ST. JOSEPH'S HOSPITAL - HIGHLAND - 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 , CLAIM DOC , CLEAR SPRING HEALTH MEDICARE ADV , CONSOCIATE GROUP ," ESSENCE, L.L.P. ", FIRST HEALTH NETWORK , HEALTH ALLIANCE MEDICAL PLAN EXCHANGE ," HEALTH ALLIANCE MEDICAL PLANS, INC. ", HEALTH ALLIANCE MEDICARE , HEALTH ALLIANCE PPO , HEALTHLINK , HEALTHLINK CASINO QUEEN , HEALTHLINK PPO , HEARTLAND HOSPICE , HFN , HOPETRUST , HUMANA , HUMANA MEDICARE , ILLINOIS BREAST AND CERVICAL CANCER PROGRAM , LIVE360 HSHS HEALTHY PLAN , LIVE360 MEDICARE COST PLAN , LIVE360 NON HSHS HEALTHY PLAN , MERIDIAN HMO MCD , MOLINA MEDICAID , MOLINA MEDICARE , MULTIPLAN , NAPHCARE , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , QTC MEDICAL GROUP OF ILLINOIS , SAE MEMORIAL HOSPICE , ST CLAIR COUNTY HOUSING AUTHORITY , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST 
ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$39,336.51 ","$2,288.14 ","$60,517.70 ","$18,056.70 ","$36,310.62 ","$36,310.62 ","$26,543.35 ","$16,944.96 ","$24,139.65 ","$26,543.35 ","$27,742.35 ","$36,457.03 ", N/A , N/A ,"$34,630.85 ","$18,450.00 ","$50,432.37 ","$60,517.70 ", Inpatient Medicare +150% ,"$26,543.35 ","$60,517.70 ","$26,543.35 ","$45,388.28 ","$30,258.85 ","$30,258.85 ","$26,543.35 ","$30,258.85 ","$41,757.21 ","$41,757.21 ","$41,757.21 ", N/A ,"$54,465.93 ","$18,056.70 ","$51,440.05 ","$26,543.35 ", N/A ,"$36,310.62 ","$26,543.35 ","$25,175.36 ","$2,516.95 ","$2,288.14 ","$26,543.35 ","$51,440.05 ", Inpatient Medicare +90% , N/A ,"$16,944.96 ","$54,465.93 ", N/A ,"$26,543.35 ","$41,757.21 ","$60,517.70 ","$60,517.70 ","$10,004.44 ","$39,336.51 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$9,948.71 ","$1,642.74 ","$15,305.70 ","$9,028.35 ","$9,183.42 ","$9,183.42 ","$3,611.34 ","$4,285.60 ","$3,218.62 ","$3,611.34 ","$3,698.98 ","$4,960.14 ","$1,642.74 ","$1,642.74 ","$4,711.68 ","$1,642.74 ","$6,861.55 ","$15,305.70 ", Inpatient Medicare +150% ,"$3,611.34 ","$15,305.70 ","$3,611.34 ","$11,479.28 ","$7,652.85 ","$7,652.85 ","$3,611.34 ","$7,652.85 ","$15,305.70 ","$15,305.70 ","$15,305.70 ", N/A ,"$13,775.13 ","$9,028.35 ","$13,009.85 ","$3,611.34 ", N/A ,"$9,183.42 ","$3,611.34 ","$6,367.17 ","$2,516.95 ","$2,288.14 ","$3,611.34 ","$13,009.85 ", Inpatient Medicare +90% ,"$1,642.74 ","$4,285.60 ","$13,775.13 ", N/A ,"$3,611.34 ","$15,305.70 ","$15,305.70 ","$15,305.70 ","$5,002.22 ","$9,948.71 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$7,445.85 ","$1,642.74 ","$11,455.16 ","$9,028.35 ","$6,873.10 ","$6,873.10 ","$3,611.34 ","$3,207.44 ","$3,218.62 ","$3,611.34 ","$3,698.98 ","$4,960.14 ","$1,642.74 ","$1,642.74 ","$4,711.68 ","$1,642.74 ","$6,861.55 ","$11,455.16 ", Inpatient Medicare +150% ,"$3,611.34 ","$11,455.16 ","$3,611.34 ","$8,591.37 ","$5,727.58 ","$5,727.58 ","$3,611.34 ","$5,727.58 ","$11,455.16 ","$11,455.16 ","$11,455.16 ", N/A ,"$10,309.64 ","$9,028.35 ","$9,736.89 ","$3,611.34 ", N/A ,"$6,873.10 ","$3,611.34 ","$4,765.35 ","$2,516.95 ","$2,288.14 ","$3,611.34 ","$9,736.89 ", Inpatient Medicare +90% ,"$1,642.74 ","$3,207.44 ","$10,309.64 ", N/A ,"$3,611.34 ","$11,455.16 ","$11,455.16 ","$11,455.16 ","$5,002.22 ","$7,445.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$15,401.47 ","$2,288.14 ","$23,694.57 ","$13,542.53 ","$14,216.74 ","$14,216.74 ","$5,308.67 ","$6,634.48 ","$4,827.93 ","$5,308.67 ","$5,548.47 ","$7,291.41 ","$2,464.11 ","$2,464.11 ","$6,926.17 ","$2,464.11 ","$10,086.47 ","$23,694.57 ", Inpatient Medicare +150% ,"$5,308.67 ","$23,694.57 ","$5,308.67 ","$17,770.93 ","$11,847.29 ","$11,847.29 ","$5,308.67 ","$11,847.29 ","$23,694.57 ","$23,694.57 ","$23,694.57 ", N/A ,"$21,325.11 ","$13,542.53 ","$20,140.38 ","$5,308.67 ", N/A ,"$14,216.74 ","$5,308.67 ","$9,856.94 ","$2,516.95 ","$2,288.14 ","$5,308.67 ","$20,140.38 ", Inpatient Medicare +90% ,"$2,464.11 ","$6,634.48 ","$21,325.11 ", N/A ,"$5,308.67 ","$23,694.57 ","$23,694.57 ","$23,694.57 ","$7,503.33 ","$15,401.47 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,438.60 ","$1,642.74 ","$9,028.35 ","$9,028.35 ","$4,097.17 ","$4,097.17 ","$3,611.34 ","$1,912.01 ","$3,218.62 ","$3,611.34 ","$3,698.98 ","$4,960.14 ","$1,642.74 ","$1,642.74 ","$4,711.68 ","$1,642.74 ","$6,861.55 ","$6,828.61 ", Inpatient Medicare +150% ,"$3,611.34 ","$6,828.61 ","$3,611.34 ","$5,121.46 ","$3,414.31 ","$3,414.31 ","$3,611.34 ","$3,414.31 ","$6,828.61 ","$6,828.61 ","$6,828.61 ", N/A ,"$6,145.75 ","$9,028.35 ","$5,804.32 ","$3,611.34 ", N/A ,"$4,097.17 ","$3,611.34 ","$2,840.70 ","$2,516.95 ","$2,288.14 ","$3,611.34 ","$5,804.32 ", Inpatient Medicare +90% ,"$1,642.74 ","$1,912.01 ","$6,145.75 ", N/A ,"$3,611.34 ","$6,828.61 ","$6,828.61 ","$6,828.61 ","$5,002.22 ","$4,438.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,12000002,N/A,HC DAILY SERVICE SWING BED,120,1 ,$448.00 ,$291.20 ,$125.44 ,$448.00 , Inpatient Medicare +150% ,$268.80 ,$268.80 ,"$1,805.67 ",$125.44 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ",$358.40 , Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ",$448.00 ,"$1,805.67 ",$336.00 ,$244.00 ,$244.00 ,"$1,805.67 ",$244.00 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,$403.20 , Inpatient Medicare +150% ,$414.80 ,"$1,805.67 ", N/A ,$268.80 ,"$1,805.67 ",$186.37 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ",$380.80 , Inpatient Medicare +90% ,$821.37 ,$125.44 ,$403.20 , N/A ,"$1,805.67 ","$9,287.00 ","$8,750.00 ","$8,750.00 ","$2,501.11 ",$291.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,569.00 ","$1,019.85 ",$439.32 ,"$1,569.00 ", Inpatient Medicare +150% ,$941.40 ,$941.40 ,"$1,805.67 ",$439.32 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ","$1,255.20 ", Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ","$1,569.00 ","$1,805.67 ","$1,176.75 ",$784.50 ,$784.50 ,"$1,805.67 ",$784.50 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,"$1,412.10 ", Inpatient Medicare +150% ,"$1,333.65 ","$1,805.67 ", N/A ,$941.40 ,"$1,805.67 ",$652.70 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ","$1,333.65 ", Inpatient Medicare +90% ,$821.37 ,$439.32 ,"$1,412.10 ", N/A ,"$1,805.67 ","$9,287.00 ","$8,750.00 ","$8,750.00 ","$2,501.11 ","$1,019.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,12100001,N/A,HC DAILY SERVICE,121,1 ,$897.00 ,$583.05 ,$251.16 ,$897.00 , Inpatient Medicare +150% ,$538.20 ,$538.20 ,"$1,805.67 ",$251.16 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ",$717.60 , Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ",$897.00 ,"$1,805.67 ",$672.75 ,$448.50 ,$448.50 ,"$1,805.67 ",$448.50 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,$807.30 , Inpatient Medicare +150% ,$762.45 ,"$1,805.67 ", N/A ,$538.20 ,"$1,805.67 ",$373.15 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ",$762.45 , Inpatient Medicare +90% ,$821.37 ,$251.16 ,$807.30 , N/A ,"$1,805.67 ","$9,287.00 ","$8,750.00 ","$8,750.00 ","$2,501.11 ",$583.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,12300001,N/A,HC DAILY PEDIATRIC,123,1 ,$897.00 ,$583.05 ,$251.16 ,$897.00 , Inpatient Medicare +150% ,$538.20 ,$538.20 ,"$1,805.67 ",$251.16 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ",$717.60 , Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ",$897.00 ,"$1,805.67 ",$672.75 ,$448.50 ,$448.50 ,"$1,805.67 ",$448.50 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,$807.30 , Inpatient Medicare +150% ,$762.45 ,"$1,805.67 ", N/A ,$538.20 ,"$1,805.67 ",$373.15 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ",$762.45 , Inpatient Medicare +90% ,$821.37 ,$251.16 ,$807.30 , N/A ,"$1,805.67 ","$9,287.00 ","$8,750.00 ","$8,750.00 ","$2,501.11 ",$583.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$897.00 ,$583.05 ,$251.16 ,$897.00 , Inpatient Medicare +150% ,$538.20 ,$538.20 ,"$1,805.67 ",$251.16 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ",$717.60 , Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ",$897.00 ,"$1,805.67 ",$672.75 ,$448.50 ,$448.50 ,"$1,805.67 ",$448.50 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,$807.30 , Inpatient Medicare +150% ,$762.45 ,"$1,805.67 ", N/A ,$538.20 ,"$1,805.67 ",$373.15 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ",$762.45 , Inpatient Medicare +90% ,$821.37 ,$251.16 ,$807.30 , N/A ,"$1,805.67 ","$9,287.00 ","$1,000.00 ","$1,000.00 ","$2,501.11 ",$583.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,20600002,N/A,HC DAILY SERVICE IMCU,206,1 ,"$1,664.00 ","$1,081.60 ",$465.92 ,"$1,664.00 ", Inpatient Medicare +150% ,$998.40 ,$998.40 ,"$1,805.67 ",$465.92 ,"$1,609.31 ","$1,805.67 ","$1,849.49 ","$1,805.67 ",$821.37 ,$821.37 ,"$1,805.67 ","$1,331.20 ", Inpatient Medicare +90% ,"$9,923.00 ", Inpatient Medicare +150% ,"$1,805.67 ","$1,664.00 ","$1,805.67 ","$1,248.00 ",$832.00 ,$832.00 ,"$1,805.67 ",$832.00 ,"$9,287.00 ","$9,287.00 ","$9,287.00 ", N/A ,"$1,497.60 ", Inpatient Medicare +150% ,"$1,414.40 ","$1,805.67 ", N/A ,$998.40 ,"$1,805.67 ",$692.22 , Inpatient Medicaid +10% , Inpatient Medicaid ,"$1,805.67 ","$1,414.40 ", Inpatient Medicare +90% ,$821.37 ,$465.92 ,"$1,497.60 ", N/A ,"$1,805.67 ","$9,287.00 ","$8,750.00 ","$8,750.00 ","$2,501.11 ","$1,081.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$514.00 ,$334.10 ,$33.76 ,$531.21 ,$282.70 ,$308.40 ,$308.40 ,$133.64 ,$143.92 ,$261.11 ,$133.64 ,$302.23 ,$128.50 ,$411.20 ,$411.20 ,$133.64 ,$33.76 ,$214.85 ,$349.52 ,$522.33 ,$133.64 ,$514.00 ,$113.08 ,$385.50 ,$364.94 ,$364.94 ,$113.08 ,$364.94 ,$431.76 ,$431.76 ,$431.76 , N/A ,$462.60 ,$282.70 ,$436.90 ,$113.08 ,$514.00 ,$308.40 ,$113.08 ,$213.82 ,$531.21 ,$482.92 ,$133.64 ,$436.90 ,$396.97 ,$411.20 ,$143.92 ,$462.60 ,$514.00 ,$113.08 ,$431.76 ,$385.50 ,$385.50 ,$133.64 ,$334.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$189.00 ,$122.85 ,$12.82 ,$830.46 ,$103.95 ,$113.40 ,$113.40 ,$49.14 ,$52.92 ,$96.01 ,$49.14 ,$111.13 ,$47.25 ,$151.20 ,$151.20 ,$49.14 ,$12.82 ,$79.00 ,$128.52 ,$102.18 ,$49.14 ,$189.00 ,$41.58 ,$141.75 ,$134.19 ,$134.19 ,$41.58 ,$134.19 ,$158.76 ,$158.76 ,$158.76 , N/A ,$170.10 ,$103.95 ,$160.65 ,$41.58 ,$189.00 ,$113.40 ,$41.58 ,$78.62 ,$830.46 ,$754.96 ,$49.14 ,$160.65 ,$77.65 ,$151.20 ,$52.92 ,$170.10 ,$189.00 ,$41.58 ,$158.76 ,$141.75 ,$141.75 ,$49.14 ,$122.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$629.00 ,$408.85 ,$66.61 ,$629.00 ,$345.95 ,$377.40 ,$377.40 ,$163.54 ,$176.12 ,$319.53 ,$163.54 ,$369.85 ,$157.25 ,$503.20 ,$503.20 ,$163.54 ,$66.61 ,$262.92 ,$427.72 ,$522.33 ,$163.54 ,$629.00 ,$138.38 ,$471.75 ,$446.59 ,$446.59 ,$138.38 ,$446.59 ,$528.36 ,$528.36 ,$528.36 , N/A ,$566.10 ,$345.95 ,$534.65 ,$138.38 ,$629.00 ,$377.40 ,$138.38 ,$261.66 ,$531.21 ,$482.92 ,$163.54 ,$534.65 ,$396.97 ,$503.20 ,$176.12 ,$566.10 ,$629.00 ,$138.38 ,$528.36 ,$471.75 ,$471.75 ,$163.54 ,$408.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$201.00 ,$130.65 ,$20.82 ,$830.46 ,$110.55 ,$120.60 ,$120.60 ,$52.26 ,$56.28 ,$102.11 ,$52.26 ,$118.19 ,$50.25 ,$160.80 ,$160.80 ,$52.26 ,$20.82 ,$84.02 ,$136.68 ,$102.18 ,$52.26 ,$201.00 ,$44.22 ,$150.75 ,$142.71 ,$142.71 ,$44.22 ,$142.71 ,$168.84 ,$168.84 ,$168.84 , N/A ,$180.90 ,$110.55 ,$170.85 ,$44.22 ,$201.00 ,$120.60 ,$44.22 ,$83.62 ,$830.46 ,$754.96 ,$52.26 ,$170.85 ,$77.65 ,$160.80 ,$56.28 ,$180.90 ,$201.00 ,$44.22 ,$168.84 ,$150.75 ,$150.75 ,$52.26 ,$130.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$216.00 ,$140.40 ,$29.89 ,$531.21 ,$118.80 ,$129.60 ,$129.60 ,$56.16 ,$60.48 ,$109.73 ,$56.16 ,$127.01 ,$54.00 ,$172.80 ,$172.80 ,$56.16 ,$29.89 ,$90.29 ,$146.88 ,$158.30 ,$56.16 ,$216.00 ,$47.52 ,$162.00 ,$153.36 ,$153.36 ,$47.52 ,$153.36 ,$181.44 ,$181.44 ,$181.44 , N/A ,$194.40 ,$118.80 ,$183.60 ,$47.52 ,$216.00 ,$129.60 ,$47.52 ,$89.86 ,$531.21 ,$482.92 ,$56.16 ,$183.60 ,$120.31 ,$172.80 ,$60.48 ,$194.40 ,$216.00 ,$47.52 ,$181.44 ,$162.00 ,$162.00 ,$56.16 ,$140.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000005,96368,HC INFUS CONCURRENT,260,1 ,$206.00 ,$133.90 ,$20.15 ,$531.21 ,$113.30 ,$123.60 ,$123.60 ,$53.56 ,$57.68 ,$104.65 ,$53.56 ,$121.13 ,$51.50 ,$164.80 ,$164.80 ,$53.56 ,$20.15 ,$86.11 ,$140.08 , N/A ,$53.56 ,$206.00 ,$45.32 ,$154.50 ,$146.26 ,$146.26 ,$45.32 ,$146.26 ,$173.04 ,$173.04 ,$173.04 , N/A ,$185.40 ,$113.30 ,$175.10 ,$45.32 ,$206.00 ,$123.60 ,$45.32 ,$85.70 ,$531.21 ,$482.92 ,$53.56 ,$175.10 , N/A ,$164.80 ,$57.68 ,$185.40 ,$206.00 ,$45.32 ,$173.04 ,$154.50 ,$154.50 ,$53.56 ,$133.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000016,M0245,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB ADMINISTRATION",260,1 ,$932.00 ,$605.80 ,$205.04 ,"$1,126.25 ",$512.60 ,$559.20 ,$559.20 ,$242.32 ,$260.96 ,$453.88 ,$242.32 ,$522.85 ,$233.00 ,$745.60 ,$745.60 ,$242.32 ,$605.80 ,$389.58 ,$450.00 ,"$1,126.25 ",$242.32 ,$932.00 ,$205.04 ,$699.00 ,$661.72 ,$661.72 ,$205.04 ,$661.72 ,$782.88 ,$782.88 ,$782.88 , N/A ,$838.80 ,$512.60 ,$792.20 ,$205.04 ,$932.00 ,$559.20 ,$205.04 ,$387.71 ,$531.21 ,$482.92 ,$242.32 ,$792.20 ,$855.95 ,$745.60 ,$260.96 ,$838.80 ,$932.00 ,$205.04 ,$782.88 ,$699.00 ,$699.00 ,$242.32 ,$605.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,26000017,M0247,"HC INTRAVENOUS INFUSION, SOTROVIMAB ADMINISTRATION",260,1 ,"$1,350.00 ",$877.50 ,$297.00 ,"$1,350.00 ",$742.50 ,$810.00 ,$810.00 ,$351.00 ,$378.00 ,$657.45 ,$351.00 ,$757.35 ,$337.50 ,"$1,080.00 ","$1,080.00 ",$351.00 ,$877.50 ,$564.30 ,$918.00 ,"$1,126.25 ",$351.00 ,"$1,350.00 ",$297.00 ,"$1,012.50 ",$958.50 ,$958.50 ,$297.00 ,$958.50 ,"$1,134.00 ","$1,134.00 ","$1,134.00 ", N/A ,"$1,215.00 ",$742.50 ,"$1,147.50 ",$297.00 ,"$1,350.00 ",$810.00 ,$297.00 ,$561.60 ,$531.21 ,$482.92 ,$351.00 ,"$1,147.50 ",$855.95 ,"$1,080.00 ",$378.00 ,"$1,215.00 ","$1,350.00 ",$297.00 ,"$1,134.00 ","$1,012.50 ","$1,012.50 ",$351.00 ,$877.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000014,N/A,HC SET CYSTO IRRIGATION TUBING,270,1 ,$33.00 ,$21.45 ,$7.26 ,$33.00 ,$18.15 ,$19.80 ,$19.80 ,$8.58 ,$9.24 ,$16.07 ,$8.58 ,$18.51 ,$8.25 ,$26.40 ,$26.40 ,$8.58 ,$21.45 ,$13.79 ,$22.44 , N/A ,$8.58 ,$33.00 ,$7.26 ,$24.75 ,$23.43 ,$23.43 ,$7.26 ,$23.43 ,$27.72 ,$27.72 ,$27.72 , N/A ,$29.70 ,$18.15 ,$28.05 ,$7.26 ,$33.00 ,$19.80 ,$7.26 ,$13.73 , N/A , N/A ,$8.58 ,$28.05 , N/A ,$26.40 ,$9.24 ,$29.70 ,$33.00 ,$7.26 ,$27.72 ,$24.75 ,$24.75 ,$8.58 ,$21.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000021,N/A,HC TRAY ARTHROGRAM,270,1 ,$32.00 ,$20.80 ,$7.04 ,$32.00 ,$17.60 ,$19.20 ,$19.20 ,$8.32 ,$8.96 ,$15.58 ,$8.32 ,$17.95 ,$8.00 ,$25.60 ,$25.60 ,$8.32 ,$20.80 ,$13.38 ,$21.76 , N/A ,$8.32 ,$32.00 ,$7.04 ,$24.00 ,$22.72 ,$22.72 ,$7.04 ,$22.72 ,$26.88 ,$26.88 ,$26.88 , N/A ,$28.80 ,$17.60 ,$27.20 ,$7.04 ,$32.00 ,$19.20 ,$7.04 ,$13.31 , N/A , N/A ,$8.32 ,$27.20 , N/A ,$25.60 ,$8.96 ,$28.80 ,$32.00 ,$7.04 ,$26.88 ,$24.00 ,$24.00 ,$8.32 ,$20.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000074,N/A,HC TAPE ADHESIVE,270,1 ,$44.00 ,$28.60 ,$9.68 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 ,$21.43 ,$11.44 ,$24.68 ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$29.92 , N/A ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 , N/A , N/A ,$11.44 ,$37.40 , N/A ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 ,$33.00 ,$33.00 ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000077,N/A,HC TUBING CONNECTING,270,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000113,N/A,HC SHOE ORTHOTIC,270,1 ,$77.00 ,$50.05 ,$16.94 ,$77.00 ,$42.35 ,$46.20 ,$46.20 ,$20.02 ,$21.56 ,$37.50 ,$20.02 ,$43.20 ,$19.25 ,$61.60 ,$61.60 ,$20.02 ,$50.05 ,$32.19 ,$52.36 , N/A ,$20.02 ,$77.00 ,$16.94 ,$57.75 ,$54.67 ,$54.67 ,$16.94 ,$54.67 ,$64.68 ,$64.68 ,$64.68 , N/A ,$69.30 ,$42.35 ,$65.45 ,$16.94 ,$77.00 ,$46.20 ,$16.94 ,$32.03 , N/A , N/A ,$20.02 ,$65.45 , N/A ,$61.60 ,$21.56 ,$69.30 ,$77.00 ,$16.94 ,$64.68 ,$57.75 ,$57.75 ,$20.02 ,$50.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000120,N/A,HC FOAM LIMB HOLDER,270,1 ,$21.00 ,$13.65 ,$4.62 ,$21.00 ,$11.55 ,$12.60 ,$12.60 ,$5.46 ,$5.88 ,$10.23 ,$5.46 ,$11.78 ,$5.25 ,$16.80 ,$16.80 ,$5.46 ,$13.65 ,$8.78 ,$14.28 , N/A ,$5.46 ,$21.00 ,$4.62 ,$15.75 ,$14.91 ,$14.91 ,$4.62 ,$14.91 ,$17.64 ,$17.64 ,$17.64 , N/A ,$18.90 ,$11.55 ,$17.85 ,$4.62 ,$21.00 ,$12.60 ,$4.62 ,$8.74 , N/A , N/A ,$5.46 ,$17.85 , N/A ,$16.80 ,$5.88 ,$18.90 ,$21.00 ,$4.62 ,$17.64 ,$15.75 ,$15.75 ,$5.46 ,$13.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27000132,A6010,HC COLLAGEN BASED WOUND FILLER,270,1 ,$60.00 ,$39.00 ,$13.20 ,$60.00 ,$33.00 ,$36.00 ,$36.00 ,$15.60 ,$16.80 ,$30.48 ,$15.60 ,$35.28 ,$15.00 ,$48.00 ,$48.00 ,$15.60 ,$39.00 ,$25.08 ,$40.80 , N/A ,$15.60 ,$60.00 ,$13.20 ,$45.00 ,$42.60 ,$42.60 ,$13.20 ,$42.60 ,$50.40 ,$50.40 ,$50.40 , N/A ,$54.00 ,$33.00 ,$51.00 ,$13.20 ,$60.00 ,$36.00 ,$13.20 ,$24.96 , N/A , N/A ,$15.60 ,$51.00 , N/A ,$48.00 ,$16.80 ,$54.00 ,$60.00 ,$13.20 ,$50.40 ,$45.00 ,$45.00 ,$15.60 ,$39.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100038,N/A,HC CPAP MASK,271,1 ,$30.00 ,$19.50 ,$6.60 ,$30.00 ,$16.50 ,$18.00 ,$18.00 ,$7.80 ,$8.40 ,$14.61 ,$7.80 ,$16.83 ,$7.50 ,$24.00 ,$24.00 ,$7.80 ,$19.50 ,$12.54 ,$20.40 , N/A ,$7.80 ,$30.00 ,$6.60 ,$22.50 ,$21.30 ,$21.30 ,$6.60 ,$21.30 ,$25.20 ,$25.20 ,$25.20 , N/A ,$27.00 ,$16.50 ,$25.50 ,$6.60 ,$30.00 ,$18.00 ,$6.60 ,$12.48 , N/A , N/A ,$7.80 ,$25.50 , N/A ,$24.00 ,$8.40 ,$27.00 ,$30.00 ,$6.60 ,$25.20 ,$22.50 ,$22.50 ,$7.80 ,$19.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100054,N/A,HC FOAM BLOCK,271,1 ,$85.00 ,$55.25 ,$18.70 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$41.40 ,$22.10 ,$47.69 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$57.80 , N/A ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 , N/A , N/A ,$22.10 ,$72.25 , N/A ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$63.75 ,$63.75 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$65.00 ,$42.25 ,$14.30 ,$65.00 ,$35.75 ,$39.00 ,$39.00 ,$16.90 ,$18.20 ,$31.66 ,$16.90 ,$36.47 ,$16.25 ,$52.00 ,$52.00 ,$16.90 ,$42.25 ,$27.17 ,$44.20 , N/A ,$16.90 ,$65.00 ,$14.30 ,$48.75 ,$46.15 ,$46.15 ,$14.30 ,$46.15 ,$54.60 ,$54.60 ,$54.60 , N/A ,$58.50 ,$35.75 ,$55.25 ,$14.30 ,$65.00 ,$39.00 ,$14.30 ,$27.04 , N/A , N/A ,$16.90 ,$55.25 , N/A ,$52.00 ,$18.20 ,$58.50 ,$65.00 ,$14.30 ,$54.60 ,$48.75 ,$48.75 ,$16.90 ,$42.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100096,N/A,HC NASAL PHANYNGEAL AIRWAY,271,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$21.92 ,$11.70 ,$25.25 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$30.60 , N/A ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 , N/A , N/A ,$11.70 ,$38.25 , N/A ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$33.75 ,$33.75 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100106,N/A,HC OXYGEN DAILY,271,1 ,$511.14 ,$332.24 ,$112.45 ,$511.14 ,$281.13 ,$306.68 ,$306.68 ,$132.90 ,$143.12 ,$248.93 ,$132.90 ,$286.75 ,$127.79 ,$408.91 ,$408.91 ,$132.90 ,$332.24 ,$213.66 ,$347.58 , N/A ,$132.90 ,$511.14 ,$112.45 ,$383.36 ,$362.91 ,$362.91 ,$112.45 ,$362.91 ,$429.36 ,$429.36 ,$429.36 , N/A ,$460.03 ,$281.13 ,$434.47 ,$112.45 ,$511.14 ,$306.68 ,$112.45 ,$212.63 , N/A , N/A ,$132.90 ,$434.47 , N/A ,$408.91 ,$143.12 ,$460.03 ,$511.14 ,$112.45 ,$429.36 ,$383.36 ,$383.36 ,$132.90 ,$332.24 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100107,N/A,HC OXYGEN HOURLY,271,1 ,$23.00 ,$14.95 ,$5.06 ,$23.00 ,$12.65 ,$13.80 ,$13.80 ,$5.98 ,$6.44 ,$11.20 ,$5.98 ,$12.90 ,$5.75 ,$18.40 ,$18.40 ,$5.98 ,$14.95 ,$9.61 ,$15.64 , N/A ,$5.98 ,$23.00 ,$5.06 ,$17.25 ,$16.33 ,$16.33 ,$5.06 ,$16.33 ,$19.32 ,$19.32 ,$19.32 , N/A ,$20.70 ,$12.65 ,$19.55 ,$5.06 ,$23.00 ,$13.80 ,$5.06 ,$9.57 , N/A , N/A ,$5.98 ,$19.55 , N/A ,$18.40 ,$6.44 ,$20.70 ,$23.00 ,$5.06 ,$19.32 ,$17.25 ,$17.25 ,$5.98 ,$14.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$24.35 ,$13.00 ,$28.05 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$34.00 , N/A ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 , N/A , N/A ,$13.00 ,$42.50 , N/A ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$37.50 ,$37.50 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100167,N/A,HC WARMING BLANKET DISPOSABLE,271,1 ,$47.00 ,$30.55 ,$10.34 ,$47.00 ,$25.85 ,$28.20 ,$28.20 ,$12.22 ,$13.16 ,$22.89 ,$12.22 ,$26.37 ,$11.75 ,$37.60 ,$37.60 ,$12.22 ,$30.55 ,$19.65 ,$31.96 , N/A ,$12.22 ,$47.00 ,$10.34 ,$35.25 ,$33.37 ,$33.37 ,$10.34 ,$33.37 ,$39.48 ,$39.48 ,$39.48 , N/A ,$42.30 ,$25.85 ,$39.95 ,$10.34 ,$47.00 ,$28.20 ,$10.34 ,$19.55 , N/A , N/A ,$12.22 ,$39.95 , N/A ,$37.60 ,$13.16 ,$42.30 ,$47.00 ,$10.34 ,$39.48 ,$35.25 ,$35.25 ,$12.22 ,$30.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100187,N/A,HC BAG DRAINAGE,271,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100198,N/A,HC BAG FEEDING,271,1 ,$20.00 ,$13.00 ,$4.40 ,$20.00 ,$11.00 ,$12.00 ,$12.00 ,$5.20 ,$5.60 ,$9.74 ,$5.20 ,$11.22 ,$5.00 ,$16.00 ,$16.00 ,$5.20 ,$13.00 ,$8.36 ,$13.60 , N/A ,$5.20 ,$20.00 ,$4.40 ,$15.00 ,$14.20 ,$14.20 ,$4.40 ,$14.20 ,$16.80 ,$16.80 ,$16.80 , N/A ,$18.00 ,$11.00 ,$17.00 ,$4.40 ,$20.00 ,$12.00 ,$4.40 ,$8.32 , N/A , N/A ,$5.20 ,$17.00 , N/A ,$16.00 ,$5.60 ,$18.00 ,$20.00 ,$4.40 ,$16.80 ,$15.00 ,$15.00 ,$5.20 ,$13.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100201,N/A,HC CANNULA NASAL OXYGEN,271,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$31.00 ,$20.15 ,$6.82 ,$31.00 ,$17.05 ,$18.60 ,$18.60 ,$8.06 ,$8.68 ,$15.10 ,$8.06 ,$17.39 ,$7.75 ,$24.80 ,$24.80 ,$8.06 ,$20.15 ,$12.96 ,$21.08 , N/A ,$8.06 ,$31.00 ,$6.82 ,$23.25 ,$22.01 ,$22.01 ,$6.82 ,$22.01 ,$26.04 ,$26.04 ,$26.04 , N/A ,$27.90 ,$17.05 ,$26.35 ,$6.82 ,$31.00 ,$18.60 ,$6.82 ,$12.90 , N/A , N/A ,$8.06 ,$26.35 , N/A ,$24.80 ,$8.68 ,$27.90 ,$31.00 ,$6.82 ,$26.04 ,$23.25 ,$23.25 ,$8.06 ,$20.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100206,N/A,HC CUSHION CHAIR,271,1 ,$87.00 ,$56.55 ,$19.14 ,$87.00 ,$47.85 ,$52.20 ,$52.20 ,$22.62 ,$24.36 ,$42.37 ,$22.62 ,$48.81 ,$21.75 ,$69.60 ,$69.60 ,$22.62 ,$56.55 ,$36.37 ,$59.16 , N/A ,$22.62 ,$87.00 ,$19.14 ,$65.25 ,$61.77 ,$61.77 ,$19.14 ,$61.77 ,$73.08 ,$73.08 ,$73.08 , N/A ,$78.30 ,$47.85 ,$73.95 ,$19.14 ,$87.00 ,$52.20 ,$19.14 ,$36.19 , N/A , N/A ,$22.62 ,$73.95 , N/A ,$69.60 ,$24.36 ,$78.30 ,$87.00 ,$19.14 ,$73.08 ,$65.25 ,$65.25 ,$22.62 ,$56.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100208,N/A,HC DRESSING MEDICOPASTE,271,1 ,$21.00 ,$13.65 ,$4.62 ,$21.00 ,$11.55 ,$12.60 ,$12.60 ,$5.46 ,$5.88 ,$10.23 ,$5.46 ,$11.78 ,$5.25 ,$16.80 ,$16.80 ,$5.46 ,$13.65 ,$8.78 ,$14.28 , N/A ,$5.46 ,$21.00 ,$4.62 ,$15.75 ,$14.91 ,$14.91 ,$4.62 ,$14.91 ,$17.64 ,$17.64 ,$17.64 , N/A ,$18.90 ,$11.55 ,$17.85 ,$4.62 ,$21.00 ,$12.60 ,$4.62 ,$8.74 , N/A , N/A ,$5.46 ,$17.85 , N/A ,$16.80 ,$5.88 ,$18.90 ,$21.00 ,$4.62 ,$17.64 ,$15.75 ,$15.75 ,$5.46 ,$13.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100210,N/A,HC KIT CANISTER SUCTION,271,1 ,"$1,247.00 ",$810.55 ,$274.34 ,"$1,247.00 ",$685.85 ,$748.20 ,$748.20 ,$324.22 ,$349.16 ,$607.29 ,$324.22 ,$699.57 ,$311.75 ,$997.60 ,$997.60 ,$324.22 ,$810.55 ,$521.25 ,$847.96 , N/A ,$324.22 ,"$1,247.00 ",$274.34 ,$935.25 ,$885.37 ,$885.37 ,$274.34 ,$885.37 ,"$1,047.48 ","$1,047.48 ","$1,047.48 ", N/A ,"$1,122.30 ",$685.85 ,"$1,059.95 ",$274.34 ,"$1,247.00 ",$748.20 ,$274.34 ,$518.75 , N/A , N/A ,$324.22 ,"$1,059.95 ", N/A ,$997.60 ,$349.16 ,"$1,122.30 ","$1,247.00 ",$274.34 ,"$1,047.48 ",$935.25 ,$935.25 ,$324.22 ,$810.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$184.00 ,$119.60 ,$40.48 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$89.61 ,$47.84 ,$103.22 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$125.12 , N/A ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 , N/A , N/A ,$47.84 ,$156.40 , N/A ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$138.00 ,$138.00 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$37.00 ,$24.05 ,$8.14 ,$37.00 ,$20.35 ,$22.20 ,$22.20 ,$9.62 ,$10.36 ,$18.02 ,$9.62 ,$20.76 ,$9.25 ,$29.60 ,$29.60 ,$9.62 ,$24.05 ,$15.47 ,$25.16 , N/A ,$9.62 ,$37.00 ,$8.14 ,$27.75 ,$26.27 ,$26.27 ,$8.14 ,$26.27 ,$31.08 ,$31.08 ,$31.08 , N/A ,$33.30 ,$20.35 ,$31.45 ,$8.14 ,$37.00 ,$22.20 ,$8.14 ,$15.39 , N/A , N/A ,$9.62 ,$31.45 , N/A ,$29.60 ,$10.36 ,$33.30 ,$37.00 ,$8.14 ,$31.08 ,$27.75 ,$27.75 ,$9.62 ,$24.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100221,N/A,HC SET IV PCA,271,1 ,$17.00 ,$11.05 ,$3.74 ,$17.00 ,$9.35 ,$10.20 ,$10.20 ,$4.42 ,$4.76 ,$8.28 ,$4.42 ,$9.54 ,$4.25 ,$13.60 ,$13.60 ,$4.42 ,$11.05 ,$7.11 ,$11.56 , N/A ,$4.42 ,$17.00 ,$3.74 ,$12.75 ,$12.07 ,$12.07 ,$3.74 ,$12.07 ,$14.28 ,$14.28 ,$14.28 , N/A ,$15.30 ,$9.35 ,$14.45 ,$3.74 ,$17.00 ,$10.20 ,$3.74 ,$7.07 , N/A , N/A ,$4.42 ,$14.45 , N/A ,$13.60 ,$4.76 ,$15.30 ,$17.00 ,$3.74 ,$14.28 ,$12.75 ,$12.75 ,$4.42 ,$11.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100222,N/A,HC SET OSTOMY IRRIGATION,271,1 ,$147.00 ,$95.55 ,$32.34 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$71.59 ,$38.22 ,$82.47 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$95.55 ,$61.45 ,$99.96 , N/A ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$147.00 ,$88.20 ,$32.34 ,$61.15 , N/A , N/A ,$38.22 ,$124.95 , N/A ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$110.25 ,$110.25 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100226,N/A,HC STETHOSCOPE DISP,271,1 ,$9.00 ,$5.85 ,$1.98 ,$9.00 ,$4.95 ,$5.40 ,$5.40 ,$2.34 ,$2.52 ,$4.38 ,$2.34 ,$5.05 ,$2.25 ,$7.20 ,$7.20 ,$2.34 ,$5.85 ,$3.76 ,$6.12 , N/A ,$2.34 ,$9.00 ,$1.98 ,$6.75 ,$6.39 ,$6.39 ,$1.98 ,$6.39 ,$7.56 ,$7.56 ,$7.56 , N/A ,$8.10 ,$4.95 ,$7.65 ,$1.98 ,$9.00 ,$5.40 ,$1.98 ,$3.74 , N/A , N/A ,$2.34 ,$7.65 , N/A ,$7.20 ,$2.52 ,$8.10 ,$9.00 ,$1.98 ,$7.56 ,$6.75 ,$6.75 ,$2.34 ,$5.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100227,N/A,HC STOCK ANTIEMBOLISM KNEE,271,1 ,$56.00 ,$36.40 ,$12.32 ,$56.00 ,$30.80 ,$33.60 ,$33.60 ,$14.56 ,$15.68 ,$27.27 ,$14.56 ,$31.42 ,$14.00 ,$44.80 ,$44.80 ,$14.56 ,$36.40 ,$23.41 ,$38.08 , N/A ,$14.56 ,$56.00 ,$12.32 ,$42.00 ,$39.76 ,$39.76 ,$12.32 ,$39.76 ,$47.04 ,$47.04 ,$47.04 , N/A ,$50.40 ,$30.80 ,$47.60 ,$12.32 ,$56.00 ,$33.60 ,$12.32 ,$23.30 , N/A , N/A ,$14.56 ,$47.60 , N/A ,$44.80 ,$15.68 ,$50.40 ,$56.00 ,$12.32 ,$47.04 ,$42.00 ,$42.00 ,$14.56 ,$36.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100228,N/A,HC STOCK ANTIEMBOLISM THIGH,271,1 ,$115.97 ,$75.38 ,$25.51 ,$115.97 ,$63.78 ,$69.58 ,$69.58 ,$30.15 ,$32.47 ,$56.48 ,$30.15 ,$65.06 ,$28.99 ,$92.78 ,$92.78 ,$30.15 ,$75.38 ,$48.47 ,$78.86 , N/A ,$30.15 ,$115.97 ,$25.51 ,$86.98 ,$82.34 ,$82.34 ,$25.51 ,$82.34 ,$97.41 ,$97.41 ,$97.41 , N/A ,$104.37 ,$63.78 ,$98.57 ,$25.51 ,$115.97 ,$69.58 ,$25.51 ,$48.24 , N/A , N/A ,$30.15 ,$98.57 , N/A ,$92.78 ,$32.47 ,$104.37 ,$115.97 ,$25.51 ,$97.41 ,$86.98 ,$86.98 ,$30.15 ,$75.38 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100234,N/A,HC MASK BIPAP,271,1 ,$105.00 ,$68.25 ,$23.10 ,$105.00 ,$57.75 ,$63.00 ,$63.00 ,$27.30 ,$29.40 ,$51.14 ,$27.30 ,$58.91 ,$26.25 ,$84.00 ,$84.00 ,$27.30 ,$68.25 ,$43.89 ,$71.40 , N/A ,$27.30 ,$105.00 ,$23.10 ,$78.75 ,$74.55 ,$74.55 ,$23.10 ,$74.55 ,$88.20 ,$88.20 ,$88.20 , N/A ,$94.50 ,$57.75 ,$89.25 ,$23.10 ,$105.00 ,$63.00 ,$23.10 ,$43.68 , N/A , N/A ,$27.30 ,$89.25 , N/A ,$84.00 ,$29.40 ,$94.50 ,$105.00 ,$23.10 ,$88.20 ,$78.75 ,$78.75 ,$27.30 ,$68.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100240,N/A,HC CAUTERY GROUNDING PAD,271,1 ,$39.00 ,$25.35 ,$8.58 ,$39.00 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$18.99 ,$10.14 ,$21.88 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$25.35 ,$16.30 ,$26.52 , N/A ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 , N/A , N/A ,$10.14 ,$33.15 , N/A ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$29.25 ,$29.25 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100313,N/A,HC KIT CPAP SUPPLY ADULT,272,1 ,$441.00 ,$286.65 ,$97.02 ,$441.00 ,$242.55 ,$264.60 ,$264.60 ,$114.66 ,$123.48 ,$214.77 ,$114.66 ,$247.40 ,$110.25 ,$352.80 ,$352.80 ,$114.66 ,$286.65 ,$184.34 ,$299.88 , N/A ,$114.66 ,$441.00 ,$97.02 ,$330.75 ,$313.11 ,$313.11 ,$97.02 ,$313.11 ,$370.44 ,$370.44 ,$370.44 , N/A ,$396.90 ,$242.55 ,$374.85 ,$97.02 ,$441.00 ,$264.60 ,$97.02 ,$183.46 , N/A , N/A ,$114.66 ,$374.85 , N/A ,$352.80 ,$123.48 ,$396.90 ,$441.00 ,$97.02 ,$370.44 ,$330.75 ,$330.75 ,$114.66 ,$286.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100316,N/A,HC KIT CPAP SUPPLY MASK,272,1 ,$51.00 ,$33.15 ,$11.22 ,$51.00 ,$28.05 ,$30.60 ,$30.60 ,$13.26 ,$14.28 ,$24.84 ,$13.26 ,$28.61 ,$12.75 ,$40.80 ,$40.80 ,$13.26 ,$33.15 ,$21.32 ,$34.68 , N/A ,$13.26 ,$51.00 ,$11.22 ,$38.25 ,$36.21 ,$36.21 ,$11.22 ,$36.21 ,$42.84 ,$42.84 ,$42.84 , N/A ,$45.90 ,$28.05 ,$43.35 ,$11.22 ,$51.00 ,$30.60 ,$11.22 ,$21.22 , N/A , N/A ,$13.26 ,$43.35 , N/A ,$40.80 ,$14.28 ,$45.90 ,$51.00 ,$11.22 ,$42.84 ,$38.25 ,$38.25 ,$13.26 ,$33.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100325,N/A,HC SPACER MDI,271,1 ,$31.00 ,$20.15 ,$6.82 ,$31.00 ,$17.05 ,$18.60 ,$18.60 ,$8.06 ,$8.68 ,$15.10 ,$8.06 ,$17.39 ,$7.75 ,$24.80 ,$24.80 ,$8.06 ,$20.15 ,$12.96 ,$21.08 , N/A ,$8.06 ,$31.00 ,$6.82 ,$23.25 ,$22.01 ,$22.01 ,$6.82 ,$22.01 ,$26.04 ,$26.04 ,$26.04 , N/A ,$27.90 ,$17.05 ,$26.35 ,$6.82 ,$31.00 ,$18.60 ,$6.82 ,$12.90 , N/A , N/A ,$8.06 ,$26.35 , N/A ,$24.80 ,$8.68 ,$27.90 ,$31.00 ,$6.82 ,$26.04 ,$23.25 ,$23.25 ,$8.06 ,$20.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100326,N/A,HC STOCKING ANTIEMBOLISM,271,1 ,$34.00 ,$22.10 ,$7.48 ,$34.00 ,$18.70 ,$20.40 ,$20.40 ,$8.84 ,$9.52 ,$16.56 ,$8.84 ,$19.07 ,$8.50 ,$27.20 ,$27.20 ,$8.84 ,$22.10 ,$14.21 ,$23.12 , N/A ,$8.84 ,$34.00 ,$7.48 ,$25.50 ,$24.14 ,$24.14 ,$7.48 ,$24.14 ,$28.56 ,$28.56 ,$28.56 , N/A ,$30.60 ,$18.70 ,$28.90 ,$7.48 ,$34.00 ,$20.40 ,$7.48 ,$14.14 , N/A , N/A ,$8.84 ,$28.90 , N/A ,$27.20 ,$9.52 ,$30.60 ,$34.00 ,$7.48 ,$28.56 ,$25.50 ,$25.50 ,$8.84 ,$22.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100328,V5286,HC ALD BLUE TOOTH FM/DM RECEIVER T1,271,1 ,$770.00 ,$500.50 ,$150.00 ,$770.00 ,$423.50 ,$462.00 ,$462.00 ,$200.20 ,$215.60 ,$374.99 ,$200.20 ,$431.97 ,$192.50 ,$616.00 ,$616.00 ,$200.20 ,$500.50 ,$321.86 ,$523.60 , N/A ,$200.20 ,$770.00 ,$169.40 ,$577.50 ,$546.70 ,$546.70 ,$169.40 ,$546.70 ,$646.80 ,$646.80 ,$646.80 , N/A ,$693.00 ,$423.50 ,$654.50 ,$169.40 ,$770.00 ,$462.00 ,$169.40 ,$320.32 , N/A , N/A ,$200.20 ,$654.50 , N/A ,$616.00 ,$215.60 ,$693.00 ,$150.00 ,$169.40 ,$646.80 ,$577.50 ,$577.50 ,$200.20 ,$500.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100329,V5286,HC ALD BLUE TOOTH FM/DM RECEIVER T2,271,1 ,"$1,040.00 ",$676.00 ,$150.00 ,"$1,040.00 ",$572.00 ,$624.00 ,$624.00 ,$270.40 ,$291.20 ,$506.48 ,$270.40 ,$583.44 ,$260.00 ,$832.00 ,$832.00 ,$270.40 ,$676.00 ,$434.72 ,$707.20 , N/A ,$270.40 ,"$1,040.00 ",$228.80 ,$780.00 ,$738.40 ,$738.40 ,$228.80 ,$738.40 ,$873.60 ,$873.60 ,$873.60 , N/A ,$936.00 ,$572.00 ,$884.00 ,$228.80 ,"$1,040.00 ",$624.00 ,$228.80 ,$432.64 , N/A , N/A ,$270.40 ,$884.00 , N/A ,$832.00 ,$291.20 ,$936.00 ,$150.00 ,$228.80 ,$873.60 ,$780.00 ,$780.00 ,$270.40 ,$676.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100330,V5286,HC ALD BLUE TOOTH FM/DM RECEIVER T3,271,1 ,"$1,300.00 ",$845.00 ,$150.00 ,"$1,300.00 ",$715.00 ,$780.00 ,$780.00 ,$338.00 ,$364.00 ,$633.10 ,$338.00 ,$729.30 ,$325.00 ,"$1,040.00 ","$1,040.00 ",$338.00 ,$845.00 ,$543.40 ,$884.00 , N/A ,$338.00 ,"$1,300.00 ",$286.00 ,$975.00 ,$923.00 ,$923.00 ,$286.00 ,$923.00 ,"$1,092.00 ","$1,092.00 ","$1,092.00 ", N/A ,"$1,170.00 ",$715.00 ,"$1,105.00 ",$286.00 ,"$1,300.00 ",$780.00 ,$286.00 ,$540.80 , N/A , N/A ,$338.00 ,"$1,105.00 ", N/A ,"$1,040.00 ",$364.00 ,"$1,170.00 ",$150.00 ,$286.00 ,"$1,092.00 ",$975.00 ,$975.00 ,$338.00 ,$845.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100331,V5286,HC ALD BLUE TOOTH FM/DM RECEIVER T4,271,1 ,"$1,350.00 ",$877.50 ,$150.00 ,"$1,350.00 ",$742.50 ,$810.00 ,$810.00 ,$351.00 ,$378.00 ,$657.45 ,$351.00 ,$757.35 ,$337.50 ,"$1,080.00 ","$1,080.00 ",$351.00 ,$877.50 ,$564.30 ,$918.00 , N/A ,$351.00 ,"$1,350.00 ",$297.00 ,"$1,012.50 ",$958.50 ,$958.50 ,$297.00 ,$958.50 ,"$1,134.00 ","$1,134.00 ","$1,134.00 ", N/A ,"$1,215.00 ",$742.50 ,"$1,147.50 ",$297.00 ,"$1,350.00 ",$810.00 ,$297.00 ,$561.60 , N/A , N/A ,$351.00 ,"$1,147.50 ", N/A ,"$1,080.00 ",$378.00 ,"$1,215.00 ",$150.00 ,$297.00 ,"$1,134.00 ","$1,012.50 ","$1,012.50 ",$351.00 ,$877.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100332,V5286,HC ALD BLUE TOOTH FM/DM RECEIVER T5,271,1 ,"$1,400.00 ",$910.00 ,$150.00 ,"$1,400.00 ",$770.00 ,$840.00 ,$840.00 ,$364.00 ,$392.00 ,$681.80 ,$364.00 ,$785.40 ,$350.00 ,"$1,120.00 ","$1,120.00 ",$364.00 ,$910.00 ,$585.20 ,$952.00 , N/A ,$364.00 ,"$1,400.00 ",$308.00 ,"$1,050.00 ",$994.00 ,$994.00 ,$308.00 ,$994.00 ,"$1,176.00 ","$1,176.00 ","$1,176.00 ", N/A ,"$1,260.00 ",$770.00 ,"$1,190.00 ",$308.00 ,"$1,400.00 ",$840.00 ,$308.00 ,$582.40 , N/A , N/A ,$364.00 ,"$1,190.00 ", N/A ,"$1,120.00 ",$392.00 ,"$1,260.00 ",$150.00 ,$308.00 ,"$1,176.00 ","$1,050.00 ","$1,050.00 ",$364.00 ,$910.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100333,V5290,HC ALD TRANSMITTER MICROPHONE T1,271,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100334,V5290,HC ALD TRANSMITTER MICROPHONE T2,271,1 ,$700.00 ,$455.00 ,$150.00 ,$700.00 ,$385.00 ,$420.00 ,$420.00 ,$182.00 ,$196.00 ,$340.90 ,$182.00 ,$392.70 ,$175.00 ,$560.00 ,$560.00 ,$182.00 ,$455.00 ,$292.60 ,$476.00 , N/A ,$182.00 ,$700.00 ,$154.00 ,$525.00 ,$497.00 ,$497.00 ,$154.00 ,$497.00 ,$588.00 ,$588.00 ,$588.00 , N/A ,$630.00 ,$385.00 ,$595.00 ,$154.00 ,$700.00 ,$420.00 ,$154.00 ,$291.20 , N/A , N/A ,$182.00 ,$595.00 , N/A ,$560.00 ,$196.00 ,$630.00 ,$150.00 ,$154.00 ,$588.00 ,$525.00 ,$525.00 ,$182.00 ,$455.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100335,V5290,HC ALD TRANSMITTER MICROPHONE T3,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100336,V5290,HC ALD TRANSMITTER MICROPHONE T4,271,1 ,"$1,050.00 ",$682.50 ,$150.00 ,"$1,050.00 ",$577.50 ,$630.00 ,$630.00 ,$273.00 ,$294.00 ,$511.35 ,$273.00 ,$589.05 ,$262.50 ,$840.00 ,$840.00 ,$273.00 ,$682.50 ,$438.90 ,$714.00 , N/A ,$273.00 ,"$1,050.00 ",$231.00 ,$787.50 ,$745.50 ,$745.50 ,$231.00 ,$745.50 ,$882.00 ,$882.00 ,$882.00 , N/A ,$945.00 ,$577.50 ,$892.50 ,$231.00 ,"$1,050.00 ",$630.00 ,$231.00 ,$436.80 , N/A , N/A ,$273.00 ,$892.50 , N/A ,$840.00 ,$294.00 ,$945.00 ,$150.00 ,$231.00 ,$882.00 ,$787.50 ,$787.50 ,$273.00 ,$682.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100337,V5290,HC ALD TRANSMITTER MICROPHONE T5,271,1 ,"$1,150.00 ",$747.50 ,$150.00 ,"$1,150.00 ",$632.50 ,$690.00 ,$690.00 ,$299.00 ,$322.00 ,$560.05 ,$299.00 ,$645.15 ,$287.50 ,$920.00 ,$920.00 ,$299.00 ,$747.50 ,$480.70 ,$782.00 , N/A ,$299.00 ,"$1,150.00 ",$253.00 ,$862.50 ,$816.50 ,$816.50 ,$253.00 ,$816.50 ,$966.00 ,$966.00 ,$966.00 , N/A ,"$1,035.00 ",$632.50 ,$977.50 ,$253.00 ,"$1,150.00 ",$690.00 ,$253.00 ,$478.40 , N/A , N/A ,$299.00 ,$977.50 , N/A ,$920.00 ,$322.00 ,"$1,035.00 ",$150.00 ,$253.00 ,$966.00 ,$862.50 ,$862.50 ,$299.00 ,$747.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100338,V5267,HC HEARING AID ACCESSORY NOS T1,271,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100339,V5267,HC HEARING AID ACCESSORY NOS T2,271,1 ,$350.00 ,$227.50 ,$77.00 ,$350.00 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$170.45 ,$91.00 ,$196.35 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$227.50 ,$146.30 ,$238.00 , N/A ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 , N/A , N/A ,$91.00 ,$297.50 , N/A ,$280.00 ,$98.00 ,$315.00 ,$150.00 ,$77.00 ,$294.00 ,$262.50 ,$262.50 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100340,V5267,HC HEARING AID ACCESSORY NOS T3,271,1 ,$450.00 ,$292.50 ,$99.00 ,$450.00 ,$247.50 ,$270.00 ,$270.00 ,$117.00 ,$126.00 ,$219.15 ,$117.00 ,$252.45 ,$112.50 ,$360.00 ,$360.00 ,$117.00 ,$292.50 ,$188.10 ,$306.00 , N/A ,$117.00 ,$450.00 ,$99.00 ,$337.50 ,$319.50 ,$319.50 ,$99.00 ,$319.50 ,$378.00 ,$378.00 ,$378.00 , N/A ,$405.00 ,$247.50 ,$382.50 ,$99.00 ,$450.00 ,$270.00 ,$99.00 ,$187.20 , N/A , N/A ,$117.00 ,$382.50 , N/A ,$360.00 ,$126.00 ,$405.00 ,$150.00 ,$99.00 ,$378.00 ,$337.50 ,$337.50 ,$117.00 ,$292.