N/A ,"$10,933.30 ", N/A ,"$7,809.50 ", N/A ,"$11,714.25 ","$6,966.07 ","$6,263.22 ","$6,966.07 ", N/A ,"$6,966.07 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$15,619.00 ","$13,276.15 ", N/A ,"$12,495.20 ","$5,779.03 ","$12,495.20 ", N/A , N/A ,"$15,619.00 ","$8,465.50 ", N/A ,"$4,107.80 ", N/A , N/A , N/A , N/A , N/A ,"$13,276.15 ", N/A ,"$5,201.13 ","$4,373.32 ","$14,057.10 ","$11,245.68 ","$15,619.00 ","$9,391.00 ","$9,839.97 ","$9,839.97 ", N/A ,"$7,497.12 ","$14,057.10 " ST. JOHN'S HOSPITAL,36000601,33952,HC EMCO/ECLS INSERT PERPHIERAL CANNULA>6 YRS,360,1 ,"$31,172.00 ","$20,261.80 ","$7,500.00 ","$31,172.00 ", N/A ,"$7,500.00 ","$16,895.22 ", N/A ,"$8,728.16 ","$8,821.68 ", N/A ,"$10,099.73 ", N/A ,"$10,380.28 ","$10,380.28 ", N/A ,"$10,380.28 ", N/A ,"$16,396.47 ","$15,586.00 ", N/A , N/A ,"$21,820.40 ", N/A ,"$15,586.00 ", N/A ,"$23,379.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$19,638.36 ","$19,638.36 ","$22,132.12 ","$31,172.00 ","$26,496.20 ", N/A ,"$24,937.60 ","$11,533.64 ","$24,937.60 ", N/A , N/A ,"$31,172.00 ","$16,895.22 ", N/A ,"$8,198.24 ", N/A , N/A , N/A , N/A , N/A ,"$26,496.20 ", N/A ,"$10,380.28 ","$8,728.16 ","$28,054.80 ","$22,443.84 ","$31,172.00 ","$19,638.36 ","$19,638.36 ","$19,638.36 ", N/A ,"$14,962.56 ","$28,054.80 " ST. JOHN'S HOSPITAL,36000609,34813,HC PLACE FEMORAL ENDOVASC GRAFT,360,1 ,"$59,734.00 ","$38,827.10 ","$7,500.00 ","$59,734.00 ", N/A ,"$7,500.00 ","$32,375.83 ", N/A ,"$16,725.52 ","$16,904.72 ", N/A ,"$19,353.82 ", N/A ,"$19,891.42 ","$19,891.42 ", N/A ,"$19,891.42 ", N/A ,"$31,420.08 ","$29,867.00 ", N/A , N/A ,"$41,813.80 ", N/A ,"$29,867.00 ", N/A ,"$44,800.50 ","$21,449.50 ","$20,437.70 ","$21,449.50 ", N/A ,"$21,449.50 ","$37,632.42 ","$37,632.42 ","$42,411.14 ","$59,734.00 ","$50,773.90 ", N/A ,"$47,787.20 ","$22,101.58 ","$47,787.20 ", N/A , N/A ,"$59,734.00 ","$32,375.83 ", N/A ,"$15,710.04 ", N/A , N/A , N/A , N/A , N/A ,"$50,773.90 ", N/A ,"$19,891.42 ","$16,725.52 ","$53,760.60 ","$43,008.48 ","$59,734.00 ","$37,632.42 ","$37,632.42 ","$37,632.42 ", N/A ,"$28,672.32 ","$53,760.60 " ST. JOHN'S HOSPITAL,36000610,34834,HC EXPOSE BRACHIAL ARTERY ENDOVASC PROSTHESIS,360,1 ,"$9,460.00 ","$6,149.00 ","$2,487.98 ","$9,460.00 ", N/A ,"$7,000.00 ","$5,127.32 ", N/A ,"$2,648.80 ","$3,027.20 ", N/A ,"$3,481.28 ", N/A ,"$3,613.72 ","$3,613.72 ", N/A ,"$3,613.72 ", N/A ,"$4,975.96 ","$3,351.00 ", N/A , N/A ,"$6,622.00 ", N/A ,"$4,730.00 ", N/A ,"$7,095.00 ","$4,219.16 ","$3,793.46 ","$4,219.16 ", N/A ,"$4,219.16 ","$5,959.80 ","$5,959.80 ","$6,716.60 ","$9,460.00 ","$8,041.00 ", N/A ,"$7,568.00 ","$3,500.20 ","$7,568.00 ", N/A , N/A ,"$9,460.00 ","$5,127.32 ", N/A ,"$2,487.98 ", N/A , N/A , N/A , N/A , N/A ,"$8,041.00 ", N/A ,"$3,613.72 ","$2,648.80 ","$8,514.00 ","$6,811.20 ","$9,460.00 ","$5,959.80 ","$5,959.80 ","$5,959.80 ", N/A ,"$4,540.80 ","$8,514.00 " ST. JOHN'S HOSPITAL,36000611,34841,HC RPR ENDOVASC VISCERAL AORTA 1ST GRAFT,360,1 ,"$23,943.00 ","$15,562.95 ","$6,297.01 ","$23,943.00 ", N/A ,"$7,500.00 ","$12,977.11 ", N/A ,"$6,704.04 ","$6,775.87 ", N/A ,"$7,757.53 ", N/A ,"$7,973.02 ","$7,973.02 ", N/A ,"$7,973.02 ", N/A ,"$12,594.02 ","$11,971.50 ", N/A , N/A ,"$16,760.10 ", N/A ,"$11,971.50 ", N/A ,"$17,957.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$23,943.00 ","$20,351.55 ", N/A ,"$19,154.40 ","$8,858.91 ","$19,154.40 ", N/A , N/A ,"$23,943.00 ","$12,977.11 ", N/A ,"$6,297.01 ", N/A , N/A , N/A , N/A , N/A ,"$20,351.55 ", N/A ,"$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$9,391.00 ","$15,084.09 ","$15,084.09 ", N/A ,"$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,36000612,34842,HC RPR ENDOVASC VISCERAL AORTA 2ND GRAFT,360,1 ,"$23,943.00 ","$15,562.95 ","$6,297.01 ","$23,943.00 ", N/A ,"$7,500.00 ","$12,977.11 ", N/A ,"$6,704.04 ","$6,775.87 ", N/A ,"$7,757.53 ", N/A ,"$7,973.02 ","$7,973.02 ", N/A ,"$7,973.02 ", N/A ,"$12,594.02 ","$11,971.50 ", N/A , N/A ,"$16,760.10 ", N/A ,"$11,971.50 ", N/A ,"$17,957.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$23,943.00 ","$20,351.55 ", N/A ,"$19,154.40 ","$8,858.91 ","$19,154.40 ", N/A , N/A ,"$23,943.00 ","$12,977.11 ", N/A ,"$6,297.01 ", N/A , N/A , N/A , N/A , N/A ,"$20,351.55 ", N/A ,"$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$9,391.00 ","$15,084.09 ","$15,084.09 ", N/A ,"$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,36000613,34843,HC RPR ENDOVASC VISCERAL AORTA 3RD GRAFT,360,1 ,"$23,943.00 ","$15,562.95 ","$6,297.01 ","$23,943.00 ", N/A ,"$7,500.00 ","$12,977.11 ", N/A ,"$6,704.04 ","$6,775.87 ", N/A ,"$7,757.53 ", N/A ,"$7,973.02 ","$7,973.02 ", N/A ,"$7,973.02 ", N/A ,"$12,594.02 ","$11,971.50 ", N/A , N/A ,"$16,760.10 ", N/A ,"$11,971.50 ", N/A ,"$17,957.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$23,943.00 ","$20,351.55 ", N/A ,"$19,154.40 ","$8,858.91 ","$19,154.40 ", N/A , N/A ,"$23,943.00 ","$12,977.11 ", N/A ,"$6,297.01 ", N/A , N/A , N/A , N/A , N/A ,"$20,351.55 ", N/A ,"$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$9,391.00 ","$15,084.09 ","$15,084.09 ", N/A ,"$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,36000614,34844,HC RPR ENDOVASC VISCERAL AORTA >4 GRAFTS,360,1 ,"$23,943.00 ","$15,562.95 ","$6,297.01 ","$23,943.00 ", N/A ,"$7,500.00 ","$12,977.11 ", N/A ,"$6,704.04 ","$6,775.87 ", N/A ,"$7,757.53 ", N/A ,"$7,973.02 ","$7,973.02 ", N/A ,"$7,973.02 ", N/A ,"$12,594.02 ","$11,971.50 ", N/A , N/A ,"$16,760.10 ", N/A ,"$11,971.50 ", N/A ,"$17,957.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$23,943.00 ","$20,351.55 ", N/A ,"$19,154.40 ","$8,858.91 ","$19,154.40 ", N/A , N/A ,"$23,943.00 ","$12,977.11 ", N/A ,"$6,297.01 ", N/A , N/A , N/A , N/A , N/A ,"$20,351.55 ", N/A ,"$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$9,391.00 ","$15,084.09 ","$15,084.09 ", N/A ,"$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,36000615,34845,HC RPR ENDOVASC VISCERAL /INFRARENAL AORTA 1ST GRAFT,360,1 ,"$37,627.00 ","$24,457.55 ","$7,500.00 ","$37,627.00 ", N/A ,"$7,500.00 ","$20,393.83 ", N/A ,"$10,535.56 ","$10,648.44 ", N/A ,"$12,191.15 ", N/A ,"$12,529.79 ","$12,529.79 ", N/A ,"$12,529.79 ", N/A ,"$19,791.80 ","$18,813.50 ", N/A , N/A ,"$26,338.90 ", N/A ,"$18,813.50 ", N/A ,"$28,220.25 ","$10,396.00 ","$10,489.55 ","$10,396.00 ", N/A ,"$10,396.00 ","$23,705.01 ","$23,705.01 ","$26,715.17 ","$37,627.00 ","$31,982.95 ", N/A ,"$30,101.60 ","$13,921.99 ","$30,101.60 ", N/A , N/A ,"$37,627.00 ","$20,393.83 ", N/A ,"$9,895.90 ", N/A , N/A , N/A , N/A , N/A ,"$31,982.95 ", N/A ,"$12,529.79 ","$10,535.56 ","$33,864.30 ","$27,091.44 ","$37,627.00 ","$23,705.01 ","$23,705.01 ","$23,705.01 ", N/A ,"$18,060.96 ","$33,864.30 " ST. JOHN'S HOSPITAL,36000616,34846,HC RPR ENDOVASC VISCERAL /INFRARENAL AORTA 2ND GRAFT,360,1 ,"$37,627.00 ","$24,457.55 ","$7,500.00 ","$37,627.00 ", N/A ,"$7,500.00 ","$20,393.83 ", N/A ,"$10,535.56 ","$10,648.44 ", N/A ,"$12,191.15 ", N/A ,"$12,529.79 ","$12,529.79 ", N/A ,"$12,529.79 ", N/A ,"$19,791.80 ","$18,813.50 ", N/A , N/A ,"$26,338.90 ", N/A ,"$18,813.50 ", N/A ,"$28,220.25 ","$10,396.00 ","$10,489.55 ","$10,396.00 ", N/A ,"$10,396.00 ","$23,705.01 ","$23,705.01 ","$26,715.17 ","$37,627.00 ","$31,982.95 ", N/A ,"$30,101.60 ","$13,921.99 ","$30,101.60 ", N/A , N/A ,"$37,627.00 ","$20,393.83 ", N/A ,"$9,895.90 ", N/A , N/A , N/A , N/A , N/A ,"$31,982.95 ", N/A ,"$12,529.79 ","$10,535.56 ","$33,864.30 ","$27,091.44 ","$37,627.00 ","$23,705.01 ","$23,705.01 ","$23,705.01 ", N/A ,"$18,060.96 ","$33,864.30 " ST. JOHN'S HOSPITAL,36000617,34847,HC RPR ENDOVASC VISCERAL /INFRARENAL AORTA 3RD GRAFT,360,1 ,"$37,627.00 ","$24,457.55 ","$7,500.00 ","$37,627.00 ", N/A ,"$7,500.00 ","$20,393.83 ", N/A ,"$10,535.56 ","$10,648.44 ", N/A ,"$12,191.15 ", N/A ,"$12,529.79 ","$12,529.79 ", N/A ,"$12,529.79 ", N/A ,"$19,791.80 ","$18,813.50 ", N/A , N/A ,"$26,338.90 ", N/A ,"$18,813.50 ", N/A ,"$28,220.25 ","$10,396.00 ","$10,489.55 ","$10,396.00 ", N/A ,"$10,396.00 ","$23,705.01 ","$23,705.01 ","$26,715.17 ","$37,627.00 ","$31,982.95 ", N/A ,"$30,101.60 ","$13,921.99 ","$30,101.60 ", N/A , N/A ,"$37,627.00 ","$20,393.83 ", N/A ,"$9,895.90 ", N/A , N/A , N/A , N/A , N/A ,"$31,982.95 ", N/A ,"$12,529.79 ","$10,535.56 ","$33,864.30 ","$27,091.44 ","$37,627.00 ","$23,705.01 ","$23,705.01 ","$23,705.01 ", N/A ,"$18,060.96 ","$33,864.30 " ST. JOHN'S HOSPITAL,36000618,34848,HC RPR ENDOVASC VISCERAL /INFRARENAL AORTA >4 GRAFTS,360,1 ,"$37,627.00 ","$24,457.55 ","$7,500.00 ","$37,627.00 ", N/A ,"$7,500.00 ","$20,393.83 ", N/A ,"$10,535.56 ","$10,648.44 ", N/A ,"$12,191.15 ", N/A ,"$12,529.79 ","$12,529.79 ", N/A ,"$12,529.79 ", N/A ,"$19,791.80 ","$18,813.50 ", N/A , N/A ,"$26,338.90 ", N/A ,"$18,813.50 ", N/A ,"$28,220.25 ","$10,396.00 ","$10,489.55 ","$10,396.00 ", N/A ,"$10,396.00 ","$23,705.01 ","$23,705.01 ","$26,715.17 ","$37,627.00 ","$31,982.95 ", N/A ,"$30,101.60 ","$13,921.99 ","$30,101.60 ", N/A , N/A ,"$37,627.00 ","$20,393.83 ", N/A ,"$9,895.90 ", N/A , N/A , N/A , N/A , N/A ,"$31,982.95 ", N/A ,"$12,529.79 ","$10,535.56 ","$33,864.30 ","$27,091.44 ","$37,627.00 ","$23,705.01 ","$23,705.01 ","$23,705.01 ", N/A ,"$18,060.96 ","$33,864.30 " ST. JOHN'S HOSPITAL,36000625,35302,HC THROMB/ARTERECT W/GRAFT FEMORAL ARTERY,360,1 ,"$22,923.00 ","$14,899.95 ","$6,028.75 ","$22,923.00 ", N/A ,"$7,500.00 ","$12,424.27 ", N/A ,"$6,418.44 ","$6,487.21 ", N/A ,"$7,427.05 ", N/A ,"$7,633.36 ","$7,633.36 ", N/A ,"$7,633.36 ", N/A ,"$12,057.50 ","$11,461.50 ", N/A , N/A ,"$16,046.10 ", N/A ,"$11,461.50 ", N/A ,"$17,192.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$22,923.00 ","$19,484.55 ", N/A ,"$18,338.40 ","$8,481.51 ","$18,338.40 ", N/A , N/A ,"$22,923.00 ","$12,424.27 ", N/A ,"$6,028.75 ", N/A , N/A , N/A , N/A , N/A ,"$19,484.55 ", N/A ,"$7,633.36 ","$6,418.44 ","$20,630.70 ","$16,504.56 ","$22,923.00 ","$9,391.00 ","$14,441.49 ","$14,441.49 ", N/A ,"$11,003.04 ","$20,630.70 " ST. JOHN'S HOSPITAL,36000632,35372,HC THROMB/ARTERECT W/GRAFT DEEP FEMORAL-LT,360,1 ,"$14,781.00 ","$9,607.65 ","$3,887.40 ","$14,781.00 ", N/A ,"$5,500.00 ","$8,011.30 ", N/A ,"$4,138.68 ","$4,729.92 ", N/A ,"$5,439.41 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,774.81 ","$7,390.50 ", N/A , N/A ,"$10,346.70 ", N/A ,"$7,390.50 ", N/A ,"$11,085.75 ","$6,592.33 ","$5,927.18 ","$6,592.33 ", N/A ,"$6,592.33 ","$9,312.03 ","$9,312.03 ","$10,333.00 ","$14,781.00 ","$12,563.85 ", N/A ,"$11,824.80 ","$5,468.97 ","$11,824.80 ", N/A , N/A ,"$14,781.00 ","$8,011.30 ", N/A ,"$3,887.40 ", N/A , N/A , N/A , N/A , N/A ,"$12,563.85 ", N/A ,"$5,000.00 ","$4,138.68 ","$13,302.90 ","$10,642.32 ","$14,781.00 ","$9,312.03 ","$9,312.03 ","$9,312.03 ", N/A ,"$7,094.88 ","$13,302.90 " ST. JOHN'S HOSPITAL,36000633,35372,HC THROMB/ARTERECT W/GRAFT DEEP FEMORAL-RT,360,1 ,"$14,781.00 ","$9,607.65 ","$3,887.40 ","$14,781.00 ", N/A ,"$5,500.00 ","$8,011.30 ", N/A ,"$4,138.68 ","$4,729.92 ", N/A ,"$5,439.41 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,774.81 ","$7,390.50 ", N/A , N/A ,"$10,346.70 ", N/A ,"$7,390.50 ", N/A ,"$11,085.75 ","$6,592.33 ","$5,927.18 ","$6,592.33 ", N/A ,"$6,592.33 ","$9,312.03 ","$9,312.03 ","$10,333.00 ","$14,781.00 ","$12,563.85 ", N/A ,"$11,824.80 ","$5,468.97 ","$11,824.80 ", N/A , N/A ,"$14,781.00 ","$8,011.30 ", N/A ,"$3,887.40 ", N/A , N/A , N/A , N/A , N/A ,"$12,563.85 ", N/A ,"$5,000.00 ","$4,138.68 ","$13,302.90 ","$10,642.32 ","$14,781.00 ","$9,312.03 ","$9,312.03 ","$9,312.03 ", N/A ,"$7,094.88 ","$13,302.90 " ST. JOHN'S HOSPITAL,36000634,35372,HC THROMB/ARTERECT W/GRAFT DEEP FEMORAL-BIL,360,1 ,"$22,170.00 ","$14,410.50 ","$5,830.71 ","$22,170.00 ", N/A ,"$8,250.00 ","$12,016.14 ", N/A ,"$6,207.60 ","$6,274.11 ", N/A ,"$7,183.08 ", N/A ,"$7,382.61 ","$7,382.61 ", N/A ,"$7,382.61 ", N/A ,"$11,661.42 ","$11,085.00 ", N/A , N/A ,"$15,519.00 ", N/A ,"$11,085.00 ", N/A ,"$16,627.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$22,170.00 ","$18,844.50 ", N/A ,"$17,736.00 ","$8,202.90 ","$17,736.00 ", N/A , N/A ,"$22,170.00 ","$12,016.14 ", N/A ,"$5,830.71 ", N/A , N/A , N/A , N/A , N/A ,"$18,844.50 ", N/A ,"$7,382.61 ","$6,207.60 ","$19,953.00 ","$15,962.40 ","$22,170.00 ","$9,391.00 ","$13,967.10 ","$13,967.10 ", N/A ,"$10,641.60 ","$19,953.00 " ST. JOHN'S HOSPITAL,36000635,35656,HC ARTERY BYPASS GRAFT FEMORAL-POPLITEAL,360,1 ,"$9,536.00 ","$6,198.40 ","$2,507.97 ","$9,536.00 ", N/A ,"$7,500.00 ","$5,168.51 ", N/A ,"$2,670.08 ","$3,051.52 ", N/A ,"$3,509.25 ", N/A ,"$3,642.75 ","$3,642.75 ", N/A ,"$3,642.75 ", N/A ,"$5,015.94 ","$3,351.00 ", N/A , N/A ,"$6,675.20 ", N/A ,"$4,768.00 ", N/A ,"$7,152.00 ","$4,253.06 ","$3,823.94 ","$4,253.06 ", N/A ,"$4,253.06 ","$6,007.68 ","$6,007.68 ","$6,770.56 ","$9,536.00 ","$8,105.60 ", N/A ,"$7,628.80 ","$3,528.32 ","$7,628.80 ", N/A , N/A ,"$9,536.00 ","$5,168.51 ", N/A ,"$2,507.97 ", N/A , N/A , N/A , N/A , N/A ,"$8,105.60 ", N/A ,"$3,642.75 ","$2,670.08 ","$8,582.40 ","$6,865.92 ","$9,536.00 ","$6,007.68 ","$6,007.68 ","$6,007.68 ", N/A ,"$4,577.28 ","$8,582.40 " ST. JOHN'S HOSPITAL,36000637,35665,HC ARTERY BYPASS GRAFT ILIOFEMORAL-LT,360,1 ,"$26,174.00 ","$17,013.10 ","$6,883.76 ","$26,174.00 ", N/A ,"$7,500.00 ","$14,186.31 ", N/A ,"$7,328.72 ","$7,407.24 ", N/A ,"$8,480.38 ", N/A ,"$8,715.94 ","$8,715.94 ", N/A ,"$8,715.94 ", N/A ,"$13,767.52 ","$13,087.00 ", N/A , N/A ,"$18,321.80 ", N/A ,"$13,087.00 ", N/A ,"$19,630.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$26,174.00 ","$22,247.90 ", N/A ,"$20,939.20 ","$9,684.38 ","$20,939.20 ", N/A , N/A ,"$26,174.00 ","$14,186.31 ", N/A ,"$6,883.76 ", N/A , N/A , N/A , N/A , N/A ,"$22,247.90 ", N/A ,"$8,715.94 ","$7,328.72 ","$23,556.60 ","$18,845.28 ","$26,174.00 ","$9,391.00 ","$16,489.62 ","$16,489.62 ", N/A ,"$12,563.52 ","$23,556.60 " ST. JOHN'S HOSPITAL,36000639,35665,HC ARTERY BYPASS GRAFT ILIOFEMORAL-BIL,360,1 ,"$39,260.00 ","$25,519.00 ","$10,325.38 ","$39,260.00 ", N/A ,"$11,250.00 ","$21,278.92 ", N/A ,"$10,992.80 ","$11,110.58 ", N/A ,"$12,720.24 ", N/A ,"$13,073.58 ","$13,073.58 ", N/A ,"$13,073.58 ", N/A ,"$20,650.76 ","$19,630.00 ", N/A , N/A ,"$27,482.00 ", N/A ,"$19,630.00 ", N/A ,"$29,445.00 ","$11,212.50 ","$11,224.40 ","$11,212.50 ", N/A ,"$11,212.50 ","$24,733.80 ","$24,733.80 ","$27,874.60 ","$39,260.00 ","$33,371.00 ", N/A ,"$31,408.00 ","$14,526.20 ","$31,408.00 ", N/A , N/A ,"$39,260.00 ","$21,278.92 ", N/A ,"$10,325.38 ", N/A , N/A , N/A , N/A , N/A ,"$33,371.00 ", N/A ,"$13,073.58 ","$10,992.80 ","$35,334.00 ","$28,267.20 ","$39,260.00 ","$24,733.80 ","$24,733.80 ","$24,733.80 ", N/A ,"$18,844.80 ","$35,334.00 " ST. JOHN'S HOSPITAL,36000641,35800,HC EXPLORE POSTOP HEMMORRHAGE NECK,360,1 ,"$2,218.00 ","$1,441.70 ",$583.33 ,"$2,218.00 ", N/A ,"$2,218.00 ","$1,202.16 ", N/A ,$621.04 ,$709.76 , N/A ,$816.22 , N/A ,$847.28 ,$847.28 , N/A ,$847.28 , N/A ,"$1,166.67 ","$1,109.00 ", N/A , N/A ,"$1,552.60 ", N/A ,"$1,109.00 ", N/A ,"$1,663.50 ",$989.23 ,$889.42 ,$989.23 , N/A ,$989.23 ,"$1,397.34 ","$1,397.34 ","$1,574.78 ","$2,218.00 ","$1,885.30 ", N/A ,"$1,774.40 ",$820.66 ,"$1,774.40 ", N/A , N/A ,"$2,218.00 ","$1,202.16 ", N/A ,$583.33 , N/A , N/A , N/A , N/A , N/A ,"$1,885.30 ", N/A ,$847.28 ,$621.04 ,"$1,996.20 ","$1,596.96 ","$2,218.00 ","$1,397.34 ","$1,397.34 ","$1,397.34 ", N/A ,"$1,064.64 ","$1,996.20 " ST. JOHN'S HOSPITAL,36000642,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-LT,360,1 ,"$2,094.00 ","$1,361.10 ",$519.58 ,"$2,094.00 ","$1,298.95 ","$2,094.00 ","$1,134.95 ",$519.58 ,$586.32 ,$670.08 ,$519.58 ,$770.59 ,$519.58 ,$799.91 ,$799.91 ,$519.58 ,$799.91 ,$987.20 ,"$1,101.44 ","$1,047.00 ","$1,298.95 ",$519.58 ,"$1,465.80 ",$519.58 ,"$1,047.00 ",$529.97 ,"$1,570.50 ",$933.92 ,$839.69 ,$933.92 ,$519.58 ,$933.92 ,"$1,319.22 ","$1,319.22 ","$1,486.74 ","$2,094.00 ","$1,779.90 ","$1,298.95 ","$1,675.20 ",$774.78 ,"$1,675.20 ",$519.58 ,$519.58 ,"$2,094.00 ","$1,134.95 ",$519.58 ,$550.72 , N/A , N/A , N/A , N/A ,$545.56 ,"$1,779.90 ","$1,169.06 ",$799.91 ,$586.32 ,"$1,884.60 ","$1,507.68 ","$2,094.00 ","$1,319.22 ","$1,319.22 ","$1,319.22 ",$519.58 ,"$1,005.12 ","$1,884.60 " ST. JOHN'S HOSPITAL,36000643,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-RT,360,1 ,"$2,094.00 ","$1,361.10 ",$519.58 ,"$2,094.00 ","$1,298.95 ","$2,094.00 ","$1,134.95 ",$519.58 ,$586.32 ,$670.08 ,$519.58 ,$770.59 ,$519.58 ,$799.91 ,$799.91 ,$519.58 ,$799.91 ,$987.20 ,"$1,101.44 ","$1,047.00 ","$1,298.95 ",$519.58 ,"$1,465.80 ",$519.58 ,"$1,047.00 ",$529.97 ,"$1,570.50 ",$933.92 ,$839.69 ,$933.92 ,$519.58 ,$933.92 ,"$1,319.22 ","$1,319.22 ","$1,486.74 ","$2,094.00 ","$1,779.90 ","$1,298.95 ","$1,675.20 ",$774.78 ,"$1,675.20 ",$519.58 ,$519.58 ,"$2,094.00 ","$1,134.95 ",$519.58 ,$550.72 , N/A , N/A , N/A , N/A ,$545.56 ,"$1,779.90 ","$1,169.06 ",$799.91 ,$586.32 ,"$1,884.60 ","$1,507.68 ","$2,094.00 ","$1,319.22 ","$1,319.22 ","$1,319.22 ",$519.58 ,"$1,005.12 ","$1,884.60 " ST. JOHN'S HOSPITAL,36000644,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-BIL,360,1 ,"$3,140.00 ","$2,041.00 ",$779.37 ,"$3,140.00 ","$1,948.43 ","$3,140.00 ","$1,701.88 ",$779.37 ,$879.20 ,"$1,004.80 ",$779.37 ,"$1,155.52 ",$779.37 ,"$1,199.48 ","$1,199.48 ",$779.37 ,"$1,199.48 ","$1,480.80 ","$1,651.64 ","$1,570.00 ","$1,948.43 ",$779.37 ,"$2,198.00 ",$779.37 ,"$1,570.00 ",$794.96 ,"$2,355.00 ","$1,400.44 ","$1,259.14 ","$1,400.44 ",$779.37 ,"$1,400.44 ","$1,978.20 ","$1,978.20 ","$2,229.40 ","$3,140.00 ","$2,669.00 ","$1,948.43 ","$2,512.00 ","$1,161.80 ","$2,512.00 ",$779.37 ,$779.37 ,"$3,140.00 ","$1,701.88 ",$779.37 ,$825.82 , N/A , N/A , N/A , N/A ,$818.34 ,"$2,669.00 ","$1,753.58 ","$1,199.48 ",$879.20 ,"$2,826.00 ","$2,260.80 ","$3,140.00 ","$1,978.20 ","$1,978.20 ","$1,978.20 ",$779.37 ,"$1,507.20 ","$2,826.00 " ST. JOHN'S HOSPITAL,36000644,36002,HC INJ TX PSEUDOANEURYSM EXTREMITY PERC-BIL,360,1 ,"$4,711.00 ","$3,062.15 ",$779.37 ,"$4,711.00 ","$1,948.43 ","$3,450.00 ","$2,553.36 ",$779.37 ,"$1,319.08 ","$1,507.52 ",$779.37 ,"$1,733.65 ",$779.37 ,"$1,799.60 ","$1,799.60 ",$779.37 ,"$1,799.60 ","$1,480.80 ","$2,477.99 ","$2,355.50 ","$1,948.43 ",$779.37 ,"$3,297.70 ",$779.37 ,"$2,355.50 ",$794.96 ,"$3,533.25 ","$2,101.11 ","$1,889.11 ","$2,101.11 ",$779.37 ,"$2,101.11 ","$2,967.93 ","$2,967.93 ","$3,344.81 ","$4,711.00 ","$4,004.35 ","$1,948.43 ","$3,768.80 ","$1,743.07 ","$3,768.80 ",$779.37 ,$779.37 ,"$4,711.00 ","$2,553.36 ",$779.37 ,"$1,238.99 ", N/A , N/A , N/A , N/A ,$818.34 ,"$4,004.35 ","$1,753.58 ","$1,799.60 ","$1,319.08 ","$4,239.90 ","$3,391.92 ","$4,711.00 ","$2,967.93 ","$2,967.93 ","$2,967.93 ",$779.37 ,"$2,261.28 ","$4,239.90 " ST. JOHN'S HOSPITAL,36000647,36299,HC INJ CONTR LEAD PLACEMENT SITE,360,1 ,$756.00 ,$491.40 ,$198.83 ,$878.23 , N/A ,$756.00 ,$409.75 , N/A ,$211.68 ,$241.92 , N/A ,$278.21 , N/A ,$288.79 ,$288.79 , N/A ,$288.79 , N/A ,$397.66 ,$378.00 , N/A , N/A ,$529.20 , N/A ,$378.00 , N/A ,$567.00 ,$337.18 ,$303.16 ,$337.18 , N/A ,$337.18 ,$476.28 ,$476.28 ,$536.76 ,$756.00 ,$642.60 , N/A ,$604.80 ,$279.72 ,$604.80 , N/A , N/A ,$756.00 ,$409.75 , N/A ,$198.83 , N/A , N/A ,$756.00 ,$878.23 , N/A ,$642.60 , N/A ,$288.79 ,$211.68 ,$680.40 ,$544.32 ,$756.00 ,$476.28 ,$476.28 ,$476.28 , N/A ,$362.88 ,$680.40 ST. JOHN'S HOSPITAL,36000648,36440,HC BLOOD TRANSFUSION PUSH <2YRS,391,1 ,"$1,961.00 ","$1,274.65 ",$126.47 ,"$1,961.00 ",$953.83 ,$902.06 ,"$1,062.86 ",$381.53 ,$549.08 ,$627.52 ,$381.53 ,$721.65 ,$381.53 ,$749.10 ,$126.47 ,$381.53 ,$749.10 ,$724.91 ,"$1,031.49 ","$1,000.11 ",$953.84 ,$381.53 ,"$1,372.70 ",$381.53 ,$980.50 ,$389.16 ,"$1,470.75 ",$990.31 ,$892.26 ,$990.31 ,$381.53 ,$990.31 ,"$1,235.43 ","$1,235.43 ","$1,392.31 ","$1,961.00 ","$1,666.85 ",$953.84 ,"$1,568.80 ",$725.57 ,"$1,568.80 ",$381.53 ,$381.53 ,"$1,961.00 ","$1,062.86 ",$381.53 ,$515.74 , N/A , N/A , N/A , N/A ,$400.61 ,"$1,666.85 ",$858.45 ,"$1,290.34 ",$549.08 ,"$1,764.90 ","$1,411.92 ","$1,961.00 ","$1,235.43 ","$1,235.43 ","$1,235.43 ",$381.53 ,$941.28 ,"$1,764.90 " ST. JOHN'S HOSPITAL,36000649,36450,HC BLOOD TRANSFUSION EXCHANGE NEWBORN,391,1 ,"$1,389.00 ",$902.85 ,$365.31 ,"$1,389.00 ",$953.83 ,$638.94 ,$752.84 ,$381.53 ,$388.92 ,$444.48 ,$381.53 ,$511.15 ,$381.53 ,$530.60 ,$427.86 ,$381.53 ,$530.60 ,$724.91 ,$730.61 ,$708.39 ,$953.84 ,$381.53 ,$972.30 ,$381.53 ,$694.50 ,$389.16 ,"$1,041.75 ",$701.45 ,$632.00 ,$701.45 ,$381.53 ,$701.45 ,$875.07 ,$875.07 ,$986.19 ,"$1,389.00 ","$1,180.65 ",$953.84 ,"$1,111.20 ",$513.93 ,"$1,111.20 ",$381.53 ,$381.53 ,"$1,389.00 ",$752.84 ,$381.53 ,$365.31 , N/A , N/A ,$695.90 ,$664.27 ,$400.61 ,"$1,180.65 ",$858.45 ,$913.96 ,$388.92 ,"$1,250.10 ","$1,000.08 ","$1,389.00 ",$875.07 ,$875.07 ,$875.07 ,$381.53 ,$666.72 ,"$1,250.10 " ST. JOHN'S HOSPITAL,36000650,36475,HC ABLATION THPY EXTREM PERC RADFQ INIT VEIN,360,1 ,"$13,409.00 ","$8,715.85 ","$2,413.74 ","$13,409.00 ","$6,879.30 ","$4,200.00 ","$7,267.68 ","$2,751.72 ","$3,754.52 ","$4,290.88 ","$2,751.72 ","$4,934.51 ","$2,751.72 ","$5,000.00 ","$5,000.00 ","$2,751.72 ","$5,000.00 ","$5,228.27 ","$7,053.13 ","$6,704.50 ","$6,879.30 ","$2,751.72 ","$9,386.30 ","$2,751.72 ","$6,704.50 ","$2,806.76 ","$10,056.75 ","$5,980.41 ","$5,377.01 ","$5,980.41 ","$2,751.72 ","$5,980.41 ","$8,447.67 ","$8,447.67 ","$9,520.39 ","$13,409.00 ","$11,397.65 ","$6,879.30 ","$10,727.20 ","$4,961.33 ","$10,727.20 ","$2,751.72 ","$2,751.72 ","$13,409.00 ","$7,267.68 ","$2,751.72 ","$3,526.57 ", N/A , N/A ,"$2,528.68 ","$2,413.74 ","$2,889.31 ","$11,397.65 ","$6,191.37 ","$5,000.00 ","$3,754.52 ","$12,068.10 ","$9,654.48 ","$13,409.00 ","$8,447.67 ","$8,447.67 ","$8,447.67 ","$2,751.72 ","$6,436.32 ","$12,068.10 " ST. JOHN'S HOSPITAL,36000652,36478,HC ABLATION THPY EXTREM PERC LASER INIT VEIN,360,1 ,"$10,176.00 ","$6,614.40 ","$2,413.74 ","$10,176.00 ","$6,879.30 ","$4,200.00 ","$5,515.39 ","$2,751.72 ","$2,849.28 ","$3,256.32 ","$2,751.72 ","$3,744.77 ","$2,751.72 ","$3,887.23 ","$3,887.23 ","$2,751.72 ","$3,887.23 ","$5,228.27 ","$5,352.58 ","$3,351.00 ","$6,879.30 ","$2,751.72 ","$7,123.20 ","$2,751.72 ","$5,088.00 ","$2,806.76 ","$7,632.00 ","$4,538.50 ","$4,080.58 ","$4,538.50 ","$2,751.72 ","$4,538.50 ","$6,410.88 ","$6,410.88 ","$7,224.96 ","$10,176.00 ","$8,649.60 ","$6,879.30 ","$8,140.80 ","$3,765.12 ","$8,140.80 ","$2,751.72 ","$2,751.72 ","$10,176.00 ","$5,515.39 ","$2,751.72 ","$2,676.29 ", N/A , N/A ,"$2,528.68 ","$2,413.74 ","$2,889.31 ","$8,649.60 ","$6,191.37 ","$3,887.23 ","$2,849.28 ","$9,158.40 ","$7,326.72 ","$10,176.00 ","$6,410.88 ","$6,410.88 ","$6,410.88 ","$2,751.72 ","$4,884.48 ","$9,158.40 " ST. JOHN'S HOSPITAL,36000654,36571,HC INS CATH PERIPH CV W/PORT >5 - LT,360,1 ,"$10,665.00 ","$6,932.25 ","$1,676.00 ","$10,665.00 ","$6,879.30 ","$4,200.00 ","$5,780.43 ","$2,751.72 ","$2,986.20 ","$3,412.80 ","$2,751.72 ","$3,924.72 ","$2,751.72 ","$4,074.03 ","$4,074.03 ","$2,751.72 ","$4,074.03 ","$5,228.27 ","$5,609.79 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,465.50 ","$2,751.72 ","$5,332.50 ","$2,806.76 ","$7,998.75 ","$4,756.59 ","$4,276.67 ","$4,756.59 ","$2,751.72 ","$4,756.59 ","$6,718.95 ","$6,718.95 ","$7,572.15 ","$10,665.00 ","$9,065.25 ","$6,879.30 ","$8,532.00 ","$3,946.05 ","$8,532.00 ","$2,751.72 ","$2,751.72 ","$10,665.00 ","$5,780.43 ","$2,751.72 ","$2,804.90 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$9,065.25 ","$6,191.37 ","$4,074.03 ","$2,986.20 ","$9,598.50 ","$7,678.80 ","$10,665.00 ","$6,718.95 ","$6,718.95 ","$6,718.95 ","$2,751.72 ","$5,119.20 ","$9,598.50 " ST. JOHN'S HOSPITAL,36000655,36571,HC INS CATH PERIPH CV W/PORT >5 - RT,360,1 ,"$10,665.00 ","$6,932.25 ","$1,676.00 ","$10,665.00 ","$6,879.30 ","$4,200.00 ","$5,780.43 ","$2,751.72 ","$2,986.20 ","$3,412.80 ","$2,751.72 ","$3,924.72 ","$2,751.72 ","$4,074.03 ","$4,074.03 ","$2,751.72 ","$4,074.03 ","$5,228.27 ","$5,609.79 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,465.50 ","$2,751.72 ","$5,332.50 ","$2,806.76 ","$7,998.75 ","$4,756.59 ","$4,276.67 ","$4,756.59 ","$2,751.72 ","$4,756.59 ","$6,718.95 ","$6,718.95 ","$7,572.15 ","$10,665.00 ","$9,065.25 ","$6,879.30 ","$8,532.00 ","$3,946.05 ","$8,532.00 ","$2,751.72 ","$2,751.72 ","$10,665.00 ","$5,780.43 ","$2,751.72 ","$2,804.90 ", N/A , N/A ,"$1,784.43 ","$1,703.32 ","$2,889.31 ","$9,065.25 ","$6,191.37 ","$4,074.03 ","$2,986.20 ","$9,598.50 ","$7,678.80 ","$10,665.00 ","$6,718.95 ","$6,718.95 ","$6,718.95 ","$2,751.72 ","$5,119.20 ","$9,598.50 " ST. JOHN'S HOSPITAL,36000656,36660,HC CATHERIZATION UMBILICAL ARTERY NEWBORN,360,1 ,$368.00 ,$239.20 ,$96.78 ,$368.00 , N/A ,$368.00 ,$199.46 , N/A ,$103.04 ,$117.76 , N/A ,$135.42 , N/A ,$140.58 ,$140.58 , N/A ,$140.58 , N/A ,$193.57 ,$184.00 , N/A , N/A ,$257.60 , N/A ,$184.00 , N/A ,$276.00 ,$164.13 ,$147.57 ,$164.13 , N/A ,$164.13 ,$231.84 ,$231.84 ,$261.28 ,$368.00 ,$312.80 , N/A ,$294.40 ,$136.16 ,$294.40 , N/A , N/A ,$368.00 ,$199.46 , N/A ,$96.78 , N/A , N/A , N/A , N/A , N/A ,$312.80 , N/A ,$140.58 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$231.84 ,$231.84 ,$231.84 , N/A ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,36000657,36821,HC AV ANASTOMOSIS OPEN DIRECT-LT,360,1 ,"$10,262.00 ","$6,670.30 ","$1,676.00 ","$10,262.00 ","$6,879.30 ","$4,200.00 ","$5,562.00 ","$2,751.72 ","$2,873.36 ","$3,283.84 ","$2,751.72 ","$3,776.42 ","$2,751.72 ","$3,920.08 ","$3,920.08 ","$2,751.72 ","$3,920.08 ","$5,228.27 ","$5,397.81 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,183.40 ","$2,751.72 ","$5,131.00 ","$2,806.76 ","$7,696.50 ","$4,576.85 ","$4,115.06 ","$4,576.85 ","$2,751.72 ","$4,576.85 ","$6,465.06 ","$6,465.06 ","$7,286.02 ","$10,262.00 ","$8,722.70 ","$6,879.30 ","$8,209.60 ","$3,796.94 ","$8,209.60 ","$2,751.72 ","$2,751.72 ","$10,262.00 ","$5,562.00 ","$2,751.72 ","$2,698.91 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$2,889.31 ","$8,722.70 ","$6,191.37 ","$3,920.08 ","$2,873.36 ","$9,235.80 ","$7,388.64 ","$10,262.00 ","$6,465.06 ","$6,465.06 ","$6,465.06 ","$2,751.72 ","$4,925.76 ","$9,235.80 " ST. JOHN'S HOSPITAL,36000658,36821,HC AV ANASTOMOSIS OPEN DIRECT-RT,360,1 ,"$10,262.00 ","$6,670.30 ","$1,676.00 ","$10,262.00 ","$6,879.30 ","$4,200.00 ","$5,562.00 ","$2,751.72 ","$2,873.36 ","$3,283.84 ","$2,751.72 ","$3,776.42 ","$2,751.72 ","$3,920.08 ","$3,920.08 ","$2,751.72 ","$3,920.08 ","$5,228.27 ","$5,397.81 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,183.40 ","$2,751.72 ","$5,131.00 ","$2,806.76 ","$7,696.50 ","$4,576.85 ","$4,115.06 ","$4,576.85 ","$2,751.72 ","$4,576.85 ","$6,465.06 ","$6,465.06 ","$7,286.02 ","$10,262.00 ","$8,722.70 ","$6,879.30 ","$8,209.60 ","$3,796.94 ","$8,209.60 ","$2,751.72 ","$2,751.72 ","$10,262.00 ","$5,562.00 ","$2,751.72 ","$2,698.91 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$2,889.31 ","$8,722.70 ","$6,191.37 ","$3,920.08 ","$2,873.36 ","$9,235.80 ","$7,388.64 ","$10,262.00 ","$6,465.06 ","$6,465.06 ","$6,465.06 ","$2,751.72 ","$4,925.76 ","$9,235.80 " ST. JOHN'S HOSPITAL,36000659,36825,HC CREATE FISTULA A-V GRAFT AUTO,360,1 ,"$10,513.00 ","$6,833.45 ","$1,816.00 ","$11,459.70 ","$11,459.70 ","$5,000.00 ","$5,698.05 ","$4,583.88 ","$2,943.64 ","$3,364.16 ","$4,583.88 ","$3,868.78 ","$4,583.88 ","$4,015.97 ","$4,015.97 ","$4,583.88 ","$4,015.97 ","$8,709.37 ","$5,529.84 ","$1,816.00 ","$11,459.70 ","$4,583.88 ","$7,359.10 ","$4,583.88 ","$5,256.50 ","$4,675.56 ","$7,884.75 ","$4,688.80 ","$4,215.71 ","$4,688.80 ","$4,583.88 ","$4,688.80 ","$6,623.19 ","$6,623.19 ","$7,464.23 ","$10,513.00 ","$8,936.05 ","$10,513.00 ","$8,410.40 ","$3,889.81 ","$8,410.40 ","$4,583.88 ","$4,583.88 ","$10,513.00 ","$5,698.05 ","$4,583.88 ","$2,764.92 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$8,936.05 ","$10,313.73 ","$4,015.97 ","$2,943.64 ","$9,461.70 ","$7,569.36 ","$10,513.00 ","$6,623.19 ","$6,623.19 ","$6,623.19 ","$4,583.88 ","$5,046.24 ","$9,461.70 " ST. JOHN'S HOSPITAL,36000661,37193,HC FILTER REMOVAL DISC POST-ANES - 74,360,1 ,"$7,776.00 ","$5,054.40 ","$2,045.09 ","$7,776.00 ","$6,879.30 ","$4,200.00 ","$4,214.59 ","$2,751.72 ","$2,177.28 ","$2,488.32 ","$2,751.72 ","$2,861.57 ","$2,751.72 ","$2,970.43 ","$2,970.43 ","$2,751.72 ","$2,970.43 ","$5,228.27 ","$4,090.18 ","$3,351.00 ","$6,879.30 ","$2,751.72 ","$5,443.20 ","$2,751.72 ","$3,888.00 ","$2,806.76 ","$5,832.00 ","$3,468.10 ","$3,118.18 ","$3,468.10 ","$2,751.72 ","$3,468.10 ","$4,898.88 ","$4,898.88 ","$5,520.96 ","$7,776.00 ","$6,609.60 ","$6,879.30 ","$6,220.80 ","$2,877.12 ","$6,220.80 ","$2,751.72 ","$2,751.72 ","$7,776.00 ","$4,214.59 ","$2,751.72 ","$2,045.09 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$6,609.60 ","$6,191.37 ","$2,970.43 ","$2,177.28 ","$6,998.40 ","$5,598.72 ","$7,776.00 ","$4,898.88 ","$4,898.88 ","$4,898.88 ","$2,751.72 ","$3,732.48 ","$6,998.40 " ST. JOHN'S HOSPITAL,36000663,37221,HC RVC EN PRC ICA W/TRN SNT INT VSL-BIL,360,1 ,"$59,734.00 ","$38,827.10 ","$7,427.81 ","$59,734.00 ","$38,594.63 ","$7,500.00 ","$32,375.83 ","$15,437.85 ","$16,725.52 ","$16,904.72 ","$15,437.85 ","$19,353.82 ","$15,437.85 ","$19,891.42 ","$19,891.42 ","$15,437.85 ","$19,891.42 ","$29,331.92 ","$31,420.08 ","$29,867.00 ","$38,594.64 ","$15,437.85 ","$41,813.80 ","$15,437.85 ","$29,867.00 ","$15,746.61 ","$44,800.50 ","$21,449.50 ","$20,437.70 ","$21,449.50 ","$15,437.85 ","$21,449.50 ","$37,632.42 ","$37,632.42 ","$42,411.14 ","$59,734.00 ","$50,773.90 ","$38,594.64 ","$47,787.20 ","$22,101.58 ","$47,787.20 ","$15,437.85 ","$15,437.85 ","$59,734.00 ","$32,375.83 ","$15,437.85 ","$15,710.04 ", N/A , N/A ,"$7,781.51 ","$7,427.81 ","$16,209.74 ","$50,773.90 ","$34,735.17 ","$19,891.42 ","$16,725.52 ","$53,760.60 ","$43,008.48 ","$59,734.00 ","$37,632.42 ","$37,632.42 ","$37,632.42 ","$15,437.85 ","$28,672.32 ","$53,760.60 " ST. JOHN'S HOSPITAL,36000664,37223,HC RVC EN PRC ICA W/TRN ST ADDL VSL-BIL,360,1 ,"$39,639.00 ","$25,765.35 ","$3,450.00 ","$39,639.00 ", N/A ,"$3,450.00 ","$21,484.34 ", N/A ,"$11,098.92 ","$11,217.84 ", N/A ,"$12,843.04 ", N/A ,"$13,199.79 ","$13,199.79 ", N/A ,"$13,199.79 ", N/A ,"$20,850.11 ","$19,819.50 ", N/A , N/A ,"$27,747.30 ", N/A ,"$19,819.50 ", N/A ,"$29,729.25 ","$11,402.00 ","$11,394.95 ","$11,402.00 ", N/A ,"$11,402.00 ","$24,972.57 ","$24,972.57 ","$28,143.69 ","$39,639.00 ","$33,693.15 ", N/A ,"$31,711.20 ","$14,666.43 ","$31,711.20 ", N/A , N/A ,"$39,639.00 ","$21,484.34 ", N/A ,"$10,425.06 ", N/A , N/A ,"$7,781.51 ","$7,427.81 ", N/A ,"$33,693.15 ", N/A ,"$13,199.79 ","$11,098.92 ","$35,675.10 ","$28,540.08 ","$39,639.00 ","$24,972.57 ","$24,972.57 ","$24,972.57 ", N/A ,"$19,026.72 ","$35,675.10 " ST. JOHN'S HOSPITAL,36000666,37607,HC LIGATION/BANDING FISTULA,360,1 ,"$9,473.00 ","$6,157.45 ","$1,676.00 ","$9,473.00 ","$6,879.30 ","$4,200.00 ","$5,134.37 ","$2,751.72 ","$2,652.44 ","$3,031.36 ","$2,751.72 ","$3,486.06 ","$2,751.72 ","$3,618.69 ","$3,618.69 ","$2,751.72 ","$3,618.69 ","$5,228.27 ","$4,982.80 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$6,631.10 ","$2,751.72 ","$4,736.50 ","$2,806.76 ","$7,104.75 ","$4,224.96 ","$3,798.67 ","$4,224.96 ","$2,751.72 ","$4,224.96 ","$5,967.99 ","$5,967.99 ","$6,725.83 ","$9,473.00 ","$8,052.05 ","$6,879.30 ","$7,578.40 ","$3,505.01 ","$7,578.40 ","$2,751.72 ","$2,751.72 ","$9,473.00 ","$5,134.37 ","$2,751.72 ","$2,491.40 ", N/A , N/A ,"$2,159.67 ","$2,061.51 ","$2,889.31 ","$8,052.05 ","$6,191.37 ","$3,618.69 ","$2,652.44 ","$8,525.70 ","$6,820.56 ","$9,473.00 ","$5,967.99 ","$5,967.99 ","$5,967.99 ","$2,751.72 ","$4,547.04 ","$8,525.70 " ST. JOHN'S HOSPITAL,36000670,37799,HC THROMBO/EMBLECTOMY PERC,360,1 ,"$16,067.00 ","$10,443.55 ",$141.92 ,"$16,067.00 ","$1,298.95 ","$3,400.00 ","$8,708.31 ",$519.58 ,"$4,498.76 ","$5,141.44 ",$519.58 ,"$5,912.66 ",$519.58 ,"$5,350.31 ","$5,350.31 ",$519.58 ,"$5,350.31 ",$987.20 ,"$8,451.24 ","$8,033.50 ","$1,298.95 ",$519.58 ,"$11,246.90 ",$519.58 ,"$8,033.50 ",$529.97 ,"$12,050.25 ","$7,165.88 ","$6,442.87 ","$7,165.88 ",$519.58 ,"$7,165.88 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$16,067.00 ","$13,656.95 ","$1,298.95 ","$12,853.60 ","$5,944.79 ","$12,853.60 ",$519.58 ,$519.58 ,"$16,067.00 ","$8,708.31 ",$519.58 ,"$4,225.62 ", N/A , N/A ,$148.68 ,$141.92 ,$545.56 ,"$13,656.95 ","$1,169.06 ","$5,350.31 ","$4,498.76 ","$14,460.30 ","$11,568.24 ","$16,067.00 ","$9,391.00 ","$10,122.21 ","$10,122.21 ",$519.58 ,"$7,712.16 ","$14,460.30 " ST. JOHN'S HOSPITAL,36000671,59812,HC TX ABORTION INCOMPLETE SURGICALLY ANY TRIMESTER,360,1 ,"$4,982.00 ","$3,238.30 ","$1,310.27 ","$6,305.00 ","$6,305.00 ","$4,982.00 ","$2,700.24 ","$2,522.00 ","$1,394.96 ","$1,594.24 ","$2,522.00 ","$1,833.38 ","$2,522.00 ","$1,903.12 ","$1,903.12 ","$2,522.00 ","$1,903.12 ","$4,791.80 ","$2,620.53 ","$2,026.00 ","$6,305.00 ","$2,522.00 ","$3,487.40 ","$2,522.00 ","$2,491.00 ","$2,572.44 ","$3,736.50 ","$2,221.97 ","$1,997.78 ","$2,221.97 ","$2,522.00 ","$2,221.97 ","$3,138.66 ","$3,138.66 ","$3,537.22 ","$4,982.00 ","$4,234.70 ","$4,982.00 ","$3,985.60 ","$1,843.34 ","$3,985.60 ","$2,522.00 ","$2,522.00 ","$4,982.00 ","$2,700.24 ","$2,522.00 ","$1,310.27 ", N/A , N/A , N/A , N/A ,"$2,648.10 ","$4,234.70 ","$5,674.50 ","$1,903.12 ","$1,394.96 ","$4,483.80 ","$3,587.04 ","$4,982.00 ","$3,138.66 ","$3,138.66 ","$3,138.66 ","$2,522.00 ","$2,391.36 ","$4,483.80 " ST. JOHN'S HOSPITAL,36000672,59821,HC TX ABORTION MISSED SURGICALLY 2ND TRIMESTER,360,1 ,"$9,105.00 ","$5,918.25 ","$2,026.00 ","$9,105.00 ","$6,305.00 ","$5,500.00 ","$4,934.91 ","$2,522.00 ","$2,549.40 ","$2,913.60 ","$2,522.00 ","$3,350.64 ","$2,522.00 ","$3,478.11 ","$3,478.11 ","$2,522.00 ","$3,478.11 ","$4,791.80 ","$4,789.23 ","$2,026.00 ","$6,305.00 ","$2,522.00 ","$6,373.50 ","$2,522.00 ","$4,552.50 ","$2,572.44 ","$6,828.75 ","$4,060.83 ","$3,651.11 ","$4,060.83 ","$2,522.00 ","$4,060.83 ","$5,736.15 ","$5,736.15 ","$6,464.55 ","$9,105.00 ","$7,739.25 ","$6,305.00 ","$7,284.00 ","$3,368.85 ","$7,284.00 ","$2,522.00 ","$2,522.00 ","$9,105.00 ","$4,934.91 ","$2,522.00 ","$2,394.62 ", N/A , N/A , N/A , N/A ,"$2,648.10 ","$7,739.25 ","$5,674.50 ","$3,478.11 ","$2,549.40 ","$8,194.50 ","$6,555.60 ","$9,105.00 ","$5,736.15 ","$5,736.15 ","$5,736.15 ","$2,522.00 ","$4,370.40 ","$8,194.50 " ST. JOHN'S HOSPITAL,36000676,N/A,HC SURG PROCEDURE W/EYE LASER,360,1 ,"$1,850.00 ","$1,202.50 ",$486.55 ,"$1,850.00 ", N/A ,$851.00 ,"$1,002.70 ", N/A ,$518.00 ,$592.00 , N/A ,$680.80 , N/A ,$706.70 ,$706.70 , N/A ,$706.70 , N/A ,$973.10 , N/A , N/A , N/A ,"$1,295.00 ", N/A ,$925.00 , N/A ,"$1,387.50 ",$825.10 ,$741.85 ,$825.10 , N/A ,$825.10 ,"$1,165.50 ","$1,165.50 ","$1,313.50 ","$1,850.00 ","$1,572.50 ", N/A ,"$1,480.00 ",$684.50 ,"$1,480.00 ", N/A , N/A ,"$1,850.00 ","$1,002.70 ", N/A ,$486.55 , N/A , N/A , N/A , N/A , N/A ,"$1,572.50 ", N/A ,$706.70 ,$518.00 ,"$1,665.00 ","$1,332.00 ","$1,850.00 ","$1,165.50 ","$1,165.50 ","$1,165.50 ", N/A ,$888.00 ,"$1,665.00 " ST. JOHN'S HOSPITAL,36000685,28825,HC AMPUTATION INTERPHALANGEAL JOINT,360,1 ,"$3,035.00 ","$1,972.75 ",$798.21 ,"$6,805.53 ","$6,805.53 ","$3,035.00 ","$1,644.97 ","$2,722.21 ",$849.80 ,$971.20 ,"$2,722.21 ","$1,116.88 ","$2,722.21 ","$1,159.37 ","$1,159.37 ","$2,722.21 ","$1,159.37 ","$3,035.00 ","$1,596.41 ","$1,536.00 ","$6,805.53 ","$2,722.21 ","$2,124.50 ","$2,722.21 ","$1,517.50 ","$2,776.66 ","$2,276.25 ","$1,353.61 ","$1,217.04 ","$1,353.61 ","$2,722.21 ","$1,353.61 ","$1,912.05 ","$1,912.05 ","$2,154.85 ","$3,035.00 ","$2,579.75 ","$3,035.00 ","$2,428.00 ","$1,122.95 ","$2,428.00 ","$2,722.21 ","$2,722.21 ","$3,035.00 ","$1,644.97 ","$2,722.21 ",$798.21 , N/A , N/A ,"$1,978.35 ","$1,888.43 ","$2,858.32 ","$2,579.75 ","$6,124.98 ","$1,159.37 ",$849.80 ,"$2,731.50 ","$2,185.20 ","$3,035.00 ","$1,912.05 ","$1,912.05 ","$1,912.05 ","$2,722.21 ","$1,456.80 ","$2,731.50 " ST. JOHN'S HOSPITAL,36000688,20680,HC REM IMPL WIRE DEEP,360,1 ,"$8,804.00 ","$5,722.60 ","$1,289.76 ","$8,804.00 ","$5,697.90 ","$4,200.00 ","$4,771.77 ","$2,279.16 ","$2,465.12 ","$2,817.28 ","$2,279.16 ","$3,239.87 ","$2,279.16 ","$3,363.13 ","$3,363.13 ","$2,279.16 ","$3,363.13 ","$4,330.41 ","$4,630.90 ","$1,676.00 ","$5,697.91 ","$2,279.16 ","$6,162.80 ","$2,279.16 ","$4,402.00 ","$2,324.75 ","$6,603.00 ","$3,926.58 ","$3,530.40 ","$3,926.58 ","$2,279.16 ","$3,926.58 ","$5,546.52 ","$5,546.52 ","$6,250.84 ","$8,804.00 ","$7,483.40 ","$5,697.91 ","$7,043.20 ","$3,257.48 ","$7,043.20 ","$2,279.16 ","$2,279.16 ","$8,804.00 ","$4,771.77 ","$2,279.16 ","$2,315.45 ", N/A , N/A ,"$1,351.17 ","$1,289.76 ","$2,393.12 ","$7,483.40 ","$5,128.12 ","$3,363.13 ","$2,465.12 ","$7,923.60 ","$6,338.88 ","$8,804.00 ","$5,546.52 ","$5,546.52 ","$5,546.52 ","$2,279.16 ","$4,225.92 ","$7,923.60 " ST. JOHN'S HOSPITAL,36000690,34701,HC ENDOVASC RPR AORTA GRAFT OTHER THAN RUPTURE,360,1 ,"$15,813.00 ","$10,278.45 ","$4,158.82 ","$15,813.00 ", N/A ,"$6,000.00 ","$8,570.65 ", N/A ,"$4,427.64 ","$5,060.16 ", N/A ,"$5,819.18 ", N/A ,"$5,265.73 ","$5,265.73 ", N/A ,"$5,265.73 ", N/A ,"$8,317.64 ", N/A , N/A , N/A ,"$11,069.10 ", N/A ,"$7,906.50 ", N/A ,"$11,859.75 ","$7,052.60 ","$6,341.01 ","$7,052.60 ", N/A ,"$7,052.60 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$15,813.00 ","$13,441.05 ", N/A ,"$12,650.40 ","$5,850.81 ","$12,650.40 ", N/A , N/A ,"$15,813.00 ","$8,570.65 ", N/A ,"$4,158.82 ", N/A , N/A , N/A , N/A , N/A ,"$13,441.05 ", N/A ,"$5,265.73 ","$4,427.64 ","$14,231.70 ","$11,385.36 ","$15,813.00 ","$9,391.00 ","$9,962.19 ","$9,962.19 ", N/A ,"$7,590.24 ","$14,231.70 " ST. JOHN'S HOSPITAL,36000691,34702,HC ENDOVASC RPR AORTA GRAFT W/RUPTURE,360,1 ,"$25,535.00 ","$16,597.75 ","$6,000.00 ","$25,535.00 ", N/A ,"$6,000.00 ","$13,839.97 ", N/A ,"$7,149.80 ","$7,226.41 ", N/A ,"$8,273.34 ", N/A ,"$8,503.16 ","$8,503.16 ", N/A ,"$8,503.16 ", N/A ,"$13,431.41 ", N/A , N/A , N/A ,"$17,874.50 ", N/A ,"$12,767.50 ", N/A ,"$19,151.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$25,535.00 ","$21,704.75 ", N/A ,"$20,428.00 ","$9,447.95 ","$20,428.00 ", N/A , N/A ,"$25,535.00 ","$13,839.97 ", N/A ,"$6,715.71 ", N/A , N/A , N/A , N/A , N/A ,"$21,704.75 ", N/A ,"$8,503.16 ","$7,149.80 ","$22,981.50 ","$18,385.20 ","$25,535.00 ","$9,391.00 ","$16,087.05 ","$16,087.05 ", N/A ,"$12,256.80 ","$22,981.50 " ST. JOHN'S HOSPITAL,36000692,34703,HC ENDOVASC RPR AORTA-UNILAC GRAFT OTHER THAN RUPTURE,360,1 ,"$28,918.00 ","$18,796.70 ","$6,000.00 ","$28,918.00 ", N/A ,"$6,000.00 ","$15,673.56 ", N/A ,"$8,097.04 ","$8,183.79 ", N/A ,"$9,369.43 ", N/A ,"$9,629.69 ","$9,629.69 ", N/A ,"$9,629.69 ", N/A ,"$15,210.87 ", N/A , N/A , N/A ,"$20,242.60 ", N/A ,"$14,459.00 ", N/A ,"$21,688.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$18,218.34 ","$18,218.34 ","$10,333.00 ","$28,918.00 ","$24,580.30 ", N/A ,"$23,134.40 ","$10,699.66 ","$23,134.40 ", N/A , N/A ,"$28,918.00 ","$15,673.56 ", N/A ,"$7,605.43 ", N/A , N/A , N/A , N/A , N/A ,"$24,580.30 ", N/A ,"$9,629.69 ","$8,097.04 ","$26,026.20 ","$20,820.96 ","$28,918.00 ","$18,218.34 ","$18,218.34 ","$18,218.34 ", N/A ,"$13,880.64 ","$26,026.20 " ST. JOHN'S HOSPITAL,36000693,34704,HC ENDOVASC RPR AORTA-UNILAC GRAFT W/RUPTURE,360,1 ,"$38,640.00 ","$25,116.00 ","$6,000.00 ","$38,640.00 ", N/A ,"$6,000.00 ","$20,942.88 ", N/A ,"$10,819.20 ","$10,935.12 ", N/A ,"$12,519.36 ", N/A ,"$12,867.12 ","$12,867.12 ", N/A ,"$12,867.12 ", N/A ,"$20,324.64 ", N/A , N/A , N/A ,"$27,048.00 ", N/A ,"$19,320.00 ", N/A ,"$28,980.00 ","$10,902.50 ","$10,945.40 ","$10,902.50 ", N/A ,"$10,902.50 ","$24,343.20 ","$24,343.20 ","$27,434.40 ","$38,640.00 ","$32,844.00 ", N/A ,"$30,912.00 ","$14,296.80 ","$30,912.00 ", N/A , N/A ,"$38,640.00 ","$20,942.88 ", N/A ,"$10,162.32 ", N/A , N/A , N/A , N/A , N/A ,"$32,844.00 ", N/A ,"$12,867.12 ","$10,819.20 ","$34,776.00 ","$27,820.80 ","$38,640.00 ","$24,343.20 ","$24,343.20 ","$24,343.20 ", N/A ,"$18,547.20 ","$34,776.00 " ST. JOHN'S HOSPITAL,36000694,34705,HC ENDOVASC RPR AORTA-BILIAC GRAFT OTHER THAN RUPTURE,360,1 ,"$30,652.00 ","$19,923.80 ","$6,000.00 ","$30,652.00 ", N/A ,"$6,000.00 ","$16,613.38 ", N/A ,"$8,582.56 ","$8,674.52 ", N/A ,"$9,931.25 ", N/A ,"$10,207.12 ","$10,207.12 ", N/A ,"$10,207.12 ", N/A ,"$16,122.95 ", N/A , N/A , N/A ,"$21,456.40 ", N/A ,"$15,326.00 ", N/A ,"$22,989.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$19,310.76 ","$19,310.76 ","$21,762.92 ","$30,652.00 ","$26,054.20 ", N/A ,"$24,521.60 ","$11,341.24 ","$24,521.60 ", N/A , N/A ,"$30,652.00 ","$16,613.38 ", N/A ,"$8,061.48 ", N/A , N/A , N/A , N/A , N/A ,"$26,054.20 ", N/A ,"$10,207.12 ","$8,582.56 ","$27,586.80 ","$22,069.44 ","$30,652.00 ","$19,310.76 ","$19,310.76 ","$19,310.76 ", N/A ,"$14,712.96 ","$27,586.80 " ST. JOHN'S HOSPITAL,36000695,34706,HC ENDOVASC RPR AORTA-BILIAC GRAFT W/RUPTURE,360,1 ,"$40,374.00 ","$26,243.10 ","$6,000.00 ","$40,374.00 ", N/A ,"$6,000.00 ","$21,882.71 ", N/A ,"$11,304.72 ","$11,425.84 ", N/A ,"$13,081.18 ", N/A ,"$13,444.54 ","$13,444.54 ", N/A ,"$13,444.54 ", N/A ,"$21,236.72 ", N/A , N/A , N/A ,"$28,261.80 ", N/A ,"$20,187.00 ", N/A ,"$30,280.50 ","$11,769.50 ","$11,725.70 ","$11,769.50 ", N/A ,"$11,769.50 ","$25,435.62 ","$25,435.62 ","$28,665.54 ","$40,374.00 ","$34,317.90 ", N/A ,"$32,299.20 ","$14,938.38 ","$32,299.20 ", N/A , N/A ,"$40,374.00 ","$21,882.71 ", N/A ,"$10,618.36 ", N/A , N/A , N/A , N/A , N/A ,"$34,317.90 ", N/A ,"$13,444.54 ","$11,304.72 ","$36,336.60 ","$29,069.28 ","$40,374.00 ","$25,435.62 ","$25,435.62 ","$25,435.62 ", N/A ,"$19,379.52 ","$36,336.60 " ST. JOHN'S HOSPITAL,36000696,34709,HC PLACE PROSTH ILIAC ARTERY PER VESSEL,360,1 ,"$6,555.00 ","$4,260.75 ","$1,723.97 ","$6,555.00 ", N/A ,"$2,300.00 ","$3,552.81 ", N/A ,"$1,835.40 ","$2,097.60 ", N/A ,"$2,412.24 ", N/A ,"$2,504.01 ","$2,504.01 ", N/A ,"$2,504.01 ", N/A ,"$3,447.93 ", N/A , N/A , N/A ,"$4,588.50 ", N/A ,"$3,277.50 ", N/A ,"$4,916.25 ","$2,923.53 ","$2,628.56 ","$2,923.53 ", N/A ,"$2,923.53 ","$4,129.65 ","$4,129.65 ","$4,654.05 ","$6,555.00 ","$5,571.75 ", N/A ,"$5,244.00 ","$2,425.35 ","$5,244.00 ", N/A , N/A ,"$6,555.00 ","$3,552.81 ", N/A ,"$1,723.97 ", N/A , N/A , N/A , N/A , N/A ,"$5,571.75 ", N/A ,"$2,504.01 ","$1,835.40 ","$5,899.50 ","$4,719.60 ","$6,555.00 ","$4,129.65 ","$4,129.65 ","$4,129.65 ", N/A ,"$3,146.40 ","$5,899.50 " ST. JOHN'S HOSPITAL,36000697,34710,HC PLACE PROSTH REPAIR ABDOM ARTERY INIT VESSEL,360,1 ,"$6,555.00 ","$4,260.75 ","$1,723.97 ","$6,555.00 ", N/A ,"$5,000.00 ","$3,552.81 ", N/A ,"$1,835.40 ","$2,097.60 ", N/A ,"$2,412.24 ", N/A ,"$2,504.01 ","$2,504.01 ", N/A ,"$2,504.01 ", N/A ,"$3,447.93 ", N/A , N/A , N/A ,"$4,588.50 ", N/A ,"$3,277.50 ", N/A ,"$4,916.25 ","$2,923.53 ","$2,628.56 ","$2,923.53 ", N/A ,"$2,923.53 ","$4,129.65 ","$4,129.65 ","$4,654.05 ","$6,555.00 ","$5,571.75 ", N/A ,"$5,244.00 ","$2,425.35 ","$5,244.00 ", N/A , N/A ,"$6,555.00 ","$3,552.81 ", N/A ,"$1,723.97 ", N/A , N/A , N/A , N/A , N/A ,"$5,571.75 ", N/A ,"$2,504.01 ","$1,835.40 ","$5,899.50 ","$4,719.60 ","$6,555.00 ","$4,129.65 ","$4,129.65 ","$4,129.65 ", N/A ,"$3,146.40 ","$5,899.50 " ST. JOHN'S HOSPITAL,36000698,34711,HC PLACE PROSTH REPAIR ABDOM ARTERY EA ADDL VESSEL,360,1 ,"$6,062.00 ","$3,940.30 ","$1,594.31 ","$6,062.00 ", N/A ,"$2,300.00 ","$3,285.60 ", N/A ,"$1,697.36 ","$1,939.84 ", N/A ,"$2,230.82 ", N/A ,"$2,315.68 ","$2,315.68 ", N/A ,"$2,315.68 ", N/A ,"$3,188.61 ", N/A , N/A , N/A ,"$4,243.40 ", N/A ,"$3,031.00 ", N/A ,"$4,546.50 ","$2,703.65 ","$2,430.86 ","$2,703.65 ", N/A ,"$2,703.65 ","$3,819.06 ","$3,819.06 ","$4,304.02 ","$6,062.00 ","$5,152.70 ", N/A ,"$4,849.60 ","$2,242.94 ","$4,849.60 ", N/A , N/A ,"$6,062.00 ","$3,285.60 ", N/A ,"$1,594.31 ", N/A , N/A , N/A , N/A , N/A ,"$5,152.70 ", N/A ,"$2,315.68 ","$1,697.36 ","$5,455.80 ","$4,364.64 ","$6,062.00 ","$3,819.06 ","$3,819.06 ","$3,819.06 ", N/A ,"$2,909.76 ","$5,455.80 " ST. JOHN'S HOSPITAL,36000701,34707,HC ENDOVASC RPR ILIAC ARTERY OTHER THAN RUPTURE-LT,360,1 ,"$24,338.00 ","$15,819.70 ","$6,400.89 ","$24,338.00 ", N/A ,"$7,000.00 ","$13,191.20 ", N/A ,"$6,814.64 ","$6,887.65 ", N/A ,"$7,885.51 ", N/A ,"$8,104.55 ","$8,104.55 ", N/A ,"$8,104.55 ", N/A ,"$12,801.79 ", N/A , N/A , N/A ,"$17,036.60 ", N/A ,"$12,169.00 ", N/A ,"$18,253.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,338.00 ","$20,687.30 ", N/A ,"$19,470.40 ","$9,005.06 ","$19,470.40 ", N/A , N/A ,"$24,338.00 ","$13,191.20 ", N/A ,"$6,400.89 ", N/A , N/A , N/A , N/A , N/A ,"$20,687.30 ", N/A ,"$8,104.55 ","$6,814.64 ","$21,904.20 ","$17,523.36 ","$24,338.00 ","$9,391.00 ","$15,332.94 ","$15,332.94 ", N/A ,"$11,682.24 ","$21,904.20 " ST. JOHN'S HOSPITAL,36000702,34707,HC ENDOVASC RPR ILIAC ARTERY OTHER THAN RUPTURE-RT,360,1 ,"$24,338.00 ","$15,819.70 ","$6,400.89 ","$24,338.00 ", N/A ,"$7,000.00 ","$13,191.20 ", N/A ,"$6,814.64 ","$6,887.65 ", N/A ,"$7,885.51 ", N/A ,"$8,104.55 ","$8,104.55 ", N/A ,"$8,104.55 ", N/A ,"$12,801.79 ", N/A , N/A , N/A ,"$17,036.60 ", N/A ,"$12,169.00 ", N/A ,"$18,253.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,338.00 ","$20,687.30 ", N/A ,"$19,470.40 ","$9,005.06 ","$19,470.40 ", N/A , N/A ,"$24,338.00 ","$13,191.20 ", N/A ,"$6,400.89 ", N/A , N/A , N/A , N/A , N/A ,"$20,687.30 ", N/A ,"$8,104.55 ","$6,814.64 ","$21,904.20 ","$17,523.36 ","$24,338.00 ","$9,391.00 ","$15,332.94 ","$15,332.94 ", N/A ,"$11,682.24 ","$21,904.20 " ST. JOHN'S HOSPITAL,36000703,34708,HC ENDOVASC RPR ILIAC ARTERY W/RUPTURE-LT,360,1 ,"$24,338.00 ","$15,819.70 ","$6,400.89 ","$24,338.00 ", N/A ,"$7,000.00 ","$13,191.20 ", N/A ,"$6,814.64 ","$6,887.65 ", N/A ,"$7,885.51 ", N/A ,"$8,104.55 ","$8,104.55 ", N/A ,"$8,104.55 ", N/A ,"$12,801.79 ", N/A , N/A , N/A ,"$17,036.60 ", N/A ,"$12,169.00 ", N/A ,"$18,253.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,338.00 ","$20,687.30 ", N/A ,"$19,470.40 ","$9,005.06 ","$19,470.40 ", N/A , N/A ,"$24,338.00 ","$13,191.20 ", N/A ,"$6,400.89 ", N/A , N/A , N/A , N/A , N/A ,"$20,687.30 ", N/A ,"$8,104.55 ","$6,814.64 ","$21,904.20 ","$17,523.36 ","$24,338.00 ","$9,391.00 ","$15,332.94 ","$15,332.94 ", N/A ,"$11,682.24 ","$21,904.20 " ST. JOHN'S HOSPITAL,36000704,34708,HC ENDOVASC RPR ILIAC ARTERY W/RUPTURE-RT,360,1 ,"$24,338.00 ","$15,819.70 ","$6,400.89 ","$24,338.00 ", N/A ,"$7,000.00 ","$13,191.20 ", N/A ,"$6,814.64 ","$6,887.65 ", N/A ,"$7,885.51 ", N/A ,"$8,104.55 ","$8,104.55 ", N/A ,"$8,104.55 ", N/A ,"$12,801.79 ", N/A , N/A , N/A ,"$17,036.60 ", N/A ,"$12,169.00 ", N/A ,"$18,253.50 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,338.00 ","$20,687.30 ", N/A ,"$19,470.40 ","$9,005.06 ","$19,470.40 ", N/A , N/A ,"$24,338.00 ","$13,191.20 ", N/A ,"$6,400.89 ", N/A , N/A , N/A , N/A , N/A ,"$20,687.30 ", N/A ,"$8,104.55 ","$6,814.64 ","$21,904.20 ","$17,523.36 ","$24,338.00 ","$9,391.00 ","$15,332.94 ","$15,332.94 ", N/A ,"$11,682.24 ","$21,904.20 " ST. JOHN'S HOSPITAL,36000720,64446,HC NERVE BLOCK SCIATIC CONTINUOUS INFUSION,360,1 ,"$2,832.00 ","$1,840.80 ",$489.45 ,"$2,832.00 ","$1,978.25 ","$2,832.00 ","$1,534.94 ",$791.30 ,$792.96 ,$906.24 ,$791.30 ,"$1,042.18 ",$791.30 ,"$1,081.82 ","$1,081.82 ",$791.30 ,"$1,081.82 ","$1,503.46 ","$1,489.63 ","$1,416.00 ","$1,978.24 ",$791.30 ,"$1,982.40 ",$791.30 ,"$1,416.00 ",$807.12 ,"$2,124.00 ","$1,263.07 ","$1,135.63 ","$1,263.07 ",$791.30 ,"$1,263.07 ","$1,784.16 ","$1,784.16 ","$2,010.72 ","$2,832.00 ","$2,407.20 ","$1,978.24 ","$2,265.60 ","$1,047.84 ","$2,265.60 ",$791.30 ,$791.30 ,"$2,832.00 ","$1,534.94 ",$791.30 ,$744.82 , N/A , N/A ,$512.75 ,$489.45 ,$830.87 ,"$2,407.20 ","$1,780.41 ","$1,081.82 ",$792.96 ,"$2,548.80 ","$2,039.04 ","$2,832.00 ","$1,784.16 ","$1,784.16 ","$1,784.16 ",$791.30 ,"$1,359.36 ","$2,548.80 " ST. JOHN'S HOSPITAL,36000721,33966,HC REMOVE ECMO/ECLS PERIPHERAL CANNULA >6 YRS,360,1 ,"$1,069.00 ",$694.85 ,$281.15 ,"$1,069.00 ", N/A ,"$1,069.00 ",$579.40 , N/A ,$299.32 ,$342.08 , N/A ,$393.39 , N/A ,$408.36 ,$408.36 , N/A ,$408.36 , N/A ,$562.29 ,$534.50 , N/A , N/A ,$748.30 , N/A ,$534.50 , N/A ,$801.75 ,$476.77 ,$428.67 ,$476.77 , N/A ,$476.77 ,$673.47 ,$673.47 ,$758.99 ,"$1,069.00 ",$908.65 , N/A ,$855.20 ,$395.53 ,$855.20 , N/A , N/A ,"$1,069.00 ",$579.40 , N/A ,$281.15 , N/A , N/A , N/A , N/A , N/A ,$908.65 , N/A ,$408.36 ,$299.32 ,$962.10 ,$769.68 ,"$1,069.00 ",$673.47 ,$673.47 ,$673.47 , N/A ,$513.12 ,$962.10 ST. JOHN'S HOSPITAL,36000726,64999,HC NERVE BLOCK ERECTOR SPINAE CONTINUOUS,360,1 ,"$2,217.00 ","$1,441.05 ",$251.14 ,"$2,217.00 ",$627.85 ,"$2,217.00 ","$1,201.61 ",$251.14 ,$620.76 ,$709.44 ,$251.14 ,$815.86 ,$251.14 ,$846.89 ,$846.89 ,$251.14 ,$846.89 ,$477.17 ,"$1,166.14 ","$1,108.50 ",$627.85 ,$251.14 ,"$1,551.90 ",$251.14 ,"$1,108.50 ",$256.16 ,"$1,662.75 ",$988.78 ,$889.02 ,$988.78 ,$251.14 ,$988.78 ,"$1,396.71 ","$1,396.71 ","$1,574.07 ","$2,217.00 ","$1,884.45 ",$627.85 ,"$1,773.60 ",$820.29 ,"$1,773.60 ",$251.14 ,$251.14 ,"$2,217.00 ","$1,201.61 ",$251.14 ,$583.07 , N/A , N/A ,$461.03 ,$440.08 ,$263.70 ,"$1,884.45 ",$565.07 ,$846.89 ,$620.76 ,"$1,995.30 ","$1,596.24 ","$2,217.00 ","$1,396.71 ","$1,396.71 ","$1,396.71 ",$251.14 ,"$1,064.16 ","$1,995.30 " ST. JOHN'S HOSPITAL,36000736,12020,HC SIMPLE CLOSURE OF SUPERFICIAL WOUND,360,1 ,"$3,439.00 ","$2,235.35 ",$495.83 ,"$3,439.00 ","$1,258.60 ","$2,300.00 ","$1,863.94 ",$503.44 ,$962.92 ,"$1,100.48 ",$503.44 ,"$1,265.55 ",$503.44 ,"$1,313.70 ","$1,313.70 ",$503.44 ,"$1,313.70 ",$956.53 ,"$1,808.91 ","$1,398.00 ","$1,258.60 ",$503.44 ,"$2,407.30 ",$503.44 ,"$1,719.50 ",$513.51 ,"$2,579.25 ","$1,533.79 ","$1,379.04 ","$1,533.79 ",$503.44 ,"$1,533.79 ","$2,166.57 ","$2,166.57 ","$2,441.69 ","$3,439.00 ","$2,923.15 ","$1,258.60 ","$2,751.20 ","$1,272.43 ","$2,751.20 ",$503.44 ,$503.44 ,"$3,439.00 ","$1,863.94 ",$503.44 ,$904.46 , N/A , N/A ,$519.44 ,$495.83 ,$528.61 ,"$2,923.15 ","$1,132.74 ","$1,313.70 ",$962.92 ,"$3,095.10 ","$2,476.08 ","$3,439.00 ","$2,166.57 ","$2,166.57 ","$2,166.57 ",$503.44 ,"$1,650.72 ","$3,095.10 " ST. JOHN'S HOSPITAL,36000737,11042,"HC DEBRIDEMENT, SUBCUTANEOUS TISSUE; 20 SQ CM OR LESS",360,1 ,"$9,082.00 ","$5,903.30 ",$306.83 ,"$9,082.00 ",$830.60 ,"$3,400.00 ","$4,922.44 ",$332.24 ,"$2,542.96 ","$2,906.24 ",$332.24 ,"$3,342.18 ",$332.24 ,"$3,469.32 ","$3,469.32 ",$332.24 ,"$3,469.32 ",$631.26 ,"$4,777.13 ","$1,536.00 ",$830.61 ,$332.24 ,"$6,357.40 ",$332.24 ,"$4,541.00 ",$338.89 ,"$6,811.50 ","$4,050.57 ","$3,641.88 ","$4,050.57 ",$332.24 ,"$4,050.57 ","$5,721.66 ","$5,721.66 ","$6,448.22 ","$9,082.00 ","$7,719.70 ",$830.61 ,"$7,265.60 ","$3,360.34 ","$7,265.60 ",$332.24 ,$332.24 ,"$9,082.00 ","$4,922.44 ",$332.24 ,"$2,388.57 ", N/A , N/A ,$321.44 ,$306.83 ,$348.85 ,"$7,719.70 ",$747.55 ,"$3,469.32 ","$2,542.96 ","$8,173.80 ","$6,539.04 ","$9,082.00 ","$5,721.66 ","$5,721.66 ","$5,721.66 ",$332.24 ,"$4,359.36 ","$8,173.80 " ST. JOHN'S HOSPITAL,36000738,39010,HC MEDIASTINOTMY W EXP AND DRAIN; TRANSTHORACIC APPR,360,1 ,"$46,317.00 ","$30,106.05 ","$3,984.06 ","$46,317.00 ", N/A ,"$7,500.00 ","$25,103.81 ", N/A ,"$12,968.76 ","$13,107.71 ", N/A ,"$15,006.71 ", N/A ,"$15,423.56 ","$15,423.56 ", N/A ,"$15,423.56 ", N/A ,"$24,362.74 ","$23,158.50 ", N/A , N/A ,"$32,421.90 ", N/A ,"$23,158.50 ", N/A ,"$34,737.75 ","$14,741.00 ","$14,400.05 ","$14,741.00 ", N/A ,"$14,741.00 ","$29,179.71 ","$29,179.71 ","$32,885.07 ","$46,317.00 ","$39,369.45 ", N/A ,"$37,053.60 ","$17,137.29 ","$37,053.60 ", N/A , N/A ,"$46,317.00 ","$25,103.81 ", N/A ,"$12,181.37 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ", N/A ,"$39,369.45 ", N/A ,"$15,423.56 ","$12,968.76 ","$41,685.30 ","$33,348.24 ","$46,317.00 ","$29,179.71 ","$29,179.71 ","$29,179.71 ", N/A ,"$22,232.16 ","$41,685.30 " ST. JOHN'S HOSPITAL,36000739,35351,HC ENDARTERECTOMY SNGL VESSEL ILIAC,360,1 ,"$1,300.00 ",$845.00 ,$341.90 ,"$1,300.00 ", N/A ,"$1,300.00 ",$704.60 , N/A ,$364.00 ,$416.00 , N/A ,$478.40 , N/A ,$496.60 ,$496.60 , N/A ,$496.60 , N/A ,$683.80 ,$650.00 , N/A , N/A ,$910.00 , N/A ,$650.00 , N/A ,$975.00 ,$579.80 ,$521.30 ,$579.80 , N/A ,$579.80 ,$819.00 ,$819.00 ,$923.00 ,"$1,300.00 ","$1,105.00 ", N/A ,"$1,040.00 ",$481.00 ,"$1,040.00 ", N/A , N/A ,"$1,300.00 ",$704.60 , N/A ,$341.90 , N/A , N/A , N/A , N/A , N/A ,"$1,105.00 ", N/A ,$496.60 ,$364.00 ,"$1,170.00 ",$936.00 ,"$1,300.00 ",$819.00 ,$819.00 ,$819.00 , N/A ,$624.00 ,"$1,170.00 " ST. JOHN'S HOSPITAL,36000740,0505T,HC PQ BYPASS DETOUR PROC,360,1 ,"$28,567.00 ","$18,568.55 ","$4,951.86 ","$28,567.00 ","$24,138.23 ","$5,000.00 ","$15,483.31 ","$9,655.29 ","$7,998.76 ","$8,084.46 ","$9,655.29 ","$9,255.71 ","$9,655.29 ","$9,512.81 ","$9,512.81 ","$9,655.29 ","$9,512.81 ","$18,345.05 ","$15,026.24 ", N/A ,"$24,138.23 ","$9,655.29 ","$19,996.90 ","$9,655.29 ","$14,283.50 ","$9,848.40 ","$21,425.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$9,655.29 ","$8,656.00 ","$17,997.21 ","$17,997.21 ","$10,333.00 ","$28,567.00 ","$24,281.95 ","$24,138.23 ","$22,853.60 ","$10,569.79 ","$22,853.60 ","$9,655.29 ","$9,655.29 ","$28,567.00 ","$15,483.31 ","$9,655.29 ","$7,513.12 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$24,281.95 ","$21,724.40 ","$9,512.81 ","$7,998.76 ","$25,710.30 ","$20,568.24 ","$28,567.00 ","$17,997.21 ","$17,997.21 ","$17,997.21 ","$9,655.29 ","$13,712.16 ","$25,710.30 " ST. JOHN'S HOSPITAL,36000746,37197,HC TRANSCATH FOREIGN BODY RETRIEVAL DISC- 74,481,1 ,"$9,213.00 ","$5,988.45 ","$2,423.02 ","$9,213.00 ","$6,879.30 ","$4,200.00 ","$4,993.45 ","$2,751.72 ","$2,579.64 ","$2,948.16 ","$2,751.72 ","$3,390.38 ","$2,751.72 ","$3,519.37 ","$3,519.37 ","$2,751.72 ","$3,519.37 ","$5,228.27 ","$4,846.04 ","$8,520.00 ","$6,879.30 ","$2,751.72 ","$6,449.10 ","$2,751.72 ","$4,606.50 ","$2,806.76 ","$6,909.75 ","$4,109.00 ","$3,694.41 ","$4,109.00 ","$2,751.72 ","$4,109.00 ","$5,804.19 ","$5,804.19 ","$7,001.88 ","$9,213.00 ","$7,831.05 ","$6,879.30 ","$7,370.40 ","$3,408.81 ","$7,370.40 ","$2,751.72 ","$2,751.72 ","$9,213.00 ","$4,993.45 ","$2,751.72 ","$2,423.02 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$2,889.31 ","$7,831.05 ","$6,191.37 ","$3,519.37 ","$2,579.64 ","$8,291.70 ","$6,633.36 ","$9,213.00 ","$5,804.19 ","$5,804.19 ","$5,804.19 ","$2,751.72 ","$4,422.24 ","$8,291.70 " ST. JOHN'S HOSPITAL,36000753,34502,HC RECON VENA CAVA,360,1 ,"$32,383.50 ","$21,049.28 ","$7,500.00 ","$32,383.50 ", N/A ,"$7,500.00 ","$17,551.86 ", N/A ,"$9,067.38 ","$9,164.53 ", N/A ,"$10,492.25 ", N/A ,"$10,783.71 ","$10,783.71 ", N/A ,"$10,783.71 ", N/A ,"$17,033.72 ","$16,191.75 ", N/A , N/A ,"$22,668.45 ", N/A ,"$16,191.75 ", N/A ,"$24,287.63 ","$8,656.00 ","$8,129.98 ","$8,656.00 ", N/A ,"$8,656.00 ","$20,401.61 ","$20,401.61 ","$22,992.29 ","$32,383.50 ","$27,525.98 ", N/A ,"$25,906.80 ","$11,981.90 ","$25,906.80 ", N/A , N/A ,"$32,383.50 ","$17,551.86 ", N/A ,"$8,516.86 ", N/A , N/A , N/A , N/A , N/A ,"$27,525.98 ", N/A ,"$10,783.71 ","$9,067.38 ","$29,145.15 ","$23,316.12 ","$32,383.50 ","$20,401.61 ","$20,401.61 ","$20,401.61 ", N/A ,"$15,544.08 ","$29,145.15 " ST. JOHN'S HOSPITAL,36000754,33020,HC PERICARDIOTOMY REM CLOT,360,1 ,"$32,383.50 ","$21,049.28 ","$7,500.00 ","$32,383.50 ", N/A ,"$7,500.00 ","$17,551.86 ", N/A ,"$9,067.38 ","$9,164.53 ", N/A ,"$10,492.25 ", N/A ,"$10,783.71 ","$10,783.71 ", N/A ,"$10,783.71 ", N/A ,"$17,033.72 ","$16,191.75 ", N/A , N/A ,"$22,668.45 ", N/A ,"$16,191.75 ", N/A ,"$24,287.63 ","$8,656.00 ","$8,129.98 ","$8,656.00 ", N/A ,"$8,656.00 ","$20,401.61 ","$20,401.61 ","$22,992.29 ","$32,383.50 ","$27,525.98 ", N/A ,"$25,906.80 ","$11,981.90 ","$25,906.80 ", N/A , N/A ,"$32,383.50 ","$17,551.86 ", N/A ,"$8,516.86 ", N/A , N/A , N/A , N/A , N/A ,"$27,525.98 ", N/A ,"$10,783.71 ","$9,067.38 ","$29,145.15 ","$23,316.12 ","$32,383.50 ","$20,401.61 ","$20,401.61 ","$20,401.61 ", N/A ,"$15,544.08 ","$29,145.15 " ST. JOHN'S HOSPITAL,36000755,41018,HC I AND D MASTICATOR SPACE,360,1 ,"$3,842.00 ","$2,497.30 ","$1,010.45 ","$3,842.00 ","$3,250.78 ","$2,300.00 ","$2,082.36 ","$1,300.31 ","$1,075.76 ","$1,229.44 ","$1,300.31 ","$1,413.86 ","$1,300.31 ","$1,467.64 ","$1,467.64 ","$1,300.31 ","$1,467.64 ","$2,470.58 ","$2,020.89 ","$1,398.00 ","$3,250.76 ","$1,300.31 ","$2,689.40 ","$1,300.31 ","$1,921.00 ","$1,326.31 ","$2,881.50 ","$1,713.53 ","$1,540.64 ","$1,713.53 ","$1,300.31 ","$1,713.53 ","$2,420.46 ","$2,420.46 ","$2,727.82 ","$3,842.00 ","$3,265.70 ","$3,250.76 ","$3,073.60 ","$1,421.54 ","$3,073.60 ","$1,300.31 ","$1,300.31 ","$3,842.00 ","$2,082.36 ","$1,300.31 ","$1,010.45 ", N/A , N/A ,"$1,341.64 ","$1,280.65 ","$1,365.33 ","$3,265.70 ","$2,925.69 ","$1,467.64 ","$1,075.76 ","$3,457.80 ","$2,766.24 ","$3,842.00 ","$2,420.46 ","$2,420.46 ","$2,420.46 ","$1,300.31 ","$1,844.16 ","$3,457.80 " ST. JOHN'S HOSPITAL,36000756,15241,HC SKIN FULL GRAFT ADD 20SQ,360,1 ,$755.00 ,$490.75 ,$198.57 ,"$1,585.12 ", N/A ,$755.00 ,$409.21 , N/A ,$211.40 ,$241.60 , N/A ,$277.84 , N/A ,$288.41 ,$288.41 , N/A ,$288.41 , N/A ,$397.13 ,$755.00 , N/A , N/A ,$528.50 , N/A ,$377.50 , N/A ,$566.25 ,$336.73 ,$302.76 ,$336.73 , N/A ,$336.73 ,$475.65 ,$475.65 ,$536.05 ,$755.00 ,$641.75 , N/A ,$604.00 ,$279.35 ,$604.00 , N/A , N/A ,$755.00 ,$409.21 , N/A ,$198.57 , N/A , N/A ,$755.00 ,"$1,585.12 ", N/A ,$641.75 , N/A ,$288.41 ,$211.40 ,$679.50 ,$543.60 ,$755.00 ,$475.65 ,$475.65 ,$475.65 , N/A ,$362.40 ,$679.50 ST. JOHN'S HOSPITAL,36000760,59871,HC REM CERCLAGE SUTURE,360,1 ,"$7,450.00 ","$4,842.50 ","$1,959.35 ","$7,450.00 ","$6,305.00 ","$5,500.00 ","$4,037.90 ","$2,522.00 ","$2,086.00 ","$2,384.00 ","$2,522.00 ","$2,741.60 ","$2,522.00 ","$2,845.90 ","$2,845.90 ","$2,522.00 ","$2,845.90 ","$4,791.80 ","$3,918.70 ","$2,026.00 ","$6,305.00 ","$2,522.00 ","$5,215.00 ","$2,522.00 ","$3,725.00 ","$2,572.44 ","$5,587.50 ","$3,322.70 ","$2,987.45 ","$3,322.70 ","$2,522.00 ","$3,322.70 ","$4,693.50 ","$4,693.50 ","$5,289.50 ","$7,450.00 ","$6,332.50 ","$6,305.00 ","$5,960.00 ","$2,756.50 ","$5,960.00 ","$2,522.00 ","$2,522.00 ","$7,450.00 ","$4,037.90 ","$2,522.00 ","$1,959.35 ", N/A , N/A , N/A , N/A ,"$2,648.10 ","$6,332.50 ","$5,674.50 ","$2,845.90 ","$2,086.00 ","$6,705.00 ","$5,364.00 ","$7,450.00 ","$4,693.50 ","$4,693.50 ","$4,693.50 ","$2,522.00 ","$3,576.00 ","$6,705.00 " ST. JOHN'S HOSPITAL,36000762,35271,HC REPAIR BLOOD VESSEL LESION- 35271,360,1 ,$944.00 ,$613.60 ,$248.27 ,$944.00 , N/A ,$944.00 ,$511.65 , N/A ,$264.32 ,$302.08 , N/A ,$347.39 , N/A ,$360.61 ,$360.61 , N/A ,$360.61 , N/A ,$496.54 ,$472.00 , N/A , N/A ,$660.80 , N/A ,$472.00 , N/A ,$708.00 ,$421.02 ,$378.54 ,$421.02 , N/A ,$421.02 ,$594.72 ,$594.72 ,$670.24 ,$944.00 ,$802.40 , N/A ,$755.20 ,$349.28 ,$755.20 , N/A , N/A ,$944.00 ,$511.65 , N/A ,$248.27 , N/A , N/A , N/A , N/A , N/A ,$802.40 , N/A ,$360.61 ,$264.32 ,$849.60 ,$679.68 ,$944.00 ,$594.72 ,$594.72 ,$594.72 , N/A ,$453.12 ,$849.60 ST. JOHN'S HOSPITAL,36000763,52005,HC CYSTO BLADDER W/URETERAL CATH- 52005,360,1 ,"$5,093.00 ","$3,310.45 ","$1,086.19 ","$5,093.00 ","$4,302.83 ","$3,400.00 ","$2,760.41 ","$1,721.13 ","$1,426.04 ","$1,629.76 ","$1,721.13 ","$1,874.22 ","$1,721.13 ","$1,945.53 ","$1,945.53 ","$1,721.13 ","$1,945.53 ","$3,270.14 ","$2,678.92 ","$1,536.00 ","$4,302.81 ","$1,721.13 ","$3,565.10 ","$1,721.13 ","$2,546.50 ","$1,755.55 ","$3,819.75 ","$2,271.48 ","$2,042.29 ","$2,271.48 ","$1,721.13 ","$2,271.48 ","$3,208.59 ","$3,208.59 ","$3,616.03 ","$5,093.00 ","$4,329.05 ","$4,302.81 ","$4,074.40 ","$1,884.41 ","$4,074.40 ","$1,721.13 ","$1,721.13 ","$5,093.00 ","$2,760.41 ","$1,721.13 ","$1,339.46 ", N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$4,329.05 ","$3,872.53 ","$1,945.53 ","$1,426.04 ","$4,583.70 ","$3,666.96 ","$5,093.00 ","$3,208.59 ","$3,208.59 ","$3,208.59 ","$1,721.13 ","$2,444.64 ","$4,583.70 " ST. JOHN'S HOSPITAL,36000765,35371,HC THROMB/ARTERET W/GRAFT COMMON FEMORAL ARTERY,360,1 ,"$13,670.00 ","$8,885.50 ","$3,595.21 ","$13,670.00 ", N/A ,"$7,500.00 ","$7,409.14 ", N/A ,"$3,827.60 ","$4,374.40 ", N/A ,"$5,030.56 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,190.42 ","$6,835.00 ", N/A , N/A ,"$9,569.00 ", N/A ,"$6,835.00 ", N/A ,"$10,252.50 ","$6,096.82 ","$5,481.67 ","$6,096.82 ", N/A ,"$6,096.82 ","$8,612.10 ","$8,612.10 ","$9,705.70 ","$13,670.00 ","$11,619.50 ", N/A ,"$10,936.00 ","$5,057.90 ","$10,936.00 ", N/A , N/A ,"$13,670.00 ","$7,409.14 ", N/A ,"$3,595.21 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ", N/A ,"$11,619.50 ", N/A ,"$5,000.00 ","$3,827.60 ","$12,303.00 ","$9,842.40 ","$13,670.00 ","$8,612.10 ","$8,612.10 ","$8,612.10 ", N/A ,"$6,561.60 ","$12,303.00 " ST. JOHN'S HOSPITAL,36000766,45300,HC PROCTOSGM DSC RGD DX W/ W/O COLL SPEC,360,1 ,"$2,254.00 ","$1,465.10 ",$592.80 ,"$2,254.00 ","$1,907.05 ","$2,254.00 ","$1,221.67 ",$762.82 ,$631.12 ,$721.28 ,$762.82 ,$829.47 ,$762.82 ,$861.03 ,$861.03 ,$762.82 ,$861.03 ,"$1,449.37 ","$1,185.60 ","$1,127.00 ","$1,907.06 ",$762.82 ,"$1,577.80 ",$762.82 ,"$1,127.00 ",$778.08 ,"$1,690.50 ","$1,005.28 ",$903.85 ,"$1,005.28 ",$762.82 ,"$1,005.28 ","$1,420.02 ","$1,420.02 ","$1,600.34 ","$2,254.00 ","$1,915.90 ","$1,907.06 ","$1,803.20 ",$833.98 ,"$1,803.20 ",$762.82 ,$762.82 ,"$2,254.00 ","$1,221.67 ",$762.82 ,$592.80 , N/A , N/A ,$687.65 ,$656.40 ,$800.96 ,"$1,915.90 ","$1,716.35 ",$861.03 ,$631.12 ,"$2,028.60 ","$1,622.88 ","$2,254.00 ","$1,420.02 ","$1,420.02 ","$1,420.02 ",$762.82 ,"$1,081.92 ","$2,028.60 " ST. JOHN'S HOSPITAL,36000767,64832,HC SUTR DIGITAL NRV HND/FT,360,1 ,"$8,292.00 ","$5,389.80 ","$1,070.71 ","$8,292.00 ", N/A ,"$2,300.00 ","$4,494.26 ", N/A ,"$2,321.76 ","$2,653.44 ", N/A ,"$3,051.46 ", N/A ,"$3,167.54 ","$3,167.54 ", N/A ,"$3,167.54 ", N/A ,"$4,361.59 ","$1,398.00 ", N/A , N/A ,"$5,804.40 ", N/A ,"$4,146.00 ", N/A ,"$6,219.00 ","$3,698.23 ","$3,325.09 ","$3,698.23 ", N/A ,"$3,698.23 ","$5,223.96 ","$5,223.96 ","$5,887.32 ","$8,292.00 ","$7,048.20 ", N/A ,"$6,633.60 ","$3,068.04 ","$6,633.60 ", N/A , N/A ,"$8,292.00 ","$4,494.26 ", N/A ,"$2,180.80 ", N/A , N/A ,"$1,121.69 ","$1,070.71 ", N/A ,"$7,048.20 ", N/A ,"$3,167.54 ","$2,321.76 ","$7,462.80 ","$5,970.24 ","$8,292.00 ","$5,223.96 ","$5,223.96 ","$5,223.96 ", N/A ,"$3,980.16 ","$7,462.80 " ST. JOHN'S HOSPITAL,36000769,49000,HC EXPLORATORY LAPAROTOMY DECOMP,360,1 ,"$5,601.00 ","$3,640.65 ","$1,473.06 ","$5,601.00 ", N/A ,"$5,000.00 ","$3,035.74 ", N/A ,"$1,568.28 ","$1,792.32 ", N/A ,"$2,061.17 ", N/A ,"$2,139.58 ","$2,139.58 ", N/A ,"$2,139.58 ", N/A ,"$2,946.13 ","$2,800.50 ", N/A , N/A ,"$3,920.70 ", N/A ,"$2,800.50 ", N/A ,"$4,200.75 ","$2,498.05 ","$2,246.00 ","$2,498.05 ", N/A ,"$2,498.05 ","$3,528.63 ","$3,528.63 ","$3,976.71 ","$5,601.00 ","$4,760.85 ", N/A ,"$4,480.80 ","$2,072.37 ","$4,480.80 ", N/A , N/A ,"$5,601.00 ","$3,035.74 ", N/A ,"$1,473.06 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ", N/A ,"$4,760.85 ", N/A ,"$2,139.58 ","$1,568.28 ","$5,040.90 ","$4,032.72 ","$5,601.00 ","$3,528.63 ","$3,528.63 ","$3,528.63 ", N/A ,"$2,688.48 ","$5,040.90 " ST. JOHN'S HOSPITAL,36050641,0573T,HC REMOVAL SUBS IMPLANT DEB ELTRD,360,1 ,"$10,322.00 ","$6,709.30 ","$2,714.69 ","$10,322.00 ","$8,275.08 ","$4,200.00 ","$5,594.52 ","$3,310.03 ","$2,890.16 ","$3,303.04 ","$3,310.03 ","$3,798.50 ","$3,310.03 ","$3,943.00 ","$3,943.00 ","$3,310.03 ","$3,943.00 ","$6,289.06 ","$5,429.37 ", N/A ,"$8,275.08 ","$3,310.03 ","$7,225.40 ","$3,310.03 ","$5,161.00 ","$3,376.23 ","$7,741.50 ","$4,603.61 ","$4,139.12 ","$4,603.61 ","$3,310.03 ","$4,603.61 ","$6,502.86 ","$6,502.86 ","$7,328.62 ","$10,322.00 ","$8,773.70 ","$8,275.08 ","$8,257.60 ","$3,819.14 ","$8,257.60 ","$3,310.03 ","$3,310.03 ","$10,322.00 ","$5,594.52 ","$3,310.03 ","$2,714.69 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$3,475.53 ","$8,773.70 ","$7,447.57 ","$3,943.00 ","$2,890.16 ","$9,289.80 ","$7,431.84 ","$10,322.00 ","$6,502.86 ","$6,502.86 ","$6,502.86 ","$3,310.03 ","$4,954.56 ","$9,289.80 " ST. JOHN'S HOSPITAL,36050642,0580T,HC REMVL OF SUBSTERNAL IMPLANTABLE,360,1 ,"$10,322.00 ","$6,709.30 ","$2,714.69 ","$10,322.00 ","$8,275.08 ","$4,200.00 ","$5,594.52 ","$3,310.03 ","$2,890.16 ","$3,303.04 ","$3,310.03 ","$3,798.50 ","$3,310.03 ","$3,943.00 ","$3,943.00 ","$3,310.03 ","$3,943.00 ","$6,289.06 ","$5,429.37 ", N/A ,"$8,275.08 ","$3,310.03 ","$7,225.40 ","$3,310.03 ","$5,161.00 ","$3,376.23 ","$7,741.50 ","$4,603.61 ","$4,139.12 ","$4,603.61 ","$3,310.03 ","$4,603.61 ","$6,502.86 ","$6,502.86 ","$7,328.62 ","$10,322.00 ","$8,773.70 ","$8,275.08 ","$8,257.60 ","$3,819.14 ","$8,257.60 ","$3,310.03 ","$3,310.03 ","$10,322.00 ","$5,594.52 ","$3,310.03 ","$2,714.69 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$3,475.53 ","$8,773.70 ","$7,447.57 ","$3,943.00 ","$2,890.16 ","$9,289.80 ","$7,431.84 ","$10,322.00 ","$6,502.86 ","$6,502.86 ","$6,502.86 ","$3,310.03 ","$4,954.56 ","$9,289.80 " ST. JOHN'S HOSPITAL,36060001,N/A,HC OR LEVEL 1 BASE,360,1 ,"$6,777.00 ","$4,405.05 ","$1,782.35 ","$6,777.00 ", N/A ,"$3,117.42 ","$3,673.13 ", N/A ,"$1,897.56 ","$2,168.64 ", N/A ,"$2,493.94 ", N/A ,"$2,588.81 ","$2,588.81 ", N/A ,"$2,588.81 ", N/A ,"$3,564.70 ", N/A , N/A , N/A ,"$4,743.90 ", N/A ,"$3,388.50 ", N/A ,"$5,082.75 ","$3,022.54 ","$2,717.58 ","$3,022.54 ", N/A ,"$3,022.54 ","$4,269.51 ","$4,269.51 ","$4,811.67 ","$6,777.00 ","$5,760.45 ", N/A ,"$5,421.60 ","$2,507.49 ","$5,421.60 ", N/A , N/A ,"$6,777.00 ","$3,673.13 ", N/A ,"$1,782.35 ", N/A , N/A , N/A , N/A , N/A ,"$5,760.45 ", N/A ,"$2,588.81 ","$1,897.56 ","$6,099.30 ","$4,879.44 ","$6,777.00 ","$4,269.51 ","$4,269.51 ","$4,269.51 ", N/A ,"$3,252.96 ","$6,099.30 " ST. JOHN'S HOSPITAL,36060002,N/A,HC OR LEVEL 2 BASE,360,1 ,"$8,792.00 ","$5,714.80 ","$2,312.30 ","$8,792.00 ", N/A ,"$4,044.32 ","$4,765.26 ", N/A ,"$2,461.76 ","$2,813.44 ", N/A ,"$3,235.46 ", N/A ,"$3,358.54 ","$3,358.54 ", N/A ,"$3,358.54 ", N/A ,"$4,624.59 ", N/A , N/A , N/A ,"$6,154.40 ", N/A ,"$4,396.00 ", N/A ,"$6,594.00 ","$3,921.23 ","$3,525.59 ","$3,921.23 ", N/A ,"$3,921.23 ","$5,538.96 ","$5,538.96 ","$6,242.32 ","$8,792.00 ","$7,473.20 ", N/A ,"$7,033.60 ","$3,253.04 ","$7,033.60 ", N/A , N/A ,"$8,792.00 ","$4,765.26 ", N/A ,"$2,312.30 ", N/A , N/A , N/A , N/A , N/A ,"$7,473.20 ", N/A ,"$3,358.54 ","$2,461.76 ","$7,912.80 ","$6,330.24 ","$8,792.00 ","$5,538.96 ","$5,538.96 ","$5,538.96 ", N/A ,"$4,220.16 ","$7,912.80 " ST. JOHN'S HOSPITAL,36060003,N/A,HC OR LEVEL 3 BASE,360,1 ,"$11,539.00 ","$7,500.35 ","$3,034.76 ","$11,539.00 ", N/A ,"$5,307.94 ","$6,254.14 ", N/A ,"$3,230.92 ","$3,692.48 ", N/A ,"$4,246.35 ", N/A ,"$4,407.90 ","$4,407.90 ", N/A ,"$4,407.90 ", N/A ,"$6,069.51 ", N/A , N/A , N/A ,"$8,077.30 ", N/A ,"$5,769.50 ", N/A ,"$8,654.25 ","$5,146.39 ","$4,627.14 ","$5,146.39 ", N/A ,"$5,146.39 ","$7,269.57 ","$7,269.57 ","$8,192.69 ","$11,539.00 ","$9,808.15 ", N/A ,"$9,231.20 ","$4,269.43 ","$9,231.20 ", N/A , N/A ,"$11,539.00 ","$6,254.14 ", N/A ,"$3,034.76 ", N/A , N/A , N/A , N/A , N/A ,"$9,808.15 ", N/A ,"$4,407.90 ","$3,230.92 ","$10,385.10 ","$8,308.08 ","$11,539.00 ","$7,269.57 ","$7,269.57 ","$7,269.57 ", N/A ,"$5,538.72 ","$10,385.10 " ST. JOHN'S HOSPITAL,36060004,N/A,HC OR LEVEL 4 BASE,360,1 ,"$18,499.00 ","$12,024.35 ","$4,865.24 ","$18,499.00 ", N/A ,"$8,509.54 ","$10,026.46 ", N/A ,"$5,179.72 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,160.17 ","$6,160.17 ", N/A ,"$6,160.17 ", N/A ,"$9,730.47 ", N/A , N/A , N/A ,"$12,949.30 ", N/A ,"$9,249.50 ", N/A ,"$13,874.25 ","$8,250.55 ","$7,418.10 ","$8,250.55 ", N/A ,"$8,250.55 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$18,499.00 ","$15,724.15 ", N/A ,"$14,799.20 ","$6,844.63 ","$14,799.20 ", N/A , N/A ,"$18,499.00 ","$10,026.46 ", N/A ,"$4,865.24 ", N/A , N/A , N/A , N/A , N/A ,"$15,724.15 ", N/A ,"$6,160.17 ","$5,179.72 ","$16,649.10 ","$13,319.28 ","$18,499.00 ","$9,391.00 ","$11,654.37 ","$11,654.37 ", N/A ,"$8,879.52 ","$16,649.10 " ST. JOHN'S HOSPITAL,36060005,N/A,HC OR LEVEL 5 BASE,360,1 ,"$24,911.00 ","$16,192.15 ","$6,551.59 ","$24,911.00 ", N/A ,"$11,459.06 ","$13,501.76 ", N/A ,"$6,975.08 ","$7,049.81 ", N/A ,"$8,071.16 ", N/A ,"$8,295.36 ","$8,295.36 ", N/A ,"$8,295.36 ", N/A ,"$13,103.19 ", N/A , N/A , N/A ,"$17,437.70 ", N/A ,"$12,455.50 ", N/A ,"$18,683.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,911.00 ","$21,174.35 ", N/A ,"$19,928.80 ","$9,217.07 ","$19,928.80 ", N/A , N/A ,"$24,911.00 ","$13,501.76 ", N/A ,"$6,551.59 ", N/A , N/A , N/A , N/A , N/A ,"$21,174.35 ", N/A ,"$8,295.36 ","$6,975.08 ","$22,419.90 ","$17,935.92 ","$24,911.00 ","$9,391.00 ","$15,693.93 ","$15,693.93 ", N/A ,"$11,957.28 ","$22,419.90 " ST. JOHN'S HOSPITAL,36060006,N/A,HC OR LEVEL 6 BASE,360,1 ,"$33,151.00 ","$21,548.15 ","$8,475.35 ","$33,151.00 ", N/A ,"$15,249.46 ","$17,967.84 ", N/A ,"$9,282.28 ","$9,381.73 ", N/A ,"$10,740.92 ", N/A ,"$11,039.28 ","$11,039.28 ", N/A ,"$11,039.28 ", N/A ,"$17,437.43 ", N/A , N/A , N/A ,"$23,205.70 ", N/A ,"$16,575.50 ", N/A ,"$24,863.25 ","$8,656.00 ","$8,475.35 ","$8,656.00 ", N/A ,"$8,656.00 ","$20,885.13 ","$20,885.13 ","$23,537.21 ","$33,151.00 ","$28,178.35 ", N/A ,"$26,520.80 ","$12,265.87 ","$26,520.80 ", N/A , N/A ,"$33,151.00 ","$17,967.84 ", N/A ,"$8,718.71 ", N/A , N/A , N/A , N/A , N/A ,"$28,178.35 ", N/A ,"$11,039.28 ","$9,282.28 ","$29,835.90 ","$23,868.72 ","$33,151.00 ","$20,885.13 ","$20,885.13 ","$20,885.13 ", N/A ,"$15,912.48 ","$29,835.90 " ST. JOHN'S HOSPITAL,36060035,N/A,HC OR ADDL 30MIN,360,1 ,"$1,481.00 ",$962.65 ,$389.50 ,"$1,481.00 ", N/A ,$681.26 ,$802.70 , N/A ,$414.68 ,$473.92 , N/A ,$545.01 , N/A ,$565.74 ,$565.74 , N/A ,$565.74 , N/A ,$779.01 , N/A , N/A , N/A ,"$1,036.70 ", N/A ,$740.50 , N/A ,"$1,110.75 ",$660.53 ,$593.88 ,$660.53 , N/A ,$660.53 ,$933.03 ,$933.03 ,"$1,051.51 ","$1,481.00 ","$1,258.85 ", N/A ,"$1,184.80 ",$547.97 ,"$1,184.80 ", N/A , N/A ,"$1,481.00 ",$802.70 , N/A ,$389.50 , N/A , N/A , N/A , N/A , N/A ,"$1,258.85 ", N/A ,$565.74 ,$414.68 ,"$1,332.90 ","$1,066.32 ","$1,481.00 ",$933.03 ,$933.03 ,$933.03 , N/A ,$710.88 ,"$1,332.90 " ST. JOHN'S HOSPITAL,36060036,N/A,HC CARDIAC SURGERY LEVEL 1,360,1 ,"$12,272.00 ","$7,976.80 ","$3,227.54 ","$12,272.00 ", N/A ,"$5,645.12 ","$6,651.42 ", N/A ,"$3,436.16 ","$3,927.04 ", N/A ,"$4,516.10 ", N/A ,"$4,687.90 ","$4,687.90 ", N/A ,"$4,687.90 ", N/A ,"$6,455.07 ", N/A , N/A , N/A ,"$8,590.40 ", N/A ,"$6,136.00 ", N/A ,"$9,204.00 ","$5,473.31 ","$4,921.07 ","$5,473.31 ", N/A ,"$5,473.31 ","$7,731.36 ","$7,731.36 ","$8,713.12 ","$12,272.00 ","$10,431.20 ", N/A ,"$9,817.60 ","$4,540.64 ","$9,817.60 ", N/A , N/A ,"$12,272.00 ","$6,651.42 ", N/A ,"$3,227.54 ", N/A , N/A , N/A , N/A , N/A ,"$10,431.20 ", N/A ,"$4,687.90 ","$3,436.16 ","$11,044.80 ","$8,835.84 ","$12,272.00 ","$7,731.36 ","$7,731.36 ","$7,731.36 ", N/A ,"$5,890.56 ","$11,044.80 " ST. JOHN'S HOSPITAL,36060037,N/A,HC CARDIAC SURGERY LEVEL 2,360,1 ,"$22,528.00 ","$14,643.20 ","$5,924.86 ","$22,528.00 ", N/A ,"$10,362.88 ","$12,210.18 ", N/A ,"$6,307.84 ","$6,375.42 ", N/A ,"$7,299.07 ", N/A ,"$7,501.82 ","$7,501.82 ", N/A ,"$7,501.82 ", N/A ,"$11,849.73 ", N/A , N/A , N/A ,"$15,769.60 ", N/A ,"$11,264.00 ", N/A ,"$16,896.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$22,528.00 ","$19,148.80 ", N/A ,"$18,022.40 ","$8,335.36 ","$18,022.40 ", N/A , N/A ,"$22,528.00 ","$12,210.18 ", N/A ,"$5,924.86 ", N/A , N/A , N/A , N/A , N/A ,"$19,148.80 ", N/A ,"$7,501.82 ","$6,307.84 ","$20,275.20 ","$16,220.16 ","$22,528.00 ","$9,391.00 ","$14,192.64 ","$14,192.64 ", N/A ,"$10,813.44 ","$20,275.20 " ST. JOHN'S HOSPITAL,36060038,N/A,HC CARDIAC SURGERY LEVEL 3,360,1 ,"$41,576.00 ","$27,024.40 ","$10,934.49 ","$41,576.00 ", N/A ,"$19,124.96 ","$22,534.19 ", N/A ,"$11,641.28 ","$11,766.01 ", N/A ,"$13,470.62 ", N/A ,"$13,844.81 ","$13,844.81 ", N/A ,"$13,844.81 ", N/A ,"$21,868.98 ", N/A , N/A , N/A ,"$29,103.20 ", N/A ,"$20,788.00 ", N/A ,"$31,182.00 ","$12,370.50 ","$12,266.60 ","$12,370.50 ", N/A ,"$12,370.50 ","$26,192.88 ","$26,192.88 ","$29,518.96 ","$41,576.00 ","$35,339.60 ", N/A ,"$33,260.80 ","$15,383.12 ","$33,260.80 ", N/A , N/A ,"$41,576.00 ","$22,534.19 ", N/A ,"$10,934.49 ", N/A , N/A , N/A , N/A , N/A ,"$35,339.60 ", N/A ,"$13,844.81 ","$11,641.28 ","$37,418.40 ","$29,934.72 ","$41,576.00 ","$26,192.88 ","$26,192.88 ","$26,192.88 ", N/A ,"$19,956.48 ","$37,418.40 " ST. JOHN'S HOSPITAL,36060039,N/A,HC CARDIAC SURGERY LEVEL 4,360,1 ,"$56,044.00 ","$36,428.60 ","$14,739.57 ","$56,044.00 ", N/A ,"$25,780.24 ","$30,375.85 ", N/A ,"$15,692.32 ","$15,860.45 ", N/A ,"$18,158.26 ", N/A ,"$18,662.65 ","$18,662.65 ", N/A ,"$18,662.65 ", N/A ,"$29,479.14 ", N/A , N/A , N/A ,"$39,230.80 ", N/A ,"$28,022.00 ", N/A ,"$42,033.00 ","$19,604.50 ","$18,777.20 ","$19,604.50 ", N/A ,"$19,604.50 ","$35,307.72 ","$35,307.72 ","$39,791.24 ","$56,044.00 ","$47,637.40 ", N/A ,"$44,835.20 ","$20,736.28 ","$44,835.20 ", N/A , N/A ,"$56,044.00 ","$30,375.85 ", N/A ,"$14,739.57 ", N/A , N/A , N/A , N/A , N/A ,"$47,637.40 ", N/A ,"$18,662.65 ","$15,692.32 ","$50,439.60 ","$40,351.68 ","$56,044.00 ","$35,307.72 ","$35,307.72 ","$35,307.72 ", N/A ,"$26,901.12 ","$50,439.60 " ST. JOHN'S HOSPITAL,36060042,N/A,HC MINOR PROCEDURE ADDL 30 MIN,360,1 ,$371.00 ,$241.15 ,$97.57 ,$371.00 , N/A ,$170.66 ,$201.08 , N/A ,$103.88 ,$118.72 , N/A ,$136.53 , N/A ,$141.72 ,$141.72 , N/A ,$141.72 , N/A ,$195.15 , N/A , N/A , N/A ,$259.70 , N/A ,$185.50 , N/A ,$278.25 ,$165.47 ,$148.77 ,$165.47 , N/A ,$165.47 ,$233.73 ,$233.73 ,$263.41 ,$371.00 ,$315.35 , N/A ,$296.80 ,$137.27 ,$296.80 , N/A , N/A ,$371.00 ,$201.08 , N/A ,$97.57 , N/A , N/A , N/A , N/A , N/A ,$315.35 , N/A ,$141.72 ,$103.88 ,$333.90 ,$267.12 ,$371.00 ,$233.73 ,$233.73 ,$233.73 , N/A ,$178.08 ,$333.90 ST. JOHN'S HOSPITAL,36063340,N/A,HC CARDIAC SURGERY LEVEL 5,360,1 ,"$71,244.00 ","$46,308.60 ","$18,737.17 ","$71,244.00 ", N/A ,"$32,772.24 ","$38,614.25 ", N/A ,"$19,948.32 ","$20,162.05 ", N/A ,"$23,083.06 ", N/A ,"$23,724.25 ","$23,724.25 ", N/A ,"$23,724.25 ", N/A ,"$37,474.34 ", N/A , N/A , N/A ,"$49,870.80 ", N/A ,"$35,622.00 ", N/A ,"$53,433.00 ","$27,204.50 ","$25,617.20 ","$27,204.50 ", N/A ,"$27,204.50 ","$44,883.72 ","$44,883.72 ","$50,583.24 ","$71,244.00 ","$60,557.40 ", N/A ,"$56,995.20 ","$26,360.28 ","$56,995.20 ", N/A , N/A ,"$71,244.00 ","$38,614.25 ", N/A ,"$18,737.17 ", N/A , N/A , N/A , N/A , N/A ,"$60,557.40 ", N/A ,"$23,724.25 ","$19,948.32 ","$64,119.60 ","$51,295.68 ","$71,244.00 ","$44,883.72 ","$44,883.72 ","$44,883.72 ", N/A ,"$34,197.12 ","$64,119.60 " ST. JOHN'S HOSPITAL,36063341,N/A,HC CARDIAC SURGERY LEVEL 6,360,1 ,"$98,902.00 ","$64,286.30 ","$26,011.23 ","$98,902.00 ", N/A ,"$45,494.92 ","$53,604.88 ", N/A ,"$27,692.56 ","$27,989.27 ", N/A ,"$32,044.25 ", N/A ,"$32,934.37 ","$32,934.37 ", N/A ,"$32,934.37 ", N/A ,"$52,022.45 ", N/A , N/A , N/A ,"$69,231.40 ", N/A ,"$49,451.00 ", N/A ,"$74,176.50 ","$41,033.50 ","$38,063.30 ","$41,033.50 ", N/A ,"$41,033.50 ","$62,308.26 ","$62,308.26 ","$70,220.42 ","$98,902.00 ","$84,066.70 ", N/A ,"$79,121.60 ","$36,593.74 ","$79,121.60 ", N/A , N/A ,"$98,902.00 ","$53,604.88 ", N/A ,"$26,011.23 ", N/A , N/A , N/A , N/A , N/A ,"$84,066.70 ", N/A ,"$32,934.37 ","$27,692.56 ","$89,011.80 ","$71,209.44 ","$98,902.00 ","$62,308.26 ","$62,308.26 ","$62,308.26 ", N/A ,"$47,472.96 ","$89,011.80 " ST. JOHN'S HOSPITAL,36063342,N/A,HC CARDIAC SURGERY ADDL 30 MIN,360,1 ,"$5,179.00 ","$3,366.35 ","$1,362.08 ","$5,179.00 ", N/A ,"$2,382.34 ","$2,807.02 ", N/A ,"$1,450.12 ","$1,657.28 ", N/A ,"$1,905.87 ", N/A ,"$1,978.38 ","$1,978.38 ", N/A ,"$1,978.38 ", N/A ,"$2,724.15 ", N/A , N/A , N/A ,"$3,625.30 ", N/A ,"$2,589.50 ", N/A ,"$3,884.25 ","$2,309.83 ","$2,076.78 ","$2,309.83 ", N/A ,"$2,309.83 ","$3,262.77 ","$3,262.77 ","$3,677.09 ","$5,179.00 ","$4,402.15 ", N/A ,"$4,143.20 ","$1,916.23 ","$4,143.20 ", N/A , N/A ,"$5,179.00 ","$2,807.02 ", N/A ,"$1,362.08 ", N/A , N/A , N/A , N/A , N/A ,"$4,402.15 ", N/A ,"$1,978.38 ","$1,450.12 ","$4,661.10 ","$3,728.88 ","$5,179.00 ","$3,262.77 ","$3,262.77 ","$3,262.77 ", N/A ,"$2,485.92 ","$4,661.10 " ST. JOHN'S HOSPITAL,36063343,N/A,HC CARDIAC SURGERY PROCEDURE MINOR,360,1 ,"$7,396.00 ","$4,807.40 ","$1,945.15 ","$7,396.00 ", N/A ,"$3,402.16 ","$4,008.63 ", N/A ,"$2,070.88 ","$2,366.72 ", N/A ,"$2,721.73 ", N/A ,"$2,825.27 ","$2,825.27 ", N/A ,"$2,825.27 ", N/A ,"$3,890.30 ", N/A , N/A , N/A ,"$5,177.20 ", N/A ,"$3,698.00 ", N/A ,"$5,547.00 ","$3,298.62 ","$2,965.80 ","$3,298.62 ", N/A ,"$3,298.62 ","$4,659.48 ","$4,659.48 ","$5,251.16 ","$7,396.00 ","$6,286.60 ", N/A ,"$5,916.80 ","$2,736.52 ","$5,916.80 ", N/A , N/A ,"$7,396.00 ","$4,008.63 ", N/A ,"$1,945.15 ", N/A , N/A , N/A , N/A , N/A ,"$6,286.60 ", N/A ,"$2,825.27 ","$2,070.88 ","$6,656.40 ","$5,325.12 ","$7,396.00 ","$4,659.48 ","$4,659.48 ","$4,659.48 ", N/A ,"$3,550.08 ","$6,656.40 " ST. JOHN'S HOSPITAL,36063345,11043,"HC DEBRIDEMENT, MUSCLE AND/OR FASCIA",360,1 ,"$9,082.00 ","$5,903.30 ",$503.44 ,"$9,082.00 ","$1,258.60 ","$3,400.00 ","$4,922.44 ",$503.44 ,"$2,542.96 ","$2,906.24 ",$503.44 ,"$3,342.18 ",$503.44 ,"$3,469.32 ","$3,469.32 ",$503.44 ,"$3,469.32 ",$956.53 ,"$4,777.13 ","$1,536.00 ","$1,258.60 ",$503.44 ,"$6,357.40 ",$503.44 ,"$4,541.00 ",$513.51 ,"$6,811.50 ","$4,050.57 ","$3,641.88 ","$4,050.57 ",$503.44 ,"$4,050.57 ","$5,721.66 ","$5,721.66 ","$6,448.22 ","$9,082.00 ","$7,719.70 ","$1,258.60 ","$7,265.60 ","$3,360.34 ","$7,265.60 ",$503.44 ,$503.44 ,"$9,082.00 ","$4,922.44 ",$503.44 ,"$2,388.57 ", N/A , N/A ,$874.50 ,$834.75 ,$528.61 ,"$7,719.70 ","$1,132.74 ","$3,469.32 ","$2,542.96 ","$8,173.80 ","$6,539.04 ","$9,082.00 ","$5,721.66 ","$5,721.66 ","$5,721.66 ",$503.44 ,"$4,359.36 ","$8,173.80 " ST. JOHN'S HOSPITAL,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,"$1,561.00 ","$1,014.65 ",$251.14 ,"$1,561.00 ",$627.85 ,"$1,561.00 ",$846.06 ,$251.14 ,$437.08 ,$499.52 ,$251.14 ,$574.45 ,$251.14 ,$596.30 ,$596.30 ,$251.14 ,$596.30 ,$477.17 ,$821.09 ,$780.50 ,$627.85 ,$251.14 ,"$1,092.70 ",$251.14 ,$780.50 ,$256.16 ,"$1,170.75 ",$696.21 ,$625.96 ,$696.21 ,$251.14 ,$696.21 ,$983.43 ,$983.43 ,"$1,108.31 ","$1,561.00 ","$1,326.85 ",$627.85 ,"$1,248.80 ",$577.57 ,"$1,248.80 ",$251.14 ,$251.14 ,"$1,561.00 ",$846.06 ,$251.14 ,$410.54 , N/A , N/A ,$461.03 ,$440.08 ,$263.70 ,"$1,326.85 ",$565.07 ,$596.30 ,$437.08 ,"$1,404.90 ","$1,123.92 ","$1,561.00 ",$983.43 ,$983.43 ,$983.43 ,$251.14 ,$749.28 ,"$1,404.90 " ST. JOHN'S HOSPITAL,36100001,47537,HC REM BIL CATH W G SI CHOLANG,361,1 ,"$2,303.00 ","$1,496.95 ",$209.14 ,"$2,303.00 ","$1,944.50 ","$2,300.00 ","$1,248.23 ",$777.80 ,$644.84 ,$736.96 ,$777.80 ,$847.50 ,$777.80 ,$879.75 ,$879.75 ,$777.80 ,$879.75 ,"$1,477.82 ","$1,211.38 ","$1,151.50 ","$1,944.50 ",$777.80 ,"$1,612.10 ",$777.80 ,"$1,151.50 ",$793.35 ,"$1,727.25 ","$1,027.14 ",$923.50 ,"$1,027.14 ",$777.80 ,"$1,027.14 ","$1,450.89 ","$1,450.89 ","$1,635.13 ","$2,303.00 ","$1,957.55 ","$1,944.50 ","$1,842.40 ",$852.11 ,"$1,842.40 ",$777.80 ,$777.80 ,"$2,303.00 ","$1,248.23 ",$777.80 ,$605.69 , N/A , N/A ,$219.10 ,$209.14 ,$816.69 ,"$1,957.55 ","$1,750.05 ",$879.75 ,$644.84 ,"$2,072.70 ","$1,658.16 ","$2,303.00 ","$1,450.89 ","$1,450.89 ","$1,450.89 ",$777.80 ,"$1,105.44 ","$2,072.70 " ST. JOHN'S HOSPITAL,36100002,47538,HC PLC BILE SNT W G SI EX/REMOVAL CHOLANG,361,1 ,"$24,545.00 ","$15,954.25 ","$4,200.00 ","$24,545.00 ","$12,159.58 ","$4,200.00 ","$13,303.39 ","$4,863.83 ","$6,872.60 ","$6,946.24 ","$4,863.83 ","$7,952.58 ","$4,863.83 ","$8,173.49 ","$8,173.49 ","$4,863.83 ","$8,173.49 ","$9,241.28 ","$12,910.67 ","$12,272.50 ","$12,159.57 ","$4,863.83 ","$17,181.50 ","$4,863.83 ","$12,272.50 ","$4,961.11 ","$18,408.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$4,863.83 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,545.00 ","$20,863.25 ","$12,159.57 ","$19,636.00 ","$9,081.65 ","$19,636.00 ","$4,863.83 ","$4,863.83 ","$24,545.00 ","$13,303.39 ","$4,863.83 ","$6,455.34 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ","$5,107.02 ","$20,863.25 ","$10,943.62 ","$8,173.49 ","$6,872.60 ","$22,090.50 ","$17,672.40 ","$24,545.00 ","$9,391.00 ","$15,463.35 ","$15,463.35 ","$4,863.83 ","$11,781.60 ","$22,090.50 " ST. JOHN'S HOSPITAL,36100003,47540,HC PLC BILE SNT W GD SI NEW ACCESS,361,1 ,"$19,636.00 ","$12,763.40 ","$4,200.00 ","$19,636.00 ","$12,159.58 ","$4,200.00 ","$10,642.71 ","$4,863.83 ","$5,498.08 ","$5,556.99 ","$4,863.83 ","$6,362.06 ","$4,863.83 ","$6,538.79 ","$6,538.79 ","$4,863.83 ","$6,538.79 ","$9,241.28 ","$10,328.54 ","$9,818.00 ","$12,159.57 ","$4,863.83 ","$13,745.20 ","$4,863.83 ","$9,818.00 ","$4,961.11 ","$14,727.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$4,863.83 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$19,636.00 ","$16,690.60 ","$12,159.57 ","$15,708.80 ","$7,265.32 ","$15,708.80 ","$4,863.83 ","$4,863.83 ","$19,636.00 ","$10,642.71 ","$4,863.83 ","$5,164.27 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ","$5,107.02 ","$16,690.60 ","$10,943.62 ","$6,538.79 ","$5,498.08 ","$17,672.40 ","$14,137.92 ","$19,636.00 ","$9,391.00 ","$12,370.68 ","$12,370.68 ","$4,863.83 ","$9,425.28 ","$17,672.40 " ST. JOHN'S HOSPITAL,36100004,50430,HC INJ NEPH URET W G SI NEW ACCESS,361,1 ,"$1,817.00 ","$1,181.05 ",$347.40 ,"$1,817.00 ","$1,382.53 ","$1,817.00 ",$984.81 ,$553.01 ,$508.76 ,$581.44 ,$553.01 ,$668.66 ,$553.01 ,$694.09 ,$694.09 ,$553.01 ,$694.09 ,"$1,050.72 ",$955.74 ,$908.50 ,"$1,382.53 ",$553.01 ,"$1,271.90 ",$553.01 ,$908.50 ,$564.07 ,"$1,362.75 ",$810.38 ,$728.62 ,$810.38 ,$553.01 ,$810.38 ,"$1,144.71 ","$1,144.71 ","$1,290.07 ","$1,817.00 ","$1,544.45 ","$1,382.53 ","$1,453.60 ",$672.29 ,"$1,453.60 ",$553.01 ,$553.01 ,"$1,817.00 ",$984.81 ,$553.01 ,$477.87 , N/A , N/A ,$363.95 ,$347.40 ,$580.66 ,"$1,544.45 ","$1,244.28 ",$694.09 ,$508.76 ,"$1,635.30 ","$1,308.24 ","$1,817.00 ","$1,144.71 ","$1,144.71 ","$1,144.71 ",$553.01 ,$872.16 ,"$1,635.30 " ST. JOHN'S HOSPITAL,36100004,50430,HC INJ NEPH URET W G SI NEW ACCESS,361,1 ,"$2,726.00 ","$1,771.90 ",$521.10 ,"$2,726.00 ","$1,382.53 ","$2,726.00 ","$1,477.49 ",$553.01 ,$763.28 ,$872.32 ,$553.01 ,"$1,003.17 ",$553.01 ,"$1,041.33 ","$1,041.33 ",$553.01 ,"$1,041.33 ","$1,050.72 ","$1,433.88 ","$1,363.00 ","$1,382.53 ",$553.01 ,"$1,908.20 ",$553.01 ,"$1,363.00 ",$564.07 ,"$2,044.50 ","$1,215.80 ","$1,093.13 ","$1,215.80 ",$553.01 ,"$1,215.80 ","$1,717.38 ","$1,717.38 ","$1,935.46 ","$2,726.00 ","$2,317.10 ","$1,382.53 ","$2,180.80 ","$1,008.62 ","$2,180.80 ",$553.01 ,$553.01 ,"$2,726.00 ","$1,477.49 ",$553.01 ,$716.94 , N/A , N/A ,$545.92 ,$521.10 ,$580.66 ,"$2,317.10 ","$1,244.28 ","$1,041.33 ",$763.28 ,"$2,453.40 ","$1,962.72 ","$2,726.00 ","$1,717.38 ","$1,717.38 ","$1,717.38 ",$553.01 ,"$1,308.48 ","$2,453.40 " ST. JOHN'S HOSPITAL,36100005,50433,HC PL NEPH CAT W GD S AND I NEW ACCESS,361,1 ,"$7,183.00 ","$4,668.95 ","$1,086.19 ","$7,388.53 ","$7,388.53 ","$3,400.00 ","$3,893.19 ","$2,955.41 ","$2,011.24 ","$2,298.56 ","$2,955.41 ","$2,643.34 ","$2,955.41 ","$2,743.91 ","$2,743.91 ","$2,955.41 ","$2,743.91 ","$5,615.27 ","$3,778.26 ","$3,351.00 ","$7,388.51 ","$2,955.41 ","$5,028.10 ","$2,955.41 ","$3,591.50 ","$3,014.51 ","$5,387.25 ","$3,203.62 ","$2,880.38 ","$3,203.62 ","$2,955.41 ","$3,203.62 ","$4,525.29 ","$4,525.29 ","$5,099.93 ","$7,183.00 ","$6,105.55 ","$7,183.00 ","$5,746.40 ","$2,657.71 ","$5,746.40 ","$2,955.41 ","$2,955.41 ","$7,183.00 ","$3,893.19 ","$2,955.41 ","$1,889.13 ", N/A , N/A ,"$1,137.92 ","$1,086.19 ","$3,103.18 ","$6,105.55 ","$6,649.66 ","$2,743.91 ","$2,011.24 ","$6,464.70 ","$5,171.76 ","$7,183.00 ","$4,525.29 ","$4,525.29 ","$4,525.29 ","$2,955.41 ","$3,447.84 ","$6,464.70 " ST. JOHN'S HOSPITAL,36100005,50433,HC PL NEPH CAT W GD S AND I NEW ACCESS,361,1 ,"$10,775.00 ","$7,003.75 ","$1,629.30 ","$10,775.00 ","$7,388.53 ","$5,100.00 ","$5,840.05 ","$2,955.41 ","$3,017.00 ","$3,448.00 ","$2,955.41 ","$3,965.20 ","$2,955.41 ","$4,116.05 ","$4,116.05 ","$2,955.41 ","$4,116.05 ","$5,615.27 ","$5,667.65 ","$3,351.00 ","$7,388.51 ","$2,955.41 ","$7,542.50 ","$2,955.41 ","$5,387.50 ","$3,014.51 ","$8,081.25 ","$4,805.65 ","$4,320.78 ","$4,805.65 ","$2,955.41 ","$4,805.65 ","$6,788.25 ","$6,788.25 ","$7,650.25 ","$10,775.00 ","$9,158.75 ","$7,388.51 ","$8,620.00 ","$3,986.75 ","$8,620.00 ","$2,955.41 ","$2,955.41 ","$10,775.00 ","$5,840.05 ","$2,955.41 ","$2,833.83 ", N/A , N/A ,"$1,706.88 ","$1,629.30 ","$3,103.18 ","$9,158.75 ","$6,649.66 ","$4,116.05 ","$3,017.00 ","$9,697.50 ","$7,758.00 ","$10,775.00 ","$6,788.25 ","$6,788.25 ","$6,788.25 ","$2,955.41 ","$5,172.00 ","$9,697.50 " ST. JOHN'S HOSPITAL,36100006,50434,HC CONVERT NEPH CTH NEPHUR CTH WG S AND I EXST TRACT,361,1 ,"$3,752.00 ","$2,438.80 ",$986.78 ,"$7,388.53 ","$7,388.53 ","$3,450.00 ","$2,033.58 ","$2,955.41 ","$1,050.56 ","$1,200.64 ","$2,955.41 ","$1,380.74 ","$2,955.41 ","$1,433.26 ","$1,433.26 ","$2,955.41 ","$1,433.26 ","$3,752.00 ","$1,973.55 ","$1,876.00 ","$7,388.51 ","$2,955.41 ","$2,626.40 ","$2,955.41 ","$1,876.00 ","$3,014.51 ","$2,814.00 ","$1,673.39 ","$1,504.55 ","$1,673.39 ","$2,955.41 ","$1,673.39 ","$2,363.76 ","$2,363.76 ","$2,663.92 ","$3,752.00 ","$3,189.20 ","$3,752.00 ","$3,001.60 ","$1,388.24 ","$3,001.60 ","$2,955.41 ","$2,955.41 ","$3,752.00 ","$2,033.58 ","$2,955.41 ",$986.78 , N/A , N/A ,"$1,706.88 ","$1,629.30 ","$3,103.18 ","$3,189.20 ","$6,649.66 ","$1,433.26 ","$1,050.56 ","$3,376.80 ","$2,701.44 ","$3,752.00 ","$2,363.76 ","$2,363.76 ","$2,363.76 ","$2,955.41 ","$1,800.96 ","$3,376.80 " ST. JOHN'S HOSPITAL,36100006,50434,HC CONVERT NEPH CTH NEPHUR CTH WG S AND I EXST TRACT,361,1 ,"$2,501.00 ","$1,625.65 ",$657.76 ,"$4,302.83 ","$4,302.83 ","$2,300.00 ","$1,355.54 ","$1,721.13 ",$700.28 ,$800.32 ,"$1,721.13 ",$920.37 ,"$1,721.13 ",$955.38 ,$955.38 ,"$1,721.13 ",$955.38 ,"$2,501.00 ","$1,315.53 ","$1,250.50 ","$4,302.81 ","$1,721.13 ","$1,750.70 ","$1,721.13 ","$1,250.50 ","$1,755.55 ","$1,875.75 ","$1,115.45 ","$1,002.90 ","$1,115.45 ","$1,721.13 ","$1,115.45 ","$1,575.63 ","$1,575.63 ","$1,775.71 ","$2,501.00 ","$2,125.85 ","$2,501.00 ","$2,000.80 ",$925.37 ,"$2,000.80 ","$1,721.13 ","$1,721.13 ","$2,501.00 ","$1,355.54 ","$1,721.13 ",$657.76 , N/A , N/A ,"$1,137.92 ","$1,086.19 ","$1,807.19 ","$2,125.85 ","$3,872.53 ",$955.38 ,$700.28 ,"$2,250.90 ","$1,800.72 ","$2,501.00 ","$1,575.63 ","$1,575.63 ","$1,575.63 ","$1,721.13 ","$1,200.48 ","$2,250.90 " ST. JOHN'S HOSPITAL,36100007,50606,HC ENDO BX URETER/RENAL PELVIS W/G SI,361,1 ,"$2,823.00 ","$1,834.95 ",$742.45 ,"$2,823.00 ", N/A ,"$2,823.00 ","$1,530.07 ", N/A ,$790.44 ,$903.36 , N/A ,"$1,038.86 ", N/A ,"$1,078.39 ","$1,078.39 ", N/A ,"$1,078.39 ", N/A ,"$1,484.90 ","$1,411.50 ", N/A , N/A ,"$1,976.10 ", N/A ,"$1,411.50 ", N/A ,"$2,117.25 ","$1,259.06 ","$1,132.02 ","$1,259.06 ", N/A ,"$1,259.06 ","$1,778.49 ","$1,778.49 ","$2,004.33 ","$2,823.00 ","$2,399.55 ", N/A ,"$2,258.40 ","$1,044.51 ","$2,258.40 ", N/A , N/A ,"$2,823.00 ","$1,530.07 ", N/A ,$742.45 , N/A , N/A , N/A , N/A , N/A ,"$2,399.55 ", N/A ,"$1,078.39 ",$790.44 ,"$2,540.70 ","$2,032.56 ","$2,823.00 ","$1,778.49 ","$1,778.49 ","$1,778.49 ", N/A ,"$1,355.04 ","$2,540.70 " ST. JOHN'S HOSPITAL,36100007,50606,HC ENDO BX URETER/RENAL PELVIS W/G SI,361,1 ,"$1,882.00 ","$1,223.30 ",$494.97 ,"$1,882.00 ", N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$526.96 ,$602.24 , N/A ,$692.58 , N/A ,$718.92 ,$718.92 , N/A ,$718.92 , N/A ,$989.93 ,$941.00 , N/A , N/A ,"$1,317.40 ", N/A ,$941.00 , N/A ,"$1,411.50 ",$839.37 ,$754.68 ,$839.37 , N/A ,$839.37 ,"$1,185.66 ","$1,185.66 ","$1,336.22 ","$1,882.00 ","$1,599.70 ", N/A ,"$1,505.60 ",$696.34 ,"$1,505.60 ", N/A , N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$494.97 , N/A , N/A , N/A , N/A , N/A ,"$1,599.70 ", N/A ,$718.92 ,$526.96 ,"$1,693.80 ","$1,355.04 ","$1,882.00 ","$1,185.66 ","$1,185.66 ","$1,185.66 ", N/A ,$903.36 ,"$1,693.80 " ST. JOHN'S HOSPITAL,36100008,50694,HC PL URT STNT W G SI NEW ACCESS WO NEPH CATH,361,1 ,"$20,061.00 ","$13,039.65 ","$2,955.41 ","$20,061.00 ","$7,388.53 ","$6,300.00 ","$10,873.06 ","$2,955.41 ","$5,617.08 ","$5,677.26 ","$2,955.41 ","$6,499.76 ","$2,955.41 ","$6,680.31 ","$6,680.31 ","$2,955.41 ","$6,680.31 ","$5,615.27 ","$10,552.09 ","$10,030.50 ","$7,388.51 ","$2,955.41 ","$14,042.70 ","$2,955.41 ","$10,030.50 ","$3,014.51 ","$15,045.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$2,955.41 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,061.00 ","$17,051.85 ","$7,388.51 ","$16,048.80 ","$7,422.57 ","$16,048.80 ","$2,955.41 ","$2,955.41 ","$20,061.00 ","$10,873.06 ","$2,955.41 ","$5,276.04 ", N/A , N/A ,"$3,630.74 ","$3,465.70 ","$3,103.18 ","$17,051.85 ","$6,649.66 ","$6,680.31 ","$5,617.08 ","$18,054.90 ","$14,443.92 ","$20,061.00 ","$9,391.00 ","$12,638.43 ","$12,638.43 ","$2,955.41 ","$9,629.28 ","$18,054.90 " ST. JOHN'S HOSPITAL,36100008,50694,HC PL URT STNT W G SI NEW ACCESS WO NEPH CATH,361,1 ,"$13,374.00 ","$8,693.10 ","$2,310.47 ","$13,374.00 ","$7,388.53 ","$4,200.00 ","$7,248.71 ","$2,955.41 ","$3,744.72 ","$4,279.68 ","$2,955.41 ","$4,921.63 ","$2,955.41 ","$5,000.00 ","$5,000.00 ","$2,955.41 ","$5,000.00 ","$5,615.27 ","$7,034.72 ","$6,687.00 ","$7,388.51 ","$2,955.41 ","$9,361.80 ","$2,955.41 ","$6,687.00 ","$3,014.51 ","$10,030.50 ","$5,964.80 ","$5,362.97 ","$5,964.80 ","$2,955.41 ","$5,964.80 ","$8,425.62 ","$8,425.62 ","$9,495.54 ","$13,374.00 ","$11,367.90 ","$7,388.51 ","$10,699.20 ","$4,948.38 ","$10,699.20 ","$2,955.41 ","$2,955.41 ","$13,374.00 ","$7,248.71 ","$2,955.41 ","$3,517.36 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$3,103.18 ","$11,367.90 ","$6,649.66 ","$5,000.00 ","$3,744.72 ","$12,036.60 ","$9,629.28 ","$13,374.00 ","$8,425.62 ","$8,425.62 ","$8,425.62 ","$2,955.41 ","$6,419.52 ","$12,036.60 " ST. JOHN'S HOSPITAL,36100009,50695,HC PL URT STNT W G SI NEW ACCESS WITH NEPH CATH,361,1 ,"$13,374.00 ","$8,693.10 ","$2,310.47 ","$13,374.00 ","$7,388.53 ","$4,200.00 ","$7,248.71 ","$2,955.41 ","$3,744.72 ","$4,279.68 ","$2,955.41 ","$4,921.63 ","$2,955.41 ","$5,000.00 ","$5,000.00 ","$2,955.41 ","$5,000.00 ","$5,615.27 ","$7,034.72 ","$6,687.00 ","$7,388.51 ","$2,955.41 ","$9,361.80 ","$2,955.41 ","$6,687.00 ","$3,014.51 ","$10,030.50 ","$5,964.80 ","$5,362.97 ","$5,964.80 ","$2,955.41 ","$5,964.80 ","$8,425.62 ","$8,425.62 ","$9,495.54 ","$13,374.00 ","$11,367.90 ","$7,388.51 ","$10,699.20 ","$4,948.38 ","$10,699.20 ","$2,955.41 ","$2,955.41 ","$13,374.00 ","$7,248.71 ","$2,955.41 ","$3,517.36 ", N/A , N/A ,"$2,420.50 ","$2,310.47 ","$3,103.18 ","$11,367.90 ","$6,649.66 ","$5,000.00 ","$3,744.72 ","$12,036.60 ","$9,629.28 ","$13,374.00 ","$8,425.62 ","$8,425.62 ","$8,425.62 ","$2,955.41 ","$6,419.52 ","$12,036.60 " ST. JOHN'S HOSPITAL,36100009,50695,HC PL URT STNT W G SI NEW ACCESS WITH NEPH CATH,361,1 ,"$20,061.00 ","$13,039.65 ","$2,955.41 ","$20,061.00 ","$7,388.53 ","$6,300.00 ","$10,873.06 ","$2,955.41 ","$5,617.08 ","$5,677.26 ","$2,955.41 ","$6,499.76 ","$2,955.41 ","$6,680.31 ","$6,680.31 ","$2,955.41 ","$6,680.31 ","$5,615.27 ","$10,552.09 ","$10,030.50 ","$7,388.51 ","$2,955.41 ","$14,042.70 ","$2,955.41 ","$10,030.50 ","$3,014.51 ","$15,045.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$2,955.41 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,061.00 ","$17,051.85 ","$7,388.51 ","$16,048.80 ","$7,422.57 ","$16,048.80 ","$2,955.41 ","$2,955.41 ","$20,061.00 ","$10,873.06 ","$2,955.41 ","$5,276.04 ", N/A , N/A ,"$3,630.74 ","$3,465.70 ","$3,103.18 ","$17,051.85 ","$6,649.66 ","$6,680.31 ","$5,617.08 ","$18,054.90 ","$14,443.92 ","$20,061.00 ","$9,391.00 ","$12,638.43 ","$12,638.43 ","$2,955.41 ","$9,629.28 ","$18,054.90 " ST. JOHN'S HOSPITAL,36100010,50705,HC URETERAL EMBOL OR OCCLUSION W/G SI,361,1 ,"$1,882.00 ","$1,223.30 ",$494.97 ,"$1,882.00 ", N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$526.96 ,$602.24 , N/A ,$692.58 , N/A ,$718.92 ,$718.92 , N/A ,$718.92 , N/A ,$989.93 ,$941.00 , N/A , N/A ,"$1,317.40 ", N/A ,$941.00 , N/A ,"$1,411.50 ",$839.37 ,$754.68 ,$839.37 , N/A ,$839.37 ,"$1,185.66 ","$1,185.66 ","$1,336.22 ","$1,882.00 ","$1,599.70 ", N/A ,"$1,505.60 ",$696.34 ,"$1,505.60 ", N/A , N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$494.97 , N/A , N/A , N/A , N/A , N/A ,"$1,599.70 ", N/A ,$718.92 ,$526.96 ,"$1,693.80 ","$1,355.04 ","$1,882.00 ","$1,185.66 ","$1,185.66 ","$1,185.66 ", N/A ,$903.36 ,"$1,693.80 " ST. JOHN'S HOSPITAL,36100011,49185,HC SCLEROTHERAPY FLUID COLLECTION PERC INJECT IG SI,361,1 ,"$4,660.00 ","$3,029.00 ",$598.17 ,"$4,660.00 ","$1,495.43 ","$3,400.00 ","$2,525.72 ",$598.17 ,"$1,304.80 ","$1,491.20 ",$598.17 ,"$1,714.88 ",$598.17 ,"$1,780.12 ","$1,780.12 ",$598.17 ,"$1,780.12 ","$1,136.52 ","$2,451.16 ","$2,330.00 ","$1,495.43 ",$598.17 ,"$3,262.00 ",$598.17 ,"$2,330.00 ",$610.13 ,"$3,495.00 ","$2,078.36 ","$1,868.66 ","$2,078.36 ",$598.17 ,"$2,078.36 ","$2,935.80 ","$2,935.80 ","$3,308.60 ","$4,660.00 ","$3,961.00 ","$1,495.43 ","$3,728.00 ","$1,724.20 ","$3,728.00 ",$598.17 ,$598.17 ,"$4,660.00 ","$2,525.72 ",$598.17 ,"$1,225.58 ", N/A , N/A ,$725.23 ,$692.27 ,$628.08 ,"$3,961.00 ","$1,345.88 ","$1,780.12 ","$1,304.80 ","$4,194.00 ","$3,355.20 ","$4,660.00 ","$2,935.80 ","$2,935.80 ","$2,935.80 ",$598.17 ,"$2,236.80 ","$4,194.00 " ST. JOHN'S HOSPITAL,36100012,50706,HC BALLOON DILATION URETERAL IG SI,361,1 ,"$1,882.00 ","$1,223.30 ",$494.97 ,"$1,882.00 ", N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$526.96 ,$602.24 , N/A ,$692.58 , N/A ,$718.92 ,$718.92 , N/A ,$718.92 , N/A ,$989.93 ,$941.00 , N/A , N/A ,"$1,317.40 ", N/A ,$941.00 , N/A ,"$1,411.50 ",$839.37 ,$754.68 ,$839.37 , N/A ,$839.37 ,"$1,185.66 ","$1,185.66 ","$1,336.22 ","$1,882.00 ","$1,599.70 ", N/A ,"$1,505.60 ",$696.34 ,"$1,505.60 ", N/A , N/A ,"$1,882.00 ","$1,020.04 ", N/A ,$494.97 , N/A , N/A , N/A , N/A , N/A ,"$1,599.70 ", N/A ,$718.92 ,$526.96 ,"$1,693.80 ","$1,355.04 ","$1,882.00 ","$1,185.66 ","$1,185.66 ","$1,185.66 ", N/A ,$903.36 ,"$1,693.80 " ST. JOHN'S HOSPITAL,36100013,47541,HC PLCMENT ACCESS BILIARY TREE BOWEL PERC IG SI,361,1 ,"$10,382.00 ","$6,748.30 ","$1,684.67 ","$10,382.00 ", N/A ,"$3,400.00 ","$5,627.04 ","$3,058.29 ","$2,906.96 ","$3,322.24 ","$3,058.29 ","$3,820.58 ","$3,058.29 ","$3,965.92 ","$3,965.92 ","$3,058.29 ","$3,965.92 ","$5,810.75 ","$5,460.93 ","$3,351.00 ","$7,645.72 ", N/A ,"$7,267.40 ","$3,058.29 ","$5,191.00 ","$3,119.45 ","$7,786.50 ","$4,630.37 ","$4,163.18 ","$4,630.37 ","$3,058.29 ","$4,630.37 ","$6,540.66 ","$6,540.66 ","$7,371.22 ","$10,382.00 ","$8,824.70 ", N/A ,"$8,305.60 ","$3,841.34 ","$8,305.60 ","$3,058.29 ","$3,058.29 ","$10,382.00 ","$5,627.04 ","$3,058.29 ","$2,730.47 ", N/A , N/A ,"$1,764.90 ","$1,684.67 ", N/A ,"$8,824.70 ","$6,881.15 ","$3,965.92 ","$2,906.96 ","$9,343.80 ","$7,475.04 ","$10,382.00 ","$6,540.66 ","$6,540.66 ","$6,540.66 ","$3,058.29 ","$4,983.36 ","$9,343.80 " ST. JOHN'S HOSPITAL,36100014,10035,HC PLACE DEVICE LOCALZTN PERC W/GUIDE 1ST LESION,361,1 ,"$1,688.00 ","$1,097.20 ",$300.70 ,"$1,688.00 ","$1,495.43 ","$1,688.00 ",$914.90 ,$598.17 ,$472.64 ,$540.16 ,$598.17 ,$621.18 ,$598.17 ,$644.82 ,$644.82 ,$598.17 ,$644.82 ,"$1,136.52 ",$887.89 ,$844.00 ,"$1,495.43 ",$598.17 ,"$1,181.60 ",$598.17 ,$844.00 ,$610.13 ,"$1,266.00 ",$752.85 ,$676.89 ,$752.85 ,$598.17 ,$752.85 ,"$1,063.44 ","$1,063.44 ","$1,198.48 ","$1,688.00 ","$1,434.80 ","$1,495.43 ","$1,350.40 ",$624.56 ,"$1,350.40 ",$598.17 ,$598.17 ,"$1,688.00 ",$914.90 ,$598.17 ,$443.94 , N/A , N/A ,$315.02 ,$300.70 ,$628.08 ,"$1,434.80 ","$1,345.88 ",$644.82 ,$472.64 ,"$1,519.20 ","$1,215.36 ","$1,688.00 ","$1,063.44 ","$1,063.44 ","$1,063.44 ",$598.17 ,$810.24 ,"$1,519.20 " ST. JOHN'S HOSPITAL,36100015,11010,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISSUE,361,1 ,"$1,735.00 ","$1,127.75 ",$456.31 ,"$1,735.00 ","$1,495.43 ","$1,735.00 ",$940.37 ,$598.17 ,$485.80 ,$555.20 ,$598.17 ,$638.48 ,$598.17 ,$662.77 ,$662.77 ,$598.17 ,$662.77 ,"$1,136.52 ",$912.61 ,"$1,536.00 ","$1,495.43 ",$598.17 ,"$1,214.50 ",$598.17 ,$867.50 ,$610.13 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$598.17 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,495.43 ","$1,388.00 ",$641.95 ,"$1,388.00 ",$598.17 ,$598.17 ,"$1,735.00 ",$940.37 ,$598.17 ,$456.31 , N/A , N/A ,"$1,351.17 ","$1,289.76 ",$628.08 ,"$1,474.75 ","$1,345.88 ",$662.77 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ","$1,093.05 ","$1,093.05 ",$598.17 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,36100016,11011,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE,361,1 ,"$2,966.00 ","$1,927.90 ",$598.17 ,"$3,146.15 ","$1,495.43 ","$2,966.00 ","$1,607.57 ",$598.17 ,$830.48 ,$949.12 ,$598.17 ,"$1,091.49 ",$598.17 ,"$1,133.01 ","$1,133.01 ",$598.17 ,"$1,133.01 ","$1,136.52 ","$1,560.12 ","$1,536.00 ","$1,495.43 ",$598.17 ,"$2,076.20 ",$598.17 ,"$1,483.00 ",$610.13 ,"$2,224.50 ","$1,322.84 ","$1,189.37 ","$1,322.84 ",$598.17 ,"$1,322.84 ","$1,868.58 ","$1,868.58 ","$2,105.86 ","$2,966.00 ","$2,521.10 ","$1,495.43 ","$2,372.80 ","$1,097.42 ","$2,372.80 ",$598.17 ,$598.17 ,"$2,966.00 ","$1,607.57 ",$598.17 ,$780.06 , N/A , N/A ,"$2,966.00 ","$3,146.15 ",$628.08 ,"$2,521.10 ","$1,345.88 ","$1,133.01 ",$830.48 ,"$2,669.40 ","$2,135.52 ","$2,966.00 ","$1,868.58 ","$1,868.58 ","$1,868.58 ",$598.17 ,"$1,423.68 ","$2,669.40 " ST. JOHN'S HOSPITAL,36100017,11012,HC DEBRID/REMOVE FOREIGN BODY SKIN/SUBQ TISS/MUSCLE/BONE,361,1 ,"$4,014.00 ","$2,609.10 ","$1,055.68 ","$5,697.91 ","$5,697.90 ","$3,400.00 ","$2,175.59 ","$2,279.16 ","$1,123.92 ","$1,284.48 ","$2,279.16 ","$1,477.15 ","$2,279.16 ","$1,533.35 ","$1,533.35 ","$2,279.16 ","$1,533.35 ","$4,014.00 ","$2,111.36 ","$1,536.00 ","$5,697.91 ","$2,279.16 ","$2,809.80 ","$2,279.16 ","$2,007.00 ","$2,324.75 ","$3,010.50 ","$1,790.24 ","$1,609.61 ","$1,790.24 ","$2,279.16 ","$1,790.24 ","$2,528.82 ","$2,528.82 ","$2,849.94 ","$4,014.00 ","$3,411.90 ","$4,014.00 ","$3,211.20 ","$1,485.18 ","$3,211.20 ","$2,279.16 ","$2,279.16 ","$4,014.00 ","$2,175.59 ","$2,279.16 ","$1,055.68 ", N/A , N/A ,"$1,351.17 ","$1,289.76 ","$2,393.12 ","$3,411.90 ","$5,128.12 ","$1,533.35 ","$1,123.92 ","$3,612.60 ","$2,890.08 ","$4,014.00 ","$2,528.82 ","$2,528.82 ","$2,528.82 ","$2,279.16 ","$1,926.72 ","$3,612.60 " ST. JOHN'S HOSPITAL,36100025,32560,HC PLEURODESIS CHEMICAL,361,1 ,"$1,924.00 ","$1,250.60 ",$506.01 ,"$1,924.00 ","$1,298.95 ","$1,924.00 ","$1,042.81 ",$519.58 ,$538.72 ,$615.68 ,$519.58 ,$708.03 ,$519.58 ,$734.97 ,$734.97 ,$519.58 ,$734.97 ,$987.20 ,"$1,012.02 ",$962.00 ,"$1,298.95 ",$519.58 ,"$1,346.80 ",$519.58 ,$962.00 ,$529.97 ,"$1,443.00 ",$858.10 ,$771.52 ,$858.10 ,$519.58 ,$858.10 ,"$1,212.12 ","$1,212.12 ","$1,366.04 ","$1,924.00 ","$1,635.40 ","$1,298.95 ","$1,539.20 ",$711.88 ,"$1,539.20 ",$519.58 ,$519.58 ,"$1,924.00 ","$1,042.81 ",$519.58 ,$506.01 , N/A , N/A ,$725.23 ,$692.27 ,$545.56 ,"$1,635.40 ","$1,169.06 ",$734.97 ,$538.72 ,"$1,731.60 ","$1,385.28 ","$1,924.00 ","$1,212.12 ","$1,212.12 ","$1,212.12 ",$519.58 ,$923.52 ,"$1,731.60 " ST. JOHN'S HOSPITAL,36100026,36510,HC UMBILICAL CATHETER INSERTION NEWBORN,361,1 ,$714.00 ,$464.10 ,$187.78 ,$714.00 , N/A ,$714.00 ,$386.99 , N/A ,$199.92 ,$228.48 , N/A ,$262.75 , N/A ,$272.75 ,$272.75 , N/A ,$272.75 , N/A ,$375.56 ,$357.00 , N/A , N/A ,$499.80 , N/A ,$357.00 , N/A ,$535.50 ,$318.44 ,$286.31 ,$318.44 , N/A ,$318.44 ,$449.82 ,$449.82 ,$506.94 ,$714.00 ,$606.90 , N/A ,$571.20 ,$264.18 ,$571.20 , N/A , N/A ,$714.00 ,$386.99 , N/A ,$187.78 , N/A , N/A , N/A , N/A , N/A ,$606.90 , N/A ,$272.75 ,$199.92 ,$642.60 ,$514.08 ,$714.00 ,$449.82 ,$449.82 ,$449.82 , N/A ,$342.72 ,$642.60 ST. JOHN'S HOSPITAL,36100028,47383,HC ABLATION TUMOR LIVER CRYOABLATION,361,1 ,"$19,580.00 ","$12,727.00 ","$4,561.16 ","$19,580.00 ","$12,159.58 ","$5,500.00 ","$10,612.36 ","$4,863.83 ","$5,482.40 ","$5,541.14 ","$4,863.83 ","$6,343.92 ","$4,863.83 ","$6,520.14 ","$6,520.14 ","$4,863.83 ","$6,520.14 ","$9,241.28 ","$10,299.08 ","$9,790.00 ","$12,159.57 ","$4,863.83 ","$13,706.00 ","$4,863.83 ","$9,790.00 ","$4,961.11 ","$14,685.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$4,863.83 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$19,580.00 ","$16,643.00 ","$12,159.57 ","$15,664.00 ","$7,244.60 ","$15,664.00 ","$4,863.83 ","$4,863.83 ","$19,580.00 ","$10,612.36 ","$4,863.83 ","$5,149.54 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ","$5,107.02 ","$16,643.00 ","$10,943.62 ","$6,520.14 ","$5,482.40 ","$17,622.00 ","$14,097.60 ","$19,580.00 ","$9,391.00 ","$12,335.40 ","$12,335.40 ","$4,863.83 ","$9,398.40 ","$17,622.00 " ST. JOHN'S HOSPITAL,36100034,55876,HC PLACE DEVICE/MARKER PROSTATE,361,1 ,$678.00 ,$440.70 ,$178.31 ,"$3,034.60 ","$3,034.60 ",$678.00 ,$367.48 ,"$1,213.84 ",$189.84 ,$216.96 ,"$1,213.84 ",$249.50 ,$678.00 ,$259.00 ,$259.00 ,$678.00 ,$259.00 ,$678.00 ,$356.63 ,$339.00 ,"$3,034.59 ","$1,213.84 ",$474.60 ,"$1,213.84 ",$339.00 ,$678.00 ,$508.50 ,$302.39 ,$271.88 ,$302.39 ,"$1,213.84 ",$302.39 ,$427.14 ,$427.14 ,$481.38 ,$678.00 ,$576.30 ,$678.00 ,$542.40 ,$250.86 ,$542.40 ,"$1,213.84 ","$1,213.84 ",$678.00 ,$367.48 ,"$1,213.84 ",$178.31 , N/A , N/A ,$678.00 ,"$1,463.76 ","$1,274.53 ",$576.30 ,"$2,731.13 ",$259.00 ,$189.84 ,$610.20 ,$488.16 ,$678.00 ,$427.14 ,$427.14 ,$427.14 ,"$1,213.84 ",$325.44 ,$610.20 ST. JOHN'S HOSPITAL,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,"$3,280.00 ","$2,132.00 ",$862.64 ,"$4,116.01 ","$4,116.00 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$918.40 ,"$1,049.60 ","$1,646.40 ","$1,207.04 ","$1,646.40 ","$1,252.96 ","$1,252.96 ","$1,646.40 ","$1,252.96 ","$3,128.17 ","$1,725.28 ","$1,640.00 ","$4,116.01 ","$1,646.40 ","$2,296.00 ","$1,646.40 ","$1,640.00 ","$1,679.33 ","$2,460.00 ","$1,462.88 ","$1,315.28 ","$1,462.88 ","$1,646.40 ","$1,462.88 ","$2,066.40 ","$2,066.40 ","$2,328.80 ","$3,280.00 ","$2,788.00 ","$3,280.00 ","$2,624.00 ","$1,213.60 ","$2,624.00 ","$1,646.40 ","$1,646.40 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$862.64 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,788.00 ","$3,704.41 ","$1,252.96 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,066.40 ","$2,066.40 ","$2,066.40 ","$1,646.40 ","$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,"$3,280.00 ","$2,132.00 ",$862.64 ,"$4,116.01 ","$4,116.00 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$918.40 ,"$1,049.60 ","$1,646.40 ","$1,207.04 ","$1,646.40 ","$1,252.96 ","$1,252.96 ","$1,646.40 ","$1,252.96 ","$3,128.17 ","$1,725.28 ","$1,640.00 ","$4,116.01 ","$1,646.40 ","$2,296.00 ","$1,646.40 ","$1,640.00 ","$1,679.33 ","$2,460.00 ","$1,462.88 ","$1,315.28 ","$1,462.88 ","$1,646.40 ","$1,462.88 ","$2,066.40 ","$2,066.40 ","$2,328.80 ","$3,280.00 ","$2,788.00 ","$3,280.00 ","$2,624.00 ","$1,213.60 ","$2,624.00 ","$1,646.40 ","$1,646.40 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$862.64 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,788.00 ","$3,704.41 ","$1,252.96 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,066.40 ","$2,066.40 ","$2,066.40 ","$1,646.40 ","$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,"$2,386.00 ","$1,550.90 ",$627.52 ,"$2,386.00 ", N/A ,"$2,300.00 ","$1,293.21 ", N/A ,$668.08 ,$763.52 , N/A ,$878.05 , N/A ,$911.45 ,$911.45 , N/A ,$911.45 , N/A ,"$1,255.04 ","$1,193.00 ", N/A , N/A ,"$1,670.20 ", N/A ,"$1,193.00 ", N/A ,"$1,789.50 ","$1,064.16 ",$956.79 ,"$1,064.16 ", N/A ,"$1,064.16 ","$1,503.18 ","$1,503.18 ","$1,694.06 ","$2,386.00 ","$2,028.10 ", N/A ,"$1,908.80 ",$882.82 ,"$1,908.80 ", N/A , N/A ,"$2,386.00 ","$1,293.21 ", N/A ,$627.52 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,028.10 ", N/A ,$911.45 ,$668.08 ,"$2,147.40 ","$1,717.92 ","$2,386.00 ","$1,503.18 ","$1,503.18 ","$1,503.18 ", N/A ,"$1,145.28 ","$2,147.40 " ST. JOHN'S HOSPITAL,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,"$2,386.00 ","$1,550.90 ",$627.52 ,"$2,386.00 ", N/A ,"$2,300.00 ","$1,293.21 ", N/A ,$668.08 ,$763.52 , N/A ,$878.05 , N/A ,$911.45 ,$911.45 , N/A ,$911.45 , N/A ,"$1,255.04 ","$1,193.00 ", N/A , N/A ,"$1,670.20 ", N/A ,"$1,193.00 ", N/A ,"$1,789.50 ","$1,064.16 ",$956.79 ,"$1,064.16 ", N/A ,"$1,064.16 ","$1,503.18 ","$1,503.18 ","$1,694.06 ","$2,386.00 ","$2,028.10 ", N/A ,"$1,908.80 ",$882.82 ,"$1,908.80 ", N/A , N/A ,"$2,386.00 ","$1,293.21 ", N/A ,$627.52 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,028.10 ", N/A ,$911.45 ,$668.08 ,"$2,147.40 ","$1,717.92 ","$2,386.00 ","$1,503.18 ","$1,503.18 ","$1,503.18 ", N/A ,"$1,145.28 ","$2,147.40 " ST. JOHN'S HOSPITAL,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$3,514.00 ","$2,284.10 ",$924.18 ,"$8,461.91 ","$8,461.90 ","$3,400.00 ","$1,904.59 ","$3,384.76 ",$983.92 ,"$1,124.48 ","$3,384.76 ","$1,293.15 ","$3,384.76 ","$1,342.35 ","$1,342.35 ","$3,384.76 ","$1,342.35 ","$3,514.00 ","$1,848.36 ","$1,757.00 ","$8,461.91 ","$3,384.76 ","$2,459.80 ","$3,384.76 ","$1,757.00 ","$3,452.46 ","$2,635.50 ","$1,567.24 ","$1,409.11 ","$1,567.24 ","$3,384.76 ","$1,567.24 ","$2,213.82 ","$2,213.82 ","$2,494.94 ","$3,514.00 ","$2,986.90 ","$3,514.00 ","$2,811.20 ","$1,300.18 ","$2,811.20 ","$3,384.76 ","$3,384.76 ","$3,514.00 ","$1,904.59 ","$3,384.76 ",$924.18 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$3,554.00 ","$2,986.90 ","$7,615.72 ","$1,342.35 ",$983.92 ,"$3,162.60 ","$2,530.08 ","$3,514.00 ","$2,213.82 ","$2,213.82 ","$2,213.82 ","$3,384.76 ","$1,686.72 ","$3,162.60 " ST. JOHN'S HOSPITAL,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$3,514.00 ","$2,284.10 ",$924.18 ,"$8,461.91 ","$8,461.90 ","$3,400.00 ","$1,904.59 ","$3,384.76 ",$983.92 ,"$1,124.48 ","$3,384.76 ","$1,293.15 ","$3,384.76 ","$1,342.35 ","$1,342.35 ","$3,384.76 ","$1,342.35 ","$3,514.00 ","$1,848.36 ","$1,757.00 ","$8,461.91 ","$3,384.76 ","$2,459.80 ","$3,384.76 ","$1,757.00 ","$3,452.46 ","$2,635.50 ","$1,567.24 ","$1,409.11 ","$1,567.24 ","$3,384.76 ","$1,567.24 ","$2,213.82 ","$2,213.82 ","$2,494.94 ","$3,514.00 ","$2,986.90 ","$3,514.00 ","$2,811.20 ","$1,300.18 ","$2,811.20 ","$3,384.76 ","$3,384.76 ","$3,514.00 ","$1,904.59 ","$3,384.76 ",$924.18 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$3,554.00 ","$2,986.90 ","$7,615.72 ","$1,342.35 ",$983.92 ,"$3,162.60 ","$2,530.08 ","$3,514.00 ","$2,213.82 ","$2,213.82 ","$2,213.82 ","$3,384.76 ","$1,686.72 ","$3,162.60 " ST. JOHN'S HOSPITAL,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,"$2,670.00 ","$1,735.50 ",$702.21 ,"$2,670.00 ", N/A ,"$2,300.00 ","$1,447.14 ", N/A ,$747.60 ,$854.40 , N/A ,$982.56 , N/A ,"$1,019.94 ","$1,019.94 ", N/A ,"$1,019.94 ", N/A ,"$1,404.42 ","$1,335.00 ", N/A , N/A ,"$1,869.00 ", N/A ,"$1,335.00 ", N/A ,"$2,002.50 ","$1,190.82 ","$1,070.67 ","$1,190.82 ", N/A ,"$1,190.82 ","$1,682.10 ","$1,682.10 ","$1,895.70 ","$2,670.00 ","$2,269.50 ", N/A ,"$2,136.00 ",$987.90 ,"$2,136.00 ", N/A , N/A ,"$2,670.00 ","$1,447.14 ", N/A ,$702.21 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,269.50 ", N/A ,"$1,019.94 ",$747.60 ,"$2,403.00 ","$1,922.40 ","$2,670.00 ","$1,682.10 ","$1,682.10 ","$1,682.10 ", N/A ,"$1,281.60 ","$2,403.00 " ST. JOHN'S HOSPITAL,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,"$2,670.00 ","$1,735.50 ",$702.21 ,"$2,670.00 ", N/A ,"$2,300.00 ","$1,447.14 ", N/A ,$747.60 ,$854.40 , N/A ,$982.56 , N/A ,"$1,019.94 ","$1,019.94 ", N/A ,"$1,019.94 ", N/A ,"$1,404.42 ","$1,335.00 ", N/A , N/A ,"$1,869.00 ", N/A ,"$1,335.00 ", N/A ,"$2,002.50 ","$1,190.82 ","$1,070.67 ","$1,190.82 ", N/A ,"$1,190.82 ","$1,682.10 ","$1,682.10 ","$1,895.70 ","$2,670.00 ","$2,269.50 ", N/A ,"$2,136.00 ",$987.90 ,"$2,136.00 ", N/A , N/A ,"$2,670.00 ","$1,447.14 ", N/A ,$702.21 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,269.50 ", N/A ,"$1,019.94 ",$747.60 ,"$2,403.00 ","$1,922.40 ","$2,670.00 ","$1,682.10 ","$1,682.10 ","$1,682.10 ", N/A ,"$1,281.60 ","$2,403.00 " ST. JOHN'S HOSPITAL,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,"$3,280.00 ","$2,132.00 ",$862.64 ,"$4,116.01 ","$4,116.00 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$918.40 ,"$1,049.60 ","$1,646.40 ","$1,207.04 ","$1,646.40 ","$1,252.96 ","$1,252.96 ","$1,646.40 ","$1,252.96 ","$3,128.17 ","$1,725.28 ","$1,640.00 ","$4,116.01 ","$1,646.40 ","$2,296.00 ","$1,646.40 ","$1,640.00 ","$1,679.33 ","$2,460.00 ","$1,462.88 ","$1,315.28 ","$1,462.88 ","$1,646.40 ","$1,462.88 ","$2,066.40 ","$2,066.40 ","$2,328.80 ","$3,280.00 ","$2,788.00 ","$3,280.00 ","$2,624.00 ","$1,213.60 ","$2,624.00 ","$1,646.40 ","$1,646.40 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$862.64 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,788.00 ","$3,704.41 ","$1,252.96 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,066.40 ","$2,066.40 ","$2,066.40 ","$1,646.40 ","$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,"$3,280.00 ","$2,132.00 ",$862.64 ,"$4,116.01 ","$4,116.00 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$918.40 ,"$1,049.60 ","$1,646.40 ","$1,207.04 ","$1,646.40 ","$1,252.96 ","$1,252.96 ","$1,646.40 ","$1,252.96 ","$3,128.17 ","$1,725.28 ","$1,640.00 ","$4,116.01 ","$1,646.40 ","$2,296.00 ","$1,646.40 ","$1,640.00 ","$1,679.33 ","$2,460.00 ","$1,462.88 ","$1,315.28 ","$1,462.88 ","$1,646.40 ","$1,462.88 ","$2,066.40 ","$2,066.40 ","$2,328.80 ","$3,280.00 ","$2,788.00 ","$3,280.00 ","$2,624.00 ","$1,213.60 ","$2,624.00 ","$1,646.40 ","$1,646.40 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$862.64 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,788.00 ","$3,704.41 ","$1,252.96 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,066.40 ","$2,066.40 ","$2,066.40 ","$1,646.40 ","$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,"$2,386.00 ","$1,550.90 ",$627.52 ,"$2,386.00 ", N/A ,"$2,300.00 ","$1,293.21 ", N/A ,$668.08 ,$763.52 , N/A ,$878.05 , N/A ,$911.45 ,$911.45 , N/A ,$911.45 , N/A ,"$1,255.04 ","$1,193.00 ", N/A , N/A ,"$1,670.20 ", N/A ,"$1,193.00 ", N/A ,"$1,789.50 ","$1,064.16 ",$956.79 ,"$1,064.16 ", N/A ,"$1,064.16 ","$1,503.18 ","$1,503.18 ","$1,694.06 ","$2,386.00 ","$2,028.10 ", N/A ,"$1,908.80 ",$882.82 ,"$1,908.80 ", N/A , N/A ,"$2,386.00 ","$1,293.21 ", N/A ,$627.52 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,028.10 ", N/A ,$911.45 ,$668.08 ,"$2,147.40 ","$1,717.92 ","$2,386.00 ","$1,503.18 ","$1,503.18 ","$1,503.18 ", N/A ,"$1,145.28 ","$2,147.40 " ST. JOHN'S HOSPITAL,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,"$2,386.00 ","$1,550.90 ",$627.52 ,"$2,386.00 ", N/A ,"$2,300.00 ","$1,293.21 ", N/A ,$668.08 ,$763.52 , N/A ,$878.05 , N/A ,$911.45 ,$911.45 , N/A ,$911.45 , N/A ,"$1,255.04 ","$1,193.00 ", N/A , N/A ,"$1,670.20 ", N/A ,"$1,193.00 ", N/A ,"$1,789.50 ","$1,064.16 ",$956.79 ,"$1,064.16 ", N/A ,"$1,064.16 ","$1,503.18 ","$1,503.18 ","$1,694.06 ","$2,386.00 ","$2,028.10 ", N/A ,"$1,908.80 ",$882.82 ,"$1,908.80 ", N/A , N/A ,"$2,386.00 ","$1,293.21 ", N/A ,$627.52 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,028.10 ", N/A ,$911.45 ,$668.08 ,"$2,147.40 ","$1,717.92 ","$2,386.00 ","$1,503.18 ","$1,503.18 ","$1,503.18 ", N/A ,"$1,145.28 ","$2,147.40 " ST. JOHN'S HOSPITAL,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$3,514.00 ","$2,284.10 ",$924.18 ,"$4,116.01 ","$4,116.00 ","$3,400.00 ","$1,904.59 ","$1,646.40 ",$983.92 ,"$1,124.48 ","$1,646.40 ","$1,293.15 ","$1,646.40 ","$1,342.35 ","$1,342.35 ","$1,646.40 ","$1,342.35 ","$3,128.17 ","$1,848.36 ","$1,757.00 ","$4,116.01 ","$1,646.40 ","$2,459.80 ","$1,646.40 ","$1,757.00 ","$1,679.33 ","$2,635.50 ","$1,567.24 ","$1,409.11 ","$1,567.24 ","$1,646.40 ","$1,567.24 ","$2,213.82 ","$2,213.82 ","$2,494.94 ","$3,514.00 ","$2,986.90 ","$3,514.00 ","$2,811.20 ","$1,300.18 ","$2,811.20 ","$1,646.40 ","$1,646.40 ","$3,514.00 ","$1,904.59 ","$1,646.40 ",$924.18 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,986.90 ","$3,704.41 ","$1,342.35 ",$983.92 ,"$3,162.60 ","$2,530.08 ","$3,514.00 ","$2,213.82 ","$2,213.82 ","$2,213.82 ","$1,646.40 ","$1,686.72 ","$3,162.60 " ST. JOHN'S HOSPITAL,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$3,514.00 ","$2,284.10 ",$924.18 ,"$4,116.01 ","$4,116.00 ","$3,400.00 ","$1,904.59 ","$1,646.40 ",$983.92 ,"$1,124.48 ","$1,646.40 ","$1,293.15 ","$1,646.40 ","$1,342.35 ","$1,342.35 ","$1,646.40 ","$1,342.35 ","$3,128.17 ","$1,848.36 ","$1,757.00 ","$4,116.01 ","$1,646.40 ","$2,459.80 ","$1,646.40 ","$1,757.00 ","$1,679.33 ","$2,635.50 ","$1,567.24 ","$1,409.11 ","$1,567.24 ","$1,646.40 ","$1,567.24 ","$2,213.82 ","$2,213.82 ","$2,494.94 ","$3,514.00 ","$2,986.90 ","$3,514.00 ","$2,811.20 ","$1,300.18 ","$2,811.20 ","$1,646.40 ","$1,646.40 ","$3,514.00 ","$1,904.59 ","$1,646.40 ",$924.18 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,986.90 ","$3,704.41 ","$1,342.35 ",$983.92 ,"$3,162.60 ","$2,530.08 ","$3,514.00 ","$2,213.82 ","$2,213.82 ","$2,213.82 ","$1,646.40 ","$1,686.72 ","$3,162.60 " ST. JOHN'S HOSPITAL,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,"$2,670.00 ","$1,735.50 ",$702.21 ,"$2,670.00 ", N/A ,"$2,300.00 ","$1,447.14 ", N/A ,$747.60 ,$854.40 , N/A ,$982.56 , N/A ,"$1,019.94 ","$1,019.94 ", N/A ,"$1,019.94 ", N/A ,"$1,404.42 ","$1,335.00 ", N/A , N/A ,"$1,869.00 ", N/A ,"$1,335.00 ", N/A ,"$2,002.50 ","$1,190.82 ","$1,070.67 ","$1,190.82 ", N/A ,"$1,190.82 ","$1,682.10 ","$1,682.10 ","$1,895.70 ","$2,670.00 ","$2,269.50 ", N/A ,"$2,136.00 ",$987.90 ,"$2,136.00 ", N/A , N/A ,"$2,670.00 ","$1,447.14 ", N/A ,$702.21 , N/A , N/A ,"$1,660.60 ","$1,585.12 ", N/A ,"$2,269.50 ", N/A ,"$1,019.94 ",$747.60 ,"$2,403.00 ","$1,922.40 ","$2,670.00 ","$1,682.10 ","$1,682.10 ","$1,682.10 ", N/A ,"$1,281.60 ","$2,403.00 " ST. JOHN'S HOSPITAL,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$999.00 ,$649.35 ,$251.14 ,$999.00 ,$627.85 ,$999.00 ,$541.46 ,$251.14 ,$279.72 ,$319.68 ,$251.14 ,$367.63 ,$251.14 ,$381.62 ,$381.62 ,$251.14 ,$381.62 ,$477.17 ,$525.47 ,$499.50 ,$627.85 ,$251.14 ,$699.30 ,$251.14 ,$499.50 ,$256.16 ,$749.25 ,$445.55 ,$400.60 ,$445.55 ,$251.14 ,$445.55 ,$629.37 ,$629.37 ,$709.29 ,$999.00 ,$849.15 ,$627.85 ,$799.20 ,$369.63 ,$799.20 ,$251.14 ,$251.14 ,$999.00 ,$541.46 ,$251.14 ,$262.74 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$849.15 ,$565.07 ,$381.62 ,$279.72 ,$899.10 ,$719.28 ,$999.00 ,$629.37 ,$629.37 ,$629.37 ,$251.14 ,$479.52 ,$899.10 ST. JOHN'S HOSPITAL,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$999.00 ,$649.35 ,$251.14 ,$999.00 ,$627.85 ,$999.00 ,$541.46 ,$251.14 ,$279.72 ,$319.68 ,$251.14 ,$367.63 ,$251.14 ,$381.62 ,$381.62 ,$251.14 ,$381.62 ,$477.17 ,$525.47 ,$499.50 ,$627.85 ,$251.14 ,$699.30 ,$251.14 ,$499.50 ,$256.16 ,$749.25 ,$445.55 ,$400.60 ,$445.55 ,$251.14 ,$445.55 ,$629.37 ,$629.37 ,$709.29 ,$999.00 ,$849.15 ,$627.85 ,$799.20 ,$369.63 ,$799.20 ,$251.14 ,$251.14 ,$999.00 ,$541.46 ,$251.14 ,$262.74 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$849.15 ,$565.07 ,$381.62 ,$279.72 ,$899.10 ,$719.28 ,$999.00 ,$629.37 ,$629.37 ,$629.37 ,$251.14 ,$479.52 ,$899.10 ST. JOHN'S HOSPITAL,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,"$1,098.00 ",$713.70 ,$251.14 ,"$1,098.00 ",$627.85 ,"$1,098.00 ",$595.12 ,$251.14 ,$307.44 ,$351.36 ,$251.14 ,$404.06 ,$251.14 ,$419.44 ,$419.44 ,$251.14 ,$419.44 ,$477.17 ,$577.55 ,$549.00 ,$627.85 ,$251.14 ,$768.60 ,$251.14 ,$549.00 ,$256.16 ,$823.50 ,$489.71 ,$440.30 ,$489.71 ,$251.14 ,$489.71 ,$691.74 ,$691.74 ,$779.58 ,"$1,098.00 ",$933.30 ,$627.85 ,$878.40 ,$406.26 ,$878.40 ,$251.14 ,$251.14 ,"$1,098.00 ",$595.12 ,$251.14 ,$288.77 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$933.30 ,$565.07 ,$419.44 ,$307.44 ,$988.20 ,$790.56 ,"$1,098.00 ",$691.74 ,$691.74 ,$691.74 ,$251.14 ,$527.04 ,$988.20 ST. JOHN'S HOSPITAL,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,"$1,098.00 ",$713.70 ,$251.14 ,"$1,098.00 ",$627.85 ,"$1,098.00 ",$595.12 ,$251.14 ,$307.44 ,$351.36 ,$251.14 ,$404.06 ,$251.14 ,$419.44 ,$419.44 ,$251.14 ,$419.44 ,$477.17 ,$577.55 ,$549.00 ,$627.85 ,$251.14 ,$768.60 ,$251.14 ,$549.00 ,$256.16 ,$823.50 ,$489.71 ,$440.30 ,$489.71 ,$251.14 ,$489.71 ,$691.74 ,$691.74 ,$779.58 ,"$1,098.00 ",$933.30 ,$627.85 ,$878.40 ,$406.26 ,$878.40 ,$251.14 ,$251.14 ,"$1,098.00 ",$595.12 ,$251.14 ,$288.77 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$933.30 ,$565.07 ,$419.44 ,$307.44 ,$988.20 ,$790.56 ,"$1,098.00 ",$691.74 ,$691.74 ,$691.74 ,$251.14 ,$527.04 ,$988.20 ST. JOHN'S HOSPITAL,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,"$1,165.00 ",$757.25 ,$251.14 ,"$1,165.00 ",$627.85 ,"$1,165.00 ",$631.43 ,$251.14 ,$326.20 ,$372.80 ,$251.14 ,$428.72 ,$251.14 ,$445.03 ,$445.03 ,$251.14 ,$445.03 ,$477.17 ,$612.79 ,$582.50 ,$627.85 ,$251.14 ,$815.50 ,$251.14 ,$582.50 ,$256.16 ,$873.75 ,$519.59 ,$467.17 ,$519.59 ,$251.14 ,$519.59 ,$733.95 ,$733.95 ,$827.15 ,"$1,165.00 ",$990.25 ,$627.85 ,$932.00 ,$431.05 ,$932.00 ,$251.14 ,$251.14 ,"$1,165.00 ",$631.43 ,$251.14 ,$306.40 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$990.25 ,$565.07 ,$445.03 ,$326.20 ,"$1,048.50 ",$838.80 ,"$1,165.00 ",$733.95 ,$733.95 ,$733.95 ,$251.14 ,$559.20 ,"$1,048.50 " ST. JOHN'S HOSPITAL,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,"$1,165.00 ",$757.25 ,$251.14 ,"$1,165.00 ",$627.85 ,"$1,165.00 ",$631.43 ,$251.14 ,$326.20 ,$372.80 ,$251.14 ,$428.72 ,$251.14 ,$445.03 ,$445.03 ,$251.14 ,$445.03 ,$477.17 ,$612.79 ,$582.50 ,$627.85 ,$251.14 ,$815.50 ,$251.14 ,$582.50 ,$256.16 ,$873.75 ,$519.59 ,$467.17 ,$519.59 ,$251.14 ,$519.59 ,$733.95 ,$733.95 ,$827.15 ,"$1,165.00 ",$990.25 ,$627.85 ,$932.00 ,$431.05 ,$932.00 ,$251.14 ,$251.14 ,"$1,165.00 ",$631.43 ,$251.14 ,$306.40 , N/A , N/A ,$339.35 ,$323.93 ,$263.70 ,$990.25 ,$565.07 ,$445.03 ,$326.20 ,"$1,048.50 ",$838.80 ,"$1,165.00 ",$733.95 ,$733.95 ,$733.95 ,$251.14 ,$559.20 ,"$1,048.50 " ST. JOHN'S HOSPITAL,36100069,29125,HC APPL SHRT ARM SPLNT STAT-LT,361,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$135.04 ,$108.39 ,$155.30 ,$108.39 ,$161.20 ,$161.20 ,$108.39 ,$161.20 ,$205.94 ,$221.97 ,$211.00 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A ,$264.20 ,$252.19 ,$113.81 ,$358.70 ,$243.87 ,$161.20 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$265.86 ,$265.86 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,36100070,29125,HC APPL SHRT ARM SPLNT STAT-RT,361,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$135.04 ,$108.39 ,$155.30 ,$108.39 ,$161.20 ,$161.20 ,$108.39 ,$161.20 ,$205.94 ,$221.97 ,$211.00 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A ,$264.20 ,$252.19 ,$113.81 ,$358.70 ,$243.87 ,$161.20 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$265.86 ,$265.86 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,36100092,N/A,HC BEDSIDE SURG PROC LEVEL 1,361,1 ,$835.00 ,$542.75 ,$219.61 ,$835.00 , N/A ,$384.10 ,$452.57 , N/A ,$233.80 ,$267.20 , N/A ,$307.28 , N/A ,$318.97 ,$318.97 , N/A ,$318.97 , N/A ,$439.21 , N/A , N/A , N/A ,$584.50 , N/A ,$417.50 , N/A ,$626.25 ,$372.41 ,$334.84 ,$372.41 , N/A ,$372.41 ,$526.05 ,$526.05 ,$592.85 ,$835.00 ,$709.75 , N/A ,$668.00 ,$308.95 ,$668.00 , N/A , N/A ,$835.00 ,$452.57 , N/A ,$219.61 , N/A , N/A , N/A , N/A , N/A ,$709.75 , N/A ,$318.97 ,$233.80 ,$751.50 ,$601.20 ,$835.00 ,$526.05 ,$526.05 ,$526.05 , N/A ,$400.80 ,$751.50 ST. JOHN'S HOSPITAL,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$2,778.00 ","$1,805.70 ",$440.08 ,"$2,778.00 ","$1,525.98 ","$2,300.00 ","$1,505.68 ",$610.39 ,$777.84 ,$888.96 ,$610.39 ,"$1,022.30 ",$610.39 ,"$1,061.20 ","$1,061.20 ",$610.39 ,"$1,061.20 ","$1,159.74 ","$1,461.23 ", N/A ,"$1,525.97 ",$610.39 ,"$1,944.60 ",$610.39 ,"$1,389.00 ",$622.59 ,"$2,083.50 ","$1,238.99 ","$1,113.98 ","$1,238.99 ",$610.39 ,"$1,238.99 ","$1,750.14 ","$1,750.14 ","$1,972.38 ","$2,778.00 ","$2,361.30 ","$1,525.97 ","$2,222.40 ","$1,027.86 ","$2,222.40 ",$610.39 ,$610.39 ,"$2,778.00 ","$1,505.68 ",$610.39 ,$730.61 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$2,361.30 ","$1,373.37 ","$1,061.20 ",$777.84 ,"$2,500.20 ","$2,000.16 ","$2,778.00 ","$1,750.14 ","$1,750.14 ","$1,750.14 ",$610.39 ,"$1,333.44 ","$2,500.20 " ST. JOHN'S HOSPITAL,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$2,831.00 ","$1,840.15 ",$440.08 ,"$2,831.00 ","$1,525.98 ","$2,300.00 ","$1,534.40 ",$610.39 ,$792.68 ,$905.92 ,$610.39 ,"$1,041.81 ",$610.39 ,"$1,081.44 ","$1,081.44 ",$610.39 ,"$1,081.44 ","$1,159.74 ","$1,489.11 ","$1,415.50 ","$1,525.97 ",$610.39 ,"$1,981.70 ",$610.39 ,"$1,415.50 ",$622.59 ,"$2,123.25 ","$1,262.63 ","$1,135.23 ","$1,262.63 ",$610.39 ,"$1,262.63 ","$1,783.53 ","$1,783.53 ","$2,010.01 ","$2,831.00 ","$2,406.35 ","$1,525.97 ","$2,264.80 ","$1,047.47 ","$2,264.80 ",$610.39 ,$610.39 ,"$2,831.00 ","$1,534.40 ",$610.39 ,$744.55 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$2,406.35 ","$1,373.37 ","$1,081.44 ",$792.68 ,"$2,547.90 ","$2,038.32 ","$2,831.00 ","$1,783.53 ","$1,783.53 ","$1,783.53 ",$610.39 ,"$1,358.88 ","$2,547.90 " ST. JOHN'S HOSPITAL,36100108,29445,HC APPL CAST LEG RIGID CONTACT -BIL,361,1 ,"$2,242.00 ","$1,457.30 ",$347.84 ,"$2,242.00 ",$869.60 ,"$1,031.32 ","$1,215.16 ",$347.84 ,$627.76 ,$717.44 ,$347.84 ,$825.06 ,$347.84 ,$856.44 ,$856.44 ,$347.84 ,$856.44 ,$660.89 ,"$1,179.29 ","$1,121.00 ",$869.60 ,$347.84 ,"$1,569.40 ",$347.84 ,"$1,121.00 ",$354.80 ,"$1,681.50 ",$999.93 ,$899.04 ,$999.93 ,$347.84 ,$999.93 ,"$1,412.46 ","$1,412.46 ","$1,591.82 ","$2,242.00 ","$1,905.70 ",$869.60 ,"$1,793.60 ",$829.54 ,"$1,793.60 ",$347.84 ,$347.84 ,"$2,242.00 ","$1,215.16 ",$347.84 ,$589.65 , N/A , N/A ,$511.27 ,$488.03 ,$365.23 ,"$1,905.70 ",$782.64 ,$856.44 ,$627.76 ,"$2,017.80 ","$1,614.24 ","$2,242.00 ","$1,412.46 ","$1,412.46 ","$1,412.46 ",$347.84 ,"$1,076.16 ","$2,017.80 " ST. JOHN'S HOSPITAL,36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,"$1,122.00 ",$729.30 ,$231.89 ,"$1,122.00 ",$579.73 ,$516.12 ,$608.12 ,$231.89 ,$314.16 ,$359.04 ,$231.89 ,$412.90 ,$231.89 ,$428.60 ,$428.60 ,$231.89 ,$428.60 ,$440.60 ,$590.17 ,$561.00 ,$579.73 ,$231.89 ,$785.40 ,$231.89 ,$561.00 ,$236.53 ,$841.50 ,$500.41 ,$449.92 ,$500.41 ,$231.89 ,$500.41 ,$706.86 ,$706.86 ,$796.62 ,"$1,122.00 ",$953.70 ,$579.73 ,$897.60 ,$415.14 ,$897.60 ,$231.89 ,$231.89 ,"$1,122.00 ",$608.12 ,$231.89 ,$295.09 , N/A , N/A ,$340.85 ,$325.35 ,$243.48 ,$953.70 ,$521.76 ,$428.60 ,$314.16 ,"$1,009.80 ",$807.84 ,"$1,122.00 ",$706.86 ,$706.86 ,$706.86 ,$231.89 ,$538.56 ,"$1,009.80 " ST. JOHN'S HOSPITAL,36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,"$1,122.00 ",$729.30 ,$231.89 ,"$1,122.00 ",$579.73 ,$516.12 ,$608.12 ,$231.89 ,$314.16 ,$359.04 ,$231.89 ,$412.90 ,$231.89 ,$428.60 ,$428.60 ,$231.89 ,$428.60 ,$440.60 ,$590.17 ,$561.00 ,$579.73 ,$231.89 ,$785.40 ,$231.89 ,$561.00 ,$236.53 ,$841.50 ,$500.41 ,$449.92 ,$500.41 ,$231.89 ,$500.41 ,$706.86 ,$706.86 ,$796.62 ,"$1,122.00 ",$953.70 ,$579.73 ,$897.60 ,$415.14 ,$897.60 ,$231.89 ,$231.89 ,"$1,122.00 ",$608.12 ,$231.89 ,$295.09 , N/A , N/A ,$340.85 ,$325.35 ,$243.48 ,$953.70 ,$521.76 ,$428.60 ,$314.16 ,"$1,009.80 ",$807.84 ,"$1,122.00 ",$706.86 ,$706.86 ,$706.86 ,$231.89 ,$538.56 ,"$1,009.80 " ST. JOHN'S HOSPITAL,36100117,90945,HC CONT RENAL REPLACMENT THERAPY INIT DAY,361,1 ,"$1,725.00 ","$1,121.25 ",$349.67 ,"$1,725.00 ",$874.18 ,$793.50 ,$934.95 ,$349.67 ,$483.00 ,$552.00 ,$349.67 ,$634.80 ,$349.67 ,$658.95 ,$658.95 ,$349.67 ,$658.95 ,$664.38 ,$907.35 , N/A ,$874.19 ,$349.67 ,"$1,207.50 ",$349.67 ,$862.50 ,$356.67 ,"$1,293.75 ",$769.35 ,$691.73 ,$769.35 ,$349.67 ,$769.35 ,"$1,086.75 ","$1,086.75 ","$1,224.75 ","$1,725.00 ","$1,466.25 ",$874.19 ,"$1,380.00 ",$638.25 ,"$1,380.00 ",$349.67 ,$349.67 ,"$1,725.00 ",$934.95 ,$349.67 ,$453.68 , N/A , N/A ,$987.81 ,$942.91 ,$367.15 ,"$1,466.25 ",$786.77 ,$658.95 ,$483.00 ,"$1,552.50 ","$1,242.00 ","$1,725.00 ","$1,086.75 ","$1,086.75 ","$1,086.75 ",$349.67 ,$828.00 ,"$1,552.50 " ST. JOHN'S HOSPITAL,36100118,90945,HC CONT RENAL REPLACMENT THERAPY SUBSQ DAY,361,1 ,"$1,321.00 ",$858.65 ,$347.42 ,"$1,321.00 ",$874.18 ,$607.66 ,$715.98 ,$349.67 ,$369.88 ,$422.72 ,$349.67 ,$486.13 ,$349.67 ,$504.62 ,$504.62 ,$349.67 ,$504.62 ,$664.38 ,$694.85 , N/A ,$874.19 ,$349.67 ,$924.70 ,$349.67 ,$660.50 ,$356.67 ,$990.75 ,$589.17 ,$529.72 ,$589.17 ,$349.67 ,$589.17 ,$832.23 ,$832.23 ,$937.91 ,"$1,321.00 ","$1,122.85 ",$874.19 ,"$1,056.80 ",$488.77 ,"$1,056.80 ",$349.67 ,$349.67 ,"$1,321.00 ",$715.98 ,$349.67 ,$347.42 , N/A , N/A ,$987.81 ,$942.91 ,$367.15 ,"$1,122.85 ",$786.77 ,$504.62 ,$369.88 ,"$1,188.90 ",$951.12 ,"$1,321.00 ",$832.23 ,$832.23 ,$832.23 ,$349.67 ,$634.08 ,"$1,188.90 " ST. JOHN'S HOSPITAL,36100134,31653,HC BRONCHOSCOPY US W/GUID SAMPLE 3+ NDS,361,1 ,"$8,555.00 ","$5,560.75 ","$1,732.44 ","$8,555.00 ","$7,443.90 ","$3,400.00 ","$4,636.81 ","$2,977.56 ","$2,395.40 ","$2,737.60 ","$2,977.56 ","$3,148.24 ","$2,977.56 ","$3,268.01 ","$3,268.01 ","$2,977.56 ","$3,268.01 ","$5,657.37 ","$4,499.93 ","$3,351.00 ","$7,443.90 ","$2,977.56 ","$5,988.50 ","$2,977.56 ","$4,277.50 ","$3,037.11 ","$6,416.25 ","$3,815.53 ","$3,430.56 ","$3,815.53 ","$2,977.56 ","$3,815.53 ","$5,389.65 ","$5,389.65 ","$6,074.05 ","$8,555.00 ","$7,271.75 ","$7,443.90 ","$6,844.00 ","$3,165.35 ","$6,844.00 ","$2,977.56 ","$2,977.56 ","$8,555.00 ","$4,636.81 ","$2,977.56 ","$2,249.97 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$3,126.44 ","$7,271.75 ","$6,699.51 ","$3,268.01 ","$2,395.40 ","$7,699.50 ","$6,159.60 ","$8,555.00 ","$5,389.65 ","$5,389.65 ","$5,389.65 ","$2,977.56 ","$4,106.40 ","$7,699.50 " ST. JOHN'S HOSPITAL,36100135,31625,HC BRONCHOSCOPY BX SGL/MULT SITES,361,1 ,"$3,688.00 ","$2,397.20 ",$969.94 ,"$3,688.00 ","$3,595.38 ","$3,400.00 ","$1,998.90 ","$1,438.15 ","$1,032.64 ","$1,180.16 ","$1,438.15 ","$1,357.18 ","$1,438.15 ","$1,408.82 ","$1,408.82 ","$1,438.15 ","$1,408.82 ","$2,732.49 ","$1,939.89 ","$1,536.00 ","$3,595.38 ","$1,438.15 ","$2,581.60 ","$1,438.15 ","$1,844.00 ","$1,466.92 ","$2,766.00 ","$1,644.85 ","$1,478.89 ","$1,644.85 ","$1,438.15 ","$1,644.85 ","$2,323.44 ","$2,323.44 ","$2,618.48 ","$3,688.00 ","$3,134.80 ","$3,595.38 ","$2,950.40 ","$1,364.56 ","$2,950.40 ","$1,438.15 ","$1,438.15 ","$3,688.00 ","$1,998.90 ","$1,438.15 ",$969.94 , N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$3,134.80 ","$3,235.85 ","$1,408.82 ","$1,032.64 ","$3,319.20 ","$2,655.36 ","$3,688.00 ","$2,323.44 ","$2,323.44 ","$2,323.44 ","$1,438.15 ","$1,770.24 ","$3,319.20 " ST. JOHN'S HOSPITAL,36100136,31627,HC BRONCHOSCOPY NAVAGATIONAL,361,1 ,"$5,000.00 ","$3,250.00 ","$1,315.00 ","$5,000.00 ", N/A ,"$2,300.00 ","$2,710.00 ", N/A ,"$1,400.00 ","$1,600.00 ", N/A ,"$1,840.00 ", N/A ,"$1,910.00 ","$1,910.00 ", N/A ,"$1,910.00 ", N/A ,"$2,630.00 ","$2,500.00 ", N/A , N/A ,"$3,500.00 ", N/A ,"$2,500.00 ", N/A ,"$3,750.00 ","$2,230.00 ","$2,005.00 ","$2,230.00 ", N/A ,"$2,230.00 ","$3,150.00 ","$3,150.00 ","$3,550.00 ","$5,000.00 ","$4,250.00 ", N/A ,"$4,000.00 ","$1,850.00 ","$4,000.00 ", N/A , N/A ,"$5,000.00 ","$2,710.00 ", N/A ,"$1,315.00 ", N/A , N/A , N/A , N/A , N/A ,"$4,250.00 ", N/A ,"$1,910.00 ","$1,400.00 ","$4,500.00 ","$3,600.00 ","$5,000.00 ","$3,150.00 ","$3,150.00 ","$3,150.00 ", N/A ,"$2,400.00 ","$4,500.00 " ST. JOHN'S HOSPITAL,36100137,31629,HC BRONCHOSCOPY W/ASP BX TRANSHC BRONCH,361,1 ,"$4,134.00 ","$2,687.10 ","$1,087.24 ","$7,443.90 ","$7,443.90 ","$3,400.00 ","$2,240.63 ","$2,977.56 ","$1,157.52 ","$1,322.88 ","$2,977.56 ","$1,521.31 ","$2,977.56 ","$1,579.19 ","$1,579.19 ","$2,977.56 ","$1,579.19 ","$4,134.00 ","$2,174.48 ","$1,536.00 ","$7,443.90 ","$2,977.56 ","$2,893.80 ","$2,977.56 ","$2,067.00 ","$3,037.11 ","$3,100.50 ","$1,843.76 ","$1,657.73 ","$1,843.76 ","$2,977.56 ","$1,843.76 ","$2,604.42 ","$2,604.42 ","$2,935.14 ","$4,134.00 ","$3,513.90 ","$4,134.00 ","$3,307.20 ","$1,529.58 ","$3,307.20 ","$2,977.56 ","$2,977.56 ","$4,134.00 ","$2,240.63 ","$2,977.56 ","$1,087.24 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$3,126.44 ","$3,513.90 ","$6,699.51 ","$1,579.19 ","$1,157.52 ","$3,720.60 ","$2,976.48 ","$4,134.00 ","$2,604.42 ","$2,604.42 ","$2,604.42 ","$2,977.56 ","$1,984.32 ","$3,720.60 " ST. JOHN'S HOSPITAL,36100138,31645,HC BRONCHOSCOPY W/ASP TREE INIT,361,1 ,"$4,134.00 ","$2,687.10 ","$1,087.24 ","$4,134.00 ","$3,595.38 ","$3,400.00 ","$2,240.63 ","$1,438.15 ","$1,157.52 ","$1,322.88 ","$1,438.15 ","$1,521.31 ","$1,438.15 ","$1,579.19 ","$1,579.19 ","$1,438.15 ","$1,579.19 ","$2,732.49 ","$2,174.48 ","$1,398.00 ","$3,595.38 ","$1,438.15 ","$2,893.80 ","$1,438.15 ","$2,067.00 ","$1,466.92 ","$3,100.50 ","$1,843.76 ","$1,657.73 ","$1,843.76 ","$1,438.15 ","$1,843.76 ","$2,604.42 ","$2,604.42 ","$2,935.14 ","$4,134.00 ","$3,513.90 ","$3,595.38 ","$3,307.20 ","$1,529.58 ","$3,307.20 ","$1,438.15 ","$1,438.15 ","$4,134.00 ","$2,240.63 ","$1,438.15 ","$1,087.24 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$3,513.90 ","$3,235.85 ","$1,579.19 ","$1,157.52 ","$3,720.60 ","$2,976.48 ","$4,134.00 ","$2,604.42 ","$2,604.42 ","$2,604.42 ","$1,438.15 ","$1,984.32 ","$3,720.60 " ST. JOHN'S HOSPITAL,36100139,31646,HC BRONCHOSCOPY W/ASP TREE SUBS,361,1 ,"$2,400.00 ","$1,560.00 ",$361.31 ,"$2,400.00 ",$903.28 ,"$2,300.00 ","$1,300.80 ",$361.31 ,$672.00 ,$768.00 ,$361.31 ,$883.20 ,$361.31 ,$916.80 ,$916.80 ,$361.31 ,$916.80 ,$686.49 ,"$1,262.40 ","$1,398.00 ",$903.27 ,$361.31 ,"$1,680.00 ",$361.31 ,"$1,200.00 ",$368.53 ,"$1,800.00 ","$1,070.40 ",$962.40 ,"$1,070.40 ",$361.31 ,"$1,070.40 ","$1,512.00 ","$1,512.00 ","$1,704.00 ","$2,400.00 ","$2,040.00 ",$903.27 ,"$1,920.00 ",$888.00 ,"$1,920.00 ",$361.31 ,$361.31 ,"$2,400.00 ","$1,300.80 ",$361.31 ,$631.20 , N/A , N/A ,"$1,814.93 ","$1,732.44 ",$379.38 ,"$2,040.00 ",$812.94 ,$916.80 ,$672.00 ,"$2,160.00 ","$1,728.00 ","$2,400.00 ","$1,512.00 ","$1,512.00 ","$1,512.00 ",$361.31 ,"$1,152.00 ","$2,160.00 " ST. JOHN'S HOSPITAL,36100140,31623,HC BRONCHOSCOPY W/BRUSHING,361,1 ,"$3,558.00 ","$2,312.70 ",$935.75 ,"$3,595.38 ","$3,595.38 ","$3,400.00 ","$1,928.44 ","$1,438.15 ",$996.24 ,"$1,138.56 ","$1,438.15 ","$1,309.34 ","$1,438.15 ","$1,359.16 ","$1,359.16 ","$1,438.15 ","$1,359.16 ","$2,732.49 ","$1,871.51 ","$1,536.00 ","$3,595.38 ","$1,438.15 ","$2,490.60 ","$1,438.15 ","$1,779.00 ","$1,466.92 ","$2,668.50 ","$1,586.87 ","$1,426.76 ","$1,586.87 ","$1,438.15 ","$1,586.87 ","$2,241.54 ","$2,241.54 ","$2,526.18 ","$3,558.00 ","$3,024.30 ","$3,558.00 ","$2,846.40 ","$1,316.46 ","$2,846.40 ","$1,438.15 ","$1,438.15 ","$3,558.00 ","$1,928.44 ","$1,438.15 ",$935.75 , N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$3,024.30 ","$3,235.85 ","$1,359.16 ",$996.24 ,"$3,202.20 ","$2,561.76 ","$3,558.00 ","$2,241.54 ","$2,241.54 ","$2,241.54 ","$1,438.15 ","$1,707.84 ","$3,202.20 " ST. JOHN'S HOSPITAL,36100141,31628,HC BRONCHOSCOPY W/BX TRANSHC BRONCH SGL,361,1 ,"$4,134.00 ","$2,687.10 ","$1,087.24 ","$7,443.90 ","$7,443.90 ","$3,400.00 ","$2,240.63 ","$2,977.56 ","$1,157.52 ","$1,322.88 ","$2,977.56 ","$1,521.31 ","$2,977.56 ","$1,579.19 ","$1,579.19 ","$2,977.56 ","$1,579.19 ","$4,134.00 ","$2,174.48 ","$1,536.00 ","$7,443.90 ","$2,977.56 ","$2,893.80 ","$2,977.56 ","$2,067.00 ","$3,037.11 ","$3,100.50 ","$1,843.76 ","$1,657.73 ","$1,843.76 ","$2,977.56 ","$1,843.76 ","$2,604.42 ","$2,604.42 ","$2,935.14 ","$4,134.00 ","$3,513.90 ","$4,134.00 ","$3,307.20 ","$1,529.58 ","$3,307.20 ","$2,977.56 ","$2,977.56 ","$4,134.00 ","$2,240.63 ","$2,977.56 ","$1,087.24 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$3,126.44 ","$3,513.90 ","$6,699.51 ","$1,579.19 ","$1,157.52 ","$3,720.60 ","$2,976.48 ","$4,134.00 ","$2,604.42 ","$2,604.42 ","$2,604.42 ","$2,977.56 ","$1,984.32 ","$3,720.60 " ST. JOHN'S HOSPITAL,36100143,31624,HC BRONCHOSCOPY W/LAVAGE ALVEOLAR,361,1 ,"$3,558.00 ","$2,312.70 ",$935.75 ,"$3,595.38 ","$3,595.38 ","$3,400.00 ","$1,928.44 ","$1,438.15 ",$996.24 ,"$1,138.56 ","$1,438.15 ","$1,309.34 ","$1,438.15 ","$1,359.16 ","$1,359.16 ","$1,438.15 ","$1,359.16 ","$2,732.49 ","$1,871.51 ","$1,536.00 ","$3,595.38 ","$1,438.15 ","$2,490.60 ","$1,438.15 ","$1,779.00 ","$1,466.92 ","$2,668.50 ","$1,586.87 ","$1,426.76 ","$1,586.87 ","$1,438.15 ","$1,586.87 ","$2,241.54 ","$2,241.54 ","$2,526.18 ","$3,558.00 ","$3,024.30 ","$3,558.00 ","$2,846.40 ","$1,316.46 ","$2,846.40 ","$1,438.15 ","$1,438.15 ","$3,558.00 ","$1,928.44 ","$1,438.15 ",$935.75 , N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$3,024.30 ","$3,235.85 ","$1,359.16 ",$996.24 ,"$3,202.20 ","$2,561.76 ","$3,558.00 ","$2,241.54 ","$2,241.54 ","$2,241.54 ","$1,438.15 ","$1,707.84 ","$3,202.20 " ST. JOHN'S HOSPITAL,36100146,51720,HC INSTILL ANTICARCINOG BLADDER,361,1 ,$665.00 ,$432.25 ,$174.90 ,"$1,086.19 ",$639.48 ,$305.90 ,$360.43 ,$255.79 ,$186.20 ,$212.80 ,$255.79 ,$244.72 ,$255.79 ,$254.03 ,$254.03 ,$255.79 ,$254.03 ,$486.00 ,$349.79 ,$332.50 ,$639.47 ,$255.79 ,$465.50 ,$255.79 ,$332.50 ,$260.91 ,$498.75 ,$296.59 ,$266.67 ,$296.59 ,$255.79 ,$296.59 ,$418.95 ,$418.95 ,$472.15 ,$665.00 ,$565.25 ,$639.47 ,$532.00 ,$246.05 ,$532.00 ,$255.79 ,$255.79 ,$665.00 ,$360.43 ,$255.79 ,$174.90 , N/A , N/A ,$665.00 ,"$1,086.19 ",$268.58 ,$565.25 ,$575.53 ,$254.03 ,$186.20 ,$598.50 ,$478.80 ,$665.00 ,$418.95 ,$418.95 ,$418.95 ,$255.79 ,$319.20 ,$598.50 ST. JOHN'S HOSPITAL,36100150,36511,HC WBC APHERESIS THERAPY,361,1 ,"$7,774.00 ","$5,053.10 ","$1,311.11 ","$7,774.00 ","$3,277.78 ","$3,400.00 ","$4,213.51 ","$1,311.11 ","$2,176.72 ","$2,487.68 ","$1,311.11 ","$2,860.83 ","$1,311.11 ","$2,969.67 ","$2,969.67 ","$1,311.11 ","$2,969.67 ","$2,491.11 ","$4,089.12 ","$3,351.00 ","$3,277.78 ","$1,311.11 ","$5,441.80 ","$1,311.11 ","$3,887.00 ","$1,337.33 ","$5,830.50 ","$3,467.20 ","$3,117.37 ","$3,467.20 ","$1,311.11 ","$3,467.20 ","$4,897.62 ","$4,897.62 ","$5,519.54 ","$7,774.00 ","$6,607.90 ","$3,277.78 ","$6,219.20 ","$2,876.38 ","$6,219.20 ","$1,311.11 ","$1,311.11 ","$7,774.00 ","$4,213.51 ","$1,311.11 ","$2,044.56 ", N/A , N/A ,"$2,711.04 ","$2,587.81 ","$1,376.67 ","$6,607.90 ","$2,950.00 ","$2,969.67 ","$2,176.72 ","$6,996.60 ","$5,597.28 ","$7,774.00 ","$4,897.62 ","$4,897.62 ","$4,897.62 ","$1,311.11 ","$3,731.52 ","$6,996.60 " ST. JOHN'S HOSPITAL,36100151,36512,HC RBC APHERESIS THERAPY,361,1 ,"$7,774.00 ","$5,053.10 ","$1,311.11 ","$7,774.00 ","$3,277.78 ","$3,400.00 ","$4,213.51 ","$1,311.11 ","$2,176.72 ","$2,487.68 ","$1,311.11 ","$2,860.83 ","$1,311.11 ","$2,969.67 ","$2,969.67 ","$1,311.11 ","$2,969.67 ","$2,491.11 ","$4,089.12 ","$3,351.00 ","$3,277.78 ","$1,311.11 ","$5,441.80 ","$1,311.11 ","$3,887.00 ","$1,337.33 ","$5,830.50 ","$3,467.20 ","$3,117.37 ","$3,467.20 ","$1,311.11 ","$3,467.20 ","$4,897.62 ","$4,897.62 ","$5,519.54 ","$7,774.00 ","$6,607.90 ","$3,277.78 ","$6,219.20 ","$2,876.38 ","$6,219.20 ","$1,311.11 ","$1,311.11 ","$7,774.00 ","$4,213.51 ","$1,311.11 ","$2,044.56 ", N/A , N/A ,"$2,711.04 ","$2,587.81 ","$1,376.67 ","$6,607.90 ","$2,950.00 ","$2,969.67 ","$2,176.72 ","$6,996.60 ","$5,597.28 ","$7,774.00 ","$4,897.62 ","$4,897.62 ","$4,897.62 ","$1,311.11 ","$3,731.52 ","$6,996.60 " ST. JOHN'S HOSPITAL,36100152,36513,HC PLATELET PHERESIS THERAPY,361,1 ,"$7,774.00 ","$5,053.10 ",$381.53 ,"$7,774.00 ",$953.83 ,"$3,400.00 ","$4,213.51 ",$381.53 ,"$2,176.72 ","$2,487.68 ",$381.53 ,"$2,860.83 ",$381.53 ,"$2,969.67 ","$2,969.67 ",$381.53 ,"$2,969.67 ",$724.91 ,"$4,089.12 ","$3,351.00 ",$953.84 ,$381.53 ,"$5,441.80 ",$381.53 ,"$3,887.00 ",$389.16 ,"$5,830.50 ","$3,467.20 ","$3,117.37 ","$3,467.20 ",$381.53 ,"$3,467.20 ","$4,897.62 ","$4,897.62 ","$5,519.54 ","$7,774.00 ","$6,607.90 ",$953.84 ,"$6,219.20 ","$2,876.38 ","$6,219.20 ",$381.53 ,$381.53 ,"$7,774.00 ","$4,213.51 ",$381.53 ,"$2,044.56 ", N/A , N/A ,$695.90 ,$664.27 ,$400.61 ,"$6,607.90 ",$858.45 ,"$2,969.67 ","$2,176.72 ","$6,996.60 ","$5,597.28 ","$7,774.00 ","$4,897.62 ","$4,897.62 ","$4,897.62 ",$381.53 ,"$3,731.52 ","$6,996.60 " ST. JOHN'S HOSPITAL,36100153,36514,HC PLASMA PHERESIS THERAPY,361,1 ,"$7,774.00 ","$5,053.10 ","$1,311.11 ","$7,774.00 ","$3,277.78 ","$3,400.00 ","$4,213.51 ","$1,311.11 ","$2,176.72 ","$2,487.68 ","$1,311.11 ","$2,860.83 ","$1,311.11 ","$2,969.67 ","$2,969.67 ","$1,311.11 ","$2,969.67 ","$2,491.11 ","$4,089.12 ","$3,351.00 ","$3,277.78 ","$1,311.11 ","$5,441.80 ","$1,311.11 ","$3,887.00 ","$1,337.33 ","$5,830.50 ","$3,467.20 ","$3,117.37 ","$3,467.20 ","$1,311.11 ","$3,467.20 ","$4,897.62 ","$4,897.62 ","$5,519.54 ","$7,774.00 ","$6,607.90 ","$3,277.78 ","$6,219.20 ","$2,876.38 ","$6,219.20 ","$1,311.11 ","$1,311.11 ","$7,774.00 ","$4,213.51 ","$1,311.11 ","$2,044.56 ", N/A , N/A ,"$2,711.04 ","$2,587.81 ","$1,376.67 ","$6,607.90 ","$2,950.00 ","$2,969.67 ","$2,176.72 ","$6,996.60 ","$5,597.28 ","$7,774.00 ","$4,897.62 ","$4,897.62 ","$4,897.62 ","$1,311.11 ","$3,731.52 ","$6,996.60 " ST. JOHN'S HOSPITAL,36100158,20983,HC ABLATION TUMOR BONE PERC W/GUIDANCE CRYO,361,1 ,"$24,245.00 ","$15,759.25 ","$2,879.34 ","$24,245.00 ","$15,052.25 ","$3,400.00 ","$13,140.79 ","$6,020.90 ","$6,788.60 ","$6,861.34 ","$6,020.90 ","$7,855.38 ","$6,020.90 ","$8,073.59 ","$8,073.59 ","$6,020.90 ","$8,073.59 ","$11,439.72 ","$12,752.87 ","$12,122.50 ","$15,052.26 ","$6,020.90 ","$16,971.50 ","$6,020.90 ","$12,122.50 ","$6,141.32 ","$18,183.75 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$6,020.90 ","$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$24,245.00 ","$20,608.25 ","$15,052.26 ","$19,396.00 ","$8,970.65 ","$19,396.00 ","$6,020.90 ","$6,020.90 ","$24,245.00 ","$13,140.79 ","$6,020.90 ","$6,376.44 ", N/A , N/A ,"$3,016.45 ","$2,879.34 ","$6,321.95 ","$20,608.25 ","$13,547.03 ","$8,073.59 ","$6,788.60 ","$21,820.50 ","$17,456.40 ","$24,245.00 ","$9,391.00 ","$15,274.35 ","$15,274.35 ","$6,020.90 ","$11,637.60 ","$21,820.50 " ST. JOHN'S HOSPITAL,36100159,50391,HC INSTILL RX AGENT RENAL PELVIS/URETER TUBE,361,1 ,"$3,427.00 ","$2,227.55 ",$255.79 ,"$3,427.00 ",$639.48 ,"$2,300.00 ","$1,857.43 ",$255.79 ,$959.56 ,"$1,096.64 ",$255.79 ,"$1,261.14 ",$255.79 ,"$1,309.11 ","$1,309.11 ",$255.79 ,"$1,309.11 ",$486.00 ,"$1,802.60 ","$1,713.50 ",$639.47 ,$255.79 ,"$2,398.90 ",$255.79 ,"$1,713.50 ",$260.91 ,"$2,570.25 ","$1,528.44 ","$1,374.23 ","$1,528.44 ",$255.79 ,"$1,528.44 ","$2,159.01 ","$2,159.01 ","$2,433.17 ","$3,427.00 ","$2,912.95 ",$639.47 ,"$2,741.60 ","$1,267.99 ","$2,741.60 ",$255.79 ,$255.79 ,"$3,427.00 ","$1,857.43 ",$255.79 ,$901.30 , N/A , N/A ,"$1,137.92 ","$1,086.19 ",$268.58 ,"$2,912.95 ",$575.53 ,"$1,309.11 ",$959.56 ,"$3,084.30 ","$2,467.44 ","$3,427.00 ","$2,159.01 ","$2,159.01 ","$2,159.01 ",$255.79 ,"$1,644.96 ","$3,084.30 " ST. JOHN'S HOSPITAL,36100160,10022,HC ASP FINE NDL W/IMAGING GUIDE,361,1 ,"$1,246.00 ",$809.90 ,$327.70 ,"$1,246.00 ", N/A ,$573.16 ,$675.33 , N/A ,$348.88 ,$398.72 , N/A ,$458.53 , N/A ,$475.97 ,$475.97 , N/A ,$475.97 , N/A ,$655.40 ,$623.00 , N/A , N/A ,$872.20 , N/A ,$623.00 , N/A ,$934.50 ,$555.72 ,$499.65 ,$555.72 , N/A ,$555.72 ,$784.98 ,$784.98 ,$884.66 ,"$1,246.00 ","$1,059.10 ", N/A ,$996.80 ,$461.02 ,$996.80 , N/A , N/A ,"$1,246.00 ",$675.33 , N/A ,$327.70 , N/A , N/A , N/A , N/A , N/A ,"$1,059.10 ", N/A ,$475.97 ,$348.88 ,"$1,121.40 ",$897.12 ,"$1,246.00 ",$784.98 ,$784.98 ,$784.98 , N/A ,$598.08 ,"$1,121.40 " ST. JOHN'S HOSPITAL,36100161,19296,HC PLACE RADIOTHERAPY CATH BREAST,361,1 ,"$12,245.00 ","$7,959.25 ","$2,824.08 ","$21,427.38 ","$21,427.38 ","$5,500.00 ","$6,636.79 ","$8,570.95 ","$3,428.60 ","$3,918.40 ","$8,570.95 ","$4,506.16 ","$8,570.95 ","$4,677.59 ","$4,677.59 ","$8,570.95 ","$4,677.59 ","$12,245.00 ","$6,440.87 ","$6,122.50 ","$21,427.38 ","$8,570.95 ","$8,571.50 ","$8,570.95 ","$6,122.50 ","$8,742.37 ","$9,183.75 ","$5,461.27 ","$4,910.25 ","$5,461.27 ","$8,570.95 ","$5,461.27 ","$7,714.35 ","$7,714.35 ","$8,693.95 ","$12,245.00 ","$10,408.25 ","$12,245.00 ","$9,796.00 ","$4,530.65 ","$9,796.00 ","$8,570.95 ","$8,570.95 ","$12,245.00 ","$6,636.79 ","$8,570.95 ","$3,220.44 ", N/A , N/A ,"$2,958.56 ","$2,824.08 ","$8,999.50 ","$10,408.25 ","$19,284.64 ","$4,677.59 ","$3,428.60 ","$11,020.50 ","$8,816.40 ","$12,245.00 ","$7,714.35 ","$7,714.35 ","$7,714.35 ","$8,570.95 ","$5,877.60 ","$11,020.50 " ST. JOHN'S HOSPITAL,36100163,32701,HC THORACIC STEREO RAD THRPY W/TX,361,1 ,"$1,952.00 ","$1,268.80 ",$513.38 ,"$1,952.00 ", N/A ,$897.92 ,"$1,057.98 ", N/A ,$546.56 ,$624.64 , N/A ,$718.34 , N/A ,$745.66 ,$745.66 , N/A ,$745.66 , N/A ,"$1,026.75 ",$976.00 , N/A , N/A ,"$1,366.40 ", N/A ,$976.00 , N/A ,"$1,464.00 ",$870.59 ,$782.75 ,$870.59 , N/A ,$870.59 ,"$1,229.76 ","$1,229.76 ","$1,385.92 ","$1,952.00 ","$1,659.20 ", N/A ,"$1,561.60 ",$722.24 ,"$1,561.60 ", N/A , N/A ,"$1,952.00 ","$1,057.98 ", N/A ,$513.38 , N/A , N/A , N/A , N/A , N/A ,"$1,659.20 ", N/A ,$745.66 ,$546.56 ,"$1,756.80 ","$1,405.44 ","$1,952.00 ","$1,229.76 ","$1,229.76 ","$1,229.76 ", N/A ,$936.96 ,"$1,756.80 " ST. JOHN'S HOSPITAL,36100164,N/A,HC BEDSIDE SURG PROC LEVEL 2,361,1 ,"$1,673.00 ","$1,087.45 ",$440.00 ,"$1,673.00 ", N/A ,$769.58 ,$906.77 , N/A ,$468.44 ,$535.36 , N/A ,$615.66 , N/A ,$639.09 ,$639.09 , N/A ,$639.09 , N/A ,$880.00 , N/A , N/A , N/A ,"$1,171.10 ", N/A ,$836.50 , N/A ,"$1,254.75 ",$746.16 ,$670.87 ,$746.16 , N/A ,$746.16 ,"$1,053.99 ","$1,053.99 ","$1,187.83 ","$1,673.00 ","$1,422.05 ", N/A ,"$1,338.40 ",$619.01 ,"$1,338.40 ", N/A , N/A ,"$1,673.00 ",$906.77 , N/A ,$440.00 , N/A , N/A , N/A , N/A , N/A ,"$1,422.05 ", N/A ,$639.09 ,$468.44 ,"$1,505.70 ","$1,204.56 ","$1,673.00 ","$1,053.99 ","$1,053.99 ","$1,053.99 ", N/A ,$803.04 ,"$1,505.70 " ST. JOHN'S HOSPITAL,36100165,N/A,HC BEDSIDE SURG PROC LEVEL 3,361,1 ,"$2,507.00 ","$1,629.55 ",$659.34 ,"$2,507.00 ", N/A ,"$1,153.22 ","$1,358.79 ", N/A ,$701.96 ,$802.24 , N/A ,$922.58 , N/A ,$957.67 ,$957.67 , N/A ,$957.67 , N/A ,"$1,318.68 ", N/A , N/A , N/A ,"$1,754.90 ", N/A ,"$1,253.50 ", N/A ,"$1,880.25 ","$1,118.12 ","$1,005.31 ","$1,118.12 ", N/A ,"$1,118.12 ","$1,579.41 ","$1,579.41 ","$1,779.97 ","$2,507.00 ","$2,130.95 ", N/A ,"$2,005.60 ",$927.59 ,"$2,005.60 ", N/A , N/A ,"$2,507.00 ","$1,358.79 ", N/A ,$659.34 , N/A , N/A , N/A , N/A , N/A ,"$2,130.95 ", N/A ,$957.67 ,$701.96 ,"$2,256.30 ","$1,805.04 ","$2,507.00 ","$1,579.41 ","$1,579.41 ","$1,579.41 ", N/A ,"$1,203.36 ","$2,256.30 " ST. JOHN'S HOSPITAL,36100166,N/A,HC BEDSIDE SURG PROC LEVEL 4,361,1 ,"$3,342.00 ","$2,172.30 ",$878.95 ,"$3,342.00 ", N/A ,"$1,537.32 ","$1,811.36 ", N/A ,$935.76 ,"$1,069.44 ", N/A ,"$1,229.86 ", N/A ,"$1,276.64 ","$1,276.64 ", N/A ,"$1,276.64 ", N/A ,"$1,757.89 ", N/A , N/A , N/A ,"$2,339.40 ", N/A ,"$1,671.00 ", N/A ,"$2,506.50 ","$1,490.53 ","$1,340.14 ","$1,490.53 ", N/A ,"$1,490.53 ","$2,105.46 ","$2,105.46 ","$2,372.82 ","$3,342.00 ","$2,840.70 ", N/A ,"$2,673.60 ","$1,236.54 ","$2,673.60 ", N/A , N/A ,"$3,342.00 ","$1,811.36 ", N/A ,$878.95 , N/A , N/A , N/A , N/A , N/A ,"$2,840.70 ", N/A ,"$1,276.64 ",$935.76 ,"$3,007.80 ","$2,406.24 ","$3,342.00 ","$2,105.46 ","$2,105.46 ","$2,105.46 ", N/A ,"$1,604.16 ","$3,007.80 " ST. JOHN'S HOSPITAL,36100167,N/A,HC BEDSIDE SURG PROC LEVEL 5,361,1 ,"$4,180.00 ","$2,717.00 ","$1,099.34 ","$4,180.00 ", N/A ,"$1,922.80 ","$2,265.56 ", N/A ,"$1,170.40 ","$1,337.60 ", N/A ,"$1,538.24 ", N/A ,"$1,596.76 ","$1,596.76 ", N/A ,"$1,596.76 ", N/A ,"$2,198.68 ", N/A , N/A , N/A ,"$2,926.00 ", N/A ,"$2,090.00 ", N/A ,"$3,135.00 ","$1,864.28 ","$1,676.18 ","$1,864.28 ", N/A ,"$1,864.28 ","$2,633.40 ","$2,633.40 ","$2,967.80 ","$4,180.00 ","$3,553.00 ", N/A ,"$3,344.00 ","$1,546.60 ","$3,344.00 ", N/A , N/A ,"$4,180.00 ","$2,265.56 ", N/A ,"$1,099.34 ", N/A , N/A , N/A , N/A , N/A ,"$3,553.00 ", N/A ,"$1,596.76 ","$1,170.40 ","$3,762.00 ","$3,009.60 ","$4,180.00 ","$2,633.40 ","$2,633.40 ","$2,633.40 ", N/A ,"$2,006.40 ","$3,762.00 " ST. JOHN'S HOSPITAL,36100168,N/A,HC VIA MONITOR PROCEDURE,361,1 ,"$1,544.00 ","$1,003.60 ",$406.07 ,"$1,544.00 ", N/A ,$710.24 ,$836.85 , N/A ,$432.32 ,$494.08 , N/A ,$568.19 , N/A ,$589.81 ,$589.81 , N/A ,$589.81 , N/A ,$812.14 , N/A , N/A , N/A ,"$1,080.80 ", N/A ,$772.00 , N/A ,"$1,158.00 ",$688.62 ,$619.14 ,$688.62 , N/A ,$688.62 ,$972.72 ,$972.72 ,"$1,096.24 ","$1,544.00 ","$1,312.40 ", N/A ,"$1,235.20 ",$571.28 ,"$1,235.20 ", N/A , N/A ,"$1,544.00 ",$836.85 , N/A ,$406.07 , N/A , N/A , N/A , N/A , N/A ,"$1,312.40 ", N/A ,$589.81 ,$432.32 ,"$1,389.60 ","$1,111.68 ","$1,544.00 ",$972.72 ,$972.72 ,$972.72 , N/A ,$741.12 ,"$1,389.60 " ST. JOHN'S HOSPITAL,36100169,36600,HC BLOOD DRAW ARTERIAL CATHETER ACCESS,361,1 ,$250.00 ,$162.50 ,$48.51 ,$270.98 ,$270.98 ,$115.00 ,$135.50 ,$108.39 ,$70.00 ,$80.00 ,$108.39 ,$92.00 ,$108.39 ,$95.50 ,$95.50 ,$108.39 ,$95.50 ,$205.94 ,$131.50 ,$125.00 ,$270.97 ,$108.39 ,$175.00 ,$108.39 ,$125.00 ,$110.56 ,$187.50 ,$111.50 ,$100.25 ,$111.50 ,$108.39 ,$111.50 ,$157.50 ,$157.50 ,$177.50 ,$250.00 ,$212.50 ,$250.00 ,$200.00 ,$92.50 ,$200.00 ,$108.39 ,$108.39 ,$250.00 ,$135.50 ,$108.39 ,$65.75 , N/A , N/A ,$50.82 ,$48.51 ,$113.81 ,$212.50 ,$243.87 ,$95.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$157.50 ,$157.50 ,$157.50 ,$108.39 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,36100170,37799,HC REMOVE MATERIAL PERIPH VESSEL QW/ANGIO,361,1 ,"$17,630.00 ","$11,459.50 ",$141.92 ,"$17,630.00 ","$1,298.95 ","$3,400.00 ","$9,555.46 ",$519.58 ,"$4,936.40 ","$5,641.60 ",$519.58 ,"$6,487.84 ",$519.58 ,"$5,870.79 ","$5,870.79 ",$519.58 ,"$5,870.79 ",$987.20 ,"$9,273.38 ","$8,815.00 ","$1,298.95 ",$519.58 ,"$12,341.00 ",$519.58 ,"$8,815.00 ",$529.97 ,"$13,222.50 ","$7,862.98 ","$7,069.63 ","$7,862.98 ",$519.58 ,"$7,862.98 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$17,630.00 ","$14,985.50 ","$1,298.95 ","$14,104.00 ","$6,523.10 ","$14,104.00 ",$519.58 ,$519.58 ,"$17,630.00 ","$9,555.46 ",$519.58 ,"$4,636.69 ", N/A , N/A ,$148.68 ,$141.92 ,$545.56 ,"$14,985.50 ","$1,169.06 ","$5,870.79 ","$4,936.40 ","$15,867.00 ","$12,693.60 ","$17,630.00 ","$9,391.00 ","$11,106.90 ","$11,106.90 ",$519.58 ,"$8,462.40 ","$15,867.00 " ST. JOHN'S HOSPITAL,36100174,45999,HC INSERT RECTAL TUBE,361,1 ,$823.00 ,$534.95 ,$216.45 ,"$1,907.06 ","$1,907.05 ",$823.00 ,$446.07 ,$762.82 ,$230.44 ,$263.36 ,$762.82 ,$302.86 ,$762.82 ,$314.39 ,$314.39 ,$762.82 ,$314.39 ,$823.00 ,$432.90 ,$411.50 ,"$1,907.06 ",$762.82 ,$576.10 ,$762.82 ,$411.50 ,$778.08 ,$617.25 ,$367.06 ,$330.02 ,$367.06 ,$762.82 ,$367.06 ,$518.49 ,$518.49 ,$584.33 ,$823.00 ,$699.55 ,$823.00 ,$658.40 ,$304.51 ,$658.40 ,$762.82 ,$762.82 ,$823.00 ,$446.07 ,$762.82 ,$216.45 , N/A , N/A ,$823.00 ,"$1,401.88 ",$800.96 ,$699.55 ,"$1,716.35 ",$314.39 ,$230.44 ,$740.70 ,$592.56 ,$823.00 ,$518.49 ,$518.49 ,$518.49 ,$762.82 ,$395.04 ,$740.70 ST. JOHN'S HOSPITAL,36100176,59074,HC FETAL FLUID DRAINAGE W/US GUIDANCE,361,1 ,"$2,048.00 ","$1,331.20 ",$271.10 ,"$2,048.00 ",$677.75 ,"$2,048.00 ","$1,110.02 ",$271.10 ,$573.44 ,$655.36 ,$271.10 ,$753.66 ,$271.10 ,$782.34 ,$782.34 ,$271.10 ,$782.34 ,$515.10 ,"$1,077.25 ","$1,024.00 ",$677.76 ,$271.10 ,"$1,433.60 ",$271.10 ,"$1,024.00 ",$276.53 ,"$1,536.00 ",$913.41 ,$821.25 ,$913.41 ,$271.10 ,$913.41 ,"$1,290.24 ","$1,290.24 ","$1,454.08 ","$2,048.00 ","$1,740.80 ",$677.76 ,"$1,638.40 ",$757.76 ,"$1,638.40 ",$271.10 ,$271.10 ,"$2,048.00 ","$1,110.02 ",$271.10 ,$538.62 , N/A , N/A , N/A , N/A ,$284.66 ,"$1,740.80 ",$609.98 ,$782.34 ,$573.44 ,"$1,843.20 ","$1,474.56 ","$2,048.00 ","$1,290.24 ","$1,290.24 ","$1,290.24 ",$271.10 ,$983.04 ,"$1,843.20 " ST. JOHN'S HOSPITAL,36100177,59076,HC FETAL SHUNT PLACEMENT W/US GUIDANCE,361,1 ,"$2,275.00 ","$1,478.75 ",$271.10 ,"$2,275.00 ",$677.75 ,"$2,275.00 ","$1,233.05 ",$271.10 ,$637.00 ,$728.00 ,$271.10 ,$837.20 ,$271.10 ,$869.05 ,$869.05 ,$271.10 ,$869.05 ,$515.10 ,"$1,196.65 ","$1,137.50 ",$677.76 ,$271.10 ,"$1,592.50 ",$271.10 ,"$1,137.50 ",$276.53 ,"$1,706.25 ","$1,014.65 ",$912.28 ,"$1,014.65 ",$271.10 ,"$1,014.65 ","$1,433.25 ","$1,433.25 ","$1,615.25 ","$2,275.00 ","$1,933.75 ",$677.76 ,"$1,820.00 ",$841.75 ,"$1,820.00 ",$271.10 ,$271.10 ,"$2,275.00 ","$1,233.05 ",$271.10 ,$598.33 , N/A , N/A , N/A , N/A ,$284.66 ,"$1,933.75 ",$609.98 ,$869.05 ,$637.00 ,"$2,047.50 ","$1,638.00 ","$2,275.00 ","$1,433.25 ","$1,433.25 ","$1,433.25 ",$271.10 ,"$1,092.00 ","$2,047.50 " ST. JOHN'S HOSPITAL,36100183,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$2,421.00 ","$1,573.65 ",$440.08 ,"$2,421.00 ","$1,525.98 ","$2,300.00 ","$1,312.18 ",$610.39 ,$677.88 ,$774.72 ,$610.39 ,$890.93 ,$610.39 ,$924.82 ,$924.82 ,$610.39 ,$924.82 ,"$1,159.74 ","$1,273.45 ", N/A ,"$1,525.97 ",$610.39 ,"$1,694.70 ",$610.39 ,"$1,210.50 ",$622.59 ,"$1,815.75 ","$1,079.77 ",$970.82 ,"$1,079.77 ",$610.39 ,"$1,079.77 ","$1,525.23 ","$1,525.23 ","$1,718.91 ","$2,421.00 ","$2,057.85 ","$1,525.97 ","$1,936.80 ",$895.77 ,"$1,936.80 ",$610.39 ,$610.39 ,"$2,421.00 ","$1,312.18 ",$610.39 ,$636.72 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$2,057.85 ","$1,373.37 ",$924.82 ,$677.88 ,"$2,178.90 ","$1,743.12 ","$2,421.00 ","$1,525.23 ","$1,525.23 ","$1,525.23 ",$610.39 ,"$1,162.08 ","$2,178.90 " ST. JOHN'S HOSPITAL,36100184,62324,HC INJ W/CATH CERV/THOR W/O GUIDE,361,1 ,"$3,008.00 ","$1,955.20 ",$791.10 ,"$3,008.00 ","$1,978.25 ","$2,300.00 ","$1,630.34 ",$791.30 ,$842.24 ,$962.56 ,$791.30 ,"$1,106.94 ",$791.30 ,"$1,149.06 ","$1,149.06 ",$791.30 ,"$1,149.06 ","$1,503.46 ","$1,582.21 ", N/A ,"$1,978.24 ",$791.30 ,"$2,105.60 ",$791.30 ,"$1,504.00 ",$807.12 ,"$2,256.00 ","$1,341.57 ","$1,206.21 ","$1,341.57 ",$791.30 ,"$1,341.57 ","$1,895.04 ","$1,895.04 ","$2,135.68 ","$3,008.00 ","$2,556.80 ","$1,978.24 ","$2,406.40 ","$1,112.96 ","$2,406.40 ",$791.30 ,$791.30 ,"$3,008.00 ","$1,630.34 ",$791.30 ,$791.10 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,556.80 ","$1,780.41 ","$1,149.06 ",$842.24 ,"$2,707.20 ","$2,165.76 ","$3,008.00 ","$1,895.04 ","$1,895.04 ","$1,895.04 ",$791.30 ,"$1,443.84 ","$2,707.20 " ST. JOHN'S HOSPITAL,36100185,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$3,008.00 ","$1,955.20 ",$791.10 ,"$3,008.00 ","$1,978.25 ","$2,300.00 ","$1,630.34 ",$791.30 ,$842.24 ,$962.56 ,$791.30 ,"$1,106.94 ",$791.30 ,"$1,149.06 ","$1,149.06 ",$791.30 ,"$1,149.06 ","$1,503.46 ","$1,582.21 ", N/A ,"$1,978.24 ",$791.30 ,"$2,105.60 ",$791.30 ,"$1,504.00 ",$807.12 ,"$2,256.00 ","$1,341.57 ","$1,206.21 ","$1,341.57 ",$791.30 ,"$1,341.57 ","$1,895.04 ","$1,895.04 ","$2,135.68 ","$3,008.00 ","$2,556.80 ","$1,978.24 ","$2,406.40 ","$1,112.96 ","$2,406.40 ",$791.30 ,$791.30 ,"$3,008.00 ","$1,630.34 ",$791.30 ,$791.10 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,556.80 ","$1,780.41 ","$1,149.06 ",$842.24 ,"$2,707.20 ","$2,165.76 ","$3,008.00 ","$1,895.04 ","$1,895.04 ","$1,895.04 ",$791.30 ,"$1,443.84 ","$2,707.20 " ST. JOHN'S HOSPITAL,36100189,64415,HC INTRASCALENE BLOCK SINGLE,361,1 ,"$1,840.00 ","$1,196.00 ",$440.08 ,"$1,978.25 ","$1,978.25 ","$1,840.00 ",$997.28 ,$791.30 ,$515.20 ,$588.80 ,$791.30 ,$677.12 ,$791.30 ,$702.88 ,$702.88 ,$791.30 ,$702.88 ,"$1,503.46 ",$967.84 ,"$1,398.00 ","$1,978.24 ",$791.30 ,"$1,288.00 ",$791.30 ,$920.00 ,$807.12 ,"$1,380.00 ",$820.64 ,$737.84 ,$820.64 ,$791.30 ,$820.64 ,"$1,159.20 ","$1,159.20 ","$1,306.40 ","$1,840.00 ","$1,564.00 ","$1,840.00 ","$1,472.00 ",$680.80 ,"$1,472.00 ",$791.30 ,$791.30 ,"$1,840.00 ",$997.28 ,$791.30 ,$483.92 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$1,564.00 ","$1,780.41 ",$702.88 ,$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ","$1,159.20 ","$1,159.20 ","$1,159.20 ",$791.30 ,$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,36100190,64417,HC NERVE BLOCK AXILLARY NERVE,361,1 ,"$1,840.00 ","$1,196.00 ",$440.08 ,"$1,978.25 ","$1,978.25 ","$1,840.00 ",$997.28 ,$791.30 ,$515.20 ,$588.80 ,$791.30 ,$677.12 ,$791.30 ,$702.88 ,$702.88 ,$791.30 ,$702.88 ,"$1,503.46 ",$967.84 ,"$1,398.00 ","$1,978.24 ",$791.30 ,"$1,288.00 ",$791.30 ,$920.00 ,$807.12 ,"$1,380.00 ",$820.64 ,$737.84 ,$820.64 ,$791.30 ,$820.64 ,"$1,159.20 ","$1,159.20 ","$1,306.40 ","$1,840.00 ","$1,564.00 ","$1,840.00 ","$1,472.00 ",$680.80 ,"$1,472.00 ",$791.30 ,$791.30 ,"$1,840.00 ",$997.28 ,$791.30 ,$483.92 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$1,564.00 ","$1,780.41 ",$702.88 ,$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ","$1,159.20 ","$1,159.20 ","$1,159.20 ",$791.30 ,$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,36100195,64445,HC NERVE BLOCK;SCIATIC SINGLE,361,1 ,"$3,314.00 ","$2,154.10 ",$440.08 ,"$3,314.00 ","$1,525.98 ","$2,300.00 ","$1,796.19 ",$610.39 ,$927.92 ,"$1,060.48 ",$610.39 ,"$1,219.55 ",$610.39 ,"$1,265.95 ","$1,265.95 ",$610.39 ,"$1,265.95 ","$1,159.74 ","$1,743.16 ","$1,657.00 ","$1,525.97 ",$610.39 ,"$2,319.80 ",$610.39 ,"$1,657.00 ",$622.59 ,"$2,485.50 ","$1,478.04 ","$1,328.91 ","$1,478.04 ",$610.39 ,"$1,478.04 ","$2,087.82 ","$2,087.82 ","$2,352.94 ","$3,314.00 ","$2,816.90 ","$1,525.97 ","$2,651.20 ","$1,226.18 ","$2,651.20 ",$610.39 ,$610.39 ,"$3,314.00 ","$1,796.19 ",$610.39 ,$871.58 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$2,816.90 ","$1,373.37 ","$1,265.95 ",$927.92 ,"$2,982.60 ","$2,386.08 ","$3,314.00 ","$2,087.82 ","$2,087.82 ","$2,087.82 ",$610.39 ,"$1,590.72 ","$2,982.60 " ST. JOHN'S HOSPITAL,36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$1,840.00 ","$1,196.00 ",$440.08 ,"$1,840.00 ","$1,525.98 ","$1,840.00 ",$997.28 ,$610.39 ,$515.20 ,$588.80 ,$610.39 ,$677.12 ,$610.39 ,$702.88 ,$702.88 ,$610.39 ,$702.88 ,"$1,159.74 ",$967.84 ,$920.00 ,"$1,525.97 ",$610.39 ,"$1,288.00 ",$610.39 ,$920.00 ,$622.59 ,"$1,380.00 ",$820.64 ,$737.84 ,$820.64 ,$610.39 ,$820.64 ,"$1,159.20 ","$1,159.20 ","$1,306.40 ","$1,840.00 ","$1,564.00 ","$1,525.97 ","$1,472.00 ",$680.80 ,"$1,472.00 ",$610.39 ,$610.39 ,"$1,840.00 ",$997.28 ,$610.39 ,$483.92 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,564.00 ","$1,373.37 ",$702.88 ,$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ","$1,159.20 ","$1,159.20 ","$1,159.20 ",$610.39 ,$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,36100197,64450,HC INJ ANES NERVE PERIPHERAL,361,1 ,"$1,396.00 ",$907.40 ,$367.15 ,"$1,525.98 ","$1,525.98 ","$1,396.00 ",$756.63 ,$610.39 ,$390.88 ,$446.72 ,$610.39 ,$513.73 ,$610.39 ,$533.27 ,$533.27 ,$610.39 ,$533.27 ,"$1,159.74 ",$734.30 ,$698.00 ,"$1,525.97 ",$610.39 ,$977.20 ,$610.39 ,$698.00 ,$622.59 ,"$1,047.00 ",$622.62 ,$559.80 ,$622.62 ,$610.39 ,$622.62 ,$879.48 ,$879.48 ,$991.16 ,"$1,396.00 ","$1,186.60 ","$1,396.00 ","$1,116.80 ",$516.52 ,"$1,116.80 ",$610.39 ,$610.39 ,"$1,396.00 ",$756.63 ,$610.39 ,$367.15 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,186.60 ","$1,373.37 ",$533.27 ,$390.88 ,"$1,256.40 ","$1,005.12 ","$1,396.00 ",$879.48 ,$879.48 ,$879.48 ,$610.39 ,$670.08 ,"$1,256.40 " ST. JOHN'S HOSPITAL,36100201,64486,HC TAP BLOCK W/INJ UNILTATERAL,361,1 ,"$1,396.00 ",$907.40 ,$367.15 ,"$1,396.00 ", N/A ,"$1,396.00 ",$756.63 , N/A ,$390.88 ,$446.72 , N/A ,$513.73 , N/A ,$533.27 ,$533.27 , N/A ,$533.27 , N/A ,$734.30 ,$698.00 , N/A , N/A ,$977.20 , N/A ,$698.00 , N/A ,"$1,047.00 ",$622.62 ,$559.80 ,$622.62 , N/A ,$622.62 ,$879.48 ,$879.48 ,$991.16 ,"$1,396.00 ","$1,186.60 ", N/A ,"$1,116.80 ",$516.52 ,"$1,116.80 ", N/A , N/A ,"$1,396.00 ",$756.63 , N/A ,$367.15 , N/A , N/A ,$461.03 ,$440.08 , N/A ,"$1,186.60 ", N/A ,$533.27 ,$390.88 ,"$1,256.40 ","$1,005.12 ","$1,396.00 ",$879.48 ,$879.48 ,$879.48 , N/A ,$670.08 ,"$1,256.40 " ST. JOHN'S HOSPITAL,36100202,64488,HC INJ TAP BLOCK W/GUIDE BILATERAL,361,1 ,"$2,092.00 ","$1,359.80 ",$440.08 ,"$2,092.00 ", N/A ,"$2,092.00 ","$1,133.86 ", N/A ,$585.76 ,$669.44 , N/A ,$769.86 , N/A ,$799.14 ,$799.14 , N/A ,$799.14 , N/A ,"$1,100.39 ","$1,046.00 ", N/A , N/A ,"$1,464.40 ", N/A ,"$1,046.00 ", N/A ,"$1,569.00 ",$933.03 ,$838.89 ,$933.03 , N/A ,$933.03 ,"$1,317.96 ","$1,317.96 ","$1,485.32 ","$2,092.00 ","$1,778.20 ", N/A ,"$1,673.60 ",$774.04 ,"$1,673.60 ", N/A , N/A ,"$2,092.00 ","$1,133.86 ", N/A ,$550.20 , N/A , N/A ,$461.03 ,$440.08 , N/A ,"$1,778.20 ", N/A ,$799.14 ,$585.76 ,"$1,882.80 ","$1,506.24 ","$2,092.00 ","$1,317.96 ","$1,317.96 ","$1,317.96 ", N/A ,"$1,004.16 ","$1,882.80 " ST. JOHN'S HOSPITAL,36100203,67229,HC TX RETINOPATHY PRETERM INFANT,361,1 ,"$1,243.00 ",$807.95 ,$326.91 ,"$1,243.00 ","$1,209.40 ","$1,243.00 ",$673.71 ,$483.76 ,$348.04 ,$397.76 ,$483.76 ,$457.42 ,$483.76 ,$474.83 ,$474.83 ,$483.76 ,$474.83 ,$919.14 ,$653.82 ,$621.50 ,"$1,209.40 ",$483.76 ,$870.10 ,$483.76 ,$621.50 ,$493.43 ,$932.25 ,$554.38 ,$498.44 ,$554.38 ,$483.76 ,$554.38 ,$783.09 ,$783.09 ,$882.53 ,"$1,243.00 ","$1,056.55 ","$1,209.40 ",$994.40 ,$459.91 ,$994.40 ,$483.76 ,$483.76 ,"$1,243.00 ",$673.71 ,$483.76 ,$326.91 , N/A , N/A ,$574.02 ,$547.93 ,$507.95 ,"$1,056.55 ","$1,088.46 ",$474.83 ,$348.04 ,"$1,118.70 ",$894.96 ,"$1,243.00 ",$783.09 ,$783.09 ,$783.09 ,$483.76 ,$596.64 ,"$1,118.70 " ST. JOHN'S HOSPITAL,36100206,N/A,HC DRESSING CHANGE COMPLICATED,361,1 ,$682.00 ,$443.30 ,$179.37 ,$682.00 , N/A ,$313.72 ,$369.64 , N/A ,$190.96 ,$218.24 , N/A ,$250.98 , N/A ,$260.52 ,$260.52 , N/A ,$260.52 , N/A ,$358.73 , N/A , N/A , N/A ,$477.40 , N/A ,$341.00 , N/A ,$511.50 ,$304.17 ,$273.48 ,$304.17 , N/A ,$304.17 ,$429.66 ,$429.66 ,$484.22 ,$682.00 ,$579.70 , N/A ,$545.60 ,$252.34 ,$545.60 , N/A , N/A ,$682.00 ,$369.64 , N/A ,$179.37 , N/A , N/A , N/A , N/A , N/A ,$579.70 , N/A ,$260.52 ,$190.96 ,$613.80 ,$491.04 ,$682.00 ,$429.66 ,$429.66 ,$429.66 , N/A ,$327.36 ,$613.80 ST. JOHN'S HOSPITAL,36100207,99184,HC THERAPEUTIC COOLING INITIAL DAY,940,1 ,"$9,122.00 ","$5,929.30 ",$403.00 ,"$9,122.00 ", N/A ,"$4,196.12 ","$4,944.12 ", N/A ,"$2,554.16 ","$2,919.04 ", N/A ,"$3,356.90 ", N/A ,"$3,484.60 ",$403.00 , N/A ,"$3,484.60 ", N/A ,"$4,798.17 ","$4,652.22 ", N/A , N/A ,"$6,385.40 ", N/A ,"$4,561.00 ", N/A ,"$6,841.50 ","$4,606.61 ","$4,150.51 ","$4,606.61 ", N/A ,"$4,606.61 ","$5,746.86 ","$5,746.86 ","$6,476.62 ","$9,122.00 ","$7,753.70 ", N/A ,"$7,297.60 ","$3,375.14 ","$7,297.60 ", N/A , N/A ,"$9,122.00 ","$4,944.12 ", N/A ,"$2,399.09 ", N/A , N/A , N/A , N/A , N/A ,"$7,753.70 ", N/A ,"$6,002.28 ","$2,554.16 ","$8,209.80 ","$6,567.84 ","$9,122.00 ","$5,746.86 ","$5,746.86 ","$5,746.86 ", N/A ,"$4,378.56 ","$8,209.80 " ST. JOHN'S HOSPITAL,36100209,N/A,HC TRANSDUCER INITIAL,361,1 ,"$2,786.00 ","$1,810.90 ",$732.72 ,"$2,786.00 ", N/A ,"$1,281.56 ","$1,510.01 ", N/A ,$780.08 ,$891.52 , N/A ,"$1,025.25 ", N/A ,"$1,064.25 ","$1,064.25 ", N/A ,"$1,064.25 ", N/A ,"$1,465.44 ", N/A , N/A , N/A ,"$1,950.20 ", N/A ,"$1,393.00 ", N/A ,"$2,089.50 ","$1,242.56 ","$1,117.19 ","$1,242.56 ", N/A ,"$1,242.56 ","$1,755.18 ","$1,755.18 ","$1,978.06 ","$2,786.00 ","$2,368.10 ", N/A ,"$2,228.80 ","$1,030.82 ","$2,228.80 ", N/A , N/A ,"$2,786.00 ","$1,510.01 ", N/A ,$732.72 , N/A , N/A , N/A , N/A , N/A ,"$2,368.10 ", N/A ,"$1,064.25 ",$780.08 ,"$2,507.40 ","$2,005.92 ","$2,786.00 ","$1,755.18 ","$1,755.18 ","$1,755.18 ", N/A ,"$1,337.28 ","$2,507.40 " ST. JOHN'S HOSPITAL,36100210,N/A,HC TRANSDUCER SUBSEQUENT,361,1 ,"$2,786.00 ","$1,810.90 ",$732.72 ,"$2,786.00 ", N/A ,"$1,281.56 ","$1,510.01 ", N/A ,$780.08 ,$891.52 , N/A ,"$1,025.25 ", N/A ,"$1,064.25 ","$1,064.25 ", N/A ,"$1,064.25 ", N/A ,"$1,465.44 ", N/A , N/A , N/A ,"$1,950.20 ", N/A ,"$1,393.00 ", N/A ,"$2,089.50 ","$1,242.56 ","$1,117.19 ","$1,242.56 ", N/A ,"$1,242.56 ","$1,755.18 ","$1,755.18 ","$1,978.06 ","$2,786.00 ","$2,368.10 ", N/A ,"$2,228.80 ","$1,030.82 ","$2,228.80 ", N/A , N/A ,"$2,786.00 ","$1,510.01 ", N/A ,$732.72 , N/A , N/A , N/A , N/A , N/A ,"$2,368.10 ", N/A ,"$1,064.25 ",$780.08 ,"$2,507.40 ","$2,005.92 ","$2,786.00 ","$1,755.18 ","$1,755.18 ","$1,755.18 ", N/A ,"$1,337.28 ","$2,507.40 " ST. JOHN'S HOSPITAL,36100211,N/A,HC CARDIAC DEFIBRILLATION,361,1 ,$782.00 ,$508.30 ,$205.67 ,$782.00 , N/A ,$359.72 ,$423.84 , N/A ,$218.96 ,$250.24 , N/A ,$287.78 , N/A ,$298.72 ,$298.72 , N/A ,$298.72 , N/A ,$411.33 , N/A , N/A , N/A ,$547.40 , N/A ,$391.00 , N/A ,$586.50 ,$348.77 ,$313.58 ,$348.77 , N/A ,$348.77 ,$492.66 ,$492.66 ,$555.22 ,$782.00 ,$664.70 , N/A ,$625.60 ,$289.34 ,$625.60 , N/A , N/A ,$782.00 ,$423.84 , N/A ,$205.67 , N/A , N/A , N/A , N/A , N/A ,$664.70 , N/A ,$298.72 ,$218.96 ,$703.80 ,$563.04 ,$782.00 ,$492.66 ,$492.66 ,$492.66 , N/A ,$375.36 ,$703.80 ST. JOHN'S HOSPITAL,36100212,64510,HC INJECT STELLATE GANGLION-LT,361,1 ,"$3,028.00 ","$1,968.20 ",$791.30 ,"$3,028.00 ","$1,978.25 ","$2,300.00 ","$1,641.18 ",$791.30 ,$847.84 ,$968.96 ,$791.30 ,"$1,114.30 ",$791.30 ,"$1,156.70 ","$1,156.70 ",$791.30 ,"$1,156.70 ","$1,503.46 ","$1,592.73 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,119.60 ",$791.30 ,"$1,514.00 ",$807.12 ,"$2,271.00 ","$1,350.49 ","$1,214.23 ","$1,350.49 ",$791.30 ,"$1,350.49 ","$1,907.64 ","$1,907.64 ","$2,149.88 ","$3,028.00 ","$2,573.80 ","$1,978.24 ","$2,422.40 ","$1,120.36 ","$2,422.40 ",$791.30 ,$791.30 ,"$3,028.00 ","$1,641.18 ",$791.30 ,$796.36 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,573.80 ","$1,780.41 ","$1,156.70 ",$847.84 ,"$2,725.20 ","$2,180.16 ","$3,028.00 ","$1,907.64 ","$1,907.64 ","$1,907.64 ",$791.30 ,"$1,453.44 ","$2,725.20 " ST. JOHN'S HOSPITAL,36100213,64510,HC INJECT STELLATE GANGLION-RT,361,1 ,"$3,028.00 ","$1,968.20 ",$791.30 ,"$3,028.00 ","$1,978.25 ","$2,300.00 ","$1,641.18 ",$791.30 ,$847.84 ,$968.96 ,$791.30 ,"$1,114.30 ",$791.30 ,"$1,156.70 ","$1,156.70 ",$791.30 ,"$1,156.70 ","$1,503.46 ","$1,592.73 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,119.60 ",$791.30 ,"$1,514.00 ",$807.12 ,"$2,271.00 ","$1,350.49 ","$1,214.23 ","$1,350.49 ",$791.30 ,"$1,350.49 ","$1,907.64 ","$1,907.64 ","$2,149.88 ","$3,028.00 ","$2,573.80 ","$1,978.24 ","$2,422.40 ","$1,120.36 ","$2,422.40 ",$791.30 ,$791.30 ,"$3,028.00 ","$1,641.18 ",$791.30 ,$796.36 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,573.80 ","$1,780.41 ","$1,156.70 ",$847.84 ,"$2,725.20 ","$2,180.16 ","$3,028.00 ","$1,907.64 ","$1,907.64 ","$1,907.64 ",$791.30 ,"$1,453.44 ","$2,725.20 " ST. JOHN'S HOSPITAL,36100214,64510,HC INJECT STELLATE GANGLION-BIL,361,1 ,"$4,542.00 ","$2,952.30 ","$1,186.94 ","$4,542.00 ","$2,967.35 ","$3,450.00 ","$2,461.76 ","$1,186.94 ","$1,271.76 ","$1,453.44 ","$1,186.94 ","$1,671.46 ","$1,186.94 ","$1,735.04 ","$1,735.04 ","$1,186.94 ","$1,735.04 ","$2,255.19 ","$2,389.09 ","$1,398.00 ","$2,967.36 ","$1,186.94 ","$3,179.40 ","$1,186.94 ","$2,271.00 ","$1,210.68 ","$3,406.50 ","$2,025.73 ","$1,821.34 ","$2,025.73 ","$1,186.94 ","$2,025.73 ","$2,861.46 ","$2,861.46 ","$3,224.82 ","$4,542.00 ","$3,860.70 ","$2,967.36 ","$3,633.60 ","$1,680.54 ","$3,633.60 ","$1,186.94 ","$1,186.94 ","$4,542.00 ","$2,461.76 ","$1,186.94 ","$1,194.55 ", N/A , N/A ,"$1,254.22 ","$1,197.21 ","$1,246.29 ","$3,860.70 ","$2,670.62 ","$1,735.04 ","$1,271.76 ","$4,087.80 ","$3,270.24 ","$4,542.00 ","$2,861.46 ","$2,861.46 ","$2,861.46 ","$1,186.94 ","$2,180.16 ","$4,087.80 " ST. JOHN'S HOSPITAL,36100216,64520,HC INJ ANESTH NERVE BLOCK LUMB/THOR PARAVERTEBRAL-LT,361,1 ,"$3,028.00 ","$1,968.20 ",$791.30 ,"$3,028.00 ","$1,978.25 ","$2,300.00 ","$1,641.18 ",$791.30 ,$847.84 ,$968.96 ,$791.30 ,"$1,114.30 ",$791.30 ,"$1,156.70 ","$1,156.70 ",$791.30 ,"$1,156.70 ","$1,503.46 ","$1,592.73 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,119.60 ",$791.30 ,"$1,514.00 ",$807.12 ,"$2,271.00 ","$1,350.49 ","$1,214.23 ","$1,350.49 ",$791.30 ,"$1,350.49 ","$1,907.64 ","$1,907.64 ","$2,149.88 ","$3,028.00 ","$2,573.80 ","$1,978.24 ","$2,422.40 ","$1,120.36 ","$2,422.40 ",$791.30 ,$791.30 ,"$3,028.00 ","$1,641.18 ",$791.30 ,$796.36 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,573.80 ","$1,780.41 ","$1,156.70 ",$847.84 ,"$2,725.20 ","$2,180.16 ","$3,028.00 ","$1,907.64 ","$1,907.64 ","$1,907.64 ",$791.30 ,"$1,453.44 ","$2,725.20 " ST. JOHN'S HOSPITAL,36100217,64520,HC INJ ANESTH NERVE BLOCK LUMB/THOR PARAVERTEBRAL-RT,361,1 ,"$3,028.00 ","$1,968.20 ",$791.30 ,"$3,028.00 ","$1,978.25 ","$2,300.00 ","$1,641.18 ",$791.30 ,$847.84 ,$968.96 ,$791.30 ,"$1,114.30 ",$791.30 ,"$1,156.70 ","$1,156.70 ",$791.30 ,"$1,156.70 ","$1,503.46 ","$1,592.73 ","$1,398.00 ","$1,978.24 ",$791.30 ,"$2,119.60 ",$791.30 ,"$1,514.00 ",$807.12 ,"$2,271.00 ","$1,350.49 ","$1,214.23 ","$1,350.49 ",$791.30 ,"$1,350.49 ","$1,907.64 ","$1,907.64 ","$2,149.88 ","$3,028.00 ","$2,573.80 ","$1,978.24 ","$2,422.40 ","$1,120.36 ","$2,422.40 ",$791.30 ,$791.30 ,"$3,028.00 ","$1,641.18 ",$791.30 ,$796.36 , N/A , N/A ,$836.14 ,$798.14 ,$830.87 ,"$2,573.80 ","$1,780.41 ","$1,156.70 ",$847.84 ,"$2,725.20 ","$2,180.16 ","$3,028.00 ","$1,907.64 ","$1,907.64 ","$1,907.64 ",$791.30 ,"$1,453.44 ","$2,725.20 " ST. JOHN'S HOSPITAL,36100218,61000,HC SUBDURAL TAP INFANT UNI/BILAT INITIAL,361,1 ,"$1,992.00 ","$1,294.80 ",$523.90 ,"$1,992.00 ","$1,525.98 ","$1,992.00 ","$1,079.66 ",$610.39 ,$557.76 ,$637.44 ,$610.39 ,$733.06 ,$610.39 ,$760.94 ,$760.94 ,$610.39 ,$760.94 ,"$1,159.74 ","$1,047.79 ",$996.00 ,"$1,525.97 ",$610.39 ,"$1,394.40 ",$610.39 ,$996.00 ,$622.59 ,"$1,494.00 ",$888.43 ,$798.79 ,$888.43 ,$610.39 ,$888.43 ,"$1,254.96 ","$1,254.96 ","$1,414.32 ","$1,992.00 ","$1,693.20 ","$1,525.97 ","$1,593.60 ",$737.04 ,"$1,593.60 ",$610.39 ,$610.39 ,"$1,992.00 ","$1,079.66 ",$610.39 ,$523.90 , N/A , N/A , N/A , N/A ,$640.91 ,"$1,693.20 ","$1,373.37 ",$760.94 ,$557.76 ,"$1,792.80 ","$1,434.24 ","$1,992.00 ","$1,254.96 ","$1,254.96 ","$1,254.96 ",$610.39 ,$956.16 ,"$1,792.80 " ST. JOHN'S HOSPITAL,36100219,10036,HC PLACE DEVICE LOCALZTN PERC W/GUIDE EA ADDL LES,361,1 ,$844.00 ,$548.60 ,$221.97 ,$844.00 , N/A ,$844.00 ,$457.45 , N/A ,$236.32 ,$270.08 , N/A ,$310.59 , N/A ,$322.41 ,$322.41 , N/A ,$322.41 , N/A ,$443.94 ,$422.00 , N/A , N/A ,$590.80 , N/A ,$422.00 , N/A ,$633.00 ,$376.42 ,$338.44 ,$376.42 , N/A ,$376.42 ,$531.72 ,$531.72 ,$599.24 ,$844.00 ,$717.40 , N/A ,$675.20 ,$312.28 ,$675.20 , N/A , N/A ,$844.00 ,$457.45 , N/A ,$221.97 , N/A , N/A ,$315.02 ,$300.70 , N/A ,$717.40 , N/A ,$322.41 ,$236.32 ,$759.60 ,$607.68 ,$844.00 ,$531.72 ,$531.72 ,$531.72 , N/A ,$405.12 ,$759.60 ST. JOHN'S HOSPITAL,36100221,49425,HC INSERT PERITONEAL VENOUS SHUNT,361,1 ,"$20,243.00 ","$13,157.95 ","$3,400.00 ","$20,243.00 ", N/A ,"$3,400.00 ","$10,971.71 ", N/A ,"$5,668.04 ","$5,728.77 ", N/A ,"$6,558.73 ", N/A ,"$6,740.92 ","$6,740.92 ", N/A ,"$6,740.92 ", N/A ,"$10,647.82 ","$10,121.50 ", N/A , N/A ,"$14,170.10 ", N/A ,"$10,121.50 ", N/A ,"$15,182.25 ","$8,656.00 ","$7,790.00 ","$8,656.00 ", N/A ,"$8,656.00 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$20,243.00 ","$17,206.55 ", N/A ,"$16,194.40 ","$7,489.91 ","$16,194.40 ", N/A , N/A ,"$20,243.00 ","$10,971.71 ", N/A ,"$5,323.91 ", N/A , N/A ,"$4,778.36 ","$4,561.16 ", N/A ,"$17,206.55 ", N/A ,"$6,740.92 ","$5,668.04 ","$18,218.70 ","$14,574.96 ","$20,243.00 ","$9,391.00 ","$12,753.09 ","$12,753.09 ", N/A ,"$9,716.64 ","$18,218.70 " ST. JOHN'S HOSPITAL,36100222,37785,HC LIGATION VARICOSE VEIN CLUSTERS-LT,361,1 ,"$10,780.00 ","$7,007.00 ","$1,676.00 ","$10,780.00 ","$6,879.30 ","$4,200.00 ","$5,842.76 ","$2,751.72 ","$3,018.40 ","$3,449.60 ","$2,751.72 ","$3,967.04 ","$2,751.72 ","$4,117.96 ","$4,117.96 ","$2,751.72 ","$4,117.96 ","$5,228.27 ","$5,670.28 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,546.00 ","$2,751.72 ","$5,390.00 ","$2,806.76 ","$8,085.00 ","$4,807.88 ","$4,322.78 ","$4,807.88 ","$2,751.72 ","$4,807.88 ","$6,791.40 ","$6,791.40 ","$7,653.80 ","$10,780.00 ","$9,163.00 ","$6,879.30 ","$8,624.00 ","$3,988.60 ","$8,624.00 ","$2,751.72 ","$2,751.72 ","$10,780.00 ","$5,842.76 ","$2,751.72 ","$2,835.14 ", N/A , N/A ,"$2,159.67 ","$2,061.51 ","$2,889.31 ","$9,163.00 ","$6,191.37 ","$4,117.96 ","$3,018.40 ","$9,702.00 ","$7,761.60 ","$10,780.00 ","$6,791.40 ","$6,791.40 ","$6,791.40 ","$2,751.72 ","$5,174.40 ","$9,702.00 " ST. JOHN'S HOSPITAL,36100223,37785,HC LIGATION VARICOSE VEIN CLUSTERS-RT,361,1 ,"$10,780.00 ","$7,007.00 ","$1,676.00 ","$10,780.00 ","$6,879.30 ","$4,200.00 ","$5,842.76 ","$2,751.72 ","$3,018.40 ","$3,449.60 ","$2,751.72 ","$3,967.04 ","$2,751.72 ","$4,117.96 ","$4,117.96 ","$2,751.72 ","$4,117.96 ","$5,228.27 ","$5,670.28 ","$1,676.00 ","$6,879.30 ","$2,751.72 ","$7,546.00 ","$2,751.72 ","$5,390.00 ","$2,806.76 ","$8,085.00 ","$4,807.88 ","$4,322.78 ","$4,807.88 ","$2,751.72 ","$4,807.88 ","$6,791.40 ","$6,791.40 ","$7,653.80 ","$10,780.00 ","$9,163.00 ","$6,879.30 ","$8,624.00 ","$3,988.60 ","$8,624.00 ","$2,751.72 ","$2,751.72 ","$10,780.00 ","$5,842.76 ","$2,751.72 ","$2,835.14 ", N/A , N/A ,"$2,159.67 ","$2,061.51 ","$2,889.31 ","$9,163.00 ","$6,191.37 ","$4,117.96 ","$3,018.40 ","$9,702.00 ","$7,761.60 ","$10,780.00 ","$6,791.40 ","$6,791.40 ","$6,791.40 ","$2,751.72 ","$5,174.40 ","$9,702.00 " ST. JOHN'S HOSPITAL,36100225,64999,HC INJ NERVE BLOCK CATHETER,361,1 ,"$1,529.00 ",$993.85 ,$251.14 ,"$1,529.00 ",$627.85 ,"$1,529.00 ",$828.72 ,$251.14 ,$428.12 ,$489.28 ,$251.14 ,$562.67 ,$251.14 ,$584.08 ,$584.08 ,$251.14 ,$584.08 ,$477.17 ,$804.25 ,$764.50 ,$627.85 ,$251.14 ,"$1,070.30 ",$251.14 ,$764.50 ,$256.16 ,"$1,146.75 ",$681.93 ,$613.13 ,$681.93 ,$251.14 ,$681.93 ,$963.27 ,$963.27 ,"$1,085.59 ","$1,529.00 ","$1,299.65 ",$627.85 ,"$1,223.20 ",$565.73 ,"$1,223.20 ",$251.14 ,$251.14 ,"$1,529.00 ",$828.72 ,$251.14 ,$402.13 , N/A , N/A ,$461.03 ,$440.08 ,$263.70 ,"$1,299.65 ",$565.07 ,$584.08 ,$428.12 ,"$1,376.10 ","$1,100.88 ","$1,529.00 ",$963.27 ,$963.27 ,$963.27 ,$251.14 ,$733.92 ,"$1,376.10 " ST. JOHN'S HOSPITAL,36100227,31635,HC BRONCHOSCOPY W/REM FOREIGN BODY,361,1 ,"$4,745.00 ","$3,084.25 ","$1,247.94 ","$4,745.00 ","$3,595.38 ","$3,400.00 ","$2,571.79 ","$1,438.15 ","$1,328.60 ","$1,518.40 ","$1,438.15 ","$1,746.16 ","$1,438.15 ","$1,812.59 ","$1,812.59 ","$1,438.15 ","$1,812.59 ","$2,732.49 ","$2,495.87 ","$1,536.00 ","$3,595.38 ","$1,438.15 ","$3,321.50 ","$1,438.15 ","$2,372.50 ","$1,466.92 ","$3,558.75 ","$2,116.27 ","$1,902.75 ","$2,116.27 ","$1,438.15 ","$2,116.27 ","$2,989.35 ","$2,989.35 ","$3,368.95 ","$4,745.00 ","$4,033.25 ","$3,595.38 ","$3,796.00 ","$1,755.65 ","$3,796.00 ","$1,438.15 ","$1,438.15 ","$4,745.00 ","$2,571.79 ","$1,438.15 ","$1,247.94 ", N/A , N/A ,"$1,814.93 ","$1,732.44 ","$1,510.06 ","$4,033.25 ","$3,235.85 ","$1,812.59 ","$1,328.60 ","$4,270.50 ","$3,416.40 ","$4,745.00 ","$2,989.35 ","$2,989.35 ","$2,989.35 ","$1,438.15 ","$2,277.60 ","$4,270.50 " ST. JOHN'S HOSPITAL,36100232,11103,HC BIOPSY SKIN TANGENTIAL ADDL LESN,361,1 ,$348.00 ,$226.20 ,$91.52 ,$644.88 , N/A ,$348.00 ,$188.62 , N/A ,$97.44 ,$111.36 , N/A ,$128.06 , N/A ,$132.94 ,$132.94 , N/A ,$132.94 , N/A ,$183.05 , N/A , N/A , N/A ,$243.60 , N/A ,$174.00 , N/A ,$261.00 ,$155.21 ,$139.55 ,$155.21 , N/A ,$155.21 ,$219.24 ,$219.24 ,$247.08 ,$348.00 ,$295.80 , N/A ,$278.40 ,$128.76 ,$278.40 , N/A , N/A ,$348.00 ,$188.62 , N/A ,$91.52 , N/A , N/A ,$348.00 ,$644.88 , N/A ,$295.80 , N/A ,$132.94 ,$97.44 ,$313.20 ,$250.56 ,$348.00 ,$219.24 ,$219.24 ,$219.24 , N/A ,$167.04 ,$313.20 ST. JOHN'S HOSPITAL,36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$328.00 ,$213.20 ,$86.26 ,$644.88 , N/A ,$328.00 ,$177.78 , N/A ,$91.84 ,$104.96 , N/A ,$120.70 , N/A ,$125.30 ,$125.30 , N/A ,$125.30 , N/A ,$172.53 , N/A , N/A , N/A ,$229.60 , N/A ,$164.00 , N/A ,$246.00 ,$146.29 ,$131.53 ,$146.29 , N/A ,$146.29 ,$206.64 ,$206.64 ,$232.88 ,$328.00 ,$278.80 , N/A ,$262.40 ,$121.36 ,$262.40 , N/A , N/A ,$328.00 ,$177.78 , N/A ,$86.26 , N/A , N/A ,$328.00 ,$644.88 , N/A ,$278.80 , N/A ,$125.30 ,$91.84 ,$295.20 ,$236.16 ,$328.00 ,$206.64 ,$206.64 ,$206.64 , N/A ,$157.44 ,$295.20 ST. JOHN'S HOSPITAL,36100234,11107,HC BIOPSY SKIN INCISIONAL ADDL LESN,361,1 ,$582.00 ,$378.30 ,$153.07 ,$644.88 , N/A ,$582.00 ,$315.44 , N/A ,$162.96 ,$186.24 , N/A ,$214.18 , N/A ,$222.32 ,$222.32 , N/A ,$222.32 , N/A ,$306.13 , N/A , N/A , N/A ,$407.40 , N/A ,$291.00 , N/A ,$436.50 ,$259.57 ,$233.38 ,$259.57 , N/A ,$259.57 ,$366.66 ,$366.66 ,$413.22 ,$582.00 ,$494.70 , N/A ,$465.60 ,$215.34 ,$465.60 , N/A , N/A ,$582.00 ,$315.44 , N/A ,$153.07 , N/A , N/A ,$582.00 ,$644.88 , N/A ,$494.70 , N/A ,$222.32 ,$162.96 ,$523.80 ,$419.04 ,$582.00 ,$366.66 ,$366.66 ,$366.66 , N/A ,$279.36 ,$523.80 ST. JOHN'S HOSPITAL,36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,$695.00 ,$451.75 ,$172.62 ,$695.00 ,$431.55 ,$695.00 ,$376.69 ,$172.62 ,$194.60 ,$222.40 ,$172.62 ,$255.76 ,$172.62 ,$265.49 ,$265.49 ,$172.62 ,$265.49 ,$327.97 ,$365.57 , N/A ,$431.54 ,$172.62 ,$486.50 ,$172.62 ,$347.50 ,$176.07 ,$521.25 ,$309.97 ,$278.70 ,$309.97 ,$172.62 ,$309.97 ,$437.85 ,$437.85 ,$493.45 ,$695.00 ,$590.75 ,$431.54 ,$556.00 ,$257.15 ,$556.00 ,$172.62 ,$172.62 ,$695.00 ,$376.69 ,$172.62 ,$182.79 , N/A , N/A ,$675.59 ,$644.88 ,$181.25 ,$590.75 ,$388.39 ,$265.49 ,$194.60 ,$625.50 ,$500.40 ,$695.00 ,$437.85 ,$437.85 ,$437.85 ,$172.62 ,$333.60 ,$625.50 ST. JOHN'S HOSPITAL,36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,$654.00 ,$425.10 ,$172.00 ,$830.61 ,$830.60 ,$300.84 ,$354.47 ,$332.24 ,$183.12 ,$209.28 ,$332.24 ,$240.67 ,$332.24 ,$249.83 ,$249.83 ,$332.24 ,$249.83 ,$631.26 ,$344.00 , N/A ,$830.61 ,$332.24 ,$457.80 ,$332.24 ,$327.00 ,$338.89 ,$490.50 ,$291.68 ,$262.25 ,$291.68 ,$332.24 ,$291.68 ,$412.02 ,$412.02 ,$464.34 ,$654.00 ,$555.90 ,$654.00 ,$523.20 ,$241.98 ,$523.20 ,$332.24 ,$332.24 ,$654.00 ,$354.47 ,$332.24 ,$172.00 , N/A , N/A ,$654.00 ,$644.88 ,$348.85 ,$555.90 ,$747.55 ,$249.83 ,$183.12 ,$588.60 ,$470.88 ,$654.00 ,$412.02 ,$412.02 ,$412.02 ,$332.24 ,$313.92 ,$588.60 ST. JOHN'S HOSPITAL,36100237,11106,HC BIOPSY SKIN INCISIONAL INIT LESN,361,1 ,"$1,162.00 ",$755.30 ,$305.61 ,"$1,258.60 ","$1,258.60 ","$1,162.00 ",$629.80 ,$503.44 ,$325.36 ,$371.84 ,$503.44 ,$427.62 ,$503.44 ,$443.88 ,$443.88 ,$503.44 ,$443.88 ,$956.53 ,$611.21 , N/A ,"$1,258.60 ",$503.44 ,$813.40 ,$503.44 ,$581.00 ,$513.51 ,$871.50 ,$518.25 ,$465.96 ,$518.25 ,$503.44 ,$518.25 ,$732.06 ,$732.06 ,$825.02 ,"$1,162.00 ",$987.70 ,"$1,162.00 ",$929.60 ,$429.94 ,$929.60 ,$503.44 ,$503.44 ,"$1,162.00 ",$629.80 ,$503.44 ,$305.61 , N/A , N/A ,$675.59 ,$644.88 ,$528.61 ,$987.70 ,"$1,132.74 ",$443.88 ,$325.36 ,"$1,045.80 ",$836.64 ,"$1,162.00 ",$732.06 ,$732.06 ,$732.06 ,$503.44 ,$557.76 ,"$1,045.80 " ST. JOHN'S HOSPITAL,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$2,145.00 ","$1,394.25 ",$148.00 ,"$2,145.00 ","$1,495.43 ","$2,145.00 ","$1,162.59 ",$598.17 ,$600.60 ,$686.40 ,$598.17 ,$789.36 ,$598.17 ,$819.39 ,$819.39 ,$598.17 ,$819.39 ,"$1,136.52 ","$1,128.27 ", N/A ,"$1,495.43 ",$598.17 ,"$1,501.50 ",$598.17 ,"$1,072.50 ",$610.13 ,"$1,608.75 ",$956.67 ,$860.15 ,$956.67 ,$598.17 ,$956.67 ,"$1,351.35 ","$1,351.35 ","$1,522.95 ","$2,145.00 ","$1,823.25 ","$1,495.43 ","$1,716.00 ",$793.65 ,"$1,716.00 ",$598.17 ,$598.17 ,$148.00 ,"$1,162.59 ",$598.17 ,$564.14 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,823.25 ","$1,345.88 ",$819.39 ,$600.60 ,"$1,930.50 ","$1,544.40 ","$2,145.00 ","$1,351.35 ","$1,351.35 ","$1,351.35 ",$598.17 ,"$1,029.60 ","$1,930.50 " ST. JOHN'S HOSPITAL,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,"$1,072.00 ",$696.80 ,$66.21 ,"$1,072.00 ", N/A ,"$1,072.00 ",$581.02 , N/A ,$300.16 ,$343.04 , N/A ,$394.50 , N/A ,$409.50 ,$409.50 , N/A ,$409.50 , N/A ,$563.87 , N/A , N/A , N/A ,$750.40 , N/A ,$536.00 , N/A ,$804.00 ,$478.11 ,$429.87 ,$478.11 , N/A ,$478.11 ,$675.36 ,$675.36 ,$761.12 ,"$1,072.00 ",$911.20 , N/A ,$857.60 ,$396.64 ,$857.60 , N/A , N/A ,$66.21 ,$581.02 , N/A ,$281.94 , N/A , N/A ,$637.68 ,$608.70 , N/A ,$911.20 , N/A ,$409.50 ,$300.16 ,$964.80 ,$771.84 ,"$1,072.00 ",$675.36 ,$675.36 ,$675.36 , N/A ,$514.56 ,$964.80 ST. JOHN'S HOSPITAL,36100242,10009,HC ASP FINE NDL W/CT GUIDE INIT LESN,361,1 ,"$2,145.00 ","$1,394.25 ",$510.18 ,"$2,145.00 ","$1,495.43 ","$2,145.00 ","$1,162.59 ",$598.17 ,$600.60 ,$686.40 ,$598.17 ,$789.36 ,$598.17 ,$819.39 ,$819.39 ,$598.17 ,$819.39 ,"$1,136.52 ","$1,128.27 ", N/A ,"$1,495.43 ",$598.17 ,"$1,501.50 ",$598.17 ,"$1,072.50 ",$610.13 ,"$1,608.75 ",$956.67 ,$860.15 ,$956.67 ,$598.17 ,$956.67 ,"$1,351.35 ","$1,351.35 ","$1,522.95 ","$2,145.00 ","$1,823.25 ","$1,495.43 ","$1,716.00 ",$793.65 ,"$1,716.00 ",$598.17 ,$598.17 ,$510.18 ,"$1,162.59 ",$598.17 ,$564.14 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,823.25 ","$1,345.88 ",$819.39 ,$600.60 ,"$1,930.50 ","$1,544.40 ","$2,145.00 ","$1,351.35 ","$1,351.35 ","$1,351.35 ",$598.17 ,"$1,029.60 ","$1,930.50 " ST. JOHN'S HOSPITAL,36100243,10010,HC ASP FINE NDL W/CT GUIDE EA ADDL LESN,361,1 ,"$1,234.00 ",$802.10 ,$301.87 ,"$1,234.00 ", N/A ,"$1,234.00 ",$668.83 , N/A ,$345.52 ,$394.88 , N/A ,$454.11 , N/A ,$471.39 ,$471.39 , N/A ,$471.39 , N/A ,$649.08 , N/A , N/A , N/A ,$863.80 , N/A ,$617.00 , N/A ,$925.50 ,$550.36 ,$494.83 ,$550.36 , N/A ,$550.36 ,$777.42 ,$777.42 ,$876.14 ,"$1,234.00 ","$1,048.90 ", N/A ,$987.20 ,$456.58 ,$987.20 , N/A , N/A ,$301.87 ,$668.83 , N/A ,$324.54 , N/A , N/A ,$637.68 ,$608.70 , N/A ,"$1,048.90 ", N/A ,$471.39 ,$345.52 ,"$1,110.60 ",$888.48 ,"$1,234.00 ",$777.42 ,$777.42 ,$777.42 , N/A ,$592.32 ,"$1,110.60 " ST. JOHN'S HOSPITAL,36100246,36572,HC INS CATH PERIPH CV W/O PORT W/GUIDANCE <5,361,1 ,"$4,594.00 ","$2,986.10 ",$519.58 ,"$4,594.00 ","$1,298.95 ","$2,300.00 ","$2,489.95 ",$519.58 ,"$1,286.32 ","$1,470.08 ",$519.58 ,"$1,690.59 ",$519.58 ,"$1,754.91 ","$1,754.91 ",$519.58 ,"$1,754.91 ",$987.20 ,"$2,416.44 ", N/A ,"$1,298.95 ",$519.58 ,"$3,215.80 ",$519.58 ,"$2,297.00 ",$529.97 ,"$3,445.50 ","$2,048.92 ","$1,842.19 ","$2,048.92 ",$519.58 ,"$2,048.92 ","$2,894.22 ","$2,894.22 ","$3,261.74 ","$4,594.00 ","$3,904.90 ","$1,298.95 ","$3,675.20 ","$1,699.78 ","$3,675.20 ",$519.58 ,$519.58 ,"$4,594.00 ","$2,489.95 ",$519.58 ,"$1,208.22 ", N/A , N/A , N/A , N/A ,$545.56 ,"$3,904.90 ","$1,169.06 ","$1,754.91 ","$1,286.32 ","$4,134.60 ","$3,307.68 ","$4,594.00 ","$2,894.22 ","$2,894.22 ","$2,894.22 ",$519.58 ,"$2,205.12 ","$4,134.60 " ST. JOHN'S HOSPITAL,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$5,020.00 ","$3,263.00 ",$495.83 ,"$5,020.00 ","$3,379.28 ","$2,300.00 ","$2,720.84 ","$1,351.71 ","$1,405.60 ","$1,606.40 ","$1,351.71 ","$1,847.36 ","$1,351.71 ","$1,917.64 ","$1,917.64 ","$1,351.71 ","$1,917.64 ","$2,568.26 ","$2,640.52 ", N/A ,"$3,379.28 ","$1,351.71 ","$3,514.00 ","$1,351.71 ","$2,510.00 ","$1,378.75 ","$3,765.00 ","$2,238.92 ","$2,013.02 ","$2,238.92 ","$1,351.71 ","$2,238.92 ","$3,162.60 ","$3,162.60 ","$3,564.20 ","$5,020.00 ","$4,267.00 ","$3,379.28 ","$4,016.00 ","$1,857.40 ","$4,016.00 ","$1,351.71 ","$1,351.71 ","$5,020.00 ","$2,720.84 ","$1,351.71 ","$1,320.26 ", N/A , N/A ,$519.44 ,$495.83 ,"$1,419.30 ","$4,267.00 ","$3,041.36 ","$1,917.64 ","$1,405.60 ","$4,518.00 ","$3,614.40 ","$5,020.00 ","$3,162.60 ","$3,162.60 ","$3,162.60 ","$1,351.71 ","$2,409.60 ","$4,518.00 " ST. JOHN'S HOSPITAL,36100250,0524T,HC ENDOVASC CATH DIRECT CHEMICAL ABLATION,361,1 ,"$6,892.00 ","$4,479.80 ","$1,812.60 ","$6,892.00 ","$6,879.30 ","$4,200.00 ","$3,735.46 ","$2,751.72 ","$1,929.76 ","$2,205.44 ","$2,751.72 ","$2,536.26 ","$2,751.72 ","$2,632.74 ","$2,632.74 ","$2,751.72 ","$2,632.74 ","$5,228.27 ","$3,625.19 ", N/A ,"$6,879.30 ","$2,751.72 ","$4,824.40 ","$2,751.72 ","$3,446.00 ","$2,806.76 ","$5,169.00 ","$3,073.83 ","$2,763.69 ","$3,073.83 ","$2,751.72 ","$3,073.83 ","$4,341.96 ","$4,341.96 ","$4,893.32 ","$6,892.00 ","$5,858.20 ","$6,879.30 ","$5,513.60 ","$2,550.04 ","$5,513.60 ","$2,751.72 ","$2,751.72 ","$6,892.00 ","$3,735.46 ","$2,751.72 ","$1,812.60 ", N/A , N/A ,"$2,159.67 ","$2,061.51 ","$2,889.31 ","$5,858.20 ","$6,191.37 ","$2,632.74 ","$1,929.76 ","$6,202.80 ","$4,962.24 ","$6,892.00 ","$4,341.96 ","$4,341.96 ","$4,341.96 ","$2,751.72 ","$3,308.16 ","$6,202.80 " ST. JOHN'S HOSPITAL,36100252,38531,HC BX/EXC INGUINOFEMORAL LYMPH NODE,361,1 ,"$10,425.00 ","$6,776.25 ","$2,421.86 ","$10,425.00 ","$7,588.43 ","$3,400.00 ","$5,650.35 ","$3,035.37 ","$2,919.00 ","$3,336.00 ","$3,035.37 ","$3,836.40 ","$3,035.37 ","$3,982.35 ","$3,982.35 ","$3,035.37 ","$3,982.35 ","$5,767.20 ","$5,483.55 ", N/A ,"$7,588.43 ","$3,035.37 ","$7,297.50 ","$3,035.37 ","$5,212.50 ","$3,096.08 ","$7,818.75 ","$4,649.55 ","$4,180.43 ","$4,649.55 ","$3,035.37 ","$4,649.55 ","$6,567.75 ","$6,567.75 ","$7,401.75 ","$10,425.00 ","$8,861.25 ","$7,588.43 ","$8,340.00 ","$3,857.25 ","$8,340.00 ","$3,035.37 ","$3,035.37 ","$10,425.00 ","$5,650.35 ","$3,035.37 ","$2,741.78 ", N/A , N/A ,"$2,537.18 ","$2,421.86 ","$3,187.14 ","$8,861.25 ","$6,829.58 ","$3,982.35 ","$2,919.00 ","$9,382.50 ","$7,506.00 ","$10,425.00 ","$6,567.75 ","$6,567.75 ","$6,567.75 ","$3,035.37 ","$5,004.00 ","$9,382.50 " ST. JOHN'S HOSPITAL,36100255,56700,HC HYMENECTOMY PARTIAL/REVISE HYMENAL RING,361,1 ,"$6,665.00 ","$4,332.25 ","$1,290.81 ","$6,665.00 ","$6,305.00 ","$2,300.00 ","$3,612.43 ","$2,522.00 ","$1,866.20 ","$2,132.80 ","$2,522.00 ","$2,452.72 ","$2,522.00 ","$2,546.03 ","$2,546.03 ","$2,522.00 ","$2,546.03 ","$4,791.80 ","$3,505.79 ","$1,398.00 ","$6,305.00 ","$2,522.00 ","$4,665.50 ","$2,522.00 ","$3,332.50 ","$2,572.44 ","$4,998.75 ","$2,972.59 ","$2,672.67 ","$2,972.59 ","$2,522.00 ","$2,972.59 ","$4,198.95 ","$4,198.95 ","$4,732.15 ","$6,665.00 ","$5,665.25 ","$6,305.00 ","$5,332.00 ","$2,466.05 ","$5,332.00 ","$2,522.00 ","$2,522.00 ","$6,665.00 ","$3,612.43 ","$2,522.00 ","$1,752.90 ", N/A , N/A ,"$1,352.27 ","$1,290.81 ","$2,648.10 ","$5,665.25 ","$5,674.50 ","$2,546.03 ","$1,866.20 ","$5,998.50 ","$4,798.80 ","$6,665.00 ","$4,198.95 ","$4,198.95 ","$4,198.95 ","$2,522.00 ","$3,199.20 ","$5,998.50 " ST. JOHN'S HOSPITAL,36100258,11301,HC SHAVING LESION TRUNK/ARM/LEG 0.6-1.0CM,361,1 ,$654.00 ,$425.10 ,$172.00 ,$654.00 ,$431.55 ,$654.00 ,$354.47 ,$172.62 ,$183.12 ,$209.28 ,$172.62 ,$240.67 ,$172.62 ,$249.83 ,$249.83 ,$172.62 ,$249.83 ,$327.97 ,$344.00 ,$327.00 ,$431.54 ,$172.62 ,$457.80 ,$172.62 ,$327.00 ,$176.07 ,$490.50 ,$291.68 ,$262.25 ,$291.68 ,$172.62 ,$291.68 ,$412.02 ,$412.02 ,$464.34 ,$654.00 ,$555.90 ,$431.54 ,$523.20 ,$241.98 ,$523.20 ,$172.62 ,$172.62 ,$654.00 ,$354.47 ,$172.62 ,$172.00 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$555.90 ,$388.39 ,$249.83 ,$183.12 ,$588.60 ,$470.88 ,$654.00 ,$412.02 ,$412.02 ,$412.02 ,$172.62 ,$313.92 ,$588.60 ST. JOHN'S HOSPITAL,36100260,27658,HC RPR FLEXOR TENDON LEG W/O GRAFT PRIMARY,361,1 ,"$9,711.00 ","$6,312.15 ","$1,398.00 ","$9,711.00 ","$6,805.53 ","$2,300.00 ","$5,263.36 ","$2,722.21 ","$2,719.08 ","$3,107.52 ","$2,722.21 ","$3,573.65 ","$2,722.21 ","$3,709.60 ","$3,709.60 ","$2,722.21 ","$3,709.60 ","$5,172.21 ","$5,107.99 ","$1,398.00 ","$6,805.53 ","$2,722.21 ","$6,797.70 ","$2,722.21 ","$4,855.50 ","$2,776.66 ","$7,283.25 ","$4,331.11 ","$3,894.11 ","$4,331.11 ","$2,722.21 ","$4,331.11 ","$6,117.93 ","$6,117.93 ","$6,894.81 ","$9,711.00 ","$8,254.35 ","$6,805.53 ","$7,768.80 ","$3,593.07 ","$7,768.80 ","$2,722.21 ","$2,722.21 ","$9,711.00 ","$5,263.36 ","$2,722.21 ","$2,553.99 ", N/A , N/A ,"$1,866.14 ","$1,781.31 ","$2,858.32 ","$8,254.35 ","$6,124.98 ","$3,709.60 ","$2,719.08 ","$8,739.90 ","$6,991.92 ","$9,711.00 ","$6,117.93 ","$6,117.93 ","$6,117.93 ","$2,722.21 ","$4,661.28 ","$8,739.90 " ST. JOHN'S HOSPITAL,36100261,37722,HC LIGATION/DIVISION/STRIPPING SAPHENOUS VEINS,361,1 ,"$7,925.00 ","$5,151.25 ","$2,084.28 ","$7,925.00 ","$6,879.30 ","$4,200.00 ","$4,295.35 ","$2,751.72 ","$2,219.00 ","$2,536.00 ","$2,751.72 ","$2,916.40 ","$2,751.72 ","$3,027.35 ","$3,027.35 ","$2,751.72 ","$3,027.35 ","$5,228.27 ","$4,168.55 ","$3,351.00 ","$6,879.30 ","$2,751.72 ","$5,547.50 ","$2,751.72 ","$3,962.50 ","$2,806.76 ","$5,943.75 ","$3,534.55 ","$3,177.93 ","$3,534.55 ","$2,751.72 ","$3,534.55 ","$4,992.75 ","$4,992.75 ","$5,626.75 ","$7,925.00 ","$6,736.25 ","$6,879.30 ","$6,340.00 ","$2,932.25 ","$6,340.00 ","$2,751.72 ","$2,751.72 ","$7,925.00 ","$4,295.35 ","$2,751.72 ","$2,084.28 ", N/A , N/A ,"$2,528.68 ","$2,413.74 ","$2,889.31 ","$6,736.25 ","$6,191.37 ","$3,027.35 ","$2,219.00 ","$7,132.50 ","$5,706.00 ","$7,925.00 ","$4,992.75 ","$4,992.75 ","$4,992.75 ","$2,751.72 ","$3,804.00 ","$7,132.50 " ST. JOHN'S HOSPITAL,36100264,33016,HC PERICARDIOCENTESIS W/ OR W/O IMAGING,361,1 ,"$4,703.00 ","$3,056.95 ","$1,236.89 ","$4,703.00 ","$3,379.28 ","$3,400.00 ","$2,549.03 ","$1,351.71 ","$1,316.84 ","$1,504.96 ","$1,351.71 ","$1,730.70 ","$1,351.71 ","$1,796.55 ","$1,796.55 ","$1,351.71 ","$1,796.55 ","$2,568.26 ","$2,473.78 ", N/A ,"$3,379.28 ","$1,351.71 ","$3,292.10 ","$1,351.71 ","$2,351.50 ","$1,378.75 ","$3,527.25 ","$2,097.54 ","$1,885.90 ","$2,097.54 ","$1,351.71 ","$2,097.54 ","$2,962.89 ","$2,962.89 ","$3,339.13 ","$4,703.00 ","$3,997.55 ","$3,379.28 ","$3,762.40 ","$1,740.11 ","$3,762.40 ","$1,351.71 ","$1,351.71 ","$4,703.00 ","$2,549.03 ","$1,351.71 ","$1,236.89 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$1,419.30 ","$3,997.55 ","$3,041.36 ","$1,796.55 ","$1,316.84 ","$4,232.70 ","$3,386.16 ","$4,703.00 ","$2,962.89 ","$2,962.89 ","$2,962.89 ","$1,351.71 ","$2,257.44 ","$4,232.70 " ST. JOHN'S HOSPITAL,36100270,62328,HC LUMBAR PUNCTURE DIAGNOSTIC W/FLUORO OR CT GUID,361,1 ,"$2,254.00 ","$1,465.10 ",$517.02 ,"$2,254.00 ","$1,525.98 ","$2,254.00 ","$1,221.67 ",$610.39 ,$631.12 ,$721.28 ,$610.39 ,$829.47 ,$610.39 ,$861.03 ,$861.03 ,$610.39 ,$861.03 ,"$1,159.74 ","$1,185.60 ", N/A ,"$1,525.97 ",$610.39 ,"$1,577.80 ",$610.39 ,"$1,127.00 ",$622.59 ,"$1,690.50 ","$1,005.28 ",$903.85 ,"$1,005.28 ",$610.39 ,"$1,005.28 ","$1,420.02 ","$1,420.02 ","$1,600.34 ","$2,254.00 ","$1,915.90 ","$1,525.97 ","$1,803.20 ",$833.98 ,"$1,803.20 ",$610.39 ,$610.39 ,"$2,254.00 ","$1,221.67 ",$610.39 ,$592.80 , N/A , N/A ,$541.64 ,$517.02 ,$640.91 ,"$1,915.90 ","$1,373.37 ",$861.03 ,$631.12 ,"$2,028.60 ","$1,622.88 ","$2,254.00 ","$1,420.02 ","$1,420.02 ","$1,420.02 ",$610.39 ,"$1,081.92 ","$2,028.60 " ST. JOHN'S HOSPITAL,36100272,64451,HC INJ ANESTHETIC/STEROID NERVES SI JOINT W/FLUORO OR CT GUID,361,1 ,"$2,254.00 ","$1,465.10 ",$440.08 ,"$2,254.00 ","$1,525.98 ","$2,254.00 ","$1,221.67 ",$610.39 ,$631.12 ,$721.28 ,$610.39 ,$829.47 ,$610.39 ,$861.03 ,$861.03 ,$610.39 ,$861.03 ,"$1,159.74 ","$1,185.60 ", N/A ,"$1,525.97 ",$610.39 ,"$1,577.80 ",$610.39 ,"$1,127.00 ",$622.59 ,"$1,690.50 ","$1,005.28 ",$903.85 ,"$1,005.28 ",$610.39 ,"$1,005.28 ","$1,420.02 ","$1,420.02 ","$1,600.34 ","$2,254.00 ","$1,915.90 ","$1,525.97 ","$1,803.20 ",$833.98 ,"$1,803.20 ",$610.39 ,$610.39 ,"$2,254.00 ","$1,221.67 ",$610.39 ,$592.80 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,915.90 ","$1,373.37 ",$861.03 ,$631.12 ,"$2,028.60 ","$1,622.88 ","$2,254.00 ","$1,420.02 ","$1,420.02 ","$1,420.02 ",$610.39 ,"$1,081.92 ","$2,028.60 " ST. JOHN'S HOSPITAL,36100273,64454,HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID,361,1 ,"$2,254.00 ","$1,465.10 ",$440.08 ,"$2,254.00 ","$1,525.98 ","$2,254.00 ","$1,221.67 ",$610.39 ,$631.12 ,$721.28 ,$610.39 ,$829.47 ,$610.39 ,$861.03 ,$861.03 ,$610.39 ,$861.03 ,"$1,159.74 ","$1,185.60 ", N/A ,"$1,525.97 ",$610.39 ,"$1,577.80 ",$610.39 ,"$1,127.00 ",$622.59 ,"$1,690.50 ","$1,005.28 ",$903.85 ,"$1,005.28 ",$610.39 ,"$1,005.28 ","$1,420.02 ","$1,420.02 ","$1,600.34 ","$2,254.00 ","$1,915.90 ","$1,525.97 ","$1,803.20 ",$833.98 ,"$1,803.20 ",$610.39 ,$610.39 ,"$2,254.00 ","$1,221.67 ",$610.39 ,$592.80 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,915.90 ","$1,373.37 ",$861.03 ,$631.12 ,"$2,028.60 ","$1,622.88 ","$2,254.00 ","$1,420.02 ","$1,420.02 ","$1,420.02 ",$610.39 ,"$1,081.92 ","$2,028.60 " ST. JOHN'S HOSPITAL,36100274,64624,HC DESTRUST NEUROLYTIC AGENT GENICULAR NERVE W/IMG GUID,361,1 ,"$6,196.00 ","$4,027.40 ",$798.14 ,"$6,196.00 ","$4,219.65 ","$2,300.00 ","$3,358.23 ","$1,687.86 ","$1,734.88 ","$1,982.72 ","$1,687.86 ","$2,280.13 ","$1,687.86 ","$2,366.87 ","$2,366.87 ","$1,687.86 ","$2,366.87 ","$3,206.94 ","$3,259.10 ", N/A ,"$4,219.66 ","$1,687.86 ","$4,337.20 ","$1,687.86 ","$3,098.00 ","$1,721.62 ","$4,647.00 ","$2,763.42 ","$2,484.60 ","$2,763.42 ","$1,687.86 ","$2,763.42 ","$3,903.48 ","$3,903.48 ","$4,399.16 ","$6,196.00 ","$5,266.60 ","$4,219.66 ","$4,956.80 ","$2,292.52 ","$4,956.80 ","$1,687.86 ","$1,687.86 ","$6,196.00 ","$3,358.23 ","$1,687.86 ","$1,629.55 ", N/A , N/A ,$836.14 ,$798.14 ,"$1,772.25 ","$5,266.60 ","$3,797.69 ","$2,366.87 ","$1,734.88 ","$5,576.40 ","$4,461.12 ","$6,196.00 ","$3,903.48 ","$3,903.48 ","$3,903.48 ","$1,687.86 ","$2,974.08 ","$5,576.40 " ST. JOHN'S HOSPITAL,36100276,17999,HC HALO ANY AREA,361,1 ,$625.00 ,$406.25 ,$164.38 ,$625.00 ,$431.55 ,$625.00 ,$338.75 ,$172.62 ,$175.00 ,$200.00 ,$172.62 ,$230.00 ,$172.62 ,$238.75 ,$238.75 ,$172.62 ,$238.75 ,$327.97 ,$328.75 ,$312.50 ,$431.54 ,$172.62 ,$437.50 ,$172.62 ,$312.50 ,$176.07 ,$468.75 ,$278.75 ,$250.63 ,$278.75 ,$172.62 ,$278.75 ,$393.75 ,$393.75 ,$443.75 ,$625.00 ,$531.25 ,$431.54 ,$500.00 ,$231.25 ,$500.00 ,$172.62 ,$172.62 ,$625.00 ,$338.75 ,$172.62 ,$164.38 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$531.25 ,$388.39 ,$238.75 ,$175.00 ,$562.50 ,$450.00 ,$625.00 ,$393.75 ,$393.75 ,$393.75 ,$172.62 ,$300.00 ,$562.50 ST. JOHN'S HOSPITAL,36100277,17999,HC BBL,361,1 ,$250.00 ,$162.50 ,$65.75 ,$431.55 ,$431.55 ,$250.00 ,$135.50 ,$172.62 ,$70.00 ,$80.00 ,$172.62 ,$92.00 ,$172.62 ,$95.50 ,$95.50 ,$172.62 ,$95.50 ,$250.00 ,$131.50 ,$125.00 ,$431.54 ,$172.62 ,$175.00 ,$172.62 ,$125.00 ,$176.07 ,$187.50 ,$111.50 ,$100.25 ,$111.50 ,$172.62 ,$111.50 ,$157.50 ,$157.50 ,$177.50 ,$250.00 ,$212.50 ,$250.00 ,$200.00 ,$92.50 ,$200.00 ,$172.62 ,$172.62 ,$250.00 ,$135.50 ,$172.62 ,$65.75 , N/A , N/A ,$250.00 ,$306.83 ,$181.25 ,$212.50 ,$388.39 ,$95.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$157.50 ,$157.50 ,$157.50 ,$172.62 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,36100278,17999,HC TURNABLE FULL FACE DEEP RESURFACING,361,1 ,$938.00 ,$609.70 ,$172.62 ,$938.00 ,$431.55 ,$938.00 ,$508.40 ,$172.62 ,$262.64 ,$300.16 ,$172.62 ,$345.18 ,$172.62 ,$358.32 ,$358.32 ,$172.62 ,$358.32 ,$327.97 ,$493.39 ,$469.00 ,$431.54 ,$172.62 ,$656.60 ,$172.62 ,$469.00 ,$176.07 ,$703.50 ,$418.35 ,$376.14 ,$418.35 ,$172.62 ,$418.35 ,$590.94 ,$590.94 ,$665.98 ,$938.00 ,$797.30 ,$431.54 ,$750.40 ,$347.06 ,$750.40 ,$172.62 ,$172.62 ,$938.00 ,$508.40 ,$172.62 ,$246.69 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$797.30 ,$388.39 ,$358.32 ,$262.64 ,$844.20 ,$675.36 ,$938.00 ,$590.94 ,$590.94 ,$590.94 ,$172.62 ,$450.24 ,$844.20 ST. JOHN'S HOSPITAL,36100279,17999,HC TURNABLE MINOR PROCEDURE,361,1 ,$250.00 ,$162.50 ,$65.75 ,$431.55 ,$431.55 ,$250.00 ,$135.50 ,$172.62 ,$70.00 ,$80.00 ,$172.62 ,$92.00 ,$172.62 ,$95.50 ,$95.50 ,$172.62 ,$95.50 ,$250.00 ,$131.50 ,$125.00 ,$431.54 ,$172.62 ,$175.00 ,$172.62 ,$125.00 ,$176.07 ,$187.50 ,$111.50 ,$100.25 ,$111.50 ,$172.62 ,$111.50 ,$157.50 ,$157.50 ,$177.50 ,$250.00 ,$212.50 ,$250.00 ,$200.00 ,$92.50 ,$200.00 ,$172.62 ,$172.62 ,$250.00 ,$135.50 ,$172.62 ,$65.75 , N/A , N/A ,$250.00 ,$306.83 ,$181.25 ,$212.50 ,$388.39 ,$95.