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100341,V5267,HC HEARING AID ACCESSORY NOS T4,271,1 ,$500.00 ,$325.00 ,$110.00 ,$500.00 ,$275.00 ,$300.00 ,$300.00 ,$130.00 ,$140.00 ,$243.50 ,$130.00 ,$280.50 ,$125.00 ,$400.00 ,$400.00 ,$130.00 ,$325.00 ,$209.00 ,$340.00 , N/A ,$130.00 ,$500.00 ,$110.00 ,$375.00 ,$355.00 ,$355.00 ,$110.00 ,$355.00 ,$420.00 ,$420.00 ,$420.00 , N/A ,$450.00 ,$275.00 ,$425.00 ,$110.00 ,$500.00 ,$300.00 ,$110.00 ,$208.00 , N/A , N/A ,$130.00 ,$425.00 , N/A ,$400.00 ,$140.00 ,$450.00 ,$150.00 ,$110.00 ,$420.00 ,$375.00 ,$375.00 ,$130.00 ,$325.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100342,V5267,HC HEARING AID ACCESSORY NOS T5,271,1 ,$525.00 ,$341.25 ,$115.50 ,$525.00 ,$288.75 ,$315.00 ,$315.00 ,$136.50 ,$147.00 ,$255.68 ,$136.50 ,$294.53 ,$131.25 ,$420.00 ,$420.00 ,$136.50 ,$341.25 ,$219.45 ,$357.00 , N/A ,$136.50 ,$525.00 ,$115.50 ,$393.75 ,$372.75 ,$372.75 ,$115.50 ,$372.75 ,$441.00 ,$441.00 ,$441.00 , N/A ,$472.50 ,$288.75 ,$446.25 ,$115.50 ,$525.00 ,$315.00 ,$115.50 ,$218.40 , N/A , N/A ,$136.50 ,$446.25 , N/A ,$420.00 ,$147.00 ,$472.50 ,$150.00 ,$115.50 ,$441.00 ,$393.75 ,$393.75 ,$136.50 ,$341.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100343,V5267,HC HEARING AID ACCESSORY NOS T6,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100344,V5267,HC HEARING AID ACCESSORY NOS T7,271,1 ,$600.00 ,$390.00 ,$132.00 ,$600.00 ,$330.00 ,$360.00 ,$360.00 ,$156.00 ,$168.00 ,$292.20 ,$156.00 ,$336.60 ,$150.00 ,$480.00 ,$480.00 ,$156.00 ,$390.00 ,$250.80 ,$408.00 , N/A ,$156.00 ,$600.00 ,$132.00 ,$450.00 ,$426.00 ,$426.00 ,$132.00 ,$426.00 ,$504.00 ,$504.00 ,$504.00 , N/A ,$540.00 ,$330.00 ,$510.00 ,$132.00 ,$600.00 ,$360.00 ,$132.00 ,$249.60 , N/A , N/A ,$156.00 ,$510.00 , N/A ,$480.00 ,$168.00 ,$540.00 ,$150.00 ,$132.00 ,$504.00 ,$450.00 ,$450.00 ,$156.00 ,$390.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100345,V5267,HC HEARING AID ACCESSORY NOS T8,271,1 ,$625.00 ,$406.25 ,$137.50 ,$625.00 ,$343.75 ,$375.00 ,$375.00 ,$162.50 ,$175.00 ,$304.38 ,$162.50 ,$350.63 ,$156.25 ,$500.00 ,$500.00 ,$162.50 ,$406.25 ,$261.25 ,$425.00 , N/A ,$162.50 ,$625.00 ,$137.50 ,$468.75 ,$443.75 ,$443.75 ,$137.50 ,$443.75 ,$525.00 ,$525.00 ,$525.00 , N/A ,$562.50 ,$343.75 ,$531.25 ,$137.50 ,$625.00 ,$375.00 ,$137.50 ,$260.00 , N/A , N/A ,$162.50 ,$531.25 , N/A ,$500.00 ,$175.00 ,$562.50 ,$150.00 ,$137.50 ,$525.00 ,$468.75 ,$468.75 ,$162.50 ,$406.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100346,V5267,HC HEARING AID ACCESSORY NOS T9,271,1 ,$650.00 ,$422.50 ,$143.00 ,$650.00 ,$357.50 ,$390.00 ,$390.00 ,$169.00 ,$182.00 ,$316.55 ,$169.00 ,$364.65 ,$162.50 ,$520.00 ,$520.00 ,$169.00 ,$422.50 ,$271.70 ,$442.00 , N/A ,$169.00 ,$650.00 ,$143.00 ,$487.50 ,$461.50 ,$461.50 ,$143.00 ,$461.50 ,$546.00 ,$546.00 ,$546.00 , N/A ,$585.00 ,$357.50 ,$552.50 ,$143.00 ,$650.00 ,$390.00 ,$143.00 ,$270.40 , N/A , N/A ,$169.00 ,$552.50 , N/A ,$520.00 ,$182.00 ,$585.00 ,$150.00 ,$143.00 ,$546.00 ,$487.50 ,$487.50 ,$169.00 ,$422.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100347,V5267,HC HEARING AID ACCESSORY NOS T10,271,1 ,$675.00 ,$438.75 ,$148.50 ,$675.00 ,$371.25 ,$405.00 ,$405.00 ,$175.50 ,$189.00 ,$328.73 ,$175.50 ,$378.68 ,$168.75 ,$540.00 ,$540.00 ,$175.50 ,$438.75 ,$282.15 ,$459.00 , N/A ,$175.50 ,$675.00 ,$148.50 ,$506.25 ,$479.25 ,$479.25 ,$148.50 ,$479.25 ,$567.00 ,$567.00 ,$567.00 , N/A ,$607.50 ,$371.25 ,$573.75 ,$148.50 ,$675.00 ,$405.00 ,$148.50 ,$280.80 , N/A , N/A ,$175.50 ,$573.75 , N/A ,$540.00 ,$189.00 ,$607.50 ,$150.00 ,$148.50 ,$567.00 ,$506.25 ,$506.25 ,$175.50 ,$438.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100348,V5267,HC HEARING AID ACCESSORY NOS T11,271,1 ,$700.00 ,$455.00 ,$150.00 ,$700.00 ,$385.00 ,$420.00 ,$420.00 ,$182.00 ,$196.00 ,$340.90 ,$182.00 ,$392.70 ,$175.00 ,$560.00 ,$560.00 ,$182.00 ,$455.00 ,$292.60 ,$476.00 , N/A ,$182.00 ,$700.00 ,$154.00 ,$525.00 ,$497.00 ,$497.00 ,$154.00 ,$497.00 ,$588.00 ,$588.00 ,$588.00 , N/A ,$630.00 ,$385.00 ,$595.00 ,$154.00 ,$700.00 ,$420.00 ,$154.00 ,$291.20 , N/A , N/A ,$182.00 ,$595.00 , N/A ,$560.00 ,$196.00 ,$630.00 ,$150.00 ,$154.00 ,$588.00 ,$525.00 ,$525.00 ,$182.00 ,$455.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100349,V5267,HC HEARING AID ACCESSORY NOS T12,271,1 ,$725.00 ,$471.25 ,$150.00 ,$725.00 ,$398.75 ,$435.00 ,$435.00 ,$188.50 ,$203.00 ,$353.08 ,$188.50 ,$406.73 ,$181.25 ,$580.00 ,$580.00 ,$188.50 ,$471.25 ,$303.05 ,$493.00 , N/A ,$188.50 ,$725.00 ,$159.50 ,$543.75 ,$514.75 ,$514.75 ,$159.50 ,$514.75 ,$609.00 ,$609.00 ,$609.00 , N/A ,$652.50 ,$398.75 ,$616.25 ,$159.50 ,$725.00 ,$435.00 ,$159.50 ,$301.60 , N/A , N/A ,$188.50 ,$616.25 , N/A ,$580.00 ,$203.00 ,$652.50 ,$150.00 ,$159.50 ,$609.00 ,$543.75 ,$543.75 ,$188.50 ,$471.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100350,V5267,HC HEARING AID ACCESSORY NOS T13,271,1 ,$750.00 ,$487.50 ,$150.00 ,$750.00 ,$412.50 ,$450.00 ,$450.00 ,$195.00 ,$210.00 ,$365.25 ,$195.00 ,$420.75 ,$187.50 ,$600.00 ,$600.00 ,$195.00 ,$487.50 ,$313.50 ,$510.00 , N/A ,$195.00 ,$750.00 ,$165.00 ,$562.50 ,$532.50 ,$532.50 ,$165.00 ,$532.50 ,$630.00 ,$630.00 ,$630.00 , N/A ,$675.00 ,$412.50 ,$637.50 ,$165.00 ,$750.00 ,$450.00 ,$165.00 ,$312.00 , N/A , N/A ,$195.00 ,$637.50 , N/A ,$600.00 ,$210.00 ,$675.00 ,$150.00 ,$165.00 ,$630.00 ,$562.50 ,$562.50 ,$195.00 ,$487.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100351,V5050,HC HEARING AID MONAURAL IN EAR T1,271,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100352,V5050,HC HEARING AID MONAURAL IN EAR T2,271,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$88.00 ,$400.00 ,$240.00 ,$88.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$88.00 ,$336.00 ,$300.00 ,$300.00 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100353,V5050,HC HEARING AID MONAURAL IN EAR T3,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100354,V5050,HC HEARING AID MONAURAL IN EAR T4,271,1 ,$750.00 ,$487.50 ,$150.00 ,$750.00 ,$412.50 ,$450.00 ,$450.00 ,$195.00 ,$210.00 ,$365.25 ,$195.00 ,$420.75 ,$187.50 ,$600.00 ,$600.00 ,$195.00 ,$487.50 ,$313.50 ,$510.00 , N/A ,$195.00 ,$750.00 ,$165.00 ,$562.50 ,$532.50 ,$532.50 ,$165.00 ,$532.50 ,$630.00 ,$630.00 ,$630.00 , N/A ,$675.00 ,$412.50 ,$637.50 ,$165.00 ,$750.00 ,$450.00 ,$165.00 ,$312.00 , N/A , N/A ,$195.00 ,$637.50 , N/A ,$600.00 ,$210.00 ,$675.00 ,$150.00 ,$165.00 ,$630.00 ,$562.50 ,$562.50 ,$195.00 ,$487.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100355,V5050,HC HEARING AID MONAURAL IN EAR T5,271,1 ,$800.00 ,$520.00 ,$150.00 ,$800.00 ,$440.00 ,$480.00 ,$480.00 ,$208.00 ,$224.00 ,$389.60 ,$208.00 ,$448.80 ,$200.00 ,$640.00 ,$640.00 ,$208.00 ,$520.00 ,$334.40 ,$544.00 , N/A ,$208.00 ,$800.00 ,$176.00 ,$600.00 ,$568.00 ,$568.00 ,$176.00 ,$568.00 ,$672.00 ,$672.00 ,$672.00 , N/A ,$720.00 ,$440.00 ,$680.00 ,$176.00 ,$800.00 ,$480.00 ,$176.00 ,$332.80 , N/A , N/A ,$208.00 ,$680.00 , N/A ,$640.00 ,$224.00 ,$720.00 ,$150.00 ,$176.00 ,$672.00 ,$600.00 ,$600.00 ,$208.00 ,$520.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100356,V5050,HC HEARING AID MONAURAL IN EAR T6,271,1 ,$825.00 ,$536.25 ,$150.00 ,$825.00 ,$453.75 ,$495.00 ,$495.00 ,$214.50 ,$231.00 ,$401.78 ,$214.50 ,$462.83 ,$206.25 ,$660.00 ,$660.00 ,$214.50 ,$536.25 ,$344.85 ,$561.00 , N/A ,$214.50 ,$825.00 ,$181.50 ,$618.75 ,$585.75 ,$585.75 ,$181.50 ,$585.75 ,$693.00 ,$693.00 ,$693.00 , N/A ,$742.50 ,$453.75 ,$701.25 ,$181.50 ,$825.00 ,$495.00 ,$181.50 ,$343.20 , N/A , N/A ,$214.50 ,$701.25 , N/A ,$660.00 ,$231.00 ,$742.50 ,$150.00 ,$181.50 ,$693.00 ,$618.75 ,$618.75 ,$214.50 ,$536.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100357,V5050,HC HEARING AID MONAURAL IN EAR T7,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100358,V5050,HC HEARING AID MONAURAL IN EAR T8,271,1 ,"$1,000.00 ",$650.00 ,$150.00 ,"$1,000.00 ",$550.00 ,$600.00 ,$600.00 ,$260.00 ,$280.00 ,$487.00 ,$260.00 ,$561.00 ,$250.00 ,$800.00 ,$800.00 ,$260.00 ,$650.00 ,$418.00 ,$680.00 , N/A ,$260.00 ,"$1,000.00 ",$220.00 ,$750.00 ,$710.00 ,$710.00 ,$220.00 ,$710.00 ,$840.00 ,$840.00 ,$840.00 , N/A ,$900.00 ,$550.00 ,$850.00 ,$220.00 ,"$1,000.00 ",$600.00 ,$220.00 ,$416.00 , N/A , N/A ,$260.00 ,$850.00 , N/A ,$800.00 ,$280.00 ,$900.00 ,$150.00 ,$220.00 ,$840.00 ,$750.00 ,$750.00 ,$260.00 ,$650.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100359,V5050,HC HEARING AID MONAURAL IN EAR T9,271,1 ,"$1,150.00 ",$747.50 ,$150.00 ,"$1,150.00 ",$632.50 ,$690.00 ,$690.00 ,$299.00 ,$322.00 ,$560.05 ,$299.00 ,$645.15 ,$287.50 ,$920.00 ,$920.00 ,$299.00 ,$747.50 ,$480.70 ,$782.00 , N/A ,$299.00 ,"$1,150.00 ",$253.00 ,$862.50 ,$816.50 ,$816.50 ,$253.00 ,$816.50 ,$966.00 ,$966.00 ,$966.00 , N/A ,"$1,035.00 ",$632.50 ,$977.50 ,$253.00 ,"$1,150.00 ",$690.00 ,$253.00 ,$478.40 , N/A , N/A ,$299.00 ,$977.50 , N/A ,$920.00 ,$322.00 ,"$1,035.00 ",$150.00 ,$253.00 ,$966.00 ,$862.50 ,$862.50 ,$299.00 ,$747.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100360,V5050,HC HEARING AID MONAURAL IN EAR T10,271,1 ,"$1,275.00 ",$828.75 ,$150.00 ,"$1,275.00 ",$701.25 ,$765.00 ,$765.00 ,$331.50 ,$357.00 ,$620.93 ,$331.50 ,$715.28 ,$318.75 ,"$1,020.00 ","$1,020.00 ",$331.50 ,$828.75 ,$532.95 ,$867.00 , N/A ,$331.50 ,"$1,275.00 ",$280.50 ,$956.25 ,$905.25 ,$905.25 ,$280.50 ,$905.25 ,"$1,071.00 ","$1,071.00 ","$1,071.00 ", N/A ,"$1,147.50 ",$701.25 ,"$1,083.75 ",$280.50 ,"$1,275.00 ",$765.00 ,$280.50 ,$530.40 , N/A , N/A ,$331.50 ,"$1,083.75 ", N/A ,"$1,020.00 ",$357.00 ,"$1,147.50 ",$150.00 ,$280.50 ,"$1,071.00 ",$956.25 ,$956.25 ,$331.50 ,$828.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100361,V5050,HC HEARING AID MONAURAL IN EAR T11,271,1 ,"$1,400.00 ",$910.00 ,$150.00 ,"$1,400.00 ",$770.00 ,$840.00 ,$840.00 ,$364.00 ,$392.00 ,$681.80 ,$364.00 ,$785.40 ,$350.00 ,"$1,120.00 ","$1,120.00 ",$364.00 ,$910.00 ,$585.20 ,$952.00 , N/A ,$364.00 ,"$1,400.00 ",$308.00 ,"$1,050.00 ",$994.00 ,$994.00 ,$308.00 ,$994.00 ,"$1,176.00 ","$1,176.00 ","$1,176.00 ", N/A ,"$1,260.00 ",$770.00 ,"$1,190.00 ",$308.00 ,"$1,400.00 ",$840.00 ,$308.00 ,$582.40 , N/A , N/A ,$364.00 ,"$1,190.00 ", N/A ,"$1,120.00 ",$392.00 ,"$1,260.00 ",$150.00 ,$308.00 ,"$1,176.00 ","$1,050.00 ","$1,050.00 ",$364.00 ,$910.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100362,V5050,HC HEARING AID MONAURAL IN EAR T12,271,1 ,"$1,525.00 ",$991.25 ,$150.00 ,"$1,525.00 ",$838.75 ,$915.00 ,$915.00 ,$396.50 ,$427.00 ,$742.68 ,$396.50 ,$855.53 ,$381.25 ,"$1,220.00 ","$1,220.00 ",$396.50 ,$991.25 ,$637.45 ,"$1,037.00 ", N/A ,$396.50 ,"$1,525.00 ",$335.50 ,"$1,143.75 ","$1,082.75 ","$1,082.75 ",$335.50 ,"$1,082.75 ","$1,281.00 ","$1,281.00 ","$1,281.00 ", N/A ,"$1,372.50 ",$838.75 ,"$1,296.25 ",$335.50 ,"$1,525.00 ",$915.00 ,$335.50 ,$634.40 , N/A , N/A ,$396.50 ,"$1,296.25 ", N/A ,"$1,220.00 ",$427.00 ,"$1,372.50 ",$150.00 ,$335.50 ,"$1,281.00 ","$1,143.75 ","$1,143.75 ",$396.50 ,$991.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100363,V5050,HC HEARING AID MONAURAL IN EAR T13,271,1 ,"$1,675.00 ","$1,088.75 ",$150.00 ,"$1,675.00 ",$921.25 ,"$1,005.00 ","$1,005.00 ",$435.50 ,$469.00 ,$815.73 ,$435.50 ,$939.68 ,$418.75 ,"$1,340.00 ","$1,340.00 ",$435.50 ,"$1,088.75 ",$700.15 ,"$1,139.00 ", N/A ,$435.50 ,"$1,675.00 ",$368.50 ,"$1,256.25 ","$1,189.25 ","$1,189.25 ",$368.50 ,"$1,189.25 ","$1,407.00 ","$1,407.00 ","$1,407.00 ", N/A ,"$1,507.50 ",$921.25 ,"$1,423.75 ",$368.50 ,"$1,675.00 ","$1,005.00 ",$368.50 ,$696.80 , N/A , N/A ,$435.50 ,"$1,423.75 ", N/A ,"$1,340.00 ",$469.00 ,"$1,507.50 ",$150.00 ,$368.50 ,"$1,407.00 ","$1,256.25 ","$1,256.25 ",$435.50 ,"$1,088.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100364,V5050,HC HEARING AID MONAURAL IN EAR T14,271,1 ,"$1,875.00 ","$1,218.75 ",$150.00 ,"$1,875.00 ","$1,031.25 ","$1,125.00 ","$1,125.00 ",$487.50 ,$525.00 ,$913.13 ,$487.50 ,"$1,051.88 ",$468.75 ,"$1,500.00 ","$1,500.00 ",$487.50 ,"$1,218.75 ",$783.75 ,"$1,275.00 ", N/A ,$487.50 ,"$1,875.00 ",$412.50 ,"$1,406.25 ","$1,331.25 ","$1,331.25 ",$412.50 ,"$1,331.25 ","$1,575.00 ","$1,575.00 ","$1,575.00 ", N/A ,"$1,687.50 ","$1,031.25 ","$1,593.75 ",$412.50 ,"$1,875.00 ","$1,125.00 ",$412.50 ,$780.00 , N/A , N/A ,$487.50 ,"$1,593.75 ", N/A ,"$1,500.00 ",$525.00 ,"$1,687.50 ",$150.00 ,$412.50 ,"$1,575.00 ","$1,406.25 ","$1,406.25 ",$487.50 ,"$1,218.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100365,V5050,HC HEARING AID MONAURAL IN EAR T15,271,1 ,"$2,225.00 ","$1,446.25 ",$150.00 ,"$2,225.00 ","$1,223.75 ","$1,335.00 ","$1,335.00 ",$578.50 ,$623.00 ,"$1,083.58 ",$578.50 ,"$1,248.23 ",$556.25 ,"$1,780.00 ","$1,780.00 ",$578.50 ,"$1,446.25 ",$930.05 ,"$1,513.00 ", N/A ,$578.50 ,"$2,225.00 ",$489.50 ,"$1,668.75 ","$1,579.75 ","$1,579.75 ",$489.50 ,"$1,579.75 ","$1,869.00 ","$1,869.00 ","$1,869.00 ", N/A ,"$2,002.50 ","$1,223.75 ","$1,891.25 ",$489.50 ,"$2,225.00 ","$1,335.00 ",$489.50 ,$925.60 , N/A , N/A ,$578.50 ,"$1,891.25 ", N/A ,"$1,780.00 ",$623.00 ,"$2,002.50 ",$150.00 ,$489.50 ,"$1,869.00 ","$1,668.75 ","$1,668.75 ",$578.50 ,"$1,446.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100366,V5050,HC HEARING AID MONAURAL IN EAR T16,271,1 ,"$2,350.00 ","$1,527.50 ",$150.00 ,"$2,350.00 ","$1,292.50 ","$1,410.00 ","$1,410.00 ",$611.00 ,$658.00 ,"$1,144.45 ",$611.00 ,"$1,318.35 ",$587.50 ,"$1,880.00 ","$1,880.00 ",$611.00 ,"$1,527.50 ",$982.30 ,"$1,598.00 ", N/A ,$611.00 ,"$2,350.00 ",$517.00 ,"$1,762.50 ","$1,668.50 ","$1,668.50 ",$517.00 ,"$1,668.50 ","$1,974.00 ","$1,974.00 ","$1,974.00 ", N/A ,"$2,115.00 ","$1,292.50 ","$1,997.50 ",$517.00 ,"$2,350.00 ","$1,410.00 ",$517.00 ,$977.60 , N/A , N/A ,$611.00 ,"$1,997.50 ", N/A ,"$1,880.00 ",$658.00 ,"$2,115.00 ",$150.00 ,$517.00 ,"$1,974.00 ","$1,762.50 ","$1,762.50 ",$611.00 ,"$1,527.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100367,V5060,HC HEARING AID MONAURAL BEHIND EAR T1,271,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100368,V5060,HC HEARING AID MONAURAL BEHIND EAR T2,271,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$88.00 ,$400.00 ,$240.00 ,$88.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$88.00 ,$336.00 ,$300.00 ,$300.00 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100369,V5060,HC HEARING AID MONAURAL BEHIND EAR T3,271,1 ,$550.00 ,$357.50 ,$121.00 ,$550.00 ,$302.50 ,$330.00 ,$330.00 ,$143.00 ,$154.00 ,$267.85 ,$143.00 ,$308.55 ,$137.50 ,$440.00 ,$440.00 ,$143.00 ,$357.50 ,$229.90 ,$374.00 , N/A ,$143.00 ,$550.00 ,$121.00 ,$412.50 ,$390.50 ,$390.50 ,$121.00 ,$390.50 ,$462.00 ,$462.00 ,$462.00 , N/A ,$495.00 ,$302.50 ,$467.50 ,$121.00 ,$550.00 ,$330.00 ,$121.00 ,$228.80 , N/A , N/A ,$143.00 ,$467.50 , N/A ,$440.00 ,$154.00 ,$495.00 ,$150.00 ,$121.00 ,$462.00 ,$412.50 ,$412.50 ,$143.00 ,$357.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100370,V5060,HC HEARING AID MONAURAL BEHIND EAR T4,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100371,V5060,HC HEARING AID MONAURAL BEHIND EAR T5,271,1 ,$600.00 ,$390.00 ,$132.00 ,$600.00 ,$330.00 ,$360.00 ,$360.00 ,$156.00 ,$168.00 ,$292.20 ,$156.00 ,$336.60 ,$150.00 ,$480.00 ,$480.00 ,$156.00 ,$390.00 ,$250.80 ,$408.00 , N/A ,$156.00 ,$600.00 ,$132.00 ,$450.00 ,$426.00 ,$426.00 ,$132.00 ,$426.00 ,$504.00 ,$504.00 ,$504.00 , N/A ,$540.00 ,$330.00 ,$510.00 ,$132.00 ,$600.00 ,$360.00 ,$132.00 ,$249.60 , N/A , N/A ,$156.00 ,$510.00 , N/A ,$480.00 ,$168.00 ,$540.00 ,$150.00 ,$132.00 ,$504.00 ,$450.00 ,$450.00 ,$156.00 ,$390.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100372,V5060,HC HEARING AID MONAURAL BEHIND EAR T6,271,1 ,$750.00 ,$487.50 ,$150.00 ,$750.00 ,$412.50 ,$450.00 ,$450.00 ,$195.00 ,$210.00 ,$365.25 ,$195.00 ,$420.75 ,$187.50 ,$600.00 ,$600.00 ,$195.00 ,$487.50 ,$313.50 ,$510.00 , N/A ,$195.00 ,$750.00 ,$165.00 ,$562.50 ,$532.50 ,$532.50 ,$165.00 ,$532.50 ,$630.00 ,$630.00 ,$630.00 , N/A ,$675.00 ,$412.50 ,$637.50 ,$165.00 ,$750.00 ,$450.00 ,$165.00 ,$312.00 , N/A , N/A ,$195.00 ,$637.50 , N/A ,$600.00 ,$210.00 ,$675.00 ,$150.00 ,$165.00 ,$630.00 ,$562.50 ,$562.50 ,$195.00 ,$487.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100373,V5060,HC HEARING AID MONAURAL BEHIND EAR T7,271,1 ,$800.00 ,$520.00 ,$150.00 ,$800.00 ,$440.00 ,$480.00 ,$480.00 ,$208.00 ,$224.00 ,$389.60 ,$208.00 ,$448.80 ,$200.00 ,$640.00 ,$640.00 ,$208.00 ,$520.00 ,$334.40 ,$544.00 , N/A ,$208.00 ,$800.00 ,$176.00 ,$600.00 ,$568.00 ,$568.00 ,$176.00 ,$568.00 ,$672.00 ,$672.00 ,$672.00 , N/A ,$720.00 ,$440.00 ,$680.00 ,$176.00 ,$800.00 ,$480.00 ,$176.00 ,$332.80 , N/A , N/A ,$208.00 ,$680.00 , N/A ,$640.00 ,$224.00 ,$720.00 ,$150.00 ,$176.00 ,$672.00 ,$600.00 ,$600.00 ,$208.00 ,$520.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100374,V5060,HC HEARING AID MONAURAL BEHIND EAR T8,271,1 ,$825.00 ,$536.25 ,$150.00 ,$825.00 ,$453.75 ,$495.00 ,$495.00 ,$214.50 ,$231.00 ,$401.78 ,$214.50 ,$462.83 ,$206.25 ,$660.00 ,$660.00 ,$214.50 ,$536.25 ,$344.85 ,$561.00 , N/A ,$214.50 ,$825.00 ,$181.50 ,$618.75 ,$585.75 ,$585.75 ,$181.50 ,$585.75 ,$693.00 ,$693.00 ,$693.00 , N/A ,$742.50 ,$453.75 ,$701.25 ,$181.50 ,$825.00 ,$495.00 ,$181.50 ,$343.20 , N/A , N/A ,$214.50 ,$701.25 , N/A ,$660.00 ,$231.00 ,$742.50 ,$150.00 ,$181.50 ,$693.00 ,$618.75 ,$618.75 ,$214.50 ,$536.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100375,V5060,HC HEARING AID MONAURAL BEHIND EAR T9,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100376,V5060,HC HEARING AID MONAURAL BEHIND EAR T10,271,1 ,"$1,000.00 ",$650.00 ,$150.00 ,"$1,000.00 ",$550.00 ,$600.00 ,$600.00 ,$260.00 ,$280.00 ,$487.00 ,$260.00 ,$561.00 ,$250.00 ,$800.00 ,$800.00 ,$260.00 ,$650.00 ,$418.00 ,$680.00 , N/A ,$260.00 ,"$1,000.00 ",$220.00 ,$750.00 ,$710.00 ,$710.00 ,$220.00 ,$710.00 ,$840.00 ,$840.00 ,$840.00 , N/A ,$900.00 ,$550.00 ,$850.00 ,$220.00 ,"$1,000.00 ",$600.00 ,$220.00 ,$416.00 , N/A , N/A ,$260.00 ,$850.00 , N/A ,$800.00 ,$280.00 ,$900.00 ,$150.00 ,$220.00 ,$840.00 ,$750.00 ,$750.00 ,$260.00 ,$650.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100377,V5060,HC HEARING AID MONAURAL BEHIND EAR T11,271,1 ,"$1,150.00 ",$747.50 ,$150.00 ,"$1,150.00 ",$632.50 ,$690.00 ,$690.00 ,$299.00 ,$322.00 ,$560.05 ,$299.00 ,$645.15 ,$287.50 ,$920.00 ,$920.00 ,$299.00 ,$747.50 ,$480.70 ,$782.00 , N/A ,$299.00 ,"$1,150.00 ",$253.00 ,$862.50 ,$816.50 ,$816.50 ,$253.00 ,$816.50 ,$966.00 ,$966.00 ,$966.00 , N/A ,"$1,035.00 ",$632.50 ,$977.50 ,$253.00 ,"$1,150.00 ",$690.00 ,$253.00 ,$478.40 , N/A , N/A ,$299.00 ,$977.50 , N/A ,$920.00 ,$322.00 ,"$1,035.00 ",$150.00 ,$253.00 ,$966.00 ,$862.50 ,$862.50 ,$299.00 ,$747.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100378,V5060,HC HEARING AID MONAURAL BEHIND EAR T12,271,1 ,"$1,225.00 ",$796.25 ,$150.00 ,"$1,225.00 ",$673.75 ,$735.00 ,$735.00 ,$318.50 ,$343.00 ,$596.58 ,$318.50 ,$687.23 ,$306.25 ,$980.00 ,$980.00 ,$318.50 ,$796.25 ,$512.05 ,$833.00 , N/A ,$318.50 ,"$1,225.00 ",$269.50 ,$918.75 ,$869.75 ,$869.75 ,$269.50 ,$869.75 ,"$1,029.00 ","$1,029.00 ","$1,029.00 ", N/A ,"$1,102.50 ",$673.75 ,"$1,041.25 ",$269.50 ,"$1,225.00 ",$735.00 ,$269.50 ,$509.60 , N/A , N/A ,$318.50 ,"$1,041.25 ", N/A ,$980.00 ,$343.00 ,"$1,102.50 ",$150.00 ,$269.50 ,"$1,029.00 ",$918.75 ,$918.75 ,$318.50 ,$796.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100379,V5060,HC HEARING AID MONAURAL BEHIND EAR T13,271,1 ,"$1,275.00 ",$828.75 ,$150.00 ,"$1,275.00 ",$701.25 ,$765.00 ,$765.00 ,$331.50 ,$357.00 ,$620.93 ,$331.50 ,$715.28 ,$318.75 ,"$1,020.00 ","$1,020.00 ",$331.50 ,$828.75 ,$532.95 ,$867.00 , N/A ,$331.50 ,"$1,275.00 ",$280.50 ,$956.25 ,$905.25 ,$905.25 ,$280.50 ,$905.25 ,"$1,071.00 ","$1,071.00 ","$1,071.00 ", N/A ,"$1,147.50 ",$701.25 ,"$1,083.75 ",$280.50 ,"$1,275.00 ",$765.00 ,$280.50 ,$530.40 , N/A , N/A ,$331.50 ,"$1,083.75 ", N/A ,"$1,020.00 ",$357.00 ,"$1,147.50 ",$150.00 ,$280.50 ,"$1,071.00 ",$956.25 ,$956.25 ,$331.50 ,$828.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100380,V5060,HC HEARING AID MONAURAL BEHIND EAR T14,271,1 ,"$1,400.00 ",$910.00 ,$150.00 ,"$1,400.00 ",$770.00 ,$840.00 ,$840.00 ,$364.00 ,$392.00 ,$681.80 ,$364.00 ,$785.40 ,$350.00 ,"$1,120.00 ","$1,120.00 ",$364.00 ,$910.00 ,$585.20 ,$952.00 , N/A ,$364.00 ,"$1,400.00 ",$308.00 ,"$1,050.00 ",$994.00 ,$994.00 ,$308.00 ,$994.00 ,"$1,176.00 ","$1,176.00 ","$1,176.00 ", N/A ,"$1,260.00 ",$770.00 ,"$1,190.00 ",$308.00 ,"$1,400.00 ",$840.00 ,$308.00 ,$582.40 , N/A , N/A ,$364.00 ,"$1,190.00 ", N/A ,"$1,120.00 ",$392.00 ,"$1,260.00 ",$150.00 ,$308.00 ,"$1,176.00 ","$1,050.00 ","$1,050.00 ",$364.00 ,$910.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100381,V5060,HC HEARING AID MONAURAL BEHIND EAR T15,271,1 ,"$1,525.00 ",$991.25 ,$150.00 ,"$1,525.00 ",$838.75 ,$915.00 ,$915.00 ,$396.50 ,$427.00 ,$742.68 ,$396.50 ,$855.53 ,$381.25 ,"$1,220.00 ","$1,220.00 ",$396.50 ,$991.25 ,$637.45 ,"$1,037.00 ", N/A ,$396.50 ,"$1,525.00 ",$335.50 ,"$1,143.75 ","$1,082.75 ","$1,082.75 ",$335.50 ,"$1,082.75 ","$1,281.00 ","$1,281.00 ","$1,281.00 ", N/A ,"$1,372.50 ",$838.75 ,"$1,296.25 ",$335.50 ,"$1,525.00 ",$915.00 ,$335.50 ,$634.40 , N/A , N/A ,$396.50 ,"$1,296.25 ", N/A ,"$1,220.00 ",$427.00 ,"$1,372.50 ",$150.00 ,$335.50 ,"$1,281.00 ","$1,143.75 ","$1,143.75 ",$396.50 ,$991.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100382,V5060,HC HEARING AID MONAURAL BEHIND EAR T16,271,1 ,"$1,600.00 ","$1,040.00 ",$150.00 ,"$1,600.00 ",$880.00 ,$960.00 ,$960.00 ,$416.00 ,$448.00 ,$779.20 ,$416.00 ,$897.60 ,$400.00 ,"$1,280.00 ","$1,280.00 ",$416.00 ,"$1,040.00 ",$668.80 ,"$1,088.00 ", N/A ,$416.00 ,"$1,600.00 ",$352.00 ,"$1,200.00 ","$1,136.00 ","$1,136.00 ",$352.00 ,"$1,136.00 ","$1,344.00 ","$1,344.00 ","$1,344.00 ", N/A ,"$1,440.00 ",$880.00 ,"$1,360.00 ",$352.00 ,"$1,600.00 ",$960.00 ,$352.00 ,$665.60 , N/A , N/A ,$416.00 ,"$1,360.00 ", N/A ,"$1,280.00 ",$448.00 ,"$1,440.00 ",$150.00 ,$352.00 ,"$1,344.00 ","$1,200.00 ","$1,200.00 ",$416.00 ,"$1,040.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100383,V5130,HC HEARING AID BINAURAL IN EAR T1,470,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$88.00 ,$400.00 ,$240.00 ,$88.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$88.00 ,$336.00 ,$150.00 ,$150.00 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100384,V5130,HC HEARING AID BINAURAL IN EAR T2,470,1 ,$800.00 ,$520.00 ,$150.00 ,$800.00 ,$440.00 ,$480.00 ,$480.00 ,$208.00 ,$224.00 ,$389.60 ,$208.00 ,$448.80 ,$200.00 ,$640.00 ,$640.00 ,$208.00 ,$520.00 ,$334.40 ,$544.00 , N/A ,$208.00 ,$800.00 ,$176.00 ,$600.00 ,$568.00 ,$568.00 ,$176.00 ,$568.00 ,$672.00 ,$672.00 ,$672.00 , N/A ,$720.00 ,$440.00 ,$680.00 ,$176.00 ,$800.00 ,$480.00 ,$176.00 ,$332.80 , N/A , N/A ,$208.00 ,$680.00 , N/A ,$640.00 ,$224.00 ,$720.00 ,$150.00 ,$176.00 ,$672.00 ,$150.00 ,$150.00 ,$208.00 ,$520.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100385,V5130,HC HEARING AID BINAURAL IN EAR T3,470,1 ,"$1,150.00 ",$747.50 ,$150.00 ,"$1,150.00 ",$632.50 ,$690.00 ,$690.00 ,$299.00 ,$322.00 ,$560.05 ,$299.00 ,$645.15 ,$287.50 ,$920.00 ,$920.00 ,$299.00 ,$747.50 ,$480.70 ,$782.00 , N/A ,$299.00 ,"$1,150.00 ",$253.00 ,$862.50 ,$816.50 ,$816.50 ,$253.00 ,$816.50 ,$966.00 ,$966.00 ,$966.00 , N/A ,"$1,035.00 ",$632.50 ,$977.50 ,$253.00 ,"$1,150.00 ",$690.00 ,$253.00 ,$478.40 , N/A , N/A ,$299.00 ,$977.50 , N/A ,$920.00 ,$322.00 ,"$1,035.00 ",$150.00 ,$253.00 ,$966.00 ,$150.00 ,$150.00 ,$299.00 ,$747.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100386,V5130,HC HEARING AID BINAURAL IN EAR T4,470,1 ,"$1,500.00 ",$975.00 ,$150.00 ,"$1,500.00 ",$825.00 ,$900.00 ,$900.00 ,$390.00 ,$420.00 ,$730.50 ,$390.00 ,$841.50 ,$375.00 ,"$1,200.00 ","$1,200.00 ",$390.00 ,$975.00 ,$627.00 ,"$1,020.00 ", N/A ,$390.00 ,"$1,500.00 ",$330.00 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$330.00 ,"$1,065.00 ","$1,260.00 ","$1,260.00 ","$1,260.00 ", N/A ,"$1,350.00 ",$825.00 ,"$1,275.00 ",$330.00 ,"$1,500.00 ",$900.00 ,$330.00 ,$624.00 , N/A , N/A ,$390.00 ,"$1,275.00 ", N/A ,"$1,200.00 ",$420.00 ,"$1,350.00 ",$150.00 ,$330.00 ,"$1,260.00 ",$150.00 ,$150.00 ,$390.00 ,$975.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100387,V5130,HC HEARING AID BINAURAL IN EAR T5,470,1 ,"$1,600.00 ","$1,040.00 ",$150.00 ,"$1,600.00 ",$880.00 ,$960.00 ,$960.00 ,$416.00 ,$448.00 ,$779.20 ,$416.00 ,$897.60 ,$400.00 ,"$1,280.00 ","$1,280.00 ",$416.00 ,"$1,040.00 ",$668.80 ,"$1,088.00 ", N/A ,$416.00 ,"$1,600.00 ",$352.00 ,"$1,200.00 ","$1,136.00 ","$1,136.00 ",$352.00 ,"$1,136.00 ","$1,344.00 ","$1,344.00 ","$1,344.00 ", N/A ,"$1,440.00 ",$880.00 ,"$1,360.00 ",$352.00 ,"$1,600.00 ",$960.00 ,$352.00 ,$665.60 , N/A , N/A ,$416.00 ,"$1,360.00 ", N/A ,"$1,280.00 ",$448.00 ,"$1,440.00 ",$150.00 ,$352.00 ,"$1,344.00 ",$150.00 ,$150.00 ,$416.00 ,"$1,040.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100388,V5130,HC HEARING AID BINAURAL IN EAR T6,470,1 ,"$1,650.00 ","$1,072.50 ",$150.00 ,"$1,650.00 ",$907.50 ,$990.00 ,$990.00 ,$429.00 ,$462.00 ,$803.55 ,$429.00 ,$925.65 ,$412.50 ,"$1,320.00 ","$1,320.00 ",$429.00 ,"$1,072.50 ",$689.70 ,"$1,122.00 ", N/A ,$429.00 ,"$1,650.00 ",$363.00 ,"$1,237.50 ","$1,171.50 ","$1,171.50 ",$363.00 ,"$1,171.50 ","$1,386.00 ","$1,386.00 ","$1,386.00 ", N/A ,"$1,485.00 ",$907.50 ,"$1,402.50 ",$363.00 ,"$1,650.00 ",$990.00 ,$363.00 ,$686.40 , N/A , N/A ,$429.00 ,"$1,402.50 ", N/A ,"$1,320.00 ",$462.00 ,"$1,485.00 ",$150.00 ,$363.00 ,"$1,386.00 ",$150.00 ,$150.00 ,$429.00 ,"$1,072.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100389,V5130,HC HEARING AID BINAURAL IN EAR T7,470,1 ,"$1,750.00 ","$1,137.50 ",$150.00 ,"$1,750.00 ",$962.50 ,"$1,050.00 ","$1,050.00 ",$455.00 ,$490.00 ,$852.25 ,$455.00 ,$981.75 ,$437.50 ,"$1,400.00 ","$1,400.00 ",$455.00 ,"$1,137.50 ",$731.50 ,"$1,190.00 ", N/A ,$455.00 ,"$1,750.00 ",$385.00 ,"$1,312.50 ","$1,242.50 ","$1,242.50 ",$385.00 ,"$1,242.50 ","$1,470.00 ","$1,470.00 ","$1,470.00 ", N/A ,"$1,575.00 ",$962.50 ,"$1,487.50 ",$385.00 ,"$1,750.00 ","$1,050.00 ",$385.00 ,$728.00 , N/A , N/A ,$455.00 ,"$1,487.50 ", N/A ,"$1,400.00 ",$490.00 ,"$1,575.00 ",$150.00 ,$385.00 ,"$1,470.00 ",$150.00 ,$150.00 ,$455.00 ,"$1,137.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100390,V5130,HC HEARING AID BINAURAL IN EAR T8,470,1 ,"$2,000.00 ","$1,300.00 ",$150.00 ,"$2,000.00 ","$1,100.00 ","$1,200.00 ","$1,200.00 ",$520.00 ,$560.00 ,$974.00 ,$520.00 ,"$1,122.00 ",$500.00 ,"$1,600.00 ","$1,600.00 ",$520.00 ,"$1,300.00 ",$836.00 ,"$1,360.00 ", N/A ,$520.00 ,"$2,000.00 ",$440.00 ,"$1,500.00 ","$1,420.00 ","$1,420.00 ",$440.00 ,"$1,420.00 ","$1,680.00 ","$1,680.00 ","$1,680.00 ", N/A ,"$1,800.00 ","$1,100.00 ","$1,700.00 ",$440.00 ,"$2,000.00 ","$1,200.00 ",$440.00 ,$832.00 , N/A , N/A ,$520.00 ,"$1,700.00 ", N/A ,"$1,600.00 ",$560.00 ,"$1,800.00 ",$150.00 ,$440.00 ,"$1,680.00 ",$150.00 ,$150.00 ,$520.00 ,"$1,300.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100391,V5130,HC HEARING AID BINAURAL IN EAR T9,470,1 ,"$2,300.00 ","$1,495.00 ",$150.00 ,"$2,300.00 ","$1,265.00 ","$1,380.00 ","$1,380.00 ",$598.00 ,$644.00 ,"$1,120.10 ",$598.00 ,"$1,290.30 ",$575.00 ,"$1,840.00 ","$1,840.00 ",$598.00 ,"$1,495.00 ",$961.40 ,"$1,564.00 ", N/A ,$598.00 ,"$2,300.00 ",$506.00 ,"$1,725.00 ","$1,633.00 ","$1,633.00 ",$506.00 ,"$1,633.00 ","$1,932.00 ","$1,932.00 ","$1,932.00 ", N/A ,"$2,070.00 ","$1,265.00 ","$1,955.00 ",$506.00 ,"$2,300.00 ","$1,380.00 ",$506.00 ,$956.80 , N/A , N/A ,$598.00 ,"$1,955.00 ", N/A ,"$1,840.00 ",$644.00 ,"$2,070.00 ",$150.00 ,$506.00 ,"$1,932.00 ",$150.00 ,$150.00 ,$598.00 ,"$1,495.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100392,V5130,HC HEARING AID BINAURAL IN EAR T10,470,1 ,"$2,550.00 ","$1,657.50 ",$150.00 ,"$2,550.00 ","$1,402.50 ","$1,530.00 ","$1,530.00 ",$663.00 ,$714.00 ,"$1,241.85 ",$663.00 ,"$1,430.55 ",$637.50 ,"$2,040.00 ","$2,040.00 ",$663.00 ,"$1,657.50 ","$1,065.90 ","$1,734.00 ", N/A ,$663.00 ,"$2,550.00 ",$561.00 ,"$1,912.50 ","$1,810.50 ","$1,810.50 ",$561.00 ,"$1,810.50 ","$2,142.00 ","$2,142.00 ","$2,142.00 ", N/A ,"$2,295.00 ","$1,402.50 ","$2,167.50 ",$561.00 ,"$2,550.00 ","$1,530.00 ",$561.00 ,"$1,060.80 ", N/A , N/A ,$663.00 ,"$2,167.50 ", N/A ,"$2,040.00 ",$714.00 ,"$2,295.00 ",$150.00 ,$561.00 ,"$2,142.00 ",$150.00 ,$150.00 ,$663.00 ,"$1,657.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100393,V5130,HC HEARING AID BINAURAL IN EAR T11,470,1 ,"$2,800.00 ","$1,820.00 ",$150.00 ,"$2,800.00 ","$1,540.00 ","$1,680.00 ","$1,680.00 ",$728.00 ,$784.00 ,"$1,363.60 ",$728.00 ,"$1,570.80 ",$700.00 ,"$2,240.00 ","$2,240.00 ",$728.00 ,"$1,820.00 ","$1,170.40 ","$1,904.00 ", N/A ,$728.00 ,"$2,800.00 ",$616.00 ,"$2,100.00 ","$1,988.00 ","$1,988.00 ",$616.00 ,"$1,988.00 ","$2,352.00 ","$2,352.00 ","$2,352.00 ", N/A ,"$2,520.00 ","$1,540.00 ","$2,380.00 ",$616.00 ,"$2,800.00 ","$1,680.00 ",$616.00 ,"$1,164.80 ", N/A , N/A ,$728.00 ,"$2,380.00 ", N/A ,"$2,240.00 ",$784.00 ,"$2,520.00 ",$150.00 ,$616.00 ,"$2,352.00 ",$150.00 ,$150.00 ,$728.00 ,"$1,820.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100394,V5130,HC HEARING AID BINAURAL IN EAR T12,470,1 ,"$3,050.00 ","$1,982.50 ",$150.00 ,"$3,050.00 ","$1,677.50 ","$1,830.00 ","$1,830.00 ",$793.00 ,$854.00 ,"$1,485.35 ",$793.00 ,"$1,711.05 ",$762.50 ,"$2,440.00 ","$2,440.00 ",$793.00 ,"$1,982.50 ","$1,274.90 ","$2,074.00 ", N/A ,$793.00 ,"$3,050.00 ",$671.00 ,"$2,287.50 ","$2,165.50 ","$2,165.50 ",$671.00 ,"$2,165.50 ","$2,562.00 ","$2,562.00 ","$2,562.00 ", N/A ,"$2,745.00 ","$1,677.50 ","$2,592.50 ",$671.00 ,"$3,050.00 ","$1,830.00 ",$671.00 ,"$1,268.80 ", N/A , N/A ,$793.00 ,"$2,592.50 ", N/A ,"$2,440.00 ",$854.00 ,"$2,745.00 ",$150.00 ,$671.00 ,"$2,562.00 ",$150.00 ,$150.00 ,$793.00 ,"$1,982.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100395,V5130,HC HEARING AID BINAURAL IN EAR T13,470,1 ,"$3,350.00 ","$2,177.50 ",$150.00 ,"$3,350.00 ","$1,842.50 ","$2,010.00 ","$2,010.00 ",$871.00 ,$938.00 ,"$1,631.45 ",$871.00 ,"$1,879.35 ",$837.50 ,"$2,680.00 ","$2,680.00 ",$871.00 ,"$2,177.50 ","$1,400.30 ","$2,278.00 ", N/A ,$871.00 ,"$3,350.00 ",$737.00 ,"$2,512.50 ","$2,378.50 ","$2,378.50 ",$737.00 ,"$2,378.50 ","$2,814.00 ","$2,814.00 ","$2,814.00 ", N/A ,"$3,015.00 ","$1,842.50 ","$2,847.50 ",$737.00 ,"$3,350.00 ","$2,010.00 ",$737.00 ,"$1,393.60 ", N/A , N/A ,$871.00 ,"$2,847.50 ", N/A ,"$2,680.00 ",$938.00 ,"$3,015.00 ",$150.00 ,$737.00 ,"$2,814.00 ",$150.00 ,$150.00 ,$871.00 ,"$2,177.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100396,V5130,HC HEARING AID BINAURAL IN EAR T14,470,1 ,"$3,750.00 ","$2,437.50 ",$150.00 ,"$3,750.00 ","$2,062.50 ","$2,250.00 ","$2,250.00 ",$975.00 ,"$1,050.00 ","$1,826.25 ",$975.00 ,"$2,103.75 ",$937.50 ,"$3,000.00 ","$3,000.00 ",$975.00 ,"$2,437.50 ","$1,567.50 ","$2,550.00 ", N/A ,$975.00 ,"$3,750.00 ",$825.00 ,"$2,812.50 ","$2,662.50 ","$2,662.50 ",$825.00 ,"$2,662.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ", N/A ,"$3,375.00 ","$2,062.50 ","$3,187.50 ",$825.00 ,"$3,750.00 ","$2,250.00 ",$825.00 ,"$1,560.00 ", N/A , N/A ,$975.00 ,"$3,187.50 ", N/A ,"$3,000.00 ","$1,050.00 ","$3,375.00 ",$150.00 ,$825.00 ,"$3,150.00 ",$150.00 ,$150.00 ,$975.00 ,"$2,437.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100397,V5130,HC HEARING AID BINAURAL IN EAR T15,470,1 ,"$4,450.00 ","$2,892.50 ",$150.00 ,"$4,450.00 ","$2,447.50 ","$2,670.00 ","$2,670.00 ","$1,157.00 ","$1,246.00 ","$2,167.15 ","$1,157.00 ","$2,496.45 ","$1,112.50 ","$3,560.00 ","$3,560.00 ","$1,157.00 ","$2,892.50 ","$1,860.10 ","$3,026.00 ", N/A ,"$1,157.00 ","$4,450.00 ",$979.00 ,"$3,337.50 ","$3,159.50 ","$3,159.50 ",$979.00 ,"$3,159.50 ","$3,738.00 ","$3,738.00 ","$3,738.00 ", N/A ,"$4,005.00 ","$2,447.50 ","$3,782.50 ",$979.00 ,"$4,450.00 ","$2,670.00 ",$979.00 ,"$1,851.20 ", N/A , N/A ,"$1,157.00 ","$3,782.50 ", N/A ,"$3,560.00 ","$1,246.00 ","$4,005.00 ",$150.00 ,$979.00 ,"$3,738.00 ",$150.00 ,$150.00 ,"$1,157.00 ","$2,892.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100398,V5130,HC HEARING AID BINAURAL IN EAR T16,470,1 ,"$4,700.00 ","$3,055.00 ",$150.00 ,"$4,700.00 ","$2,585.00 ","$2,820.00 ","$2,820.00 ","$1,222.00 ","$1,316.00 ","$2,288.90 ","$1,222.00 ","$2,636.70 ","$1,175.00 ","$3,760.00 ","$3,760.00 ","$1,222.00 ","$3,055.00 ","$1,964.60 ","$3,196.00 ", N/A ,"$1,222.00 ","$4,700.00 ","$1,034.00 ","$3,525.00 ","$3,337.00 ","$3,337.00 ","$1,034.00 ","$3,337.00 ","$3,948.00 ","$3,948.00 ","$3,948.00 ", N/A ,"$4,230.00 ","$2,585.00 ","$3,995.00 ","$1,034.00 ","$4,700.00 ","$2,820.00 ","$1,034.00 ","$1,955.20 ", N/A , N/A ,"$1,222.00 ","$3,995.00 ", N/A ,"$3,760.00 ","$1,316.00 ","$4,230.00 ",$150.00 ,"$1,034.00 ","$3,948.00 ",$150.00 ,$150.00 ,"$1,222.00 ","$3,055.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100399,V5140,HC HEARING AID BINAURAL BEHIND EAR T1,271,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$400.00 ,$400.00 ,$240.00 ,$400.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$400.00 ,$336.00 ,$300.00 ,$300.00 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100400,V5140,HC HEARING AID BINAURAL BEHIND EAR T2,271,1 ,$800.00 ,$520.00 ,$150.00 ,$800.00 ,$440.00 ,$480.00 ,$480.00 ,$208.00 ,$224.00 ,$389.60 ,$208.00 ,$448.80 ,$200.00 ,$640.00 ,$640.00 ,$208.00 ,$520.00 ,$334.40 ,$544.00 , N/A ,$208.00 ,$800.00 ,$176.00 ,$600.00 ,$568.00 ,$568.00 ,$176.00 ,$568.00 ,$672.00 ,$672.00 ,$672.00 , N/A ,$720.00 ,$440.00 ,$680.00 ,$800.00 ,$800.00 ,$480.00 ,$800.00 ,$332.80 , N/A , N/A ,$208.00 ,$680.00 , N/A ,$640.00 ,$224.00 ,$720.00 ,$150.00 ,$800.00 ,$672.00 ,$600.00 ,$600.00 ,$208.00 ,$520.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100401,V5140,HC HEARING AID BINAURAL BEHIND EAR T3,271,1 ,"$1,100.00 ",$715.00 ,$150.00 ,"$1,100.00 ",$605.00 ,$660.00 ,$660.00 ,$286.00 ,$308.00 ,$535.70 ,$286.00 ,$617.10 ,$275.00 ,$880.00 ,$880.00 ,$286.00 ,$715.00 ,$459.80 ,$748.00 , N/A ,$286.00 ,"$1,100.00 ",$242.00 ,$825.00 ,$781.00 ,$781.00 ,$242.00 ,$781.00 ,$924.00 ,$924.00 ,$924.00 , N/A ,$990.00 ,$605.00 ,$935.00 ,"$1,100.00 ","$1,100.00 ",$660.00 ,"$1,100.00 ",$457.60 , N/A , N/A ,$286.00 ,$935.00 , N/A ,$880.00 ,$308.00 ,$990.00 ,$150.00 ,"$1,100.00 ",$924.00 ,$825.00 ,$825.00 ,$286.00 ,$715.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100402,V5140,HC HEARING AID BINAURAL BEHIND EAR T4,271,1 ,"$1,150.00 ",$747.50 ,$150.00 ,"$1,150.00 ",$632.50 ,$690.00 ,$690.00 ,$299.00 ,$322.00 ,$560.05 ,$299.00 ,$645.15 ,$287.50 ,$920.00 ,$920.00 ,$299.00 ,$747.50 ,$480.70 ,$782.00 , N/A ,$299.00 ,"$1,150.00 ",$253.00 ,$862.50 ,$816.50 ,$816.50 ,$253.00 ,$816.50 ,$966.00 ,$966.00 ,$966.00 , N/A ,"$1,035.00 ",$632.50 ,$977.50 ,"$1,150.00 ","$1,150.00 ",$690.00 ,"$1,150.00 ",$478.40 , N/A , N/A ,$299.00 ,$977.50 , N/A ,$920.00 ,$322.00 ,"$1,035.00 ",$150.00 ,"$1,150.00 ",$966.00 ,$862.50 ,$862.50 ,$299.00 ,$747.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100403,V5140,HC HEARING AID BINAURAL BEHIND EAR T5,271,1 ,"$1,200.00 ",$780.00 ,$150.00 ,"$1,200.00 ",$660.00 ,$720.00 ,$720.00 ,$312.00 ,$336.00 ,$584.40 ,$312.00 ,$673.20 ,$300.00 ,$960.00 ,$960.00 ,$312.00 ,$780.00 ,$501.60 ,$816.00 , N/A ,$312.00 ,"$1,200.00 ",$264.00 ,$900.00 ,$852.00 ,$852.00 ,$264.00 ,$852.00 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ", N/A ,"$1,080.00 ",$660.00 ,"$1,020.00 ","$1,200.00 ","$1,200.00 ",$720.00 ,"$1,200.00 ",$499.20 , N/A , N/A ,$312.00 ,"$1,020.00 ", N/A ,$960.00 ,$336.00 ,"$1,080.00 ",$150.00 ,"$1,200.00 ","$1,008.00 ",$900.00 ,$900.00 ,$312.00 ,$780.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100404,V5140,HC HEARING AID BINAURAL BEHIND EAR T6,271,1 ,"$1,500.00 ",$975.00 ,$150.00 ,"$1,500.00 ",$825.00 ,$900.00 ,$900.00 ,$390.00 ,$420.00 ,$730.50 ,$390.00 ,$841.50 ,$375.00 ,"$1,200.00 ","$1,200.00 ",$390.00 ,$975.00 ,$627.00 ,"$1,020.00 ", N/A ,$390.00 ,"$1,500.00 ",$330.00 ,"$1,125.00 ","$1,065.00 ","$1,065.00 ",$330.00 ,"$1,065.00 ","$1,260.00 ","$1,260.00 ","$1,260.00 ", N/A ,"$1,350.00 ",$825.00 ,"$1,275.00 ","$1,500.00 ","$1,500.00 ",$900.00 ,"$1,500.00 ",$624.00 , N/A , N/A ,$390.00 ,"$1,275.00 ", N/A ,"$1,200.00 ",$420.00 ,"$1,350.00 ",$150.00 ,"$1,500.00 ","$1,260.00 ","$1,125.00 ","$1,125.00 ",$390.00 ,$975.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100405,V5140,HC HEARING AID BINAURAL BEHIND EAR T7,271,1 ,"$1,600.00 ","$1,040.00 ",$150.00 ,"$1,600.00 ",$880.00 ,$960.00 ,$960.00 ,$416.00 ,$448.00 ,$779.20 ,$416.00 ,$897.60 ,$400.00 ,"$1,280.00 ","$1,280.00 ",$416.00 ,"$1,040.00 ",$668.80 ,"$1,088.00 ", N/A ,$416.00 ,"$1,600.00 ",$352.00 ,"$1,200.00 ","$1,136.00 ","$1,136.00 ",$352.00 ,"$1,136.00 ","$1,344.00 ","$1,344.00 ","$1,344.00 ", N/A ,"$1,440.00 ",$880.00 ,"$1,360.00 ","$1,600.00 ","$1,600.00 ",$960.00 ,"$1,600.00 ",$665.60 , N/A , N/A ,$416.00 ,"$1,360.00 ", N/A ,"$1,280.00 ",$448.00 ,"$1,440.00 ",$150.00 ,"$1,600.00 ","$1,344.00 ","$1,200.00 ","$1,200.00 ",$416.00 ,"$1,040.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100406,V5140,HC HEARING AID BINAURAL BEHIND EAR T8,271,1 ,"$1,650.00 ","$1,072.50 ",$150.00 ,"$1,650.00 ",$907.50 ,$990.00 ,$990.00 ,$429.00 ,$462.00 ,$803.55 ,$429.00 ,$925.65 ,$412.50 ,"$1,320.00 ","$1,320.00 ",$429.00 ,"$1,072.50 ",$689.70 ,"$1,122.00 ", N/A ,$429.00 ,"$1,650.00 ",$363.00 ,"$1,237.50 ","$1,171.50 ","$1,171.50 ",$363.00 ,"$1,171.50 ","$1,386.00 ","$1,386.00 ","$1,386.00 ", N/A ,"$1,485.00 ",$907.50 ,"$1,402.50 ","$1,650.00 ","$1,650.00 ",$990.00 ,"$1,650.00 ",$686.40 , N/A , N/A ,$429.00 ,"$1,402.50 ", N/A ,"$1,320.00 ",$462.00 ,"$1,485.00 ",$150.00 ,"$1,650.00 ","$1,386.00 ","$1,237.50 ","$1,237.50 ",$429.00 ,"$1,072.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100407,V5140,HC HEARING AID BINAURAL BEHIND EAR T9,271,1 ,"$1,750.00 ","$1,137.50 ",$150.00 ,"$1,750.00 ",$962.50 ,"$1,050.00 ","$1,050.00 ",$455.00 ,$490.00 ,$852.25 ,$455.00 ,$981.75 ,$437.50 ,"$1,400.00 ","$1,400.00 ",$455.00 ,"$1,137.50 ",$731.50 ,"$1,190.00 ", N/A ,$455.00 ,"$1,750.00 ",$385.00 ,"$1,312.50 ","$1,242.50 ","$1,242.50 ",$385.00 ,"$1,242.50 ","$1,470.00 ","$1,470.00 ","$1,470.00 ", N/A ,"$1,575.00 ",$962.50 ,"$1,487.50 ","$1,750.00 ","$1,750.00 ","$1,050.00 ","$1,750.00 ",$728.00 , N/A , N/A ,$455.00 ,"$1,487.50 ", N/A ,"$1,400.00 ",$490.00 ,"$1,575.00 ",$150.00 ,"$1,750.00 ","$1,470.00 ","$1,312.50 ","$1,312.50 ",$455.00 ,"$1,137.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100408,V5140,HC HEARING AID BINAURAL BEHIND EAR T10,271,1 ,"$2,000.00 ","$1,300.00 ",$150.00 ,"$2,000.00 ","$1,100.00 ","$1,200.00 ","$1,200.00 ",$520.00 ,$560.00 ,$974.00 ,$520.00 ,"$1,122.00 ",$500.00 ,"$1,600.00 ","$1,600.00 ",$520.00 ,"$1,300.00 ",$836.00 ,"$1,360.00 ", N/A ,$520.00 ,"$2,000.00 ",$440.00 ,"$1,500.00 ","$1,420.00 ","$1,420.00 ",$440.00 ,"$1,420.00 ","$1,680.00 ","$1,680.00 ","$1,680.00 ", N/A ,"$1,800.00 ","$1,100.00 ","$1,700.00 ","$2,000.00 ","$2,000.00 ","$1,200.00 ","$2,000.00 ",$832.00 , N/A , N/A ,$520.00 ,"$1,700.00 ", N/A ,"$1,600.00 ",$560.00 ,"$1,800.00 ",$150.00 ,"$2,000.00 ","$1,680.00 ","$1,500.00 ","$1,500.00 ",$520.00 ,"$1,300.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100409,V5140,HC HEARING AID BINAURAL BEHIND EAR T11,271,1 ,"$2,300.00 ","$1,495.00 ",$150.00 ,"$2,300.00 ","$1,265.00 ","$1,380.00 ","$1,380.00 ",$598.00 ,$644.00 ,"$1,120.10 ",$598.00 ,"$1,290.30 ",$575.00 ,"$1,840.00 ","$1,840.00 ",$598.00 ,"$1,495.00 ",$961.40 ,"$1,564.00 ", N/A ,$598.00 ,"$2,300.00 ",$506.00 ,"$1,725.00 ","$1,633.00 ","$1,633.00 ",$506.00 ,"$1,633.00 ","$1,932.00 ","$1,932.00 ","$1,932.00 ", N/A ,"$2,070.00 ","$1,265.00 ","$1,955.00 ","$2,300.00 ","$2,300.00 ","$1,380.00 ","$2,300.00 ",$956.80 , N/A , N/A ,$598.00 ,"$1,955.00 ", N/A ,"$1,840.00 ",$644.00 ,"$2,070.00 ",$150.00 ,"$2,300.00 ","$1,932.00 ","$1,725.00 ","$1,725.00 ",$598.00 ,"$1,495.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100410,V5140,HC HEARING AID BINAURAL BEHIND EAR T12,271,1 ,"$2,450.00 ","$1,592.50 ",$150.00 ,"$2,450.00 ","$1,347.50 ","$1,470.00 ","$1,470.00 ",$637.00 ,$686.00 ,"$1,193.15 ",$637.00 ,"$1,374.45 ",$612.50 ,"$1,960.00 ","$1,960.00 ",$637.00 ,"$1,592.50 ","$1,024.10 ","$1,666.00 ", N/A ,$637.00 ,"$2,450.00 ",$539.00 ,"$1,837.50 ","$1,739.50 ","$1,739.50 ",$539.00 ,"$1,739.50 ","$2,058.00 ","$2,058.00 ","$2,058.00 ", N/A ,"$2,205.00 ","$1,347.50 ","$2,082.50 ","$2,450.00 ","$2,450.00 ","$1,470.00 ","$2,450.00 ","$1,019.20 ", N/A , N/A ,$637.00 ,"$2,082.50 ", N/A ,"$1,960.00 ",$686.00 ,"$2,205.00 ",$150.00 ,"$2,450.00 ","$2,058.00 ","$1,837.50 ","$1,837.50 ",$637.00 ,"$1,592.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100411,V5140,HC HEARING AID BINAURAL BEHIND EAR T13,271,1 ,"$2,550.00 ","$1,657.50 ",$150.00 ,"$2,550.00 ","$1,402.50 ","$1,530.00 ","$1,530.00 ",$663.00 ,$714.00 ,"$1,241.85 ",$663.00 ,"$1,430.55 ",$637.50 ,"$2,040.00 ","$2,040.00 ",$663.00 ,"$1,657.50 ","$1,065.90 ","$1,734.00 ", N/A ,$663.00 ,"$2,550.00 ",$561.00 ,"$1,912.50 ","$1,810.50 ","$1,810.50 ",$561.00 ,"$1,810.50 ","$2,142.00 ","$2,142.00 ","$2,142.00 ", N/A ,"$2,295.00 ","$1,402.50 ","$2,167.50 ","$2,550.00 ","$2,550.00 ","$1,530.00 ","$2,550.00 ","$1,060.80 ", N/A , N/A ,$663.00 ,"$2,167.50 ", N/A ,"$2,040.00 ",$714.00 ,"$2,295.00 ",$150.00 ,"$2,550.00 ","$2,142.00 ","$1,912.50 ","$1,912.50 ",$663.00 ,"$1,657.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100412,V5140,HC HEARING AID BINAURAL BEHIND EAR T14,271,1 ,"$2,800.00 ","$1,820.00 ",$150.00 ,"$2,800.00 ","$1,540.00 ","$1,680.00 ","$1,680.00 ",$728.00 ,$784.00 ,"$1,363.60 ",$728.00 ,"$1,570.80 ",$700.00 ,"$2,240.00 ","$2,240.00 ",$728.00 ,"$1,820.00 ","$1,170.40 ","$1,904.00 ", N/A ,$728.00 ,"$2,800.00 ",$616.00 ,"$2,100.00 ","$1,988.00 ","$1,988.00 ",$616.00 ,"$1,988.00 ","$2,352.00 ","$2,352.00 ","$2,352.00 ", N/A ,"$2,520.00 ","$1,540.00 ","$2,380.00 ","$2,800.00 ","$2,800.00 ","$1,680.00 ","$2,800.00 ","$1,164.80 ", N/A , N/A ,$728.00 ,"$2,380.00 ", N/A ,"$2,240.00 ",$784.00 ,"$2,520.00 ",$150.00 ,"$2,800.00 ","$2,352.00 ","$2,100.00 ","$2,100.00 ",$728.00 ,"$1,820.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100413,V5140,HC HEARING AID BINAURAL BEHIND EAR T15,271,1 ,"$3,050.00 ","$1,982.50 ",$150.00 ,"$3,050.00 ","$1,677.50 ","$1,830.00 ","$1,830.00 ",$793.00 ,$854.00 ,"$1,485.35 ",$793.00 ,"$1,711.05 ",$762.50 ,"$2,440.00 ","$2,440.00 ",$793.00 ,"$1,982.50 ","$1,274.90 ","$2,074.00 ", N/A ,$793.00 ,"$3,050.00 ",$671.00 ,"$2,287.50 ","$2,165.50 ","$2,165.50 ",$671.00 ,"$2,165.50 ","$2,562.00 ","$2,562.00 ","$2,562.00 ", N/A ,"$2,745.00 ","$1,677.50 ","$2,592.50 ","$3,050.00 ","$3,050.00 ","$1,830.00 ","$3,050.00 ","$1,268.80 ", N/A , N/A ,$793.00 ,"$2,592.50 ", N/A ,"$2,440.00 ",$854.00 ,"$2,745.00 ",$150.00 ,"$3,050.00 ","$2,562.00 ","$2,287.50 ","$2,287.50 ",$793.00 ,"$1,982.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100414,V5140,HC HEARING AID BINAURAL BEHIND EAR T16,271,1 ,"$3,200.00 ","$2,080.00 ",$150.00 ,"$3,200.00 ","$1,760.00 ","$1,920.00 ","$1,920.00 ",$832.00 ,$896.00 ,"$1,558.40 ",$832.00 ,"$1,795.20 ",$800.00 ,"$2,560.00 ","$2,560.00 ",$832.00 ,"$2,080.00 ","$1,337.60 ","$2,176.00 ", N/A ,$832.00 ,"$3,200.00 ",$704.00 ,"$2,400.00 ","$2,272.00 ","$2,272.00 ",$704.00 ,"$2,272.00 ","$2,688.00 ","$2,688.00 ","$2,688.00 ", N/A ,"$2,880.00 ","$1,760.00 ","$2,720.00 ","$3,200.00 ","$3,200.00 ","$1,920.00 ","$3,200.00 ","$1,331.20 ", N/A , N/A ,$832.00 ,"$2,720.00 ", N/A ,"$2,560.00 ",$896.00 ,"$2,880.00 ",$150.00 ,"$3,200.00 ","$2,688.00 ","$2,400.00 ","$2,400.00 ",$832.00 ,"$2,080.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100415,V5171,HC HEARING AID CROS MONAURAL IN EAR T1,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100416,V5171,HC HEARING AID CROS MONAURAL IN EAR T2,271,1 ,$600.00 ,$390.00 ,$132.00 ,$600.00 ,$330.00 ,$360.00 ,$360.00 ,$156.00 ,$168.00 ,$292.20 ,$156.00 ,$336.60 ,$150.00 ,$480.00 ,$480.00 ,$156.00 ,$390.00 ,$250.80 ,$408.00 , N/A ,$156.00 ,$600.00 ,$132.00 ,$450.00 ,$426.00 ,$426.00 ,$132.00 ,$426.00 ,$504.00 ,$504.00 ,$504.00 , N/A ,$540.00 ,$330.00 ,$510.00 ,$132.00 ,$600.00 ,$360.00 ,$132.00 ,$249.60 , N/A , N/A ,$156.00 ,$510.00 , N/A ,$480.00 ,$168.00 ,$540.00 ,$150.00 ,$132.00 ,$504.00 ,$450.00 ,$450.00 ,$156.00 ,$390.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100417,V5171,HC HEARING AID CROS MONAURAL IN EAR T3,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100418,V5171,HC HEARING AID CROS MONAURAL IN EAR T4,271,1 ,$925.00 ,$601.25 ,$150.00 ,$925.00 ,$508.75 ,$555.00 ,$555.00 ,$240.50 ,$259.00 ,$450.48 ,$240.50 ,$518.93 ,$231.25 ,$740.00 ,$740.00 ,$240.50 ,$601.25 ,$386.65 ,$629.00 , N/A ,$240.50 ,$925.00 ,$203.50 ,$693.75 ,$656.75 ,$656.75 ,$203.50 ,$656.75 ,$777.00 ,$777.00 ,$777.00 , N/A ,$832.50 ,$508.75 ,$786.25 ,$203.50 ,$925.00 ,$555.00 ,$203.50 ,$384.80 , N/A , N/A ,$240.50 ,$786.25 , N/A ,$740.00 ,$259.00 ,$832.50 ,$150.00 ,$203.50 ,$777.00 ,$693.75 ,$693.75 ,$240.50 ,$601.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100431,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T1,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100432,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T2,271,1 ,$600.00 ,$390.00 ,$132.00 ,$600.00 ,$330.00 ,$360.00 ,$360.00 ,$156.00 ,$168.00 ,$292.20 ,$156.00 ,$336.60 ,$150.00 ,$480.00 ,$480.00 ,$156.00 ,$390.00 ,$250.80 ,$408.00 , N/A ,$156.00 ,$600.00 ,$132.00 ,$450.00 ,$426.00 ,$426.00 ,$132.00 ,$426.00 ,$504.00 ,$504.00 ,$504.00 , N/A ,$540.00 ,$330.00 ,$510.00 ,$132.00 ,$600.00 ,$360.00 ,$132.00 ,$249.60 , N/A , N/A ,$156.00 ,$510.00 , N/A ,$480.00 ,$168.00 ,$540.00 ,$150.00 ,$132.00 ,$504.00 ,$450.00 ,$450.00 ,$156.00 ,$390.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100433,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T3,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100434,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T4,271,1 ,$925.00 ,$601.25 ,$150.00 ,$925.00 ,$508.75 ,$555.00 ,$555.00 ,$240.50 ,$259.00 ,$450.48 ,$240.50 ,$518.93 ,$231.25 ,$740.00 ,$740.00 ,$240.50 ,$601.25 ,$386.65 ,$629.00 , N/A ,$240.50 ,$925.00 ,$203.50 ,$693.75 ,$656.75 ,$656.75 ,$203.50 ,$656.75 ,$777.00 ,$777.00 ,$777.00 , N/A ,$832.50 ,$508.75 ,$786.25 ,$203.50 ,$925.00 ,$555.00 ,$203.50 ,$384.80 , N/A , N/A ,$240.50 ,$786.25 , N/A ,$740.00 ,$259.00 ,$832.50 ,$150.00 ,$203.50 ,$777.00 ,$693.75 ,$693.75 ,$240.50 ,$601.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100435,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T5,271,1 ,"$1,000.00 ",$650.00 ,$150.00 ,"$1,000.00 ",$550.00 ,$600.00 ,$600.00 ,$260.00 ,$280.00 ,$487.00 ,$260.00 ,$561.00 ,$250.00 ,$800.00 ,$800.00 ,$260.00 ,$650.00 ,$418.00 ,$680.00 , N/A ,$260.00 ,"$1,000.00 ",$220.00 ,$750.00 ,$710.00 ,$710.00 ,$220.00 ,$710.00 ,$840.00 ,$840.00 ,$840.00 , N/A ,$900.00 ,$550.00 ,$850.00 ,$220.00 ,"$1,000.00 ",$600.00 ,$220.00 ,$416.00 , N/A , N/A ,$260.00 ,$850.00 , N/A ,$800.00 ,$280.00 ,$900.00 ,$150.00 ,$220.00 ,$840.00 ,$750.00 ,$750.00 ,$260.00 ,$650.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100436,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T6,271,1 ,"$2,050.00 ","$1,332.50 ",$150.00 ,"$2,050.00 ","$1,127.50 ","$1,230.00 ","$1,230.00 ",$533.00 ,$574.00 ,$998.35 ,$533.00 ,"$1,150.05 ",$512.50 ,"$1,640.00 ","$1,640.00 ",$533.00 ,"$1,332.50 ",$856.90 ,"$1,394.00 ", N/A ,$533.00 ,"$2,050.00 ",$451.00 ,"$1,537.50 ","$1,455.50 ","$1,455.50 ",$451.00 ,"$1,455.50 ","$1,722.00 ","$1,722.00 ","$1,722.00 ", N/A ,"$1,845.00 ","$1,127.50 ","$1,742.50 ",$451.00 ,"$2,050.00 ","$1,230.00 ",$451.00 ,$852.80 , N/A , N/A ,$533.00 ,"$1,742.50 ", N/A ,"$1,640.00 ",$574.00 ,"$1,845.00 ",$150.00 ,$451.00 ,"$1,722.00 ","$1,537.50 ","$1,537.50 ",$533.00 ,"$1,332.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100437,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T7,271,1 ,"$3,000.00 ","$1,950.00 ",$150.00 ,"$3,000.00 ","$1,650.00 ","$1,800.00 ","$1,800.00 ",$780.00 ,$840.00 ,"$1,461.00 ",$780.00 ,"$1,683.00 ",$750.00 ,"$2,400.00 ","$2,400.00 ",$780.00 ,"$1,950.00 ","$1,254.00 ","$2,040.00 ", N/A ,$780.00 ,"$3,000.00 ",$660.00 ,"$2,250.00 ","$2,130.00 ","$2,130.00 ",$660.00 ,"$2,130.00 ","$2,520.00 ","$2,520.00 ","$2,520.00 ", N/A ,"$2,700.00 ","$1,650.00 ","$2,550.00 ",$660.00 ,"$3,000.00 ","$1,800.00 ",$660.00 ,"$1,248.00 ", N/A , N/A ,$780.00 ,"$2,550.00 ", N/A ,"$2,400.00 ",$840.00 ,"$2,700.00 ",$150.00 ,$660.00 ,"$2,520.00 ","$2,250.00 ","$2,250.00 ",$780.00 ,"$1,950.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100438,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T8,271,1 ,"$3,050.00 ","$1,982.50 ",$150.00 ,"$3,050.00 ","$1,677.50 ","$1,830.00 ","$1,830.00 ",$793.00 ,$854.00 ,"$1,485.35 ",$793.00 ,"$1,711.05 ",$762.50 ,"$2,440.00 ","$2,440.00 ",$793.00 ,"$1,982.50 ","$1,274.90 ","$2,074.00 ", N/A ,$793.00 ,"$3,050.00 ",$671.00 ,"$2,287.50 ","$2,165.50 ","$2,165.50 ",$671.00 ,"$2,165.50 ","$2,562.00 ","$2,562.00 ","$2,562.00 ", N/A ,"$2,745.00 ","$1,677.50 ","$2,592.50 ",$671.00 ,"$3,050.00 ","$1,830.00 ",$671.00 ,"$1,268.80 ", N/A , N/A ,$793.00 ,"$2,592.50 ", N/A ,"$2,440.00 ",$854.00 ,"$2,745.00 ",$150.00 ,$671.00 ,"$2,562.00 ","$2,287.50 ","$2,287.50 ",$793.00 ,"$1,982.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100439,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T9,271,1 ,"$3,100.00 ","$2,015.00 ",$150.00 ,"$3,100.00 ","$1,705.00 ","$1,860.00 ","$1,860.00 ",$806.00 ,$868.00 ,"$1,509.70 ",$806.00 ,"$1,739.10 ",$775.00 ,"$2,480.00 ","$2,480.00 ",$806.00 ,"$2,015.00 ","$1,295.80 ","$2,108.00 ", N/A ,$806.00 ,"$3,100.00 ",$682.00 ,"$2,325.00 ","$2,201.00 ","$2,201.00 ",$682.00 ,"$2,201.00 ","$2,604.00 ","$2,604.00 ","$2,604.00 ", N/A ,"$2,790.00 ","$1,705.00 ","$2,635.00 ",$682.00 ,"$3,100.00 ","$1,860.00 ",$682.00 ,"$1,289.60 ", N/A , N/A ,$806.00 ,"$2,635.00 ", N/A ,"$2,480.00 ",$868.00 ,"$2,790.00 ",$150.00 ,$682.00 ,"$2,604.00 ","$2,325.00 ","$2,325.00 ",$806.00 ,"$2,015.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100440,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T10,271,1 ,"$3,150.00 ","$2,047.50 ",$150.00 ,"$3,150.00 ","$1,732.50 ","$1,890.00 ","$1,890.00 ",$819.00 ,$882.00 ,"$1,534.05 ",$819.00 ,"$1,767.15 ",$787.50 ,"$2,520.00 ","$2,520.00 ",$819.00 ,"$2,047.50 ","$1,316.70 ","$2,142.00 ", N/A ,$819.00 ,"$3,150.00 ",$693.00 ,"$2,362.50 ","$2,236.50 ","$2,236.50 ",$693.00 ,"$2,236.50 ","$2,646.00 ","$2,646.00 ","$2,646.00 ", N/A ,"$2,835.00 ","$1,732.50 ","$2,677.50 ",$693.00 ,"$3,150.00 ","$1,890.00 ",$693.00 ,"$1,310.40 ", N/A , N/A ,$819.00 ,"$2,677.50 ", N/A ,"$2,520.00 ",$882.00 ,"$2,835.00 ",$150.00 ,$693.00 ,"$2,646.00 ","$2,362.50 ","$2,362.50 ",$819.00 ,"$2,047.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100441,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T11,271,1 ,"$3,200.00 ","$2,080.00 ",$150.00 ,"$3,200.00 ","$1,760.00 ","$1,920.00 ","$1,920.00 ",$832.00 ,$896.00 ,"$1,558.40 ",$832.00 ,"$1,795.20 ",$800.00 ,"$2,560.00 ","$2,560.00 ",$832.00 ,"$2,080.00 ","$1,337.60 ","$2,176.00 ", N/A ,$832.00 ,"$3,200.00 ",$704.00 ,"$2,400.00 ","$2,272.00 ","$2,272.00 ",$704.00 ,"$2,272.00 ","$2,688.00 ","$2,688.00 ","$2,688.00 ", N/A ,"$2,880.00 ","$1,760.00 ","$2,720.00 ",$704.00 ,"$3,200.00 ","$1,920.00 ",$704.00 ,"$1,331.20 ", N/A , N/A ,$832.00 ,"$2,720.00 ", N/A ,"$2,560.00 ",$896.00 ,"$2,880.00 ",$150.00 ,$704.00 ,"$2,688.00 ","$2,400.00 ","$2,400.00 ",$832.00 ,"$2,080.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100442,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T12,271,1 ,"$3,250.00 ","$2,112.50 ",$150.00 ,"$3,250.00 ","$1,787.50 ","$1,950.00 ","$1,950.00 ",$845.00 ,$910.00 ,"$1,582.75 ",$845.00 ,"$1,823.25 ",$812.50 ,"$2,600.00 ","$2,600.00 ",$845.00 ,"$2,112.50 ","$1,358.50 ","$2,210.00 ", N/A ,$845.00 ,"$3,250.00 ",$715.00 ,"$2,437.50 ","$2,307.50 ","$2,307.50 ",$715.00 ,"$2,307.50 ","$2,730.00 ","$2,730.00 ","$2,730.00 ", N/A ,"$2,925.00 ","$1,787.50 ","$2,762.50 ",$715.00 ,"$3,250.00 ","$1,950.00 ",$715.00 ,"$1,352.00 ", N/A , N/A ,$845.00 ,"$2,762.50 ", N/A ,"$2,600.00 ",$910.00 ,"$2,925.00 ",$150.00 ,$715.00 ,"$2,730.00 ","$2,437.50 ","$2,437.50 ",$845.00 ,"$2,112.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100443,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T13,271,1 ,"$3,300.00 ","$2,145.00 ",$150.00 ,"$3,300.00 ","$1,815.00 ","$1,980.00 ","$1,980.00 ",$858.00 ,$924.00 ,"$1,607.10 ",$858.00 ,"$1,851.30 ",$825.00 ,"$2,640.00 ","$2,640.00 ",$858.00 ,"$2,145.00 ","$1,379.40 ","$2,244.00 ", N/A ,$858.00 ,"$3,300.00 ",$726.00 ,"$2,475.00 ","$2,343.00 ","$2,343.00 ",$726.00 ,"$2,343.00 ","$2,772.00 ","$2,772.00 ","$2,772.00 ", N/A ,"$2,970.00 ","$1,815.00 ","$2,805.00 ",$726.00 ,"$3,300.00 ","$1,980.00 ",$726.00 ,"$1,372.80 ", N/A , N/A ,$858.00 ,"$2,805.00 ", N/A ,"$2,640.00 ",$924.00 ,"$2,970.00 ",$150.00 ,$726.00 ,"$2,772.00 ","$2,475.00 ","$2,475.00 ",$858.00 ,"$2,145.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100444,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T14,271,1 ,"$3,350.00 ","$2,177.50 ",$150.00 ,"$3,350.00 ","$1,842.50 ","$2,010.00 ","$2,010.00 ",$871.00 ,$938.00 ,"$1,631.45 ",$871.00 ,"$1,879.35 ",$837.50 ,"$2,680.00 ","$2,680.00 ",$871.00 ,"$2,177.50 ","$1,400.30 ","$2,278.00 ", N/A ,$871.00 ,"$3,350.00 ",$737.00 ,"$2,512.50 ","$2,378.50 ","$2,378.50 ",$737.00 ,"$2,378.50 ","$2,814.00 ","$2,814.00 ","$2,814.00 ", N/A ,"$3,015.00 ","$1,842.50 ","$2,847.50 ",$737.00 ,"$3,350.00 ","$2,010.00 ",$737.00 ,"$1,393.60 ", N/A , N/A ,$871.00 ,"$2,847.50 ", N/A ,"$2,680.00 ",$938.00 ,"$3,015.00 ",$150.00 ,$737.00 ,"$2,814.00 ","$2,512.50 ","$2,512.50 ",$871.00 ,"$2,177.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100445,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T15,271,1 ,"$3,400.00 ","$2,210.00 ",$150.00 ,"$3,400.00 ","$1,870.00 ","$2,040.00 ","$2,040.00 ",$884.00 ,$952.00 ,"$1,655.80 ",$884.00 ,"$1,907.40 ",$850.00 ,"$2,720.00 ","$2,720.00 ",$884.00 ,"$2,210.00 ","$1,421.20 ","$2,312.00 ", N/A ,$884.00 ,"$3,400.00 ",$748.00 ,"$2,550.00 ","$2,414.00 ","$2,414.00 ",$748.00 ,"$2,414.00 ","$2,856.00 ","$2,856.00 ","$2,856.00 ", N/A ,"$3,060.00 ","$1,870.00 ","$2,890.00 ",$748.00 ,"$3,400.00 ","$2,040.00 ",$748.00 ,"$1,414.40 ", N/A , N/A ,$884.00 ,"$2,890.00 ", N/A ,"$2,720.00 ",$952.00 ,"$3,060.00 ",$150.00 ,$748.00 ,"$2,856.00 ","$2,550.00 ","$2,550.00 ",$884.00 ,"$2,210.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100446,V5181,HC HEARING AID CROS MONAURAL BEHIND EAR T16,271,1 ,"$3,450.00 ","$2,242.50 ",$150.00 ,"$3,450.00 ","$1,897.50 ","$2,070.00 ","$2,070.00 ",$897.00 ,$966.00 ,"$1,680.15 ",$897.00 ,"$1,935.45 ",$862.50 ,"$2,760.00 ","$2,760.00 ",$897.00 ,"$2,242.50 ","$1,442.10 ","$2,346.00 ", N/A ,$897.00 ,"$3,450.00 ",$759.00 ,"$2,587.50 ","$2,449.50 ","$2,449.50 ",$759.00 ,"$2,449.50 ","$2,898.00 ","$2,898.00 ","$2,898.00 ", N/A ,"$3,105.00 ","$1,897.50 ","$2,932.50 ",$759.00 ,"$3,450.00 ","$2,070.00 ",$759.00 ,"$1,435.20 ", N/A , N/A ,$897.00 ,"$2,932.50 ", N/A ,"$2,760.00 ",$966.00 ,"$3,105.00 ",$150.00 ,$759.00 ,"$2,898.00 ","$2,587.50 ","$2,587.50 ",$897.00 ,"$2,242.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100447,V5160,HC HEARING AID DISPENSING FEE BINAURAL,470,1 ,$495.00 ,$321.75 ,$108.90 ,$495.00 ,$272.25 ,$297.00 ,$297.00 ,$128.70 ,$138.60 ,$241.07 ,$128.70 ,$277.70 ,$123.75 ,$396.00 ,$396.00 ,$128.70 ,$321.75 ,$206.91 ,$336.60 , N/A ,$128.70 ,$495.00 ,$108.90 ,$371.25 ,$351.45 ,$351.45 ,$108.90 ,$351.45 ,$415.80 ,$415.80 ,$415.80 , N/A ,$445.50 ,$272.25 ,$420.75 ,$495.00 ,$495.00 ,$297.00 ,$495.00 ,$205.92 , N/A , N/A ,$128.70 ,$420.75 , N/A ,$396.00 ,$138.60 ,$445.50 ,$150.00 ,$495.00 ,$415.80 ,$150.00 ,$150.00 ,$128.70 ,$321.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100448,V5200,HC HEARING AID DISPENSING FEE CROS,271,1 ,$495.00 ,$321.75 ,$108.90 ,$495.00 ,$272.25 ,$297.00 ,$297.00 ,$128.70 ,$138.60 ,$241.07 ,$128.70 ,$277.70 ,$123.75 ,$396.00 ,$396.00 ,$128.70 ,$321.75 ,$206.91 ,$336.60 , N/A ,$128.70 ,$495.00 ,$108.90 ,$371.25 ,$351.45 ,$351.45 ,$108.90 ,$351.45 ,$415.80 ,$415.80 ,$415.80 , N/A ,$445.50 ,$272.25 ,$420.75 ,$108.90 ,$495.00 ,$297.00 ,$108.90 ,$205.92 , N/A , N/A ,$128.70 ,$420.75 , N/A ,$396.00 ,$138.60 ,$445.50 ,$150.00 ,$108.90 ,$415.80 ,$371.25 ,$371.25 ,$128.70 ,$321.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100449,V5240,HC HEARING AID DISPENSING FEE BICROS,271,1 ,$495.00 ,$321.75 ,$108.90 ,$495.00 ,$272.25 ,$297.00 ,$297.00 ,$128.70 ,$138.60 ,$241.07 ,$128.70 ,$277.70 ,$123.75 ,$396.00 ,$396.00 ,$128.70 ,$321.75 ,$206.91 ,$336.60 , N/A ,$128.70 ,$495.00 ,$108.90 ,$371.25 ,$351.45 ,$351.45 ,$108.90 ,$351.45 ,$415.80 ,$415.80 ,$415.80 , N/A ,$445.50 ,$272.25 ,$420.75 ,$108.90 ,$495.00 ,$297.00 ,$108.90 ,$205.92 , N/A , N/A ,$128.70 ,$420.75 , N/A ,$396.00 ,$138.60 ,$445.50 ,$150.00 ,$108.90 ,$415.80 ,$371.25 ,$371.25 ,$128.70 ,$321.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100450,V5241,HC HEARING AID DISPENSING FEE MONAURAL,271,1 ,$345.00 ,$224.25 ,$75.90 ,$345.00 ,$189.75 ,$207.00 ,$207.00 ,$89.70 ,$96.60 ,$168.02 ,$89.70 ,$193.55 ,$86.25 ,$276.00 ,$276.00 ,$89.70 ,$224.25 ,$144.21 ,$234.60 , N/A ,$89.70 ,$345.00 ,$75.90 ,$258.75 ,$244.95 ,$244.95 ,$75.90 ,$244.95 ,$289.80 ,$289.80 ,$289.80 , N/A ,$310.50 ,$189.75 ,$293.25 ,$75.90 ,$345.00 ,$207.00 ,$75.90 ,$143.52 , N/A , N/A ,$89.70 ,$293.25 , N/A ,$276.00 ,$96.60 ,$310.50 ,$150.00 ,$75.90 ,$289.80 ,$258.75 ,$258.75 ,$89.70 ,$224.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100451,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T1,271,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$21.92 ,$11.70 ,$25.25 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$30.60 , N/A ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 , N/A , N/A ,$11.70 ,$38.25 , N/A ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$33.75 ,$33.75 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100452,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T2,271,1 ,$55.00 ,$35.75 ,$12.10 ,$55.00 ,$30.25 ,$33.00 ,$33.00 ,$14.30 ,$15.40 ,$26.79 ,$14.30 ,$30.86 ,$13.75 ,$44.00 ,$44.00 ,$14.30 ,$35.75 ,$22.99 ,$37.40 , N/A ,$14.30 ,$55.00 ,$12.10 ,$41.25 ,$39.05 ,$39.05 ,$12.10 ,$39.05 ,$46.20 ,$46.20 ,$46.20 , N/A ,$49.50 ,$30.25 ,$46.75 ,$12.10 ,$55.00 ,$33.00 ,$12.10 ,$22.88 , N/A , N/A ,$14.30 ,$46.75 , N/A ,$44.00 ,$15.40 ,$49.50 ,$55.00 ,$12.10 ,$46.20 ,$41.25 ,$41.25 ,$14.30 ,$35.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100453,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T3,271,1 ,$65.00 ,$42.25 ,$14.30 ,$65.00 ,$35.75 ,$39.00 ,$39.00 ,$16.90 ,$18.20 ,$31.66 ,$16.90 ,$36.47 ,$16.25 ,$52.00 ,$52.00 ,$16.90 ,$42.25 ,$27.17 ,$44.20 , N/A ,$16.90 ,$65.00 ,$14.30 ,$48.75 ,$46.15 ,$46.15 ,$14.30 ,$46.15 ,$54.60 ,$54.60 ,$54.60 , N/A ,$58.50 ,$35.75 ,$55.25 ,$14.30 ,$65.00 ,$39.00 ,$14.30 ,$27.04 , N/A , N/A ,$16.90 ,$55.25 , N/A ,$52.00 ,$18.20 ,$58.50 ,$65.00 ,$14.30 ,$54.60 ,$48.75 ,$48.75 ,$16.90 ,$42.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100454,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T4,271,1 ,$75.00 ,$48.75 ,$16.50 ,$75.00 ,$41.25 ,$45.00 ,$45.00 ,$19.50 ,$21.00 ,$36.53 ,$19.50 ,$42.08 ,$18.75 ,$60.00 ,$60.00 ,$19.50 ,$48.75 ,$31.35 ,$51.00 , N/A ,$19.50 ,$75.00 ,$16.50 ,$56.25 ,$53.25 ,$53.25 ,$16.50 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$41.25 ,$63.75 ,$16.50 ,$75.00 ,$45.00 ,$16.50 ,$31.20 , N/A , N/A ,$19.50 ,$63.75 , N/A ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$16.50 ,$63.00 ,$56.25 ,$56.25 ,$19.50 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100455,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T5,271,1 ,$85.00 ,$55.25 ,$18.70 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$41.40 ,$22.10 ,$47.69 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$57.80 , N/A ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 , N/A , N/A ,$22.10 ,$72.25 , N/A ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$63.75 ,$63.75 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100456,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T6,271,1 ,$100.00 ,$65.00 ,$22.00 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$48.70 ,$26.00 ,$56.10 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$68.00 , N/A ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 , N/A , N/A ,$26.00 ,$85.00 , N/A ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$75.00 ,$75.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100457,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T7,271,1 ,$110.00 ,$71.50 ,$24.20 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$53.57 ,$28.60 ,$61.71 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$74.80 , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 , N/A , N/A ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$82.50 ,$82.50 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100458,V5265,HC EAR MOLD/INSERT DISPOSABLE ANY TYPE T1,271,1 ,$5.00 ,$3.25 ,$1.10 ,$5.00 ,$2.75 ,$3.00 ,$3.00 ,$1.30 ,$1.40 ,$2.44 ,$1.30 ,$2.81 ,$1.25 ,$4.00 ,$4.00 ,$1.30 ,$3.25 ,$2.09 ,$3.40 , N/A ,$1.30 ,$5.00 ,$1.10 ,$3.75 ,$3.55 ,$3.55 ,$1.10 ,$3.55 ,$4.20 ,$4.20 ,$4.20 , N/A ,$4.50 ,$2.75 ,$4.25 ,$1.10 ,$5.00 ,$3.00 ,$1.10 ,$2.08 , N/A , N/A ,$1.30 ,$4.25 , N/A ,$4.00 ,$1.40 ,$4.50 ,$5.00 ,$1.10 ,$4.20 ,$3.75 ,$3.75 ,$1.30 ,$3.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100459,V5265,HC EAR MOLD/INSERT DISPOSABLE ANY TYPE T2,271,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.31 ,$3.90 ,$8.42 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$11.25 ,$11.25 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100460,V5265,HC EAR MOLD/INSERT DISPOSABLE ANY TYPE T3,271,1 ,$20.00 ,$13.00 ,$4.40 ,$20.00 ,$11.00 ,$12.00 ,$12.00 ,$5.20 ,$5.60 ,$9.74 ,$5.20 ,$11.22 ,$5.00 ,$16.00 ,$16.00 ,$5.20 ,$13.00 ,$8.36 ,$13.60 , N/A ,$5.20 ,$20.00 ,$4.40 ,$15.00 ,$14.20 ,$14.20 ,$4.40 ,$14.20 ,$16.80 ,$16.80 ,$16.80 , N/A ,$18.00 ,$11.00 ,$17.00 ,$4.40 ,$20.00 ,$12.00 ,$4.40 ,$8.32 , N/A , N/A ,$5.20 ,$17.00 , N/A ,$16.00 ,$5.60 ,$18.00 ,$20.00 ,$4.40 ,$16.80 ,$15.00 ,$15.00 ,$5.20 ,$13.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100461,V5266,HC HEARING AID BATTERY,271,1 ,$0.58 ,$0.38 ,$0.13 ,$0.58 ,$0.33 ,$0.35 ,$0.35 ,$0.15 ,$0.16 ,$0.28 ,$0.15 ,$0.33 ,$0.15 ,$0.46 ,$0.46 ,$0.15 ,$0.38 ,$0.25 ,$0.39 , N/A ,$0.15 ,$0.58 ,$0.13 ,$0.44 ,$0.41 ,$0.41 ,$0.13 ,$0.41 ,$0.49 ,$0.49 ,$0.49 , N/A ,$0.52 ,$0.33 ,$0.49 ,$0.13 ,$0.58 ,$0.35 ,$0.13 ,$0.24 , N/A , N/A ,$0.15 ,$0.49 , N/A ,$0.46 ,$0.16 ,$0.52 ,$0.58 ,$0.13 ,$0.49 ,$0.44 ,$0.44 ,$0.15 ,$0.38 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100462,V5266,HC HEARING AID BATTERY RECHARGEABLE,271,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$18.75 ,$18.75 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100463,V5275,HC EAR MOLD IMPRESSION,271,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$18.75 ,$18.75 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100464,V5283,HC ALD NECK LOOP INDUCTION RECEIVER,271,1 ,$80.00 ,$52.00 ,$17.60 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$38.96 ,$20.80 ,$44.88 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$52.00 ,$33.44 ,$54.40 , N/A ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 , N/A , N/A ,$20.80 ,$68.00 , N/A ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$60.00 ,$60.00 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100465,N/A,HC HEARING SUPPLY SHIPPING T1,271,1 ,$9.00 ,$5.85 ,$1.98 ,$9.00 ,$4.95 ,$5.40 ,$5.40 ,$2.34 ,$2.52 ,$4.38 ,$2.34 ,$5.05 ,$2.25 ,$7.20 ,$7.20 ,$2.34 ,$5.85 ,$3.76 ,$6.12 , N/A ,$2.34 ,$9.00 ,$1.98 ,$6.75 ,$6.39 ,$6.39 ,$1.98 ,$6.39 ,$7.56 ,$7.56 ,$7.56 , N/A ,$8.10 ,$4.95 ,$7.65 ,$1.98 ,$9.00 ,$5.40 ,$1.98 ,$3.74 , N/A , N/A ,$2.34 ,$7.65 , N/A ,$7.20 ,$2.52 ,$8.10 ,$9.00 ,$1.98 ,$7.56 ,$6.75 ,$6.75 ,$2.34 ,$5.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100466,N/A,HC HEARING SUPPLY SHIPPING T2,271,1 ,$11.00 ,$7.15 ,$2.42 ,$11.00 ,$6.05 ,$6.60 ,$6.60 ,$2.86 ,$3.08 ,$5.36 ,$2.86 ,$6.17 ,$2.75 ,$8.80 ,$8.80 ,$2.86 ,$7.15 ,$4.60 ,$7.48 , N/A ,$2.86 ,$11.00 ,$2.42 ,$8.25 ,$7.81 ,$7.81 ,$2.42 ,$7.81 ,$9.24 ,$9.24 ,$9.24 , N/A ,$9.90 ,$6.05 ,$9.35 ,$2.42 ,$11.00 ,$6.60 ,$2.42 ,$4.58 , N/A , N/A ,$2.86 ,$9.35 , N/A ,$8.80 ,$3.08 ,$9.90 ,$11.00 ,$2.42 ,$9.24 ,$8.25 ,$8.25 ,$2.86 ,$7.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100467,N/A,HC HEARING SUPPLY SHIPPING T3,271,1 ,$22.00 ,$14.30 ,$4.84 ,$22.00 ,$12.10 ,$13.20 ,$13.20 ,$5.72 ,$6.16 ,$10.71 ,$5.72 ,$12.34 ,$5.50 ,$17.60 ,$17.60 ,$5.72 ,$14.30 ,$9.20 ,$14.96 , N/A ,$5.72 ,$22.00 ,$4.84 ,$16.50 ,$15.62 ,$15.62 ,$4.84 ,$15.62 ,$18.48 ,$18.48 ,$18.48 , N/A ,$19.80 ,$12.10 ,$18.70 ,$4.84 ,$22.00 ,$13.20 ,$4.84 ,$9.15 , N/A , N/A ,$5.72 ,$18.70 , N/A ,$17.60 ,$6.16 ,$19.80 ,$22.00 ,$4.84 ,$18.48 ,$16.50 ,$16.50 ,$5.72 ,$14.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100468,N/A,HC HEARING SUPPLY SHIPPING T4,271,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$18.75 ,$18.75 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100469,V5267,HC HEARING AID SUPPLY NOS T1,271,1 ,$1.00 ,$0.65 ,$0.22 ,$1.00 ,$0.55 ,$0.60 ,$0.60 ,$0.26 ,$0.28 ,$0.49 ,$0.26 ,$0.56 ,$0.25 ,$0.80 ,$0.80 ,$0.26 ,$0.65 ,$0.42 ,$0.68 , N/A ,$0.26 ,$1.00 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.22 ,$0.71 ,$0.84 ,$0.84 ,$0.84 , N/A ,$0.90 ,$0.55 ,$0.85 ,$0.22 ,$1.00 ,$0.60 ,$0.22 ,$0.42 , N/A , N/A ,$0.26 ,$0.85 , N/A ,$0.80 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.84 ,$0.75 ,$0.75 ,$0.26 ,$0.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100470,V5267,HC HEARING AID SUPPLY NOS T2,271,1 ,$3.50 ,$2.28 ,$0.77 ,$3.50 ,$1.93 ,$2.10 ,$2.10 ,$0.91 ,$0.98 ,$1.70 ,$0.91 ,$1.96 ,$0.88 ,$2.80 ,$2.80 ,$0.91 ,$2.28 ,$1.46 ,$2.38 , N/A ,$0.91 ,$3.50 ,$0.77 ,$2.63 ,$2.49 ,$2.49 ,$0.77 ,$2.49 ,$2.94 ,$2.94 ,$2.94 , N/A ,$3.15 ,$1.93 ,$2.98 ,$0.77 ,$3.50 ,$2.10 ,$0.77 ,$1.46 , N/A , N/A ,$0.91 ,$2.98 , N/A ,$2.80 ,$0.98 ,$3.15 ,$3.50 ,$0.77 ,$2.94 ,$2.63 ,$2.63 ,$0.91 ,$2.28 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100471,V5267,HC HEARING AID SUPPLY NOS T3,271,1 ,$5.00 ,$3.25 ,$1.10 ,$5.00 ,$2.75 ,$3.00 ,$3.00 ,$1.30 ,$1.40 ,$2.44 ,$1.30 ,$2.81 ,$1.25 ,$4.00 ,$4.00 ,$1.30 ,$3.25 ,$2.09 ,$3.40 , N/A ,$1.30 ,$5.00 ,$1.10 ,$3.75 ,$3.55 ,$3.55 ,$1.10 ,$3.55 ,$4.20 ,$4.20 ,$4.20 , N/A ,$4.50 ,$2.75 ,$4.25 ,$1.10 ,$5.00 ,$3.00 ,$1.10 ,$2.08 , N/A , N/A ,$1.30 ,$4.25 , N/A ,$4.00 ,$1.40 ,$4.50 ,$5.00 ,$1.10 ,$4.20 ,$3.75 ,$3.75 ,$1.30 ,$3.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100472,V5267,HC HEARING AID SUPPLY NOS T4,271,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$5.44 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$3.33 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 ,$6.00 ,$6.00 ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100473,V5267,HC HEARING AID SUPPLY NOS T5,271,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100474,V5267,HC HEARING AID SUPPLY NOS T6,271,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$18.75 ,$18.75 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100475,V5267,HC HEARING AID SUPPLY NOS T7,271,1 ,$35.00 ,$22.75 ,$7.70 ,$35.00 ,$19.25 ,$21.00 ,$21.00 ,$9.10 ,$9.80 ,$17.05 ,$9.10 ,$19.64 ,$8.75 ,$28.00 ,$28.00 ,$9.10 ,$22.75 ,$14.63 ,$23.80 , N/A ,$9.10 ,$35.00 ,$7.70 ,$26.25 ,$24.85 ,$24.85 ,$7.70 ,$24.85 ,$29.40 ,$29.40 ,$29.40 , N/A ,$31.50 ,$19.25 ,$29.75 ,$7.70 ,$35.00 ,$21.00 ,$7.70 ,$14.56 , N/A , N/A ,$9.10 ,$29.75 , N/A ,$28.00 ,$9.80 ,$31.50 ,$35.00 ,$7.70 ,$29.40 ,$26.25 ,$26.25 ,$9.10 ,$22.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100476,V5267,HC HEARING AID SUPPLY NOS T8,271,1 ,$40.00 ,$26.00 ,$8.80 ,$40.00 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$19.48 ,$10.40 ,$22.44 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$26.00 ,$16.72 ,$27.20 , N/A ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 , N/A , N/A ,$10.40 ,$34.00 , N/A ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$30.00 ,$30.00 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100477,V5267,HC HEARING AID SUPPLY NOS T9,271,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$24.35 ,$13.00 ,$28.05 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$34.00 , N/A ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 , N/A , N/A ,$13.00 ,$42.50 , N/A ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$37.50 ,$37.50 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100478,V5267,HC HEARING AID SUPPLY NOS T10,271,1 ,$60.00 ,$39.00 ,$13.20 ,$60.00 ,$33.00 ,$36.00 ,$36.00 ,$15.60 ,$16.80 ,$29.22 ,$15.60 ,$33.66 ,$15.00 ,$48.00 ,$48.00 ,$15.60 ,$39.00 ,$25.08 ,$40.80 , N/A ,$15.60 ,$60.00 ,$13.20 ,$45.00 ,$42.60 ,$42.60 ,$13.20 ,$42.60 ,$50.40 ,$50.40 ,$50.40 , N/A ,$54.00 ,$33.00 ,$51.00 ,$13.20 ,$60.00 ,$36.00 ,$13.20 ,$24.96 , N/A , N/A ,$15.60 ,$51.00 , N/A ,$48.00 ,$16.80 ,$54.00 ,$60.00 ,$13.20 ,$50.40 ,$45.00 ,$45.00 ,$15.60 ,$39.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100479,V5267,HC HEARING AID SUPPLY NOS T11,271,1 ,$70.00 ,$45.50 ,$15.40 ,$70.00 ,$38.50 ,$42.00 ,$42.00 ,$18.20 ,$19.60 ,$34.09 ,$18.20 ,$39.27 ,$17.50 ,$56.00 ,$56.00 ,$18.20 ,$45.50 ,$29.26 ,$47.60 , N/A ,$18.20 ,$70.00 ,$15.40 ,$52.50 ,$49.70 ,$49.70 ,$15.40 ,$49.70 ,$58.80 ,$58.80 ,$58.80 , N/A ,$63.00 ,$38.50 ,$59.50 ,$15.40 ,$70.00 ,$42.00 ,$15.40 ,$29.12 , N/A , N/A ,$18.20 ,$59.50 , N/A ,$56.00 ,$19.60 ,$63.00 ,$70.00 ,$15.40 ,$58.80 ,$52.50 ,$52.50 ,$18.20 ,$45.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100480,V5267,HC HEARING AID SUPPLY NOS T12,271,1 ,$80.00 ,$52.00 ,$17.60 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$38.96 ,$20.80 ,$44.88 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$52.00 ,$33.44 ,$54.40 , N/A ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 , N/A , N/A ,$20.80 ,$68.00 , N/A ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$60.00 ,$60.00 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100481,V5267,HC HEARING AID SUPPLY NOS T13,271,1 ,$90.00 ,$58.50 ,$19.80 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$43.83 ,$23.40 ,$50.49 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$61.20 , N/A ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 , N/A , N/A ,$23.40 ,$76.50 , N/A ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$67.50 ,$67.50 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100487,N/A,HC MASK VENTILATION,271,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100488,N/A,HC PAD HEATING,271,1 ,$14.73 ,$9.57 ,$3.24 ,$14.73 ,$8.10 ,$8.84 ,$8.84 ,$3.83 ,$4.12 ,$7.17 ,$3.83 ,$8.26 ,$3.68 ,$11.78 ,$11.78 ,$3.83 ,$9.57 ,$6.16 ,$10.02 , N/A ,$3.83 ,$14.73 ,$3.24 ,$11.05 ,$10.46 ,$10.46 ,$3.24 ,$10.46 ,$12.37 ,$12.37 ,$12.37 , N/A ,$13.26 ,$8.10 ,$12.52 ,$3.24 ,$14.73 ,$8.84 ,$3.24 ,$6.13 , N/A , N/A ,$3.83 ,$12.52 , N/A ,$11.78 ,$4.12 ,$13.26 ,$14.73 ,$3.24 ,$12.37 ,$11.05 ,$11.05 ,$3.83 ,$9.57 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100499,V5172,HC HEARING AID CROS MONAURAL IN CANAL T1,271,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$88.00 ,$400.00 ,$240.00 ,$88.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$88.00 ,$336.00 ,$300.00 ,$300.00 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100500,V5172,HC HEARING AID CROS MONAURAL IN CANAL T2,271,1 ,$575.00 ,$373.75 ,$126.50 ,$575.00 ,$316.25 ,$345.00 ,$345.00 ,$149.50 ,$161.00 ,$280.03 ,$149.50 ,$322.58 ,$143.75 ,$460.00 ,$460.00 ,$149.50 ,$373.75 ,$240.35 ,$391.00 , N/A ,$149.50 ,$575.00 ,$126.50 ,$431.25 ,$408.25 ,$408.25 ,$126.50 ,$408.25 ,$483.00 ,$483.00 ,$483.00 , N/A ,$517.50 ,$316.25 ,$488.75 ,$126.50 ,$575.00 ,$345.00 ,$126.50 ,$239.20 , N/A , N/A ,$149.50 ,$488.75 , N/A ,$460.00 ,$161.00 ,$517.50 ,$150.00 ,$126.50 ,$483.00 ,$431.25 ,$431.25 ,$149.50 ,$373.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100501,V5172,HC HEARING AID CROS MONAURAL IN CANAL T3,271,1 ,$875.00 ,$568.75 ,$150.00 ,$875.00 ,$481.25 ,$525.00 ,$525.00 ,$227.50 ,$245.00 ,$426.13 ,$227.50 ,$490.88 ,$218.75 ,$700.00 ,$700.00 ,$227.50 ,$568.75 ,$365.75 ,$595.00 , N/A ,$227.50 ,$875.00 ,$192.50 ,$656.25 ,$621.25 ,$621.25 ,$192.50 ,$621.25 ,$735.00 ,$735.00 ,$735.00 , N/A ,$787.50 ,$481.25 ,$743.75 ,$192.50 ,$875.00 ,$525.00 ,$192.50 ,$364.00 , N/A , N/A ,$227.50 ,$743.75 , N/A ,$700.00 ,$245.00 ,$787.50 ,$150.00 ,$192.50 ,$735.00 ,$656.25 ,$656.25 ,$227.50 ,$568.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100502,V5172,HC HEARING AID CROS MONAURAL IN CANAL T4,271,1 ,$925.00 ,$601.25 ,$150.00 ,$925.00 ,$508.75 ,$555.00 ,$555.00 ,$240.50 ,$259.00 ,$450.48 ,$240.50 ,$518.93 ,$231.25 ,$740.00 ,$740.00 ,$240.50 ,$601.25 ,$386.65 ,$629.00 , N/A ,$240.50 ,$925.00 ,$203.50 ,$693.75 ,$656.75 ,$656.75 ,$203.50 ,$656.75 ,$777.00 ,$777.00 ,$777.00 , N/A ,$832.50 ,$508.75 ,$786.25 ,$203.50 ,$925.00 ,$555.00 ,$203.50 ,$384.80 , N/A , N/A ,$240.50 ,$786.25 , N/A ,$740.00 ,$259.00 ,$832.50 ,$150.00 ,$203.50 ,$777.00 ,$693.75 ,$693.75 ,$240.50 ,$601.