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$157.50 ,$157.50 ,$157.50 ,$172.62 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,36100280,17999,HC PRO FRACTIONAL,361,1 ,$375.00 ,$243.75 ,$98.63 ,$431.55 ,$431.55 ,$375.00 ,$203.25 ,$172.62 ,$105.00 ,$120.00 ,$172.62 ,$138.00 ,$172.62 ,$143.25 ,$143.25 ,$172.62 ,$143.25 ,$327.97 ,$197.25 ,$187.50 ,$431.54 ,$172.62 ,$262.50 ,$172.62 ,$187.50 ,$176.07 ,$281.25 ,$167.25 ,$150.38 ,$167.25 ,$172.62 ,$167.25 ,$236.25 ,$236.25 ,$266.25 ,$375.00 ,$318.75 ,$375.00 ,$300.00 ,$138.75 ,$300.00 ,$172.62 ,$172.62 ,$375.00 ,$203.25 ,$172.62 ,$98.63 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$318.75 ,$388.39 ,$143.25 ,$105.00 ,$337.50 ,$270.00 ,$375.00 ,$236.25 ,$236.25 ,$236.25 ,$172.62 ,$180.00 ,$337.50 ST. JOHN'S HOSPITAL,36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$6,214.00 ","$4,039.10 ",$692.27 ,"$6,214.00 ","$3,381.25 ","$2,300.00 ","$3,367.99 ","$1,352.50 ","$1,739.92 ","$1,988.48 ","$1,352.50 ","$2,286.75 ","$1,352.50 ","$2,373.75 ","$2,373.75 ","$1,352.50 ","$2,373.75 ","$2,569.74 ","$3,268.56 ", N/A ,"$3,381.24 ","$1,352.50 ","$4,349.80 ","$1,352.50 ","$3,107.00 ","$1,379.54 ","$4,660.50 ","$2,771.44 ","$2,491.81 ","$2,771.44 ","$1,352.50 ","$2,771.44 ","$3,914.82 ","$3,914.82 ","$4,411.94 ","$6,214.00 ","$5,281.90 ","$3,381.24 ","$4,971.20 ","$2,299.18 ","$4,971.20 ","$1,352.50 ","$1,352.50 ","$6,214.00 ","$3,367.99 ","$1,352.50 ","$1,634.28 ", N/A , N/A ,$725.23 ,$692.27 ,"$1,420.13 ","$5,281.90 ","$3,043.11 ","$2,373.75 ","$1,739.92 ","$5,592.60 ","$4,474.08 ","$6,214.00 ","$3,914.82 ","$3,914.82 ","$3,914.82 ","$1,352.50 ","$2,982.72 ","$5,592.60 " ST. JOHN'S HOSPITAL,36100283,44799,HC DILATION OF STOMA OPENING,361,1 ,"$2,429.00 ","$1,578.85 ",$638.83 ,"$2,429.00 ","$1,944.50 ","$2,300.00 ","$1,316.52 ",$777.80 ,$680.12 ,$777.28 ,$777.80 ,$893.87 ,$777.80 ,$927.88 ,$927.88 ,$777.80 ,$927.88 ,"$1,477.82 ","$1,277.65 ","$1,214.50 ","$1,944.50 ",$777.80 ,"$1,700.30 ",$777.80 ,"$1,214.50 ",$793.35 ,"$1,821.75 ","$1,083.33 ",$974.03 ,"$1,083.33 ",$777.80 ,"$1,083.33 ","$1,530.27 ","$1,530.27 ","$1,724.59 ","$2,429.00 ","$2,064.65 ","$1,944.50 ","$1,943.20 ",$898.73 ,"$1,943.20 ",$777.80 ,$777.80 ,"$2,429.00 ","$1,316.52 ",$777.80 ,$638.83 , N/A , N/A ,"$1,764.90 ","$1,684.67 ",$816.69 ,"$2,064.65 ","$1,750.05 ",$927.88 ,$680.12 ,"$2,186.10 ","$1,748.88 ","$2,429.00 ","$1,530.27 ","$1,530.27 ","$1,530.27 ",$777.80 ,"$1,165.92 ","$2,186.10 " ST. JOHN'S HOSPITAL,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,"$6,724.00 ","$4,370.60 ",$425.00 ,"$6,724.00 ","$4,302.83 ","$3,000.00 ","$3,644.41 ","$1,721.13 ","$1,882.72 ","$2,319.78 ","$1,721.13 ","$2,649.26 ","$1,721.13 ","$2,689.60 ","$2,689.60 ","$1,721.13 ","$2,689.60 ","$3,270.14 ","$3,536.82 ","$1,049.00 ","$4,302.81 ","$1,721.13 ","$4,706.80 ","$1,721.13 ","$3,362.00 ","$1,755.55 ","$5,043.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,721.13 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,724.00 ","$5,715.40 ","$4,302.81 ","$5,379.20 ","$2,487.88 ","$5,379.20 ","$1,721.13 ","$1,721.13 ","$6,724.00 ","$3,644.41 ","$1,721.13 ","$1,768.41 ", N/A , N/A , N/A , N/A ,"$1,807.19 ","$5,715.40 ","$3,872.53 ","$2,689.60 ","$1,882.72 ","$6,051.60 ","$4,841.28 ","$6,724.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,721.13 ","$3,227.52 ","$6,051.60 " ST. JOHN'S HOSPITAL,36100285,61070,HC BRAIN CANAL SHUNT PX,361,1 ,"$1,803.00 ","$1,171.95 ",$347.40 ,"$1,803.00 ","$1,525.98 ","$1,803.00 ",$977.23 ,$610.39 ,$504.84 ,$576.96 ,$610.39 ,$663.50 ,$610.39 ,$688.75 ,$688.75 ,$610.39 ,$688.75 ,"$1,159.74 ",$948.38 ,"$1,398.00 ","$1,525.97 ",$610.39 ,"$1,262.10 ",$610.39 ,$901.50 ,$622.59 ,"$1,352.25 ",$804.14 ,$723.00 ,$804.14 ,$610.39 ,$804.14 ,"$1,135.89 ","$1,135.89 ","$1,280.13 ","$1,803.00 ","$1,532.55 ","$1,525.97 ","$1,442.40 ",$667.11 ,"$1,442.40 ",$610.39 ,$610.39 ,"$1,803.00 ",$977.23 ,$610.39 ,$474.19 , N/A , N/A ,$363.95 ,$347.40 ,$640.91 ,"$1,532.55 ","$1,373.37 ",$688.75 ,$504.84 ,"$1,622.70 ","$1,298.16 ","$1,803.00 ","$1,135.89 ","$1,135.89 ","$1,135.89 ",$610.39 ,$865.44 ,"$1,622.70 " ST. JOHN'S HOSPITAL,36100500,19297,HC PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST,361,1 ,"$13,974.00 ","$9,083.10 ","$2,824.08 ","$13,974.00 ", N/A ,"$5,500.00 ","$7,573.91 ", N/A ,"$3,912.72 ","$4,471.68 ", N/A ,"$5,142.43 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,350.32 ","$6,987.00 ", N/A , N/A ,"$9,781.80 ", N/A ,"$6,987.00 ", N/A ,"$10,480.50 ","$6,232.40 ","$5,603.57 ","$6,232.40 ", N/A ,"$6,232.40 ","$8,803.62 ","$8,803.62 ","$9,921.54 ","$13,974.00 ","$11,877.90 ", N/A ,"$11,179.20 ","$5,170.38 ","$11,179.20 ", N/A , N/A ,"$13,974.00 ","$7,573.91 ", N/A ,"$3,675.16 ", N/A , N/A ,"$2,958.56 ","$2,824.08 ", N/A ,"$11,877.90 ", N/A ,"$5,000.00 ","$3,912.72 ","$12,576.60 ","$10,061.28 ","$13,974.00 ","$8,803.62 ","$8,803.62 ","$8,803.62 ", N/A ,"$6,707.52 ","$12,576.60 " ST. JOHN'S HOSPITAL,36100501,19298,HC PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST,361,1 ,"$15,100.00 ","$9,815.00 ","$2,824.08 ","$15,100.00 ","$13,299.40 ","$6,000.00 ","$8,184.20 ","$5,319.76 ","$4,228.00 ","$4,832.00 ","$5,319.76 ","$5,556.80 ","$5,319.76 ","$5,000.00 ","$5,000.00 ","$5,319.76 ","$5,000.00 ","$10,107.54 ","$7,942.60 ","$7,550.00 ","$13,299.39 ","$5,319.76 ","$10,570.00 ","$5,319.76 ","$7,550.00 ","$5,426.15 ","$11,325.00 ","$6,734.60 ","$6,055.10 ","$6,734.60 ","$5,319.76 ","$6,734.60 ","$9,391.00 ","$9,391.00 ","$10,333.00 ","$15,100.00 ","$12,835.00 ","$13,299.39 ","$12,080.00 ","$5,587.00 ","$12,080.00 ","$5,319.76 ","$5,319.76 ","$15,100.00 ","$8,184.20 ","$5,319.76 ","$3,971.30 ", N/A , N/A ,"$2,958.56 ","$2,824.08 ","$5,585.75 ","$12,835.00 ","$11,969.45 ","$5,000.00 ","$4,228.00 ","$13,590.00 ","$10,872.00 ","$15,100.00 ","$9,391.00 ","$9,513.00 ","$9,513.00 ","$5,319.76 ","$7,248.00 ","$13,590.00 " ST. JOHN'S HOSPITAL,36100503,31576,HC LARYNGOSCOPY WITH BIOPSY,361,1 ,"$5,156.00 ","$3,351.40 ",$404.15 ,"$5,156.00 ","$3,595.38 ","$3,400.00 ","$2,794.55 ","$1,438.15 ","$1,443.68 ","$1,649.92 ","$1,438.15 ","$1,897.41 ","$1,438.15 ","$1,969.59 ","$1,969.59 ","$1,438.15 ","$1,969.59 ","$2,732.49 ","$2,712.06 ","$1,536.00 ","$3,595.38 ","$1,438.15 ","$3,609.20 ","$1,438.15 ","$2,578.00 ","$1,466.92 ","$3,867.00 ","$2,299.58 ","$2,067.56 ","$2,299.58 ","$1,438.15 ","$2,299.58 ","$3,248.28 ","$3,248.28 ","$3,660.76 ","$5,156.00 ","$4,382.60 ","$3,595.38 ","$4,124.80 ","$1,907.72 ","$4,124.80 ","$1,438.15 ","$1,438.15 ","$5,156.00 ","$2,794.55 ","$1,438.15 ","$1,356.03 ", N/A , N/A ,$423.39 ,$404.15 ,"$1,510.06 ","$4,382.60 ","$3,235.85 ","$1,969.59 ","$1,443.68 ","$4,640.40 ","$3,712.32 ","$5,156.00 ","$3,248.28 ","$3,248.28 ","$3,248.28 ","$1,438.15 ","$2,474.88 ","$4,640.40 " ST. JOHN'S HOSPITAL,36100504,55874,HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX,361,1 ,"$12,200.00 ","$7,930.00 ","$2,300.00 ","$12,200.00 ","$10,602.35 ","$2,300.00 ","$6,612.40 ","$4,240.94 ","$3,416.00 ","$3,904.00 ","$4,240.94 ","$4,489.60 ","$4,240.94 ","$4,660.40 ","$4,660.40 ","$4,240.94 ","$4,660.40 ","$8,057.79 ","$6,417.20 ", N/A ,"$10,602.36 ","$4,240.94 ","$8,540.00 ","$4,240.94 ","$6,100.00 ","$4,325.76 ","$9,150.00 ","$5,441.20 ","$4,892.20 ","$5,441.20 ","$4,240.94 ","$5,441.20 ","$7,686.00 ","$7,686.00 ","$8,662.00 ","$12,200.00 ","$10,370.00 ","$10,602.36 ","$9,760.00 ","$4,514.00 ","$9,760.00 ","$4,240.94 ","$4,240.94 ","$12,200.00 ","$6,612.40 ","$4,240.94 ","$3,208.60 ", N/A , N/A ,"$4,990.00 ","$4,763.18 ","$4,452.99 ","$10,370.00 ","$9,542.12 ","$4,660.40 ","$3,416.00 ","$10,980.00 ","$8,784.00 ","$12,200.00 ","$7,686.00 ","$7,686.00 ","$7,686.00 ","$4,240.94 ","$5,856.00 ","$10,980.00 " ST. JOHN'S HOSPITAL,36100505,55875,HC TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ,361,1 ,"$3,591.00 ","$2,334.15 ",$944.43 ,"$10,602.36 ","$10,602.35 ","$3,591.00 ","$1,946.32 ","$4,240.94 ","$1,005.48 ","$1,149.12 ","$4,240.94 ","$1,321.49 ","$3,591.00 ","$1,371.76 ","$1,371.76 ","$3,591.00 ","$1,371.76 ","$3,591.00 ","$1,888.87 ","$1,795.50 ","$10,602.36 ","$4,240.94 ","$2,513.70 ","$4,240.94 ","$1,795.50 ","$3,591.00 ","$2,693.25 ","$1,601.59 ","$1,439.99 ","$1,601.59 ","$4,240.94 ","$1,601.59 ","$2,262.33 ","$2,262.33 ","$2,549.61 ","$3,591.00 ","$3,052.35 ","$3,591.00 ","$2,872.80 ","$1,328.67 ","$2,872.80 ","$4,240.94 ","$4,240.94 ","$3,591.00 ","$1,946.32 ","$4,240.94 ",$944.43 , N/A , N/A ,"$3,591.00 ","$4,763.18 ","$4,452.99 ","$3,052.35 ","$9,542.12 ","$1,371.76 ","$1,005.48 ","$3,231.90 ","$2,585.52 ","$3,591.00 ","$2,262.33 ","$2,262.33 ","$2,262.33 ","$4,240.94 ","$1,723.68 ","$3,231.90 " ST. JOHN'S HOSPITAL,36100506,57155,HC PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL,361,1 ,"$13,239.00 ","$8,605.35 ","$1,290.81 ","$13,239.00 ","$10,596.70 ","$3,400.00 ","$7,175.54 ","$4,238.68 ","$3,706.92 ","$4,236.48 ","$4,238.68 ","$4,871.95 ","$4,238.68 ","$5,000.00 ","$5,000.00 ","$4,238.68 ","$5,000.00 ","$8,053.50 ","$6,963.71 ","$6,619.50 ","$10,596.71 ","$4,238.68 ","$9,267.30 ","$4,238.68 ","$6,619.50 ","$4,323.46 ","$9,929.25 ","$5,904.59 ","$5,308.84 ","$5,904.59 ","$4,238.68 ","$5,904.59 ","$8,340.57 ","$8,340.57 ","$9,399.69 ","$13,239.00 ","$11,253.15 ","$10,596.71 ","$10,591.20 ","$4,898.43 ","$10,591.20 ","$4,238.68 ","$4,238.68 ","$13,239.00 ","$7,175.54 ","$4,238.68 ","$3,481.86 ", N/A , N/A ,"$1,352.27 ","$1,290.81 ","$4,450.61 ","$11,253.15 ","$9,537.04 ","$5,000.00 ","$3,706.92 ","$11,915.10 ","$9,532.08 ","$13,239.00 ","$8,340.57 ","$8,340.57 ","$8,340.57 ","$4,238.68 ","$6,354.72 ","$11,915.10 " ST. JOHN'S HOSPITAL,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,"$1,190.00 ",$773.50 ,$203.37 ,"$1,190.00 ",$508.43 ,"$1,190.00 ",$644.98 ,$203.37 ,$333.20 ,$380.80 ,$203.37 ,$437.92 ,$203.37 ,$454.58 ,$454.58 ,$203.37 ,$454.58 ,$386.39 ,$625.94 ,$595.00 ,$508.41 ,$203.37 ,$833.00 ,$203.37 ,$595.00 ,$207.43 ,$892.50 ,$530.74 ,$477.19 ,$530.74 ,$203.37 ,$530.74 ,$749.70 ,$749.70 ,$844.90 ,"$1,190.00 ","$1,011.50 ",$508.41 ,$952.00 ,$440.30 ,$952.00 ,$203.37 ,$203.37 ,"$1,190.00 ",$644.98 ,$203.37 ,$312.97 , N/A , N/A ,$708.10 ,$675.92 ,$213.54 ,"$1,011.50 ",$457.57 ,$454.58 ,$333.20 ,"$1,071.00 ",$856.80 ,"$1,190.00 ",$749.70 ,$749.70 ,$749.70 ,$203.37 ,$571.20 ,"$1,071.00 " ST. JOHN'S HOSPITAL,37000014,64448,HC FEMORAL NERVE BLOCK CONTINUOUS,370,1 ,"$2,908.00 ","$1,890.20 ",$440.08 ,"$2,908.00 ","$1,978.25 ","$1,337.68 ","$1,576.14 ",$791.30 ,$814.24 ,$930.56 ,$791.30 ,"$1,070.14 ",$791.30 ,"$1,110.86 ", N/A ,$791.30 ,"$1,110.86 ","$1,503.46 ","$1,529.61 ","$1,483.08 ","$1,978.24 ",$791.30 ,"$2,035.60 ",$791.30 ,"$1,454.00 ",$807.12 ,"$2,181.00 ","$1,468.54 ","$1,323.14 ","$1,468.54 ",$791.30 ,"$1,468.54 ","$1,832.04 ","$1,832.04 ","$2,064.68 ","$2,908.00 ","$2,471.80 ","$1,978.24 ","$2,326.40 ","$1,075.96 ","$2,326.40 ",$791.30 ,$791.30 ,"$2,908.00 ","$1,576.14 ",$791.30 ,$764.80 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$2,471.80 ","$1,780.41 ", N/A ,$814.24 ,"$2,617.20 ","$2,093.76 ","$2,908.00 ","$1,832.04 ","$1,832.04 ","$1,832.04 ",$791.30 ,"$1,395.84 ","$2,617.20 " ST. JOHN'S HOSPITAL,37000017,99153,HC MODERATE SEDATION SAME PHY EA ADDL 15MIN,370,1 ,$348.00 ,$226.20 ,$23.60 ,$348.00 , N/A ,$160.08 ,$188.62 , N/A ,$97.44 ,$79.58 , N/A ,$85.75 , N/A ,$132.94 , N/A , N/A ,$132.94 , N/A ,$183.05 ,$177.48 , N/A , N/A ,$243.60 , N/A ,$174.00 , N/A ,$261.00 ,$175.74 ,$158.34 ,$175.74 , N/A ,$175.74 ,$219.24 ,$219.24 ,$247.08 ,$348.00 ,$295.80 , N/A ,$278.40 ,$128.76 ,$278.40 , N/A , N/A ,$348.00 ,$188.62 , N/A ,$91.52 , N/A , N/A ,$24.73 ,$23.60 , N/A ,$295.80 , N/A , N/A ,$97.44 ,$313.20 ,$250.56 ,$348.00 ,$219.24 ,$219.24 ,$219.24 , N/A ,$167.04 ,$313.20 ST. JOHN'S HOSPITAL,37000020,99157,HC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,370,1 ,$308.00 ,$200.20 ,$23.60 ,$308.00 , N/A ,$141.68 ,$166.94 , N/A ,$86.24 ,$106.26 , N/A ,$118.27 , N/A ,$117.66 , N/A , N/A ,$117.66 , N/A ,$162.01 ,$157.08 , N/A , N/A ,$215.60 , N/A ,$154.00 , N/A ,$231.00 ,$155.54 ,$140.14 ,$155.54 , N/A ,$155.54 ,$194.04 ,$194.04 ,$218.68 ,$308.00 ,$261.80 , N/A ,$246.40 ,$113.96 ,$246.40 , N/A , N/A ,$200.00 ,$166.94 , N/A ,$81.00 , N/A , N/A ,$24.73 ,$23.60 , N/A ,$261.80 , N/A , N/A ,$86.24 ,$277.20 ,$221.76 ,$308.00 ,$194.04 ,$194.04 ,$194.04 , N/A ,$147.84 ,$277.20 ST. JOHN'S HOSPITAL,37000021,64447,HC FEMORAL NERVE BLOCK SINGLE,370,1 ,"$1,754.00 ","$1,140.10 ",$440.08 ,"$1,754.00 ","$1,525.98 ",$806.84 ,$950.67 ,$610.39 ,$491.12 ,$561.28 ,$610.39 ,$645.47 ,$610.39 ,$670.03 , N/A ,$610.39 ,$670.03 ,"$1,159.74 ",$922.60 ,$894.54 ,"$1,525.97 ",$610.39 ,"$1,227.80 ",$610.39 ,$877.00 ,$622.59 ,"$1,315.50 ",$885.77 ,$798.07 ,$885.77 ,$610.39 ,$885.77 ,"$1,105.02 ","$1,105.02 ","$1,245.34 ","$1,754.00 ","$1,490.90 ","$1,525.97 ","$1,403.20 ",$648.98 ,"$1,403.20 ",$610.39 ,$610.39 ,"$1,754.00 ",$950.67 ,$610.39 ,$461.30 , N/A , N/A ,$461.03 ,$440.08 ,$640.91 ,"$1,490.90 ","$1,373.37 ", N/A ,$491.12 ,"$1,578.60 ","$1,262.88 ","$1,754.00 ","$1,105.02 ","$1,105.02 ","$1,105.02 ",$610.39 ,$841.92 ,"$1,578.60 " ST. JOHN'S HOSPITAL,37000023,64416,HC INTRASCALENE BLOCK CONTINUOUS,370,1 ,"$3,314.00 ","$2,154.10 ",$440.08 ,"$3,314.00 ","$1,978.25 ","$1,524.44 ","$1,796.19 ",$791.30 ,$927.92 ,"$1,060.48 ",$791.30 ,"$1,219.55 ",$791.30 ,"$1,265.95 ", N/A ,$791.30 ,"$1,265.95 ","$1,503.46 ","$1,743.16 ","$1,690.14 ","$1,978.24 ",$791.30 ,"$2,319.80 ",$791.30 ,"$1,657.00 ",$807.12 ,"$2,485.50 ","$1,673.57 ","$1,507.87 ","$1,673.57 ",$791.30 ,"$1,673.57 ","$2,087.82 ","$2,087.82 ","$2,352.94 ","$3,314.00 ","$2,816.90 ","$1,978.24 ","$2,651.20 ","$1,226.18 ","$2,651.20 ",$791.30 ,$791.30 ,"$3,314.00 ","$1,796.19 ",$791.30 ,$871.58 , N/A , N/A ,$461.03 ,$440.08 ,$830.87 ,"$2,816.90 ","$1,780.41 ", N/A ,$927.92 ,"$2,982.60 ","$2,386.08 ","$3,314.00 ","$2,087.82 ","$2,087.82 ","$2,087.82 ",$791.30 ,"$1,590.72 ","$2,982.60 " ST. JOHN'S HOSPITAL,37000024,N/A,HC EPIDURAL NERVE BLOCK,370,1 ,"$1,632.00 ","$1,060.80 ",$429.22 ,"$1,632.00 ", N/A ,$750.72 ,$884.54 , N/A ,$456.96 ,$522.24 , N/A ,$600.58 , N/A ,$623.42 , N/A , N/A ,$623.42 , N/A ,$858.43 ,$832.32 , N/A , N/A ,"$1,142.40 ", N/A ,$816.00 , N/A ,"$1,224.00 ",$824.16 ,$742.56 ,$824.16 , N/A ,$824.16 ,"$1,028.16 ","$1,028.16 ","$1,158.72 ","$1,632.00 ","$1,387.20 ", N/A ,"$1,305.60 ",$603.84 ,"$1,305.60 ", N/A , N/A ,"$1,632.00 ",$884.54 , N/A ,$429.22 , N/A , N/A , N/A , N/A , N/A ,"$1,387.20 ", N/A , N/A ,$456.96 ,"$1,468.80 ","$1,175.04 ","$1,632.00 ","$1,028.16 ","$1,028.16 ","$1,028.16 ", N/A ,$783.36 ,"$1,468.80 " ST. JOHN'S HOSPITAL,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,"$1,502.00 ",$976.30 ,$395.03 ,"$1,502.00 ", N/A ,$690.92 ,$814.08 , N/A ,$420.56 ,$480.64 , N/A ,$552.74 , N/A ,$573.76 , N/A , N/A ,$573.76 , N/A ,$790.05 ,$766.02 , N/A , N/A ,"$1,051.40 ", N/A ,$751.00 , N/A ,"$1,126.50 ",$758.51 ,$683.41 ,$758.51 , N/A ,$758.51 ,$946.26 ,$946.26 ,"$1,066.42 ","$1,502.00 ","$1,276.70 ", N/A ,"$1,201.60 ",$555.74 ,"$1,201.60 ", N/A , N/A ,"$1,502.00 ",$814.08 , N/A ,$395.03 , N/A , N/A , N/A , N/A , N/A ,"$1,276.70 ", N/A , N/A ,$420.56 ,"$1,351.80 ","$1,081.44 ","$1,502.00 ",$946.26 ,$946.26 ,$946.26 , N/A ,$720.96 ,"$1,351.80 " ST. JOHN'S HOSPITAL,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$284.00 ,$184.60 ,$74.69 ,$284.00 , N/A ,$130.64 ,$153.93 , N/A ,$79.52 ,$90.88 , N/A ,$104.51 , N/A ,$108.49 , N/A , N/A ,$108.49 , N/A ,$149.38 ,$144.84 , N/A , N/A ,$198.80 , N/A ,$142.00 , N/A ,$213.00 ,$143.42 ,$129.22 ,$143.42 , N/A ,$143.42 ,$178.92 ,$178.92 ,$201.64 ,$284.00 ,$241.40 , N/A ,$227.20 ,$105.08 ,$227.20 , N/A , N/A ,$284.00 ,$153.93 , N/A ,$74.69 , N/A , N/A , N/A , N/A , N/A ,$241.40 , N/A , N/A ,$79.52 ,$255.60 ,$204.48 ,$284.00 ,$178.92 ,$178.92 ,$178.92 , N/A ,$136.32 ,$255.60 ST. JOHN'S HOSPITAL,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,"$1,136.00 ",$738.40 ,$298.77 ,"$1,136.00 ", N/A ,$522.56 ,$615.71 , N/A ,$318.08 ,$363.52 , N/A ,$418.05 , N/A ,$433.95 , N/A , N/A ,$433.95 , N/A ,$597.54 ,$579.36 , N/A , N/A ,$795.20 , N/A ,$568.00 , N/A ,$852.00 ,$573.68 ,$516.88 ,$573.68 , N/A ,$573.68 ,$715.68 ,$715.68 ,$806.56 ,"$1,136.00 ",$965.60 , N/A ,$908.80 ,$420.32 ,$908.80 , N/A , N/A ,"$1,136.00 ",$615.71 , N/A ,$298.77 , N/A , N/A , N/A , N/A , N/A ,$965.60 , N/A , N/A ,$318.08 ,"$1,022.40 ",$817.92 ,"$1,136.00 ",$715.68 ,$715.68 ,$715.68 , N/A ,$545.28 ,"$1,022.40 " ST. JOHN'S HOSPITAL,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$122.00 ,$79.30 ,$32.09 ,$122.00 , N/A ,$56.12 ,$66.12 , N/A ,$34.16 ,$39.04 , N/A ,$44.90 , N/A ,$46.60 , N/A , N/A ,$46.60 , N/A ,$64.17 ,$62.22 , N/A , N/A ,$85.40 , N/A ,$61.00 , N/A ,$91.50 ,$61.61 ,$55.51 ,$61.61 , N/A ,$61.61 ,$76.86 ,$76.86 ,$86.62 ,$122.00 ,$103.70 , N/A ,$97.60 ,$45.14 ,$97.60 , N/A , N/A ,$122.00 ,$66.12 , N/A ,$32.09 , N/A , N/A , N/A , N/A , N/A ,$103.70 , N/A , N/A ,$34.16 ,$109.80 ,$87.84 ,$122.00 ,$76.86 ,$76.86 ,$76.86 , N/A ,$58.56 ,$109.80 ST. JOHN'S HOSPITAL,37000072,99151,HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,370,1 ,"$1,320.00 ",$858.00 ,$23.60 ,"$1,320.00 ", N/A ,$607.20 ,$715.44 , N/A ,$369.60 ,$182.44 , N/A ,$196.58 , N/A ,$504.24 , N/A , N/A ,$504.24 , N/A ,$694.32 ,$673.20 , N/A , N/A ,$924.00 , N/A ,$660.00 , N/A ,$990.00 ,$666.60 ,$600.60 ,$666.60 , N/A ,$666.60 ,$831.60 ,$831.60 ,$937.20 ,"$1,320.00 ","$1,122.00 ", N/A ,"$1,056.00 ",$488.40 ,"$1,056.00 ", N/A , N/A ,"$1,320.00 ",$715.44 , N/A ,$347.16 , N/A , N/A ,$24.73 ,$23.60 , N/A ,"$1,122.00 ", N/A , N/A ,$369.60 ,"$1,188.00 ",$950.40 ,"$1,320.00 ",$831.60 ,$831.60 ,$831.60 , N/A ,$633.60 ,"$1,188.00 " ST. JOHN'S HOSPITAL,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,"$1,320.00 ",$858.00 ,$23.60 ,"$1,320.00 ", N/A ,$607.20 ,$715.44 , N/A ,$369.60 ,$94.81 , N/A ,$102.16 , N/A ,$504.24 , N/A , N/A ,$504.24 , N/A ,$694.32 ,$673.20 , N/A , N/A ,$924.00 , N/A ,$660.00 , N/A ,$990.00 ,$666.60 ,$600.60 ,$666.60 , N/A ,$666.60 ,$831.60 ,$831.60 ,$937.20 ,"$1,320.00 ","$1,122.00 ", N/A ,"$1,056.00 ",$488.40 ,"$1,056.00 ", N/A , N/A ,"$1,320.00 ",$715.44 , N/A ,$347.16 , N/A , N/A ,$24.73 ,$23.60 , N/A ,"$1,122.00 ", N/A , N/A ,$369.60 ,"$1,188.00 ",$950.40 ,"$1,320.00 ",$831.60 ,$831.60 ,$831.60 , N/A ,$633.60 ,"$1,188.00 " ST. JOHN'S HOSPITAL,37000074,99155,HC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,370,1 ,"$1,360.00 ",$884.00 ,$23.60 ,"$1,360.00 ", N/A ,$625.60 ,$737.12 , N/A ,$380.80 ,$469.20 , N/A ,$522.24 , N/A ,$519.52 , N/A , N/A ,$519.52 , N/A ,$715.36 ,$693.60 , N/A , N/A ,$952.00 , N/A ,$680.00 , N/A ,"$1,020.00 ",$686.80 ,$618.80 ,$686.80 , N/A ,$686.80 ,$856.80 ,$856.80 ,$965.60 ,"$1,360.00 ","$1,156.00 ", N/A ,"$1,088.00 ",$503.20 ,"$1,088.00 ", N/A , N/A ,"$1,360.00 ",$737.12 , N/A ,$357.68 , N/A , N/A ,$24.73 ,$23.60 , N/A ,"$1,156.00 ", N/A , N/A ,$380.80 ,"$1,224.00 ",$979.20 ,"$1,360.00 ",$856.80 ,$856.80 ,$856.80 , N/A ,$652.80 ,"$1,224.00 " ST. JOHN'S HOSPITAL,37000075,99156,HC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,370,1 ,"$1,360.00 ",$884.00 ,$23.60 ,"$1,360.00 ", N/A ,$625.60 ,$737.12 , N/A ,$380.80 ,$469.20 , N/A ,$522.24 , N/A ,$519.52 , N/A , N/A ,$519.52 , N/A ,$715.36 ,$693.60 , N/A , N/A ,$952.00 , N/A ,$680.00 , N/A ,"$1,020.00 ",$686.80 ,$618.80 ,$686.80 , N/A ,$686.80 ,$856.80 ,$856.80 ,$965.60 ,"$1,360.00 ","$1,156.00 ", N/A ,"$1,088.00 ",$503.20 ,"$1,088.00 ", N/A , N/A ,$200.00 ,$737.12 , N/A ,$357.68 , N/A , N/A ,$24.73 ,$23.60 , N/A ,"$1,156.00 ", N/A , N/A ,$380.80 ,"$1,224.00 ",$979.20 ,"$1,360.00 ",$856.80 ,$856.80 ,$856.80 , N/A ,$652.80 ,"$1,224.00 " ST. JOHN'S HOSPITAL,37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,"$1,299.00 ",$844.35 ,$341.64 ,"$1,299.00 ", N/A ,$597.54 ,$704.06 , N/A ,$363.72 ,$415.68 , N/A ,$478.03 , N/A ,$496.22 , N/A , N/A ,$496.22 , N/A ,$683.27 ,$662.49 , N/A , N/A ,$909.30 , N/A ,$649.50 , N/A ,$974.25 ,$656.00 ,$591.05 ,$656.00 , N/A ,$656.00 ,$818.37 ,$818.37 ,$922.29 ,"$1,299.00 ","$1,104.15 ", N/A ,"$1,039.20 ",$480.63 ,"$1,039.20 ", N/A , N/A ,"$1,299.00 ",$704.06 , N/A ,$341.64 , N/A , N/A , N/A , N/A , N/A ,"$1,104.15 ", N/A , N/A ,$363.72 ,"$1,169.10 ",$935.28 ,"$1,299.00 ",$818.37 ,$818.37 ,$818.37 , N/A ,$623.52 ,"$1,169.10 " ST. JOHN'S HOSPITAL,37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$162.00 ,$105.30 ,$42.61 ,$162.00 , N/A ,$74.52 ,$87.80 , N/A ,$45.36 ,$51.84 , N/A ,$59.62 , N/A ,$61.88 , N/A , N/A ,$61.88 , N/A ,$85.21 ,$82.62 , N/A , N/A ,$113.40 , N/A ,$81.00 , N/A ,$121.50 ,$81.81 ,$73.71 ,$81.81 , N/A ,$81.81 ,$102.06 ,$102.06 ,$115.02 ,$162.00 ,$137.70 , N/A ,$129.60 ,$59.94 ,$129.60 , N/A , N/A ,$162.00 ,$87.80 , N/A ,$42.61 , N/A , N/A , N/A , N/A , N/A ,$137.70 , N/A , N/A ,$45.36 ,$145.80 ,$116.64 ,$162.00 ,$102.06 ,$102.06 ,$102.06 , N/A ,$77.76 ,$145.80 ST. JOHN'S HOSPITAL,37000079,N/A,HC SEDATION DEEP/INTENSIVE,370,1 ,"$1,295.00 ",$841.75 ,$340.59 ,"$1,295.00 ", N/A ,$595.70 ,$701.89 , N/A ,$362.60 ,$414.40 , N/A ,$476.56 , N/A ,$494.69 , N/A , N/A ,$494.69 , N/A ,$681.17 ,$660.45 , N/A , N/A ,$906.50 , N/A ,$647.50 , N/A ,$971.25 ,$653.98 ,$589.23 ,$653.98 , N/A ,$653.98 ,$815.85 ,$815.85 ,$919.45 ,"$1,295.00 ","$1,100.75 ", N/A ,"$1,036.00 ",$479.15 ,"$1,036.00 ", N/A , N/A ,"$1,295.00 ",$701.89 , N/A ,$340.59 , N/A , N/A , N/A , N/A , N/A ,"$1,100.75 ", N/A , N/A ,$362.60 ,"$1,165.50 ",$932.40 ,"$1,295.00 ",$815.85 ,$815.85 ,$815.85 , N/A ,$621.60 ,"$1,165.50 " ST. JOHN'S HOSPITAL,37000080,N/A,HC ANESTHESIA LOCAL,370,1 ,"$1,053.00 ",$684.45 ,$276.94 ,"$1,053.00 ", N/A ,$484.38 ,$570.73 , N/A ,$294.84 ,$336.96 , N/A ,$387.50 , N/A ,$402.25 , N/A , N/A ,$402.25 , N/A ,$553.88 ,$537.03 , N/A , N/A ,$737.10 , N/A ,$526.50 , N/A ,$789.75 ,$531.77 ,$479.12 ,$531.77 , N/A ,$531.77 ,$663.39 ,$663.39 ,$747.63 ,"$1,053.00 ",$895.05 , N/A ,$842.40 ,$389.61 ,$842.40 , N/A , N/A ,"$1,053.00 ",$570.73 , N/A ,$276.94 , N/A , N/A , N/A , N/A , N/A ,$895.05 , N/A , N/A ,$294.84 ,$947.70 ,$758.16 ,"$1,053.00 ",$663.39 ,$663.39 ,$663.39 , N/A ,$505.44 ,$947.70 ST. JOHN'S HOSPITAL,37000081,N/A,HC CONSCIOUS SEDATION IV,370,1 ,"$1,147.00 ",$745.55 ,$301.66 ,"$1,147.00 ", N/A ,$527.62 ,$621.67 , N/A ,$321.16 ,$367.04 , N/A ,$422.10 , N/A ,$438.15 , N/A , N/A ,$438.15 , N/A ,$603.32 ,$584.97 , N/A , N/A ,$802.90 , N/A ,$573.50 , N/A ,$860.25 ,$579.24 ,$521.89 ,$579.24 , N/A ,$579.24 ,$722.61 ,$722.61 ,$814.37 ,"$1,147.00 ",$974.95 , N/A ,$917.60 ,$424.39 ,$917.60 , N/A , N/A ,"$1,147.00 ",$621.67 , N/A ,$301.66 , N/A , N/A , N/A , N/A , N/A ,$974.95 , N/A , N/A ,$321.16 ,"$1,032.30 ",$825.84 ,"$1,147.00 ",$722.61 ,$722.61 ,$722.61 , N/A ,$550.56 ,"$1,032.30 " ST. JOHN'S HOSPITAL,37000082,N/A,HC CONSCIOUS SEDATION NON-IV,370,1 ,$560.00 ,$364.00 ,$147.28 ,$560.00 , N/A ,$257.60 ,$303.52 , N/A ,$156.80 ,$179.20 , N/A ,$206.08 , N/A ,$213.92 , N/A , N/A ,$213.92 , N/A ,$294.56 ,$285.60 , N/A , N/A ,$392.00 , N/A ,$280.00 , N/A ,$420.00 ,$282.80 ,$254.80 ,$282.80 , N/A ,$282.80 ,$352.80 ,$352.80 ,$397.60 ,$560.00 ,$476.00 , N/A ,$448.00 ,$207.20 ,$448.00 , N/A , N/A ,$560.00 ,$303.52 , N/A ,$147.28 , N/A , N/A , N/A , N/A , N/A ,$476.00 , N/A , N/A ,$156.80 ,$504.00 ,$403.20 ,$560.00 ,$352.80 ,$352.80 ,$352.80 , N/A ,$268.80 ,$504.00 ST. JOHN'S HOSPITAL,37000084,N/A,HC ANESTHESIA GENERAL COMPLEX INIT 15MIN,370,1 ,"$1,624.00 ","$1,055.60 ",$427.11 ,"$1,624.00 ", N/A ,$747.04 ,$880.21 , N/A ,$454.72 ,$519.68 , N/A ,$597.63 , N/A ,$620.37 , N/A , N/A ,$620.37 , N/A ,$854.22 ,$828.24 , N/A , N/A ,"$1,136.80 ", N/A ,$812.00 , N/A ,"$1,218.00 ",$820.12 ,$738.92 ,$820.12 , N/A ,$820.12 ,"$1,023.12 ","$1,023.12 ","$1,153.04 ","$1,624.00 ","$1,380.40 ", N/A ,"$1,299.20 ",$600.88 ,"$1,299.20 ", N/A , N/A ,"$1,624.00 ",$880.21 , N/A ,$427.11 , N/A , N/A , N/A , N/A , N/A ,"$1,380.40 ", N/A , N/A ,$454.72 ,"$1,461.60 ","$1,169.28 ","$1,624.00 ","$1,023.12 ","$1,023.12 ","$1,023.12 ", N/A ,$779.52 ,"$1,461.60 " ST. JOHN'S HOSPITAL,37000085,N/A,HC ANESTHESIA GENERAL COMPLEX ADDL 15MIN,370,1 ,$284.00 ,$184.60 ,$74.69 ,$284.00 , N/A ,$130.64 ,$153.93 , N/A ,$79.52 ,$90.88 , N/A ,$104.51 , N/A ,$108.49 , N/A , N/A ,$108.49 , N/A ,$149.38 ,$144.84 , N/A , N/A ,$198.80 , N/A ,$142.00 , N/A ,$213.00 ,$143.42 ,$129.22 ,$143.42 , N/A ,$143.42 ,$178.92 ,$178.92 ,$201.64 ,$284.00 ,$241.40 , N/A ,$227.20 ,$105.08 ,$227.20 , N/A , N/A ,$284.00 ,$153.93 , N/A ,$74.69 , N/A , N/A , N/A , N/A , N/A ,$241.40 , N/A , N/A ,$79.52 ,$255.60 ,$204.48 ,$284.00 ,$178.92 ,$178.92 ,$178.92 , N/A ,$136.32 ,$255.60 ST. JOHN'S HOSPITAL,37200001,1967,HC ANES ELECTROCONVULSIVE THERAPY,372,1 ,$511.00 ,$332.15 ,$134.39 ,$511.00 , N/A ,$235.06 ,$276.96 , N/A ,$143.08 ,$163.52 , N/A ,$188.05 , N/A ,$195.20 ,$204.40 , N/A ,$195.20 , N/A ,$268.79 ,$260.61 , N/A , N/A ,$357.70 , N/A ,$255.50 , N/A ,$383.25 ,$258.06 ,$232.51 ,$258.06 , N/A ,$258.06 ,$321.93 ,$321.93 ,$362.81 ,$511.00 ,$434.35 , N/A ,$408.80 ,$189.07 ,$408.80 , N/A , N/A ,$511.00 ,$276.96 , N/A ,$134.39 , N/A , N/A , N/A , N/A , N/A ,$434.35 , N/A ,$336.24 ,$143.08 ,$459.90 ,$367.92 ,$511.00 ,$321.93 ,$321.93 ,$321.93 , N/A ,$245.28 ,$459.90 ST. JOHN'S HOSPITAL,37200002,N/A,HC SEDATION MINIMAL,372,1 ,$560.00 ,$364.00 ,$147.28 ,$560.00 , N/A ,$257.60 ,$303.52 , N/A ,$156.80 ,$179.20 , N/A ,$206.08 , N/A ,$213.92 ,$224.00 , N/A ,$213.92 , N/A ,$294.56 ,$285.60 , N/A , N/A ,$392.00 , N/A ,$280.00 , N/A ,$420.00 ,$282.80 ,$254.80 ,$282.80 , N/A ,$282.80 ,$352.80 ,$352.80 ,$397.60 ,$560.00 ,$476.00 , N/A ,$448.00 ,$207.20 ,$448.00 , N/A , N/A ,$560.00 ,$303.52 , N/A ,$147.28 , N/A , N/A , N/A , N/A , N/A ,$476.00 , N/A ,$368.48 ,$156.80 ,$504.00 ,$403.20 ,$560.00 ,$352.80 ,$352.80 ,$352.80 , N/A ,$268.80 ,$504.00 ST. JOHN'S HOSPITAL,37200003,N/A,HC SEDATION MODERATE,372,1 ,"$1,147.00 ",$745.55 ,$301.66 ,"$1,147.00 ", N/A ,$527.62 ,$621.67 , N/A ,$321.16 ,$367.04 , N/A ,$422.10 , N/A ,$438.15 ,$458.80 , N/A ,$438.15 , N/A ,$603.32 ,$584.97 , N/A , N/A ,$802.90 , N/A ,$573.50 , N/A ,$860.25 ,$579.24 ,$521.89 ,$579.24 , N/A ,$579.24 ,$722.61 ,$722.61 ,$814.37 ,"$1,147.00 ",$974.95 , N/A ,$917.60 ,$424.39 ,$917.60 , N/A , N/A ,"$1,147.00 ",$621.67 , N/A ,$301.66 , N/A , N/A , N/A , N/A , N/A ,$974.95 , N/A ,$754.73 ,$321.16 ,"$1,032.30 ",$825.84 ,"$1,147.00 ",$722.61 ,$722.61 ,$722.61 , N/A ,$550.56 ,"$1,032.30 " ST. JOHN'S HOSPITAL,39000144,86965,HC BLOOD PRODUCT POOL,390,1 ,$135.00 ,$87.75 ,$30.82 ,$358.41 ,$358.40 ,$30.82 ,$73.17 ,$143.36 ,$37.80 ,$46.58 ,$143.36 ,$51.84 ,$135.00 ,$51.57 ,$49.15 ,$135.00 ,$51.57 ,$135.00 ,$114.84 ,$68.85 ,$358.41 ,$143.36 ,$94.50 ,$143.36 ,$67.50 ,$135.00 ,$101.25 ,$68.18 ,$61.43 ,$68.18 ,$143.36 ,$68.18 ,$85.05 ,$85.05 ,$95.85 ,$135.00 ,$114.75 ,$135.00 ,$108.00 ,$49.95 ,$108.00 ,$143.36 ,$143.36 ,$135.00 ,$73.17 ,$143.36 ,$35.51 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$114.75 ,$322.57 ,$88.83 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$85.05 ,$85.05 ,$85.05 ,$143.36 ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,39000145,86985,HC SPLITTING BLOOD PRODUCT EA,390,1 ,$113.00 ,$73.45 ,$23.92 ,$358.41 ,$358.40 ,$23.92 ,$61.25 ,$143.36 ,$31.64 ,$38.99 ,$143.36 ,$43.39 ,$113.00 ,$43.17 ,$38.29 ,$113.00 ,$43.17 ,$113.00 ,$89.99 ,$57.63 ,$358.41 ,$143.36 ,$79.10 ,$143.36 ,$56.50 ,$113.00 ,$84.75 ,$57.07 ,$51.42 ,$57.07 ,$143.36 ,$57.07 ,$71.19 ,$71.19 ,$80.23 ,$113.00 ,$96.05 ,$113.00 ,$90.40 ,$41.81 ,$90.40 ,$143.36 ,$143.36 ,$113.00 ,$61.25 ,$143.36 ,$29.72 , N/A , N/A ,$42.70 ,$40.76 ,$150.53 ,$96.05 ,$322.57 ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$71.19 ,$71.19 ,$71.19 ,$143.36 ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$270.00 ,$175.50 ,$71.01 ,$664.27 ,$211.00 ,$124.20 ,$146.34 ,$84.40 ,$75.60 ,$86.40 ,$84.40 ,$99.36 ,$84.40 ,$103.14 ,$108.00 ,$84.40 ,$103.14 ,$160.36 ,$142.02 ,$137.70 ,$211.00 ,$84.40 ,$189.00 ,$84.40 ,$135.00 ,$86.09 ,$202.50 ,$136.35 ,$122.85 ,$136.35 ,$84.40 ,$136.35 ,$170.10 ,$170.10 ,$191.70 ,$270.00 ,$229.50 ,$211.00 ,$216.00 ,$99.90 ,$216.00 ,$84.40 ,$84.40 ,$270.00 ,$146.34 ,$84.40 ,$71.01 , N/A , N/A ,$270.00 ,$664.27 ,$88.62 ,$229.50 ,$189.90 ,$177.66 ,$75.60 ,$243.00 ,$194.40 ,$270.00 ,$170.10 ,$170.10 ,$170.10 ,$84.40 ,$129.60 ,$243.00 ST. JOHN'S HOSPITAL,39000149,P9021,HC RED CELLS PACKED EA,390,1 ,$675.00 ,$438.75 ,$140.53 ,$675.00 ,$351.33 ,$310.50 ,$365.85 ,$140.53 ,$189.00 ,$216.00 ,$140.53 ,$248.40 ,$140.53 ,$257.85 ,$270.00 ,$140.53 ,$257.85 ,$267.01 ,$355.05 ,$344.25 ,$351.33 ,$140.53 ,$472.50 ,$140.53 ,$337.50 ,$143.34 ,$506.25 ,$340.88 ,$307.13 ,$340.88 ,$140.53 ,$340.88 ,$425.25 ,$425.25 ,$479.25 ,$675.00 ,$573.75 ,$351.33 ,$540.00 ,$249.75 ,$540.00 ,$140.53 ,$140.53 ,$675.00 ,$365.85 ,$140.53 ,$177.53 , N/A , N/A ,$675.00 ,$664.27 ,$147.56 ,$573.75 ,$316.19 ,$444.15 ,$189.00 ,$607.50 ,$486.00 ,$675.00 ,$425.25 ,$425.25 ,$425.25 ,$140.53 ,$324.00 ,$607.50 ST. JOHN'S HOSPITAL,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$306.00 ,$198.90 ,$72.64 ,$664.27 ,$181.60 ,$140.76 ,$165.85 ,$72.64 ,$85.68 ,$97.92 ,$72.64 ,$112.61 ,$72.64 ,$116.89 ,$122.40 ,$72.64 ,$116.89 ,$138.02 ,$160.96 ,$156.06 ,$181.60 ,$72.64 ,$214.20 ,$72.64 ,$153.00 ,$74.09 ,$229.50 ,$154.53 ,$139.23 ,$154.53 ,$72.64 ,$154.53 ,$192.78 ,$192.78 ,$217.26 ,$306.00 ,$260.10 ,$181.60 ,$244.80 ,$113.22 ,$244.80 ,$72.64 ,$72.64 ,$306.00 ,$165.85 ,$72.64 ,$80.48 , N/A , N/A ,$306.00 ,$664.27 ,$76.27 ,$260.10 ,$163.44 ,$201.35 ,$85.68 ,$275.40 ,$220.32 ,$306.00 ,$192.78 ,$192.78 ,$192.78 ,$72.64 ,$146.88 ,$275.40 ST. JOHN'S HOSPITAL,39000161,P9011,HC BLOOD SPLIT UNIT SPECIFY AMT,390,1 ,$597.00 ,$388.05 ,$150.69 ,$664.27 ,$376.73 ,$274.62 ,$323.57 ,$150.69 ,$167.16 ,$191.04 ,$150.69 ,$219.70 ,$150.69 ,$228.05 ,$238.80 ,$150.69 ,$228.05 ,$286.31 ,$314.02 ,$304.47 ,$376.73 ,$150.69 ,$417.90 ,$150.69 ,$298.50 ,$153.70 ,$447.75 ,$301.49 ,$271.64 ,$301.49 ,$150.69 ,$301.49 ,$376.11 ,$376.11 ,$423.87 ,$597.00 ,$507.45 ,$376.73 ,$477.60 ,$220.89 ,$477.60 ,$150.69 ,$150.69 ,$597.00 ,$323.57 ,$150.69 ,$157.01 , N/A , N/A ,$597.00 ,$664.27 ,$158.22 ,$507.45 ,$339.05 ,$392.83 ,$167.16 ,$537.30 ,$429.84 ,$597.00 ,$376.11 ,$376.11 ,$376.11 ,$150.69 ,$286.56 ,$537.30 ST. JOHN'S HOSPITAL,39000162,P9012,HC CRYOPRECIPITATE EA UNIT T1,390,1 ,$225.00 ,$146.25 ,$59.18 ,$664.27 ,$203.83 ,$103.50 ,$121.95 ,$81.53 ,$63.00 ,$72.00 ,$81.53 ,$82.80 ,$81.53 ,$85.95 ,$90.00 ,$81.53 ,$85.95 ,$154.91 ,$118.35 ,$114.75 ,$203.83 ,$81.53 ,$157.50 ,$81.53 ,$112.50 ,$83.16 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$81.53 ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 ,$203.83 ,$180.00 ,$83.25 ,$180.00 ,$81.53 ,$81.53 ,$225.00 ,$121.95 ,$81.53 ,$59.18 , N/A , N/A ,$225.00 ,$664.27 ,$85.61 ,$191.25 ,$183.44 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 ,$81.53 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,39000163,P9012,HC CRYOPRECIPITATE EA UNIT T2,390,1 ,"$1,005.00 ",$653.25 ,$81.53 ,"$1,005.00 ",$203.83 ,$462.30 ,$544.71 ,$81.53 ,$281.40 ,$321.60 ,$81.53 ,$369.84 ,$81.53 ,$383.91 ,$402.00 ,$81.53 ,$383.91 ,$154.91 ,$528.63 ,$512.55 ,$203.83 ,$81.53 ,$703.50 ,$81.53 ,$502.50 ,$83.16 ,$753.75 ,$507.53 ,$457.28 ,$507.53 ,$81.53 ,$507.53 ,$633.15 ,$633.15 ,$713.55 ,"$1,005.00 ",$854.25 ,$203.83 ,$804.00 ,$371.85 ,$804.00 ,$81.53 ,$81.53 ,"$1,005.00 ",$544.71 ,$81.53 ,$264.32 , N/A , N/A ,$695.90 ,$664.27 ,$85.61 ,$854.25 ,$183.44 ,$661.29 ,$281.40 ,$904.50 ,$723.60 ,"$1,005.00 ",$633.15 ,$633.15 ,$633.15 ,$81.53 ,$482.40 ,$904.50 ST. JOHN'S HOSPITAL,39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$738.00 ,$479.70 ,$192.39 ,$738.00 ,$480.98 ,$339.48 ,$400.00 ,$192.39 ,$206.64 ,$236.16 ,$192.39 ,$271.58 ,$192.39 ,$281.92 ,$295.20 ,$192.39 ,$281.92 ,$365.54 ,$388.19 ,$376.38 ,$480.98 ,$192.39 ,$516.60 ,$192.39 ,$369.00 ,$196.24 ,$553.50 ,$372.69 ,$335.79 ,$372.69 ,$192.39 ,$372.69 ,$464.94 ,$464.94 ,$523.98 ,$738.00 ,$627.30 ,$480.98 ,$590.40 ,$273.06 ,$590.40 ,$192.39 ,$192.39 ,$738.00 ,$400.00 ,$192.39 ,$194.09 , N/A , N/A ,$695.90 ,$664.27 ,$202.01 ,$627.30 ,$432.88 ,$485.60 ,$206.64 ,$664.20 ,$531.36 ,$738.00 ,$464.94 ,$464.94 ,$464.94 ,$192.39 ,$354.24 ,$664.20 ST. JOHN'S HOSPITAL,39000165,P9016,HC RED CELLS L/R EA T2,390,1 ,$878.00 ,$570.70 ,$192.39 ,$878.00 ,$480.98 ,$403.88 ,$475.88 ,$192.39 ,$245.84 ,$280.96 ,$192.39 ,$323.10 ,$192.39 ,$335.40 ,$351.20 ,$192.39 ,$335.40 ,$365.54 ,$461.83 ,$447.78 ,$480.98 ,$192.39 ,$614.60 ,$192.39 ,$439.00 ,$196.24 ,$658.50 ,$443.39 ,$399.49 ,$443.39 ,$192.39 ,$443.39 ,$553.14 ,$553.14 ,$623.38 ,$878.00 ,$746.30 ,$480.98 ,$702.40 ,$324.86 ,$702.40 ,$192.39 ,$192.39 ,$878.00 ,$475.88 ,$192.39 ,$230.91 , N/A , N/A ,$695.90 ,$664.27 ,$202.01 ,$746.30 ,$432.88 ,$577.72 ,$245.84 ,$790.20 ,$632.16 ,$878.00 ,$553.14 ,$553.14 ,$553.14 ,$192.39 ,$421.44 ,$790.20 ST. JOHN'S HOSPITAL,39000166,P9016,HC RED CELLS L/R EA T3,390,1 ,"$1,110.00 ",$721.50 ,$192.39 ,"$1,110.00 ",$480.98 ,$510.60 ,$601.62 ,$192.39 ,$310.80 ,$355.20 ,$192.39 ,$408.48 ,$192.39 ,$424.02 ,$444.00 ,$192.39 ,$424.02 ,$365.54 ,$583.86 ,$566.10 ,$480.98 ,$192.39 ,$777.00 ,$192.39 ,$555.00 ,$196.24 ,$832.50 ,$560.55 ,$505.05 ,$560.55 ,$192.39 ,$560.55 ,$699.30 ,$699.30 ,$788.10 ,"$1,110.00 ",$943.50 ,$480.98 ,$888.00 ,$410.70 ,$888.00 ,$192.39 ,$192.39 ,"$1,110.00 ",$601.62 ,$192.39 ,$291.93 , N/A , N/A ,$695.90 ,$664.27 ,$202.01 ,$943.50 ,$432.88 ,$730.38 ,$310.80 ,$999.00 ,$799.20 ,"$1,110.00 ",$699.30 ,$699.30 ,$699.30 ,$192.39 ,$532.80 ,$999.00 ST. JOHN'S HOSPITAL,39000167,P9019,HC PLATELETS EA UN,390,1 ,$225.00 ,$146.25 ,$59.18 ,$664.27 ,$181.98 ,$103.50 ,$121.95 ,$72.79 ,$63.00 ,$72.00 ,$72.79 ,$82.80 ,$72.79 ,$85.95 ,$90.00 ,$72.79 ,$85.95 ,$138.30 ,$118.35 ,$114.75 ,$181.98 ,$72.79 ,$157.50 ,$72.79 ,$112.50 ,$74.25 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$72.79 ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 ,$181.98 ,$180.00 ,$83.25 ,$180.00 ,$72.79 ,$72.79 ,$225.00 ,$121.95 ,$72.79 ,$59.18 , N/A , N/A ,$225.00 ,$664.27 ,$76.43 ,$191.25 ,$163.78 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 ,$72.79 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,39000168,P9022,HC RED CELLS WASHED EA UNIT T1,390,1 ,"$1,215.00 ",$789.75 ,$319.55 ,"$1,215.00 ",$969.63 ,$558.90 ,$658.53 ,$387.85 ,$340.20 ,$388.80 ,$387.85 ,$447.12 ,$387.85 ,$464.13 ,$486.00 ,$387.85 ,$464.13 ,$736.92 ,$639.09 ,$619.65 ,$969.63 ,$387.85 ,$850.50 ,$387.85 ,$607.50 ,$395.61 ,$911.25 ,$613.58 ,$552.83 ,$613.58 ,$387.85 ,$613.58 ,$765.45 ,$765.45 ,$862.65 ,"$1,215.00 ","$1,032.75 ",$969.63 ,$972.00 ,$449.55 ,$972.00 ,$387.85 ,$387.85 ,"$1,215.00 ",$658.53 ,$387.85 ,$319.55 , N/A , N/A ,$695.90 ,$664.27 ,$407.24 ,"$1,032.75 ",$872.66 ,$799.47 ,$340.20 ,"$1,093.50 ",$874.80 ,"$1,215.00 ",$765.45 ,$765.45 ,$765.45 ,$387.85 ,$583.20 ,"$1,093.50 " ST. JOHN'S HOSPITAL,39000169,P9022,HC RED CELLS WASHED EA UNIT T2,390,1 ,"$1,395.00 ",$906.75 ,$366.89 ,"$1,395.00 ",$969.63 ,$641.70 ,$756.09 ,$387.85 ,$390.60 ,$446.40 ,$387.85 ,$513.36 ,$387.85 ,$532.89 ,$558.00 ,$387.85 ,$532.89 ,$736.92 ,$733.77 ,$711.45 ,$969.63 ,$387.85 ,$976.50 ,$387.85 ,$697.50 ,$395.61 ,"$1,046.25 ",$704.48 ,$634.73 ,$704.48 ,$387.85 ,$704.48 ,$878.85 ,$878.85 ,$990.45 ,"$1,395.00 ","$1,185.75 ",$969.63 ,"$1,116.00 ",$516.15 ,"$1,116.00 ",$387.85 ,$387.85 ,"$1,395.00 ",$756.09 ,$387.85 ,$366.89 , N/A , N/A ,$695.90 ,$664.27 ,$407.24 ,"$1,185.75 ",$872.66 ,$917.91 ,$390.60 ,"$1,255.50 ","$1,004.40 ","$1,395.00 ",$878.85 ,$878.85 ,$878.85 ,$387.85 ,$669.60 ,"$1,255.50 " ST. JOHN'S HOSPITAL,39000170,P9023,HC PLASMA POOL SOLV/DET TR/FRZ EA,390,1 ,$225.00 ,$146.25 ,$59.18 ,$664.27 ,$227.53 ,$103.50 ,$121.95 ,$91.01 ,$63.00 ,$72.00 ,$91.01 ,$82.80 ,$91.01 ,$85.95 ,$90.00 ,$91.01 ,$85.95 ,$172.92 ,$118.35 ,$114.75 ,$227.53 ,$91.01 ,$157.50 ,$91.01 ,$112.50 ,$92.83 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$91.01 ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 ,$225.00 ,$180.00 ,$83.25 ,$180.00 ,$91.01 ,$91.01 ,$225.00 ,$121.95 ,$91.01 ,$59.18 , N/A , N/A ,$225.00 ,$664.27 ,$95.56 ,$191.25 ,$204.77 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 ,$91.01 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,39000171,P9032,HC PLATELETS IRR EA UN,390,1 ,$225.00 ,$146.25 ,$59.18 ,$664.27 ,$361.70 ,$103.50 ,$121.95 ,$144.68 ,$63.00 ,$72.00 ,$144.68 ,$82.80 ,$144.68 ,$85.95 ,$90.00 ,$144.68 ,$85.95 ,$225.00 ,$118.35 ,$114.75 ,$361.70 ,$144.68 ,$157.50 ,$144.68 ,$112.50 ,$147.57 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$144.68 ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 ,$225.00 ,$180.00 ,$83.25 ,$180.00 ,$144.68 ,$144.68 ,$225.00 ,$121.95 ,$144.68 ,$59.18 , N/A , N/A ,$225.00 ,$664.27 ,$151.91 ,$191.25 ,$325.53 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 ,$141.75 ,$141.75 ,$144.68 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,39000172,P9034,HC PLATELETS PHER EA,390,1 ,"$1,515.00 ",$984.75 ,$330.80 ,"$1,515.00 ",$827.00 ,$696.90 ,$821.13 ,$330.80 ,$424.20 ,$484.80 ,$330.80 ,$557.52 ,$330.80 ,$578.73 ,$606.00 ,$330.80 ,$578.73 ,$628.52 ,$796.89 ,$772.65 ,$827.00 ,$330.80 ,"$1,060.50 ",$330.80 ,$757.50 ,$337.42 ,"$1,136.25 ",$765.08 ,$689.33 ,$765.08 ,$330.80 ,$765.08 ,$954.45 ,$954.45 ,"$1,075.65 ","$1,515.00 ","$1,287.75 ",$827.00 ,"$1,212.00 ",$560.55 ,"$1,212.00 ",$330.80 ,$330.80 ,"$1,515.00 ",$821.13 ,$330.80 ,$398.45 , N/A , N/A ,$695.90 ,$664.27 ,$347.34 ,"$1,287.75 ",$744.30 ,$996.87 ,$424.20 ,"$1,363.50 ","$1,090.80 ","$1,515.00 ",$954.45 ,$954.45 ,$954.45 ,$330.80 ,$727.20 ,"$1,363.50 " ST. JOHN'S HOSPITAL,39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$1,260.00 ",$819.00 ,$331.38 ,"$1,260.00 ","$1,242.28 ",$579.60 ,$682.92 ,$496.91 ,$352.80 ,$403.20 ,$496.91 ,$463.68 ,$496.91 ,$481.32 ,$504.00 ,$496.91 ,$481.32 ,$944.13 ,$662.76 ,$642.60 ,"$1,242.28 ",$496.91 ,$882.00 ,$496.91 ,$630.00 ,$506.85 ,$945.00 ,$636.30 ,$573.30 ,$636.30 ,$496.91 ,$636.30 ,$793.80 ,$793.80 ,$894.60 ,"$1,260.00 ","$1,071.00 ","$1,242.28 ","$1,008.00 ",$466.20 ,"$1,008.00 ",$496.91 ,$496.91 ,"$1,260.00 ",$682.92 ,$496.91 ,$331.38 , N/A , N/A ,$695.90 ,$664.27 ,$521.76 ,"$1,071.00 ","$1,118.05 ",$829.08 ,$352.80 ,"$1,134.00 ",$907.20 ,"$1,260.00 ",$793.80 ,$793.80 ,$793.80 ,$496.91 ,$604.80 ,"$1,134.00 " ST. JOHN'S HOSPITAL,39000174,P9035,HC PLATELETS PHER L/R EA T2,390,1 ,"$1,782.00 ","$1,158.30 ",$468.67 ,"$1,782.00 ","$1,242.28 ",$819.72 ,$965.84 ,$496.91 ,$498.96 ,$570.24 ,$496.91 ,$655.78 ,$496.91 ,$680.72 ,$712.80 ,$496.91 ,$680.72 ,$944.13 ,$937.33 ,$908.82 ,"$1,242.28 ",$496.91 ,"$1,247.40 ",$496.91 ,$891.00 ,$506.85 ,"$1,336.50 ",$899.91 ,$810.81 ,$899.91 ,$496.91 ,$899.91 ,"$1,122.66 ","$1,122.66 ","$1,265.22 ","$1,782.00 ","$1,514.70 ","$1,242.28 ","$1,425.60 ",$659.34 ,"$1,425.60 ",$496.91 ,$496.91 ,"$1,782.00 ",$965.84 ,$496.91 ,$468.67 , N/A , N/A ,$695.90 ,$664.27 ,$521.76 ,"$1,514.70 ","$1,118.05 ","$1,172.56 ",$498.96 ,"$1,603.80 ","$1,283.04 ","$1,782.00 ","$1,122.66 ","$1,122.66 ","$1,122.66 ",$496.91 ,$855.36 ,"$1,603.80 " ST. JOHN'S HOSPITAL,39000175,P9035,HC PLATELETS PHER L/R EA T3,390,1 ,"$1,998.00 ","$1,298.70 ",$496.91 ,"$1,998.00 ","$1,242.28 ",$919.08 ,"$1,082.92 ",$496.91 ,$559.44 ,$639.36 ,$496.91 ,$735.26 ,$496.91 ,$763.24 ,$799.20 ,$496.91 ,$763.24 ,$944.13 ,"$1,050.95 ","$1,018.98 ","$1,242.28 ",$496.91 ,"$1,398.60 ",$496.91 ,$999.00 ,$506.85 ,"$1,498.50 ","$1,008.99 ",$909.09 ,"$1,008.99 ",$496.91 ,"$1,008.99 ","$1,258.74 ","$1,258.74 ","$1,418.58 ","$1,998.00 ","$1,698.30 ","$1,242.28 ","$1,598.40 ",$739.26 ,"$1,598.40 ",$496.91 ,$496.91 ,"$1,998.00 ","$1,082.92 ",$496.91 ,$525.47 , N/A , N/A ,$695.90 ,$664.27 ,$521.76 ,"$1,698.30 ","$1,118.05 ","$1,314.68 ",$559.44 ,"$1,798.20 ","$1,438.56 ","$1,998.00 ","$1,258.74 ","$1,258.74 ","$1,258.74 ",$496.91 ,$959.04 ,"$1,798.20 " ST. JOHN'S HOSPITAL,39000176,P9035,HC PLATELETS PHER PRM NEO 75ML,390,1 ,$252.00 ,$163.80 ,$66.28 ,"$1,242.28 ","$1,242.28 ",$115.92 ,$136.58 ,$496.91 ,$70.56 ,$80.64 ,$496.91 ,$92.74 ,$252.00 ,$96.26 ,$100.80 ,$252.00 ,$96.26 ,$252.00 ,$132.55 ,$128.52 ,"$1,242.28 ",$496.91 ,$176.40 ,$496.91 ,$126.00 ,$252.00 ,$189.00 ,$127.26 ,$114.66 ,$127.26 ,$496.91 ,$127.26 ,$158.76 ,$158.76 ,$178.92 ,$252.00 ,$214.20 ,$252.00 ,$201.60 ,$93.24 ,$201.60 ,$496.91 ,$496.91 ,$252.00 ,$136.58 ,$496.91 ,$66.28 , N/A , N/A ,$252.00 ,$664.27 ,$521.76 ,$214.20 ,"$1,118.05 ",$165.82 ,$70.56 ,$226.80 ,$181.44 ,$252.00 ,$158.76 ,$158.76 ,$158.76 ,$496.91 ,$120.96 ,$226.80 ST. JOHN'S HOSPITAL,39000177,P9035,HC PLATELET PHER ALIQUOT NEO 60ML,390,1 ,$240.00 ,$156.00 ,$63.12 ,"$1,242.28 ","$1,242.28 ",$110.40 ,$130.08 ,$496.91 ,$67.20 ,$76.80 ,$496.91 ,$88.32 ,$240.00 ,$91.68 ,$96.00 ,$240.00 ,$91.68 ,$240.00 ,$126.24 ,$122.40 ,"$1,242.28 ",$496.91 ,$168.00 ,$496.91 ,$120.00 ,$240.00 ,$180.00 ,$121.20 ,$109.20 ,$121.20 ,$496.91 ,$121.20 ,$151.20 ,$151.20 ,$170.40 ,$240.00 ,$204.00 ,$240.00 ,$192.00 ,$88.80 ,$192.00 ,$496.91 ,$496.91 ,$240.00 ,$130.08 ,$496.91 ,$63.12 , N/A , N/A ,$240.00 ,$664.27 ,$521.76 ,$204.00 ,"$1,118.05 ",$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$151.20 ,$151.20 ,$151.20 ,$496.91 ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,39000179,P9037,HC PLATELETS PHER L/R IRR EA T1,390,1 ,"$1,440.00 ",$936.00 ,$378.72 ,"$1,575.80 ","$1,575.80 ",$662.40 ,$780.48 ,$630.32 ,$403.20 ,$460.80 ,$630.32 ,$529.92 ,$630.32 ,$550.08 ,$576.00 ,$630.32 ,$550.08 ,"$1,197.61 ",$757.44 ,$734.40 ,"$1,575.80 ",$630.32 ,"$1,008.00 ",$630.32 ,$720.00 ,$642.93 ,"$1,080.00 ",$727.20 ,$655.20 ,$727.20 ,$630.32 ,$727.20 ,$907.20 ,$907.20 ,"$1,022.40 ","$1,440.00 ","$1,224.00 ","$1,440.00 ","$1,152.00 ",$532.80 ,"$1,152.00 ",$630.32 ,$630.32 ,"$1,440.00 ",$780.48 ,$630.32 ,$378.72 , N/A , N/A ,$695.90 ,$664.27 ,$661.84 ,"$1,224.00 ","$1,418.22 ",$947.52 ,$403.20 ,"$1,296.00 ","$1,036.80 ","$1,440.00 ",$907.20 ,$907.20 ,$907.20 ,$630.32 ,$691.20 ,"$1,296.00 " ST. JOHN'S HOSPITAL,39000180,P9037,HC PLATELETS PHER L/R IRR EA T2,390,1 ,"$1,926.00 ","$1,251.90 ",$506.54 ,"$1,926.00 ","$1,575.80 ",$885.96 ,"$1,043.89 ",$630.32 ,$539.28 ,$616.32 ,$630.32 ,$708.77 ,$630.32 ,$735.73 ,$770.40 ,$630.32 ,$735.73 ,"$1,197.61 ","$1,013.08 ",$982.26 ,"$1,575.80 ",$630.32 ,"$1,348.20 ",$630.32 ,$963.00 ,$642.93 ,"$1,444.50 ",$972.63 ,$876.33 ,$972.63 ,$630.32 ,$972.63 ,"$1,213.38 ","$1,213.38 ","$1,367.46 ","$1,926.00 ","$1,637.10 ","$1,575.80 ","$1,540.80 ",$712.62 ,"$1,540.80 ",$630.32 ,$630.32 ,"$1,926.00 ","$1,043.89 ",$630.32 ,$506.54 , N/A , N/A ,$695.90 ,$664.27 ,$661.84 ,"$1,637.10 ","$1,418.22 ","$1,267.31 ",$539.28 ,"$1,733.40 ","$1,386.72 ","$1,926.00 ","$1,213.38 ","$1,213.38 ","$1,213.38 ",$630.32 ,$924.48 ,"$1,733.40 " ST. JOHN'S HOSPITAL,39000181,P9037,HC PLATELETS PHER L/R IRR EA T3,390,1 ,"$2,124.00 ","$1,380.60 ",$558.61 ,"$2,124.00 ","$1,575.80 ",$977.04 ,"$1,151.21 ",$630.32 ,$594.72 ,$679.68 ,$630.32 ,$781.63 ,$630.32 ,$811.37 ,$849.60 ,$630.32 ,$811.37 ,"$1,197.61 ","$1,117.22 ","$1,083.24 ","$1,575.80 ",$630.32 ,"$1,486.80 ",$630.32 ,"$1,062.00 ",$642.93 ,"$1,593.00 ","$1,072.62 ",$966.42 ,"$1,072.62 ",$630.32 ,"$1,072.62 ","$1,338.12 ","$1,338.12 ","$1,508.04 ","$2,124.00 ","$1,805.40 ","$1,575.80 ","$1,699.20 ",$785.88 ,"$1,699.20 ",$630.32 ,$630.32 ,"$2,124.00 ","$1,151.21 ",$630.32 ,$558.61 , N/A , N/A ,$695.90 ,$664.27 ,$661.84 ,"$1,805.40 ","$1,418.22 ","$1,397.59 ",$594.72 ,"$1,911.60 ","$1,529.28 ","$2,124.00 ","$1,338.12 ","$1,338.12 ","$1,338.12 ",$630.32 ,"$1,019.52 ","$1,911.60 " ST. JOHN'S HOSPITAL,39000182,P9037,HC PLATELETS PHER L/R IRR EA T4,390,1 ,"$2,655.00 ","$1,725.75 ",$630.32 ,"$2,655.00 ","$1,575.80 ","$1,221.30 ","$1,439.01 ",$630.32 ,$743.40 ,$849.60 ,$630.32 ,$977.04 ,$630.32 ,"$1,014.21 ","$1,062.00 ",$630.32 ,"$1,014.21 ","$1,197.61 ","$1,396.53 ","$1,354.05 ","$1,575.80 ",$630.32 ,"$1,858.50 ",$630.32 ,"$1,327.50 ",$642.93 ,"$1,991.25 ","$1,340.78 ","$1,208.03 ","$1,340.78 ",$630.32 ,"$1,340.78 ","$1,672.65 ","$1,672.65 ","$1,885.05 ","$2,655.00 ","$2,256.75 ","$1,575.80 ","$2,124.00 ",$982.35 ,"$2,124.00 ",$630.32 ,$630.32 ,"$2,655.00 ","$1,439.01 ",$630.32 ,$698.27 , N/A , N/A ,$695.90 ,$664.27 ,$661.84 ,"$2,256.75 ","$1,418.22 ","$1,746.99 ",$743.40 ,"$2,389.50 ","$1,911.60 ","$2,655.00 ","$1,672.65 ","$1,672.65 ","$1,672.65 ",$630.32 ,"$1,274.40 ","$2,389.50 " ST. JOHN'S HOSPITAL,39000183,P9037,HC PLATLT PHER L/R PRM NEO 75ML,390,1 ,$342.00 ,$222.30 ,$89.95 ,"$1,575.80 ","$1,575.80 ",$157.32 ,$185.36 ,$630.32 ,$95.76 ,$109.44 ,$630.32 ,$125.86 ,$342.00 ,$130.64 ,$136.80 ,$342.00 ,$130.64 ,$342.00 ,$179.89 ,$174.42 ,"$1,575.80 ",$630.32 ,$239.40 ,$630.32 ,$171.00 ,$342.00 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$630.32 ,$172.71 ,$215.46 ,$215.46 ,$242.82 ,$342.00 ,$290.70 ,$342.00 ,$273.60 ,$126.54 ,$273.60 ,$630.32 ,$630.32 ,$342.00 ,$185.36 ,$630.32 ,$89.95 , N/A , N/A ,$342.00 ,$664.27 ,$661.84 ,$290.70 ,"$1,418.22 ",$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$215.46 ,$215.46 ,$215.46 ,$630.32 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,39000184,P9037,HC PLATLT PHER L/R AIS NEO 75ML,390,1 ,$270.00 ,$175.50 ,$71.01 ,"$1,575.80 ","$1,575.80 ",$124.20 ,$146.34 ,$630.32 ,$75.60 ,$86.40 ,$630.32 ,$99.36 ,$270.00 ,$103.14 ,$108.00 ,$270.00 ,$103.14 ,$270.00 ,$142.02 ,$137.70 ,"$1,575.80 ",$630.32 ,$189.00 ,$630.32 ,$135.00 ,$270.00 ,$202.50 ,$136.35 ,$122.85 ,$136.35 ,$630.32 ,$136.35 ,$170.10 ,$170.10 ,$191.70 ,$270.00 ,$229.50 ,$270.00 ,$216.00 ,$99.90 ,$216.00 ,$630.32 ,$630.32 ,$270.00 ,$146.34 ,$630.32 ,$71.01 , N/A , N/A ,$270.00 ,$664.27 ,$661.84 ,$229.50 ,"$1,418.22 ",$177.66 ,$75.60 ,$243.00 ,$194.40 ,$270.00 ,$170.10 ,$170.10 ,$170.10 ,$630.32 ,$129.60 ,$243.00 ST. JOHN'S HOSPITAL,39000185,P9038,HC RBC IRRADIATED EACH UNIT,390,1 ,$795.00 ,$516.75 ,$172.87 ,$795.00 ,$432.18 ,$365.70 ,$430.89 ,$172.87 ,$222.60 ,$254.40 ,$172.87 ,$292.56 ,$172.87 ,$303.69 ,$318.00 ,$172.87 ,$303.69 ,$328.45 ,$418.17 ,$405.45 ,$432.18 ,$172.87 ,$556.50 ,$172.87 ,$397.50 ,$176.33 ,$596.25 ,$401.48 ,$361.73 ,$401.48 ,$172.87 ,$401.48 ,$500.85 ,$500.85 ,$564.45 ,$795.00 ,$675.75 ,$432.18 ,$636.00 ,$294.15 ,$636.00 ,$172.87 ,$172.87 ,$795.00 ,$430.89 ,$172.87 ,$209.09 , N/A , N/A ,$695.90 ,$664.27 ,$181.51 ,$675.75 ,$388.96 ,$523.11 ,$222.60 ,$715.50 ,$572.40 ,$795.00 ,$500.85 ,$500.85 ,$500.85 ,$172.87 ,$381.60 ,$715.50 ST. JOHN'S HOSPITAL,39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,$846.00 ,$549.90 ,$222.50 ,$846.00 ,$665.08 ,$389.16 ,$458.53 ,$266.03 ,$236.88 ,$270.72 ,$266.03 ,$311.33 ,$266.03 ,$323.17 ,$338.40 ,$266.03 ,$323.17 ,$505.46 ,$445.00 ,$431.46 ,$665.08 ,$266.03 ,$592.20 ,$266.03 ,$423.00 ,$271.35 ,$634.50 ,$427.23 ,$384.93 ,$427.23 ,$266.03 ,$427.23 ,$532.98 ,$532.98 ,$600.66 ,$846.00 ,$719.10 ,$665.08 ,$676.80 ,$313.02 ,$676.80 ,$266.03 ,$266.03 ,$846.00 ,$458.53 ,$266.03 ,$222.50 , N/A , N/A ,$695.90 ,$664.27 ,$279.33 ,$719.10 ,$598.57 ,$556.67 ,$236.88 ,$761.40 ,$609.12 ,$846.00 ,$532.98 ,$532.98 ,$532.98 ,$266.03 ,$406.08 ,$761.40 ST. JOHN'S HOSPITAL,39000188,P9040,HC RED CELLS L/R IRR EA T2,390,1 ,"$1,024.00 ",$665.60 ,$266.03 ,"$1,024.00 ",$665.08 ,$471.04 ,$555.01 ,$266.03 ,$286.72 ,$327.68 ,$266.03 ,$376.83 ,$266.03 ,$391.17 ,$409.60 ,$266.03 ,$391.17 ,$505.46 ,$538.62 ,$522.24 ,$665.08 ,$266.03 ,$716.80 ,$266.03 ,$512.00 ,$271.35 ,$768.00 ,$517.12 ,$465.92 ,$517.12 ,$266.03 ,$517.12 ,$645.12 ,$645.12 ,$727.04 ,"$1,024.00 ",$870.40 ,$665.08 ,$819.20 ,$378.88 ,$819.20 ,$266.03 ,$266.03 ,"$1,024.00 ",$555.01 ,$266.03 ,$269.31 , N/A , N/A ,$695.90 ,$664.27 ,$279.33 ,$870.40 ,$598.57 ,$673.79 ,$286.72 ,$921.60 ,$737.28 ,"$1,024.00 ",$645.12 ,$645.12 ,$645.12 ,$266.03 ,$491.52 ,$921.60 ST. JOHN'S HOSPITAL,39000189,P9040,HC RED CELLS L/R IRR EA T3,390,1 ,"$1,245.00 ",$809.25 ,$266.03 ,"$1,245.00 ",$665.08 ,$572.70 ,$674.79 ,$266.03 ,$348.60 ,$398.40 ,$266.03 ,$458.16 ,$266.03 ,$475.59 ,$498.00 ,$266.03 ,$475.59 ,$505.46 ,$654.87 ,$634.95 ,$665.08 ,$266.03 ,$871.50 ,$266.03 ,$622.50 ,$271.35 ,$933.75 ,$628.73 ,$566.48 ,$628.73 ,$266.03 ,$628.73 ,$784.35 ,$784.35 ,$883.95 ,"$1,245.00 ","$1,058.25 ",$665.08 ,$996.00 ,$460.65 ,$996.00 ,$266.03 ,$266.03 ,"$1,245.00 ",$674.79 ,$266.03 ,$327.44 , N/A , N/A ,$695.90 ,$664.27 ,$279.33 ,"$1,058.25 ",$598.57 ,$819.21 ,$348.60 ,"$1,120.50 ",$896.40 ,"$1,245.00 ",$784.35 ,$784.35 ,$784.35 ,$266.03 ,$597.60 ,"$1,120.50 " ST. JOHN'S HOSPITAL,39000190,P9044,HC PLASMA CRYOPREC REDUC EA UN,390,1 ,$300.00 ,$195.00 ,$67.08 ,$664.27 ,$167.70 ,$138.00 ,$162.60 ,$67.08 ,$84.00 ,$96.00 ,$67.08 ,$110.40 ,$67.08 ,$114.60 ,$120.00 ,$67.08 ,$114.60 ,$127.45 ,$157.80 ,$153.00 ,$167.70 ,$67.08 ,$210.00 ,$67.08 ,$150.00 ,$68.42 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$67.08 ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 ,$167.70 ,$240.00 ,$111.00 ,$240.00 ,$67.08 ,$67.08 ,$300.00 ,$162.60 ,$67.08 ,$78.90 , N/A , N/A ,$300.00 ,$664.27 ,$70.43 ,$255.00 ,$150.93 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 ,$67.08 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,39000191,P9045,HC ALBUMIN HUMAN 5% 250ML,390,1 ,$300.00 ,$195.00 ,$52.45 ,$664.27 ,$131.13 ,$138.00 ,$162.60 ,$52.45 ,$84.00 ,$103.50 ,$52.45 ,$115.20 ,$52.45 ,$114.60 ,$120.00 ,$52.45 ,$114.60 ,$99.66 ,$157.80 ,$153.00 ,$131.13 ,$52.45 ,$210.00 ,$52.45 ,$150.00 ,$53.50 ,$225.00 ,$151.50 ,$136.50 ,$151.50 ,$52.45 ,$151.50 ,$189.00 ,$189.00 ,$213.00 ,$300.00 ,$255.00 ,$131.13 ,$240.00 ,$111.00 ,$240.00 ,$52.45 ,$52.45 ,$300.00 ,$162.60 ,$52.45 ,$78.90 , N/A , N/A ,$300.00 ,$664.27 ,$55.07 ,$255.00 ,$118.01 ,$197.40 ,$84.00 ,$270.00 ,$216.00 ,$300.00 ,$189.00 ,$189.00 ,$189.00 ,$52.45 ,$144.00 ,$270.00 ST. JOHN'S HOSPITAL,39000192,P9050,HC GRANULOCYTES PHERESIS EA UN,390,1 ,"$2,265.00 ","$1,472.25 ",$595.70 ,"$2,587.81 ", N/A ,"$1,041.90 ","$1,227.63 ", N/A ,$634.20 ,$724.80 , N/A ,$833.52 , N/A ,$865.23 ,$906.00 , N/A ,$865.23 , N/A ,"$1,191.39 ","$1,155.15 ", N/A , N/A ,"$1,585.50 ", N/A ,"$1,132.50 ", N/A ,"$1,698.75 ","$1,143.83 ","$1,030.58 ","$1,143.83 ", N/A ,"$1,143.83 ","$1,426.95 ","$1,426.95 ","$1,608.15 ","$2,265.00 ","$1,925.25 ", N/A ,"$1,812.00 ",$838.05 ,"$1,812.00 ", N/A , N/A ,"$2,265.00 ","$1,227.63 ", N/A ,$595.70 , N/A , N/A ,"$2,265.00 ","$2,587.81 ", N/A ,"$1,925.25 ", N/A ,"$1,490.37 ",$634.20 ,"$2,038.50 ","$1,630.80 ","$2,265.00 ","$1,426.95 ","$1,426.95 ","$1,426.95 ", N/A ,"$1,087.20 ","$2,038.50 " ST. JOHN'S HOSPITAL,39000193,P9054,HC BLOOD L/R DEG WASH EA UN T1,390,1 ,$990.00 ,$643.50 ,$260.37 ,$990.00 ,$793.05 ,$455.40 ,$536.58 ,$317.22 ,$277.20 ,$316.80 ,$317.22 ,$364.32 ,$317.22 ,$378.18 ,$396.00 ,$317.22 ,$378.18 ,$602.72 ,$520.74 ,$504.90 ,$793.05 ,$317.22 ,$693.00 ,$317.22 ,$495.00 ,$323.56 ,$742.50 ,$499.95 ,$450.45 ,$499.95 ,$317.22 ,$499.95 ,$623.70 ,$623.70 ,$702.90 ,$990.00 ,$841.50 ,$793.05 ,$792.00 ,$366.30 ,$792.00 ,$317.22 ,$317.22 ,$990.00 ,$536.58 ,$317.22 ,$260.37 , N/A , N/A ,$695.90 ,$664.27 ,$333.08 ,$841.50 ,$713.75 ,$651.42 ,$277.20 ,$891.00 ,$712.80 ,$990.00 ,$623.70 ,$623.70 ,$623.70 ,$317.22 ,$475.20 ,$891.00 ST. JOHN'S HOSPITAL,39000194,P9054,HC BLOOD L/R DEG WASH EA UN T2,390,1 ,"$1,260.00 ",$819.00 ,$317.22 ,"$1,260.00 ",$793.05 ,$579.60 ,$682.92 ,$317.22 ,$352.80 ,$403.20 ,$317.22 ,$463.68 ,$317.22 ,$481.32 ,$504.00 ,$317.22 ,$481.32 ,$602.72 ,$662.76 ,$642.60 ,$793.05 ,$317.22 ,$882.00 ,$317.22 ,$630.00 ,$323.56 ,$945.00 ,$636.30 ,$573.30 ,$636.30 ,$317.22 ,$636.30 ,$793.80 ,$793.80 ,$894.60 ,"$1,260.00 ","$1,071.00 ",$793.05 ,"$1,008.00 ",$466.20 ,"$1,008.00 ",$317.22 ,$317.22 ,"$1,260.00 ",$682.92 ,$317.22 ,$331.38 , N/A , N/A ,$695.90 ,$664.27 ,$333.08 ,"$1,071.00 ",$713.75 ,$829.08 ,$352.80 ,"$1,134.00 ",$907.20 ,"$1,260.00 ",$793.80 ,$793.80 ,$793.80 ,$317.22 ,$604.80 ,"$1,134.00 " ST. JOHN'S HOSPITAL,39000195,P9054,HC BLOOD L/R DEG WASH EA UN T3,390,1 ,"$1,470.00 ",$955.50 ,$317.22 ,"$1,470.00 ",$793.05 ,$676.20 ,$796.74 ,$317.22 ,$411.60 ,$470.40 ,$317.22 ,$540.96 ,$317.22 ,$561.54 ,$588.00 ,$317.22 ,$561.54 ,$602.72 ,$773.22 ,$749.70 ,$793.05 ,$317.22 ,"$1,029.00 ",$317.22 ,$735.00 ,$323.56 ,"$1,102.50 ",$742.35 ,$668.85 ,$742.35 ,$317.22 ,$742.35 ,$926.10 ,$926.10 ,"$1,043.70 ","$1,470.00 ","$1,249.50 ",$793.05 ,"$1,176.00 ",$543.90 ,"$1,176.00 ",$317.22 ,$317.22 ,"$1,470.00 ",$796.74 ,$317.22 ,$386.61 , N/A , N/A ,$695.90 ,$664.27 ,$333.08 ,"$1,249.50 ",$713.75 ,$967.26 ,$411.60 ,"$1,323.00 ","$1,058.40 ","$1,470.00 ",$926.10 ,$926.10 ,$926.10 ,$317.22 ,$705.60 ,"$1,323.00 " ST. JOHN'S HOSPITAL,39000196,P9054,HC BLOOD L/R DEG WASH EA UN T4,390,1 ,"$1,830.00 ","$1,189.50 ",$317.22 ,"$1,830.00 ",$793.05 ,$841.80 ,$991.86 ,$317.22 ,$512.40 ,$585.60 ,$317.22 ,$673.44 ,$317.22 ,$699.06 ,$732.00 ,$317.22 ,$699.06 ,$602.72 ,$962.58 ,$933.30 ,$793.05 ,$317.22 ,"$1,281.00 ",$317.22 ,$915.00 ,$323.56 ,"$1,372.50 ",$924.15 ,$832.65 ,$924.15 ,$317.22 ,$924.15 ,"$1,152.90 ","$1,152.90 ","$1,299.30 ","$1,830.00 ","$1,555.50 ",$793.05 ,"$1,464.00 ",$677.10 ,"$1,464.00 ",$317.22 ,$317.22 ,"$1,830.00 ",$991.86 ,$317.22 ,$481.29 , N/A , N/A ,$695.90 ,$664.27 ,$333.08 ,"$1,555.50 ",$713.75 ,"$1,204.14 ",$512.40 ,"$1,647.00 ","$1,317.60 ","$1,830.00 ","$1,152.90 ","$1,152.90 ","$1,152.90 ",$317.22 ,$878.40 ,"$1,647.00 " ST. JOHN'S HOSPITAL,39000197,P9057,HC RBC FRZ/DEG/LEUK REDUC IRR EA,390,1 ,"$1,515.00 ",$984.75 ,$266.06 ,"$1,515.00 ",$665.15 ,$696.90 ,$821.13 ,$266.06 ,$424.20 ,$484.80 ,$266.06 ,$557.52 ,$266.06 ,$578.73 ,$606.00 ,$266.06 ,$578.73 ,$505.51 ,$796.89 ,$772.65 ,$665.15 ,$266.06 ,"$1,060.50 ",$266.06 ,$757.50 ,$271.38 ,"$1,136.25 ",$765.08 ,$689.33 ,$765.08 ,$266.06 ,$765.08 ,$954.45 ,$954.45 ,"$1,075.65 ","$1,515.00 ","$1,287.75 ",$665.15 ,"$1,212.00 ",$560.55 ,"$1,212.00 ",$266.06 ,$266.06 ,"$1,515.00 ",$821.13 ,$266.06 ,$398.45 , N/A , N/A ,$695.90 ,$664.27 ,$279.36 ,"$1,287.75 ",$598.64 ,$996.87 ,$424.20 ,"$1,363.50 ","$1,090.80 ","$1,515.00 ",$954.45 ,$954.45 ,$954.45 ,$266.06 ,$727.20 ,"$1,363.50 " ST. JOHN'S HOSPITAL,39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$1,290.00 ",$838.50 ,$339.27 ,"$1,490.33 ","$1,490.33 ",$593.40 ,$699.18 ,$596.13 ,$361.20 ,$412.80 ,$596.13 ,$474.72 ,$596.13 ,$492.78 ,$516.00 ,$596.13 ,$492.78 ,"$1,132.65 ",$678.54 ,$657.90 ,"$1,490.33 ",$596.13 ,$903.00 ,$596.13 ,$645.00 ,$608.05 ,$967.50 ,$651.45 ,$586.95 ,$651.45 ,$596.13 ,$651.45 ,$812.70 ,$812.70 ,$915.90 ,"$1,290.00 ","$1,096.50 ","$1,290.00 ","$1,032.00 ",$477.30 ,"$1,032.00 ",$596.13 ,$596.13 ,"$1,290.00 ",$699.18 ,$596.13 ,$339.27 , N/A , N/A ,$695.90 ,$664.27 ,$625.94 ,"$1,096.50 ","$1,341.29 ",$848.82 ,$361.20 ,"$1,161.00 ",$928.80 ,"$1,290.00 ",$812.70 ,$812.70 ,$812.70 ,$596.13 ,$619.20 ,"$1,161.00 " ST. JOHN'S HOSPITAL,39000206,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T2,390,1 ,"$1,800.00 ","$1,170.00 ",$473.40 ,"$1,800.00 ","$1,490.33 ",$828.00 ,$975.60 ,$596.13 ,$504.00 ,$576.00 ,$596.13 ,$662.40 ,$596.13 ,$687.60 ,$720.00 ,$596.13 ,$687.60 ,"$1,132.65 ",$946.80 ,$918.00 ,"$1,490.33 ",$596.13 ,"$1,260.00 ",$596.13 ,$900.00 ,$608.05 ,"$1,350.00 ",$909.00 ,$819.00 ,$909.00 ,$596.13 ,$909.00 ,"$1,134.00 ","$1,134.00 ","$1,278.00 ","$1,800.00 ","$1,530.00 ","$1,490.33 ","$1,440.00 ",$666.00 ,"$1,440.00 ",$596.13 ,$596.13 ,"$1,800.00 ",$975.60 ,$596.13 ,$473.40 , N/A , N/A ,$695.90 ,$664.27 ,$625.94 ,"$1,530.00 ","$1,341.29 ","$1,184.40 ",$504.00 ,"$1,620.00 ","$1,296.00 ","$1,800.00 ","$1,134.00 ","$1,134.00 ","$1,134.00 ",$596.13 ,$864.00 ,"$1,620.00 " ST. JOHN'S HOSPITAL,39000208,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T4,390,1 ,"$2,790.00 ","$1,813.50 ",$596.13 ,"$2,790.00 ","$1,490.33 ","$1,283.40 ","$1,512.18 ",$596.13 ,$781.20 ,$892.80 ,$596.13 ,"$1,026.72 ",$596.13 ,"$1,065.78 ","$1,116.00 ",$596.13 ,"$1,065.78 ","$1,132.65 ","$1,467.54 ","$1,422.90 ","$1,490.33 ",$596.13 ,"$1,953.00 ",$596.13 ,"$1,395.00 ",$608.05 ,"$2,092.50 ","$1,408.95 ","$1,269.45 ","$1,408.95 ",$596.13 ,"$1,408.95 ","$1,757.70 ","$1,757.70 ","$1,980.90 ","$2,790.00 ","$2,371.50 ","$1,490.33 ","$2,232.00 ","$1,032.30 ","$2,232.00 ",$596.13 ,$596.13 ,"$2,790.00 ","$1,512.18 ",$596.13 ,$733.77 , N/A , N/A ,$695.90 ,$664.27 ,$625.94 ,"$2,371.50 ","$1,341.29 ","$1,835.82 ",$781.20 ,"$2,511.00 ","$2,008.80 ","$2,790.00 ","$1,757.70 ","$1,757.70 ","$1,757.70 ",$596.13 ,"$1,339.20 ","$2,511.00 " ST. JOHN'S HOSPITAL,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,"$1,961.00 ","$1,274.65 ",$70.73 ,"$1,961.00 ",$953.83 ,$902.06 ,"$1,062.86 ",$381.53 ,$549.08 ,$627.52 ,$381.53 ,$721.65 ,$381.53 ,$749.10 ,$70.73 ,$381.53 ,$749.10 ,$724.91 ,"$1,031.49 ","$1,000.11 ",$953.84 ,$381.53 ,"$1,372.70 ",$381.53 ,$980.50 ,$389.16 ,"$1,470.75 ",$990.31 ,$892.26 ,$990.31 ,$381.53 ,$990.31 ,"$1,235.43 ","$1,235.43 ","$1,392.31 ","$1,961.00 ","$1,666.85 ",$953.84 ,"$1,568.80 ",$725.57 ,"$1,568.80 ",$381.53 ,$381.53 ,"$1,961.00 ","$1,062.86 ",$381.53 ,$515.74 , N/A , N/A ,$695.90 ,$664.27 ,$400.61 ,"$1,666.85 ",$858.45 ,"$1,290.34 ",$549.08 ,"$1,764.90 ","$1,411.92 ","$1,961.00 ","$1,235.43 ","$1,235.43 ","$1,235.43 ",$381.53 ,$941.28 ,"$1,764.90 " ST. JOHN'S HOSPITAL,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$546.00 ,$354.90 ,$69.13 ,$546.00 ,$263.78 ,$198.14 ,$295.93 ,$105.51 ,$152.88 ,$188.37 ,$105.51 ,$209.66 ,$105.51 ,$208.57 ,$244.56 ,$105.51 ,$208.57 ,$200.47 ,$396.92 ,$278.46 ,$263.78 ,$105.51 ,$382.20 ,$105.51 ,$273.00 ,$107.62 ,$409.50 ,$275.73 ,$248.43 ,$275.73 ,$105.51 ,$275.73 ,$166.08 ,$166.08 ,$166.08 ,$546.00 ,$464.10 ,$263.78 ,$436.80 ,$202.02 ,$436.80 ,$105.51 ,$105.51 ,$122.32 ,$295.93 ,$105.51 ,$143.60 , N/A , N/A ,$72.42 ,$69.13 ,$110.79 ,$464.10 ,$237.40 ,$359.27 ,$152.88 ,$491.40 ,$393.12 ,$546.00 ,$166.08 ,$343.98 ,$343.98 ,$105.51 ,$262.08 ,$491.40 ST. JOHN'S HOSPITAL,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$546.00 ,$354.90 ,$69.13 ,$546.00 ,$263.78 ,$198.14 ,$295.93 ,$105.51 ,$152.88 ,$188.37 ,$105.51 ,$209.66 ,$105.51 ,$208.57 ,$244.56 ,$105.51 ,$208.57 ,$200.47 ,$396.92 ,$278.46 ,$263.78 ,$105.51 ,$382.20 ,$105.51 ,$273.00 ,$107.62 ,$409.50 ,$275.73 ,$248.43 ,$275.73 ,$105.51 ,$275.73 ,$166.08 ,$166.08 ,$166.08 ,$546.00 ,$464.10 ,$263.78 ,$436.80 ,$202.02 ,$436.80 ,$105.51 ,$105.51 ,$122.32 ,$295.93 ,$105.51 ,$143.60 , N/A , N/A ,$72.42 ,$69.13 ,$110.79 ,$464.10 ,$237.40 ,$359.27 ,$152.88 ,$491.40 ,$393.12 ,$546.00 ,$166.08 ,$343.98 ,$343.98 ,$105.51 ,$262.08 ,$491.40 ST. JOHN'S HOSPITAL,40100006,77066,HC MAMMOGRAM DIAG W/CAD UPGRADE BIL,401,1 ,$546.00 ,$354.90 ,$69.13 ,$546.00 ,$263.78 ,$198.14 ,$295.93 ,$105.51 ,$152.88 ,$188.37 ,$105.51 ,$209.66 ,$105.51 ,$208.57 ,$244.56 ,$105.51 ,$208.57 ,$200.47 ,$396.92 ,$278.46 ,$263.78 ,$105.51 ,$382.20 ,$105.51 ,$273.00 ,$107.62 ,$409.50 ,$275.73 ,$248.43 ,$275.73 ,$105.51 ,$275.73 ,$166.08 ,$166.08 ,$166.08 ,$546.00 ,$464.10 ,$263.78 ,$436.80 ,$202.02 ,$436.80 ,$105.51 ,$105.51 ,$122.32 ,$295.93 ,$105.51 ,$143.60 , N/A , N/A ,$72.42 ,$69.13 ,$110.79 ,$464.10 ,$237.40 ,$359.27 ,$152.88 ,$491.40 ,$393.12 ,$546.00 ,$166.08 ,$343.98 ,$343.98 ,$105.51 ,$262.08 ,$491.40 ST. JOHN'S HOSPITAL,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$361.00 ,$234.65 ,$69.13 ,$361.00 ,$206.95 ,$154.94 ,$195.66 ,$82.78 ,$101.08 ,$124.55 ,$82.78 ,$138.62 ,$82.78 ,$137.90 ,$191.16 ,$82.78 ,$137.90 ,$157.28 ,$310.51 ,$184.11 ,$206.95 ,$82.78 ,$252.70 ,$82.78 ,$180.50 ,$84.44 ,$270.75 ,$182.31 ,$164.26 ,$182.31 ,$82.78 ,$182.31 ,$129.83 ,$129.83 ,$129.83 ,$361.00 ,$306.85 ,$206.95 ,$288.80 ,$133.57 ,$288.80 ,$82.78 ,$82.78 ,$95.73 ,$195.66 ,$82.78 ,$94.94 , N/A , N/A ,$72.42 ,$69.13 ,$86.92 ,$306.85 ,$186.26 ,$237.54 ,$101.08 ,$324.90 ,$259.92 ,$361.00 ,$129.83 ,$227.43 ,$227.43 ,$82.78 ,$173.28 ,$324.90 ST. JOHN'S HOSPITAL,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD ADDNT VIEW,401,1 ,$401.00 ,$260.65 ,$69.13 ,$401.00 ,$206.95 ,$154.94 ,$217.34 ,$82.78 ,$112.28 ,$138.35 ,$82.78 ,$153.98 ,$82.78 ,$153.18 ,$191.16 ,$82.78 ,$153.18 ,$157.28 ,$310.51 ,$204.51 ,$206.95 ,$82.78 ,$280.70 ,$82.78 ,$200.50 ,$84.44 ,$300.75 ,$202.51 ,$182.46 ,$202.51 ,$82.78 ,$202.51 ,$129.83 ,$129.83 ,$129.83 ,$401.00 ,$340.85 ,$206.95 ,$320.80 ,$148.37 ,$320.80 ,$82.78 ,$82.78 ,$95.73 ,$217.34 ,$82.78 ,$105.46 , N/A , N/A ,$72.42 ,$69.13 ,$86.92 ,$340.85 ,$186.26 ,$263.86 ,$112.28 ,$360.90 ,$288.72 ,$401.00 ,$129.83 ,$252.63 ,$252.63 ,$82.78 ,$192.48 ,$360.90 ST. JOHN'S HOSPITAL,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$361.00 ,$234.65 ,$69.13 ,$361.00 ,$206.95 ,$154.94 ,$195.66 ,$82.78 ,$101.08 ,$124.55 ,$82.78 ,$138.62 ,$82.78 ,$137.90 ,$191.16 ,$82.78 ,$137.90 ,$157.28 ,$310.51 ,$184.11 ,$206.95 ,$82.78 ,$252.70 ,$82.78 ,$180.50 ,$84.44 ,$270.75 ,$182.31 ,$164.26 ,$182.31 ,$82.78 ,$182.31 ,$129.83 ,$129.83 ,$129.83 ,$361.00 ,$306.85 ,$206.95 ,$288.80 ,$133.57 ,$288.80 ,$82.78 ,$82.78 ,$95.73 ,$195.66 ,$82.78 ,$94.94 , N/A , N/A ,$72.42 ,$69.13 ,$86.92 ,$306.85 ,$186.26 ,$237.54 ,$101.08 ,$324.90 ,$259.92 ,$361.00 ,$129.83 ,$227.43 ,$227.43 ,$82.78 ,$173.28 ,$324.90 ST. JOHN'S HOSPITAL,40100010,77065,HC MAMMOGRAM DIAG UNIL W/CAD UPGRADE,401,1 ,$361.00 ,$234.65 ,$69.13 ,$361.00 ,$206.95 ,$154.94 ,$195.66 ,$82.78 ,$101.08 ,$124.55 ,$82.78 ,$138.62 ,$82.78 ,$137.90 ,$191.16 ,$82.78 ,$137.90 ,$157.28 ,$310.51 ,$184.11 ,$206.95 ,$82.78 ,$252.70 ,$82.78 ,$180.50 ,$84.44 ,$270.75 ,$182.31 ,$164.26 ,$182.31 ,$82.78 ,$182.31 ,$129.83 ,$129.83 ,$129.83 ,$361.00 ,$306.85 ,$206.95 ,$288.80 ,$133.57 ,$288.80 ,$82.78 ,$82.78 ,$95.73 ,$195.66 ,$82.78 ,$94.94 , N/A , N/A ,$72.42 ,$69.13 ,$86.92 ,$306.85 ,$186.26 ,$237.54 ,$101.08 ,$324.90 ,$259.92 ,$361.00 ,$129.83 ,$227.43 ,$227.43 ,$82.78 ,$173.28 ,$324.90 ST. JOHN'S HOSPITAL,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$99.00 ,$64.35 ,$22.09 ,$99.00 ,$55.23 ,$45.54 ,$53.66 ,$22.09 ,$27.72 ,$34.16 ,$22.09 ,$38.02 ,$22.09 ,$37.82 ,$23.18 ,$22.09 ,$37.82 ,$41.97 ,$86.42 ,$50.49 ,$55.23 ,$22.09 ,$69.30 ,$22.09 ,$49.50 ,$22.53 ,$74.25 ,$50.00 ,$45.05 ,$50.00 ,$22.09 ,$50.00 ,$34.77 ,$34.77 ,$34.77 ,$99.00 ,$84.15 ,$55.23 ,$79.20 ,$36.63 ,$79.20 ,$22.09 ,$22.09 ,$26.59 ,$53.66 ,$22.09 ,$26.04 , N/A , N/A ,$72.42 ,$69.13 ,$23.19 ,$84.15 ,$49.70 ,$65.14 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$34.77 ,$62.37 ,$62.37 ,$22.09 ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,40200002,20670,HC REM IMPL WIRE SUPERFIC,402,1 ,"$3,501.00 ","$2,275.65 ",$326.50 ,"$3,501.00 ","$3,381.25 ","$1,610.46 ","$1,897.54 ","$1,352.50 ",$980.28 ,"$1,120.32 ","$1,352.50 ","$1,288.37 ","$1,352.50 ","$1,337.38 ",$326.50 ,"$1,352.50 ","$1,337.38 ","$2,569.74 ","$1,841.53 ","$1,785.51 ","$3,381.24 ","$1,352.50 ","$2,450.70 ","$1,352.50 ","$1,750.50 ","$1,379.54 ","$2,625.75 ","$1,768.01 ","$1,592.96 ","$1,768.01 ","$1,352.50 ","$1,768.01 ","$2,450.70 ","$2,450.70 ","$2,450.70 ","$3,501.00 ","$2,975.85 ","$3,381.24 ","$2,800.80 ","$1,295.37 ","$2,800.80 ","$1,352.50 ","$1,352.50 ","$3,501.00 ","$1,897.54 ","$1,352.50 ",$920.76 , N/A , N/A ,"$1,351.17 ","$1,289.76 ","$1,420.13 ","$2,975.85 ","$3,043.11 ","$2,303.66 ",$980.28 ,"$3,150.90 ","$2,520.72 ","$3,501.00 ","$2,450.70 ","$2,205.63 ","$2,205.63 ","$1,352.50 ","$1,680.48 ","$3,150.90 " ST. JOHN'S HOSPITAL,40200003,21899,HC UNLISTED PROCEDURE NECK/THORAX,402,1 ,$588.00 ,$382.20 ,$154.64 ,"$1,280.65 ",$508.43 ,$270.48 ,$318.70 ,$203.37 ,$164.64 ,$188.16 ,$203.37 ,$216.38 ,$203.37 ,$224.62 ,$235.20 ,$203.37 ,$224.62 ,$386.39 ,$309.29 ,$299.88 ,$508.41 ,$203.37 ,$411.60 ,$203.37 ,$294.00 ,$207.43 ,$441.00 ,$296.94 ,$267.54 ,$296.94 ,$203.37 ,$296.94 ,$411.60 ,$411.60 ,$411.60 ,$588.00 ,$499.80 ,$508.41 ,$470.40 ,$217.56 ,$470.40 ,$203.37 ,$203.37 ,$588.00 ,$318.70 ,$203.37 ,$154.64 , N/A , N/A ,$588.00 ,"$1,280.65 ",$213.54 ,$499.80 ,$457.57 ,$386.90 ,$164.64 ,$529.20 ,$423.36 ,$588.00 ,$411.60 ,$370.44 ,$370.44 ,$203.37 ,$282.24 ,$529.20 ST. JOHN'S HOSPITAL,40200004,21920,HC BX SOFT TISSUE BACK/FLANK SUP,402,1 ,"$3,174.00 ","$2,063.10 ",$356.25 ,"$3,381.25 ","$3,381.25 ","$1,460.04 ","$1,720.31 ","$1,352.50 ",$888.72 ,"$1,015.68 ","$1,352.50 ","$1,168.03 ","$1,352.50 ","$1,212.47 ",$356.25 ,"$1,352.50 ","$1,212.47 ","$2,569.74 ","$1,669.52 ","$1,618.74 ","$3,381.24 ","$1,352.50 ","$2,221.80 ","$1,352.50 ","$1,587.00 ","$1,379.54 ","$2,380.50 ","$1,602.87 ","$1,444.17 ","$1,602.87 ","$1,352.50 ","$1,602.87 ","$2,221.80 ","$2,221.80 ","$2,221.80 ","$3,174.00 ","$2,697.90 ","$3,174.00 ","$2,539.20 ","$1,174.38 ","$2,539.20 ","$1,352.50 ","$1,352.50 ","$3,174.00 ","$1,720.31 ","$1,352.50 ",$834.76 , N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$2,697.90 ","$3,043.11 ","$2,088.49 ",$888.72 ,"$2,856.60 ","$2,285.28 ","$3,174.00 ","$2,221.80 ","$1,999.62 ","$1,999.62 ","$1,352.50 ","$1,523.52 ","$2,856.60 " ST. JOHN'S HOSPITAL,40200006,27613,HC BX SOFT TISSUE LEG SUPERFICIAL,402,1 ,"$5,091.00 ","$3,309.15 ",$361.66 ,"$5,091.00 ","$3,381.25 ","$2,341.86 ","$2,759.32 ","$1,352.50 ","$1,425.48 ","$1,629.12 ","$1,352.50 ","$1,873.49 ","$1,352.50 ","$1,944.76 ",$361.66 ,"$1,352.50 ","$1,944.76 ","$2,569.74 ","$2,677.87 ","$2,596.41 ","$3,381.24 ","$1,352.50 ","$3,563.70 ","$1,352.50 ","$2,545.50 ","$1,379.54 ","$3,818.25 ","$2,570.96 ","$2,316.41 ","$2,570.96 ","$1,352.50 ","$2,570.96 ","$3,563.70 ","$3,563.70 ","$3,563.70 ","$5,091.00 ","$4,327.35 ","$3,381.24 ","$4,072.80 ","$1,883.67 ","$4,072.80 ","$1,352.50 ","$1,352.50 ","$5,091.00 ","$2,759.32 ","$1,352.50 ","$1,338.93 ", N/A , N/A ,$675.59 ,$644.88 ,"$1,420.13 ","$4,327.35 ","$3,043.11 ","$3,349.88 ","$1,425.48 ","$4,581.90 ","$3,665.52 ","$5,091.00 ","$3,563.70 ","$3,207.33 ","$3,207.33 ","$1,352.50 ","$2,443.68 ","$4,581.90 " ST. JOHN'S HOSPITAL,40200007,51798,HC US BLADDER SCAN,402,1 ,$535.00 ,$347.75 ,$41.02 ,$535.00 ,$133.78 ,$246.10 ,$289.97 ,$53.51 ,$149.80 ,$171.20 ,$53.51 ,$196.88 ,$53.51 ,$204.37 ,$41.02 ,$53.51 ,$204.37 ,$101.66 ,$281.41 ,$272.85 ,$133.77 ,$53.51 ,$374.50 ,$53.51 ,$267.50 ,$54.58 ,$401.25 ,$270.18 ,$243.43 ,$270.18 ,$53.51 ,$270.18 ,$374.50 ,$374.50 ,$374.50 ,$535.00 ,$454.75 ,$133.77 ,$428.00 ,$197.95 ,$428.00 ,$53.51 ,$53.51 ,$535.00 ,$289.97 ,$53.51 ,$140.71 , N/A , N/A ,$125.19 ,$119.50 ,$56.19 ,$454.75 ,$120.39 ,$352.03 ,$149.80 ,$481.50 ,$385.20 ,$535.00 ,$374.50 ,$337.05 ,$337.05 ,$53.51 ,$256.80 ,$481.50 ST. JOHN'S HOSPITAL,40200010,59000,HC AMNIOCENTESIS DIAGNOSTIC,402,1 ,"$1,292.00 ",$839.80 ,$152.06 ,"$1,523.50 ","$1,523.50 ",$594.32 ,$700.26 ,$609.40 ,$361.76 ,$413.44 ,$609.40 ,$475.46 ,$609.40 ,$493.54 ,$152.06 ,$609.40 ,$493.54 ,"$1,157.86 ",$679.59 ,$658.92 ,"$1,523.50 ",$609.40 ,$904.40 ,$609.40 ,$646.00 ,$621.59 ,$969.00 ,$652.46 ,$587.86 ,$652.46 ,$609.40 ,$652.46 ,$904.40 ,$904.40 ,$904.40 ,"$1,292.00 ","$1,098.20 ","$1,292.00 ","$1,033.60 ",$478.04 ,"$1,033.60 ",$609.40 ,$609.40 ,"$1,292.00 ",$700.26 ,$609.40 ,$339.80 , N/A , N/A , N/A , N/A ,$639.87 ,"$1,098.20 ","$1,371.15 ",$850.14 ,$361.76 ,"$1,162.80 ",$930.24 ,"$1,292.00 ",$904.40 ,$813.96 ,$813.96 ,$609.40 ,$620.16 ,"$1,162.80 " ST. JOHN'S HOSPITAL,40200011,60300,HC ASP/INJ CYST THYROID,402,1 ,"$1,402.00 ",$911.30 ,$98.93 ,"$1,495.43 ","$1,495.43 ",$644.92 ,$759.88 ,$598.17 ,$392.56 ,$448.64 ,$598.17 ,$515.94 ,$598.17 ,$535.56 ,$98.93 ,$598.17 ,$535.56 ,"$1,136.52 ",$737.45 ,$715.02 ,"$1,495.43 ",$598.17 ,$981.40 ,$598.17 ,$701.00 ,$610.13 ,"$1,051.50 ",$708.01 ,$637.91 ,$708.01 ,$598.17 ,$708.01 ,$981.40 ,$981.40 ,$981.40 ,"$1,402.00 ","$1,191.70 ","$1,402.00 ","$1,121.60 ",$518.74 ,"$1,121.60 ",$598.17 ,$598.17 ,"$1,402.00 ",$759.88 ,$598.17 ,$368.73 , N/A , N/A ,$637.68 ,$608.70 ,$628.08 ,"$1,191.70 ","$1,345.88 ",$922.52 ,$392.56 ,"$1,261.80 ","$1,009.44 ","$1,402.00 ",$981.40 ,$883.26 ,$883.26 ,$598.17 ,$672.96 ,"$1,261.80 " ST. JOHN'S HOSPITAL,40200012,76506,HC US ENCEPHALOGRAM,402,1 ,"$1,488.00 ",$967.20 ,$104.65 ,"$1,488.00 ",$261.63 ,$104.86 ,$806.50 ,$104.65 ,$416.64 ,$513.36 ,$104.65 ,$571.39 ,$104.65 ,$568.42 ,$172.14 ,$104.65 ,$568.42 ,$198.84 ,$299.87 ,$758.88 ,$261.63 ,$104.65 ,"$1,041.60 ",$104.65 ,$744.00 ,$106.75 ,"$1,116.00 ",$751.44 ,$677.04 ,$751.44 ,$104.65 ,$751.44 ,$116.91 ,$116.91 ,$116.91 ,"$1,488.00 ","$1,264.80 ",$261.63 ,"$1,190.40 ",$550.56 ,"$1,190.40 ",$104.65 ,$104.65 ,"$1,488.00 ",$806.50 ,$104.65 ,$391.34 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,264.80 ",$235.47 ,$979.10 ,$416.64 ,"$1,339.20 ","$1,071.36 ","$1,488.00 ",$116.91 ,$937.44 ,$937.44 ,$104.65 ,$714.24 ,"$1,339.20 " ST. JOHN'S HOSPITAL,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$972.00 ,$631.80 ,$104.65 ,$972.00 ,$261.63 ,$158.26 ,$526.82 ,$104.65 ,$272.16 ,$335.34 ,$104.65 ,$373.25 ,$104.65 ,$371.30 ,$179.45 ,$104.65 ,$371.30 ,$198.84 ,$309.32 ,$495.72 ,$261.63 ,$104.65 ,$680.40 ,$104.65 ,$486.00 ,$106.75 ,$729.00 ,$490.86 ,$442.26 ,$490.86 ,$104.65 ,$490.86 ,$121.88 ,$121.88 ,$121.88 ,$972.00 ,$826.20 ,$261.63 ,$777.60 ,$359.64 ,$777.60 ,$104.65 ,$104.65 ,$972.00 ,$526.82 ,$104.65 ,$255.64 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$826.20 ,$235.47 ,$639.58 ,$272.16 ,$874.80 ,$699.84 ,$972.00 ,$121.88 ,$612.36 ,$612.36 ,$104.65 ,$466.56 ,$874.80 ST. JOHN'S HOSPITAL,40200014,76604,HC US CHEST,402,1 ,$777.00 ,$505.05 ,$86.60 ,$777.00 ,$261.63 ,$102.66 ,$421.13 ,$104.65 ,$217.56 ,$268.07 ,$104.65 ,$298.37 ,$104.65 ,$296.81 ,$127.52 ,$104.65 ,$296.81 ,$198.84 ,$135.30 ,$396.27 ,$261.63 ,$104.65 ,$543.90 ,$104.65 ,$388.50 ,$106.75 ,$582.75 ,$392.39 ,$353.54 ,$392.39 ,$104.65 ,$392.39 ,$86.60 ,$86.60 ,$86.60 ,$777.00 ,$660.45 ,$261.63 ,$621.60 ,$287.49 ,$621.60 ,$104.65 ,$104.65 ,$777.00 ,$421.13 ,$104.65 ,$204.35 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$660.45 ,$235.47 ,$511.27 ,$217.56 ,$699.30 ,$559.44 ,$777.00 ,$86.60 ,$489.51 ,$489.51 ,$104.65 ,$372.96 ,$699.30 ST. JOHN'S HOSPITAL,40200015,76641,HC US BREAST COMPLETE,402,1 ,"$1,342.00 ",$872.30 ,$76.42 ,"$1,342.00 ",$261.63 ,$116.50 ,$727.36 ,$104.65 ,$375.76 ,$462.99 ,$104.65 ,$515.33 ,$104.65 ,$512.64 ,$145.07 ,$104.65 ,$512.64 ,$198.84 ,$247.75 ,$684.42 ,$261.63 ,$104.65 ,$939.40 ,$104.65 ,$671.00 ,$106.75 ,"$1,006.50 ",$677.71 ,$610.61 ,$677.71 ,$104.65 ,$677.71 ,$98.52 ,$98.52 ,$98.52 ,"$1,342.00 ","$1,140.70 ",$261.63 ,"$1,073.60 ",$496.54 ,"$1,073.60 ",$104.65 ,$104.65 ,$76.42 ,$727.36 ,$104.65 ,$352.95 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,140.70 ",$235.47 ,$883.04 ,$375.76 ,"$1,207.80 ",$966.24 ,"$1,342.00 ",$98.52 ,$845.46 ,$845.46 ,$104.65 ,$644.16 ,"$1,207.80 " ST. JOHN'S HOSPITAL,40200015,76641,HC US BREAST COMPLETE,402,1 ,"$2,013.00 ","$1,308.45 ",$76.42 ,"$2,013.00 ",$261.63 ,$116.50 ,"$1,091.05 ",$104.65 ,$563.64 ,$532.41 ,$104.65 ,$639.72 ,$104.65 ,$768.97 ,$145.07 ,$104.65 ,$768.97 ,$198.84 ,$247.75 ,"$1,026.63 ",$261.63 ,$104.65 ,"$1,409.10 ",$104.65 ,"$1,006.50 ",$106.75 ,"$1,509.75 ","$1,016.57 ",$915.92 ,"$1,016.57 ",$104.65 ,"$1,016.57 ",$98.52 ,$98.52 ,$98.52 ,"$2,013.00 ","$1,711.05 ",$261.63 ,"$1,610.40 ",$744.81 ,"$1,610.40 ",$104.65 ,$104.65 ,$76.42 ,"$1,091.05 ",$104.65 ,$529.42 , N/A , N/A ,$239.18 ,$228.31 ,$109.88 ,"$1,711.05 ",$235.47 ,"$1,324.55 ",$563.64 ,"$1,811.70 ","$1,449.36 ","$2,013.00 ",$98.52 ,"$1,268.19 ","$1,268.19 ",$104.65 ,$966.24 ,"$1,811.70 " ST. JOHN'S HOSPITAL,40200016,76642,HC US BREAST LIMITED,402,1 ,"$1,105.00 ",$718.25 ,$58.57 ,"$1,105.00 ",$194.38 ,$89.32 ,$598.91 ,$77.75 ,$309.40 ,$381.23 ,$77.75 ,$424.32 ,$77.75 ,$422.11 ,$109.96 ,$77.75 ,$422.11 ,$147.73 ,$189.76 ,$563.55 ,$194.38 ,$77.75 ,$773.50 ,$77.75 ,$552.50 ,$79.31 ,$828.75 ,$558.03 ,$502.78 ,$558.03 ,$77.75 ,$558.03 ,$74.67 ,$74.67 ,$74.67 ,"$1,105.00 ",$939.25 ,$194.38 ,$884.00 ,$408.85 ,$884.00 ,$77.75 ,$77.75 ,$58.57 ,$598.91 ,$77.75 ,$290.62 , N/A , N/A ,$159.46 ,$152.21 ,$81.64 ,$939.25 ,$174.94 ,$727.09 ,$309.40 ,$994.50 ,$795.60 ,"$1,105.00 ",$74.67 ,$696.15 ,$696.15 ,$77.75 ,$530.40 ,$994.50 ST. JOHN'S HOSPITAL,40200016,76642,HC US BREAST LIMITED,402,1 ,"$1,659.00 ","$1,078.35 ",$58.57 ,"$1,659.00 ",$194.38 ,$89.32 ,$899.18 ,$77.75 ,$464.52 ,$406.45 ,$77.75 ,$488.37 ,$77.75 ,$633.74 ,$109.96 ,$77.75 ,$633.74 ,$147.73 ,$189.76 ,$846.09 ,$194.38 ,$77.75 ,"$1,161.30 ",$77.75 ,$829.50 ,$79.31 ,"$1,244.25 ",$837.80 ,$754.85 ,$837.80 ,$77.75 ,$837.80 ,$74.67 ,$74.67 ,$74.67 ,"$1,659.00 ","$1,410.15 ",$194.38 ,"$1,327.20 ",$613.83 ,"$1,327.20 ",$77.75 ,$77.75 ,$58.57 ,$899.18 ,$77.75 ,$436.32 , N/A , N/A ,$239.18 ,$228.31 ,$81.64 ,"$1,410.15 ",$174.94 ,"$1,091.62 ",$464.52 ,"$1,493.10 ","$1,194.48 ","$1,659.00 ",$74.67 ,"$1,045.17 ","$1,045.17 ",$77.75 ,$796.32 ,"$1,493.10 " ST. JOHN'S HOSPITAL,40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,433.00 ",$931.45 ,$104.65 ,"$1,433.00 ",$261.63 ,$161.00 ,$776.69 ,$104.65 ,$401.24 ,$494.39 ,$104.65 ,$550.27 ,$104.65 ,$547.41 ,$167.02 ,$104.65 ,$547.41 ,$198.84 ,$288.00 ,$730.83 ,$261.63 ,$104.65 ,"$1,003.10 ",$104.65 ,$716.50 ,$106.75 ,"$1,074.75 ",$723.67 ,$652.02 ,$723.67 ,$104.65 ,$723.67 ,$113.43 ,$113.43 ,$113.43 ,"$1,433.00 ","$1,218.05 ",$261.63 ,"$1,146.40 ",$530.21 ,"$1,146.40 ",$104.65 ,$104.65 ,"$1,433.00 ",$776.69 ,$104.65 ,$376.88 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,218.05 ",$235.47 ,$942.91 ,$401.24 ,"$1,289.70 ","$1,031.76 ","$1,433.00 ",$113.43 ,$902.79 ,$902.79 ,$104.65 ,$687.84 ,"$1,289.70 " ST. JOHN'S HOSPITAL,40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,336.00 ",$868.40 ,$86.10 ,"$1,336.00 ",$261.63 ,$132.92 ,$724.11 ,$104.65 ,$374.08 ,$460.92 ,$104.65 ,$513.02 ,$104.65 ,$510.35 ,$126.78 ,$104.65 ,$510.35 ,$198.84 ,$216.99 ,$681.36 ,$261.63 ,$104.65 ,$935.20 ,$104.65 ,$668.00 ,$106.75 ,"$1,002.00 ",$674.68 ,$607.88 ,$674.68 ,$104.65 ,$674.68 ,$86.10 ,$86.10 ,$86.10 ,"$1,336.00 ","$1,135.60 ",$261.63 ,"$1,068.80 ",$494.32 ,"$1,068.80 ",$104.65 ,$104.65 ,"$1,336.00 ",$724.11 ,$104.65 ,$351.37 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,135.60 ",$235.47 ,$879.09 ,$374.08 ,"$1,202.40 ",$961.92 ,"$1,336.00 ",$86.10 ,$841.68 ,$841.68 ,$104.65 ,$641.28 ,"$1,202.40 " ST. JOHN'S HOSPITAL,40200019,76770,HC US RETROPERITIONEAL,402,1 ,"$2,179.00 ","$1,416.35 ",$104.65 ,"$2,179.00 ",$261.63 ,$161.00 ,"$1,181.02 ",$104.65 ,$610.12 ,$574.41 ,$104.65 ,$690.18 ,$104.65 ,$832.38 ,$156.04 ,$104.65 ,$832.38 ,$198.84 ,$267.88 ,"$1,111.29 ",$261.63 ,$104.65 ,"$1,525.30 ",$104.65 ,"$1,089.50 ",$106.75 ,"$1,634.25 ","$1,100.40 ",$991.45 ,"$1,100.40 ",$104.65 ,"$1,100.40 ",$105.98 ,$105.98 ,$105.98 ,"$2,179.00 ","$1,852.15 ",$261.63 ,"$1,743.20 ",$806.23 ,"$1,743.20 ",$104.65 ,$104.65 ,"$2,179.00 ","$1,181.02 ",$104.65 ,$573.08 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,852.15 ",$235.47 ,"$1,433.78 ",$610.12 ,"$1,961.10 ","$1,568.88 ","$2,179.00 ",$105.98 ,"$1,372.77 ","$1,372.77 ",$104.65 ,"$1,045.92 ","$1,961.10 " ST. JOHN'S HOSPITAL,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,"$1,307.00 ",$849.55 ,$41.39 ,"$1,307.00 ",$261.63 ,$134.58 ,$708.39 ,$104.65 ,$365.96 ,$276.83 ,$104.65 ,$332.63 ,$104.65 ,$499.27 ,$60.95 ,$104.65 ,$499.27 ,$198.84 ,$105.72 ,$666.57 ,$261.63 ,$104.65 ,$914.90 ,$104.65 ,$653.50 ,$106.75 ,$980.25 ,$660.04 ,$594.69 ,$660.04 ,$104.65 ,$660.04 ,$41.39 ,$41.39 ,$41.39 ,"$1,307.00 ","$1,110.95 ",$261.63 ,"$1,045.60 ",$483.59 ,"$1,045.60 ",$104.65 ,$104.65 ,"$1,307.00 ",$708.39 ,$104.65 ,$343.74 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,110.95 ",$235.47 ,$860.01 ,$365.96 ,"$1,176.30 ",$941.04 ,"$1,307.00 ",$41.39 ,$823.41 ,$823.41 ,$104.65 ,$627.36 ,"$1,176.30 " ST. JOHN'S HOSPITAL,40200021,76776,HC US KIDNEY TRANSPLANT W/DOPPLER,402,1 ,"$1,614.00 ","$1,049.10 ",$104.65 ,"$1,614.00 ",$261.63 ,$194.58 ,$874.79 ,$104.65 ,$451.92 ,$556.83 ,$104.65 ,$619.78 ,$104.65 ,$616.55 ,$241.63 ,$104.65 ,$616.55 ,$198.84 ,$413.85 ,$823.14 ,$261.63 ,$104.65 ,"$1,129.80 ",$104.65 ,$807.00 ,$106.75 ,"$1,210.50 ",$815.07 ,$734.37 ,$815.07 ,$104.65 ,$815.07 ,$164.10 ,$164.10 ,$164.10 ,"$1,614.00 ","$1,371.90 ",$261.63 ,"$1,291.20 ",$597.18 ,"$1,291.20 ",$104.65 ,$104.65 ,"$1,614.00 ",$874.79 ,$104.65 ,$424.48 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,371.90 ",$235.47 ,"$1,062.01 ",$451.92 ,"$1,452.60 ","$1,162.08 ","$1,614.00 ",$164.10 ,"$1,016.82 ","$1,016.82 ",$104.65 ,$774.72 ,"$1,452.60 " ST. JOHN'S HOSPITAL,40200022,76800,HC US SPINAL CANAL AND CONTENTS,402,1 ,"$1,511.00 ",$982.15 ,$104.65 ,"$1,511.00 ",$261.63 ,$127.98 ,$818.96 ,$104.65 ,$423.08 ,$521.30 ,$104.65 ,$580.22 ,$104.65 ,$577.20 ,$172.87 ,$104.65 ,$577.20 ,$198.84 ,$297.49 ,$770.61 ,$261.63 ,$104.65 ,"$1,057.70 ",$104.65 ,$755.50 ,$106.75 ,"$1,133.25 ",$763.06 ,$687.51 ,$763.06 ,$104.65 ,$763.06 ,$117.41 ,$117.41 ,$117.41 ,"$1,511.00 ","$1,284.35 ",$261.63 ,"$1,208.80 ",$559.07 ,"$1,208.80 ",$104.65 ,$104.65 ,"$1,511.00 ",$818.96 ,$104.65 ,$397.39 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,284.35 ",$235.47 ,$994.24 ,$423.08 ,"$1,359.90 ","$1,087.92 ","$1,511.00 ",$117.41 ,$951.93 ,$951.93 ,$104.65 ,$725.28 ,"$1,359.90 " ST. JOHN'S HOSPITAL,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,"$1,457.00 ",$947.05 ,$101.51 ,"$1,457.00 ",$261.63 ,$131.28 ,$789.69 ,$104.65 ,$407.96 ,$502.67 ,$104.65 ,$559.49 ,$104.65 ,$556.57 ,$149.46 ,$104.65 ,$556.57 ,$198.84 ,$256.05 ,$743.07 ,$261.63 ,$104.65 ,"$1,019.90 ",$104.65 ,$728.50 ,$106.75 ,"$1,092.75 ",$735.79 ,$662.94 ,$735.79 ,$104.65 ,$735.79 ,$101.51 ,$101.51 ,$101.51 ,"$1,457.00 ","$1,238.45 ",$261.63 ,"$1,165.60 ",$539.09 ,"$1,165.60 ",$104.65 ,$104.65 ,"$1,457.00 ",$789.69 ,$104.65 ,$383.19 , N/A , N/A , N/A , N/A ,$109.88 ,"$1,238.45 ",$235.47 ,$958.71 ,$407.96 ,"$1,311.30 ","$1,049.04 ","$1,457.00 ",$101.51 ,$917.91 ,$917.91 ,$104.65 ,$699.36 ,"$1,311.30 " ST. JOHN'S HOSPITAL,40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$498.00 ,$323.70 ,$30.30 ,$498.00 , N/A ,$43.20 ,$269.92 , N/A ,$139.44 ,$167.96 , N/A ,$191.23 , N/A ,$190.24 ,$44.62 , N/A ,$190.24 , N/A ,$261.95 ,$253.98 , N/A , N/A ,$348.60 , N/A ,$249.00 , N/A ,$373.50 ,$251.49 ,$226.59 ,$251.49 , N/A ,$251.49 ,$30.30 ,$30.30 ,$30.30 ,$498.00 ,$423.30 , N/A ,$398.40 ,$184.26 ,$398.40 , N/A , N/A ,$498.00 ,$269.92 , N/A ,$130.97 , N/A , N/A , N/A , N/A , N/A ,$423.30 , N/A ,$327.68 ,$139.44 ,$448.20 ,$358.56 ,$498.00 ,$30.30 ,$313.74 ,$313.74 , N/A ,$239.04 ,$448.20 ST. JOHN'S HOSPITAL,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,"$1,840.00 ","$1,196.00 ",$104.65 ,"$1,840.00 ",$261.63 ,$161.00 ,$997.28 ,$104.65 ,$515.20 ,$634.80 ,$104.65 ,$706.56 ,$104.65 ,$702.88 ,$186.04 ,$104.65 ,$702.88 ,$198.84 ,$319.96 ,$938.40 ,$261.63 ,$104.65 ,"$1,288.00 ",$104.65 ,$920.00 ,$106.75 ,"$1,380.00 ",$929.20 ,$837.20 ,$929.20 ,$104.65 ,$929.20 ,$126.35 ,$126.35 ,$126.35 ,"$1,840.00 ","$1,564.00 ",$261.63 ,"$1,472.00 ",$680.80 ,"$1,472.00 ",$104.65 ,$104.65 ,"$1,840.00 ",$997.28 ,$104.65 ,$483.92 , N/A , N/A , N/A , N/A ,$109.88 ,"$1,564.00 ",$235.47 ,"$1,210.72 ",$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ",$126.35 ,"$1,159.20 ","$1,159.20 ",$104.65 ,$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,$660.00 ,$429.00 ,$59.61 ,$660.00 , N/A ,$82.28 ,$357.72 , N/A ,$184.80 ,$227.70 , N/A ,$253.44 , N/A ,$252.12 ,$87.78 , N/A ,$252.12 , N/A ,$347.16 ,$336.60 , N/A , N/A ,$462.00 , N/A ,$330.00 , N/A ,$495.00 ,$333.30 ,$300.30 ,$333.30 , N/A ,$333.30 ,$59.61 ,$59.61 ,$59.61 ,$660.00 ,$561.00 , N/A ,$528.00 ,$244.20 ,$528.00 , N/A , N/A ,$660.00 ,$357.72 , N/A ,$173.58 , N/A , N/A , N/A , N/A , N/A ,$561.00 , N/A ,$434.28 ,$184.80 ,$594.00 ,$475.20 ,$660.00 ,$59.61 ,$415.80 ,$415.80 , N/A ,$316.80 ,$594.00 ST. JOHN'S HOSPITAL,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,"$1,228.00 ",$798.20 ,$117.06 ,"$1,228.00 ",$552.95 ,$155.50 ,$665.58 ,$221.18 ,$343.84 ,$423.66 ,$221.18 ,$471.55 ,$221.18 ,$469.10 ,$172.37 ,$221.18 ,$469.10 ,$420.25 ,$293.10 ,$626.28 ,$552.96 ,$221.18 ,$859.60 ,$221.18 ,$614.00 ,$225.61 ,$921.00 ,$620.14 ,$558.74 ,$620.14 ,$221.18 ,$620.14 ,$117.06 ,$117.06 ,$117.06 ,"$1,228.00 ","$1,043.80 ",$552.96 ,$982.40 ,$454.36 ,$982.40 ,$221.18 ,$221.18 ,"$1,228.00 ",$665.58 ,$221.18 ,$322.96 , N/A , N/A , N/A , N/A ,$232.24 ,"$1,043.80 ",$497.66 ,$808.02 ,$343.84 ,"$1,105.20 ",$884.16 ,"$1,228.00 ",$117.06 ,$773.64 ,$773.64 ,$221.18 ,$589.44 ,"$1,105.20 " ST. JOHN'S HOSPITAL,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$906.00 ,$588.90 ,$104.86 ,$906.00 , N/A ,$104.86 ,$491.05 , N/A ,$253.68 ,$312.57 , N/A ,$347.90 , N/A ,$346.09 ,$227.00 , N/A ,$346.09 , N/A ,$476.56 ,$462.06 , N/A , N/A ,$634.20 , N/A ,$453.00 , N/A ,$679.50 ,$457.53 ,$412.23 ,$457.53 , N/A ,$457.53 ,$154.17 ,$154.17 ,$154.17 ,$906.00 ,$770.10 , N/A ,$724.80 ,$335.22 ,$724.80 , N/A , N/A ,$906.00 ,$491.05 , N/A ,$238.28 , N/A , N/A , N/A , N/A , N/A ,$770.10 , N/A ,$596.15 ,$253.68 ,$815.40 ,$652.32 ,$906.00 ,$154.17 ,$570.78 ,$570.78 , N/A ,$434.88 ,$815.40 ST. JOHN'S HOSPITAL,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$970.00 ,$630.50 ,$99.02 ,$970.00 ,$261.63 ,$104.86 ,$525.74 ,$104.65 ,$271.60 ,$334.65 ,$104.65 ,$372.48 ,$104.65 ,$370.54 ,$145.80 ,$104.65 ,$370.54 ,$198.84 ,$251.32 ,$494.70 ,$261.63 ,$104.65 ,$679.00 ,$104.65 ,$485.00 ,$106.75 ,$727.50 ,$489.85 ,$441.35 ,$489.85 ,$104.65 ,$489.85 ,$99.02 ,$99.02 ,$99.02 ,$970.00 ,$824.50 ,$261.63 ,$776.00 ,$358.90 ,$776.00 ,$104.65 ,$104.65 ,$970.00 ,$525.74 ,$104.65 ,$255.11 , N/A , N/A , N/A , N/A ,$109.88 ,$824.50 ,$235.47 ,$638.26 ,$271.60 ,$873.00 ,$698.40 ,$970.00 ,$99.02 ,$611.10 ,$611.10 ,$104.65 ,$465.60 ,$873.00 ST. JOHN'S HOSPITAL,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$970.00 ,$630.50 ,$72.20 ,$970.00 ,$261.63 ,$98.80 ,$525.74 ,$104.65 ,$271.60 ,$334.65 ,$104.65 ,$372.48 ,$104.65 ,$370.54 ,$106.30 ,$104.65 ,$370.54 ,$198.84 ,$182.65 ,$494.70 ,$261.63 ,$104.65 ,$679.00 ,$104.65 ,$485.00 ,$106.75 ,$727.50 ,$489.85 ,$441.35 ,$489.85 ,$104.65 ,$489.85 ,$72.20 ,$72.20 ,$72.20 ,$970.00 ,$824.50 ,$261.63 ,$776.00 ,$358.90 ,$776.00 ,$104.65 ,$104.65 ,$970.00 ,$525.74 ,$104.65 ,$255.11 , N/A , N/A , N/A , N/A ,$109.88 ,$824.50 ,$235.47 ,$638.26 ,$271.60 ,$873.00 ,$698.40 ,$970.00 ,$72.20 ,$611.10 ,$611.10 ,$104.65 ,$465.60 ,$873.00 ST. JOHN'S HOSPITAL,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,"$1,675.00 ","$1,088.75 ",$82.13 ,"$1,675.00 ",$261.63 ,$104.86 ,$907.85 ,$104.65 ,$469.00 ,$560.74 ,$104.65 ,$643.20 ,$104.65 ,$639.85 ,$120.93 ,$104.65 ,$639.85 ,$198.84 ,$207.50 ,$854.25 ,$261.63 ,$104.65 ,"$1,172.50 ",$104.65 ,$837.50 ,$106.75 ,"$1,256.25 ",$845.88 ,$762.13 ,$845.88 ,$104.65 ,$845.88 ,$82.13 ,$82.13 ,$82.13 ,"$1,675.00 ","$1,423.75 ",$261.63 ,"$1,340.00 ",$619.75 ,"$1,340.00 ",$104.65 ,$104.65 ,"$1,675.00 ",$907.85 ,$104.65 ,$440.53 , N/A , N/A , N/A , N/A ,$109.88 ,"$1,423.75 ",$235.47 ,"$1,102.15 ",$469.00 ,"$1,507.50 ","$1,206.00 ","$1,675.00 ",$82.13 ,"$1,055.25 ","$1,055.25 ",$104.65 ,$804.00 ,"$1,507.50 " ST. JOHN'S HOSPITAL,40200033,76818,HC US FETAL BIO PROFILE W/NST,402,1 ,"$1,093.00 ",$710.45 ,$94.71 ,"$1,093.00 ",$261.63 ,$120.26 ,$592.41 ,$104.65 ,$306.04 ,$377.09 ,$104.65 ,$419.71 ,$104.65 ,$417.53 ,$139.45 ,$104.65 ,$417.53 ,$198.84 ,$229.19 ,$557.43 ,$261.63 ,$104.65 ,$765.10 ,$104.65 ,$546.50 ,$106.75 ,$819.75 ,$551.97 ,$497.32 ,$551.97 ,$104.65 ,$551.97 ,$94.71 ,$94.71 ,$94.71 ,"$1,093.00 ",$929.05 ,$261.63 ,$874.40 ,$404.41 ,$874.40 ,$104.65 ,$104.65 ,"$1,093.00 ",$592.41 ,$104.65 ,$287.46 , N/A , N/A , N/A , N/A ,$109.88 ,$929.05 ,$235.47 ,$719.19 ,$306.04 ,$983.70 ,$786.96 ,"$1,093.00 ",$94.71 ,$688.59 ,$688.59 ,$104.65 ,$524.64 ,$983.70 ST. JOHN'S HOSPITAL,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$514.00 ,$334.10 ,$69.71 ,$514.00 ,$261.63 ,$87.24 ,$278.59 ,$104.65 ,$143.92 ,$177.33 ,$104.65 ,$197.38 ,$104.65 ,$196.35 ,$102.64 ,$104.65 ,$196.35 ,$198.84 ,$169.63 ,$262.14 ,$261.63 ,$104.65 ,$359.80 ,$104.65 ,$257.00 ,$106.75 ,$385.50 ,$259.57 ,$233.87 ,$259.57 ,$104.65 ,$259.57 ,$69.71 ,$69.71 ,$69.71 ,$514.00 ,$436.90 ,$261.63 ,$411.20 ,$190.18 ,$411.20 ,$104.65 ,$104.65 ,$514.00 ,$278.59 ,$104.65 ,$135.18 , N/A , N/A , N/A , N/A ,$109.88 ,$436.90 ,$235.47 ,$338.21 ,$143.92 ,$462.60 ,$370.08 ,$514.00 ,$69.71 ,$323.82 ,$323.82 ,$104.65 ,$246.72 ,$462.60 ST. JOHN'S HOSPITAL,40200035,76819,HC US FETAL BIO PROFILE W/O NST EA ADDN,402,1 ,$514.00 ,$334.10 ,$69.71 ,$514.00 ,$261.63 ,$87.24 ,$278.59 ,$104.65 ,$143.92 ,$177.33 ,$104.65 ,$197.38 ,$104.65 ,$196.35 ,$102.64 ,$104.65 ,$196.35 ,$198.84 ,$169.63 ,$262.14 ,$261.63 ,$104.65 ,$359.80 ,$104.65 ,$257.00 ,$106.75 ,$385.50 ,$259.57 ,$233.87 ,$259.57 ,$104.65 ,$259.57 ,$69.71 ,$69.71 ,$69.71 ,$514.00 ,$436.90 ,$261.63 ,$411.20 ,$190.18 ,$411.20 ,$104.65 ,$104.65 ,$514.00 ,$278.59 ,$104.65 ,$135.18 , N/A , N/A , N/A , N/A ,$109.88 ,$436.90 ,$235.47 ,$338.21 ,$143.92 ,$462.60 ,$370.08 ,$514.00 ,$69.71 ,$323.82 ,$323.82 ,$104.65 ,$246.72 ,$462.60 ST. JOHN'S HOSPITAL,40200036,76820,HC US FETAL DOPLR VELO UMB,402,1 ,$416.00 ,$270.40 ,$26.68 ,$416.00 ,$261.63 ,$26.68 ,$225.47 ,$104.65 ,$116.48 ,$143.52 ,$104.65 ,$159.74 ,$104.65 ,$158.91 ,$45.58 ,$104.65 ,$158.91 ,$198.84 ,$77.30 ,$212.16 ,$261.63 ,$104.65 ,$291.20 ,$104.65 ,$208.00 ,$106.75 ,$312.00 ,$210.08 ,$189.28 ,$210.08 ,$104.65 ,$210.08 ,$30.96 ,$30.96 ,$30.96 ,$416.00 ,$353.60 ,$261.63 ,$332.80 ,$153.92 ,$332.80 ,$104.65 ,$104.65 ,$416.00 ,$225.47 ,$104.65 ,$109.41 , N/A , N/A , N/A , N/A ,$109.88 ,$353.60 ,$235.47 ,$273.73 ,$116.48 ,$374.40 ,$299.52 ,$416.00 ,$30.96 ,$262.08 ,$262.08 ,$104.65 ,$199.68 ,$374.40 ST. JOHN'S HOSPITAL,40200037,76821,HC US FETL DOPLR VELOCIMERTY,402,1 ,$466.00 ,$302.90 ,$78.65 ,$466.00 ,$261.63 ,$101.00 ,$252.57 ,$104.65 ,$130.48 ,$160.77 ,$104.65 ,$178.94 ,$104.65 ,$178.01 ,$115.81 ,$104.65 ,$178.01 ,$198.84 ,$200.40 ,$237.66 ,$261.63 ,$104.65 ,$326.20 ,$104.65 ,$233.00 ,$106.75 ,$349.50 ,$235.33 ,$212.03 ,$235.33 ,$104.65 ,$235.33 ,$78.65 ,$78.65 ,$78.65 ,$466.00 ,$396.10 ,$261.63 ,$372.80 ,$172.42 ,$372.80 ,$104.65 ,$104.65 ,$466.00 ,$252.57 ,$104.65 ,$122.56 , N/A , N/A , N/A , N/A ,$109.88 ,$396.10 ,$235.47 ,$306.63 ,$130.48 ,$419.40 ,$335.52 ,$466.00 ,$78.65 ,$293.58 ,$293.58 ,$104.65 ,$223.68 ,$419.40 ST. JOHN'S HOSPITAL,40200038,76830,HC US TRANSVAGINAL,402,1 ,"$1,073.00 ",$697.45 ,$69.08 ,"$1,073.00 ",$261.63 ,$69.08 ,$581.57 ,$104.65 ,$300.44 ,$370.19 ,$104.65 ,$412.03 ,$104.65 ,$409.89 ,$179.45 ,$104.65 ,$409.89 ,$198.84 ,$315.23 ,$547.23 ,$261.63 ,$104.65 ,$751.10 ,$104.65 ,$536.50 ,$106.75 ,$804.75 ,$541.87 ,$488.22 ,$541.87 ,$104.65 ,$541.87 ,$121.88 ,$121.88 ,$121.88 ,"$1,073.00 ",$912.05 ,$261.63 ,$858.40 ,$397.01 ,$858.40 ,$104.65 ,$104.65 ,"$1,073.00 ",$581.57 ,$104.65 ,$282.20 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$912.05 ,$235.47 ,$706.03 ,$300.44 ,$965.70 ,$772.56 ,"$1,073.00 ",$121.88 ,$675.99 ,$675.99 ,$104.65 ,$515.04 ,$965.70 ST. JOHN'S HOSPITAL,40200039,76831,HC US HYSTEROSONOGRAM,402,1 ,"$1,150.00 ",$747.50 ,$114.92 ,"$1,150.00 ",$552.95 ,$151.10 ,$623.30 ,$221.18 ,$322.00 ,$396.75 ,$221.18 ,$441.60 ,$221.18 ,$439.30 ,$169.21 ,$221.18 ,$439.30 ,$420.25 ,$298.68 ,$586.50 ,$552.96 ,$221.18 ,$805.00 ,$221.18 ,$575.00 ,$225.61 ,$862.50 ,$580.75 ,$523.25 ,$580.75 ,$221.18 ,$580.75 ,$114.92 ,$114.92 ,$114.92 ,"$1,150.00 ",$977.50 ,$552.96 ,$920.00 ,$425.50 ,$920.00 ,$221.18 ,$221.18 ,"$1,150.00 ",$623.30 ,$221.18 ,$302.45 , N/A , N/A ,$363.95 ,$347.40 ,$232.24 ,$977.50 ,$497.66 ,$756.70 ,$322.00 ,"$1,035.00 ",$828.00 ,"$1,150.00 ",$114.92 ,$724.50 ,$724.50 ,$221.18 ,$552.00 ,"$1,035.00 " ST. JOHN'S HOSPITAL,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,222.00 ",$794.30 ,$81.89 ,"$1,222.00 ",$261.63 ,$152.20 ,$662.32 ,$104.65 ,$342.16 ,$421.59 ,$104.65 ,$469.25 ,$104.65 ,$466.80 ,$154.58 ,$104.65 ,$466.80 ,$198.84 ,$265.53 ,$623.22 ,$261.63 ,$104.65 ,$855.40 ,$104.65 ,$611.00 ,$106.75 ,$916.50 ,$617.11 ,$556.01 ,$617.11 ,$104.65 ,$617.11 ,$104.99 ,$104.99 ,$104.99 ,"$1,222.00 ","$1,038.70 ",$261.63 ,$977.60 ,$452.14 ,$977.60 ,$104.65 ,$104.65 ,$81.89 ,$662.32 ,$104.65 ,$321.39 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,038.70 ",$235.47 ,$804.08 ,$342.16 ,"$1,099.80 ",$879.84 ,"$1,222.00 ",$104.99 ,$769.86 ,$769.86 ,$104.65 ,$586.56 ,"$1,099.80 " ST. JOHN'S HOSPITAL,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$872.00 ,$566.80 ,$33.44 ,$872.00 ,$261.63 ,$104.86 ,$472.62 ,$104.65 ,$244.16 ,$224.00 ,$104.65 ,$269.14 ,$104.65 ,$333.10 ,$49.24 ,$104.65 ,$333.10 ,$198.84 ,$84.41 ,$444.72 ,$261.63 ,$104.65 ,$610.40 ,$104.65 ,$436.00 ,$106.75 ,$654.00 ,$440.36 ,$396.76 ,$440.36 ,$104.65 ,$440.36 ,$33.44 ,$33.44 ,$33.44 ,$872.00 ,$741.20 ,$261.63 ,$697.60 ,$322.64 ,$697.60 ,$104.65 ,$104.65 ,$872.00 ,$472.62 ,$104.65 ,$229.34 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$741.20 ,$235.47 ,$573.78 ,$244.16 ,$784.80 ,$627.84 ,$872.00 ,$33.44 ,$549.36 ,$549.36 ,$104.65 ,$418.56 ,$784.80 ST. JOHN'S HOSPITAL,40200042,76870,HC US SCROTUM,402,1 ,"$1,188.00 ",$772.20 ,$102.50 ,"$1,188.00 ",$261.63 ,$155.50 ,$643.90 ,$104.65 ,$332.64 ,$339.53 ,$104.65 ,$407.96 ,$104.65 ,$453.82 ,$150.92 ,$104.65 ,$453.82 ,$198.84 ,$257.24 ,$605.88 ,$261.63 ,$104.65 ,$831.60 ,$104.65 ,$594.00 ,$106.75 ,$891.00 ,$599.94 ,$540.54 ,$599.94 ,$104.65 ,$599.94 ,$102.50 ,$102.50 ,$102.50 ,"$1,188.00 ","$1,009.80 ",$261.63 ,$950.40 ,$439.56 ,$950.40 ,$104.65 ,$104.65 ,"$1,188.00 ",$643.90 ,$104.65 ,$312.44 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,009.80 ",$235.47 ,$781.70 ,$332.64 ,"$1,069.20 ",$855.36 ,"$1,188.00 ",$102.50 ,$748.44 ,$748.44 ,$104.65 ,$570.24 ,"$1,069.20 " ST. JOHN'S HOSPITAL,40200043,76872,HC ULTRA BX PROS,402,1 ,"$1,347.00 ",$875.55 ,$65.76 ,"$1,347.00 ",$261.63 ,$65.76 ,$730.07 ,$104.65 ,$377.16 ,$464.72 ,$104.65 ,$517.25 ,$104.65 ,$514.55 ,$195.55 ,$104.65 ,$514.55 ,$198.84 ,$540.14 ,$686.97 ,$261.63 ,$104.65 ,$942.90 ,$104.65 ,$673.50 ,$106.75 ,"$1,010.25 ",$680.24 ,$612.89 ,$680.24 ,$104.65 ,$680.24 ,$132.80 ,$132.80 ,$132.80 ,"$1,347.00 ","$1,144.95 ",$261.63 ,"$1,077.60 ",$498.39 ,"$1,077.60 ",$104.65 ,$104.65 ,"$1,347.00 ",$730.07 ,$104.65 ,$354.26 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,144.95 ",$235.47 ,$886.33 ,$377.16 ,"$1,212.30 ",$969.84 ,"$1,347.00 ",$132.80 ,$848.61 ,$848.61 ,$104.65 ,$646.56 ,"$1,212.30 " ST. JOHN'S HOSPITAL,40200044,76873,HC US TRANSRECTAL PROSTATE VOLUME,402,1 ,$348.00 ,$226.20 ,$91.52 ,$348.00 ,$261.63 ,$157.70 ,$188.62 ,$104.65 ,$97.44 ,$120.06 ,$104.65 ,$133.63 ,$104.65 ,$132.94 ,$197.01 ,$104.65 ,$132.94 ,$198.84 ,$348.00 ,$177.48 ,$261.63 ,$104.65 ,$243.60 ,$104.65 ,$174.00 ,$106.75 ,$261.00 ,$175.74 ,$158.34 ,$175.74 ,$104.65 ,$175.74 ,$133.80 ,$133.80 ,$133.80 ,$348.00 ,$295.80 ,$261.63 ,$278.40 ,$128.76 ,$278.40 ,$104.65 ,$104.65 ,$348.00 ,$188.62 ,$104.65 ,$91.52 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$295.80 ,$235.47 ,$228.98 ,$97.44 ,$313.20 ,$250.56 ,$348.00 ,$133.80 ,$219.24 ,$219.24 ,$104.65 ,$167.04 ,$313.20 ST. JOHN'S HOSPITAL,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,"$1,318.00 ",$856.70 ,$80.15 ,"$1,318.00 ",$261.63 ,$151.64 ,$714.36 ,$104.65 ,$369.04 ,$454.71 ,$104.65 ,$506.11 ,$104.65 ,$503.48 ,$118.01 ,$104.65 ,$503.48 ,$198.84 ,$124.66 ,$672.18 ,$261.63 ,$104.65 ,$922.60 ,$104.65 ,$659.00 ,$106.75 ,$988.50 ,$665.59 ,$599.69 ,$665.59 ,$104.65 ,$665.59 ,$80.15 ,$80.15 ,$80.15 ,"$1,318.00 ","$1,120.30 ",$261.63 ,"$1,054.40 ",$487.66 ,"$1,054.40 ",$104.65 ,$104.65 ,"$1,318.00 ",$714.36 ,$104.65 ,$346.63 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,120.30 ",$235.47 ,$867.24 ,$369.04 ,"$1,186.20 ",$948.96 ,"$1,318.00 ",$80.15 ,$830.34 ,$830.34 ,$104.65 ,$632.64 ,"$1,186.20 " ST. JOHN'S HOSPITAL,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$850.00 ,$552.50 ,$18.98 ,$850.00 ,$261.63 ,$18.98 ,$460.70 ,$104.65 ,$238.00 ,$248.97 ,$104.65 ,$299.15 ,$104.65 ,$324.70 ,$67.53 ,$104.65 ,$324.70 ,$198.84 ,$115.17 ,$433.50 ,$261.63 ,$104.65 ,$595.00 ,$104.65 ,$425.00 ,$106.75 ,$637.50 ,$429.25 ,$386.75 ,$429.25 ,$104.65 ,$429.25 ,$45.86 ,$45.86 ,$45.86 ,$850.00 ,$722.50 ,$261.63 ,$680.00 ,$314.50 ,$680.00 ,$104.65 ,$104.65 ,$850.00 ,$460.70 ,$104.65 ,$223.55 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$722.50 ,$235.47 ,$559.30 ,$238.00 ,$765.00 ,$612.00 ,$850.00 ,$45.86 ,$535.50 ,$535.50 ,$104.65 ,$408.00 ,$765.00 ST. JOHN'S HOSPITAL,40200048,76885,HC US HIPS INFANT DYNAMIC,402,1 ,"$1,825.00 ","$1,186.25 ",$77.75 ,"$1,825.00 ",$194.38 ,$104.86 ,$989.15 ,$77.75 ,$511.00 ,$629.63 ,$77.75 ,$700.80 ,$77.75 ,$697.15 ,$218.96 ,$77.75 ,$697.15 ,$147.73 ,$373.26 ,$930.75 ,$194.38 ,$77.75 ,"$1,277.50 ",$77.75 ,$912.50 ,$79.31 ,"$1,368.75 ",$921.63 ,$830.38 ,$921.63 ,$77.75 ,$921.63 ,$86.10 ,$86.10 ,$86.10 ,"$1,825.00 ","$1,551.25 ",$194.38 ,"$1,460.00 ",$675.25 ,"$1,460.00 ",$77.75 ,$77.75 ,"$1,825.00 ",$989.15 ,$77.75 ,$479.98 , N/A , N/A , N/A , N/A ,$81.64 ,"$1,551.25 ",$174.94 ,"$1,200.85 ",$511.00 ,"$1,642.50 ","$1,314.00 ","$1,825.00 ",$86.10 ,"$1,149.75 ","$1,149.75 ",$77.75 ,$876.00 ,"$1,642.50 " ST. JOHN'S HOSPITAL,40200050,76936,HC US GUIDED COMPRESSION RPR,402,1 ,"$1,685.00 ","$1,095.25 ",$111.07 ,"$1,685.00 ",$636.00 ,$176.42 ,$913.27 ,$254.40 ,$471.80 ,$581.33 ,$254.40 ,$647.04 ,$254.40 ,$643.67 ,$353.79 ,$254.40 ,$643.67 ,$483.35 ,$611.05 ,$859.35 ,$635.99 ,$254.40 ,"$1,179.50 ",$254.40 ,$842.50 ,$259.48 ,"$1,263.75 ",$850.93 ,$766.68 ,$850.93 ,$254.40 ,$850.93 ,$240.27 ,$240.27 ,$240.27 ,"$1,685.00 ","$1,432.25 ",$635.99 ,"$1,348.00 ",$623.45 ,"$1,348.00 ",$254.40 ,$254.40 ,"$1,685.00 ",$913.27 ,$254.40 ,$443.16 , N/A , N/A ,$116.36 ,$111.07 ,$267.12 ,"$1,432.25 ",$572.39 ,"$1,108.73 ",$471.80 ,"$1,516.50 ","$1,213.20 ","$1,685.00 ",$240.27 ,"$1,061.55 ","$1,061.55 ",$254.40 ,$808.80 ,"$1,516.50 " ST. JOHN'S HOSPITAL,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$997.00 ,$648.05 ,$27.33 ,$997.00 , N/A ,$35.50 ,$540.37 , N/A ,$279.16 ,$125.96 , N/A ,$151.34 , N/A ,$380.85 ,$40.23 , N/A ,$380.85 , N/A ,$524.42 ,$508.47 , N/A , N/A ,$697.90 , N/A ,$498.50 , N/A ,$747.75 ,$503.49 ,$453.64 ,$503.49 , N/A ,$503.49 ,$27.33 ,$27.33 ,$27.33 ,$997.00 ,$847.45 , N/A ,$797.60 ,$368.89 ,$797.60 , N/A , N/A ,$997.00 ,$540.37 , N/A ,$262.21 , N/A , N/A ,$116.36 ,$111.07 , N/A ,$847.45 , N/A ,$656.03 ,$279.16 ,$897.30 ,$717.84 ,$997.00 ,$27.33 ,$628.11 ,$628.11 , N/A ,$478.56 ,$897.30 ST. JOHN'S HOSPITAL,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,$937.00 ,$609.05 ,$29.07 ,$937.00 , N/A ,$284.86 ,$507.85 , N/A ,$262.36 ,$239.53 , N/A ,$287.80 , N/A ,$357.93 ,$51.44 , N/A ,$357.93 , N/A ,$492.86 ,$477.87 , N/A , N/A ,$655.90 , N/A ,$468.50 , N/A ,$702.75 ,$473.19 ,$426.34 ,$473.19 , N/A ,$473.19 ,$34.94 ,$34.94 ,$34.94 ,$937.00 ,$796.45 , N/A ,$749.60 ,$346.69 ,$749.60 , N/A , N/A ,$29.07 ,$507.85 , N/A ,$246.43 , N/A , N/A ,$116.36 ,$111.07 , N/A ,$796.45 , N/A ,$616.55 ,$262.36 ,$843.30 ,$674.64 ,$937.00 ,$34.94 ,$590.31 ,$590.31 , N/A ,$449.76 ,$843.30 ST. JOHN'S HOSPITAL,40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,"$1,030.00 ",$669.50 ,$18.54 ,"$1,030.00 ", N/A ,$22.82 ,$558.26 , N/A ,$288.40 ,$99.38 , N/A ,$119.41 , N/A ,$393.46 ,$27.30 , N/A ,$393.46 , N/A ,$541.78 ,$525.30 , N/A , N/A ,$721.00 , N/A ,$515.00 , N/A ,$772.50 ,$520.15 ,$468.65 ,$520.15 , N/A ,$520.15 ,$18.54 ,$18.54 ,$18.54 ,"$1,030.00 ",$875.50 , N/A ,$824.00 ,$381.10 ,$824.00 , N/A , N/A ,"$1,030.00 ",$558.26 , N/A ,$270.89 , N/A , N/A ,$116.36 ,$111.07 , N/A ,$875.50 , N/A ,$677.74 ,$288.40 ,$927.00 ,$741.60 ,"$1,030.00 ",$18.54 ,$648.90 ,$648.90 , N/A ,$494.40 ,$927.00 ST. JOHN'S HOSPITAL,40200060,77387,HC US GUIDED RAD THRPY FIELDS,402,1 ,$614.00 ,$399.10 ,$62.34 ,$614.00 , N/A ,$62.34 ,$332.79 , N/A ,$171.92 ,$196.48 , N/A ,$225.95 , N/A ,$234.55 ,$400.00 , N/A ,$234.55 , N/A ,$308.13 ,$313.14 , N/A , N/A ,$429.80 , N/A ,$307.00 , N/A ,$460.50 ,$310.07 ,$279.37 ,$310.07 , N/A ,$310.07 ,$429.80 ,$429.80 ,$429.80 ,$614.00 ,$521.90 , N/A ,$491.20 ,$227.18 ,$491.20 , N/A , N/A ,$614.00 ,$332.79 , N/A ,$161.48 , N/A , N/A , N/A , N/A , N/A ,$521.90 , N/A ,$404.01 ,$171.92 ,$552.60 ,$442.08 ,$614.00 ,$429.80 ,$386.82 ,$386.82 , N/A ,$294.72 ,$552.60 ST. JOHN'S HOSPITAL,40200062,76998,HC US INTRAOPERATIVE,402,1 ,"$1,631.00 ","$1,060.15 ",$111.07 ,"$1,631.00 ", N/A ,$116.84 ,$884.00 , N/A ,$456.68 ,$516.88 , N/A ,$621.05 , N/A ,$623.04 ,$145.20 , N/A ,$623.04 , N/A ,$857.91 ,$831.81 , N/A , N/A ,"$1,141.70 ", N/A ,$815.50 , N/A ,"$1,223.25 ",$823.66 ,$742.11 ,$823.66 , N/A ,$823.66 ,"$1,141.70 ","$1,141.70 ","$1,141.70 ","$1,631.00 ","$1,386.35 ", N/A ,"$1,304.80 ",$603.47 ,"$1,304.80 ", N/A , N/A ,"$1,631.00 ",$884.00 , N/A ,$428.95 , N/A , N/A ,$116.36 ,$111.07 , N/A ,"$1,386.35 ", N/A ,"$1,073.20 ",$456.68 ,"$1,467.90 ","$1,174.32 ","$1,631.00 ","$1,141.70 ","$1,027.53 ","$1,027.53 ", N/A ,$782.88 ,"$1,467.90 " ST. JOHN'S HOSPITAL,40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,"$1,978.00 ","$1,285.70 ",$152.21 ,"$1,978.00 ",$552.95 ,$909.88 ,"$1,072.08 ",$221.18 ,$553.84 ,$682.41 ,$221.18 ,$759.55 ,$221.18 ,$755.60 ,$411.87 ,$221.18 ,$755.60 ,$420.25 ,$772.05 ,"$1,008.78 ",$552.96 ,$221.18 ,"$1,384.60 ",$221.18 ,$989.00 ,$225.61 ,"$1,483.50 ",$998.89 ,$899.99 ,$998.89 ,$221.18 ,$998.89 ,"$1,384.60 ","$1,384.60 ","$1,384.60 ","$1,978.00 ","$1,681.30 ",$552.96 ,"$1,582.40 ",$731.86 ,"$1,582.40 ",$221.18 ,$221.18 ,"$1,978.00 ","$1,072.08 ",$221.18 ,$520.21 , N/A , N/A ,$159.46 ,$152.21 ,$232.24 ,"$1,681.30 ",$497.66 ,"$1,301.52 ",$553.84 ,"$1,780.20 ","$1,424.16 ","$1,978.00 ","$1,384.60 ","$1,246.14 ","$1,246.14 ",$221.18 ,$949.44 ,"$1,780.20 " ST. JOHN'S HOSPITAL,40200068,93976,HC DUPLEX ABD/PEL/RETRO LTD,402,1 ,$327.00 ,$212.55 ,$86.00 ,$327.00 ,$261.63 ,$150.42 ,$177.23 ,$104.65 ,$91.56 ,$112.82 ,$104.65 ,$125.57 ,$104.65 ,$124.91 ,$231.65 ,$104.65 ,$124.91 ,$198.84 ,$327.00 ,$166.77 ,$261.63 ,$104.65 ,$228.90 ,$104.65 ,$163.50 ,$106.75 ,$245.25 ,$165.14 ,$148.79 ,$165.14 ,$104.65 ,$165.14 ,$228.90 ,$228.90 ,$228.90 ,$327.00 ,$277.95 ,$261.63 ,$261.60 ,$120.99 ,$261.60 ,$104.65 ,$104.65 ,$327.00 ,$177.23 ,$104.65 ,$86.00 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$277.95 ,$235.47 ,$215.17 ,$91.56 ,$294.30 ,$235.44 ,$327.00 ,$228.90 ,$206.01 ,$206.01 ,$104.65 ,$156.96 ,$294.30 ST. JOHN'S HOSPITAL,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,"$1,831.00 ","$1,190.15 ",$104.65 ,"$1,831.00 ",$261.63 ,$842.26 ,$992.40 ,$104.65 ,$512.68 ,$631.70 ,$104.65 ,$703.10 ,$104.65 ,$699.44 ,$231.65 ,$104.65 ,$699.44 ,$198.84 ,$437.51 ,$933.81 ,$261.63 ,$104.65 ,"$1,281.70 ",$104.65 ,$915.50 ,$106.75 ,"$1,373.25 ",$924.66 ,$833.11 ,$924.66 ,$104.65 ,$924.66 ,"$1,281.70 ","$1,281.70 ","$1,281.70 ","$1,831.00 ","$1,556.35 ",$261.63 ,"$1,464.80 ",$677.47 ,"$1,464.80 ",$104.65 ,$104.65 ,"$1,831.00 ",$992.40 ,$104.65 ,$481.55 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,556.35 ",$235.47 ,"$1,204.80 ",$512.68 ,"$1,647.90 ","$1,318.32 ","$1,831.00 ","$1,281.70 ","$1,153.53 ","$1,153.53 ",$104.65 ,$878.88 ,"$1,647.90 " ST. JOHN'S HOSPITAL,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,"$2,051.00 ","$1,333.15 ",$152.21 ,"$2,051.00 ",$552.95 ,$943.46 ,"$1,111.64 ",$221.18 ,$574.28 ,$707.60 ,$221.18 ,$787.58 ,$221.18 ,$783.48 ,$278.67 ,$221.18 ,$783.48 ,$420.25 ,$521.58 ,"$1,046.01 ",$552.96 ,$221.18 ,"$1,435.70 ",$221.18 ,"$1,025.50 ",$225.61 ,"$1,538.25 ","$1,035.76 ",$933.21 ,"$1,035.76 ",$221.18 ,"$1,035.76 ","$1,292.13 ","$1,292.13 ","$1,456.21 ","$2,051.00 ","$1,743.35 ",$552.96 ,"$1,640.80 ",$758.87 ,"$1,640.80 ",$221.18 ,$221.18 ,"$2,051.00 ","$1,111.64 ",$221.18 ,$539.41 , N/A , N/A ,$159.46 ,$152.21 ,$232.24 ,"$1,743.35 ",$497.66 ,"$1,349.56 ",$574.28 ,"$1,845.90 ","$1,476.72 ","$2,051.00 ","$1,292.13 ","$1,292.13 ","$1,292.13 ",$221.18 ,$984.48 ,"$1,845.90 " ST. JOHN'S HOSPITAL,40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,"$1,172.00 ",$761.80 ,$104.65 ,"$1,172.00 ",$261.63 ,$539.12 ,$635.22 ,$104.65 ,$328.16 ,$404.34 ,$104.65 ,$450.05 ,$104.65 ,$447.70 ,$178.24 ,$104.65 ,$447.70 ,$198.84 ,$341.64 ,$597.72 ,$261.63 ,$104.65 ,$820.40 ,$104.65 ,$586.00 ,$106.75 ,$879.00 ,$591.86 ,$533.26 ,$591.86 ,$104.65 ,$591.86 ,$820.40 ,$820.40 ,$820.40 ,"$1,172.00 ",$996.20 ,$261.63 ,$937.60 ,$433.64 ,$937.60 ,$104.65 ,$104.65 ,"$1,172.00 ",$635.22 ,$104.65 ,$308.24 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$996.20 ,$235.47 ,$771.18 ,$328.16 ,"$1,054.80 ",$843.84 ,"$1,172.00 ",$820.40 ,$738.36 ,$738.36 ,$104.65 ,$562.56 ,"$1,054.80 " ST. JOHN'S HOSPITAL,40200075,76706,HC US AORTA (SCREENING),402,1 ,$720.00 ,$468.00 ,$104.65 ,$720.00 ,$261.63 ,$109.38 ,$390.24 ,$104.65 ,$201.60 ,$248.40 ,$104.65 ,$276.48 ,$104.65 ,$275.04 ,$177.26 ,$104.65 ,$275.04 ,$198.84 ,$288.00 ,$367.20 ,$261.63 ,$104.65 ,$504.00 ,$104.65 ,$360.00 ,$106.75 ,$540.00 ,$363.60 ,$327.60 ,$363.60 ,$104.65 ,$363.60 ,$120.38 ,$120.38 ,$120.38 ,$720.00 ,$612.00 ,$261.63 ,$576.00 ,$266.40 ,$576.00 ,$104.65 ,$104.65 ,$720.00 ,$390.24 ,$104.65 ,$189.36 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$612.00 ,$235.47 ,$473.76 ,$201.60 ,$648.00 ,$518.40 ,$720.00 ,$120.38 ,$453.60 ,$453.60 ,$104.65 ,$345.60 ,$648.00 ST. JOHN'S HOSPITAL,40200091,76886,HC US HIPS INFANT STATIC,402,1 ,"$1,470.00 ",$955.50 ,$77.75 ,"$1,470.00 ",$194.38 ,$104.86 ,$796.74 ,$77.75 ,$411.60 ,$507.15 ,$77.75 ,$564.48 ,$77.75 ,$561.54 ,$152.39 ,$77.75 ,$561.54 ,$147.73 ,$259.62 ,$749.70 ,$194.38 ,$77.75 ,"$1,029.00 ",$77.75 ,$735.00 ,$79.31 ,"$1,102.50 ",$742.35 ,$668.85 ,$742.35 ,$77.75 ,$742.35 ,$86.10 ,$86.10 ,$86.10 ,"$1,470.00 ","$1,249.50 ",$194.38 ,"$1,176.00 ",$543.90 ,"$1,176.00 ",$77.75 ,$77.75 ,"$1,470.00 ",$796.74 ,$77.75 ,$386.61 , N/A , N/A , N/A , N/A ,$81.64 ,"$1,249.50 ",$174.94 ,$967.26 ,$411.60 ,"$1,323.00 ","$1,058.40 ","$1,470.00 ",$86.10 ,$926.10 ,$926.10 ,$77.75 ,$705.60 ,"$1,323.00 " ST. JOHN'S HOSPITAL,40200094,76818,HC US FETAL BIO PROFILE W/NST EA ADDN,402,1 ,$819.00 ,$532.35 ,$94.71 ,$819.00 ,$261.63 ,$120.26 ,$443.90 ,$104.65 ,$229.32 ,$282.56 ,$104.65 ,$314.50 ,$104.65 ,$312.86 ,$139.45 ,$104.65 ,$312.86 ,$198.84 ,$229.19 ,$417.69 ,$261.63 ,$104.65 ,$573.30 ,$104.65 ,$409.50 ,$106.75 ,$614.25 ,$413.60 ,$372.65 ,$413.60 ,$104.65 ,$413.60 ,$94.71 ,$94.71 ,$94.71 ,$819.00 ,$696.15 ,$261.63 ,$655.20 ,$303.03 ,$655.20 ,$104.65 ,$104.65 ,$819.00 ,$443.90 ,$104.65 ,$215.40 , N/A , N/A , N/A , N/A ,$109.88 ,$696.15 ,$235.47 ,$538.90 ,$229.32 ,$737.10 ,$589.68 ,$819.00 ,$94.71 ,$515.97 ,$515.97 ,$104.65 ,$393.12 ,$737.10 ST. JOHN'S HOSPITAL,40200098,76932,HC US ENDOMYOCARDIAL BIOPSY W/S AND I,402,1 ,"$2,753.00 ","$1,789.45 ",$87.66 ,"$2,753.00 ", N/A ,$91.24 ,"$1,492.13 ", N/A ,$770.84 ,$432.77 , N/A ,$519.99 , N/A ,"$1,051.65 ",$118.88 , N/A ,"$1,051.65 ", N/A ,"$1,448.08 ","$1,404.03 ", N/A , N/A ,"$1,927.10 ", N/A ,"$1,376.50 ", N/A ,"$2,064.75 ","$1,390.27 ","$1,252.62 ","$1,390.27 ", N/A ,"$1,390.27 ",$87.66 ,$87.66 ,$87.66 ,"$2,753.00 ","$2,340.05 ", N/A ,"$2,202.40 ","$1,018.61 ","$2,202.40 ", N/A , N/A ,"$2,753.00 ","$1,492.13 ", N/A ,$724.04 , N/A , N/A ,$116.36 ,$111.07 , N/A ,"$2,340.05 ", N/A ,"$1,811.47 ",$770.84 ,"$2,477.70 ","$1,982.16 ","$2,753.00 ",$87.66 ,"$1,734.39 ","$1,734.39 ", N/A ,"$1,321.44 ","$2,477.70 " ST. JOHN'S HOSPITAL,40200099,76529,HC OPTH US FOREIGN BODY LOCALIZATION,402,1 ,$525.00 ,$341.25 ,$69.21 ,$525.00 ,$194.38 ,$80.08 ,$284.55 ,$77.75 ,$147.00 ,$181.13 ,$77.75 ,$201.60 ,$77.75 ,$200.55 ,$101.91 ,$77.75 ,$200.55 ,$147.73 ,$190.95 ,$267.75 ,$194.38 ,$77.75 ,$367.50 ,$77.75 ,$262.50 ,$79.31 ,$393.75 ,$265.13 ,$238.88 ,$265.13 ,$77.75 ,$265.13 ,$69.21 ,$69.21 ,$69.21 ,$525.00 ,$446.25 ,$194.38 ,$420.00 ,$194.25 ,$420.00 ,$77.75 ,$77.75 ,$525.00 ,$284.55 ,$77.75 ,$138.08 , N/A , N/A ,$159.46 ,$152.21 ,$81.64 ,$446.25 ,$174.94 ,$345.45 ,$147.00 ,$472.50 ,$378.00 ,$525.00 ,$69.21 ,$330.75 ,$330.75 ,$77.75 ,$252.00 ,$472.50 ST. JOHN'S HOSPITAL,40200100,76941,HC US GUIDANCE FETAL TRANSFUSION,402,1 ,$746.00 ,$484.90 ,$86.73 ,$746.00 , N/A ,$97.02 ,$404.33 , N/A ,$208.88 ,$257.37 , N/A ,$286.46 , N/A ,$284.97 ,$124.74 , N/A ,$284.97 , N/A ,$392.40 ,$380.46 , N/A , N/A ,$522.20 , N/A ,$373.00 , N/A ,$559.50 ,$376.73 ,$339.43 ,$376.73 , N/A ,$376.73 ,$86.73 ,$86.73 ,$86.73 ,$746.00 ,$634.10 , N/A ,$596.80 ,$276.02 ,$596.80 , N/A , N/A ,$746.00 ,$404.33 , N/A ,$196.20 , N/A , N/A , N/A , N/A , N/A ,$634.10 , N/A ,$490.87 ,$208.88 ,$671.40 ,$537.12 ,$746.00 ,$86.73 ,$469.98 ,$469.98 , N/A ,$358.08 ,$671.40 ST. JOHN'S HOSPITAL,40200101,76981,HC US ELASTOGRAPHY SINGLE ORGAN,402,1 ,$363.00 ,$235.95 ,$95.47 ,$363.00 ,$261.63 ,$129.30 ,$196.75 ,$104.65 ,$101.64 ,$116.16 ,$104.65 ,$133.58 ,$104.65 ,$138.67 ,$160.43 ,$104.65 ,$138.67 ,$198.84 ,$272.64 ,$185.13 ,$261.63 ,$104.65 ,$254.10 ,$104.65 ,$181.50 ,$106.75 ,$272.25 ,$183.32 ,$165.17 ,$183.32 ,$104.65 ,$183.32 ,$108.96 ,$108.96 ,$108.96 ,$363.00 ,$308.55 ,$261.63 ,$290.40 ,$134.31 ,$290.40 ,$104.65 ,$104.65 ,$363.00 ,$196.75 ,$104.65 ,$95.47 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$308.55 ,$235.47 ,$238.85 ,$101.64 ,$326.70 ,$261.36 ,$363.00 ,$108.96 ,$228.69 ,$228.69 ,$104.65 ,$174.24 ,$326.70 ST. JOHN'S HOSPITAL,40200102,76982,HC US ELASTOGRAPHY FIRST LESION,402,1 ,$363.00 ,$235.95 ,$93.06 ,$363.00 ,$261.63 ,$110.42 ,$196.75 ,$104.65 ,$101.64 ,$116.16 ,$104.65 ,$133.58 ,$104.65 ,$138.67 ,$137.03 ,$104.65 ,$138.67 ,$198.84 ,$245.41 ,$185.13 ,$261.63 ,$104.65 ,$254.10 ,$104.65 ,$181.50 ,$106.75 ,$272.25 ,$183.32 ,$165.17 ,$183.32 ,$104.65 ,$183.32 ,$93.06 ,$93.06 ,$93.06 ,$363.00 ,$308.55 ,$261.63 ,$290.40 ,$134.31 ,$290.40 ,$104.65 ,$104.65 ,$363.00 ,$196.75 ,$104.65 ,$95.47 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$308.55 ,$235.47 ,$238.85 ,$101.64 ,$326.70 ,$261.36 ,$363.00 ,$93.06 ,$228.69 ,$228.69 ,$104.65 ,$174.24 ,$326.70 ST. JOHN'S HOSPITAL,40200103,76983,HC US ELASTOGRAPHY EA ADDL LESION,402,1 ,$182.00 ,$118.30 ,$47.19 ,$182.00 , N/A ,$56.00 ,$98.64 , N/A ,$50.96 ,$58.24 , N/A ,$66.98 , N/A ,$69.52 ,$69.49 , N/A ,$69.52 , N/A ,$95.73 ,$92.82 , N/A , N/A ,$127.40 , N/A ,$91.00 , N/A ,$136.50 ,$91.91 ,$82.81 ,$91.91 , N/A ,$91.91 ,$47.19 ,$47.19 ,$47.19 ,$182.00 ,$154.70 , N/A ,$145.60 ,$67.34 ,$145.60 , N/A , N/A ,$182.00 ,$98.64 , N/A ,$47.87 , N/A , N/A ,$159.46 ,$152.21 , N/A ,$154.70 , N/A ,$119.76 ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$47.19 ,$114.66 ,$114.66 , N/A ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$389.00 ,$252.85 ,$69.13 ,$389.00 ,$218.00 ,$163.68 ,$210.84 ,$87.20 ,$108.92 ,$134.21 ,$87.20 ,$149.38 ,$87.20 ,$148.60 ,$202.13 ,$87.20 ,$148.60 ,$165.68 ,$328.25 ,$198.39 ,$218.00 ,$87.20 ,$272.30 ,$87.20 ,$194.50 ,$88.94 ,$291.75 ,$196.45 ,$177.00 ,$196.45 ,$87.20 ,$196.45 ,$137.28 ,$137.28 ,$137.28 ,$389.00 ,$330.65 ,$218.00 ,$311.20 ,$143.93 ,$311.20 ,$87.20 ,$87.20 ,$101.20 ,$210.84 ,$87.20 ,$102.31 , N/A , N/A ,$72.42 ,$69.13 ,$91.56 ,$330.65 ,$196.20 ,$255.96 ,$108.92 ,$350.10 ,$280.08 ,$389.00 ,$137.28 ,$245.07 ,$245.07 ,$87.20 ,$186.72 ,$350.10 ST. JOHN'S HOSPITAL,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$389.00 ,$252.85 ,$69.13 ,$389.00 ,$218.00 ,$163.68 ,$210.84 ,$87.20 ,$108.92 ,$134.21 ,$87.20 ,$149.38 ,$87.20 ,$148.60 ,$202.13 ,$87.20 ,$148.60 ,$165.68 ,$328.25 ,$198.39 ,$218.00 ,$87.20 ,$272.30 ,$87.20 ,$194.50 ,$88.94 ,$291.75 ,$196.45 ,$177.00 ,$196.45 ,$87.20 ,$196.45 ,$137.28 ,$137.28 ,$137.28 ,$389.00 ,$330.65 ,$218.00 ,$311.20 ,$143.93 ,$311.20 ,$87.20 ,$87.20 ,$101.20 ,$210.84 ,$87.20 ,$102.31 , N/A , N/A ,$72.42 ,$69.13 ,$91.56 ,$330.65 ,$196.20 ,$255.96 ,$108.92 ,$350.10 ,$280.08 ,$389.00 ,$137.28 ,$245.07 ,$245.07 ,$87.20 ,$186.72 ,$350.10 ST. JOHN'S HOSPITAL,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$101.00 ,$65.65 ,$22.09 ,$101.00 ,$55.23 ,$41.88 ,$54.74 ,$22.09 ,$28.28 ,$34.85 ,$22.09 ,$38.78 ,$22.09 ,$38.58 ,$23.18 ,$22.09 ,$38.58 ,$41.97 ,$86.42 ,$51.51 ,$55.23 ,$22.09 ,$70.70 ,$22.09 ,$50.50 ,$22.53 ,$75.75 ,$51.01 ,$45.96 ,$51.01 ,$22.09 ,$51.01 ,$34.77 ,$34.77 ,$34.77 ,$101.00 ,$85.85 ,$55.23 ,$80.80 ,$37.37 ,$80.80 ,$22.09 ,$22.09 ,$26.59 ,$54.74 ,$22.09 ,$26.56 , N/A , N/A ,$72.42 ,$69.13 ,$23.19 ,$85.85 ,$49.70 ,$66.46 ,$28.28 ,$90.90 ,$72.72 ,$101.00 ,$34.77 ,$63.63 ,$63.63 ,$22.09 ,$48.48 ,$90.90 ST. JOHN'S HOSPITAL,40300007,77063,HC SCREEN DIG BREAST TOMO BIL-52,403,1 ,$76.00 ,$49.40 ,$19.99 ,$76.00 ,$55.23 ,$41.88 ,$41.19 ,$22.09 ,$21.28 ,$26.22 ,$22.09 ,$29.18 ,$22.09 ,$29.03 ,$23.18 ,$22.09 ,$29.03 ,$41.97 ,$76.00 ,$38.76 ,$55.23 ,$22.09 ,$53.20 ,$22.09 ,$38.00 ,$22.53 ,$57.00 ,$38.38 ,$34.58 ,$38.38 ,$22.09 ,$38.38 ,$34.77 ,$34.77 ,$34.77 ,$76.00 ,$64.60 ,$55.23 ,$60.80 ,$28.12 ,$60.80 ,$22.09 ,$22.09 ,$26.59 ,$41.19 ,$22.09 ,$19.99 , N/A , N/A ,$36.21 ,$34.57 ,$23.19 ,$64.60 ,$49.70 ,$50.01 ,$21.28 ,$68.40 ,$54.72 ,$76.00 ,$34.77 ,$47.88 ,$47.88 ,$22.09 ,$36.48 ,$68.40 ST. JOHN'S HOSPITAL,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$8,765.00 ","$5,697.25 ","$1,224.41 ","$8,765.00 ","$3,556.70 ","$3,000.00 ","$4,750.63 ","$1,422.68 ","$2,454.20 ","$3,023.93 ","$1,422.68 ","$3,365.76 ","$1,422.68 ","$3,348.23 ","$2,053.19 ","$1,422.68 ","$3,348.23 ","$2,703.09 ","$2,951.71 ","$4,470.15 ","$3,556.70 ","$1,422.68 ","$6,135.50 ","$1,422.68 ","$4,382.50 ","$1,451.13 ","$6,573.75 ","$4,426.33 ","$3,988.08 ","$4,426.33 ","$1,422.68 ","$4,426.33 ","$5,521.95 ","$5,521.95 ","$6,223.15 ","$8,765.00 ","$7,450.25 ","$3,556.70 ","$7,012.00 ","$3,243.05 ","$7,012.00 ","$1,422.68 ","$1,422.68 ","$8,765.00 ","$4,750.63 ","$1,422.68 ","$2,305.20 ", N/A , N/A ,"$1,282.71 ","$1,224.41 ","$1,493.81 ","$7,450.25 ","$3,201.03 ","$5,767.37 ","$2,454.20 ","$7,888.50 ","$6,310.80 ","$8,765.00 ","$5,521.95 ","$5,521.95 ","$5,521.95 ","$1,422.68 ","$4,207.20 ","$7,888.50 " ST. JOHN'S HOSPITAL,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$9,446.00 ","$6,139.90 ","$1,224.41 ","$9,446.00 ","$3,556.70 ","$3,000.00 ","$5,119.73 ","$1,422.68 ","$2,644.88 ","$3,258.87 ","$1,422.68 ","$3,627.26 ","$1,422.68 ","$3,608.37 ","$2,053.19 ","$1,422.68 ","$3,608.37 ","$2,703.09 ","$2,968.63 ","$4,817.46 ","$3,556.70 ","$1,422.68 ","$6,612.20 ","$1,422.68 ","$4,723.00 ","$1,451.13 ","$7,084.50 ","$4,770.23 ","$4,297.93 ","$4,770.23 ","$1,422.68 ","$4,770.23 ","$5,950.98 ","$5,950.98 ","$6,706.66 ","$9,446.00 ","$8,029.10 ","$3,556.70 ","$7,556.80 ","$3,495.02 ","$7,556.80 ","$1,422.68 ","$1,422.68 ","$9,446.00 ","$5,119.73 ","$1,422.68 ","$2,484.30 ", N/A , N/A ,"$1,282.71 ","$1,224.41 ","$1,493.81 ","$8,029.10 ","$3,201.03 ","$6,215.47 ","$2,644.88 ","$8,501.40 ","$6,801.12 ","$9,446.00 ","$5,950.98 ","$5,950.98 ","$5,950.98 ","$1,422.68 ","$4,534.08 ","$8,501.40 " ST. JOHN'S HOSPITAL,40400006,78608,HC PET BRAIN LIMITED ALZHEIMERS,404,1 ,"$15,192.00 ","$9,874.80 ","$1,224.41 ","$15,192.00 ","$3,556.70 ","$3,000.00 ","$8,234.06 ","$1,422.68 ","$4,253.76 ","$5,241.24 ","$1,422.68 ","$5,833.73 ","$1,422.68 ","$5,803.34 ","$2,053.19 ","$1,422.68 ","$5,803.34 ","$2,703.09 ","$1,779.13 ","$7,747.92 ","$3,556.70 ","$1,422.68 ","$10,634.40 ","$1,422.68 ","$7,596.00 ","$1,451.13 ","$11,394.00 ","$7,671.96 ","$6,912.36 ","$7,671.96 ","$1,422.68 ","$7,671.96 ","$9,570.96 ","$9,570.96 ","$10,786.32 ","$15,192.00 ","$12,913.20 ","$3,556.70 ","$12,153.60 ","$5,621.04 ","$12,153.60 ","$1,422.68 ","$1,422.68 ","$15,192.00 ","$8,234.06 ","$1,422.68 ","$3,995.50 ", N/A , N/A ,"$1,282.71 ","$1,224.41 ","$1,493.81 ","$12,913.20 ","$3,201.03 ","$9,996.34 ","$4,253.76 ","$13,672.80 ","$10,938.24 ","$15,192.00 ","$9,570.96 ","$9,570.96 ","$9,570.96 ","$1,422.68 ","$7,292.16 ","$13,672.80 " ST. JOHN'S HOSPITAL,40400007,78459,HC PET MYOCARDIAL METABOLIC EVAL,404,1 ,"$6,219.00 ","$4,042.35 ","$1,224.41 ","$6,219.00 ","$3,140.35 ","$3,000.00 ","$3,370.70 ","$1,256.14 ","$1,741.32 ","$2,145.56 ","$1,256.14 ","$2,388.10 ","$1,256.14 ","$2,375.66 ","$2,053.19 ","$1,256.14 ","$2,375.66 ","$2,386.67 ","$1,255.28 ","$3,171.69 ","$3,140.36 ","$1,256.14 ","$4,353.30 ","$1,256.14 ","$3,109.50 ","$1,281.27 ","$4,664.25 ","$3,140.60 ","$2,829.65 ","$3,140.60 ","$1,256.14 ","$3,140.60 ","$3,917.97 ","$3,917.97 ","$4,415.49 ","$6,219.00 ","$5,286.15 ","$3,140.36 ","$4,975.20 ","$2,301.03 ","$4,975.20 ","$1,256.14 ","$1,256.14 ","$6,219.00 ","$3,370.70 ","$1,256.14 ","$1,635.60 ", N/A , N/A ,"$1,282.71 ","$1,224.41 ","$1,318.95 ","$5,286.15 ","$2,826.32 ","$4,092.10 ","$1,741.32 ","$5,597.10 ","$4,477.68 ","$6,219.00 ","$3,917.97 ","$3,917.97 ","$3,917.97 ","$1,256.14 ","$2,985.12 ","$5,597.10 " ST. JOHN'S HOSPITAL,41000002,31502,HC CHG TUBE TRACHEOTOMY,410,1 ,$519.00 ,$337.35 ,$65.06 ,$519.00 ,$508.43 ,$238.74 ,$281.30 ,$203.37 ,$145.32 ,$166.08 ,$203.37 ,$190.99 ,$203.37 ,$198.26 ,$65.06 ,$203.37 ,$198.26 ,$386.39 ,$272.99 ,$264.69 ,$508.41 ,$203.37 ,$363.30 ,$203.37 ,$259.50 ,$207.43 ,$389.25 ,$262.10 ,$236.15 ,$262.10 ,$203.37 ,$262.10 ,$326.97 ,$326.97 ,$368.49 ,$519.00 ,$441.15 ,$508.41 ,$415.20 ,$192.03 ,$415.20 ,$203.37 ,$203.37 ,$519.00 ,$281.30 ,$203.37 ,$136.50 , N/A , N/A ,$219.10 ,$209.14 ,$213.54 ,$441.15 ,$457.57 ,$341.50 ,$145.32 ,$467.10 ,$373.68 ,$519.00 ,$326.97 ,$326.97 ,$326.97 ,$203.37 ,$249.12 ,$467.10 ST. JOHN'S HOSPITAL,41000004,N/A,HC COUGH ASSIST,410,1 ,$438.00 ,$284.70 ,$115.19 ,$438.00 , N/A ,$201.48 ,$237.40 , N/A ,$122.64 ,$140.16 , N/A ,$161.18 , N/A ,$167.32 ,$175.20 , N/A ,$167.32 , N/A ,$230.39 ,$223.38 , N/A , N/A ,$306.60 , N/A ,$219.00 , N/A ,$328.50 ,$221.19 ,$199.29 ,$221.19 , N/A ,$221.19 ,$275.94 ,$275.94 ,$310.98 ,$438.00 ,$372.30 , N/A ,$350.40 ,$162.06 ,$350.40 , N/A , N/A ,$438.00 ,$237.40 , N/A ,$115.19 , N/A , N/A , N/A , N/A , N/A ,$372.30 , N/A ,$288.20 ,$122.64 ,$394.20 ,$315.36 ,$438.00 ,$275.94 ,$275.94 ,$275.94 , N/A ,$210.24 ,$394.20 ST. JOHN'S HOSPITAL,41000005,92950,HC CPR,480,1 ,"$1,755.00 ","$1,140.75 ",$254.40 ,"$1,755.00 ",$636.00 ,$807.30 ,$951.21 ,$254.40 ,$491.40 ,$605.48 ,$254.40 ,$673.92 ,$254.40 ,$670.41 ,$398.18 ,$254.40 ,$670.41 ,$483.35 ,$923.13 ,"$1,755.00 ",$635.99 ,$254.40 ,"$1,228.50 ",$254.40 ,$877.50 ,$259.48 ,"$1,316.25 ",$886.28 ,$798.53 ,$886.28 ,$254.40 ,$886.28 ,"$1,105.65 ","$1,105.65 ","$1,333.80 ","$1,755.00 ","$1,491.75 ",$635.99 ,"$1,404.00 ",$649.35 ,"$1,404.00 ",$254.40 ,$254.40 ,"$1,755.00 ",$951.21 ,$254.40 ,$461.57 , N/A , N/A ,$708.10 ,$675.92 ,$267.12 ,"$1,491.75 ",$572.39 ,"$1,154.79 ",$491.40 ,"$1,579.50 ","$1,263.60 ","$1,755.00 ","$1,105.65 ","$1,105.65 ","$1,105.65 ",$254.40 ,$842.40 ,"$1,579.50 " ST. JOHN'S HOSPITAL,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$223.33 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$559.25 ,$468.28 ,$622.46 ,$468.28 ,$619.22 ,$223.33 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000010,94002,HC VENTIL HI FREQ INTL DAY,410,1 ,"$2,586.00 ","$1,680.90 ",$223.33 ,"$2,586.00 ","$1,170.70 ","$1,189.56 ","$1,401.61 ",$468.28 ,$724.08 ,$892.17 ,$468.28 ,$993.02 ,$468.28 ,$987.85 ,$223.33 ,$468.28 ,$987.85 ,$889.74 ,"$1,360.24 ","$1,318.86 ","$1,170.71 ",$468.28 ,"$1,810.20 ",$468.28 ,"$1,293.00 ",$477.65 ,"$1,939.50 ","$1,305.93 ","$1,176.63 ","$1,305.93 ",$468.28 ,"$1,305.93 ","$1,629.18 ","$1,629.18 ","$1,836.06 ","$2,586.00 ","$2,198.10 ","$1,170.71 ","$2,068.80 ",$956.82 ,"$2,068.80 ",$468.28 ,$468.28 ,"$2,586.00 ","$1,401.61 ",$468.28 ,$680.12 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$2,198.10 ","$1,053.64 ","$1,701.59 ",$724.08 ,"$2,327.40 ","$1,861.92 ","$2,586.00 ","$1,629.18 ","$1,629.18 ","$1,629.18 ",$468.28 ,"$1,241.28 ","$2,327.40 " ST. JOHN'S HOSPITAL,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,"$1,511.00 ",$982.15 ,$91.64 ,"$1,511.00 ",$451.70 ,$695.06 ,$818.96 ,$180.68 ,$423.08 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,$577.20 ,$91.64 ,$180.68 ,$577.20 ,$343.30 ,$794.79 ,$770.61 ,$451.71 ,$180.68 ,"$1,057.70 ",$180.68 ,$755.50 ,$184.30 ,"$1,133.25 ",$763.06 ,$687.51 ,$763.06 ,$180.68 ,$763.06 ,$951.93 ,$951.93 ,"$1,072.81 ","$1,511.00 ","$1,284.35 ",$451.71 ,"$1,208.80 ",$559.07 ,"$1,208.80 ",$180.68 ,$180.68 ,"$1,511.00 ",$818.96 ,$180.68 ,$397.39 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$1,284.35 ",$406.53 ,$994.24 ,$423.08 ,"$1,359.90 ","$1,087.92 ","$1,511.00 ",$951.93 ,$951.93 ,$951.93 ,$180.68 ,$725.28 ,"$1,359.90 " ST. JOHN'S HOSPITAL,41000014,94002,HC VENT WEANING FIRST DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$223.33 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$559.25 ,$468.28 ,$622.46 ,$468.28 ,$619.22 ,$223.33 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000015,94002,HC VENT NEONATAL INTL DAY,410,1 ,"$2,586.00 ","$1,680.90 ",$223.33 ,"$2,586.00 ","$1,170.70 ","$1,189.56 ","$1,401.61 ",$468.28 ,$724.08 ,$892.17 ,$468.28 ,$993.02 ,$468.28 ,$987.85 ,$223.33 ,$468.28 ,$987.85 ,$889.74 ,"$1,360.24 ","$1,318.86 ","$1,170.71 ",$468.28 ,"$1,810.20 ",$468.28 ,"$1,293.00 ",$477.65 ,"$1,939.50 ","$1,305.93 ","$1,176.63 ","$1,305.93 ",$468.28 ,"$1,305.93 ","$1,629.18 ","$1,629.18 ","$1,836.06 ","$2,586.00 ","$2,198.10 ","$1,170.71 ","$2,068.80 ",$956.82 ,"$2,068.80 ",$468.28 ,$468.28 ,"$2,586.00 ","$1,401.61 ",$468.28 ,$680.12 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$2,198.10 ","$1,053.64 ","$1,701.59 ",$724.08 ,"$2,327.40 ","$1,861.92 ","$2,586.00 ","$1,629.18 ","$1,629.18 ","$1,629.18 ",$468.28 ,"$1,241.28 ","$2,327.40 " ST. JOHN'S HOSPITAL,41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,"$2,632.00 ","$1,710.80 ",$91.64 ,"$2,632.00 ",$451.70 ,"$1,210.72 ","$1,426.54 ",$180.68 ,$736.96 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,"$1,005.42 ",$91.64 ,$180.68 ,"$1,005.42 ",$343.30 ,"$1,384.43 ","$1,342.32 ",$451.71 ,$180.68 ,"$1,842.40 ",$180.68 ,"$1,316.00 ",$184.30 ,"$1,974.00 ","$1,329.16 ","$1,197.56 ","$1,329.16 ",$180.68 ,"$1,329.16 ","$1,658.16 ","$1,658.16 ","$1,868.72 ","$2,632.00 ","$2,237.20 ",$451.71 ,"$2,105.60 ",$973.84 ,"$2,105.60 ",$180.68 ,$180.68 ,"$2,632.00 ","$1,426.54 ",$180.68 ,$692.22 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$2,237.20 ",$406.53 ,"$1,731.86 ",$736.96 ,"$2,368.80 ","$1,895.04 ","$2,632.00 ","$1,658.16 ","$1,658.16 ","$1,658.16 ",$180.68 ,"$1,263.36 ","$2,368.80 " ST. JOHN'S HOSPITAL,41000017,94002,HC VENT PEDS INIT DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$223.33 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$559.25 ,$468.28 ,$622.46 ,$468.28 ,$619.22 ,$223.33 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000018,94660,HC VENT NONINVAS PEDS INTL DAY,410,1 ,"$1,511.00 ",$982.15 ,$91.64 ,"$1,511.00 ",$451.70 ,$695.06 ,$818.96 ,$180.68 ,$423.08 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,$577.20 ,$91.64 ,$180.68 ,$577.20 ,$343.30 ,$794.79 ,$770.61 ,$451.71 ,$180.68 ,"$1,057.70 ",$180.68 ,$755.50 ,$184.30 ,"$1,133.25 ",$763.06 ,$687.51 ,$763.06 ,$180.68 ,$763.06 ,$951.93 ,$951.93 ,"$1,072.81 ","$1,511.00 ","$1,284.35 ",$451.71 ,"$1,208.80 ",$559.07 ,"$1,208.80 ",$180.68 ,$180.68 ,"$1,511.00 ",$818.96 ,$180.68 ,$397.39 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$1,284.35 ",$406.53 ,$994.24 ,$423.08 ,"$1,359.90 ","$1,087.92 ","$1,511.00 ",$951.93 ,$951.93 ,$951.93 ,$180.68 ,$725.28 ,"$1,359.90 " ST. JOHN'S HOSPITAL,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$159.40 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$518.72 ,$468.28 ,$596.53 ,$468.28 ,$619.22 ,$159.40 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000028,94003,HC VENT HI FREQ SUBQ DAY,410,1 ,"$1,852.00 ","$1,203.80 ",$159.40 ,"$1,852.00 ","$1,170.70 ",$851.92 ,"$1,003.78 ",$468.28 ,$518.56 ,$592.64 ,$468.28 ,$681.54 ,$468.28 ,$707.46 ,$159.40 ,$468.28 ,$707.46 ,$889.74 ,$974.15 ,$944.52 ,"$1,170.71 ",$468.28 ,"$1,296.40 ",$468.28 ,$926.00 ,$477.65 ,"$1,389.00 ",$935.26 ,$842.66 ,$935.26 ,$468.28 ,$935.26 ,"$1,166.76 ","$1,166.76 ","$1,314.92 ","$1,852.00 ","$1,574.20 ","$1,170.71 ","$1,481.60 ",$685.24 ,"$1,481.60 ",$468.28 ,$468.28 ,"$1,852.00 ","$1,003.78 ",$468.28 ,$487.08 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,574.20 ","$1,053.64 ","$1,218.62 ",$518.56 ,"$1,666.80 ","$1,333.44 ","$1,852.00 ","$1,166.76 ","$1,166.76 ","$1,166.76 ",$468.28 ,$888.96 ,"$1,666.80 " ST. JOHN'S HOSPITAL,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,"$1,133.00 ",$736.45 ,$91.64 ,"$1,133.00 ",$451.70 ,$521.18 ,$614.09 ,$180.68 ,$317.24 ,$390.89 ,$180.68 ,$432.21 ,$180.68 ,$432.81 ,$91.64 ,$180.68 ,$432.81 ,$343.30 ,$595.96 ,$577.83 ,$451.71 ,$180.68 ,$793.10 ,$180.68 ,$566.50 ,$184.30 ,$849.75 ,$572.17 ,$515.52 ,$572.17 ,$180.68 ,$572.17 ,$713.79 ,$713.79 ,$804.43 ,"$1,133.00 ",$963.05 ,$451.71 ,$906.40 ,$419.21 ,$906.40 ,$180.68 ,$180.68 ,"$1,133.00 ",$614.09 ,$180.68 ,$297.98 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,$963.05 ,$406.53 ,$745.51 ,$317.24 ,"$1,019.70 ",$815.76 ,"$1,133.00 ",$713.79 ,$713.79 ,$713.79 ,$180.68 ,$543.84 ,"$1,019.70 " ST. JOHN'S HOSPITAL,41000030,94003,HC VENT WEANING SUBQ DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$159.40 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$518.72 ,$468.28 ,$596.53 ,$468.28 ,$619.22 ,$159.40 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000031,94003,HC VENT NEONATL SUBQ DAY,410,1 ,"$1,852.00 ","$1,203.80 ",$159.40 ,"$1,852.00 ","$1,170.70 ",$851.92 ,"$1,003.78 ",$468.28 ,$518.56 ,$592.64 ,$468.28 ,$681.54 ,$468.28 ,$707.46 ,$159.40 ,$468.28 ,$707.46 ,$889.74 ,$974.15 ,$944.52 ,"$1,170.71 ",$468.28 ,"$1,296.40 ",$468.28 ,$926.00 ,$477.65 ,"$1,389.00 ",$935.26 ,$842.66 ,$935.26 ,$468.28 ,$935.26 ,"$1,166.76 ","$1,166.76 ","$1,314.92 ","$1,852.00 ","$1,574.20 ","$1,170.71 ","$1,481.60 ",$685.24 ,"$1,481.60 ",$468.28 ,$468.28 ,"$1,852.00 ","$1,003.78 ",$468.28 ,$487.08 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,574.20 ","$1,053.64 ","$1,218.62 ",$518.56 ,"$1,666.80 ","$1,333.44 ","$1,852.00 ","$1,166.76 ","$1,166.76 ","$1,166.76 ",$468.28 ,$888.96 ,"$1,666.80 " ST. JOHN'S HOSPITAL,41000032,94003,HC VENT PEDS SUBQ DAY,410,1 ,"$1,621.00 ","$1,053.65 ",$159.40 ,"$1,621.00 ","$1,170.70 ",$745.66 ,$878.58 ,$468.28 ,$453.88 ,$518.72 ,$468.28 ,$596.53 ,$468.28 ,$619.22 ,$159.40 ,$468.28 ,$619.22 ,$889.74 ,$852.65 ,$826.71 ,"$1,170.71 ",$468.28 ,"$1,134.70 ",$468.28 ,$810.50 ,$477.65 ,"$1,215.75 ",$818.61 ,$737.56 ,$818.61 ,$468.28 ,$818.61 ,"$1,021.23 ","$1,021.23 ","$1,150.91 ","$1,621.00 ","$1,377.85 ","$1,170.71 ","$1,296.80 ",$599.77 ,"$1,296.80 ",$468.28 ,$468.28 ,"$1,621.00 ",$878.58 ,$468.28 ,$426.32 , N/A , N/A ,$767.75 ,$732.85 ,$491.69 ,"$1,377.85 ","$1,053.64 ","$1,066.62 ",$453.88 ,"$1,458.90 ","$1,167.12 ","$1,621.00 ","$1,021.23 ","$1,021.23 ","$1,021.23 ",$468.28 ,$778.08 ,"$1,458.90 " ST. JOHN'S HOSPITAL,41000033,94660,HC VENT NONINVAS PEDS SUBQ DAY,410,1 ,"$1,133.00 ",$736.45 ,$91.64 ,"$1,133.00 ",$451.70 ,$521.18 ,$614.09 ,$180.68 ,$317.24 ,$390.89 ,$180.68 ,$432.21 ,$180.68 ,$432.81 ,$91.64 ,$180.68 ,$432.81 ,$343.30 ,$595.96 ,$577.83 ,$451.71 ,$180.68 ,$793.10 ,$180.68 ,$566.50 ,$184.30 ,$849.75 ,$572.17 ,$515.52 ,$572.17 ,$180.68 ,$572.17 ,$713.79 ,$713.79 ,$804.43 ,"$1,133.00 ",$963.05 ,$451.71 ,$906.40 ,$419.21 ,$906.40 ,$180.68 ,$180.68 ,"$1,133.00 ",$614.09 ,$180.68 ,$297.98 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,$963.05 ,$406.53 ,$745.51 ,$317.24 ,"$1,019.70 ",$815.76 ,"$1,133.00 ",$713.79 ,$713.79 ,$713.79 ,$180.68 ,$543.84 ,"$1,019.70 " ST. JOHN'S HOSPITAL,41000034,94640,HC IPPB,410,1 ,$541.00 ,$351.65 ,$39.99 ,$541.00 ,$451.70 ,$248.86 ,$293.22 ,$180.68 ,$151.48 ,$186.65 ,$180.68 ,$207.36 ,$180.68 ,$206.66 ,$39.99 ,$180.68 ,$206.66 ,$343.30 ,$284.57 ,$275.91 ,$451.71 ,$180.68 ,$378.70 ,$180.68 ,$270.50 ,$184.30 ,$405.75 ,$273.21 ,$246.16 ,$273.21 ,$180.68 ,$273.21 ,$340.83 ,$340.83 ,$384.11 ,$541.00 ,$459.85 ,$451.71 ,$432.80 ,$200.17 ,$432.80 ,$180.68 ,$180.68 ,$541.00 ,$293.22 ,$180.68 ,$142.28 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$459.85 ,$406.53 ,$355.98 ,$151.48 ,$486.90 ,$389.52 ,$541.00 ,$340.83 ,$340.83 ,$340.83 ,$180.68 ,$259.68 ,$486.90 ST. JOHN'S HOSPITAL,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$496.00 ,$322.40 ,$39.99 ,$496.00 ,$451.70 ,$228.16 ,$268.83 ,$180.68 ,$138.88 ,$171.12 ,$180.68 ,$190.46 ,$180.68 ,$189.47 ,$39.99 ,$180.68 ,$189.47 ,$343.30 ,$260.90 ,$252.96 ,$451.71 ,$180.68 ,$347.20 ,$180.68 ,$248.00 ,$184.30 ,$372.00 ,$250.48 ,$225.68 ,$250.48 ,$180.68 ,$250.48 ,$312.48 ,$312.48 ,$352.16 ,$496.00 ,$421.60 ,$451.71 ,$396.80 ,$183.52 ,$396.80 ,$180.68 ,$180.68 ,$496.00 ,$268.83 ,$180.68 ,$130.45 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$421.60 ,$406.53 ,$326.37 ,$138.88 ,$446.40 ,$357.12 ,$496.00 ,$312.48 ,$312.48 ,$312.48 ,$180.68 ,$238.08 ,$446.40 ST. JOHN'S HOSPITAL,41000037,94640,HC INCENTIVE SPIROMETER TRT,410,1 ,$188.00 ,$122.20 ,$39.99 ,$451.71 ,$451.70 ,$86.48 ,$101.90 ,$180.68 ,$52.64 ,$64.86 ,$180.68 ,$72.19 ,$180.68 ,$71.82 ,$39.99 ,$180.68 ,$71.82 ,$188.00 ,$98.89 ,$95.88 ,$451.71 ,$180.68 ,$131.60 ,$180.68 ,$94.00 ,$184.30 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$180.68 ,$94.94 ,$118.44 ,$118.44 ,$133.48 ,$188.00 ,$159.80 ,$188.00 ,$150.40 ,$69.56 ,$150.40 ,$180.68 ,$180.68 ,$188.00 ,$101.90 ,$180.68 ,$49.44 , N/A , N/A ,$188.00 ,$242.71 ,$189.71 ,$159.80 ,$406.53 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$118.44 ,$118.44 ,$118.44 ,$180.68 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$250.00 ,$162.50 ,$39.99 ,$451.71 ,$451.70 ,$115.00 ,$135.50 ,$180.68 ,$70.00 ,$86.25 ,$180.68 ,$96.00 ,$180.68 ,$95.50 ,$39.99 ,$180.68 ,$95.50 ,$250.00 ,$131.50 ,$127.50 ,$451.71 ,$180.68 ,$175.00 ,$180.68 ,$125.00 ,$184.30 ,$187.50 ,$126.25 ,$113.75 ,$126.25 ,$180.68 ,$126.25 ,$157.50 ,$157.50 ,$177.50 ,$250.00 ,$212.50 ,$250.00 ,$200.00 ,$92.50 ,$200.00 ,$180.68 ,$180.68 ,$250.00 ,$135.50 ,$180.68 ,$65.75 , N/A , N/A ,$250.00 ,$242.71 ,$189.71 ,$212.50 ,$406.53 ,$164.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$157.50 ,$157.50 ,$157.50 ,$180.68 ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,41000040,94640,HC EZ PAP TREATMENT,410,1 ,$208.00 ,$135.20 ,$39.99 ,$451.71 ,$451.70 ,$95.68 ,$112.74 ,$180.68 ,$58.24 ,$71.76 ,$180.68 ,$79.87 ,$180.68 ,$79.46 ,$39.99 ,$180.68 ,$79.46 ,$208.00 ,$109.41 ,$106.08 ,$451.71 ,$180.68 ,$145.60 ,$180.68 ,$104.00 ,$184.30 ,$156.00 ,$105.04 ,$94.64 ,$105.04 ,$180.68 ,$105.04 ,$131.04 ,$131.04 ,$147.68 ,$208.00 ,$176.80 ,$208.00 ,$166.40 ,$76.96 ,$166.40 ,$180.68 ,$180.68 ,$208.00 ,$112.74 ,$180.68 ,$54.70 , N/A , N/A ,$208.00 ,$242.71 ,$189.71 ,$176.80 ,$406.53 ,$136.86 ,$58.24 ,$187.20 ,$149.76 ,$208.00 ,$131.04 ,$131.04 ,$131.04 ,$180.68 ,$99.84 ,$187.20 ST. JOHN'S HOSPITAL,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$359.00 ,$233.35 ,$39.99 ,$451.71 ,$451.70 ,$165.14 ,$194.58 ,$180.68 ,$100.52 ,$123.86 ,$180.68 ,$137.86 ,$180.68 ,$137.14 ,$39.99 ,$180.68 ,$137.14 ,$343.30 ,$188.83 ,$183.09 ,$451.71 ,$180.68 ,$251.30 ,$180.68 ,$179.50 ,$184.30 ,$269.25 ,$181.30 ,$163.35 ,$181.30 ,$180.68 ,$181.30 ,$226.17 ,$226.17 ,$254.89 ,$359.00 ,$305.15 ,$359.00 ,$287.20 ,$132.83 ,$287.20 ,$180.68 ,$180.68 ,$359.00 ,$194.58 ,$180.68 ,$94.42 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$305.15 ,$406.53 ,$236.22 ,$100.52 ,$323.10 ,$258.48 ,$359.00 ,$226.17 ,$226.17 ,$226.17 ,$180.68 ,$172.32 ,$323.10 ST. JOHN'S HOSPITAL,41000043,94640,HC PERI NEB WITH INSTRUCTION,410,1 ,$450.00 ,$292.50 ,$39.99 ,$451.71 ,$451.70 ,$207.00 ,$243.90 ,$180.68 ,$126.00 ,$155.25 ,$180.68 ,$172.80 ,$180.68 ,$171.90 ,$39.99 ,$180.68 ,$171.90 ,$343.30 ,$236.70 ,$229.50 ,$451.71 ,$180.68 ,$315.00 ,$180.68 ,$225.00 ,$184.30 ,$337.50 ,$227.25 ,$204.75 ,$227.25 ,$180.68 ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 ,$450.00 ,$360.00 ,$166.50 ,$360.00 ,$180.68 ,$180.68 ,$450.00 ,$243.90 ,$180.68 ,$118.35 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$382.50 ,$406.53 ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 ,$180.68 ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,41000044,94640,HC UPDRAFT W/INSTRUCT AND EVAL,410,1 ,$450.00 ,$292.50 ,$39.99 ,$451.71 ,$451.70 ,$207.00 ,$243.90 ,$180.68 ,$126.00 ,$155.25 ,$180.68 ,$172.80 ,$180.68 ,$171.90 ,$39.99 ,$180.68 ,$171.90 ,$343.30 ,$236.70 ,$229.50 ,$451.71 ,$180.68 ,$315.00 ,$180.68 ,$225.00 ,$184.30 ,$337.50 ,$227.25 ,$204.75 ,$227.25 ,$180.68 ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 ,$450.00 ,$360.00 ,$166.50 ,$360.00 ,$180.68 ,$180.68 ,$450.00 ,$243.90 ,$180.68 ,$118.35 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$382.50 ,$406.53 ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 ,$180.68 ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,41000046,94640,HC HIGH EFF NEB AERO EACH,410,1 ,$450.00 ,$292.50 ,$39.99 ,$451.71 ,$451.70 ,$207.00 ,$243.90 ,$180.68 ,$126.00 ,$155.25 ,$180.68 ,$172.80 ,$180.68 ,$171.90 ,$39.99 ,$180.68 ,$171.90 ,$343.30 ,$236.70 ,$229.50 ,$451.71 ,$180.68 ,$315.00 ,$180.68 ,$225.00 ,$184.30 ,$337.50 ,$227.25 ,$204.75 ,$227.25 ,$180.68 ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 ,$450.00 ,$360.00 ,$166.50 ,$360.00 ,$180.68 ,$180.68 ,$450.00 ,$243.90 ,$180.68 ,$118.35 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$382.50 ,$406.53 ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 ,$180.68 ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,41000047,94640,HC HIGH EFF NEB AERO W/INSTR/TEACH DEVICE,410,1 ,$450.00 ,$292.50 ,$39.99 ,$451.71 ,$451.70 ,$207.00 ,$243.90 ,$180.68 ,$126.00 ,$155.25 ,$180.68 ,$172.80 ,$180.68 ,$171.90 ,$39.99 ,$180.68 ,$171.90 ,$343.30 ,$236.70 ,$229.50 ,$451.71 ,$180.68 ,$315.00 ,$180.68 ,$225.00 ,$184.30 ,$337.50 ,$227.25 ,$204.75 ,$227.25 ,$180.68 ,$227.25 ,$283.50 ,$283.50 ,$319.50 ,$450.00 ,$382.50 ,$450.00 ,$360.00 ,$166.50 ,$360.00 ,$180.68 ,$180.68 ,$450.00 ,$243.90 ,$180.68 ,$118.35 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$382.50 ,$406.53 ,$296.10 ,$126.00 ,$405.00 ,$324.00 ,$450.00 ,$283.50 ,$283.50 ,$283.50 ,$180.68 ,$216.00 ,$405.00 ST. JOHN'S HOSPITAL,41000049,94642,HC AEROSOL INHALATION PENTAMIDINE,410,1 ,$710.00 ,$461.50 ,$102.95 ,$710.00 ,$451.70 ,$326.60 ,$384.82 ,$180.68 ,$198.80 ,$244.95 ,$180.68 ,$272.64 ,$180.68 ,$271.22 ,$102.95 ,$180.68 ,$271.22 ,$343.30 ,$373.46 ,$362.10 ,$451.71 ,$180.68 ,$497.00 ,$180.68 ,$355.00 ,$184.30 ,$532.50 ,$358.55 ,$323.05 ,$358.55 ,$180.68 ,$358.55 ,$447.30 ,$447.30 ,$504.10 ,$710.00 ,$603.50 ,$451.71 ,$568.00 ,$262.70 ,$568.00 ,$180.68 ,$180.68 ,$710.00 ,$384.82 ,$180.68 ,$186.73 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$603.50 ,$406.53 ,$467.18 ,$198.80 ,$639.00 ,$511.20 ,$710.00 ,$447.30 ,$447.30 ,$447.30 ,$180.68 ,$340.80 ,$639.00 ST. JOHN'S HOSPITAL,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$414.00 ,$269.10 ,$74.83 ,$414.00 ,$270.98 ,$190.44 ,$224.39 ,$108.39 ,$115.92 ,$142.83 ,$108.39 ,$158.98 ,$108.39 ,$158.15 ,$109.35 ,$108.39 ,$158.15 ,$205.94 ,$217.76 ,$211.14 ,$270.97 ,$108.39 ,$289.80 ,$108.39 ,$207.00 ,$110.56 ,$310.50 ,$209.07 ,$188.37 ,$209.07 ,$108.39 ,$209.07 ,$260.82 ,$260.82 ,$293.94 ,$414.00 ,$351.90 ,$270.97 ,$331.20 ,$153.18 ,$331.20 ,$108.39 ,$108.39 ,$414.00 ,$224.39 ,$108.39 ,$108.88 , N/A , N/A ,$78.40 ,$74.83 ,$113.81 ,$351.90 ,$243.87 ,$272.41 ,$115.92 ,$372.60 ,$298.08 ,$414.00 ,$260.82 ,$260.82 ,$260.82 ,$108.39 ,$198.72 ,$372.60 ST. JOHN'S HOSPITAL,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$220.00 ,$143.00 ,$36.87 ,$220.00 , N/A ,$101.20 ,$119.24 , N/A ,$61.60 ,$75.90 , N/A ,$84.48 , N/A ,$84.04 ,$36.87 , N/A ,$84.04 , N/A ,$115.72 ,$112.20 , N/A , N/A ,$154.00 , N/A ,$110.00 , N/A ,$165.00 ,$111.10 ,$100.10 ,$111.10 , N/A ,$111.10 ,$138.60 ,$138.60 ,$156.20 ,$220.00 ,$187.00 , N/A ,$176.00 ,$81.40 ,$176.00 , N/A , N/A ,$220.00 ,$119.24 , N/A ,$57.86 , N/A , N/A ,$78.40 ,$74.83 , N/A ,$187.00 , N/A ,$144.76 ,$61.60 ,$198.00 ,$158.40 ,$220.00 ,$138.60 ,$138.60 ,$138.60 , N/A ,$105.60 ,$198.00 ST. JOHN'S HOSPITAL,41000052,94660,HC CPAP,410,1 ,$985.00 ,$640.25 ,$91.64 ,$985.00 ,$451.70 ,$453.10 ,$533.87 ,$180.68 ,$275.80 ,$339.83 ,$180.68 ,$378.24 ,$180.68 ,$376.27 ,$91.64 ,$180.68 ,$376.27 ,$343.30 ,$518.11 ,$502.35 ,$451.71 ,$180.68 ,$689.50 ,$180.68 ,$492.50 ,$184.30 ,$738.75 ,$497.43 ,$448.18 ,$497.43 ,$180.68 ,$497.43 ,$620.55 ,$620.55 ,$699.35 ,$985.00 ,$837.25 ,$451.71 ,$788.00 ,$364.45 ,$788.00 ,$180.68 ,$180.68 ,$985.00 ,$533.87 ,$180.68 ,$259.06 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,$837.25 ,$406.53 ,$648.13 ,$275.80 ,$886.50 ,$709.20 ,$985.00 ,$620.55 ,$620.55 ,$620.55 ,$180.68 ,$472.80 ,$886.50 ST. JOHN'S HOSPITAL,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$985.00 ,$640.25 ,$91.64 ,$985.00 ,$451.70 ,$453.10 ,$533.87 ,$180.68 ,$275.80 ,$339.83 ,$180.68 ,$378.24 ,$180.68 ,$376.27 ,$91.64 ,$180.68 ,$376.27 ,$343.30 ,$518.11 ,$502.35 ,$451.71 ,$180.68 ,$689.50 ,$180.68 ,$492.50 ,$184.30 ,$738.75 ,$497.43 ,$448.18 ,$497.43 ,$180.68 ,$497.43 ,$620.55 ,$620.55 ,$699.35 ,$985.00 ,$837.25 ,$451.71 ,$788.00 ,$364.45 ,$788.00 ,$180.68 ,$180.68 ,$985.00 ,$533.87 ,$180.68 ,$259.06 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,$837.25 ,$406.53 ,$648.13 ,$275.80 ,$886.50 ,$709.20 ,$985.00 ,$620.55 ,$620.55 ,$620.55 ,$180.68 ,$472.80 ,$886.50 ST. JOHN'S HOSPITAL,41000054,94660,HC CPAP NEONATAL/DAY,410,1 ,"$1,957.00 ","$1,272.05 ",$91.64 ,"$1,957.00 ",$451.70 ,$900.22 ,"$1,060.69 ",$180.68 ,$547.96 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,$747.57 ,$91.64 ,$180.68 ,$747.57 ,$343.30 ,"$1,029.38 ",$998.07 ,$451.71 ,$180.68 ,"$1,369.90 ",$180.68 ,$978.50 ,$184.30 ,"$1,467.75 ",$988.29 ,$890.44 ,$988.29 ,$180.68 ,$988.29 ,"$1,232.91 ","$1,232.91 ","$1,389.47 ","$1,957.00 ","$1,663.45 ",$451.71 ,"$1,565.60 ",$724.09 ,"$1,565.60 ",$180.68 ,$180.68 ,"$1,957.00 ","$1,060.69 ",$180.68 ,$514.69 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$1,663.45 ",$406.53 ,"$1,287.71 ",$547.96 ,"$1,761.30 ","$1,409.04 ","$1,957.00 ","$1,232.91 ","$1,232.91 ","$1,232.91 ",$180.68 ,$939.36 ,"$1,761.30 " ST. JOHN'S HOSPITAL,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$359.00 ,$233.35 ,$36.12 ,$451.71 ,$451.70 ,$165.14 ,$194.58 ,$180.68 ,$100.52 ,$123.86 ,$180.68 ,$137.86 ,$180.68 ,$137.14 ,$37.65 ,$180.68 ,$137.14 ,$343.30 ,$188.83 ,$183.09 ,$451.71 ,$180.68 ,$251.30 ,$180.68 ,$179.50 ,$184.30 ,$269.25 ,$181.30 ,$163.35 ,$181.30 ,$180.68 ,$181.30 ,$226.17 ,$226.17 ,$254.89 ,$359.00 ,$305.15 ,$359.00 ,$287.20 ,$132.83 ,$287.20 ,$180.68 ,$180.68 ,$359.00 ,$194.58 ,$180.68 ,$94.42 , N/A , N/A ,$37.84 ,$36.12 ,$189.71 ,$305.15 ,$406.53 ,$236.22 ,$100.52 ,$323.10 ,$258.48 ,$359.00 ,$226.17 ,$226.17 ,$226.17 ,$180.68 ,$172.32 ,$323.10 ST. JOHN'S HOSPITAL,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$272.00 ,$176.80 ,$55.82 ,$272.00 ,$270.98 ,$125.12 ,$147.42 ,$108.39 ,$76.16 ,$93.84 ,$108.39 ,$104.45 ,$108.39 ,$103.90 ,$55.82 ,$108.39 ,$103.90 ,$205.94 ,$143.07 ,$138.72 ,$270.97 ,$108.39 ,$190.40 ,$108.39 ,$136.00 ,$110.56 ,$204.00 ,$137.36 ,$123.76 ,$137.36 ,$108.39 ,$137.36 ,$171.36 ,$171.36 ,$193.12 ,$272.00 ,$231.20 ,$270.97 ,$217.60 ,$100.64 ,$217.60 ,$108.39 ,$108.39 ,$272.00 ,$147.42 ,$108.39 ,$71.54 , N/A , N/A ,$254.27 ,$242.71 ,$113.81 ,$231.20 ,$243.87 ,$178.98 ,$76.16 ,$244.80 ,$195.84 ,$272.00 ,$171.36 ,$171.36 ,$171.36 ,$108.39 ,$130.56 ,$244.80 ST. JOHN'S HOSPITAL,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$248.00 ,$161.20 ,$55.82 ,$270.98 ,$270.98 ,$114.08 ,$134.42 ,$108.39 ,$69.44 ,$85.56 ,$108.39 ,$95.23 ,$108.39 ,$94.74 ,$55.82 ,$108.39 ,$94.74 ,$205.94 ,$130.45 ,$126.48 ,$270.97 ,$108.39 ,$173.60 ,$108.39 ,$124.00 ,$110.56 ,$186.00 ,$125.24 ,$112.84 ,$125.24 ,$108.39 ,$125.24 ,$156.24 ,$156.24 ,$176.08 ,$248.00 ,$210.80 ,$248.00 ,$198.40 ,$91.76 ,$198.40 ,$108.39 ,$108.39 ,$248.00 ,$134.42 ,$108.39 ,$65.22 , N/A , N/A ,$248.00 ,$242.71 ,$113.81 ,$210.80 ,$243.87 ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$156.24 ,$156.24 ,$156.24 ,$108.39 ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$234.00 ,$152.10 ,$61.54 ,$270.98 ,$270.98 ,$107.64 ,$126.83 ,$108.39 ,$65.52 ,$74.88 ,$108.39 ,$86.11 ,$108.39 ,$89.39 ,$72.19 ,$108.39 ,$89.39 ,$205.94 ,$123.08 ,$119.34 ,$270.97 ,$108.39 ,$163.80 ,$108.39 ,$117.00 ,$110.56 ,$175.50 ,$118.17 ,$106.47 ,$118.17 ,$108.39 ,$118.17 ,$147.42 ,$147.42 ,$166.14 ,$234.00 ,$198.90 ,$234.00 ,$187.20 ,$86.58 ,$187.20 ,$108.39 ,$108.39 ,$234.00 ,$126.83 ,$108.39 ,$61.54 , N/A , N/A ,$234.00 ,$242.71 ,$113.81 ,$198.90 ,$243.87 ,$153.97 ,$65.52 ,$210.60 ,$168.48 ,$234.00 ,$147.42 ,$147.42 ,$147.42 ,$108.39 ,$112.32 ,$210.60 ST. JOHN'S HOSPITAL,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$211.00 ,$137.15 ,$55.49 ,$270.98 ,$270.98 ,$97.06 ,$114.36 ,$108.39 ,$59.08 ,$67.52 ,$108.39 ,$77.65 ,$108.39 ,$80.60 ,$72.19 ,$108.39 ,$80.60 ,$205.94 ,$110.99 ,$107.61 ,$270.97 ,$108.39 ,$147.70 ,$108.39 ,$105.50 ,$110.56 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$108.39 ,$106.56 ,$132.93 ,$132.93 ,$149.81 ,$211.00 ,$179.35 ,$211.00 ,$168.80 ,$78.07 ,$168.80 ,$108.39 ,$108.39 ,$211.00 ,$114.36 ,$108.39 ,$55.49 , N/A , N/A ,$211.00 ,$242.71 ,$113.81 ,$179.35 ,$243.87 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$132.93 ,$132.93 ,$132.93 ,$108.39 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,41000067,94799,HC PEP THERAPY FLUTTER,410,1 ,$384.00 ,$249.60 ,$74.83 ,$384.00 ,$335.53 ,$176.64 ,$208.13 ,$134.21 ,$107.52 ,$122.88 ,$134.21 ,$141.31 ,$134.21 ,$146.69 ,$153.60 ,$134.21 ,$146.69 ,$254.99 ,$201.98 ,$195.84 ,$335.51 ,$134.21 ,$268.80 ,$134.21 ,$192.00 ,$136.89 ,$288.00 ,$193.92 ,$174.72 ,$193.92 ,$134.21 ,$193.92 ,$241.92 ,$241.92 ,$272.64 ,$384.00 ,$326.40 ,$335.51 ,$307.20 ,$142.08 ,$307.20 ,$134.21 ,$134.21 ,$384.00 ,$208.13 ,$134.21 ,$100.99 , N/A , N/A ,$78.40 ,$74.83 ,$140.92 ,$326.40 ,$301.96 ,$252.67 ,$107.52 ,$345.60 ,$276.48 ,$384.00 ,$241.92 ,$241.92 ,$241.92 ,$134.21 ,$184.32 ,$345.60 ST. JOHN'S HOSPITAL,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$84.00 ,$54.60 ,$17.32 ,$242.71 ,$59.38 ,$38.64 ,$45.53 ,$23.75 ,$23.52 ,$28.98 ,$23.75 ,$32.26 ,$23.75 ,$32.09 ,$17.32 ,$23.75 ,$32.09 ,$45.12 ,$44.18 ,$42.84 ,$59.37 ,$23.75 ,$58.80 ,$23.75 ,$42.00 ,$24.22 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$23.75 ,$42.42 ,$52.92 ,$52.92 ,$59.64 ,$84.00 ,$71.40 ,$59.37 ,$67.20 ,$31.08 ,$67.20 ,$23.75 ,$23.75 ,$84.00 ,$45.53 ,$23.75 ,$22.09 , N/A , N/A ,$84.00 ,$242.71 ,$24.94 ,$71.40 ,$53.43 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$52.92 ,$52.92 ,$52.92 ,$23.75 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$84.00 ,$54.60 ,$17.95 ,$242.71 ,$59.38 ,$38.64 ,$45.53 ,$23.75 ,$23.52 ,$28.98 ,$23.75 ,$32.26 ,$23.75 ,$32.09 ,$17.95 ,$23.75 ,$32.09 ,$45.12 ,$44.18 ,$42.84 ,$59.37 ,$23.75 ,$58.80 ,$23.75 ,$42.00 ,$24.22 ,$63.00 ,$42.42 ,$38.22 ,$42.42 ,$23.75 ,$42.42 ,$52.92 ,$52.92 ,$59.64 ,$84.00 ,$71.40 ,$59.37 ,$67.20 ,$31.08 ,$67.20 ,$23.75 ,$23.75 ,$84.00 ,$45.53 ,$23.75 ,$22.09 , N/A , N/A ,$84.00 ,$242.71 ,$24.94 ,$71.40 ,$53.43 ,$55.27 ,$23.52 ,$75.60 ,$60.48 ,$84.00 ,$52.92 ,$52.92 ,$52.92 ,$23.75 ,$40.32 ,$75.60 ST. JOHN'S HOSPITAL,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$121.00 ,$78.65 ,$2.35 ,$121.00 ,$81.35 ,$55.66 ,$65.58 ,$32.54 ,$33.88 ,$41.75 ,$32.54 ,$46.46 ,$32.54 ,$46.22 ,$22.39 ,$32.54 ,$46.22 ,$61.82 ,$63.65 ,$61.71 ,$81.34 ,$32.54 ,$84.70 ,$32.54 ,$60.50 ,$33.19 ,$90.75 ,$61.11 ,$55.06 ,$61.11 ,$32.54 ,$61.11 ,$76.23 ,$76.23 ,$85.91 ,$121.00 ,$102.85 ,$81.34 ,$96.80 ,$44.77 ,$96.80 ,$32.54 ,$32.54 ,$121.00 ,$65.58 ,$32.54 ,$31.82 , N/A , N/A ,$2.46 ,$2.35 ,$34.17 ,$102.85 ,$73.21 ,$79.62 ,$33.88 ,$108.90 ,$87.12 ,$121.00 ,$76.23 ,$76.23 ,$76.23 ,$32.54 ,$58.08 ,$108.90 ST. JOHN'S HOSPITAL,41000073,94660,HC VENT NONINVAS NEON SUBQ DAY,410,1 ,"$2,632.00 ","$1,710.80 ",$91.64 ,"$2,632.00 ",$451.70 ,"$1,210.72 ","$1,426.54 ",$180.68 ,$736.96 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,"$1,005.42 ",$91.64 ,$180.68 ,"$1,005.42 ",$343.30 ,"$1,384.43 ","$1,342.32 ",$451.71 ,$180.68 ,"$1,842.40 ",$180.68 ,"$1,316.00 ",$184.30 ,"$1,974.00 ","$1,329.16 ","$1,197.56 ","$1,329.16 ",$180.68 ,"$1,329.16 ","$1,658.16 ","$1,658.16 ","$1,868.72 ","$2,632.00 ","$2,237.20 ",$451.71 ,"$2,105.60 ",$973.84 ,"$2,105.60 ",$180.68 ,$180.68 ,"$2,632.00 ","$1,426.54 ",$180.68 ,$692.22 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$2,237.20 ",$406.53 ,"$1,731.86 ",$736.96 ,"$2,368.80 ","$1,895.04 ","$2,632.00 ","$1,658.16 ","$1,658.16 ","$1,658.16 ",$180.68 ,"$1,263.36 ","$2,368.80 " ST. JOHN'S HOSPITAL,41000074,94640,HC IPPB SUBSQ,410,1 ,$350.00 ,$227.50 ,$39.99 ,$451.71 ,$451.70 ,$161.00 ,$189.70 ,$180.68 ,$98.00 ,$120.75 ,$180.68 ,$134.40 ,$180.68 ,$133.70 ,$39.99 ,$180.68 ,$133.70 ,$343.30 ,$184.10 ,$178.50 ,$451.71 ,$180.68 ,$245.00 ,$180.68 ,$175.00 ,$184.30 ,$262.50 ,$176.75 ,$159.25 ,$176.75 ,$180.68 ,$176.75 ,$220.50 ,$220.50 ,$248.50 ,$350.00 ,$297.50 ,$350.00 ,$280.00 ,$129.50 ,$280.00 ,$180.68 ,$180.68 ,$350.00 ,$189.70 ,$180.68 ,$92.05 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$297.50 ,$406.53 ,$230.30 ,$98.00 ,$315.00 ,$252.00 ,$350.00 ,$220.50 ,$220.50 ,$220.50 ,$180.68 ,$168.00 ,$315.00 ST. JOHN'S HOSPITAL,41000075,94640,HC IPV INIT,410,1 ,$862.00 ,$560.30 ,$39.99 ,$862.00 ,$451.70 ,$396.52 ,$467.20 ,$180.68 ,$241.36 ,$192.44 ,$180.68 ,$207.36 ,$180.68 ,$329.28 ,$39.99 ,$180.68 ,$329.28 ,$343.30 ,$453.41 ,$439.62 ,$451.71 ,$180.68 ,$603.40 ,$180.68 ,$431.00 ,$184.30 ,$646.50 ,$435.31 ,$392.21 ,$435.31 ,$180.68 ,$435.31 ,$543.06 ,$543.06 ,$612.02 ,$862.00 ,$732.70 ,$451.71 ,$689.60 ,$318.94 ,$689.60 ,$180.68 ,$180.68 ,$862.00 ,$467.20 ,$180.68 ,$226.71 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$732.70 ,$406.53 ,$567.20 ,$241.36 ,$775.80 ,$620.64 ,$862.00 ,$543.06 ,$543.06 ,$543.06 ,$180.68 ,$413.76 ,$775.80 ST. JOHN'S HOSPITAL,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$191.00 ,$124.15 ,$39.99 ,$451.71 ,$451.70 ,$87.86 ,$103.52 ,$180.68 ,$53.48 ,$65.90 ,$180.68 ,$73.34 ,$180.68 ,$72.96 ,$39.99 ,$180.68 ,$72.96 ,$191.00 ,$100.47 ,$97.41 ,$451.71 ,$180.68 ,$133.70 ,$180.68 ,$95.50 ,$184.30 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$180.68 ,$96.46 ,$120.33 ,$120.33 ,$135.61 ,$191.00 ,$162.35 ,$191.00 ,$152.80 ,$70.67 ,$152.80 ,$180.68 ,$180.68 ,$191.00 ,$103.52 ,$180.68 ,$50.23 , N/A , N/A ,$191.00 ,$242.71 ,$189.71 ,$162.35 ,$406.53 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$120.33 ,$120.33 ,$120.33 ,$180.68 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,41000077,94762,HC PULSE OX PER DAY,410,1 ,$484.00 ,$314.60 ,$55.58 ,$484.00 ,$335.53 ,$222.64 ,$262.33 ,$134.21 ,$135.52 ,$166.98 ,$134.21 ,$185.86 ,$134.21 ,$184.89 ,$55.58 ,$134.21 ,$184.89 ,$254.99 ,$254.58 ,$246.84 ,$335.51 ,$134.21 ,$338.80 ,$134.21 ,$242.00 ,$136.89 ,$363.00 ,$244.42 ,$220.22 ,$244.42 ,$134.21 ,$244.42 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$335.51 ,$387.20 ,$179.08 ,$387.20 ,$134.21 ,$134.21 ,$484.00 ,$262.33 ,$134.21 ,$127.29 , N/A , N/A ,$78.40 ,$74.83 ,$140.92 ,$411.40 ,$301.96 ,$318.47 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$304.92 ,$304.92 ,$134.21 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$159.00 ,$103.35 ,$39.99 ,$451.71 ,$451.70 ,$73.14 ,$86.18 ,$180.68 ,$44.52 ,$54.86 ,$180.68 ,$61.06 ,$159.00 ,$60.74 ,$39.99 ,$159.00 ,$60.74 ,$159.00 ,$83.63 ,$81.09 ,$451.71 ,$180.68 ,$111.30 ,$180.68 ,$79.50 ,$159.00 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$180.68 ,$80.30 ,$100.17 ,$100.17 ,$112.89 ,$159.00 ,$135.15 ,$159.00 ,$127.20 ,$58.83 ,$127.20 ,$180.68 ,$180.68 ,$159.00 ,$86.18 ,$180.68 ,$41.82 , N/A , N/A ,$159.00 ,$242.71 ,$189.71 ,$135.15 ,$406.53 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$100.17 ,$100.17 ,$100.17 ,$180.68 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$756.00 ,$491.40 ,$91.64 ,$756.00 ,$451.70 ,$347.76 ,$409.75 ,$180.68 ,$211.68 ,$260.82 ,$180.68 ,$290.30 ,$180.68 ,$288.79 ,$91.64 ,$180.68 ,$288.79 ,$343.30 ,$397.66 ,$385.56 ,$451.71 ,$180.68 ,$529.20 ,$180.68 ,$378.00 ,$184.30 ,$567.00 ,$381.78 ,$343.98 ,$381.78 ,$180.68 ,$381.78 ,$476.28 ,$476.28 ,$536.76 ,$756.00 ,$642.60 ,$451.71 ,$604.80 ,$279.72 ,$604.80 ,$180.68 ,$180.68 ,$756.00 ,$409.75 ,$180.68 ,$198.83 , N/A , N/A ,$756.00 ,$732.85 ,$189.71 ,$642.60 ,$406.53 ,$497.45 ,$211.68 ,$680.40 ,$544.32 ,$756.00 ,$476.28 ,$476.28 ,$476.28 ,$180.68 ,$362.88 ,$680.40 ST. JOHN'S HOSPITAL,41000084,94640,"HC INCENTIVE SPIROMETER, SUBSQ",410,1 ,$168.00 ,$109.20 ,$39.99 ,$451.71 ,$451.70 ,$77.28 ,$91.06 ,$180.68 ,$47.04 ,$57.96 ,$180.68 ,$64.51 ,$168.00 ,$64.18 ,$39.99 ,$168.00 ,$64.18 ,$168.00 ,$88.37 ,$85.68 ,$451.71 ,$180.68 ,$117.60 ,$180.68 ,$84.00 ,$168.00 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$180.68 ,$84.84 ,$105.84 ,$105.84 ,$119.28 ,$168.00 ,$142.80 ,$168.00 ,$134.40 ,$62.16 ,$134.40 ,$180.68 ,$180.68 ,$168.00 ,$91.06 ,$180.68 ,$44.18 , N/A , N/A ,$168.00 ,$242.71 ,$189.71 ,$142.80 ,$406.53 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$105.84 ,$105.84 ,$105.84 ,$180.68 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,41000086,94640,HC IPV SUBSQ,410,1 ,$445.00 ,$289.25 ,$39.99 ,$451.71 ,$451.70 ,$204.70 ,$241.19 ,$180.68 ,$124.60 ,$153.53 ,$180.68 ,$170.88 ,$180.68 ,$169.99 ,$39.99 ,$180.68 ,$169.99 ,$343.30 ,$234.07 ,$226.95 ,$451.71 ,$180.68 ,$311.50 ,$180.68 ,$222.50 ,$184.30 ,$333.75 ,$224.73 ,$202.48 ,$224.73 ,$180.68 ,$224.73 ,$280.35 ,$280.35 ,$315.95 ,$445.00 ,$378.25 ,$445.00 ,$356.00 ,$164.65 ,$356.00 ,$180.68 ,$180.68 ,$445.00 ,$241.19 ,$180.68 ,$117.04 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$378.25 ,$406.53 ,$292.81 ,$124.60 ,$400.50 ,$320.40 ,$445.00 ,$280.35 ,$280.35 ,$280.35 ,$180.68 ,$213.60 ,$400.50 ST. JOHN'S HOSPITAL,41000089,94660,HC CPAP NEONATAL/DAY SUBSQ,410,1 ,"$1,957.00 ","$1,272.05 ",$91.64 ,"$1,957.00 ",$451.70 ,$900.22 ,"$1,060.69 ",$180.68 ,$547.96 ,$401.12 ,$180.68 ,$432.21 ,$180.68 ,$747.57 ,$91.64 ,$180.68 ,$747.57 ,$343.30 ,"$1,029.38 ",$998.07 ,$451.71 ,$180.68 ,"$1,369.90 ",$180.68 ,$978.50 ,$184.30 ,"$1,467.75 ",$988.29 ,$890.44 ,$988.29 ,$180.68 ,$988.29 ,"$1,232.91 ","$1,232.91 ","$1,389.47 ","$1,957.00 ","$1,663.45 ",$451.71 ,"$1,565.60 ",$724.09 ,"$1,565.60 ",$180.68 ,$180.68 ,"$1,957.00 ","$1,060.69 ",$180.68 ,$514.69 , N/A , N/A ,$767.75 ,$732.85 ,$189.71 ,"$1,663.45 ",$406.53 ,"$1,287.71 ",$547.96 ,"$1,761.30 ","$1,409.04 ","$1,957.00 ","$1,232.91 ","$1,232.91 ","$1,232.91 ",$180.68 ,$939.36 ,"$1,761.30 " ST. JOHN'S HOSPITAL,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$111.00 ,$72.15 ,$29.19 ,$451.71 ,$451.70 ,$51.06 ,$60.16 ,$180.68 ,$31.08 ,$38.30 ,$180.68 ,$42.62 ,$111.00 ,$42.40 ,$39.99 ,$111.00 ,$42.40 ,$111.00 ,$58.39 ,$56.61 ,$451.71 ,$180.68 ,$77.70 ,$180.68 ,$55.50 ,$111.00 ,$83.25 ,$56.06 ,$50.51 ,$56.06 ,$180.68 ,$56.06 ,$69.93 ,$69.93 ,$78.81 ,$111.00 ,$94.35 ,$111.00 ,$88.80 ,$41.07 ,$88.80 ,$180.68 ,$180.68 ,$111.00 ,$60.16 ,$180.68 ,$29.19 , N/A , N/A ,$111.00 ,$242.71 ,$189.71 ,$94.35 ,$406.53 ,$73.04 ,$31.08 ,$99.90 ,$79.92 ,$111.00 ,$69.93 ,$69.93 ,$69.93 ,$180.68 ,$53.28 ,$99.90 ST. JOHN'S HOSPITAL,41000092,94640,HC AEROSOL INHALATION SUBSQ,410,1 ,$102.00 ,$66.30 ,$26.83 ,$451.71 ,$451.70 ,$46.92 ,$55.28 ,$180.68 ,$28.56 ,$35.19 ,$180.68 ,$39.17 ,$102.00 ,$38.96 ,$39.99 ,$102.00 ,$38.96 ,$102.00 ,$53.65 ,$52.02 ,$451.71 ,$180.68 ,$71.40 ,$180.68 ,$51.00 ,$102.00 ,$76.50 ,$51.51 ,$46.41 ,$51.51 ,$180.68 ,$51.51 ,$64.26 ,$64.26 ,$72.42 ,$102.00 ,$86.70 ,$102.00 ,$81.60 ,$37.74 ,$81.60 ,$180.68 ,$180.68 ,$102.00 ,$55.28 ,$180.68 ,$26.83 , N/A , N/A ,$102.00 ,$242.71 ,$189.71 ,$86.70 ,$406.53 ,$67.12 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$64.26 ,$64.26 ,$64.26 ,$180.68 ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,41000093,94640,HC HELIOX INIT,410,1 ,$182.00 ,$118.30 ,$39.99 ,$451.71 ,$451.70 ,$83.72 ,$98.64 ,$180.68 ,$50.96 ,$62.79 ,$180.68 ,$69.89 ,$180.68 ,$69.52 ,$39.99 ,$180.68 ,$69.52 ,$182.00 ,$95.73 ,$92.82 ,$451.71 ,$180.68 ,$127.40 ,$180.68 ,$91.00 ,$182.00 ,$136.50 ,$91.91 ,$82.81 ,$91.91 ,$180.68 ,$91.91 ,$114.66 ,$114.66 ,$129.22 ,$182.00 ,$154.70 ,$182.00 ,$145.60 ,$67.34 ,$145.60 ,$180.68 ,$180.68 ,$182.00 ,$98.64 ,$180.68 ,$47.87 , N/A , N/A ,$182.00 ,$242.71 ,$189.71 ,$154.70 ,$406.53 ,$119.76 ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$114.66 ,$114.66 ,$114.66 ,$180.68 ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,41000094,94640,HC HELIOX SUBSQ,410,1 ,$92.00 ,$59.80 ,$24.20 ,$451.71 ,$451.70 ,$42.32 ,$49.86 ,$180.68 ,$25.76 ,$31.74 ,$180.68 ,$35.33 ,$92.00 ,$35.14 ,$39.99 ,$92.00 ,$35.14 ,$92.00 ,$48.39 ,$46.92 ,$451.71 ,$180.68 ,$64.40 ,$180.68 ,$46.00 ,$92.00 ,$69.00 ,$46.46 ,$41.86 ,$46.46 ,$180.68 ,$46.46 ,$57.96 ,$57.96 ,$65.32 ,$92.00 ,$78.20 ,$92.00 ,$73.60 ,$34.04 ,$73.60 ,$180.68 ,$180.68 ,$92.00 ,$49.86 ,$180.68 ,$24.20 , N/A , N/A ,$92.00 ,$242.71 ,$189.71 ,$78.20 ,$406.53 ,$60.54 ,$25.76 ,$82.80 ,$66.24 ,$92.00 ,$57.96 ,$57.96 ,$57.96 ,$180.68 ,$44.16 ,$82.80 ST. JOHN'S HOSPITAL,41000095,94610,HC INTRAPULM SURFACTANT ADMIN W/ENDOTRACH TUBE,410,1 ,$393.00 ,$255.45 ,$103.36 ,$451.71 ,$451.70 ,$180.78 ,$213.01 ,$180.68 ,$110.04 ,$135.59 ,$180.68 ,$150.91 ,$180.68 ,$150.13 ,$134.08 ,$180.68 ,$150.13 ,$343.30 ,$206.72 ,$200.43 ,$451.71 ,$180.68 ,$275.10 ,$180.68 ,$196.50 ,$184.30 ,$294.75 ,$198.47 ,$178.82 ,$198.47 ,$180.68 ,$198.47 ,$247.59 ,$247.59 ,$279.03 ,$393.00 ,$334.05 ,$393.00 ,$314.40 ,$145.41 ,$314.40 ,$180.68 ,$180.68 ,$393.00 ,$213.01 ,$180.68 ,$103.36 , N/A , N/A ,$254.27 ,$242.71 ,$189.71 ,$334.05 ,$406.53 ,$258.59 ,$110.04 ,$353.70 ,$282.96 ,$393.00 ,$247.59 ,$247.59 ,$247.59 ,$180.68 ,$188.64 ,$353.70 ST. JOHN'S HOSPITAL,41000101,94660,HC HOME CPAP/BIPAP 4HR,410,1 ,$57.00 ,$37.05 ,$14.99 ,$732.85 ,$451.70 ,$26.22 ,$30.89 ,$180.68 ,$15.96 ,$19.67 ,$180.68 ,$21.89 ,$57.00 ,$21.77 ,$57.00 ,$57.00 ,$21.77 ,$57.00 ,$29.98 ,$29.07 ,$451.71 ,$180.68 ,$39.90 ,$180.68 ,$28.50 ,$57.00 ,$42.75 ,$28.79 ,$25.94 ,$28.79 ,$180.68 ,$28.79 ,$35.91 ,$35.91 ,$40.47 ,$57.00 ,$48.45 ,$57.00 ,$45.60 ,$21.09 ,$45.60 ,$180.68 ,$180.68 ,$57.00 ,$30.89 ,$180.68 ,$14.99 , N/A , N/A ,$57.00 ,$732.85 ,$189.71 ,$48.45 ,$406.53 ,$37.51 ,$15.96 ,$51.30 ,$41.04 ,$57.00 ,$35.91 ,$35.91 ,$35.91 ,$180.68 ,$27.36 ,$51.30 ST. JOHN'S HOSPITAL,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,"$3,675.00 ","$2,388.75 ",$199.97 ,"$3,675.00 ", N/A ,"$1,690.50 ","$1,991.85 ", N/A ,"$1,029.00 ",$845.59 , N/A ,$911.12 , N/A ,"$1,403.85 ",$199.97 , N/A ,"$1,403.85 ", N/A ,"$1,933.05 ","$1,874.25 ", N/A , N/A ,"$2,572.50 ", N/A ,"$1,837.50 ", N/A ,"$2,756.25 ","$1,855.88 ","$1,672.13 ","$1,855.88 ", N/A ,"$1,855.88 ","$2,315.25 ","$2,315.25 ","$2,609.25 ","$3,675.00 ","$3,123.75 ", N/A ,"$2,940.00 ","$1,359.75 ","$2,940.00 ", N/A , N/A ,"$3,675.00 ","$1,991.85 ", N/A ,$966.53 , N/A , N/A , N/A , N/A , N/A ,"$3,123.75 ", N/A ,"$2,418.15 ","$1,029.00 ","$3,307.50 ","$2,646.00 ","$3,675.00 ","$2,315.25 ","$2,315.25 ","$2,315.25 ", N/A ,"$1,764.00 ","$3,307.50 " ST. JOHN'S HOSPITAL,41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$918.00 ,$596.70 ,$102.88 ,$918.00 ,$286.60 ,$422.28 ,$497.56 ,$114.64 ,$257.04 ,$293.76 ,$114.64 ,$337.82 ,$114.64 ,$350.68 ,$102.88 ,$114.64 ,$350.68 ,$217.81 ,$482.87 ,$468.18 ,$286.60 ,$114.64 ,$642.60 ,$114.64 ,$459.00 ,$116.93 ,$688.50 ,$463.59 ,$417.69 ,$463.59 ,$114.64 ,$463.59 ,$578.34 ,$578.34 ,$651.78 ,$918.00 ,$780.30 ,$286.60 ,$734.40 ,$339.66 ,$734.40 ,$114.64 ,$114.64 ,$918.00 ,$497.56 ,$114.64 ,$241.43 , N/A , N/A ,$519.44 ,$495.83 ,$120.37 ,$780.30 ,$257.94 ,$604.04 ,$257.04 ,$826.20 ,$660.96 ,$918.00 ,$578.34 ,$578.34 ,$578.34 ,$114.64 ,$440.64 ,$826.20 ST. JOHN'S HOSPITAL,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$262.00 ,$170.30 ,$14.43 ,$338.17 ,$36.08 ,$155.00 ,$142.00 ,$14.43 ,$73.36 ,$90.39 ,$14.43 ,$100.61 ,$14.43 ,$100.08 ,$16.88 ,$14.43 ,$100.08 ,$27.42 ,$137.81 ,$133.62 ,$36.08 ,$14.43 ,$183.40 ,$14.43 ,$131.00 ,$14.72 ,$196.50 ,$132.31 ,$119.21 ,$132.31 ,$14.43 ,$132.31 ,$142.00 ,$142.00 ,$142.00 ,$262.00 ,$222.70 ,$36.08 ,$209.60 ,$96.94 ,$209.60 ,$14.43 ,$14.43 ,$262.00 ,$142.00 ,$14.43 ,$68.91 , N/A , N/A ,$262.00 ,$338.17 ,$15.15 ,$222.70 ,$32.47 ,$172.40 ,$73.36 ,$235.80 ,$188.64 ,$262.00 ,$142.00 ,$165.06 ,$165.06 ,$14.43 ,$125.76 ,$235.80 ST. JOHN'S HOSPITAL,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$292.00 ,$189.80 ,$19.19 ,$338.17 ,$47.98 ,$155.00 ,$158.26 ,$19.19 ,$81.76 ,$100.74 ,$19.19 ,$112.13 ,$19.19 ,$111.54 ,$23.35 ,$19.19 ,$111.54 ,$36.46 ,$153.59 ,$148.92 ,$47.98 ,$19.19 ,$204.40 ,$19.19 ,$146.00 ,$19.57 ,$219.00 ,$147.46 ,$132.86 ,$147.46 ,$19.19 ,$147.46 ,$142.00 ,$142.00 ,$142.00 ,$292.00 ,$248.20 ,$47.98 ,$233.60 ,$108.04 ,$233.60 ,$19.19 ,$19.19 ,$292.00 ,$158.26 ,$19.19 ,$76.80 , N/A , N/A ,$292.00 ,$338.17 ,$20.15 ,$248.20 ,$43.18 ,$192.14 ,$81.76 ,$262.80 ,$210.24 ,$292.00 ,$142.00 ,$183.96 ,$183.96 ,$19.19 ,$140.16 ,$262.80 ST. JOHN'S HOSPITAL,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$206.00 ,$133.90 ,$13.99 ,$338.17 ,$34.98 ,$155.00 ,$111.65 ,$13.99 ,$57.68 ,$71.07 ,$13.99 ,$79.10 ,$13.99 ,$78.69 ,$16.76 ,$13.99 ,$78.69 ,$26.58 ,$108.36 ,$105.06 ,$34.98 ,$13.99 ,$144.20 ,$13.99 ,$103.00 ,$14.27 ,$154.50 ,$104.03 ,$93.73 ,$104.03 ,$13.99 ,$104.03 ,$142.00 ,$142.00 ,$142.00 ,$206.00 ,$175.10 ,$34.98 ,$164.80 ,$76.22 ,$164.80 ,$13.99 ,$13.99 ,$206.00 ,$111.65 ,$13.99 ,$54.18 , N/A , N/A ,$206.00 ,$338.17 ,$14.69 ,$175.10 ,$31.48 ,$135.55 ,$57.68 ,$185.40 ,$148.32 ,$206.00 ,$142.00 ,$129.78 ,$129.78 ,$13.99 ,$98.88 ,$185.40 ST. JOHN'S HOSPITAL,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$191.00 ,$124.15 ,$29.02 ,$338.17 ,$72.55 ,$155.00 ,$103.52 ,$29.02 ,$53.48 ,$65.90 ,$29.02 ,$73.34 ,$29.02 ,$72.96 ,$39.56 ,$29.02 ,$72.96 ,$55.14 ,$100.47 ,$97.41 ,$72.55 ,$29.02 ,$133.70 ,$29.02 ,$95.50 ,$29.60 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$29.02 ,$96.46 ,$142.00 ,$142.00 ,$142.00 ,$191.00 ,$162.35 ,$72.55 ,$152.80 ,$70.67 ,$152.80 ,$29.02 ,$29.02 ,$191.00 ,$103.52 ,$29.02 ,$50.23 , N/A , N/A ,$191.00 ,$338.17 ,$30.47 ,$162.35 ,$65.30 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$142.00 ,$120.33 ,$120.33 ,$29.02 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$189.00 ,$122.85 ,$33.59 ,$338.17 ,$83.98 ,$155.00 ,$102.44 ,$33.59 ,$52.92 ,$65.21 ,$33.59 ,$72.58 ,$33.59 ,$72.20 ,$41.19 ,$33.59 ,$72.20 ,$63.82 ,$99.41 ,$96.39 ,$83.98 ,$33.59 ,$132.30 ,$33.59 ,$94.50 ,$34.26 ,$141.75 ,$95.45 ,$86.00 ,$95.45 ,$33.59 ,$95.45 ,$142.00 ,$142.00 ,$142.00 ,$189.00 ,$160.65 ,$83.98 ,$151.20 ,$69.93 ,$151.20 ,$33.59 ,$33.59 ,$189.00 ,$102.44 ,$33.59 ,$49.71 , N/A , N/A ,$189.00 ,$338.17 ,$35.27 ,$160.65 ,$75.58 ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$142.00 ,$119.07 ,$119.07 ,$33.59 ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$163.00 ,$105.95 ,$29.02 ,$338.17 ,$72.55 ,$155.00 ,$88.35 ,$29.02 ,$45.64 ,$56.24 ,$29.02 ,$62.59 ,$29.02 ,$62.27 ,$34.34 ,$29.02 ,$62.27 ,$55.14 ,$85.74 ,$83.13 ,$72.55 ,$29.02 ,$114.10 ,$29.02 ,$81.50 ,$29.60 ,$122.25 ,$82.32 ,$74.17 ,$82.32 ,$29.02 ,$82.32 ,$142.00 ,$142.00 ,$142.00 ,$163.00 ,$138.55 ,$72.55 ,$130.40 ,$60.31 ,$130.40 ,$29.02 ,$29.02 ,$163.00 ,$88.35 ,$29.02 ,$42.87 , N/A , N/A ,$163.00 ,$338.17 ,$30.47 ,$138.55 ,$65.30 ,$107.25 ,$45.64 ,$146.70 ,$117.36 ,$163.00 ,$142.00 ,$102.69 ,$102.69 ,$29.02 ,$78.24 ,$146.70 ST. JOHN'S HOSPITAL,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$252.00 ,$163.80 ,$25.16 ,$338.17 ,$72.33 ,$155.00 ,$136.58 ,$28.93 ,$70.56 ,$86.94 ,$28.93 ,$96.77 ,$28.93 ,$96.26 ,$25.16 ,$28.93 ,$96.26 ,$54.97 ,$132.55 ,$128.52 ,$72.33 ,$28.93 ,$176.40 ,$28.93 ,$126.00 ,$29.51 ,$189.00 ,$127.26 ,$114.66 ,$127.26 ,$28.93 ,$127.26 ,$142.00 ,$142.00 ,$142.00 ,$252.00 ,$214.20 ,$72.33 ,$201.60 ,$93.24 ,$201.60 ,$28.93 ,$28.93 ,$252.00 ,$136.58 ,$28.93 ,$66.28 , N/A , N/A ,$252.00 ,$338.17 ,$30.38 ,$214.20 ,$65.09 ,$165.82 ,$70.56 ,$226.80 ,$181.44 ,$252.00 ,$142.00 ,$158.76 ,$158.76 ,$28.93 ,$120.96 ,$226.80 ST. JOHN'S HOSPITAL,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$182.00 ,$118.30 ,$25.16 ,$338.17 ,$66.88 ,$155.00 ,$98.64 ,$26.75 ,$50.96 ,$62.79 ,$26.75 ,$69.89 ,$26.75 ,$69.52 ,$25.16 ,$26.75 ,$69.52 ,$50.83 ,$95.73 ,$92.82 ,$66.88 ,$26.75 ,$127.40 ,$26.75 ,$91.00 ,$27.29 ,$136.50 ,$91.91 ,$82.81 ,$91.91 ,$26.75 ,$91.91 ,$142.00 ,$142.00 ,$142.00 ,$182.00 ,$154.70 ,$66.88 ,$145.60 ,$67.34 ,$145.60 ,$26.75 ,$26.75 ,$182.00 ,$98.64 ,$26.75 ,$47.87 , N/A , N/A ,$182.00 ,$338.17 ,$28.09 ,$154.70 ,$60.19 ,$119.76 ,$50.96 ,$163.80 ,$131.04 ,$182.00 ,$142.00 ,$114.66 ,$114.66 ,$26.75 ,$87.36 ,$163.80 ST. JOHN'S HOSPITAL,42000063,97150,HC GROUP TREATMENT 15MIN,420,1 ,$214.00 ,$139.10 ,$17.39 ,$214.00 ,$43.48 ,$155.00 ,$115.99 ,$17.39 ,$59.92 ,$73.83 ,$17.39 ,$82.18 ,$17.39 ,$81.75 ,$20.80 ,$17.39 ,$81.75 ,$33.04 ,$112.56 ,$109.14 ,$43.48 ,$17.39 ,$149.80 ,$17.39 ,$107.00 ,$17.74 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$17.39 ,$108.07 ,$142.00 ,$142.00 ,$142.00 ,$214.00 ,$181.90 ,$43.48 ,$171.20 ,$79.18 ,$171.20 ,$17.39 ,$17.39 ,$214.00 ,$115.99 ,$17.39 ,$56.28 , N/A , N/A ,$115.59 ,$110.33 ,$18.26 ,$181.90 ,$39.13 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$142.00 ,$134.82 ,$134.82 ,$17.39 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$168.00 ,$109.20 ,$36.24 ,$338.17 ,$90.60 ,$155.00 ,$91.06 ,$36.24 ,$47.04 ,$57.96 ,$36.24 ,$64.51 ,$36.24 ,$64.18 ,$44.55 ,$36.24 ,$64.18 ,$68.86 ,$88.37 ,$85.68 ,$90.60 ,$36.24 ,$117.60 ,$36.24 ,$84.00 ,$36.96 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$36.24 ,$84.84 ,$142.00 ,$142.00 ,$142.00 ,$168.00 ,$142.80 ,$90.60 ,$134.40 ,$62.16 ,$134.40 ,$36.24 ,$36.24 ,$168.00 ,$91.06 ,$36.24 ,$44.18 , N/A , N/A ,$168.00 ,$338.17 ,$38.05 ,$142.80 ,$81.54 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$142.00 ,$105.84 ,$105.84 ,$36.24 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$726.00 ,$471.90 ,$13.92 ,$726.00 , N/A ,$155.00 ,$393.49 , N/A ,$203.28 ,$73.14 , N/A ,$78.81 , N/A ,$277.33 ,$13.92 , N/A ,$277.33 , N/A ,$381.88 ,$370.26 , N/A , N/A ,$508.20 , N/A ,$363.00 , N/A ,$544.50 ,$366.63 ,$330.33 ,$366.63 , N/A ,$366.63 ,$142.00 ,$142.00 ,$142.00 ,$726.00 ,$617.10 , N/A ,$580.80 ,$268.62 ,$580.80 , N/A , N/A ,$726.00 ,$393.49 , N/A ,$190.94 , N/A , N/A ,$125.19 ,$119.50 , N/A ,$617.10 , N/A ,$477.71 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$142.00 ,$457.38 ,$457.38 , N/A ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$726.00 ,$471.90 ,$48.02 ,$726.00 , N/A ,$155.00 ,$393.49 , N/A ,$203.28 ,$250.47 , N/A ,$275.03 , N/A ,$277.33 ,$48.02 , N/A ,$277.33 , N/A ,$381.88 ,$370.26 , N/A , N/A ,$508.20 , N/A ,$363.00 , N/A ,$544.50 ,$366.63 ,$330.33 ,$366.63 , N/A ,$366.63 ,$142.00 ,$142.00 ,$142.00 ,$726.00 ,$617.10 , N/A ,$580.80 ,$268.62 ,$580.80 , N/A , N/A ,$726.00 ,$393.49 , N/A ,$190.94 , N/A , N/A ,$301.58 ,$287.87 , N/A ,$617.10 , N/A ,$477.71 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$142.00 ,$457.38 ,$457.38 , N/A ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$934.00 ,$607.10 ,$32.14 ,$934.00 ,$103.28 ,$155.00 ,$506.23 ,$41.31 ,$261.52 ,$168.56 ,$41.31 ,$181.62 ,$41.31 ,$356.79 ,$32.14 ,$41.31 ,$356.79 ,$78.49 ,$491.28 ,$476.34 ,$103.28 ,$41.31 ,$653.80 ,$41.31 ,$467.00 ,$42.14 ,$700.50 ,$471.67 ,$424.97 ,$471.67 ,$41.31 ,$471.67 ,$142.00 ,$142.00 ,$142.00 ,$934.00 ,$793.90 ,$103.28 ,$747.20 ,$345.58 ,$747.20 ,$41.31 ,$41.31 ,$934.00 ,$506.23 ,$41.31 ,$245.64 , N/A , N/A ,$301.58 ,$287.87 ,$43.38 ,$793.90 ,$92.95 ,$614.57 ,$261.52 ,$840.60 ,$672.48 ,$934.00 ,$142.00 ,$588.42 ,$588.42 ,$41.31 ,$448.32 ,$840.60 ST. JOHN'S HOSPITAL,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$962.00 ,$625.30 ,$34.74 ,$962.00 ,$121.80 ,$155.00 ,$521.40 ,$48.72 ,$269.36 ,$181.91 ,$48.72 ,$196.01 ,$48.72 ,$367.48 ,$34.74 ,$48.72 ,$367.48 ,$92.57 ,$506.01 ,$490.62 ,$121.80 ,$48.72 ,$673.40 ,$48.72 ,$481.00 ,$49.69 ,$721.50 ,$485.81 ,$437.71 ,$485.81 ,$48.72 ,$485.81 ,$142.00 ,$142.00 ,$142.00 ,$962.00 ,$817.70 ,$121.80 ,$769.60 ,$355.94 ,$769.60 ,$48.72 ,$48.72 ,$962.00 ,$521.40 ,$48.72 ,$253.01 , N/A , N/A ,$301.58 ,$287.87 ,$51.16 ,$817.70 ,$109.62 ,$633.00 ,$269.36 ,$865.80 ,$692.64 ,$962.00 ,$142.00 ,$606.06 ,$606.06 ,$48.72 ,$461.76 ,$865.80 ST. JOHN'S HOSPITAL,42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$195.00 ,$126.75 ,$32.80 ,$338.17 ,$82.00 ,$89.70 ,$105.69 ,$32.80 ,$54.60 ,$67.28 ,$32.80 ,$74.88 ,$32.80 ,$74.49 ,$41.89 ,$32.80 ,$74.49 ,$62.32 ,$102.57 ,$99.45 ,$82.00 ,$32.80 ,$136.50 ,$32.80 ,$97.50 ,$33.46 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$32.80 ,$98.48 ,$142.00 ,$142.00 ,$142.00 ,$195.00 ,$165.75 ,$82.00 ,$156.00 ,$72.15 ,$156.00 ,$32.80 ,$32.80 ,$195.00 ,$105.69 ,$32.80 ,$51.29 , N/A , N/A ,$195.00 ,$338.17 ,$34.44 ,$165.75 ,$73.80 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$142.00 ,$122.85 ,$122.85 ,$32.80 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$220.00 ,$143.00 ,$52.15 ,$338.17 ,$130.38 ,$155.00 ,$119.24 ,$52.15 ,$61.60 ,$75.90 ,$52.15 ,$84.48 ,$52.15 ,$84.04 ,$59.79 ,$52.15 ,$84.04 ,$99.09 ,$115.72 ,$112.20 ,$130.38 ,$52.15 ,$154.00 ,$52.15 ,$110.00 ,$53.19 ,$165.00 ,$111.10 ,$100.10 ,$111.10 ,$52.15 ,$111.10 ,$142.00 ,$142.00 ,$142.00 ,$220.00 ,$187.00 ,$130.38 ,$176.00 ,$81.40 ,$176.00 ,$52.15 ,$52.15 ,$220.00 ,$119.24 ,$52.15 ,$57.86 , N/A , N/A ,$220.00 ,$338.17 ,$54.76 ,$187.00 ,$117.34 ,$144.76 ,$61.60 ,$198.00 ,$158.40 ,$220.00 ,$142.00 ,$138.60 ,$138.60 ,$52.15 ,$105.60 ,$198.00 ST. JOHN'S HOSPITAL,42000110,G0283,HC ELECT STIM(UNATTEND) OTHER,420,1 ,$342.00 ,$222.30 ,$10.00 ,$342.00 ,$30.00 ,$155.00 ,$185.36 ,$12.00 ,$95.76 ,$67.10 ,$12.00 ,$72.30 ,$12.00 ,$130.64 ,$10.00 ,$12.00 ,$130.64 ,$22.80 ,$179.89 ,$174.42 ,$30.00 ,$12.00 ,$239.40 ,$12.00 ,$171.00 ,$12.24 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$12.00 ,$172.71 ,$142.00 ,$142.00 ,$142.00 ,$342.00 ,$290.70 ,$30.00 ,$273.60 ,$126.54 ,$273.60 ,$12.00 ,$12.00 ,$342.00 ,$185.36 ,$12.00 ,$89.95 , N/A , N/A ,$28.94 ,$27.63 ,$12.60 ,$290.70 ,$27.00 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$142.00 ,$215.46 ,$215.46 ,$12.00 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,42000151,29581,HC APPL MULTI COMP WRAP PT/OT,420,1 ,$486.00 ,$315.90 ,$63.28 ,$486.00 ,$339.53 ,$155.00 ,$263.41 ,$135.81 ,$136.08 ,$155.52 ,$135.81 ,$178.85 ,$135.81 ,$185.65 ,$63.28 ,$135.81 ,$185.65 ,$258.03 ,$255.64 ,$247.86 ,$339.51 ,$135.81 ,$340.20 ,$135.81 ,$243.00 ,$138.52 ,$364.50 ,$245.43 ,$221.13 ,$245.43 ,$135.81 ,$245.43 ,$142.00 ,$142.00 ,$142.00 ,$486.00 ,$413.10 ,$339.51 ,$388.80 ,$179.82 ,$388.80 ,$135.81 ,$135.81 ,$486.00 ,$263.41 ,$135.81 ,$127.82 , N/A , N/A ,$264.20 ,$252.19 ,$142.60 ,$413.10 ,$305.56 ,$319.79 ,$136.08 ,$437.40 ,$349.92 ,$486.00 ,$142.00 ,$306.18 ,$306.18 ,$135.81 ,$233.28 ,$437.40 ST. JOHN'S HOSPITAL,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$195.00 ,$126.75 ,$36.05 ,$338.17 ,$90.13 ,$155.00 ,$105.69 ,$36.05 ,$54.60 ,$67.28 ,$36.05 ,$74.88 ,$36.05 ,$74.49 ,$43.54 ,$36.05 ,$74.49 ,$68.50 ,$102.57 ,$99.45 ,$90.13 ,$36.05 ,$136.50 ,$36.05 ,$97.50 ,$36.77 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$36.05 ,$98.48 ,$142.00 ,$142.00 ,$142.00 ,$195.00 ,$165.75 ,$90.13 ,$156.00 ,$72.15 ,$156.00 ,$36.05 ,$36.05 ,$195.00 ,$105.69 ,$36.05 ,$51.29 , N/A , N/A ,$195.00 ,$338.17 ,$37.85 ,$165.75 ,$81.11 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$142.00 ,$122.85 ,$122.85 ,$36.05 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,42000167,97755,HC ASST TECH ASSESS EACH,430,1 ,$167.00 ,$108.55 ,$37.42 ,$338.17 ,$93.55 ,$155.00 ,$90.51 ,$37.42 ,$46.76 ,$57.62 ,$37.42 ,$64.13 ,$37.42 ,$63.79 ,$46.13 ,$37.42 ,$63.79 ,$71.10 ,$87.84 ,$85.17 ,$93.55 ,$37.42 ,$116.90 ,$37.42 ,$83.50 ,$38.17 ,$125.25 ,$84.34 ,$75.99 ,$84.34 ,$37.42 ,$84.34 ,$142.00 ,$142.00 ,$142.00 ,$167.00 ,$141.95 ,$93.55 ,$133.60 ,$61.79 ,$133.60 ,$37.42 ,$37.42 ,$167.00 ,$90.51 ,$37.42 ,$43.92 , N/A , N/A ,$167.00 ,$338.17 ,$39.29 ,$141.95 ,$84.20 ,$109.89 ,$46.76 ,$150.30 ,$120.24 ,$167.00 ,$142.00 ,$105.21 ,$105.21 ,$37.42 ,$80.16 ,$150.30 ST. JOHN'S HOSPITAL,42000204,97010,HC HOT/COLD PACK 15MIN,420,1 ,$191.00 ,$124.15 ,$3.00 ,$191.00 , N/A ,$155.00 ,$103.52 , N/A ,$53.48 ,$20.13 , N/A ,$21.69 , N/A ,$72.96 ,$3.00 , N/A ,$72.96 , N/A ,$100.47 ,$97.41 , N/A , N/A ,$133.70 , N/A ,$95.50 , N/A ,$143.25 ,$96.46 ,$86.91 ,$96.46 , N/A ,$96.46 ,$142.00 ,$142.00 ,$142.00 ,$191.00 ,$162.35 , N/A ,$152.80 ,$70.67 ,$152.80 , N/A , N/A ,$191.00 ,$103.52 , N/A ,$50.23 , N/A , N/A ,$28.94 ,$27.63 , N/A ,$162.35 , N/A ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$142.00 ,$120.33 ,$120.33 , N/A ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,42000205,97010,HC HOT/COLD PACK 30MIN,420,1 ,$191.00 ,$124.15 ,$3.00 ,$191.00 , N/A ,$155.00 ,$103.52 , N/A ,$53.48 ,$20.13 , N/A ,$21.69 , N/A ,$72.96 ,$3.00 , N/A ,$72.96 , N/A ,$100.47 ,$97.41 , N/A , N/A ,$133.70 , N/A ,$95.50 , N/A ,$143.25 ,$96.46 ,$86.91 ,$96.46 , N/A ,$96.46 ,$142.00 ,$142.00 ,$142.00 ,$191.00 ,$162.35 , N/A ,$152.80 ,$70.67 ,$152.80 , N/A , N/A ,$191.00 ,$103.52 , N/A ,$50.23 , N/A , N/A ,$28.94 ,$27.63 , N/A ,$162.35 , N/A ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$142.00 ,$120.33 ,$120.33 , N/A ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$342.00 ,$222.30 ,$10.00 ,$342.00 ,$30.00 ,$155.00 ,$185.36 ,$12.00 ,$95.76 ,$67.10 ,$12.00 ,$72.30 ,$12.00 ,$130.64 ,$10.00 ,$12.00 ,$130.64 ,$22.80 ,$179.89 ,$174.42 ,$30.00 ,$12.00 ,$239.40 ,$12.00 ,$171.00 ,$12.24 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$12.00 ,$172.71 ,$142.00 ,$142.00 ,$142.00 ,$342.00 ,$290.70 ,$30.00 ,$273.60 ,$126.54 ,$273.60 ,$12.00 ,$12.00 ,$342.00 ,$185.36 ,$12.00 ,$89.95 , N/A , N/A ,$28.94 ,$27.63 ,$12.60 ,$290.70 ,$27.00 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$142.00 ,$215.46 ,$215.46 ,$12.00 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$342.00 ,$222.30 ,$10.00 ,$342.00 ,$30.00 ,$155.00 ,$185.36 ,$12.00 ,$95.76 ,$67.10 ,$12.00 ,$72.30 ,$12.00 ,$130.64 ,$10.00 ,$12.00 ,$130.64 ,$22.80 ,$179.89 ,$174.42 ,$30.00 ,$12.00 ,$239.40 ,$12.00 ,$171.00 ,$12.24 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$12.00 ,$172.71 ,$142.00 ,$142.00 ,$142.00 ,$342.00 ,$290.70 ,$30.00 ,$273.60 ,$126.54 ,$273.60 ,$12.00 ,$12.00 ,$342.00 ,$185.36 ,$12.00 ,$89.95 , N/A , N/A ,$28.94 ,$27.63 ,$12.60 ,$290.70 ,$27.00 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$142.00 ,$215.46 ,$215.46 ,$12.00 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$342.00 ,$222.30 ,$10.00 ,$342.00 ,$30.00 ,$155.00 ,$185.36 ,$12.00 ,$95.76 ,$67.10 ,$12.00 ,$72.30 ,$12.00 ,$130.64 ,$10.00 ,$12.00 ,$130.64 ,$22.80 ,$179.89 ,$174.42 ,$30.00 ,$12.00 ,$239.40 ,$12.00 ,$171.00 ,$12.24 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$12.00 ,$172.71 ,$142.00 ,$142.00 ,$142.00 ,$342.00 ,$290.70 ,$30.00 ,$273.60 ,$126.54 ,$273.60 ,$12.00 ,$12.00 ,$342.00 ,$185.36 ,$12.00 ,$89.95 , N/A , N/A ,$28.94 ,$27.63 ,$12.60 ,$290.70 ,$27.00 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$142.00 ,$215.46 ,$215.46 ,$12.00 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$342.00 ,$222.30 ,$10.00 ,$342.00 ,$30.00 ,$155.00 ,$185.36 ,$12.00 ,$95.76 ,$67.10 ,$12.00 ,$72.30 ,$12.00 ,$130.64 ,$10.00 ,$12.00 ,$130.64 ,$22.80 ,$179.89 ,$174.42 ,$30.00 ,$12.00 ,$239.40 ,$12.00 ,$171.00 ,$12.24 ,$256.50 ,$172.71 ,$155.61 ,$172.71 ,$12.00 ,$172.71 ,$142.00 ,$142.00 ,$142.00 ,$342.00 ,$290.70 ,$30.00 ,$273.60 ,$126.54 ,$273.60 ,$12.00 ,$12.00 ,$342.00 ,$185.36 ,$12.00 ,$89.95 , N/A , N/A ,$28.94 ,$27.63 ,$12.60 ,$290.70 ,$27.00 ,$225.04 ,$95.76 ,$307.80 ,$246.24 ,$342.00 ,$142.00 ,$215.46 ,$215.46 ,$12.00 ,$164.16 ,$307.80 ST. JOHN'S HOSPITAL,42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$278.00 ,$180.70 ,$11.69 ,$278.00 ,$29.23 ,$155.00 ,$150.68 ,$11.69 ,$77.84 ,$95.91 ,$11.69 ,$106.75 ,$11.69 ,$106.20 ,$14.37 ,$11.69 ,$106.20 ,$22.21 ,$146.23 ,$141.78 ,$29.23 ,$11.69 ,$194.60 ,$11.69 ,$139.00 ,$11.92 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$11.69 ,$140.39 ,$142.00 ,$142.00 ,$142.00 ,$278.00 ,$236.30 ,$29.23 ,$222.40 ,$102.86 ,$222.40 ,$11.69 ,$11.69 ,$278.00 ,$150.68 ,$11.69 ,$73.11 , N/A , N/A ,$28.94 ,$27.63 ,$12.27 ,$236.30 ,$26.30 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$142.00 ,$175.14 ,$175.14 ,$11.69 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$278.00 ,$180.70 ,$11.69 ,$278.00 ,$29.23 ,$155.00 ,$150.68 ,$11.69 ,$77.84 ,$95.91 ,$11.69 ,$106.75 ,$11.69 ,$106.20 ,$14.37 ,$11.69 ,$106.20 ,$22.21 ,$146.23 ,$141.78 ,$29.23 ,$11.69 ,$194.60 ,$11.69 ,$139.00 ,$11.92 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$11.69 ,$140.39 ,$142.00 ,$142.00 ,$142.00 ,$278.00 ,$236.30 ,$29.23 ,$222.40 ,$102.86 ,$222.40 ,$11.69 ,$11.69 ,$278.00 ,$150.68 ,$11.69 ,$73.11 , N/A , N/A ,$28.94 ,$27.63 ,$12.27 ,$236.30 ,$26.30 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$142.00 ,$175.14 ,$175.14 ,$11.69 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,42000212,97016,HC APPLY VASOPNEUMATIC DEVICE 45MIN,420,1 ,$278.00 ,$180.70 ,$11.69 ,$278.00 ,$29.23 ,$155.00 ,$150.68 ,$11.69 ,$77.84 ,$95.91 ,$11.69 ,$106.75 ,$11.69 ,$106.20 ,$14.37 ,$11.69 ,$106.20 ,$22.21 ,$146.23 ,$141.78 ,$29.23 ,$11.69 ,$194.60 ,$11.69 ,$139.00 ,$11.92 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$11.69 ,$140.39 ,$142.00 ,$142.00 ,$142.00 ,$278.00 ,$236.30 ,$29.23 ,$222.40 ,$102.86 ,$222.40 ,$11.69 ,$11.69 ,$278.00 ,$150.68 ,$11.69 ,$73.11 , N/A , N/A ,$28.94 ,$27.63 ,$12.27 ,$236.30 ,$26.30 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$142.00 ,$175.14 ,$175.14 ,$11.69 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,42000213,97016,HC APPLY VASOPNEUMATIC DEVICE 60MIN,420,1 ,$278.00 ,$180.70 ,$11.69 ,$278.00 ,$29.23 ,$155.00 ,$150.68 ,$11.69 ,$77.84 ,$95.91 ,$11.69 ,$106.75 ,$11.69 ,$106.20 ,$14.37 ,$11.69 ,$106.20 ,$22.21 ,$146.23 ,$141.78 ,$29.23 ,$11.69 ,$194.60 ,$11.69 ,$139.00 ,$11.92 ,$208.50 ,$140.39 ,$126.49 ,$140.39 ,$11.69 ,$140.39 ,$142.00 ,$142.00 ,$142.00 ,$278.00 ,$236.30 ,$29.23 ,$222.40 ,$102.86 ,$222.40 ,$11.69 ,$11.69 ,$278.00 ,$150.68 ,$11.69 ,$73.11 , N/A , N/A ,$28.94 ,$27.63 ,$12.27 ,$236.30 ,$26.30 ,$182.92 ,$77.84 ,$250.20 ,$200.16 ,$278.00 ,$142.00 ,$175.14 ,$175.14 ,$11.69 ,$133.44 ,$250.20 ST. JOHN'S HOSPITAL,42000214,97012,HC TRACTION MECHANICAL APPL 15 MIN,420,1 ,$271.00 ,$176.15 ,$14.11 ,$271.00 ,$35.28 ,$155.00 ,$146.88 ,$14.11 ,$75.88 ,$93.50 ,$14.11 ,$104.06 ,$14.11 ,$103.52 ,$19.87 ,$14.11 ,$103.52 ,$26.81 ,$142.55 ,$138.21 ,$35.28 ,$14.11 ,$189.70 ,$14.11 ,$135.50 ,$14.39 ,$203.25 ,$136.86 ,$123.31 ,$136.86 ,$14.11 ,$136.86 ,$142.00 ,$142.00 ,$142.00 ,$271.00 ,$230.35 ,$35.28 ,$216.80 ,$100.27 ,$216.80 ,$14.11 ,$14.11 ,$271.00 ,$146.88 ,$14.11 ,$71.27 , N/A , N/A ,$28.94 ,$27.63 ,$14.82 ,$230.35 ,$31.75 ,$178.32 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$142.00 ,$170.73 ,$170.73 ,$14.11 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,42000215,97012,HC TRACTION MECHANICAL APPL 30 MIN,420,1 ,$271.00 ,$176.15 ,$14.11 ,$271.00 ,$35.28 ,$155.00 ,$146.88 ,$14.11 ,$75.88 ,$93.50 ,$14.11 ,$104.06 ,$14.11 ,$103.52 ,$19.87 ,$14.11 ,$103.52 ,$26.81 ,$142.55 ,$138.21 ,$35.28 ,$14.11 ,$189.70 ,$14.11 ,$135.50 ,$14.39 ,$203.25 ,$136.86 ,$123.31 ,$136.86 ,$14.11 ,$136.86 ,$142.00 ,$142.00 ,$142.00 ,$271.00 ,$230.35 ,$35.28 ,$216.80 ,$100.27 ,$216.80 ,$14.11 ,$14.11 ,$271.00 ,$146.88 ,$14.11 ,$71.27 , N/A , N/A ,$28.94 ,$27.63 ,$14.82 ,$230.35 ,$31.75 ,$178.32 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$142.00 ,$170.73 ,$170.73 ,$14.11 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,42000217,97110,HC EARLY INTER THERA PROC TX 15MIN,420,1 ,$191.00 ,$124.15 ,$29.02 ,$338.17 ,$72.55 ,$155.00 ,$103.52 ,$29.02 ,$53.48 ,$65.90 ,$29.02 ,$73.34 ,$29.02 ,$72.96 ,$39.56 ,$29.02 ,$72.96 ,$55.14 ,$100.47 ,$97.41 ,$72.55 ,$29.02 ,$133.70 ,$29.02 ,$95.50 ,$29.60 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$29.02 ,$96.46 ,$142.00 ,$142.00 ,$142.00 ,$191.00 ,$162.35 ,$72.55 ,$152.80 ,$70.67 ,$152.80 ,$29.02 ,$29.02 ,$191.00 ,$103.52 ,$29.02 ,$50.23 , N/A , N/A ,$191.00 ,$338.17 ,$30.47 ,$162.35 ,$65.30 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$142.00 ,$120.33 ,$120.33 ,$29.02 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,42000218,97014,HC ELEC STIM UNATTENDED 15MIN,420,1 ,$239.00 ,$155.35 ,$10.00 ,$239.00 , N/A ,$155.00 ,$129.54 , N/A ,$66.92 ,$67.10 , N/A ,$72.30 , N/A ,$91.30 ,$10.00 , N/A ,$91.30 , N/A ,$125.71 ,$121.89 , N/A , N/A ,$167.30 , N/A ,$119.50 , N/A ,$179.25 ,$120.70 ,$108.75 ,$120.70 , N/A ,$120.70 ,$142.00 ,$142.00 ,$142.00 ,$239.00 ,$203.15 , N/A ,$191.20 ,$88.43 ,$191.20 , N/A , N/A ,$239.00 ,$129.54 , N/A ,$62.86 , N/A , N/A ,$28.94 ,$27.63 , N/A ,$203.15 , N/A ,$157.26 ,$66.92 ,$215.10 ,$172.08 ,$239.00 ,$142.00 ,$150.57 ,$150.57 , N/A ,$114.72 ,$215.10 ST. JOHN'S HOSPITAL,42000219,99499,HC EARLY INTER IFSP DEVELOP ONSITE 15MIN,420,1 ,$113.00 ,$73.45 ,$29.72 ,$140.68 , N/A ,$51.98 ,$61.25 , N/A ,$31.64 ,$36.16 , N/A ,$41.58 , N/A ,$43.17 ,$45.20 , N/A ,$43.17 , N/A ,$59.44 ,$57.63 , N/A , N/A ,$79.10 , N/A ,$56.50 , N/A ,$84.75 ,$57.07 ,$51.42 ,$57.07 , N/A ,$57.07 ,$113.00 ,$113.00 ,$113.00 ,$113.00 ,$96.05 , N/A ,$90.40 ,$41.81 ,$90.40 , N/A , N/A ,$113.00 ,$61.25 , N/A ,$29.72 , N/A , N/A ,$113.00 ,$140.68 , N/A ,$96.05 , N/A ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$113.00 ,$71.19 ,$71.19 , N/A ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,42000220,99499,HC EARLY INTER IFSP MEETING PHONE 15MIN,420,1 ,$206.00 ,$133.90 ,$54.18 ,$206.00 , N/A ,$94.76 ,$111.65 , N/A ,$57.68 ,$65.92 , N/A ,$75.81 , N/A ,$78.69 ,$82.40 , N/A ,$78.69 , N/A ,$108.36 ,$105.06 , N/A , N/A ,$144.20 , N/A ,$103.00 , N/A ,$154.50 ,$104.03 ,$93.73 ,$104.03 , N/A ,$104.03 ,$142.00 ,$142.00 ,$142.00 ,$206.00 ,$175.10 , N/A ,$164.80 ,$76.22 ,$164.80 , N/A , N/A ,$206.00 ,$111.65 , N/A ,$54.18 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$175.10 , N/A ,$135.55 ,$57.68 ,$185.40 ,$148.32 ,$206.00 ,$142.00 ,$129.78 ,$129.78 , N/A ,$98.88 ,$185.40 ST. JOHN'S HOSPITAL,42000230,95851,HC RANGE OF MOTION TESTING EXT/TRUNK LOW COMLXTY 15MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000231,95851,HC RANGE OF MOTION TESTING EXT/TRUNK LOW COMLXTY 30MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000232,95851,HC RANGE OF MOTION TESTING EXT/TRUNK LOW COMLXTY 45MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000233,95851,HC RANGE OF MOTION TESTING EXT/TRUNK MOD COMLXTY 15MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000234,95851,HC RANGE OF MOTION TESTING EXT/TRUNK MOD COMLXTY 30MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000235,95851,HC RANGE OF MOTION TESTING EXT/TRUNK MOD COMLXTY 45MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000236,95851,HC RANGE OF MOTION TESTING EXT/TRUNK HIGH COMLXTY 15MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000237,95851,HC RANGE OF MOTION TESTING EXT/TRUNK HIGH COMLXTY 30MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000238,95851,HC RANGE OF MOTION TESTING EXT/TRUNK HIGH COMLXTY 45MIN,420,1 ,$275.00 ,$178.75 ,$12.16 ,$275.00 ,$49.58 ,$126.50 ,$149.05 ,$19.83 ,$77.00 ,$68.58 ,$19.83 ,$73.89 ,$19.83 ,$105.05 ,$12.16 ,$19.83 ,$105.05 ,$37.68 ,$144.65 ,$140.25 ,$49.58 ,$19.83 ,$192.50 ,$19.83 ,$137.50 ,$20.23 ,$206.25 ,$138.88 ,$125.13 ,$138.88 ,$19.83 ,$138.88 ,$142.00 ,$142.00 ,$142.00 ,$275.00 ,$233.75 ,$49.58 ,$220.00 ,$101.75 ,$220.00 ,$19.83 ,$19.83 ,$275.00 ,$149.05 ,$19.83 ,$72.33 , N/A , N/A , N/A , N/A ,$20.82 ,$233.75 ,$44.62 ,$180.95 ,$77.00 ,$247.50 ,$198.00 ,$275.00 ,$142.00 ,$173.25 ,$173.25 ,$19.83 ,$132.00 ,$247.50 ST. JOHN'S HOSPITAL,42000239,99499,HC EARLY INTER IFSP MEETING HOSPITAL 15MIN,420,1 ,$113.00 ,$73.45 ,$29.72 ,$140.68 , N/A ,$51.98 ,$61.25 , N/A ,$31.64 ,$36.16 , N/A ,$41.58 , N/A ,$43.17 ,$45.20 , N/A ,$43.17 , N/A ,$59.44 ,$57.63 , N/A , N/A ,$79.10 , N/A ,$56.50 , N/A ,$84.75 ,$57.07 ,$51.42 ,$57.07 , N/A ,$57.07 ,$113.00 ,$113.00 ,$113.00 ,$113.00 ,$96.05 , N/A ,$90.40 ,$41.81 ,$90.40 , N/A , N/A ,$113.00 ,$61.25 , N/A ,$29.72 , N/A , N/A ,$113.00 ,$140.68 , N/A ,$96.05 , N/A ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$113.00 ,$71.19 ,$71.19 , N/A ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,42000240,99499,HC EARLY INTER IFSP DEVELOP OFFSITE 15MIN,420,1 ,$113.00 ,$73.45 ,$29.72 ,$140.68 , N/A ,$51.98 ,$61.25 , N/A ,$31.64 ,$36.16 , N/A ,$41.58 , N/A ,$43.17 ,$45.20 , N/A ,$43.17 , N/A ,$59.44 ,$57.63 , N/A , N/A ,$79.10 , N/A ,$56.50 , N/A ,$84.75 ,$57.07 ,$51.42 ,$57.07 , N/A ,$57.07 ,$113.00 ,$113.00 ,$113.00 ,$113.00 ,$96.05 , N/A ,$90.40 ,$41.81 ,$90.40 , N/A , N/A ,$113.00 ,$61.25 , N/A ,$29.72 , N/A , N/A ,$113.00 ,$140.68 , N/A ,$96.05 , N/A ,$74.35 ,$31.64 ,$101.70 ,$81.36 ,$113.00 ,$113.00 ,$71.19 ,$71.19 , N/A ,$54.24 ,$101.70 ST. JOHN'S HOSPITAL,42000241,97110,HC EARLY INTER THERA PROC TX OFFSITE- 15MIN,420,1 ,$191.00 ,$124.15 ,$29.02 ,$338.17 ,$72.55 ,$155.00 ,$103.52 ,$29.02 ,$53.48 ,$65.90 ,$29.02 ,$73.34 ,$29.02 ,$72.96 ,$39.56 ,$29.02 ,$72.96 ,$55.14 ,$100.47 ,$97.41 ,$72.55 ,$29.02 ,$133.70 ,$29.02 ,$95.50 ,$29.60 ,$143.25 ,$96.46 ,$86.91 ,$96.46 ,$29.02 ,$96.46 ,$142.00 ,$142.00 ,$142.00 ,$191.00 ,$162.35 ,$72.55 ,$152.80 ,$70.67 ,$152.80 ,$29.02 ,$29.02 ,$191.00 ,$103.52 ,$29.02 ,$50.23 , N/A , N/A ,$191.00 ,$338.17 ,$30.47 ,$162.35 ,$65.30 ,$125.68 ,$53.48 ,$171.90 ,$137.52 ,$191.00 ,$142.00 ,$120.33 ,$120.33 ,$29.02 ,$91.68 ,$171.90 ST. JOHN'S HOSPITAL,42400043,97161,HC PT EVAL LOW COMPLEXITY 15MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400047,97161,HC PT EVAL LOW COMPLEXITY 75MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400048,97161,HC PT EVAL LOW COMPLEXITY 90MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400049,97161,HC PT EVAL LOW COMPLEXITY 105MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400050,97161,HC PT EVAL LOW COMPLEXITY 120MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400051,97161,HC PT EVAL LOW COMPLEXITY 135MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400052,97161,HC PT EVAL LOW COMPLEXITY 150MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400053,97161,HC PT EVAL LOW COMPLEXITY 165MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400054,97161,HC PT EVAL LOW COMPLEXITY 180MIN,424,1 ,$397.00 ,$258.05 ,$90.33 ,$397.00 ,$246.90 ,$155.00 ,$215.17 ,$98.76 ,$111.16 ,$136.97 ,$98.76 ,$152.45 ,$98.76 ,$151.65 ,$90.33 ,$98.76 ,$151.65 ,$187.64 ,$208.82 ,$202.47 ,$246.90 ,$98.76 ,$277.90 ,$98.76 ,$198.50 ,$100.74 ,$297.75 ,$200.49 ,$180.64 ,$200.49 ,$98.76 ,$200.49 ,$142.00 ,$142.00 ,$142.00 ,$397.00 ,$337.45 ,$246.90 ,$317.60 ,$146.89 ,$317.60 ,$98.76 ,$98.76 ,$397.00 ,$215.17 ,$98.76 ,$104.41 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$337.45 ,$222.21 ,$261.23 ,$111.16 ,$357.30 ,$285.84 ,$397.00 ,$142.00 ,$250.11 ,$250.11 ,$98.76 ,$190.56 ,$357.30 ST. JOHN'S HOSPITAL,42400055,97162,HC PT EVAL MOD COMPLEXITY 15MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400059,97162,HC PT EVAL MOD COMPLEXITY 75MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400060,97162,HC PT EVAL MOD COMPLEXITY 90MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400061,97162,HC PT EVAL MOD COMPLEXITY 105MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400062,97162,HC PT EVAL MOD COMPLEXITY 120MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400063,97162,HC PT EVAL MOD COMPLEXITY 135MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400064,97162,HC PT EVAL MOD COMPLEXITY 150MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400065,97162,HC PT EVAL MOD COMPLEXITY 165MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400066,97162,HC PT EVAL MOD COMPLEXITY 180MIN,424,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$155.00 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$142.00 ,$142.00 ,$142.00 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$142.00 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,42400067,97163,HC PT EVAL HIGH COMPLEXITY 15MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400068,97163,HC PT EVAL HIGH COMPLEXITY 30MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400070,97163,HC PT EVAL HIGH COMPLEXITY 60MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400071,97163,HC PT EVAL HIGH COMPLEXITY 75MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400072,97163,HC PT EVAL HIGH COMPLEXITY 90MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400073,97163,HC PT EVAL HIGH COMPLEXITY 105MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400074,97163,HC PT EVAL HIGH COMPLEXITY 120MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400075,97163,HC PT EVAL HIGH COMPLEXITY 135MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400076,97163,HC PT EVAL HIGH COMPLEXITY 150MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400077,97163,HC PT EVAL HIGH COMPLEXITY 165MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400078,97163,HC PT EVAL HIGH COMPLEXITY 180MIN,424,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$155.00 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$142.00 ,$142.00 ,$142.00 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A ,$354.28 ,$338.17 ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$142.00 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400082,97164,HC PT RE-EVAL 60MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400083,97164,HC PT RE-EVAL 75MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400084,97164,HC PT RE-EVAL 90MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400085,97164,HC PT RE-EVAL 105MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,42400086,97164,HC PT RE-EVAL 120MIN,424,1 ,$183.00 ,$118.95 ,$48.13 ,$338.17 ,$169.20 ,$155.00 ,$99.19 ,$67.68 ,$51.24 ,$63.14 ,$67.68 ,$70.27 ,$67.68 ,$69.91 ,$61.49 ,$67.68 ,$69.91 ,$128.59 ,$96.26 ,$93.33 ,$169.20 ,$67.68 ,$128.10 ,$67.68 ,$91.50 ,$69.03 ,$137.25 ,$92.42 ,$83.27 ,$92.42 ,$67.68 ,$92.42 ,$142.00 ,$142.00 ,$142.00 ,$183.00 ,$155.55 ,$169.20 ,$146.40 ,$67.71 ,$146.40 ,$67.68 ,$67.68 ,$183.00 ,$99.19 ,$67.68 ,$48.13 , N/A , N/A ,$183.00 ,$338.17 ,$71.06 ,$155.55 ,$152.28 ,$120.41 ,$51.24 ,$164.70 ,$131.76 ,$183.00 ,$142.00 ,$115.29 ,$115.29 ,$67.68 ,$87.84 ,$164.70 ST. JOHN'S HOSPITAL,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$188.00 ,$122.20 ,$47.71 ,$537.96 ,$154.83 ,$155.00 ,$101.90 ,$61.93 ,$52.64 ,$64.86 ,$61.93 ,$72.19 ,$61.93 ,$71.82 ,$47.71 ,$61.93 ,$71.82 ,$117.67 ,$98.89 ,$95.88 ,$154.83 ,$61.93 ,$131.60 ,$61.93 ,$94.00 ,$63.17 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$61.93 ,$94.94 ,$142.00 ,$142.00 ,$142.00 ,$188.00 ,$159.80 ,$154.83 ,$150.40 ,$69.56 ,$150.40 ,$61.93 ,$61.93 ,$188.00 ,$101.90 ,$61.93 ,$49.44 , N/A , N/A ,$188.00 ,$537.96 ,$65.03 ,$159.80 ,$139.34 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$142.00 ,$118.44 ,$118.44 ,$61.93 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$169.00 ,$109.85 ,$32.17 ,$537.96 ,$80.43 ,$155.00 ,$91.60 ,$32.17 ,$47.32 ,$58.31 ,$32.17 ,$64.90 ,$32.17 ,$64.56 ,$38.51 ,$32.17 ,$64.56 ,$61.12 ,$88.89 ,$86.19 ,$80.43 ,$32.17 ,$118.30 ,$32.17 ,$84.50 ,$32.81 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$32.17 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$80.43 ,$135.20 ,$62.53 ,$135.20 ,$32.17 ,$32.17 ,$169.00 ,$91.60 ,$32.17 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$33.78 ,$143.65 ,$72.38 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$32.17 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43000023,97537,HC WORK TASK ANALYSIS EA 15 MIN,430,1 ,$188.00 ,$122.20 ,$31.32 ,$537.96 ,$78.30 ,$155.00 ,$101.90 ,$31.32 ,$52.64 ,$64.86 ,$31.32 ,$72.19 ,$31.32 ,$71.82 ,$37.10 ,$31.32 ,$71.82 ,$59.51 ,$98.89 ,$95.88 ,$78.30 ,$31.32 ,$131.60 ,$31.32 ,$94.00 ,$31.95 ,$141.00 ,$94.94 ,$85.54 ,$94.94 ,$31.32 ,$94.94 ,$142.00 ,$142.00 ,$142.00 ,$188.00 ,$159.80 ,$78.30 ,$150.40 ,$69.56 ,$150.40 ,$31.32 ,$31.32 ,$188.00 ,$101.90 ,$31.32 ,$49.44 , N/A , N/A ,$188.00 ,$537.96 ,$32.89 ,$159.80 ,$70.47 ,$123.70 ,$52.64 ,$169.20 ,$135.36 ,$188.00 ,$142.00 ,$118.44 ,$118.44 ,$31.32 ,$90.24 ,$169.20 ST. JOHN'S HOSPITAL,43000024,97542,HC SEATING CLINIC EA 15 MIN,430,1 ,$267.00 ,$173.55 ,$31.32 ,$537.96 ,$78.30 ,$155.00 ,$144.71 ,$31.32 ,$74.76 ,$92.12 ,$31.32 ,$102.53 ,$31.32 ,$101.99 ,$37.48 ,$31.32 ,$101.99 ,$59.51 ,$140.44 ,$136.17 ,$78.30 ,$31.32 ,$186.90 ,$31.32 ,$133.50 ,$31.95 ,$200.25 ,$134.84 ,$121.49 ,$134.84 ,$31.32 ,$134.84 ,$142.00 ,$142.00 ,$142.00 ,$267.00 ,$226.95 ,$78.30 ,$213.60 ,$98.79 ,$213.60 ,$31.32 ,$31.32 ,$267.00 ,$144.71 ,$31.32 ,$70.22 , N/A , N/A ,$267.00 ,$537.96 ,$32.89 ,$226.95 ,$70.47 ,$175.69 ,$74.76 ,$240.30 ,$192.24 ,$267.00 ,$142.00 ,$168.21 ,$168.21 ,$31.32 ,$128.16 ,$240.30 ST. JOHN'S HOSPITAL,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$220.00 ,$143.00 ,$47.16 ,$338.17 ,$117.90 ,$155.00 ,$119.24 ,$47.16 ,$61.60 ,$75.90 ,$47.16 ,$84.48 ,$47.16 ,$84.04 ,$56.62 ,$47.16 ,$84.04 ,$89.60 ,$115.72 ,$112.20 ,$117.90 ,$47.16 ,$154.00 ,$47.16 ,$110.00 ,$48.10 ,$165.00 ,$111.10 ,$100.10 ,$111.10 ,$47.16 ,$111.10 ,$142.00 ,$142.00 ,$142.00 ,$220.00 ,$187.00 ,$117.90 ,$176.00 ,$81.40 ,$176.00 ,$47.16 ,$47.16 ,$220.00 ,$119.24 ,$47.16 ,$57.86 , N/A , N/A ,$220.00 ,$338.17 ,$49.52 ,$187.00 ,$106.11 ,$144.76 ,$61.60 ,$198.00 ,$158.40 ,$220.00 ,$142.00 ,$138.60 ,$138.60 ,$47.16 ,$105.60 ,$198.00 ST. JOHN'S HOSPITAL,43000035,97545,HC WORK HARDENING/CONDITIONING FIRST 2 HRS,430,1 ,$500.00 ,$325.00 ,$131.50 ,$500.00 , N/A ,$155.00 ,$271.00 , N/A ,$140.00 ,$172.50 , N/A ,$192.00 , N/A ,$191.00 ,$174.38 , N/A ,$191.00 , N/A ,$263.00 ,$255.00 , N/A , N/A ,$350.00 , N/A ,$250.00 , N/A ,$375.00 ,$252.50 ,$227.50 ,$252.50 , N/A ,$252.50 ,$142.00 ,$142.00 ,$142.00 ,$500.00 ,$425.00 , N/A ,$400.00 ,$185.00 ,$400.00 , N/A , N/A ,$500.00 ,$271.00 , N/A ,$131.50 , N/A , N/A ,$354.28 ,$338.17 , N/A ,$425.00 , N/A ,$329.00 ,$140.00 ,$450.00 ,$360.00 ,$500.00 ,$142.00 ,$315.00 ,$315.00 , N/A ,$240.00 ,$450.00 ST. JOHN'S HOSPITAL,43000036,97546,HC WORK HARDENING/CONDITIONINS ADD 1 HOUR,430,1 ,$267.00 ,$173.55 ,$69.42 ,$338.17 , N/A ,$155.00 ,$144.71 , N/A ,$74.76 ,$92.12 , N/A ,$102.53 , N/A ,$101.99 ,$69.42 , N/A ,$101.99 , N/A ,$140.44 ,$136.17 , N/A , N/A ,$186.90 , N/A ,$133.50 , N/A ,$200.25 ,$134.84 ,$121.49 ,$134.84 , N/A ,$134.84 ,$142.00 ,$142.00 ,$142.00 ,$267.00 ,$226.95 , N/A ,$213.60 ,$98.79 ,$213.60 , N/A , N/A ,$267.00 ,$144.71 , N/A ,$70.22 , N/A , N/A ,$267.00 ,$338.17 , N/A ,$226.95 , N/A ,$175.69 ,$74.76 ,$240.30 ,$192.24 ,$267.00 ,$142.00 ,$168.21 ,$168.21 , N/A ,$128.16 ,$240.30 ST. JOHN'S HOSPITAL,43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$231.00 ,$150.15 ,$5.64 ,$231.00 ,$14.10 ,$155.00 ,$125.20 ,$5.64 ,$64.68 ,$73.92 ,$5.64 ,$85.01 ,$5.64 ,$88.24 ,$14.08 ,$5.64 ,$88.24 ,$10.72 ,$121.51 ,$117.81 ,$14.10 ,$5.64 ,$161.70 ,$5.64 ,$115.50 ,$5.75 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$5.64 ,$116.66 ,$142.00 ,$142.00 ,$142.00 ,$231.00 ,$196.35 ,$14.10 ,$184.80 ,$85.47 ,$184.80 ,$5.64 ,$5.64 ,$231.00 ,$125.20 ,$5.64 ,$60.75 , N/A , N/A ,$28.94 ,$27.63 ,$5.92 ,$196.35 ,$12.69 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$142.00 ,$145.53 ,$145.53 ,$5.64 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$231.00 ,$150.15 ,$5.64 ,$231.00 ,$14.10 ,$155.00 ,$125.20 ,$5.64 ,$64.68 ,$73.92 ,$5.64 ,$85.01 ,$5.64 ,$88.24 ,$14.08 ,$5.64 ,$88.24 ,$10.72 ,$121.51 ,$117.81 ,$14.10 ,$5.64 ,$161.70 ,$5.64 ,$115.50 ,$5.75 ,$173.25 ,$116.66 ,$105.11 ,$116.66 ,$5.64 ,$116.66 ,$142.00 ,$142.00 ,$142.00 ,$231.00 ,$196.35 ,$14.10 ,$184.80 ,$85.47 ,$184.80 ,$5.64 ,$5.64 ,$231.00 ,$125.20 ,$5.64 ,$60.75 , N/A , N/A ,$28.94 ,$27.63 ,$5.92 ,$196.35 ,$12.69 ,$152.00 ,$64.68 ,$207.90 ,$166.32 ,$231.00 ,$142.00 ,$145.53 ,$145.53 ,$5.64 ,$110.88 ,$207.90 ST. JOHN'S HOSPITAL,43000040,97022,HC WHIRLPOOL 75 MIN,430,1 ,$443.00 ,$287.95 ,$16.71 ,$443.00 ,$41.78 ,$155.00 ,$240.11 ,$16.71 ,$124.04 ,$135.94 ,$16.71 ,$146.48 ,$16.71 ,$169.23 ,$20.02 ,$16.71 ,$169.23 ,$31.75 ,$233.02 ,$225.93 ,$41.78 ,$16.71 ,$310.10 ,$16.71 ,$221.50 ,$17.04 ,$332.25 ,$223.72 ,$201.57 ,$223.72 ,$16.71 ,$223.72 ,$142.00 ,$142.00 ,$142.00 ,$443.00 ,$376.55 ,$41.78 ,$354.40 ,$163.91 ,$354.40 ,$16.71 ,$16.71 ,$443.00 ,$240.11 ,$16.71 ,$116.51 , N/A , N/A ,$28.94 ,$27.63 ,$17.55 ,$376.55 ,$37.60 ,$291.49 ,$124.04 ,$398.70 ,$318.96 ,$443.00 ,$142.00 ,$279.09 ,$279.09 ,$16.71 ,$212.64 ,$398.70 ST. JOHN'S HOSPITAL,43000041,97022,HC WHIRLPOOL 90 MIN,430,1 ,$443.00 ,$287.95 ,$16.71 ,$443.00 ,$41.78 ,$155.00 ,$240.11 ,$16.71 ,$124.04 ,$135.94 ,$16.71 ,$146.48 ,$16.71 ,$169.23 ,$20.02 ,$16.71 ,$169.23 ,$31.75 ,$233.02 ,$225.93 ,$41.78 ,$16.71 ,$310.10 ,$16.71 ,$221.50 ,$17.04 ,$332.25 ,$223.72 ,$201.57 ,$223.72 ,$16.71 ,$223.72 ,$142.00 ,$142.00 ,$142.00 ,$443.00 ,$376.55 ,$41.78 ,$354.40 ,$163.91 ,$354.40 ,$16.71 ,$16.71 ,$443.00 ,$240.11 ,$16.71 ,$116.51 , N/A , N/A ,$28.94 ,$27.63 ,$17.55 ,$376.55 ,$37.60 ,$291.49 ,$124.04 ,$398.70 ,$318.96 ,$443.00 ,$142.00 ,$279.09 ,$279.09 ,$16.71 ,$212.64 ,$398.70 ST. JOHN'S HOSPITAL,43000042,97022,HC WHIRLPOOL 105 MIN,430,1 ,$443.00 ,$287.95 ,$16.71 ,$443.00 ,$41.78 ,$155.00 ,$240.11 ,$16.71 ,$124.04 ,$135.94 ,$16.71 ,$146.48 ,$16.71 ,$169.23 ,$20.02 ,$16.71 ,$169.23 ,$31.75 ,$233.02 ,$225.93 ,$41.78 ,$16.71 ,$310.10 ,$16.71 ,$221.50 ,$17.04 ,$332.25 ,$223.72 ,$201.57 ,$223.72 ,$16.71 ,$223.72 ,$142.00 ,$142.00 ,$142.00 ,$443.00 ,$376.55 ,$41.78 ,$354.40 ,$163.91 ,$354.40 ,$16.71 ,$16.71 ,$443.00 ,$240.11 ,$16.71 ,$116.51 , N/A , N/A ,$28.94 ,$27.63 ,$17.55 ,$376.55 ,$37.60 ,$291.49 ,$124.04 ,$398.70 ,$318.96 ,$443.00 ,$142.00 ,$279.09 ,$279.09 ,$16.71 ,$212.64 ,$398.70 ST. JOHN'S HOSPITAL,43000043,97022,HC WHIRLPOOL 120 MIN,430,1 ,$443.00 ,$287.95 ,$16.71 ,$443.00 ,$41.78 ,$155.00 ,$240.11 ,$16.71 ,$124.04 ,$135.94 ,$16.71 ,$146.48 ,$16.71 ,$169.23 ,$20.02 ,$16.71 ,$169.23 ,$31.75 ,$233.02 ,$225.93 ,$41.78 ,$16.71 ,$310.10 ,$16.71 ,$221.50 ,$17.04 ,$332.25 ,$223.72 ,$201.57 ,$223.72 ,$16.71 ,$223.72 ,$142.00 ,$142.00 ,$142.00 ,$443.00 ,$376.55 ,$41.78 ,$354.40 ,$163.91 ,$354.40 ,$16.71 ,$16.71 ,$443.00 ,$240.11 ,$16.71 ,$116.51 , N/A , N/A ,$28.94 ,$27.63 ,$17.55 ,$376.55 ,$37.60 ,$291.49 ,$124.04 ,$398.70 ,$318.96 ,$443.00 ,$142.00 ,$279.09 ,$279.09 ,$16.71 ,$212.64 ,$398.70 ST. JOHN'S HOSPITAL,43000044,29086,HC APPL FINGER CAST,430,1 ,$401.00 ,$260.65 ,$105.46 ,$568.19 ,$339.53 ,$155.00 ,$217.34 ,$135.81 ,$112.28 ,$138.35 ,$135.81 ,$153.98 ,$135.81 ,$153.18 ,$112.45 ,$135.81 ,$153.18 ,$258.03 ,$210.93 ,$204.51 ,$339.51 ,$135.81 ,$280.70 ,$135.81 ,$200.50 ,$138.52 ,$300.75 ,$202.51 ,$182.46 ,$202.51 ,$135.81 ,$202.51 ,$142.00 ,$142.00 ,$142.00 ,$401.00 ,$340.85 ,$339.51 ,$320.80 ,$148.37 ,$320.80 ,$135.81 ,$135.81 ,$401.00 ,$217.34 ,$135.81 ,$105.46 , N/A , N/A ,$401.00 ,$568.19 ,$142.60 ,$340.85 ,$305.56 ,$263.86 ,$112.28 ,$360.90 ,$288.72 ,$401.00 ,$142.00 ,$252.63 ,$252.63 ,$135.81 ,$192.48 ,$360.90 ST. JOHN'S HOSPITAL,43000047,29584,HC APPL COMPRESSION WRAP ARM,430,1 ,$486.00 ,$315.90 ,$37.12 ,$486.00 ,$339.53 ,$155.00 ,$263.41 ,$135.81 ,$136.08 ,$155.52 ,$135.81 ,$178.85 ,$135.81 ,$185.65 ,$37.12 ,$135.81 ,$185.65 ,$258.03 ,$255.64 ,$247.86 ,$339.51 ,$135.81 ,$340.20 ,$135.81 ,$243.00 ,$138.52 ,$364.50 ,$245.43 ,$221.13 ,$245.43 ,$135.81 ,$245.43 ,$142.00 ,$142.00 ,$142.00 ,$486.00 ,$413.10 ,$339.51 ,$388.80 ,$179.82 ,$388.80 ,$135.81 ,$135.81 ,$486.00 ,$263.41 ,$135.81 ,$127.82 , N/A , N/A ,$264.20 ,$252.19 ,$142.60 ,$413.10 ,$305.56 ,$319.79 ,$136.08 ,$437.40 ,$349.92 ,$486.00 ,$142.00 ,$306.18 ,$306.18 ,$135.81 ,$233.28 ,$437.40 ST. JOHN'S HOSPITAL,43000050,97530,HC EARLY INTER THERA ACTIV TX 15MIN,430,1 ,$168.00 ,$109.20 ,$36.24 ,$338.17 ,$90.60 ,$155.00 ,$91.06 ,$36.24 ,$47.04 ,$57.96 ,$36.24 ,$64.51 ,$36.24 ,$64.18 ,$44.55 ,$36.24 ,$64.18 ,$68.86 ,$88.37 ,$85.68 ,$90.60 ,$36.24 ,$117.60 ,$36.24 ,$84.00 ,$36.96 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$36.24 ,$84.84 ,$142.00 ,$142.00 ,$142.00 ,$168.00 ,$142.80 ,$90.60 ,$134.40 ,$62.16 ,$134.40 ,$36.24 ,$36.24 ,$168.00 ,$91.06 ,$36.24 ,$44.18 , N/A , N/A ,$168.00 ,$338.17 ,$38.05 ,$142.80 ,$81.54 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$142.00 ,$105.84 ,$105.84 ,$36.24 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,43000051,97530,HC EARLY INTER THERA ACTIV TX OFFSITE - 15MIN,430,1 ,$168.00 ,$109.20 ,$36.24 ,$338.17 ,$90.60 ,$155.00 ,$91.06 ,$36.24 ,$47.04 ,$57.96 ,$36.24 ,$64.51 ,$36.24 ,$64.18 ,$44.55 ,$36.24 ,$64.18 ,$68.86 ,$88.37 ,$85.68 ,$90.60 ,$36.24 ,$117.60 ,$36.24 ,$84.00 ,$36.96 ,$126.00 ,$84.84 ,$76.44 ,$84.84 ,$36.24 ,$84.84 ,$142.00 ,$142.00 ,$142.00 ,$168.00 ,$142.80 ,$90.60 ,$134.40 ,$62.16 ,$134.40 ,$36.24 ,$36.24 ,$168.00 ,$91.06 ,$36.24 ,$44.18 , N/A , N/A ,$168.00 ,$338.17 ,$38.05 ,$142.80 ,$81.54 ,$110.54 