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100503,V5172,HC HEARING AID CROS MONAURAL IN CANAL T5,271,1 ,"$2,000.00 ","$1,300.00 ",$150.00 ,"$2,000.00 ","$1,100.00 ","$1,200.00 ","$1,200.00 ",$520.00 ,$560.00 ,$974.00 ,$520.00 ,"$1,122.00 ",$500.00 ,"$1,600.00 ","$1,600.00 ",$520.00 ,"$1,300.00 ",$836.00 ,"$1,360.00 ", N/A ,$520.00 ,"$2,000.00 ",$440.00 ,"$1,500.00 ","$1,420.00 ","$1,420.00 ",$440.00 ,"$1,420.00 ","$1,680.00 ","$1,680.00 ","$1,680.00 ", N/A ,"$1,800.00 ","$1,100.00 ","$1,700.00 ",$440.00 ,"$2,000.00 ","$1,200.00 ",$440.00 ,$832.00 , N/A , N/A ,$520.00 ,"$1,700.00 ", N/A ,"$1,600.00 ",$560.00 ,"$1,800.00 ",$150.00 ,$440.00 ,"$1,680.00 ","$1,500.00 ","$1,500.00 ",$520.00 ,"$1,300.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100504,V5172,HC HEARING AID CROS MONAURAL IN CANAL T6,271,1 ,"$2,050.00 ","$1,332.50 ",$150.00 ,"$2,050.00 ","$1,127.50 ","$1,230.00 ","$1,230.00 ",$533.00 ,$574.00 ,$998.35 ,$533.00 ,"$1,150.05 ",$512.50 ,"$1,640.00 ","$1,640.00 ",$533.00 ,"$1,332.50 ",$856.90 ,"$1,394.00 ", N/A ,$533.00 ,"$2,050.00 ",$451.00 ,"$1,537.50 ","$1,455.50 ","$1,455.50 ",$451.00 ,"$1,455.50 ","$1,722.00 ","$1,722.00 ","$1,722.00 ", N/A ,"$1,845.00 ","$1,127.50 ","$1,742.50 ",$451.00 ,"$2,050.00 ","$1,230.00 ",$451.00 ,$852.80 , N/A , N/A ,$533.00 ,"$1,742.50 ", N/A ,"$1,640.00 ",$574.00 ,"$1,845.00 ",$150.00 ,$451.00 ,"$1,722.00 ","$1,537.50 ","$1,537.50 ",$533.00 ,"$1,332.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100505,V5172,HC HEARING AID CROS MONAURAL IN CANAL T7,271,1 ,"$3,000.00 ","$1,950.00 ",$150.00 ,"$3,000.00 ","$1,650.00 ","$1,800.00 ","$1,800.00 ",$780.00 ,$840.00 ,"$1,461.00 ",$780.00 ,"$1,683.00 ",$750.00 ,"$2,400.00 ","$2,400.00 ",$780.00 ,"$1,950.00 ","$1,254.00 ","$2,040.00 ", N/A ,$780.00 ,"$3,000.00 ",$660.00 ,"$2,250.00 ","$2,130.00 ","$2,130.00 ",$660.00 ,"$2,130.00 ","$2,520.00 ","$2,520.00 ","$2,520.00 ", N/A ,"$2,700.00 ","$1,650.00 ","$2,550.00 ",$660.00 ,"$3,000.00 ","$1,800.00 ",$660.00 ,"$1,248.00 ", N/A , N/A ,$780.00 ,"$2,550.00 ", N/A ,"$2,400.00 ",$840.00 ,"$2,700.00 ",$150.00 ,$660.00 ,"$2,520.00 ","$2,250.00 ","$2,250.00 ",$780.00 ,"$1,950.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100506,V5172,HC HEARING AID CROS MONAURAL IN CANAL T8,271,1 ,"$3,050.00 ","$1,982.50 ",$150.00 ,"$3,050.00 ","$1,677.50 ","$1,830.00 ","$1,830.00 ",$793.00 ,$854.00 ,"$1,485.35 ",$793.00 ,"$1,711.05 ",$762.50 ,"$2,440.00 ","$2,440.00 ",$793.00 ,"$1,982.50 ","$1,274.90 ","$2,074.00 ", N/A ,$793.00 ,"$3,050.00 ",$671.00 ,"$2,287.50 ","$2,165.50 ","$2,165.50 ",$671.00 ,"$2,165.50 ","$2,562.00 ","$2,562.00 ","$2,562.00 ", N/A ,"$2,745.00 ","$1,677.50 ","$2,592.50 ",$671.00 ,"$3,050.00 ","$1,830.00 ",$671.00 ,"$1,268.80 ", N/A , N/A ,$793.00 ,"$2,592.50 ", N/A ,"$2,440.00 ",$854.00 ,"$2,745.00 ",$150.00 ,$671.00 ,"$2,562.00 ","$2,287.50 ","$2,287.50 ",$793.00 ,"$1,982.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100507,V5172,HC HEARING AID CROS MONAURAL IN CANAL T9,271,1 ,"$4,000.00 ","$2,600.00 ",$150.00 ,"$4,000.00 ","$2,200.00 ","$2,400.00 ","$2,400.00 ","$1,040.00 ","$1,120.00 ","$1,948.00 ","$1,040.00 ","$2,244.00 ","$1,000.00 ","$3,200.00 ","$3,200.00 ","$1,040.00 ","$2,600.00 ","$1,672.00 ","$2,720.00 ", N/A ,"$1,040.00 ","$4,000.00 ",$880.00 ,"$3,000.00 ","$2,840.00 ","$2,840.00 ",$880.00 ,"$2,840.00 ","$3,360.00 ","$3,360.00 ","$3,360.00 ", N/A ,"$3,600.00 ","$2,200.00 ","$3,400.00 ",$880.00 ,"$4,000.00 ","$2,400.00 ",$880.00 ,"$1,664.00 ", N/A , N/A ,"$1,040.00 ","$3,400.00 ", N/A ,"$3,200.00 ","$1,120.00 ","$3,600.00 ",$150.00 ,$880.00 ,"$3,360.00 ","$3,000.00 ","$3,000.00 ","$1,040.00 ","$2,600.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100508,V5172,HC HEARING AID CROS MONAURAL IN CANAL T10,271,1 ,"$4,050.00 ","$2,632.50 ",$150.00 ,"$4,050.00 ","$2,227.50 ","$2,430.00 ","$2,430.00 ","$1,053.00 ","$1,134.00 ","$1,972.35 ","$1,053.00 ","$2,272.05 ","$1,012.50 ","$3,240.00 ","$3,240.00 ","$1,053.00 ","$2,632.50 ","$1,692.90 ","$2,754.00 ", N/A ,"$1,053.00 ","$4,050.00 ",$891.00 ,"$3,037.50 ","$2,875.50 ","$2,875.50 ",$891.00 ,"$2,875.50 ","$3,402.00 ","$3,402.00 ","$3,402.00 ", N/A ,"$3,645.00 ","$2,227.50 ","$3,442.50 ",$891.00 ,"$4,050.00 ","$2,430.00 ",$891.00 ,"$1,684.80 ", N/A , N/A ,"$1,053.00 ","$3,442.50 ", N/A ,"$3,240.00 ","$1,134.00 ","$3,645.00 ",$150.00 ,$891.00 ,"$3,402.00 ","$3,037.50 ","$3,037.50 ","$1,053.00 ","$2,632.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100509,V5172,HC HEARING AID CROS MONAURAL IN CANAL T11,271,1 ,"$5,000.00 ","$3,250.00 ",$150.00 ,"$5,000.00 ","$2,750.00 ","$3,000.00 ","$3,000.00 ","$1,300.00 ","$1,400.00 ","$2,435.00 ","$1,300.00 ","$2,805.00 ","$1,250.00 ","$4,000.00 ","$4,000.00 ","$1,300.00 ","$3,250.00 ","$2,090.00 ","$3,400.00 ", N/A ,"$1,300.00 ","$5,000.00 ","$1,100.00 ","$3,750.00 ","$3,550.00 ","$3,550.00 ","$1,100.00 ","$3,550.00 ","$4,200.00 ","$4,200.00 ","$4,200.00 ", N/A ,"$4,500.00 ","$2,750.00 ","$4,250.00 ","$1,100.00 ","$5,000.00 ","$3,000.00 ","$1,100.00 ","$2,080.00 ", N/A , N/A ,"$1,300.00 ","$4,250.00 ", N/A ,"$4,000.00 ","$1,400.00 ","$4,500.00 ",$150.00 ,"$1,100.00 ","$4,200.00 ","$3,750.00 ","$3,750.00 ","$1,300.00 ","$3,250.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100510,V5172,HC HEARING AID CROS MONAURAL IN CANAL T12,271,1 ,"$5,050.00 ","$3,282.50 ",$150.00 ,"$5,050.00 ","$2,777.50 ","$3,030.00 ","$3,030.00 ","$1,313.00 ","$1,414.00 ","$2,459.35 ","$1,313.00 ","$2,833.05 ","$1,262.50 ","$4,040.00 ","$4,040.00 ","$1,313.00 ","$3,282.50 ","$2,110.90 ","$3,434.00 ", N/A ,"$1,313.00 ","$5,050.00 ","$1,111.00 ","$3,787.50 ","$3,585.50 ","$3,585.50 ","$1,111.00 ","$3,585.50 ","$4,242.00 ","$4,242.00 ","$4,242.00 ", N/A ,"$4,545.00 ","$2,777.50 ","$4,292.50 ","$1,111.00 ","$5,050.00 ","$3,030.00 ","$1,111.00 ","$2,100.80 ", N/A , N/A ,"$1,313.00 ","$4,292.50 ", N/A ,"$4,040.00 ","$1,414.00 ","$4,545.00 ",$150.00 ,"$1,111.00 ","$4,242.00 ","$3,787.50 ","$3,787.50 ","$1,313.00 ","$3,282.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100511,V5172,HC HEARING AID CROS MONAURAL IN CANAL T13,271,1 ,"$6,000.00 ","$3,900.00 ",$150.00 ,"$6,000.00 ","$3,300.00 ","$3,600.00 ","$3,600.00 ","$1,560.00 ","$1,680.00 ","$2,922.00 ","$1,560.00 ","$3,366.00 ","$1,500.00 ","$4,800.00 ","$4,800.00 ","$1,560.00 ","$3,900.00 ","$2,508.00 ","$4,080.00 ", N/A ,"$1,560.00 ","$6,000.00 ","$1,320.00 ","$4,500.00 ","$4,260.00 ","$4,260.00 ","$1,320.00 ","$4,260.00 ","$5,040.00 ","$5,040.00 ","$5,040.00 ", N/A ,"$5,400.00 ","$3,300.00 ","$5,100.00 ","$1,320.00 ","$6,000.00 ","$3,600.00 ","$1,320.00 ","$2,496.00 ", N/A , N/A ,"$1,560.00 ","$5,100.00 ", N/A ,"$4,800.00 ","$1,680.00 ","$5,400.00 ",$150.00 ,"$1,320.00 ","$5,040.00 ","$4,500.00 ","$4,500.00 ","$1,560.00 ","$3,900.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100512,V5172,HC HEARING AID CROS MONAURAL IN CANAL T14,271,1 ,"$6,050.00 ","$3,932.50 ",$150.00 ,"$6,050.00 ","$3,327.50 ","$3,630.00 ","$3,630.00 ","$1,573.00 ","$1,694.00 ","$2,946.35 ","$1,573.00 ","$3,394.05 ","$1,512.50 ","$4,840.00 ","$4,840.00 ","$1,573.00 ","$3,932.50 ","$2,528.90 ","$4,114.00 ", N/A ,"$1,573.00 ","$6,050.00 ","$1,331.00 ","$4,537.50 ","$4,295.50 ","$4,295.50 ","$1,331.00 ","$4,295.50 ","$5,082.00 ","$5,082.00 ","$5,082.00 ", N/A ,"$5,445.00 ","$3,327.50 ","$5,142.50 ","$1,331.00 ","$6,050.00 ","$3,630.00 ","$1,331.00 ","$2,516.80 ", N/A , N/A ,"$1,573.00 ","$5,142.50 ", N/A ,"$4,840.00 ","$1,694.00 ","$5,445.00 ",$150.00 ,"$1,331.00 ","$5,082.00 ","$4,537.50 ","$4,537.50 ","$1,573.00 ","$3,932.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100513,V5172,HC HEARING AID CROS MONAURAL IN CANAL T15,271,1 ,"$7,000.00 ","$4,550.00 ",$150.00 ,"$7,000.00 ","$3,850.00 ","$4,200.00 ","$4,200.00 ","$1,820.00 ","$1,960.00 ","$3,409.00 ","$1,820.00 ","$3,927.00 ","$1,750.00 ","$5,600.00 ","$5,600.00 ","$1,820.00 ","$4,550.00 ","$2,926.00 ","$4,760.00 ", N/A ,"$1,820.00 ","$7,000.00 ","$1,540.00 ","$5,250.00 ","$4,970.00 ","$4,970.00 ","$1,540.00 ","$4,970.00 ","$5,880.00 ","$5,880.00 ","$5,880.00 ", N/A ,"$6,300.00 ","$3,850.00 ","$5,950.00 ","$1,540.00 ","$7,000.00 ","$4,200.00 ","$1,540.00 ","$2,912.00 ", N/A , N/A ,"$1,820.00 ","$5,950.00 ", N/A ,"$5,600.00 ","$1,960.00 ","$6,300.00 ",$150.00 ,"$1,540.00 ","$5,880.00 ","$5,250.00 ","$5,250.00 ","$1,820.00 ","$4,550.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100514,V5172,HC HEARING AID CROS MONAURAL IN CANAL T16,271,1 ,"$7,050.00 ","$4,582.50 ",$150.00 ,"$7,050.00 ","$3,877.50 ","$4,230.00 ","$4,230.00 ","$1,833.00 ","$1,974.00 ","$3,433.35 ","$1,833.00 ","$3,955.05 ","$1,762.50 ","$5,640.00 ","$5,640.00 ","$1,833.00 ","$4,582.50 ","$2,946.90 ","$4,794.00 ", N/A ,"$1,833.00 ","$7,050.00 ","$1,551.00 ","$5,287.50 ","$5,005.50 ","$5,005.50 ","$1,551.00 ","$5,005.50 ","$5,922.00 ","$5,922.00 ","$5,922.00 ", N/A ,"$6,345.00 ","$3,877.50 ","$5,992.50 ","$1,551.00 ","$7,050.00 ","$4,230.00 ","$1,551.00 ","$2,932.80 ", N/A , N/A ,"$1,833.00 ","$5,992.50 ", N/A ,"$5,640.00 ","$1,974.00 ","$6,345.00 ",$150.00 ,"$1,551.00 ","$5,922.00 ","$5,287.50 ","$5,287.50 ","$1,833.00 ","$4,582.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100515,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T8,271,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$81.60 , N/A ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 , N/A , N/A ,$31.20 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$90.00 ,$90.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100516,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T9,271,1 ,$130.00 ,$84.50 ,$28.60 ,$130.00 ,$71.50 ,$78.00 ,$78.00 ,$33.80 ,$36.40 ,$63.31 ,$33.80 ,$72.93 ,$32.50 ,$104.00 ,$104.00 ,$33.80 ,$84.50 ,$54.34 ,$88.40 , N/A ,$33.80 ,$130.00 ,$28.60 ,$97.50 ,$92.30 ,$92.30 ,$28.60 ,$92.30 ,$109.20 ,$109.20 ,$109.20 , N/A ,$117.00 ,$71.50 ,$110.50 ,$28.60 ,$130.00 ,$78.00 ,$28.60 ,$54.08 , N/A , N/A ,$33.80 ,$110.50 , N/A ,$104.00 ,$36.40 ,$117.00 ,$130.00 ,$28.60 ,$109.20 ,$97.50 ,$97.50 ,$33.80 ,$84.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100517,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T10,271,1 ,$140.00 ,$91.00 ,$30.80 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$68.18 ,$36.40 ,$78.54 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$95.20 , N/A ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 , N/A , N/A ,$36.40 ,$119.00 , N/A ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$105.00 ,$105.00 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100518,V5264,HC EAR MOLD/INSERT NON DISPOSABLE ANY TYPE T11,271,1 ,$150.00 ,$97.50 ,$33.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$97.50 ,$62.70 ,$102.00 , N/A ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 , N/A ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 ,$112.50 ,$112.50 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100524,V5140,HC HEARING AID BINAURAL BEHIND EAR T17,271,1 ,"$3,350.00 ","$2,177.50 ",$150.00 ,"$3,350.00 ","$1,842.50 ","$2,010.00 ","$2,010.00 ",$871.00 ,$938.00 ,"$1,631.45 ",$871.00 ,"$1,879.35 ",$837.50 ,"$2,680.00 ","$2,680.00 ",$871.00 ,"$2,177.50 ","$1,400.30 ","$2,278.00 ", N/A ,$871.00 ,"$3,350.00 ",$737.00 ,"$2,512.50 ","$2,378.50 ","$2,378.50 ",$737.00 ,"$2,378.50 ","$2,814.00 ","$2,814.00 ","$2,814.00 ", N/A ,"$3,015.00 ","$1,842.50 ","$2,847.50 ","$3,350.00 ","$3,350.00 ","$2,010.00 ","$3,350.00 ","$1,393.60 ", N/A , N/A ,$871.00 ,"$2,847.50 ", N/A ,"$2,680.00 ",$938.00 ,"$3,015.00 ",$150.00 ,"$3,350.00 ","$2,814.00 ","$2,512.50 ","$2,512.50 ",$871.00 ,"$2,177.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100525,V5140,HC HEARING AID BINAURAL BEHIND EAR T18,271,1 ,"$3,500.00 ","$2,275.00 ",$150.00 ,"$3,500.00 ","$1,925.00 ","$2,100.00 ","$2,100.00 ",$910.00 ,$980.00 ,"$1,704.50 ",$910.00 ,"$1,963.50 ",$875.00 ,"$2,800.00 ","$2,800.00 ",$910.00 ,"$2,275.00 ","$1,463.00 ","$2,380.00 ", N/A ,$910.00 ,"$3,500.00 ",$770.00 ,"$2,625.00 ","$2,485.00 ","$2,485.00 ",$770.00 ,"$2,485.00 ","$2,940.00 ","$2,940.00 ","$2,940.00 ", N/A ,"$3,150.00 ","$1,925.00 ","$2,975.00 ","$3,500.00 ","$3,500.00 ","$2,100.00 ","$3,500.00 ","$1,456.00 ", N/A , N/A ,$910.00 ,"$2,975.00 ", N/A ,"$2,800.00 ",$980.00 ,"$3,150.00 ",$150.00 ,"$3,500.00 ","$2,940.00 ","$2,625.00 ","$2,625.00 ",$910.00 ,"$2,275.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100526,V5140,HC HEARING AID BINAURAL BEHIND EAR T19,271,1 ,"$3,750.00 ","$2,437.50 ",$150.00 ,"$3,750.00 ","$2,062.50 ","$2,250.00 ","$2,250.00 ",$975.00 ,"$1,050.00 ","$1,826.25 ",$975.00 ,"$2,103.75 ",$937.50 ,"$3,000.00 ","$3,000.00 ",$975.00 ,"$2,437.50 ","$1,567.50 ","$2,550.00 ", N/A ,$975.00 ,"$3,750.00 ",$825.00 ,"$2,812.50 ","$2,662.50 ","$2,662.50 ",$825.00 ,"$2,662.50 ","$3,150.00 ","$3,150.00 ","$3,150.00 ", N/A ,"$3,375.00 ","$2,062.50 ","$3,187.50 ","$3,750.00 ","$3,750.00 ","$2,250.00 ","$3,750.00 ","$1,560.00 ", N/A , N/A ,$975.00 ,"$3,187.50 ", N/A ,"$3,000.00 ","$1,050.00 ","$3,375.00 ",$150.00 ,"$3,750.00 ","$3,150.00 ","$2,812.50 ","$2,812.50 ",$975.00 ,"$2,437.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100527,V5140,HC HEARING AID BINAURAL BEHIND EAR T20,271,1 ,"$3,850.00 ","$2,502.50 ",$150.00 ,"$3,850.00 ","$2,117.50 ","$2,310.00 ","$2,310.00 ","$1,001.00 ","$1,078.00 ","$1,874.95 ","$1,001.00 ","$2,159.85 ",$962.50 ,"$3,080.00 ","$3,080.00 ","$1,001.00 ","$2,502.50 ","$1,609.30 ","$2,618.00 ", N/A ,"$1,001.00 ","$3,850.00 ",$847.00 ,"$2,887.50 ","$2,733.50 ","$2,733.50 ",$847.00 ,"$2,733.50 ","$3,234.00 ","$3,234.00 ","$3,234.00 ", N/A ,"$3,465.00 ","$2,117.50 ","$3,272.50 ","$3,850.00 ","$3,850.00 ","$2,310.00 ","$3,850.00 ","$1,601.60 ", N/A , N/A ,"$1,001.00 ","$3,272.50 ", N/A ,"$3,080.00 ","$1,078.00 ","$3,465.00 ",$150.00 ,"$3,850.00 ","$3,234.00 ","$2,887.50 ","$2,887.50 ","$1,001.00 ","$2,502.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100528,V5290,HC ALD TRANSMITTER MICROPHONE T6,271,1 ,"$1,400.00 ",$910.00 ,$150.00 ,"$1,400.00 ",$770.00 ,$840.00 ,$840.00 ,$364.00 ,$392.00 ,$681.80 ,$364.00 ,$785.40 ,$350.00 ,"$1,120.00 ","$1,120.00 ",$364.00 ,$910.00 ,$585.20 ,$952.00 , N/A ,$364.00 ,"$1,400.00 ",$308.00 ,"$1,050.00 ",$994.00 ,$994.00 ,$308.00 ,$994.00 ,"$1,176.00 ","$1,176.00 ","$1,176.00 ", N/A ,"$1,260.00 ",$770.00 ,"$1,190.00 ",$308.00 ,"$1,400.00 ",$840.00 ,$308.00 ,$582.40 , N/A , N/A ,$364.00 ,"$1,190.00 ", N/A ,"$1,120.00 ",$392.00 ,"$1,260.00 ",$150.00 ,$308.00 ,"$1,176.00 ","$1,050.00 ","$1,050.00 ",$364.00 ,$910.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100529,V5060,HC HEARING AID MONAURAL BEHIND EAR T17,271,1 ,"$1,675.00 ","$1,088.75 ",$150.00 ,"$1,675.00 ",$921.25 ,"$1,005.00 ","$1,005.00 ",$435.50 ,$469.00 ,$815.73 ,$435.50 ,$939.68 ,$418.75 ,"$1,340.00 ","$1,340.00 ",$435.50 ,"$1,088.75 ",$700.15 ,"$1,139.00 ", N/A ,$435.50 ,"$1,675.00 ",$368.50 ,"$1,256.25 ","$1,189.25 ","$1,189.25 ",$368.50 ,"$1,189.25 ","$1,407.00 ","$1,407.00 ","$1,407.00 ", N/A ,"$1,507.50 ",$921.25 ,"$1,423.75 ",$368.50 ,"$1,675.00 ","$1,005.00 ",$368.50 ,$696.80 , N/A , N/A ,$435.50 ,"$1,423.75 ", N/A ,"$1,340.00 ",$469.00 ,"$1,507.50 ",$150.00 ,$368.50 ,"$1,407.00 ","$1,256.25 ","$1,256.25 ",$435.50 ,"$1,088.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100530,V5060,HC HEARING AID MONAURAL BEHIND EAR T18,271,1 ,"$1,750.00 ","$1,137.50 ",$150.00 ,"$1,750.00 ",$962.50 ,"$1,050.00 ","$1,050.00 ",$455.00 ,$490.00 ,$852.25 ,$455.00 ,$981.75 ,$437.50 ,"$1,400.00 ","$1,400.00 ",$455.00 ,"$1,137.50 ",$731.50 ,"$1,190.00 ", N/A ,$455.00 ,"$1,750.00 ",$385.00 ,"$1,312.50 ","$1,242.50 ","$1,242.50 ",$385.00 ,"$1,242.50 ","$1,470.00 ","$1,470.00 ","$1,470.00 ", N/A ,"$1,575.00 ",$962.50 ,"$1,487.50 ",$385.00 ,"$1,750.00 ","$1,050.00 ",$385.00 ,$728.00 , N/A , N/A ,$455.00 ,"$1,487.50 ", N/A ,"$1,400.00 ",$490.00 ,"$1,575.00 ",$150.00 ,$385.00 ,"$1,470.00 ","$1,312.50 ","$1,312.50 ",$455.00 ,"$1,137.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100531,V5060,HC HEARING AID MONAURAL BEHIND EAR T19,271,1 ,"$1,875.00 ","$1,218.75 ",$150.00 ,"$1,875.00 ","$1,031.25 ","$1,125.00 ","$1,125.00 ",$487.50 ,$525.00 ,$913.13 ,$487.50 ,"$1,051.88 ",$468.75 ,"$1,500.00 ","$1,500.00 ",$487.50 ,"$1,218.75 ",$783.75 ,"$1,275.00 ", N/A ,$487.50 ,"$1,875.00 ",$412.50 ,"$1,406.25 ","$1,331.25 ","$1,331.25 ",$412.50 ,"$1,331.25 ","$1,575.00 ","$1,575.00 ","$1,575.00 ", N/A ,"$1,687.50 ","$1,031.25 ","$1,593.75 ",$412.50 ,"$1,875.00 ","$1,125.00 ",$412.50 ,$780.00 , N/A , N/A ,$487.50 ,"$1,593.75 ", N/A ,"$1,500.00 ",$525.00 ,"$1,687.50 ",$150.00 ,$412.50 ,"$1,575.00 ","$1,406.25 ","$1,406.25 ",$487.50 ,"$1,218.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100532,V5060,HC HEARING AID MONAURAL BEHIND EAR T20,271,1 ,"$1,925.00 ","$1,251.25 ",$150.00 ,"$1,925.00 ","$1,058.75 ","$1,155.00 ","$1,155.00 ",$500.50 ,$539.00 ,$937.48 ,$500.50 ,"$1,079.93 ",$481.25 ,"$1,540.00 ","$1,540.00 ",$500.50 ,"$1,251.25 ",$804.65 ,"$1,309.00 ", N/A ,$500.50 ,"$1,925.00 ",$423.50 ,"$1,443.75 ","$1,366.75 ","$1,366.75 ",$423.50 ,"$1,366.75 ","$1,617.00 ","$1,617.00 ","$1,617.00 ", N/A ,"$1,732.50 ","$1,058.75 ","$1,636.25 ",$423.50 ,"$1,925.00 ","$1,155.00 ",$423.50 ,$800.80 , N/A , N/A ,$500.50 ,"$1,636.25 ", N/A ,"$1,540.00 ",$539.00 ,"$1,732.50 ",$150.00 ,$423.50 ,"$1,617.00 ","$1,443.75 ","$1,443.75 ",$500.50 ,"$1,251.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100533,V5060,HC HEARING AID MONAURAL BEHIND EAR T21,271,1 ,"$2,325.00 ","$1,511.25 ",$150.00 ,"$2,325.00 ","$1,278.75 ","$1,395.00 ","$1,395.00 ",$604.50 ,$651.00 ,"$1,132.28 ",$604.50 ,"$1,304.33 ",$581.25 ,"$1,860.00 ","$1,860.00 ",$604.50 ,"$1,511.25 ",$971.85 ,"$1,581.00 ", N/A ,$604.50 ,"$2,325.00 ",$511.50 ,"$1,743.75 ","$1,650.75 ","$1,650.75 ",$511.50 ,"$1,650.75 ","$1,953.00 ","$1,953.00 ","$1,953.00 ", N/A ,"$2,092.50 ","$1,278.75 ","$1,976.25 ",$511.50 ,"$2,325.00 ","$1,395.00 ",$511.50 ,$967.20 , N/A , N/A ,$604.50 ,"$1,976.25 ", N/A ,"$1,860.00 ",$651.00 ,"$2,092.50 ",$150.00 ,$511.50 ,"$1,953.00 ","$1,743.75 ","$1,743.75 ",$604.50 ,"$1,511.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100534,V5060,HC HEARING AID MONAURAL BEHIND EAR T22,271,1 ,"$2,350.00 ","$1,527.50 ",$150.00 ,"$2,350.00 ","$1,292.50 ","$1,410.00 ","$1,410.00 ",$611.00 ,$658.00 ,"$1,144.45 ",$611.00 ,"$1,318.35 ",$587.50 ,"$1,880.00 ","$1,880.00 ",$611.00 ,"$1,527.50 ",$982.30 ,"$1,598.00 ", N/A ,$611.00 ,"$2,350.00 ",$517.00 ,"$1,762.50 ","$1,668.50 ","$1,668.50 ",$517.00 ,"$1,668.50 ","$1,974.00 ","$1,974.00 ","$1,974.00 ", N/A ,"$2,115.00 ","$1,292.50 ","$1,997.50 ",$517.00 ,"$2,350.00 ","$1,410.00 ",$517.00 ,$977.60 , N/A , N/A ,$611.00 ,"$1,997.50 ", N/A ,"$1,880.00 ",$658.00 ,"$2,115.00 ",$150.00 ,$517.00 ,"$1,974.00 ","$1,762.50 ","$1,762.50 ",$611.00 ,"$1,527.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100535,V5060,HC HEARING AID MONAURAL BEHIND EAR T23,271,1 ,"$2,500.00 ","$1,625.00 ",$150.00 ,"$2,500.00 ","$1,375.00 ","$1,500.00 ","$1,500.00 ",$650.00 ,$700.00 ,"$1,217.50 ",$650.00 ,"$1,402.50 ",$625.00 ,"$2,000.00 ","$2,000.00 ",$650.00 ,"$1,625.00 ","$1,045.00 ","$1,700.00 ", N/A ,$650.00 ,"$2,500.00 ",$550.00 ,"$1,875.00 ","$1,775.00 ","$1,775.00 ",$550.00 ,"$1,775.00 ","$2,100.00 ","$2,100.00 ","$2,100.00 ", N/A ,"$2,250.00 ","$1,375.00 ","$2,125.00 ",$550.00 ,"$2,500.00 ","$1,500.00 ",$550.00 ,"$1,040.00 ", N/A , N/A ,$650.00 ,"$2,125.00 ", N/A ,"$2,000.00 ",$700.00 ,"$2,250.00 ",$150.00 ,$550.00 ,"$2,100.00 ","$1,875.00 ","$1,875.00 ",$650.00 ,"$1,625.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100536,V5140,HC HEARING AID BINAURAL BEHIND EAR T21,271,1 ,"$4,650.00 ","$3,022.50 ",$150.00 ,"$4,650.00 ","$2,557.50 ","$2,790.00 ","$2,790.00 ","$1,209.00 ","$1,302.00 ","$2,264.55 ","$1,209.00 ","$2,608.65 ","$1,162.50 ","$3,720.00 ","$3,720.00 ","$1,209.00 ","$3,022.50 ","$1,943.70 ","$3,162.00 ", N/A ,"$1,209.00 ","$4,650.00 ","$1,023.00 ","$3,487.50 ","$3,301.50 ","$3,301.50 ","$1,023.00 ","$3,301.50 ","$3,906.00 ","$3,906.00 ","$3,906.00 ", N/A ,"$4,185.00 ","$2,557.50 ","$3,952.50 ","$4,650.00 ","$4,650.00 ","$2,790.00 ","$4,650.00 ","$1,934.40 ", N/A , N/A ,"$1,209.00 ","$3,952.50 ", N/A ,"$3,720.00 ","$1,302.00 ","$4,185.00 ",$150.00 ,"$4,650.00 ","$3,906.00 ","$3,487.50 ","$3,487.50 ","$1,209.00 ","$3,022.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100537,V5140,HC HEARING AID BINAURAL BEHIND EAR T22,271,1 ,"$4,700.00 ","$3,055.00 ",$150.00 ,"$4,700.00 ","$2,585.00 ","$2,820.00 ","$2,820.00 ","$1,222.00 ","$1,316.00 ","$2,288.90 ","$1,222.00 ","$2,636.70 ","$1,175.00 ","$3,760.00 ","$3,760.00 ","$1,222.00 ","$3,055.00 ","$1,964.60 ","$3,196.00 ", N/A ,"$1,222.00 ","$4,700.00 ","$1,034.00 ","$3,525.00 ","$3,337.00 ","$3,337.00 ","$1,034.00 ","$3,337.00 ","$3,948.00 ","$3,948.00 ","$3,948.00 ", N/A ,"$4,230.00 ","$2,585.00 ","$3,995.00 ","$4,700.00 ","$4,700.00 ","$2,820.00 ","$4,700.00 ","$1,955.20 ", N/A , N/A ,"$1,222.00 ","$3,995.00 ", N/A ,"$3,760.00 ","$1,316.00 ","$4,230.00 ",$150.00 ,"$4,700.00 ","$3,948.00 ","$3,525.00 ","$3,525.00 ","$1,222.00 ","$3,055.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27100538,V5140,HC HEARING AID BINAURAL BEHIND EAR T23,271,1 ,"$5,000.00 ","$3,250.00 ",$150.00 ,"$5,000.00 ","$2,750.00 ","$3,000.00 ","$3,000.00 ","$1,300.00 ","$1,400.00 ","$2,435.00 ","$1,300.00 ","$2,805.00 ","$1,250.00 ","$4,000.00 ","$4,000.00 ","$1,300.00 ","$3,250.00 ","$2,090.00 ","$3,400.00 ", N/A ,"$1,300.00 ","$5,000.00 ","$1,100.00 ","$3,750.00 ","$3,550.00 ","$3,550.00 ","$1,100.00 ","$3,550.00 ","$4,200.00 ","$4,200.00 ","$4,200.00 ", N/A ,"$4,500.00 ","$2,750.00 ","$4,250.00 ","$5,000.00 ","$5,000.00 ","$3,000.00 ","$5,000.00 ","$2,080.00 ", N/A , N/A ,"$1,300.00 ","$4,250.00 ", N/A ,"$4,000.00 ","$1,400.00 ","$4,500.00 ",$150.00 ,"$5,000.00 ","$4,200.00 ","$3,750.00 ","$3,750.00 ","$1,300.00 ","$3,250.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200297,N/A,HC BAG RESUSCITATION DISP,272,1 ,$18.00 ,$11.70 ,$3.96 ,$18.00 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$8.77 ,$4.68 ,$10.10 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$12.24 , N/A ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 , N/A , N/A ,$4.68 ,$15.30 , N/A ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$13.50 ,$13.50 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200338,N/A,HC BIOPSY DEVICE NEEDLE CORE,272,1 ,$139.00 ,$90.35 ,$30.58 ,$139.00 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$90.35 ,$58.10 ,$94.52 , N/A ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 , N/A , N/A ,$36.14 ,$118.15 , N/A ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$104.25 ,$104.25 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200551,N/A,HC BONE CEMENT KIT,272,1 ,$250.00 ,$162.50 ,$55.00 ,$250.00 ,$137.50 ,$150.00 ,$150.00 ,$65.00 ,$70.00 ,$121.75 ,$65.00 ,$140.25 ,$62.50 ,$200.00 ,$200.00 ,$65.00 ,$162.50 ,$104.50 ,$170.00 , N/A ,$65.00 ,$250.00 ,$55.00 ,$187.50 ,$177.50 ,$177.50 ,$55.00 ,$177.50 ,$210.00 ,$210.00 ,$210.00 , N/A ,$225.00 ,$137.50 ,$212.50 ,$55.00 ,$250.00 ,$150.00 ,$55.00 ,$104.00 , N/A , N/A ,$65.00 ,$212.50 , N/A ,$200.00 ,$70.00 ,$225.00 ,$250.00 ,$55.00 ,$210.00 ,$187.50 ,$187.50 ,$65.00 ,$162.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200631,N/A,HC BURR STRYKER,272,1 ,$868.00 ,$564.20 ,$190.96 ,$868.00 ,$477.40 ,$520.80 ,$520.80 ,$225.68 ,$243.04 ,$422.72 ,$225.68 ,$486.95 ,$217.00 ,$694.40 ,$694.40 ,$225.68 ,$564.20 ,$362.82 ,$590.24 , N/A ,$225.68 ,$868.00 ,$190.96 ,$651.00 ,$616.28 ,$616.28 ,$190.96 ,$616.28 ,$729.12 ,$729.12 ,$729.12 , N/A ,$781.20 ,$477.40 ,$737.80 ,$190.96 ,$868.00 ,$520.80 ,$190.96 ,$361.09 , N/A , N/A ,$225.68 ,$737.80 , N/A ,$694.40 ,$243.04 ,$781.20 ,$868.00 ,$190.96 ,$729.12 ,$651.00 ,$651.00 ,$225.68 ,$564.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$27.00 ,$17.55 ,$5.94 ,$27.00 ,$14.85 ,$16.20 ,$16.20 ,$7.02 ,$7.56 ,$13.15 ,$7.02 ,$15.15 ,$6.75 ,$21.60 ,$21.60 ,$7.02 ,$17.55 ,$11.29 ,$18.36 , N/A ,$7.02 ,$27.00 ,$5.94 ,$20.25 ,$19.17 ,$19.17 ,$5.94 ,$19.17 ,$22.68 ,$22.68 ,$22.68 , N/A ,$24.30 ,$14.85 ,$22.95 ,$5.94 ,$27.00 ,$16.20 ,$5.94 ,$11.23 , N/A , N/A ,$7.02 ,$22.95 , N/A ,$21.60 ,$7.56 ,$24.30 ,$27.00 ,$5.94 ,$22.68 ,$20.25 ,$20.25 ,$7.02 ,$17.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27200849,N/A,HC CATHETER - FOLEY,272,1 ,$13.00 ,$8.45 ,$2.86 ,$13.00 ,$7.15 ,$7.80 ,$7.80 ,$3.38 ,$3.64 ,$6.33 ,$3.38 ,$7.29 ,$3.25 ,$10.40 ,$10.40 ,$3.38 ,$8.45 ,$5.43 ,$8.84 , N/A ,$3.38 ,$13.00 ,$2.86 ,$9.75 ,$9.23 ,$9.23 ,$2.86 ,$9.23 ,$10.92 ,$10.92 ,$10.92 , N/A ,$11.70 ,$7.15 ,$11.05 ,$2.86 ,$13.00 ,$7.80 ,$2.86 ,$5.41 , N/A , N/A ,$3.38 ,$11.05 , N/A ,$10.40 ,$3.64 ,$11.70 ,$13.00 ,$2.86 ,$10.92 ,$9.75 ,$9.75 ,$3.38 ,$8.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$61.00 ,$39.65 ,$13.42 ,$61.00 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$29.71 ,$15.86 ,$34.22 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$39.65 ,$25.50 ,$41.48 , N/A ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 , N/A , N/A ,$15.86 ,$51.85 , N/A ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$45.75 ,$45.75 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201117,N/A,HC DRAINAGE BAGS,272,1 ,$6.00 ,$3.90 ,$1.32 ,$6.00 ,$3.30 ,$3.60 ,$3.60 ,$1.56 ,$1.68 ,$2.92 ,$1.56 ,$3.37 ,$1.50 ,$4.80 ,$4.80 ,$1.56 ,$3.90 ,$2.51 ,$4.08 , N/A ,$1.56 ,$6.00 ,$1.32 ,$4.50 ,$4.26 ,$4.26 ,$1.32 ,$4.26 ,$5.04 ,$5.04 ,$5.04 , N/A ,$5.40 ,$3.30 ,$5.10 ,$1.32 ,$6.00 ,$3.60 ,$1.32 ,$2.50 , N/A , N/A ,$1.56 ,$5.10 , N/A ,$4.80 ,$1.68 ,$5.40 ,$6.00 ,$1.32 ,$5.04 ,$4.50 ,$4.50 ,$1.56 ,$3.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201127,N/A,HC DRAPE LG LAPROSCOPIC CAMERA ARM,272,1 ,$96.00 ,$62.40 ,$21.12 ,$96.00 ,$52.80 ,$57.60 ,$57.60 ,$24.96 ,$26.88 ,$46.75 ,$24.96 ,$53.86 ,$24.00 ,$76.80 ,$76.80 ,$24.96 ,$62.40 ,$40.13 ,$65.28 , N/A ,$24.96 ,$96.00 ,$21.12 ,$72.00 ,$68.16 ,$68.16 ,$21.12 ,$68.16 ,$80.64 ,$80.64 ,$80.64 , N/A ,$86.40 ,$52.80 ,$81.60 ,$21.12 ,$96.00 ,$57.60 ,$21.12 ,$39.94 , N/A , N/A ,$24.96 ,$81.60 , N/A ,$76.80 ,$26.88 ,$86.40 ,$96.00 ,$21.12 ,$80.64 ,$72.00 ,$72.00 ,$24.96 ,$62.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201148,N/A,HC DRESSING AQUACELL W/HYDROFIBER,272,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$81.60 , N/A ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 , N/A , N/A ,$31.20 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$90.00 ,$90.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201252,N/A,HC EPIDURAL TRAY,272,1 ,$102.00 ,$66.30 ,$22.44 ,$102.00 ,$56.10 ,$61.20 ,$61.20 ,$26.52 ,$28.56 ,$49.67 ,$26.52 ,$57.22 ,$25.50 ,$81.60 ,$81.60 ,$26.52 ,$66.30 ,$42.64 ,$69.36 , N/A ,$26.52 ,$102.00 ,$22.44 ,$76.50 ,$72.42 ,$72.42 ,$22.44 ,$72.42 ,$85.68 ,$85.68 ,$85.68 , N/A ,$91.80 ,$56.10 ,$86.70 ,$22.44 ,$102.00 ,$61.20 ,$22.44 ,$42.43 , N/A , N/A ,$26.52 ,$86.70 , N/A ,$81.60 ,$28.56 ,$91.80 ,$102.00 ,$22.44 ,$85.68 ,$76.50 ,$76.50 ,$26.52 ,$66.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201280,N/A,HC FECAL MGT COLLECTION BAGS,272,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.31 ,$3.90 ,$8.42 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$11.25 ,$11.25 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201282,N/A,HC FEEDING TUBE,272,1 ,$43.00 ,$27.95 ,$9.46 ,$43.00 ,$23.65 ,$25.80 ,$25.80 ,$11.18 ,$12.04 ,$20.94 ,$11.18 ,$24.12 ,$10.75 ,$34.40 ,$34.40 ,$11.18 ,$27.95 ,$17.97 ,$29.24 , N/A ,$11.18 ,$43.00 ,$9.46 ,$32.25 ,$30.53 ,$30.53 ,$9.46 ,$30.53 ,$36.12 ,$36.12 ,$36.12 , N/A ,$38.70 ,$23.65 ,$36.55 ,$9.46 ,$43.00 ,$25.80 ,$9.46 ,$17.89 , N/A , N/A ,$11.18 ,$36.55 , N/A ,$34.40 ,$12.04 ,$38.70 ,$43.00 ,$9.46 ,$36.12 ,$32.25 ,$32.25 ,$11.18 ,$27.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201486,N/A,HC CHEST TUBE DRAINAGE SYSTEM,272,1 ,$64.00 ,$41.60 ,$14.08 ,$64.00 ,$35.20 ,$38.40 ,$38.40 ,$16.64 ,$17.92 ,$31.17 ,$16.64 ,$35.90 ,$16.00 ,$51.20 ,$51.20 ,$16.64 ,$41.60 ,$26.75 ,$43.52 , N/A ,$16.64 ,$64.00 ,$14.08 ,$48.00 ,$45.44 ,$45.44 ,$14.08 ,$45.44 ,$53.76 ,$53.76 ,$53.76 , N/A ,$57.60 ,$35.20 ,$54.40 ,$14.08 ,$64.00 ,$38.40 ,$14.08 ,$26.62 , N/A , N/A ,$16.64 ,$54.40 , N/A ,$51.20 ,$17.92 ,$57.60 ,$64.00 ,$14.08 ,$53.76 ,$48.00 ,$48.00 ,$16.64 ,$41.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201521,N/A,HC KIT INTRODUCER,272,1 ,$76.00 ,$49.40 ,$16.72 ,$76.00 ,$41.80 ,$45.60 ,$45.60 ,$19.76 ,$21.28 ,$37.01 ,$19.76 ,$42.64 ,$19.00 ,$60.80 ,$60.80 ,$19.76 ,$49.40 ,$31.77 ,$51.68 , N/A ,$19.76 ,$76.00 ,$16.72 ,$57.00 ,$53.96 ,$53.96 ,$16.72 ,$53.96 ,$63.84 ,$63.84 ,$63.84 , N/A ,$68.40 ,$41.80 ,$64.60 ,$16.72 ,$76.00 ,$45.60 ,$16.72 ,$31.62 , N/A , N/A ,$19.76 ,$64.60 , N/A ,$60.80 ,$21.28 ,$68.40 ,$76.00 ,$16.72 ,$63.84 ,$57.00 ,$57.00 ,$19.76 ,$49.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201647,N/A,HC METER URINE,272,1 ,$24.00 ,$15.60 ,$5.28 ,$24.00 ,$13.20 ,$14.40 ,$14.40 ,$6.24 ,$6.72 ,$11.69 ,$6.24 ,$13.46 ,$6.00 ,$19.20 ,$19.20 ,$6.24 ,$15.60 ,$10.03 ,$16.32 , N/A ,$6.24 ,$24.00 ,$5.28 ,$18.00 ,$17.04 ,$17.04 ,$5.28 ,$17.04 ,$20.16 ,$20.16 ,$20.16 , N/A ,$21.60 ,$13.20 ,$20.40 ,$5.28 ,$24.00 ,$14.40 ,$5.28 ,$9.98 , N/A , N/A ,$6.24 ,$20.40 , N/A ,$19.20 ,$6.72 ,$21.60 ,$24.00 ,$5.28 ,$20.16 ,$18.00 ,$18.00 ,$6.24 ,$15.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201663,N/A,HC DRSG GAUZE PACKING 2X72,272,1 ,$9.98 ,$6.49 ,$2.20 ,$9.98 ,$5.50 ,$5.99 ,$5.99 ,$2.59 ,$2.79 ,$4.86 ,$2.59 ,$5.60 ,$2.50 ,$7.98 ,$7.98 ,$2.59 ,$6.49 ,$4.18 ,$6.79 , N/A ,$2.59 ,$9.98 ,$2.20 ,$7.49 ,$7.09 ,$7.09 ,$2.20 ,$7.09 ,$8.38 ,$8.38 ,$8.38 , N/A ,$8.98 ,$5.50 ,$8.48 ,$2.20 ,$9.98 ,$5.99 ,$2.20 ,$4.15 , N/A , N/A ,$2.59 ,$8.48 , N/A ,$7.98 ,$2.79 ,$8.98 ,$9.98 ,$2.20 ,$8.38 ,$7.49 ,$7.49 ,$2.59 ,$6.49 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$654.00 ,$425.10 ,$143.88 ,$654.00 ,$359.70 ,$392.40 ,$392.40 ,$170.04 ,$183.12 ,$318.50 ,$170.04 ,$366.89 ,$163.50 ,$523.20 ,$523.20 ,$170.04 ,$425.10 ,$273.37 ,$444.72 , N/A ,$170.04 ,$654.00 ,$143.88 ,$490.50 ,$464.34 ,$464.34 ,$143.88 ,$464.34 ,$549.36 ,$549.36 ,$549.36 , N/A ,$588.60 ,$359.70 ,$555.90 ,$143.88 ,$654.00 ,$392.40 ,$143.88 ,$272.06 , N/A , N/A ,$170.04 ,$555.90 , N/A ,$523.20 ,$183.12 ,$588.60 ,$654.00 ,$143.88 ,$549.36 ,$490.50 ,$490.50 ,$170.04 ,$425.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27201780,N/A,HC PACK CYSTO III,272,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$24.35 ,$13.00 ,$28.05 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$34.00 , N/A ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 , N/A , N/A ,$13.00 ,$42.50 , N/A ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$37.50 ,$37.50 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27202120,N/A,HC STAPLER SKIN,272,1 ,$18.00 ,$11.70 ,$3.96 ,$18.00 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$8.77 ,$4.68 ,$10.10 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$12.24 , N/A ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 , N/A , N/A ,$4.68 ,$15.30 , N/A ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$13.50 ,$13.50 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27202634,N/A,HC SYRINGE ASEPTO,272,1 ,$7.01 ,$4.56 ,$1.54 ,$7.01 ,$3.85 ,$4.21 ,$4.21 ,$1.82 ,$1.96 ,$3.41 ,$1.82 ,$3.93 ,$1.75 ,$5.61 ,$5.61 ,$1.82 ,$4.56 ,$2.93 ,$4.77 , N/A ,$1.82 ,$7.01 ,$1.54 ,$5.26 ,$4.98 ,$4.98 ,$1.54 ,$4.98 ,$5.89 ,$5.89 ,$5.89 , N/A ,$6.31 ,$3.85 ,$5.96 ,$1.54 ,$7.01 ,$4.21 ,$1.54 ,$2.92 , N/A , N/A ,$1.82 ,$5.96 , N/A ,$5.61 ,$1.96 ,$6.31 ,$7.01 ,$1.54 ,$5.89 ,$5.26 ,$5.26 ,$1.82 ,$4.56 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27202807,N/A,HC TRAY SPINAL,272,1 ,$60.00 ,$39.00 ,$13.20 ,$60.00 ,$33.00 ,$36.00 ,$36.00 ,$15.60 ,$16.80 ,$29.22 ,$15.60 ,$33.66 ,$15.00 ,$48.00 ,$48.00 ,$15.60 ,$39.00 ,$25.08 ,$40.80 , N/A ,$15.60 ,$60.00 ,$13.20 ,$45.00 ,$42.60 ,$42.60 ,$13.20 ,$42.60 ,$50.40 ,$50.40 ,$50.40 , N/A ,$54.00 ,$33.00 ,$51.00 ,$13.20 ,$60.00 ,$36.00 ,$13.20 ,$24.96 , N/A , N/A ,$15.60 ,$51.00 , N/A ,$48.00 ,$16.80 ,$54.00 ,$60.00 ,$13.20 ,$50.40 ,$45.00 ,$45.00 ,$15.60 ,$39.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27202901,N/A,HC TUBES TRACH,278,1 ,$90.00 ,$58.50 ,$19.80 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$43.83 ,$23.40 ,$50.49 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$72.00 ,$37.62 , N/A , N/A ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 , N/A , N/A ,$23.40 ,$76.50 , N/A ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 , N/A , N/A ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203270,N/A,HC WOUND VAC VERAFLOW MEDIUM DRESSING,272,1 ,$354.00 ,$230.10 ,$77.88 ,$354.00 ,$194.70 ,$212.40 ,$212.40 ,$92.04 ,$99.12 ,$172.40 ,$92.04 ,$198.59 ,$88.50 ,$283.20 ,$283.20 ,$92.04 ,$230.10 ,$147.97 ,$240.72 , N/A ,$92.04 ,$354.00 ,$77.88 ,$265.50 ,$251.34 ,$251.34 ,$77.88 ,$251.34 ,$297.36 ,$297.36 ,$297.36 , N/A ,$318.60 ,$194.70 ,$300.90 ,$77.88 ,$354.00 ,$212.40 ,$77.88 ,$147.26 , N/A , N/A ,$92.04 ,$300.90 , N/A ,$283.20 ,$99.12 ,$318.60 ,$354.00 ,$77.88 ,$297.36 ,$265.50 ,$265.50 ,$92.04 ,$230.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203511,N/A,HC BAG LEG URINARY,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203521,A6234,HC DRESSING DUODERM <16 SQ CM,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$5.08 ,$2.60 ,$5.88 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203524,A6258,HC DRESSING TRANSPARENT  >16  AND  <48 SQ CM TIER 1,623,1 ,$9.00 ,$5.85 ,$1.98 ,$9.00 ,$4.95 ,$5.40 ,$5.40 ,$2.34 ,$2.52 ,$4.57 ,$2.34 ,$5.29 ,$2.25 ,$7.20 ,$7.20 ,$2.34 ,$5.85 ,$3.76 ,$6.12 , N/A ,$2.34 ,$9.00 ,$1.98 ,$6.75 ,$6.39 ,$6.39 ,$1.98 ,$6.39 ,$7.56 ,$7.56 ,$7.56 , N/A ,$8.10 ,$4.95 ,$7.65 ,$1.98 ,$9.00 ,$5.40 ,$1.98 ,$3.74 , N/A , N/A ,$2.34 ,$7.65 , N/A ,$7.20 ,$2.52 ,$8.10 ,$9.00 ,$1.98 ,$7.56 ,$6.75 ,$6.75 ,$2.34 ,$5.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203526,A6266,HC PACKING GAUZE IODOFORM,272,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.62 ,$3.90 ,$8.82 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$11.25 ,$11.25 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203554,N/A,HC KIT ICP PRESSURE MONITOR,272,1 ,$35.00 ,$22.75 ,$7.70 ,$35.00 ,$19.25 ,$21.00 ,$21.00 ,$9.10 ,$9.80 ,$17.05 ,$9.10 ,$19.64 ,$8.75 ,$28.00 ,$28.00 ,$9.10 ,$22.75 ,$14.63 ,$23.80 , N/A ,$9.10 ,$35.00 ,$7.70 ,$26.25 ,$24.85 ,$24.85 ,$7.70 ,$24.85 ,$29.40 ,$29.40 ,$29.40 , N/A ,$31.50 ,$19.25 ,$29.75 ,$7.70 ,$35.00 ,$21.00 ,$7.70 ,$14.56 , N/A , N/A ,$9.10 ,$29.75 , N/A ,$28.00 ,$9.80 ,$31.50 ,$35.00 ,$7.70 ,$29.40 ,$26.25 ,$26.25 ,$9.10 ,$22.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203560,N/A,HC CATHETER IV,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203562,N/A,HC CATHETER SUCTION,272,1 ,$63.00 ,$40.95 ,$13.86 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$30.68 ,$16.38 ,$35.34 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$42.84 , N/A ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 , N/A , N/A ,$16.38 ,$53.55 , N/A ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$47.25 ,$47.25 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203568,N/A,HC DRAIN CHEST,272,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$21.92 ,$11.70 ,$25.25 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$30.60 , N/A ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 , N/A , N/A ,$11.70 ,$38.25 , N/A ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$33.75 ,$33.75 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203571,N/A,HC DRESSING BANDAGE ACE,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203572,N/A,HC DRESSING BIOPATCH,272,1 ,$26.00 ,$16.90 ,$5.72 ,$26.00 ,$14.30 ,$15.60 ,$15.60 ,$6.76 ,$7.28 ,$12.66 ,$6.76 ,$14.59 ,$6.50 ,$20.80 ,$20.80 ,$6.76 ,$16.90 ,$10.87 ,$17.68 , N/A ,$6.76 ,$26.00 ,$5.72 ,$19.50 ,$18.46 ,$18.46 ,$5.72 ,$18.46 ,$21.84 ,$21.84 ,$21.84 , N/A ,$23.40 ,$14.30 ,$22.10 ,$5.72 ,$26.00 ,$15.60 ,$5.72 ,$10.82 , N/A , N/A ,$6.76 ,$22.10 , N/A ,$20.80 ,$7.28 ,$23.40 ,$26.00 ,$5.72 ,$21.84 ,$19.50 ,$19.50 ,$6.76 ,$16.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203576,N/A,HC DRESSING V.A.C.,272,1 ,$205.00 ,$133.25 ,$45.10 ,$205.00 ,$112.75 ,$123.00 ,$123.00 ,$53.30 ,$57.40 ,$99.84 ,$53.30 ,$115.01 ,$51.25 ,$164.00 ,$164.00 ,$53.30 ,$133.25 ,$85.69 ,$139.40 , N/A ,$53.30 ,$205.00 ,$45.10 ,$153.75 ,$145.55 ,$145.55 ,$45.10 ,$145.55 ,$172.20 ,$172.20 ,$172.20 , N/A ,$184.50 ,$112.75 ,$174.25 ,$45.10 ,$205.00 ,$123.00 ,$45.10 ,$85.28 , N/A , N/A ,$53.30 ,$174.25 , N/A ,$164.00 ,$57.40 ,$184.50 ,$205.00 ,$45.10 ,$172.20 ,$153.75 ,$153.75 ,$53.30 ,$133.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203589,N/A,HC STYLET INTUBATING,272,1 ,$11.00 ,$7.15 ,$2.42 ,$11.00 ,$6.05 ,$6.60 ,$6.60 ,$2.86 ,$3.08 ,$5.36 ,$2.86 ,$6.17 ,$2.75 ,$8.80 ,$8.80 ,$2.86 ,$7.15 ,$4.60 ,$7.48 , N/A ,$2.86 ,$11.00 ,$2.42 ,$8.25 ,$7.81 ,$7.81 ,$2.42 ,$7.81 ,$9.24 ,$9.24 ,$9.24 , N/A ,$9.90 ,$6.05 ,$9.35 ,$2.42 ,$11.00 ,$6.60 ,$2.42 ,$4.58 , N/A , N/A ,$2.86 ,$9.35 , N/A ,$8.80 ,$3.08 ,$9.90 ,$11.00 ,$2.42 ,$9.24 ,$8.25 ,$8.25 ,$2.86 ,$7.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203590,N/A,HC SYRINGE PUMP SYRINGE,272,1 ,$32.00 ,$20.80 ,$7.04 ,$32.00 ,$17.60 ,$19.20 ,$19.20 ,$8.32 ,$8.96 ,$15.58 ,$8.32 ,$17.95 ,$8.00 ,$25.60 ,$25.60 ,$8.32 ,$20.80 ,$13.38 ,$21.76 , N/A ,$8.32 ,$32.00 ,$7.04 ,$24.00 ,$22.72 ,$22.72 ,$7.04 ,$22.72 ,$26.88 ,$26.88 ,$26.88 , N/A ,$28.80 ,$17.60 ,$27.20 ,$7.04 ,$32.00 ,$19.20 ,$7.04 ,$13.31 , N/A , N/A ,$8.32 ,$27.20 , N/A ,$25.60 ,$8.96 ,$28.80 ,$32.00 ,$7.04 ,$26.88 ,$24.00 ,$24.00 ,$8.32 ,$20.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203595,N/A,HC TUBE TRACH CUFFED,272,1 ,$162.00 ,$105.30 ,$35.64 ,$162.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$78.89 ,$42.12 ,$90.88 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 , N/A ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 , N/A , N/A ,$42.12 ,$137.70 , N/A ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$121.50 ,$121.50 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203597,N/A,HC TUBING ANY,272,1 ,$19.00 ,$12.35 ,$4.18 ,$19.00 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.25 ,$4.94 ,$10.66 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$12.92 , N/A ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 , N/A , N/A ,$4.94 ,$16.15 , N/A ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$14.25 ,$14.25 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203598,N/A,HC WAFER OSTOMY,272,1 ,$21.00 ,$13.65 ,$4.62 ,$21.00 ,$11.55 ,$12.60 ,$12.60 ,$5.46 ,$5.88 ,$10.23 ,$5.46 ,$11.78 ,$5.25 ,$16.80 ,$16.80 ,$5.46 ,$13.65 ,$8.78 ,$14.28 , N/A ,$5.46 ,$21.00 ,$4.62 ,$15.75 ,$14.91 ,$14.91 ,$4.62 ,$14.91 ,$17.64 ,$17.64 ,$17.64 , N/A ,$18.90 ,$11.55 ,$17.85 ,$4.62 ,$21.00 ,$12.60 ,$4.62 ,$8.74 , N/A , N/A ,$5.46 ,$17.85 , N/A ,$16.80 ,$5.88 ,$18.90 ,$21.00 ,$4.62 ,$17.64 ,$15.75 ,$15.75 ,$5.46 ,$13.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203628,N/A,HC WATER INHALATION,272,1 ,$18.00 ,$11.70 ,$3.96 ,$18.00 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$8.77 ,$4.68 ,$10.10 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$12.24 , N/A ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 , N/A , N/A ,$4.68 ,$15.30 , N/A ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$13.50 ,$13.50 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203632,N/A,HC SET IV PRIMARY PUMP,272,1 ,$16.00 ,$10.40 ,$3.52 ,$16.00 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$7.79 ,$4.16 ,$8.98 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$10.88 , N/A ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 , N/A , N/A ,$4.16 ,$13.60 , N/A ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$12.00 ,$12.00 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203641,N/A,HC NEEDLE BIOPSY,272,1 ,$96.00 ,$62.40 ,$21.12 ,$96.00 ,$52.80 ,$57.60 ,$57.60 ,$24.96 ,$26.88 ,$46.75 ,$24.96 ,$53.86 ,$24.00 ,$76.80 ,$76.80 ,$24.96 ,$62.40 ,$40.13 ,$65.28 , N/A ,$24.96 ,$96.00 ,$21.12 ,$72.00 ,$68.16 ,$68.16 ,$21.12 ,$68.16 ,$80.64 ,$80.64 ,$80.64 , N/A ,$86.40 ,$52.80 ,$81.60 ,$21.12 ,$96.00 ,$57.60 ,$21.12 ,$39.94 , N/A , N/A ,$24.96 ,$81.60 , N/A ,$76.80 ,$26.88 ,$86.40 ,$96.00 ,$21.12 ,$80.64 ,$72.00 ,$72.00 ,$24.96 ,$62.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203703,C1751,HC CATHETER PICC,272,1 ,$405.00 ,$263.25 ,$89.10 ,$405.00 ,$222.75 ,$243.00 ,$243.00 ,$105.30 ,$113.40 ,$197.24 ,$105.30 ,$227.21 ,$101.25 ,$324.00 ,$324.00 ,$105.30 ,$263.25 ,$169.29 ,$275.40 , N/A ,$105.30 ,$405.00 ,$89.10 ,$303.75 ,$287.55 ,$287.55 ,$89.10 ,$287.55 ,$340.20 ,$340.20 ,$340.20 , N/A ,$364.50 ,$222.75 ,$344.25 ,$89.10 ,$405.00 ,$243.00 ,$89.10 ,$168.48 , N/A , N/A ,$105.30 ,$344.25 , N/A ,$324.00 ,$113.40 ,$364.50 ,$405.00 ,$89.10 ,$340.20 ,$303.75 ,$303.75 ,$105.30 ,$263.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203719,C1729,HC CATHETER CENTESIS ONE STEP,272,1 ,$39.00 ,$25.35 ,$8.58 ,$39.00 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$18.99 ,$10.14 ,$21.88 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$25.35 ,$16.30 ,$26.52 , N/A ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 , N/A , N/A ,$10.14 ,$33.15 , N/A ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$29.25 ,$29.25 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203844,N/A,HC TRAY CHEST TUBE,272,1 ,$85.00 ,$55.25 ,$18.70 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$41.40 ,$22.10 ,$47.69 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$57.80 , N/A ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 , N/A , N/A ,$22.10 ,$72.25 , N/A ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$63.75 ,$63.75 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$243.00 ,$157.95 ,$53.46 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$118.34 ,$63.18 ,$136.32 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$157.95 ,$101.57 ,$165.24 , N/A ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 , N/A , N/A ,$63.18 ,$206.55 , N/A ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$182.25 ,$182.25 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203857,A6197,HC DRESSING WOUND AQUACEL AG 15 X 9CM ANTIMICROBIAL,623,1 ,$63.00 ,$40.95 ,$13.86 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$32.00 ,$16.38 ,$37.04 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$42.84 , N/A ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 , N/A , N/A ,$16.38 ,$53.55 , N/A ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$47.25 ,$47.25 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27203874,N/A,HC KIT DRESSING WOUND VAC GRANUFOAM  LARGE,272,1 ,$661.00 ,$429.65 ,$145.42 ,$661.00 ,$363.55 ,$396.60 ,$396.60 ,$171.86 ,$185.08 ,$321.91 ,$171.86 ,$370.82 ,$165.25 ,$528.80 ,$528.80 ,$171.86 ,$429.65 ,$276.30 ,$449.48 , N/A ,$171.86 ,$661.00 ,$145.42 ,$495.75 ,$469.31 ,$469.31 ,$145.42 ,$469.31 ,$555.24 ,$555.24 ,$555.24 , N/A ,$594.90 ,$363.55 ,$561.85 ,$145.42 ,$661.00 ,$396.60 ,$145.42 ,$274.98 , N/A , N/A ,$171.86 ,$561.85 , N/A ,$528.80 ,$185.08 ,$594.90 ,$661.00 ,$145.42 ,$555.24 ,$495.75 ,$495.75 ,$171.86 ,$429.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204585,N/A,HC KIT MULTILUMEN CATHETER,272,1 ,$437.00 ,$284.05 ,$96.14 ,$437.00 ,$240.35 ,$262.20 ,$262.20 ,$113.62 ,$122.36 ,$212.82 ,$113.62 ,$245.16 ,$109.25 ,$349.60 ,$349.60 ,$113.62 ,$284.05 ,$182.67 ,$297.16 , N/A ,$113.62 ,$437.00 ,$96.14 ,$327.75 ,$310.27 ,$310.27 ,$96.14 ,$310.27 ,$367.08 ,$367.08 ,$367.08 , N/A ,$393.30 ,$240.35 ,$371.45 ,$96.14 ,$437.00 ,$262.20 ,$96.14 ,$181.79 , N/A , N/A ,$113.62 ,$371.45 , N/A ,$349.60 ,$122.36 ,$393.30 ,$437.00 ,$96.14 ,$367.08 ,$327.75 ,$327.75 ,$113.62 ,$284.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204622,N/A,HC MARKER BIOPSY SITE,272,1 ,$182.00 ,$118.30 ,$40.04 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$88.63 ,$47.32 ,$102.10 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$123.76 , N/A ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 , N/A , N/A ,$47.32 ,$154.70 , N/A ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$136.50 ,$136.50 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204623,N/A,HC NEEDLE GUIDE,272,1 ,$22.00 ,$14.30 ,$4.84 ,$22.00 ,$12.10 ,$13.20 ,$13.20 ,$5.72 ,$6.16 ,$10.71 ,$5.72 ,$12.34 ,$5.50 ,$17.60 ,$17.60 ,$5.72 ,$14.30 ,$9.20 ,$14.96 , N/A ,$5.72 ,$22.00 ,$4.84 ,$16.50 ,$15.62 ,$15.62 ,$4.84 ,$15.62 ,$18.48 ,$18.48 ,$18.48 , N/A ,$19.80 ,$12.10 ,$18.70 ,$4.84 ,$22.00 ,$13.20 ,$4.84 ,$9.15 , N/A , N/A ,$5.72 ,$18.70 , N/A ,$17.60 ,$6.16 ,$19.80 ,$22.00 ,$4.84 ,$18.48 ,$16.50 ,$16.50 ,$5.72 ,$14.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204657,N/A,HC CANISTER V.A.C.,272,1 ,$125.00 ,$81.25 ,$27.50 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$60.88 ,$32.50 ,$70.13 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$85.00 , N/A ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 , N/A , N/A ,$32.50 ,$106.25 , N/A ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$93.75 ,$93.75 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204692,N/A,HC MASK NON-REBREATHER ADULT,272,1 ,$9.00 ,$5.85 ,$1.98 ,$9.00 ,$4.95 ,$5.40 ,$5.40 ,$2.34 ,$2.52 ,$4.38 ,$2.34 ,$5.05 ,$2.25 ,$7.20 ,$7.20 ,$2.34 ,$5.85 ,$3.76 ,$6.12 , N/A ,$2.34 ,$9.00 ,$1.98 ,$6.75 ,$6.39 ,$6.39 ,$1.98 ,$6.39 ,$7.56 ,$7.56 ,$7.56 , N/A ,$8.10 ,$4.95 ,$7.65 ,$1.98 ,$9.00 ,$5.40 ,$1.98 ,$3.74 , N/A , N/A ,$2.34 ,$7.65 , N/A ,$7.20 ,$2.52 ,$8.10 ,$9.00 ,$1.98 ,$7.56 ,$6.75 ,$6.75 ,$2.34 ,$5.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204752,N/A,HC PATIENT TRANSFER SYSTEM W/PAD,272,1 ,$294.00 ,$191.10 ,$64.68 ,$294.00 ,$161.70 ,$176.40 ,$176.40 ,$76.44 ,$82.32 ,$143.18 ,$76.44 ,$164.93 ,$73.50 ,$235.20 ,$235.20 ,$76.44 ,$191.10 ,$122.89 ,$199.92 , N/A ,$76.44 ,$294.00 ,$64.68 ,$220.50 ,$208.74 ,$208.74 ,$64.68 ,$208.74 ,$246.96 ,$246.96 ,$246.96 , N/A ,$264.60 ,$161.70 ,$249.90 ,$64.68 ,$294.00 ,$176.40 ,$64.68 ,$122.30 , N/A , N/A ,$76.44 ,$249.90 , N/A ,$235.20 ,$82.32 ,$264.60 ,$294.00 ,$64.68 ,$246.96 ,$220.50 ,$220.50 ,$76.44 ,$191.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204755,N/A,HC DEVICE BREAST BIOPSY,272,1 ,$587.00 ,$381.55 ,$129.14 ,$587.00 ,$322.85 ,$352.20 ,$352.20 ,$152.62 ,$164.36 ,$285.87 ,$152.62 ,$329.31 ,$146.75 ,$469.60 ,$469.60 ,$152.62 ,$381.55 ,$245.37 ,$399.16 , N/A ,$152.62 ,$587.00 ,$129.14 ,$440.25 ,$416.77 ,$416.77 ,$129.14 ,$416.77 ,$493.08 ,$493.08 ,$493.08 , N/A ,$528.30 ,$322.85 ,$498.95 ,$129.14 ,$587.00 ,$352.20 ,$129.14 ,$244.19 , N/A , N/A ,$152.62 ,$498.95 , N/A ,$469.60 ,$164.36 ,$528.30 ,$587.00 ,$129.14 ,$493.08 ,$440.25 ,$440.25 ,$152.62 ,$381.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204760,N/A,HC BLANKET BAIR HUGGER,272,1 ,$38.00 ,$24.70 ,$8.36 ,$38.00 ,$20.90 ,$22.80 ,$22.80 ,$9.88 ,$10.64 ,$18.51 ,$9.88 ,$21.32 ,$9.50 ,$30.40 ,$30.40 ,$9.88 ,$24.70 ,$15.88 ,$25.84 , N/A ,$9.88 ,$38.00 ,$8.36 ,$28.50 ,$26.98 ,$26.98 ,$8.36 ,$26.98 ,$31.92 ,$31.92 ,$31.92 , N/A ,$34.20 ,$20.90 ,$32.30 ,$8.36 ,$38.00 ,$22.80 ,$8.36 ,$15.81 , N/A , N/A ,$9.88 ,$32.30 , N/A ,$30.40 ,$10.64 ,$34.20 ,$38.00 ,$8.36 ,$31.92 ,$28.50 ,$28.50 ,$9.88 ,$24.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$118.00 ,$76.70 ,$25.96 ,$118.00 ,$64.90 ,$70.80 ,$70.80 ,$30.68 ,$33.04 ,$57.47 ,$30.68 ,$66.20 ,$29.50 ,$94.40 ,$94.40 ,$30.68 ,$76.70 ,$49.32 ,$80.24 , N/A ,$30.68 ,$118.00 ,$25.96 ,$88.50 ,$83.78 ,$83.78 ,$25.96 ,$83.78 ,$99.12 ,$99.12 ,$99.12 , N/A ,$106.20 ,$64.90 ,$100.30 ,$25.96 ,$118.00 ,$70.80 ,$25.96 ,$49.09 , N/A , N/A ,$30.68 ,$100.30 , N/A ,$94.40 ,$33.04 ,$106.20 ,$118.00 ,$25.96 ,$99.12 ,$88.50 ,$88.50 ,$30.68 ,$76.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204820,N/A,HC BANDAGE COMPRESSION UNNA BOOT,272,1 ,$14.00 ,$9.10 ,$3.08 ,$14.00 ,$7.70 ,$8.40 ,$8.40 ,$3.64 ,$3.92 ,$6.82 ,$3.64 ,$7.85 ,$3.50 ,$11.20 ,$11.20 ,$3.64 ,$9.10 ,$5.85 ,$9.52 , N/A ,$3.64 ,$14.00 ,$3.08 ,$10.50 ,$9.94 ,$9.94 ,$3.08 ,$9.94 ,$11.76 ,$11.76 ,$11.76 , N/A ,$12.60 ,$7.70 ,$11.90 ,$3.08 ,$14.00 ,$8.40 ,$3.08 ,$5.82 , N/A , N/A ,$3.64 ,$11.90 , N/A ,$11.20 ,$3.92 ,$12.60 ,$14.00 ,$3.08 ,$11.76 ,$10.50 ,$10.50 ,$3.64 ,$9.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204858,N/A,HC HEEL PROTECTOR WAFFLE CUSTOM,270,1 ,$72.00 ,$46.80 ,$15.84 ,$72.00 ,$39.60 ,$43.20 ,$43.20 ,$18.72 ,$20.16 ,$35.06 ,$18.72 ,$40.39 ,$18.00 ,$57.60 ,$57.60 ,$18.72 ,$46.80 ,$30.10 ,$48.96 , N/A ,$18.72 ,$72.00 ,$15.84 ,$54.00 ,$51.12 ,$51.12 ,$15.84 ,$51.12 ,$60.48 ,$60.48 ,$60.48 , N/A ,$64.80 ,$39.60 ,$61.20 ,$15.84 ,$72.00 ,$43.20 ,$15.84 ,$29.95 , N/A , N/A ,$18.72 ,$61.20 , N/A ,$57.60 ,$20.16 ,$64.80 ,$72.00 ,$15.84 ,$60.48 ,$54.00 ,$54.00 ,$18.72 ,$46.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204865,N/A,HC INTRODUCER/SHEATH,272,1 ,$42.00 ,$27.30 ,$9.24 ,$42.00 ,$23.10 ,$25.20 ,$25.20 ,$10.92 ,$11.76 ,$20.45 ,$10.92 ,$23.56 ,$10.50 ,$33.60 ,$33.60 ,$10.92 ,$27.30 ,$17.56 ,$28.56 , N/A ,$10.92 ,$42.00 ,$9.24 ,$31.50 ,$29.82 ,$29.82 ,$9.24 ,$29.82 ,$35.28 ,$35.28 ,$35.28 , N/A ,$37.80 ,$23.10 ,$35.70 ,$9.24 ,$42.00 ,$25.20 ,$9.24 ,$17.47 , N/A , N/A ,$10.92 ,$35.70 , N/A ,$33.60 ,$11.76 ,$37.80 ,$42.00 ,$9.24 ,$35.28 ,$31.50 ,$31.50 ,$10.92 ,$27.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204869,N/A,HC IV ANGIOCATH,272,1 ,$18.00 ,$11.70 ,$3.96 ,$18.00 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$8.77 ,$4.68 ,$10.10 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$12.24 , N/A ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 , N/A , N/A ,$4.68 ,$15.30 , N/A ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$13.50 ,$13.50 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204872,N/A,HC STATLOCK IV PICC,272,1 ,$14.00 ,$9.10 ,$3.08 ,$14.00 ,$7.70 ,$8.40 ,$8.40 ,$3.64 ,$3.92 ,$6.82 ,$3.64 ,$7.85 ,$3.50 ,$11.20 ,$11.20 ,$3.64 ,$9.10 ,$5.85 ,$9.52 , N/A ,$3.64 ,$14.00 ,$3.08 ,$10.50 ,$9.94 ,$9.94 ,$3.08 ,$9.94 ,$11.76 ,$11.76 ,$11.76 , N/A ,$12.60 ,$7.70 ,$11.90 ,$3.08 ,$14.00 ,$8.40 ,$3.08 ,$5.82 , N/A , N/A ,$3.64 ,$11.90 , N/A ,$11.20 ,$3.92 ,$12.60 ,$14.00 ,$3.08 ,$11.76 ,$10.50 ,$10.50 ,$3.64 ,$9.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$19.00 ,$12.35 ,$4.18 ,$19.00 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.25 ,$4.94 ,$10.66 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$12.92 , N/A ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 , N/A , N/A ,$4.94 ,$16.15 , N/A ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$14.25 ,$14.25 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204890,N/A,HC KIT CENTRAL LINE,272,1 ,$22.00 ,$14.30 ,$4.84 ,$22.00 ,$12.10 ,$13.20 ,$13.20 ,$5.72 ,$6.16 ,$10.71 ,$5.72 ,$12.34 ,$5.50 ,$17.60 ,$17.60 ,$5.72 ,$14.30 ,$9.20 ,$14.96 , N/A ,$5.72 ,$22.00 ,$4.84 ,$16.50 ,$15.62 ,$15.62 ,$4.84 ,$15.62 ,$18.48 ,$18.48 ,$18.48 , N/A ,$19.80 ,$12.10 ,$18.70 ,$4.84 ,$22.00 ,$13.20 ,$4.84 ,$9.15 , N/A , N/A ,$5.72 ,$18.70 , N/A ,$17.60 ,$6.16 ,$19.80 ,$22.00 ,$4.84 ,$18.48 ,$16.50 ,$16.50 ,$5.72 ,$14.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204894,N/A,HC KIT CHEST TUBE INSERTION,272,1 ,$181.00 ,$117.65 ,$39.82 ,$181.00 ,$99.55 ,$108.60 ,$108.60 ,$47.06 ,$50.68 ,$88.15 ,$47.06 ,$101.54 ,$45.25 ,$144.80 ,$144.80 ,$47.06 ,$117.65 ,$75.66 ,$123.08 , N/A ,$47.06 ,$181.00 ,$39.82 ,$135.75 ,$128.51 ,$128.51 ,$39.82 ,$128.51 ,$152.04 ,$152.04 ,$152.04 , N/A ,$162.90 ,$99.55 ,$153.85 ,$39.82 ,$181.00 ,$108.60 ,$39.82 ,$75.30 , N/A , N/A ,$47.06 ,$153.85 , N/A ,$144.80 ,$50.68 ,$162.90 ,$181.00 ,$39.82 ,$152.04 ,$135.75 ,$135.75 ,$47.06 ,$117.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204949,N/A,HC HOLDER ENDOTRACH NEOBAR,272,1 ,$12.00 ,$7.80 ,$2.64 ,$12.00 ,$6.60 ,$7.20 ,$7.20 ,$3.12 ,$3.36 ,$5.84 ,$3.12 ,$6.73 ,$3.00 ,$9.60 ,$9.60 ,$3.12 ,$7.80 ,$5.02 ,$8.16 , N/A ,$3.12 ,$12.00 ,$2.64 ,$9.00 ,$8.52 ,$8.52 ,$2.64 ,$8.52 ,$10.08 ,$10.08 ,$10.08 , N/A ,$10.80 ,$6.60 ,$10.20 ,$2.64 ,$12.00 ,$7.20 ,$2.64 ,$4.99 , N/A , N/A ,$3.12 ,$10.20 , N/A ,$9.60 ,$3.36 ,$10.80 ,$12.00 ,$2.64 ,$10.08 ,$9.00 ,$9.00 ,$3.12 ,$7.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204955,N/A,HC NO STING SPRAY,272,1 ,$19.00 ,$12.35 ,$4.18 ,$19.00 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.25 ,$4.94 ,$10.66 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$12.92 , N/A ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 , N/A , N/A ,$4.94 ,$16.15 , N/A ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$14.25 ,$14.25 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204966,N/A,HC OSTOMY POUCH,272,1 ,$11.00 ,$7.15 ,$2.42 ,$11.00 ,$6.05 ,$6.60 ,$6.60 ,$2.86 ,$3.08 ,$5.36 ,$2.86 ,$6.17 ,$2.75 ,$8.80 ,$8.80 ,$2.86 ,$7.15 ,$4.60 ,$7.48 , N/A ,$2.86 ,$11.00 ,$2.42 ,$8.25 ,$7.81 ,$7.81 ,$2.42 ,$7.81 ,$9.24 ,$9.24 ,$9.24 , N/A ,$9.90 ,$6.05 ,$9.35 ,$2.42 ,$11.00 ,$6.60 ,$2.42 ,$4.58 , N/A , N/A ,$2.86 ,$9.35 , N/A ,$8.80 ,$3.08 ,$9.90 ,$11.00 ,$2.42 ,$9.24 ,$8.25 ,$8.25 ,$2.86 ,$7.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27204968,N/A,HC OSTOMY PASTE,272,1 ,$17.00 ,$11.05 ,$3.74 ,$17.00 ,$9.35 ,$10.20 ,$10.20 ,$4.42 ,$4.76 ,$8.28 ,$4.42 ,$9.54 ,$4.25 ,$13.60 ,$13.60 ,$4.42 ,$11.05 ,$7.11 ,$11.56 , N/A ,$4.42 ,$17.00 ,$3.74 ,$12.75 ,$12.07 ,$12.07 ,$3.74 ,$12.07 ,$14.28 ,$14.28 ,$14.28 , N/A ,$15.30 ,$9.35 ,$14.45 ,$3.74 ,$17.00 ,$10.20 ,$3.74 ,$7.07 , N/A , N/A ,$4.42 ,$14.45 , N/A ,$13.60 ,$4.76 ,$15.30 ,$17.00 ,$3.74 ,$14.28 ,$12.75 ,$12.75 ,$4.42 ,$11.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205029,N/A,HC STATLOCK DEVICE FOLEY,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205046,N/A,HC SYRINGE ATOMIZER MUCOSAL,272,1 ,$16.00 ,$10.40 ,$3.52 ,$16.00 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$7.79 ,$4.16 ,$8.98 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$10.88 , N/A ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 , N/A , N/A ,$4.16 ,$13.60 , N/A ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$12.00 ,$12.00 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205060,N/A,HC TRAY PICC LINE,272,1 ,$687.00 ,$446.55 ,$151.14 ,$687.00 ,$377.85 ,$412.20 ,$412.20 ,$178.62 ,$192.36 ,$334.57 ,$178.62 ,$385.41 ,$171.75 ,$549.60 ,$549.60 ,$178.62 ,$446.55 ,$287.17 ,$467.16 , N/A ,$178.62 ,$687.00 ,$151.14 ,$515.25 ,$487.77 ,$487.77 ,$151.14 ,$487.77 ,$577.08 ,$577.08 ,$577.08 , N/A ,$618.30 ,$377.85 ,$583.95 ,$151.14 ,$687.00 ,$412.20 ,$151.14 ,$285.79 , N/A , N/A ,$178.62 ,$583.95 , N/A ,$549.60 ,$192.36 ,$618.30 ,$687.00 ,$151.14 ,$577.08 ,$515.25 ,$515.25 ,$178.62 ,$446.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205078,N/A,HC TUBE RECTAL,272,1 ,$951.01 ,$618.16 ,$209.22 ,$951.01 ,$523.05 ,$570.61 ,$570.61 ,$247.26 ,$266.28 ,$463.14 ,$247.26 ,$533.52 ,$237.75 ,$760.81 ,$760.81 ,$247.26 ,$618.16 ,$397.52 ,$646.69 , N/A ,$247.26 ,$951.01 ,$209.22 ,$713.26 ,$675.22 ,$675.22 ,$209.22 ,$675.22 ,$798.85 ,$798.85 ,$798.85 , N/A ,$855.91 ,$523.05 ,$808.36 ,$209.22 ,$951.01 ,$570.61 ,$209.22 ,$395.62 , N/A , N/A ,$247.26 ,$808.36 , N/A ,$760.81 ,$266.28 ,$855.91 ,$951.01 ,$209.22 ,$798.85 ,$713.26 ,$713.26 ,$247.26 ,$618.16 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205091,N/A,HC KIT DRESSING WOUND VAC PREVENA PEEL N PLACE,272,1 ,$698.00 ,$453.70 ,$153.56 ,$698.00 ,$383.90 ,$418.80 ,$418.80 ,$181.48 ,$195.44 ,$339.93 ,$181.48 ,$391.58 ,$174.50 ,$558.40 ,$558.40 ,$181.48 ,$453.70 ,$291.76 ,$474.64 , N/A ,$181.48 ,$698.00 ,$153.56 ,$523.50 ,$495.58 ,$495.58 ,$153.56 ,$495.58 ,$586.32 ,$586.32 ,$586.32 , N/A ,$628.20 ,$383.90 ,$593.30 ,$153.56 ,$698.00 ,$418.80 ,$153.56 ,$290.37 , N/A , N/A ,$181.48 ,$593.30 , N/A ,$558.40 ,$195.44 ,$628.20 ,$698.00 ,$153.56 ,$586.32 ,$523.50 ,$523.50 ,$181.48 ,$453.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205233,N/A,HC KIT ARTERIAL LINE W/RADIOPAQUE CATH,272,1 ,$43.00 ,$27.95 ,$9.46 ,$43.00 ,$23.65 ,$25.80 ,$25.80 ,$11.18 ,$12.04 ,$20.94 ,$11.18 ,$24.12 ,$10.75 ,$34.40 ,$34.40 ,$11.18 ,$27.95 ,$17.97 ,$29.24 , N/A ,$11.18 ,$43.00 ,$9.46 ,$32.25 ,$30.53 ,$30.53 ,$9.46 ,$30.53 ,$36.12 ,$36.12 ,$36.12 , N/A ,$38.70 ,$23.65 ,$36.55 ,$9.46 ,$43.00 ,$25.80 ,$9.46 ,$17.89 , N/A , N/A ,$11.18 ,$36.55 , N/A ,$34.40 ,$12.04 ,$38.70 ,$43.00 ,$9.46 ,$36.12 ,$32.25 ,$32.25 ,$11.18 ,$27.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205277,N/A,HC ADAPTER MALE,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205282,N/A,HC CIRCUIT AEROSOL,272,1 ,$35.00 ,$22.75 ,$7.70 ,$35.00 ,$19.25 ,$21.00 ,$21.00 ,$9.10 ,$9.80 ,$17.05 ,$9.10 ,$19.64 ,$8.75 ,$28.00 ,$28.00 ,$9.10 ,$22.75 ,$14.63 ,$23.80 , N/A ,$9.10 ,$35.00 ,$7.70 ,$26.25 ,$24.85 ,$24.85 ,$7.70 ,$24.85 ,$29.40 ,$29.40 ,$29.40 , N/A ,$31.50 ,$19.25 ,$29.75 ,$7.70 ,$35.00 ,$21.00 ,$7.70 ,$14.56 , N/A , N/A ,$9.10 ,$29.75 , N/A ,$28.00 ,$9.80 ,$31.50 ,$35.00 ,$7.70 ,$29.40 ,$26.25 ,$26.25 ,$9.10 ,$22.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205290,N/A,HC BARRIER CLEANSER SKIN SPRAY,270,1 ,$29.00 ,$18.85 ,$6.38 ,$29.00 ,$15.95 ,$17.40 ,$17.40 ,$7.54 ,$8.12 ,$14.12 ,$7.54 ,$16.27 ,$7.25 ,$23.20 ,$23.20 ,$7.54 ,$18.85 ,$12.12 ,$19.72 , N/A ,$7.54 ,$29.00 ,$6.38 ,$21.75 ,$20.59 ,$20.59 ,$6.38 ,$20.59 ,$24.36 ,$24.36 ,$24.36 , N/A ,$26.10 ,$15.95 ,$24.65 ,$6.38 ,$29.00 ,$17.40 ,$6.38 ,$12.06 , N/A , N/A ,$7.54 ,$24.65 , N/A ,$23.20 ,$8.12 ,$26.10 ,$29.00 ,$6.38 ,$24.36 ,$21.75 ,$21.75 ,$7.54 ,$18.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205298,N/A,HC CATHETER FOLEY COUDE,272,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$21.92 ,$11.70 ,$25.25 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$30.60 , N/A ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 , N/A , N/A ,$11.70 ,$38.25 , N/A ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$33.75 ,$33.75 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205306,N/A,HC ELECTRODE NONINVASIVE PACING PAD,272,1 ,$21.00 ,$13.65 ,$4.62 ,$21.00 ,$11.55 ,$12.60 ,$12.60 ,$5.46 ,$5.88 ,$10.23 ,$5.46 ,$11.78 ,$5.25 ,$16.80 ,$16.80 ,$5.46 ,$13.65 ,$8.78 ,$14.28 , N/A ,$5.46 ,$21.00 ,$4.62 ,$15.75 ,$14.91 ,$14.91 ,$4.62 ,$14.91 ,$17.64 ,$17.64 ,$17.64 , N/A ,$18.90 ,$11.55 ,$17.85 ,$4.62 ,$21.00 ,$12.60 ,$4.62 ,$8.74 , N/A , N/A ,$5.46 ,$17.85 , N/A ,$16.80 ,$5.88 ,$18.90 ,$21.00 ,$4.62 ,$17.64 ,$15.75 ,$15.75 ,$5.46 ,$13.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205320,N/A,HC NEEDLE PORT-A-CATH,272,1 ,$22.00 ,$14.30 ,$4.84 ,$22.00 ,$12.10 ,$13.20 ,$13.20 ,$5.72 ,$6.16 ,$10.71 ,$5.72 ,$12.34 ,$5.50 ,$17.60 ,$17.60 ,$5.72 ,$14.30 ,$9.20 ,$14.96 , N/A ,$5.72 ,$22.00 ,$4.84 ,$16.50 ,$15.62 ,$15.62 ,$4.84 ,$15.62 ,$18.48 ,$18.48 ,$18.48 , N/A ,$19.80 ,$12.10 ,$18.70 ,$4.84 ,$22.00 ,$13.20 ,$4.84 ,$9.15 , N/A , N/A ,$5.72 ,$18.70 , N/A ,$17.60 ,$6.16 ,$19.80 ,$22.00 ,$4.84 ,$18.48 ,$16.50 ,$16.50 ,$5.72 ,$14.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205321,N/A,HC NEEDLE PROBLOC,272,1 ,$37.00 ,$24.05 ,$8.14 ,$37.00 ,$20.35 ,$22.20 ,$22.20 ,$9.62 ,$10.36 ,$18.02 ,$9.62 ,$20.76 ,$9.25 ,$29.60 ,$29.60 ,$9.62 ,$24.05 ,$15.47 ,$25.16 , N/A ,$9.62 ,$37.00 ,$8.14 ,$27.75 ,$26.27 ,$26.27 ,$8.14 ,$26.27 ,$31.08 ,$31.08 ,$31.08 , N/A ,$33.30 ,$20.35 ,$31.45 ,$8.14 ,$37.00 ,$22.20 ,$8.14 ,$15.39 , N/A , N/A ,$9.62 ,$31.45 , N/A ,$29.60 ,$10.36 ,$33.30 ,$37.00 ,$8.14 ,$31.08 ,$27.75 ,$27.75 ,$9.62 ,$24.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205324,N/A,HC PAD ABDOMNINAL,272,1 ,$4.00 ,$2.60 ,$0.88 ,$4.00 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.24 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$2.72 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$1.66 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 ,$3.00 ,$3.00 ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205336,N/A,HC TUBE VENT,272,1 ,$18.00 ,$11.70 ,$3.96 ,$18.00 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$8.77 ,$4.68 ,$10.10 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$12.24 , N/A ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 , N/A , N/A ,$4.68 ,$15.30 , N/A ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$13.50 ,$13.50 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205339,N/A,HC KIT DRESSING,272,1 ,$33.00 ,$21.45 ,$7.26 ,$33.00 ,$18.15 ,$19.80 ,$19.80 ,$8.58 ,$9.24 ,$16.07 ,$8.58 ,$18.51 ,$8.25 ,$26.40 ,$26.40 ,$8.58 ,$21.45 ,$13.79 ,$22.44 , N/A ,$8.58 ,$33.00 ,$7.26 ,$24.75 ,$23.43 ,$23.43 ,$7.26 ,$23.43 ,$27.72 ,$27.72 ,$27.72 , N/A ,$29.70 ,$18.15 ,$28.05 ,$7.26 ,$33.00 ,$19.80 ,$7.26 ,$13.73 , N/A , N/A ,$8.58 ,$28.05 , N/A ,$26.40 ,$9.24 ,$29.70 ,$33.00 ,$7.26 ,$27.72 ,$24.75 ,$24.75 ,$8.58 ,$21.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205341,N/A,HC DRESSING BANDAGE ACE DOUBLE,272,1 ,$10.00 ,$6.50 ,$2.20 ,$10.00 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$4.87 ,$2.60 ,$5.61 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$6.80 , N/A ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 , N/A , N/A ,$2.60 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$7.50 ,$7.50 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205378,N/A,HC MARKER BIOPSY BREAST STEREOTATIC,272,1 ,$182.00 ,$118.30 ,$40.04 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$88.63 ,$47.32 ,$102.10 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$123.76 , N/A ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 , N/A , N/A ,$47.32 ,$154.70 , N/A ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$136.50 ,$136.50 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205386,N/A,HC HANDLE LARYNGEAL BLADE,272,1 ,$24.00 ,$15.60 ,$5.28 ,$24.00 ,$13.20 ,$14.40 ,$14.40 ,$6.24 ,$6.72 ,$11.69 ,$6.24 ,$13.46 ,$6.00 ,$19.20 ,$19.20 ,$6.24 ,$15.60 ,$10.03 ,$16.32 , N/A ,$6.24 ,$24.00 ,$5.28 ,$18.00 ,$17.04 ,$17.04 ,$5.28 ,$17.04 ,$20.16 ,$20.16 ,$20.16 , N/A ,$21.60 ,$13.20 ,$20.40 ,$5.28 ,$24.00 ,$14.40 ,$5.28 ,$9.98 , N/A , N/A ,$6.24 ,$20.40 , N/A ,$19.20 ,$6.72 ,$21.60 ,$24.00 ,$5.28 ,$20.16 ,$18.00 ,$18.00 ,$6.24 ,$15.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205387,N/A,HC IRRIGATION SOL W/WATER/SODIUM CHLORIDE,272,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$18.75 ,$18.75 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205396,N/A,HC ELECTRODE PEDI RESUSCITATION,272,1 ,$150.00 ,$97.50 ,$33.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$97.50 ,$62.70 ,$102.00 , N/A ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 , N/A ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 ,$112.50 ,$112.50 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205444,N/A,HC INDICATOR STRL VAPORIZE HYDROGEN PEROXIDE,272,1 ,$34.14 ,$22.19 ,$7.51 ,$34.14 ,$18.78 ,$20.48 ,$20.48 ,$8.88 ,$9.56 ,$16.63 ,$8.88 ,$19.15 ,$8.54 ,$27.31 ,$27.31 ,$8.88 ,$22.19 ,$14.27 ,$23.22 , N/A ,$8.88 ,$34.14 ,$7.51 ,$25.61 ,$24.24 ,$24.24 ,$7.51 ,$24.24 ,$28.68 ,$28.68 ,$28.68 , N/A ,$30.73 ,$18.78 ,$29.02 ,$7.51 ,$34.14 ,$20.48 ,$7.51 ,$14.20 , N/A , N/A ,$8.88 ,$29.02 , N/A ,$27.31 ,$9.56 ,$30.73 ,$34.14 ,$7.51 ,$28.68 ,$25.61 ,$25.61 ,$8.88 ,$22.19 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27205490,N/A,HC STERILE IRRIGATION CLIP,272,1 ,$289.00 ,$187.85 ,$63.58 ,$289.00 ,$158.95 ,$173.40 ,$173.40 ,$75.14 ,$80.92 ,$140.74 ,$75.14 ,$162.13 ,$72.25 ,$231.20 ,$231.20 ,$75.14 ,$187.85 ,$120.80 ,$196.52 , N/A ,$75.14 ,$289.00 ,$63.58 ,$216.75 ,$205.19 ,$205.19 ,$63.58 ,$205.19 ,$242.76 ,$242.76 ,$242.76 , N/A ,$260.10 ,$158.95 ,$245.65 ,$63.58 ,$289.00 ,$173.40 ,$63.58 ,$120.22 , N/A , N/A ,$75.14 ,$245.65 , N/A ,$231.20 ,$80.92 ,$260.10 ,$289.00 ,$63.58 ,$242.76 ,$216.75 ,$216.75 ,$75.14 ,$187.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27672632,V2632,HC POSTERIOR CHAMBER INTRAOCULAR LENS,276,1 ,$476.89 ,$309.98 ,$104.92 ,$476.89 ,$262.30 ,$286.13 ,$286.13 ,$123.99 ,$133.53 ,$242.26 ,$123.99 ,$280.41 ,$119.22 ,$381.51 ,$381.51 ,$123.99 ,$381.51 ,$199.35 ,$324.29 , N/A ,$123.99 ,$476.89 ,$104.92 ,$357.67 ,$338.59 ,$338.59 ,$104.92 ,$338.59 ,$400.59 ,$400.59 ,$400.59 , N/A ,$429.20 ,$262.30 ,$405.36 ,$123.99 ,$476.89 ,$286.13 ,$123.99 ,$198.39 , N/A , N/A ,$123.99 ,$405.36 , N/A ,$381.51 ,$133.53 ,$429.20 ,$476.89 ,$123.99 ,$400.59 , N/A , N/A ,$123.99 ,$309.98 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27800429,C1781,HC MESH,278,1 ,"$1,184.00 ",$769.60 ,$260.48 ,"$1,184.00 ",$651.20 ,$710.40 ,$710.40 ,$307.84 ,$331.52 ,$576.61 ,$307.84 ,$664.22 ,$296.00 ,$947.20 ,$947.20 ,$307.84 ,$947.20 ,$494.91 ,$592.00 , N/A ,$307.84 ,"$1,184.00 ",$260.48 ,$888.00 ,$840.64 ,$840.64 ,$260.48 ,$840.64 ,$994.56 ,$994.56 ,$994.56 , N/A ,"$1,065.60 ",$651.20 ,"$1,006.40 ",$260.48 ,"$1,184.00 ",$710.40 ,$260.48 ,$492.54 , N/A , N/A ,$307.84 ,"$1,006.40 ", N/A ,$947.20 ,$331.52 ,"$1,065.60 ","$1,184.00 ",$260.48 ,$994.56 , N/A , N/A ,$307.84 ,$769.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27800553,A4648,HC TISSUE MARKER IMPLANTABLE,278,1 ,$368.00 ,$239.20 ,$80.96 ,$368.00 ,$202.40 ,$220.80 ,$220.80 ,$95.68 ,$103.04 ,$179.22 ,$95.68 ,$206.45 ,$92.00 ,$294.40 ,$294.40 ,$95.68 ,$294.40 ,$153.82 , N/A , N/A ,$95.68 ,$368.00 ,$80.96 ,$276.00 ,$261.28 ,$261.28 ,$80.96 ,$261.28 ,$309.12 ,$309.12 ,$309.12 , N/A ,$331.20 ,$202.40 ,$312.80 ,$80.96 ,$368.00 ,$220.80 ,$80.96 ,$153.09 , N/A , N/A ,$95.68 ,$312.80 , N/A ,$294.40 ,$103.04 ,$331.20 ,$368.00 ,$80.96 ,$309.12 , N/A , N/A ,$95.68 ,$239.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802185,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 1.3CM X 2.5CM",278,1 ,"$1,350.00 ",$877.50 ,$297.00 ,"$1,350.00 ",$742.50 ,$810.00 ,$810.00 ,$351.00 ,$378.00 ,$657.45 ,$351.00 ,$757.35 ,$337.50 ,"$1,080.00 ","$1,080.00 ",$351.00 ,"$1,080.00 ",$564.30 ,$675.00 , N/A ,$351.00 ,"$1,350.00 ",$297.00 ,"$1,012.50 ",$958.50 ,$958.50 ,$297.00 ,$958.50 ,"$1,134.00 ","$1,134.00 ","$1,134.00 ", N/A ,"$1,215.00 ",$742.50 ,"$1,147.50 ",$297.00 ,"$1,350.00 ",$810.00 ,$297.00 ,$561.60 ,$784.53 ,$713.21 ,$351.00 ,"$1,147.50 ", N/A ,"$1,080.00 ",$378.00 ,"$1,215.00 ","$1,350.00 ",$297.00 ,"$1,134.00 ", N/A , N/A ,$351.00 ,$877.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802186,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 2.5CM X 2.5CM",278,1 ,"$2,934.00 ","$1,907.10 ",$645.48 ,"$2,934.00 ","$1,613.70 ","$1,760.40 ","$1,760.40 ",$762.84 ,$821.52 ,"$1,428.86 ",$762.84 ,"$1,645.97 ",$733.50 ,"$2,347.20 ","$2,347.20 ",$762.84 ,"$2,347.20 ","$1,226.41 ","$1,467.00 ", N/A ,$762.84 ,"$2,934.00 ",$645.48 ,"$2,200.50 ","$2,083.14 ","$2,083.14 ",$645.48 ,"$2,083.14 ","$2,464.56 ","$2,464.56 ","$2,464.56 ", N/A ,"$2,640.60 ","$1,613.70 ","$2,493.90 ",$645.48 ,"$2,934.00 ","$1,760.40 ",$645.48 ,"$1,220.54 ",$784.53 ,$713.21 ,$762.84 ,"$2,493.90 ", N/A ,"$2,347.20 ",$821.52 ,"$2,640.60 ","$2,934.00 ",$645.48 ,"$2,464.56 ","$1,026.90 ","$1,026.90 ",$762.84 ,"$1,907.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802187,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 2.5CM X 5CM",278,1 ,"$4,110.00 ","$2,671.50 ",$713.21 ,"$4,110.00 ","$2,260.50 ","$2,466.00 ","$2,466.00 ","$1,068.60 ","$1,150.80 ","$2,001.57 ","$1,068.60 ","$2,305.71 ","$1,027.50 ","$3,288.00 ","$3,288.00 ","$1,068.60 ","$3,288.00 ","$1,717.98 ","$2,055.00 ", N/A ,"$1,068.60 ","$4,110.00 ",$904.20 ,"$3,082.50 ","$2,918.10 ","$2,918.10 ",$904.20 ,"$2,918.10 ","$3,452.40 ","$3,452.40 ","$3,452.40 ", N/A ,"$3,699.00 ","$2,260.50 ","$3,493.50 ",$904.20 ,"$4,110.00 ","$2,466.00 ",$904.20 ,"$1,709.76 ",$784.53 ,$713.21 ,"$1,068.60 ","$3,493.50 ", N/A ,"$3,288.00 ","$1,150.80 ","$3,699.00 ","$4,110.00 ",$904.20 ,"$3,452.40 ","$1,438.50 ","$1,438.50 ","$1,068.60 ","$2,671.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802188,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 3.8CM X 5CM",278,1 ,"$4,500.00 ","$2,925.00 ",$713.21 ,"$4,500.00 ","$2,475.00 ","$2,700.00 ","$2,700.00 ","$1,170.00 ","$1,260.00 ","$2,191.50 ","$1,170.00 ","$2,524.50 ","$1,125.00 ","$3,600.00 ","$3,600.00 ","$1,170.00 ","$3,600.00 ","$1,881.00 ","$2,250.00 ", N/A ,"$1,170.00 ","$4,500.00 ",$990.00 ,"$3,375.00 ","$3,195.00 ","$3,195.00 ",$990.00 ,"$3,195.00 ","$3,780.00 ","$3,780.00 ","$3,780.00 ", N/A ,"$4,050.00 ","$2,475.00 ","$3,825.00 ",$990.00 ,"$4,500.00 ","$2,700.00 ",$990.00 ,"$1,872.00 ",$784.53 ,$713.21 ,"$1,170.00 ","$3,825.00 ", N/A ,"$3,600.00 ","$1,260.00 ","$4,050.00 ","$4,500.00 ",$990.00 ,"$3,780.00 ","$1,575.00 ","$1,575.00 ","$1,170.00 ","$2,925.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802189,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 2.5CM X 7.5CM",278,1 ,"$6,750.00 ","$4,387.50 ",$713.21 ,"$6,750.00 ","$3,712.50 ","$4,050.00 ","$4,050.00 ","$1,755.00 ","$1,890.00 ","$3,287.25 ","$1,755.00 ","$3,786.75 ","$1,687.50 ","$5,400.00 ","$5,400.00 ","$1,755.00 ","$5,400.00 ","$2,821.50 ","$3,375.00 ", N/A ,"$1,755.00 ","$6,750.00 ","$1,485.00 ","$5,062.50 ","$4,792.50 ","$4,792.50 ","$1,485.00 ","$4,792.50 ","$5,670.00 ","$5,670.00 ","$5,670.00 ", N/A ,"$6,075.00 ","$3,712.50 ","$5,737.50 ","$1,485.00 ","$6,750.00 ","$4,050.00 ","$1,485.00 ","$2,808.00 ",$784.53 ,$713.21 ,"$1,755.00 ","$5,737.50 ", N/A ,"$5,400.00 ","$1,890.00 ","$6,075.00 ","$6,750.00 ","$1,485.00 ","$5,670.00 ","$2,362.50 ","$2,362.50 ","$1,755.00 ","$4,387.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802190,N/A,"HC SKIN SUBSTITUTE, SYNTHETIC, 5CM X 5CM",278,1 ,"$8,400.00 ","$5,460.00 ","$1,848.00 ","$8,400.00 ","$4,620.00 ","$5,040.00 ","$5,040.00 ","$2,184.00 ","$2,352.00 ","$4,090.80 ","$2,184.00 ","$4,712.40 ","$2,100.00 ","$6,720.00 ","$6,720.00 ","$2,184.00 ","$6,720.00 ","$3,511.20 ","$4,200.00 ", N/A ,"$2,184.00 ","$8,400.00 ","$1,848.00 ","$6,300.00 ","$5,964.00 ","$5,964.00 ","$1,848.00 ","$5,964.00 ","$7,056.00 ","$7,056.00 ","$7,056.00 ", N/A ,"$7,560.00 ","$4,620.00 ","$7,140.00 ","$1,848.00 ","$8,400.00 ","$5,040.00 ","$1,848.00 ","$3,494.40 ", N/A , N/A ,"$2,184.00 ","$7,140.00 ", N/A ,"$6,720.00 ","$2,352.00 ","$7,560.00 ","$8,400.00 ","$1,848.00 ","$7,056.00 ","$2,940.00 ","$2,940.00 ","$2,184.00 ","$5,460.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802191,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 7.5CM X 7.5CM",278,1 ,"$10,125.00 ","$6,581.25 ",$713.21 ,"$10,125.00 ","$5,568.75 ","$6,075.00 ","$6,075.00 ","$2,632.50 ","$2,835.00 ","$4,930.88 ","$2,632.50 ","$5,680.13 ","$2,531.25 ","$8,100.00 ","$8,100.00 ","$2,632.50 ","$8,100.00 ","$4,232.25 ","$5,062.50 ", N/A ,"$2,632.50 ","$10,125.00 ","$2,227.50 ","$7,593.75 ","$7,188.75 ","$7,188.75 ","$2,227.50 ","$7,188.75 ","$8,505.00 ","$8,505.00 ","$8,505.00 ", N/A ,"$9,112.50 ","$5,568.75 ","$8,606.25 ","$2,227.50 ","$10,125.00 ","$6,075.00 ","$2,227.50 ","$4,212.00 ",$784.53 ,$713.21 ,"$2,632.50 ","$8,606.25 ", N/A ,"$8,100.00 ","$2,835.00 ","$9,112.50 ","$10,125.00 ","$2,227.50 ","$8,505.00 ","$3,543.75 ","$3,543.75 ","$2,632.50 ","$6,581.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802192,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 10CM X 12.5CM",278,1 ,"$13,500.00 ","$8,775.00 ",$713.21 ,"$13,500.00 ","$7,425.00 ","$8,100.00 ","$8,100.00 ","$3,510.00 ","$3,780.00 ","$6,574.50 ","$3,510.00 ","$7,573.50 ","$3,375.00 ","$10,800.00 ","$10,800.00 ","$3,510.00 ","$10,800.00 ","$5,643.00 ","$6,750.00 ", N/A ,"$3,510.00 ","$13,500.00 ","$2,970.00 ","$10,125.00 ","$9,585.00 ","$9,585.00 ","$2,970.00 ","$9,585.00 ","$11,340.00 ","$11,340.00 ","$11,340.00 ", N/A ,"$12,150.00 ","$7,425.00 ","$11,475.00 ","$2,970.00 ","$13,500.00 ","$8,100.00 ","$2,970.00 ","$5,616.00 ",$784.53 ,$713.21 ,"$3,510.00 ","$11,475.00 ", N/A ,"$10,800.00 ","$3,780.00 ","$12,150.00 ","$13,500.00 ","$2,970.00 ","$11,340.00 ","$4,725.00 ","$4,725.00 ","$3,510.00 ","$8,775.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,27802193,C1849,"HC SKIN SUBSTITUTE, SYNTHETIC, 12.5CM X 17.5CM",278,1 ,"$26,700.00 ","$17,355.00 ",$713.21 ,"$26,700.00 ","$14,685.00 ","$16,020.00 ","$16,020.00 ","$6,942.00 ","$7,476.00 ","$13,002.90 ","$6,942.00 ","$14,978.70 ","$6,675.00 ","$21,360.00 ","$21,360.00 ","$6,942.00 ","$21,360.00 ","$11,160.60 ","$13,350.00 ", N/A ,"$6,942.00 ","$26,700.00 ","$5,874.00 ","$20,025.00 ","$18,957.00 ","$18,957.00 ","$5,874.00 ","$18,957.00 ","$22,428.00 ","$22,428.00 ","$22,428.00 ", N/A ,"$24,030.00 ","$14,685.00 ","$22,695.00 ","$5,874.00 ","$26,700.00 ","$16,020.00 ","$5,874.00 ","$11,107.20 ",$784.53 ,$713.21 ,"$6,942.00 ","$22,695.00 ", N/A ,"$21,360.00 ","$7,476.00 ","$24,030.00 ","$26,700.00 ","$5,874.00 ","$22,428.00 ","$9,345.00 ","$9,345.00 ","$6,942.00 ","$17,355.