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$142.00 ,$105.84 ,$105.84 ,$36.24 ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$214.00 ,$139.10 ,$22.86 ,$214.00 ,$57.15 ,$155.00 ,$115.99 ,$22.86 ,$59.92 ,$68.48 ,$22.86 ,$78.75 ,$22.86 ,$81.75 ,$27.01 ,$22.86 ,$81.75 ,$43.43 ,$112.56 ,$109.14 ,$57.15 ,$22.86 ,$149.80 ,$22.86 ,$107.00 ,$23.32 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$22.86 ,$108.07 ,$142.00 ,$142.00 ,$142.00 ,$214.00 ,$181.90 ,$57.15 ,$171.20 ,$79.18 ,$171.20 ,$22.86 ,$22.86 ,$214.00 ,$115.99 ,$22.86 ,$56.28 , N/A , N/A ,$28.94 ,$27.63 ,$24.00 ,$181.90 ,$51.44 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$142.00 ,$134.82 ,$134.82 ,$22.86 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$190.00 ,$123.50 ,$22.16 ,$190.00 ,$55.40 ,$155.00 ,$102.98 ,$22.16 ,$53.20 ,$60.80 ,$22.16 ,$69.92 ,$22.16 ,$72.58 ,$26.20 ,$22.16 ,$72.58 ,$42.10 ,$99.94 ,$96.90 ,$55.40 ,$22.16 ,$133.00 ,$22.16 ,$95.00 ,$22.60 ,$142.50 ,$95.95 ,$86.45 ,$95.95 ,$22.16 ,$95.95 ,$142.00 ,$142.00 ,$142.00 ,$190.00 ,$161.50 ,$55.40 ,$152.00 ,$70.30 ,$152.00 ,$22.16 ,$22.16 ,$190.00 ,$102.98 ,$22.16 ,$49.97 , N/A , N/A ,$28.94 ,$27.63 ,$23.27 ,$161.50 ,$49.86 ,$125.02 ,$53.20 ,$171.00 ,$136.80 ,$190.00 ,$142.00 ,$119.70 ,$119.70 ,$22.16 ,$91.20 ,$171.00 ST. JOHN'S HOSPITAL,43400034,97165,HC OT EVAL LOW COMPLEXITY 15MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400038,97165,HC OT EVAL LOW COMPLEXITY 75MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400039,97165,HC OT EVAL LOW COMPLEXITY 90MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400040,97165,HC OT EVAL LOW COMPLEXITY 105MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400041,97165,HC OT EVAL LOW COMPLEXITY 120MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400042,97165,HC OT EVAL LOW COMPLEXITY 135MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400043,97165,HC OT EVAL LOW COMPLEXITY 150MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400044,97165,HC OT EVAL LOW COMPLEXITY 165MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400045,97165,HC OT EVAL LOW COMPLEXITY 180MIN,434,1 ,$442.00 ,$287.30 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$142.00 ,$142.00 ,$142.00 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A ,$442.00 ,$537.96 ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$142.00 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,43400046,97166,HC OT EVAL MOD COMPLEXITY 15MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400050,97166,HC OT EVAL MOD COMPLEXITY 75MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400051,97166,HC OT EVAL MOD COMPLEXITY 90MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400052,97166,HC OT EVAL MOD COMPLEXITY 105MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400053,97166,HC OT EVAL MOD COMPLEXITY 120MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400054,97166,HC OT EVAL MOD COMPLEXITY 135MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400055,97166,HC OT EVAL MOD COMPLEXITY 150MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400056,97166,HC OT EVAL MOD COMPLEXITY 165MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400057,97166,HC OT EVAL MOD COMPLEXITY 180MIN,434,1 ,$460.00 ,$299.00 ,$97.40 ,$537.96 ,$248.50 ,$155.00 ,$249.32 ,$99.40 ,$128.80 ,$158.70 ,$99.40 ,$176.64 ,$99.40 ,$175.72 ,$97.40 ,$99.40 ,$175.72 ,$188.86 ,$241.96 ,$234.60 ,$248.50 ,$99.40 ,$322.00 ,$99.40 ,$230.00 ,$101.39 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$99.40 ,$232.30 ,$142.00 ,$142.00 ,$142.00 ,$460.00 ,$391.00 ,$248.50 ,$368.00 ,$170.20 ,$368.00 ,$99.40 ,$99.40 ,$460.00 ,$249.32 ,$99.40 ,$120.98 , N/A , N/A ,$460.00 ,$537.96 ,$104.37 ,$391.00 ,$223.65 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$142.00 ,$289.80 ,$289.80 ,$99.40 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,43400058,97167,HC OT EVAL HIGH COMPLEXITY 15MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400059,97167,HC OT EVAL HIGH COMPLEXITY 30MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400062,97167,HC OT EVAL HIGH COMPLEXITY 75MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400063,97167,HC OT EVAL HIGH COMPLEXITY 90MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400064,97167,HC OT EVAL HIGH COMPLEXITY 105MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400065,97167,HC OT EVAL HIGH COMPLEXITY 120MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400066,97167,HC OT EVAL HIGH COMPLEXITY 135MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400067,97167,HC OT EVAL HIGH COMPLEXITY 150MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400068,97167,HC OT EVAL HIGH COMPLEXITY 165MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400069,97167,HC OT EVAL HIGH COMPLEXITY 180MIN,434,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$155.00 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$142.00 ,$142.00 ,$142.00 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A ,$563.57 ,$537.96 ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$142.00 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400073,97168,HC OT RE-EVAL 60MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400074,97168,HC OT RE-EVAL 75MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400075,97168,HC OT RE-EVAL 90MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400076,97168,HC OT RE-EVAL 105MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,43400077,97168,HC OT RE-EVAL 120MIN,434,1 ,$169.00 ,$109.85 ,$44.45 ,$537.96 ,$170.00 ,$155.00 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$142.00 ,$142.00 ,$142.00 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A ,$169.00 ,$537.96 ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$142.00 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000022,92507,HC SPEECH THERAPY TREATMENT 75MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000023,92507,HC SPEECH THERAPY TREATMENT 90MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000024,92507,HC SPEECH THERAPY TREATMENT 105MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000025,92507,HC SPEECH THERAPY TREATMENT 120MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000032,92508,HC SPEECH THERAPY TREATMENT GROUP 15MIN,440,1 ,$219.00 ,$142.35 ,$23.19 ,$219.00 ,$57.98 ,$155.00 ,$118.70 ,$23.19 ,$61.32 ,$75.56 ,$23.19 ,$84.10 ,$23.19 ,$83.66 ,$35.83 ,$23.19 ,$83.66 ,$44.06 ,$115.19 ,$111.69 ,$57.98 ,$23.19 ,$153.30 ,$23.19 ,$109.50 ,$23.65 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$23.19 ,$110.60 ,$142.00 ,$142.00 ,$142.00 ,$219.00 ,$186.15 ,$57.98 ,$175.20 ,$81.03 ,$175.20 ,$23.19 ,$23.19 ,$219.00 ,$118.70 ,$23.19 ,$57.60 , N/A , N/A ,$77.36 ,$73.85 ,$24.35 ,$186.15 ,$52.18 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$142.00 ,$137.97 ,$137.97 ,$23.19 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,44000033,92508,HC SPEECH THERAPY TREATMENT GROUP 30MIN,440,1 ,$219.00 ,$142.35 ,$23.19 ,$219.00 ,$57.98 ,$155.00 ,$118.70 ,$23.19 ,$61.32 ,$75.56 ,$23.19 ,$84.10 ,$23.19 ,$83.66 ,$35.83 ,$23.19 ,$83.66 ,$44.06 ,$115.19 ,$111.69 ,$57.98 ,$23.19 ,$153.30 ,$23.19 ,$109.50 ,$23.65 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$23.19 ,$110.60 ,$142.00 ,$142.00 ,$142.00 ,$219.00 ,$186.15 ,$57.98 ,$175.20 ,$81.03 ,$175.20 ,$23.19 ,$23.19 ,$219.00 ,$118.70 ,$23.19 ,$57.60 , N/A , N/A ,$77.36 ,$73.85 ,$24.35 ,$186.15 ,$52.18 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$142.00 ,$137.97 ,$137.97 ,$23.19 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,44000034,92508,HC SPEECH THERAPY TREATMENT GROUP 45MIN,440,1 ,$219.00 ,$142.35 ,$23.19 ,$219.00 ,$57.98 ,$155.00 ,$118.70 ,$23.19 ,$61.32 ,$75.56 ,$23.19 ,$84.10 ,$23.19 ,$83.66 ,$35.83 ,$23.19 ,$83.66 ,$44.06 ,$115.19 ,$111.69 ,$57.98 ,$23.19 ,$153.30 ,$23.19 ,$109.50 ,$23.65 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$23.19 ,$110.60 ,$142.00 ,$142.00 ,$142.00 ,$219.00 ,$186.15 ,$57.98 ,$175.20 ,$81.03 ,$175.20 ,$23.19 ,$23.19 ,$219.00 ,$118.70 ,$23.19 ,$57.60 , N/A , N/A ,$77.36 ,$73.85 ,$24.35 ,$186.15 ,$52.18 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$142.00 ,$137.97 ,$137.97 ,$23.19 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,44000035,92508,HC SPEECH THERAPY TREATMENT GROUP 60MIN,440,1 ,$219.00 ,$142.35 ,$23.19 ,$219.00 ,$57.98 ,$155.00 ,$118.70 ,$23.19 ,$61.32 ,$75.56 ,$23.19 ,$84.10 ,$23.19 ,$83.66 ,$35.83 ,$23.19 ,$83.66 ,$44.06 ,$115.19 ,$111.69 ,$57.98 ,$23.19 ,$153.30 ,$23.19 ,$109.50 ,$23.65 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$23.19 ,$110.60 ,$142.00 ,$142.00 ,$142.00 ,$219.00 ,$186.15 ,$57.98 ,$175.20 ,$81.03 ,$175.20 ,$23.19 ,$23.19 ,$219.00 ,$118.70 ,$23.19 ,$57.60 , N/A , N/A ,$77.36 ,$73.85 ,$24.35 ,$186.15 ,$52.18 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$142.00 ,$137.97 ,$137.97 ,$23.19 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,44000036,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 75MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000037,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 90MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000038,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 105MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000039,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 120MIN,440,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$155.00 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$142.00 ,$142.00 ,$142.00 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A ,$261.87 ,$249.96 ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$142.00 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,44000042,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 15MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000043,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 30MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000044,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 45MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000045,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 60MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000046,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 75MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000047,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 90MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000048,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 105MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000049,92609,HC SPEECH THERAPY SPEECH GENERATING DVC 120MIN,440,1 ,$291.00 ,$189.15 ,$76.53 ,$291.00 ,$255.28 ,$155.00 ,$157.72 ,$102.11 ,$81.48 ,$100.40 ,$102.11 ,$111.74 ,$102.11 ,$111.16 ,$156.75 ,$102.11 ,$111.16 ,$194.01 ,$153.07 ,$148.41 ,$255.28 ,$102.11 ,$203.70 ,$102.11 ,$145.50 ,$104.15 ,$218.25 ,$146.96 ,$132.41 ,$146.96 ,$102.11 ,$146.96 ,$142.00 ,$142.00 ,$142.00 ,$291.00 ,$247.35 ,$255.28 ,$232.80 ,$107.67 ,$232.80 ,$102.11 ,$102.11 ,$291.00 ,$157.72 ,$102.11 ,$76.53 , N/A , N/A ,$261.87 ,$249.96 ,$107.22 ,$247.35 ,$229.75 ,$191.48 ,$81.48 ,$261.90 ,$209.52 ,$291.00 ,$142.00 ,$183.33 ,$183.33 ,$102.11 ,$139.68 ,$261.90 ST. JOHN'S HOSPITAL,44000055,96125,HC COGNITIVE PERF TESTING PER HOUR,440,1 ,$469.00 ,$304.85 ,$102.59 ,$804.08 ,$256.48 ,$155.00 ,$254.20 ,$102.59 ,$131.32 ,$161.81 ,$102.59 ,$180.10 ,$102.59 ,$179.16 ,$251.09 ,$102.59 ,$179.16 ,$194.92 ,$246.69 ,$239.19 ,$256.48 ,$102.59 ,$328.30 ,$102.59 ,$234.50 ,$104.64 ,$351.75 ,$236.85 ,$213.40 ,$236.85 ,$102.59 ,$236.85 ,$142.00 ,$142.00 ,$142.00 ,$469.00 ,$398.65 ,$256.48 ,$375.20 ,$173.53 ,$375.20 ,$102.59 ,$102.59 ,$469.00 ,$254.20 ,$102.59 ,$123.35 , N/A , N/A ,$469.00 ,$804.08 ,$107.72 ,$398.65 ,$230.83 ,$308.60 ,$131.32 ,$422.10 ,$337.68 ,$469.00 ,$142.00 ,$295.47 ,$295.47 ,$102.59 ,$225.12 ,$422.10 ST. JOHN'S HOSPITAL,44000062,92606,HC THERAP SVC NON-SPEECH DVC -15 MIN,440,1 ,$314.00 ,$204.10 ,$82.58 ,$314.00 , N/A ,$155.00 ,$170.19 , N/A ,$87.92 ,$100.48 , N/A ,$115.55 , N/A ,$119.95 ,$105.30 , N/A ,$119.95 , N/A ,$165.16 ,$160.14 , N/A , N/A ,$219.80 , N/A ,$157.00 , N/A ,$235.50 ,$158.57 ,$142.87 ,$158.57 , N/A ,$158.57 ,$142.00 ,$142.00 ,$142.00 ,$314.00 ,$266.90 , N/A ,$251.20 ,$116.18 ,$251.20 , N/A , N/A ,$314.00 ,$170.19 , N/A ,$82.58 , N/A , N/A ,$261.87 ,$249.96 , N/A ,$266.90 , N/A ,$206.61 ,$87.92 ,$282.60 ,$226.08 ,$314.00 ,$142.00 ,$197.82 ,$197.82 , N/A ,$150.72 ,$282.60 ST. JOHN'S HOSPITAL,44000063,92606,HC THERAP SVC NON-SPEECH DVC -30 MIN,440,1 ,$314.00 ,$204.10 ,$82.58 ,$314.00 , N/A ,$155.00 ,$170.19 , N/A ,$87.92 ,$100.48 , N/A ,$115.55 , N/A ,$119.95 ,$105.30 , N/A ,$119.95 , N/A ,$165.16 ,$160.14 , N/A , N/A ,$219.80 , N/A ,$157.00 , N/A ,$235.50 ,$158.57 ,$142.87 ,$158.57 , N/A ,$158.57 ,$142.00 ,$142.00 ,$142.00 ,$314.00 ,$266.90 , N/A ,$251.20 ,$116.18 ,$251.20 , N/A , N/A ,$314.00 ,$170.19 , N/A ,$82.58 , N/A , N/A ,$261.87 ,$249.96 , N/A ,$266.90 , N/A ,$206.61 ,$87.92 ,$282.60 ,$226.08 ,$314.00 ,$142.00 ,$197.82 ,$197.82 , N/A ,$150.72 ,$282.60 ST. JOHN'S HOSPITAL,44000064,92606,HC THERAP SVC NON-SPEECH DVC -45 MIN,440,1 ,$314.00 ,$204.10 ,$82.58 ,$314.00 , N/A ,$155.00 ,$170.19 , N/A ,$87.92 ,$100.48 , N/A ,$115.55 , N/A ,$119.95 ,$105.30 , N/A ,$119.95 , N/A ,$165.16 ,$160.14 , N/A , N/A ,$219.80 , N/A ,$157.00 , N/A ,$235.50 ,$158.57 ,$142.87 ,$158.57 , N/A ,$158.57 ,$142.00 ,$142.00 ,$142.00 ,$314.00 ,$266.90 , N/A ,$251.20 ,$116.18 ,$251.20 , N/A , N/A ,$314.00 ,$170.19 , N/A ,$82.58 , N/A , N/A ,$261.87 ,$249.96 , N/A ,$266.90 , N/A ,$206.61 ,$87.92 ,$282.60 ,$226.08 ,$314.00 ,$142.00 ,$197.82 ,$197.82 , N/A ,$150.72 ,$282.60 ST. JOHN'S HOSPITAL,44000065,92606,HC THERAP SVC NON-SPEECH DVC -60 MIN,440,1 ,$314.00 ,$204.10 ,$82.58 ,$314.00 , N/A ,$155.00 ,$170.19 , N/A ,$87.92 ,$100.48 , N/A ,$115.55 , N/A ,$119.95 ,$105.30 , N/A ,$119.95 , N/A ,$165.16 ,$160.14 , N/A , N/A ,$219.80 , N/A ,$157.00 , N/A ,$235.50 ,$158.57 ,$142.87 ,$158.57 , N/A ,$158.57 ,$142.00 ,$142.00 ,$142.00 ,$314.00 ,$266.90 , N/A ,$251.20 ,$116.18 ,$251.20 , N/A , N/A ,$314.00 ,$170.19 , N/A ,$82.58 , N/A , N/A ,$261.87 ,$249.96 , N/A ,$266.90 , N/A ,$206.61 ,$87.92 ,$282.60 ,$226.08 ,$314.00 ,$142.00 ,$197.82 ,$197.82 , N/A ,$150.72 ,$282.60 ST. JOHN'S HOSPITAL,44000066,96110,HC DEV SCREEN W/SCORE AND INTERP - 15 MIN,440,1 ,$368.00 ,$239.20 ,$21.55 ,$804.08 , N/A ,$155.00 ,$199.46 , N/A ,$103.04 ,$105.55 , N/A ,$113.73 , N/A ,$140.58 ,$21.55 , N/A ,$140.58 , N/A ,$193.57 ,$187.68 , N/A , N/A ,$257.60 , N/A ,$184.00 , N/A ,$276.00 ,$185.84 ,$167.44 ,$185.84 , N/A ,$185.84 ,$142.00 ,$142.00 ,$142.00 ,$368.00 ,$312.80 , N/A ,$294.40 ,$136.16 ,$294.40 , N/A , N/A ,$368.00 ,$199.46 , N/A ,$96.78 , N/A , N/A ,$368.00 ,$804.08 , N/A ,$312.80 , N/A ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$142.00 ,$231.84 ,$231.84 , N/A ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,44000067,96110,HC DEV SCREEN W/SCORE AND INTERP-30 MIN,440,1 ,$368.00 ,$239.20 ,$21.55 ,$804.08 , N/A ,$155.00 ,$199.46 , N/A ,$103.04 ,$105.55 , N/A ,$113.73 , N/A ,$140.58 ,$21.55 , N/A ,$140.58 , N/A ,$193.57 ,$187.68 , N/A , N/A ,$257.60 , N/A ,$184.00 , N/A ,$276.00 ,$185.84 ,$167.44 ,$185.84 , N/A ,$185.84 ,$142.00 ,$142.00 ,$142.00 ,$368.00 ,$312.80 , N/A ,$294.40 ,$136.16 ,$294.40 , N/A , N/A ,$368.00 ,$199.46 , N/A ,$96.78 , N/A , N/A ,$368.00 ,$804.08 , N/A ,$312.80 , N/A ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$142.00 ,$231.84 ,$231.84 , N/A ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,44000068,96110,HC DEV SCREEN W/SCORE AND INTERP-45 MIN,440,1 ,$368.00 ,$239.20 ,$21.55 ,$804.08 , N/A ,$155.00 ,$199.46 , N/A ,$103.04 ,$105.55 , N/A ,$113.73 , N/A ,$140.58 ,$21.55 , N/A ,$140.58 , N/A ,$193.57 ,$187.68 , N/A , N/A ,$257.60 , N/A ,$184.00 , N/A ,$276.00 ,$185.84 ,$167.44 ,$185.84 , N/A ,$185.84 ,$142.00 ,$142.00 ,$142.00 ,$368.00 ,$312.80 , N/A ,$294.40 ,$136.16 ,$294.40 , N/A , N/A ,$368.00 ,$199.46 , N/A ,$96.78 , N/A , N/A ,$368.00 ,$804.08 , N/A ,$312.80 , N/A ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$142.00 ,$231.84 ,$231.84 , N/A ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,44000069,96110,HC DEV SCREEN W/SCORE AND INTERP-60 MIN,440,1 ,$368.00 ,$239.20 ,$21.55 ,$804.08 , N/A ,$155.00 ,$199.46 , N/A ,$103.04 ,$105.55 , N/A ,$113.73 , N/A ,$140.58 ,$21.55 , N/A ,$140.58 , N/A ,$193.57 ,$187.68 , N/A , N/A ,$257.60 , N/A ,$184.00 , N/A ,$276.00 ,$185.84 ,$167.44 ,$185.84 , N/A ,$185.84 ,$142.00 ,$142.00 ,$142.00 ,$368.00 ,$312.80 , N/A ,$294.40 ,$136.16 ,$294.40 , N/A , N/A ,$368.00 ,$199.46 , N/A ,$96.78 , N/A , N/A ,$368.00 ,$804.08 , N/A ,$312.80 , N/A ,$242.14 ,$103.04 ,$331.20 ,$264.96 ,$368.00 ,$142.00 ,$231.84 ,$231.84 , N/A ,$176.64 ,$331.20 ST. JOHN'S HOSPITAL,44000070,92507,HC EARLY INTER SPEECH THPY TX 15MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000071,92507,HC EARLY INTER SPEECH THPY TX 30MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000072,92507,HC EARLY INTER SPEECH THPY TX 45MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000073,92507,HC EARLY INTER SPEECH THPY TX 60MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000074,92507,HC EARLY INTER SPEECH THPY TX 75MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000075,92507,HC EARLY INTER SPEECH THPY TX 90MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000076,92507,HC EARLY INTER SPEECH THPY TX 105MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000077,92507,HC EARLY INTER SPEECH THPY TX 120MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000079,92612,HC ENDOSCOPY SWALLOW (FEES) EVAL,440,1 ,$739.00 ,$480.35 ,$100.71 ,$739.00 ,$464.43 ,$155.00 ,$400.54 ,$185.77 ,$206.92 ,$254.96 ,$185.77 ,$283.78 ,$185.77 ,$282.30 ,$100.71 ,$185.77 ,$282.30 ,$352.96 ,$388.71 ,$376.89 ,$464.43 ,$185.77 ,$517.30 ,$185.77 ,$369.50 ,$189.49 ,$554.25 ,$373.20 ,$336.25 ,$373.20 ,$185.77 ,$373.20 ,$142.00 ,$142.00 ,$142.00 ,$739.00 ,$628.15 ,$464.43 ,$591.20 ,$273.43 ,$591.20 ,$185.77 ,$185.77 ,$739.00 ,$400.54 ,$185.77 ,$194.36 , N/A , N/A ,$631.26 ,$602.56 ,$195.06 ,$628.15 ,$417.98 ,$486.26 ,$206.92 ,$665.10 ,$532.08 ,$739.00 ,$142.00 ,$465.57 ,$465.57 ,$185.77 ,$354.72 ,$665.10 ST. JOHN'S HOSPITAL,44000080,92616,HC ENDOSCOPY SWALLOW (FEES) EVAL/SENSORY TESTING,440,1 ,"$1,062.00 ",$690.30 ,$142.00 ,"$1,062.00 ",$521.08 ,$155.00 ,$575.60 ,$208.43 ,$297.36 ,$366.39 ,$208.43 ,$407.81 ,$208.43 ,$405.68 ,$147.64 ,$208.43 ,$405.68 ,$396.02 ,$558.61 ,$541.62 ,$521.08 ,$208.43 ,$743.40 ,$208.43 ,$531.00 ,$212.60 ,$796.50 ,$536.31 ,$483.21 ,$536.31 ,$208.43 ,$536.31 ,$142.00 ,$142.00 ,$142.00 ,"$1,062.00 ",$902.70 ,$521.08 ,$849.60 ,$392.94 ,$849.60 ,$208.43 ,$208.43 ,"$1,062.00 ",$575.60 ,$208.43 ,$279.31 , N/A , N/A ,$631.26 ,$602.56 ,$218.85 ,$902.70 ,$468.97 ,$698.80 ,$297.36 ,$955.80 ,$764.64 ,"$1,062.00 ",$142.00 ,$669.06 ,$669.06 ,$208.43 ,$509.76 ,$955.80 ST. JOHN'S HOSPITAL,44000081,92507,HC EARLY INTER SPEECH THPY TX OFFSITE -15MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000082,92507,HC EARLY INTER SPEECH THPY TX OFFSITE - 30MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000083,92507,HC EARLY INTER SPEECH THPY TX OFFSTE - 45MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44000084,92507,HC EARLY INTER SPEECH THPY TX OFFSITE - 60MIN,440,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$155.00 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$142.00 ,$142.00 ,$142.00 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A ,$261.87 ,$249.96 ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$142.00 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,44200001,96105,HC ASSESS. APHASIA PER HOUR,442,1 ,$596.00 ,$387.40 ,$97.47 ,$804.08 ,$243.68 ,$155.00 ,$323.03 ,$97.47 ,$166.88 ,$205.62 ,$97.47 ,$228.86 ,$97.47 ,$227.67 ,$239.70 ,$97.47 ,$227.67 ,$185.19 ,$313.50 ,$303.96 ,$243.68 ,$97.47 ,$417.20 ,$97.47 ,$298.00 ,$99.42 ,$447.00 ,$300.98 ,$271.18 ,$300.98 ,$97.47 ,$300.98 ,$142.00 ,$142.00 ,$142.00 ,$596.00 ,$506.60 ,$243.68 ,$476.80 ,$220.52 ,$476.80 ,$97.47 ,$97.47 ,$596.00 ,$323.03 ,$97.47 ,$156.75 , N/A , N/A ,$596.00 ,$804.08 ,$102.34 ,$506.60 ,$219.31 ,$392.17 ,$166.88 ,$536.40 ,$429.12 ,$596.00 ,$142.00 ,$375.48 ,$375.48 ,$97.47 ,$286.08 ,$536.40 ST. JOHN'S HOSPITAL,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400018,92610,HC DYSPHAGIA EVALUATION 30MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400029,92611,HC DYSPHAGIA EVAL-VIDEO 15MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400030,92611,HC DYSPHAGIA EVAL-VIDEO 30MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400031,92611,HC DYSPHAGIA EVAL-VIDEO 45MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400032,92611,HC DYSPHAGIA EVAL-VIDEO 60MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400041,92522,HC EVALUATE SPEECH PRODUCTION 15MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400045,92607,HC EVAL AAC; SP GEN 1ST HR,444,1 ,$358.00 ,$232.70 ,$94.15 ,$358.00 ,$304.73 ,$155.00 ,$194.04 ,$121.89 ,$100.24 ,$123.51 ,$121.89 ,$137.47 ,$121.89 ,$136.76 ,$188.17 ,$121.89 ,$136.76 ,$231.59 ,$188.31 ,$182.58 ,$304.73 ,$121.89 ,$250.60 ,$121.89 ,$179.00 ,$124.33 ,$268.50 ,$180.79 ,$162.89 ,$180.79 ,$121.89 ,$180.79 ,$142.00 ,$142.00 ,$142.00 ,$358.00 ,$304.30 ,$304.73 ,$286.40 ,$132.46 ,$286.40 ,$121.89 ,$121.89 ,$358.00 ,$194.04 ,$121.89 ,$94.15 , N/A , N/A ,$261.87 ,$249.96 ,$127.98 ,$304.30 ,$274.25 ,$235.56 ,$100.24 ,$322.20 ,$257.76 ,$358.00 ,$142.00 ,$225.54 ,$225.54 ,$121.89 ,$171.84 ,$322.20 ST. JOHN'S HOSPITAL,44400046,92608,HC EVAL AAC ADD 1/2 HR,444,1 ,$156.00 ,$101.40 ,$41.03 ,$249.96 ,$120.68 ,$155.00 ,$84.55 ,$48.27 ,$43.68 ,$53.82 ,$48.27 ,$59.90 ,$48.27 ,$59.59 ,$74.68 ,$48.27 ,$59.59 ,$91.71 ,$82.06 ,$79.56 ,$120.68 ,$48.27 ,$109.20 ,$48.27 ,$78.00 ,$49.24 ,$117.00 ,$78.78 ,$70.98 ,$78.78 ,$48.27 ,$78.78 ,$142.00 ,$142.00 ,$142.00 ,$156.00 ,$132.60 ,$120.68 ,$124.80 ,$57.72 ,$124.80 ,$48.27 ,$48.27 ,$156.00 ,$84.55 ,$48.27 ,$41.03 , N/A , N/A ,$156.00 ,$249.96 ,$50.68 ,$132.60 ,$108.61 ,$102.65 ,$43.68 ,$140.40 ,$112.32 ,$156.00 ,$142.00 ,$98.28 ,$98.28 ,$48.27 ,$74.88 ,$140.40 ST. JOHN'S HOSPITAL,44400047,92605,HC EVAL NON SP GEN DEVICE,444,1 ,"$1,445.00 ",$939.25 ,$131.87 ,"$1,445.00 ", N/A ,$155.00 ,$783.19 , N/A ,$404.60 ,$462.40 , N/A ,$531.76 , N/A ,$551.99 ,$131.87 , N/A ,$551.99 , N/A ,$760.07 ,$736.95 , N/A , N/A ,"$1,011.50 ", N/A ,$722.50 , N/A ,"$1,083.75 ",$729.73 ,$657.48 ,$729.73 , N/A ,$729.73 ,$142.00 ,$142.00 ,$142.00 ,"$1,445.00 ","$1,228.25 ", N/A ,"$1,156.00 ",$534.65 ,"$1,156.00 ", N/A , N/A ,"$1,445.00 ",$783.19 , N/A ,$380.04 , N/A , N/A ,$261.87 ,$249.96 , N/A ,"$1,228.25 ", N/A ,$950.81 ,$404.60 ,"$1,300.50 ","$1,040.40 ","$1,445.00 ",$142.00 ,$910.35 ,$910.35 , N/A ,$693.60 ,"$1,300.50 " ST. JOHN'S HOSPITAL,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400055,92522,HC EVALUATE SPEECH PRODUCTION 30MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400056,92522,HC EVALUATE SPEECH PRODUCTION 45MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400057,92522,HC EVALUATE SPEECH PRODUCTION 60MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400064,92521,HC EVALUATION SPEECH FLUENCY 75MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400065,92521,HC EVALUATION SPEECH FLUENCY 90MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400066,92521,HC EVALUATION SPEECH FLUENCY 105MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400067,92521,HC EVALUATION SPEECH FLUENCY 120MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400068,92522,HC EVALUATE SPEECH PRODUCTION 75MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400069,92522,HC EVALUATE SPEECH PRODUCTION 90MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400070,92522,HC EVALUATE SPEECH PRODUCTION 105MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400071,92522,HC EVALUATE SPEECH PRODUCTION 120MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400072,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 75MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400073,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 90MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400074,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 105MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400075,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 120MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400076,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 75MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400077,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 90MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400078,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 105MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400079,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 120MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400084,92611,HC DYSPHAGIA EVAL-VIDEO 75MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400085,92611,HC DYSPHAGIA EVAL-VIDEO 90MIN,444,1 ,$698.00 ,$453.70 ,$55.69 ,$698.00 ,$226.13 ,$155.00 ,$378.32 ,$90.45 ,$195.44 ,$240.81 ,$90.45 ,$268.03 ,$90.45 ,$266.64 ,$130.78 ,$90.45 ,$266.64 ,$171.86 ,$367.15 ,$355.98 ,$226.13 ,$90.45 ,$488.60 ,$90.45 ,$349.00 ,$92.26 ,$523.50 ,$352.49 ,$317.59 ,$352.49 ,$90.45 ,$352.49 ,$142.00 ,$142.00 ,$142.00 ,$698.00 ,$593.30 ,$226.13 ,$558.40 ,$258.26 ,$558.40 ,$90.45 ,$90.45 ,$698.00 ,$378.32 ,$90.45 ,$183.57 , N/A , N/A ,$58.34 ,$55.69 ,$94.97 ,$593.30 ,$203.51 ,$459.28 ,$195.44 ,$628.20 ,$502.56 ,$698.00 ,$142.00 ,$439.74 ,$439.74 ,$90.45 ,$335.04 ,$628.20 ST. JOHN'S HOSPITAL,44400086,92610,HC DYSPHAGIA EVALUATION 75MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400087,92610,HC DYSPHAGIA EVALUATION 90MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400088,92610,HC DYSPHAGIA EVALUATION 105MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400089,92610,HC DYSPHAGIA EVALUATION 120MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400090,92610,HC DYSPHAGIA EVALUATION 135MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400091,92610,HC DYSPHAGIA EVALUATION 150MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400092,92610,HC DYSPHAGIA EVALUATION 165MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400093,92610,HC DYSPHAGIA EVALUATION 180MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400094,92597,HC VOICE PROST EVAL/FITTING 15MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400095,92597,HC VOICE PROST EVAL/FITTING 30MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400096,92597,HC VOICE PROST EVAL/FITTING 45MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400097,92597,HC VOICE PROST EVAL/FITTING 60MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400098,92597,HC VOICE PROST EVAL/FITTING 75MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400099,92597,HC VOICE PROST EVAL/FITTING 90MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400100,92597,HC VOICE PROST EVAL/FITTING 105MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,44400101,92521,HC EARLY INTER SPEECH FLUENCY EVAL 15 MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400102,92521,HC EARLY INTER SPEECH FLUENCY EVAL 30MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400103,92521,HC EARLY INTER SPEECH FLUENCY EVAL 45MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400104,92521,HC EARLY INTER SPEECH FLUENCY EVAL 60MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400105,92521,HC EARLY INTER SPEECH FLUENCY EVAL 75MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400106,92521,HC EARLY INTER SPEECH FLUENCY EVAL 90MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400107,92521,HC EARLY INTER SPEECH FLUENCY EVAL 105MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400108,92521,HC EARLY INTER SPEECH FLUENCY EVAL 120MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400109,92521,HC EARLY INTER SPEECH FLUENCY EVAL 135MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400110,92521,HC EARLY INTER SPEECH FLUENCY EVAL 150MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400111,92521,HC EARLY INTER SPEECH FLUENCY EVAL 165MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400112,92521,HC EARLY INTER SPEECH FLUENCY EVAL 180MIN,444,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$155.00 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400113,92522,HC EARLY INTER SPEECH SOUND PROD 15MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400114,92522,HC EARLY INTER SPEECH SOUND PROD 30MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400115,92522,HC EARLY INTER SPEECH SOUND PROD 45MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400116,92522,HC EARLY INTER SPEECH SOUND PROD 60MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400117,92522,HC EARLY INTER SPEECH SOUND PROD 75MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400118,92522,HC EARLY INTER SPEECH SOUND PROD 90MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400119,92522,HC EARLY INTER SPEECH SOUND PROD 105MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400120,92522,HC EARLY INTER SPEECH SOUND PROD 120MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400121,92522,HC EARLY INTER SPEECH SOUND PROD 135MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400122,92522,HC EARLY INTER SPEECH SOUND PROD 150MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400123,92522,HC EARLY INTER SPEECH SOUND PROD 165MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400124,92522,HC EARLY INTER SPEECH SOUND PROD 180MIN,444,1 ,$971.00 ,$631.15 ,$110.52 ,$971.00 ,$276.30 ,$155.00 ,$526.28 ,$110.52 ,$271.88 ,$335.00 ,$110.52 ,$372.86 ,$110.52 ,$370.92 ,$153.05 ,$110.52 ,$370.92 ,$209.99 ,$510.75 ,$495.21 ,$276.30 ,$110.52 ,$679.70 ,$110.52 ,$485.50 ,$112.73 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$110.52 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$276.30 ,$776.80 ,$359.27 ,$776.80 ,$110.52 ,$110.52 ,$971.00 ,$526.28 ,$110.52 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$116.05 ,$825.35 ,$248.67 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$110.52 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400125,92523,HC EARLY INTER SPEECH SOUND LANG COMP 15MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400126,92523,HC EARLY INTER SPEECH SOUND LANG COMP 30MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400127,92523,HC EARLY INTER SPEECH SOUND LANG COMP 45MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400128,92523,HC EARLY INTER SPEECH SOUND LANG COMP 60MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400129,92523,HC EARLY INTER SPEECH SOUND LANG COMP 75MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400130,92523,HC EARLY INTER SPEECH SOUND LANG COMP 90MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400131,92523,HC EARLY INTER SPEECH SOUND LANG COMP 105MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400132,92523,HC EARLY INTER SPEECH SOUND LANG COMP 120MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400133,92523,HC EARLY INTER SPEECH SOUND LANG COMP 135MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400134,92523,HC EARLY INTER SPEECH SOUND LANG COMP 150MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400135,92523,HC EARLY INTER SPEECH SOUND LANG COMP 165MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400136,92523,HC EARLY INTER SPEECH SOUND LANG COMP 180MIN,444,1 ,$971.00 ,$631.15 ,$142.00 ,$971.00 ,$559.90 ,$155.00 ,$526.28 ,$223.96 ,$271.88 ,$335.00 ,$223.96 ,$372.86 ,$223.96 ,$370.92 ,$324.11 ,$223.96 ,$370.92 ,$425.52 ,$510.75 ,$495.21 ,$559.90 ,$223.96 ,$679.70 ,$223.96 ,$485.50 ,$228.44 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$223.96 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$559.90 ,$776.80 ,$359.27 ,$776.80 ,$223.96 ,$223.96 ,$971.00 ,$526.28 ,$223.96 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$235.16 ,$825.35 ,$503.91 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$223.96 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400137,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 15MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400138,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 30MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400139,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 45MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400140,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 60MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400141,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 75MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400142,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 90MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400143,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 105MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400144,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 120MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400145,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 135MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400146,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 150MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400147,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 165MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400148,92524,HC EARLY INTER BEHAV QUAL ANALYSIS VOICE 180MIN,444,1 ,$971.00 ,$631.15 ,$108.95 ,$971.00 ,$272.38 ,$155.00 ,$526.28 ,$108.95 ,$271.88 ,$335.00 ,$108.95 ,$372.86 ,$108.95 ,$370.92 ,$147.88 ,$108.95 ,$370.92 ,$207.01 ,$510.75 ,$495.21 ,$272.38 ,$108.95 ,$679.70 ,$108.95 ,$485.50 ,$111.13 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$108.95 ,$490.36 ,$142.00 ,$142.00 ,$142.00 ,$971.00 ,$825.35 ,$272.38 ,$776.80 ,$359.27 ,$776.80 ,$108.95 ,$108.95 ,$971.00 ,$526.28 ,$108.95 ,$255.37 , N/A , N/A ,$261.87 ,$249.96 ,$114.40 ,$825.35 ,$245.14 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$142.00 ,$611.73 ,$611.73 ,$108.95 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,44400149,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 15MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400150,92610,HC EARLY INTER DYHSPHAGIA/SWALLOW EVAL 30MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400151,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 45MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400152,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 60MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400153,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 75MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400154,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 90MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400155,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 105MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400156,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 120MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400157,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 135MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400158,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 150MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400159,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 165MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400160,92610,HC EARLY INTER DYSPHAGIA/SWALLOW EVAL 180MIN,444,1 ,$554.00 ,$360.10 ,$84.15 ,$554.00 ,$210.38 ,$155.00 ,$300.27 ,$84.15 ,$155.12 ,$191.13 ,$84.15 ,$212.74 ,$84.15 ,$211.63 ,$144.89 ,$84.15 ,$211.63 ,$159.89 ,$291.40 ,$282.54 ,$210.38 ,$84.15 ,$387.80 ,$84.15 ,$277.00 ,$85.83 ,$415.50 ,$279.77 ,$252.07 ,$279.77 ,$84.15 ,$279.77 ,$142.00 ,$142.00 ,$142.00 ,$554.00 ,$470.90 ,$210.38 ,$443.20 ,$204.98 ,$443.20 ,$84.15 ,$84.15 ,$554.00 ,$300.27 ,$84.15 ,$145.70 , N/A , N/A ,$261.87 ,$249.96 ,$88.36 ,$470.90 ,$189.34 ,$364.53 ,$155.12 ,$498.60 ,$398.88 ,$554.00 ,$142.00 ,$349.02 ,$349.02 ,$84.15 ,$265.92 ,$498.60 ST. JOHN'S HOSPITAL,44400161,92597,HC VOICE PROST EVAL/FITTING 120MIN,444,1 ,$684.00 ,$444.60 ,$71.72 ,$684.00 ,$179.30 ,$155.00 ,$370.73 ,$71.72 ,$191.52 ,$235.98 ,$71.72 ,$262.66 ,$71.72 ,$261.29 ,$150.94 ,$71.72 ,$261.29 ,$136.27 ,$359.78 ,$348.84 ,$179.30 ,$71.72 ,$478.80 ,$71.72 ,$342.00 ,$73.15 ,$513.00 ,$345.42 ,$311.22 ,$345.42 ,$71.72 ,$345.42 ,$142.00 ,$142.00 ,$142.00 ,$684.00 ,$581.40 ,$179.30 ,$547.20 ,$253.08 ,$547.20 ,$71.72 ,$71.72 ,$684.00 ,$370.73 ,$71.72 ,$179.89 , N/A , N/A ,$261.87 ,$249.96 ,$75.31 ,$581.40 ,$161.37 ,$450.07 ,$191.52 ,$615.60 ,$492.48 ,$684.00 ,$142.00 ,$430.92 ,$430.92 ,$71.72 ,$328.32 ,$615.60 ST. JOHN'S HOSPITAL,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$838.00 ,$544.70 ,$220.39 ,$838.00 ,$830.60 ,$385.48 ,$454.20 ,$332.24 ,$234.64 ,$289.11 ,$332.24 ,$330.17 ,$332.24 ,$335.20 ,$335.20 ,$332.24 ,$335.20 ,$631.26 ,$440.79 ,$427.38 ,$830.61 ,$332.24 ,$586.60 ,$332.24 ,$419.00 ,$338.89 ,$628.50 ,$373.75 ,$336.04 ,$373.75 ,$332.24 ,$373.75 ,$527.94 ,$527.94 ,$594.98 ,$838.00 ,$712.30 ,$830.61 ,$670.40 ,$310.06 ,$670.40 ,$332.24 ,$332.24 ,$838.00 ,$454.20 ,$332.24 ,$220.39 , N/A , N/A , N/A , N/A ,$348.85 ,$712.30 ,$747.55 ,$335.20 ,$234.64 ,$754.20 ,$603.36 ,$838.00 ,$527.94 ,$425.00 ,$425.00 ,$332.24 ,$402.24 ,$754.20 ST. JOHN'S HOSPITAL,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$1,495.43 ","$1,495.43 ",$333.96 ,$393.49 ,$598.17 ,$203.28 ,$250.47 ,$598.17 ,$286.04 ,$598.17 ,$290.40 ,$290.40 ,$598.17 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$1,495.43 ",$598.17 ,$508.20 ,$598.17 ,$363.00 ,$610.13 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$598.17 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$598.17 ,$598.17 ,$726.00 ,$393.49 ,$598.17 ,$190.94 , N/A , N/A , N/A , N/A ,$628.08 ,$617.10 ,"$1,345.88 ",$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$598.17 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$2,321.00 ","$1,508.65 ",$425.00 ,"$2,321.00 ","$1,495.43 ","$1,067.66 ","$1,257.98 ",$598.17 ,$649.88 ,$800.75 ,$598.17 ,$914.47 ,$598.17 ,$928.40 ,$928.40 ,$598.17 ,$928.40 ,"$1,136.52 ","$1,220.85 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,624.70 ",$598.17 ,"$1,160.50 ",$610.13 ,"$1,740.75 ","$1,035.17 ",$930.72 ,"$1,035.17 ",$598.17 ,"$1,035.17 ","$1,462.23 ","$1,462.23 ","$1,647.91 ","$2,321.00 ","$1,972.85 ","$1,495.43 ","$1,856.80 ",$858.77 ,"$1,856.80 ",$598.17 ,$598.17 ,"$2,321.00 ","$1,257.98 ",$598.17 ,$610.42 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,972.85 ","$1,345.88 ",$928.40 ,$649.88 ,"$2,088.90 ","$1,671.12 ","$2,321.00 ","$1,462.23 ",$425.00 ,$425.00 ,$598.17 ,"$1,114.08 ","$2,088.90 " ST. JOHN'S HOSPITAL,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,"$1,088.00 ",$707.20 ,$286.14 ,"$1,088.00 ",$830.60 ,$500.48 ,$589.70 ,$332.24 ,$304.64 ,$375.36 ,$332.24 ,$428.67 ,$332.24 ,$435.20 ,$435.20 ,$332.24 ,$435.20 ,$631.26 ,$572.29 ,$554.88 ,$830.61 ,$332.24 ,$761.60 ,$332.24 ,$544.00 ,$338.89 ,$816.00 ,$485.25 ,$436.29 ,$485.25 ,$332.24 ,$485.25 ,$685.44 ,$685.44 ,$772.48 ,"$1,088.00 ",$924.80 ,$830.61 ,$870.40 ,$402.56 ,$870.40 ,$332.24 ,$332.24 ,"$1,088.00 ",$589.70 ,$332.24 ,$286.14 , N/A , N/A , N/A , N/A ,$348.85 ,$924.80 ,$747.55 ,$435.20 ,$304.64 ,$979.20 ,$783.36 ,"$1,088.00 ",$685.44 ,$425.00 ,$425.00 ,$332.24 ,$522.24 ,$979.20 ST. JOHN'S HOSPITAL,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$484.00 ,$314.60 ,$127.29 ,$484.00 ,$431.55 ,$222.64 ,$262.33 ,$172.62 ,$135.52 ,$166.98 ,$172.62 ,$190.70 ,$172.62 ,$193.60 ,$193.60 ,$172.62 ,$193.60 ,$327.97 ,$254.58 ,$246.84 ,$431.54 ,$172.62 ,$338.80 ,$172.62 ,$242.00 ,$176.07 ,$363.00 ,$215.86 ,$194.08 ,$215.86 ,$172.62 ,$215.86 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$431.54 ,$387.20 ,$179.08 ,$387.20 ,$172.62 ,$172.62 ,$484.00 ,$262.33 ,$172.62 ,$127.29 , N/A , N/A , N/A , N/A ,$181.25 ,$411.40 ,$388.39 ,$193.60 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$425.00 ,$425.00 ,$172.62 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$430.00 ,$279.50 ,$113.09 ,$430.00 , N/A ,$197.80 ,$233.06 , N/A ,$120.40 ,$148.35 , N/A ,$169.42 , N/A ,$172.00 ,$172.00 , N/A ,$172.00 , N/A ,$226.18 ,$219.30 , N/A , N/A ,$301.00 , N/A ,$215.00 , N/A ,$322.50 ,$191.78 ,$172.43 ,$191.78 , N/A ,$191.78 ,$270.90 ,$270.90 ,$305.30 ,$430.00 ,$365.50 , N/A ,$344.00 ,$159.10 ,$344.00 , N/A , N/A ,$430.00 ,$233.06 , N/A ,$113.09 , N/A , N/A , N/A , N/A , N/A ,$365.50 , N/A ,$172.00 ,$120.40 ,$387.00 ,$309.60 ,$430.00 ,$270.90 ,$425.00 ,$425.00 , N/A ,$206.40 ,$387.00 ST. JOHN'S HOSPITAL,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$271.00 ,$176.15 ,$71.27 ,$271.00 ,$270.98 ,$124.66 ,$146.88 ,$108.39 ,$75.88 ,$93.50 ,$108.39 ,$106.77 ,$108.39 ,$108.40 ,$108.40 ,$108.39 ,$108.40 ,$205.94 ,$142.55 ,$138.21 ,$270.97 ,$108.39 ,$189.70 ,$108.39 ,$135.50 ,$110.56 ,$203.25 ,$120.87 ,$108.67 ,$120.87 ,$108.39 ,$120.87 ,$170.73 ,$170.73 ,$192.41 ,$271.00 ,$230.35 ,$270.97 ,$216.80 ,$100.27 ,$216.80 ,$108.39 ,$108.39 ,$271.00 ,$146.88 ,$108.39 ,$71.27 , N/A , N/A , N/A , N/A ,$113.81 ,$230.35 ,$243.87 ,$108.40 ,$75.88 ,$243.90 ,$195.12 ,$271.00 ,$170.73 ,$271.00 ,$271.00 ,$108.39 ,$130.08 ,$243.90 ST. JOHN'S HOSPITAL,45000012,11760,HC REPAIR NAIL BED,450,1 ,$838.00 ,$544.70 ,$220.39 ,"$1,258.60 ","$1,258.60 ",$385.48 ,$454.20 ,$503.44 ,$234.64 ,$289.11 ,$503.44 ,$330.17 ,$503.44 ,$335.20 ,$335.20 ,$503.44 ,$335.20 ,$838.00 ,$440.79 ,$427.38 ,"$1,258.60 ",$503.44 ,$586.60 ,$503.44 ,$419.00 ,$513.51 ,$628.50 ,$373.75 ,$336.04 ,$373.75 ,$503.44 ,$373.75 ,$527.94 ,$527.94 ,$594.98 ,$838.00 ,$712.30 ,$838.00 ,$670.40 ,$310.06 ,$670.40 ,$503.44 ,$503.44 ,$838.00 ,$454.20 ,$503.44 ,$220.39 , N/A , N/A , N/A , N/A ,$528.61 ,$712.30 ,"$1,132.74 ",$335.20 ,$234.64 ,$754.20 ,$603.36 ,$838.00 ,$527.94 ,$425.00 ,$425.00 ,$503.44 ,$402.24 ,$754.20 ST. JOHN'S HOSPITAL,45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,$449.00 ,$291.85 ,$118.09 ,$830.61 ,$830.60 ,$206.54 ,$243.36 ,$332.24 ,$125.72 ,$154.91 ,$332.24 ,$176.91 ,$332.24 ,$179.60 ,$179.60 ,$332.24 ,$179.60 ,$449.00 ,$236.17 ,$228.99 ,$830.61 ,$332.24 ,$314.30 ,$332.24 ,$224.50 ,$338.89 ,$336.75 ,$200.25 ,$180.05 ,$200.25 ,$332.24 ,$200.25 ,$282.87 ,$282.87 ,$318.79 ,$449.00 ,$381.65 ,$449.00 ,$359.20 ,$166.13 ,$359.20 ,$332.24 ,$332.24 ,$449.00 ,$243.36 ,$332.24 ,$118.09 , N/A , N/A , N/A , N/A ,$348.85 ,$381.65 ,$747.55 ,$179.60 ,$125.72 ,$404.10 ,$323.28 ,$449.00 ,$282.87 ,$425.00 ,$425.00 ,$332.24 ,$215.52 ,$404.10 ST. JOHN'S HOSPITAL,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$668.00 ,$434.20 ,$172.62 ,$668.00 ,$431.55 ,$307.28 ,$362.06 ,$172.62 ,$187.04 ,$230.46 ,$172.62 ,$263.19 ,$172.62 ,$267.20 ,$267.20 ,$172.62 ,$267.20 ,$327.97 ,$351.37 ,$340.68 ,$431.54 ,$172.62 ,$467.60 ,$172.62 ,$334.00 ,$176.07 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$172.62 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$431.54 ,$534.40 ,$247.16 ,$534.40 ,$172.62 ,$172.62 ,$668.00 ,$362.06 ,$172.62 ,$175.68 , N/A , N/A , N/A , N/A ,$181.25 ,$567.80 ,$388.39 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$172.62 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$688.00 ,$447.20 ,$172.62 ,$688.00 ,$431.55 ,$316.48 ,$372.90 ,$172.62 ,$192.64 ,$237.36 ,$172.62 ,$271.07 ,$172.62 ,$275.20 ,$275.20 ,$172.62 ,$275.20 ,$327.97 ,$361.89 ,$350.88 ,$431.54 ,$172.62 ,$481.60 ,$172.62 ,$344.00 ,$176.07 ,$516.00 ,$306.85 ,$275.89 ,$306.85 ,$172.62 ,$306.85 ,$433.44 ,$433.44 ,$488.48 ,$688.00 ,$584.80 ,$431.54 ,$550.40 ,$254.56 ,$550.40 ,$172.62 ,$172.62 ,$688.00 ,$372.90 ,$172.62 ,$180.94 , N/A , N/A , N/A , N/A ,$181.25 ,$584.80 ,$388.39 ,$275.20 ,$192.64 ,$619.20 ,$495.36 ,$688.00 ,$433.44 ,$425.00 ,$425.00 ,$172.62 ,$330.24 ,$619.20 ST. JOHN'S HOSPITAL,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$718.00 ,$466.70 ,$172.62 ,$718.00 ,$431.55 ,$330.28 ,$389.16 ,$172.62 ,$201.04 ,$247.71 ,$172.62 ,$282.89 ,$172.62 ,$287.20 ,$287.20 ,$172.62 ,$287.20 ,$327.97 ,$377.67 ,$366.18 ,$431.54 ,$172.62 ,$502.60 ,$172.62 ,$359.00 ,$176.07 ,$538.50 ,$320.23 ,$287.92 ,$320.23 ,$172.62 ,$320.23 ,$452.34 ,$452.34 ,$509.78 ,$718.00 ,$610.30 ,$431.54 ,$574.40 ,$265.66 ,$574.40 ,$172.62 ,$172.62 ,$718.00 ,$389.16 ,$172.62 ,$188.83 , N/A , N/A , N/A , N/A ,$181.25 ,$610.30 ,$388.39 ,$287.20 ,$201.04 ,$646.20 ,$516.96 ,$718.00 ,$452.34 ,$425.00 ,$425.00 ,$172.62 ,$344.64 ,$646.20 ST. JOHN'S HOSPITAL,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$734.00 ,$477.10 ,$193.04 ,$830.61 ,$830.60 ,$337.64 ,$397.83 ,$332.24 ,$205.52 ,$253.23 ,$332.24 ,$289.20 ,$332.24 ,$293.60 ,$293.60 ,$332.24 ,$293.60 ,$631.26 ,$386.08 ,$374.34 ,$830.61 ,$332.24 ,$513.80 ,$332.24 ,$367.00 ,$338.89 ,$550.50 ,$327.36 ,$294.33 ,$327.36 ,$332.24 ,$327.36 ,$462.42 ,$462.42 ,$521.14 ,$734.00 ,$623.90 ,$734.00 ,$587.20 ,$271.58 ,$587.20 ,$332.24 ,$332.24 ,$734.00 ,$397.83 ,$332.24 ,$193.04 , N/A , N/A , N/A , N/A ,$348.85 ,$623.90 ,$747.55 ,$293.60 ,$205.52 ,$660.60 ,$528.48 ,$734.00 ,$462.42 ,$425.00 ,$425.00 ,$332.24 ,$352.32 ,$660.60 ST. JOHN'S HOSPITAL,45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$746.00 ,$484.90 ,$196.20 ,$830.61 ,$830.60 ,$343.16 ,$404.33 ,$332.24 ,$208.88 ,$257.37 ,$332.24 ,$293.92 ,$332.24 ,$298.40 ,$298.40 ,$332.24 ,$298.40 ,$631.26 ,$392.40 ,$380.46 ,$830.61 ,$332.24 ,$522.20 ,$332.24 ,$373.00 ,$338.89 ,$559.50 ,$332.72 ,$299.15 ,$332.72 ,$332.24 ,$332.72 ,$469.98 ,$469.98 ,$529.66 ,$746.00 ,$634.10 ,$746.00 ,$596.80 ,$276.02 ,$596.80 ,$332.24 ,$332.24 ,$746.00 ,$404.33 ,$332.24 ,$196.20 , N/A , N/A , N/A , N/A ,$348.85 ,$634.10 ,$747.55 ,$298.40 ,$208.88 ,$671.40 ,$537.12 ,$746.00 ,$469.98 ,$425.00 ,$425.00 ,$332.24 ,$358.08 ,$671.40 ST. JOHN'S HOSPITAL,45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,$798.00 ,$518.70 ,$172.62 ,$798.00 ,$431.55 ,$367.08 ,$432.52 ,$172.62 ,$223.44 ,$275.31 ,$172.62 ,$314.41 ,$172.62 ,$319.20 ,$319.20 ,$172.62 ,$319.20 ,$327.97 ,$419.75 ,$406.98 ,$431.54 ,$172.62 ,$558.60 ,$172.62 ,$399.00 ,$176.07 ,$598.50 ,$355.91 ,$320.00 ,$355.91 ,$172.62 ,$355.91 ,$502.74 ,$502.74 ,$566.58 ,$798.00 ,$678.30 ,$431.54 ,$638.40 ,$295.26 ,$638.40 ,$172.62 ,$172.62 ,$798.00 ,$432.52 ,$172.62 ,$209.87 , N/A , N/A , N/A , N/A ,$181.25 ,$678.30 ,$388.39 ,$319.20 ,$223.44 ,$718.20 ,$574.56 ,$798.00 ,$502.74 ,$425.00 ,$425.00 ,$172.62 ,$383.04 ,$718.20 ST. JOHN'S HOSPITAL,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$744.00 ,$483.60 ,$172.62 ,$744.00 ,$431.55 ,$342.24 ,$403.25 ,$172.62 ,$208.32 ,$256.68 ,$172.62 ,$293.14 ,$172.62 ,$297.60 ,$297.60 ,$172.62 ,$297.60 ,$327.97 ,$391.34 ,$379.44 ,$431.54 ,$172.62 ,$520.80 ,$172.62 ,$372.00 ,$176.07 ,$558.00 ,$331.82 ,$298.34 ,$331.82 ,$172.62 ,$331.82 ,$468.72 ,$468.72 ,$528.24 ,$744.00 ,$632.40 ,$431.54 ,$595.20 ,$275.28 ,$595.20 ,$172.62 ,$172.62 ,$744.00 ,$403.25 ,$172.62 ,$195.67 , N/A , N/A , N/A , N/A ,$181.25 ,$632.40 ,$388.39 ,$297.60 ,$208.32 ,$669.60 ,$535.68 ,$744.00 ,$468.72 ,$425.00 ,$425.00 ,$172.62 ,$357.12 ,$669.60 ST. JOHN'S HOSPITAL,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$751.00 ,$488.15 ,$172.62 ,$751.00 ,$431.55 ,$345.46 ,$407.04 ,$172.62 ,$210.28 ,$259.10 ,$172.62 ,$295.89 ,$172.62 ,$300.40 ,$300.40 ,$172.62 ,$300.40 ,$327.97 ,$395.03 ,$383.01 ,$431.54 ,$172.62 ,$525.70 ,$172.62 ,$375.50 ,$176.07 ,$563.25 ,$334.95 ,$301.15 ,$334.95 ,$172.62 ,$334.95 ,$473.13 ,$473.13 ,$533.21 ,$751.00 ,$638.35 ,$431.54 ,$600.80 ,$277.87 ,$600.80 ,$172.62 ,$172.62 ,$751.00 ,$407.04 ,$172.62 ,$197.51 , N/A , N/A , N/A , N/A ,$181.25 ,$638.35 ,$388.39 ,$300.40 ,$210.28 ,$675.90 ,$540.72 ,$751.00 ,$473.13 ,$425.00 ,$425.00 ,$172.62 ,$360.48 ,$675.90 ST. JOHN'S HOSPITAL,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$756.00 ,$491.40 ,$172.62 ,$756.00 ,$431.55 ,$347.76 ,$409.75 ,$172.62 ,$211.68 ,$260.82 ,$172.62 ,$297.86 ,$172.62 ,$302.40 ,$302.40 ,$172.62 ,$302.40 ,$327.97 ,$397.66 ,$385.56 ,$431.54 ,$172.62 ,$529.20 ,$172.62 ,$378.00 ,$176.07 ,$567.00 ,$337.18 ,$303.16 ,$337.18 ,$172.62 ,$337.18 ,$476.28 ,$476.28 ,$536.76 ,$756.00 ,$642.60 ,$431.54 ,$604.80 ,$279.72 ,$604.80 ,$172.62 ,$172.62 ,$756.00 ,$409.75 ,$172.62 ,$198.83 , N/A , N/A , N/A , N/A ,$181.25 ,$642.60 ,$388.39 ,$302.40 ,$211.68 ,$680.40 ,$544.32 ,$756.00 ,$476.28 ,$425.00 ,$425.00 ,$172.62 ,$362.88 ,$680.40 ST. JOHN'S HOSPITAL,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$774.00 ,$503.10 ,$172.62 ,$774.00 ,$431.55 ,$356.04 ,$419.51 ,$172.62 ,$216.72 ,$267.03 ,$172.62 ,$304.96 ,$172.62 ,$309.60 ,$309.60 ,$172.62 ,$309.60 ,$327.97 ,$407.12 ,$394.74 ,$431.54 ,$172.62 ,$541.80 ,$172.62 ,$387.00 ,$176.07 ,$580.50 ,$345.20 ,$310.37 ,$345.20 ,$172.62 ,$345.20 ,$487.62 ,$487.62 ,$549.54 ,$774.00 ,$657.90 ,$431.54 ,$619.20 ,$286.38 ,$619.20 ,$172.62 ,$172.62 ,$774.00 ,$419.51 ,$172.62 ,$203.56 , N/A , N/A , N/A , N/A ,$181.25 ,$657.90 ,$388.39 ,$309.60 ,$216.72 ,$696.60 ,$557.28 ,$774.00 ,$487.62 ,$425.00 ,$425.00 ,$172.62 ,$371.52 ,$696.60 ST. JOHN'S HOSPITAL,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$786.00 ,$510.90 ,$206.72 ,$830.61 ,$830.60 ,$361.56 ,$426.01 ,$332.24 ,$220.08 ,$271.17 ,$332.24 ,$309.68 ,$332.24 ,$314.40 ,$314.40 ,$332.24 ,$314.40 ,$631.26 ,$413.44 ,$400.86 ,$830.61 ,$332.24 ,$550.20 ,$332.24 ,$393.00 ,$338.89 ,$589.50 ,$350.56 ,$315.19 ,$350.56 ,$332.24 ,$350.56 ,$495.18 ,$495.18 ,$558.06 ,$786.00 ,$668.10 ,$786.00 ,$628.80 ,$290.82 ,$628.80 ,$332.24 ,$332.24 ,$786.00 ,$426.01 ,$332.24 ,$206.72 , N/A , N/A , N/A , N/A ,$348.85 ,$668.10 ,$747.55 ,$314.40 ,$220.08 ,$707.40 ,$565.92 ,$786.00 ,$495.18 ,$425.00 ,$425.00 ,$332.24 ,$377.28 ,$707.40 ST. JOHN'S HOSPITAL,45000027,12020,HC SIMP SUPERFICIAL DEHISCENCE,450,1 ,$915.00 ,$594.75 ,$240.65 ,"$1,258.60 ","$1,258.60 ",$420.90 ,$495.93 ,$503.44 ,$256.20 ,$315.68 ,$503.44 ,$360.51 ,$503.44 ,$366.00 ,$366.00 ,$503.44 ,$366.00 ,$915.00 ,$481.29 ,$466.65 ,"$1,258.60 ",$503.44 ,$640.50 ,$503.44 ,$457.50 ,$513.51 ,$686.25 ,$408.09 ,$366.92 ,$408.09 ,$503.44 ,$408.09 ,$576.45 ,$576.45 ,$649.65 ,$915.00 ,$777.75 ,$915.00 ,$732.00 ,$338.55 ,$732.00 ,$503.44 ,$503.44 ,$915.00 ,$495.93 ,$503.44 ,$240.65 , N/A , N/A , N/A , N/A ,$528.61 ,$777.75 ,"$1,132.74 ",$366.00 ,$256.20 ,$823.50 ,$658.80 ,$915.00 ,$576.45 ,$425.00 ,$425.00 ,$503.44 ,$439.20 ,$823.50 ST. JOHN'S HOSPITAL,45000028,12021,HC SIMP SUPERFICIAL DEHISCENC/PAK,450,1 ,"$1,892.00 ","$1,229.80 ",$332.24 ,"$1,892.00 ",$830.60 ,$870.32 ,"$1,025.46 ",$332.24 ,$529.76 ,$652.74 ,$332.24 ,$745.45 ,$332.24 ,$756.80 ,$756.80 ,$332.24 ,$756.80 ,$631.26 ,$995.19 ,$964.92 ,$830.61 ,$332.24 ,"$1,324.40 ",$332.24 ,$946.00 ,$338.89 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$332.24 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$830.61 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$332.24 ,$332.24 ,"$1,892.00 ","$1,025.46 ",$332.24 ,$497.60 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,608.20 ",$747.55 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$332.24 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$726.00 ,$471.90 ,$190.94 ,$830.61 ,$830.60 ,$333.96 ,$393.49 ,$332.24 ,$203.28 ,$250.47 ,$332.24 ,$286.04 ,$332.24 ,$290.40 ,$290.40 ,$332.24 ,$290.40 ,$631.26 ,$381.88 ,$370.26 ,$830.61 ,$332.24 ,$508.20 ,$332.24 ,$363.00 ,$338.89 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$332.24 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$332.24 ,$332.24 ,$726.00 ,$393.49 ,$332.24 ,$190.94 , N/A , N/A , N/A , N/A ,$348.85 ,$617.10 ,$747.55 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$332.24 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$794.00 ,$516.10 ,$208.82 ,$830.61 ,$830.60 ,$365.24 ,$430.35 ,$332.24 ,$222.32 ,$273.93 ,$332.24 ,$312.84 ,$332.24 ,$317.60 ,$317.60 ,$332.24 ,$317.60 ,$631.26 ,$417.64 ,$404.94 ,$830.61 ,$332.24 ,$555.80 ,$332.24 ,$397.00 ,$338.89 ,$595.50 ,$354.12 ,$318.39 ,$354.12 ,$332.24 ,$354.12 ,$500.22 ,$500.22 ,$563.74 ,$794.00 ,$674.90 ,$794.00 ,$635.20 ,$293.78 ,$635.20 ,$332.24 ,$332.24 ,$794.00 ,$430.35 ,$332.24 ,$208.82 , N/A , N/A , N/A , N/A ,$348.85 ,$674.90 ,$747.55 ,$317.60 ,$222.32 ,$714.60 ,$571.68 ,$794.00 ,$500.22 ,$425.00 ,$425.00 ,$332.24 ,$381.12 ,$714.60 ST. JOHN'S HOSPITAL,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,"$1,615.00 ","$1,049.75 ",$332.24 ,"$1,615.00 ",$830.60 ,$742.90 ,$875.33 ,$332.24 ,$452.20 ,$557.18 ,$332.24 ,$636.31 ,$332.24 ,$646.00 ,$646.00 ,$332.24 ,$646.00 ,$631.26 ,$849.49 ,$823.65 ,$830.61 ,$332.24 ,"$1,130.50 ",$332.24 ,$807.50 ,$338.89 ,"$1,211.25 ",$720.29 ,$647.62 ,$720.29 ,$332.24 ,$720.29 ,"$1,017.45 ","$1,017.45 ","$1,146.65 ","$1,615.00 ","$1,372.75 ",$830.61 ,"$1,292.00 ",$597.55 ,"$1,292.00 ",$332.24 ,$332.24 ,"$1,615.00 ",$875.33 ,$332.24 ,$424.75 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,372.75 ",$747.55 ,$646.00 ,$452.20 ,"$1,453.50 ","$1,162.80 ","$1,615.00 ","$1,017.45 ",$425.00 ,$425.00 ,$332.24 ,$775.20 ,"$1,453.50 " ST. JOHN'S HOSPITAL,45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,"$1,892.00 ","$1,229.80 ",$332.24 ,"$1,892.00 ",$830.60 ,$870.32 ,"$1,025.46 ",$332.24 ,$529.76 ,$652.74 ,$332.24 ,$745.45 ,$332.24 ,$756.80 ,$756.80 ,$332.24 ,$756.80 ,$631.26 ,$995.19 ,$964.92 ,$830.61 ,$332.24 ,"$1,324.40 ",$332.24 ,$946.00 ,$338.89 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$332.24 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$830.61 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$332.24 ,$332.24 ,"$1,892.00 ","$1,025.46 ",$332.24 ,$497.60 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,608.20 ",$747.55 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$332.24 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000033,12036,HC INTRM S/A/T/EXT 20.1-30.0CM,450,1 ,"$2,099.00 ","$1,364.35 ",$425.00 ,"$2,099.00 ","$1,258.60 ",$965.54 ,"$1,137.66 ",$503.44 ,$587.72 ,$724.16 ,$503.44 ,$827.01 ,$503.44 ,$839.60 ,$839.60 ,$503.44 ,$839.60 ,$956.53 ,"$1,104.07 ","$1,049.00 ","$1,258.60 ",$503.44 ,"$1,469.30 ",$503.44 ,"$1,049.50 ",$513.51 ,"$1,574.25 ",$936.15 ,$841.70 ,$936.15 ,$503.44 ,$936.15 ,"$1,322.37 ","$1,322.37 ","$1,490.29 ","$2,099.00 ","$1,784.15 ","$1,258.60 ","$1,679.20 ",$776.63 ,"$1,679.20 ",$503.44 ,$503.44 ,"$2,099.00 ","$1,137.66 ",$503.44 ,$552.04 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,784.15 ","$1,132.74 ",$839.60 ,$587.72 ,"$1,889.10 ","$1,511.28 ","$2,099.00 ","$1,322.37 ",$425.00 ,$425.00 ,$503.44 ,"$1,007.52 ","$1,889.10 " ST. JOHN'S HOSPITAL,45000034,12037,HC INTRM S/A/T/EXT OVER 30CM,450,1 ,"$2,788.00 ","$1,812.20 ",$425.00 ,"$4,116.01 ","$4,116.00 ","$1,282.48 ","$1,511.10 ","$1,646.40 ",$780.64 ,$961.86 ,"$1,646.40 ","$1,098.47 ","$1,646.40 ","$1,115.20 ","$1,115.20 ","$1,646.40 ","$1,115.20 ","$2,788.00 ","$1,466.49 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$1,951.60 ","$1,646.40 ","$1,394.00 ","$1,679.33 ","$2,091.00 ","$1,243.45 ","$1,117.99 ","$1,243.45 ","$1,646.40 ","$1,243.45 ","$1,756.44 ","$1,756.44 ","$1,979.48 ","$2,788.00 ","$2,369.80 ","$2,788.00 ","$2,230.40 ","$1,031.56 ","$2,230.40 ","$1,646.40 ","$1,646.40 ","$2,788.00 ","$1,511.10 ","$1,646.40 ",$733.24 , N/A , N/A , N/A , N/A ,"$1,728.72 ","$2,369.80 ","$3,704.41 ","$1,115.20 ",$780.64 ,"$2,509.20 ","$2,007.36 ","$2,788.00 ","$1,756.44 ",$425.00 ,$425.00 ,"$1,646.40 ","$1,338.24 ","$2,509.20 " ST. JOHN'S HOSPITAL,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$718.00 ,$466.70 ,$188.83 ,$830.61 ,$830.60 ,$330.28 ,$389.16 ,$332.24 ,$201.04 ,$247.71 ,$332.24 ,$282.89 ,$332.24 ,$287.20 ,$287.20 ,$332.24 ,$287.20 ,$631.26 ,$377.67 ,$366.18 ,$830.61 ,$332.24 ,$502.60 ,$332.24 ,$359.00 ,$338.89 ,$538.50 ,$320.23 ,$287.92 ,$320.23 ,$332.24 ,$320.23 ,$452.34 ,$452.34 ,$509.78 ,$718.00 ,$610.30 ,$718.00 ,$574.40 ,$265.66 ,$574.40 ,$332.24 ,$332.24 ,$718.00 ,$389.16 ,$332.24 ,$188.83 , N/A , N/A , N/A , N/A ,$348.85 ,$610.30 ,$747.55 ,$287.20 ,$201.04 ,$646.20 ,$516.96 ,$718.00 ,$452.34 ,$425.00 ,$425.00 ,$332.24 ,$344.64 ,$646.20 ST. JOHN'S HOSPITAL,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$794.00 ,$516.10 ,$208.82 ,$830.61 ,$830.60 ,$365.24 ,$430.35 ,$332.24 ,$222.32 ,$273.93 ,$332.24 ,$312.84 ,$332.24 ,$317.60 ,$317.60 ,$332.24 ,$317.60 ,$631.26 ,$417.64 ,$404.94 ,$830.61 ,$332.24 ,$555.80 ,$332.24 ,$397.00 ,$338.89 ,$595.50 ,$354.12 ,$318.39 ,$354.12 ,$332.24 ,$354.12 ,$500.22 ,$500.22 ,$563.74 ,$794.00 ,$674.90 ,$794.00 ,$635.20 ,$293.78 ,$635.20 ,$332.24 ,$332.24 ,$794.00 ,$430.35 ,$332.24 ,$208.82 , N/A , N/A , N/A , N/A ,$348.85 ,$674.90 ,$747.55 ,$317.60 ,$222.32 ,$714.60 ,$571.68 ,$794.00 ,$500.22 ,$425.00 ,$425.00 ,$332.24 ,$381.12 ,$714.60 ST. JOHN'S HOSPITAL,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$794.00 ,$516.10 ,$208.82 ,"$1,258.60 ","$1,258.60 ",$365.24 ,$430.35 ,$503.44 ,$222.32 ,$273.93 ,$503.44 ,$312.84 ,$503.44 ,$317.60 ,$317.60 ,$503.44 ,$317.60 ,$794.00 ,$417.64 ,$404.94 ,"$1,258.60 ",$503.44 ,$555.80 ,$503.44 ,$397.00 ,$513.51 ,$595.50 ,$354.12 ,$318.39 ,$354.12 ,$503.44 ,$354.12 ,$500.22 ,$500.22 ,$563.74 ,$794.00 ,$674.90 ,$794.00 ,$635.20 ,$293.78 ,$635.20 ,$503.44 ,$503.44 ,$794.00 ,$430.35 ,$503.44 ,$208.82 , N/A , N/A , N/A , N/A ,$528.61 ,$674.90 ,"$1,132.74 ",$317.60 ,$222.32 ,$714.60 ,$571.68 ,$794.00 ,$500.22 ,$425.00 ,$425.00 ,$503.44 ,$381.12 ,$714.60 ST. JOHN'S HOSPITAL,45000038,12045,HC INTRM N/H/F/GEN 12.6-20.0CM,450,1 ,"$1,489.00 ",$967.85 ,$391.61 ,"$1,489.00 ","$1,258.60 ",$684.94 ,$807.04 ,$503.44 ,$416.92 ,$513.71 ,$503.44 ,$586.67 ,$503.44 ,$595.60 ,$595.60 ,$503.44 ,$595.60 ,$956.53 ,$783.21 ,$759.39 ,"$1,258.60 ",$503.44 ,"$1,042.30 ",$503.44 ,$744.50 ,$513.51 ,"$1,116.75 ",$664.09 ,$597.09 ,$664.09 ,$503.44 ,$664.09 ,$938.07 ,$938.07 ,"$1,057.19 ","$1,489.00 ","$1,265.65 ","$1,258.60 ","$1,191.20 ",$550.93 ,"$1,191.20 ",$503.44 ,$503.44 ,"$1,489.00 ",$807.04 ,$503.44 ,$391.61 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,265.65 ","$1,132.74 ",$595.60 ,$416.92 ,"$1,340.10 ","$1,072.08 ","$1,489.00 ",$938.07 ,$425.00 ,$425.00 ,$503.44 ,$714.72 ,"$1,340.10 " ST. JOHN'S HOSPITAL,45000039,12046,HC INTRM N/H/F/GEN 20.1-30CM,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$1,735.00 ","$1,258.60 ",$798.10 ,$940.37 ,$503.44 ,$485.80 ,$598.58 ,$503.44 ,$683.59 ,$503.44 ,$694.00 ,$694.00 ,$503.44 ,$694.00 ,$956.53 ,$912.61 ,$884.85 ,"$1,258.60 ",$503.44 ,"$1,214.50 ",$503.44 ,$867.50 ,$513.51 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$503.44 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,258.60 ","$1,388.00 ",$641.95 ,"$1,388.00 ",$503.44 ,$503.44 ,"$1,735.00 ",$940.37 ,$503.44 ,$456.31 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,474.75 ","$1,132.74 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,$503.44 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$726.00 ,$471.90 ,$190.94 ,$830.61 ,$830.60 ,$333.96 ,$393.49 ,$332.24 ,$203.28 ,$250.47 ,$332.24 ,$286.04 ,$332.24 ,$290.40 ,$290.40 ,$332.24 ,$290.40 ,$631.26 ,$381.88 ,$370.26 ,$830.61 ,$332.24 ,$508.20 ,$332.24 ,$363.00 ,$338.89 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$332.24 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$332.24 ,$332.24 ,$726.00 ,$393.49 ,$332.24 ,$190.94 , N/A , N/A , N/A , N/A ,$348.85 ,$617.10 ,$747.55 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$332.24 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$794.00 ,$516.10 ,$208.82 ,$830.61 ,$830.60 ,$365.24 ,$430.35 ,$332.24 ,$222.32 ,$273.93 ,$332.24 ,$312.84 ,$332.24 ,$317.60 ,$317.60 ,$332.24 ,$317.60 ,$631.26 ,$417.64 ,$404.94 ,$830.61 ,$332.24 ,$555.80 ,$332.24 ,$397.00 ,$338.89 ,$595.50 ,$354.12 ,$318.39 ,$354.12 ,$332.24 ,$354.12 ,$500.22 ,$500.22 ,$563.74 ,$794.00 ,$674.90 ,$794.00 ,$635.20 ,$293.78 ,$635.20 ,$332.24 ,$332.24 ,$794.00 ,$430.35 ,$332.24 ,$208.82 , N/A , N/A , N/A , N/A ,$348.85 ,$674.90 ,$747.55 ,$317.60 ,$222.32 ,$714.60 ,$571.68 ,$794.00 ,$500.22 ,$425.00 ,$425.00 ,$332.24 ,$381.12 ,$714.60 ST. JOHN'S HOSPITAL,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$794.00 ,$516.10 ,$208.82 ,$830.61 ,$830.60 ,$365.24 ,$430.35 ,$332.24 ,$222.32 ,$273.93 ,$332.24 ,$312.84 ,$332.24 ,$317.60 ,$317.60 ,$332.24 ,$317.60 ,$631.26 ,$417.64 ,$404.94 ,$830.61 ,$332.24 ,$555.80 ,$332.24 ,$397.00 ,$338.89 ,$595.50 ,$354.12 ,$318.39 ,$354.12 ,$332.24 ,$354.12 ,$500.22 ,$500.22 ,$563.74 ,$794.00 ,$674.90 ,$794.00 ,$635.20 ,$293.78 ,$635.20 ,$332.24 ,$332.24 ,$794.00 ,$430.35 ,$332.24 ,$208.82 , N/A , N/A , N/A , N/A ,$348.85 ,$674.90 ,$747.55 ,$317.60 ,$222.32 ,$714.60 ,$571.68 ,$794.00 ,$500.22 ,$425.00 ,$425.00 ,$332.24 ,$381.12 ,$714.60 ST. JOHN'S HOSPITAL,45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,"$1,735.00 ","$1,127.75 ",$332.24 ,"$1,735.00 ",$830.60 ,$798.10 ,$940.37 ,$332.24 ,$485.80 ,$598.58 ,$332.24 ,$683.59 ,$332.24 ,$694.00 ,$694.00 ,$332.24 ,$694.00 ,$631.26 ,$912.61 ,$884.85 ,$830.61 ,$332.24 ,"$1,214.50 ",$332.24 ,$867.50 ,$338.89 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$332.24 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ",$830.61 ,"$1,388.00 ",$641.95 ,"$1,388.00 ",$332.24 ,$332.24 ,"$1,735.00 ",$940.37 ,$332.24 ,$456.31 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,474.75 ",$747.55 ,$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,$332.24 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000045,12055,HC INTRM F/E/E/N/L/MM 12.6-20.0CM,450,1 ,"$1,892.00 ","$1,229.80 ",$332.24 ,"$1,892.00 ",$830.60 ,$870.32 ,"$1,025.46 ",$332.24 ,$529.76 ,$652.74 ,$332.24 ,$745.45 ,$332.24 ,$756.80 ,$756.80 ,$332.24 ,$756.80 ,$631.26 ,$995.19 ,$964.92 ,$830.61 ,$332.24 ,"$1,324.40 ",$332.24 ,$946.00 ,$338.89 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$332.24 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$830.61 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$332.24 ,$332.24 ,"$1,892.00 ","$1,025.46 ",$332.24 ,$497.60 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,608.20 ",$747.55 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$332.24 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000046,12056,HC INTRM F/E/E/N/L/MM 20.1-30.0CM,450,1 ,"$1,892.00 ","$1,229.80 ",$332.24 ,"$1,892.00 ",$830.60 ,$870.32 ,"$1,025.46 ",$332.24 ,$529.76 ,$652.74 ,$332.24 ,$745.45 ,$332.24 ,$756.80 ,$756.80 ,$332.24 ,$756.80 ,$631.26 ,$995.19 ,$964.92 ,$830.61 ,$332.24 ,"$1,324.40 ",$332.24 ,$946.00 ,$338.89 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$332.24 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$830.61 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$332.24 ,$332.24 ,"$1,892.00 ","$1,025.46 ",$332.24 ,$497.60 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,608.20 ",$747.55 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$332.24 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000049,13101,HC CMPLX TRUNK 2.6-7.5 CM,450,1 ,$885.00 ,$575.25 ,$232.76 ,"$1,258.60 ","$1,258.60 ",$407.10 ,$479.67 ,$503.44 ,$247.80 ,$305.33 ,$503.44 ,$348.69 ,$503.44 ,$354.00 ,$354.00 ,$503.44 ,$354.00 ,$885.00 ,$465.51 ,$451.35 ,"$1,258.60 ",$503.44 ,$619.50 ,$503.44 ,$442.50 ,$513.51 ,$663.75 ,$394.71 ,$354.89 ,$394.71 ,$503.44 ,$394.71 ,$557.55 ,$557.55 ,$628.35 ,$885.00 ,$752.25 ,$885.00 ,$708.00 ,$327.45 ,$708.00 ,$503.44 ,$503.44 ,$885.00 ,$479.67 ,$503.44 ,$232.76 , N/A , N/A , N/A , N/A ,$528.61 ,$752.25 ,"$1,132.74 ",$354.00 ,$247.80 ,$796.50 ,$637.20 ,$885.00 ,$557.55 ,$425.00 ,$425.00 ,$503.44 ,$424.80 ,$796.50 ST. JOHN'S HOSPITAL,45000050,13102,HC CMPLX TRUNK EA ADDL 5 CM OR LESS,450,1 ,"$1,079.00 ",$701.35 ,$283.78 ,"$1,079.00 ", N/A ,$496.34 ,$584.82 , N/A ,$302.12 ,$372.26 , N/A ,$425.13 , N/A ,$431.60 ,$431.60 , N/A ,$431.60 , N/A ,$567.55 ,$550.29 , N/A , N/A ,$755.30 , N/A ,$539.50 , N/A ,$809.25 ,$481.23 ,$432.68 ,$481.23 , N/A ,$481.23 ,$679.77 ,$679.77 ,$766.09 ,"$1,079.00 ",$917.15 , N/A ,$863.20 ,$399.23 ,$863.20 , N/A , N/A ,"$1,079.00 ",$584.82 , N/A ,$283.78 , N/A , N/A , N/A , N/A , N/A ,$917.15 , N/A ,$431.60 ,$302.12 ,$971.10 ,$776.88 ,"$1,079.00 ",$679.77 ,$425.00 ,$425.00 , N/A ,$517.92 ,$971.10 ST. JOHN'S HOSPITAL,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,$898.00 ,$583.70 ,$236.17 ,"$1,258.60 ","$1,258.60 ",$413.08 ,$486.72 ,$503.44 ,$251.44 ,$309.81 ,$503.44 ,$353.81 ,$503.44 ,$359.20 ,$359.20 ,$503.44 ,$359.20 ,$898.00 ,$472.35 ,$457.98 ,"$1,258.60 ",$503.44 ,$628.60 ,$503.44 ,$449.00 ,$513.51 ,$673.50 ,$400.51 ,$360.10 ,$400.51 ,$503.44 ,$400.51 ,$565.74 ,$565.74 ,$637.58 ,$898.00 ,$763.30 ,$898.00 ,$718.40 ,$332.26 ,$718.40 ,$503.44 ,$503.44 ,$898.00 ,$486.72 ,$503.44 ,$236.17 , N/A , N/A , N/A , N/A ,$528.61 ,$763.30 ,"$1,132.74 ",$359.20 ,$251.44 ,$808.20 ,$646.56 ,$898.00 ,$565.74 ,$425.00 ,$425.00 ,$503.44 ,$431.04 ,$808.20 ST. JOHN'S HOSPITAL,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,"$1,094.00 ",$711.10 ,$287.72 ,"$1,258.60 ","$1,258.60 ",$503.24 ,$592.95 ,$503.44 ,$306.32 ,$377.43 ,$503.44 ,$431.04 ,$503.44 ,$437.60 ,$437.60 ,$503.44 ,$437.60 ,$956.53 ,$575.44 ,$557.94 ,"$1,258.60 ",$503.44 ,$765.80 ,$503.44 ,$547.00 ,$513.51 ,$820.50 ,$487.92 ,$438.69 ,$487.92 ,$503.44 ,$487.92 ,$689.22 ,$689.22 ,$776.74 ,"$1,094.00 ",$929.90 ,"$1,094.00 ",$875.20 ,$404.78 ,$875.20 ,$503.44 ,$503.44 ,"$1,094.00 ",$592.95 ,$503.44 ,$287.72 , N/A , N/A , N/A , N/A ,$528.61 ,$929.90 ,"$1,132.74 ",$437.60 ,$306.32 ,$984.60 ,$787.68 ,"$1,094.00 ",$689.22 ,$425.00 ,$425.00 ,$503.44 ,$525.12 ,$984.60 ST. JOHN'S HOSPITAL,45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,"$1,189.00 ",$772.85 ,$312.71 ,"$1,189.00 ", N/A ,$546.94 ,$644.44 , N/A ,$332.92 ,$410.21 , N/A ,$468.47 , N/A ,$475.60 ,$475.60 , N/A ,$475.60 , N/A ,$625.41 ,$606.39 , N/A , N/A ,$832.30 , N/A ,$594.50 , N/A ,$891.75 ,$530.29 ,$476.79 ,$530.29 , N/A ,$530.29 ,$749.07 ,$749.07 ,$844.19 ,"$1,189.00 ","$1,010.65 ", N/A ,$951.20 ,$439.93 ,$951.20 , N/A , N/A ,"$1,189.00 ",$644.44 , N/A ,$312.71 , N/A , N/A , N/A , N/A , N/A ,"$1,010.65 ", N/A ,$475.60 ,$332.92 ,"$1,070.10 ",$856.08 ,"$1,189.00 ",$749.07 ,$425.00 ,$425.00 , N/A ,$570.72 ,"$1,070.10 " ST. JOHN'S HOSPITAL,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,"$1,212.00 ",$787.80 ,$318.76 ,"$1,212.00 ",$830.60 ,$557.52 ,$656.90 ,$332.24 ,$339.36 ,$418.14 ,$332.24 ,$477.53 ,$332.24 ,$484.80 ,$484.80 ,$332.24 ,$484.80 ,$631.26 ,$637.51 ,$618.12 ,$830.61 ,$332.24 ,$848.40 ,$332.24 ,$606.00 ,$338.89 ,$909.00 ,$540.55 ,$486.01 ,$540.55 ,$332.24 ,$540.55 ,$763.56 ,$763.56 ,$860.52 ,"$1,212.00 ","$1,030.20 ",$830.61 ,$969.60 ,$448.44 ,$969.60 ,$332.24 ,$332.24 ,"$1,212.00 ",$656.90 ,$332.24 ,$318.76 , N/A , N/A , N/A , N/A ,$348.85 ,"$1,030.20 ",$747.55 ,$484.80 ,$339.36 ,"$1,090.80 ",$872.64 ,"$1,212.00 ",$763.56 ,$425.00 ,$425.00 ,$332.24 ,$581.76 ,"$1,090.80 " ST. JOHN'S HOSPITAL,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$1,735.00 ","$1,258.60 ",$798.10 ,$940.37 ,$503.44 ,$485.80 ,$598.58 ,$503.44 ,$683.59 ,$503.44 ,$694.00 ,$694.00 ,$503.44 ,$694.00 ,$956.53 ,$912.61 ,$884.85 ,"$1,258.60 ",$503.44 ,"$1,214.50 ",$503.44 ,$867.50 ,$513.51 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$503.44 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,258.60 ","$1,388.00 ",$641.95 ,"$1,388.00 ",$503.44 ,$503.44 ,"$1,735.00 ",$940.37 ,$503.44 ,$456.31 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,474.75 ","$1,132.74 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,$503.44 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000056,13133,HC CMPLX F/C/C/M/N/A/G/H/F EA ADDL 5 CM OR LESS,450,1 ,"$1,892.00 ","$1,229.80 ",$425.00 ,"$1,892.00 ", N/A ,$870.32 ,"$1,025.46 ", N/A ,$529.76 ,$652.74 , N/A ,$745.45 , N/A ,$756.80 ,$756.80 , N/A ,$756.80 , N/A ,$995.19 ,$964.92 , N/A , N/A ,"$1,324.40 ", N/A ,$946.00 , N/A ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 , N/A ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ", N/A ,"$1,513.60 ",$700.04 ,"$1,513.60 ", N/A , N/A ,"$1,892.00 ","$1,025.46 ", N/A ,$497.60 , N/A , N/A , N/A , N/A , N/A ,"$1,608.20 ", N/A ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 , N/A ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000058,13151,HC CMPLX E/N/E/L 1.1-2.5 CM,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$1,735.00 ","$1,258.60 ",$798.10 ,$940.37 ,$503.44 ,$485.80 ,$598.58 ,$503.44 ,$683.59 ,$503.44 ,$694.00 ,$694.00 ,$503.44 ,$694.00 ,$956.53 ,$912.61 ,$884.85 ,"$1,258.60 ",$503.44 ,"$1,214.50 ",$503.44 ,$867.50 ,$513.51 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$503.44 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,258.60 ","$1,388.00 ",$641.95 ,"$1,388.00 ",$503.44 ,$503.44 ,"$1,735.00 ",$940.37 ,$503.44 ,$456.31 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,474.75 ","$1,132.74 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,$503.44 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,"$1,892.00 ","$1,229.80 ",$425.00 ,"$1,892.00 ","$1,258.60 ",$870.32 ,"$1,025.46 ",$503.44 ,$529.76 ,$652.74 ,$503.44 ,$745.45 ,$503.44 ,$756.80 ,$756.80 ,$503.44 ,$756.80 ,$956.53 ,$995.19 ,$964.92 ,"$1,258.60 ",$503.44 ,"$1,324.40 ",$503.44 ,$946.00 ,$513.51 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$503.44 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ","$1,258.60 ","$1,513.60 ",$700.04 ,"$1,513.60 ",$503.44 ,$503.44 ,"$1,892.00 ","$1,025.46 ",$503.44 ,$497.60 , N/A , N/A , N/A , N/A ,$528.61 ,"$1,608.20 ","$1,132.74 ",$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$503.44 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000060,13153,HC CMPLX E/N/E/L EA ADDL 5 CM OR LESS,450,1 ,"$1,185.00 ",$770.25 ,$311.66 ,"$1,185.00 ", N/A ,$545.10 ,$642.27 , N/A ,$331.80 ,$408.83 , N/A ,$466.89 , N/A ,$474.00 ,$474.00 , N/A ,$474.00 , N/A ,$623.31 ,$604.35 , N/A , N/A ,$829.50 , N/A ,$592.50 , N/A ,$888.75 ,$528.51 ,$475.19 ,$528.51 , N/A ,$528.51 ,$746.55 ,$746.55 ,$841.35 ,"$1,185.00 ","$1,007.25 ", N/A ,$948.00 ,$438.45 ,$948.00 , N/A , N/A ,"$1,185.00 ",$642.27 , N/A ,$311.66 , N/A , N/A , N/A , N/A , N/A ,"$1,007.25 ", N/A ,$474.00 ,$331.80 ,"$1,066.50 ",$853.20 ,"$1,185.00 ",$746.55 ,$425.00 ,$425.00 , N/A ,$568.80 ,"$1,066.50 " ST. JOHN'S HOSPITAL,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$421.00 ,$273.65 ,$110.72 ,$431.55 ,$431.55 ,$193.66 ,$228.18 ,$172.62 ,$117.88 ,$145.25 ,$172.62 ,$165.87 ,$172.62 ,$168.40 ,$168.40 ,$172.62 ,$168.40 ,$327.97 ,$221.45 ,$214.71 ,$431.54 ,$172.62 ,$294.70 ,$172.62 ,$210.50 ,$176.07 ,$315.75 ,$187.77 ,$168.82 ,$187.77 ,$172.62 ,$187.77 ,$265.23 ,$265.23 ,$298.91 ,$421.00 ,$357.85 ,$421.00 ,$336.80 ,$155.77 ,$336.80 ,$172.62 ,$172.62 ,$421.00 ,$228.18 ,$172.62 ,$110.72 , N/A , N/A , N/A , N/A ,$181.25 ,$357.85 ,$388.39 ,$168.40 ,$117.88 ,$378.90 ,$303.12 ,$421.00 ,$265.23 ,$421.00 ,$421.00 ,$172.62 ,$202.08 ,$378.90 ST. JOHN'S HOSPITAL,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$333.96 ,$393.49 ,$172.62 ,$203.28 ,$250.47 ,$172.62 ,$286.04 ,$172.62 ,$290.40 ,$290.40 ,$172.62 ,$290.40 ,$327.97 ,$381.88 ,$370.26 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A , N/A , N/A ,$181.25 ,$617.10 ,$388.39 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$333.96 ,$393.49 ,$172.62 ,$203.28 ,$250.47 ,$172.62 ,$286.04 ,$172.62 ,$290.40 ,$290.40 ,$172.62 ,$290.40 ,$327.97 ,$381.88 ,$370.26 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A , N/A , N/A ,$181.25 ,$617.10 ,$388.39 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$726.00 ,$471.90 ,$190.94 ,$830.61 ,$830.60 ,$333.96 ,$393.49 ,$332.24 ,$203.28 ,$250.47 ,$332.24 ,$286.04 ,$332.24 ,$290.40 ,$290.40 ,$332.24 ,$290.40 ,$631.26 ,$381.88 ,$370.26 ,$830.61 ,$332.24 ,$508.20 ,$332.24 ,$363.00 ,$338.89 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$332.24 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$332.24 ,$332.24 ,$726.00 ,$393.49 ,$332.24 ,$190.94 , N/A , N/A , N/A , N/A ,$348.85 ,$617.10 ,$747.55 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$332.24 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000065,16035,HC ESCHARATOMY; INITIAL,450,1 ,$679.00 ,$441.35 ,$178.58 ,$830.61 ,$830.60 ,$312.34 ,$368.02 ,$332.24 ,$190.12 ,$234.26 ,$332.24 ,$267.53 ,$332.24 ,$271.60 ,$271.60 ,$332.24 ,$271.60 ,$631.26 ,$357.15 ,$346.29 ,$830.61 ,$332.24 ,$475.30 ,$332.24 ,$339.50 ,$338.89 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$332.24 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$679.00 ,$543.20 ,$251.23 ,$543.20 ,$332.24 ,$332.24 ,$679.00 ,$368.02 ,$332.24 ,$178.58 , N/A , N/A , N/A , N/A ,$348.85 ,$577.15 ,$747.55 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$332.24 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000066,16036,HC ESCHARATOMY; EACH ADDL,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 , N/A ,$312.34 ,$368.02 , N/A ,$190.12 ,$234.26 , N/A ,$267.53 , N/A ,$271.60 ,$271.60 , N/A ,$271.60 , N/A ,$357.15 ,$346.29 , N/A , N/A ,$475.30 , N/A ,$339.50 , N/A ,$509.25 ,$302.83 ,$272.28 ,$302.83 , N/A ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 , N/A ,$543.20 ,$251.23 ,$543.20 , N/A , N/A ,$679.00 ,$368.02 , N/A ,$178.58 , N/A , N/A , N/A , N/A , N/A ,$577.15 , N/A ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 , N/A ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$738.00 ,$479.70 ,$172.62 ,$738.00 ,$431.55 ,$339.48 ,$400.00 ,$172.62 ,$206.64 ,$254.61 ,$172.62 ,$290.77 ,$172.62 ,$295.20 ,$295.20 ,$172.62 ,$295.20 ,$327.97 ,$388.19 ,$376.38 ,$431.54 ,$172.62 ,$516.60 ,$172.62 ,$369.00 ,$176.07 ,$553.50 ,$329.15 ,$295.94 ,$329.15 ,$172.62 ,$329.15 ,$464.94 ,$464.94 ,$523.98 ,$738.00 ,$627.30 ,$431.54 ,$590.40 ,$273.06 ,$590.40 ,$172.62 ,$172.62 ,$738.00 ,$400.00 ,$172.62 ,$194.09 , N/A , N/A , N/A , N/A ,$181.25 ,$627.30 ,$388.39 ,$295.20 ,$206.64 ,$664.20 ,$531.36 ,$738.00 ,$464.94 ,$425.00 ,$425.00 ,$172.62 ,$354.24 ,$664.20 ST. JOHN'S HOSPITAL,45000068,20103,HC EXPL PENTR WOUND EXTREMITY,450,1 ,"$2,316.00 ","$1,505.40 ",$425.00 ,"$2,316.00 ","$1,495.43 ","$1,065.36 ","$1,255.27 ",$598.17 ,$648.48 ,$799.02 ,$598.17 ,$912.50 ,$598.17 ,$926.40 ,$926.40 ,$598.17 ,$926.40 ,"$1,136.52 ","$1,218.22 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,621.20 ",$598.17 ,"$1,158.00 ",$610.13 ,"$1,737.00 ","$1,032.94 ",$928.72 ,"$1,032.94 ",$598.17 ,"$1,032.94 ","$1,459.08 ","$1,459.08 ","$1,644.36 ","$2,316.00 ","$1,968.60 ","$1,495.43 ","$1,852.80 ",$856.92 ,"$1,852.80 ",$598.17 ,$598.17 ,"$2,316.00 ","$1,255.27 ",$598.17 ,$609.11 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,968.60 ","$1,345.88 ",$926.40 ,$648.48 ,"$2,084.40 ","$1,667.52 ","$2,316.00 ","$1,459.08 ",$425.00 ,$425.00 ,$598.17 ,"$1,111.68 ","$2,084.40 " ST. JOHN'S HOSPITAL,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$999.00 ,$649.35 ,$251.14 ,$999.00 ,$627.85 ,$459.54 ,$541.46 ,$251.14 ,$279.72 ,$344.66 ,$251.14 ,$393.61 ,$251.14 ,$399.60 ,$399.60 ,$251.14 ,$399.60 ,$477.17 ,$525.47 ,$509.49 ,$627.85 ,$251.14 ,$699.30 ,$251.14 ,$499.50 ,$256.16 ,$749.25 ,$445.55 ,$400.60 ,$445.55 ,$251.14 ,$445.55 ,$629.37 ,$629.37 ,$709.29 ,$999.00 ,$849.15 ,$627.85 ,$799.20 ,$369.63 ,$799.20 ,$251.14 ,$251.14 ,$999.00 ,$541.46 ,$251.14 ,$262.74 , N/A , N/A , N/A , N/A ,$263.70 ,$849.15 ,$565.07 ,$399.60 ,$279.72 ,$899.10 ,$719.28 ,$999.00 ,$629.37 ,$425.00 ,$425.00 ,$251.14 ,$479.52 ,$899.10 ST. JOHN'S HOSPITAL,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,"$1,499.00 ",$974.35 ,$376.71 ,"$1,499.00 ",$941.78 ,$689.54 ,$812.46 ,$376.71 ,$419.72 ,$517.16 ,$376.71 ,$590.61 ,$376.71 ,$599.60 ,$599.60 ,$376.71 ,$599.60 ,$715.75 ,$788.47 ,$764.49 ,$941.78 ,$376.71 ,"$1,049.30 ",$376.71 ,$749.50 ,$384.24 ,"$1,124.25 ",$668.55 ,$601.10 ,$668.55 ,$376.71 ,$668.55 ,$944.37 ,$944.37 ,"$1,064.29 ","$1,499.00 ","$1,274.15 ",$941.78 ,"$1,199.20 ",$554.63 ,"$1,199.20 ",$376.71 ,$376.71 ,"$1,499.00 ",$812.46 ,$376.71 ,$394.24 , N/A , N/A , N/A , N/A ,$395.55 ,"$1,274.15 ",$847.60 ,$599.60 ,$419.72 ,"$1,349.10 ","$1,079.28 ","$1,499.00 ",$944.37 ,$425.00 ,$425.00 ,$376.71 ,$719.52 ,"$1,349.10 " ST. JOHN'S HOSPITAL,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,"$1,648.00 ","$1,071.20 ",$376.71 ,"$1,648.00 ",$941.78 ,$758.08 ,$893.22 ,$376.71 ,$461.44 ,$568.56 ,$376.71 ,$649.31 ,$376.71 ,$659.20 ,$659.20 ,$376.71 ,$659.20 ,$715.75 ,$866.85 ,$840.48 ,$941.78 ,$376.71 ,"$1,153.60 ",$376.71 ,$824.00 ,$384.24 ,"$1,236.00 ",$735.01 ,$660.85 ,$735.01 ,$376.71 ,$735.01 ,"$1,038.24 ","$1,038.24 ","$1,170.08 ","$1,648.00 ","$1,400.80 ",$941.78 ,"$1,318.40 ",$609.76 ,"$1,318.40 ",$376.71 ,$376.71 ,"$1,648.00 ",$893.22 ,$376.71 ,$433.42 , N/A , N/A , N/A , N/A ,$395.55 ,"$1,400.80 ",$847.60 ,$659.20 ,$461.44 ,"$1,483.20 ","$1,186.56 ","$1,648.00 ","$1,038.24 ",$425.00 ,$425.00 ,$376.71 ,$791.04 ,"$1,483.20 " ST. JOHN'S HOSPITAL,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,"$1,098.00 ",$713.70 ,$251.14 ,"$1,098.00 ",$627.85 ,$505.08 ,$595.12 ,$251.14 ,$307.44 ,$378.81 ,$251.14 ,$432.61 ,$251.14 ,$439.20 ,$439.20 ,$251.14 ,$439.20 ,$477.17 ,$577.55 ,$559.98 ,$627.85 ,$251.14 ,$768.60 ,$251.14 ,$549.00 ,$256.16 ,$823.50 ,$489.71 ,$440.30 ,$489.71 ,$251.14 ,$489.71 ,$691.74 ,$691.74 ,$779.58 ,"$1,098.00 ",$933.30 ,$627.85 ,$878.40 ,$406.26 ,$878.40 ,$251.14 ,$251.14 ,"$1,098.00 ",$595.12 ,$251.14 ,$288.77 , N/A , N/A , N/A , N/A ,$263.70 ,$933.30 ,$565.07 ,$439.20 ,$307.44 ,$988.20 ,$790.56 ,"$1,098.00 ",$691.74 ,$425.00 ,$425.00 ,$251.14 ,$527.04 ,$988.20 ST. JOHN'S HOSPITAL,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,165.00 ",$757.25 ,$251.14 ,"$1,165.00 ",$627.85 ,$535.90 ,$631.43 ,$251.14 ,$326.20 ,$401.93 ,$251.14 ,$459.01 ,$251.14 ,$466.00 ,$466.00 ,$251.14 ,$466.00 ,$477.17 ,$612.79 ,$594.15 ,$627.85 ,$251.14 ,$815.50 ,$251.14 ,$582.50 ,$256.16 ,$873.75 ,$519.59 ,$467.17 ,$519.59 ,$251.14 ,$519.59 ,$733.95 ,$733.95 ,$827.15 ,"$1,165.00 ",$990.25 ,$627.85 ,$932.00 ,$431.05 ,$932.00 ,$251.14 ,$251.14 ,"$1,165.00 ",$631.43 ,$251.14 ,$306.40 , N/A , N/A , N/A , N/A ,$263.70 ,$990.25 ,$565.07 ,$466.00 ,$326.20 ,"$1,048.50 ",$838.80 ,"$1,165.00 ",$733.95 ,$425.00 ,$425.00 ,$251.14 ,$559.20 ,"$1,048.50 " ST. JOHN'S HOSPITAL,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,746.00 ","$1,134.90 ",$376.71 ,"$1,746.00 ",$941.78 ,$803.16 ,$946.33 ,$376.71 ,$488.88 ,$602.37 ,$376.71 ,$687.92 ,$376.71 ,$698.40 ,$698.40 ,$376.71 ,$698.40 ,$715.75 ,$918.40 ,$890.46 ,$941.78 ,$376.71 ,"$1,222.20 ",$376.71 ,$873.00 ,$384.24 ,"$1,309.50 ",$778.72 ,$700.15 ,$778.72 ,$376.71 ,$778.72 ,"$1,099.98 ","$1,099.98 ","$1,239.66 ","$1,746.00 ","$1,484.10 ",$941.78 ,"$1,396.80 ",$646.02 ,"$1,396.80 ",$376.71 ,$376.71 ,"$1,746.00 ",$946.33 ,$376.71 ,$459.20 , N/A , N/A , N/A , N/A ,$395.55 ,"$1,484.10 ",$847.60 ,$698.40 ,$488.88 ,"$1,571.40 ","$1,257.12 ","$1,746.00 ","$1,099.98 ",$425.00 ,$425.00 ,$376.71 ,$838.08 ,"$1,571.40 " ST. JOHN'S HOSPITAL,45000073,20950,HC MONT INTST FLD PRS COMP SYNDR,450,1 ,$852.00 ,$553.80 ,$224.08 ,"$1,495.43 ","$1,495.43 ",$391.92 ,$461.78 ,$598.17 ,$238.56 ,$293.94 ,$598.17 ,$335.69 ,$598.17 ,$340.80 ,$340.80 ,$598.17 ,$340.80 ,$852.00 ,$448.15 ,$434.52 ,"$1,495.43 ",$598.17 ,$596.40 ,$598.17 ,$426.00 ,$610.13 ,$639.00 ,$379.99 ,$341.65 ,$379.99 ,$598.17 ,$379.99 ,$536.76 ,$536.76 ,$604.92 ,$852.00 ,$724.20 ,$852.00 ,$681.60 ,$315.24 ,$681.60 ,$598.17 ,$598.17 ,$852.00 ,$461.78 ,$598.17 ,$224.08 , N/A , N/A , N/A , N/A ,$628.08 ,$724.20 ,"$1,345.88 ",$340.80 ,$238.56 ,$766.80 ,$613.44 ,$852.00 ,$536.76 ,$425.00 ,$425.00 ,$598.17 ,$408.96 ,$766.80 ST. JOHN'S HOSPITAL,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,"$2,549.00 ","$1,656.85 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,172.54 ","$1,381.56 ","$1,338.87 ",$713.72 ,$879.41 ,"$1,338.87 ","$1,004.31 ","$1,338.87 ","$1,019.60 ","$1,019.60 ","$1,338.87 ","$1,019.60 ","$2,543.85 ","$1,340.77 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,784.30 ","$1,338.87 ","$1,274.50 ","$1,365.64 ","$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ","$1,338.87 ","$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ","$2,549.00 ","$2,039.20 ",$943.13 ,"$2,039.20 ","$1,338.87 ","$1,338.87 ","$2,549.00 ","$1,381.56 ","$1,338.87 ",$670.39 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,166.65 ","$3,012.45 ","$1,019.60 ",$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$581.00 ,$377.65 ,$152.80 ,$581.00 ,$495.30 ,$267.26 ,$314.90 ,$198.12 ,$162.68 ,$200.45 ,$198.12 ,$228.91 ,$198.12 ,$232.40 ,$232.40 ,$198.12 ,$232.40 ,$376.43 ,$305.61 ,$296.31 ,$495.31 ,$198.12 ,$406.70 ,$198.12 ,$290.50 ,$202.09 ,$435.75 ,$259.13 ,$232.98 ,$259.13 ,$198.12 ,$259.13 ,$366.03 ,$366.03 ,$412.51 ,$581.00 ,$493.85 ,$495.31 ,$464.80 ,$214.97 ,$464.80 ,$198.12 ,$198.12 ,$581.00 ,$314.90 ,$198.12 ,$152.80 , N/A , N/A , N/A , N/A ,$208.03 ,$493.85 ,$445.78 ,$232.40 ,$162.68 ,$522.90 ,$418.32 ,$581.00 ,$366.03 ,$425.00 ,$425.00 ,$198.12 ,$278.88 ,$522.90 ST. JOHN'S HOSPITAL,45000077,24605,HC CL TX ELBOW DISLOCATION W ANESTH,450,1 ,"$1,994.00 ","$1,296.10 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$917.24 ,"$1,080.75 ","$1,338.87 ",$558.32 ,$687.93 ,"$1,338.87 ",$785.64 ,"$1,338.87 ",$797.60 ,$797.60 ,"$1,338.87 ",$797.60 ,"$1,994.00 ","$1,048.84 ","$1,016.94 ","$3,347.17 ","$1,338.87 ","$1,395.80 ","$1,338.87 ",$997.00 ,"$1,365.64 ","$1,495.50 ",$889.32 ,$799.59 ,$889.32 ,"$1,338.87 ",$889.32 ,"$1,256.22 ","$1,256.22 ","$1,415.74 ","$1,994.00 ","$1,694.90 ","$1,994.00 ","$1,595.20 ",$737.78 ,"$1,595.20 ","$1,338.87 ","$1,338.87 ","$1,994.00 ","$1,080.75 ","$1,338.87 ",$524.42 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,694.90 ","$3,012.45 ",$797.60 ,$558.32 ,"$1,794.60 ","$1,435.68 ","$1,994.00 ","$1,256.22 ",$425.00 ,$425.00 ,"$1,338.87 ",$957.12 ,"$1,794.60 " ST. JOHN'S HOSPITAL,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,"$1,066.00 ",$692.90 ,$280.36 ,"$3,347.18 ","$3,347.18 ",$490.36 ,$577.77 ,"$1,338.87 ",$298.48 ,$367.77 ,"$1,338.87 ",$420.00 ,"$1,066.00 ",$426.40 ,$426.40 ,"$1,066.00 ",$426.40 ,"$1,066.00 ",$560.72 ,$543.66 ,"$3,347.17 ","$1,338.87 ",$746.20 ,"$1,338.87 ",$533.00 ,"$1,066.00 ",$799.50 ,$475.44 ,$427.47 ,$475.44 ,"$1,338.87 ",$475.44 ,$671.58 ,$671.58 ,$756.86 ,"$1,066.00 ",$906.10 ,"$1,066.00 ",$852.80 ,$394.42 ,$852.80 ,"$1,338.87 ","$1,338.87 ","$1,066.00 ",$577.77 ,"$1,338.87 ",$280.36 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$906.10 ,"$3,012.45 ",$426.40 ,$298.48 ,$959.40 ,$767.52 ,"$1,066.00 ",$671.58 ,$425.00 ,$425.00 ,"$1,338.87 ",$511.68 ,$959.40 ST. JOHN'S HOSPITAL,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$333.96 ,$393.49 ,$172.62 ,$203.28 ,$250.47 ,$172.62 ,$286.04 ,$172.62 ,$290.40 ,$290.40 ,$172.62 ,$290.40 ,$327.97 ,$381.88 ,$370.26 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A , N/A , N/A ,$181.25 ,$617.10 ,$388.39 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$2,174.00 ","$1,413.10 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,000.04 ","$1,178.31 ","$1,352.50 ",$608.72 ,$750.03 ,"$1,352.50 ",$856.56 ,"$1,352.50 ",$869.60 ,$869.60 ,"$1,352.50 ",$869.60 ,"$2,174.00 ","$1,143.52 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,521.80 ","$1,352.50 ","$1,087.00 ","$1,379.54 ","$1,630.50 ",$969.60 ,$871.77 ,$969.60 ,"$1,352.50 ",$969.60 ,"$1,369.62 ","$1,369.62 ","$1,543.54 ","$2,174.00 ","$1,847.90 ","$2,174.00 ","$1,739.20 ",$804.38 ,"$1,739.20 ","$1,352.50 ","$1,352.50 ","$2,174.00 ","$1,178.31 ","$1,352.50 ",$571.76 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,847.90 ","$3,043.11 ",$869.60 ,$608.72 ,"$1,956.60 ","$1,565.28 ","$2,174.00 ","$1,369.62 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,043.52 ","$1,956.60 " ST. JOHN'S HOSPITAL,45000085,26410,HC RPR TENDON HAND EXTEN W/O,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,279.26 ","$1,507.30 ","$1,338.87 ",$778.68 ,$959.45 ,"$1,338.87 ","$1,095.71 ","$1,338.87 ","$1,112.40 ","$1,112.40 ","$1,338.87 ","$1,112.40 ","$2,543.85 ","$1,462.81 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,946.70 ","$1,338.87 ","$1,390.50 ","$1,365.64 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$1,338.87 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$1,338.87 ","$1,338.87 ","$2,781.00 ","$1,507.30 ","$1,338.87 ",$731.40 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,363.85 ","$3,012.45 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000086,26418,HC RPR EXTEN TENDON FNGR W/O FREE,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,279.26 ","$1,507.30 ","$1,338.87 ",$778.68 ,$959.45 ,"$1,338.87 ","$1,095.71 ","$1,338.87 ","$1,112.40 ","$1,112.40 ","$1,338.87 ","$1,112.40 ","$2,543.85 ","$1,462.81 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,946.70 ","$1,338.87 ","$1,390.50 ","$1,365.64 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$1,338.87 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$1,338.87 ","$1,338.87 ","$2,781.00 ","$1,507.30 ","$1,338.87 ",$731.40 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,363.85 ","$3,012.45 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$812.00 ,$527.80 ,$198.12 ,$812.00 ,$495.30 ,$373.52 ,$440.10 ,$198.12 ,$227.36 ,$280.14 ,$198.12 ,$319.93 ,$198.12 ,$324.80 ,$324.80 ,$198.12 ,$324.80 ,$376.43 ,$427.11 ,$414.12 ,$495.31 ,$198.12 ,$568.40 ,$198.12 ,$406.00 ,$202.09 ,$609.00 ,$362.15 ,$325.61 ,$362.15 ,$198.12 ,$362.15 ,$511.56 ,$511.56 ,$576.52 ,$812.00 ,$690.20 ,$495.31 ,$649.60 ,$300.44 ,$649.60 ,$198.12 ,$198.12 ,$812.00 ,$440.10 ,$198.12 ,$213.56 , N/A , N/A , N/A , N/A ,$208.03 ,$690.20 ,$445.78 ,$324.80 ,$227.36 ,$730.80 ,$584.64 ,$812.00 ,$511.56 ,$425.00 ,$425.00 ,$198.12 ,$389.76 ,$730.80 ST. JOHN'S HOSPITAL,45000088,26742,HC TX FX (M-P)(I-P) JT W/MAN,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$3,347.18 ","$3,347.18 ",$333.96 ,$393.49 ,"$1,338.87 ",$203.28 ,$250.47 ,"$1,338.87 ",$286.04 ,$726.00 ,$290.40 ,$290.40 ,$726.00 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$3,347.17 ","$1,338.87 ",$508.20 ,"$1,338.87 ",$363.00 ,$726.00 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,"$1,338.87 ",$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,"$1,338.87 ","$1,338.87 ",$726.00 ,$393.49 ,"$1,338.87 ",$190.94 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$617.10 ,"$3,012.45 ",$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,"$1,338.87 ",$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000089,26755,HC TX FX PHALANX DIST W/MAN CLS,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$438.00 ,$284.70 ,$115.19 ,$495.31 ,$495.30 ,$201.48 ,$237.40 ,$198.12 ,$122.64 ,$151.11 ,$198.12 ,$172.57 ,$198.12 ,$175.20 ,$175.20 ,$198.12 ,$175.20 ,$376.43 ,$230.39 ,$223.38 ,$495.31 ,$198.12 ,$306.60 ,$198.12 ,$219.00 ,$202.09 ,$328.50 ,$195.35 ,$175.64 ,$195.35 ,$198.12 ,$195.35 ,$275.94 ,$275.94 ,$310.98 ,$438.00 ,$372.30 ,$438.00 ,$350.40 ,$162.06 ,$350.40 ,$198.12 ,$198.12 ,$438.00 ,$237.40 ,$198.12 ,$115.19 , N/A , N/A , N/A , N/A ,$208.03 ,$372.30 ,$445.78 ,$175.20 ,$122.64 ,$394.20 ,$315.36 ,$438.00 ,$275.94 ,$425.00 ,$425.00 ,$198.12 ,$210.24 ,$394.20 ST. JOHN'S HOSPITAL,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,279.26 ","$1,507.30 ","$2,722.21 ",$778.68 ,$959.45 ,"$2,722.21 ","$1,095.71 ","$2,722.21 ","$1,112.40 ","$1,112.40 ","$2,722.21 ","$1,112.40 ","$2,781.00 ","$1,462.81 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$1,946.70 ","$2,722.21 ","$1,390.50 ","$2,776.66 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$2,722.21 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$2,722.21 ","$2,722.21 ","$2,781.00 ","$1,507.30 ","$2,722.21 ",$731.40 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,363.85 ","$6,124.98 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000092,27250,HC TX DISCL HIP CLOSED W/O ANES,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000095,27266,HC CL TX POST HIP ARTHROPLASTY DISLOCAT W ANESTH,450,1 ,"$6,704.00 ","$4,357.60 ",$425.00 ,"$6,704.00 ","$3,347.18 ","$3,000.00 ","$3,633.57 ","$1,338.87 ","$1,877.12 ","$2,312.88 ","$1,338.87 ","$2,641.38 ","$1,338.87 ","$2,681.60 ","$2,681.60 ","$1,338.87 ","$2,681.60 ","$2,543.85 ","$3,526.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,692.80 ","$1,338.87 ","$3,352.00 ","$1,365.64 ","$5,028.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,704.00 ","$5,698.40 ","$3,347.17 ","$5,363.20 ","$2,480.48 ","$5,363.20 ","$1,338.87 ","$1,338.87 ","$6,704.00 ","$3,633.57 ","$1,338.87 ","$1,763.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$5,698.40 ","$3,012.45 ","$2,681.60 ","$1,877.12 ","$6,033.60 ","$4,826.88 ","$6,704.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,338.87 ","$3,217.92 ","$6,033.60 " ST. JOHN'S HOSPITAL,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$1,595.00 ","$1,036.75 ",$419.49 ,"$1,595.00 ","$1,495.43 ",$733.70 ,$864.49 ,$598.17 ,$446.60 ,$550.28 ,$598.17 ,$628.43 ,$598.17 ,$638.00 ,$638.00 ,$598.17 ,$638.00 ,"$1,136.52 ",$838.97 ,$813.45 ,"$1,495.43 ",$598.17 ,"$1,116.50 ",$598.17 ,$797.50 ,$610.13 ,"$1,196.25 ",$711.37 ,$639.60 ,$711.37 ,$598.17 ,$711.37 ,"$1,004.85 ","$1,004.85 ","$1,132.45 ","$1,595.00 ","$1,355.75 ","$1,495.43 ","$1,276.00 ",$590.15 ,"$1,276.00 ",$598.17 ,$598.17 ,"$1,595.00 ",$864.49 ,$598.17 ,$419.49 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,355.75 ","$1,345.88 ",$638.00 ,$446.60 ,"$1,435.50 ","$1,148.40 ","$1,595.00 ","$1,004.85 ",$425.00 ,$425.00 ,$598.17 ,$765.60 ,"$1,435.50 " ST. JOHN'S HOSPITAL,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$701.00 ,$455.65 ,$184.36 ,$701.00 ,$579.73 ,$322.46 ,$379.94 ,$231.89 ,$196.28 ,$241.85 ,$231.89 ,$276.19 ,$231.89 ,$280.40 ,$280.40 ,$231.89 ,$280.40 ,$440.60 ,$368.73 ,$357.51 ,$579.73 ,$231.89 ,$490.70 ,$231.89 ,$350.50 ,$236.53 ,$525.75 ,$312.65 ,$281.10 ,$312.65 ,$231.89 ,$312.65 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 ,$579.73 ,$560.80 ,$259.37 ,$560.80 ,$231.89 ,$231.89 ,$701.00 ,$379.94 ,$231.89 ,$184.36 , N/A , N/A , N/A , N/A ,$243.48 ,$595.85 ,$521.76 ,$280.40 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$425.00 ,$425.00 ,$231.89 ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$504.00 ,$327.60 ,$132.55 ,$579.73 ,$579.73 ,$231.84 ,$273.17 ,$231.89 ,$141.12 ,$173.88 ,$231.89 ,$198.58 ,$231.89 ,$201.60 ,$201.60 ,$231.89 ,$201.60 ,$440.60 ,$265.10 ,$257.04 ,$579.73 ,$231.89 ,$352.80 ,$231.89 ,$252.00 ,$236.53 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$231.89 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$504.00 ,$403.20 ,$186.48 ,$403.20 ,$231.89 ,$231.89 ,$504.00 ,$273.17 ,$231.89 ,$132.55 , N/A , N/A , N/A , N/A ,$243.48 ,$428.40 ,$521.76 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$231.89 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$582.00 ,$378.30 ,$135.81 ,$582.00 ,$339.53 ,$267.72 ,$315.44 ,$135.81 ,$162.96 ,$200.79 ,$135.81 ,$229.31 ,$135.81 ,$232.80 ,$232.80 ,$135.81 ,$232.80 ,$258.03 ,$306.13 ,$296.82 ,$339.51 ,$135.81 ,$407.40 ,$135.81 ,$291.00 ,$138.52 ,$436.50 ,$259.57 ,$233.38 ,$259.57 ,$135.81 ,$259.57 ,$366.66 ,$366.66 ,$413.22 ,$582.00 ,$494.70 ,$339.51 ,$465.60 ,$215.34 ,$465.60 ,$135.81 ,$135.81 ,$582.00 ,$315.44 ,$135.81 ,$153.07 , N/A , N/A , N/A , N/A ,$142.60 ,$494.70 ,$305.56 ,$232.80 ,$162.96 ,$523.80 ,$419.04 ,$582.00 ,$366.66 ,$425.00 ,$425.00 ,$135.81 ,$279.36 ,$523.80 ST. JOHN'S HOSPITAL,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$145.59 ,$108.39 ,$166.27 ,$108.39 ,$168.80 ,$168.80 ,$108.39 ,$168.80 ,$205.94 ,$221.97 ,$215.22 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A , N/A , N/A ,$113.81 ,$358.70 ,$243.87 ,$168.80 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$422.00 ,$422.00 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$145.59 ,$108.39 ,$166.27 ,$108.39 ,$168.80 ,$168.80 ,$108.39 ,$168.80 ,$205.94 ,$221.97 ,$215.22 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A , N/A , N/A ,$113.81 ,$358.70 ,$243.87 ,$168.80 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$422.00 ,$422.00 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$399.00 ,$259.35 ,$104.94 ,$399.00 ,$270.98 ,$183.54 ,$216.26 ,$108.39 ,$111.72 ,$137.66 ,$108.39 ,$157.21 ,$108.39 ,$159.60 ,$159.60 ,$108.39 ,$159.60 ,$205.94 ,$209.87 ,$203.49 ,$270.97 ,$108.39 ,$279.30 ,$108.39 ,$199.50 ,$110.56 ,$299.25 ,$177.95 ,$160.00 ,$177.95 ,$108.39 ,$177.95 ,$251.37 ,$251.37 ,$283.29 ,$399.00 ,$339.15 ,$270.97 ,$319.20 ,$147.63 ,$319.20 ,$108.39 ,$108.39 ,$399.00 ,$216.26 ,$108.39 ,$104.94 , N/A , N/A , N/A , N/A ,$113.81 ,$339.15 ,$243.87 ,$159.60 ,$111.72 ,$359.10 ,$287.28 ,$399.00 ,$251.37 ,$399.00 ,$399.00 ,$108.39 ,$191.52 ,$359.10 ST. JOHN'S HOSPITAL,45000104,29131,HC APPL FINGER SPLINT DYNAMIC,450,1 ,$399.00 ,$259.35 ,$53.51 ,$399.00 ,$133.78 ,$183.54 ,$216.26 ,$53.51 ,$111.72 ,$137.66 ,$53.51 ,$157.21 ,$53.51 ,$159.60 ,$159.60 ,$53.51 ,$159.60 ,$101.66 ,$209.87 ,$203.49 ,$133.77 ,$53.51 ,$279.30 ,$53.51 ,$199.50 ,$54.58 ,$299.25 ,$177.95 ,$160.00 ,$177.95 ,$53.51 ,$177.95 ,$251.37 ,$251.37 ,$283.29 ,$399.00 ,$339.15 ,$133.77 ,$319.20 ,$147.63 ,$319.20 ,$53.51 ,$53.51 ,$399.00 ,$216.26 ,$53.51 ,$104.94 , N/A , N/A , N/A , N/A ,$56.19 ,$339.15 ,$120.39 ,$159.60 ,$111.72 ,$359.10 ,$287.28 ,$399.00 ,$251.37 ,$399.00 ,$399.00 ,$53.51 ,$191.52 ,$359.10 ST. JOHN'S HOSPITAL,45000105,29240,HC STRAPPING SHLDR,450,1 ,$372.00 ,$241.80 ,$97.84 ,$372.00 ,$270.98 ,$171.12 ,$201.62 ,$108.39 ,$104.16 ,$128.34 ,$108.39 ,$146.57 ,$108.39 ,$148.80 ,$148.80 ,$108.39 ,$148.80 ,$205.94 ,$195.67 ,$189.72 ,$270.97 ,$108.39 ,$260.40 ,$108.39 ,$186.00 ,$110.56 ,$279.00 ,$165.91 ,$149.17 ,$165.91 ,$108.39 ,$165.91 ,$234.36 ,$234.36 ,$264.12 ,$372.00 ,$316.20 ,$270.97 ,$297.60 ,$137.64 ,$297.60 ,$108.39 ,$108.39 ,$372.00 ,$201.62 ,$108.39 ,$97.84 , N/A , N/A , N/A , N/A ,$113.81 ,$316.20 ,$243.87 ,$148.80 ,$104.16 ,$334.80 ,$267.84 ,$372.00 ,$234.36 ,$372.00 ,$372.00 ,$108.39 ,$178.56 ,$334.80 ST. JOHN'S HOSPITAL,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$821.00 ,$533.65 ,$215.92 ,$821.00 ,$579.73 ,$377.66 ,$444.98 ,$231.89 ,$229.88 ,$283.25 ,$231.89 ,$323.47 ,$231.89 ,$328.40 ,$328.40 ,$231.89 ,$328.40 ,$440.60 ,$431.85 ,$418.71 ,$579.73 ,$231.89 ,$574.70 ,$231.89 ,$410.50 ,$236.53 ,$615.75 ,$366.17 ,$329.22 ,$366.17 ,$231.89 ,$366.17 ,$517.23 ,$517.23 ,$582.91 ,$821.00 ,$697.85 ,$579.73 ,$656.80 ,$303.77 ,$656.80 ,$231.89 ,$231.89 ,$821.00 ,$444.98 ,$231.89 ,$215.92 , N/A , N/A , N/A , N/A ,$243.48 ,$697.85 ,$521.76 ,$328.40 ,$229.88 ,$738.90 ,$591.12 ,$821.00 ,$517.23 ,$425.00 ,$425.00 ,$231.89 ,$394.08 ,$738.90 ST. JOHN'S HOSPITAL,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$504.00 ,$327.60 ,$132.55 ,$504.00 ,$339.53 ,$231.84 ,$273.17 ,$135.81 ,$141.12 ,$173.88 ,$135.81 ,$198.58 ,$135.81 ,$201.60 ,$201.60 ,$135.81 ,$201.60 ,$258.03 ,$265.10 ,$257.04 ,$339.51 ,$135.81 ,$352.80 ,$135.81 ,$252.00 ,$138.52 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$135.81 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$339.51 ,$403.20 ,$186.48 ,$403.20 ,$135.81 ,$135.81 ,$504.00 ,$273.17 ,$135.81 ,$132.55 , N/A , N/A , N/A , N/A ,$142.60 ,$428.40 ,$305.56 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$135.81 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$410.00 ,$266.50 ,$107.83 ,$410.00 ,$339.53 ,$188.60 ,$222.22 ,$135.81 ,$114.80 ,$141.45 ,$135.81 ,$161.54 ,$135.81 ,$164.00 ,$164.00 ,$135.81 ,$164.00 ,$258.03 ,$215.66 ,$209.10 ,$339.51 ,$135.81 ,$287.00 ,$135.81 ,$205.00 ,$138.52 ,$307.50 ,$182.86 ,$164.41 ,$182.86 ,$135.81 ,$182.86 ,$258.30 ,$258.30 ,$291.10 ,$410.00 ,$348.50 ,$339.51 ,$328.00 ,$151.70 ,$328.00 ,$135.81 ,$135.81 ,$410.00 ,$222.22 ,$135.81 ,$107.83 , N/A , N/A , N/A , N/A ,$142.60 ,$348.50 ,$305.56 ,$164.00 ,$114.80 ,$369.00 ,$295.20 ,$410.00 ,$258.30 ,$410.00 ,$410.00 ,$135.81 ,$196.80 ,$369.00 ST. JOHN'S HOSPITAL,45000109,29705,HC REM/BIV CAST ARM/LEG,450,1 ,$280.00 ,$182.00 ,$73.64 ,$579.73 ,$579.73 ,$128.80 ,$151.76 ,$231.89 ,$78.40 ,$96.60 ,$231.89 ,$110.32 ,$231.89 ,$112.00 ,$112.00 ,$231.89 ,$112.00 ,$280.00 ,$147.28 ,$142.80 ,$579.73 ,$231.89 ,$196.00 ,$231.89 ,$140.00 ,$236.53 ,$210.00 ,$124.88 ,$112.28 ,$124.88 ,$231.89 ,$124.88 ,$176.40 ,$176.40 ,$198.80 ,$280.00 ,$238.00 ,$280.00 ,$224.00 ,$103.60 ,$224.00 ,$231.89 ,$231.89 ,$280.00 ,$151.76 ,$231.89 ,$73.64 , N/A , N/A , N/A , N/A ,$243.48 ,$238.00 ,$521.76 ,$112.00 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$176.40 ,$280.00 ,$280.00 ,$231.89 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,45000110,30300,HC REM FB INTRANASAL,450,1 ,$499.00 ,$324.35 ,$108.39 ,$499.00 ,$270.98 ,$229.54 ,$270.46 ,$108.39 ,$139.72 ,$172.16 ,$108.39 ,$196.61 ,$108.39 ,$199.60 ,$199.60 ,$108.39 ,$199.60 ,$205.94 ,$262.47 ,$254.49 ,$270.97 ,$108.39 ,$349.30 ,$108.39 ,$249.50 ,$110.56 ,$374.25 ,$222.55 ,$200.10 ,$222.55 ,$108.39 ,$222.55 ,$314.37 ,$314.37 ,$354.29 ,$499.00 ,$424.15 ,$270.97 ,$399.20 ,$184.63 ,$399.20 ,$108.39 ,$108.39 ,$499.00 ,$270.46 ,$108.39 ,$131.24 , N/A , N/A , N/A , N/A ,$113.81 ,$424.15 ,$243.87 ,$199.60 ,$139.72 ,$449.10 ,$359.28 ,$499.00 ,$314.37 ,$425.00 ,$425.00 ,$108.39 ,$239.52 ,$449.10 ST. JOHN'S HOSPITAL,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,"$1,892.00 ","$1,229.80 ",$108.39 ,"$1,892.00 ",$270.98 ,$870.32 ,"$1,025.46 ",$108.39 ,$529.76 ,$652.74 ,$108.39 ,$745.45 ,$108.39 ,$756.80 ,$756.80 ,$108.39 ,$756.80 ,$205.94 ,$995.19 ,$964.92 ,$270.97 ,$108.39 ,"$1,324.40 ",$108.39 ,$946.00 ,$110.56 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$108.39 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$270.97 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$108.39 ,$108.39 ,"$1,892.00 ","$1,025.46 ",$108.39 ,$497.60 , N/A , N/A , N/A , N/A ,$113.81 ,"$1,608.20 ",$243.87 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$108.39 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000114,31238,HC NASAL ENDO W EPISTAX CONTROL,450,1 ,"$3,875.00 ","$2,518.75 ",$425.00 ,"$3,875.00 ","$3,595.38 ","$1,782.50 ","$2,100.25 ","$1,438.15 ","$1,085.00 ","$1,336.88 ","$1,438.15 ","$1,526.75 ","$1,438.15 ","$1,550.00 ","$1,550.00 ","$1,438.15 ","$1,550.00 ","$2,732.49 ","$2,038.25 ","$1,049.00 ","$3,595.38 ","$1,438.15 ","$2,712.50 ","$1,438.15 ","$1,937.50 ","$1,466.92 ","$2,906.25 ","$1,728.25 ","$1,553.88 ","$1,728.25 ","$1,438.15 ","$1,728.25 ","$2,441.25 ","$2,441.25 ","$2,751.25 ","$3,875.00 ","$3,293.75 ","$3,595.38 ","$3,100.00 ","$1,433.75 ","$3,100.00 ","$1,438.15 ","$1,438.15 ","$3,875.00 ","$2,100.25 ","$1,438.15 ","$1,019.13 ", N/A , N/A , N/A , N/A ,"$1,510.06 ","$3,293.75 ","$3,235.85 ","$1,550.00 ","$1,085.00 ","$3,487.50 ","$2,790.00 ","$3,875.00 ","$2,441.25 ",$425.00 ,$425.00 ,"$1,438.15 ","$1,860.00 ","$3,487.50 " ST. JOHN'S HOSPITAL,45000116,31720,HC ASP CATH NASOTRACHEAL,450,1 ,$280.00 ,$182.00 ,$73.64 ,$451.71 ,$451.70 ,$128.80 ,$151.76 ,$180.68 ,$78.40 ,$96.60 ,$180.68 ,$110.32 ,$180.68 ,$112.00 ,$112.00 ,$180.68 ,$112.00 ,$280.00 ,$147.28 ,$142.80 ,$451.71 ,$180.68 ,$196.00 ,$180.68 ,$140.00 ,$184.30 ,$210.00 ,$124.88 ,$112.28 ,$124.88 ,$180.68 ,$124.88 ,$176.40 ,$176.40 ,$198.80 ,$280.00 ,$238.00 ,$280.00 ,$224.00 ,$103.60 ,$224.00 ,$180.68 ,$180.68 ,$280.00 ,$151.76 ,$180.68 ,$73.64 , N/A , N/A , N/A , N/A ,$189.71 ,$238.00 ,$406.53 ,$112.00 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$176.40 ,$280.00 ,$280.00 ,$180.68 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,45000123,36400,HC IV START < 3 YEARS OLD (MD),450,1 ,$459.00 ,$298.35 ,$120.72 ,$459.00 , N/A ,$211.14 ,$248.78 , N/A ,$128.52 ,$158.36 , N/A ,$180.85 , N/A ,$183.60 ,$183.60 , N/A ,$183.60 , N/A ,$241.43 ,$234.09 , N/A , N/A ,$321.30 , N/A ,$229.50 , N/A ,$344.25 ,$204.71 ,$184.06 ,$204.71 , N/A ,$204.71 ,$289.17 ,$289.17 ,$325.89 ,$459.00 ,$390.15 , N/A ,$367.20 ,$169.83 ,$367.20 , N/A , N/A ,$459.00 ,$248.78 , N/A ,$120.72 , N/A , N/A , N/A , N/A , N/A ,$390.15 , N/A ,$183.60 ,$128.52 ,$413.10 ,$330.48 ,$459.00 ,$289.17 ,$425.00 ,$425.00 , N/A ,$220.32 ,$413.10 ST. JOHN'S HOSPITAL,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$770.00 ,$500.50 ,$202.51 ,$770.00 ,$652.20 ,$354.20 ,$417.34 ,$260.88 ,$215.60 ,$265.65 ,$260.88 ,$303.38 ,$260.88 ,$308.00 ,$308.00 ,$260.88 ,$308.00 ,$495.68 ,$405.02 ,$392.70 ,$652.20 ,$260.88 ,$539.00 ,$260.88 ,$385.00 ,$266.10 ,$577.50 ,$343.42 ,$308.77 ,$343.42 ,$260.88 ,$343.42 ,$485.10 ,$485.10 ,$546.70 ,$770.00 ,$654.50 ,$652.20 ,$616.00 ,$284.90 ,$616.00 ,$260.88 ,$260.88 ,$770.00 ,$417.34 ,$260.88 ,$202.51 , N/A , N/A , N/A , N/A ,$273.92 ,$654.50 ,$586.98 ,$308.00 ,$215.60 ,$693.00 ,$554.40 ,$770.00 ,$485.10 ,$425.00 ,$425.00 ,$260.88 ,$369.60 ,$693.00 ST. JOHN'S HOSPITAL,45000133,40650,HC RPR LIP FULL THICK VERMILN,450,1 ,"$2,628.00 ","$1,708.20 ",$425.00 ,"$2,628.00 ","$1,086.85 ","$1,208.88 ","$1,424.38 ",$434.74 ,$735.84 ,$906.66 ,$434.74 ,"$1,035.43 ",$434.74 ,"$1,051.20 ","$1,051.20 ",$434.74 ,"$1,051.20 ",$826.01 ,"$1,382.33 ","$1,049.00 ","$1,086.85 ",$434.74 ,"$1,839.60 ",$434.74 ,"$1,314.00 ",$443.44 ,"$1,971.00 ","$1,172.09 ","$1,053.83 ","$1,172.09 ",$434.74 ,"$1,172.09 ","$1,655.64 ","$1,655.64 ","$1,865.88 ","$2,628.00 ","$2,233.80 ","$1,086.85 ","$2,102.40 ",$972.36 ,"$2,102.40 ",$434.74 ,$434.74 ,"$2,628.00 ","$1,424.38 ",$434.74 ,$691.16 , N/A , N/A , N/A , N/A ,$456.48 ,"$2,233.80 ",$978.17 ,"$1,051.20 ",$735.84 ,"$2,365.20 ","$1,892.16 ","$2,628.00 ","$1,655.64 ",$425.00 ,$425.00 ,$434.74 ,"$1,261.44 ","$2,365.20 " ST. JOHN'S HOSPITAL,45000134,40652,HC RPR LIP UP 1/2 VERTICAL,450,1 ,"$1,519.00 ",$987.35 ,$399.50 ,"$1,519.00 ","$1,086.85 ",$698.74 ,$823.30 ,$434.74 ,$425.32 ,$524.06 ,$434.74 ,$598.49 ,$434.74 ,$607.60 ,$607.60 ,$434.74 ,$607.60 ,$826.01 ,$798.99 ,$774.69 ,"$1,086.85 ",$434.74 ,"$1,063.30 ",$434.74 ,$759.50 ,$443.44 ,"$1,139.25 ",$677.47 ,$609.12 ,$677.47 ,$434.74 ,$677.47 ,$956.97 ,$956.97 ,"$1,078.49 ","$1,519.00 ","$1,291.15 ","$1,086.85 ","$1,215.20 ",$562.03 ,"$1,215.20 ",$434.74 ,$434.74 ,"$1,519.00 ",$823.30 ,$434.74 ,$399.50 , N/A , N/A , N/A , N/A ,$456.48 ,"$1,291.15 ",$978.17 ,$607.60 ,$425.32 ,"$1,367.10 ","$1,093.68 ","$1,519.00 ",$956.97 ,$425.00 ,$425.00 ,$434.74 ,$729.12 ,"$1,367.10 " ST. JOHN'S HOSPITAL,45000135,40654,HC RPR LIP CPLX,450,1 ,"$2,021.00 ","$1,313.65 ",$425.00 ,"$3,250.78 ","$3,250.78 ",$929.66 ,"$1,095.38 ","$1,300.31 ",$565.88 ,$697.25 ,"$1,300.31 ",$796.27 ,"$1,300.31 ",$808.40 ,$808.40 ,"$1,300.31 ",$808.40 ,"$2,021.00 ","$1,063.05 ","$1,030.71 ","$3,250.76 ","$1,300.31 ","$1,414.70 ","$1,300.31 ","$1,010.50 ","$1,326.31 ","$1,515.75 ",$901.37 ,$810.42 ,$901.37 ,"$1,300.31 ",$901.37 ,"$1,273.23 ","$1,273.23 ","$1,434.91 ","$2,021.00 ","$1,717.85 ","$2,021.00 ","$1,616.80 ",$747.77 ,"$1,616.80 ","$1,300.31 ","$1,300.31 ","$2,021.00 ","$1,095.38 ","$1,300.31 ",$531.52 , N/A , N/A , N/A , N/A ,"$1,365.33 ","$1,717.85 ","$2,925.69 ",$808.40 ,$565.88 ,"$1,818.90 ","$1,455.12 ","$2,021.00 ","$1,273.23 ",$425.00 ,$425.00 ,"$1,300.31 ",$970.08 ,"$1,818.90 " ST. JOHN'S HOSPITAL,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$1,495.43 ","$1,495.43 ",$333.96 ,$393.49 ,$598.17 ,$203.28 ,$250.47 ,$598.17 ,$286.04 ,$598.17 ,$290.40 ,$290.40 ,$598.17 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$1,495.43 ",$598.17 ,$508.20 ,$598.17 ,$363.00 ,$610.13 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$598.17 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$598.17 ,$598.17 ,$726.00 ,$393.49 ,$598.17 ,$190.94 , N/A , N/A , N/A , N/A ,$628.08 ,$617.10 ,"$1,345.88 ",$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$598.17 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$508.43 ,$333.96 ,$393.49 ,$203.37 ,$203.28 ,$250.47 ,$203.37 ,$286.04 ,$203.37 ,$290.40 ,$290.40 ,$203.37 ,$290.40 ,$386.39 ,$381.88 ,$370.26 ,$508.41 ,$203.37 ,$508.20 ,$203.37 ,$363.00 ,$207.43 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$203.37 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$508.41 ,$580.80 ,$268.62 ,$580.80 ,$203.37 ,$203.37 ,$726.00 ,$393.49 ,$203.37 ,$190.94 , N/A , N/A , N/A , N/A ,$213.54 ,$617.10 ,$457.57 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$203.37 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$652.20 ,$333.96 ,$393.49 ,$260.88 ,$203.28 ,$250.47 ,$260.88 ,$286.04 ,$260.88 ,$290.40 ,$290.40 ,$260.88 ,$290.40 ,$495.68 ,$381.88 ,$370.26 ,$652.20 ,$260.88 ,$508.20 ,$260.88 ,$363.00 ,$266.10 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$260.88 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$652.20 ,$580.80 ,$268.62 ,$580.80 ,$260.88 ,$260.88 ,$726.00 ,$393.49 ,$260.88 ,$190.94 , N/A , N/A , N/A , N/A ,$273.92 ,$617.10 ,$586.98 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$260.88 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$508.43 ,$333.96 ,$393.49 ,$203.37 ,$203.28 ,$250.47 ,$203.37 ,$286.04 ,$203.37 ,$290.40 ,$290.40 ,$203.37 ,$290.40 ,$386.39 ,$381.88 ,$370.26 ,$508.41 ,$203.37 ,$508.20 ,$203.37 ,$363.00 ,$207.43 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$203.37 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$508.41 ,$580.80 ,$268.62 ,$580.80 ,$203.37 ,$203.37 ,$726.00 ,$393.49 ,$203.37 ,$190.94 , N/A , N/A , N/A , N/A ,$213.54 ,$617.10 ,$457.57 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$203.37 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000141,42809,HC REMOVE PHARYNX FOREIGN BODY,450,1 ,$606.00 ,$393.90 ,$159.38 ,$652.20 ,$652.20 ,$278.76 ,$328.45 ,$260.88 ,$169.68 ,$209.07 ,$260.88 ,$238.76 ,$260.88 ,$242.40 ,$242.40 ,$260.88 ,$242.40 ,$495.68 ,$318.76 ,$309.06 ,$652.20 ,$260.88 ,$424.20 ,$260.88 ,$303.00 ,$266.10 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$260.88 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$606.00 ,$484.80 ,$224.22 ,$484.80 ,$260.88 ,$260.88 ,$606.00 ,$328.45 ,$260.88 ,$159.38 , N/A , N/A , N/A , N/A ,$273.92 ,$515.10 ,$586.98 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$260.88 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45000143,43753,HC GASTRIC LAVAGE,450,1 ,"$1,119.00 ",$727.35 ,$254.40 ,"$1,119.00 ",$636.00 ,$514.74 ,$606.50 ,$254.40 ,$313.32 ,$386.06 ,$254.40 ,$440.89 ,$254.40 ,$447.60 ,$447.60 ,$254.40 ,$447.60 ,$483.35 ,$588.59 ,$570.69 ,$635.99 ,$254.40 ,$783.30 ,$254.40 ,$559.50 ,$259.48 ,$839.25 ,$499.07 ,$448.72 ,$499.07 ,$254.40 ,$499.07 ,$704.97 ,$704.97 ,$794.49 ,"$1,119.00 ",$951.15 ,$635.99 ,$895.20 ,$414.03 ,$895.20 ,$254.40 ,$254.40 ,"$1,119.00 ",$606.50 ,$254.40 ,$294.30 , N/A , N/A , N/A , N/A ,$267.12 ,$951.15 ,$572.39 ,$447.60 ,$313.32 ,"$1,007.10 ",$805.68 ,"$1,119.00 ",$704.97 ,$425.00 ,$425.00 ,$254.40 ,$537.12 ,"$1,007.10 " ST. JOHN'S HOSPITAL,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$3,602.00 ","$2,341.30 ",$425.00 ,"$3,602.00 ","$2,491.98 ","$1,656.92 ","$1,952.28 ",$996.79 ,"$1,008.56 ","$1,242.69 ",$996.79 ,"$1,419.19 ",$996.79 ,"$1,440.80 ","$1,440.80 ",$996.79 ,"$1,440.80 ","$1,893.90 ","$1,894.65 ","$1,049.00 ","$2,491.97 ",$996.79 ,"$2,521.40 ",$996.79 ,"$1,801.00 ","$1,016.72 ","$2,701.50 ","$1,606.49 ","$1,444.40 ","$1,606.49 ",$996.79 ,"$1,606.49 ","$2,269.26 ","$2,269.26 ","$2,557.42 ","$3,602.00 ","$3,061.70 ","$2,491.97 ","$2,881.60 ","$1,332.74 ","$2,881.60 ",$996.79 ,$996.79 ,"$3,602.00 ","$1,952.28 ",$996.79 ,$947.33 , N/A , N/A , N/A , N/A ,"$1,046.63 ","$3,061.70 ","$2,242.77 ","$1,440.80 ","$1,008.56 ","$3,241.80 ","$2,593.44 ","$3,602.00 ","$2,269.26 ",$425.00 ,$425.00 ,$996.79 ,"$1,728.96 ","$3,241.80 " ST. JOHN'S HOSPITAL,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,"$2,470.00 ","$1,605.50 ",$425.00 ,"$2,470.00 ","$1,907.05 ","$1,136.20 ","$1,338.74 ",$762.82 ,$691.60 ,$852.15 ,$762.82 ,$973.18 ,$762.82 ,$988.00 ,$988.00 ,$762.82 ,$988.00 ,"$1,449.37 ","$1,299.22 ","$1,049.00 ","$1,907.06 ",$762.82 ,"$1,729.00 ",$762.82 ,"$1,235.00 ",$778.08 ,"$1,852.50 ","$1,101.62 ",$990.47 ,"$1,101.62 ",$762.82 ,"$1,101.62 ","$1,556.10 ","$1,556.10 ","$1,753.70 ","$2,470.00 ","$2,099.50 ","$1,907.06 ","$1,976.00 ",$913.90 ,"$1,976.00 ",$762.82 ,$762.82 ,"$2,470.00 ","$1,338.74 ",$762.82 ,$649.61 , N/A , N/A , N/A , N/A ,$800.96 ,"$2,099.50 ","$1,716.35 ",$988.00 ,$691.60 ,"$2,223.00 ","$1,778.40 ","$2,470.00 ","$1,556.10 ",$425.00 ,$425.00 ,$762.82 ,"$1,185.60 ","$2,223.00 " ST. JOHN'S HOSPITAL,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$934.00 ,$607.10 ,$245.64 ,$934.00 ,$639.48 ,$429.64 ,$506.23 ,$255.79 ,$261.52 ,$322.23 ,$255.79 ,$368.00 ,$255.79 ,$373.60 ,$373.60 ,$255.79 ,$373.60 ,$486.00 ,$491.28 ,$476.34 ,$639.47 ,$255.79 ,$653.80 ,$255.79 ,$467.00 ,$260.91 ,$700.50 ,$416.56 ,$374.53 ,$416.56 ,$255.79 ,$416.56 ,$588.42 ,$588.42 ,$663.14 ,$934.00 ,$793.90 ,$639.47 ,$747.20 ,$345.58 ,$747.20 ,$255.79 ,$255.79 ,$934.00 ,$506.23 ,$255.79 ,$245.64 , N/A , N/A , N/A , N/A ,$268.58 ,$793.90 ,$575.53 ,$373.60 ,$261.52 ,$840.60 ,$672.48 ,$934.00 ,$588.42 ,$425.00 ,$425.00 ,$255.79 ,$448.32 ,$840.60 ST. JOHN'S HOSPITAL,45000149,46320,HC EXCISION THROMBOSED HEMORRHOID; EXTERNAL,450,1 ,"$3,855.00 ","$2,505.75 ",$425.00 ,"$3,855.00 ","$2,491.98 ","$1,773.30 ","$2,089.41 ",$996.79 ,"$1,079.40 ","$1,329.98 ",$996.79 ,"$1,518.87 ",$996.79 ,"$1,542.00 ","$1,542.00 ",$996.79 ,"$1,542.00 ","$1,893.90 ","$2,027.73 ","$1,049.00 ","$2,491.97 ",$996.79 ,"$2,698.50 ",$996.79 ,"$1,927.50 ","$1,016.72 ","$2,891.25 ","$1,719.33 ","$1,545.86 ","$1,719.33 ",$996.79 ,"$1,719.33 ","$2,428.65 ","$2,428.65 ","$2,737.05 ","$3,855.00 ","$3,276.75 ","$2,491.97 ","$3,084.00 ","$1,426.35 ","$3,084.00 ",$996.79 ,$996.79 ,"$3,855.00 ","$2,089.41 ",$996.79 ,"$1,013.87 ", N/A , N/A , N/A , N/A ,"$1,046.63 ","$3,276.75 ","$2,242.77 ","$1,542.00 ","$1,079.40 ","$3,469.50 ","$2,775.60 ","$3,855.00 ","$2,428.65 ",$425.00 ,$425.00 ,$996.79 ,"$1,850.40 ","$3,469.50 " ST. JOHN'S HOSPITAL,45000150,46600,HC ANOSCOPY,450,1 ,$179.00 ,$116.35 ,$47.08 ,$270.98 ,$270.98 ,$82.34 ,$97.02 ,$108.39 ,$50.12 ,$61.76 ,$108.39 ,$70.53 ,$108.39 ,$71.60 ,$71.60 ,$108.39 ,$71.60 ,$179.00 ,$94.15 ,$91.29 ,$270.97 ,$108.39 ,$125.30 ,$108.39 ,$89.50 ,$110.56 ,$134.25 ,$79.83 ,$71.78 ,$79.83 ,$108.39 ,$79.83 ,$112.77 ,$112.77 ,$127.09 ,$179.00 ,$152.15 ,$179.00 ,$143.20 ,$66.23 ,$143.20 ,$108.39 ,$108.39 ,$179.00 ,$97.02 ,$108.39 ,$47.08 , N/A , N/A , N/A , N/A ,$113.81 ,$152.15 ,$243.87 ,$71.60 ,$50.12 ,$161.10 ,$128.88 ,$179.00 ,$112.77 ,$179.00 ,$179.00 ,$108.39 ,$85.92 ,$161.10 ST. JOHN'S HOSPITAL,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$830.00 ,$539.50 ,$218.29 ,$830.00 ,$639.48 ,$381.80 ,$449.86 ,$255.79 ,$232.40 ,$286.35 ,$255.79 ,$327.02 ,$255.79 ,$332.00 ,$332.00 ,$255.79 ,$332.00 ,$486.00 ,$436.58 ,$423.30 ,$639.47 ,$255.79 ,$581.00 ,$255.79 ,$415.00 ,$260.91 ,$622.50 ,$370.18 ,$332.83 ,$370.18 ,$255.79 ,$370.18 ,$522.90 ,$522.90 ,$589.30 ,$830.00 ,$705.50 ,$639.47 ,$664.00 ,$307.10 ,$664.00 ,$255.79 ,$255.79 ,$830.00 ,$449.86 ,$255.79 ,$218.29 , N/A , N/A , N/A , N/A ,$268.58 ,$705.50 ,$575.53 ,$332.00 ,$232.40 ,$747.00 ,$597.60 ,$830.00 ,$522.90 ,$425.00 ,$425.00 ,$255.79 ,$398.40 ,$747.00 ST. JOHN'S HOSPITAL,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$901.00 ,$585.65 ,$236.96 ,$901.00 ,$639.48 ,$414.46 ,$488.34 ,$255.79 ,$252.28 ,$310.85 ,$255.79 ,$354.99 ,$255.79 ,$360.40 ,$360.40 ,$255.79 ,$360.40 ,$486.00 ,$473.93 ,$459.51 ,$639.47 ,$255.79 ,$630.70 ,$255.79 ,$450.50 ,$260.91 ,$675.75 ,$401.85 ,$361.30 ,$401.85 ,$255.79 ,$401.85 ,$567.63 ,$567.63 ,$639.71 ,$901.00 ,$765.85 ,$639.47 ,$720.80 ,$333.37 ,$720.80 ,$255.79 ,$255.79 ,$901.00 ,$488.34 ,$255.79 ,$236.96 , N/A , N/A , N/A , N/A ,$268.58 ,$765.85 ,$575.53 ,$360.40 ,$252.28 ,$810.90 ,$648.72 ,$901.00 ,$567.63 ,$425.00 ,$425.00 ,$255.79 ,$432.48 ,$810.90 ST. JOHN'S HOSPITAL,45000159,54220,HC IRRIG CORPORA CAVNOSA,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$639.48 ,$307.28 ,$362.06 ,$255.79 ,$187.04 ,$230.46 ,$255.79 ,$263.19 ,$255.79 ,$267.20 ,$267.20 ,$255.79 ,$267.20 ,$486.00 ,$351.37 ,$340.68 ,$639.47 ,$255.79 ,$467.60 ,$255.79 ,$334.00 ,$260.91 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$255.79 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$639.47 ,$534.40 ,$247.16 ,$534.40 ,$255.79 ,$255.79 ,$668.00 ,$362.06 ,$255.79 ,$175.68 , N/A , N/A , N/A , N/A ,$268.58 ,$567.80 ,$575.53 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$255.79 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000160,54450,HC MANIP FORESKIN STRETCH,450,1 ,"$1,236.00 ",$803.40 ,$255.79 ,"$1,236.00 ",$639.48 ,$568.56 ,$669.91 ,$255.79 ,$346.08 ,$426.42 ,$255.79 ,$486.98 ,$255.79 ,$494.40 ,$494.40 ,$255.79 ,$494.40 ,$486.00 ,$650.14 ,$630.36 ,$639.47 ,$255.79 ,$865.20 ,$255.79 ,$618.00 ,$260.91 ,$927.00 ,$551.26 ,$495.64 ,$551.26 ,$255.79 ,$551.26 ,$778.68 ,$778.68 ,$877.56 ,"$1,236.00 ","$1,050.60 ",$639.47 ,$988.80 ,$457.32 ,$988.80 ,$255.79 ,$255.79 ,"$1,236.00 ",$669.91 ,$255.79 ,$325.07 , N/A , N/A , N/A , N/A ,$268.58 ,"$1,050.60 ",$575.53 ,$494.40 ,$346.08 ,"$1,112.40 ",$889.92 ,"$1,236.00 ",$778.68 ,$425.00 ,$425.00 ,$255.79 ,$593.28 ,"$1,112.40 " ST. JOHN'S HOSPITAL,45000161,54700,HC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,450,1 ,"$11,600.00 ","$7,540.00 ",$425.00 ,"$11,600.00 ","$4,302.83 ","$3,000.00 ","$6,287.20 ","$1,721.13 ","$3,248.00 ","$3,533.22 ","$1,721.13 ","$4,570.40 ","$1,721.13 ","$4,640.00 ","$4,640.00 ","$1,721.13 ","$4,640.00 ","$3,270.14 ","$6,101.60 ","$1,049.00 ","$4,302.81 ","$1,721.13 ","$8,120.00 ","$1,721.13 ","$5,800.00 ","$1,755.55 ","$8,700.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,721.13 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$11,600.00 ","$9,860.00 ","$4,302.81 ","$9,280.00 ","$4,292.00 ","$9,280.00 ","$1,721.13 ","$1,721.13 ","$11,600.00 ","$6,287.20 ","$1,721.13 ","$3,050.80 ", N/A , N/A , N/A , N/A ,"$1,807.19 ","$9,860.00 ","$3,872.53 ","$4,640.00 ","$3,248.00 ","$10,440.00 ","$8,352.00 ","$11,600.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,721.13 ","$5,568.00 ","$10,440.00 " ST. JOHN'S HOSPITAL,45000162,55100,HC DRAIN ABSC SCROTAL WALL,450,1 ,"$2,765.00 ","$1,797.25 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,271.90 ","$1,498.63 ","$1,352.50 ",$774.20 ,$953.93 ,"$1,352.50 ","$1,089.41 ","$1,352.50 ","$1,106.00 ","$1,106.00 ","$1,352.50 ","$1,106.00 ","$2,569.74 ","$1,454.39 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,935.50 ","$1,352.50 ","$1,382.50 ","$1,379.54 ","$2,073.75 ","$1,233.19 ","$1,108.77 ","$1,233.19 ","$1,352.50 ","$1,233.19 ","$1,741.95 ","$1,741.95 ","$1,963.15 ","$2,765.00 ","$2,350.25 ","$2,765.00 ","$2,212.00 ","$1,023.05 ","$2,212.00 ","$1,352.50 ","$1,352.50 ","$2,765.00 ","$1,498.63 ","$1,352.50 ",$727.20 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,350.25 ","$3,043.11 ","$1,106.00 ",$774.20 ,"$2,488.50 ","$1,990.80 ","$2,765.00 ","$1,741.95 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,327.20 ","$2,488.50 " ST. JOHN'S HOSPITAL,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,"$1,019.00 ",$662.35 ,$268.00 ,"$1,019.00 ",$677.75 ,$468.74 ,$552.30 ,$271.10 ,$285.32 ,$351.56 ,$271.10 ,$401.49 ,$271.10 ,$407.60 ,$407.60 ,$271.10 ,$407.60 ,$515.10 ,$535.99 ,$519.69 ,$677.76 ,$271.10 ,$713.30 ,$271.10 ,$509.50 ,$276.53 ,$764.25 ,$454.47 ,$408.62 ,$454.47 ,$271.10 ,$454.47 ,$641.97 ,$641.97 ,$723.49 ,"$1,019.00 ",$866.15 ,$677.76 ,$815.20 ,$377.03 ,$815.20 ,$271.10 ,$271.10 ,"$1,019.00 ",$552.30 ,$271.10 ,$268.00 , N/A , N/A , N/A , N/A ,$284.66 ,$866.15 ,$609.98 ,$407.60 ,$285.32 ,$917.10 ,$733.68 ,"$1,019.00 ",$641.97 ,$425.00 ,$425.00 ,$271.10 ,$489.12 ,$917.10 ST. JOHN'S HOSPITAL,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$726.00 ,$471.90 ,$163.76 ,$726.00 ,$409.40 ,$333.96 ,$393.49 ,$163.76 ,$203.28 ,$250.47 ,$163.76 ,$286.04 ,$163.76 ,$290.40 ,$290.40 ,$163.76 ,$290.40 ,$311.14 ,$381.88 ,$370.26 ,$409.40 ,$163.76 ,$508.20 ,$163.76 ,$363.00 ,$167.03 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$163.76 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$409.40 ,$580.80 ,$268.62 ,$580.80 ,$163.76 ,$163.76 ,$726.00 ,$393.49 ,$163.76 ,$190.94 , N/A , N/A , N/A , N/A ,$171.95 ,$617.10 ,$368.46 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$163.76 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000165,58301,HC REM DVC INTRAUTERINE,450,1 ,$561.00 ,$364.65 ,$147.54 ,$677.76 ,$677.75 ,$258.06 ,$304.06 ,$271.10 ,$157.08 ,$193.55 ,$271.10 ,$221.03 ,$271.10 ,$224.40 ,$224.40 ,$271.10 ,$224.40 ,$515.10 ,$295.09 ,$286.11 ,$677.76 ,$271.10 ,$392.70 ,$271.10 ,$280.50 ,$276.53 ,$420.75 ,$250.21 ,$224.96 ,$250.21 ,$271.10 ,$250.21 ,$353.43 ,$353.43 ,$398.31 ,$561.00 ,$476.85 ,$561.00 ,$448.80 ,$207.57 ,$448.80 ,$271.10 ,$271.10 ,$561.00 ,$304.06 ,$271.10 ,$147.54 , N/A , N/A , N/A , N/A ,$284.66 ,$476.85 ,$609.98 ,$224.40 ,$157.08 ,$504.90 ,$403.92 ,$561.00 ,$353.43 ,$425.00 ,$425.00 ,$271.10 ,$269.28 ,$504.90 ST. JOHN'S HOSPITAL,45000166,59414,HC DELIVERY OF PLACENTA,450,1 ,"$4,495.00 ","$2,921.75 ",$425.00 ,"$6,305.00 ","$6,305.00 ","$2,067.70 ","$2,436.29 ","$2,522.00 ","$1,258.60 ","$1,550.78 ","$2,522.00 ","$1,771.03 ","$2,522.00 ","$1,798.00 ","$1,798.00 ","$2,522.00 ","$1,798.00 ","$4,495.00 ","$2,364.37 ","$1,049.00 ","$6,305.00 ","$2,522.00 ","$3,146.50 ","$2,522.00 ","$2,247.50 ","$2,572.44 ","$3,371.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,522.00 ","$1,856.00 ","$2,831.85 ","$2,831.85 ","$3,191.45 ","$4,495.00 ","$3,820.75 ","$4,495.00 ","$3,596.00 ","$1,663.15 ","$3,596.00 ","$2,522.00 ","$2,522.00 ","$4,495.00 ","$2,436.29 ","$2,522.00 ","$1,182.19 ", N/A , N/A , N/A , N/A ,"$2,648.10 ","$3,820.75 ","$5,674.50 ","$1,798.00 ","$1,258.60 ","$4,045.50 ","$3,236.40 ","$4,495.00 ","$2,831.85 ",$425.00 ,$425.00 ,"$2,522.00 ","$2,157.60 ","$4,045.50 " ST. JOHN'S HOSPITAL,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,"$1,032.00 ",$670.80 ,$251.14 ,"$1,032.00 ",$627.85 ,$474.72 ,$559.34 ,$251.14 ,$288.96 ,$356.04 ,$251.14 ,$406.61 ,$251.14 ,$412.80 ,$412.80 ,$251.14 ,$412.80 ,$477.17 ,$542.83 ,$526.32 ,$627.85 ,$251.14 ,$722.40 ,$251.14 ,$516.00 ,$256.16 ,$774.00 ,$460.27 ,$413.83 ,$460.27 ,$251.14 ,$460.27 ,$650.16 ,$650.16 ,$732.72 ,"$1,032.00 ",$877.20 ,$627.85 ,$825.60 ,$381.84 ,$825.60 ,$251.14 ,$251.14 ,"$1,032.00 ",$559.34 ,$251.14 ,$271.42 , N/A , N/A , N/A , N/A ,$263.70 ,$877.20 ,$565.07 ,$412.80 ,$288.96 ,$928.80 ,$743.04 ,"$1,032.00 ",$650.16 ,$425.00 ,$425.00 ,$251.14 ,$495.36 ,$928.80 ST. JOHN'S HOSPITAL,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,396.00 ",$907.40 ,$367.15 ,"$1,525.98 ","$1,525.98 ",$642.16 ,$756.63 ,$610.39 ,$390.88 ,$481.62 ,$610.39 ,$550.02 ,$610.39 ,$558.40 ,$558.40 ,$610.39 ,$558.40 ,"$1,159.74 ",$734.30 ,$711.96 ,"$1,525.97 ",$610.39 ,$977.20 ,$610.39 ,$698.00 ,$622.59 ,"$1,047.00 ",$622.62 ,$559.80 ,$622.62 ,$610.39 ,$622.62 ,$879.48 ,$879.48 ,$991.16 ,"$1,396.00 ","$1,186.60 ","$1,396.00 ","$1,116.80 ",$516.52 ,"$1,116.80 ",$610.39 ,$610.39 ,"$1,396.00 ",$756.63 ,$610.39 ,$367.15 , N/A , N/A , N/A , N/A ,$640.91 ,"$1,186.60 ","$1,373.37 ",$558.40 ,$390.88 ,"$1,256.40 ","$1,005.12 ","$1,396.00 ",$879.48 ,$425.00 ,$425.00 ,$610.39 ,$670.08 ,"$1,256.40 " ST. JOHN'S HOSPITAL,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$411.00 ,$267.15 ,$108.09 ,$411.00 ,$270.98 ,$189.06 ,$222.76 ,$108.39 ,$115.08 ,$141.80 ,$108.39 ,$161.93 ,$108.39 ,$164.40 ,$164.40 ,$108.39 ,$164.40 ,$205.94 ,$216.19 ,$209.61 ,$270.97 ,$108.39 ,$287.70 ,$108.39 ,$205.50 ,$110.56 ,$308.25 ,$183.31 ,$164.81 ,$183.31 ,$108.39 ,$183.31 ,$258.93 ,$258.93 ,$291.81 ,$411.00 ,$349.35 ,$270.97 ,$328.80 ,$152.07 ,$328.80 ,$108.39 ,$108.39 ,$411.00 ,$222.76 ,$108.39 ,$108.09 , N/A , N/A , N/A , N/A ,$113.81 ,$349.35 ,$243.87 ,$164.40 ,$115.08 ,$369.90 ,$295.92 ,$411.00 ,$258.93 ,$411.00 ,$411.00 ,$108.39 ,$197.28 ,$369.90 ST. JOHN'S HOSPITAL,45000172,65210,HC REM EYE FB CONJUCT EMBED,450,1 ,"$1,049.00 ",$681.85 ,$260.88 ,"$1,049.00 ",$652.20 ,$482.54 ,$568.56 ,$260.88 ,$293.72 ,$361.91 ,$260.88 ,$413.31 ,$260.88 ,$419.60 ,$419.60 ,$260.88 ,$419.60 ,$495.68 ,$551.77 ,$534.99 ,$652.20 ,$260.88 ,$734.30 ,$260.88 ,$524.50 ,$266.10 ,$786.75 ,$467.85 ,$420.65 ,$467.85 ,$260.88 ,$467.85 ,$660.87 ,$660.87 ,$744.79 ,"$1,049.00 ",$891.65 ,$652.20 ,$839.20 ,$388.13 ,$839.20 ,$260.88 ,$260.88 ,"$1,049.00 ",$568.56 ,$260.88 ,$275.89 , N/A , N/A , N/A , N/A ,$273.92 ,$891.65 ,$586.98 ,$419.60 ,$293.72 ,$944.10 ,$755.28 ,"$1,049.00 ",$660.87 ,$425.00 ,$425.00 ,$260.88 ,$503.52 ,$944.10 ST. JOHN'S HOSPITAL,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$424.00 ,$275.60 ,$111.51 ,$652.20 ,$652.20 ,$195.04 ,$229.81 ,$260.88 ,$118.72 ,$146.28 ,$260.88 ,$167.06 ,$260.88 ,$169.60 ,$169.60 ,$260.88 ,$169.60 ,$424.00 ,$223.02 ,$216.24 ,$652.20 ,$260.88 ,$296.80 ,$260.88 ,$212.00 ,$266.10 ,$318.00 ,$189.10 ,$170.02 ,$189.10 ,$260.88 ,$189.10 ,$267.12 ,$267.12 ,$301.04 ,$424.00 ,$360.40 ,$424.00 ,$339.20 ,$156.88 ,$339.20 ,$260.88 ,$260.88 ,$424.00 ,$229.81 ,$260.88 ,$111.51 , N/A , N/A , N/A , N/A ,$273.92 ,$360.40 ,$586.98 ,$169.60 ,$118.72 ,$381.60 ,$305.28 ,$424.00 ,$267.12 ,$424.00 ,$424.00 ,$260.88 ,$203.52 ,$381.60 ST. JOHN'S HOSPITAL,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$466.00 ,$302.90 ,$108.39 ,$466.00 ,$270.98 ,$214.36 ,$252.57 ,$108.39 ,$130.48 ,$160.77 ,$108.39 ,$183.60 ,$108.39 ,$186.40 ,$186.40 ,$108.39 ,$186.40 ,$205.94 ,$245.12 ,$237.66 ,$270.97 ,$108.39 ,$326.20 ,$108.39 ,$233.00 ,$110.56 ,$349.50 ,$207.84 ,$186.87 ,$207.84 ,$108.39 ,$207.84 ,$293.58 ,$293.58 ,$330.86 ,$466.00 ,$396.10 ,$270.97 ,$372.80 ,$172.42 ,$372.80 ,$108.39 ,$108.39 ,$466.00 ,$252.57 ,$108.39 ,$122.56 , N/A , N/A , N/A , N/A ,$113.81 ,$396.10 ,$243.87 ,$186.40 ,$130.48 ,$419.40 ,$335.52 ,$466.00 ,$293.58 ,$425.00 ,$425.00 ,$108.39 ,$223.68 ,$419.40 ST. JOHN'S HOSPITAL,45000175,65235,HC REMOVE FB EYE; INTRAOCULAR ANTERIOR CHAMBER,450,1 ,"$5,500.00 ","$3,575.00 ",$425.00 ,"$5,500.00 ","$4,990.38 ","$2,530.00 ","$2,981.00 ","$1,996.15 ","$1,540.00 ","$1,897.50 ","$1,996.15 ","$2,167.00 ","$1,996.15 ","$2,200.00 ","$2,200.00 ","$1,996.15 ","$2,200.00 ","$3,792.69 ","$2,893.00 ","$1,049.00 ","$4,990.38 ","$1,996.15 ","$3,850.00 ","$1,996.15 ","$2,750.00 ","$2,036.08 ","$4,125.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,996.15 ","$1,856.00 ","$3,465.00 ","$3,465.00 ","$3,905.00 ","$5,500.00 ","$4,675.00 ","$4,990.38 ","$4,400.00 ","$2,035.00 ","$4,400.00 ","$1,996.15 ","$1,996.15 ","$5,500.00 ","$2,981.00 ","$1,996.15 ","$1,446.50 ", N/A , N/A , N/A , N/A ,"$2,095.96 ","$4,675.00 ","$4,491.35 ","$2,200.00 ","$1,540.00 ","$4,950.00 ","$3,960.00 ","$5,500.00 ","$3,465.00 ",$425.00 ,$425.00 ,"$1,996.15 ","$2,640.00 ","$4,950.00 " ST. JOHN'S HOSPITAL,45000177,67700,HC I AND D ABSCESS EYELID,450,1 ,"$1,340.00 ",$871.00 ,$251.45 ,"$1,340.00 ",$628.63 ,$616.40 ,$726.28 ,$251.45 ,$375.20 ,$462.30 ,$251.45 ,$527.96 ,$251.45 ,$536.00 ,$536.00 ,$251.45 ,$536.00 ,$477.76 ,$704.84 ,$683.40 ,$628.63 ,$251.45 ,$938.00 ,$251.45 ,$670.00 ,$256.48 ,"$1,005.00 ",$597.64 ,$537.34 ,$597.64 ,$251.45 ,$597.64 ,$844.20 ,$844.20 ,$951.40 ,"$1,340.00 ","$1,139.00 ",$628.63 ,"$1,072.00 ",$495.80 ,"$1,072.00 ",$251.45 ,$251.45 ,"$1,340.00 ",$726.28 ,$251.45 ,$352.42 , N/A , N/A , N/A , N/A ,$264.02 ,"$1,139.00 ",$565.76 ,$536.00 ,$375.20 ,"$1,206.00 ",$964.80 ,"$1,340.00 ",$844.20 ,$425.00 ,$425.00 ,$251.45 ,$643.20 ,"$1,206.00 " ST. JOHN'S HOSPITAL,45000178,67938,HC REMOVE EMBEDDED FB EYELID,450,1 ,$365.00 ,$237.25 ,$96.00 ,$628.63 ,$628.63 ,$167.90 ,$197.83 ,$251.45 ,$102.20 ,$125.93 ,$251.45 ,$143.81 ,$251.45 ,$146.00 ,$146.00 ,$251.45 ,$146.00 ,$365.00 ,$191.99 ,$186.15 ,$628.63 ,$251.45 ,$255.50 ,$251.45 ,$182.50 ,$256.48 ,$273.75 ,$162.79 ,$146.37 ,$162.79 ,$251.45 ,$162.79 ,$229.95 ,$229.95 ,$259.15 ,$365.00 ,$310.25 ,$365.00 ,$292.00 ,$135.05 ,$292.00 ,$251.45 ,$251.45 ,$365.00 ,$197.83 ,$251.45 ,$96.00 , N/A , N/A , N/A , N/A ,$264.02 ,$310.25 ,$565.76 ,$146.00 ,$102.20 ,$328.50 ,$262.80 ,$365.00 ,$229.95 ,$365.00 ,$365.00 ,$251.45 ,$175.20 ,$328.50 ST. JOHN'S HOSPITAL,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,"$2,466.00 ","$1,602.90 ",$425.00 ,"$2,466.00 ","$1,495.43 ","$1,134.36 ","$1,336.57 ",$598.17 ,$690.48 ,$850.77 ,$598.17 ,$971.60 ,$598.17 ,$986.40 ,$986.40 ,$598.17 ,$986.40 ,"$1,136.52 ","$1,297.12 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,726.20 ",$598.17 ,"$1,233.00 ",$610.13 ,"$1,849.50 ","$1,099.84 ",$988.87 ,"$1,099.84 ",$598.17 ,"$1,099.84 ","$1,553.58 ","$1,553.58 ","$1,750.86 ","$2,466.00 ","$2,096.10 ","$1,495.43 ","$1,972.80 ",$912.42 ,"$1,972.80 ",$598.17 ,$598.17 ,"$2,466.00 ","$1,336.57 ",$598.17 ,$648.56 , N/A , N/A , N/A , N/A ,$628.08 ,"$2,096.10 ","$1,345.88 ",$986.40 ,$690.48 ,"$2,219.40 ","$1,775.52 ","$2,466.00 ","$1,553.58 ",$425.00 ,$425.00 ,$598.17 ,"$1,183.68 ","$2,219.40 " ST. JOHN'S HOSPITAL,45000180,69005,HC I AND D ABSCESS EXTERNAL EAR CMPLX,450,1 ,"$3,780.00 ","$2,457.00 ",$425.00 ,"$3,780.00 ","$3,381.25 ","$1,738.80 ","$2,048.76 ","$1,352.50 ","$1,058.40 ","$1,304.10 ","$1,352.50 ","$1,489.32 ","$1,352.50 ","$1,512.00 ","$1,512.00 ","$1,352.50 ","$1,512.00 ","$2,569.74 ","$1,988.28 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,646.00 ","$1,352.50 ","$1,890.00 ","$1,379.54 ","$2,835.00 ","$1,685.88 ","$1,515.78 ","$1,685.88 ","$1,352.50 ","$1,685.88 ","$2,381.40 ","$2,381.40 ","$2,683.80 ","$3,780.00 ","$3,213.00 ","$3,381.24 ","$3,024.00 ","$1,398.60 ","$3,024.00 ","$1,352.50 ","$1,352.50 ","$3,780.00 ","$2,048.76 ","$1,352.50 ",$994.14 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$3,213.00 ","$3,043.11 ","$1,512.00 ","$1,058.40 ","$3,402.00 ","$2,721.60 ","$3,780.00 ","$2,381.40 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,814.40 ","$3,402.00 " ST. JOHN'S HOSPITAL,45000181,69200,HC FB REMOVAL EAR,450,1 ,$304.00 ,$197.60 ,$79.95 ,$304.00 ,$270.98 ,$139.84 ,$164.77 ,$108.39 ,$85.12 ,$104.88 ,$108.39 ,$119.78 ,$108.39 ,$121.60 ,$121.60 ,$108.39 ,$121.60 ,$205.94 ,$159.90 ,$155.04 ,$270.97 ,$108.39 ,$212.80 ,$108.39 ,$152.00 ,$110.56 ,$228.00 ,$135.58 ,$121.90 ,$135.58 ,$108.39 ,$135.58 ,$191.52 ,$191.52 ,$215.84 ,$304.00 ,$258.40 ,$270.97 ,$243.20 ,$112.48 ,$243.20 ,$108.39 ,$108.39 ,$304.00 ,$164.77 ,$108.39 ,$79.95 , N/A , N/A , N/A , N/A ,$113.81 ,$258.40 ,$243.87 ,$121.60 ,$85.12 ,$273.60 ,$218.88 ,$304.00 ,$191.52 ,$304.00 ,$304.00 ,$108.39 ,$145.92 ,$273.60 ST. JOHN'S HOSPITAL,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000185,92511,HC NASOPHARYNGOSCOPY,450,1 ,$440.00 ,$286.00 ,$115.72 ,$440.00 ,$395.58 ,$202.40 ,$238.48 ,$158.23 ,$123.20 ,$151.80 ,$158.23 ,$173.36 ,$158.23 ,$176.00 ,$176.00 ,$158.23 ,$176.00 ,$300.65 ,$231.44 ,$224.40 ,$395.59 ,$158.23 ,$308.00 ,$158.23 ,$220.00 ,$161.40 ,$330.00 ,$196.24 ,$176.44 ,$196.24 ,$158.23 ,$196.24 ,$277.20 ,$277.20 ,$312.40 ,$440.00 ,$374.00 ,$395.59 ,$352.00 ,$162.80 ,$352.00 ,$158.23 ,$158.23 ,$440.00 ,$238.48 ,$158.23 ,$115.72 , N/A , N/A , N/A , N/A ,$166.14 ,$374.00 ,$356.03 ,$176.00 ,$123.20 ,$396.00 ,$316.80 ,$440.00 ,$277.20 ,$425.00 ,$425.00 ,$158.23 ,$211.20 ,$396.00 ST. JOHN'S HOSPITAL,45000186,92953,HC TEMPORARY EXTERNAL PACING,450,1 ,"$2,382.00 ","$1,548.30 ",$425.00 ,"$2,382.00 ","$1,349.98 ","$1,095.72 ","$1,291.04 ",$539.99 ,$666.96 ,$821.79 ,$539.99 ,$938.51 ,$539.99 ,$952.80 ,$952.80 ,$539.99 ,$952.80 ,"$1,025.99 ","$1,252.93 ","$1,049.00 ","$1,349.99 ",$539.99 ,"$1,667.40 ",$539.99 ,"$1,191.00 ",$550.79 ,"$1,786.50 ","$1,062.37 ",$955.18 ,"$1,062.37 ",$539.99 ,"$1,062.37 ","$1,500.66 ","$1,500.66 ","$1,691.22 ","$2,382.00 ","$2,024.70 ","$1,349.99 ","$1,905.60 ",$881.34 ,"$1,905.60 ",$539.99 ,$539.99 ,"$2,382.00 ","$1,291.04 ",$539.99 ,$626.47 , N/A , N/A , N/A , N/A ,$566.99 ,"$2,024.70 ","$1,214.99 ",$952.80 ,$666.96 ,"$2,143.80 ","$1,715.04 ","$2,382.00 ","$1,500.66 ",$425.00 ,$425.00 ,$539.99 ,"$1,143.36 ","$2,143.80 " ST. JOHN'S HOSPITAL,45000188,99281,HC ER LEVEL 1,450,1 ,$417.00 ,$271.05 ,$69.72 ,$417.00 ,$174.30 ,$191.82 ,$226.01 ,$69.72 ,$116.76 ,$143.87 ,$69.72 ,$164.30 ,$69.72 ,$166.80 ,$166.80 ,$69.72 ,$166.80 ,$132.48 ,$219.34 ,$212.67 ,$174.31 ,$69.72 ,$291.90 ,$69.72 ,$208.50 ,$71.12 ,$312.75 ,$185.98 ,$167.22 ,$185.98 ,$69.72 ,$185.98 ,$262.71 ,$262.71 ,$296.07 ,$417.00 ,$354.45 ,$174.31 ,$333.60 ,$154.29 ,$333.60 ,$69.72 ,$69.72 ,$417.00 ,$226.01 ,$69.72 ,$109.67 , N/A , N/A , N/A , N/A ,$73.21 ,$354.45 ,$156.88 ,$166.80 ,$116.76 ,$375.30 ,$300.24 ,$417.00 ,$262.71 ,$417.00 ,$417.00 ,$69.72 ,$200.16 ,$375.30 ST. JOHN'S HOSPITAL,45000189,99282,HC ER LEVEL 2,450,1 ,$644.00 ,$418.60 ,$126.26 ,$644.00 ,$315.65 ,$296.24 ,$349.05 ,$126.26 ,$180.32 ,$222.18 ,$126.26 ,$253.74 ,$126.26 ,$257.60 ,$257.60 ,$126.26 ,$257.60 ,$239.90 ,$338.74 ,$328.44 ,$315.66 ,$126.26 ,$450.80 ,$126.26 ,$322.00 ,$128.79 ,$483.00 ,$287.22 ,$258.24 ,$287.22 ,$126.26 ,$287.22 ,$405.72 ,$405.72 ,$457.24 ,$644.00 ,$547.40 ,$315.66 ,$515.20 ,$238.28 ,$515.20 ,$126.26 ,$126.26 ,$644.00 ,$349.05 ,$126.26 ,$169.37 , N/A , N/A , N/A , N/A ,$132.57 ,$547.40 ,$284.09 ,$257.60 ,$180.32 ,$579.60 ,$463.68 ,$644.00 ,$405.72 ,$644.00 ,$644.00 ,$126.26 ,$309.12 ,$579.60 ST. JOHN'S HOSPITAL,45000190,99283,HC ER LEVEL 3,450,1 ,$957.00 ,$622.05 ,$222.45 ,$957.00 ,$556.13 ,$440.22 ,$518.69 ,$222.45 ,$267.96 ,$330.17 ,$222.45 ,$377.06 ,$222.45 ,$382.80 ,$382.80 ,$222.45 ,$382.80 ,$422.66 ,$503.38 ,$488.07 ,$556.13 ,$222.45 ,$669.90 ,$222.45 ,$478.50 ,$226.90 ,$717.75 ,$426.82 ,$383.76 ,$426.82 ,$222.45 ,$426.82 ,$602.91 ,$602.91 ,$679.47 ,$957.00 ,$813.45 ,$556.13 ,$765.60 ,$354.09 ,$765.60 ,$222.45 ,$222.45 ,$957.00 ,$518.69 ,$222.45 ,$251.69 , N/A , N/A , N/A , N/A ,$233.57 ,$813.45 ,$500.52 ,$382.80 ,$267.96 ,$861.30 ,$689.04 ,$957.00 ,$602.91 ,$957.00 ,$957.00 ,$222.45 ,$459.36 ,$861.30 ST. JOHN'S HOSPITAL,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,306.00 ",$848.90 ,$140.68 ,"$1,306.00 ",$874.18 ,$600.76 ,$707.85 ,$349.67 ,$365.68 ,$450.57 ,$349.67 ,$514.56 ,$349.67 ,$522.40 ,$522.40 ,$349.67 ,$522.40 ,$664.38 ,$686.96 ,$666.06 ,$874.19 ,$349.67 ,$914.20 ,$349.67 ,$653.00 ,$356.67 ,$979.50 ,$582.48 ,$523.71 ,$582.48 ,$349.67 ,$582.48 ,$822.78 ,$822.78 ,$927.26 ,"$1,306.00 ","$1,110.10 ",$874.19 ,"$1,044.80 ",$483.22 ,"$1,044.80 ",$349.67 ,$349.67 ,"$1,306.00 ",$707.85 ,$349.67 ,$343.48 , N/A , N/A ,$147.38 ,$140.68 ,$367.15 ,"$1,110.10 ",$786.77 ,$522.40 ,$365.68 ,"$1,175.40 ",$940.32 ,"$1,306.00 ",$822.78 ,"$1,306.00 ","$1,306.00 ",$349.67 ,$626.88 ,"$1,175.40 " ST. JOHN'S HOSPITAL,45000192,99285,HC ER LEVEL 5,450,1 ,"$2,091.00 ","$1,359.15 ",$140.68 ,"$2,091.00 ","$1,254.78 ",$961.86 ,"$1,133.32 ",$501.91 ,$585.48 ,$721.40 ,$501.91 ,$823.85 ,$501.91 ,$836.40 ,$836.40 ,$501.91 ,$836.40 ,$953.64 ,"$1,099.87 ","$1,049.00 ","$1,254.78 ",$501.91 ,"$1,463.70 ",$501.91 ,"$1,045.50 ",$511.95 ,"$1,568.25 ",$932.59 ,$838.49 ,$932.59 ,$501.91 ,$932.59 ,"$1,317.33 ","$1,317.33 ","$1,484.61 ","$2,091.00 ","$1,777.35 ","$1,254.78 ","$1,672.80 ",$773.67 ,"$1,672.80 ",$501.91 ,$501.91 ,"$2,091.00 ","$1,133.32 ",$501.91 ,$549.93 , N/A , N/A ,$147.38 ,$140.68 ,$527.01 ,"$1,777.35 ","$1,129.31 ",$836.40 ,$585.48 ,"$1,881.90 ","$1,505.52 ","$2,091.00 ","$1,317.33 ","$2,091.00 ","$2,091.00 ",$501.91 ,"$1,003.68 ","$1,881.90 " ST. JOHN'S HOSPITAL,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$3,485.00 ","$2,265.25 ",$140.68 ,"$3,485.00 ","$1,790.03 ","$1,603.10 ","$1,888.87 ",$716.01 ,$975.80 ,"$1,202.33 ",$716.01 ,"$1,373.09 ",$716.01 ,"$1,394.00 ","$1,394.00 ",$716.01 ,"$1,394.00 ","$1,360.42 ","$1,833.11 ","$1,777.35 ","$1,790.02 ",$716.01 ,"$2,439.50 ",$716.01 ,"$1,742.50 ",$730.33 ,"$2,613.75 ","$1,554.31 ","$1,397.49 ","$1,554.31 ",$716.01 ,"$1,554.31 ","$2,195.55 ","$2,195.55 ","$2,474.35 ","$3,485.00 ","$2,962.25 ","$1,790.02 ","$2,788.00 ","$1,289.45 ","$2,788.00 ",$716.01 ,$716.01 ,"$3,485.00 ","$1,888.87 ",$716.01 ,$916.56 , N/A , N/A ,$147.38 ,$140.68 ,$751.81 ,"$2,962.25 ","$1,611.02 ","$1,394.00 ",$975.80 ,"$3,136.50 ","$2,509.20 ","$3,485.00 ","$2,195.55 ","$3,485.00 ","$3,485.00 ",$716.01 ,"$1,672.80 ","$3,136.50 " ST. JOHN'S HOSPITAL,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,"$1,413.00 ",$918.45 ,$371.62 ,"$1,413.00 ", N/A ,$649.98 ,$765.85 , N/A ,$395.64 ,$487.49 , N/A ,$556.72 , N/A ,$565.20 ,$565.20 , N/A ,$565.20 , N/A ,$743.24 ,$720.63 , N/A , N/A ,$989.10 , N/A ,$706.50 , N/A ,"$1,059.75 ",$630.20 ,$566.61 ,$630.20 , N/A ,$630.20 ,$890.19 ,$890.19 ,"$1,003.23 ","$1,413.00 ","$1,201.05 ", N/A ,"$1,130.40 ",$522.81 ,"$1,130.40 ", N/A , N/A ,"$1,413.00 ",$765.85 , N/A ,$371.62 , N/A , N/A , N/A , N/A , N/A ,"$1,201.05 ", N/A ,$565.20 ,$395.64 ,"$1,271.70 ","$1,017.36 ","$1,413.00 ",$890.19 ,$425.00 ,$425.00 , N/A ,$678.24 ,"$1,271.70 " ST. JOHN'S HOSPITAL,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,$860.00 ,$559.00 ,$226.18 ,"$3,347.18 ","$3,347.18 ",$395.60 ,$466.12 ,"$1,338.87 ",$240.80 ,$296.70 ,"$1,338.87 ",$338.84 ,$860.00 ,$344.00 ,$344.00 ,$860.00 ,$344.00 ,$860.00 ,$452.36 ,$438.60 ,"$3,347.17 ","$1,338.87 ",$602.00 ,"$1,338.87 ",$430.00 ,$860.00 ,$645.00 ,$383.56 ,$344.86 ,$383.56 ,"$1,338.87 ",$383.56 ,$541.80 ,$541.80 ,$610.60 ,$860.00 ,$731.00 ,$860.00 ,$688.00 ,$318.20 ,$688.00 ,"$1,338.87 ","$1,338.87 ",$860.00 ,$466.12 ,"$1,338.87 ",$226.18 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$731.00 ,"$3,012.45 ",$344.00 ,$240.80 ,$774.00 ,$619.20 ,$860.00 ,$541.80 ,$425.00 ,$425.00 ,"$1,338.87 ",$412.80 ,$774.00 ST. JOHN'S HOSPITAL,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$359.00 ,$233.35 ,$94.42 ,$495.31 ,$495.30 ,$165.14 ,$194.58 ,$198.12 ,$100.52 ,$123.86 ,$198.12 ,$141.45 ,$198.12 ,$143.60 ,$143.60 ,$198.12 ,$143.60 ,$359.00 ,$188.83 ,$183.09 ,$495.31 ,$198.12 ,$251.30 ,$198.12 ,$179.50 ,$202.09 ,$269.25 ,$160.11 ,$143.96 ,$160.11 ,$198.12 ,$160.11 ,$226.17 ,$226.17 ,$254.89 ,$359.00 ,$305.15 ,$359.00 ,$287.20 ,$132.83 ,$287.20 ,$198.12 ,$198.12 ,$359.00 ,$194.58 ,$198.12 ,$94.42 , N/A , N/A , N/A , N/A ,$208.03 ,$305.15 ,$445.78 ,$143.60 ,$100.52 ,$323.10 ,$258.48 ,$359.00 ,$226.17 ,$359.00 ,$359.00 ,$198.12 ,$172.32 ,$323.10 ST. JOHN'S HOSPITAL,45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$680.00 ,$442.00 ,$178.84 ,$680.00 ,$495.30 ,$312.80 ,$368.56 ,$198.12 ,$190.40 ,$234.60 ,$198.12 ,$267.92 ,$198.12 ,$272.00 ,$272.00 ,$198.12 ,$272.00 ,$376.43 ,$357.68 ,$346.80 ,$495.31 ,$198.12 ,$476.00 ,$198.12 ,$340.00 ,$202.09 ,$510.00 ,$303.28 ,$272.68 ,$303.28 ,$198.12 ,$303.28 ,$428.40 ,$428.40 ,$482.80 ,$680.00 ,$578.00 ,$495.31 ,$544.00 ,$251.60 ,$544.00 ,$198.12 ,$198.12 ,$680.00 ,$368.56 ,$198.12 ,$178.84 , N/A , N/A , N/A , N/A ,$208.03 ,$578.00 ,$445.78 ,$272.00 ,$190.40 ,$612.00 ,$489.60 ,$680.00 ,$428.40 ,$425.00 ,$425.00 ,$198.12 ,$326.40 ,$612.00 ST. JOHN'S HOSPITAL,45000199,35207,HC RPR VESSEL HAND/FINGER,450,1 ,"$8,245.00 ","$5,359.25 ",$425.00 ,"$8,245.00 ","$6,879.30 ","$3,000.00 ","$4,468.79 ","$2,751.72 ","$2,308.60 ","$2,844.53 ","$2,751.72 ","$3,248.53 ","$2,751.72 ","$3,298.00 ","$3,298.00 ","$2,751.72 ","$3,298.00 ","$5,228.27 ","$4,336.87 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$5,771.50 ","$2,751.72 ","$4,122.50 ","$2,806.76 ","$6,183.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,751.72 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,245.00 ","$7,008.25 ","$6,879.30 ","$6,596.00 ","$3,050.65 ","$6,596.00 ","$2,751.72 ","$2,751.72 ","$8,245.00 ","$4,468.79 ","$2,751.72 ","$2,168.44 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$7,008.25 ","$6,191.37 ","$3,298.00 ","$2,308.60 ","$7,420.50 ","$5,936.40 ","$8,245.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,751.72 ","$3,957.60 ","$7,420.50 " ST. JOHN'S HOSPITAL,45000200,35206,HC RPR VESSEL EXTREM UPR,450,1 ,"$9,943.00 ","$6,462.95 ",$425.00 ,"$9,943.00 ","$6,879.30 ","$3,000.00 ","$5,389.11 ","$2,751.72 ","$2,784.04 ","$3,430.34 ","$2,751.72 ","$3,917.54 ","$2,751.72 ","$3,977.20 ","$3,977.20 ","$2,751.72 ","$3,977.20 ","$5,228.27 ","$5,230.02 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$6,960.10 ","$2,751.72 ","$4,971.50 ","$2,806.76 ","$7,457.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,751.72 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$9,943.00 ","$8,451.55 ","$6,879.30 ","$7,954.40 ","$3,678.91 ","$7,954.40 ","$2,751.72 ","$2,751.72 ","$9,943.00 ","$5,389.11 ","$2,751.72 ","$2,615.01 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$8,451.55 ","$6,191.37 ","$3,977.20 ","$2,784.04 ","$8,948.70 ","$7,158.96 ","$9,943.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,751.72 ","$4,772.64 ","$8,948.70 " ST. JOHN'S HOSPITAL,45000201,31525,HC LARYNGOSCOPE DIRECT DX,450,1 ,"$3,506.00 ","$2,278.90 ",$425.00 ,"$3,595.38 ","$3,595.38 ","$1,612.76 ","$1,900.25 ","$1,438.15 ",$981.68 ,"$1,209.57 ","$1,438.15 ","$1,381.36 ","$1,438.15 ","$1,402.40 ","$1,402.40 ","$1,438.15 ","$1,402.40 ","$2,732.49 ","$1,844.16 ","$1,049.00 ","$3,595.38 ","$1,438.15 ","$2,454.20 ","$1,438.15 ","$1,753.00 ","$1,466.92 ","$2,629.50 ","$1,563.68 ","$1,405.91 ","$1,563.68 ","$1,438.15 ","$1,563.68 ","$2,208.78 ","$2,208.78 ","$2,489.26 ","$3,506.00 ","$2,980.10 ","$3,506.00 ","$2,804.80 ","$1,297.22 ","$2,804.80 ","$1,438.15 ","$1,438.15 ","$3,506.00 ","$1,900.25 ","$1,438.15 ",$922.08 , N/A , N/A , N/A , N/A ,"$1,510.06 ","$2,980.10 ","$3,235.85 ","$1,402.40 ",$981.68 ,"$3,155.40 ","$2,524.32 ","$3,506.00 ","$2,208.78 ",$425.00 ,$425.00 ,"$1,438.15 ","$1,682.88 ","$3,155.40 " ST. JOHN'S HOSPITAL,45000202,26645,HC CL TX CARPOMETACARPAL FRAC DISLOC THUMB,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000203,27840,HC TX DISL ANKE W/O ANES CLS,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,"$2,818.00 ","$1,831.70 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,296.28 ","$1,527.36 ","$1,352.50 ",$789.04 ,$972.21 ,"$1,352.50 ","$1,110.29 ","$1,352.50 ","$1,127.20 ","$1,127.20 ","$1,352.50 ","$1,127.20 ","$2,569.74 ","$1,482.27 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,972.60 ","$1,352.50 ","$1,409.00 ","$1,379.54 ","$2,113.50 ","$1,256.83 ","$1,130.02 ","$1,256.83 ","$1,352.50 ","$1,256.83 ","$1,775.34 ","$1,775.34 ","$2,000.78 ","$2,818.00 ","$2,395.30 ","$2,818.00 ","$2,254.40 ","$1,042.66 ","$2,254.40 ","$1,352.50 ","$1,352.50 ","$2,818.00 ","$1,527.36 ","$1,352.50 ",$741.13 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,395.30 ","$3,043.11 ","$1,127.20 ",$789.04 ,"$2,536.20 ","$2,028.96 ","$2,818.00 ","$1,775.34 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,352.64 ","$2,536.20 " ST. JOHN'S HOSPITAL,45000205,31605,HC TRACHEOSTOMY,450,1 ,"$2,359.00 ","$1,533.35 ",$203.37 ,"$2,359.00 ",$508.43 ,"$1,085.14 ","$1,278.58 ",$203.37 ,$660.52 ,$813.86 ,$203.37 ,$929.45 ,$203.37 ,$943.60 ,$943.60 ,$203.37 ,$943.60 ,$386.39 ,"$1,240.83 ","$1,049.00 ",$508.41 ,$203.37 ,"$1,651.30 ",$203.37 ,"$1,179.50 ",$207.43 ,"$1,769.25 ","$1,052.11 ",$945.96 ,"$1,052.11 ",$203.37 ,"$1,052.11 ","$1,486.17 ","$1,486.17 ","$1,674.89 ","$2,359.00 ","$2,005.15 ",$508.41 ,"$1,887.20 ",$872.83 ,"$1,887.20 ",$203.37 ,$203.37 ,"$2,359.00 ","$1,278.58 ",$203.37 ,$620.42 , N/A , N/A , N/A , N/A ,$213.54 ,"$2,005.15 ",$457.57 ,$943.60 ,$660.52 ,"$2,123.10 ","$1,698.48 ","$2,359.00 ","$1,486.17 ",$425.00 ,$425.00 ,$203.37 ,"$1,132.32 ","$2,123.10 " ST. JOHN'S HOSPITAL,45000207,49084,HC PERITONEAL LAVAGE,450,1 ,"$1,552.00 ","$1,008.80 ",$408.18 ,"$1,944.50 ","$1,944.50 ",$713.92 ,$841.18 ,$777.80 ,$434.56 ,$535.44 ,$777.80 ,$611.49 ,$777.80 ,$620.80 ,$620.80 ,$777.80 ,$620.80 ,"$1,477.82 ",$816.35 ,$791.52 ,"$1,944.50 ",$777.80 ,"$1,086.40 ",$777.80 ,$776.00 ,$793.35 ,"$1,164.00 ",$692.19 ,$622.35 ,$692.19 ,$777.80 ,$692.19 ,$977.76 ,$977.76 ,"$1,101.92 ","$1,552.00 ","$1,319.20 ","$1,552.00 ","$1,241.60 ",$574.24 ,"$1,241.60 ",$777.80 ,$777.80 ,"$1,552.00 ",$841.18 ,$777.80 ,$408.18 , N/A , N/A , N/A , N/A ,$816.69 ,"$1,319.20 ","$1,750.05 ",$620.80 ,$434.56 ,"$1,396.80 ","$1,117.44 ","$1,552.00 ",$977.76 ,$425.00 ,$425.00 ,$777.80 ,$744.96 ,"$1,396.80 " ST. JOHN'S HOSPITAL,45000208,45005,HC I AND D RECTAL ABSCESS,450,1 ,"$2,522.00 ","$1,639.30 ",$425.00 ,"$2,522.00 ","$2,491.98 ","$1,160.12 ","$1,366.92 ",$996.79 ,$706.16 ,$870.09 ,$996.79 ,$993.67 ,$996.79 ,"$1,008.80 ","$1,008.80 ",$996.79 ,"$1,008.80 ","$1,893.90 ","$1,326.57 ","$1,049.00 ","$2,491.97 ",$996.79 ,"$1,765.40 ",$996.79 ,"$1,261.00 ","$1,016.72 ","$1,891.50 ","$1,124.81 ","$1,011.32 ","$1,124.81 ",$996.79 ,"$1,124.81 ","$1,588.86 ","$1,588.86 ","$1,790.62 ","$2,522.00 ","$2,143.70 ","$2,491.97 ","$2,017.60 ",$933.14 ,"$2,017.60 ",$996.79 ,$996.79 ,"$2,522.00 ","$1,366.92 ",$996.79 ,$663.29 , N/A , N/A , N/A , N/A ,"$1,046.63 ","$2,143.70 ","$2,242.77 ","$1,008.80 ",$706.16 ,"$2,269.80 ","$1,815.84 ","$2,522.00 ","$1,588.86 ",$425.00 ,$425.00 ,$996.79 ,"$1,210.56 ","$2,269.80 " ST. JOHN'S HOSPITAL,45000211,26641,HC CLSD DISCL THUMB W/MANIP,450,1 ,$431.00 ,$280.15 ,$113.35 ,$495.31 ,$495.30 ,$198.26 ,$233.60 ,$198.12 ,$120.68 ,$148.70 ,$198.12 ,$169.81 ,$198.12 ,$172.40 ,$172.40 ,$198.12 ,$172.40 ,$376.43 ,$226.71 ,$219.81 ,$495.31 ,$198.12 ,$301.70 ,$198.12 ,$215.50 ,$202.09 ,$323.25 ,$192.23 ,$172.83 ,$192.23 ,$198.12 ,$192.23 ,$271.53 ,$271.53 ,$306.01 ,$431.00 ,$366.35 ,$431.00 ,$344.80 ,$159.47 ,$344.80 ,$198.12 ,$198.12 ,$431.00 ,$233.60 ,$198.12 ,$113.35 , N/A , N/A , N/A , N/A ,$208.03 ,$366.35 ,$445.78 ,$172.40 ,$120.68 ,$387.90 ,$310.32 ,$431.00 ,$271.53 ,$425.00 ,$425.00 ,$198.12 ,$206.88 ,$387.90 ST. JOHN'S HOSPITAL,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$3,955.00 ","$2,570.75 ",$425.00 ,"$3,955.00 ","$3,347.18 ","$1,819.30 ","$2,143.61 ","$1,338.87 ","$1,107.40 ","$1,364.48 ","$1,338.87 ","$1,558.27 ","$1,338.87 ","$1,582.00 ","$1,582.00 ","$1,338.87 ","$1,582.00 ","$2,543.85 ","$2,080.33 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,768.50 ","$1,338.87 ","$1,977.50 ","$1,365.64 ","$2,966.25 ","$1,763.93 ","$1,585.96 ","$1,763.93 ","$1,338.87 ","$1,763.93 ","$2,491.65 ","$2,491.65 ","$2,808.05 ","$3,955.00 ","$3,361.75 ","$3,347.17 ","$3,164.00 ","$1,463.35 ","$3,164.00 ","$1,338.87 ","$1,338.87 ","$3,955.00 ","$2,143.61 ","$1,338.87 ","$1,040.17 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,361.75 ","$3,012.45 ","$1,582.00 ","$1,107.40 ","$3,559.50 ","$2,847.60 ","$3,955.00 ","$2,491.65 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,898.40 ","$3,559.50 " ST. JOHN'S HOSPITAL,45000213,26720,HC FINGER FX W/O MANIP,450,1 ,$484.00 ,$314.60 ,$127.29 ,$495.31 ,$495.30 ,$222.64 ,$262.33 ,$198.12 ,$135.52 ,$166.98 ,$198.12 ,$190.70 ,$198.12 ,$193.60 ,$193.60 ,$198.12 ,$193.60 ,$376.43 ,$254.58 ,$246.84 ,$495.31 ,$198.12 ,$338.80 ,$198.12 ,$242.00 ,$202.09 ,$363.00 ,$215.86 ,$194.08 ,$215.86 ,$198.12 ,$215.86 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$484.00 ,$387.20 ,$179.08 ,$387.20 ,$198.12 ,$198.12 ,$484.00 ,$262.33 ,$198.12 ,$127.29 , N/A , N/A , N/A , N/A ,$208.03 ,$411.40 ,$445.78 ,$193.60 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$425.00 ,$425.00 ,$198.12 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$755.00 ,$490.75 ,$198.57 ,$766.23 ,$766.23 ,$347.30 ,$409.21 ,$306.49 ,$211.40 ,$260.48 ,$306.49 ,$297.47 ,$306.49 ,$302.00 ,$302.00 ,$306.49 ,$302.00 ,$582.34 ,$397.13 ,$385.05 ,$766.23 ,$306.49 ,$528.50 ,$306.49 ,$377.50 ,$312.62 ,$566.25 ,$336.73 ,$302.76 ,$336.73 ,$306.49 ,$336.73 ,$475.65 ,$475.65 ,$536.05 ,$755.00 ,$641.75 ,$755.00 ,$604.00 ,$279.35 ,$604.00 ,$306.49 ,$306.49 ,$755.00 ,$409.21 ,$306.49 ,$198.57 , N/A , N/A , N/A , N/A ,$321.81 ,$641.75 ,$689.61 ,$302.00 ,$211.40 ,$679.50 ,$543.60 ,$755.00 ,$475.65 ,$425.00 ,$425.00 ,$306.49 ,$362.40 ,$679.50 ST. JOHN'S HOSPITAL,45000215,27786,HC DIST FIB FX W/O MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000216,41899,HC DENTOALVEOLAR STRUCT PROC,450,1 ,"$3,336.00 ","$2,168.40 ",$203.37 ,"$3,336.00 ",$508.43 ,"$1,534.56 ","$1,808.11 ",$203.37 ,$934.08 ,"$1,150.92 ",$203.37 ,"$1,314.38 ",$203.37 ,"$1,334.40 ","$1,334.40 ",$203.37 ,"$1,334.40 ",$386.39 ,"$1,754.74 ","$1,049.00 ",$508.41 ,$203.37 ,"$2,335.20 ",$203.37 ,"$1,668.00 ",$207.43 ,"$2,502.00 ","$1,487.86 ","$1,337.74 ","$1,487.86 ",$203.37 ,"$1,487.86 ","$2,101.68 ","$2,101.68 ","$2,368.56 ","$3,336.00 ","$2,835.60 ",$508.41 ,"$2,668.80 ","$1,234.32 ","$2,668.80 ",$203.37 ,$203.37 ,"$3,336.00 ","$1,808.11 ",$203.37 ,$877.37 , N/A , N/A , N/A , N/A ,$213.54 ,"$2,835.60 ",$457.57 ,"$1,334.40 ",$934.08 ,"$3,002.40 ","$2,401.92 ","$3,336.00 ","$2,101.68 ",$425.00 ,$425.00 ,$203.37 ,"$1,601.28 ","$3,002.40 " ST. JOHN'S HOSPITAL,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,"$2,455.00 ","$1,595.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,129.30 ","$1,330.61 ","$1,338.87 ",$687.40 ,$846.98 ,"$1,338.87 ",$967.27 ,"$1,338.87 ",$982.00 ,$982.00 ,"$1,338.87 ",$982.00 ,"$2,455.00 ","$1,291.33 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,718.50 ","$1,338.87 ","$1,227.50 ","$1,365.64 ","$1,841.25 ","$1,094.93 ",$984.46 ,"$1,094.93 ","$1,338.87 ","$1,094.93 ","$1,546.65 ","$1,546.65 ","$1,743.05 ","$2,455.00 ","$2,086.75 ","$2,455.00 ","$1,964.00 ",$908.35 ,"$1,964.00 ","$1,338.87 ","$1,338.87 ","$2,455.00 ","$1,330.61 ","$1,338.87 ",$645.67 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,086.75 ","$3,012.45 ",$982.00 ,$687.40 ,"$2,209.50 ","$1,767.60 ","$2,455.00 ","$1,546.65 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,178.40 ","$2,209.50 " ST. JOHN'S HOSPITAL,45000220,29280,HC STRAPPING HAND/FINGER,450,1 ,$372.00 ,$241.80 ,$53.51 ,$372.00 ,$133.78 ,$171.12 ,$201.62 ,$53.51 ,$104.16 ,$128.34 ,$53.51 ,$146.57 ,$53.51 ,$148.80 ,$148.80 ,$53.51 ,$148.80 ,$101.66 ,$195.67 ,$189.72 ,$133.77 ,$53.51 ,$260.40 ,$53.51 ,$186.00 ,$54.58 ,$279.00 ,$165.91 ,$149.17 ,$165.91 ,$53.51 ,$165.91 ,$234.36 ,$234.36 ,$264.12 ,$372.00 ,$316.20 ,$133.77 ,$297.60 ,$137.64 ,$297.60 ,$53.51 ,$53.51 ,$372.00 ,$201.62 ,$53.51 ,$97.84 , N/A , N/A , N/A , N/A ,$56.19 ,$316.20 ,$120.39 ,$148.80 ,$104.16 ,$334.80 ,$267.84 ,$372.00 ,$234.36 ,$372.00 ,$372.00 ,$53.51 ,$178.56 ,$334.80 ST. JOHN'S HOSPITAL,45000221,10121,HC RM FB SUBQ W/INC COMPL,450,1 ,"$5,575.00 ","$3,623.75 ",$425.00 ,"$5,575.00 ","$3,381.25 ","$2,564.50 ","$3,021.65 ","$1,352.50 ","$1,561.00 ","$1,923.38 ","$1,352.50 ","$2,196.55 ","$1,352.50 ","$2,230.00 ","$2,230.00 ","$1,352.50 ","$2,230.00 ","$2,569.74 ","$2,932.45 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$3,902.50 ","$1,352.50 ","$2,787.50 ","$1,379.54 ","$4,181.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,352.50 ","$1,856.00 ","$3,512.25 ","$3,512.25 ","$3,958.25 ","$5,575.00 ","$4,738.75 ","$3,381.24 ","$4,460.00 ","$2,062.75 ","$4,460.00 ","$1,352.50 ","$1,352.50 ","$5,575.00 ","$3,021.65 ","$1,352.50 ","$1,466.23 ", N/A , N/A , N/A , N/A ,"$1,420.13 ","$4,738.75 ","$3,043.11 ","$2,230.00 ","$1,561.00 ","$5,017.50 ","$4,014.00 ","$5,575.00 ","$3,512.25 ",$425.00 ,$425.00 ,"$1,352.50 ","$2,676.00 ","$5,017.50 " ST. JOHN'S HOSPITAL,45000222,29540,HC STRAPPING; ANKLE,450,1 ,$622.00 ,$404.30 ,$135.81 ,$622.00 ,$339.53 ,$286.12 ,$337.12 ,$135.81 ,$174.16 ,$214.59 ,$135.81 ,$245.07 ,$135.81 ,$248.80 ,$248.80 ,$135.81 ,$248.80 ,$258.03 ,$327.17 ,$317.22 ,$339.51 ,$135.81 ,$435.40 ,$135.81 ,$311.00 ,$138.52 ,$466.50 ,$277.41 ,$249.42 ,$277.41 ,$135.81 ,$277.41 ,$391.86 ,$391.86 ,$441.62 ,$622.00 ,$528.70 ,$339.51 ,$497.60 ,$230.14 ,$497.60 ,$135.81 ,$135.81 ,$622.00 ,$337.12 ,$135.81 ,$163.59 , N/A , N/A , N/A , N/A ,$142.60 ,$528.70 ,$305.56 ,$248.80 ,$174.16 ,$559.80 ,$447.84 ,$622.00 ,$391.86 ,$425.00 ,$425.00 ,$135.81 ,$298.56 ,$559.80 ST. JOHN'S HOSPITAL,45000223,25635,HC CLSD CARPAL BONE W/MANIP,450,1 ,"$5,842.00 ","$3,797.30 ",$425.00 ,"$5,842.00 ","$3,347.18 ","$2,687.32 ","$3,166.36 ","$1,338.87 ","$1,635.76 ","$2,015.49 ","$1,338.87 ","$2,301.75 ","$1,338.87 ","$2,336.80 ","$2,336.80 ","$1,338.87 ","$2,336.80 ","$2,543.85 ","$3,072.89 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,089.40 ","$1,338.87 ","$2,921.00 ","$1,365.64 ","$4,381.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,680.46 ","$3,680.46 ","$4,002.00 ","$5,842.00 ","$4,965.70 ","$3,347.17 ","$4,673.60 ","$2,161.54 ","$4,673.60 ","$1,338.87 ","$1,338.87 ","$5,842.00 ","$3,166.36 ","$1,338.87 ","$1,536.45 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,965.70 ","$3,012.45 ","$2,336.80 ","$1,635.76 ","$5,257.80 ","$4,206.24 ","$5,842.00 ","$3,680.46 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,804.16 ","$5,257.80 " ST. JOHN'S HOSPITAL,45000226,23505,HC CLOSED CLAVICLE FX W/MANIP,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$610.00 ,$396.50 ,$160.43 ,$610.00 ,$495.30 ,$280.60 ,$330.62 ,$198.12 ,$170.80 ,$210.45 ,$198.12 ,$240.34 ,$198.12 ,$244.00 ,$244.00 ,$198.12 ,$244.00 ,$376.43 ,$320.86 ,$311.10 ,$495.31 ,$198.12 ,$427.00 ,$198.12 ,$305.00 ,$202.09 ,$457.50 ,$272.06 ,$244.61 ,$272.06 ,$198.12 ,$272.06 ,$384.30 ,$384.30 ,$433.10 ,$610.00 ,$518.50 ,$495.31 ,$488.00 ,$225.70 ,$488.00 ,$198.12 ,$198.12 ,$610.00 ,$330.62 ,$198.12 ,$160.43 , N/A , N/A , N/A , N/A ,$208.03 ,$518.50 ,$445.78 ,$244.00 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$384.30 ,$425.00 ,$425.00 ,$198.12 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,45000228,26750,HC CLSD DIST PHALANGEAL W/O MANIP,450,1 ,$400.00 ,$260.00 ,$105.20 ,$495.31 ,$495.30 ,$184.00 ,$216.80 ,$198.12 ,$112.00 ,$138.00 ,$198.12 ,$157.60 ,$198.12 ,$160.00 ,$160.00 ,$198.12 ,$160.00 ,$376.43 ,$210.40 ,$204.00 ,$495.31 ,$198.12 ,$280.00 ,$198.12 ,$200.00 ,$202.09 ,$300.00 ,$178.40 ,$160.40 ,$178.40 ,$198.12 ,$178.40 ,$252.00 ,$252.00 ,$284.00 ,$400.00 ,$340.00 ,$400.00 ,$320.00 ,$148.00 ,$320.00 ,$198.12 ,$198.12 ,$400.00 ,$216.80 ,$198.12 ,$105.20 , N/A , N/A , N/A , N/A ,$208.03 ,$340.00 ,$445.78 ,$160.00 ,$112.00 ,$360.00 ,$288.00 ,$400.00 ,$252.00 ,$400.00 ,$400.00 ,$198.12 ,$192.00 ,$360.00 ST. JOHN'S HOSPITAL,45000229,25500,HC RADIUS FX W/O MANIP,450,1 ,$619.00 ,$402.35 ,$162.80 ,$619.00 ,$495.30 ,$284.74 ,$335.50 ,$198.12 ,$173.32 ,$213.56 ,$198.12 ,$243.89 ,$198.12 ,$247.60 ,$247.60 ,$198.12 ,$247.60 ,$376.43 ,$325.59 ,$315.69 ,$495.31 ,$198.12 ,$433.30 ,$198.12 ,$309.50 ,$202.09 ,$464.25 ,$276.07 ,$248.22 ,$276.07 ,$198.12 ,$276.07 ,$389.97 ,$389.97 ,$439.49 ,$619.00 ,$526.15 ,$495.31 ,$495.20 ,$229.03 ,$495.20 ,$198.12 ,$198.12 ,$619.00 ,$335.50 ,$198.12 ,$162.80 , N/A , N/A , N/A , N/A ,$208.03 ,$526.15 ,$445.78 ,$247.60 ,$173.32 ,$557.10 ,$445.68 ,$619.00 ,$389.97 ,$425.00 ,$425.00 ,$198.12 ,$297.12 ,$557.10 ST. JOHN'S HOSPITAL,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000232,26600,HC CLSD METACARPAL W/O MANIP,450,1 ,$476.00 ,$309.40 ,$125.19 ,$495.31 ,$495.30 ,$218.96 ,$257.99 ,$198.12 ,$133.28 ,$164.22 ,$198.12 ,$187.54 ,$198.12 ,$190.40 ,$190.40 ,$198.12 ,$190.40 ,$376.43 ,$250.38 ,$242.76 ,$495.31 ,$198.12 ,$333.20 ,$198.12 ,$238.00 ,$202.09 ,$357.00 ,$212.30 ,$190.88 ,$212.30 ,$198.12 ,$212.30 ,$299.88 ,$299.88 ,$337.96 ,$476.00 ,$404.60 ,$476.00 ,$380.80 ,$176.12 ,$380.80 ,$198.12 ,$198.12 ,$476.00 ,$257.99 ,$198.12 ,$125.19 , N/A , N/A , N/A , N/A ,$208.03 ,$404.60 ,$445.78 ,$190.40 ,$133.28 ,$428.40 ,$342.72 ,$476.00 ,$299.88 ,$425.00 ,$425.00 ,$198.12 ,$228.48 ,$428.40 ST. JOHN'S HOSPITAL,45000233,25530,HC ULNAR FX CLSD W/O MANIP,450,1 ,$519.00 ,$337.35 ,$136.50 ,$519.00 ,$495.30 ,$238.74 ,$281.30 ,$198.12 ,$145.32 ,$179.06 ,$198.12 ,$204.49 ,$198.12 ,$207.60 ,$207.60 ,$198.12 ,$207.60 ,$376.43 ,$272.99 ,$264.69 ,$495.31 ,$198.12 ,$363.30 ,$198.12 ,$259.50 ,$202.09 ,$389.25 ,$231.47 ,$208.12 ,$231.47 ,$198.12 ,$231.47 ,$326.97 ,$326.97 ,$368.49 ,$519.00 ,$441.15 ,$495.31 ,$415.20 ,$192.03 ,$415.20 ,$198.12 ,$198.12 ,$519.00 ,$281.30 ,$198.12 ,$136.50 , N/A , N/A , N/A , N/A ,$208.03 ,$441.15 ,$445.78 ,$207.60 ,$145.32 ,$467.10 ,$373.68 ,$519.00 ,$326.97 ,$425.00 ,$425.00 ,$198.12 ,$249.12 ,$467.10 ST. JOHN'S HOSPITAL,45000234,25560,HC RADIUS AND ULNA FX W/O MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000237,25622,HC WRIST FX W/O MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000240,27750,HC TIBIA SHAFT FX W/O MANIP,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000241,27780,HC PROX FIBULA W/O MANIP,450,1 ,$565.00 ,$367.25 ,$148.60 ,$565.00 ,$495.30 ,$259.90 ,$306.23 ,$198.12 ,$158.20 ,$194.93 ,$198.12 ,$222.61 ,$198.12 ,$226.00 ,$226.00 ,$198.12 ,$226.00 ,$376.43 ,$297.19 ,$288.15 ,$495.31 ,$198.12 ,$395.50 ,$198.12 ,$282.50 ,$202.09 ,$423.75 ,$251.99 ,$226.57 ,$251.99 ,$198.12 ,$251.99 ,$355.95 ,$355.95 ,$401.15 ,$565.00 ,$480.25 ,$495.31 ,$452.00 ,$209.05 ,$452.00 ,$198.12 ,$198.12 ,$565.00 ,$306.23 ,$198.12 ,$148.60 , N/A , N/A , N/A , N/A ,$208.03 ,$480.25 ,$445.78 ,$226.00 ,$158.20 ,$508.50 ,$406.80 ,$565.00 ,$355.95 ,$425.00 ,$425.00 ,$198.12 ,$271.20 ,$508.50 ST. JOHN'S HOSPITAL,45000244,28495,HC GREAT TOE RED FX,510,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$232.32 ,$198.12 ,$267.17 ,$198.12 ,$277.33 ,$330.33 ,$198.12 ,$277.33 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$366.63 ,$330.33 ,$366.63 ,$198.12 ,$366.63 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A ,$595.24 ,$568.19 ,$208.03 ,$617.10 ,$445.78 ,$477.71 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$250.00 ,$250.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000246,24505,HC HUMERAL CLOSED RED FX,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$3,347.18 ","$3,347.18 ",$333.96 ,$393.49 ,"$1,338.87 ",$203.28 ,$250.47 ,"$1,338.87 ",$286.04 ,$726.00 ,$290.40 ,$290.40 ,$726.00 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$3,347.17 ","$1,338.87 ",$508.20 ,"$1,338.87 ",$363.00 ,$726.00 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,"$1,338.87 ",$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,"$1,338.87 ","$1,338.87 ",$726.00 ,$393.49 ,"$1,338.87 ",$190.94 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$617.10 ,"$3,012.45 ",$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,"$1,338.87 ",$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000247,31515,HC LARYNGOSCOPY DIRECT,450,1 ,"$5,364.00 ","$3,486.60 ",$361.31 ,"$5,364.00 ",$903.28 ,"$2,467.44 ","$2,907.29 ",$361.31 ,"$1,501.92 ","$1,850.58 ",$361.31 ,"$2,113.42 ",$361.31 ,"$2,145.60 ","$2,145.60 ",$361.31 ,"$2,145.60 ",$686.49 ,"$2,821.46 ","$1,049.00 ",$903.27 ,$361.31 ,"$3,754.80 ",$361.31 ,"$2,682.00 ",$368.53 ,"$4,023.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ",$361.31 ,"$1,856.00 ","$3,379.32 ","$3,379.32 ","$3,808.44 ","$5,364.00 ","$4,559.40 ",$903.27 ,"$4,291.20 ","$1,984.68 ","$4,291.20 ",$361.31 ,$361.31 ,"$5,364.00 ","$2,907.29 ",$361.31 ,"$1,410.73 ", N/A , N/A , N/A , N/A ,$379.38 ,"$4,559.40 ",$812.94 ,"$2,145.60 ","$1,501.92 ","$4,827.60 ","$3,862.08 ","$5,364.00 ","$3,379.32 ",$425.00 ,$425.00 ,$361.31 ,"$2,574.72 ","$4,827.60 " ST. JOHN'S HOSPITAL,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,"$1,055.00 ",$685.75 ,$198.12 ,"$1,055.00 ",$495.30 ,$485.30 ,$571.81 ,$198.12 ,$295.40 ,$363.98 ,$198.12 ,$415.67 ,$198.12 ,$422.00 ,$422.00 ,$198.12 ,$422.00 ,$376.43 ,$554.93 ,$538.05 ,$495.31 ,$198.12 ,$738.50 ,$198.12 ,$527.50 ,$202.09 ,$791.25 ,$470.53 ,$423.06 ,$470.53 ,$198.12 ,$470.53 ,$664.65 ,$664.65 ,$749.05 ,"$1,055.00 ",$896.75 ,$495.31 ,$844.00 ,$390.35 ,$844.00 ,$198.12 ,$198.12 ,"$1,055.00 ",$571.81 ,$198.12 ,$277.47 , N/A , N/A , N/A , N/A ,$208.03 ,$896.75 ,$445.78 ,$422.00 ,$295.40 ,$949.50 ,$759.60 ,"$1,055.00 ",$664.65 ,$425.00 ,$425.00 ,$198.12 ,$506.40 ,$949.50 ST. JOHN'S HOSPITAL,45000249,28515,HC TOE FX W/MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000250,28510,HC TOE FX W/O MANIP EACH,450,1 ,$996.00 ,$647.40 ,$198.12 ,$996.00 ,$495.30 ,$458.16 ,$539.83 ,$198.12 ,$278.88 ,$343.62 ,$198.12 ,$392.42 ,$198.12 ,$398.40 ,$398.40 ,$198.12 ,$398.40 ,$376.43 ,$523.90 ,$507.96 ,$495.31 ,$198.12 ,$697.20 ,$198.12 ,$498.00 ,$202.09 ,$747.00 ,$444.22 ,$399.40 ,$444.22 ,$198.12 ,$444.22 ,$627.48 ,$627.48 ,$707.16 ,$996.00 ,$846.60 ,$495.31 ,$796.80 ,$368.52 ,$796.80 ,$198.12 ,$198.12 ,$996.00 ,$539.83 ,$198.12 ,$261.95 , N/A , N/A , N/A , N/A ,$208.03 ,$846.60 ,$445.78 ,$398.40 ,$278.88 ,$896.40 ,$717.12 ,$996.00 ,$627.48 ,$425.00 ,$425.00 ,$198.12 ,$478.08 ,$896.40 ST. JOHN'S HOSPITAL,45000251,24650,HC RADIAL HEAD W/O RED;ADULT,450,1 ,$430.00 ,$279.50 ,$113.09 ,$495.31 ,$495.30 ,$197.80 ,$233.06 ,$198.12 ,$120.40 ,$148.35 ,$198.12 ,$169.42 ,$198.12 ,$172.00 ,$172.00 ,$198.12 ,$172.00 ,$376.43 ,$226.18 ,$219.30 ,$495.31 ,$198.12 ,$301.00 ,$198.12 ,$215.00 ,$202.09 ,$322.50 ,$191.78 ,$172.43 ,$191.78 ,$198.12 ,$191.78 ,$270.90 ,$270.90 ,$305.30 ,$430.00 ,$365.50 ,$430.00 ,$344.00 ,$159.10 ,$344.00 ,$198.12 ,$198.12 ,$430.00 ,$233.06 ,$198.12 ,$113.09 , N/A , N/A , N/A , N/A ,$208.03 ,$365.50 ,$445.78 ,$172.00 ,$120.40 ,$387.00 ,$309.60 ,$430.00 ,$270.90 ,$425.00 ,$425.00 ,$198.12 ,$206.40 ,$387.00 ST. JOHN'S HOSPITAL,45000252,20520,HC MUSCLE FB REM W/ INC,450,1 ,"$3,068.00 ","$1,994.20 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,411.28 ","$1,662.86 ","$1,352.50 ",$859.04 ,"$1,058.46 ","$1,352.50 ","$1,208.79 ","$1,352.50 ","$1,227.20 ","$1,227.20 ","$1,352.50 ","$1,227.20 ","$2,569.74 ","$1,613.77 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,147.60 ","$1,352.50 ","$1,534.00 ","$1,379.54 ","$2,301.00 ","$1,368.33 ","$1,230.27 ","$1,368.33 ","$1,352.50 ","$1,368.33 ","$1,932.84 ","$1,932.84 ","$2,178.28 ","$3,068.00 ","$2,607.80 ","$3,068.00 ","$2,454.40 ","$1,135.16 ","$2,454.40 ","$1,352.50 ","$1,352.50 ","$3,068.00 ","$1,662.86 ","$1,352.50 ",$806.88 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,607.80 ","$3,043.11 ","$1,227.20 ",$859.04 ,"$2,761.20 ","$2,208.96 ","$3,068.00 ","$1,932.84 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,472.64 ","$2,761.20 " ST. JOHN'S HOSPITAL,45000255,28450,HC CLSD TARSAL W/O MANIP,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000256,28545,HC TARSAL DISC W/ANES,450,1 ,"$6,715.00 ","$4,364.75 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$3,000.00 ","$3,639.53 ","$2,722.21 ","$1,880.20 ","$2,316.68 ","$2,722.21 ","$2,645.71 ","$2,722.21 ","$2,686.00 ","$2,686.00 ","$2,722.21 ","$2,686.00 ","$5,172.21 ","$3,532.09 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,700.50 ","$2,722.21 ","$3,357.50 ","$2,776.66 ","$5,036.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,715.00 ","$5,707.75 ","$6,715.00 ","$5,372.00 ","$2,484.55 ","$5,372.00 ","$2,722.21 ","$2,722.21 ","$6,715.00 ","$3,639.53 ","$2,722.21 ","$1,766.05 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,707.75 ","$6,124.98 ","$2,686.00 ","$1,880.20 ","$6,043.50 ","$4,834.80 ","$6,715.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,223.20 ","$6,043.50 " ST. JOHN'S HOSPITAL,45000258,29345,HC LONG LEG CAST,450,1 ,$861.00 ,$559.65 ,$226.44 ,$861.00 ,$579.73 ,$396.06 ,$466.66 ,$231.89 ,$241.08 ,$297.05 ,$231.89 ,$339.23 ,$231.89 ,$344.40 ,$344.40 ,$231.89 ,$344.40 ,$440.60 ,$452.89 ,$439.11 ,$579.73 ,$231.89 ,$602.70 ,$231.89 ,$430.50 ,$236.53 ,$645.75 ,$384.01 ,$345.26 ,$384.01 ,$231.89 ,$384.01 ,$542.43 ,$542.43 ,$611.31 ,$861.00 ,$731.85 ,$579.73 ,$688.80 ,$318.57 ,$688.80 ,$231.89 ,$231.89 ,$861.00 ,$466.66 ,$231.89 ,$226.44 , N/A , N/A , N/A , N/A ,$243.48 ,$731.85 ,$521.76 ,$344.40 ,$241.08 ,$774.90 ,$619.92 ,$861.00 ,$542.43 ,$425.00 ,$425.00 ,$231.89 ,$413.28 ,$774.90 ST. JOHN'S HOSPITAL,45000259,28630,HC FOOT DISCL W/O ANES,450,1 ,$540.00 ,$351.00 ,$142.02 ,$540.00 ,$495.30 ,$248.40 ,$292.68 ,$198.12 ,$151.20 ,$186.30 ,$198.12 ,$212.76 ,$198.12 ,$216.00 ,$216.00 ,$198.12 ,$216.00 ,$376.43 ,$284.04 ,$275.40 ,$495.31 ,$198.12 ,$378.00 ,$198.12 ,$270.00 ,$202.09 ,$405.00 ,$240.84 ,$216.54 ,$240.84 ,$198.12 ,$240.84 ,$340.20 ,$340.20 ,$383.40 ,$540.00 ,$459.00 ,$495.31 ,$432.00 ,$199.80 ,$432.00 ,$198.12 ,$198.12 ,$540.00 ,$292.68 ,$198.12 ,$142.02 , N/A , N/A , N/A , N/A ,$208.03 ,$459.00 ,$445.78 ,$216.00 ,$151.20 ,$486.00 ,$388.80 ,$540.00 ,$340.20 ,$425.00 ,$425.00 ,$198.12 ,$259.20 ,$486.00 ST. JOHN'S HOSPITAL,45000260,36420,HC VENIPUNCTURE CUTDOWN <1,450,1 ,$520.00 ,$338.00 ,$108.39 ,$520.00 ,$270.98 ,$239.20 ,$281.84 ,$108.39 ,$145.60 ,$179.40 ,$108.39 ,$204.88 ,$108.39 ,$208.00 ,$208.00 ,$108.39 ,$208.00 ,$205.94 ,$273.52 ,$265.20 ,$270.97 ,$108.39 ,$364.00 ,$108.39 ,$260.00 ,$110.56 ,$390.00 ,$231.92 ,$208.52 ,$231.92 ,$108.39 ,$231.92 ,$327.60 ,$327.60 ,$369.20 ,$520.00 ,$442.00 ,$270.97 ,$416.00 ,$192.40 ,$416.00 ,$108.39 ,$108.39 ,$520.00 ,$281.84 ,$108.39 ,$136.76 , N/A , N/A , N/A , N/A ,$113.81 ,$442.00 ,$243.87 ,$208.00 ,$145.60 ,$468.00 ,$374.40 ,$520.00 ,$327.60 ,$425.00 ,$425.00 ,$108.39 ,$249.60 ,$468.00 ST. JOHN'S HOSPITAL,45000264,11400,HC EXC LESION 0.5<,450,1 ,"$1,512.00 ",$982.80 ,$397.66 ,"$1,512.00 ","$1,495.43 ",$695.52 ,$819.50 ,$598.17 ,$423.36 ,$521.64 ,$598.17 ,$595.73 ,$598.17 ,$604.80 ,$604.80 ,$598.17 ,$604.80 ,"$1,136.52 ",$795.31 ,$771.12 ,"$1,495.43 ",$598.17 ,"$1,058.40 ",$598.17 ,$756.00 ,$610.13 ,"$1,134.00 ",$674.35 ,$606.31 ,$674.35 ,$598.17 ,$674.35 ,$952.56 ,$952.56 ,"$1,073.52 ","$1,512.00 ","$1,285.20 ","$1,495.43 ","$1,209.60 ",$559.44 ,"$1,209.60 ",$598.17 ,$598.17 ,"$1,512.00 ",$819.50 ,$598.17 ,$397.66 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,285.20 ","$1,345.88 ",$604.80 ,$423.36 ,"$1,360.80 ","$1,088.64 ","$1,512.00 ",$952.56 ,$425.00 ,$425.00 ,$598.17 ,$725.76 ,"$1,360.80 " ST. JOHN'S HOSPITAL,45000265,55899,HC INC AND DRAINAGE;SCROTUM,450,1 ,$628.00 ,$408.20 ,$165.16 ,$639.48 ,$639.48 ,$288.88 ,$340.38 ,$255.79 ,$175.84 ,$216.66 ,$255.79 ,$247.43 ,$255.79 ,$251.20 ,$251.20 ,$255.79 ,$251.20 ,$486.00 ,$330.33 ,$320.28 ,$639.47 ,$255.79 ,$439.60 ,$255.79 ,$314.00 ,$260.91 ,$471.00 ,$280.09 ,$251.83 ,$280.09 ,$255.79 ,$280.09 ,$395.64 ,$395.64 ,$445.88 ,$628.00 ,$533.80 ,$628.00 ,$502.40 ,$232.36 ,$502.40 ,$255.79 ,$255.79 ,$628.00 ,$340.38 ,$255.79 ,$165.16 , N/A , N/A , N/A , N/A ,$268.58 ,$533.80 ,$575.53 ,$251.20 ,$175.84 ,$565.20 ,$452.16 ,$628.00 ,$395.64 ,$425.00 ,$425.00 ,$255.79 ,$301.44 ,$565.20 ST. JOHN'S HOSPITAL,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$1,596.00 ","$1,037.40 ",$419.75 ,"$1,596.00 ","$1,525.98 ",$734.16 ,$865.03 ,$610.39 ,$446.88 ,$550.62 ,$610.39 ,$628.82 ,$610.39 ,$638.40 ,$638.40 ,$610.39 ,$638.40 ,"$1,159.74 ",$839.50 ,$813.96 ,"$1,525.97 ",$610.39 ,"$1,117.20 ",$610.39 ,$798.00 ,$622.59 ,"$1,197.00 ",$711.82 ,$640.00 ,$711.82 ,$610.39 ,$711.82 ,"$1,005.48 ","$1,005.48 ","$1,133.16 ","$1,596.00 ","$1,356.60 ","$1,525.97 ","$1,276.80 ",$590.52 ,"$1,276.80 ",$610.39 ,$610.39 ,"$1,596.00 ",$865.03 ,$610.39 ,$419.75 , N/A , N/A , N/A , N/A ,$640.91 ,"$1,356.60 ","$1,373.37 ",$638.40 ,$446.88 ,"$1,436.40 ","$1,149.12 ","$1,596.00 ","$1,005.48 ",$425.00 ,$425.00 ,$610.39 ,$766.08 ,"$1,436.40 " ST. JOHN'S HOSPITAL,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$2,395.00 ","$1,556.75 ",$425.00 ,"$2,395.00 ","$2,288.95 ","$1,101.70 ","$1,298.09 ",$915.58 ,$670.60 ,$826.28 ,$915.58 ,$943.63 ,$915.58 ,$958.00 ,$958.00 ,$915.58 ,$958.00 ,"$1,739.60 ","$1,259.77 ","$1,049.00 ","$2,288.95 ",$915.58 ,"$1,676.50 ",$915.58 ,"$1,197.50 ",$933.89 ,"$1,796.25 ","$1,068.17 ",$960.40 ,"$1,068.17 ",$915.58 ,"$1,068.17 ","$1,508.85 ","$1,508.85 ","$1,700.45 ","$2,395.00 ","$2,035.75 ","$2,288.95 ","$1,916.00 ",$886.15 ,"$1,916.00 ",$915.58 ,$915.58 ,"$2,395.00 ","$1,298.09 ",$915.58 ,$629.89 , N/A , N/A , N/A , N/A ,$961.36 ,"$2,035.75 ","$2,060.06 ",$958.00 ,$670.60 ,"$2,155.50 ","$1,724.40 ","$2,395.00 ","$1,508.85 ",$425.00 ,$425.00 ,$915.58 ,"$1,149.60 ","$2,155.50 " ST. JOHN'S HOSPITAL,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$2,516.00 ","$1,635.40 ",$376.71 ,"$2,516.00 ",$941.78 ,"$1,157.36 ","$1,363.67 ",$376.71 ,$704.48 ,$868.02 ,$376.71 ,$991.30 ,$376.71 ,"$1,006.40 ","$1,006.40 ",$376.71 ,"$1,006.40 ",$715.75 ,"$1,323.42 ","$1,049.00 ",$941.78 ,$376.71 ,"$1,761.20 ",$376.71 ,"$1,258.00 ",$384.24 ,"$1,887.00 ","$1,122.14 ","$1,008.92 ","$1,122.14 ",$376.71 ,"$1,122.14 ","$1,585.08 ","$1,585.08 ","$1,786.36 ","$2,516.00 ","$2,138.60 ",$941.78 ,"$2,012.80 ",$930.92 ,"$2,012.80 ",$376.71 ,$376.71 ,"$2,516.00 ","$1,363.67 ",$376.71 ,$661.71 , N/A , N/A , N/A , N/A ,$395.55 ,"$2,138.60 ",$847.60 ,"$1,006.40 ",$704.48 ,"$2,264.40 ","$1,811.52 ","$2,516.00 ","$1,585.08 ",$425.00 ,$425.00 ,$376.71 ,"$1,207.68 ","$2,264.40 " ST. JOHN'S HOSPITAL,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$1,678.00 ","$1,090.70 ",$251.14 ,"$1,678.00 ",$627.85 ,$771.88 ,$909.48 ,$251.14 ,$469.84 ,$578.91 ,$251.14 ,$661.13 ,$251.14 ,$671.20 ,$671.20 ,$251.14 ,$671.20 ,$477.17 ,$882.63 ,$855.78 ,$627.85 ,$251.14 ,"$1,174.60 ",$251.14 ,$839.00 ,$256.16 ,"$1,258.50 ",$748.39 ,$672.88 ,$748.39 ,$251.14 ,$748.39 ,"$1,057.14 ","$1,057.14 ","$1,191.38 ","$1,678.00 ","$1,426.30 ",$627.85 ,"$1,342.40 ",$620.86 ,"$1,342.40 ",$251.14 ,$251.14 ,"$1,678.00 ",$909.48 ,$251.14 ,$441.31 , N/A , N/A , N/A , N/A ,$263.70 ,"$1,426.30 ",$565.07 ,$671.20 ,$469.84 ,"$1,510.20 ","$1,208.16 ","$1,678.00 ","$1,057.14 ",$425.00 ,$425.00 ,$251.14 ,$805.44 ,"$1,510.20 " ST. JOHN'S HOSPITAL,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000274,99281,HC ER LEVEL 1-25,450,1 ,$417.00 ,$271.05 ,$69.72 ,$417.00 ,$174.30 ,$191.82 ,$226.01 ,$69.72 ,$116.76 ,$143.87 ,$69.72 ,$164.30 ,$69.72 ,$166.80 ,$166.80 ,$69.72 ,$166.80 ,$132.48 ,$219.34 ,$212.67 ,$174.31 ,$69.72 ,$291.90 ,$69.72 ,$208.50 ,$71.12 ,$312.75 ,$185.98 ,$167.22 ,$185.98 ,$69.72 ,$185.98 ,$262.71 ,$262.71 ,$296.07 ,$417.00 ,$354.45 ,$174.31 ,$333.60 ,$154.29 ,$333.60 ,$69.72 ,$69.72 ,$417.00 ,$226.01 ,$69.72 ,$109.67 , N/A , N/A , N/A , N/A ,$73.21 ,$354.45 ,$156.88 ,$166.80 ,$116.76 ,$375.30 ,$300.24 ,$417.00 ,$262.71 ,$417.00 ,$417.00 ,$69.72 ,$200.16 ,$375.30 ST. JOHN'S HOSPITAL,45000275,99282,HC ER LEVEL 2-25,450,1 ,$644.00 ,$418.60 ,$126.26 ,$644.00 ,$315.65 ,$296.24 ,$349.05 ,$126.26 ,$180.32 ,$222.18 ,$126.26 ,$253.74 ,$126.26 ,$257.60 ,$257.60 ,$126.26 ,$257.60 ,$239.90 ,$338.74 ,$328.44 ,$315.66 ,$126.26 ,$450.80 ,$126.26 ,$322.00 ,$128.79 ,$483.00 ,$287.22 ,$258.24 ,$287.22 ,$126.26 ,$287.22 ,$405.72 ,$405.72 ,$457.24 ,$644.00 ,$547.40 ,$315.66 ,$515.20 ,$238.28 ,$515.20 ,$126.26 ,$126.26 ,$644.00 ,$349.05 ,$126.26 ,$169.37 , N/A , N/A , N/A , N/A ,$132.57 ,$547.40 ,$284.09 ,$257.60 ,$180.32 ,$579.60 ,$463.68 ,$644.00 ,$405.72 ,$644.00 ,$644.00 ,$126.26 ,$309.12 ,$579.60 ST. JOHN'S HOSPITAL,45000276,99283,HC ER LEVEL 3-25,450,1 ,$957.00 ,$622.05 ,$222.45 ,$957.00 ,$556.13 ,$440.22 ,$518.69 ,$222.45 ,$267.96 ,$330.17 ,$222.45 ,$377.06 ,$222.45 ,$382.80 ,$382.80 ,$222.45 ,$382.80 ,$422.66 ,$503.38 ,$488.07 ,$556.13 ,$222.45 ,$669.90 ,$222.45 ,$478.50 ,$226.90 ,$717.75 ,$426.82 ,$383.76 ,$426.82 ,$222.45 ,$426.82 ,$602.91 ,$602.91 ,$679.47 ,$957.00 ,$813.45 ,$556.13 ,$765.60 ,$354.09 ,$765.60 ,$222.45 ,$222.45 ,$957.00 ,$518.69 ,$222.45 ,$251.69 , N/A , N/A , N/A , N/A ,$233.57 ,$813.45 ,$500.52 ,$382.80 ,$267.96 ,$861.30 ,$689.04 ,$957.00 ,$602.91 ,$957.00 ,$957.00 ,$222.45 ,$459.36 ,$861.30 ST. JOHN'S HOSPITAL,45000277,99284,HC ER LEVEL 4-25,450,1 ,"$1,306.00 ",$848.90 ,$140.68 ,"$1,306.00 ",$874.18 ,$600.76 ,$707.85 ,$349.67 ,$365.68 ,$450.57 ,$349.67 ,$514.56 ,$349.67 ,$522.40 ,$522.40 ,$349.67 ,$522.40 ,$664.38 ,$686.96 ,$666.06 ,$874.19 ,$349.67 ,$914.20 ,$349.67 ,$653.00 ,$356.67 ,$979.50 ,$582.48 ,$523.71 ,$582.48 ,$349.67 ,$582.48 ,$822.78 ,$822.78 ,$927.26 ,"$1,306.00 ","$1,110.10 ",$874.19 ,"$1,044.80 ",$483.22 ,"$1,044.80 ",$349.67 ,$349.67 ,"$1,306.00 ",$707.85 ,$349.67 ,$343.48 , N/A , N/A ,$147.38 ,$140.68 ,$367.15 ,"$1,110.10 ",$786.77 ,$522.40 ,$365.68 ,"$1,175.40 ",$940.32 ,"$1,306.00 ",$822.78 ,"$1,306.00 ","$1,306.00 ",$349.67 ,$626.88 ,"$1,175.40 " ST. JOHN'S HOSPITAL,45000278,99285,HC ER LEVEL 5-25,450,1 ,"$2,091.00 ","$1,359.15 ",$140.68 ,"$2,091.00 ","$1,254.78 ",$961.86 ,"$1,133.32 ",$501.91 ,$585.48 ,$721.40 ,$501.91 ,$823.85 ,$501.91 ,$836.40 ,$836.40 ,$501.91 ,$836.40 ,$953.64 ,"$1,099.87 ","$1,049.00 ","$1,254.78 ",$501.91 ,"$1,463.70 ",$501.91 ,"$1,045.50 ",$511.95 ,"$1,568.25 ",$932.59 ,$838.49 ,$932.59 ,$501.91 ,$932.59 ,"$1,317.33 ","$1,317.33 ","$1,484.61 ","$2,091.00 ","$1,777.35 ","$1,254.78 ","$1,672.80 ",$773.67 ,"$1,672.80 ",$501.91 ,$501.91 ,"$2,091.00 ","$1,133.32 ",$501.91 ,$549.93 , N/A , N/A ,$147.38 ,$140.68 ,$527.01 ,"$1,777.35 ","$1,129.31 ",$836.40 ,$585.48 ,"$1,881.90 ","$1,505.52 ","$2,091.00 ","$1,317.33 ","$2,091.00 ","$2,091.00 ",$501.91 ,"$1,003.68 ","$1,881.90 " ST. JOHN'S HOSPITAL,45000279,99291,HC CRITICAL CARE 30-74 MIN -25,450,1 ,"$3,485.00 ","$2,265.25 ",$140.68 ,"$3,485.00 ","$1,790.03 ","$1,603.10 ","$1,888.87 ",$716.01 ,$975.80 ,"$1,202.33 ",$716.01 ,"$1,373.09 ",$716.01 ,"$1,394.00 ","$1,394.00 ",$716.01 ,"$1,394.00 ","$1,360.42 ","$1,833.11 ","$1,777.35 ","$1,790.02 ",$716.01 ,"$2,439.50 ",$716.01 ,"$1,742.50 ",$730.33 ,"$2,613.75 ","$1,554.31 ","$1,397.49 ","$1,554.31 ",$716.01 ,"$1,554.31 ","$2,195.55 ","$2,195.55 ","$2,474.35 ","$3,485.00 ","$2,962.25 ","$1,790.02 ","$2,788.00 ","$1,289.45 ","$2,788.00 ",$716.01 ,$716.01 ,"$3,485.00 ","$1,888.87 ",$716.01 ,$916.56 , N/A , N/A ,$147.38 ,$140.68 ,$751.81 ,"$2,962.25 ","$1,611.02 ","$1,394.00 ",$975.80 ,"$3,136.50 ","$2,509.20 ","$3,485.00 ","$2,195.55 ","$3,485.00 ","$3,485.00 ",$716.01 ,"$1,672.80 ","$3,136.50 " ST. JOHN'S HOSPITAL,45000286,11401,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 0.6-1.0CM,450,1 ,"$2,455.00 ","$1,595.75 ",$332.24 ,"$2,455.00 ",$830.60 ,"$1,129.30 ","$1,330.61 ",$332.24 ,$687.40 ,$846.98 ,$332.24 ,$967.27 ,$332.24 ,$982.00 ,$982.00 ,$332.24 ,$982.00 ,$631.26 ,"$1,291.33 ","$1,049.00 ",$830.61 ,$332.24 ,"$1,718.50 ",$332.24 ,"$1,227.50 ",$338.89 ,"$1,841.25 ","$1,094.93 ",$984.46 ,"$1,094.93 ",$332.24 ,"$1,094.93 ","$1,546.65 ","$1,546.65 ","$1,743.05 ","$2,455.00 ","$2,086.75 ",$830.61 ,"$1,964.00 ",$908.35 ,"$1,964.00 ",$332.24 ,$332.24 ,"$2,455.00 ","$1,330.61 ",$332.24 ,$645.67 , N/A , N/A , N/A , N/A ,$348.85 ,"$2,086.75 ",$747.55 ,$982.00 ,$687.40 ,"$2,209.50 ","$1,767.60 ","$2,455.00 ","$1,546.65 ",$425.00 ,$425.00 ,$332.24 ,"$1,178.40 ","$2,209.50 " ST. JOHN'S HOSPITAL,45000289,11406,HC EXCISION LESION BENIGN TRUNK/ARM/LEG >4.0CM,450,1 ,"$5,762.00 ","$3,745.30 ",$425.00 ,"$5,762.00 ","$3,381.25 ","$2,650.52 ","$3,123.00 ","$1,352.50 ","$1,613.36 ","$1,987.89 ","$1,352.50 ","$2,270.23 ","$1,352.50 ","$2,304.80 ","$2,304.80 ","$1,352.50 ","$2,304.80 ","$2,569.74 ","$3,030.81 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$4,033.40 ","$1,352.50 ","$2,881.00 ","$1,379.54 ","$4,321.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,352.50 ","$1,856.00 ","$3,630.06 ","$3,630.06 ","$4,002.00 ","$5,762.00 ","$4,897.70 ","$3,381.24 ","$4,609.60 ","$2,131.94 ","$4,609.60 ","$1,352.50 ","$1,352.50 ","$5,762.00 ","$3,123.00 ","$1,352.50 ","$1,515.41 ", N/A , N/A , N/A , N/A ,"$1,420.13 ","$4,897.70 ","$3,043.11 ","$2,304.80 ","$1,613.36 ","$5,185.80 ","$4,148.64 ","$5,762.00 ","$3,630.06 ",$425.00 ,$425.00 ,"$1,352.50 ","$2,765.76 ","$5,185.80 " ST. JOHN'S HOSPITAL,45000290,11420,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,450,1 ,"$2,230.00 ","$1,449.50 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,025.80 ","$1,208.66 ","$1,352.50 ",$624.40 ,$769.35 ,"$1,352.50 ",$878.62 ,"$1,352.50 ",$892.00 ,$892.00 ,"$1,352.50 ",$892.00 ,"$2,230.00 ","$1,172.98 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,561.00 ","$1,352.50 ","$1,115.00 ","$1,379.54 ","$1,672.50 ",$994.58 ,$894.23 ,$994.58 ,"$1,352.50 ",$994.58 ,"$1,404.90 ","$1,404.90 ","$1,583.30 ","$2,230.00 ","$1,895.50 ","$2,230.00 ","$1,784.00 ",$825.10 ,"$1,784.00 ","$1,352.50 ","$1,352.50 ","$2,230.00 ","$1,208.66 ","$1,352.50 ",$586.49 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,895.50 ","$3,043.11 ",$892.00 ,$624.40 ,"$2,007.00 ","$1,605.60 ","$2,230.00 ","$1,404.90 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,070.40 ","$2,007.00 " ST. JOHN'S HOSPITAL,45000291,11422,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM,450,1 ,"$2,711.00 ","$1,762.15 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,247.06 ","$1,469.36 ","$1,352.50 ",$759.08 ,$935.30 ,"$1,352.50 ","$1,068.13 ","$1,352.50 ","$1,084.40 ","$1,084.40 ","$1,352.50 ","$1,084.40 ","$2,569.74 ","$1,425.99 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,897.70 ","$1,352.50 ","$1,355.50 ","$1,379.54 ","$2,033.25 ","$1,209.11 ","$1,087.11 ","$1,209.11 ","$1,352.50 ","$1,209.11 ","$1,707.93 ","$1,707.93 ","$1,924.81 ","$2,711.00 ","$2,304.35 ","$2,711.00 ","$2,168.80 ","$1,003.07 ","$2,168.80 ","$1,352.50 ","$1,352.50 ","$2,711.00 ","$1,469.36 ","$1,352.50 ",$712.99 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,304.35 ","$3,043.11 ","$1,084.40 ",$759.08 ,"$2,439.90 ","$1,951.92 ","$2,711.00 ","$1,707.93 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,301.28 ","$2,439.90 " ST. JOHN'S HOSPITAL,45000292,11426,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET >4.0,450,1 ,"$5,381.00 ","$3,497.65 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$2,475.26 ","$2,916.50 ","$2,279.16 ","$1,506.68 ","$1,856.45 ","$2,279.16 ","$2,120.11 ","$2,279.16 ","$2,152.40 ","$2,152.40 ","$2,279.16 ","$2,152.40 ","$4,330.41 ","$2,830.41 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$3,766.70 ","$2,279.16 ","$2,690.50 ","$2,324.75 ","$4,035.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,279.16 ","$1,856.00 ","$3,390.03 ","$3,390.03 ","$3,820.51 ","$5,381.00 ","$4,573.85 ","$5,381.00 ","$4,304.80 ","$1,990.97 ","$4,304.80 ","$2,279.16 ","$2,279.16 ","$5,381.00 ","$2,916.50 ","$2,279.16 ","$1,415.20 ", N/A , N/A , N/A , N/A ,"$2,393.12 ","$4,573.85 ","$5,128.12 ","$2,152.40 ","$1,506.68 ","$4,842.90 ","$3,874.32 ","$5,381.00 ","$3,390.03 ",$425.00 ,$425.00 ,"$2,279.16 ","$2,582.88 ","$4,842.90 " ST. JOHN'S HOSPITAL,45000293,11440,HC EXCISION LESION BENIGN FACE/EAR<0.5CM,450,1 ,"$1,668.00 ","$1,084.20 ",$425.00 ,"$1,668.00 ","$1,495.43 ",$767.28 ,$904.06 ,$598.17 ,$467.04 ,$575.46 ,$598.17 ,$657.19 ,$598.17 ,$667.20 ,$667.20 ,$598.17 ,$667.20 ,"$1,136.52 ",$877.37 ,$850.68 ,"$1,495.43 ",$598.17 ,"$1,167.60 ",$598.17 ,$834.00 ,$610.13 ,"$1,251.00 ",$743.93 ,$668.87 ,$743.93 ,$598.17 ,$743.93 ,"$1,050.84 ","$1,050.84 ","$1,184.28 ","$1,668.00 ","$1,417.80 ","$1,495.43 ","$1,334.40 ",$617.16 ,"$1,334.40 ",$598.17 ,$598.17 ,"$1,668.00 ",$904.06 ,$598.17 ,$438.68 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,417.80 ","$1,345.88 ",$667.20 ,$467.04 ,"$1,501.20 ","$1,200.96 ","$1,668.00 ","$1,050.84 ",$425.00 ,$425.00 ,$598.17 ,$800.64 ,"$1,501.20 " ST. JOHN'S HOSPITAL,45000294,11441,HC EXCISION LESION BENIGN FACE/EAR 0.6-1.0CM,450,1 ,"$2,054.00 ","$1,335.10 ",$425.00 ,"$2,054.00 ","$1,495.43 ",$944.84 ,"$1,113.27 ",$598.17 ,$575.12 ,$708.63 ,$598.17 ,$809.28 ,$598.17 ,$821.60 ,$821.60 ,$598.17 ,$821.60 ,"$1,136.52 ","$1,080.40 ","$1,047.54 ","$1,495.43 ",$598.17 ,"$1,437.80 ",$598.17 ,"$1,027.00 ",$610.13 ,"$1,540.50 ",$916.08 ,$823.65 ,$916.08 ,$598.17 ,$916.08 ,"$1,294.02 ","$1,294.02 ","$1,458.34 ","$2,054.00 ","$1,745.90 ","$1,495.43 ","$1,643.20 ",$759.98 ,"$1,643.20 ",$598.17 ,$598.17 ,"$2,054.00 ","$1,113.27 ",$598.17 ,$540.20 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,745.90 ","$1,345.88 ",$821.60 ,$575.12 ,"$1,848.60 ","$1,478.88 ","$2,054.00 ","$1,294.02 ",$425.00 ,$425.00 ,$598.17 ,$985.92 ,"$1,848.60 " ST. JOHN'S HOSPITAL,45000295,15050,HC SKIN PINCH GRAFT,450,1 ,$906.00 ,$588.90 ,$238.28 ,"$1,258.60 ","$1,258.60 ",$416.76 ,$491.05 ,$503.44 ,$253.68 ,$312.57 ,$503.44 ,$356.96 ,$503.44 ,$362.40 ,$362.40 ,$503.44 ,$362.40 ,$906.00 ,$476.56 ,$462.06 ,"$1,258.60 ",$503.44 ,$634.20 ,$503.44 ,$453.00 ,$513.51 ,$679.50 ,$404.08 ,$363.31 ,$404.08 ,$503.44 ,$404.08 ,$570.78 ,$570.78 ,$643.26 ,$906.00 ,$770.10 ,$906.00 ,$724.80 ,$335.22 ,$724.80 ,$503.44 ,$503.44 ,$906.00 ,$491.05 ,$503.44 ,$238.28 , N/A , N/A , N/A , N/A ,$528.61 ,$770.10 ,"$1,132.74 ",$362.40 ,$253.68 ,$815.40 ,$652.32 ,$906.00 ,$570.78 ,$425.00 ,$425.00 ,$503.44 ,$434.88 ,$815.40 ST. JOHN'S HOSPITAL,45000296,20100,HC EXPLORE WOUND NECK,450,1 ,"$1,749.00 ","$1,136.85 ",$425.00 ,"$1,749.00 ","$1,086.85 ",$804.54 ,$947.96 ,$434.74 ,$489.72 ,$603.41 ,$434.74 ,$689.11 ,$434.74 ,$699.60 ,$699.60 ,$434.74 ,$699.60 ,$826.01 ,$919.97 ,$891.99 ,"$1,086.85 ",$434.74 ,"$1,224.30 ",$434.74 ,$874.50 ,$443.44 ,"$1,311.75 ",$780.05 ,$701.35 ,$780.05 ,$434.74 ,$780.05 ,"$1,101.87 ","$1,101.87 ","$1,241.79 ","$1,749.00 ","$1,486.65 ","$1,086.85 ","$1,399.20 ",$647.13 ,"$1,399.20 ",$434.74 ,$434.74 ,"$1,749.00 ",$947.96 ,$434.74 ,$459.99 , N/A , N/A , N/A , N/A ,$456.48 ,"$1,486.65 ",$978.17 ,$699.60 ,$489.72 ,"$1,574.10 ","$1,259.28 ","$1,749.00 ","$1,101.87 ",$425.00 ,$425.00 ,$434.74 ,$839.52 ,"$1,574.10 " ST. JOHN'S HOSPITAL,45000297,20101,HC EXPLORE WOUND CHEST,450,1 ,"$10,074.00 ","$6,548.10 ",$425.00 ,"$10,074.00 ","$4,116.00 ","$3,000.00 ","$5,460.11 ","$1,646.40 ","$2,820.72 ","$3,475.53 ","$1,646.40 ","$3,969.16 ","$1,646.40 ","$4,029.60 ","$4,029.60 ","$1,646.40 ","$4,029.60 ","$3,128.17 ","$5,298.92 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$7,051.80 ","$1,646.40 ","$5,037.00 ","$1,679.33 ","$7,555.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$10,074.00 ","$8,562.90 ","$4,116.01 ","$8,059.20 ","$3,727.38 ","$8,059.20 ","$1,646.40 ","$1,646.40 ","$10,074.00 ","$5,460.11 ","$1,646.40 ","$2,649.46 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$8,562.90 ","$3,704.41 ","$4,029.60 ","$2,820.72 ","$9,066.60 ","$7,253.28 ","$10,074.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,646.40 ","$4,835.52 ","$9,066.60 " ST. JOHN'S HOSPITAL,45000298,20102,HC EXPLORE WOUND ABDOMEN/FLANK/BACK,450,1 ,"$3,984.00 ","$2,589.60 ",$425.00 ,"$4,116.01 ","$4,116.00 ","$1,832.64 ","$2,159.33 ","$1,646.40 ","$1,115.52 ","$1,374.48 ","$1,646.40 ","$1,569.70 ","$1,646.40 ","$1,593.60 ","$1,593.60 ","$1,646.40 ","$1,593.60 ","$3,128.17 ","$2,095.58 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$2,788.80 ","$1,646.40 ","$1,992.00 ","$1,679.33 ","$2,988.00 ","$1,776.86 ","$1,597.58 ","$1,776.86 ","$1,646.40 ","$1,776.86 ","$2,509.92 ","$2,509.92 ","$2,828.64 ","$3,984.00 ","$3,386.40 ","$3,984.00 ","$3,187.20 ","$1,474.08 ","$3,187.20 ","$1,646.40 ","$1,646.40 ","$3,984.00 ","$2,159.33 ","$1,646.40 ","$1,047.79 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$3,386.40 ","$3,704.41 ","$1,593.60 ","$1,115.52 ","$3,585.60 ","$2,868.48 ","$3,984.00 ","$2,509.92 ",$425.00 ,$425.00 ,"$1,646.40 ","$1,912.32 ","$3,585.60 " ST. JOHN'S HOSPITAL,45000299,20525,HC REMOVAL FOREIGN BODY MUSCLE DEEP/COMPLICATED,450,1 ,"$3,719.00 ","$2,417.35 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$1,710.74 ","$2,015.70 ","$2,279.16 ","$1,041.32 ","$1,283.06 ","$2,279.16 ","$1,465.29 ","$2,279.16 ","$1,487.60 ","$1,487.60 ","$2,279.16 ","$1,487.60 ","$3,719.00 ","$1,956.19 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$2,603.30 ","$2,279.16 ","$1,859.50 ","$2,324.75 ","$2,789.25 ","$1,658.67 ","$1,491.32 ","$1,658.67 ","$2,279.16 ","$1,658.67 ","$2,342.97 ","$2,342.97 ","$2,640.49 ","$3,719.00 ","$3,161.15 ","$3,719.00 ","$2,975.20 ","$1,376.03 ","$2,975.20 ","$2,279.16 ","$2,279.16 ","$3,719.00 ","$2,015.70 ","$2,279.16 ",$978.10 , N/A , N/A , N/A , N/A ,"$2,393.12 ","$3,161.15 ","$5,128.12 ","$1,487.60 ","$1,041.32 ","$3,347.10 ","$2,677.68 ","$3,719.00 ","$2,342.97 ",$425.00 ,$425.00 ,"$2,279.16 ","$1,785.12 ","$3,347.10 " ST. JOHN'S HOSPITAL,45000300,21310,HC CLOSED TX FX NASAL BONE W/O MANIPULATION,450,1 ,"$1,214.00 ",$789.10 ,$319.28 ,"$1,214.00 ", N/A ,$558.44 ,$657.99 , N/A ,$339.92 ,$418.83 , N/A ,$478.32 , N/A ,$485.60 ,$485.60 , N/A ,$485.60 , N/A ,$638.56 ,$619.14 , N/A , N/A ,$849.80 , N/A ,$607.00 , N/A ,$910.50 ,$541.44 ,$486.81 ,$541.44 , N/A ,$541.44 ,$764.82 ,$764.82 ,$861.94 ,"$1,214.00 ","$1,031.90 ", N/A ,$971.20 ,$449.18 ,$971.20 , N/A , N/A ,"$1,214.00 ",$657.99 , N/A ,$319.28 , N/A , N/A , N/A , N/A , N/A ,"$1,031.90 ", N/A ,$485.60 ,$339.92 ,"$1,092.60 ",$874.08 ,"$1,214.00 ",$764.82 ,$425.00 ,$425.00 , N/A ,$582.72 ,"$1,092.60 " ST. JOHN'S HOSPITAL,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,$862.00 ,$560.30 ,$226.71 ,"$3,381.25 ","$3,381.25 ",$396.52 ,$467.20 ,"$1,352.50 ",$241.36 ,$297.39 ,"$1,352.50 ",$339.63 ,$862.00 ,$344.80 ,$344.80 ,$862.00 ,$344.80 ,$862.00 ,$453.41 ,$439.62 ,"$3,381.24 ","$1,352.50 ",$603.40 ,"$1,352.50 ",$431.00 ,$862.00 ,$646.50 ,$384.45 ,$345.66 ,$384.45 ,"$1,352.50 ",$384.45 ,$543.06 ,$543.06 ,$612.02 ,$862.00 ,$732.70 ,$862.00 ,$689.60 ,$318.94 ,$689.60 ,"$1,352.50 ","$1,352.50 ",$862.00 ,$467.20 ,"$1,352.50 ",$226.71 , N/A , N/A , N/A , N/A ,"$1,420.13 ",$732.70 ,"$3,043.11 ",$344.80 ,$241.36 ,$775.80 ,$620.64 ,$862.00 ,$543.06 ,$425.00 ,$425.00 ,"$1,352.50 ",$413.76 ,$775.80 ST. JOHN'S HOSPITAL,45000302,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP,450,1 ,$878.00 ,$570.70 ,$230.91 ,"$3,347.18 ","$3,347.18 ",$403.88 ,$475.88 ,"$1,338.87 ",$245.84 ,$302.91 ,"$1,338.87 ",$345.93 ,$878.00 ,$351.20 ,$351.20 ,$878.00 ,$351.20 ,$878.00 ,$461.83 ,$447.78 ,"$3,347.17 ","$1,338.87 ",$614.60 ,"$1,338.87 ",$439.00 ,$878.00 ,$658.50 ,$391.59 ,$352.08 ,$391.59 ,"$1,338.87 ",$391.59 ,$553.14 ,$553.14 ,$623.38 ,$878.00 ,$746.30 ,$878.00 ,$702.40 ,$324.86 ,$702.40 ,"$1,338.87 ","$1,338.87 ",$878.00 ,$475.88 ,"$1,338.87 ",$230.91 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$746.30 ,"$3,012.45 ",$351.20 ,$245.84 ,$790.20 ,$632.16 ,$878.00 ,$553.14 ,$425.00 ,$425.00 ,"$1,338.87 ",$421.44 ,$790.20 ST. JOHN'S HOSPITAL,45000303,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000304,25650,HC CLOSED TX ULNAR STYLOID FX,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000306,28192,HC REMOVE FOREIGN BODY FOOT DEEP,450,1 ,"$2,868.00 ","$1,864.20 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,319.28 ","$1,554.46 ","$1,352.50 ",$803.04 ,$989.46 ,"$1,352.50 ","$1,129.99 ","$1,352.50 ","$1,147.20 ","$1,147.20 ","$1,352.50 ","$1,147.20 ","$2,569.74 ","$1,508.57 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,007.60 ","$1,352.50 ","$1,434.00 ","$1,379.54 ","$2,151.00 ","$1,279.13 ","$1,150.07 ","$1,279.13 ","$1,352.50 ","$1,279.13 ","$1,806.84 ","$1,806.84 ","$2,036.28 ","$2,868.00 ","$2,437.80 ","$2,868.00 ","$2,294.40 ","$1,061.16 ","$2,294.40 ","$1,352.50 ","$1,352.50 ","$2,868.00 ","$1,554.46 ","$1,352.50 ",$754.28 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,437.80 ","$3,043.11 ","$1,147.20 ",$803.04 ,"$2,581.20 ","$2,064.96 ","$2,868.00 ","$1,806.84 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,376.64 ","$2,581.20 " ST. JOHN'S HOSPITAL,45000307,28200,HC REPAIR FLEXOR/TENDON/FOOT W/O GRAFT EA TENDON,450,1 ,"$5,551.00 ","$3,608.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,553.46 ","$3,008.64 ","$2,722.21 ","$1,554.28 ","$1,915.10 ","$2,722.21 ","$2,187.09 ","$2,722.21 ","$2,220.40 ","$2,220.40 ","$2,722.21 ","$2,220.40 ","$5,172.21 ","$2,919.83 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,885.70 ","$2,722.21 ","$2,775.50 ","$2,776.66 ","$4,163.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,497.13 ","$3,497.13 ","$3,941.21 ","$5,551.00 ","$4,718.35 ","$5,551.00 ","$4,440.80 ","$2,053.87 ","$4,440.80 ","$2,722.21 ","$2,722.21 ","$5,551.00 ","$3,008.64 ","$2,722.21 ","$1,459.91 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,718.35 ","$6,124.98 ","$2,220.40 ","$1,554.28 ","$4,995.90 ","$3,996.72 ","$5,551.00 ","$3,497.13 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,664.48 ","$4,995.90 " ST. JOHN'S HOSPITAL,45000308,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES,450,1 ,$796.00 ,$517.40 ,$198.12 ,$796.00 ,$495.30 ,$366.16 ,$431.43 ,$198.12 ,$222.88 ,$274.62 ,$198.12 ,$313.62 ,$198.12 ,$318.40 ,$318.40 ,$198.12 ,$318.40 ,$376.43 ,$418.70 ,$405.96 ,$495.31 ,$198.12 ,$557.20 ,$198.12 ,$398.00 ,$202.09 ,$597.00 ,$355.02 ,$319.20 ,$355.02 ,$198.12 ,$355.02 ,$501.48 ,$501.48 ,$565.16 ,$796.00 ,$676.60 ,$495.31 ,$636.80 ,$294.52 ,$636.80 ,$198.12 ,$198.12 ,$796.00 ,$431.43 ,$198.12 ,$209.35 , N/A , N/A , N/A , N/A ,$208.03 ,$676.60 ,$445.78 ,$318.40 ,$222.88 ,$716.40 ,$573.12 ,$796.00 ,$501.48 ,$425.00 ,$425.00 ,$198.12 ,$382.08 ,$716.40 ST. JOHN'S HOSPITAL,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$359.00 ,$233.35 ,$94.42 ,$495.31 ,$495.30 ,$165.14 ,$194.58 ,$198.12 ,$100.52 ,$123.86 ,$198.12 ,$141.45 ,$198.12 ,$143.60 ,$143.60 ,$198.12 ,$143.60 ,$359.00 ,$188.83 ,$183.09 ,$495.31 ,$198.12 ,$251.30 ,$198.12 ,$179.50 ,$202.09 ,$269.25 ,$160.11 ,$143.96 ,$160.11 ,$198.12 ,$160.11 ,$226.17 ,$226.17 ,$254.89 ,$359.00 ,$305.15 ,$359.00 ,$287.20 ,$132.83 ,$287.20 ,$198.12 ,$198.12 ,$359.00 ,$194.58 ,$198.12 ,$94.42 , N/A , N/A , N/A , N/A ,$208.03 ,$305.15 ,$445.78 ,$143.60 ,$100.52 ,$323.10 ,$258.48 ,$359.00 ,$226.17 ,$359.00 ,$359.00 ,$198.12 ,$172.32 ,$323.10 ST. JOHN'S HOSPITAL,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$744.00 ,$483.60 ,$158.23 ,$744.00 ,$395.58 ,$342.24 ,$403.25 ,$158.23 ,$208.32 ,$256.68 ,$158.23 ,$293.14 ,$158.23 ,$297.60 ,$297.60 ,$158.23 ,$297.60 ,$300.65 ,$391.34 ,$379.44 ,$395.59 ,$158.23 ,$520.80 ,$158.23 ,$372.00 ,$161.40 ,$558.00 ,$331.82 ,$298.34 ,$331.82 ,$158.23 ,$331.82 ,$468.72 ,$468.72 ,$528.24 ,$744.00 ,$632.40 ,$395.59 ,$595.20 ,$275.28 ,$595.20 ,$158.23 ,$158.23 ,$744.00 ,$403.25 ,$158.23 ,$195.67 , N/A , N/A , N/A , N/A ,$166.14 ,$632.40 ,$356.03 ,$297.60 ,$208.32 ,$669.60 ,$535.68 ,$744.00 ,$468.72 ,$425.00 ,$425.00 ,$158.23 ,$357.12 ,$669.60 ST. JOHN'S HOSPITAL,45000311,40804,HC REMOVE FOREIGN BODY MOUTH SIMPLE,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$1,944.50 ","$1,944.50 ",$333.96 ,$393.49 ,$777.80 ,$203.28 ,$250.47 ,$777.80 ,$286.04 ,$726.00 ,$290.40 ,$290.40 ,$726.00 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$1,944.50 ",$777.80 ,$508.20 ,$777.80 ,$363.00 ,$726.00 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$777.80 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$777.80 ,$777.80 ,$726.00 ,$393.49 ,$777.80 ,$190.94 , N/A , N/A , N/A , N/A ,$816.69 ,$617.10 ,"$1,750.05 ",$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$777.80 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000312,40831,HC LAC REPAIR VESTIBULE MOUTH COMPLEX >2.5CM,450,1 ,"$2,579.00 ","$1,676.35 ",$425.00 ,"$2,579.00 ","$1,086.85 ","$1,186.34 ","$1,397.82 ",$434.74 ,$722.12 ,$889.76 ,$434.74 ,"$1,016.13 ",$434.74 ,"$1,031.60 ","$1,031.60 ",$434.74 ,"$1,031.60 ",$826.01 ,"$1,356.55 ","$1,049.00 ","$1,086.85 ",$434.74 ,"$1,805.30 ",$434.74 ,"$1,289.50 ",$443.44 ,"$1,934.25 ","$1,150.23 ","$1,034.18 ","$1,150.23 ",$434.74 ,"$1,150.23 ","$1,624.77 ","$1,624.77 ","$1,831.09 ","$2,579.00 ","$2,192.15 ","$1,086.85 ","$2,063.20 ",$954.23 ,"$2,063.20 ",$434.74 ,$434.74 ,"$2,579.00 ","$1,397.82 ",$434.74 ,$678.28 , N/A , N/A , N/A , N/A ,$456.48 ,"$2,192.15 ",$978.17 ,"$1,031.60 ",$722.12 ,"$2,321.10 ","$1,856.88 ","$2,579.00 ","$1,624.77 ",$425.00 ,$425.00 ,$434.74 ,"$1,237.92 ","$2,321.10 " ST. JOHN'S HOSPITAL,45000313,41008,HC DRAINAGE OF MOUTH LESION,450,1 ,"$3,175.00 ","$2,063.75 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,460.50 ","$1,720.85 ","$2,629.69 ",$889.00 ,"$1,095.38 ","$2,629.69 ","$1,250.95 ","$2,629.69 ","$1,270.00 ","$1,270.00 ","$2,629.69 ","$1,270.00 ","$3,175.00 ","$1,670.05 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,222.50 ","$2,629.69 ","$1,587.50 ","$2,682.29 ","$2,381.25 ","$1,416.05 ","$1,273.18 ","$1,416.05 ","$2,629.69 ","$1,416.05 ","$2,000.25 ","$2,000.25 ","$2,254.25 ","$3,175.00 ","$2,698.75 ","$3,175.00 ","$2,540.00 ","$1,174.75 ","$2,540.00 ","$2,629.69 ","$2,629.69 ","$3,175.00 ","$1,720.85 ","$2,629.69 ",$835.03 , N/A , N/A , N/A , N/A ,"$2,761.17 ","$2,698.75 ","$5,916.81 ","$1,270.00 ",$889.00 ,"$2,857.50 ","$2,286.00 ","$3,175.00 ","$2,000.25 ",$425.00 ,$425.00 ,"$2,629.69 ","$1,524.00 ","$2,857.50 " ST. JOHN'S HOSPITAL,45000314,41252,HC RPR LAC MOUTH/TONGUE >2.6CM OR COMPLEX,450,1 ,"$1,951.00 ","$1,268.15 ",$203.37 ,"$1,951.00 ",$508.43 ,$897.46 ,"$1,057.44 ",$203.37 ,$546.28 ,$673.10 ,$203.37 ,$768.69 ,$203.37 ,$780.40 ,$780.40 ,$203.37 ,$780.40 ,$386.39 ,"$1,026.23 ",$995.01 ,$508.41 ,$203.37 ,"$1,365.70 ",$203.37 ,$975.50 ,$207.43 ,"$1,463.25 ",$870.15 ,$782.35 ,$870.15 ,$203.37 ,$870.15 ,"$1,229.13 ","$1,229.13 ","$1,385.21 ","$1,951.00 ","$1,658.35 ",$508.41 ,"$1,560.80 ",$721.87 ,"$1,560.80 ",$203.37 ,$203.37 ,"$1,951.00 ","$1,057.44 ",$203.37 ,$513.11 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,658.35 ",$457.57 ,$780.40 ,$546.28 ,"$1,755.90 ","$1,404.72 ","$1,951.00 ","$1,229.13 ",$425.00 ,$425.00 ,$203.37 ,$936.48 ,"$1,755.90 " ST. JOHN'S HOSPITAL,45000320,11770,HC EXCISION PILONIDAL CYST/SINUS SIMPLE,450,1 ,"$5,206.00 ","$3,383.90 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$2,394.76 ","$2,821.65 ","$2,279.16 ","$1,457.68 ","$1,796.07 ","$2,279.16 ","$2,051.16 ","$2,279.16 ","$2,082.40 ","$2,082.40 ","$2,279.16 ","$2,082.40 ","$4,330.41 ","$2,738.36 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$3,644.20 ","$2,279.16 ","$2,603.00 ","$2,324.75 ","$3,904.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,279.16 ","$1,856.00 ","$3,279.78 ","$3,279.78 ","$3,696.26 ","$5,206.00 ","$4,425.10 ","$5,206.00 ","$4,164.80 ","$1,926.22 ","$4,164.80 ","$2,279.16 ","$2,279.16 ","$5,206.00 ","$2,821.65 ","$2,279.16 ","$1,369.18 ", N/A , N/A , N/A , N/A ,"$2,393.12 ","$4,425.10 ","$5,128.12 ","$2,082.40 ","$1,457.68 ","$4,685.40 ","$3,748.32 ","$5,206.00 ","$3,279.78 ",$425.00 ,$425.00 ,"$2,279.16 ","$2,498.88 ","$4,685.40 " ST. JOHN'S HOSPITAL,45000321,21315,HC CLOSED TX FRACTURE NASAL BONE W/O STABILIZATION,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$3,250.78 ","$3,250.78 ","$1,279.26 ","$1,507.30 ","$1,300.31 ",$778.68 ,$959.45 ,"$1,300.31 ","$1,095.71 ","$1,300.31 ","$1,112.40 ","$1,112.40 ","$1,300.31 ","$1,112.40 ","$2,470.58 ","$1,462.81 ","$1,049.00 ","$3,250.76 ","$1,300.31 ","$1,946.70 ","$1,300.31 ","$1,390.50 ","$1,326.31 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$1,300.31 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$1,300.31 ","$1,300.31 ","$2,781.00 ","$1,507.30 ","$1,300.31 ",$731.40 , N/A , N/A , N/A , N/A ,"$1,365.33 ","$2,363.85 ","$2,925.69 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$1,300.31 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000322,23330,HC REMOVE FOREIGN BODY SHOULDER SUBQ,450,1 ,"$2,478.00 ","$1,610.70 ",$425.00 ,"$2,478.00 ","$1,495.43 ","$1,139.88 ","$1,343.08 ",$598.17 ,$693.84 ,$854.91 ,$598.17 ,$976.33 ,$598.17 ,$991.20 ,$991.20 ,$598.17 ,$991.20 ,"$1,136.52 ","$1,303.43 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,734.60 ",$598.17 ,"$1,239.00 ",$610.13 ,"$1,858.50 ","$1,105.19 ",$993.68 ,"$1,105.19 ",$598.17 ,"$1,105.19 ","$1,561.14 ","$1,561.14 ","$1,759.38 ","$2,478.00 ","$2,106.30 ","$1,495.43 ","$1,982.40 ",$916.86 ,"$1,982.40 ",$598.17 ,$598.17 ,"$2,478.00 ","$1,343.08 ",$598.17 ,$651.71 , N/A , N/A , N/A , N/A ,$628.08 ,"$2,106.30 ","$1,345.88 ",$991.20 ,$693.84 ,"$2,230.20 ","$1,784.16 ","$2,478.00 ","$1,561.14 ",$425.00 ,$425.00 ,$598.17 ,"$1,189.44 ","$2,230.20 " ST. JOHN'S HOSPITAL,45000324,24341,HC RPR TENDON/MUSCLE UPPR ARM/ELBOW,450,1 ,"$5,918.00 ","$3,846.70 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$2,722.28 ","$3,207.56 ","$6,020.90 ","$1,657.04 ","$2,041.71 ","$6,020.90 ","$2,331.69 ","$5,918.00 ","$2,367.20 ","$2,367.20 ","$5,918.00 ","$2,367.20 ","$5,918.00 ","$3,112.87 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$4,142.60 ","$6,020.90 ","$2,959.00 ","$5,918.00 ","$4,438.