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$29.00 ,$18.85 ,$3.42 ,$29.00 ,$15.95 ,$17.40 ,$17.40 ,$7.54 ,$8.12 ,$14.12 ,$7.54 ,$16.27 ,$7.25 ,$23.20 ,$23.20 ,$7.54 ,$18.85 ,$12.12 ,$3.42 , N/A ,$7.54 ,$29.00 ,$6.38 ,$21.75 ,$20.59 ,$20.59 ,$6.38 ,$20.59 ,$24.36 ,$24.36 ,$24.36 , N/A ,$26.10 ,$15.95 ,$24.65 ,$6.38 ,$29.00 ,$17.40 ,$6.38 ,$12.06 , N/A , N/A ,$7.54 ,$24.65 , N/A ,$23.20 ,$8.12 ,$26.10 ,$29.00 ,$6.38 ,$24.36 ,$6.28 ,$6.28 ,$7.54 ,$18.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000010,36415,HC VENIPUNCTURE,300,1 ,$29.00 ,$18.85 ,$3.00 ,$29.00 ,$15.95 ,$17.40 ,$17.40 ,$7.54 ,$8.12 ,$14.12 ,$7.54 ,$16.27 ,$7.25 ,$23.20 ,$23.20 ,$7.54 ,$18.85 ,$12.12 ,$3.55 ,$7.50 ,$7.54 ,$29.00 ,$6.38 ,$21.75 , N/A , N/A ,$6.38 , N/A ,$24.36 ,$24.36 ,$24.36 , N/A ,$26.10 ,$15.95 ,$24.65 ,$6.38 ,$3.00 ,$17.40 ,$6.38 ,$12.06 ,$3.99 ,$3.63 ,$7.54 ,$24.65 ,$5.70 ,$23.20 ,$8.12 ,$26.10 ,$29.00 ,$6.38 ,$24.36 ,$6.00 ,$6.00 ,$7.54 ,$18.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$87.00 ,$56.55 ,$16.63 ,$287.90 ,$47.85 ,$52.20 ,$52.20 ,$22.62 ,$24.36 ,$42.37 ,$22.62 ,$48.81 ,$21.75 ,$69.60 ,$69.60 ,$22.62 ,$16.63 ,$36.37 ,$59.16 ,$287.90 ,$22.62 ,$87.00 ,$19.14 ,$65.25 ,$61.77 ,$61.77 ,$19.14 ,$61.77 ,$73.08 ,$73.08 ,$73.08 , N/A ,$78.30 ,$47.85 ,$73.95 ,$19.14 ,$87.00 ,$52.20 ,$19.14 ,$36.19 ,$82.30 ,$74.82 ,$22.62 ,$73.95 ,$218.80 ,$69.60 ,$24.36 ,$78.30 ,$87.00 ,$19.14 ,$73.08 , N/A , N/A ,$22.62 ,$56.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$120.00 ,$78.00 ,$26.40 ,$287.90 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$28.94 ,$50.16 ,$81.60 ,$287.90 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$82.30 ,$74.82 ,$31.20 ,$102.00 ,$218.80 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 , N/A , N/A ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000101,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$213.00 ,$138.45 ,$10.64 ,$213.00 ,$117.15 ,$127.80 ,$127.80 ,$55.38 ,$59.64 ,$55.73 ,$55.38 ,$68.11 ,$53.25 ,$170.40 ,$170.40 ,$55.38 ,$138.45 ,$89.03 ,$10.69 ,$14.00 ,$55.38 ,$213.00 ,$46.86 ,$159.75 ,$151.23 ,$151.23 ,$46.86 ,$151.23 ,$178.92 ,$178.92 ,$178.92 , N/A ,$191.70 ,$117.15 ,$181.05 ,$46.86 ,$213.00 ,$127.80 ,$46.86 ,$88.61 ,$54.66 ,$49.69 ,$55.38 ,$181.05 ,$10.64 ,$170.40 ,$59.64 ,$191.70 ,$213.00 ,$46.86 ,$178.92 ,$11.20 ,$11.20 ,$55.38 ,$138.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000104,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$84.00 ,$54.60 ,$8.11 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 ,$42.67 ,$21.84 ,$49.39 ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$8.18 ,$10.68 ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$11.88 ,$10.80 ,$21.84 ,$71.40 ,$8.11 ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 ,$8.54 ,$8.54 ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000105,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$103.00 ,$66.95 ,$13.84 ,$103.00 ,$56.65 ,$61.80 ,$61.80 ,$26.78 ,$28.84 ,$52.32 ,$26.78 ,$60.56 ,$25.75 ,$82.40 ,$82.40 ,$26.78 ,$18.52 ,$43.05 ,$13.84 ,$18.33 ,$26.78 ,$103.00 ,$22.66 ,$77.25 ,$73.13 ,$73.13 ,$22.66 ,$73.13 ,$86.52 ,$86.52 ,$86.52 , N/A ,$92.70 ,$56.65 ,$87.55 ,$22.66 ,$103.00 ,$61.80 ,$22.66 ,$42.85 ,$54.66 ,$49.69 ,$26.78 ,$87.55 ,$13.93 ,$82.40 ,$28.84 ,$92.70 ,$103.00 ,$22.66 ,$86.52 ,$14.66 ,$14.66 ,$26.78 ,$66.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$137.00 ,$89.05 ,$26.00 ,$287.90 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 ,$66.72 ,$35.62 ,$76.86 ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$26.00 ,$57.27 ,$93.16 ,$287.90 ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$82.30 ,$74.82 ,$35.62 ,$116.45 ,$218.80 ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 , N/A , N/A ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$422.00 ,$274.30 ,$35.85 ,$422.00 ,$232.10 ,$253.20 ,$253.20 ,$109.72 ,$118.16 ,$214.38 ,$109.72 ,$248.14 ,$105.50 ,$337.60 ,$337.60 ,$109.72 ,$274.30 ,$176.40 ,$35.85 ,$380.80 ,$109.72 ,$422.00 ,$92.84 ,$316.50 ,$299.62 ,$299.62 ,$92.84 ,$299.62 ,$354.48 ,$354.48 ,$354.48 , N/A ,$379.80 ,$232.10 ,$358.70 ,$92.84 ,$422.00 ,$253.20 ,$92.84 ,$175.55 ,$69.16 ,$62.87 ,$109.72 ,$358.70 ,$289.41 ,$337.60 ,$118.16 ,$379.80 ,$422.00 ,$92.84 ,$354.48 ,$298.32 ,$298.32 ,$109.72 ,$274.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$101.00 ,$65.65 ,$22.22 ,$101.00 ,$55.55 ,$60.60 ,$60.60 ,$26.26 ,$28.28 ,$51.31 ,$26.26 ,$59.39 ,$25.25 ,$80.80 ,$80.80 ,$26.26 ,$65.65 ,$42.22 ,$53.47 ,$86.43 ,$26.26 ,$101.00 ,$22.22 ,$75.75 ,$71.71 ,$71.71 ,$22.22 ,$71.71 ,$84.84 ,$84.84 ,$84.84 , N/A ,$90.90 ,$55.55 ,$85.85 ,$22.22 ,$101.00 ,$60.60 ,$22.22 ,$42.02 ,$69.16 ,$62.87 ,$26.26 ,$85.85 ,$65.68 ,$80.80 ,$28.28 ,$90.90 ,$101.00 ,$22.22 ,$84.84 ,$67.68 ,$67.68 ,$26.26 ,$65.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000221,86999,HC TRANSFUSION UNLISTED PROCEDURE,300,1 ,$242.00 ,$157.30 ,$20.31 ,$242.00 ,$133.10 ,$145.20 ,$145.20 ,$62.92 ,$67.76 ,$117.85 ,$62.92 ,$135.76 ,$60.50 ,$193.60 ,$193.60 ,$62.92 ,$157.30 ,$101.16 ,$20.31 ,$63.08 ,$62.92 ,$242.00 ,$53.24 ,$181.50 ,$171.82 ,$171.82 ,$53.24 ,$171.82 ,$203.28 ,$203.28 ,$203.28 , N/A ,$217.80 ,$133.10 ,$205.70 ,$53.24 ,$242.00 ,$145.20 ,$53.24 ,$100.67 ,$69.16 ,$62.87 ,$62.92 ,$205.70 ,$47.94 ,$193.60 ,$67.76 ,$217.80 ,$242.00 ,$53.24 ,$203.28 ,$49.34 ,$49.34 ,$62.92 ,$157.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000225,89190,HC SMEAR NASAL EOSINOPHILS,300,1 ,$184.00 ,$119.60 ,$10.06 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$48.09 ,$47.84 ,$58.77 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$10.06 ,$14.48 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$54.66 ,$49.69 ,$47.84 ,$156.40 ,$11.00 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$11.58 ,$11.58 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000228,86078,HC INVESTIGATE TRANSFSN REACTION,300,1 ,$332.00 ,$215.80 ,$49.69 ,$380.80 ,$182.60 ,$199.20 ,$199.20 ,$86.32 ,$92.96 ,$168.66 ,$86.32 ,$195.22 ,$83.00 ,$265.60 ,$265.60 ,$86.32 ,$50.07 ,$138.78 ,$62.24 ,$380.80 ,$86.32 ,$332.00 ,$73.04 ,$249.00 ,$235.72 ,$235.72 ,$73.04 ,$235.72 ,$278.88 ,$278.88 ,$278.88 , N/A ,$298.80 ,$182.60 ,$282.20 ,$73.04 ,$332.00 ,$199.20 ,$73.04 ,$138.11 ,$54.66 ,$49.69 ,$86.32 ,$282.20 ,$289.41 ,$265.60 ,$92.96 ,$298.80 ,$332.00 ,$73.04 ,$278.88 ,$298.32 ,$298.32 ,$86.32 ,$215.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000242,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$137.00 ,$89.05 ,$26.00 ,$287.90 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 ,$66.72 ,$35.62 ,$76.86 ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$26.00 ,$57.27 ,$93.16 ,$287.90 ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$82.30 ,$74.82 ,$35.62 ,$116.45 ,$218.80 ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 , N/A , N/A ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000249,89320,HC SEMEN ANALYSIS COMPLETE,300,1 ,$338.00 ,$219.70 ,$23.27 ,$338.00 ,$185.90 ,$202.80 ,$202.80 ,$87.88 ,$94.64 ,$122.00 ,$87.88 ,$149.10 ,$84.50 ,$270.40 ,$270.40 ,$87.88 ,$219.70 ,$141.28 ,$23.27 ,$30.78 ,$87.88 ,$338.00 ,$74.36 ,$253.50 ,$239.98 ,$239.98 ,$74.36 ,$239.98 ,$283.92 ,$283.92 ,$283.92 , N/A ,$304.20 ,$185.90 ,$287.30 ,$74.36 ,$338.00 ,$202.80 ,$74.36 ,$140.61 ,$54.66 ,$49.69 ,$87.88 ,$287.30 ,$23.39 ,$270.40 ,$94.64 ,$304.20 ,$338.00 ,$74.36 ,$283.92 ,$24.62 ,$24.62 ,$87.88 ,$219.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000250,89321,HC SEMEN PRESENCE/MOTILITY,300,1 ,$172.00 ,$111.80 ,$22.90 ,$172.00 ,$94.60 ,$103.20 ,$103.20 ,$44.72 ,$48.16 ,$87.38 ,$44.72 ,$101.14 ,$43.00 ,$137.60 ,$137.60 ,$44.72 ,$111.80 ,$71.90 ,$23.27 ,$30.13 ,$44.72 ,$172.00 ,$37.84 ,$129.00 ,$122.12 ,$122.12 ,$37.84 ,$122.12 ,$144.48 ,$144.48 ,$144.48 , N/A ,$154.80 ,$94.60 ,$146.20 ,$37.84 ,$172.00 ,$103.20 ,$37.84 ,$71.55 ,$54.66 ,$49.69 ,$44.72 ,$146.20 ,$22.90 ,$137.60 ,$48.16 ,$154.80 ,$172.00 ,$37.84 ,$144.48 ,$24.10 ,$24.10 ,$44.72 ,$111.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000260,36600,HC ARTERIAL PUNCTURE,300,1 ,$87.00 ,$56.55 ,$16.63 ,$287.90 ,$47.85 ,$52.20 ,$52.20 ,$22.62 ,$24.36 ,$42.37 ,$22.62 ,$48.81 ,$21.75 ,$69.60 ,$69.60 ,$22.62 ,$16.63 ,$36.37 ,$59.16 ,$287.90 ,$22.62 ,$87.00 ,$19.14 ,$65.25 ,$61.77 ,$61.77 ,$19.14 ,$61.77 ,$73.08 ,$73.08 ,$73.08 , N/A ,$78.30 ,$47.85 ,$73.95 ,$19.14 ,$87.00 ,$52.20 ,$19.14 ,$36.19 ,$82.30 ,$74.82 ,$22.62 ,$73.95 ,$218.80 ,$69.60 ,$24.36 ,$78.30 ,$87.00 ,$19.14 ,$73.08 , N/A , N/A ,$22.62 ,$56.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30000263,N/A,HC HEALTH FAIR PULMONARY SCREEN,300,1 ,$5.00 ,$3.25 ,$1.10 ,$5.00 ,$2.75 ,$3.00 ,$3.00 ,$1.30 ,$1.40 ,$2.44 ,$1.30 ,$2.81 ,$1.25 ,$4.00 ,$4.00 ,$1.30 ,$3.25 ,$2.09 ,$3.40 , N/A ,$1.30 ,$5.00 ,$1.10 ,$3.75 ,$3.55 ,$3.55 ,$1.10 ,$3.55 ,$4.20 ,$4.20 ,$4.20 , N/A ,$4.50 ,$2.75 ,$4.25 ,$1.10 ,$5.00 ,$3.00 ,$1.10 ,$2.08 , N/A , N/A ,$1.30 ,$4.25 , N/A ,$4.00 ,$1.40 ,$4.50 ,$5.00 ,$1.10 ,$4.20 ,$2.50 ,$2.50 ,$1.30 ,$3.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30002013,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$120.00 ,$78.00 ,$26.40 ,$287.90 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$28.94 ,$50.16 ,$81.60 ,$287.90 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$82.30 ,$74.82 ,$31.20 ,$102.00 ,$218.80 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 , N/A , N/A ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30002015,89050,HC BODY FLUID CELL COUNT,300,1 ,$133.00 ,$86.45 ,$8.97 ,$133.00 ,$73.15 ,$79.80 ,$79.80 ,$34.58 ,$37.24 ,$47.81 ,$34.58 ,$58.43 ,$33.25 ,$106.40 ,$106.40 ,$34.58 ,$86.45 ,$55.59 ,$9.44 ,$11.80 ,$34.58 ,$133.00 ,$29.26 ,$99.75 ,$94.43 ,$94.43 ,$29.26 ,$94.43 ,$111.72 ,$111.72 ,$111.72 , N/A ,$119.70 ,$73.15 ,$113.05 ,$29.26 ,$133.00 ,$79.80 ,$29.26 ,$55.33 ,$54.66 ,$49.69 ,$34.58 ,$113.05 ,$8.97 ,$106.40 ,$37.24 ,$119.70 ,$133.00 ,$29.26 ,$111.72 ,$9.44 ,$9.44 ,$34.58 ,$86.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30002018,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$69.00 ,$44.85 ,$13.84 ,$69.00 ,$37.95 ,$41.40 ,$41.40 ,$17.94 ,$19.32 ,$35.05 ,$17.94 ,$40.57 ,$17.25 ,$55.20 ,$55.20 ,$17.94 ,$18.52 ,$28.84 ,$13.84 ,$18.33 ,$17.94 ,$69.00 ,$15.18 ,$51.75 ,$48.99 ,$48.99 ,$15.18 ,$48.99 ,$57.96 ,$57.96 ,$57.96 , N/A ,$62.10 ,$37.95 ,$58.65 ,$15.18 ,$69.00 ,$41.40 ,$15.18 ,$28.70 ,$54.66 ,$49.69 ,$17.94 ,$58.65 ,$13.93 ,$55.20 ,$19.32 ,$62.10 ,$69.00 ,$15.18 ,$57.96 ,$14.66 ,$14.66 ,$17.94 ,$44.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$307.00 ,$199.55 ,$8.46 ,$307.00 ,$168.85 ,$184.20 ,$184.20 ,$79.82 ,$85.96 ,$104.67 ,$79.82 ,$104.67 ,$76.75 ,$245.60 ,$245.60 ,$79.82 ,$199.55 ,$128.33 ,$16.35 ,$21.15 ,$79.82 ,$307.00 ,$67.54 ,$230.25 ,$217.97 ,$217.97 ,$67.54 ,$217.97 ,$257.88 ,$257.88 ,$257.88 , N/A ,$276.30 ,$168.85 ,$260.95 ,$67.54 ,$8.46 ,$184.20 ,$67.54 ,$127.71 ,$17.45 ,$15.86 ,$79.82 ,$260.95 ,$16.07 ,$245.60 ,$85.96 ,$276.30 ,$307.00 ,$67.54 ,$257.88 ,$16.92 ,$16.92 ,$79.82 ,$199.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$302.00 ,$196.30 ,$13.32 ,$302.00 ,$166.10 ,$181.20 ,$181.20 ,$78.52 ,$84.56 ,$86.79 ,$78.52 ,$86.79 ,$75.50 ,$241.60 ,$241.60 ,$78.52 ,$196.30 ,$126.24 ,$13.84 ,$17.53 ,$78.52 ,$302.00 ,$66.44 ,$226.50 ,$214.42 ,$214.42 ,$66.44 ,$214.42 ,$253.68 ,$253.68 ,$253.68 , N/A ,$271.80 ,$166.10 ,$256.70 ,$66.44 ,$302.00 ,$181.20 ,$66.44 ,$125.63 ,$17.45 ,$15.86 ,$78.52 ,$256.70 ,$13.32 ,$241.60 ,$84.56 ,$271.80 ,$302.00 ,$66.44 ,$253.68 ,$14.02 ,$14.02 ,$78.52 ,$196.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$389.00 ,$252.85 ,$10.56 ,$389.00 ,$213.95 ,$233.40 ,$233.40 ,$101.14 ,$108.92 ,$130.76 ,$101.14 ,$130.76 ,$97.25 ,$311.20 ,$311.20 ,$101.14 ,$252.85 ,$162.60 ,$20.76 ,$26.40 ,$101.14 ,$389.00 ,$85.58 ,$291.75 ,$276.19 ,$276.19 ,$85.58 ,$276.19 ,$326.76 ,$326.76 ,$326.76 , N/A ,$350.10 ,$213.95 ,$330.65 ,$85.58 ,$10.56 ,$233.40 ,$85.58 ,$161.82 ,$17.45 ,$15.86 ,$101.14 ,$330.65 ,$20.06 ,$311.20 ,$108.92 ,$350.10 ,$389.00 ,$85.58 ,$326.76 ,$21.12 ,$21.12 ,$101.14 ,$252.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100107,80061,HC LIPID PANEL,301,1 ,$301.00 ,$195.65 ,$15.86 ,$301.00 ,$165.55 ,$180.60 ,$180.60 ,$78.26 ,$84.28 ,$152.91 ,$78.26 ,$165.72 ,$75.25 ,$240.80 ,$240.80 ,$78.26 ,$195.65 ,$125.82 ,$25.79 ,$33.48 ,$78.26 ,$301.00 ,$66.22 ,$225.75 ,$213.71 ,$213.71 ,$66.22 ,$213.71 ,$252.84 ,$252.84 ,$252.84 , N/A ,$270.90 ,$165.55 ,$255.85 ,$66.22 ,$301.00 ,$180.60 ,$66.22 ,$125.22 ,$17.45 ,$15.86 ,$78.26 ,$255.85 ,$25.44 ,$240.80 ,$84.28 ,$270.90 ,$301.00 ,$66.22 ,$252.84 ,$26.78 ,$26.78 ,$78.26 ,$195.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100108,80069,HC RENAL PANEL,301,1 ,$359.00 ,$233.35 ,$15.86 ,$359.00 ,$197.45 ,$215.40 ,$215.40 ,$93.34 ,$100.52 ,$87.89 ,$93.34 ,$107.41 ,$89.75 ,$287.20 ,$287.20 ,$93.34 ,$233.35 ,$150.06 ,$16.98 ,$21.70 ,$93.34 ,$359.00 ,$78.98 ,$269.25 ,$254.89 ,$254.89 ,$78.98 ,$254.89 ,$301.56 ,$301.56 ,$301.56 , N/A ,$323.10 ,$197.45 ,$305.15 ,$78.98 ,$359.00 ,$215.40 ,$78.98 ,$149.34 ,$17.45 ,$15.86 ,$93.34 ,$305.15 ,$16.49 ,$287.20 ,$100.52 ,$323.10 ,$359.00 ,$78.98 ,$301.56 ,$17.36 ,$17.36 ,$93.34 ,$233.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$378.00 ,$245.70 ,$15.52 ,$378.00 ,$207.90 ,$226.80 ,$226.80 ,$98.28 ,$105.84 ,$61.14 ,$98.28 ,$74.72 ,$94.50 ,$302.40 ,$302.40 ,$98.28 ,$245.70 ,$158.00 ,$15.73 ,$20.43 ,$98.28 ,$378.00 ,$83.16 ,$283.50 ,$268.38 ,$268.38 ,$83.16 ,$268.38 ,$317.52 ,$317.52 ,$317.52 , N/A ,$340.20 ,$207.90 ,$321.30 ,$83.16 ,$378.00 ,$226.80 ,$83.16 ,$157.25 ,$17.45 ,$15.86 ,$98.28 ,$321.30 ,$15.52 ,$302.40 ,$105.84 ,$340.20 ,$378.00 ,$83.16 ,$317.52 ,$16.34 ,$16.34 ,$98.28 ,$245.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$205.00 ,$133.25 ,$19.97 ,$205.00 ,$112.75 ,$123.00 ,$123.00 ,$53.30 ,$57.40 ,$99.26 ,$53.30 ,$120.54 ,$51.25 ,$164.00 ,$164.00 ,$53.30 ,$133.25 ,$85.69 ,$25.79 ,$33.20 ,$53.30 ,$205.00 ,$45.10 ,$153.75 ,$145.55 ,$145.55 ,$45.10 ,$145.55 ,$172.20 ,$172.20 ,$172.20 , N/A ,$184.50 ,$112.75 ,$174.25 ,$45.10 ,$205.00 ,$123.00 ,$45.10 ,$85.28 ,$21.97 ,$19.97 ,$53.30 ,$174.25 ,$25.23 ,$164.00 ,$57.40 ,$184.50 ,$205.00 ,$45.10 ,$172.20 ,$26.56 ,$26.56 ,$53.30 ,$133.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$202.00 ,$131.30 ,$19.97 ,$202.00 ,$111.10 ,$121.20 ,$121.20 ,$52.52 ,$56.56 ,$99.07 ,$52.52 ,$118.78 ,$50.50 ,$161.60 ,$161.60 ,$52.52 ,$131.30 ,$84.44 ,$25.79 ,$33.13 ,$52.52 ,$202.00 ,$44.44 ,$151.50 ,$143.42 ,$143.42 ,$44.44 ,$143.42 ,$169.68 ,$169.68 ,$169.68 , N/A ,$181.80 ,$111.10 ,$171.70 ,$44.44 ,$202.00 ,$121.20 ,$44.44 ,$84.03 ,$21.97 ,$19.97 ,$52.52 ,$171.70 ,$25.18 ,$161.60 ,$56.56 ,$181.80 ,$202.00 ,$44.44 ,$169.68 ,$26.50 ,$26.50 ,$52.52 ,$131.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100141,80202,HC VANCOMYCIN,301,1 ,$202.00 ,$131.30 ,$19.97 ,$202.00 ,$111.10 ,$121.20 ,$121.20 ,$52.52 ,$56.56 ,$101.31 ,$52.52 ,$118.78 ,$50.50 ,$161.60 ,$161.60 ,$52.52 ,$131.30 ,$84.44 ,$26.42 ,$33.85 ,$52.52 ,$202.00 ,$44.44 ,$151.50 ,$143.42 ,$143.42 ,$44.44 ,$143.42 ,$169.68 ,$169.68 ,$169.68 , N/A ,$181.80 ,$111.10 ,$171.70 ,$44.44 ,$202.00 ,$121.20 ,$44.44 ,$84.03 ,$21.97 ,$19.97 ,$52.52 ,$171.70 ,$25.73 ,$161.60 ,$56.56 ,$181.80 ,$202.00 ,$44.44 ,$169.68 ,$27.08 ,$27.08 ,$52.52 ,$131.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$61.00 ,$39.65 ,$13.42 ,$61.00 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$30.99 ,$15.86 ,$35.87 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$39.65 ,$25.50 ,$15.73 ,$20.43 ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 ,$19.13 ,$17.39 ,$15.86 ,$51.85 ,$15.52 ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$16.34 ,$16.34 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100165,82040,HC ALBUMIN SERUM,301,1 ,$98.00 ,$63.70 ,$7.74 ,$98.00 ,$53.90 ,$58.80 ,$58.80 ,$25.48 ,$27.44 ,$49.78 ,$25.48 ,$57.62 ,$24.50 ,$78.40 ,$78.40 ,$25.48 ,$63.70 ,$40.96 ,$9.44 ,$12.38 ,$25.48 ,$98.00 ,$21.56 ,$73.50 ,$69.58 ,$69.58 ,$21.56 ,$69.58 ,$82.32 ,$82.32 ,$82.32 , N/A ,$88.20 ,$53.90 ,$83.30 ,$21.56 ,$98.00 ,$58.80 ,$21.56 ,$40.77 ,$8.51 ,$7.74 ,$25.48 ,$83.30 ,$9.41 ,$78.40 ,$27.44 ,$88.20 ,$98.00 ,$21.56 ,$82.32 ,$9.90 ,$9.90 ,$25.48 ,$63.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$110.00 ,$71.50 ,$6.21 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$11.32 ,$14.45 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$6.83 ,$6.21 ,$28.60 ,$93.50 ,$10.98 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$11.56 ,$11.56 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100186,82140,HC AMMONIA,301,1 ,$215.00 ,$139.75 ,$17.39 ,$215.00 ,$118.25 ,$129.00 ,$129.00 ,$55.90 ,$60.20 ,$108.95 ,$55.90 ,$126.42 ,$53.75 ,$172.00 ,$172.00 ,$55.90 ,$139.75 ,$89.87 ,$28.31 ,$36.43 ,$55.90 ,$215.00 ,$47.30 ,$161.25 ,$152.65 ,$152.65 ,$47.30 ,$152.65 ,$180.60 ,$180.60 ,$180.60 , N/A ,$193.50 ,$118.25 ,$182.75 ,$47.30 ,$215.00 ,$129.00 ,$47.30 ,$89.44 ,$19.13 ,$17.39 ,$55.90 ,$182.75 ,$27.68 ,$172.00 ,$60.20 ,$193.50 ,$215.00 ,$47.30 ,$180.60 ,$29.14 ,$29.14 ,$55.90 ,$139.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100188,82150,HC AMYLASE,301,1 ,$124.00 ,$80.60 ,$12.31 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$12.58 ,$16.20 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$19.13 ,$17.39 ,$32.24 ,$105.40 ,$12.31 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$12.96 ,$12.96 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$100.00 ,$65.00 ,$7.74 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.79 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$9.44 ,$12.55 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$8.51 ,$7.74 ,$26.00 ,$85.00 ,$9.54 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$10.04 ,$10.04 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$100.00 ,$65.00 ,$7.74 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.79 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$9.44 ,$12.55 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$8.51 ,$7.74 ,$26.00 ,$85.00 ,$9.54 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$10.04 ,$10.04 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100212,82306,HC VITAMIN D 25 OH,301,1 ,$97.00 ,$63.05 ,$21.34 ,$97.00 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$57.24 ,$74.00 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$51.50 ,$46.82 ,$25.22 ,$82.45 ,$56.24 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$59.20 ,$59.20 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100214,82310,HC CALCIUM,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.29 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$10.06 ,$12.90 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$9.80 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$10.32 ,$10.32 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100215,82330,HC CALCIUM IONIZED,301,1 ,$116.00 ,$75.40 ,$17.39 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$26.42 ,$34.20 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$19.13 ,$17.39 ,$30.16 ,$98.60 ,$25.99 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$27.36 ,$27.36 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100222,82374,HC BICARBONATE,301,1 ,$94.00 ,$61.10 ,$7.74 ,$94.00 ,$51.70 ,$56.40 ,$56.40 ,$24.44 ,$26.32 ,$47.75 ,$24.44 ,$55.27 ,$23.50 ,$75.20 ,$75.20 ,$24.44 ,$61.10 ,$39.29 ,$9.44 ,$12.20 ,$24.44 ,$94.00 ,$20.68 ,$70.50 ,$66.74 ,$66.74 ,$20.68 ,$66.74 ,$78.96 ,$78.96 ,$78.96 , N/A ,$84.60 ,$51.70 ,$79.90 ,$20.68 ,$94.00 ,$56.40 ,$20.68 ,$39.10 ,$8.51 ,$7.74 ,$24.44 ,$79.90 ,$9.27 ,$75.20 ,$26.32 ,$84.60 ,$94.00 ,$20.68 ,$78.96 ,$9.76 ,$9.76 ,$24.44 ,$61.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100225,82375,HC CARBOXYHEMOGLOBIN,301,1 ,$209.00 ,$135.85 ,$17.39 ,$209.00 ,$114.95 ,$125.40 ,$125.40 ,$54.34 ,$58.52 ,$92.17 ,$54.34 ,$112.65 ,$52.25 ,$167.20 ,$167.20 ,$54.34 ,$135.85 ,$87.36 ,$23.90 ,$30.80 ,$54.34 ,$209.00 ,$45.98 ,$156.75 ,$148.39 ,$148.39 ,$45.98 ,$148.39 ,$175.56 ,$175.56 ,$175.56 , N/A ,$188.10 ,$114.95 ,$177.65 ,$45.98 ,$209.00 ,$125.40 ,$45.98 ,$86.94 ,$19.13 ,$17.39 ,$54.34 ,$177.65 ,$23.41 ,$167.20 ,$58.52 ,$188.10 ,$209.00 ,$45.98 ,$175.56 ,$24.64 ,$24.64 ,$54.34 ,$135.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100237,82435,HC CHLORIDE,301,1 ,$94.00 ,$61.10 ,$7.74 ,$94.00 ,$51.70 ,$56.40 ,$56.40 ,$24.44 ,$26.32 ,$46.60 ,$24.44 ,$55.27 ,$23.50 ,$75.20 ,$75.20 ,$24.44 ,$61.10 ,$39.29 ,$8.81 ,$11.50 ,$24.44 ,$94.00 ,$20.68 ,$70.50 ,$66.74 ,$66.74 ,$20.68 ,$66.74 ,$78.96 ,$78.96 ,$78.96 , N/A ,$84.60 ,$51.70 ,$79.90 ,$20.68 ,$94.00 ,$56.40 ,$20.68 ,$39.10 ,$8.51 ,$7.74 ,$24.44 ,$79.90 ,$8.74 ,$75.20 ,$26.32 ,$84.60 ,$94.00 ,$20.68 ,$78.96 ,$9.20 ,$9.20 ,$24.44 ,$61.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100241,82465,HC CHOLESTEROL,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$44.08 ,$27.04 ,$53.87 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$8.18 ,$10.88 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$8.27 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$8.70 ,$8.70 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$142.00 ,$92.30 ,$7.74 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$65.99 ,$36.92 ,$80.64 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$92.30 ,$59.36 ,$12.58 ,$16.28 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$8.51 ,$7.74 ,$36.92 ,$120.70 ,$12.37 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$13.02 ,$13.02 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$189.00 ,$122.85 ,$17.39 ,$189.00 ,$103.95 ,$113.40 ,$113.40 ,$49.14 ,$52.92 ,$86.40 ,$49.14 ,$105.59 ,$47.25 ,$151.20 ,$151.20 ,$49.14 ,$122.85 ,$79.00 ,$22.64 ,$28.88 ,$49.14 ,$189.00 ,$41.58 ,$141.75 ,$134.19 ,$134.19 ,$41.58 ,$134.19 ,$158.76 ,$158.76 ,$158.76 , N/A ,$170.10 ,$103.95 ,$160.65 ,$41.58 ,$189.00 ,$113.40 ,$41.58 ,$78.62 ,$19.13 ,$17.39 ,$49.14 ,$160.65 ,$21.95 ,$151.20 ,$52.92 ,$170.10 ,$189.00 ,$41.58 ,$158.76 ,$23.10 ,$23.10 ,$49.14 ,$122.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100262,82565,HC CREATININE,301,1 ,$104.00 ,$67.60 ,$5.12 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$51.91 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$10.06 ,$12.80 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$5.12 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$9.73 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$10.24 ,$10.24 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$97.00 ,$63.05 ,$7.74 ,$97.00 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$10.06 ,$12.95 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$8.51 ,$7.74 ,$25.22 ,$82.45 ,$9.84 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$10.36 ,$10.36 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$220.00 ,$143.00 ,$17.39 ,$220.00 ,$121.00 ,$132.00 ,$132.00 ,$57.20 ,$61.60 ,$70.74 ,$57.20 ,$86.45 ,$55.00 ,$176.00 ,$176.00 ,$57.20 ,$143.00 ,$91.96 ,$18.24 ,$23.65 ,$57.20 ,$220.00 ,$48.40 ,$165.00 ,$156.20 ,$156.20 ,$48.40 ,$156.20 ,$184.80 ,$184.80 ,$184.80 , N/A ,$198.00 ,$121.00 ,$187.00 ,$48.40 ,$220.00 ,$132.00 ,$48.40 ,$91.52 ,$19.13 ,$17.39 ,$57.20 ,$187.00 ,$17.97 ,$176.00 ,$61.60 ,$198.00 ,$220.00 ,$48.40 ,$184.80 ,$18.92 ,$18.92 ,$57.20 ,$143.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100269,82607,HC VITAMIN B12,301,1 ,$214.00 ,$139.10 ,$23.41 ,$214.00 ,$117.70 ,$128.40 ,$128.40 ,$55.64 ,$59.92 ,$108.71 ,$55.64 ,$125.83 ,$53.50 ,$171.20 ,$171.20 ,$55.64 ,$139.10 ,$89.45 ,$28.93 ,$37.70 ,$55.64 ,$214.00 ,$47.08 ,$160.50 ,$151.94 ,$151.94 ,$47.08 ,$151.94 ,$179.76 ,$179.76 ,$179.76 , N/A ,$192.60 ,$117.70 ,$181.90 ,$47.08 ,$214.00 ,$128.40 ,$47.08 ,$89.02 ,$25.75 ,$23.41 ,$55.64 ,$181.90 ,$28.65 ,$171.20 ,$59.92 ,$192.60 ,$214.00 ,$47.08 ,$179.76 ,$30.16 ,$30.16 ,$55.64 ,$139.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100290,82728,HC FERRITIN,301,1 ,$184.00 ,$119.60 ,$17.39 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$26.42 ,$34.08 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$19.13 ,$17.39 ,$47.84 ,$156.40 ,$25.90 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$27.26 ,$27.26 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100292,82746,HC FOLIC ACID SERUM,301,1 ,$184.00 ,$119.60 ,$17.39 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$28.31 ,$36.75 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$19.13 ,$17.39 ,$47.84 ,$156.40 ,$27.93 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$29.40 ,$29.40 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100305,82800,HC BLOOD GAS PH,301,1 ,$44.00 ,$28.60 ,$9.68 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 ,$22.35 ,$11.44 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$19.50 ,$27.50 ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$19.13 ,$17.39 ,$11.44 ,$37.40 ,$20.90 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 ,$22.00 ,$22.00 ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100306,82803,HC BLOOD GAS PH PO2  AND /OR PCO2,301,1 ,$452.00 ,$293.80 ,$17.39 ,$452.00 ,$248.60 ,$271.20 ,$271.20 ,$117.52 ,$126.56 ,$213.80 ,$117.52 ,$261.29 ,$113.00 ,$361.60 ,$361.60 ,$117.52 ,$293.80 ,$188.94 ,$45.29 ,$65.18 ,$117.52 ,$452.00 ,$99.44 ,$339.00 ,$320.92 ,$320.92 ,$99.44 ,$320.92 ,$379.68 ,$379.68 ,$379.68 , N/A ,$406.80 ,$248.60 ,$384.20 ,$99.44 ,$452.00 ,$271.20 ,$99.44 ,$188.03 ,$19.13 ,$17.39 ,$117.52 ,$384.20 ,$49.53 ,$361.60 ,$126.56 ,$406.80 ,$452.00 ,$99.44 ,$379.68 ,$52.14 ,$52.14 ,$117.52 ,$293.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100312,82947,HC GLUCOSE,301,1 ,$104.00 ,$67.60 ,$7.47 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$39.80 ,$27.04 ,$48.64 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$7.55 ,$9.83 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$7.47 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$7.86 ,$7.86 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$118.00 ,$76.70 ,$7.74 ,$118.00 ,$64.90 ,$70.80 ,$70.80 ,$30.68 ,$33.04 ,$48.09 ,$30.68 ,$58.77 ,$29.50 ,$94.40 ,$94.40 ,$30.68 ,$76.70 ,$49.32 ,$9.44 ,$11.88 ,$30.68 ,$118.00 ,$25.96 ,$88.50 ,$83.78 ,$83.78 ,$25.96 ,$83.78 ,$99.12 ,$99.12 ,$99.12 , N/A ,$106.20 ,$64.90 ,$100.30 ,$25.96 ,$118.00 ,$70.80 ,$25.96 ,$49.09 ,$8.51 ,$7.74 ,$30.68 ,$100.30 ,$9.03 ,$94.40 ,$33.04 ,$106.20 ,$118.00 ,$25.96 ,$99.12 ,$9.50 ,$9.50 ,$30.68 ,$76.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$205.00 ,$133.25 ,$17.39 ,$205.00 ,$112.75 ,$123.00 ,$123.00 ,$53.30 ,$57.40 ,$104.14 ,$53.30 ,$120.54 ,$51.25 ,$164.00 ,$164.00 ,$53.30 ,$133.25 ,$85.69 ,$25.16 ,$32.18 ,$53.30 ,$205.00 ,$45.10 ,$153.75 ,$145.55 ,$145.55 ,$45.10 ,$145.55 ,$172.20 ,$172.20 ,$172.20 , N/A ,$184.50 ,$112.75 ,$174.25 ,$45.10 ,$205.00 ,$123.00 ,$45.10 ,$85.28 ,$19.13 ,$17.39 ,$53.30 ,$174.25 ,$24.45 ,$164.00 ,$57.40 ,$184.50 ,$205.00 ,$45.10 ,$172.20 ,$25.74 ,$25.74 ,$53.30 ,$133.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$63.00 ,$40.95 ,$7.45 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$32.00 ,$16.38 ,$37.04 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$7.55 ,$9.80 ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 ,$19.13 ,$17.39 ,$16.38 ,$53.55 ,$7.45 ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$7.84 ,$7.84 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$35.00 ,$22.75 ,$5.66 ,$35.00 ,$19.25 ,$21.00 ,$21.00 ,$9.10 ,$9.80 ,$17.78 ,$9.10 ,$20.58 ,$8.75 ,$28.00 ,$28.00 ,$9.10 ,$22.75 ,$14.63 ,$5.66 ,$8.20 ,$9.10 ,$35.00 ,$7.70 ,$26.25 ,$24.85 ,$24.85 ,$7.70 ,$24.85 ,$29.40 ,$29.40 ,$29.40 , N/A ,$31.50 ,$19.25 ,$29.75 ,$7.70 ,$35.00 ,$21.00 ,$7.70 ,$14.56 ,$8.51 ,$7.74 ,$9.10 ,$29.75 ,$6.23 ,$28.00 ,$9.80 ,$31.50 ,$35.00 ,$7.70 ,$29.40 ,$6.56 ,$6.56 ,$9.10 ,$22.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100333,83021,HC HEMOGLOBIN FRACT QN,301,1 ,$100.00 ,$65.00 ,$16.44 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$35.23 ,$45.15 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$18.08 ,$16.44 ,$26.00 ,$85.00 ,$34.31 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$36.12 ,$36.12 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100338,83050,HC METHEMOGLOBIN,301,1 ,$106.00 ,$68.90 ,$14.47 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$14.47 ,$20.50 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$19.13 ,$17.39 ,$27.56 ,$90.10 ,$15.58 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$16.40 ,$16.40 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100393,83540,HC IRON TOTAL,301,1 ,$120.00 ,$78.00 ,$7.74 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$48.37 ,$31.20 ,$59.11 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$12.58 ,$16.18 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$8.51 ,$7.74 ,$31.20 ,$102.00 ,$12.29 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$12.94 ,$12.94 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$127.00 ,$82.55 ,$16.61 ,$127.00 ,$69.85 ,$76.20 ,$76.20 ,$33.02 ,$35.56 ,$64.52 ,$33.02 ,$74.68 ,$31.75 ,$101.60 ,$101.60 ,$33.02 ,$82.55 ,$53.09 ,$16.98 ,$21.85 ,$33.02 ,$127.00 ,$27.94 ,$95.25 ,$90.17 ,$90.17 ,$27.94 ,$90.17 ,$106.68 ,$106.68 ,$106.68 , N/A ,$114.30 ,$69.85 ,$107.95 ,$27.94 ,$127.00 ,$76.20 ,$27.94 ,$52.83 ,$19.13 ,$17.39 ,$33.02 ,$107.95 ,$16.61 ,$101.60 ,$35.56 ,$114.30 ,$127.00 ,$27.94 ,$106.68 ,$17.48 ,$17.48 ,$33.02 ,$82.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$184.00 ,$119.60 ,$17.39 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$20.76 ,$28.93 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$19.13 ,$17.39 ,$47.84 ,$156.40 ,$21.98 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$23.14 ,$23.14 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$122.00 ,$79.30 ,$7.74 ,$122.00 ,$67.10 ,$73.20 ,$73.20 ,$31.72 ,$34.16 ,$45.11 ,$31.72 ,$55.13 ,$30.50 ,$97.60 ,$97.60 ,$31.72 ,$79.30 ,$51.00 ,$11.95 ,$15.10 ,$31.72 ,$122.00 ,$26.84 ,$91.50 ,$86.62 ,$86.62 ,$26.84 ,$86.62 ,$102.48 ,$102.48 ,$102.48 , N/A ,$109.80 ,$67.10 ,$103.70 ,$26.84 ,$122.00 ,$73.20 ,$26.84 ,$50.75 ,$8.51 ,$7.74 ,$31.72 ,$103.70 ,$11.48 ,$97.60 ,$34.16 ,$109.80 ,$122.00 ,$26.84 ,$102.48 ,$12.08 ,$12.08 ,$31.72 ,$79.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100409,83690,HC LIPASE,301,1 ,$158.00 ,$102.70 ,$7.74 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$51.54 ,$41.08 ,$62.99 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$102.70 ,$66.04 ,$13.21 ,$17.23 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$8.51 ,$7.74 ,$41.08 ,$134.30 ,$13.09 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$13.78 ,$13.78 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$91.00 ,$59.15 ,$15.56 ,$91.00 ,$50.05 ,$54.60 ,$54.60 ,$23.66 ,$25.48 ,$46.23 ,$23.66 ,$53.51 ,$22.75 ,$72.80 ,$72.80 ,$23.66 ,$59.15 ,$38.04 ,$15.73 ,$20.48 ,$23.66 ,$91.00 ,$20.02 ,$68.25 ,$64.61 ,$64.61 ,$20.02 ,$64.61 ,$76.44 ,$76.44 ,$76.44 , N/A ,$81.90 ,$50.05 ,$77.35 ,$20.02 ,$91.00 ,$54.60 ,$20.02 ,$37.86 ,$19.13 ,$17.39 ,$23.66 ,$77.35 ,$15.56 ,$72.80 ,$25.48 ,$81.90 ,$91.00 ,$20.02 ,$76.44 ,$16.38 ,$16.38 ,$23.66 ,$59.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$100.00 ,$65.00 ,$17.39 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$18.24 ,$26.25 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$19.13 ,$17.39 ,$26.00 ,$85.00 ,$19.95 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$21.00 ,$21.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100417,83735,HC MAGNESIUM,301,1 ,$134.00 ,$87.10 ,$7.74 ,$134.00 ,$73.70 ,$80.40 ,$80.40 ,$34.84 ,$37.52 ,$67.85 ,$34.84 ,$78.79 ,$33.50 ,$107.20 ,$107.20 ,$34.84 ,$87.10 ,$56.01 ,$13.21 ,$16.75 ,$34.84 ,$134.00 ,$29.48 ,$100.50 ,$95.14 ,$95.14 ,$29.48 ,$95.14 ,$112.56 ,$112.56 ,$112.56 , N/A ,$120.60 ,$73.70 ,$113.90 ,$29.48 ,$134.00 ,$80.40 ,$29.48 ,$55.74 ,$8.51 ,$7.74 ,$34.84 ,$113.90 ,$12.73 ,$107.20 ,$37.52 ,$120.60 ,$134.00 ,$29.48 ,$112.56 ,$13.40 ,$13.40 ,$34.84 ,$87.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$292.00 ,$189.80 ,$46.82 ,$292.00 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$148.34 ,$75.92 ,$171.70 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$189.80 ,$122.06 ,$68.56 ,$98.15 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 ,$51.50 ,$46.82 ,$75.92 ,$248.20 ,$74.59 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$78.52 ,$78.52 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100673,83986,HC PH BODY FLUID,301,1 ,$63.00 ,$40.95 ,$6.80 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$32.00 ,$16.38 ,$37.04 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$6.92 ,$8.95 ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 ,$8.51 ,$7.74 ,$16.38 ,$53.55 ,$6.80 ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$7.16 ,$7.16 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$90.00 ,$58.50 ,$7.74 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$45.72 ,$23.40 ,$52.92 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$10.06 ,$12.95 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$8.51 ,$7.74 ,$23.40 ,$76.50 ,$9.84 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$10.36 ,$10.36 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100684,84100,HC PHOSPHORUS,301,1 ,$114.00 ,$74.10 ,$7.74 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$35.42 ,$29.64 ,$43.28 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$74.10 ,$47.65 ,$9.44 ,$11.85 ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 ,$8.51 ,$7.74 ,$29.64 ,$96.90 ,$9.01 ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 ,$9.48 ,$9.48 ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100691,84132,HC POTASSIUM,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$46.60 ,$27.04 ,$56.95 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$8.81 ,$11.90 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$9.04 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$9.52 ,$9.52 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100695,84134,HC PREALBUMIN,301,1 ,$234.00 ,$152.10 ,$17.39 ,$234.00 ,$128.70 ,$140.40 ,$140.40 ,$60.84 ,$65.52 ,$109.14 ,$60.84 ,$133.38 ,$58.50 ,$187.20 ,$187.20 ,$60.84 ,$152.10 ,$97.81 ,$28.31 ,$36.48 ,$60.84 ,$234.00 ,$51.48 ,$175.50 ,$166.14 ,$166.14 ,$51.48 ,$166.14 ,$196.56 ,$196.56 ,$196.56 , N/A ,$210.60 ,$128.70 ,$198.90 ,$51.48 ,$234.00 ,$140.40 ,$51.48 ,$97.34 ,$19.13 ,$17.39 ,$60.84 ,$198.90 ,$27.72 ,$187.20 ,$65.52 ,$210.60 ,$234.00 ,$51.48 ,$196.56 ,$29.18 ,$29.18 ,$60.84 ,$152.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100698,84153,HC PSA TOTAL,301,1 ,$177.00 ,$115.05 ,$17.39 ,$177.00 ,$97.35 ,$106.20 ,$106.20 ,$46.02 ,$49.56 ,$89.92 ,$46.02 ,$104.08 ,$44.25 ,$141.60 ,$141.60 ,$46.02 ,$115.05 ,$73.99 ,$35.85 ,$45.98 ,$46.02 ,$177.00 ,$38.94 ,$132.75 ,$125.67 ,$125.67 ,$38.94 ,$125.67 ,$148.68 ,$148.68 ,$148.68 , N/A ,$159.30 ,$97.35 ,$150.45 ,$38.94 ,$177.00 ,$106.20 ,$38.94 ,$73.63 ,$19.13 ,$17.39 ,$46.02 ,$150.45 ,$34.94 ,$141.60 ,$49.56 ,$159.30 ,$177.00 ,$38.94 ,$148.68 ,$36.78 ,$36.78 ,$46.02 ,$115.