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,728.34 ","$3,728.34 ","$4,002.00 ","$5,918.00 ","$5,030.30 ","$5,918.00 ","$4,734.40 ","$2,189.66 ","$4,734.40 ","$6,020.90 ","$6,020.90 ","$5,918.00 ","$3,207.56 ","$6,020.90 ","$1,556.43 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$5,030.30 ","$13,547.03 ","$2,367.20 ","$1,657.04 ","$5,326.20 ","$4,260.96 ","$5,918.00 ","$3,728.34 ",$425.00 ,$425.00 ,"$6,020.90 ","$2,840.64 ","$5,326.20 " ST. JOHN'S HOSPITAL,45000325,24655,HC CLOSED TX FX RADIAL HEAD/NECK W/MANIP,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000326,24670,HC CLOSED TX FX ULNAR PROX END W/MANIP,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000327,26765,HC TX FX OPEN FINGER/THUMB W/INT FIX EACH,450,1 ,"$7,718.00 ","$5,016.70 ",$425.00 ,"$7,718.00 ","$6,805.53 ","$3,000.00 ","$4,183.16 ","$2,722.21 ","$2,161.04 ","$2,662.71 ","$2,722.21 ","$3,040.89 ","$2,722.21 ","$3,087.20 ","$3,087.20 ","$2,722.21 ","$3,087.20 ","$5,172.21 ","$4,059.67 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$5,402.60 ","$2,722.21 ","$3,859.00 ","$2,776.66 ","$5,788.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,718.00 ","$6,560.30 ","$6,805.53 ","$6,174.40 ","$2,855.66 ","$6,174.40 ","$2,722.21 ","$2,722.21 ","$7,718.00 ","$4,183.16 ","$2,722.21 ","$2,029.83 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$6,560.30 ","$6,124.98 ","$3,087.20 ","$2,161.04 ","$6,946.20 ","$5,556.96 ","$7,718.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,704.64 ","$6,946.20 " ST. JOHN'S HOSPITAL,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45000330,27760,HC CLSD TX FX MEDIAL MALLEOLUS W/O MANIP,450,1 ,$622.00 ,$404.30 ,$163.59 ,$622.00 ,$495.30 ,$286.12 ,$337.12 ,$198.12 ,$174.16 ,$214.59 ,$198.12 ,$245.07 ,$198.12 ,$248.80 ,$248.80 ,$198.12 ,$248.80 ,$376.43 ,$327.17 ,$317.22 ,$495.31 ,$198.12 ,$435.40 ,$198.12 ,$311.00 ,$202.09 ,$466.50 ,$277.41 ,$249.42 ,$277.41 ,$198.12 ,$277.41 ,$391.86 ,$391.86 ,$441.62 ,$622.00 ,$528.70 ,$495.31 ,$497.60 ,$230.14 ,$497.60 ,$198.12 ,$198.12 ,$622.00 ,$337.12 ,$198.12 ,$163.59 , N/A , N/A , N/A , N/A ,$208.03 ,$528.70 ,$445.78 ,$248.80 ,$174.16 ,$559.80 ,$447.84 ,$622.00 ,$391.86 ,$425.00 ,$425.00 ,$198.12 ,$298.56 ,$559.80 ST. JOHN'S HOSPITAL,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$795.00 ,$516.75 ,$198.12 ,$795.00 ,$495.30 ,$365.70 ,$430.89 ,$198.12 ,$222.60 ,$274.28 ,$198.12 ,$313.23 ,$198.12 ,$318.00 ,$318.00 ,$198.12 ,$318.00 ,$376.43 ,$418.17 ,$405.45 ,$495.31 ,$198.12 ,$556.50 ,$198.12 ,$397.50 ,$202.09 ,$596.25 ,$354.57 ,$318.80 ,$354.57 ,$198.12 ,$354.57 ,$500.85 ,$500.85 ,$564.45 ,$795.00 ,$675.75 ,$495.31 ,$636.00 ,$294.15 ,$636.00 ,$198.12 ,$198.12 ,$795.00 ,$430.89 ,$198.12 ,$209.09 , N/A , N/A , N/A , N/A ,$208.03 ,$675.75 ,$445.78 ,$318.00 ,$222.60 ,$715.50 ,$572.40 ,$795.00 ,$500.85 ,$425.00 ,$425.00 ,$198.12 ,$381.60 ,$715.50 ST. JOHN'S HOSPITAL,45000332,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000333,29200,HC STRAPPING THORAX,450,1 ,$360.00 ,$234.00 ,$94.68 ,$360.00 ,$339.53 ,$165.60 ,$195.12 ,$135.81 ,$100.80 ,$124.20 ,$135.81 ,$141.84 ,$135.81 ,$144.00 ,$144.00 ,$135.81 ,$144.00 ,$258.03 ,$189.36 ,$183.60 ,$339.51 ,$135.81 ,$252.00 ,$135.81 ,$180.00 ,$138.52 ,$270.00 ,$160.56 ,$144.36 ,$160.56 ,$135.81 ,$160.56 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 ,$339.51 ,$288.00 ,$133.20 ,$288.00 ,$135.81 ,$135.81 ,$360.00 ,$195.12 ,$135.81 ,$94.68 , N/A , N/A , N/A , N/A ,$142.60 ,$306.00 ,$305.56 ,$144.00 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$360.00 ,$360.00 ,$135.81 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,45000334,29260,HC STRAPPING ELBOW/WRIST,450,1 ,$372.00 ,$241.80 ,$53.51 ,$372.00 ,$133.78 ,$171.12 ,$201.62 ,$53.51 ,$104.16 ,$128.34 ,$53.51 ,$146.57 ,$53.51 ,$148.80 ,$148.80 ,$53.51 ,$148.80 ,$101.66 ,$195.67 ,$189.72 ,$133.77 ,$53.51 ,$260.40 ,$53.51 ,$186.00 ,$54.58 ,$279.00 ,$165.91 ,$149.17 ,$165.91 ,$53.51 ,$165.91 ,$234.36 ,$234.36 ,$264.12 ,$372.00 ,$316.20 ,$133.77 ,$297.60 ,$137.64 ,$297.60 ,$53.51 ,$53.51 ,$372.00 ,$201.62 ,$53.51 ,$97.84 , N/A , N/A , N/A , N/A ,$56.19 ,$316.20 ,$120.39 ,$148.80 ,$104.16 ,$334.80 ,$267.84 ,$372.00 ,$234.36 ,$372.00 ,$372.00 ,$53.51 ,$178.56 ,$334.80 ST. JOHN'S HOSPITAL,45000335,29530,HC STRAPPING KNEE,450,1 ,$360.00 ,$234.00 ,$94.68 ,$360.00 ,$270.98 ,$165.60 ,$195.12 ,$108.39 ,$100.80 ,$124.20 ,$108.39 ,$141.84 ,$108.39 ,$144.00 ,$144.00 ,$108.39 ,$144.00 ,$205.94 ,$189.36 ,$183.60 ,$270.97 ,$108.39 ,$252.00 ,$108.39 ,$180.00 ,$110.56 ,$270.00 ,$160.56 ,$144.36 ,$160.56 ,$108.39 ,$160.56 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 ,$270.97 ,$288.00 ,$133.20 ,$288.00 ,$108.39 ,$108.39 ,$360.00 ,$195.12 ,$108.39 ,$94.68 , N/A , N/A , N/A , N/A ,$113.81 ,$306.00 ,$243.87 ,$144.00 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$360.00 ,$360.00 ,$108.39 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,45000336,29550,HC STRAPPING TOES,450,1 ,$360.00 ,$234.00 ,$53.51 ,$360.00 ,$133.78 ,$165.60 ,$195.12 ,$53.51 ,$100.80 ,$124.20 ,$53.51 ,$141.84 ,$53.51 ,$144.00 ,$144.00 ,$53.51 ,$144.00 ,$101.66 ,$189.36 ,$183.60 ,$133.77 ,$53.51 ,$252.00 ,$53.51 ,$180.00 ,$54.58 ,$270.00 ,$160.56 ,$144.36 ,$160.56 ,$53.51 ,$160.56 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 ,$133.77 ,$288.00 ,$133.20 ,$288.00 ,$53.51 ,$53.51 ,$360.00 ,$195.12 ,$53.51 ,$94.68 , N/A , N/A , N/A , N/A ,$56.19 ,$306.00 ,$120.39 ,$144.00 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$360.00 ,$360.00 ,$53.51 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,"$1,892.00 ","$1,229.80 ",$203.37 ,"$1,892.00 ",$508.43 ,$870.32 ,"$1,025.46 ",$203.37 ,$529.76 ,$652.74 ,$203.37 ,$745.45 ,$203.37 ,$756.80 ,$756.80 ,$203.37 ,$756.80 ,$386.39 ,$995.19 ,$964.92 ,$508.41 ,$203.37 ,"$1,324.40 ",$203.37 ,$946.00 ,$207.43 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$203.37 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$508.41 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$203.37 ,$203.37 ,"$1,892.00 ","$1,025.46 ",$203.37 ,$497.60 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,608.20 ",$457.57 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$203.37 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000339,31231,HC NASAL ENDOSCOPY DIAG UNI/BIL,450,1 ,$440.00 ,$286.00 ,$115.72 ,$440.00 ,$395.58 ,$202.40 ,$238.48 ,$158.23 ,$123.20 ,$151.80 ,$158.23 ,$173.36 ,$158.23 ,$176.00 ,$176.00 ,$158.23 ,$176.00 ,$300.65 ,$231.44 ,$224.40 ,$395.59 ,$158.23 ,$308.00 ,$158.23 ,$220.00 ,$161.40 ,$330.00 ,$196.24 ,$176.44 ,$196.24 ,$158.23 ,$196.24 ,$277.20 ,$277.20 ,$312.40 ,$440.00 ,$374.00 ,$395.59 ,$352.00 ,$162.80 ,$352.00 ,$158.23 ,$158.23 ,$440.00 ,$238.48 ,$158.23 ,$115.72 , N/A , N/A , N/A , N/A ,$166.14 ,$374.00 ,$356.03 ,$176.00 ,$123.20 ,$396.00 ,$316.80 ,$440.00 ,$277.20 ,$425.00 ,$425.00 ,$158.23 ,$211.20 ,$396.00 ST. JOHN'S HOSPITAL,45000341,31603,HC TRACHEOSTOMY TRANSTRACHEAL,450,1 ,"$1,757.00 ","$1,142.05 ",$425.00 ,"$3,250.78 ","$3,250.78 ",$808.22 ,$952.29 ,"$1,300.31 ",$491.96 ,$606.17 ,"$1,300.31 ",$692.26 ,"$1,300.31 ",$702.80 ,$702.80 ,"$1,300.31 ",$702.80 ,"$1,757.00 ",$924.18 ,$896.07 ,"$3,250.76 ","$1,300.31 ","$1,229.90 ","$1,300.31 ",$878.50 ,"$1,326.31 ","$1,317.75 ",$783.62 ,$704.56 ,$783.62 ,"$1,300.31 ",$783.62 ,"$1,106.91 ","$1,106.91 ","$1,247.47 ","$1,757.00 ","$1,493.45 ","$1,757.00 ","$1,405.60 ",$650.09 ,"$1,405.60 ","$1,300.31 ","$1,300.31 ","$1,757.00 ",$952.29 ,"$1,300.31 ",$462.09 , N/A , N/A , N/A , N/A ,"$1,365.33 ","$1,493.45 ","$2,925.69 ",$702.80 ,$491.96 ,"$1,581.30 ","$1,265.04 ","$1,757.00 ","$1,106.91 ",$425.00 ,$425.00 ,"$1,300.31 ",$843.36 ,"$1,581.30 " ST. JOHN'S HOSPITAL,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,"$5,769.00 ","$3,749.85 ",$425.00 ,"$5,769.00 ","$3,347.18 ","$2,653.74 ","$3,126.80 ","$1,338.87 ","$1,615.32 ","$1,990.31 ","$1,338.87 ","$2,272.99 ","$1,338.87 ","$2,307.60 ","$2,307.60 ","$1,338.87 ","$2,307.60 ","$2,543.85 ","$3,034.49 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,038.30 ","$1,338.87 ","$2,884.50 ","$1,365.64 ","$4,326.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,634.47 ","$3,634.47 ","$4,002.00 ","$5,769.00 ","$4,903.65 ","$3,347.17 ","$4,615.20 ","$2,134.53 ","$4,615.20 ","$1,338.87 ","$1,338.87 ","$5,769.00 ","$3,126.80 ","$1,338.87 ","$1,517.25 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,903.65 ","$3,012.45 ","$2,307.60 ","$1,615.32 ","$5,192.10 ","$4,153.68 ","$5,769.00 ","$3,634.47 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,769.12 ","$5,192.10 " ST. JOHN'S HOSPITAL,45000347,28665,HC CLSD TX DISLOC (I-P) JOINT W/ANES,450,1 ,"$2,919.00 ","$1,897.35 ",$231.89 ,"$2,919.00 ",$579.73 ,"$1,342.74 ","$1,582.10 ",$231.89 ,$817.32 ,"$1,007.06 ",$231.89 ,"$1,150.09 ",$231.89 ,"$1,167.60 ","$1,167.60 ",$231.89 ,"$1,167.60 ",$440.60 ,"$1,535.39 ","$1,049.00 ",$579.73 ,$231.89 ,"$2,043.30 ",$231.89 ,"$1,459.50 ",$236.53 ,"$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ",$231.89 ,"$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ",$579.73 ,"$2,335.20 ","$1,080.03 ","$2,335.20 ",$231.89 ,$231.89 ,"$2,919.00 ","$1,582.10 ",$231.89 ,$767.70 , N/A , N/A , N/A , N/A ,$243.48 ,"$2,481.15 ",$521.76 ,"$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,$231.89 ,"$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000349,27532,HC CLOSED RX TIB PLAT FX+MANIP,450,1 ,"$2,724.00 ","$1,770.60 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,253.04 ","$1,476.41 ","$2,722.21 ",$762.72 ,$939.78 ,"$2,722.21 ","$1,073.26 ","$2,722.21 ","$1,089.60 ","$1,089.60 ","$2,722.21 ","$1,089.60 ","$2,724.00 ","$1,432.82 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$1,906.80 ","$2,722.21 ","$1,362.00 ","$2,724.00 ","$2,043.00 ","$1,214.90 ","$1,092.32 ","$1,214.90 ","$2,722.21 ","$1,214.90 ","$1,716.12 ","$1,716.12 ","$1,934.04 ","$2,724.00 ","$2,315.40 ","$2,724.00 ","$2,179.20 ","$1,007.88 ","$2,179.20 ","$2,722.21 ","$2,722.21 ","$2,724.00 ","$1,476.41 ","$2,722.21 ",$716.41 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,315.40 ","$6,124.98 ","$1,089.60 ",$762.72 ,"$2,451.60 ","$1,961.28 ","$2,724.00 ","$1,716.12 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,307.52 ","$2,451.60 " ST. JOHN'S HOSPITAL,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000352,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-50,450,1 ,$494.00 ,$321.10 ,$53.51 ,$494.00 ,$133.78 ,$227.24 ,$267.75 ,$53.51 ,$138.32 ,$170.43 ,$53.51 ,$194.64 ,$53.51 ,$197.60 ,$197.60 ,$53.51 ,$197.60 ,$101.66 ,$259.84 ,$251.94 ,$133.77 ,$53.51 ,$345.80 ,$53.51 ,$247.00 ,$54.58 ,$370.50 ,$220.32 ,$198.09 ,$220.32 ,$53.51 ,$220.32 ,$311.22 ,$311.22 ,$350.74 ,$494.00 ,$419.90 ,$133.77 ,$395.20 ,$182.78 ,$395.20 ,$53.51 ,$53.51 ,$494.00 ,$267.75 ,$53.51 ,$129.92 , N/A , N/A , N/A , N/A ,$56.19 ,$419.90 ,$120.39 ,$197.60 ,$138.32 ,$444.60 ,$355.68 ,$494.00 ,$311.22 ,$425.00 ,$425.00 ,$53.51 ,$237.12 ,$444.60 ST. JOHN'S HOSPITAL,45000353,21480,HC TX DISL JAW CLS-LT,450,1 ,$680.00 ,$442.00 ,$178.84 ,$680.00 ,$495.30 ,$312.80 ,$368.56 ,$198.12 ,$190.40 ,$234.60 ,$198.12 ,$267.92 ,$198.12 ,$272.00 ,$272.00 ,$198.12 ,$272.00 ,$376.43 ,$357.68 ,$346.80 ,$495.31 ,$198.12 ,$476.00 ,$198.12 ,$340.00 ,$202.09 ,$510.00 ,$303.28 ,$272.68 ,$303.28 ,$198.12 ,$303.28 ,$428.40 ,$428.40 ,$482.80 ,$680.00 ,$578.00 ,$495.31 ,$544.00 ,$251.60 ,$544.00 ,$198.12 ,$198.12 ,$680.00 ,$368.56 ,$198.12 ,$178.84 , N/A , N/A , N/A , N/A ,$208.03 ,$578.00 ,$445.78 ,$272.00 ,$190.40 ,$612.00 ,$489.60 ,$680.00 ,$428.40 ,$425.00 ,$425.00 ,$198.12 ,$326.40 ,$612.00 ST. JOHN'S HOSPITAL,45000354,21480,HC TX DISL JAW CLS-RT,450,1 ,$680.00 ,$442.00 ,$178.84 ,$680.00 ,$495.30 ,$312.80 ,$368.56 ,$198.12 ,$190.40 ,$234.60 ,$198.12 ,$267.92 ,$198.12 ,$272.00 ,$272.00 ,$198.12 ,$272.00 ,$376.43 ,$357.68 ,$346.80 ,$495.31 ,$198.12 ,$476.00 ,$198.12 ,$340.00 ,$202.09 ,$510.00 ,$303.28 ,$272.68 ,$303.28 ,$198.12 ,$303.28 ,$428.40 ,$428.40 ,$482.80 ,$680.00 ,$578.00 ,$495.31 ,$544.00 ,$251.60 ,$544.00 ,$198.12 ,$198.12 ,$680.00 ,$368.56 ,$198.12 ,$178.84 , N/A , N/A , N/A , N/A ,$208.03 ,$578.00 ,$445.78 ,$272.00 ,$190.40 ,$612.00 ,$489.60 ,$680.00 ,$428.40 ,$425.00 ,$425.00 ,$198.12 ,$326.40 ,$612.00 ST. JOHN'S HOSPITAL,45000355,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-LT,450,1 ,"$5,769.00 ","$3,749.85 ",$425.00 ,"$5,769.00 ","$3,347.18 ","$2,653.74 ","$3,126.80 ","$1,338.87 ","$1,615.32 ","$1,990.31 ","$1,338.87 ","$2,272.99 ","$1,338.87 ","$2,307.60 ","$2,307.60 ","$1,338.87 ","$2,307.60 ","$2,543.85 ","$3,034.49 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,038.30 ","$1,338.87 ","$2,884.50 ","$1,365.64 ","$4,326.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,634.47 ","$3,634.47 ","$4,002.00 ","$5,769.00 ","$4,903.65 ","$3,347.17 ","$4,615.20 ","$2,134.53 ","$4,615.20 ","$1,338.87 ","$1,338.87 ","$5,769.00 ","$3,126.80 ","$1,338.87 ","$1,517.25 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,903.65 ","$3,012.45 ","$2,307.60 ","$1,615.32 ","$5,192.10 ","$4,153.68 ","$5,769.00 ","$3,634.47 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,769.12 ","$5,192.10 " ST. JOHN'S HOSPITAL,45000356,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-RT,450,1 ,"$5,769.00 ","$3,749.85 ",$425.00 ,"$5,769.00 ","$3,347.18 ","$2,653.74 ","$3,126.80 ","$1,338.87 ","$1,615.32 ","$1,990.31 ","$1,338.87 ","$2,272.99 ","$1,338.87 ","$2,307.60 ","$2,307.60 ","$1,338.87 ","$2,307.60 ","$2,543.85 ","$3,034.49 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,038.30 ","$1,338.87 ","$2,884.50 ","$1,365.64 ","$4,326.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,634.47 ","$3,634.47 ","$4,002.00 ","$5,769.00 ","$4,903.65 ","$3,347.17 ","$4,615.20 ","$2,134.53 ","$4,615.20 ","$1,338.87 ","$1,338.87 ","$5,769.00 ","$3,126.80 ","$1,338.87 ","$1,517.25 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,903.65 ","$3,012.45 ","$2,307.60 ","$1,615.32 ","$5,192.10 ","$4,153.68 ","$5,769.00 ","$3,634.47 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,769.12 ","$5,192.10 " ST. JOHN'S HOSPITAL,45000357,23650,HC TX DISL SHLDR W/MAN CLS-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000358,23650,HC TX DISL SHLDR W/MAN CLS-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000359,23655,HC TX DISL SHLDR W/MAN/ANES CLS-LT,450,1 ,"$2,549.00 ","$1,656.85 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,172.54 ","$1,381.56 ","$1,338.87 ",$713.72 ,$879.41 ,"$1,338.87 ","$1,004.31 ","$1,338.87 ","$1,019.60 ","$1,019.60 ","$1,338.87 ","$1,019.60 ","$2,543.85 ","$1,340.77 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,784.30 ","$1,338.87 ","$1,274.50 ","$1,365.64 ","$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ","$1,338.87 ","$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ","$2,549.00 ","$2,039.20 ",$943.13 ,"$2,039.20 ","$1,338.87 ","$1,338.87 ","$2,549.00 ","$1,381.56 ","$1,338.87 ",$670.39 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,166.65 ","$3,012.45 ","$1,019.60 ",$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,45000360,23655,HC TX DISL SHLDR W/MAN/ANES CLS-RT,450,1 ,"$2,549.00 ","$1,656.85 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,172.54 ","$1,381.56 ","$1,338.87 ",$713.72 ,$879.41 ,"$1,338.87 ","$1,004.31 ","$1,338.87 ","$1,019.60 ","$1,019.60 ","$1,338.87 ","$1,019.60 ","$2,543.85 ","$1,340.77 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,784.30 ","$1,338.87 ","$1,274.50 ","$1,365.64 ","$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ","$1,338.87 ","$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ","$2,549.00 ","$2,039.20 ",$943.13 ,"$2,039.20 ","$1,338.87 ","$1,338.87 ","$2,549.00 ","$1,381.56 ","$1,338.87 ",$670.39 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,166.65 ","$3,012.45 ","$1,019.60 ",$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,45000361,23931,HC I AND D BURSA ELBOW/ARM-LT,450,1 ,"$2,818.00 ","$1,831.70 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,296.28 ","$1,527.36 ","$1,352.50 ",$789.04 ,$972.21 ,"$1,352.50 ","$1,110.29 ","$1,352.50 ","$1,127.20 ","$1,127.20 ","$1,352.50 ","$1,127.20 ","$2,569.74 ","$1,482.27 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,972.60 ","$1,352.50 ","$1,409.00 ","$1,379.54 ","$2,113.50 ","$1,256.83 ","$1,130.02 ","$1,256.83 ","$1,352.50 ","$1,256.83 ","$1,775.34 ","$1,775.34 ","$2,000.78 ","$2,818.00 ","$2,395.30 ","$2,818.00 ","$2,254.40 ","$1,042.66 ","$2,254.40 ","$1,352.50 ","$1,352.50 ","$2,818.00 ","$1,527.36 ","$1,352.50 ",$741.13 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,395.30 ","$3,043.11 ","$1,127.20 ",$789.04 ,"$2,536.20 ","$2,028.96 ","$2,818.00 ","$1,775.34 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,352.64 ","$2,536.20 " ST. JOHN'S HOSPITAL,45000362,23931,HC I AND D BURSA ELBOW/ARM-RT,450,1 ,"$2,818.00 ","$1,831.70 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,296.28 ","$1,527.36 ","$1,352.50 ",$789.04 ,$972.21 ,"$1,352.50 ","$1,110.29 ","$1,352.50 ","$1,127.20 ","$1,127.20 ","$1,352.50 ","$1,127.20 ","$2,569.74 ","$1,482.27 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,972.60 ","$1,352.50 ","$1,409.00 ","$1,379.54 ","$2,113.50 ","$1,256.83 ","$1,130.02 ","$1,256.83 ","$1,352.50 ","$1,256.83 ","$1,775.34 ","$1,775.34 ","$2,000.78 ","$2,818.00 ","$2,395.30 ","$2,818.00 ","$2,254.40 ","$1,042.66 ","$2,254.40 ","$1,352.50 ","$1,352.50 ","$2,818.00 ","$1,527.36 ","$1,352.50 ",$741.13 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,395.30 ","$3,043.11 ","$1,127.20 ",$789.04 ,"$2,536.20 ","$2,028.96 ","$2,818.00 ","$1,775.34 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,352.64 ","$2,536.20 " ST. JOHN'S HOSPITAL,45000363,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000364,24565,HC CLOSED TX HUMERUS EPICONDYLR FX W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000365,24600,HC TX DISL ELBOW W/O ANES CLS-LT,450,1 ,$581.00 ,$377.65 ,$152.80 ,$581.00 ,$495.30 ,$267.26 ,$314.90 ,$198.12 ,$162.68 ,$200.45 ,$198.12 ,$228.91 ,$198.12 ,$232.40 ,$232.40 ,$198.12 ,$232.40 ,$376.43 ,$305.61 ,$296.31 ,$495.31 ,$198.12 ,$406.70 ,$198.12 ,$290.50 ,$202.09 ,$435.75 ,$259.13 ,$232.98 ,$259.13 ,$198.12 ,$259.13 ,$366.03 ,$366.03 ,$412.51 ,$581.00 ,$493.85 ,$495.31 ,$464.80 ,$214.97 ,$464.80 ,$198.12 ,$198.12 ,$581.00 ,$314.90 ,$198.12 ,$152.80 , N/A , N/A , N/A , N/A ,$208.03 ,$493.85 ,$445.78 ,$232.40 ,$162.68 ,$522.90 ,$418.32 ,$581.00 ,$366.03 ,$425.00 ,$425.00 ,$198.12 ,$278.88 ,$522.90 ST. JOHN'S HOSPITAL,45000366,24600,HC TX DISL ELBOW W/O ANES CLS-RT,450,1 ,$581.00 ,$377.65 ,$152.80 ,$581.00 ,$495.30 ,$267.26 ,$314.90 ,$198.12 ,$162.68 ,$200.45 ,$198.12 ,$228.91 ,$198.12 ,$232.40 ,$232.40 ,$198.12 ,$232.40 ,$376.43 ,$305.61 ,$296.31 ,$495.31 ,$198.12 ,$406.70 ,$198.12 ,$290.50 ,$202.09 ,$435.75 ,$259.13 ,$232.98 ,$259.13 ,$198.12 ,$259.13 ,$366.03 ,$366.03 ,$412.51 ,$581.00 ,$493.85 ,$495.31 ,$464.80 ,$214.97 ,$464.80 ,$198.12 ,$198.12 ,$581.00 ,$314.90 ,$198.12 ,$152.80 , N/A , N/A , N/A , N/A ,$208.03 ,$493.85 ,$445.78 ,$232.40 ,$162.68 ,$522.90 ,$418.32 ,$581.00 ,$366.03 ,$425.00 ,$425.00 ,$198.12 ,$278.88 ,$522.90 ST. JOHN'S HOSPITAL,45000367,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-LT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000368,24620,HC CLOSED TX ELBOW FRACTURE W/MANIP-RT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000369,24640,HC DISLOCATION NURSEMAID ELBOW-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000370,24640,HC DISLOCATION NURSEMAID ELBOW-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000371,25505,HC RADIUS FX W MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000372,25505,HC RADIUS FX W MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000373,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000374,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000375,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-LT",450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000376,25605,"HC CLOSED TX DIST RAD/ULNA FX,MANIPUL-RT",450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000379,26600,HC CLSD METACARPAL W/O MANIP-LT,450,1 ,$476.00 ,$309.40 ,$125.19 ,$495.31 ,$495.30 ,$218.96 ,$257.99 ,$198.12 ,$133.28 ,$164.22 ,$198.12 ,$187.54 ,$198.12 ,$190.40 ,$190.40 ,$198.12 ,$190.40 ,$376.43 ,$250.38 ,$242.76 ,$495.31 ,$198.12 ,$333.20 ,$198.12 ,$238.00 ,$202.09 ,$357.00 ,$212.30 ,$190.88 ,$212.30 ,$198.12 ,$212.30 ,$299.88 ,$299.88 ,$337.96 ,$476.00 ,$404.60 ,$476.00 ,$380.80 ,$176.12 ,$380.80 ,$198.12 ,$198.12 ,$476.00 ,$257.99 ,$198.12 ,$125.19 , N/A , N/A , N/A , N/A ,$208.03 ,$404.60 ,$445.78 ,$190.40 ,$133.28 ,$428.40 ,$342.72 ,$476.00 ,$299.88 ,$425.00 ,$425.00 ,$198.12 ,$228.48 ,$428.40 ST. JOHN'S HOSPITAL,45000380,26600,HC CLSD METACARPAL W/O MANIP-RT,450,1 ,$476.00 ,$309.40 ,$125.19 ,$495.31 ,$495.30 ,$218.96 ,$257.99 ,$198.12 ,$133.28 ,$164.22 ,$198.12 ,$187.54 ,$198.12 ,$190.40 ,$190.40 ,$198.12 ,$190.40 ,$376.43 ,$250.38 ,$242.76 ,$495.31 ,$198.12 ,$333.20 ,$198.12 ,$238.00 ,$202.09 ,$357.00 ,$212.30 ,$190.88 ,$212.30 ,$198.12 ,$212.30 ,$299.88 ,$299.88 ,$337.96 ,$476.00 ,$404.60 ,$476.00 ,$380.80 ,$176.12 ,$380.80 ,$198.12 ,$198.12 ,$476.00 ,$257.99 ,$198.12 ,$125.19 , N/A , N/A , N/A , N/A ,$208.03 ,$404.60 ,$445.78 ,$190.40 ,$133.28 ,$428.40 ,$342.72 ,$476.00 ,$299.88 ,$425.00 ,$425.00 ,$198.12 ,$228.48 ,$428.40 ST. JOHN'S HOSPITAL,45000381,26605,HC CLSD METACARPAL FX W/MANIP-LT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000382,26605,HC CLSD METACARPAL FX W/MANIP-RT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000383,26641,HC CLSD DISCL THUMB W/MANIP-LT,450,1 ,$431.00 ,$280.15 ,$113.35 ,$495.31 ,$495.30 ,$198.26 ,$233.60 ,$198.12 ,$120.68 ,$148.70 ,$198.12 ,$169.81 ,$198.12 ,$172.40 ,$172.40 ,$198.12 ,$172.40 ,$376.43 ,$226.71 ,$219.81 ,$495.31 ,$198.12 ,$301.70 ,$198.12 ,$215.50 ,$202.09 ,$323.25 ,$192.23 ,$172.83 ,$192.23 ,$198.12 ,$192.23 ,$271.53 ,$271.53 ,$306.01 ,$431.00 ,$366.35 ,$431.00 ,$344.80 ,$159.47 ,$344.80 ,$198.12 ,$198.12 ,$431.00 ,$233.60 ,$198.12 ,$113.35 , N/A , N/A , N/A , N/A ,$208.03 ,$366.35 ,$445.78 ,$172.40 ,$120.68 ,$387.90 ,$310.32 ,$431.00 ,$271.53 ,$425.00 ,$425.00 ,$198.12 ,$206.88 ,$387.90 ST. JOHN'S HOSPITAL,45000384,26641,HC CLSD DISCL THUMB W/MANIP-RT,450,1 ,$431.00 ,$280.15 ,$113.35 ,$495.31 ,$495.30 ,$198.26 ,$233.60 ,$198.12 ,$120.68 ,$148.70 ,$198.12 ,$169.81 ,$198.12 ,$172.40 ,$172.40 ,$198.12 ,$172.40 ,$376.43 ,$226.71 ,$219.81 ,$495.31 ,$198.12 ,$301.70 ,$198.12 ,$215.50 ,$202.09 ,$323.25 ,$192.23 ,$172.83 ,$192.23 ,$198.12 ,$192.23 ,$271.53 ,$271.53 ,$306.01 ,$431.00 ,$366.35 ,$431.00 ,$344.80 ,$159.47 ,$344.80 ,$198.12 ,$198.12 ,$431.00 ,$233.60 ,$198.12 ,$113.35 , N/A , N/A , N/A , N/A ,$208.03 ,$366.35 ,$445.78 ,$172.40 ,$120.68 ,$387.90 ,$310.32 ,$431.00 ,$271.53 ,$425.00 ,$425.00 ,$198.12 ,$206.88 ,$387.90 ST. JOHN'S HOSPITAL,45000385,26670,HC HAND DISL W/MANIP W/O ANES-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000386,26670,HC HAND DISL W/MANIP W/O ANES-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000387,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-LT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000388,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT-RT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000389,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-LT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000390,27550,HC CLSD TX KNEE DISLOC W/O ANESTH-RT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000391,27560,HC TX DSL PTLR W/O ANS CL-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000392,27560,HC TX DSL PTLR W/O ANS CL-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000393,27750,HC TIBIA SHAFT FX W/O MANIP-LT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000394,27750,HC TIBIA SHAFT FX W/O MANIP-RT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000395,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-LT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000396,27808,HC CLOSED TX FX BIMALLEOLAR W/O MANIP-RT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000397,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-LT,450,1 ,"$2,455.00 ","$1,595.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,129.30 ","$1,330.61 ","$1,338.87 ",$687.40 ,$846.98 ,"$1,338.87 ",$967.27 ,"$1,338.87 ",$982.00 ,$982.00 ,"$1,338.87 ",$982.00 ,"$2,455.00 ","$1,291.33 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,718.50 ","$1,338.87 ","$1,227.50 ","$1,365.64 ","$1,841.25 ","$1,094.93 ",$984.46 ,"$1,094.93 ","$1,338.87 ","$1,094.93 ","$1,546.65 ","$1,546.65 ","$1,743.05 ","$2,455.00 ","$2,086.75 ","$2,455.00 ","$1,964.00 ",$908.35 ,"$1,964.00 ","$1,338.87 ","$1,338.87 ","$2,455.00 ","$1,330.61 ","$1,338.87 ",$645.67 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,086.75 ","$3,012.45 ",$982.00 ,$687.40 ,"$2,209.50 ","$1,767.60 ","$2,455.00 ","$1,546.65 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,178.40 ","$2,209.50 " ST. JOHN'S HOSPITAL,45000398,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP-RT,450,1 ,"$2,455.00 ","$1,595.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,129.30 ","$1,330.61 ","$1,338.87 ",$687.40 ,$846.98 ,"$1,338.87 ",$967.27 ,"$1,338.87 ",$982.00 ,$982.00 ,"$1,338.87 ",$982.00 ,"$2,455.00 ","$1,291.33 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,718.50 ","$1,338.87 ","$1,227.50 ","$1,365.64 ","$1,841.25 ","$1,094.93 ",$984.46 ,"$1,094.93 ","$1,338.87 ","$1,094.93 ","$1,546.65 ","$1,546.65 ","$1,743.05 ","$2,455.00 ","$2,086.75 ","$2,455.00 ","$1,964.00 ",$908.35 ,"$1,964.00 ","$1,338.87 ","$1,338.87 ","$2,455.00 ","$1,330.61 ","$1,338.87 ",$645.67 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,086.75 ","$3,012.45 ",$982.00 ,$687.40 ,"$2,209.50 ","$1,767.60 ","$2,455.00 ","$1,546.65 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,178.40 ","$2,209.50 " ST. JOHN'S HOSPITAL,45000399,28470,HC CLSD METATARSAL W/O MANIP-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000400,28470,HC CLSD METATARSAL W/O MANIP-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000401,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-LT,450,1 ,$796.00 ,$517.40 ,$198.12 ,$796.00 ,$495.30 ,$366.16 ,$431.43 ,$198.12 ,$222.88 ,$274.62 ,$198.12 ,$313.62 ,$198.12 ,$318.40 ,$318.40 ,$198.12 ,$318.40 ,$376.43 ,$418.70 ,$405.96 ,$495.31 ,$198.12 ,$557.20 ,$198.12 ,$398.00 ,$202.09 ,$597.00 ,$355.02 ,$319.20 ,$355.02 ,$198.12 ,$355.02 ,$501.48 ,$501.48 ,$565.16 ,$796.00 ,$676.60 ,$495.31 ,$636.80 ,$294.52 ,$636.80 ,$198.12 ,$198.12 ,$796.00 ,$431.43 ,$198.12 ,$209.35 , N/A , N/A , N/A , N/A ,$208.03 ,$676.60 ,$445.78 ,$318.40 ,$222.88 ,$716.40 ,$573.12 ,$796.00 ,$501.48 ,$425.00 ,$425.00 ,$198.12 ,$382.08 ,$716.40 ST. JOHN'S HOSPITAL,45000402,28570,HC CLOSED TX FOOT DISLOCATION W/O ANES-RT,450,1 ,$796.00 ,$517.40 ,$198.12 ,$796.00 ,$495.30 ,$366.16 ,$431.43 ,$198.12 ,$222.88 ,$274.62 ,$198.12 ,$313.62 ,$198.12 ,$318.40 ,$318.40 ,$198.12 ,$318.40 ,$376.43 ,$418.70 ,$405.96 ,$495.31 ,$198.12 ,$557.20 ,$198.12 ,$398.00 ,$202.09 ,$597.00 ,$355.02 ,$319.20 ,$355.02 ,$198.12 ,$355.02 ,$501.48 ,$501.48 ,$565.16 ,$796.00 ,$676.60 ,$495.31 ,$636.80 ,$294.52 ,$636.80 ,$198.12 ,$198.12 ,$796.00 ,$431.43 ,$198.12 ,$209.35 , N/A , N/A , N/A , N/A ,$208.03 ,$676.60 ,$445.78 ,$318.40 ,$222.88 ,$716.40 ,$573.12 ,$796.00 ,$501.48 ,$425.00 ,$425.00 ,$198.12 ,$382.08 ,$716.40 ST. JOHN'S HOSPITAL,45000403,29065,HC APPL CAST ARM LONG-LT,450,1 ,$701.00 ,$455.65 ,$184.36 ,$701.00 ,$579.73 ,$322.46 ,$379.94 ,$231.89 ,$196.28 ,$241.85 ,$231.89 ,$276.19 ,$231.89 ,$280.40 ,$280.40 ,$231.89 ,$280.40 ,$440.60 ,$368.73 ,$357.51 ,$579.73 ,$231.89 ,$490.70 ,$231.89 ,$350.50 ,$236.53 ,$525.75 ,$312.65 ,$281.10 ,$312.65 ,$231.89 ,$312.65 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 ,$579.73 ,$560.80 ,$259.37 ,$560.80 ,$231.89 ,$231.89 ,$701.00 ,$379.94 ,$231.89 ,$184.36 , N/A , N/A , N/A , N/A ,$243.48 ,$595.85 ,$521.76 ,$280.40 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$425.00 ,$425.00 ,$231.89 ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,45000404,29065,HC APPL CAST ARM LONG-RT,450,1 ,$701.00 ,$455.65 ,$184.36 ,$701.00 ,$579.73 ,$322.46 ,$379.94 ,$231.89 ,$196.28 ,$241.85 ,$231.89 ,$276.19 ,$231.89 ,$280.40 ,$280.40 ,$231.89 ,$280.40 ,$440.60 ,$368.73 ,$357.51 ,$579.73 ,$231.89 ,$490.70 ,$231.89 ,$350.50 ,$236.53 ,$525.75 ,$312.65 ,$281.10 ,$312.65 ,$231.89 ,$312.65 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 ,$579.73 ,$560.80 ,$259.37 ,$560.80 ,$231.89 ,$231.89 ,$701.00 ,$379.94 ,$231.89 ,$184.36 , N/A , N/A , N/A , N/A ,$243.48 ,$595.85 ,$521.76 ,$280.40 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$425.00 ,$425.00 ,$231.89 ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,45000405,29105,HC APPL SPLNT ARM LONG-LT,450,1 ,$582.00 ,$378.30 ,$135.81 ,$582.00 ,$339.53 ,$267.72 ,$315.44 ,$135.81 ,$162.96 ,$200.79 ,$135.81 ,$229.31 ,$135.81 ,$232.80 ,$232.80 ,$135.81 ,$232.80 ,$258.03 ,$306.13 ,$296.82 ,$339.51 ,$135.81 ,$407.40 ,$135.81 ,$291.00 ,$138.52 ,$436.50 ,$259.57 ,$233.38 ,$259.57 ,$135.81 ,$259.57 ,$366.66 ,$366.66 ,$413.22 ,$582.00 ,$494.70 ,$339.51 ,$465.60 ,$215.34 ,$465.60 ,$135.81 ,$135.81 ,$582.00 ,$315.44 ,$135.81 ,$153.07 , N/A , N/A , N/A , N/A ,$142.60 ,$494.70 ,$305.56 ,$232.80 ,$162.96 ,$523.80 ,$419.04 ,$582.00 ,$366.66 ,$425.00 ,$425.00 ,$135.81 ,$279.36 ,$523.80 ST. JOHN'S HOSPITAL,45000406,29105,HC APPL SPLNT ARM LONG-RT,450,1 ,$582.00 ,$378.30 ,$135.81 ,$582.00 ,$339.53 ,$267.72 ,$315.44 ,$135.81 ,$162.96 ,$200.79 ,$135.81 ,$229.31 ,$135.81 ,$232.80 ,$232.80 ,$135.81 ,$232.80 ,$258.03 ,$306.13 ,$296.82 ,$339.51 ,$135.81 ,$407.40 ,$135.81 ,$291.00 ,$138.52 ,$436.50 ,$259.57 ,$233.38 ,$259.57 ,$135.81 ,$259.57 ,$366.66 ,$366.66 ,$413.22 ,$582.00 ,$494.70 ,$339.51 ,$465.60 ,$215.34 ,$465.60 ,$135.81 ,$135.81 ,$582.00 ,$315.44 ,$135.81 ,$153.07 , N/A , N/A , N/A , N/A ,$142.60 ,$494.70 ,$305.56 ,$232.80 ,$162.96 ,$523.80 ,$419.04 ,$582.00 ,$366.66 ,$425.00 ,$425.00 ,$135.81 ,$279.36 ,$523.80 ST. JOHN'S HOSPITAL,45000407,29126,HC APPL SHRT ARM SPLNT DYNAM-LT,450,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$145.59 ,$108.39 ,$166.27 ,$108.39 ,$168.80 ,$168.80 ,$108.39 ,$168.80 ,$205.94 ,$221.97 ,$215.22 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A , N/A , N/A ,$113.81 ,$358.70 ,$243.87 ,$168.80 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$422.00 ,$422.00 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,45000408,29126,HC APPL SHRT ARM SPLNT DYNAM-RT,450,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$145.59 ,$108.39 ,$166.27 ,$108.39 ,$168.80 ,$168.80 ,$108.39 ,$168.80 ,$205.94 ,$221.97 ,$215.22 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A , N/A , N/A ,$113.81 ,$358.70 ,$243.87 ,$168.80 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$422.00 ,$422.00 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,45000413,29345,HC LONG LEG CAST-LT,450,1 ,$861.00 ,$559.65 ,$226.44 ,$861.00 ,$579.73 ,$396.06 ,$466.66 ,$231.89 ,$241.08 ,$297.05 ,$231.89 ,$339.23 ,$231.89 ,$344.40 ,$344.40 ,$231.89 ,$344.40 ,$440.60 ,$452.89 ,$439.11 ,$579.73 ,$231.89 ,$602.70 ,$231.89 ,$430.50 ,$236.53 ,$645.75 ,$384.01 ,$345.26 ,$384.01 ,$231.89 ,$384.01 ,$542.43 ,$542.43 ,$611.31 ,$861.00 ,$731.85 ,$579.73 ,$688.80 ,$318.57 ,$688.80 ,$231.89 ,$231.89 ,$861.00 ,$466.66 ,$231.89 ,$226.44 , N/A , N/A , N/A , N/A ,$243.48 ,$731.85 ,$521.76 ,$344.40 ,$241.08 ,$774.90 ,$619.92 ,$861.00 ,$542.43 ,$425.00 ,$425.00 ,$231.89 ,$413.28 ,$774.90 ST. JOHN'S HOSPITAL,45000414,29345,HC LONG LEG CAST-RT,450,1 ,$861.00 ,$559.65 ,$226.44 ,$861.00 ,$579.73 ,$396.06 ,$466.66 ,$231.89 ,$241.08 ,$297.05 ,$231.89 ,$339.23 ,$231.89 ,$344.40 ,$344.40 ,$231.89 ,$344.40 ,$440.60 ,$452.89 ,$439.11 ,$579.73 ,$231.89 ,$602.70 ,$231.89 ,$430.50 ,$236.53 ,$645.75 ,$384.01 ,$345.26 ,$384.01 ,$231.89 ,$384.01 ,$542.43 ,$542.43 ,$611.31 ,$861.00 ,$731.85 ,$579.73 ,$688.80 ,$318.57 ,$688.80 ,$231.89 ,$231.89 ,$861.00 ,$466.66 ,$231.89 ,$226.44 , N/A , N/A , N/A , N/A ,$243.48 ,$731.85 ,$521.76 ,$344.40 ,$241.08 ,$774.90 ,$619.92 ,$861.00 ,$542.43 ,$425.00 ,$425.00 ,$231.89 ,$413.28 ,$774.90 ST. JOHN'S HOSPITAL,45000415,29405,HC APPLY SHORT LEG CAST-LT,450,1 ,$821.00 ,$533.65 ,$215.92 ,$821.00 ,$579.73 ,$377.66 ,$444.98 ,$231.89 ,$229.88 ,$283.25 ,$231.89 ,$323.47 ,$231.89 ,$328.40 ,$328.40 ,$231.89 ,$328.40 ,$440.60 ,$431.85 ,$418.71 ,$579.73 ,$231.89 ,$574.70 ,$231.89 ,$410.50 ,$236.53 ,$615.75 ,$366.17 ,$329.22 ,$366.17 ,$231.89 ,$366.17 ,$517.23 ,$517.23 ,$582.91 ,$821.00 ,$697.85 ,$579.73 ,$656.80 ,$303.77 ,$656.80 ,$231.89 ,$231.89 ,$821.00 ,$444.98 ,$231.89 ,$215.92 , N/A , N/A , N/A , N/A ,$243.48 ,$697.85 ,$521.76 ,$328.40 ,$229.88 ,$738.90 ,$591.12 ,$821.00 ,$517.23 ,$425.00 ,$425.00 ,$231.89 ,$394.08 ,$738.90 ST. JOHN'S HOSPITAL,45000416,29405,HC APPLY SHORT LEG CAST-RT,450,1 ,$821.00 ,$533.65 ,$215.92 ,$821.00 ,$579.73 ,$377.66 ,$444.98 ,$231.89 ,$229.88 ,$283.25 ,$231.89 ,$323.47 ,$231.89 ,$328.40 ,$328.40 ,$231.89 ,$328.40 ,$440.60 ,$431.85 ,$418.71 ,$579.73 ,$231.89 ,$574.70 ,$231.89 ,$410.50 ,$236.53 ,$615.75 ,$366.17 ,$329.22 ,$366.17 ,$231.89 ,$366.17 ,$517.23 ,$517.23 ,$582.91 ,$821.00 ,$697.85 ,$579.73 ,$656.80 ,$303.77 ,$656.80 ,$231.89 ,$231.89 ,$821.00 ,$444.98 ,$231.89 ,$215.92 , N/A , N/A , N/A , N/A ,$243.48 ,$697.85 ,$521.76 ,$328.40 ,$229.88 ,$738.90 ,$591.12 ,$821.00 ,$517.23 ,$425.00 ,$425.00 ,$231.89 ,$394.08 ,$738.90 ST. JOHN'S HOSPITAL,45000417,29505,HC APPL LONG LEG SPLNT-LT,450,1 ,$504.00 ,$327.60 ,$132.55 ,$504.00 ,$339.53 ,$231.84 ,$273.17 ,$135.81 ,$141.12 ,$173.88 ,$135.81 ,$198.58 ,$135.81 ,$201.60 ,$201.60 ,$135.81 ,$201.60 ,$258.03 ,$265.10 ,$257.04 ,$339.51 ,$135.81 ,$352.80 ,$135.81 ,$252.00 ,$138.52 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$135.81 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$339.51 ,$403.20 ,$186.48 ,$403.20 ,$135.81 ,$135.81 ,$504.00 ,$273.17 ,$135.81 ,$132.55 , N/A , N/A , N/A , N/A ,$142.60 ,$428.40 ,$305.56 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$135.81 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000418,29505,HC APPL LONG LEG SPLNT-RT,450,1 ,$504.00 ,$327.60 ,$132.55 ,$504.00 ,$339.53 ,$231.84 ,$273.17 ,$135.81 ,$141.12 ,$173.88 ,$135.81 ,$198.58 ,$135.81 ,$201.60 ,$201.60 ,$135.81 ,$201.60 ,$258.03 ,$265.10 ,$257.04 ,$339.51 ,$135.81 ,$352.80 ,$135.81 ,$252.00 ,$138.52 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$135.81 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$339.51 ,$403.20 ,$186.48 ,$403.20 ,$135.81 ,$135.81 ,$504.00 ,$273.17 ,$135.81 ,$132.55 , N/A , N/A , N/A , N/A ,$142.60 ,$428.40 ,$305.56 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$135.81 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000419,29515,HC APPL SHRT LEG SPLNT FAC-LT,450,1 ,$410.00 ,$266.50 ,$107.83 ,$410.00 ,$339.53 ,$188.60 ,$222.22 ,$135.81 ,$114.80 ,$141.45 ,$135.81 ,$161.54 ,$135.81 ,$164.00 ,$164.00 ,$135.81 ,$164.00 ,$258.03 ,$215.66 ,$209.10 ,$339.51 ,$135.81 ,$287.00 ,$135.81 ,$205.00 ,$138.52 ,$307.50 ,$182.86 ,$164.41 ,$182.86 ,$135.81 ,$182.86 ,$258.30 ,$258.30 ,$291.10 ,$410.00 ,$348.50 ,$339.51 ,$328.00 ,$151.70 ,$328.00 ,$135.81 ,$135.81 ,$410.00 ,$222.22 ,$135.81 ,$107.83 , N/A , N/A , N/A , N/A ,$142.60 ,$348.50 ,$305.56 ,$164.00 ,$114.80 ,$369.00 ,$295.20 ,$410.00 ,$258.30 ,$410.00 ,$410.00 ,$135.81 ,$196.80 ,$369.00 ST. JOHN'S HOSPITAL,45000420,29515,HC APPL SHRT LEG SPLNT FAC-RT,450,1 ,$410.00 ,$266.50 ,$107.83 ,$410.00 ,$339.53 ,$188.60 ,$222.22 ,$135.81 ,$114.80 ,$141.45 ,$135.81 ,$161.54 ,$135.81 ,$164.00 ,$164.00 ,$135.81 ,$164.00 ,$258.03 ,$215.66 ,$209.10 ,$339.51 ,$135.81 ,$287.00 ,$135.81 ,$205.00 ,$138.52 ,$307.50 ,$182.86 ,$164.41 ,$182.86 ,$135.81 ,$182.86 ,$258.30 ,$258.30 ,$291.10 ,$410.00 ,$348.50 ,$339.51 ,$328.00 ,$151.70 ,$328.00 ,$135.81 ,$135.81 ,$410.00 ,$222.22 ,$135.81 ,$107.83 , N/A , N/A , N/A , N/A ,$142.60 ,$348.50 ,$305.56 ,$164.00 ,$114.80 ,$369.00 ,$295.20 ,$410.00 ,$258.30 ,$410.00 ,$410.00 ,$135.81 ,$196.80 ,$369.00 ST. JOHN'S HOSPITAL,45000423,30300,HC REMOVE NASAL FOREIGN BODY-LT,450,1 ,$499.00 ,$324.35 ,$108.39 ,$499.00 ,$270.98 ,$229.54 ,$270.46 ,$108.39 ,$139.72 ,$172.16 ,$108.39 ,$196.61 ,$108.39 ,$199.60 ,$199.60 ,$108.39 ,$199.60 ,$205.94 ,$262.47 ,$254.49 ,$270.97 ,$108.39 ,$349.30 ,$108.39 ,$249.50 ,$110.56 ,$374.25 ,$222.55 ,$200.10 ,$222.55 ,$108.39 ,$222.55 ,$314.37 ,$314.37 ,$354.29 ,$499.00 ,$424.15 ,$270.97 ,$399.20 ,$184.63 ,$399.20 ,$108.39 ,$108.39 ,$499.00 ,$270.46 ,$108.39 ,$131.24 , N/A , N/A , N/A , N/A ,$113.81 ,$424.15 ,$243.87 ,$199.60 ,$139.72 ,$449.10 ,$359.28 ,$499.00 ,$314.37 ,$425.00 ,$425.00 ,$108.39 ,$239.52 ,$449.10 ST. JOHN'S HOSPITAL,45000424,30300,HC REMOVE NASAL FOREIGN BODY-RT,450,1 ,$499.00 ,$324.35 ,$108.39 ,$499.00 ,$270.98 ,$229.54 ,$270.46 ,$108.39 ,$139.72 ,$172.16 ,$108.39 ,$196.61 ,$108.39 ,$199.60 ,$199.60 ,$108.39 ,$199.60 ,$205.94 ,$262.47 ,$254.49 ,$270.97 ,$108.39 ,$349.30 ,$108.39 ,$249.50 ,$110.56 ,$374.25 ,$222.55 ,$200.10 ,$222.55 ,$108.39 ,$222.55 ,$314.37 ,$314.37 ,$354.29 ,$499.00 ,$424.15 ,$270.97 ,$399.20 ,$184.63 ,$399.20 ,$108.39 ,$108.39 ,$499.00 ,$270.46 ,$108.39 ,$131.24 , N/A , N/A , N/A , N/A ,$113.81 ,$424.15 ,$243.87 ,$199.60 ,$139.72 ,$449.10 ,$359.28 ,$499.00 ,$314.37 ,$425.00 ,$425.00 ,$108.39 ,$239.52 ,$449.10 ST. JOHN'S HOSPITAL,45000425,30901,HC CNTRL NOSEBLEED ANT SMP-LT,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000426,30901,HC CNTRL NOSEBLEED ANT SMP-RT,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000429,30905,HC CONTROL OF NOSEBLEED-LT,450,1 ,"$1,892.00 ","$1,229.80 ",$108.39 ,"$1,892.00 ",$270.98 ,$870.32 ,"$1,025.46 ",$108.39 ,$529.76 ,$652.74 ,$108.39 ,$745.45 ,$108.39 ,$756.80 ,$756.80 ,$108.39 ,$756.80 ,$205.94 ,$995.19 ,$964.92 ,$270.97 ,$108.39 ,"$1,324.40 ",$108.39 ,$946.00 ,$110.56 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$108.39 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$270.97 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$108.39 ,$108.39 ,"$1,892.00 ","$1,025.46 ",$108.39 ,$497.60 , N/A , N/A , N/A , N/A ,$113.81 ,"$1,608.20 ",$243.87 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$108.39 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000430,30905,HC CONTROL OF NOSEBLEED-RT,450,1 ,"$1,892.00 ","$1,229.80 ",$108.39 ,"$1,892.00 ",$270.98 ,$870.32 ,"$1,025.46 ",$108.39 ,$529.76 ,$652.74 ,$108.39 ,$745.45 ,$108.39 ,$756.80 ,$756.80 ,$108.39 ,$756.80 ,$205.94 ,$995.19 ,$964.92 ,$270.97 ,$108.39 ,"$1,324.40 ",$108.39 ,$946.00 ,$110.56 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$108.39 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$270.97 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$108.39 ,$108.39 ,"$1,892.00 ","$1,025.46 ",$108.39 ,$497.60 , N/A , N/A , N/A , N/A ,$113.81 ,"$1,608.20 ",$243.87 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$108.39 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,"$1,545.00 ","$1,004.25 ",$406.34 ,"$3,379.28 ","$3,379.28 ",$710.70 ,$837.39 ,"$1,351.71 ",$432.60 ,$533.03 ,"$1,351.71 ",$608.73 ,"$1,351.71 ",$618.00 ,$618.00 ,"$1,351.71 ",$618.00 ,"$1,545.00 ",$812.67 ,$787.95 ,"$3,379.28 ","$1,351.71 ","$1,081.50 ","$1,351.71 ",$772.50 ,"$1,378.75 ","$1,158.75 ",$689.07 ,$619.55 ,$689.07 ,"$1,351.71 ",$689.07 ,$973.35 ,$973.35 ,"$1,096.95 ","$1,545.00 ","$1,313.25 ","$1,545.00 ","$1,236.00 ",$571.65 ,"$1,236.00 ","$1,351.71 ","$1,351.71 ","$1,545.00 ",$837.39 ,"$1,351.71 ",$406.34 , N/A , N/A , N/A , N/A ,"$1,419.30 ","$1,313.25 ","$3,041.36 ",$618.00 ,$432.60 ,"$1,390.50 ","$1,112.40 ","$1,545.00 ",$973.35 ,$425.00 ,$425.00 ,"$1,351.71 ",$741.60 ,"$1,390.50 " ST. JOHN'S HOSPITAL,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,"$1,545.00 ","$1,004.25 ",$406.34 ,"$3,379.28 ","$3,379.28 ",$710.70 ,$837.39 ,"$1,351.71 ",$432.60 ,$533.03 ,"$1,351.71 ",$608.73 ,"$1,351.71 ",$618.00 ,$618.00 ,"$1,351.71 ",$618.00 ,"$1,545.00 ",$812.67 ,$787.95 ,"$3,379.28 ","$1,351.71 ","$1,081.50 ","$1,351.71 ",$772.50 ,"$1,378.75 ","$1,158.75 ",$689.07 ,$619.55 ,$689.07 ,"$1,351.71 ",$689.07 ,$973.35 ,$973.35 ,"$1,096.95 ","$1,545.00 ","$1,313.25 ","$1,545.00 ","$1,236.00 ",$571.65 ,"$1,236.00 ","$1,351.71 ","$1,351.71 ","$1,545.00 ",$837.39 ,"$1,351.71 ",$406.34 , N/A , N/A , N/A , N/A ,"$1,419.30 ","$1,313.25 ","$3,041.36 ",$618.00 ,$432.60 ,"$1,390.50 ","$1,112.40 ","$1,545.00 ",$973.35 ,$425.00 ,$425.00 ,"$1,351.71 ",$741.60 ,"$1,390.50 " ST. JOHN'S HOSPITAL,45000433,32554,HC THORACENTESIS ASPIRATION WO IMAGING-LT,450,1 ,"$2,169.00 ","$1,409.85 ",$425.00 ,"$2,169.00 ","$1,298.95 ",$997.74 ,"$1,175.60 ",$519.58 ,$607.32 ,$748.31 ,$519.58 ,$854.59 ,$519.58 ,$867.60 ,$867.60 ,$519.58 ,$867.60 ,$987.20 ,"$1,140.89 ","$1,049.00 ","$1,298.95 ",$519.58 ,"$1,518.30 ",$519.58 ,"$1,084.50 ",$529.97 ,"$1,626.75 ",$967.37 ,$869.77 ,$967.37 ,$519.58 ,$967.37 ,"$1,366.47 ","$1,366.47 ","$1,539.99 ","$2,169.00 ","$1,843.65 ","$1,298.95 ","$1,735.20 ",$802.53 ,"$1,735.20 ",$519.58 ,$519.58 ,"$2,169.00 ","$1,175.60 ",$519.58 ,$570.45 , N/A , N/A , N/A , N/A ,$545.56 ,"$1,843.65 ","$1,169.06 ",$867.60 ,$607.32 ,"$1,952.10 ","$1,561.68 ","$2,169.00 ","$1,366.47 ",$425.00 ,$425.00 ,$519.58 ,"$1,041.12 ","$1,952.10 " ST. JOHN'S HOSPITAL,45000434,32554,HC THORACENTESIS ASPIRATION WO IMAGING-RT,450,1 ,"$2,169.00 ","$1,409.85 ",$425.00 ,"$2,169.00 ","$1,298.95 ",$997.74 ,"$1,175.60 ",$519.58 ,$607.32 ,$748.31 ,$519.58 ,$854.59 ,$519.58 ,$867.60 ,$867.60 ,$519.58 ,$867.60 ,$987.20 ,"$1,140.89 ","$1,049.00 ","$1,298.95 ",$519.58 ,"$1,518.30 ",$519.58 ,"$1,084.50 ",$529.97 ,"$1,626.75 ",$967.37 ,$869.77 ,$967.37 ,$519.58 ,$967.37 ,"$1,366.47 ","$1,366.47 ","$1,539.99 ","$2,169.00 ","$1,843.65 ","$1,298.95 ","$1,735.20 ",$802.53 ,"$1,735.20 ",$519.58 ,$519.58 ,"$2,169.00 ","$1,175.60 ",$519.58 ,$570.45 , N/A , N/A , N/A , N/A ,$545.56 ,"$1,843.65 ","$1,169.06 ",$867.60 ,$607.32 ,"$1,952.10 ","$1,561.68 ","$2,169.00 ","$1,366.47 ",$425.00 ,$425.00 ,$519.58 ,"$1,041.12 ","$1,952.10 " ST. JOHN'S HOSPITAL,45000443,65220,HC REMOVE FB CORNL W/O SLIT LAMP-LT,450,1 ,$424.00 ,$275.60 ,$111.51 ,$652.20 ,$652.20 ,$195.04 ,$229.81 ,$260.88 ,$118.72 ,$146.28 ,$260.88 ,$167.06 ,$260.88 ,$169.60 ,$169.60 ,$260.88 ,$169.60 ,$424.00 ,$223.02 ,$216.24 ,$652.20 ,$260.88 ,$296.80 ,$260.88 ,$212.00 ,$266.10 ,$318.00 ,$189.10 ,$170.02 ,$189.10 ,$260.88 ,$189.10 ,$267.12 ,$267.12 ,$301.04 ,$424.00 ,$360.40 ,$424.00 ,$339.20 ,$156.88 ,$339.20 ,$260.88 ,$260.88 ,$424.00 ,$229.81 ,$260.88 ,$111.51 , N/A , N/A , N/A , N/A ,$273.92 ,$360.40 ,$586.98 ,$169.60 ,$118.72 ,$381.60 ,$305.28 ,$424.00 ,$267.12 ,$424.00 ,$424.00 ,$260.88 ,$203.52 ,$381.60 ST. JOHN'S HOSPITAL,45000444,65220,HC REMOVE FB CORNL W/O SLIT LAMP-RT,450,1 ,$424.00 ,$275.60 ,$111.51 ,$652.20 ,$652.20 ,$195.04 ,$229.81 ,$260.88 ,$118.72 ,$146.28 ,$260.88 ,$167.06 ,$260.88 ,$169.60 ,$169.60 ,$260.88 ,$169.60 ,$424.00 ,$223.02 ,$216.24 ,$652.20 ,$260.88 ,$296.80 ,$260.88 ,$212.00 ,$266.10 ,$318.00 ,$189.10 ,$170.02 ,$189.10 ,$260.88 ,$189.10 ,$267.12 ,$267.12 ,$301.04 ,$424.00 ,$360.40 ,$424.00 ,$339.20 ,$156.88 ,$339.20 ,$260.88 ,$260.88 ,$424.00 ,$229.81 ,$260.88 ,$111.51 , N/A , N/A , N/A , N/A ,$273.92 ,$360.40 ,$586.98 ,$169.60 ,$118.72 ,$381.60 ,$305.28 ,$424.00 ,$267.12 ,$424.00 ,$424.00 ,$260.88 ,$203.52 ,$381.60 ST. JOHN'S HOSPITAL,45000445,65222,HC REMOVE FB CORNL W/ SLIT LAMP-LT,450,1 ,$466.00 ,$302.90 ,$108.39 ,$466.00 ,$270.98 ,$214.36 ,$252.57 ,$108.39 ,$130.48 ,$160.77 ,$108.39 ,$183.60 ,$108.39 ,$186.40 ,$186.40 ,$108.39 ,$186.40 ,$205.94 ,$245.12 ,$237.66 ,$270.97 ,$108.39 ,$326.20 ,$108.39 ,$233.00 ,$110.56 ,$349.50 ,$207.84 ,$186.87 ,$207.84 ,$108.39 ,$207.84 ,$293.58 ,$293.58 ,$330.86 ,$466.00 ,$396.10 ,$270.97 ,$372.80 ,$172.42 ,$372.80 ,$108.39 ,$108.39 ,$466.00 ,$252.57 ,$108.39 ,$122.56 , N/A , N/A , N/A , N/A ,$113.81 ,$396.10 ,$243.87 ,$186.40 ,$130.48 ,$419.40 ,$335.52 ,$466.00 ,$293.58 ,$425.00 ,$425.00 ,$108.39 ,$223.68 ,$419.40 ST. JOHN'S HOSPITAL,45000446,65222,HC REMOVE FB CORNL W/ SLIT LAMP-RT,450,1 ,$466.00 ,$302.90 ,$108.39 ,$466.00 ,$270.98 ,$214.36 ,$252.57 ,$108.39 ,$130.48 ,$160.77 ,$108.39 ,$183.60 ,$108.39 ,$186.40 ,$186.40 ,$108.39 ,$186.40 ,$205.94 ,$245.12 ,$237.66 ,$270.97 ,$108.39 ,$326.20 ,$108.39 ,$233.00 ,$110.56 ,$349.50 ,$207.84 ,$186.87 ,$207.84 ,$108.39 ,$207.84 ,$293.58 ,$293.58 ,$330.86 ,$466.00 ,$396.10 ,$270.97 ,$372.80 ,$172.42 ,$372.80 ,$108.39 ,$108.39 ,$466.00 ,$252.57 ,$108.39 ,$122.56 , N/A , N/A , N/A , N/A ,$113.81 ,$396.10 ,$243.87 ,$186.40 ,$130.48 ,$419.40 ,$335.52 ,$466.00 ,$293.58 ,$425.00 ,$425.00 ,$108.39 ,$223.68 ,$419.40 ST. JOHN'S HOSPITAL,45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,"$2,466.00 ","$1,602.90 ",$425.00 ,"$2,466.00 ","$1,495.43 ","$1,134.36 ","$1,336.57 ",$598.17 ,$690.48 ,$850.77 ,$598.17 ,$971.60 ,$598.17 ,$986.40 ,$986.40 ,$598.17 ,$986.40 ,"$1,136.52 ","$1,297.12 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,726.20 ",$598.17 ,"$1,233.00 ",$610.13 ,"$1,849.50 ","$1,099.84 ",$988.87 ,"$1,099.84 ",$598.17 ,"$1,099.84 ","$1,553.58 ","$1,553.58 ","$1,750.86 ","$2,466.00 ","$2,096.10 ","$1,495.43 ","$1,972.80 ",$912.42 ,"$1,972.80 ",$598.17 ,$598.17 ,"$2,466.00 ","$1,336.57 ",$598.17 ,$648.56 , N/A , N/A , N/A , N/A ,$628.08 ,"$2,096.10 ","$1,345.88 ",$986.40 ,$690.48 ,"$2,219.40 ","$1,775.52 ","$2,466.00 ","$1,553.58 ",$425.00 ,$425.00 ,$598.17 ,"$1,183.68 ","$2,219.40 " ST. JOHN'S HOSPITAL,45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,"$2,466.00 ","$1,602.90 ",$425.00 ,"$2,466.00 ","$1,495.43 ","$1,134.36 ","$1,336.57 ",$598.17 ,$690.48 ,$850.77 ,$598.17 ,$971.60 ,$598.17 ,$986.40 ,$986.40 ,$598.17 ,$986.40 ,"$1,136.52 ","$1,297.12 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,726.20 ",$598.17 ,"$1,233.00 ",$610.13 ,"$1,849.50 ","$1,099.84 ",$988.87 ,"$1,099.84 ",$598.17 ,"$1,099.84 ","$1,553.58 ","$1,553.58 ","$1,750.86 ","$2,466.00 ","$2,096.10 ","$1,495.43 ","$1,972.80 ",$912.42 ,"$1,972.80 ",$598.17 ,$598.17 ,"$2,466.00 ","$1,336.57 ",$598.17 ,$648.56 , N/A , N/A , N/A , N/A ,$628.08 ,"$2,096.10 ","$1,345.88 ",$986.40 ,$690.48 ,"$2,219.40 ","$1,775.52 ","$2,466.00 ","$1,553.58 ",$425.00 ,$425.00 ,$598.17 ,"$1,183.68 ","$2,219.40 " ST. JOHN'S HOSPITAL,45000453,69200,HC REM FOREIGN BODY CANAL AUD EXT-LT,450,1 ,$304.00 ,$197.60 ,$79.95 ,$304.00 ,$270.98 ,$139.84 ,$164.77 ,$108.39 ,$85.12 ,$104.88 ,$108.39 ,$119.78 ,$108.39 ,$121.60 ,$121.60 ,$108.39 ,$121.60 ,$205.94 ,$159.90 ,$155.04 ,$270.97 ,$108.39 ,$212.80 ,$108.39 ,$152.00 ,$110.56 ,$228.00 ,$135.58 ,$121.90 ,$135.58 ,$108.39 ,$135.58 ,$191.52 ,$191.52 ,$215.84 ,$304.00 ,$258.40 ,$270.97 ,$243.20 ,$112.48 ,$243.20 ,$108.39 ,$108.39 ,$304.00 ,$164.77 ,$108.39 ,$79.95 , N/A , N/A , N/A , N/A ,$113.81 ,$258.40 ,$243.87 ,$121.60 ,$85.12 ,$273.60 ,$218.88 ,$304.00 ,$191.52 ,$304.00 ,$304.00 ,$108.39 ,$145.92 ,$273.60 ST. JOHN'S HOSPITAL,45000454,69200,HC REM FOREIGN BODY CANAL AUD EXT-RT,450,1 ,$304.00 ,$197.60 ,$79.95 ,$304.00 ,$270.98 ,$139.84 ,$164.77 ,$108.39 ,$85.12 ,$104.88 ,$108.39 ,$119.78 ,$108.39 ,$121.60 ,$121.60 ,$108.39 ,$121.60 ,$205.94 ,$159.90 ,$155.04 ,$270.97 ,$108.39 ,$212.80 ,$108.39 ,$152.00 ,$110.56 ,$228.00 ,$135.58 ,$121.90 ,$135.58 ,$108.39 ,$135.58 ,$191.52 ,$191.52 ,$215.84 ,$304.00 ,$258.40 ,$270.97 ,$243.20 ,$112.48 ,$243.20 ,$108.39 ,$108.39 ,$304.00 ,$164.77 ,$108.39 ,$79.95 , N/A , N/A , N/A , N/A ,$113.81 ,$258.40 ,$243.87 ,$121.60 ,$85.12 ,$273.60 ,$218.88 ,$304.00 ,$191.52 ,$304.00 ,$304.00 ,$108.39 ,$145.92 ,$273.60 ST. JOHN'S HOSPITAL,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$330.00 ,$214.50 ,$53.51 ,$330.00 ,$133.78 ,$151.80 ,$178.86 ,$53.51 ,$92.40 ,$113.85 ,$53.51 ,$130.02 ,$53.51 ,$132.00 ,$132.00 ,$53.51 ,$132.00 ,$101.66 ,$173.58 ,$168.30 ,$133.77 ,$53.51 ,$231.00 ,$53.51 ,$165.00 ,$54.58 ,$247.50 ,$147.18 ,$132.33 ,$147.18 ,$53.51 ,$147.18 ,$207.90 ,$207.90 ,$234.30 ,$330.00 ,$280.50 ,$133.77 ,$264.00 ,$122.10 ,$264.00 ,$53.51 ,$53.51 ,$330.00 ,$178.86 ,$53.51 ,$86.79 , N/A , N/A , N/A , N/A ,$56.19 ,$280.50 ,$120.39 ,$132.00 ,$92.40 ,$297.00 ,$237.60 ,$330.00 ,$207.90 ,$330.00 ,$330.00 ,$53.51 ,$158.40 ,$297.00 ST. JOHN'S HOSPITAL,45000464,30901,HC CNTRL NOSEBLEED ANT SMP- BIL,450,1 ,"$1,090.00 ",$708.50 ,$108.39 ,"$1,090.00 ",$270.98 ,$501.40 ,$590.78 ,$108.39 ,$305.20 ,$376.05 ,$108.39 ,$429.46 ,$108.39 ,$436.00 ,$436.00 ,$108.39 ,$436.00 ,$205.94 ,$573.34 ,$555.90 ,$270.97 ,$108.39 ,$763.00 ,$108.39 ,$545.00 ,$110.56 ,$817.50 ,$486.14 ,$437.09 ,$486.14 ,$108.39 ,$486.14 ,$686.70 ,$686.70 ,$773.90 ,"$1,090.00 ",$926.50 ,$270.97 ,$872.00 ,$403.30 ,$872.00 ,$108.39 ,$108.39 ,"$1,090.00 ",$590.78 ,$108.39 ,$286.67 , N/A , N/A , N/A , N/A ,$113.81 ,$926.50 ,$243.87 ,$436.00 ,$305.20 ,$981.00 ,$784.80 ,"$1,090.00 ",$686.70 ,$425.00 ,$425.00 ,$108.39 ,$523.20 ,$981.00 ST. JOHN'S HOSPITAL,45000465,53620,HC DILAT URETHRAL STRICTURE FILFORM INIT,450,1 ,"$3,652.00 ","$2,373.80 ",$425.00 ,"$3,652.00 ","$1,382.53 ","$1,679.92 ","$1,979.38 ",$553.01 ,"$1,022.56 ","$1,259.94 ",$553.01 ,"$1,438.89 ",$553.01 ,"$1,460.80 ","$1,460.80 ",$553.01 ,"$1,460.80 ","$1,050.72 ","$1,920.95 ","$1,049.00 ","$1,382.53 ",$553.01 ,"$2,556.40 ",$553.01 ,"$1,826.00 ",$564.07 ,"$2,739.00 ","$1,628.79 ","$1,464.45 ","$1,628.79 ",$553.01 ,"$1,628.79 ","$2,300.76 ","$2,300.76 ","$2,592.92 ","$3,652.00 ","$3,104.20 ","$1,382.53 ","$2,921.60 ","$1,351.24 ","$2,921.60 ",$553.01 ,$553.01 ,"$3,652.00 ","$1,979.38 ",$553.01 ,$960.48 , N/A , N/A , N/A , N/A ,$580.66 ,"$3,104.20 ","$1,244.28 ","$1,460.80 ","$1,022.56 ","$3,286.80 ","$2,629.44 ","$3,652.00 ","$2,300.76 ",$425.00 ,$425.00 ,$553.01 ,"$1,752.96 ","$3,286.80 " ST. JOHN'S HOSPITAL,45000466,53600,HC DILAT URETHRAL STRICTURE SOUND INIT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$639.48 ,$307.28 ,$362.06 ,$255.79 ,$187.04 ,$230.46 ,$255.79 ,$263.19 ,$255.79 ,$267.20 ,$267.20 ,$255.79 ,$267.20 ,$486.00 ,$351.37 ,$340.68 ,$639.47 ,$255.79 ,$467.60 ,$255.79 ,$334.00 ,$260.91 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$255.79 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$639.47 ,$534.40 ,$247.16 ,$534.40 ,$255.79 ,$255.79 ,$668.00 ,$362.06 ,$255.79 ,$175.68 , N/A , N/A , N/A , N/A ,$268.58 ,$567.80 ,$575.53 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$255.79 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000467,27842,HC CLOSED TX ANKLE DISLOC W/ANESTH W/W/O FIXATION,450,1 ,"$2,324.00 ","$1,510.60 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,069.04 ","$1,259.61 ","$1,338.87 ",$650.72 ,$801.78 ,"$1,338.87 ",$915.66 ,"$1,338.87 ",$929.60 ,$929.60 ,"$1,338.87 ",$929.60 ,"$2,324.00 ","$1,222.42 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,626.80 ","$1,338.87 ","$1,162.00 ","$1,365.64 ","$1,743.00 ","$1,036.50 ",$931.92 ,"$1,036.50 ","$1,338.87 ","$1,036.50 ","$1,464.12 ","$1,464.12 ","$1,650.04 ","$2,324.00 ","$1,975.40 ","$2,324.00 ","$1,859.20 ",$859.88 ,"$1,859.20 ","$1,338.87 ","$1,338.87 ","$2,324.00 ","$1,259.61 ","$1,338.87 ",$611.21 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,975.40 ","$3,012.45 ",$929.60 ,$650.72 ,"$2,091.60 ","$1,673.28 ","$2,324.00 ","$1,464.12 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,115.52 ","$2,091.60 " ST. JOHN'S HOSPITAL,45000491,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED -LT,450,1 ,"$1,353.00 ",$879.45 ,$355.84 ,"$3,347.18 ","$3,347.18 ",$622.38 ,$733.33 ,"$1,338.87 ",$378.84 ,$466.79 ,"$1,338.87 ",$533.08 ,"$1,338.87 ",$541.20 ,$541.20 ,"$1,338.87 ",$541.20 ,"$1,353.00 ",$711.68 ,$690.03 ,"$3,347.17 ","$1,338.87 ",$947.10 ,"$1,338.87 ",$676.50 ,"$1,353.00 ","$1,014.75 ",$603.44 ,$542.55 ,$603.44 ,"$1,338.87 ",$603.44 ,$852.39 ,$852.39 ,$960.63 ,"$1,353.00 ","$1,150.05 ","$1,353.00 ","$1,082.40 ",$500.61 ,"$1,082.40 ","$1,338.87 ","$1,338.87 ","$1,353.00 ",$733.33 ,"$1,338.87 ",$355.84 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,150.05 ","$3,012.45 ",$541.20 ,$378.84 ,"$1,217.70 ",$974.16 ,"$1,353.00 ",$852.39 ,$425.00 ,$425.00 ,"$1,338.87 ",$649.44 ,"$1,217.70 " ST. JOHN'S HOSPITAL,45000492,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED -RT,450,1 ,"$1,353.00 ",$879.45 ,$355.84 ,"$3,347.18 ","$3,347.18 ",$622.38 ,$733.33 ,"$1,338.87 ",$378.84 ,$466.79 ,"$1,338.87 ",$533.08 ,"$1,338.87 ",$541.20 ,$541.20 ,"$1,338.87 ",$541.20 ,"$1,353.00 ",$711.68 ,$690.03 ,"$3,347.17 ","$1,338.87 ",$947.10 ,"$1,338.87 ",$676.50 ,"$1,353.00 ","$1,014.75 ",$603.44 ,$542.55 ,$603.44 ,"$1,338.87 ",$603.44 ,$852.39 ,$852.39 ,$960.63 ,"$1,353.00 ","$1,150.05 ","$1,353.00 ","$1,082.40 ",$500.61 ,"$1,082.40 ","$1,338.87 ","$1,338.87 ","$1,353.00 ",$733.33 ,"$1,338.87 ",$355.84 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,150.05 ","$3,012.45 ",$541.20 ,$378.84 ,"$1,217.70 ",$974.16 ,"$1,353.00 ",$852.39 ,$425.00 ,$425.00 ,"$1,338.87 ",$649.44 ,"$1,217.70 " ST. JOHN'S HOSPITAL,45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$210.00 ,$136.50 ,$55.23 ,$270.98 ,$270.98 ,$96.60 ,$113.82 ,$108.39 ,$58.80 ,$72.45 ,$108.39 ,$82.74 ,$108.39 ,$84.00 ,$84.00 ,$108.39 ,$84.00 ,$205.94 ,$110.46 ,$107.10 ,$270.97 ,$108.39 ,$147.00 ,$108.39 ,$105.00 ,$110.56 ,$157.50 ,$93.66 ,$84.21 ,$93.66 ,$108.39 ,$93.66 ,$132.30 ,$132.30 ,$149.10 ,$210.00 ,$178.50 ,$210.00 ,$168.00 ,$77.70 ,$168.00 ,$108.39 ,$108.39 ,$210.00 ,$113.82 ,$108.39 ,$55.23 , N/A , N/A , N/A , N/A ,$113.81 ,$178.50 ,$243.87 ,$84.00 ,$58.80 ,$189.00 ,$151.20 ,$210.00 ,$132.30 ,$210.00 ,$210.00 ,$108.39 ,$100.80 ,$189.00 ST. JOHN'S HOSPITAL,45000498,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-BIL,450,1 ,$494.00 ,$321.10 ,$53.51 ,$494.00 ,$133.78 ,$227.24 ,$267.75 ,$53.51 ,$138.32 ,$170.43 ,$53.51 ,$194.64 ,$53.51 ,$197.60 ,$197.60 ,$53.51 ,$197.60 ,$101.66 ,$259.84 ,$251.94 ,$133.77 ,$53.51 ,$345.80 ,$53.51 ,$247.00 ,$54.58 ,$370.50 ,$220.32 ,$198.09 ,$220.32 ,$53.51 ,$220.32 ,$311.22 ,$311.22 ,$350.74 ,$494.00 ,$419.90 ,$133.77 ,$395.20 ,$182.78 ,$395.20 ,$53.51 ,$53.51 ,$494.00 ,$267.75 ,$53.51 ,$129.92 , N/A , N/A , N/A , N/A ,$56.19 ,$419.90 ,$120.39 ,$197.60 ,$138.32 ,$444.60 ,$355.68 ,$494.00 ,$311.22 ,$425.00 ,$425.00 ,$53.51 ,$237.12 ,$444.60 ST. JOHN'S HOSPITAL,45000499,26540,HC REPAIR LIGAMENT META/INTER PHAL JOINT,450,1 ,"$2,550.00 ","$1,657.50 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,173.00 ","$1,382.10 ","$2,722.21 ",$714.00 ,$879.75 ,"$2,722.21 ","$1,004.70 ","$2,550.00 ","$1,020.00 ","$1,020.00 ","$2,550.00 ","$1,020.00 ","$2,550.00 ","$1,341.30 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$1,785.00 ","$2,722.21 ","$1,275.00 ","$2,550.00 ","$1,912.50 ","$1,137.30 ","$1,022.55 ","$1,137.30 ","$2,722.21 ","$1,137.30 ","$1,606.50 ","$1,606.50 ","$1,810.50 ","$2,550.00 ","$2,167.50 ","$2,550.00 ","$2,040.00 ",$943.50 ,"$2,040.00 ","$2,722.21 ","$2,722.21 ","$2,550.00 ","$1,382.10 ","$2,722.21 ",$670.65 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,167.50 ","$6,124.98 ","$1,020.00 ",$714.00 ,"$2,295.00 ","$1,836.00 ","$2,550.00 ","$1,606.50 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,224.00 ","$2,295.00 " ST. JOHN'S HOSPITAL,45000501,28208,HC REPAIR TENDON EXTENSOR FOOT-LT,450,1 ,"$3,316.00 ","$2,155.40 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,525.36 ","$1,797.27 ","$2,722.21 ",$928.48 ,"$1,144.02 ","$2,722.21 ","$1,306.50 ","$2,722.21 ","$1,326.40 ","$1,326.40 ","$2,722.21 ","$1,326.40 ","$3,316.00 ","$1,744.22 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,321.20 ","$2,722.21 ","$1,658.00 ","$2,776.66 ","$2,487.00 ","$1,478.94 ","$1,329.72 ","$1,478.94 ","$2,722.21 ","$1,478.94 ","$2,089.08 ","$2,089.08 ","$2,354.36 ","$3,316.00 ","$2,818.60 ","$3,316.00 ","$2,652.80 ","$1,226.92 ","$2,652.80 ","$2,722.21 ","$2,722.21 ","$3,316.00 ","$1,797.27 ","$2,722.21 ",$872.11 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,818.60 ","$6,124.98 ","$1,326.40 ",$928.48 ,"$2,984.40 ","$2,387.52 ","$3,316.00 ","$2,089.08 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,591.68 ","$2,984.40 " ST. JOHN'S HOSPITAL,45000502,28208,HC REPAIR TENDON EXTENSOR FOOT-RT,450,1 ,"$3,316.00 ","$2,155.40 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,525.36 ","$1,797.27 ","$2,722.21 ",$928.48 ,"$1,144.02 ","$2,722.21 ","$1,306.50 ","$2,722.21 ","$1,326.40 ","$1,326.40 ","$2,722.21 ","$1,326.40 ","$3,316.00 ","$1,744.22 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,321.20 ","$2,722.21 ","$1,658.00 ","$2,776.66 ","$2,487.00 ","$1,478.94 ","$1,329.72 ","$1,478.94 ","$2,722.21 ","$1,478.94 ","$2,089.08 ","$2,089.08 ","$2,354.36 ","$3,316.00 ","$2,818.60 ","$3,316.00 ","$2,652.80 ","$1,226.92 ","$2,652.80 ","$2,722.21 ","$2,722.21 ","$3,316.00 ","$1,797.27 ","$2,722.21 ",$872.11 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,818.60 ","$6,124.98 ","$1,326.40 ",$928.48 ,"$2,984.40 ","$2,387.52 ","$3,316.00 ","$2,089.08 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,591.68 ","$2,984.40 " ST. JOHN'S HOSPITAL,45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$515.00 ,$334.75 ,$135.45 ,$515.00 ,$339.53 ,$236.90 ,$279.13 ,$135.81 ,$144.20 ,$177.68 ,$135.81 ,$202.91 ,$135.81 ,$206.00 ,$206.00 ,$135.81 ,$206.00 ,$258.03 ,$270.89 ,$262.65 ,$339.51 ,$135.81 ,$360.50 ,$135.81 ,$257.50 ,$138.52 ,$386.25 ,$229.69 ,$206.52 ,$229.69 ,$135.81 ,$229.69 ,$324.45 ,$324.45 ,$365.65 ,$515.00 ,$437.75 ,$339.51 ,$412.00 ,$190.55 ,$412.00 ,$135.81 ,$135.81 ,$515.00 ,$279.13 ,$135.81 ,$135.45 , N/A , N/A , N/A , N/A ,$142.60 ,$437.75 ,$305.56 ,$206.00 ,$144.20 ,$463.50 ,$370.80 ,$515.00 ,$324.45 ,$425.00 ,$425.00 ,$135.81 ,$247.20 ,$463.50 ST. JOHN'S HOSPITAL,45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$515.00 ,$334.75 ,$135.45 ,$515.00 ,$339.53 ,$236.90 ,$279.13 ,$135.81 ,$144.20 ,$177.68 ,$135.81 ,$202.91 ,$135.81 ,$206.00 ,$206.00 ,$135.81 ,$206.00 ,$258.03 ,$270.89 ,$262.65 ,$339.51 ,$135.81 ,$360.50 ,$135.81 ,$257.50 ,$138.52 ,$386.25 ,$229.69 ,$206.52 ,$229.69 ,$135.81 ,$229.69 ,$324.45 ,$324.45 ,$365.65 ,$515.00 ,$437.75 ,$339.51 ,$412.00 ,$190.55 ,$412.00 ,$135.81 ,$135.81 ,$515.00 ,$279.13 ,$135.81 ,$135.45 , N/A , N/A , N/A , N/A ,$142.60 ,$437.75 ,$305.56 ,$206.00 ,$144.20 ,$463.50 ,$370.80 ,$515.00 ,$324.45 ,$425.00 ,$425.00 ,$135.81 ,$247.20 ,$463.50 ST. JOHN'S HOSPITAL,45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,"$2,316.00 ","$1,505.40 ",$425.00 ,"$6,879.30 ","$6,879.30 ","$1,065.36 ","$1,255.27 ","$2,751.72 ",$648.48 ,$799.02 ,"$2,751.72 ",$912.50 ,"$2,316.00 ",$926.40 ,$926.40 ,"$2,316.00 ",$926.40 ,"$2,316.00 ","$1,218.22 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$1,621.20 ","$2,751.72 ","$1,158.00 ","$2,316.00 ","$1,737.00 ","$1,032.94 ",$928.72 ,"$1,032.94 ","$2,751.72 ","$1,032.94 ","$1,459.08 ","$1,459.08 ","$1,644.36 ","$2,316.00 ","$1,968.60 ","$2,316.00 ","$1,852.80 ",$856.92 ,"$1,852.80 ","$2,751.72 ","$2,751.72 ","$2,316.00 ","$1,255.27 ","$2,751.72 ",$609.11 , N/A , N/A , N/A , N/A ,"$2,889.31 ","$1,968.60 ","$6,191.37 ",$926.40 ,$648.48 ,"$2,084.40 ","$1,667.52 ","$2,316.00 ","$1,459.08 ",$425.00 ,$425.00 ,"$2,751.72 ","$1,111.68 ","$2,084.40 " ST. JOHN'S HOSPITAL,45000516,26775,HC TX DISLOC I-P JOINT W/ANES/MAN,450,1 ,"$2,465.00 ","$1,602.25 ",$231.89 ,"$2,465.00 ",$579.73 ,"$1,133.90 ","$1,336.03 ",$231.89 ,$690.20 ,$850.43 ,$231.89 ,$971.21 ,$231.89 ,$986.00 ,$986.00 ,$231.89 ,$986.00 ,$440.60 ,"$1,296.59 ","$1,049.00 ",$579.73 ,$231.89 ,"$1,725.50 ",$231.89 ,"$1,232.50 ",$236.53 ,"$1,848.75 ","$1,099.39 ",$988.47 ,"$1,099.39 ",$231.89 ,"$1,099.39 ","$1,552.95 ","$1,552.95 ","$1,750.15 ","$2,465.00 ","$2,095.25 ",$579.73 ,"$1,972.00 ",$912.05 ,"$1,972.00 ",$231.89 ,$231.89 ,"$2,465.00 ","$1,336.03 ",$231.89 ,$648.30 , N/A , N/A , N/A , N/A ,$243.48 ,"$2,095.25 ",$521.76 ,$986.00 ,$690.20 ,"$2,218.50 ","$1,774.80 ","$2,465.00 ","$1,552.95 ",$425.00 ,$425.00 ,$231.89 ,"$1,183.20 ","$2,218.50 " ST. JOHN'S HOSPITAL,45000519,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION-LT,450,1 ,"$4,704.00 ","$3,057.60 ",$425.00 ,"$4,704.00 ","$3,347.18 ","$2,163.84 ","$2,549.57 ","$1,338.87 ","$1,317.12 ","$1,622.88 ","$1,338.87 ","$1,853.38 ","$1,338.87 ","$1,881.60 ","$1,881.60 ","$1,338.87 ","$1,881.60 ","$2,543.85 ","$2,474.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,292.80 ","$1,338.87 ","$2,352.00 ","$1,365.64 ","$3,528.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,963.52 ","$2,963.52 ","$3,339.84 ","$4,704.00 ","$3,998.40 ","$3,347.17 ","$3,763.20 ","$1,740.48 ","$3,763.20 ","$1,338.87 ","$1,338.87 ","$4,704.00 ","$2,549.57 ","$1,338.87 ","$1,237.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,998.40 ","$3,012.45 ","$1,881.60 ","$1,317.12 ","$4,233.60 ","$3,386.88 ","$4,704.00 ","$2,963.52 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,257.92 ","$4,233.60 " ST. JOHN'S HOSPITAL,45000520,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION-RT,450,1 ,"$4,704.00 ","$3,057.60 ",$425.00 ,"$4,704.00 ","$3,347.18 ","$2,163.84 ","$2,549.57 ","$1,338.87 ","$1,317.12 ","$1,622.88 ","$1,338.87 ","$1,853.38 ","$1,338.87 ","$1,881.60 ","$1,881.60 ","$1,338.87 ","$1,881.60 ","$2,543.85 ","$2,474.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,292.80 ","$1,338.87 ","$2,352.00 ","$1,365.64 ","$3,528.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,963.52 ","$2,963.52 ","$3,339.84 ","$4,704.00 ","$3,998.40 ","$3,347.17 ","$3,763.20 ","$1,740.48 ","$3,763.20 ","$1,338.87 ","$1,338.87 ","$4,704.00 ","$2,549.57 ","$1,338.87 ","$1,237.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,998.40 ","$3,012.45 ","$1,881.60 ","$1,317.12 ","$4,233.60 ","$3,386.88 ","$4,704.00 ","$2,963.52 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,257.92 ","$4,233.60 " ST. JOHN'S HOSPITAL,45000523,26746,HC TX FX FINGER W/FIXATION OPEN,450,1 ,"$5,261.00 ","$3,419.65 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,420.06 ","$2,851.46 ","$2,722.21 ","$1,473.08 ","$1,815.05 ","$2,722.21 ","$2,072.83 ","$2,722.21 ","$2,104.40 ","$2,104.40 ","$2,722.21 ","$2,104.40 ","$5,172.21 ","$2,767.29 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,682.70 ","$2,722.21 ","$2,630.50 ","$2,776.66 ","$3,945.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,314.43 ","$3,314.43 ","$3,735.31 ","$5,261.00 ","$4,471.85 ","$5,261.00 ","$4,208.80 ","$1,946.57 ","$4,208.80 ","$2,722.21 ","$2,722.21 ","$5,261.00 ","$2,851.46 ","$2,722.21 ","$1,383.64 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,471.85 ","$6,124.98 ","$2,104.40 ","$1,473.08 ","$4,734.90 ","$3,787.92 ","$5,261.00 ","$3,314.43 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,525.28 ","$4,734.90 " ST. JOHN'S HOSPITAL,45000524,26740,HC TX FX FINGER W/O MANIP CLOSED,450,1 ,$391.00 ,$254.15 ,$102.83 ,$495.31 ,$495.30 ,$179.86 ,$211.92 ,$198.12 ,$109.48 ,$134.90 ,$198.12 ,$154.05 ,$198.12 ,$156.40 ,$156.40 ,$198.12 ,$156.40 ,$376.43 ,$205.67 ,$199.41 ,$495.31 ,$198.12 ,$273.70 ,$198.12 ,$195.50 ,$202.09 ,$293.25 ,$174.39 ,$156.79 ,$174.39 ,$198.12 ,$174.39 ,$246.33 ,$246.33 ,$277.61 ,$391.00 ,$332.35 ,$391.00 ,$312.80 ,$144.67 ,$312.80 ,$198.12 ,$198.12 ,$391.00 ,$211.92 ,$198.12 ,$102.83 , N/A , N/A , N/A , N/A ,$208.03 ,$332.35 ,$445.78 ,$156.40 ,$109.48 ,$351.90 ,$281.52 ,$391.00 ,$246.33 ,$391.00 ,$391.00 ,$198.12 ,$187.68 ,$351.90 ST. JOHN'S HOSPITAL,45000525,24576,HC TX FX HUMERUS CONDYLAR W/O MANIP CLOSED,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000526,23600,HC TX FX HUMERUS PROXIMAL W/O MANIP CLOSED,450,1 ,$686.00 ,$445.90 ,$180.42 ,$686.00 ,$495.30 ,$315.56 ,$371.81 ,$198.12 ,$192.08 ,$236.67 ,$198.12 ,$270.28 ,$198.12 ,$274.40 ,$274.40 ,$198.12 ,$274.40 ,$376.43 ,$360.84 ,$349.86 ,$495.31 ,$198.12 ,$480.20 ,$198.12 ,$343.00 ,$202.09 ,$514.50 ,$305.96 ,$275.09 ,$305.96 ,$198.12 ,$305.96 ,$432.18 ,$432.18 ,$487.06 ,$686.00 ,$583.10 ,$495.31 ,$548.80 ,$253.82 ,$548.80 ,$198.12 ,$198.12 ,$686.00 ,$371.81 ,$198.12 ,$180.42 , N/A , N/A , N/A , N/A ,$208.03 ,$583.10 ,$445.78 ,$274.40 ,$192.08 ,$617.40 ,$493.92 ,$686.00 ,$432.18 ,$425.00 ,$425.00 ,$198.12 ,$329.28 ,$617.40 ST. JOHN'S HOSPITAL,45000527,24500,HC TX FX HUMERUS SHAFT W/O MANIP CLOSED-LT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000528,24500,HC TX FX HUMERUS SHAFT W/O MANIP CLOSED-RT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000529,28600,HC TX FX METATARSAL W/O ANES,450,1 ,$931.00 ,$605.15 ,$198.12 ,$931.00 ,$495.30 ,$428.26 ,$504.60 ,$198.12 ,$260.68 ,$321.20 ,$198.12 ,$366.81 ,$198.12 ,$372.40 ,$372.40 ,$198.12 ,$372.40 ,$376.43 ,$489.71 ,$474.81 ,$495.31 ,$198.12 ,$651.70 ,$198.12 ,$465.50 ,$202.09 ,$698.25 ,$415.23 ,$373.33 ,$415.23 ,$198.12 ,$415.23 ,$586.53 ,$586.53 ,$661.01 ,$931.00 ,$791.35 ,$495.31 ,$744.80 ,$344.47 ,$744.80 ,$198.12 ,$198.12 ,$931.00 ,$504.60 ,$198.12 ,$244.85 , N/A , N/A , N/A , N/A ,$208.03 ,$791.35 ,$445.78 ,$372.40 ,$260.68 ,$837.90 ,$670.32 ,$931.00 ,$586.53 ,$425.00 ,$425.00 ,$198.12 ,$446.88 ,$837.90 ST. JOHN'S HOSPITAL,45000530,25560,HC TX FX RADIUS/ULNA W/O MAN CLOSED -LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000531,25560,HC TX FX RADIUS/ULNA W/O MAN CLOSED -RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000532,23575,HC TX FX SCAPULA CLOSED W/MANIP W/W/O TRACTION,450,1 ,$662.00 ,$430.30 ,$174.11 ,"$3,347.18 ","$3,347.18 ",$304.52 ,$358.80 ,"$1,338.87 ",$185.36 ,$228.39 ,"$1,338.87 ",$260.83 ,$662.00 ,$264.80 ,$264.80 ,$662.00 ,$264.80 ,$662.00 ,$348.21 ,$337.62 ,"$3,347.17 ","$1,338.87 ",$463.40 ,"$1,338.87 ",$331.00 ,$662.00 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,"$1,338.87 ",$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$662.00 ,$529.60 ,$244.94 ,$529.60 ,"$1,338.87 ","$1,338.87 ",$662.00 ,$358.80 ,"$1,338.87 ",$174.11 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$562.70 ,"$3,012.45 ",$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,"$1,338.87 ",$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45000533,28430,HC TX FX TALUS W/O MAN CLOSED,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45000534,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES-LT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45000535,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES-RT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45000536,27824,HC TX FX TIBIA DISTAL WGT BEAR W/MAN W/W/O ANES CLS-LT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000537,27824,HC TX FX TIBIA DISTAL WGT BEAR W/MAN W/W/O ANES CLS-RT,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45000538,27530,HC TX FX TIBIAL W/O MANIP CLOSED,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45000539,22315,HC TX FX/DISLOC VERT CAST/BRACE W/MANIP OR TRACTION,450,1 ,"$7,893.00 ","$5,130.45 ",$425.00 ,"$7,893.00 ","$6,805.53 ","$3,000.00 ","$4,278.01 ","$2,722.21 ","$2,210.04 ","$2,723.09 ","$2,722.21 ","$3,109.84 ","$2,722.21 ","$3,157.20 ","$3,157.20 ","$2,722.21 ","$3,157.20 ","$5,172.21 ","$4,151.72 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$5,525.10 ","$2,722.21 ","$3,946.50 ","$2,776.66 ","$5,919.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,893.00 ","$6,709.05 ","$6,805.53 ","$6,314.40 ","$2,920.41 ","$6,314.40 ","$2,722.21 ","$2,722.21 ","$7,893.00 ","$4,278.01 ","$2,722.21 ","$2,075.86 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$6,709.05 ","$6,124.98 ","$3,157.20 ","$2,210.04 ","$7,103.70 ","$5,682.96 ","$7,893.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,788.64 ","$7,103.70 " ST. JOHN'S HOSPITAL,45000540,29075,HC APPL CAST ARM SHORT-BIL,450,1 ,"$1,008.00 ",$655.20 ,$265.10 ,"$1,008.00 ",$869.60 ,$463.68 ,$546.34 ,$347.84 ,$282.24 ,$347.76 ,$347.84 ,$397.15 ,$347.84 ,$403.20 ,$403.20 ,$347.84 ,$403.20 ,$660.89 ,$530.21 ,$514.08 ,$869.60 ,$347.84 ,$705.60 ,$347.84 ,$504.00 ,$354.80 ,$756.00 ,$449.57 ,$404.21 ,$449.57 ,$347.84 ,$449.57 ,$635.04 ,$635.04 ,$715.68 ,"$1,008.00 ",$856.80 ,$869.60 ,$806.40 ,$372.96 ,$806.40 ,$347.84 ,$347.84 ,"$1,008.00 ",$546.34 ,$347.84 ,$265.10 , N/A , N/A , N/A , N/A ,$365.23 ,$856.80 ,$782.64 ,$403.20 ,$282.24 ,$907.20 ,$725.76 ,"$1,008.00 ",$635.04 ,$425.00 ,$425.00 ,$347.84 ,$483.84 ,$907.20 ST. JOHN'S HOSPITAL,45000541,29075,HC APPL CAST ARM SHORT-LT,450,1 ,$504.00 ,$327.60 ,$132.55 ,$579.73 ,$579.73 ,$231.84 ,$273.17 ,$231.89 ,$141.12 ,$173.88 ,$231.89 ,$198.58 ,$231.89 ,$201.60 ,$201.60 ,$231.89 ,$201.60 ,$440.60 ,$265.10 ,$257.04 ,$579.73 ,$231.89 ,$352.80 ,$231.89 ,$252.00 ,$236.53 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$231.89 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$504.00 ,$403.20 ,$186.48 ,$403.20 ,$231.89 ,$231.89 ,$504.00 ,$273.17 ,$231.89 ,$132.55 , N/A , N/A , N/A , N/A ,$243.48 ,$428.40 ,$521.76 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$231.89 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000542,29075,HC APPL CAST ARM SHORT-RT,450,1 ,$504.00 ,$327.60 ,$132.55 ,$579.73 ,$579.73 ,$231.84 ,$273.17 ,$231.89 ,$141.12 ,$173.88 ,$231.89 ,$198.58 ,$231.89 ,$201.60 ,$201.60 ,$231.89 ,$201.60 ,$440.60 ,$265.10 ,$257.04 ,$579.73 ,$231.89 ,$352.80 ,$231.89 ,$252.00 ,$236.53 ,$378.00 ,$224.78 ,$202.10 ,$224.78 ,$231.89 ,$224.78 ,$317.52 ,$317.52 ,$357.84 ,$504.00 ,$428.40 ,$504.00 ,$403.20 ,$186.48 ,$403.20 ,$231.89 ,$231.89 ,$504.00 ,$273.17 ,$231.89 ,$132.55 , N/A , N/A , N/A , N/A ,$243.48 ,$428.40 ,$521.76 ,$201.60 ,$141.12 ,$453.60 ,$362.88 ,$504.00 ,$317.52 ,$425.00 ,$425.00 ,$231.89 ,$241.92 ,$453.60 ST. JOHN'S HOSPITAL,45000543,29085,HC APPL CAST HAND/FOREARM - LT,450,1 ,$484.00 ,$314.60 ,$127.29 ,$484.00 ,$339.53 ,$222.64 ,$262.33 ,$135.81 ,$135.52 ,$166.98 ,$135.81 ,$190.70 ,$135.81 ,$193.60 ,$193.60 ,$135.81 ,$193.60 ,$258.03 ,$254.58 ,$246.84 ,$339.51 ,$135.81 ,$338.80 ,$135.81 ,$242.00 ,$138.52 ,$363.00 ,$215.86 ,$194.08 ,$215.86 ,$135.81 ,$215.86 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$339.51 ,$387.20 ,$179.08 ,$387.20 ,$135.81 ,$135.81 ,$484.00 ,$262.33 ,$135.81 ,$127.29 , N/A , N/A , N/A , N/A ,$142.60 ,$411.40 ,$305.56 ,$193.60 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$425.00 ,$425.00 ,$135.81 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,45000544,29085,HC APPL CAST HAND/FOREARM - RT,450,1 ,$484.00 ,$314.60 ,$127.29 ,$484.00 ,$339.53 ,$222.64 ,$262.33 ,$135.81 ,$135.52 ,$166.98 ,$135.81 ,$190.70 ,$135.81 ,$193.60 ,$193.60 ,$135.81 ,$193.60 ,$258.03 ,$254.58 ,$246.84 ,$339.51 ,$135.81 ,$338.80 ,$135.81 ,$242.00 ,$138.52 ,$363.00 ,$215.86 ,$194.08 ,$215.86 ,$135.81 ,$215.86 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$339.51 ,$387.20 ,$179.08 ,$387.20 ,$135.81 ,$135.81 ,$484.00 ,$262.33 ,$135.81 ,$127.29 , N/A , N/A , N/A , N/A ,$142.60 ,$411.40 ,$305.56 ,$193.60 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$425.00 ,$425.00 ,$135.81 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,45000545,29355,HC APPL LONG LEG CAST WALKING-LT,450,1 ,"$1,076.00 ",$699.40 ,$231.89 ,"$1,076.00 ",$579.73 ,$494.96 ,$583.19 ,$231.89 ,$301.28 ,$371.22 ,$231.89 ,$423.94 ,$231.89 ,$430.40 ,$430.40 ,$231.89 ,$430.40 ,$440.60 ,$565.98 ,$548.76 ,$579.73 ,$231.89 ,$753.20 ,$231.89 ,$538.00 ,$236.53 ,$807.00 ,$479.90 ,$431.48 ,$479.90 ,$231.89 ,$479.90 ,$677.88 ,$677.88 ,$763.96 ,"$1,076.00 ",$914.60 ,$579.73 ,$860.80 ,$398.12 ,$860.80 ,$231.89 ,$231.89 ,"$1,076.00 ",$583.19 ,$231.89 ,$282.99 , N/A , N/A , N/A , N/A ,$243.48 ,$914.60 ,$521.76 ,$430.40 ,$301.28 ,$968.40 ,$774.72 ,"$1,076.00 ",$677.88 ,$425.00 ,$425.00 ,$231.89 ,$516.48 ,$968.40 ST. JOHN'S HOSPITAL,45000546,29355,HC APPL LONG LEG CAST WALKING-RT,450,1 ,"$1,076.00 ",$699.40 ,$231.89 ,"$1,076.00 ",$579.73 ,$494.96 ,$583.19 ,$231.89 ,$301.28 ,$371.22 ,$231.89 ,$423.94 ,$231.89 ,$430.40 ,$430.40 ,$231.89 ,$430.40 ,$440.60 ,$565.98 ,$548.76 ,$579.73 ,$231.89 ,$753.20 ,$231.89 ,$538.00 ,$236.53 ,$807.00 ,$479.90 ,$431.48 ,$479.90 ,$231.89 ,$479.90 ,$677.88 ,$677.88 ,$763.96 ,"$1,076.00 ",$914.60 ,$579.73 ,$860.80 ,$398.12 ,$860.80 ,$231.89 ,$231.89 ,"$1,076.00 ",$583.19 ,$231.89 ,$282.99 , N/A , N/A , N/A , N/A ,$243.48 ,$914.60 ,$521.76 ,$430.40 ,$301.28 ,$968.40 ,$774.72 ,"$1,076.00 ",$677.88 ,$425.00 ,$425.00 ,$231.89 ,$516.48 ,$968.40 ST. JOHN'S HOSPITAL,45000548,29425,HC APPLY SHORT LEG CAST WALKING,450,1 ,$912.00 ,$592.80 ,$231.89 ,$912.00 ,$579.73 ,$419.52 ,$494.30 ,$231.89 ,$255.36 ,$314.64 ,$231.89 ,$359.33 ,$231.89 ,$364.80 ,$364.80 ,$231.89 ,$364.80 ,$440.60 ,$479.71 ,$465.12 ,$579.73 ,$231.89 ,$638.40 ,$231.89 ,$456.00 ,$236.53 ,$684.00 ,$406.75 ,$365.71 ,$406.75 ,$231.89 ,$406.75 ,$574.56 ,$574.56 ,$647.52 ,$912.00 ,$775.20 ,$579.73 ,$729.60 ,$337.44 ,$729.60 ,$231.89 ,$231.89 ,$912.00 ,$494.30 ,$231.89 ,$239.86 , N/A , N/A , N/A , N/A ,$243.48 ,$775.20 ,$521.76 ,$364.80 ,$255.36 ,$820.80 ,$656.64 ,$912.00 ,$574.56 ,$425.00 ,$425.00 ,$231.89 ,$437.76 ,$820.80 ST. JOHN'S HOSPITAL,45000549,29515,HC APPL SHRT LEG SPLNT FAC-BIL,450,1 ,$599.00 ,$389.35 ,$157.54 ,$599.00 ,$509.28 ,$275.54 ,$324.66 ,$203.71 ,$167.72 ,$206.66 ,$203.71 ,$236.01 ,$203.71 ,$239.60 ,$239.60 ,$203.71 ,$239.60 ,$387.05 ,$315.07 ,$305.49 ,$509.27 ,$203.71 ,$419.30 ,$203.71 ,$299.50 ,$207.78 ,$449.25 ,$267.15 ,$240.20 ,$267.15 ,$203.71 ,$267.15 ,$377.37 ,$377.37 ,$425.29 ,$599.00 ,$509.15 ,$509.27 ,$479.20 ,$221.63 ,$479.20 ,$203.71 ,$203.71 ,$599.00 ,$324.66 ,$203.71 ,$157.54 , N/A , N/A , N/A , N/A ,$213.90 ,$509.15 ,$458.34 ,$239.60 ,$167.72 ,$539.10 ,$431.28 ,$599.00 ,$377.37 ,$425.00 ,$425.00 ,$203.71 ,$287.52 ,$539.10 ST. JOHN'S HOSPITAL,45000550,67700,HC BLEPHAROT EYELID DRAIN ABSC-E1,450,1 ,"$1,340.00 ",$871.00 ,$251.45 ,"$1,340.00 ",$628.63 ,$616.40 ,$726.28 ,$251.45 ,$375.20 ,$462.30 ,$251.45 ,$527.96 ,$251.45 ,$536.00 ,$536.00 ,$251.45 ,$536.00 ,$477.76 ,$704.84 ,$683.40 ,$628.63 ,$251.45 ,$938.00 ,$251.45 ,$670.00 ,$256.48 ,"$1,005.00 ",$597.64 ,$537.34 ,$597.64 ,$251.45 ,$597.64 ,$844.20 ,$844.20 ,$951.40 ,"$1,340.00 ","$1,139.00 ",$628.63 ,"$1,072.00 ",$495.80 ,"$1,072.00 ",$251.45 ,$251.45 ,"$1,340.00 ",$726.28 ,$251.45 ,$352.42 , N/A , N/A , N/A , N/A ,$264.02 ,"$1,139.00 ",$565.76 ,$536.00 ,$375.20 ,"$1,206.00 ",$964.80 ,"$1,340.00 ",$844.20 ,$425.00 ,$425.00 ,$251.45 ,$643.20 ,"$1,206.00 " ST. JOHN'S HOSPITAL,45000551,67700,HC BLEPHAROT EYELID DRAIN ABSC-E2,450,1 ,"$1,340.00 ",$871.00 ,$251.45 ,"$1,340.00 ",$628.63 ,$616.40 ,$726.28 ,$251.45 ,$375.20 ,$462.30 ,$251.45 ,$527.96 ,$251.45 ,$536.00 ,$536.00 ,$251.45 ,$536.00 ,$477.76 ,$704.84 ,$683.40 ,$628.63 ,$251.45 ,$938.00 ,$251.45 ,$670.00 ,$256.48 ,"$1,005.00 ",$597.64 ,$537.34 ,$597.64 ,$251.45 ,$597.64 ,$844.20 ,$844.20 ,$951.40 ,"$1,340.00 ","$1,139.00 ",$628.63 ,"$1,072.00 ",$495.80 ,"$1,072.00 ",$251.45 ,$251.45 ,"$1,340.00 ",$726.28 ,$251.45 ,$352.42 , N/A , N/A , N/A , N/A ,$264.02 ,"$1,139.00 ",$565.76 ,$536.00 ,$375.20 ,"$1,206.00 ",$964.80 ,"$1,340.00 ",$844.20 ,$425.00 ,$425.00 ,$251.45 ,$643.20 ,"$1,206.00 " ST. JOHN'S HOSPITAL,45000552,67700,HC BLEPHAROT EYELID DRAIN ABSC-E3,450,1 ,"$1,340.00 ",$871.00 ,$251.45 ,"$1,340.00 ",$628.63 ,$616.40 ,$726.28 ,$251.45 ,$375.20 ,$462.30 ,$251.45 ,$527.96 ,$251.45 ,$536.00 ,$536.00 ,$251.45 ,$536.00 ,$477.76 ,$704.84 ,$683.40 ,$628.63 ,$251.45 ,$938.00 ,$251.45 ,$670.00 ,$256.48 ,"$1,005.00 ",$597.64 ,$537.34 ,$597.64 ,$251.45 ,$597.64 ,$844.20 ,$844.20 ,$951.40 ,"$1,340.00 ","$1,139.00 ",$628.63 ,"$1,072.00 ",$495.80 ,"$1,072.00 ",$251.45 ,$251.45 ,"$1,340.00 ",$726.28 ,$251.45 ,$352.42 , N/A , N/A , N/A , N/A ,$264.02 ,"$1,139.00 ",$565.76 ,$536.00 ,$375.20 ,"$1,206.00 ",$964.80 ,"$1,340.00 ",$844.20 ,$425.00 ,$425.00 ,$251.45 ,$643.20 ,"$1,206.00 " ST. JOHN'S HOSPITAL,45000553,67700,HC BLEPHAROT EYELID DRAIN ABSC-E4,450,1 ,"$1,340.00 ",$871.00 ,$251.45 ,"$1,340.00 ",$628.63 ,$616.40 ,$726.28 ,$251.45 ,$375.20 ,$462.30 ,$251.45 ,$527.96 ,$251.45 ,$536.00 ,$536.00 ,$251.45 ,$536.00 ,$477.76 ,$704.84 ,$683.40 ,$628.63 ,$251.45 ,$938.00 ,$251.45 ,$670.00 ,$256.48 ,"$1,005.00 ",$597.64 ,$537.34 ,$597.64 ,$251.45 ,$597.64 ,$844.20 ,$844.20 ,$951.40 ,"$1,340.00 ","$1,139.00 ",$628.63 ,"$1,072.00 ",$495.80 ,"$1,072.00 ",$251.45 ,$251.45 ,"$1,340.00 ",$726.28 ,$251.45 ,$352.42 , N/A , N/A , N/A , N/A ,$264.02 ,"$1,139.00 ",$565.76 ,$536.00 ,$375.20 ,"$1,206.00 ",$964.80 ,"$1,340.00 ",$844.20 ,$425.00 ,$425.00 ,$251.45 ,$643.20 ,"$1,206.00 " ST. JOHN'S HOSPITAL,45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$486.00 ,$315.90 ,$127.82 ,$486.00 ,$339.53 ,$223.56 ,$263.41 ,$135.81 ,$136.08 ,$167.67 ,$135.81 ,$191.48 ,$135.81 ,$194.40 ,$194.40 ,$135.81 ,$194.40 ,$258.03 ,$255.64 ,$247.86 ,$339.51 ,$135.81 ,$340.20 ,$135.81 ,$243.00 ,$138.52 ,$364.50 ,$216.76 ,$194.89 ,$216.76 ,$135.81 ,$216.76 ,$306.18 ,$306.18 ,$345.06 ,$486.00 ,$413.10 ,$339.51 ,$388.80 ,$179.82 ,$388.80 ,$135.81 ,$135.81 ,$486.00 ,$263.41 ,$135.81 ,$127.82 , N/A , N/A , N/A , N/A ,$142.60 ,$413.10 ,$305.56 ,$194.40 ,$136.08 ,$437.40 ,$349.92 ,$486.00 ,$306.18 ,$425.00 ,$425.00 ,$135.81 ,$233.28 ,$437.40 ST. JOHN'S HOSPITAL,45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$486.00 ,$315.90 ,$127.82 ,$486.00 ,$339.53 ,$223.56 ,$263.41 ,$135.81 ,$136.08 ,$167.67 ,$135.81 ,$191.48 ,$135.81 ,$194.40 ,$194.40 ,$135.81 ,$194.40 ,$258.03 ,$255.64 ,$247.86 ,$339.51 ,$135.81 ,$340.20 ,$135.81 ,$243.00 ,$138.52 ,$364.50 ,$216.76 ,$194.89 ,$216.76 ,$135.81 ,$216.76 ,$306.18 ,$306.18 ,$345.06 ,$486.00 ,$413.10 ,$339.51 ,$388.80 ,$179.82 ,$388.80 ,$135.81 ,$135.81 ,$486.00 ,$263.41 ,$135.81 ,$127.82 , N/A , N/A , N/A , N/A ,$142.60 ,$413.10 ,$305.56 ,$194.40 ,$136.08 ,$437.40 ,$349.92 ,$486.00 ,$306.18 ,$425.00 ,$425.00 ,$135.81 ,$233.28 ,$437.40 ST. JOHN'S HOSPITAL,45000556,20103,HC EXPL PENTR WOUND EXTREMITY - LT,450,1 ,"$2,316.00 ","$1,505.40 ",$425.00 ,"$2,316.00 ","$1,495.43 ","$1,065.36 ","$1,255.27 ",$598.17 ,$648.48 ,$799.02 ,$598.17 ,$912.50 ,$598.17 ,$926.40 ,$926.40 ,$598.17 ,$926.40 ,"$1,136.52 ","$1,218.22 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,621.20 ",$598.17 ,"$1,158.00 ",$610.13 ,"$1,737.00 ","$1,032.94 ",$928.72 ,"$1,032.94 ",$598.17 ,"$1,032.94 ","$1,459.08 ","$1,459.08 ","$1,644.36 ","$2,316.00 ","$1,968.60 ","$1,495.43 ","$1,852.80 ",$856.92 ,"$1,852.80 ",$598.17 ,$598.17 ,"$2,316.00 ","$1,255.27 ",$598.17 ,$609.11 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,968.60 ","$1,345.88 ",$926.40 ,$648.48 ,"$2,084.40 ","$1,667.52 ","$2,316.00 ","$1,459.08 ",$425.00 ,$425.00 ,$598.17 ,"$1,111.68 ","$2,084.40 " ST. JOHN'S HOSPITAL,45000557,20103,HC EXPL PENTR WOUND EXTREMITY - RT,450,1 ,"$2,316.00 ","$1,505.40 ",$425.00 ,"$2,316.00 ","$1,495.43 ","$1,065.36 ","$1,255.27 ",$598.17 ,$648.48 ,$799.02 ,$598.17 ,$912.50 ,$598.17 ,$926.40 ,$926.40 ,$598.17 ,$926.40 ,"$1,136.52 ","$1,218.22 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$1,621.20 ",$598.17 ,"$1,158.00 ",$610.13 ,"$1,737.00 ","$1,032.94 ",$928.72 ,"$1,032.94 ",$598.17 ,"$1,032.94 ","$1,459.08 ","$1,459.08 ","$1,644.36 ","$2,316.00 ","$1,968.60 ","$1,495.43 ","$1,852.80 ",$856.92 ,"$1,852.80 ",$598.17 ,$598.17 ,"$2,316.00 ","$1,255.27 ",$598.17 ,$609.11 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,968.60 ","$1,345.88 ",$926.40 ,$648.48 ,"$2,084.40 ","$1,667.52 ","$2,316.00 ","$1,459.08 ",$425.00 ,$425.00 ,$598.17 ,"$1,111.68 ","$2,084.40 " ST. JOHN'S HOSPITAL,45000558,28193,HC REMOVE FB FOOT COMPLICATED-50,450,1 ,"$4,194.00 ","$2,726.10 ",$425.00 ,"$4,194.00 ","$3,381.25 ","$1,929.24 ","$2,273.15 ","$1,352.50 ","$1,174.32 ","$1,446.93 ","$1,352.50 ","$1,652.44 ","$1,352.50 ","$1,677.60 ","$1,677.60 ","$1,352.50 ","$1,677.60 ","$2,569.74 ","$2,206.04 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,935.80 ","$1,352.50 ","$2,097.00 ","$1,379.54 ","$3,145.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,352.50 ","$1,856.00 ","$2,642.22 ","$2,642.22 ","$2,977.74 ","$4,194.00 ","$3,564.90 ","$3,381.24 ","$3,355.20 ","$1,551.78 ","$3,355.20 ","$1,352.50 ","$1,352.50 ","$4,194.00 ","$2,273.15 ","$1,352.50 ","$1,103.02 ", N/A , N/A , N/A , N/A ,"$1,420.13 ","$3,564.90 ","$3,043.11 ","$1,677.60 ","$1,174.32 ","$3,774.60 ","$3,019.68 ","$4,194.00 ","$2,642.22 ",$425.00 ,$425.00 ,"$1,352.50 ","$2,013.12 ","$3,774.60 " ST. JOHN'S HOSPITAL,45000559,28193,HC REMOVE FB FOOT COMPLICATED-LT,450,1 ,"$2,796.00 ","$1,817.40 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,286.16 ","$1,515.43 ","$1,352.50 ",$782.88 ,$964.62 ,"$1,352.50 ","$1,101.62 ","$1,352.50 ","$1,118.40 ","$1,118.40 ","$1,352.50 ","$1,118.40 ","$2,569.74 ","$1,470.70 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,957.20 ","$1,352.50 ","$1,398.00 ","$1,379.54 ","$2,097.00 ","$1,247.02 ","$1,121.20 ","$1,247.02 ","$1,352.50 ","$1,247.02 ","$1,761.48 ","$1,761.48 ","$1,985.16 ","$2,796.00 ","$2,376.60 ","$2,796.00 ","$2,236.80 ","$1,034.52 ","$2,236.80 ","$1,352.50 ","$1,352.50 ","$2,796.00 ","$1,515.43 ","$1,352.50 ",$735.35 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,376.60 ","$3,043.11 ","$1,118.40 ",$782.88 ,"$2,516.40 ","$2,013.12 ","$2,796.00 ","$1,761.48 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,342.08 ","$2,516.40 " ST. JOHN'S HOSPITAL,45000560,28193,HC REMOVE FB FOOT COMPLICATED-RT,450,1 ,"$2,796.00 ","$1,817.40 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,286.16 ","$1,515.43 ","$1,352.50 ",$782.88 ,$964.62 ,"$1,352.50 ","$1,101.62 ","$1,352.50 ","$1,118.40 ","$1,118.40 ","$1,352.50 ","$1,118.40 ","$2,569.74 ","$1,470.70 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,957.20 ","$1,352.50 ","$1,398.00 ","$1,379.54 ","$2,097.00 ","$1,247.02 ","$1,121.20 ","$1,247.02 ","$1,352.50 ","$1,247.02 ","$1,761.48 ","$1,761.48 ","$1,985.16 ","$2,796.00 ","$2,376.60 ","$2,796.00 ","$2,236.80 ","$1,034.52 ","$2,236.80 ","$1,352.50 ","$1,352.50 ","$2,796.00 ","$1,515.43 ","$1,352.50 ",$735.35 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,376.60 ","$3,043.11 ","$1,118.40 ",$782.88 ,"$2,516.40 ","$2,013.12 ","$2,796.00 ","$1,761.48 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,342.08 ","$2,516.40 " ST. JOHN'S HOSPITAL,45000561,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,595.00 ","$1,036.75 ",$419.49 ,"$1,595.00 ","$1,495.43 ",$733.70 ,$864.49 ,$598.17 ,$446.60 ,$550.28 ,$598.17 ,$628.43 ,$598.17 ,$638.00 ,$638.00 ,$598.17 ,$638.00 ,"$1,136.52 ",$838.97 ,$813.45 ,"$1,495.43 ",$598.17 ,"$1,116.50 ",$598.17 ,$797.50 ,$610.13 ,"$1,196.25 ",$711.37 ,$639.60 ,$711.37 ,$598.17 ,$711.37 ,"$1,004.85 ","$1,004.85 ","$1,132.45 ","$1,595.00 ","$1,355.75 ","$1,495.43 ","$1,276.00 ",$590.15 ,"$1,276.00 ",$598.17 ,$598.17 ,"$1,595.00 ",$864.49 ,$598.17 ,$419.49 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,355.75 ","$1,345.88 ",$638.00 ,$446.60 ,"$1,435.50 ","$1,148.40 ","$1,595.00 ","$1,004.85 ",$425.00 ,$425.00 ,$598.17 ,$765.60 ,"$1,435.50 " ST. JOHN'S HOSPITAL,45000562,28190,HC REMOVE FB FOOT SUBCUT,450,1 ,"$1,595.00 ","$1,036.75 ",$419.49 ,"$1,595.00 ","$1,495.43 ",$733.70 ,$864.49 ,$598.17 ,$446.60 ,$550.28 ,$598.17 ,$628.43 ,$598.17 ,$638.00 ,$638.00 ,$598.17 ,$638.00 ,"$1,136.52 ",$838.97 ,$813.45 ,"$1,495.43 ",$598.17 ,"$1,116.50 ",$598.17 ,$797.50 ,$610.13 ,"$1,196.25 ",$711.37 ,$639.60 ,$711.37 ,$598.17 ,$711.37 ,"$1,004.85 ","$1,004.85 ","$1,132.45 ","$1,595.00 ","$1,355.75 ","$1,495.43 ","$1,276.00 ",$590.15 ,"$1,276.00 ",$598.17 ,$598.17 ,"$1,595.00 ",$864.49 ,$598.17 ,$419.49 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,355.75 ","$1,345.88 ",$638.00 ,$446.60 ,"$1,435.50 ","$1,148.40 ","$1,595.00 ","$1,004.85 ",$425.00 ,$425.00 ,$598.17 ,$765.60 ,"$1,435.50 " ST. JOHN'S HOSPITAL,45000563,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY-LT,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45000564,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY-RT,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45000565,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY-LT,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45000566,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY-RT,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45000567,26410,HC REPAIR TENDON HAND W/O GRAFT EA TENDON-LT,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,279.26 ","$1,507.30 ","$1,338.87 ",$778.68 ,$959.45 ,"$1,338.87 ","$1,095.71 ","$1,338.87 ","$1,112.40 ","$1,112.40 ","$1,338.87 ","$1,112.40 ","$2,543.85 ","$1,462.81 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,946.70 ","$1,338.87 ","$1,390.50 ","$1,365.64 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$1,338.87 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$1,338.87 ","$1,338.87 ","$2,781.00 ","$1,507.30 ","$1,338.87 ",$731.40 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,363.85 ","$3,012.45 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000568,26410,HC REPAIR TENDON HAND W/O GRAFT EA TENDON-RT,450,1 ,"$2,781.00 ","$1,807.65 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,279.26 ","$1,507.30 ","$1,338.87 ",$778.68 ,$959.45 ,"$1,338.87 ","$1,095.71 ","$1,338.87 ","$1,112.40 ","$1,112.40 ","$1,338.87 ","$1,112.40 ","$2,543.85 ","$1,462.81 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,946.70 ","$1,338.87 ","$1,390.50 ","$1,365.64 ","$2,085.75 ","$1,240.33 ","$1,115.18 ","$1,240.33 ","$1,338.87 ","$1,240.33 ","$1,752.03 ","$1,752.03 ","$1,974.51 ","$2,781.00 ","$2,363.85 ","$2,781.00 ","$2,224.80 ","$1,028.97 ","$2,224.80 ","$1,338.87 ","$1,338.87 ","$2,781.00 ","$1,507.30 ","$1,338.87 ",$731.40 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,363.85 ","$3,012.45 ","$1,112.40 ",$778.68 ,"$2,502.90 ","$2,002.32 ","$2,781.00 ","$1,752.03 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,334.88 ","$2,502.90 " ST. JOHN'S HOSPITAL,45000569,26705,HC TX DISLOC (M-P) W/ANES CLOSED,450,1 ,"$1,971.00 ","$1,281.15 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$906.66 ,"$1,068.28 ","$1,338.87 ",$551.88 ,$680.00 ,"$1,338.87 ",$776.57 ,"$1,338.87 ",$788.40 ,$788.40 ,"$1,338.87 ",$788.40 ,"$1,971.00 ","$1,036.75 ","$1,005.21 ","$3,347.17 ","$1,338.87 ","$1,379.70 ","$1,338.87 ",$985.50 ,"$1,365.64 ","$1,478.25 ",$879.07 ,$790.37 ,$879.07 ,"$1,338.87 ",$879.07 ,"$1,241.73 ","$1,241.73 ","$1,399.41 ","$1,971.00 ","$1,675.35 ","$1,971.00 ","$1,576.80 ",$729.27 ,"$1,576.80 ","$1,338.87 ","$1,338.87 ","$1,971.00 ","$1,068.28 ","$1,338.87 ",$518.37 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,675.35 ","$3,012.45 ",$788.40 ,$551.88 ,"$1,773.90 ","$1,419.12 ","$1,971.00 ","$1,241.73 ",$425.00 ,$425.00 ,"$1,338.87 ",$946.08 ,"$1,773.90 " ST. JOHN'S HOSPITAL,45000570,24605,HC TX DISLOC ELBOW W/ANES CLOSED-LT,450,1 ,"$2,009.00 ","$1,305.85 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$924.14 ,"$1,088.88 ","$1,338.87 ",$562.52 ,$693.11 ,"$1,338.87 ",$791.55 ,"$1,338.87 ",$803.60 ,$803.60 ,"$1,338.87 ",$803.60 ,"$2,009.00 ","$1,056.73 ","$1,024.59 ","$3,347.17 ","$1,338.87 ","$1,406.30 ","$1,338.87 ","$1,004.50 ","$1,365.64 ","$1,506.75 ",$896.01 ,$805.61 ,$896.01 ,"$1,338.87 ",$896.01 ,"$1,265.67 ","$1,265.67 ","$1,426.39 ","$2,009.00 ","$1,707.65 ","$2,009.00 ","$1,607.20 ",$743.33 ,"$1,607.20 ","$1,338.87 ","$1,338.87 ","$2,009.00 ","$1,088.88 ","$1,338.87 ",$528.37 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,707.65 ","$3,012.45 ",$803.60 ,$562.52 ,"$1,808.10 ","$1,446.48 ","$2,009.00 ","$1,265.67 ",$425.00 ,$425.00 ,"$1,338.87 ",$964.32 ,"$1,808.10 " ST. JOHN'S HOSPITAL,45000571,24605,HC TX DISLOC ELBOW W/ANES CLOSED-RT,450,1 ,"$2,009.00 ","$1,305.85 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$924.14 ,"$1,088.88 ","$1,338.87 ",$562.52 ,$693.11 ,"$1,338.87 ",$791.55 ,"$1,338.87 ",$803.60 ,$803.60 ,"$1,338.87 ",$803.60 ,"$2,009.00 ","$1,056.73 ","$1,024.59 ","$3,347.17 ","$1,338.87 ","$1,406.30 ","$1,338.87 ","$1,004.50 ","$1,365.64 ","$1,506.75 ",$896.01 ,$805.61 ,$896.01 ,"$1,338.87 ",$896.01 ,"$1,265.67 ","$1,265.67 ","$1,426.39 ","$2,009.00 ","$1,707.65 ","$2,009.00 ","$1,607.20 ",$743.33 ,"$1,607.20 ","$1,338.87 ","$1,338.87 ","$2,009.00 ","$1,088.88 ","$1,338.87 ",$528.37 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,707.65 ","$3,012.45 ",$803.60 ,$562.52 ,"$1,808.10 ","$1,446.48 ","$2,009.00 ","$1,265.67 ",$425.00 ,$425.00 ,"$1,338.87 ",$964.32 ,"$1,808.10 " ST. JOHN'S HOSPITAL,45000572,23665,HC TX DISLOC SHOULDER FX HUMERW/MANIP-LT,450,1 ,"$3,751.00 ","$2,438.15 ",$425.00 ,"$3,751.00 ","$3,347.18 ","$1,725.46 ","$2,033.04 ","$1,338.87 ","$1,050.28 ","$1,294.10 ","$1,338.87 ","$1,477.89 ","$1,338.87 ","$1,500.40 ","$1,500.40 ","$1,338.87 ","$1,500.40 ","$2,543.85 ","$1,973.03 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,625.70 ","$1,338.87 ","$1,875.50 ","$1,365.64 ","$2,813.25 ","$1,672.95 ","$1,504.15 ","$1,672.95 ","$1,338.87 ","$1,672.95 ","$2,363.13 ","$2,363.13 ","$2,663.21 ","$3,751.00 ","$3,188.35 ","$3,347.17 ","$3,000.80 ","$1,387.87 ","$3,000.80 ","$1,338.87 ","$1,338.87 ","$3,751.00 ","$2,033.04 ","$1,338.87 ",$986.51 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,188.35 ","$3,012.45 ","$1,500.40 ","$1,050.28 ","$3,375.90 ","$2,700.72 ","$3,751.00 ","$2,363.13 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,800.48 ","$3,375.90 " ST. JOHN'S HOSPITAL,45000573,23665,HC TX DISLOC SHOULDER FX HUMERW/MANIP-RT,450,1 ,"$3,751.00 ","$2,438.15 ",$425.00 ,"$3,751.00 ","$3,347.18 ","$1,725.46 ","$2,033.04 ","$1,338.87 ","$1,050.28 ","$1,294.10 ","$1,338.87 ","$1,477.89 ","$1,338.87 ","$1,500.40 ","$1,500.40 ","$1,338.87 ","$1,500.40 ","$2,543.85 ","$1,973.03 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,625.70 ","$1,338.87 ","$1,875.50 ","$1,365.64 ","$2,813.25 ","$1,672.95 ","$1,504.15 ","$1,672.95 ","$1,338.87 ","$1,672.95 ","$2,363.13 ","$2,363.13 ","$2,663.21 ","$3,751.00 ","$3,188.35 ","$3,347.17 ","$3,000.80 ","$1,387.87 ","$3,000.80 ","$1,338.87 ","$1,338.87 ","$3,751.00 ","$2,033.04 ","$1,338.87 ",$986.51 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,188.35 ","$3,012.45 ","$1,500.40 ","$1,050.28 ","$3,375.90 ","$2,700.72 ","$3,751.00 ","$2,363.13 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,800.48 ","$3,375.90 " ST. JOHN'S HOSPITAL,45000574,23650,HC TX DISLOC SHOULDER W/MANIP CLOSED-BIL,450,1 ,"$1,090.00 ",$708.50 ,$286.67 ,"$1,090.00 ",$742.95 ,$501.40 ,$590.78 ,$297.18 ,$305.20 ,$376.05 ,$297.18 ,$429.46 ,$297.18 ,$436.00 ,$436.00 ,$297.18 ,$436.00 ,$564.65 ,$573.34 ,$555.90 ,$742.96 ,$297.18 ,$763.00 ,$297.18 ,$545.00 ,$303.13 ,$817.50 ,$486.14 ,$437.09 ,$486.14 ,$297.18 ,$486.14 ,$686.70 ,$686.70 ,$773.90 ,"$1,090.00 ",$926.50 ,$742.96 ,$872.00 ,$403.30 ,$872.00 ,$297.18 ,$297.18 ,"$1,090.00 ",$590.78 ,$297.18 ,$286.67 , N/A , N/A , N/A , N/A ,$312.04 ,$926.50 ,$668.66 ,$436.00 ,$305.20 ,$981.00 ,$784.80 ,"$1,090.00 ",$686.70 ,$425.00 ,$425.00 ,$297.18 ,$523.20 ,$981.00 ST. JOHN'S HOSPITAL,45000575,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-LT,450,1 ,"$1,614.00 ","$1,049.10 ",$424.48 ,"$3,347.18 ","$3,347.18 ",$742.44 ,$874.79 ,"$1,338.87 ",$451.92 ,$556.83 ,"$1,338.87 ",$635.92 ,"$1,338.87 ",$645.60 ,$645.60 ,"$1,338.87 ",$645.60 ,"$1,614.00 ",$848.96 ,$823.14 ,"$3,347.17 ","$1,338.87 ","$1,129.80 ","$1,338.87 ",$807.00 ,"$1,365.64 ","$1,210.50 ",$719.84 ,$647.21 ,$719.84 ,"$1,338.87 ",$719.84 ,"$1,016.82 ","$1,016.82 ","$1,145.94 ","$1,614.00 ","$1,371.90 ","$1,614.00 ","$1,291.20 ",$597.18 ,"$1,291.20 ","$1,338.87 ","$1,338.87 ","$1,614.00 ",$874.79 ,"$1,338.87 ",$424.48 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,371.90 ","$3,012.45 ",$645.60 ,$451.92 ,"$1,452.60 ","$1,162.08 ","$1,614.00 ","$1,016.82 ",$425.00 ,$425.00 ,"$1,338.87 ",$774.72 ,"$1,452.60 " ST. JOHN'S HOSPITAL,45000576,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-RT,450,1 ,"$1,614.00 ","$1,049.10 ",$424.48 ,"$3,347.18 ","$3,347.18 ",$742.44 ,$874.79 ,"$1,338.87 ",$451.92 ,$556.83 ,"$1,338.87 ",$635.92 ,"$1,338.87 ",$645.60 ,$645.60 ,"$1,338.87 ",$645.60 ,"$1,614.00 ",$848.96 ,$823.14 ,"$3,347.17 ","$1,338.87 ","$1,129.80 ","$1,338.87 ",$807.00 ,"$1,365.64 ","$1,210.50 ",$719.84 ,$647.21 ,$719.84 ,"$1,338.87 ",$719.84 ,"$1,016.82 ","$1,016.82 ","$1,145.94 ","$1,614.00 ","$1,371.90 ","$1,614.00 ","$1,291.20 ",$597.18 ,"$1,291.20 ","$1,338.87 ","$1,338.87 ","$1,614.00 ",$874.79 ,"$1,338.87 ",$424.48 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,371.90 ","$3,012.45 ",$645.60 ,$451.92 ,"$1,452.60 ","$1,162.08 ","$1,614.00 ","$1,016.82 ",$425.00 ,$425.00 ,"$1,338.87 ",$774.72 ,"$1,452.60 " ST. JOHN'S HOSPITAL,45000577,27752,HC TX FX TIBIAL SHAFT W/MANIP CLOSED - LT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45000578,27752,HC TX FX TIBIAL SHAFT W/MANIP CLOSED - RT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45000579,25650,HC TX FX ULNAR STYLOID CLOSED - LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000580,25650,HC TX FX ULNAR STYLOID CLOSED - RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000581,25600,HC DISTAL RADIUS W/O MANIP CLOSED - LT,450,1 ,$610.00 ,$396.50 ,$160.43 ,$610.00 ,$495.30 ,$280.60 ,$330.62 ,$198.12 ,$170.80 ,$210.45 ,$198.12 ,$240.34 ,$198.12 ,$244.00 ,$244.00 ,$198.12 ,$244.00 ,$376.43 ,$320.86 ,$311.10 ,$495.31 ,$198.12 ,$427.00 ,$198.12 ,$305.00 ,$202.09 ,$457.50 ,$272.06 ,$244.61 ,$272.06 ,$198.12 ,$272.06 ,$384.30 ,$384.30 ,$433.10 ,$610.00 ,$518.50 ,$495.31 ,$488.00 ,$225.70 ,$488.00 ,$198.12 ,$198.12 ,$610.00 ,$330.62 ,$198.12 ,$160.43 , N/A , N/A , N/A , N/A ,$208.03 ,$518.50 ,$445.78 ,$244.00 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$384.30 ,$425.00 ,$425.00 ,$198.12 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,45000582,25600,HC DISTAL RADIUS W/O MANIP CLOSED - RT,450,1 ,$610.00 ,$396.50 ,$160.43 ,$610.00 ,$495.30 ,$280.60 ,$330.62 ,$198.12 ,$170.80 ,$210.45 ,$198.12 ,$240.34 ,$198.12 ,$244.00 ,$244.00 ,$198.12 ,$244.00 ,$376.43 ,$320.86 ,$311.10 ,$495.31 ,$198.12 ,$427.00 ,$198.12 ,$305.00 ,$202.09 ,$457.50 ,$272.06 ,$244.61 ,$272.06 ,$198.12 ,$272.06 ,$384.30 ,$384.30 ,$433.10 ,$610.00 ,$518.50 ,$495.31 ,$488.00 ,$225.70 ,$488.00 ,$198.12 ,$198.12 ,$610.00 ,$330.62 ,$198.12 ,$160.43 , N/A , N/A , N/A , N/A ,$208.03 ,$518.50 ,$445.78 ,$244.00 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$384.30 ,$425.00 ,$425.00 ,$198.12 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,45000584,10060,HC I AND D SKIN ABSCESS-LT,450,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$333.96 ,$393.49 ,$172.62 ,$203.28 ,$250.47 ,$172.62 ,$286.04 ,$172.62 ,$290.40 ,$290.40 ,$172.62 ,$290.40 ,$327.97 ,$381.88 ,$370.26 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A , N/A , N/A ,$181.25 ,$617.10 ,$388.39 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000585,10060,HC I AND D SKIN ABSCESS-RT,450,1 ,$726.00 ,$471.90 ,$172.62 ,$726.00 ,$431.55 ,$333.96 ,$393.49 ,$172.62 ,$203.28 ,$250.47 ,$172.62 ,$286.04 ,$172.62 ,$290.40 ,$290.40 ,$172.62 ,$290.40 ,$327.97 ,$381.88 ,$370.26 ,$431.54 ,$172.62 ,$508.20 ,$172.62 ,$363.00 ,$176.07 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$172.62 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$431.54 ,$580.80 ,$268.62 ,$580.80 ,$172.62 ,$172.62 ,$726.00 ,$393.49 ,$172.62 ,$190.94 , N/A , N/A , N/A , N/A ,$181.25 ,$617.10 ,$388.39 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$172.62 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000706,12011,HC SIMP F/E/E/N/L/MM < 2.5CM,450,1 ,$744.00 ,$483.60 ,$172.62 ,$744.00 ,$431.55 ,$342.24 ,$403.25 ,$172.62 ,$208.32 ,$256.68 ,$172.62 ,$293.14 ,$172.62 ,$297.60 ,$297.60 ,$172.62 ,$297.60 ,$327.97 ,$391.34 ,$379.44 ,$431.54 ,$172.62 ,$520.80 ,$172.62 ,$372.00 ,$176.07 ,$558.00 ,$331.82 ,$298.34 ,$331.82 ,$172.62 ,$331.82 ,$468.72 ,$468.72 ,$528.24 ,$744.00 ,$632.40 ,$431.54 ,$595.20 ,$275.28 ,$595.20 ,$172.62 ,$172.62 ,$744.00 ,$403.25 ,$172.62 ,$195.67 , N/A , N/A , N/A , N/A ,$181.25 ,$632.40 ,$388.39 ,$297.60 ,$208.32 ,$669.60 ,$535.68 ,$744.00 ,$468.72 ,$425.00 ,$425.00 ,$172.62 ,$357.12 ,$669.60 ST. JOHN'S HOSPITAL,45000707,14021,HC TISSUE TRANSFER SCALP/ARM/LEG 10.1-30CM,450,1 ,"$5,452.00 ","$3,543.80 ",$425.00 ,"$5,452.00 ","$4,116.00 ","$2,507.92 ","$2,954.98 ","$1,646.40 ","$1,526.56 ","$1,880.94 ","$1,646.40 ","$2,148.09 ","$1,646.40 ","$2,180.80 ","$2,180.80 ","$1,646.40 ","$2,180.80 ","$3,128.17 ","$2,867.75 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$3,816.40 ","$1,646.40 ","$2,726.00 ","$1,679.33 ","$4,089.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$3,434.76 ","$3,434.76 ","$3,870.92 ","$5,452.00 ","$4,634.20 ","$4,116.01 ","$4,361.60 ","$2,017.24 ","$4,361.60 ","$1,646.40 ","$1,646.40 ","$5,452.00 ","$2,954.98 ","$1,646.40 ","$1,433.88 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$4,634.20 ","$3,704.41 ","$2,180.80 ","$1,526.56 ","$4,906.80 ","$3,925.44 ","$5,452.00 ","$3,434.76 ",$425.00 ,$425.00 ,"$1,646.40 ","$2,616.96 ","$4,906.80 " ST. JOHN'S HOSPITAL,45000708,14040,HC TISSUE TRANSFER F/C/M/N/A/G/H/F <10CM,450,1 ,"$4,165.00 ","$2,707.25 ",$425.00 ,"$4,165.00 ","$4,116.00 ","$1,915.90 ","$2,257.43 ","$1,646.40 ","$1,166.20 ","$1,436.93 ","$1,646.40 ","$1,641.01 ","$1,646.40 ","$1,666.00 ","$1,666.00 ","$1,646.40 ","$1,666.00 ","$3,128.17 ","$2,190.79 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$2,915.50 ","$1,646.40 ","$2,082.50 ","$1,679.33 ","$3,123.75 ","$1,856.00 ","$1,670.17 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$2,623.95 ","$2,623.95 ","$2,957.15 ","$4,165.00 ","$3,540.25 ","$4,116.01 ","$3,332.00 ","$1,541.05 ","$3,332.00 ","$1,646.40 ","$1,646.40 ","$4,165.00 ","$2,257.43 ","$1,646.40 ","$1,095.40 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$3,540.25 ","$3,704.41 ","$1,666.00 ","$1,166.20 ","$3,748.50 ","$2,998.80 ","$4,165.00 ","$2,623.95 ",$425.00 ,$425.00 ,"$1,646.40 ","$1,999.20 ","$3,748.50 " ST. JOHN'S HOSPITAL,45000709,15121,HC AUTOGRPH F F DG EA ADD 100CM,450,1 ,"$3,697.00 ","$2,403.05 ",$425.00 ,"$3,697.00 ", N/A ,"$1,700.62 ","$2,003.77 ", N/A ,"$1,035.16 ","$1,275.47 ", N/A ,"$1,456.62 ", N/A ,"$1,478.80 ","$1,478.80 ", N/A ,"$1,478.80 ", N/A ,"$1,944.62 ","$1,049.00 ", N/A , N/A ,"$2,587.90 ", N/A ,"$1,848.50 ", N/A ,"$2,772.75 ","$1,648.86 ","$1,482.50 ","$1,648.86 ", N/A ,"$1,648.86 ","$2,329.11 ","$2,329.11 ","$2,624.87 ","$3,697.00 ","$3,142.45 ", N/A ,"$2,957.60 ","$1,367.89 ","$2,957.60 ", N/A , N/A ,"$3,697.00 ","$2,003.77 ", N/A ,$972.31 , N/A , N/A , N/A , N/A , N/A ,"$3,142.45 ", N/A ,"$1,478.80 ","$1,035.16 ","$3,327.30 ","$2,661.84 ","$3,697.00 ","$2,329.11 ",$425.00 ,$425.00 , N/A ,"$1,774.56 ","$3,327.30 " ST. JOHN'S HOSPITAL,45000710,15260,HC SKIN FULL GRAFT N/E/E/L<20SQCM,450,1 ,"$5,853.00 ","$3,804.45 ",$425.00 ,"$5,853.00 ","$4,116.00 ","$2,692.38 ","$3,172.33 ","$1,646.40 ","$1,638.84 ","$2,019.29 ","$1,646.40 ","$2,306.08 ","$1,646.40 ","$2,341.20 ","$2,341.20 ","$1,646.40 ","$2,341.20 ","$3,128.17 ","$3,078.68 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$4,097.10 ","$1,646.40 ","$2,926.50 ","$1,679.33 ","$4,389.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$3,687.39 ","$3,687.39 ","$4,002.00 ","$5,853.00 ","$4,975.05 ","$4,116.01 ","$4,682.40 ","$2,165.61 ","$4,682.40 ","$1,646.40 ","$1,646.40 ","$5,853.00 ","$3,172.33 ","$1,646.40 ","$1,539.34 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$4,975.05 ","$3,704.41 ","$2,341.20 ","$1,638.84 ","$5,267.70 ","$4,214.16 ","$5,853.00 ","$3,687.39 ",$425.00 ,$425.00 ,"$1,646.40 ","$2,809.44 ","$5,267.70 " ST. JOHN'S HOSPITAL,45000711,15574,HC SKIN PEDICLE HEAD/HAND/FEET/GEN,450,1 ,"$4,867.00 ","$3,163.55 ",$425.00 ,"$4,867.00 ","$4,116.00 ","$2,238.82 ","$2,637.91 ","$1,646.40 ","$1,362.76 ","$1,679.12 ","$1,646.40 ","$1,917.60 ","$1,646.40 ","$1,946.80 ","$1,946.80 ","$1,646.40 ","$1,946.80 ","$3,128.17 ","$2,560.04 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$3,406.90 ","$1,646.40 ","$2,433.50 ","$1,679.33 ","$3,650.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$3,066.21 ","$3,066.21 ","$3,455.57 ","$4,867.00 ","$4,136.95 ","$4,116.01 ","$3,893.60 ","$1,800.79 ","$3,893.60 ","$1,646.40 ","$1,646.40 ","$4,867.00 ","$2,637.91 ","$1,646.40 ","$1,280.02 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$4,136.95 ","$3,704.41 ","$1,946.80 ","$1,362.76 ","$4,380.30 ","$3,504.24 ","$4,867.00 ","$3,066.21 ",$425.00 ,$425.00 ,"$1,646.40 ","$2,336.16 ","$4,380.30 " ST. JOHN'S HOSPITAL,45000712,15760,HC GRAFT SKIN COMPOSITE,450,1 ,"$2,927.00 ","$1,902.55 ",$425.00 ,"$4,116.01 ","$4,116.00 ","$1,346.42 ","$1,586.43 ","$1,646.40 ",$819.56 ,"$1,009.82 ","$1,646.40 ","$1,153.24 ","$1,646.40 ","$1,170.80 ","$1,170.80 ","$1,646.40 ","$1,170.80 ","$2,927.00 ","$1,539.60 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$2,048.90 ","$1,646.40 ","$1,463.50 ","$1,679.33 ","$2,195.25 ","$1,305.44 ","$1,173.73 ","$1,305.44 ","$1,646.40 ","$1,305.44 ","$1,844.01 ","$1,844.01 ","$2,078.17 ","$2,927.00 ","$2,487.95 ","$2,927.00 ","$2,341.60 ","$1,082.99 ","$2,341.60 ","$1,646.40 ","$1,646.40 ","$2,927.00 ","$1,586.43 ","$1,646.40 ",$769.80 , N/A , N/A , N/A , N/A ,"$1,728.72 ","$2,487.95 ","$3,704.41 ","$1,170.80 ",$819.56 ,"$2,634.30 ","$2,107.44 ","$2,927.00 ","$1,844.01 ",$425.00 ,$425.00 ,"$1,646.40 ","$1,404.96 ","$2,634.30 " ST. JOHN'S HOSPITAL,45000713,20650,HC INSERT/REMOVE WIRE/PIN W/TRACTION,450,1 ,"$3,631.00 ","$2,360.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,670.26 ","$1,968.00 ","$2,722.21 ","$1,016.68 ","$1,252.70 ","$2,722.21 ","$1,430.61 ","$2,722.21 ","$1,452.40 ","$1,452.40 ","$2,722.21 ","$1,452.40 ","$3,631.00 ","$1,909.91 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,541.70 ","$2,722.21 ","$1,815.50 ","$2,776.66 ","$2,723.25 ","$1,619.43 ","$1,456.03 ","$1,619.43 ","$2,722.21 ","$1,619.43 ","$2,287.53 ","$2,287.53 ","$2,578.01 ","$3,631.00 ","$3,086.35 ","$3,631.00 ","$2,904.80 ","$1,343.47 ","$2,904.80 ","$2,722.21 ","$2,722.21 ","$3,631.00 ","$1,968.00 ","$2,722.21 ",$954.95 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,086.35 ","$6,124.98 ","$1,452.40 ","$1,016.68 ","$3,267.90 ","$2,614.32 ","$3,631.00 ","$2,287.53 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,742.88 ","$3,267.90 " ST. JOHN'S HOSPITAL,45000714,20661,HC APPL HALO CRANIAL W/REMOVAL,450,1 ,$628.00 ,$408.20 ,$165.16 ,$628.00 , N/A ,$288.88 ,$340.38 , N/A ,$175.84 ,$216.66 , N/A ,$247.43 , N/A ,$251.20 ,$251.20 , N/A ,$251.20 , N/A ,$330.33 ,$320.28 , N/A , N/A ,$439.60 , N/A ,$314.00 , N/A ,$471.00 ,$280.09 ,$251.83 ,$280.09 , N/A ,$280.09 ,$395.64 ,$395.64 ,$445.88 ,$628.00 ,$533.80 , N/A ,$502.40 ,$232.36 ,$502.40 , N/A , N/A ,$628.00 ,$340.38 , N/A ,$165.16 , N/A , N/A , N/A , N/A , N/A ,$533.80 , N/A ,$251.20 ,$175.84 ,$565.20 ,$452.16 ,$628.00 ,$395.64 ,$425.00 ,$425.00 , N/A ,$301.44 ,$565.20 ST. JOHN'S HOSPITAL,45000715,20690,HC APPL UNIPLANE EXTERNAL FIXATION SYSTEM,450,1 ,"$10,262.00 ","$6,670.30 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$5,562.00 ","$6,020.90 ","$2,873.36 ","$3,533.22 ","$6,020.90 ","$4,043.23 ","$6,020.90 ","$4,104.80 ","$4,104.80 ","$6,020.90 ","$4,104.80 ","$10,262.00 ","$5,397.81 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$7,183.40 ","$6,020.90 ","$5,131.00 ","$6,141.32 ","$7,696.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$10,262.00 ","$8,722.70 ","$10,262.00 ","$8,209.60 ","$3,796.94 ","$8,209.60 ","$6,020.90 ","$6,020.90 ","$10,262.00 ","$5,562.00 ","$6,020.90 ","$2,698.91 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$8,722.70 ","$13,547.03 ","$4,104.80 ","$2,873.36 ","$9,235.80 ","$7,388.64 ","$10,262.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$4,925.76 ","$9,235.80 " ST. JOHN'S HOSPITAL,45000734,21299,HC TX DISLOCATION JAW CLOSED,450,1 ,$425.00 ,$276.25 ,$111.78 ,$508.43 ,$508.43 ,$195.50 ,$230.35 ,$203.37 ,$119.00 ,$146.63 ,$203.37 ,$167.45 ,$203.37 ,$170.00 ,$170.00 ,$203.37 ,$170.00 ,$386.39 ,$223.55 ,$216.75 ,$508.41 ,$203.37 ,$297.50 ,$203.37 ,$212.50 ,$207.43 ,$318.75 ,$189.55 ,$170.43 ,$189.55 ,$203.37 ,$189.55 ,$267.75 ,$267.75 ,$301.75 ,$425.00 ,$361.25 ,$425.00 ,$340.00 ,$157.25 ,$340.00 ,$203.37 ,$203.37 ,$425.00 ,$230.35 ,$203.37 ,$111.78 , N/A , N/A , N/A , N/A ,$213.54 ,$361.25 ,$457.57 ,$170.00 ,$119.00 ,$382.50 ,$306.00 ,$425.00 ,$267.75 ,$425.00 ,$425.00 ,$203.37 ,$204.00 ,$382.50 ST. JOHN'S HOSPITAL,45000735,21320,HC CLOSED TX NOSE FX W STABILIZATION,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,342.74 ","$1,582.10 ","$2,629.69 ",$817.32 ,"$1,007.06 ","$2,629.69 ","$1,150.09 ","$2,629.69 ","$1,167.60 ","$1,167.60 ","$2,629.69 ","$1,167.60 ","$2,919.00 ","$1,535.39 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,043.30 ","$2,629.69 ","$1,459.50 ","$2,682.29 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$2,629.69 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$2,629.69 ","$2,629.69 ","$2,919.00 ","$1,582.10 ","$2,629.69 ",$767.70 , N/A , N/A , N/A , N/A ,"$2,761.17 ","$2,481.15 ","$5,916.81 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$2,629.69 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000736,21337,HC CLOSED TX FX NASAL SEPTAL,450,1 ,"$4,200.00 ","$2,730.00 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,932.00 ","$2,276.40 ","$2,629.69 ","$1,176.00 ","$1,449.00 ","$2,629.69 ","$1,654.80 ","$2,629.69 ","$1,680.00 ","$1,680.00 ","$2,629.69 ","$1,680.00 ","$4,200.00 ","$2,209.20 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,940.00 ","$2,629.69 ","$2,100.00 ","$2,682.29 ","$3,150.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,629.69 ","$1,856.00 ","$2,646.00 ","$2,646.00 ","$2,982.00 ","$4,200.00 ","$3,570.00 ","$4,200.00 ","$3,360.00 ","$1,554.00 ","$3,360.00 ","$2,629.69 ","$2,629.69 ","$4,200.00 ","$2,276.40 ","$2,629.69 ","$1,104.60 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$3,570.00 ","$5,916.81 ","$1,680.00 ","$1,176.00 ","$3,780.00 ","$3,024.00 ","$4,200.00 ","$2,646.00 ",$425.00 ,$425.00 ,"$2,629.69 ","$2,016.00 ","$3,780.00 " ST. JOHN'S HOSPITAL,45000737,21451,HC TX FX MANDIBULAR W/MANIPULATION CLOSED-LT,450,1 ,"$7,808.00 ","$5,075.20 ",$425.00 ,"$7,808.00 ","$3,250.78 ","$3,000.00 ","$4,231.94 ","$1,300.31 ","$2,186.24 ","$2,693.76 ","$1,300.31 ","$3,076.35 ","$1,300.31 ","$3,123.20 ","$3,123.20 ","$1,300.31 ","$3,123.20 ","$2,470.58 ","$4,107.01 ","$1,049.00 ","$3,250.76 ","$1,300.31 ","$5,465.60 ","$1,300.31 ","$3,904.00 ","$1,326.31 ","$5,856.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,300.31 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,808.00 ","$6,636.80 ","$3,250.76 ","$6,246.40 ","$2,888.96 ","$6,246.40 ","$1,300.31 ","$1,300.31 ","$7,808.00 ","$4,231.94 ","$1,300.31 ","$2,053.50 ", N/A , N/A , N/A , N/A ,"$1,365.33 ","$6,636.80 ","$2,925.69 ","$3,123.20 ","$2,186.24 ","$7,027.20 ","$5,621.76 ","$7,808.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,300.31 ","$3,747.84 ","$7,027.20 " ST. JOHN'S HOSPITAL,45000738,21451,HC TX FX MANDIBULAR W/MANIPULATION CLOSED-RT,450,1 ,"$7,808.00 ","$5,075.20 ",$425.00 ,"$7,808.00 ","$3,250.78 ","$3,000.00 ","$4,231.94 ","$1,300.31 ","$2,186.24 ","$2,693.76 ","$1,300.31 ","$3,076.35 ","$1,300.31 ","$3,123.20 ","$3,123.20 ","$1,300.31 ","$3,123.20 ","$2,470.58 ","$4,107.01 ","$1,049.00 ","$3,250.76 ","$1,300.31 ","$5,465.60 ","$1,300.31 ","$3,904.00 ","$1,326.31 ","$5,856.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,300.31 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,808.00 ","$6,636.80 ","$3,250.76 ","$6,246.40 ","$2,888.96 ","$6,246.40 ","$1,300.31 ","$1,300.31 ","$7,808.00 ","$4,231.94 ","$1,300.31 ","$2,053.50 ", N/A , N/A , N/A , N/A ,"$1,365.33 ","$6,636.80 ","$2,925.69 ","$3,123.20 ","$2,186.24 ","$7,027.20 ","$5,621.76 ","$7,808.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,300.31 ","$3,747.84 ","$7,027.20 " ST. JOHN'S HOSPITAL,45000739,22310,HC TX FX VERTEBRAL BODY W/O MANIPULATION,450,1 ,$688.00 ,$447.20 ,$180.94 ,$688.00 ,$495.30 ,$316.48 ,$372.90 ,$198.12 ,$192.64 ,$237.36 ,$198.12 ,$271.07 ,$198.12 ,$275.20 ,$275.20 ,$198.12 ,$275.20 ,$376.43 ,$361.89 ,$350.88 ,$495.31 ,$198.12 ,$481.60 ,$198.12 ,$344.00 ,$202.09 ,$516.00 ,$306.85 ,$275.89 ,$306.85 ,$198.12 ,$306.85 ,$433.44 ,$433.44 ,$488.48 ,$688.00 ,$584.80 ,$495.31 ,$550.40 ,$254.56 ,$550.40 ,$198.12 ,$198.12 ,$688.00 ,$372.90 ,$198.12 ,$180.94 , N/A , N/A , N/A , N/A ,$208.03 ,$584.80 ,$445.78 ,$275.20 ,$192.64 ,$619.20 ,$495.36 ,$688.00 ,$433.44 ,$425.00 ,$425.00 ,$198.12 ,$330.24 ,$619.20 ST. JOHN'S HOSPITAL,45000740,23330,HC REMOVE FOREIGN BODY SHOULDER SUBQ-LT,450,1 ,"$1,480.00 ",$962.00 ,$389.24 ,"$1,495.43 ","$1,495.43 ",$680.80 ,$802.16 ,$598.17 ,$414.40 ,$510.60 ,$598.17 ,$583.12 ,$598.17 ,$592.00 ,$592.00 ,$598.17 ,$592.00 ,"$1,136.52 ",$778.48 ,$754.80 ,"$1,495.43 ",$598.17 ,"$1,036.00 ",$598.17 ,$740.00 ,$610.13 ,"$1,110.00 ",$660.08 ,$593.48 ,$660.08 ,$598.17 ,$660.08 ,$932.40 ,$932.40 ,"$1,050.80 ","$1,480.00 ","$1,258.00 ","$1,480.00 ","$1,184.00 ",$547.60 ,"$1,184.00 ",$598.17 ,$598.17 ,"$1,480.00 ",$802.16 ,$598.17 ,$389.24 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,258.00 ","$1,345.88 ",$592.00 ,$414.40 ,"$1,332.00 ","$1,065.60 ","$1,480.00 ",$932.40 ,$425.00 ,$425.00 ,$598.17 ,$710.40 ,"$1,332.00 " ST. JOHN'S HOSPITAL,45000741,23330,HC REMOVE FOREIGN BODY SHOULDER SUBQ-RT,450,1 ,"$1,480.00 ",$962.00 ,$389.24 ,"$1,495.43 ","$1,495.43 ",$680.80 ,$802.16 ,$598.17 ,$414.40 ,$510.60 ,$598.17 ,$583.12 ,$598.17 ,$592.00 ,$592.00 ,$598.17 ,$592.00 ,"$1,136.52 ",$778.48 ,$754.80 ,"$1,495.43 ",$598.17 ,"$1,036.00 ",$598.17 ,$740.00 ,$610.13 ,"$1,110.00 ",$660.08 ,$593.48 ,$660.08 ,$598.17 ,$660.08 ,$932.40 ,$932.40 ,"$1,050.80 ","$1,480.00 ","$1,258.00 ","$1,480.00 ","$1,184.00 ",$547.60 ,"$1,184.00 ",$598.17 ,$598.17 ,"$1,480.00 ",$802.16 ,$598.17 ,$389.24 , N/A , N/A , N/A , N/A ,$628.08 ,"$1,258.00 ","$1,345.88 ",$592.00 ,$414.40 ,"$1,332.00 ","$1,065.60 ","$1,480.00 ",$932.40 ,$425.00 ,$425.00 ,$598.17 ,$710.40 ,"$1,332.00 " ST. JOHN'S HOSPITAL,45000742,23466,HC REPAIR SHOULDER CAPSULE,450,1 ,"$7,579.00 ","$4,926.35 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$4,107.82 ","$6,020.90 ","$2,122.12 ","$2,614.76 ","$6,020.90 ","$2,986.13 ","$6,020.90 ","$3,031.60 ","$3,031.60 ","$6,020.90 ","$3,031.60 ","$7,579.00 ","$3,986.55 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$5,305.30 ","$6,020.90 ","$3,789.50 ","$6,141.32 ","$5,684.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,579.00 ","$6,442.15 ","$7,579.00 ","$6,063.20 ","$2,804.23 ","$6,063.20 ","$6,020.90 ","$6,020.90 ","$7,579.00 ","$4,107.82 ","$6,020.90 ","$1,993.28 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$6,442.15 ","$13,547.03 ","$3,031.60 ","$2,122.12 ","$6,821.10 ","$5,456.88 ","$7,579.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,637.92 ","$6,821.10 " ST. JOHN'S HOSPITAL,45000743,23505,HC CLOSED CLAVICLE FX W/MANIP-LT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000744,23505,HC CLOSED CLAVICLE FX W/MANIP-RT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000745,23600,HC TX FX HUMERUS PROXIMAL W/O MANIP CLOSED-LT,450,1 ,$686.00 ,$445.90 ,$180.42 ,$686.00 ,$495.30 ,$315.56 ,$371.81 ,$198.12 ,$192.08 ,$236.67 ,$198.12 ,$270.28 ,$198.12 ,$274.40 ,$274.40 ,$198.12 ,$274.40 ,$376.43 ,$360.84 ,$349.86 ,$495.31 ,$198.12 ,$480.20 ,$198.12 ,$343.00 ,$202.09 ,$514.50 ,$305.96 ,$275.09 ,$305.96 ,$198.12 ,$305.96 ,$432.18 ,$432.18 ,$487.06 ,$686.00 ,$583.10 ,$495.31 ,$548.80 ,$253.82 ,$548.80 ,$198.12 ,$198.12 ,$686.00 ,$371.81 ,$198.12 ,$180.42 , N/A , N/A , N/A , N/A ,$208.03 ,$583.10 ,$445.78 ,$274.40 ,$192.08 ,$617.40 ,$493.92 ,$686.00 ,$432.18 ,$425.00 ,$425.00 ,$198.12 ,$329.28 ,$617.40 ST. JOHN'S HOSPITAL,45000746,23600,HC TX FX HUMERUS PROXIMAL W/O MANIP CLOSED-RT,450,1 ,$686.00 ,$445.90 ,$180.42 ,$686.00 ,$495.30 ,$315.56 ,$371.81 ,$198.12 ,$192.08 ,$236.67 ,$198.12 ,$270.28 ,$198.12 ,$274.40 ,$274.40 ,$198.12 ,$274.40 ,$376.43 ,$360.84 ,$349.86 ,$495.31 ,$198.12 ,$480.20 ,$198.12 ,$343.00 ,$202.09 ,$514.50 ,$305.96 ,$275.09 ,$305.96 ,$198.12 ,$305.96 ,$432.18 ,$432.18 ,$487.06 ,$686.00 ,$583.10 ,$495.31 ,$548.80 ,$253.82 ,$548.80 ,$198.12 ,$198.12 ,$686.00 ,$371.81 ,$198.12 ,$180.42 , N/A , N/A , N/A , N/A ,$208.03 ,$583.10 ,$445.78 ,$274.40 ,$192.08 ,$617.40 ,$493.92 ,$686.00 ,$432.18 ,$425.00 ,$425.00 ,$198.12 ,$329.28 ,$617.40 ST. JOHN'S HOSPITAL,45000747,23605,HC TX FX HUMERUS PROXIMAL W/MANIP CLOSED-LT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000748,23605,HC TX FX HUMERUS PROXIMAL W/MANIP CLOSED-RT,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,45000749,23675,HC TX DISLOC SHOULDER W/PROX HUM FX W/MANIP-LT,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$798.10 ,$940.37 ,"$1,338.87 ",$485.80 ,$598.58 ,"$1,338.87 ",$683.59 ,"$1,338.87 ",$694.00 ,$694.00 ,"$1,338.87 ",$694.00 ,"$1,735.00 ",$912.61 ,$884.85 ,"$3,347.17 ","$1,338.87 ","$1,214.50 ","$1,338.87 ",$867.50 ,"$1,365.64 ","$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,"$1,338.87 ",$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,735.00 ","$1,388.00 ",$641.95 ,"$1,388.00 ","$1,338.87 ","$1,338.87 ","$1,735.00 ",$940.37 ,"$1,338.87 ",$456.31 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,474.75 ","$3,012.45 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000750,23675,HC TX DISLOC SHOULDER W/PROX HUM FX W/MANIP-RT,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$798.10 ,$940.37 ,"$1,338.87 ",$485.80 ,$598.58 ,"$1,338.87 ",$683.59 ,"$1,338.87 ",$694.00 ,$694.00 ,"$1,338.87 ",$694.00 ,"$1,735.00 ",$912.61 ,$884.85 ,"$3,347.17 ","$1,338.87 ","$1,214.50 ","$1,338.87 ",$867.50 ,"$1,365.64 ","$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,"$1,338.87 ",$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,735.00 ","$1,388.00 ",$641.95 ,"$1,388.00 ","$1,338.87 ","$1,338.87 ","$1,735.00 ",$940.37 ,"$1,338.87 ",$456.31 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,474.75 ","$3,012.45 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45000751,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ-LT,450,1 ,"$1,690.00 ","$1,098.50 ",$425.00 ,"$3,381.25 ","$3,381.25 ",$777.40 ,$915.98 ,"$1,352.50 ",$473.20 ,$583.05 ,"$1,352.50 ",$665.86 ,"$1,352.50 ",$676.00 ,$676.00 ,"$1,352.50 ",$676.00 ,"$1,690.00 ",$888.94 ,$861.90 ,"$3,381.24 ","$1,352.50 ","$1,183.00 ","$1,352.50 ",$845.00 ,"$1,379.54 ","$1,267.50 ",$753.74 ,$677.69 ,$753.74 ,"$1,352.50 ",$753.74 ,"$1,064.70 ","$1,064.70 ","$1,199.90 ","$1,690.00 ","$1,436.50 ","$1,690.00 ","$1,352.00 ",$625.30 ,"$1,352.00 ","$1,352.50 ","$1,352.50 ","$1,690.00 ",$915.98 ,"$1,352.50 ",$444.47 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,436.50 ","$3,043.11 ",$676.00 ,$473.20 ,"$1,521.00 ","$1,216.80 ","$1,690.00 ","$1,064.70 ",$425.00 ,$425.00 ,"$1,352.50 ",$811.20 ,"$1,521.00 " ST. JOHN'S HOSPITAL,45000752,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ-RT,450,1 ,"$1,690.00 ","$1,098.50 ",$425.00 ,"$3,381.25 ","$3,381.25 ",$777.40 ,$915.98 ,"$1,352.50 ",$473.20 ,$583.05 ,"$1,352.50 ",$665.86 ,"$1,352.50 ",$676.00 ,$676.00 ,"$1,352.50 ",$676.00 ,"$1,690.00 ",$888.94 ,$861.90 ,"$3,381.24 ","$1,352.50 ","$1,183.00 ","$1,352.50 ",$845.00 ,"$1,379.54 ","$1,267.50 ",$753.74 ,$677.69 ,$753.74 ,"$1,352.50 ",$753.74 ,"$1,064.70 ","$1,064.70 ","$1,199.90 ","$1,690.00 ","$1,436.50 ","$1,690.00 ","$1,352.00 ",$625.30 ,"$1,352.00 ","$1,352.50 ","$1,352.50 ","$1,690.00 ",$915.98 ,"$1,352.50 ",$444.47 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,436.50 ","$3,043.11 ",$676.00 ,$473.20 ,"$1,521.00 ","$1,216.80 ","$1,690.00 ","$1,064.70 ",$425.00 ,$425.00 ,"$1,352.50 ",$811.20 ,"$1,521.00 " ST. JOHN'S HOSPITAL,45000753,24341,HC RPR TENDON/MUSCLE UPPR ARM/ELBOW-LT,450,1 ,"$7,029.00 ","$4,568.85 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$3,809.72 ","$6,020.90 ","$1,968.12 ","$2,425.01 ","$6,020.90 ","$2,769.43 ","$6,020.90 ","$2,811.60 ","$2,811.60 ","$6,020.90 ","$2,811.60 ","$7,029.00 ","$3,697.25 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$4,920.30 ","$6,020.90 ","$3,514.50 ","$6,141.32 ","$5,271.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,029.00 ","$5,974.65 ","$7,029.00 ","$5,623.20 ","$2,600.73 ","$5,623.20 ","$6,020.90 ","$6,020.90 ","$7,029.00 ","$3,809.72 ","$6,020.90 ","$1,848.63 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$5,974.65 ","$13,547.03 ","$2,811.60 ","$1,968.12 ","$6,326.10 ","$5,060.88 ","$7,029.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,373.92 ","$6,326.10 " ST. JOHN'S HOSPITAL,45000754,24341,HC RPR TENDON/MUSCLE UPPR ARM/ELBOW-RT,450,1 ,"$7,029.00 ","$4,568.85 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$3,809.72 ","$6,020.90 ","$1,968.12 ","$2,425.01 ","$6,020.90 ","$2,769.43 ","$6,020.90 ","$2,811.60 ","$2,811.60 ","$6,020.90 ","$2,811.60 ","$7,029.00 ","$3,697.25 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$4,920.30 ","$6,020.90 ","$3,514.50 ","$6,141.32 ","$5,271.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,029.00 ","$5,974.65 ","$7,029.00 ","$5,623.20 ","$2,600.73 ","$5,623.20 ","$6,020.90 ","$6,020.90 ","$7,029.00 ","$3,809.72 ","$6,020.90 ","$1,848.63 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$5,974.65 ","$13,547.03 ","$2,811.60 ","$1,968.12 ","$6,326.10 ","$5,060.88 ","$7,029.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,373.92 ","$6,326.10 " ST. JOHN'S HOSPITAL,45000755,24505,HC HUMERAL CLOSED FX W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000756,24505,HC HUMERAL CLOSED FX W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000757,24530,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/O MANIP-LT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000758,24530,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/O MANIP-RT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45000759,24535,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000760,24535,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000761,24538,HC TX FX HUMEROUS W/ OR W/O FIXATION,450,1 ,"$8,002.00 ","$5,201.30 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$4,337.08 ","$6,020.90 ","$2,240.56 ","$2,760.69 ","$6,020.90 ","$3,152.79 ","$6,020.90 ","$3,200.80 ","$3,200.80 ","$6,020.90 ","$3,200.80 ","$8,002.00 ","$4,209.05 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$5,601.40 ","$6,020.90 ","$4,001.00 ","$6,141.32 ","$6,001.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,002.00 ","$6,801.70 ","$8,002.00 ","$6,401.60 ","$2,960.74 ","$6,401.60 ","$6,020.90 ","$6,020.90 ","$8,002.00 ","$4,337.08 ","$6,020.90 ","$2,104.53 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$6,801.70 ","$13,547.03 ","$3,200.80 ","$2,240.56 ","$7,201.80 ","$5,761.44 ","$8,002.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,840.96 ","$7,201.80 " ST. JOHN'S HOSPITAL,45000762,24560,HC TX FX HUMEROUS EPICONDYLR CLOSED W/O MANIP,450,1 ,$692.00 ,$449.80 ,$182.00 ,$692.00 ,$495.30 ,$318.32 ,$375.06 ,$198.12 ,$193.76 ,$238.74 ,$198.12 ,$272.65 ,$198.12 ,$276.80 ,$276.80 ,$198.12 ,$276.80 ,$376.43 ,$363.99 ,$352.92 ,$495.31 ,$198.12 ,$484.40 ,$198.12 ,$346.00 ,$202.09 ,$519.00 ,$308.63 ,$277.49 ,$308.63 ,$198.12 ,$308.63 ,$435.96 ,$435.96 ,$491.32 ,$692.00 ,$588.20 ,$495.31 ,$553.60 ,$256.04 ,$553.60 ,$198.12 ,$198.12 ,$692.00 ,$375.06 ,$198.12 ,$182.00 , N/A , N/A , N/A , N/A ,$208.03 ,$588.20 ,$445.78 ,$276.80 ,$193.76 ,$622.80 ,$498.24 ,$692.00 ,$435.96 ,$425.00 ,$425.00 ,$198.12 ,$332.16 ,$622.80 ST. JOHN'S HOSPITAL,45000763,24576,HC TX FX HUMERUS CONDYLAR W/O MANIP CLOSED-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000764,24576,HC TX FX HUMERUS CONDYLAR W/O MANIP CLOSED-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45000765,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000766,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000767,24650,HC TX FX CLOSED RADIAL HEAD/NECK W/O MANIP-LT,450,1 ,$430.00 ,$279.50 ,$113.09 ,$495.31 ,$495.30 ,$197.80 ,$233.06 ,$198.12 ,$120.40 ,$148.35 ,$198.12 ,$169.42 ,$198.12 ,$172.00 ,$172.00 ,$198.12 ,$172.00 ,$376.43 ,$226.18 ,$219.30 ,$495.31 ,$198.12 ,$301.00 ,$198.12 ,$215.00 ,$202.09 ,$322.50 ,$191.78 ,$172.43 ,$191.78 ,$198.12 ,$191.78 ,$270.90 ,$270.90 ,$305.30 ,$430.00 ,$365.50 ,$430.00 ,$344.00 ,$159.10 ,$344.00 ,$198.12 ,$198.12 ,$430.00 ,$233.06 ,$198.12 ,$113.09 , N/A , N/A , N/A , N/A ,$208.03 ,$365.50 ,$445.78 ,$172.00 ,$120.40 ,$387.00 ,$309.60 ,$430.00 ,$270.90 ,$425.00 ,$425.00 ,$198.12 ,$206.40 ,$387.00 ST. JOHN'S HOSPITAL,45000768,24650,HC TX FX CLOSED RADIAL HEAD/NECK W/O MANIP-RT,450,1 ,$430.00 ,$279.50 ,$113.09 ,$495.31 ,$495.30 ,$197.80 ,$233.06 ,$198.12 ,$120.40 ,$148.35 ,$198.12 ,$169.42 ,$198.12 ,$172.00 ,$172.00 ,$198.12 ,$172.00 ,$376.43 ,$226.18 ,$219.30 ,$495.31 ,$198.12 ,$301.00 ,$198.12 ,$215.00 ,$202.09 ,$322.50 ,$191.78 ,$172.43 ,$191.78 ,$198.12 ,$191.78 ,$270.90 ,$270.90 ,$305.30 ,$430.00 ,$365.50 ,$430.00 ,$344.00 ,$159.10 ,$344.00 ,$198.12 ,$198.12 ,$430.00 ,$233.06 ,$198.12 ,$113.09 , N/A , N/A , N/A , N/A ,$208.03 ,$365.50 ,$445.78 ,$172.00 ,$120.40 ,$387.00 ,$309.60 ,$430.00 ,$270.90 ,$425.00 ,$425.00 ,$198.12 ,$206.40 ,$387.00 ST. JOHN'S HOSPITAL,45000769,24655,HC TX FX CLOSED RADIAL HEAD/NECK W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000770,24655,HC TX FX CLOSED RADIAL HEAD/NECK W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000771,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP-LT,450,1 ,"$2,040.00 ","$1,326.00 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$938.40 ,"$1,105.68 ","$1,338.87 ",$571.20 ,$703.80 ,"$1,338.87 ",$803.76 ,"$1,338.87 ",$816.00 ,$816.00 ,"$1,338.87 ",$816.00 ,"$2,040.00 ","$1,073.04 ","$1,040.40 ","$3,347.17 ","$1,338.87 ","$1,428.00 ","$1,338.87 ","$1,020.00 ","$1,365.64 ","$1,530.00 ",$909.84 ,$818.04 ,$909.84 ,"$1,338.87 ",$909.84 ,"$1,285.20 ","$1,285.20 ","$1,448.40 ","$2,040.00 ","$1,734.00 ","$2,040.00 ","$1,632.00 ",$754.80 ,"$1,632.00 ","$1,338.87 ","$1,338.87 ","$2,040.00 ","$1,105.68 ","$1,338.87 ",$536.52 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,734.00 ","$3,012.45 ",$816.00 ,$571.20 ,"$1,836.00 ","$1,468.80 ","$2,040.00 ","$1,285.20 ",$425.00 ,$425.00 ,"$1,338.87 ",$979.20 ,"$1,836.00 " ST. JOHN'S HOSPITAL,45000772,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP-RT,450,1 ,"$2,040.00 ","$1,326.00 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$938.40 ,"$1,105.68 ","$1,338.87 ",$571.20 ,$703.80 ,"$1,338.87 ",$803.76 ,"$1,338.87 ",$816.00 ,$816.00 ,"$1,338.87 ",$816.00 ,"$2,040.00 ","$1,073.04 ","$1,040.40 ","$3,347.17 ","$1,338.87 ","$1,428.00 ","$1,338.87 ","$1,020.00 ","$1,365.64 ","$1,530.00 ",$909.84 ,$818.04 ,$909.84 ,"$1,338.87 ",$909.84 ,"$1,285.20 ","$1,285.20 ","$1,448.40 ","$2,040.00 ","$1,734.00 ","$2,040.00 ","$1,632.00 ",$754.80 ,"$1,632.00 ","$1,338.87 ","$1,338.87 ","$2,040.00 ","$1,105.68 ","$1,338.87 ",$536.52 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,734.00 ","$3,012.45 ",$816.00 ,$571.20 ,"$1,836.00 ","$1,468.80 ","$2,040.00 ","$1,285.20 ",$425.00 ,$425.00 ,"$1,338.87 ",$979.20 ,"$1,836.00 " ST. JOHN'S HOSPITAL,45000773,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP-BIL,450,1 ,"$3,061.00 ","$1,989.65 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,408.06 ","$1,659.06 ","$1,338.87 ",$857.08 ,"$1,056.05 ","$1,338.87 ","$1,206.03 ","$1,338.87 ","$1,224.40 ","$1,224.40 ","$1,338.87 ","$1,224.40 ","$2,543.85 ","$1,610.09 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,142.70 ","$1,338.87 ","$1,530.50 ","$1,365.64 ","$2,295.75 ","$1,365.21 ","$1,227.46 ","$1,365.21 ","$1,338.87 ","$1,365.21 ","$1,928.43 ","$1,928.43 ","$2,173.31 ","$3,061.00 ","$2,601.85 ","$3,061.00 ","$2,448.80 ","$1,132.57 ","$2,448.80 ","$1,338.87 ","$1,338.87 ","$3,061.00 ","$1,659.06 ","$1,338.87 ",$805.04 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,601.85 ","$3,012.45 ","$1,224.40 ",$857.08 ,"$2,754.90 ","$2,203.92 ","$3,061.00 ","$1,928.43 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,469.28 ","$2,754.90 " ST. JOHN'S HOSPITAL,45000774,25248,HC REMOVE FB FOREARM/WRIST,450,1 ,"$5,825.00 ","$3,786.25 ",$425.00 ,"$5,825.00 ","$3,347.18 ","$2,679.50 ","$3,157.15 ","$1,338.87 ","$1,631.00 ","$2,009.63 ","$1,338.87 ","$2,295.05 ","$1,338.87 ","$2,330.00 ","$2,330.00 ","$1,338.87 ","$2,330.00 ","$2,543.85 ","$3,063.95 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,077.50 ","$1,338.87 ","$2,912.50 ","$1,365.64 ","$4,368.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,669.75 ","$3,669.75 ","$4,002.00 ","$5,825.00 ","$4,951.25 ","$3,347.17 ","$4,660.00 ","$2,155.25 ","$4,660.00 ","$1,338.87 ","$1,338.87 ","$5,825.00 ","$3,157.15 ","$1,338.87 ","$1,531.98 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,951.25 ","$3,012.45 ","$2,330.00 ","$1,631.00 ","$5,242.50 ","$4,194.00 ","$5,825.00 ","$3,669.75 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,796.00 ","$5,242.50 " ST. JOHN'S HOSPITAL,45000775,25500,HC TX FX CLOSED RADIAL SHAFT W/O MANIP-LT,450,1 ,$619.00 ,$402.35 ,$162.80 ,$619.00 ,$495.30 ,$284.74 ,$335.50 ,$198.12 ,$173.32 ,$213.56 ,$198.12 ,$243.89 ,$198.12 ,$247.60 ,$247.60 ,$198.12 ,$247.60 ,$376.43 ,$325.59 ,$315.69 ,$495.31 ,$198.12 ,$433.30 ,$198.12 ,$309.50 ,$202.09 ,$464.25 ,$276.07 ,$248.22 ,$276.07 ,$198.12 ,$276.07 ,$389.97 ,$389.97 ,$439.49 ,$619.00 ,$526.15 ,$495.31 ,$495.20 ,$229.03 ,$495.20 ,$198.12 ,$198.12 ,$619.00 ,$335.50 ,$198.12 ,$162.80 , N/A , N/A , N/A , N/A ,$208.03 ,$526.15 ,$445.78 ,$247.60 ,$173.32 ,$557.10 ,$445.68 ,$619.00 ,$389.97 ,$425.00 ,$425.00 ,$198.12 ,$297.12 ,$557.10 ST. JOHN'S HOSPITAL,45000776,25500,HC TX FX CLOSED RADIAL SHAFT W/O MANIP-RT,450,1 ,$619.00 ,$402.35 ,$162.80 ,$619.00 ,$495.30 ,$284.74 ,$335.50 ,$198.12 ,$173.32 ,$213.56 ,$198.12 ,$243.89 ,$198.12 ,$247.60 ,$247.60 ,$198.12 ,$247.60 ,$376.43 ,$325.59 ,$315.69 ,$495.31 ,$198.12 ,$433.30 ,$198.12 ,$309.50 ,$202.09 ,$464.25 ,$276.07 ,$248.22 ,$276.07 ,$198.12 ,$276.07 ,$389.97 ,$389.97 ,$439.49 ,$619.00 ,$526.15 ,$495.31 ,$495.20 ,$229.03 ,$495.20 ,$198.12 ,$198.12 ,$619.00 ,$335.50 ,$198.12 ,$162.80 , N/A , N/A , N/A , N/A ,$208.03 ,$526.15 ,$445.78 ,$247.60 ,$173.32 ,$557.10 ,$445.68 ,$619.00 ,$389.97 ,$425.00 ,$425.00 ,$198.12 ,$297.12 ,$557.10 ST. JOHN'S HOSPITAL,45000777,25530,HC TX FX ULNAR CLOSED W/O MANIP-LT,450,1 ,$519.00 ,$337.35 ,$136.50 ,$519.00 ,$495.30 ,$238.74 ,$281.30 ,$198.12 ,$145.32 ,$179.06 ,$198.12 ,$204.49 ,$198.12 ,$207.60 ,$207.60 ,$198.12 ,$207.60 ,$376.43 ,$272.99 ,$264.69 ,$495.31 ,$198.12 ,$363.30 ,$198.12 ,$259.50 ,$202.09 ,$389.25 ,$231.47 ,$208.12 ,$231.47 ,$198.12 ,$231.47 ,$326.97 ,$326.97 ,$368.49 ,$519.00 ,$441.15 ,$495.31 ,$415.20 ,$192.03 ,$415.20 ,$198.12 ,$198.12 ,$519.00 ,$281.30 ,$198.12 ,$136.50 , N/A , N/A , N/A , N/A ,$208.03 ,$441.15 ,$445.78 ,$207.60 ,$145.32 ,$467.10 ,$373.68 ,$519.00 ,$326.97 ,$425.00 ,$425.00 ,$198.12 ,$249.12 ,$467.10 ST. JOHN'S HOSPITAL,45000778,25530,HC TX FX ULNAR CLOSED W/O MANIP-RT,450,1 ,$519.00 ,$337.35 ,$136.50 ,$519.00 ,$495.30 ,$238.74 ,$281.30 ,$198.12 ,$145.32 ,$179.06 ,$198.12 ,$204.49 ,$198.12 ,$207.60 ,$207.60 ,$198.12 ,$207.60 ,$376.43 ,$272.99 ,$264.69 ,$495.31 ,$198.12 ,$363.30 ,$198.12 ,$259.50 ,$202.09 ,$389.25 ,$231.47 ,$208.12 ,$231.47 ,$198.12 ,$231.47 ,$326.97 ,$326.97 ,$368.49 ,$519.00 ,$441.15 ,$495.31 ,$415.20 ,$192.03 ,$415.20 ,$198.12 ,$198.12 ,$519.00 ,$281.30 ,$198.12 ,$136.50 , N/A , N/A , N/A , N/A ,$208.03 ,$441.15 ,$445.78 ,$207.60 ,$145.32 ,$467.10 ,$373.68 ,$519.00 ,$326.97 ,$425.00 ,$425.00 ,$198.12 ,$249.12 ,$467.10 ST. JOHN'S HOSPITAL,45000779,25535,HC TX FX ULNAR CLOSED W/MANIP-LT,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45000780,25535,HC TX FX ULNAR CLOSED W/MANIP-RT,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45000781,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP-BIL,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000782,25600,HC DISTAL RADIUS W/O MANIP CLOSED-BIL,450,1 ,$912.00 ,$592.80 ,$239.86 ,$912.00 ,$742.95 ,$419.52 ,$494.30 ,$297.18 ,$255.36 ,$314.64 ,$297.18 ,$359.33 ,$297.18 ,$364.80 ,$364.80 ,$297.18 ,$364.80 ,$564.65 ,$479.71 ,$465.12 ,$742.96 ,$297.18 ,$638.40 ,$297.18 ,$456.00 ,$303.13 ,$684.00 ,$406.75 ,$365.71 ,$406.75 ,$297.18 ,$406.75 ,$574.56 ,$574.56 ,$647.52 ,$912.00 ,$775.20 ,$742.96 ,$729.60 ,$337.44 ,$729.60 ,$297.18 ,$297.18 ,$912.00 ,$494.30 ,$297.18 ,$239.86 , N/A , N/A , N/A , N/A ,$312.04 ,$775.20 ,$668.66 ,$364.80 ,$255.36 ,$820.80 ,$656.64 ,$912.00 ,$574.56 ,$425.00 ,$425.00 ,$297.18 ,$437.76 ,$820.80 ST. JOHN'S HOSPITAL,45000783,25605,HC CLOSED TX DIST RAD/ULNA FX W/MANIP-BIL,450,1 ,"$1,600.00 ","$1,040.00 ",$420.80 ,"$3,347.18 ","$3,347.18 ",$736.00 ,$867.20 ,"$1,338.87 ",$448.00 ,$552.00 ,"$1,338.87 ",$630.40 ,"$1,338.87 ",$640.00 ,$640.00 ,"$1,338.87 ",$640.00 ,"$1,600.00 ",$841.60 ,$816.00 ,"$3,347.17 ","$1,338.87 ","$1,120.00 ","$1,338.87 ",$800.00 ,"$1,365.64 ","$1,200.00 ",$713.60 ,$641.60 ,$713.60 ,"$1,338.87 ",$713.60 ,"$1,008.00 ","$1,008.00 ","$1,136.00 ","$1,600.00 ","$1,360.00 ","$1,600.00 ","$1,280.00 ",$592.00 ,"$1,280.00 ","$1,338.87 ","$1,338.87 ","$1,600.00 ",$867.20 ,"$1,338.87 ",$420.80 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,360.00 ","$3,012.45 ",$640.00 ,$448.00 ,"$1,440.00 ","$1,152.00 ","$1,600.00 ","$1,008.00 ",$425.00 ,$425.00 ,"$1,338.87 ",$768.00 ,"$1,440.00 " ST. JOHN'S HOSPITAL,45000784,25607,HC TX FX RADIAL EX ARTICULAR W/FIXATION,450,1 ,"$11,490.00 ","$7,468.50 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$6,227.58 ","$6,020.90 ","$3,217.20 ","$3,533.22 ","$6,020.90 ","$4,527.06 ","$6,020.90 ","$4,596.00 ","$4,596.00 ","$6,020.90 ","$4,596.00 ","$11,439.72 ","$6,043.74 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$8,043.00 ","$6,020.90 ","$5,745.00 ","$6,141.32 ","$8,617.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$11,490.00 ","$9,766.50 ","$11,490.00 ","$9,192.00 ","$4,251.30 ","$9,192.00 ","$6,020.90 ","$6,020.90 ","$11,490.00 ","$6,227.58 ","$6,020.90 ","$3,021.87 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$9,766.50 ","$13,547.03 ","$4,596.00 ","$3,217.20 ","$10,341.00 ","$8,272.80 ","$11,490.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$5,515.20 ","$10,341.00 " ST. JOHN'S HOSPITAL,45000785,25624,HC TX CARPAL NAVICULAR W/MANIP,450,1 ,$796.00 ,$517.40 ,$209.35 ,"$3,347.18 ","$3,347.18 ",$366.16 ,$431.43 ,"$1,338.87 ",$222.88 ,$274.62 ,"$1,338.87 ",$313.62 ,$796.00 ,$318.40 ,$318.40 ,$796.00 ,$318.40 ,$796.00 ,$418.70 ,$405.96 ,"$3,347.17 ","$1,338.87 ",$557.20 ,"$1,338.87 ",$398.00 ,$796.00 ,$597.00 ,$355.02 ,$319.20 ,$355.02 ,"$1,338.87 ",$355.02 ,$501.48 ,$501.48 ,$565.16 ,$796.00 ,$676.60 ,$796.00 ,$636.80 ,$294.52 ,$636.80 ,"$1,338.87 ","$1,338.87 ",$796.00 ,$431.43 ,"$1,338.87 ",$209.35 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$676.60 ,"$3,012.45 ",$318.40 ,$222.88 ,$716.40 ,$573.12 ,$796.00 ,$501.48 ,$425.00 ,$425.00 ,"$1,338.87 ",$382.08 ,$716.40 ST. JOHN'S HOSPITAL,45000786,25635,HC TX CLOSED CARPAL BONE W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000787,25635,HC TX CLOSED CARPAL BONE W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45000789,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP-LT,450,1 ,$555.00 ,$360.75 ,$145.97 ,$555.00 ,$495.30 ,$255.30 ,$300.81 ,$198.12 ,$155.40 ,$191.48 ,$198.12 ,$218.67 ,$198.12 ,$222.00 ,$222.00 ,$198.12 ,$222.00 ,$376.43 ,$291.93 ,$283.05 ,$495.31 ,$198.12 ,$388.50 ,$198.12 ,$277.50 ,$202.09 ,$416.25 ,$247.53 ,$222.56 ,$247.53 ,$198.12 ,$247.53 ,$349.65 ,$349.65 ,$394.05 ,$555.00 ,$471.75 ,$495.31 ,$444.00 ,$205.35 ,$444.00 ,$198.12 ,$198.12 ,$555.00 ,$300.81 ,$198.12 ,$145.97 , N/A , N/A , N/A , N/A ,$208.03 ,$471.75 ,$445.78 ,$222.00 ,$155.40 ,$499.50 ,$399.60 ,$555.00 ,$349.65 ,$425.00 ,$425.00 ,$198.12 ,$266.40 ,$499.50 ST. JOHN'S HOSPITAL,45000790,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP-RT,450,1 ,$555.00 ,$360.75 ,$145.97 ,$555.00 ,$495.30 ,$255.30 ,$300.81 ,$198.12 ,$155.40 ,$191.48 ,$198.12 ,$218.67 ,$198.12 ,$222.00 ,$222.00 ,$198.12 ,$222.00 ,$376.43 ,$291.93 ,$283.05 ,$495.31 ,$198.12 ,$388.50 ,$198.12 ,$277.50 ,$202.09 ,$416.25 ,$247.53 ,$222.56 ,$247.53 ,$198.12 ,$247.53 ,$349.65 ,$349.65 ,$394.05 ,$555.00 ,$471.75 ,$495.31 ,$444.00 ,$205.35 ,$444.00 ,$198.12 ,$198.12 ,$555.00 ,$300.81 ,$198.12 ,$145.97 , N/A , N/A , N/A , N/A ,$208.03 ,$471.75 ,$445.78 ,$222.00 ,$155.40 ,$499.50 ,$399.60 ,$555.00 ,$349.65 ,$425.00 ,$425.00 ,$198.12 ,$266.40 ,$499.50 ST. JOHN'S HOSPITAL,45000805,26075,HC ARTHROTOMY FINGER JOINT,450,1 ,"$3,556.00 ","$2,311.40 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,635.76 ","$1,927.35 ","$2,722.21 ",$995.68 ,"$1,226.82 ","$2,722.21 ","$1,401.06 ","$2,722.21 ","$1,422.40 ","$1,422.40 ","$2,722.21 ","$1,422.40 ","$3,556.00 ","$1,870.46 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,489.20 ","$2,722.21 ","$1,778.00 ","$2,776.66 ","$2,667.00 ","$1,585.98 ","$1,425.96 ","$1,585.98 ","$2,722.21 ","$1,585.98 ","$2,240.28 ","$2,240.28 ","$2,524.76 ","$3,556.00 ","$3,022.60 ","$3,556.00 ","$2,844.80 ","$1,315.72 ","$2,844.80 ","$2,722.21 ","$2,722.21 ","$3,556.00 ","$1,927.35 ","$2,722.21 ",$935.23 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,022.60 ","$6,124.98 ","$1,422.40 ",$995.68 ,"$3,200.40 ","$2,560.32 ","$3,556.00 ","$2,240.28 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,706.88 ","$3,200.40 " ST. JOHN'S HOSPITAL,45000806,26350,HC REPAIR FLEXOR TENDON DIGIT-LT,450,1 ,"$5,611.00 ","$3,647.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,581.06 ","$3,041.16 ","$2,722.21 ","$1,571.08 ","$1,935.80 ","$2,722.21 ","$2,210.73 ","$2,722.21 ","$2,244.40 ","$2,244.40 ","$2,722.21 ","$2,244.40 ","$5,172.21 ","$2,951.39 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,927.70 ","$2,722.21 ","$2,805.50 ","$2,776.66 ","$4,208.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,534.93 ","$3,534.93 ","$3,983.81 ","$5,611.00 ","$4,769.35 ","$5,611.00 ","$4,488.80 ","$2,076.07 ","$4,488.80 ","$2,722.21 ","$2,722.21 ","$5,611.00 ","$3,041.16 ","$2,722.21 ","$1,475.69 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,769.35 ","$6,124.98 ","$2,244.40 ","$1,571.08 ","$5,049.90 ","$4,039.92 ","$5,611.00 ","$3,534.93 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,693.28 ","$5,049.90 " ST. JOHN'S HOSPITAL,45000807,26350,HC REPAIR FLEXOR TENDON DIGIT-RT,450,1 ,"$5,611.00 ","$3,647.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,581.06 ","$3,041.16 ","$2,722.21 ","$1,571.08 ","$1,935.80 ","$2,722.21 ","$2,210.73 ","$2,722.21 ","$2,244.40 ","$2,244.40 ","$2,722.21 ","$2,244.40 ","$5,172.21 ","$2,951.39 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,927.70 ","$2,722.21 ","$2,805.50 ","$2,776.66 ","$4,208.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,534.93 ","$3,534.93 ","$3,983.81 ","$5,611.00 ","$4,769.35 ","$5,611.00 ","$4,488.80 ","$2,076.07 ","$4,488.80 ","$2,722.21 ","$2,722.21 ","$5,611.00 ","$3,041.16 ","$2,722.21 ","$1,475.69 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,769.35 ","$6,124.98 ","$2,244.40 ","$1,571.08 ","$5,049.90 ","$4,039.92 ","$5,611.00 ","$3,534.93 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,693.28 ","$5,049.90 " ST. JOHN'S HOSPITAL,45000808,26356,HC REPAIR FLEXOR TENDON DIGIT ZONE 2,450,1 ,"$3,675.00 ","$2,388.75 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,690.50 ","$1,991.85 ","$2,722.21 ","$1,029.00 ","$1,267.88 ","$2,722.21 ","$1,447.95 ","$2,722.21 ","$1,470.00 ","$1,470.00 ","$2,722.21 ","$1,470.00 ","$3,675.00 ","$1,933.05 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,572.50 ","$2,722.21 ","$1,837.50 ","$2,776.66 ","$2,756.25 ","$1,639.05 ","$1,473.68 ","$1,639.05 ","$2,722.21 ","$1,639.05 ","$2,315.25 ","$2,315.25 ","$2,609.25 ","$3,675.00 ","$3,123.75 ","$3,675.00 ","$2,940.00 ","$1,359.75 ","$2,940.00 ","$2,722.21 ","$2,722.21 ","$3,675.00 ","$1,991.85 ","$2,722.21 ",$966.53 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,123.75 ","$6,124.98 ","$1,470.00 ","$1,029.00 ","$3,307.50 ","$2,646.00 ","$3,675.00 ","$2,315.25 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,764.00 ","$3,307.50 " ST. JOHN'S HOSPITAL,45000809,26370,HC REPAIR PROFUNDUS TENDON,450,1 ,"$4,069.00 ","$2,644.85 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,871.74 ","$2,205.40 ","$2,722.21 ","$1,139.32 ","$1,403.81 ","$2,722.21 ","$1,603.19 ","$2,722.21 ","$1,627.60 ","$1,627.60 ","$2,722.21 ","$1,627.60 ","$4,069.00 ","$2,140.29 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,848.30 ","$2,722.21 ","$2,034.50 ","$2,776.66 ","$3,051.75 ","$1,814.77 ","$1,631.67 ","$1,814.77 ","$2,722.21 ","$1,814.77 ","$2,563.47 ","$2,563.47 ","$2,888.99 ","$4,069.00 ","$3,458.65 ","$4,069.00 ","$3,255.20 ","$1,505.53 ","$3,255.20 ","$2,722.21 ","$2,722.21 ","$4,069.00 ","$2,205.40 ","$2,722.21 ","$1,070.15 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,458.65 ","$6,124.98 ","$1,627.60 ","$1,139.32 ","$3,662.10 ","$2,929.68 ","$4,069.00 ","$2,563.47 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,953.12 ","$3,662.10 " ST. JOHN'S HOSPITAL,45000810,26412,HC REPAIR TENDON HAND W/GRAFT EA TENDON-LT,450,1 ,"$6,065.00 ","$3,942.25 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,789.90 ","$3,287.23 ","$2,722.21 ","$1,698.20 ","$2,092.43 ","$2,722.21 ","$2,389.61 ","$2,722.21 ","$2,426.00 ","$2,426.00 ","$2,722.21 ","$2,426.00 ","$5,172.21 ","$3,190.19 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,245.50 ","$2,722.21 ","$3,032.50 ","$2,776.66 ","$4,548.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,065.00 ","$5,155.25 ","$6,065.00 ","$4,852.00 ","$2,244.05 ","$4,852.00 ","$2,722.21 ","$2,722.21 ","$6,065.00 ","$3,287.23 ","$2,722.21 ","$1,595.10 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,155.25 ","$6,124.98 ","$2,426.00 ","$1,698.20 ","$5,458.50 ","$4,366.80 ","$6,065.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,911.20 ","$5,458.50 " ST. JOHN'S HOSPITAL,45000811,26412,HC REPAIR TENDON HAND W/GRAFT EA TENDON-RT,450,1 ,"$6,065.00 ","$3,942.25 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,789.90 ","$3,287.23 ","$2,722.21 ","$1,698.20 ","$2,092.43 ","$2,722.21 ","$2,389.61 ","$2,722.21 ","$2,426.00 ","$2,426.00 ","$2,722.21 ","$2,426.00 ","$5,172.21 ","$3,190.19 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,245.50 ","$2,722.21 ","$3,032.50 ","$2,776.66 ","$4,548.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,065.00 ","$5,155.25 ","$6,065.00 ","$4,852.00 ","$2,244.05 ","$4,852.00 ","$2,722.21 ","$2,722.21 ","$6,065.00 ","$3,287.23 ","$2,722.21 ","$1,595.10 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,155.25 ","$6,124.98 ","$2,426.00 ","$1,698.20 ","$5,458.50 ","$4,366.80 ","$6,065.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,911.20 ","$5,458.50 " ST. JOHN'S HOSPITAL,45000832,26608,HC FIXATION PERC METACARPAL FX,450,1 ,"$5,797.00 ","$3,768.05 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,666.62 ","$3,141.97 ","$2,722.21 ","$1,623.16 ","$1,999.97 ","$2,722.21 ","$2,284.02 ","$2,722.21 ","$2,318.80 ","$2,318.80 ","$2,722.21 ","$2,318.80 ","$5,172.21 ","$3,049.22 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,057.90 ","$2,722.21 ","$2,898.50 ","$2,776.66 ","$4,347.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,652.11 ","$3,652.11 ","$4,002.00 ","$5,797.00 ","$4,927.45 ","$5,797.00 ","$4,637.60 ","$2,144.89 ","$4,637.60 ","$2,722.21 ","$2,722.21 ","$5,797.00 ","$3,141.97 ","$2,722.21 ","$1,524.61 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,927.45 ","$6,124.98 ","$2,318.80 ","$1,623.16 ","$5,217.30 ","$4,173.84 ","$5,797.00 ","$3,652.11 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,782.56 ","$5,217.30 " ST. JOHN'S HOSPITAL,45000833,26645,HC TX FX CLOSED CARPOMETACARPAL DISLOC THUMB-LT,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000834,26645,HC TX FX CLOSED CARPOMETACARPAL DISLOC THUMB-RT,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45000995,26989,HC HAND/FINGER UNLISTED PROC-LT,450,1 ,"$1,556.00 ","$1,011.40 ",$198.12 ,"$1,556.00 ",$495.30 ,$715.76 ,$843.35 ,$198.12 ,$435.68 ,$536.82 ,$198.12 ,$613.06 ,$198.12 ,$622.40 ,$622.40 ,$198.12 ,$622.40 ,$376.43 ,$818.46 ,$793.56 ,$495.31 ,$198.12 ,"$1,089.20 ",$198.12 ,$778.00 ,$202.09 ,"$1,167.00 ",$693.98 ,$623.96 ,$693.98 ,$198.12 ,$693.98 ,$980.28 ,$980.28 ,"$1,104.76 ","$1,556.00 ","$1,322.60 ",$495.31 ,"$1,244.80 ",$575.72 ,"$1,244.80 ",$198.12 ,$198.12 ,"$1,556.00 ",$843.35 ,$198.12 ,$409.23 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,322.60 ",$445.78 ,$622.40 ,$435.68 ,"$1,400.40 ","$1,120.32 ","$1,556.00 ",$980.28 ,$425.00 ,$425.00 ,$198.12 ,$746.88 ,"$1,400.40 " ST. JOHN'S HOSPITAL,45000996,26989,HC HAND/FINGER UNLISTED PROC-RT,450,1 ,"$1,556.00 ","$1,011.40 ",$198.12 ,"$1,556.00 ",$495.30 ,$715.76 ,$843.35 ,$198.12 ,$435.68 ,$536.82 ,$198.12 ,$613.06 ,$198.12 ,$622.40 ,$622.40 ,$198.12 ,$622.40 ,$376.43 ,$818.46 ,$793.56 ,$495.31 ,$198.12 ,"$1,089.20 ",$198.12 ,$778.00 ,$202.09 ,"$1,167.00 ",$693.98 ,$623.96 ,$693.98 ,$198.12 ,$693.98 ,$980.28 ,$980.28 ,"$1,104.76 ","$1,556.00 ","$1,322.60 ",$495.31 ,"$1,244.80 ",$575.72 ,"$1,244.80 ",$198.12 ,$198.12 ,"$1,556.00 ",$843.35 ,$198.12 ,$409.23 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,322.60 ",$445.78 ,$622.40 ,$435.68 ,"$1,400.40 ","$1,120.32 ","$1,556.00 ",$980.28 ,$425.00 ,$425.00 ,$198.12 ,$746.88 ,"$1,400.40 " ST. JOHN'S HOSPITAL,45000997,27222,HC TX FX CLOSED ACETABULAR HIP W/MANIP-LT,450,1 ,"$6,127.00 ","$3,982.55 ",$425.00 ,"$6,127.00 ", N/A ,"$2,818.42 ","$3,320.83 ", N/A ,"$1,715.56 ","$2,113.82 ", N/A ,"$2,414.04 ", N/A ,"$2,450.80 ","$2,450.80 ", N/A ,"$2,450.80 ", N/A ,"$3,222.80 ","$1,049.00 ", N/A , N/A ,"$4,288.90 ", N/A ,"$3,063.50 ", N/A ,"$4,595.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,127.00 ","$5,207.95 ", N/A ,"$4,901.60 ","$2,266.99 ","$4,901.60 ", N/A , N/A ,"$6,127.00 ","$3,320.83 ", N/A ,"$1,611.40 ", N/A , N/A , N/A , N/A , N/A ,"$5,207.95 ", N/A ,"$2,450.80 ","$1,715.56 ","$5,514.30 ","$4,411.44 ","$6,127.00 ","$3,786.00 ",$425.00 ,$425.00 , N/A ,"$2,940.96 ","$5,514.30 " ST. JOHN'S HOSPITAL,45000998,27222,HC TX FX CLOSED ACETABULAR HIP W/MANIP-RT,450,1 ,"$6,127.00 ","$3,982.55 ",$425.00 ,"$6,127.00 ", N/A ,"$2,818.42 ","$3,320.83 ", N/A ,"$1,715.56 ","$2,113.82 ", N/A ,"$2,414.04 ", N/A ,"$2,450.80 ","$2,450.80 ", N/A ,"$2,450.80 ", N/A ,"$3,222.80 ","$1,049.00 ", N/A , N/A ,"$4,288.90 ", N/A ,"$3,063.50 ", N/A ,"$4,595.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,127.00 ","$5,207.95 ", N/A ,"$4,901.60 ","$2,266.99 ","$4,901.60 ", N/A , N/A ,"$6,127.00 ","$3,320.83 ", N/A ,"$1,611.40 ", N/A , N/A , N/A , N/A , N/A ,"$5,207.95 ", N/A ,"$2,450.80 ","$1,715.56 ","$5,514.30 ","$4,411.44 ","$6,127.00 ","$3,786.00 ",$425.00 ,$425.00 , N/A ,"$2,940.96 ","$5,514.30 " ST. JOHN'S HOSPITAL,45000999,27250,HC TX DISCL HIP CLOSED W/O ANES-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001000,27250,HC TX DISCL HIP CLOSED W/O ANES-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001001,27266,HC CL TX POST HIP ARTHROPLASTY DISLOCAT W ANESTH-LT,450,1 ,"$6,704.00 ","$4,357.60 ",$425.00 ,"$6,704.00 ","$3,347.18 ","$3,000.00 ","$3,633.57 ","$1,338.87 ","$1,877.12 ","$2,312.88 ","$1,338.87 ","$2,641.38 ","$1,338.87 ","$2,681.60 ","$2,681.60 ","$1,338.87 ","$2,681.60 ","$2,543.85 ","$3,526.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,692.80 ","$1,338.87 ","$3,352.00 ","$1,365.64 ","$5,028.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,704.00 ","$5,698.40 ","$3,347.17 ","$5,363.20 ","$2,480.48 ","$5,363.20 ","$1,338.87 ","$1,338.87 ","$6,704.00 ","$3,633.57 ","$1,338.87 ","$1,763.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$5,698.40 ","$3,012.45 ","$2,681.60 ","$1,877.12 ","$6,033.60 ","$4,826.88 ","$6,704.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,338.87 ","$3,217.92 ","$6,033.60 " ST. JOHN'S HOSPITAL,45001002,27266,HC CL TX POST HIP ARTHROPLASTY DISLOCAT W ANESTH-RT,450,1 ,"$6,704.00 ","$4,357.60 ",$425.00 ,"$6,704.00 ","$3,347.18 ","$3,000.00 ","$3,633.57 ","$1,338.87 ","$1,877.12 ","$2,312.88 ","$1,338.87 ","$2,641.38 ","$1,338.87 ","$2,681.60 ","$2,681.60 ","$1,338.87 ","$2,681.60 ","$2,543.85 ","$3,526.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$4,692.80 ","$1,338.87 ","$3,352.00 ","$1,365.64 ","$5,028.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,704.00 ","$5,698.40 ","$3,347.17 ","$5,363.20 ","$2,480.48 ","$5,363.20 ","$1,338.87 ","$1,338.87 ","$6,704.00 ","$3,633.57 ","$1,338.87 ","$1,763.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$5,698.40 ","$3,012.45 ","$2,681.60 ","$1,877.12 ","$6,033.60 ","$4,826.88 ","$6,704.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,338.87 ","$3,217.92 ","$6,033.60 " ST. JOHN'S HOSPITAL,45001005,27510,HC TX FX CLOSED FEMUR W/MANIP-LT,450,1 ,"$1,635.00 ","$1,062.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$752.10 ,$886.17 ,"$1,338.87 ",$457.80 ,$564.08 ,"$1,338.87 ",$644.19 ,"$1,338.87 ",$654.00 ,$654.00 ,"$1,338.87 ",$654.00 ,"$1,635.00 ",$860.01 ,$833.85 ,"$3,347.17 ","$1,338.87 ","$1,144.50 ","$1,338.87 ",$817.50 ,"$1,365.64 ","$1,226.25 ",$729.21 ,$655.64 ,$729.21 ,"$1,338.87 ",$729.21 ,"$1,030.05 ","$1,030.05 ","$1,160.85 ","$1,635.00 ","$1,389.75 ","$1,635.00 ","$1,308.00 ",$604.95 ,"$1,308.00 ","$1,338.87 ","$1,338.87 ","$1,635.00 ",$886.17 ,"$1,338.87 ",$430.01 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,389.75 ","$3,012.45 ",$654.00 ,$457.80 ,"$1,471.50 ","$1,177.20 ","$1,635.00 ","$1,030.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$784.80 ,"$1,471.50 " ST. JOHN'S HOSPITAL,45001006,27510,HC TX FX CLOSED FEMUR W/MANIP-RT,450,1 ,"$1,635.00 ","$1,062.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$752.10 ,$886.17 ,"$1,338.87 ",$457.80 ,$564.08 ,"$1,338.87 ",$644.19 ,"$1,338.87 ",$654.00 ,$654.00 ,"$1,338.87 ",$654.00 ,"$1,635.00 ",$860.01 ,$833.85 ,"$3,347.17 ","$1,338.87 ","$1,144.50 ","$1,338.87 ",$817.50 ,"$1,365.64 ","$1,226.25 ",$729.21 ,$655.64 ,$729.21 ,"$1,338.87 ",$729.21 ,"$1,030.05 ","$1,030.05 ","$1,160.85 ","$1,635.00 ","$1,389.75 ","$1,635.00 ","$1,308.00 ",$604.95 ,"$1,308.00 ","$1,338.87 ","$1,338.87 ","$1,635.00 ",$886.17 ,"$1,338.87 ",$430.01 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,389.75 ","$3,012.45 ",$654.00 ,$457.80 ,"$1,471.50 ","$1,177.20 ","$1,635.00 ","$1,030.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$784.80 ,"$1,471.50 " ST. JOHN'S HOSPITAL,45001007,27516,HC TX CLOSED DISTAL FEMORAL W/O MANIP,450,1 ,"$1,572.00 ","$1,021.80 ",$198.12 ,"$1,572.00 ",$495.30 ,$723.12 ,$852.02 ,$198.12 ,$440.16 ,$542.34 ,$198.12 ,$619.37 ,$198.12 ,$628.80 ,$628.80 ,$198.12 ,$628.80 ,$376.43 ,$826.87 ,$801.72 ,$495.31 ,$198.12 ,"$1,100.40 ",$198.12 ,$786.00 ,$202.09 ,"$1,179.00 ",$701.11 ,$630.37 ,$701.11 ,$198.12 ,$701.11 ,$990.36 ,$990.36 ,"$1,116.12 ","$1,572.00 ","$1,336.20 ",$495.31 ,"$1,257.60 ",$581.64 ,"$1,257.60 ",$198.12 ,$198.12 ,"$1,572.00 ",$852.02 ,$198.12 ,$413.44 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,336.20 ",$445.78 ,$628.80 ,$440.16 ,"$1,414.80 ","$1,131.84 ","$1,572.00 ",$990.36 ,$425.00 ,$425.00 ,$198.12 ,$754.56 ,"$1,414.80 " ST. JOHN'S HOSPITAL,45001008,27530,HC TX FX TIBIAL W/O MANIP CLOSED-LT,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45001009,27530,HC TX FX TIBIAL W/O MANIP CLOSED-RT,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45001010,27532,HC TX FX TIBIAL PROXIMAL CLOSED W/W/O MANIP-LT,450,1 ,"$2,724.00 ","$1,770.60 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,253.04 ","$1,476.41 ","$2,722.21 ",$762.72 ,$939.78 ,"$2,722.21 ","$1,073.26 ","$2,722.21 ","$1,089.60 ","$1,089.60 ","$2,722.21 ","$1,089.60 ","$2,724.00 ","$1,432.82 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$1,906.80 ","$2,722.21 ","$1,362.00 ","$2,724.00 ","$2,043.00 ","$1,214.90 ","$1,092.32 ","$1,214.90 ","$2,722.21 ","$1,214.90 ","$1,716.12 ","$1,716.12 ","$1,934.04 ","$2,724.00 ","$2,315.40 ","$2,724.00 ","$2,179.20 ","$1,007.88 ","$2,179.20 ","$2,722.21 ","$2,722.21 ","$2,724.00 ","$1,476.41 ","$2,722.21 ",$716.41 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,315.40 ","$6,124.98 ","$1,089.60 ",$762.72 ,"$2,451.60 ","$1,961.28 ","$2,724.00 ","$1,716.12 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,307.52 ","$2,451.60 " ST. JOHN'S HOSPITAL,45001011,27532,HC TX FX TIBIAL PROXIMAL CLOSED W/W/O MANIP-RT,450,1 ,"$2,724.00 ","$1,770.60 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,253.04 ","$1,476.41 ","$2,722.21 ",$762.72 ,$939.78 ,"$2,722.21 ","$1,073.26 ","$2,722.21 ","$1,089.60 ","$1,089.60 ","$2,722.21 ","$1,089.60 ","$2,724.00 ","$1,432.82 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$1,906.80 ","$2,722.21 ","$1,362.00 ","$2,724.00 ","$2,043.00 ","$1,214.90 ","$1,092.32 ","$1,214.90 ","$2,722.21 ","$1,214.90 ","$1,716.12 ","$1,716.12 ","$1,934.04 ","$2,724.00 ","$2,315.40 ","$2,724.00 ","$2,179.20 ","$1,007.88 ","$2,179.20 ","$2,722.21 ","$2,722.21 ","$2,724.00 ","$1,476.41 ","$2,722.21 ",$716.41 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,315.40 ","$6,124.98 ","$1,089.60 ",$762.72 ,"$2,451.60 ","$1,961.28 ","$2,724.00 ","$1,716.12 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,307.52 ","$2,451.60 " ST. JOHN'S HOSPITAL,45001012,27538,HC TX FX CLOSED SPINE/KNEE W/W/O MANIP-LT,450,1 ,"$2,854.00 ","$1,855.10 ",$198.12 ,"$2,854.00 ",$495.30 ,"$1,312.84 ","$1,546.87 ",$198.12 ,$799.12 ,$984.63 ,$198.12 ,"$1,124.48 ",$198.12 ,"$1,141.60 ","$1,141.60 ",$198.12 ,"$1,141.60 ",$376.43 ,"$1,501.20 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,997.80 ",$198.12 ,"$1,427.00 ",$202.09 ,"$2,140.50 ","$1,272.88 ","$1,144.45 ","$1,272.88 ",$198.12 ,"$1,272.88 ","$1,798.02 ","$1,798.02 ","$2,026.34 ","$2,854.00 ","$2,425.90 ",$495.31 ,"$2,283.20 ","$1,055.98 ","$2,283.20 ",$198.12 ,$198.12 ,"$2,854.00 ","$1,546.87 ",$198.12 ,$750.60 , N/A , N/A , N/A , N/A ,$208.03 ,"$2,425.90 ",$445.78 ,"$1,141.60 ",$799.12 ,"$2,568.60 ","$2,054.88 ","$2,854.00 ","$1,798.02 ",$425.00 ,$425.00 ,$198.12 ,"$1,369.92 ","$2,568.60 " ST. JOHN'S HOSPITAL,45001013,27538,HC TX FX CLOSED SPINE/KNEE W/W/O MANIP-RT,450,1 ,"$2,854.00 ","$1,855.10 ",$198.12 ,"$2,854.00 ",$495.30 ,"$1,312.84 ","$1,546.87 ",$198.12 ,$799.12 ,$984.63 ,$198.12 ,"$1,124.48 ",$198.12 ,"$1,141.60 ","$1,141.60 ",$198.12 ,"$1,141.60 ",$376.43 ,"$1,501.20 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,997.80 ",$198.12 ,"$1,427.00 ",$202.09 ,"$2,140.50 ","$1,272.88 ","$1,144.45 ","$1,272.88 ",$198.12 ,"$1,272.88 ","$1,798.02 ","$1,798.02 ","$2,026.34 ","$2,854.00 ","$2,425.90 ",$495.31 ,"$2,283.20 ","$1,055.98 ","$2,283.20 ",$198.12 ,$198.12 ,"$2,854.00 ","$1,546.87 ",$198.12 ,$750.60 , N/A , N/A , N/A , N/A ,$208.03 ,"$2,425.90 ",$445.78 ,"$1,141.60 ",$799.12 ,"$2,568.60 ","$2,054.88 ","$2,854.00 ","$1,798.02 ",$425.00 ,$425.00 ,$198.12 ,"$1,369.92 ","$2,568.60 " ST. JOHN'S HOSPITAL,45001014,27562,HC TX DISLOC PATELLAR W/ANESTH-LT,450,1 ,"$2,321.00 ","$1,508.65 ",$198.12 ,"$2,321.00 ",$495.30 ,"$1,067.66 ","$1,257.98 ",$198.12 ,$649.88 ,$800.75 ,$198.12 ,$914.47 ,$198.12 ,$928.40 ,$928.40 ,$198.12 ,$928.40 ,$376.43 ,"$1,220.85 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,624.70 ",$198.12 ,"$1,160.50 ",$202.09 ,"$1,740.75 ","$1,035.17 ",$930.72 ,"$1,035.17 ",$198.12 ,"$1,035.17 ","$1,462.23 ","$1,462.23 ","$1,647.91 ","$2,321.00 ","$1,972.85 ",$495.31 ,"$1,856.80 ",$858.77 ,"$1,856.80 ",$198.12 ,$198.12 ,"$2,321.00 ","$1,257.98 ",$198.12 ,$610.42 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,972.85 ",$445.78 ,$928.40 ,$649.88 ,"$2,088.90 ","$1,671.12 ","$2,321.00 ","$1,462.23 ",$425.00 ,$425.00 ,$198.12 ,"$1,114.08 ","$2,088.90 " ST. JOHN'S HOSPITAL,45001015,27562,HC TX DISLOC PATELLAR W/ANESTH-RT,450,1 ,"$2,321.00 ","$1,508.65 ",$198.12 ,"$2,321.00 ",$495.30 ,"$1,067.66 ","$1,257.98 ",$198.12 ,$649.88 ,$800.75 ,$198.12 ,$914.47 ,$198.12 ,$928.40 ,$928.40 ,$198.12 ,$928.40 ,$376.43 ,"$1,220.85 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,624.70 ",$198.12 ,"$1,160.50 ",$202.09 ,"$1,740.75 ","$1,035.17 ",$930.72 ,"$1,035.17 ",$198.12 ,"$1,035.17 ","$1,462.23 ","$1,462.23 ","$1,647.91 ","$2,321.00 ","$1,972.85 ",$495.31 ,"$1,856.80 ",$858.77 ,"$1,856.80 ",$198.12 ,$198.12 ,"$2,321.00 ","$1,257.98 ",$198.12 ,$610.42 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,972.85 ",$445.78 ,$928.40 ,$649.88 ,"$2,088.90 ","$1,671.12 ","$2,321.00 ","$1,462.23 ",$425.00 ,$425.00 ,$198.12 ,"$1,114.08 ","$2,088.90 " ST. JOHN'S HOSPITAL,45001016,27603,HC I AND D ABSCESS/HEMATOMA LEG/ANKLE DEEP-LT,450,1 ,"$3,096.00 ","$2,012.40 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$1,424.16 ","$1,678.03 ","$2,279.16 ",$866.88 ,"$1,068.12 ","$2,279.16 ","$1,219.82 ","$2,279.16 ","$1,238.40 ","$1,238.40 ","$2,279.16 ","$1,238.40 ","$3,096.00 ","$1,628.50 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$2,167.20 ","$2,279.16 ","$1,548.00 ","$2,324.75 ","$2,322.00 ","$1,380.82 ","$1,241.50 ","$1,380.82 ","$2,279.16 ","$1,380.82 ","$1,950.48 ","$1,950.48 ","$2,198.16 ","$3,096.00 ","$2,631.60 ","$3,096.00 ","$2,476.80 ","$1,145.52 ","$2,476.80 ","$2,279.16 ","$2,279.16 ","$3,096.00 ","$1,678.03 ","$2,279.16 ",$814.25 , N/A , N/A , N/A , N/A ,"$2,393.12 ","$2,631.60 ","$5,128.12 ","$1,238.40 ",$866.88 ,"$2,786.40 ","$2,229.12 ","$3,096.00 ","$1,950.48 ",$425.00 ,$425.00 ,"$2,279.16 ","$1,486.08 ","$2,786.40 " ST. JOHN'S HOSPITAL,45001017,27603,HC I AND D ABSCESS/HEMATOMA LEG/ANKLE DEEP-RT,450,1 ,"$3,096.00 ","$2,012.40 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$1,424.16 ","$1,678.03 ","$2,279.16 ",$866.88 ,"$1,068.12 ","$2,279.16 ","$1,219.82 ","$2,279.16 ","$1,238.40 ","$1,238.40 ","$2,279.16 ","$1,238.40 ","$3,096.00 ","$1,628.50 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$2,167.20 ","$2,279.16 ","$1,548.00 ","$2,324.75 ","$2,322.00 ","$1,380.82 ","$1,241.50 ","$1,380.82 ","$2,279.16 ","$1,380.82 ","$1,950.48 ","$1,950.48 ","$2,198.16 ","$3,096.00 ","$2,631.60 ","$3,096.00 ","$2,476.80 ","$1,145.52 ","$2,476.80 ","$2,279.16 ","$2,279.16 ","$3,096.00 ","$1,678.03 ","$2,279.16 ",$814.25 , N/A , N/A , N/A , N/A ,"$2,393.12 ","$2,631.60 ","$5,128.12 ","$1,238.40 ",$866.88 ,"$2,786.40 ","$2,229.12 ","$3,096.00 ","$1,950.48 ",$425.00 ,$425.00 ,"$2,279.16 ","$1,486.08 ","$2,786.40 " ST. JOHN'S HOSPITAL,45001018,27650,HC RPR ACHILLES TENDON OPEN/PERC PRIMARY-LT,450,1 ,"$7,594.00 ","$4,936.10 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$4,115.95 ","$6,020.90 ","$2,126.32 ","$2,619.93 ","$6,020.90 ","$2,992.04 ","$6,020.90 ","$3,037.60 ","$3,037.60 ","$6,020.90 ","$3,037.60 ","$7,594.00 ","$3,994.44 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$5,315.80 ","$6,020.90 ","$3,797.00 ","$6,141.32 ","$5,695.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,594.00 ","$6,454.90 ","$7,594.00 ","$6,075.20 ","$2,809.78 ","$6,075.20 ","$6,020.90 ","$6,020.90 ","$7,594.00 ","$4,115.95 ","$6,020.90 ","$1,997.22 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$6,454.90 ","$13,547.03 ","$3,037.60 ","$2,126.32 ","$6,834.60 ","$5,467.68 ","$7,594.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,645.12 ","$6,834.60 " ST. JOHN'S HOSPITAL,45001019,27650,HC RPR ACHILLES TENDON OPEN/PERC PRIMARY-RT,450,1 ,"$7,594.00 ","$4,936.10 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$4,115.95 ","$6,020.90 ","$2,126.32 ","$2,619.93 ","$6,020.90 ","$2,992.04 ","$6,020.90 ","$3,037.60 ","$3,037.60 ","$6,020.90 ","$3,037.60 ","$7,594.00 ","$3,994.44 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$5,315.80 ","$6,020.90 ","$3,797.00 ","$6,141.32 ","$5,695.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,594.00 ","$6,454.90 ","$7,594.00 ","$6,075.20 ","$2,809.78 ","$6,075.20 ","$6,020.90 ","$6,020.90 ","$7,594.00 ","$4,115.95 ","$6,020.90 ","$1,997.22 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$6,454.90 ","$13,547.03 ","$3,037.60 ","$2,126.32 ","$6,834.60 ","$5,467.68 ","$7,594.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,645.12 ","$6,834.60 " ST. JOHN'S HOSPITAL,45001022,27762,HC CLSD TX FX MEDIAL MALLEOLUS W/MANIP-LT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45001023,27762,HC CLSD TX FX MEDIAL MALLEOLUS W/MANIP-RT,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45001024,27768,HC CLSD TX POSTERIOR WITH MANIP,450,1 ,$536.00 ,$348.40 ,$140.97 ,"$3,347.18 ","$3,347.18 ",$246.56 ,$290.51 ,"$1,338.87 ",$150.08 ,$184.92 ,"$1,338.87 ",$211.18 ,$536.00 ,$214.40 ,$214.40 ,$536.00 ,$214.40 ,$536.00 ,$281.94 ,$273.36 ,"$3,347.17 ","$1,338.87 ",$375.20 ,"$1,338.87 ",$268.00 ,$536.00 ,$402.00 ,$239.06 ,$214.94 ,$239.06 ,"$1,338.87 ",$239.06 ,$337.68 ,$337.68 ,$380.56 ,$536.00 ,$455.60 ,$536.00 ,$428.80 ,$198.32 ,$428.80 ,"$1,338.87 ","$1,338.87 ",$536.00 ,$290.51 ,"$1,338.87 ",$140.97 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$455.60 ,"$3,012.45 ",$214.40 ,$150.08 ,$482.40 ,$385.92 ,$536.00 ,$337.68 ,$425.00 ,$425.00 ,"$1,338.87 ",$257.28 ,$482.40 ST. JOHN'S HOSPITAL,45001025,27780,HC PROX FIBULA W/O MANIP-LT,450,1 ,$565.00 ,$367.25 ,$148.60 ,$565.00 ,$495.30 ,$259.90 ,$306.23 ,$198.12 ,$158.20 ,$194.93 ,$198.12 ,$222.61 ,$198.12 ,$226.00 ,$226.00 ,$198.12 ,$226.00 ,$376.43 ,$297.19 ,$288.15 ,$495.31 ,$198.12 ,$395.50 ,$198.12 ,$282.50 ,$202.09 ,$423.75 ,$251.99 ,$226.57 ,$251.99 ,$198.12 ,$251.99 ,$355.95 ,$355.95 ,$401.15 ,$565.00 ,$480.25 ,$495.31 ,$452.00 ,$209.05 ,$452.00 ,$198.12 ,$198.12 ,$565.00 ,$306.23 ,$198.12 ,$148.60 , N/A , N/A , N/A , N/A ,$208.03 ,$480.25 ,$445.78 ,$226.00 ,$158.20 ,$508.50 ,$406.80 ,$565.00 ,$355.95 ,$425.00 ,$425.00 ,$198.12 ,$271.20 ,$508.50 ST. JOHN'S HOSPITAL,45001026,27780,HC PROX FIBULA W/O MANIP-RT,450,1 ,$565.00 ,$367.25 ,$148.60 ,$565.00 ,$495.30 ,$259.90 ,$306.23 ,$198.12 ,$158.20 ,$194.93 ,$198.12 ,$222.61 ,$198.12 ,$226.00 ,$226.00 ,$198.12 ,$226.00 ,$376.43 ,$297.19 ,$288.15 ,$495.31 ,$198.12 ,$395.50 ,$198.12 ,$282.50 ,$202.09 ,$423.75 ,$251.99 ,$226.57 ,$251.99 ,$198.12 ,$251.99 ,$355.95 ,$355.95 ,$401.15 ,$565.00 ,$480.25 ,$495.31 ,$452.00 ,$209.05 ,$452.00 ,$198.12 ,$198.12 ,$565.00 ,$306.23 ,$198.12 ,$148.60 , N/A , N/A , N/A , N/A ,$208.03 ,$480.25 ,$445.78 ,$226.00 ,$158.20 ,$508.50 ,$406.80 ,$565.00 ,$355.95 ,$425.00 ,$425.00 ,$198.12 ,$271.20 ,$508.50 ST. JOHN'S HOSPITAL,45001027,27781,HC TX FX PROXIMAL FIBULA/SHAFT W/MANIP-LT,450,1 ,"$4,412.00 ","$2,867.80 ",$425.00 ,"$4,412.00 ","$3,347.18 ","$2,029.52 ","$2,391.30 ","$1,338.87 ","$1,235.36 ","$1,522.14 ","$1,338.87 ","$1,738.33 ","$1,338.87 ","$1,764.80 ","$1,764.80 ","$1,338.87 ","$1,764.80 ","$2,543.85 ","$2,320.71 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,088.40 ","$1,338.87 ","$2,206.00 ","$1,365.64 ","$3,309.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,779.56 ","$2,779.56 ","$3,132.52 ","$4,412.00 ","$3,750.20 ","$3,347.17 ","$3,529.60 ","$1,632.44 ","$3,529.60 ","$1,338.87 ","$1,338.87 ","$4,412.00 ","$2,391.30 ","$1,338.87 ","$1,160.36 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,750.20 ","$3,012.45 ","$1,764.80 ","$1,235.36 ","$3,970.80 ","$3,176.64 ","$4,412.00 ","$2,779.56 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,117.76 ","$3,970.80 " ST. JOHN'S HOSPITAL,45001028,27781,HC TX FX PROXIMAL FIBULA/SHAFT W/MANIP-RT,450,1 ,"$4,412.00 ","$2,867.80 ",$425.00 ,"$4,412.00 ","$3,347.18 ","$2,029.52 ","$2,391.30 ","$1,338.87 ","$1,235.36 ","$1,522.14 ","$1,338.87 ","$1,738.33 ","$1,338.87 ","$1,764.80 ","$1,764.80 ","$1,338.87 ","$1,764.80 ","$2,543.85 ","$2,320.71 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,088.40 ","$1,338.87 ","$2,206.00 ","$1,365.64 ","$3,309.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,779.56 ","$2,779.56 ","$3,132.52 ","$4,412.00 ","$3,750.20 ","$3,347.17 ","$3,529.60 ","$1,632.44 ","$3,529.60 ","$1,338.87 ","$1,338.87 ","$4,412.00 ","$2,391.30 ","$1,338.87 ","$1,160.36 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,750.20 ","$3,012.45 ","$1,764.80 ","$1,235.36 ","$3,970.80 ","$3,176.64 ","$4,412.00 ","$2,779.56 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,117.76 ","$3,970.80 " ST. JOHN'S HOSPITAL,45001029,27786,HC TX FX CLOSED DISTAL FIBULAR W/O MANIP-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001030,27786,HC TX FX CLOSED DISTAL FIBULAR W/O MANIP-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001031,27788,HC TX FX CLOSED DISTAL FIBULAR W/MANIP-LT,450,1 ,"$1,160.00 ",$754.00 ,$198.12 ,"$1,160.00 ",$495.30 ,$533.60 ,$628.72 ,$198.12 ,$324.80 ,$400.20 ,$198.12 ,$457.04 ,$198.12 ,$464.00 ,$464.00 ,$198.12 ,$464.00 ,$376.43 ,$610.16 ,$591.60 ,$495.31 ,$198.12 ,$812.00 ,$198.12 ,$580.00 ,$202.09 ,$870.00 ,$517.36 ,$465.16 ,$517.36 ,$198.12 ,$517.36 ,$730.80 ,$730.80 ,$823.60 ,"$1,160.00 ",$986.00 ,$495.31 ,$928.00 ,$429.20 ,$928.00 ,$198.12 ,$198.12 ,"$1,160.00 ",$628.72 ,$198.12 ,$305.08 , N/A , N/A , N/A , N/A ,$208.03 ,$986.00 ,$445.78 ,$464.00 ,$324.80 ,"$1,044.00 ",$835.20 ,"$1,160.00 ",$730.80 ,$425.00 ,$425.00 ,$198.12 ,$556.80 ,"$1,044.00 " ST. JOHN'S HOSPITAL,45001032,27788,HC TX FX CLOSED DISTAL FIBULAR W/MANIP-RT,450,1 ,"$1,160.00 ",$754.00 ,$198.12 ,"$1,160.00 ",$495.30 ,$533.60 ,$628.72 ,$198.12 ,$324.80 ,$400.20 ,$198.12 ,$457.04 ,$198.12 ,$464.00 ,$464.00 ,$198.12 ,$464.00 ,$376.43 ,$610.16 ,$591.60 ,$495.31 ,$198.12 ,$812.00 ,$198.12 ,$580.00 ,$202.09 ,$870.00 ,$517.36 ,$465.16 ,$517.36 ,$198.12 ,$517.36 ,$730.80 ,$730.80 ,$823.60 ,"$1,160.00 ",$986.00 ,$495.31 ,$928.00 ,$429.20 ,$928.00 ,$198.12 ,$198.12 ,"$1,160.00 ",$628.72 ,$198.12 ,$305.08 , N/A , N/A , N/A , N/A ,$208.03 ,$986.00 ,$445.78 ,$464.00 ,$324.80 ,"$1,044.00 ",$835.20 ,"$1,160.00 ",$730.80 ,$425.00 ,$425.00 ,$198.12 ,$556.80 ,"$1,044.00 " ST. JOHN'S HOSPITAL,45001033,27810,HC TX FX BIMALL ANKLE W/MANIP CLOSED-BIL,450,1 ,"$1,292.00 ",$839.80 ,$339.80 ,"$3,347.18 ","$3,347.18 ",$594.32 ,$700.26 ,"$1,338.87 ",$361.76 ,$445.74 ,"$1,338.87 ",$509.05 ,"$1,292.00 ",$516.80 ,$516.80 ,"$1,292.00 ",$516.80 ,"$1,292.00 ",$679.59 ,$658.92 ,"$3,347.17 ","$1,338.87 ",$904.40 ,"$1,338.87 ",$646.00 ,"$1,292.00 ",$969.00 ,$576.23 ,$518.09 ,$576.23 ,"$1,338.87 ",$576.23 ,$813.96 ,$813.96 ,$917.32 ,"$1,292.00 ","$1,098.20 ","$1,292.00 ","$1,033.60 ",$478.04 ,"$1,033.60 ","$1,338.87 ","$1,338.87 ","$1,292.00 ",$700.26 ,"$1,338.87 ",$339.80 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,098.20 ","$3,012.45 ",$516.80 ,$361.76 ,"$1,162.80 ",$930.24 ,"$1,292.00 ",$813.96 ,$425.00 ,$425.00 ,"$1,338.87 ",$620.16 ,"$1,162.80 " ST. JOHN'S HOSPITAL,45001034,27816,HC TRIMALLEOLAR ANKLE FX W/O MANIP-LT,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45001035,27816,HC TRIMALLEOLAR ANKLE FX W/O MANIP-RT,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45001036,27830,HC TX TIBIOFIBULAR JOINT DISLOC W/O ANESTH-LT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45001037,27830,HC TX TIBIOFIBULAR JOINT DISLOC W/O ANESTH-RT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45001038,27840,HC TX DISL ANKE W/O ANES CLS-LT,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45001039,27840,HC TX DISL ANKE W/O ANES CLS-RT,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45001040,27842,HC CLOSED TX ANKLE DISLOC W/ANESTH W/W/O FIXATION-LT,450,1 ,"$2,324.00 ","$1,510.60 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,069.04 ","$1,259.61 ","$1,338.87 ",$650.72 ,$801.78 ,"$1,338.87 ",$915.66 ,"$1,338.87 ",$929.60 ,$929.60 ,"$1,338.87 ",$929.60 ,"$2,324.00 ","$1,222.42 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,626.80 ","$1,338.87 ","$1,162.00 ","$1,365.64 ","$1,743.00 ","$1,036.50 ",$931.92 ,"$1,036.50 ","$1,338.87 ","$1,036.50 ","$1,464.12 ","$1,464.12 ","$1,650.04 ","$2,324.00 ","$1,975.40 ","$2,324.00 ","$1,859.20 ",$859.88 ,"$1,859.20 ","$1,338.87 ","$1,338.87 ","$2,324.00 ","$1,259.61 ","$1,338.87 ",$611.21 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,975.40 ","$3,012.45 ",$929.60 ,$650.72 ,"$2,091.60 ","$1,673.28 ","$2,324.00 ","$1,464.12 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,115.52 ","$2,091.60 " ST. JOHN'S HOSPITAL,45001041,27842,HC CLOSED TX ANKLE DISLOC W/ANESTH W/W/O FIXATION-RT,450,1 ,"$2,324.00 ","$1,510.60 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,069.04 ","$1,259.61 ","$1,338.87 ",$650.72 ,$801.78 ,"$1,338.87 ",$915.66 ,"$1,338.87 ",$929.60 ,$929.60 ,"$1,338.87 ",$929.60 ,"$2,324.00 ","$1,222.42 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$1,626.80 ","$1,338.87 ","$1,162.00 ","$1,365.64 ","$1,743.00 ","$1,036.50 ",$931.92 ,"$1,036.50 ","$1,338.87 ","$1,036.50 ","$1,464.12 ","$1,464.12 ","$1,650.04 ","$2,324.00 ","$1,975.40 ","$2,324.00 ","$1,859.20 ",$859.88 ,"$1,859.20 ","$1,338.87 ","$1,338.87 ","$2,324.00 ","$1,259.61 ","$1,338.87 ",$611.21 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,975.40 ","$3,012.45 ",$929.60 ,$650.72 ,"$2,091.60 ","$1,673.28 ","$2,324.00 ","$1,464.12 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,115.52 ","$2,091.60 " ST. JOHN'S HOSPITAL,45001042,28192,HC REMOVE FOREIGN BODY FOOT DEEP-LT,450,1 ,"$2,868.00 ","$1,864.20 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,319.28 ","$1,554.46 ","$1,352.50 ",$803.04 ,$989.46 ,"$1,352.50 ","$1,129.99 ","$1,352.50 ","$1,147.20 ","$1,147.20 ","$1,352.50 ","$1,147.20 ","$2,569.74 ","$1,508.57 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,007.60 ","$1,352.50 ","$1,434.00 ","$1,379.54 ","$2,151.00 ","$1,279.13 ","$1,150.07 ","$1,279.13 ","$1,352.50 ","$1,279.13 ","$1,806.84 ","$1,806.84 ","$2,036.28 ","$2,868.00 ","$2,437.80 ","$2,868.00 ","$2,294.40 ","$1,061.16 ","$2,294.40 ","$1,352.50 ","$1,352.50 ","$2,868.00 ","$1,554.46 ","$1,352.50 ",$754.28 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,437.80 ","$3,043.11 ","$1,147.20 ",$803.04 ,"$2,581.20 ","$2,064.96 ","$2,868.00 ","$1,806.84 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,376.64 ","$2,581.20 " ST. JOHN'S HOSPITAL,45001043,28192,HC REMOVE FOREIGN BODY FOOT DEEP-RT,450,1 ,"$2,868.00 ","$1,864.20 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,319.28 ","$1,554.46 ","$1,352.50 ",$803.04 ,$989.46 ,"$1,352.50 ","$1,129.99 ","$1,352.50 ","$1,147.20 ","$1,147.20 ","$1,352.50 ","$1,147.20 ","$2,569.74 ","$1,508.57 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,007.60 ","$1,352.50 ","$1,434.00 ","$1,379.54 ","$2,151.00 ","$1,279.13 ","$1,150.07 ","$1,279.13 ","$1,352.50 ","$1,279.13 ","$1,806.84 ","$1,806.84 ","$2,036.28 ","$2,868.00 ","$2,437.80 ","$2,868.00 ","$2,294.40 ","$1,061.16 ","$2,294.40 ","$1,352.50 ","$1,352.50 ","$2,868.00 ","$1,554.46 ","$1,352.50 ",$754.28 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,437.80 ","$3,043.11 ","$1,147.20 ",$803.04 ,"$2,581.20 ","$2,064.96 ","$2,868.00 ","$1,806.84 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,376.64 ","$2,581.20 " ST. JOHN'S HOSPITAL,45001044,28200,HC REPAIR FLEXOR/TENDON/FOOT W/O GRAFT EA TENDON-LT,450,1 ,"$5,551.00 ","$3,608.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,553.46 ","$3,008.64 ","$2,722.21 ","$1,554.28 ","$1,915.10 ","$2,722.21 ","$2,187.09 ","$2,722.21 ","$2,220.40 ","$2,220.40 ","$2,722.21 ","$2,220.40 ","$5,172.21 ","$2,919.83 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,885.70 ","$2,722.21 ","$2,775.50 ","$2,776.66 ","$4,163.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,497.13 ","$3,497.13 ","$3,941.21 ","$5,551.00 ","$4,718.35 ","$5,551.00 ","$4,440.80 ","$2,053.87 ","$4,440.80 ","$2,722.21 ","$2,722.21 ","$5,551.00 ","$3,008.64 ","$2,722.21 ","$1,459.91 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,718.35 ","$6,124.98 ","$2,220.40 ","$1,554.28 ","$4,995.90 ","$3,996.72 ","$5,551.00 ","$3,497.13 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,664.48 ","$4,995.90 " ST. JOHN'S HOSPITAL,45001045,28200,HC REPAIR FLEXOR/TENDON/FOOT W/O GRAFT EA TENDON-RT,450,1 ,"$5,551.00 ","$3,608.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,553.46 ","$3,008.64 ","$2,722.21 ","$1,554.28 ","$1,915.10 ","$2,722.21 ","$2,187.09 ","$2,722.21 ","$2,220.40 ","$2,220.40 ","$2,722.21 ","$2,220.40 ","$5,172.21 ","$2,919.83 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,885.70 ","$2,722.21 ","$2,775.50 ","$2,776.66 ","$4,163.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,497.13 ","$3,497.13 ","$3,941.21 ","$5,551.00 ","$4,718.35 ","$5,551.00 ","$4,440.80 ","$2,053.87 ","$4,440.80 ","$2,722.21 ","$2,722.21 ","$5,551.00 ","$3,008.64 ","$2,722.21 ","$1,459.91 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,718.35 ","$6,124.98 ","$2,220.40 ","$1,554.28 ","$4,995.90 ","$3,996.72 ","$5,551.00 ","$3,497.13 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,664.48 ","$4,995.90 " ST. JOHN'S HOSPITAL,45001046,28400,HC TX FX CLOSED CALCANEAL W/O MANIP,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$495.30 ,$333.96 ,$393.49 ,$198.12 ,$203.28 ,$250.47 ,$198.12 ,$286.04 ,$198.12 ,$290.40 ,$290.40 ,$198.12 ,$290.40 ,$376.43 ,$381.88 ,$370.26 ,$495.31 ,$198.12 ,$508.20 ,$198.12 ,$363.00 ,$202.09 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$198.12 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$495.31 ,$580.80 ,$268.62 ,$580.80 ,$198.12 ,$198.12 ,$726.00 ,$393.49 ,$198.12 ,$190.94 , N/A , N/A , N/A , N/A ,$208.03 ,$617.10 ,$445.78 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$198.12 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001047,28435,HC TX FX CLOSED TALUS W/MANIP-LT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45001048,28435,HC TX FX CLOSED TALUS W/MANIP-RT,450,1 ,"$1,692.00 ","$1,099.80 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$778.32 ,$917.06 ,"$1,338.87 ",$473.76 ,$583.74 ,"$1,338.87 ",$666.65 ,"$1,338.87 ",$676.80 ,$676.80 ,"$1,338.87 ",$676.80 ,"$1,692.00 ",$889.99 ,$862.92 ,"$3,347.17 ","$1,338.87 ","$1,184.40 ","$1,338.87 ",$846.00 ,"$1,365.64 ","$1,269.00 ",$754.63 ,$678.49 ,$754.63 ,"$1,338.87 ",$754.63 ,"$1,065.96 ","$1,065.96 ","$1,201.32 ","$1,692.00 ","$1,438.20 ","$1,692.00 ","$1,353.60 ",$626.04 ,"$1,353.60 ","$1,338.87 ","$1,338.87 ","$1,692.00 ",$917.06 ,"$1,338.87 ",$445.00 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,438.20 ","$3,012.45 ",$676.80 ,$473.76 ,"$1,522.80 ","$1,218.24 ","$1,692.00 ","$1,065.96 ",$425.00 ,$425.00 ,"$1,338.87 ",$812.16 ,"$1,522.80 " ST. JOHN'S HOSPITAL,45001049,28450,HC CLSD TARSAL W/O MANIP-LT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45001050,28450,HC CLSD TARSAL W/O MANIP-RT,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45001051,28475,HC CLSD METATARSAL W/MANIP-LT,450,1 ,"$1,055.00 ",$685.75 ,$198.12 ,"$1,055.00 ",$495.30 ,$485.30 ,$571.81 ,$198.12 ,$295.40 ,$363.98 ,$198.12 ,$415.67 ,$198.12 ,$422.00 ,$422.00 ,$198.12 ,$422.00 ,$376.43 ,$554.93 ,$538.05 ,$495.31 ,$198.12 ,$738.50 ,$198.12 ,$527.50 ,$202.09 ,$791.25 ,$470.53 ,$423.06 ,$470.53 ,$198.12 ,$470.53 ,$664.65 ,$664.65 ,$749.05 ,"$1,055.00 ",$896.75 ,$495.31 ,$844.00 ,$390.35 ,$844.00 ,$198.12 ,$198.12 ,"$1,055.00 ",$571.81 ,$198.12 ,$277.47 , N/A , N/A , N/A , N/A ,$208.03 ,$896.75 ,$445.78 ,$422.00 ,$295.40 ,$949.50 ,$759.60 ,"$1,055.00 ",$664.65 ,$425.00 ,$425.00 ,$198.12 ,$506.40 ,$949.50 ST. JOHN'S HOSPITAL,45001052,28475,HC CLSD METATARSAL W/MANIP-RT,450,1 ,"$1,055.00 ",$685.75 ,$198.12 ,"$1,055.00 ",$495.30 ,$485.30 ,$571.81 ,$198.12 ,$295.40 ,$363.98 ,$198.12 ,$415.67 ,$198.12 ,$422.00 ,$422.00 ,$198.12 ,$422.00 ,$376.43 ,$554.93 ,$538.05 ,$495.31 ,$198.12 ,$738.50 ,$198.12 ,$527.50 ,$202.09 ,$791.25 ,$470.53 ,$423.06 ,$470.53 ,$198.12 ,$470.53 ,$664.65 ,$664.65 ,$749.05 ,"$1,055.00 ",$896.75 ,$495.31 ,$844.00 ,$390.35 ,$844.00 ,$198.12 ,$198.12 ,"$1,055.00 ",$571.81 ,$198.12 ,$277.47 , N/A , N/A , N/A , N/A ,$208.03 ,$896.75 ,$445.78 ,$422.00 ,$295.40 ,$949.50 ,$759.60 ,"$1,055.00 ",$664.65 ,$425.00 ,$425.00 ,$198.12 ,$506.40 ,$949.50 ST. JOHN'S HOSPITAL,45001061,28545,HC TX TARSAL DISLOC W/ANESTH-LT,450,1 ,"$6,715.00 ","$4,364.75 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$3,000.00 ","$3,639.53 ","$2,722.21 ","$1,880.20 ","$2,316.68 ","$2,722.21 ","$2,645.71 ","$2,722.21 ","$2,686.00 ","$2,686.00 ","$2,722.21 ","$2,686.00 ","$5,172.21 ","$3,532.09 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,700.50 ","$2,722.21 ","$3,357.50 ","$2,776.66 ","$5,036.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,715.00 ","$5,707.75 ","$6,715.00 ","$5,372.00 ","$2,484.55 ","$5,372.00 ","$2,722.21 ","$2,722.21 ","$6,715.00 ","$3,639.53 ","$2,722.21 ","$1,766.05 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,707.75 ","$6,124.98 ","$2,686.00 ","$1,880.20 ","$6,043.50 ","$4,834.80 ","$6,715.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,223.20 ","$6,043.50 " ST. JOHN'S HOSPITAL,45001062,28545,HC TX TARSAL DISLOC W/ANESTH-RT,450,1 ,"$6,715.00 ","$4,364.75 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$3,000.00 ","$3,639.53 ","$2,722.21 ","$1,880.20 ","$2,316.68 ","$2,722.21 ","$2,645.71 ","$2,722.21 ","$2,686.00 ","$2,686.00 ","$2,722.21 ","$2,686.00 ","$5,172.21 ","$3,532.09 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,700.50 ","$2,722.21 ","$3,357.50 ","$2,776.66 ","$5,036.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,715.00 ","$5,707.75 ","$6,715.00 ","$5,372.00 ","$2,484.55 ","$5,372.00 ","$2,722.21 ","$2,722.21 ","$6,715.00 ","$3,639.53 ","$2,722.21 ","$1,766.05 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,707.75 ","$6,124.98 ","$2,686.00 ","$1,880.20 ","$6,043.50 ","$4,834.80 ","$6,715.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,223.20 ","$6,043.50 " ST. JOHN'S HOSPITAL,45001063,28575,HC TX CLOSED TALOTARSAL JOINT DISLOC W/ANESTH-LT,450,1 ,"$4,601.00 ","$2,990.65 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,116.46 ","$2,493.74 ","$2,722.21 ","$1,288.28 ","$1,587.35 ","$2,722.21 ","$1,812.79 ","$2,722.21 ","$1,840.40 ","$1,840.40 ","$2,722.21 ","$1,840.40 ","$4,601.00 ","$2,420.13 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,220.70 ","$2,722.21 ","$2,300.50 ","$2,776.66 ","$3,450.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$2,898.63 ","$2,898.63 ","$3,266.71 ","$4,601.00 ","$3,910.85 ","$4,601.00 ","$3,680.80 ","$1,702.37 ","$3,680.80 ","$2,722.21 ","$2,722.21 ","$4,601.00 ","$2,493.74 ","$2,722.21 ","$1,210.06 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,910.85 ","$6,124.98 ","$1,840.40 ","$1,288.28 ","$4,140.90 ","$3,312.72 ","$4,601.00 ","$2,898.63 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,208.48 ","$4,140.90 " ST. JOHN'S HOSPITAL,45001064,28575,HC TX CLOSED TALOTARSAL JOINT DISLOC W/ANESTH-RT,450,1 ,"$4,601.00 ","$2,990.65 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,116.46 ","$2,493.74 ","$2,722.21 ","$1,288.28 ","$1,587.35 ","$2,722.21 ","$1,812.79 ","$2,722.21 ","$1,840.40 ","$1,840.40 ","$2,722.21 ","$1,840.40 ","$4,601.00 ","$2,420.13 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,220.70 ","$2,722.21 ","$2,300.50 ","$2,776.66 ","$3,450.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$2,898.63 ","$2,898.63 ","$3,266.71 ","$4,601.00 ","$3,910.85 ","$4,601.00 ","$3,680.80 ","$1,702.37 ","$3,680.80 ","$2,722.21 ","$2,722.21 ","$4,601.00 ","$2,493.74 ","$2,722.21 ","$1,210.06 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,910.85 ","$6,124.98 ","$1,840.40 ","$1,288.28 ","$4,140.90 ","$3,312.72 ","$4,601.00 ","$2,898.63 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,208.48 ","$4,140.90 " ST. JOHN'S HOSPITAL,45001075,28810,HC AMPUTATION METATARSAL TOE SINGLE,450,1 ,"$5,956.00 ","$3,871.40 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,739.76 ","$3,228.15 ","$2,722.21 ","$1,667.68 ","$2,054.82 ","$2,722.21 ","$2,346.66 ","$2,722.21 ","$2,382.40 ","$2,382.40 ","$2,722.21 ","$2,382.40 ","$5,172.21 ","$3,132.86 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,169.20 ","$2,722.21 ","$2,978.00 ","$2,776.66 ","$4,467.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,752.28 ","$3,752.28 ","$4,002.00 ","$5,956.00 ","$5,062.60 ","$5,956.00 ","$4,764.80 ","$2,203.72 ","$4,764.80 ","$2,722.21 ","$2,722.21 ","$5,956.00 ","$3,228.15 ","$2,722.21 ","$1,566.43 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,062.60 ","$6,124.98 ","$2,382.40 ","$1,667.68 ","$5,360.40 ","$4,288.32 ","$5,956.00 ","$3,752.28 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,858.88 ","$5,360.40 " ST. JOHN'S HOSPITAL,45001086,29125,HC APPL SHORT ARM SPLINT STATIC-XS,450,1 ,$422.00 ,$274.30 ,$108.39 ,$422.00 ,$270.98 ,$194.12 ,$228.72 ,$108.39 ,$118.16 ,$145.59 ,$108.39 ,$166.27 ,$108.39 ,$168.80 ,$168.80 ,$108.39 ,$168.80 ,$205.94 ,$221.97 ,$215.22 ,$270.97 ,$108.39 ,$295.40 ,$108.39 ,$211.00 ,$110.56 ,$316.50 ,$188.21 ,$169.22 ,$188.21 ,$108.39 ,$188.21 ,$265.86 ,$265.86 ,$299.62 ,$422.00 ,$358.70 ,$270.97 ,$337.60 ,$156.14 ,$337.60 ,$108.39 ,$108.39 ,$422.00 ,$228.72 ,$108.39 ,$110.99 , N/A , N/A , N/A , N/A ,$113.81 ,$358.70 ,$243.87 ,$168.80 ,$118.16 ,$379.80 ,$303.84 ,$422.00 ,$265.86 ,$422.00 ,$422.00 ,$108.39 ,$202.56 ,$379.80 ST. JOHN'S HOSPITAL,45001109,29425,HC APPLY SHORT LEG CAST WALKING-LT,450,1 ,$912.00 ,$592.80 ,$231.89 ,$912.00 ,$579.73 ,$419.52 ,$494.30 ,$231.89 ,$255.36 ,$314.64 ,$231.89 ,$359.33 ,$231.89 ,$364.80 ,$364.80 ,$231.89 ,$364.80 ,$440.60 ,$479.71 ,$465.12 ,$579.73 ,$231.89 ,$638.40 ,$231.89 ,$456.00 ,$236.53 ,$684.00 ,$406.75 ,$365.71 ,$406.75 ,$231.89 ,$406.75 ,$574.56 ,$574.56 ,$647.52 ,$912.00 ,$775.20 ,$579.73 ,$729.60 ,$337.44 ,$729.60 ,$231.89 ,$231.89 ,$912.00 ,$494.30 ,$231.89 ,$239.86 , N/A , N/A , N/A , N/A ,$243.48 ,$775.20 ,$521.76 ,$364.80 ,$255.36 ,$820.80 ,$656.64 ,$912.00 ,$574.56 ,$425.00 ,$425.00 ,$231.89 ,$437.76 ,$820.80 ST. JOHN'S HOSPITAL,45001110,29425,HC APPLY SHORT LEG CAST WALKING-RT,450,1 ,$912.00 ,$592.80 ,$231.89 ,$912.00 ,$579.73 ,$419.52 ,$494.30 ,$231.89 ,$255.36 ,$314.64 ,$231.89 ,$359.33 ,$231.89 ,$364.80 ,$364.80 ,$231.89 ,$364.80 ,$440.60 ,$479.71 ,$465.12 ,$579.73 ,$231.89 ,$638.40 ,$231.89 ,$456.00 ,$236.53 ,$684.00 ,$406.75 ,$365.71 ,$406.75 ,$231.89 ,$406.75 ,$574.56 ,$574.56 ,$647.52 ,$912.00 ,$775.20 ,$579.73 ,$729.60 ,$337.44 ,$729.60 ,$231.89 ,$231.89 ,$912.00 ,$494.30 ,$231.89 ,$239.86 , N/A , N/A , N/A , N/A ,$243.48 ,$775.20 ,$521.76 ,$364.80 ,$255.36 ,$820.80 ,$656.64 ,$912.00 ,$574.56 ,$425.00 ,$425.00 ,$231.89 ,$437.76 ,$820.80 ST. JOHN'S HOSPITAL,45001111,29520,HC STRAPPING HIP,450,1 ,$360.00 ,$234.00 ,$94.68 ,$360.00 ,$270.98 ,$165.60 ,$195.12 ,$108.39 ,$100.80 ,$124.20 ,$108.39 ,$141.84 ,$108.39 ,$144.00 ,$144.00 ,$108.39 ,$144.00 ,$205.94 ,$189.36 ,$183.60 ,$270.97 ,$108.39 ,$252.00 ,$108.39 ,$180.00 ,$110.56 ,$270.00 ,$160.56 ,$144.36 ,$160.56 ,$108.39 ,$160.56 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 ,$270.97 ,$288.00 ,$133.20 ,$288.00 ,$108.39 ,$108.39 ,$360.00 ,$195.12 ,$108.39 ,$94.68 , N/A , N/A , N/A , N/A ,$113.81 ,$306.00 ,$243.87 ,$144.00 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$360.00 ,$360.00 ,$108.39 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,45001112,29540,HC STRAPPING ANKLE/FOOT-LT,450,1 ,$622.00 ,$404.30 ,$135.81 ,$622.00 ,$339.53 ,$286.12 ,$337.12 ,$135.81 ,$174.16 ,$214.59 ,$135.81 ,$245.07 ,$135.81 ,$248.80 ,$248.80 ,$135.81 ,$248.80 ,$258.03 ,$327.17 ,$317.22 ,$339.51 ,$135.81 ,$435.40 ,$135.81 ,$311.00 ,$138.52 ,$466.50 ,$277.41 ,$249.42 ,$277.41 ,$135.81 ,$277.41 ,$391.86 ,$391.86 ,$441.62 ,$622.00 ,$528.70 ,$339.51 ,$497.60 ,$230.14 ,$497.60 ,$135.81 ,$135.81 ,$622.00 ,$337.12 ,$135.81 ,$163.59 , N/A , N/A , N/A , N/A ,$142.60 ,$528.70 ,$305.56 ,$248.80 ,$174.16 ,$559.80 ,$447.84 ,$622.00 ,$391.86 ,$425.00 ,$425.00 ,$135.81 ,$298.56 ,$559.80 ST. JOHN'S HOSPITAL,45001113,29540,HC STRAPPING ANKLE/FOOT-RT,450,1 ,$622.00 ,$404.30 ,$135.81 ,$622.00 ,$339.53 ,$286.12 ,$337.12 ,$135.81 ,$174.16 ,$214.59 ,$135.81 ,$245.07 ,$135.81 ,$248.80 ,$248.80 ,$135.81 ,$248.80 ,$258.03 ,$327.17 ,$317.22 ,$339.51 ,$135.81 ,$435.40 ,$135.81 ,$311.00 ,$138.52 ,$466.50 ,$277.41 ,$249.42 ,$277.41 ,$135.81 ,$277.41 ,$391.86 ,$391.86 ,$441.62 ,$622.00 ,$528.70 ,$339.51 ,$497.60 ,$230.14 ,$497.60 ,$135.81 ,$135.81 ,$622.00 ,$337.12 ,$135.81 ,$163.59 , N/A , N/A , N/A , N/A ,$142.60 ,$528.70 ,$305.56 ,$248.80 ,$174.16 ,$559.80 ,$447.84 ,$622.00 ,$391.86 ,$425.00 ,$425.00 ,$135.81 ,$298.56 ,$559.80 ST. JOHN'S HOSPITAL,45001116,26567,HC OSTEOTOMY FINGER EACH,450,1 ,"$4,302.00 ","$2,796.30 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,978.92 ","$2,331.68 ","$2,722.21 ","$1,204.56 ","$1,484.19 ","$2,722.21 ","$1,694.99 ","$2,722.21 ","$1,720.80 ","$1,720.80 ","$2,722.21 ","$1,720.80 ","$4,302.00 ","$2,262.85 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,011.40 ","$2,722.21 ","$2,151.00 ","$2,776.66 ","$3,226.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$2,710.26 ","$2,710.26 ","$3,054.42 ","$4,302.00 ","$3,656.70 ","$4,302.00 ","$3,441.60 ","$1,591.74 ","$3,441.60 ","$2,722.21 ","$2,722.21 ","$4,302.00 ","$2,331.68 ","$2,722.21 ","$1,131.43 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,656.70 ","$6,124.98 ","$1,720.80 ","$1,204.56 ","$3,871.80 ","$3,097.44 ","$4,302.00 ","$2,710.26 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,064.96 ","$3,871.80 " ST. JOHN'S HOSPITAL,45001117,26715,HC TX DISLOC (M-P) W/INT FIXATION OPEN,450,1 ,"$8,254.00 ","$5,365.10 ",$425.00 ,"$8,254.00 ","$6,805.53 ","$3,000.00 ","$4,473.67 ","$2,722.21 ","$2,311.12 ","$2,847.63 ","$2,722.21 ","$3,252.08 ","$2,722.21 ","$3,301.60 ","$3,301.60 ","$2,722.21 ","$3,301.60 ","$5,172.21 ","$4,341.60 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$5,777.80 ","$2,722.21 ","$4,127.00 ","$2,776.66 ","$6,190.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,254.00 ","$7,015.90 ","$6,805.53 ","$6,603.20 ","$3,053.98 ","$6,603.20 ","$2,722.21 ","$2,722.21 ","$8,254.00 ","$4,473.67 ","$2,722.21 ","$2,170.80 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$7,015.90 ","$6,124.98 ","$3,301.60 ","$2,311.12 ","$7,428.60 ","$5,942.88 ","$8,254.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,961.92 ","$7,428.60 " ST. JOHN'S HOSPITAL,45001118,30000,HC DRAIN ABSCESS/HEMATOMA NASAL,450,1 ,$911.00 ,$592.15 ,$203.37 ,$911.00 ,$508.43 ,$419.06 ,$493.76 ,$203.37 ,$255.08 ,$314.30 ,$203.37 ,$358.93 ,$203.37 ,$364.40 ,$364.40 ,$203.37 ,$364.40 ,$386.39 ,$479.19 ,$464.61 ,$508.41 ,$203.37 ,$637.70 ,$203.37 ,$455.50 ,$207.43 ,$683.25 ,$406.31 ,$365.31 ,$406.31 ,$203.37 ,$406.31 ,$573.93 ,$573.93 ,$646.81 ,$911.00 ,$774.35 ,$508.41 ,$728.80 ,$337.07 ,$728.80 ,$203.37 ,$203.37 ,$911.00 ,$493.76 ,$203.37 ,$239.59 , N/A , N/A , N/A , N/A ,$213.54 ,$774.35 ,$457.57 ,$364.40 ,$255.08 ,$819.90 ,$655.92 ,$911.00 ,$573.93 ,$425.00 ,$425.00 ,$203.37 ,$437.28 ,$819.90 ST. JOHN'S HOSPITAL,45001119,30020,HC DRAIN ABSCESS/HEMATOMA NASAL SEPTUM,450,1 ,"$2,665.00 ","$1,732.25 ",$425.00 ,"$2,665.00 ","$1,086.85 ","$1,225.90 ","$1,444.43 ",$434.74 ,$746.20 ,$919.43 ,$434.74 ,"$1,050.01 ",$434.74 ,"$1,066.00 ","$1,066.00 ",$434.74 ,"$1,066.00 ",$826.01 ,"$1,401.79 ","$1,049.00 ","$1,086.85 ",$434.74 ,"$1,865.50 ",$434.74 ,"$1,332.50 ",$443.44 ,"$1,998.75 ","$1,188.59 ","$1,068.67 ","$1,188.59 ",$434.74 ,"$1,188.59 ","$1,678.95 ","$1,678.95 ","$1,892.15 ","$2,665.00 ","$2,265.25 ","$1,086.85 ","$2,132.00 ",$986.05 ,"$2,132.00 ",$434.74 ,$434.74 ,"$2,665.00 ","$1,444.43 ",$434.74 ,$700.90 , N/A , N/A , N/A , N/A ,$456.48 ,"$2,265.25 ",$978.17 ,"$1,066.00 ",$746.20 ,"$2,398.50 ","$1,918.80 ","$2,665.00 ","$1,678.95 ",$425.00 ,$425.00 ,$434.74 ,"$1,279.20 ","$2,398.50 " ST. JOHN'S HOSPITAL,45001121,30901,HC CONTROL NOSEBLEED ANT SIMPLE - XP,450,1 ,$726.00 ,$471.90 ,$108.39 ,$726.00 ,$270.98 ,$333.96 ,$393.49 ,$108.39 ,$203.28 ,$250.47 ,$108.39 ,$286.04 ,$108.39 ,$290.40 ,$290.40 ,$108.39 ,$290.40 ,$205.94 ,$381.88 ,$370.26 ,$270.97 ,$108.39 ,$508.20 ,$108.39 ,$363.00 ,$110.56 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$108.39 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$270.97 ,$580.80 ,$268.62 ,$580.80 ,$108.39 ,$108.39 ,$726.00 ,$393.49 ,$108.39 ,$190.94 , N/A , N/A , N/A , N/A ,$113.81 ,$617.10 ,$243.87 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$108.39 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001123,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ-LT,450,1 ,"$1,892.00 ","$1,229.80 ",$203.37 ,"$1,892.00 ",$508.43 ,$870.32 ,"$1,025.46 ",$203.37 ,$529.76 ,$652.74 ,$203.37 ,$745.45 ,$203.37 ,$756.80 ,$756.80 ,$203.37 ,$756.80 ,$386.39 ,$995.19 ,$964.92 ,$508.41 ,$203.37 ,"$1,324.40 ",$203.37 ,$946.00 ,$207.43 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$203.37 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$508.41 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$203.37 ,$203.37 ,"$1,892.00 ","$1,025.46 ",$203.37 ,$497.60 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,608.20 ",$457.57 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$203.37 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45001124,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ-RT,450,1 ,"$1,892.00 ","$1,229.80 ",$203.37 ,"$1,892.00 ",$508.43 ,$870.32 ,"$1,025.46 ",$203.37 ,$529.76 ,$652.74 ,$203.37 ,$745.45 ,$203.37 ,$756.80 ,$756.80 ,$203.37 ,$756.80 ,$386.39 ,$995.19 ,$964.92 ,$508.41 ,$203.37 ,"$1,324.40 ",$203.37 ,$946.00 ,$207.43 ,"$1,419.00 ",$843.83 ,$758.69 ,$843.83 ,$203.37 ,$843.83 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$508.41 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$203.37 ,$203.37 ,"$1,892.00 ","$1,025.46 ",$203.37 ,$497.60 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,608.20 ",$457.57 ,$756.80 ,$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ",$425.00 ,$425.00 ,$203.37 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,45001125,31615,HC TRACHEOBRONCHOSCOPY THRU EXIST INCISION,450,1 ,"$2,054.00 ","$1,335.10 ",$425.00 ,"$2,054.00 ","$1,086.85 ",$944.84 ,"$1,113.27 ",$434.74 ,$575.12 ,$708.63 ,$434.74 ,$809.28 ,$434.74 ,$821.60 ,$821.60 ,$434.74 ,$821.60 ,$826.01 ,"$1,080.40 ","$1,047.54 ","$1,086.85 ",$434.74 ,"$1,437.80 ",$434.74 ,"$1,027.00 ",$443.44 ,"$1,540.50 ",$916.08 ,$823.65 ,$916.08 ,$434.74 ,$916.08 ,"$1,294.02 ","$1,294.02 ","$1,458.34 ","$2,054.00 ","$1,745.90 ","$1,086.85 ","$1,643.20 ",$759.98 ,"$1,643.20 ",$434.74 ,$434.74 ,"$2,054.00 ","$1,113.27 ",$434.74 ,$540.20 , N/A , N/A , N/A , N/A ,$456.48 ,"$1,745.90 ",$978.17 ,$821.60 ,$575.12 ,"$1,848.60 ","$1,478.88 ","$2,054.00 ","$1,294.02 ",$425.00 ,$425.00 ,$434.74 ,$985.92 ,"$1,848.60 " ST. JOHN'S HOSPITAL,45001126,32160,HC THORACOTOMY OPEN HEART MASSAGE,450,1 ,"$2,319.00 ","$1,507.35 ",$425.00 ,"$2,319.00 ", N/A ,"$1,066.74 ","$1,256.90 ", N/A ,$649.32 ,$800.06 , N/A ,$913.69 , N/A ,$927.60 ,$927.60 , N/A ,$927.60 , N/A ,"$1,219.79 ","$1,049.00 ", N/A , N/A ,"$1,623.30 ", N/A ,"$1,159.50 ", N/A ,"$1,739.25 ","$1,034.27 ",$929.92 ,"$1,034.27 ", N/A ,"$1,034.27 ","$1,460.97 ","$1,460.97 ","$1,646.49 ","$2,319.00 ","$1,971.15 ", N/A ,"$1,855.20 ",$858.03 ,"$1,855.20 ", N/A , N/A ,"$2,319.00 ","$1,256.90 ", N/A ,$609.90 , N/A , N/A , N/A , N/A , N/A ,"$1,971.15 ", N/A ,$927.60 ,$649.32 ,"$2,087.10 ","$1,669.68 ","$2,319.00 ","$1,460.97 ",$425.00 ,$425.00 , N/A ,"$1,113.12 ","$2,087.10 " ST. JOHN'S HOSPITAL,45001129,35206,HC REPAIR BLOOD VESSEL UPPER EXTREMITY-LT,450,1 ,"$7,514.00 ","$4,884.10 ",$425.00 ,"$7,514.00 ","$6,879.30 ","$3,000.00 ","$4,072.59 ","$2,751.72 ","$2,103.92 ","$2,592.33 ","$2,751.72 ","$2,960.52 ","$2,751.72 ","$3,005.60 ","$3,005.60 ","$2,751.72 ","$3,005.60 ","$5,228.27 ","$3,952.36 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$5,259.80 ","$2,751.72 ","$3,757.00 ","$2,806.76 ","$5,635.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,751.72 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,514.00 ","$6,386.90 ","$6,879.30 ","$6,011.20 ","$2,780.18 ","$6,011.20 ","$2,751.72 ","$2,751.72 ","$7,514.00 ","$4,072.59 ","$2,751.72 ","$1,976.18 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$6,386.90 ","$6,191.37 ","$3,005.60 ","$2,103.92 ","$6,762.60 ","$5,410.08 ","$7,514.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,751.72 ","$3,606.72 ","$6,762.60 " ST. JOHN'S HOSPITAL,45001130,35206,HC REPAIR BLOOD VESSEL UPPER EXTREMITY-RT,450,1 ,"$7,514.00 ","$4,884.10 ",$425.00 ,"$7,514.00 ","$6,879.30 ","$3,000.00 ","$4,072.59 ","$2,751.72 ","$2,103.92 ","$2,592.33 ","$2,751.72 ","$2,960.52 ","$2,751.72 ","$3,005.60 ","$3,005.60 ","$2,751.72 ","$3,005.60 ","$5,228.27 ","$3,952.36 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$5,259.80 ","$2,751.72 ","$3,757.00 ","$2,806.76 ","$5,635.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,751.72 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,514.00 ","$6,386.90 ","$6,879.30 ","$6,011.20 ","$2,780.18 ","$6,011.20 ","$2,751.72 ","$2,751.72 ","$7,514.00 ","$4,072.59 ","$2,751.72 ","$1,976.18 ", N/A , N/A , N/A , N/A ,"$2,889.31 ","$6,386.90 ","$6,191.37 ","$3,005.60 ","$2,103.92 ","$6,762.60 ","$5,410.08 ","$7,514.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,751.72 ","$3,606.72 ","$6,762.60 " ST. JOHN'S HOSPITAL,45001141,35226,HC REPAIR BLOOD VESSEL LOWER EXTREMITY-LT,450,1 ,"$4,543.00 ","$2,952.95 ",$425.00 ,"$4,543.00 ","$1,495.43 ","$2,089.78 ","$2,462.31 ",$598.17 ,"$1,272.04 ","$1,567.34 ",$598.17 ,"$1,789.94 ",$598.17 ,"$1,817.20 ","$1,817.20 ",$598.17 ,"$1,817.20 ","$1,136.52 ","$2,389.62 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$3,180.10 ",$598.17 ,"$2,271.50 ",$610.13 ,"$3,407.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ",$598.17 ,"$1,856.00 ","$2,862.09 ","$2,862.09 ","$3,225.53 ","$4,543.00 ","$3,861.55 ","$1,495.43 ","$3,634.40 ","$1,680.91 ","$3,634.40 ",$598.17 ,$598.17 ,"$4,543.00 ","$2,462.31 ",$598.17 ,"$1,194.81 ", N/A , N/A , N/A , N/A ,$628.08 ,"$3,861.55 ","$1,345.88 ","$1,817.20 ","$1,272.04 ","$4,088.70 ","$3,270.96 ","$4,543.00 ","$2,862.09 ",$425.00 ,$425.00 ,$598.17 ,"$2,180.64 ","$4,088.70 " ST. JOHN'S HOSPITAL,45001142,35226,HC REPAIR BLOOD VESSEL LOWER EXTREMITY-RT,450,1 ,"$4,543.00 ","$2,952.95 ",$425.00 ,"$4,543.00 ","$1,495.43 ","$2,089.78 ","$2,462.31 ",$598.17 ,"$1,272.04 ","$1,567.34 ",$598.17 ,"$1,789.94 ",$598.17 ,"$1,817.20 ","$1,817.20 ",$598.17 ,"$1,817.20 ","$1,136.52 ","$2,389.62 ","$1,049.00 ","$1,495.43 ",$598.17 ,"$3,180.10 ",$598.17 ,"$2,271.50 ",$610.13 ,"$3,407.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ",$598.17 ,"$1,856.00 ","$2,862.09 ","$2,862.09 ","$3,225.53 ","$4,543.00 ","$3,861.55 ","$1,495.43 ","$3,634.40 ","$1,680.91 ","$3,634.40 ",$598.17 ,$598.17 ,"$4,543.00 ","$2,462.31 ",$598.17 ,"$1,194.81 ", N/A , N/A , N/A , N/A ,$628.08 ,"$3,861.55 ","$1,345.88 ","$1,817.20 ","$1,272.04 ","$4,088.70 ","$3,270.96 ","$4,543.00 ","$2,862.09 ",$425.00 ,$425.00 ,$598.17 ,"$2,180.64 ","$4,088.70 " ST. JOHN'S HOSPITAL,45001143,38300,HC DRAIN LYMPH NODES ABSCESS/LYMPH SIMPLE-LT,450,1 ,"$7,259.00 ","$4,718.35 ",$425.00 ,"$7,259.00 ","$5,697.90 ","$3,000.00 ","$3,934.38 ","$2,279.16 ","$2,032.52 ","$2,504.36 ","$2,279.16 ","$2,860.05 ","$2,279.16 ","$2,903.60 ","$2,903.60 ","$2,279.16 ","$2,903.60 ","$4,330.41 ","$3,818.23 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$5,081.30 ","$2,279.16 ","$3,629.50 ","$2,324.75 ","$5,444.