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100700,84155,HC PROTEIN TOTAL,301,1 ,$90.00 ,$58.50 ,$6.92 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$37.19 ,$23.40 ,$45.45 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$6.92 ,$9.18 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$8.51 ,$7.74 ,$23.40 ,$76.50 ,$6.97 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$7.34 ,$7.34 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$104.00 ,$67.60 ,$6.92 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$27.40 ,$27.04 ,$33.49 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$6.92 ,$9.18 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$6.97 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$7.34 ,$7.34 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100721,84295,HC SODIUM,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$48.74 ,$27.04 ,$59.57 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$9.44 ,$12.03 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$9.14 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$9.62 ,$9.62 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100739,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$176.00 ,$114.40 ,$13.05 ,$176.00 ,$96.80 ,$105.60 ,$105.60 ,$45.76 ,$49.28 ,$51.35 ,$45.76 ,$62.76 ,$44.00 ,$140.80 ,$140.80 ,$45.76 ,$114.40 ,$73.57 ,$13.21 ,$17.18 ,$45.76 ,$176.00 ,$38.72 ,$132.00 ,$124.96 ,$124.96 ,$38.72 ,$124.96 ,$147.84 ,$147.84 ,$147.84 , N/A ,$158.40 ,$96.80 ,$149.60 ,$38.72 ,$176.00 ,$105.60 ,$38.72 ,$73.22 ,$25.75 ,$23.41 ,$45.76 ,$149.60 ,$13.05 ,$140.80 ,$49.28 ,$158.40 ,$176.00 ,$38.72 ,$147.84 ,$13.74 ,$13.74 ,$45.76 ,$114.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100740,84439,HC T4 FREE,301,1 ,$180.00 ,$117.00 ,$17.14 ,$180.00 ,$99.00 ,$108.00 ,$108.00 ,$46.80 ,$50.40 ,$67.38 ,$46.80 ,$82.35 ,$45.00 ,$144.00 ,$144.00 ,$46.80 ,$117.00 ,$75.24 ,$17.61 ,$22.55 ,$46.80 ,$180.00 ,$39.60 ,$135.00 ,$127.80 ,$127.80 ,$39.60 ,$127.80 ,$151.20 ,$151.20 ,$151.20 , N/A ,$162.00 ,$99.00 ,$153.00 ,$39.60 ,$180.00 ,$108.00 ,$39.60 ,$74.88 ,$25.75 ,$23.41 ,$46.80 ,$153.00 ,$17.14 ,$144.00 ,$50.40 ,$162.00 ,$180.00 ,$39.60 ,$151.20 ,$18.04 ,$18.04 ,$46.80 ,$117.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$155.00 ,$100.75 ,$23.41 ,$155.00 ,$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$78.74 ,$40.30 ,$91.14 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$100.75 ,$64.79 ,$32.71 ,$42.00 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 ,$25.75 ,$23.41 ,$40.30 ,$131.75 ,$31.92 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$33.60 ,$33.60 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100746,84450,HC AST,301,1 ,$106.00 ,$68.90 ,$7.74 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$52.38 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$10.06 ,$12.95 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$8.51 ,$7.74 ,$27.56 ,$90.10 ,$9.84 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$10.36 ,$10.36 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100747,84460,HC ALT,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$10.06 ,$13.25 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$10.07 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$10.60 ,$10.60 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100748,84466,HC TRANSFERRIN,301,1 ,$161.00 ,$104.65 ,$17.39 ,$161.00 ,$88.55 ,$96.60 ,$96.60 ,$41.86 ,$45.08 ,$81.79 ,$41.86 ,$94.67 ,$40.25 ,$128.80 ,$128.80 ,$41.86 ,$104.65 ,$67.30 ,$24.53 ,$31.90 ,$41.86 ,$161.00 ,$35.42 ,$120.75 ,$114.31 ,$114.31 ,$35.42 ,$114.31 ,$135.24 ,$135.24 ,$135.24 , N/A ,$144.90 ,$88.55 ,$136.85 ,$35.42 ,$161.00 ,$96.60 ,$35.42 ,$66.98 ,$19.13 ,$17.39 ,$41.86 ,$136.85 ,$24.24 ,$128.80 ,$45.08 ,$144.90 ,$161.00 ,$35.42 ,$135.24 ,$25.52 ,$25.52 ,$41.86 ,$104.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100750,84478,HC TRIGLYCERIDES,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$11.32 ,$14.35 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$10.91 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$11.48 ,$11.48 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100758,84484,HC TROPONIN QN,301,1 ,$208.00 ,$135.20 ,$17.39 ,$208.00 ,$114.40 ,$124.80 ,$124.80 ,$54.08 ,$58.24 ,$75.59 ,$54.08 ,$92.37 ,$52.00 ,$166.40 ,$166.40 ,$54.08 ,$135.20 ,$86.94 ,$22.02 ,$31.18 ,$54.08 ,$208.00 ,$45.76 ,$156.00 ,$147.68 ,$147.68 ,$45.76 ,$147.68 ,$174.72 ,$174.72 ,$174.72 , N/A ,$187.20 ,$114.40 ,$176.80 ,$45.76 ,$208.00 ,$124.80 ,$45.76 ,$86.53 ,$19.13 ,$17.39 ,$54.08 ,$176.80 ,$23.69 ,$166.40 ,$58.24 ,$187.20 ,$208.00 ,$45.76 ,$174.72 ,$24.94 ,$24.94 ,$54.08 ,$135.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100761,84520,HC BUN,301,1 ,$104.00 ,$67.60 ,$3.95 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$39.98 ,$27.04 ,$48.86 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$7.55 ,$9.88 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$3.95 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$7.51 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$7.90 ,$7.90 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100765,84550,HC URIC ACID,301,1 ,$108.00 ,$70.20 ,$7.74 ,$108.00 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$45.76 ,$28.08 ,$55.92 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$70.20 ,$45.14 ,$8.81 ,$11.30 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$8.51 ,$7.74 ,$28.08 ,$91.80 ,$8.59 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$9.04 ,$9.04 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100802,84702,HC HCG QN,301,1 ,$220.00 ,$143.00 ,$23.41 ,$220.00 ,$121.00 ,$132.00 ,$132.00 ,$57.20 ,$61.60 ,$111.76 ,$57.20 ,$129.36 ,$55.00 ,$176.00 ,$176.00 ,$57.20 ,$143.00 ,$91.96 ,$28.93 ,$37.63 ,$57.20 ,$220.00 ,$48.40 ,$165.00 ,$156.20 ,$156.20 ,$48.40 ,$156.20 ,$184.80 ,$184.80 ,$184.80 , N/A ,$198.00 ,$121.00 ,$187.00 ,$48.40 ,$220.00 ,$132.00 ,$48.40 ,$91.52 ,$25.75 ,$23.41 ,$57.20 ,$187.00 ,$28.60 ,$176.00 ,$61.60 ,$198.00 ,$220.00 ,$48.40 ,$184.80 ,$30.10 ,$30.10 ,$57.20 ,$143.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100808,84703,HC HCG QL,301,1 ,$171.00 ,$111.15 ,$14.29 ,$171.00 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$76.24 ,$44.46 ,$93.17 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$111.15 ,$71.48 ,$14.47 ,$18.80 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 ,$19.13 ,$17.39 ,$44.46 ,$145.35 ,$14.29 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$15.04 ,$15.04 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100845,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$72.00 ,$46.80 ,$3.92 ,$72.00 ,$39.60 ,$43.20 ,$43.20 ,$18.72 ,$20.16 ,$36.58 ,$18.72 ,$42.34 ,$18.00 ,$57.60 ,$57.60 ,$18.72 ,$46.80 ,$30.10 ,$8.81 ,$12.60 ,$18.72 ,$72.00 ,$15.84 ,$54.00 ,$51.12 ,$51.12 ,$15.84 ,$51.12 ,$60.48 ,$60.48 ,$60.48 , N/A ,$64.80 ,$39.60 ,$61.20 ,$15.84 ,$72.00 ,$43.20 ,$15.84 ,$29.95 ,$4.31 ,$3.92 ,$18.72 ,$61.20 ,$9.58 ,$57.60 ,$20.16 ,$64.80 ,$72.00 ,$15.84 ,$60.48 ,$10.08 ,$10.08 ,$18.72 ,$46.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30100860,84145,HC PROCALCITONIN,301,1 ,$283.00 ,$183.95 ,$40.71 ,$283.00 ,$155.65 ,$169.80 ,$169.80 ,$73.58 ,$79.24 ,$143.76 ,$73.58 ,$166.40 ,$70.75 ,$226.40 ,$226.40 ,$73.58 ,$183.95 ,$118.29 ,$52.21 ,$68.05 ,$73.58 ,$283.00 ,$62.26 ,$212.25 ,$200.93 ,$200.93 ,$62.26 ,$200.93 ,$237.72 ,$237.72 ,$237.72 , N/A ,$254.70 ,$155.65 ,$240.55 ,$62.26 ,$283.00 ,$169.80 ,$62.26 ,$117.73 ,$44.78 ,$40.71 ,$73.58 ,$240.55 ,$51.72 ,$226.40 ,$79.24 ,$254.70 ,$283.00 ,$62.26 ,$237.72 ,$54.44 ,$54.44 ,$73.58 ,$183.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101011,83630,HC LACTOFERRIN FECAL QL,301,1 ,$59.00 ,$38.35 ,$12.98 ,$59.00 ,$32.45 ,$35.40 ,$35.40 ,$15.34 ,$16.52 ,$29.97 ,$15.34 ,$34.69 ,$14.75 ,$47.20 ,$47.20 ,$15.34 ,$38.35 ,$24.66 ,$38.37 ,$49.25 ,$15.34 ,$59.00 ,$12.98 ,$44.25 ,$41.89 ,$41.89 ,$12.98 ,$41.89 ,$49.56 ,$49.56 ,$49.56 , N/A ,$53.10 ,$32.45 ,$50.15 ,$12.98 ,$59.00 ,$35.40 ,$12.98 ,$24.54 ,$19.13 ,$17.39 ,$15.34 ,$50.15 ,$37.43 ,$47.20 ,$16.52 ,$53.10 ,$59.00 ,$12.98 ,$49.56 ,$39.40 ,$39.40 ,$15.34 ,$38.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$185.00 ,$120.25 ,$17.39 ,$185.00 ,$101.75 ,$111.00 ,$111.00 ,$48.10 ,$51.80 ,$93.98 ,$48.10 ,$108.78 ,$46.25 ,$148.00 ,$148.00 ,$48.10 ,$120.25 ,$77.33 ,$35.85 ,$48.28 ,$48.10 ,$185.00 ,$40.70 ,$138.75 ,$131.35 ,$131.35 ,$40.70 ,$131.35 ,$155.40 ,$155.40 ,$155.40 , N/A ,$166.50 ,$101.75 ,$157.25 ,$40.70 ,$185.00 ,$111.00 ,$40.70 ,$76.96 ,$19.13 ,$17.39 ,$48.10 ,$157.25 ,$36.69 ,$148.00 ,$51.80 ,$166.50 ,$185.00 ,$40.70 ,$155.40 ,$38.62 ,$38.62 ,$48.10 ,$120.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101075,80048,HC BASIC METABOLIC PANEL,301,1 ,$307.00 ,$199.55 ,$8.46 ,$307.00 ,$168.85 ,$184.20 ,$184.20 ,$79.82 ,$85.96 ,$104.67 ,$79.82 ,$104.67 ,$76.75 ,$245.60 ,$245.60 ,$79.82 ,$199.55 ,$128.33 ,$16.35 ,$21.15 ,$79.82 ,$307.00 ,$67.54 ,$230.25 ,$217.97 ,$217.97 ,$67.54 ,$217.97 ,$257.88 ,$257.88 ,$257.88 , N/A ,$276.30 ,$168.85 ,$260.95 ,$67.54 ,$8.46 ,$184.20 ,$67.54 ,$127.71 ,$17.45 ,$15.86 ,$79.82 ,$260.95 ,$16.07 ,$245.60 ,$85.96 ,$276.30 ,$307.00 ,$67.54 ,$257.88 ,$16.92 ,$16.92 ,$79.82 ,$199.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101089,80150,HC AMIKACIN - 90,301,1 ,$44.00 ,$28.60 ,$9.68 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 ,$22.35 ,$11.44 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$28.93 ,$37.70 ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$21.97 ,$19.97 ,$11.44 ,$37.40 ,$28.65 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 ,$30.16 ,$30.16 ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101093,80157,HC CARBAMAZEPINE FREE - 90,301,1 ,$46.00 ,$29.90 ,$10.12 ,$46.00 ,$25.30 ,$27.60 ,$27.60 ,$11.96 ,$12.88 ,$23.37 ,$11.96 ,$27.05 ,$11.50 ,$36.80 ,$36.80 ,$11.96 ,$29.90 ,$19.23 ,$25.79 ,$33.13 ,$11.96 ,$46.00 ,$10.12 ,$34.50 ,$32.66 ,$32.66 ,$10.12 ,$32.66 ,$38.64 ,$38.64 ,$38.64 , N/A ,$41.40 ,$25.30 ,$39.10 ,$10.12 ,$46.00 ,$27.60 ,$10.12 ,$19.14 ,$21.97 ,$19.97 ,$11.96 ,$39.10 ,$25.18 ,$36.80 ,$12.88 ,$41.40 ,$46.00 ,$10.12 ,$38.64 ,$26.50 ,$26.50 ,$11.96 ,$29.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$773.00 ,$502.45 ,$19.97 ,$773.00 ,$425.15 ,$463.80 ,$463.80 ,$200.98 ,$216.44 ,$134.95 ,$200.98 ,$164.93 ,$193.25 ,$618.40 ,$618.40 ,$200.98 ,$502.45 ,$323.11 ,$35.23 ,$45.13 ,$200.98 ,$773.00 ,$170.06 ,$579.75 ,$548.83 ,$548.83 ,$170.06 ,$548.83 ,$649.32 ,$649.32 ,$649.32 , N/A ,$695.70 ,$425.15 ,$657.05 ,$170.06 ,$773.00 ,$463.80 ,$170.06 ,$321.57 ,$21.97 ,$19.97 ,$200.98 ,$657.05 ,$34.30 ,$618.40 ,$216.44 ,$695.70 ,$773.00 ,$170.06 ,$649.32 ,$36.10 ,$36.10 ,$200.98 ,$502.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101098,80165,HC VALPROIC ACID FREE - 90,301,1 ,$66.00 ,$42.90 ,$14.52 ,$66.00 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$33.53 ,$17.16 ,$38.81 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$42.90 ,$27.59 ,$26.42 ,$33.85 ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.46 ,$21.97 ,$19.97 ,$17.16 ,$56.10 ,$25.73 ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 ,$27.08 ,$27.08 ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$104.00 ,$67.60 ,$19.97 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$31.45 ,$40.85 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$21.97 ,$19.97 ,$27.04 ,$88.40 ,$31.05 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$32.68 ,$32.68 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101100,80169,HC EVEROLIMUS - 90,301,1 ,$252.00 ,$163.80 ,$19.97 ,$252.00 ,$138.60 ,$151.20 ,$151.20 ,$65.52 ,$70.56 ,$102.71 ,$65.52 ,$125.52 ,$63.00 ,$201.60 ,$201.60 ,$65.52 ,$163.80 ,$105.34 ,$26.42 ,$34.33 ,$65.52 ,$252.00 ,$55.44 ,$189.00 ,$178.92 ,$178.92 ,$55.44 ,$178.92 ,$211.68 ,$211.68 ,$211.68 , N/A ,$226.80 ,$138.60 ,$214.20 ,$55.44 ,$252.00 ,$151.20 ,$55.44 ,$104.83 ,$21.97 ,$19.97 ,$65.52 ,$214.20 ,$26.09 ,$201.60 ,$70.56 ,$226.80 ,$252.00 ,$55.44 ,$211.68 ,$27.46 ,$27.46 ,$65.52 ,$163.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$296.00 ,$192.40 ,$19.97 ,$296.00 ,$162.80 ,$177.60 ,$177.60 ,$76.96 ,$82.88 ,$92.73 ,$76.96 ,$113.33 ,$74.00 ,$236.80 ,$236.80 ,$76.96 ,$192.40 ,$123.73 ,$26.42 ,$38.25 ,$76.96 ,$296.00 ,$65.12 ,$222.00 ,$210.16 ,$210.16 ,$65.12 ,$210.16 ,$248.64 ,$248.64 ,$248.64 , N/A ,$266.40 ,$162.80 ,$251.60 ,$65.12 ,$296.00 ,$177.60 ,$65.12 ,$123.14 ,$21.97 ,$19.97 ,$76.96 ,$251.60 ,$29.07 ,$236.80 ,$82.88 ,$266.40 ,$296.00 ,$65.12 ,$248.64 ,$30.60 ,$30.60 ,$76.96 ,$192.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$24.00 ,$15.60 ,$5.28 ,$34.40 ,$13.20 ,$14.40 ,$14.40 ,$6.24 ,$6.72 ,$12.19 ,$6.24 ,$14.11 ,$6.00 ,$19.20 ,$19.20 ,$6.24 ,$15.60 ,$10.03 ,$24.00 ,$34.40 ,$6.24 ,$24.00 ,$5.28 ,$18.00 ,$17.04 ,$17.04 ,$5.28 ,$17.04 ,$20.16 ,$20.16 ,$20.16 , N/A ,$21.60 ,$13.20 ,$20.40 ,$5.28 ,$24.00 ,$14.40 ,$5.28 ,$9.98 ,$21.97 ,$19.97 ,$6.24 ,$20.40 ,$26.14 ,$19.20 ,$6.72 ,$21.60 ,$24.00 ,$5.28 ,$20.16 ,$24.00 ,$24.00 ,$6.24 ,$15.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101115,80188,HC PRIMIDONE - 90,301,1 ,$32.00 ,$20.80 ,$7.04 ,$41.48 ,$17.60 ,$19.20 ,$19.20 ,$8.32 ,$8.96 ,$16.26 ,$8.32 ,$18.82 ,$8.00 ,$25.60 ,$25.60 ,$8.32 ,$20.80 ,$13.38 ,$32.00 ,$41.48 ,$8.32 ,$32.00 ,$7.04 ,$24.00 ,$22.72 ,$22.72 ,$7.04 ,$22.72 ,$26.88 ,$26.88 ,$26.88 , N/A ,$28.80 ,$17.60 ,$27.20 ,$7.04 ,$32.00 ,$19.20 ,$7.04 ,$13.31 ,$21.97 ,$19.97 ,$8.32 ,$27.20 ,$31.52 ,$25.60 ,$8.96 ,$28.80 ,$32.00 ,$7.04 ,$26.88 ,$32.00 ,$32.00 ,$8.32 ,$20.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$132.00 ,$85.80 ,$19.97 ,$132.00 ,$72.60 ,$79.20 ,$79.20 ,$34.32 ,$36.96 ,$67.06 ,$34.32 ,$77.62 ,$33.00 ,$105.60 ,$105.60 ,$34.32 ,$85.80 ,$55.18 ,$32.71 ,$41.88 ,$34.32 ,$132.00 ,$29.04 ,$99.00 ,$93.72 ,$93.72 ,$29.04 ,$93.72 ,$110.88 ,$110.88 ,$110.88 , N/A ,$118.80 ,$72.60 ,$112.20 ,$29.04 ,$132.00 ,$79.20 ,$29.04 ,$54.91 ,$21.97 ,$19.97 ,$34.32 ,$112.20 ,$31.83 ,$105.60 ,$36.96 ,$118.80 ,$132.00 ,$29.04 ,$110.88 ,$33.50 ,$33.50 ,$34.32 ,$85.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101117,80194,HC QUINIDINE - 90,301,1 ,$113.00 ,$73.45 ,$19.97 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$28.31 ,$36.50 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$21.97 ,$19.97 ,$29.38 ,$96.05 ,$27.74 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$29.20 ,$29.20 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101119,80197,HC TACROLIMUS - 90,301,1 ,$205.00 ,$133.25 ,$19.97 ,$205.00 ,$112.75 ,$123.00 ,$123.00 ,$53.30 ,$57.40 ,$102.71 ,$53.30 ,$120.54 ,$51.25 ,$164.00 ,$164.00 ,$53.30 ,$133.25 ,$85.69 ,$26.42 ,$34.33 ,$53.30 ,$205.00 ,$45.10 ,$153.75 ,$145.55 ,$145.55 ,$45.10 ,$145.55 ,$172.20 ,$172.20 ,$172.20 , N/A ,$184.50 ,$112.75 ,$174.25 ,$45.10 ,$205.00 ,$123.00 ,$45.10 ,$85.28 ,$21.97 ,$19.97 ,$53.30 ,$174.25 ,$26.09 ,$164.00 ,$57.40 ,$184.50 ,$205.00 ,$45.10 ,$172.20 ,$27.46 ,$27.46 ,$53.30 ,$133.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101124,80201,HC TOPIRAMATE - 90,301,1 ,$40.00 ,$26.00 ,$8.80 ,$40.00 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$20.32 ,$10.40 ,$23.52 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$26.00 ,$16.72 ,$23.27 ,$29.80 ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 ,$21.97 ,$19.97 ,$10.40 ,$34.00 ,$22.65 ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$23.84 ,$23.84 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101126,80203,HC ZONISAMIDE - 90,301,1 ,$303.00 ,$196.95 ,$19.97 ,$303.00 ,$166.65 ,$181.80 ,$181.80 ,$78.78 ,$84.84 ,$99.07 ,$78.78 ,$121.08 ,$75.75 ,$242.40 ,$242.40 ,$78.78 ,$196.95 ,$126.65 ,$25.79 ,$33.13 ,$78.78 ,$303.00 ,$66.66 ,$227.25 ,$215.13 ,$215.13 ,$66.66 ,$215.13 ,$254.52 ,$254.52 ,$254.52 , N/A ,$272.70 ,$166.65 ,$257.55 ,$66.66 ,$303.00 ,$181.80 ,$66.66 ,$126.05 ,$21.97 ,$19.97 ,$78.78 ,$257.55 ,$25.18 ,$242.40 ,$84.84 ,$272.70 ,$303.00 ,$66.66 ,$254.52 ,$26.50 ,$26.50 ,$78.78 ,$196.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$119.00 ,$77.35 ,$19.97 ,$119.00 ,$65.45 ,$71.40 ,$71.40 ,$30.94 ,$33.32 ,$60.45 ,$30.94 ,$69.97 ,$29.75 ,$95.20 ,$95.20 ,$30.94 ,$77.35 ,$49.74 ,$32.71 ,$46.60 ,$30.94 ,$119.00 ,$26.18 ,$89.25 ,$84.49 ,$84.49 ,$26.18 ,$84.49 ,$99.96 ,$99.96 ,$99.96 , N/A ,$107.10 ,$65.45 ,$101.15 ,$26.18 ,$119.00 ,$71.40 ,$26.18 ,$49.50 ,$21.97 ,$19.97 ,$30.94 ,$101.15 ,$35.42 ,$95.20 ,$33.32 ,$107.10 ,$119.00 ,$26.18 ,$99.96 ,$37.28 ,$37.28 ,$30.94 ,$77.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101133,80306,HC DRUG SCREEN PRESUMPTIVE INSTRMNT ASSIST DIR OPTICAL T2,301,1 ,$325.00 ,$211.25 ,$17.39 ,$325.00 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$108.76 ,$84.50 ,$132.92 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$211.25 ,$135.85 ,$30.19 ,$42.85 ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 ,$19.13 ,$17.39 ,$84.50 ,$276.25 ,$32.57 ,$260.00 ,$91.00 ,$292.50 ,$325.00 ,$71.50 ,$273.00 ,$34.28 ,$34.28 ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101137,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4,301,1 ,$344.00 ,$223.60 ,$46.82 ,$344.00 ,$189.20 ,$206.40 ,$206.40 ,$89.44 ,$96.32 ,$174.75 ,$89.44 ,$202.27 ,$86.00 ,$275.20 ,$275.20 ,$89.44 ,$223.60 ,$143.79 ,$112.59 ,$155.35 ,$89.44 ,$344.00 ,$75.68 ,$258.00 ,$244.24 ,$244.24 ,$75.68 ,$244.24 ,$288.96 ,$288.96 ,$288.96 , N/A ,$309.60 ,$189.20 ,$292.40 ,$75.68 ,$344.00 ,$206.40 ,$75.68 ,$143.10 ,$51.50 ,$46.82 ,$89.44 ,$292.40 ,$118.07 ,$275.20 ,$96.32 ,$309.60 ,$344.00 ,$75.68 ,$288.96 ,$124.28 ,$124.28 ,$89.44 ,$223.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101143,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T4-90,301,1 ,$325.00 ,$211.25 ,$46.82 ,$325.00 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$165.10 ,$84.50 ,$191.10 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$211.25 ,$135.85 ,$112.59 ,$155.35 ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 ,$51.50 ,$46.82 ,$84.50 ,$276.25 ,$118.07 ,$260.00 ,$91.00 ,$292.50 ,$325.00 ,$71.50 ,$273.00 ,$124.28 ,$124.28 ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101146,80323,HC NICOTINE - 90,301,1 ,$84.00 ,$54.60 ,$18.48 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 , N/A ,$21.84 , N/A ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$57.12 , N/A ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$51.50 ,$46.82 ,$21.84 ,$71.40 , N/A ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 , N/A , N/A ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101150,80346,HC BENZODIAZEPINES 1-12  -90,301,1 ,$312.00 ,$202.80 ,$46.82 ,$312.00 ,$171.60 ,$187.20 ,$187.20 ,$81.12 ,$87.36 , N/A ,$81.12 , N/A ,$78.00 ,$249.60 ,$249.60 ,$81.12 ,$202.80 ,$130.42 ,$212.16 , N/A ,$81.12 ,$312.00 ,$68.64 ,$234.00 ,$221.52 ,$221.52 ,$68.64 ,$221.52 ,$262.08 ,$262.08 ,$262.08 , N/A ,$280.80 ,$171.60 ,$265.20 ,$68.64 ,$312.00 ,$187.20 ,$68.64 ,$129.79 ,$51.50 ,$46.82 ,$81.12 ,$265.20 , N/A ,$249.60 ,$87.36 ,$280.80 ,$312.00 ,$68.64 ,$262.08 , N/A , N/A ,$81.12 ,$202.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 , N/A ,$6.50 , N/A ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 ,$19.13 ,$17.39 ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 , N/A , N/A ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$228.00 ,$148.20 ,$46.82 ,$228.00 ,$125.40 ,$136.80 ,$136.80 ,$59.28 ,$63.84 , N/A ,$59.28 , N/A ,$57.00 ,$182.40 ,$182.40 ,$59.28 ,$148.20 ,$95.30 ,$155.04 , N/A ,$59.28 ,$228.00 ,$50.16 ,$171.00 ,$161.88 ,$161.88 ,$50.16 ,$161.88 ,$191.52 ,$191.52 ,$191.52 , N/A ,$205.20 ,$125.40 ,$193.80 ,$50.16 ,$228.00 ,$136.80 ,$50.16 ,$94.85 ,$51.50 ,$46.82 ,$59.28 ,$193.80 , N/A ,$182.40 ,$63.84 ,$205.20 ,$228.00 ,$50.16 ,$191.52 , N/A , N/A ,$59.28 ,$148.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$268.00 ,$174.20 ,$17.39 ,$268.00 ,$147.40 ,$160.80 ,$160.80 ,$69.68 ,$75.04 ,$126.19 ,$69.68 ,$154.22 ,$67.00 ,$214.40 ,$214.40 ,$69.68 ,$174.20 ,$112.02 ,$32.71 ,$42.18 ,$69.68 ,$268.00 ,$58.96 ,$201.00 ,$190.28 ,$190.28 ,$58.96 ,$190.28 ,$225.12 ,$225.12 ,$225.12 , N/A ,$241.20 ,$147.40 ,$227.80 ,$58.96 ,$268.00 ,$160.80 ,$58.96 ,$111.49 ,$19.13 ,$17.39 ,$69.68 ,$227.80 ,$32.05 ,$214.40 ,$75.04 ,$241.20 ,$268.00 ,$58.96 ,$225.12 ,$33.74 ,$33.74 ,$69.68 ,$174.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101158,82024,HC ACTH -90,301,1 ,$360.00 ,$234.00 ,$40.71 ,$360.00 ,$198.00 ,$216.00 ,$216.00 ,$93.60 ,$100.80 ,$182.88 ,$93.60 ,$211.68 ,$90.00 ,$288.00 ,$288.00 ,$93.60 ,$234.00 ,$150.48 ,$74.85 ,$96.55 ,$93.60 ,$360.00 ,$79.20 ,$270.00 ,$255.60 ,$255.60 ,$79.20 ,$255.60 ,$302.40 ,$302.40 ,$302.40 , N/A ,$324.00 ,$198.00 ,$306.00 ,$79.20 ,$360.00 ,$216.00 ,$79.20 ,$149.76 ,$44.78 ,$40.71 ,$93.60 ,$306.00 ,$73.38 ,$288.00 ,$100.80 ,$324.00 ,$360.00 ,$79.20 ,$302.40 ,$77.24 ,$77.24 ,$93.60 ,$234.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101159,82040,HC ALBUMIN-90,301,1 ,$84.00 ,$54.60 ,$7.74 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 ,$42.67 ,$21.84 ,$49.39 ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$9.44 ,$12.38 ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$8.51 ,$7.74 ,$21.84 ,$71.40 ,$9.41 ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 ,$9.90 ,$9.90 ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101161,82043,HC MICROALBUMIN URINE QN-90,301,1 ,$104.00 ,$67.60 ,$6.21 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$11.32 ,$14.45 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$6.83 ,$6.21 ,$27.04 ,$88.40 ,$10.98 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$11.56 ,$11.56 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101162,82085,HC ALDOLASE-90,301,1 ,$84.00 ,$54.60 ,$17.39 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 ,$42.67 ,$21.84 ,$49.39 ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$18.87 ,$24.28 ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$19.13 ,$17.39 ,$21.84 ,$71.40 ,$18.45 ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 ,$19.42 ,$19.42 ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101163,82088,HC ALDOSTERONE-90,301,1 ,$155.00 ,$100.75 ,$34.10 ,$155.00 ,$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$78.74 ,$40.30 ,$91.14 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$100.75 ,$64.79 ,$79.26 ,$101.88 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 ,$44.78 ,$40.71 ,$40.30 ,$131.75 ,$77.43 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$81.50 ,$81.50 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$80.00 ,$52.00 ,$17.39 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$40.64 ,$20.80 ,$47.04 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$52.00 ,$33.44 ,$25.79 ,$33.60 ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 ,$19.13 ,$17.39 ,$20.80 ,$68.00 ,$25.54 ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$26.88 ,$26.88 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$214.00 ,$139.10 ,$17.39 ,$214.00 ,$117.70 ,$128.40 ,$128.40 ,$55.64 ,$59.92 ,$108.21 ,$55.64 ,$125.83 ,$53.50 ,$171.20 ,$171.20 ,$55.64 ,$139.10 ,$89.45 ,$28.31 ,$36.15 ,$55.64 ,$214.00 ,$47.08 ,$160.50 ,$151.94 ,$151.94 ,$47.08 ,$151.94 ,$179.76 ,$179.76 ,$179.76 , N/A ,$192.60 ,$117.70 ,$181.90 ,$47.08 ,$214.00 ,$128.40 ,$47.08 ,$89.02 ,$19.13 ,$17.39 ,$55.64 ,$181.90 ,$27.47 ,$171.20 ,$59.92 ,$192.60 ,$214.00 ,$47.08 ,$179.76 ,$28.92 ,$28.92 ,$55.64 ,$139.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$214.00 ,$139.10 ,$17.39 ,$214.00 ,$117.70 ,$128.40 ,$128.40 ,$55.64 ,$59.92 ,$108.71 ,$55.64 ,$125.83 ,$53.50 ,$171.20 ,$171.20 ,$55.64 ,$139.10 ,$89.45 ,$32.71 ,$41.93 ,$55.64 ,$214.00 ,$47.08 ,$160.50 ,$151.94 ,$151.94 ,$47.08 ,$151.94 ,$179.76 ,$179.76 ,$179.76 , N/A ,$192.60 ,$117.70 ,$181.90 ,$47.08 ,$214.00 ,$128.40 ,$47.08 ,$89.02 ,$19.13 ,$17.39 ,$55.64 ,$181.90 ,$31.86 ,$171.20 ,$59.92 ,$192.60 ,$214.00 ,$47.08 ,$179.76 ,$33.54 ,$33.54 ,$55.64 ,$139.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101169,82108,HC ALUMINUM-90,301,1 ,$97.00 ,$63.05 ,$21.21 ,$97.00 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$49.69 ,$63.70 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$23.33 ,$21.21 ,$25.22 ,$82.45 ,$48.41 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$50.96 ,$50.96 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$160.00 ,$104.00 ,$17.39 ,$160.00 ,$88.00 ,$96.00 ,$96.00 ,$41.60 ,$44.80 ,$81.28 ,$41.60 ,$94.08 ,$40.00 ,$128.00 ,$128.00 ,$41.60 ,$104.00 ,$66.88 ,$40.26 ,$57.45 ,$41.60 ,$160.00 ,$35.20 ,$120.00 ,$113.60 ,$113.60 ,$35.20 ,$113.60 ,$134.40 ,$134.40 ,$134.40 , N/A ,$144.00 ,$88.00 ,$136.00 ,$35.20 ,$160.00 ,$96.00 ,$35.20 ,$66.56 ,$19.13 ,$17.39 ,$41.60 ,$136.00 ,$43.66 ,$128.00 ,$44.80 ,$144.00 ,$160.00 ,$35.20 ,$134.40 ,$45.96 ,$45.96 ,$41.60 ,$104.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$199.00 ,$129.35 ,$17.39 ,$199.00 ,$109.45 ,$119.40 ,$119.40 ,$51.74 ,$55.72 ,$101.09 ,$51.74 ,$117.01 ,$49.75 ,$159.20 ,$159.20 ,$51.74 ,$129.35 ,$83.18 ,$32.71 ,$42.18 ,$51.74 ,$199.00 ,$43.78 ,$149.25 ,$141.29 ,$141.29 ,$43.78 ,$141.29 ,$167.16 ,$167.16 ,$167.16 , N/A ,$179.10 ,$109.45 ,$169.15 ,$43.78 ,$199.00 ,$119.40 ,$43.78 ,$82.78 ,$19.13 ,$17.39 ,$51.74 ,$169.15 ,$32.05 ,$159.20 ,$55.72 ,$179.10 ,$199.00 ,$43.78 ,$167.16 ,$33.74 ,$33.74 ,$51.74 ,$129.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101176,82140,HC AMMONIA-90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$28.31 ,$36.43 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$19.13 ,$17.39 ,$13.52 ,$44.20 ,$27.68 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$29.14 ,$29.14 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101177,82150,HC AMYLASE-90,301,1 ,$16.00 ,$10.40 ,$3.52 ,$19.13 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$8.13 ,$4.16 ,$9.41 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$12.58 ,$16.20 ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 ,$19.13 ,$17.39 ,$4.16 ,$13.60 ,$12.31 ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$12.96 ,$12.96 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$50.00 ,$32.50 ,$11.00 ,$73.20 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$25.40 ,$13.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$50.00 ,$73.20 ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 ,$44.78 ,$40.71 ,$13.00 ,$42.50 ,$55.63 ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$50.00 ,$50.00 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$186.00 ,$120.90 ,$17.39 ,$186.00 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$120.90 ,$77.75 ,$28.31 ,$36.50 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 ,$19.13 ,$17.39 ,$48.36 ,$158.10 ,$27.74 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$29.20 ,$29.20 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$50.00 ,$32.50 ,$11.00 ,$52.73 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$25.40 ,$13.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$37.11 ,$52.73 ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 ,$19.13 ,$17.39 ,$13.00 ,$42.50 ,$40.07 ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$42.18 ,$42.18 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101181,82175,HC ARSENIC-90,301,1 ,$45.00 ,$29.25 ,$9.90 ,$47.43 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$22.86 ,$11.70 ,$26.46 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$36.48 ,$47.43 ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 ,$23.33 ,$21.21 ,$11.70 ,$38.25 ,$36.04 ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$37.94 ,$37.94 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$92.00 ,$59.80 ,$20.24 ,$92.00 ,$50.60 ,$55.20 ,$55.20 ,$23.92 ,$25.76 ,$46.74 ,$23.92 ,$54.10 ,$23.00 ,$73.60 ,$73.60 ,$23.92 ,$59.80 ,$38.46 ,$31.45 ,$40.45 ,$23.92 ,$92.00 ,$20.24 ,$69.00 ,$65.32 ,$65.32 ,$20.24 ,$65.32 ,$77.28 ,$77.28 ,$77.28 , N/A ,$82.80 ,$50.60 ,$78.20 ,$20.24 ,$92.00 ,$55.20 ,$20.24 ,$38.27 ,$44.78 ,$40.71 ,$23.92 ,$78.20 ,$30.74 ,$73.60 ,$25.76 ,$82.80 ,$92.00 ,$20.24 ,$77.28 ,$32.36 ,$32.36 ,$23.92 ,$59.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$19.00 ,$12.35 ,$4.18 ,$19.00 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.65 ,$4.94 ,$11.17 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$9.44 ,$12.55 ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 ,$8.51 ,$7.74 ,$4.94 ,$16.15 ,$9.54 ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$10.04 ,$10.04 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101188,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$52.00 ,$33.80 ,$7.55 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$7.55 ,$10.95 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$8.32 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$8.76 ,$8.76 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$264.00 ,$171.60 ,$7.74 ,$264.00 ,$145.20 ,$158.40 ,$158.40 ,$68.64 ,$73.92 ,$43.62 ,$68.64 ,$53.31 ,$66.00 ,$211.20 ,$211.20 ,$68.64 ,$171.60 ,$110.35 ,$9.44 ,$13.30 ,$68.64 ,$264.00 ,$58.08 ,$198.00 ,$187.44 ,$187.44 ,$58.08 ,$187.44 ,$221.76 ,$221.76 ,$221.76 , N/A ,$237.60 ,$145.20 ,$224.40 ,$58.08 ,$264.00 ,$158.40 ,$58.08 ,$109.82 ,$8.51 ,$7.74 ,$68.64 ,$224.40 ,$10.11 ,$211.20 ,$73.92 ,$237.60 ,$264.00 ,$58.08 ,$221.76 ,$10.64 ,$10.64 ,$68.64 ,$171.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101199,82308,HC CALCITONIN-90,301,1 ,$95.00 ,$61.75 ,$20.90 ,$95.00 ,$52.25 ,$57.00 ,$57.00 ,$24.70 ,$26.60 ,$48.26 ,$24.70 ,$55.86 ,$23.75 ,$76.00 ,$76.00 ,$24.70 ,$61.75 ,$39.71 ,$52.21 ,$66.98 ,$24.70 ,$95.00 ,$20.90 ,$71.25 ,$67.45 ,$67.45 ,$20.90 ,$67.45 ,$79.80 ,$79.80 ,$79.80 , N/A ,$85.50 ,$52.25 ,$80.75 ,$20.90 ,$95.00 ,$57.00 ,$20.90 ,$39.52 ,$44.78 ,$40.71 ,$24.70 ,$80.75 ,$50.90 ,$76.00 ,$26.60 ,$85.50 ,$95.00 ,$20.90 ,$79.80 ,$53.58 ,$53.58 ,$24.70 ,$61.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101200,82310,HC CALCIUM-90,301,1 ,$304.00 ,$197.60 ,$7.74 ,$304.00 ,$167.20 ,$182.40 ,$182.40 ,$79.04 ,$85.12 ,$52.29 ,$79.04 ,$63.90 ,$76.00 ,$243.20 ,$243.20 ,$79.04 ,$197.60 ,$127.07 ,$10.06 ,$12.90 ,$79.04 ,$304.00 ,$66.88 ,$228.00 ,$215.84 ,$215.84 ,$66.88 ,$215.84 ,$255.36 ,$255.36 ,$255.36 , N/A ,$273.60 ,$167.20 ,$258.40 ,$66.88 ,$304.00 ,$182.40 ,$66.88 ,$126.46 ,$8.51 ,$7.74 ,$79.04 ,$258.40 ,$9.80 ,$243.20 ,$85.12 ,$273.60 ,$304.00 ,$66.88 ,$255.36 ,$10.32 ,$10.32 ,$79.04 ,$197.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101203,82340,HC CALCIUM URINE QN TIMED-90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$11.95 ,$15.08 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$19.13 ,$17.39 ,$13.52 ,$44.20 ,$11.46 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$12.06 ,$12.06 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101204,82360,HC CALCULUS ANALYSIS QN-90,301,1 ,$264.00 ,$171.60 ,$17.39 ,$264.00 ,$145.20 ,$158.40 ,$158.40 ,$68.64 ,$73.92 ,$96.28 ,$68.64 ,$117.66 ,$66.00 ,$211.20 ,$211.20 ,$68.64 ,$171.60 ,$110.35 ,$25.16 ,$32.18 ,$68.64 ,$264.00 ,$58.08 ,$198.00 ,$187.44 ,$187.44 ,$58.08 ,$187.44 ,$221.76 ,$221.76 ,$221.76 , N/A ,$237.60 ,$145.20 ,$224.40 ,$58.08 ,$264.00 ,$158.40 ,$58.08 ,$109.82 ,$19.13 ,$17.39 ,$68.64 ,$224.40 ,$24.45 ,$211.20 ,$73.92 ,$237.60 ,$264.00 ,$58.08 ,$221.76 ,$25.74 ,$25.74 ,$68.64 ,$171.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101207,82373,HC CARBOHY DEFICIENT TRANSFER CONGENTIAL-90,301,1 ,$153.00 ,$99.45 ,$17.39 ,$153.00 ,$84.15 ,$91.80 ,$91.80 ,$39.78 ,$42.84 ,$77.72 ,$39.78 ,$89.96 ,$38.25 ,$122.40 ,$122.40 ,$39.78 ,$99.45 ,$63.95 ,$35.23 ,$45.15 ,$39.78 ,$153.00 ,$33.66 ,$114.75 ,$108.63 ,$108.63 ,$33.66 ,$108.63 ,$128.52 ,$128.52 ,$128.52 , N/A ,$137.70 ,$84.15 ,$130.05 ,$33.66 ,$153.00 ,$91.80 ,$33.66 ,$63.65 ,$19.13 ,$17.39 ,$39.78 ,$130.05 ,$34.31 ,$122.40 ,$42.84 ,$137.70 ,$153.00 ,$33.66 ,$128.52 ,$36.12 ,$36.12 ,$39.78 ,$99.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101208,82378,HC CARBINOEMBRYONIC AG (CEA)-90,301,1 ,$240.00 ,$156.00 ,$17.39 ,$240.00 ,$132.00 ,$144.00 ,$144.00 ,$62.40 ,$67.20 ,$121.92 ,$62.40 ,$141.12 ,$60.00 ,$192.00 ,$192.00 ,$62.40 ,$156.00 ,$100.32 ,$36.48 ,$47.40 ,$62.40 ,$240.00 ,$52.80 ,$180.00 ,$170.40 ,$170.40 ,$52.80 ,$170.40 ,$201.60 ,$201.60 ,$201.60 , N/A ,$216.00 ,$132.00 ,$204.00 ,$52.80 ,$240.00 ,$144.00 ,$52.80 ,$99.84 ,$19.13 ,$17.39 ,$62.40 ,$204.00 ,$36.02 ,$192.00 ,$67.20 ,$216.00 ,$240.00 ,$52.80 ,$201.60 ,$37.92 ,$37.92 ,$62.40 ,$156.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$187.00 ,$121.55 ,$17.39 ,$187.00 ,$102.85 ,$112.20 ,$112.20 ,$48.62 ,$52.36 ,$95.00 ,$48.62 ,$109.96 ,$46.75 ,$149.60 ,$149.60 ,$48.62 ,$121.55 ,$78.17 ,$32.71 ,$42.18 ,$48.62 ,$187.00 ,$41.14 ,$140.25 ,$132.77 ,$132.77 ,$41.14 ,$132.77 ,$157.08 ,$157.08 ,$157.08 , N/A ,$168.30 ,$102.85 ,$158.95 ,$41.14 ,$187.00 ,$112.20 ,$41.14 ,$77.79 ,$19.13 ,$17.39 ,$48.62 ,$158.95 ,$32.05 ,$149.60 ,$52.36 ,$168.30 ,$187.00 ,$41.14 ,$157.08 ,$33.74 ,$33.74 ,$48.62 ,$121.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101210,82380,HC CAROTENE-90,301,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$25.40 ,$13.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$17.61 ,$23.05 ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 ,$19.13 ,$17.39 ,$13.00 ,$42.50 ,$17.52 ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$18.44 ,$18.44 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$54.00 ,$35.10 ,$11.88 ,$63.13 ,$29.70 ,$32.40 ,$32.40 ,$14.04 ,$15.12 ,$27.43 ,$14.04 ,$31.75 ,$13.50 ,$43.20 ,$43.20 ,$14.04 ,$35.10 ,$22.57 ,$49.06 ,$63.13 ,$14.04 ,$54.00 ,$11.88 ,$40.50 ,$38.34 ,$38.34 ,$11.88 ,$38.34 ,$45.36 ,$45.36 ,$45.36 , N/A ,$48.60 ,$29.70 ,$45.90 ,$11.88 ,$54.00 ,$32.40 ,$11.88 ,$22.46 ,$44.78 ,$40.71 ,$14.04 ,$45.90 ,$47.98 ,$43.20 ,$15.12 ,$48.60 ,$54.00 ,$11.88 ,$45.36 ,$50.50 ,$50.50 ,$14.04 ,$35.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101212,82390,HC CERULOPLASMIN-90,301,1 ,$84.00 ,$54.60 ,$17.39 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 ,$42.67 ,$21.84 ,$49.39 ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$20.76 ,$26.85 ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$19.13 ,$17.39 ,$21.84 ,$71.40 ,$20.41 ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 ,$21.48 ,$21.48 ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$38.00 ,$24.70 ,$8.36 ,$38.00 ,$20.90 ,$22.80 ,$22.80 ,$9.88 ,$10.64 ,$19.30 ,$9.88 ,$22.34 ,$9.50 ,$30.40 ,$30.40 ,$9.88 ,$24.70 ,$15.88 ,$27.68 ,$35.30 ,$9.88 ,$38.00 ,$8.36 ,$28.50 ,$26.98 ,$26.98 ,$8.36 ,$26.98 ,$31.92 ,$31.92 ,$31.92 , N/A ,$34.20 ,$20.90 ,$32.30 ,$8.36 ,$38.00 ,$22.80 ,$8.36 ,$15.81 ,$19.13 ,$17.39 ,$9.88 ,$32.30 ,$26.83 ,$30.40 ,$10.64 ,$34.20 ,$38.00 ,$8.36 ,$31.92 ,$28.24 ,$28.24 ,$9.88 ,$24.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101215,82438,HC CHLORIDE OTHER SOURCE-90,301,1 ,$27.00 ,$17.55 ,$5.94 ,$27.00 ,$14.85 ,$16.20 ,$16.20 ,$7.02 ,$7.56 ,$13.72 ,$7.02 ,$15.88 ,$6.75 ,$21.60 ,$21.60 ,$7.02 ,$17.55 ,$11.29 ,$9.44 ,$12.50 ,$7.02 ,$27.00 ,$5.94 ,$20.25 ,$19.17 ,$19.17 ,$5.94 ,$19.17 ,$22.68 ,$22.68 ,$22.68 , N/A ,$24.30 ,$14.85 ,$22.95 ,$5.94 ,$27.00 ,$16.20 ,$5.94 ,$11.23 ,$8.51 ,$7.74 ,$7.02 ,$22.95 ,$9.50 ,$21.60 ,$7.56 ,$24.30 ,$27.00 ,$5.94 ,$22.68 ,$10.00 ,$10.00 ,$7.02 ,$17.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101216,82480,HC CHOLINESTERASE PSEUDO-90,301,1 ,$60.00 ,$39.00 ,$13.20 ,$60.00 ,$33.00 ,$36.00 ,$36.00 ,$15.60 ,$16.80 ,$30.48 ,$15.60 ,$35.28 ,$15.00 ,$48.00 ,$48.00 ,$15.60 ,$39.00 ,$25.08 ,$15.10 ,$19.68 ,$15.60 ,$60.00 ,$13.20 ,$45.00 ,$42.60 ,$42.60 ,$13.20 ,$42.60 ,$50.40 ,$50.40 ,$50.40 , N/A ,$54.00 ,$33.00 ,$51.00 ,$13.20 ,$60.00 ,$36.00 ,$13.20 ,$24.96 ,$19.13 ,$17.39 ,$15.60 ,$51.00 ,$14.95 ,$48.00 ,$16.80 ,$54.00 ,$60.00 ,$13.20 ,$50.40 ,$15.74 ,$15.74 ,$15.60 ,$39.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$86.00 ,$55.90 ,$18.92 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$43.69 ,$22.36 ,$50.57 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$55.90 ,$35.95 ,$39.63 ,$50.70 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$23.33 ,$21.21 ,$22.36 ,$73.10 ,$38.53 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$40.56 ,$40.56 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101219,82507,HC CITRATE-90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$69.50 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$52.00 ,$69.50 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$19.13 ,$17.39 ,$13.52 ,$44.20 ,$52.82 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$52.00 ,$52.00 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$122.00 ,$79.30 ,$26.84 ,$122.00 ,$67.10 ,$73.20 ,$73.20 ,$31.72 ,$34.16 ,$61.98 ,$31.72 ,$71.74 ,$30.50 ,$97.60 ,$97.60 ,$31.72 ,$79.30 ,$51.00 ,$36.48 ,$46.70 ,$31.72 ,$122.00 ,$26.84 ,$91.50 ,$86.62 ,$86.62 ,$26.84 ,$86.62 ,$102.48 ,$102.48 ,$102.48 , N/A ,$109.80 ,$67.10 ,$103.70 ,$26.84 ,$122.00 ,$73.20 ,$26.84 ,$50.75 ,$29.54 ,$26.85 ,$31.72 ,$103.70 ,$35.49 ,$97.60 ,$34.16 ,$109.80 ,$122.00 ,$26.84 ,$102.48 ,$37.36 ,$37.36 ,$31.72 ,$79.