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,279.16 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,259.00 ","$6,170.15 ","$5,697.91 ","$5,807.20 ","$2,685.83 ","$5,807.20 ","$2,279.16 ","$2,279.16 ","$7,259.00 ","$3,934.38 ","$2,279.16 ","$1,909.12 ", N/A , N/A , N/A , N/A ,"$2,393.12 ","$6,170.15 ","$5,128.12 ","$2,903.60 ","$2,032.52 ","$6,533.10 ","$5,226.48 ","$7,259.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,279.16 ","$3,484.32 ","$6,533.10 " ST. JOHN'S HOSPITAL,45001144,38300,HC DRAIN LYMPH NODES ABSCESS/LYMPH SIMPLE-RT,450,1 ,"$7,259.00 ","$4,718.35 ",$425.00 ,"$7,259.00 ","$5,697.90 ","$3,000.00 ","$3,934.38 ","$2,279.16 ","$2,032.52 ","$2,504.36 ","$2,279.16 ","$2,860.05 ","$2,279.16 ","$2,903.60 ","$2,903.60 ","$2,279.16 ","$2,903.60 ","$4,330.41 ","$3,818.23 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$5,081.30 ","$2,279.16 ","$3,629.50 ","$2,324.75 ","$5,444.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,279.16 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,259.00 ","$6,170.15 ","$5,697.91 ","$5,807.20 ","$2,685.83 ","$5,807.20 ","$2,279.16 ","$2,279.16 ","$7,259.00 ","$3,934.38 ","$2,279.16 ","$1,909.12 ", N/A , N/A , N/A , N/A ,"$2,393.12 ","$6,170.15 ","$5,128.12 ","$2,903.60 ","$2,032.52 ","$6,533.10 ","$5,226.48 ","$7,259.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,279.16 ","$3,484.32 ","$6,533.10 " ST. JOHN'S HOSPITAL,45001145,40490,HC BIOPSY LIP,450,1 ,"$1,792.00 ","$1,164.80 ",$203.37 ,"$1,792.00 ",$508.43 ,$824.32 ,$971.26 ,$203.37 ,$501.76 ,$618.24 ,$203.37 ,$706.05 ,$203.37 ,$716.80 ,$716.80 ,$203.37 ,$716.80 ,$386.39 ,$942.59 ,$913.92 ,$508.41 ,$203.37 ,"$1,254.40 ",$203.37 ,$896.00 ,$207.43 ,"$1,344.00 ",$799.23 ,$718.59 ,$799.23 ,$203.37 ,$799.23 ,"$1,128.96 ","$1,128.96 ","$1,272.32 ","$1,792.00 ","$1,523.20 ",$508.41 ,"$1,433.60 ",$663.04 ,"$1,433.60 ",$203.37 ,$203.37 ,"$1,792.00 ",$971.26 ,$203.37 ,$471.30 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,523.20 ",$457.57 ,$716.80 ,$501.76 ,"$1,612.80 ","$1,290.24 ","$1,792.00 ","$1,128.96 ",$425.00 ,$425.00 ,$203.37 ,$860.16 ,"$1,612.80 " ST. JOHN'S HOSPITAL,45001146,40899,HC REMOVE FOREIGN BODY MAXILLARY,450,1 ,$425.00 ,$276.25 ,$111.78 ,$508.43 ,$508.43 ,$195.50 ,$230.35 ,$203.37 ,$119.00 ,$146.63 ,$203.37 ,$167.45 ,$203.37 ,$170.00 ,$170.00 ,$203.37 ,$170.00 ,$386.39 ,$223.55 ,$216.75 ,$508.41 ,$203.37 ,$297.50 ,$203.37 ,$212.50 ,$207.43 ,$318.75 ,$189.55 ,$170.43 ,$189.55 ,$203.37 ,$189.55 ,$267.75 ,$267.75 ,$301.75 ,$425.00 ,$361.25 ,$425.00 ,$340.00 ,$157.25 ,$340.00 ,$203.37 ,$203.37 ,$425.00 ,$230.35 ,$203.37 ,$111.78 , N/A , N/A , N/A , N/A ,$213.54 ,$361.25 ,$457.57 ,$170.00 ,$119.00 ,$382.50 ,$306.00 ,$425.00 ,$267.75 ,$425.00 ,$425.00 ,$203.37 ,$204.00 ,$382.50 ST. JOHN'S HOSPITAL,45001147,41000,HC INTRAORAL I AND D MOUTH LINGUAL,450,1 ,"$3,189.00 ","$2,072.85 ",$425.00 ,"$3,189.00 ","$1,086.85 ","$1,466.94 ","$1,728.44 ",$434.74 ,$892.92 ,"$1,100.21 ",$434.74 ,"$1,256.47 ",$434.74 ,"$1,275.60 ","$1,275.60 ",$434.74 ,"$1,275.60 ",$826.01 ,"$1,677.41 ","$1,049.00 ","$1,086.85 ",$434.74 ,"$2,232.30 ",$434.74 ,"$1,594.50 ",$443.44 ,"$2,391.75 ","$1,422.29 ","$1,278.79 ","$1,422.29 ",$434.74 ,"$1,422.29 ","$2,009.07 ","$2,009.07 ","$2,264.19 ","$3,189.00 ","$2,710.65 ","$1,086.85 ","$2,551.20 ","$1,179.93 ","$2,551.20 ",$434.74 ,$434.74 ,"$3,189.00 ","$1,728.44 ",$434.74 ,$838.71 , N/A , N/A , N/A , N/A ,$456.48 ,"$2,710.65 ",$978.17 ,"$1,275.60 ",$892.92 ,"$2,870.10 ","$2,296.08 ","$3,189.00 ","$2,009.07 ",$425.00 ,$425.00 ,$434.74 ,"$1,530.72 ","$2,870.10 " ST. JOHN'S HOSPITAL,45001148,41016,HC EXTRAORAL I AND D MOUTH SUBMENTAL,450,1 ,"$6,401.00 ","$4,160.65 ",$425.00 ,"$12,222.13 ","$12,222.13 ","$2,944.46 ","$3,469.34 ","$4,888.85 ","$1,792.28 ","$2,208.35 ","$4,888.85 ","$2,521.99 ","$4,888.85 ","$2,560.40 ","$2,560.40 ","$4,888.85 ","$2,560.40 ","$6,401.00 ","$3,366.93 ","$1,049.00 ","$12,222.12 ","$4,888.85 ","$4,480.70 ","$4,888.85 ","$3,200.50 ","$4,986.62 ","$4,800.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$4,888.85 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,401.00 ","$5,440.85 ","$6,401.00 ","$5,120.80 ","$2,368.37 ","$5,120.80 ","$4,888.85 ","$4,888.85 ","$6,401.00 ","$3,469.34 ","$4,888.85 ","$1,683.46 ", N/A , N/A , N/A , N/A ,"$5,133.29 ","$5,440.85 ","$10,999.91 ","$2,560.40 ","$1,792.28 ","$5,760.90 ","$4,608.72 ","$6,401.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$4,888.85 ","$3,072.48 ","$5,760.90 " ST. JOHN'S HOSPITAL,45001149,41100,HC BIOPSY TONGUE,450,1 ,"$1,961.00 ","$1,274.65 ",$425.00 ,"$1,961.00 ","$1,086.85 ",$902.06 ,"$1,062.86 ",$434.74 ,$549.08 ,$676.55 ,$434.74 ,$772.63 ,$434.74 ,$784.40 ,$784.40 ,$434.74 ,$784.40 ,$826.01 ,"$1,031.49 ","$1,000.11 ","$1,086.85 ",$434.74 ,"$1,372.70 ",$434.74 ,$980.50 ,$443.44 ,"$1,470.75 ",$874.61 ,$786.36 ,$874.61 ,$434.74 ,$874.61 ,"$1,235.43 ","$1,235.43 ","$1,392.31 ","$1,961.00 ","$1,666.85 ","$1,086.85 ","$1,568.80 ",$725.57 ,"$1,568.80 ",$434.74 ,$434.74 ,"$1,961.00 ","$1,062.86 ",$434.74 ,$515.74 , N/A , N/A , N/A , N/A ,$456.48 ,"$1,666.85 ",$978.17 ,$784.40 ,$549.08 ,"$1,764.90 ","$1,411.92 ","$1,961.00 ","$1,235.43 ",$425.00 ,$425.00 ,$434.74 ,$941.28 ,"$1,764.90 " ST. JOHN'S HOSPITAL,45001150,41108,HC BIOPSY MOUTH FLOOR,450,1 ,"$1,784.00 ","$1,159.60 ",$425.00 ,"$3,381.25 ","$3,381.25 ",$820.64 ,$966.93 ,"$1,352.50 ",$499.52 ,$615.48 ,"$1,352.50 ",$702.90 ,"$1,352.50 ",$713.60 ,$713.60 ,"$1,352.50 ",$713.60 ,"$1,784.00 ",$938.38 ,$909.84 ,"$3,381.24 ","$1,352.50 ","$1,248.80 ","$1,352.50 ",$892.00 ,"$1,379.54 ","$1,338.00 ",$795.66 ,$715.38 ,$795.66 ,"$1,352.50 ",$795.66 ,"$1,123.92 ","$1,123.92 ","$1,266.64 ","$1,784.00 ","$1,516.40 ","$1,784.00 ","$1,427.20 ",$660.08 ,"$1,427.20 ","$1,352.50 ","$1,352.50 ","$1,784.00 ",$966.93 ,"$1,352.50 ",$469.19 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,516.40 ","$3,043.11 ",$713.60 ,$499.52 ,"$1,605.60 ","$1,284.48 ","$1,784.00 ","$1,123.92 ",$425.00 ,$425.00 ,"$1,352.50 ",$856.32 ,"$1,605.60 " ST. JOHN'S HOSPITAL,45001151,42106,HC EXC PALATE LESION UVULA W/CLOSURE,450,1 ,"$4,020.00 ","$2,613.00 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,849.20 ","$2,178.84 ","$2,629.69 ","$1,125.60 ","$1,386.90 ","$2,629.69 ","$1,583.88 ","$2,629.69 ","$1,608.00 ","$1,608.00 ","$2,629.69 ","$1,608.00 ","$4,020.00 ","$2,114.52 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,814.00 ","$2,629.69 ","$2,010.00 ","$2,682.29 ","$3,015.00 ","$1,792.92 ","$1,612.02 ","$1,792.92 ","$2,629.69 ","$1,792.92 ","$2,532.60 ","$2,532.60 ","$2,854.20 ","$4,020.00 ","$3,417.00 ","$4,020.00 ","$3,216.00 ","$1,487.40 ","$3,216.00 ","$2,629.69 ","$2,629.69 ","$4,020.00 ","$2,178.84 ","$2,629.69 ","$1,057.26 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$3,417.00 ","$5,916.81 ","$1,608.00 ","$1,125.60 ","$3,618.00 ","$2,894.40 ","$4,020.00 ","$2,532.60 ",$425.00 ,$425.00 ,"$2,629.69 ","$1,929.60 ","$3,618.00 " ST. JOHN'S HOSPITAL,45001152,42182,HC RPR LAC PALATE <2CM CM,450,1 ,"$6,132.00 ","$3,985.80 ",$425.00 ,"$12,222.13 ","$12,222.13 ","$2,820.72 ","$3,323.54 ","$4,888.85 ","$1,716.96 ","$2,115.54 ","$4,888.85 ","$2,416.01 ","$4,888.85 ","$2,452.80 ","$2,452.80 ","$4,888.85 ","$2,452.80 ","$6,132.00 ","$3,225.43 ","$1,049.00 ","$12,222.12 ","$4,888.85 ","$4,292.40 ","$4,888.85 ","$3,066.00 ","$4,986.62 ","$4,599.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$4,888.85 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,132.00 ","$5,212.20 ","$6,132.00 ","$4,905.60 ","$2,268.84 ","$4,905.60 ","$4,888.85 ","$4,888.85 ","$6,132.00 ","$3,323.54 ","$4,888.85 ","$1,612.72 ", N/A , N/A , N/A , N/A ,"$5,133.29 ","$5,212.20 ","$10,999.91 ","$2,452.80 ","$1,716.96 ","$5,518.80 ","$4,415.04 ","$6,132.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$4,888.85 ","$2,943.36 ","$5,518.80 " ST. JOHN'S HOSPITAL,45001153,42299,HC REMOVE FOREIGN BODY PALATE,450,1 ,$425.00 ,$276.25 ,$111.78 ,$508.43 ,$508.43 ,$195.50 ,$230.35 ,$203.37 ,$119.00 ,$146.63 ,$203.37 ,$167.45 ,$203.37 ,$170.00 ,$170.00 ,$203.37 ,$170.00 ,$386.39 ,$223.55 ,$216.75 ,$508.41 ,$203.37 ,$297.50 ,$203.37 ,$212.50 ,$207.43 ,$318.75 ,$189.55 ,$170.43 ,$189.55 ,$203.37 ,$189.55 ,$267.75 ,$267.75 ,$301.75 ,$425.00 ,$361.25 ,$425.00 ,$340.00 ,$157.25 ,$340.00 ,$203.37 ,$203.37 ,$425.00 ,$230.35 ,$203.37 ,$111.78 , N/A , N/A , N/A , N/A ,$213.54 ,$361.25 ,$457.57 ,$170.00 ,$119.00 ,$382.50 ,$306.00 ,$425.00 ,$267.75 ,$425.00 ,$425.00 ,$203.37 ,$204.00 ,$382.50 ST. JOHN'S HOSPITAL,45001154,42330,HC REMOVAL OF SALIVARY STONE,450,1 ,"$3,198.00 ","$2,078.70 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,471.08 ","$1,733.32 ","$2,629.69 ",$895.44 ,"$1,103.31 ","$2,629.69 ","$1,260.01 ","$2,629.69 ","$1,279.20 ","$1,279.20 ","$2,629.69 ","$1,279.20 ","$3,198.00 ","$1,682.15 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,238.60 ","$2,629.69 ","$1,599.00 ","$2,682.29 ","$2,398.50 ","$1,426.31 ","$1,282.40 ","$1,426.31 ","$2,629.69 ","$1,426.31 ","$2,014.74 ","$2,014.74 ","$2,270.58 ","$3,198.00 ","$2,718.30 ","$3,198.00 ","$2,558.40 ","$1,183.26 ","$2,558.40 ","$2,629.69 ","$2,629.69 ","$3,198.00 ","$1,733.32 ","$2,629.69 ",$841.07 , N/A , N/A , N/A , N/A ,"$2,761.17 ","$2,718.30 ","$5,916.81 ","$1,279.20 ",$895.44 ,"$2,878.20 ","$2,302.56 ","$3,198.00 ","$2,014.74 ",$425.00 ,$425.00 ,"$2,629.69 ","$1,535.04 ","$2,878.20 " ST. JOHN'S HOSPITAL,45001155,42860,HC EXCISION TONSIL TAGS,450,1 ,"$6,259.00 ","$4,068.35 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$2,879.14 ","$3,392.38 ","$2,629.69 ","$1,752.52 ","$2,159.36 ","$2,629.69 ","$2,466.05 ","$2,629.69 ","$2,503.60 ","$2,503.60 ","$2,629.69 ","$2,503.60 ","$4,996.42 ","$3,292.23 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$4,381.30 ","$2,629.69 ","$3,129.50 ","$2,682.29 ","$4,694.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,629.69 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,259.00 ","$5,320.15 ","$6,259.00 ","$5,007.20 ","$2,315.83 ","$5,007.20 ","$2,629.69 ","$2,629.69 ","$6,259.00 ","$3,392.38 ","$2,629.69 ","$1,646.12 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$5,320.15 ","$5,916.81 ","$2,503.60 ","$1,752.52 ","$5,633.10 ","$4,506.48 ","$6,259.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,629.69 ","$3,004.32 ","$5,633.10 " ST. JOHN'S HOSPITAL,45001156,42960,HC CONTROL HEMORRHAGE OROPHARYNGEAL SIMPLE,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$1,086.85 ","$1,086.85 ",$333.96 ,$393.49 ,$434.74 ,$203.28 ,$250.47 ,$434.74 ,$286.04 ,$434.74 ,$290.40 ,$290.40 ,$434.74 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$1,086.85 ",$434.74 ,$508.20 ,$434.74 ,$363.00 ,$443.44 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$434.74 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$434.74 ,$434.74 ,$726.00 ,$393.49 ,$434.74 ,$190.94 , N/A , N/A , N/A , N/A ,$456.48 ,$617.10 ,$978.17 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$434.74 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001157,42960,HC CONTROL HEMORRHAGE OROPHARYNGEAL SIMPLE-XS,450,1 ,$726.00 ,$471.90 ,$190.94 ,"$1,086.85 ","$1,086.85 ",$333.96 ,$393.49 ,$434.74 ,$203.28 ,$250.47 ,$434.74 ,$286.04 ,$434.74 ,$290.40 ,$290.40 ,$434.74 ,$290.40 ,$726.00 ,$381.88 ,$370.26 ,"$1,086.85 ",$434.74 ,$508.20 ,$434.74 ,$363.00 ,$443.44 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$434.74 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$726.00 ,$580.80 ,$268.62 ,$580.80 ,$434.74 ,$434.74 ,$726.00 ,$393.49 ,$434.74 ,$190.94 , N/A , N/A , N/A , N/A ,$456.48 ,$617.10 ,$978.17 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$434.74 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001158,42962,HC CONTROL HEMORRHAGE OROPHARYNGEAL W/SURG INTERVEN,450,1 ,"$7,100.00 ","$4,615.00 ",$425.00 ,"$7,100.00 ","$6,574.23 ","$3,000.00 ","$3,848.20 ","$2,629.69 ","$1,988.00 ","$2,449.50 ","$2,629.69 ","$2,797.40 ","$2,629.69 ","$2,840.00 ","$2,840.00 ","$2,629.69 ","$2,840.00 ","$4,996.42 ","$3,734.60 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$4,970.00 ","$2,629.69 ","$3,550.00 ","$2,682.29 ","$5,325.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,629.69 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,100.00 ","$6,035.00 ","$6,574.24 ","$5,680.00 ","$2,627.00 ","$5,680.00 ","$2,629.69 ","$2,629.69 ","$7,100.00 ","$3,848.20 ","$2,629.69 ","$1,867.30 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$6,035.00 ","$5,916.81 ","$2,840.00 ","$1,988.00 ","$6,390.00 ","$5,112.00 ","$7,100.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,629.69 ","$3,408.00 ","$6,390.00 " ST. JOHN'S HOSPITAL,45001159,43754,HC GASTRIC INTUBATION/ASPIRATION DIAG SINGLE,450,1 ,$861.00 ,$559.65 ,$226.44 ,$861.00 ,$636.00 ,$396.06 ,$466.66 ,$254.40 ,$241.08 ,$297.05 ,$254.40 ,$339.23 ,$254.40 ,$344.40 ,$344.40 ,$254.40 ,$344.40 ,$483.35 ,$452.89 ,$439.11 ,$635.99 ,$254.40 ,$602.70 ,$254.40 ,$430.50 ,$259.48 ,$645.75 ,$384.01 ,$345.26 ,$384.01 ,$254.40 ,$384.01 ,$542.43 ,$542.43 ,$611.31 ,$861.00 ,$731.85 ,$635.99 ,$688.80 ,$318.57 ,$688.80 ,$254.40 ,$254.40 ,$861.00 ,$466.66 ,$254.40 ,$226.44 , N/A , N/A , N/A , N/A ,$267.12 ,$731.85 ,$572.39 ,$344.40 ,$241.08 ,$774.90 ,$619.92 ,$861.00 ,$542.43 ,$425.00 ,$425.00 ,$254.40 ,$413.28 ,$774.90 ST. JOHN'S HOSPITAL,45001160,43755,HC GASTRIC INTUBATION/ASPIRATION DIAG MULTIPLE,450,1 ,$861.00 ,$559.65 ,$134.21 ,$861.00 ,$335.53 ,$396.06 ,$466.66 ,$134.21 ,$241.08 ,$297.05 ,$134.21 ,$339.23 ,$134.21 ,$344.40 ,$344.40 ,$134.21 ,$344.40 ,$254.99 ,$452.89 ,$439.11 ,$335.51 ,$134.21 ,$602.70 ,$134.21 ,$430.50 ,$136.89 ,$645.75 ,$384.01 ,$345.26 ,$384.01 ,$134.21 ,$384.01 ,$542.43 ,$542.43 ,$611.31 ,$861.00 ,$731.85 ,$335.51 ,$688.80 ,$318.57 ,$688.80 ,$134.21 ,$134.21 ,$861.00 ,$466.66 ,$134.21 ,$226.44 , N/A , N/A , N/A , N/A ,$140.92 ,$731.85 ,$301.96 ,$344.40 ,$241.08 ,$774.90 ,$619.92 ,$861.00 ,$542.43 ,$425.00 ,$425.00 ,$134.21 ,$413.28 ,$774.90 ST. JOHN'S HOSPITAL,45001161,43771,HC LAPAROSCOPY REVISE GASTRIC DEVICE,450,1 ,"$8,061.00 ","$5,239.65 ",$425.00 ,"$8,061.00 ", N/A ,"$3,000.00 ","$4,369.06 ", N/A ,"$2,257.08 ","$2,781.05 ", N/A ,"$3,176.03 ", N/A ,"$3,224.40 ","$3,224.40 ", N/A ,"$3,224.40 ", N/A ,"$4,240.09 ","$1,049.00 ", N/A , N/A ,"$5,642.70 ", N/A ,"$4,030.50 ", N/A ,"$6,045.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,061.00 ","$6,851.85 ", N/A ,"$6,448.80 ","$2,982.57 ","$6,448.80 ", N/A , N/A ,"$8,061.00 ","$4,369.06 ", N/A ,"$2,120.04 ", N/A , N/A , N/A , N/A , N/A ,"$6,851.85 ", N/A ,"$3,224.40 ","$2,257.08 ","$7,254.90 ","$5,803.92 ","$8,061.00 ","$3,786.00 ",$425.00 ,$425.00 , N/A ,"$3,869.28 ","$7,254.90 " ST. JOHN'S HOSPITAL,45001162,43830,HC GASTROSTOMY CONSTRUCT G-TUBE OPEN,450,1 ,"$5,924.00 ","$3,850.60 ",$425.00 ,"$5,924.00 ","$3,903.18 ","$2,725.04 ","$3,210.81 ","$1,561.27 ","$1,658.72 ","$2,043.78 ","$1,561.27 ","$2,334.06 ","$1,561.27 ","$2,369.60 ","$2,369.60 ","$1,561.27 ","$2,369.60 ","$2,966.42 ","$3,116.02 ","$1,049.00 ","$3,903.18 ","$1,561.27 ","$4,146.80 ","$1,561.27 ","$2,962.00 ","$1,592.50 ","$4,443.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,561.27 ","$1,856.00 ","$3,732.12 ","$3,732.12 ","$4,002.00 ","$5,924.00 ","$5,035.40 ","$3,903.18 ","$4,739.20 ","$2,191.88 ","$4,739.20 ","$1,561.27 ","$1,561.27 ","$5,924.00 ","$3,210.81 ","$1,561.27 ","$1,558.01 ", N/A , N/A , N/A , N/A ,"$1,639.33 ","$5,035.40 ","$3,512.86 ","$2,369.60 ","$1,658.72 ","$5,331.60 ","$4,265.28 ","$5,924.00 ","$3,732.12 ",$425.00 ,$425.00 ,"$1,561.27 ","$2,843.52 ","$5,331.60 " ST. JOHN'S HOSPITAL,45001163,45321,HC PROCTOSIGMOIDOSCOPY RIGID W/DECOMP VOLVULUS,450,1 ,"$1,802.00 ","$1,171.30 ",$425.00 ,"$5,870.83 ","$5,870.83 ",$828.92 ,$976.68 ,"$2,348.33 ",$504.56 ,$621.69 ,"$2,348.33 ",$709.99 ,"$1,802.00 ",$720.80 ,$720.80 ,"$1,802.00 ",$720.80 ,"$1,802.00 ",$947.85 ,$919.02 ,"$5,870.83 ","$2,348.33 ","$1,261.40 ","$2,348.33 ",$901.00 ,"$1,802.00 ","$1,351.50 ",$803.69 ,$722.60 ,$803.69 ,"$2,348.33 ",$803.69 ,"$1,135.26 ","$1,135.26 ","$1,279.42 ","$1,802.00 ","$1,531.70 ","$1,802.00 ","$1,441.60 ",$666.74 ,"$1,441.60 ","$2,348.33 ","$2,348.33 ","$1,802.00 ",$976.68 ,"$2,348.33 ",$473.93 , N/A , N/A , N/A , N/A ,"$2,465.75 ","$1,531.70 ","$5,283.75 ",$720.80 ,$504.56 ,"$1,621.80 ","$1,297.44 ","$1,802.00 ","$1,135.26 ",$425.00 ,$425.00 ,"$2,348.33 ",$864.96 ,"$1,621.80 " ST. JOHN'S HOSPITAL,45001164,45900,HC REDUCE PROCIDENTIA W/ANES,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$1,907.06 ","$1,907.05 ",$798.10 ,$940.37 ,$762.82 ,$485.80 ,$598.58 ,$762.82 ,$683.59 ,$762.82 ,$694.00 ,$694.00 ,$762.82 ,$694.00 ,"$1,449.37 ",$912.61 ,$884.85 ,"$1,907.06 ",$762.82 ,"$1,214.50 ",$762.82 ,$867.50 ,$778.08 ,"$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,$762.82 ,$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,735.00 ","$1,388.00 ",$641.95 ,"$1,388.00 ",$762.82 ,$762.82 ,"$1,735.00 ",$940.37 ,$762.82 ,$456.31 , N/A , N/A , N/A , N/A ,$800.96 ,"$1,474.75 ","$1,716.35 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,$762.82 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45001165,45915,HC REMOVE IMPACTED FECAL/FB W/ANES,450,1 ,"$3,719.00 ","$2,417.35 ",$425.00 ,"$3,719.00 ","$2,491.98 ","$1,710.74 ","$2,015.70 ",$996.79 ,"$1,041.32 ","$1,283.06 ",$996.79 ,"$1,465.29 ",$996.79 ,"$1,487.60 ","$1,487.60 ",$996.79 ,"$1,487.60 ","$1,893.90 ","$1,956.19 ","$1,049.00 ","$2,491.97 ",$996.79 ,"$2,603.30 ",$996.79 ,"$1,859.50 ","$1,016.72 ","$2,789.25 ","$1,658.67 ","$1,491.32 ","$1,658.67 ",$996.79 ,"$1,658.67 ","$2,342.97 ","$2,342.97 ","$2,640.49 ","$3,719.00 ","$3,161.15 ","$2,491.97 ","$2,975.20 ","$1,376.03 ","$2,975.20 ",$996.79 ,$996.79 ,"$3,719.00 ","$2,015.70 ",$996.79 ,$978.10 , N/A , N/A , N/A , N/A ,"$1,046.63 ","$3,161.15 ","$2,242.77 ","$1,487.60 ","$1,041.32 ","$3,347.10 ","$2,677.68 ","$3,719.00 ","$2,342.97 ",$425.00 ,$425.00 ,$996.79 ,"$1,785.12 ","$3,347.10 " ST. JOHN'S HOSPITAL,45001166,49999,HC REDUCTION HERNIA MANUAL,450,1 ,"$3,346.00 ","$2,174.90 ",$425.00 ,"$3,346.00 ","$1,944.50 ","$1,539.16 ","$1,813.53 ",$777.80 ,$936.88 ,"$1,154.37 ",$777.80 ,"$1,318.32 ",$777.80 ,"$1,338.40 ","$1,338.40 ",$777.80 ,"$1,338.40 ","$1,477.82 ","$1,760.00 ","$1,049.00 ","$1,944.50 ",$777.80 ,"$2,342.20 ",$777.80 ,"$1,673.00 ",$793.35 ,"$2,509.50 ","$1,492.32 ","$1,341.75 ","$1,492.32 ",$777.80 ,"$1,492.32 ","$2,107.98 ","$2,107.98 ","$2,375.66 ","$3,346.00 ","$2,844.10 ","$1,944.50 ","$2,676.80 ","$1,238.02 ","$2,676.80 ",$777.80 ,$777.80 ,"$3,346.00 ","$1,813.53 ",$777.80 ,$880.00 , N/A , N/A , N/A , N/A ,$816.69 ,"$2,844.10 ","$1,750.05 ","$1,338.40 ",$936.88 ,"$3,011.40 ","$2,409.12 ","$3,346.00 ","$2,107.98 ",$425.00 ,$425.00 ,$777.80 ,"$1,606.08 ","$3,011.40 " ST. JOHN'S HOSPITAL,45001167,51040,HC CYSTOSTOMY W/DRAINAGE,450,1 ,"$3,685.00 ","$2,395.25 ",$425.00 ,"$4,302.83 ","$4,302.83 ","$1,695.10 ","$1,997.27 ","$1,721.13 ","$1,031.80 ","$1,271.33 ","$1,721.13 ","$1,451.89 ","$1,721.13 ","$1,474.00 ","$1,474.00 ","$1,721.13 ","$1,474.00 ","$3,270.14 ","$1,938.31 ","$1,049.00 ","$4,302.81 ","$1,721.13 ","$2,579.50 ","$1,721.13 ","$1,842.50 ","$1,755.55 ","$2,763.75 ","$1,643.51 ","$1,477.69 ","$1,643.51 ","$1,721.13 ","$1,643.51 ","$2,321.55 ","$2,321.55 ","$2,616.35 ","$3,685.00 ","$3,132.25 ","$3,685.00 ","$2,948.00 ","$1,363.45 ","$2,948.00 ","$1,721.13 ","$1,721.13 ","$3,685.00 ","$1,997.27 ","$1,721.13 ",$969.16 , N/A , N/A , N/A , N/A ,"$1,807.19 ","$3,132.25 ","$3,872.53 ","$1,474.00 ","$1,031.80 ","$3,316.50 ","$2,653.20 ","$3,685.00 ","$2,321.55 ",$425.00 ,$425.00 ,"$1,721.13 ","$1,768.80 ","$3,316.50 " ST. JOHN'S HOSPITAL,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$3,834.00 ","$2,492.10 ",$425.00 ,"$4,302.83 ","$4,302.83 ","$1,763.64 ","$2,078.03 ","$1,721.13 ","$1,073.52 ","$1,322.73 ","$1,721.13 ","$1,510.60 ","$1,721.13 ","$1,533.60 ","$1,533.60 ","$1,721.13 ","$1,533.60 ","$3,270.14 ","$2,016.68 ","$1,049.00 ","$4,302.81 ","$1,721.13 ","$2,683.80 ","$1,721.13 ","$1,917.00 ","$1,755.55 ","$2,875.50 ","$1,709.96 ","$1,537.43 ","$1,709.96 ","$1,721.13 ","$1,709.96 ","$2,415.42 ","$2,415.42 ","$2,722.14 ","$3,834.00 ","$3,258.90 ","$3,834.00 ","$3,067.20 ","$1,418.58 ","$3,067.20 ","$1,721.13 ","$1,721.13 ","$3,834.00 ","$2,078.03 ","$1,721.13 ","$1,008.34 ", N/A , N/A , N/A , N/A ,"$1,807.19 ","$3,258.90 ","$3,872.53 ","$1,533.60 ","$1,073.52 ","$3,450.60 ","$2,760.48 ","$3,834.00 ","$2,415.42 ",$425.00 ,$425.00 ,"$1,721.13 ","$1,840.32 ","$3,450.60 " ST. JOHN'S HOSPITAL,45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$881.00 ,$572.65 ,$231.70 ,$881.00 ,$639.48 ,$405.26 ,$477.50 ,$255.79 ,$246.68 ,$303.95 ,$255.79 ,$347.11 ,$255.79 ,$352.40 ,$352.40 ,$255.79 ,$352.40 ,$486.00 ,$463.41 ,$449.31 ,$639.47 ,$255.79 ,$616.70 ,$255.79 ,$440.50 ,$260.91 ,$660.75 ,$392.93 ,$353.28 ,$392.93 ,$255.79 ,$392.93 ,$555.03 ,$555.03 ,$625.51 ,$881.00 ,$748.85 ,$639.47 ,$704.80 ,$325.97 ,$704.80 ,$255.79 ,$255.79 ,$881.00 ,$477.50 ,$255.79 ,$231.70 , N/A , N/A , N/A , N/A ,$268.58 ,$748.85 ,$575.53 ,$352.40 ,$246.68 ,$792.90 ,$634.32 ,$881.00 ,$555.03 ,$425.00 ,$425.00 ,$255.79 ,$422.88 ,$792.90 ST. JOHN'S HOSPITAL,45001170,57022,HC I AND D VAGINAL HEMATOMA OB/POST PARTUM,450,1 ,"$1,811.00 ","$1,177.15 ",$425.00 ,"$5,697.91 ","$5,697.90 ",$833.06 ,$981.56 ,"$2,279.16 ",$507.08 ,$624.80 ,"$2,279.16 ",$713.53 ,"$1,811.00 ",$724.40 ,$724.40 ,"$1,811.00 ",$724.40 ,"$1,811.00 ",$952.59 ,$923.61 ,"$5,697.91 ","$2,279.16 ","$1,267.70 ","$2,279.16 ",$905.50 ,"$1,811.00 ","$1,358.25 ",$807.71 ,$726.21 ,$807.71 ,"$2,279.16 ",$807.71 ,"$1,140.93 ","$1,140.93 ","$1,285.81 ","$1,811.00 ","$1,539.35 ","$1,811.00 ","$1,448.80 ",$670.07 ,"$1,448.80 ","$2,279.16 ","$2,279.16 ","$1,811.00 ",$981.56 ,"$2,279.16 ",$476.29 , N/A , N/A , N/A , N/A ,"$2,393.12 ","$1,539.35 ","$5,128.12 ",$724.40 ,$507.08 ,"$1,629.90 ","$1,303.92 ","$1,811.00 ","$1,140.93 ",$425.00 ,$425.00 ,"$2,279.16 ",$869.28 ,"$1,629.90 " ST. JOHN'S HOSPITAL,45001171,57180,HC TREAT VAGINAL BLEEDING W/AGENT,450,1 ,$724.00 ,$470.60 ,$163.76 ,$724.00 ,$409.40 ,$333.04 ,$392.41 ,$163.76 ,$202.72 ,$249.78 ,$163.76 ,$285.26 ,$163.76 ,$289.60 ,$289.60 ,$163.76 ,$289.60 ,$311.14 ,$380.82 ,$369.24 ,$409.40 ,$163.76 ,$506.80 ,$163.76 ,$362.00 ,$167.03 ,$543.00 ,$322.90 ,$290.32 ,$322.90 ,$163.76 ,$322.90 ,$456.12 ,$456.12 ,$514.04 ,$724.00 ,$615.40 ,$409.40 ,$579.20 ,$267.88 ,$579.20 ,$163.76 ,$163.76 ,$724.00 ,$392.41 ,$163.76 ,$190.41 , N/A , N/A , N/A , N/A ,$171.95 ,$615.40 ,$368.46 ,$289.60 ,$202.72 ,$651.60 ,$521.28 ,$724.00 ,$456.12 ,$425.00 ,$425.00 ,$163.76 ,$347.52 ,$651.60 ST. JOHN'S HOSPITAL,45001172,61020,HC REMOVE BRAIN FLUID VENTRICULAR PUNCTURE,450,1 ,"$1,342.00 ",$872.30 ,$352.95 ,"$1,978.25 ","$1,978.25 ",$617.32 ,$727.36 ,$791.30 ,$375.76 ,$462.99 ,$791.30 ,$528.75 ,$791.30 ,$536.80 ,$536.80 ,$791.30 ,$536.80 ,"$1,342.00 ",$705.89 ,$684.42 ,"$1,978.24 ",$791.30 ,$939.40 ,$791.30 ,$671.00 ,$807.12 ,"$1,006.50 ",$598.53 ,$538.14 ,$598.53 ,$791.30 ,$598.53 ,$845.46 ,$845.46 ,$952.82 ,"$1,342.00 ","$1,140.70 ","$1,342.00 ","$1,073.60 ",$496.54 ,"$1,073.60 ",$791.30 ,$791.30 ,"$1,342.00 ",$727.36 ,$791.30 ,$352.95 , N/A , N/A , N/A , N/A ,$830.87 ,"$1,140.70 ","$1,780.41 ",$536.80 ,$375.76 ,"$1,207.80 ",$966.24 ,"$1,342.00 ",$845.46 ,$425.00 ,$425.00 ,$791.30 ,$644.16 ,"$1,207.80 " ST. JOHN'S HOSPITAL,45001173,61107,HC PUNCTURE VENTRICULAR CATHETER SUBDURAL,450,1 ,"$2,275.00 ","$1,478.75 ",$425.00 ,"$2,275.00 ", N/A ,"$1,046.50 ","$1,233.05 ", N/A ,$637.00 ,$784.88 , N/A ,$896.35 , N/A ,$910.00 ,$910.00 , N/A ,$910.00 , N/A ,"$1,196.65 ","$1,049.00 ", N/A , N/A ,"$1,592.50 ", N/A ,"$1,137.50 ", N/A ,"$1,706.25 ","$1,014.65 ",$912.28 ,"$1,014.65 ", N/A ,"$1,014.65 ","$1,433.25 ","$1,433.25 ","$1,615.25 ","$2,275.00 ","$1,933.75 ", N/A ,"$1,820.00 ",$841.75 ,"$1,820.00 ", N/A , N/A ,"$2,275.00 ","$1,233.05 ", N/A ,$598.33 , N/A , N/A , N/A , N/A , N/A ,"$1,933.75 ", N/A ,$910.00 ,$637.00 ,"$2,047.50 ","$1,638.00 ","$2,275.00 ","$1,433.25 ",$425.00 ,$425.00 , N/A ,"$1,092.00 ","$2,047.50 " ST. JOHN'S HOSPITAL,45001174,61108,HC PUNCTURE VENTRICULAR W/DRAINAGE,450,1 ,"$4,279.00 ","$2,781.35 ",$425.00 ,"$4,279.00 ", N/A ,"$1,968.34 ","$2,319.22 ", N/A ,"$1,198.12 ","$1,476.26 ", N/A ,"$1,685.93 ", N/A ,"$1,711.60 ","$1,711.60 ", N/A ,"$1,711.60 ", N/A ,"$2,250.75 ","$1,049.00 ", N/A , N/A ,"$2,995.30 ", N/A ,"$2,139.50 ", N/A ,"$3,209.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$2,695.77 ","$2,695.77 ","$3,038.09 ","$4,279.00 ","$3,637.15 ", N/A ,"$3,423.20 ","$1,583.23 ","$3,423.20 ", N/A , N/A ,"$4,279.00 ","$2,319.22 ", N/A ,"$1,125.38 ", N/A , N/A , N/A , N/A , N/A ,"$3,637.15 ", N/A ,"$1,711.60 ","$1,198.12 ","$3,851.10 ","$3,080.88 ","$4,279.00 ","$2,695.77 ",$425.00 ,$425.00 , N/A ,"$2,053.92 ","$3,851.10 " ST. JOHN'S HOSPITAL,45001195,64834,HC RPR NERVE HAND/FOOT COMMON SENSORY,450,1 ,"$5,655.00 ","$3,675.75 ",$425.00 ,"$13,703.75 ","$13,703.75 ","$2,601.30 ","$3,065.01 ","$5,481.50 ","$1,583.40 ","$1,950.98 ","$5,481.50 ","$2,228.07 ","$5,481.50 ","$2,262.00 ","$2,262.00 ","$5,481.50 ","$2,262.00 ","$5,655.00 ","$2,974.53 ","$1,049.00 ","$13,703.75 ","$5,481.50 ","$3,958.50 ","$5,481.50 ","$2,827.50 ","$5,591.13 ","$4,241.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$5,481.50 ","$1,856.00 ","$3,562.65 ","$3,562.65 ","$4,002.00 ","$5,655.00 ","$4,806.75 ","$5,655.00 ","$4,524.00 ","$2,092.35 ","$4,524.00 ","$5,481.50 ","$5,481.50 ","$5,655.00 ","$3,065.01 ","$5,481.50 ","$1,487.27 ", N/A , N/A , N/A , N/A ,"$5,755.58 ","$4,806.75 ","$12,333.38 ","$2,262.00 ","$1,583.40 ","$5,089.50 ","$4,071.60 ","$5,655.00 ","$3,562.65 ",$425.00 ,$425.00 ,"$5,481.50 ","$2,714.40 ","$5,089.50 " ST. JOHN'S HOSPITAL,45001196,64836,HC RPR NERVE HAND/FOOT ULNAR MOTOR,450,1 ,"$4,952.00 ","$3,218.80 ",$425.00 ,"$13,703.75 ","$13,703.75 ","$2,277.92 ","$2,683.98 ","$5,481.50 ","$1,386.56 ","$1,708.44 ","$5,481.50 ","$1,951.09 ","$4,952.00 ","$1,980.80 ","$1,980.80 ","$4,952.00 ","$1,980.80 ","$4,952.00 ","$2,604.75 ","$1,049.00 ","$13,703.75 ","$5,481.50 ","$3,466.40 ","$5,481.50 ","$2,476.00 ","$4,952.00 ","$3,714.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$5,481.50 ","$1,856.00 ","$3,119.76 ","$3,119.76 ","$3,515.92 ","$4,952.00 ","$4,209.20 ","$4,952.00 ","$3,961.60 ","$1,832.24 ","$3,961.60 ","$5,481.50 ","$5,481.50 ","$4,952.00 ","$2,683.98 ","$5,481.50 ","$1,302.38 ", N/A , N/A , N/A , N/A ,"$5,755.58 ","$4,209.20 ","$12,333.38 ","$1,980.80 ","$1,386.56 ","$4,456.80 ","$3,565.44 ","$4,952.00 ","$3,119.76 ",$425.00 ,$425.00 ,"$5,481.50 ","$2,376.96 ","$4,456.80 " ST. JOHN'S HOSPITAL,45001197,64857,HC RPR PERIPHERAL NERVE ARM/LEG W/O TRANSPOSITION,450,1 ,"$4,236.00 ","$2,753.40 ",$425.00 ,"$13,703.75 ","$13,703.75 ","$1,948.56 ","$2,295.91 ","$5,481.50 ","$1,186.08 ","$1,461.42 ","$5,481.50 ","$1,668.98 ","$4,236.00 ","$1,694.40 ","$1,694.40 ","$4,236.00 ","$1,694.40 ","$4,236.00 ","$2,228.14 ","$1,049.00 ","$13,703.75 ","$5,481.50 ","$2,965.20 ","$5,481.50 ","$2,118.00 ","$4,236.00 ","$3,177.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$5,481.50 ","$1,856.00 ","$2,668.68 ","$2,668.68 ","$3,007.56 ","$4,236.00 ","$3,600.60 ","$4,236.00 ","$3,388.80 ","$1,567.32 ","$3,388.80 ","$5,481.50 ","$5,481.50 ","$4,236.00 ","$2,295.91 ","$5,481.50 ","$1,114.07 ", N/A , N/A , N/A , N/A ,"$5,755.58 ","$3,600.60 ","$12,333.38 ","$1,694.40 ","$1,186.08 ","$3,812.40 ","$3,049.92 ","$4,236.00 ","$2,668.68 ",$425.00 ,$425.00 ,"$5,481.50 ","$2,033.28 ","$3,812.40 " ST. JOHN'S HOSPITAL,45001198,65205,HC REM EYE FB CONJUCT SUPER-LT,450,1 ,$411.00 ,$267.15 ,$108.09 ,$411.00 ,$270.98 ,$189.06 ,$222.76 ,$108.39 ,$115.08 ,$141.80 ,$108.39 ,$161.93 ,$108.39 ,$164.40 ,$164.40 ,$108.39 ,$164.40 ,$205.94 ,$216.19 ,$209.61 ,$270.97 ,$108.39 ,$287.70 ,$108.39 ,$205.50 ,$110.56 ,$308.25 ,$183.31 ,$164.81 ,$183.31 ,$108.39 ,$183.31 ,$258.93 ,$258.93 ,$291.81 ,$411.00 ,$349.35 ,$270.97 ,$328.80 ,$152.07 ,$328.80 ,$108.39 ,$108.39 ,$411.00 ,$222.76 ,$108.39 ,$108.09 , N/A , N/A , N/A , N/A ,$113.81 ,$349.35 ,$243.87 ,$164.40 ,$115.08 ,$369.90 ,$295.92 ,$411.00 ,$258.93 ,$411.00 ,$411.00 ,$108.39 ,$197.28 ,$369.90 ST. JOHN'S HOSPITAL,45001199,65205,HC REM EYE FB CONJUCT SUPER-RT,450,1 ,$411.00 ,$267.15 ,$108.09 ,$411.00 ,$270.98 ,$189.06 ,$222.76 ,$108.39 ,$115.08 ,$141.80 ,$108.39 ,$161.93 ,$108.39 ,$164.40 ,$164.40 ,$108.39 ,$164.40 ,$205.94 ,$216.19 ,$209.61 ,$270.97 ,$108.39 ,$287.70 ,$108.39 ,$205.50 ,$110.56 ,$308.25 ,$183.31 ,$164.81 ,$183.31 ,$108.39 ,$183.31 ,$258.93 ,$258.93 ,$291.81 ,$411.00 ,$349.35 ,$270.97 ,$328.80 ,$152.07 ,$328.80 ,$108.39 ,$108.39 ,$411.00 ,$222.76 ,$108.39 ,$108.09 , N/A , N/A , N/A , N/A ,$113.81 ,$349.35 ,$243.87 ,$164.40 ,$115.08 ,$369.90 ,$295.92 ,$411.00 ,$258.93 ,$411.00 ,$411.00 ,$108.39 ,$197.28 ,$369.90 ST. JOHN'S HOSPITAL,45001200,65222,HC REMOVE FB CORNL W/ SLIT LAMP-BIL,450,1 ,$699.00 ,$454.35 ,$108.39 ,$699.00 ,$270.98 ,$321.54 ,$378.86 ,$108.39 ,$195.72 ,$241.16 ,$108.39 ,$275.41 ,$108.39 ,$279.60 ,$279.60 ,$108.39 ,$279.60 ,$205.94 ,$367.67 ,$356.49 ,$270.97 ,$108.39 ,$489.30 ,$108.39 ,$349.50 ,$110.56 ,$524.25 ,$311.75 ,$280.30 ,$311.75 ,$108.39 ,$311.75 ,$440.37 ,$440.37 ,$496.29 ,$699.00 ,$594.15 ,$270.97 ,$559.20 ,$258.63 ,$559.20 ,$108.39 ,$108.39 ,$699.00 ,$378.86 ,$108.39 ,$183.84 , N/A , N/A , N/A , N/A ,$113.81 ,$594.15 ,$243.87 ,$279.60 ,$195.72 ,$629.10 ,$503.28 ,$699.00 ,$440.37 ,$425.00 ,$425.00 ,$108.39 ,$335.52 ,$629.10 ST. JOHN'S HOSPITAL,45001201,65290,HC RPR WOUND EXTRAOCULAR MUSC/TENDON-LT,450,1 ,"$2,822.00 ","$1,834.30 ",$425.00 ,"$7,945.33 ","$7,945.33 ","$1,298.12 ","$1,529.52 ","$3,178.13 ",$790.16 ,$973.59 ,"$3,178.13 ","$1,111.87 ","$2,822.00 ","$1,128.80 ","$1,128.80 ","$2,822.00 ","$1,128.80 ","$2,822.00 ","$1,484.37 ","$1,049.00 ","$7,945.33 ","$3,178.13 ","$1,975.40 ","$3,178.13 ","$1,411.00 ","$2,822.00 ","$2,116.50 ","$1,258.61 ","$1,131.62 ","$1,258.61 ","$3,178.13 ","$1,258.61 ","$1,777.86 ","$1,777.86 ","$2,003.62 ","$2,822.00 ","$2,398.70 ","$2,822.00 ","$2,257.60 ","$1,044.14 ","$2,257.60 ","$3,178.13 ","$3,178.13 ","$2,822.00 ","$1,529.52 ","$3,178.13 ",$742.19 , N/A , N/A , N/A , N/A ,"$3,337.04 ","$2,398.70 ","$7,150.80 ","$1,128.80 ",$790.16 ,"$2,539.80 ","$2,031.84 ","$2,822.00 ","$1,777.86 ",$425.00 ,$425.00 ,"$3,178.13 ","$1,354.56 ","$2,539.80 " ST. JOHN'S HOSPITAL,45001202,65290,HC RPR WOUND EXTRAOCULAR MUSC/TENDON-RT,450,1 ,"$2,822.00 ","$1,834.30 ",$425.00 ,"$7,945.33 ","$7,945.33 ","$1,298.12 ","$1,529.52 ","$3,178.13 ",$790.16 ,$973.59 ,"$3,178.13 ","$1,111.87 ","$2,822.00 ","$1,128.80 ","$1,128.80 ","$2,822.00 ","$1,128.80 ","$2,822.00 ","$1,484.37 ","$1,049.00 ","$7,945.33 ","$3,178.13 ","$1,975.40 ","$3,178.13 ","$1,411.00 ","$2,822.00 ","$2,116.50 ","$1,258.61 ","$1,131.62 ","$1,258.61 ","$3,178.13 ","$1,258.61 ","$1,777.86 ","$1,777.86 ","$2,003.62 ","$2,822.00 ","$2,398.70 ","$2,822.00 ","$2,257.60 ","$1,044.14 ","$2,257.60 ","$3,178.13 ","$3,178.13 ","$2,822.00 ","$1,529.52 ","$3,178.13 ",$742.19 , N/A , N/A , N/A , N/A ,"$3,337.04 ","$2,398.70 ","$7,150.80 ","$1,128.80 ",$790.16 ,"$2,539.80 ","$2,031.84 ","$2,822.00 ","$1,777.86 ",$425.00 ,$425.00 ,"$3,178.13 ","$1,354.56 ","$2,539.80 " ST. JOHN'S HOSPITAL,45001203,67028,HC INTRAVITREAL INJ PHARM AGENT-LT,450,1 ,$841.00 ,$546.65 ,$221.18 ,$841.00 ,$766.23 ,$386.86 ,$455.82 ,$306.49 ,$235.48 ,$290.15 ,$306.49 ,$331.35 ,$306.49 ,$336.40 ,$336.40 ,$306.49 ,$336.40 ,$582.34 ,$442.37 ,$428.91 ,$766.23 ,$306.49 ,$588.70 ,$306.49 ,$420.50 ,$312.62 ,$630.75 ,$375.09 ,$337.24 ,$375.09 ,$306.49 ,$375.09 ,$529.83 ,$529.83 ,$597.11 ,$841.00 ,$714.85 ,$766.23 ,$672.80 ,$311.17 ,$672.80 ,$306.49 ,$306.49 ,$841.00 ,$455.82 ,$306.49 ,$221.18 , N/A , N/A , N/A , N/A ,$321.81 ,$714.85 ,$689.61 ,$336.40 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$529.83 ,$425.00 ,$425.00 ,$306.49 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,45001204,67028,HC INTRAVITREAL INJ PHARM AGENT-RT,450,1 ,$841.00 ,$546.65 ,$221.18 ,$841.00 ,$766.23 ,$386.86 ,$455.82 ,$306.49 ,$235.48 ,$290.15 ,$306.49 ,$331.35 ,$306.49 ,$336.40 ,$336.40 ,$306.49 ,$336.40 ,$582.34 ,$442.37 ,$428.91 ,$766.23 ,$306.49 ,$588.70 ,$306.49 ,$420.50 ,$312.62 ,$630.75 ,$375.09 ,$337.24 ,$375.09 ,$306.49 ,$375.09 ,$529.83 ,$529.83 ,$597.11 ,$841.00 ,$714.85 ,$766.23 ,$672.80 ,$311.17 ,$672.80 ,$306.49 ,$306.49 ,$841.00 ,$455.82 ,$306.49 ,$221.18 , N/A , N/A , N/A , N/A ,$321.81 ,$714.85 ,$689.61 ,$336.40 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$529.83 ,$425.00 ,$425.00 ,$306.49 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,45001205,67405,HC ORBITOTOMY W/DRAINAGE-LT,450,1 ,"$2,548.00 ","$1,656.20 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,172.08 ","$1,381.02 ","$1,923.53 ",$713.44 ,$879.06 ,"$1,923.53 ","$1,003.91 ","$1,923.53 ","$1,019.20 ","$1,019.20 ","$1,923.53 ","$1,019.20 ","$2,548.00 ","$1,340.25 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$1,783.60 ","$1,923.53 ","$1,274.00 ","$1,962.00 ","$1,911.00 ","$1,136.41 ","$1,021.75 ","$1,136.41 ","$1,923.53 ","$1,136.41 ","$1,605.24 ","$1,605.24 ","$1,809.08 ","$2,548.00 ","$2,165.80 ","$2,548.00 ","$2,038.40 ",$942.76 ,"$2,038.40 ","$1,923.53 ","$1,923.53 ","$2,548.00 ","$1,381.02 ","$1,923.53 ",$670.12 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,165.80 ","$4,327.94 ","$1,019.20 ",$713.44 ,"$2,293.20 ","$1,834.56 ","$2,548.00 ","$1,605.24 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,223.04 ","$2,293.20 " ST. JOHN'S HOSPITAL,45001206,67405,HC ORBITOTOMY W/DRAINAGE-RT,450,1 ,"$3,541.00 ","$2,301.65 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,628.86 ","$1,919.22 ","$1,923.53 ",$991.48 ,"$1,221.65 ","$1,923.53 ","$1,395.15 ","$1,923.53 ","$1,416.40 ","$1,416.40 ","$1,923.53 ","$1,416.40 ","$3,541.00 ","$1,862.57 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,478.70 ","$1,923.53 ","$1,770.50 ","$1,962.00 ","$2,655.75 ","$1,579.29 ","$1,419.94 ","$1,579.29 ","$1,923.53 ","$1,579.29 ","$2,230.83 ","$2,230.83 ","$2,514.11 ","$3,541.00 ","$3,009.85 ","$3,541.00 ","$2,832.80 ","$1,310.17 ","$2,832.80 ","$1,923.53 ","$1,923.53 ","$3,541.00 ","$1,919.22 ","$1,923.53 ",$931.28 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$3,009.85 ","$4,327.94 ","$1,416.40 ",$991.48 ,"$3,186.90 ","$2,549.52 ","$3,541.00 ","$2,230.83 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,699.68 ","$3,186.90 " ST. JOHN'S HOSPITAL,45001207,69200,HC REM FOREIGN BODY CANAL AUD EXT-BIL,450,1 ,$456.00 ,$296.40 ,$108.39 ,$456.00 ,$270.98 ,$209.76 ,$247.15 ,$108.39 ,$127.68 ,$157.32 ,$108.39 ,$179.66 ,$108.39 ,$182.40 ,$182.40 ,$108.39 ,$182.40 ,$205.94 ,$239.86 ,$232.56 ,$270.97 ,$108.39 ,$319.20 ,$108.39 ,$228.00 ,$110.56 ,$342.00 ,$203.38 ,$182.86 ,$203.38 ,$108.39 ,$203.38 ,$287.28 ,$287.28 ,$323.76 ,$456.00 ,$387.60 ,$270.97 ,$364.80 ,$168.72 ,$364.80 ,$108.39 ,$108.39 ,$456.00 ,$247.15 ,$108.39 ,$119.93 , N/A , N/A , N/A , N/A ,$113.81 ,$387.60 ,$243.87 ,$182.40 ,$127.68 ,$410.40 ,$328.32 ,$456.00 ,$287.28 ,$425.00 ,$425.00 ,$108.39 ,$218.88 ,$410.40 ST. JOHN'S HOSPITAL,45001208,67715,HC CANTHOTOMY INC EYELID FOLD-LT,450,1 ,"$3,537.00 ","$2,299.05 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,627.02 ","$1,917.05 ","$1,923.53 ",$990.36 ,"$1,220.27 ","$1,923.53 ","$1,393.58 ","$1,923.53 ","$1,414.80 ","$1,414.80 ","$1,923.53 ","$1,414.80 ","$3,537.00 ","$1,860.46 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,475.90 ","$1,923.53 ","$1,768.50 ","$1,962.00 ","$2,652.75 ","$1,577.50 ","$1,418.34 ","$1,577.50 ","$1,923.53 ","$1,577.50 ","$2,228.31 ","$2,228.31 ","$2,511.27 ","$3,537.00 ","$3,006.45 ","$3,537.00 ","$2,829.60 ","$1,308.69 ","$2,829.60 ","$1,923.53 ","$1,923.53 ","$3,537.00 ","$1,917.05 ","$1,923.53 ",$930.23 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$3,006.45 ","$4,327.94 ","$1,414.80 ",$990.36 ,"$3,183.30 ","$2,546.64 ","$3,537.00 ","$2,228.31 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,697.76 ","$3,183.30 " ST. JOHN'S HOSPITAL,45001209,67715,HC CANTHOTOMY INC EYELID FOLD-RT,450,1 ,"$3,537.00 ","$2,299.05 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,627.02 ","$1,917.05 ","$1,923.53 ",$990.36 ,"$1,220.27 ","$1,923.53 ","$1,393.58 ","$1,923.53 ","$1,414.80 ","$1,414.80 ","$1,923.53 ","$1,414.80 ","$3,537.00 ","$1,860.46 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,475.90 ","$1,923.53 ","$1,768.50 ","$1,962.00 ","$2,652.75 ","$1,577.50 ","$1,418.34 ","$1,577.50 ","$1,923.53 ","$1,577.50 ","$2,228.31 ","$2,228.31 ","$2,511.27 ","$3,537.00 ","$3,006.45 ","$3,537.00 ","$2,829.60 ","$1,308.69 ","$2,829.60 ","$1,923.53 ","$1,923.53 ","$3,537.00 ","$1,917.05 ","$1,923.53 ",$930.23 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$3,006.45 ","$4,327.94 ","$1,414.80 ",$990.36 ,"$3,183.30 ","$2,546.64 ","$3,537.00 ","$2,228.31 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,697.76 ","$3,183.30 " ST. JOHN'S HOSPITAL,45001210,67930,HC REPAIR EYELID WOUND PARTIAL THICKNESS-E1,450,1 ,"$3,159.00 ","$2,053.35 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,453.14 ","$1,712.18 ","$1,923.53 ",$884.52 ,"$1,089.86 ","$1,923.53 ","$1,244.65 ","$1,923.53 ","$1,263.60 ","$1,263.60 ","$1,923.53 ","$1,263.60 ","$3,159.00 ","$1,661.63 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,211.30 ","$1,923.53 ","$1,579.50 ","$1,962.00 ","$2,369.25 ","$1,408.91 ","$1,266.76 ","$1,408.91 ","$1,923.53 ","$1,408.91 ","$1,990.17 ","$1,990.17 ","$2,242.89 ","$3,159.00 ","$2,685.15 ","$3,159.00 ","$2,527.20 ","$1,168.83 ","$2,527.20 ","$1,923.53 ","$1,923.53 ","$3,159.00 ","$1,712.18 ","$1,923.53 ",$830.82 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,685.15 ","$4,327.94 ","$1,263.60 ",$884.52 ,"$2,843.10 ","$2,274.48 ","$3,159.00 ","$1,990.17 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,516.32 ","$2,843.10 " ST. JOHN'S HOSPITAL,45001211,67930,HC REPAIR EYELID WOUND PARTIAL THICKNESS-E2,450,1 ,"$3,159.00 ","$2,053.35 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,453.14 ","$1,712.18 ","$1,923.53 ",$884.52 ,"$1,089.86 ","$1,923.53 ","$1,244.65 ","$1,923.53 ","$1,263.60 ","$1,263.60 ","$1,923.53 ","$1,263.60 ","$3,159.00 ","$1,661.63 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,211.30 ","$1,923.53 ","$1,579.50 ","$1,962.00 ","$2,369.25 ","$1,408.91 ","$1,266.76 ","$1,408.91 ","$1,923.53 ","$1,408.91 ","$1,990.17 ","$1,990.17 ","$2,242.89 ","$3,159.00 ","$2,685.15 ","$3,159.00 ","$2,527.20 ","$1,168.83 ","$2,527.20 ","$1,923.53 ","$1,923.53 ","$3,159.00 ","$1,712.18 ","$1,923.53 ",$830.82 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,685.15 ","$4,327.94 ","$1,263.60 ",$884.52 ,"$2,843.10 ","$2,274.48 ","$3,159.00 ","$1,990.17 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,516.32 ","$2,843.10 " ST. JOHN'S HOSPITAL,45001212,67930,HC REPAIR EYELID WOUND PARTIAL THICKNESS-E3,450,1 ,"$3,159.00 ","$2,053.35 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,453.14 ","$1,712.18 ","$1,923.53 ",$884.52 ,"$1,089.86 ","$1,923.53 ","$1,244.65 ","$1,923.53 ","$1,263.60 ","$1,263.60 ","$1,923.53 ","$1,263.60 ","$3,159.00 ","$1,661.63 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,211.30 ","$1,923.53 ","$1,579.50 ","$1,962.00 ","$2,369.25 ","$1,408.91 ","$1,266.76 ","$1,408.91 ","$1,923.53 ","$1,408.91 ","$1,990.17 ","$1,990.17 ","$2,242.89 ","$3,159.00 ","$2,685.15 ","$3,159.00 ","$2,527.20 ","$1,168.83 ","$2,527.20 ","$1,923.53 ","$1,923.53 ","$3,159.00 ","$1,712.18 ","$1,923.53 ",$830.82 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,685.15 ","$4,327.94 ","$1,263.60 ",$884.52 ,"$2,843.10 ","$2,274.48 ","$3,159.00 ","$1,990.17 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,516.32 ","$2,843.10 " ST. JOHN'S HOSPITAL,45001213,67930,HC REPAIR EYELID WOUND PARTIAL THICKNESS-E4,450,1 ,"$3,159.00 ","$2,053.35 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,453.14 ","$1,712.18 ","$1,923.53 ",$884.52 ,"$1,089.86 ","$1,923.53 ","$1,244.65 ","$1,923.53 ","$1,263.60 ","$1,263.60 ","$1,923.53 ","$1,263.60 ","$3,159.00 ","$1,661.63 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,211.30 ","$1,923.53 ","$1,579.50 ","$1,962.00 ","$2,369.25 ","$1,408.91 ","$1,266.76 ","$1,408.91 ","$1,923.53 ","$1,408.91 ","$1,990.17 ","$1,990.17 ","$2,242.89 ","$3,159.00 ","$2,685.15 ","$3,159.00 ","$2,527.20 ","$1,168.83 ","$2,527.20 ","$1,923.53 ","$1,923.53 ","$3,159.00 ","$1,712.18 ","$1,923.53 ",$830.82 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,685.15 ","$4,327.94 ","$1,263.60 ",$884.52 ,"$2,843.10 ","$2,274.48 ","$3,159.00 ","$1,990.17 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,516.32 ","$2,843.10 " ST. JOHN'S HOSPITAL,45001214,67935,HC REPAIR EYELID WOUND FULL THICKNESS-E1,450,1 ,"$2,944.00 ","$1,913.60 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,354.24 ","$1,595.65 ","$1,923.53 ",$824.32 ,"$1,015.68 ","$1,923.53 ","$1,159.94 ","$1,923.53 ","$1,177.60 ","$1,177.60 ","$1,923.53 ","$1,177.60 ","$2,944.00 ","$1,548.54 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,060.80 ","$1,923.53 ","$1,472.00 ","$1,962.00 ","$2,208.00 ","$1,313.02 ","$1,180.54 ","$1,313.02 ","$1,923.53 ","$1,313.02 ","$1,854.72 ","$1,854.72 ","$2,090.24 ","$2,944.00 ","$2,502.40 ","$2,944.00 ","$2,355.20 ","$1,089.28 ","$2,355.20 ","$1,923.53 ","$1,923.53 ","$2,944.00 ","$1,595.65 ","$1,923.53 ",$774.27 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,502.40 ","$4,327.94 ","$1,177.60 ",$824.32 ,"$2,649.60 ","$2,119.68 ","$2,944.00 ","$1,854.72 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,413.12 ","$2,649.60 " ST. JOHN'S HOSPITAL,45001215,67935,HC REPAIR EYELID WOUND FULL THICKNESS-E2,450,1 ,"$2,944.00 ","$1,913.60 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,354.24 ","$1,595.65 ","$1,923.53 ",$824.32 ,"$1,015.68 ","$1,923.53 ","$1,159.94 ","$1,923.53 ","$1,177.60 ","$1,177.60 ","$1,923.53 ","$1,177.60 ","$2,944.00 ","$1,548.54 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,060.80 ","$1,923.53 ","$1,472.00 ","$1,962.00 ","$2,208.00 ","$1,313.02 ","$1,180.54 ","$1,313.02 ","$1,923.53 ","$1,313.02 ","$1,854.72 ","$1,854.72 ","$2,090.24 ","$2,944.00 ","$2,502.40 ","$2,944.00 ","$2,355.20 ","$1,089.28 ","$2,355.20 ","$1,923.53 ","$1,923.53 ","$2,944.00 ","$1,595.65 ","$1,923.53 ",$774.27 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,502.40 ","$4,327.94 ","$1,177.60 ",$824.32 ,"$2,649.60 ","$2,119.68 ","$2,944.00 ","$1,854.72 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,413.12 ","$2,649.60 " ST. JOHN'S HOSPITAL,45001216,67935,HC REPAIR EYELID WOUND FULL THICKNESS-E3,450,1 ,"$2,944.00 ","$1,913.60 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,354.24 ","$1,595.65 ","$1,923.53 ",$824.32 ,"$1,015.68 ","$1,923.53 ","$1,159.94 ","$1,923.53 ","$1,177.60 ","$1,177.60 ","$1,923.53 ","$1,177.60 ","$2,944.00 ","$1,548.54 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,060.80 ","$1,923.53 ","$1,472.00 ","$1,962.00 ","$2,208.00 ","$1,313.02 ","$1,180.54 ","$1,313.02 ","$1,923.53 ","$1,313.02 ","$1,854.72 ","$1,854.72 ","$2,090.24 ","$2,944.00 ","$2,502.40 ","$2,944.00 ","$2,355.20 ","$1,089.28 ","$2,355.20 ","$1,923.53 ","$1,923.53 ","$2,944.00 ","$1,595.65 ","$1,923.53 ",$774.27 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,502.40 ","$4,327.94 ","$1,177.60 ",$824.32 ,"$2,649.60 ","$2,119.68 ","$2,944.00 ","$1,854.72 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,413.12 ","$2,649.60 " ST. JOHN'S HOSPITAL,45001217,67935,HC REPAIR EYELID WOUND FULL THICKNESS-E4,450,1 ,"$2,944.00 ","$1,913.60 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,354.24 ","$1,595.65 ","$1,923.53 ",$824.32 ,"$1,015.68 ","$1,923.53 ","$1,159.94 ","$1,923.53 ","$1,177.60 ","$1,177.60 ","$1,923.53 ","$1,177.60 ","$2,944.00 ","$1,548.54 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,060.80 ","$1,923.53 ","$1,472.00 ","$1,962.00 ","$2,208.00 ","$1,313.02 ","$1,180.54 ","$1,313.02 ","$1,923.53 ","$1,313.02 ","$1,854.72 ","$1,854.72 ","$2,090.24 ","$2,944.00 ","$2,502.40 ","$2,944.00 ","$2,355.20 ","$1,089.28 ","$2,355.20 ","$1,923.53 ","$1,923.53 ","$2,944.00 ","$1,595.65 ","$1,923.53 ",$774.27 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,502.40 ","$4,327.94 ","$1,177.60 ",$824.32 ,"$2,649.60 ","$2,119.68 ","$2,944.00 ","$1,854.72 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,413.12 ","$2,649.60 " ST. JOHN'S HOSPITAL,45001218,67938,HC REMOVE EMBEDDED FOREIGN BODY EYELID-E1,450,1 ,$365.00 ,$237.25 ,$96.00 ,$628.63 ,$628.63 ,$167.90 ,$197.83 ,$251.45 ,$102.20 ,$125.93 ,$251.45 ,$143.81 ,$251.45 ,$146.00 ,$146.00 ,$251.45 ,$146.00 ,$365.00 ,$191.99 ,$186.15 ,$628.63 ,$251.45 ,$255.50 ,$251.45 ,$182.50 ,$256.48 ,$273.75 ,$162.79 ,$146.37 ,$162.79 ,$251.45 ,$162.79 ,$229.95 ,$229.95 ,$259.15 ,$365.00 ,$310.25 ,$365.00 ,$292.00 ,$135.05 ,$292.00 ,$251.45 ,$251.45 ,$365.00 ,$197.83 ,$251.45 ,$96.00 , N/A , N/A , N/A , N/A ,$264.02 ,$310.25 ,$565.76 ,$146.00 ,$102.20 ,$328.50 ,$262.80 ,$365.00 ,$229.95 ,$365.00 ,$365.00 ,$251.45 ,$175.20 ,$328.50 ST. JOHN'S HOSPITAL,45001219,67938,HC REMOVE EMBEDDED FOREIGN BODY EYELID-E2,450,1 ,$365.00 ,$237.25 ,$96.00 ,$628.63 ,$628.63 ,$167.90 ,$197.83 ,$251.45 ,$102.20 ,$125.93 ,$251.45 ,$143.81 ,$251.45 ,$146.00 ,$146.00 ,$251.45 ,$146.00 ,$365.00 ,$191.99 ,$186.15 ,$628.63 ,$251.45 ,$255.50 ,$251.45 ,$182.50 ,$256.48 ,$273.75 ,$162.79 ,$146.37 ,$162.79 ,$251.45 ,$162.79 ,$229.95 ,$229.95 ,$259.15 ,$365.00 ,$310.25 ,$365.00 ,$292.00 ,$135.05 ,$292.00 ,$251.45 ,$251.45 ,$365.00 ,$197.83 ,$251.45 ,$96.00 , N/A , N/A , N/A , N/A ,$264.02 ,$310.25 ,$565.76 ,$146.00 ,$102.20 ,$328.50 ,$262.80 ,$365.00 ,$229.95 ,$365.00 ,$365.00 ,$251.45 ,$175.20 ,$328.50 ST. JOHN'S HOSPITAL,45001220,67938,HC REMOVE EMBEDDED FOREIGN BODY EYELID-E3,450,1 ,$365.00 ,$237.25 ,$96.00 ,$628.63 ,$628.63 ,$167.90 ,$197.83 ,$251.45 ,$102.20 ,$125.93 ,$251.45 ,$143.81 ,$251.45 ,$146.00 ,$146.00 ,$251.45 ,$146.00 ,$365.00 ,$191.99 ,$186.15 ,$628.63 ,$251.45 ,$255.50 ,$251.45 ,$182.50 ,$256.48 ,$273.75 ,$162.79 ,$146.37 ,$162.79 ,$251.45 ,$162.79 ,$229.95 ,$229.95 ,$259.15 ,$365.00 ,$310.25 ,$365.00 ,$292.00 ,$135.05 ,$292.00 ,$251.45 ,$251.45 ,$365.00 ,$197.83 ,$251.45 ,$96.00 , N/A , N/A , N/A , N/A ,$264.02 ,$310.25 ,$565.76 ,$146.00 ,$102.20 ,$328.50 ,$262.80 ,$365.00 ,$229.95 ,$365.00 ,$365.00 ,$251.45 ,$175.20 ,$328.50 ST. JOHN'S HOSPITAL,45001221,67938,HC REMOVE EMBEDDED FOREIGN BODY EYELID-E4,450,1 ,$365.00 ,$237.25 ,$96.00 ,$628.63 ,$628.63 ,$167.90 ,$197.83 ,$251.45 ,$102.20 ,$125.93 ,$251.45 ,$143.81 ,$251.45 ,$146.00 ,$146.00 ,$251.45 ,$146.00 ,$365.00 ,$191.99 ,$186.15 ,$628.63 ,$251.45 ,$255.50 ,$251.45 ,$182.50 ,$256.48 ,$273.75 ,$162.79 ,$146.37 ,$162.79 ,$251.45 ,$162.79 ,$229.95 ,$229.95 ,$259.15 ,$365.00 ,$310.25 ,$365.00 ,$292.00 ,$135.05 ,$292.00 ,$251.45 ,$251.45 ,$365.00 ,$197.83 ,$251.45 ,$96.00 , N/A , N/A , N/A , N/A ,$264.02 ,$310.25 ,$565.76 ,$146.00 ,$102.20 ,$328.50 ,$262.80 ,$365.00 ,$229.95 ,$365.00 ,$365.00 ,$251.45 ,$175.20 ,$328.50 ST. JOHN'S HOSPITAL,45001222,68700,HC REPAIR CANALICULI PLASTIC,450,1 ,"$2,468.00 ","$1,604.20 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,135.28 ","$1,337.66 ","$1,923.53 ",$691.04 ,$851.46 ,"$1,923.53 ",$972.39 ,"$1,923.53 ",$987.20 ,$987.20 ,"$1,923.53 ",$987.20 ,"$2,468.00 ","$1,298.17 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$1,727.60 ","$1,923.53 ","$1,234.00 ","$1,962.00 ","$1,851.00 ","$1,100.73 ",$989.67 ,"$1,100.73 ","$1,923.53 ","$1,100.73 ","$1,554.84 ","$1,554.84 ","$1,752.28 ","$2,468.00 ","$2,097.80 ","$2,468.00 ","$1,974.40 ",$913.16 ,"$1,974.40 ","$1,923.53 ","$1,923.53 ","$2,468.00 ","$1,337.66 ","$1,923.53 ",$649.08 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,097.80 ","$4,327.94 ",$987.20 ,$691.04 ,"$2,221.20 ","$1,776.96 ","$2,468.00 ","$1,554.84 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,184.64 ","$2,221.20 " ST. JOHN'S HOSPITAL,45001223,68840,HC EXPLORE LACRIMAL CANALICULI W/W/O IRRIGATION-LT,450,1 ,$829.00 ,$538.85 ,$218.03 ,$829.00 ,$628.63 ,$381.34 ,$449.32 ,$251.45 ,$232.12 ,$286.01 ,$251.45 ,$326.63 ,$251.45 ,$331.60 ,$331.60 ,$251.45 ,$331.60 ,$477.76 ,$436.05 ,$422.79 ,$628.63 ,$251.45 ,$580.30 ,$251.45 ,$414.50 ,$256.48 ,$621.75 ,$369.73 ,$332.43 ,$369.73 ,$251.45 ,$369.73 ,$522.27 ,$522.27 ,$588.59 ,$829.00 ,$704.65 ,$628.63 ,$663.20 ,$306.73 ,$663.20 ,$251.45 ,$251.45 ,$829.00 ,$449.32 ,$251.45 ,$218.03 , N/A , N/A , N/A , N/A ,$264.02 ,$704.65 ,$565.76 ,$331.60 ,$232.12 ,$746.10 ,$596.88 ,$829.00 ,$522.27 ,$425.00 ,$425.00 ,$251.45 ,$397.92 ,$746.10 ST. JOHN'S HOSPITAL,45001224,68840,HC EXPLORE LACRIMAL CANALICULI W/W/O IRRIGATION-RT,450,1 ,$829.00 ,$538.85 ,$218.03 ,$829.00 ,$628.63 ,$381.34 ,$449.32 ,$251.45 ,$232.12 ,$286.01 ,$251.45 ,$326.63 ,$251.45 ,$331.60 ,$331.60 ,$251.45 ,$331.60 ,$477.76 ,$436.05 ,$422.79 ,$628.63 ,$251.45 ,$580.30 ,$251.45 ,$414.50 ,$256.48 ,$621.75 ,$369.73 ,$332.43 ,$369.73 ,$251.45 ,$369.73 ,$522.27 ,$522.27 ,$588.59 ,$829.00 ,$704.65 ,$628.63 ,$663.20 ,$306.73 ,$663.20 ,$251.45 ,$251.45 ,$829.00 ,$449.32 ,$251.45 ,$218.03 , N/A , N/A , N/A , N/A ,$264.02 ,$704.65 ,$565.76 ,$331.60 ,$232.12 ,$746.10 ,$596.88 ,$829.00 ,$522.27 ,$425.00 ,$425.00 ,$251.45 ,$397.92 ,$746.10 ST. JOHN'S HOSPITAL,45001225,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-BIL,450,1 ,"$3,700.00 ","$2,405.00 ",$425.00 ,"$3,700.00 ","$2,243.15 ","$1,702.00 ","$2,005.40 ",$897.26 ,"$1,036.00 ","$1,276.50 ",$897.26 ,"$1,457.80 ",$897.26 ,"$1,480.00 ","$1,480.00 ",$897.26 ,"$1,480.00 ","$1,704.79 ","$1,946.20 ","$1,049.00 ","$2,243.14 ",$897.26 ,"$2,590.00 ",$897.26 ,"$1,850.00 ",$915.20 ,"$2,775.00 ","$1,650.20 ","$1,483.70 ","$1,650.20 ",$897.26 ,"$1,650.20 ","$2,331.00 ","$2,331.00 ","$2,627.00 ","$3,700.00 ","$3,145.00 ","$2,243.14 ","$2,960.00 ","$1,369.00 ","$2,960.00 ",$897.26 ,$897.26 ,"$3,700.00 ","$2,005.40 ",$897.26 ,$973.10 , N/A , N/A , N/A , N/A ,$942.12 ,"$3,145.00 ","$2,018.82 ","$1,480.00 ","$1,036.00 ","$3,330.00 ","$2,664.00 ","$3,700.00 ","$2,331.00 ",$425.00 ,$425.00 ,$897.26 ,"$1,776.00 ","$3,330.00 " ST. JOHN'S HOSPITAL,45001226,69005,HC I AND D ABSCESS EXTERNAL EAR CMPLX-LT,450,1 ,"$3,780.00 ","$2,457.00 ",$425.00 ,"$3,780.00 ","$3,381.25 ","$1,738.80 ","$2,048.76 ","$1,352.50 ","$1,058.40 ","$1,304.10 ","$1,352.50 ","$1,489.32 ","$1,352.50 ","$1,512.00 ","$1,512.00 ","$1,352.50 ","$1,512.00 ","$2,569.74 ","$1,988.28 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,646.00 ","$1,352.50 ","$1,890.00 ","$1,379.54 ","$2,835.00 ","$1,685.88 ","$1,515.78 ","$1,685.88 ","$1,352.50 ","$1,685.88 ","$2,381.40 ","$2,381.40 ","$2,683.80 ","$3,780.00 ","$3,213.00 ","$3,381.24 ","$3,024.00 ","$1,398.60 ","$3,024.00 ","$1,352.50 ","$1,352.50 ","$3,780.00 ","$2,048.76 ","$1,352.50 ",$994.14 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$3,213.00 ","$3,043.11 ","$1,512.00 ","$1,058.40 ","$3,402.00 ","$2,721.60 ","$3,780.00 ","$2,381.40 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,814.40 ","$3,402.00 " ST. JOHN'S HOSPITAL,45001227,69005,HC I AND D ABSCESS EXTERNAL EAR CMPLX-RT,450,1 ,"$3,780.00 ","$2,457.00 ",$425.00 ,"$3,780.00 ","$3,381.25 ","$1,738.80 ","$2,048.76 ","$1,352.50 ","$1,058.40 ","$1,304.10 ","$1,352.50 ","$1,489.32 ","$1,352.50 ","$1,512.00 ","$1,512.00 ","$1,352.50 ","$1,512.00 ","$2,569.74 ","$1,988.28 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$2,646.00 ","$1,352.50 ","$1,890.00 ","$1,379.54 ","$2,835.00 ","$1,685.88 ","$1,515.78 ","$1,685.88 ","$1,352.50 ","$1,685.88 ","$2,381.40 ","$2,381.40 ","$2,683.80 ","$3,780.00 ","$3,213.00 ","$3,381.24 ","$3,024.00 ","$1,398.60 ","$3,024.00 ","$1,352.50 ","$1,352.50 ","$3,780.00 ","$2,048.76 ","$1,352.50 ",$994.14 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$3,213.00 ","$3,043.11 ","$1,512.00 ","$1,058.40 ","$3,402.00 ","$2,721.60 ","$3,780.00 ","$2,381.40 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,814.40 ","$3,402.00 " ST. JOHN'S HOSPITAL,45001228,69020,HC DRAIN EXT AUDITORY CANAL,450,1 ,$851.00 ,$553.15 ,$223.81 ,"$1,495.43 ","$1,495.43 ",$391.46 ,$461.24 ,$598.17 ,$238.28 ,$293.60 ,$598.17 ,$335.29 ,$598.17 ,$340.40 ,$340.40 ,$598.17 ,$340.40 ,$851.00 ,$447.63 ,$434.01 ,"$1,495.43 ",$598.17 ,$595.70 ,$598.17 ,$425.50 ,$610.13 ,$638.25 ,$379.55 ,$341.25 ,$379.55 ,$598.17 ,$379.55 ,$536.13 ,$536.13 ,$604.21 ,$851.00 ,$723.35 ,$851.00 ,$680.80 ,$314.87 ,$680.80 ,$598.17 ,$598.17 ,$851.00 ,$461.24 ,$598.17 ,$223.81 , N/A , N/A , N/A , N/A ,$628.08 ,$723.35 ,"$1,345.88 ",$340.40 ,$238.28 ,$765.90 ,$612.72 ,$851.00 ,$536.13 ,$425.00 ,$425.00 ,$598.17 ,$408.48 ,$765.90 ST. JOHN'S HOSPITAL,45001229,69100,HC BIOPSY EXTERNAL EAR,450,1 ,"$1,460.00 ",$949.00 ,$203.37 ,"$1,460.00 ",$508.43 ,$671.60 ,$791.32 ,$203.37 ,$408.80 ,$503.70 ,$203.37 ,$575.24 ,$203.37 ,$584.00 ,$584.00 ,$203.37 ,$584.00 ,$386.39 ,$767.96 ,$744.60 ,$508.41 ,$203.37 ,"$1,022.00 ",$203.37 ,$730.00 ,$207.43 ,"$1,095.00 ",$651.16 ,$585.46 ,$651.16 ,$203.37 ,$651.16 ,$919.80 ,$919.80 ,"$1,036.60 ","$1,460.00 ","$1,241.00 ",$508.41 ,"$1,168.00 ",$540.20 ,"$1,168.00 ",$203.37 ,$203.37 ,"$1,460.00 ",$791.32 ,$203.37 ,$383.98 , N/A , N/A , N/A , N/A ,$213.54 ,"$1,241.00 ",$457.57 ,$584.00 ,$408.80 ,"$1,314.00 ","$1,051.20 ","$1,460.00 ",$919.80 ,$425.00 ,$425.00 ,$203.37 ,$700.80 ,"$1,314.00 " ST. JOHN'S HOSPITAL,45001240,42700,HC I AND D ABSC PERITONSILLAR-LT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$508.43 ,$333.96 ,$393.49 ,$203.37 ,$203.28 ,$250.47 ,$203.37 ,$286.04 ,$203.37 ,$290.40 ,$290.40 ,$203.37 ,$290.40 ,$386.39 ,$381.88 ,$370.26 ,$508.41 ,$203.37 ,$508.20 ,$203.37 ,$363.00 ,$207.43 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$203.37 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$508.41 ,$580.80 ,$268.62 ,$580.80 ,$203.37 ,$203.37 ,$726.00 ,$393.49 ,$203.37 ,$190.94 , N/A , N/A , N/A , N/A ,$213.54 ,$617.10 ,$457.57 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$203.37 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001241,42700,HC I AND D ABSC PERITONSILLAR-RT,450,1 ,$726.00 ,$471.90 ,$190.94 ,$726.00 ,$508.43 ,$333.96 ,$393.49 ,$203.37 ,$203.28 ,$250.47 ,$203.37 ,$286.04 ,$203.37 ,$290.40 ,$290.40 ,$203.37 ,$290.40 ,$386.39 ,$381.88 ,$370.26 ,$508.41 ,$203.37 ,$508.20 ,$203.37 ,$363.00 ,$207.43 ,$544.50 ,$323.80 ,$291.13 ,$323.80 ,$203.37 ,$323.80 ,$457.38 ,$457.38 ,$515.46 ,$726.00 ,$617.10 ,$508.41 ,$580.80 ,$268.62 ,$580.80 ,$203.37 ,$203.37 ,$726.00 ,$393.49 ,$203.37 ,$190.94 , N/A , N/A , N/A , N/A ,$213.54 ,$617.10 ,$457.57 ,$290.40 ,$203.28 ,$653.40 ,$522.72 ,$726.00 ,$457.38 ,$425.00 ,$425.00 ,$203.37 ,$348.48 ,$653.40 ST. JOHN'S HOSPITAL,45001242,64857,HC RPR PERIPHERAL NERVE ARM/LEG W/O TRANPOS-LT,450,1 ,"$4,236.00 ","$2,753.40 ",$425.00 ,"$13,703.75 ","$13,703.75 ","$1,948.56 ","$2,295.91 ","$5,481.50 ","$1,186.08 ","$1,461.42 ","$5,481.50 ","$1,668.98 ","$4,236.00 ","$1,694.40 ","$1,694.40 ","$4,236.00 ","$1,694.40 ","$4,236.00 ","$2,228.14 ","$1,049.00 ","$13,703.75 ","$5,481.50 ","$2,965.20 ","$5,481.50 ","$2,118.00 ","$4,236.00 ","$3,177.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$5,481.50 ","$1,856.00 ","$2,668.68 ","$2,668.68 ","$3,007.56 ","$4,236.00 ","$3,600.60 ","$4,236.00 ","$3,388.80 ","$1,567.32 ","$3,388.80 ","$5,481.50 ","$5,481.50 ","$4,236.00 ","$2,295.91 ","$5,481.50 ","$1,114.07 ", N/A , N/A , N/A , N/A ,"$5,755.58 ","$3,600.60 ","$12,333.38 ","$1,694.40 ","$1,186.08 ","$3,812.40 ","$3,049.92 ","$4,236.00 ","$2,668.68 ",$425.00 ,$425.00 ,"$5,481.50 ","$2,033.28 ","$3,812.40 " ST. JOHN'S HOSPITAL,45001243,64857,HC RPR PERIPHERAL NERVE ARM/LEG W/O TRANPOS-RT,450,1 ,"$4,236.00 ","$2,753.40 ",$425.00 ,"$13,703.75 ","$13,703.75 ","$1,948.56 ","$2,295.91 ","$5,481.50 ","$1,186.08 ","$1,461.42 ","$5,481.50 ","$1,668.98 ","$4,236.00 ","$1,694.40 ","$1,694.40 ","$4,236.00 ","$1,694.40 ","$4,236.00 ","$2,228.14 ","$1,049.00 ","$13,703.75 ","$5,481.50 ","$2,965.20 ","$5,481.50 ","$2,118.00 ","$4,236.00 ","$3,177.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$5,481.50 ","$1,856.00 ","$2,668.68 ","$2,668.68 ","$3,007.56 ","$4,236.00 ","$3,600.60 ","$4,236.00 ","$3,388.80 ","$1,567.32 ","$3,388.80 ","$5,481.50 ","$5,481.50 ","$4,236.00 ","$2,295.91 ","$5,481.50 ","$1,114.07 ", N/A , N/A , N/A , N/A ,"$5,755.58 ","$3,600.60 ","$12,333.38 ","$1,694.40 ","$1,186.08 ","$3,812.40 ","$3,049.92 ","$4,236.00 ","$2,668.68 ",$425.00 ,$425.00 ,"$5,481.50 ","$2,033.28 ","$3,812.40 " ST. JOHN'S HOSPITAL,45001244,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP-BIL,450,1 ,"$7,524.00 ","$4,890.60 ",$425.00 ,"$7,524.00 ","$3,347.18 ","$3,000.00 ","$4,078.01 ","$1,338.87 ","$2,106.72 ","$2,595.78 ","$1,338.87 ","$2,964.46 ","$1,338.87 ","$3,009.60 ","$3,009.60 ","$1,338.87 ","$3,009.60 ","$2,543.85 ","$3,957.62 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$5,266.80 ","$1,338.87 ","$3,762.00 ","$1,365.64 ","$5,643.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,524.00 ","$6,395.40 ","$3,347.17 ","$6,019.20 ","$2,783.88 ","$6,019.20 ","$1,338.87 ","$1,338.87 ","$7,524.00 ","$4,078.01 ","$1,338.87 ","$1,978.81 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$6,395.40 ","$3,012.45 ","$3,009.60 ","$2,106.72 ","$6,771.60 ","$5,417.28 ","$7,524.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,338.87 ","$3,611.52 ","$6,771.60 " ST. JOHN'S HOSPITAL,45001245,24670,HC CLOSED TX FX ULNAR PROX END W/MANIP-LT,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45001247,37618,HC LIGATION ARTERY EXTREMITY-LT,450,1 ,"$2,549.00 ","$1,656.85 ",$425.00 ,"$2,549.00 ", N/A ,"$1,172.54 ","$1,381.56 ", N/A ,$713.72 ,$879.41 , N/A ,"$1,004.31 ", N/A ,"$1,019.60 ","$1,019.60 ", N/A ,"$1,019.60 ", N/A ,"$1,340.77 ","$1,049.00 ", N/A , N/A ,"$1,784.30 ", N/A ,"$1,274.50 ", N/A ,"$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ", N/A ,"$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ", N/A ,"$2,039.20 ",$943.13 ,"$2,039.20 ", N/A , N/A ,"$2,549.00 ","$1,381.56 ", N/A ,$670.39 , N/A , N/A , N/A , N/A , N/A ,"$2,166.65 ", N/A ,"$1,019.60 ",$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ",$425.00 ,$425.00 , N/A ,"$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,45001248,37618,HC LIGATION ARTERY EXTREMITY-RT,450,1 ,"$2,549.00 ","$1,656.85 ",$425.00 ,"$2,549.00 ", N/A ,"$1,172.54 ","$1,381.56 ", N/A ,$713.72 ,$879.41 , N/A ,"$1,004.31 ", N/A ,"$1,019.60 ","$1,019.60 ", N/A ,"$1,019.60 ", N/A ,"$1,340.77 ","$1,049.00 ", N/A , N/A ,"$1,784.30 ", N/A ,"$1,274.50 ", N/A ,"$1,911.75 ","$1,136.85 ","$1,022.15 ","$1,136.85 ", N/A ,"$1,136.85 ","$1,605.87 ","$1,605.87 ","$1,809.79 ","$2,549.00 ","$2,166.65 ", N/A ,"$2,039.20 ",$943.13 ,"$2,039.20 ", N/A , N/A ,"$2,549.00 ","$1,381.56 ", N/A ,$670.39 , N/A , N/A , N/A , N/A , N/A ,"$2,166.65 ", N/A ,"$1,019.60 ",$713.72 ,"$2,294.10 ","$1,835.28 ","$2,549.00 ","$1,605.87 ",$425.00 ,$425.00 , N/A ,"$1,223.52 ","$2,294.10 " ST. JOHN'S HOSPITAL,45001249,37761,HC LIGATION VEIN LEG OPEN W/US-LT,450,1 ,"$3,394.00 ","$2,206.10 ",$425.00 ,"$6,879.30 ","$6,879.30 ","$1,561.24 ","$1,839.55 ","$2,751.72 ",$950.32 ,"$1,170.93 ","$2,751.72 ","$1,337.24 ","$2,751.72 ","$1,357.60 ","$1,357.60 ","$2,751.72 ","$1,357.60 ","$3,394.00 ","$1,785.24 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$2,375.80 ","$2,751.72 ","$1,697.00 ","$2,806.76 ","$2,545.50 ","$1,513.72 ","$1,360.99 ","$1,513.72 ","$2,751.72 ","$1,513.72 ","$2,138.22 ","$2,138.22 ","$2,409.74 ","$3,394.00 ","$2,884.90 ","$3,394.00 ","$2,715.20 ","$1,255.78 ","$2,715.20 ","$2,751.72 ","$2,751.72 ","$3,394.00 ","$1,839.55 ","$2,751.72 ",$892.62 , N/A , N/A , N/A , N/A ,"$2,889.31 ","$2,884.90 ","$6,191.37 ","$1,357.60 ",$950.32 ,"$3,054.60 ","$2,443.68 ","$3,394.00 ","$2,138.22 ",$425.00 ,$425.00 ,"$2,751.72 ","$1,629.12 ","$3,054.60 " ST. JOHN'S HOSPITAL,45001250,37761,HC LIGATION VEIN LEG OPEN W/US-RT,450,1 ,"$3,394.00 ","$2,206.10 ",$425.00 ,"$6,879.30 ","$6,879.30 ","$1,561.24 ","$1,839.55 ","$2,751.72 ",$950.32 ,"$1,170.93 ","$2,751.72 ","$1,337.24 ","$2,751.72 ","$1,357.60 ","$1,357.60 ","$2,751.72 ","$1,357.60 ","$3,394.00 ","$1,785.24 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$2,375.80 ","$2,751.72 ","$1,697.00 ","$2,806.76 ","$2,545.50 ","$1,513.72 ","$1,360.99 ","$1,513.72 ","$2,751.72 ","$1,513.72 ","$2,138.22 ","$2,138.22 ","$2,409.74 ","$3,394.00 ","$2,884.90 ","$3,394.00 ","$2,715.20 ","$1,255.78 ","$2,715.20 ","$2,751.72 ","$2,751.72 ","$3,394.00 ","$1,839.55 ","$2,751.72 ",$892.62 , N/A , N/A , N/A , N/A ,"$2,889.31 ","$2,884.90 ","$6,191.37 ","$1,357.60 ",$950.32 ,"$3,054.60 ","$2,443.68 ","$3,394.00 ","$2,138.22 ",$425.00 ,$425.00 ,"$2,751.72 ","$1,629.12 ","$3,054.60 " ST. JOHN'S HOSPITAL,45001251,21440,HC TX FX MANDIBULAR/MAXILLARY ALVEOLAR CLOSED,450,1 ,"$8,945.00 ","$5,814.25 ",$425.00 ,"$8,945.00 ","$6,574.23 ","$3,000.00 ","$4,848.19 ","$2,629.69 ","$2,504.60 ","$3,086.03 ","$2,629.69 ","$3,524.33 ","$2,629.69 ","$3,578.00 ","$3,578.00 ","$2,629.69 ","$3,578.00 ","$4,996.42 ","$4,705.07 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$6,261.50 ","$2,629.69 ","$4,472.50 ","$2,682.29 ","$6,708.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,629.69 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,945.00 ","$7,603.25 ","$6,574.24 ","$7,156.00 ","$3,309.65 ","$7,156.00 ","$2,629.69 ","$2,629.69 ","$8,945.00 ","$4,848.19 ","$2,629.69 ","$2,352.54 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$7,603.25 ","$5,916.81 ","$3,578.00 ","$2,504.60 ","$8,050.50 ","$6,440.40 ","$8,945.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,629.69 ","$4,293.60 ","$8,050.50 " ST. JOHN'S HOSPITAL,45001252,65235,HC REMOVE FB EYE INTRAOCULAR ANTERIOR CHAMBER-LT,450,1 ,"$5,500.00 ","$3,575.00 ",$425.00 ,"$5,500.00 ","$4,990.38 ","$2,530.00 ","$2,981.00 ","$1,996.15 ","$1,540.00 ","$1,897.50 ","$1,996.15 ","$2,167.00 ","$1,996.15 ","$2,200.00 ","$2,200.00 ","$1,996.15 ","$2,200.00 ","$3,792.69 ","$2,893.00 ","$1,049.00 ","$4,990.38 ","$1,996.15 ","$3,850.00 ","$1,996.15 ","$2,750.00 ","$2,036.08 ","$4,125.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,996.15 ","$1,856.00 ","$3,465.00 ","$3,465.00 ","$3,905.00 ","$5,500.00 ","$4,675.00 ","$4,990.38 ","$4,400.00 ","$2,035.00 ","$4,400.00 ","$1,996.15 ","$1,996.15 ","$5,500.00 ","$2,981.00 ","$1,996.15 ","$1,446.50 ", N/A , N/A , N/A , N/A ,"$2,095.96 ","$4,675.00 ","$4,491.35 ","$2,200.00 ","$1,540.00 ","$4,950.00 ","$3,960.00 ","$5,500.00 ","$3,465.00 ",$425.00 ,$425.00 ,"$1,996.15 ","$2,640.00 ","$4,950.00 " ST. JOHN'S HOSPITAL,45001253,65235,HC REMOVE FB EYE INTRAOCULAR ANTERIOR CHAMBER-RT,450,1 ,"$5,500.00 ","$3,575.00 ",$425.00 ,"$5,500.00 ","$4,990.38 ","$2,530.00 ","$2,981.00 ","$1,996.15 ","$1,540.00 ","$1,897.50 ","$1,996.15 ","$2,167.00 ","$1,996.15 ","$2,200.00 ","$2,200.00 ","$1,996.15 ","$2,200.00 ","$3,792.69 ","$2,893.00 ","$1,049.00 ","$4,990.38 ","$1,996.15 ","$3,850.00 ","$1,996.15 ","$2,750.00 ","$2,036.08 ","$4,125.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,996.15 ","$1,856.00 ","$3,465.00 ","$3,465.00 ","$3,905.00 ","$5,500.00 ","$4,675.00 ","$4,990.38 ","$4,400.00 ","$2,035.00 ","$4,400.00 ","$1,996.15 ","$1,996.15 ","$5,500.00 ","$2,981.00 ","$1,996.15 ","$1,446.50 ", N/A , N/A , N/A , N/A ,"$2,095.96 ","$4,675.00 ","$4,491.35 ","$2,200.00 ","$1,540.00 ","$4,950.00 ","$3,960.00 ","$5,500.00 ","$3,465.00 ",$425.00 ,$425.00 ,"$1,996.15 ","$2,640.00 ","$4,950.00 " ST. JOHN'S HOSPITAL,45001255,28505,HC TX FX GREAT TOE-LT,450,1 ,"$5,790.00 ","$3,763.50 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,663.40 ","$3,138.18 ","$2,722.21 ","$1,621.20 ","$1,997.55 ","$2,722.21 ","$2,281.26 ","$2,722.21 ","$2,316.00 ","$2,316.00 ","$2,722.21 ","$2,316.00 ","$5,172.21 ","$3,045.54 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,053.00 ","$2,722.21 ","$2,895.00 ","$2,776.66 ","$4,342.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,647.70 ","$3,647.70 ","$4,002.00 ","$5,790.00 ","$4,921.50 ","$5,790.00 ","$4,632.00 ","$2,142.30 ","$4,632.00 ","$2,722.21 ","$2,722.21 ","$5,790.00 ","$3,138.18 ","$2,722.21 ","$1,522.77 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,921.50 ","$6,124.98 ","$2,316.00 ","$1,621.20 ","$5,211.00 ","$4,168.80 ","$5,790.00 ","$3,647.70 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,779.20 ","$5,211.00 " ST. JOHN'S HOSPITAL,45001256,28505,HC TX FX GREAT TOE-RT,450,1 ,"$5,790.00 ","$3,763.50 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,663.40 ","$3,138.18 ","$2,722.21 ","$1,621.20 ","$1,997.55 ","$2,722.21 ","$2,281.26 ","$2,722.21 ","$2,316.00 ","$2,316.00 ","$2,722.21 ","$2,316.00 ","$5,172.21 ","$3,045.54 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,053.00 ","$2,722.21 ","$2,895.00 ","$2,776.66 ","$4,342.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,647.70 ","$3,647.70 ","$4,002.00 ","$5,790.00 ","$4,921.50 ","$5,790.00 ","$4,632.00 ","$2,142.30 ","$4,632.00 ","$2,722.21 ","$2,722.21 ","$5,790.00 ","$3,138.18 ","$2,722.21 ","$1,522.77 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,921.50 ","$6,124.98 ","$2,316.00 ","$1,621.20 ","$5,211.00 ","$4,168.80 ","$5,790.00 ","$3,647.70 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,779.20 ","$5,211.00 " ST. JOHN'S HOSPITAL,45001257,67550,HC INSERT ORBITAL IMPLANT,450,1 ,"$8,465.00 ","$5,502.25 ",$425.00 ,"$8,465.00 ","$7,945.33 ","$3,000.00 ","$4,588.03 ","$3,178.13 ","$2,370.20 ","$2,920.43 ","$3,178.13 ","$3,335.21 ","$3,178.13 ","$3,386.00 ","$3,386.00 ","$3,178.13 ","$3,386.00 ","$6,038.45 ","$4,452.59 ","$1,049.00 ","$7,945.33 ","$3,178.13 ","$5,925.50 ","$3,178.13 ","$4,232.50 ","$3,241.69 ","$6,348.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$3,178.13 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,465.00 ","$7,195.25 ","$7,945.33 ","$6,772.00 ","$3,132.05 ","$6,772.00 ","$3,178.13 ","$3,178.13 ","$8,465.00 ","$4,588.03 ","$3,178.13 ","$2,226.30 ", N/A , N/A , N/A , N/A ,"$3,337.04 ","$7,195.25 ","$7,150.80 ","$3,386.00 ","$2,370.20 ","$7,618.50 ","$6,094.80 ","$8,465.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$3,178.13 ","$4,063.20 ","$7,618.50 " ST. JOHN'S HOSPITAL,45001265,23545,HC TX ACROMIOCLAVICULAR DISLOC W/MANIP CLOSED,450,1 ,$931.00 ,$605.15 ,$198.12 ,$931.00 ,$495.30 ,$428.26 ,$504.60 ,$198.12 ,$260.68 ,$321.20 ,$198.12 ,$366.81 ,$198.12 ,$372.40 ,$372.40 ,$198.12 ,$372.40 ,$376.43 ,$489.71 ,$474.81 ,$495.31 ,$198.12 ,$651.70 ,$198.12 ,$465.50 ,$202.09 ,$698.25 ,$415.23 ,$373.33 ,$415.23 ,$198.12 ,$415.23 ,$586.53 ,$586.53 ,$661.01 ,$931.00 ,$791.35 ,$495.31 ,$744.80 ,$344.47 ,$744.80 ,$198.12 ,$198.12 ,$931.00 ,$504.60 ,$198.12 ,$244.85 , N/A , N/A , N/A , N/A ,$208.03 ,$791.35 ,$445.78 ,$372.40 ,$260.68 ,$837.90 ,$670.32 ,$931.00 ,$586.53 ,$425.00 ,$425.00 ,$198.12 ,$446.88 ,$837.90 ST. JOHN'S HOSPITAL,45001268,26426,HC RPR EXTENSOR TENDON W/TISS LAT BAND EA FINGER,450,1 ,"$11,440.00 ","$7,436.00 ",$425.00 ,"$11,440.00 ","$6,805.53 ","$3,000.00 ","$6,200.48 ","$2,722.21 ","$3,203.20 ","$3,533.22 ","$2,722.21 ","$4,507.36 ","$2,722.21 ","$4,576.00 ","$4,576.00 ","$2,722.21 ","$4,576.00 ","$5,172.21 ","$6,017.44 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$8,008.00 ","$2,722.21 ","$5,720.00 ","$2,776.66 ","$8,580.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$11,440.00 ","$9,724.00 ","$6,805.53 ","$9,152.00 ","$4,232.80 ","$9,152.00 ","$2,722.21 ","$2,722.21 ","$11,440.00 ","$6,200.48 ","$2,722.21 ","$3,008.72 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$9,724.00 ","$6,124.98 ","$4,576.00 ","$3,203.20 ","$10,296.00 ","$8,236.80 ","$11,440.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$5,491.20 ","$10,296.00 " ST. JOHN'S HOSPITAL,45001269,11762,HC RECONSTRUCT NAIL BED W/GRAFT,450,1 ,"$3,531.00 ","$2,295.15 ",$425.00 ,"$4,116.01 ","$4,116.00 ","$1,624.26 ","$1,913.80 ","$1,646.40 ",$988.68 ,"$1,218.20 ","$1,646.40 ","$1,391.21 ","$1,646.40 ","$1,412.40 ","$1,412.40 ","$1,646.40 ","$1,412.40 ","$3,128.17 ","$1,857.31 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$2,471.70 ","$1,646.40 ","$1,765.50 ","$1,679.33 ","$2,648.25 ","$1,574.83 ","$1,415.93 ","$1,574.83 ","$1,646.40 ","$1,574.83 ","$2,224.53 ","$2,224.53 ","$2,507.01 ","$3,531.00 ","$3,001.35 ","$3,531.00 ","$2,824.80 ","$1,306.47 ","$2,824.80 ","$1,646.40 ","$1,646.40 ","$3,531.00 ","$1,913.80 ","$1,646.40 ",$928.65 , N/A , N/A , N/A , N/A ,"$1,728.72 ","$3,001.35 ","$3,704.41 ","$1,412.40 ",$988.68 ,"$3,177.90 ","$2,542.32 ","$3,531.00 ","$2,224.53 ",$425.00 ,$425.00 ,"$1,646.40 ","$1,694.88 ","$3,177.90 " ST. JOHN'S HOSPITAL,45001270,20822,HC REPLANTATION DIGIT COMPLETE AMPUTATION,450,1 ,"$5,305.00 ","$3,448.25 ",$425.00 ,"$5,305.00 ","$3,347.18 ","$2,440.30 ","$2,875.31 ","$1,338.87 ","$1,485.40 ","$1,830.23 ","$1,338.87 ","$2,090.17 ","$1,338.87 ","$2,122.00 ","$2,122.00 ","$1,338.87 ","$2,122.00 ","$2,543.85 ","$2,790.43 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,713.50 ","$1,338.87 ","$2,652.50 ","$1,365.64 ","$3,978.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,342.15 ","$3,342.15 ","$3,766.55 ","$5,305.00 ","$4,509.25 ","$3,347.17 ","$4,244.00 ","$1,962.85 ","$4,244.00 ","$1,338.87 ","$1,338.87 ","$5,305.00 ","$2,875.31 ","$1,338.87 ","$1,395.22 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,509.25 ","$3,012.45 ","$2,122.00 ","$1,485.40 ","$4,774.50 ","$3,819.60 ","$5,305.00 ","$3,342.15 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,546.40 ","$4,774.50 " ST. JOHN'S HOSPITAL,45001271,21451,HC TX FX MANDIBULAR W/MANIPULATION CLOSED,450,1 ,"$7,808.00 ","$5,075.20 ",$425.00 ,"$7,808.00 ","$3,250.78 ","$3,000.00 ","$4,231.94 ","$1,300.31 ","$2,186.24 ","$2,693.76 ","$1,300.31 ","$3,076.35 ","$1,300.31 ","$3,123.20 ","$3,123.20 ","$1,300.31 ","$3,123.20 ","$2,470.58 ","$4,107.01 ","$1,049.00 ","$3,250.76 ","$1,300.31 ","$5,465.60 ","$1,300.31 ","$3,904.00 ","$1,326.31 ","$5,856.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,300.31 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,808.00 ","$6,636.80 ","$3,250.76 ","$6,246.40 ","$2,888.96 ","$6,246.40 ","$1,300.31 ","$1,300.31 ","$7,808.00 ","$4,231.94 ","$1,300.31 ","$2,053.50 ", N/A , N/A , N/A , N/A ,"$1,365.33 ","$6,636.80 ","$2,925.69 ","$3,123.20 ","$2,186.24 ","$7,027.20 ","$5,621.76 ","$7,808.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,300.31 ","$3,747.84 ","$7,027.20 " ST. JOHN'S HOSPITAL,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,"$3,751.00 ","$2,438.15 ",$425.00 ,"$3,751.00 ","$3,347.18 ","$1,725.46 ","$2,033.04 ","$1,338.87 ","$1,050.28 ","$1,294.10 ","$1,338.87 ","$1,477.89 ","$1,338.87 ","$1,500.40 ","$1,500.40 ","$1,338.87 ","$1,500.40 ","$2,543.85 ","$1,973.03 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,625.70 ","$1,338.87 ","$1,875.50 ","$1,365.64 ","$2,813.25 ","$1,672.95 ","$1,504.15 ","$1,672.95 ","$1,338.87 ","$1,672.95 ","$2,363.13 ","$2,363.13 ","$2,663.21 ","$3,751.00 ","$3,188.35 ","$3,347.17 ","$3,000.80 ","$1,387.87 ","$3,000.80 ","$1,338.87 ","$1,338.87 ","$3,751.00 ","$2,033.04 ","$1,338.87 ",$986.51 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,188.35 ","$3,012.45 ","$1,500.40 ","$1,050.28 ","$3,375.90 ","$2,700.72 ","$3,751.00 ","$2,363.13 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,800.48 ","$3,375.90 " ST. JOHN'S HOSPITAL,45001273,23675,HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP,450,1 ,"$1,735.00 ","$1,127.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$798.10 ,$940.37 ,"$1,338.87 ",$485.80 ,$598.58 ,"$1,338.87 ",$683.59 ,"$1,338.87 ",$694.00 ,$694.00 ,"$1,338.87 ",$694.00 ,"$1,735.00 ",$912.61 ,$884.85 ,"$3,347.17 ","$1,338.87 ","$1,214.50 ","$1,338.87 ",$867.50 ,"$1,365.64 ","$1,301.25 ",$773.81 ,$695.74 ,$773.81 ,"$1,338.87 ",$773.81 ,"$1,093.05 ","$1,093.05 ","$1,231.85 ","$1,735.00 ","$1,474.75 ","$1,735.00 ","$1,388.00 ",$641.95 ,"$1,388.00 ","$1,338.87 ","$1,338.87 ","$1,735.00 ",$940.37 ,"$1,338.87 ",$456.31 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,474.75 ","$3,012.45 ",$694.00 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,45001274,24500,HC TX FX HUMERUS SHAFT W/O MANIP CLOSED,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45001275,24530,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/O MANIP,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$495.30 ,$307.28 ,$362.06 ,$198.12 ,$187.04 ,$230.46 ,$198.12 ,$263.19 ,$198.12 ,$267.20 ,$267.20 ,$198.12 ,$267.20 ,$376.43 ,$351.37 ,$340.68 ,$495.31 ,$198.12 ,$467.60 ,$198.12 ,$334.00 ,$202.09 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$198.12 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$495.31 ,$534.40 ,$247.16 ,$534.40 ,$198.12 ,$198.12 ,$668.00 ,$362.06 ,$198.12 ,$175.68 , N/A , N/A , N/A , N/A ,$208.03 ,$567.80 ,$445.78 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$198.12 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45001276,24535,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/MANIP,450,1 ,$731.00 ,$475.15 ,$192.25 ,"$3,347.18 ","$3,347.18 ",$336.26 ,$396.20 ,"$1,338.87 ",$204.68 ,$252.20 ,"$1,338.87 ",$288.01 ,$731.00 ,$292.40 ,$292.40 ,$731.00 ,$292.40 ,$731.00 ,$384.51 ,$372.81 ,"$3,347.17 ","$1,338.87 ",$511.70 ,"$1,338.87 ",$365.50 ,$731.00 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,"$1,338.87 ",$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$731.00 ,$584.80 ,$270.47 ,$584.80 ,"$1,338.87 ","$1,338.87 ",$731.00 ,$396.20 ,"$1,338.87 ",$192.25 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$621.35 ,"$3,012.45 ",$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,"$1,338.87 ",$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$1,125.00 ",$731.25 ,$295.88 ,"$3,347.18 ","$3,347.18 ",$517.50 ,$609.75 ,"$1,338.87 ",$315.00 ,$388.13 ,"$1,338.87 ",$443.25 ,"$1,125.00 ",$450.00 ,$450.00 ,"$1,125.00 ",$450.00 ,"$1,125.00 ",$591.75 ,$573.75 ,"$3,347.17 ","$1,338.87 ",$787.50 ,"$1,338.87 ",$562.50 ,"$1,125.00 ",$843.75 ,$501.75 ,$451.13 ,$501.75 ,"$1,338.87 ",$501.75 ,$708.75 ,$708.75 ,$798.75 ,"$1,125.00 ",$956.25 ,"$1,125.00 ",$900.00 ,$416.25 ,$900.00 ,"$1,338.87 ","$1,338.87 ","$1,125.00 ",$609.75 ,"$1,338.87 ",$295.88 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$956.25 ,"$3,012.45 ",$450.00 ,$315.00 ,"$1,012.50 ",$810.00 ,"$1,125.00 ",$708.75 ,$425.00 ,$425.00 ,"$1,338.87 ",$540.00 ,"$1,012.50 " ST. JOHN'S HOSPITAL,45001278,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP,450,1 ,"$2,040.00 ","$1,326.00 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$938.40 ,"$1,105.68 ","$1,338.87 ",$571.20 ,$703.80 ,"$1,338.87 ",$803.76 ,"$1,338.87 ",$816.00 ,$816.00 ,"$1,338.87 ",$816.00 ,"$2,040.00 ","$1,073.04 ","$1,040.40 ","$3,347.17 ","$1,338.87 ","$1,428.00 ","$1,338.87 ","$1,020.00 ","$1,365.64 ","$1,530.00 ",$909.84 ,$818.04 ,$909.84 ,"$1,338.87 ",$909.84 ,"$1,285.20 ","$1,285.20 ","$1,448.40 ","$2,040.00 ","$1,734.00 ","$2,040.00 ","$1,632.00 ",$754.80 ,"$1,632.00 ","$1,338.87 ","$1,338.87 ","$2,040.00 ","$1,105.68 ","$1,338.87 ",$536.52 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,734.00 ","$3,012.45 ",$816.00 ,$571.20 ,"$1,836.00 ","$1,468.80 ","$2,040.00 ","$1,285.20 ",$425.00 ,$425.00 ,"$1,338.87 ",$979.20 ,"$1,836.00 " ST. JOHN'S HOSPITAL,45001279,25260,HC REPAIR TEND/MUSC/FLEXOR FOREARM/WRIST PRIMARY,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45001280,25270,HC REPAIR TEND/MUSC/EXTENSOR FOREARM/WRIST PRIMARY,450,1 ,"$4,826.00 ","$3,136.90 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,219.96 ","$2,615.69 ","$2,722.21 ","$1,351.28 ","$1,664.97 ","$2,722.21 ","$1,901.44 ","$2,722.21 ","$1,930.40 ","$1,930.40 ","$2,722.21 ","$1,930.40 ","$4,826.00 ","$2,538.48 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,378.20 ","$2,722.21 ","$2,413.00 ","$2,776.66 ","$3,619.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,040.38 ","$3,040.38 ","$3,426.46 ","$4,826.00 ","$4,102.10 ","$4,826.00 ","$3,860.80 ","$1,785.62 ","$3,860.80 ","$2,722.21 ","$2,722.21 ","$4,826.00 ","$2,615.69 ","$2,722.21 ","$1,269.24 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,102.10 ","$6,124.98 ","$1,930.40 ","$1,351.28 ","$4,343.40 ","$3,474.72 ","$4,826.00 ","$3,040.38 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,316.48 ","$4,343.40 " ST. JOHN'S HOSPITAL,45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,"$1,352.00 ",$878.80 ,$355.58 ,"$3,347.18 ","$3,347.18 ",$621.92 ,$732.78 ,"$1,338.87 ",$378.56 ,$466.44 ,"$1,338.87 ",$532.69 ,"$1,338.87 ",$540.80 ,$540.80 ,"$1,338.87 ",$540.80 ,"$1,352.00 ",$711.15 ,$689.52 ,"$3,347.17 ","$1,338.87 ",$946.40 ,"$1,338.87 ",$676.00 ,"$1,352.00 ","$1,014.00 ",$602.99 ,$542.15 ,$602.99 ,"$1,338.87 ",$602.99 ,$851.76 ,$851.76 ,$959.92 ,"$1,352.00 ","$1,149.20 ","$1,352.00 ","$1,081.60 ",$500.24 ,"$1,081.60 ","$1,338.87 ","$1,338.87 ","$1,352.00 ",$732.78 ,"$1,338.87 ",$355.58 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,149.20 ","$3,012.45 ",$540.80 ,$378.56 ,"$1,216.80 ",$973.44 ,"$1,352.00 ",$851.76 ,$425.00 ,$425.00 ,"$1,338.87 ",$648.96 ,"$1,216.80 " ST. JOHN'S HOSPITAL,45001282,25535,HC TX FX ULNAR CLOSED W/MANIP,450,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$495.30 ,$278.76 ,$328.45 ,$198.12 ,$169.68 ,$209.07 ,$198.12 ,$238.76 ,$198.12 ,$242.40 ,$242.40 ,$198.12 ,$242.40 ,$376.43 ,$318.76 ,$309.06 ,$495.31 ,$198.12 ,$424.20 ,$198.12 ,$303.00 ,$202.09 ,$454.50 ,$270.28 ,$243.01 ,$270.28 ,$198.12 ,$270.28 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$495.31 ,$484.80 ,$224.22 ,$484.80 ,$198.12 ,$198.12 ,$606.00 ,$328.45 ,$198.12 ,$159.38 , N/A , N/A , N/A , N/A ,$208.03 ,$515.10 ,$445.78 ,$242.40 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$425.00 ,$425.00 ,$198.12 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,45001283,25675,HC CLOSED TX RADIO-ULNAR DISLOC W/MANIP,450,1 ,$555.00 ,$360.75 ,$145.97 ,$555.00 ,$495.30 ,$255.30 ,$300.81 ,$198.12 ,$155.40 ,$191.48 ,$198.12 ,$218.67 ,$198.12 ,$222.00 ,$222.00 ,$198.12 ,$222.00 ,$376.43 ,$291.93 ,$283.05 ,$495.31 ,$198.12 ,$388.50 ,$198.12 ,$277.50 ,$202.09 ,$416.25 ,$247.53 ,$222.56 ,$247.53 ,$198.12 ,$247.53 ,$349.65 ,$349.65 ,$394.05 ,$555.00 ,$471.75 ,$495.31 ,$444.00 ,$205.35 ,$444.00 ,$198.12 ,$198.12 ,$555.00 ,$300.81 ,$198.12 ,$145.97 , N/A , N/A , N/A , N/A ,$208.03 ,$471.75 ,$445.78 ,$222.00 ,$155.40 ,$499.50 ,$399.60 ,$555.00 ,$349.65 ,$425.00 ,$425.00 ,$198.12 ,$266.40 ,$499.50 ST. JOHN'S HOSPITAL,45001284,26350,HC REPAIR FLEXOR TENDON DIGIT,450,1 ,"$5,611.00 ","$3,647.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,581.06 ","$3,041.16 ","$2,722.21 ","$1,571.08 ","$1,935.80 ","$2,722.21 ","$2,210.73 ","$2,722.21 ","$2,244.40 ","$2,244.40 ","$2,722.21 ","$2,244.40 ","$5,172.21 ","$2,951.39 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,927.70 ","$2,722.21 ","$2,805.50 ","$2,776.66 ","$4,208.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,534.93 ","$3,534.93 ","$3,983.81 ","$5,611.00 ","$4,769.35 ","$5,611.00 ","$4,488.80 ","$2,076.07 ","$4,488.80 ","$2,722.21 ","$2,722.21 ","$5,611.00 ","$3,041.16 ","$2,722.21 ","$1,475.69 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,769.35 ","$6,124.98 ","$2,244.40 ","$1,571.08 ","$5,049.90 ","$4,039.92 ","$5,611.00 ","$3,534.93 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,693.28 ","$5,049.90 " ST. JOHN'S HOSPITAL,45001285,26412,HC REPAIR TENDON HAND W/GRAFT EA TENDON,450,1 ,"$6,065.00 ","$3,942.25 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,789.90 ","$3,287.23 ","$2,722.21 ","$1,698.20 ","$2,092.43 ","$2,722.21 ","$2,389.61 ","$2,722.21 ","$2,426.00 ","$2,426.00 ","$2,722.21 ","$2,426.00 ","$5,172.21 ","$3,190.19 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,245.50 ","$2,722.21 ","$3,032.50 ","$2,776.66 ","$4,548.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,065.00 ","$5,155.25 ","$6,065.00 ","$4,852.00 ","$2,244.05 ","$4,852.00 ","$2,722.21 ","$2,722.21 ","$6,065.00 ","$3,287.23 ","$2,722.21 ","$1,595.10 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,155.25 ","$6,124.98 ","$2,426.00 ","$1,698.20 ","$5,458.50 ","$4,366.80 ","$6,065.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,911.20 ","$5,458.50 " ST. JOHN'S HOSPITAL,45001286,26785,HC TX DISL (I-P) HAND W/FIXATION SINGLE OPEN,450,1 ,"$6,896.00 ","$4,482.40 ",$425.00 ,"$6,896.00 ","$6,805.53 ","$3,000.00 ","$3,737.63 ","$2,722.21 ","$1,930.88 ","$2,379.12 ","$2,722.21 ","$2,717.02 ","$2,722.21 ","$2,758.40 ","$2,758.40 ","$2,722.21 ","$2,758.40 ","$5,172.21 ","$3,627.30 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,827.20 ","$2,722.21 ","$3,448.00 ","$2,776.66 ","$5,172.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,896.00 ","$5,861.60 ","$6,805.53 ","$5,516.80 ","$2,551.52 ","$5,516.80 ","$2,722.21 ","$2,722.21 ","$6,896.00 ","$3,737.63 ","$2,722.21 ","$1,813.65 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$5,861.60 ","$6,124.98 ","$2,758.40 ","$1,930.88 ","$6,206.40 ","$4,965.12 ","$6,896.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,310.08 ","$6,206.40 " ST. JOHN'S HOSPITAL,45001287,26952,HC AMPUT FINGER/THUMB W/NEURECTOMY/FLAP,450,1 ,"$3,158.00 ","$2,052.70 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,452.68 ","$1,711.64 ","$2,722.21 ",$884.24 ,"$1,089.51 ","$2,722.21 ","$1,244.25 ","$2,722.21 ","$1,263.20 ","$1,263.20 ","$2,722.21 ","$1,263.20 ","$3,158.00 ","$1,661.11 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,210.60 ","$2,722.21 ","$1,579.00 ","$2,776.66 ","$2,368.50 ","$1,408.47 ","$1,266.36 ","$1,408.47 ","$2,722.21 ","$1,408.47 ","$1,989.54 ","$1,989.54 ","$2,242.18 ","$3,158.00 ","$2,684.30 ","$3,158.00 ","$2,526.40 ","$1,168.46 ","$2,526.40 ","$2,722.21 ","$2,722.21 ","$3,158.00 ","$1,711.64 ","$2,722.21 ",$830.55 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,684.30 ","$6,124.98 ","$1,263.20 ",$884.24 ,"$2,842.20 ","$2,273.76 ","$3,158.00 ","$1,989.54 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,515.84 ","$2,842.20 " ST. JOHN'S HOSPITAL,45001288,26989,HC HAND/FINGER UNLISTED PROC,450,1 ,"$1,556.00 ","$1,011.40 ",$198.12 ,"$1,556.00 ",$495.30 ,$715.76 ,$843.35 ,$198.12 ,$435.68 ,$536.82 ,$198.12 ,$613.06 ,$198.12 ,$622.40 ,$622.40 ,$198.12 ,$622.40 ,$376.43 ,$818.46 ,$793.56 ,$495.31 ,$198.12 ,"$1,089.20 ",$198.12 ,$778.00 ,$202.09 ,"$1,167.00 ",$693.98 ,$623.96 ,$693.98 ,$198.12 ,$693.98 ,$980.28 ,$980.28 ,"$1,104.76 ","$1,556.00 ","$1,322.60 ",$495.31 ,"$1,244.80 ",$575.72 ,"$1,244.80 ",$198.12 ,$198.12 ,"$1,556.00 ",$843.35 ,$198.12 ,$409.23 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,322.60 ",$445.78 ,$622.40 ,$435.68 ,"$1,400.40 ","$1,120.32 ","$1,556.00 ",$980.28 ,$425.00 ,$425.00 ,$198.12 ,$746.88 ,"$1,400.40 " ST. JOHN'S HOSPITAL,45001289,27222,HC TX FX CLOSED ACETABULAR HIP W/MANIP,450,1 ,"$6,127.00 ","$3,982.55 ",$425.00 ,"$6,127.00 ", N/A ,"$2,818.42 ","$3,320.83 ", N/A ,"$1,715.56 ","$2,113.82 ", N/A ,"$2,414.04 ", N/A ,"$2,450.80 ","$2,450.80 ", N/A ,"$2,450.80 ", N/A ,"$3,222.80 ","$1,049.00 ", N/A , N/A ,"$4,288.90 ", N/A ,"$3,063.50 ", N/A ,"$4,595.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$6,127.00 ","$5,207.95 ", N/A ,"$4,901.60 ","$2,266.99 ","$4,901.60 ", N/A , N/A ,"$6,127.00 ","$3,320.83 ", N/A ,"$1,611.40 ", N/A , N/A , N/A , N/A , N/A ,"$5,207.95 ", N/A ,"$2,450.80 ","$1,715.56 ","$5,514.30 ","$4,411.44 ","$6,127.00 ","$3,786.00 ",$425.00 ,$425.00 , N/A ,"$2,940.96 ","$5,514.30 " ST. JOHN'S HOSPITAL,45001290,27500,HC TX FX CLOSED FEMUR W/O MANIP,450,1 ,$931.00 ,$605.15 ,$198.12 ,$931.00 ,$495.30 ,$428.26 ,$504.60 ,$198.12 ,$260.68 ,$321.20 ,$198.12 ,$366.81 ,$198.12 ,$372.40 ,$372.40 ,$198.12 ,$372.40 ,$376.43 ,$489.71 ,$474.81 ,$495.31 ,$198.12 ,$651.70 ,$198.12 ,$465.50 ,$202.09 ,$698.25 ,$415.23 ,$373.33 ,$415.23 ,$198.12 ,$415.23 ,$586.53 ,$586.53 ,$661.01 ,$931.00 ,$791.35 ,$495.31 ,$744.80 ,$344.47 ,$744.80 ,$198.12 ,$198.12 ,$931.00 ,$504.60 ,$198.12 ,$244.85 , N/A , N/A , N/A , N/A ,$208.03 ,$791.35 ,$445.78 ,$372.40 ,$260.68 ,$837.90 ,$670.32 ,$931.00 ,$586.53 ,$425.00 ,$425.00 ,$198.12 ,$446.88 ,$837.90 ST. JOHN'S HOSPITAL,45001291,27502,HC TX FX FEMUR W/MAN W/W/O TRACTION,450,1 ,"$4,704.00 ","$3,057.60 ",$425.00 ,"$4,704.00 ","$3,347.18 ","$2,163.84 ","$2,549.57 ","$1,338.87 ","$1,317.12 ","$1,622.88 ","$1,338.87 ","$1,853.38 ","$1,338.87 ","$1,881.60 ","$1,881.60 ","$1,338.87 ","$1,881.60 ","$2,543.85 ","$2,474.30 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,292.80 ","$1,338.87 ","$2,352.00 ","$1,365.64 ","$3,528.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,963.52 ","$2,963.52 ","$3,339.84 ","$4,704.00 ","$3,998.40 ","$3,347.17 ","$3,763.20 ","$1,740.48 ","$3,763.20 ","$1,338.87 ","$1,338.87 ","$4,704.00 ","$2,549.57 ","$1,338.87 ","$1,237.15 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,998.40 ","$3,012.45 ","$1,881.60 ","$1,317.12 ","$4,233.60 ","$3,386.88 ","$4,704.00 ","$2,963.52 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,257.92 ","$4,233.60 " ST. JOHN'S HOSPITAL,45001292,27510,HC TX FX CLOSED FEMUR W/MANIP,450,1 ,"$1,635.00 ","$1,062.75 ",$425.00 ,"$3,347.18 ","$3,347.18 ",$752.10 ,$886.17 ,"$1,338.87 ",$457.80 ,$564.08 ,"$1,338.87 ",$644.19 ,"$1,338.87 ",$654.00 ,$654.00 ,"$1,338.87 ",$654.00 ,"$1,635.00 ",$860.01 ,$833.85 ,"$3,347.17 ","$1,338.87 ","$1,144.50 ","$1,338.87 ",$817.50 ,"$1,365.64 ","$1,226.25 ",$729.21 ,$655.64 ,$729.21 ,"$1,338.87 ",$729.21 ,"$1,030.05 ","$1,030.05 ","$1,160.85 ","$1,635.00 ","$1,389.75 ","$1,635.00 ","$1,308.00 ",$604.95 ,"$1,308.00 ","$1,338.87 ","$1,338.87 ","$1,635.00 ",$886.17 ,"$1,338.87 ",$430.01 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$1,389.75 ","$3,012.45 ",$654.00 ,$457.80 ,"$1,471.50 ","$1,177.20 ","$1,635.00 ","$1,030.05 ",$425.00 ,$425.00 ,"$1,338.87 ",$784.80 ,"$1,471.50 " ST. JOHN'S HOSPITAL,45001293,27538,HC TX FX CLOSED SPINE/KNEE W/W/O MANIP,450,1 ,"$2,854.00 ","$1,855.10 ",$198.12 ,"$2,854.00 ",$495.30 ,"$1,312.84 ","$1,546.87 ",$198.12 ,$799.12 ,$984.63 ,$198.12 ,"$1,124.48 ",$198.12 ,"$1,141.60 ","$1,141.60 ",$198.12 ,"$1,141.60 ",$376.43 ,"$1,501.20 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,997.80 ",$198.12 ,"$1,427.00 ",$202.09 ,"$2,140.50 ","$1,272.88 ","$1,144.45 ","$1,272.88 ",$198.12 ,"$1,272.88 ","$1,798.02 ","$1,798.02 ","$2,026.34 ","$2,854.00 ","$2,425.90 ",$495.31 ,"$2,283.20 ","$1,055.98 ","$2,283.20 ",$198.12 ,$198.12 ,"$2,854.00 ","$1,546.87 ",$198.12 ,$750.60 , N/A , N/A , N/A , N/A ,$208.03 ,"$2,425.90 ",$445.78 ,"$1,141.60 ",$799.12 ,"$2,568.60 ","$2,054.88 ","$2,854.00 ","$1,798.02 ",$425.00 ,$425.00 ,$198.12 ,"$1,369.92 ","$2,568.60 " ST. JOHN'S HOSPITAL,45001294,27562,HC TX DISLOC PATELLAR W/ANESTH,450,1 ,"$2,321.00 ","$1,508.65 ",$198.12 ,"$2,321.00 ",$495.30 ,"$1,067.66 ","$1,257.98 ",$198.12 ,$649.88 ,$800.75 ,$198.12 ,$914.47 ,$198.12 ,$928.40 ,$928.40 ,$198.12 ,$928.40 ,$376.43 ,"$1,220.85 ","$1,049.00 ",$495.31 ,$198.12 ,"$1,624.70 ",$198.12 ,"$1,160.50 ",$202.09 ,"$1,740.75 ","$1,035.17 ",$930.72 ,"$1,035.17 ",$198.12 ,"$1,035.17 ","$1,462.23 ","$1,462.23 ","$1,647.91 ","$2,321.00 ","$1,972.85 ",$495.31 ,"$1,856.80 ",$858.77 ,"$1,856.80 ",$198.12 ,$198.12 ,"$2,321.00 ","$1,257.98 ",$198.12 ,$610.42 , N/A , N/A , N/A , N/A ,$208.03 ,"$1,972.85 ",$445.78 ,$928.40 ,$649.88 ,"$2,088.90 ","$1,671.12 ","$2,321.00 ","$1,462.23 ",$425.00 ,$425.00 ,$198.12 ,"$1,114.08 ","$2,088.90 " ST. JOHN'S HOSPITAL,45001295,27603,HC I AND D ABSCESS/HEMATOMA LEG/ANKLE DEEP,450,1 ,"$3,096.00 ","$2,012.40 ",$425.00 ,"$5,697.91 ","$5,697.90 ","$1,424.16 ","$1,678.03 ","$2,279.16 ",$866.88 ,"$1,068.12 ","$2,279.16 ","$1,219.82 ","$2,279.16 ","$1,238.40 ","$1,238.40 ","$2,279.16 ","$1,238.40 ","$3,096.00 ","$1,628.50 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$2,167.20 ","$2,279.16 ","$1,548.00 ","$2,324.75 ","$2,322.00 ","$1,380.82 ","$1,241.50 ","$1,380.82 ","$2,279.16 ","$1,380.82 ","$1,950.48 ","$1,950.48 ","$2,198.16 ","$3,096.00 ","$2,631.60 ","$3,096.00 ","$2,476.80 ","$1,145.52 ","$2,476.80 ","$2,279.16 ","$2,279.16 ","$3,096.00 ","$1,678.03 ","$2,279.16 ",$814.25 , N/A , N/A , N/A , N/A ,"$2,393.12 ","$2,631.60 ","$5,128.12 ","$1,238.40 ",$866.88 ,"$2,786.40 ","$2,229.12 ","$3,096.00 ","$1,950.48 ",$425.00 ,$425.00 ,"$2,279.16 ","$1,486.08 ","$2,786.40 " ST. JOHN'S HOSPITAL,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$3,446.00 ","$2,239.90 ",$425.00 ,"$3,446.00 ","$3,347.18 ","$1,585.16 ","$1,867.73 ","$1,338.87 ",$964.88 ,"$1,188.87 ","$1,338.87 ","$1,357.72 ","$1,338.87 ","$1,378.40 ","$1,378.40 ","$1,338.87 ","$1,378.40 ","$2,543.85 ","$1,812.60 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,412.20 ","$1,338.87 ","$1,723.00 ","$1,365.64 ","$2,584.50 ","$1,536.92 ","$1,381.85 ","$1,536.92 ","$1,338.87 ","$1,536.92 ","$2,170.98 ","$2,170.98 ","$2,446.66 ","$3,446.00 ","$2,929.10 ","$3,347.17 ","$2,756.80 ","$1,275.02 ","$2,756.80 ","$1,338.87 ","$1,338.87 ","$3,446.00 ","$1,867.73 ","$1,338.87 ",$906.30 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,929.10 ","$3,012.45 ","$1,378.40 ",$964.88 ,"$3,101.40 ","$2,481.12 ","$3,446.00 ","$2,170.98 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,654.08 ","$3,101.40 " ST. JOHN'S HOSPITAL,45001297,27781,HC TX FX PROXIMAL FIBULA/SHAFT W/MANIP,450,1 ,"$4,412.00 ","$2,867.80 ",$425.00 ,"$4,412.00 ","$3,347.18 ","$2,029.52 ","$2,391.30 ","$1,338.87 ","$1,235.36 ","$1,522.14 ","$1,338.87 ","$1,738.33 ","$1,338.87 ","$1,764.80 ","$1,764.80 ","$1,338.87 ","$1,764.80 ","$2,543.85 ","$2,320.71 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,088.40 ","$1,338.87 ","$2,206.00 ","$1,365.64 ","$3,309.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$2,779.56 ","$2,779.56 ","$3,132.52 ","$4,412.00 ","$3,750.20 ","$3,347.17 ","$3,529.60 ","$1,632.44 ","$3,529.60 ","$1,338.87 ","$1,338.87 ","$4,412.00 ","$2,391.30 ","$1,338.87 ","$1,160.36 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$3,750.20 ","$3,012.45 ","$1,764.80 ","$1,235.36 ","$3,970.80 ","$3,176.64 ","$4,412.00 ","$2,779.56 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,117.76 ","$3,970.80 " ST. JOHN'S HOSPITAL,45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$662.00 ,$430.30 ,$174.11 ,$662.00 ,$495.30 ,$304.52 ,$358.80 ,$198.12 ,$185.36 ,$228.39 ,$198.12 ,$260.83 ,$198.12 ,$264.80 ,$264.80 ,$198.12 ,$264.80 ,$376.43 ,$348.21 ,$337.62 ,$495.31 ,$198.12 ,$463.40 ,$198.12 ,$331.00 ,$202.09 ,$496.50 ,$295.25 ,$265.46 ,$295.25 ,$198.12 ,$295.25 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 ,$495.31 ,$529.60 ,$244.94 ,$529.60 ,$198.12 ,$198.12 ,$662.00 ,$358.80 ,$198.12 ,$174.11 , N/A , N/A , N/A , N/A ,$208.03 ,$562.70 ,$445.78 ,$264.80 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$425.00 ,$425.00 ,$198.12 ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,45001299,27824,HC TX FX TIBIA DISTAL WGT BEAR W/MAN W/W/O ANES CLS,450,1 ,$785.00 ,$510.25 ,$198.12 ,$785.00 ,$495.30 ,$361.10 ,$425.47 ,$198.12 ,$219.80 ,$270.83 ,$198.12 ,$309.29 ,$198.12 ,$314.00 ,$314.00 ,$198.12 ,$314.00 ,$376.43 ,$412.91 ,$400.35 ,$495.31 ,$198.12 ,$549.50 ,$198.12 ,$392.50 ,$202.09 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$198.12 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$495.31 ,$628.00 ,$290.45 ,$628.00 ,$198.12 ,$198.12 ,$785.00 ,$425.47 ,$198.12 ,$206.46 , N/A , N/A , N/A , N/A ,$208.03 ,$667.25 ,$445.78 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$198.12 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45001300,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES,450,1 ,"$5,570.00 ","$3,620.50 ",$425.00 ,"$5,570.00 ","$3,347.18 ","$2,562.20 ","$3,018.94 ","$1,338.87 ","$1,559.60 ","$1,921.65 ","$1,338.87 ","$2,194.58 ","$1,338.87 ","$2,228.00 ","$2,228.00 ","$1,338.87 ","$2,228.00 ","$2,543.85 ","$2,929.82 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$3,899.00 ","$1,338.87 ","$2,785.00 ","$1,365.64 ","$4,177.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,338.87 ","$1,856.00 ","$3,509.10 ","$3,509.10 ","$3,954.70 ","$5,570.00 ","$4,734.50 ","$3,347.17 ","$4,456.00 ","$2,060.90 ","$4,456.00 ","$1,338.87 ","$1,338.87 ","$5,570.00 ","$3,018.94 ","$1,338.87 ","$1,464.91 ", N/A , N/A , N/A , N/A ,"$1,405.81 ","$4,734.50 ","$3,012.45 ","$2,228.00 ","$1,559.60 ","$5,013.00 ","$4,010.40 ","$5,570.00 ","$3,509.10 ",$425.00 ,$425.00 ,"$1,338.87 ","$2,673.60 ","$5,013.00 " ST. JOHN'S HOSPITAL,45001301,27830,HC TX TIBIOFIBULAR JOINT DISLOC W/O ANESTH,450,1 ,$679.00 ,$441.35 ,$178.58 ,$679.00 ,$495.30 ,$312.34 ,$368.02 ,$198.12 ,$190.12 ,$234.26 ,$198.12 ,$267.53 ,$198.12 ,$271.60 ,$271.60 ,$198.12 ,$271.60 ,$376.43 ,$357.15 ,$346.29 ,$495.31 ,$198.12 ,$475.30 ,$198.12 ,$339.50 ,$202.09 ,$509.25 ,$302.83 ,$272.28 ,$302.83 ,$198.12 ,$302.83 ,$427.77 ,$427.77 ,$482.09 ,$679.00 ,$577.15 ,$495.31 ,$543.20 ,$251.23 ,$543.20 ,$198.12 ,$198.12 ,$679.00 ,$368.02 ,$198.12 ,$178.58 , N/A , N/A , N/A , N/A ,$208.03 ,$577.15 ,$445.78 ,$271.60 ,$190.12 ,$611.10 ,$488.88 ,$679.00 ,$427.77 ,$425.00 ,$425.00 ,$198.12 ,$325.92 ,$611.10 ST. JOHN'S HOSPITAL,45001302,28193,HC REMOVE FB FOOT COMPLICATED,450,1 ,"$2,796.00 ","$1,817.40 ",$425.00 ,"$3,381.25 ","$3,381.25 ","$1,286.16 ","$1,515.43 ","$1,352.50 ",$782.88 ,$964.62 ,"$1,352.50 ","$1,101.62 ","$1,352.50 ","$1,118.40 ","$1,118.40 ","$1,352.50 ","$1,118.40 ","$2,569.74 ","$1,470.70 ","$1,049.00 ","$3,381.24 ","$1,352.50 ","$1,957.20 ","$1,352.50 ","$1,398.00 ","$1,379.54 ","$2,097.00 ","$1,247.02 ","$1,121.20 ","$1,247.02 ","$1,352.50 ","$1,247.02 ","$1,761.48 ","$1,761.48 ","$1,985.16 ","$2,796.00 ","$2,376.60 ","$2,796.00 ","$2,236.80 ","$1,034.52 ","$2,236.80 ","$1,352.50 ","$1,352.50 ","$2,796.00 ","$1,515.43 ","$1,352.50 ",$735.35 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$2,376.60 ","$3,043.11 ","$1,118.40 ",$782.88 ,"$2,516.40 ","$2,013.12 ","$2,796.00 ","$1,761.48 ",$425.00 ,$425.00 ,"$1,352.50 ","$1,342.08 ","$2,516.40 " ST. JOHN'S HOSPITAL,45001303,28208,HC REPAIR TENDON EXTENSOR FOOT,450,1 ,"$3,316.00 ","$2,155.40 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,525.36 ","$1,797.27 ","$2,722.21 ",$928.48 ,"$1,144.02 ","$2,722.21 ","$1,306.50 ","$2,722.21 ","$1,326.40 ","$1,326.40 ","$2,722.21 ","$1,326.40 ","$3,316.00 ","$1,744.22 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,321.20 ","$2,722.21 ","$1,658.00 ","$2,776.66 ","$2,487.00 ","$1,478.94 ","$1,329.72 ","$1,478.94 ","$2,722.21 ","$1,478.94 ","$2,089.08 ","$2,089.08 ","$2,354.36 ","$3,316.00 ","$2,818.60 ","$3,316.00 ","$2,652.80 ","$1,226.92 ","$2,652.80 ","$2,722.21 ","$2,722.21 ","$3,316.00 ","$1,797.27 ","$2,722.21 ",$872.11 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$2,818.60 ","$6,124.98 ","$1,326.40 ",$928.48 ,"$2,984.40 ","$2,387.52 ","$3,316.00 ","$2,089.08 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,591.68 ","$2,984.40 " ST. JOHN'S HOSPITAL,45001305,28435,HC TX FX CLOSED TALUS W/MANIP,450,1 ,"$1,004.00 ",$652.60 ,$264.05 ,"$3,347.18 ","$3,347.18 ",$461.84 ,$544.17 ,"$1,338.87 ",$281.12 ,$346.38 ,"$1,338.87 ",$395.58 ,"$1,004.00 ",$401.60 ,$401.60 ,"$1,004.00 ",$401.60 ,"$1,004.00 ",$528.10 ,$512.04 ,"$3,347.17 ","$1,338.87 ",$702.80 ,"$1,338.87 ",$502.00 ,"$1,004.00 ",$753.00 ,$447.78 ,$402.60 ,$447.78 ,"$1,338.87 ",$447.78 ,$632.52 ,$632.52 ,$712.84 ,"$1,004.00 ",$853.40 ,"$1,004.00 ",$803.20 ,$371.48 ,$803.20 ,"$1,338.87 ","$1,338.87 ","$1,004.00 ",$544.17 ,"$1,338.87 ",$264.05 , N/A , N/A , N/A , N/A ,"$1,405.81 ",$853.40 ,"$3,012.45 ",$401.60 ,$281.12 ,$903.60 ,$722.88 ,"$1,004.00 ",$632.52 ,$425.00 ,$425.00 ,"$1,338.87 ",$481.92 ,$903.60 ST. JOHN'S HOSPITAL,45001306,28505,HC TX FX GREAT TOE,450,1 ,"$5,790.00 ","$3,763.50 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,663.40 ","$3,138.18 ","$2,722.21 ","$1,621.20 ","$1,997.55 ","$2,722.21 ","$2,281.26 ","$2,722.21 ","$2,316.00 ","$2,316.00 ","$2,722.21 ","$2,316.00 ","$5,172.21 ","$3,045.54 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$4,053.00 ","$2,722.21 ","$2,895.00 ","$2,776.66 ","$4,342.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,647.70 ","$3,647.70 ","$4,002.00 ","$5,790.00 ","$4,921.50 ","$5,790.00 ","$4,632.00 ","$2,142.30 ","$4,632.00 ","$2,722.21 ","$2,722.21 ","$5,790.00 ","$3,138.18 ","$2,722.21 ","$1,522.77 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$4,921.50 ","$6,124.98 ","$2,316.00 ","$1,621.20 ","$5,211.00 ","$4,168.80 ","$5,790.00 ","$3,647.70 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,779.20 ","$5,211.00 " ST. JOHN'S HOSPITAL,45001307,28575,HC TX CLOSED TALOTARSAL JOINT DISLOC W/ANESTH,450,1 ,"$4,601.00 ","$2,990.65 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$2,116.46 ","$2,493.74 ","$2,722.21 ","$1,288.28 ","$1,587.35 ","$2,722.21 ","$1,812.79 ","$2,722.21 ","$1,840.40 ","$1,840.40 ","$2,722.21 ","$1,840.40 ","$4,601.00 ","$2,420.13 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$3,220.70 ","$2,722.21 ","$2,300.50 ","$2,776.66 ","$3,450.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$2,898.63 ","$2,898.63 ","$3,266.71 ","$4,601.00 ","$3,910.85 ","$4,601.00 ","$3,680.80 ","$1,702.37 ","$3,680.80 ","$2,722.21 ","$2,722.21 ","$4,601.00 ","$2,493.74 ","$2,722.21 ","$1,210.06 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,910.85 ","$6,124.98 ","$1,840.40 ","$1,288.28 ","$4,140.90 ","$3,312.72 ","$4,601.00 ","$2,898.63 ",$425.00 ,$425.00 ,"$2,722.21 ","$2,208.48 ","$4,140.90 " ST. JOHN'S HOSPITAL,45001308,29355,HC APPL LONG LEG CAST WALKING,450,1 ,"$1,076.00 ",$699.40 ,$231.89 ,"$1,076.00 ",$579.73 ,$494.96 ,$583.19 ,$231.89 ,$301.28 ,$371.22 ,$231.89 ,$423.94 ,$231.89 ,$430.40 ,$430.40 ,$231.89 ,$430.40 ,$440.60 ,$565.98 ,$548.76 ,$579.73 ,$231.89 ,$753.20 ,$231.89 ,$538.00 ,$236.53 ,$807.00 ,$479.90 ,$431.48 ,$479.90 ,$231.89 ,$479.90 ,$677.88 ,$677.88 ,$763.96 ,"$1,076.00 ",$914.60 ,$579.73 ,$860.80 ,$398.12 ,$860.80 ,$231.89 ,$231.89 ,"$1,076.00 ",$583.19 ,$231.89 ,$282.99 , N/A , N/A , N/A , N/A ,$243.48 ,$914.60 ,$521.76 ,$430.40 ,$301.28 ,$968.40 ,$774.72 ,"$1,076.00 ",$677.88 ,$425.00 ,$425.00 ,$231.89 ,$516.48 ,$968.40 ST. JOHN'S HOSPITAL,45001309,37761,HC LIGATION VEIN LEG OPEN W/US,450,1 ,"$3,394.00 ","$2,206.10 ",$425.00 ,"$6,879.30 ","$6,879.30 ","$1,561.24 ","$1,839.55 ","$2,751.72 ",$950.32 ,"$1,170.93 ","$2,751.72 ","$1,337.24 ","$2,751.72 ","$1,357.60 ","$1,357.60 ","$2,751.72 ","$1,357.60 ","$3,394.00 ","$1,785.24 ","$1,049.00 ","$6,879.30 ","$2,751.72 ","$2,375.80 ","$2,751.72 ","$1,697.00 ","$2,806.76 ","$2,545.50 ","$1,513.72 ","$1,360.99 ","$1,513.72 ","$2,751.72 ","$1,513.72 ","$2,138.22 ","$2,138.22 ","$2,409.74 ","$3,394.00 ","$2,884.90 ","$3,394.00 ","$2,715.20 ","$1,255.78 ","$2,715.20 ","$2,751.72 ","$2,751.72 ","$3,394.00 ","$1,839.55 ","$2,751.72 ",$892.62 , N/A , N/A , N/A , N/A ,"$2,889.31 ","$2,884.90 ","$6,191.37 ","$1,357.60 ",$950.32 ,"$3,054.60 ","$2,443.68 ","$3,394.00 ","$2,138.22 ",$425.00 ,$425.00 ,"$2,751.72 ","$1,629.12 ","$3,054.60 " ST. JOHN'S HOSPITAL,45001310,38300,HC DRAIN LYMPH NODES ABSCESS/LYMPH SIMPLE,450,1 ,"$7,259.00 ","$4,718.35 ",$425.00 ,"$7,259.00 ","$5,697.90 ","$3,000.00 ","$3,934.38 ","$2,279.16 ","$2,032.52 ","$2,504.36 ","$2,279.16 ","$2,860.05 ","$2,279.16 ","$2,903.60 ","$2,903.60 ","$2,279.16 ","$2,903.60 ","$4,330.41 ","$3,818.23 ","$1,049.00 ","$5,697.91 ","$2,279.16 ","$5,081.30 ","$2,279.16 ","$3,629.50 ","$2,324.75 ","$5,444.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,279.16 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,259.00 ","$6,170.15 ","$5,697.91 ","$5,807.20 ","$2,685.83 ","$5,807.20 ","$2,279.16 ","$2,279.16 ","$7,259.00 ","$3,934.38 ","$2,279.16 ","$1,909.12 ", N/A , N/A , N/A , N/A ,"$2,393.12 ","$6,170.15 ","$5,128.12 ","$2,903.60 ","$2,032.52 ","$6,533.10 ","$5,226.48 ","$7,259.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,279.16 ","$3,484.32 ","$6,533.10 " ST. JOHN'S HOSPITAL,45001311,64831,HC REPAIR NERVE DIGITAL HAND/FOOT INIT,450,1 ,"$20,012.00 ","$13,007.80 ",$425.00 ,"$20,012.00 ","$4,219.65 ","$3,000.00 ","$10,846.50 ","$1,687.86 ","$5,603.36 ","$3,533.22 ","$1,687.86 ","$5,420.63 ","$1,687.86 ","$5,000.00 ","$5,000.00 ","$1,687.86 ","$5,000.00 ","$3,206.94 ","$10,526.31 ","$1,049.00 ","$4,219.66 ","$1,687.86 ","$14,008.40 ","$1,687.86 ","$10,006.00 ","$1,721.62 ","$15,009.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,687.86 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$20,012.00 ","$17,010.20 ","$4,219.66 ","$16,009.60 ","$7,404.44 ","$16,009.60 ","$1,687.86 ","$1,687.86 ","$20,012.00 ","$10,846.50 ","$1,687.86 ","$5,263.16 ", N/A , N/A , N/A , N/A ,"$1,772.25 ","$17,010.20 ","$3,797.69 ","$5,000.00 ","$5,603.36 ","$18,010.80 ","$14,408.64 ","$20,012.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$1,687.86 ","$9,605.76 ","$18,010.80 " ST. JOHN'S HOSPITAL,45001312,65290,HC RPR WOUND EXTRAOCULAR MUSC/TENDON,450,1 ,"$1,840.00 ","$1,196.00 ",$425.00 ,"$7,945.33 ","$7,945.33 ",$846.40 ,$997.28 ,"$3,178.13 ",$515.20 ,$634.80 ,"$3,178.13 ",$724.96 ,"$1,840.00 ",$736.00 ,$736.00 ,"$1,840.00 ",$736.00 ,"$1,840.00 ",$967.84 ,$938.40 ,"$7,945.33 ","$3,178.13 ","$1,288.00 ","$3,178.13 ",$920.00 ,"$1,840.00 ","$1,380.00 ",$820.64 ,$737.84 ,$820.64 ,"$3,178.13 ",$820.64 ,"$1,159.20 ","$1,159.20 ","$1,306.40 ","$1,840.00 ","$1,564.00 ","$1,840.00 ","$1,472.00 ",$680.80 ,"$1,472.00 ","$3,178.13 ","$3,178.13 ","$1,840.00 ",$997.28 ,"$3,178.13 ",$483.92 , N/A , N/A , N/A , N/A ,"$3,337.04 ","$1,564.00 ","$7,150.80 ",$736.00 ,$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ","$1,159.20 ",$425.00 ,$425.00 ,"$3,178.13 ",$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,45001313,67028,HC INTRAVITREAL INJ PHARM AGENT,450,1 ,$841.00 ,$546.65 ,$221.18 ,$841.00 ,$766.23 ,$386.86 ,$455.82 ,$306.49 ,$235.48 ,$290.15 ,$306.49 ,$331.35 ,$306.49 ,$336.40 ,$336.40 ,$306.49 ,$336.40 ,$582.34 ,$442.37 ,$428.91 ,$766.23 ,$306.49 ,$588.70 ,$306.49 ,$420.50 ,$312.62 ,$630.75 ,$375.09 ,$337.24 ,$375.09 ,$306.49 ,$375.09 ,$529.83 ,$529.83 ,$597.11 ,$841.00 ,$714.85 ,$766.23 ,$672.80 ,$311.17 ,$672.80 ,$306.49 ,$306.49 ,$841.00 ,$455.82 ,$306.49 ,$221.18 , N/A , N/A , N/A , N/A ,$321.81 ,$714.85 ,$689.61 ,$336.40 ,$235.48 ,$756.90 ,$605.52 ,$841.00 ,$529.83 ,$425.00 ,$425.00 ,$306.49 ,$403.68 ,$756.90 ST. JOHN'S HOSPITAL,45001314,67405,HC ORBITOTOMY W/DRAINAGE,450,1 ,"$5,193.00 ","$3,375.45 ",$425.00 ,"$5,193.00 ","$4,808.83 ","$2,388.78 ","$2,814.61 ","$1,923.53 ","$1,454.04 ","$1,791.59 ","$1,923.53 ","$2,046.04 ","$1,923.53 ","$2,077.20 ","$2,077.20 ","$1,923.53 ","$2,077.20 ","$3,654.71 ","$2,731.52 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$3,635.10 ","$1,923.53 ","$2,596.50 ","$1,962.00 ","$3,894.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,923.53 ","$1,856.00 ","$3,271.59 ","$3,271.59 ","$3,687.03 ","$5,193.00 ","$4,414.05 ","$4,808.83 ","$4,154.40 ","$1,921.41 ","$4,154.40 ","$1,923.53 ","$1,923.53 ","$5,193.00 ","$2,814.61 ","$1,923.53 ","$1,365.76 ", N/A , N/A , N/A , N/A ,"$2,019.71 ","$4,414.05 ","$4,327.94 ","$2,077.20 ","$1,454.04 ","$4,673.70 ","$3,738.96 ","$5,193.00 ","$3,271.59 ",$425.00 ,$425.00 ,"$1,923.53 ","$2,492.64 ","$4,673.70 " ST. JOHN'S HOSPITAL,45001315,67715,HC CANTHOTOMY INC EYELID FOLD,450,1 ,"$3,537.00 ","$2,299.05 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,627.02 ","$1,917.05 ","$1,923.53 ",$990.36 ,"$1,220.27 ","$1,923.53 ","$1,393.58 ","$1,923.53 ","$1,414.80 ","$1,414.80 ","$1,923.53 ","$1,414.80 ","$3,537.00 ","$1,860.46 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,475.90 ","$1,923.53 ","$1,768.50 ","$1,962.00 ","$2,652.75 ","$1,577.50 ","$1,418.34 ","$1,577.50 ","$1,923.53 ","$1,577.50 ","$2,228.31 ","$2,228.31 ","$2,511.27 ","$3,537.00 ","$3,006.45 ","$3,537.00 ","$2,829.60 ","$1,308.69 ","$2,829.60 ","$1,923.53 ","$1,923.53 ","$3,537.00 ","$1,917.05 ","$1,923.53 ",$930.23 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$3,006.45 ","$4,327.94 ","$1,414.80 ",$990.36 ,"$3,183.30 ","$2,546.64 ","$3,537.00 ","$2,228.31 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,697.76 ","$3,183.30 " ST. JOHN'S HOSPITAL,45001316,67930,HC REPAIR EYELID WOUND PARTIAL THICKNESS,450,1 ,"$3,159.00 ","$2,053.35 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,453.14 ","$1,712.18 ","$1,923.53 ",$884.52 ,"$1,089.86 ","$1,923.53 ","$1,244.65 ","$1,923.53 ","$1,263.60 ","$1,263.60 ","$1,923.53 ","$1,263.60 ","$3,159.00 ","$1,661.63 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,211.30 ","$1,923.53 ","$1,579.50 ","$1,962.00 ","$2,369.25 ","$1,408.91 ","$1,266.76 ","$1,408.91 ","$1,923.53 ","$1,408.91 ","$1,990.17 ","$1,990.17 ","$2,242.89 ","$3,159.00 ","$2,685.15 ","$3,159.00 ","$2,527.20 ","$1,168.83 ","$2,527.20 ","$1,923.53 ","$1,923.53 ","$3,159.00 ","$1,712.18 ","$1,923.53 ",$830.82 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,685.15 ","$4,327.94 ","$1,263.60 ",$884.52 ,"$2,843.10 ","$2,274.48 ","$3,159.00 ","$1,990.17 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,516.32 ","$2,843.10 " ST. JOHN'S HOSPITAL,45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$2,944.00 ","$1,913.60 ",$425.00 ,"$4,808.83 ","$4,808.83 ","$1,354.24 ","$1,595.65 ","$1,923.53 ",$824.32 ,"$1,015.68 ","$1,923.53 ","$1,159.94 ","$1,923.53 ","$1,177.60 ","$1,177.60 ","$1,923.53 ","$1,177.60 ","$2,944.00 ","$1,548.54 ","$1,049.00 ","$4,808.83 ","$1,923.53 ","$2,060.80 ","$1,923.53 ","$1,472.00 ","$1,962.00 ","$2,208.00 ","$1,313.02 ","$1,180.54 ","$1,313.02 ","$1,923.53 ","$1,313.02 ","$1,854.72 ","$1,854.72 ","$2,090.24 ","$2,944.00 ","$2,502.40 ","$2,944.00 ","$2,355.20 ","$1,089.28 ","$2,355.20 ","$1,923.53 ","$1,923.53 ","$2,944.00 ","$1,595.65 ","$1,923.53 ",$774.27 , N/A , N/A , N/A , N/A ,"$2,019.71 ","$2,502.40 ","$4,327.94 ","$1,177.60 ",$824.32 ,"$2,649.60 ","$2,119.68 ","$2,944.00 ","$1,854.72 ",$425.00 ,$425.00 ,"$1,923.53 ","$1,413.12 ","$2,649.60 " ST. JOHN'S HOSPITAL,45001318,68840,HC EXPLORE LACRIMAL CANALICULI W/W/O IRRIGATION,450,1 ,$829.00 ,$538.85 ,$218.03 ,$829.00 ,$628.63 ,$381.34 ,$449.32 ,$251.45 ,$232.12 ,$286.01 ,$251.45 ,$326.63 ,$251.45 ,$331.60 ,$331.60 ,$251.45 ,$331.60 ,$477.76 ,$436.05 ,$422.79 ,$628.63 ,$251.45 ,$580.30 ,$251.45 ,$414.50 ,$256.48 ,$621.75 ,$369.73 ,$332.43 ,$369.73 ,$251.45 ,$369.73 ,$522.27 ,$522.27 ,$588.59 ,$829.00 ,$704.65 ,$628.63 ,$663.20 ,$306.73 ,$663.20 ,$251.45 ,$251.45 ,$829.00 ,$449.32 ,$251.45 ,$218.03 , N/A , N/A , N/A , N/A ,$264.02 ,$704.65 ,$565.76 ,$331.60 ,$232.12 ,$746.10 ,$596.88 ,$829.00 ,$522.27 ,$425.00 ,$425.00 ,$251.45 ,$397.92 ,$746.10 ST. JOHN'S HOSPITAL,45001327,27664,HC REPAIR EXT TENDON LEG W/O GRAFT EA TENDON,450,1 ,"$8,082.00 ","$5,253.30 ",$425.00 ,"$15,052.26 ","$15,052.25 ","$3,000.00 ","$4,380.44 ","$6,020.90 ","$2,262.96 ","$2,788.29 ","$6,020.90 ","$3,184.31 ","$6,020.90 ","$3,232.80 ","$3,232.80 ","$6,020.90 ","$3,232.80 ","$8,082.00 ","$4,251.13 ","$1,049.00 ","$15,052.26 ","$6,020.90 ","$5,657.40 ","$6,020.90 ","$4,041.00 ","$6,141.32 ","$6,061.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$6,020.90 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$8,082.00 ","$6,869.70 ","$8,082.00 ","$6,465.60 ","$2,990.34 ","$6,465.60 ","$6,020.90 ","$6,020.90 ","$8,082.00 ","$4,380.44 ","$6,020.90 ","$2,125.57 ", N/A , N/A , N/A , N/A ,"$6,321.95 ","$6,869.70 ","$13,547.03 ","$3,232.80 ","$2,262.96 ","$7,273.80 ","$5,819.04 ","$8,082.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$6,020.90 ","$3,879.36 ","$7,273.80 " ST. JOHN'S HOSPITAL,45001328,11423,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 2.1-3.0CM,450,1 ,"$1,944.00 ","$1,263.60 ",$425.00 ,"$3,381.25 ","$3,381.25 ",$894.24 ,"$1,053.65 ","$1,352.50 ",$544.32 ,$670.68 ,"$1,352.50 ",$765.94 ,"$1,352.50 ",$777.60 ,$777.60 ,"$1,352.50 ",$777.60 ,"$1,944.00 ","$1,022.54 ",$991.44 ,"$3,381.24 ","$1,352.50 ","$1,360.80 ","$1,352.50 ",$972.00 ,"$1,379.54 ","$1,458.00 ",$867.02 ,$779.54 ,$867.02 ,"$1,352.50 ",$867.02 ,"$1,224.72 ","$1,224.72 ","$1,380.24 ","$1,944.00 ","$1,652.40 ","$1,944.00 ","$1,555.20 ",$719.28 ,"$1,555.20 ","$1,352.50 ","$1,352.50 ","$1,944.00 ","$1,053.65 ","$1,352.50 ",$511.27 , N/A , N/A , N/A , N/A ,"$1,420.13 ","$1,652.40 ","$3,043.11 ",$777.60 ,$544.32 ,"$1,749.60 ","$1,399.68 ","$1,944.00 ","$1,224.72 ",$425.00 ,$425.00 ,"$1,352.50 ",$933.12 ,"$1,749.60 " ST. JOHN'S HOSPITAL,45001330,65800,HC PARACENTESIS ANTERIOR EYE W/REM AQUEOUOS,450,1 ,"$2,808.00 ","$1,825.20 ",$425.00 ,"$4,990.38 ","$4,990.38 ","$1,291.68 ","$1,521.94 ","$1,996.15 ",$786.24 ,$968.76 ,"$1,996.15 ","$1,106.35 ","$1,996.15 ","$1,123.20 ","$1,123.20 ","$1,996.15 ","$1,123.20 ","$2,808.00 ","$1,477.01 ","$1,049.00 ","$4,990.38 ","$1,996.15 ","$1,965.60 ","$1,996.15 ","$1,404.00 ","$2,036.08 ","$2,106.00 ","$1,252.37 ","$1,126.01 ","$1,252.37 ","$1,996.15 ","$1,252.37 ","$1,769.04 ","$1,769.04 ","$1,993.68 ","$2,808.00 ","$2,386.80 ","$2,808.00 ","$2,246.40 ","$1,038.96 ","$2,246.40 ","$1,996.15 ","$1,996.15 ","$2,808.00 ","$1,521.94 ","$1,996.15 ",$738.50 , N/A , N/A , N/A , N/A ,"$2,095.96 ","$2,386.80 ","$4,491.35 ","$1,123.20 ",$786.24 ,"$2,527.20 ","$2,021.76 ","$2,808.00 ","$1,769.04 ",$425.00 ,$425.00 ,"$1,996.15 ","$1,347.84 ","$2,527.20 " ST. JOHN'S HOSPITAL,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$858.00 ,$557.70 ,$225.65 ,$858.00 ,$639.48 ,$394.68 ,$465.04 ,$255.79 ,$240.24 ,$296.01 ,$255.79 ,$338.05 ,$255.79 ,$343.20 ,$343.20 ,$255.79 ,$343.20 ,$486.00 ,$451.31 ,$437.58 ,$639.47 ,$255.79 ,$600.60 ,$255.79 ,$429.00 ,$260.91 ,$643.50 ,$382.67 ,$344.06 ,$382.67 ,$255.79 ,$382.67 ,$540.54 ,$540.54 ,$609.18 ,$858.00 ,$729.30 ,$639.47 ,$686.40 ,$317.46 ,$686.40 ,$255.79 ,$255.79 ,$858.00 ,$465.04 ,$255.79 ,$225.65 , N/A , N/A , N/A , N/A ,$268.58 ,$729.30 ,$575.53 ,$343.20 ,$240.24 ,$772.20 ,$617.76 ,$858.00 ,$540.54 ,$425.00 ,$425.00 ,$255.79 ,$411.84 ,$772.20 ST. JOHN'S HOSPITAL,45001332,43763,HC REPLACE GASTRO TUBE PERC W/REVISE TRACT,450,1 ,$785.00 ,$510.25 ,$206.46 ,$785.00 ,$639.48 ,$361.10 ,$425.47 ,$255.79 ,$219.80 ,$270.83 ,$255.79 ,$309.29 ,$255.79 ,$314.00 ,$314.00 ,$255.79 ,$314.00 ,$486.00 ,$412.91 ,$400.35 ,$639.47 ,$255.79 ,$549.50 ,$255.79 ,$392.50 ,$260.91 ,$588.75 ,$350.11 ,$314.79 ,$350.11 ,$255.79 ,$350.11 ,$494.55 ,$494.55 ,$557.35 ,$785.00 ,$667.25 ,$639.47 ,$628.00 ,$290.45 ,$628.00 ,$255.79 ,$255.79 ,$785.00 ,$425.47 ,$255.79 ,$206.46 , N/A , N/A , N/A , N/A ,$268.58 ,$667.25 ,$575.53 ,$314.00 ,$219.80 ,$706.50 ,$565.20 ,$785.00 ,$494.55 ,$425.00 ,$425.00 ,$255.79 ,$376.80 ,$706.50 ST. JOHN'S HOSPITAL,45001333,26433,HC REPAIR EXTENSOR TENDON DISTAL INSERT W/O GRAFT,450,1 ,"$9,711.00 ","$6,312.15 ",$425.00 ,"$9,711.00 ","$6,805.53 ","$3,000.00 ","$5,263.36 ","$2,722.21 ","$2,719.08 ","$3,350.30 ","$2,722.21 ","$3,826.13 ","$2,722.21 ","$3,884.40 ","$3,884.40 ","$2,722.21 ","$3,884.40 ","$5,172.21 ","$5,107.99 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$6,797.70 ","$2,722.21 ","$4,855.50 ","$2,776.66 ","$7,283.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$9,711.00 ","$8,254.35 ","$6,805.53 ","$7,768.80 ","$3,593.07 ","$7,768.80 ","$2,722.21 ","$2,722.21 ","$9,711.00 ","$5,263.36 ","$2,722.21 ","$2,553.99 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$8,254.35 ","$6,124.98 ","$3,884.40 ","$2,719.08 ","$8,739.90 ","$6,991.92 ","$9,711.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$4,661.28 ","$8,739.90 " ST. JOHN'S HOSPITAL,45001334,54435,HC REVISION PENIS FISTULA FOR PRIAPISM,450,1 ,"$4,912.00 ","$3,192.80 ",$425.00 ,"$7,388.53 ","$7,388.53 ","$2,259.52 ","$2,662.30 ","$2,955.41 ","$1,375.36 ","$1,694.64 ","$2,955.41 ","$1,935.33 ","$2,955.41 ","$1,964.80 ","$1,964.80 ","$2,955.41 ","$1,964.80 ","$4,912.00 ","$2,583.71 ","$1,049.00 ","$7,388.51 ","$2,955.41 ","$3,438.40 ","$2,955.41 ","$2,456.00 ","$3,014.51 ","$3,684.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,955.41 ","$1,856.00 ","$3,094.56 ","$3,094.56 ","$3,487.52 ","$4,912.00 ","$4,175.20 ","$4,912.00 ","$3,929.60 ","$1,817.44 ","$3,929.60 ","$2,955.41 ","$2,955.41 ","$4,912.00 ","$2,662.30 ","$2,955.41 ","$1,291.86 ", N/A , N/A , N/A , N/A ,"$3,103.18 ","$4,175.20 ","$6,649.66 ","$1,964.80 ","$1,375.36 ","$4,420.80 ","$3,536.64 ","$4,912.00 ","$3,094.56 ",$425.00 ,$425.00 ,"$2,955.41 ","$2,357.76 ","$4,420.80 " ST. JOHN'S HOSPITAL,45001335,29710,HC REMOVAL/REVISION CAST SHOULDER/HIP,450,1 ,$872.00 ,$566.80 ,$229.34 ,$872.00 ,$579.73 ,$401.12 ,$472.62 ,$231.89 ,$244.16 ,$300.84 ,$231.89 ,$343.57 ,$231.89 ,$348.80 ,$348.80 ,$231.89 ,$348.80 ,$440.60 ,$458.67 ,$444.72 ,$579.73 ,$231.89 ,$610.40 ,$231.89 ,$436.00 ,$236.53 ,$654.00 ,$388.91 ,$349.67 ,$388.91 ,$231.89 ,$388.91 ,$549.36 ,$549.36 ,$619.12 ,$872.00 ,$741.20 ,$579.73 ,$697.60 ,$322.64 ,$697.60 ,$231.89 ,$231.89 ,$872.00 ,$472.62 ,$231.89 ,$229.34 , N/A , N/A , N/A , N/A ,$243.48 ,$741.20 ,$521.76 ,$348.80 ,$244.16 ,$784.80 ,$627.84 ,$872.00 ,$549.36 ,$425.00 ,$425.00 ,$231.89 ,$418.56 ,$784.80 ST. JOHN'S HOSPITAL,45001336,26591,HC REPAIR HAND MUSCLE INTRINSIC,450,1 ,"$7,406.00 ","$4,813.90 ",$425.00 ,"$7,406.00 ","$6,805.53 ","$3,000.00 ","$4,014.05 ","$2,722.21 ","$2,073.68 ","$2,555.07 ","$2,722.21 ","$2,917.96 ","$2,722.21 ","$2,962.40 ","$2,962.40 ","$2,722.21 ","$2,962.40 ","$5,172.21 ","$3,895.56 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$5,184.20 ","$2,722.21 ","$3,703.00 ","$2,776.66 ","$5,554.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$7,406.00 ","$6,295.10 ","$6,805.53 ","$5,924.80 ","$2,740.22 ","$5,924.80 ","$2,722.21 ","$2,722.21 ","$7,406.00 ","$4,014.05 ","$2,722.21 ","$1,947.78 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$6,295.10 ","$6,124.98 ","$2,962.40 ","$2,073.68 ","$6,665.40 ","$5,332.32 ","$7,406.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$3,554.88 ","$6,665.40 " ST. JOHN'S HOSPITAL,45001337,26020,HC DRAIN HAND TENDON SHEATH,450,1 ,"$9,711.00 ","$6,312.15 ",$425.00 ,"$9,711.00 ","$6,805.53 ","$3,000.00 ","$5,263.36 ","$2,722.21 ","$2,719.08 ","$3,350.30 ","$2,722.21 ","$3,826.13 ","$2,722.21 ","$3,884.40 ","$3,884.40 ","$2,722.21 ","$3,884.40 ","$5,172.21 ","$5,107.99 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$6,797.70 ","$2,722.21 ","$4,855.50 ","$2,776.66 ","$7,283.25 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$9,711.00 ","$8,254.35 ","$6,805.53 ","$7,768.80 ","$3,593.07 ","$7,768.80 ","$2,722.21 ","$2,722.21 ","$9,711.00 ","$5,263.36 ","$2,722.21 ","$2,553.99 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$8,254.35 ","$6,124.98 ","$3,884.40 ","$2,719.08 ","$8,739.90 ","$6,991.92 ","$9,711.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$4,661.28 ","$8,739.90 " ST. JOHN'S HOSPITAL,45001339,13160,HC SECD CLOS SURG WND EXTEN/COMPLIC,450,1 ,"$5,734.00 ","$3,727.10 ",$425.00 ,"$5,734.00 ","$4,116.00 ","$2,637.64 ","$3,107.83 ","$1,646.40 ","$1,605.52 ","$1,978.23 ","$1,646.40 ","$2,259.20 ","$1,646.40 ","$2,293.60 ","$2,293.60 ","$1,646.40 ","$2,293.60 ","$3,128.17 ","$3,016.08 ","$1,049.00 ","$4,116.01 ","$1,646.40 ","$4,013.80 ","$1,646.40 ","$2,867.00 ","$1,679.33 ","$4,300.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,646.40 ","$1,856.00 ","$3,612.42 ","$3,612.42 ","$4,002.00 ","$5,734.00 ","$4,873.90 ","$4,116.01 ","$4,587.20 ","$2,121.58 ","$4,587.20 ","$1,646.40 ","$1,646.40 ","$5,734.00 ","$3,107.83 ","$1,646.40 ","$1,508.04 ", N/A , N/A , N/A , N/A ,"$1,728.72 ","$4,873.90 ","$3,704.41 ","$2,293.60 ","$1,605.52 ","$5,160.60 ","$4,128.48 ","$5,734.00 ","$3,612.42 ",$425.00 ,$425.00 ,"$1,646.40 ","$2,752.32 ","$5,160.60 " ST. JOHN'S HOSPITAL,45001340,28675,HC TX INTERPHALANGEAL JOINT DISLOC W/FIX OPEN,450,1 ,"$3,771.00 ","$2,451.15 ",$425.00 ,"$6,805.53 ","$6,805.53 ","$1,734.66 ","$2,043.88 ","$2,722.21 ","$1,055.88 ","$1,301.00 ","$2,722.21 ","$1,485.77 ","$2,722.21 ","$1,508.40 ","$1,508.40 ","$2,722.21 ","$1,508.40 ","$3,771.00 ","$1,983.55 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$2,639.70 ","$2,722.21 ","$1,885.50 ","$2,776.66 ","$2,828.25 ","$1,681.87 ","$1,512.17 ","$1,681.87 ","$2,722.21 ","$1,681.87 ","$2,375.73 ","$2,375.73 ","$2,677.41 ","$3,771.00 ","$3,205.35 ","$3,771.00 ","$3,016.80 ","$1,395.27 ","$3,016.80 ","$2,722.21 ","$2,722.21 ","$3,771.00 ","$2,043.88 ","$2,722.21 ",$991.77 , N/A , N/A , N/A , N/A ,"$2,858.32 ","$3,205.35 ","$6,124.98 ","$1,508.40 ","$1,055.88 ","$3,393.90 ","$2,715.12 ","$3,771.00 ","$2,375.73 ",$425.00 ,$425.00 ,"$2,722.21 ","$1,810.08 ","$3,393.90 " ST. JOHN'S HOSPITAL,45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$3,812.00 ","$2,477.80 ",$425.00 ,"$6,574.24 ","$6,574.23 ","$1,753.52 ","$2,066.10 ","$2,629.69 ","$1,067.36 ","$1,315.14 ","$2,629.69 ","$1,501.93 ","$2,629.69 ","$1,524.80 ","$1,524.80 ","$2,629.69 ","$1,524.80 ","$3,812.00 ","$2,005.11 ","$1,049.00 ","$6,574.24 ","$2,629.69 ","$2,668.40 ","$2,629.69 ","$1,906.00 ","$2,682.29 ","$2,859.00 ","$1,700.15 ","$1,528.61 ","$1,700.15 ","$2,629.69 ","$1,700.15 ","$2,401.56 ","$2,401.56 ","$2,706.52 ","$3,812.00 ","$3,240.20 ","$3,812.00 ","$3,049.60 ","$1,410.44 ","$3,049.60 ","$2,629.69 ","$2,629.69 ","$3,812.00 ","$2,066.10 ","$2,629.69 ","$1,002.56 ", N/A , N/A , N/A , N/A ,"$2,761.17 ","$3,240.20 ","$5,916.81 ","$1,524.80 ","$1,067.36 ","$3,430.80 ","$2,744.64 ","$3,812.00 ","$2,401.56 ",$425.00 ,$425.00 ,"$2,629.69 ","$1,829.76 ","$3,430.80 " ST. JOHN'S HOSPITAL,45001342,59899,HC APPL SILVER NITRATE TENACULUM PUNTURE,450,1 ,$469.00 ,$304.85 ,$123.35 ,$469.00 ,$409.40 ,$215.74 ,$254.20 ,$163.76 ,$131.32 ,$161.81 ,$163.76 ,$184.79 ,$163.76 ,$187.60 ,$187.60 ,$163.76 ,$187.60 ,$311.14 ,$246.69 ,$239.19 ,$409.40 ,$163.76 ,$328.30 ,$163.76 ,$234.50 ,$167.03 ,$351.75 ,$209.17 ,$188.07 ,$209.17 ,$163.76 ,$209.17 ,$295.47 ,$295.47 ,$332.99 ,$469.00 ,$398.65 ,$409.40 ,$375.20 ,$173.53 ,$375.20 ,$163.76 ,$163.76 ,$469.00 ,$254.20 ,$163.76 ,$123.35 , N/A , N/A , N/A , N/A ,$171.95 ,$398.65 ,$368.46 ,$187.60 ,$131.32 ,$422.10 ,$337.68 ,$469.00 ,$295.47 ,$425.00 ,$425.00 ,$163.76 ,$225.12 ,$422.10 ST. JOHN'S HOSPITAL,45001344,35201,HC REPAIR BLOOD VESSEL DIRECT NECK,450,1 ,"$12,986.00 ","$8,440.90 ",$425.00 ,"$12,986.00 ","$11,459.70 ","$3,000.00 ","$7,038.41 ","$4,583.88 ","$3,636.08 ","$3,533.22 ","$4,583.88 ","$5,116.48 ","$4,583.88 ","$5,000.00 ","$5,000.00 ","$4,583.88 ","$5,000.00 ","$8,709.37 ","$6,830.64 ","$1,049.00 ","$11,459.70 ","$4,583.88 ","$9,090.20 ","$4,583.88 ","$6,493.00 ","$4,675.56 ","$9,739.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$4,583.88 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$12,986.00 ","$11,038.10 ","$11,459.70 ","$10,388.80 ","$4,804.82 ","$10,388.80 ","$4,583.88 ","$4,583.88 ","$12,986.00 ","$7,038.41 ","$4,583.88 ","$3,415.32 ", N/A , N/A , N/A , N/A ,"$4,813.07 ","$11,038.10 ","$10,313.73 ","$5,000.00 ","$3,636.08 ","$11,687.40 ","$9,349.92 ","$12,986.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$4,583.88 ","$6,233.28 ","$11,687.40 " ST. JOHN'S HOSPITAL,45001345,49000,HC EXPLORE ABDOMEN W/WO BIOPSY,450,1 ,"$5,601.00 ","$3,640.65 ",$425.00 ,"$5,601.00 ", N/A ,"$2,576.46 ","$3,035.74 ", N/A ,"$1,568.28 ","$1,932.35 ", N/A ,"$2,206.79 ", N/A ,"$2,240.40 ","$2,240.40 ", N/A ,"$2,240.40 ", N/A ,"$2,946.13 ","$1,049.00 ", N/A , N/A ,"$3,920.70 ", N/A ,"$2,800.50 ", N/A ,"$4,200.75 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,528.63 ","$3,528.63 ","$3,976.71 ","$5,601.00 ","$4,760.85 ", N/A ,"$4,480.80 ","$2,072.37 ","$4,480.80 ", N/A , N/A ,"$5,601.00 ","$3,035.74 ", N/A ,"$1,473.06 ", N/A , N/A , N/A , N/A , N/A ,"$4,760.85 ", N/A ,"$2,240.40 ","$1,568.28 ","$5,040.90 ","$4,032.72 ","$5,601.00 ","$3,528.63 ",$425.00 ,$425.00 , N/A ,"$2,688.48 ","$5,040.90 " ST. JOHN'S HOSPITAL,45001353,26860,HC FUSION OF FINGER JOINT,450,1 ,"$9,866.00 ","$6,412.90 ",$425.00 ,"$9,866.00 ","$6,805.53 ","$3,000.00 ","$5,347.37 ","$2,722.21 ","$2,762.48 ","$3,403.77 ","$2,722.21 ","$3,887.20 ","$2,722.21 ","$3,946.40 ","$3,946.40 ","$2,722.21 ","$3,946.40 ","$5,172.21 ","$5,189.52 ","$1,049.00 ","$6,805.53 ","$2,722.21 ","$6,906.20 ","$2,722.21 ","$4,933.00 ","$2,776.66 ","$7,399.50 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$2,722.21 ","$1,856.00 ","$3,786.00 ","$3,786.00 ","$4,002.00 ","$9,866.00 ","$8,386.10 ","$6,805.53 ","$7,892.80 ","$3,650.42 ","$7,892.80 ","$2,722.21 ","$2,722.21 ","$9,866.00 ","$5,347.37 ","$2,722.21 ","$2,594.76 ", N/A , N/A , N/A , N/A ,"$2,858.32 ","$8,386.10 ","$6,124.98 ","$3,946.40 ","$2,762.48 ","$8,879.40 ","$7,103.52 ","$9,866.00 ","$3,786.00 ",$425.00 ,$425.00 ,"$2,722.21 ","$4,735.68 ","$8,879.40 " ST. JOHN'S HOSPITAL,45001354,42650,HC DILATION OF SALIVARY DUCT,450,1 ,"$4,860.00 ","$3,159.00 ",$425.00 ,"$4,860.00 ","$3,250.78 ","$2,235.60 ","$2,634.12 ","$1,300.31 ","$1,360.80 ","$1,676.70 ","$1,300.31 ","$1,914.84 ","$1,300.31 ","$1,944.00 ","$1,944.00 ","$1,300.31 ","$1,944.00 ","$2,470.58 ","$2,556.36 ","$1,049.00 ","$3,250.76 ","$1,300.31 ","$3,402.00 ","$1,300.31 ","$2,430.00 ","$1,326.31 ","$3,645.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ","$1,300.31 ","$1,856.00 ","$3,061.80 ","$3,061.80 ","$3,450.60 ","$4,860.00 ","$4,131.00 ","$3,250.76 ","$3,888.00 ","$1,798.20 ","$3,888.00 ","$1,300.31 ","$1,300.31 ","$4,860.00 ","$2,634.12 ","$1,300.31 ","$1,278.18 ", N/A , N/A , N/A , N/A ,"$1,365.33 ","$4,131.00 ","$2,925.69 ","$1,944.00 ","$1,360.80 ","$4,374.00 ","$3,499.20 ","$4,860.00 ","$3,061.80 ",$425.00 ,$425.00 ,"$1,300.31 ","$2,332.80 ","$4,374.00 " ST. JOHN'S HOSPITAL,45001355,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1 >BONES W MAN,450,1 ,$774.00 ,$503.10 ,$198.12 ,$774.00 ,$495.30 ,$356.04 ,$419.51 ,$198.12 ,$216.72 ,$267.03 ,$198.12 ,$304.96 ,$198.12 ,$309.60 ,$309.60 ,$198.12 ,$309.60 ,$376.43 ,$407.12 ,$394.74 ,$495.31 ,$198.12 ,$541.80 ,$198.12 ,$387.00 ,$202.09 ,$580.50 ,$345.20 ,$310.37 ,$345.20 ,$198.12 ,$345.20 ,$487.62 ,$487.62 ,$549.54 ,$774.00 ,$657.90 ,$495.31 ,$619.20 ,$286.38 ,$619.20 ,$198.12 ,$198.12 ,$774.00 ,$419.51 ,$198.12 ,$203.56 , N/A , N/A , N/A , N/A ,$208.03 ,$657.90 ,$445.78 ,$309.60 ,$216.72 ,$696.60 ,$557.28 ,$774.00 ,$487.62 ,$425.00 ,$425.00 ,$198.12 ,$371.52 ,$696.60 ST. JOHN'S HOSPITAL,45001356,59514,HC CESAREAN DELIVERY ONLY,450,1 ,"$4,804.00 ","$3,122.60 ",$425.00 ,"$4,804.00 ", N/A ,"$2,209.84 ","$2,603.77 ", N/A ,"$1,345.12 ","$1,657.38 ", N/A ,"$1,892.78 ", N/A ,"$1,921.60 ","$1,921.60 ", N/A ,"$1,921.60 ", N/A ,"$2,526.90 ","$1,049.00 ", N/A , N/A ,"$3,362.80 ", N/A ,"$2,402.00 ", N/A ,"$3,603.00 ","$1,856.00 ","$1,671.00 ","$1,856.00 ", N/A ,"$1,856.00 ","$3,026.52 ","$3,026.52 ","$3,410.84 ","$4,804.00 ","$4,083.40 ", N/A ,"$3,843.20 ","$1,777.48 ","$3,843.20 ", N/A , N/A ,"$4,804.00 ","$2,603.77 ", N/A ,"$1,263.45 ", N/A , N/A , N/A , N/A , N/A ,"$4,083.40 ", N/A ,"$1,921.60 ","$1,345.12 ","$4,323.60 ","$3,458.88 ","$4,804.00 ","$3,026.52 ",$425.00 ,$425.00 , N/A ,"$2,305.92 ","$4,323.60 " ST. JOHN'S HOSPITAL,45001357,46999,HC ANUS PROCEDURE,450,1 ,"$2,214.00 ","$1,439.10 ",$425.00 ,"$2,214.00 ","$1,907.05 ","$1,018.44 ","$1,199.99 ",$762.82 ,$619.92 ,$763.83 ,$762.82 ,$872.32 ,$762.82 ,$885.60 ,$885.60 ,$762.82 ,$885.60 ,"$1,449.37 ","$1,164.56 ","$1,049.00 ","$1,907.06 ",$762.82 ,"$1,549.80 ",$762.82 ,"$1,107.00 ",$778.08 ,"$1,660.50 ",$987.44 ,$887.81 ,$987.44 ,$762.82 ,$987.44 ,"$1,394.82 ","$1,394.82 ","$1,571.94 ","$2,214.00 ","$1,881.90 ","$1,907.06 ","$1,771.20 ",$819.18 ,"$1,771.20 ",$762.82 ,$762.82 ,"$2,214.00 ","$1,199.99 ",$762.82 ,$582.28 , N/A , N/A , N/A , N/A ,$800.96 ,"$1,881.90 ","$1,716.35 ",$885.60 ,$619.92 ,"$1,992.60 ","$1,594.08 ","$2,214.00 ","$1,394.82 ",$425.00 ,$425.00 ,$762.82 ,"$1,062.72 ","$1,992.60 " ST. JOHN'S HOSPITAL,45001359,27220,HC TRMT HIP SOCKET FRX,450,1 ,$619.00 ,$402.35 ,$162.80 ,$619.00 ,$495.30 ,$284.74 ,$335.50 ,$198.12 ,$173.32 ,$213.56 ,$198.12 ,$243.89 ,$198.12 ,$247.60 ,$247.60 ,$198.12 ,$247.60 ,$376.43 ,$325.59 ,$315.69 ,$495.31 ,$198.12 ,$433.30 ,$198.12 ,$309.50 ,$202.09 ,$464.25 ,$276.07 ,$248.22 ,$276.07 ,$198.12 ,$276.07 ,$389.97 ,$389.97 ,$439.49 ,$619.00 ,$526.15 ,$495.31 ,$495.20 ,$229.03 ,$495.20 ,$198.12 ,$198.12 ,$619.00 ,$335.50 ,$198.12 ,$162.80 , N/A , N/A , N/A , N/A ,$208.03 ,$526.15 ,$445.78 ,$247.60 ,$173.32 ,$557.10 ,$445.68 ,$619.00 ,$389.97 ,$425.00 ,$425.00 ,$198.12 ,$297.12 ,$557.10 ST. JOHN'S HOSPITAL,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,070.00 ",$695.50 ,$281.41 ,"$1,070.00 ",$903.28 ,$492.20 ,$579.94 ,$361.31 ,$299.60 ,$369.15 ,$361.31 ,$421.58 ,$361.31 ,$428.00 ,$428.00 ,$361.31 ,$428.00 ,$686.49 ,$562.82 ,$545.70 ,$903.27 ,$361.31 ,$749.00 ,$361.31 ,$535.00 ,$368.53 ,$802.50 ,$477.22 ,$429.07 ,$477.22 ,$361.31 ,$477.22 ,$674.10 ,$674.10 ,$759.70 ,"$1,070.00 ",$909.50 ,$903.27 ,$856.00 ,$395.90 ,$856.00 ,$361.31 ,$361.31 ,"$1,070.00 ",$579.94 ,$361.31 ,$281.41 , N/A , N/A , N/A , N/A ,$379.38 ,$909.50 ,$812.94 ,$428.00 ,$299.60 ,$963.00 ,$770.40 ,"$1,070.00 ",$674.10 ,$425.00 ,$425.00 ,$361.31 ,$513.60 ,$963.00 ST. JOHN'S HOSPITAL,45001361,27256,HC TX SPONT HIP DISC,450,1 ,$586.00 ,$380.90 ,$154.12 ,$586.00 ,$495.30 ,$269.56 ,$317.61 ,$198.12 ,$164.08 ,$202.17 ,$198.12 ,$230.88 ,$198.12 ,$234.40 ,$234.40 ,$198.12 ,$234.40 ,$376.43 ,$308.24 ,$298.86 ,$495.31 ,$198.12 ,$410.20 ,$198.12 ,$293.00 ,$202.09 ,$439.50 ,$261.36 ,$234.99 ,$261.36 ,$198.12 ,$261.36 ,$369.18 ,$369.18 ,$416.06 ,$586.00 ,$498.10 ,$495.31 ,$468.80 ,$216.82 ,$468.80 ,$198.12 ,$198.12 ,$586.00 ,$317.61 ,$198.12 ,$154.12 , N/A , N/A , N/A , N/A ,$208.03 ,$498.10 ,$445.78 ,$234.40 ,$164.08 ,$527.40 ,$421.92 ,$586.00 ,$369.18 ,$425.00 ,$425.00 ,$198.12 ,$281.28 ,$527.40 ST. JOHN'S HOSPITAL,45080001,10060,HC I AND D ABSC SMP,450,1 ,$731.00 ,$475.15 ,$172.62 ,$731.00 ,$431.55 ,$336.26 ,$396.20 ,$172.62 ,$204.68 ,$252.20 ,$172.62 ,$288.01 ,$172.62 ,$292.40 ,$292.40 ,$172.62 ,$292.40 ,$327.97 ,$384.51 ,$372.81 ,$431.54 ,$172.62 ,$511.70 ,$172.62 ,$365.50 ,$176.07 ,$548.25 ,$326.03 ,$293.13 ,$326.03 ,$172.62 ,$326.03 ,$460.53 ,$460.53 ,$519.01 ,$731.00 ,$621.35 ,$431.54 ,$584.80 ,$270.47 ,$584.80 ,$172.62 ,$172.62 ,$731.00 ,$396.20 ,$172.62 ,$192.25 , N/A , N/A , N/A , N/A ,$181.25 ,$621.35 ,$388.39 ,$292.40 ,$204.68 ,$657.90 ,$526.32 ,$731.00 ,$460.53 ,$425.00 ,$425.00 ,$172.62 ,$350.88 ,$657.90 ST. JOHN'S HOSPITAL,45080002,42000,HC I AND D PALATE OR UVULA,450,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 ,$508.43 ,$307.28 ,$362.06 ,$203.37 ,$187.04 ,$230.46 ,$203.37 ,$263.19 ,$203.37 ,$267.20 ,$267.20 ,$203.37 ,$267.20 ,$386.39 ,$351.37 ,$340.68 ,$508.41 ,$203.37 ,$467.60 ,$203.37 ,$334.00 ,$207.43 ,$501.00 ,$297.93 ,$267.87 ,$297.93 ,$203.37 ,$297.93 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$508.41 ,$534.40 ,$247.16 ,$534.40 ,$203.37 ,$203.37 ,$668.00 ,$362.06 ,$203.37 ,$175.68 , N/A , N/A , N/A , N/A ,$213.54 ,$567.80 ,$457.57 ,$267.20 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$425.00 ,$425.00 ,$203.37 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,45080004,23605,HC CLOSED RX PROX HUMERUS FX MANIP,450,1 ,"$2,919.00 ","$1,897.35 ",$425.00 ,"$3,347.18 ","$3,347.18 ","$1,342.74 ","$1,582.10 ","$1,338.87 ",$817.32 ,"$1,007.06 ","$1,338.87 ","$1,150.09 ","$1,338.87 ","$1,167.60 ","$1,167.60 ","$1,338.87 ","$1,167.60 ","$2,543.85 ","$1,535.39 ","$1,049.00 ","$3,347.17 ","$1,338.87 ","$2,043.30 ","$1,338.87 ","$1,459.50 ","$1,365.64 ","$2,189.25 ","$1,301.87 ","$1,170.52 ","$1,301.87 ","$1,338.87 ","$1,301.87 ","$1,838.97 ","$1,838.97 ","$2,072.49 ","$2,919.00 ","$2,481.15 ","$2,919.00 ","$2,335.20 ","$1,080.03 ","$2,335.20 ","$1,338.87 ","$1,338.87 ","$2,919.00 ","$1,582.10 ","$1,338.87 ",$767.70 , N/A , N/A , N/A , N/A ,"$1,405.81 ","$2,481.15 ","$3,012.45 ","$1,167.60 ",$817.32 ,"$2,627.10 ","$2,101.68 ","$2,919.00 ","$1,838.97 ",$425.00 ,$425.00 ,"$1,338.87 ","$1,401.12 ","$2,627.10 " ST. JOHN'S HOSPITAL,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$474.00 ,$308.10 ,$59.47 ,$474.00 ,$335.53 ,$218.04 ,$256.91 ,$134.21 ,$132.72 ,$163.53 ,$134.21 ,$182.02 ,$134.21 ,$181.07 ,$59.47 ,$134.21 ,$181.07 ,$254.99 ,$249.32 ,$241.74 ,$335.51 ,$134.21 ,$331.80 ,$134.21 ,$237.00 ,$136.89 ,$355.50 ,$239.37 ,$215.67 ,$239.37 ,$134.21 ,$239.37 ,$298.62 ,$298.62 ,$336.54 ,$474.00 ,$402.90 ,$335.51 ,$379.20 ,$175.38 ,$379.20 ,$134.21 ,$134.21 ,$474.00 ,$256.91 ,$134.21 ,$124.66 , N/A , N/A ,$78.40 ,$74.83 ,$140.92 ,$402.90 ,$301.96 ,$311.89 ,$132.72 ,$426.60 ,$341.28 ,$474.00 ,$298.62 ,$298.62 ,$298.62 ,$134.21 ,$227.52 ,$426.60 ST. JOHN'S HOSPITAL,46000004,94060,HC SPIROMETRY/PFT PRE AND POST,460,1 ,$687.00 ,$446.55 ,$74.83 ,$687.00 ,$636.00 ,$316.02 ,$372.35 ,$254.40 ,$192.36 ,$237.02 ,$254.40 ,$263.81 ,$254.40 ,$262.43 ,$102.33 ,$254.40 ,$262.43 ,$483.35 ,$361.36 ,$350.37 ,$635.99 ,$254.40 ,$480.90 ,$254.40 ,$343.50 ,$259.48 ,$515.25 ,$346.94 ,$312.59 ,$346.94 ,$254.40 ,$346.94 ,$432.81 ,$432.81 ,$487.77 ,$687.00 ,$583.95 ,$635.99 ,$549.60 ,$254.19 ,$549.60 ,$254.40 ,$254.40 ,$687.00 ,$372.35 ,$254.40 ,$180.68 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,$583.95 ,$572.39 ,$452.05 ,$192.36 ,$618.30 ,$494.64 ,$687.00 ,$432.81 ,$432.81 ,$432.81 ,$254.40 ,$329.76 ,$618.30 ST. JOHN'S HOSPITAL,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,"$1,391.00 ",$904.15 ,$68.05 ,"$1,391.00 ",$636.00 ,$639.86 ,$753.92 ,$254.40 ,$389.48 ,$324.63 ,$254.40 ,$349.79 ,$254.40 ,$531.36 ,$68.05 ,$254.40 ,$531.36 ,$483.35 ,$731.67 ,$709.41 ,$635.99 ,$254.40 ,$973.70 ,$254.40 ,$695.50 ,$259.48 ,"$1,043.25 ",$702.46 ,$632.91 ,$702.46 ,$254.40 ,$702.46 ,$876.33 ,$876.33 ,$987.61 ,"$1,391.00 ","$1,182.35 ",$635.99 ,"$1,112.80 ",$514.67 ,"$1,112.80 ",$254.40 ,$254.40 ,"$1,391.00 ",$753.92 ,$254.40 ,$365.83 , N/A , N/A ,$239.54 ,$228.65 ,$267.12 ,"$1,182.35 ",$572.39 ,$915.28 ,$389.48 ,"$1,251.90 ","$1,001.52 ","$1,391.00 ",$876.33 ,$876.33 ,$876.33 ,$254.40 ,$667.68 ,"$1,251.90 " ST. JOHN'S HOSPITAL,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$210.00 ,$136.50 ,$47.78 ,$335.53 ,$335.53 ,$96.60 ,$113.82 ,$134.21 ,$58.80 ,$72.45 ,$134.21 ,$80.64 ,$134.21 ,$80.22 ,$47.78 ,$134.21 ,$80.22 ,$210.00 ,$110.46 ,$107.10 ,$335.51 ,$134.21 ,$147.00 ,$134.21 ,$105.00 ,$136.89 ,$157.50 ,$106.05 ,$95.55 ,$106.05 ,$134.21 ,$106.05 ,$132.30 ,$132.30 ,$149.10 ,$210.00 ,$178.50 ,$210.00 ,$168.00 ,$77.70 ,$168.00 ,$134.21 ,$134.21 ,$210.00 ,$113.82 ,$134.21 ,$55.23 , N/A , N/A ,$78.40 ,$74.83 ,$140.92 ,$178.50 ,$301.96 ,$138.18 ,$58.80 ,$189.00 ,$151.20 ,$210.00 ,$132.30 ,$132.30 ,$132.30 ,$134.21 ,$100.80 ,$189.00 ST. JOHN'S HOSPITAL,46000012,94728,HC AIRFLOW RESISTANCE,460,1 ,$351.00 ,$228.15 ,$61.81 ,$636.00 ,$636.00 ,$161.46 ,$190.24 ,$254.40 ,$98.28 ,$121.10 ,$254.40 ,$134.78 ,$254.40 ,$134.08 ,$61.81 ,$254.40 ,$134.08 ,$351.00 ,$184.63 ,$179.01 ,$635.99 ,$254.40 ,$245.70 ,$254.40 ,$175.50 ,$259.48 ,$263.25 ,$177.26 ,$159.71 ,$177.26 ,$254.40 ,$177.26 ,$221.13 ,$221.13 ,$249.21 ,$351.00 ,$298.35 ,$351.00 ,$280.80 ,$129.87 ,$280.80 ,$254.40 ,$254.40 ,$351.00 ,$190.24 ,$254.40 ,$92.31 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,$298.35 ,$572.39 ,$230.96 ,$98.28 ,$315.90 ,$252.72 ,$351.00 ,$221.13 ,$221.13 ,$221.13 ,$254.40 ,$168.48 ,$315.90 ST. JOHN'S HOSPITAL,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$705.00 ,$458.25 ,$74.83 ,$705.00 ,$636.00 ,$324.30 ,$382.11 ,$254.40 ,$197.40 ,$243.23 ,$254.40 ,$270.72 ,$254.40 ,$269.31 ,$91.42 ,$254.40 ,$269.31 ,$483.35 ,$370.83 ,$359.55 ,$635.99 ,$254.40 ,$493.50 ,$254.40 ,$352.50 ,$259.48 ,$528.75 ,$356.03 ,$320.78 ,$356.03 ,$254.40 ,$356.03 ,$444.15 ,$444.15 ,$500.55 ,$705.00 ,$599.25 ,$635.99 ,$564.00 ,$260.85 ,$564.00 ,$254.40 ,$254.40 ,$705.00 ,$382.11 ,$254.40 ,$185.42 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,$599.25 ,$572.39 ,$463.89 ,$197.40 ,$634.50 ,$507.60 ,$705.00 ,$444.15 ,$444.15 ,$444.15 ,$254.40 ,$338.40 ,$634.50 ST. JOHN'S HOSPITAL,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$670.00 ,$435.50 ,$24.40 ,$670.00 ,$270.98 ,$308.20 ,$363.14 ,$108.39 ,$187.60 ,$117.43 ,$108.39 ,$126.53 ,$108.39 ,$255.94 ,$24.40 ,$108.39 ,$255.94 ,$205.94 ,$352.42 ,$341.70 ,$270.97 ,$108.39 ,$469.00 ,$108.39 ,$335.00 ,$110.56 ,$502.50 ,$338.35 ,$304.85 ,$338.35 ,$108.39 ,$338.35 ,$422.10 ,$422.10 ,$475.70 ,$670.00 ,$569.50 ,$270.97 ,$536.00 ,$247.90 ,$536.00 ,$108.39 ,$108.39 ,$670.00 ,$363.14 ,$108.39 ,$176.21 , N/A , N/A ,$239.54 ,$228.65 ,$113.81 ,$569.50 ,$243.87 ,$440.86 ,$187.60 ,$603.00 ,$482.40 ,$670.00 ,$422.10 ,$422.10 ,$422.10 ,$108.39 ,$321.60 ,$603.00 ST. JOHN'S HOSPITAL,46000016,94621,HC PULMONARY STRESS TEST CPLX,460,1 ,"$1,826.00 ","$1,186.90 ",$201.55 ,"$1,826.00 ",$636.00 ,$839.96 ,$989.69 ,$254.40 ,$511.28 ,$629.97 ,$254.40 ,$701.18 ,$254.40 ,$697.53 ,$201.55 ,$254.40 ,$697.53 ,$483.35 ,$960.48 ,$931.26 ,$635.99 ,$254.40 ,"$1,278.20 ",$254.40 ,$913.00 ,$259.48 ,"$1,369.50 ",$922.13 ,$830.83 ,$922.13 ,$254.40 ,$922.13 ,"$1,150.38 ","$1,150.38 ","$1,296.46 ","$1,826.00 ","$1,552.10 ",$635.99 ,"$1,460.80 ",$675.62 ,"$1,460.80 ",$254.40 ,$254.40 ,"$1,826.00 ",$989.69 ,$254.40 ,$480.24 , N/A , N/A ,$239.54 ,$228.65 ,$267.12 ,"$1,552.10 ",$572.39 ,"$1,201.51 ",$511.28 ,"$1,643.40 ","$1,314.72 ","$1,826.00 ","$1,150.38 ","$1,150.38 ","$1,150.38 ",$254.40 ,$876.48 ,"$1,643.40 " ST. JOHN'S HOSPITAL,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$429.00 ,$278.85 ,$74.83 ,$429.00 , N/A ,$197.34 ,$232.52 , N/A ,$120.12 ,$148.01 , N/A ,$164.74 , N/A ,$163.88 ,$101.56 , N/A ,$163.88 , N/A ,$225.65 ,$218.79 , N/A , N/A ,$300.30 , N/A ,$214.50 , N/A ,$321.75 ,$216.65 ,$195.20 ,$216.65 , N/A ,$216.65 ,$270.27 ,$270.27 ,$304.59 ,$429.00 ,$364.65 , N/A ,$343.20 ,$158.73 ,$343.20 , N/A , N/A ,$429.00 ,$232.52 , N/A ,$112.83 , N/A , N/A ,$78.40 ,$74.83 , N/A ,$364.65 , N/A ,$282.28 ,$120.12 ,$386.10 ,$308.88 ,$429.00 ,$270.27 ,$270.27 ,$270.27 , N/A ,$205.92 ,$386.10 ST. JOHN'S HOSPITAL,46000018,94762,HC OXIMETRY OVERNIGHT,460,1 ,$484.00 ,$314.60 ,$55.58 ,$484.00 ,$335.53 ,$222.64 ,$262.33 ,$134.21 ,$135.52 ,$166.98 ,$134.21 ,$185.86 ,$134.21 ,$184.89 ,$55.58 ,$134.21 ,$184.89 ,$254.99 ,$254.58 ,$246.84 ,$335.51 ,$134.21 ,$338.80 ,$134.21 ,$242.00 ,$136.89 ,$363.00 ,$244.42 ,$220.22 ,$244.42 ,$134.21 ,$244.42 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$335.51 ,$387.20 ,$179.08 ,$387.20 ,$134.21 ,$134.21 ,$484.00 ,$262.33 ,$134.21 ,$127.29 , N/A , N/A ,$78.40 ,$74.83 ,$140.92 ,$411.40 ,$301.96 ,$318.47 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$304.92 ,$304.92 ,$134.21 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,46000021,94760,HC PULSE OX SINGLE,460,1 ,$119.00 ,$77.35 ,$5.70 ,$119.00 , N/A ,$54.74 ,$64.50 , N/A ,$33.32 ,$31.67 , N/A ,$34.13 , N/A ,$45.46 ,$5.70 , N/A ,$45.46 , N/A ,$62.59 ,$60.69 , N/A , N/A ,$83.30 , N/A ,$59.50 , N/A ,$89.25 ,$60.10 ,$54.15 ,$60.10 , N/A ,$60.10 ,$74.97 ,$74.97 ,$84.49 ,$119.00 ,$101.15 , N/A ,$95.20 ,$44.03 ,$95.20 , N/A , N/A ,$119.00 ,$64.50 , N/A ,$31.30 , N/A , N/A , N/A , N/A , N/A ,$101.15 , N/A ,$78.30 ,$33.32 ,$107.10 ,$85.68 ,$119.00 ,$74.97 ,$74.97 ,$74.97 , N/A ,$57.12 ,$107.10 ST. JOHN'S HOSPITAL,46000022,94200,HC MAXIMAL VOL VENTILATION,942,1 ,$288.00 ,$187.20 ,$48.56 ,$288.00 ,$133.78 ,$132.48 ,$156.10 ,$53.51 ,$80.64 ,$99.36 ,$53.51 ,$110.59 ,$53.51 ,$110.02 ,$48.56 ,$53.51 ,$110.02 ,$101.66 ,$151.49 ,$146.88 ,$133.77 ,$53.51 ,$201.60 ,$53.51 ,$144.00 ,$54.58 ,$216.00 ,$145.44 ,$131.04 ,$145.44 ,$53.51 ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 ,$133.77 ,$230.40 ,$106.56 ,$230.40 ,$53.51 ,$53.51 ,$288.00 ,$156.10 ,$53.51 ,$75.74 , N/A , N/A , N/A , N/A ,$56.19 ,$244.80 ,$120.39 ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 ,$53.51 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$284.00 ,$184.60 ,$74.69 ,$284.00 , N/A ,$130.64 ,$153.93 , N/A ,$79.52 ,$90.88 , N/A ,$104.51 , N/A ,$108.49 ,$108.49 , N/A ,$108.49 , N/A ,$149.38 , N/A , N/A , N/A ,$198.80 , N/A ,$142.00 , N/A ,$213.00 ,$126.66 ,$113.88 ,$126.66 , N/A ,$126.66 ,$178.92 ,$178.92 ,$201.64 ,$284.00 ,$241.40 , N/A ,$227.20 ,$105.08 ,$227.20 , N/A , N/A ,$284.00 ,$153.93 , N/A ,$74.69 , N/A , N/A , N/A , N/A , N/A ,$241.40 , N/A ,$108.49 ,$79.52 ,$255.60 ,$204.48 ,$284.00 ,$178.92 ,$178.92 ,$178.92 , N/A ,$136.32 ,$255.60 ST. JOHN'S HOSPITAL,46000028,94690,HC O2 UPTAKE EXPIRED GAS REST,460,1 ,$766.00 ,$497.90 ,$53.51 ,$766.00 ,$133.78 ,$352.36 ,$415.17 ,$53.51 ,$214.48 ,$264.27 ,$53.51 ,$294.14 ,$53.51 ,$292.61 ,$107.79 ,$53.51 ,$292.61 ,$101.66 ,$402.92 ,$390.66 ,$133.77 ,$53.51 ,$536.20 ,$53.51 ,$383.00 ,$54.58 ,$574.50 ,$386.83 ,$348.53 ,$386.83 ,$53.51 ,$386.83 ,$482.58 ,$482.58 ,$543.86 ,$766.00 ,$651.10 ,$133.77 ,$612.80 ,$283.42 ,$612.80 ,$53.51 ,$53.51 ,$766.00 ,$415.17 ,$53.51 ,$201.46 , N/A , N/A ,$78.40 ,$74.83 ,$56.19 ,$651.10 ,$120.39 ,$504.03 ,$214.48 ,$689.40 ,$551.52 ,$766.00 ,$482.58 ,$482.58 ,$482.58 ,$53.51 ,$367.68 ,$689.40 ST. JOHN'S HOSPITAL,46000029,94375,HC FLOW VOLUME LOOP,460,1 ,$472.00 ,$306.80 ,$54.80 ,$636.00 ,$636.00 ,$217.12 ,$255.82 ,$254.40 ,$132.16 ,$162.84 ,$254.40 ,$181.25 ,$254.40 ,$180.30 ,$54.80 ,$254.40 ,$180.30 ,$472.00 ,$248.27 ,$240.72 ,$635.99 ,$254.40 ,$330.40 ,$254.40 ,$236.00 ,$259.48 ,$354.00 ,$238.36 ,$214.76 ,$238.36 ,$254.40 ,$238.36 ,$297.36 ,$297.36 ,$335.12 ,$472.00 ,$401.20 ,$472.00 ,$377.60 ,$174.64 ,$377.60 ,$254.40 ,$254.40 ,$472.00 ,$255.82 ,$254.40 ,$124.14 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,$401.20 ,$572.39 ,$310.58 ,$132.16 ,$424.80 ,$339.84 ,$472.00 ,$297.36 ,$297.36 ,$297.36 ,$254.40 ,$226.56 ,$424.80 ST. JOHN'S HOSPITAL,46000031,94681,HC CO2/O2 UPTAKE EXPIRED GAS,460,1 ,"$1,240.00 ",$806.00 ,$74.83 ,"$1,240.00 ",$636.00 ,$570.40 ,$672.08 ,$254.40 ,$347.20 ,$396.80 ,$254.40 ,$456.32 ,$254.40 ,$473.68 ,$98.44 ,$254.40 ,$473.68 ,$483.35 ,$652.24 ,$632.40 ,$635.99 ,$254.40 ,$868.00 ,$254.40 ,$620.00 ,$259.48 ,$930.00 ,$626.20 ,$564.20 ,$626.20 ,$254.40 ,$626.20 ,$781.20 ,$781.20 ,$880.40 ,"$1,240.00 ","$1,054.00 ",$635.99 ,$992.00 ,$458.80 ,$992.00 ,$254.40 ,$254.40 ,"$1,240.00 ",$672.08 ,$254.40 ,$326.12 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,"$1,054.00 ",$572.39 ,$815.92 ,$347.20 ,"$1,116.00 ",$892.80 ,"$1,240.00 ",$781.20 ,$781.20 ,$781.20 ,$254.40 ,$595.20 ,"$1,116.00 " ST. JOHN'S HOSPITAL,47000000,92585,HC AUDITORY EVOKED POTENT COMPR,470,1 ,"$1,049.00 ",$681.85 ,$143.95 ,"$1,049.00 ", N/A ,$482.54 ,$568.56 , N/A ,$293.72 ,$361.91 , N/A ,$402.82 , N/A ,$400.72 ,$143.95 , N/A ,$400.72 , N/A ,$551.77 ,$534.99 , N/A , N/A ,$734.30 , N/A ,$524.50 , N/A ,$786.75 ,$529.75 ,$477.30 ,$529.75 , N/A ,$529.75 ,$660.87 ,$660.87 ,$744.79 ,"$1,049.00 ",$891.65 , N/A ,$839.20 ,$388.13 ,$839.20 , N/A , N/A ,"$1,049.00 ",$568.56 , N/A ,$275.89 , N/A , N/A , N/A , N/A , N/A ,$891.65 , N/A ,$690.24 ,$293.72 ,$944.10 ,$755.28 ,"$1,049.00 ",$660.87 ,$660.87 ,$660.87 , N/A ,$503.52 ,$944.10 ST. JOHN'S HOSPITAL,47100009,92558,HC AUD EVOKED OTOACOUS EMISSIONS SCREENING,471,1 ,$198.00 ,$128.70 ,$12.63 ,$198.00 , N/A ,$91.08 ,$107.32 , N/A ,$55.44 ,$63.36 , N/A ,$72.86 , N/A ,$75.64 ,$12.63 , N/A ,$75.64 , N/A ,$104.15 ,$100.98 , N/A , N/A ,$138.60 , N/A ,$99.00 , N/A ,$148.50 ,$99.99 ,$90.09 ,$99.99 , N/A ,$99.99 ,$124.74 ,$124.74 ,$140.58 ,$198.00 ,$168.30 , N/A ,$158.40 ,$73.26 ,$158.40 , N/A , N/A ,$198.00 ,$107.32 , N/A ,$52.07 , N/A , N/A ,$144.73 ,$138.15 , N/A ,$168.30 , N/A ,$130.28 ,$55.44 ,$178.20 ,$142.56 ,$198.00 ,$124.74 ,$124.74 ,$124.74 , N/A ,$95.04 ,$178.20 ST. JOHN'S HOSPITAL,47100027,92504,HC BINOCULAR MICROSCOPY,471,1 ,$181.00 ,$117.65 ,$16.04 ,$181.00 , N/A ,$83.26 ,$98.10 , N/A ,$50.68 ,$62.45 , N/A ,$69.50 , N/A ,$69.14 ,$16.04 , N/A ,$69.14 , N/A ,$95.21 ,$92.31 , N/A , N/A ,$126.70 , N/A ,$90.50 , N/A ,$135.75 ,$91.41 ,$82.36 ,$91.41 , N/A ,$91.41 ,$114.03 ,$114.03 ,$128.51 ,$181.00 ,$153.85 , N/A ,$144.80 ,$66.97 ,$144.80 , N/A , N/A ,$181.00 ,$98.10 , N/A ,$47.60 , N/A , N/A , N/A , N/A , N/A ,$153.85 , N/A ,$119.10 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$114.03 ,$114.03 ,$114.03 , N/A ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,48000001,76825,HC US FETAL ECHO W/W/O M,480,1 ,"$2,119.00 ","$1,377.35 ",$228.16 ,"$2,119.00 ","$1,161.15 ",$228.16 ,"$1,148.50 ",$464.46 ,$593.32 ,$731.06 ,$464.46 ,$813.70 ,$464.46 ,$809.46 ,$396.21 ,$464.46 ,$809.46 ,$882.48 ,$679.72 ,"$2,119.00 ","$1,161.16 ",$464.46 ,"$1,483.30 ",$464.46 ,"$1,059.50 ",$473.75 ,"$1,589.25 ","$1,070.10 ",$964.15 ,"$1,070.10 ",$464.46 ,"$1,070.10 ", N/A , N/A , N/A ,"$2,119.00 ","$1,801.15 ","$1,161.16 ","$1,695.20 ",$784.03 ,"$1,695.20 ",$464.46 ,$464.46 ,"$2,119.00 ","$1,148.50 ",$464.46 ,$557.30 , N/A , N/A , N/A , N/A ,$487.68 ,"$1,801.15 ","$1,045.04 ","$1,394.30 ",$593.32 ,"$1,907.10 ","$1,525.68 ","$2,119.00 ", N/A ,"$1,334.97 ","$1,334.97 ",$464.46 ,"$1,017.12 ","$1,907.10 " ST. JOHN'S HOSPITAL,48000002,76826,HC FETAL ECHO W/W/O M F/U,480,1 ,"$1,123.00 ",$729.95 ,$151.10 ,"$1,123.00 ",$552.95 ,$151.10 ,$608.67 ,$221.18 ,$314.44 ,$387.44 ,$221.18 ,$431.23 ,$221.18 ,$428.99 ,$252.61 ,$221.18 ,$428.99 ,$420.25 ,$435.17 ,"$1,123.00 ",$552.96 ,$221.18 ,$786.10 ,$221.18 ,$561.50 ,$225.61 ,$842.25 ,$567.12 ,$510.97 ,$567.12 ,$221.18 ,$567.12 , N/A , N/A , N/A ,"$1,123.00 ",$954.55 ,$552.96 ,$898.40 ,$415.51 ,$898.40 ,$221.18 ,$221.18 ,"$1,123.00 ",$608.67 ,$221.18 ,$295.35 , N/A , N/A , N/A , N/A ,$232.24 ,$954.55 ,$497.66 ,$738.93 ,$314.44 ,"$1,010.70 ",$808.56 ,"$1,123.00 ", N/A ,$707.49 ,$707.49 ,$221.18 ,$539.04 ,"$1,010.70 " ST. JOHN'S HOSPITAL,48000003,76827,HC US DPPLR ECHOCARD FETAL CMPL,480,1 ,"$1,153.00 ",$749.45 ,$53.10 ,"$1,153.00 ",$261.63 ,$53.10 ,$624.93 ,$104.65 ,$322.84 ,$351.34 ,$104.65 ,$422.16 ,$104.65 ,$440.45 ,$94.60 ,$104.65 ,$440.45 ,$198.84 ,$158.99 ,"$1,153.00 ",$261.63 ,$104.65 ,$807.10 ,$104.65 ,$576.50 ,$106.75 ,$864.75 ,$582.27 ,$524.62 ,$582.27 ,$104.65 ,$582.27 , N/A , N/A , N/A ,"$1,153.00 ",$980.05 ,$261.63 ,$922.40 ,$426.61 ,$922.40 ,$104.65 ,$104.65 ,"$1,153.00 ",$624.93 ,$104.65 ,$303.24 , N/A , N/A , N/A , N/A ,$109.88 ,$980.05 ,$235.47 ,$758.67 ,$322.84 ,"$1,037.70 ",$830.16 ,"$1,153.00 ", N/A ,$726.39 ,$726.39 ,$104.65 ,$553.44 ,"$1,037.70 " ST. JOHN'S HOSPITAL,48000004,76828,HC US FETAL DOPPLER ECHO F/U,480,1 ,$742.00 ,$482.30 ,$28.88 ,$742.00 ,$261.63 ,$28.88 ,$402.16 ,$104.65 ,$207.76 ,$188.60 ,$104.65 ,$226.61 ,$104.65 ,$283.44 ,$51.44 ,$104.65 ,$283.44 ,$198.84 ,$85.60 ,$742.00 ,$261.63 ,$104.65 ,$519.40 ,$104.65 ,$371.00 ,$106.75 ,$556.50 ,$374.71 ,$337.61 ,$374.71 ,$104.65 ,$374.71 , N/A , N/A , N/A ,$742.00 ,$630.70 ,$261.63 ,$593.60 ,$274.54 ,$593.60 ,$104.65 ,$104.65 ,$742.00 ,$402.16 ,$104.65 ,$195.15 , N/A , N/A , N/A , N/A ,$109.88 ,$630.70 ,$235.47 ,$488.24 ,$207.76 ,$667.80 ,$534.24 ,$742.00 , N/A ,$467.46 ,$467.46 ,$104.65 ,$356.16 ,$667.80 ST. JOHN'S HOSPITAL,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$2,370.00 ","$1,540.50 ",$229.38 ,"$2,370.00 ","$1,349.98 ","$1,090.20 ","$1,284.54 ",$539.99 ,$663.60 ,$817.65 ,$539.99 ,$910.08 ,$539.99 ,$905.34 ,$229.38 ,$539.99 ,$905.34 ,"$1,025.99 ","$1,246.62 ","$2,370.00 ","$1,349.99 ",$539.99 ,"$1,659.00 ",$539.99 ,"$1,185.00 ",$550.79 ,"$1,777.50 ","$1,196.85 ","$1,078.35 ","$1,196.85 ",$539.99 ,"$1,196.85 ","$1,493.10 ","$1,493.10 ","$1,801.20 ","$2,370.00 ","$2,014.50 ","$1,349.99 ","$1,896.00 ",$876.90 ,"$1,896.00 ",$539.99 ,$539.99 ,"$2,370.00 ","$1,284.54 ",$539.99 ,$623.31 , N/A , N/A ,$638.73 ,$609.69 ,$566.99 ,"$2,014.50 ","$1,214.99 ","$1,559.46 ",$663.60 ,"$2,133.00 ","$1,706.40 ","$2,370.00 ","$1,493.10 ","$1,493.10 ","$1,493.10 ",$539.99 ,"$1,137.60 ","$2,133.00 " ST. JOHN'S HOSPITAL,48000006,92961,HC CARDIOVERSION INTERNAL,480,1 ,"$1,616.00 ","$1,050.40 ",$425.01 ,"$1,616.00 ","$1,349.98 ","$1,616.00 ",$875.87 ,$539.99 ,$452.48 ,$557.52 ,$539.99 ,$620.54 ,$539.99 ,$617.31 ,$542.30 ,$539.99 ,$617.31 ,"$1,025.99 ",$850.02 ,"$1,616.00 ","$1,349.99 ",$539.99 ,"$1,131.20 ",$539.99 ,$808.00 ,$550.79 ,"$1,212.00 ",$816.08 ,$735.28 ,$816.08 ,$539.99 ,$816.08 ,"$1,018.08 ","$1,018.08 ","$1,228.16 ","$1,616.00 ","$1,373.60 ","$1,349.99 ","$1,292.80 ",$597.92 ,"$1,292.80 ",$539.99 ,$539.99 ,"$1,616.00 ",$875.87 ,$539.99 ,$425.01 , N/A , N/A ,$638.73 ,$609.69 ,$566.99 ,"$1,373.60 ","$1,214.99 ","$1,063.33 ",$452.48 ,"$1,454.40 ","$1,163.52 ","$1,616.00 ","$1,018.08 ","$1,018.08 ","$1,018.08 ",$539.99 ,$775.68 ,"$1,454.40 " ST. JOHN'S HOSPITAL,48000008,G0269,HC PLACE OCCLUSIVE DEVICE A/VV G0269,480,1 ,"$1,195.00 ",$776.75 ,$314.29 ,"$1,195.00 ", N/A ,"$1,195.00 ",$647.69 , N/A ,$334.60 ,$382.40 , N/A ,$439.76 , N/A ,$456.49 ,$473.00 , N/A ,$456.49 , N/A ,$628.57 ,"$1,195.00 ", N/A , N/A ,$836.50 , N/A ,$597.50 , N/A ,$896.25 ,$603.48 ,$543.73 ,$603.48 , N/A ,$603.48 ,$752.85 ,$752.85 ,$908.20 ,"$1,195.00 ","$1,015.75 ", N/A ,$956.00 ,$442.15 ,$956.00 , N/A , N/A ,"$1,195.00 ",$647.69 , N/A ,$314.29 , N/A , N/A , N/A , N/A , N/A ,"$1,015.75 ", N/A ,$786.31 ,$334.60 ,"$1,075.50 ",$860.40 ,"$1,195.00 ",$752.85 ,$752.85 ,$752.85 , N/A ,$573.60 ,"$1,075.50 " ST. JOHN'S HOSPITAL,48000016,G0166,HC COUNTERPULSATION EXTERNAL,480,1 ,$649.00 ,$421.85 ,$69.13 ,$649.00 ,$270.98 ,$298.54 ,$351.76 ,$108.39 ,$181.72 ,$207.68 ,$108.39 ,$238.83 ,$108.39 ,$247.92 ,$191.87 ,$108.39 ,$247.92 ,$205.94 ,$341.37 ,$649.00 ,$270.97 ,$108.39 ,$454.30 ,$108.39 ,$324.50 ,$110.56 ,$486.75 ,$327.75 ,$295.30 ,$327.75 ,$108.39 ,$327.75 ,$408.87 ,$408.87 ,$493.24 ,$649.00 ,$551.65 ,$270.97 ,$519.20 ,$240.13 ,$519.20 ,$108.39 ,$108.39 ,$649.00 ,$351.76 ,$108.39 ,$170.69 , N/A , N/A ,$72.42 ,$69.13 ,$113.81 ,$551.65 ,$243.87 ,$427.04 ,$181.72 ,$584.10 ,$467.28 ,$649.00 ,$408.87 ,$408.87 ,$408.87 ,$108.39 ,$311.52 ,$584.10 ST. JOHN'S HOSPITAL,48000018,93624,HC EP FOLLOW UP,480,1 ,"$19,291.00 ","$12,539.15 ",$138.40 ,"$19,291.00 ","$14,607.05 ","$7,500.00 ","$10,455.72 ","$5,842.82 ","$5,401.48 ",$907.80 ,"$5,842.82 ",$978.15 ,"$5,842.82 ","$7,369.16 ",$138.40 ,"$5,842.82 ","$7,369.16 ","$11,101.36 ","$10,147.07 ","$9,645.50 ","$14,607.05 ","$5,842.82 ","$13,503.70 ","$5,842.82 ","$9,645.50 ","$5,959.68 ","$14,468.25 ","$9,741.96 ","$8,777.41 ","$9,741.96 ","$5,842.82 ","$9,741.96 ","$12,153.33 ","$12,153.33 ","$14,661.16 ","$19,291.00 ","$16,397.35 ","$14,607.05 ","$15,432.80 ","$7,137.67 ","$15,432.80 ","$5,842.82 ","$5,842.82 ","$19,291.00 ","$10,455.72 ","$5,842.82 ","$5,073.53 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$6,134.96 ","$16,397.35 ","$13,146.34 ","$12,693.48 ","$5,401.48 ","$17,361.90 ","$13,889.52 ","$19,291.00 ","$12,153.33 ","$12,153.33 ","$12,153.33 ","$5,842.82 ","$9,259.68 ","$17,361.90 " ST. JOHN'S HOSPITAL,48000019,93610,HC EP INTRA-ATRIAL PACING,480,1 ,"$11,828.00 ","$7,688.20 ",$110.58 ,"$14,607.05 ","$14,607.05 ","$7,500.00 ","$6,410.78 ","$5,842.82 ","$3,311.84 ",$708.31 ,"$5,842.82 ",$763.20 ,"$5,842.82 ","$4,518.30 ",$110.58 ,"$5,842.82 ","$4,518.30 ","$11,101.36 ","$6,221.53 ","$8,520.00 ","$14,607.05 ","$5,842.82 ","$8,279.60 ","$5,842.82 ","$5,914.00 ","$5,959.68 ","$8,871.00 ","$5,973.14 ","$5,381.74 ","$5,973.14 ","$5,842.82 ","$5,973.14 ","$7,451.64 ","$7,451.64 ","$8,989.28 ","$11,828.00 ","$10,053.80 ","$11,828.00 ","$9,462.40 ","$4,376.36 ","$9,462.40 ","$5,842.82 ","$5,842.82 ","$11,828.00 ","$6,410.78 ","$5,842.82 ","$3,110.76 ", N/A , N/A ,"$5,474.91 ","$5,226.05 ","$6,134.96 ","$10,053.80 ","$13,146.34 ","$7,782.82 ","$3,311.84 ","$10,645.20 ","$8,516.16 ","$11,828.00 ","$7,451.64 ","$7,451.64 ","$7,451.64 ","$5,842.82 ","$5,677.44 ","$10,645.20 " ST. JOHN'S HOSPITAL,48000020,93562,HC CARDIAC OUTPUT SUBSEQUENT MEASURE,480,1 ,"$2,094.00 ","$1,361.10 ",$21.34 ,"$2,094.00 ", N/A ,"$2,094.00 ","$1,134.95 ", N/A ,$586.32 ,$21.34 , N/A ,$22.99 , N/A ,$799.91 ,$120.38 , N/A ,$799.91 , N/A ,"$1,101.44 ","$2,094.00 ", N/A , N/A ,"$1,465.80 ", N/A ,"$1,047.00 ", N/A ,"$1,570.50 ","$1,057.47 ",$952.77 ,"$1,057.47 ", N/A ,"$1,057.47 ","$1,319.22 ","$1,319.22 ","$1,591.44 ","$2,094.00 ","$1,779.90 ", N/A ,"$1,675.20 ",$774.78 ,"$1,675.20 ", N/A , N/A ,"$2,094.00 ","$1,134.95 ", N/A ,$550.72 , N/A , N/A , N/A , N/A , N/A ,"$1,779.90 ", N/A ,"$1,377.85 ",$586.32 ,"$1,884.60 ","$1,507.68 ","$2,094.00 ","$1,319.22 ","$1,319.22 ","$1,319.22 ", N/A ,"$1,005.12 ","$1,884.60 " ST. JOHN'S HOSPITAL,48000022,93799,HC EXTERNAL PACING OVERRIDE ICD,480,1 ,$232.00 ,$150.80 ,$25.77 ,$335.53 ,$335.53 ,$106.72 ,$125.74 ,$134.21 ,$64.96 ,$74.24 ,$134.21 ,$85.38 ,$134.21 ,$88.62 ,$92.80 ,$134.21 ,$88.62 ,$232.00 ,$122.03 ,$232.00 ,$335.51 ,$134.21 ,$162.40 ,$134.21 ,$116.00 ,$136.89 ,$174.00 ,$117.16 ,$105.56 ,$117.16 ,$134.21 ,$117.16 ,$146.16 ,$146.16 ,$176.32 ,$232.00 ,$197.20 ,$232.00 ,$185.60 ,$85.84 ,$185.60 ,$134.21 ,$134.21 ,$232.00 ,$125.74 ,$134.21 ,$61.02 , N/A , N/A ,$26.99 ,$25.77 ,$140.92 ,$197.20 ,$301.96 ,$152.66 ,$64.96 ,$208.80 ,$167.04 ,$232.00 ,$146.16 ,$146.16 ,$146.16 ,$134.21 ,$111.36 ,$208.80 ST. JOHN'S HOSPITAL,48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$207.00 ,$134.55 ,$34.88 ,$305.47 ,$133.78 ,$95.22 ,$112.19 ,$53.51 ,$57.96 ,$71.42 ,$53.51 ,$79.49 ,$53.51 ,$79.07 ,$34.88 ,$53.51 ,$79.07 ,$101.66 ,$108.88 ,$207.00 ,$133.77 ,$53.51 ,$144.90 ,$53.51 ,$103.50 ,$54.58 ,$155.25 ,$104.54 ,$94.19 ,$104.54 ,$53.51 ,$104.54 ,$130.41 ,$130.41 ,$157.32 ,$207.00 ,$175.95 ,$133.77 ,$165.60 ,$76.59 ,$165.60 ,$53.51 ,$53.51 ,$207.00 ,$112.19 ,$53.51 ,$54.44 , N/A , N/A ,$207.00 ,$305.47 ,$56.19 ,$175.95 ,$120.39 ,$136.21 ,$57.96 ,$186.30 ,$149.04 ,$207.00 ,$130.41 ,$130.41 ,$130.41 ,$53.51 ,$99.36 ,$186.30 ST. JOHN'S HOSPITAL,48100002,33206,HC INS/REPL PCMKR PERM ATRIAL 33206,481,1 ,"$39,104.00 ","$25,417.60 ","$8,050.00 ","$39,104.00 ","$24,987.25 ","$12,000.00 ","$21,194.37 ","$9,994.90 ","$10,949.12 ","$11,066.43 ","$9,994.90 ","$12,669.70 ","$9,994.90 ","$13,021.63 ","$13,021.63 ","$9,994.90 ","$13,021.63 ","$18,990.32 ","$20,568.70 ","$19,552.00 ","$24,987.26 ","$9,994.90 ","$27,372.80 ","$9,994.90 ","$19,552.00 ","$10,194.80 ","$29,328.00 ","$17,440.38 ","$15,680.70 ","$17,440.38 ","$9,994.90 ","$17,440.38 ","$24,635.52 ","$24,635.52 ","$29,719.04 ","$39,104.00 ","$33,238.40 ","$24,987.26 ","$31,283.20 ","$14,468.48 ","$31,283.20 ","$9,994.90 ","$9,994.90 ","$39,104.00 ","$21,194.37 ","$9,994.90 ","$10,284.35 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$33,238.40 ","$22,488.53 ","$13,021.63 ","$10,949.12 ","$35,193.60 ","$28,154.88 ","$39,104.00 ","$24,635.52 ","$24,635.52 ","$24,635.52 ","$9,994.90 ","$18,769.92 ","$35,193.60 " ST. JOHN'S HOSPITAL,48100003,33207,HC INS/REPL PACEMKR PERM VENTRIC 33207,481,1 ,"$35,993.00 ","$23,395.45 ","$8,050.00 ","$35,993.00 ","$24,987.25 ","$12,000.00 ","$19,508.21 ","$9,994.90 ","$10,078.04 ","$10,186.02 ","$9,994.90 ","$11,661.73 ","$9,994.90 ","$11,985.67 ","$11,985.67 ","$9,994.90 ","$11,985.67 ","$18,990.32 ","$18,932.32 ","$17,996.50 ","$24,987.26 ","$9,994.90 ","$25,195.10 ","$9,994.90 ","$17,996.50 ","$10,194.80 ","$26,994.75 ","$16,052.88 ","$14,433.19 ","$16,052.88 ","$9,994.90 ","$16,052.88 ","$22,675.59 ","$22,675.59 ","$27,354.68 ","$35,993.00 ","$30,594.05 ","$24,987.26 ","$28,794.40 ","$13,317.41 ","$28,794.40 ","$9,994.90 ","$9,994.90 ","$35,993.00 ","$19,508.21 ","$9,994.90 ","$9,466.16 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$30,594.05 ","$22,488.53 ","$11,985.67 ","$10,078.04 ","$32,393.70 ","$25,914.96 ","$35,993.00 ","$22,675.59 ","$22,675.59 ","$22,675.59 ","$9,994.90 ","$17,276.64 ","$32,393.70 " ST. JOHN'S HOSPITAL,48100004,33208,HC INS/REPL PACEMKR PERM A/V 33208,481,1 ,"$30,036.00 ","$19,523.40 ","$7,899.47 ","$30,036.00 ","$24,987.25 ","$12,000.00 ","$16,279.51 ","$9,994.90 ","$8,410.08 ","$8,500.19 ","$9,994.90 ","$9,731.66 ","$9,994.90 ","$10,001.99 ","$10,001.99 ","$9,994.90 ","$10,001.99 ","$18,990.32 ","$15,798.94 ","$15,018.00 ","$24,987.26 ","$9,994.90 ","$21,025.20 ","$9,994.90 ","$15,018.00 ","$10,194.80 ","$22,527.00 ","$13,396.06 ","$12,044.44 ","$13,396.06 ","$9,994.90 ","$13,396.06 ","$18,922.68 ","$18,922.68 ","$22,827.36 ","$30,036.00 ","$25,530.60 ","$24,987.26 ","$24,028.80 ","$11,113.32 ","$24,028.80 ","$9,994.90 ","$9,994.90 ","$30,036.00 ","$16,279.51 ","$9,994.90 ","$7,899.47 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$25,530.60 ","$22,488.53 ","$10,001.99 ","$8,410.08 ","$27,032.40 ","$21,625.92 ","$30,036.00 ","$18,922.68 ","$18,922.68 ","$18,922.68 ","$9,994.90 ","$14,417.28 ","$27,032.40 " ST. JOHN'S HOSPITAL,48100005,33210,HC INS/REPL TPM SGL ELEC/CATH 33210,481,1 ,"$10,268.00 ","$6,674.20 ","$2,700.48 ","$19,606.08 ","$19,606.08 ","$5,000.00 ","$5,565.26 ","$7,842.43 ","$2,875.04 ","$3,285.76 ","$7,842.43 ","$3,778.62 ","$7,842.43 ","$3,922.38 ","$3,922.38 ","$7,842.43 ","$3,922.38 ","$10,268.00 ","$5,400.97 ","$8,520.00 ","$19,606.07 ","$7,842.43 ","$7,187.60 ","$7,842.43 ","$5,134.00 ","$7,999.28 ","$7,701.00 ","$4,579.53 ","$4,117.47 ","$4,579.53 ","$7,842.43 ","$4,579.53 ","$6,468.84 ","$6,468.84 ","$7,803.68 ","$10,268.00 ","$8,727.80 ","$10,268.00 ","$8,214.40 ","$3,799.16 ","$8,214.40 ","$7,842.43 ","$7,842.43 ","$10,268.00 ","$5,565.26 ","$7,842.43 ","$2,700.48 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$8,727.80 ","$17,645.46 ","$3,922.38 ","$2,875.04 ","$9,241.20 ","$7,392.96 ","$10,268.00 ","$6,468.84 ","$6,468.84 ","$6,468.84 ","$7,842.43 ","$4,928.64 ","$9,241.20 " ST. JOHN'S HOSPITAL,48100007,33213,HC INS PULSE GEN DUAL CHAMBER 33213,481,1 ,"$29,312.00 ","$19,052.80 ","$4,200.00 ","$29,312.00 ","$24,987.25 ","$4,200.00 ","$15,887.10 ","$9,994.90 ","$8,207.36 ","$8,295.30 ","$9,994.90 ","$9,497.09 ","$9,994.90 ","$9,760.90 ","$9,760.90 ","$9,994.90 ","$9,760.90 ","$18,990.32 ","$15,418.11 ","$14,656.00 ","$24,987.26 ","$9,994.90 ","$20,518.40 ","$9,994.90 ","$14,656.00 ","$10,194.80 ","$21,984.00 ","$13,073.15 ","$11,754.11 ","$13,073.15 ","$9,994.90 ","$13,073.15 ","$18,466.56 ","$18,466.56 ","$22,277.12 ","$29,312.00 ","$24,915.20 ","$24,987.26 ","$23,449.60 ","$10,845.44 ","$23,449.60 ","$9,994.90 ","$9,994.90 ","$29,312.00 ","$15,887.10 ","$9,994.90 ","$7,709.06 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$24,915.20 ","$22,488.53 ","$9,760.90 ","$8,207.36 ","$26,380.80 ","$21,104.64 ","$29,312.00 ","$18,466.56 ","$18,466.56 ","$18,466.56 ","$9,994.90 ","$14,069.76 ","$26,380.80 " ST. JOHN'S HOSPITAL,48100008,33214,HC UPGRADE PACEMAKER SYSTEM 33214,481,1 ,"$34,728.00 ","$22,573.20 ","$8,050.00 ","$34,728.00 ","$24,987.25 ","$12,000.00 ","$18,822.58 ","$9,994.90 ","$9,723.84 ","$9,828.02 ","$9,994.90 ","$11,251.87 ","$9,994.90 ","$11,564.42 ","$11,564.42 ","$9,994.90 ","$11,564.42 ","$18,990.32 ","$18,266.93 ","$17,364.00 ","$24,987.26 ","$9,994.90 ","$24,309.60 ","$9,994.90 ","$17,364.00 ","$10,194.80 ","$26,046.00 ","$15,488.69 ","$13,925.93 ","$15,488.69 ","$9,994.90 ","$15,488.69 ","$21,878.64 ","$21,878.64 ","$26,393.28 ","$34,728.00 ","$29,518.80 ","$24,987.26 ","$27,782.40 ","$12,849.36 ","$27,782.40 ","$9,994.90 ","$9,994.90 ","$34,728.00 ","$18,822.58 ","$9,994.90 ","$9,133.46 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$29,518.80 ","$22,488.53 ","$11,564.42 ","$9,723.84 ","$31,255.20 ","$25,004.16 ","$34,728.00 ","$21,878.64 ","$21,878.64 ","$21,878.64 ","$9,994.90 ","$16,669.44 ","$31,255.20 " ST. JOHN'S HOSPITAL,48100009,33215,HC REPOSITION PACE/DEFIB LEAD 33215,481,1 ,"$21,452.00 ","$13,943.80 ","$2,751.72 ","$21,452.00 ","$6,879.30 ","$4,200.00 ","$11,626.98 ","$2,751.72 ","$6,006.56 ","$6,070.92 ","$2,751.72 ","$6,950.45 ","$2,751.72 ","$7,143.52 ","$7,143.52 ","$2,751.72 ","$7,143.52 ","$5,228.27 ","$11,283.75 ","$10,726.00 ","$6,879.30 ","$2,751.72 ","$15,016.40 ","$2,751.72 ","$10,726.00 ","$2,806.76 ","$16,089.00 ","$9,567.59 ","$8,602.25 ","$9,567.59 ","$2,751.72 ","$9,567.59 ","$13,514.76 ","$13,514.76 ","$16,303.52 ","$21,452.00 ","$18,234.20 ","$6,879.30 ","$17,161.60 ","$7,937.24 ","$17,161.60 ","$2,751.72 ","$2,751.72 ","$21,452.00 ","$11,626.98 ","$2,751.72 ","$5,641.88 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$2,889.31 ","$18,234.20 ","$6,191.37 ","$7,143.52 ","$6,006.56 ","$19,306.80 ","$15,445.44 ","$21,452.00 ","$13,514.76 ","$13,514.76 ","$13,514.76 ","$2,751.72 ","$10,296.96 ","$19,306.80 " ST. JOHN'S HOSPITAL,48100010,33216,HC INS ELECTRODE SGL CHAMBER 33216,481,1 ,"$23,776.00 ","$15,454.40 ","$3,118.14 ","$23,776.00 ","$19,606.08 ","$5,000.00 ","$12,886.59 ","$7,842.43 ","$6,657.28 ","$6,728.61 ","$7,842.43 ","$7,703.42 ","$7,842.43 ","$7,917.41 ","$7,917.41 ","$7,842.43 ","$7,917.41 ","$14,900.61 ","$12,506.18 ","$11,888.00 ","$19,606.07 ","$7,842.43 ","$16,643.20 ","$7,842.43 ","$11,888.00 ","$7,999.28 ","$17,832.00 ","$10,604.10 ","$9,534.18 ","$10,604.10 ","$7,842.43 ","$10,604.10 ","$14,978.88 ","$14,978.88 ","$18,069.76 ","$23,776.00 ","$20,209.60 ","$19,606.07 ","$19,020.80 ","$8,797.12 ","$19,020.80 ","$7,842.43 ","$7,842.43 ","$23,776.00 ","$12,886.59 ","$7,842.43 ","$6,253.09 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$20,209.60 ","$17,645.46 ","$7,917.41 ","$6,657.28 ","$21,398.40 ","$17,118.72 ","$23,776.00 ","$14,978.88 ","$14,978.88 ","$14,978.88 ","$7,842.43 ","$11,412.48 ","$21,398.40 " ST. JOHN'S HOSPITAL,48100011,33217,HC INS ELECTRODE DUAL CHAMBER 33217,481,1 ,"$25,400.00 ","$16,510.00 ","$3,118.14 ","$25,400.00 ","$19,606.08 ","$5,000.00 ","$13,766.80 ","$7,842.43 ","$7,112.00 ","$7,188.20 ","$7,842.43 ","$8,229.60 ","$7,842.43 ","$8,458.20 ","$8,458.20 ","$7,842.43 ","$8,458.20 ","$14,900.61 ","$13,360.40 ","$12,700.00 ","$19,606.07 ","$7,842.43 ","$17,780.00 ","$7,842.43 ","$12,700.00 ","$7,999.28 ","$19,050.00 ","$11,328.40 ","$10,185.40 ","$11,328.40 ","$7,842.43 ","$11,328.40 ","$16,002.00 ","$16,002.00 ","$19,304.00 ","$25,400.00 ","$21,590.00 ","$19,606.07 ","$20,320.00 ","$9,398.00 ","$20,320.00 ","$7,842.43 ","$7,842.43 ","$25,400.00 ","$13,766.80 ","$7,842.43 ","$6,680.20 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$21,590.00 ","$17,645.46 ","$8,458.20 ","$7,112.00 ","$22,860.00 ","$18,288.00 ","$25,400.00 ","$16,002.00 ","$16,002.00 ","$16,002.00 ","$7,842.43 ","$12,192.00 ","$22,860.00 " ST. JOHN'S HOSPITAL,48100012,33222,HC REVISE PACEMAKER POCKET 33222,481,1 ,"$17,272.00 ","$11,226.80 ","$1,646.40 ","$17,272.00 ","$4,116.00 ","$3,400.00 ","$9,361.42 ","$1,646.40 ","$4,836.16 ","$5,527.04 ","$1,646.40 ","$6,356.10 ","$1,646.40 ","$5,751.58 ","$5,751.58 ","$1,646.40 ","$5,751.58 ","$3,128.17 ","$9,085.07 ","$8,636.00 ","$4,116.01 ","$1,646.40 ","$12,090.40 ","$1,646.40 ","$8,636.00 ","$1,679.33 ","$12,954.00 ","$7,703.31 ","$6,926.07 ","$7,703.31 ","$1,646.40 ","$7,703.31 ","$10,881.36 ","$10,881.36 ","$13,126.72 ","$17,272.00 ","$14,681.20 ","$4,116.01 ","$13,817.60 ","$6,390.64 ","$13,817.60 ","$1,646.40 ","$1,646.40 ","$17,272.00 ","$9,361.42 ","$1,646.40 ","$4,542.54 ", N/A , N/A ,"$1,837.45 ","$1,753.93 ","$1,728.72 ","$14,681.20 ","$3,704.41 ","$5,751.58 ","$4,836.16 ","$15,544.80 ","$12,435.84 ","$17,272.00 ","$10,881.36 ","$10,881.36 ","$10,881.36 ","$1,646.40 ","$8,290.56 ","$15,544.80 " ST. JOHN'S HOSPITAL,48100013,33223,HC REVISE C-D POCKET 33223,481,1 ,"$22,988.00 ","$14,942.20 ","$1,646.40 ","$22,988.00 ","$4,116.00 ","$3,400.00 ","$12,459.50 ","$1,646.40 ","$6,436.64 ","$6,505.60 ","$1,646.40 ","$7,448.11 ","$1,646.40 ","$7,655.00 ","$7,655.00 ","$1,646.40 ","$7,655.00 ","$3,128.17 ","$12,091.69 ","$11,494.00 ","$4,116.01 ","$1,646.40 ","$16,091.60 ","$1,646.40 ","$11,494.00 ","$1,679.33 ","$17,241.00 ","$10,252.65 ","$9,218.19 ","$10,252.65 ","$1,646.40 ","$10,252.65 ","$14,482.44 ","$14,482.44 ","$17,470.88 ","$22,988.00 ","$19,539.80 ","$4,116.01 ","$18,390.40 ","$8,505.56 ","$18,390.40 ","$1,646.40 ","$1,646.40 ","$22,988.00 ","$12,459.50 ","$1,646.40 ","$6,045.84 ", N/A , N/A ,"$1,837.45 ","$1,753.93 ","$1,728.72 ","$19,539.80 ","$3,704.41 ","$7,655.00 ","$6,436.64 ","$20,689.20 ","$16,551.36 ","$22,988.00 ","$14,482.44 ","$14,482.44 ","$14,482.44 ","$1,646.40 ","$11,034.24 ","$20,689.20 " ST. JOHN'S HOSPITAL,48100014,33224,HC INSERT LV PACING ELECTRODE 33224,481,1 ,"$16,687.00 ","$10,846.55 ","$4,200.00 ","$24,987.26 ","$24,987.25 ","$4,200.00 ","$9,044.35 ","$9,994.90 ","$4,672.36 ","$5,339.84 ","$9,994.90 ","$6,140.82 ","$9,994.90 ","$5,556.77 ","$5,556.77 ","$9,994.90 ","$5,556.77 ","$16,687.00 ","$8,777.36 ","$8,343.50 ","$24,987.26 ","$9,994.90 ","$11,680.90 ","$9,994.90 ","$8,343.50 ","$10,194.80 ","$12,515.25 ","$7,442.40 ","$6,691.49 ","$7,442.40 ","$9,994.90 ","$7,442.40 ","$10,512.81 ","$10,512.81 ","$12,682.12 ","$16,687.00 ","$14,183.95 ","$16,687.00 ","$13,349.60 ","$6,174.19 ","$13,349.60 ","$9,994.90 ","$9,994.90 ","$16,687.00 ","$9,044.35 ","$9,994.90 ","$4,388.68 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,494.65 ","$14,183.95 ","$22,488.53 ","$5,556.77 ","$4,672.36 ","$15,018.30 ","$12,014.64 ","$16,687.00 ","$10,512.81 ","$10,512.81 ","$10,512.81 ","$9,994.90 ","$8,009.76 ","$15,018.30 " ST. JOHN'S HOSPITAL,48100015,33225,HC INS LV PACING ELCT W/C-D/PACE 33225,481,1 ,"$15,905.00 ","$10,338.25 ","$4,183.02 ","$15,905.00 ", N/A ,"$5,000.00 ","$8,620.51 ", N/A ,"$4,453.40 ","$5,089.60 ", N/A ,"$5,853.04 ", N/A ,"$5,296.37 ","$5,296.37 ", N/A ,"$5,296.37 ", N/A ,"$8,366.03 ","$7,952.50 ", N/A , N/A ,"$11,133.50 ", N/A ,"$7,952.50 ", N/A ,"$11,928.75 ","$7,093.63 ","$6,377.91 ","$7,093.63 ", N/A ,"$7,093.63 ","$10,020.15 ","$10,020.15 ","$12,087.80 ","$15,905.00 ","$13,519.25 ", N/A ,"$12,724.00 ","$5,884.85 ","$12,724.00 ", N/A , N/A ,"$15,905.00 ","$8,620.51 ", N/A ,"$4,183.02 ", N/A , N/A , N/A , N/A , N/A ,"$13,519.25 ", N/A ,"$5,296.37 ","$4,453.40 ","$14,314.50 ","$11,451.60 ","$15,905.00 ","$10,020.15 ","$10,020.15 ","$10,020.15 ", N/A ,"$7,634.40 ","$14,314.50 " ST. JOHN'S HOSPITAL,48100016,33226,HC REPOSITION LV ELECTRODE 33226,481,1 ,"$17,185.00 ","$11,170.25 ","$2,751.72 ","$17,185.00 ","$6,879.30 ","$4,200.00 ","$9,314.27 ","$2,751.72 ","$4,811.80 ","$5,499.20 ","$2,751.72 ","$6,324.08 ","$2,751.72 ","$5,722.61 ","$5,722.61 ","$2,751.72 ","$5,722.61 ","$5,228.27 ","$9,039.31 ","$8,592.50 ","$6,879.30 ","$2,751.72 ","$12,029.50 ","$2,751.72 ","$8,592.50 ","$2,806.76 ","$12,888.75 ","$7,664.51 ","$6,891.19 ","$7,664.51 ","$2,751.72 ","$7,664.51 ","$10,826.55 ","$10,826.55 ","$13,060.60 ","$17,185.00 ","$14,607.25 ","$6,879.30 ","$13,748.00 ","$6,358.45 ","$13,748.00 ","$2,751.72 ","$2,751.72 ","$17,185.00 ","$9,314.27 ","$2,751.72 ","$4,519.66 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$2,889.31 ","$14,607.25 ","$6,191.37 ","$5,722.61 ","$4,811.80 ","$15,466.50 ","$12,373.20 ","$17,185.00 ","$10,826.55 ","$10,826.55 ","$10,826.55 ","$2,751.72 ","$8,248.80 ","$15,466.50 " ST. JOHN'S HOSPITAL,48100017,33233,HC REMOVE PPM 33233,481,1 ,"$22,588.00 ","$14,682.20 ","$3,400.00 ","$22,588.00 ","$19,606.08 ","$3,400.00 ","$12,242.70 ","$7,842.43 ","$6,324.64 ","$6,392.40 ","$7,842.43 ","$7,318.51 ","$7,842.43 ","$7,521.80 ","$7,521.80 ","$7,842.43 ","$7,521.80 ","$14,900.61 ","$11,881.29 ","$11,294.00 ","$19,606.07 ","$7,842.43 ","$15,811.60 ","$7,842.43 ","$11,294.00 ","$7,999.28 ","$16,941.00 ","$10,074.25 ","$9,057.79 ","$10,074.25 ","$7,842.43 ","$10,074.25 ","$14,230.44 ","$14,230.44 ","$17,166.88 ","$22,588.00 ","$19,199.80 ","$19,606.07 ","$18,070.40 ","$8,357.56 ","$18,070.40 ","$7,842.43 ","$7,842.43 ","$22,588.00 ","$12,242.70 ","$7,842.43 ","$5,940.64 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$8,234.55 ","$19,199.80 ","$17,645.46 ","$7,521.80 ","$6,324.64 ","$20,329.20 ","$16,263.36 ","$22,588.00 ","$14,230.44 ","$14,230.44 ","$14,230.44 ","$7,842.43 ","$10,842.24 ","$20,329.20 " ST. JOHN'S HOSPITAL,48100018,33234,HC REMOVE ELECTRODE SGL 33234,481,1 ,"$19,918.00 ","$12,946.70 ","$3,310.03 ","$19,918.00 ","$8,275.08 ","$5,000.00 ","$10,795.56 ","$3,310.03 ","$5,577.04 ","$5,636.79 ","$3,310.03 ","$6,453.43 ","$3,310.03 ","$6,632.69 ","$6,632.69 ","$3,310.03 ","$6,632.69 ","$6,289.06 ","$10,476.87 ","$9,959.00 ","$8,275.08 ","$3,310.03 ","$13,942.60 ","$3,310.03 ","$9,959.00 ","$3,376.23 ","$14,938.50 ","$8,883.43 ","$7,987.12 ","$8,883.43 ","$3,310.03 ","$8,883.43 ","$12,548.34 ","$12,548.34 ","$15,137.68 ","$19,918.00 ","$16,930.30 ","$8,275.08 ","$15,934.40 ","$7,369.66 ","$15,934.40 ","$3,310.03 ","$3,310.03 ","$19,918.00 ","$10,795.56 ","$3,310.03 ","$5,238.43 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$16,930.30 ","$7,447.57 ","$6,632.69 ","$5,577.04 ","$17,926.20 ","$14,340.96 ","$19,918.00 ","$12,548.34 ","$12,548.34 ","$12,548.34 ","$3,310.03 ","$9,560.64 ","$17,926.20 " ST. JOHN'S HOSPITAL,48100019,33235,HC REMOVE ELECTRODE DUAL 33235,481,1 ,"$18,420.00 ","$11,973.00 ","$3,310.03 ","$18,420.00 ","$8,275.08 ","$5,000.00 ","$9,983.64 ","$3,310.03 ","$5,157.60 ","$5,680.82 ","$3,310.03 ","$6,529.53 ","$3,310.03 ","$6,133.86 ","$6,133.86 ","$3,310.03 ","$6,133.86 ","$6,289.06 ","$9,688.92 ","$9,210.00 ","$8,275.08 ","$3,310.03 ","$12,894.00 ","$3,310.03 ","$9,210.00 ","$3,376.23 ","$13,815.00 ","$8,215.32 ","$7,386.42 ","$8,215.32 ","$3,310.03 ","$8,215.32 ","$11,604.60 ","$11,604.60 ","$13,999.20 ","$18,420.00 ","$15,657.00 ","$8,275.08 ","$14,736.00 ","$6,815.40 ","$14,736.00 ","$3,310.03 ","$3,310.03 ","$18,420.00 ","$9,983.64 ","$3,310.03 ","$4,844.46 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$15,657.00 ","$7,447.57 ","$6,133.86 ","$5,157.60 ","$16,578.00 ","$13,262.40 ","$18,420.00 ","$11,604.60 ","$11,604.60 ","$11,604.60 ","$3,310.03 ","$8,841.60 ","$16,578.00 " ST. JOHN'S HOSPITAL,48100022,33241,HC REMOVE C-D PULSE GENERATOR 33241,481,1 ,"$25,710.00 ","$16,711.50 ","$3,310.03 ","$25,710.00 ","$8,275.08 ","$5,000.00 ","$13,934.82 ","$3,310.03 ","$7,198.80 ","$7,275.93 ","$3,310.03 ","$8,330.04 ","$3,310.03 ","$8,561.43 ","$8,561.43 ","$3,310.03 ","$8,561.43 ","$6,289.06 ","$13,523.46 ","$12,855.00 ","$8,275.08 ","$3,310.03 ","$17,997.00 ","$3,310.03 ","$12,855.00 ","$3,376.23 ","$19,282.50 ","$11,466.66 ","$10,309.71 ","$11,466.66 ","$3,310.03 ","$11,466.66 ","$16,197.30 ","$16,197.30 ","$19,539.60 ","$25,710.00 ","$21,853.50 ","$8,275.08 ","$20,568.00 ","$9,512.70 ","$20,568.00 ","$3,310.03 ","$3,310.03 ","$25,710.00 ","$13,934.82 ","$3,310.03 ","$6,761.73 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$21,853.50 ","$7,447.57 ","$8,561.43 ","$7,198.80 ","$23,139.00 ","$18,511.20 ","$25,710.00 ","$16,197.30 ","$16,197.30 ","$16,197.30 ","$3,310.03 ","$12,340.80 ","$23,139.00 " ST. JOHN'S HOSPITAL,48100023,33244,HC REMOVE C-D ELECTRODES 33244,481,1 ,"$26,547.00 ","$17,255.55 ","$3,310.03 ","$26,547.00 ","$8,275.08 ","$5,000.00 ","$14,388.47 ","$3,310.03 ","$7,433.16 ","$7,512.80 ","$3,310.03 ","$8,601.23 ","$3,310.03 ","$8,840.15 ","$8,840.15 ","$3,310.03 ","$8,840.15 ","$6,289.06 ","$13,963.72 ","$13,273.50 ","$8,275.08 ","$3,310.03 ","$18,582.90 ","$3,310.03 ","$13,273.50 ","$3,376.23 ","$19,910.25 ","$11,839.96 ","$10,645.35 ","$11,839.96 ","$3,310.03 ","$11,839.96 ","$16,724.61 ","$16,724.61 ","$20,175.72 ","$26,547.00 ","$22,564.95 ","$8,275.08 ","$21,237.60 ","$9,822.39 ","$21,237.60 ","$3,310.03 ","$3,310.03 ","$26,547.00 ","$14,388.47 ","$3,310.03 ","$6,981.86 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$22,564.95 ","$7,447.57 ","$8,840.15 ","$7,433.16 ","$23,892.30 ","$19,113.84 ","$26,547.00 ","$16,724.61 ","$16,724.61 ","$16,724.61 ","$3,310.03 ","$12,742.56 ","$23,892.30 " ST. JOHN'S HOSPITAL,48100024,33249,HC INS/REPOS DEFIB LEAD/GEN 33249,481,1 ,"$33,372.00 ","$21,691.80 ","$8,776.84 ","$78,936.16 ","$78,936.15 ","$12,000.00 ","$18,087.62 ","$31,574.46 ","$9,344.16 ","$9,444.28 ","$31,574.46 ","$10,812.53 ","$31,574.46 ","$11,112.88 ","$11,112.88 ","$31,574.46 ","$11,112.88 ","$33,372.00 ","$17,553.67 ","$16,686.00 ","$78,936.16 ","$31,574.46 ","$23,360.40 ","$31,574.46 ","$16,686.00 ","$32,205.95 ","$25,029.00 ","$14,883.91 ","$13,382.17 ","$14,883.91 ","$31,574.46 ","$14,883.91 ","$21,024.36 ","$21,024.36 ","$25,362.72 ","$33,372.00 ","$28,366.20 ","$33,372.00 ","$26,697.60 ","$12,347.64 ","$26,697.60 ","$31,574.46 ","$31,574.46 ","$33,372.00 ","$18,087.62 ","$31,574.46 ","$8,776.84 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$33,153.18 ","$28,366.20 ","$71,042.55 ","$11,112.88 ","$9,344.16 ","$30,034.80 ","$24,027.84 ","$33,372.00 ","$21,024.36 ","$21,024.36 ","$21,024.36 ","$31,574.46 ","$16,018.56 ","$30,034.80 " ST. JOHN'S HOSPITAL,48100028,33285,HC IMPLANT CARDIAC EVENT RECORDER,481,1 ,"$22,588.00 ","$14,682.20 ","$2,300.00 ","$22,588.00 ","$19,606.08 ","$2,300.00 ","$12,242.70 ","$7,842.43 ","$6,324.64 ","$6,392.40 ","$7,842.43 ","$7,318.51 ","$7,842.43 ","$7,521.80 ","$7,521.80 ","$7,842.43 ","$7,521.80 ","$14,900.61 ","$11,881.29 ","$11,294.00 ","$19,606.07 ","$7,842.43 ","$15,811.60 ","$7,842.43 ","$11,294.00 ","$7,999.28 ","$16,941.00 ","$10,074.25 ","$9,057.79 ","$10,074.25 ","$7,842.43 ","$10,074.25 ","$14,230.44 ","$14,230.44 ","$17,166.88 ","$22,588.00 ","$19,199.80 ","$19,606.07 ","$18,070.40 ","$8,357.56 ","$18,070.40 ","$7,842.43 ","$7,842.43 ","$22,588.00 ","$12,242.70 ","$7,842.43 ","$5,940.64 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$8,234.55 ","$19,199.80 ","$17,645.46 ","$7,521.80 ","$6,324.64 ","$20,329.20 ","$16,263.36 ","$22,588.00 ","$14,230.44 ","$14,230.44 ","$14,230.44 ","$7,842.43 ","$10,842.24 ","$20,329.20 " ST. JOHN'S HOSPITAL,48100029,33286,HC REMOVE CARDIAC EVENT RECORDER,481,1 ,"$22,588.00 ","$14,682.20 ",$598.17 ,"$22,588.00 ","$1,495.43 ","$2,300.00 ","$12,242.70 ",$598.17 ,"$6,324.64 ","$6,392.40 ",$598.17 ,"$7,318.51 ",$598.17 ,"$7,521.80 ","$7,521.80 ",$598.17 ,"$7,521.80 ","$1,136.52 ","$11,881.29 ","$11,294.00 ","$1,495.43 ",$598.17 ,"$15,811.60 ",$598.17 ,"$11,294.00 ",$610.13 ,"$16,941.00 ","$10,074.25 ","$9,057.79 ","$10,074.25 ",$598.17 ,"$10,074.25 ","$14,230.44 ","$14,230.44 ","$17,166.88 ","$22,588.00 ","$19,199.80 ","$1,495.43 ","$18,070.40 ","$8,357.56 ","$18,070.40 ",$598.17 ,$598.17 ,"$22,588.00 ","$12,242.70 ",$598.17 ,"$5,940.64 ", N/A , N/A ,$675.59 ,$644.88 ,$628.08 ,"$19,199.80 ","$1,345.88 ","$7,521.80 ","$6,324.64 ","$20,329.20 ","$16,263.36 ","$22,588.00 ","$14,230.44 ","$14,230.44 ","$14,230.44 ",$598.17 ,"$10,842.24 ","$20,329.20 " ST. JOHN'S HOSPITAL,48100030,33967,HC IABP INSERTION 33967,481,1 ,"$14,328.00 ","$9,313.20 ","$3,768.26 ","$14,328.00 ", N/A ,"$7,500.00 ","$7,765.78 ", N/A ,"$4,011.84 ","$4,584.96 ", N/A ,"$5,272.70 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,536.53 ","$7,164.00 ", N/A , N/A ,"$10,029.60 ", N/A ,"$7,164.00 ", N/A ,"$10,746.00 ","$6,390.29 ","$5,745.53 ","$6,390.29 ", N/A ,"$6,390.29 ","$9,026.64 ","$9,026.64 ","$10,889.28 ","$14,328.00 ","$12,178.80 ", N/A ,"$11,462.40 ","$5,301.36 ","$11,462.40 ", N/A , N/A ,"$14,328.00 ","$7,765.78 ", N/A ,"$3,768.26 ", N/A , N/A , N/A , N/A , N/A ,"$12,178.80 ", N/A ,"$5,000.00 ","$4,011.84 ","$12,895.20 ","$10,316.16 ","$14,328.00 ","$9,026.64 ","$9,026.64 ","$9,026.64 ", N/A ,"$6,877.44 ","$12,895.20 " ST. JOHN'S HOSPITAL,48100032,33968,HC REMV BALLN INTRA-AORTIC PERC,481,1 ,"$8,970.00 ","$5,830.50 ","$2,300.00 ","$8,970.00 ", N/A ,"$2,300.00 ","$4,861.74 ", N/A ,"$2,511.60 ","$2,870.40 ", N/A ,"$3,300.96 ", N/A ,"$3,426.54 ","$3,426.54 ", N/A ,"$3,426.54 ", N/A ,"$4,718.22 ","$8,520.00 ", N/A , N/A ,"$6,279.00 ", N/A ,"$4,485.00 ", N/A ,"$6,727.50 ","$4,000.62 ","$3,596.97 ","$4,000.62 ", N/A ,"$4,000.62 ","$5,651.10 ","$5,651.10 ","$6,817.20 ","$8,970.00 ","$7,624.50 ", N/A ,"$7,176.00 ","$3,318.90 ","$7,176.00 ", N/A , N/A ,"$8,970.00 ","$4,861.74 ", N/A ,"$2,359.11 ", N/A , N/A , N/A , N/A , N/A ,"$7,624.50 ", N/A ,"$3,426.54 ","$2,511.60 ","$8,073.00 ","$6,458.40 ","$8,970.00 ","$5,651.10 ","$5,651.10 ","$5,651.10 ", N/A ,"$4,305.60 ","$8,073.00 " ST. JOHN'S HOSPITAL,48100033,33971,HC REMOVAL IABP VIA CUT DOWN,481,1 ,"$26,365.00 ","$17,137.25 ","$6,934.00 ","$26,365.00 ", N/A ,"$7,500.00 ","$14,289.83 ", N/A ,"$7,382.20 ","$7,461.30 ", N/A ,"$8,542.26 ", N/A ,"$8,779.55 ","$8,779.55 ", N/A ,"$8,779.55 ", N/A ,"$13,867.99 ","$13,182.50 ", N/A , N/A ,"$18,455.50 ", N/A ,"$13,182.50 ", N/A ,"$19,773.75 ","$11,758.79 ","$10,572.37 ","$11,758.79 ", N/A ,"$11,758.79 ","$16,609.95 ","$16,609.95 ","$20,037.40 ","$26,365.00 ","$22,410.25 ", N/A ,"$21,092.00 ","$9,755.05 ","$21,092.00 ", N/A , N/A ,"$26,365.00 ","$14,289.83 ", N/A ,"$6,934.00 ", N/A , N/A , N/A , N/A , N/A ,"$22,410.25 ", N/A ,"$8,779.55 ","$7,382.20 ","$23,728.50 ","$18,982.80 ","$26,365.00 ","$16,609.95 ","$16,609.95 ","$16,609.95 ", N/A ,"$12,655.20 ","$23,728.50 " ST. JOHN'S HOSPITAL,48100034,35226,HC REPAIR BLOOD VESSEL,481,1 ,"$4,543.00 ","$2,952.95 ",$495.83 ,"$4,543.00 ","$1,495.43 ","$4,543.00 ","$2,462.31 ",$598.17 ,"$1,272.04 ","$1,453.76 ",$598.17 ,"$1,671.82 ",$598.17 ,"$1,735.43 ","$1,735.43 ",$598.17 ,"$1,735.43 ","$1,136.52 ","$2,389.62 ","$4,543.00 ","$1,495.43 ",$598.17 ,"$3,180.10 ",$598.17 ,"$2,271.50 ",$610.13 ,"$3,407.25 ","$2,026.18 ","$1,821.74 ","$2,026.18 ",$598.17 ,"$2,026.18 ","$2,862.09 ","$2,862.09 ","$3,452.68 ","$4,543.00 ","$3,861.55 ","$1,495.43 ","$3,634.40 ","$1,680.91 ","$3,634.40 ",$598.17 ,$598.17 ,"$4,543.00 ","$2,462.31 ",$598.17 ,"$1,194.81 ", N/A , N/A ,$519.44 ,$495.83 ,$628.08 ,"$3,861.55 ","$1,345.88 ","$1,735.43 ","$1,272.04 ","$4,088.70 ","$3,270.96 ","$4,543.00 ","$2,862.09 ","$2,862.09 ","$2,862.09 ",$598.17 ,"$2,180.64 ","$4,088.70 " ST. JOHN'S HOSPITAL,48100039,36010,HC INTRO CATH VENA CAVA SUP/IN,481,1 ,"$1,828.00 ","$1,188.20 ",$480.76 ,"$2,677.70 ", N/A ,"$1,828.00 ",$990.78 , N/A ,$511.84 ,$584.96 , N/A ,$672.70 , N/A ,$698.30 ,$698.30 , N/A ,$698.30 , N/A ,$961.53 ,"$1,828.00 ", N/A , N/A ,"$1,279.60 ", N/A ,$914.00 , N/A ,"$1,371.00 ",$815.29 ,$733.03 ,$815.29 , N/A ,$815.29 ,"$1,151.64 ","$1,151.64 ","$1,389.28 ","$1,828.00 ","$1,553.80 ", N/A ,"$1,462.40 ",$676.36 ,"$1,462.40 ", N/A , N/A ,"$1,828.00 ",$990.78 , N/A ,$480.76 , N/A , N/A ,"$1,828.00 ","$2,677.70 ", N/A ,"$1,553.80 ", N/A ,$698.30 ,$511.84 ,"$1,645.20 ","$1,316.16 ","$1,828.00 ","$1,151.64 ","$1,151.64 ","$1,151.64 ", N/A ,$877.44 ,"$1,645.20 " ST. JOHN'S HOSPITAL,48100040,36011,"HC CATH PLCMT VENOUS, 1ST ORDER",481,1 ,"$2,769.00 ","$1,799.85 ",$728.25 ,"$2,769.00 ", N/A ,"$2,300.00 ","$1,500.80 ", N/A ,$775.32 ,$886.08 , N/A ,"$1,018.99 ", N/A ,"$1,057.76 ","$1,057.76 ", N/A ,"$1,057.76 ", N/A ,"$1,456.49 ","$2,769.00 ", N/A , N/A ,"$1,938.30 ", N/A ,"$1,384.50 ", N/A ,"$2,076.75 ","$1,234.97 ","$1,110.37 ","$1,234.97 ", N/A ,"$1,234.97 ","$1,744.47 ","$1,744.47 ","$2,104.44 ","$2,769.00 ","$2,353.65 ", N/A ,"$2,215.20 ","$1,024.53 ","$2,215.20 ", N/A , N/A ,"$2,769.00 ","$1,500.80 ", N/A ,$728.25 , N/A , N/A ,"$2,769.00 ","$2,677.70 ", N/A ,"$2,353.65 ", N/A ,"$1,057.76 ",$775.32 ,"$2,492.10 ","$1,993.68 ","$2,769.00 ","$1,744.47 ","$1,744.47 ","$1,744.47 ", N/A ,"$1,329.12 ","$2,492.10 " ST. JOHN'S HOSPITAL,48100041,36012,"HC CATH PLCMT VENOUS, 2ND ORDER",481,1 ,"$1,712.00 ","$1,112.80 ",$450.26 ,"$2,677.70 ", N/A ,"$1,712.00 ",$927.90 , N/A ,$479.36 ,$547.84 , N/A ,$630.02 , N/A ,$653.98 ,$653.98 , N/A ,$653.98 , N/A ,$900.51 ,"$1,712.00 ", N/A , N/A ,"$1,198.40 ", N/A ,$856.00 , N/A ,"$1,284.00 ",$763.55 ,$686.51 ,$763.55 , N/A ,$763.55 ,"$1,078.56 ","$1,078.56 ","$1,301.12 ","$1,712.00 ","$1,455.20 ", N/A ,"$1,369.60 ",$633.44 ,"$1,369.60 ", N/A , N/A ,"$1,712.00 ",$927.90 , N/A ,$450.26 , N/A , N/A ,"$1,712.00 ","$2,677.70 ", N/A ,"$1,455.20 ", N/A ,$653.98 ,$479.36 ,"$1,540.80 ","$1,232.64 ","$1,712.00 ","$1,078.56 ","$1,078.56 ","$1,078.56 ", N/A ,$821.76 ,"$1,540.80 " ST. JOHN'S HOSPITAL,48100042,36013,HC INTRO CATH ARTERY HEART/PULM,481,1 ,$477.00 ,$310.05 ,$125.45 ,"$2,677.70 ", N/A ,$477.00 ,$258.53 , N/A ,$133.56 ,$152.64 , N/A ,$175.54 , N/A ,$182.21 ,$182.21 , N/A ,$182.21 , N/A ,$250.90 ,$477.00 , N/A , N/A ,$333.90 , N/A ,$238.50 , N/A ,$357.75 ,$212.74 ,$191.28 ,$212.74 , N/A ,$212.74 ,$300.51 ,$300.51 ,$362.52 ,$477.00 ,$405.45 , N/A ,$381.60 ,$176.49 ,$381.60 , N/A , N/A ,$477.00 ,$258.53 , N/A ,$125.45 , N/A , N/A ,$477.00 ,"$2,677.70 ", N/A ,$405.45 , N/A ,$182.21 ,$133.56 ,$429.30 ,$343.44 ,$477.00 ,$300.51 ,$300.51 ,$300.51 , N/A ,$228.96 ,$429.30 ST. JOHN'S HOSPITAL,48100047,36140,HC INTRO NDL/CATH ARTERY EXTREM 36140,481,1 ,"$3,794.00 ","$2,466.10 ",$997.82 ,"$3,794.00 ", N/A ,"$2,300.00 ","$2,056.35 ", N/A ,"$1,062.32 ","$1,214.08 ", N/A ,"$1,396.19 ", N/A ,"$1,449.31 ","$1,449.31 ", N/A ,"$1,449.31 ", N/A ,"$1,995.64 ","$3,794.00 ", N/A , N/A ,"$2,655.80 ", N/A ,"$1,897.00 ", N/A ,"$2,845.50 ","$1,692.12 ","$1,521.39 ","$1,692.12 ", N/A ,"$1,692.12 ","$2,390.22 ","$2,390.22 ","$2,883.44 ","$3,794.00 ","$3,224.90 ", N/A ,"$3,035.20 ","$1,403.78 ","$3,035.20 ", N/A , N/A ,"$3,794.00 ","$2,056.35 ", N/A ,$997.82 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$3,224.90 ", N/A ,"$1,449.31 ","$1,062.32 ","$3,414.60 ","$2,731.68 ","$3,794.00 ","$2,390.22 ","$2,390.22 ","$2,390.22 ", N/A ,"$1,821.12 ","$3,414.60 " ST. JOHN'S HOSPITAL,48100050,36160,HC INTRO AORTIC TRANSLUMBR,481,1 ,"$6,336.00 ","$4,118.40 ","$1,666.37 ","$6,336.00 ", N/A ,"$3,400.00 ","$3,434.11 ", N/A ,"$1,774.08 ","$2,027.52 ", N/A ,"$2,331.65 ", N/A ,"$2,420.35 ","$2,420.35 ", N/A ,"$2,420.35 ", N/A ,"$3,332.74 ","$6,336.00 ", N/A , N/A ,"$4,435.20 ", N/A ,"$3,168.00 ", N/A ,"$4,752.00 ","$2,825.86 ","$2,540.74 ","$2,825.86 ", N/A ,"$2,825.86 ","$3,991.68 ","$3,991.68 ","$4,815.36 ","$6,336.00 ","$5,385.60 ", N/A ,"$5,068.80 ","$2,344.32 ","$5,068.80 ", N/A , N/A ,"$6,336.00 ","$3,434.11 ", N/A ,"$1,666.37 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$5,385.60 ", N/A ,"$2,420.35 ","$1,774.08 ","$5,702.40 ","$4,561.92 ","$6,336.00 ","$3,991.68 ","$3,991.68 ","$3,991.68 ", N/A ,"$3,041.28 ","$5,702.40 " ST. JOHN'S HOSPITAL,48100051,36200,HC INTRO CATH AORTA 36200,481,1 ,"$1,368.00 ",$889.20 ,$359.78 ,"$2,677.70 ", N/A ,"$1,368.00 ",$741.46 , N/A ,$383.04 ,$437.76 , N/A ,$503.42 , N/A ,$522.58 ,$522.58 , N/A ,$522.58 , N/A ,$719.57 ,"$1,368.00 ", N/A , N/A ,$957.60 , N/A ,$684.00 , N/A ,"$1,026.00 ",$610.13 ,$548.57 ,$610.13 , N/A ,$610.13 ,$861.84 ,$861.84 ,"$1,039.68 ","$1,368.00 ","$1,162.80 ", N/A ,"$1,094.40 ",$506.16 ,"$1,094.40 ", N/A , N/A ,"$1,368.00 ",$741.46 , N/A ,$359.78 , N/A , N/A ,"$1,368.00 ","$2,677.70 ", N/A ,"$1,162.80 ", N/A ,$522.58 ,$383.04 ,"$1,231.20 ",$984.96 ,"$1,368.00 ",$861.84 ,$861.84 ,$861.84 , N/A ,$656.64 ,"$1,231.20 " ST. JOHN'S HOSPITAL,48100052,36215,HC PLACE CATH THOR/BRAC 1ST ORDER 36215,481,1 ,"$1,976.00 ","$1,284.40 ",$519.69 ,"$2,677.70 ", N/A ,"$1,976.00 ","$1,070.99 ", N/A ,$553.28 ,$632.32 , N/A ,$727.17 , N/A ,$754.83 ,$754.83 , N/A ,$754.83 , N/A ,"$1,039.38 ","$1,976.00 ", N/A , N/A ,"$1,383.20 ", N/A ,$988.00 , N/A ,"$1,482.00 ",$881.30 ,$792.38 ,$881.30 , N/A ,$881.30 ,"$1,244.88 ","$1,244.88 ","$1,501.76 ","$1,976.00 ","$1,679.60 ", N/A ,"$1,580.80 ",$731.12 ,"$1,580.80 ", N/A , N/A ,"$1,976.00 ","$1,070.99 ", N/A ,$519.69 , N/A , N/A ,"$1,976.00 ","$2,677.70 ", N/A ,"$1,679.60 ", N/A ,$754.83 ,$553.28 ,"$1,778.40 ","$1,422.72 ","$1,976.00 ","$1,244.88 ","$1,244.88 ","$1,244.88 ", N/A ,$948.48 ,"$1,778.40 " ST. JOHN'S HOSPITAL,48100053,36216,HC PL CATH THOR/BRAC 2ND ORDER 36216,481,1 ,"$3,402.00 ","$2,211.30 ",$894.73 ,"$3,402.00 ", N/A ,"$3,400.00 ","$1,843.88 ", N/A ,$952.56 ,"$1,088.64 ", N/A ,"$1,251.94 ", N/A ,"$1,299.56 ","$1,299.56 ", N/A ,"$1,299.56 ", N/A ,"$1,789.45 ","$3,402.00 ", N/A , N/A ,"$2,381.40 ", N/A ,"$1,701.00 ", N/A ,"$2,551.50 ","$1,517.29 ","$1,364.20 ","$1,517.29 ", N/A ,"$1,517.29 ","$2,143.26 ","$2,143.26 ","$2,585.52 ","$3,402.00 ","$2,891.70 ", N/A ,"$2,721.60 ","$1,258.74 ","$2,721.60 ", N/A , N/A ,"$3,402.00 ","$1,843.88 ", N/A ,$894.73 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$2,891.70 ", N/A ,"$1,299.56 ",$952.56 ,"$3,061.80 ","$2,449.44 ","$3,402.00 ","$2,143.26 ","$2,143.26 ","$2,143.26 ", N/A ,"$1,632.96 ","$3,061.80 " ST. JOHN'S HOSPITAL,48100054,36217,HC PL CATH THOR/BRAC 3RD ORDER 36217,481,1 ,"$3,077.00 ","$2,000.05 ",$809.25 ,"$3,077.00 ", N/A ,"$3,077.00 ","$1,667.73 ", N/A ,$861.56 ,$984.64 , N/A ,"$1,132.34 ", N/A ,"$1,175.41 ","$1,175.41 ", N/A ,"$1,175.41 ", N/A ,"$1,618.50 ","$3,077.00 ", N/A , N/A ,"$2,153.90 ", N/A ,"$1,538.50 ", N/A ,"$2,307.75 ","$1,372.34 ","$1,233.88 ","$1,372.34 ", N/A ,"$1,372.34 ","$1,938.51 ","$1,938.51 ","$2,338.52 ","$3,077.00 ","$2,615.45 ", N/A ,"$2,461.60 ","$1,138.49 ","$2,461.60 ", N/A , N/A ,"$3,077.00 ","$1,667.73 ", N/A ,$809.25 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$2,615.45 ", N/A ,"$1,175.41 ",$861.56 ,"$2,769.30 ","$2,215.44 ","$3,077.00 ","$1,938.51 ","$1,938.51 ","$1,938.51 ", N/A ,"$1,476.96 ","$2,769.30 " ST. JOHN'S HOSPITAL,48100055,36218,HC PL CATH THOR/BRAC ADDL 36218,481,1 ,"$2,743.00 ","$1,782.95 ",$721.41 ,"$2,743.00 ", N/A ,"$2,743.00 ","$1,486.71 ", N/A ,$768.04 ,$877.76 , N/A ,"$1,009.42 ", N/A ,"$1,047.83 ","$1,047.83 ", N/A ,"$1,047.83 ", N/A ,"$1,442.82 ","$2,743.00 ", N/A , N/A ,"$1,920.10 ", N/A ,"$1,371.50 ", N/A ,"$2,057.25 ","$1,223.38 ","$1,099.94 ","$1,223.38 ", N/A ,"$1,223.38 ","$1,728.09 ","$1,728.09 ","$2,084.68 ","$2,743.00 ","$2,331.55 ", N/A ,"$2,194.40 ","$1,014.91 ","$2,194.40 ", N/A , N/A ,"$2,743.00 ","$1,486.71 ", N/A ,$721.41 , N/A , N/A ,"$2,743.00 ","$2,677.70 ", N/A ,"$2,331.55 ", N/A ,"$1,047.83 ",$768.04 ,"$2,468.70 ","$1,974.96 ","$2,743.00 ","$1,728.09 ","$1,728.09 ","$1,728.09 ", N/A ,"$1,316.64 ","$2,468.70 " ST. JOHN'S HOSPITAL,48100056,36245,HC ABD 1ST ORDER 36245,481,1 ,"$3,404.00 ","$2,212.60 ",$895.25 ,"$3,404.00 ", N/A ,"$3,400.00 ","$1,844.97 ", N/A ,$953.12 ,"$1,089.28 ", N/A ,"$1,252.67 ", N/A ,"$1,300.33 ","$1,300.33 ", N/A ,"$1,300.33 ", N/A ,"$1,790.50 ","$3,404.00 ", N/A , N/A ,"$2,382.80 ", N/A ,"$1,702.00 ", N/A ,"$2,553.00 ","$1,518.18 ","$1,365.00 ","$1,518.18 ", N/A ,"$1,518.18 ","$2,144.52 ","$2,144.52 ","$2,587.04 ","$3,404.00 ","$2,893.40 ", N/A ,"$2,723.20 ","$1,259.48 ","$2,723.20 ", N/A , N/A ,"$3,404.00 ","$1,844.97 ", N/A ,$895.25 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$2,893.40 ", N/A ,"$1,300.33 ",$953.12 ,"$3,063.60 ","$2,450.88 ","$3,404.00 ","$2,144.52 ","$2,144.52 ","$2,144.52 ", N/A ,"$1,633.92 ","$3,063.60 " ST. JOHN'S HOSPITAL,48100057,36246,HC ABD INITIAL 2ND ORDER 36246,481,1 ,"$3,402.00 ","$2,211.30 ",$894.73 ,"$3,402.00 ", N/A ,"$3,400.00 ","$1,843.88 ", N/A ,$952.56 ,"$1,088.64 ", N/A ,"$1,251.94 ", N/A ,"$1,299.56 ","$1,299.56 ", N/A ,"$1,299.56 ", N/A ,"$1,789.45 ","$3,402.00 ", N/A , N/A ,"$2,381.40 ", N/A ,"$1,701.00 ", N/A ,"$2,551.50 ","$1,517.29 ","$1,364.20 ","$1,517.29 ", N/A ,"$1,517.29 ","$2,143.26 ","$2,143.26 ","$2,585.52 ","$3,402.00 ","$2,891.70 ", N/A ,"$2,721.60 ","$1,258.74 ","$2,721.60 ", N/A , N/A ,"$3,402.00 ","$1,843.88 ", N/A ,$894.73 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$2,891.70 ", N/A ,"$1,299.56 ",$952.56 ,"$3,061.80 ","$2,449.44 ","$3,402.00 ","$2,143.26 ","$2,143.26 ","$2,143.26 ", N/A ,"$1,632.96 ","$3,061.80 " ST. JOHN'S HOSPITAL,48100058,36247,HC ABD INT 3RD/PLUS ORDER 36247,481,1 ,"$3,402.00 ","$2,211.30 ",$894.73 ,"$3,402.00 ", N/A ,"$3,400.00 ","$1,843.88 ", N/A ,$952.56 ,"$1,088.64 ", N/A ,"$1,251.94 ", N/A ,"$1,299.56 ","$1,299.56 ", N/A ,"$1,299.56 ", N/A ,"$1,789.45 ","$3,402.00 ", N/A , N/A ,"$2,381.40 ", N/A ,"$1,701.00 ", N/A ,"$2,551.50 ","$1,517.29 ","$1,364.20 ","$1,517.29 ", N/A ,"$1,517.29 ","$2,143.26 ","$2,143.26 ","$2,585.52 ","$3,402.00 ","$2,891.70 ", N/A ,"$2,721.60 ","$1,258.74 ","$2,721.60 ", N/A , N/A ,"$3,402.00 ","$1,843.88 ", N/A ,$894.73 , N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$2,891.70 ", N/A ,"$1,299.56 ",$952.56 ,"$3,061.80 ","$2,449.44 ","$3,402.00 ","$2,143.26 ","$2,143.26 ","$2,143.26 ", N/A ,"$1,632.96 ","$3,061.80 " ST. JOHN'S HOSPITAL,48100059,36248,HC ABD ADDL 2ND/PLUS ORDER 36248,481,1 ,"$3,870.00 ","$2,515.50 ","$1,017.81 ","$3,870.00 ", N/A ,"$3,400.00 ","$2,097.54 ", N/A ,"$1,083.60 ","$1,238.40 ", N/A ,"$1,424.16 ", N/A ,"$1,478.34 ","$1,478.34 ", N/A ,"$1,478.34 ", N/A ,"$2,035.62 ","$3,870.00 ", N/A , N/A ,"$2,709.00 ", N/A ,"$1,935.00 ", N/A ,"$2,902.50 ","$1,726.02 ","$1,551.87 ","$1,726.02 ", N/A ,"$1,726.02 ","$2,438.10 ","$2,438.10 ","$2,941.20 ","$3,870.00 ","$3,289.50 ", N/A ,"$3,096.00 ","$1,431.90 ","$3,096.00 ", N/A , N/A ,"$3,870.00 ","$2,097.54 ", N/A ,"$1,017.81 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$3,289.50 ", N/A ,"$1,478.34 ","$1,083.60 ","$3,483.00 ","$2,786.40 ","$3,870.00 ","$2,438.10 ","$2,438.10 ","$2,438.10 ", N/A ,"$1,857.60 ","$3,483.00 " ST. JOHN'S HOSPITAL,48100060,37184,HC PERIPH THROMBECK ONLY W/TPA 37184,481,1 ,"$19,196.00 ","$12,477.40 ","$3,118.14 ","$24,138.23 ","$24,138.23 ","$5,500.00 ","$10,404.23 ","$9,655.29 ","$5,374.88 ","$5,432.47 ","$9,655.29 ","$6,219.50 ","$9,655.29 ","$6,392.27 ","$6,392.27 ","$9,655.29 ","$6,392.27 ","$18,345.05 ","$10,097.10 ","$9,598.00 ","$24,138.23 ","$9,655.29 ","$13,437.20 ","$9,655.29 ","$9,598.00 ","$9,848.40 ","$14,397.00 ","$8,561.42 ","$7,697.60 ","$8,561.42 ","$9,655.29 ","$8,561.42 ","$12,093.48 ","$12,093.48 ","$14,588.96 ","$19,196.00 ","$16,316.60 ","$19,196.00 ","$15,356.80 ","$7,102.52 ","$15,356.80 ","$9,655.29 ","$9,655.29 ","$19,196.00 ","$10,404.23 ","$9,655.29 ","$5,048.55 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$10,138.05 ","$16,316.60 ","$21,724.40 ","$6,392.27 ","$5,374.88 ","$17,276.40 ","$13,821.12 ","$19,196.00 ","$12,093.48 ","$12,093.48 ","$12,093.48 ","$9,655.29 ","$9,214.08 ","$17,276.40 " ST. JOHN'S HOSPITAL,48100061,37185,HC PRIM PERC THROMB EA ADDL 37185,481,1 ,"$8,493.00 ","$5,520.45 ","$2,233.66 ","$8,493.00 ", N/A ,"$3,400.00 ","$4,603.21 ", N/A ,"$2,378.04 ","$2,717.76 ", N/A ,"$3,125.42 ", N/A ,"$3,244.33 ","$3,244.33 ", N/A ,"$3,244.33 ", N/A ,"$4,467.32 ","$8,493.00 ", N/A , N/A ,"$5,945.10 ", N/A ,"$4,246.50 ", N/A ,"$6,369.75 ","$3,787.88 ","$3,405.69 ","$3,787.88 ", N/A ,"$3,787.88 ","$5,350.59 ","$5,350.59 ","$6,454.68 ","$8,493.00 ","$7,219.05 ", N/A ,"$6,794.40 ","$3,142.41 ","$6,794.40 ", N/A , N/A ,"$8,493.00 ","$4,603.21 ", N/A ,"$2,233.66 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ", N/A ,"$7,219.05 ", N/A ,"$3,244.33 ","$2,378.04 ","$7,643.70 ","$6,114.96 ","$8,493.00 ","$5,350.59 ","$5,350.59 ","$5,350.59 ", N/A ,"$4,076.64 ","$7,643.70 " ST. JOHN'S HOSPITAL,48100062,37186,HC SEC PERC THROMB EA VESSEL ADDL 37186,481,1 ,"$9,597.00 ","$6,238.05 ","$2,300.00 ","$9,597.00 ", N/A ,"$2,300.00 ","$5,201.57 ", N/A ,"$2,687.16 ","$3,071.04 ", N/A ,"$3,531.70 ", N/A ,"$3,666.05 ","$3,666.05 ", N/A ,"$3,666.05 ", N/A ,"$5,048.02 ","$8,520.00 ", N/A , N/A ,"$6,717.90 ", N/A ,"$4,798.50 ", N/A ,"$7,197.75 ","$4,280.26 ","$3,848.40 ","$4,280.26 ", N/A ,"$4,280.26 ","$6,046.11 ","$6,046.11 ","$7,293.72 ","$9,597.00 ","$8,157.45 ", N/A ,"$7,677.60 ","$3,550.89 ","$7,677.60 ", N/A , N/A ,"$9,597.00 ","$5,201.57 ", N/A ,"$2,524.01 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ", N/A ,"$8,157.45 ", N/A ,"$3,666.05 ","$2,687.16 ","$8,637.30 ","$6,909.84 ","$9,597.00 ","$6,046.11 ","$6,046.11 ","$6,046.11 ", N/A ,"$4,606.56 ","$8,637.30 " ST. JOHN'S HOSPITAL,48100063,37187,HC PRIMARY VENOUS THROMBECTOMY,481,1 ,"$19,196.00 ","$12,477.40 ","$3,118.14 ","$24,138.23 ","$24,138.23 ","$5,500.00 ","$10,404.23 ","$9,655.29 ","$5,374.88 ","$5,432.47 ","$9,655.29 ","$6,219.50 ","$9,655.29 ","$6,392.27 ","$6,392.27 ","$9,655.29 ","$6,392.27 ","$18,345.05 ","$10,097.10 ","$9,598.00 ","$24,138.23 ","$9,655.29 ","$13,437.20 ","$9,655.29 ","$9,598.00 ","$9,848.40 ","$14,397.00 ","$8,561.42 ","$7,697.60 ","$8,561.42 ","$9,655.29 ","$8,561.42 ","$12,093.48 ","$12,093.48 ","$14,588.96 ","$19,196.00 ","$16,316.60 ","$19,196.00 ","$15,356.80 ","$7,102.52 ","$15,356.80 ","$9,655.29 ","$9,655.29 ","$19,196.00 ","$10,404.23 ","$9,655.29 ","$5,048.55 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$10,138.05 ","$16,316.60 ","$21,724.40 ","$6,392.27 ","$5,374.88 ","$17,276.40 ","$13,821.12 ","$19,196.00 ","$12,093.48 ","$12,093.48 ","$12,093.48 ","$9,655.29 ","$9,214.08 ","$17,276.40 " ST. JOHN'S HOSPITAL,48100064,37188,HC SUBSEQUENT VENOUS THROMBECTOMY,481,1 ,"$5,785.00 ","$3,760.25 ","$1,521.46 ","$6,879.30 ","$6,879.30 ","$5,500.00 ","$3,135.47 ","$2,751.72 ","$1,619.80 ","$1,851.20 ","$2,751.72 ","$2,128.88 ","$2,751.72 ","$2,209.87 ","$2,209.87 ","$2,751.72 ","$2,209.87 ","$5,228.27 ","$3,042.91 ","$5,785.00 ","$6,879.30 ","$2,751.72 ","$4,049.50 ","$2,751.72 ","$2,892.50 ","$2,806.76 ","$4,338.75 ","$2,580.11 ","$2,319.79 ","$2,580.11 ","$2,751.72 ","$2,580.11 ","$3,644.55 ","$3,644.55 ","$4,396.60 ","$5,785.00 ","$4,917.25 ","$5,785.00 ","$4,628.00 ","$2,140.45 ","$4,628.00 ","$2,751.72 ","$2,751.72 ","$5,785.00 ","$3,135.47 ","$2,751.72 ","$1,521.46 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$4,917.25 ","$6,191.37 ","$2,209.87 ","$1,619.80 ","$5,206.50 ","$4,165.20 ","$5,785.00 ","$3,644.55 ","$3,644.55 ","$3,644.55 ","$2,751.72 ","$2,776.80 ","$5,206.50 " ST. JOHN'S HOSPITAL,48100065,37200,HC BIOPSY TRANSCATHETER,481,1 ,"$3,447.00 ","$2,240.55 ",$608.70 ,"$11,459.70 ","$11,459.70 ","$3,447.00 ","$1,868.27 ","$4,583.88 ",$965.16 ,"$1,103.04 ","$4,583.88 ","$1,268.50 ","$3,447.00 ","$1,316.75 ","$1,316.75 ","$3,447.00 ","$1,316.75 ","$3,447.00 ","$1,813.12 ","$3,447.00 ","$11,459.70 ","$4,583.88 ","$2,412.90 ","$4,583.88 ","$1,723.50 ","$3,447.00 ","$2,585.25 ","$1,537.36 ","$1,382.25 ","$1,537.36 ","$4,583.88 ","$1,537.36 ","$2,171.61 ","$2,171.61 ","$2,619.72 ","$3,447.00 ","$2,929.95 ","$3,447.00 ","$2,757.60 ","$1,275.39 ","$2,757.60 ","$4,583.88 ","$4,583.88 ","$3,447.00 ","$1,868.27 ","$4,583.88 ",$906.56 , N/A , N/A ,$637.68 ,$608.70 ,"$4,813.07 ","$2,929.95 ","$10,313.73 ","$1,316.75 ",$965.16 ,"$3,102.30 ","$2,481.84 ","$3,447.00 ","$2,171.61 ","$2,171.61 ","$2,171.61 ","$4,583.88 ","$1,654.56 ","$3,102.30 " ST. JOHN'S HOSPITAL,48100067,61650,HC THPY INFS NON-THROMBO INTITIAL,481,1 ,"$19,571.00 ","$12,721.15 ","$5,147.17 ","$19,571.00 ", N/A ,"$7,500.00 ","$10,607.48 ", N/A ,"$5,479.88 ","$5,538.59 ", N/A ,"$6,341.00 ", N/A ,"$6,517.14 ","$6,517.14 ", N/A ,"$6,517.14 ", N/A ,"$10,294.35 ","$9,785.50 ", N/A , N/A ,"$13,699.70 ", N/A ,"$9,785.50 ", N/A ,"$14,678.25 ","$8,728.67 ","$7,847.97 ","$8,728.67 ", N/A ,"$8,728.67 ", N/A , N/A , N/A ,"$19,571.00 ","$16,635.35 ", N/A ,"$15,656.80 ","$7,241.27 ","$15,656.80 ", N/A , N/A ,"$19,571.00 ","$10,607.48 ", N/A ,"$5,147.17 ", N/A , N/A , N/A , N/A , N/A ,"$16,635.35 ", N/A ,"$6,517.14 ","$5,479.88 ","$17,613.90 ","$14,091.12 ","$19,571.00 ", N/A ,"$12,329.73 ","$12,329.73 ", N/A ,"$9,394.08 ","$17,613.90 " ST. JOHN'S HOSPITAL,48100069,37241,HC OCCL/EMBOL TRANSCATH PERC 37241,481,1 ,"$13,975.00 ","$9,083.75 ","$3,675.43 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$7,574.45 ","$9,655.29 ","$3,913.00 ","$4,472.00 ","$9,655.29 ","$5,142.80 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$13,975.00 ","$7,350.85 ","$6,987.50 ","$24,138.23 ","$9,655.29 ","$9,782.50 ","$9,655.29 ","$6,987.50 ","$9,848.40 ","$10,481.25 ","$6,232.85 ","$5,603.98 ","$6,232.85 ","$9,655.29 ","$6,232.85 ","$8,804.25 ","$8,804.25 ","$10,621.00 ","$13,975.00 ","$11,878.75 ","$13,975.00 ","$11,180.00 ","$5,170.75 ","$11,180.00 ","$9,655.29 ","$9,655.29 ","$13,975.00 ","$7,574.45 ","$9,655.29 ","$3,675.43 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$11,878.75 ","$21,724.40 ","$5,000.00 ","$3,913.00 ","$12,577.50 ","$10,062.00 ","$13,975.00 ","$8,804.25 ","$8,804.25 ","$8,804.25 ","$9,655.29 ","$6,708.00 ","$12,577.50 " ST. JOHN'S HOSPITAL,48100070,37236,HC PL STENT INTRAVAS PERC INIT 37236,481,1 ,"$23,943.00 ","$15,562.95 ","$4,200.00 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$12,977.11 ","$9,655.29 ","$6,704.04 ","$6,775.87 ","$9,655.29 ","$7,757.53 ","$9,655.29 ","$7,973.02 ","$7,973.02 ","$9,655.29 ","$7,973.02 ","$18,345.05 ","$12,594.02 ","$11,971.50 ","$24,138.23 ","$9,655.29 ","$16,760.10 ","$9,655.29 ","$11,971.50 ","$9,848.40 ","$17,957.25 ","$10,678.58 ","$9,601.14 ","$10,678.58 ","$9,655.29 ","$10,678.58 ","$15,084.09 ","$15,084.09 ","$18,196.68 ","$23,943.00 ","$20,351.55 ","$23,943.00 ","$19,154.40 ","$8,858.91 ","$19,154.40 ","$9,655.29 ","$9,655.29 ","$23,943.00 ","$12,977.11 ","$9,655.29 ","$6,297.01 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$20,351.55 ","$21,724.40 ","$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$15,084.09 ","$15,084.09 ","$15,084.09 ","$9,655.29 ","$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,48100071,37237,HC PLACE STENT PERC ADDL 37237,481,1 ,"$13,683.00 ","$8,893.95 ","$2,300.00 ","$13,683.00 ", N/A ,"$2,300.00 ","$7,416.19 ", N/A ,"$3,831.24 ","$4,378.56 ", N/A ,"$5,035.34 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,197.26 ","$6,841.50 ", N/A , N/A ,"$9,578.10 ", N/A ,"$6,841.50 ", N/A ,"$10,262.25 ","$6,102.62 ","$5,486.88 ","$6,102.62 ", N/A ,"$6,102.62 ","$8,620.29 ","$8,620.29 ","$10,399.08 ","$13,683.00 ","$11,630.55 ", N/A ,"$10,946.40 ","$5,062.71 ","$10,946.40 ", N/A , N/A ,"$13,683.00 ","$7,416.19 ", N/A ,"$3,598.63 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$11,630.55 ", N/A ,"$5,000.00 ","$3,831.24 ","$12,314.70 ","$9,851.76 ","$13,683.00 ","$8,620.29 ","$8,620.29 ","$8,620.29 ", N/A ,"$6,567.84 ","$12,314.70 " ST. JOHN'S HOSPITAL,48100076,37215,HC PL STENT TRNSCATH CAROT ART W/ 37215,481,1 ,"$20,754.00 ","$13,490.10 ","$4,200.00 ","$20,754.00 ", N/A ,"$4,200.00 ","$11,248.67 ", N/A ,"$5,811.12 ","$5,873.38 ", N/A ,"$6,724.30 ", N/A ,"$6,911.08 ","$6,911.08 ", N/A ,"$6,911.08 ", N/A ,"$10,916.60 ","$10,377.00 ", N/A , N/A ,"$14,527.80 ", N/A ,"$10,377.00 ", N/A ,"$15,565.50 ","$9,256.28 ","$8,322.35 ","$9,256.28 ", N/A ,"$9,256.28 ","$13,075.02 ","$13,075.02 ","$15,773.04 ","$20,754.00 ","$17,640.90 ", N/A ,"$16,603.20 ","$7,678.98 ","$16,603.20 ", N/A , N/A ,"$20,754.00 ","$11,248.67 ", N/A ,"$5,458.30 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$17,640.90 ", N/A ,"$6,911.08 ","$5,811.12 ","$18,678.60 ","$14,942.88 ","$20,754.00 ","$13,075.02 ","$13,075.02 ","$13,075.02 ", N/A ,"$9,961.92 ","$18,678.60 " ST. JOHN'S HOSPITAL,48100077,37220,HC RVC EN PRC ICA W/ANG INT VSL 37220,481,1 ,"$32,723.00 ","$21,269.95 ","$4,764.25 ","$32,723.00 ","$11,910.63 ","$5,000.00 ","$17,735.87 ","$4,764.25 ","$9,162.44 ","$9,260.61 ","$4,764.25 ","$10,602.25 ","$4,764.25 ","$10,896.76 ","$10,896.76 ","$4,764.25 ","$10,896.76 ","$9,052.08 ","$17,212.30 ","$16,361.50 ","$11,910.63 ","$4,764.25 ","$22,906.10 ","$4,764.25 ","$16,361.50 ","$4,859.54 ","$24,542.25 ","$14,594.46 ","$13,121.92 ","$14,594.46 ","$4,764.25 ","$14,594.46 ","$20,615.49 ","$20,615.49 ","$24,869.48 ","$32,723.00 ","$27,814.55 ","$11,910.63 ","$26,178.40 ","$12,107.51 ","$26,178.40 ","$4,764.25 ","$4,764.25 ","$32,723.00 ","$17,735.87 ","$4,764.25 ","$8,606.15 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$27,814.55 ","$10,719.56 ","$10,896.76 ","$9,162.44 ","$29,450.70 ","$23,560.56 ","$32,723.00 ","$20,615.49 ","$20,615.49 ","$20,615.49 ","$4,764.25 ","$15,707.04 ","$29,450.70 " ST. JOHN'S HOSPITAL,48100078,37221,HC RVC EN PRC ICA W/TRN SNT INT V 37221,481,1 ,"$39,824.00 ","$25,885.60 ","$4,951.86 ","$39,824.00 ","$24,138.23 ","$5,000.00 ","$21,584.61 ","$9,655.29 ","$11,150.72 ","$11,270.19 ","$9,655.29 ","$12,902.98 ","$9,655.29 ","$13,261.39 ","$13,261.39 ","$9,655.29 ","$13,261.39 ","$18,345.05 ","$20,947.42 ","$19,912.00 ","$24,138.23 ","$9,655.29 ","$27,876.80 ","$9,655.29 ","$19,912.00 ","$9,848.40 ","$29,868.00 ","$17,761.50 ","$15,969.42 ","$17,761.50 ","$9,655.29 ","$17,761.50 ","$25,089.12 ","$25,089.12 ","$30,266.24 ","$39,824.00 ","$33,850.40 ","$24,138.23 ","$31,859.20 ","$14,734.88 ","$31,859.20 ","$9,655.29 ","$9,655.29 ","$39,824.00 ","$21,584.61 ","$9,655.29 ","$10,473.71 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$33,850.40 ","$21,724.40 ","$13,261.39 ","$11,150.72 ","$35,841.60 ","$28,673.28 ","$39,824.00 ","$25,089.12 ","$25,089.12 ","$25,089.12 ","$9,655.29 ","$19,115.52 ","$35,841.60 " ST. JOHN'S HOSPITAL,48100079,37222,HC RVC EN PRC ICA W/ANG EA AD VS 37222,481,1 ,"$20,597.00 ","$13,388.05 ","$2,300.00 ","$20,597.00 ", N/A ,"$2,300.00 ","$11,163.57 ", N/A ,"$5,767.16 ","$5,828.95 ", N/A ,"$6,673.43 ", N/A ,"$6,858.80 ","$6,858.80 ", N/A ,"$6,858.80 ", N/A ,"$10,834.02 ","$10,298.50 ", N/A , N/A ,"$14,417.90 ", N/A ,"$10,298.50 ", N/A ,"$15,447.75 ","$9,186.26 ","$8,259.40 ","$9,186.26 ", N/A ,"$9,186.26 ","$12,976.11 ","$12,976.11 ","$15,653.72 ","$20,597.00 ","$17,507.45 ", N/A ,"$16,477.60 ","$7,620.89 ","$16,477.60 ", N/A , N/A ,"$20,597.00 ","$11,163.57 ", N/A ,"$5,417.01 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$17,507.45 ", N/A ,"$6,858.80 ","$5,767.16 ","$18,537.30 ","$14,829.84 ","$20,597.00 ","$12,976.11 ","$12,976.11 ","$12,976.11 ", N/A ,"$9,886.56 ","$18,537.30 " ST. JOHN'S HOSPITAL,48100080,37223,HC RVC EN PRC ICA W/TRN ST AD VS 37223,481,1 ,"$26,426.00 ","$17,176.90 ","$2,300.00 ","$26,426.00 ", N/A ,"$2,300.00 ","$14,322.89 ", N/A ,"$7,399.28 ","$7,478.56 ", N/A ,"$8,562.02 ", N/A ,"$8,799.86 ","$8,799.86 ", N/A ,"$8,799.86 ", N/A ,"$13,900.08 ","$13,213.00 ", N/A , N/A ,"$18,498.20 ", N/A ,"$13,213.00 ", N/A ,"$19,819.50 ","$11,786.00 ","$10,596.83 ","$11,786.00 ", N/A ,"$11,786.00 ","$16,648.38 ","$16,648.38 ","$20,083.76 ","$26,426.00 ","$22,462.10 ", N/A ,"$21,140.80 ","$9,777.62 ","$21,140.80 ", N/A , N/A ,"$26,426.00 ","$14,322.89 ", N/A ,"$6,950.04 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$22,462.10 ", N/A ,"$8,799.86 ","$7,399.28 ","$23,783.40 ","$19,026.72 ","$26,426.00 ","$16,648.38 ","$16,648.38 ","$16,648.38 ", N/A ,"$12,684.48 ","$23,783.40 " ST. JOHN'S HOSPITAL,48100081,37224,HC RVC EN PRC R/P W/ANG INT VSL 37224,481,1 ,"$35,378.00 ","$22,995.70 ","$4,764.25 ","$35,378.00 ","$11,910.63 ","$5,000.00 ","$19,174.88 ","$4,764.25 ","$9,905.84 ","$10,011.97 ","$4,764.25 ","$11,462.47 ","$4,764.25 ","$11,780.87 ","$11,780.87 ","$4,764.25 ","$11,780.87 ","$9,052.08 ","$18,608.83 ","$17,689.00 ","$11,910.63 ","$4,764.25 ","$24,764.60 ","$4,764.25 ","$17,689.00 ","$4,859.54 ","$26,533.50 ","$15,778.59 ","$14,186.58 ","$15,778.59 ","$4,764.25 ","$15,778.59 ","$22,288.14 ","$22,288.14 ","$26,887.28 ","$35,378.00 ","$30,071.30 ","$11,910.63 ","$28,302.40 ","$13,089.86 ","$28,302.40 ","$4,764.25 ","$4,764.25 ","$35,378.00 ","$19,174.88 ","$4,764.25 ","$9,304.41 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$30,071.30 ","$10,719.56 ","$11,780.87 ","$9,905.84 ","$31,840.20 ","$25,472.16 ","$35,378.00 ","$22,288.14 ","$22,288.14 ","$22,288.14 ","$4,764.25 ","$16,981.44 ","$31,840.20 " ST. JOHN'S HOSPITAL,48100082,37225,HC RVC EN PRC F/P W/ANT INT VSL 37225,481,1 ,"$54,293.00 ","$35,290.45 ","$4,951.86 ","$54,293.00 ","$24,138.23 ","$5,000.00 ","$29,426.81 ","$9,655.29 ","$15,202.04 ","$15,364.92 ","$9,655.29 ","$17,590.93 ","$9,655.29 ","$18,079.57 ","$18,079.57 ","$9,655.29 ","$18,079.57 ","$18,345.05 ","$28,558.12 ","$27,146.50 ","$24,138.23 ","$9,655.29 ","$38,005.10 ","$9,655.29 ","$27,146.50 ","$9,848.40 ","$40,719.75 ","$24,214.68 ","$21,771.49 ","$24,214.68 ","$9,655.29 ","$24,214.68 ","$34,204.59 ","$34,204.59 ","$41,262.68 ","$54,293.00 ","$46,149.05 ","$24,138.23 ","$43,434.40 ","$20,088.41 ","$43,434.40 ","$9,655.29 ","$9,655.29 ","$54,293.00 ","$29,426.81 ","$9,655.29 ","$14,279.06 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$46,149.05 ","$21,724.40 ","$18,079.57 ","$15,202.04 ","$48,863.70 ","$39,090.96 ","$54,293.00 ","$34,204.59 ","$34,204.59 ","$34,204.59 ","$9,655.29 ","$26,060.64 ","$48,863.70 " ST. JOHN'S HOSPITAL,48100083,37226,HC RVC EN PRC F/P W/TRN SNT IN VS 37226,481,1 ,"$44,925.00 ","$29,201.25 ","$4,951.86 ","$44,925.00 ","$24,138.23 ","$5,000.00 ","$24,349.35 ","$9,655.29 ","$12,579.00 ","$12,713.78 ","$9,655.29 ","$14,555.70 ","$9,655.29 ","$14,960.03 ","$14,960.03 ","$9,655.29 ","$14,960.03 ","$18,345.05 ","$23,630.55 ","$22,462.50 ","$24,138.23 ","$9,655.29 ","$31,447.50 ","$9,655.29 ","$22,462.50 ","$9,848.40 ","$33,693.75 ","$20,036.55 ","$18,014.93 ","$20,036.55 ","$9,655.29 ","$20,036.55 ","$28,302.75 ","$28,302.75 ","$34,143.00 ","$44,925.00 ","$38,186.25 ","$24,138.23 ","$35,940.00 ","$16,622.25 ","$35,940.00 ","$9,655.29 ","$9,655.29 ","$44,925.00 ","$24,349.35 ","$9,655.29 ","$11,815.28 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$38,186.25 ","$21,724.40 ","$14,960.03 ","$12,579.00 ","$40,432.50 ","$32,346.00 ","$44,925.00 ","$28,302.75 ","$28,302.75 ","$28,302.75 ","$9,655.29 ","$21,564.00 ","$40,432.50 " ST. JOHN'S HOSPITAL,48100084,37227,HC RVC EN PRC F/P W/AN/TR ST INT 37227,481,1 ,"$79,161.00 ","$51,454.65 ","$4,951.86 ","$79,161.00 ","$38,594.63 ","$5,000.00 ","$42,905.26 ","$15,437.85 ","$22,165.08 ","$22,402.56 ","$15,437.85 ","$25,648.16 ","$15,437.85 ","$26,360.61 ","$26,360.61 ","$15,437.85 ","$26,360.61 ","$29,331.92 ","$41,638.69 ","$39,580.50 ","$38,594.64 ","$15,437.85 ","$55,412.70 ","$15,437.85 ","$39,580.50 ","$15,746.61 ","$59,370.75 ","$40,740.31 ","$38,899.01 ","$40,740.31 ","$15,437.85 ","$40,740.31 ","$49,871.43 ","$49,871.43 ","$60,162.36 ","$79,161.00 ","$67,286.85 ","$38,594.64 ","$63,328.80 ","$29,289.57 ","$63,328.80 ","$15,437.85 ","$15,437.85 ","$79,161.00 ","$42,905.26 ","$15,437.85 ","$20,819.34 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$67,286.85 ","$34,735.17 ","$26,360.61 ","$22,165.08 ","$71,244.90 ","$56,995.92 ","$79,161.00 ","$49,871.43 ","$49,871.43 ","$49,871.43 ","$15,437.85 ","$37,997.28 ","$71,244.90 " ST. JOHN'S HOSPITAL,48100085,37228,HC RVC EN PRC T/P W/ANG INT VSL 37228,481,1 ,"$36,088.00 ","$23,457.20 ","$4,951.86 ","$36,088.00 ","$24,138.23 ","$5,000.00 ","$19,559.70 ","$9,655.29 ","$10,104.64 ","$10,212.90 ","$9,655.29 ","$11,692.51 ","$9,655.29 ","$12,017.30 ","$12,017.30 ","$9,655.29 ","$12,017.30 ","$18,345.05 ","$18,982.29 ","$18,044.00 ","$24,138.23 ","$9,655.29 ","$25,261.60 ","$9,655.29 ","$18,044.00 ","$9,848.40 ","$27,066.00 ","$16,095.25 ","$14,471.29 ","$16,095.25 ","$9,655.29 ","$16,095.25 ","$22,735.44 ","$22,735.44 ","$27,426.88 ","$36,088.00 ","$30,674.80 ","$24,138.23 ","$28,870.40 ","$13,352.56 ","$28,870.40 ","$9,655.29 ","$9,655.29 ","$36,088.00 ","$19,559.70 ","$9,655.29 ","$9,491.14 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$30,674.80 ","$21,724.40 ","$12,017.30 ","$10,104.64 ","$32,479.20 ","$25,983.36 ","$36,088.00 ","$22,735.44 ","$22,735.44 ","$22,735.44 ","$9,655.29 ","$17,322.24 ","$32,479.20 " ST. JOHN'S HOSPITAL,48100086,37229,HC RVC EN PRC T/P W/ANT INT VSL 37229,481,1 ,"$74,125.00 ","$48,181.25 ","$4,951.86 ","$74,125.00 ","$38,594.63 ","$5,000.00 ","$40,175.75 ","$15,437.85 ","$20,755.00 ","$20,977.38 ","$15,437.85 ","$24,016.50 ","$15,437.85 ","$24,683.63 ","$24,683.63 ","$15,437.85 ","$24,683.63 ","$29,331.92 ","$38,989.75 ","$37,062.50 ","$38,594.64 ","$15,437.85 ","$51,887.50 ","$15,437.85 ","$37,062.50 ","$15,746.61 ","$55,593.75 ","$35,976.25 ","$34,613.38 ","$35,976.25 ","$15,437.85 ","$35,976.25 ","$46,698.75 ","$46,698.75 ","$56,335.00 ","$74,125.00 ","$63,006.25 ","$38,594.64 ","$59,300.00 ","$27,426.25 ","$59,300.00 ","$15,437.85 ","$15,437.85 ","$74,125.00 ","$40,175.75 ","$15,437.85 ","$19,494.88 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$63,006.25 ","$34,735.17 ","$24,683.63 ","$20,755.00 ","$66,712.50 ","$53,370.00 ","$74,125.00 ","$46,698.75 ","$46,698.75 ","$46,698.75 ","$15,437.85 ","$35,580.00 ","$66,712.50 " ST. JOHN'S HOSPITAL,48100087,37230,HC RVC EN PRC T/P W/TRN SNT IN VS 37230,481,1 ,"$61,371.00 ","$39,891.15 ","$4,951.86 ","$61,371.00 ","$38,594.63 ","$5,000.00 ","$33,263.08 ","$15,437.85 ","$17,183.88 ","$17,367.99 ","$15,437.85 ","$19,884.20 ","$15,437.85 ","$20,436.54 ","$20,436.54 ","$15,437.85 ","$20,436.54 ","$29,331.92 ","$32,281.15 ","$30,685.50 ","$38,594.64 ","$15,437.85 ","$42,959.70 ","$15,437.85 ","$30,685.50 ","$15,746.61 ","$46,028.25 ","$27,371.47 ","$24,609.77 ","$27,371.47 ","$15,437.85 ","$27,371.47 ","$38,663.73 ","$38,663.73 ","$46,641.96 ","$61,371.00 ","$52,165.35 ","$38,594.64 ","$49,096.80 ","$22,707.27 ","$49,096.80 ","$15,437.85 ","$15,437.85 ","$61,371.00 ","$33,263.08 ","$15,437.85 ","$16,140.57 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$52,165.35 ","$34,735.17 ","$20,436.54 ","$17,183.88 ","$55,233.90 ","$44,187.12 ","$61,371.00 ","$38,663.73 ","$38,663.73 ","$38,663.73 ","$15,437.85 ","$29,458.08 ","$55,233.90 " ST. JOHN'S HOSPITAL,48100088,37231,HC RVC EN PRC T/P W/AN/TR ST IN V 37231,481,1 ,"$49,570.00 ","$32,220.50 ","$4,951.86 ","$49,570.00 ","$38,594.63 ","$5,000.00 ","$26,866.94 ","$15,437.85 ","$13,879.60 ","$14,028.31 ","$15,437.85 ","$16,060.68 ","$15,437.85 ","$16,506.81 ","$16,506.81 ","$15,437.85 ","$16,506.81 ","$29,331.92 ","$26,073.82 ","$24,785.00 ","$38,594.64 ","$15,437.85 ","$34,699.00 ","$15,437.85 ","$24,785.00 ","$15,746.61 ","$37,177.50 ","$22,108.22 ","$19,877.57 ","$22,108.22 ","$15,437.85 ","$22,108.22 ","$31,229.10 ","$31,229.10 ","$37,673.20 ","$49,570.00 ","$42,134.50 ","$38,594.64 ","$39,656.00 ","$18,340.90 ","$39,656.00 ","$15,437.85 ","$15,437.85 ","$49,570.00 ","$26,866.94 ","$15,437.85 ","$13,036.91 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$42,134.50 ","$34,735.17 ","$16,506.81 ","$13,879.60 ","$44,613.00 ","$35,690.40 ","$49,570.00 ","$31,229.10 ","$31,229.10 ","$31,229.10 ","$15,437.85 ","$23,793.60 ","$44,613.00 " ST. JOHN'S HOSPITAL,48100089,37232,HC RVC EN PRC T/P W/ANG EA AD VS 37232,481,1 ,"$30,186.00 ","$19,620.90 ","$2,300.00 ","$30,186.00 ", N/A ,"$2,300.00 ","$16,360.81 ", N/A ,"$8,452.08 ","$8,542.64 ", N/A ,"$9,780.26 ", N/A ,"$10,051.94 ","$10,051.94 ", N/A ,"$10,051.94 ", N/A ,"$15,877.84 ","$15,093.00 ", N/A , N/A ,"$21,130.20 ", N/A ,"$15,093.00 ", N/A ,"$22,639.50 ","$13,462.96 ","$12,104.59 ","$13,462.96 ", N/A ,"$13,462.96 ","$19,017.18 ","$19,017.18 ","$22,941.36 ","$30,186.00 ","$25,658.10 ", N/A ,"$24,148.80 ","$11,168.82 ","$24,148.80 ", N/A , N/A ,"$30,186.00 ","$16,360.81 ", N/A ,"$7,938.92 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$25,658.10 ", N/A ,"$10,051.94 ","$8,452.08 ","$27,167.40 ","$21,733.92 ","$30,186.00 ","$19,017.18 ","$19,017.18 ","$19,017.18 ", N/A ,"$14,489.28 ","$27,167.40 " ST. JOHN'S HOSPITAL,48100090,37233,HC RVC EN PRC T/P W/ANT EA AD VS 37233,481,1 ,"$41,587.00 ","$27,031.55 ","$2,300.00 ","$41,587.00 ", N/A ,"$2,300.00 ","$22,540.15 ", N/A ,"$11,644.36 ","$11,769.12 ", N/A ,"$13,474.19 ", N/A ,"$13,848.47 ","$13,848.47 ", N/A ,"$13,848.47 ", N/A ,"$21,874.76 ","$20,793.50 ", N/A , N/A ,"$29,110.90 ", N/A ,"$20,793.50 ", N/A ,"$31,190.25 ","$18,547.80 ","$16,676.39 ","$18,547.80 ", N/A ,"$18,547.80 ","$26,199.81 ","$26,199.81 ","$31,606.12 ","$41,587.00 ","$35,348.95 ", N/A ,"$33,269.60 ","$15,387.19 ","$33,269.60 ", N/A , N/A ,"$41,587.00 ","$22,540.15 ", N/A ,"$10,937.38 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$35,348.95 ", N/A ,"$13,848.47 ","$11,644.36 ","$37,428.30 ","$29,942.64 ","$41,587.00 ","$26,199.81 ","$26,199.81 ","$26,199.81 ", N/A ,"$19,961.76 ","$37,428.30 " ST. JOHN'S HOSPITAL,48100091,37234,HC RVC EN PRC T/P W/TRN SNT EA VS 37234,481,1 ,"$33,337.00 ","$21,669.05 ","$2,300.00 ","$33,337.00 ", N/A ,"$2,300.00 ","$18,068.65 ", N/A ,"$9,334.36 ","$9,434.37 ", N/A ,"$10,801.19 ", N/A ,"$11,101.22 ","$11,101.22 ", N/A ,"$11,101.22 ", N/A ,"$17,535.26 ","$16,668.50 ", N/A , N/A ,"$23,335.90 ", N/A ,"$16,668.50 ", N/A ,"$25,002.75 ","$14,868.30 ","$13,368.14 ","$14,868.30 ", N/A ,"$14,868.30 ","$21,002.31 ","$21,002.31 ","$25,336.12 ","$33,337.00 ","$28,336.45 ", N/A ,"$26,669.60 ","$12,334.69 ","$26,669.60 ", N/A , N/A ,"$33,337.00 ","$18,068.65 ", N/A ,"$8,767.63 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$28,336.45 ", N/A ,"$11,101.22 ","$9,334.36 ","$30,003.30 ","$24,002.64 ","$33,337.00 ","$21,002.31 ","$21,002.31 ","$21,002.31 ", N/A ,"$16,001.76 ","$30,003.30 " ST. JOHN'S HOSPITAL,48100092,37235,HC RVC EN PRC T/P W/AN/TR ST AD V 37235,481,1 ,"$37,902.00 ","$24,636.30 ","$2,300.00 ","$37,902.00 ", N/A ,"$2,300.00 ","$20,542.88 ", N/A ,"$10,612.56 ","$10,726.27 ", N/A ,"$12,280.25 ", N/A ,"$12,621.37 ","$12,621.37 ", N/A ,"$12,621.37 ", N/A ,"$19,936.45 ","$18,951.00 ", N/A , N/A ,"$26,531.40 ", N/A ,"$18,951.00 ", N/A ,"$28,426.50 ","$16,904.29 ","$15,198.70 ","$16,904.29 ", N/A ,"$16,904.29 ","$23,878.26 ","$23,878.26 ","$28,805.52 ","$37,902.00 ","$32,216.70 ", N/A ,"$30,321.60 ","$14,023.74 ","$30,321.60 ", N/A , N/A ,"$37,902.00 ","$20,542.88 ", N/A ,"$9,968.23 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$32,216.70 ", N/A ,"$12,621.37 ","$10,612.56 ","$34,111.80 ","$27,289.44 ","$37,902.00 ","$23,878.26 ","$23,878.26 ","$23,878.26 ", N/A ,"$18,192.96 ","$34,111.80 " ST. JOHN'S HOSPITAL,48100093,37252,HC US VASCULAR NON-CORONARY INIT 37252,481,1 ,"$12,615.00 ","$8,199.75 ",$152.21 ,"$12,615.00 ", N/A ,"$2,300.00 ","$6,837.33 ", N/A ,"$3,532.20 ","$4,036.80 ", N/A ,"$4,642.32 ", N/A ,"$4,818.93 ","$4,818.93 ", N/A ,"$4,818.93 ", N/A ,"$6,635.49 ","$6,307.50 ", N/A , N/A ,"$8,830.50 ", N/A ,"$6,307.50 ", N/A ,"$9,461.25 ","$5,626.29 ","$5,058.62 ","$5,626.29 ", N/A ,"$5,626.29 ", N/A , N/A , N/A ,"$12,615.00 ","$10,722.75 ", N/A ,"$10,092.00 ","$4,667.55 ","$10,092.00 ", N/A , N/A ,"$12,615.00 ","$6,837.33 ", N/A ,"$3,317.75 ", N/A , N/A ,$159.46 ,$152.21 , N/A ,"$10,722.75 ", N/A ,"$4,818.93 ","$3,532.20 ","$11,353.50 ","$9,082.80 ","$12,615.00 ", N/A ,"$7,947.45 ","$7,947.45 ", N/A ,"$6,055.20 ","$11,353.50 " ST. JOHN'S HOSPITAL,48100094,37253,HC US VASCULAR NON-CORON ADDL EA 37253,481,1 ,"$11,231.00 ","$7,300.15 ",$152.21 ,"$11,231.00 ", N/A ,"$2,300.00 ","$6,087.20 ", N/A ,"$3,144.68 ","$3,593.92 ", N/A ,"$4,133.01 ", N/A ,"$4,290.24 ","$4,290.24 ", N/A ,"$4,290.24 ", N/A ,"$5,907.51 ","$8,520.00 ", N/A , N/A ,"$7,861.70 ", N/A ,"$5,615.50 ", N/A ,"$8,423.25 ","$5,009.03 ","$4,503.63 ","$5,009.03 ", N/A ,"$5,009.03 ", N/A , N/A , N/A ,"$11,231.00 ","$9,546.35 ", N/A ,"$8,984.80 ","$4,155.47 ","$8,984.80 ", N/A , N/A ,"$11,231.00 ","$6,087.20 ", N/A ,"$2,953.75 ", N/A , N/A ,$159.46 ,$152.21 , N/A ,"$9,546.35 ", N/A ,"$4,290.24 ","$3,144.68 ","$10,107.90 ","$8,086.32 ","$11,231.00 ", N/A ,"$7,075.53 ","$7,075.53 ", N/A ,"$5,390.88 ","$10,107.90 " ST. JOHN'S HOSPITAL,48100095,37191,HC INTERRUPT VENA CAVA INFER,481,1 ,"$17,377.00 ","$11,295.05 ","$3,984.06 ","$17,377.00 ","$11,459.70 ","$4,200.00 ","$9,418.33 ","$4,583.88 ","$4,865.56 ","$5,560.64 ","$4,583.88 ","$6,394.74 ","$4,583.88 ","$5,786.54 ","$5,786.54 ","$4,583.88 ","$5,786.54 ","$8,709.37 ","$9,140.30 ","$8,688.50 ","$11,459.70 ","$4,583.88 ","$12,163.90 ","$4,583.88 ","$8,688.50 ","$4,675.56 ","$13,032.75 ","$7,750.14 ","$6,968.18 ","$7,750.14 ","$4,583.88 ","$7,750.14 ","$10,947.51 ","$10,947.51 ","$13,206.52 ","$17,377.00 ","$14,770.45 ","$11,459.70 ","$13,901.60 ","$6,429.49 ","$13,901.60 ","$4,583.88 ","$4,583.88 ","$17,377.00 ","$9,418.33 ","$4,583.88 ","$4,570.15 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ","$4,813.07 ","$14,770.45 ","$10,313.73 ","$5,786.54 ","$4,865.56 ","$15,639.30 ","$12,511.44 ","$17,377.00 ","$10,947.51 ","$10,947.51 ","$10,947.51 ","$4,583.88 ","$8,340.96 ","$15,639.30 " ST. JOHN'S HOSPITAL,48100096,92973,HC PTC TRANSLUM CORONARY THROMB 92973,481,1 ,"$19,626.00 ","$12,756.90 ","$5,161.64 ","$19,626.00 ", N/A ,"$9,027.96 ","$10,637.29 ", N/A ,"$5,495.28 ","$5,554.16 ", N/A ,"$6,358.82 ", N/A ,"$6,535.46 ","$6,535.46 ", N/A ,"$6,535.46 ", N/A ,"$10,323.28 ","$9,813.00 ", N/A , N/A ,"$13,738.20 ", N/A ,"$9,813.00 ", N/A ,"$14,719.50 ","$8,753.20 ","$7,870.03 ","$8,753.20 ", N/A ,"$8,753.20 ","$12,364.38 ","$12,364.38 ","$14,915.76 ","$19,626.00 ","$16,682.10 ", N/A ,"$15,700.80 ","$7,261.62 ","$15,700.80 ", N/A , N/A ,"$19,626.00 ","$10,637.29 ", N/A ,"$5,161.64 ", N/A , N/A , N/A , N/A , N/A ,"$16,682.10 ", N/A ,"$6,535.46 ","$5,495.28 ","$17,663.40 ","$14,130.72 ","$19,626.00 ","$12,364.38 ","$12,364.38 ","$12,364.38 ", N/A ,"$9,420.48 ","$17,663.40 " ST. JOHN'S HOSPITAL,48100097,92978,HC INTRAVASCULAR ULTRSOUND INTIAL 92978,481,1 ,"$6,456.00 ","$4,196.40 ","$1,697.93 ","$6,456.00 ", N/A ,"$6,456.00 ","$3,499.15 ", N/A ,"$1,807.68 ","$2,065.92 ", N/A ,"$2,375.81 ", N/A ,"$2,466.19 ","$2,466.19 ", N/A ,"$2,466.19 ", N/A ,"$3,395.86 ","$6,456.00 ", N/A , N/A ,"$4,519.20 ", N/A ,"$3,228.00 ", N/A ,"$4,842.00 ","$2,879.38 ","$2,588.86 ","$2,879.38 ", N/A ,"$2,879.38 ","$4,067.28 ","$4,067.28 ","$4,906.56 ","$6,456.00 ","$5,487.60 ", N/A ,"$5,164.80 ","$2,388.72 ","$5,164.80 ", N/A , N/A ,"$6,456.00 ","$3,499.15 ", N/A ,"$1,697.93 ", N/A , N/A , N/A , N/A , N/A ,"$5,487.60 ", N/A ,"$2,466.19 ","$1,807.68 ","$5,810.40 ","$4,648.32 ","$6,456.00 ","$4,067.28 ","$4,067.28 ","$4,067.28 ", N/A ,"$3,098.88 ","$5,810.40 " ST. JOHN'S HOSPITAL,48100098,92979,HC INTRAVASCULAR ULTRSOUND EA ADD 92979,481,1 ,"$6,456.00 ","$4,196.40 ","$1,697.93 ","$6,456.00 ", N/A ,"$6,456.00 ","$3,499.15 ", N/A ,"$1,807.68 ","$2,065.92 ", N/A ,"$2,375.81 ", N/A ,"$2,466.19 ","$2,466.19 ", N/A ,"$2,466.19 ", N/A ,"$3,395.86 ","$6,456.00 ", N/A , N/A ,"$4,519.20 ", N/A ,"$3,228.00 ", N/A ,"$4,842.00 ","$2,879.38 ","$2,588.86 ","$2,879.38 ", N/A ,"$2,879.38 ","$4,067.28 ","$4,067.28 ","$4,906.56 ","$6,456.00 ","$5,487.60 ", N/A ,"$5,164.80 ","$2,388.72 ","$5,164.80 ", N/A , N/A ,"$6,456.00 ","$3,499.15 ", N/A ,"$1,697.93 ", N/A , N/A , N/A , N/A , N/A ,"$5,487.60 ", N/A ,"$2,466.19 ","$1,807.68 ","$5,810.40 ","$4,648.32 ","$6,456.00 ","$4,067.28 ","$4,067.28 ","$4,067.28 ", N/A ,"$3,098.88 ","$5,810.40 " ST. JOHN'S HOSPITAL,48100103,92986,HC VALVULOPLASTY AORTIC VALVE 92986,481,1 ,"$25,873.00 ","$16,817.45 ","$4,764.25 ","$25,873.00 ","$11,910.63 ","$7,500.00 ","$14,023.17 ","$4,764.25 ","$7,244.44 ","$7,322.06 ","$4,764.25 ","$8,382.85 ","$4,764.25 ","$8,615.71 ","$8,615.71 ","$4,764.25 ","$8,615.71 ","$9,052.08 ","$13,609.20 ","$12,936.50 ","$11,910.63 ","$4,764.25 ","$18,111.10 ","$4,764.25 ","$12,936.50 ","$4,859.54 ","$19,404.75 ","$11,539.36 ","$10,375.07 ","$11,539.36 ","$4,764.25 ","$11,539.36 ","$16,299.99 ","$16,299.99 ","$19,663.48 ","$25,873.00 ","$21,992.05 ","$11,910.63 ","$20,698.40 ","$9,573.01 ","$20,698.40 ","$4,764.25 ","$4,764.25 ","$25,873.00 ","$14,023.17 ","$4,764.25 ","$6,804.60 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$21,992.05 ","$10,719.56 ","$8,615.71 ","$7,244.44 ","$23,285.70 ","$18,628.56 ","$25,873.00 ","$16,299.99 ","$16,299.99 ","$16,299.99 ","$4,764.25 ","$12,419.04 ","$23,285.70 " ST. JOHN'S HOSPITAL,48100104,92987,HC VALVULOPLASTY MITRAL VALVE 92987,481,1 ,"$56,392.00 ","$36,654.80 ","$7,500.00 ","$56,392.00 ","$24,138.23 ","$7,500.00 ","$30,564.46 ","$9,655.29 ","$15,789.76 ","$15,958.94 ","$9,655.29 ","$18,271.01 ","$9,655.29 ","$18,778.54 ","$18,778.54 ","$9,655.29 ","$18,778.54 ","$18,345.05 ","$29,662.19 ","$28,196.00 ","$24,138.23 ","$9,655.29 ","$39,474.40 ","$9,655.29 ","$28,196.00 ","$9,848.40 ","$42,294.00 ","$25,150.83 ","$22,613.19 ","$25,150.83 ","$9,655.29 ","$25,150.83 ","$35,526.96 ","$35,526.96 ","$42,857.92 ","$56,392.00 ","$47,933.20 ","$24,138.23 ","$45,113.60 ","$20,865.04 ","$45,113.60 ","$9,655.29 ","$9,655.29 ","$56,392.00 ","$30,564.46 ","$9,655.29 ","$14,831.10 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$47,933.20 ","$21,724.40 ","$18,778.54 ","$15,789.76 ","$50,752.80 ","$40,602.24 ","$56,392.00 ","$35,526.96 ","$35,526.96 ","$35,526.96 ","$9,655.29 ","$27,068.16 ","$50,752.80 " ST. JOHN'S HOSPITAL,48100107,93451,HC CATH RIGHT HEART 93451,481,1 ,"$11,347.00 ","$7,375.55 ","$2,438.03 ","$11,347.00 ","$6,968.45 ","$5,219.62 ","$6,150.07 ","$2,787.38 ","$3,177.16 ","$3,631.04 ","$2,787.38 ","$4,175.70 ","$2,787.38 ","$4,334.55 ","$4,334.55 ","$2,787.38 ","$4,334.55 ","$5,296.03 ","$5,968.52 ","$8,520.00 ","$6,968.46 ","$2,787.38 ","$7,942.90 ","$2,787.38 ","$5,673.50 ","$2,843.13 ","$8,510.25 ","$5,060.76 ","$4,550.15 ","$5,060.76 ","$2,787.38 ","$5,060.76 ","$7,148.61 ","$7,148.61 ","$8,623.72 ","$11,347.00 ","$9,644.95 ","$6,968.46 ","$9,077.60 ","$4,198.39 ","$9,077.60 ","$2,787.38 ","$2,787.38 ","$11,347.00 ","$6,150.07 ","$2,787.38 ","$2,984.26 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$9,644.95 ","$6,271.61 ","$4,334.55 ","$3,177.16 ","$10,212.30 ","$8,169.84 ","$11,347.00 ","$7,148.61 ","$7,148.61 ","$7,148.61 ","$2,787.38 ","$5,446.56 ","$10,212.30 " ST. JOHN'S HOSPITAL,48100108,93452,HC LHC ONLY NO COROS 93452,481,1 ,"$16,265.00 ","$10,572.25 ","$2,438.03 ","$16,265.00 ","$6,968.45 ","$7,481.90 ","$8,815.63 ","$2,787.38 ","$4,554.20 ","$5,204.80 ","$2,787.38 ","$5,985.52 ","$2,787.38 ","$5,416.25 ","$5,416.25 ","$2,787.38 ","$5,416.25 ","$5,296.03 ","$8,555.39 ","$8,132.50 ","$6,968.46 ","$2,787.38 ","$11,385.50 ","$2,787.38 ","$8,132.50 ","$2,843.13 ","$12,198.75 ","$7,254.19 ","$6,522.27 ","$7,254.19 ","$2,787.38 ","$7,254.19 ","$10,246.95 ","$10,246.95 ","$12,361.40 ","$16,265.00 ","$13,825.25 ","$6,968.46 ","$13,012.00 ","$6,018.05 ","$13,012.00 ","$2,787.38 ","$2,787.38 ","$16,265.00 ","$8,815.63 ","$2,787.38 ","$4,277.70 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$13,825.25 ","$6,271.61 ","$5,416.25 ","$4,554.20 ","$14,638.50 ","$11,710.80 ","$16,265.00 ","$10,246.95 ","$10,246.95 ","$10,246.95 ","$2,787.38 ","$7,807.20 ","$14,638.50 " ST. JOHN'S HOSPITAL,48100109,93453,HC RHC/LHC ONLY/NO CORS 93453,481,1 ,"$21,276.00 ","$13,829.40 ","$2,438.03 ","$21,276.00 ","$6,968.45 ","$9,786.96 ","$11,531.59 ","$2,787.38 ","$5,957.28 ","$6,021.11 ","$2,787.38 ","$6,893.42 ","$2,787.38 ","$7,084.91 ","$7,084.91 ","$2,787.38 ","$7,084.91 ","$5,296.03 ","$11,191.18 ","$10,638.00 ","$6,968.46 ","$2,787.38 ","$14,893.20 ","$2,787.38 ","$10,638.00 ","$2,843.13 ","$15,957.00 ","$9,489.10 ","$8,531.68 ","$9,489.10 ","$2,787.38 ","$9,489.10 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$21,276.00 ","$18,084.60 ","$6,968.46 ","$17,020.80 ","$7,872.12 ","$17,020.80 ","$2,787.38 ","$2,787.38 ","$21,276.00 ","$11,531.59 ","$2,787.38 ","$5,595.59 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$18,084.60 ","$6,271.61 ","$7,084.91 ","$5,957.28 ","$19,148.40 ","$15,318.72 ","$21,276.00 ","$13,281.00 ","$13,403.88 ","$13,403.88 ","$2,787.38 ","$10,212.48 ","$19,148.40 " ST. JOHN'S HOSPITAL,48100110,93454,HC CORONARY ANGIO ONLY/NO LV 93454,481,1 ,"$13,538.00 ","$8,799.70 ","$2,438.03 ","$13,538.00 ","$6,968.45 ","$6,227.48 ","$7,337.60 ","$2,787.38 ","$3,790.64 ","$4,332.16 ","$2,787.38 ","$4,981.98 ","$2,787.38 ","$5,000.00 ","$5,000.00 ","$2,787.38 ","$5,000.00 ","$5,296.03 ","$7,120.99 ","$6,769.00 ","$6,968.46 ","$2,787.38 ","$9,476.60 ","$2,787.38 ","$6,769.00 ","$2,843.13 ","$10,153.50 ","$6,037.95 ","$5,428.74 ","$6,037.95 ","$2,787.38 ","$6,037.95 ","$8,528.94 ","$8,528.94 ","$10,288.88 ","$13,538.00 ","$11,507.30 ","$6,968.46 ","$10,830.40 ","$5,009.06 ","$10,830.40 ","$2,787.38 ","$2,787.38 ","$13,538.00 ","$7,337.60 ","$2,787.38 ","$3,560.49 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$11,507.30 ","$6,271.61 ","$5,000.00 ","$3,790.64 ","$12,184.20 ","$9,747.36 ","$13,538.00 ","$8,528.94 ","$8,528.94 ","$8,528.94 ","$2,787.38 ","$6,498.24 ","$12,184.20 " ST. JOHN'S HOSPITAL,48100111,93455,HC CORO ANGIO AND GRAFTS ONLY NO LV 93455,481,1 ,"$14,601.00 ","$9,490.65 ","$2,438.03 ","$14,601.00 ","$6,968.45 ","$6,716.46 ","$7,913.74 ","$2,787.38 ","$4,088.28 ","$4,672.32 ","$2,787.38 ","$5,373.17 ","$2,787.38 ","$5,000.00 ","$5,000.00 ","$2,787.38 ","$5,000.00 ","$5,296.03 ","$7,680.13 ","$7,300.50 ","$6,968.46 ","$2,787.38 ","$10,220.70 ","$2,787.38 ","$7,300.50 ","$2,843.13 ","$10,950.75 ","$6,512.05 ","$5,855.00 ","$6,512.05 ","$2,787.38 ","$6,512.05 ","$9,198.63 ","$9,198.63 ","$11,096.76 ","$14,601.00 ","$12,410.85 ","$6,968.46 ","$11,680.80 ","$5,402.37 ","$11,680.80 ","$2,787.38 ","$2,787.38 ","$14,601.00 ","$7,913.74 ","$2,787.38 ","$3,840.06 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$12,410.85 ","$6,271.61 ","$5,000.00 ","$4,088.28 ","$13,140.90 ","$10,512.72 ","$14,601.00 ","$9,198.63 ","$9,198.63 ","$9,198.63 ","$2,787.38 ","$7,008.48 ","$13,140.90 " ST. JOHN'S HOSPITAL,48100112,93456,HC RHC CORONARY ANGIO/NO LV 93456,481,1 ,"$22,058.00 ","$14,337.70 ","$2,438.03 ","$22,058.00 ","$6,968.45 ","$10,146.68 ","$11,955.44 ","$2,787.38 ","$6,176.24 ","$6,242.41 ","$2,787.38 ","$7,146.79 ","$2,787.38 ","$7,345.31 ","$7,345.31 ","$2,787.38 ","$7,345.31 ","$5,296.03 ","$11,602.51 ","$11,029.00 ","$6,968.46 ","$2,787.38 ","$15,440.60 ","$2,787.38 ","$11,029.00 ","$2,843.13 ","$16,543.50 ","$9,837.87 ","$8,845.26 ","$9,837.87 ","$2,787.38 ","$9,837.87 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$22,058.00 ","$18,749.30 ","$6,968.46 ","$17,646.40 ","$8,161.46 ","$17,646.40 ","$2,787.38 ","$2,787.38 ","$22,058.00 ","$11,955.44 ","$2,787.38 ","$5,801.25 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$18,749.30 ","$6,271.61 ","$7,345.31 ","$6,176.24 ","$19,852.20 ","$15,881.76 ","$22,058.00 ","$13,281.00 ","$13,896.54 ","$13,896.54 ","$2,787.38 ","$10,587.84 ","$19,852.20 " ST. JOHN'S HOSPITAL,48100113,93457,HC RHC CORO ANGIO AND GRAFTS/NO LV 93457,481,1 ,"$23,404.00 ","$15,212.60 ","$2,438.03 ","$23,404.00 ","$6,968.45 ","$10,765.84 ","$12,684.97 ","$2,787.38 ","$6,553.12 ","$6,623.33 ","$2,787.38 ","$7,582.90 ","$2,787.38 ","$7,793.53 ","$7,793.53 ","$2,787.38 ","$7,793.53 ","$5,296.03 ","$12,310.50 ","$11,702.00 ","$6,968.46 ","$2,787.38 ","$16,382.80 ","$2,787.38 ","$11,702.00 ","$2,843.13 ","$17,553.00 ","$10,438.18 ","$9,385.00 ","$10,438.18 ","$2,787.38 ","$10,438.18 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$23,404.00 ","$19,893.40 ","$6,968.46 ","$18,723.20 ","$8,659.48 ","$18,723.20 ","$2,787.38 ","$2,787.38 ","$23,404.00 ","$12,684.97 ","$2,787.38 ","$6,155.25 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$19,893.40 ","$6,271.61 ","$7,793.53 ","$6,553.12 ","$21,063.60 ","$16,850.88 ","$23,404.00 ","$13,281.00 ","$14,744.52 ","$14,744.52 ","$2,787.38 ","$11,233.92 ","$21,063.60 " ST. JOHN'S HOSPITAL,48100114,93458,HC CORONARY ANGIO WITH LV 93458,481,1 ,"$20,859.00 ","$13,558.35 ","$2,438.03 ","$20,859.00 ","$6,968.45 ","$9,595.14 ","$11,305.58 ","$2,787.38 ","$5,840.52 ","$5,903.10 ","$2,787.38 ","$6,758.32 ","$2,787.38 ","$6,946.05 ","$6,946.05 ","$2,787.38 ","$6,946.05 ","$5,296.03 ","$10,971.83 ","$10,429.50 ","$6,968.46 ","$2,787.38 ","$14,601.30 ","$2,787.38 ","$10,429.50 ","$2,843.13 ","$15,644.25 ","$9,303.11 ","$8,364.46 ","$9,303.11 ","$2,787.38 ","$9,303.11 ","$13,141.17 ","$13,141.17 ","$14,609.00 ","$20,859.00 ","$17,730.15 ","$6,968.46 ","$16,687.20 ","$7,717.83 ","$16,687.20 ","$2,787.38 ","$2,787.38 ","$20,859.00 ","$11,305.58 ","$2,787.38 ","$5,485.92 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$17,730.15 ","$6,271.61 ","$6,946.05 ","$5,840.52 ","$18,773.10 ","$15,018.48 ","$20,859.00 ","$13,141.17 ","$13,141.17 ","$13,141.17 ","$2,787.38 ","$10,012.32 ","$18,773.10 " ST. JOHN'S HOSPITAL,48100115,93459,HC CORONARY ANGIO W GRAFTS AND LV 93459,481,1 ,"$22,025.00 ","$14,316.25 ","$2,438.03 ","$22,025.00 ","$6,968.45 ","$10,131.50 ","$11,937.55 ","$2,787.38 ","$6,167.00 ","$6,233.08 ","$2,787.38 ","$7,136.10 ","$2,787.38 ","$7,334.33 ","$7,334.33 ","$2,787.38 ","$7,334.33 ","$5,296.03 ","$11,585.15 ","$11,012.50 ","$6,968.46 ","$2,787.38 ","$15,417.50 ","$2,787.38 ","$11,012.50 ","$2,843.13 ","$16,518.75 ","$9,823.15 ","$8,832.03 ","$9,823.15 ","$2,787.38 ","$9,823.15 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$22,025.00 ","$18,721.25 ","$6,968.46 ","$17,620.00 ","$8,149.25 ","$17,620.00 ","$2,787.38 ","$2,787.38 ","$22,025.00 ","$11,937.55 ","$2,787.38 ","$5,792.58 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$18,721.25 ","$6,271.61 ","$7,334.33 ","$6,167.00 ","$19,822.50 ","$15,858.00 ","$22,025.00 ","$13,281.00 ","$13,875.75 ","$13,875.75 ","$2,787.38 ","$10,572.00 ","$19,822.50 " ST. JOHN'S HOSPITAL,48100116,93460,HC RHC/LHC/CORONAY ANGIO AND LV 93460,481,1 ,"$24,557.00 ","$15,962.05 ","$2,438.03 ","$24,557.00 ","$6,968.45 ","$11,296.22 ","$13,309.89 ","$2,787.38 ","$6,875.96 ","$6,949.63 ","$2,787.38 ","$7,956.47 ","$2,787.38 ","$8,177.48 ","$8,177.48 ","$2,787.38 ","$8,177.48 ","$5,296.03 ","$12,916.98 ","$12,278.50 ","$6,968.46 ","$2,787.38 ","$17,189.90 ","$2,787.38 ","$12,278.50 ","$2,843.13 ","$18,417.75 ","$10,952.42 ","$9,847.36 ","$10,952.42 ","$2,787.38 ","$10,952.42 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$24,557.00 ","$20,873.45 ","$6,968.46 ","$19,645.60 ","$9,086.09 ","$19,645.60 ","$2,787.38 ","$2,787.38 ","$24,557.00 ","$13,309.89 ","$2,787.38 ","$6,458.49 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$20,873.45 ","$6,271.61 ","$8,177.48 ","$6,875.96 ","$22,101.30 ","$17,681.04 ","$24,557.00 ","$13,281.00 ","$15,470.91 ","$15,470.91 ","$2,787.38 ","$11,787.36 ","$22,101.30 " ST. JOHN'S HOSPITAL,48100117,93461,HC RHC/LHC/CORON ANGIO GRAFTS AND LV 93461,481,1 ,"$25,783.00 ","$16,758.95 ","$2,438.03 ","$25,783.00 ","$6,968.45 ","$11,860.18 ","$13,974.39 ","$2,787.38 ","$7,219.24 ","$7,296.59 ","$2,787.38 ","$8,353.69 ","$2,787.38 ","$8,585.74 ","$8,585.74 ","$2,787.38 ","$8,585.74 ","$5,296.03 ","$13,561.86 ","$12,891.50 ","$6,968.46 ","$2,787.38 ","$18,048.10 ","$2,787.38 ","$12,891.50 ","$2,843.13 ","$19,337.25 ","$11,499.22 ","$10,338.98 ","$11,499.22 ","$2,787.38 ","$11,499.22 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$25,783.00 ","$21,915.55 ","$6,968.46 ","$20,626.40 ","$9,539.71 ","$20,626.40 ","$2,787.38 ","$2,787.38 ","$25,783.00 ","$13,974.39 ","$2,787.38 ","$6,780.93 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$21,915.55 ","$6,271.61 ","$8,585.74 ","$7,219.24 ","$23,204.70 ","$18,563.76 ","$25,783.00 ","$13,281.00 ","$16,243.29 ","$16,243.29 ","$2,787.38 ","$12,375.84 ","$23,204.70 " ST. JOHN'S HOSPITAL,48100118,93463,HC NITRIC OXIDE STUDY 93463,481,1 ,"$1,693.00 ","$1,100.45 ",$445.26 ,"$1,693.00 ", N/A ,$778.78 ,$917.61 , N/A ,$474.04 ,$541.76 , N/A ,$623.02 , N/A ,$646.73 ,$646.73 , N/A ,$646.73 , N/A ,$890.52 ,"$1,693.00 ", N/A , N/A ,"$1,185.10 ", N/A ,$846.50 , N/A ,"$1,269.75 ",$755.08 ,$678.89 ,$755.08 , N/A ,$755.08 ,"$1,066.59 ","$1,066.59 ","$1,286.68 ","$1,693.00 ","$1,439.05 ", N/A ,"$1,354.40 ",$626.41 ,"$1,354.40 ", N/A , N/A ,"$1,693.00 ",$917.61 , N/A ,$445.26 , N/A , N/A , N/A , N/A , N/A ,"$1,439.05 ", N/A ,$646.73 ,$474.04 ,"$1,523.70 ","$1,218.96 ","$1,693.00 ","$1,066.59 ","$1,066.59 ","$1,066.59 ", N/A ,$812.64 ,"$1,523.70 " ST. JOHN'S HOSPITAL,48100119,93567,HC AORTAGRAM 93567,481,1 ,$668.00 ,$434.20 ,$175.68 ,$668.00 , N/A ,$307.28 ,$362.06 , N/A ,$187.04 ,$213.76 , N/A ,$245.82 , N/A ,$255.18 ,$255.18 , N/A ,$255.18 , N/A ,$351.37 ,$668.00 , N/A , N/A ,$467.60 , N/A ,$334.00 , N/A ,$501.00 ,$297.93 ,$267.87 ,$297.93 , N/A ,$297.93 ,$420.84 ,$420.84 ,$507.68 ,$668.00 ,$567.80 , N/A ,$534.40 ,$247.16 ,$534.40 , N/A , N/A ,$668.00 ,$362.06 , N/A ,$175.68 , N/A , N/A , N/A , N/A , N/A ,$567.80 , N/A ,$255.18 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$420.84 ,$420.84 , N/A ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,48100120,93571,HC INTRAVASC DOPP COLOR FLOW INIT 93571,481,1 ,"$6,289.00 ","$4,087.85 ","$1,654.01 ","$6,289.00 ", N/A ,"$2,892.94 ","$3,408.64 ", N/A ,"$1,760.92 ","$2,012.48 ", N/A ,"$2,314.35 ", N/A ,"$2,402.40 ","$2,402.40 ", N/A ,"$2,402.40 ", N/A ,"$3,308.01 ","$6,289.00 ", N/A , N/A ,"$4,402.30 ", N/A ,"$3,144.50 ", N/A ,"$4,716.75 ","$2,804.89 ","$2,521.89 ","$2,804.89 ", N/A ,"$2,804.89 ","$3,962.07 ","$3,962.07 ","$4,779.64 ","$6,289.00 ","$5,345.65 ", N/A ,"$5,031.20 ","$2,326.93 ","$5,031.20 ", N/A , N/A ,"$6,289.00 ","$3,408.64 ", N/A ,"$1,654.01 ", N/A , N/A , N/A , N/A , N/A ,"$5,345.65 ", N/A ,"$2,402.40 ","$1,760.92 ","$5,660.10 ","$4,528.08 ","$6,289.00 ","$3,962.07 ","$3,962.07 ","$3,962.07 ", N/A ,"$3,018.72 ","$5,660.10 " ST. JOHN'S HOSPITAL,48100121,93572,HC INTRAVASC DOPP COLOR FLOW ADDL 93572,481,1 ,"$5,010.00 ","$3,256.50 ","$1,317.63 ","$5,010.00 ", N/A ,"$2,304.60 ","$2,715.42 ", N/A ,"$1,402.80 ","$1,603.20 ", N/A ,"$1,843.68 ", N/A ,"$1,913.82 ","$1,913.82 ", N/A ,"$1,913.82 ", N/A ,"$2,635.26 ","$5,010.00 ", N/A , N/A ,"$3,507.00 ", N/A ,"$2,505.00 ", N/A ,"$3,757.50 ","$2,234.46 ","$2,009.01 ","$2,234.46 ", N/A ,"$2,234.46 ","$3,156.30 ","$3,156.30 ","$3,807.60 ","$5,010.00 ","$4,258.50 ", N/A ,"$4,008.00 ","$1,853.70 ","$4,008.00 ", N/A , N/A ,"$5,010.00 ","$2,715.42 ", N/A ,"$1,317.63 ", N/A , N/A , N/A , N/A , N/A ,"$4,258.50 ", N/A ,"$1,913.82 ","$1,402.80 ","$4,509.00 ","$3,607.20 ","$5,010.00 ","$3,156.30 ","$3,156.30 ","$3,156.30 ", N/A ,"$2,404.80 ","$4,509.00 " ST. JOHN'S HOSPITAL,48100122,93580,HC PTC W/IMPLNT ATRIAL 93580,481,1 ,"$21,692.00 ","$14,099.80 ","$5,705.00 ","$38,594.64 ","$38,594.63 ","$7,000.00 ","$11,757.06 ","$15,437.85 ","$6,073.76 ","$6,138.84 ","$15,437.85 ","$7,028.21 ","$15,437.85 ","$7,223.44 ","$7,223.44 ","$15,437.85 ","$7,223.44 ","$21,692.00 ","$11,409.99 ","$10,846.00 ","$38,594.64 ","$15,437.85 ","$15,184.40 ","$15,437.85 ","$10,846.00 ","$15,746.61 ","$16,269.00 ","$9,674.63 ","$8,698.49 ","$9,674.63 ","$15,437.85 ","$9,674.63 ","$13,665.96 ","$13,665.96 ","$16,485.92 ","$21,692.00 ","$18,438.20 ","$21,692.00 ","$17,353.60 ","$8,026.04 ","$17,353.60 ","$15,437.85 ","$15,437.85 ","$21,692.00 ","$11,757.06 ","$15,437.85 ","$5,705.00 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$18,438.20 ","$34,735.17 ","$7,223.44 ","$6,073.76 ","$19,522.80 ","$15,618.24 ","$21,692.00 ","$13,665.96 ","$13,665.96 ","$13,665.96 ","$15,437.85 ","$10,412.16 ","$19,522.80 " ST. JOHN'S HOSPITAL,48100123,93600,HC HIS BUNDLE RECORDING,481,1 ,"$5,815.00 ","$3,779.75 ","$1,529.35 ","$14,607.05 ","$14,607.05 ","$5,815.00 ","$3,151.73 ","$5,842.82 ","$1,628.20 ","$1,860.80 ","$5,842.82 ","$2,139.92 ","$5,815.00 ","$2,221.33 ","$2,221.33 ","$5,815.00 ","$2,221.33 ","$5,815.00 ","$3,058.69 ","$5,815.00 ","$14,607.05 ","$5,842.82 ","$4,070.50 ","$5,842.82 ","$2,907.50 ","$5,815.00 ","$4,361.25 ","$2,593.49 ","$2,331.82 ","$2,593.49 ","$5,842.82 ","$2,593.49 ","$3,663.45 ","$3,663.45 ","$4,419.40 ","$5,815.00 ","$4,942.75 ","$5,815.00 ","$4,652.00 ","$2,151.55 ","$4,652.00 ","$5,842.82 ","$5,842.82 ","$5,815.00 ","$3,151.73 ","$5,842.82 ","$1,529.35 ", N/A , N/A ,"$5,474.91 ","$5,226.05 ","$6,134.96 ","$4,942.75 ","$13,146.34 ","$2,221.33 ","$1,628.20 ","$5,233.50 ","$4,186.80 ","$5,815.00 ","$3,663.45 ","$3,663.45 ","$3,663.45 ","$5,842.82 ","$2,791.20 ","$5,233.50 " ST. JOHN'S HOSPITAL,48100124,93602,HC INTRA-ATRIAL RECORDING,481,1 ,"$6,394.00 ","$4,156.10 ","$1,681.62 ","$14,607.05 ","$14,607.05 ","$6,394.00 ","$3,465.55 ","$5,842.82 ","$1,790.32 ","$2,046.08 ","$5,842.82 ","$2,352.99 ","$5,842.82 ","$2,442.51 ","$2,442.51 ","$5,842.82 ","$2,442.51 ","$6,394.00 ","$3,363.24 ","$6,394.00 ","$14,607.05 ","$5,842.82 ","$4,475.80 ","$5,842.82 ","$3,197.00 ","$5,959.68 ","$4,795.50 ","$2,851.72 ","$2,563.99 ","$2,851.72 ","$5,842.82 ","$2,851.72 ","$4,028.22 ","$4,028.22 ","$4,859.44 ","$6,394.00 ","$5,434.90 ","$6,394.00 ","$5,115.20 ","$2,365.78 ","$5,115.20 ","$5,842.82 ","$5,842.82 ","$6,394.00 ","$3,465.55 ","$5,842.82 ","$1,681.62 ", N/A , N/A ,"$5,474.91 ","$5,226.05 ","$6,134.96 ","$5,434.90 ","$13,146.34 ","$2,442.51 ","$1,790.32 ","$5,754.60 ","$4,603.68 ","$6,394.00 ","$4,028.22 ","$4,028.22 ","$4,028.22 ","$5,842.82 ","$3,069.12 ","$5,754.60 " ST. JOHN'S HOSPITAL,48100125,93609,HC TACHYCARDIA SITE MAPPING 93609,481,1 ,"$5,842.00 ","$3,797.30 ","$1,536.45 ","$11,988.65 ", N/A ,"$5,842.00 ","$3,166.36 ", N/A ,"$1,635.76 ","$1,869.44 ", N/A ,"$2,149.86 ", N/A ,"$2,231.64 ","$2,231.64 ", N/A ,"$2,231.64 ", N/A ,"$3,072.89 ","$5,842.00 ", N/A , N/A ,"$4,089.40 ", N/A ,"$2,921.00 ", N/A ,"$4,381.50 ","$2,605.53 ","$2,342.64 ","$2,605.53 ", N/A ,"$2,605.53 ","$3,680.46 ","$3,680.46 ","$4,439.92 ","$5,842.00 ","$4,965.70 ", N/A ,"$4,673.60 ","$2,161.54 ","$4,673.60 ", N/A , N/A ,"$5,842.00 ","$3,166.36 ", N/A ,"$1,536.45 ", N/A , N/A ,"$5,842.00 ","$11,988.65 ", N/A ,"$4,965.70 ", N/A ,"$2,231.64 ","$1,635.76 ","$5,257.80 ","$4,206.24 ","$5,842.00 ","$3,680.46 ","$3,680.46 ","$3,680.46 ", N/A ,"$2,804.16 ","$5,257.80 " ST. JOHN'S HOSPITAL,48100126,93612,HC EP INTRAVENTRIC PACING,481,1 ,"$11,828.00 ","$7,688.20 ","$3,110.76 ","$14,607.05 ","$14,607.05 ","$7,500.00 ","$6,410.78 ","$5,842.82 ","$3,311.84 ","$3,784.96 ","$5,842.82 ","$4,352.70 ","$5,842.82 ","$4,518.30 ","$4,518.30 ","$5,842.82 ","$4,518.30 ","$11,101.36 ","$6,221.53 ","$8,520.00 ","$14,607.05 ","$5,842.82 ","$8,279.60 ","$5,842.82 ","$5,914.00 ","$5,959.68 ","$8,871.00 ","$5,275.29 ","$4,743.03 ","$5,275.29 ","$5,842.82 ","$5,275.29 ","$7,451.64 ","$7,451.64 ","$8,989.28 ","$11,828.00 ","$10,053.80 ","$11,828.00 ","$9,462.40 ","$4,376.36 ","$9,462.40 ","$5,842.82 ","$5,842.82 ","$11,828.00 ","$6,410.78 ","$5,842.82 ","$3,110.76 ", N/A , N/A ,"$5,474.91 ","$5,226.05 ","$6,134.96 ","$10,053.80 ","$13,146.34 ","$4,518.30 ","$3,311.84 ","$10,645.20 ","$8,516.16 ","$11,828.00 ","$7,451.64 ","$7,451.64 ","$7,451.64 ","$5,842.82 ","$5,677.44 ","$10,645.20 " ST. JOHN'S HOSPITAL,48100127,93613,HC EP INTRACARDIAC 3-D MAPPING 93613,481,1 ,"$8,010.00 ","$5,206.50 ","$2,106.63 ","$11,988.65 ", N/A ,"$7,500.00 ","$4,341.42 ", N/A ,"$2,242.80 ","$2,563.20 ", N/A ,"$2,947.68 ", N/A ,"$3,059.82 ","$3,059.82 ", N/A ,"$3,059.82 ", N/A ,"$4,213.26 ","$8,010.00 ", N/A , N/A ,"$5,607.00 ", N/A ,"$4,005.00 ", N/A ,"$6,007.50 ","$3,572.46 ","$3,212.01 ","$3,572.46 ", N/A ,"$3,572.46 ","$5,046.30 ","$5,046.30 ","$6,087.60 ","$8,010.00 ","$6,808.50 ", N/A ,"$6,408.00 ","$2,963.70 ","$6,408.00 ", N/A , N/A ,"$8,010.00 ","$4,341.42 ", N/A ,"$2,106.63 ", N/A , N/A ,"$8,010.00 ","$11,988.65 ", N/A ,"$6,808.50 ", N/A ,"$3,059.82 ","$2,242.80 ","$7,209.00 ","$5,767.20 ","$8,010.00 ","$5,046.30 ","$5,046.30 ","$5,046.30 ", N/A ,"$3,844.80 ","$7,209.00 " ST. JOHN'S HOSPITAL,48100128,93619,HC EP COMPREHENSIVE W/O ARRHYTHMI 93619,481,1 ,"$16,508.00 ","$10,730.20 ","$4,341.60 ","$16,508.00 ","$14,607.05 ","$12,000.00 ","$8,947.34 ","$5,842.82 ","$4,622.24 ","$5,282.56 ","$5,842.82 ","$6,074.94 ","$5,842.82 ","$5,497.16 ","$5,497.16 ","$5,842.82 ","$5,497.16 ","$11,101.36 ","$8,683.21 ","$8,254.00 ","$14,607.05 ","$5,842.82 ","$11,555.60 ","$5,842.82 ","$8,254.00 ","$5,959.68 ","$12,381.00 ","$7,362.57 ","$6,619.71 ","$7,362.57 ","$5,842.82 ","$7,362.57 ","$10,400.04 ","$10,400.04 ","$12,546.08 ","$16,508.00 ","$14,031.80 ","$14,607.05 ","$13,206.40 ","$6,107.96 ","$13,206.40 ","$5,842.82 ","$5,842.82 ","$16,508.00 ","$8,947.34 ","$5,842.82 ","$4,341.60 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$6,134.96 ","$14,031.80 ","$13,146.34 ","$5,497.16 ","$4,622.24 ","$14,857.20 ","$11,885.76 ","$16,508.00 ","$10,400.04 ","$10,400.04 ","$10,400.04 ","$5,842.82 ","$7,923.84 ","$14,857.20 " ST. JOHN'S HOSPITAL,48100129,93620,HC EP COMPREHENSIVE W/ ARRHYTHMIA 93620,481,1 ,"$19,215.00 ","$12,489.75 ","$5,053.55 ","$19,215.00 ","$14,607.05 ","$12,000.00 ","$10,414.53 ","$5,842.82 ","$5,380.20 ","$5,437.85 ","$5,842.82 ","$6,225.66 ","$5,842.82 ","$6,398.60 ","$6,398.60 ","$5,842.82 ","$6,398.60 ","$11,101.36 ","$10,107.09 ","$9,607.50 ","$14,607.05 ","$5,842.82 ","$13,450.50 ","$5,842.82 ","$9,607.50 ","$5,959.68 ","$14,411.25 ","$8,569.89 ","$7,705.22 ","$8,569.89 ","$5,842.82 ","$8,569.89 ","$12,105.45 ","$12,105.45 ","$14,603.40 ","$19,215.00 ","$16,332.75 ","$14,607.05 ","$15,372.00 ","$7,109.55 ","$15,372.00 ","$5,842.82 ","$5,842.82 ","$19,215.00 ","$10,414.53 ","$5,842.82 ","$5,053.55 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$6,134.96 ","$16,332.75 ","$13,146.34 ","$6,398.60 ","$5,380.20 ","$17,293.50 ","$13,834.80 ","$19,215.00 ","$12,105.45 ","$12,105.45 ","$12,105.45 ","$5,842.82 ","$9,223.20 ","$17,293.50 " ST. JOHN'S HOSPITAL,48100130,93621,HC EP COMPREHENSIVE W/LT ATRIUM 93621,481,1 ,"$11,750.00 ","$7,637.50 ","$3,090.25 ","$11,988.65 ", N/A ,"$11,750.00 ","$6,368.50 ", N/A ,"$3,290.00 ","$3,760.00 ", N/A ,"$4,324.00 ", N/A ,"$4,488.50 ","$4,488.50 ", N/A ,"$4,488.50 ", N/A ,"$6,180.50 ","$8,520.00 ", N/A , N/A ,"$8,225.00 ", N/A ,"$5,875.00 ", N/A ,"$8,812.50 ","$5,240.50 ","$4,711.75 ","$5,240.50 ", N/A ,"$5,240.50 ","$7,402.50 ","$7,402.50 ","$8,930.00 ","$11,750.00 ","$9,987.50 ", N/A ,"$9,400.00 ","$4,347.50 ","$9,400.00 ", N/A , N/A ,"$11,750.00 ","$6,368.50 ", N/A ,"$3,090.25 ", N/A , N/A ,"$11,750.00 ","$11,988.65 ", N/A ,"$9,987.50 ", N/A ,"$4,488.50 ","$3,290.00 ","$10,575.00 ","$8,460.00 ","$11,750.00 ","$7,402.50 ","$7,402.50 ","$7,402.50 ", N/A ,"$5,640.00 ","$10,575.00 " ST. JOHN'S HOSPITAL,48100131,93622,HC EP COMPREHENSIVE W/LT VENTRIC 93622,481,1 ,"$18,157.00 ","$11,802.05 ","$4,775.29 ","$18,157.00 ", N/A ,"$12,000.00 ","$9,841.09 ", N/A ,"$5,083.96 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,046.28 ","$6,046.28 ", N/A ,"$6,046.28 ", N/A ,"$9,550.58 ","$9,078.50 ", N/A , N/A ,"$12,709.90 ", N/A ,"$9,078.50 ", N/A ,"$13,617.75 ","$8,098.02 ","$7,280.96 ","$8,098.02 ", N/A ,"$8,098.02 ","$11,438.91 ","$11,438.91 ","$13,799.32 ","$18,157.00 ","$15,433.45 ", N/A ,"$14,525.60 ","$6,718.09 ","$14,525.60 ", N/A , N/A ,"$18,157.00 ","$9,841.09 ", N/A ,"$4,775.29 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ", N/A ,"$15,433.45 ", N/A ,"$6,046.28 ","$5,083.96 ","$16,341.30 ","$13,073.04 ","$18,157.00 ","$11,438.91 ","$11,438.91 ","$11,438.91 ", N/A ,"$8,715.36 ","$16,341.30 " ST. JOHN'S HOSPITAL,48100132,93623,HC EP IV DRUG INFUSION PACING 93623,481,1 ,"$6,508.00 ","$4,230.20 ","$1,711.60 ","$11,988.65 ", N/A ,"$6,508.00 ","$3,527.34 ", N/A ,"$1,822.24 ","$2,082.56 ", N/A ,"$2,394.94 ", N/A ,"$2,486.06 ","$2,486.06 ", N/A ,"$2,486.06 ", N/A ,"$3,423.21 ","$6,508.00 ", N/A , N/A ,"$4,555.60 ", N/A ,"$3,254.00 ", N/A ,"$4,881.00 ","$2,902.57 ","$2,609.71 ","$2,902.57 ", N/A ,"$2,902.57 ","$4,100.04 ","$4,100.04 ","$4,946.08 ","$6,508.00 ","$5,531.80 ", N/A ,"$5,206.40 ","$2,407.96 ","$5,206.40 ", N/A , N/A ,"$6,508.00 ","$3,527.34 ", N/A ,"$1,711.60 ", N/A , N/A ,"$6,508.00 ","$11,988.65 ", N/A ,"$5,531.80 ", N/A ,"$2,486.06 ","$1,822.24 ","$5,857.20 ","$4,685.76 ","$6,508.00 ","$4,100.04 ","$4,100.04 ","$4,100.04 ", N/A ,"$3,123.84 ","$5,857.20 " ST. JOHN'S HOSPITAL,48100133,93641,HC EP EVAL CARDIO/DEFIB GENERATOR 93641,481,1 ,$705.00 ,$458.25 ,$185.42 ,$705.00 , N/A ,$705.00 ,$382.11 , N/A ,$197.40 ,$225.60 , N/A ,$259.44 , N/A ,$269.31 ,$269.31 , N/A ,$269.31 , N/A ,$370.83 ,$705.00 , N/A , N/A ,$493.50 , N/A ,$352.50 , N/A ,$528.75 ,$314.43 ,$282.71 ,$314.43 , N/A ,$314.43 ,$444.15 ,$444.15 ,$535.80 ,$705.00 ,$599.25 , N/A ,$564.00 ,$260.85 ,$564.00 , N/A , N/A ,$705.00 ,$382.11 , N/A ,$185.42 , N/A , N/A ,$265.56 ,$253.49 , N/A ,$599.25 , N/A ,$269.31 ,$197.40 ,$634.50 ,$507.60 ,$705.00 ,$444.15 ,$444.15 ,$444.15 , N/A ,$338.40 ,$634.50 ST. JOHN'S HOSPITAL,48100135,93642,HC EP EVAL CARDIO/DEFIB SGL/DUAL 93642,481,1 ,"$4,665.00 ","$3,032.25 ",$253.49 ,"$4,665.00 ","$2,676.58 ","$4,665.00 ","$2,528.43 ","$1,070.63 ","$1,306.20 ","$1,492.80 ","$1,070.63 ","$1,716.72 ","$1,070.63 ","$1,782.03 ","$1,782.03 ","$1,070.63 ","$1,782.03 ","$2,034.20 ","$2,453.79 ","$4,665.00 ","$2,676.58 ","$1,070.63 ","$3,265.50 ","$1,070.63 ","$2,332.50 ","$1,092.05 ","$3,498.75 ","$2,080.59 ","$1,870.67 ","$2,080.59 ","$1,070.63 ","$2,080.59 ","$2,938.95 ","$2,938.95 ","$3,545.40 ","$4,665.00 ","$3,965.25 ","$2,676.58 ","$3,732.00 ","$1,726.05 ","$3,732.00 ","$1,070.63 ","$1,070.63 ","$4,665.00 ","$2,528.43 ","$1,070.63 ","$1,226.90 ", N/A , N/A ,$265.56 ,$253.49 ,"$1,124.16 ","$3,965.25 ","$2,408.93 ","$1,782.03 ","$1,306.20 ","$4,198.50 ","$3,358.80 ","$4,665.00 ","$2,938.95 ","$2,938.95 ","$2,938.95 ","$1,070.63 ","$2,239.20 ","$4,198.50 " ST. JOHN'S HOSPITAL,48100136,93650,HC ABLATION ATRIOVENTRICULAR FNCT 93650,481,1 ,"$17,522.00 ","$11,389.30 ","$4,608.29 ","$17,522.00 ","$14,607.05 ","$12,000.00 ","$9,496.92 ","$5,842.82 ","$4,906.16 ","$5,607.04 ","$5,842.82 ","$6,448.10 ","$5,842.82 ","$5,834.83 ","$5,834.83 ","$5,842.82 ","$5,834.83 ","$11,101.36 ","$9,216.57 ","$8,761.00 ","$14,607.05 ","$5,842.82 ","$12,265.40 ","$5,842.82 ","$8,761.00 ","$5,959.68 ","$13,141.50 ","$7,814.81 ","$7,026.32 ","$7,814.81 ","$5,842.82 ","$7,814.81 ","$11,038.86 ","$11,038.86 ","$13,316.72 ","$17,522.00 ","$14,893.70 ","$14,607.05 ","$14,017.60 ","$6,483.14 ","$14,017.60 ","$5,842.82 ","$5,842.82 ","$17,522.00 ","$9,496.92 ","$5,842.82 ","$4,608.29 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$6,134.96 ","$14,893.70 ","$13,146.34 ","$5,834.83 ","$4,906.16 ","$15,769.80 ","$12,615.84 ","$17,522.00 ","$11,038.86 ","$11,038.86 ","$11,038.86 ","$5,842.82 ","$8,410.56 ","$15,769.80 " ST. JOHN'S HOSPITAL,48100139,93660,HC TILT TABLE EVALUATION 93660,481,1 ,"$3,178.00 ","$2,065.70 ",$141.92 ,"$3,178.00 ","$1,173.05 ","$1,461.88 ","$1,722.48 ",$469.22 ,$889.84 ,"$1,016.96 ",$469.22 ,"$1,169.50 ",$469.22 ,"$1,214.00 ","$1,214.00 ",$469.22 ,"$1,214.00 ",$891.51 ,"$1,671.63 ","$3,178.00 ","$1,173.04 ",$469.22 ,"$2,224.60 ",$469.22 ,"$1,589.00 ",$478.60 ,"$2,383.50 ","$1,417.39 ","$1,274.38 ","$1,417.39 ",$469.22 ,"$1,417.39 ","$2,002.14 ","$2,002.14 ","$2,415.28 ","$3,178.00 ","$2,701.30 ","$1,173.04 ","$2,542.40 ","$1,175.86 ","$2,542.40 ",$469.22 ,$469.22 ,"$3,178.00 ","$1,722.48 ",$469.22 ,$835.81 , N/A , N/A ,$148.68 ,$141.92 ,$492.68 ,"$2,701.30 ","$1,055.74 ","$1,214.00 ",$889.84 ,"$2,860.20 ","$2,288.16 ","$3,178.00 ","$2,002.14 ","$2,002.14 ","$2,002.14 ",$469.22 ,"$1,525.44 ","$2,860.20 " ST. JOHN'S HOSPITAL,48100140,93662,HC EP INTRACARDIAC ECHO INTERVENT 93662,481,1 ,"$7,602.00 ","$4,941.30 ","$1,999.33 ","$7,602.00 ", N/A ,"$7,500.00 ","$4,120.28 ", N/A ,"$2,128.56 ","$2,432.64 ", N/A ,"$2,797.54 ", N/A ,"$2,903.96 ","$2,903.96 ", N/A ,"$2,903.96 ", N/A ,"$3,998.65 ","$7,602.00 ", N/A , N/A ,"$5,321.40 ", N/A ,"$3,801.00 ", N/A ,"$5,701.50 ","$3,390.49 ","$3,048.40 ","$3,390.49 ", N/A ,"$3,390.49 ","$4,789.26 ","$4,789.26 ","$5,777.52 ","$7,602.00 ","$6,461.70 ", N/A ,"$6,081.60 ","$2,812.74 ","$6,081.60 ", N/A , N/A ,"$7,602.00 ","$4,120.28 ", N/A ,"$1,999.33 ", N/A , N/A , N/A , N/A , N/A ,"$6,461.70 ", N/A ,"$2,903.96 ","$2,128.56 ","$6,841.80 ","$5,473.44 ","$7,602.00 ","$4,789.26 ","$4,789.26 ","$4,789.26 ", N/A ,"$3,648.96 ","$6,841.80 " ST. JOHN'S HOSPITAL,48100150,93503,HC PLACEMENT SWANZ GAN CATH MONIT 93503,481,1 ,"$3,672.00 ","$2,386.80 ",$965.74 ,"$3,672.00 ","$3,379.28 ","$1,689.12 ","$1,990.22 ","$1,351.71 ","$1,028.16 ","$1,175.04 ","$1,351.71 ","$1,351.30 ","$1,351.71 ","$1,402.70 ","$1,402.70 ","$1,351.71 ","$1,402.70 ","$2,568.26 ","$1,931.47 ","$3,672.00 ","$3,379.28 ","$1,351.71 ","$2,570.40 ","$1,351.71 ","$1,836.00 ","$1,378.75 ","$2,754.00 ","$1,637.71 ","$1,472.47 ","$1,637.71 ","$1,351.71 ","$1,637.71 ","$2,313.36 ","$2,313.36 ","$2,790.72 ","$3,672.00 ","$3,121.20 ","$3,379.28 ","$2,937.60 ","$1,358.64 ","$2,937.60 ","$1,351.71 ","$1,351.71 ","$3,672.00 ","$1,990.22 ","$1,351.71 ",$965.74 , N/A , N/A ,"$1,784.43 ","$1,703.32 ","$1,419.30 ","$3,121.20 ","$3,041.36 ","$1,402.70 ","$1,028.16 ","$3,304.80 ","$2,643.84 ","$3,672.00 ","$2,313.36 ","$2,313.36 ","$2,313.36 ","$1,351.71 ","$1,762.56 ","$3,304.80 " ST. JOHN'S HOSPITAL,48100151,33227,HC REM/REPL PCMKR PUL GEN SGL 33227,481,1 ,"$42,920.00 ","$27,898.00 ","$4,200.00 ","$42,920.00 ","$19,606.08 ","$4,200.00 ","$23,262.64 ","$7,842.43 ","$12,017.60 ","$12,146.36 ","$7,842.43 ","$13,906.08 ","$7,842.43 ","$14,292.36 ","$14,292.36 ","$7,842.43 ","$14,292.36 ","$14,900.61 ","$22,575.92 ","$21,460.00 ","$19,606.07 ","$7,842.43 ","$30,044.00 ","$7,842.43 ","$21,460.00 ","$7,999.28 ","$32,190.00 ","$19,142.32 ","$17,210.92 ","$19,142.32 ","$7,842.43 ","$19,142.32 ","$27,039.60 ","$27,039.60 ","$32,619.20 ","$42,920.00 ","$36,482.00 ","$19,606.07 ","$34,336.00 ","$15,880.40 ","$34,336.00 ","$7,842.43 ","$7,842.43 ","$42,920.00 ","$23,262.64 ","$7,842.43 ","$11,287.96 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$8,234.55 ","$36,482.00 ","$17,645.46 ","$14,292.36 ","$12,017.60 ","$38,628.00 ","$30,902.40 ","$42,920.00 ","$27,039.60 ","$27,039.60 ","$27,039.60 ","$7,842.43 ","$20,601.60 ","$38,628.00 " ST. JOHN'S HOSPITAL,48100152,33228,HC REM/REPL PCMKR PUL GEN DUAL 33228,481,1 ,"$48,141.00 ","$31,291.65 ","$4,200.00 ","$48,141.00 ","$24,987.25 ","$4,200.00 ","$26,092.42 ","$9,994.90 ","$13,479.48 ","$13,623.90 ","$9,994.90 ","$15,597.68 ","$9,994.90 ","$16,030.95 ","$16,030.95 ","$9,994.90 ","$16,030.95 ","$18,990.32 ","$25,322.17 ","$24,070.50 ","$24,987.26 ","$9,994.90 ","$33,698.70 ","$9,994.90 ","$24,070.50 ","$10,194.80 ","$36,105.75 ","$21,470.89 ","$19,304.54 ","$21,470.89 ","$9,994.90 ","$21,470.89 ","$30,328.83 ","$30,328.83 ","$36,587.16 ","$48,141.00 ","$40,919.85 ","$24,987.26 ","$38,512.80 ","$17,812.17 ","$38,512.80 ","$9,994.90 ","$9,994.90 ","$48,141.00 ","$26,092.42 ","$9,994.90 ","$12,661.08 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$40,919.85 ","$22,488.53 ","$16,030.95 ","$13,479.48 ","$43,326.90 ","$34,661.52 ","$48,141.00 ","$30,328.83 ","$30,328.83 ","$30,328.83 ","$9,994.90 ","$23,107.68 ","$43,326.90 " ST. JOHN'S HOSPITAL,48100153,33229,HC REM/REPL PCMKR PUL GEN MULT 33229,481,1 ,"$48,141.00 ","$31,291.65 ","$4,200.00 ","$48,141.00 ","$44,755.93 ","$4,200.00 ","$26,092.42 ","$17,902.37 ","$13,479.48 ","$13,623.90 ","$17,902.37 ","$15,597.68 ","$17,902.37 ","$16,030.95 ","$16,030.95 ","$17,902.37 ","$16,030.95 ","$34,014.50 ","$25,322.17 ","$24,070.50 ","$44,755.92 ","$17,902.37 ","$33,698.70 ","$17,902.37 ","$24,070.50 ","$18,260.41 ","$36,105.75 ","$21,470.89 ","$19,304.54 ","$21,470.89 ","$17,902.37 ","$21,470.89 ","$30,328.83 ","$30,328.83 ","$36,587.16 ","$48,141.00 ","$40,919.85 ","$44,755.92 ","$38,512.80 ","$17,812.17 ","$38,512.80 ","$17,902.37 ","$17,902.37 ","$48,141.00 ","$26,092.42 ","$17,902.37 ","$12,661.08 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$18,797.49 ","$40,919.85 ","$40,280.33 ","$16,030.95 ","$13,479.48 ","$43,326.90 ","$34,661.52 ","$48,141.00 ","$30,328.83 ","$30,328.83 ","$30,328.83 ","$17,902.37 ","$23,107.68 ","$43,326.90 " ST. JOHN'S HOSPITAL,48100154,33262,HC REM/REPL DEFIB PUL GEN SGL 33262,481,1 ,"$42,920.00 ","$27,898.00 ","$4,200.00 ","$55,415.15 ","$55,415.15 ","$4,200.00 ","$23,262.64 ","$22,166.06 ","$12,017.60 ","$12,146.36 ","$22,166.06 ","$13,906.08 ","$22,166.06 ","$14,292.36 ","$14,292.36 ","$22,166.06 ","$14,292.36 ","$42,115.51 ","$22,575.92 ","$21,460.00 ","$55,415.15 ","$22,166.06 ","$30,044.00 ","$22,166.06 ","$21,460.00 ","$22,609.38 ","$32,190.00 ","$19,142.32 ","$17,210.92 ","$19,142.32 ","$22,166.06 ","$19,142.32 ","$27,039.60 ","$27,039.60 ","$32,619.20 ","$42,920.00 ","$36,482.00 ","$42,920.00 ","$34,336.00 ","$15,880.40 ","$34,336.00 ","$22,166.06 ","$22,166.06 ","$42,920.00 ","$23,262.64 ","$22,166.06 ","$11,287.96 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$23,274.36 ","$36,482.00 ","$49,873.64 ","$14,292.36 ","$12,017.60 ","$38,628.00 ","$30,902.40 ","$42,920.00 ","$27,039.60 ","$27,039.60 ","$27,039.60 ","$22,166.06 ","$20,601.60 ","$38,628.00 " ST. JOHN'S HOSPITAL,48100155,33263,HC REM/REPL DEFIB PUL GEN DUAL 33263,481,1 ,"$48,141.00 ","$31,291.65 ","$4,200.00 ","$55,415.15 ","$55,415.15 ","$4,200.00 ","$26,092.42 ","$22,166.06 ","$13,479.48 ","$13,623.90 ","$22,166.06 ","$15,597.68 ","$22,166.06 ","$16,030.95 ","$16,030.95 ","$22,166.06 ","$16,030.95 ","$42,115.51 ","$25,322.17 ","$24,070.50 ","$55,415.15 ","$22,166.06 ","$33,698.70 ","$22,166.06 ","$24,070.50 ","$22,609.38 ","$36,105.75 ","$21,470.89 ","$19,304.54 ","$21,470.89 ","$22,166.06 ","$21,470.89 ","$30,328.83 ","$30,328.83 ","$36,587.16 ","$48,141.00 ","$40,919.85 ","$48,141.00 ","$38,512.80 ","$17,812.17 ","$38,512.80 ","$22,166.06 ","$22,166.06 ","$48,141.00 ","$26,092.42 ","$22,166.06 ","$12,661.08 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$23,274.36 ","$40,919.85 ","$49,873.64 ","$16,030.95 ","$13,479.48 ","$43,326.90 ","$34,661.52 ","$48,141.00 ","$30,328.83 ","$30,328.83 ","$30,328.83 ","$22,166.06 ","$23,107.68 ","$43,326.90 " ST. JOHN'S HOSPITAL,48100156,33264,HC REM/REPL DEFIB PUL GEN MULT 33264,481,1 ,"$52,106.00 ","$33,868.90 ","$4,200.00 ","$78,936.16 ","$78,936.15 ","$4,200.00 ","$28,241.45 ","$31,574.46 ","$14,589.68 ","$14,746.00 ","$31,574.46 ","$16,882.34 ","$31,574.46 ","$17,351.30 ","$17,351.30 ","$31,574.46 ","$17,351.30 ","$52,106.00 ","$27,407.76 ","$26,053.00 ","$78,936.16 ","$31,574.46 ","$36,474.20 ","$31,574.46 ","$26,053.00 ","$32,205.95 ","$39,079.50 ","$23,239.28 ","$20,894.51 ","$23,239.28 ","$31,574.46 ","$23,239.28 ","$32,826.78 ","$32,826.78 ","$39,600.56 ","$52,106.00 ","$44,290.10 ","$52,106.00 ","$41,684.80 ","$19,279.22 ","$41,684.80 ","$31,574.46 ","$31,574.46 ","$52,106.00 ","$28,241.45 ","$31,574.46 ","$13,703.88 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$33,153.18 ","$44,290.10 ","$71,042.55 ","$17,351.30 ","$14,589.68 ","$46,895.40 ","$37,516.32 ","$52,106.00 ","$32,826.78 ","$32,826.78 ","$32,826.78 ","$31,574.46 ","$25,010.88 ","$46,895.40 " ST. JOHN'S HOSPITAL,48100157,0075T,HC TRANSCATH XCRAN STENT PLCMT,481,1 ,"$24,321.00 ","$15,808.65 ",$704.53 ,"$24,321.00 ", N/A ,$704.53 ,"$13,181.98 ", N/A ,"$6,809.88 ","$6,882.84 ", N/A ,"$7,880.00 ", N/A ,"$8,098.89 ","$8,098.89 ", N/A ,"$8,098.89 ", N/A ,"$12,792.85 ","$12,160.50 ", N/A , N/A ,"$17,024.70 ", N/A ,"$12,160.50 ", N/A ,"$18,240.75 ","$10,847.17 ","$9,752.72 ","$10,847.17 ", N/A ,"$10,847.17 ","$15,322.23 ","$15,322.23 ","$18,483.96 ","$24,321.00 ","$20,672.85 ", N/A ,"$19,456.80 ","$8,998.77 ","$19,456.80 ", N/A , N/A ,"$24,321.00 ","$13,181.98 ", N/A ,"$6,396.42 ", N/A , N/A , N/A , N/A , N/A ,"$20,672.85 ", N/A ,"$8,098.89 ","$6,809.88 ","$21,888.90 ","$17,511.12 ","$24,321.00 ","$15,322.23 ","$15,322.23 ","$15,322.23 ", N/A ,"$11,674.08 ","$21,888.90 " ST. JOHN'S HOSPITAL,48100160,33270,HC INS/REP SUBQ DEFIBRILLATOR 33270,481,1 ,"$32,720.00 ","$21,268.00 ","$4,200.00 ","$78,936.16 ","$78,936.15 ","$4,200.00 ","$17,734.24 ","$31,574.46 ","$9,161.60 ","$9,259.76 ","$31,574.46 ","$10,601.28 ","$31,574.46 ","$10,895.76 ","$10,895.76 ","$31,574.46 ","$10,895.76 ","$32,720.00 ","$17,210.72 ","$16,360.00 ","$78,936.16 ","$31,574.46 ","$22,904.00 ","$31,574.46 ","$16,360.00 ","$32,205.95 ","$24,540.00 ","$14,593.12 ","$13,120.72 ","$14,593.12 ","$31,574.46 ","$14,593.12 ","$20,613.60 ","$20,613.60 ","$24,867.20 ","$32,720.00 ","$27,812.00 ","$32,720.00 ","$26,176.00 ","$12,106.40 ","$26,176.00 ","$31,574.46 ","$31,574.46 ","$32,720.00 ","$17,734.24 ","$31,574.46 ","$8,605.36 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$33,153.18 ","$27,812.00 ","$71,042.55 ","$10,895.76 ","$9,161.60 ","$29,448.00 ","$23,558.40 ","$32,720.00 ","$20,613.60 ","$20,613.60 ","$20,613.60 ","$31,574.46 ","$15,705.60 ","$29,448.00 " ST. JOHN'S HOSPITAL,48100165,93462,HC LHC TRANSEPTAL PUNCTURE 93462,481,1 ,"$14,548.00 ","$9,456.20 ","$2,438.03 ","$14,548.00 ", N/A ,"$6,692.08 ","$7,885.02 ", N/A ,"$4,073.44 ","$4,655.36 ", N/A ,"$5,353.66 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,652.25 ","$7,274.00 ", N/A , N/A ,"$10,183.60 ", N/A ,"$7,274.00 ", N/A ,"$10,911.00 ","$6,488.41 ","$5,833.75 ","$6,488.41 ", N/A ,"$6,488.41 ","$9,165.24 ","$9,165.24 ","$11,056.48 ","$14,548.00 ","$12,365.80 ", N/A ,"$11,638.40 ","$5,382.76 ","$11,638.40 ", N/A , N/A ,"$14,548.00 ","$7,885.02 ", N/A ,"$3,826.12 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ", N/A ,"$12,365.80 ", N/A ,"$5,000.00 ","$4,073.44 ","$13,093.20 ","$10,474.56 ","$14,548.00 ","$9,165.24 ","$9,165.24 ","$9,165.24 ", N/A ,"$6,983.04 ","$13,093.20 " ST. JOHN'S HOSPITAL,48100170,93566,HC RT VENT OR AORTIC ANGIOGRAM,481,1 ,"$3,805.00 ","$2,473.25 ","$1,000.72 ","$3,805.00 ", N/A ,"$1,750.30 ","$2,062.31 ", N/A ,"$1,065.40 ","$1,217.60 ", N/A ,"$1,400.24 ", N/A ,"$1,453.51 ","$1,453.51 ", N/A ,"$1,453.51 ", N/A ,"$2,001.43 ","$3,805.00 ", N/A , N/A ,"$2,663.50 ", N/A ,"$1,902.50 ", N/A ,"$2,853.75 ","$1,697.03 ","$1,525.81 ","$1,697.03 ", N/A ,"$1,697.03 ","$2,397.15 ","$2,397.15 ","$2,891.80 ","$3,805.00 ","$3,234.25 ", N/A ,"$3,044.00 ","$1,407.85 ","$3,044.00 ", N/A , N/A ,"$3,805.00 ","$2,062.31 ", N/A ,"$1,000.72 ", N/A , N/A , N/A , N/A , N/A ,"$3,234.25 ", N/A ,"$1,453.51 ","$1,065.40 ","$3,424.50 ","$2,739.60 ","$3,805.00 ","$2,397.15 ","$2,397.15 ","$2,397.15 ", N/A ,"$1,826.40 ","$3,424.50 " ST. JOHN'S HOSPITAL,48100171,36253,HC PLC CATH RENAL ANGIO 1< UNI,481,1 ,"$11,894.00 ","$7,731.10 ","$2,677.70 ","$11,894.00 ","$11,459.70 ","$3,400.00 ","$6,446.55 ","$4,583.88 ","$3,330.32 ","$3,806.08 ","$4,583.88 ","$4,376.99 ","$4,583.88 ","$4,543.51 ","$4,543.51 ","$4,583.88 ","$4,543.51 ","$8,709.37 ","$6,256.24 ","$8,520.00 ","$11,459.70 ","$4,583.88 ","$8,325.80 ","$4,583.88 ","$5,947.00 ","$4,675.56 ","$8,920.50 ","$5,304.72 ","$4,769.49 ","$5,304.72 ","$4,583.88 ","$5,304.72 ","$7,493.22 ","$7,493.22 ","$9,039.44 ","$11,894.00 ","$10,109.90 ","$11,459.70 ","$9,515.20 ","$4,400.78 ","$9,515.20 ","$4,583.88 ","$4,583.88 ","$11,894.00 ","$6,446.55 ","$4,583.88 ","$3,128.12 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$4,813.07 ","$10,109.90 ","$10,313.73 ","$4,543.51 ","$3,330.32 ","$10,704.60 ","$8,563.68 ","$11,894.00 ","$7,493.22 ","$7,493.22 ","$7,493.22 ","$4,583.88 ","$5,709.12 ","$10,704.60 " ST. JOHN'S HOSPITAL,48100172,36254,HC PLC CATH RENAL ANGIO 1< BIL,481,1 ,"$14,576.00 ","$9,474.40 ","$2,677.70 ","$14,576.00 ","$6,879.30 ","$3,400.00 ","$7,900.19 ","$2,751.72 ","$4,081.28 ","$4,664.32 ","$2,751.72 ","$5,363.97 ","$2,751.72 ","$5,000.00 ","$5,000.00 ","$2,751.72 ","$5,000.00 ","$5,228.27 ","$7,666.98 ","$7,288.00 ","$6,879.30 ","$2,751.72 ","$10,203.20 ","$2,751.72 ","$7,288.00 ","$2,806.76 ","$10,932.00 ","$6,500.90 ","$5,844.98 ","$6,500.90 ","$2,751.72 ","$6,500.90 ","$9,182.88 ","$9,182.88 ","$11,077.76 ","$14,576.00 ","$12,389.60 ","$6,879.30 ","$11,660.80 ","$5,393.12 ","$11,660.80 ","$2,751.72 ","$2,751.72 ","$14,576.00 ","$7,900.19 ","$2,751.72 ","$3,833.49 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$12,389.60 ","$6,191.37 ","$5,000.00 ","$4,081.28 ","$13,118.40 ","$10,494.72 ","$14,576.00 ","$9,182.88 ","$9,182.88 ","$9,182.88 ","$2,751.72 ","$6,996.48 ","$13,118.40 " ST. JOHN'S HOSPITAL,48100173,37193,HC FILTER REMOVAL,481,1 ,"$7,776.00 ","$5,054.40 ","$2,045.09 ","$7,776.00 ","$6,879.30 ","$4,200.00 ","$4,214.59 ","$2,751.72 ","$2,177.28 ","$2,488.32 ","$2,751.72 ","$2,861.57 ","$2,751.72 ","$2,970.43 ","$2,970.43 ","$2,751.72 ","$2,970.43 ","$5,228.27 ","$4,090.18 ","$7,776.00 ","$6,879.30 ","$2,751.72 ","$5,443.20 ","$2,751.72 ","$3,888.00 ","$2,806.76 ","$5,832.00 ","$3,468.10 ","$3,118.18 ","$3,468.10 ","$2,751.72 ","$3,468.10 ","$4,898.88 ","$4,898.88 ","$5,909.76 ","$7,776.00 ","$6,609.60 ","$6,879.30 ","$6,220.80 ","$2,877.12 ","$6,220.80 ","$2,751.72 ","$2,751.72 ","$7,776.00 ","$4,214.59 ","$2,751.72 ","$2,045.09 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$6,609.60 ","$6,191.37 ","$2,970.43 ","$2,177.28 ","$6,998.40 ","$5,598.72 ","$7,776.00 ","$4,898.88 ","$4,898.88 ","$4,898.88 ","$2,751.72 ","$3,732.48 ","$6,998.40 " ST. JOHN'S HOSPITAL,48100176,37216,HC PL STENT TRNSCATH CAROT ART W/O,481,1 ,"$20,754.00 ","$13,490.10 ","$4,200.00 ","$20,754.00 ", N/A ,"$4,200.00 ","$11,248.67 ", N/A ,"$5,811.12 ","$5,873.38 ", N/A ,"$6,724.30 ", N/A ,"$6,911.08 ","$6,911.08 ", N/A ,"$6,911.08 ", N/A ,"$10,916.60 ","$10,377.00 ", N/A , N/A ,"$14,527.80 ", N/A ,"$10,377.00 ", N/A ,"$15,565.50 ","$9,256.28 ","$8,322.35 ","$9,256.28 ", N/A ,"$9,256.28 ","$13,075.02 ","$13,075.02 ","$15,773.04 ","$20,754.00 ","$17,640.90 ", N/A ,"$16,603.20 ","$7,678.98 ","$16,603.20 ", N/A , N/A ,"$20,754.00 ","$11,248.67 ", N/A ,"$5,458.30 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$17,640.90 ", N/A ,"$6,911.08 ","$5,811.12 ","$18,678.60 ","$14,942.88 ","$20,754.00 ","$13,075.02 ","$13,075.02 ","$13,075.02 ", N/A ,"$9,961.92 ","$18,678.60 " ST. JOHN'S HOSPITAL,48100177,93464,HC EXERCISE W/HEMODYNAMIC MEAS 93464,481,1 ,$172.00 ,$111.80 ,$45.24 ,$172.00 , N/A ,$79.12 ,$93.22 , N/A ,$48.16 ,$55.04 , N/A ,$63.30 , N/A ,$65.70 ,$65.70 , N/A ,$65.70 , N/A ,$90.47 ,$172.00 , N/A , N/A ,$120.40 , N/A ,$86.00 , N/A ,$129.00 ,$76.71 ,$68.97 ,$76.71 , N/A ,$76.71 ,$108.36 ,$108.36 ,$130.72 ,$172.00 ,$146.20 , N/A ,$137.60 ,$63.64 ,$137.60 , N/A , N/A ,$172.00 ,$93.22 , N/A ,$45.24 , N/A , N/A , N/A , N/A , N/A ,$146.20 , N/A ,$65.70 ,$48.16 ,$154.80 ,$123.84 ,$172.00 ,$108.36 ,$108.36 ,$108.36 , N/A ,$82.56 ,$154.80 ST. JOHN'S HOSPITAL,48100179,93568,HC PULMONARY ANGIOGRAM,481,1 ,"$3,952.00 ","$2,568.80 ","$1,039.38 ","$3,952.00 ", N/A ,"$1,817.92 ","$2,141.98 ", N/A ,"$1,106.56 ","$1,264.64 ", N/A ,"$1,454.34 ", N/A ,"$1,509.66 ","$1,509.66 ", N/A ,"$1,509.66 ", N/A ,"$2,078.75 ","$3,952.00 ", N/A , N/A ,"$2,766.40 ", N/A ,"$1,976.00 ", N/A ,"$2,964.00 ","$1,762.59 ","$1,584.75 ","$1,762.59 ", N/A ,"$1,762.59 ","$2,489.76 ","$2,489.76 ","$3,003.52 ","$3,952.00 ","$3,359.20 ", N/A ,"$3,161.60 ","$1,462.24 ","$3,161.60 ", N/A , N/A ,"$3,952.00 ","$2,141.98 ", N/A ,"$1,039.38 ", N/A , N/A , N/A , N/A , N/A ,"$3,359.20 ", N/A ,"$1,509.66 ","$1,106.56 ","$3,556.80 ","$2,845.44 ","$3,952.00 ","$2,489.76 ","$2,489.76 ","$2,489.76 ", N/A ,"$1,896.96 ","$3,556.80 " ST. JOHN'S HOSPITAL,48100181,37212,HC VENOUS THROMBOLYSIS; INIT DAY 37212,481,1 ,"$9,265.00 ","$6,022.25 ","$2,300.00 ","$9,265.00 ","$6,879.30 ","$2,300.00 ","$5,021.63 ","$2,751.72 ","$2,594.20 ","$2,964.80 ","$2,751.72 ","$3,409.52 ","$2,751.72 ","$3,539.23 ","$3,539.23 ","$2,751.72 ","$3,539.23 ","$5,228.27 ","$4,873.39 ","$8,520.00 ","$6,879.30 ","$2,751.72 ","$6,485.50 ","$2,751.72 ","$4,632.50 ","$2,806.76 ","$6,948.75 ","$4,132.19 ","$3,715.27 ","$4,132.19 ","$2,751.72 ","$4,132.19 ","$5,836.95 ","$5,836.95 ","$7,041.40 ","$9,265.00 ","$7,875.25 ","$6,879.30 ","$7,412.00 ","$3,428.05 ","$7,412.00 ","$2,751.72 ","$2,751.72 ","$9,265.00 ","$5,021.63 ","$2,751.72 ","$2,436.70 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$7,875.25 ","$6,191.37 ","$3,539.23 ","$2,594.20 ","$8,338.50 ","$6,670.80 ","$9,265.00 ","$5,836.95 ","$5,836.95 ","$5,836.95 ","$2,751.72 ","$4,447.20 ","$8,338.50 " ST. JOHN'S HOSPITAL,48100182,37214,HC THROMBO CESS/CLOS; SUBSQ DAY 37214,481,1 ,"$8,549.00 ","$5,556.85 ","$2,248.39 ","$8,549.00 ","$6,879.30 ","$4,200.00 ","$4,633.56 ","$2,751.72 ","$2,393.72 ","$2,735.68 ","$2,751.72 ","$3,146.03 ","$2,751.72 ","$3,265.72 ","$3,265.72 ","$2,751.72 ","$3,265.72 ","$5,228.27 ","$4,496.77 ","$8,520.00 ","$6,879.30 ","$2,751.72 ","$5,984.30 ","$2,751.72 ","$4,274.50 ","$2,806.76 ","$6,411.75 ","$3,812.85 ","$3,428.15 ","$3,812.85 ","$2,751.72 ","$3,812.85 ","$5,385.87 ","$5,385.87 ","$6,497.24 ","$8,549.00 ","$7,266.65 ","$6,879.30 ","$6,839.20 ","$3,163.13 ","$6,839.20 ","$2,751.72 ","$2,751.72 ","$8,549.00 ","$4,633.56 ","$2,751.72 ","$2,248.39 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$7,266.65 ","$6,191.37 ","$3,265.72 ","$2,393.72 ","$7,694.10 ","$6,155.28 ","$8,549.00 ","$5,385.87 ","$5,385.87 ","$5,385.87 ","$2,751.72 ","$4,103.52 ","$7,694.10 " ST. JOHN'S HOSPITAL,48100183,36225,HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI 36225,481,1 ,"$8,265.00 ","$5,372.25 ","$2,173.70 ","$8,265.00 ","$6,879.30 ","$3,400.00 ","$4,479.63 ","$2,751.72 ","$2,314.20 ","$2,644.80 ","$2,751.72 ","$3,041.52 ","$2,751.72 ","$3,157.23 ","$3,157.23 ","$2,751.72 ","$3,157.23 ","$5,228.27 ","$4,347.39 ","$8,265.00 ","$6,879.30 ","$2,751.72 ","$5,785.50 ","$2,751.72 ","$4,132.50 ","$2,806.76 ","$6,198.75 ","$3,686.19 ","$3,314.27 ","$3,686.19 ","$2,751.72 ","$3,686.19 ","$5,206.95 ","$5,206.95 ","$6,281.40 ","$8,265.00 ","$7,025.25 ","$6,879.30 ","$6,612.00 ","$3,058.05 ","$6,612.00 ","$2,751.72 ","$2,751.72 ","$8,265.00 ","$4,479.63 ","$2,751.72 ","$2,173.70 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$7,025.25 ","$6,191.37 ","$3,157.23 ","$2,314.20 ","$7,438.50 ","$5,950.80 ","$8,265.00 ","$5,206.95 ","$5,206.95 ","$5,206.95 ","$2,751.72 ","$3,967.20 ","$7,438.50 " ST. JOHN'S HOSPITAL,48100184,36228,HC CATH PLCMT SEL EA INTRACRN BRANCH UNI 36228,481,1 ,"$4,056.00 ","$2,636.40 ","$1,066.73 ","$4,056.00 ", N/A ,"$2,300.00 ","$2,198.35 ", N/A ,"$1,135.68 ","$1,297.92 ", N/A ,"$1,492.61 ", N/A ,"$1,549.39 ","$1,549.39 ", N/A ,"$1,549.39 ", N/A ,"$2,133.46 ","$4,056.00 ", N/A , N/A ,"$2,839.20 ", N/A ,"$2,028.00 ", N/A ,"$3,042.00 ","$1,808.98 ","$1,626.46 ","$1,808.98 ", N/A ,"$1,808.98 ","$2,555.28 ","$2,555.28 ","$3,082.56 ","$4,056.00 ","$3,447.60 ", N/A ,"$3,244.80 ","$1,500.72 ","$3,244.80 ", N/A , N/A ,"$4,056.00 ","$2,198.35 ", N/A ,"$1,066.73 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ", N/A ,"$3,447.60 ", N/A ,"$1,549.39 ","$1,135.68 ","$3,650.40 ","$2,920.32 ","$4,056.00 ","$2,555.28 ","$2,555.28 ","$2,555.28 ", N/A ,"$1,946.88 ","$3,650.40 " ST. JOHN'S HOSPITAL,48100185,37211,HC ARTRL THROMBOLYSIS; INIT DAY 37211,481,1 ,"$3,830.00 ","$2,489.50 ","$1,007.29 ","$11,459.70 ","$11,459.70 ","$2,300.00 ","$2,075.86 ","$4,583.88 ","$1,072.40 ","$1,225.60 ","$4,583.88 ","$1,409.44 ","$3,830.00 ","$1,463.06 ","$1,463.06 ","$3,830.00 ","$1,463.06 ","$3,830.00 ","$2,014.58 ","$3,830.00 ","$11,459.70 ","$4,583.88 ","$2,681.00 ","$4,583.88 ","$1,915.00 ","$3,830.00 ","$2,872.50 ","$1,708.18 ","$1,535.83 ","$1,708.18 ","$4,583.88 ","$1,708.18 ","$2,412.90 ","$2,412.90 ","$2,910.80 ","$3,830.00 ","$3,255.50 ","$3,830.00 ","$3,064.00 ","$1,417.10 ","$3,064.00 ","$4,583.88 ","$4,583.88 ","$3,830.00 ","$2,075.86 ","$4,583.88 ","$1,007.29 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$4,813.07 ","$3,255.50 ","$10,313.73 ","$1,463.06 ","$1,072.40 ","$3,447.00 ","$2,757.60 ","$3,830.00 ","$2,412.90 ","$2,412.90 ","$2,412.90 ","$4,583.88 ","$1,838.40 ","$3,447.00 " ST. JOHN'S HOSPITAL,48100186,37213,HC ARTRL/VENOUS THROMBOLYSIS; SUBSQ DAY 37213,481,1 ,"$8,549.00 ","$5,556.85 ","$2,248.39 ","$8,549.00 ","$6,879.30 ","$4,200.00 ","$4,633.56 ","$2,751.72 ","$2,393.72 ","$2,735.68 ","$2,751.72 ","$3,146.03 ","$2,751.72 ","$3,265.72 ","$3,265.72 ","$2,751.72 ","$3,265.72 ","$5,228.27 ","$4,496.77 ","$8,520.00 ","$6,879.30 ","$2,751.72 ","$5,984.30 ","$2,751.72 ","$4,274.50 ","$2,806.76 ","$6,411.75 ","$3,812.85 ","$3,428.15 ","$3,812.85 ","$2,751.72 ","$3,812.85 ","$5,385.87 ","$5,385.87 ","$6,497.24 ","$8,549.00 ","$7,266.65 ","$6,879.30 ","$6,839.20 ","$3,163.13 ","$6,839.20 ","$2,751.72 ","$2,751.72 ","$8,549.00 ","$4,633.56 ","$2,751.72 ","$2,248.39 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$7,266.65 ","$6,191.37 ","$3,265.72 ","$2,393.72 ","$7,694.10 ","$6,155.28 ","$8,549.00 ","$5,385.87 ","$5,385.87 ","$5,385.87 ","$2,751.72 ","$4,103.52 ","$7,694.10 " ST. JOHN'S HOSPITAL,48100187,37197,HC TRANSCATH RETRVAL FOREIGN BODY 37197,481,1 ,"$9,213.00 ","$5,988.45 ","$2,423.02 ","$9,213.00 ","$6,879.30 ","$4,200.00 ","$4,993.45 ","$2,751.72 ","$2,579.64 ","$2,948.16 ","$2,751.72 ","$3,390.38 ","$2,751.72 ","$3,519.37 ","$3,519.37 ","$2,751.72 ","$3,519.37 ","$5,228.27 ","$4,846.04 ","$8,520.00 ","$6,879.30 ","$2,751.72 ","$6,449.10 ","$2,751.72 ","$4,606.50 ","$2,806.76 ","$6,909.75 ","$4,109.00 ","$3,694.41 ","$4,109.00 ","$2,751.72 ","$4,109.00 ","$5,804.19 ","$5,804.19 ","$7,001.88 ","$9,213.00 ","$7,831.05 ","$6,879.30 ","$7,370.40 ","$3,408.81 ","$7,370.40 ","$2,751.72 ","$2,751.72 ","$9,213.00 ","$4,993.45 ","$2,751.72 ","$2,423.02 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$2,889.31 ","$7,831.05 ","$6,191.37 ","$3,519.37 ","$2,579.64 ","$8,291.70 ","$6,633.36 ","$9,213.00 ","$5,804.19 ","$5,804.19 ","$5,804.19 ","$2,751.72 ","$4,422.24 ","$8,291.70 " ST. JOHN'S HOSPITAL,48100188,36221,HC CATH PLCMT NON SEL THORAC AORTA 36221,481,1 ,"$8,265.00 ","$5,372.25 ","$2,173.70 ","$8,265.00 ","$6,879.30 ","$3,400.00 ","$4,479.63 ","$2,751.72 ","$2,314.20 ","$2,644.80 ","$2,751.72 ","$3,041.52 ","$2,751.72 ","$3,157.23 ","$3,157.23 ","$2,751.72 ","$3,157.23 ","$5,228.27 ","$4,347.39 ","$8,265.00 ","$6,879.30 ","$2,751.72 ","$5,785.50 ","$2,751.72 ","$4,132.50 ","$2,806.76 ","$6,198.75 ","$3,686.19 ","$3,314.27 ","$3,686.19 ","$2,751.72 ","$3,686.19 ","$5,206.95 ","$5,206.95 ","$6,281.40 ","$8,265.00 ","$7,025.25 ","$6,879.30 ","$6,612.00 ","$3,058.05 ","$6,612.00 ","$2,751.72 ","$2,751.72 ","$8,265.00 ","$4,479.63 ","$2,751.72 ","$2,173.70 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$7,025.25 ","$6,191.37 ","$3,157.23 ","$2,314.20 ","$7,438.50 ","$5,950.80 ","$8,265.00 ","$5,206.95 ","$5,206.95 ","$5,206.95 ","$2,751.72 ","$3,967.20 ","$7,438.50 " ST. JOHN'S HOSPITAL,48100189,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN UNI 36222,481,1 ,"$16,046.00 ","$10,429.90 ","$2,677.70 ","$16,046.00 ","$6,879.30 ","$3,400.00 ","$8,696.93 ","$2,751.72 ","$4,492.88 ","$5,134.72 ","$2,751.72 ","$5,904.93 ","$2,751.72 ","$5,343.32 ","$5,343.32 ","$2,751.72 ","$5,343.32 ","$5,228.27 ","$8,440.20 ","$8,023.00 ","$6,879.30 ","$2,751.72 ","$11,232.20 ","$2,751.72 ","$8,023.00 ","$2,806.76 ","$12,034.50 ","$7,156.52 ","$6,434.45 ","$7,156.52 ","$2,751.72 ","$7,156.52 ","$10,108.98 ","$10,108.98 ","$12,194.96 ","$16,046.00 ","$13,639.10 ","$6,879.30 ","$12,836.80 ","$5,937.02 ","$12,836.80 ","$2,751.72 ","$2,751.72 ","$16,046.00 ","$8,696.93 ","$2,751.72 ","$4,220.10 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$2,889.31 ","$13,639.10 ","$6,191.37 ","$5,343.32 ","$4,492.88 ","$14,441.40 ","$11,553.12 ","$16,046.00 ","$10,108.98 ","$10,108.98 ","$10,108.98 ","$2,751.72 ","$7,702.08 ","$14,441.40 " ST. JOHN'S HOSPITAL,48100190,36223,HC CATH PLCMT SEL COM CAR/INOM INTRACRN UNI 36223,481,1 ,"$16,046.00 ","$10,429.90 ","$2,677.70 ","$16,046.00 ","$11,459.70 ","$3,400.00 ","$8,696.93 ","$4,583.88 ","$4,492.88 ","$5,134.72 ","$4,583.88 ","$5,904.93 ","$4,583.88 ","$5,343.32 ","$5,343.32 ","$4,583.88 ","$5,343.32 ","$8,709.37 ","$8,440.20 ","$8,023.00 ","$11,459.70 ","$4,583.88 ","$11,232.20 ","$4,583.88 ","$8,023.00 ","$4,675.56 ","$12,034.50 ","$7,156.52 ","$6,434.45 ","$7,156.52 ","$4,583.88 ","$7,156.52 ","$10,108.98 ","$10,108.98 ","$12,194.96 ","$16,046.00 ","$13,639.10 ","$11,459.70 ","$12,836.80 ","$5,937.02 ","$12,836.80 ","$4,583.88 ","$4,583.88 ","$16,046.00 ","$8,696.93 ","$4,583.88 ","$4,220.10 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$4,813.07 ","$13,639.10 ","$10,313.73 ","$5,343.32 ","$4,492.88 ","$14,441.40 ","$11,553.12 ","$16,046.00 ","$10,108.98 ","$10,108.98 ","$10,108.98 ","$4,583.88 ","$7,702.08 ","$14,441.40 " ST. JOHN'S HOSPITAL,48100191,36224,HC CATH PLCMT SEL INTERNAL CAR UNI 36224,481,1 ,"$13,516.00 ","$8,785.40 ","$2,677.70 ","$13,516.00 ","$11,459.70 ","$4,200.00 ","$7,325.67 ","$4,583.88 ","$3,784.48 ","$4,325.12 ","$4,583.88 ","$4,973.89 ","$4,583.88 ","$5,000.00 ","$5,000.00 ","$4,583.88 ","$5,000.00 ","$8,709.37 ","$7,109.42 ","$6,758.00 ","$11,459.70 ","$4,583.88 ","$9,461.20 ","$4,583.88 ","$6,758.00 ","$4,675.56 ","$10,137.00 ","$6,028.14 ","$5,419.92 ","$6,028.14 ","$4,583.88 ","$6,028.14 ","$8,515.08 ","$8,515.08 ","$10,272.16 ","$13,516.00 ","$11,488.60 ","$11,459.70 ","$10,812.80 ","$5,000.92 ","$10,812.80 ","$4,583.88 ","$4,583.88 ","$13,516.00 ","$7,325.67 ","$4,583.88 ","$3,554.71 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$4,813.07 ","$11,488.60 ","$10,313.73 ","$5,000.00 ","$3,784.48 ","$12,164.40 ","$9,731.52 ","$13,516.00 ","$8,515.08 ","$8,515.08 ","$8,515.08 ","$4,583.88 ","$6,487.68 ","$12,164.40 " ST. JOHN'S HOSPITAL,48100192,36226,HC CATH PLCMT SEL VERTEBRAL UNI 36226,481,1 ,"$13,516.00 ","$8,785.40 ","$2,677.70 ","$13,516.00 ","$11,459.70 ","$4,200.00 ","$7,325.67 ","$4,583.88 ","$3,784.48 ","$4,325.12 ","$4,583.88 ","$4,973.89 ","$4,583.88 ","$5,000.00 ","$5,000.00 ","$4,583.88 ","$5,000.00 ","$8,709.37 ","$7,109.42 ","$6,758.00 ","$11,459.70 ","$4,583.88 ","$9,461.20 ","$4,583.88 ","$6,758.00 ","$4,675.56 ","$10,137.00 ","$6,028.14 ","$5,419.92 ","$6,028.14 ","$4,583.88 ","$6,028.14 ","$8,515.08 ","$8,515.08 ","$10,272.16 ","$13,516.00 ","$11,488.60 ","$11,459.70 ","$10,812.80 ","$5,000.92 ","$10,812.80 ","$4,583.88 ","$4,583.88 ","$13,516.00 ","$7,325.67 ","$4,583.88 ","$3,554.71 ", N/A , N/A ,"$2,805.21 ","$2,677.70 ","$4,813.07 ","$11,488.60 ","$10,313.73 ","$5,000.00 ","$3,784.48 ","$12,164.40 ","$9,731.52 ","$13,516.00 ","$8,515.08 ","$8,515.08 ","$8,515.08 ","$4,583.88 ","$6,487.68 ","$12,164.40 " ST. JOHN'S HOSPITAL,48100193,36227,HC CATH PLCMT SEL EXTERNAL CAR UNI 36227,481,1 ,"$2,480.00 ","$1,612.00 ",$652.24 ,"$2,677.70 ", N/A ,"$2,300.00 ","$1,344.16 ", N/A ,$694.40 ,$793.60 , N/A ,$912.64 , N/A ,$947.36 ,$947.36 , N/A ,$947.36 , N/A ,"$1,304.48 ","$2,480.00 ", N/A , N/A ,"$1,736.00 ", N/A ,"$1,240.00 ", N/A ,"$1,860.00 ","$1,106.08 ",$994.48 ,"$1,106.08 ", N/A ,"$1,106.08 ","$1,562.40 ","$1,562.40 ","$1,884.80 ","$2,480.00 ","$2,108.00 ", N/A ,"$1,984.00 ",$917.60 ,"$1,984.00 ", N/A , N/A ,"$2,480.00 ","$1,344.16 ", N/A ,$652.24 , N/A , N/A ,"$2,480.00 ","$2,677.70 ", N/A ,"$2,108.00 ", N/A ,$947.36 ,$694.40 ,"$2,232.00 ","$1,785.60 ","$2,480.00 ","$1,562.40 ","$1,562.40 ","$1,562.40 ", N/A ,"$1,190.40 ","$2,232.00 " ST. JOHN'S HOSPITAL,48100208,92937,HC BYPASS GRAFT BMS SINGL MAJ ART/BRANCH 92937,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100209,92938,HC BYPASS GRAFT BMS EA ADDL BRNCH MAJ ART 92938,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100213,93653,HC EP STUDY PLUS SVT ABLATION 93653,481,1 ,"$54,501.00 ","$35,425.65 ","$11,988.65 ","$54,501.00 ","$51,567.35 ","$12,000.00 ","$29,539.54 ","$20,626.94 ","$15,260.28 ","$15,423.78 ","$20,626.94 ","$17,658.32 ","$20,626.94 ","$18,148.83 ","$18,148.83 ","$20,626.94 ","$18,148.83 ","$39,191.19 ","$28,667.53 ","$27,250.50 ","$51,567.36 ","$20,626.94 ","$38,150.70 ","$20,626.94 ","$27,250.50 ","$21,039.48 ","$40,875.75 ","$24,307.45 ","$21,854.90 ","$24,307.45 ","$20,626.94 ","$24,307.45 ","$34,335.63 ","$34,335.63 ","$41,420.76 ","$54,501.00 ","$46,325.85 ","$51,567.36 ","$43,600.80 ","$20,165.37 ","$43,600.80 ","$20,626.94 ","$20,626.94 ","$54,501.00 ","$29,539.54 ","$20,626.94 ","$14,333.76 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$46,325.85 ","$46,410.62 ","$18,148.83 ","$15,260.28 ","$49,050.90 ","$39,240.72 ","$54,501.00 ","$34,335.63 ","$34,335.63 ","$34,335.63 ","$20,626.94 ","$26,160.48 ","$49,050.90 " ST. JOHN'S HOSPITAL,48100214,93654,HC EP STUDY PLUS VT ABLATION 93654,481,1 ,"$61,545.00 ","$40,004.25 ","$11,988.65 ","$61,545.00 ","$51,567.35 ","$12,000.00 ","$33,357.39 ","$20,626.94 ","$17,232.60 ","$17,417.24 ","$20,626.94 ","$19,940.58 ","$20,626.94 ","$20,494.49 ","$20,494.49 ","$20,626.94 ","$20,494.49 ","$39,191.19 ","$32,372.67 ","$30,772.50 ","$51,567.36 ","$20,626.94 ","$43,081.50 ","$20,626.94 ","$30,772.50 ","$21,039.48 ","$46,158.75 ","$27,449.07 ","$24,679.55 ","$27,449.07 ","$20,626.94 ","$27,449.07 ","$38,773.35 ","$38,773.35 ","$46,774.20 ","$61,545.00 ","$52,313.25 ","$51,567.36 ","$49,236.00 ","$22,771.65 ","$49,236.00 ","$20,626.94 ","$20,626.94 ","$61,545.00 ","$33,357.39 ","$20,626.94 ","$16,186.34 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$52,313.25 ","$46,410.62 ","$20,494.49 ","$17,232.60 ","$55,390.50 ","$44,312.40 ","$61,545.00 ","$38,773.35 ","$38,773.35 ","$38,773.35 ","$20,626.94 ","$29,541.60 ","$55,390.50 " ST. JOHN'S HOSPITAL,48100215,93655,HC ADD ON ABLAT POST ABLAT ORIG RHYTHM 93655,481,1 ,"$16,352.00 ","$10,628.80 ","$2,300.00 ","$16,352.00 ", N/A ,"$2,300.00 ","$8,862.78 ", N/A ,"$4,578.56 ","$5,232.64 ", N/A ,"$6,017.54 ", N/A ,"$5,445.22 ","$5,445.22 ", N/A ,"$5,445.22 ", N/A ,"$8,601.15 ","$8,176.00 ", N/A , N/A ,"$11,446.40 ", N/A ,"$8,176.00 ", N/A ,"$12,264.00 ","$7,292.99 ","$6,557.15 ","$7,292.99 ", N/A ,"$7,292.99 ","$10,301.76 ","$10,301.76 ","$12,427.52 ","$16,352.00 ","$13,899.20 ", N/A ,"$13,081.60 ","$6,050.24 ","$13,081.60 ", N/A , N/A ,"$16,352.00 ","$8,862.78 ", N/A ,"$4,300.58 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ", N/A ,"$13,899.20 ", N/A ,"$5,445.22 ","$4,578.56 ","$14,716.80 ","$11,773.44 ","$16,352.00 ","$10,301.76 ","$10,301.76 ","$10,301.76 ", N/A ,"$7,848.96 ","$14,716.80 " ST. JOHN'S HOSPITAL,48100216,93656,HC EP STUDY PLUS AFIB ABLATION 93656,481,1 ,"$76,089.00 ","$49,457.85 ","$11,988.65 ","$76,089.00 ","$51,567.35 ","$12,000.00 ","$41,240.24 ","$20,626.94 ","$21,304.92 ","$21,533.19 ","$20,626.94 ","$24,652.84 ","$20,626.94 ","$25,337.64 ","$25,337.64 ","$20,626.94 ","$25,337.64 ","$39,191.19 ","$40,022.81 ","$38,044.50 ","$51,567.36 ","$20,626.94 ","$53,262.30 ","$20,626.94 ","$38,044.50 ","$21,039.48 ","$57,066.75 ","$37,834.19 ","$36,284.74 ","$37,834.19 ","$20,626.94 ","$37,834.19 ","$47,936.07 ","$47,936.07 ","$57,827.64 ","$76,089.00 ","$64,675.65 ","$51,567.36 ","$60,871.20 ","$28,152.93 ","$60,871.20 ","$20,626.94 ","$20,626.94 ","$76,089.00 ","$41,240.24 ","$20,626.94 ","$20,011.41 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$64,675.65 ","$46,410.62 ","$25,337.64 ","$21,304.92 ","$68,480.10 ","$54,784.08 ","$76,089.00 ","$47,936.07 ","$47,936.07 ","$47,936.07 ","$20,626.94 ","$36,522.72 ","$68,480.10 " ST. JOHN'S HOSPITAL,48100217,93657,HC ADD ON AFIB ABLAT POST COMPL PVI 93657,481,1 ,"$18,463.00 ","$12,000.95 ","$2,300.00 ","$18,463.00 ", N/A ,"$2,300.00 ","$10,006.95 ", N/A ,"$5,169.64 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,148.18 ","$6,148.18 ", N/A ,"$6,148.18 ", N/A ,"$9,711.54 ","$9,231.50 ", N/A , N/A ,"$12,924.10 ", N/A ,"$9,231.50 ", N/A ,"$13,847.25 ","$8,234.50 ","$7,403.66 ","$8,234.50 ", N/A ,"$8,234.50 ","$11,631.69 ","$11,631.69 ","$14,031.88 ","$18,463.00 ","$15,693.55 ", N/A ,"$14,770.40 ","$6,831.31 ","$14,770.40 ", N/A , N/A ,"$18,463.00 ","$10,006.95 ", N/A ,"$4,855.77 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ", N/A ,"$15,693.55 ", N/A ,"$6,148.18 ","$5,169.64 ","$16,616.70 ","$13,293.36 ","$18,463.00 ","$11,631.69 ","$11,631.69 ","$11,631.69 ", N/A ,"$8,862.24 ","$16,616.70 " ST. JOHN'S HOSPITAL,48100222,C9604,HC BYPASS GRAFT DES SING MAJ ART/BRNCH C9604,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100223,C9605,HC BYPASS GRFT DES EA ADD BRNCH MAJ ART C9605,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100231,37242,HC ARTERIAL EMBO FOR AVM ANER PRE/PST AAA 37242,481,1 ,"$13,975.00 ","$9,083.75 ","$3,675.43 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$7,574.45 ","$9,655.29 ","$3,913.00 ","$4,472.00 ","$9,655.29 ","$5,142.80 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$13,975.00 ","$7,350.85 ","$6,987.50 ","$24,138.23 ","$9,655.29 ","$9,782.50 ","$9,655.29 ","$6,987.50 ","$9,848.40 ","$10,481.25 ","$6,232.85 ","$5,603.98 ","$6,232.85 ","$9,655.29 ","$6,232.85 ","$8,804.25 ","$8,804.25 ","$10,621.00 ","$13,975.00 ","$11,878.75 ","$13,975.00 ","$11,180.00 ","$5,170.75 ","$11,180.00 ","$9,655.29 ","$9,655.29 ","$13,975.00 ","$7,574.45 ","$9,655.29 ","$3,675.43 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$11,878.75 ","$21,724.40 ","$5,000.00 ","$3,913.00 ","$12,577.50 ","$10,062.00 ","$13,975.00 ","$8,804.25 ","$8,804.25 ","$8,804.25 ","$9,655.29 ","$6,708.00 ","$12,577.50 " ST. JOHN'S HOSPITAL,48100232,37243,HC EMBOLIZATION OF TUMOR UFE CHEMO 37243,481,1 ,"$13,975.00 ","$9,083.75 ","$3,675.43 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$7,574.45 ","$9,655.29 ","$3,913.00 ","$4,472.00 ","$9,655.29 ","$5,142.80 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$13,975.00 ","$7,350.85 ","$6,987.50 ","$24,138.23 ","$9,655.29 ","$9,782.50 ","$9,655.29 ","$6,987.50 ","$9,848.40 ","$10,481.25 ","$6,232.85 ","$5,603.98 ","$6,232.85 ","$9,655.29 ","$6,232.85 ", N/A , N/A , N/A ,"$13,975.00 ","$11,878.75 ","$13,975.00 ","$11,180.00 ","$5,170.75 ","$11,180.00 ","$9,655.29 ","$9,655.29 ","$13,975.00 ","$7,574.45 ","$9,655.29 ","$3,675.43 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$11,878.75 ","$21,724.40 ","$5,000.00 ","$3,913.00 ","$12,577.50 ","$10,062.00 ","$13,975.00 ", N/A ,"$8,804.25 ","$8,804.25 ","$9,655.29 ","$6,708.00 ","$12,577.50 " ST. JOHN'S HOSPITAL,48100233,37244,HC EMBOLIZATION FOR HEMORRAGE ART/VEN 37244,481,1 ,"$13,975.00 ","$9,083.75 ","$3,675.43 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$7,574.45 ","$9,655.29 ","$3,913.00 ","$4,472.00 ","$9,655.29 ","$5,142.80 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$13,975.00 ","$7,350.85 ","$6,987.50 ","$24,138.23 ","$9,655.29 ","$9,782.50 ","$9,655.29 ","$6,987.50 ","$9,848.40 ","$10,481.25 ","$6,232.85 ","$5,603.98 ","$6,232.85 ","$9,655.29 ","$6,232.85 ", N/A , N/A , N/A ,"$13,975.00 ","$11,878.75 ","$13,975.00 ","$11,180.00 ","$5,170.75 ","$11,180.00 ","$9,655.29 ","$9,655.29 ","$13,975.00 ","$7,574.45 ","$9,655.29 ","$3,675.43 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$11,878.75 ","$21,724.40 ","$5,000.00 ","$3,913.00 ","$12,577.50 ","$10,062.00 ","$13,975.00 ", N/A ,"$8,804.25 ","$8,804.25 ","$9,655.29 ","$6,708.00 ","$12,577.50 " ST. JOHN'S HOSPITAL,48100234,37236,HC STENT INIT ARTERY UPPER EXT VISCERAL 37236,481,1 ,"$23,943.00 ","$15,562.95 ","$4,200.00 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$12,977.11 ","$9,655.29 ","$6,704.04 ","$6,775.87 ","$9,655.29 ","$7,757.53 ","$9,655.29 ","$7,973.02 ","$7,973.02 ","$9,655.29 ","$7,973.02 ","$18,345.05 ","$12,594.02 ","$11,971.50 ","$24,138.23 ","$9,655.29 ","$16,760.10 ","$9,655.29 ","$11,971.50 ","$9,848.40 ","$17,957.25 ","$10,678.58 ","$9,601.14 ","$10,678.58 ","$9,655.29 ","$10,678.58 ","$15,084.09 ","$15,084.09 ","$18,196.68 ","$23,943.00 ","$20,351.55 ","$23,943.00 ","$19,154.40 ","$8,858.91 ","$19,154.40 ","$9,655.29 ","$9,655.29 ","$23,943.00 ","$12,977.11 ","$9,655.29 ","$6,297.01 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$20,351.55 ","$21,724.40 ","$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$15,084.09 ","$15,084.09 ","$15,084.09 ","$9,655.29 ","$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,48100235,37237,HC STENT ADDN ARTERY UPPER EXT VISERAL 37237,481,1 ,"$13,683.00 ","$8,893.95 ","$2,300.00 ","$13,683.00 ", N/A ,"$2,300.00 ","$7,416.19 ", N/A ,"$3,831.24 ","$4,378.56 ", N/A ,"$5,035.34 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,197.26 ","$6,841.50 ", N/A , N/A ,"$9,578.10 ", N/A ,"$6,841.50 ", N/A ,"$10,262.25 ","$6,102.62 ","$5,486.88 ","$6,102.62 ", N/A ,"$6,102.62 ","$8,620.29 ","$8,620.29 ","$10,399.08 ","$13,683.00 ","$11,630.55 ", N/A ,"$10,946.40 ","$5,062.71 ","$10,946.40 ", N/A , N/A ,"$13,683.00 ","$7,416.19 ", N/A ,"$3,598.63 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$11,630.55 ", N/A ,"$5,000.00 ","$3,831.24 ","$12,314.70 ","$9,851.76 ","$13,683.00 ","$8,620.29 ","$8,620.29 ","$8,620.29 ", N/A ,"$6,567.84 ","$12,314.70 " ST. JOHN'S HOSPITAL,48100236,37238,HC STENT INIT VENOUS UPPER EXT VISERAL 37238,481,1 ,"$23,943.00 ","$15,562.95 ","$4,200.00 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$12,977.11 ","$9,655.29 ","$6,704.04 ","$6,775.87 ","$9,655.29 ","$7,757.53 ","$9,655.29 ","$7,973.02 ","$7,973.02 ","$9,655.29 ","$7,973.02 ","$18,345.05 ","$12,594.02 ","$11,971.50 ","$24,138.23 ","$9,655.29 ","$16,760.10 ","$9,655.29 ","$11,971.50 ","$9,848.40 ","$17,957.25 ","$10,678.58 ","$9,601.14 ","$10,678.58 ","$9,655.29 ","$10,678.58 ","$15,084.09 ","$15,084.09 ","$18,196.68 ","$23,943.00 ","$20,351.55 ","$23,943.00 ","$19,154.40 ","$8,858.91 ","$19,154.40 ","$9,655.29 ","$9,655.29 ","$23,943.00 ","$12,977.11 ","$9,655.29 ","$6,297.01 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$20,351.55 ","$21,724.40 ","$7,973.02 ","$6,704.04 ","$21,548.70 ","$17,238.96 ","$23,943.00 ","$15,084.09 ","$15,084.09 ","$15,084.09 ","$9,655.29 ","$11,492.64 ","$21,548.70 " ST. JOHN'S HOSPITAL,48100237,37239,HC STENT ADDN VENOUS UPPER EXT VISERAL 37239,481,1 ,"$13,683.00 ","$8,893.95 ","$2,300.00 ","$13,683.00 ", N/A ,"$2,300.00 ","$7,416.19 ", N/A ,"$3,831.24 ","$4,378.56 ", N/A ,"$5,035.34 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,197.26 ","$6,841.50 ", N/A , N/A ,"$9,578.10 ", N/A ,"$6,841.50 ", N/A ,"$10,262.25 ","$6,102.62 ","$5,486.88 ","$6,102.62 ", N/A ,"$6,102.62 ","$8,620.29 ","$8,620.29 ","$10,399.08 ","$13,683.00 ","$11,630.55 ", N/A ,"$10,946.40 ","$5,062.71 ","$10,946.40 ", N/A , N/A ,"$13,683.00 ","$7,416.19 ", N/A ,"$3,598.63 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$11,630.55 ", N/A ,"$5,000.00 ","$3,831.24 ","$12,314.70 ","$9,851.76 ","$13,683.00 ","$8,620.29 ","$8,620.29 ","$8,620.29 ", N/A ,"$6,567.84 ","$12,314.70 " ST. JOHN'S HOSPITAL,48100238,37217,HC STENT CAROTID OPEN 37217,481,1 ,"$35,131.00 ","$22,835.15 ","$4,200.00 ","$35,131.00 ", N/A ,"$4,200.00 ","$19,041.00 ", N/A ,"$9,836.68 ","$9,942.07 ", N/A ,"$11,382.44 ", N/A ,"$11,698.62 ","$11,698.62 ", N/A ,"$11,698.62 ", N/A ,"$18,478.91 ","$17,565.50 ", N/A , N/A ,"$24,591.70 ", N/A ,"$17,565.50 ", N/A ,"$26,348.25 ","$15,668.43 ","$14,087.53 ","$15,668.43 ", N/A ,"$15,668.43 ","$22,132.53 ","$22,132.53 ","$26,699.56 ","$35,131.00 ","$29,861.35 ", N/A ,"$28,104.80 ","$12,998.47 ","$28,104.80 ", N/A , N/A ,"$35,131.00 ","$19,041.00 ", N/A ,"$9,239.45 ", N/A , N/A , N/A , N/A , N/A ,"$29,861.35 ", N/A ,"$11,698.62 ","$9,836.68 ","$31,617.90 ","$25,294.32 ","$35,131.00 ","$22,132.53 ","$22,132.53 ","$22,132.53 ", N/A ,"$16,862.88 ","$31,617.90 " ST. JOHN'S HOSPITAL,48100241,33361,HC REPL TAVR W/PRO PERC FEM ART,481,1 ,"$46,869.00 ","$30,464.85 ","$7,500.00 ","$46,869.00 ", N/A ,"$7,500.00 ","$25,403.00 ", N/A ,"$13,123.32 ","$13,263.93 ", N/A ,"$15,185.56 ", N/A ,"$15,607.38 ","$15,607.38 ", N/A ,"$15,607.38 ", N/A ,"$24,653.09 ","$23,434.50 ", N/A , N/A ,"$32,808.30 ", N/A ,"$23,434.50 ", N/A ,"$35,151.75 ","$20,903.57 ","$18,794.47 ","$20,903.57 ", N/A ,"$20,903.57 ","$29,527.47 ","$29,527.47 ","$35,620.44 ","$46,869.00 ","$39,838.65 ", N/A ,"$37,495.20 ","$17,341.53 ","$37,495.20 ", N/A , N/A ,"$46,869.00 ","$25,403.00 ", N/A ,"$12,326.55 ", N/A , N/A , N/A , N/A , N/A ,"$39,838.65 ", N/A ,"$15,607.38 ","$13,123.32 ","$42,182.10 ","$33,745.68 ","$46,869.00 ","$29,527.47 ","$29,527.47 ","$29,527.47 ", N/A ,"$22,497.12 ","$42,182.10 " ST. JOHN'S HOSPITAL,48100242,33362,HC REPL TAVR W/PRO OPEN FEM ART,481,1 ,"$53,086.00 ","$34,505.90 ","$7,500.00 ","$53,086.00 ", N/A ,"$7,500.00 ","$28,772.61 ", N/A ,"$14,864.08 ","$15,023.34 ", N/A ,"$17,199.86 ", N/A ,"$17,677.64 ","$17,677.64 ", N/A ,"$17,677.64 ", N/A ,"$27,923.24 ","$26,543.00 ", N/A , N/A ,"$37,160.20 ", N/A ,"$26,543.00 ", N/A ,"$39,814.50 ","$23,676.36 ","$21,287.49 ","$23,676.36 ", N/A ,"$23,676.36 ","$33,444.18 ","$33,444.18 ","$40,345.36 ","$53,086.00 ","$45,123.10 ", N/A ,"$42,468.80 ","$19,641.82 ","$42,468.80 ", N/A , N/A ,"$53,086.00 ","$28,772.61 ", N/A ,"$13,961.62 ", N/A , N/A , N/A , N/A , N/A ,"$45,123.10 ", N/A ,"$17,677.64 ","$14,864.08 ","$47,777.40 ","$38,221.92 ","$53,086.00 ","$33,444.18 ","$33,444.18 ","$33,444.18 ", N/A ,"$25,481.28 ","$47,777.40 " ST. JOHN'S HOSPITAL,48100243,33363,HC REPL TAVR W/PRO OPEN AXIL ART,481,1 ,"$53,086.00 ","$34,505.90 ","$7,500.00 ","$53,086.00 ", N/A ,"$7,500.00 ","$28,772.61 ", N/A ,"$14,864.08 ","$15,023.34 ", N/A ,"$17,199.86 ", N/A ,"$17,677.64 ","$17,677.64 ", N/A ,"$17,677.64 ", N/A ,"$27,923.24 ","$26,543.00 ", N/A , N/A ,"$37,160.20 ", N/A ,"$26,543.00 ", N/A ,"$39,814.50 ","$23,676.36 ","$21,287.49 ","$23,676.36 ", N/A ,"$23,676.36 ","$33,444.18 ","$33,444.18 ","$40,345.36 ","$53,086.00 ","$45,123.10 ", N/A ,"$42,468.80 ","$19,641.82 ","$42,468.80 ", N/A , N/A ,"$53,086.00 ","$28,772.61 ", N/A ,"$13,961.62 ", N/A , N/A , N/A , N/A , N/A ,"$45,123.10 ", N/A ,"$17,677.64 ","$14,864.08 ","$47,777.40 ","$38,221.92 ","$53,086.00 ","$33,444.18 ","$33,444.18 ","$33,444.18 ", N/A ,"$25,481.28 ","$47,777.40 " ST. JOHN'S HOSPITAL,48100244,33364,HC REPL TAVR W/PRO OPEN ILIAC ART,481,1 ,"$53,086.00 ","$34,505.90 ","$7,500.00 ","$53,086.00 ", N/A ,"$7,500.00 ","$28,772.61 ", N/A ,"$14,864.08 ","$15,023.34 ", N/A ,"$17,199.86 ", N/A ,"$17,677.64 ","$17,677.64 ", N/A ,"$17,677.64 ", N/A ,"$27,923.24 ","$26,543.00 ", N/A , N/A ,"$37,160.20 ", N/A ,"$26,543.00 ", N/A ,"$39,814.50 ","$23,676.36 ","$21,287.49 ","$23,676.36 ", N/A ,"$23,676.36 ","$33,444.18 ","$33,444.18 ","$40,345.36 ","$53,086.00 ","$45,123.10 ", N/A ,"$42,468.80 ","$19,641.82 ","$42,468.80 ", N/A , N/A ,"$53,086.00 ","$28,772.61 ", N/A ,"$13,961.62 ", N/A , N/A , N/A , N/A , N/A ,"$45,123.10 ", N/A ,"$17,677.64 ","$14,864.08 ","$47,777.40 ","$38,221.92 ","$53,086.00 ","$33,444.18 ","$33,444.18 ","$33,444.18 ", N/A ,"$25,481.28 ","$47,777.40 " ST. JOHN'S HOSPITAL,48100245,33365,HC REPL TAVR TRANSAORTIC APPRCH,481,1 ,"$61,723.00 ","$40,119.95 ","$7,500.00 ","$61,723.00 ", N/A ,"$7,500.00 ","$33,453.87 ", N/A ,"$17,282.44 ","$17,467.61 ", N/A ,"$19,998.25 ", N/A ,"$20,553.76 ","$20,553.76 ", N/A ,"$20,553.76 ", N/A ,"$32,466.30 ","$30,861.50 ", N/A , N/A ,"$43,206.10 ", N/A ,"$30,861.50 ", N/A ,"$46,292.25 ","$27,528.46 ","$24,750.92 ","$27,528.46 ", N/A ,"$27,528.46 ","$38,885.49 ","$38,885.49 ","$46,909.48 ","$61,723.00 ","$52,464.55 ", N/A ,"$49,378.40 ","$22,837.51 ","$49,378.40 ", N/A , N/A ,"$61,723.00 ","$33,453.87 ", N/A ,"$16,233.15 ", N/A , N/A , N/A , N/A , N/A ,"$52,464.55 ", N/A ,"$20,553.76 ","$17,282.44 ","$55,550.70 ","$44,440.56 ","$61,723.00 ","$38,885.49 ","$38,885.49 ","$38,885.49 ", N/A ,"$29,627.04 ","$55,550.70 " ST. JOHN'S HOSPITAL,48100246,33366,HC REPL TAVR TRANSAPICAL APPRCH,481,1 ,"$37,546.00 ","$24,404.90 ","$7,500.00 ","$37,546.00 ", N/A ,"$7,500.00 ","$20,349.93 ", N/A ,"$10,512.88 ","$10,625.52 ", N/A ,"$12,164.90 ", N/A ,"$12,502.82 ","$12,502.82 ", N/A ,"$12,502.82 ", N/A ,"$19,749.20 ","$18,773.00 ", N/A , N/A ,"$26,282.20 ", N/A ,"$18,773.00 ", N/A ,"$28,159.50 ","$16,745.52 ","$15,055.95 ","$16,745.52 ", N/A ,"$16,745.52 ","$23,653.98 ","$23,653.98 ","$28,534.96 ","$37,546.00 ","$31,914.10 ", N/A ,"$30,036.80 ","$13,892.02 ","$30,036.80 ", N/A , N/A ,"$37,546.00 ","$20,349.93 ", N/A ,"$9,874.60 ", N/A , N/A , N/A , N/A , N/A ,"$31,914.10 ", N/A ,"$12,502.82 ","$10,512.88 ","$33,791.40 ","$27,033.12 ","$37,546.00 ","$23,653.98 ","$23,653.98 ","$23,653.98 ", N/A ,"$18,022.08 ","$33,791.40 " ST. JOHN'S HOSPITAL,48100250,33418,HC RPR TRNSCTH MITRL VLV INT PROS,481,1 ,"$28,526.00 ","$18,541.90 ","$7,500.00 ","$28,526.00 ", N/A ,"$7,500.00 ","$15,461.09 ", N/A ,"$7,987.28 ","$8,072.86 ", N/A ,"$9,242.42 ", N/A ,"$9,499.16 ","$9,499.16 ", N/A ,"$9,499.16 ", N/A ,"$15,004.68 ","$14,263.00 ", N/A , N/A ,"$19,968.20 ", N/A ,"$14,263.00 ", N/A ,"$21,394.50 ","$12,722.60 ","$11,438.93 ","$12,722.60 ", N/A ,"$12,722.60 ","$17,971.38 ","$17,971.38 ","$21,679.76 ","$28,526.00 ","$24,247.10 ", N/A ,"$22,820.80 ","$10,554.62 ","$22,820.80 ", N/A , N/A ,"$28,526.00 ","$15,461.09 ", N/A ,"$7,502.34 ", N/A , N/A , N/A , N/A , N/A ,"$24,247.10 ", N/A ,"$9,499.16 ","$7,987.28 ","$25,673.40 ","$20,538.72 ","$28,526.00 ","$17,971.38 ","$17,971.38 ","$17,971.38 ", N/A ,"$13,692.48 ","$25,673.40 " ST. JOHN'S HOSPITAL,48100251,33419,HC RPR TRNSCTH MITRL VLV SUB PROS,481,1 ,"$14,264.00 ","$9,271.60 ","$3,751.43 ","$14,264.00 ", N/A ,"$7,500.00 ","$7,731.09 ", N/A ,"$3,993.92 ","$4,564.48 ", N/A ,"$5,249.15 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,502.86 ","$7,132.00 ", N/A , N/A ,"$9,984.80 ", N/A ,"$7,132.00 ", N/A ,"$10,698.00 ","$6,361.74 ","$5,719.86 ","$6,361.74 ", N/A ,"$6,361.74 ","$8,986.32 ","$8,986.32 ","$10,840.64 ","$14,264.00 ","$12,124.40 ", N/A ,"$11,411.20 ","$5,277.68 ","$11,411.20 ", N/A , N/A ,"$14,264.00 ","$7,731.09 ", N/A ,"$3,751.43 ", N/A , N/A , N/A , N/A , N/A ,"$12,124.40 ", N/A ,"$5,000.00 ","$3,993.92 ","$12,837.60 ","$10,270.08 ","$14,264.00 ","$8,986.32 ","$8,986.32 ","$8,986.32 ", N/A ,"$6,846.72 ","$12,837.60 " ST. JOHN'S HOSPITAL,48100253,33272,HC REMOVAL SUBQ DEFIBRILATOR,481,1 ,"$9,289.00 ","$6,037.85 ","$2,443.01 ","$9,289.00 ","$8,275.08 ","$4,200.00 ","$5,034.64 ","$3,310.03 ","$2,600.92 ","$2,972.48 ","$3,310.03 ","$3,418.35 ","$3,310.03 ","$3,548.40 ","$3,548.40 ","$3,310.03 ","$3,548.40 ","$6,289.06 ","$4,886.01 ","$8,520.00 ","$8,275.08 ","$3,310.03 ","$6,502.30 ","$3,310.03 ","$4,644.50 ","$3,376.23 ","$6,966.75 ","$4,142.89 ","$3,724.89 ","$4,142.89 ","$3,310.03 ","$4,142.89 ","$5,852.07 ","$5,852.07 ","$7,059.64 ","$9,289.00 ","$7,895.65 ","$8,275.08 ","$7,431.20 ","$3,436.93 ","$7,431.20 ","$3,310.03 ","$3,310.03 ","$9,289.00 ","$5,034.64 ","$3,310.03 ","$2,443.01 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$7,895.65 ","$7,447.57 ","$3,548.40 ","$2,600.92 ","$8,360.10 ","$6,688.08 ","$9,289.00 ","$5,852.07 ","$5,852.07 ","$5,852.07 ","$3,310.03 ","$4,458.72 ","$8,360.10 " ST. JOHN'S HOSPITAL,48100254,33273,HC REPOSTION SUBQ DEFIBRILLATIOR,481,1 ,"$8,645.00 ","$5,619.25 ","$2,273.64 ","$8,645.00 ","$8,275.08 ","$4,200.00 ","$4,685.59 ","$3,310.03 ","$2,420.60 ","$2,766.40 ","$3,310.03 ","$3,181.36 ","$3,310.03 ","$3,302.39 ","$3,302.39 ","$3,310.03 ","$3,302.39 ","$6,289.06 ","$4,547.27 ","$8,520.00 ","$8,275.08 ","$3,310.03 ","$6,051.50 ","$3,310.03 ","$4,322.50 ","$3,376.23 ","$6,483.75 ","$3,855.67 ","$3,466.65 ","$3,855.67 ","$3,310.03 ","$3,855.67 ","$5,446.35 ","$5,446.35 ","$6,570.20 ","$8,645.00 ","$7,348.25 ","$8,275.08 ","$6,916.00 ","$3,198.65 ","$6,916.00 ","$3,310.03 ","$3,310.03 ","$8,645.00 ","$4,685.59 ","$3,310.03 ","$2,273.64 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$7,348.25 ","$7,447.57 ","$3,302.39 ","$2,420.60 ","$7,780.50 ","$6,224.40 ","$8,645.00 ","$5,446.35 ","$5,446.35 ","$5,446.35 ","$3,310.03 ","$4,149.60 ","$7,780.50 " ST. JOHN'S HOSPITAL,48100255,61651,HC THPY INFS NON-THROMBO ADDNT,481,1 ,"$19,571.00 ","$12,721.15 ","$5,147.17 ","$19,571.00 ", N/A ,"$7,500.00 ","$10,607.48 ", N/A ,"$5,479.88 ","$5,538.59 ", N/A ,"$6,341.00 ", N/A ,"$6,517.14 ","$6,517.14 ", N/A ,"$6,517.14 ", N/A ,"$10,294.35 ","$9,785.50 ", N/A , N/A ,"$13,699.70 ", N/A ,"$9,785.50 ", N/A ,"$14,678.25 ","$8,728.67 ","$7,847.97 ","$8,728.67 ", N/A ,"$8,728.67 ", N/A , N/A , N/A ,"$19,571.00 ","$16,635.35 ", N/A ,"$15,656.80 ","$7,241.27 ","$15,656.80 ", N/A , N/A ,"$19,571.00 ","$10,607.48 ", N/A ,"$5,147.17 ", N/A , N/A , N/A , N/A , N/A ,"$16,635.35 ", N/A ,"$6,517.14 ","$5,479.88 ","$17,613.90 ","$14,091.12 ","$19,571.00 ", N/A ,"$12,329.73 ","$12,329.73 ", N/A ,"$9,394.08 ","$17,613.90 " ST. JOHN'S HOSPITAL,48100263,36902,HC INTRO CATH/CIRCUIT W/ANGIO 36902,481,1 ,"$27,925.00 ","$18,151.25 ","$4,764.25 ","$27,925.00 ","$11,910.63 ","$12,000.00 ","$15,135.35 ","$4,764.25 ","$7,819.00 ","$7,902.78 ","$4,764.25 ","$9,047.70 ","$4,764.25 ","$9,299.03 ","$9,299.03 ","$4,764.25 ","$9,299.03 ","$9,052.08 ","$14,688.55 ","$13,962.50 ","$11,910.63 ","$4,764.25 ","$19,547.50 ","$4,764.25 ","$13,962.50 ","$4,859.54 ","$20,943.75 ","$12,454.55 ","$11,197.93 ","$12,454.55 ","$4,764.25 ","$12,454.55 ","$17,592.75 ","$17,592.75 ","$21,223.00 ","$27,925.00 ","$23,736.25 ","$11,910.63 ","$22,340.00 ","$10,332.25 ","$22,340.00 ","$4,764.25 ","$4,764.25 ","$27,925.00 ","$15,135.35 ","$4,764.25 ","$7,344.28 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$23,736.25 ","$10,719.56 ","$9,299.03 ","$7,819.00 ","$25,132.50 ","$20,106.00 ","$27,925.00 ","$17,592.75 ","$17,592.75 ","$17,592.75 ","$4,764.25 ","$13,404.00 ","$25,132.50 " ST. JOHN'S HOSPITAL,48100264,36905,HC THROMBECTOMY/INFUS CIRCUIT W/ANGIO 36905,481,1 ,"$36,931.00 ","$24,005.15 ","$4,951.86 ","$36,931.00 ","$24,138.23 ","$12,000.00 ","$20,016.60 ","$9,655.29 ","$10,340.68 ","$10,451.47 ","$9,655.29 ","$11,965.64 ","$9,655.29 ","$12,298.02 ","$12,298.02 ","$9,655.29 ","$12,298.02 ","$18,345.05 ","$19,425.71 ","$18,465.50 ","$24,138.23 ","$9,655.29 ","$25,851.70 ","$9,655.29 ","$18,465.50 ","$9,848.40 ","$27,698.25 ","$16,471.23 ","$14,809.33 ","$16,471.23 ","$9,655.29 ","$16,471.23 ","$23,266.53 ","$23,266.53 ","$28,067.56 ","$36,931.00 ","$31,391.35 ","$24,138.23 ","$29,544.80 ","$13,664.47 ","$29,544.80 ","$9,655.29 ","$9,655.29 ","$36,931.00 ","$20,016.60 ","$9,655.29 ","$9,712.85 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$31,391.35 ","$21,724.40 ","$12,298.02 ","$10,340.68 ","$33,237.90 ","$26,590.32 ","$36,931.00 ","$23,266.53 ","$23,266.53 ","$23,266.53 ","$9,655.29 ","$17,726.88 ","$33,237.90 " ST. JOHN'S HOSPITAL,48100265,36907,HC ANGIOPLASTY CTR DIALYSIS SEGMENT 36907,481,1 ,"$6,789.00 ","$4,412.85 ","$1,785.51 ","$6,789.00 ", N/A ,"$2,300.00 ","$3,679.64 ", N/A ,"$1,900.92 ","$2,172.48 ", N/A ,"$2,498.35 ", N/A ,"$2,593.40 ","$2,593.40 ", N/A ,"$2,593.40 ", N/A ,"$3,571.01 ","$6,789.00 ", N/A , N/A ,"$4,752.30 ", N/A ,"$3,394.50 ", N/A ,"$5,091.75 ","$3,027.89 ","$2,722.39 ","$3,027.89 ", N/A ,"$3,027.89 ","$4,277.07 ","$4,277.07 ","$5,159.64 ","$6,789.00 ","$5,770.65 ", N/A ,"$5,431.20 ","$2,511.93 ","$5,431.20 ", N/A , N/A ,"$6,789.00 ","$3,679.64 ", N/A ,"$1,785.51 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$5,770.65 ", N/A ,"$2,593.40 ","$1,900.92 ","$6,110.10 ","$4,888.08 ","$6,789.00 ","$4,277.07 ","$4,277.07 ","$4,277.07 ", N/A ,"$3,258.72 ","$6,110.10 " ST. JOHN'S HOSPITAL,48100266,37246,HC ANGIOPLASTY TRANLUM BALN INIT ARTERY 37246,481,1 ,"$27,925.00 ","$18,151.25 ","$4,764.25 ","$27,925.00 ","$11,910.63 ","$12,000.00 ","$15,135.35 ","$4,764.25 ","$7,819.00 ","$7,902.78 ","$4,764.25 ","$9,047.70 ","$4,764.25 ","$9,299.03 ","$9,299.03 ","$4,764.25 ","$9,299.03 ","$9,052.08 ","$14,688.55 ","$13,962.50 ","$11,910.63 ","$4,764.25 ","$19,547.50 ","$4,764.25 ","$13,962.50 ","$4,859.54 ","$20,943.75 ","$12,454.55 ","$11,197.93 ","$12,454.55 ","$4,764.25 ","$12,454.55 ", N/A , N/A , N/A ,"$27,925.00 ","$23,736.25 ","$11,910.63 ","$22,340.00 ","$10,332.25 ","$22,340.00 ","$4,764.25 ","$4,764.25 ","$27,925.00 ","$15,135.35 ","$4,764.25 ","$7,344.28 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$23,736.25 ","$10,719.56 ","$9,299.03 ","$7,819.00 ","$25,132.50 ","$20,106.00 ","$27,925.00 ", N/A ,"$17,592.75 ","$17,592.75 ","$4,764.25 ","$13,404.00 ","$25,132.50 " ST. JOHN'S HOSPITAL,48100267,37247,HC ANGIOPLASTY TRANLUM BALN ADDL ARTERY 37247,481,1 ,"$6,789.00 ","$4,412.85 ","$1,785.51 ","$6,789.00 ", N/A ,"$2,300.00 ","$3,679.64 ", N/A ,"$1,900.92 ","$2,172.48 ", N/A ,"$2,498.35 ", N/A ,"$2,593.40 ","$2,593.40 ", N/A ,"$2,593.40 ", N/A ,"$3,571.01 ","$6,789.00 ", N/A , N/A ,"$4,752.30 ", N/A ,"$3,394.50 ", N/A ,"$5,091.75 ","$3,027.89 ","$2,722.39 ","$3,027.89 ", N/A ,"$3,027.89 ", N/A , N/A , N/A ,"$6,789.00 ","$5,770.65 ", N/A ,"$5,431.20 ","$2,511.93 ","$5,431.20 ", N/A , N/A ,"$6,789.00 ","$3,679.64 ", N/A ,"$1,785.51 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$5,770.65 ", N/A ,"$2,593.40 ","$1,900.92 ","$6,110.10 ","$4,888.08 ","$6,789.00 ", N/A ,"$4,277.07 ","$4,277.07 ", N/A ,"$3,258.72 ","$6,110.10 " ST. JOHN'S HOSPITAL,48100268,37248,HC ANGIOPLASTY TRANLUM BALN INIT VEIN 37248,481,1 ,"$27,925.00 ","$18,151.25 ","$4,764.25 ","$27,925.00 ","$11,910.63 ","$12,000.00 ","$15,135.35 ","$4,764.25 ","$7,819.00 ","$7,902.78 ","$4,764.25 ","$9,047.70 ","$4,764.25 ","$9,299.03 ","$9,299.03 ","$4,764.25 ","$9,299.03 ","$9,052.08 ","$14,688.55 ","$13,962.50 ","$11,910.63 ","$4,764.25 ","$19,547.50 ","$4,764.25 ","$13,962.50 ","$4,859.54 ","$20,943.75 ","$12,454.55 ","$11,197.93 ","$12,454.55 ","$4,764.25 ","$12,454.55 ", N/A , N/A , N/A ,"$27,925.00 ","$23,736.25 ","$11,910.63 ","$22,340.00 ","$10,332.25 ","$22,340.00 ","$4,764.25 ","$4,764.25 ","$27,925.00 ","$15,135.35 ","$4,764.25 ","$7,344.28 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$23,736.25 ","$10,719.56 ","$9,299.03 ","$7,819.00 ","$25,132.50 ","$20,106.00 ","$27,925.00 ", N/A ,"$17,592.75 ","$17,592.75 ","$4,764.25 ","$13,404.00 ","$25,132.50 " ST. JOHN'S HOSPITAL,48100269,37249,HC ANGIOPLASTY TRANLUM BALN ADDL VEIN 37249,481,1 ,"$6,789.00 ","$4,412.85 ","$1,785.51 ","$6,789.00 ", N/A ,"$2,300.00 ","$3,679.64 ", N/A ,"$1,900.92 ","$2,172.48 ", N/A ,"$2,498.35 ", N/A ,"$2,593.40 ","$2,593.40 ", N/A ,"$2,593.40 ", N/A ,"$3,571.01 ","$6,789.00 ", N/A , N/A ,"$4,752.30 ", N/A ,"$3,394.50 ", N/A ,"$5,091.75 ","$3,027.89 ","$2,722.39 ","$3,027.89 ", N/A ,"$3,027.89 ", N/A , N/A , N/A ,"$6,789.00 ","$5,770.65 ", N/A ,"$5,431.20 ","$2,511.93 ","$5,431.20 ", N/A , N/A ,"$6,789.00 ","$3,679.64 ", N/A ,"$1,785.51 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$5,770.65 ", N/A ,"$2,593.40 ","$1,900.92 ","$6,110.10 ","$4,888.08 ","$6,789.00 ", N/A ,"$4,277.07 ","$4,277.07 ", N/A ,"$3,258.72 ","$6,110.10 " ST. JOHN'S HOSPITAL,48100270,36908,HC PLACE STENT CENTRAL DIAL SEGMENT 36908,481,1 ,"$20,487.00 ","$13,316.55 ","$2,300.00 ","$20,487.00 ", N/A ,"$2,300.00 ","$11,103.95 ", N/A ,"$5,736.36 ","$5,797.82 ", N/A ,"$6,637.79 ", N/A ,"$6,822.17 ","$6,822.17 ", N/A ,"$6,822.17 ", N/A ,"$10,776.16 ","$10,243.50 ", N/A , N/A ,"$14,340.90 ", N/A ,"$10,243.50 ", N/A ,"$15,365.25 ","$9,137.20 ","$8,215.29 ","$9,137.20 ", N/A ,"$9,137.20 ","$12,906.81 ","$12,906.81 ","$15,570.12 ","$20,487.00 ","$17,413.95 ", N/A ,"$16,389.60 ","$7,580.19 ","$16,389.60 ", N/A , N/A ,"$20,487.00 ","$11,103.95 ", N/A ,"$5,388.08 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$17,413.95 ", N/A ,"$6,822.17 ","$5,736.36 ","$18,438.30 ","$14,750.64 ","$20,487.00 ","$12,906.81 ","$12,906.81 ","$12,906.81 ", N/A ,"$9,833.76 ","$18,438.30 " ST. JOHN'S HOSPITAL,48100271,36909,HC DIAL CIRCUIT VASC EMBOL/OCCUL 36909,481,1 ,"$20,487.00 ","$13,316.55 ","$2,300.00 ","$20,487.00 ", N/A ,"$2,300.00 ","$11,103.95 ", N/A ,"$5,736.36 ","$5,797.82 ", N/A ,"$6,637.79 ", N/A ,"$6,822.17 ","$6,822.17 ", N/A ,"$6,822.17 ", N/A ,"$10,776.16 ","$10,243.50 ", N/A , N/A ,"$14,340.90 ", N/A ,"$10,243.50 ", N/A ,"$15,365.25 ","$9,137.20 ","$8,215.29 ","$9,137.20 ", N/A ,"$9,137.20 ","$12,906.81 ","$12,906.81 ","$15,570.12 ","$20,487.00 ","$17,413.95 ", N/A ,"$16,389.60 ","$7,580.19 ","$16,389.60 ", N/A , N/A ,"$20,487.00 ","$11,103.95 ", N/A ,"$5,388.08 ", N/A , N/A ,"$4,173.77 ","$3,984.06 ", N/A ,"$17,413.95 ", N/A ,"$6,822.17 ","$5,736.36 ","$18,438.30 ","$14,750.64 ","$20,487.00 ","$12,906.81 ","$12,906.81 ","$12,906.81 ", N/A ,"$9,833.76 ","$18,438.30 " ST. JOHN'S HOSPITAL,48100272,36901,HC INTRO CATH DIALYSIS CIRCUIT 36901,481,1 ,"$3,208.00 ","$2,085.20 ",$843.70 ,"$3,379.28 ","$3,379.28 ","$2,300.00 ","$1,738.74 ","$1,351.71 ",$898.24 ,"$1,026.56 ","$1,351.71 ","$1,180.54 ","$1,351.71 ","$1,225.46 ","$1,225.46 ","$1,351.71 ","$1,225.46 ","$2,568.26 ","$1,687.41 ","$3,208.00 ","$3,379.28 ","$1,351.71 ","$2,245.60 ","$1,351.71 ","$1,604.00 ","$1,378.75 ","$2,406.00 ","$1,430.77 ","$1,286.41 ","$1,430.77 ","$1,351.71 ","$1,430.77 ","$2,021.04 ","$2,021.04 ","$2,438.08 ","$3,208.00 ","$2,726.80 ","$3,208.00 ","$2,566.40 ","$1,186.96 ","$2,566.40 ","$1,351.71 ","$1,351.71 ","$3,208.00 ","$1,738.74 ","$1,351.71 ",$843.70 , N/A , N/A ,"$3,208.00 ","$3,118.14 ","$1,419.30 ","$2,726.80 ","$3,041.36 ","$1,225.46 ",$898.24 ,"$2,887.20 ","$2,309.76 ","$3,208.00 ","$2,021.04 ","$2,021.04 ","$2,021.04 ","$1,351.71 ","$1,539.84 ","$2,887.20 " ST. JOHN'S HOSPITAL,48100273,36903,HC INTRO CATH/CIRCUIT W/STENT 36903,481,1 ,"$46,753.00 ","$30,389.45 ","$4,951.86 ","$46,753.00 ","$24,138.23 ","$12,000.00 ","$25,340.13 ","$9,655.29 ","$13,090.84 ","$13,231.10 ","$9,655.29 ","$15,147.97 ","$9,655.29 ","$15,568.75 ","$15,568.75 ","$9,655.29 ","$15,568.75 ","$18,345.05 ","$24,592.08 ","$23,376.50 ","$24,138.23 ","$9,655.29 ","$32,727.10 ","$9,655.29 ","$23,376.50 ","$9,848.40 ","$35,064.75 ","$20,851.84 ","$18,747.95 ","$20,851.84 ","$9,655.29 ","$20,851.84 ","$29,454.39 ","$29,454.39 ","$35,532.28 ","$46,753.00 ","$39,740.05 ","$24,138.23 ","$37,402.40 ","$17,298.61 ","$37,402.40 ","$9,655.29 ","$9,655.29 ","$46,753.00 ","$25,340.13 ","$9,655.29 ","$12,296.04 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$39,740.05 ","$21,724.40 ","$15,568.75 ","$13,090.84 ","$42,077.70 ","$33,662.16 ","$46,753.00 ","$29,454.39 ","$29,454.39 ","$29,454.39 ","$9,655.29 ","$22,441.44 ","$42,077.70 " ST. JOHN'S HOSPITAL,48100274,36904,HC THROMBECTOMY/INFUS DIALYSIS CIRCUIT 36904,481,1 ,"$11,314.00 ","$7,354.10 ","$2,975.58 ","$11,910.63 ","$11,910.63 ","$5,500.00 ","$6,132.19 ","$4,764.25 ","$3,167.92 ","$3,620.48 ","$4,764.25 ","$4,163.55 ","$4,764.25 ","$4,321.95 ","$4,321.95 ","$4,764.25 ","$4,321.95 ","$9,052.08 ","$5,951.16 ","$8,520.00 ","$11,910.63 ","$4,764.25 ","$7,919.80 ","$4,764.25 ","$5,657.00 ","$4,859.54 ","$8,485.50 ","$5,046.04 ","$4,536.91 ","$5,046.04 ","$4,764.25 ","$5,046.04 ","$7,127.82 ","$7,127.82 ","$8,598.64 ","$11,314.00 ","$9,616.90 ","$11,314.00 ","$9,051.20 ","$4,186.18 ","$9,051.20 ","$4,764.25 ","$4,764.25 ","$11,314.00 ","$6,132.19 ","$4,764.25 ","$2,975.58 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$9,616.90 ","$10,719.56 ","$4,321.95 ","$3,167.92 ","$10,182.60 ","$8,146.08 ","$11,314.00 ","$7,127.82 ","$7,127.82 ","$7,127.82 ","$4,764.25 ","$5,430.72 ","$10,182.60 " ST. JOHN'S HOSPITAL,48100275,36906,HC THROMBECTOMY/INFUS CIRCUIT W/STENT 36906,481,1 ,"$55,759.00 ","$36,243.35 ","$4,951.86 ","$55,759.00 ","$38,594.63 ","$12,000.00 ","$30,221.38 ","$15,437.85 ","$15,612.52 ","$15,779.80 ","$15,437.85 ","$18,065.92 ","$15,437.85 ","$18,567.75 ","$18,567.75 ","$15,437.85 ","$18,567.75 ","$29,331.92 ","$29,329.23 ","$27,879.50 ","$38,594.64 ","$15,437.85 ","$39,031.30 ","$15,437.85 ","$27,879.50 ","$15,746.61 ","$41,819.25 ","$24,868.51 ","$22,359.36 ","$24,868.51 ","$15,437.85 ","$24,868.51 ","$35,128.17 ","$35,128.17 ","$42,376.84 ","$55,759.00 ","$47,395.15 ","$38,594.64 ","$44,607.20 ","$20,630.83 ","$44,607.20 ","$15,437.85 ","$15,437.85 ","$55,759.00 ","$30,221.38 ","$15,437.85 ","$14,664.62 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$47,395.15 ","$34,735.17 ","$18,567.75 ","$15,612.52 ","$50,183.10 ","$40,146.48 ","$55,759.00 ","$35,128.17 ","$35,128.17 ","$35,128.17 ","$15,437.85 ","$26,764.32 ","$50,183.10 " ST. JOHN'S HOSPITAL,48100276,93505,HC BIOPSY ENDOMYOCARDIAL,481,1 ,"$7,165.00 ","$4,657.25 ",$692.27 ,"$7,165.00 ","$6,879.30 ","$3,295.90 ","$3,883.43 ","$2,751.72 ","$2,006.20 ","$2,292.80 ","$2,751.72 ","$2,636.72 ","$2,751.72 ","$2,737.03 ","$2,737.03 ","$2,751.72 ","$2,737.03 ","$5,228.27 ","$3,768.79 ","$7,165.00 ","$6,879.30 ","$2,751.72 ","$5,015.50 ","$2,751.72 ","$3,582.50 ","$2,806.76 ","$5,373.75 ","$3,195.59 ","$2,873.17 ","$3,195.59 ","$2,751.72 ","$3,195.59 ","$4,513.95 ","$4,513.95 ","$5,445.40 ","$7,165.00 ","$6,090.25 ","$6,879.30 ","$5,732.00 ","$2,651.05 ","$5,732.00 ","$2,751.72 ","$2,751.72 ","$7,165.00 ","$3,883.43 ","$2,751.72 ","$1,884.40 ", N/A , N/A ,$725.23 ,$692.27 ,"$2,889.31 ","$6,090.25 ","$6,191.37 ","$2,737.03 ","$2,006.20 ","$6,448.50 ","$5,158.80 ","$7,165.00 ","$4,513.95 ","$4,513.95 ","$4,513.95 ","$2,751.72 ","$3,439.20 ","$6,448.50 " ST. JOHN'S HOSPITAL,48100288,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100289,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100290,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100291,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100292,C9600,HC PLACE PERC COR STENT DRUG ELUT SINGLE-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100293,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100294,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100295,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100296,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100297,C9601,HC PLACE PERC COR STENT DRUG ELUT EA ADDL-RI,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100298,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100299,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100300,92943,HC PERC TRANSL REVASC OCCL SGL VSL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100301,92943,HC PERC TRANSL REVASC OCCL SGL VSL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100302,92943,HC PERC TRANSL REVASC OCCL SGL VSL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100303,92944,HC PERC TRANSL REVASC OCCL EA ADL-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100304,92944,HC PERC TRANSL REVASC OCCL EA ADL-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100305,92944,HC PERC TRANSL REVASC OCCL EA ADL-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100306,92944,HC PERC TRANSL REVASC OCCL EA ADL-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100307,92944,HC PERC TRANSL REVASC OCCL EA ADL-RI,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100318,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100319,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100320,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100321,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100322,92941,HC PERC TRANSL REVASC OCCL/INFARC SGL VSL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100323,36245,HC PLACE CATH ABD/PEL 1ST ORDER-BI,360,1 ,"$5,106.00 ","$3,318.90 ","$1,342.88 ","$5,106.00 ", N/A ,"$5,100.00 ","$2,767.45 ", N/A ,"$1,429.68 ","$1,633.92 ", N/A ,"$1,879.01 ", N/A ,"$1,950.49 ","$1,950.49 ", N/A ,"$1,950.49 ", N/A ,"$2,685.76 ","$2,553.00 ", N/A , N/A ,"$3,574.20 ", N/A ,"$2,553.00 ", N/A ,"$3,829.50 ","$2,277.28 ","$2,047.51 ","$2,277.28 ", N/A ,"$2,277.28 ","$3,216.78 ","$3,216.78 ","$3,625.26 ","$5,106.00 ","$4,340.10 ", N/A ,"$4,084.80 ","$1,889.22 ","$4,084.80 ", N/A , N/A ,"$5,106.00 ","$2,767.45 ", N/A ,"$1,342.88 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ", N/A ,"$4,340.10 ", N/A ,"$1,950.49 ","$1,429.68 ","$4,595.40 ","$3,676.32 ","$5,106.00 ","$3,216.78 ","$3,216.78 ","$3,216.78 ", N/A ,"$2,450.88 ","$4,595.40 " ST. JOHN'S HOSPITAL,48100326,92928,HC PLACE PERC INTRACOR STENT SGL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100327,92928,HC PLACE PERC INTRACOR STENT SGL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100328,92928,HC PLACE PERC INTRACOR STENT SGL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100329,92928,HC PLACE PERC INTRACOR STENT SGL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100330,92928,HC PLACE PERC INTRACOR STENT SGL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ","$24,138.23 ","$7,500.00 ","$15,826.94 ","$9,655.29 ","$8,176.28 ","$8,263.88 ","$9,655.29 ","$9,461.12 ","$9,655.29 ","$9,723.93 ","$9,723.93 ","$9,655.29 ","$9,723.93 ","$18,345.05 ","$15,359.73 ","$14,600.50 ","$24,138.23 ","$9,655.29 ","$20,440.70 ","$9,655.29 ","$14,600.50 ","$9,848.40 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$9,655.29 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$24,138.23 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$9,655.29 ","$9,655.29 ","$29,201.00 ","$15,826.94 ","$9,655.29 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$24,820.85 ","$21,724.40 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$9,655.29 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100331,92929,HC PLACE PERC INTRACOR STENT EA AD-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100332,92929,HC PLACE PERC INTRACOR STENT EA AD-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100333,92929,HC PLACE PERC INTRACOR STENT EA AD-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100334,92929,HC PLACE PERC INTRACOR STENT EA AD-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100335,92929,HC PLACE PERC INTRACOR STENT EA AD-RI,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100336,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100337,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100338,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100339,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100340,C9602,HC PERC TRN ATHR DRUG ELUT STENT SGL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100341,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100342,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100343,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100344,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100345,C9603,HC PERC TRN ATHR DRUG ELUT STENT EA AD-RI,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100356,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100357,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100358,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100359,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100360,C9607,HC PERC REVASC COR OCCL STENT DRG ELUT SGL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100361,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100362,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100363,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100364,C9608,HC PERC REVASC COR OCCL STENT DRG ELUT EA ADL-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100366,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100367,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100368,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100369,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100370,C9606,HC PERC REVASC COR STENT DRG ELUT W/AMI-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$29,201.00 ", N/A ,"$7,500.00 ","$15,826.94 ", N/A ,"$8,176.28 ","$8,263.88 ", N/A ,"$9,461.12 ", N/A ,"$9,723.93 ","$9,723.93 ", N/A ,"$9,723.93 ", N/A ,"$15,359.73 ","$14,600.50 ", N/A , N/A ,"$20,440.70 ", N/A ,"$14,600.50 ", N/A ,"$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ", N/A ,"$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ", N/A ,"$23,360.80 ","$10,804.37 ","$23,360.80 ", N/A , N/A ,"$29,201.00 ","$15,826.94 ", N/A ,"$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$24,820.85 ", N/A ,"$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ", N/A ,"$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100371,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LC,481,1 ,"$36,193.00 ","$23,525.45 ","$7,500.00 ","$36,193.00 ","$24,138.23 ","$7,500.00 ","$19,616.61 ","$9,655.29 ","$10,134.04 ","$10,242.62 ","$9,655.29 ","$11,726.53 ","$9,655.29 ","$12,052.27 ","$12,052.27 ","$9,655.29 ","$12,052.27 ","$18,345.05 ","$19,037.52 ","$18,096.50 ","$24,138.23 ","$9,655.29 ","$25,335.10 ","$9,655.29 ","$18,096.50 ","$9,848.40 ","$27,144.75 ","$16,142.08 ","$14,513.39 ","$16,142.08 ","$9,655.29 ","$16,142.08 ","$22,801.59 ","$22,801.59 ","$27,506.68 ","$36,193.00 ","$30,764.05 ","$24,138.23 ","$28,954.40 ","$13,391.41 ","$28,954.40 ","$9,655.29 ","$9,655.29 ","$36,193.00 ","$19,616.61 ","$9,655.29 ","$9,518.76 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$30,764.05 ","$21,724.40 ","$12,052.27 ","$10,134.04 ","$32,573.70 ","$26,058.96 ","$36,193.00 ","$22,801.59 ","$22,801.59 ","$22,801.59 ","$9,655.29 ","$17,372.64 ","$32,573.70 " ST. JOHN'S HOSPITAL,48100372,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LD,481,1 ,"$36,193.00 ","$23,525.45 ","$7,500.00 ","$36,193.00 ","$24,138.23 ","$7,500.00 ","$19,616.61 ","$9,655.29 ","$10,134.04 ","$10,242.62 ","$9,655.29 ","$11,726.53 ","$9,655.29 ","$12,052.27 ","$12,052.27 ","$9,655.29 ","$12,052.27 ","$18,345.05 ","$19,037.52 ","$18,096.50 ","$24,138.23 ","$9,655.29 ","$25,335.10 ","$9,655.29 ","$18,096.50 ","$9,848.40 ","$27,144.75 ","$16,142.08 ","$14,513.39 ","$16,142.08 ","$9,655.29 ","$16,142.08 ","$22,801.59 ","$22,801.59 ","$27,506.68 ","$36,193.00 ","$30,764.05 ","$24,138.23 ","$28,954.40 ","$13,391.41 ","$28,954.40 ","$9,655.29 ","$9,655.29 ","$36,193.00 ","$19,616.61 ","$9,655.29 ","$9,518.76 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$30,764.05 ","$21,724.40 ","$12,052.27 ","$10,134.04 ","$32,573.70 ","$26,058.96 ","$36,193.00 ","$22,801.59 ","$22,801.59 ","$22,801.59 ","$9,655.29 ","$17,372.64 ","$32,573.70 " ST. JOHN'S HOSPITAL,48100373,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-LM,481,1 ,"$36,193.00 ","$23,525.45 ","$7,500.00 ","$36,193.00 ","$24,138.23 ","$7,500.00 ","$19,616.61 ","$9,655.29 ","$10,134.04 ","$10,242.62 ","$9,655.29 ","$11,726.53 ","$9,655.29 ","$12,052.27 ","$12,052.27 ","$9,655.29 ","$12,052.27 ","$18,345.05 ","$19,037.52 ","$18,096.50 ","$24,138.23 ","$9,655.29 ","$25,335.10 ","$9,655.29 ","$18,096.50 ","$9,848.40 ","$27,144.75 ","$16,142.08 ","$14,513.39 ","$16,142.08 ","$9,655.29 ","$16,142.08 ","$22,801.59 ","$22,801.59 ","$27,506.68 ","$36,193.00 ","$30,764.05 ","$24,138.23 ","$28,954.40 ","$13,391.41 ","$28,954.40 ","$9,655.29 ","$9,655.29 ","$36,193.00 ","$19,616.61 ","$9,655.29 ","$9,518.76 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$30,764.05 ","$21,724.40 ","$12,052.27 ","$10,134.04 ","$32,573.70 ","$26,058.96 ","$36,193.00 ","$22,801.59 ","$22,801.59 ","$22,801.59 ","$9,655.29 ","$17,372.64 ","$32,573.70 " ST. JOHN'S HOSPITAL,48100374,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-RC,481,1 ,"$36,193.00 ","$23,525.45 ","$7,500.00 ","$36,193.00 ","$24,138.23 ","$7,500.00 ","$19,616.61 ","$9,655.29 ","$10,134.04 ","$10,242.62 ","$9,655.29 ","$11,726.53 ","$9,655.29 ","$12,052.27 ","$12,052.27 ","$9,655.29 ","$12,052.27 ","$18,345.05 ","$19,037.52 ","$18,096.50 ","$24,138.23 ","$9,655.29 ","$25,335.10 ","$9,655.29 ","$18,096.50 ","$9,848.40 ","$27,144.75 ","$16,142.08 ","$14,513.39 ","$16,142.08 ","$9,655.29 ","$16,142.08 ","$22,801.59 ","$22,801.59 ","$27,506.68 ","$36,193.00 ","$30,764.05 ","$24,138.23 ","$28,954.40 ","$13,391.41 ","$28,954.40 ","$9,655.29 ","$9,655.29 ","$36,193.00 ","$19,616.61 ","$9,655.29 ","$9,518.76 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$30,764.05 ","$21,724.40 ","$12,052.27 ","$10,134.04 ","$32,573.70 ","$26,058.96 ","$36,193.00 ","$22,801.59 ","$22,801.59 ","$22,801.59 ","$9,655.29 ","$17,372.64 ","$32,573.70 " ST. JOHN'S HOSPITAL,48100375,92924,HC PERC TRN ARTHR W/COR ANGIO SGL-RI,481,1 ,"$36,193.00 ","$23,525.45 ","$7,500.00 ","$36,193.00 ","$24,138.23 ","$7,500.00 ","$19,616.61 ","$9,655.29 ","$10,134.04 ","$10,242.62 ","$9,655.29 ","$11,726.53 ","$9,655.29 ","$12,052.27 ","$12,052.27 ","$9,655.29 ","$12,052.27 ","$18,345.05 ","$19,037.52 ","$18,096.50 ","$24,138.23 ","$9,655.29 ","$25,335.10 ","$9,655.29 ","$18,096.50 ","$9,848.40 ","$27,144.75 ","$16,142.08 ","$14,513.39 ","$16,142.08 ","$9,655.29 ","$16,142.08 ","$22,801.59 ","$22,801.59 ","$27,506.68 ","$36,193.00 ","$30,764.05 ","$24,138.23 ","$28,954.40 ","$13,391.41 ","$28,954.40 ","$9,655.29 ","$9,655.29 ","$36,193.00 ","$19,616.61 ","$9,655.29 ","$9,518.76 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$30,764.05 ","$21,724.40 ","$12,052.27 ","$10,134.04 ","$32,573.70 ","$26,058.96 ","$36,193.00 ","$22,801.59 ","$22,801.59 ","$22,801.59 ","$9,655.29 ","$17,372.64 ","$32,573.70 " ST. JOHN'S HOSPITAL,48100376,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-LC,481,1 ,"$18,096.00 ","$11,762.40 ","$4,759.25 ","$18,096.00 ", N/A ,"$7,500.00 ","$9,808.03 ", N/A ,"$5,066.88 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,025.97 ","$6,025.97 ", N/A ,"$6,025.97 ", N/A ,"$9,518.50 ","$9,048.00 ", N/A , N/A ,"$12,667.20 ", N/A ,"$9,048.00 ", N/A ,"$13,572.00 ","$8,070.82 ","$7,256.50 ","$8,070.82 ", N/A ,"$8,070.82 ","$11,400.48 ","$11,400.48 ","$13,752.96 ","$18,096.00 ","$15,381.60 ", N/A ,"$14,476.80 ","$6,695.52 ","$14,476.80 ", N/A , N/A ,"$18,096.00 ","$9,808.03 ", N/A ,"$4,759.25 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$15,381.60 ", N/A ,"$6,025.97 ","$5,066.88 ","$16,286.40 ","$13,029.12 ","$18,096.00 ","$11,400.48 ","$11,400.48 ","$11,400.48 ", N/A ,"$8,686.08 ","$16,286.40 " ST. JOHN'S HOSPITAL,48100377,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-LD,481,1 ,"$18,096.00 ","$11,762.40 ","$4,759.25 ","$18,096.00 ", N/A ,"$7,500.00 ","$9,808.03 ", N/A ,"$5,066.88 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,025.97 ","$6,025.97 ", N/A ,"$6,025.97 ", N/A ,"$9,518.50 ","$9,048.00 ", N/A , N/A ,"$12,667.20 ", N/A ,"$9,048.00 ", N/A ,"$13,572.00 ","$8,070.82 ","$7,256.50 ","$8,070.82 ", N/A ,"$8,070.82 ","$11,400.48 ","$11,400.48 ","$13,752.96 ","$18,096.00 ","$15,381.60 ", N/A ,"$14,476.80 ","$6,695.52 ","$14,476.80 ", N/A , N/A ,"$18,096.00 ","$9,808.03 ", N/A ,"$4,759.25 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$15,381.60 ", N/A ,"$6,025.97 ","$5,066.88 ","$16,286.40 ","$13,029.12 ","$18,096.00 ","$11,400.48 ","$11,400.48 ","$11,400.48 ", N/A ,"$8,686.08 ","$16,286.40 " ST. JOHN'S HOSPITAL,48100379,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-RC,481,1 ,"$18,096.00 ","$11,762.40 ","$4,759.25 ","$18,096.00 ", N/A ,"$7,500.00 ","$9,808.03 ", N/A ,"$5,066.88 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,025.97 ","$6,025.97 ", N/A ,"$6,025.97 ", N/A ,"$9,518.50 ","$9,048.00 ", N/A , N/A ,"$12,667.20 ", N/A ,"$9,048.00 ", N/A ,"$13,572.00 ","$8,070.82 ","$7,256.50 ","$8,070.82 ", N/A ,"$8,070.82 ","$11,400.48 ","$11,400.48 ","$13,752.96 ","$18,096.00 ","$15,381.60 ", N/A ,"$14,476.80 ","$6,695.52 ","$14,476.80 ", N/A , N/A ,"$18,096.00 ","$9,808.03 ", N/A ,"$4,759.25 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$15,381.60 ", N/A ,"$6,025.97 ","$5,066.88 ","$16,286.40 ","$13,029.12 ","$18,096.00 ","$11,400.48 ","$11,400.48 ","$11,400.48 ", N/A ,"$8,686.08 ","$16,286.40 " ST. JOHN'S HOSPITAL,48100380,92925,HC PERC TRN ARTHR W/COR ANGIO EA ADL-RI,481,1 ,"$18,096.00 ","$11,762.40 ","$4,759.25 ","$18,096.00 ", N/A ,"$7,500.00 ","$9,808.03 ", N/A ,"$5,066.88 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,025.97 ","$6,025.97 ", N/A ,"$6,025.97 ", N/A ,"$9,518.50 ","$9,048.00 ", N/A , N/A ,"$12,667.20 ", N/A ,"$9,048.00 ", N/A ,"$13,572.00 ","$8,070.82 ","$7,256.50 ","$8,070.82 ", N/A ,"$8,070.82 ","$11,400.48 ","$11,400.48 ","$13,752.96 ","$18,096.00 ","$15,381.60 ", N/A ,"$14,476.80 ","$6,695.52 ","$14,476.80 ", N/A , N/A ,"$18,096.00 ","$9,808.03 ", N/A ,"$4,759.25 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$15,381.60 ", N/A ,"$6,025.97 ","$5,066.88 ","$16,286.40 ","$13,029.12 ","$18,096.00 ","$11,400.48 ","$11,400.48 ","$11,400.48 ", N/A ,"$8,686.08 ","$16,286.40 " ST. JOHN'S HOSPITAL,48100381,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100382,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LD,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100383,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-LM,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100384,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-RC,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100385,92933,HC PERC TRN ARTHR W/INTRA STENT ANGIO SGL-RI,481,1 ,"$29,201.00 ","$18,980.65 ","$7,500.00 ","$38,594.64 ","$38,594.63 ","$7,500.00 ","$15,826.94 ","$15,437.85 ","$8,176.28 ","$8,263.88 ","$15,437.85 ","$9,461.12 ","$15,437.85 ","$9,723.93 ","$9,723.93 ","$15,437.85 ","$9,723.93 ","$29,201.00 ","$15,359.73 ","$14,600.50 ","$38,594.64 ","$15,437.85 ","$20,440.70 ","$15,437.85 ","$14,600.50 ","$15,746.61 ","$21,900.75 ","$13,023.65 ","$11,709.60 ","$13,023.65 ","$15,437.85 ","$13,023.65 ","$18,396.63 ","$18,396.63 ","$22,192.76 ","$29,201.00 ","$24,820.85 ","$29,201.00 ","$23,360.80 ","$10,804.37 ","$23,360.80 ","$15,437.85 ","$15,437.85 ","$29,201.00 ","$15,826.94 ","$15,437.85 ","$7,679.86 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$16,209.74 ","$24,820.85 ","$34,735.17 ","$9,723.93 ","$8,176.28 ","$26,280.90 ","$21,024.72 ","$29,201.00 ","$18,396.63 ","$18,396.63 ","$18,396.63 ","$15,437.85 ","$14,016.48 ","$26,280.90 " ST. JOHN'S HOSPITAL,48100386,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100387,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LD,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100388,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-LM,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100389,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-RC,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100390,92934,HC PERC TRN ARTHR W/INTRA STENT ANGIO EA ADL-RI,481,1 ,"$14,415.00 ","$9,369.75 ","$3,791.15 ","$14,415.00 ", N/A ,"$7,500.00 ","$7,812.93 ", N/A ,"$4,036.20 ","$4,612.80 ", N/A ,"$5,304.72 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,582.29 ","$7,207.50 ", N/A , N/A ,"$10,090.50 ", N/A ,"$7,207.50 ", N/A ,"$10,811.25 ","$6,429.09 ","$5,780.42 ","$6,429.09 ", N/A ,"$6,429.09 ","$9,081.45 ","$9,081.45 ","$10,955.40 ","$14,415.00 ","$12,252.75 ", N/A ,"$11,532.00 ","$5,333.55 ","$11,532.00 ", N/A , N/A ,"$14,415.00 ","$7,812.93 ", N/A ,"$3,791.15 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$12,252.75 ", N/A ,"$5,000.00 ","$4,036.20 ","$12,973.50 ","$10,378.80 ","$14,415.00 ","$9,081.45 ","$9,081.45 ","$9,081.45 ", N/A ,"$6,919.20 ","$12,973.50 " ST. JOHN'S HOSPITAL,48100396,92920,HC PERC TRANSLUM COR ANGIO SGL-LC,481,1 ,"$18,983.00 ","$12,338.95 ","$4,764.25 ","$18,983.00 ","$11,910.63 ","$7,500.00 ","$10,288.79 ","$4,764.25 ","$5,315.24 ","$5,372.19 ","$4,764.25 ","$6,150.49 ","$4,764.25 ","$6,321.34 ","$6,321.34 ","$4,764.25 ","$6,321.34 ","$9,052.08 ","$9,985.06 ","$9,491.50 ","$11,910.63 ","$4,764.25 ","$13,288.10 ","$4,764.25 ","$9,491.50 ","$4,859.54 ","$14,237.25 ","$8,466.42 ","$7,612.18 ","$8,466.42 ","$4,764.25 ","$8,466.42 ","$11,959.29 ","$11,959.29 ","$14,427.08 ","$18,983.00 ","$16,135.55 ","$11,910.63 ","$15,186.40 ","$7,023.71 ","$15,186.40 ","$4,764.25 ","$4,764.25 ","$18,983.00 ","$10,288.79 ","$4,764.25 ","$4,992.53 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$16,135.55 ","$10,719.56 ","$6,321.34 ","$5,315.24 ","$17,084.70 ","$13,667.76 ","$18,983.00 ","$11,959.29 ","$11,959.29 ","$11,959.29 ","$4,764.25 ","$9,111.84 ","$17,084.70 " ST. JOHN'S HOSPITAL,48100397,92920,HC PERC TRANSLUM COR ANGIO SGL-LD,481,1 ,"$18,983.00 ","$12,338.95 ","$4,764.25 ","$18,983.00 ","$11,910.63 ","$7,500.00 ","$10,288.79 ","$4,764.25 ","$5,315.24 ","$5,372.19 ","$4,764.25 ","$6,150.49 ","$4,764.25 ","$6,321.34 ","$6,321.34 ","$4,764.25 ","$6,321.34 ","$9,052.08 ","$9,985.06 ","$9,491.50 ","$11,910.63 ","$4,764.25 ","$13,288.10 ","$4,764.25 ","$9,491.50 ","$4,859.54 ","$14,237.25 ","$8,466.42 ","$7,612.18 ","$8,466.42 ","$4,764.25 ","$8,466.42 ","$11,959.29 ","$11,959.29 ","$14,427.08 ","$18,983.00 ","$16,135.55 ","$11,910.63 ","$15,186.40 ","$7,023.71 ","$15,186.40 ","$4,764.25 ","$4,764.25 ","$18,983.00 ","$10,288.79 ","$4,764.25 ","$4,992.53 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$16,135.55 ","$10,719.56 ","$6,321.34 ","$5,315.24 ","$17,084.70 ","$13,667.76 ","$18,983.00 ","$11,959.29 ","$11,959.29 ","$11,959.29 ","$4,764.25 ","$9,111.84 ","$17,084.70 " ST. JOHN'S HOSPITAL,48100398,92920,HC PERC TRANSLUM COR ANGIO SGL-LM,481,1 ,"$18,983.00 ","$12,338.95 ","$4,764.25 ","$18,983.00 ","$11,910.63 ","$7,500.00 ","$10,288.79 ","$4,764.25 ","$5,315.24 ","$5,372.19 ","$4,764.25 ","$6,150.49 ","$4,764.25 ","$6,321.34 ","$6,321.34 ","$4,764.25 ","$6,321.34 ","$9,052.08 ","$9,985.06 ","$9,491.50 ","$11,910.63 ","$4,764.25 ","$13,288.10 ","$4,764.25 ","$9,491.50 ","$4,859.54 ","$14,237.25 ","$8,466.42 ","$7,612.18 ","$8,466.42 ","$4,764.25 ","$8,466.42 ","$11,959.29 ","$11,959.29 ","$14,427.08 ","$18,983.00 ","$16,135.55 ","$11,910.63 ","$15,186.40 ","$7,023.71 ","$15,186.40 ","$4,764.25 ","$4,764.25 ","$18,983.00 ","$10,288.79 ","$4,764.25 ","$4,992.53 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$16,135.55 ","$10,719.56 ","$6,321.34 ","$5,315.24 ","$17,084.70 ","$13,667.76 ","$18,983.00 ","$11,959.29 ","$11,959.29 ","$11,959.29 ","$4,764.25 ","$9,111.84 ","$17,084.70 " ST. JOHN'S HOSPITAL,48100399,92920,HC PERC TRANSLUM COR ANGIO SGL-RC,481,1 ,"$18,983.00 ","$12,338.95 ","$4,764.25 ","$18,983.00 ","$11,910.63 ","$7,500.00 ","$10,288.79 ","$4,764.25 ","$5,315.24 ","$5,372.19 ","$4,764.25 ","$6,150.49 ","$4,764.25 ","$6,321.34 ","$6,321.34 ","$4,764.25 ","$6,321.34 ","$9,052.08 ","$9,985.06 ","$9,491.50 ","$11,910.63 ","$4,764.25 ","$13,288.10 ","$4,764.25 ","$9,491.50 ","$4,859.54 ","$14,237.25 ","$8,466.42 ","$7,612.18 ","$8,466.42 ","$4,764.25 ","$8,466.42 ","$11,959.29 ","$11,959.29 ","$14,427.08 ","$18,983.00 ","$16,135.55 ","$11,910.63 ","$15,186.40 ","$7,023.71 ","$15,186.40 ","$4,764.25 ","$4,764.25 ","$18,983.00 ","$10,288.79 ","$4,764.25 ","$4,992.53 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$16,135.55 ","$10,719.56 ","$6,321.34 ","$5,315.24 ","$17,084.70 ","$13,667.76 ","$18,983.00 ","$11,959.29 ","$11,959.29 ","$11,959.29 ","$4,764.25 ","$9,111.84 ","$17,084.70 " ST. JOHN'S HOSPITAL,48100400,92920,HC PERC TRANSLUM COR ANGIO SGL-RI,481,1 ,"$18,983.00 ","$12,338.95 ","$4,764.25 ","$18,983.00 ","$11,910.63 ","$7,500.00 ","$10,288.79 ","$4,764.25 ","$5,315.24 ","$5,372.19 ","$4,764.25 ","$6,150.49 ","$4,764.25 ","$6,321.34 ","$6,321.34 ","$4,764.25 ","$6,321.34 ","$9,052.08 ","$9,985.06 ","$9,491.50 ","$11,910.63 ","$4,764.25 ","$13,288.10 ","$4,764.25 ","$9,491.50 ","$4,859.54 ","$14,237.25 ","$8,466.42 ","$7,612.18 ","$8,466.42 ","$4,764.25 ","$8,466.42 ","$11,959.29 ","$11,959.29 ","$14,427.08 ","$18,983.00 ","$16,135.55 ","$11,910.63 ","$15,186.40 ","$7,023.71 ","$15,186.40 ","$4,764.25 ","$4,764.25 ","$18,983.00 ","$10,288.79 ","$4,764.25 ","$4,992.53 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$16,135.55 ","$10,719.56 ","$6,321.34 ","$5,315.24 ","$17,084.70 ","$13,667.76 ","$18,983.00 ","$11,959.29 ","$11,959.29 ","$11,959.29 ","$4,764.25 ","$9,111.84 ","$17,084.70 " ST. JOHN'S HOSPITAL,48100401,92921,HC PERC TRANSLUM COR ANGIO EA AD-LC,481,1 ,"$9,490.00 ","$6,168.50 ","$2,495.87 ","$9,490.00 ", N/A ,"$7,500.00 ","$5,143.58 ", N/A ,"$2,657.20 ","$3,036.80 ", N/A ,"$3,492.32 ", N/A ,"$3,625.18 ","$3,625.18 ", N/A ,"$3,625.18 ", N/A ,"$4,991.74 ","$8,520.00 ", N/A , N/A ,"$6,643.00 ", N/A ,"$4,745.00 ", N/A ,"$7,117.50 ","$4,232.54 ","$3,805.49 ","$4,232.54 ", N/A ,"$4,232.54 ","$5,978.70 ","$5,978.70 ","$7,212.40 ","$9,490.00 ","$8,066.50 ", N/A ,"$7,592.00 ","$3,511.30 ","$7,592.00 ", N/A , N/A ,"$9,490.00 ","$5,143.58 ", N/A ,"$2,495.87 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$8,066.50 ", N/A ,"$3,625.18 ","$2,657.20 ","$8,541.00 ","$6,832.80 ","$9,490.00 ","$5,978.70 ","$5,978.70 ","$5,978.70 ", N/A ,"$4,555.20 ","$8,541.00 " ST. JOHN'S HOSPITAL,48100402,92921,HC PERC TRANSLUM COR ANGIO EA AD-LD,481,1 ,"$9,490.00 ","$6,168.50 ","$2,495.87 ","$9,490.00 ", N/A ,"$7,500.00 ","$5,143.58 ", N/A ,"$2,657.20 ","$3,036.80 ", N/A ,"$3,492.32 ", N/A ,"$3,625.18 ","$3,625.18 ", N/A ,"$3,625.18 ", N/A ,"$4,991.74 ","$8,520.00 ", N/A , N/A ,"$6,643.00 ", N/A ,"$4,745.00 ", N/A ,"$7,117.50 ","$4,232.54 ","$3,805.49 ","$4,232.54 ", N/A ,"$4,232.54 ","$5,978.70 ","$5,978.70 ","$7,212.40 ","$9,490.00 ","$8,066.50 ", N/A ,"$7,592.00 ","$3,511.30 ","$7,592.00 ", N/A , N/A ,"$9,490.00 ","$5,143.58 ", N/A ,"$2,495.87 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$8,066.50 ", N/A ,"$3,625.18 ","$2,657.20 ","$8,541.00 ","$6,832.80 ","$9,490.00 ","$5,978.70 ","$5,978.70 ","$5,978.70 ", N/A ,"$4,555.20 ","$8,541.00 " ST. JOHN'S HOSPITAL,48100403,92921,HC PERC TRANSLUM COR ANGIO EA AD-LM,481,1 ,"$9,490.00 ","$6,168.50 ","$2,495.87 ","$9,490.00 ", N/A ,"$7,500.00 ","$5,143.58 ", N/A ,"$2,657.20 ","$3,036.80 ", N/A ,"$3,492.32 ", N/A ,"$3,625.18 ","$3,625.18 ", N/A ,"$3,625.18 ", N/A ,"$4,991.74 ","$8,520.00 ", N/A , N/A ,"$6,643.00 ", N/A ,"$4,745.00 ", N/A ,"$7,117.50 ","$4,232.54 ","$3,805.49 ","$4,232.54 ", N/A ,"$4,232.54 ","$5,978.70 ","$5,978.70 ","$7,212.40 ","$9,490.00 ","$8,066.50 ", N/A ,"$7,592.00 ","$3,511.30 ","$7,592.00 ", N/A , N/A ,"$9,490.00 ","$5,143.58 ", N/A ,"$2,495.87 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$8,066.50 ", N/A ,"$3,625.18 ","$2,657.20 ","$8,541.00 ","$6,832.80 ","$9,490.00 ","$5,978.70 ","$5,978.70 ","$5,978.70 ", N/A ,"$4,555.20 ","$8,541.00 " ST. JOHN'S HOSPITAL,48100404,92921,HC PERC TRANSLUM COR ANGIO EA AD-RC,481,1 ,"$9,490.00 ","$6,168.50 ","$2,495.87 ","$9,490.00 ", N/A ,"$7,500.00 ","$5,143.58 ", N/A ,"$2,657.20 ","$3,036.80 ", N/A ,"$3,492.32 ", N/A ,"$3,625.18 ","$3,625.18 ", N/A ,"$3,625.18 ", N/A ,"$4,991.74 ","$8,520.00 ", N/A , N/A ,"$6,643.00 ", N/A ,"$4,745.00 ", N/A ,"$7,117.50 ","$4,232.54 ","$3,805.49 ","$4,232.54 ", N/A ,"$4,232.54 ","$5,978.70 ","$5,978.70 ","$7,212.40 ","$9,490.00 ","$8,066.50 ", N/A ,"$7,592.00 ","$3,511.30 ","$7,592.00 ", N/A , N/A ,"$9,490.00 ","$5,143.58 ", N/A ,"$2,495.87 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$8,066.50 ", N/A ,"$3,625.18 ","$2,657.20 ","$8,541.00 ","$6,832.80 ","$9,490.00 ","$5,978.70 ","$5,978.70 ","$5,978.70 ", N/A ,"$4,555.20 ","$8,541.00 " ST. JOHN'S HOSPITAL,48100405,92921,HC PERC TRANSLUM COR ANGIO EA AD-RI,481,1 ,"$9,490.00 ","$6,168.50 ","$2,495.87 ","$9,490.00 ", N/A ,"$7,500.00 ","$5,143.58 ", N/A ,"$2,657.20 ","$3,036.80 ", N/A ,"$3,492.32 ", N/A ,"$3,625.18 ","$3,625.18 ", N/A ,"$3,625.18 ", N/A ,"$4,991.74 ","$8,520.00 ", N/A , N/A ,"$6,643.00 ", N/A ,"$4,745.00 ", N/A ,"$7,117.50 ","$4,232.54 ","$3,805.49 ","$4,232.54 ", N/A ,"$4,232.54 ","$5,978.70 ","$5,978.70 ","$7,212.40 ","$9,490.00 ","$8,066.50 ", N/A ,"$7,592.00 ","$3,511.30 ","$7,592.00 ", N/A , N/A ,"$9,490.00 ","$5,143.58 ", N/A ,"$2,495.87 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ", N/A ,"$8,066.50 ", N/A ,"$3,625.18 ","$2,657.20 ","$8,541.00 ","$6,832.80 ","$9,490.00 ","$5,978.70 ","$5,978.70 ","$5,978.70 ", N/A ,"$4,555.20 ","$8,541.00 " ST. JOHN'S HOSPITAL,48100416,93592,HC TRANSCATH PERQ AORTIC ADDL,481,1 ,"$13,124.00 ","$8,530.60 ","$2,300.00 ","$13,124.00 ", N/A ,"$2,300.00 ","$7,113.21 ", N/A ,"$3,674.72 ","$4,199.68 ", N/A ,"$4,829.63 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$6,903.22 ","$6,562.00 ", N/A , N/A ,"$9,186.80 ", N/A ,"$6,562.00 ", N/A ,"$9,843.00 ","$5,853.30 ","$5,262.72 ","$5,853.30 ", N/A ,"$5,853.30 ","$8,268.12 ","$8,268.12 ","$9,974.24 ","$13,124.00 ","$11,155.40 ", N/A ,"$10,499.20 ","$4,855.88 ","$10,499.20 ", N/A , N/A ,"$13,124.00 ","$7,113.21 ", N/A ,"$3,451.61 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ", N/A ,"$11,155.40 ", N/A ,"$5,000.00 ","$3,674.72 ","$11,811.60 ","$9,449.28 ","$13,124.00 ","$8,268.12 ","$8,268.12 ","$8,268.12 ", N/A ,"$6,299.52 ","$11,811.60 " ST. JOHN'S HOSPITAL,48100417,93591,HC TRANSCATH PERQ AORTIC INIT,481,1 ,"$26,246.00 ","$17,059.90 ","$6,902.70 ","$38,594.64 ","$38,594.63 ","$7,000.00 ","$14,225.33 ","$15,437.85 ","$7,348.88 ","$7,427.62 ","$15,437.85 ","$8,503.70 ","$15,437.85 ","$8,739.92 ","$8,739.92 ","$15,437.85 ","$8,739.92 ","$26,246.00 ","$13,805.40 ","$13,123.00 ","$38,594.64 ","$15,437.85 ","$18,372.20 ","$15,437.85 ","$13,123.00 ","$15,746.61 ","$19,684.50 ","$11,705.72 ","$10,524.65 ","$11,705.72 ","$15,437.85 ","$11,705.72 ","$16,534.98 ","$16,534.98 ","$19,946.96 ","$26,246.00 ","$22,309.10 ","$26,246.00 ","$20,996.80 ","$9,711.02 ","$20,996.80 ","$15,437.85 ","$15,437.85 ","$26,246.00 ","$14,225.33 ","$15,437.85 ","$6,902.70 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$22,309.10 ","$34,735.17 ","$8,739.92 ","$7,348.88 ","$23,621.40 ","$18,897.12 ","$26,246.00 ","$16,534.98 ","$16,534.98 ","$16,534.98 ","$15,437.85 ","$12,598.08 ","$23,621.40 " ST. JOHN'S HOSPITAL,48100420,33210,HC INS/REPL TPM SGL ELEC/CATH,481,1 ,"$10,268.00 ","$6,674.20 ","$2,700.48 ","$19,606.08 ","$19,606.08 ","$5,000.00 ","$5,565.26 ","$7,842.43 ","$2,875.04 ","$3,285.76 ","$7,842.43 ","$3,778.62 ","$7,842.43 ","$3,922.38 ","$3,922.38 ","$7,842.43 ","$3,922.38 ","$10,268.00 ","$5,400.97 ","$8,520.00 ","$19,606.07 ","$7,842.43 ","$7,187.60 ","$7,842.43 ","$5,134.00 ","$7,999.28 ","$7,701.00 ","$4,579.53 ","$4,117.47 ","$4,579.53 ","$7,842.43 ","$4,579.53 ","$6,468.84 ","$6,468.84 ","$7,803.68 ","$10,268.00 ","$8,727.80 ","$10,268.00 ","$8,214.40 ","$3,799.16 ","$8,214.40 ","$7,842.43 ","$7,842.43 ","$10,268.00 ","$5,565.26 ","$7,842.43 ","$2,700.48 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$8,727.80 ","$17,645.46 ","$3,922.38 ","$2,875.04 ","$9,241.20 ","$7,392.96 ","$10,268.00 ","$6,468.84 ","$6,468.84 ","$6,468.84 ","$7,842.43 ","$4,928.64 ","$9,241.20 " ST. JOHN'S HOSPITAL,48100421,33211,HC INS/REPL TEMP ELECTRODE DUAL CHAMBER-33211,481,1 ,"$11,779.00 ","$7,656.35 ","$3,097.88 ","$19,606.08 ","$19,606.08 ","$5,000.00 ","$6,384.22 ","$7,842.43 ","$3,298.12 ","$3,769.28 ","$7,842.43 ","$4,334.67 ","$7,842.43 ","$4,499.58 ","$4,499.58 ","$7,842.43 ","$4,499.58 ","$11,779.00 ","$6,195.75 ","$8,520.00 ","$19,606.07 ","$7,842.43 ","$8,245.30 ","$7,842.43 ","$5,889.50 ","$7,999.28 ","$8,834.25 ","$5,253.43 ","$4,723.38 ","$5,253.43 ","$7,842.43 ","$5,253.43 ","$7,420.77 ","$7,420.77 ","$8,952.04 ","$11,779.00 ","$10,012.15 ","$11,779.00 ","$9,423.20 ","$4,358.23 ","$9,423.20 ","$7,842.43 ","$7,842.43 ","$11,779.00 ","$6,384.22 ","$7,842.43 ","$3,097.88 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$10,012.15 ","$17,645.46 ","$4,499.58 ","$3,298.12 ","$10,601.10 ","$8,480.88 ","$11,779.00 ","$7,420.77 ","$7,420.77 ","$7,420.77 ","$7,842.43 ","$5,653.92 ","$10,601.10 " ST. JOHN'S HOSPITAL,48100422,33216,HC INS ELECTRODE SGL CHAMBER DISC POST-ANES-74,481,1 ,"$23,776.00 ","$15,454.40 ","$3,118.14 ","$23,776.00 ","$19,606.08 ","$5,000.00 ","$12,886.59 ","$7,842.43 ","$6,657.28 ","$6,728.61 ","$7,842.43 ","$7,703.42 ","$7,842.43 ","$7,917.41 ","$7,917.41 ","$7,842.43 ","$7,917.41 ","$14,900.61 ","$12,506.18 ","$11,888.00 ","$19,606.07 ","$7,842.43 ","$16,643.20 ","$7,842.43 ","$11,888.00 ","$7,999.28 ","$17,832.00 ","$10,604.10 ","$9,534.18 ","$10,604.10 ","$7,842.43 ","$10,604.10 ","$14,978.88 ","$14,978.88 ","$18,069.76 ","$23,776.00 ","$20,209.60 ","$19,606.07 ","$19,020.80 ","$8,797.12 ","$19,020.80 ","$7,842.43 ","$7,842.43 ","$23,776.00 ","$12,886.59 ","$7,842.43 ","$6,253.09 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$20,209.60 ","$17,645.46 ","$7,917.41 ","$6,657.28 ","$21,398.40 ","$17,118.72 ","$23,776.00 ","$14,978.88 ","$14,978.88 ","$14,978.88 ","$7,842.43 ","$11,412.48 ","$21,398.40 " ST. JOHN'S HOSPITAL,48100424,33225,HC INS LV PACING ELCT W/C-D/PACE DISC POST-ANES-74,481,1 ,"$11,928.00 ","$7,753.20 ","$3,137.06 ","$11,928.00 ", N/A ,"$5,000.00 ","$6,464.98 ", N/A ,"$3,339.84 ","$3,816.96 ", N/A ,"$4,389.50 ", N/A ,"$4,556.50 ","$4,556.50 ", N/A ,"$4,556.50 ", N/A ,"$6,274.13 ","$8,520.00 ", N/A , N/A ,"$8,349.60 ", N/A ,"$5,964.00 ", N/A ,"$8,946.00 ","$5,319.89 ","$4,783.13 ","$5,319.89 ", N/A ,"$5,319.89 ","$7,514.64 ","$7,514.64 ","$9,065.28 ","$11,928.00 ","$10,138.80 ", N/A ,"$9,542.40 ","$4,413.36 ","$9,542.40 ", N/A , N/A ,"$11,928.00 ","$6,464.98 ", N/A ,"$3,137.06 ", N/A , N/A , N/A , N/A , N/A ,"$10,138.80 ", N/A ,"$4,556.50 ","$3,339.84 ","$10,735.20 ","$8,588.16 ","$11,928.00 ","$7,514.64 ","$7,514.64 ","$7,514.64 ", N/A ,"$5,725.44 ","$10,735.20 " ST. JOHN'S HOSPITAL,48100425,33234,HC REMOVE ELECTRODE SINGLE W/LASER-33234,481,1 ,"$19,918.00 ","$12,946.70 ","$3,310.03 ","$19,918.00 ","$8,275.08 ","$5,000.00 ","$10,795.56 ","$3,310.03 ","$5,577.04 ","$5,636.79 ","$3,310.03 ","$6,453.43 ","$3,310.03 ","$6,632.69 ","$6,632.69 ","$3,310.03 ","$6,632.69 ","$6,289.06 ","$10,476.87 ","$9,959.00 ","$8,275.08 ","$3,310.03 ","$13,942.60 ","$3,310.03 ","$9,959.00 ","$3,376.23 ","$14,938.50 ","$8,883.43 ","$7,987.12 ","$8,883.43 ","$3,310.03 ","$8,883.43 ","$12,548.34 ","$12,548.34 ","$15,137.68 ","$19,918.00 ","$16,930.30 ","$8,275.08 ","$15,934.40 ","$7,369.66 ","$15,934.40 ","$3,310.03 ","$3,310.03 ","$19,918.00 ","$10,795.56 ","$3,310.03 ","$5,238.43 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$16,930.30 ","$7,447.57 ","$6,632.69 ","$5,577.04 ","$17,926.20 ","$14,340.96 ","$19,918.00 ","$12,548.34 ","$12,548.34 ","$12,548.34 ","$3,310.03 ","$9,560.64 ","$17,926.20 " ST. JOHN'S HOSPITAL,48100426,33235,HC REMOVE ELECTRODE DUAL W/LASER-33235,481,1 ,"$18,420.00 ","$11,973.00 ","$3,310.03 ","$18,420.00 ","$8,275.08 ","$5,000.00 ","$9,983.64 ","$3,310.03 ","$5,157.60 ","$5,680.82 ","$3,310.03 ","$6,529.53 ","$3,310.03 ","$6,133.86 ","$6,133.86 ","$3,310.03 ","$6,133.86 ","$6,289.06 ","$9,688.92 ","$9,210.00 ","$8,275.08 ","$3,310.03 ","$12,894.00 ","$3,310.03 ","$9,210.00 ","$3,376.23 ","$13,815.00 ","$8,215.32 ","$7,386.42 ","$8,215.32 ","$3,310.03 ","$8,215.32 ","$11,604.60 ","$11,604.60 ","$13,999.20 ","$18,420.00 ","$15,657.00 ","$8,275.08 ","$14,736.00 ","$6,815.40 ","$14,736.00 ","$3,310.03 ","$3,310.03 ","$18,420.00 ","$9,983.64 ","$3,310.03 ","$4,844.46 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$15,657.00 ","$7,447.57 ","$6,133.86 ","$5,157.60 ","$16,578.00 ","$13,262.40 ","$18,420.00 ","$11,604.60 ","$11,604.60 ","$11,604.60 ","$3,310.03 ","$8,841.60 ","$16,578.00 " ST. JOHN'S HOSPITAL,48100427,33244,HC REMOVE C-D ELECTRODES W/LASER-33244,481,1 ,"$26,547.00 ","$17,255.55 ","$3,310.03 ","$26,547.00 ","$8,275.08 ","$5,000.00 ","$14,388.47 ","$3,310.03 ","$7,433.16 ","$7,512.80 ","$3,310.03 ","$8,601.23 ","$3,310.03 ","$8,840.15 ","$8,840.15 ","$3,310.03 ","$8,840.15 ","$6,289.06 ","$13,963.72 ","$13,273.50 ","$8,275.08 ","$3,310.03 ","$18,582.90 ","$3,310.03 ","$13,273.50 ","$3,376.23 ","$19,910.25 ","$11,839.96 ","$10,645.35 ","$11,839.96 ","$3,310.03 ","$11,839.96 ","$16,724.61 ","$16,724.61 ","$20,175.72 ","$26,547.00 ","$22,564.95 ","$8,275.08 ","$21,237.60 ","$9,822.39 ","$21,237.60 ","$3,310.03 ","$3,310.03 ","$26,547.00 ","$14,388.47 ","$3,310.03 ","$6,981.86 ", N/A , N/A ,"$6,103.90 ","$5,826.45 ","$3,475.53 ","$22,564.95 ","$7,447.57 ","$8,840.15 ","$7,433.16 ","$23,892.30 ","$19,113.84 ","$26,547.00 ","$16,724.61 ","$16,724.61 ","$16,724.61 ","$3,310.03 ","$12,742.56 ","$23,892.30 " ST. JOHN'S HOSPITAL,48100428,33262,HC REM/REPL DEFIB PULSE GEN SINGLE DISC POST-ANES-74,481,1 ,"$42,920.00 ","$27,898.00 ","$4,200.00 ","$55,415.15 ","$55,415.15 ","$4,200.00 ","$23,262.64 ","$22,166.06 ","$12,017.60 ","$12,146.36 ","$22,166.06 ","$13,906.08 ","$22,166.06 ","$14,292.36 ","$14,292.36 ","$22,166.06 ","$14,292.36 ","$42,115.51 ","$22,575.92 ","$21,460.00 ","$55,415.15 ","$22,166.06 ","$30,044.00 ","$22,166.06 ","$21,460.00 ","$22,609.38 ","$32,190.00 ","$19,142.32 ","$17,210.92 ","$19,142.32 ","$22,166.06 ","$19,142.32 ","$27,039.60 ","$27,039.60 ","$32,619.20 ","$42,920.00 ","$36,482.00 ","$42,920.00 ","$34,336.00 ","$15,880.40 ","$34,336.00 ","$22,166.06 ","$22,166.06 ","$42,920.00 ","$23,262.64 ","$22,166.06 ","$11,287.96 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$23,274.36 ","$36,482.00 ","$49,873.64 ","$14,292.36 ","$12,017.60 ","$38,628.00 ","$30,902.40 ","$42,920.00 ","$27,039.60 ","$27,039.60 ","$27,039.60 ","$22,166.06 ","$20,601.60 ","$38,628.00 " ST. JOHN'S HOSPITAL,48100429,33263,HC REM/REPL DEFIB PULSE GEN DUAL DISC POST-ANES-74,481,1 ,"$48,141.00 ","$31,291.65 ","$4,200.00 ","$55,415.15 ","$55,415.15 ","$4,200.00 ","$26,092.42 ","$22,166.06 ","$13,479.48 ","$13,623.90 ","$22,166.06 ","$15,597.68 ","$22,166.06 ","$16,030.95 ","$16,030.95 ","$22,166.06 ","$16,030.95 ","$42,115.51 ","$25,322.17 ","$24,070.50 ","$55,415.15 ","$22,166.06 ","$33,698.70 ","$22,166.06 ","$24,070.50 ","$22,609.38 ","$36,105.75 ","$21,470.89 ","$19,304.54 ","$21,470.89 ","$22,166.06 ","$21,470.89 ","$30,328.83 ","$30,328.83 ","$36,587.16 ","$48,141.00 ","$40,919.85 ","$48,141.00 ","$38,512.80 ","$17,812.17 ","$38,512.80 ","$22,166.06 ","$22,166.06 ","$48,141.00 ","$26,092.42 ","$22,166.06 ","$12,661.08 ", N/A , N/A ,"$24,190.72 ","$23,091.14 ","$23,274.36 ","$40,919.85 ","$49,873.64 ","$16,030.95 ","$13,479.48 ","$43,326.90 ","$34,661.52 ","$48,141.00 ","$30,328.83 ","$30,328.83 ","$30,328.83 ","$22,166.06 ","$23,107.68 ","$43,326.90 " ST. JOHN'S HOSPITAL,48100430,33340,HC LAA PERC CLOSURE W/ENDOCARDIAL IMPLANT S AND I,481,1 ,"$23,308.00 ","$15,150.20 ","$6,130.00 ","$23,308.00 ", N/A ,"$7,500.00 ","$12,632.94 ", N/A ,"$6,526.24 ","$6,596.16 ", N/A ,"$7,551.79 ", N/A ,"$7,761.56 ","$7,761.56 ", N/A ,"$7,761.56 ", N/A ,"$12,260.01 ","$11,654.00 ", N/A , N/A ,"$16,315.60 ", N/A ,"$11,654.00 ", N/A ,"$17,481.00 ","$10,395.37 ","$9,346.51 ","$10,395.37 ", N/A ,"$10,395.37 ","$14,684.04 ","$14,684.04 ","$17,714.08 ","$23,308.00 ","$19,811.80 ", N/A ,"$18,646.40 ","$8,623.96 ","$18,646.40 ", N/A , N/A ,"$23,308.00 ","$12,632.94 ", N/A ,"$6,130.00 ", N/A , N/A , N/A , N/A , N/A ,"$19,811.80 ", N/A ,"$7,761.56 ","$6,526.24 ","$20,977.20 ","$16,781.76 ","$23,308.00 ","$14,684.04 ","$14,684.04 ","$14,684.04 ", N/A ,"$11,187.84 ","$20,977.20 " ST. JOHN'S HOSPITAL,48100432,33362,HC REPL TAVR W/PRO OPEN FEM ART DISC POST-ANES-74,481,1 ,"$39,815.00 ","$25,879.75 ","$7,500.00 ","$39,815.00 ", N/A ,"$7,500.00 ","$21,579.73 ", N/A ,"$11,148.20 ","$11,267.65 ", N/A ,"$12,900.06 ", N/A ,"$13,258.40 ","$13,258.40 ", N/A ,"$13,258.40 ", N/A ,"$20,942.69 ","$19,907.50 ", N/A , N/A ,"$27,870.50 ", N/A ,"$19,907.50 ", N/A ,"$29,861.25 ","$17,757.49 ","$15,965.82 ","$17,757.49 ", N/A ,"$17,757.49 ","$25,083.45 ","$25,083.45 ","$30,259.40 ","$39,815.00 ","$33,842.75 ", N/A ,"$31,852.00 ","$14,731.55 ","$31,852.00 ", N/A , N/A ,"$39,815.00 ","$21,579.73 ", N/A ,"$10,471.35 ", N/A , N/A , N/A , N/A , N/A ,"$33,842.75 ", N/A ,"$13,258.40 ","$11,148.20 ","$35,833.50 ","$28,666.80 ","$39,815.00 ","$25,083.45 ","$25,083.45 ","$25,083.45 ", N/A ,"$19,111.20 ","$35,833.50 " ST. JOHN'S HOSPITAL,48100433,33419,HC RPR TRNSCTH MITRL VLV SUB PROS DISC POST-ANES-74,481,1 ,"$14,264.00 ","$9,271.60 ","$3,751.43 ","$14,264.00 ", N/A ,"$7,500.00 ","$7,731.09 ", N/A ,"$3,993.92 ","$4,564.48 ", N/A ,"$5,249.15 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,502.86 ","$7,132.00 ", N/A , N/A ,"$9,984.80 ", N/A ,"$7,132.00 ", N/A ,"$10,698.00 ","$6,361.74 ","$5,719.86 ","$6,361.74 ", N/A ,"$6,361.74 ","$8,986.32 ","$8,986.32 ","$10,840.64 ","$14,264.00 ","$12,124.40 ", N/A ,"$11,411.20 ","$5,277.68 ","$11,411.20 ", N/A , N/A ,"$14,264.00 ","$7,731.09 ", N/A ,"$3,751.43 ", N/A , N/A , N/A , N/A , N/A ,"$12,124.40 ", N/A ,"$5,000.00 ","$3,993.92 ","$12,837.60 ","$10,270.08 ","$14,264.00 ","$8,986.32 ","$8,986.32 ","$8,986.32 ", N/A ,"$6,846.72 ","$12,837.60 " ST. JOHN'S HOSPITAL,48100434,33970,HC INSERT INTRA AORTIC BALLOON DEVICE OPEN,481,1 ,"$14,328.00 ","$9,313.20 ","$3,768.26 ","$14,328.00 ", N/A ,"$7,500.00 ","$7,765.78 ", N/A ,"$4,011.84 ","$4,584.96 ", N/A ,"$5,272.70 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,536.53 ","$7,164.00 ", N/A , N/A ,"$10,029.60 ", N/A ,"$7,164.00 ", N/A ,"$10,746.00 ","$6,390.29 ","$5,745.53 ","$6,390.29 ", N/A ,"$6,390.29 ","$9,026.64 ","$9,026.64 ","$10,889.28 ","$14,328.00 ","$12,178.80 ", N/A ,"$11,462.40 ","$5,301.36 ","$11,462.40 ", N/A , N/A ,"$14,328.00 ","$7,765.78 ", N/A ,"$3,768.26 ", N/A , N/A , N/A , N/A , N/A ,"$12,178.80 ", N/A ,"$5,000.00 ","$4,011.84 ","$12,895.20 ","$10,316.16 ","$14,328.00 ","$9,026.64 ","$9,026.64 ","$9,026.64 ", N/A ,"$6,877.44 ","$12,895.20 " ST. JOHN'S HOSPITAL,48100436,33990,HC INSERT/REMOVE VAD ARTERIAL SAME SESSION,481,1 ,"$19,551.00 ","$12,708.15 ","$5,141.91 ","$19,551.00 ", N/A ,"$7,500.00 ","$10,596.64 ", N/A ,"$5,474.28 ","$5,532.93 ", N/A ,"$6,334.52 ", N/A ,"$6,510.48 ","$6,510.48 ", N/A ,"$6,510.48 ", N/A ,"$10,283.83 ","$9,775.50 ", N/A , N/A ,"$13,685.70 ", N/A ,"$9,775.50 ", N/A ,"$14,663.25 ","$8,719.75 ","$7,839.95 ","$8,719.75 ", N/A ,"$8,719.75 ","$12,317.13 ","$12,317.13 ","$14,858.76 ","$19,551.00 ","$16,618.35 ", N/A ,"$15,640.80 ","$7,233.87 ","$15,640.80 ", N/A , N/A ,"$19,551.00 ","$10,596.64 ", N/A ,"$5,141.91 ", N/A , N/A , N/A , N/A , N/A ,"$16,618.35 ", N/A ,"$6,510.48 ","$5,474.28 ","$17,595.90 ","$14,076.72 ","$19,551.00 ","$12,317.13 ","$12,317.13 ","$12,317.13 ", N/A ,"$9,384.48 ","$17,595.90 " ST. JOHN'S HOSPITAL,48100437,33990,HC INSERT/REMOVE VAD ARTERIAL SAME SESSION DISC POST-ANES-74,481,1 ,"$19,551.00 ","$12,708.15 ","$5,141.91 ","$19,551.00 ", N/A ,"$7,500.00 ","$10,596.64 ", N/A ,"$5,474.28 ","$5,532.93 ", N/A ,"$6,334.52 ", N/A ,"$6,510.48 ","$6,510.48 ", N/A ,"$6,510.48 ", N/A ,"$10,283.83 ","$9,775.50 ", N/A , N/A ,"$13,685.70 ", N/A ,"$9,775.50 ", N/A ,"$14,663.25 ","$8,719.75 ","$7,839.95 ","$8,719.75 ", N/A ,"$8,719.75 ","$12,317.13 ","$12,317.13 ","$14,858.76 ","$19,551.00 ","$16,618.35 ", N/A ,"$15,640.80 ","$7,233.87 ","$15,640.80 ", N/A , N/A ,"$19,551.00 ","$10,596.64 ", N/A ,"$5,141.91 ", N/A , N/A , N/A , N/A , N/A ,"$16,618.35 ", N/A ,"$6,510.48 ","$5,474.28 ","$17,595.90 ","$14,076.72 ","$19,551.00 ","$12,317.13 ","$12,317.13 ","$12,317.13 ", N/A ,"$9,384.48 ","$17,595.90 " ST. JOHN'S HOSPITAL,48100438,33992,HC REMOVE VAD SEPARATE SESSION,481,1 ,"$6,644.00 ","$4,318.60 ","$1,747.37 ","$6,644.00 ", N/A ,"$6,644.00 ","$3,601.05 ", N/A ,"$1,860.32 ","$2,126.08 ", N/A ,"$2,444.99 ", N/A ,"$2,538.01 ","$2,538.01 ", N/A ,"$2,538.01 ", N/A ,"$3,494.74 ","$6,644.00 ", N/A , N/A ,"$4,650.80 ", N/A ,"$3,322.00 ", N/A ,"$4,983.00 ","$2,963.22 ","$2,664.24 ","$2,963.22 ", N/A ,"$2,963.22 ","$4,185.72 ","$4,185.72 ","$5,049.44 ","$6,644.00 ","$5,647.40 ", N/A ,"$5,315.20 ","$2,458.28 ","$5,315.20 ", N/A , N/A ,"$6,644.00 ","$3,601.05 ", N/A ,"$1,747.37 ", N/A , N/A , N/A , N/A , N/A ,"$5,647.40 ", N/A ,"$2,538.01 ","$1,860.32 ","$5,979.60 ","$4,783.68 ","$6,644.00 ","$4,185.72 ","$4,185.72 ","$4,185.72 ", N/A ,"$3,189.12 ","$5,979.60 " ST. JOHN'S HOSPITAL,48100439,33999,HC CLOSE LEFT ATRIAL APPENDAGE,481,1 ,"$22,176.00 ","$14,414.40 ",$519.58 ,"$22,176.00 ","$1,298.95 ","$7,500.00 ","$12,019.39 ",$519.58 ,"$6,209.28 ","$6,275.81 ",$519.58 ,"$7,185.02 ",$519.58 ,"$7,384.61 ","$7,384.61 ",$519.58 ,"$7,384.61 ",$987.20 ,"$11,664.58 ","$11,088.00 ","$1,298.95 ",$519.58 ,"$15,523.20 ",$519.58 ,"$11,088.00 ",$529.97 ,"$16,632.00 ","$9,890.50 ","$8,892.58 ","$9,890.50 ",$519.58 ,"$9,890.50 ","$13,970.88 ","$13,970.88 ","$16,853.76 ","$22,176.00 ","$18,849.60 ","$1,298.95 ","$17,740.80 ","$8,205.12 ","$17,740.80 ",$519.58 ,$519.58 ,"$22,176.00 ","$12,019.39 ",$519.58 ,"$5,832.29 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$18,849.60 ","$1,169.06 ","$7,384.61 ","$6,209.28 ","$19,958.40 ","$15,966.72 ","$22,176.00 ","$13,970.88 ","$13,970.88 ","$13,970.88 ",$519.58 ,"$10,644.48 ","$19,958.40 " ST. JOHN'S HOSPITAL,48100440,33340,HC CLOSE LEFT ATRIAL APPENDAGE DISC POST-ANES 33340-74,481,1 ,"$22,176.00 ","$14,414.40 ","$5,832.29 ","$22,176.00 ", N/A ,"$7,500.00 ","$12,019.39 ", N/A ,"$6,209.28 ","$6,275.81 ", N/A ,"$7,185.02 ", N/A ,"$7,384.61 ","$7,384.61 ", N/A ,"$7,384.61 ", N/A ,"$11,664.58 ","$11,088.00 ", N/A , N/A ,"$15,523.20 ", N/A ,"$11,088.00 ", N/A ,"$16,632.00 ","$9,890.50 ","$8,892.58 ","$9,890.50 ", N/A ,"$9,890.50 ","$13,970.88 ","$13,970.88 ","$16,853.76 ","$22,176.00 ","$18,849.60 ", N/A ,"$17,740.80 ","$8,205.12 ","$17,740.80 ", N/A , N/A ,"$22,176.00 ","$12,019.39 ", N/A ,"$5,832.29 ", N/A , N/A , N/A , N/A , N/A ,"$18,849.60 ", N/A ,"$7,384.61 ","$6,209.28 ","$19,958.40 ","$15,966.72 ","$22,176.00 ","$13,970.88 ","$13,970.88 ","$13,970.88 ", N/A ,"$10,644.48 ","$19,958.40 " ST. JOHN'S HOSPITAL,48100442,33999,HC HEART VENTRICLE SUTURE,481,1 ,"$6,241.00 ","$4,056.65 ",$519.58 ,"$6,241.00 ","$1,298.95 ","$6,241.00 ","$3,382.62 ",$519.58 ,"$1,747.48 ","$1,997.12 ",$519.58 ,"$2,296.69 ",$519.58 ,"$2,384.06 ","$2,384.06 ",$519.58 ,"$2,384.06 ",$987.20 ,"$3,282.77 ","$6,241.00 ","$1,298.95 ",$519.58 ,"$4,368.70 ",$519.58 ,"$3,120.50 ",$529.97 ,"$4,680.75 ","$2,783.49 ","$2,502.64 ","$2,783.49 ",$519.58 ,"$2,783.49 ","$3,931.83 ","$3,931.83 ","$4,743.16 ","$6,241.00 ","$5,304.85 ","$1,298.95 ","$4,992.80 ","$2,309.17 ","$4,992.80 ",$519.58 ,$519.58 ,"$6,241.00 ","$3,382.62 ",$519.58 ,"$1,641.38 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$5,304.85 ","$1,169.06 ","$2,384.06 ","$1,747.48 ","$5,616.90 ","$4,493.52 ","$6,241.00 ","$3,931.83 ","$3,931.83 ","$3,931.83 ",$519.58 ,"$2,995.68 ","$5,616.90 " ST. JOHN'S HOSPITAL,48100443,34812,HC EXPOSE FEMORAL ARTERY W/PROSTHESIS UNILATERAL,481,1 ,"$9,943.00 ","$6,462.95 ","$2,615.01 ","$9,943.00 ", N/A ,"$7,500.00 ","$5,389.11 ", N/A ,"$2,784.04 ","$3,181.76 ", N/A ,"$3,659.02 ", N/A ,"$3,798.23 ","$3,798.23 ", N/A ,"$3,798.23 ", N/A ,"$5,230.02 ","$8,520.00 ", N/A , N/A ,"$6,960.10 ", N/A ,"$4,971.50 ", N/A ,"$7,457.25 ","$4,434.58 ","$3,987.14 ","$4,434.58 ", N/A ,"$4,434.58 ","$6,264.09 ","$6,264.09 ","$7,556.68 ","$9,943.00 ","$8,451.55 ", N/A ,"$7,954.40 ","$3,678.91 ","$7,954.40 ", N/A , N/A ,"$9,943.00 ","$5,389.11 ", N/A ,"$2,615.01 ", N/A , N/A , N/A , N/A , N/A ,"$8,451.55 ", N/A ,"$3,798.23 ","$2,784.04 ","$8,948.70 ","$7,158.96 ","$9,943.00 ","$6,264.09 ","$6,264.09 ","$6,264.09 ", N/A ,"$4,772.64 ","$8,948.70 " ST. JOHN'S HOSPITAL,48100444,34812,HC EXPOSE FEMORAL ARTERY W/PROSTHESIS - BILATERAL,481,1 ,"$14,914.00 ","$9,694.10 ","$3,922.38 ","$14,914.00 ", N/A ,"$11,250.00 ","$8,083.39 ", N/A ,"$4,175.92 ","$4,772.48 ", N/A ,"$5,488.35 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,844.76 ","$7,457.00 ", N/A , N/A ,"$10,439.80 ", N/A ,"$7,457.00 ", N/A ,"$11,185.50 ","$6,651.64 ","$5,980.51 ","$6,651.64 ", N/A ,"$6,651.64 ","$9,395.82 ","$9,395.82 ","$11,334.64 ","$14,914.00 ","$12,676.90 ", N/A ,"$11,931.20 ","$5,518.18 ","$11,931.20 ", N/A , N/A ,"$14,914.00 ","$8,083.39 ", N/A ,"$3,922.38 ", N/A , N/A , N/A , N/A , N/A ,"$12,676.90 ", N/A ,"$5,000.00 ","$4,175.92 ","$13,422.60 ","$10,738.08 ","$14,914.00 ","$9,395.82 ","$9,395.82 ","$9,395.82 ", N/A ,"$7,158.72 ","$13,422.60 " ST. JOHN'S HOSPITAL,48100445,36012,HC CATH PLCMT VENOUS 2ND ORDER-BIL,481,1 ,"$2,568.00 ","$1,669.20 ",$675.38 ,"$4,016.54 ", N/A ,"$2,568.00 ","$1,391.86 ", N/A ,$719.04 ,$821.76 , N/A ,$945.02 , N/A ,$980.98 ,$980.98 , N/A ,$980.98 , N/A ,"$1,350.77 ","$2,568.00 ", N/A , N/A ,"$1,797.60 ", N/A ,"$1,284.00 ", N/A ,"$1,926.00 ","$1,145.33 ","$1,029.77 ","$1,145.33 ", N/A ,"$1,145.33 ","$1,617.84 ","$1,617.84 ","$1,951.68 ","$2,568.00 ","$2,182.80 ", N/A ,"$2,054.40 ",$950.16 ,"$2,054.40 ", N/A , N/A ,"$2,568.00 ","$1,391.86 ", N/A ,$675.38 , N/A , N/A ,"$2,568.00 ","$4,016.54 ", N/A ,"$2,182.80 ", N/A ,$980.98 ,$719.04 ,"$2,311.20 ","$1,848.96 ","$2,568.00 ","$1,617.84 ","$1,617.84 ","$1,617.84 ", N/A ,"$1,232.64 ","$2,311.20 " ST. JOHN'S HOSPITAL,48100446,36200,HC INTRO CATH AORTA -BIL,481,1 ,"$2,052.00 ","$1,333.80 ",$539.68 ,"$4,016.54 ", N/A ,"$2,052.00 ","$1,112.18 ", N/A ,$574.56 ,$656.64 , N/A ,$755.14 , N/A ,$783.86 ,$783.86 , N/A ,$783.86 , N/A ,"$1,079.35 ","$2,052.00 ", N/A , N/A ,"$1,436.40 ", N/A ,"$1,026.00 ", N/A ,"$1,539.00 ",$915.19 ,$822.85 ,$915.19 , N/A ,$915.19 ,"$1,292.76 ","$1,292.76 ","$1,559.52 ","$2,052.00 ","$1,744.20 ", N/A ,"$1,641.60 ",$759.24 ,"$1,641.60 ", N/A , N/A ,"$2,052.00 ","$1,112.18 ", N/A ,$539.68 , N/A , N/A ,"$2,052.00 ","$4,016.54 ", N/A ,"$1,744.20 ", N/A ,$783.86 ,$574.56 ,"$1,846.80 ","$1,477.44 ","$2,052.00 ","$1,292.76 ","$1,292.76 ","$1,292.76 ", N/A ,$984.96 ,"$1,846.80 " ST. JOHN'S HOSPITAL,48100446,36200,HC INTRO CATH AORTA -BIL,481,1 ,"$3,078.00 ","$2,000.70 ",$809.51 ,"$4,016.54 ", N/A ,"$3,078.00 ","$1,668.28 ", N/A ,$861.84 ,$984.96 , N/A ,"$1,132.70 ", N/A ,"$1,175.80 ","$1,175.80 ", N/A ,"$1,175.80 ", N/A ,"$1,619.03 ","$3,078.00 ", N/A , N/A ,"$2,154.60 ", N/A ,"$1,539.00 ", N/A ,"$2,308.50 ","$1,372.79 ","$1,234.28 ","$1,372.79 ", N/A ,"$1,372.79 ","$1,939.14 ","$1,939.14 ","$2,339.28 ","$3,078.00 ","$2,616.30 ", N/A ,"$2,462.40 ","$1,138.86 ","$2,462.40 ", N/A , N/A ,"$3,078.00 ","$1,668.28 ", N/A ,$809.51 , N/A , N/A ,"$3,078.00 ","$4,016.54 ", N/A ,"$2,616.30 ", N/A ,"$1,175.80 ",$861.84 ,"$2,770.20 ","$2,216.16 ","$3,078.00 ","$1,939.14 ","$1,939.14 ","$1,939.14 ", N/A ,"$1,477.44 ","$2,770.20 " ST. JOHN'S HOSPITAL,48100447,36222,HC CATH PLCMT SEL COM CAR/INOM EXTRACRN-BIL,481,1 ,"$24,069.00 ","$15,644.85 ","$2,751.72 ","$24,069.00 ","$6,879.30 ","$5,100.00 ","$13,045.40 ","$2,751.72 ","$6,739.32 ","$6,811.53 ","$2,751.72 ","$7,798.36 ","$2,751.72 ","$8,014.98 ","$8,014.98 ","$2,751.72 ","$8,014.98 ","$5,228.27 ","$12,660.29 ","$12,034.50 ","$6,879.30 ","$2,751.72 ","$16,848.30 ","$2,751.72 ","$12,034.50 ","$2,806.76 ","$18,051.75 ","$10,734.77 ","$9,651.67 ","$10,734.77 ","$2,751.72 ","$10,734.77 ","$15,163.47 ","$15,163.47 ","$18,292.44 ","$24,069.00 ","$20,458.65 ","$6,879.30 ","$19,255.20 ","$8,905.53 ","$19,255.20 ","$2,751.72 ","$2,751.72 ","$24,069.00 ","$13,045.40 ","$2,751.72 ","$6,330.15 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ","$2,889.31 ","$20,458.65 ","$6,191.37 ","$8,014.98 ","$6,739.32 ","$21,662.10 ","$17,329.68 ","$24,069.00 ","$15,163.47 ","$15,163.47 ","$15,163.47 ","$2,751.72 ","$11,553.12 ","$21,662.10 " ST. JOHN'S HOSPITAL,48100448,36223,HC CATH PLCMT SEL COM CAR/INOM INTRACRN-BIL,481,1 ,"$24,069.00 ","$15,644.85 ","$4,016.54 ","$24,069.00 ","$11,459.70 ","$5,100.00 ","$13,045.40 ","$4,583.88 ","$6,739.32 ","$6,811.53 ","$4,583.88 ","$7,798.36 ","$4,583.88 ","$8,014.98 ","$8,014.98 ","$4,583.88 ","$8,014.98 ","$8,709.37 ","$12,660.29 ","$12,034.50 ","$11,459.70 ","$4,583.88 ","$16,848.30 ","$4,583.88 ","$12,034.50 ","$4,675.56 ","$18,051.75 ","$10,734.77 ","$9,651.67 ","$10,734.77 ","$4,583.88 ","$10,734.77 ","$15,163.47 ","$15,163.47 ","$18,292.44 ","$24,069.00 ","$20,458.65 ","$11,459.70 ","$19,255.20 ","$8,905.53 ","$19,255.20 ","$4,583.88 ","$4,583.88 ","$24,069.00 ","$13,045.40 ","$4,583.88 ","$6,330.15 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ","$4,813.07 ","$20,458.65 ","$10,313.73 ","$8,014.98 ","$6,739.32 ","$21,662.10 ","$17,329.68 ","$24,069.00 ","$15,163.47 ","$15,163.47 ","$15,163.47 ","$4,583.88 ","$11,553.12 ","$21,662.10 " ST. JOHN'S HOSPITAL,48100449,36224,HC CATH PLCMT SEL INTERNAL CARTOID-BIL,481,1 ,"$20,274.00 ","$13,178.10 ","$4,016.54 ","$20,274.00 ","$11,459.70 ","$6,300.00 ","$10,988.51 ","$4,583.88 ","$5,676.72 ","$5,737.54 ","$4,583.88 ","$6,568.78 ","$4,583.88 ","$6,751.24 ","$6,751.24 ","$4,583.88 ","$6,751.24 ","$8,709.37 ","$10,664.12 ","$10,137.00 ","$11,459.70 ","$4,583.88 ","$14,191.80 ","$4,583.88 ","$10,137.00 ","$4,675.56 ","$15,205.50 ","$9,042.20 ","$8,129.87 ","$9,042.20 ","$4,583.88 ","$9,042.20 ","$12,772.62 ","$12,772.62 ","$15,408.24 ","$20,274.00 ","$17,232.90 ","$11,459.70 ","$16,219.20 ","$7,501.38 ","$16,219.20 ","$4,583.88 ","$4,583.88 ","$20,274.00 ","$10,988.51 ","$4,583.88 ","$5,332.06 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ","$4,813.07 ","$17,232.90 ","$10,313.73 ","$6,751.24 ","$5,676.72 ","$18,246.60 ","$14,597.28 ","$20,274.00 ","$12,772.62 ","$12,772.62 ","$12,772.62 ","$4,583.88 ","$9,731.52 ","$18,246.60 " ST. JOHN'S HOSPITAL,48100450,36225,HC CATH PLCMT SEL SUBCL/INOM VERTEB UNI-BIL,481,1 ,"$12,396.00 ","$8,057.40 ","$2,751.72 ","$12,396.00 ","$6,879.30 ","$5,100.00 ","$6,718.63 ","$2,751.72 ","$3,470.88 ","$3,966.72 ","$2,751.72 ","$4,561.73 ","$2,751.72 ","$4,735.27 ","$4,735.27 ","$2,751.72 ","$4,735.27 ","$5,228.27 ","$6,520.30 ","$6,198.00 ","$6,879.30 ","$2,751.72 ","$8,677.20 ","$2,751.72 ","$6,198.00 ","$2,806.76 ","$9,297.00 ","$5,528.62 ","$4,970.80 ","$5,528.62 ","$2,751.72 ","$5,528.62 ","$7,809.48 ","$7,809.48 ","$9,420.96 ","$12,396.00 ","$10,536.60 ","$6,879.30 ","$9,916.80 ","$4,586.52 ","$9,916.80 ","$2,751.72 ","$2,751.72 ","$12,396.00 ","$6,718.63 ","$2,751.72 ","$3,260.15 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ","$2,889.31 ","$10,536.60 ","$6,191.37 ","$4,735.27 ","$3,470.88 ","$11,156.40 ","$8,925.12 ","$12,396.00 ","$7,809.48 ","$7,809.48 ","$7,809.48 ","$2,751.72 ","$5,950.08 ","$11,156.40 " ST. JOHN'S HOSPITAL,48100451,36226,HC CATH PLCMT SEL VERTEBRAL-BIL,481,1 ,"$20,274.00 ","$13,178.10 ","$4,016.54 ","$20,274.00 ","$11,459.70 ","$6,300.00 ","$10,988.51 ","$4,583.88 ","$5,676.72 ","$5,737.54 ","$4,583.88 ","$6,568.78 ","$4,583.88 ","$6,751.24 ","$6,751.24 ","$4,583.88 ","$6,751.24 ","$8,709.37 ","$10,664.12 ","$10,137.00 ","$11,459.70 ","$4,583.88 ","$14,191.80 ","$4,583.88 ","$10,137.00 ","$4,675.56 ","$15,205.50 ","$9,042.20 ","$8,129.87 ","$9,042.20 ","$4,583.88 ","$9,042.20 ","$12,772.62 ","$12,772.62 ","$15,408.24 ","$20,274.00 ","$17,232.90 ","$11,459.70 ","$16,219.20 ","$7,501.38 ","$16,219.20 ","$4,583.88 ","$4,583.88 ","$20,274.00 ","$10,988.51 ","$4,583.88 ","$5,332.06 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ","$4,813.07 ","$17,232.90 ","$10,313.73 ","$6,751.24 ","$5,676.72 ","$18,246.60 ","$14,597.28 ","$20,274.00 ","$12,772.62 ","$12,772.62 ","$12,772.62 ","$4,583.88 ","$9,731.52 ","$18,246.60 " ST. JOHN'S HOSPITAL,48100452,36227,HC CATH PLCMT SEL EXTERNAL CARTOID-BIL,481,1 ,"$3,721.00 ","$2,418.65 ",$978.62 ,"$4,016.54 ", N/A ,"$3,450.00 ","$2,016.78 ", N/A ,"$1,041.88 ","$1,190.72 ", N/A ,"$1,369.33 ", N/A ,"$1,421.42 ","$1,421.42 ", N/A ,"$1,421.42 ", N/A ,"$1,957.25 ","$3,721.00 ", N/A , N/A ,"$2,604.70 ", N/A ,"$1,860.50 ", N/A ,"$2,790.75 ","$1,659.57 ","$1,492.12 ","$1,659.57 ", N/A ,"$1,659.57 ","$2,344.23 ","$2,344.23 ","$2,827.96 ","$3,721.00 ","$3,162.85 ", N/A ,"$2,976.80 ","$1,376.77 ","$2,976.80 ", N/A , N/A ,"$3,721.00 ","$2,016.78 ", N/A ,$978.62 , N/A , N/A ,"$3,721.00 ","$4,016.54 ", N/A ,"$3,162.85 ", N/A ,"$1,421.42 ","$1,041.88 ","$3,348.90 ","$2,679.12 ","$3,721.00 ","$2,344.23 ","$2,344.23 ","$2,344.23 ", N/A ,"$1,786.08 ","$3,348.90 " ST. JOHN'S HOSPITAL,48100453,36228,HC CATH PLCMT SEL EA INTRACRN BRANCH-BIL,481,1 ,"$6,084.00 ","$3,954.60 ","$1,600.09 ","$6,084.00 ", N/A ,"$3,450.00 ","$3,297.53 ", N/A ,"$1,703.52 ","$1,946.88 ", N/A ,"$2,238.91 ", N/A ,"$2,324.09 ","$2,324.09 ", N/A ,"$2,324.09 ", N/A ,"$3,200.18 ","$6,084.00 ", N/A , N/A ,"$4,258.80 ", N/A ,"$3,042.00 ", N/A ,"$4,563.00 ","$2,713.46 ","$2,439.68 ","$2,713.46 ", N/A ,"$2,713.46 ","$3,832.92 ","$3,832.92 ","$4,623.84 ","$6,084.00 ","$5,171.40 ", N/A ,"$4,867.20 ","$2,251.08 ","$4,867.20 ", N/A , N/A ,"$6,084.00 ","$3,297.53 ", N/A ,"$1,600.09 ", N/A , N/A ,"$4,207.81 ","$4,016.54 ", N/A ,"$5,171.40 ", N/A ,"$2,324.09 ","$1,703.52 ","$5,475.60 ","$4,380.48 ","$6,084.00 ","$3,832.92 ","$3,832.92 ","$3,832.92 ", N/A ,"$2,920.32 ","$5,475.60 " ST. JOHN'S HOSPITAL,48100454,37211,HC ARTERIAL THROMBOLYSIS NON-COR INIT DAY-BIL,481,1 ,"$5,745.00 ","$3,734.25 ","$1,510.94 ","$11,459.70 ","$11,459.70 ","$3,450.00 ","$3,113.79 ","$4,583.88 ","$1,608.60 ","$1,838.40 ","$4,583.88 ","$2,114.16 ","$4,583.88 ","$2,194.59 ","$2,194.59 ","$4,583.88 ","$2,194.59 ","$5,745.00 ","$3,021.87 ","$5,745.00 ","$11,459.70 ","$4,583.88 ","$4,021.50 ","$4,583.88 ","$2,872.50 ","$4,675.56 ","$4,308.75 ","$2,562.27 ","$2,303.75 ","$2,562.27 ","$4,583.88 ","$2,562.27 ","$3,619.35 ","$3,619.35 ","$4,366.20 ","$5,745.00 ","$4,883.25 ","$5,745.00 ","$4,596.00 ","$2,125.65 ","$4,596.00 ","$4,583.88 ","$4,583.88 ","$5,745.00 ","$3,113.79 ","$4,583.88 ","$1,510.94 ", N/A , N/A ,"$4,899.95 ","$4,677.23 ","$4,813.07 ","$4,883.25 ","$10,313.73 ","$2,194.59 ","$1,608.60 ","$5,170.50 ","$4,136.40 ","$5,745.00 ","$3,619.35 ","$3,619.35 ","$3,619.35 ","$4,583.88 ","$2,757.60 ","$5,170.50 " ST. JOHN'S HOSPITAL,48100455,37212,HC VENOUS THROMBOLYSIS NON-COR INIT DAY-BIL,481,1 ,"$13,897.00 ","$9,033.05 ","$2,751.72 ","$13,897.00 ","$6,879.30 ","$3,450.00 ","$7,532.17 ","$2,751.72 ","$3,891.16 ","$4,447.04 ","$2,751.72 ","$5,114.10 ","$2,751.72 ","$5,000.00 ","$5,000.00 ","$2,751.72 ","$5,000.00 ","$5,228.27 ","$7,309.82 ","$6,948.50 ","$6,879.30 ","$2,751.72 ","$9,727.90 ","$2,751.72 ","$6,948.50 ","$2,806.76 ","$10,422.75 ","$6,198.06 ","$5,572.70 ","$6,198.06 ","$2,751.72 ","$6,198.06 ","$8,755.11 ","$8,755.11 ","$10,561.72 ","$13,897.00 ","$11,812.45 ","$6,879.30 ","$11,117.60 ","$5,141.89 ","$11,117.60 ","$2,751.72 ","$2,751.72 ","$13,897.00 ","$7,532.17 ","$2,751.72 ","$3,654.91 ", N/A , N/A ,"$4,899.95 ","$4,677.23 ","$2,889.31 ","$11,812.45 ","$6,191.37 ","$5,000.00 ","$3,891.16 ","$12,507.30 ","$10,005.84 ","$13,897.00 ","$8,755.11 ","$8,755.11 ","$8,755.11 ","$2,751.72 ","$6,670.56 ","$12,507.30 " ST. JOHN'S HOSPITAL,48100460,93458,HC CORONARY ANGIO WITH LV,481,1 ,"$20,859.00 ","$13,558.35 ","$2,438.03 ","$20,859.00 ","$6,968.45 ","$9,595.14 ","$11,305.58 ","$2,787.38 ","$5,840.52 ","$5,903.10 ","$2,787.38 ","$6,758.32 ","$2,787.38 ","$6,946.05 ","$6,946.05 ","$2,787.38 ","$6,946.05 ","$5,296.03 ","$10,971.83 ","$10,429.50 ","$6,968.46 ","$2,787.38 ","$14,601.30 ","$2,787.38 ","$10,429.50 ","$2,843.13 ","$15,644.25 ","$9,303.11 ","$8,364.46 ","$9,303.11 ","$2,787.38 ","$9,303.11 ","$13,141.17 ","$13,141.17 ","$14,609.00 ","$20,859.00 ","$17,730.15 ","$6,968.46 ","$16,687.20 ","$7,717.83 ","$16,687.20 ","$2,787.38 ","$2,787.38 ","$20,859.00 ","$11,305.58 ","$2,787.38 ","$5,485.92 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$17,730.15 ","$6,271.61 ","$6,946.05 ","$5,840.52 ","$18,773.10 ","$15,018.48 ","$20,859.00 ","$13,141.17 ","$13,141.17 ","$13,141.17 ","$2,787.38 ","$10,012.32 ","$18,773.10 " ST. JOHN'S HOSPITAL,48100461,93459,HC CORONARY ANGIO W GRAFTS AND LV,481,1 ,"$22,025.00 ","$14,316.25 ","$2,438.03 ","$22,025.00 ","$6,968.45 ","$10,131.50 ","$11,937.55 ","$2,787.38 ","$6,167.00 ","$6,233.08 ","$2,787.38 ","$7,136.10 ","$2,787.38 ","$7,334.33 ","$7,334.33 ","$2,787.38 ","$7,334.33 ","$5,296.03 ","$11,585.15 ","$11,012.50 ","$6,968.46 ","$2,787.38 ","$15,417.50 ","$2,787.38 ","$11,012.50 ","$2,843.13 ","$16,518.75 ","$9,823.15 ","$8,832.03 ","$9,823.15 ","$2,787.38 ","$9,823.15 ","$13,281.00 ","$13,281.00 ","$14,609.00 ","$22,025.00 ","$18,721.25 ","$6,968.46 ","$17,620.00 ","$8,149.25 ","$17,620.00 ","$2,787.38 ","$2,787.38 ","$22,025.00 ","$11,937.55 ","$2,787.38 ","$5,792.58 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$18,721.25 ","$6,271.61 ","$7,334.33 ","$6,167.00 ","$19,822.50 ","$15,858.00 ","$22,025.00 ","$13,281.00 ","$13,875.75 ","$13,875.75 ","$2,787.38 ","$10,572.00 ","$19,822.50 " ST. JOHN'S HOSPITAL,48100462,92943,HC PERC TRANSL REVASC OCCL SGL VSL DISC POST-ANES-74,481,1 ,"$21,901.00 ","$14,235.65 ","$5,759.96 ","$24,138.23 ","$24,138.23 ","$7,500.00 ","$11,870.34 ","$9,655.29 ","$6,132.28 ","$6,197.98 ","$9,655.29 ","$7,095.92 ","$9,655.29 ","$7,293.03 ","$7,293.03 ","$9,655.29 ","$7,293.03 ","$18,345.05 ","$11,519.93 ","$10,950.50 ","$24,138.23 ","$9,655.29 ","$15,330.70 ","$9,655.29 ","$10,950.50 ","$9,848.40 ","$16,425.75 ","$9,767.85 ","$8,782.30 ","$9,767.85 ","$9,655.29 ","$9,767.85 ","$13,797.63 ","$13,797.63 ","$16,644.76 ","$21,901.00 ","$18,615.85 ","$21,901.00 ","$17,520.80 ","$8,103.37 ","$17,520.80 ","$9,655.29 ","$9,655.29 ","$21,901.00 ","$11,870.34 ","$9,655.29 ","$5,759.96 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$18,615.85 ","$21,724.40 ","$7,293.03 ","$6,132.28 ","$19,710.90 ","$15,768.72 ","$21,901.00 ","$13,797.63 ","$13,797.63 ","$13,797.63 ","$9,655.29 ","$10,512.48 ","$19,710.90 " ST. JOHN'S HOSPITAL,48100464,92990,HC VALVULOPLASTY BALLOON PERC PULM VALVE,481,1 ,"$56,392.00 ","$36,654.80 ","$7,500.00 ","$56,392.00 ","$24,138.23 ","$7,500.00 ","$30,564.46 ","$9,655.29 ","$15,789.76 ","$15,958.94 ","$9,655.29 ","$18,271.01 ","$9,655.29 ","$18,778.54 ","$18,778.54 ","$9,655.29 ","$18,778.54 ","$18,345.05 ","$29,662.19 ","$28,196.00 ","$24,138.23 ","$9,655.29 ","$39,474.40 ","$9,655.29 ","$28,196.00 ","$9,848.40 ","$42,294.00 ","$25,150.83 ","$22,613.19 ","$25,150.83 ","$9,655.29 ","$25,150.83 ","$35,526.96 ","$35,526.96 ","$42,857.92 ","$56,392.00 ","$47,933.20 ","$24,138.23 ","$45,113.60 ","$20,865.04 ","$45,113.60 ","$9,655.29 ","$9,655.29 ","$56,392.00 ","$30,564.46 ","$9,655.29 ","$14,831.10 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$10,138.05 ","$47,933.20 ","$21,724.40 ","$18,778.54 ","$15,789.76 ","$50,752.80 ","$40,602.24 ","$56,392.00 ","$35,526.96 ","$35,526.96 ","$35,526.96 ","$9,655.29 ","$27,068.16 ","$50,752.80 " ST. JOHN'S HOSPITAL,48100465,92992,HC ATRIAL SEPTECTOMY/SEPTOSTOMY TRANSVEN BALLOON,481,1 ,"$25,873.00 ","$16,817.45 ","$6,804.60 ","$25,873.00 ", N/A ,"$11,901.58 ","$14,023.17 ", N/A ,"$7,244.44 ","$7,322.06 ", N/A ,"$8,382.85 ", N/A ,"$8,615.71 ","$8,615.71 ", N/A ,"$8,615.71 ", N/A ,"$13,609.20 ","$12,936.50 ", N/A , N/A ,"$18,111.10 ", N/A ,"$12,936.50 ", N/A ,"$19,404.75 ","$11,539.36 ","$10,375.07 ","$11,539.36 ", N/A ,"$11,539.36 ","$16,299.99 ","$16,299.99 ","$19,663.48 ","$25,873.00 ","$21,992.05 ", N/A ,"$20,698.40 ","$9,573.01 ","$20,698.40 ", N/A , N/A ,"$25,873.00 ","$14,023.17 ", N/A ,"$6,804.60 ", N/A , N/A , N/A , N/A , N/A ,"$21,992.05 ", N/A ,"$8,615.71 ","$7,244.44 ","$23,285.70 ","$18,628.56 ","$25,873.00 ","$16,299.99 ","$16,299.99 ","$16,299.99 ", N/A ,"$12,419.04 ","$23,285.70 " ST. JOHN'S HOSPITAL,48100469,93454,HC CORONARY ARTERY ANGIOGRAPHY,481,1 ,"$13,538.00 ","$8,799.70 ","$2,438.03 ","$13,538.00 ","$6,968.45 ","$6,227.48 ","$7,337.60 ","$2,787.38 ","$3,790.64 ","$4,332.16 ","$2,787.38 ","$4,981.98 ","$2,787.38 ","$5,000.00 ","$5,000.00 ","$2,787.38 ","$5,000.00 ","$5,296.03 ","$7,120.99 ","$6,769.00 ","$6,968.46 ","$2,787.38 ","$9,476.60 ","$2,787.38 ","$6,769.00 ","$2,843.13 ","$10,153.50 ","$6,037.95 ","$5,428.74 ","$6,037.95 ","$2,787.38 ","$6,037.95 ","$8,528.94 ","$8,528.94 ","$10,288.88 ","$13,538.00 ","$11,507.30 ","$6,968.46 ","$10,830.40 ","$5,009.06 ","$10,830.40 ","$2,787.38 ","$2,787.38 ","$13,538.00 ","$7,337.60 ","$2,787.38 ","$3,560.49 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$11,507.30 ","$6,271.61 ","$5,000.00 ","$3,790.64 ","$12,184.20 ","$9,747.36 ","$13,538.00 ","$8,528.94 ","$8,528.94 ","$8,528.94 ","$2,787.38 ","$6,498.24 ","$12,184.20 " ST. JOHN'S HOSPITAL,48100470,93455,HC CORONARY ANGIO AND GRAFTS,481,1 ,"$14,601.00 ","$9,490.65 ","$2,438.03 ","$14,601.00 ","$6,968.45 ","$6,716.46 ","$7,913.74 ","$2,787.38 ","$4,088.28 ","$4,672.32 ","$2,787.38 ","$5,373.17 ","$2,787.38 ","$5,000.00 ","$5,000.00 ","$2,787.38 ","$5,000.00 ","$5,296.03 ","$7,680.13 ","$7,300.50 ","$6,968.46 ","$2,787.38 ","$10,220.70 ","$2,787.38 ","$7,300.50 ","$2,843.13 ","$10,950.75 ","$6,512.05 ","$5,855.00 ","$6,512.05 ","$2,787.38 ","$6,512.05 ","$9,198.63 ","$9,198.63 ","$11,096.76 ","$14,601.00 ","$12,410.85 ","$6,968.46 ","$11,680.80 ","$5,402.37 ","$11,680.80 ","$2,787.38 ","$2,787.38 ","$14,601.00 ","$7,913.74 ","$2,787.38 ","$3,840.06 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$12,410.85 ","$6,271.61 ","$5,000.00 ","$4,088.28 ","$13,140.90 ","$10,512.72 ","$14,601.00 ","$9,198.63 ","$9,198.63 ","$9,198.63 ","$2,787.38 ","$7,008.48 ","$13,140.90 " ST. JOHN'S HOSPITAL,48100471,93581,HC PTC W/IMPLANT CONGENITAL VENTRICULAR DEFECT,481,1 ,"$25,030.00 ","$16,269.50 ","$6,582.89 ","$38,594.64 ","$38,594.63 ","$7,000.00 ","$13,566.26 ","$15,437.85 ","$7,008.40 ","$7,083.49 ","$15,437.85 ","$8,109.72 ","$15,437.85 ","$8,334.99 ","$8,334.99 ","$15,437.85 ","$8,334.99 ","$25,030.00 ","$13,165.78 ","$12,515.00 ","$38,594.64 ","$15,437.85 ","$17,521.00 ","$15,437.85 ","$12,515.00 ","$15,746.61 ","$18,772.50 ","$11,163.38 ","$10,037.03 ","$11,163.38 ","$15,437.85 ","$11,163.38 ","$15,768.90 ","$15,768.90 ","$19,022.80 ","$25,030.00 ","$21,275.50 ","$25,030.00 ","$20,024.00 ","$9,261.10 ","$20,024.00 ","$15,437.85 ","$15,437.85 ","$25,030.00 ","$13,566.26 ","$15,437.85 ","$6,582.89 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$21,275.50 ","$34,735.17 ","$8,334.99 ","$7,008.40 ","$22,527.00 ","$18,021.60 ","$25,030.00 ","$15,768.90 ","$15,768.90 ","$15,768.90 ","$15,437.85 ","$12,014.40 ","$22,527.00 " ST. JOHN'S HOSPITAL,48100473,93591,HC TRANSCATH PERQ AORTIC INIT DISC POST-ANES -74,481,1 ,"$19,685.00 ","$12,795.25 ","$5,177.16 ","$38,594.64 ","$38,594.63 ","$7,000.00 ","$10,669.27 ","$15,437.85 ","$5,511.80 ","$5,570.86 ","$15,437.85 ","$6,377.94 ","$15,437.85 ","$6,555.11 ","$6,555.11 ","$15,437.85 ","$6,555.11 ","$19,685.00 ","$10,354.31 ","$9,842.50 ","$38,594.64 ","$15,437.85 ","$13,779.50 ","$15,437.85 ","$9,842.50 ","$15,746.61 ","$14,763.75 ","$8,779.51 ","$7,893.69 ","$8,779.51 ","$15,437.85 ","$8,779.51 ","$12,401.55 ","$12,401.55 ","$14,960.60 ","$19,685.00 ","$16,732.25 ","$19,685.00 ","$15,748.00 ","$7,283.45 ","$15,748.00 ","$15,437.85 ","$15,437.85 ","$19,685.00 ","$10,669.27 ","$15,437.85 ","$5,177.16 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$16,732.25 ","$34,735.17 ","$6,555.11 ","$5,511.80 ","$17,716.50 ","$14,173.20 ","$19,685.00 ","$12,401.55 ","$12,401.55 ","$12,401.55 ","$15,437.85 ","$9,448.80 ","$17,716.50 " ST. JOHN'S HOSPITAL,48100474,93603,HC RIGHT VENTRICULAR RECORDING,481,1 ,"$5,813.00 ","$3,778.45 ","$1,070.63 ","$5,813.00 ","$2,676.58 ","$5,813.00 ","$3,150.65 ","$1,070.63 ","$1,627.64 ","$1,860.16 ","$1,070.63 ","$2,139.18 ","$1,070.63 ","$2,220.57 ","$2,220.57 ","$1,070.63 ","$2,220.57 ","$2,034.20 ","$3,057.64 ","$5,813.00 ","$2,676.58 ","$1,070.63 ","$4,069.10 ","$1,070.63 ","$2,906.50 ","$1,092.05 ","$4,359.75 ","$2,592.60 ","$2,331.01 ","$2,592.60 ","$1,070.63 ","$2,592.60 ","$3,662.19 ","$3,662.19 ","$4,417.88 ","$5,813.00 ","$4,941.05 ","$2,676.58 ","$4,650.40 ","$2,150.81 ","$4,650.40 ","$1,070.63 ","$1,070.63 ","$5,813.00 ","$3,150.65 ","$1,070.63 ","$1,528.82 ", N/A , N/A ,"$5,474.91 ","$5,226.05 ","$1,124.16 ","$4,941.05 ","$2,408.93 ","$2,220.57 ","$1,627.64 ","$5,231.70 ","$4,185.36 ","$5,813.00 ","$3,662.19 ","$3,662.19 ","$3,662.19 ","$1,070.63 ","$2,790.24 ","$5,231.70 " ST. JOHN'S HOSPITAL,48100476,93656,HC EP STUDY PLUS AFIB ABLATION W/LASER,481,1 ,"$77,156.00 ","$50,151.40 ","$11,988.65 ","$77,156.00 ","$51,567.35 ","$12,000.00 ","$41,818.55 ","$20,626.94 ","$21,603.68 ","$21,835.15 ","$20,626.94 ","$24,998.54 ","$20,626.94 ","$25,692.95 ","$25,692.95 ","$20,626.94 ","$25,692.95 ","$39,191.19 ","$40,584.06 ","$38,578.00 ","$51,567.36 ","$20,626.94 ","$54,009.20 ","$20,626.94 ","$38,578.00 ","$21,039.48 ","$57,867.00 ","$38,843.58 ","$37,192.76 ","$38,843.58 ","$20,626.94 ","$38,843.58 ","$48,608.28 ","$48,608.28 ","$58,638.56 ","$77,156.00 ","$65,582.60 ","$51,567.36 ","$61,724.80 ","$28,547.72 ","$61,724.80 ","$20,626.94 ","$20,626.94 ","$77,156.00 ","$41,818.55 ","$20,626.94 ","$20,292.03 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$65,582.60 ","$46,410.62 ","$25,692.95 ","$21,603.68 ","$69,440.40 ","$55,552.32 ","$77,156.00 ","$48,608.28 ","$48,608.28 ","$48,608.28 ","$20,626.94 ","$37,034.88 ","$69,440.40 " ST. JOHN'S HOSPITAL,48100477,93657,HC ADD ON AFIB ABLAT POST COMPL PVI W/LASER,481,1 ,"$19,530.00 ","$12,694.50 ","$2,300.00 ","$19,530.00 ", N/A ,"$2,300.00 ","$10,585.26 ", N/A ,"$5,468.40 ","$5,526.99 ", N/A ,"$6,327.72 ", N/A ,"$6,503.49 ","$6,503.49 ", N/A ,"$6,503.49 ", N/A ,"$10,272.78 ","$9,765.00 ", N/A , N/A ,"$13,671.00 ", N/A ,"$9,765.00 ", N/A ,"$14,647.50 ","$8,710.38 ","$7,831.53 ","$8,710.38 ", N/A ,"$8,710.38 ","$12,303.90 ","$12,303.90 ","$14,842.80 ","$19,530.00 ","$16,600.50 ", N/A ,"$15,624.00 ","$7,226.10 ","$15,624.00 ", N/A , N/A ,"$19,530.00 ","$10,585.26 ", N/A ,"$5,136.39 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ", N/A ,"$16,600.50 ", N/A ,"$6,503.49 ","$5,468.40 ","$17,577.00 ","$14,061.60 ","$19,530.00 ","$12,303.90 ","$12,303.90 ","$12,303.90 ", N/A ,"$9,374.40 ","$17,577.00 " ST. JOHN'S HOSPITAL,48100478,93662,HC EP INTRACARDIAC ECHO INTERVENT DISC POST-ANES-74,481,1 ,"$5,702.00 ","$3,706.30 ","$1,499.63 ","$5,702.00 ", N/A ,"$5,702.00 ","$3,090.48 ", N/A ,"$1,596.56 ","$1,824.64 ", N/A ,"$2,098.34 ", N/A ,"$2,178.16 ","$2,178.16 ", N/A ,"$2,178.16 ", N/A ,"$2,999.25 ","$5,702.00 ", N/A , N/A ,"$3,991.40 ", N/A ,"$2,851.00 ", N/A ,"$4,276.50 ","$2,543.09 ","$2,286.50 ","$2,543.09 ", N/A ,"$2,543.09 ","$3,592.26 ","$3,592.26 ","$4,333.52 ","$5,702.00 ","$4,846.70 ", N/A ,"$4,561.60 ","$2,109.74 ","$4,561.60 ", N/A , N/A ,"$5,702.00 ","$3,090.48 ", N/A ,"$1,499.63 ", N/A , N/A , N/A , N/A , N/A ,"$4,846.70 ", N/A ,"$2,178.16 ","$1,596.56 ","$5,131.80 ","$4,105.44 ","$5,702.00 ","$3,592.26 ","$3,592.26 ","$3,592.26 ", N/A ,"$2,736.96 ","$5,131.80 " ST. JOHN'S HOSPITAL,48100479,93799,HC REPAIR PERIVALVULAR LEAK,481,1 ,"$17,524.00 ","$11,390.60 ",$25.77 ,"$17,524.00 ",$335.53 ,"$8,061.04 ","$9,498.01 ",$134.21 ,"$4,906.72 ","$5,607.68 ",$134.21 ,"$6,448.83 ",$134.21 ,"$5,835.49 ","$5,835.49 ",$134.21 ,"$5,835.49 ",$254.99 ,"$9,217.62 ","$8,762.00 ",$335.51 ,$134.21 ,"$12,266.80 ",$134.21 ,"$8,762.00 ",$136.89 ,"$13,143.00 ","$7,815.70 ","$7,027.12 ","$7,815.70 ",$134.21 ,"$7,815.70 ","$11,040.12 ","$11,040.12 ","$13,318.24 ","$17,524.00 ","$14,895.40 ",$335.51 ,"$14,019.20 ","$6,483.88 ","$14,019.20 ",$134.21 ,$134.21 ,"$17,524.00 ","$9,498.01 ",$134.21 ,"$4,608.81 ", N/A , N/A ,$26.99 ,$25.77 ,$140.92 ,"$14,895.40 ",$301.96 ,"$5,835.49 ","$4,906.72 ","$15,771.60 ","$12,617.28 ","$17,524.00 ","$11,040.12 ","$11,040.12 ","$11,040.12 ",$134.21 ,"$8,411.52 ","$15,771.60 " ST. JOHN'S HOSPITAL,48100480,0235T,HC TRNLUM PERIP ATHRC VISCERAL ARTY 0235T,481,1 ,"$14,719.00 ","$9,567.35 ","$3,784.45 ","$14,719.00 ", N/A ,"$3,784.45 ","$7,977.70 ", N/A ,"$4,121.32 ","$4,710.08 ", N/A ,"$5,416.59 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,742.19 ","$7,359.50 ", N/A , N/A ,"$10,303.30 ", N/A ,"$7,359.50 ", N/A ,"$11,039.25 ","$6,564.67 ","$5,902.32 ","$6,564.67 ", N/A ,"$6,564.67 ","$9,272.97 ","$9,272.97 ","$11,186.44 ","$14,719.00 ","$12,511.15 ", N/A ,"$11,775.20 ","$5,446.03 ","$11,775.20 ", N/A , N/A ,"$14,719.00 ","$7,977.70 ", N/A ,"$3,871.10 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ", N/A ,"$12,511.15 ", N/A ,"$5,000.00 ","$4,121.32 ","$13,247.10 ","$10,597.68 ","$14,719.00 ","$9,272.97 ","$9,272.97 ","$9,272.97 ", N/A ,"$7,065.12 ","$13,247.10 " ST. JOHN'S HOSPITAL,48100482,33289,HC CATHERIZATION RIGHT HEART W/SENSOR PULM ARTERY,481,1 ,"$10,680.00 ","$6,942.00 ","$2,808.84 ","$69,319.38 ","$69,319.38 ","$4,912.80 ","$5,788.56 ","$27,727.75 ","$2,990.40 ","$3,417.60 ","$27,727.75 ","$3,930.24 ","$10,680.00 ","$4,079.76 ","$4,079.76 ","$10,680.00 ","$4,079.76 ","$10,680.00 ","$5,617.68 ","$8,520.00 ","$69,319.38 ","$27,727.75 ","$7,476.00 ","$27,727.75 ","$5,340.00 ","$10,680.00 ","$8,010.00 ","$4,763.28 ","$4,282.68 ","$4,763.28 ","$27,727.75 ","$4,763.28 ","$6,728.40 ","$6,728.40 ","$8,116.80 ","$10,680.00 ","$9,078.00 ","$10,680.00 ","$8,544.00 ","$3,951.60 ","$8,544.00 ","$27,727.75 ","$27,727.75 ","$10,680.00 ","$5,788.56 ","$27,727.75 ","$2,808.84 ", N/A , N/A ,"$10,680.00 ","$10,741.83 ","$29,114.14 ","$9,078.00 ","$62,387.44 ","$4,079.76 ","$2,990.40 ","$9,612.00 ","$7,689.60 ","$10,680.00 ","$6,728.40 ","$6,728.40 ","$6,728.40 ","$27,727.75 ","$5,126.40 ","$9,612.00 " ST. JOHN'S HOSPITAL,48100484,33274,HC TRANSCATH INS/REPLC VENTRIC PACEMAKER LEADLESS W/GUIDE,481,1 ,"$37,088.00 ","$24,107.20 ","$5,000.00 ","$38,594.64 ","$38,594.63 ","$5,000.00 ","$20,101.70 ","$15,437.85 ","$10,384.64 ","$10,495.90 ","$15,437.85 ","$12,016.51 ","$15,437.85 ","$12,350.30 ","$12,350.30 ","$15,437.85 ","$12,350.30 ","$29,331.92 ","$19,508.29 ","$18,544.00 ","$38,594.64 ","$15,437.85 ","$25,961.60 ","$15,437.85 ","$18,544.00 ","$15,746.61 ","$27,816.00 ","$16,541.25 ","$14,872.29 ","$16,541.25 ","$15,437.85 ","$16,541.25 ","$23,365.44 ","$23,365.44 ","$28,186.88 ","$37,088.00 ","$31,524.80 ","$37,088.00 ","$29,670.40 ","$13,722.56 ","$29,670.40 ","$15,437.85 ","$15,437.85 ","$37,088.00 ","$20,101.70 ","$15,437.85 ","$9,754.14 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$16,209.74 ","$31,524.80 ","$34,735.17 ","$12,350.30 ","$10,384.64 ","$33,379.20 ","$26,703.36 ","$37,088.00 ","$23,365.44 ","$23,365.44 ","$23,365.44 ","$15,437.85 ","$17,802.24 ","$33,379.20 " ST. JOHN'S HOSPITAL,48100485,33275,HC TRANSCATH REMOVE VENTRIC PACEMAKER LEADLESS,481,1 ,"$30,324.00 ","$19,710.60 ","$2,751.72 ","$30,324.00 ","$6,879.30 ","$5,000.00 ","$16,435.61 ","$2,751.72 ","$8,490.72 ","$8,581.69 ","$2,751.72 ","$9,824.98 ","$2,751.72 ","$10,097.89 ","$10,097.89 ","$2,751.72 ","$10,097.89 ","$5,228.27 ","$15,950.42 ","$15,162.00 ","$6,879.30 ","$2,751.72 ","$21,226.80 ","$2,751.72 ","$15,162.00 ","$2,806.76 ","$22,743.00 ","$13,524.50 ","$12,159.92 ","$13,524.50 ","$2,751.72 ","$13,524.50 ","$19,104.12 ","$19,104.12 ","$23,046.24 ","$30,324.00 ","$25,775.40 ","$6,879.30 ","$24,259.20 ","$11,219.88 ","$24,259.20 ","$2,751.72 ","$2,751.72 ","$30,324.00 ","$16,435.61 ","$2,751.72 ","$7,975.21 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$2,889.31 ","$25,775.40 ","$6,191.37 ","$10,097.89 ","$8,490.72 ","$27,291.60 ","$21,833.28 ","$30,324.00 ","$19,104.12 ","$19,104.12 ","$19,104.12 ","$2,751.72 ","$14,555.52 ","$27,291.60 " ST. JOHN'S HOSPITAL,48100489,92920,HC PTCA MAJOR CORN ARTERY INIT DISC POST ANES-74,481,1 ,"$14,237.00 ","$9,254.05 ","$3,744.33 ","$14,237.00 ","$11,910.63 ","$7,500.00 ","$7,716.45 ","$4,764.25 ","$3,986.36 ","$4,555.84 ","$4,764.25 ","$5,239.22 ","$4,764.25 ","$5,000.00 ","$5,000.00 ","$4,764.25 ","$5,000.00 ","$9,052.08 ","$7,488.66 ","$7,118.50 ","$11,910.63 ","$4,764.25 ","$9,965.90 ","$4,764.25 ","$7,118.50 ","$4,859.54 ","$10,677.75 ","$6,349.70 ","$5,709.04 ","$6,349.70 ","$4,764.25 ","$6,349.70 ","$8,969.31 ","$8,969.31 ","$10,820.12 ","$14,237.00 ","$12,101.45 ","$11,910.63 ","$11,389.60 ","$5,267.69 ","$11,389.60 ","$4,764.25 ","$4,764.25 ","$14,237.00 ","$7,716.45 ","$4,764.25 ","$3,744.33 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$12,101.45 ","$10,719.56 ","$5,000.00 ","$3,986.36 ","$12,813.30 ","$10,250.64 ","$14,237.00 ","$8,969.31 ","$8,969.31 ","$8,969.31 ","$4,764.25 ","$6,833.76 ","$12,813.30 " ST. JOHN'S HOSPITAL,48100490,93451,HC CATH RIGHT HEART DISC POST ANES-74,481,1 ,"$8,510.00 ","$5,531.50 ","$2,238.13 ","$8,510.00 ","$6,968.45 ","$3,914.60 ","$4,612.42 ","$2,787.38 ","$2,382.80 ","$2,723.20 ","$2,787.38 ","$3,131.68 ","$2,787.38 ","$3,250.82 ","$3,250.82 ","$2,787.38 ","$3,250.82 ","$5,296.03 ","$4,476.26 ","$8,510.00 ","$6,968.46 ","$2,787.38 ","$5,957.00 ","$2,787.38 ","$4,255.00 ","$2,843.13 ","$6,382.50 ","$3,795.46 ","$3,412.51 ","$3,795.46 ","$2,787.38 ","$3,795.46 ","$5,361.30 ","$5,361.30 ","$6,467.60 ","$8,510.00 ","$7,233.50 ","$6,968.46 ","$6,808.00 ","$3,148.70 ","$6,808.00 ","$2,787.38 ","$2,787.38 ","$8,510.00 ","$4,612.42 ","$2,787.38 ","$2,238.13 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$7,233.50 ","$6,271.61 ","$3,250.82 ","$2,382.80 ","$7,659.00 ","$6,127.20 ","$8,510.00 ","$5,361.30 ","$5,361.30 ","$5,361.30 ","$2,787.38 ","$4,084.80 ","$7,659.00 " ST. JOHN'S HOSPITAL,48100491,93654,HC INSERT/REPLACE CATH W/PHYS/SD/EVAL DISC POST ANES-74,481,1 ,"$46,159.00 ","$30,003.35 ","$11,988.65 ","$51,567.36 ","$51,567.35 ","$12,000.00 ","$25,018.18 ","$20,626.94 ","$12,924.52 ","$13,063.00 ","$20,626.94 ","$14,955.52 ","$20,626.94 ","$15,370.95 ","$15,370.95 ","$20,626.94 ","$15,370.95 ","$39,191.19 ","$24,279.63 ","$23,079.50 ","$51,567.36 ","$20,626.94 ","$32,311.30 ","$20,626.94 ","$23,079.50 ","$21,039.48 ","$34,619.25 ","$20,586.91 ","$18,509.76 ","$20,586.91 ","$20,626.94 ","$20,586.91 ","$29,080.17 ","$29,080.17 ","$35,080.84 ","$46,159.00 ","$39,235.15 ","$46,159.00 ","$36,927.20 ","$17,078.83 ","$36,927.20 ","$20,626.94 ","$20,626.94 ","$46,159.00 ","$25,018.18 ","$20,626.94 ","$12,139.82 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$39,235.15 ","$46,410.62 ","$15,370.95 ","$12,924.52 ","$41,543.10 ","$33,234.48 ","$46,159.00 ","$29,080.17 ","$29,080.17 ","$29,080.17 ","$20,626.94 ","$22,156.32 ","$41,543.10 " ST. JOHN'S HOSPITAL,48100492,34712,HC TRANSCATH DELV FIX DEVICE W/S AND I,481,1 ,"$1,261.00 ",$819.65 ,$331.64 ,"$1,261.00 ", N/A ,"$1,261.00 ",$683.46 , N/A ,$353.08 ,$403.52 , N/A ,$464.05 , N/A ,$481.70 ,$481.70 , N/A ,$481.70 , N/A ,$663.29 ,"$1,261.00 ", N/A , N/A ,$882.70 , N/A ,$630.50 , N/A ,$945.75 ,$562.41 ,$505.66 ,$562.41 , N/A ,$562.41 ,$794.43 ,$794.43 ,$958.36 ,"$1,261.00 ","$1,071.85 ", N/A ,"$1,008.80 ",$466.57 ,"$1,008.80 ", N/A , N/A ,"$1,261.00 ",$683.46 , N/A ,$331.64 , N/A , N/A , N/A , N/A , N/A ,"$1,071.85 ", N/A ,$481.70 ,$353.08 ,"$1,134.90 ",$907.92 ,"$1,261.00 ",$794.43 ,$794.43 ,$794.43 , N/A ,$605.28 ,"$1,134.90 " ST. JOHN'S HOSPITAL,48100493,34713,HC PERQ ACCESS/CLOSURE FEM ARTY ENDOGRAFT UNI,481,1 ,$756.00 ,$491.40 ,$198.83 ,$756.00 , N/A ,$756.00 ,$409.75 , N/A ,$211.68 ,$241.92 , N/A ,$278.21 , N/A ,$288.79 ,$288.79 , N/A ,$288.79 , N/A ,$397.66 ,$756.00 , N/A , N/A ,$529.20 , N/A ,$378.00 , N/A ,$567.00 ,$337.18 ,$303.16 ,$337.18 , N/A ,$337.18 ,$476.28 ,$476.28 ,$574.56 ,$756.00 ,$642.60 , N/A ,$604.80 ,$279.72 ,$604.80 , N/A , N/A ,$756.00 ,$409.75 , N/A ,$198.83 , N/A , N/A , N/A , N/A , N/A ,$642.60 , N/A ,$288.79 ,$211.68 ,$680.40 ,$544.32 ,$756.00 ,$476.28 ,$476.28 ,$476.28 , N/A ,$362.88 ,$680.40 ST. JOHN'S HOSPITAL,48100494,33993,HC REPOSTION PERC VAD W/IMAGE GUIDE 2ND SESSION,481,1 ,"$10,746.00 ","$6,984.90 ","$2,826.20 ","$10,746.00 ", N/A ,"$7,500.00 ","$5,824.33 ", N/A ,"$3,008.88 ","$3,438.72 ", N/A ,"$3,954.53 ", N/A ,"$4,104.97 ","$4,104.97 ", N/A ,"$4,104.97 ", N/A ,"$5,652.40 ","$8,520.00 ", N/A , N/A ,"$7,522.20 ", N/A ,"$5,373.00 ", N/A ,"$8,059.50 ","$4,792.72 ","$4,309.15 ","$4,792.72 ", N/A ,"$4,792.72 ","$6,769.98 ","$6,769.98 ","$8,166.96 ","$10,746.00 ","$9,134.10 ", N/A ,"$8,596.80 ","$3,976.02 ","$8,596.80 ", N/A , N/A ,"$10,746.00 ","$5,824.33 ", N/A ,"$2,826.20 ", N/A , N/A , N/A , N/A , N/A ,"$9,134.10 ", N/A ,"$4,104.97 ","$3,008.88 ","$9,671.40 ","$7,737.12 ","$10,746.00 ","$6,769.98 ","$6,769.98 ","$6,769.98 ", N/A ,"$5,158.08 ","$9,671.40 " ST. JOHN'S HOSPITAL,48100495,36299,HC VASC EMBOL/OCCL W/GUID ARTERY-POSTERIOR APPROACH,481,1 ,"$10,947.00 ","$7,115.55 ",$878.23 ,"$10,947.00 ", N/A ,"$7,500.00 ","$5,933.27 ", N/A ,"$3,065.16 ","$3,503.04 ", N/A ,"$4,028.50 ", N/A ,"$4,181.75 ","$4,181.75 ", N/A ,"$4,181.75 ", N/A ,"$5,758.12 ","$8,520.00 ", N/A , N/A ,"$7,662.90 ", N/A ,"$5,473.50 ", N/A ,"$8,210.25 ","$4,882.36 ","$4,389.75 ","$4,882.36 ", N/A ,"$4,882.36 ","$6,896.61 ","$6,896.61 ","$8,319.72 ","$10,947.00 ","$9,304.95 ", N/A ,"$8,757.60 ","$4,050.39 ","$8,757.60 ", N/A , N/A ,"$10,947.00 ","$5,933.27 ", N/A ,"$2,879.06 ", N/A , N/A ,$920.05 ,$878.23 , N/A ,"$9,304.95 ", N/A ,"$4,181.75 ","$3,065.16 ","$9,852.30 ","$7,881.84 ","$10,947.00 ","$6,896.61 ","$6,896.61 ","$6,896.61 ", N/A ,"$5,254.56 ","$9,852.30 " ST. JOHN'S HOSPITAL,48100496,37224,HC RVC EN PRC R/P W/ANG INT VSL DISC POST ANES-74,481,1 ,"$35,378.00 ","$22,995.70 ","$4,764.25 ","$35,378.00 ","$11,910.63 ","$5,000.00 ","$19,174.88 ","$4,764.25 ","$9,905.84 ","$10,011.97 ","$4,764.25 ","$11,462.47 ","$4,764.25 ","$11,780.87 ","$11,780.87 ","$4,764.25 ","$11,780.87 ","$9,052.08 ","$18,608.83 ","$17,689.00 ","$11,910.63 ","$4,764.25 ","$24,764.60 ","$4,764.25 ","$17,689.00 ","$4,859.54 ","$26,533.50 ","$15,778.59 ","$14,186.58 ","$15,778.59 ","$4,764.25 ","$15,778.59 ","$22,288.14 ","$22,288.14 ","$26,887.28 ","$35,378.00 ","$30,071.30 ","$11,910.63 ","$28,302.40 ","$13,089.86 ","$28,302.40 ","$4,764.25 ","$4,764.25 ","$35,378.00 ","$19,174.88 ","$4,764.25 ","$9,304.41 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$30,071.30 ","$10,719.56 ","$11,780.87 ","$9,905.84 ","$31,840.20 ","$25,472.16 ","$35,378.00 ","$22,288.14 ","$22,288.14 ","$22,288.14 ","$4,764.25 ","$16,981.44 ","$31,840.20 " ST. JOHN'S HOSPITAL,48100497,93583,HC TRANSCATH PERQ SEPTAL REDUCTION,481,1 ,"$18,393.00 ","$11,955.45 ","$4,837.36 ","$18,393.00 ", N/A ,"$7,000.00 ","$9,969.01 ", N/A ,"$5,150.04 ","$5,680.82 ", N/A ,"$6,529.53 ", N/A ,"$6,124.87 ","$6,124.87 ", N/A ,"$6,124.87 ", N/A ,"$9,674.72 ","$9,196.50 ", N/A , N/A ,"$12,875.10 ", N/A ,"$9,196.50 ", N/A ,"$13,794.75 ","$8,203.28 ","$7,375.59 ","$8,203.28 ", N/A ,"$8,203.28 ","$11,587.59 ","$11,587.59 ","$13,978.68 ","$18,393.00 ","$15,634.05 ", N/A ,"$14,714.40 ","$6,805.41 ","$14,714.40 ", N/A , N/A ,"$18,393.00 ","$9,969.01 ", N/A ,"$4,837.36 ", N/A , N/A , N/A , N/A , N/A ,"$15,634.05 ", N/A ,"$6,124.87 ","$5,150.04 ","$16,553.70 ","$13,242.96 ","$18,393.00 ","$11,587.59 ","$11,587.59 ","$11,587.59 ", N/A ,"$8,828.64 ","$16,553.70 " ST. JOHN'S HOSPITAL,48100498,0238T,HC TRNLUM PERIP ATHRC ILIAC ARTY W/LASER,481,1 ,"$33,775.00 ","$21,953.75 ","$4,073.09 ","$38,594.64 ","$38,594.63 ","$4,073.09 ","$18,306.05 ","$15,437.85 ","$9,457.00 ","$9,558.33 ","$15,437.85 ","$10,943.10 ","$15,437.85 ","$11,247.08 ","$11,247.08 ","$15,437.85 ","$11,247.08 ","$29,331.92 ","$17,765.65 ","$16,887.50 ","$38,594.64 ","$15,437.85 ","$23,642.50 ","$15,437.85 ","$16,887.50 ","$15,746.61 ","$25,331.25 ","$15,063.65 ","$13,543.78 ","$15,063.65 ","$15,437.85 ","$15,063.65 ","$21,278.25 ","$21,278.25 ","$25,669.00 ","$33,775.00 ","$28,708.75 ","$33,775.00 ","$27,020.00 ","$12,496.75 ","$27,020.00 ","$15,437.85 ","$15,437.85 ","$33,775.00 ","$18,306.05 ","$15,437.85 ","$8,882.83 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$28,708.75 ","$34,735.17 ","$11,247.08 ","$9,457.00 ","$30,397.50 ","$24,318.00 ","$33,775.00 ","$21,278.25 ","$21,278.25 ","$21,278.25 ","$15,437.85 ","$16,212.00 ","$30,397.50 " ST. JOHN'S HOSPITAL,48100509,33991,HC INSERT VAD ARTERIAL AND VENOUS ACCESS W/TRANSEPTAL PUNCTURE,481,1 ,"$14,328.00 ","$9,313.20 ","$3,768.26 ","$14,328.00 ", N/A ,"$7,500.00 ","$7,765.78 ", N/A ,"$4,011.84 ","$4,584.96 ", N/A ,"$5,272.70 ", N/A ,"$5,000.00 ","$5,000.00 ", N/A ,"$5,000.00 ", N/A ,"$7,536.53 ","$7,164.00 ", N/A , N/A ,"$10,029.60 ", N/A ,"$7,164.00 ", N/A ,"$10,746.00 ","$6,390.29 ","$5,745.53 ","$6,390.29 ", N/A ,"$6,390.29 ","$9,026.64 ","$9,026.64 ","$10,889.28 ","$14,328.00 ","$12,178.80 ", N/A ,"$11,462.40 ","$5,301.36 ","$11,462.40 ", N/A , N/A ,"$14,328.00 ","$7,765.78 ", N/A ,"$3,768.26 ", N/A , N/A , N/A , N/A , N/A ,"$12,178.80 ", N/A ,"$5,000.00 ","$4,011.84 ","$12,895.20 ","$10,316.16 ","$14,328.00 ","$9,026.64 ","$9,026.64 ","$9,026.64 ", N/A ,"$6,877.44 ","$12,895.20 " ST. JOHN'S HOSPITAL,48100510,93650,HC ABLATION ATRIOVENTRICULAR FNCT 93650,481,1 ,"$16,018.00 ","$10,411.70 ","$4,212.73 ","$16,018.00 ","$14,607.05 ","$12,000.00 ","$8,681.76 ","$5,842.82 ","$4,485.04 ","$5,125.76 ","$5,842.82 ","$5,894.62 ","$5,842.82 ","$5,333.99 ","$5,333.99 ","$5,842.82 ","$5,333.99 ","$11,101.36 ","$8,425.47 ","$8,009.00 ","$14,607.05 ","$5,842.82 ","$11,212.60 ","$5,842.82 ","$8,009.00 ","$5,959.68 ","$12,013.50 ","$7,144.03 ","$6,423.22 ","$7,144.03 ","$5,842.82 ","$7,144.03 ","$10,091.34 ","$10,091.34 ","$12,173.68 ","$16,018.00 ","$13,615.30 ","$14,607.05 ","$12,814.40 ","$5,926.66 ","$12,814.40 ","$5,842.82 ","$5,842.82 ","$16,018.00 ","$8,681.76 ","$5,842.82 ","$4,212.73 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$6,134.96 ","$13,615.30 ","$13,146.34 ","$5,333.99 ","$4,485.04 ","$14,416.20 ","$11,532.96 ","$16,018.00 ","$10,091.34 ","$10,091.34 ","$10,091.34 ","$5,842.82 ","$7,688.64 ","$14,416.20 " ST. JOHN'S HOSPITAL,48100511,33999,HC REPAIR TRANSCATH TRICUSPID VALVE,481,1 ,"$1,847.00 ","$1,200.55 ",$485.76 ,"$1,847.00 ","$1,298.95 ","$1,847.00 ","$1,001.07 ",$519.58 ,$517.16 ,$591.04 ,$519.58 ,$679.70 ,$519.58 ,$705.55 ,$705.55 ,$519.58 ,$705.55 ,$987.20 ,$971.52 ,"$1,847.00 ","$1,298.95 ",$519.58 ,"$1,292.90 ",$519.58 ,$923.50 ,$529.97 ,"$1,385.25 ",$823.76 ,$740.65 ,$823.76 ,$519.58 ,$823.76 ,"$1,163.61 ","$1,163.61 ","$1,403.72 ","$1,847.00 ","$1,569.95 ","$1,298.95 ","$1,477.60 ",$683.39 ,"$1,477.60 ",$519.58 ,$519.58 ,"$1,847.00 ","$1,001.07 ",$519.58 ,$485.76 , N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$1,569.95 ","$1,169.06 ",$705.55 ,$517.16 ,"$1,662.30 ","$1,329.84 ","$1,847.00 ","$1,163.61 ","$1,163.61 ","$1,163.61 ",$519.58 ,$886.56 ,"$1,662.30 " ST. JOHN'S HOSPITAL,48100512,93580,HC PTC W/IMPLNT ATRIAL 93580 -74,481,1 ,"$48,287.00 ","$31,386.55 ","$7,000.00 ","$48,287.00 ","$38,594.63 ","$7,000.00 ","$26,171.55 ","$15,437.85 ","$13,520.36 ","$13,665.22 ","$15,437.85 ","$15,644.99 ","$15,437.85 ","$16,079.57 ","$16,079.57 ","$15,437.85 ","$16,079.57 ","$29,331.92 ","$25,398.96 ","$24,143.50 ","$38,594.64 ","$15,437.85 ","$33,800.90 ","$15,437.85 ","$24,143.50 ","$15,746.61 ","$36,215.25 ","$21,536.00 ","$19,363.09 ","$21,536.00 ","$15,437.85 ","$21,536.00 ","$30,420.81 ","$30,420.81 ","$36,698.12 ","$48,287.00 ","$41,043.95 ","$38,594.64 ","$38,629.60 ","$17,866.19 ","$38,629.60 ","$15,437.85 ","$15,437.85 ","$48,287.00 ","$26,171.55 ","$15,437.85 ","$12,699.48 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$41,043.95 ","$34,735.17 ","$16,079.57 ","$13,520.36 ","$43,458.30 ","$34,766.64 ","$48,287.00 ","$30,420.81 ","$30,420.81 ","$30,420.81 ","$15,437.85 ","$23,177.76 ","$43,458.30 " ST. JOHN'S HOSPITAL,48100513,0484T,HC REPL MITRAL VALVE TRANSTHORACIC APPROACH,481,1 ,"$37,546.00 ","$24,404.90 ","$7,500.00 ","$37,546.00 ", N/A ,"$7,500.00 ","$20,349.93 ", N/A ,"$10,512.88 ","$10,625.52 ", N/A ,"$12,164.90 ", N/A ,"$12,502.82 ","$12,502.82 ", N/A ,"$12,502.82 ", N/A ,"$19,749.20 ","$18,773.00 ", N/A , N/A ,"$26,282.20 ", N/A ,"$18,773.00 ", N/A ,"$28,159.50 ","$16,745.52 ","$15,055.95 ","$16,745.52 ", N/A ,"$16,745.52 ","$23,653.98 ","$23,653.98 ","$28,534.96 ","$37,546.00 ","$31,914.10 ", N/A ,"$30,036.80 ","$13,892.02 ","$30,036.80 ", N/A , N/A ,"$37,546.00 ","$20,349.93 ", N/A ,"$9,874.60 ", N/A , N/A , N/A , N/A , N/A ,"$31,914.10 ", N/A ,"$12,502.82 ","$10,512.88 ","$33,791.40 ","$27,033.12 ","$37,546.00 ","$23,653.98 ","$23,653.98 ","$23,653.98 ", N/A ,"$18,022.08 ","$33,791.40 " ST. JOHN'S HOSPITAL,48100514,93656,HC EP STUDY PLUS AFIB ABLATION 93656 - 74,481,1 ,"$18,603.00 ","$12,091.95 ","$4,892.59 ","$51,567.36 ","$51,567.35 ","$12,000.00 ","$10,082.83 ","$20,626.94 ","$5,208.84 ","$5,680.82 ","$20,626.94 ","$6,529.53 ","$18,603.00 ","$6,194.80 ","$6,194.80 ","$18,603.00 ","$6,194.80 ","$18,603.00 ","$9,785.18 ","$9,301.50 ","$51,567.36 ","$20,626.94 ","$13,022.10 ","$20,626.94 ","$9,301.50 ","$18,603.00 ","$13,952.25 ","$8,296.94 ","$7,459.80 ","$8,296.94 ","$20,626.94 ","$8,296.94 ","$11,719.89 ","$11,719.89 ","$14,138.28 ","$18,603.00 ","$15,812.55 ","$18,603.00 ","$14,882.40 ","$6,883.11 ","$14,882.40 ","$20,626.94 ","$20,626.94 ","$18,603.00 ","$10,082.83 ","$20,626.94 ","$4,892.59 ", N/A , N/A ,"$12,559.54 ","$11,988.65 ","$21,658.29 ","$15,812.55 ","$46,410.62 ","$6,194.80 ","$5,208.84 ","$16,742.70 ","$13,394.16 ","$18,603.00 ","$11,719.89 ","$11,719.89 ","$11,719.89 ","$20,626.94 ","$8,929.44 ","$16,742.70 " ST. JOHN'S HOSPITAL,48100515,0505T,HC ENDOVENOUS FEMPOP ARTERIAL REVASC W/IV STENT GRAFT,481,1 ,"$33,141.00 ","$21,541.65 ","$4,951.86 ","$33,141.00 ","$24,138.23 ","$5,000.00 ","$17,962.42 ","$9,655.29 ","$9,279.48 ","$9,378.90 ","$9,655.29 ","$10,737.68 ","$9,655.29 ","$11,035.95 ","$11,035.95 ","$9,655.29 ","$11,035.95 ","$18,345.05 ","$17,432.17 ","$16,570.50 ","$24,138.23 ","$9,655.29 ","$23,198.70 ","$9,655.29 ","$16,570.50 ","$9,848.40 ","$24,855.75 ","$14,780.89 ","$13,289.54 ","$14,780.89 ","$9,655.29 ","$14,780.89 ","$20,878.83 ","$20,878.83 ","$25,187.16 ","$33,141.00 ","$28,169.85 ","$24,138.23 ","$26,512.80 ","$12,262.17 ","$26,512.80 ","$9,655.29 ","$9,655.29 ","$33,141.00 ","$17,962.42 ","$9,655.29 ","$8,716.08 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$28,169.85 ","$21,724.40 ","$11,035.95 ","$9,279.48 ","$29,826.90 ","$23,861.52 ","$33,141.00 ","$20,878.83 ","$20,878.83 ","$20,878.83 ","$9,655.29 ","$15,907.68 ","$29,826.90 " ST. JOHN'S HOSPITAL,48100516,33365,HC REPL TAVR TRANSAORTIC APPRCH -74,481,1 ,"$61,723.00 ","$40,119.95 ","$7,500.00 ","$61,723.00 ", N/A ,"$7,500.00 ","$33,453.87 ", N/A ,"$17,282.44 ","$17,467.61 ", N/A ,"$19,998.25 ", N/A ,"$20,553.76 ","$20,553.76 ", N/A ,"$20,553.76 ", N/A ,"$32,466.30 ","$30,861.50 ", N/A , N/A ,"$43,206.10 ", N/A ,"$30,861.50 ", N/A ,"$46,292.25 ","$27,528.46 ","$24,750.92 ","$27,528.46 ", N/A ,"$27,528.46 ","$38,885.49 ","$38,885.49 ","$46,909.48 ","$61,723.00 ","$52,464.55 ", N/A ,"$49,378.40 ","$22,837.51 ","$49,378.40 ", N/A , N/A ,"$61,723.00 ","$33,453.87 ", N/A ,"$16,233.15 ", N/A , N/A , N/A , N/A , N/A ,"$52,464.55 ", N/A ,"$20,553.76 ","$17,282.44 ","$55,550.70 ","$44,440.56 ","$61,723.00 ","$38,885.49 ","$38,885.49 ","$38,885.49 ", N/A ,"$29,627.04 ","$55,550.70 " ST. JOHN'S HOSPITAL,48100517,0515T,HC INSERT CARD STIMLTR WIRELESS COMPLETE,481,1 ,"$65,263.00 ","$42,420.95 ","$5,000.00 ","$65,263.00 ","$55,415.15 ","$5,000.00 ","$35,372.55 ","$22,166.06 ","$18,273.64 ","$18,469.43 ","$22,166.06 ","$21,145.21 ","$22,166.06 ","$21,732.58 ","$21,732.58 ","$22,166.06 ","$21,732.58 ","$42,115.51 ","$34,328.34 ","$32,631.50 ","$55,415.15 ","$22,166.06 ","$45,684.10 ","$22,166.06 ","$32,631.50 ","$22,609.38 ","$48,947.25 ","$29,107.30 ","$27,071.81 ","$29,107.30 ","$22,166.06 ","$29,107.30 ","$41,115.69 ","$41,115.69 ","$49,599.88 ","$65,263.00 ","$55,473.55 ","$55,415.15 ","$52,210.40 ","$24,147.31 ","$52,210.40 ","$22,166.06 ","$22,166.06 ","$65,263.00 ","$35,372.55 ","$22,166.06 ","$17,164.17 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$23,274.36 ","$55,473.55 ","$49,873.64 ","$21,732.58 ","$18,273.64 ","$58,736.70 ","$46,989.36 ","$65,263.00 ","$41,115.69 ","$41,115.69 ","$41,115.69 ","$22,166.06 ","$31,326.24 ","$58,736.70 " ST. JOHN'S HOSPITAL,48100518,0516T,HC INSERT CARD STIMLTR WIRELESS ELECTRODE ONLY,481,1 ,"$21,968.00 ","$14,279.20 ","$3,118.14 ","$21,968.00 ","$19,606.08 ","$5,000.00 ","$11,906.66 ","$7,842.43 ","$6,151.04 ","$6,216.94 ","$7,842.43 ","$7,117.63 ","$7,842.43 ","$7,315.34 ","$7,315.34 ","$7,842.43 ","$7,315.34 ","$14,900.61 ","$11,555.17 ","$10,984.00 ","$19,606.07 ","$7,842.43 ","$15,377.60 ","$7,842.43 ","$10,984.00 ","$7,999.28 ","$16,476.00 ","$9,797.73 ","$8,809.17 ","$9,797.73 ","$7,842.43 ","$9,797.73 ","$13,839.84 ","$13,839.84 ","$16,695.68 ","$21,968.00 ","$18,672.80 ","$19,606.07 ","$17,574.40 ","$8,128.16 ","$17,574.40 ","$7,842.43 ","$7,842.43 ","$21,968.00 ","$11,906.66 ","$7,842.43 ","$5,777.58 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$18,672.80 ","$17,645.46 ","$7,315.34 ","$6,151.04 ","$19,771.20 ","$15,816.96 ","$21,968.00 ","$13,839.84 ","$13,839.84 ","$13,839.84 ","$7,842.43 ","$10,544.64 ","$19,771.20 " ST. JOHN'S HOSPITAL,48100519,0517T,HC INSERT CARD STIMLTR WIRELESS PULSE GENERATOR ONLY,481,1 ,"$21,968.00 ","$14,279.20 ","$3,118.14 ","$21,968.00 ","$19,606.08 ","$5,000.00 ","$11,906.66 ","$7,842.43 ","$6,151.04 ","$6,216.94 ","$7,842.43 ","$7,117.63 ","$7,842.43 ","$7,315.34 ","$7,315.34 ","$7,842.43 ","$7,315.34 ","$14,900.61 ","$11,555.17 ","$10,984.00 ","$19,606.07 ","$7,842.43 ","$15,377.60 ","$7,842.43 ","$10,984.00 ","$7,999.28 ","$16,476.00 ","$9,797.73 ","$8,809.17 ","$9,797.73 ","$7,842.43 ","$9,797.73 ","$13,839.84 ","$13,839.84 ","$16,695.68 ","$21,968.00 ","$18,672.80 ","$19,606.07 ","$17,574.40 ","$8,128.16 ","$17,574.40 ","$7,842.43 ","$7,842.43 ","$21,968.00 ","$11,906.66 ","$7,842.43 ","$5,777.58 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$8,234.55 ","$18,672.80 ","$17,645.46 ","$7,315.34 ","$6,151.04 ","$19,771.20 ","$15,816.96 ","$21,968.00 ","$13,839.84 ","$13,839.84 ","$13,839.84 ","$7,842.43 ","$10,544.64 ","$19,771.20 " ST. JOHN'S HOSPITAL,48100520,0518T,HC REMOVE PULSE GENERATOR COMPONENT,481,1 ,"$9,289.00 ","$6,037.85 ","$2,443.01 ","$9,289.00 ","$8,275.08 ","$5,000.00 ","$5,034.64 ","$3,310.03 ","$2,600.92 ","$2,972.48 ","$3,310.03 ","$3,418.35 ","$3,310.03 ","$3,548.40 ","$3,548.40 ","$3,310.03 ","$3,548.40 ","$6,289.06 ","$4,886.01 ","$8,520.00 ","$8,275.08 ","$3,310.03 ","$6,502.30 ","$3,310.03 ","$4,644.50 ","$3,376.23 ","$6,966.75 ","$4,142.89 ","$3,724.89 ","$4,142.89 ","$3,310.03 ","$4,142.89 ","$5,852.07 ","$5,852.07 ","$7,059.64 ","$9,289.00 ","$7,895.65 ","$8,275.08 ","$7,431.20 ","$3,436.93 ","$7,431.20 ","$3,310.03 ","$3,310.03 ","$9,289.00 ","$5,034.64 ","$3,310.03 ","$2,443.01 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$3,475.53 ","$7,895.65 ","$7,447.57 ","$3,548.40 ","$2,600.92 ","$8,360.10 ","$6,688.08 ","$9,289.00 ","$5,852.07 ","$5,852.07 ","$5,852.07 ","$3,310.03 ","$4,458.72 ","$8,360.10 " ST. JOHN'S HOSPITAL,48100521,0519T,HC REMOVE/REPLACE CARD STIMLTR WIRELESS PULSE GEN COMP,481,1 ,"$9,289.00 ","$6,037.85 ","$2,443.01 ","$9,289.00 ","$8,275.08 ","$5,000.00 ","$5,034.64 ","$3,310.03 ","$2,600.92 ","$2,972.48 ","$3,310.03 ","$3,418.35 ","$3,310.03 ","$3,548.40 ","$3,548.40 ","$3,310.03 ","$3,548.40 ","$6,289.06 ","$4,886.01 ","$8,520.00 ","$8,275.08 ","$3,310.03 ","$6,502.30 ","$3,310.03 ","$4,644.50 ","$3,376.23 ","$6,966.75 ","$4,142.89 ","$3,724.89 ","$4,142.89 ","$3,310.03 ","$4,142.89 ","$5,852.07 ","$5,852.07 ","$7,059.64 ","$9,289.00 ","$7,895.65 ","$8,275.08 ","$7,431.20 ","$3,436.93 ","$7,431.20 ","$3,310.03 ","$3,310.03 ","$9,289.00 ","$5,034.64 ","$3,310.03 ","$2,443.01 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$3,475.53 ","$7,895.65 ","$7,447.57 ","$3,548.40 ","$2,600.92 ","$8,360.10 ","$6,688.08 ","$9,289.00 ","$5,852.07 ","$5,852.07 ","$5,852.07 ","$3,310.03 ","$4,458.72 ","$8,360.10 " ST. JOHN'S HOSPITAL,48100522,0520T,HC REMOVE/REPLACE CARD STIMLTR WIRELESS PULSE GEN COMP W/ELECTRODE,481,1 ,"$65,263.00 ","$42,420.95 ","$3,118.14 ","$65,263.00 ","$55,415.15 ","$5,000.00 ","$35,372.55 ","$22,166.06 ","$18,273.64 ","$18,469.43 ","$22,166.06 ","$21,145.21 ","$22,166.06 ","$21,732.58 ","$21,732.58 ","$22,166.06 ","$21,732.58 ","$42,115.51 ","$34,328.34 ","$32,631.50 ","$55,415.15 ","$22,166.06 ","$45,684.10 ","$22,166.06 ","$32,631.50 ","$22,609.38 ","$48,947.25 ","$29,107.30 ","$27,071.81 ","$29,107.30 ","$22,166.06 ","$29,107.30 ","$41,115.69 ","$41,115.69 ","$49,599.88 ","$65,263.00 ","$55,473.55 ","$55,415.15 ","$52,210.40 ","$24,147.31 ","$52,210.40 ","$22,166.06 ","$22,166.06 ","$65,263.00 ","$35,372.55 ","$22,166.06 ","$17,164.17 ", N/A , N/A ,"$3,266.63 ","$3,118.14 ","$23,274.36 ","$55,473.55 ","$49,873.64 ","$21,732.58 ","$18,273.64 ","$58,736.70 ","$46,989.36 ","$65,263.00 ","$41,115.69 ","$41,115.69 ","$41,115.69 ","$22,166.06 ","$31,326.24 ","$58,736.70 " ST. JOHN'S HOSPITAL,48100524,93590,HC PERQ TRANSCATH CLOSE PARAVALVULAR LEAK MITRAL,481,1 ,"$45,556.00 ","$29,611.40 ","$7,000.00 ","$45,556.00 ","$38,594.63 ","$7,000.00 ","$24,691.35 ","$15,437.85 ","$12,755.68 ","$12,892.35 ","$15,437.85 ","$14,760.14 ","$15,437.85 ","$15,170.15 ","$15,170.15 ","$15,437.85 ","$15,170.15 ","$29,331.92 ","$23,962.46 ","$22,778.00 ","$38,594.64 ","$15,437.85 ","$31,889.20 ","$15,437.85 ","$22,778.00 ","$15,746.61 ","$34,167.00 ","$20,317.98 ","$18,267.96 ","$20,317.98 ","$15,437.85 ","$20,317.98 ","$28,700.28 ","$28,700.28 ","$34,622.56 ","$45,556.00 ","$38,722.60 ","$38,594.64 ","$36,444.80 ","$16,855.72 ","$36,444.80 ","$15,437.85 ","$15,437.85 ","$45,556.00 ","$24,691.35 ","$15,437.85 ","$11,981.23 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$16,209.74 ","$38,722.60 ","$34,735.17 ","$15,170.15 ","$12,755.68 ","$41,000.40 ","$32,800.32 ","$45,556.00 ","$28,700.28 ","$28,700.28 ","$28,700.28 ","$15,437.85 ","$21,866.88 ","$41,000.40 " ST. JOHN'S HOSPITAL,48100525,33999,HC REPL TAVR W/PRO PERC ANILLARY APPROACH,481,1 ,"$46,869.00 ","$30,464.85 ",$519.58 ,"$46,869.00 ","$1,298.95 ","$7,500.00 ","$25,403.00 ",$519.58 ,"$13,123.32 ","$13,263.93 ",$519.58 ,"$15,185.56 ",$519.58 ,"$15,607.38 ","$15,607.38 ",$519.58 ,"$15,607.38 ",$987.20 ,"$24,653.09 ","$23,434.50 ","$1,298.95 ",$519.58 ,"$32,808.30 ",$519.58 ,"$23,434.50 ",$529.97 ,"$35,151.75 ","$20,903.57 ","$18,794.47 ","$20,903.57 ",$519.58 ,"$20,903.57 ","$29,527.47 ","$29,527.47 ","$35,620.44 ","$46,869.00 ","$39,838.65 ","$1,298.95 ","$37,495.20 ","$17,341.53 ","$37,495.20 ",$519.58 ,$519.58 ,"$46,869.00 ","$25,403.00 ",$519.58 ,"$12,326.55 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$39,838.65 ","$1,169.06 ","$15,607.38 ","$13,123.32 ","$42,182.10 ","$33,745.68 ","$46,869.00 ","$29,527.47 ","$29,527.47 ","$29,527.47 ",$519.58 ,"$22,497.12 ","$42,182.10 " ST. JOHN'S HOSPITAL,48100526,37220,HC RVC EN PRC ICA W/ANG INIT VSL 37220-50,481,1 ,"$49,084.00 ","$31,904.60 ","$7,427.81 ","$49,084.00 ","$24,138.23 ","$7,500.00 ","$26,603.53 ","$9,655.29 ","$13,743.52 ","$13,890.77 ","$9,655.29 ","$15,903.22 ","$9,655.29 ","$16,344.97 ","$16,344.97 ","$9,655.29 ","$16,344.97 ","$18,345.05 ","$25,818.18 ","$24,542.00 ","$24,138.23 ","$9,655.29 ","$34,358.80 ","$9,655.29 ","$24,542.00 ","$9,848.40 ","$36,813.00 ","$21,891.46 ","$19,682.68 ","$21,891.46 ","$9,655.29 ","$21,891.46 ","$30,922.92 ","$30,922.92 ","$37,303.84 ","$49,084.00 ","$41,721.40 ","$24,138.23 ","$39,267.20 ","$18,161.08 ","$39,267.20 ","$9,655.29 ","$9,655.29 ","$49,084.00 ","$26,603.53 ","$9,655.29 ","$12,909.09 ", N/A , N/A ,"$7,781.51 ","$7,427.81 ","$10,138.05 ","$41,721.40 ","$21,724.40 ","$16,344.97 ","$13,743.52 ","$44,175.60 ","$35,340.48 ","$49,084.00 ","$30,922.92 ","$30,922.92 ","$30,922.92 ","$9,655.29 ","$23,560.32 ","$44,175.60 " ST. JOHN'S HOSPITAL,48100527,93458,HC CORONARY ANGIO WITH LV -74,481,1 ,"$20,859.00 ","$13,558.35 ","$2,438.03 ","$20,859.00 ","$6,968.45 ","$9,595.14 ","$11,305.58 ","$2,787.38 ","$5,840.52 ","$5,903.10 ","$2,787.38 ","$6,758.32 ","$2,787.38 ","$6,946.05 ","$6,946.05 ","$2,787.38 ","$6,946.05 ","$5,296.03 ","$10,971.83 ","$10,429.50 ","$6,968.46 ","$2,787.38 ","$14,601.30 ","$2,787.38 ","$10,429.50 ","$2,843.13 ","$15,644.25 ","$9,303.11 ","$8,364.46 ","$9,303.11 ","$2,787.38 ","$9,303.11 ","$13,141.17 ","$13,141.17 ","$14,609.00 ","$20,859.00 ","$17,730.15 ","$6,968.46 ","$16,687.20 ","$7,717.83 ","$16,687.20 ","$2,787.38 ","$2,787.38 ","$20,859.00 ","$11,305.58 ","$2,787.38 ","$5,485.92 ", N/A , N/A ,"$2,554.12 ","$2,438.03 ","$2,926.75 ","$17,730.15 ","$6,271.61 ","$6,946.05 ","$5,840.52 ","$18,773.10 ","$15,018.48 ","$20,859.00 ","$13,141.17 ","$13,141.17 ","$13,141.17 ","$2,787.38 ","$10,012.32 ","$18,773.10 " ST. JOHN'S HOSPITAL,48100528,33999,HC ICD ELECTRODE REPOSITIONING SUBSTERNAL,481,1 ,"$9,275.00 ","$6,028.75 ",$519.58 ,"$9,275.00 ","$1,298.95 ","$7,500.00 ","$5,027.05 ",$519.58 ,"$2,597.00 ","$2,968.00 ",$519.58 ,"$3,413.20 ",$519.58 ,"$3,543.05 ","$3,543.05 ",$519.58 ,"$3,543.05 ",$987.20 ,"$4,878.65 ","$8,520.00 ","$1,298.95 ",$519.58 ,"$6,492.50 ",$519.58 ,"$4,637.50 ",$529.97 ,"$6,956.25 ","$4,136.65 ","$3,719.28 ","$4,136.65 ",$519.58 ,"$4,136.65 ","$5,843.25 ","$5,843.25 ","$7,049.00 ","$9,275.00 ","$7,883.75 ","$1,298.95 ","$7,420.00 ","$3,431.75 ","$7,420.00 ",$519.58 ,$519.58 ,"$9,275.00 ","$5,027.05 ",$519.58 ,"$2,439.33 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$7,883.75 ","$1,169.06 ","$3,543.05 ","$2,597.00 ","$8,347.50 ","$6,678.00 ","$9,275.00 ","$5,843.25 ","$5,843.25 ","$5,843.25 ",$519.58 ,"$4,452.00 ","$8,347.50 " ST. JOHN'S HOSPITAL,48100529,33999,HC ICD INSERT/REPLACE W/SUBSTERNAL ELECTRODE,481,1 ,"$9,289.00 ","$6,037.85 ",$519.58 ,"$9,289.00 ","$1,298.95 ","$7,500.00 ","$5,034.64 ",$519.58 ,"$2,600.92 ","$2,972.48 ",$519.58 ,"$3,418.35 ",$519.58 ,"$3,548.40 ","$3,548.40 ",$519.58 ,"$3,548.40 ",$987.20 ,"$4,886.01 ","$8,520.00 ","$1,298.95 ",$519.58 ,"$6,502.30 ",$519.58 ,"$4,644.50 ",$529.97 ,"$6,966.75 ","$4,142.89 ","$3,724.89 ","$4,142.89 ",$519.58 ,"$4,142.89 ","$5,852.07 ","$5,852.07 ","$7,059.64 ","$9,289.00 ","$7,895.65 ","$1,298.95 ","$7,431.20 ","$3,436.93 ","$7,431.20 ",$519.58 ,$519.58 ,"$9,289.00 ","$5,034.64 ",$519.58 ,"$2,443.01 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$7,895.65 ","$1,169.06 ","$3,548.40 ","$2,600.92 ","$8,360.10 ","$6,688.08 ","$9,289.00 ","$5,852.07 ","$5,852.07 ","$5,852.07 ",$519.58 ,"$4,458.72 ","$8,360.10 " ST. JOHN'S HOSPITAL,48100530,33999,HC CARDIAC RHYTHM MONITOR RELOCATION,481,1 ,"$42,920.00 ","$27,898.00 ",$519.58 ,"$42,920.00 ","$1,298.95 ","$7,500.00 ","$23,262.64 ",$519.58 ,"$12,017.60 ","$12,146.36 ",$519.58 ,"$13,906.08 ",$519.58 ,"$14,292.36 ","$14,292.36 ",$519.58 ,"$14,292.36 ",$987.20 ,"$22,575.92 ","$21,460.00 ","$1,298.95 ",$519.58 ,"$30,044.00 ",$519.58 ,"$21,460.00 ",$529.97 ,"$32,190.00 ","$19,142.32 ","$17,210.92 ","$19,142.32 ",$519.58 ,"$19,142.32 ","$27,039.60 ","$27,039.60 ","$32,619.20 ","$42,920.00 ","$36,482.00 ","$1,298.95 ","$34,336.00 ","$15,880.40 ","$34,336.00 ",$519.58 ,$519.58 ,"$42,920.00 ","$23,262.64 ",$519.58 ,"$11,287.96 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$36,482.00 ","$1,169.06 ","$14,292.36 ","$12,017.60 ","$38,628.00 ","$30,902.40 ","$42,920.00 ","$27,039.60 ","$27,039.60 ","$27,039.60 ",$519.58 ,"$20,601.60 ","$38,628.00 " ST. JOHN'S HOSPITAL,48100531,33999,HC TAVR CAROTID APPROACH,481,1 ,"$50,508.00 ","$32,830.20 ",$878.23 ,"$50,508.00 ","$8,875.00 ","$7,500.00 ","$27,375.34 ","$3,550.00 ","$14,142.24 ","$14,293.76 ","$3,550.00 ","$16,364.59 ","$3,550.00 ","$16,819.16 ","$16,819.16 ","$3,550.00 ","$16,819.16 ","$6,745.00 ","$26,567.21 ","$25,254.00 ","$8,875.00 ","$3,550.00 ","$35,355.60 ","$3,550.00 ","$25,254.00 ","$3,621.00 ","$37,881.00 ","$22,526.57 ","$20,253.71 ","$22,526.57 ","$3,550.00 ","$22,526.57 ","$31,820.04 ","$31,820.04 ","$38,386.08 ","$50,508.00 ","$42,931.80 ","$8,875.00 ","$40,406.40 ","$18,687.96 ","$40,406.40 ","$3,550.00 ","$3,550.00 ","$50,508.00 ","$27,375.34 ","$3,550.00 ","$13,283.60 ", N/A , N/A ,$920.05 ,$878.23 ,"$3,727.50 ","$42,931.80 ","$7,987.50 ","$16,819.16 ","$14,142.24 ","$45,457.20 ","$36,365.76 ","$50,508.00 ","$31,820.04 ","$31,820.04 ","$31,820.04 ","$3,550.00 ","$24,243.84 ","$45,457.20 " ST. JOHN'S HOSPITAL,48100533,33999,HC IABP REPOSITION,481,1 ,"$6,841.00 ","$4,446.65 ",$519.58 ,"$6,841.00 ","$1,298.95 ","$6,841.00 ","$3,707.82 ",$519.58 ,"$1,915.48 ","$2,189.12 ",$519.58 ,"$2,517.49 ",$519.58 ,"$2,613.26 ","$2,613.26 ",$519.58 ,"$2,613.26 ",$987.20 ,"$3,598.37 ","$6,841.00 ","$1,298.95 ",$519.58 ,"$4,788.70 ",$519.58 ,"$3,420.50 ",$529.97 ,"$5,130.75 ","$3,051.09 ","$2,743.24 ","$3,051.09 ",$519.58 ,"$3,051.09 ","$4,309.83 ","$4,309.83 ","$5,199.16 ","$6,841.00 ","$5,814.85 ","$1,298.95 ","$5,472.80 ","$2,531.17 ","$5,472.80 ",$519.58 ,$519.58 ,"$6,841.00 ","$3,707.82 ",$519.58 ,"$1,799.18 ", N/A , N/A ,$920.05 ,$878.23 ,$545.56 ,"$5,814.85 ","$1,169.06 ","$2,613.26 ","$1,915.48 ","$6,156.90 ","$4,925.52 ","$6,841.00 ","$4,309.83 ","$4,309.83 ","$4,309.83 ",$519.58 ,"$3,283.68 ","$6,156.90 " ST. JOHN'S HOSPITAL,48100534,0577T,HC SUBSTERNAL EVALUATION,481,1 ,"$4,665.00 ","$3,032.25 ",$253.49 ,"$4,665.00 ","$2,676.58 ","$4,665.00 ","$2,528.43 ","$1,070.63 ","$1,306.20 ","$1,492.80 ","$1,070.63 ","$1,716.72 ","$1,070.63 ","$1,782.03 ","$1,782.03 ","$1,070.63 ","$1,782.03 ","$2,034.20 ","$2,453.79 ","$4,665.00 ","$2,676.58 ","$1,070.63 ","$3,265.50 ","$1,070.63 ","$2,332.50 ","$1,092.05 ","$3,498.75 ","$2,080.59 ","$1,870.67 ","$2,080.59 ","$1,070.63 ","$2,080.59 ","$2,938.95 ","$2,938.95 ","$3,545.40 ","$4,665.00 ","$3,965.25 ","$2,676.58 ","$3,732.00 ","$1,726.05 ","$3,732.00 ","$1,070.63 ","$1,070.63 ","$4,665.00 ","$2,528.43 ","$1,070.63 ","$1,226.90 ", N/A , N/A ,$265.56 ,$253.49 ,"$1,124.16 ","$3,965.25 ","$2,408.93 ","$1,782.03 ","$1,306.20 ","$4,198.50 ","$3,358.80 ","$4,665.00 ","$2,938.95 ","$2,938.95 ","$2,938.95 ","$1,070.63 ","$2,239.20 ","$4,198.50 " ST. JOHN'S HOSPITAL,48100536,C9764,HC REVASC INTRAVASC LITHOTRIPSY,481,1 ,"$14,078.00 ","$9,150.70 ","$3,702.51 ","$24,138.23 ","$24,138.23 ","$5,000.00 ","$7,630.28 ","$9,655.29 ","$3,941.84 ","$4,504.96 ","$9,655.29 ","$5,180.70 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$14,078.00 ","$7,405.03 ","$7,039.00 ","$24,138.23 ","$9,655.29 ","$9,854.60 ","$9,655.29 ","$7,039.00 ","$9,848.40 ","$10,558.50 ","$6,278.79 ","$5,645.28 ","$6,278.79 ","$9,655.29 ","$6,278.79 ","$8,869.14 ","$8,869.14 ","$10,699.28 ","$14,078.00 ","$11,966.30 ","$14,078.00 ","$11,262.40 ","$5,208.86 ","$11,262.40 ","$9,655.29 ","$9,655.29 ","$14,078.00 ","$7,630.28 ","$9,655.29 ","$3,702.51 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$11,966.30 ","$21,724.40 ","$5,000.00 ","$3,941.84 ","$12,670.20 ","$10,136.16 ","$14,078.00 ","$8,869.14 ","$8,869.14 ","$8,869.14 ","$9,655.29 ","$6,757.44 ","$12,670.20 " ST. JOHN'S HOSPITAL,48100537,C9765,HC REVASC INTRA LITHOTRIP-STENT,481,1 ,"$28,522.00 ","$18,539.30 ","$4,951.86 ","$38,594.64 ","$38,594.63 ","$5,000.00 ","$15,458.92 ","$15,437.85 ","$7,986.16 ","$8,071.73 ","$15,437.85 ","$9,241.13 ","$15,437.85 ","$9,497.83 ","$9,497.83 ","$15,437.85 ","$9,497.83 ","$28,522.00 ","$15,002.57 ","$14,261.00 ","$38,594.64 ","$15,437.85 ","$19,965.40 ","$15,437.85 ","$14,261.00 ","$15,746.61 ","$21,391.50 ","$12,720.81 ","$11,437.32 ","$12,720.81 ","$15,437.85 ","$12,720.81 ","$17,968.86 ","$17,968.86 ","$21,676.72 ","$28,522.00 ","$24,243.70 ","$28,522.00 ","$22,817.60 ","$10,553.14 ","$22,817.60 ","$15,437.85 ","$15,437.85 ","$28,522.00 ","$15,458.92 ","$15,437.85 ","$7,501.29 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$24,243.70 ","$34,735.17 ","$9,497.83 ","$7,986.16 ","$25,669.80 ","$20,535.84 ","$28,522.00 ","$17,968.86 ","$17,968.86 ","$17,968.86 ","$15,437.85 ","$13,690.56 ","$25,669.80 " ST. JOHN'S HOSPITAL,48100538,C9766,HC REVASC INTRA LITHOTRIP-ATHER,481,1 ,"$28,522.00 ","$18,539.30 ","$4,951.86 ","$38,594.64 ","$38,594.63 ","$5,500.00 ","$15,458.92 ","$15,437.85 ","$7,986.16 ","$8,071.73 ","$15,437.85 ","$9,241.13 ","$15,437.85 ","$9,497.83 ","$9,497.83 ","$15,437.85 ","$9,497.83 ","$28,522.00 ","$15,002.57 ","$14,261.00 ","$38,594.64 ","$15,437.85 ","$19,965.40 ","$15,437.85 ","$14,261.00 ","$15,746.61 ","$21,391.50 ","$12,720.81 ","$11,437.32 ","$12,720.81 ","$15,437.85 ","$12,720.81 ","$17,968.86 ","$17,968.86 ","$21,676.72 ","$28,522.00 ","$24,243.70 ","$28,522.00 ","$22,817.60 ","$10,553.14 ","$22,817.60 ","$15,437.85 ","$15,437.85 ","$28,522.00 ","$15,458.92 ","$15,437.85 ","$7,501.29 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$24,243.70 ","$34,735.17 ","$9,497.83 ","$7,986.16 ","$25,669.80 ","$20,535.84 ","$28,522.00 ","$17,968.86 ","$17,968.86 ","$17,968.86 ","$15,437.85 ","$13,690.56 ","$25,669.80 " ST. JOHN'S HOSPITAL,48100539,C9767,HC REVASC LITHOTRIP-STENT-ATHER,481,1 ,"$45,622.00 ","$29,654.30 ","$4,951.86 ","$45,622.00 ","$38,594.63 ","$5,500.00 ","$24,727.12 ","$15,437.85 ","$12,774.16 ","$12,911.03 ","$15,437.85 ","$14,781.53 ","$15,437.85 ","$15,192.13 ","$15,192.13 ","$15,437.85 ","$15,192.13 ","$29,331.92 ","$23,997.17 ","$22,811.00 ","$38,594.64 ","$15,437.85 ","$31,935.40 ","$15,437.85 ","$22,811.00 ","$15,746.61 ","$34,216.50 ","$20,347.41 ","$18,294.42 ","$20,347.41 ","$15,437.85 ","$20,347.41 ","$28,741.86 ","$28,741.86 ","$34,672.72 ","$45,622.00 ","$38,778.70 ","$38,594.64 ","$36,497.60 ","$16,880.14 ","$36,497.60 ","$15,437.85 ","$15,437.85 ","$45,622.00 ","$24,727.12 ","$15,437.85 ","$11,998.59 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$38,778.70 ","$34,735.17 ","$15,192.13 ","$12,774.16 ","$41,059.80 ","$32,847.84 ","$45,622.00 ","$28,741.86 ","$28,741.86 ","$28,741.86 ","$15,437.85 ","$21,898.56 ","$41,059.80 " ST. JOHN'S HOSPITAL,48100541,35256,HC REPAIR BLOOD VESSEL W/VEIN GRAFT LOWER EXT,360,1 ,"$13,251.00 ","$8,613.15 ","$2,413.74 ","$13,251.00 ","$11,459.70 ","$6,000.00 ","$7,182.04 ","$4,583.88 ","$3,710.28 ","$4,240.32 ","$4,583.88 ","$4,876.37 ","$4,583.88 ","$5,000.00 ","$5,000.00 ","$4,583.88 ","$5,000.00 ","$8,709.37 ","$6,970.03 ","$6,625.50 ","$11,459.70 ","$4,583.88 ","$9,275.70 ","$4,583.88 ","$6,625.50 ","$4,675.56 ","$9,938.25 ","$5,909.95 ","$5,313.65 ","$5,909.95 ","$4,583.88 ","$5,909.95 ","$8,348.13 ","$8,348.13 ","$9,408.21 ","$13,251.00 ","$11,263.35 ","$11,459.70 ","$10,600.80 ","$4,902.87 ","$10,600.80 ","$4,583.88 ","$4,583.88 ","$13,251.00 ","$7,182.04 ","$4,583.88 ","$3,485.01 ", N/A , N/A ,"$2,528.68 ","$2,413.74 ","$4,813.07 ","$11,263.35 ","$10,313.73 ","$5,000.00 ","$3,710.28 ","$11,925.90 ","$9,540.72 ","$13,251.00 ","$8,348.13 ","$8,348.13 ","$8,348.13 ","$4,583.88 ","$6,360.48 ","$11,925.90 " ST. JOHN'S HOSPITAL,48100542,37248,HC ANGIOPLASTY TRANLUM BALN INIT VEIN 37248-74,481,1 ,"$27,925.00 ","$18,151.25 ","$4,764.25 ","$27,925.00 ","$11,910.63 ","$12,000.00 ","$15,135.35 ","$4,764.25 ","$7,819.00 ","$7,902.78 ","$4,764.25 ","$9,047.70 ","$4,764.25 ","$9,299.03 ","$9,299.03 ","$4,764.25 ","$9,299.03 ","$9,052.08 ","$14,688.55 ","$13,962.50 ","$11,910.63 ","$4,764.25 ","$19,547.50 ","$4,764.25 ","$13,962.50 ","$4,859.54 ","$20,943.75 ","$12,454.55 ","$11,197.93 ","$12,454.55 ","$4,764.25 ","$12,454.55 ", N/A , N/A , N/A ,"$27,925.00 ","$23,736.25 ","$11,910.63 ","$22,340.00 ","$10,332.25 ","$22,340.00 ","$4,764.25 ","$4,764.25 ","$27,925.00 ","$15,135.35 ","$4,764.25 ","$7,344.28 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$5,002.46 ","$23,736.25 ","$10,719.56 ","$9,299.03 ","$7,819.00 ","$25,132.50 ","$20,106.00 ","$27,925.00 ", N/A ,"$17,592.75 ","$17,592.75 ","$4,764.25 ","$13,404.00 ","$25,132.50 " ST. JOHN'S HOSPITAL,48100543,C9772,HD REVASC LITHOTRIP TIBI/PERONE,481,1 ,"$28,522.00 ","$18,539.30 ","$4,951.86 ","$28,522.00 ","$24,138.23 ","$5,000.00 ","$15,458.92 ","$9,655.29 ","$7,986.16 ","$8,071.73 ","$9,655.29 ","$9,241.13 ","$9,655.29 ","$9,497.83 ","$9,497.83 ","$9,655.29 ","$9,497.83 ","$18,345.05 ","$15,002.57 ","$14,261.00 ","$24,138.23 ","$9,655.29 ","$19,965.40 ","$9,655.29 ","$14,261.00 ","$9,848.40 ","$21,391.50 ","$12,720.81 ","$11,437.32 ","$12,720.81 ","$9,655.29 ","$12,720.81 ","$17,968.86 ","$17,968.86 ","$21,676.72 ","$28,522.00 ","$24,243.70 ","$24,138.23 ","$22,817.60 ","$10,553.14 ","$22,817.60 ","$9,655.29 ","$9,655.29 ","$28,522.00 ","$15,458.92 ","$9,655.29 ","$7,501.29 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$10,138.05 ","$24,243.70 ","$21,724.40 ","$9,497.83 ","$7,986.16 ","$25,669.80 ","$20,535.84 ","$28,522.00 ","$17,968.86 ","$17,968.86 ","$17,968.86 ","$9,655.29 ","$13,690.56 ","$25,669.80 " ST. JOHN'S HOSPITAL,48100544,C9773,HC REVASC LITHOTR STENT TIB,481,1 ,"$45,622.00 ","$29,654.30 ","$4,951.86 ","$45,622.00 ","$38,594.63 ","$5,000.00 ","$24,727.12 ","$15,437.85 ","$12,774.16 ","$12,911.03 ","$15,437.85 ","$14,781.53 ","$15,437.85 ","$15,192.13 ","$15,192.13 ","$15,437.85 ","$15,192.13 ","$29,331.92 ","$23,997.17 ","$22,811.00 ","$38,594.64 ","$15,437.85 ","$31,935.40 ","$15,437.85 ","$22,811.00 ","$15,746.61 ","$34,216.50 ","$20,347.41 ","$18,294.42 ","$20,347.41 ","$15,437.85 ","$20,347.41 ","$28,741.86 ","$28,741.86 ","$34,672.72 ","$45,622.00 ","$38,778.70 ","$38,594.64 ","$36,497.60 ","$16,880.14 ","$36,497.60 ","$15,437.85 ","$15,437.85 ","$45,622.00 ","$24,727.12 ","$15,437.85 ","$11,998.59 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$38,778.70 ","$34,735.17 ","$15,192.13 ","$12,774.16 ","$41,059.80 ","$32,847.84 ","$45,622.00 ","$28,741.86 ","$28,741.86 ","$28,741.86 ","$15,437.85 ","$21,898.56 ","$41,059.80 " ST. JOHN'S HOSPITAL,48100545,C9774,HC REVASC LITHOTH ATHER,481,1 ,"$45,622.00 ","$29,654.30 ","$4,951.86 ","$45,622.00 ","$38,594.63 ","$5,000.00 ","$24,727.12 ","$15,437.85 ","$12,774.16 ","$12,911.03 ","$15,437.85 ","$14,781.53 ","$15,437.85 ","$15,192.13 ","$15,192.13 ","$15,437.85 ","$15,192.13 ","$29,331.92 ","$23,997.17 ","$22,811.00 ","$38,594.64 ","$15,437.85 ","$31,935.40 ","$15,437.85 ","$22,811.00 ","$15,746.61 ","$34,216.50 ","$20,347.41 ","$18,294.42 ","$20,347.41 ","$15,437.85 ","$20,347.41 ","$28,741.86 ","$28,741.86 ","$34,672.72 ","$45,622.00 ","$38,778.70 ","$38,594.64 ","$36,497.60 ","$16,880.14 ","$36,497.60 ","$15,437.85 ","$15,437.85 ","$45,622.00 ","$24,727.12 ","$15,437.85 ","$11,998.59 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$38,778.70 ","$34,735.17 ","$15,192.13 ","$12,774.16 ","$41,059.80 ","$32,847.84 ","$45,622.00 ","$28,741.86 ","$28,741.86 ","$28,741.86 ","$15,437.85 ","$21,898.56 ","$41,059.80 " ST. JOHN'S HOSPITAL,48100546,C9775,HC REVASC LITH STENT ATH,481,1 ,"$45,622.00 ","$29,654.30 ","$4,951.86 ","$45,622.00 ","$38,594.63 ","$5,000.00 ","$24,727.12 ","$15,437.85 ","$12,774.16 ","$12,911.03 ","$15,437.85 ","$14,781.53 ","$15,437.85 ","$15,192.13 ","$15,192.13 ","$15,437.85 ","$15,192.13 ","$29,331.92 ","$23,997.17 ","$22,811.00 ","$38,594.64 ","$15,437.85 ","$31,935.40 ","$15,437.85 ","$22,811.00 ","$15,746.61 ","$34,216.50 ","$20,347.41 ","$18,294.42 ","$20,347.41 ","$15,437.85 ","$20,347.41 ","$28,741.86 ","$28,741.86 ","$34,672.72 ","$45,622.00 ","$38,778.70 ","$38,594.64 ","$36,497.60 ","$16,880.14 ","$36,497.60 ","$15,437.85 ","$15,437.85 ","$45,622.00 ","$24,727.12 ","$15,437.85 ","$11,998.59 ", N/A , N/A ,"$5,187.67 ","$4,951.86 ","$16,209.74 ","$38,778.70 ","$34,735.17 ","$15,192.13 ","$12,774.16 ","$41,059.80 ","$32,847.84 ","$45,622.00 ","$28,741.86 ","$28,741.86 ","$28,741.86 ","$15,437.85 ","$21,898.56 ","$41,059.80 " ST. JOHN'S HOSPITAL,48100547,33208,HC INS/REPL PACEMKR 33208- 74,360,1 ,"$30,036.00 ","$19,523.40 ","$7,790.00 ","$30,036.00 ","$24,987.25 ","$12,000.00 ","$16,279.51 ","$9,994.90 ","$8,410.08 ","$8,500.19 ","$9,994.90 ","$9,731.66 ","$9,994.90 ","$10,001.99 ","$10,001.99 ","$9,994.90 ","$10,001.99 ","$18,990.32 ","$15,798.94 ","$15,018.00 ","$24,987.26 ","$9,994.90 ","$21,025.20 ","$9,994.90 ","$15,018.00 ","$10,194.80 ","$22,527.00 ","$8,656.00 ","$7,790.00 ","$8,656.00 ","$9,994.90 ","$8,656.00 ","$18,922.68 ","$18,922.68 ","$21,325.56 ","$30,036.00 ","$25,530.60 ","$24,987.26 ","$24,028.80 ","$11,113.32 ","$24,028.80 ","$9,994.90 ","$9,994.90 ","$30,036.00 ","$16,279.51 ","$9,994.90 ","$7,899.47 ", N/A , N/A ,"$8,433.34 ","$8,050.00 ","$10,494.65 ","$25,530.60 ","$22,488.53 ","$10,001.99 ","$8,410.08 ","$27,032.40 ","$21,625.92 ","$30,036.00 ","$18,922.68 ","$18,922.68 ","$18,922.68 ","$9,994.90 ","$14,417.28 ","$27,032.40 " ST. JOHN'S HOSPITAL,48100551,0644T,HC TRANSCATH REM OR DEBULK OF INTRACARDIAC MASS- 0644T,481,1 ,"$14,376.00 ","$9,344.40 ","$3,780.89 ","$14,376.00 ","$11,910.63 ","$7,500.00 ","$7,791.79 ","$4,764.25 ","$4,025.28 ","$4,600.32 ","$4,764.25 ","$5,290.37 ","$4,764.25 ","$5,000.00 ","$5,000.00 ","$4,764.25 ","$5,000.00 ","$9,052.08 ","$7,561.78 ","$7,188.00 ","$11,910.63 ","$4,764.25 ","$10,063.20 ","$4,764.25 ","$7,188.00 ","$4,859.54 ","$10,782.00 ","$6,411.70 ","$5,764.78 ","$6,411.70 ","$4,764.25 ","$6,411.70 ","$9,056.88 ","$9,056.88 ","$10,925.76 ","$14,376.00 ","$12,219.60 ","$11,910.63 ","$11,500.80 ","$5,319.12 ","$11,500.80 ","$4,764.25 ","$4,764.25 ","$14,376.00 ","$7,791.79 ","$4,764.25 ","$3,780.89 ", N/A , N/A ,"$9,014.24 ","$8,604.50 ","$5,002.46 ","$12,219.60 ","$10,719.56 ","$5,000.00 ","$4,025.28 ","$12,938.40 ","$10,350.72 ","$14,376.00 ","$9,056.88 ","$9,056.88 ","$9,056.88 ","$4,764.25 ","$6,900.48 ","$12,938.40 " ST. JOHN'S HOSPITAL,48100798,37242,HC ARTERIAL EMBO FOR AVM ANER PRE/POST 37242-74,481,1 ,"$13,975.00 ","$9,083.75 ","$3,675.43 ","$24,138.23 ","$24,138.23 ","$4,200.00 ","$7,574.45 ","$9,655.29 ","$3,913.00 ","$4,472.00 ","$9,655.29 ","$5,142.80 ","$9,655.29 ","$5,000.00 ","$5,000.00 ","$9,655.29 ","$5,000.00 ","$13,975.00 ","$7,350.85 ","$6,987.50 ","$24,138.23 ","$9,655.29 ","$9,782.50 ","$9,655.29 ","$6,987.50 ","$9,848.40 ","$10,481.25 ","$6,232.85 ","$5,603.98 ","$6,232.85 ","$9,655.29 ","$6,232.85 ","$8,804.25 ","$8,804.25 ","$10,621.00 ","$13,975.00 ","$11,878.75 ","$13,975.00 ","$11,180.00 ","$5,170.75 ","$11,180.00 ","$9,655.29 ","$9,655.29 ","$13,975.00 ","$7,574.45 ","$9,655.29 ","$3,675.43 ", N/A , N/A ,"$11,253.34 ","$10,741.83 ","$10,138.05 ","$11,878.75 ","$21,724.40 ","$5,000.00 ","$3,913.00 ","$12,577.50 ","$10,062.00 ","$13,975.00 ","$8,804.25 ","$8,804.25 ","$8,804.25 ","$9,655.29 ","$6,708.00 ","$12,577.50 " ST. JOHN'S HOSPITAL,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,751.00 ","$1,138.15 ",$65.94 ,"$1,751.00 ",$636.00 ,$805.46 ,$949.04 ,$254.40 ,$490.28 ,$390.39 ,$254.40 ,$420.64 ,$254.40 ,$668.88 ,$65.94 ,$254.40 ,$668.88 ,$483.35 ,$921.03 ,$893.01 ,$635.99 ,$254.40 ,"$1,225.70 ",$254.40 ,$875.50 ,$259.48 ,"$1,313.25 ",$884.26 ,$796.71 ,$884.26 ,$254.40 ,$884.26 ,"$1,103.13 ","$1,103.13 ","$1,243.21 ","$1,751.00 ","$1,488.35 ",$635.99 ,"$1,400.80 ",$647.87 ,"$1,400.80 ",$254.40 ,$254.40 ,"$1,751.00 ",$949.04 ,$254.40 ,$460.51 , N/A , N/A ,$320.01 ,$305.47 ,$267.12 ,"$1,488.35 ",$572.39 ,"$1,152.16 ",$490.28 ,"$1,575.90 ","$1,260.72 ","$1,751.00 ","$1,103.13 ","$1,103.13 ","$1,103.13 ",$254.40 ,$840.48 ,"$1,575.90 " ST. JOHN'S HOSPITAL,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,787.00 ","$2,461.55 ",$257.86 ,"$3,787.00 ","$1,161.15 ","$1,742.02 ","$2,052.55 ",$464.46 ,"$1,060.36 ","$1,306.52 ",$464.46 ,"$1,454.21 ",$464.46 ,"$1,446.63 ",$257.86 ,$464.46 ,"$1,446.63 ",$882.48 ,"$1,991.96 ","$1,931.37 ","$1,161.16 ",$464.46 ,"$2,650.90 ",$464.46 ,"$1,893.50 ",$473.75 ,"$2,840.25 ","$1,912.44 ","$1,723.09 ","$1,912.44 ",$464.46 ,"$1,912.44 ","$2,385.81 ","$2,385.81 ","$2,688.77 ","$3,787.00 ","$3,218.95 ","$1,161.16 ","$3,029.60 ","$1,401.19 ","$3,029.60 ",$464.46 ,$464.46 ,"$3,787.00 ","$2,052.55 ",$464.46 ,$995.98 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$3,218.95 ","$1,045.04 ","$2,491.85 ","$1,060.36 ","$3,408.30 ","$2,726.64 ","$3,787.00 ","$2,385.81 ","$2,385.81 ","$2,385.81 ",$464.46 ,"$1,817.76 ","$3,408.30 " ST. JOHN'S HOSPITAL,48300001,93307,HC ECHOCARDIOGRAM 2D W/O DOP,483,1 ,"$2,654.00 ","$1,725.10 ",$184.39 ,"$2,654.00 ",$552.95 ,"$1,220.84 ","$1,438.47 ",$221.18 ,$743.12 ,$915.63 ,$221.18 ,"$1,019.14 ",$221.18 ,"$1,013.83 ",$184.39 ,$221.18 ,"$1,013.83 ",$420.25 ,"$1,396.00 ","$1,353.54 ",$552.96 ,$221.18 ,"$1,857.80 ",$221.18 ,"$1,327.00 ",$225.61 ,"$1,990.50 ","$1,340.27 ","$1,207.57 ","$1,340.27 ",$221.18 ,"$1,340.27 ","$1,672.02 ","$1,672.02 ","$1,884.34 ","$2,654.00 ","$2,255.90 ",$552.96 ,"$2,123.20 ",$981.98 ,"$2,123.20 ",$221.18 ,$221.18 ,"$2,654.00 ","$1,438.47 ",$221.18 ,$698.00 , N/A , N/A ,$508.61 ,$485.49 ,$232.24 ,"$2,255.90 ",$497.66 ,"$1,746.33 ",$743.12 ,"$2,388.60 ","$1,910.88 ","$2,654.00 ","$1,672.02 ","$1,672.02 ","$1,672.02 ",$221.18 ,"$1,273.92 ","$2,388.60 " ST. JOHN'S HOSPITAL,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,"$1,694.00 ","$1,101.10 ",$140.57 ,"$1,694.00 ",$552.95 ,$779.24 ,$918.15 ,$221.18 ,$474.32 ,$584.43 ,$221.18 ,$650.50 ,$221.18 ,$647.11 ,$140.57 ,$221.18 ,$647.11 ,$420.25 ,$891.04 ,$863.94 ,$552.96 ,$221.18 ,"$1,185.80 ",$221.18 ,$847.00 ,$225.61 ,"$1,270.50 ",$855.47 ,$770.77 ,$855.47 ,$221.18 ,$855.47 ,"$1,067.22 ","$1,067.22 ","$1,202.74 ","$1,694.00 ","$1,439.90 ",$552.96 ,"$1,355.20 ",$626.78 ,"$1,355.20 ",$221.18 ,$221.18 ,"$1,694.00 ",$918.15 ,$221.18 ,$445.52 , N/A , N/A ,$508.61 ,$485.49 ,$232.24 ,"$1,439.90 ",$497.66 ,"$1,114.65 ",$474.32 ,"$1,524.60 ","$1,219.68 ","$1,694.00 ","$1,067.22 ","$1,067.22 ","$1,067.22 ",$221.18 ,$813.12 ,"$1,524.60 " ST. JOHN'S HOSPITAL,48300003,93312,HC ECHO TEE CMPL W/PF,483,1 ,"$3,955.00 ","$2,570.75 ",$264.71 ,"$3,955.00 ","$1,161.15 ","$1,819.30 ","$2,143.61 ",$464.46 ,"$1,107.40 ","$1,364.48 ",$464.46 ,"$1,518.72 ",$464.46 ,"$1,510.81 ",$264.71 ,$464.46 ,"$1,510.81 ",$882.48 ,"$2,080.33 ","$2,017.05 ","$1,161.16 ",$464.46 ,"$2,768.50 ",$464.46 ,"$1,977.50 ",$473.75 ,"$2,966.25 ","$1,997.28 ","$1,799.53 ","$1,997.28 ",$464.46 ,"$1,997.28 ","$2,491.65 ","$2,491.65 ","$2,808.05 ","$3,955.00 ","$3,361.75 ","$1,161.16 ","$3,164.00 ","$1,463.35 ","$3,164.00 ",$464.46 ,$464.46 ,"$3,955.00 ","$2,143.61 ",$464.46 ,"$1,040.17 ", N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$3,361.75 ","$1,045.04 ","$2,602.39 ","$1,107.40 ","$3,559.50 ","$2,847.60 ","$3,955.00 ","$2,491.65 ","$2,491.65 ","$2,491.65 ",$464.46 ,"$1,898.40 ","$3,559.50 " ST. JOHN'S HOSPITAL,48300005,93320,HC ECHO DOPPLER,483,1 ,"$1,122.00 ",$729.30 ,$67.78 ,"$1,122.00 ", N/A ,$516.12 ,$608.12 , N/A ,$314.16 ,$387.09 , N/A ,$430.85 , N/A ,$428.60 ,$67.78 , N/A ,$428.60 , N/A ,$590.17 ,$572.22 , N/A , N/A ,$785.40 , N/A ,$561.00 , N/A ,$841.50 ,$566.61 ,$510.51 ,$566.61 , N/A ,$566.61 ,$706.86 ,$706.86 ,$796.62 ,"$1,122.00 ",$953.70 , N/A ,$897.60 ,$415.14 ,$897.60 , N/A , N/A ,"$1,122.00 ",$608.12 , N/A ,$295.09 , N/A , N/A ,$508.61 ,$485.49 , N/A ,$953.70 , N/A ,$738.28 ,$314.16 ,"$1,009.80 ",$807.84 ,"$1,122.00 ",$706.86 ,$706.86 ,$706.86 , N/A ,$538.56 ,"$1,009.80 " ST. JOHN'S HOSPITAL,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$972.00 ,$631.80 ,$42.45 ,$972.00 , N/A ,$447.12 ,$526.82 , N/A ,$272.16 ,$255.32 , N/A ,$275.10 , N/A ,$371.30 ,$42.45 , N/A ,$371.30 , N/A ,$511.27 ,$495.72 , N/A , N/A ,$680.40 , N/A ,$486.00 , N/A ,$729.00 ,$490.86 ,$442.26 ,$490.86 , N/A ,$490.86 ,$612.36 ,$612.36 ,$690.12 ,$972.00 ,$826.20 , N/A ,$777.60 ,$359.64 ,$777.60 , N/A , N/A ,$972.00 ,$526.82 , N/A ,$255.64 , N/A , N/A ,$508.61 ,$485.49 , N/A ,$826.20 , N/A ,$639.58 ,$272.16 ,$874.80 ,$699.84 ,$972.00 ,$612.36 ,$612.36 ,$612.36 , N/A ,$466.56 ,$874.80 ST. JOHN'S HOSPITAL,48300007,93350,HC ECHO REST AND STRESS W/PF,483,1 ,"$2,508.00 ","$1,630.20 ",$225.47 ,"$2,508.00 ","$1,161.15 ","$1,153.68 ","$1,359.34 ",$464.46 ,$702.24 ,$865.26 ,$464.46 ,$963.07 ,$464.46 ,$958.06 ,$225.47 ,$464.46 ,$958.06 ,$882.48 ,"$1,319.21 ","$1,279.08 ","$1,161.16 ",$464.46 ,"$1,755.60 ",$464.46 ,"$1,254.00 ",$473.75 ,"$1,881.00 ","$1,266.54 ","$1,141.14 ","$1,266.54 ",$464.46 ,"$1,266.54 ","$1,580.04 ","$1,580.04 ","$1,780.68 ","$2,508.00 ","$2,131.80 ","$1,161.16 ","$2,006.40 ",$927.96 ,"$2,006.40 ",$464.46 ,$464.46 ,"$2,508.00 ","$1,359.34 ",$464.46 ,$659.60 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$2,131.80 ","$1,045.04 ","$1,650.26 ",$702.24 ,"$2,257.20 ","$1,805.76 ","$2,508.00 ","$1,580.04 ","$1,580.04 ","$1,580.04 ",$464.46 ,"$1,203.84 ","$2,257.20 " ST. JOHN'S HOSPITAL,48300008,93303,HC ECHO PEDS CONGENITAL,483,1 ,"$2,252.00 ","$1,463.80 ",$331.80 ,"$2,252.00 ","$1,161.15 ","$1,035.92 ","$1,220.58 ",$464.46 ,$630.56 ,$776.94 ,$464.46 ,$864.77 ,$464.46 ,$860.26 ,$331.80 ,$464.46 ,$860.26 ,$882.48 ,"$1,184.55 ","$1,148.52 ","$1,161.16 ",$464.46 ,"$1,576.40 ",$464.46 ,"$1,126.00 ",$473.75 ,"$1,689.00 ","$1,137.26 ","$1,024.66 ","$1,137.26 ",$464.46 ,"$1,137.26 ","$1,418.76 ","$1,418.76 ","$1,598.92 ","$2,252.00 ","$1,914.20 ","$1,161.16 ","$1,801.60 ",$833.24 ,"$1,801.60 ",$464.46 ,$464.46 ,"$2,252.00 ","$1,220.58 ",$464.46 ,$592.28 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$1,914.20 ","$1,045.04 ","$1,481.82 ",$630.56 ,"$2,026.80 ","$1,621.44 ","$2,252.00 ","$1,418.76 ","$1,418.76 ","$1,418.76 ",$464.46 ,"$1,080.96 ","$2,026.80 " ST. JOHN'S HOSPITAL,48300009,93304,HC ECHO PEDS CONGENITAL LMTD,483,1 ,"$1,695.00 ","$1,101.75 ",$239.16 ,"$1,695.00 ","$1,161.15 ",$779.70 ,$918.69 ,$464.46 ,$474.60 ,$584.78 ,$464.46 ,$650.88 ,$464.46 ,$647.49 ,$239.16 ,$464.46 ,$647.49 ,$882.48 ,$891.57 ,$864.45 ,"$1,161.16 ",$464.46 ,"$1,186.50 ",$464.46 ,$847.50 ,$473.75 ,"$1,271.25 ",$855.98 ,$771.23 ,$855.98 ,$464.46 ,$855.98 ,"$1,067.85 ","$1,067.85 ","$1,203.45 ","$1,695.00 ","$1,440.75 ","$1,161.16 ","$1,356.00 ",$627.15 ,"$1,356.00 ",$464.46 ,$464.46 ,"$1,695.00 ",$918.69 ,$464.46 ,$445.79 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$1,440.75 ","$1,045.04 ","$1,115.31 ",$474.60 ,"$1,525.50 ","$1,220.40 ","$1,695.00 ","$1,067.85 ","$1,067.85 ","$1,067.85 ",$464.46 ,$813.60 ,"$1,525.50 " ST. JOHN'S HOSPITAL,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,"$1,016.00 ",$660.40 ,$37.66 ,"$1,016.00 ", N/A ,$467.36 ,$550.67 , N/A ,$284.48 ,$227.40 , N/A ,$245.02 , N/A ,$388.11 ,$37.66 , N/A ,$388.11 , N/A ,$534.42 ,$518.16 , N/A , N/A ,$711.20 , N/A ,$508.00 , N/A ,$762.00 ,$513.08 ,$462.28 ,$513.08 , N/A ,$513.08 ,$640.08 ,$640.08 ,$721.36 ,"$1,016.00 ",$863.60 , N/A ,$812.80 ,$375.92 ,$812.80 , N/A , N/A ,"$1,016.00 ",$550.67 , N/A ,$267.21 , N/A , N/A ,$508.61 ,$485.49 , N/A ,$863.60 , N/A ,$668.53 ,$284.48 ,$914.40 ,$731.52 ,"$1,016.00 ",$640.08 ,$640.08 ,$640.08 , N/A ,$487.68 ,$914.40 ST. JOHN'S HOSPITAL,48300016,C8924,HC ECHO TTE W/W/O CONT AND W/CONT LIMIT,483,1 ,"$1,695.00 ","$1,101.75 ",$353.98 ,"$1,695.00 ",$884.95 ,$779.70 ,$918.69 ,$353.98 ,$474.60 ,$542.40 ,$353.98 ,$623.76 ,$353.98 ,$647.49 ,$678.00 ,$353.98 ,$647.49 ,$672.55 ,$891.57 ,$864.45 ,$884.94 ,$353.98 ,"$1,186.50 ",$353.98 ,$847.50 ,$361.06 ,"$1,271.25 ",$855.98 ,$771.23 ,$855.98 ,$353.98 ,$855.98 ,"$1,067.85 ","$1,067.85 ","$1,203.45 ","$1,695.00 ","$1,440.75 ",$884.94 ,"$1,356.00 ",$627.15 ,"$1,356.00 ",$353.98 ,$353.98 ,"$1,695.00 ",$918.69 ,$353.98 ,$445.79 , N/A , N/A ,$508.61 ,$485.49 ,$371.68 ,"$1,440.75 ",$796.45 ,"$1,115.31 ",$474.60 ,"$1,525.50 ","$1,220.40 ","$1,695.00 ","$1,067.85 ","$1,067.85 ","$1,067.85 ",$353.98 ,$813.60 ,"$1,525.50 " ST. JOHN'S HOSPITAL,48300017,C8925,HC ECHO TEE 2D W/W/O CONT AND W/CONT W/PF,483,1 ,"$4,699.00 ","$3,054.35 ",$485.49 ,"$4,699.00 ","$1,719.28 ","$2,161.54 ","$2,546.86 ",$687.71 ,"$1,315.72 ","$1,503.68 ",$687.71 ,"$1,729.23 ",$687.71 ,"$1,795.02 ","$1,879.60 ",$687.71 ,"$1,795.02 ","$1,306.64 ","$2,471.67 ","$2,396.49 ","$1,719.27 ",$687.71 ,"$3,289.30 ",$687.71 ,"$2,349.50 ",$701.46 ,"$3,524.25 ","$2,373.00 ","$2,138.05 ","$2,373.00 ",$687.71 ,"$2,373.00 ","$2,960.37 ","$2,960.37 ","$3,336.29 ","$4,699.00 ","$3,994.15 ","$1,719.27 ","$3,759.20 ","$1,738.63 ","$3,759.20 ",$687.71 ,$687.71 ,"$4,699.00 ","$2,546.86 ",$687.71 ,"$1,235.84 ", N/A , N/A ,$508.61 ,$485.49 ,$722.10 ,"$3,994.15 ","$1,547.34 ","$3,091.94 ","$1,315.72 ","$4,229.10 ","$3,383.28 ","$4,699.00 ","$2,960.37 ","$2,960.37 ","$2,960.37 ",$687.71 ,"$2,255.52 ","$4,229.10 " ST. JOHN'S HOSPITAL,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT AND W/CONT W/PF,483,1 ,"$2,476.00 ","$1,609.40 ",$485.49 ,"$2,476.00 ","$1,719.28 ","$1,138.96 ","$1,341.99 ",$687.71 ,$693.28 ,$792.32 ,$687.71 ,$911.17 ,$687.71 ,$945.83 ,$990.40 ,$687.71 ,$945.83 ,"$1,306.64 ","$1,302.38 ","$1,262.76 ","$1,719.27 ",$687.71 ,"$1,733.20 ",$687.71 ,"$1,238.00 ",$701.46 ,"$1,857.00 ","$1,250.38 ","$1,126.58 ","$1,250.38 ",$687.71 ,"$1,250.38 ","$1,559.88 ","$1,559.88 ","$1,757.96 ","$2,476.00 ","$2,104.60 ","$1,719.27 ","$1,980.80 ",$916.12 ,"$1,980.80 ",$687.71 ,$687.71 ,"$2,476.00 ","$1,341.99 ",$687.71 ,$651.19 , N/A , N/A ,$508.61 ,$485.49 ,$722.10 ,"$2,104.60 ","$1,547.34 ","$1,629.21 ",$693.28 ,"$2,228.40 ","$1,782.72 ","$2,476.00 ","$1,559.88 ","$1,559.88 ","$1,559.88 ",$687.71 ,"$1,188.48 ","$2,228.40 " ST. JOHN'S HOSPITAL,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT AND W/CONT,483,1 ,"$4,344.00 ","$2,823.60 ",$485.49 ,"$4,344.00 ","$1,719.28 ","$1,998.24 ","$2,354.45 ",$687.71 ,"$1,216.32 ","$1,390.08 ",$687.71 ,"$1,598.59 ",$687.71 ,"$1,659.41 ","$1,737.60 ",$687.71 ,"$1,659.41 ","$1,306.64 ","$2,284.94 ","$2,215.44 ","$1,719.27 ",$687.71 ,"$3,040.80 ",$687.71 ,"$2,172.00 ",$701.46 ,"$3,258.00 ","$2,193.72 ","$1,976.52 ","$2,193.72 ",$687.71 ,"$2,193.72 ","$2,736.72 ","$2,736.72 ","$3,084.24 ","$4,344.00 ","$3,692.40 ","$1,719.27 ","$3,475.20 ","$1,607.28 ","$3,475.20 ",$687.71 ,$687.71 ,"$4,344.00 ","$2,354.45 ",$687.71 ,"$1,142.47 ", N/A , N/A ,$508.61 ,$485.49 ,$722.10 ,"$3,692.40 ","$1,547.34 ","$2,858.35 ","$1,216.32 ","$3,909.60 ","$3,127.68 ","$4,344.00 ","$2,736.72 ","$2,736.72 ","$2,736.72 ",$687.71 ,"$2,085.12 ","$3,909.60 " ST. JOHN'S HOSPITAL,48300022,93315,HC ECHO TRANSESOPHAGEAL CONGENITAL W/O CONTR,483,1 ,"$4,933.00 ","$3,206.45 ",$254.46 ,"$4,933.00 ","$1,161.15 ","$2,269.18 ","$2,673.69 ",$464.46 ,"$1,381.24 ","$1,525.99 ",$464.46 ,"$1,644.25 ",$464.46 ,"$1,884.41 ",$254.46 ,$464.46 ,"$1,884.41 ",$882.48 ,"$2,594.76 ","$2,515.83 ","$1,161.16 ",$464.46 ,"$3,453.10 ",$464.46 ,"$2,466.50 ",$473.75 ,"$3,699.75 ","$2,491.17 ","$2,244.52 ","$2,491.17 ",$464.46 ,"$2,491.17 ","$3,107.79 ","$3,107.79 ","$3,502.43 ","$4,933.00 ","$4,193.05 ","$1,161.16 ","$3,946.40 ","$1,825.21 ","$3,946.40 ",$464.46 ,$464.46 ,"$4,933.00 ","$2,673.69 ",$464.46 ,"$1,297.38 ", N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$4,193.05 ","$1,045.04 ","$3,245.91 ","$1,381.24 ","$4,439.70 ","$3,551.76 ","$4,933.00 ","$3,107.79 ","$3,107.79 ","$3,107.79 ",$464.46 ,"$2,367.84 ","$4,439.70 " ST. JOHN'S HOSPITAL,48300023,93312,HC ECHO TEE CMPL W/PF DISC PRE ANES-73,483,1 ,$988.00 ,$642.20 ,$232.23 ,$988.00 ,$580.58 ,$454.48 ,$535.50 ,$232.23 ,$276.64 ,$340.86 ,$232.23 ,$379.39 ,$232.23 ,$377.42 ,$264.71 ,$232.23 ,$377.42 ,$441.24 ,$519.69 ,$503.88 ,$580.58 ,$232.23 ,$691.60 ,$232.23 ,$494.00 ,$236.88 ,$741.00 ,$498.94 ,$449.54 ,$498.94 ,$232.23 ,$498.94 ,$622.44 ,$622.44 ,$701.48 ,$988.00 ,$839.80 ,$580.58 ,$790.40 ,$365.56 ,$790.40 ,$232.23 ,$232.23 ,$988.00 ,$535.50 ,$232.23 ,$259.84 , N/A , N/A ,$254.30 ,$242.74 ,$243.84 ,$839.80 ,$522.52 ,$650.10 ,$276.64 ,$889.20 ,$711.36 ,$988.00 ,$622.44 ,$622.44 ,$622.44 ,$232.23 ,$474.24 ,$889.20 ST. JOHN'S HOSPITAL,48300024,93312,HC ECHO TEE CMPL W/PF DISC POST ANESTH-74,483,1 ,"$2,966.00 ","$1,927.90 ",$264.71 ,"$2,966.00 ","$1,161.15 ","$1,364.36 ","$1,607.57 ",$464.46 ,$830.48 ,"$1,023.27 ",$464.46 ,"$1,138.94 ",$464.46 ,"$1,133.01 ",$264.71 ,$464.46 ,"$1,133.01 ",$882.48 ,"$1,560.12 ","$1,512.66 ","$1,161.16 ",$464.46 ,"$2,076.20 ",$464.46 ,"$1,483.00 ",$473.75 ,"$2,224.50 ","$1,497.83 ","$1,349.53 ","$1,497.83 ",$464.46 ,"$1,497.83 ","$1,868.58 ","$1,868.58 ","$2,105.86 ","$2,966.00 ","$2,521.10 ","$1,161.16 ","$2,372.80 ","$1,097.42 ","$2,372.80 ",$464.46 ,$464.46 ,"$2,966.00 ","$1,607.57 ",$464.46 ,$780.06 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$2,521.10 ","$1,045.04 ","$1,951.63 ",$830.48 ,"$2,669.40 ","$2,135.52 ","$2,966.00 ","$1,868.58 ","$1,868.58 ","$1,868.58 ",$464.46 ,"$1,423.68 ","$2,669.40 " ST. JOHN'S HOSPITAL,48300025,93318,HC ECHO TEE MONITORING,483,1 ,"$4,933.00 ","$3,206.45 ",$207.26 ,"$4,933.00 ","$1,161.15 ","$2,269.18 ","$2,673.69 ",$464.46 ,"$1,381.24 ","$1,244.44 ",$464.46 ,"$1,340.88 ",$464.46 ,"$1,884.41 ",$207.26 ,$464.46 ,"$1,884.41 ",$882.48 ,"$2,594.76 ","$2,515.83 ","$1,161.16 ",$464.46 ,"$3,453.10 ",$464.46 ,"$2,466.50 ",$473.75 ,"$3,699.75 ","$2,491.17 ","$2,244.52 ","$2,491.17 ",$464.46 ,"$2,491.17 ","$3,107.79 ","$3,107.79 ","$3,502.43 ","$4,933.00 ","$4,193.05 ","$1,161.16 ","$3,946.40 ","$1,825.21 ","$3,946.40 ",$464.46 ,$464.46 ,"$4,933.00 ","$2,673.69 ",$464.46 ,"$1,297.38 ", N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,"$4,193.05 ","$1,045.04 ","$3,245.91 ","$1,381.24 ","$4,439.70 ","$3,551.76 ","$4,933.00 ","$3,107.79 ","$3,107.79 ","$3,107.79 ",$464.46 ,"$2,367.84 ","$4,439.70 " ST. JOHN'S HOSPITAL,48300027,93356,HC MYOCARDIAL STRAIN IMAGING ADD ON,483,1 ,$921.00 ,$598.65 ,$24.89 ,$921.00 , N/A ,$423.66 ,$499.18 , N/A ,$257.88 ,$294.72 , N/A ,$338.93 , N/A ,$351.82 ,$24.89 , N/A ,$351.82 , N/A ,$484.45 ,$469.71 , N/A , N/A ,$644.70 , N/A ,$460.50 , N/A ,$690.75 ,$465.11 ,$419.06 ,$465.11 , N/A ,$465.11 ,$580.23 ,$580.23 ,$653.91 ,$921.00 ,$782.85 , N/A ,$736.80 ,$340.77 ,$736.80 , N/A , N/A ,$921.00 ,$499.18 , N/A ,$242.22 , N/A , N/A ,$508.61 ,$485.49 , N/A ,$782.85 , N/A ,$606.02 ,$257.88 ,$828.90 ,$663.12 ,$921.00 ,$580.23 ,$580.23 ,$580.23 , N/A ,$442.08 ,$828.90 ST. JOHN'S HOSPITAL,48900001,N/A,HC TELEHEALTH CARDIOLOGY FAC FEE 3 MONTHS,489,1 ,$45.00 ,$29.25 ,$11.84 ,$45.00 , N/A ,$20.70 ,$24.39 , N/A ,$12.60 ,$14.40 , N/A ,$16.56 , N/A ,$17.19 ,$18.00 , N/A ,$17.19 , N/A ,$23.67 ,$22.95 , N/A , N/A ,$31.50 , N/A ,$22.50 , N/A ,$33.75 ,$22.73 ,$20.48 ,$22.73 , N/A ,$22.73 ,$28.35 ,$28.35 ,$31.95 ,$45.00 ,$38.25 , N/A ,$36.00 ,$16.65 ,$36.00 , N/A , N/A ,$45.00 ,$24.39 , N/A ,$11.84 , N/A , N/A , N/A , N/A , N/A ,$38.25 , N/A ,$29.61 ,$12.60 ,$40.50 ,$32.40 ,$45.00 ,$28.35 ,$28.35 ,$28.35 , N/A ,$21.60 ,$40.50 ST. JOHN'S HOSPITAL,48900002,Q3014,HC TELEHEALTH CARDIOLOGY FAC FEE 1 MONTH,489,1 ,$15.00 ,$9.75 ,$3.95 ,$68.98 ,$68.98 ,$6.90 ,$8.13 ,$27.59 ,$4.20 ,$4.80 ,$27.59 ,$5.52 ,$15.00 ,$5.73 ,$6.00 ,$15.00 ,$5.73 ,$15.00 ,$7.89 ,$7.65 ,$68.98 ,$27.59 ,$10.50 ,$27.59 ,$7.50 ,$15.00 ,$11.25 ,$7.58 ,$6.83 ,$7.58 ,$27.59 ,$7.58 ,$9.45 ,$9.45 ,$10.65 ,$15.00 ,$12.75 ,$15.00 ,$12.00 ,$5.55 ,$12.00 ,$27.59 ,$27.59 ,$15.00 ,$8.13 ,$27.59 ,$3.95 , N/A , N/A ,$15.00 ,$14.62 ,$28.97 ,$12.75 ,$62.08 ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$9.45 ,$9.45 ,$9.45 ,$27.59 ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,48900003,Q3014,HC TELEHEALTH CARDIOLOGY FAC FEE HALF MONTH,489,1 ,$8.00 ,$5.20 ,$2.10 ,$68.98 ,$68.98 ,$3.68 ,$4.34 ,$27.59 ,$2.24 ,$2.56 ,$27.59 ,$2.94 ,$8.00 ,$3.06 ,$3.20 ,$8.00 ,$3.06 ,$8.00 ,$4.21 ,$4.08 ,$68.98 ,$27.59 ,$5.60 ,$27.59 ,$4.00 ,$8.00 ,$6.00 ,$4.04 ,$3.64 ,$4.04 ,$27.59 ,$4.04 ,$5.04 ,$5.04 ,$5.68 ,$8.00 ,$6.80 ,$8.00 ,$6.40 ,$2.96 ,$6.40 ,$27.59 ,$27.59 ,$8.00 ,$4.34 ,$27.59 ,$2.10 , N/A , N/A ,$8.00 ,$14.62 ,$28.97 ,$6.80 ,$62.08 ,$5.26 ,$2.24 ,$7.20 ,$5.76 ,$8.00 ,$5.04 ,$5.04 ,$5.04 ,$27.59 ,$3.84 ,$7.20 ST. JOHN'S HOSPITAL,51000003,10180,HC I AND D WOUND POST OP COMPLEX,510,1 ,"$6,691.00 ","$4,349.15 ",$250.00 ,"$6,691.00 ","$5,697.90 ","$3,077.86 ","$3,626.52 ","$2,279.16 ","$1,873.48 ","$2,141.12 ","$2,279.16 ","$2,462.29 ","$2,279.16 ","$2,555.96 ",$303.40 ,"$2,279.16 ","$2,555.96 ","$4,330.41 ","$3,519.47 ","$3,412.41 ","$5,697.91 ","$2,279.16 ","$4,683.70 ","$2,279.16 ","$3,345.50 ","$2,324.75 ","$5,018.25 ","$3,378.96 ","$3,044.41 ","$3,378.96 ","$2,279.16 ","$3,378.96 ","$4,215.33 ","$4,215.33 ","$4,750.61 ","$6,691.00 ","$5,687.35 ","$5,697.91 ","$5,352.80 ","$2,475.67 ","$5,352.80 ","$2,279.16 ","$2,279.16 ","$6,691.00 ","$3,626.52 ","$2,279.16 ","$1,759.73 ", N/A , N/A ,"$1,098.72 ","$1,048.78 ","$2,393.12 ","$5,687.35 ","$5,128.12 ","$4,402.68 ","$1,873.48 ","$6,021.90 ","$4,817.52 ","$6,691.00 ","$4,215.33 ",$250.00 ,$250.00 ,"$2,279.16 ","$3,211.68 ","$6,021.90 " ST. JOHN'S HOSPITAL,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,145.00 ",$744.25 ,$104.90 ,"$1,145.00 ",$830.60 ,$526.70 ,$620.59 ,$332.24 ,$320.60 ,$366.40 ,$332.24 ,$421.36 ,$332.24 ,$437.39 ,$104.90 ,$332.24 ,$437.39 ,$631.26 ,$602.27 ,$583.95 ,$830.61 ,$332.24 ,$801.50 ,$332.24 ,$572.50 ,$338.89 ,$858.75 ,$578.23 ,$520.98 ,$578.23 ,$332.24 ,$578.23 ,$721.35 ,$721.35 ,$812.95 ,"$1,145.00 ",$973.25 ,$830.61 ,$916.00 ,$423.65 ,$916.00 ,$332.24 ,$332.24 ,"$1,145.00 ",$620.59 ,$332.24 ,$301.14 , N/A , N/A ,$321.44 ,$306.83 ,$348.85 ,$973.25 ,$747.55 ,$753.41 ,$320.60 ,"$1,030.50 ",$824.40 ,"$1,145.00 ",$721.35 ,$250.00 ,$250.00 ,$332.24 ,$549.60 ,"$1,030.50 " ST. JOHN'S HOSPITAL,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,"$1,860.00 ","$1,209.00 ",$250.00 ,"$1,860.00 ","$1,258.60 ",$855.60 ,"$1,008.12 ",$503.44 ,$520.80 ,$595.20 ,$503.44 ,$684.48 ,$503.44 ,$710.52 ,$267.47 ,$503.44 ,$710.52 ,$956.53 ,$978.36 ,$948.60 ,"$1,258.60 ",$503.44 ,"$1,302.00 ",$503.44 ,$930.00 ,$513.51 ,"$1,395.00 ",$939.30 ,$846.30 ,$939.30 ,$503.44 ,$939.30 ,"$1,171.80 ","$1,171.80 ","$1,320.60 ","$1,860.00 ","$1,581.00 ","$1,258.60 ","$1,488.00 ",$688.20 ,"$1,488.00 ",$503.44 ,$503.44 ,"$1,860.00 ","$1,008.12 ",$503.44 ,$489.18 , N/A , N/A ,$874.50 ,$834.75 ,$528.61 ,"$1,581.00 ","$1,132.74 ","$1,223.88 ",$520.80 ,"$1,674.00 ","$1,339.20 ","$1,860.00 ","$1,171.80 ",$250.00 ,$250.00 ,$503.44 ,$892.80 ,"$1,674.00 " ST. JOHN'S HOSPITAL,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$3,608.00 ","$2,345.20 ",$250.00 ,"$3,608.00 ","$3,381.25 ","$1,659.68 ","$1,955.54 ","$1,352.50 ","$1,010.24 ","$1,154.56 ","$1,352.50 ","$1,327.74 ","$1,352.50 ","$1,378.26 ",$396.95 ,"$1,352.50 ","$1,378.26 ","$2,569.74 ","$1,897.81 ","$1,840.08 ","$3,381.24 ","$1,352.50 ","$2,525.60 ","$1,352.50 ","$1,804.00 ","$1,379.54 ","$2,706.00 ","$1,822.04 ","$1,641.64 ","$1,822.04 ","$1,352.50 ","$1,822.04 ","$2,273.04 ","$2,273.04 ","$2,561.68 ","$3,608.00 ","$3,066.80 ","$3,381.24 ","$2,886.40 ","$1,334.96 ","$2,886.40 ","$1,352.50 ","$1,352.50 ","$3,608.00 ","$1,955.54 ","$1,352.50 ",$948.90 , N/A , N/A ,"$1,255.25 ","$1,198.20 ","$1,420.13 ","$3,066.80 ","$3,043.11 ","$2,374.06 ","$1,010.24 ","$3,247.20 ","$2,597.76 ","$3,608.00 ","$2,273.04 ",$250.00 ,$250.00 ,"$1,352.50 ","$1,731.84 ","$3,247.20 " ST. JOHN'S HOSPITAL,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,"$1,229.00 ",$798.85 ,$46.10 ,"$1,229.00 ", N/A ,$565.34 ,$666.12 , N/A ,$344.12 ,$393.28 , N/A ,$452.27 , N/A ,$469.48 ,$46.10 , N/A ,$469.48 , N/A ,$646.45 ,$626.79 , N/A , N/A ,$860.30 , N/A ,$614.50 , N/A ,$921.75 ,$620.65 ,$559.20 ,$620.65 , N/A ,$620.65 ,$774.27 ,$774.27 ,$872.59 ,"$1,229.00 ","$1,044.65 ", N/A ,$983.20 ,$454.73 ,$983.20 , N/A , N/A ,"$1,229.00 ",$666.12 , N/A ,$323.23 , N/A , N/A ,$874.50 ,$834.75 , N/A ,"$1,044.65 ", N/A ,$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$774.27 ,$250.00 ,$250.00 , N/A ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,"$1,229.00 ",$798.85 ,$97.71 ,"$1,229.00 ", N/A ,$565.34 ,$666.12 , N/A ,$344.12 ,$393.28 , N/A ,$452.27 , N/A ,$469.48 ,$97.71 , N/A ,$469.48 , N/A ,$646.45 ,$626.79 , N/A , N/A ,$860.30 , N/A ,$614.50 , N/A ,$921.75 ,$620.65 ,$559.20 ,$620.65 , N/A ,$620.65 ,$774.27 ,$774.27 ,$872.59 ,"$1,229.00 ","$1,044.65 ", N/A ,$983.20 ,$454.73 ,$983.20 , N/A , N/A ,"$1,229.00 ",$666.12 , N/A ,$323.23 , N/A , N/A ,$874.50 ,$834.75 , N/A ,"$1,044.65 ", N/A ,$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$774.27 ,$250.00 ,$250.00 , N/A ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$3,606.00 ","$2,343.90 ",$173.22 ,"$3,606.00 ", N/A ,"$1,658.76 ","$1,954.45 ", N/A ,"$1,009.68 ","$1,153.92 ", N/A ,"$1,327.01 ", N/A ,"$1,377.49 ",$173.22 , N/A ,"$1,377.49 ", N/A ,"$1,896.76 ","$1,839.06 ", N/A , N/A ,"$2,524.20 ", N/A ,"$1,803.00 ", N/A ,"$2,704.50 ","$1,821.03 ","$1,640.73 ","$1,821.03 ", N/A ,"$1,821.03 ","$2,271.78 ","$2,271.78 ","$2,560.26 ","$3,606.00 ","$3,065.10 ", N/A ,"$2,884.80 ","$1,334.22 ","$2,884.80 ", N/A , N/A ,"$3,606.00 ","$1,954.45 ", N/A ,$948.38 , N/A , N/A ,"$1,255.25 ","$1,198.20 ", N/A ,"$3,065.10 ", N/A ,"$2,372.75 ","$1,009.68 ","$3,245.40 ","$2,596.32 ","$3,606.00 ","$2,271.78 ",$250.00 ,$250.00 , N/A ,"$1,730.88 ","$3,245.40 " ST. JOHN'S HOSPITAL,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$668.00 ,$434.20 ,$27.64 ,$668.00 ,$431.55 ,$307.28 ,$362.06 ,$172.62 ,$187.04 ,$213.76 ,$172.62 ,$245.82 ,$172.62 ,$255.18 ,$27.64 ,$172.62 ,$255.18 ,$327.97 ,$351.37 ,$340.68 ,$431.54 ,$172.62 ,$467.60 ,$172.62 ,$334.00 ,$176.07 ,$501.00 ,$337.34 ,$303.94 ,$337.34 ,$172.62 ,$337.34 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$431.54 ,$534.40 ,$247.16 ,$534.40 ,$172.62 ,$172.62 ,$668.00 ,$362.06 ,$172.62 ,$175.68 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$567.80 ,$388.39 ,$439.54 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$250.00 ,$250.00 ,$172.62 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$668.00 ,$434.20 ,$39.11 ,$668.00 ,$431.55 ,$307.28 ,$362.06 ,$172.62 ,$187.04 ,$213.76 ,$172.62 ,$245.82 ,$172.62 ,$255.18 ,$39.11 ,$172.62 ,$255.18 ,$327.97 ,$351.37 ,$340.68 ,$431.54 ,$172.62 ,$467.60 ,$172.62 ,$334.00 ,$176.07 ,$501.00 ,$337.34 ,$303.94 ,$337.34 ,$172.62 ,$337.34 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$431.54 ,$534.40 ,$247.16 ,$534.40 ,$172.62 ,$172.62 ,$668.00 ,$362.06 ,$172.62 ,$175.68 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$567.80 ,$388.39 ,$439.54 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$250.00 ,$250.00 ,$172.62 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,51000019,11000,HC DEBR SKIN 10% BODY SURFACE,510,1 ,"$1,360.00 ",$884.00 ,$49.41 ,"$1,360.00 ","$1,258.60 ",$625.60 ,$737.12 ,$503.44 ,$380.80 ,$435.20 ,$503.44 ,$500.48 ,$503.44 ,$519.52 ,$49.41 ,$503.44 ,$519.52 ,$956.53 ,$715.36 ,$693.60 ,"$1,258.60 ",$503.44 ,$952.00 ,$503.44 ,$680.00 ,$513.51 ,"$1,020.00 ",$686.80 ,$618.80 ,$686.80 ,$503.44 ,$686.80 ,$856.80 ,$856.80 ,$965.60 ,"$1,360.00 ","$1,156.00 ","$1,258.60 ","$1,088.00 ",$503.20 ,"$1,088.00 ",$503.44 ,$503.44 ,"$1,360.00 ",$737.12 ,$503.44 ,$357.68 , N/A , N/A ,$321.44 ,$306.83 ,$528.61 ,"$1,156.00 ","$1,132.74 ",$894.88 ,$380.80 ,"$1,224.00 ",$979.20 ,"$1,360.00 ",$856.80 ,$250.00 ,$250.00 ,$503.44 ,$652.80 ,"$1,224.00 " ST. JOHN'S HOSPITAL,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$324.00 ,$210.60 ,$13.24 ,$324.00 ,$133.78 ,$149.04 ,$175.61 ,$53.51 ,$90.72 ,$103.68 ,$53.51 ,$119.23 ,$53.51 ,$123.77 ,$13.24 ,$53.51 ,$123.77 ,$101.66 ,$170.42 ,$165.24 ,$133.77 ,$53.51 ,$226.80 ,$53.51 ,$162.00 ,$54.58 ,$243.00 ,$163.62 ,$147.42 ,$163.62 ,$53.51 ,$163.62 ,$204.12 ,$204.12 ,$230.04 ,$324.00 ,$275.40 ,$133.77 ,$259.20 ,$119.88 ,$259.20 ,$53.51 ,$53.51 ,$324.00 ,$175.61 ,$53.51 ,$85.21 , N/A , N/A ,$85.99 ,$82.08 ,$56.19 ,$275.40 ,$120.39 ,$213.19 ,$90.72 ,$291.60 ,$233.28 ,$324.00 ,$204.12 ,$250.00 ,$250.00 ,$53.51 ,$155.52 ,$291.60 ST. JOHN'S HOSPITAL,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$409.00 ,$265.85 ,$25.27 ,$409.00 ,$133.78 ,$188.14 ,$221.68 ,$53.51 ,$114.52 ,$130.88 ,$53.51 ,$150.51 ,$53.51 ,$156.24 ,$25.27 ,$53.51 ,$156.24 ,$101.66 ,$215.13 ,$208.59 ,$133.77 ,$53.51 ,$286.30 ,$53.51 ,$204.50 ,$54.58 ,$306.75 ,$206.55 ,$186.10 ,$206.55 ,$53.51 ,$206.55 ,$257.67 ,$257.67 ,$290.39 ,$409.00 ,$347.65 ,$133.77 ,$327.20 ,$151.33 ,$327.20 ,$53.51 ,$53.51 ,$409.00 ,$221.68 ,$53.51 ,$107.57 , N/A , N/A ,$85.99 ,$82.08 ,$56.19 ,$347.65 ,$120.39 ,$269.12 ,$114.52 ,$368.10 ,$294.48 ,$409.00 ,$257.67 ,$250.00 ,$250.00 ,$53.51 ,$196.32 ,$368.10 ST. JOHN'S HOSPITAL,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$420.00 ,$273.00 ,$42.82 ,$420.00 ,$133.78 ,$193.20 ,$227.64 ,$53.51 ,$117.60 ,$134.40 ,$53.51 ,$154.56 ,$53.51 ,$160.44 ,$42.82 ,$53.51 ,$160.44 ,$101.66 ,$220.92 ,$214.20 ,$133.77 ,$53.51 ,$294.00 ,$53.51 ,$210.00 ,$54.58 ,$315.00 ,$212.10 ,$191.10 ,$212.10 ,$53.51 ,$212.10 ,$264.60 ,$264.60 ,$298.20 ,$420.00 ,$357.00 ,$133.77 ,$336.00 ,$155.40 ,$336.00 ,$53.51 ,$53.51 ,$420.00 ,$227.64 ,$53.51 ,$110.46 , N/A , N/A ,$85.99 ,$82.08 ,$56.19 ,$357.00 ,$120.39 ,$276.36 ,$117.60 ,$378.00 ,$302.40 ,$420.00 ,$264.60 ,$250.00 ,$250.00 ,$53.51 ,$201.60 ,$378.00 ST. JOHN'S HOSPITAL,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,"$2,145.00 ","$1,394.25 ",$172.19 ,"$2,145.00 ",$830.60 ,$986.70 ,"$1,162.59 ",$332.24 ,$600.60 ,$686.40 ,$332.24 ,$789.36 ,$332.24 ,$819.39 ,$172.19 ,$332.24 ,$819.39 ,$631.26 ,"$1,128.27 ","$1,093.95 ",$830.61 ,$332.24 ,"$1,501.50 ",$332.24 ,"$1,072.50 ",$338.89 ,"$1,608.75 ","$1,083.23 ",$975.98 ,"$1,083.23 ",$332.24 ,"$1,083.23 ","$1,351.35 ","$1,351.35 ","$1,522.95 ","$2,145.00 ","$1,823.25 ",$830.61 ,"$1,716.00 ",$793.65 ,"$1,716.00 ",$332.24 ,$332.24 ,"$2,145.00 ","$1,162.59 ",$332.24 ,$564.14 , N/A , N/A ,$675.59 ,$644.88 ,$348.85 ,"$1,823.25 ",$747.55 ,"$1,411.41 ",$600.60 ,"$1,930.50 ","$1,544.40 ","$2,145.00 ","$1,351.35 ",$250.00 ,$250.00 ,$332.24 ,"$1,029.60 ","$1,930.50 " ST. JOHN'S HOSPITAL,51000027,15004,HC WND PREP REC ST F/N/H/F/G<100,510,1 ,"$2,048.00 ","$1,331.20 ",$250.00 ,"$2,048.00 ","$1,258.60 ",$942.08 ,"$1,110.02 ",$503.44 ,$573.44 ,$655.36 ,$503.44 ,$753.66 ,$503.44 ,$782.34 ,$460.29 ,$503.44 ,$782.34 ,$956.53 ,"$1,077.25 ","$1,044.48 ","$1,258.60 ",$503.44 ,"$1,433.60 ",$503.44 ,"$1,024.00 ",$513.51 ,"$1,536.00 ","$1,034.24 ",$931.84 ,"$1,034.24 ",$503.44 ,"$1,034.24 ","$1,290.24 ","$1,290.24 ","$1,454.08 ","$2,048.00 ","$1,740.80 ","$1,258.60 ","$1,638.40 ",$757.76 ,"$1,638.40 ",$503.44 ,$503.44 ,"$2,048.00 ","$1,110.02 ",$503.44 ,$538.62 , N/A , N/A ,"$1,351.17 ","$1,289.76 ",$528.61 ,"$1,740.80 ","$1,132.74 ","$1,347.58 ",$573.44 ,"$1,843.20 ","$1,474.56 ","$2,048.00 ","$1,290.24 ",$250.00 ,$250.00 ,$503.44 ,$983.04 ,"$1,843.20 " ST. JOHN'S HOSPITAL,51000029,15120,HC AUTOGRPH F F DG 100SQCM< FAC,510,1 ,"$6,089.00 ","$3,957.85 ",$250.00 ,"$8,461.91 ","$8,461.90 ","$2,800.94 ","$3,300.24 ","$3,384.76 ","$1,704.92 ","$1,948.48 ","$3,384.76 ","$2,240.75 ","$3,384.76 ","$2,326.00 ","$1,192.01 ","$3,384.76 ","$2,326.00 ","$6,089.00 ","$3,202.81 ","$3,105.39 ","$8,461.91 ","$3,384.76 ","$4,262.30 ","$3,384.76 ","$3,044.50 ","$3,452.46 ","$4,566.75 ","$3,074.95 ","$2,770.50 ","$3,074.95 ","$3,384.76 ","$3,074.95 ","$3,836.07 ","$3,836.07 ","$4,323.19 ","$6,089.00 ","$5,175.65 ","$6,089.00 ","$4,871.20 ","$2,252.93 ","$4,871.20 ","$3,384.76 ","$3,384.76 ","$6,089.00 ","$3,300.24 ","$3,384.76 ","$1,601.41 ", N/A , N/A ,"$1,837.45 ","$1,753.93 ","$3,554.00 ","$5,175.65 ","$7,615.72 ","$4,006.56 ","$1,704.92 ","$5,480.10 ","$4,384.08 ","$6,089.00 ","$3,836.07 ",$250.00 ,$250.00 ,"$3,384.76 ","$2,922.72 ","$5,480.10 " ST. JOHN'S HOSPITAL,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,"$3,150.00 ","$2,047.50 ",$63.63 ,"$3,150.00 ",$766.23 ,"$1,449.00 ","$1,707.30 ",$306.49 ,$882.00 ,"$1,008.00 ",$306.49 ,"$1,159.20 ",$306.49 ,"$1,203.30 ",$63.63 ,$306.49 ,"$1,203.30 ",$582.34 ,"$1,656.90 ","$1,606.50 ",$766.23 ,$306.49 ,"$2,205.00 ",$306.49 ,"$1,575.00 ",$312.62 ,"$2,362.50 ","$1,590.75 ","$1,433.25 ","$1,590.75 ",$306.49 ,"$1,590.75 ","$1,984.50 ","$1,984.50 ","$2,236.50 ","$3,150.00 ","$2,677.50 ",$766.23 ,"$2,520.00 ","$1,165.50 ","$2,520.00 ",$306.49 ,$306.49 ,"$3,150.00 ","$1,707.30 ",$306.49 ,$828.45 , N/A , N/A ,$125.19 ,$119.50 ,$321.81 ,"$2,677.50 ",$689.61 ,"$2,072.70 ",$882.00 ,"$2,835.00 ","$2,268.00 ","$3,150.00 ","$1,984.50 ",$250.00 ,$250.00 ,$306.49 ,"$1,512.00 ","$2,835.00 " ST. JOHN'S HOSPITAL,51000057,37785,HC LIGATION VARICOSE VEIN CLUSTERS,510,1 ,"$10,780.00 ","$7,007.00 ",$250.00 ,"$10,780.00 ","$6,879.30 ","$4,958.80 ","$5,842.76 ","$2,751.72 ","$3,018.40 ","$3,449.60 ","$2,751.72 ","$3,967.04 ","$2,751.72 ","$4,117.96 ",$649.43 ,"$2,751.72 ","$4,117.96 ","$5,228.27 ","$5,670.28 ","$5,497.80 ","$6,879.30 ","$2,751.72 ","$7,546.00 ","$2,751.72 ","$5,390.00 ","$2,806.76 ","$8,085.00 ","$5,443.90 ","$4,904.90 ","$5,443.90 ","$2,751.72 ","$5,443.90 ","$6,791.40 ","$6,791.40 ","$7,653.80 ","$10,780.00 ","$9,163.00 ","$6,879.30 ","$8,624.00 ","$3,988.60 ","$8,624.00 ","$2,751.72 ","$2,751.72 ","$10,780.00 ","$5,842.76 ","$2,751.72 ","$2,835.14 ", N/A , N/A ,"$2,159.67 ","$2,061.51 ","$2,889.31 ","$9,163.00 ","$6,191.37 ","$7,093.24 ","$3,018.40 ","$9,702.00 ","$7,761.60 ","$10,780.00 ","$6,791.40 ",$250.00 ,$250.00 ,"$2,751.72 ","$5,174.40 ","$9,702.00 " ST. JOHN'S HOSPITAL,51000062,95991,HC REFILLING PUMP OR RESERVOIR,360,1 ,$695.00 ,$451.75 ,$119.50 ,$695.00 ,$627.85 ,$695.00 ,$376.69 ,$251.14 ,$194.60 ,$222.40 ,$251.14 ,$255.76 ,$251.14 ,$265.49 ,$265.49 ,$251.14 ,$265.49 ,$477.17 ,$365.57 , N/A ,$627.85 ,$251.14 ,$486.50 ,$251.14 ,$347.50 ,$256.16 ,$521.25 ,$309.97 ,$278.70 ,$309.97 ,$251.14 ,$309.97 ,$437.85 ,$437.85 ,$493.45 ,$695.00 ,$590.75 ,$627.85 ,$556.00 ,$257.15 ,$556.00 ,$251.14 ,$251.14 ,$695.00 ,$376.69 ,$251.14 ,$182.79 , N/A , N/A ,$125.19 ,$119.50 ,$263.70 ,$590.75 ,$565.07 ,$265.49 ,$194.60 ,$625.50 ,$500.40 ,$695.00 ,$437.85 ,$437.85 ,$437.85 ,$251.14 ,$333.60 ,$625.50 ST. JOHN'S HOSPITAL,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$274.00 ,$178.10 ,$33.34 ,$274.00 ,$149.00 ,$126.04 ,$148.51 ,$59.60 ,$76.72 ,$94.53 ,$59.60 ,$105.22 ,$59.60 ,$104.67 ,$33.34 ,$59.60 ,$104.67 ,$113.23 ,$144.12 ,$139.74 ,$148.99 ,$59.60 ,$191.80 ,$59.60 ,$137.00 ,$60.79 ,$205.50 ,$138.37 ,$124.67 ,$138.37 ,$59.60 ,$138.37 ,$172.62 ,$172.62 ,$194.54 ,$274.00 ,$232.90 ,$148.99 ,$219.20 ,$101.38 ,$219.20 ,$59.60 ,$59.60 ,$274.00 ,$148.51 ,$59.60 ,$72.06 , N/A , N/A , N/A , N/A ,$62.58 ,$232.90 ,$134.09 ,$180.29 ,$76.72 ,$246.60 ,$197.28 ,$274.00 ,$172.62 ,$172.62 ,$172.62 ,$59.60 ,$131.52 ,$246.60 ST. JOHN'S HOSPITAL,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$288.00 ,$187.20 ,$54.78 ,$491.61 ,$491.60 ,$132.48 ,$156.10 ,$196.64 ,$80.64 ,$99.36 ,$196.64 ,$110.59 ,$196.64 ,$110.02 ,$54.78 ,$196.64 ,$110.02 ,$288.00 ,$151.49 ,$146.88 ,$491.61 ,$196.64 ,$201.60 ,$196.64 ,$144.00 ,$200.58 ,$216.00 ,$145.44 ,$131.04 ,$145.44 ,$196.64 ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 ,$288.00 ,$230.40 ,$106.56 ,$230.40 ,$196.64 ,$196.64 ,$288.00 ,$156.10 ,$196.64 ,$75.74 , N/A , N/A , N/A , N/A ,$206.47 ,$244.80 ,$442.45 ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 ,$196.64 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$288.00 ,$187.20 ,$23.53 ,$288.00 ,$96.18 ,$132.48 ,$156.10 ,$38.47 ,$80.64 ,$99.36 ,$38.47 ,$110.59 ,$38.47 ,$110.02 ,$23.53 ,$38.47 ,$110.02 ,$73.09 ,$151.49 ,$146.88 ,$96.17 ,$38.47 ,$201.60 ,$38.47 ,$144.00 ,$39.24 ,$216.00 ,$145.44 ,$131.04 ,$145.44 ,$38.47 ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 ,$96.17 ,$230.40 ,$106.56 ,$230.40 ,$38.47 ,$38.47 ,$288.00 ,$156.10 ,$38.47 ,$75.74 , N/A , N/A , N/A , N/A ,$40.39 ,$244.80 ,$86.55 ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 ,$38.47 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$288.00 ,$187.20 ,$14.70 ,$288.00 , N/A ,$132.48 ,$156.10 , N/A ,$80.64 ,$99.36 , N/A ,$110.59 , N/A ,$110.02 ,$14.70 , N/A ,$110.02 , N/A ,$151.49 ,$146.88 , N/A , N/A ,$201.60 , N/A ,$144.00 , N/A ,$216.00 ,$145.44 ,$131.04 ,$145.44 , N/A ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 , N/A ,$230.40 ,$106.56 ,$230.40 , N/A , N/A ,$288.00 ,$156.10 , N/A ,$75.74 , N/A , N/A , N/A , N/A , N/A ,$244.80 , N/A ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 , N/A ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$211.00 ,$137.15 ,$50.94 ,$211.00 ,$133.78 ,$97.06 ,$114.36 ,$53.51 ,$59.08 ,$72.80 ,$53.51 ,$81.02 ,$53.51 ,$80.60 ,$50.94 ,$53.51 ,$80.60 ,$101.66 ,$110.99 ,$107.61 ,$133.77 ,$53.51 ,$147.70 ,$53.51 ,$105.50 ,$54.58 ,$158.25 ,$106.56 ,$96.01 ,$106.56 ,$53.51 ,$106.56 ,$132.93 ,$132.93 ,$149.81 ,$211.00 ,$179.35 ,$133.77 ,$168.80 ,$78.07 ,$168.80 ,$53.51 ,$53.51 ,$211.00 ,$114.36 ,$53.51 ,$55.49 , N/A , N/A ,$125.19 ,$119.50 ,$56.19 ,$179.35 ,$120.39 ,$138.84 ,$59.08 ,$189.90 ,$151.92 ,$211.00 ,$132.93 ,$211.00 ,$211.00 ,$53.51 ,$101.28 ,$189.90 ST. JOHN'S HOSPITAL,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$686.00 ,$445.90 ,$29.13 ,$686.00 ,$431.55 ,$315.56 ,$371.81 ,$172.62 ,$192.08 ,$155.20 ,$172.62 ,$167.23 ,$172.62 ,$262.05 ,$29.13 ,$172.62 ,$262.05 ,$327.97 ,$360.84 ,$349.86 ,$431.54 ,$172.62 ,$480.20 ,$172.62 ,$343.00 ,$176.07 ,$514.50 ,$346.43 ,$312.13 ,$346.43 ,$172.62 ,$346.43 ,$432.18 ,$432.18 ,$487.06 ,$686.00 ,$583.10 ,$431.54 ,$548.80 ,$253.82 ,$548.80 ,$172.62 ,$172.62 ,$686.00 ,$371.81 ,$172.62 ,$180.42 , N/A , N/A ,$125.19 ,$119.50 ,$181.25 ,$583.10 ,$388.39 ,$451.39 ,$192.08 ,$617.40 ,$493.92 ,$686.00 ,$432.18 ,$250.00 ,$250.00 ,$172.62 ,$329.28 ,$617.40 ST. JOHN'S HOSPITAL,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$498.00 ,$323.70 ,$57.92 ,$498.00 , N/A ,$229.08 ,$269.92 , N/A ,$139.44 ,$171.81 , N/A ,$191.23 , N/A ,$190.24 ,$57.92 , N/A ,$190.24 , N/A ,$261.95 ,$253.98 , N/A , N/A ,$348.60 , N/A ,$249.00 , N/A ,$373.50 ,$251.49 ,$226.59 ,$251.49 , N/A ,$251.49 ,$313.74 ,$313.74 ,$353.58 ,$498.00 ,$423.30 , N/A ,$398.40 ,$184.26 ,$398.40 , N/A , N/A ,$78.75 ,$269.92 , N/A ,$130.97 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$423.30 , N/A ,$327.68 ,$139.44 ,$448.20 ,$358.56 ,$498.00 ,$313.74 ,$250.00 ,$250.00 , N/A ,$239.04 ,$448.20 ST. JOHN'S HOSPITAL,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$631.00 ,$410.15 ,$88.33 ,$631.00 , N/A ,$290.26 ,$342.00 , N/A ,$176.68 ,$217.70 , N/A ,$242.30 , N/A ,$241.04 ,$88.33 , N/A ,$241.04 , N/A ,$331.91 ,$321.81 , N/A , N/A ,$441.70 , N/A ,$315.50 , N/A ,$473.25 ,$318.66 ,$287.11 ,$318.66 , N/A ,$318.66 ,$397.53 ,$397.53 ,$448.01 ,$631.00 ,$536.35 , N/A ,$504.80 ,$233.47 ,$504.80 , N/A , N/A ,$121.24 ,$342.00 , N/A ,$165.95 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$536.35 , N/A ,$415.20 ,$176.68 ,$567.90 ,$454.32 ,$631.00 ,$397.53 ,$250.00 ,$250.00 , N/A ,$302.88 ,$567.90 ST. JOHN'S HOSPITAL,51000107,99211,HC DRESSING CHANGE/ENEMA MINOR,510,1 ,$617.00 ,$401.05 ,$11.48 ,$617.00 , N/A ,$283.82 ,$334.41 , N/A ,$172.76 ,$70.99 , N/A ,$76.49 , N/A ,$235.69 ,$11.48 , N/A ,$235.69 , N/A ,$324.54 ,$314.67 , N/A , N/A ,$431.90 , N/A ,$308.50 , N/A ,$462.75 ,$311.59 ,$280.74 ,$311.59 , N/A ,$311.59 ,$388.71 ,$388.71 ,$438.07 ,$617.00 ,$524.45 , N/A ,$493.60 ,$228.29 ,$493.60 , N/A , N/A ,$617.00 ,$334.41 , N/A ,$162.27 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$524.45 , N/A ,$405.99 ,$172.76 ,$555.30 ,$444.24 ,$617.00 ,$388.71 ,$250.00 ,$250.00 , N/A ,$296.16 ,$555.30 ST. JOHN'S HOSPITAL,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$843.00 ,$547.95 ,$140.68 ,$843.00 , N/A ,$387.78 ,$456.91 , N/A ,$236.04 ,$290.84 , N/A ,$323.71 , N/A ,$322.03 ,$152.13 , N/A ,$322.03 , N/A ,$443.42 ,$429.93 , N/A , N/A ,$590.10 , N/A ,$421.50 , N/A ,$632.25 ,$425.72 ,$383.57 ,$425.72 , N/A ,$425.72 ,$531.09 ,$531.09 ,$598.53 ,$843.00 ,$716.55 , N/A ,$674.40 ,$311.91 ,$674.40 , N/A , N/A ,$181.05 ,$456.91 , N/A ,$221.71 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$716.55 , N/A ,$554.69 ,$236.04 ,$758.70 ,$606.96 ,$843.00 ,$531.09 ,$250.00 ,$250.00 , N/A ,$404.64 ,$758.70 ST. JOHN'S HOSPITAL,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,"$1,186.00 ",$770.90 ,$140.68 ,"$1,186.00 ", N/A ,$545.56 ,$642.81 , N/A ,$332.08 ,$409.17 , N/A ,$455.42 , N/A ,$453.05 ,$198.23 , N/A ,$453.05 , N/A ,$623.84 ,$604.86 , N/A , N/A ,$830.20 , N/A ,$593.00 , N/A ,$889.50 ,$598.93 ,$539.63 ,$598.93 , N/A ,$598.93 ,$747.18 ,$747.18 ,$842.06 ,"$1,186.00 ","$1,008.10 ", N/A ,$948.80 ,$438.82 ,$948.80 , N/A , N/A ,$239.15 ,$642.81 , N/A ,$311.92 , N/A , N/A ,$147.38 ,$140.68 , N/A ,"$1,008.10 ", N/A ,$780.39 ,$332.08 ,"$1,067.40 ",$853.92 ,"$1,186.00 ",$747.18 ,$250.00 ,$250.00 , N/A ,$569.28 ,"$1,067.40 " ST. JOHN'S HOSPITAL,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$315.00 ,$204.75 ,$11.48 ,$315.00 , N/A ,$144.90 ,$170.73 , N/A ,$88.20 ,$70.99 , N/A ,$76.49 , N/A ,$120.33 ,$11.48 , N/A ,$120.33 , N/A ,$165.69 ,$160.65 , N/A , N/A ,$220.50 , N/A ,$157.50 , N/A ,$236.25 ,$159.08 ,$143.33 ,$159.08 , N/A ,$159.08 ,$198.45 ,$198.45 ,$223.65 ,$315.00 ,$267.75 , N/A ,$252.00 ,$116.55 ,$252.00 , N/A , N/A ,$315.00 ,$170.73 , N/A ,$82.85 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$267.75 , N/A ,$207.27 ,$88.20 ,$283.50 ,$226.80 ,$315.00 ,$198.45 ,$250.00 ,$250.00 , N/A ,$151.20 ,$283.50 ST. JOHN'S HOSPITAL,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$362.00 ,$235.30 ,$28.92 ,$362.00 , N/A ,$166.52 ,$196.20 , N/A ,$101.36 ,$124.89 , N/A ,$139.01 , N/A ,$138.28 ,$28.92 , N/A ,$138.28 , N/A ,$190.41 ,$184.62 , N/A , N/A ,$253.40 , N/A ,$181.00 , N/A ,$271.50 ,$182.81 ,$164.71 ,$182.81 , N/A ,$182.81 ,$228.06 ,$228.06 ,$257.02 ,$362.00 ,$307.70 , N/A ,$289.60 ,$133.94 ,$289.60 , N/A , N/A ,$60.02 ,$196.20 , N/A ,$95.21 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$307.70 , N/A ,$238.20 ,$101.36 ,$325.80 ,$260.64 ,$362.00 ,$228.06 ,$250.00 ,$250.00 , N/A ,$173.76 ,$325.80 ST. JOHN'S HOSPITAL,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$425.00 ,$276.25 ,$53.74 ,$425.00 , N/A ,$195.50 ,$230.35 , N/A ,$119.00 ,$146.63 , N/A ,$163.20 , N/A ,$162.35 ,$53.74 , N/A ,$162.35 , N/A ,$223.55 ,$216.75 , N/A , N/A ,$297.50 , N/A ,$212.50 , N/A ,$318.75 ,$214.63 ,$193.38 ,$214.63 , N/A ,$214.63 ,$267.75 ,$267.75 ,$301.75 ,$425.00 ,$361.25 , N/A ,$340.00 ,$157.25 ,$340.00 , N/A , N/A ,$97.92 ,$230.35 , N/A ,$111.78 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$361.25 , N/A ,$279.65 ,$119.00 ,$382.50 ,$306.00 ,$425.00 ,$267.75 ,$250.00 ,$250.00 , N/A ,$204.00 ,$382.50 ST. JOHN'S HOSPITAL,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$662.00 ,$430.30 ,$84.31 ,$662.00 , N/A ,$304.52 ,$358.80 , N/A ,$185.36 ,$228.39 , N/A ,$254.21 , N/A ,$252.88 ,$84.31 , N/A ,$252.88 , N/A ,$348.21 ,$337.62 , N/A , N/A ,$463.40 , N/A ,$331.00 , N/A ,$496.50 ,$334.31 ,$301.21 ,$334.31 , N/A ,$334.31 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 , N/A ,$529.60 ,$244.94 ,$529.60 , N/A , N/A ,$662.00 ,$358.80 , N/A ,$174.11 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$562.70 , N/A ,$435.60 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$250.00 ,$250.00 , N/A ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$770.00 ,$500.50 ,$129.78 ,$770.00 , N/A ,$354.20 ,$417.34 , N/A ,$215.60 ,$265.65 , N/A ,$295.68 , N/A ,$294.14 ,$129.78 , N/A ,$294.14 , N/A ,$405.02 ,$392.70 , N/A , N/A ,$539.00 , N/A ,$385.00 , N/A ,$577.50 ,$388.85 ,$350.35 ,$388.85 , N/A ,$388.85 ,$485.10 ,$485.10 ,$546.70 ,$770.00 ,$654.50 , N/A ,$616.00 ,$284.90 ,$616.00 , N/A , N/A ,$770.00 ,$417.34 , N/A ,$202.51 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$654.50 , N/A ,$506.66 ,$215.60 ,$693.00 ,$554.40 ,$770.00 ,$485.10 ,$250.00 ,$250.00 , N/A ,$369.60 ,$693.00 ST. JOHN'S HOSPITAL,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$195.00 ,$126.75 ,$2.13 ,$195.00 ,$7.50 ,$89.70 ,$105.69 ,$3.00 ,$54.60 ,$10.06 ,$3.00 ,$10.06 ,$3.00 ,$74.49 ,$2.13 ,$3.00 ,$74.49 ,$5.70 ,$10.64 ,$99.45 ,$7.50 ,$3.00 ,$136.50 ,$3.00 ,$97.50 ,$3.06 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$3.00 ,$98.48 ,$3.90 ,$3.90 ,$3.90 ,$195.00 ,$165.75 ,$7.50 ,$156.00 ,$72.15 ,$156.00 ,$3.00 ,$3.00 ,$195.00 ,$105.69 ,$3.00 ,$51.29 , N/A , N/A , N/A , N/A ,$3.15 ,$165.75 ,$6.75 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$3.90 ,$6.00 ,$6.00 ,$3.00 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,51000161,17110,HC DESTRUCT BENIGN LESION <15 FACIL,510,1 ,$625.00 ,$406.25 ,$113.98 ,$625.00 ,$431.55 ,$287.50 ,$338.75 ,$172.62 ,$175.00 ,$200.00 ,$172.62 ,$230.00 ,$172.62 ,$238.75 ,$113.98 ,$172.62 ,$238.75 ,$327.97 ,$328.75 ,$318.75 ,$431.54 ,$172.62 ,$437.50 ,$172.62 ,$312.50 ,$176.07 ,$468.75 ,$315.63 ,$284.38 ,$315.63 ,$172.62 ,$315.63 ,$393.75 ,$393.75 ,$443.75 ,$625.00 ,$531.25 ,$431.54 ,$500.00 ,$231.25 ,$500.00 ,$172.62 ,$172.62 ,$625.00 ,$338.75 ,$172.62 ,$164.38 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$531.25 ,$388.39 ,$411.25 ,$175.00 ,$562.50 ,$450.00 ,$625.00 ,$393.75 ,$250.00 ,$250.00 ,$172.62 ,$300.00 ,$562.50 ST. JOHN'S HOSPITAL,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$484.00 ,$314.60 ,$66.23 ,$484.00 ,$270.98 ,$222.64 ,$262.33 ,$108.39 ,$135.52 ,$154.88 ,$108.39 ,$178.11 ,$108.39 ,$184.89 ,$66.23 ,$108.39 ,$184.89 ,$205.94 ,$254.58 ,$246.84 ,$270.97 ,$108.39 ,$338.80 ,$108.39 ,$242.00 ,$110.56 ,$363.00 ,$244.42 ,$220.22 ,$244.42 ,$108.39 ,$244.42 ,$304.92 ,$304.92 ,$343.64 ,$484.00 ,$411.40 ,$270.97 ,$387.20 ,$179.08 ,$387.20 ,$108.39 ,$108.39 ,$484.00 ,$262.33 ,$108.39 ,$127.29 , N/A , N/A ,$125.19 ,$119.50 ,$113.81 ,$411.40 ,$243.87 ,$318.47 ,$135.52 ,$435.60 ,$348.48 ,$484.00 ,$304.92 ,$250.00 ,$250.00 ,$108.39 ,$232.32 ,$435.60 ST. JOHN'S HOSPITAL,51000172,51702,HC CATH BLADDER SMP,510,1 ,$581.00 ,$377.65 ,$66.23 ,$581.00 ,$270.98 ,$267.26 ,$314.90 ,$108.39 ,$162.68 ,$185.92 ,$108.39 ,$213.81 ,$108.39 ,$221.94 ,$66.23 ,$108.39 ,$221.94 ,$205.94 ,$305.61 ,$296.31 ,$270.97 ,$108.39 ,$406.70 ,$108.39 ,$290.50 ,$110.56 ,$435.75 ,$293.41 ,$264.36 ,$293.41 ,$108.39 ,$293.41 ,$366.03 ,$366.03 ,$412.51 ,$581.00 ,$493.85 ,$270.97 ,$464.80 ,$214.97 ,$464.80 ,$108.39 ,$108.39 ,$581.00 ,$314.90 ,$108.39 ,$152.80 , N/A , N/A ,$125.19 ,$119.50 ,$113.81 ,$493.85 ,$243.87 ,$382.30 ,$162.68 ,$522.90 ,$418.32 ,$581.00 ,$366.03 ,$250.00 ,$250.00 ,$108.39 ,$278.88 ,$522.90 ST. JOHN'S HOSPITAL,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$584.00 ,$379.60 ,$119.50 ,$584.00 ,$335.53 ,$268.64 ,$316.53 ,$134.21 ,$163.52 ,$186.88 ,$134.21 ,$214.91 ,$134.21 ,$223.09 ,$202.09 ,$134.21 ,$223.09 ,$254.99 ,$307.18 ,$297.84 ,$335.51 ,$134.21 ,$408.80 ,$134.21 ,$292.00 ,$136.89 ,$438.00 ,$294.92 ,$265.72 ,$294.92 ,$134.21 ,$294.92 ,$367.92 ,$367.92 ,$414.64 ,$584.00 ,$496.40 ,$335.51 ,$467.20 ,$216.08 ,$467.20 ,$134.21 ,$134.21 ,$584.00 ,$316.53 ,$134.21 ,$153.59 , N/A , N/A ,$125.19 ,$119.50 ,$140.92 ,$496.40 ,$301.96 ,$384.27 ,$163.52 ,$525.60 ,$420.48 ,$584.00 ,$367.92 ,$250.00 ,$250.00 ,$134.21 ,$280.32 ,$525.60 ST. JOHN'S HOSPITAL,51000175,94780,HC CARSEAT ANALYSIS FIRST 60MIN,510,1 ,$255.00 ,$165.75 ,$32.54 ,$255.00 ,$81.35 ,$117.30 ,$138.21 ,$32.54 ,$71.40 ,$81.60 ,$32.54 ,$93.84 ,$32.54 ,$97.41 ,$57.03 ,$32.54 ,$97.41 ,$61.82 ,$134.13 ,$130.05 ,$81.34 ,$32.54 ,$178.50 ,$32.54 ,$127.50 ,$33.19 ,$191.25 ,$128.78 ,$116.03 ,$128.78 ,$32.54 ,$128.78 ,$160.65 ,$160.65 ,$181.05 ,$255.00 ,$216.75 ,$81.34 ,$204.00 ,$94.35 ,$204.00 ,$32.54 ,$32.54 ,$255.00 ,$138.21 ,$32.54 ,$67.07 , N/A , N/A ,$78.40 ,$74.83 ,$34.17 ,$216.75 ,$73.21 ,$167.79 ,$71.40 ,$229.50 ,$183.60 ,$255.00 ,$160.65 ,$250.00 ,$250.00 ,$32.54 ,$122.40 ,$229.50 ST. JOHN'S HOSPITAL,51000201,29799,HC REMOVAL REVISION LEGCAST FACILITY,510,1 ,$461.00 ,$299.65 ,$121.24 ,$461.00 ,$339.53 ,$212.06 ,$249.86 ,$135.81 ,$129.08 ,$147.52 ,$135.81 ,$169.65 ,$135.81 ,$176.10 ,$184.40 ,$135.81 ,$176.10 ,$258.03 ,$242.49 ,$235.11 ,$339.51 ,$135.81 ,$322.70 ,$135.81 ,$230.50 ,$138.52 ,$345.75 ,$232.81 ,$209.76 ,$232.81 ,$135.81 ,$232.81 ,$290.43 ,$290.43 ,$327.31 ,$461.00 ,$391.85 ,$339.51 ,$368.80 ,$170.57 ,$368.80 ,$135.81 ,$135.81 ,$461.00 ,$249.86 ,$135.81 ,$121.24 , N/A , N/A ,$264.20 ,$252.19 ,$142.60 ,$391.85 ,$305.56 ,$303.34 ,$129.08 ,$414.90 ,$331.92 ,$461.00 ,$290.43 ,$250.00 ,$250.00 ,$135.81 ,$221.28 ,$414.90 ST. JOHN'S HOSPITAL,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$1,676.00 ","$1,089.40 ",$212.02 ,"$1,676.00 ","$1,382.53 ",$770.96 ,$908.39 ,$553.01 ,$469.28 ,$536.32 ,$553.01 ,$616.77 ,$553.01 ,$640.23 ,$212.02 ,$553.01 ,$640.23 ,"$1,050.72 ",$881.58 ,$854.76 ,"$1,382.53 ",$553.01 ,"$1,173.20 ",$553.01 ,$838.00 ,$564.07 ,"$1,257.00 ",$846.38 ,$762.58 ,$846.38 ,$553.01 ,$846.38 ,"$1,055.88 ","$1,055.88 ","$1,189.96 ","$1,676.00 ","$1,424.60 ","$1,382.53 ","$1,340.80 ",$620.12 ,"$1,340.80 ",$553.01 ,$553.01 ,"$1,676.00 ",$908.39 ,$553.01 ,$440.79 , N/A , N/A ,"$1,137.92 ","$1,086.19 ",$580.66 ,"$1,424.60 ","$1,244.28 ","$1,102.81 ",$469.28 ,"$1,508.40 ","$1,206.72 ","$1,676.00 ","$1,055.88 ",$250.00 ,$250.00 ,$553.01 ,$804.48 ,"$1,508.40 " ST. JOHN'S HOSPITAL,51000225,56605,HC BX VULVA/PERINEUM ONE LESION,510,1 ,"$1,308.00 ",$850.20 ,$125.45 ,"$1,523.50 ","$1,523.50 ",$601.68 ,$708.94 ,$609.40 ,$366.24 ,$418.56 ,$609.40 ,$481.34 ,$609.40 ,$499.66 ,$125.45 ,$609.40 ,$499.66 ,"$1,157.86 ",$688.01 ,$667.08 ,"$1,523.50 ",$609.40 ,$915.60 ,$609.40 ,$654.00 ,$621.59 ,$981.00 ,$660.54 ,$595.14 ,$660.54 ,$609.40 ,$660.54 ,$824.04 ,$824.04 ,$928.68 ,"$1,308.00 ","$1,111.80 ","$1,308.00 ","$1,046.40 ",$483.96 ,"$1,046.40 ",$609.40 ,$609.40 ,"$1,308.00 ",$708.94 ,$609.40 ,$344.00 , N/A , N/A ,$675.59 ,$644.88 ,$639.87 ,"$1,111.80 ","$1,371.15 ",$860.66 ,$366.24 ,"$1,177.20 ",$941.76 ,"$1,308.00 ",$824.04 ,$250.00 ,$250.00 ,$609.40 ,$627.84 ,"$1,177.20 " ST. JOHN'S HOSPITAL,51000233,57500,HC BIOPSY/EXCISE CERVICAL LESION,510,1 ,"$3,270.00 ","$2,125.50 ",$154.73 ,"$3,270.00 ","$1,523.50 ","$1,504.20 ","$1,772.34 ",$609.40 ,$915.60 ,"$1,046.40 ",$609.40 ,"$1,203.36 ",$609.40 ,"$1,249.14 ",$154.73 ,$609.40 ,"$1,249.14 ","$1,157.86 ","$1,720.02 ","$1,667.70 ","$1,523.50 ",$609.40 ,"$2,289.00 ",$609.40 ,"$1,635.00 ",$621.59 ,"$2,452.50 ","$1,651.35 ","$1,487.85 ","$1,651.35 ",$609.40 ,"$1,651.35 ","$2,060.10 ","$2,060.10 ","$2,321.70 ","$3,270.00 ","$2,779.50 ","$1,523.50 ","$2,616.00 ","$1,209.90 ","$2,616.00 ",$609.40 ,$609.40 ,$170.14 ,"$1,772.34 ",$609.40 ,$860.01 , N/A , N/A ,$637.68 ,$608.70 ,$639.87 ,"$2,779.50 ","$1,371.15 ","$2,151.66 ",$915.60 ,"$2,943.00 ","$2,354.40 ","$3,270.00 ","$2,060.10 ",$250.00 ,$250.00 ,$609.40 ,"$1,569.60 ","$2,943.00 " ST. JOHN'S HOSPITAL,51000315,38222,HC BM ASPIRATION (BX/ASP SAME SITE),360,1 ,"$5,831.00 ","$3,790.15 ",$608.70 ,"$5,831.00 ","$5,697.90 ","$2,300.00 ","$3,160.40 ","$2,279.16 ","$1,632.68 ","$1,865.92 ","$2,279.16 ","$2,145.81 ","$2,279.16 ","$2,227.44 ","$2,227.44 ","$2,279.16 ","$2,227.44 ","$4,330.41 ","$3,067.11 ", N/A ,"$5,697.91 ","$2,279.16 ","$4,081.70 ","$2,279.16 ","$2,915.50 ","$2,324.75 ","$4,373.25 ","$2,600.63 ","$2,338.23 ","$2,600.63 ","$2,279.16 ","$2,600.63 ","$3,673.53 ","$3,673.53 ","$4,140.01 ","$5,831.00 ","$4,956.35 ","$5,697.91 ","$4,664.80 ","$2,157.47 ","$4,664.80 ","$2,279.16 ","$2,279.16 ","$5,831.00 ","$3,160.40 ","$2,279.16 ","$1,533.55 ", N/A , N/A ,$637.68 ,$608.70 ,"$2,393.12 ","$4,956.35 ","$5,128.12 ","$2,227.44 ","$1,632.68 ","$5,247.90 ","$4,198.32 ","$5,831.00 ","$3,673.53 ","$3,673.53 ","$3,673.53 ","$2,279.16 ","$2,798.88 ","$5,247.90 " ST. JOHN'S HOSPITAL,51000320,94781,HC CARSEAT ANALYSIS EA ADDN 30MIN,510,1 ,$127.00 ,$82.55 ,$20.12 ,$127.00 , N/A ,$58.42 ,$68.83 , N/A ,$35.56 ,$40.64 , N/A ,$46.74 , N/A ,$48.51 ,$20.12 , N/A ,$48.51 , N/A ,$66.80 ,$64.77 , N/A , N/A ,$88.90 , N/A ,$63.50 , N/A ,$95.25 ,$64.14 ,$57.79 ,$64.14 , N/A ,$64.14 ,$80.01 ,$80.01 ,$90.17 ,$127.00 ,$107.95 , N/A ,$101.60 ,$46.99 ,$101.60 , N/A , N/A ,$127.00 ,$68.83 , N/A ,$33.40 , N/A , N/A ,$78.40 ,$74.83 , N/A ,$107.95 , N/A ,$83.57 ,$35.56 ,$114.30 ,$91.44 ,$127.00 ,$80.01 ,$127.00 ,$127.00 , N/A ,$60.96 ,$114.30 ST. JOHN'S HOSPITAL,51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,"$3,280.00 ","$2,132.00 ",$164.46 ,"$4,116.01 ","$4,116.00 ","$1,508.80 ","$1,777.76 ","$1,646.40 ",$918.40 ,"$1,049.60 ","$1,646.40 ","$1,207.04 ","$1,646.40 ","$1,252.96 ",$164.46 ,"$1,646.40 ","$1,252.96 ","$3,128.17 ","$1,725.28 ","$1,672.80 ","$4,116.01 ","$1,646.40 ","$2,296.00 ","$1,646.40 ","$1,640.00 ","$1,679.33 ","$2,460.00 ","$1,656.40 ","$1,492.40 ","$1,656.40 ","$1,646.40 ","$1,656.40 ","$2,066.40 ","$2,066.40 ","$2,328.80 ","$3,280.00 ","$2,788.00 ","$3,280.00 ","$2,624.00 ","$1,213.60 ","$2,624.00 ","$1,646.40 ","$1,646.40 ","$3,280.00 ","$1,777.76 ","$1,646.40 ",$862.64 , N/A , N/A ,"$1,660.60 ","$1,585.12 ","$1,728.72 ","$2,788.00 ","$3,704.41 ","$2,158.24 ",$918.40 ,"$2,952.00 ","$2,361.60 ","$3,280.00 ","$2,066.40 ","$1,200.00 ","$1,200.00 ","$1,646.40 ","$1,574.40 ","$2,952.00 " ST. JOHN'S HOSPITAL,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$668.00 ,$434.20 ,$51.14 ,$668.00 ,$431.55 ,$307.28 ,$362.06 ,$172.62 ,$187.04 ,$213.76 ,$172.62 ,$245.82 ,$172.62 ,$255.18 ,$51.14 ,$172.62 ,$255.18 ,$327.97 ,$351.37 ,$340.68 ,$431.54 ,$172.62 ,$467.60 ,$172.62 ,$334.00 ,$176.07 ,$501.00 ,$337.34 ,$303.94 ,$337.34 ,$172.62 ,$337.34 ,$420.84 ,$420.84 ,$474.28 ,$668.00 ,$567.80 ,$431.54 ,$534.40 ,$247.16 ,$534.40 ,$172.62 ,$172.62 ,$668.00 ,$362.06 ,$172.62 ,$175.68 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$567.80 ,$388.39 ,$439.54 ,$187.04 ,$601.20 ,$480.96 ,$668.00 ,$420.84 ,$250.00 ,$250.00 ,$172.62 ,$320.64 ,$601.20 ST. JOHN'S HOSPITAL,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,"$1,029.00 ",$668.85 ,$63.38 ,"$1,029.00 ",$509.28 ,$473.34 ,$557.72 ,$203.71 ,$288.12 ,$315.03 ,$203.71 ,$339.45 ,$203.71 ,$393.08 ,$63.38 ,$203.71 ,$393.08 ,$387.05 ,$541.25 ,$524.79 ,$509.27 ,$203.71 ,$720.30 ,$203.71 ,$514.50 ,$207.78 ,$771.75 ,$519.65 ,$468.20 ,$519.65 ,$203.71 ,$519.65 ,$648.27 ,$648.27 ,$730.59 ,"$1,029.00 ",$874.65 ,$509.27 ,$823.20 ,$380.73 ,$823.20 ,$203.71 ,$203.71 ,"$1,029.00 ",$557.72 ,$203.71 ,$270.63 , N/A , N/A ,$396.30 ,$378.28 ,$213.90 ,$874.65 ,$458.34 ,$677.08 ,$288.12 ,$926.10 ,$740.88 ,"$1,029.00 ",$648.27 ,$250.00 ,$250.00 ,$203.71 ,$493.92 ,$926.10 ST. JOHN'S HOSPITAL,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$974.00 ,$633.10 ,$63.28 ,$974.00 ,$509.28 ,$448.04 ,$527.91 ,$203.71 ,$272.72 ,$311.68 ,$203.71 ,$358.43 ,$203.71 ,$372.07 ,$63.28 ,$203.71 ,$372.07 ,$387.05 ,$512.32 ,$496.74 ,$509.27 ,$203.71 ,$681.80 ,$203.71 ,$487.00 ,$207.78 ,$730.50 ,$491.87 ,$443.17 ,$491.87 ,$203.71 ,$491.87 ,$613.62 ,$613.62 ,$691.54 ,$974.00 ,$827.90 ,$509.27 ,$779.20 ,$360.38 ,$779.20 ,$203.71 ,$203.71 ,$974.00 ,$527.91 ,$203.71 ,$256.16 , N/A , N/A ,$396.30 ,$378.28 ,$213.90 ,$827.90 ,$458.34 ,$640.89 ,$272.72 ,$876.60 ,$701.28 ,$974.00 ,$613.62 ,$250.00 ,$250.00 ,$203.71 ,$467.52 ,$876.60 ST. JOHN'S HOSPITAL,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$380.00 ,$247.00 ,$72.99 ,$431.55 ,$431.55 ,$174.80 ,$205.96 ,$172.62 ,$106.40 ,$121.60 ,$172.62 ,$139.84 ,$172.62 ,$145.16 ,$72.99 ,$172.62 ,$145.16 ,$327.97 ,$199.88 ,$193.80 ,$431.54 ,$172.62 ,$266.00 ,$172.62 ,$190.00 ,$176.07 ,$285.00 ,$191.90 ,$172.90 ,$191.90 ,$172.62 ,$191.90 ,$239.40 ,$239.40 ,$269.80 ,$380.00 ,$323.00 ,$380.00 ,$304.00 ,$140.60 ,$304.00 ,$172.62 ,$172.62 ,$380.00 ,$205.96 ,$172.62 ,$99.94 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$323.00 ,$388.39 ,$250.04 ,$106.40 ,$342.00 ,$273.60 ,$380.00 ,$239.40 ,$250.00 ,$250.00 ,$172.62 ,$182.40 ,$342.00 ST. JOHN'S HOSPITAL,51000427,17999,HC UNLISTED SKIN TISSUE PROCEDURE,510,1 ,$606.00 ,$393.90 ,$159.38 ,$606.00 ,$431.55 ,$278.76 ,$328.45 ,$172.62 ,$169.68 ,$193.92 ,$172.62 ,$223.01 ,$172.62 ,$231.49 ,$242.40 ,$172.62 ,$231.49 ,$327.97 ,$318.76 ,$309.06 ,$431.54 ,$172.62 ,$424.20 ,$172.62 ,$303.00 ,$176.07 ,$454.50 ,$306.03 ,$275.73 ,$306.03 ,$172.62 ,$306.03 ,$381.78 ,$381.78 ,$430.26 ,$606.00 ,$515.10 ,$431.54 ,$484.80 ,$224.22 ,$484.80 ,$172.62 ,$172.62 ,$606.00 ,$328.45 ,$172.62 ,$159.38 , N/A , N/A ,$321.44 ,$306.83 ,$181.25 ,$515.10 ,$388.39 ,$398.75 ,$169.68 ,$545.40 ,$436.32 ,$606.00 ,$381.78 ,$250.00 ,$250.00 ,$172.62 ,$290.88 ,$545.40 ST. JOHN'S HOSPITAL,51000433,99211,HC E AND M EST OST PT PRE-OP STOMA SITE MARKING ED,510,1 ,$176.00 ,$114.40 ,$11.48 ,$176.00 , N/A ,$80.96 ,$95.39 , N/A ,$49.28 ,$60.72 , N/A ,$67.58 , N/A ,$67.23 ,$11.48 , N/A ,$67.23 , N/A ,$92.58 ,$89.76 , N/A , N/A ,$123.20 , N/A ,$88.00 , N/A ,$132.00 ,$88.88 ,$80.08 ,$88.88 , N/A ,$88.88 ,$110.88 ,$110.88 ,$124.96 ,$176.00 ,$149.60 , N/A ,$140.80 ,$65.12 ,$140.80 , N/A , N/A ,$176.00 ,$95.39 , N/A ,$46.29 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$149.60 , N/A ,$115.81 ,$49.28 ,$158.40 ,$126.72 ,$176.00 ,$110.88 ,$176.00 ,$176.00 , N/A ,$84.48 ,$158.40 ST. JOHN'S HOSPITAL,51000444,11982,HC REMOVAL DRUG IMPLANT DEVICE,510,1 ,$754.00 ,$490.10 ,$173.54 ,$754.00 ,$652.20 ,$346.84 ,$408.67 ,$260.88 ,$211.12 ,$241.28 ,$260.88 ,$277.47 ,$260.88 ,$288.03 ,$173.54 ,$260.88 ,$288.03 ,$495.68 ,$396.60 ,$384.54 ,$652.20 ,$260.88 ,$527.80 ,$260.88 ,$377.00 ,$266.10 ,$565.50 ,$380.77 ,$343.07 ,$380.77 ,$260.88 ,$380.77 ,$475.02 ,$475.02 ,$535.34 ,$754.00 ,$640.90 ,$652.20 ,$603.20 ,$278.98 ,$603.20 ,$260.88 ,$260.88 ,$754.00 ,$408.67 ,$260.88 ,$198.30 , N/A , N/A ,$519.44 ,$495.83 ,$273.92 ,$640.90 ,$586.98 ,$496.13 ,$211.12 ,$678.60 ,$542.88 ,$754.00 ,$475.02 ,$250.00 ,$250.00 ,$260.88 ,$361.92 ,$678.60 ST. JOHN'S HOSPITAL,51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$498.00 ,$323.70 ,$57.92 ,$498.00 , N/A ,$229.08 ,$269.92 , N/A ,$139.44 ,$171.81 , N/A ,$191.23 , N/A ,$190.24 ,$57.92 , N/A ,$190.24 , N/A ,$261.95 ,$253.98 , N/A , N/A ,$348.60 , N/A ,$249.00 , N/A ,$373.50 ,$251.49 ,$226.59 ,$251.49 , N/A ,$251.49 ,$313.74 ,$313.74 ,$353.58 ,$498.00 ,$423.30 , N/A ,$398.40 ,$184.26 ,$398.40 , N/A , N/A ,$78.75 ,$269.92 , N/A ,$130.97 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$423.30 , N/A ,$327.68 ,$139.44 ,$448.20 ,$358.56 ,$498.00 ,$313.74 ,$250.00 ,$250.00 , N/A ,$239.04 ,$448.20 ST. JOHN'S HOSPITAL,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$631.00 ,$410.15 ,$88.33 ,$631.00 , N/A ,$290.26 ,$342.00 , N/A ,$176.68 ,$217.70 , N/A ,$242.30 , N/A ,$241.04 ,$88.33 , N/A ,$241.04 , N/A ,$331.91 ,$321.81 , N/A , N/A ,$441.70 , N/A ,$315.50 , N/A ,$473.25 ,$318.66 ,$287.11 ,$318.66 , N/A ,$318.66 ,$397.53 ,$397.53 ,$448.01 ,$631.00 ,$536.35 , N/A ,$504.80 ,$233.47 ,$504.80 , N/A , N/A ,$121.24 ,$342.00 , N/A ,$165.95 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$536.35 , N/A ,$415.20 ,$176.68 ,$567.90 ,$454.32 ,$631.00 ,$397.53 ,$250.00 ,$250.00 , N/A ,$302.88 ,$567.90 ST. JOHN'S HOSPITAL,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$843.00 ,$547.95 ,$140.68 ,$843.00 , N/A ,$387.78 ,$456.91 , N/A ,$236.04 ,$290.84 , N/A ,$323.71 , N/A ,$322.03 ,$152.13 , N/A ,$322.03 , N/A ,$443.42 ,$429.93 , N/A , N/A ,$590.10 , N/A ,$421.50 , N/A ,$632.25 ,$425.72 ,$383.57 ,$425.72 , N/A ,$425.72 ,$531.09 ,$531.09 ,$598.53 ,$843.00 ,$716.55 , N/A ,$674.40 ,$311.91 ,$674.40 , N/A , N/A ,$181.05 ,$456.91 , N/A ,$221.71 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$716.55 , N/A ,$554.69 ,$236.04 ,$758.70 ,$606.96 ,$843.00 ,$531.09 ,$250.00 ,$250.00 , N/A ,$404.64 ,$758.70 ST. JOHN'S HOSPITAL,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,"$1,186.00 ",$770.90 ,$140.68 ,"$1,186.00 ", N/A ,$545.56 ,$642.81 , N/A ,$332.08 ,$409.17 , N/A ,$455.42 , N/A ,$453.05 ,$198.23 , N/A ,$453.05 , N/A ,$623.84 ,$604.86 , N/A , N/A ,$830.20 , N/A ,$593.00 , N/A ,$889.50 ,$598.93 ,$539.63 ,$598.93 , N/A ,$598.93 ,$747.18 ,$747.18 ,$842.06 ,"$1,186.00 ","$1,008.10 ", N/A ,$948.80 ,$438.82 ,$948.80 , N/A , N/A ,$239.15 ,$642.81 , N/A ,$311.92 , N/A , N/A ,$147.38 ,$140.68 , N/A ,"$1,008.10 ", N/A ,$780.39 ,$332.08 ,"$1,067.40 ",$853.92 ,"$1,186.00 ",$747.18 ,$250.00 ,$250.00 , N/A ,$569.28 ,"$1,067.40 " ST. JOHN'S HOSPITAL,51000468,99211,HC CLINIC VISIT BRIEF ESTAB -25,510,1 ,$315.00 ,$204.75 ,$11.48 ,$315.00 , N/A ,$144.90 ,$170.73 , N/A ,$88.20 ,$70.99 , N/A ,$76.49 , N/A ,$120.33 ,$11.48 , N/A ,$120.33 , N/A ,$165.69 ,$160.65 , N/A , N/A ,$220.50 , N/A ,$157.50 , N/A ,$236.25 ,$159.08 ,$143.33 ,$159.08 , N/A ,$159.08 ,$198.45 ,$198.45 ,$223.65 ,$315.00 ,$267.75 , N/A ,$252.00 ,$116.55 ,$252.00 , N/A , N/A ,$315.00 ,$170.73 , N/A ,$82.85 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$267.75 , N/A ,$207.27 ,$88.20 ,$283.50 ,$226.80 ,$315.00 ,$198.45 ,$250.00 ,$250.00 , N/A ,$151.20 ,$283.50 ST. JOHN'S HOSPITAL,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$362.00 ,$235.30 ,$28.92 ,$362.00 , N/A ,$166.52 ,$196.20 , N/A ,$101.36 ,$124.89 , N/A ,$139.01 , N/A ,$138.28 ,$28.92 , N/A ,$138.28 , N/A ,$190.41 ,$184.62 , N/A , N/A ,$253.40 , N/A ,$181.00 , N/A ,$271.50 ,$182.81 ,$164.71 ,$182.81 , N/A ,$182.81 ,$228.06 ,$228.06 ,$257.02 ,$362.00 ,$307.70 , N/A ,$289.60 ,$133.94 ,$289.60 , N/A , N/A ,$60.02 ,$196.20 , N/A ,$95.21 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$307.70 , N/A ,$238.20 ,$101.36 ,$325.80 ,$260.64 ,$362.00 ,$228.06 ,$250.00 ,$250.00 , N/A ,$173.76 ,$325.80 ST. JOHN'S HOSPITAL,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$425.00 ,$276.25 ,$53.74 ,$425.00 , N/A ,$195.50 ,$230.35 , N/A ,$119.00 ,$146.63 , N/A ,$163.20 , N/A ,$162.35 ,$53.74 , N/A ,$162.35 , N/A ,$223.55 ,$216.75 , N/A , N/A ,$297.50 , N/A ,$212.50 , N/A ,$318.75 ,$214.63 ,$193.38 ,$214.63 , N/A ,$214.63 ,$267.75 ,$267.75 ,$301.75 ,$425.00 ,$361.25 , N/A ,$340.00 ,$157.25 ,$340.00 , N/A , N/A ,$97.92 ,$230.35 , N/A ,$111.78 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$361.25 , N/A ,$279.65 ,$119.00 ,$382.50 ,$306.00 ,$425.00 ,$267.75 ,$250.00 ,$250.00 , N/A ,$204.00 ,$382.50 ST. JOHN'S HOSPITAL,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$662.00 ,$430.30 ,$84.31 ,$662.00 , N/A ,$304.52 ,$358.80 , N/A ,$185.36 ,$228.39 , N/A ,$254.21 , N/A ,$252.88 ,$84.31 , N/A ,$252.88 , N/A ,$348.21 ,$337.62 , N/A , N/A ,$463.40 , N/A ,$331.00 , N/A ,$496.50 ,$334.31 ,$301.21 ,$334.31 , N/A ,$334.31 ,$417.06 ,$417.06 ,$470.02 ,$662.00 ,$562.70 , N/A ,$529.60 ,$244.94 ,$529.60 , N/A , N/A ,$662.00 ,$358.80 , N/A ,$174.11 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$562.70 , N/A ,$435.60 ,$185.36 ,$595.80 ,$476.64 ,$662.00 ,$417.06 ,$250.00 ,$250.00 , N/A ,$317.76 ,$595.80 ST. JOHN'S HOSPITAL,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$770.00 ,$500.50 ,$129.78 ,$770.00 , N/A ,$354.20 ,$417.34 , N/A ,$215.60 ,$265.65 , N/A ,$295.68 , N/A ,$294.14 ,$129.78 , N/A ,$294.14 , N/A ,$405.02 ,$392.70 , N/A , N/A ,$539.00 , N/A ,$385.00 , N/A ,$577.50 ,$388.85 ,$350.35 ,$388.85 , N/A ,$388.85 ,$485.10 ,$485.10 ,$546.70 ,$770.00 ,$654.50 , N/A ,$616.00 ,$284.90 ,$616.00 , N/A , N/A ,$770.00 ,$417.34 , N/A ,$202.51 , N/A , N/A ,$147.38 ,$140.68 , N/A ,$654.50 , N/A ,$506.66 ,$215.60 ,$693.00 ,$554.40 ,$770.00 ,$485.10 ,$250.00 ,$250.00 , N/A ,$369.60 ,$693.00 ST. JOHN'S HOSPITAL,51000477,96377,HC APPL ON-BODY INJECTOR FOR SUBQ INJ,510,1 ,$107.00 ,$69.55 ,$27.02 ,$107.00 ,$96.18 ,$49.22 ,$57.99 ,$38.47 ,$29.96 ,$34.24 ,$38.47 ,$39.38 ,$38.47 ,$40.87 ,$27.02 ,$38.47 ,$40.87 ,$73.09 ,$56.28 ,$54.57 ,$96.17 ,$38.47 ,$74.90 ,$38.47 ,$53.50 ,$39.24 ,$80.25 ,$54.04 ,$48.69 ,$54.04 ,$38.47 ,$54.04 ,$67.41 ,$67.41 ,$75.97 ,$107.00 ,$90.95 ,$96.17 ,$85.60 ,$39.59 ,$85.60 ,$38.47 ,$38.47 ,$107.00 ,$57.99 ,$38.47 ,$28.14 , N/A , N/A , N/A , N/A ,$40.39 ,$90.95 ,$86.55 ,$70.41 ,$29.96 ,$96.30 ,$77.04 ,$107.00 ,$67.41 ,$107.00 ,$107.00 ,$38.47 ,$51.36 ,$96.30 ST. JOHN'S HOSPITAL,51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$172.00 ,$111.80 ,$36.12 ,$172.00 , N/A ,$79.12 ,$93.22 , N/A ,$48.16 ,$59.34 , N/A ,$66.05 , N/A ,$65.70 ,$39.59 , N/A ,$65.70 , N/A ,$90.47 ,$87.72 , N/A , N/A ,$120.40 , N/A ,$86.00 , N/A ,$129.00 ,$86.86 ,$78.26 ,$86.86 , N/A ,$86.86 ,$108.36 ,$108.36 ,$122.12 ,$172.00 ,$146.20 , N/A ,$137.60 ,$63.64 ,$137.60 , N/A , N/A ,$172.00 ,$93.22 , N/A ,$45.24 , N/A , N/A ,$37.84 ,$36.12 , N/A ,$146.20 , N/A ,$113.18 ,$48.16 ,$154.80 ,$123.84 ,$172.00 ,$108.36 ,$172.00 ,$172.00 , N/A ,$82.56 ,$154.80 ST. JOHN'S HOSPITAL,54200001,N/A,HC MEDICAL TRANSPORT/AMBULANCE PER HR,542,1 ,$395.00 ,$256.75 ,$103.89 ,$395.00 , N/A ,$181.70 ,$214.09 , N/A ,$110.60 ,$126.40 , N/A ,$145.36 , N/A ,$150.89 ,$150.89 , N/A ,$150.89 , N/A ,$207.77 ,$201.45 , N/A , N/A ,$276.50 , N/A ,$197.50 , N/A ,$296.25 ,$199.48 ,$179.73 ,$199.48 , N/A ,$199.48 ,$248.85 ,$248.85 ,$280.45 ,$395.00 ,$335.75 , N/A ,$316.00 ,$146.15 ,$316.00 , N/A , N/A ,$395.00 ,$214.09 , N/A ,$103.89 , N/A , N/A , N/A , N/A , N/A ,$335.75 , N/A ,$150.89 ,$110.60 ,$355.50 ,$284.40 ,$395.00 ,$248.85 ,$248.85 ,$248.85 , N/A ,$189.60 ,$355.50 ST. JOHN'S HOSPITAL,54200002,N/A,HC MEDICAL TRANSPORT/HELICOPTER PER HR,542,1 ,$414.00 ,$269.10 ,$108.88 ,$414.00 , N/A ,$190.44 ,$224.39 , N/A ,$115.92 ,$132.48 , N/A ,$152.35 , N/A ,$158.15 ,$158.15 , N/A ,$158.15 , N/A ,$217.76 ,$211.14 , N/A , N/A ,$289.80 , N/A ,$207.00 , N/A ,$310.50 ,$209.07 ,$188.37 ,$209.07 , N/A ,$209.07 ,$260.82 ,$260.82 ,$293.94 ,$414.00 ,$351.90 , N/A ,$331.20 ,$153.18 ,$331.20 , N/A , N/A ,$414.00 ,$224.39 , N/A ,$108.88 , N/A , N/A , N/A , N/A , N/A ,$351.90 , N/A ,$158.15 ,$115.92 ,$372.60 ,$298.08 ,$414.00 ,$260.82 ,$260.82 ,$260.82 , N/A ,$198.72 ,$372.60 ST. JOHN'S HOSPITAL,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$4,728.00 ","$3,073.20 ",$346.66 ,"$4,728.00 ",$884.95 ,"$1,100.00 ","$2,562.58 ",$353.98 ,"$1,323.84 ","$1,631.16 ",$353.98 ,"$1,815.55 ",$353.98 ,"$1,806.10 ",$595.19 ,$353.98 ,"$1,806.10 ",$672.55 ,$963.15 ,"$2,411.28 ",$884.94 ,$353.98 ,"$3,309.60 ",$353.98 ,"$2,364.00 ",$361.06 ,"$3,546.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$404.21 ,$404.21 ,$404.21 ,"$4,728.00 ","$4,018.80 ",$884.94 ,"$3,782.40 ","$1,749.36 ","$3,782.40 ",$353.98 ,$353.98 ,"$4,728.00 ","$2,562.58 ",$353.98 ,"$1,243.46 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,018.80 ",$796.45 ,"$3,111.02 ","$1,323.84 ","$4,255.20 ","$3,404.16 ","$4,728.00 ",$404.21 ,"$2,978.64 ","$2,978.64 ",$353.98 ,"$2,269.44 ","$4,255.20 " ST. JOHN'S HOSPITAL,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$4,107.00 ","$2,669.55 ",$221.18 ,"$4,107.00 ",$552.95 ,"$1,100.00 ","$2,225.99 ",$221.18 ,"$1,149.96 ","$1,416.92 ",$221.18 ,"$1,577.09 ",$221.18 ,"$1,568.87 ",$448.88 ,$221.18 ,"$1,568.87 ",$420.25 ,$628.12 ,"$2,094.57 ",$552.96 ,$221.18 ,"$2,874.90 ",$221.18 ,"$2,053.50 ",$225.61 ,"$3,080.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$304.85 ,$304.85 ,$304.85 ,"$4,107.00 ","$3,490.95 ",$552.96 ,"$3,285.60 ","$1,519.59 ","$3,285.60 ",$221.18 ,$221.18 ,"$4,107.00 ","$2,225.99 ",$221.18 ,"$1,080.14 ", N/A , N/A ,$444.62 ,$424.41 ,$232.24 ,"$3,490.95 ",$497.66 ,"$2,702.41 ","$1,149.96 ","$3,696.30 ","$2,957.04 ","$4,107.00 ",$304.85 ,"$2,587.41 ","$2,587.41 ",$221.18 ,"$1,971.36 ","$3,696.30 " ST. JOHN'S HOSPITAL,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$4,421.00 ","$2,873.65 ",$301.88 ,"$4,421.00 ",$884.95 ,"$1,100.00 ","$2,396.18 ",$353.98 ,"$1,237.88 ","$1,525.25 ",$353.98 ,"$1,697.66 ",$353.98 ,"$1,688.82 ",$444.50 ,$353.98 ,"$1,688.82 ",$672.55 ,$671.91 ,"$2,254.71 ",$884.94 ,$353.98 ,"$3,094.70 ",$353.98 ,"$2,210.50 ",$361.06 ,"$3,315.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$301.88 ,$301.88 ,$301.88 ,"$4,421.00 ","$3,757.85 ",$884.94 ,"$3,536.80 ","$1,635.77 ","$3,536.80 ",$353.98 ,$353.98 ,"$4,421.00 ","$2,396.18 ",$353.98 ,"$1,162.72 ", N/A , N/A ,$444.62 ,$424.41 ,$371.68 ,"$3,757.85 ",$796.45 ,"$2,909.02 ","$1,237.88 ","$3,978.90 ","$3,183.12 ","$4,421.00 ",$301.88 ,"$2,785.23 ","$2,785.23 ",$353.98 ,"$2,122.08 ","$3,978.90 " ST. JOHN'S HOSPITAL,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$4,578.00 ","$2,975.70 ",$353.98 ,"$4,578.00 ",$884.95 ,"$1,100.00 ","$2,481.28 ",$353.98 ,"$1,281.84 ","$1,579.41 ",$353.98 ,"$1,757.95 ",$353.98 ,"$1,748.80 ",$688.32 ,$353.98 ,"$1,748.80 ",$672.55 ,"$1,019.47 ","$2,334.78 ",$884.94 ,$353.98 ,"$3,204.60 ",$353.98 ,"$2,289.00 ",$361.06 ,"$3,433.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$467.46 ,$467.46 ,$467.46 ,"$4,578.00 ","$3,891.30 ",$884.94 ,"$3,662.40 ","$1,693.86 ","$3,662.40 ",$353.98 ,$353.98 ,"$4,578.00 ","$2,481.28 ",$353.98 ,"$1,204.01 ", N/A , N/A ,$444.62 ,$424.41 ,$371.68 ,"$3,891.30 ",$796.45 ,"$3,012.32 ","$1,281.84 ","$4,120.20 ","$3,296.16 ","$4,578.00 ",$467.46 ,"$2,884.14 ","$2,884.14 ",$353.98 ,"$2,197.44 ","$4,120.20 " ST. JOHN'S HOSPITAL,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$4,097.00 ","$2,663.05 ",$221.18 ,"$4,097.00 ",$552.95 ,"$1,100.00 ","$2,220.57 ",$221.18 ,"$1,147.16 ","$1,413.47 ",$221.18 ,"$1,573.25 ",$221.18 ,"$1,565.05 ",$451.08 ,$221.18 ,"$1,565.05 ",$420.25 ,$630.47 ,"$2,089.47 ",$552.96 ,$221.18 ,"$2,867.90 ",$221.18 ,"$2,048.50 ",$225.61 ,"$3,072.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$306.35 ,$306.35 ,$306.35 ,"$4,097.00 ","$3,482.45 ",$552.96 ,"$3,277.60 ","$1,515.89 ","$3,277.60 ",$221.18 ,$221.18 ,"$4,097.00 ","$2,220.57 ",$221.18 ,"$1,077.51 ", N/A , N/A ,$444.62 ,$424.41 ,$232.24 ,"$3,482.45 ",$497.66 ,"$2,695.83 ","$1,147.16 ","$3,687.30 ","$2,949.84 ","$4,097.00 ",$306.35 ,"$2,581.11 ","$2,581.11 ",$221.18 ,"$1,966.56 ","$3,687.30 " ST. JOHN'S HOSPITAL,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$4,622.00 ","$3,004.30 ",$324.23 ,"$4,622.00 ",$884.95 ,"$1,100.00 ","$2,505.12 ",$353.98 ,"$1,294.16 ","$1,594.59 ",$353.98 ,"$1,774.85 ",$353.98 ,"$1,765.60 ",$477.41 ,$353.98 ,"$1,765.60 ",$672.55 ,$687.31 ,"$2,357.22 ",$884.94 ,$353.98 ,"$3,235.40 ",$353.98 ,"$2,311.00 ",$361.06 ,"$3,466.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$324.23 ,$324.23 ,$324.23 ,"$4,622.00 ","$3,928.70 ",$884.94 ,"$3,697.60 ","$1,710.14 ","$3,697.60 ",$353.98 ,$353.98 ,"$4,622.00 ","$2,505.12 ",$353.98 ,"$1,215.59 ", N/A , N/A ,$444.62 ,$424.41 ,$371.68 ,"$3,928.70 ",$796.45 ,"$3,041.28 ","$1,294.16 ","$4,159.80 ","$3,327.84 ","$4,622.00 ",$324.23 ,"$2,911.86 ","$2,911.86 ",$353.98 ,"$2,218.56 ","$4,159.80 " ST. JOHN'S HOSPITAL,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$4,716.00 ","$3,065.40 ",$353.98 ,"$4,716.00 ",$884.95 ,"$1,100.00 ","$2,556.07 ",$353.98 ,"$1,320.48 ","$1,627.02 ",$353.98 ,"$1,810.94 ",$353.98 ,"$1,801.51 ",$692.71 ,$353.98 ,"$1,801.51 ",$672.55 ,"$1,026.57 ","$2,405.16 ",$884.94 ,$353.98 ,"$3,301.20 ",$353.98 ,"$2,358.00 ",$361.06 ,"$3,537.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$470.45 ,$470.45 ,$470.45 ,"$4,716.00 ","$4,008.60 ",$884.94 ,"$3,772.80 ","$1,744.92 ","$3,772.80 ",$353.98 ,$353.98 ,"$4,716.00 ","$2,556.07 ",$353.98 ,"$1,240.31 ", N/A , N/A ,$444.62 ,$424.41 ,$371.68 ,"$4,008.60 ",$796.45 ,"$3,103.13 ","$1,320.48 ","$4,244.40 ","$3,395.52 ","$4,716.00 ",$470.45 ,"$2,971.08 ","$2,971.08 ",$353.98 ,"$2,263.68 ","$4,244.40 " ST. JOHN'S HOSPITAL,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$4,203.00 ","$2,731.95 ",$212.30 ,"$4,203.00 ",$552.95 ,"$1,100.00 ","$2,278.03 ",$221.18 ,"$1,176.84 ","$1,450.04 ",$221.18 ,"$1,613.95 ",$221.18 ,"$1,605.55 ",$685.13 ,$221.18 ,"$1,605.55 ",$420.25 ,$503.80 ,"$2,143.53 ",$552.96 ,$221.18 ,"$2,942.10 ",$221.18 ,"$2,101.50 ",$225.61 ,"$3,152.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$212.30 ,$212.30 ,$212.30 ,"$4,203.00 ","$3,572.55 ",$552.96 ,"$3,362.40 ","$1,555.11 ","$3,362.40 ",$221.18 ,$221.18 ,"$4,203.00 ","$2,278.03 ",$221.18 ,"$1,105.39 ", N/A , N/A ,$406.91 ,$388.42 ,$232.24 ,"$3,572.55 ",$497.66 ,"$2,765.57 ","$1,176.84 ","$3,782.70 ","$3,026.16 ","$4,203.00 ",$212.30 ,"$2,647.89 ","$2,647.89 ",$221.18 ,"$2,017.44 ","$3,782.70 " ST. JOHN'S HOSPITAL,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$5,694.00 ","$3,701.10 ",$314.30 ,"$5,694.00 ",$884.95 ,"$1,100.00 ","$3,086.15 ",$353.98 ,"$1,594.32 ","$1,709.04 ",$353.98 ,"$2,053.50 ",$353.98 ,"$2,175.11 ",$462.78 ,$353.98 ,"$2,175.11 ",$672.55 ,$745.30 ,"$2,903.94 ",$884.94 ,$353.98 ,"$3,985.80 ",$353.98 ,"$2,847.00 ",$361.06 ,"$4,270.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$314.30 ,$314.30 ,$314.30 ,"$5,694.00 ","$4,839.90 ",$884.94 ,"$4,555.20 ","$2,106.78 ","$4,555.20 ",$353.98 ,$353.98 ,"$5,694.00 ","$3,086.15 ",$353.98 ,"$1,497.52 ", N/A , N/A ,$406.91 ,$388.42 ,$371.68 ,"$4,839.90 ",$796.45 ,"$3,746.65 ","$1,594.32 ","$5,124.60 ","$4,099.68 ","$5,694.00 ",$314.30 ,"$3,587.22 ","$3,587.22 ",$353.98 ,"$2,733.12 ","$5,124.60 " ST. JOHN'S HOSPITAL,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$5,981.00 ","$3,887.65 ",$353.98 ,"$5,981.00 ",$884.95 ,"$1,100.00 ","$3,241.70 ",$353.98 ,"$1,674.68 ","$2,063.45 ",$353.98 ,"$2,296.70 ",$353.98 ,"$2,284.74 ",$860.14 ,$353.98 ,"$2,284.74 ",$672.55 ,$848.31 ,"$3,050.31 ",$884.94 ,$353.98 ,"$4,186.70 ",$353.98 ,"$2,990.50 ",$361.06 ,"$4,485.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$358.01 ,$358.01 ,$358.01 ,"$5,981.00 ","$5,083.85 ",$884.94 ,"$4,784.80 ","$2,212.97 ","$4,784.80 ",$353.98 ,$353.98 ,"$5,981.00 ","$3,241.70 ",$353.98 ,"$1,573.00 ", N/A , N/A ,$406.91 ,$388.42 ,$371.68 ,"$5,083.85 ",$796.45 ,"$3,935.50 ","$1,674.68 ","$5,382.90 ","$4,306.32 ","$5,981.00 ",$358.01 ,"$3,768.03 ","$3,768.03 ",$353.98 ,"$2,870.88 ","$5,382.90 " ST. JOHN'S HOSPITAL,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$4,592.00 ","$2,984.80 ",$203.85 ,"$4,592.00 ",$552.95 ,"$1,100.00 ","$2,488.86 ",$221.18 ,"$1,285.76 ","$1,584.24 ",$221.18 ,"$1,763.33 ",$221.18 ,"$1,754.14 ",$589.42 ,$221.18 ,"$1,754.14 ",$420.25 ,$485.72 ,"$2,341.92 ",$552.96 ,$221.18 ,"$3,214.40 ",$221.18 ,"$2,296.00 ",$225.61 ,"$3,444.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$203.85 ,$203.85 ,$203.85 ,"$4,592.00 ","$3,903.20 ",$552.96 ,"$3,673.60 ","$1,699.04 ","$3,673.60 ",$221.18 ,$221.18 ,"$4,592.00 ","$2,488.86 ",$221.18 ,"$1,207.70 ", N/A , N/A ,$293.47 ,$280.13 ,$232.24 ,"$3,903.20 ",$497.66 ,"$3,021.54 ","$1,285.76 ","$4,132.80 ","$3,306.24 ","$4,592.00 ",$203.85 ,"$2,892.96 ","$2,892.96 ",$221.18 ,"$2,204.16 ","$4,132.80 " ST. JOHN'S HOSPITAL,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$6,818.00 ","$4,431.70 ",$280.13 ,"$6,818.00 ",$884.95 ,"$1,100.00 ","$3,695.36 ",$353.98 ,"$1,909.04 ","$1,750.74 ",$353.98 ,"$2,103.60 ",$353.98 ,"$2,604.48 ",$474.49 ,$353.98 ,"$2,604.48 ",$672.55 ,$769.00 ,"$3,477.18 ",$884.94 ,$353.98 ,"$4,772.60 ",$353.98 ,"$3,409.00 ",$361.06 ,"$5,113.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$322.25 ,$322.25 ,$322.25 ,"$6,818.00 ","$5,795.30 ",$884.94 ,"$5,454.40 ","$2,522.66 ","$5,454.40 ",$353.98 ,$353.98 ,"$6,818.00 ","$3,695.36 ",$353.98 ,"$1,793.13 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$5,795.30 ",$796.45 ,"$4,486.24 ","$1,909.04 ","$6,136.20 ","$4,908.96 ","$6,818.00 ",$322.25 ,"$4,295.34 ","$4,295.34 ",$353.98 ,"$3,272.64 ","$6,136.20 " ST. JOHN'S HOSPITAL,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$4,133.00 ","$2,686.45 ",$204.35 ,"$4,133.00 ",$552.95 ,"$1,100.00 ","$2,240.09 ",$221.18 ,"$1,157.24 ","$1,409.09 ",$221.18 ,"$1,587.07 ",$221.18 ,"$1,578.81 ",$300.89 ,$221.18 ,"$1,578.81 ",$420.25 ,$485.72 ,"$2,107.83 ",$552.96 ,$221.18 ,"$2,893.10 ",$221.18 ,"$2,066.50 ",$225.61 ,"$3,099.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$204.35 ,$204.35 ,$204.35 ,"$4,133.00 ","$3,513.05 ",$552.96 ,"$3,306.40 ","$1,529.21 ","$3,306.40 ",$221.18 ,$221.18 ,"$4,133.00 ","$2,240.09 ",$221.18 ,"$1,086.98 ", N/A , N/A ,$293.47 ,$280.13 ,$232.24 ,"$3,513.05 ",$497.66 ,"$2,719.51 ","$1,157.24 ","$3,719.70 ","$2,975.76 ","$4,133.00 ",$204.35 ,"$2,603.79 ","$2,603.79 ",$221.18 ,"$1,983.84 ","$3,719.70 " ST. JOHN'S HOSPITAL,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$5,641.00 ","$3,666.65 ",$280.13 ,"$5,641.00 ",$884.95 ,"$1,100.00 ","$3,057.42 ",$353.98 ,"$1,579.48 ","$1,735.10 ",$353.98 ,"$2,084.81 ",$353.98 ,"$2,154.86 ",$471.56 ,$353.98 ,"$2,154.86 ",$672.55 ,$761.89 ,"$2,876.91 ",$884.94 ,$353.98 ,"$3,948.70 ",$353.98 ,"$2,820.50 ",$361.06 ,"$4,230.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$320.25 ,$320.25 ,$320.25 ,"$5,641.00 ","$4,794.85 ",$884.94 ,"$4,512.80 ","$2,087.17 ","$4,512.80 ",$353.98 ,$353.98 ,"$5,641.00 ","$3,057.42 ",$353.98 ,"$1,483.58 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$4,794.85 ",$796.45 ,"$3,711.78 ","$1,579.48 ","$5,076.90 ","$4,061.52 ","$5,641.00 ",$320.25 ,"$3,553.83 ","$3,553.83 ",$353.98 ,"$2,707.68 ","$5,076.90 " ST. JOHN'S HOSPITAL,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$4,770.00 ","$3,100.50 ",$204.35 ,"$4,770.00 ",$552.95 ,"$1,100.00 ","$2,585.34 ",$221.18 ,"$1,335.60 ","$1,645.65 ",$221.18 ,"$1,831.68 ",$221.18 ,"$1,822.14 ",$300.89 ,$221.18 ,"$1,822.14 ",$420.25 ,$486.87 ,"$2,432.70 ",$552.96 ,$221.18 ,"$3,339.00 ",$221.18 ,"$2,385.00 ",$225.61 ,"$3,577.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$204.35 ,$204.35 ,$204.35 ,"$4,770.00 ","$4,054.50 ",$552.96 ,"$3,816.00 ","$1,764.90 ","$3,816.00 ",$221.18 ,$221.18 ,"$4,770.00 ","$2,585.34 ",$221.18 ,"$1,254.51 ", N/A , N/A ,$293.47 ,$280.13 ,$232.24 ,"$4,054.50 ",$497.66 ,"$3,138.66 ","$1,335.60 ","$4,293.00 ","$3,434.40 ","$4,770.00 ",$204.35 ,"$3,005.10 ","$3,005.10 ",$221.18 ,"$2,289.60 ","$4,293.00 " ST. JOHN'S HOSPITAL,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$5,404.00 ","$3,512.60 ",$280.13 ,"$5,404.00 ",$884.95 ,"$1,100.00 ","$2,928.97 ",$353.98 ,"$1,513.12 ","$1,719.47 ",$353.98 ,"$2,066.03 ",$353.98 ,"$2,064.33 ",$466.44 ,$353.98 ,"$2,064.33 ",$672.55 ,$752.41 ,"$2,756.04 ",$884.94 ,$353.98 ,"$3,782.80 ",$353.98 ,"$2,702.00 ",$361.06 ,"$4,053.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$316.77 ,$316.77 ,$316.77 ,"$5,404.00 ","$4,593.40 ",$884.94 ,"$4,323.20 ","$1,999.48 ","$4,323.20 ",$353.98 ,$353.98 ,"$5,404.00 ","$2,928.97 ",$353.98 ,"$1,421.25 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$4,593.40 ",$796.45 ,"$3,555.83 ","$1,513.12 ","$4,863.60 ","$3,890.88 ","$5,404.00 ",$316.77 ,"$3,404.52 ","$3,404.52 ",$353.98 ,"$2,593.92 ","$4,863.60 " ST. JOHN'S HOSPITAL,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$7,545.00 ","$4,904.25 ",$280.13 ,"$7,545.00 ",$884.95 ,"$1,100.00 ","$4,089.39 ",$353.98 ,"$2,112.60 ","$2,488.05 ",$353.98 ,"$2,897.28 ",$353.98 ,"$2,882.19 ",$532.28 ,$353.98 ,"$2,882.19 ",$672.55 ,$860.14 ,"$3,847.95 ",$884.94 ,$353.98 ,"$5,281.50 ",$353.98 ,"$3,772.50 ",$361.06 ,"$5,658.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$361.49 ,$361.49 ,$361.49 ,"$7,545.00 ","$6,413.25 ",$884.94 ,"$6,036.00 ","$2,791.65 ","$6,036.00 ",$353.98 ,$353.98 ,"$7,545.00 ","$4,089.39 ",$353.98 ,"$1,984.34 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$6,413.25 ",$796.45 ,"$4,964.61 ","$2,112.60 ","$6,790.50 ","$5,432.40 ","$7,545.00 ",$361.49 ,"$4,753.35 ","$4,753.35 ",$353.98 ,"$3,621.60 ","$6,790.50 " ST. JOHN'S HOSPITAL,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$5,937.00 ","$3,859.05 ",$280.13 ,"$5,937.00 ",$884.95 ,"$1,100.00 ","$3,217.85 ",$353.98 ,"$1,662.36 ","$1,969.68 ",$353.98 ,"$2,279.81 ",$353.98 ,"$2,267.93 ",$534.47 ,$353.98 ,"$2,267.93 ",$672.55 ,$862.52 ,"$3,027.87 ",$884.94 ,$353.98 ,"$4,155.90 ",$353.98 ,"$2,968.50 ",$361.06 ,"$4,452.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$362.97 ,$362.97 ,$362.97 ,"$5,937.00 ","$5,046.45 ",$884.94 ,"$4,749.60 ","$2,196.69 ","$4,749.60 ",$353.98 ,$353.98 ,"$5,937.00 ","$3,217.85 ",$353.98 ,"$1,561.43 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$5,046.45 ",$796.45 ,"$3,906.55 ","$1,662.36 ","$5,343.30 ","$4,274.64 ","$5,937.00 ",$362.97 ,"$3,740.31 ","$3,740.31 ",$353.98 ,"$2,849.76 ","$5,343.30 " ST. JOHN'S HOSPITAL,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$6,063.00 ","$3,940.95 ",$280.13 ,"$6,063.00 ",$884.95 ,"$1,100.00 ","$3,286.15 ",$353.98 ,"$1,697.64 ","$2,091.74 ",$353.98 ,"$2,328.19 ",$353.98 ,"$2,316.07 ",$530.81 ,$353.98 ,"$2,316.07 ",$672.55 ,$857.76 ,"$3,092.13 ",$884.94 ,$353.98 ,"$4,244.10 ",$353.98 ,"$3,031.50 ",$361.06 ,"$4,547.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$360.50 ,$360.50 ,$360.50 ,"$6,063.00 ","$5,153.55 ",$884.94 ,"$4,850.40 ","$2,243.31 ","$4,850.40 ",$353.98 ,$353.98 ,"$6,063.00 ","$3,286.15 ",$353.98 ,"$1,594.57 ", N/A , N/A ,$293.47 ,$280.13 ,$371.68 ,"$5,153.55 ",$796.45 ,"$3,989.45 ","$1,697.64 ","$5,456.70 ","$4,365.36 ","$6,063.00 ",$360.50 ,"$3,819.69 ","$3,819.69 ",$353.98 ,"$2,910.24 ","$5,456.70 " ST. JOHN'S HOSPITAL,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$3,693.00 ","$2,400.45 ",$221.18 ,"$3,693.00 ",$552.95 ,"$1,100.00 ","$2,001.61 ",$221.18 ,"$1,034.04 ","$1,274.09 ",$221.18 ,"$1,418.11 ",$221.18 ,"$1,410.73 ",$405.49 ,$221.18 ,"$1,410.73 ",$420.25 ,$652.97 ,"$1,883.43 ",$552.96 ,$221.18 ,"$2,585.10 ",$221.18 ,"$1,846.50 ",$225.61 ,"$2,769.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$275.39 ,$275.39 ,$275.39 ,"$3,693.00 ","$3,139.05 ",$552.96 ,"$2,954.40 ","$1,366.41 ","$2,954.40 ",$221.18 ,$221.18 ,"$3,693.00 ","$2,001.61 ",$221.18 ,$971.26 , N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$3,139.05 ",$497.66 ,"$2,429.99 ","$1,034.04 ","$3,323.70 ","$2,658.96 ","$3,693.00 ",$275.39 ,"$2,326.59 ","$2,326.59 ",$221.18 ,"$1,772.64 ","$3,323.70 " ST. JOHN'S HOSPITAL,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$4,666.00 ","$3,032.90 ",$319.76 ,"$4,666.00 ",$884.95 ,"$1,100.00 ","$2,528.97 ",$353.98 ,"$1,306.48 ","$1,609.77 ",$353.98 ,"$1,791.74 ",$353.98 ,"$1,782.41 ",$470.83 ,$353.98 ,"$1,782.41 ",$672.55 ,$761.89 ,"$2,379.66 ",$884.94 ,$353.98 ,"$3,266.20 ",$353.98 ,"$2,333.00 ",$361.06 ,"$3,499.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$319.76 ,$319.76 ,$319.76 ,"$4,666.00 ","$3,966.10 ",$884.94 ,"$3,732.80 ","$1,726.42 ","$3,732.80 ",$353.98 ,$353.98 ,"$4,666.00 ","$2,528.97 ",$353.98 ,"$1,227.16 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$3,966.10 ",$796.45 ,"$3,070.23 ","$1,306.48 ","$4,199.40 ","$3,359.52 ","$4,666.00 ",$319.76 ,"$2,939.58 ","$2,939.58 ",$353.98 ,"$2,239.68 ","$4,199.40 " ST. JOHN'S HOSPITAL,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$5,655.00 ","$3,675.75 ",$346.66 ,"$5,655.00 ",$884.95 ,"$1,100.00 ","$3,065.01 ",$353.98 ,"$1,583.40 ","$1,950.98 ",$353.98 ,"$2,171.52 ",$353.98 ,"$2,160.21 ",$593.73 ,$353.98 ,"$2,160.21 ",$672.55 ,$954.85 ,"$2,884.05 ",$884.94 ,$353.98 ,"$3,958.50 ",$353.98 ,"$2,827.50 ",$361.06 ,"$4,241.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$403.22 ,$403.22 ,$403.22 ,"$5,655.00 ","$4,806.75 ",$884.94 ,"$4,524.00 ","$2,092.35 ","$4,524.00 ",$353.98 ,$353.98 ,"$5,655.00 ","$3,065.01 ",$353.98 ,"$1,487.27 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,806.75 ",$796.45 ,"$3,720.99 ","$1,583.40 ","$5,089.50 ","$4,071.60 ","$5,655.00 ",$403.22 ,"$3,562.65 ","$3,562.65 ",$353.98 ,"$2,714.40 ","$5,089.50 " ST. JOHN'S HOSPITAL,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$4,254.00 ","$2,765.10 ",$221.18 ,"$4,254.00 ",$552.95 ,"$1,100.00 ","$2,305.67 ",$221.18 ,"$1,191.12 ","$1,467.63 ",$221.18 ,"$1,633.54 ",$221.18 ,"$1,625.03 ",$599.58 ,$221.18 ,"$1,625.03 ",$420.25 ,$976.17 ,"$2,169.54 ",$552.96 ,$221.18 ,"$2,977.80 ",$221.18 ,"$2,127.00 ",$225.61 ,"$3,190.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$318.27 ,$318.27 ,$318.27 ,"$4,254.00 ","$3,615.90 ",$552.96 ,"$3,403.20 ","$1,573.98 ","$3,403.20 ",$221.18 ,$221.18 ,"$4,254.00 ","$2,305.67 ",$221.18 ,"$1,118.80 ", N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$3,615.90 ",$497.66 ,"$2,799.13 ","$1,191.12 ","$3,828.60 ","$3,062.88 ","$4,254.00 ",$318.27 ,"$2,680.02 ","$2,680.02 ",$221.18 ,"$2,041.92 ","$3,828.60 " ST. JOHN'S HOSPITAL,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$4,670.00 ","$3,035.50 ",$346.66 ,"$4,670.00 ",$884.95 ,"$1,100.00 ","$2,531.14 ",$353.98 ,"$1,307.60 ","$1,611.15 ",$353.98 ,"$1,793.28 ",$353.98 ,"$1,783.94 ",$644.20 ,$353.98 ,"$1,783.94 ",$672.55 ,"$1,040.07 ","$2,381.70 ",$884.94 ,$353.98 ,"$3,269.00 ",$353.98 ,"$2,335.00 ",$361.06 ,"$3,502.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$437.49 ,$437.49 ,$437.49 ,"$4,670.00 ","$3,969.50 ",$884.94 ,"$3,736.00 ","$1,727.90 ","$3,736.00 ",$353.98 ,$353.98 ,"$4,670.00 ","$2,531.14 ",$353.98 ,"$1,228.21 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$3,969.50 ",$796.45 ,"$3,072.86 ","$1,307.60 ","$4,203.00 ","$3,362.40 ","$4,670.00 ",$437.49 ,"$2,942.10 ","$2,942.10 ",$353.98 ,"$2,241.60 ","$4,203.00 " ST. JOHN'S HOSPITAL,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$5,477.00 ","$3,560.05 ",$346.66 ,"$5,477.00 ",$884.95 ,"$1,100.00 ","$2,968.53 ",$353.98 ,"$1,533.56 ","$1,889.57 ",$353.98 ,"$2,103.17 ",$353.98 ,"$2,092.21 ",$783.19 ,$353.98 ,"$2,092.21 ",$672.55 ,"$1,266.88 ","$2,793.27 ",$884.94 ,$353.98 ,"$3,833.90 ",$353.98 ,"$2,738.50 ",$361.06 ,"$4,107.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$531.89 ,$531.89 ,$531.89 ,"$5,477.00 ","$4,655.45 ",$884.94 ,"$4,381.60 ","$2,026.49 ","$4,381.60 ",$353.98 ,$353.98 ,"$5,477.00 ","$2,968.53 ",$353.98 ,"$1,440.45 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,655.45 ",$796.45 ,"$3,603.87 ","$1,533.56 ","$4,929.30 ","$3,943.44 ","$5,477.00 ",$531.89 ,"$3,450.51 ","$3,450.51 ",$353.98 ,"$2,628.96 ","$4,929.30 " ST. JOHN'S HOSPITAL,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$6,149.00 ","$3,996.85 ",$230.33 ,"$6,149.00 ","$1,256.23 ","$1,100.00 ","$3,332.76 ",$502.49 ,"$1,721.72 ","$1,586.91 ",$502.49 ,"$1,906.75 ",$502.49 ,"$2,348.92 ",$339.16 ,$502.49 ,"$2,348.92 ",$954.73 ,$549.96 ,"$3,135.99 ","$1,256.22 ",$502.49 ,"$4,304.30 ",$502.49 ,"$3,074.50 ",$512.54 ,"$4,611.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$502.49 ,"$1,606.00 ",$230.33 ,$230.33 ,$230.33 ,"$6,149.00 ","$5,226.65 ","$1,256.22 ","$4,919.20 ","$2,275.13 ","$4,919.20 ",$502.49 ,$502.49 ,"$6,149.00 ","$3,332.76 ",$502.49 ,"$1,617.19 ", N/A , N/A ,$367.68 ,$350.96 ,$527.61 ,"$5,226.65 ","$1,130.60 ","$4,046.04 ","$1,721.72 ","$5,534.10 ","$4,427.28 ","$6,149.00 ",$230.33 ,"$3,873.87 ","$3,873.87 ",$502.49 ,"$2,951.52 ","$5,534.10 " ST. JOHN'S HOSPITAL,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$4,161.00 ","$2,704.65 ",$221.18 ,"$4,161.00 ",$552.95 ,"$1,100.00 ","$2,255.26 ",$221.18 ,"$1,165.08 ","$1,435.55 ",$221.18 ,"$1,597.82 ",$221.18 ,"$1,589.50 ",$339.16 ,$221.18 ,"$1,589.50 ",$420.25 ,$549.96 ,"$2,122.11 ",$552.96 ,$221.18 ,"$2,912.70 ",$221.18 ,"$2,080.50 ",$225.61 ,"$3,120.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$230.33 ,$230.33 ,$230.33 ,"$4,161.00 ","$3,536.85 ",$552.96 ,"$3,328.80 ","$1,539.57 ","$3,328.80 ",$221.18 ,$221.18 ,"$4,161.00 ","$2,255.26 ",$221.18 ,"$1,094.34 ", N/A , N/A ,$245.12 ,$233.98 ,$232.24 ,"$3,536.85 ",$497.66 ,"$2,737.94 ","$1,165.08 ","$3,744.90 ","$2,995.92 ","$4,161.00 ",$230.33 ,"$2,621.43 ","$2,621.43 ",$221.18 ,"$1,997.28 ","$3,744.90 " ST. JOHN'S HOSPITAL,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,708.00 ","$3,060.20 ",$233.98 ,"$4,708.00 ","$1,719.28 ","$1,100.00 ","$2,551.74 ",$687.71 ,"$1,318.24 ","$1,624.26 ",$687.71 ,"$1,807.87 ",$687.71 ,"$1,798.46 ",$596.65 ,$687.71 ,"$1,798.46 ","$1,306.64 ",$969.06 ,"$2,401.08 ","$1,719.27 ",$687.71 ,"$3,295.60 ",$687.71 ,"$2,354.00 ",$701.46 ,"$3,531.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$687.71 ,"$1,606.00 ",$405.21 ,$405.21 ,$405.21 ,"$4,708.00 ","$4,001.80 ","$1,719.27 ","$3,766.40 ","$1,741.96 ","$3,766.40 ",$687.71 ,$687.71 ,"$4,708.00 ","$2,551.74 ",$687.71 ,"$1,238.20 ", N/A , N/A ,$245.12 ,$233.98 ,$722.10 ,"$4,001.80 ","$1,547.34 ","$3,097.86 ","$1,318.24 ","$4,237.20 ","$3,389.76 ","$4,708.00 ",$405.21 ,"$2,966.04 ","$2,966.04 ",$687.71 ,"$2,259.84 ","$4,237.20 " ST. JOHN'S HOSPITAL,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$5,305.00 ","$3,448.25 ",$233.98 ,"$5,305.00 ",$884.95 ,"$1,100.00 ","$2,875.31 ",$353.98 ,"$1,485.40 ","$1,830.23 ",$353.98 ,"$2,037.12 ",$353.98 ,"$2,026.51 ",$726.86 ,$353.98 ,"$2,026.51 ",$672.55 ,"$1,172.66 ","$2,705.55 ",$884.94 ,$353.98 ,"$3,713.50 ",$353.98 ,"$2,652.50 ",$361.06 ,"$3,978.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$493.64 ,$493.64 ,$493.64 ,"$5,305.00 ","$4,509.25 ",$884.94 ,"$4,244.00 ","$1,962.85 ","$4,244.00 ",$353.98 ,$353.98 ,"$5,305.00 ","$2,875.31 ",$353.98 ,"$1,395.22 ", N/A , N/A ,$245.12 ,$233.98 ,$371.68 ,"$4,509.25 ",$796.45 ,"$3,490.69 ","$1,485.40 ","$4,774.50 ","$3,819.60 ","$5,305.00 ",$493.64 ,"$3,342.15 ","$3,342.15 ",$353.98 ,"$2,546.40 ","$4,774.50 " ST. JOHN'S HOSPITAL,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$4,200.00 ","$2,730.00 ",$221.18 ,"$4,200.00 ",$552.95 ,"$1,100.00 ","$2,276.40 ",$221.18 ,"$1,176.00 ","$1,449.00 ",$221.18 ,"$1,612.80 ",$221.18 ,"$1,604.40 ",$400.37 ,$221.18 ,"$1,604.40 ",$420.25 ,$647.06 ,"$2,142.00 ",$552.96 ,$221.18 ,"$2,940.00 ",$221.18 ,"$2,100.00 ",$225.61 ,"$3,150.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$271.91 ,$271.91 ,$271.91 ,"$4,200.00 ","$3,570.00 ",$552.96 ,"$3,360.00 ","$1,554.00 ","$3,360.00 ",$221.18 ,$221.18 ,"$4,200.00 ","$2,276.40 ",$221.18 ,"$1,104.60 ", N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$3,570.00 ",$497.66 ,"$2,763.60 ","$1,176.00 ","$3,780.00 ","$3,024.00 ","$4,200.00 ",$271.91 ,"$2,646.00 ","$2,646.00 ",$221.18 ,"$2,016.00 ","$3,780.00 " ST. JOHN'S HOSPITAL,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$4,670.00 ","$3,035.50 ",$319.76 ,"$4,670.00 ",$884.95 ,"$1,100.00 ","$2,531.14 ",$353.98 ,"$1,307.60 ","$1,611.15 ",$353.98 ,"$1,793.28 ",$353.98 ,"$1,783.94 ",$470.83 ,$353.98 ,"$1,783.94 ",$672.55 ,$754.79 ,"$2,381.70 ",$884.94 ,$353.98 ,"$3,269.00 ",$353.98 ,"$2,335.00 ",$361.06 ,"$3,502.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$319.76 ,$319.76 ,$319.76 ,"$4,670.00 ","$3,969.50 ",$884.94 ,"$3,736.00 ","$1,727.90 ","$3,736.00 ",$353.98 ,$353.98 ,"$4,670.00 ","$2,531.14 ",$353.98 ,"$1,228.21 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$3,969.50 ",$796.45 ,"$3,072.86 ","$1,307.60 ","$4,203.00 ","$3,362.40 ","$4,670.00 ",$319.76 ,"$2,942.10 ","$2,942.10 ",$353.98 ,"$2,241.60 ","$4,203.00 " ST. JOHN'S HOSPITAL,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$7,770.00 ","$5,050.50 ",$405.71 ,"$7,770.00 ","$2,026.30 ","$1,100.00 ","$4,211.34 ",$810.52 ,"$2,175.60 ","$2,366.58 ",$810.52 ,"$2,843.57 ",$810.52 ,"$2,968.14 ",$597.38 ,$810.52 ,"$2,968.14 ","$1,540.00 ",$961.95 ,"$3,962.70 ","$2,026.31 ",$810.52 ,"$5,439.00 ",$810.52 ,"$3,885.00 ",$826.73 ,"$5,827.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$810.52 ,"$1,606.00 ",$405.71 ,$405.71 ,$405.71 ,"$7,770.00 ","$6,604.50 ","$2,026.31 ","$6,216.00 ","$2,874.90 ","$6,216.00 ",$810.52 ,$810.52 ,"$7,770.00 ","$4,211.34 ",$810.52 ,"$2,043.51 ", N/A , N/A ,$544.75 ,$519.99 ,$851.05 ,"$6,604.50 ","$1,823.68 ","$5,112.66 ","$2,175.60 ","$6,993.00 ","$5,594.40 ","$7,770.00 ",$405.71 ,"$4,895.10 ","$4,895.10 ",$810.52 ,"$3,729.60 ","$6,993.00 " ST. JOHN'S HOSPITAL,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$5,179.00 ","$3,366.35 ",$346.66 ,"$5,179.00 ",$884.95 ,"$1,100.00 ","$2,807.02 ",$353.98 ,"$1,450.12 ","$1,786.76 ",$353.98 ,"$1,988.74 ",$353.98 ,"$1,978.38 ",$597.38 ,$353.98 ,"$1,978.38 ",$672.55 ,$961.95 ,"$2,641.29 ",$884.94 ,$353.98 ,"$3,625.30 ",$353.98 ,"$2,589.50 ",$361.06 ,"$3,884.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$405.71 ,$405.71 ,$405.71 ,"$5,179.00 ","$4,402.15 ",$884.94 ,"$4,143.20 ","$1,916.23 ","$4,143.20 ",$353.98 ,$353.98 ,"$5,179.00 ","$2,807.02 ",$353.98 ,"$1,362.08 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,402.15 ",$796.45 ,"$3,407.78 ","$1,450.12 ","$4,661.10 ","$3,728.88 ","$5,179.00 ",$405.71 ,"$3,262.77 ","$3,262.77 ",$353.98 ,"$2,485.92 ","$4,661.10 " ST. JOHN'S HOSPITAL,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$4,131.00 ","$2,685.15 ",$221.18 ,"$4,131.00 ",$552.95 ,"$1,100.00 ","$2,239.00 ",$221.18 ,"$1,156.68 ","$1,425.20 ",$221.18 ,"$1,586.30 ",$221.18 ,"$1,578.04 ",$339.16 ,$221.18 ,"$1,578.04 ",$420.25 ,$548.81 ,"$2,106.81 ",$552.96 ,$221.18 ,"$2,891.70 ",$221.18 ,"$2,065.50 ",$225.61 ,"$3,098.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$230.33 ,$230.33 ,$230.33 ,"$4,131.00 ","$3,511.35 ",$552.96 ,"$3,304.80 ","$1,528.47 ","$3,304.80 ",$221.18 ,$221.18 ,"$4,131.00 ","$2,239.00 ",$221.18 ,"$1,086.45 ", N/A , N/A ,$245.12 ,$233.98 ,$232.24 ,"$3,511.35 ",$497.66 ,"$2,718.20 ","$1,156.68 ","$3,717.90 ","$2,974.32 ","$4,131.00 ",$230.33 ,"$2,602.53 ","$2,602.53 ",$221.18 ,"$1,982.88 ","$3,717.90 " ST. JOHN'S HOSPITAL,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$6,098.00 ","$3,963.70 ",$230.33 ,"$6,098.00 ","$1,256.23 ","$1,100.00 ","$3,305.12 ",$502.49 ,"$1,707.44 ","$2,103.81 ",$502.49 ,"$2,341.63 ",$502.49 ,"$2,329.44 ",$339.16 ,$502.49 ,"$2,329.44 ",$954.73 ,$548.81 ,"$3,109.98 ","$1,256.22 ",$502.49 ,"$4,268.60 ",$502.49 ,"$3,049.00 ",$512.54 ,"$4,573.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$502.49 ,"$1,606.00 ",$230.33 ,$230.33 ,$230.33 ,"$6,098.00 ","$5,183.30 ","$1,256.22 ","$4,878.40 ","$2,256.26 ","$4,878.40 ",$502.49 ,$502.49 ,"$6,098.00 ","$3,305.12 ",$502.49 ,"$1,603.77 ", N/A , N/A ,$367.68 ,$350.96 ,$527.61 ,"$5,183.30 ","$1,130.60 ","$4,012.48 ","$1,707.44 ","$5,488.20 ","$4,390.56 ","$6,098.00 ",$230.33 ,"$3,841.74 ","$3,841.74 ",$502.49 ,"$2,927.04 ","$5,488.20 " ST. JOHN'S HOSPITAL,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,748.00 ","$3,086.20 ",$233.98 ,"$4,748.00 ","$1,719.28 ","$1,100.00 ","$2,573.42 ",$687.71 ,"$1,329.44 ","$1,638.06 ",$687.71 ,"$1,823.23 ",$687.71 ,"$1,813.74 ",$600.31 ,$687.71 ,"$1,813.74 ","$1,306.64 ",$971.40 ,"$2,421.48 ","$1,719.27 ",$687.71 ,"$3,323.60 ",$687.71 ,"$2,374.00 ",$701.46 ,"$3,561.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$687.71 ,"$1,606.00 ",$407.69 ,$407.69 ,$407.69 ,"$4,748.00 ","$4,035.80 ","$1,719.27 ","$3,798.40 ","$1,756.76 ","$3,798.40 ",$687.71 ,$687.71 ,"$4,748.00 ","$2,573.42 ",$687.71 ,"$1,248.72 ", N/A , N/A ,$245.12 ,$233.98 ,$722.10 ,"$4,035.80 ","$1,547.34 ","$3,124.18 ","$1,329.44 ","$4,273.20 ","$3,418.56 ","$4,748.00 ",$407.69 ,"$2,991.24 ","$2,991.24 ",$687.71 ,"$2,279.04 ","$4,273.20 " ST. JOHN'S HOSPITAL,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$7,123.00 ","$4,629.95 ",$350.96 ,"$7,123.00 ","$2,026.30 ","$1,100.00 ","$3,860.67 ",$810.52 ,"$1,994.44 ","$2,235.36 ",$810.52 ,"$2,685.90 ",$810.52 ,"$2,720.99 ",$600.31 ,$810.52 ,"$2,720.99 ","$1,540.00 ",$971.40 ,"$3,632.73 ","$2,026.31 ",$810.52 ,"$4,986.10 ",$810.52 ,"$3,561.50 ",$826.73 ,"$5,342.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$810.52 ,"$1,606.00 ",$407.69 ,$407.69 ,$407.69 ,"$7,123.00 ","$6,054.55 ","$2,026.31 ","$5,698.40 ","$2,635.51 ","$5,698.40 ",$810.52 ,$810.52 ,"$7,123.00 ","$3,860.67 ",$810.52 ,"$1,873.35 ", N/A , N/A ,$367.68 ,$350.96 ,$851.05 ,"$6,054.55 ","$1,823.68 ","$4,686.93 ","$1,994.44 ","$6,410.70 ","$5,128.56 ","$7,123.00 ",$407.69 ,"$4,487.49 ","$4,487.49 ",$810.52 ,"$3,419.04 ","$6,410.70 " ST. JOHN'S HOSPITAL,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$5,305.00 ","$3,448.25 ",$233.98 ,"$5,305.00 ",$884.95 ,"$1,100.00 ","$2,875.31 ",$353.98 ,"$1,485.40 ","$1,830.23 ",$353.98 ,"$2,037.12 ",$353.98 ,"$2,026.51 ",$725.40 ,$353.98 ,"$2,026.51 ",$672.55 ,"$1,169.12 ","$2,705.55 ",$884.94 ,$353.98 ,"$3,713.50 ",$353.98 ,"$2,652.50 ",$361.06 ,"$3,978.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$492.65 ,$492.65 ,$492.65 ,"$5,305.00 ","$4,509.25 ",$884.94 ,"$4,244.00 ","$1,962.85 ","$4,244.00 ",$353.98 ,$353.98 ,"$5,305.00 ","$2,875.31 ",$353.98 ,"$1,395.22 ", N/A , N/A ,$245.12 ,$233.98 ,$371.68 ,"$4,509.25 ",$796.45 ,"$3,490.69 ","$1,485.40 ","$4,774.50 ","$3,819.60 ","$5,305.00 ",$492.65 ,"$3,342.15 ","$3,342.15 ",$353.98 ,"$2,546.40 ","$4,774.50 " ST. JOHN'S HOSPITAL,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$7,957.00 ","$5,172.05 ",$350.96 ,"$7,957.00 ","$2,026.30 ","$1,100.00 ","$4,312.69 ",$810.52 ,"$2,227.96 ","$2,697.29 ",$810.52 ,"$3,055.49 ",$810.52 ,"$3,039.57 ",$725.40 ,$810.52 ,"$3,039.57 ","$1,540.00 ","$1,169.12 ","$4,058.07 ","$2,026.31 ",$810.52 ,"$5,569.90 ",$810.52 ,"$3,978.50 ",$826.73 ,"$5,967.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$810.52 ,"$1,606.00 ",$492.65 ,$492.65 ,$492.65 ,"$7,957.00 ","$6,763.45 ","$2,026.31 ","$6,365.60 ","$2,944.09 ","$6,365.60 ",$810.52 ,$810.52 ,"$7,957.00 ","$4,312.69 ",$810.52 ,"$2,092.69 ", N/A , N/A ,$367.68 ,$350.96 ,$851.05 ,"$6,763.45 ","$1,823.68 ","$5,235.71 ","$2,227.96 ","$7,161.30 ","$5,729.04 ","$7,957.00 ",$492.65 ,"$5,012.91 ","$5,012.91 ",$810.52 ,"$3,819.36 ","$7,161.30 " ST. JOHN'S HOSPITAL,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$4,946.00 ","$3,214.90 ",$221.18 ,"$4,946.00 ",$552.95 ,"$1,100.00 ","$2,680.73 ",$221.18 ,"$1,384.88 ","$1,555.95 ",$221.18 ,"$1,869.55 ",$221.18 ,"$1,889.37 ",$351.36 ,$221.18 ,"$1,889.37 ",$420.25 ,$515.29 ,"$2,522.46 ",$552.96 ,$221.18 ,"$3,462.20 ",$221.18 ,"$2,473.00 ",$225.61 ,"$3,709.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$238.62 ,$238.62 ,$238.62 ,"$4,946.00 ","$4,204.10 ",$552.96 ,"$3,956.80 ","$1,830.02 ","$3,956.80 ",$221.18 ,$221.18 ,"$4,946.00 ","$2,680.73 ",$221.18 ,"$1,300.80 ", N/A , N/A ,$435.27 ,$415.49 ,$232.24 ,"$4,204.10 ",$497.66 ,"$3,254.47 ","$1,384.88 ","$4,451.40 ","$3,561.12 ","$4,946.00 ",$238.62 ,"$3,115.98 ","$3,115.98 ",$221.18 ,"$2,374.08 ","$4,451.40 " ST. JOHN'S HOSPITAL,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$5,093.00 ","$3,310.45 ",$353.98 ,"$5,093.00 ",$884.95 ,"$1,100.00 ","$2,760.41 ",$353.98 ,"$1,426.04 ","$1,757.09 ",$353.98 ,"$1,955.71 ",$353.98 ,"$1,945.53 ",$559.34 ,$353.98 ,"$1,945.53 ",$672.55 ,$899.20 ,"$2,597.43 ",$884.94 ,$353.98 ,"$3,565.10 ",$353.98 ,"$2,546.50 ",$361.06 ,"$3,819.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$379.86 ,$379.86 ,$379.86 ,"$5,093.00 ","$4,329.05 ",$884.94 ,"$4,074.40 ","$1,884.41 ","$4,074.40 ",$353.98 ,$353.98 ,"$5,093.00 ","$2,760.41 ",$353.98 ,"$1,339.46 ", N/A , N/A ,$435.27 ,$415.49 ,$371.68 ,"$4,329.05 ",$796.45 ,"$3,351.19 ","$1,426.04 ","$4,583.70 ","$3,666.96 ","$5,093.00 ",$379.86 ,"$3,208.59 ","$3,208.59 ",$353.98 ,"$2,444.64 ","$4,583.70 " ST. JOHN'S HOSPITAL,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$5,790.00 ","$3,763.50 ",$353.98 ,"$5,790.00 ",$884.95 ,"$1,100.00 ","$3,138.18 ",$353.98 ,"$1,621.20 ","$1,997.55 ",$353.98 ,"$2,223.36 ",$353.98 ,"$2,211.78 ",$594.46 ,$353.98 ,"$2,211.78 ",$672.55 ,$957.19 ,"$2,952.90 ",$884.94 ,$353.98 ,"$4,053.00 ",$353.98 ,"$2,895.00 ",$361.06 ,"$4,342.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$403.71 ,$403.71 ,$403.71 ,"$5,790.00 ","$4,921.50 ",$884.94 ,"$4,632.00 ","$2,142.30 ","$4,632.00 ",$353.98 ,$353.98 ,"$5,790.00 ","$3,138.18 ",$353.98 ,"$1,522.77 ", N/A , N/A ,$435.27 ,$415.49 ,$371.68 ,"$4,921.50 ",$796.45 ,"$3,809.82 ","$1,621.20 ","$5,211.00 ","$4,168.80 ","$5,790.00 ",$403.71 ,"$3,647.70 ","$3,647.70 ",$353.98 ,"$2,779.20 ","$5,211.00 " ST. JOHN'S HOSPITAL,61000041,75557,HC MRI CARDIAC W/O CON,610,1 ,"$4,456.00 ","$2,896.40 ",$221.18 ,"$4,456.00 ",$552.95 ,"$1,100.00 ","$2,415.15 ",$221.18 ,"$1,247.68 ","$1,537.32 ",$221.18 ,"$1,711.10 ",$221.18 ,"$1,702.19 ",$429.63 ,$221.18 ,"$1,702.19 ",$420.25 ,$699.99 ,"$2,272.56 ",$552.96 ,$221.18 ,"$3,119.20 ",$221.18 ,"$2,228.00 ",$225.61 ,"$3,342.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$291.78 ,$291.78 ,$291.78 ,"$4,456.00 ","$3,787.60 ",$552.96 ,"$3,564.80 ","$1,648.72 ","$3,564.80 ",$221.18 ,$221.18 ,"$4,456.00 ","$2,415.15 ",$221.18 ,"$1,171.93 ", N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$3,787.60 ",$497.66 ,"$2,932.05 ","$1,247.68 ","$4,010.40 ","$3,208.32 ","$4,456.00 ",$291.78 ,"$2,807.28 ","$2,807.28 ",$221.18 ,"$2,138.88 ","$4,010.40 " ST. JOHN'S HOSPITAL,61000042,75561,HC MRI CARD W/O AND W CON,610,1 ,"$5,432.00 ","$3,530.80 ",$346.66 ,"$5,432.00 ",$884.95 ,"$1,100.00 ","$2,944.14 ",$353.98 ,"$1,520.96 ","$1,874.04 ",$353.98 ,"$2,085.89 ",$353.98 ,"$2,075.02 ",$614.94 ,$353.98 ,"$2,075.02 ",$672.55 ,"$1,005.74 ","$2,770.32 ",$884.94 ,$353.98 ,"$3,802.40 ",$353.98 ,"$2,716.00 ",$361.06 ,"$4,074.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$417.63 ,$417.63 ,$417.63 ,"$5,432.00 ","$4,617.20 ",$884.94 ,"$4,345.60 ","$2,009.84 ","$4,345.60 ",$353.98 ,$353.98 ,"$5,432.00 ","$2,944.14 ",$353.98 ,"$1,428.62 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,617.20 ",$796.45 ,"$3,574.26 ","$1,520.96 ","$4,888.80 ","$3,911.04 ","$5,432.00 ",$417.63 ,"$3,422.16 ","$3,422.16 ",$353.98 ,"$2,607.36 ","$4,888.80 " ST. JOHN'S HOSPITAL,61000043,76390,HC MRI SPECTROSCOPY,610,1 ,"$5,690.00 ","$3,698.50 ",$77.75 ,"$5,690.00 ",$194.38 ,"$1,100.00 ","$3,083.98 ",$77.75 ,"$1,593.20 ","$1,963.05 ",$77.75 ,"$2,184.96 ",$77.75 ,"$2,173.58 ",$755.89 ,$77.75 ,"$2,173.58 ",$147.73 ,"$1,222.39 ","$2,901.90 ",$194.38 ,$77.75 ,"$3,983.00 ",$77.75 ,"$2,845.00 ",$79.31 ,"$4,267.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$77.75 ,"$1,606.00 ","$3,983.00 ","$3,983.00 ","$3,983.00 ","$5,690.00 ","$4,836.50 ",$194.38 ,"$4,552.00 ","$2,105.30 ","$4,552.00 ",$77.75 ,$77.75 ,"$5,690.00 ","$3,083.98 ",$77.75 ,"$1,496.47 ", N/A , N/A ,$363.17 ,$346.66 ,$81.64 ,"$4,836.50 ",$174.94 ,"$3,744.02 ","$1,593.20 ","$5,121.00 ","$4,096.80 ","$5,690.00 ","$3,983.00 ","$3,584.70 ","$3,584.70 ",$77.75 ,"$2,731.20 ","$5,121.00 " ST. JOHN'S HOSPITAL,61000044,76498,HC UNLISTED MRI PROC,610,1 ,$257.00 ,$167.05 ,$67.59 ,$346.66 ,$194.38 ,$257.00 ,$139.29 ,$77.75 ,$71.96 ,$82.24 ,$77.75 ,$94.58 ,$77.75 ,$98.17 ,$102.80 ,$77.75 ,$98.17 ,$147.73 ,$257.00 ,$131.07 ,$194.38 ,$77.75 ,$179.90 ,$77.75 ,$128.50 ,$79.31 ,$192.75 ,$114.62 ,$103.06 ,$114.62 ,$77.75 ,$114.62 ,$86.10 ,$86.10 ,$86.10 ,$257.00 ,$218.45 ,$194.38 ,$205.60 ,$95.09 ,$205.60 ,$77.75 ,$77.75 ,$257.00 ,$139.29 ,$77.75 ,$67.59 , N/A , N/A ,$257.00 ,$346.66 ,$81.64 ,$218.45 ,$174.94 ,$169.11 ,$71.96 ,$231.30 ,$185.04 ,$257.00 ,$86.10 ,$161.91 ,$161.91 ,$77.75 ,$123.36 ,$231.30 ST. JOHN'S HOSPITAL,61000050,C8937,HC MRI BREAST CAD,610,1 ,$80.00 ,$52.00 ,$21.04 ,$80.00 , N/A ,$36.80 ,$43.36 , N/A ,$22.40 ,$25.60 , N/A ,$29.44 , N/A ,$30.56 ,$32.00 , N/A ,$30.56 , N/A ,$42.08 ,$40.80 , N/A , N/A ,$56.00 , N/A ,$40.00 , N/A ,$60.00 ,$35.68 ,$32.08 ,$35.68 , N/A ,$35.68 ,$56.00 ,$56.00 ,$56.00 ,$80.00 ,$68.00 , N/A ,$64.00 ,$29.60 ,$64.00 , N/A , N/A ,$80.00 ,$43.36 , N/A ,$21.04 , N/A , N/A , N/A , N/A , N/A ,$68.00 , N/A ,$52.64 ,$22.40 ,$72.00 ,$57.60 ,$80.00 ,$56.00 ,$50.40 ,$50.40 , N/A ,$38.40 ,$72.00 ST. JOHN'S HOSPITAL,61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$4,915.00 ","$3,194.75 ",$353.98 ,"$4,915.00 ",$884.95 ,"$1,100.00 ","$2,663.93 ",$353.98 ,"$1,376.20 ","$1,572.80 ",$353.98 ,"$1,808.72 ",$353.98 ,"$1,877.53 ","$1,966.00 ",$353.98 ,"$1,877.53 ",$672.55 ,"$1,398.16 ","$2,506.65 ",$884.94 ,$353.98 ,"$3,440.50 ",$353.98 ,"$2,457.50 ",$361.06 ,"$3,686.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,440.50 ","$3,440.50 ","$3,440.50 ","$4,915.00 ","$4,177.75 ",$884.94 ,"$3,932.00 ","$1,818.55 ","$3,932.00 ",$353.98 ,$353.98 ,"$4,915.00 ","$2,663.93 ",$353.98 ,"$1,292.65 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$4,177.75 ",$796.45 ,"$3,234.07 ","$1,376.20 ","$4,423.50 ","$3,538.80 ","$4,915.00 ","$3,440.50 ","$3,096.45 ","$3,096.45 ",$353.98 ,"$2,359.20 ","$4,423.50 " ST. JOHN'S HOSPITAL,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$6,183.00 ","$4,018.95 ",$353.98 ,"$6,183.00 ",$884.95 ,"$1,100.00 ","$3,351.19 ",$353.98 ,"$1,731.24 ","$1,978.56 ",$353.98 ,"$2,275.34 ",$353.98 ,"$2,361.91 ","$2,473.20 ",$353.98 ,"$2,361.91 ",$672.55 ,"$1,398.16 ","$3,153.33 ",$884.94 ,$353.98 ,"$4,328.10 ",$353.98 ,"$3,091.50 ",$361.06 ,"$4,637.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$4,328.10 ","$4,328.10 ","$4,328.10 ","$6,183.00 ","$5,255.55 ",$884.94 ,"$4,946.40 ","$2,287.71 ","$4,946.40 ",$353.98 ,$353.98 ,"$6,183.00 ","$3,351.19 ",$353.98 ,"$1,626.13 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$5,255.55 ",$796.45 ,"$4,068.41 ","$1,731.24 ","$5,564.70 ","$4,451.76 ","$6,183.00 ","$4,328.10 ","$3,895.29 ","$3,895.29 ",$353.98 ,"$2,967.84 ","$5,564.70 " ST. JOHN'S HOSPITAL,61000056,C8905,HC MRI BREAST UNI W AND W/O CONTRAST,610,1 ,"$4,927.00 ","$3,202.55 ",$346.66 ,"$4,927.00 ",$884.95 ,"$1,100.00 ","$2,670.43 ",$353.98 ,"$1,379.56 ","$1,576.64 ",$353.98 ,"$1,813.14 ",$353.98 ,"$1,882.11 ","$1,970.80 ",$353.98 ,"$1,882.11 ",$672.55 ,"$1,398.16 ","$2,512.77 ",$884.94 ,$353.98 ,"$3,448.90 ",$353.98 ,"$2,463.50 ",$361.06 ,"$3,695.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,448.90 ","$3,448.90 ","$3,448.90 ","$4,927.00 ","$4,187.95 ",$884.94 ,"$3,941.60 ","$1,822.99 ","$3,941.60 ",$353.98 ,$353.98 ,"$4,927.00 ","$2,670.43 ",$353.98 ,"$1,295.80 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$4,187.95 ",$796.45 ,"$3,241.97 ","$1,379.56 ","$4,434.30 ","$3,547.44 ","$4,927.00 ","$3,448.90 ","$3,104.01 ","$3,104.01 ",$353.98 ,"$2,364.96 ","$4,434.30 " ST. JOHN'S HOSPITAL,61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$4,997.00 ","$3,248.05 ",$179.80 ,"$4,997.00 ",$552.95 ,"$1,100.00 ","$2,708.37 ",$221.18 ,"$1,399.16 ","$1,599.04 ",$221.18 ,"$1,838.90 ",$221.18 ,"$1,908.85 ",$360.87 ,$221.18 ,"$1,908.85 ",$420.25 ,$583.15 ,"$2,548.47 ",$552.96 ,$221.18 ,"$3,497.90 ",$221.18 ,"$2,498.50 ",$225.61 ,"$3,747.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$245.09 ,$245.09 ,$245.09 ,"$4,997.00 ","$4,247.45 ",$552.96 ,"$3,997.60 ","$1,848.89 ","$3,997.60 ",$221.18 ,$221.18 ,$179.80 ,"$2,708.37 ",$221.18 ,"$1,314.21 ", N/A , N/A ,$363.17 ,$346.66 ,$232.24 ,"$4,247.45 ",$497.66 ,"$3,288.03 ","$1,399.16 ","$4,497.30 ","$3,597.84 ","$4,997.00 ",$245.09 ,"$3,148.11 ","$3,148.11 ",$221.18 ,"$2,398.56 ","$4,497.30 " ST. JOHN'S HOSPITAL,61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$6,233.00 ","$4,051.45 ",$346.66 ,"$6,233.00 ",$884.95 ,"$1,100.00 ","$3,378.29 ",$353.98 ,"$1,745.24 ","$1,994.56 ",$353.98 ,"$2,293.74 ",$353.98 ,"$2,381.01 ","$2,493.20 ",$353.98 ,"$2,381.01 ",$672.55 ,"$1,398.16 ","$3,178.83 ",$884.94 ,$353.98 ,"$4,363.10 ",$353.98 ,"$3,116.50 ",$361.06 ,"$4,674.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$4,363.10 ","$4,363.10 ","$4,363.10 ","$6,233.00 ","$5,298.05 ",$884.94 ,"$4,986.40 ","$2,306.21 ","$4,986.40 ",$353.98 ,$353.98 ,"$6,233.00 ","$3,378.29 ",$353.98 ,"$1,639.28 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$5,298.05 ",$796.45 ,"$4,101.31 ","$1,745.24 ","$5,609.70 ","$4,487.76 ","$6,233.00 ","$4,363.10 ","$3,926.79 ","$3,926.79 ",$353.98 ,"$2,991.84 ","$5,609.70 " ST. JOHN'S HOSPITAL,61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$4,291.00 ","$2,789.15 ",$353.98 ,"$4,291.00 ",$884.95 ,"$1,100.00 ","$2,325.72 ",$353.98 ,"$1,201.48 ","$1,373.12 ",$353.98 ,"$1,579.09 ",$353.98 ,"$1,639.16 ","$1,716.40 ",$353.98 ,"$1,639.16 ",$672.55 ,"$1,398.16 ","$2,188.41 ",$884.94 ,$353.98 ,"$3,003.70 ",$353.98 ,"$2,145.50 ",$361.06 ,"$3,218.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,003.70 ","$3,003.70 ","$3,003.70 ","$4,291.00 ","$3,647.35 ",$884.94 ,"$3,432.80 ","$1,587.67 ","$3,432.80 ",$353.98 ,$353.98 ,"$4,291.00 ","$2,325.72 ",$353.98 ,"$1,128.53 ", N/A , N/A ,$413.07 ,$394.30 ,$371.68 ,"$3,647.35 ",$796.45 ,"$2,823.48 ","$1,201.48 ","$3,861.90 ","$3,089.52 ","$4,291.00 ","$3,003.70 ","$2,703.33 ","$2,703.33 ",$353.98 ,"$2,059.68 ","$3,861.90 " ST. JOHN'S HOSPITAL,61000061,C8910,HC MRA CHEST W/O CONTRAST,610,1 ,"$3,502.00 ","$2,276.30 ",$221.18 ,"$3,502.00 ",$552.95 ,"$1,100.00 ","$1,898.08 ",$221.18 ,$980.56 ,"$1,120.64 ",$221.18 ,"$1,288.74 ",$221.18 ,"$1,337.76 ","$1,400.80 ",$221.18 ,"$1,337.76 ",$420.25 ,$874.05 ,"$1,786.02 ",$552.96 ,$221.18 ,"$2,451.40 ",$221.18 ,"$1,751.00 ",$225.61 ,"$2,626.50 ","$1,561.89 ","$1,404.30 ","$1,561.89 ",$221.18 ,"$1,561.89 ","$2,451.40 ","$2,451.40 ","$2,451.40 ","$3,502.00 ","$2,976.70 ",$552.96 ,"$2,801.60 ","$1,295.74 ","$2,801.60 ",$221.18 ,$221.18 ,"$3,502.00 ","$1,898.08 ",$221.18 ,$921.03 , N/A , N/A ,$413.07 ,$394.30 ,$232.24 ,"$2,976.70 ",$497.66 ,"$2,304.32 ",$980.56 ,"$3,151.80 ","$2,521.44 ","$3,502.00 ","$2,451.40 ","$2,206.26 ","$2,206.26 ",$221.18 ,"$1,680.96 ","$3,151.80 " ST. JOHN'S HOSPITAL,61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$4,475.00 ","$2,908.75 ",$353.98 ,"$4,475.00 ",$884.95 ,"$1,100.00 ","$2,425.45 ",$353.98 ,"$1,253.00 ","$1,432.00 ",$353.98 ,"$1,646.80 ",$353.98 ,"$1,709.45 ","$1,790.00 ",$353.98 ,"$1,709.45 ",$672.55 ,"$1,398.16 ","$2,282.25 ",$884.94 ,$353.98 ,"$3,132.50 ",$353.98 ,"$2,237.50 ",$361.06 ,"$3,356.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,132.50 ","$3,132.50 ","$3,132.50 ","$4,475.00 ","$3,803.75 ",$884.94 ,"$3,580.00 ","$1,655.75 ","$3,580.00 ",$353.98 ,$353.98 ,"$4,475.00 ","$2,425.45 ",$353.98 ,"$1,176.93 ", N/A , N/A ,$413.07 ,$394.30 ,$371.68 ,"$3,803.75 ",$796.45 ,"$2,944.55 ","$1,253.00 ","$4,027.50 ","$3,222.00 ","$4,475.00 ","$3,132.50 ","$2,819.25 ","$2,819.25 ",$353.98 ,"$2,148.00 ","$4,027.50 " ST. JOHN'S HOSPITAL,61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$4,499.00 ","$2,924.35 ",$353.98 ,"$4,499.00 ",$884.95 ,"$1,100.00 ","$2,438.46 ",$353.98 ,"$1,259.72 ","$1,439.68 ",$353.98 ,"$1,655.63 ",$353.98 ,"$1,718.62 ","$1,799.60 ",$353.98 ,"$1,718.62 ",$672.55 ,"$1,398.16 ","$2,294.49 ",$884.94 ,$353.98 ,"$3,149.30 ",$353.98 ,"$2,249.50 ",$361.06 ,"$3,374.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,149.30 ","$3,149.30 ","$3,149.30 ","$4,499.00 ","$3,824.15 ",$884.94 ,"$3,599.20 ","$1,664.63 ","$3,599.20 ",$353.98 ,$353.98 ,"$4,499.00 ","$2,438.46 ",$353.98 ,"$1,183.24 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,824.15 ",$796.45 ,"$2,960.34 ","$1,259.72 ","$4,049.10 ","$3,239.28 ","$4,499.00 ","$3,149.30 ","$2,834.37 ","$2,834.37 ",$353.98 ,"$2,159.52 ","$4,049.10 " ST. JOHN'S HOSPITAL,61000063,C8912,HC MRA LWR EXT W/CON,610,1 ,"$6,749.00 ","$4,386.85 ",$353.98 ,"$6,749.00 ",$884.95 ,"$1,100.00 ","$3,657.96 ",$353.98 ,"$1,889.72 ","$2,159.68 ",$353.98 ,"$2,483.63 ",$353.98 ,"$2,578.12 ","$2,699.60 ",$353.98 ,"$2,578.12 ",$672.55 ,"$1,398.16 ","$3,441.99 ",$884.94 ,$353.98 ,"$4,724.30 ",$353.98 ,"$3,374.50 ",$361.06 ,"$5,061.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$4,724.30 ","$4,724.30 ","$4,724.30 ","$6,749.00 ","$5,736.65 ",$884.94 ,"$5,399.20 ","$2,497.13 ","$5,399.20 ",$353.98 ,$353.98 ,"$6,749.00 ","$3,657.96 ",$353.98 ,"$1,774.99 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$5,736.65 ",$796.45 ,"$4,440.84 ","$1,889.72 ","$6,074.10 ","$4,859.28 ","$6,749.00 ","$4,724.30 ","$4,251.87 ","$4,251.87 ",$353.98 ,"$3,239.52 ","$6,074.10 " ST. JOHN'S HOSPITAL,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$3,952.00 ","$2,568.80 ",$221.18 ,"$3,952.00 ",$552.95 ,"$1,100.00 ","$2,141.98 ",$221.18 ,"$1,106.56 ","$1,264.64 ",$221.18 ,"$1,454.34 ",$221.18 ,"$1,509.66 ","$1,580.80 ",$221.18 ,"$1,509.66 ",$420.25 ,$874.05 ,"$2,015.52 ",$552.96 ,$221.18 ,"$2,766.40 ",$221.18 ,"$1,976.00 ",$225.61 ,"$2,964.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ","$2,766.40 ","$2,766.40 ","$2,766.40 ","$3,952.00 ","$3,359.20 ",$552.96 ,"$3,161.60 ","$1,462.24 ","$3,161.60 ",$221.18 ,$221.18 ,"$3,952.00 ","$2,141.98 ",$221.18 ,"$1,039.38 ", N/A , N/A ,$469.60 ,$448.26 ,$232.24 ,"$3,359.20 ",$497.66 ,"$2,600.42 ","$1,106.56 ","$3,556.80 ","$2,845.44 ","$3,952.00 ","$2,766.40 ","$2,489.76 ","$2,489.76 ",$221.18 ,"$1,896.96 ","$3,556.80 " ST. JOHN'S HOSPITAL,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,"$5,929.00 ","$3,853.85 ",$221.18 ,"$5,929.00 ",$552.95 ,"$1,100.00 ","$3,213.52 ",$221.18 ,"$1,660.12 ","$1,897.28 ",$221.18 ,"$2,181.87 ",$221.18 ,"$2,264.88 ","$2,371.60 ",$221.18 ,"$2,264.88 ",$420.25 ,$874.05 ,"$3,023.79 ",$552.96 ,$221.18 ,"$4,150.30 ",$221.18 ,"$2,964.50 ",$225.61 ,"$4,446.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ","$4,150.30 ","$4,150.30 ","$4,150.30 ","$5,929.00 ","$5,039.65 ",$552.96 ,"$4,743.20 ","$2,193.73 ","$4,743.20 ",$221.18 ,$221.18 ,"$5,929.00 ","$3,213.52 ",$221.18 ,"$1,559.33 ", N/A , N/A ,$469.60 ,$448.26 ,$232.24 ,"$5,039.65 ",$497.66 ,"$3,901.28 ","$1,660.12 ","$5,336.10 ","$4,268.88 ","$5,929.00 ","$4,150.30 ","$3,735.27 ","$3,735.27 ",$221.18 ,"$2,845.92 ","$5,336.10 " ST. JOHN'S HOSPITAL,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$4,691.00 ","$3,049.15 ",$353.98 ,"$4,691.00 ",$884.95 ,"$1,100.00 ","$2,542.52 ",$353.98 ,"$1,313.48 ","$1,501.12 ",$353.98 ,"$1,726.29 ",$353.98 ,"$1,791.96 ","$1,876.40 ",$353.98 ,"$1,791.96 ",$672.55 ,"$1,398.16 ","$2,392.41 ",$884.94 ,$353.98 ,"$3,283.70 ",$353.98 ,"$2,345.50 ",$361.06 ,"$3,518.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,283.70 ","$3,283.70 ","$3,283.70 ","$4,691.00 ","$3,987.35 ",$884.94 ,"$3,752.80 ","$1,735.67 ","$3,752.80 ",$353.98 ,$353.98 ,"$4,691.00 ","$2,542.52 ",$353.98 ,"$1,233.73 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,987.35 ",$796.45 ,"$3,086.68 ","$1,313.48 ","$4,221.90 ","$3,377.52 ","$4,691.00 ","$3,283.70 ","$2,955.33 ","$2,955.33 ",$353.98 ,"$2,251.68 ","$4,221.90 " ST. JOHN'S HOSPITAL,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$7,037.00 ","$4,574.05 ",$353.98 ,"$7,037.00 ",$884.95 ,"$1,100.00 ","$3,814.05 ",$353.98 ,"$1,970.36 ","$2,251.84 ",$353.98 ,"$2,589.62 ",$353.98 ,"$2,688.13 ","$2,814.80 ",$353.98 ,"$2,688.13 ",$672.55 ,"$1,398.16 ","$3,588.87 ",$884.94 ,$353.98 ,"$4,925.90 ",$353.98 ,"$3,518.50 ",$361.06 ,"$5,277.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$4,925.90 ","$4,925.90 ","$4,925.90 ","$7,037.00 ","$5,981.45 ",$884.94 ,"$5,629.60 ","$2,603.69 ","$5,629.60 ",$353.98 ,$353.98 ,"$7,037.00 ","$3,814.05 ",$353.98 ,"$1,850.73 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$5,981.45 ",$796.45 ,"$4,630.35 ","$1,970.36 ","$6,333.30 ","$5,066.64 ","$7,037.00 ","$4,925.90 ","$4,433.31 ","$4,433.31 ",$353.98 ,"$3,377.76 ","$6,333.30 " ST. JOHN'S HOSPITAL,61000068,C8918,HC MRA PELVIS W/CON,610,1 ,"$3,968.00 ","$2,579.20 ",$353.98 ,"$3,968.00 ",$884.95 ,"$1,100.00 ","$2,150.66 ",$353.98 ,"$1,111.04 ","$1,269.76 ",$353.98 ,"$1,460.22 ",$353.98 ,"$1,515.78 ","$1,587.20 ",$353.98 ,"$1,515.78 ",$672.55 ,"$1,398.16 ","$2,023.68 ",$884.94 ,$353.98 ,"$2,777.60 ",$353.98 ,"$1,984.00 ",$361.06 ,"$2,976.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$2,777.60 ","$2,777.60 ","$2,777.60 ","$3,968.00 ","$3,372.80 ",$884.94 ,"$3,174.40 ","$1,468.16 ","$3,174.40 ",$353.98 ,$353.98 ,"$3,968.00 ","$2,150.66 ",$353.98 ,"$1,043.58 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,372.80 ",$796.45 ,"$2,610.94 ","$1,111.04 ","$3,571.20 ","$2,856.96 ","$3,968.00 ","$2,777.60 ","$2,499.84 ","$2,499.84 ",$353.98 ,"$1,904.64 ","$3,571.20 " ST. JOHN'S HOSPITAL,61000069,C8919,HC MRA PELVIS W/O CON,610,1 ,"$3,928.00 ","$2,553.20 ",$221.18 ,"$3,928.00 ",$552.95 ,"$1,100.00 ","$2,128.98 ",$221.18 ,"$1,099.84 ","$1,256.96 ",$221.18 ,"$1,445.50 ",$221.18 ,"$1,500.50 ","$1,571.20 ",$221.18 ,"$1,500.50 ",$420.25 ,$874.05 ,"$2,003.28 ",$552.96 ,$221.18 ,"$2,749.60 ",$221.18 ,"$1,964.00 ",$225.61 ,"$2,946.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ","$2,749.60 ","$2,749.60 ","$2,749.60 ","$3,928.00 ","$3,338.80 ",$552.96 ,"$3,142.40 ","$1,453.36 ","$3,142.40 ",$221.18 ,$221.18 ,"$3,928.00 ","$2,128.98 ",$221.18 ,"$1,033.06 ", N/A , N/A ,$469.60 ,$448.26 ,$232.24 ,"$3,338.80 ",$497.66 ,"$2,584.62 ","$1,099.84 ","$3,535.20 ","$2,828.16 ","$3,928.00 ","$2,749.60 ","$2,474.64 ","$2,474.64 ",$221.18 ,"$1,885.44 ","$3,535.20 " ST. JOHN'S HOSPITAL,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$4,008.00 ","$2,605.20 ",$353.98 ,"$4,008.00 ",$884.95 ,"$1,100.00 ","$2,172.34 ",$353.98 ,"$1,122.24 ","$1,282.56 ",$353.98 ,"$1,474.94 ",$353.98 ,"$1,531.06 ","$1,603.20 ",$353.98 ,"$1,531.06 ",$672.55 ,"$1,398.16 ","$2,044.08 ",$884.94 ,$353.98 ,"$2,805.60 ",$353.98 ,"$2,004.00 ",$361.06 ,"$3,006.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$2,805.60 ","$2,805.60 ","$2,805.60 ","$4,008.00 ","$3,406.80 ",$884.94 ,"$3,206.40 ","$1,482.96 ","$3,206.40 ",$353.98 ,$353.98 ,"$4,008.00 ","$2,172.34 ",$353.98 ,"$1,054.10 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,406.80 ",$796.45 ,"$2,637.26 ","$1,122.24 ","$3,607.20 ","$2,885.76 ","$4,008.00 ","$2,805.60 ","$2,525.04 ","$2,525.04 ",$353.98 ,"$1,923.84 ","$3,607.20 " ST. JOHN'S HOSPITAL,61000071,C8934,HC MRA UPPR EXT W/CONTRAST,610,1 ,"$4,621.00 ","$3,003.65 ",$353.98 ,"$4,621.00 ",$884.95 ,"$1,100.00 ","$2,504.58 ",$353.98 ,"$1,293.88 ","$1,478.72 ",$353.98 ,"$1,700.53 ",$353.98 ,"$1,765.22 ","$1,848.40 ",$353.98 ,"$1,765.22 ",$672.55 ,"$1,398.16 ","$2,356.71 ",$884.94 ,$353.98 ,"$3,234.70 ",$353.98 ,"$2,310.50 ",$361.06 ,"$3,465.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,234.70 ","$3,234.70 ","$3,234.70 ","$4,621.00 ","$3,927.85 ",$884.94 ,"$3,696.80 ","$1,709.77 ","$3,696.80 ",$353.98 ,$353.98 ,"$4,621.00 ","$2,504.58 ",$353.98 ,"$1,215.32 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,927.85 ",$796.45 ,"$3,040.62 ","$1,293.88 ","$4,158.90 ","$3,327.12 ","$4,621.00 ","$3,234.70 ","$2,911.23 ","$2,911.23 ",$353.98 ,"$2,218.08 ","$4,158.90 " ST. JOHN'S HOSPITAL,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$5,981.00 ","$3,887.65 ",$353.98 ,"$5,981.00 ",$884.95 ,"$1,100.00 ","$3,241.70 ",$353.98 ,"$1,674.68 ","$2,063.45 ",$353.98 ,"$2,296.70 ",$353.98 ,"$2,284.74 ",$860.14 ,$353.98 ,"$2,284.74 ",$672.55 ,$848.31 ,"$3,050.31 ",$884.94 ,$353.98 ,"$4,186.70 ",$353.98 ,"$2,990.50 ",$361.06 ,"$4,485.75 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$358.01 ,$358.01 ,$358.01 ,"$5,981.00 ","$5,083.85 ",$884.94 ,"$4,784.80 ","$2,212.97 ","$4,784.80 ",$353.98 ,$353.98 ,"$5,981.00 ","$3,241.70 ",$353.98 ,"$1,573.00 ", N/A , N/A ,$406.91 ,$388.42 ,$371.68 ,"$5,083.85 ",$796.45 ,"$3,935.50 ","$1,674.68 ","$5,382.90 ","$4,306.32 ","$5,981.00 ",$358.01 ,"$3,768.03 ","$3,768.03 ",$353.98 ,"$2,870.88 ","$5,382.90 " ST. JOHN'S HOSPITAL,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$4,615.00 ","$2,999.75 ",$327.21 ,"$4,615.00 ",$884.95 ,"$1,100.00 ","$2,501.33 ",$353.98 ,"$1,292.20 ","$1,592.18 ",$353.98 ,"$1,772.16 ",$353.98 ,"$1,762.93 ",$481.80 ,$353.98 ,"$1,762.93 ",$672.55 ,$778.45 ,"$2,353.65 ",$884.94 ,$353.98 ,"$3,230.50 ",$353.98 ,"$2,307.50 ",$361.06 ,"$3,461.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ",$327.21 ,$327.21 ,$327.21 ,"$4,615.00 ","$3,922.75 ",$884.94 ,"$3,692.00 ","$1,707.55 ","$3,692.00 ",$353.98 ,$353.98 ,"$4,615.00 ","$2,501.33 ",$353.98 ,"$1,213.75 ", N/A , N/A ,$363.17 ,$346.66 ,$371.68 ,"$3,922.75 ",$796.45 ,"$3,036.67 ","$1,292.20 ","$4,153.50 ","$3,322.80 ","$4,615.00 ",$327.21 ,"$2,907.45 ","$2,907.45 ",$353.98 ,"$2,215.20 ","$4,153.50 " ST. JOHN'S HOSPITAL,61000077,74712,HC MRI FETAL PLACENTA/MATERN PELVIC SINGLE,610,1 ,"$4,858.00 ","$3,157.70 ",$221.18 ,"$4,858.00 ",$552.95 ,"$1,100.00 ","$2,633.04 ",$221.18 ,"$1,360.24 ","$1,676.01 ",$221.18 ,"$1,865.47 ",$221.18 ,"$1,855.76 ",$680.05 ,$221.18 ,"$1,855.76 ",$420.25 ,"$1,095.24 ","$2,477.58 ",$552.96 ,$221.18 ,"$3,400.60 ",$221.18 ,"$2,429.00 ",$225.61 ,"$3,643.50 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$317.61 ,$317.61 ,$317.61 ,"$4,858.00 ","$4,129.30 ",$552.96 ,"$3,886.40 ","$1,797.46 ","$3,886.40 ",$221.18 ,$221.18 ,"$4,858.00 ","$2,633.04 ",$221.18 ,"$1,277.65 ", N/A , N/A , N/A , N/A ,$232.24 ,"$4,129.30 ",$497.66 ,"$3,196.56 ","$1,360.24 ","$4,372.20 ","$3,497.76 ","$4,858.00 ",$317.61 ,"$3,060.54 ","$3,060.54 ",$221.18 ,"$2,331.84 ","$4,372.20 " ST. JOHN'S HOSPITAL,61000078,74713,HC MRI FETAL PLACENTA/MATERN PELVIC EA ADDN,610,1 ,"$2,430.00 ","$1,579.50 ",$196.40 ,"$2,430.00 ", N/A ,"$1,100.00 ","$1,317.06 ", N/A ,$680.40 ,$838.35 , N/A ,$933.12 , N/A ,$928.26 ,$289.18 , N/A ,$928.26 , N/A ,$462.02 ,"$1,239.30 ", N/A , N/A ,"$1,701.00 ", N/A ,"$1,215.00 ", N/A ,"$1,822.50 ","$1,083.78 ",$974.43 ,"$1,083.78 ", N/A ,"$1,083.78 ",$196.40 ,$196.40 ,$196.40 ,"$2,430.00 ","$2,065.50 ", N/A ,"$1,944.00 ",$899.10 ,"$1,944.00 ", N/A , N/A ,"$2,430.00 ","$1,317.06 ", N/A ,$639.09 , N/A , N/A , N/A , N/A , N/A ,"$2,065.50 ", N/A ,"$1,598.94 ",$680.40 ,"$2,187.00 ","$1,749.60 ","$2,430.00 ",$196.40 ,"$1,530.90 ","$1,530.90 ", N/A ,"$1,166.40 ","$2,187.00 " ST. JOHN'S HOSPITAL,61000102,75565,HC MRI CARDIAC VELOCITY FLOW,610,1 ,$886.00 ,$575.90 ,$57.63 ,$886.00 , N/A ,$886.00 ,$480.21 , N/A ,$248.08 ,$305.67 , N/A ,$340.22 , N/A ,$338.45 ,$84.86 , N/A ,$338.45 , N/A ,$139.69 ,$451.86 , N/A , N/A ,$620.20 , N/A ,$443.00 , N/A ,$664.50 ,$395.16 ,$355.29 ,$395.16 , N/A ,$395.16 ,$57.63 ,$57.63 ,$57.63 ,$886.00 ,$753.10 , N/A ,$708.80 ,$327.82 ,$708.80 , N/A , N/A ,$886.00 ,$480.21 , N/A ,$233.02 , N/A , N/A ,$363.17 ,$346.66 , N/A ,$753.10 , N/A ,$582.99 ,$248.08 ,$797.40 ,$637.92 ,$886.00 ,$57.63 ,$558.18 ,$558.18 , N/A ,$425.28 ,$797.40 ST. JOHN'S HOSPITAL,61000103,77021,HC MRI GUIDANCE NEEDLE PLACEMENT,610,1 ,"$2,348.00 ","$1,526.20 ",$189.75 ,"$2,348.00 ", N/A ,"$1,100.00 ","$1,272.62 ", N/A ,$657.44 ,$810.06 , N/A ,$901.63 , N/A ,$896.94 ,$831.47 , N/A ,$896.94 , N/A ,"$1,235.05 ","$1,197.48 ", N/A , N/A ,"$1,643.60 ", N/A ,"$1,174.00 ", N/A ,"$1,761.00 ","$1,047.21 ",$941.55 ,"$1,047.21 ", N/A ,"$1,047.21 ",$564.68 ,$564.68 ,$564.68 ,"$2,348.00 ","$1,995.80 ", N/A ,"$1,878.40 ",$868.76 ,"$1,878.40 ", N/A , N/A ,"$2,348.00 ","$1,272.62 ", N/A ,$617.52 , N/A , N/A ,$198.78 ,$189.75 , N/A ,"$1,995.80 ", N/A ,"$1,544.98 ",$657.44 ,"$2,113.20 ","$1,690.56 ","$2,348.00 ",$564.68 ,"$1,479.24 ","$1,479.24 ", N/A ,"$1,127.04 ","$2,113.20 " ST. JOHN'S HOSPITAL,61000104,77022,HC MRI GUIDANCE TISSUE ABLATION,610,1 ,$867.00 ,$563.55 ,$189.75 ,$867.00 , N/A ,$867.00 ,$469.91 , N/A ,$242.76 ,$299.12 , N/A ,$332.93 , N/A ,$331.19 ,$867.00 , N/A ,$331.19 , N/A ,$456.04 ,$442.17 , N/A , N/A ,$606.90 , N/A ,$433.50 , N/A ,$650.25 ,$386.68 ,$347.67 ,$386.68 , N/A ,$386.68 ,$600.77 ,$600.77 ,$600.77 ,$867.00 ,$736.95 , N/A ,$693.60 ,$320.79 ,$693.60 , N/A , N/A ,$867.00 ,$469.91 , N/A ,$228.02 , N/A , N/A ,$198.78 ,$189.75 , N/A ,$736.95 , N/A ,$570.49 ,$242.76 ,$780.30 ,$624.24 ,$867.00 ,$600.77 ,$546.21 ,$546.21 , N/A ,$416.16 ,$780.30 ST. JOHN'S HOSPITAL,61100005,70555,HC MRI BRAIN FUNCTIONAL W/PHY ADMIN,611,1 ,"$3,964.00 ","$2,576.60 ",$221.18 ,"$3,964.00 ",$552.95 ,"$1,100.00 ","$2,148.49 ",$221.18 ,"$1,109.92 ","$1,367.58 ",$221.18 ,"$1,522.18 ",$221.18 ,"$1,514.25 ","$1,298.72 ",$221.18 ,"$1,514.25 ",$420.25 ,"$2,075.76 ","$2,021.64 ",$552.96 ,$221.18 ,"$2,774.80 ",$221.18 ,"$1,982.00 ",$225.61 ,"$2,973.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ",$592.10 ,$592.10 ,$592.10 ,"$3,964.00 ","$3,369.40 ",$552.96 ,"$3,171.20 ","$1,466.68 ","$3,171.20 ",$221.18 ,$221.18 ,"$3,964.00 ","$2,148.49 ",$221.18 ,"$1,042.53 ", N/A , N/A ,$444.62 ,$424.41 ,$232.24 ,"$3,369.40 ",$497.66 ,"$2,608.31 ","$1,109.92 ","$3,567.60 ","$2,854.08 ","$3,964.00 ",$592.10 ,"$2,497.32 ","$2,497.32 ",$221.18 ,"$1,902.72 ","$3,567.60 " ST. JOHN'S HOSPITAL,61800003,C8933,HC MRA SPINAL W AND W/O CONTRAST,618,1 ,"$3,976.00 ","$2,584.40 ",$353.98 ,"$3,976.00 ",$884.95 ,"$1,100.00 ","$2,154.99 ",$353.98 ,"$1,113.28 ","$1,272.32 ",$353.98 ,"$1,463.17 ",$353.98 ,"$1,518.83 ","$1,590.40 ",$353.98 ,"$1,518.83 ",$672.55 ,"$1,398.16 ","$2,027.76 ",$884.94 ,$353.98 ,"$2,783.20 ",$353.98 ,"$1,988.00 ",$361.06 ,"$2,982.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$2,504.88 ","$2,504.88 ","$2,822.96 ","$3,976.00 ","$3,379.60 ",$884.94 ,"$3,180.80 ","$1,471.12 ","$3,180.80 ",$353.98 ,$353.98 ,"$3,976.00 ","$2,154.99 ",$353.98 ,"$1,045.69 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$3,379.60 ",$796.45 ,"$2,616.21 ","$1,113.28 ","$3,578.40 ","$2,862.72 ","$3,976.00 ","$2,504.88 ","$2,504.88 ","$2,504.88 ",$353.98 ,"$1,908.48 ","$3,578.40 " ST. JOHN'S HOSPITAL,61800004,C8935,HC MRA UPPR EXT W/O CONTRAST,618,1 ,"$3,751.00 ","$2,438.15 ",$221.18 ,"$3,751.00 ",$552.95 ,"$1,100.00 ","$2,033.04 ",$221.18 ,"$1,050.28 ","$1,200.32 ",$221.18 ,"$1,380.37 ",$221.18 ,"$1,432.88 ","$1,500.40 ",$221.18 ,"$1,432.88 ",$420.25 ,$874.05 ,"$1,913.01 ",$552.96 ,$221.18 ,"$2,625.70 ",$221.18 ,"$1,875.50 ",$225.61 ,"$2,813.25 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$221.18 ,"$1,606.00 ","$2,363.13 ","$2,363.13 ","$2,663.21 ","$3,751.00 ","$3,188.35 ",$552.96 ,"$3,000.80 ","$1,387.87 ","$3,000.80 ",$221.18 ,$221.18 ,"$3,751.00 ","$2,033.04 ",$221.18 ,$986.51 , N/A , N/A ,$469.60 ,$448.26 ,$232.24 ,"$3,188.35 ",$497.66 ,"$2,468.16 ","$1,050.28 ","$3,375.90 ","$2,700.72 ","$3,751.00 ","$2,363.13 ","$2,363.13 ","$2,363.13 ",$221.18 ,"$1,800.48 ","$3,375.90 " ST. JOHN'S HOSPITAL,61800005,C8936,HC MRA UPPR EXT W/ AND W/O CONTRAST,618,1 ,"$4,780.00 ","$3,107.00 ",$353.98 ,"$4,780.00 ",$884.95 ,"$1,100.00 ","$2,590.76 ",$353.98 ,"$1,338.40 ","$1,529.60 ",$353.98 ,"$1,759.04 ",$353.98 ,"$1,825.96 ","$1,912.00 ",$353.98 ,"$1,825.96 ",$672.55 ,"$1,398.16 ","$2,437.80 ",$884.94 ,$353.98 ,"$3,346.00 ",$353.98 ,"$2,390.00 ",$361.06 ,"$3,585.00 ","$1,606.00 ","$1,408.00 ","$1,606.00 ",$353.98 ,"$1,606.00 ","$3,011.40 ","$3,011.40 ","$3,393.80 ","$4,780.00 ","$4,063.00 ",$884.94 ,"$3,824.00 ","$1,768.60 ","$3,824.00 ",$353.98 ,$353.98 ,"$4,780.00 ","$2,590.76 ",$353.98 ,"$1,257.14 ", N/A , N/A ,$469.60 ,$448.26 ,$371.68 ,"$4,063.00 ",$796.45 ,"$3,145.24 ","$1,338.40 ","$4,302.00 ","$3,441.60 ","$4,780.00 ","$3,011.40 ","$3,011.40 ","$3,011.40 ",$353.98 ,"$2,294.40 ","$4,302.00 " ST. JOHN'S HOSPITAL,62300002,A6441,HC BANDAGE PADDING >3 = <5 IN PER YD T1,623,1 ,$11.00 ,$7.15 ,$0.63 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$0.63 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300004,A6441,HC BANDAGE PADDING >3 = <5 IN PER YD T3,623,1 ,$31.00 ,$20.15 ,$0.63 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$4.16 , N/A ,$4.48 , N/A ,$11.84 ,$0.63 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300005,A6441,HC BANDAGE PADDING >3 = <5 IN PER YD T4,623,1 ,$77.00 ,$50.05 ,$0.63 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$4.16 , N/A ,$4.48 , N/A ,$29.41 ,$0.63 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300006,A6258,HC DRESSING TRANSPARENT >16 AND <48 SQ CM TIER 3,623,1 ,$31.00 ,$20.15 ,$3.97 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$3.97 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300007,A6021,HC DRESSING COLLAGEN <=16 SQ IN T1,623,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$19.36 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300008,A6021,HC DRESSING COLLAGEN <=16 SQ IN T2,623,1 ,$77.00 ,$50.05 ,$19.36 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$26.57 , N/A ,$29.57 , N/A ,$29.41 ,$19.36 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300009,A6022,HC DRESSING COLLAGEN >16 = <48 SQ IN,623,1 ,$153.00 ,$99.45 ,$19.36 ,$153.00 , N/A ,$70.38 ,$82.93 , N/A ,$42.84 ,$52.79 , N/A ,$58.75 , N/A ,$58.45 ,$19.36 , N/A ,$58.45 , N/A ,$80.48 ,$78.03 , N/A , N/A ,$107.10 , N/A ,$76.50 , N/A ,$114.75 ,$77.27 ,$69.62 ,$77.27 , N/A ,$77.27 ,$96.39 ,$96.39 ,$108.63 ,$153.00 ,$130.05 , N/A ,$122.40 ,$56.61 ,$122.40 , N/A , N/A ,$153.00 ,$82.93 , N/A ,$40.24 , N/A , N/A , N/A , N/A , N/A ,$130.05 , N/A ,$100.67 ,$42.84 ,$137.70 ,$110.16 ,$153.00 ,$96.39 ,$96.39 ,$96.39 , N/A ,$73.44 ,$137.70 ST. JOHN'S HOSPITAL,62300010,A6197,HC DRESSING ALGINATE >16 = <48 SQ IN,623,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$15.14 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300011,A6198,HC DRESSING ALGINATE >48 SQ IN,623,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$12.40 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300012,A6199,HC DRESSING ALGINATE/FIBERGEL,623,1 ,$31.00 ,$20.15 ,$4.87 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$4.87 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300013,A6203,HC DRESSING COMPOSITE <16 SQ IN T1,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$3.10 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300014,A6203,HC DRESSING COMPOSITE <16 SQ IN T2,623,1 ,$21.00 ,$13.65 ,$3.10 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$3.10 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300015,A6204,HC DRESSING COMPOSITE >16 = <48 SQ IN,623,1 ,$31.00 ,$20.15 ,$5.74 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$5.74 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300016,A6204,HC DRESSING COMPOSITE POLYSKIN >16=<48 SQ IN,623,1 ,$77.00 ,$50.05 ,$5.74 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$26.57 , N/A ,$29.57 , N/A ,$29.41 ,$5.74 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300017,A6206,HC DRESSING MEPITEL T1,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$21.00 , N/A ,$8.02 ,$9.45 ,$11.05 ,$10.71 ,$14.70 , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 ,$12.60 ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300018,A6206,HC DRESSING MEPITEL T2,623,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$9.92 , N/A ,$11.41 , N/A ,$11.84 ,$30.00 , N/A ,$11.84 ,$13.95 ,$16.31 ,$15.81 ,$21.70 , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 ,$18.60 ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300019,A6207,HC DRESSING CONTACT LAYER,623,1 ,$77.00 ,$50.05 ,$6.76 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$24.64 , N/A ,$28.34 , N/A ,$29.41 ,$6.76 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300020,A6209,HC DRESSING FOAM W/O BORDER <16 SQ IN T1,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$6.88 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300021,A6209,HC DRESSING FOAM W/O BORDER <16 SQ IN T2,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$6.88 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300022,A6209,HC DRESSING FOAM W/O BORDER <16 SQ IN T3,623,1 ,$31.00 ,$20.15 ,$6.88 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$6.88 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300023,A6211,HC DRESSING FOAM W/O BORDER >48 SQ IN,623,1 ,$235.00 ,$152.75 ,$27.06 ,$235.00 , N/A ,$108.10 ,$127.37 , N/A ,$65.80 ,$81.08 , N/A ,$90.24 , N/A ,$89.77 ,$27.06 , N/A ,$89.77 , N/A ,$123.61 ,$119.85 , N/A , N/A ,$164.50 , N/A ,$117.50 , N/A ,$176.25 ,$118.68 ,$106.93 ,$118.68 , N/A ,$118.68 ,$148.05 ,$148.05 ,$166.85 ,$235.00 ,$199.75 , N/A ,$188.00 ,$86.95 ,$188.00 , N/A , N/A ,$235.00 ,$127.37 , N/A ,$61.81 , N/A , N/A , N/A , N/A , N/A ,$199.75 , N/A ,$154.63 ,$65.80 ,$211.50 ,$169.20 ,$235.00 ,$148.05 ,$148.05 ,$148.05 , N/A ,$112.80 ,$211.50 ST. JOHN'S HOSPITAL,62300025,A6212,HC DRESSING FOAM W/BORDER <16 SQ IN T1,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.52 , N/A ,$4.05 , N/A ,$4.20 ,$8.94 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300026,A6212,HC DRESSING FOAM W/BORDER <16 SQ IN T2,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.72 , N/A ,$7.73 , N/A ,$8.02 ,$8.94 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300027,A6242,HC DRESSING HYDROGEL <16 SQ IN,623,1 ,$21.00 ,$13.65 ,$5.52 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$7.25 , N/A ,$8.06 , N/A ,$8.02 ,$5.58 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300028,A6243,HC DRESSING HYDROGEL >16=<48 SQ IN,623,1 ,$31.00 ,$20.15 ,$8.15 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$10.70 , N/A ,$11.90 , N/A ,$11.84 ,$11.35 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300029,A6442,HC BANDAGE CONFORM <3 IN PER YD,623,1 ,$21.00 ,$13.65 ,$0.50 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$3.36 , N/A ,$3.62 , N/A ,$8.02 ,$0.50 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300030,A6443,HC BANDAGE CONFORM >3 =<5 IN PER YD,623,1 ,$21.00 ,$13.65 ,$0.50 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$3.36 , N/A ,$3.62 , N/A ,$8.02 ,$0.50 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300031,A6448,HC BANDAGE COMPRESSION <3 IN PER YD,623,1 ,$21.00 ,$13.65 ,$1.06 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.98 , N/A ,$7.52 , N/A ,$8.02 ,$1.06 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300032,A6454,HC TAPE COBAN >3 =<5 IN PER YD,623,1 ,$77.00 ,$50.05 ,$0.72 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$4.70 , N/A ,$5.06 , N/A ,$29.41 ,$0.72 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300033,A6457,HC DRESSING TUBULAR PER YARD T1,623,1 ,$11.00 ,$7.15 ,$1.05 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$1.05 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300034,A6457,HC DRESSING TUBULAR PER YARD T2,623,1 ,$21.00 ,$13.65 ,$1.05 ,$21.00 , N/A ,$9.66 ,$11.38 , N/A ,$5.88 ,$6.84 , N/A ,$7.37 , N/A ,$8.02 ,$1.05 , N/A ,$8.02 , N/A ,$11.05 ,$10.71 , N/A , N/A ,$14.70 , N/A ,$10.50 , N/A ,$15.75 ,$10.61 ,$9.56 ,$10.61 , N/A ,$10.61 ,$13.23 ,$13.23 ,$14.91 ,$21.00 ,$17.85 , N/A ,$16.80 ,$7.77 ,$16.80 , N/A , N/A ,$21.00 ,$11.38 , N/A ,$5.52 , N/A , N/A , N/A , N/A , N/A ,$17.85 , N/A ,$13.82 ,$5.88 ,$18.90 ,$15.12 ,$21.00 ,$13.23 ,$13.23 ,$13.23 , N/A ,$10.08 ,$18.90 ST. JOHN'S HOSPITAL,62300035,A6457,HC DRESSING TUBULAR PER YARD T3,623,1 ,$31.00 ,$20.15 ,$1.05 ,$31.00 , N/A ,$14.26 ,$16.80 , N/A ,$8.68 ,$6.84 , N/A ,$7.37 , N/A ,$11.84 ,$1.05 , N/A ,$11.84 , N/A ,$16.31 ,$15.81 , N/A , N/A ,$21.70 , N/A ,$15.50 , N/A ,$23.25 ,$15.66 ,$14.11 ,$15.66 , N/A ,$15.66 ,$19.53 ,$19.53 ,$22.01 ,$31.00 ,$26.35 , N/A ,$24.80 ,$11.47 ,$24.80 , N/A , N/A ,$31.00 ,$16.80 , N/A ,$8.15 , N/A , N/A , N/A , N/A , N/A ,$26.35 , N/A ,$20.40 ,$8.68 ,$27.90 ,$22.32 ,$31.00 ,$19.53 ,$19.53 ,$19.53 , N/A ,$14.88 ,$27.90 ST. JOHN'S HOSPITAL,62300037,A6196,HC DRESSING KALTOSTAT,623,1 ,$11.00 ,$7.15 ,$2.89 ,$11.00 , N/A ,$5.06 ,$5.96 , N/A ,$3.08 ,$3.80 , N/A ,$4.22 , N/A ,$4.20 ,$6.78 , N/A ,$4.20 , N/A ,$5.79 ,$5.61 , N/A , N/A ,$7.70 , N/A ,$5.50 , N/A ,$8.25 ,$5.56 ,$5.01 ,$5.56 , N/A ,$5.56 ,$6.93 ,$6.93 ,$7.81 ,$11.00 ,$9.35 , N/A ,$8.80 ,$4.07 ,$8.80 , N/A , N/A ,$11.00 ,$5.96 , N/A ,$2.89 , N/A , N/A , N/A , N/A , N/A ,$9.35 , N/A ,$7.24 ,$3.08 ,$9.90 ,$7.92 ,$11.00 ,$6.93 ,$6.93 ,$6.93 , N/A ,$5.28 ,$9.90 ST. JOHN'S HOSPITAL,62300038,A6199,HC DRESSING AQUACEL AG ROPE,623,1 ,$77.00 ,$50.05 ,$4.87 ,$77.00 , N/A ,$35.42 ,$41.73 , N/A ,$21.56 ,$26.57 , N/A ,$29.57 , N/A ,$29.41 ,$4.87 , N/A ,$29.41 , N/A ,$40.50 ,$39.27 , N/A , N/A ,$53.90 , N/A ,$38.50 , N/A ,$57.75 ,$38.89 ,$35.04 ,$38.89 , N/A ,$38.89 ,$48.51 ,$48.51 ,$54.67 ,$77.00 ,$65.45 , N/A ,$61.60 ,$28.49 ,$61.60 , N/A , N/A ,$77.00 ,$41.73 , N/A ,$20.25 , N/A , N/A , N/A , N/A , N/A ,$65.45 , N/A ,$50.67 ,$21.56 ,$69.30 ,$55.44 ,$77.00 ,$48.51 ,$48.51 ,$48.51 , N/A ,$36.96 ,$69.30 ST. JOHN'S HOSPITAL,62300039,A6262,HC WOUND FILLER DRY NOS PER GRAM,623,1 ,$49.00 ,$31.85 ,$12.89 ,$49.00 , N/A ,$22.54 ,$26.56 , N/A ,$13.72 ,$15.68 , N/A ,$18.03 , N/A ,$18.72 ,$19.60 , N/A ,$18.72 , N/A ,$25.77 ,$24.99 , N/A , N/A ,$34.30 , N/A ,$24.50 , N/A ,$36.75 ,$24.75 ,$22.30 ,$24.75 , N/A ,$24.75 ,$30.87 ,$30.87 ,$34.79 ,$49.00 ,$41.65 , N/A ,$39.20 ,$18.13 ,$39.20 , N/A , N/A ,$49.00 ,$26.56 , N/A ,$12.89 , N/A , N/A , N/A , N/A , N/A ,$41.65 , N/A ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$30.87 ,$30.87 ,$30.87 , N/A ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,62300040,A6023,HC DRESSING COLLAGEN >48 SQ IN,623,1 ,$69.00 ,$44.85 ,$18.15 ,$69.00 , N/A ,$31.74 ,$37.40 , N/A ,$19.32 ,$23.81 , N/A ,$26.50 , N/A ,$26.36 ,$69.00 , N/A ,$26.36 , N/A ,$36.29 ,$35.19 , N/A , N/A ,$48.30 , N/A ,$34.50 , N/A ,$51.75 ,$34.85 ,$31.40 ,$34.85 , N/A ,$34.85 ,$43.47 ,$43.47 ,$48.99 ,$69.00 ,$58.65 , N/A ,$55.20 ,$25.53 ,$55.20 , N/A , N/A ,$69.00 ,$37.40 , N/A ,$18.15 , N/A , N/A , N/A , N/A , N/A ,$58.65 , N/A ,$45.40 ,$19.32 ,$62.10 ,$49.68 ,$69.00 ,$43.47 ,$43.47 ,$43.47 , N/A ,$33.12 ,$62.10 ST. JOHN'S HOSPITAL,63600001,Q4101,HC APLIGRAF PER 1 SQ CM,636,1 ,$104.00 ,$67.60 ,$27.35 ,$462.38 , N/A ,$42.64 ,$56.37 , N/A ,$29.12 ,$35.88 , N/A ,$39.94 , N/A ,$39.73 ,$41.60 , N/A ,$39.73 , N/A ,$54.70 ,$53.04 , N/A , N/A ,$72.80 , N/A ,$52.00 , N/A ,$78.00 ,$52.52 ,$47.32 ,$52.52 , N/A ,$52.52 ,$65.52 ,$65.52 ,$73.84 ,$104.00 ,$88.40 , N/A ,$83.20 ,$38.48 ,$83.20 , N/A , N/A ,$104.00 ,$56.37 , N/A ,$27.35 , N/A , N/A ,$104.00 ,$462.38 , N/A ,$88.40 , N/A ,$68.43 ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$65.52 ,$65.52 ,$65.52 , N/A ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,63600003,Q4102,HC OASIS PER SQ CENTIMETER,636,1 ,$36.00 ,$23.40 ,$9.47 ,$462.38 , N/A ,$14.76 ,$19.51 , N/A ,$10.08 ,$12.42 , N/A ,$13.82 , N/A ,$13.75 ,$14.40 , N/A ,$13.75 , N/A ,$18.94 ,$18.36 , N/A , N/A ,$25.20 , N/A ,$18.00 , N/A ,$27.00 ,$18.18 ,$16.38 ,$18.18 , N/A ,$18.18 ,$22.68 ,$22.68 ,$25.56 ,$36.00 ,$30.60 , N/A ,$28.80 ,$13.32 ,$28.80 , N/A , N/A ,$36.00 ,$19.51 , N/A ,$9.47 , N/A , N/A ,$36.00 ,$462.38 , N/A ,$30.60 , N/A ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$22.68 ,$22.68 ,$22.68 , N/A ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,63600006,Q4106,HC DERMAGRAFT PER SQ CM,636,1 ,$160.00 ,$104.00 ,$42.08 ,$462.38 , N/A ,$65.60 ,$86.72 , N/A ,$44.80 ,$55.20 , N/A ,$61.44 , N/A ,$61.12 ,$64.00 , N/A ,$61.12 , N/A ,$84.16 ,$81.60 , N/A , N/A ,$112.00 , N/A ,$80.00 , N/A ,$120.00 ,$80.80 ,$72.80 ,$80.80 , N/A ,$80.80 ,$100.80 ,$100.80 ,$113.60 ,$160.00 ,$136.00 , N/A ,$128.00 ,$59.20 ,$128.00 , N/A , N/A ,$160.00 ,$86.72 , N/A ,$42.08 , N/A , N/A ,$160.00 ,$462.38 , N/A ,$136.00 , N/A ,$105.28 ,$44.80 ,$144.00 ,$115.20 ,$160.00 ,$100.80 ,$100.80 ,$100.80 , N/A ,$76.80 ,$144.00 ST. JOHN'S HOSPITAL,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$697.00 ,$453.05 ,$181.79 ,$697.00 , N/A ,$285.77 ,$377.77 , N/A ,$195.16 ,$223.04 , N/A ,$256.50 , N/A ,$266.25 ,$181.79 , N/A ,$266.25 , N/A ,$366.62 ,$355.47 , N/A , N/A ,$487.90 , N/A ,$348.50 , N/A ,$522.75 ,$351.99 ,$317.14 ,$351.99 , N/A ,$351.99 ,$439.11 ,$439.11 ,$494.87 ,$697.00 ,$592.45 , N/A ,$557.60 ,$257.89 ,$557.60 , N/A , N/A ,$697.00 ,$377.77 , N/A ,$183.31 , N/A , N/A ,$484.40 ,$462.38 , N/A ,$592.45 , N/A ,$458.63 ,$195.16 ,$627.30 ,$501.84 ,$697.00 ,$439.11 ,$439.11 ,$439.11 , N/A ,$334.56 ,$627.30 ST. JOHN'S HOSPITAL,63600013,Q4133,HC GRAFIX PER SQ CENTIMETER,636,1 ,"$1,025.00 ",$666.25 ,$151.82 ,"$1,025.00 ", N/A ,$420.25 ,$555.55 , N/A ,$287.00 ,$353.63 , N/A ,$393.60 , N/A ,$391.55 ,$151.82 , N/A ,$391.55 , N/A ,$539.15 ,$522.75 , N/A , N/A ,$717.50 , N/A ,$512.50 , N/A ,$768.75 ,$517.63 ,$466.38 ,$517.63 , N/A ,$517.63 ,$645.75 ,$645.75 ,$727.75 ,"$1,025.00 ",$871.25 , N/A ,$820.00 ,$379.25 ,$820.00 , N/A , N/A ,"$1,025.00 ",$555.55 , N/A ,$269.58 , N/A , N/A ,$484.40 ,$462.38 , N/A ,$871.25 , N/A ,$674.45 ,$287.00 ,$922.50 ,$738.00 ,"$1,025.00 ",$645.75 ,$645.75 ,$645.75 , N/A ,$492.00 ,$922.50 ST. JOHN'S HOSPITAL,63600014,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER,636,1 ,$366.00 ,$237.90 ,$92.82 ,$462.38 , N/A ,$150.06 ,$198.37 , N/A ,$102.48 ,$117.12 , N/A ,$134.69 , N/A ,$139.81 ,$92.82 , N/A ,$139.81 , N/A ,$192.52 ,$186.66 , N/A , N/A ,$256.20 , N/A ,$183.00 , N/A ,$274.50 ,$184.83 ,$166.53 ,$184.83 , N/A ,$184.83 ,$230.58 ,$230.58 ,$259.86 ,$366.00 ,$311.10 , N/A ,$292.80 ,$135.42 ,$292.80 , N/A , N/A ,$366.00 ,$198.37 , N/A ,$96.26 , N/A , N/A ,$366.00 ,$462.38 , N/A ,$311.10 , N/A ,$240.83 ,$102.48 ,$329.40 ,$263.52 ,$366.00 ,$230.58 ,$230.58 ,$230.58 , N/A ,$175.68 ,$329.40 ST. JOHN'S HOSPITAL,63600019,M1145,"HC MFN DRUG ADD-ON, PER DOSE",636,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A , 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 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ST. JOHN'S HOSPITAL,63600189,Q4115,HC ALLOSKIN PER SQ CM,636,1 ,$49.00 ,$31.85 ,$12.89 ,$462.38 , N/A ,$20.09 ,$26.56 , N/A ,$13.72 ,$16.91 , N/A ,$18.82 , N/A ,$18.72 ,$15.69 , N/A ,$18.72 , N/A ,$25.77 ,$24.99 , N/A , N/A ,$34.30 , N/A ,$24.50 , N/A ,$36.75 ,$24.75 ,$22.30 ,$24.75 , N/A ,$24.75 ,$30.87 ,$30.87 ,$34.79 ,$49.00 ,$41.65 , N/A ,$39.20 ,$18.13 ,$39.20 , N/A , N/A ,$49.00 ,$26.56 , N/A ,$12.89 , N/A , N/A ,$49.00 ,$462.38 , N/A ,$41.65 , N/A ,$32.24 ,$13.72 ,$44.10 ,$35.28 ,$49.00 ,$30.87 ,$30.87 ,$30.87 , N/A ,$23.52 ,$44.10 ST. JOHN'S HOSPITAL,63600190,Q4160,HC NUSHIELD PER SQ CM,636,1 ,"$1,305.00 ",$848.25 ,$215.21 ,"$1,305.00 ", N/A ,$535.05 ,$707.31 , N/A ,$365.40 ,$417.60 , N/A ,$480.24 , N/A ,$498.51 ,$215.21 , N/A ,$498.51 , N/A ,$686.43 ,$665.55 , N/A , N/A ,$913.50 , N/A ,$652.50 , N/A ,$978.75 ,$659.03 ,$593.78 ,$659.03 , N/A ,$659.03 ,$822.15 ,$822.15 ,$926.55 ,"$1,305.00 ","$1,109.25 ", N/A ,"$1,044.00 ",$482.85 ,"$1,044.00 ", N/A , N/A ,"$1,305.00 ",$707.31 , N/A ,$343.22 , N/A , N/A ,$484.40 ,$462.38 , N/A ,"$1,109.25 ", N/A ,$858.69 ,$365.40 ,"$1,174.50 ",$939.60 ,"$1,305.00 ",$822.15 ,$822.15 ,$822.15 , N/A ,$626.40 ,"$1,174.50 " ST. JOHN'S HOSPITAL,63600193,Q4123,HC ALLOSKIN RT PER SQ CM USED - JC,636,1 ,$248.00 ,$161.20 ,$65.22 ,$462.38 , N/A ,$101.68 ,$134.42 , N/A ,$69.44 ,$85.56 , N/A ,$95.23 , N/A ,$94.74 ,$87.51 , N/A ,$94.74 , N/A ,$130.45 ,$126.48 , N/A , N/A ,$173.60 , N/A ,$124.00 , N/A ,$186.00 ,$125.24 ,$112.84 ,$125.24 , N/A ,$125.24 ,$156.24 ,$156.24 ,$176.08 ,$248.00 ,$210.80 , N/A ,$198.40 ,$91.76 ,$198.40 , N/A , N/A ,$248.00 ,$134.42 , N/A ,$65.22 , N/A , N/A ,$248.00 ,$462.38 , N/A ,$210.80 , N/A ,$163.18 ,$69.44 ,$223.20 ,$178.56 ,$248.00 ,$156.24 ,$156.24 ,$156.24 , N/A ,$119.04 ,$223.20 ST. JOHN'S HOSPITAL,68100001,G0390,HC TRAUMA RESPONSE PARTIAL,681,1 ,"$6,854.00 ","$4,455.10 ",$140.68 ,"$6,854.00 ", N/A ,"$3,152.84 ","$3,714.87 ", N/A ,"$1,919.12 ","$2,193.28 ", N/A ,"$2,522.27 ", N/A ,"$2,618.23 ","$2,618.23 ", N/A ,"$2,618.23 ", N/A ,"$3,605.20 ","$3,495.54 ", N/A , N/A ,"$4,797.80 ", N/A ,"$3,427.00 ", N/A ,"$5,140.50 ","$3,461.27 ","$3,118.57 ","$3,461.27 ", N/A ,"$3,461.27 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$6,854.00 ","$5,825.90 ", N/A ,"$5,483.20 ","$2,535.98 ","$5,483.20 ", N/A , N/A ,"$6,854.00 ","$3,714.87 ", N/A ,"$1,802.60 ", N/A , N/A ,$147.38 ,$140.68 , N/A ,"$5,825.90 ", N/A ,"$2,618.23 ","$1,919.12 ","$6,168.60 ","$4,934.88 ","$6,854.00 ","$1,822.00 ","$4,318.02 ","$4,318.02 ", N/A ,"$3,289.92 ","$6,168.60 " ST. JOHN'S HOSPITAL,68100002,G0390,HC TRAUMA RESPONSE FULL,681,1 ,"$6,911.00 ","$4,492.15 ",$140.68 ,"$6,911.00 ", N/A ,"$3,179.06 ","$3,745.76 ", N/A ,"$1,935.08 ","$2,211.52 ", N/A ,"$2,543.25 ", N/A ,"$2,640.00 ","$2,640.00 ", N/A ,"$2,640.00 ", N/A ,"$3,635.19 ","$3,524.61 ", N/A , N/A ,"$4,837.70 ", N/A ,"$3,455.50 ", N/A ,"$5,183.25 ","$3,490.06 ","$3,144.51 ","$3,490.06 ", N/A ,"$3,490.06 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$6,911.00 ","$5,874.35 ", N/A ,"$5,528.80 ","$2,557.07 ","$5,528.80 ", N/A , N/A ,"$6,911.00 ","$3,745.76 ", N/A ,"$1,817.59 ", N/A , N/A ,$147.38 ,$140.68 , N/A ,"$5,874.35 ", N/A ,"$2,640.00 ","$1,935.08 ","$6,219.90 ","$4,975.92 ","$6,911.00 ","$1,822.00 ","$4,353.93 ","$4,353.93 ", N/A ,"$3,317.28 ","$6,219.90 " ST. JOHN'S HOSPITAL,68100003,N/A,HC TRAUMA RESPONSE W/O CRITICAL CARE FULL,681,1 ,"$7,262.00 ","$4,720.30 ","$1,822.00 ","$7,262.00 ", N/A ,"$3,340.52 ","$3,936.00 ", N/A ,"$2,033.36 ","$2,323.84 ", N/A ,"$2,672.42 ", N/A ,"$2,774.08 ","$2,774.08 ", N/A ,"$2,774.08 ", N/A ,"$3,819.81 ","$3,703.62 ", N/A , N/A ,"$5,083.40 ", N/A ,"$3,631.00 ", N/A ,"$5,446.50 ","$3,667.31 ","$3,304.21 ","$3,667.31 ", N/A ,"$3,667.31 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$7,262.00 ","$6,172.70 ", N/A ,"$5,809.60 ","$2,686.94 ","$5,809.60 ", N/A , N/A ,"$7,262.00 ","$3,936.00 ", N/A ,"$1,909.91 ", N/A , N/A , N/A , N/A , N/A ,"$6,172.70 ", N/A ,"$2,774.08 ","$2,033.36 ","$6,535.80 ","$5,228.64 ","$7,262.00 ","$1,822.00 ","$4,575.06 ","$4,575.06 ", N/A ,"$3,485.76 ","$6,535.80 " ST. JOHN'S HOSPITAL,68100004,N/A,HC TRAUMA RESPONSE W/O CRITICAL CARE PARTIAL,681,1 ,"$7,203.00 ","$4,681.95 ","$1,822.00 ","$7,203.00 ", N/A ,"$3,313.38 ","$3,904.03 ", N/A ,"$2,016.84 ","$2,304.96 ", N/A ,"$2,650.70 ", N/A ,"$2,751.55 ","$2,751.55 ", N/A ,"$2,751.55 ", N/A ,"$3,788.78 ","$3,673.53 ", N/A , N/A ,"$5,042.10 ", N/A ,"$3,601.50 ", N/A ,"$5,402.25 ","$3,637.52 ","$3,277.37 ","$3,637.52 ", N/A ,"$3,637.52 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$7,203.00 ","$6,122.55 ", N/A ,"$5,762.40 ","$2,665.11 ","$5,762.40 ", N/A , N/A ,"$7,203.00 ","$3,904.03 ", N/A ,"$1,894.39 ", N/A , N/A , N/A , N/A , N/A ,"$6,122.55 ", N/A ,"$2,751.55 ","$2,016.84 ","$6,482.70 ","$5,186.16 ","$7,203.00 ","$1,822.00 ","$4,537.89 ","$4,537.89 ", N/A ,"$3,457.44 ","$6,482.70 " ST. JOHN'S HOSPITAL,68200005,G0390,HC TRAUMA RESPONSE PARTIAL PEDI,682,1 ,"$6,854.00 ","$4,455.10 ",$140.68 ,"$6,854.00 ", N/A ,"$3,152.84 ","$3,714.87 ", N/A ,"$1,919.12 ","$2,193.28 ", N/A ,"$2,522.27 ", N/A ,"$2,618.23 ","$2,618.23 ", N/A ,"$2,618.23 ", N/A ,"$3,605.20 ","$3,495.54 ", N/A , N/A ,"$4,797.80 ", N/A ,"$3,427.00 ", N/A ,"$5,140.50 ","$3,461.27 ","$3,118.57 ","$3,461.27 ", N/A ,"$3,461.27 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$6,854.00 ","$5,825.90 ", N/A ,"$5,483.20 ","$2,535.98 ","$5,483.20 ", N/A , N/A ,"$6,854.00 ","$3,714.87 ", N/A ,"$1,802.60 ", N/A , N/A ,$147.38 ,$140.68 , N/A ,"$5,825.90 ", N/A ,"$2,618.23 ","$1,919.12 ","$6,168.60 ","$4,934.88 ","$6,854.00 ","$1,822.00 ","$4,318.02 ","$4,318.02 ", N/A ,"$3,289.92 ","$6,168.60 " ST. JOHN'S HOSPITAL,68200006,G0390,HC TRAUMA RESPONSE FULL PEDI,682,1 ,"$6,911.00 ","$4,492.15 ",$140.68 ,"$6,911.00 ", N/A ,"$3,179.06 ","$3,745.76 ", N/A ,"$1,935.08 ","$2,211.52 ", N/A ,"$2,543.25 ", N/A ,"$2,640.00 ","$2,640.00 ", N/A ,"$2,640.00 ", N/A ,"$3,635.19 ","$3,524.61 ", N/A , N/A ,"$4,837.70 ", N/A ,"$3,455.50 ", N/A ,"$5,183.25 ","$3,490.06 ","$3,144.51 ","$3,490.06 ", N/A ,"$3,490.06 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$6,911.00 ","$5,874.35 ", N/A ,"$5,528.80 ","$2,557.07 ","$5,528.80 ", N/A , N/A ,"$6,911.00 ","$3,745.76 ", N/A ,"$1,817.59 ", N/A , N/A ,$147.38 ,$140.68 , N/A ,"$5,874.35 ", N/A ,"$2,640.00 ","$1,935.08 ","$6,219.90 ","$4,975.92 ","$6,911.00 ","$1,822.00 ","$4,353.93 ","$4,353.93 ", N/A ,"$3,317.28 ","$6,219.90 " ST. JOHN'S HOSPITAL,68300008,G0390,HC TRAUMA RESPONSE PARTIAL PEDI OR ADULT,683,1 ,"$6,854.00 ","$4,455.10 ",$140.68 ,"$6,854.00 ", N/A ,"$3,152.84 ","$3,714.87 ", N/A ,"$1,919.12 ","$2,193.28 ", N/A ,"$2,522.27 ", N/A ,"$2,618.23 ","$2,618.23 ", N/A ,"$2,618.23 ", N/A ,"$3,605.20 ","$3,495.54 ", N/A , N/A ,"$4,797.80 ", N/A ,"$3,427.00 ", N/A ,"$5,140.50 ","$3,461.27 ","$3,118.57 ","$3,461.27 ", N/A ,"$3,461.27 ","$1,822.00 ","$1,822.00 ","$2,005.00 ","$6,854.00 ","$5,825.90 ", N/A ,"$5,483.20 ","$2,535.98 ","$5,483.20 ", N/A , N/A ,"$6,854.00 ","$3,714.87 ", N/A ,"$1,802.60 ", N/A , N/A ,$147.38 ,$140.68 , N/A ,"$5,825.90 ", N/A ,"$2,618.23 ","$1,919.12 ","$6,168.60 ","$4,934.88 ","$6,854.00 ","$1,822.00 ","$4,318.02 ","$4,318.02 ", N/A ,"$3,289.92 ","$6,168.60 " ST. JOHN'S HOSPITAL,71000214,N/A,HC PHASE II RECOVERY <1HR,710,1 ,$476.00 ,$309.40 ,$125.19 ,$476.00 , N/A ,$218.96 ,$257.99 , N/A ,$133.28 ,$152.32 , N/A ,$175.17 , N/A ,$181.83 , N/A , N/A ,$181.83 , N/A ,$250.38 ,$242.76 , N/A , N/A ,$333.20 , N/A ,$238.00 , N/A ,$357.00 ,$240.38 ,$216.58 ,$240.38 , N/A ,$240.38 ,$299.88 ,$299.88 ,$337.96 ,$476.00 ,$404.60 , N/A ,$380.80 ,$176.12 ,$380.80 , N/A , N/A ,$476.00 ,$257.99 , N/A ,$125.19 , N/A , N/A , N/A , N/A , N/A ,$404.60 , N/A , N/A ,$133.28 ,$428.40 ,$342.72 ,$476.00 ,$299.88 ,$299.88 ,$299.88 , N/A ,$228.48 ,$428.40 ST. JOHN'S HOSPITAL,71000215,N/A,HC PHASE II RECOVERY 1-2HRS,710,1 ,$954.00 ,$620.10 ,$250.90 ,$954.00 , N/A ,$438.84 ,$517.07 , N/A ,$267.12 ,$305.28 , N/A ,$351.07 , N/A ,$364.43 , N/A , N/A ,$364.43 , N/A ,$501.80 ,$486.54 , N/A , N/A ,$667.80 , N/A ,$477.00 , N/A ,$715.50 ,$481.77 ,$434.07 ,$481.77 , N/A ,$481.77 ,$601.02 ,$601.02 ,$677.34 ,$954.00 ,$810.90 , N/A ,$763.20 ,$352.98 ,$763.20 , N/A , N/A ,$954.00 ,$517.07 , N/A ,$250.90 , N/A , N/A , N/A , N/A , N/A ,$810.90 , N/A , N/A ,$267.12 ,$858.60 ,$686.88 ,$954.00 ,$601.02 ,$601.02 ,$601.02 , N/A ,$457.92 ,$858.60 ST. JOHN'S HOSPITAL,71000216,N/A,HC PHASE II RECOVERY 2-3HRS,710,1 ,"$1,429.00 ",$928.85 ,$375.83 ,"$1,429.00 ", N/A ,$657.34 ,$774.52 , N/A ,$400.12 ,$457.28 , N/A ,$525.87 , N/A ,$545.88 , N/A , N/A ,$545.88 , N/A ,$751.65 ,$728.79 , N/A , N/A ,"$1,000.30 ", N/A ,$714.50 , N/A ,"$1,071.75 ",$721.65 ,$650.20 ,$721.65 , N/A ,$721.65 ,$900.27 ,$900.27 ,"$1,014.59 ","$1,429.00 ","$1,214.65 ", N/A ,"$1,143.20 ",$528.73 ,"$1,143.20 ", N/A , N/A ,"$1,429.00 ",$774.52 , N/A ,$375.83 , N/A , N/A , N/A , N/A , N/A ,"$1,214.65 ", N/A , N/A ,$400.12 ,"$1,286.10 ","$1,028.88 ","$1,429.00 ",$900.27 ,$900.27 ,$900.27 , N/A ,$685.92 ,"$1,286.10 " ST. JOHN'S HOSPITAL,71000217,N/A,HC PHASE II RECOVERY 3-4HRS,710,1 ,"$1,905.00 ","$1,238.25 ",$501.02 ,"$1,905.00 ", N/A ,$876.30 ,"$1,032.51 ", N/A ,$533.40 ,$609.60 , N/A ,$701.04 , N/A ,$727.71 , N/A , N/A ,$727.71 , N/A ,"$1,002.03 ",$971.55 , N/A , N/A ,"$1,333.50 ", N/A ,$952.50 , N/A ,"$1,428.75 ",$962.03 ,$866.78 ,$962.03 , N/A ,$962.03 ,"$1,200.15 ","$1,200.15 ","$1,352.55 ","$1,905.00 ","$1,619.25 ", N/A ,"$1,524.00 ",$704.85 ,"$1,524.00 ", N/A , N/A ,"$1,905.00 ","$1,032.51 ", N/A ,$501.02 , N/A , N/A , N/A , N/A , N/A ,"$1,619.25 ", N/A , N/A ,$533.40 ,"$1,714.50 ","$1,371.60 ","$1,905.00 ","$1,200.15 ","$1,200.15 ","$1,200.15 ", N/A ,$914.40 ,"$1,714.50 " ST. JOHN'S HOSPITAL,71000235,N/A,HC ENDO/GI RECOVERY LEVEL 1,710,1 ,"$1,027.00 ",$667.55 ,$270.10 ,"$1,027.00 ", N/A ,$472.42 ,$556.63 , N/A ,$287.56 ,$328.64 , N/A ,$377.94 , N/A ,$392.31 , N/A , N/A ,$392.31 , N/A ,$540.20 ,$523.77 , N/A , N/A ,$718.90 , N/A ,$513.50 , N/A ,$770.25 ,$518.64 ,$467.29 ,$518.64 , N/A ,$518.64 ,$647.01 ,$647.01 ,$729.17 ,"$1,027.00 ",$872.95 , N/A ,$821.60 ,$379.99 ,$821.60 , N/A , N/A ,"$1,027.00 ",$556.63 , N/A ,$270.10 , N/A , N/A , N/A , N/A , N/A ,$872.95 , N/A , N/A ,$287.56 ,$924.30 ,$739.44 ,"$1,027.00 ",$647.01 ,$647.01 ,$647.01 , N/A ,$492.96 ,$924.30 ST. JOHN'S HOSPITAL,71000236,N/A,HC ENDO/GI RECOVERY LEVEL 2,710,1 ,"$1,225.00 ",$796.25 ,$322.18 ,"$1,225.00 ", N/A ,$563.50 ,$663.95 , N/A ,$343.00 ,$392.00 , N/A ,$450.80 , N/A ,$467.95 , N/A , N/A ,$467.95 , N/A ,$644.35 ,$624.75 , N/A , N/A ,$857.50 , N/A ,$612.50 , N/A ,$918.75 ,$618.63 ,$557.38 ,$618.63 , N/A ,$618.63 ,$771.75 ,$771.75 ,$869.75 ,"$1,225.00 ","$1,041.25 ", N/A ,$980.00 ,$453.25 ,$980.00 , N/A , N/A ,"$1,225.00 ",$663.95 , N/A ,$322.18 , N/A , N/A , N/A , N/A , N/A ,"$1,041.25 ", N/A , N/A ,$343.00 ,"$1,102.50 ",$882.00 ,"$1,225.00 ",$771.75 ,$771.75 ,$771.75 , N/A ,$588.00 ,"$1,102.50 " ST. JOHN'S HOSPITAL,71000243,N/A,HC RECOVERY CLASS 1,710,1 ,"$1,027.00 ",$667.55 ,$270.10 ,"$1,027.00 ", N/A ,$472.42 ,$556.63 , N/A ,$287.56 ,$328.64 , N/A ,$377.94 , N/A ,$392.31 , N/A , N/A ,$392.31 , N/A ,$540.20 ,$523.77 , N/A , N/A ,$718.90 , N/A ,$513.50 , N/A ,$770.25 ,$518.64 ,$467.29 ,$518.64 , N/A ,$518.64 ,$647.01 ,$647.01 ,$729.17 ,"$1,027.00 ",$872.95 , N/A ,$821.60 ,$379.99 ,$821.60 , N/A , N/A ,"$1,027.00 ",$556.63 , N/A ,$270.10 , N/A , N/A , N/A , N/A , N/A ,$872.95 , N/A , N/A ,$287.56 ,$924.30 ,$739.44 ,"$1,027.00 ",$647.01 ,$647.01 ,$647.01 , N/A ,$492.96 ,$924.30 ST. JOHN'S HOSPITAL,71000244,N/A,HC RECOVERY CLASS 2,710,1 ,"$1,225.00 ",$796.25 ,$322.18 ,"$1,225.00 ", N/A ,$563.50 ,$663.95 , N/A ,$343.00 ,$392.00 , N/A ,$450.80 , N/A ,$467.95 , N/A , N/A ,$467.95 , N/A ,$644.35 ,$624.75 , N/A , N/A ,$857.50 , N/A ,$612.50 , N/A ,$918.75 ,$618.63 ,$557.38 ,$618.63 , N/A ,$618.63 ,$771.75 ,$771.75 ,$869.75 ,"$1,225.00 ","$1,041.25 ", N/A ,$980.00 ,$453.25 ,$980.00 , N/A , N/A ,"$1,225.00 ",$663.95 , N/A ,$322.18 , N/A , N/A , N/A , N/A , N/A ,"$1,041.25 ", N/A , N/A ,$343.00 ,"$1,102.50 ",$882.00 ,"$1,225.00 ",$771.75 ,$771.75 ,$771.75 , N/A ,$588.00 ,"$1,102.50 " ST. JOHN'S HOSPITAL,71000245,N/A,HC RECOVERY CLASS 3,710,1 ,"$1,784.00 ","$1,159.60 ",$469.19 ,"$1,784.00 ", N/A ,$820.64 ,$966.93 , N/A ,$499.52 ,$570.88 , N/A ,$656.51 , N/A ,$681.49 , N/A , N/A ,$681.49 , N/A ,$938.38 ,$909.84 , N/A , N/A ,"$1,248.80 ", N/A ,$892.00 , N/A ,"$1,338.00 ",$900.92 ,$811.72 ,$900.92 , N/A ,$900.92 ,"$1,123.92 ","$1,123.92 ","$1,266.64 ","$1,784.00 ","$1,516.40 ", N/A ,"$1,427.20 ",$660.08 ,"$1,427.20 ", N/A , N/A ,"$1,784.00 ",$966.93 , N/A ,$469.19 , N/A , N/A , N/A , N/A , N/A ,"$1,516.40 ", N/A , N/A ,$499.52 ,"$1,605.60 ","$1,284.48 ","$1,784.00 ","$1,123.92 ","$1,123.92 ","$1,123.92 ", N/A ,$856.32 ,"$1,605.60 " ST. JOHN'S HOSPITAL,71000246,N/A,HC RECOVERY CLASS 4,710,1 ,"$3,243.00 ","$2,107.95 ",$852.91 ,"$3,243.00 ", N/A ,"$1,491.78 ","$1,757.71 ", N/A ,$908.04 ,"$1,037.76 ", N/A ,"$1,193.42 ", N/A ,"$1,238.83 ", N/A , N/A ,"$1,238.83 ", N/A ,"$1,705.82 ","$1,653.93 ", N/A , N/A ,"$2,270.10 ", N/A ,"$1,621.50 ", N/A ,"$2,432.25 ","$1,637.72 ","$1,475.57 ","$1,637.72 ", N/A ,"$1,637.72 ","$2,043.09 ","$2,043.09 ","$2,302.53 ","$3,243.00 ","$2,756.55 ", N/A ,"$2,594.40 ","$1,199.91 ","$2,594.40 ", N/A , N/A ,"$3,243.00 ","$1,757.71 ", N/A ,$852.91 , N/A , N/A , N/A , N/A , N/A ,"$2,756.55 ", N/A , N/A ,$908.04 ,"$2,918.70 ","$2,334.96 ","$3,243.00 ","$2,043.09 ","$2,043.09 ","$2,043.09 ", N/A ,"$1,556.64 ","$2,918.70 " ST. JOHN'S HOSPITAL,71000247,N/A,HC RECOVERY CLASS 5,710,1 ,"$4,057.00 ","$2,637.05 ","$1,066.99 ","$4,057.00 ", N/A ,"$1,866.22 ","$2,198.89 ", N/A ,"$1,135.96 ","$1,298.24 ", N/A ,"$1,492.98 ", N/A ,"$1,549.77 ", N/A , N/A ,"$1,549.77 ", N/A ,"$2,133.98 ","$2,069.07 ", N/A , N/A ,"$2,839.90 ", N/A ,"$2,028.50 ", N/A ,"$3,042.75 ","$2,048.79 ","$1,845.94 ","$2,048.79 ", N/A ,"$2,048.79 ","$2,555.91 ","$2,555.91 ","$2,880.47 ","$4,057.00 ","$3,448.45 ", N/A ,"$3,245.60 ","$1,501.09 ","$3,245.60 ", N/A , N/A ,"$4,057.00 ","$2,198.89 ", N/A ,"$1,066.99 ", N/A , N/A , N/A , N/A , N/A ,"$3,448.45 ", N/A , N/A ,"$1,135.96 ","$3,651.30 ","$2,921.04 ","$4,057.00 ","$2,555.91 ","$2,555.91 ","$2,555.91 ", N/A ,"$1,947.36 ","$3,651.30 " ST. JOHN'S HOSPITAL,71000248,N/A,HC PACU RECOVERY ECT,710,1 ,$148.00 ,$96.20 ,$38.92 ,$148.00 , N/A ,$68.08 ,$80.22 , N/A ,$41.44 ,$47.36 , N/A ,$54.46 , N/A ,$56.54 , N/A , N/A ,$56.54 , N/A ,$77.85 ,$75.48 , N/A , N/A ,$103.60 , N/A ,$74.00 , N/A ,$111.00 ,$74.74 ,$67.34 ,$74.74 , N/A ,$74.74 ,$93.24 ,$93.24 ,$105.08 ,$148.00 ,$125.80 , N/A ,$118.40 ,$54.76 ,$118.40 , N/A , N/A ,$148.00 ,$80.22 , N/A ,$38.92 , N/A , N/A , N/A , N/A , N/A ,$125.80 , N/A , N/A ,$41.44 ,$133.20 ,$106.56 ,$148.00 ,$93.24 ,$93.24 ,$93.24 , N/A ,$71.04 ,$133.20 ST. JOHN'S HOSPITAL,72000003,N/A,HC AMNIOINFUSION,720,1 ,$878.00 ,$570.70 ,$230.91 ,$878.00 , N/A ,$403.88 ,$475.88 , N/A ,$245.84 ,$280.96 , N/A ,$323.10 , N/A ,$335.40 ,$351.20 , N/A ,$335.40 , N/A ,$461.83 ,$447.78 , N/A , N/A ,$614.60 , N/A ,$439.00 , N/A ,$658.50 ,$443.39 ,$399.49 ,$443.39 , N/A ,$443.39 ,$553.14 ,$553.14 ,$623.38 ,$878.00 ,$746.30 , N/A ,$702.40 ,$324.86 ,$702.40 , N/A , N/A ,$878.00 ,$475.88 , N/A ,$230.91 , N/A , N/A , N/A , N/A , N/A ,$746.30 , N/A ,$577.72 ,$245.84 ,$790.20 ,$632.16 ,$878.00 ,$553.14 ,$553.14 ,$553.14 , N/A ,$421.44 ,$790.20 ST. JOHN'S HOSPITAL,72000007,59200,HC INSERT DILATOR CERVICAL,720,1 ,"$1,161.00 ",$754.65 ,$93.28 ,"$1,161.00 ",$677.75 ,$534.06 ,$629.26 ,$271.10 ,$325.08 ,$371.52 ,$271.10 ,$427.25 ,$271.10 ,$443.50 ,$93.28 ,$271.10 ,$443.50 ,$515.10 ,$610.69 ,$592.11 ,$677.76 ,$271.10 ,$812.70 ,$271.10 ,$580.50 ,$276.53 ,$870.75 ,$586.31 ,$528.26 ,$586.31 ,$271.10 ,$586.31 ,$731.43 ,$731.43 ,$824.31 ,"$1,161.00 ",$986.85 ,$677.76 ,$928.80 ,$429.57 ,$928.80 ,$271.10 ,$271.10 ,"$1,161.00 ",$629.26 ,$271.10 ,$305.34 , N/A , N/A ,$256.61 ,$244.94 ,$284.66 ,$986.85 ,$609.98 ,$763.94 ,$325.08 ,"$1,044.90 ",$835.92 ,"$1,161.00 ",$731.43 ,$731.43 ,$731.43 ,$271.10 ,$557.28 ,"$1,044.90 " ST. JOHN'S HOSPITAL,72000008,59412,HC EXTERNAL CEPHALIC VERSION,720,1 ,"$2,365.00 ","$1,537.25 ",$175.28 ,"$6,305.00 ","$6,305.00 ","$1,087.90 ","$1,281.83 ","$2,522.00 ",$662.20 ,$756.80 ,"$2,522.00 ",$870.32 ,"$2,365.00 ",$903.43 ,$175.28 ,"$2,365.00 ",$903.43 ,"$2,365.00 ","$1,243.99 ","$1,206.15 ","$6,305.00 ","$2,522.00 ","$1,655.50 ","$2,522.00 ","$1,182.50 ","$2,365.00 ","$1,773.75 ","$1,194.33 ","$1,076.08 ","$1,194.33 ","$2,522.00 ","$1,194.33 ","$1,489.95 ","$1,489.95 ","$1,679.15 ","$2,365.00 ","$2,010.25 ","$2,365.00 ","$1,892.00 ",$875.05 ,"$1,892.00 ","$2,522.00 ","$2,522.00 ","$2,365.00 ","$1,281.83 ","$2,522.00 ",$622.00 , N/A , N/A , N/A , N/A ,"$2,648.10 ","$2,010.25 ","$5,674.50 ","$1,556.17 ",$662.20 ,"$2,128.50 ","$1,702.80 ","$2,365.00 ","$1,489.95 ","$1,489.95 ","$1,489.95 ","$2,522.00 ","$1,135.20 ","$2,128.50 " ST. JOHN'S HOSPITAL,72000010,99465,HC DELIV/BIRTH ROOM RESUSCITATION,720,1 ,"$1,217.00 ",$791.05 ,$254.54 ,"$1,349.99 ","$1,349.98 ",$559.82 ,$659.61 ,$539.99 ,$340.76 ,$419.87 ,$539.99 ,$467.33 ,$539.99 ,$464.89 ,$254.54 ,$539.99 ,$464.89 ,"$1,025.99 ",$640.14 ,$620.67 ,"$1,349.99 ",$539.99 ,$851.90 ,$539.99 ,$608.50 ,$550.79 ,$912.75 ,$614.59 ,$553.74 ,$614.59 ,$539.99 ,$614.59 ,$766.71 ,$766.71 ,$864.07 ,"$1,217.00 ","$1,034.45 ","$1,217.00 ",$973.60 ,$450.29 ,$973.60 ,$539.99 ,$539.99 ,"$1,217.00 ",$659.61 ,$539.99 ,$320.07 , N/A , N/A ,$708.10 ,$675.92 ,$566.99 ,"$1,034.45 ","$1,214.99 ",$800.79 ,$340.76 ,"$1,095.30 ",$876.24 ,"$1,217.00 ",$766.71 ,$766.71 ,$766.71 ,$539.99 ,$584.16 ,"$1,095.30 " ST. JOHN'S HOSPITAL,72000013,N/A,HC DELIVERY COMPLICATED,720,1 ,"$4,261.00 ","$2,769.65 ","$1,120.64 ","$4,261.00 ", N/A ,"$1,960.06 ","$2,309.46 ", N/A ,"$1,193.08 ","$1,363.52 ", N/A ,"$1,568.05 ", N/A ,"$1,627.70 ","$1,704.40 ", N/A ,"$1,627.70 ", N/A ,"$2,241.29 ","$2,173.11 ", N/A , N/A ,"$2,982.70 ", N/A ,"$2,130.50 ", N/A ,"$3,195.75 ","$2,151.81 ","$1,938.76 ","$2,151.81 ", N/A ,"$2,151.81 ","$2,684.43 ","$2,684.43 ","$3,025.31 ","$4,261.00 ","$3,621.85 ", N/A ,"$3,408.80 ","$1,576.57 ","$3,408.80 ", N/A , N/A ,"$4,261.00 ","$2,309.46 ", N/A ,"$1,120.64 ", N/A , N/A , N/A , N/A , N/A ,"$3,621.85 ", N/A ,"$2,803.74 ","$1,193.08 ","$3,834.90 ","$3,067.92 ","$4,261.00 ","$2,684.43 ","$2,684.43 ","$2,684.43 ", N/A ,"$2,045.28 ","$3,834.90 " ST. JOHN'S HOSPITAL,72000018,N/A,HC DELIVERY OUTSIDE,720,1 ,"$1,194.00 ",$776.10 ,$314.02 ,"$1,194.00 ", N/A ,$549.24 ,$647.15 , N/A ,$334.32 ,$382.08 , N/A ,$439.39 , N/A ,$456.11 ,$477.60 , N/A ,$456.11 , N/A ,$628.04 ,$608.94 , N/A , N/A ,$835.80 , N/A ,$597.00 , N/A ,$895.50 ,$602.97 ,$543.27 ,$602.97 , N/A ,$602.97 ,$752.22 ,$752.22 ,$847.74 ,"$1,194.00 ","$1,014.90 ", N/A ,$955.20 ,$441.78 ,$955.20 , N/A , N/A ,"$1,194.00 ",$647.15 , N/A ,$314.02 , N/A , N/A , N/A , N/A , N/A ,"$1,014.90 ", N/A ,$785.65 ,$334.32 ,"$1,074.60 ",$859.68 ,"$1,194.00 ",$752.22 ,$752.22 ,$752.22 , N/A ,$573.12 ,"$1,074.60 " ST. JOHN'S HOSPITAL,72000021,59001,HC AMNIOCENTESIS THERAPEUTIC,720,1 ,"$1,892.00 ","$1,229.80 ",$271.10 ,"$1,892.00 ",$677.75 ,$870.32 ,"$1,025.46 ",$271.10 ,$529.76 ,$605.44 ,$271.10 ,$696.26 ,$271.10 ,$722.74 ,$337.11 ,$271.10 ,$722.74 ,$515.10 ,$995.19 ,$964.92 ,$677.76 ,$271.10 ,"$1,324.40 ",$271.10 ,$946.00 ,$276.53 ,"$1,419.00 ",$955.46 ,$860.86 ,$955.46 ,$271.10 ,$955.46 ,"$1,191.96 ","$1,191.96 ","$1,343.32 ","$1,892.00 ","$1,608.20 ",$677.76 ,"$1,513.60 ",$700.04 ,"$1,513.60 ",$271.10 ,$271.10 ,"$1,892.00 ","$1,025.46 ",$271.10 ,$497.60 , N/A , N/A , N/A , N/A ,$284.66 ,"$1,608.20 ",$609.98 ,"$1,244.94 ",$529.76 ,"$1,702.80 ","$1,362.24 ","$1,892.00 ","$1,191.96 ","$1,191.96 ","$1,191.96 ",$271.10 ,$908.16 ,"$1,702.80 " ST. JOHN'S HOSPITAL,72000022,59012,HC CORDOCENTESIS FETAL PRENATAL,720,1 ,"$1,266.00 ",$822.90 ,$271.10 ,"$1,266.00 ",$677.75 ,$582.36 ,$686.17 ,$271.10 ,$354.48 ,$405.12 ,$271.10 ,$465.89 ,$271.10 ,$483.61 ,$381.42 ,$271.10 ,$483.61 ,$515.10 ,$665.92 ,$645.66 ,$677.76 ,$271.10 ,$886.20 ,$271.10 ,$633.00 ,$276.53 ,$949.50 ,$639.33 ,$576.03 ,$639.33 ,$271.10 ,$639.33 ,$797.58 ,$797.58 ,$898.86 ,"$1,266.00 ","$1,076.10 ",$677.76 ,"$1,012.80 ",$468.42 ,"$1,012.80 ",$271.10 ,$271.10 ,"$1,266.00 ",$686.17 ,$271.10 ,$332.96 , N/A , N/A , N/A , N/A ,$284.66 ,"$1,076.10 ",$609.98 ,$833.03 ,$354.48 ,"$1,139.40 ",$911.52 ,"$1,266.00 ",$797.58 ,$797.58 ,$797.58 ,$271.10 ,$607.68 ,"$1,139.40 " ST. JOHN'S HOSPITAL,72000023,59070,HC TRANSABDOMINAL AMNIOINFUSION W/US GUIDANCE,720,1 ,"$2,048.00 ","$1,331.20 ",$271.10 ,"$2,048.00 ",$677.75 ,$942.08 ,"$1,110.02 ",$271.10 ,$573.44 ,$655.36 ,$271.10 ,$753.66 ,$271.10 ,$782.34 ,$642.80 ,$271.10 ,$782.34 ,$515.10 ,"$1,077.25 ","$1,044.48 ",$677.76 ,$271.10 ,"$1,433.60 ",$271.10 ,"$1,024.00 ",$276.53 ,"$1,536.00 ","$1,034.24 ",$931.84 ,"$1,034.24 ",$271.10 ,"$1,034.24 ","$1,290.24 ","$1,290.24 ","$1,454.08 ","$2,048.00 ","$1,740.80 ",$677.76 ,"$1,638.40 ",$757.76 ,"$1,638.40 ",$271.10 ,$271.10 ,"$2,048.00 ","$1,110.02 ",$271.10 ,$538.62 , N/A , N/A , N/A , N/A ,$284.66 ,"$1,740.80 ",$609.98 ,"$1,347.58 ",$573.44 ,"$1,843.20 ","$1,474.56 ","$2,048.00 ","$1,290.24 ","$1,290.24 ","$1,290.24 ",$271.10 ,$983.04 ,"$1,843.20 " ST. JOHN'S HOSPITAL,72000027,N/A,HC HYSTERECTOMY/CESAREAN,720,1 ,"$1,307.00 ",$849.55 ,$343.74 ,"$1,307.00 ", N/A ,$601.22 ,$708.39 , N/A ,$365.96 ,$418.24 , N/A ,$480.98 , N/A ,$499.27 ,$522.80 , N/A ,$499.27 , N/A ,$687.48 ,$666.57 , N/A , N/A ,$914.90 , N/A ,$653.50 , N/A ,$980.25 ,$660.04 ,$594.69 ,$660.04 , N/A ,$660.04 ,$823.41 ,$823.41 ,$927.97 ,"$1,307.00 ","$1,110.95 ", N/A ,"$1,045.60 ",$483.59 ,"$1,045.60 ", N/A , N/A ,"$1,307.00 ",$708.39 , N/A ,$343.74 , N/A , N/A , N/A , N/A , N/A ,"$1,110.95 ", N/A ,$860.01 ,$365.96 ,"$1,176.30 ",$941.04 ,"$1,307.00 ",$823.41 ,$823.41 ,$823.41 , N/A ,$627.36 ,"$1,176.30 " ST. JOHN'S HOSPITAL,72100005,N/A,HC LABOR PER HR,721,1 ,$240.00 ,$156.00 ,$63.12 ,$240.00 , N/A ,$110.40 ,$130.08 , N/A ,$67.20 ,$76.80 , N/A ,$88.32 , N/A ,$91.68 ,$96.00 , N/A ,$91.68 , N/A ,$126.24 ,$122.40 , N/A , N/A ,$168.00 , N/A ,$120.00 , N/A ,$180.00 ,$121.20 ,$109.20 ,$121.20 , N/A ,$121.20 ,$151.20 ,$151.20 ,$170.40 ,$240.00 ,$204.00 , N/A ,$192.00 ,$88.80 ,$192.00 , N/A , N/A ,$240.00 ,$130.08 , N/A ,$63.12 , N/A , N/A , N/A , N/A , N/A ,$204.00 , N/A ,$157.92 ,$67.20 ,$216.00 ,$172.80 ,$240.00 ,$151.20 ,$151.20 ,$151.20 , N/A ,$115.20 ,$216.00 ST. JOHN'S HOSPITAL,72200009,N/A,HC DELIVERY,722,1 ,"$3,410.00 ","$2,216.50 ",$896.83 ,"$3,410.00 ", N/A ,"$1,568.60 ","$1,848.22 ", N/A ,$954.80 ,"$1,091.20 ", N/A ,"$1,254.88 ", N/A ,"$1,302.62 ","$1,364.00 ", N/A ,"$1,302.62 ", N/A ,"$1,793.66 ","$1,739.10 ", N/A , N/A ,"$2,387.00 ", N/A ,"$1,705.00 ", N/A ,"$2,557.50 ","$1,722.05 ","$1,551.55 ","$1,722.05 ", N/A ,"$1,722.05 ","$2,148.30 ","$2,148.30 ","$2,421.10 ","$3,410.00 ","$2,898.50 ", N/A ,"$2,728.00 ","$1,261.70 ","$2,728.00 ", N/A , N/A ,"$3,410.00 ","$1,848.22 ", N/A ,$896.83 , N/A , N/A , N/A , N/A , N/A ,"$2,898.50 ", N/A ,"$2,243.78 ",$954.80 ,"$3,069.00 ","$2,455.20 ","$3,410.00 ","$2,148.30 ","$2,148.30 ","$2,148.30 ", N/A ,"$1,636.80 ","$3,069.00 " ST. JOHN'S HOSPITAL,72200014,N/A,HC C-SECTION,722,1 ,"$5,284.00 ","$3,434.60 ","$1,389.69 ","$5,284.00 ", N/A ,"$2,430.64 ","$2,863.93 ", N/A ,"$1,479.52 ","$1,690.88 ", N/A ,"$1,944.51 ", N/A ,"$2,018.49 ","$2,113.60 ", N/A ,"$2,018.49 ", N/A ,"$2,779.38 ","$2,694.84 ", N/A , N/A ,"$3,698.80 ", N/A ,"$2,642.00 ", N/A ,"$3,963.00 ","$2,668.42 ","$2,404.22 ","$2,668.42 ", N/A ,"$2,668.42 ","$3,328.92 ","$3,328.92 ","$3,751.64 ","$5,284.00 ","$4,491.40 ", N/A ,"$4,227.20 ","$1,955.08 ","$4,227.20 ", N/A , N/A ,"$5,284.00 ","$2,863.93 ", N/A ,"$1,389.69 ", N/A , N/A , N/A , N/A , N/A ,"$4,491.40 ", N/A ,"$3,476.87 ","$1,479.52 ","$4,755.60 ","$3,804.48 ","$5,284.00 ","$3,328.92 ","$3,328.92 ","$3,328.92 ", N/A ,"$2,536.32 ","$4,755.60 " ST. JOHN'S HOSPITAL,72200015,N/A,HC C-SECTION COMPLICATED,722,1 ,"$6,137.00 ","$3,989.05 ","$1,614.03 ","$6,137.00 ", N/A ,"$2,823.02 ","$3,326.25 ", N/A ,"$1,718.36 ","$1,963.84 ", N/A ,"$2,258.42 ", N/A ,"$2,344.33 ","$2,454.80 ", N/A ,"$2,344.33 ", N/A ,"$3,228.06 ","$3,129.87 ", N/A , N/A ,"$4,295.90 ", N/A ,"$3,068.50 ", N/A ,"$4,602.75 ","$3,099.19 ","$2,792.34 ","$3,099.19 ", N/A ,"$3,099.19 ","$3,866.31 ","$3,866.31 ","$4,357.27 ","$6,137.00 ","$5,216.45 ", N/A ,"$4,909.60 ","$2,270.69 ","$4,909.60 ", N/A , N/A ,"$6,137.00 ","$3,326.25 ", N/A ,"$1,614.03 ", N/A , N/A , N/A , N/A , N/A ,"$5,216.45 ", N/A ,"$4,038.15 ","$1,718.36 ","$5,523.30 ","$4,418.64 ","$6,137.00 ","$3,866.31 ","$3,866.31 ","$3,866.31 ", N/A ,"$2,945.76 ","$5,523.30 " ST. JOHN'S HOSPITAL,72300001,N/A,HC CIRCUMCISION IP,723,1 ,$190.00 ,$123.50 ,$49.97 ,$190.00 , N/A ,$87.40 ,$102.98 , N/A ,$53.20 ,$60.80 , N/A ,$69.92 , N/A ,$72.58 ,$76.00 , N/A ,$72.58 , N/A ,$99.94 ,$96.90 , N/A , N/A ,$133.00 , N/A ,$95.00 , N/A ,$142.50 ,$95.95 ,$86.45 ,$95.95 , N/A ,$95.95 ,$119.70 ,$119.70 ,$134.90 ,$190.00 ,$161.50 , N/A ,$152.00 ,$70.30 ,$152.00 , N/A , N/A ,$190.00 ,$102.98 , N/A ,$49.97 , N/A , N/A , N/A , N/A , N/A ,$161.50 , N/A ,$125.02 ,$53.20 ,$171.00 ,$136.80 ,$190.00 ,$119.70 ,$119.70 ,$119.70 , N/A ,$91.20 ,$171.00 ST. JOHN'S HOSPITAL,72300002,54160,HC CIRCUMCISION,723,1 ,$446.00 ,$289.90 ,$117.30 ,"$1,382.53 ","$1,382.53 ",$205.16 ,$241.73 ,$553.01 ,$124.88 ,$142.72 ,$553.01 ,$164.13 ,$446.00 ,$170.37 ,$335.18 ,$446.00 ,$170.37 ,$446.00 ,$234.60 ,$227.46 ,"$1,382.53 ",$553.01 ,$312.20 ,$553.01 ,$223.00 ,$446.00 ,$334.50 ,$225.23 ,$202.93 ,$225.23 ,$553.01 ,$225.23 ,$280.98 ,$280.98 ,$316.66 ,$446.00 ,$379.10 ,$446.00 ,$356.80 ,$165.02 ,$356.80 ,$553.01 ,$553.01 ,$446.00 ,$241.73 ,$553.01 ,$117.30 , N/A , N/A , N/A , N/A ,$580.66 ,$379.10 ,"$1,244.28 ",$293.47 ,$124.88 ,$401.40 ,$321.12 ,$446.00 ,$280.98 ,$280.98 ,$280.98 ,$553.01 ,$214.08 ,$401.40 ST. JOHN'S HOSPITAL,73000002,93005,HC EKG,730,1 ,$438.00 ,$284.70 ,$16.80 ,$438.00 ,$133.78 ,$201.48 ,$237.40 ,$53.51 ,$122.64 ,$99.17 ,$53.51 ,$106.86 ,$53.51 ,$167.32 ,$16.80 ,$53.51 ,$167.32 ,$101.66 ,$230.39 ,$223.38 ,$133.77 ,$53.51 ,$306.60 ,$53.51 ,$219.00 ,$54.58 ,$328.50 ,$221.19 ,$199.29 ,$221.19 ,$53.51 ,$221.19 ,$275.94 ,$275.94 ,$310.98 ,$438.00 ,$372.30 ,$133.77 ,$350.40 ,$162.06 ,$350.40 ,$53.51 ,$53.51 ,$438.00 ,$237.40 ,$53.51 ,$115.19 , N/A , N/A ,$26.99 ,$25.77 ,$56.19 ,$372.30 ,$120.39 ,$288.20 ,$122.64 ,$394.20 ,$315.36 ,$438.00 ,$275.94 ,$275.94 ,$275.94 ,$53.51 ,$210.24 ,$394.20 ST. JOHN'S HOSPITAL,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$229.00 ,$148.85 ,$11.17 ,$229.00 ,$133.78 ,$105.34 ,$124.12 ,$53.51 ,$64.12 ,$73.28 ,$53.51 ,$84.27 ,$53.51 ,$87.48 ,$11.17 ,$53.51 ,$87.48 ,$101.66 ,$120.45 ,$116.79 ,$133.77 ,$53.51 ,$160.30 ,$53.51 ,$114.50 ,$54.58 ,$171.75 ,$115.65 ,$104.20 ,$115.65 ,$53.51 ,$115.65 ,$144.27 ,$144.27 ,$162.59 ,$229.00 ,$194.65 ,$133.77 ,$183.20 ,$84.73 ,$183.20 ,$53.51 ,$53.51 ,$229.00 ,$124.12 ,$53.51 ,$60.23 , N/A , N/A ,$26.99 ,$25.77 ,$56.19 ,$194.65 ,$120.39 ,$150.68 ,$64.12 ,$206.10 ,$164.88 ,$229.00 ,$144.27 ,$144.27 ,$144.27 ,$53.51 ,$109.92 ,$206.10 ST. JOHN'S HOSPITAL,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,"$2,005.00 ","$1,303.25 ",$50.20 ,"$2,005.00 ",$270.98 ,$922.30 ,"$1,086.71 ",$108.39 ,$561.40 ,$302.62 ,$108.39 ,$326.07 ,$108.39 ,$765.91 ,$50.20 ,$108.39 ,$765.91 ,$205.94 ,"$1,054.63 ","$1,022.55 ",$270.97 ,$108.39 ,"$1,403.50 ",$108.39 ,"$1,002.50 ",$110.56 ,"$1,503.75 ","$1,012.53 ",$912.28 ,"$1,012.53 ",$108.39 ,"$1,012.53 ","$1,263.15 ","$1,263.15 ","$1,423.55 ","$2,005.00 ","$1,704.25 ",$270.97 ,"$1,604.00 ",$741.85 ,"$1,604.00 ",$108.39 ,$108.39 ,"$2,005.00 ","$1,086.71 ",$108.39 ,$527.32 , N/A , N/A ,$72.42 ,$69.13 ,$113.81 ,"$1,704.25 ",$243.87 ,"$1,319.29 ",$561.40 ,"$1,804.50 ","$1,443.60 ","$2,005.00 ","$1,263.15 ","$1,263.15 ","$1,263.15 ",$108.39 ,$962.40 ,"$1,804.50 " ST. JOHN'S HOSPITAL,73100001,93226,HC HOLTER SCAN AND REPORT 24 HR,731,1 ,$228.00 ,$148.20 ,$59.96 ,$270.98 ,$270.98 ,$104.88 ,$123.58 ,$108.39 ,$63.84 ,$78.66 ,$108.39 ,$87.55 ,$108.39 ,$87.10 ,$70.73 ,$108.39 ,$87.10 ,$205.94 ,$119.93 ,$116.28 ,$270.97 ,$108.39 ,$159.60 ,$108.39 ,$114.00 ,$110.56 ,$171.00 ,$115.14 ,$103.74 ,$115.14 ,$108.39 ,$115.14 ,$143.64 ,$143.64 ,$161.88 ,$228.00 ,$193.80 ,$228.00 ,$182.40 ,$84.36 ,$182.40 ,$108.39 ,$108.39 ,$228.00 ,$123.58 ,$108.39 ,$59.96 , N/A , N/A ,$72.42 ,$69.13 ,$113.81 ,$193.80 ,$243.87 ,$150.02 ,$63.84 ,$205.20 ,$164.16 ,$228.00 ,$143.64 ,$143.64 ,$143.64 ,$108.39 ,$109.44 ,$205.20 ST. JOHN'S HOSPITAL,73100002,93226,HC HOLTER SCAN AND REPORT 48 HR,731,1 ,"$1,083.00 ",$703.95 ,$69.13 ,"$1,083.00 ",$270.98 ,$498.18 ,$586.99 ,$108.39 ,$303.24 ,$373.64 ,$108.39 ,$415.87 ,$108.39 ,$413.71 ,$70.73 ,$108.39 ,$413.71 ,$205.94 ,$569.66 ,$552.33 ,$270.97 ,$108.39 ,$758.10 ,$108.39 ,$541.50 ,$110.56 ,$812.25 ,$546.92 ,$492.77 ,$546.92 ,$108.39 ,$546.92 ,$682.29 ,$682.29 ,$768.93 ,"$1,083.00 ",$920.55 ,$270.97 ,$866.40 ,$400.71 ,$866.40 ,$108.39 ,$108.39 ,"$1,083.00 ",$586.99 ,$108.39 ,$284.83 , N/A , N/A ,$72.42 ,$69.13 ,$113.81 ,$920.55 ,$243.87 ,$712.61 ,$303.24 ,$974.70 ,$779.76 ,"$1,083.00 ",$682.29 ,$682.29 ,$682.29 ,$108.39 ,$519.84 ,$974.70 ST. JOHN'S HOSPITAL,73100004,93270,HC CARDIAC EVENT RECORDER,731,1 ,$405.00 ,$263.25 ,$18.02 ,$405.00 ,$89.48 ,$186.30 ,$219.51 ,$35.79 ,$113.40 ,$107.16 ,$35.79 ,$115.46 ,$35.79 ,$154.71 ,$18.02 ,$35.79 ,$154.71 ,$68.01 ,$213.03 ,$206.55 ,$89.48 ,$35.79 ,$283.50 ,$35.79 ,$202.50 ,$36.51 ,$303.75 ,$204.53 ,$184.28 ,$204.53 ,$35.79 ,$204.53 ,$255.15 ,$255.15 ,$287.55 ,$405.00 ,$344.25 ,$89.48 ,$324.00 ,$149.85 ,$324.00 ,$35.79 ,$35.79 ,$405.00 ,$219.51 ,$35.79 ,$106.52 , N/A , N/A ,$72.42 ,$69.13 ,$37.58 ,$344.25 ,$80.54 ,$266.49 ,$113.40 ,$364.50 ,$291.60 ,$405.00 ,$255.15 ,$255.15 ,$255.15 ,$35.79 ,$194.40 ,$364.50 ST. JOHN'S HOSPITAL,74000001,95803,HC ACTIGRAPHY TESTING 72HR TO 14 DAYS,740,1 ,$553.00 ,$359.45 ,$53.51 ,$553.00 ,$133.78 ,$254.38 ,$299.73 ,$53.51 ,$154.84 ,$176.96 ,$53.51 ,$203.50 ,$53.51 ,$211.25 ,$144.13 ,$53.51 ,$211.25 ,$101.66 ,$290.88 ,$282.03 ,$133.77 ,$53.51 ,$387.10 ,$53.51 ,$276.50 ,$54.58 ,$414.75 ,$279.27 ,$251.62 ,$279.27 ,$53.51 ,$279.27 ,$348.39 ,$348.39 ,$392.63 ,$553.00 ,$470.05 ,$133.77 ,$442.40 ,$204.61 ,$442.40 ,$53.51 ,$53.51 ,$553.00 ,$299.73 ,$53.51 ,$145.44 , N/A , N/A ,$125.19 ,$119.50 ,$56.19 ,$470.05 ,$120.39 ,$363.87 ,$154.84 ,$497.70 ,$398.16 ,$553.00 ,$348.39 ,$348.39 ,$348.39 ,$53.51 ,$265.44 ,$497.70 ST. JOHN'S HOSPITAL,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$3,089.00 ","$2,007.85 ",$469.22 ,"$3,089.00 ","$1,173.05 ","$1,420.94 ","$1,674.24 ",$469.22 ,$864.92 ,"$1,065.71 ",$469.22 ,"$1,186.18 ",$469.22 ,"$1,180.00 ",$523.20 ,$469.22 ,"$1,180.00 ",$891.51 ,"$1,624.81 ","$1,575.39 ","$1,173.04 ",$469.22 ,"$2,162.30 ",$469.22 ,"$1,544.50 ",$478.60 ,"$2,316.75 ","$1,559.95 ","$1,405.50 ","$1,559.95 ",$469.22 ,"$1,559.95 ","$1,946.07 ","$1,946.07 ","$2,193.19 ","$3,089.00 ","$2,625.65 ","$1,173.04 ","$2,471.20 ","$1,142.93 ","$2,471.20 ",$469.22 ,$469.22 ,"$3,089.00 ","$1,674.24 ",$469.22 ,$812.41 , N/A , N/A ,$804.41 ,$767.84 ,$492.68 ,"$2,625.65 ","$1,055.74 ","$2,032.56 ",$864.92 ,"$2,780.10 ","$2,224.08 ","$3,089.00 ","$1,946.07 ","$3,089.00 ","$3,089.00 ",$469.22 ,"$1,482.72 ","$2,780.10 " ST. JOHN'S HOSPITAL,74000003,95806,HC SLEEP STUDY UNATTENDED,740,1 ,"$1,609.00 ","$1,045.85 ",$127.73 ,"$1,609.00 ",$335.53 ,$740.14 ,$872.08 ,$134.21 ,$450.52 ,$555.11 ,$134.21 ,$617.86 ,$134.21 ,$614.64 ,$127.73 ,$134.21 ,$614.64 ,$254.99 ,$846.33 ,$820.59 ,$335.51 ,$134.21 ,"$1,126.30 ",$134.21 ,$804.50 ,$136.89 ,"$1,206.75 ",$812.55 ,$732.10 ,$812.55 ,$134.21 ,$812.55 ,"$1,013.67 ","$1,013.67 ","$1,142.39 ","$1,609.00 ","$1,367.65 ",$335.51 ,"$1,287.20 ",$595.33 ,"$1,287.20 ",$134.21 ,$134.21 ,"$1,609.00 ",$872.08 ,$134.21 ,$423.17 , N/A , N/A ,$804.41 ,$767.84 ,$140.92 ,"$1,367.65 ",$301.96 ,"$1,058.72 ",$450.52 ,"$1,448.10 ","$1,158.48 ","$1,609.00 ","$1,013.67 ","$1,200.00 ","$1,200.00 ",$134.21 ,$772.32 ,"$1,448.10 " ST. JOHN'S HOSPITAL,74000006,95810,HC SLEEP STUDY,740,1 ,"$6,153.00 ","$3,999.45 ",$767.84 ,"$6,153.00 ","$2,210.90 ","$2,830.38 ","$3,334.93 ",$884.36 ,"$1,722.84 ","$2,122.79 ",$884.36 ,"$2,362.75 ",$884.36 ,"$2,350.45 ","$1,070.73 ",$884.36 ,"$2,350.45 ","$1,680.29 ","$3,236.48 ","$3,138.03 ","$2,210.90 ",$884.36 ,"$4,307.10 ",$884.36 ,"$3,076.50 ",$902.05 ,"$4,614.75 ","$3,107.27 ","$2,799.62 ","$3,107.27 ",$884.36 ,"$3,107.27 ","$3,876.39 ","$3,876.39 ","$4,368.63 ","$6,153.00 ","$5,230.05 ","$2,210.90 ","$4,922.40 ","$2,276.61 ","$4,922.40 ",$884.36 ,$884.36 ,"$6,153.00 ","$3,334.93 ",$884.36 ,"$1,618.24 ", N/A , N/A ,$804.41 ,$767.84 ,$928.58 ,"$5,230.05 ","$1,989.81 ","$4,048.67 ","$1,722.84 ","$5,537.70 ","$4,430.16 ","$6,153.00 ","$3,876.39 ","$3,250.00 ","$3,250.00 ",$884.36 ,"$2,953.44 ","$5,537.70 " ST. JOHN'S HOSPITAL,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$6,953.00 ","$4,519.45 ",$767.84 ,"$6,953.00 ","$2,210.90 ","$3,198.38 ","$3,768.53 ",$884.36 ,"$1,946.84 ","$2,398.79 ",$884.36 ,"$2,669.95 ",$884.36 ,"$2,656.05 ","$1,125.55 ",$884.36 ,"$2,656.05 ","$1,680.29 ","$3,657.28 ","$3,546.03 ","$2,210.90 ",$884.36 ,"$4,867.10 ",$884.36 ,"$3,476.50 ",$902.05 ,"$5,214.75 ","$3,511.27 ","$3,163.62 ","$3,511.27 ",$884.36 ,"$3,511.27 ","$4,380.39 ","$4,380.39 ","$4,936.63 ","$6,953.00 ","$5,910.05 ","$2,210.90 ","$5,562.40 ","$2,572.61 ","$5,562.40 ",$884.36 ,$884.36 ,"$6,953.00 ","$3,768.53 ",$884.36 ,"$1,828.64 ", N/A , N/A ,$804.41 ,$767.84 ,$928.58 ,"$5,910.05 ","$1,989.81 ","$4,575.07 ","$1,946.84 ","$6,257.70 ","$5,006.16 ","$6,953.00 ","$4,380.39 ","$3,250.00 ","$3,250.00 ",$884.36 ,"$3,337.44 ","$6,257.70 " ST. JOHN'S HOSPITAL,74000012,95812,HC EEG MONITOR 41-60 MIN,740,1 ,"$1,439.00 ",$935.35 ,$254.40 ,"$1,439.00 ",$636.00 ,$661.94 ,$779.94 ,$254.40 ,$402.92 ,$496.46 ,$254.40 ,$552.58 ,$254.40 ,$549.70 ,$386.63 ,$254.40 ,$549.70 ,$483.35 ,$756.91 ,$733.89 ,$635.99 ,$254.40 ,"$1,007.30 ",$254.40 ,$719.50 ,$259.48 ,"$1,079.25 ",$726.70 ,$654.75 ,$726.70 ,$254.40 ,$726.70 ,$906.57 ,$906.57 ,"$1,021.69 ","$1,439.00 ","$1,223.15 ",$635.99 ,"$1,151.20 ",$532.43 ,"$1,151.20 ",$254.40 ,$254.40 ,"$1,439.00 ",$779.94 ,$254.40 ,$378.46 , N/A , N/A ,$480.77 ,$458.91 ,$267.12 ,"$1,223.15 ",$572.39 ,$946.86 ,$402.92 ,"$1,295.10 ","$1,036.08 ","$1,439.00 ",$906.57 ,$906.57 ,$906.57 ,$254.40 ,$690.72 ,"$1,295.10 " ST. JOHN'S HOSPITAL,74000014,95816,HC EEG AWAKE/DROWSY,740,1 ,"$1,317.00 ",$856.05 ,$254.40 ,"$1,317.00 ",$636.00 ,$605.82 ,$713.81 ,$254.40 ,$368.76 ,$454.37 ,$254.40 ,$505.73 ,$254.40 ,$503.09 ,$442.12 ,$254.40 ,$503.09 ,$483.35 ,$692.74 ,$671.67 ,$635.99 ,$254.40 ,$921.90 ,$254.40 ,$658.50 ,$259.48 ,$987.75 ,$665.09 ,$599.24 ,$665.09 ,$254.40 ,$665.09 ,$829.71 ,$829.71 ,$935.07 ,"$1,317.00 ","$1,119.45 ",$635.99 ,"$1,053.60 ",$487.29 ,"$1,053.60 ",$254.40 ,$254.40 ,"$1,317.00 ",$713.81 ,$254.40 ,$346.37 , N/A , N/A ,$271.47 ,$259.13 ,$267.12 ,"$1,119.45 ",$572.39 ,$866.59 ,$368.76 ,"$1,185.30 ",$948.24 ,"$1,317.00 ",$829.71 ,$829.71 ,$829.71 ,$254.40 ,$632.16 ,"$1,185.30 " ST. JOHN'S HOSPITAL,74000016,95819,HC EEG AWAKE/ASLEEP,740,1 ,"$1,337.00 ",$869.05 ,$254.40 ,"$1,337.00 ",$636.00 ,$615.02 ,$724.65 ,$254.40 ,$374.36 ,$461.27 ,$254.40 ,$513.41 ,$254.40 ,$510.73 ,$535.02 ,$254.40 ,$510.73 ,$483.35 ,$703.26 ,$681.87 ,$635.99 ,$254.40 ,$935.90 ,$254.40 ,$668.50 ,$259.48 ,"$1,002.75 ",$675.19 ,$608.34 ,$675.19 ,$254.40 ,$675.19 ,$842.31 ,$842.31 ,$949.27 ,"$1,337.00 ","$1,136.45 ",$635.99 ,"$1,069.60 ",$494.69 ,"$1,069.60 ",$254.40 ,$254.40 ,"$1,337.00 ",$724.65 ,$254.40 ,$351.63 , N/A , N/A ,$271.47 ,$259.13 ,$267.12 ,"$1,136.45 ",$572.39 ,$879.75 ,$374.36 ,"$1,203.30 ",$962.64 ,"$1,337.00 ",$842.31 ,$842.31 ,$842.31 ,$254.40 ,$641.76 ,"$1,203.30 " ST. JOHN'S HOSPITAL,74000018,95822,HC EEG COMA OR SLEEP ONLY,740,1 ,"$1,229.00 ",$798.85 ,$254.40 ,"$1,229.00 ",$636.00 ,$565.34 ,$666.12 ,$254.40 ,$344.12 ,$424.01 ,$254.40 ,$471.94 ,$254.40 ,$469.48 ,$473.89 ,$254.40 ,$469.48 ,$483.35 ,$646.45 ,$626.79 ,$635.99 ,$254.40 ,$860.30 ,$254.40 ,$614.50 ,$259.48 ,$921.75 ,$620.65 ,$559.20 ,$620.65 ,$254.40 ,$620.65 ,$774.27 ,$774.27 ,$872.59 ,"$1,229.00 ","$1,044.65 ",$635.99 ,$983.20 ,$454.73 ,$983.20 ,$254.40 ,$254.40 ,"$1,229.00 ",$666.12 ,$254.40 ,$323.23 , N/A , N/A ,$271.47 ,$259.13 ,$267.12 ,"$1,044.65 ",$572.39 ,$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$774.27 ,$774.27 ,$774.27 ,$254.40 ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,74000020,95824,HC EEG CEREBRAL DEATH EVAL,740,1 ,"$1,229.00 ",$798.85 ,$92.13 ,"$1,229.00 ","$1,173.05 ",$565.34 ,$666.12 ,$469.22 ,$344.12 ,$424.01 ,$469.22 ,$471.94 ,$469.22 ,$469.48 ,$92.13 ,$469.22 ,$469.48 ,$891.51 ,$646.45 ,$626.79 ,"$1,173.04 ",$469.22 ,$860.30 ,$469.22 ,$614.50 ,$478.60 ,$921.75 ,$620.65 ,$559.20 ,$620.65 ,$469.22 ,$620.65 ,$774.27 ,$774.27 ,$872.59 ,"$1,229.00 ","$1,044.65 ","$1,173.04 ",$983.20 ,$454.73 ,$983.20 ,$469.22 ,$469.22 ,"$1,229.00 ",$666.12 ,$469.22 ,$323.23 , N/A , N/A ,$271.47 ,$259.13 ,$492.68 ,"$1,044.65 ","$1,055.74 ",$808.68 ,$344.12 ,"$1,106.10 ",$884.88 ,"$1,229.00 ",$774.27 ,$774.27 ,$774.27 ,$469.22 ,$589.92 ,"$1,106.10 " ST. JOHN'S HOSPITAL,74000025,95937,HC NEUROMUSCULAR JUNCTION TEST,740,1 ,$632.00 ,$410.80 ,$77.01 ,$632.00 ,$335.53 ,$290.72 ,$342.54 ,$134.21 ,$176.96 ,$218.04 ,$134.21 ,$242.69 ,$134.21 ,$241.42 ,$77.01 ,$134.21 ,$241.42 ,$254.99 ,$332.43 ,$322.32 ,$335.51 ,$134.21 ,$442.40 ,$134.21 ,$316.00 ,$136.89 ,$474.00 ,$319.16 ,$287.56 ,$319.16 ,$134.21 ,$319.16 ,$398.16 ,$398.16 ,$448.72 ,$632.00 ,$537.20 ,$335.51 ,$505.60 ,$233.84 ,$505.60 ,$134.21 ,$134.21 ,$632.00 ,$342.54 ,$134.21 ,$166.22 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$537.20 ,$301.96 ,$415.86 ,$176.96 ,$568.80 ,$455.04 ,$632.00 ,$398.16 ,$398.16 ,$398.16 ,$134.21 ,$303.36 ,$568.80 ST. JOHN'S HOSPITAL,74000029,95955,HC EEG INTRAOP,740,1 ,"$1,756.00 ","$1,141.40 ",$225.59 ,"$1,756.00 ", N/A ,$807.76 ,$951.75 , N/A ,$491.68 ,$605.82 , N/A ,$674.30 , N/A ,$670.79 ,$225.59 , N/A ,$670.79 , N/A ,$923.66 ,$895.56 , N/A , N/A ,"$1,229.20 ", N/A ,$878.00 , N/A ,"$1,317.00 ",$886.78 ,$798.98 ,$886.78 , N/A ,$886.78 ,"$1,106.28 ","$1,106.28 ","$1,246.76 ","$1,756.00 ","$1,492.60 ", N/A ,"$1,404.80 ",$649.72 ,"$1,404.80 ", N/A , N/A ,"$1,756.00 ",$951.75 , N/A ,$461.83 , N/A , N/A ,$271.47 ,$259.13 , N/A ,"$1,492.60 ", N/A ,"$1,155.45 ",$491.68 ,"$1,580.40 ","$1,264.32 ","$1,756.00 ","$1,106.28 ","$1,106.28 ","$1,106.28 ", N/A ,$842.88 ,"$1,580.40 " ST. JOHN'S HOSPITAL,74000033,95939,HC TCMEP UPPER AND LOWER,740,1 ,"$1,918.00 ","$1,246.70 ",$328.58 ,"$2,210.90 ","$2,210.90 ",$882.28 ,"$1,039.56 ",$884.36 ,$537.04 ,$613.76 ,$884.36 ,$705.82 ,$884.36 ,$732.68 ,$570.88 ,$884.36 ,$732.68 ,"$1,680.29 ","$1,008.87 ",$978.18 ,"$2,210.90 ",$884.36 ,"$1,342.60 ",$884.36 ,$959.00 ,$902.05 ,"$1,438.50 ",$968.59 ,$872.69 ,$968.59 ,$884.36 ,$968.59 ,"$1,208.34 ","$1,208.34 ","$1,361.78 ","$1,918.00 ","$1,630.30 ","$1,918.00 ","$1,534.40 ",$709.66 ,"$1,534.40 ",$884.36 ,$884.36 ,"$1,918.00 ","$1,039.56 ",$884.36 ,$504.43 , N/A , N/A ,$344.22 ,$328.58 ,$928.58 ,"$1,630.30 ","$1,989.81 ","$1,262.04 ",$537.04 ,"$1,726.20 ","$1,380.96 ","$1,918.00 ","$1,208.34 ","$1,208.34 ","$1,208.34 ",$884.36 ,$920.64 ,"$1,726.20 " ST. JOHN'S HOSPITAL,74000041,95782,HC SLEEP STUDY ONE ON ONE <6 YRS,740,1 ,"$7,141.00 ","$4,641.65 ",$884.36 ,"$7,141.00 ","$2,210.90 ","$3,284.86 ","$3,870.42 ",$884.36 ,"$1,999.48 ","$2,463.65 ",$884.36 ,"$2,742.14 ",$884.36 ,"$2,727.86 ","$1,258.52 ",$884.36 ,"$2,727.86 ","$1,680.29 ","$3,756.17 ","$3,641.91 ","$2,210.90 ",$884.36 ,"$4,998.70 ",$884.36 ,"$3,570.50 ",$902.05 ,"$5,355.75 ","$3,606.21 ","$3,249.16 ","$3,606.21 ",$884.36 ,"$3,606.21 ","$4,498.83 ","$4,498.83 ","$5,070.11 ","$7,141.00 ","$6,069.85 ","$2,210.90 ","$5,712.80 ","$2,642.17 ","$5,712.80 ",$884.36 ,$884.36 ,"$7,141.00 ","$3,870.42 ",$884.36 ,"$1,878.08 ", N/A , N/A , N/A , N/A ,$928.58 ,"$6,069.85 ","$1,989.81 ","$4,698.78 ","$1,999.48 ","$6,426.90 ","$5,141.52 ","$7,141.00 ","$4,498.83 ","$3,250.00 ","$3,250.00 ",$884.36 ,"$3,427.68 ","$6,426.90 " ST. JOHN'S HOSPITAL,74000042,95783,HC SLEEP STUDY W/CPAP ONE ON ONE <6 YRS,740,1 ,"$9,186.00 ","$5,970.90 ",$884.36 ,"$9,186.00 ","$2,210.90 ","$4,225.56 ","$4,978.81 ",$884.36 ,"$2,572.08 ","$3,169.17 ",$884.36 ,"$3,527.42 ",$884.36 ,"$3,509.05 ","$1,334.92 ",$884.36 ,"$3,509.05 ","$1,680.29 ","$4,831.84 ","$4,684.86 ","$2,210.90 ",$884.36 ,"$6,430.20 ",$884.36 ,"$4,593.00 ",$902.05 ,"$6,889.50 ","$4,638.93 ","$4,179.63 ","$4,638.93 ",$884.36 ,"$4,638.93 ","$5,787.18 ","$5,787.18 ","$6,522.06 ","$9,186.00 ","$7,808.10 ","$2,210.90 ","$7,348.80 ","$3,398.82 ","$7,348.80 ",$884.36 ,$884.36 ,"$9,186.00 ","$4,978.81 ",$884.36 ,"$2,415.92 ", N/A , N/A , N/A , N/A ,$928.58 ,"$7,808.10 ","$1,989.81 ","$6,044.39 ","$2,572.08 ","$8,267.40 ","$6,613.92 ","$9,186.00 ","$5,787.18 ","$3,250.00 ","$3,250.00 ",$884.36 ,"$4,409.28 ","$8,267.40 " ST. JOHN'S HOSPITAL,74000043,95940,HC NEURO TEST INTRAOPER PER 15MIN,740,1 ,$204.00 ,$132.60 ,$51.00 ,$204.00 , N/A ,$93.84 ,$110.57 , N/A ,$57.12 ,$65.28 , N/A ,$75.07 , N/A ,$77.93 ,$51.00 , N/A ,$77.93 , N/A ,$107.30 ,$104.04 , N/A , N/A ,$142.80 , N/A ,$102.00 , N/A ,$153.00 ,$103.02 ,$92.82 ,$103.02 , N/A ,$103.02 ,$128.52 ,$128.52 ,$144.84 ,$204.00 ,$173.40 , N/A ,$163.20 ,$75.48 ,$163.20 , N/A , N/A ,$204.00 ,$110.57 , N/A ,$53.65 , N/A , N/A , N/A , N/A , N/A ,$173.40 , N/A ,$134.23 ,$57.12 ,$183.60 ,$146.88 ,$204.00 ,$128.52 ,$128.52 ,$128.52 , N/A ,$97.92 ,$183.60 ST. JOHN'S HOSPITAL,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$6,153.00 ","$3,999.45 ",$383.92 ,"$6,153.00 ","$1,105.45 ","$2,830.38 ","$3,334.93 ",$442.18 ,"$1,722.84 ","$2,122.79 ",$442.18 ,"$2,362.75 ",$442.18 ,"$2,350.45 ","$1,070.73 ",$442.18 ,"$2,350.45 ",$840.14 ,"$3,236.48 ","$3,138.03 ","$1,105.45 ",$442.18 ,"$4,307.10 ",$442.18 ,"$3,076.50 ",$451.02 ,"$4,614.75 ","$3,107.27 ","$2,799.62 ","$3,107.27 ",$442.18 ,"$3,107.27 ","$3,876.39 ","$3,876.39 ","$4,368.63 ","$6,153.00 ","$5,230.05 ","$1,105.45 ","$4,922.40 ","$2,276.61 ","$4,922.40 ",$442.18 ,$442.18 ,"$6,153.00 ","$3,334.93 ",$442.18 ,"$1,618.24 ", N/A , N/A ,$402.20 ,$383.92 ,$464.29 ,"$5,230.05 ",$994.91 ,"$4,048.67 ","$1,722.84 ","$5,537.70 ","$4,430.16 ","$6,153.00 ","$3,876.39 ","$3,250.00 ","$3,250.00 ",$442.18 ,"$2,953.44 ","$5,537.70 " ST. JOHN'S HOSPITAL,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$5,215.00 ","$3,389.75 ",$383.92 ,"$5,215.00 ","$1,105.45 ","$2,398.90 ","$2,826.53 ",$442.18 ,"$1,460.20 ","$1,799.18 ",$442.18 ,"$2,002.56 ",$442.18 ,"$1,992.13 ","$1,125.55 ",$442.18 ,"$1,992.13 ",$840.14 ,"$2,743.09 ","$2,659.65 ","$1,105.45 ",$442.18 ,"$3,650.50 ",$442.18 ,"$2,607.50 ",$451.02 ,"$3,911.25 ","$2,633.58 ","$2,372.83 ","$2,633.58 ",$442.18 ,"$2,633.58 ","$3,285.45 ","$3,285.45 ","$3,702.65 ","$5,215.00 ","$4,432.75 ","$1,105.45 ","$4,172.00 ","$1,929.55 ","$4,172.00 ",$442.18 ,$442.18 ,"$5,215.00 ","$2,826.53 ",$442.18 ,"$1,371.55 ", N/A , N/A ,$402.20 ,$383.92 ,$464.29 ,"$4,432.75 ",$994.91 ,"$3,431.47 ","$1,460.20 ","$4,693.50 ","$3,754.80 ","$5,215.00 ","$3,285.45 ","$3,250.00 ","$3,250.00 ",$442.18 ,"$2,503.20 ","$4,693.50 " ST. JOHN'S HOSPITAL,74000047,95782,HC SLEEP STUDY PSG 4+ PARAMETERS <6YRS-52,740,1 ,"$5,356.00 ","$3,481.40 ",$442.18 ,"$5,356.00 ","$1,105.45 ","$2,463.76 ","$2,902.95 ",$442.18 ,"$1,499.68 ","$1,847.82 ",$442.18 ,"$2,056.70 ",$442.18 ,"$2,045.99 ","$1,258.52 ",$442.18 ,"$2,045.99 ",$840.14 ,"$2,817.26 ","$2,731.56 ","$1,105.45 ",$442.18 ,"$3,749.20 ",$442.18 ,"$2,678.00 ",$451.02 ,"$4,017.00 ","$2,704.78 ","$2,436.98 ","$2,704.78 ",$442.18 ,"$2,704.78 ","$3,374.28 ","$3,374.28 ","$3,802.76 ","$5,356.00 ","$4,552.60 ","$1,105.45 ","$4,284.80 ","$1,981.72 ","$4,284.80 ",$442.18 ,$442.18 ,"$5,356.00 ","$2,902.95 ",$442.18 ,"$1,408.63 ", N/A , N/A , N/A , N/A ,$464.29 ,"$4,552.60 ",$994.91 ,"$3,524.25 ","$1,499.68 ","$4,820.40 ","$3,856.32 ","$5,356.00 ","$3,374.28 ","$3,250.00 ","$3,250.00 ",$442.18 ,"$2,570.88 ","$4,820.40 " ST. JOHN'S HOSPITAL,74000048,95783,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP<6YRS-52,740,1 ,"$6,889.00 ","$4,477.85 ",$442.18 ,"$6,889.00 ","$1,105.45 ","$3,168.94 ","$3,733.84 ",$442.18 ,"$1,928.92 ","$2,376.71 ",$442.18 ,"$2,645.38 ",$442.18 ,"$2,631.60 ","$1,334.92 ",$442.18 ,"$2,631.60 ",$840.14 ,"$3,623.61 ","$3,513.39 ","$1,105.45 ",$442.18 ,"$4,822.30 ",$442.18 ,"$3,444.50 ",$451.02 ,"$5,166.75 ","$3,478.95 ","$3,134.50 ","$3,478.95 ",$442.18 ,"$3,478.95 ","$4,340.07 ","$4,340.07 ","$4,891.19 ","$6,889.00 ","$5,855.65 ","$1,105.45 ","$5,511.20 ","$2,548.93 ","$5,511.20 ",$442.18 ,$442.18 ,"$6,889.00 ","$3,733.84 ",$442.18 ,"$1,811.81 ", N/A , N/A , N/A , N/A ,$464.29 ,"$5,855.65 ",$994.91 ,"$4,532.96 ","$1,928.92 ","$6,200.10 ","$4,960.08 ","$6,889.00 ","$4,340.07 ","$3,250.00 ","$3,250.00 ",$442.18 ,"$3,306.72 ","$6,200.10 " ST. JOHN'S HOSPITAL,74000073,95807,HC SLEEP STUDY ATTENDED NAP-52,740,1 ,"$2,428.00 ","$1,578.20 ",$234.61 ,"$2,428.00 ",$586.53 ,"$1,116.88 ","$1,315.98 ",$234.61 ,$679.84 ,$837.66 ,$234.61 ,$932.35 ,$234.61 ,$927.50 ,$533.45 ,$234.61 ,$927.50 ,$445.76 ,"$1,277.13 ","$1,238.28 ",$586.52 ,$234.61 ,"$1,699.60 ",$234.61 ,"$1,214.00 ",$239.30 ,"$1,821.00 ","$1,226.14 ","$1,104.74 ","$1,226.14 ",$234.61 ,"$1,226.14 ","$1,529.64 ","$1,529.64 ","$1,723.88 ","$2,428.00 ","$2,063.80 ",$586.52 ,"$1,942.40 ",$898.36 ,"$1,942.40 ",$234.61 ,$234.61 ,"$2,428.00 ","$1,315.98 ",$234.61 ,$638.56 , N/A , N/A ,$402.20 ,$383.92 ,$246.34 ,"$2,063.80 ",$527.87 ,"$1,597.62 ",$679.84 ,"$2,185.20 ","$1,748.16 ","$2,428.00 ","$1,529.64 ","$2,428.00 ","$2,428.00 ",$234.61 ,"$1,165.44 ","$2,185.20 " ST. JOHN'S HOSPITAL,74000074,95813,HC EEG MONITOR < 4 HOURS,740,1 ,"$2,578.00 ","$1,675.70 ",$254.40 ,"$2,578.00 ",$636.00 ,"$1,185.88 ","$1,397.28 ",$254.40 ,$721.84 ,$889.41 ,$254.40 ,$989.95 ,$254.40 ,$984.80 ,$458.52 ,$254.40 ,$984.80 ,$483.35 ,"$1,356.03 ","$1,314.78 ",$635.99 ,$254.40 ,"$1,804.60 ",$254.40 ,"$1,289.00 ",$259.48 ,"$1,933.50 ","$1,301.89 ","$1,172.99 ","$1,301.89 ",$254.40 ,"$1,301.89 ","$1,624.14 ","$1,624.14 ","$1,830.38 ","$2,578.00 ","$2,191.30 ",$635.99 ,"$2,062.40 ",$953.86 ,"$2,062.40 ",$254.40 ,$254.40 ,"$2,578.00 ","$1,397.28 ",$254.40 ,$678.01 , N/A , N/A ,$480.77 ,$458.91 ,$267.12 ,"$2,191.30 ",$572.39 ,"$1,696.32 ",$721.84 ,"$2,320.20 ","$1,856.16 ","$2,578.00 ","$1,624.14 ","$1,624.14 ","$1,624.14 ",$254.40 ,"$1,237.44 ","$2,320.20 " ST. JOHN'S HOSPITAL,74000075,95813,HC EEG MONITOR > 4 HOURS,740,1 ,"$4,860.00 ","$3,159.00 ",$254.40 ,"$4,860.00 ",$636.00 ,"$2,235.60 ","$2,634.12 ",$254.40 ,"$1,360.80 ","$1,676.70 ",$254.40 ,"$1,866.24 ",$254.40 ,"$1,856.52 ",$458.52 ,$254.40 ,"$1,856.52 ",$483.35 ,"$2,556.36 ","$2,478.60 ",$635.99 ,$254.40 ,"$3,402.00 ",$254.40 ,"$2,430.00 ",$259.48 ,"$3,645.00 ","$2,454.30 ","$2,211.30 ","$2,454.30 ",$254.40 ,"$2,454.30 ","$3,061.80 ","$3,061.80 ","$3,450.60 ","$4,860.00 ","$4,131.00 ",$635.99 ,"$3,888.00 ","$1,798.20 ","$3,888.00 ",$254.40 ,$254.40 ,"$4,860.00 ","$2,634.12 ",$254.40 ,"$1,278.18 ", N/A , N/A ,$480.77 ,$458.91 ,$267.12 ,"$4,131.00 ",$572.39 ,"$3,197.88 ","$1,360.80 ","$4,374.00 ","$3,499.20 ","$4,860.00 ","$3,061.80 ","$3,061.80 ","$3,061.80 ",$254.40 ,"$2,332.80 ","$4,374.00 " ST. JOHN'S HOSPITAL,74000076,95829,HC ELECTROCORTICOGRAM,740,1 ,"$1,301.00 ",$845.65 ,$259.13 ,"$1,301.00 ", N/A ,$598.46 ,$705.14 , N/A ,$364.28 ,$448.85 , N/A ,$499.58 , N/A ,$496.98 ,"$1,301.00 ", N/A ,$496.98 , N/A ,$684.33 ,$663.51 , N/A , N/A ,$910.70 , N/A ,$650.50 , N/A ,$975.75 ,$657.01 ,$591.96 ,$657.01 , N/A ,$657.01 ,$819.63 ,$819.63 ,$923.71 ,"$1,301.00 ","$1,105.85 ", N/A ,"$1,040.80 ",$481.37 ,"$1,040.80 ", N/A , N/A ,"$1,301.00 ",$705.14 , N/A ,$342.16 , N/A , N/A ,$271.47 ,$259.13 , N/A ,"$1,105.85 ", N/A ,$856.06 ,$364.28 ,"$1,170.90 ",$936.72 ,"$1,301.00 ",$819.63 ,$819.63 ,$819.63 , N/A ,$624.48 ,"$1,170.90 " ST. JOHN'S HOSPITAL,74000079,95961,HC FUNCTIONAL CORTICAL/SUBCORTICAL MAPPING INIT HR,740,1 ,"$1,383.00 ",$898.95 ,$207.66 ,"$2,210.90 ","$2,210.90 ",$636.18 ,$749.59 ,$884.36 ,$387.24 ,$477.14 ,$884.36 ,$531.07 ,$884.36 ,$528.31 ,$207.66 ,$884.36 ,$528.31 ,"$1,383.00 ",$727.46 ,$705.33 ,"$2,210.90 ",$884.36 ,$968.10 ,$884.36 ,$691.50 ,$902.05 ,"$1,037.25 ",$698.42 ,$629.27 ,$698.42 ,$884.36 ,$698.42 ,$871.29 ,$871.29 ,$981.93 ,"$1,383.00 ","$1,175.55 ","$1,383.00 ","$1,106.40 ",$511.71 ,"$1,106.40 ",$884.36 ,$884.36 ,"$1,383.00 ",$749.59 ,$884.36 ,$363.73 , N/A , N/A ,$344.22 ,$328.58 ,$928.58 ,"$1,175.55 ","$1,989.81 ",$910.01 ,$387.24 ,"$1,244.70 ",$995.76 ,"$1,383.00 ",$871.29 ,$871.29 ,$871.29 ,$884.36 ,$663.84 ,"$1,244.70 " ST. JOHN'S HOSPITAL,74000080,95962,HC FUNCTIONAL CORTICAL/SUBCORTICAL MAPPING EA ADDL HR,740,1 ,$849.00 ,$551.85 ,$128.76 ,$849.00 , N/A ,$390.54 ,$460.16 , N/A ,$237.72 ,$292.91 , N/A ,$326.02 , N/A ,$324.32 ,$128.76 , N/A ,$324.32 , N/A ,$446.57 ,$432.99 , N/A , N/A ,$594.30 , N/A ,$424.50 , N/A ,$636.75 ,$428.75 ,$386.30 ,$428.75 , N/A ,$428.75 ,$534.87 ,$534.87 ,$602.79 ,$849.00 ,$721.65 , N/A ,$679.20 ,$314.13 ,$679.20 , N/A , N/A ,$849.00 ,$460.16 , N/A ,$223.29 , N/A , N/A ,$344.22 ,$328.58 , N/A ,$721.65 , N/A ,$558.64 ,$237.72 ,$764.10 ,$611.28 ,$849.00 ,$534.87 ,$534.87 ,$534.87 , N/A ,$407.52 ,$764.10 ST. JOHN'S HOSPITAL,74000081,N/A,HC INFANT CEREBRAL FUNCTION MONITORING,740,1 ,"$1,241.00 ",$806.65 ,$326.38 ,"$1,241.00 ", N/A ,$570.86 ,$672.62 , N/A ,$347.48 ,$397.12 , N/A ,$456.69 , N/A ,$474.06 ,$496.40 , N/A ,$474.06 , N/A ,$652.77 ,$632.91 , N/A , N/A ,$868.70 , N/A ,$620.50 , N/A ,$930.75 ,$626.71 ,$564.66 ,$626.71 , N/A ,$626.71 ,$781.83 ,$781.83 ,$881.11 ,"$1,241.00 ","$1,054.85 ", N/A ,$992.80 ,$459.17 ,$992.80 , N/A , N/A ,"$1,241.00 ",$672.62 , N/A ,$326.38 , N/A , N/A , N/A , N/A , N/A ,"$1,054.85 ", N/A ,$816.58 ,$347.48 ,"$1,116.90 ",$893.52 ,"$1,241.00 ",$781.83 ,$781.83 ,$781.83 , N/A ,$595.68 ,"$1,116.90 " ST. JOHN'S HOSPITAL,74000082,95700,HC EEG CONT RECORDING W/VIDEO ADMIN TECH MINIMUM 8 CHANNELS,740,1 ,$730.00 ,$474.50 ,$191.99 ,$730.00 ,$636.00 ,$335.80 ,$395.66 ,$254.40 ,$204.40 ,$233.60 ,$254.40 ,$268.64 ,$254.40 ,$278.86 ,$292.00 ,$254.40 ,$278.86 ,$483.35 ,$383.98 ,$372.30 ,$635.99 ,$254.40 ,$511.00 ,$254.40 ,$365.00 ,$259.48 ,$547.50 ,$368.65 ,$332.15 ,$368.65 ,$254.40 ,$368.65 ,$459.90 ,$459.90 ,$518.30 ,$730.00 ,$620.50 ,$635.99 ,$584.00 ,$270.10 ,$584.00 ,$254.40 ,$254.40 ,$730.00 ,$395.66 ,$254.40 ,$191.99 , N/A , N/A ,$271.47 ,$259.13 ,$267.12 ,$620.50 ,$572.39 ,$480.34 ,$204.40 ,$657.00 ,$525.60 ,$730.00 ,$459.90 ,$459.90 ,$459.90 ,$254.40 ,$350.40 ,$657.00 ST. JOHN'S HOSPITAL,74000086,95708,HC EEG W/O VIDEO BY TECH 12-26 HOURS EACH INCREMENT UNMONITORED,740,1 ,"$1,400.00 ",$910.00 ,$368.20 ,"$1,400.00 ","$1,173.05 ",$644.00 ,$758.80 ,$469.22 ,$392.00 ,$448.00 ,$469.22 ,$515.20 ,$469.22 ,$534.80 ,$560.00 ,$469.22 ,$534.80 ,$891.51 ,$736.40 ,$714.00 ,"$1,173.04 ",$469.22 ,$980.00 ,$469.22 ,$700.00 ,$478.60 ,"$1,050.00 ",$707.00 ,$637.00 ,$707.00 ,$469.22 ,$707.00 ,$882.00 ,$882.00 ,$994.00 ,"$1,400.00 ","$1,190.00 ","$1,173.04 ","$1,120.00 ",$518.00 ,"$1,120.00 ",$469.22 ,$469.22 ,"$1,400.00 ",$758.80 ,$469.22 ,$368.20 , N/A , N/A ,$480.77 ,$458.91 ,$492.68 ,"$1,190.00 ","$1,055.74 ",$921.20 ,$392.00 ,"$1,260.00 ","$1,008.00 ","$1,400.00 ",$882.00 ,$882.00 ,$882.00 ,$469.22 ,$672.00 ,"$1,260.00 " ST. JOHN'S HOSPITAL,74000090,95712,HC VEEG W/VIDEO BY TECH 2-12 HOURS W/INTERMITTENT MONITORING,740,1 ,$730.00 ,$474.50 ,$191.99 ,$730.00 ,$636.00 ,$335.80 ,$395.66 ,$254.40 ,$204.40 ,$233.60 ,$254.40 ,$268.64 ,$254.40 ,$278.86 ,$292.00 ,$254.40 ,$278.86 ,$483.35 ,$383.98 ,$372.30 ,$635.99 ,$254.40 ,$511.00 ,$254.40 ,$365.00 ,$259.48 ,$547.50 ,$368.65 ,$332.15 ,$368.65 ,$254.40 ,$368.65 ,$459.90 ,$459.90 ,$518.30 ,$730.00 ,$620.50 ,$635.99 ,$584.00 ,$270.10 ,$584.00 ,$254.40 ,$254.40 ,$730.00 ,$395.66 ,$254.40 ,$191.99 , N/A , N/A ,$271.47 ,$259.13 ,$267.12 ,$620.50 ,$572.39 ,$480.34 ,$204.40 ,$657.00 ,$525.60 ,$730.00 ,$459.90 ,$459.90 ,$459.90 ,$254.40 ,$350.40 ,$657.00 ST. JOHN'S HOSPITAL,74000091,95713,HC VEEG W/VIDEO BY TECH 2-12 HOURS W/CONTINUOUS REAL-TIME MONITORING,740,1 ,"$1,400.00 ",$910.00 ,$259.13 ,"$1,400.00 ","$1,173.05 ",$644.00 ,$758.80 ,$469.22 ,$392.00 ,$448.00 ,$469.22 ,$515.20 ,$469.22 ,$534.80 ,$560.00 ,$469.22 ,$534.80 ,$891.51 ,$736.40 ,$714.00 ,"$1,173.04 ",$469.22 ,$980.00 ,$469.22 ,$700.00 ,$478.60 ,"$1,050.00 ",$707.00 ,$637.00 ,$707.00 ,$469.22 ,$707.00 ,$882.00 ,$882.00 ,$994.00 ,"$1,400.00 ","$1,190.00 ","$1,173.04 ","$1,120.00 ",$518.00 ,"$1,120.00 ",$469.22 ,$469.22 ,"$1,400.00 ",$758.80 ,$469.22 ,$368.20 , N/A , N/A ,$271.47 ,$259.13 ,$492.68 ,"$1,190.00 ","$1,055.74 ",$921.20 ,$392.00 ,"$1,260.00 ","$1,008.00 ","$1,400.00 ",$882.00 ,$882.00 ,$882.00 ,$469.22 ,$672.00 ,"$1,260.00 " ST. JOHN'S HOSPITAL,74000093,95715,HC VEEG W/VIDEO BY TECH 12-26 HOURS EACH INCREMENT W/INTERMITTENT MONITORING,740,1 ,"$1,400.00 ",$910.00 ,$368.20 ,"$1,400.00 ","$1,173.05 ",$644.00 ,$758.80 ,$469.22 ,$392.00 ,$448.00 ,$469.22 ,$515.20 ,$469.22 ,$534.80 ,$560.00 ,$469.22 ,$534.80 ,$891.51 ,$736.40 ,$714.00 ,"$1,173.04 ",$469.22 ,$980.00 ,$469.22 ,$700.00 ,$478.60 ,"$1,050.00 ",$707.00 ,$637.00 ,$707.00 ,$469.22 ,$707.00 ,$882.00 ,$882.00 ,$994.00 ,"$1,400.00 ","$1,190.00 ","$1,173.04 ","$1,120.00 ",$518.00 ,"$1,120.00 ",$469.22 ,$469.22 ,"$1,400.00 ",$758.80 ,$469.22 ,$368.20 , N/A , N/A ,$480.77 ,$458.91 ,$492.68 ,"$1,190.00 ","$1,055.74 ",$921.20 ,$392.00 ,"$1,260.00 ","$1,008.00 ","$1,400.00 ",$882.00 ,$882.00 ,$882.00 ,$469.22 ,$672.00 ,"$1,260.00 " ST. JOHN'S HOSPITAL,74000094,95716,HC VEEG W/VIDEO BY TECH 12-26 HOURS EACH INCREMENT W/CONTINUOUS REAL-TIME MONITORING,740,1 ,"$2,621.00 ","$1,703.65 ",$458.91 ,"$2,621.00 ","$2,210.90 ","$1,205.66 ","$1,420.58 ",$884.36 ,$733.88 ,$838.72 ,$884.36 ,$964.53 ,$884.36 ,"$1,001.22 ","$1,048.40 ",$884.36 ,"$1,001.22 ","$1,680.29 ","$1,378.65 ","$1,336.71 ","$2,210.90 ",$884.36 ,"$1,834.70 ",$884.36 ,"$1,310.50 ",$902.05 ,"$1,965.75 ","$1,323.61 ","$1,192.56 ","$1,323.61 ",$884.36 ,"$1,323.61 ","$1,651.23 ","$1,651.23 ","$1,860.91 ","$2,621.00 ","$2,227.85 ","$2,210.90 ","$2,096.80 ",$969.77 ,"$2,096.80 ",$884.36 ,$884.36 ,"$2,621.00 ","$1,420.58 ",$884.36 ,$689.32 , N/A , N/A ,$480.77 ,$458.91 ,$928.58 ,"$2,227.85 ","$1,989.81 ","$1,724.62 ",$733.88 ,"$2,358.90 ","$1,887.12 ","$2,621.00 ","$1,651.23 ","$1,651.23 ","$1,651.23 ",$884.36 ,"$1,258.08 ","$2,358.90 " ST. JOHN'S HOSPITAL,75000097,91034,HC ACID REFLUX TEST NASAL PH ELEC,750,1 ,"$2,456.00 ","$1,596.40 ",$469.22 ,"$2,456.00 ","$1,173.05 ","$2,456.00 ","$1,331.15 ",$469.22 ,$687.68 ,$847.32 ,$469.22 ,$943.10 ,$469.22 ,$938.19 ,$938.19 ,$469.22 ,$938.19 ,$891.51 ,"$1,291.86 ", N/A ,"$1,173.04 ",$469.22 ,"$1,719.20 ",$469.22 ,"$1,228.00 ",$478.60 ,"$1,842.00 ","$1,240.28 ","$1,117.48 ","$1,240.28 ",$469.22 ,"$1,240.28 ","$1,547.28 ","$1,547.28 ","$1,743.76 ","$2,456.00 ","$2,087.60 ","$1,173.04 ","$1,964.80 ",$908.72 ,"$1,964.80 ",$469.22 ,$469.22 ,"$2,456.00 ","$1,331.15 ",$469.22 ,$645.93 , N/A , N/A ,$631.26 ,$602.56 ,$492.68 ,"$2,087.60 ","$1,055.74 ",$938.19 ,$687.68 ,"$2,210.40 ","$1,768.32 ","$2,456.00 ","$1,547.28 ","$1,547.28 ","$1,547.28 ",$469.22 ,"$1,178.88 ","$2,210.40 " ST. JOHN'S HOSPITAL,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$2,212.00 ","$1,437.80 ",$581.76 ,"$2,212.00 ","$1,944.50 ","$2,212.00 ","$1,198.90 ",$777.80 ,$619.36 ,$707.84 ,$777.80 ,$814.02 ,$777.80 ,$844.98 ,$844.98 ,$777.80 ,$844.98 ,"$1,477.82 ","$1,163.51 ","$1,106.00 ","$1,944.50 ",$777.80 ,"$1,548.40 ",$777.80 ,"$1,106.00 ",$793.35 ,"$1,659.00 ","$1,117.06 ","$1,006.46 ","$1,117.06 ",$777.80 ,"$1,117.06 ","$1,393.56 ","$1,393.56 ","$1,570.52 ","$2,212.00 ","$1,880.20 ","$1,944.50 ","$1,769.60 ",$818.44 ,"$1,769.60 ",$777.80 ,$777.80 ,"$2,212.00 ","$1,198.90 ",$777.80 ,$581.76 , N/A , N/A ,$725.23 ,$692.27 ,$816.69 ,"$1,880.20 ","$1,750.05 ",$844.98 ,$619.36 ,"$1,990.80 ","$1,592.64 ","$2,212.00 ","$1,393.56 ","$1,393.56 ","$1,393.56 ",$777.80 ,"$1,061.76 ","$1,990.80 " ST. JOHN'S HOSPITAL,75000510,49082,HC PARACENTESIS W/O IMAGING,750,1 ,"$2,429.00 ","$1,578.85 ",$638.83 ,"$2,429.00 ","$1,944.50 ","$2,429.00 ","$1,316.52 ",$777.80 ,$680.12 ,$777.28 ,$777.80 ,$893.87 ,$777.80 ,$927.88 ,$927.88 ,$777.80 ,$927.88 ,"$1,477.82 ","$1,277.65 ","$1,214.50 ","$1,944.50 ",$777.80 ,"$1,700.30 ",$777.80 ,"$1,214.50 ",$793.35 ,"$1,821.75 ","$1,226.65 ","$1,105.20 ","$1,226.65 ",$777.80 ,"$1,226.65 ","$1,530.27 ","$1,530.27 ","$1,724.59 ","$2,429.00 ","$2,064.65 ","$1,944.50 ","$1,943.20 ",$898.73 ,"$1,943.20 ",$777.80 ,$777.80 ,"$2,429.00 ","$1,316.52 ",$777.80 ,$638.83 , N/A , N/A ,$725.23 ,$692.27 ,$816.69 ,"$2,064.65 ","$1,750.05 ",$927.88 ,$680.12 ,"$2,186.10 ","$1,748.88 ","$2,429.00 ","$1,530.27 ","$1,530.27 ","$1,530.27 ",$777.80 ,"$1,165.92 ","$2,186.10 " ST. JOHN'S HOSPITAL,75001007,91010,HC MOTILITY STUDY ESOPHAGEAL,750,1 ,"$1,313.00 ",$853.45 ,$345.32 ,"$1,313.00 ","$1,173.05 ","$1,313.00 ",$711.65 ,$469.22 ,$367.64 ,$452.99 ,$469.22 ,$504.19 ,$469.22 ,$501.57 ,$501.57 ,$469.22 ,$501.57 ,$891.51 ,$690.64 , N/A ,"$1,173.04 ",$469.22 ,$919.10 ,$469.22 ,$656.50 ,$478.60 ,$984.75 ,$663.07 ,$597.42 ,$663.07 ,$469.22 ,$663.07 ,$827.19 ,$827.19 ,$932.23 ,"$1,313.00 ","$1,116.05 ","$1,173.04 ","$1,050.40 ",$485.81 ,"$1,050.40 ",$469.22 ,$469.22 ,"$1,313.00 ",$711.65 ,$469.22 ,$345.32 , N/A , N/A ,$631.26 ,$602.56 ,$492.68 ,"$1,116.05 ","$1,055.74 ",$501.57 ,$367.64 ,"$1,181.70 ",$945.36 ,"$1,313.00 ",$827.19 ,$827.19 ,$827.19 ,$469.22 ,$630.24 ,"$1,181.70 " ST. JOHN'S HOSPITAL,75001057,N/A,HC BRONCHOSCOPY W/ALVEOLAR LAVAGE -31624,750,1 ,"$4,228.00 ","$2,748.20 ","$1,111.96 ","$4,228.00 ", N/A ,"$1,944.88 ","$2,291.58 ", N/A ,"$1,183.84 ","$1,352.96 ", N/A ,"$1,555.90 ", N/A ,"$1,615.10 ","$1,615.10 ", N/A ,"$1,615.10 ", N/A ,"$2,223.93 ", N/A , N/A , N/A ,"$2,959.60 ", N/A ,"$2,114.00 ", N/A ,"$3,171.00 ","$2,135.14 ","$1,923.74 ","$2,135.14 ", N/A ,"$2,135.14 ","$2,663.64 ","$2,663.64 ","$3,001.88 ","$4,228.00 ","$3,593.80 ", N/A ,"$3,382.40 ","$1,564.36 ","$3,382.40 ", N/A , N/A ,"$4,228.00 ","$2,291.58 ", N/A ,"$1,111.96 ", N/A , N/A , N/A , N/A , N/A ,"$3,593.80 ", N/A ,"$1,615.10 ","$1,183.84 ","$3,805.20 ","$3,044.16 ","$4,228.00 ","$2,663.64 ","$2,663.64 ","$2,663.64 ", N/A ,"$2,029.44 ","$3,805.20 " ST. JOHN'S HOSPITAL,75001061,N/A,HC ESOPHAGOSCOPY RIGID TRANSORAL - 43180,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,300.00 ","$1,495.00 ",$604.90 ,"$2,300.00 ", N/A ,"$1,058.00 ","$1,246.60 ", N/A ,$644.00 ,$736.00 , N/A ,$846.40 , N/A ,$878.60 ,$878.60 , N/A ,$878.60 , N/A ,"$1,209.80 ", N/A , N/A , N/A ,"$1,610.00 ", N/A ,"$1,150.00 ", N/A ,"$1,725.00 ","$1,161.50 ","$1,046.50 ","$1,161.50 ", N/A ,"$1,161.50 ","$1,449.00 ","$1,449.00 ","$1,633.00 ","$2,300.00 ","$1,955.00 ", N/A ,"$1,840.00 ",$851.00 ,"$1,840.00 ", N/A , N/A ,"$2,300.00 ","$1,246.60 ", N/A ,$604.90 , N/A , N/A , N/A , N/A , N/A ,"$1,955.00 ", N/A ,$878.60 ,$644.00 ,"$2,070.00 ","$1,656.00 ","$2,300.00 ","$1,449.00 ","$1,449.00 ","$1,449.00 ", N/A ,"$1,104.00 ","$2,070.00 " ST. JOHN'S HOSPITAL,75001068,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/FB REMOVAL - 43215,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001070,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/ENDO US EXAM - 43231,750,1 ,"$4,559.00 ","$2,963.35 ","$1,199.02 ","$4,559.00 ", N/A ,"$2,097.14 ","$2,470.98 ", N/A ,"$1,276.52 ","$1,458.88 ", N/A ,"$1,677.71 ", N/A ,"$1,741.54 ","$1,741.54 ", N/A ,"$1,741.54 ", N/A ,"$2,398.03 ", N/A , N/A , N/A ,"$3,191.30 ", N/A ,"$2,279.50 ", N/A ,"$3,419.25 ","$2,302.30 ","$2,074.35 ","$2,302.30 ", N/A ,"$2,302.30 ","$2,872.17 ","$2,872.17 ","$3,236.89 ","$4,559.00 ","$3,875.15 ", N/A ,"$3,647.20 ","$1,686.83 ","$3,647.20 ", N/A , N/A ,"$4,559.00 ","$2,470.98 ", N/A ,"$1,199.02 ", N/A , N/A , N/A , N/A , N/A ,"$3,875.15 ", N/A ,"$1,741.54 ","$1,276.52 ","$4,103.10 ","$3,282.48 ","$4,559.00 ","$2,872.17 ","$2,872.17 ","$2,872.17 ", N/A ,"$2,188.32 ","$4,103.10 " ST. JOHN'S HOSPITAL,75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$4,561.00 ","$2,964.65 ","$1,199.54 ","$4,561.00 ", N/A ,"$2,098.06 ","$2,472.06 ", N/A ,"$1,277.08 ","$1,459.52 ", N/A ,"$1,678.45 ", N/A ,"$1,742.30 ","$1,742.30 ", N/A ,"$1,742.30 ", N/A ,"$2,399.09 ", N/A , N/A , N/A ,"$3,192.70 ", N/A ,"$2,280.50 ", N/A ,"$3,420.75 ","$2,303.31 ","$2,075.26 ","$2,303.31 ", N/A ,"$2,303.31 ","$2,873.43 ","$2,873.43 ","$3,238.31 ","$4,561.00 ","$3,876.85 ", N/A ,"$3,648.80 ","$1,687.57 ","$3,648.80 ", N/A , N/A ,"$4,561.00 ","$2,472.06 ", N/A ,"$1,199.54 ", N/A , N/A , N/A , N/A , N/A ,"$3,876.85 ", N/A ,"$1,742.30 ","$1,277.08 ","$4,104.90 ","$3,283.92 ","$4,561.00 ","$2,873.43 ","$2,873.43 ","$2,873.43 ", N/A ,"$2,189.28 ","$4,104.90 " ST. JOHN'S HOSPITAL,75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001073,N/A,HC EGD W/SUBMUCOSAL INJ - 43236,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001074,N/A,HC EGD W/ENDO US EXAM LIMITED - 43237,750,1 ,"$2,777.00 ","$1,805.05 ",$730.35 ,"$2,777.00 ", N/A ,"$1,277.42 ","$1,505.13 ", N/A ,$777.56 ,$888.64 , N/A ,"$1,021.94 ", N/A ,"$1,060.81 ","$1,060.81 ", N/A ,"$1,060.81 ", N/A ,"$1,460.70 ", N/A , N/A , N/A ,"$1,943.90 ", N/A ,"$1,388.50 ", N/A ,"$2,082.75 ","$1,402.39 ","$1,263.54 ","$1,402.39 ", N/A ,"$1,402.39 ","$1,749.51 ","$1,749.51 ","$1,971.67 ","$2,777.00 ","$2,360.45 ", N/A ,"$2,221.60 ","$1,027.49 ","$2,221.60 ", N/A , N/A ,"$2,777.00 ","$1,505.13 ", N/A ,$730.35 , N/A , N/A , N/A , N/A , N/A ,"$2,360.45 ", N/A ,"$1,060.81 ",$777.56 ,"$2,499.30 ","$1,999.44 ","$2,777.00 ","$1,749.51 ","$1,749.51 ","$1,749.51 ", N/A ,"$1,332.96 ","$2,499.30 " ST. JOHN'S HOSPITAL,75001075,N/A,HC EGD W/US FINE NEEDLE ASPIRATION LIMITED - 43238,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001077,N/A,HC EGD W/TRANSMURAL DRAIN CYST - 43240,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001078,N/A,HC EGD W/US FINE NEEDLE ASPIRATION - 43242,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001079,N/A,HC EGD W/SCLEROTHERAPY - 43243,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001080,N/A,HC EGD W/BAND LIGATION - 43244,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$5,198.00 ","$3,378.70 ","$1,367.07 ","$5,198.00 ", N/A ,"$2,391.08 ","$2,817.32 ", N/A ,"$1,455.44 ","$1,663.36 ", N/A ,"$1,912.86 ", N/A ,"$1,985.64 ","$1,985.64 ", N/A ,"$1,985.64 ", N/A ,"$2,734.15 ", N/A , N/A , N/A ,"$3,638.60 ", N/A ,"$2,599.00 ", N/A ,"$3,898.50 ","$2,624.99 ","$2,365.09 ","$2,624.99 ", N/A ,"$2,624.99 ","$3,274.74 ","$3,274.74 ","$3,690.58 ","$5,198.00 ","$4,418.30 ", N/A ,"$4,158.40 ","$1,923.26 ","$4,158.40 ", N/A , N/A ,"$5,198.00 ","$2,817.32 ", N/A ,"$1,367.07 ", N/A , N/A , N/A , N/A , N/A ,"$4,418.30 ", N/A ,"$1,985.64 ","$1,455.44 ","$4,678.20 ","$3,742.56 ","$5,198.00 ","$3,274.74 ","$3,274.74 ","$3,274.74 ", N/A ,"$2,495.04 ","$4,678.20 " ST. JOHN'S HOSPITAL,75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$5,064.00 ","$3,291.60 ","$1,331.83 ","$5,064.00 ", N/A ,"$2,329.44 ","$2,744.69 ", N/A ,"$1,417.92 ","$1,620.48 ", N/A ,"$1,863.55 ", N/A ,"$1,934.45 ","$1,934.45 ", N/A ,"$1,934.45 ", N/A ,"$2,663.66 ", N/A , N/A , N/A ,"$3,544.80 ", N/A ,"$2,532.00 ", N/A ,"$3,798.00 ","$2,557.32 ","$2,304.12 ","$2,557.32 ", N/A ,"$2,557.32 ","$3,190.32 ","$3,190.32 ","$3,595.44 ","$5,064.00 ","$4,304.40 ", N/A ,"$4,051.20 ","$1,873.68 ","$4,051.20 ", N/A , N/A ,"$5,064.00 ","$2,744.69 ", N/A ,"$1,331.83 ", N/A , N/A , N/A , N/A , N/A ,"$4,304.40 ", N/A ,"$1,934.45 ","$1,417.92 ","$4,557.60 ","$3,646.08 ","$5,064.00 ","$3,190.32 ","$3,190.32 ","$3,190.32 ", N/A ,"$2,430.72 ","$4,557.60 " ST. JOHN'S HOSPITAL,75001086,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN HOT BIOPSY - 43250,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001088,N/A,HC EGD W/TRANSMURAL INJ/MARKER - 43253,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001089,N/A,HC EGD W/ENDO MUCOSAL RESECTION - 43254,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001091,N/A,HC EGD W/US DUODENUM/JEJUNUM - 43259,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001092,N/A,HC EGD W/STENT PLACEMENT - 43266,750,1 ,"$5,598.00 ","$3,638.70 ","$1,472.27 ","$5,598.00 ", N/A ,"$2,575.08 ","$3,034.12 ", N/A ,"$1,567.44 ","$1,791.36 ", N/A ,"$2,060.06 ", N/A ,"$2,138.44 ","$2,138.44 ", N/A ,"$2,138.44 ", N/A ,"$2,944.55 ", N/A , N/A , N/A ,"$3,918.60 ", N/A ,"$2,799.00 ", N/A ,"$4,198.50 ","$2,826.99 ","$2,547.09 ","$2,826.99 ", N/A ,"$2,826.99 ","$3,526.74 ","$3,526.74 ","$3,974.58 ","$5,598.00 ","$4,758.30 ", N/A ,"$4,478.40 ","$2,071.26 ","$4,478.40 ", N/A , N/A ,"$5,598.00 ","$3,034.12 ", N/A ,"$1,472.27 ", N/A , N/A , N/A , N/A , N/A ,"$4,758.30 ", N/A ,"$2,138.44 ","$1,567.44 ","$5,038.20 ","$4,030.56 ","$5,598.00 ","$3,526.74 ","$3,526.74 ","$3,526.74 ", N/A ,"$2,687.04 ","$5,038.20 " ST. JOHN'S HOSPITAL,75001093,N/A,HC EGD W/TUMOR ABLATION - 43270,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001094,N/A,HC ERCP W/BRUSH/WASH - 43260,750,1 ,"$5,998.00 ","$3,898.70 ","$1,577.47 ","$5,998.00 ", N/A ,"$2,759.08 ","$3,250.92 ", N/A ,"$1,679.44 ","$1,919.36 ", N/A ,"$2,207.26 ", N/A ,"$2,291.24 ","$2,291.24 ", N/A ,"$2,291.24 ", N/A ,"$3,154.95 ", N/A , N/A , N/A ,"$4,198.60 ", N/A ,"$2,999.00 ", N/A ,"$4,498.50 ","$3,028.99 ","$2,729.09 ","$3,028.99 ", N/A ,"$3,028.99 ","$3,778.74 ","$3,778.74 ","$4,258.58 ","$5,998.00 ","$5,098.30 ", N/A ,"$4,798.40 ","$2,219.26 ","$4,798.40 ", N/A , N/A ,"$5,998.00 ","$3,250.92 ", N/A ,"$1,577.47 ", N/A , N/A , N/A , N/A , N/A ,"$5,098.30 ", N/A ,"$2,291.24 ","$1,679.44 ","$5,398.20 ","$4,318.56 ","$5,998.00 ","$3,778.74 ","$3,778.74 ","$3,778.74 ", N/A ,"$2,879.04 ","$5,398.20 " ST. JOHN'S HOSPITAL,75001095,N/A,HC ERCP W/BIOPSY SGL/MULT - 43261,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001096,N/A,HC ERCP W/SPHINCTEROTOMY - 43262,750,1 ,"$5,998.00 ","$3,898.70 ","$1,577.47 ","$5,998.00 ", N/A ,"$2,759.08 ","$3,250.92 ", N/A ,"$1,679.44 ","$1,919.36 ", N/A ,"$2,207.26 ", N/A ,"$2,291.24 ","$2,291.24 ", N/A ,"$2,291.24 ", N/A ,"$3,154.95 ", N/A , N/A , N/A ,"$4,198.60 ", N/A ,"$2,999.00 ", N/A ,"$4,498.50 ","$3,028.99 ","$2,729.09 ","$3,028.99 ", N/A ,"$3,028.99 ","$3,778.74 ","$3,778.74 ","$4,258.58 ","$5,998.00 ","$5,098.30 ", N/A ,"$4,798.40 ","$2,219.26 ","$4,798.40 ", N/A , N/A ,"$5,998.00 ","$3,250.92 ", N/A ,"$1,577.47 ", N/A , N/A , N/A , N/A , N/A ,"$5,098.30 ", N/A ,"$2,291.24 ","$1,679.44 ","$5,398.20 ","$4,318.56 ","$5,998.00 ","$3,778.74 ","$3,778.74 ","$3,778.74 ", N/A ,"$2,879.04 ","$5,398.20 " ST. JOHN'S HOSPITAL,75001097,N/A,HC ERCP W/SPHINCTER PRESSURE MEASUREMENT - 43263,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001098,N/A,HC ERCP W/STONE REMOVAL DUCT - 43264,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001099,N/A,HC ERCP W/LITHOTRIPSY - 43265,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001100,N/A,HC ERCP W/STENT PLACEMENT DUCT - 43274,750,1 ,"$5,198.00 ","$3,378.70 ","$1,367.07 ","$5,198.00 ", N/A ,"$2,391.08 ","$2,817.32 ", N/A ,"$1,455.44 ","$1,663.36 ", N/A ,"$1,912.86 ", N/A ,"$1,985.64 ","$1,985.64 ", N/A ,"$1,985.64 ", N/A ,"$2,734.15 ", N/A , N/A , N/A ,"$3,638.60 ", N/A ,"$2,599.00 ", N/A ,"$3,898.50 ","$2,624.99 ","$2,365.09 ","$2,624.99 ", N/A ,"$2,624.99 ","$3,274.74 ","$3,274.74 ","$3,690.58 ","$5,198.00 ","$4,418.30 ", N/A ,"$4,158.40 ","$1,923.26 ","$4,158.40 ", N/A , N/A ,"$5,198.00 ","$2,817.32 ", N/A ,"$1,367.07 ", N/A , N/A , N/A , N/A , N/A ,"$4,418.30 ", N/A ,"$1,985.64 ","$1,455.44 ","$4,678.20 ","$3,742.56 ","$5,198.00 ","$3,274.74 ","$3,274.74 ","$3,274.74 ", N/A ,"$2,495.04 ","$4,678.20 " ST. JOHN'S HOSPITAL,75001101,N/A,HC ERCP W/FB OR STENT REMOVAL DUCT - 43275,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001102,N/A,HC ERCP W/REM/EXCHG STENT W/DILAT AND WIRE EA - 43276,750,1 ,"$5,998.00 ","$3,898.70 ","$1,577.47 ","$5,998.00 ", N/A ,"$2,759.08 ","$3,250.92 ", N/A ,"$1,679.44 ","$1,919.36 ", N/A ,"$2,207.26 ", N/A ,"$2,291.24 ","$2,291.24 ", N/A ,"$2,291.24 ", N/A ,"$3,154.95 ", N/A , N/A , N/A ,"$4,198.60 ", N/A ,"$2,999.00 ", N/A ,"$4,498.50 ","$3,028.99 ","$2,729.09 ","$3,028.99 ", N/A ,"$3,028.99 ","$3,778.74 ","$3,778.74 ","$4,258.58 ","$5,998.00 ","$5,098.30 ", N/A ,"$4,798.40 ","$2,219.26 ","$4,798.40 ", N/A , N/A ,"$5,998.00 ","$3,250.92 ", N/A ,"$1,577.47 ", N/A , N/A , N/A , N/A , N/A ,"$5,098.30 ", N/A ,"$2,291.24 ","$1,679.44 ","$5,398.20 ","$4,318.56 ","$5,998.00 ","$3,778.74 ","$3,778.74 ","$3,778.74 ", N/A ,"$2,879.04 ","$5,398.20 " ST. JOHN'S HOSPITAL,75001103,N/A,HC ERCP W/BALL DILAT DUCT/AMPULLA EA -43277,750,1 ,"$2,400.00 ","$1,560.00 ",$631.20 ,"$2,400.00 ", N/A ,"$1,104.00 ","$1,300.80 ", N/A ,$672.00 ,$768.00 , N/A ,$883.20 , N/A ,$916.80 ,$916.80 , N/A ,$916.80 , N/A ,"$1,262.40 ", N/A , N/A , N/A ,"$1,680.00 ", N/A ,"$1,200.00 ", N/A ,"$1,800.00 ","$1,212.00 ","$1,092.00 ","$1,212.00 ", N/A ,"$1,212.00 ","$1,512.00 ","$1,512.00 ","$1,704.00 ","$2,400.00 ","$2,040.00 ", N/A ,"$1,920.00 ",$888.00 ,"$1,920.00 ", N/A , N/A ,"$2,400.00 ","$1,300.80 ", N/A ,$631.20 , N/A , N/A , N/A , N/A , N/A ,"$2,040.00 ", N/A ,$916.80 ,$672.00 ,"$2,160.00 ","$1,728.00 ","$2,400.00 ","$1,512.00 ","$1,512.00 ","$1,512.00 ", N/A ,"$1,152.00 ","$2,160.00 " ST. JOHN'S HOSPITAL,75001104,N/A,HC ERCP W/TUMOR ABLATION W/DILAT AND WIRE - 43278,750,1 ,"$5,998.00 ","$3,898.70 ","$1,577.47 ","$5,998.00 ", N/A ,"$2,759.08 ","$3,250.92 ", N/A ,"$1,679.44 ","$1,919.36 ", N/A ,"$2,207.26 ", N/A ,"$2,291.24 ","$2,291.24 ", N/A ,"$2,291.24 ", N/A ,"$3,154.95 ", N/A , N/A , N/A ,"$4,198.60 ", N/A ,"$2,999.00 ", N/A ,"$4,498.50 ","$3,028.99 ","$2,729.09 ","$3,028.99 ", N/A ,"$3,028.99 ","$3,778.74 ","$3,778.74 ","$4,258.58 ","$5,998.00 ","$5,098.30 ", N/A ,"$4,798.40 ","$2,219.26 ","$4,798.40 ", N/A , N/A ,"$5,998.00 ","$3,250.92 ", N/A ,"$1,577.47 ", N/A , N/A , N/A , N/A , N/A ,"$5,098.30 ", N/A ,"$2,291.24 ","$1,679.44 ","$5,398.20 ","$4,318.56 ","$5,998.00 ","$3,778.74 ","$3,778.74 ","$3,778.74 ", N/A ,"$2,879.04 ","$5,398.20 " ST. JOHN'S HOSPITAL,75001105,N/A,HC ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREAS - 43273,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001106,N/A,HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450,750,1 ,"$1,598.00 ","$1,038.70 ",$420.27 ,"$1,598.00 ", N/A ,$735.08 ,$866.12 , N/A ,$447.44 ,$511.36 , N/A ,$588.06 , N/A ,$610.44 ,$610.44 , N/A ,$610.44 , N/A ,$840.55 , N/A , N/A , N/A ,"$1,118.60 ", N/A ,$799.00 , N/A ,"$1,198.50 ",$806.99 ,$727.09 ,$806.99 , N/A ,$806.99 ,"$1,006.74 ","$1,006.74 ","$1,134.58 ","$1,598.00 ","$1,358.30 ", N/A ,"$1,278.40 ",$591.26 ,"$1,278.40 ", N/A , N/A ,"$1,598.00 ",$866.12 , N/A ,$420.27 , N/A , N/A , N/A , N/A , N/A ,"$1,358.30 ", N/A ,$610.44 ,$447.44 ,"$1,438.20 ","$1,150.56 ","$1,598.00 ","$1,006.74 ","$1,006.74 ","$1,006.74 ", N/A ,$767.04 ,"$1,438.20 " ST. JOHN'S HOSPITAL,75001107,N/A,HC ESOPHAGASTRIC TAMPONADE W/BALLOON - 43460,750,1 ,"$2,666.00 ","$1,732.90 ",$701.16 ,"$2,666.00 ", N/A ,"$1,226.36 ","$1,444.97 ", N/A ,$746.48 ,$853.12 , N/A ,$981.09 , N/A ,"$1,018.41 ","$1,018.41 ", N/A ,"$1,018.41 ", N/A ,"$1,402.32 ", N/A , N/A , N/A ,"$1,866.20 ", N/A ,"$1,333.00 ", N/A ,"$1,999.50 ","$1,346.33 ","$1,213.03 ","$1,346.33 ", N/A ,"$1,346.33 ","$1,679.58 ","$1,679.58 ","$1,892.86 ","$2,666.00 ","$2,266.10 ", N/A ,"$2,132.80 ",$986.42 ,"$2,132.80 ", N/A , N/A ,"$2,666.00 ","$1,444.97 ", N/A ,$701.16 , N/A , N/A , N/A , N/A , N/A ,"$2,266.10 ", N/A ,"$1,018.41 ",$746.48 ,"$2,399.40 ","$1,919.52 ","$2,666.00 ","$1,679.58 ","$1,679.58 ","$1,679.58 ", N/A ,"$1,279.68 ","$2,399.40 " ST. JOHN'S HOSPITAL,75001111,N/A,HC ENTEROSCOPY UPPER SMALL BOWEL - 44360,750,1 ,"$3,999.00 ","$2,599.35 ","$1,051.74 ","$3,999.00 ", N/A ,"$1,839.54 ","$2,167.46 ", N/A ,"$1,119.72 ","$1,279.68 ", N/A ,"$1,471.63 ", N/A ,"$1,527.62 ","$1,527.62 ", N/A ,"$1,527.62 ", N/A ,"$2,103.47 ", N/A , N/A , N/A ,"$2,799.30 ", N/A ,"$1,999.50 ", N/A ,"$2,999.25 ","$2,019.50 ","$1,819.55 ","$2,019.50 ", N/A ,"$2,019.50 ","$2,519.37 ","$2,519.37 ","$2,839.29 ","$3,999.00 ","$3,399.15 ", N/A ,"$3,199.20 ","$1,479.63 ","$3,199.20 ", N/A , N/A ,"$3,999.00 ","$2,167.46 ", N/A ,"$1,051.74 ", N/A , N/A , N/A , N/A , N/A ,"$3,399.15 ", N/A ,"$1,527.62 ","$1,119.72 ","$3,599.10 ","$2,879.28 ","$3,999.00 ","$2,519.37 ","$2,519.37 ","$2,519.37 ", N/A ,"$1,919.52 ","$3,599.10 " ST. JOHN'S HOSPITAL,75001112,N/A,HC ENTEROSCOPY UPR SM BOWEL W/BIOPSY - 44361,750,1 ,"$4,664.00 ","$3,031.60 ","$1,226.63 ","$4,664.00 ", N/A ,"$2,145.44 ","$2,527.89 ", N/A ,"$1,305.92 ","$1,492.48 ", N/A ,"$1,716.35 ", N/A ,"$1,781.65 ","$1,781.65 ", N/A ,"$1,781.65 ", N/A ,"$2,453.26 ", N/A , N/A , N/A ,"$3,264.80 ", N/A ,"$2,332.00 ", N/A ,"$3,498.00 ","$2,355.32 ","$2,122.12 ","$2,355.32 ", N/A ,"$2,355.32 ","$2,938.32 ","$2,938.32 ","$3,311.44 ","$4,664.00 ","$3,964.40 ", N/A ,"$3,731.20 ","$1,725.68 ","$3,731.20 ", N/A , N/A ,"$4,664.00 ","$2,527.89 ", N/A ,"$1,226.63 ", N/A , N/A , N/A , N/A , N/A ,"$3,964.40 ", N/A ,"$1,781.65 ","$1,305.92 ","$4,197.60 ","$3,358.08 ","$4,664.00 ","$2,938.32 ","$2,938.32 ","$2,938.32 ", N/A ,"$2,238.72 ","$4,197.60 " ST. JOHN'S HOSPITAL,75001113,N/A,HC ENTEROSCOPY W/REM TUMOR SNARE TECH - 44364,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001114,N/A,HC ENTEROSCOPY W/REM TUMOR HOT BIOPSY - 44365,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001115,N/A,HC ENTEROSCOPY W/CONTROL BLEEDING - 44366,750,1 ,"$7,198.00 ","$4,678.70 ","$1,893.07 ","$7,198.00 ", N/A ,"$3,311.08 ","$3,901.32 ", N/A ,"$2,015.44 ","$2,303.36 ", N/A ,"$2,648.86 ", N/A ,"$2,749.64 ","$2,749.64 ", N/A ,"$2,749.64 ", N/A ,"$3,786.15 ", N/A , N/A , N/A ,"$5,038.60 ", N/A ,"$3,599.00 ", N/A ,"$5,398.50 ","$3,634.99 ","$3,275.09 ","$3,634.99 ", N/A ,"$3,634.99 ","$4,534.74 ","$4,534.74 ","$5,110.58 ","$7,198.00 ","$6,118.30 ", N/A ,"$5,758.40 ","$2,663.26 ","$5,758.40 ", N/A , N/A ,"$7,198.00 ","$3,901.32 ", N/A ,"$1,893.07 ", N/A , N/A , N/A , N/A , N/A ,"$6,118.30 ", N/A ,"$2,749.64 ","$2,015.44 ","$6,478.20 ","$5,182.56 ","$7,198.00 ","$4,534.74 ","$4,534.74 ","$4,534.74 ", N/A ,"$3,455.04 ","$6,478.20 " ST. JOHN'S HOSPITAL,75001116,N/A,HC ENTEROSCOPY W/ABLATION - 44369,750,1 ,"$7,198.00 ","$4,678.70 ","$1,893.07 ","$7,198.00 ", N/A ,"$3,311.08 ","$3,901.32 ", N/A ,"$2,015.44 ","$2,303.36 ", N/A ,"$2,648.86 ", N/A ,"$2,749.64 ","$2,749.64 ", N/A ,"$2,749.64 ", N/A ,"$3,786.15 ", N/A , N/A , N/A ,"$5,038.60 ", N/A ,"$3,599.00 ", N/A ,"$5,398.50 ","$3,634.99 ","$3,275.09 ","$3,634.99 ", N/A ,"$3,634.99 ","$4,534.74 ","$4,534.74 ","$5,110.58 ","$7,198.00 ","$6,118.30 ", N/A ,"$5,758.40 ","$2,663.26 ","$5,758.40 ", N/A , N/A ,"$7,198.00 ","$3,901.32 ", N/A ,"$1,893.07 ", N/A , N/A , N/A , N/A , N/A ,"$6,118.30 ", N/A ,"$2,749.64 ","$2,015.44 ","$6,478.20 ","$5,182.56 ","$7,198.00 ","$4,534.74 ","$4,534.74 ","$4,534.74 ", N/A ,"$3,455.04 ","$6,478.20 " ST. JOHN'S HOSPITAL,75001117,N/A,HC ENTEROSCOPY W/STENT PLACEMENT - 44370,750,1 ,"$7,198.00 ","$4,678.70 ","$1,893.07 ","$7,198.00 ", N/A ,"$3,311.08 ","$3,901.32 ", N/A ,"$2,015.44 ","$2,303.36 ", N/A ,"$2,648.86 ", N/A ,"$2,749.64 ","$2,749.64 ", N/A ,"$2,749.64 ", N/A ,"$3,786.15 ", N/A , N/A , N/A ,"$5,038.60 ", N/A ,"$3,599.00 ", N/A ,"$5,398.50 ","$3,634.99 ","$3,275.09 ","$3,634.99 ", N/A ,"$3,634.99 ","$4,534.74 ","$4,534.74 ","$5,110.58 ","$7,198.00 ","$6,118.30 ", N/A ,"$5,758.40 ","$2,663.26 ","$5,758.40 ", N/A , N/A ,"$7,198.00 ","$3,901.32 ", N/A ,"$1,893.07 ", N/A , N/A , N/A , N/A , N/A ,"$6,118.30 ", N/A ,"$2,749.64 ","$2,015.44 ","$6,478.20 ","$5,182.56 ","$7,198.00 ","$4,534.74 ","$4,534.74 ","$4,534.74 ", N/A ,"$3,455.04 ","$6,478.20 " ST. JOHN'S HOSPITAL,75001118,N/A,HC ENTEROSCOPY W/J-TUBE PLACEMENT - 44372,750,1 ,"$5,064.00 ","$3,291.60 ","$1,331.83 ","$5,064.00 ", N/A ,"$2,329.44 ","$2,744.69 ", N/A ,"$1,417.92 ","$1,620.48 ", N/A ,"$1,863.55 ", N/A ,"$1,934.45 ","$1,934.45 ", N/A ,"$1,934.45 ", N/A ,"$2,663.66 ", N/A , N/A , N/A ,"$3,544.80 ", N/A ,"$2,532.00 ", N/A ,"$3,798.00 ","$2,557.32 ","$2,304.12 ","$2,557.32 ", N/A ,"$2,557.32 ","$3,190.32 ","$3,190.32 ","$3,595.44 ","$5,064.00 ","$4,304.40 ", N/A ,"$4,051.20 ","$1,873.68 ","$4,051.20 ", N/A , N/A ,"$5,064.00 ","$2,744.69 ", N/A ,"$1,331.83 ", N/A , N/A , N/A , N/A , N/A ,"$4,304.40 ", N/A ,"$1,934.45 ","$1,417.92 ","$4,557.60 ","$3,646.08 ","$5,064.00 ","$3,190.32 ","$3,190.32 ","$3,190.32 ", N/A ,"$2,430.72 ","$4,557.60 " ST. JOHN'S HOSPITAL,75001119,N/A,HC ENTEROSCOPY W/CONV G-TUBE TO J-TUBE - 44373,750,1 ,"$3,865.00 ","$2,512.25 ","$1,016.50 ","$3,865.00 ", N/A ,"$1,777.90 ","$2,094.83 ", N/A ,"$1,082.20 ","$1,236.80 ", N/A ,"$1,422.32 ", N/A ,"$1,476.43 ","$1,476.43 ", N/A ,"$1,476.43 ", N/A ,"$2,032.99 ", N/A , N/A , N/A ,"$2,705.50 ", N/A ,"$1,932.50 ", N/A ,"$2,898.75 ","$1,951.83 ","$1,758.58 ","$1,951.83 ", N/A ,"$1,951.83 ","$2,434.95 ","$2,434.95 ","$2,744.15 ","$3,865.00 ","$3,285.25 ", N/A ,"$3,092.00 ","$1,430.05 ","$3,092.00 ", N/A , N/A ,"$3,865.00 ","$2,094.83 ", N/A ,"$1,016.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,285.25 ", N/A ,"$1,476.43 ","$1,082.20 ","$3,478.50 ","$2,782.80 ","$3,865.00 ","$2,434.95 ","$2,434.95 ","$2,434.95 ", N/A ,"$1,855.20 ","$3,478.50 " ST. JOHN'S HOSPITAL,75001121,N/A,HC ILEOSCOPY STOMA DX W/BRUSH/WASH - 44380,750,1 ,"$3,865.00 ","$2,512.25 ","$1,016.50 ","$3,865.00 ", N/A ,"$1,777.90 ","$2,094.83 ", N/A ,"$1,082.20 ","$1,236.80 ", N/A ,"$1,422.32 ", N/A ,"$1,476.43 ","$1,476.43 ", N/A ,"$1,476.43 ", N/A ,"$2,032.99 ", N/A , N/A , N/A ,"$2,705.50 ", N/A ,"$1,932.50 ", N/A ,"$2,898.75 ","$1,951.83 ","$1,758.58 ","$1,951.83 ", N/A ,"$1,951.83 ","$2,434.95 ","$2,434.95 ","$2,744.15 ","$3,865.00 ","$3,285.25 ", N/A ,"$3,092.00 ","$1,430.05 ","$3,092.00 ", N/A , N/A ,"$3,865.00 ","$2,094.83 ", N/A ,"$1,016.50 ", N/A , N/A , N/A , N/A , N/A ,"$3,285.25 ", N/A ,"$1,476.43 ","$1,082.20 ","$3,478.50 ","$2,782.80 ","$3,865.00 ","$2,434.95 ","$2,434.95 ","$2,434.95 ", N/A ,"$1,855.20 ","$3,478.50 " ST. JOHN'S HOSPITAL,75001122,N/A,HC ILEOSCOPY STOMA W/BIOPSY SGL/MULT - 44382,750,1 ,"$4,264.00 ","$2,771.60 ","$1,121.43 ","$4,264.00 ", N/A ,"$1,961.44 ","$2,311.09 ", N/A ,"$1,193.92 ","$1,364.48 ", N/A ,"$1,569.15 ", N/A ,"$1,628.85 ","$1,628.85 ", N/A ,"$1,628.85 ", N/A ,"$2,242.86 ", N/A , N/A , N/A ,"$2,984.80 ", N/A ,"$2,132.00 ", N/A ,"$3,198.00 ","$2,153.32 ","$1,940.12 ","$2,153.32 ", N/A ,"$2,153.32 ","$2,686.32 ","$2,686.32 ","$3,027.44 ","$4,264.00 ","$3,624.40 ", N/A ,"$3,411.20 ","$1,577.68 ","$3,411.20 ", N/A , N/A ,"$4,264.00 ","$2,311.09 ", N/A ,"$1,121.43 ", N/A , N/A , N/A , N/A , N/A ,"$3,624.40 ", N/A ,"$1,628.85 ","$1,193.92 ","$3,837.60 ","$3,070.08 ","$4,264.00 ","$2,686.32 ","$2,686.32 ","$2,686.32 ", N/A ,"$2,046.72 ","$3,837.60 " ST. JOHN'S HOSPITAL,75001123,N/A,HC ENDOSCOPY POUCH DX W/BRUSH/WASH - 44385,750,1 ,"$2,666.00 ","$1,732.90 ",$701.16 ,"$2,666.00 ", N/A ,"$1,226.36 ","$1,444.97 ", N/A ,$746.48 ,$853.12 , N/A ,$981.09 , N/A ,"$1,018.41 ","$1,018.41 ", N/A ,"$1,018.41 ", N/A ,"$1,402.32 ", N/A , N/A , N/A ,"$1,866.20 ", N/A ,"$1,333.00 ", N/A ,"$1,999.50 ","$1,346.33 ","$1,213.03 ","$1,346.33 ", N/A ,"$1,346.33 ","$1,679.58 ","$1,679.58 ","$1,892.86 ","$2,666.00 ","$2,266.10 ", N/A ,"$2,132.80 ",$986.42 ,"$2,132.80 ", N/A , N/A ,"$2,666.00 ","$1,444.97 ", N/A ,$701.16 , N/A , N/A , N/A , N/A , N/A ,"$2,266.10 ", N/A ,"$1,018.41 ",$746.48 ,"$2,399.40 ","$1,919.52 ","$2,666.00 ","$1,679.58 ","$1,679.58 ","$1,679.58 ", N/A ,"$1,279.68 ","$2,399.40 " ST. JOHN'S HOSPITAL,75001124,N/A,HC ENDOSCOPY POUCH W/BIOPSY SGL/MULT - 44386,750,1 ,"$5,465.00 ","$3,552.25 ","$1,437.30 ","$5,465.00 ", N/A ,"$2,513.90 ","$2,962.03 ", N/A ,"$1,530.20 ","$1,748.80 ", N/A ,"$2,011.12 ", N/A ,"$2,087.63 ","$2,087.63 ", N/A ,"$2,087.63 ", N/A ,"$2,874.59 ", N/A , N/A , N/A ,"$3,825.50 ", N/A ,"$2,732.50 ", N/A ,"$4,098.75 ","$2,759.83 ","$2,486.58 ","$2,759.83 ", N/A ,"$2,759.83 ","$3,442.95 ","$3,442.95 ","$3,880.15 ","$5,465.00 ","$4,645.25 ", N/A ,"$4,372.00 ","$2,022.05 ","$4,372.00 ", N/A , N/A ,"$5,465.00 ","$2,962.03 ", N/A ,"$1,437.30 ", N/A , N/A , N/A , N/A , N/A ,"$4,645.25 ", N/A ,"$2,087.63 ","$1,530.20 ","$4,918.50 ","$3,934.80 ","$5,465.00 ","$3,442.95 ","$3,442.95 ","$3,442.95 ", N/A ,"$2,623.20 ","$4,918.50 " ST. JOHN'S HOSPITAL,75001125,N/A,HC COLONOSCOPY STOMA DX W/BRUSH/WASH - 44388,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001127,N/A,HC COLONOSCOPY STOMA W/FB REMOVAL - 44390,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001128,N/A,HC COLONOSCOPY STOMA W/CONTROL BLEEDING - 44391,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001129,N/A,HC COLONOSCOPY STOMA W/REM TUMOR HOT BX - 44392,750,1 ,"$3,999.00 ","$2,599.35 ","$1,051.74 ","$3,999.00 ", N/A ,"$1,839.54 ","$2,167.46 ", N/A ,"$1,119.72 ","$1,279.68 ", N/A ,"$1,471.63 ", N/A ,"$1,527.62 ","$1,527.62 ", N/A ,"$1,527.62 ", N/A ,"$2,103.47 ", N/A , N/A , N/A ,"$2,799.30 ", N/A ,"$1,999.50 ", N/A ,"$2,999.25 ","$2,019.50 ","$1,819.55 ","$2,019.50 ", N/A ,"$2,019.50 ","$2,519.37 ","$2,519.37 ","$2,839.29 ","$3,999.00 ","$3,399.15 ", N/A ,"$3,199.20 ","$1,479.63 ","$3,199.20 ", N/A , N/A ,"$3,999.00 ","$2,167.46 ", N/A ,"$1,051.74 ", N/A , N/A , N/A , N/A , N/A ,"$3,399.15 ", N/A ,"$1,527.62 ","$1,119.72 ","$3,599.10 ","$2,879.28 ","$3,999.00 ","$2,519.37 ","$2,519.37 ","$2,519.37 ", N/A ,"$1,919.52 ","$3,599.10 " ST. JOHN'S HOSPITAL,75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001131,N/A,HC COLONOSCOPY STOMA W/ABLATION - 44401,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001132,N/A,HC COLONOSCOPY STOMA W/STENT PLACEMENT - 44402,750,1 ,"$9,063.00 ","$5,890.95 ","$2,383.57 ","$9,063.00 ", N/A ,"$4,168.98 ","$4,912.15 ", N/A ,"$2,537.64 ","$2,900.16 ", N/A ,"$3,335.18 ", N/A ,"$3,462.07 ","$3,462.07 ", N/A ,"$3,462.07 ", N/A ,"$4,767.14 ", N/A , N/A , N/A ,"$6,344.10 ", N/A ,"$4,531.50 ", N/A ,"$6,797.25 ","$4,576.82 ","$4,123.67 ","$4,576.82 ", N/A ,"$4,576.82 ","$5,709.69 ","$5,709.69 ","$6,434.73 ","$9,063.00 ","$7,703.55 ", N/A ,"$7,250.40 ","$3,353.31 ","$7,250.40 ", N/A , N/A ,"$9,063.00 ","$4,912.15 ", N/A ,"$2,383.57 ", N/A , N/A , N/A , N/A , N/A ,"$7,703.55 ", N/A ,"$3,462.07 ","$2,537.64 ","$8,156.70 ","$6,525.36 ","$9,063.00 ","$5,709.69 ","$5,709.69 ","$5,709.69 ", N/A ,"$4,350.24 ","$8,156.70 " ST. JOHN'S HOSPITAL,75001133,N/A,HC COLONOSCOPY STOMA W/MUCOSAL RESECTION - 44403,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001134,N/A,HC COLONOSCOPY STOMA W/SUBMUCOSAL INJ - 44404,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001135,N/A,HC COLONOSCOPY STOMA W/ENDO US LIMITED - 44406,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001136,N/A,HC COLONOSCOPY STOMA W/US GUID NEEDLE ASP - 44407,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001137,N/A,HC COLONOSCOPY STOMA W/DECOMPRESSION - 44408,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001138,N/A,HC PREPARE FECAL MICROBIOTA - 44705,750,1 ,"$2,370.00 ","$1,540.50 ",$623.31 ,"$2,370.00 ", N/A ,"$1,090.20 ","$1,284.54 ", N/A ,$663.60 ,$758.40 , N/A ,$872.16 , N/A ,$905.34 ,$905.34 , N/A ,$905.34 , N/A ,"$1,246.62 ", N/A , N/A , N/A ,"$1,659.00 ", N/A ,"$1,185.00 ", N/A ,"$1,777.50 ","$1,196.85 ","$1,078.35 ","$1,196.85 ", N/A ,"$1,196.85 ","$1,493.10 ","$1,493.10 ","$1,682.70 ","$2,370.00 ","$2,014.50 ", N/A ,"$1,896.00 ",$876.90 ,"$1,896.00 ", N/A , N/A ,"$2,370.00 ","$1,284.54 ", N/A ,$623.31 , N/A , N/A , N/A , N/A , N/A ,"$2,014.50 ", N/A ,$905.34 ,$663.60 ,"$2,133.00 ","$1,706.40 ","$2,370.00 ","$1,493.10 ","$1,493.10 ","$1,493.10 ", N/A ,"$1,137.60 ","$2,133.00 " ST. JOHN'S HOSPITAL,75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001144,N/A,HC SIGMOIDOSCOPY W/FB REMOVAL -45332,750,1 ,"$2,666.00 ","$1,732.90 ",$701.16 ,"$2,666.00 ", N/A ,"$1,226.36 ","$1,444.97 ", N/A ,$746.48 ,$853.12 , N/A ,$981.09 , N/A ,"$1,018.41 ","$1,018.41 ", N/A ,"$1,018.41 ", N/A ,"$1,402.32 ", N/A , N/A , N/A ,"$1,866.20 ", N/A ,"$1,333.00 ", N/A ,"$1,999.50 ","$1,346.33 ","$1,213.03 ","$1,346.33 ", N/A ,"$1,346.33 ","$1,679.58 ","$1,679.58 ","$1,892.86 ","$2,666.00 ","$2,266.10 ", N/A ,"$2,132.80 ",$986.42 ,"$2,132.80 ", N/A , N/A ,"$2,666.00 ","$1,444.97 ", N/A ,$701.16 , N/A , N/A , N/A , N/A , N/A ,"$2,266.10 ", N/A ,"$1,018.41 ",$746.48 ,"$2,399.40 ","$1,919.52 ","$2,666.00 ","$1,679.58 ","$1,679.58 ","$1,679.58 ", N/A ,"$1,279.68 ","$2,399.40 " ST. JOHN'S HOSPITAL,75001145,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY -45333,750,1 ,"$2,666.00 ","$1,732.90 ",$701.16 ,"$2,666.00 ", N/A ,"$1,226.36 ","$1,444.97 ", N/A ,$746.48 ,$853.12 , N/A ,$981.09 , N/A ,"$1,018.41 ","$1,018.41 ", N/A ,"$1,018.41 ", N/A ,"$1,402.32 ", N/A , N/A , N/A ,"$1,866.20 ", N/A ,"$1,333.00 ", N/A ,"$1,999.50 ","$1,346.33 ","$1,213.03 ","$1,346.33 ", N/A ,"$1,346.33 ","$1,679.58 ","$1,679.58 ","$1,892.86 ","$2,666.00 ","$2,266.10 ", N/A ,"$2,132.80 ",$986.42 ,"$2,132.80 ", N/A , N/A ,"$2,666.00 ","$1,444.97 ", N/A ,$701.16 , N/A , N/A , N/A , N/A , N/A ,"$2,266.10 ", N/A ,"$1,018.41 ",$746.48 ,"$2,399.40 ","$1,919.52 ","$2,666.00 ","$1,679.58 ","$1,679.58 ","$1,679.58 ", N/A ,"$1,279.68 ","$2,399.40 " ST. JOHN'S HOSPITAL,75001146,N/A,HC SIGMOIDOSCOPY W/CONTROL BLEEDING - 45334,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001147,N/A,HC SIGMOIDOSCOPY W/SUBMUCOSAL INJ - 45335,750,1 ,"$2,666.00 ","$1,732.90 ",$701.16 ,"$2,666.00 ", N/A ,"$1,226.36 ","$1,444.97 ", N/A ,$746.48 ,$853.12 , N/A ,$981.09 , N/A ,"$1,018.41 ","$1,018.41 ", N/A ,"$1,018.41 ", N/A ,"$1,402.32 ", N/A , N/A , N/A ,"$1,866.20 ", N/A ,"$1,333.00 ", N/A ,"$1,999.50 ","$1,346.33 ","$1,213.03 ","$1,346.33 ", N/A ,"$1,346.33 ","$1,679.58 ","$1,679.58 ","$1,892.86 ","$2,666.00 ","$2,266.10 ", N/A ,"$2,132.80 ",$986.42 ,"$2,132.80 ", N/A , N/A ,"$2,666.00 ","$1,444.97 ", N/A ,$701.16 , N/A , N/A , N/A , N/A , N/A ,"$2,266.10 ", N/A ,"$1,018.41 ",$746.48 ,"$2,399.40 ","$1,919.52 ","$2,666.00 ","$1,679.58 ","$1,679.58 ","$1,679.58 ", N/A ,"$1,279.68 ","$2,399.40 " ST. JOHN'S HOSPITAL,75001148,N/A,HC SIGMOIDOSCOPY W/DECOMPRESSION -45337,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$3,199.00 ","$2,079.35 ",$841.34 ,"$3,199.00 ", N/A ,"$1,471.54 ","$1,733.86 ", N/A ,$895.72 ,"$1,023.68 ", N/A ,"$1,177.23 ", N/A ,"$1,222.02 ","$1,222.02 ", N/A ,"$1,222.02 ", N/A ,"$1,682.67 ", N/A , N/A , N/A ,"$2,239.30 ", N/A ,"$1,599.50 ", N/A ,"$2,399.25 ","$1,615.50 ","$1,455.55 ","$1,615.50 ", N/A ,"$1,615.50 ","$2,015.37 ","$2,015.37 ","$2,271.29 ","$3,199.00 ","$2,719.15 ", N/A ,"$2,559.20 ","$1,183.63 ","$2,559.20 ", N/A , N/A ,"$3,199.00 ","$1,733.86 ", N/A ,$841.34 , N/A , N/A , N/A , N/A , N/A ,"$2,719.15 ", N/A ,"$1,222.02 ",$895.72 ,"$2,879.10 ","$2,303.28 ","$3,199.00 ","$2,015.37 ","$2,015.37 ","$2,015.37 ", N/A ,"$1,535.52 ","$2,879.10 " ST. JOHN'S HOSPITAL,75001150,N/A,HC SIGMOIDOSCOPY W/DILATION - 45340,750,1 ,"$5,064.00 ","$3,291.60 ","$1,331.83 ","$5,064.00 ", N/A ,"$2,329.44 ","$2,744.69 ", N/A ,"$1,417.92 ","$1,620.48 ", N/A ,"$1,863.55 ", N/A ,"$1,934.45 ","$1,934.45 ", N/A ,"$1,934.45 ", N/A ,"$2,663.66 ", N/A , N/A , N/A ,"$3,544.80 ", N/A ,"$2,532.00 ", N/A ,"$3,798.00 ","$2,557.32 ","$2,304.12 ","$2,557.32 ", N/A ,"$2,557.32 ","$3,190.32 ","$3,190.32 ","$3,595.44 ","$5,064.00 ","$4,304.40 ", N/A ,"$4,051.20 ","$1,873.68 ","$4,051.20 ", N/A , N/A ,"$5,064.00 ","$2,744.69 ", N/A ,"$1,331.83 ", N/A , N/A , N/A , N/A , N/A ,"$4,304.40 ", N/A ,"$1,934.45 ","$1,417.92 ","$4,557.60 ","$3,646.08 ","$5,064.00 ","$3,190.32 ","$3,190.32 ","$3,190.32 ", N/A ,"$2,430.72 ","$4,557.60 " ST. JOHN'S HOSPITAL,75001151,N/A,HC SIGMOIDOSCOPY W/ENDO US - 45341,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001152,N/A,HC SIGMOIDOSCOPY W/US GUIDED BIOPSY -45342,750,1 ,"$5,064.00 ","$3,291.60 ","$1,331.83 ","$5,064.00 ", N/A ,"$2,329.44 ","$2,744.69 ", N/A ,"$1,417.92 ","$1,620.48 ", N/A ,"$1,863.55 ", N/A ,"$1,934.45 ","$1,934.45 ", N/A ,"$1,934.45 ", N/A ,"$2,663.66 ", N/A , N/A , N/A ,"$3,544.80 ", N/A ,"$2,532.00 ", N/A ,"$3,798.00 ","$2,557.32 ","$2,304.12 ","$2,557.32 ", N/A ,"$2,557.32 ","$3,190.32 ","$3,190.32 ","$3,595.44 ","$5,064.00 ","$4,304.40 ", N/A ,"$4,051.20 ","$1,873.68 ","$4,051.20 ", N/A , N/A ,"$5,064.00 ","$2,744.69 ", N/A ,"$1,331.83 ", N/A , N/A , N/A , N/A , N/A ,"$4,304.40 ", N/A ,"$1,934.45 ","$1,417.92 ","$4,557.60 ","$3,646.08 ","$5,064.00 ","$3,190.32 ","$3,190.32 ","$3,190.32 ", N/A ,"$2,430.72 ","$4,557.60 " ST. JOHN'S HOSPITAL,75001153,N/A,HC SIGMOIDOSCOPY W/ABLATION TUMOR - 45346,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001154,N/A,HC SIGMOIDOSCOPY W/ENDO STENT PLACEMENT - 45347,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001155,N/A,HC SIGMOIDOSCOPY W/ENDO MUCOSAL RESECTION - 45349,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001156,N/A,HC SIGMOIDOSCOPY W/BAND LIGATION - 45350,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001158,N/A,HC COLONOSCOPY W/FB REMOVAL - 45379,750,1 ,"$3,999.00 ","$2,599.35 ","$1,051.74 ","$3,999.00 ", N/A ,"$1,839.54 ","$2,167.46 ", N/A ,"$1,119.72 ","$1,279.68 ", N/A ,"$1,471.63 ", N/A ,"$1,527.62 ","$1,527.62 ", N/A ,"$1,527.62 ", N/A ,"$2,103.47 ", N/A , N/A , N/A ,"$2,799.30 ", N/A ,"$1,999.50 ", N/A ,"$2,999.25 ","$2,019.50 ","$1,819.55 ","$2,019.50 ", N/A ,"$2,019.50 ","$2,519.37 ","$2,519.37 ","$2,839.29 ","$3,999.00 ","$3,399.15 ", N/A ,"$3,199.20 ","$1,479.63 ","$3,199.20 ", N/A , N/A ,"$3,999.00 ","$2,167.46 ", N/A ,"$1,051.74 ", N/A , N/A , N/A , N/A , N/A ,"$3,399.15 ", N/A ,"$1,527.62 ","$1,119.72 ","$3,599.10 ","$2,879.28 ","$3,999.00 ","$2,519.37 ","$2,519.37 ","$2,519.37 ", N/A ,"$1,919.52 ","$3,599.10 " ST. JOHN'S HOSPITAL,75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001164,N/A,HC COLONOSCOPY W/BALLOON DILATION - 45386,750,1 ,"$5,865.00 ","$3,812.25 ","$1,542.50 ","$5,865.00 ", N/A ,"$2,697.90 ","$3,178.83 ", N/A ,"$1,642.20 ","$1,876.80 ", N/A ,"$2,158.32 ", N/A ,"$2,240.43 ","$2,240.43 ", N/A ,"$2,240.43 ", N/A ,"$3,084.99 ", N/A , N/A , N/A ,"$4,105.50 ", N/A ,"$2,932.50 ", N/A ,"$4,398.75 ","$2,961.83 ","$2,668.58 ","$2,961.83 ", N/A ,"$2,961.83 ","$3,694.95 ","$3,694.95 ","$4,164.15 ","$5,865.00 ","$4,985.25 ", N/A ,"$4,692.00 ","$2,170.05 ","$4,692.00 ", N/A , N/A ,"$5,865.00 ","$3,178.83 ", N/A ,"$1,542.50 ", N/A , N/A , N/A , N/A , N/A ,"$4,985.25 ", N/A ,"$2,240.43 ","$1,642.20 ","$5,278.50 ","$4,222.80 ","$5,865.00 ","$3,694.95 ","$3,694.95 ","$3,694.95 ", N/A ,"$2,815.20 ","$5,278.50 " ST. JOHN'S HOSPITAL,75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001166,N/A,HC COLONOSCOPY W/STENT PLACEMENT - 45389,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001168,N/A,HC COLONOSCOPY W/ENDO US LIMITED -45391,750,1 ,"$3,734.00 ","$2,427.10 ",$982.04 ,"$3,734.00 ", N/A ,"$1,717.64 ","$2,023.83 ", N/A ,"$1,045.52 ","$1,194.88 ", N/A ,"$1,374.11 ", N/A ,"$1,426.39 ","$1,426.39 ", N/A ,"$1,426.39 ", N/A ,"$1,964.08 ", N/A , N/A , N/A ,"$2,613.80 ", N/A ,"$1,867.00 ", N/A ,"$2,800.50 ","$1,885.67 ","$1,698.97 ","$1,885.67 ", N/A ,"$1,885.67 ","$2,352.42 ","$2,352.42 ","$2,651.14 ","$3,734.00 ","$3,173.90 ", N/A ,"$2,987.20 ","$1,381.58 ","$2,987.20 ", N/A , N/A ,"$3,734.00 ","$2,023.83 ", N/A ,$982.04 , N/A , N/A , N/A , N/A , N/A ,"$3,173.90 ", N/A ,"$1,426.39 ","$1,045.52 ","$3,360.60 ","$2,688.48 ","$3,734.00 ","$2,352.42 ","$2,352.42 ","$2,352.42 ", N/A ,"$1,792.32 ","$3,360.60 " ST. JOHN'S HOSPITAL,75001169,N/A,HC COLONOSCOPY W/NEEDLE BIOPSY W/US EXAM - 45392,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001170,N/A,HC COLONOSCOPY W/DECOMPRESSION - 45393,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001171,N/A,HC COLONOSCOPY W/BAND LIGATION - 45398,750,1 ,"$4,532.00 ","$2,945.80 ","$1,191.92 ","$4,532.00 ", N/A ,"$2,084.72 ","$2,456.34 ", N/A ,"$1,268.96 ","$1,450.24 ", N/A ,"$1,667.78 ", N/A ,"$1,731.22 ","$1,731.22 ", N/A ,"$1,731.22 ", N/A ,"$2,383.83 ", N/A , N/A , N/A ,"$3,172.40 ", N/A ,"$2,266.00 ", N/A ,"$3,399.00 ","$2,288.66 ","$2,062.06 ","$2,288.66 ", N/A ,"$2,288.66 ","$2,855.16 ","$2,855.16 ","$3,217.72 ","$4,532.00 ","$3,852.20 ", N/A ,"$3,625.60 ","$1,676.84 ","$3,625.60 ", N/A , N/A ,"$4,532.00 ","$2,456.34 ", N/A ,"$1,191.92 ", N/A , N/A , N/A , N/A , N/A ,"$3,852.20 ", N/A ,"$1,731.22 ","$1,268.96 ","$4,078.80 ","$3,263.04 ","$4,532.00 ","$2,855.16 ","$2,855.16 ","$2,855.16 ", N/A ,"$2,175.36 ","$4,078.80 " ST. JOHN'S HOSPITAL,75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$5,064.00 ","$3,291.60 ","$1,331.83 ","$5,064.00 ", N/A ,"$2,329.44 ","$2,744.69 ", N/A ,"$1,417.92 ","$1,620.48 ", N/A ,"$1,863.55 ", N/A ,"$1,934.45 ","$1,934.45 ", N/A ,"$1,934.45 ", N/A ,"$2,663.66 ", N/A , N/A , N/A ,"$3,544.80 ", N/A ,"$2,532.00 ", N/A ,"$3,798.00 ","$2,557.32 ","$2,304.12 ","$2,557.32 ", N/A ,"$2,557.32 ","$3,190.32 ","$3,190.32 ","$3,595.44 ","$5,064.00 ","$4,304.40 ", N/A ,"$4,051.20 ","$1,873.68 ","$4,051.20 ", N/A , N/A ,"$5,064.00 ","$2,744.69 ", N/A ,"$1,331.83 ", N/A , N/A , N/A , N/A , N/A ,"$4,304.40 ", N/A ,"$1,934.45 ","$1,417.92 ","$4,557.60 ","$3,646.08 ","$5,064.00 ","$3,190.32 ","$3,190.32 ","$3,190.32 ", N/A ,"$2,430.72 ","$4,557.60 " ST. JOHN'S HOSPITAL,75001180,N/A,HC PLACE GASTROSTOMY TUBE PERC W/GUID - 49440,750,1 ,"$4,530.00 ","$2,944.50 ","$1,191.39 ","$4,530.00 ", N/A ,"$2,083.80 ","$2,455.26 ", N/A ,"$1,268.40 ","$1,449.60 ", N/A ,"$1,667.04 ", N/A ,"$1,730.46 ","$1,730.46 ", N/A ,"$1,730.46 ", N/A ,"$2,382.78 ", N/A , N/A , N/A ,"$3,171.00 ", N/A ,"$2,265.00 ", N/A ,"$3,397.50 ","$2,287.65 ","$2,061.15 ","$2,287.65 ", N/A ,"$2,287.65 ","$2,853.90 ","$2,853.90 ","$3,216.30 ","$4,530.00 ","$3,850.50 ", N/A ,"$3,624.00 ","$1,676.10 ","$3,624.00 ", N/A , N/A ,"$4,530.00 ","$2,455.26 ", N/A ,"$1,191.39 ", N/A , N/A , N/A , N/A , N/A ,"$3,850.50 ", N/A ,"$1,730.46 ","$1,268.40 ","$4,077.00 ","$3,261.60 ","$4,530.00 ","$2,853.90 ","$2,853.90 ","$2,853.90 ", N/A ,"$2,174.40 ","$4,077.00 " ST. JOHN'S HOSPITAL,75001193,91035,HC ACID REFLUX TEST MUCOSAL ELECTRODE- 91035,750,1 ,"$2,456.00 ","$1,596.40 ",$469.22 ,"$2,456.00 ","$1,173.05 ","$2,456.00 ","$1,331.15 ",$469.22 ,$687.68 ,$847.32 ,$469.22 ,$943.10 ,$469.22 ,$938.19 ,$938.19 ,$469.22 ,$938.19 ,$891.51 ,"$1,291.86 ", N/A ,"$1,173.04 ",$469.22 ,"$1,719.20 ",$469.22 ,"$1,228.00 ",$478.60 ,"$1,842.00 ","$1,240.28 ","$1,117.48 ","$1,240.28 ",$469.22 ,"$1,240.28 ","$1,547.28 ","$1,547.28 ","$1,743.76 ","$2,456.00 ","$2,087.60 ","$1,173.04 ","$1,964.80 ",$908.72 ,"$1,964.80 ",$469.22 ,$469.22 ,"$2,456.00 ","$1,331.15 ",$469.22 ,$645.93 , N/A , N/A ,$631.26 ,$602.56 ,$492.68 ,"$2,087.60 ","$1,055.74 ",$938.19 ,$687.68 ,"$2,210.40 ","$1,768.32 ","$2,456.00 ","$1,547.28 ","$1,547.28 ","$1,547.28 ",$469.22 ,"$1,178.88 ","$2,210.40 " ST. JOHN'S HOSPITAL,75001194,91038,HC ESOPHAGEAL FUNCTION IMPEDENCE EXT TEST,750,1 ,"$1,851.00 ","$1,203.15 ",$469.22 ,"$1,851.00 ","$1,173.05 ","$1,851.00 ","$1,003.24 ",$469.22 ,$518.28 ,$638.60 ,$469.22 ,$710.78 ,$469.22 ,$707.08 ,$707.08 ,$469.22 ,$707.08 ,$891.51 ,$973.63 , N/A ,"$1,173.04 ",$469.22 ,"$1,295.70 ",$469.22 ,$925.50 ,$478.60 ,"$1,388.25 ",$934.76 ,$842.21 ,$934.76 ,$469.22 ,$934.76 ,"$1,166.13 ","$1,166.13 ","$1,314.21 ","$1,851.00 ","$1,573.35 ","$1,173.04 ","$1,480.80 ",$684.87 ,"$1,480.80 ",$469.22 ,$469.22 ,"$1,851.00 ","$1,003.24 ",$469.22 ,$486.81 , N/A , N/A ,$631.26 ,$602.56 ,$492.68 ,"$1,573.35 ","$1,055.74 ",$707.08 ,$518.28 ,"$1,665.90 ","$1,332.72 ","$1,851.00 ","$1,166.13 ","$1,166.13 ","$1,166.13 ",$469.22 ,$888.48 ,"$1,665.90 " ST. JOHN'S HOSPITAL,75001195,91065,HC BREATH HYDROGEN/METH TEST,750,1 ,$610.00 ,$396.50 ,$11.28 ,$610.00 ,$335.53 ,$280.60 ,$330.62 ,$134.21 ,$170.80 ,$195.20 ,$134.21 ,$224.48 ,$134.21 ,$233.02 ,$233.02 ,$134.21 ,$233.02 ,$254.99 ,$320.86 , N/A ,$335.51 ,$134.21 ,$427.00 ,$134.21 ,$305.00 ,$136.89 ,$457.50 ,$308.05 ,$277.55 ,$308.05 ,$134.21 ,$308.05 ,$384.30 ,$384.30 ,$433.10 ,$610.00 ,$518.50 ,$335.51 ,$488.00 ,$225.70 ,$488.00 ,$134.21 ,$134.21 ,$610.00 ,$330.62 ,$134.21 ,$160.43 , N/A , N/A ,$11.81 ,$11.28 ,$140.92 ,$518.50 ,$301.96 ,$233.02 ,$170.80 ,$549.00 ,$439.20 ,$610.00 ,$384.30 ,$384.30 ,$384.30 ,$134.21 ,$292.80 ,$549.00 ST. JOHN'S HOSPITAL,75001196,91110,HC IMAGE GI TRACT ESPOH THRU ILIEM W/REPORT- 91110,750,1 ,"$3,801.00 ","$2,470.65 ",$777.80 ,"$3,801.00 ","$1,944.50 ","$1,748.46 ","$2,060.14 ",$777.80 ,"$1,064.28 ","$1,311.35 ",$777.80 ,"$1,459.58 ",$777.80 ,"$1,451.98 ","$1,451.98 ",$777.80 ,"$1,451.98 ","$1,477.82 ","$1,999.33 ", N/A ,"$1,944.50 ",$777.80 ,"$2,660.70 ",$777.80 ,"$1,900.50 ",$793.35 ,"$2,850.75 ","$1,919.51 ","$1,729.46 ","$1,919.51 ",$777.80 ,"$1,919.51 ","$2,394.63 ","$2,394.63 ","$2,698.71 ","$3,801.00 ","$3,230.85 ","$1,944.50 ","$3,040.80 ","$1,406.37 ","$3,040.80 ",$777.80 ,$777.80 ,"$3,801.00 ","$2,060.14 ",$777.80 ,$999.66 , N/A , N/A ,"$2,394.92 ","$2,286.06 ",$816.69 ,"$3,230.85 ","$1,750.05 ","$1,451.98 ","$1,064.28 ","$3,420.90 ","$2,736.72 ","$3,801.00 ","$2,394.63 ","$2,394.63 ","$2,394.63 ",$777.80 ,"$1,824.48 ","$3,420.90 " ST. JOHN'S HOSPITAL,75001197,91120,HC RECTAL SENSATION/TONE/COMPLIANCE TEST,750,1 ,"$1,069.00 ",$694.85 ,$119.50 ,"$1,069.00 ",$636.00 ,"$1,069.00 ",$579.40 ,$254.40 ,$299.32 ,$368.81 ,$254.40 ,$410.50 ,$254.40 ,$408.36 ,$408.36 ,$254.40 ,$408.36 ,$483.35 ,$562.29 , N/A ,$635.99 ,$254.40 ,$748.30 ,$254.40 ,$534.50 ,$259.48 ,$801.75 ,$539.85 ,$486.40 ,$539.85 ,$254.40 ,$539.85 ,$673.47 ,$673.47 ,$758.99 ,"$1,069.00 ",$908.65 ,$635.99 ,$855.20 ,$395.53 ,$855.20 ,$254.40 ,$254.40 ,"$1,069.00 ",$579.40 ,$254.40 ,$281.15 , N/A , N/A ,$125.19 ,$119.50 ,$267.12 ,$908.65 ,$572.39 ,$408.36 ,$299.32 ,$962.10 ,$769.68 ,"$1,069.00 ",$673.47 ,$673.47 ,$673.47 ,$254.40 ,$513.12 ,$962.10 ST. JOHN'S HOSPITAL,75001198,91122,HC ANORECTAL MANOMETRY,750,1 ,"$2,742.00 ","$1,782.30 ",$119.50 ,"$2,742.00 ",$639.48 ,"$2,742.00 ","$1,486.16 ",$255.79 ,$767.76 ,$945.99 ,$255.79 ,"$1,052.93 ",$255.79 ,"$1,047.44 ","$1,047.44 ",$255.79 ,"$1,047.44 ",$486.00 ,"$1,442.29 ", N/A ,$639.47 ,$255.79 ,"$1,919.40 ",$255.79 ,"$1,371.00 ",$260.91 ,"$2,056.50 ","$1,384.71 ","$1,247.61 ","$1,384.71 ",$255.79 ,"$1,384.71 ","$1,727.46 ","$1,727.46 ","$1,946.82 ","$2,742.00 ","$2,330.70 ",$639.47 ,"$2,193.60 ","$1,014.54 ","$2,193.60 ",$255.79 ,$255.79 ,"$2,742.00 ","$1,486.16 ",$255.79 ,$721.15 , N/A , N/A ,$125.19 ,$119.50 ,$268.58 ,"$2,330.70 ",$575.53 ,"$1,047.44 ",$767.76 ,"$2,467.80 ","$1,974.24 ","$2,742.00 ","$1,727.46 ","$1,727.46 ","$1,727.46 ",$255.79 ,"$1,316.16 ","$2,467.80 " ST. JOHN'S HOSPITAL,75001199,N/A,HC FECAL MICROBIOTA PREP/INSERT,750,1 ,"$2,515.00 ","$1,634.75 ",$661.45 ,"$2,515.00 ", N/A ,"$1,156.90 ","$1,363.13 ", N/A ,$704.20 ,$804.80 , N/A ,$925.52 , N/A ,$960.73 ,$960.73 , N/A ,$960.73 , N/A ,"$1,322.89 ", N/A , N/A , N/A ,"$1,760.50 ", N/A ,"$1,257.50 ", N/A ,"$1,886.25 ","$1,270.08 ","$1,144.33 ","$1,270.08 ", N/A ,"$1,270.08 ","$1,584.45 ","$1,584.45 ","$1,785.65 ","$2,515.00 ","$2,137.75 ", N/A ,"$2,012.00 ",$930.55 ,"$2,012.00 ", N/A , N/A ,"$2,515.00 ","$1,363.13 ", N/A ,$661.45 , N/A , N/A , N/A , N/A , N/A ,"$2,137.75 ", N/A ,$960.73 ,$704.20 ,"$2,263.50 ","$1,810.80 ","$2,515.00 ","$1,584.45 ","$1,584.45 ","$1,584.45 ", N/A ,"$1,207.20 ","$2,263.50 " ST. JOHN'S HOSPITAL,75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$2,390.00 ","$1,553.50 ",$628.57 ,"$2,390.00 ","$1,907.05 ","$2,300.00 ","$1,295.38 ",$762.82 ,$669.20 ,$636.04 ,$762.82 ,$685.33 ,$762.82 ,$912.98 ,$912.98 ,$762.82 ,$912.98 ,"$1,449.37 ","$1,257.14 ", N/A ,"$1,907.06 ",$762.82 ,"$1,673.00 ",$762.82 ,"$1,195.00 ",$778.08 ,"$1,792.50 ","$1,206.95 ","$1,087.45 ","$1,206.95 ",$762.82 ,"$1,206.95 ","$1,505.70 ","$1,505.70 ","$1,696.90 ","$2,390.00 ","$2,031.50 ","$1,907.06 ","$1,912.00 ",$884.30 ,"$1,912.00 ",$762.82 ,$762.82 ,"$2,390.00 ","$1,295.38 ",$762.82 ,$628.57 , N/A , N/A ,$687.65 ,$656.40 ,$800.96 ,"$2,031.50 ","$1,716.35 ",$912.98 ,$669.20 ,"$2,151.00 ","$1,720.80 ","$2,390.00 ","$1,505.70 ","$1,505.70 ","$1,505.70 ",$762.82 ,"$1,147.20 ","$2,151.00 " ST. JOHN'S HOSPITAL,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$4,616.00 ","$3,000.40 ","$1,214.01 ","$4,616.00 ", N/A ,"$2,123.36 ","$2,501.87 ", N/A ,"$1,292.48 ","$1,477.12 ", N/A ,"$1,698.69 ", N/A ,"$1,763.31 ","$1,763.31 ", N/A ,"$1,763.31 ", N/A ,"$2,428.02 ", N/A , N/A , N/A ,"$3,231.20 ", N/A ,"$2,308.00 ", N/A ,"$3,462.00 ","$2,331.08 ","$2,100.28 ","$2,331.08 ", N/A ,"$2,331.08 ","$2,908.08 ","$2,908.08 ","$3,277.36 ","$4,616.00 ","$3,923.60 ", N/A ,"$3,692.80 ","$1,707.92 ","$3,692.80 ", N/A , N/A ,"$4,616.00 ","$2,501.87 ", N/A ,"$1,214.01 ", N/A , N/A , N/A , N/A , N/A ,"$3,923.60 ", N/A ,"$1,763.31 ","$1,292.48 ","$4,154.40 ","$3,323.52 ","$4,616.00 ","$2,908.08 ","$2,908.08 ","$2,908.08 ", N/A ,"$2,215.68 ","$4,154.40 " ST. JOHN'S HOSPITAL,76000004,31579,HC LARYNG VIDEOSTROB INITIAL,760,1 ,"$1,735.00 ","$1,127.75 ",$361.31 ,"$1,735.00 ",$903.28 ,$798.10 ,$940.37 ,$361.31 ,$485.80 ,$555.20 ,$361.31 ,$638.48 ,$361.31 ,$662.77 ,$662.77 ,$361.31 ,$662.77 ,$686.49 ,$912.61 ,$884.85 ,$903.27 ,$361.31 ,"$1,214.50 ",$361.31 ,$867.50 ,$368.53 ,"$1,301.25 ",$876.18 ,$789.43 ,$876.18 ,$361.31 ,$876.18 ,"$1,093.05 ","$1,093.05 ","$1,318.60 ","$1,735.00 ","$1,474.75 ",$903.27 ,"$1,388.00 ",$641.95 ,"$1,388.00 ",$361.31 ,$361.31 ,"$1,735.00 ",$940.37 ,$361.31 ,$456.31 , N/A , N/A ,$423.39 ,$404.15 ,$379.38 ,"$1,474.75 ",$812.94 ,$662.77 ,$485.80 ,"$1,561.50 ","$1,249.20 ","$1,735.00 ","$1,093.05 ","$1,093.05 ","$1,093.05 ",$361.31 ,$832.80 ,"$1,561.50 " ST. JOHN'S HOSPITAL,76000012,36514,HC PLASMAPHERESIS THERAPY,361,1 ,"$7,774.00 ","$5,053.10 ","$1,311.11 ","$7,774.00 ","$3,277.78 ","$3,400.00 ","$4,213.51 ","$1,311.11 ","$2,176.72 ","$2,487.68 ","$1,311.11 ","$2,860.83 ","$1,311.11 ","$2,969.67 ","$2,969.67 ","$1,311.11 ","$2,969.67 ","$2,491.11 ","$4,089.12 ","$3,351.00 ","$3,277.78 ","$1,311.11 ","$5,441.80 ","$1,311.11 ","$3,887.00 ","$1,337.33 ","$5,830.50 ","$3,467.20 ","$3,117.37 ","$3,467.20 ","$1,311.11 ","$3,467.20 ","$4,897.62 ","$4,897.62 ","$5,519.54 ","$7,774.00 ","$6,607.90 ","$3,277.78 ","$6,219.20 ","$2,876.38 ","$6,219.20 ","$1,311.11 ","$1,311.11 ","$7,774.00 ","$4,213.51 ","$1,311.11 ","$2,044.56 ", N/A , N/A ,"$2,711.04 ","$2,587.81 ","$1,376.67 ","$6,607.90 ","$2,950.00 ","$2,969.67 ","$2,176.72 ","$6,996.60 ","$5,597.28 ","$7,774.00 ","$4,897.62 ","$4,897.62 ","$4,897.62 ","$1,311.11 ","$3,731.52 ","$6,996.60 " ST. JOHN'S HOSPITAL,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$2,024.00 ","$1,315.60 ",$532.31 ,"$2,024.00 ","$1,525.98 ",$931.04 ,"$1,097.01 ",$610.39 ,$566.72 ,$647.68 ,$610.39 ,$744.83 ,$610.39 ,$773.17 ,$773.17 ,$610.39 ,$773.17 ,"$1,159.74 ","$1,064.62 ","$1,032.24 ","$1,525.97 ",$610.39 ,"$1,416.80 ",$610.39 ,"$1,012.00 ",$622.59 ,"$1,518.00 ","$1,022.12 ",$920.92 ,"$1,022.12 ",$610.39 ,"$1,022.12 ","$1,275.12 ","$1,275.12 ","$1,538.24 ","$2,024.00 ","$1,720.40 ","$1,525.97 ","$1,619.20 ",$748.88 ,"$1,619.20 ",$610.39 ,$610.39 ,"$2,024.00 ","$1,097.01 ",$610.39 ,$532.31 , N/A , N/A ,$836.14 ,$798.14 ,$640.91 ,"$1,720.40 ","$1,373.37 ",$773.17 ,$566.72 ,"$1,821.60 ","$1,457.28 ","$2,024.00 ","$1,275.12 ","$1,275.12 ","$1,275.12 ",$610.39 ,$971.52 ,"$1,821.60 " ST. JOHN'S HOSPITAL,76100003,57160,HC FITTING/INSERT INTRAVAG DEVICE,761,1 ,$541.00 ,$351.65 ,$97.59 ,$541.00 ,$409.40 ,$248.86 ,$293.22 ,$163.76 ,$151.48 ,$173.12 ,$163.76 ,$199.09 ,$163.76 ,$206.66 ,$97.59 ,$163.76 ,$206.66 ,$311.14 ,$284.57 ,$275.91 ,$409.40 ,$163.76 ,$378.70 ,$163.76 ,$270.50 ,$167.03 ,$405.75 ,$273.21 ,$246.16 ,$273.21 ,$163.76 ,$273.21 ,$340.83 ,$340.83 ,$384.11 ,$541.00 ,$459.85 ,$409.40 ,$432.80 ,$200.17 ,$432.80 ,$163.76 ,$163.76 ,$541.00 ,$293.22 ,$163.76 ,$142.28 , N/A , N/A ,$188.14 ,$179.59 ,$171.95 ,$459.85 ,$368.46 ,$355.98 ,$151.48 ,$486.90 ,$389.52 ,$541.00 ,$340.83 ,$541.00 ,$541.00 ,$163.76 ,$259.68 ,$486.90 ST. JOHN'S HOSPITAL,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$934.00 ,$607.10 ,$245.64 ,$934.00 ,$830.60 ,$429.64 ,$506.23 ,$332.24 ,$261.52 ,$298.88 ,$332.24 ,$343.71 ,$332.24 ,$356.79 ,$373.60 ,$332.24 ,$356.79 ,$631.26 ,$491.28 ,$476.34 ,$830.61 ,$332.24 ,$653.80 ,$332.24 ,$467.00 ,$338.89 ,$700.50 ,$471.67 ,$424.97 ,$471.67 ,$332.24 ,$471.67 ,$588.42 ,$588.42 ,$663.14 ,$934.00 ,$793.90 ,$830.61 ,$747.20 ,$345.58 ,$747.20 ,$332.24 ,$332.24 ,$934.00 ,$506.23 ,$332.24 ,$245.64 , N/A , N/A ,$301.58 ,$287.87 ,$348.85 ,$793.90 ,$747.55 ,$614.57 ,$261.52 ,$840.60 ,$672.48 ,$934.00 ,$588.42 ,$934.00 ,$934.00 ,$332.24 ,$448.32 ,$840.60 ST. JOHN'S HOSPITAL,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$962.00 ,$625.30 ,$253.01 ,$962.00 ,$830.60 ,$442.52 ,$521.40 ,$332.24 ,$269.36 ,$307.84 ,$332.24 ,$354.02 ,$332.24 ,$367.48 ,$384.80 ,$332.24 ,$367.48 ,$631.26 ,$506.01 ,$490.62 ,$830.61 ,$332.24 ,$673.40 ,$332.24 ,$481.00 ,$338.89 ,$721.50 ,$485.81 ,$437.71 ,$485.81 ,$332.24 ,$485.81 ,$606.06 ,$606.06 ,$683.02 ,$962.00 ,$817.70 ,$830.61 ,$769.60 ,$355.94 ,$769.60 ,$332.24 ,$332.24 ,$962.00 ,$521.40 ,$332.24 ,$253.01 , N/A , N/A ,$301.58 ,$287.87 ,$348.85 ,$817.70 ,$747.55 ,$633.00 ,$269.36 ,$865.80 ,$692.64 ,$962.00 ,$606.06 ,$962.00 ,$962.00 ,$332.24 ,$461.76 ,$865.80 ST. JOHN'S HOSPITAL,76100056,64643,HC CHEMODENERVATION EXTREMITY 1-4 MUSCLES EA ADDL EXTR,761,1 ,"$2,218.00 ","$1,441.70 ",$147.62 ,"$2,218.00 ", N/A ,"$1,020.28 ","$1,202.16 ", N/A ,$621.04 ,$709.76 , N/A ,$816.22 , N/A ,$847.28 ,$147.62 , N/A ,$847.28 , N/A ,"$1,166.67 ","$1,131.18 ", N/A , N/A ,"$1,552.60 ", N/A ,"$1,109.00 ", N/A ,"$1,663.50 ","$1,120.09 ","$1,009.19 ","$1,120.09 ", N/A ,"$1,120.09 ","$1,397.34 ","$1,397.34 ","$1,574.78 ","$2,218.00 ","$1,885.30 ", N/A ,"$1,774.40 ",$820.66 ,"$1,774.40 ", N/A , N/A ,"$2,218.00 ","$1,202.16 ", N/A ,$583.33 , N/A , N/A ,$461.03 ,$440.08 , N/A ,"$1,885.30 ", N/A ,"$1,459.44 ",$621.04 ,"$1,996.20 ","$1,596.96 ","$2,218.00 ","$1,397.34 ","$1,200.00 ","$1,200.00 ", N/A ,"$1,064.64 ","$1,996.20 " ST. JOHN'S HOSPITAL,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$181.00 ,$117.65 ,$47.60 ,$181.00 , N/A ,$83.26 ,$98.10 , N/A ,$50.68 ,$57.92 , N/A ,$66.61 , N/A ,$69.14 ,$69.14 , N/A ,$69.14 , N/A ,$95.21 ,$92.31 , N/A , N/A ,$126.70 , N/A ,$90.50 , N/A ,$135.75 ,$80.73 ,$72.58 ,$80.73 , N/A ,$80.73 ,$114.03 ,$114.03 ,$137.56 ,$181.00 ,$153.85 , N/A ,$144.80 ,$66.97 ,$144.80 , N/A , N/A ,$181.00 ,$98.10 , N/A ,$47.60 , N/A , N/A , N/A , N/A , N/A ,$153.85 , N/A ,$69.14 ,$50.68 ,$162.90 ,$130.32 ,$181.00 ,$114.03 ,$114.03 ,$114.03 , N/A ,$86.88 ,$162.90 ST. JOHN'S HOSPITAL,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$102.00 ,$66.30 ,$26.83 ,$102.00 , N/A ,$46.92 ,$55.28 , N/A ,$28.56 ,$32.64 , N/A ,$37.54 , N/A ,$38.96 ,$38.96 , N/A ,$38.96 , N/A ,$53.65 ,$52.02 , N/A , N/A ,$71.40 , N/A ,$51.00 , N/A ,$76.50 ,$45.49 ,$40.90 ,$45.49 , N/A ,$45.49 ,$64.26 ,$64.26 ,$77.52 ,$102.00 ,$86.70 , N/A ,$81.60 ,$37.74 ,$81.60 , N/A , N/A ,$102.00 ,$55.28 , N/A ,$26.83 , N/A , N/A , N/A , N/A , N/A ,$86.70 , N/A ,$38.96 ,$28.56 ,$91.80 ,$73.44 ,$102.00 ,$64.26 ,$64.26 ,$64.26 , N/A ,$48.96 ,$91.80 ST. JOHN'S HOSPITAL,76200019,G0378,HC OBSERVATION W/CARDIAC CARE PER HR,762,1 ,$135.00 ,$87.75 ,$35.51 ,$135.00 , N/A ,$62.10 ,$73.17 , N/A ,$37.80 ,$43.20 , N/A ,$49.68 , N/A ,$51.57 ,$51.57 , N/A ,$51.57 , N/A ,$71.01 ,$68.85 , N/A , N/A ,$94.50 , N/A ,$67.50 , N/A ,$101.25 ,$60.21 ,$54.14 ,$60.21 , N/A ,$60.21 ,$85.05 ,$85.05 ,$102.60 ,$135.00 ,$114.75 , N/A ,$108.00 ,$49.95 ,$108.00 , N/A , N/A ,$135.00 ,$73.17 , N/A ,$35.51 , N/A , N/A , N/A , N/A , N/A ,$114.75 , N/A ,$51.57 ,$37.80 ,$121.50 ,$97.20 ,$135.00 ,$85.05 ,$85.05 ,$85.05 , N/A ,$64.80 ,$121.50 ST. JOHN'S HOSPITAL,76200020,G0378,HC OBSERVATION W/INTENSIVE CARE PER HR,762,1 ,$245.00 ,$159.25 ,$64.44 ,$245.00 , N/A ,$112.70 ,$132.79 , N/A ,$68.60 ,$78.40 , N/A ,$90.16 , N/A ,$93.59 ,$93.59 , N/A ,$93.59 , N/A ,$128.87 ,$124.95 , N/A , N/A ,$171.50 , N/A ,$122.50 , N/A ,$183.75 ,$109.27 ,$98.25 ,$109.27 , N/A ,$109.27 ,$154.35 ,$154.35 ,$186.20 ,$245.00 ,$208.25 , N/A ,$196.00 ,$90.65 ,$196.00 , N/A , N/A ,$245.00 ,$132.79 , N/A ,$64.44 , N/A , N/A , N/A , N/A , N/A ,$208.25 , N/A ,$93.59 ,$68.60 ,$220.50 ,$176.40 ,$245.00 ,$154.35 ,$154.35 ,$154.35 , N/A ,$117.60 ,$220.50 ST. JOHN'S HOSPITAL,76200021,G0378,HC OBSERVATION W/INTERMEDIATE CARE PER HR,762,1 ,$168.00 ,$109.20 ,$44.18 ,$168.00 , N/A ,$77.28 ,$91.06 , N/A ,$47.04 ,$53.76 , N/A ,$61.82 , N/A ,$64.18 ,$64.18 , N/A ,$64.18 , N/A ,$88.37 ,$85.68 , N/A , N/A ,$117.60 , N/A ,$84.00 , N/A ,$126.00 ,$74.93 ,$67.37 ,$74.93 , N/A ,$74.93 ,$105.84 ,$105.84 ,$127.68 ,$168.00 ,$142.80 , N/A ,$134.40 ,$62.16 ,$134.40 , N/A , N/A ,$168.00 ,$91.06 , N/A ,$44.18 , N/A , N/A , N/A , N/A , N/A ,$142.80 , N/A ,$64.18 ,$47.04 ,$151.20 ,$120.96 ,$168.00 ,$105.84 ,$105.84 ,$105.84 , N/A ,$80.64 ,$151.20 ST. JOHN'S HOSPITAL,76200022,G0378,HC OBSERVATION W/TELEMETRY PER HR,762,1 ,$117.00 ,$76.05 ,$30.77 ,$117.00 , N/A ,$53.82 ,$63.41 , N/A ,$32.76 ,$37.44 , N/A ,$43.06 , N/A ,$44.69 ,$44.69 , N/A ,$44.69 , N/A ,$61.54 ,$59.67 , N/A , N/A ,$81.90 , N/A ,$58.50 , N/A ,$87.75 ,$52.18 ,$46.92 ,$52.18 , N/A ,$52.18 ,$73.71 ,$73.71 ,$88.92 ,$117.00 ,$99.45 , N/A ,$93.60 ,$43.29 ,$93.60 , N/A , N/A ,$117.00 ,$63.41 , N/A ,$30.77 , N/A , N/A , N/A , N/A , N/A ,$99.45 , N/A ,$44.69 ,$32.76 ,$105.30 ,$84.24 ,$117.00 ,$73.71 ,$73.71 ,$73.71 , N/A ,$56.16 ,$105.30 ST. JOHN'S HOSPITAL,76200023,G0378,HC OBSERVATION W/PSYCH PER HR,762,1 ,$99.00 ,$64.35 ,$26.04 ,$99.00 , N/A ,$45.54 ,$53.66 , N/A ,$27.72 ,$31.68 , N/A ,$36.43 , N/A ,$37.82 ,$37.82 , N/A ,$37.82 , N/A ,$52.07 ,$50.49 , N/A , N/A ,$69.30 , N/A ,$49.50 , N/A ,$74.25 ,$44.15 ,$39.70 ,$44.15 , N/A ,$44.15 ,$62.37 ,$62.37 ,$75.24 ,$99.00 ,$84.15 , N/A ,$79.20 ,$36.63 ,$79.20 , N/A , N/A ,$99.00 ,$53.66 , N/A ,$26.04 , N/A , N/A , N/A , N/A , N/A ,$84.15 , N/A ,$37.82 ,$27.72 ,$89.10 ,$71.28 ,$99.00 ,$62.37 ,$62.37 ,$62.37 , N/A ,$47.52 ,$89.10 ST. JOHN'S HOSPITAL,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$146.00 ,$94.90 ,$15.00 ,$149.00 ,$149.00 ,$67.16 ,$79.13 ,$59.60 ,$40.88 ,$50.37 ,$59.60 ,$56.06 ,$59.60 ,$55.77 ,$15.00 ,$59.60 ,$55.77 ,$113.23 ,$76.80 ,$74.46 ,$148.99 ,$59.60 ,$102.20 ,$59.60 ,$73.00 ,$60.79 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$59.60 ,$73.73 ,$91.98 ,$91.98 ,$103.66 ,$146.00 ,$124.10 ,$146.00 ,$116.80 ,$54.02 ,$116.80 ,$59.60 ,$59.60 ,$146.00 ,$79.13 ,$59.60 ,$38.40 , N/A , N/A , N/A , N/A ,$62.58 ,$124.10 ,$134.09 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$91.98 ,$91.98 ,$91.98 ,$59.60 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$146.00 ,$94.90 ,$8.00 ,$146.00 , N/A ,$67.16 ,$79.13 , N/A ,$40.88 ,$50.37 , N/A ,$56.06 , N/A ,$55.77 ,$8.00 , N/A ,$55.77 , N/A ,$76.80 ,$74.46 , N/A , N/A ,$102.20 , N/A ,$73.00 , N/A ,$109.50 ,$73.73 ,$66.43 ,$73.73 , N/A ,$73.73 ,$91.98 ,$91.98 ,$103.66 ,$146.00 ,$124.10 , N/A ,$116.80 ,$54.02 ,$116.80 , N/A , N/A ,$146.00 ,$79.13 , N/A ,$38.40 , N/A , N/A , N/A , N/A , N/A ,$124.10 , N/A ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$91.98 ,$91.98 ,$91.98 , N/A ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$146.00 ,$94.90 ,$15.00 ,$146.00 ,$96.18 ,$67.16 ,$79.13 ,$38.47 ,$40.88 ,$50.37 ,$38.47 ,$56.06 ,$38.47 ,$55.77 ,$15.00 ,$38.47 ,$55.77 ,$73.09 ,$76.80 ,$74.46 ,$96.17 ,$38.47 ,$102.20 ,$38.47 ,$73.00 ,$39.24 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$38.47 ,$73.73 ,$91.98 ,$91.98 ,$103.66 ,$146.00 ,$124.10 ,$96.17 ,$116.80 ,$54.02 ,$116.80 ,$38.47 ,$38.47 ,$146.00 ,$79.13 ,$38.47 ,$38.40 , N/A , N/A , N/A , N/A ,$40.39 ,$124.10 ,$86.55 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$91.98 ,$91.98 ,$91.98 ,$38.47 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$146.00 ,$94.90 ,$15.00 ,$146.00 ,$96.18 ,$67.16 ,$79.13 ,$38.47 ,$40.88 ,$50.37 ,$38.47 ,$56.06 ,$38.47 ,$55.77 ,$15.00 ,$38.47 ,$55.77 ,$73.09 ,$76.80 ,$74.46 ,$96.17 ,$38.47 ,$102.20 ,$38.47 ,$73.00 ,$39.24 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$38.47 ,$73.73 ,$91.98 ,$91.98 ,$103.66 ,$146.00 ,$124.10 ,$96.17 ,$116.80 ,$54.02 ,$116.80 ,$38.47 ,$38.47 ,$146.00 ,$79.13 ,$38.47 ,$38.40 , N/A , N/A , N/A , N/A ,$40.39 ,$124.10 ,$86.55 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$91.98 ,$91.98 ,$91.98 ,$38.47 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$146.00 ,$94.90 ,$15.00 ,$146.00 ,$96.18 ,$67.16 ,$79.13 ,$38.47 ,$40.88 ,$50.37 ,$38.47 ,$56.06 ,$38.47 ,$55.77 ,$15.00 ,$38.47 ,$55.77 ,$73.09 ,$76.80 ,$74.46 ,$96.17 ,$38.47 ,$102.20 ,$38.47 ,$73.00 ,$39.24 ,$109.50 ,$73.73 ,$66.43 ,$73.73 ,$38.47 ,$73.73 ,$91.98 ,$91.98 ,$103.66 ,$146.00 ,$124.10 ,$96.17 ,$116.80 ,$54.02 ,$116.80 ,$38.47 ,$38.47 ,$146.00 ,$79.13 ,$38.47 ,$38.40 , N/A , N/A , N/A , N/A ,$40.39 ,$124.10 ,$86.55 ,$96.07 ,$40.88 ,$131.40 ,$105.12 ,$146.00 ,$91.98 ,$91.98 ,$91.98 ,$38.47 ,$70.08 ,$131.40 ST. JOHN'S HOSPITAL,77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$55.20 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$55.20 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$55.20 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$55.20 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 , N/A ,$70.00 ,$65.04 , N/A ,$33.60 ,$38.40 , N/A ,$44.16 , N/A ,$45.84 ,$48.00 , N/A ,$45.84 , N/A ,$63.12 ,$61.20 , N/A , N/A ,$84.00 , N/A ,$60.00 , N/A ,$90.00 ,$60.60 ,$54.60 ,$60.60 , N/A ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 , N/A ,$96.00 ,$44.40 ,$96.00 , N/A , N/A ,$120.00 ,$65.04 , N/A ,$31.56 , N/A , N/A , N/A , N/A , N/A ,$102.00 , N/A ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 , N/A ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 , N/A ,$70.00 ,$65.04 , N/A ,$33.60 ,$38.40 , N/A ,$44.16 , N/A ,$45.84 ,$48.00 , N/A ,$45.84 , N/A ,$63.12 ,$61.20 , N/A , N/A ,$84.00 , N/A ,$60.00 , N/A ,$90.00 ,$60.60 ,$54.60 ,$60.60 , N/A ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 , N/A ,$96.00 ,$44.40 ,$96.00 , N/A , N/A ,$120.00 ,$65.04 , N/A ,$31.56 , N/A , N/A , N/A , N/A , N/A ,$102.00 , N/A ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 , N/A ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$70.00 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 , N/A ,$70.00 ,$65.04 , N/A ,$33.60 ,$38.40 , N/A ,$44.16 , N/A ,$45.84 ,$48.00 , N/A ,$45.84 , N/A ,$63.12 ,$61.20 , N/A , N/A ,$84.00 , N/A ,$60.00 , N/A ,$90.00 ,$60.60 ,$54.60 ,$60.60 , N/A ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 , N/A ,$96.00 ,$44.40 ,$96.00 , N/A , N/A ,$120.00 ,$65.04 , N/A ,$31.56 , N/A , N/A , N/A , N/A , N/A ,$102.00 , N/A ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 , N/A ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 , N/A ,$70.00 ,$65.04 , N/A ,$33.60 ,$38.40 , N/A ,$44.16 , N/A ,$45.84 ,$48.00 , N/A ,$45.84 , N/A ,$63.12 ,$61.20 , N/A , N/A ,$84.00 , N/A ,$60.00 , N/A ,$90.00 ,$60.60 ,$54.60 ,$60.60 , N/A ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 , N/A ,$96.00 ,$44.40 ,$96.00 , N/A , N/A ,$120.00 ,$65.04 , N/A ,$31.56 , N/A , N/A , N/A , N/A , N/A ,$102.00 , N/A ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 , N/A ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$55.20 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$78.00 ,$31.56 ,$120.00 ,$94.13 ,$70.00 ,$65.04 ,$37.65 ,$33.60 ,$38.40 ,$37.65 ,$44.16 ,$37.65 ,$45.84 ,$48.00 ,$37.65 ,$45.84 ,$71.53 ,$63.12 ,$61.20 ,$94.12 ,$37.65 ,$84.00 ,$37.65 ,$60.00 ,$38.40 ,$90.00 ,$60.60 ,$54.60 ,$60.60 ,$37.65 ,$60.60 ,$75.60 ,$75.60 ,$85.20 ,$120.00 ,$102.00 ,$94.12 ,$96.00 ,$44.40 ,$96.00 ,$37.65 ,$37.65 ,$120.00 ,$65.04 ,$37.65 ,$31.56 , N/A , N/A , N/A , N/A ,$39.53 ,$102.00 ,$84.71 ,$78.96 ,$33.60 ,$108.00 ,$86.40 ,$120.00 ,$75.60 ,$75.60 ,$75.60 ,$37.65 ,$57.60 ,$108.00 ST. JOHN'S HOSPITAL,78000003,97110,HC THERA EXER; EA 15 MIN - 95,780,1 ,$219.00 ,$142.35 ,$29.02 ,$219.00 ,$72.55 ,$100.74 ,$118.70 ,$29.02 ,$61.32 ,$75.56 ,$29.02 ,$84.10 ,$29.02 ,$83.66 ,$39.56 ,$29.02 ,$83.66 ,$55.14 ,$115.19 ,$111.69 ,$72.55 ,$29.02 ,$153.30 ,$29.02 ,$109.50 ,$29.60 ,$164.25 ,$110.60 ,$99.65 ,$110.60 ,$29.02 ,$110.60 ,$137.97 ,$137.97 ,$155.49 ,$219.00 ,$186.15 ,$72.55 ,$175.20 ,$81.03 ,$175.20 ,$29.02 ,$29.02 ,$219.00 ,$118.70 ,$29.02 ,$57.60 , N/A , N/A , N/A , N/A ,$30.47 ,$186.15 ,$65.30 ,$144.10 ,$61.32 ,$197.10 ,$157.68 ,$219.00 ,$137.97 ,$137.97 ,$137.97 ,$29.02 ,$105.12 ,$197.10 ST. JOHN'S HOSPITAL,78000004,97112,HC NEUROMUSCULAR RE ED EA 15 MIN - 95,780,1 ,$189.00 ,$122.85 ,$33.59 ,$189.00 ,$83.98 ,$86.94 ,$102.44 ,$33.59 ,$52.92 ,$65.21 ,$33.59 ,$72.58 ,$33.59 ,$72.20 ,$41.19 ,$33.59 ,$72.20 ,$63.82 ,$99.41 ,$96.39 ,$83.98 ,$33.59 ,$132.30 ,$33.59 ,$94.50 ,$34.26 ,$141.75 ,$95.45 ,$86.00 ,$95.45 ,$33.59 ,$95.45 ,$119.07 ,$119.07 ,$134.19 ,$189.00 ,$160.65 ,$83.98 ,$151.20 ,$69.93 ,$151.20 ,$33.59 ,$33.59 ,$189.00 ,$102.44 ,$33.59 ,$49.71 , N/A , N/A , N/A , N/A ,$35.27 ,$160.65 ,$75.58 ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$119.07 ,$119.07 ,$119.07 ,$33.59 ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,78000005,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN - 95,780,1 ,$195.00 ,$126.75 ,$36.24 ,$195.00 ,$90.60 ,$89.70 ,$105.69 ,$36.24 ,$54.60 ,$67.28 ,$36.24 ,$74.88 ,$36.24 ,$74.49 ,$44.55 ,$36.24 ,$74.49 ,$68.86 ,$102.57 ,$99.45 ,$90.60 ,$36.24 ,$136.50 ,$36.24 ,$97.50 ,$36.96 ,$146.25 ,$98.48 ,$88.73 ,$98.48 ,$36.24 ,$98.48 ,$122.85 ,$122.85 ,$138.45 ,$195.00 ,$165.75 ,$90.60 ,$156.00 ,$72.15 ,$156.00 ,$36.24 ,$36.24 ,$195.00 ,$105.69 ,$36.24 ,$51.29 , N/A , N/A , N/A , N/A ,$38.05 ,$165.75 ,$81.54 ,$128.31 ,$54.60 ,$175.50 ,$140.40 ,$195.00 ,$122.85 ,$122.85 ,$122.85 ,$36.24 ,$93.60 ,$175.50 ST. JOHN'S HOSPITAL,78000006,97535,HC SELF CARE ADL TRAINING EA 15 MIN - 95,780,1 ,$192.00 ,$124.80 ,$32.17 ,$192.00 ,$80.43 ,$88.32 ,$104.06 ,$32.17 ,$53.76 ,$66.24 ,$32.17 ,$73.73 ,$32.17 ,$73.34 ,$38.51 ,$32.17 ,$73.34 ,$61.12 ,$100.99 ,$97.92 ,$80.43 ,$32.17 ,$134.40 ,$32.17 ,$96.00 ,$32.81 ,$144.00 ,$96.96 ,$87.36 ,$96.96 ,$32.17 ,$96.96 ,$120.96 ,$120.96 ,$136.32 ,$192.00 ,$163.20 ,$80.43 ,$153.60 ,$71.04 ,$153.60 ,$32.17 ,$32.17 ,$192.00 ,$104.06 ,$32.17 ,$50.50 , N/A , N/A , N/A , N/A ,$33.78 ,$163.20 ,$72.38 ,$126.34 ,$53.76 ,$172.80 ,$138.24 ,$192.00 ,$120.96 ,$120.96 ,$120.96 ,$32.17 ,$92.16 ,$172.80 ST. JOHN'S HOSPITAL,78000007,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN - 95,780,1 ,$214.00 ,$139.10 ,$22.86 ,$214.00 ,$57.15 ,$98.44 ,$115.99 ,$22.86 ,$59.92 ,$68.48 ,$22.86 ,$78.75 ,$22.86 ,$81.75 ,$27.01 ,$22.86 ,$81.75 ,$43.43 ,$112.56 ,$109.14 ,$57.15 ,$22.86 ,$149.80 ,$22.86 ,$107.00 ,$23.32 ,$160.50 ,$108.07 ,$97.37 ,$108.07 ,$22.86 ,$108.07 ,$134.82 ,$134.82 ,$151.94 ,$214.00 ,$181.90 ,$57.15 ,$171.20 ,$79.18 ,$171.20 ,$22.86 ,$22.86 ,$214.00 ,$115.99 ,$22.86 ,$56.28 , N/A , N/A , N/A , N/A ,$24.00 ,$181.90 ,$51.44 ,$140.81 ,$59.92 ,$192.60 ,$154.08 ,$214.00 ,$134.82 ,$134.82 ,$134.82 ,$22.86 ,$102.72 ,$192.60 ST. JOHN'S HOSPITAL,78000008,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN - 95,780,1 ,$190.00 ,$123.50 ,$22.16 ,$190.00 ,$55.40 ,$87.40 ,$102.98 ,$22.16 ,$53.20 ,$60.80 ,$22.16 ,$69.92 ,$22.16 ,$72.58 ,$26.20 ,$22.16 ,$72.58 ,$42.10 ,$99.94 ,$96.90 ,$55.40 ,$22.16 ,$133.00 ,$22.16 ,$95.00 ,$22.60 ,$142.50 ,$95.95 ,$86.45 ,$95.95 ,$22.16 ,$95.95 ,$119.70 ,$119.70 ,$134.90 ,$190.00 ,$161.50 ,$55.40 ,$152.00 ,$70.30 ,$152.00 ,$22.16 ,$22.16 ,$190.00 ,$102.98 ,$22.16 ,$49.97 , N/A , N/A , N/A , N/A ,$23.27 ,$161.50 ,$49.86 ,$125.02 ,$53.20 ,$171.00 ,$136.80 ,$190.00 ,$119.70 ,$119.70 ,$119.70 ,$22.16 ,$91.20 ,$171.00 ST. JOHN'S HOSPITAL,78000009,97161,HC PT EVAL LOW COMPLEXITY 15 MIN - 95,780,1 ,$460.00 ,$299.00 ,$90.33 ,$460.00 ,$246.90 ,$211.60 ,$249.32 ,$98.76 ,$128.80 ,$158.70 ,$98.76 ,$176.64 ,$98.76 ,$175.72 ,$90.33 ,$98.76 ,$175.72 ,$187.64 ,$241.96 ,$234.60 ,$246.90 ,$98.76 ,$322.00 ,$98.76 ,$230.00 ,$100.74 ,$345.00 ,$232.30 ,$209.30 ,$232.30 ,$98.76 ,$232.30 ,$289.80 ,$289.80 ,$326.60 ,$460.00 ,$391.00 ,$246.90 ,$368.00 ,$170.20 ,$368.00 ,$98.76 ,$98.76 ,$460.00 ,$249.32 ,$98.76 ,$120.98 , N/A , N/A , N/A , N/A ,$103.70 ,$391.00 ,$222.21 ,$302.68 ,$128.80 ,$414.00 ,$331.20 ,$460.00 ,$289.80 ,$289.80 ,$289.80 ,$98.76 ,$220.80 ,$414.00 ST. JOHN'S HOSPITAL,78000010,97162,HC PT EVAL MOD COMPLEXITY 30 MIN - 95,780,1 ,$558.00 ,$362.70 ,$98.76 ,$558.00 ,$246.90 ,$256.68 ,$302.44 ,$98.76 ,$156.24 ,$192.51 ,$98.76 ,$214.27 ,$98.76 ,$213.16 ,$100.36 ,$98.76 ,$213.16 ,$187.64 ,$293.51 ,$284.58 ,$246.90 ,$98.76 ,$390.60 ,$98.76 ,$279.00 ,$100.74 ,$418.50 ,$281.79 ,$253.89 ,$281.79 ,$98.76 ,$281.79 ,$351.54 ,$351.54 ,$396.18 ,$558.00 ,$474.30 ,$246.90 ,$446.40 ,$206.46 ,$446.40 ,$98.76 ,$98.76 ,$558.00 ,$302.44 ,$98.76 ,$146.75 , N/A , N/A , N/A , N/A ,$103.70 ,$474.30 ,$222.21 ,$367.16 ,$156.24 ,$502.20 ,$401.76 ,$558.00 ,$351.54 ,$351.54 ,$351.54 ,$98.76 ,$267.84 ,$502.20 ST. JOHN'S HOSPITAL,78000011,97163,HC PT EVAL HIGH COMPLEXITY 45 MIN - 95,780,1 ,$609.00 ,$395.85 ,$98.76 ,$609.00 ,$246.90 ,$280.14 ,$330.08 ,$98.76 ,$170.52 ,$210.11 ,$98.76 ,$233.86 ,$98.76 ,$232.64 ,$110.39 ,$98.76 ,$232.64 ,$187.64 ,$320.33 ,$310.59 ,$246.90 ,$98.76 ,$426.30 ,$98.76 ,$304.50 ,$100.74 ,$456.75 ,$307.55 ,$277.10 ,$307.55 ,$98.76 ,$307.55 ,$383.67 ,$383.67 ,$432.39 ,$609.00 ,$517.65 ,$246.90 ,$487.20 ,$225.33 ,$487.20 ,$98.76 ,$98.76 ,$609.00 ,$330.08 ,$98.76 ,$160.17 , N/A , N/A , N/A , N/A ,$103.70 ,$517.65 ,$222.21 ,$400.72 ,$170.52 ,$548.10 ,$438.48 ,$609.00 ,$383.67 ,$383.67 ,$383.67 ,$98.76 ,$292.32 ,$548.10 ST. JOHN'S HOSPITAL,78000013,97165,HC OT EVAL LOW COMPLEXITY 30 MIN - 95,780,1 ,$442.00 ,$287.30 ,$97.40 ,$442.00 ,$248.50 ,$203.32 ,$239.56 ,$99.40 ,$123.76 ,$152.49 ,$99.40 ,$169.73 ,$99.40 ,$168.84 ,$97.40 ,$99.40 ,$168.84 ,$188.86 ,$232.49 ,$225.42 ,$248.50 ,$99.40 ,$309.40 ,$99.40 ,$221.00 ,$101.39 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$99.40 ,$223.21 ,$278.46 ,$278.46 ,$313.82 ,$442.00 ,$375.70 ,$248.50 ,$353.60 ,$163.54 ,$353.60 ,$99.40 ,$99.40 ,$442.00 ,$239.56 ,$99.40 ,$116.25 , N/A , N/A , N/A , N/A ,$104.37 ,$375.70 ,$223.65 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$278.46 ,$278.46 ,$278.46 ,$99.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,78000014,97116,HC AMBULATION GAIT TRAIN EA 15 MIN - 95,780,1 ,$189.00 ,$122.85 ,$29.02 ,$189.00 ,$72.55 ,$86.94 ,$102.44 ,$29.02 ,$52.92 ,$65.21 ,$29.02 ,$72.58 ,$29.02 ,$72.20 ,$34.34 ,$29.02 ,$72.20 ,$55.14 ,$99.41 ,$96.39 ,$72.55 ,$29.02 ,$132.30 ,$29.02 ,$94.50 ,$29.60 ,$141.75 ,$95.45 ,$86.00 ,$95.45 ,$29.02 ,$95.45 ,$119.07 ,$119.07 ,$134.19 ,$189.00 ,$160.65 ,$72.55 ,$151.20 ,$69.93 ,$151.20 ,$29.02 ,$29.02 ,$189.00 ,$102.44 ,$29.02 ,$49.71 , N/A , N/A , N/A , N/A ,$30.47 ,$160.65 ,$65.30 ,$124.36 ,$52.92 ,$170.10 ,$136.08 ,$189.00 ,$119.07 ,$119.07 ,$119.07 ,$29.02 ,$90.72 ,$170.10 ST. JOHN'S HOSPITAL,78000015,97167,HC OT EVAL HIGH COMPLEXITY 60 MIN - 95,780,1 ,$587.00 ,$381.55 ,$97.40 ,$587.00 ,$248.50 ,$270.02 ,$318.15 ,$99.40 ,$164.36 ,$202.52 ,$99.40 ,$225.41 ,$99.40 ,$224.23 ,$97.40 ,$99.40 ,$224.23 ,$188.86 ,$308.76 ,$299.37 ,$248.50 ,$99.40 ,$410.90 ,$99.40 ,$293.50 ,$101.39 ,$440.25 ,$296.44 ,$267.09 ,$296.44 ,$99.40 ,$296.44 ,$369.81 ,$369.81 ,$416.77 ,$587.00 ,$498.95 ,$248.50 ,$469.60 ,$217.19 ,$469.60 ,$99.40 ,$99.40 ,$587.00 ,$318.15 ,$99.40 ,$154.38 , N/A , N/A , N/A , N/A ,$104.37 ,$498.95 ,$223.65 ,$386.25 ,$164.36 ,$528.30 ,$422.64 ,$587.00 ,$369.81 ,$369.81 ,$369.81 ,$99.40 ,$281.76 ,$528.30 ST. JOHN'S HOSPITAL,78000016,97168,HC OT RE-EVAL 30 MIN - 95,780,1 ,$169.00 ,$109.85 ,$44.45 ,$170.00 ,$170.00 ,$77.74 ,$91.60 ,$68.00 ,$47.32 ,$58.31 ,$68.00 ,$64.90 ,$68.00 ,$64.56 ,$69.96 ,$68.00 ,$64.56 ,$129.20 ,$88.89 ,$86.19 ,$170.00 ,$68.00 ,$118.30 ,$68.00 ,$84.50 ,$69.36 ,$126.75 ,$85.35 ,$76.90 ,$85.35 ,$68.00 ,$85.35 ,$106.47 ,$106.47 ,$119.99 ,$169.00 ,$143.65 ,$169.00 ,$135.20 ,$62.53 ,$135.20 ,$68.00 ,$68.00 ,$169.00 ,$91.60 ,$68.00 ,$44.45 , N/A , N/A , N/A , N/A ,$71.40 ,$143.65 ,$153.00 ,$111.20 ,$47.32 ,$152.10 ,$121.68 ,$169.00 ,$106.47 ,$106.47 ,$106.47 ,$68.00 ,$81.12 ,$152.10 ST. JOHN'S HOSPITAL,78000017,92507,HC SPEECH THERAPY TREATMENT 15 MIN - 95,780,1 ,$434.00 ,$282.10 ,$75.75 ,$434.00 ,$189.38 ,$199.64 ,$235.23 ,$75.75 ,$121.52 ,$149.73 ,$75.75 ,$166.66 ,$75.75 ,$165.79 ,$120.43 ,$75.75 ,$165.79 ,$143.93 ,$228.28 ,$221.34 ,$189.38 ,$75.75 ,$303.80 ,$75.75 ,$217.00 ,$77.27 ,$325.50 ,$219.17 ,$197.47 ,$219.17 ,$75.75 ,$219.17 ,$273.42 ,$273.42 ,$308.14 ,$434.00 ,$368.90 ,$189.38 ,$347.20 ,$160.58 ,$347.20 ,$75.75 ,$75.75 ,$434.00 ,$235.23 ,$75.75 ,$114.14 , N/A , N/A , N/A , N/A ,$79.54 ,$368.90 ,$170.44 ,$285.57 ,$121.52 ,$390.60 ,$312.48 ,$434.00 ,$273.42 ,$273.42 ,$273.42 ,$75.75 ,$208.32 ,$390.60 ST. JOHN'S HOSPITAL,78000018,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN - 95,780,1 ,$971.00 ,$631.15 ,$131.38 ,$971.00 ,$328.45 ,$446.66 ,$526.28 ,$131.38 ,$271.88 ,$335.00 ,$131.38 ,$372.86 ,$131.38 ,$370.92 ,$187.79 ,$131.38 ,$370.92 ,$249.62 ,$510.75 ,$495.21 ,$328.45 ,$131.38 ,$679.70 ,$131.38 ,$485.50 ,$134.01 ,$728.25 ,$490.36 ,$441.81 ,$490.36 ,$131.38 ,$490.36 ,$611.73 ,$611.73 ,$689.41 ,$971.00 ,$825.35 ,$328.45 ,$776.80 ,$359.27 ,$776.80 ,$131.38 ,$131.38 ,$971.00 ,$526.28 ,$131.38 ,$255.37 , N/A , N/A , N/A , N/A ,$137.95 ,$825.35 ,$295.61 ,$638.92 ,$271.88 ,$873.90 ,$699.12 ,$971.00 ,$611.73 ,$611.73 ,$611.73 ,$131.38 ,$466.08 ,$873.90 ST. JOHN'S HOSPITAL,78000019,92526,HC DYSPHAGIA TREATMENT 15 MIN - 95,780,1 ,$360.00 ,$234.00 ,$83.77 ,$360.00 ,$209.43 ,$165.60 ,$195.12 ,$83.77 ,$100.80 ,$124.20 ,$83.77 ,$138.24 ,$83.77 ,$137.52 ,$146.42 ,$83.77 ,$137.52 ,$159.16 ,$189.36 ,$183.60 ,$209.43 ,$83.77 ,$252.00 ,$83.77 ,$180.00 ,$85.45 ,$270.00 ,$181.80 ,$163.80 ,$181.80 ,$83.77 ,$181.80 ,$226.80 ,$226.80 ,$255.60 ,$360.00 ,$306.00 ,$209.43 ,$288.00 ,$133.20 ,$288.00 ,$83.77 ,$83.77 ,$360.00 ,$195.12 ,$83.77 ,$94.68 , N/A , N/A , N/A , N/A ,$87.96 ,$306.00 ,$188.48 ,$236.88 ,$100.80 ,$324.00 ,$259.20 ,$360.00 ,$226.80 ,$226.80 ,$226.80 ,$83.77 ,$172.80 ,$324.00 ST. JOHN'S HOSPITAL,80100010,90945,HC DIALYSIS PROC OTHER THAN HEMO,801,1 ,$570.00 ,$370.50 ,$149.91 ,$942.91 ,$874.18 ,$262.20 ,$308.94 ,$349.67 ,$159.60 ,$196.65 ,$349.67 ,$218.88 ,$349.67 ,$217.74 ,$217.74 ,$349.67 ,$217.74 ,$570.00 ,$299.82 ,$290.70 ,$874.19 ,$349.67 ,$399.00 ,$349.67 ,$285.00 ,$356.67 ,$427.50 ,$287.85 ,$259.35 ,$287.85 ,$349.67 ,$287.85 ,$359.10 ,$359.10 ,$404.70 ,$570.00 ,$484.50 ,$570.00 ,$456.00 ,$210.90 ,$456.00 ,$349.67 ,$349.67 ,$570.00 ,$308.94 ,$349.67 ,$149.91 , N/A , N/A ,$570.00 ,$942.91 ,$367.15 ,$484.50 ,$786.77 ,$217.74 ,$159.60 ,$513.00 ,$410.40 ,$570.00 ,$359.10 ,$359.10 ,$359.10 ,$349.67 ,$273.60 ,$513.00 ST. JOHN'S HOSPITAL,80100011,G0257,HC HEMODIALYSIS INPATIENT,801,1 ,"$3,126.00 ","$2,031.90 ",$629.58 ,"$3,126.00 ","$1,573.95 ","$1,437.96 ","$1,694.29 ",$629.58 ,$875.28 ,"$1,000.32 ",$629.58 ,"$1,150.37 ",$629.58 ,"$1,194.13 ","$1,194.13 ",$629.58 ,"$1,194.13 ","$1,196.20 ","$1,644.28 ","$1,594.26 ","$1,573.95 ",$629.58 ,"$2,188.20 ",$629.58 ,"$1,563.00 ",$642.17 ,"$2,344.50 ","$1,578.63 ","$1,422.33 ","$1,578.63 ",$629.58 ,"$1,578.63 ","$1,969.38 ","$1,969.38 ","$2,219.46 ","$3,126.00 ","$2,657.10 ","$1,573.95 ","$2,500.80 ","$1,156.62 ","$2,500.80 ",$629.58 ,$629.58 ,"$3,126.00 ","$1,694.29 ",$629.58 ,$822.14 , N/A , N/A ,$994.50 ,$949.29 ,$661.06 ,"$2,657.10 ","$1,416.55 ","$1,194.13 ",$875.28 ,"$2,813.40 ","$2,250.72 ","$3,126.00 ","$1,969.38 ","$1,969.38 ","$1,969.38 ",$629.58 ,"$1,500.48 ","$2,813.40 " ST. JOHN'S HOSPITAL,80300001,N/A,HC CAPD INPATIENT,803,1 ,$341.00 ,$221.65 ,$89.68 ,$341.00 , N/A ,$156.86 ,$184.82 , N/A ,$95.48 ,$109.12 , N/A ,$125.49 , N/A ,$130.26 ,$130.26 , N/A ,$130.26 , N/A ,$179.37 ,$173.91 , N/A , N/A ,$238.70 , N/A ,$170.50 , N/A ,$255.75 ,$172.21 ,$155.16 ,$172.21 , N/A ,$172.21 ,$214.83 ,$214.83 ,$242.11 ,$341.00 ,$289.85 , N/A ,$272.80 ,$126.17 ,$272.80 , N/A , N/A ,$341.00 ,$184.82 , N/A ,$89.68 , N/A , N/A , N/A , N/A , N/A ,$289.85 , N/A ,$130.26 ,$95.48 ,$306.90 ,$245.52 ,$341.00 ,$214.83 ,$214.83 ,$214.83 , N/A ,$163.68 ,$306.90 ST. JOHN'S HOSPITAL,80400001,N/A,HC CCPD INPATIENT,804,1 ,"$1,488.00 ",$967.20 ,$391.34 ,"$1,488.00 ", N/A ,$684.48 ,$806.50 , N/A ,$416.64 ,$476.16 , N/A ,$547.58 , N/A ,$568.42 ,$568.42 , N/A ,$568.42 , N/A ,$782.69 ,$758.88 , N/A , N/A ,"$1,041.60 ", N/A ,$744.00 , N/A ,"$1,116.00 ",$751.44 ,$677.04 ,$751.44 , N/A ,$751.44 ,$937.44 ,$937.44 ,"$1,056.48 ","$1,488.00 ","$1,264.80 ", N/A ,"$1,190.40 ",$550.56 ,"$1,190.40 ", N/A , N/A ,"$1,488.00 ",$806.50 , N/A ,$391.34 , N/A , N/A , N/A , N/A , N/A ,"$1,264.80 ", N/A ,$568.42 ,$416.64 ,"$1,339.20 ","$1,071.36 ","$1,488.00 ",$937.44 ,$937.44 ,$937.44 , N/A ,$714.24 ,"$1,339.20 " ST. JOHN'S HOSPITAL,82900001,G0257,HC HEMODIALYSIS OUTPATIENT,829,1 ,"$5,295.00 ","$3,441.75 ",$629.58 ,"$5,295.00 ","$1,573.95 ","$2,435.70 ","$2,869.89 ",$629.58 ,"$1,482.60 ","$1,694.40 ",$629.58 ,"$1,948.56 ",$629.58 ,"$2,022.69 ","$2,022.69 ",$629.58 ,"$2,022.69 ","$1,196.20 ","$2,785.17 ","$2,700.45 ","$1,573.95 ",$629.58 ,"$3,706.50 ",$629.58 ,"$2,647.50 ",$642.17 ,"$3,971.25 ","$2,673.98 ","$2,409.23 ","$2,673.98 ",$629.58 ,"$2,673.98 ","$3,335.85 ","$3,335.85 ","$3,759.45 ","$5,295.00 ","$4,500.75 ","$1,573.95 ","$4,236.00 ","$1,959.15 ","$4,236.00 ",$629.58 ,$629.58 ,"$5,295.00 ","$2,869.89 ",$629.58 ,"$1,392.59 ", N/A , N/A ,$994.50 ,$949.29 ,$661.06 ,"$4,500.75 ","$1,416.55 ","$2,022.69 ","$1,482.60 ","$4,765.50 ","$3,812.40 ","$5,295.00 ","$3,335.85 ","$3,335.85 ","$3,335.85 ",$629.58 ,"$2,541.60 ","$4,765.50 " ST. JOHN'S HOSPITAL,90000001,90785,HC PSYCH THERAPY COMPLEX INTERACTIVE,900,1 ,$82.00 ,$53.30 ,$21.57 ,$82.00 , N/A ,$37.72 ,$44.44 , N/A ,$22.96 ,$28.29 , N/A ,$31.49 , N/A ,$31.32 ,$23.97 , N/A ,$31.32 , N/A ,$43.13 ,$41.82 , N/A , N/A ,$57.40 , N/A ,$41.00 , N/A ,$61.50 ,$41.41 ,$37.31 ,$41.41 , N/A ,$41.41 ,$51.66 ,$51.66 ,$58.22 ,$82.00 ,$69.70 , N/A ,$65.60 ,$30.34 ,$65.60 , N/A , N/A ,$82.00 ,$44.44 , N/A ,$21.57 , N/A ,$75.00 , N/A , N/A , N/A ,$69.70 , N/A ,$53.96 ,$22.96 ,$73.80 ,$59.04 ,$82.00 ,$51.66 ,$51.66 ,$51.66 , N/A ,$39.36 ,$73.80 ST. JOHN'S HOSPITAL,90100001,90870,HC ELECTROCONVULSIVE THERAPY,901,1 ,"$1,326.00 ",$861.90 ,$348.74 ,"$1,326.00 ","$1,173.05 ",$609.96 ,$718.69 ,$469.22 ,$371.28 ,$457.47 ,$469.22 ,$509.18 ,$469.22 ,$506.53 ,$506.53 ,$469.22 ,$506.53 ,$891.51 ,$697.48 ,$676.26 ,"$1,173.04 ",$469.22 ,$928.20 ,$469.22 ,$663.00 ,$478.60 ,$994.50 ,$669.63 ,$603.33 ,$669.63 ,$469.22 ,$669.63 ,$835.38 ,$835.38 ,$941.46 ,"$1,326.00 ","$1,127.10 ","$1,173.04 ",$861.90 ,$490.62 ,$861.90 ,$469.22 ,$469.22 ,"$1,326.00 ",$718.69 ,$469.22 ,$348.74 ,$596.00 ,$399.00 ,$508.21 ,$485.11 ,$492.68 ,"$1,127.10 ","$1,055.74 ",$506.53 ,$371.28 ,"$1,193.40 ",$954.72 ,"$1,326.00 ",$835.38 , N/A , N/A ,$469.22 ,$636.48 ,"$1,193.40 " ST. JOHN'S HOSPITAL,91400003,90791,HC EVAL PSYCH DIAG 60 MIN,914,1 ,$491.00 ,$319.15 ,$128.62 ,$491.00 ,$321.55 ,$225.86 ,$266.12 ,$128.62 ,$137.48 ,$169.40 ,$128.62 ,$188.54 ,$128.62 ,$187.56 ,$222.01 ,$128.62 ,$187.56 ,$244.37 ,$258.27 ,$250.41 ,$321.54 ,$128.62 ,$343.70 ,$128.62 ,$245.50 ,$131.19 ,$368.25 ,$247.96 ,$223.41 ,$247.96 ,$128.62 ,$247.96 ,$309.33 ,$309.33 ,$348.61 ,$491.00 ,$417.35 ,$321.54 ,$319.15 ,$181.67 ,$319.15 ,$128.62 ,$128.62 ,$491.00 ,$266.12 ,$128.62 ,$129.13 , N/A , N/A ,$288.41 ,$275.30 ,$135.05 ,$417.35 ,$289.38 ,$323.08 ,$137.48 ,$441.90 ,$353.52 ,$491.00 ,$309.33 , N/A , N/A ,$128.62 ,$235.68 ,$441.90 ST. JOHN'S HOSPITAL,91400004,90832,HC THERAPY INDIVIDUAL PSYCH 30MIN,914,1 ,$225.00 ,$146.25 ,$59.18 ,$321.55 ,$321.55 ,$103.50 ,$121.95 ,$128.62 ,$63.00 ,$77.63 ,$128.62 ,$86.40 ,$128.62 ,$85.95 ,$108.54 ,$128.62 ,$85.95 ,$225.00 ,$118.35 ,$114.75 ,$321.54 ,$128.62 ,$157.50 ,$128.62 ,$112.50 ,$131.19 ,$168.75 ,$113.63 ,$102.38 ,$113.63 ,$128.62 ,$113.63 ,$141.75 ,$141.75 ,$159.75 ,$225.00 ,$191.25 ,$225.00 ,$146.25 ,$83.25 ,$146.25 ,$128.62 ,$128.62 ,$225.00 ,$121.95 ,$128.62 ,$59.18 , N/A , N/A ,$155.17 ,$148.11 ,$135.05 ,$191.25 ,$289.38 ,$148.05 ,$63.00 ,$202.50 ,$162.00 ,$225.00 ,$141.75 , N/A , N/A ,$128.62 ,$108.00 ,$202.50 ST. JOHN'S HOSPITAL,91400007,90834,HC THERAPY INDIVIDUAL PSYCH 45MIN,914,1 ,$325.00 ,$211.25 ,$85.48 ,$325.00 ,$321.55 ,$149.50 ,$176.15 ,$128.62 ,$91.00 ,$112.13 ,$128.62 ,$124.80 ,$128.62 ,$124.15 ,$144.60 ,$128.62 ,$124.15 ,$244.37 ,$170.95 ,$165.75 ,$321.54 ,$128.62 ,$227.50 ,$128.62 ,$162.50 ,$131.19 ,$243.75 ,$164.13 ,$147.88 ,$164.13 ,$128.62 ,$164.13 ,$204.75 ,$204.75 ,$230.75 ,$325.00 ,$276.25 ,$321.54 ,$211.25 ,$120.25 ,$211.25 ,$128.62 ,$128.62 ,$325.00 ,$176.15 ,$128.62 ,$85.48 , N/A , N/A ,$155.43 ,$148.37 ,$135.05 ,$276.25 ,$289.38 ,$213.85 ,$91.00 ,$292.50 ,$234.00 ,$325.00 ,$204.75 , N/A , N/A ,$128.62 ,$156.00 ,$292.50 ST. JOHN'S HOSPITAL,91400012,90837,HC THERAPY INDIVIDUAL PSYCH 60MIN,914,1 ,$369.00 ,$239.85 ,$97.05 ,$369.00 ,$321.55 ,$169.74 ,$200.00 ,$128.62 ,$103.32 ,$127.31 ,$128.62 ,$141.70 ,$128.62 ,$140.96 ,$217.24 ,$128.62 ,$140.96 ,$244.37 ,$194.09 ,$188.19 ,$321.54 ,$128.62 ,$258.30 ,$128.62 ,$184.50 ,$131.19 ,$276.75 ,$186.35 ,$167.90 ,$186.35 ,$128.62 ,$186.35 ,$232.47 ,$232.47 ,$261.99 ,$369.00 ,$313.65 ,$321.54 ,$239.85 ,$136.53 ,$239.85 ,$128.62 ,$128.62 ,$369.00 ,$200.00 ,$128.62 ,$97.05 , N/A , N/A ,$155.43 ,$148.37 ,$135.05 ,$313.65 ,$289.38 ,$242.80 ,$103.32 ,$332.10 ,$265.68 ,$369.00 ,$232.47 , N/A , N/A ,$128.62 ,$177.12 ,$332.10 ST. JOHN'S HOSPITAL,91400013,90839,HC THERAPY INDIVIDUAL PSYCH CRISIS 60MIN,914,1 ,$491.00 ,$319.15 ,$128.62 ,$491.00 ,$321.55 ,$225.86 ,$266.12 ,$128.62 ,$137.48 ,$157.12 ,$128.62 ,$180.69 ,$128.62 ,$187.56 ,$226.33 ,$128.62 ,$187.56 ,$244.37 ,$258.27 ,$250.41 ,$321.54 ,$128.62 ,$343.70 ,$128.62 ,$245.50 ,$131.19 ,$368.25 ,$247.96 ,$223.41 ,$247.96 ,$128.62 ,$247.96 ,$309.33 ,$309.33 ,$348.61 ,$491.00 ,$417.35 ,$321.54 ,$319.15 ,$181.67 ,$319.15 ,$128.62 ,$128.62 ,$491.00 ,$266.12 ,$128.62 ,$129.13 , N/A , N/A ,$155.43 ,$148.37 ,$135.05 ,$417.35 ,$289.38 ,$323.08 ,$137.48 ,$441.90 ,$353.52 ,$491.00 ,$309.33 , N/A , N/A ,$128.62 ,$235.68 ,$441.90 ST. JOHN'S HOSPITAL,91400014,90840,HC THERAPY INDIVIDUAL PSYCH CRISIS EA ADDL 30MIN,914,1 ,$246.00 ,$159.90 ,$64.70 ,$246.00 , N/A ,$113.16 ,$133.33 , N/A ,$68.88 ,$78.72 , N/A ,$90.53 , N/A ,$93.97 ,$108.54 , N/A ,$93.97 , N/A ,$129.40 ,$125.46 , N/A , N/A ,$172.20 , N/A ,$123.00 , N/A ,$184.50 ,$124.23 ,$111.93 ,$124.23 , N/A ,$124.23 ,$154.98 ,$154.98 ,$174.66 ,$246.00 ,$209.10 , N/A ,$159.90 ,$91.02 ,$159.90 , N/A , N/A ,$246.00 ,$133.33 , N/A ,$64.70 , N/A , N/A ,$155.43 ,$148.37 , N/A ,$209.10 , N/A ,$161.87 ,$68.88 ,$221.40 ,$177.12 ,$246.00 ,$154.98 , N/A , N/A , N/A ,$118.08 ,$221.40 ST. JOHN'S HOSPITAL,91600005,90846,HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN,916,1 ,$507.00 ,$329.55 ,$128.62 ,$507.00 ,$321.55 ,$233.22 ,$274.79 ,$128.62 ,$141.96 ,$174.92 ,$128.62 ,$194.69 ,$128.62 ,$193.67 ,$188.41 ,$128.62 ,$193.67 ,$244.37 ,$266.68 ,$258.57 ,$321.54 ,$128.62 ,$354.90 ,$128.62 ,$253.50 ,$131.19 ,$380.25 ,$256.04 ,$230.69 ,$256.04 ,$128.62 ,$256.04 ,$319.41 ,$319.41 ,$359.97 ,$507.00 ,$430.95 ,$321.54 ,$329.55 ,$187.59 ,$329.55 ,$128.62 ,$128.62 ,$507.00 ,$274.79 ,$128.62 ,$133.34 , N/A , N/A ,$163.87 ,$156.42 ,$135.05 ,$430.95 ,$289.38 ,$333.61 ,$141.96 ,$456.30 ,$365.04 ,$507.00 ,$319.41 , N/A , N/A ,$128.62 ,$243.36 ,$456.30 ST. JOHN'S HOSPITAL,91600006,90847,HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN,916,1 ,$538.00 ,$349.70 ,$128.62 ,$538.00 ,$321.55 ,$247.48 ,$291.60 ,$128.62 ,$150.64 ,$185.61 ,$128.62 ,$206.59 ,$128.62 ,$205.52 ,$195.77 ,$128.62 ,$205.52 ,$244.37 ,$282.99 ,$274.38 ,$321.54 ,$128.62 ,$376.60 ,$128.62 ,$269.00 ,$131.19 ,$403.50 ,$271.69 ,$244.79 ,$271.69 ,$128.62 ,$271.69 ,$338.94 ,$338.94 ,$381.98 ,$538.00 ,$457.30 ,$321.54 ,$349.70 ,$199.06 ,$349.70 ,$128.62 ,$128.62 ,$538.00 ,$291.60 ,$128.62 ,$141.49 , N/A , N/A ,$163.87 ,$156.42 ,$135.05 ,$457.30 ,$289.38 ,$354.00 ,$150.64 ,$484.20 ,$387.36 ,$538.00 ,$338.94 , N/A , N/A ,$128.62 ,$258.24 ,$484.20 ST. JOHN'S HOSPITAL,91600007,90853,HC THERAPY GROUP PSYCH,916,1 ,$228.00 ,$148.20 ,$54.52 ,$228.00 ,$179.83 ,$104.88 ,$123.58 ,$71.93 ,$63.84 ,$78.66 ,$71.93 ,$87.55 ,$71.93 ,$87.10 ,$54.52 ,$71.93 ,$87.10 ,$136.66 ,$119.93 ,$116.28 ,$179.82 ,$71.93 ,$159.60 ,$71.93 ,$114.00 ,$73.37 ,$171.00 ,$115.14 ,$103.74 ,$115.14 ,$71.93 ,$115.14 ,$143.64 ,$143.64 ,$161.88 ,$228.00 ,$193.80 ,$179.82 ,$148.20 ,$84.36 ,$148.20 ,$71.93 ,$71.93 ,$228.00 ,$123.58 ,$71.93 ,$59.96 , N/A , N/A ,$220.40 ,$210.38 ,$75.53 ,$193.80 ,$161.83 ,$150.02 ,$63.84 ,$205.20 ,$164.16 ,$228.00 ,$143.64 , N/A , N/A ,$71.93 ,$109.44 ,$205.20 ST. JOHN'S HOSPITAL,91800006,96116,HC NEUROPSYCH STATUS EXAM MD/QHCP INIT HOUR,918,1 ,$713.00 ,$463.45 ,$187.52 ,$804.08 ,$625.83 ,$327.98 ,$386.45 ,$250.33 ,$199.64 ,$245.99 ,$250.33 ,$273.79 ,$250.33 ,$272.37 ,$198.49 ,$250.33 ,$272.37 ,$475.63 ,$375.04 ,$363.63 ,$625.83 ,$250.33 ,$499.10 ,$250.33 ,$356.50 ,$255.34 ,$534.75 ,$360.07 ,$324.42 ,$360.07 ,$250.33 ,$360.07 ,$449.19 ,$449.19 ,$506.23 ,$713.00 ,$606.05 ,$625.83 ,$570.40 ,$263.81 ,$570.40 ,$250.33 ,$250.33 ,$713.00 ,$386.45 ,$250.33 ,$187.52 , N/A , N/A ,$713.00 ,$804.08 ,$262.85 ,$606.05 ,$563.24 ,$469.15 ,$199.64 ,$641.70 ,$513.36 ,$713.00 ,$449.19 ,$449.19 ,$449.19 ,$250.33 ,$342.24 ,$641.70 ST. JOHN'S HOSPITAL,91800007,96121,HC NEUROPSYCH STATUS EXAM MD/QHCP ADDL HOUR,918,1 ,$357.00 ,$232.05 ,$93.89 ,$804.08 , N/A ,$164.22 ,$193.49 , N/A ,$99.96 ,$114.24 , N/A ,$131.38 , N/A ,$136.37 ,$181.99 , N/A ,$136.37 , N/A ,$187.78 ,$182.07 , N/A , N/A ,$249.90 , N/A ,$178.50 , N/A ,$267.75 ,$180.29 ,$162.44 ,$180.29 , N/A ,$180.29 ,$224.91 ,$224.91 ,$253.47 ,$357.00 ,$303.45 , N/A ,$285.60 ,$132.09 ,$285.60 , N/A , N/A ,$357.00 ,$193.49 , N/A ,$93.89 , N/A , N/A ,$357.00 ,$804.08 , N/A ,$303.45 , N/A ,$234.91 ,$99.96 ,$321.30 ,$257.04 ,$357.00 ,$224.91 ,$224.91 ,$224.91 , N/A ,$171.36 ,$321.30 ST. JOHN'S HOSPITAL,91800010,96130,HC PSYCH TESTING EVAL MD/QHCP INIT HOUR,918,1 ,$384.00 ,$249.60 ,$100.99 ,$804.08 ,$625.83 ,$176.64 ,$208.13 ,$250.33 ,$107.52 ,$122.88 ,$250.33 ,$141.31 ,$250.33 ,$146.69 ,$256.07 ,$250.33 ,$146.69 ,$384.00 ,$201.98 ,$195.84 ,$625.83 ,$250.33 ,$268.80 ,$250.33 ,$192.00 ,$255.34 ,$288.00 ,$193.92 ,$174.72 ,$193.92 ,$250.33 ,$193.92 ,$241.92 ,$241.92 ,$272.64 ,$384.00 ,$326.40 ,$384.00 ,$307.20 ,$142.08 ,$307.20 ,$250.33 ,$250.33 ,$384.00 ,$208.13 ,$250.33 ,$100.99 , N/A , N/A ,$384.00 ,$804.08 ,$262.85 ,$326.40 ,$563.24 ,$252.67 ,$107.52 ,$345.60 ,$276.48 ,$384.00 ,$241.92 ,$241.92 ,$241.92 ,$250.33 ,$184.32 ,$345.60 ST. JOHN'S HOSPITAL,91800011,96131,HC PSYCH TESTING EVAL MD/QHCP ADDL HOUR,918,1 ,$192.00 ,$124.80 ,$50.50 ,$804.08 , N/A ,$88.32 ,$104.06 , N/A ,$53.76 ,$61.44 , N/A ,$70.66 , N/A ,$73.34 ,$192.00 , N/A ,$73.34 , N/A ,$100.99 ,$97.92 , N/A , N/A ,$134.40 , N/A ,$96.00 , N/A ,$144.00 ,$96.96 ,$87.36 ,$96.96 , N/A ,$96.96 ,$120.96 ,$120.96 ,$136.32 ,$192.00 ,$163.20 , N/A ,$153.60 ,$71.04 ,$153.60 , N/A , N/A ,$192.00 ,$104.06 , N/A ,$50.50 , N/A , N/A ,$192.00 ,$804.08 , N/A ,$163.20 , N/A ,$126.34 ,$53.76 ,$172.80 ,$138.24 ,$192.00 ,$120.96 ,$120.96 ,$120.96 , N/A ,$92.16 ,$172.80 ST. JOHN'S HOSPITAL,92000001,59020,HC TEST STRESS FETAL,920,1 ,$906.00 ,$588.90 ,$55.61 ,$906.00 ,$409.40 ,$416.76 ,$491.05 ,$163.76 ,$253.68 ,$289.92 ,$163.76 ,$333.41 ,$163.76 ,$346.09 ,$55.61 ,$163.76 ,$346.09 ,$311.14 ,$476.56 ,$462.06 ,$409.40 ,$163.76 ,$634.20 ,$163.76 ,$453.00 ,$167.03 ,$679.50 ,$457.53 ,$412.23 ,$457.53 ,$163.76 ,$457.53 ,$570.78 ,$570.78 ,$643.26 ,$906.00 ,$770.10 ,$409.40 ,$724.80 ,$335.22 ,$724.80 ,$163.76 ,$163.76 ,$906.00 ,$491.05 ,$163.76 ,$238.28 , N/A , N/A , N/A , N/A ,$171.95 ,$770.10 ,$368.46 ,$596.15 ,$253.68 ,$815.40 ,$652.32 ,$906.00 ,$570.78 ,$570.78 ,$570.78 ,$163.76 ,$434.88 ,$815.40 ST. JOHN'S HOSPITAL,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$756.00 ,$491.40 ,$31.73 ,$756.00 ,$409.40 ,$347.76 ,$409.75 ,$163.76 ,$211.68 ,$241.92 ,$163.76 ,$278.21 ,$163.76 ,$288.79 ,$31.73 ,$163.76 ,$288.79 ,$311.14 ,$397.66 ,$385.56 ,$409.40 ,$163.76 ,$529.20 ,$163.76 ,$378.00 ,$167.03 ,$567.00 ,$381.78 ,$343.98 ,$381.78 ,$163.76 ,$381.78 ,$476.28 ,$476.28 ,$536.76 ,$756.00 ,$642.60 ,$409.40 ,$604.80 ,$279.72 ,$604.80 ,$163.76 ,$163.76 ,$756.00 ,$409.75 ,$163.76 ,$198.83 , N/A , N/A , N/A , N/A ,$171.95 ,$642.60 ,$368.46 ,$497.45 ,$211.68 ,$680.40 ,$544.32 ,$756.00 ,$476.28 ,$476.28 ,$476.28 ,$163.76 ,$362.88 ,$680.40 ST. JOHN'S HOSPITAL,92000014,96020,HC NEUROFUNCTIONAL BRAIN MAPPING W/REPORT,920,1 ,$875.00 ,$568.75 ,$230.13 ,$875.00 , N/A ,$402.50 ,$474.25 , N/A ,$245.00 ,$301.88 , N/A ,$336.00 , N/A ,$334.25 ,$257.33 , N/A ,$334.25 , N/A ,$460.25 ,$446.25 , N/A , N/A ,$612.50 , N/A ,$437.50 , N/A ,$656.25 ,$441.88 ,$398.13 ,$441.88 , N/A ,$441.88 ,$551.25 ,$551.25 ,$621.25 ,$875.00 ,$743.75 , N/A ,$700.00 ,$323.75 ,$700.00 , N/A , N/A ,$875.00 ,$474.25 , N/A ,$230.13 , N/A , N/A ,$842.37 ,$804.08 , N/A ,$743.75 , N/A ,$575.75 ,$245.00 ,$787.50 ,$630.00 ,$875.00 ,$551.25 ,$551.25 ,$551.25 , N/A ,$420.00 ,$787.50 ST. JOHN'S HOSPITAL,92000024,N/A,HC INTRA AORTIC BALLOON PUMP PER DAY,920,1 ,$807.00 ,$524.55 ,$212.24 ,$807.00 , N/A ,$371.22 ,$437.39 , N/A ,$225.96 ,$258.24 , N/A ,$296.98 , N/A ,$308.27 ,$322.80 , N/A ,$308.27 , N/A ,$424.48 ,$411.57 , N/A , N/A ,$564.90 , N/A ,$403.50 , N/A ,$605.25 ,$407.54 ,$367.19 ,$407.54 , N/A ,$407.54 ,$508.41 ,$508.41 ,$572.97 ,$807.00 ,$685.95 , N/A ,$645.60 ,$298.59 ,$645.60 , N/A , N/A ,$807.00 ,$437.39 , N/A ,$212.24 , N/A , N/A , N/A , N/A , N/A ,$685.95 , N/A ,$531.01 ,$225.96 ,$726.30 ,$581.04 ,$807.00 ,$508.41 ,$508.41 ,$508.41 , N/A ,$387.36 ,$726.30 ST. JOHN'S HOSPITAL,92000025,N/A,HC LIGHT THERAPY,920,1 ,$29.00 ,$18.85 ,$7.63 ,$29.00 , N/A ,$13.34 ,$15.72 , N/A ,$8.12 ,$9.28 , N/A ,$10.67 , N/A ,$11.08 ,$11.60 , N/A ,$11.08 , N/A ,$15.25 ,$14.79 , N/A , N/A ,$20.30 , N/A ,$14.50 , N/A ,$21.75 ,$14.65 ,$13.20 ,$14.65 , N/A ,$14.65 ,$18.27 ,$18.27 ,$20.59 ,$29.00 ,$24.65 , N/A ,$23.20 ,$10.73 ,$23.20 , N/A , N/A ,$29.00 ,$15.72 , N/A ,$7.63 , N/A , N/A , N/A , N/A , N/A ,$24.65 , N/A ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$18.27 ,$18.27 ,$18.27 , N/A ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,92000026,N/A,HC ORTHO TRACTION SERVICE 15MIN,920,1 ,$176.00 ,$114.40 ,$46.29 ,$176.00 , N/A ,$80.96 ,$95.39 , N/A ,$49.28 ,$56.32 , N/A ,$64.77 , N/A ,$67.23 ,$70.40 , N/A ,$67.23 , N/A ,$92.58 ,$89.76 , N/A , N/A ,$123.20 , N/A ,$88.00 , N/A ,$132.00 ,$88.88 ,$80.08 ,$88.88 , N/A ,$88.88 ,$110.88 ,$110.88 ,$124.96 ,$176.00 ,$149.60 , N/A ,$140.80 ,$65.12 ,$140.80 , N/A , N/A ,$176.00 ,$95.39 , N/A ,$46.29 , N/A , N/A , N/A , N/A , N/A ,$149.60 , N/A ,$115.81 ,$49.28 ,$158.40 ,$126.72 ,$176.00 ,$110.88 ,$110.88 ,$110.88 , N/A ,$84.48 ,$158.40 ST. JOHN'S HOSPITAL,92000027,N/A,HC ORTHO TRACTION SERVICE 30MIN,920,1 ,$351.00 ,$228.15 ,$92.31 ,$351.00 , N/A ,$161.46 ,$190.24 , N/A ,$98.28 ,$112.32 , N/A ,$129.17 , N/A ,$134.08 ,$140.40 , N/A ,$134.08 , N/A ,$184.63 ,$179.01 , N/A , N/A ,$245.70 , N/A ,$175.50 , N/A ,$263.25 ,$177.26 ,$159.71 ,$177.26 , N/A ,$177.26 ,$221.13 ,$221.13 ,$249.21 ,$351.00 ,$298.35 , N/A ,$280.80 ,$129.87 ,$280.80 , N/A , N/A ,$351.00 ,$190.24 , N/A ,$92.31 , N/A , N/A , N/A , N/A , N/A ,$298.35 , N/A ,$230.96 ,$98.28 ,$315.90 ,$252.72 ,$351.00 ,$221.13 ,$221.13 ,$221.13 , N/A ,$168.48 ,$315.90 ST. JOHN'S HOSPITAL,92000028,N/A,HC ORTHO TRACTION SERVICE 45MIN,920,1 ,$469.00 ,$304.85 ,$123.35 ,$469.00 , N/A ,$215.74 ,$254.20 , N/A ,$131.32 ,$150.08 , N/A ,$172.59 , N/A ,$179.16 ,$187.60 , N/A ,$179.16 , N/A ,$246.69 ,$239.19 , N/A , N/A ,$328.30 , N/A ,$234.50 , N/A ,$351.75 ,$236.85 ,$213.40 ,$236.85 , N/A ,$236.85 ,$295.47 ,$295.47 ,$332.99 ,$469.00 ,$398.65 , N/A ,$375.20 ,$173.53 ,$375.20 , N/A , N/A ,$469.00 ,$254.20 , N/A ,$123.35 , N/A , N/A , N/A , N/A , N/A ,$398.65 , N/A ,$308.60 ,$131.32 ,$422.10 ,$337.68 ,$469.00 ,$295.47 ,$295.47 ,$295.47 , N/A ,$225.12 ,$422.10 ST. JOHN'S HOSPITAL,92000030,59020,HC TEST STRESS FETAL EXTENDED,920,1 ,"$1,761.00 ","$1,144.65 ",$55.61 ,"$1,761.00 ",$409.40 ,$810.06 ,$954.46 ,$163.76 ,$493.08 ,$563.52 ,$163.76 ,$648.05 ,$163.76 ,$672.70 ,$55.61 ,$163.76 ,$672.70 ,$311.14 ,$926.29 ,$898.11 ,$409.40 ,$163.76 ,"$1,232.70 ",$163.76 ,$880.50 ,$167.03 ,"$1,320.75 ",$889.31 ,$801.26 ,$889.31 ,$163.76 ,$889.31 ,"$1,109.43 ","$1,109.43 ","$1,250.31 ","$1,761.00 ","$1,496.85 ",$409.40 ,"$1,408.80 ",$651.57 ,"$1,408.80 ",$163.76 ,$163.76 ,"$1,761.00 ",$954.46 ,$163.76 ,$463.14 , N/A , N/A , N/A , N/A ,$171.95 ,"$1,496.85 ",$368.46 ,"$1,158.74 ",$493.08 ,"$1,584.90 ","$1,267.92 ","$1,761.00 ","$1,109.43 ","$1,109.43 ","$1,109.43 ",$163.76 ,$845.28 ,"$1,584.90 " ST. JOHN'S HOSPITAL,92000031,59025,HC TEST NON STRESS FETAL EXTENDED,920,1 ,"$1,115.00 ",$724.75 ,$31.73 ,"$1,115.00 ",$409.40 ,$512.90 ,$604.33 ,$163.76 ,$312.20 ,$356.80 ,$163.76 ,$410.32 ,$163.76 ,$425.93 ,$31.73 ,$163.76 ,$425.93 ,$311.14 ,$586.49 ,$568.65 ,$409.40 ,$163.76 ,$780.50 ,$163.76 ,$557.50 ,$167.03 ,$836.25 ,$563.08 ,$507.33 ,$563.08 ,$163.76 ,$563.08 ,$702.45 ,$702.45 ,$791.65 ,"$1,115.00 ",$947.75 ,$409.40 ,$892.00 ,$412.55 ,$892.00 ,$163.76 ,$163.76 ,"$1,115.00 ",$604.33 ,$163.76 ,$293.25 , N/A , N/A , N/A , N/A ,$171.95 ,$947.75 ,$368.46 ,$733.67 ,$312.20 ,"$1,003.50 ",$802.80 ,"$1,115.00 ",$702.45 ,$702.45 ,$702.45 ,$163.76 ,$535.20 ,"$1,003.50 " ST. JOHN'S HOSPITAL,92000033,92201,HC OPHTHALMOSCOPY EXT W/RETINAL DRAWING I AND R UNI/BIL,920,1 ,$159.00 ,$103.35 ,$35.70 ,$159.00 ,$133.78 ,$73.14 ,$86.18 ,$53.51 ,$44.52 ,$50.88 ,$53.51 ,$58.51 ,$53.51 ,$60.74 ,$35.70 ,$53.51 ,$60.74 ,$101.66 ,$83.63 ,$81.09 ,$133.77 ,$53.51 ,$111.30 ,$53.51 ,$79.50 ,$54.58 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$53.51 ,$80.30 ,$100.17 ,$100.17 ,$112.89 ,$159.00 ,$135.15 ,$133.77 ,$127.20 ,$58.83 ,$127.20 ,$53.51 ,$53.51 ,$159.00 ,$86.18 ,$53.51 ,$41.82 , N/A , N/A ,$50.29 ,$48.01 ,$56.19 ,$135.15 ,$120.39 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$100.17 ,$100.17 ,$100.17 ,$53.51 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,840.00 ","$1,196.00 ",$152.21 ,"$1,840.00 ",$552.95 ,$846.40 ,$997.28 ,$221.18 ,$515.20 ,$634.80 ,$221.18 ,$706.56 ,$221.18 ,$702.88 ,$301.09 ,$221.18 ,$702.88 ,$420.25 ,$560.64 ,$938.40 ,$552.96 ,$221.18 ,"$1,288.00 ",$221.18 ,$920.00 ,$225.61 ,"$1,380.00 ",$929.20 ,$837.20 ,$929.20 ,$221.18 ,$929.20 ,"$1,159.20 ","$1,159.20 ","$1,306.40 ","$1,840.00 ","$1,564.00 ",$552.96 ,"$1,472.00 ",$680.80 ,"$1,472.00 ",$221.18 ,$221.18 ,"$1,840.00 ",$997.28 ,$221.18 ,$483.92 , N/A , N/A ,$159.46 ,$152.21 ,$232.24 ,"$1,564.00 ",$497.66 ,"$1,210.72 ",$515.20 ,"$1,656.00 ","$1,324.80 ","$1,840.00 ","$1,159.20 ","$1,159.20 ","$1,159.20 ",$221.18 ,$883.20 ,"$1,656.00 " ST. JOHN'S HOSPITAL,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$540.00 ,$351.00 ,$104.65 ,$540.00 ,$261.63 ,$248.40 ,$292.68 ,$104.65 ,$151.20 ,$186.30 ,$104.65 ,$207.36 ,$104.65 ,$206.28 ,$193.41 ,$104.65 ,$206.28 ,$198.84 ,$367.68 ,$275.40 ,$261.63 ,$104.65 ,$378.00 ,$104.65 ,$270.00 ,$106.75 ,$405.00 ,$272.70 ,$245.70 ,$272.70 ,$104.65 ,$272.70 ,$340.20 ,$340.20 ,$383.40 ,$540.00 ,$459.00 ,$261.63 ,$432.00 ,$199.80 ,$432.00 ,$104.65 ,$104.65 ,$540.00 ,$292.68 ,$104.65 ,$142.02 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$459.00 ,$235.47 ,$355.32 ,$151.20 ,$486.00 ,$388.80 ,$540.00 ,$340.20 ,$340.20 ,$340.20 ,$104.65 ,$259.20 ,$486.00 ST. JOHN'S HOSPITAL,92100004,93888,HC DOPPLER TRANSCRANIAL LTD,921,1 ,$745.00 ,$484.25 ,$104.65 ,$745.00 ,$261.63 ,$342.70 ,$403.79 ,$104.65 ,$208.60 ,$257.03 ,$104.65 ,$286.08 ,$104.65 ,$284.59 ,$246.16 ,$104.65 ,$284.59 ,$198.84 ,$493.16 ,$379.95 ,$261.63 ,$104.65 ,$521.50 ,$104.65 ,$372.50 ,$106.75 ,$558.75 ,$376.23 ,$338.98 ,$376.23 ,$104.65 ,$376.23 ,$469.35 ,$469.35 ,$528.95 ,$745.00 ,$633.25 ,$261.63 ,$596.00 ,$275.65 ,$596.00 ,$104.65 ,$104.65 ,$745.00 ,$403.79 ,$104.65 ,$195.94 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$633.25 ,$235.47 ,$490.21 ,$208.60 ,$670.50 ,$536.40 ,$745.00 ,$469.35 ,$469.35 ,$469.35 ,$104.65 ,$357.60 ,$670.50 ST. JOHN'S HOSPITAL,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$677.00 ,$440.05 ,$108.39 ,$677.00 ,$270.98 ,$311.42 ,$366.93 ,$108.39 ,$189.56 ,$233.57 ,$108.39 ,$259.97 ,$108.39 ,$258.61 ,$142.78 ,$108.39 ,$258.61 ,$205.94 ,$252.51 ,$345.27 ,$270.97 ,$108.39 ,$473.90 ,$108.39 ,$338.50 ,$110.56 ,$507.75 ,$341.89 ,$308.04 ,$341.89 ,$108.39 ,$341.89 ,$426.51 ,$426.51 ,$480.67 ,$677.00 ,$575.45 ,$270.97 ,$541.60 ,$250.49 ,$541.60 ,$108.39 ,$108.39 ,$677.00 ,$366.93 ,$108.39 ,$178.05 , N/A , N/A ,$148.68 ,$141.92 ,$113.81 ,$575.45 ,$243.87 ,$445.47 ,$189.56 ,$609.30 ,$487.44 ,$677.00 ,$426.51 ,$426.51 ,$426.51 ,$108.39 ,$324.96 ,$609.30 ST. JOHN'S HOSPITAL,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$509.00 ,$330.85 ,$54.19 ,$509.00 ,$135.48 ,$234.14 ,$275.88 ,$54.19 ,$142.52 ,$175.61 ,$54.19 ,$195.46 ,$54.19 ,$194.44 ,$142.78 ,$54.19 ,$194.44 ,$102.97 ,$252.51 ,$259.59 ,$135.49 ,$54.19 ,$356.30 ,$54.19 ,$254.50 ,$55.28 ,$381.75 ,$257.05 ,$231.60 ,$257.05 ,$54.19 ,$257.05 ,$320.67 ,$320.67 ,$361.39 ,$509.00 ,$432.65 ,$135.49 ,$407.20 ,$188.33 ,$407.20 ,$54.19 ,$54.19 ,$509.00 ,$275.88 ,$54.19 ,$133.87 , N/A , N/A ,$74.34 ,$70.96 ,$56.90 ,$432.65 ,$121.94 ,$334.92 ,$142.52 ,$458.10 ,$366.48 ,$509.00 ,$320.67 ,$320.67 ,$320.67 ,$54.19 ,$244.32 ,$458.10 ST. JOHN'S HOSPITAL,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,"$1,547.00 ","$1,005.55 ",$134.21 ,"$1,547.00 ",$335.53 ,$711.62 ,$838.47 ,$134.21 ,$433.16 ,$533.72 ,$134.21 ,$594.05 ,$134.21 ,$590.95 ,$216.33 ,$134.21 ,$590.95 ,$254.99 ,$384.24 ,$788.97 ,$335.51 ,$134.21 ,"$1,082.90 ",$134.21 ,$773.50 ,$136.89 ,"$1,160.25 ",$781.24 ,$703.89 ,$781.24 ,$134.21 ,$781.24 ,$974.61 ,$974.61 ,"$1,098.37 ","$1,547.00 ","$1,314.95 ",$335.51 ,"$1,237.60 ",$572.39 ,"$1,237.60 ",$134.21 ,$134.21 ,"$1,547.00 ",$838.47 ,$134.21 ,$406.86 , N/A , N/A ,$148.68 ,$141.92 ,$140.92 ,"$1,314.95 ",$301.96 ,"$1,017.93 ",$433.16 ,"$1,392.30 ","$1,113.84 ","$1,547.00 ",$974.61 ,$974.61 ,$974.61 ,$134.21 ,$742.56 ,"$1,392.30 " ST. JOHN'S HOSPITAL,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,"$1,547.00 ","$1,005.55 ",$134.21 ,"$1,547.00 ",$335.53 ,$711.62 ,$838.47 ,$134.21 ,$433.16 ,$533.72 ,$134.21 ,$594.05 ,$134.21 ,$590.95 ,$216.33 ,$134.21 ,$590.95 ,$254.99 ,$384.24 ,$788.97 ,$335.51 ,$134.21 ,"$1,082.90 ",$134.21 ,$773.50 ,$136.89 ,"$1,160.25 ",$781.24 ,$703.89 ,$781.24 ,$134.21 ,$781.24 ,$974.61 ,$974.61 ,"$1,098.37 ","$1,547.00 ","$1,314.95 ",$335.51 ,"$1,237.60 ",$572.39 ,"$1,237.60 ",$134.21 ,$134.21 ,"$1,547.00 ",$838.47 ,$134.21 ,$406.86 , N/A , N/A ,$148.68 ,$141.92 ,$140.92 ,"$1,314.95 ",$301.96 ,"$1,017.93 ",$433.16 ,"$1,392.30 ","$1,113.84 ","$1,547.00 ",$974.61 ,$974.61 ,$974.61 ,$134.21 ,$742.56 ,"$1,392.30 " ST. JOHN'S HOSPITAL,92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,"$1,547.00 ","$1,005.55 ",$141.92 ,"$1,547.00 ",$636.00 ,$711.62 ,$838.47 ,$254.40 ,$433.16 ,$533.72 ,$254.40 ,$594.05 ,$254.40 ,$590.95 ,$272.53 ,$254.40 ,$590.95 ,$483.35 ,$486.06 ,$788.97 ,$635.99 ,$254.40 ,"$1,082.90 ",$254.40 ,$773.50 ,$259.48 ,"$1,160.25 ",$781.24 ,$703.89 ,$781.24 ,$254.40 ,$781.24 ,$974.61 ,$974.61 ,"$1,098.37 ","$1,547.00 ","$1,314.95 ",$635.99 ,"$1,237.60 ",$572.39 ,"$1,237.60 ",$254.40 ,$254.40 ,"$1,547.00 ",$838.47 ,$254.40 ,$406.86 , N/A , N/A ,$148.68 ,$141.92 ,$267.12 ,"$1,314.95 ",$572.39 ,"$1,017.93 ",$433.16 ,"$1,392.30 ","$1,113.84 ","$1,547.00 ",$974.61 ,$974.61 ,$974.61 ,$254.40 ,$742.56 ,"$1,392.30 " ST. JOHN'S HOSPITAL,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$2,197.00 ","$1,428.05 ",$200.34 ,"$2,197.00 ",$552.95 ,"$1,010.62 ","$1,190.77 ",$221.18 ,$615.16 ,$757.97 ,$221.18 ,$843.65 ,$221.18 ,$839.25 ,$420.79 ,$221.18 ,$839.25 ,$420.25 ,$753.11 ,"$1,120.47 ",$552.96 ,$221.18 ,"$1,537.90 ",$221.18 ,"$1,098.50 ",$225.61 ,"$1,647.75 ","$1,109.49 ",$999.64 ,"$1,109.49 ",$221.18 ,"$1,109.49 ","$1,384.11 ","$1,384.11 ","$1,559.87 ","$2,197.00 ","$1,867.45 ",$552.96 ,"$1,757.60 ",$812.89 ,"$1,757.60 ",$221.18 ,$221.18 ,"$2,197.00 ","$1,190.77 ",$221.18 ,$577.81 , N/A , N/A ,$209.88 ,$200.34 ,$232.24 ,"$1,867.45 ",$497.66 ,"$1,445.63 ",$615.16 ,"$1,977.30 ","$1,581.84 ","$2,197.00 ","$1,384.11 ","$1,384.11 ","$1,384.11 ",$221.18 ,"$1,054.56 ","$1,977.30 " ST. JOHN'S HOSPITAL,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,610.00 ","$1,046.50 ",$104.65 ,"$1,610.00 ",$261.63 ,$740.60 ,$872.62 ,$104.65 ,$450.80 ,$555.45 ,$104.65 ,$618.24 ,$104.65 ,$615.02 ,$245.12 ,$104.65 ,$615.02 ,$198.84 ,$439.89 ,$821.10 ,$261.63 ,$104.65 ,"$1,127.00 ",$104.65 ,$805.00 ,$106.75 ,"$1,207.50 ",$813.05 ,$732.55 ,$813.05 ,$104.65 ,$813.05 ,"$1,014.30 ","$1,014.30 ","$1,143.10 ","$1,610.00 ","$1,368.50 ",$261.63 ,"$1,288.00 ",$595.70 ,"$1,288.00 ",$104.65 ,$104.65 ,"$1,610.00 ",$872.62 ,$104.65 ,$423.43 , N/A , N/A ,$209.88 ,$200.34 ,$109.88 ,"$1,368.50 ",$235.47 ,"$1,059.38 ",$450.80 ,"$1,449.00 ","$1,159.20 ","$1,610.00 ","$1,014.30 ","$1,014.30 ","$1,014.30 ",$104.65 ,$772.80 ,"$1,449.00 " ST. JOHN'S HOSPITAL,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,903.00 ","$1,236.95 ",$152.21 ,"$1,903.00 ",$552.95 ,$875.38 ,"$1,031.43 ",$221.18 ,$532.84 ,$656.54 ,$221.18 ,$730.75 ,$221.18 ,$726.95 ,$321.88 ,$221.18 ,$726.95 ,$420.25 ,$582.66 ,$970.53 ,$552.96 ,$221.18 ,"$1,332.10 ",$221.18 ,$951.50 ,$225.61 ,"$1,427.25 ",$961.02 ,$865.87 ,$961.02 ,$221.18 ,$961.02 ,"$1,198.89 ","$1,198.89 ","$1,351.13 ","$1,903.00 ","$1,617.55 ",$552.96 ,"$1,522.40 ",$704.11 ,"$1,522.40 ",$221.18 ,$221.18 ,"$1,903.00 ","$1,031.43 ",$221.18 ,$500.49 , N/A , N/A ,$159.46 ,$152.21 ,$232.24 ,"$1,617.55 ",$497.66 ,"$1,252.17 ",$532.84 ,"$1,712.70 ","$1,370.16 ","$1,903.00 ","$1,198.89 ","$1,198.89 ","$1,198.89 ",$221.18 ,$913.44 ,"$1,712.70 " ST. JOHN'S HOSPITAL,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,720.00 ","$1,118.00 ",$104.65 ,"$1,720.00 ",$261.63 ,$791.20 ,$932.24 ,$104.65 ,$481.60 ,$593.40 ,$104.65 ,$660.48 ,$104.65 ,$657.04 ,$201.03 ,$104.65 ,$657.04 ,$198.84 ,$365.30 ,$877.20 ,$261.63 ,$104.65 ,"$1,204.00 ",$104.65 ,$860.00 ,$106.75 ,"$1,290.00 ",$868.60 ,$782.60 ,$868.60 ,$104.65 ,$868.60 ,"$1,083.60 ","$1,083.60 ","$1,221.20 ","$1,720.00 ","$1,462.00 ",$261.63 ,"$1,376.00 ",$636.40 ,"$1,376.00 ",$104.65 ,$104.65 ,"$1,720.00 ",$932.24 ,$104.65 ,$452.36 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$1,462.00 ",$235.47 ,"$1,131.76 ",$481.60 ,"$1,548.00 ","$1,238.40 ","$1,720.00 ","$1,083.60 ","$1,083.60 ","$1,083.60 ",$104.65 ,$825.60 ,"$1,548.00 " ST. JOHN'S HOSPITAL,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$2,047.00 ","$1,330.55 ",$200.34 ,"$2,047.00 ",$552.95 ,$941.62 ,"$1,109.47 ",$221.18 ,$573.16 ,$706.22 ,$221.18 ,$786.05 ,$221.18 ,$781.95 ,$311.60 ,$221.18 ,$781.95 ,$420.25 ,$565.37 ,"$1,043.97 ",$552.96 ,$221.18 ,"$1,432.90 ",$221.18 ,"$1,023.50 ",$225.61 ,"$1,535.25 ","$1,033.74 ",$931.39 ,"$1,033.74 ",$221.18 ,"$1,033.74 ","$1,289.61 ","$1,289.61 ","$1,453.37 ","$2,047.00 ","$1,739.95 ",$552.96 ,"$1,637.60 ",$757.39 ,"$1,637.60 ",$221.18 ,$221.18 ,"$2,047.00 ","$1,109.47 ",$221.18 ,$538.36 , N/A , N/A ,$209.88 ,$200.34 ,$232.24 ,"$1,739.95 ",$497.66 ,"$1,346.93 ",$573.16 ,"$1,842.30 ","$1,473.84 ","$2,047.00 ","$1,289.61 ","$1,289.61 ","$1,289.61 ",$221.18 ,$982.56 ,"$1,842.30 " ST. JOHN'S HOSPITAL,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,"$1,251.00 ",$813.15 ,$104.65 ,"$1,251.00 ",$261.63 ,$575.46 ,$678.04 ,$104.65 ,$350.28 ,$431.60 ,$104.65 ,$480.38 ,$104.65 ,$477.88 ,$190.75 ,$104.65 ,$477.88 ,$198.84 ,$353.14 ,$638.01 ,$261.63 ,$104.65 ,$875.70 ,$104.65 ,$625.50 ,$106.75 ,$938.25 ,$631.76 ,$569.21 ,$631.76 ,$104.65 ,$631.76 ,$788.13 ,$788.13 ,$888.21 ,"$1,251.00 ","$1,063.35 ",$261.63 ,"$1,000.80 ",$462.87 ,"$1,000.80 ",$104.65 ,$104.65 ,"$1,251.00 ",$678.04 ,$104.65 ,$329.01 , N/A , N/A ,$209.88 ,$200.34 ,$109.88 ,"$1,063.35 ",$235.47 ,$823.16 ,$350.28 ,"$1,125.90 ",$900.72 ,"$1,251.00 ",$788.13 ,$788.13 ,$788.13 ,$104.65 ,$600.48 ,"$1,125.90 " ST. JOHN'S HOSPITAL,92100046,93990,HC DUPLEX HEMODIALYSIS ACCESS,921,1 ,$378.00 ,$245.70 ,$99.41 ,$378.00 ,$261.63 ,$173.88 ,$204.88 ,$104.65 ,$105.84 ,$130.41 ,$104.65 ,$145.15 ,$104.65 ,$144.40 ,$245.71 ,$104.65 ,$144.40 ,$198.84 ,$378.00 ,$192.78 ,$261.63 ,$104.65 ,$264.60 ,$104.65 ,$189.00 ,$106.75 ,$283.50 ,$190.89 ,$171.99 ,$190.89 ,$104.65 ,$190.89 ,$238.14 ,$238.14 ,$268.38 ,$378.00 ,$321.30 ,$261.63 ,$302.40 ,$139.86 ,$302.40 ,$104.65 ,$104.65 ,$378.00 ,$204.88 ,$104.65 ,$99.41 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,$321.30 ,$235.47 ,$248.72 ,$105.84 ,$340.20 ,$272.16 ,$378.00 ,$238.14 ,$238.14 ,$238.14 ,$104.65 ,$181.44 ,$340.20 ST. JOHN'S HOSPITAL,92100047,93980,HC DUPLEX PENILE VESSELS COMPLETE,921,1 ,"$2,441.00 ","$1,586.65 ",$104.65 ,"$2,441.00 ",$261.63 ,"$1,122.86 ","$1,323.02 ",$104.65 ,$683.48 ,$697.91 ,$104.65 ,$751.99 ,$104.65 ,$932.46 ,$116.92 ,$104.65 ,$932.46 ,$198.84 ,$209.88 ,"$1,244.91 ",$261.63 ,$104.65 ,"$1,708.70 ",$104.65 ,"$1,220.50 ",$106.75 ,"$1,830.75 ","$1,232.71 ","$1,110.66 ","$1,232.71 ",$104.65 ,"$1,232.71 ","$1,537.83 ","$1,537.83 ","$1,733.11 ","$2,441.00 ","$2,074.85 ",$261.63 ,"$1,952.80 ",$903.17 ,"$1,952.80 ",$104.65 ,$104.65 ,"$2,441.00 ","$1,323.02 ",$104.65 ,$641.98 , N/A , N/A ,$159.46 ,$152.21 ,$109.88 ,"$2,074.85 ",$235.47 ,"$1,606.18 ",$683.48 ,"$2,196.90 ","$1,757.52 ","$2,441.00 ","$1,537.83 ","$1,537.83 ","$1,537.83 ",$104.65 ,"$1,171.68 ","$2,196.90 " ST. JOHN'S HOSPITAL,92100048,93886,HC DOPPLER TRANSCRANIAL COMPLETE,921,1 ,"$1,438.00 ",$934.70 ,$152.21 ,"$1,438.00 ",$552.95 ,$661.48 ,$779.40 ,$221.18 ,$402.64 ,$496.11 ,$221.18 ,$552.19 ,$221.18 ,$549.32 ,$417.80 ,$221.18 ,$549.32 ,$420.25 ,$804.49 ,$733.38 ,$552.96 ,$221.18 ,"$1,006.60 ",$221.18 ,$719.00 ,$225.61 ,"$1,078.50 ",$726.19 ,$654.29 ,$726.19 ,$221.18 ,$726.19 ,$905.94 ,$905.94 ,"$1,020.98 ","$1,438.00 ","$1,222.30 ",$552.96 ,"$1,150.40 ",$532.06 ,"$1,150.40 ",$221.18 ,$221.18 ,"$1,438.00 ",$779.40 ,$221.18 ,$378.19 , N/A , N/A ,$159.46 ,$152.21 ,$232.24 ,"$1,222.30 ",$497.66 ,$946.20 ,$402.64 ,"$1,294.20 ","$1,035.36 ","$1,438.00 ",$905.94 ,$905.94 ,$905.94 ,$221.18 ,$690.24 ,"$1,294.20 " ST. JOHN'S HOSPITAL,92100050,93293,HC ANALYSIS PACEMAKER TELEPHONIC,921,1 ,$287.00 ,$186.55 ,$35.79 ,$287.00 ,$89.48 ,$132.02 ,$155.55 ,$35.79 ,$80.36 ,$99.02 ,$35.79 ,$110.21 ,$35.79 ,$109.63 ,$72.10 ,$35.79 ,$109.63 ,$68.01 ,$150.96 ,$146.37 ,$89.48 ,$35.79 ,$200.90 ,$35.79 ,$143.50 ,$36.51 ,$215.25 ,$144.94 ,$130.59 ,$144.94 ,$35.79 ,$144.94 ,$180.81 ,$180.81 ,$203.77 ,$287.00 ,$243.95 ,$89.48 ,$229.60 ,$106.19 ,$229.60 ,$35.79 ,$35.79 ,$287.00 ,$155.55 ,$35.79 ,$75.48 , N/A , N/A ,$44.33 ,$42.32 ,$37.58 ,$243.95 ,$80.54 ,$188.85 ,$80.36 ,$258.30 ,$206.64 ,$287.00 ,$180.81 ,$180.81 ,$180.81 ,$35.79 ,$137.76 ,$258.30 ST. JOHN'S HOSPITAL,92100051,93701,HC BIOIMPEDANCE DERIVED PHYSIO CV ANALYSIS,921,1 ,$346.00 ,$224.90 ,$2.35 ,$346.00 ,$270.98 ,$159.16 ,$187.53 ,$108.39 ,$96.88 ,$119.37 ,$108.39 ,$132.86 ,$108.39 ,$132.17 ,$48.83 ,$108.39 ,$132.17 ,$205.94 ,$182.00 ,$176.46 ,$270.97 ,$108.39 ,$242.20 ,$108.39 ,$173.00 ,$110.56 ,$259.50 ,$174.73 ,$157.43 ,$174.73 ,$108.39 ,$174.73 ,$217.98 ,$217.98 ,$245.66 ,$346.00 ,$294.10 ,$270.97 ,$276.80 ,$128.02 ,$276.80 ,$108.39 ,$108.39 ,$346.00 ,$187.53 ,$108.39 ,$91.00 , N/A , N/A ,$2.46 ,$2.35 ,$113.81 ,$294.10 ,$243.87 ,$227.67 ,$96.88 ,$311.40 ,$249.12 ,$346.00 ,$217.98 ,$217.98 ,$217.98 ,$108.39 ,$166.08 ,$311.40 ST. JOHN'S HOSPITAL,92200000,95860,HC EMG ONE EXTREMITY,922,1 ,$701.00 ,$455.65 ,$100.58 ,$701.00 ,$270.98 ,$322.46 ,$379.94 ,$108.39 ,$196.28 ,$241.85 ,$108.39 ,$269.18 ,$108.39 ,$267.78 ,$100.58 ,$108.39 ,$267.78 ,$205.94 ,$368.73 ,$357.51 ,$270.97 ,$108.39 ,$490.70 ,$108.39 ,$350.50 ,$110.56 ,$525.75 ,$354.01 ,$318.96 ,$354.01 ,$108.39 ,$354.01 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 ,$270.97 ,$560.80 ,$259.37 ,$560.80 ,$108.39 ,$108.39 ,$701.00 ,$379.94 ,$108.39 ,$184.36 , N/A , N/A ,$344.22 ,$328.58 ,$113.81 ,$595.85 ,$243.87 ,$461.26 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$441.63 ,$441.63 ,$108.39 ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,92200001,95861,HC EMG TWO EXTREMITIES,922,1 ,$901.00 ,$585.65 ,$108.39 ,$901.00 ,$270.98 ,$414.46 ,$488.34 ,$108.39 ,$252.28 ,$310.85 ,$108.39 ,$345.98 ,$108.39 ,$344.18 ,$130.30 ,$108.39 ,$344.18 ,$205.94 ,$473.93 ,$459.51 ,$270.97 ,$108.39 ,$630.70 ,$108.39 ,$450.50 ,$110.56 ,$675.75 ,$455.01 ,$409.96 ,$455.01 ,$108.39 ,$455.01 ,$567.63 ,$567.63 ,$639.71 ,$901.00 ,$765.85 ,$270.97 ,$720.80 ,$333.37 ,$720.80 ,$108.39 ,$108.39 ,$901.00 ,$488.34 ,$108.39 ,$236.96 , N/A , N/A ,$344.22 ,$328.58 ,$113.81 ,$765.85 ,$243.87 ,$592.86 ,$252.28 ,$810.90 ,$648.72 ,$901.00 ,$567.63 ,$567.63 ,$567.63 ,$108.39 ,$432.48 ,$810.90 ST. JOHN'S HOSPITAL,92200002,95863,HC EMG THREE EXTREMITIES,922,1 ,$876.00 ,$569.40 ,$134.21 ,$876.00 ,$335.53 ,$402.96 ,$474.79 ,$134.21 ,$245.28 ,$302.22 ,$134.21 ,$336.38 ,$134.21 ,$334.63 ,$169.23 ,$134.21 ,$334.63 ,$254.99 ,$460.78 ,$446.76 ,$335.51 ,$134.21 ,$613.20 ,$134.21 ,$438.00 ,$136.89 ,$657.00 ,$442.38 ,$398.58 ,$442.38 ,$134.21 ,$442.38 ,$551.88 ,$551.88 ,$621.96 ,$876.00 ,$744.60 ,$335.51 ,$700.80 ,$324.12 ,$700.80 ,$134.21 ,$134.21 ,$876.00 ,$474.79 ,$134.21 ,$230.39 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$744.60 ,$301.96 ,$576.41 ,$245.28 ,$788.40 ,$630.72 ,$876.00 ,$551.88 ,$551.88 ,$551.88 ,$134.21 ,$420.48 ,$788.40 ST. JOHN'S HOSPITAL,92200003,95867,HC EMG CRANIAL NERVE UNI,922,1 ,$745.00 ,$484.25 ,$91.87 ,$745.00 ,$636.00 ,$342.70 ,$403.79 ,$254.40 ,$208.60 ,$257.03 ,$254.40 ,$286.08 ,$254.40 ,$284.59 ,$91.87 ,$254.40 ,$284.59 ,$483.35 ,$391.87 ,$379.95 ,$635.99 ,$254.40 ,$521.50 ,$254.40 ,$372.50 ,$259.48 ,$558.75 ,$376.23 ,$338.98 ,$376.23 ,$254.40 ,$376.23 ,$469.35 ,$469.35 ,$528.95 ,$745.00 ,$633.25 ,$635.99 ,$596.00 ,$275.65 ,$596.00 ,$254.40 ,$254.40 ,$745.00 ,$403.79 ,$254.40 ,$195.94 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,$633.25 ,$572.39 ,$490.21 ,$208.60 ,$670.50 ,$536.40 ,$745.00 ,$469.35 ,$469.35 ,$469.35 ,$254.40 ,$357.60 ,$670.50 ST. JOHN'S HOSPITAL,92200004,95872,HC EMG SINGLE FIBER DENSITY,922,1 ,$685.00 ,$445.25 ,$63.18 ,$685.00 ,$335.53 ,$315.10 ,$371.27 ,$134.21 ,$191.80 ,$236.33 ,$134.21 ,$263.04 ,$134.21 ,$261.67 ,$63.18 ,$134.21 ,$261.67 ,$254.99 ,$360.31 ,$349.35 ,$335.51 ,$134.21 ,$479.50 ,$134.21 ,$342.50 ,$136.89 ,$513.75 ,$345.93 ,$311.68 ,$345.93 ,$134.21 ,$345.93 ,$431.55 ,$431.55 ,$486.35 ,$685.00 ,$582.25 ,$335.51 ,$548.00 ,$253.45 ,$548.00 ,$134.21 ,$134.21 ,$685.00 ,$371.27 ,$134.21 ,$180.16 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$582.25 ,$301.96 ,$450.73 ,$191.80 ,$616.50 ,$493.20 ,$685.00 ,$431.55 ,$431.55 ,$431.55 ,$134.21 ,$328.80 ,$616.50 ST. JOHN'S HOSPITAL,92200008,95925,HC SSEP UPPER LIMBS,922,1 ,"$1,776.00 ","$1,154.40 ",$150.95 ,"$1,776.00 ",$636.00 ,$816.96 ,$962.59 ,$254.40 ,$497.28 ,$612.72 ,$254.40 ,$681.98 ,$254.40 ,$678.43 ,$150.95 ,$254.40 ,$678.43 ,$483.35 ,$934.18 ,$905.76 ,$635.99 ,$254.40 ,"$1,243.20 ",$254.40 ,$888.00 ,$259.48 ,"$1,332.00 ",$896.88 ,$808.08 ,$896.88 ,$254.40 ,$896.88 ,"$1,118.88 ","$1,118.88 ","$1,260.96 ","$1,776.00 ","$1,509.60 ",$635.99 ,"$1,420.80 ",$657.12 ,"$1,420.80 ",$254.40 ,$254.40 ,"$1,776.00 ",$962.59 ,$254.40 ,$467.09 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$1,509.60 ",$572.39 ,"$1,168.61 ",$497.28 ,"$1,598.40 ","$1,278.72 ","$1,776.00 ","$1,118.88 ","$1,118.88 ","$1,118.88 ",$254.40 ,$852.48 ,"$1,598.40 " ST. JOHN'S HOSPITAL,92200009,95926,HC SSEP LOWER LIMBS,922,1 ,"$1,684.00 ","$1,094.60 ",$145.32 ,"$1,684.00 ",$636.00 ,$774.64 ,$912.73 ,$254.40 ,$471.52 ,$580.98 ,$254.40 ,$646.66 ,$254.40 ,$643.29 ,$145.32 ,$254.40 ,$643.29 ,$483.35 ,$885.78 ,$858.84 ,$635.99 ,$254.40 ,"$1,178.80 ",$254.40 ,$842.00 ,$259.48 ,"$1,263.00 ",$850.42 ,$766.22 ,$850.42 ,$254.40 ,$850.42 ,"$1,060.92 ","$1,060.92 ","$1,195.64 ","$1,684.00 ","$1,431.40 ",$635.99 ,"$1,347.20 ",$623.08 ,"$1,347.20 ",$254.40 ,$254.40 ,"$1,684.00 ",$912.73 ,$254.40 ,$442.89 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$1,431.40 ",$572.39 ,"$1,108.07 ",$471.52 ,"$1,515.60 ","$1,212.48 ","$1,684.00 ","$1,060.92 ","$1,060.92 ","$1,060.92 ",$254.40 ,$808.32 ,"$1,515.60 " ST. JOHN'S HOSPITAL,92200010,95930,HC EVOKED POTENTIAL VISUAL,922,1 ,"$1,686.00 ","$1,095.90 ",$71.89 ,"$1,686.00 ",$636.00 ,$775.56 ,$913.81 ,$254.40 ,$472.08 ,$442.26 ,$254.40 ,$476.53 ,$254.40 ,$644.05 ,$71.89 ,$254.40 ,$644.05 ,$483.35 ,$886.84 ,$859.86 ,$635.99 ,$254.40 ,"$1,180.20 ",$254.40 ,$843.00 ,$259.48 ,"$1,264.50 ",$851.43 ,$767.13 ,$851.43 ,$254.40 ,$851.43 ,"$1,062.18 ","$1,062.18 ","$1,197.06 ","$1,686.00 ","$1,433.10 ",$635.99 ,"$1,348.80 ",$623.82 ,"$1,348.80 ",$254.40 ,$254.40 ,"$1,686.00 ",$913.81 ,$254.40 ,$443.42 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$1,433.10 ",$572.39 ,"$1,109.39 ",$472.08 ,"$1,517.40 ","$1,213.92 ","$1,686.00 ","$1,062.18 ","$1,062.18 ","$1,062.18 ",$254.40 ,$809.28 ,"$1,517.40 " ST. JOHN'S HOSPITAL,92200011,95886,HC EMG ADD ON >5 MUSCLES,922,1 ,$236.00 ,$153.40 ,$62.07 ,$328.58 , N/A ,$108.56 ,$127.91 , N/A ,$66.08 ,$75.52 , N/A ,$86.85 , N/A ,$90.15 ,$69.68 , N/A ,$90.15 , N/A ,$124.14 ,$120.36 , N/A , N/A ,$165.20 , N/A ,$118.00 , N/A ,$177.00 ,$119.18 ,$107.38 ,$119.18 , N/A ,$119.18 ,$148.68 ,$148.68 ,$167.56 ,$236.00 ,$200.60 , N/A ,$188.80 ,$87.32 ,$188.80 , N/A , N/A ,$236.00 ,$127.91 , N/A ,$62.07 , N/A , N/A ,$236.00 ,$328.58 , N/A ,$200.60 , N/A ,$155.29 ,$66.08 ,$212.40 ,$169.92 ,$236.00 ,$148.68 ,$148.68 ,$148.68 , N/A ,$113.28 ,$212.40 ST. JOHN'S HOSPITAL,92200012,95864,HC EMG 4 EXTREMITIES,922,1 ,$946.00 ,$614.90 ,$134.21 ,$946.00 ,$335.53 ,$435.16 ,$512.73 ,$134.21 ,$264.88 ,$326.37 ,$134.21 ,$363.26 ,$134.21 ,$361.37 ,$206.12 ,$134.21 ,$361.37 ,$254.99 ,$497.60 ,$482.46 ,$335.51 ,$134.21 ,$662.20 ,$134.21 ,$473.00 ,$136.89 ,$709.50 ,$477.73 ,$430.43 ,$477.73 ,$134.21 ,$477.73 ,$595.98 ,$595.98 ,$671.66 ,$946.00 ,$804.10 ,$335.51 ,$756.80 ,$350.02 ,$756.80 ,$134.21 ,$134.21 ,$946.00 ,$512.73 ,$134.21 ,$248.80 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$804.10 ,$301.96 ,$622.47 ,$264.88 ,$851.40 ,$681.12 ,$946.00 ,$595.98 ,$595.98 ,$595.98 ,$134.21 ,$454.08 ,$851.40 ST. JOHN'S HOSPITAL,92200015,95938,HC SSEP UPPER AND LOWER,922,1 ,"$3,268.00 ","$2,124.20 ",$328.58 ,"$3,268.00 ","$1,173.05 ","$1,503.28 ","$1,771.26 ",$469.22 ,$915.04 ,"$1,045.76 ",$469.22 ,"$1,202.62 ",$469.22 ,"$1,248.38 ",$434.44 ,$469.22 ,"$1,248.38 ",$891.51 ,"$1,718.97 ","$1,666.68 ","$1,173.04 ",$469.22 ,"$2,287.60 ",$469.22 ,"$1,634.00 ",$478.60 ,"$2,451.00 ","$1,650.34 ","$1,486.94 ","$1,650.34 ",$469.22 ,"$1,650.34 ","$2,058.84 ","$2,058.84 ","$2,320.28 ","$3,268.00 ","$2,777.80 ","$1,173.04 ","$2,614.40 ","$1,209.16 ","$2,614.40 ",$469.22 ,$469.22 ,"$3,268.00 ","$1,771.26 ",$469.22 ,$859.48 , N/A , N/A ,$344.22 ,$328.58 ,$492.68 ,"$2,777.80 ","$1,055.74 ","$2,150.34 ",$915.04 ,"$2,941.20 ","$2,352.96 ","$3,268.00 ","$2,058.84 ","$2,058.84 ","$2,058.84 ",$469.22 ,"$1,568.64 ","$2,941.20 " ST. JOHN'S HOSPITAL,92200016,95885,HC EMG ADD ON <5 MUSCLES,922,1 ,$178.00 ,$115.70 ,$46.81 ,$328.58 , N/A ,$81.88 ,$96.48 , N/A ,$49.84 ,$56.96 , N/A ,$65.50 , N/A ,$68.00 ,$60.97 , N/A ,$68.00 , N/A ,$93.63 ,$90.78 , N/A , N/A ,$124.60 , N/A ,$89.00 , N/A ,$133.50 ,$89.89 ,$80.99 ,$89.89 , N/A ,$89.89 ,$112.14 ,$112.14 ,$126.38 ,$178.00 ,$151.30 , N/A ,$142.40 ,$65.86 ,$142.40 , N/A , N/A ,$178.00 ,$96.48 , N/A ,$46.81 , N/A , N/A ,$178.00 ,$328.58 , N/A ,$151.30 , N/A ,$117.12 ,$49.84 ,$160.20 ,$128.16 ,$178.00 ,$112.14 ,$112.14 ,$112.14 , N/A ,$85.44 ,$160.20 ST. JOHN'S HOSPITAL,92200021,95907,HC NVR CNDJ TST 1-2 STUDIES,922,1 ,"$1,233.00 ",$801.45 ,$61.13 ,"$1,233.00 ",$335.53 ,$567.18 ,$668.29 ,$134.21 ,$345.24 ,$394.56 ,$134.21 ,$453.74 ,$134.21 ,$471.01 ,$61.13 ,$134.21 ,$471.01 ,$254.99 ,$648.56 ,$628.83 ,$335.51 ,$134.21 ,$863.10 ,$134.21 ,$616.50 ,$136.89 ,$924.75 ,$622.67 ,$561.02 ,$622.67 ,$134.21 ,$622.67 ,$776.79 ,$776.79 ,$875.43 ,"$1,233.00 ","$1,048.05 ",$335.51 ,$986.40 ,$456.21 ,$986.40 ,$134.21 ,$134.21 ,"$1,233.00 ",$668.29 ,$134.21 ,$324.28 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,"$1,048.05 ",$301.96 ,$811.31 ,$345.24 ,"$1,109.70 ",$887.76 ,"$1,233.00 ",$776.79 ,$776.79 ,$776.79 ,$134.21 ,$591.84 ,"$1,109.70 " ST. JOHN'S HOSPITAL,92200022,95908,HC NVR CNDJ TST 3-4 STUDIES,922,1 ,"$2,464.00 ","$1,601.60 ",$81.62 ,"$2,464.00 ",$636.00 ,"$1,133.44 ","$1,335.49 ",$254.40 ,$689.92 ,$788.48 ,$254.40 ,$906.75 ,$254.40 ,$941.25 ,$81.62 ,$254.40 ,$941.25 ,$483.35 ,"$1,296.06 ","$1,256.64 ",$635.99 ,$254.40 ,"$1,724.80 ",$254.40 ,"$1,232.00 ",$259.48 ,"$1,848.00 ","$1,244.32 ","$1,121.12 ","$1,244.32 ",$254.40 ,"$1,244.32 ","$1,552.32 ","$1,552.32 ","$1,749.44 ","$2,464.00 ","$2,094.40 ",$635.99 ,"$1,971.20 ",$911.68 ,"$1,971.20 ",$254.40 ,$254.40 ,"$2,464.00 ","$1,335.49 ",$254.40 ,$648.03 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$2,094.40 ",$572.39 ,"$1,621.31 ",$689.92 ,"$2,217.60 ","$1,774.08 ","$2,464.00 ","$1,552.32 ","$1,552.32 ","$1,552.32 ",$254.40 ,"$1,182.72 ","$2,217.60 " ST. JOHN'S HOSPITAL,92200023,95909,HC NVR CNDJ TST 5-6 STUDIES,922,1 ,"$3,696.00 ","$2,402.40 ",$97.51 ,"$3,696.00 ",$636.00 ,"$1,700.16 ","$2,003.23 ",$254.40 ,"$1,034.88 ","$1,182.72 ",$254.40 ,"$1,360.13 ",$254.40 ,"$1,411.87 ",$97.51 ,$254.40 ,"$1,411.87 ",$483.35 ,"$1,944.10 ","$1,884.96 ",$635.99 ,$254.40 ,"$2,587.20 ",$254.40 ,"$1,848.00 ",$259.48 ,"$2,772.00 ","$1,866.48 ","$1,681.68 ","$1,866.48 ",$254.40 ,"$1,866.48 ","$2,328.48 ","$2,328.48 ","$2,624.16 ","$3,696.00 ","$3,141.60 ",$635.99 ,"$2,956.80 ","$1,367.52 ","$2,956.80 ",$254.40 ,$254.40 ,"$3,696.00 ","$2,003.23 ",$254.40 ,$972.05 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$3,141.60 ",$572.39 ,"$2,431.97 ","$1,034.88 ","$3,326.40 ","$2,661.12 ","$3,696.00 ","$2,328.48 ","$2,328.48 ","$2,328.48 ",$254.40 ,"$1,774.08 ","$3,326.40 " ST. JOHN'S HOSPITAL,92200024,95910,HC NVR CNDJ TST 7-8 STUDIES,922,1 ,"$4,928.00 ","$3,203.20 ",$125.17 ,"$4,928.00 ",$636.00 ,"$2,266.88 ","$2,670.98 ",$254.40 ,"$1,379.84 ","$1,576.96 ",$254.40 ,"$1,813.50 ",$254.40 ,"$1,882.50 ",$125.17 ,$254.40 ,"$1,882.50 ",$483.35 ,"$2,592.13 ","$2,513.28 ",$635.99 ,$254.40 ,"$3,449.60 ",$254.40 ,"$2,464.00 ",$259.48 ,"$3,696.00 ","$2,488.64 ","$2,242.24 ","$2,488.64 ",$254.40 ,"$2,488.64 ","$3,104.64 ","$3,104.64 ","$3,498.88 ","$4,928.00 ","$4,188.80 ",$635.99 ,"$3,942.40 ","$1,823.36 ","$3,942.40 ",$254.40 ,$254.40 ,"$4,928.00 ","$2,670.98 ",$254.40 ,"$1,296.06 ", N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,"$4,188.80 ",$572.39 ,"$3,242.62 ","$1,379.84 ","$4,435.20 ","$3,548.16 ","$4,928.00 ","$3,104.64 ","$3,104.64 ","$3,104.64 ",$254.40 ,"$2,365.44 ","$4,435.20 " ST. JOHN'S HOSPITAL,92200025,95911,HC NVR CNDJ TST 9-10 STUDIES,922,1 ,"$6,160.00 ","$4,004.00 ",$143.10 ,"$6,160.00 ","$1,173.05 ","$2,833.60 ","$3,338.72 ",$469.22 ,"$1,724.80 ","$1,971.20 ",$469.22 ,"$2,266.88 ",$469.22 ,"$2,353.12 ",$143.10 ,$469.22 ,"$2,353.12 ",$891.51 ,"$3,240.16 ","$3,141.60 ","$1,173.04 ",$469.22 ,"$4,312.00 ",$469.22 ,"$3,080.00 ",$478.60 ,"$4,620.00 ","$3,110.80 ","$2,802.80 ","$3,110.80 ",$469.22 ,"$3,110.80 ","$3,880.80 ","$3,880.80 ","$4,373.60 ","$6,160.00 ","$5,236.00 ","$1,173.04 ","$4,928.00 ","$2,279.20 ","$4,928.00 ",$469.22 ,$469.22 ,"$6,160.00 ","$3,338.72 ",$469.22 ,"$1,620.08 ", N/A , N/A ,$344.22 ,$328.58 ,$492.68 ,"$5,236.00 ","$1,055.74 ","$4,053.28 ","$1,724.80 ","$5,544.00 ","$4,435.20 ","$6,160.00 ","$3,880.80 ","$3,880.80 ","$3,880.80 ",$469.22 ,"$2,956.80 ","$5,544.00 " ST. JOHN'S HOSPITAL,92200026,95912,HC NVR CNDJ TST 11-12 STUDIES,922,1 ,"$7,391.00 ","$4,804.15 ",$147.72 ,"$7,391.00 ","$1,173.05 ","$3,399.86 ","$4,005.92 ",$469.22 ,"$2,069.48 ","$2,365.12 ",$469.22 ,"$2,719.89 ",$469.22 ,"$2,823.36 ",$147.72 ,$469.22 ,"$2,823.36 ",$891.51 ,"$3,887.67 ","$3,769.41 ","$1,173.04 ",$469.22 ,"$5,173.70 ",$469.22 ,"$3,695.50 ",$478.60 ,"$5,543.25 ","$3,732.46 ","$3,362.91 ","$3,732.46 ",$469.22 ,"$3,732.46 ","$4,656.33 ","$4,656.33 ","$5,247.61 ","$7,391.00 ","$6,282.35 ","$1,173.04 ","$5,912.80 ","$2,734.67 ","$5,912.80 ",$469.22 ,$469.22 ,"$7,391.00 ","$4,005.92 ",$469.22 ,"$1,943.83 ", N/A , N/A ,$344.22 ,$328.58 ,$492.68 ,"$6,282.35 ","$1,055.74 ","$4,863.28 ","$2,069.48 ","$6,651.90 ","$5,321.52 ","$7,391.00 ","$4,656.33 ","$4,656.33 ","$4,656.33 ",$469.22 ,"$3,547.68 ","$6,651.90 " ST. JOHN'S HOSPITAL,92200027,95913,HC NVR CNDJ TST 13 AND > STUDIES,922,1 ,"$8,624.00 ","$5,605.60 ",$163.60 ,"$8,624.00 ","$1,173.05 ","$3,967.04 ","$4,674.21 ",$469.22 ,"$2,414.72 ","$2,759.68 ",$469.22 ,"$3,173.63 ",$469.22 ,"$3,294.37 ",$163.60 ,$469.22 ,"$3,294.37 ",$891.51 ,"$4,536.22 ","$4,398.24 ","$1,173.04 ",$469.22 ,"$6,036.80 ",$469.22 ,"$4,312.00 ",$478.60 ,"$6,468.00 ","$4,355.12 ","$3,923.92 ","$4,355.12 ",$469.22 ,"$4,355.12 ","$5,433.12 ","$5,433.12 ","$6,123.04 ","$8,624.00 ","$7,330.40 ","$1,173.04 ","$6,899.20 ","$3,190.88 ","$6,899.20 ",$469.22 ,$469.22 ,"$8,624.00 ","$4,674.21 ",$469.22 ,"$2,268.11 ", N/A , N/A ,$344.22 ,$328.58 ,$492.68 ,"$7,330.40 ","$1,055.74 ","$5,674.59 ","$2,414.72 ","$7,761.60 ","$6,209.28 ","$8,624.00 ","$5,433.12 ","$5,433.12 ","$5,433.12 ",$469.22 ,"$4,139.52 ","$7,761.60 " ST. JOHN'S HOSPITAL,92200028,95868,HC EMG CRANIAL NERVE BILAT,922,1 ,$791.00 ,$514.15 ,$108.78 ,$791.00 ,$636.00 ,$363.86 ,$428.72 ,$254.40 ,$221.48 ,$272.90 ,$254.40 ,$303.74 ,$254.40 ,$302.16 ,$108.78 ,$254.40 ,$302.16 ,$483.35 ,$416.07 ,$403.41 ,$635.99 ,$254.40 ,$553.70 ,$254.40 ,$395.50 ,$259.48 ,$593.25 ,$399.46 ,$359.91 ,$399.46 ,$254.40 ,$399.46 ,$498.33 ,$498.33 ,$561.61 ,$791.00 ,$672.35 ,$635.99 ,$632.80 ,$292.67 ,$632.80 ,$254.40 ,$254.40 ,$791.00 ,$428.72 ,$254.40 ,$208.03 , N/A , N/A ,$344.22 ,$328.58 ,$267.12 ,$672.35 ,$572.39 ,$520.48 ,$221.48 ,$711.90 ,$569.52 ,$791.00 ,$498.33 ,$498.33 ,$498.33 ,$254.40 ,$379.68 ,$711.90 ST. JOHN'S HOSPITAL,92200029,95870,HC EMG NON LIMB,922,1 ,$685.00 ,$445.25 ,$103.14 ,$685.00 ,$270.98 ,$315.10 ,$371.27 ,$108.39 ,$191.80 ,$236.33 ,$108.39 ,$263.04 ,$108.39 ,$261.67 ,$103.14 ,$108.39 ,$261.67 ,$205.94 ,$360.31 ,$349.35 ,$270.97 ,$108.39 ,$479.50 ,$108.39 ,$342.50 ,$110.56 ,$513.75 ,$345.93 ,$311.68 ,$345.93 ,$108.39 ,$345.93 ,$431.55 ,$431.55 ,$486.35 ,$685.00 ,$582.25 ,$270.97 ,$548.00 ,$253.45 ,$548.00 ,$108.39 ,$108.39 ,$685.00 ,$371.27 ,$108.39 ,$180.16 , N/A , N/A ,$344.22 ,$328.58 ,$113.81 ,$582.25 ,$243.87 ,$450.73 ,$191.80 ,$616.50 ,$493.20 ,$685.00 ,$431.55 ,$431.55 ,$431.55 ,$108.39 ,$328.80 ,$616.50 ST. JOHN'S HOSPITAL,92200030,95865,HC EMG LARYNX,922,1 ,$653.00 ,$424.45 ,$95.97 ,$653.00 ,$270.98 ,$300.38 ,$353.93 ,$108.39 ,$182.84 ,$225.29 ,$108.39 ,$250.75 ,$108.39 ,$249.45 ,$95.97 ,$108.39 ,$249.45 ,$205.94 ,$343.48 ,$333.03 ,$270.97 ,$108.39 ,$457.10 ,$108.39 ,$326.50 ,$110.56 ,$489.75 ,$329.77 ,$297.12 ,$329.77 ,$108.39 ,$329.77 ,$411.39 ,$411.39 ,$463.63 ,$653.00 ,$555.05 ,$270.97 ,$522.40 ,$241.61 ,$522.40 ,$108.39 ,$108.39 ,$653.00 ,$353.93 ,$108.39 ,$171.74 , N/A , N/A ,$344.22 ,$328.58 ,$113.81 ,$555.05 ,$243.87 ,$429.67 ,$182.84 ,$587.70 ,$470.16 ,$653.00 ,$411.39 ,$411.39 ,$411.39 ,$108.39 ,$313.44 ,$587.70 ST. JOHN'S HOSPITAL,92200032,95869,HC EMG THORACIC PARASPINAL,922,1 ,$701.00 ,$455.65 ,$107.75 ,$701.00 ,$335.53 ,$322.46 ,$379.94 ,$134.21 ,$196.28 ,$241.85 ,$134.21 ,$269.18 ,$134.21 ,$267.78 ,$107.75 ,$134.21 ,$267.78 ,$254.99 ,$368.73 ,$357.51 ,$335.51 ,$134.21 ,$490.70 ,$134.21 ,$350.50 ,$136.89 ,$525.75 ,$354.01 ,$318.96 ,$354.01 ,$134.21 ,$354.01 ,$441.63 ,$441.63 ,$497.71 ,$701.00 ,$595.85 ,$335.51 ,$560.80 ,$259.37 ,$560.80 ,$134.21 ,$134.21 ,$701.00 ,$379.94 ,$134.21 ,$184.36 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$595.85 ,$301.96 ,$461.26 ,$196.28 ,$630.90 ,$504.72 ,$701.00 ,$441.63 ,$441.63 ,$441.63 ,$134.21 ,$336.48 ,$630.90 ST. JOHN'S HOSPITAL,92200033,95875,HC LIMB EXERCISE TEST W/SERIAL SPECIMEN,922,1 ,$746.00 ,$484.90 ,$105.70 ,$746.00 ,$335.53 ,$343.16 ,$404.33 ,$134.21 ,$208.88 ,$257.37 ,$134.21 ,$286.46 ,$134.21 ,$284.97 ,$105.70 ,$134.21 ,$284.97 ,$254.99 ,$392.40 ,$380.46 ,$335.51 ,$134.21 ,$522.20 ,$134.21 ,$373.00 ,$136.89 ,$559.50 ,$376.73 ,$339.43 ,$376.73 ,$134.21 ,$376.73 ,$469.98 ,$469.98 ,$529.66 ,$746.00 ,$634.10 ,$335.51 ,$596.80 ,$276.02 ,$596.80 ,$134.21 ,$134.21 ,$746.00 ,$404.33 ,$134.21 ,$196.20 , N/A , N/A ,$344.22 ,$328.58 ,$140.92 ,$634.10 ,$301.96 ,$490.87 ,$208.88 ,$671.40 ,$537.12 ,$746.00 ,$469.98 ,$469.98 ,$469.98 ,$134.21 ,$358.08 ,$671.40 ST. JOHN'S HOSPITAL,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,"$1,175.00 ",$763.75 ,$88.65 ,"$1,175.00 ",$270.98 ,$540.50 ,$636.85 ,$108.39 ,$329.00 ,$405.38 ,$108.39 ,$451.20 ,$108.39 ,$448.85 ,$136.76 ,$108.39 ,$448.85 ,$205.94 ,$618.05 ,$599.25 ,$270.97 ,$108.39 ,$822.50 ,$108.39 ,$587.50 ,$110.56 ,$881.25 ,$593.38 ,$534.63 ,$593.38 ,$108.39 ,$593.38 ,$740.25 ,$740.25 ,$834.25 ,"$1,175.00 ",$998.75 ,$270.97 ,$940.00 ,$434.75 ,$940.00 ,$108.39 ,$108.39 ,"$1,175.00 ",$636.85 ,$108.39 ,$309.03 , N/A , N/A ,$92.87 ,$88.65 ,$113.81 ,$998.75 ,$243.87 ,$773.15 ,$329.00 ,"$1,057.50 ",$846.00 ,"$1,175.00 ",$740.25 ,$740.25 ,$740.25 ,$108.39 ,$564.00 ,"$1,057.50 " ST. JOHN'S HOSPITAL,94000102,E0202,HC PHOTO THERAPY INITIATE,940,1 ,$442.00 ,$287.30 ,$88.40 ,$442.00 ,$221.00 ,$203.32 ,$239.56 ,$88.40 ,$123.76 ,$141.44 ,$88.40 ,$162.66 ,$88.40 ,$168.84 ,$442.00 ,$88.40 ,$168.84 ,$167.96 ,$232.49 ,$225.42 ,$221.00 ,$88.40 ,$309.40 ,$88.40 ,$221.00 ,$90.17 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$88.40 ,$223.21 ,$278.46 ,$278.46 ,$313.82 ,$442.00 ,$375.70 ,$221.00 ,$353.60 ,$163.54 ,$353.60 ,$88.40 ,$88.40 ,$442.00 ,$239.56 ,$88.40 ,$116.25 , N/A , N/A , N/A , N/A ,$92.82 ,$375.70 ,$198.90 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$278.46 ,$278.46 ,$278.46 ,$88.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,94000103,E0202,HC PHOTO THERAPY INITIATE,940,1 ,$442.00 ,$287.30 ,$88.40 ,$442.00 ,$221.00 ,$203.32 ,$239.56 ,$88.40 ,$123.76 ,$141.44 ,$88.40 ,$162.66 ,$88.40 ,$168.84 ,$442.00 ,$88.40 ,$168.84 ,$167.96 ,$232.49 ,$225.42 ,$221.00 ,$88.40 ,$309.40 ,$88.40 ,$221.00 ,$90.17 ,$331.50 ,$223.21 ,$201.11 ,$223.21 ,$88.40 ,$223.21 ,$278.46 ,$278.46 ,$313.82 ,$442.00 ,$375.70 ,$221.00 ,$353.60 ,$163.54 ,$353.60 ,$88.40 ,$88.40 ,$442.00 ,$239.56 ,$88.40 ,$116.25 , N/A , N/A , N/A , N/A ,$92.82 ,$375.70 ,$198.90 ,$290.84 ,$123.76 ,$397.80 ,$318.24 ,$442.00 ,$278.46 ,$278.46 ,$278.46 ,$88.40 ,$212.16 ,$397.80 ST. JOHN'S HOSPITAL,94000104,96372,HC INJECTION IM/SUBQ,940,1 ,$274.00 ,$178.10 ,$33.34 ,$274.00 ,$149.00 ,$126.04 ,$148.51 ,$59.60 ,$76.72 ,$94.53 ,$59.60 ,$105.22 ,$59.60 ,$104.67 ,$33.34 ,$59.60 ,$104.67 ,$113.23 ,$144.12 ,$139.74 ,$148.99 ,$59.60 ,$191.80 ,$59.60 ,$137.00 ,$60.79 ,$205.50 ,$138.37 ,$124.67 ,$138.37 ,$59.60 ,$138.37 ,$172.62 ,$172.62 ,$194.54 ,$274.00 ,$232.90 ,$148.99 ,$219.20 ,$101.38 ,$219.20 ,$59.60 ,$59.60 ,$274.00 ,$148.51 ,$59.60 ,$72.06 , N/A , N/A , N/A , N/A ,$62.58 ,$232.90 ,$134.09 ,$180.29 ,$76.72 ,$246.60 ,$197.28 ,$274.00 ,$172.62 ,$172.62 ,$172.62 ,$59.60 ,$131.52 ,$246.60 ST. JOHN'S HOSPITAL,94000105,96374,HC INJ IV PUSH SINGL/INITIAL,940,1 ,$288.00 ,$187.20 ,$54.78 ,$491.61 ,$491.60 ,$132.48 ,$156.10 ,$196.64 ,$80.64 ,$99.36 ,$196.64 ,$110.59 ,$196.64 ,$110.02 ,$54.78 ,$196.64 ,$110.02 ,$288.00 ,$151.49 ,$146.88 ,$491.61 ,$196.64 ,$201.60 ,$196.64 ,$144.00 ,$200.58 ,$216.00 ,$145.44 ,$131.04 ,$145.44 ,$196.64 ,$145.44 ,$181.44 ,$181.44 ,$204.48 ,$288.00 ,$244.80 ,$288.00 ,$230.40 ,$106.56 ,$230.40 ,$196.64 ,$196.64 ,$288.00 ,$156.10 ,$196.64 ,$75.74 , N/A , N/A , N/A , N/A ,$206.47 ,$244.80 ,$442.45 ,$189.50 ,$80.64 ,$259.20 ,$207.36 ,$288.00 ,$181.44 ,$181.44 ,$181.44 ,$196.64 ,$138.24 ,$259.20 ST. JOHN'S HOSPITAL,94000107,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,"$1,175.00 ",$763.75 ,$88.65 ,"$1,175.00 ",$270.98 ,$540.50 ,$636.85 ,$108.39 ,$329.00 ,$405.38 ,$108.39 ,$451.20 ,$108.39 ,$448.85 ,$136.76 ,$108.39 ,$448.85 ,$205.94 ,$618.05 ,$599.25 ,$270.97 ,$108.39 ,$822.50 ,$108.39 ,$587.50 ,$110.56 ,$881.25 ,$593.38 ,$534.63 ,$593.38 ,$108.39 ,$593.38 ,$740.25 ,$740.25 ,$834.25 ,"$1,175.00 ",$998.75 ,$270.97 ,$940.00 ,$434.75 ,$940.00 ,$108.39 ,$108.39 ,"$1,175.00 ",$636.85 ,$108.39 ,$309.03 , N/A , N/A ,$92.87 ,$88.65 ,$113.81 ,$998.75 ,$243.87 ,$773.15 ,$329.00 ,"$1,057.50 ",$846.00 ,"$1,175.00 ",$740.25 ,$740.25 ,$740.25 ,$108.39 ,$564.00 ,"$1,057.50 " ST. JOHN'S HOSPITAL,94000113,N/A,HC HYPO-HYPERTHERMIA INDUCE,940,1 ,$900.00 ,$585.00 ,$236.70 ,$900.00 , N/A ,$414.00 ,$487.80 , N/A ,$252.00 ,$288.00 , N/A ,$331.20 , N/A ,$343.80 ,$360.00 , N/A ,$343.80 , N/A ,$473.40 ,$459.00 , N/A , N/A ,$630.00 , N/A ,$450.00 , N/A ,$675.00 ,$454.50 ,$409.50 ,$454.50 , N/A ,$454.50 ,$567.00 ,$567.00 ,$639.00 ,$900.00 ,$765.00 , N/A ,$720.00 ,$333.00 ,$720.00 , N/A , N/A ,$900.00 ,$487.80 , N/A ,$236.70 , N/A , N/A , N/A , N/A , N/A ,$765.00 , N/A ,$592.20 ,$252.00 ,$810.00 ,$648.00 ,$900.00 ,$567.00 ,$567.00 ,$567.00 , N/A ,$432.00 ,$810.00 ST. JOHN'S HOSPITAL,94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$59.38 ,$59.38 , N/A ,$0.01 ,$23.75 , N/A , N/A ,$23.75 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$59.37 ,$23.75 ,$0.01 ,$23.75 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$23.75 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$23.75 ,$23.75 ,$0.01 ,$0.01 ,$23.75 , N/A , N/A , N/A ,$0.01 ,$27.63 ,$24.94 ,$0.01 ,$53.43 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$23.75 , N/A ,$0.01 ST. JOHN'S HOSPITAL,94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$59.38 ,$59.38 , N/A ,$0.01 ,$23.75 , N/A , N/A ,$23.75 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$59.37 ,$23.75 ,$0.01 ,$23.75 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$23.75 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$23.75 ,$23.75 ,$0.01 ,$0.01 ,$23.75 , N/A , N/A , N/A ,$0.01 ,$27.63 ,$24.94 ,$0.01 ,$53.43 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$23.75 , N/A ,$0.01 ST. JOHN'S HOSPITAL,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$119.00 ,$77.35 ,$30.51 ,$119.00 ,$76.28 ,$54.74 ,$64.50 ,$30.51 ,$33.32 ,$41.06 ,$30.51 ,$45.70 ,$30.51 ,$45.46 ,$45.10 ,$30.51 ,$45.46 ,$68.19 ,$62.59 ,$60.69 ,$89.73 ,$30.51 ,$83.30 ,$30.51 ,$59.50 ,$36.61 ,$89.25 ,$60.10 ,$54.15 ,$60.10 ,$30.51 ,$60.10 ,$74.97 ,$74.97 ,$84.49 ,$119.00 ,$101.15 ,$30.51 ,$95.20 ,$44.03 ,$95.20 ,$30.51 ,$30.51 ,$119.00 ,$64.50 ,$30.51 ,$31.30 , N/A , N/A , N/A , N/A ,$32.04 ,$101.15 ,$80.75 ,$78.30 ,$33.32 ,$107.10 ,$85.68 ,$119.00 ,$74.97 ,$74.97 ,$74.97 ,$30.51 ,$57.12 ,$107.10 ST. JOHN'S HOSPITAL,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$64.00 ,$41.60 ,$16.83 ,$78.05 ,$66.35 ,$29.44 ,$34.69 ,$26.54 ,$17.92 ,$22.08 ,$26.54 ,$24.58 ,$26.54 ,$24.45 ,$38.56 ,$26.54 ,$24.45 ,$59.32 ,$33.66 ,$32.64 ,$78.05 ,$26.54 ,$44.80 ,$26.54 ,$32.00 ,$31.84 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$26.54 ,$32.32 ,$40.32 ,$40.32 ,$45.44 ,$64.00 ,$54.40 ,$26.54 ,$51.20 ,$23.68 ,$51.20 ,$26.54 ,$26.54 ,$64.00 ,$34.69 ,$26.54 ,$16.83 , N/A , N/A , N/A , N/A ,$27.87 ,$54.40 ,$70.25 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$40.32 ,$40.32 ,$40.32 ,$26.54 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,94200007,97804,HC MNT GROUP INIT 30 MIN,942,1 ,$112.00 ,$72.80 ,$14.14 ,$112.00 ,$35.35 ,$51.52 ,$60.70 ,$14.14 ,$31.36 ,$38.64 ,$14.14 ,$43.01 ,$14.14 ,$42.78 ,$21.16 ,$14.14 ,$42.78 ,$31.62 ,$58.91 ,$57.12 ,$41.60 ,$14.14 ,$78.40 ,$14.14 ,$56.00 ,$16.97 ,$84.00 ,$56.56 ,$50.96 ,$56.56 ,$14.14 ,$56.56 ,$70.56 ,$70.56 ,$79.52 ,$112.00 ,$95.20 ,$14.14 ,$89.60 ,$41.44 ,$89.60 ,$14.14 ,$14.14 ,$112.00 ,$60.70 ,$14.14 ,$29.46 , N/A , N/A , N/A , N/A ,$14.85 ,$95.20 ,$37.44 ,$73.70 ,$31.36 ,$100.80 ,$80.64 ,$112.00 ,$70.56 ,$70.56 ,$70.56 ,$14.14 ,$53.76 ,$100.80 ST. JOHN'S HOSPITAL,94200019,N/A,HC LACTATION CONSULT 30 MIN,942,1 ,$264.00 ,$171.60 ,$69.43 ,$264.00 , N/A ,$121.44 ,$143.09 , N/A ,$73.92 ,$84.48 , N/A ,$97.15 , N/A ,$100.85 ,$105.60 , N/A ,$100.85 , N/A ,$138.86 ,$134.64 , N/A , N/A ,$184.80 , N/A ,$132.00 , N/A ,$198.00 ,$133.32 ,$120.12 ,$133.32 , N/A ,$133.32 ,$166.32 ,$166.32 ,$187.44 ,$264.00 ,$224.40 , N/A ,$211.20 ,$97.68 ,$211.20 , N/A , N/A ,$264.00 ,$143.09 , N/A ,$69.43 , N/A , N/A , N/A , N/A , N/A ,$224.40 , N/A ,$173.71 ,$73.92 ,$237.60 ,$190.08 ,$264.00 ,$166.32 ,$166.32 ,$166.32 , N/A ,$126.72 ,$237.60 ST. JOHN'S HOSPITAL,94200020,N/A,HC LACTATION CONSULT 45 MIN,942,1 ,$332.00 ,$215.80 ,$87.32 ,$332.00 , N/A ,$152.72 ,$179.94 , N/A ,$92.96 ,$106.24 , N/A ,$122.18 , N/A ,$126.82 ,$132.80 , N/A ,$126.82 , N/A ,$174.63 ,$169.32 , N/A , N/A ,$232.40 , N/A ,$166.00 , N/A ,$249.00 ,$167.66 ,$151.06 ,$167.66 , N/A ,$167.66 ,$209.16 ,$209.16 ,$235.72 ,$332.00 ,$282.20 , N/A ,$265.60 ,$122.84 ,$265.60 , N/A , N/A ,$332.00 ,$179.94 , N/A ,$87.32 , N/A , N/A , N/A , N/A , N/A ,$282.20 , N/A ,$218.46 ,$92.96 ,$298.80 ,$239.04 ,$332.00 ,$209.16 ,$209.16 ,$209.16 , N/A ,$159.36 ,$298.80 ST. JOHN'S HOSPITAL,94200021,N/A,HC LACTATION CONSULT 60 MIN,942,1 ,$396.00 ,$257.40 ,$104.15 ,$396.00 , N/A ,$182.16 ,$214.63 , N/A ,$110.88 ,$126.72 , N/A ,$145.73 , N/A ,$151.27 ,$158.40 , N/A ,$151.27 , N/A ,$208.30 ,$201.96 , N/A , N/A ,$277.20 , N/A ,$198.00 , N/A ,$297.00 ,$199.98 ,$180.18 ,$199.98 , N/A ,$199.98 ,$249.48 ,$249.48 ,$281.16 ,$396.00 ,$336.60 , N/A ,$316.80 ,$146.52 ,$316.80 , N/A , N/A ,$396.00 ,$214.63 , N/A ,$104.15 , N/A , N/A , N/A , N/A , N/A ,$336.60 , N/A ,$260.57 ,$110.88 ,$356.40 ,$285.12 ,$396.00 ,$249.48 ,$249.48 ,$249.48 , N/A ,$190.08 ,$356.40 ST. JOHN'S HOSPITAL,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$280.00 ,$182.00 ,$18.42 ,$280.00 ,$278.95 ,$128.80 ,$151.76 ,$111.58 ,$78.40 ,$96.60 ,$111.58 ,$107.52 ,$111.58 ,$106.96 ,$18.42 ,$111.58 ,$106.96 ,$212.00 ,$147.28 ,$142.80 ,$278.95 ,$111.58 ,$196.00 ,$111.58 ,$140.00 ,$113.81 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$111.58 ,$141.40 ,$176.40 ,$176.40 ,$198.80 ,$280.00 ,$238.00 ,$278.95 ,$224.00 ,$103.60 ,$224.00 ,$111.58 ,$111.58 ,$280.00 ,$151.76 ,$111.58 ,$73.64 , N/A , N/A , N/A , N/A ,$117.16 ,$238.00 ,$251.05 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$176.40 ,$176.40 ,$176.40 ,$111.58 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,94300006,93798,HC CARDIAC REHAB W/EKG SESSION (LV1),943,1 ,$218.00 ,$141.70 ,$29.51 ,$278.95 ,$278.95 ,$100.28 ,$118.16 ,$111.58 ,$61.04 ,$75.21 ,$111.58 ,$83.71 ,$111.58 ,$83.28 ,$29.51 ,$111.58 ,$83.28 ,$212.00 ,$114.67 ,$111.18 ,$278.95 ,$111.58 ,$152.60 ,$111.58 ,$109.00 ,$113.81 ,$163.50 ,$110.09 ,$99.19 ,$110.09 ,$111.58 ,$110.09 ,$137.34 ,$137.34 ,$154.78 ,$218.00 ,$185.30 ,$218.00 ,$174.40 ,$80.66 ,$174.40 ,$111.58 ,$111.58 ,$218.00 ,$118.16 ,$111.58 ,$57.33 , N/A , N/A , N/A , N/A ,$117.16 ,$185.30 ,$251.05 ,$143.44 ,$61.04 ,$196.20 ,$156.96 ,$218.00 ,$137.34 ,$137.34 ,$137.34 ,$111.58 ,$104.64 ,$196.20 ST. JOHN'S HOSPITAL,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$280.00 ,$182.00 ,$29.51 ,$280.00 ,$278.95 ,$128.80 ,$151.76 ,$111.58 ,$78.40 ,$96.60 ,$111.58 ,$107.52 ,$111.58 ,$106.96 ,$29.51 ,$111.58 ,$106.96 ,$212.00 ,$147.28 ,$142.80 ,$278.95 ,$111.58 ,$196.00 ,$111.58 ,$140.00 ,$113.81 ,$210.00 ,$141.40 ,$127.40 ,$141.40 ,$111.58 ,$141.40 ,$176.40 ,$176.40 ,$198.80 ,$280.00 ,$238.00 ,$278.95 ,$224.00 ,$103.60 ,$224.00 ,$111.58 ,$111.58 ,$280.00 ,$151.76 ,$111.58 ,$73.64 , N/A , N/A , N/A , N/A ,$117.16 ,$238.00 ,$251.05 ,$184.24 ,$78.40 ,$252.00 ,$201.60 ,$280.00 ,$176.40 ,$176.40 ,$176.40 ,$111.58 ,$134.40 ,$252.00 ST. JOHN'S HOSPITAL,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$48.00 ,$31.20 ,$12.62 ,$48.00 , N/A ,$22.08 ,$26.02 , N/A ,$13.44 ,$15.36 , N/A ,$17.66 , N/A ,$18.34 ,$19.20 , N/A ,$18.34 , N/A ,$25.25 ,$24.48 , N/A , N/A ,$33.60 , N/A ,$24.00 , N/A ,$36.00 ,$24.24 ,$21.84 ,$24.24 , N/A ,$24.24 ,$30.24 ,$30.24 ,$34.08 ,$48.00 ,$40.80 , N/A ,$38.40 ,$17.76 ,$38.40 , N/A , N/A ,$48.00 ,$26.02 , N/A ,$12.62 , N/A , N/A , N/A , N/A , N/A ,$40.80 , N/A ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$30.24 ,$30.24 ,$30.24 , N/A ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,94300020,N/A,HC CARDIAC REHAB PHASE 3 HALF MONTH,943,1 ,$29.00 ,$18.85 ,$7.63 ,$29.00 , N/A ,$13.34 ,$15.72 , N/A ,$8.12 ,$9.28 , N/A ,$10.67 , N/A ,$11.08 ,$11.60 , N/A ,$11.08 , N/A ,$15.25 ,$14.79 , N/A , N/A ,$20.30 , N/A ,$14.50 , N/A ,$21.75 ,$14.65 ,$13.20 ,$14.65 , N/A ,$14.65 ,$18.27 ,$18.27 ,$20.59 ,$29.00 ,$24.65 , N/A ,$23.20 ,$10.73 ,$23.20 , N/A , N/A ,$29.00 ,$15.72 , N/A ,$7.63 , N/A , N/A , N/A , N/A , N/A ,$24.65 , N/A ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$18.27 ,$18.27 ,$18.27 , N/A ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,94300024,N/A,HC CARDIAC REHAB PHASE 3 - 8 SESSIONS,943,1 ,$36.00 ,$23.40 ,$9.47 ,$36.00 , N/A ,$16.56 ,$19.51 , N/A ,$10.08 ,$11.52 , N/A ,$13.25 , N/A ,$13.75 ,$14.40 , N/A ,$13.75 , N/A ,$18.94 ,$18.36 , N/A , N/A ,$25.20 , N/A ,$18.00 , N/A ,$27.00 ,$18.18 ,$16.38 ,$18.18 , N/A ,$18.18 ,$22.68 ,$22.68 ,$25.56 ,$36.00 ,$30.60 , N/A ,$28.80 ,$13.32 ,$28.80 , N/A , N/A ,$36.00 ,$19.51 , N/A ,$9.47 , N/A , N/A , N/A , N/A , N/A ,$30.60 , N/A ,$23.69 ,$10.08 ,$32.40 ,$25.92 ,$36.00 ,$22.68 ,$22.68 ,$22.68 , N/A ,$17.28 ,$32.40 ST. JOHN'S HOSPITAL,94300025,N/A,HC CARDIAC REHAB PHASE 3 BRIEF,943,1 ,$20.00 ,$13.00 ,$5.26 ,$20.00 , N/A ,$9.20 ,$10.84 , N/A ,$5.60 ,$6.40 , N/A ,$7.36 , N/A ,$7.64 ,$8.00 , N/A ,$7.64 , N/A ,$10.52 ,$10.20 , N/A , N/A ,$14.00 , N/A ,$10.00 , N/A ,$15.00 ,$10.10 ,$9.10 ,$10.10 , N/A ,$10.10 ,$12.60 ,$12.60 ,$14.20 ,$20.00 ,$17.00 , N/A ,$16.00 ,$7.40 ,$16.00 , N/A , N/A ,$20.00 ,$10.84 , N/A ,$5.26 , N/A , N/A , N/A , N/A , N/A ,$17.00 , N/A ,$13.16 ,$5.60 ,$18.00 ,$14.40 ,$20.00 ,$12.60 ,$12.60 ,$12.60 , N/A ,$9.60 ,$18.00 ST. JOHN'S HOSPITAL,94300027,N/A,HC CARDIAC REHAB PER SESSION- PHASE III,943,1 ,$4.95 ,$3.22 ,$1.30 ,$4.95 , N/A ,$2.28 ,$2.68 , N/A ,$1.39 ,$1.58 , N/A ,$1.82 , N/A ,$1.89 ,$1.98 , N/A ,$1.89 , N/A ,$2.60 ,$2.52 , N/A , N/A ,$3.47 , N/A ,$2.48 , N/A ,$3.71 ,$2.50 ,$2.25 ,$2.50 , N/A ,$2.50 ,$3.12 ,$3.12 ,$3.51 ,$4.95 ,$4.21 , N/A ,$3.96 ,$1.83 ,$3.96 , N/A , N/A ,$4.95 ,$2.68 , N/A ,$1.30 , N/A , N/A , N/A , N/A , N/A ,$4.21 , N/A ,$3.26 ,$1.39 ,$4.46 ,$3.56 ,$4.95 ,$3.12 ,$3.12 ,$3.12 , N/A ,$2.38 ,$4.46 ST. JOHN'S HOSPITAL,94500020,99408,HC ALCOHOL ABUSE SCREEN W/INTERV 15-30MIN,945,1 ,$116.00 ,$75.40 ,$30.51 ,$148.11 , N/A ,$53.36 ,$62.87 , N/A ,$32.48 ,$40.02 , N/A ,$44.54 , N/A ,$44.31 ,$44.31 , N/A ,$44.31 , N/A ,$61.02 ,$59.16 , N/A , N/A ,$81.20 , N/A ,$58.00 , N/A ,$87.00 ,$58.58 ,$52.78 ,$58.58 , N/A ,$58.58 ,$73.08 ,$73.08 ,$82.36 ,$116.00 ,$98.60 , N/A ,$92.80 ,$42.92 ,$92.80 , N/A , N/A ,$116.00 ,$62.87 , N/A ,$30.51 , N/A , N/A ,$116.00 ,$148.11 , N/A ,$98.60 , N/A ,$44.31 ,$32.48 ,$104.40 ,$83.52 ,$116.00 ,$73.08 , N/A , N/A , N/A ,$55.68 ,$104.40 ST. JOHN'S HOSPITAL,94500021,99409,HC ALCOHOL ABUSE SCREEN W/INTERV >30MIN,945,1 ,$167.00 ,$108.55 ,$43.92 ,$167.00 , N/A ,$76.82 ,$90.51 , N/A ,$46.76 ,$57.62 , N/A ,$64.13 , N/A ,$63.79 ,$63.79 , N/A ,$63.79 , N/A ,$87.84 ,$85.17 , N/A , N/A ,$116.90 , N/A ,$83.50 , N/A ,$125.25 ,$84.34 ,$75.99 ,$84.34 , N/A ,$84.34 ,$105.21 ,$105.21 ,$118.57 ,$167.00 ,$141.95 , N/A ,$133.60 ,$61.79 ,$133.60 , N/A , N/A ,$167.00 ,$90.51 , N/A ,$43.92 , N/A , N/A ,$155.43 ,$148.37 , N/A ,$141.95 , N/A ,$63.79 ,$46.76 ,$150.30 ,$120.24 ,$167.00 ,$105.21 , N/A , N/A , N/A ,$80.16 ,$150.30 ST. JOHN'S HOSPITAL,94900001,N/A,HC PULMONARY REHAB PHASE 3 FULL MONTH,949,1 ,$48.00 ,$31.20 ,$12.62 ,$48.00 , N/A ,$22.08 ,$26.02 , N/A ,$13.44 ,$15.36 , N/A ,$17.66 , N/A ,$18.34 ,$19.20 , N/A ,$18.34 , N/A ,$25.25 ,$24.48 , N/A , N/A ,$33.60 , N/A ,$24.00 , N/A ,$36.00 ,$24.24 ,$21.84 ,$24.24 , N/A ,$24.24 ,$30.24 ,$30.24 ,$34.08 ,$48.00 ,$40.80 , N/A ,$38.40 ,$17.76 ,$38.40 , N/A , N/A ,$48.00 ,$26.02 , N/A ,$12.62 , N/A , N/A , N/A , N/A , N/A ,$40.80 , N/A ,$31.58 ,$13.44 ,$43.20 ,$34.56 ,$48.00 ,$30.24 ,$30.24 ,$30.24 , N/A ,$23.04 ,$43.20 ST. JOHN'S HOSPITAL,94900002,N/A,HC PULMONARY REHAB PHASE 3 HALF MONTH,949,1 ,$29.00 ,$18.85 ,$7.63 ,$29.00 , N/A ,$13.34 ,$15.72 , N/A ,$8.12 ,$9.28 , N/A ,$10.67 , N/A ,$11.08 ,$11.60 , N/A ,$11.08 , N/A ,$15.25 ,$14.79 , N/A , N/A ,$20.30 , N/A ,$14.50 , N/A ,$21.75 ,$14.65 ,$13.20 ,$14.65 , N/A ,$14.65 ,$18.27 ,$18.27 ,$20.59 ,$29.00 ,$24.65 , N/A ,$23.20 ,$10.73 ,$23.20 , N/A , N/A ,$29.00 ,$15.72 , N/A ,$7.63 , N/A , N/A , N/A , N/A , N/A ,$24.65 , N/A ,$19.08 ,$8.12 ,$26.10 ,$20.88 ,$29.00 ,$18.27 ,$18.27 ,$18.27 , N/A ,$13.92 ,$26.10 ST. JOHN'S HOSPITAL,94900003,N/A,HC PULMONARY REHAB PER SESSION,949,1 ,$4.00 ,$2.60 ,$1.05 ,$4.00 , N/A ,$1.84 ,$2.17 , N/A ,$1.12 ,$1.28 , N/A ,$1.47 , N/A ,$1.53 ,$1.60 , N/A ,$1.53 , N/A ,$2.10 ,$2.04 , N/A , N/A ,$2.80 , N/A ,$2.00 , N/A ,$3.00 ,$2.02 ,$1.82 ,$2.02 , N/A ,$2.02 ,$2.52 ,$2.52 ,$2.84 ,$4.00 ,$3.40 , N/A ,$3.20 ,$1.48 ,$3.20 , N/A , N/A ,$4.00 ,$2.17 , N/A ,$1.05 , N/A , N/A , N/A , N/A , N/A ,$3.40 , N/A ,$2.63 ,$1.12 ,$3.60 ,$2.88 ,$4.00 ,$2.52 ,$2.52 ,$2.52 , N/A ,$1.92 ,$3.60 ST. JOHN'S HOSPITAL,96000008,93293,PC ANALYSIS PACEMAKER DUAL TELEPHONIC-26,960,1 ,$65.00 ,$42.25 ,$18.20 ,$89.48 ,$89.48 ,$29.90 ,$35.23 ,$35.79 ,$18.20 ,$22.43 ,$35.79 ,$24.96 ,$35.79 ,$24.83 ,$65.00 ,$35.79 ,$24.83 ,$65.00 ,$34.19 ,$33.15 ,$89.48 ,$35.79 ,$45.50 ,$35.79 ,$32.50 ,$36.51 ,$48.75 ,$32.83 ,$29.58 ,$32.83 ,$35.79 ,$32.83 ,$40.95 ,$40.95 ,$46.15 ,$65.00 ,$55.25 ,$65.00 ,$52.00 ,$24.05 ,$52.00 ,$35.79 ,$35.79 ,$65.00 ,$35.23 ,$35.79 ,$28.09 , N/A , N/A ,$44.33 ,$42.32 ,$37.58 ,$55.25 ,$80.54 ,$42.77 ,$18.20 ,$58.50 ,$46.80 ,$65.00 ,$40.95 , N/A , N/A ,$35.79 ,$31.20 ,$58.50 ST. JOHN'S HOSPITAL,96000044,G2061,PC NON PHYSICIAN EST PT 5-10 MIN,960,1 ,$38.00 ,$24.70 ,$10.64 ,$38.00 , N/A ,$17.48 ,$20.60 , N/A ,$10.64 ,$12.16 , N/A ,$13.98 , N/A ,$14.52 ,$17.64 , N/A ,$14.52 , N/A ,$19.99 ,$19.38 , N/A , N/A ,$26.60 , N/A ,$19.00 , N/A ,$28.50 ,$19.19 ,$17.29 ,$19.19 , N/A ,$19.19 ,$23.94 ,$23.94 ,$26.98 ,$38.00 ,$32.30 , N/A ,$30.40 ,$14.06 ,$30.40 , N/A , N/A ,$38.00 ,$20.60 , N/A ,$15.49 , N/A , N/A , N/A , N/A , N/A ,$32.30 , N/A ,$25.00 ,$10.64 ,$34.20 ,$27.36 ,$38.00 ,$23.94 , N/A , N/A , N/A ,$18.24 ,$34.20 ST. JOHN'S HOSPITAL,96000045,G2062,PC NON PHYSICIAN EST PT 11-20 MIN,960,1 ,$67.00 ,$43.55 ,$18.76 ,$67.00 , N/A ,$30.82 ,$36.31 , N/A ,$18.76 ,$21.44 , N/A ,$24.66 , N/A ,$25.59 ,$31.16 , N/A ,$25.59 , N/A ,$35.24 ,$34.17 , N/A , N/A ,$46.90 , N/A ,$33.50 , N/A ,$50.25 ,$33.84 ,$30.49 ,$33.84 , N/A ,$33.84 ,$42.21 ,$42.21 ,$47.57 ,$67.00 ,$56.95 , N/A ,$53.60 ,$24.79 ,$53.60 , N/A , N/A ,$67.00 ,$36.31 , N/A ,$27.35 , N/A , N/A , N/A , N/A , N/A ,$56.95 , N/A ,$44.09 ,$18.76 ,$60.30 ,$48.24 ,$67.00 ,$42.21 , N/A , N/A , N/A ,$32.16 ,$60.30 ST. JOHN'S HOSPITAL,96000046,G2063,PC NON PHYSICIAN EST PT > 21 MIN,960,1 ,$104.00 ,$67.60 ,$29.12 ,$104.00 , N/A ,$47.84 ,$56.37 , N/A ,$29.12 ,$33.28 , N/A ,$38.27 , N/A ,$39.73 ,$48.32 , N/A ,$39.73 , N/A ,$54.70 ,$53.04 , N/A , N/A ,$72.80 , N/A ,$52.00 , N/A ,$78.00 ,$52.52 ,$47.32 ,$52.52 , N/A ,$52.52 ,$65.52 ,$65.52 ,$73.84 ,$104.00 ,$88.40 , N/A ,$83.20 ,$38.48 ,$83.20 , N/A , N/A ,$104.00 ,$56.37 , N/A ,$42.42 , N/A , N/A , N/A , N/A , N/A ,$88.40 , N/A ,$68.43 ,$29.12 ,$93.60 ,$74.88 ,$104.00 ,$65.52 , N/A , N/A , N/A ,$49.92 ,$93.60 ST. JOHN'S HOSPITAL,96200003,67229,PC TX RETINOPATHY PRETERM INFANT,962,1 ,"$3,309.00 ","$2,150.85 ",$483.76 ,"$3,309.00 ","$1,209.40 ","$1,522.14 ","$1,793.48 ",$483.76 ,$926.52 ,"$1,058.88 ",$483.76 ,"$1,217.71 ",$483.76 ,"$1,264.04 ","$2,103.66 ",$483.76 ,"$1,264.04 ",$919.14 ,"$1,740.53 ","$1,687.59 ","$1,209.40 ",$483.76 ,"$2,316.30 ",$483.76 ,"$1,654.50 ",$493.43 ,"$2,481.75 ","$1,671.05 ","$1,505.60 ","$1,671.05 ",$483.76 ,"$1,671.05 ","$2,084.67 ","$2,084.67 ","$2,349.39 ","$3,309.00 ","$2,812.65 ","$1,209.40 ","$2,647.20 ","$1,224.33 ","$2,647.20 ",$483.76 ,$483.76 ,"$3,309.00 ","$1,793.48 ",$483.76 ,"$1,970.56 ", N/A , N/A ,$574.02 ,$547.93 ,$507.95 ,"$2,812.65 ","$1,088.46 ","$2,177.32 ",$926.52 ,"$2,978.10 ","$2,382.48 ","$3,309.00 ","$2,084.67 ", N/A , N/A ,$483.76 ,"$1,588.32 ","$2,978.10 " ST. JOHN'S HOSPITAL,96200004,92201,PC OPHTHALMOSCOPY EXT W/RETINAL DRAWING I AND R UNI/BIL,962,1 ,$159.00 ,$103.35 ,$35.70 ,$159.00 ,$133.78 ,$73.14 ,$86.18 ,$53.51 ,$44.52 ,$50.88 ,$53.51 ,$58.51 ,$53.51 ,$60.74 ,$35.70 ,$53.51 ,$60.74 ,$101.66 ,$83.63 ,$81.09 ,$133.77 ,$53.51 ,$111.30 ,$53.51 ,$79.50 ,$54.58 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$53.51 ,$80.30 ,$100.17 ,$100.17 ,$112.89 ,$159.00 ,$135.15 ,$133.77 ,$127.20 ,$58.83 ,$127.20 ,$53.51 ,$53.51 ,$159.00 ,$86.18 ,$53.51 ,$42.16 , N/A , N/A ,$50.29 ,$48.01 ,$56.19 ,$135.15 ,$120.39 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$100.17 , N/A , N/A ,$53.51 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,96200005,92202,PC OPHTHALMOSCOPY EXT W/OPTIC NERVE DRAWING I AND R UNI/BIL,962,1 ,$159.00 ,$103.35 ,$23.03 ,$159.00 ,$133.78 ,$73.14 ,$86.18 ,$53.51 ,$44.52 ,$50.88 ,$53.51 ,$58.51 ,$53.51 ,$60.74 ,$23.03 ,$53.51 ,$60.74 ,$101.66 ,$83.63 ,$81.09 ,$133.77 ,$53.51 ,$111.30 ,$53.51 ,$79.50 ,$54.58 ,$119.25 ,$80.30 ,$72.35 ,$80.30 ,$53.51 ,$80.30 ,$100.17 ,$100.17 ,$112.89 ,$159.00 ,$135.15 ,$133.77 ,$127.20 ,$58.83 ,$127.20 ,$53.51 ,$53.51 ,$159.00 ,$86.18 ,$53.51 ,$27.20 , N/A , N/A ,$50.29 ,$48.01 ,$56.19 ,$135.15 ,$120.39 ,$104.62 ,$44.52 ,$143.10 ,$114.48 ,$159.00 ,$100.17 , N/A , N/A ,$53.51 ,$76.32 ,$143.10 ST. JOHN'S HOSPITAL,97600001,94375,PC RESPIRATORY FLOW VOLUME LOOP -26,976,1 ,$40.00 ,$26.00 ,$11.20 ,$636.00 ,$636.00 ,$18.40 ,$21.68 ,$254.40 ,$11.20 ,$13.80 ,$254.40 ,$15.36 ,$40.00 ,$15.28 ,$40.00 ,$40.00 ,$15.28 ,$40.00 ,$21.04 ,$20.40 ,$635.99 ,$254.40 ,$28.00 ,$254.40 ,$20.00 ,$40.00 ,$30.00 ,$20.20 ,$18.20 ,$20.20 ,$254.40 ,$20.20 ,$25.20 ,$25.20 ,$28.40 ,$40.00 ,$34.00 ,$40.00 ,$32.00 ,$14.80 ,$32.00 ,$254.40 ,$254.40 ,$40.00 ,$21.68 ,$254.40 ,$27.48 , N/A , N/A ,$40.00 ,$74.83 ,$267.12 ,$34.00 ,$572.39 ,$26.32 ,$11.20 ,$36.00 ,$28.80 ,$40.00 ,$25.20 , N/A , N/A ,$254.40 ,$19.20 ,$36.00 ST. JOHN'S HOSPITAL,97600002,94010,PC SPIROMETRY PACKAGE-26,976,1 ,$58.00 ,$37.70 ,$15.74 ,$335.53 ,$335.53 ,$26.68 ,$31.44 ,$134.21 ,$16.24 ,$20.01 ,$134.21 ,$22.27 ,$58.00 ,$22.16 ,$58.00 ,$58.00 ,$22.16 ,$58.00 ,$30.51 ,$29.58 ,$335.51 ,$134.21 ,$40.60 ,$134.21 ,$29.00 ,$58.00 ,$43.50 ,$29.29 ,$26.39 ,$29.29 ,$134.21 ,$29.29 ,$36.54 ,$36.54 ,$41.18 ,$58.00 ,$49.30 ,$58.00 ,$46.40 ,$21.46 ,$46.40 ,$134.21 ,$134.21 ,$58.00 ,$31.44 ,$134.21 ,$15.74 , N/A , N/A ,$58.00 ,$74.83 ,$140.92 ,$49.30 ,$301.96 ,$38.16 ,$16.24 ,$52.20 ,$41.76 ,$58.00 ,$36.54 , N/A , N/A ,$134.21 ,$27.84 ,$52.20 ST. JOHN'S HOSPITAL,97600003,94070,PC SPIROMETRY PFT COMPLEX -26,976,1 ,$180.00 ,$117.00 ,$50.40 ,$636.00 ,$636.00 ,$82.80 ,$97.56 ,$254.40 ,$50.40 ,$62.10 ,$254.40 ,$69.12 ,$180.00 ,$68.76 ,$68.05 ,$180.00 ,$68.76 ,$180.00 ,$94.68 ,$91.80 ,$635.99 ,$254.40 ,$126.00 ,$254.40 ,$90.00 ,$180.00 ,$135.00 ,$90.90 ,$81.90 ,$90.90 ,$254.40 ,$90.90 ,$113.40 ,$113.40 ,$127.80 ,$180.00 ,$153.00 ,$180.00 ,$144.00 ,$66.60 ,$144.00 ,$254.40 ,$254.40 ,$180.00 ,$97.56 ,$254.40 ,$53.02 , N/A , N/A ,$180.00 ,$228.65 ,$267.12 ,$153.00 ,$572.39 ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$113.40 , N/A , N/A ,$254.40 ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,97600004,94060,PC SPIROMETRY/PFT PRE AND POST -26,976,1 ,$64.00 ,$41.60 ,$17.92 ,$636.00 ,$636.00 ,$29.44 ,$34.69 ,$254.40 ,$17.92 ,$22.08 ,$254.40 ,$24.58 ,$64.00 ,$24.45 ,$64.00 ,$64.00 ,$24.45 ,$64.00 ,$33.66 ,$32.64 ,$635.99 ,$254.40 ,$44.80 ,$254.40 ,$32.00 ,$64.00 ,$48.00 ,$32.32 ,$29.12 ,$32.32 ,$254.40 ,$32.32 ,$40.32 ,$40.32 ,$45.44 ,$64.00 ,$54.40 ,$64.00 ,$51.20 ,$23.68 ,$51.20 ,$254.40 ,$254.40 ,$64.00 ,$34.69 ,$254.40 ,$24.21 , N/A , N/A ,$64.00 ,$74.83 ,$267.12 ,$54.40 ,$572.39 ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$40.32 , N/A , N/A ,$254.40 ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,97600005,94150,PC VITAL CAPACITY TOTAL -26,976,1 ,$15.00 ,$9.75 ,$4.20 ,$335.53 ,$335.53 ,$6.90 ,$8.13 ,$134.21 ,$4.20 ,$5.18 ,$134.21 ,$5.76 ,$15.00 ,$5.73 ,$15.00 ,$15.00 ,$5.73 ,$15.00 ,$7.89 ,$7.65 ,$335.51 ,$134.21 ,$10.50 ,$134.21 ,$7.50 ,$15.00 ,$11.25 ,$7.58 ,$6.83 ,$7.58 ,$134.21 ,$7.58 ,$9.45 ,$9.45 ,$10.65 ,$15.00 ,$12.75 ,$15.00 ,$12.00 ,$5.55 ,$12.00 ,$134.21 ,$134.21 ,$15.00 ,$8.13 ,$134.21 ,$7.27 , N/A , N/A ,$15.00 ,$74.83 ,$140.92 ,$12.75 ,$301.96 ,$9.87 ,$4.20 ,$13.50 ,$10.80 ,$15.00 ,$9.45 , N/A , N/A ,$134.21 ,$7.20 ,$13.50 ST. JOHN'S HOSPITAL,97600006,94726,PC PLETHYSMOGRAPHY -26,976,1 ,$88.00 ,$57.20 ,$22.94 ,$636.00 ,$636.00 ,$40.48 ,$47.70 ,$254.40 ,$24.64 ,$30.36 ,$254.40 ,$33.79 ,$88.00 ,$33.62 ,$88.00 ,$88.00 ,$33.62 ,$88.00 ,$46.29 ,$44.88 ,$635.99 ,$254.40 ,$61.60 ,$254.40 ,$44.00 ,$88.00 ,$66.00 ,$44.44 ,$40.04 ,$44.44 ,$254.40 ,$44.44 ,$55.44 ,$55.44 ,$62.48 ,$88.00 ,$74.80 ,$88.00 ,$70.40 ,$32.56 ,$70.40 ,$254.40 ,$254.40 ,$88.00 ,$47.70 ,$254.40 ,$22.94 , N/A , N/A ,$78.40 ,$74.83 ,$267.12 ,$74.80 ,$572.39 ,$57.90 ,$24.64 ,$79.20 ,$63.36 ,$88.00 ,$55.44 , N/A , N/A ,$254.40 ,$42.24 ,$79.20 ST. JOHN'S HOSPITAL,97600007,94728,PC AIRWAY RESISTANCE IMPUL OSCIL-26,976,1 ,$44.00 ,$28.60 ,$12.32 ,$636.00 ,$636.00 ,$20.24 ,$23.85 ,$254.40 ,$12.32 ,$15.18 ,$254.40 ,$16.90 ,$44.00 ,$16.81 ,$44.00 ,$44.00 ,$16.81 ,$44.00 ,$23.14 ,$22.44 ,$635.99 ,$254.40 ,$30.80 ,$254.40 ,$22.00 ,$44.00 ,$33.00 ,$22.22 ,$20.02 ,$22.22 ,$254.40 ,$22.22 ,$27.72 ,$27.72 ,$31.24 ,$44.00 ,$37.40 ,$44.00 ,$35.20 ,$16.28 ,$35.20 ,$254.40 ,$254.40 ,$44.00 ,$23.85 ,$254.40 ,$23.55 , N/A , N/A ,$44.00 ,$74.83 ,$267.12 ,$37.40 ,$572.39 ,$28.95 ,$12.32 ,$39.60 ,$31.68 ,$44.00 ,$27.72 , N/A , N/A ,$254.40 ,$21.12 ,$39.60 ST. JOHN'S HOSPITAL,97600008,94729,PC DIFFUSING CAPACITY -26,976,1 ,$64.00 ,$41.60 ,$17.07 ,$74.83 , N/A ,$29.44 ,$34.69 , N/A ,$17.92 ,$22.08 , N/A ,$24.58 , N/A ,$24.45 ,$64.00 , N/A ,$24.45 , N/A ,$33.66 ,$32.64 , N/A , N/A ,$44.80 , N/A ,$32.00 , N/A ,$48.00 ,$32.32 ,$29.12 ,$32.32 , N/A ,$32.32 ,$40.32 ,$40.32 ,$45.44 ,$64.00 ,$54.40 , N/A ,$51.20 ,$23.68 ,$51.20 , N/A , N/A ,$64.00 ,$34.69 , N/A ,$17.07 , N/A , N/A ,$64.00 ,$74.83 , N/A ,$54.40 , N/A ,$42.11 ,$17.92 ,$57.60 ,$46.08 ,$64.00 ,$40.32 , N/A , N/A , N/A ,$30.72 ,$57.60 ST. JOHN'S HOSPITAL,98180514,27788,PC CLOSED TX FX DISTAL FIBULAR W/MAN,981,1 ,$617.00 ,$401.05 ,$172.76 ,$617.00 ,$495.30 ,$283.82 ,$334.41 ,$198.12 ,$172.76 ,$197.44 ,$198.12 ,$227.06 ,$198.12 ,$235.69 ,$617.00 ,$198.12 ,$235.69 ,$376.43 ,$324.54 ,$314.67 ,$495.31 ,$198.12 ,$431.90 ,$198.12 ,$308.50 ,$202.09 ,$462.75 ,$311.59 ,$280.74 ,$311.59 ,$198.12 ,$311.59 ,$388.71 ,$388.71 ,$438.07 ,$617.00 ,$524.45 ,$495.31 ,$493.60 ,$228.29 ,$493.60 ,$198.12 ,$198.12 ,$617.00 ,$334.41 ,$198.12 ,$617.00 , N/A , N/A ,$604.91 ,$577.42 ,$208.03 ,$524.45 ,$445.78 ,$405.99 ,$172.76 ,$555.30 ,$444.24 ,$617.00 ,$388.71 , N/A , N/A ,$198.12 ,$296.16 ,$555.30 ST. JOHN'S HOSPITAL,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$53.00 ,$34.45 ,$14.84 ,$53.00 , N/A ,$24.38 ,$28.73 , N/A ,$14.84 ,$18.29 , N/A ,$20.35 , N/A ,$20.25 ,$17.84 , N/A ,$20.25 , N/A ,$27.88 ,$27.03 , N/A , N/A ,$37.10 , N/A ,$26.50 , N/A ,$39.75 ,$26.77 ,$24.12 ,$26.77 , N/A ,$26.77 ,$33.39 ,$33.39 ,$37.63 ,$53.00 ,$45.05 , N/A ,$42.40 ,$19.61 ,$42.40 , N/A , N/A ,$53.00 ,$28.73 , N/A ,$15.74 , N/A , N/A ,$26.99 ,$25.77 , N/A ,$45.05 , N/A ,$34.87 ,$14.84 ,$47.70 ,$38.16 ,$53.00 ,$33.39 , N/A , N/A , N/A ,$25.44 ,$47.70 ST. JOHN'S HOSPITAL,98500002,93016,PC CARDIAC STRESS TEST SUPERVISION,985,1 ,$180.00 ,$117.00 ,$41.22 ,$305.47 , N/A ,$82.80 ,$97.56 , N/A ,$50.40 ,$62.10 , N/A ,$69.12 , N/A ,$68.76 ,$46.28 , N/A ,$68.76 , N/A ,$94.68 ,$91.80 , N/A , N/A ,$126.00 , N/A ,$90.00 , N/A ,$135.00 ,$90.90 ,$81.90 ,$90.90 , N/A ,$90.90 ,$113.40 ,$113.40 ,$127.80 ,$180.00 ,$153.00 , N/A ,$144.00 ,$66.60 ,$144.00 , N/A , N/A ,$180.00 ,$97.56 , N/A ,$41.22 , N/A , N/A ,$180.00 ,$305.47 , N/A ,$153.00 , N/A ,$118.44 ,$50.40 ,$162.00 ,$129.60 ,$180.00 ,$113.40 , N/A , N/A , N/A ,$86.40 ,$162.00 ST. JOHN'S HOSPITAL,98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$269.00 ,$174.85 ,$27.42 ,$305.47 , N/A ,$123.74 ,$145.80 , N/A ,$75.32 ,$92.81 , N/A ,$103.30 , N/A ,$102.76 ,$30.78 , N/A ,$102.76 , N/A ,$141.49 ,$137.19 , N/A , N/A ,$188.30 , N/A ,$134.50 , N/A ,$201.75 ,$135.85 ,$122.40 ,$135.85 , N/A ,$135.85 ,$169.47 ,$169.47 ,$190.99 ,$269.00 ,$228.65 , N/A ,$215.20 ,$99.53 ,$215.20 , N/A , N/A ,$269.00 ,$145.80 , N/A ,$27.42 , N/A , N/A ,$269.00 ,$305.47 , N/A ,$228.65 , N/A ,$177.00 ,$75.32 ,$242.10 ,$193.68 ,$269.00 ,$169.47 , N/A , N/A , N/A ,$129.12 ,$242.10 ST. JOHN'S HOSPITAL,98500004,93306,PC ECHO/CARDIAC DOP/COLOR FLOW-26,985,1 ,$875.00 ,$568.75 ,$135.89 ,"$1,161.16 ","$1,161.15 ",$402.50 ,$474.25 ,$464.46 ,$245.00 ,$301.88 ,$464.46 ,$336.00 ,$464.46 ,$334.25 ,$257.86 ,$464.46 ,$334.25 ,$875.00 ,$460.25 ,$446.25 ,"$1,161.16 ",$464.46 ,$612.50 ,$464.46 ,$437.50 ,$473.75 ,$656.25 ,$441.88 ,$398.13 ,$441.88 ,$464.46 ,$441.88 ,$551.25 ,$551.25 ,$621.25 ,$875.00 ,$743.75 ,$875.00 ,$700.00 ,$323.75 ,$700.00 ,$464.46 ,$464.46 ,$875.00 ,$474.25 ,$464.46 ,$135.89 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,$743.75 ,"$1,045.04 ",$575.75 ,$245.00 ,$787.50 ,$630.00 ,$875.00 ,$551.25 , N/A , N/A ,$464.46 ,$420.00 ,$787.50 ST. JOHN'S HOSPITAL,98500005,93308,PC ECHO 2D W/W/O M-MODE LTD-26,985,1 ,$267.00 ,$173.55 ,$47.76 ,$552.96 ,$552.95 ,$122.82 ,$144.71 ,$221.18 ,$74.76 ,$92.12 ,$221.18 ,$102.53 ,$221.18 ,$101.99 ,$140.57 ,$221.18 ,$101.99 ,$267.00 ,$140.44 ,$136.17 ,$552.96 ,$221.18 ,$186.90 ,$221.18 ,$133.50 ,$225.61 ,$200.25 ,$134.84 ,$121.49 ,$134.84 ,$221.18 ,$134.84 ,$168.21 ,$168.21 ,$189.57 ,$267.00 ,$226.95 ,$267.00 ,$213.60 ,$98.79 ,$213.60 ,$221.18 ,$221.18 ,$267.00 ,$144.71 ,$221.18 ,$47.76 , N/A , N/A ,$267.00 ,$485.49 ,$232.24 ,$226.95 ,$497.66 ,$175.69 ,$74.76 ,$240.30 ,$192.24 ,$267.00 ,$168.21 , N/A , N/A ,$221.18 ,$128.16 ,$240.30 ST. JOHN'S HOSPITAL,98500007,93325,PC ECHO COLOR FLOW VELOCITY MAPPING-26,985,1 ,$250.00 ,$162.50 ,$5.87 ,$485.49 , N/A ,$115.00 ,$135.50 , N/A ,$70.00 ,$86.25 , N/A ,$96.00 , N/A ,$95.50 ,$42.45 , N/A ,$95.50 , N/A ,$131.50 ,$127.50 , N/A , N/A ,$175.00 , N/A ,$125.00 , N/A ,$187.50 ,$126.25 ,$113.75 ,$126.25 , N/A ,$126.25 ,$157.50 ,$157.50 ,$177.50 ,$250.00 ,$212.50 , N/A ,$200.00 ,$92.50 ,$200.00 , N/A , N/A ,$250.00 ,$135.50 , N/A ,$5.87 , N/A , N/A ,$250.00 ,$485.49 , N/A ,$212.50 , N/A ,$164.50 ,$70.00 ,$225.00 ,$180.00 ,$250.00 ,$157.50 , N/A , N/A , N/A ,$120.00 ,$225.00 ST. JOHN'S HOSPITAL,98500008,93321,PC ECHO DOPPLER LIMITED-26,985,1 ,$110.00 ,$71.50 ,$13.80 ,$485.49 , N/A ,$50.60 ,$59.62 , N/A ,$30.80 ,$37.95 , N/A ,$42.24 , N/A ,$42.02 ,$37.66 , N/A ,$42.02 , N/A ,$57.86 ,$56.10 , N/A , N/A ,$77.00 , N/A ,$55.00 , N/A ,$82.50 ,$55.55 ,$50.05 ,$55.55 , N/A ,$55.55 ,$69.30 ,$69.30 ,$78.10 ,$110.00 ,$93.50 , N/A ,$88.00 ,$40.70 ,$88.00 , N/A , N/A ,$110.00 ,$59.62 , N/A ,$13.80 , N/A , N/A ,$110.00 ,$485.49 , N/A ,$93.50 , N/A ,$72.38 ,$30.80 ,$99.00 ,$79.20 ,$110.00 ,$69.30 , N/A , N/A , N/A ,$52.80 ,$99.00 ST. JOHN'S HOSPITAL,98500009,93272,PC EVENT RECORDER 24HRS/30DAYS INTERP,985,1 ,$139.00 ,$90.35 ,$38.92 ,$141.92 , N/A ,$63.94 ,$75.34 , N/A ,$38.92 ,$47.96 , N/A ,$53.38 , N/A ,$53.10 ,$52.86 , N/A ,$53.10 , N/A ,$73.11 ,$70.89 , N/A , N/A ,$97.30 , N/A ,$69.50 , N/A ,$104.25 ,$70.20 ,$63.25 ,$70.20 , N/A ,$70.20 ,$87.57 ,$87.57 ,$98.69 ,$139.00 ,$118.15 , N/A ,$111.20 ,$51.43 ,$111.20 , N/A , N/A ,$139.00 ,$75.34 , N/A ,$47.09 , N/A , N/A ,$139.00 ,$141.92 , N/A ,$118.15 , N/A ,$91.46 ,$38.92 ,$125.10 ,$100.08 ,$139.00 ,$87.57 , N/A , N/A , N/A ,$66.72 ,$125.10 ST. JOHN'S HOSPITAL,98500010,93227,PC HOLTER SCAN =< 48 HOURS,985,1 ,$353.00 ,$229.45 ,$48.92 ,$353.00 , N/A ,$162.38 ,$191.33 , N/A ,$98.84 ,$121.79 , N/A ,$135.55 , N/A ,$134.85 ,$54.92 , N/A ,$134.85 , N/A ,$185.68 ,$180.03 , N/A , N/A ,$247.10 , N/A ,$176.50 , N/A ,$264.75 ,$178.27 ,$160.62 ,$178.27 , N/A ,$178.27 ,$222.39 ,$222.39 ,$250.63 ,$353.00 ,$300.05 , N/A ,$282.40 ,$130.61 ,$282.40 , N/A , N/A ,$353.00 ,$191.33 , N/A ,$48.92 , N/A , N/A , N/A , N/A , N/A ,$300.05 , N/A ,$232.27 ,$98.84 ,$317.70 ,$254.16 ,$353.00 ,$222.39 , N/A , N/A , N/A ,$169.44 ,$317.70 ST. JOHN'S HOSPITAL,98500011,93228,PC MCT W/ECG >24 HUR UP TO 30 DAYS INTERP,985,1 ,$130.00 ,$84.50 ,$36.40 ,$130.00 , N/A ,$59.80 ,$70.46 , N/A ,$36.40 ,$44.85 , N/A ,$49.92 , N/A ,$49.66 ,$54.45 , N/A ,$49.66 , N/A ,$68.38 ,$66.30 , N/A , N/A ,$91.00 , N/A ,$65.00 , N/A ,$97.50 ,$65.65 ,$59.15 ,$65.65 , N/A ,$65.65 ,$81.90 ,$81.90 ,$92.30 ,$130.00 ,$110.50 , N/A ,$104.00 ,$48.10 ,$104.00 , N/A , N/A ,$130.00 ,$70.46 , N/A ,$50.08 , N/A , N/A ,$72.42 ,$69.13 , N/A ,$110.50 , N/A ,$85.54 ,$36.40 ,$117.00 ,$93.60 ,$130.00 ,$81.90 , N/A , N/A , N/A ,$62.40 ,$117.00 ST. JOHN'S HOSPITAL,98500012,93350,PC ECHO REST AND STRESS W/PF-26,985,1 ,$579.00 ,$376.35 ,$132.01 ,"$1,161.16 ","$1,161.15 ",$266.34 ,$313.82 ,$464.46 ,$162.12 ,$199.76 ,$464.46 ,$222.34 ,$464.46 ,$221.18 ,$225.47 ,$464.46 ,$221.18 ,$579.00 ,$304.55 ,$295.29 ,"$1,161.16 ",$464.46 ,$405.30 ,$464.46 ,$289.50 ,$473.75 ,$434.25 ,$292.40 ,$263.45 ,$292.40 ,$464.46 ,$292.40 ,$364.77 ,$364.77 ,$411.09 ,$579.00 ,$492.15 ,$579.00 ,$463.20 ,$214.23 ,$463.20 ,$464.46 ,$464.46 ,$579.00 ,$313.82 ,$464.46 ,$132.01 , N/A , N/A ,$508.61 ,$485.49 ,$487.68 ,$492.15 ,"$1,045.04 ",$380.98 ,$162.12 ,$521.10 ,$416.88 ,$579.00 ,$364.77 , N/A , N/A ,$464.46 ,$277.92 ,$521.10