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101221,82525,HC COPPER-90,301,1 ,$76.00 ,$49.40 ,$16.72 ,$76.00 ,$41.80 ,$45.60 ,$45.60 ,$19.76 ,$21.28 ,$38.61 ,$19.76 ,$44.69 ,$19.00 ,$60.80 ,$60.80 ,$19.76 ,$49.40 ,$31.77 ,$23.90 ,$31.03 ,$19.76 ,$76.00 ,$16.72 ,$57.00 ,$53.96 ,$53.96 ,$16.72 ,$53.96 ,$63.84 ,$63.84 ,$63.84 , N/A ,$68.40 ,$41.80 ,$64.60 ,$16.72 ,$76.00 ,$45.60 ,$16.72 ,$31.62 ,$23.33 ,$21.21 ,$19.76 ,$64.60 ,$23.58 ,$60.80 ,$21.28 ,$68.40 ,$76.00 ,$16.72 ,$63.84 ,$24.82 ,$24.82 ,$19.76 ,$49.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101222,82530,HC CORTISOL FREE-90,301,1 ,$178.00 ,$115.70 ,$17.39 ,$178.00 ,$97.90 ,$106.80 ,$106.80 ,$46.28 ,$49.84 ,$90.42 ,$46.28 ,$104.66 ,$44.50 ,$142.40 ,$142.40 ,$46.28 ,$115.70 ,$74.40 ,$32.71 ,$41.78 ,$46.28 ,$178.00 ,$39.16 ,$133.50 ,$126.38 ,$126.38 ,$39.16 ,$126.38 ,$149.52 ,$149.52 ,$149.52 , N/A ,$160.20 ,$97.90 ,$151.30 ,$39.16 ,$178.00 ,$106.80 ,$39.16 ,$74.05 ,$19.13 ,$17.39 ,$46.28 ,$151.30 ,$31.75 ,$142.40 ,$49.84 ,$160.20 ,$178.00 ,$39.16 ,$149.52 ,$33.42 ,$33.42 ,$46.28 ,$115.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$63.00 ,$40.95 ,$13.86 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$32.00 ,$16.38 ,$37.04 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$31.45 ,$40.75 ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 ,$44.78 ,$40.71 ,$16.38 ,$53.55 ,$30.97 ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$32.60 ,$32.60 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$210.00 ,$136.50 ,$17.39 ,$210.00 ,$115.50 ,$126.00 ,$126.00 ,$54.60 ,$58.80 ,$106.68 ,$54.60 ,$123.48 ,$52.50 ,$168.00 ,$168.00 ,$54.60 ,$136.50 ,$87.78 ,$42.14 ,$60.23 ,$54.60 ,$210.00 ,$46.20 ,$157.50 ,$149.10 ,$149.10 ,$46.20 ,$149.10 ,$176.40 ,$176.40 ,$176.40 , N/A ,$189.00 ,$115.50 ,$178.50 ,$46.20 ,$210.00 ,$126.00 ,$46.20 ,$87.36 ,$19.13 ,$17.39 ,$54.60 ,$178.50 ,$45.77 ,$168.00 ,$58.80 ,$189.00 ,$210.00 ,$46.20 ,$176.40 ,$48.18 ,$48.18 ,$54.60 ,$136.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$152.00 ,$98.80 ,$17.39 ,$152.00 ,$83.60 ,$91.20 ,$91.20 ,$39.52 ,$42.56 ,$77.22 ,$39.52 ,$89.38 ,$38.00 ,$121.60 ,$121.60 ,$39.52 ,$98.80 ,$63.54 ,$25.79 ,$33.48 ,$39.52 ,$152.00 ,$33.44 ,$114.00 ,$107.92 ,$107.92 ,$33.44 ,$107.92 ,$127.68 ,$127.68 ,$127.68 , N/A ,$136.80 ,$83.60 ,$129.20 ,$33.44 ,$152.00 ,$91.20 ,$33.44 ,$63.23 ,$19.13 ,$17.39 ,$39.52 ,$129.20 ,$25.44 ,$121.60 ,$42.56 ,$136.80 ,$152.00 ,$33.44 ,$127.68 ,$26.78 ,$26.78 ,$39.52 ,$98.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$27.00 ,$17.55 ,$5.94 ,$27.00 ,$14.85 ,$16.20 ,$16.20 ,$7.02 ,$7.56 ,$13.72 ,$7.02 ,$15.88 ,$6.75 ,$21.60 ,$21.60 ,$7.02 ,$17.55 ,$11.29 ,$10.06 ,$12.95 ,$7.02 ,$27.00 ,$5.94 ,$20.25 ,$19.17 ,$19.17 ,$5.94 ,$19.17 ,$22.68 ,$22.68 ,$22.68 , N/A ,$24.30 ,$14.85 ,$22.95 ,$5.94 ,$27.00 ,$16.20 ,$5.94 ,$11.23 ,$8.51 ,$7.74 ,$7.02 ,$22.95 ,$9.84 ,$21.60 ,$7.56 ,$24.30 ,$27.00 ,$5.94 ,$22.68 ,$10.36 ,$10.36 ,$7.02 ,$17.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$82.00 ,$53.30 ,$12.29 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$12.58 ,$16.18 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$19.13 ,$17.39 ,$21.32 ,$69.70 ,$12.29 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$12.94 ,$12.94 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101234,82600,HC CYANIDE-90,301,1 ,$61.00 ,$39.65 ,$13.42 ,$61.00 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$30.99 ,$15.86 ,$35.87 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$39.65 ,$25.50 ,$37.74 ,$48.50 ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 ,$23.33 ,$21.21 ,$15.86 ,$51.85 ,$36.86 ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$38.80 ,$38.80 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101236,82608,HC VITAMIN B-12 BINDING CAPACITY-90,301,1 ,$128.00 ,$83.20 ,$17.39 ,$128.00 ,$70.40 ,$76.80 ,$76.80 ,$33.28 ,$35.84 ,$65.02 ,$33.28 ,$75.26 ,$32.00 ,$102.40 ,$102.40 ,$33.28 ,$83.20 ,$53.50 ,$27.68 ,$35.80 ,$33.28 ,$128.00 ,$28.16 ,$96.00 ,$90.88 ,$90.88 ,$28.16 ,$90.88 ,$107.52 ,$107.52 ,$107.52 , N/A ,$115.20 ,$70.40 ,$108.80 ,$28.16 ,$128.00 ,$76.80 ,$28.16 ,$53.25 ,$19.13 ,$17.39 ,$33.28 ,$108.80 ,$27.21 ,$102.40 ,$35.84 ,$115.20 ,$128.00 ,$28.16 ,$107.52 ,$28.64 ,$28.64 ,$33.28 ,$83.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101237,82626,HC DHEA-90,301,1 ,$208.00 ,$135.20 ,$17.39 ,$208.00 ,$114.40 ,$124.80 ,$124.80 ,$54.08 ,$58.24 ,$105.66 ,$54.08 ,$122.30 ,$52.00 ,$166.40 ,$166.40 ,$54.08 ,$135.20 ,$86.94 ,$49.06 ,$63.18 ,$54.08 ,$208.00 ,$45.76 ,$156.00 ,$147.68 ,$147.68 ,$45.76 ,$147.68 ,$174.72 ,$174.72 ,$174.72 , N/A ,$187.20 ,$114.40 ,$176.80 ,$45.76 ,$208.00 ,$124.80 ,$45.76 ,$86.53 ,$19.13 ,$17.39 ,$54.08 ,$176.80 ,$48.01 ,$166.40 ,$58.24 ,$187.20 ,$208.00 ,$45.76 ,$174.72 ,$50.54 ,$50.54 ,$54.08 ,$135.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$185.00 ,$120.25 ,$40.70 ,$185.00 ,$101.75 ,$111.00 ,$111.00 ,$48.10 ,$51.80 ,$93.98 ,$48.10 ,$108.78 ,$46.25 ,$148.00 ,$148.00 ,$48.10 ,$120.25 ,$77.33 ,$74.85 ,$96.25 ,$48.10 ,$185.00 ,$40.70 ,$138.75 ,$131.35 ,$131.35 ,$40.70 ,$131.35 ,$155.40 ,$155.40 ,$155.40 , N/A ,$166.50 ,$101.75 ,$157.25 ,$40.70 ,$185.00 ,$111.00 ,$40.70 ,$76.96 ,$51.50 ,$46.82 ,$48.10 ,$157.25 ,$73.15 ,$148.00 ,$51.80 ,$166.50 ,$185.00 ,$40.70 ,$155.40 ,$77.00 ,$77.00 ,$48.10 ,$120.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$280.00 ,$182.00 ,$17.39 ,$280.00 ,$154.00 ,$168.00 ,$168.00 ,$72.80 ,$78.40 ,$86.30 ,$72.80 ,$105.47 ,$70.00 ,$224.00 ,$224.00 ,$72.80 ,$182.00 ,$117.04 ,$22.64 ,$28.83 ,$72.80 ,$280.00 ,$61.60 ,$210.00 ,$198.80 ,$198.80 ,$61.60 ,$198.80 ,$235.20 ,$235.20 ,$235.20 , N/A ,$252.00 ,$154.00 ,$238.00 ,$61.60 ,$280.00 ,$168.00 ,$61.60 ,$116.48 ,$19.13 ,$17.39 ,$72.80 ,$238.00 ,$21.91 ,$224.00 ,$78.40 ,$252.00 ,$280.00 ,$61.60 ,$235.20 ,$23.06 ,$23.06 ,$72.80 ,$182.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$576.00 ,$374.40 ,$17.39 ,$576.00 ,$316.80 ,$345.60 ,$345.60 ,$149.76 ,$161.28 ,$135.05 ,$149.76 ,$165.04 ,$144.00 ,$460.80 ,$460.80 ,$149.76 ,$374.40 ,$240.77 ,$39.00 ,$55.43 ,$149.76 ,$576.00 ,$126.72 ,$432.00 ,$408.96 ,$408.96 ,$126.72 ,$408.96 ,$483.84 ,$483.84 ,$483.84 , N/A ,$518.40 ,$316.80 ,$489.60 ,$126.72 ,$576.00 ,$345.60 ,$126.72 ,$239.62 ,$19.13 ,$17.39 ,$149.76 ,$489.60 ,$42.12 ,$460.80 ,$161.28 ,$518.40 ,$576.00 ,$126.72 ,$483.84 ,$44.34 ,$44.34 ,$149.76 ,$374.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$301.00 ,$195.65 ,$17.39 ,$301.00 ,$165.55 ,$180.60 ,$180.60 ,$78.26 ,$84.28 ,$140.55 ,$78.26 ,$171.76 ,$75.25 ,$240.80 ,$240.80 ,$78.26 ,$195.65 ,$125.82 ,$36.48 ,$46.98 ,$78.26 ,$301.00 ,$66.22 ,$225.75 ,$213.71 ,$213.71 ,$66.22 ,$213.71 ,$252.84 ,$252.84 ,$252.84 , N/A ,$270.90 ,$165.55 ,$255.85 ,$66.22 ,$301.00 ,$180.60 ,$66.22 ,$125.22 ,$19.13 ,$17.39 ,$78.26 ,$255.85 ,$35.70 ,$240.80 ,$84.28 ,$270.90 ,$301.00 ,$66.22 ,$252.84 ,$37.58 ,$37.58 ,$78.26 ,$195.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101246,82670,HC ESTRADIOL-90,301,1 ,$153.00 ,$99.45 ,$33.66 ,$153.00 ,$84.15 ,$91.80 ,$91.80 ,$39.78 ,$42.84 ,$77.72 ,$39.78 ,$89.96 ,$38.25 ,$122.40 ,$122.40 ,$39.78 ,$99.45 ,$63.95 ,$54.10 ,$69.85 ,$39.78 ,$153.00 ,$33.66 ,$114.75 ,$108.63 ,$108.63 ,$33.66 ,$108.63 ,$128.52 ,$128.52 ,$128.52 , N/A ,$137.70 ,$84.15 ,$130.05 ,$33.66 ,$153.00 ,$91.80 ,$33.66 ,$63.65 ,$44.78 ,$40.71 ,$39.78 ,$130.05 ,$53.09 ,$122.40 ,$42.84 ,$137.70 ,$153.00 ,$33.66 ,$128.52 ,$55.88 ,$55.88 ,$39.78 ,$99.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$160.00 ,$104.00 ,$35.20 ,$160.00 ,$88.00 ,$96.00 ,$96.00 ,$41.60 ,$44.80 ,$81.28 ,$41.60 ,$94.08 ,$40.00 ,$128.00 ,$128.00 ,$41.60 ,$104.00 ,$66.88 ,$62.90 ,$80.75 ,$41.60 ,$160.00 ,$35.20 ,$120.00 ,$113.60 ,$113.60 ,$35.20 ,$113.60 ,$134.40 ,$134.40 ,$134.40 , N/A ,$144.00 ,$88.00 ,$136.00 ,$35.20 ,$160.00 ,$96.00 ,$35.20 ,$66.56 ,$44.78 ,$40.71 ,$41.60 ,$136.00 ,$61.37 ,$128.00 ,$44.80 ,$144.00 ,$160.00 ,$35.20 ,$134.40 ,$64.60 ,$64.60 ,$41.60 ,$104.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$114.00 ,$74.10 ,$25.08 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$57.91 ,$29.64 ,$67.03 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$74.10 ,$47.65 ,$42.14 ,$54.25 ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 ,$44.78 ,$40.71 ,$29.64 ,$96.90 ,$41.23 ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 ,$43.40 ,$43.40 ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101250,82677,HC ESTRIOL-90,301,1 ,$131.00 ,$85.15 ,$28.82 ,$131.00 ,$72.05 ,$78.60 ,$78.60 ,$34.06 ,$36.68 ,$66.55 ,$34.06 ,$77.03 ,$32.75 ,$104.80 ,$104.80 ,$34.06 ,$85.15 ,$54.76 ,$47.18 ,$60.45 ,$34.06 ,$131.00 ,$28.82 ,$98.25 ,$93.01 ,$93.01 ,$28.82 ,$93.01 ,$110.04 ,$110.04 ,$110.04 , N/A ,$117.90 ,$72.05 ,$111.35 ,$28.82 ,$131.00 ,$78.60 ,$28.82 ,$54.50 ,$44.78 ,$40.71 ,$34.06 ,$111.35 ,$45.94 ,$104.80 ,$36.68 ,$117.90 ,$131.00 ,$28.82 ,$110.04 ,$48.36 ,$48.36 ,$34.06 ,$85.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101251,82679,HC ESTRONE-90,301,1 ,$124.00 ,$80.60 ,$27.28 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$48.43 ,$62.38 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$44.78 ,$40.71 ,$32.24 ,$105.40 ,$47.41 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$49.90 ,$49.90 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$141.00 ,$91.65 ,$7.74 ,$141.00 ,$77.55 ,$84.60 ,$84.60 ,$36.66 ,$39.48 ,$38.12 ,$36.66 ,$46.59 ,$35.25 ,$112.80 ,$112.80 ,$36.66 ,$91.65 ,$58.94 ,$10.06 ,$12.75 ,$36.66 ,$141.00 ,$31.02 ,$105.75 ,$100.11 ,$100.11 ,$31.02 ,$100.11 ,$118.44 ,$118.44 ,$118.44 , N/A ,$126.90 ,$77.55 ,$119.85 ,$31.02 ,$141.00 ,$84.60 ,$31.02 ,$58.66 ,$8.51 ,$7.74 ,$36.66 ,$119.85 ,$9.69 ,$112.80 ,$39.48 ,$126.90 ,$141.00 ,$31.02 ,$118.44 ,$10.20 ,$10.20 ,$36.66 ,$91.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$280.00 ,$182.00 ,$10.80 ,$280.00 ,$154.00 ,$168.00 ,$168.00 ,$72.80 ,$78.40 ,$129.55 ,$72.80 ,$158.32 ,$70.00 ,$224.00 ,$224.00 ,$72.80 ,$182.00 ,$117.04 ,$33.34 ,$44.13 ,$72.80 ,$280.00 ,$61.60 ,$210.00 ,$198.80 ,$198.80 ,$61.60 ,$198.80 ,$235.20 ,$235.20 ,$235.20 , N/A ,$252.00 ,$154.00 ,$238.00 ,$61.60 ,$280.00 ,$168.00 ,$61.60 ,$116.48 ,$11.88 ,$10.80 ,$72.80 ,$238.00 ,$33.54 ,$224.00 ,$78.40 ,$252.00 ,$280.00 ,$61.60 ,$235.20 ,$35.30 ,$35.30 ,$72.80 ,$182.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$92.00 ,$59.80 ,$17.39 ,$92.00 ,$50.60 ,$55.20 ,$55.20 ,$23.92 ,$25.76 ,$46.74 ,$23.92 ,$54.10 ,$23.00 ,$73.60 ,$73.60 ,$23.92 ,$59.80 ,$38.46 ,$18.24 ,$23.25 ,$23.92 ,$92.00 ,$20.24 ,$69.00 ,$65.32 ,$65.32 ,$20.24 ,$65.32 ,$77.28 ,$77.28 ,$77.28 , N/A ,$82.80 ,$50.60 ,$78.20 ,$20.24 ,$92.00 ,$55.20 ,$20.24 ,$38.27 ,$19.13 ,$17.39 ,$23.92 ,$78.20 ,$17.67 ,$73.60 ,$25.76 ,$82.80 ,$92.00 ,$20.24 ,$77.28 ,$18.60 ,$18.60 ,$23.92 ,$59.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$180.00 ,$117.00 ,$17.39 ,$180.00 ,$99.00 ,$108.00 ,$108.00 ,$46.80 ,$50.40 ,$91.44 ,$46.80 ,$105.84 ,$45.00 ,$144.00 ,$144.00 ,$46.80 ,$117.00 ,$75.24 ,$32.08 ,$41.15 ,$46.80 ,$180.00 ,$39.60 ,$135.00 ,$127.80 ,$127.80 ,$39.60 ,$127.80 ,$151.20 ,$151.20 ,$151.20 , N/A ,$162.00 ,$99.00 ,$153.00 ,$39.60 ,$180.00 ,$108.00 ,$39.60 ,$74.88 ,$19.13 ,$17.39 ,$46.80 ,$153.00 ,$31.27 ,$144.00 ,$50.40 ,$162.00 ,$180.00 ,$39.60 ,$151.20 ,$32.92 ,$32.92 ,$46.80 ,$117.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$31.00 ,$20.15 ,$6.82 ,$31.00 ,$17.05 ,$18.60 ,$18.60 ,$8.06 ,$8.68 ,$15.75 ,$8.06 ,$18.23 ,$7.75 ,$24.80 ,$24.80 ,$8.06 ,$20.15 ,$12.96 ,$15.73 ,$20.05 ,$8.06 ,$31.00 ,$6.82 ,$23.25 ,$22.01 ,$22.01 ,$6.82 ,$22.01 ,$26.04 ,$26.04 ,$26.04 , N/A ,$27.90 ,$17.05 ,$26.35 ,$6.82 ,$31.00 ,$18.60 ,$6.82 ,$12.90 ,$29.54 ,$26.85 ,$8.06 ,$26.35 ,$15.24 ,$24.80 ,$8.68 ,$27.90 ,$31.00 ,$6.82 ,$26.04 ,$16.04 ,$16.04 ,$8.06 ,$20.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101268,82941,HC GASTRIN-90,301,1 ,$116.00 ,$75.40 ,$25.52 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$33.97 ,$44.08 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$44.78 ,$40.71 ,$30.16 ,$98.60 ,$33.50 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$35.26 ,$35.26 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101269,82945,HC GLUCOSE BODY FLUID-90,301,1 ,$197.00 ,$128.05 ,$7.47 ,$197.00 ,$108.35 ,$118.20 ,$118.20 ,$51.22 ,$55.16 ,$39.80 ,$51.22 ,$48.64 ,$49.25 ,$157.60 ,$157.60 ,$51.22 ,$128.05 ,$82.35 ,$7.55 ,$9.83 ,$51.22 ,$197.00 ,$43.34 ,$147.75 ,$139.87 ,$139.87 ,$43.34 ,$139.87 ,$165.48 ,$165.48 ,$165.48 , N/A ,$177.30 ,$108.35 ,$167.45 ,$43.34 ,$197.00 ,$118.20 ,$43.34 ,$81.95 ,$8.51 ,$7.74 ,$51.22 ,$167.45 ,$7.47 ,$157.60 ,$55.16 ,$177.30 ,$197.00 ,$43.34 ,$165.48 ,$7.86 ,$7.86 ,$51.22 ,$128.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101275,82977,HC GGT/GGTP-90,301,1 ,$93.00 ,$60.45 ,$7.74 ,$93.00 ,$51.15 ,$55.80 ,$55.80 ,$24.18 ,$26.04 ,$47.24 ,$24.18 ,$54.68 ,$23.25 ,$74.40 ,$74.40 ,$24.18 ,$60.45 ,$38.87 ,$13.84 ,$18.00 ,$24.18 ,$93.00 ,$20.46 ,$69.75 ,$66.03 ,$66.03 ,$20.46 ,$66.03 ,$78.12 ,$78.12 ,$78.12 , N/A ,$83.70 ,$51.15 ,$79.05 ,$20.46 ,$93.00 ,$55.80 ,$20.46 ,$38.69 ,$8.51 ,$7.74 ,$24.18 ,$79.05 ,$13.68 ,$74.40 ,$26.04 ,$83.70 ,$93.00 ,$20.46 ,$78.12 ,$14.40 ,$14.40 ,$24.18 ,$60.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$178.00 ,$115.70 ,$17.39 ,$178.00 ,$97.90 ,$106.80 ,$106.80 ,$46.28 ,$49.84 ,$90.42 ,$46.28 ,$104.66 ,$44.50 ,$142.40 ,$142.40 ,$46.28 ,$115.70 ,$74.40 ,$29.56 ,$41.90 ,$46.28 ,$178.00 ,$39.16 ,$133.50 ,$126.38 ,$126.38 ,$39.16 ,$126.38 ,$149.52 ,$149.52 ,$149.52 , N/A ,$160.20 ,$97.90 ,$151.30 ,$39.16 ,$178.00 ,$106.80 ,$39.16 ,$74.05 ,$19.13 ,$17.39 ,$46.28 ,$151.30 ,$31.84 ,$142.40 ,$49.84 ,$160.20 ,$178.00 ,$39.16 ,$149.52 ,$33.52 ,$33.52 ,$46.28 ,$115.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$80.00 ,$52.00 ,$17.60 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$40.64 ,$20.80 ,$47.04 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$52.00 ,$33.44 ,$32.08 ,$41.68 ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 ,$44.78 ,$40.71 ,$20.80 ,$68.00 ,$31.67 ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$33.34 ,$33.34 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$124.00 ,$80.60 ,$17.39 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$24.53 ,$31.45 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$19.13 ,$17.39 ,$32.24 ,$105.40 ,$23.90 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$25.16 ,$25.16 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$246.00 ,$159.90 ,$46.82 ,$246.00 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$124.97 ,$63.96 ,$144.65 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$159.90 ,$102.83 ,$130.84 ,$168.40 ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$246.00 ,$147.60 ,$54.12 ,$102.34 ,$51.50 ,$46.82 ,$63.96 ,$209.10 ,$127.98 ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$134.72 ,$134.72 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$116.00 ,$75.40 ,$21.21 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$42.77 ,$54.90 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$23.33 ,$21.21 ,$30.16 ,$98.60 ,$41.72 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$43.92 ,$43.92 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$97.00 ,$63.05 ,$16.44 ,$97.00 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$35.23 ,$45.15 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$18.08 ,$16.44 ,$25.22 ,$82.45 ,$34.31 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$36.12 ,$36.12 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101289,83051,HC HEMOGLOBIN PLASMA-90,301,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$22.86 ,$11.70 ,$26.46 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$14.47 ,$18.28 ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 ,$19.13 ,$17.39 ,$11.70 ,$38.25 ,$13.89 ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$14.62 ,$14.62 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$198.00 ,$128.70 ,$32.71 ,$198.00 ,$108.90 ,$118.80 ,$118.80 ,$51.48 ,$55.44 ,$100.58 ,$51.48 ,$116.42 ,$49.50 ,$158.40 ,$158.40 ,$51.48 ,$128.70 ,$82.76 ,$32.71 ,$44.80 ,$51.48 ,$198.00 ,$43.56 ,$148.50 ,$140.58 ,$140.58 ,$43.56 ,$140.58 ,$166.32 ,$166.32 ,$166.32 , N/A ,$178.20 ,$108.90 ,$168.30 ,$43.56 ,$198.00 ,$118.80 ,$43.56 ,$82.37 ,$44.78 ,$40.71 ,$51.48 ,$168.30 ,$34.05 ,$158.40 ,$55.44 ,$178.20 ,$198.00 ,$43.56 ,$166.32 ,$35.84 ,$35.84 ,$51.48 ,$128.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$74.00 ,$48.10 ,$16.28 ,$74.00 ,$40.70 ,$44.40 ,$44.40 ,$19.24 ,$20.72 ,$37.59 ,$19.24 ,$43.51 ,$18.50 ,$59.20 ,$59.20 ,$19.24 ,$48.10 ,$30.93 ,$25.16 ,$32.25 ,$19.24 ,$74.00 ,$16.28 ,$55.50 ,$52.54 ,$52.54 ,$16.28 ,$52.54 ,$62.16 ,$62.16 ,$62.16 , N/A ,$66.60 ,$40.70 ,$62.90 ,$16.28 ,$74.00 ,$44.40 ,$16.28 ,$30.78 ,$25.75 ,$23.41 ,$19.24 ,$62.90 ,$24.51 ,$59.20 ,$20.72 ,$66.60 ,$74.00 ,$16.28 ,$62.16 ,$25.80 ,$25.80 ,$19.24 ,$48.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$88.00 ,$57.20 ,$19.36 ,$88.00 ,$48.40 ,$52.80 ,$52.80 ,$22.88 ,$24.64 ,$44.70 ,$22.88 ,$51.74 ,$22.00 ,$70.40 ,$70.40 ,$22.88 ,$57.20 ,$36.78 ,$52.84 ,$67.93 ,$22.88 ,$88.00 ,$19.36 ,$66.00 ,$62.48 ,$62.48 ,$19.36 ,$62.48 ,$73.92 ,$73.92 ,$73.92 , N/A ,$79.20 ,$48.40 ,$74.80 ,$19.36 ,$88.00 ,$52.80 ,$19.36 ,$36.61 ,$44.78 ,$40.71 ,$22.88 ,$74.80 ,$51.62 ,$70.40 ,$24.64 ,$79.20 ,$88.00 ,$19.36 ,$73.92 ,$54.34 ,$54.34 ,$22.88 ,$57.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$129.00 ,$83.85 ,$15.58 ,$129.00 ,$70.95 ,$77.40 ,$77.40 ,$33.54 ,$36.12 ,$65.53 ,$33.54 ,$75.85 ,$32.25 ,$103.20 ,$103.20 ,$33.54 ,$83.85 ,$53.92 ,$22.64 ,$28.83 ,$33.54 ,$129.00 ,$28.38 ,$96.75 ,$91.59 ,$91.59 ,$28.38 ,$91.59 ,$108.36 ,$108.36 ,$108.36 , N/A ,$116.10 ,$70.95 ,$109.65 ,$28.38 ,$129.00 ,$77.40 ,$28.38 ,$53.66 ,$17.14 ,$15.58 ,$33.54 ,$109.65 ,$21.91 ,$103.20 ,$36.12 ,$116.10 ,$129.00 ,$28.38 ,$108.36 ,$23.06 ,$23.06 ,$33.54 ,$83.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101302,83519,HC QN RIA-90,301,1 ,$180.00 ,$117.00 ,$15.58 ,$180.00 ,$99.00 ,$108.00 ,$108.00 ,$46.80 ,$50.40 ,$91.44 ,$46.80 ,$105.84 ,$45.00 ,$144.00 ,$144.00 ,$46.80 ,$117.00 ,$75.24 ,$32.08 ,$46.00 ,$46.80 ,$180.00 ,$39.60 ,$135.00 ,$127.80 ,$127.80 ,$39.60 ,$127.80 ,$151.20 ,$151.20 ,$151.20 , N/A ,$162.00 ,$99.00 ,$153.00 ,$39.60 ,$180.00 ,$108.00 ,$39.60 ,$74.88 ,$17.14 ,$15.58 ,$46.80 ,$153.00 ,$34.96 ,$144.00 ,$50.40 ,$162.00 ,$180.00 ,$39.60 ,$151.20 ,$36.80 ,$36.80 ,$46.80 ,$117.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$135.00 ,$87.75 ,$15.58 ,$135.00 ,$74.25 ,$81.00 ,$81.00 ,$35.10 ,$37.80 ,$68.58 ,$35.10 ,$79.38 ,$33.75 ,$108.00 ,$108.00 ,$35.10 ,$87.75 ,$56.43 ,$30.19 ,$43.18 ,$35.10 ,$135.00 ,$29.70 ,$101.25 ,$95.85 ,$95.85 ,$29.70 ,$95.85 ,$113.40 ,$113.40 ,$113.40 , N/A ,$121.50 ,$74.25 ,$114.75 ,$29.70 ,$135.00 ,$81.00 ,$29.70 ,$56.16 ,$17.14 ,$15.58 ,$35.10 ,$114.75 ,$32.81 ,$108.00 ,$37.80 ,$121.50 ,$135.00 ,$29.70 ,$113.40 ,$34.54 ,$34.54 ,$35.10 ,$87.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101305,83520,HC IMMUNOASSAY QN OTHER MBL-90,301,1 ,$200.00 ,$130.00 ,$15.58 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$101.60 ,$52.00 ,$117.60 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$30.19 ,$43.18 ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 ,$17.14 ,$15.58 ,$52.00 ,$170.00 ,$32.81 ,$160.00 ,$56.00 ,$180.00 ,$200.00 ,$44.00 ,$168.00 ,$34.54 ,$34.54 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101306,83520,HC IMMUNOASSAY QN ENZYME-90,301,1 ,$384.00 ,$249.60 ,$15.58 ,$384.00 ,$211.20 ,$230.40 ,$230.40 ,$99.84 ,$107.52 ,$141.66 ,$99.84 ,$173.13 ,$96.00 ,$307.20 ,$307.20 ,$99.84 ,$249.60 ,$160.51 ,$30.19 ,$43.18 ,$99.84 ,$384.00 ,$84.48 ,$288.00 ,$272.64 ,$272.64 ,$84.48 ,$272.64 ,$322.56 ,$322.56 ,$322.56 , N/A ,$345.60 ,$211.20 ,$326.40 ,$84.48 ,$384.00 ,$230.40 ,$84.48 ,$159.74 ,$17.14 ,$15.58 ,$99.84 ,$326.40 ,$32.81 ,$307.20 ,$107.52 ,$345.60 ,$384.00 ,$84.48 ,$322.56 ,$34.54 ,$34.54 ,$99.84 ,$249.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101307,83525,HC INSULIN TOTAL-90,301,1 ,$141.00 ,$91.65 ,$21.72 ,$141.00 ,$77.55 ,$84.60 ,$84.60 ,$36.66 ,$39.48 ,$71.63 ,$36.66 ,$82.91 ,$35.25 ,$112.80 ,$112.80 ,$36.66 ,$91.65 ,$58.94 ,$22.02 ,$28.58 ,$36.66 ,$141.00 ,$31.02 ,$105.75 ,$100.11 ,$100.11 ,$31.02 ,$100.11 ,$118.44 ,$118.44 ,$118.44 , N/A ,$126.90 ,$77.55 ,$119.85 ,$31.02 ,$141.00 ,$84.60 ,$31.02 ,$58.66 ,$25.75 ,$23.41 ,$36.66 ,$119.85 ,$21.72 ,$112.80 ,$39.48 ,$126.90 ,$141.00 ,$31.02 ,$118.44 ,$22.86 ,$22.86 ,$36.66 ,$91.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101308,83527,HC INSULIN FREE-90,301,1 ,$110.00 ,$71.50 ,$24.20 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$25.16 ,$32.38 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$44.78 ,$40.71 ,$28.60 ,$93.50 ,$24.61 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$25.90 ,$25.90 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101310,83586,HC KETOSTEROIDS (17-KS)-90,301,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$25.40 ,$13.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$24.53 ,$32.00 ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 ,$25.75 ,$23.41 ,$13.00 ,$42.50 ,$24.32 ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$25.60 ,$25.60 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101311,83605,HC LACTATE/LACTIC ACID-90,301,1 ,$175.00 ,$113.75 ,$17.39 ,$175.00 ,$96.25 ,$105.00 ,$105.00 ,$45.50 ,$49.00 ,$88.90 ,$45.50 ,$102.90 ,$43.75 ,$140.00 ,$140.00 ,$45.50 ,$113.75 ,$73.15 ,$20.76 ,$28.93 ,$45.50 ,$175.00 ,$38.50 ,$131.25 ,$124.25 ,$124.25 ,$38.50 ,$124.25 ,$147.00 ,$147.00 ,$147.00 , N/A ,$157.50 ,$96.25 ,$148.75 ,$38.50 ,$175.00 ,$105.00 ,$38.50 ,$72.80 ,$19.13 ,$17.39 ,$45.50 ,$148.75 ,$21.98 ,$140.00 ,$49.00 ,$157.50 ,$175.00 ,$38.50 ,$147.00 ,$23.14 ,$23.14 ,$45.50 ,$113.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$116.00 ,$75.40 ,$7.74 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$45.11 ,$30.16 ,$55.13 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$11.95 ,$15.10 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$8.51 ,$7.74 ,$30.16 ,$98.60 ,$11.48 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$12.08 ,$12.08 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$163.00 ,$105.95 ,$17.39 ,$163.00 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$105.95 ,$68.13 ,$24.53 ,$31.98 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$19.13 ,$17.39 ,$42.38 ,$138.55 ,$24.30 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$25.58 ,$25.58 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101316,83655,HC LEAD-90,301,1 ,$113.00 ,$73.45 ,$21.21 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$23.27 ,$30.28 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$23.33 ,$21.21 ,$29.38 ,$96.05 ,$23.01 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$24.22 ,$24.22 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101319,83695,HC LIPOPROTEIN-90,301,1 ,$25.00 ,$16.25 ,$5.50 ,$35.80 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.70 ,$6.50 ,$14.70 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$25.00 ,$35.80 ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 ,$19.13 ,$17.39 ,$6.50 ,$21.25 ,$27.21 ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$25.00 ,$25.00 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101322,83704,HC NMR LIPOPROFILE LIP-90,301,1 ,$133.00 ,$86.45 ,$29.26 ,$133.00 ,$73.15 ,$79.80 ,$79.80 ,$34.58 ,$37.24 ,$67.56 ,$34.58 ,$78.20 ,$33.25 ,$106.40 ,$106.40 ,$34.58 ,$86.45 ,$55.59 ,$61.01 ,$85.48 ,$34.58 ,$133.00 ,$29.26 ,$99.75 ,$94.43 ,$94.43 ,$29.26 ,$94.43 ,$111.72 ,$111.72 ,$111.72 , N/A ,$119.70 ,$73.15 ,$113.05 ,$29.26 ,$133.00 ,$79.80 ,$29.26 ,$55.33 ,$51.50 ,$46.82 ,$34.58 ,$113.05 ,$64.96 ,$106.40 ,$37.24 ,$119.70 ,$133.00 ,$29.26 ,$111.72 ,$68.38 ,$68.38 ,$34.58 ,$86.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101325,80335,HC ANTIDEPRESSANTS TRYCLIC 1-2  -90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 , N/A ,$13.52 , N/A ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$35.36 , N/A ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$51.50 ,$46.82 ,$13.52 ,$44.20 , N/A ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 , N/A , N/A ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101326,83735,HC MAGNESIUM-90,301,1 ,$52.00 ,$33.80 ,$7.74 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$13.21 ,$16.75 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$12.73 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$13.40 ,$13.40 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101327,83785,HC MANGANESE-90,301,1 ,$142.00 ,$92.30 ,$21.21 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$72.14 ,$36.92 ,$83.50 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$92.30 ,$59.36 ,$47.81 ,$66.63 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$23.33 ,$21.21 ,$36.92 ,$120.70 ,$50.64 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$53.30 ,$53.30 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101328,83789,HC MASS SPEC QN EACH-90,301,1 ,$75.00 ,$48.75 ,$16.50 ,$75.00 ,$41.25 ,$45.00 ,$45.00 ,$19.50 ,$21.00 ,$38.10 ,$19.50 ,$44.10 ,$18.75 ,$60.00 ,$60.00 ,$19.50 ,$48.75 ,$31.35 ,$42.14 ,$60.28 ,$19.50 ,$75.00 ,$16.50 ,$56.25 ,$53.25 ,$53.25 ,$16.50 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$41.25 ,$63.75 ,$16.50 ,$75.00 ,$45.00 ,$16.50 ,$31.20 ,$19.13 ,$17.39 ,$19.50 ,$63.75 ,$45.81 ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$16.50 ,$63.00 ,$48.22 ,$48.22 ,$19.50 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101329,83825,HC MERCURY-90,301,1 ,$39.00 ,$25.35 ,$8.58 ,$40.65 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$25.35 ,$16.30 ,$31.45 ,$40.65 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$23.33 ,$21.21 ,$10.14 ,$33.15 ,$30.89 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$32.52 ,$32.52 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101330,83835,HC METANEPHRINES-90,301,1 ,$184.00 ,$119.60 ,$32.19 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$32.71 ,$42.35 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$44.78 ,$40.71 ,$47.84 ,$156.40 ,$32.19 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$33.88 ,$33.88 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$58.00 ,$37.70 ,$12.76 ,$58.00 ,$31.90 ,$34.80 ,$34.80 ,$15.08 ,$16.24 ,$29.46 ,$15.08 ,$34.10 ,$14.50 ,$46.40 ,$46.40 ,$15.08 ,$37.70 ,$24.24 ,$33.34 ,$43.00 ,$15.08 ,$58.00 ,$12.76 ,$43.50 ,$41.18 ,$41.18 ,$12.76 ,$41.18 ,$48.72 ,$48.72 ,$48.72 , N/A ,$52.20 ,$31.90 ,$49.30 ,$12.76 ,$58.00 ,$34.80 ,$12.76 ,$24.13 ,$19.13 ,$17.39 ,$15.08 ,$49.30 ,$32.68 ,$46.40 ,$16.24 ,$52.20 ,$58.00 ,$12.76 ,$48.72 ,$34.40 ,$34.40 ,$15.08 ,$37.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101334,83874,HC MYOGLOBIN-90,301,1 ,$127.00 ,$82.55 ,$17.39 ,$127.00 ,$69.85 ,$76.20 ,$76.20 ,$33.02 ,$35.56 ,$64.52 ,$33.02 ,$74.68 ,$31.75 ,$101.60 ,$101.60 ,$33.02 ,$82.55 ,$53.09 ,$25.16 ,$32.30 ,$33.02 ,$127.00 ,$27.94 ,$95.25 ,$90.17 ,$90.17 ,$27.94 ,$90.17 ,$106.68 ,$106.68 ,$106.68 , N/A ,$114.30 ,$69.85 ,$107.95 ,$27.94 ,$127.00 ,$76.20 ,$27.94 ,$52.83 ,$19.13 ,$17.39 ,$33.02 ,$107.95 ,$24.55 ,$101.60 ,$35.56 ,$114.30 ,$127.00 ,$27.94 ,$106.68 ,$25.84 ,$25.84 ,$33.02 ,$82.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$135.00 ,$87.75 ,$25.84 ,$135.00 ,$74.25 ,$81.00 ,$81.00 ,$35.10 ,$37.80 ,$68.58 ,$35.10 ,$79.38 ,$33.75 ,$108.00 ,$108.00 ,$35.10 ,$87.75 ,$56.43 ,$26.42 ,$34.00 ,$35.10 ,$135.00 ,$29.70 ,$101.25 ,$95.85 ,$95.85 ,$29.70 ,$95.85 ,$113.40 ,$113.40 ,$113.40 , N/A ,$121.50 ,$74.25 ,$114.75 ,$29.70 ,$135.00 ,$81.00 ,$29.70 ,$56.16 ,$29.54 ,$26.85 ,$35.10 ,$114.75 ,$25.84 ,$108.00 ,$37.80 ,$121.50 ,$135.00 ,$29.70 ,$113.40 ,$27.20 ,$27.20 ,$35.10 ,$87.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$102.00 ,$66.30 ,$17.39 ,$102.00 ,$56.10 ,$61.20 ,$61.20 ,$26.52 ,$28.56 ,$51.82 ,$26.52 ,$59.98 ,$25.50 ,$81.60 ,$81.60 ,$26.52 ,$66.30 ,$42.64 ,$21.39 ,$27.88 ,$26.52 ,$102.00 ,$22.44 ,$76.50 ,$72.42 ,$72.42 ,$22.44 ,$72.42 ,$85.68 ,$85.68 ,$85.68 , N/A ,$91.80 ,$56.10 ,$86.70 ,$22.44 ,$102.00 ,$61.20 ,$22.44 ,$42.43 ,$19.13 ,$17.39 ,$26.52 ,$86.70 ,$21.19 ,$81.60 ,$28.56 ,$91.80 ,$102.00 ,$22.44 ,$85.68 ,$22.30 ,$22.30 ,$26.52 ,$66.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$86.00 ,$55.90 ,$17.39 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$43.69 ,$22.36 ,$50.57 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$55.90 ,$35.95 ,$47.81 ,$68.48 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$19.13 ,$17.39 ,$22.36 ,$73.10 ,$52.04 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$54.78 ,$54.78 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$160.00 ,$104.00 ,$21.21 ,$160.00 ,$88.00 ,$96.00 ,$96.00 ,$41.60 ,$44.80 ,$81.28 ,$41.60 ,$94.08 ,$40.00 ,$128.00 ,$128.00 ,$41.60 ,$104.00 ,$66.88 ,$40.89 ,$59.00 ,$41.60 ,$160.00 ,$35.20 ,$120.00 ,$113.60 ,$113.60 ,$35.20 ,$113.60 ,$134.40 ,$134.40 ,$134.40 , N/A ,$144.00 ,$88.00 ,$136.00 ,$35.20 ,$160.00 ,$96.00 ,$35.20 ,$66.56 ,$23.33 ,$21.21 ,$41.60 ,$136.00 ,$44.84 ,$128.00 ,$44.80 ,$144.00 ,$160.00 ,$35.20 ,$134.40 ,$47.20 ,$47.20 ,$41.60 ,$104.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101344,83937,HC OSTEOCALCIN-90,301,1 ,$304.00 ,$197.60 ,$40.71 ,$304.00 ,$167.20 ,$182.40 ,$182.40 ,$79.04 ,$85.12 ,$154.43 ,$79.04 ,$178.75 ,$76.00 ,$243.20 ,$243.20 ,$79.04 ,$197.60 ,$127.07 ,$57.87 ,$74.63 ,$79.04 ,$304.00 ,$66.88 ,$228.00 ,$215.84 ,$215.84 ,$66.88 ,$215.84 ,$255.36 ,$255.36 ,$255.36 , N/A ,$273.60 ,$167.20 ,$258.40 ,$66.88 ,$304.00 ,$182.40 ,$66.88 ,$126.46 ,$44.78 ,$40.71 ,$79.04 ,$258.40 ,$56.72 ,$243.20 ,$85.12 ,$273.60 ,$304.00 ,$66.88 ,$255.36 ,$59.70 ,$59.70 ,$79.04 ,$197.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101345,83945,HC OXALATE-90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$25.16 ,$36.13 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$19.13 ,$17.39 ,$13.52 ,$44.20 ,$27.46 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$28.90 ,$28.90 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101348,83986,HC PH BODY FLUID NOT BLOOD-90,301,1 ,$52.00 ,$33.80 ,$6.80 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$6.92 ,$8.95 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$6.80 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$7.16 ,$7.16 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$79.00 ,$51.35 ,$17.38 ,$79.00 ,$43.45 ,$47.40 ,$47.40 ,$20.54 ,$22.12 ,$40.13 ,$20.54 ,$46.45 ,$19.75 ,$63.20 ,$63.20 ,$20.54 ,$51.35 ,$33.02 ,$38.37 ,$49.08 ,$20.54 ,$79.00 ,$17.38 ,$59.25 ,$56.09 ,$56.09 ,$17.38 ,$56.09 ,$66.36 ,$66.36 ,$66.36 , N/A ,$71.10 ,$43.45 ,$67.15 ,$17.38 ,$79.00 ,$47.40 ,$17.38 ,$32.86 ,$19.13 ,$17.39 ,$20.54 ,$67.15 ,$37.30 ,$63.20 ,$22.12 ,$71.10 ,$79.00 ,$17.38 ,$66.36 ,$39.26 ,$39.26 ,$20.54 ,$51.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$85.00 ,$55.25 ,$7.74 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$43.18 ,$22.10 ,$49.98 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$10.06 ,$12.95 ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 ,$8.51 ,$7.74 ,$22.10 ,$72.25 ,$9.84 ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$10.36 ,$10.36 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$114.00 ,$74.10 ,$17.39 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$57.91 ,$29.64 ,$67.03 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$74.10 ,$47.65 ,$28.93 ,$36.95 ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 ,$19.13 ,$17.39 ,$29.64 ,$96.90 ,$28.08 ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 ,$29.56 ,$29.56 ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,$52.00 ,$33.80 ,$7.74 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$10.06 ,$14.45 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$10.98 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$11.56 ,$11.56 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101364,84133,HC POTASSIUM URINE-90,301,1 ,$52.00 ,$33.80 ,$7.74 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$8.18 ,$11.83 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$8.99 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$9.46 ,$9.46 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101366,84140,HC PREGNENOLONE-90,301,1 ,$108.00 ,$70.20 ,$23.76 ,$108.00 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$54.86 ,$28.08 ,$63.50 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$70.20 ,$45.14 ,$40.26 ,$51.68 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$44.78 ,$40.71 ,$28.08 ,$91.80 ,$39.27 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$41.34 ,$41.34 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101368,84144,HC PROGESTERONE-90,301,1 ,$194.00 ,$126.10 ,$23.41 ,$194.00 ,$106.70 ,$116.40 ,$116.40 ,$50.44 ,$54.32 ,$98.55 ,$50.44 ,$114.07 ,$48.50 ,$155.20 ,$155.20 ,$50.44 ,$126.10 ,$81.09 ,$40.26 ,$52.15 ,$50.44 ,$194.00 ,$42.68 ,$145.50 ,$137.74 ,$137.74 ,$42.68 ,$137.74 ,$162.96 ,$162.96 ,$162.96 , N/A ,$174.60 ,$106.70 ,$164.90 ,$42.68 ,$194.00 ,$116.40 ,$42.68 ,$80.70 ,$25.75 ,$23.41 ,$50.44 ,$164.90 ,$39.63 ,$155.20 ,$54.32 ,$174.60 ,$194.00 ,$42.68 ,$162.96 ,$41.72 ,$41.72 ,$50.44 ,$126.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101372,84155,HC PROTEIN TOTAL-90,301,1 ,$85.00 ,$55.25 ,$6.92 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$37.19 ,$22.10 ,$45.45 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$6.92 ,$9.18 ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 ,$8.51 ,$7.74 ,$22.10 ,$72.25 ,$6.97 ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$7.34 ,$7.34 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$98.00 ,$63.70 ,$6.92 ,$98.00 ,$53.90 ,$58.80 ,$58.80 ,$25.48 ,$27.44 ,$27.40 ,$25.48 ,$33.49 ,$24.50 ,$78.40 ,$78.40 ,$25.48 ,$63.70 ,$40.96 ,$6.92 ,$9.18 ,$25.48 ,$98.00 ,$21.56 ,$73.50 ,$69.58 ,$69.58 ,$21.56 ,$69.58 ,$82.32 ,$82.32 ,$82.32 , N/A ,$88.20 ,$53.90 ,$83.30 ,$21.56 ,$98.00 ,$58.80 ,$21.56 ,$40.77 ,$8.51 ,$7.74 ,$25.48 ,$83.30 ,$6.97 ,$78.40 ,$27.44 ,$88.20 ,$98.00 ,$21.56 ,$82.32 ,$7.34 ,$7.34 ,$25.48 ,$63.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101374,84157,HC PROTEIN TOTAL OTH SRC-90,301,1 ,$138.00 ,$89.70 ,$6.92 ,$138.00 ,$75.90 ,$82.80 ,$82.80 ,$35.88 ,$38.64 ,$37.19 ,$35.88 ,$45.45 ,$34.50 ,$110.40 ,$110.40 ,$35.88 ,$89.70 ,$57.68 ,$6.92 ,$10.00 ,$35.88 ,$138.00 ,$30.36 ,$103.50 ,$97.98 ,$97.98 ,$30.36 ,$97.98 ,$115.92 ,$115.92 ,$115.92 , N/A ,$124.20 ,$75.90 ,$117.30 ,$30.36 ,$138.00 ,$82.80 ,$30.36 ,$57.41 ,$8.51 ,$7.74 ,$35.88 ,$117.30 ,$7.60 ,$110.40 ,$38.64 ,$124.20 ,$138.00 ,$30.36 ,$115.92 ,$8.00 ,$8.00 ,$35.88 ,$89.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101375,84165,HC PROTEIN ELECTROPHORESIS-90,301,1 ,$142.00 ,$92.30 ,$17.39 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$72.14 ,$36.92 ,$83.50 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$18.52 ,$59.36 ,$20.76 ,$26.85 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$19.13 ,$17.39 ,$36.92 ,$120.70 ,$20.41 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$21.48 ,$21.48 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$40.00 ,$26.00 ,$8.80 ,$44.58 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$20.32 ,$10.40 ,$23.52 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$18.52 ,$16.72 ,$34.60 ,$44.58 ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 ,$19.13 ,$17.39 ,$10.40 ,$34.00 ,$33.88 ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$35.66 ,$35.66 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101379,84181,HC PROTEIN WESTERN BLOT-90,301,1 ,$116.00 ,$75.40 ,$15.58 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$18.52 ,$48.49 ,$32.71 ,$42.58 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$17.14 ,$15.58 ,$30.16 ,$98.60 ,$32.36 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$34.06 ,$34.06 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101380,84182,HC PROTEIN WEST BLOT BAND ID-90,301,1 ,$91.00 ,$59.15 ,$18.52 ,$91.00 ,$50.05 ,$54.60 ,$54.60 ,$23.66 ,$25.48 ,$46.23 ,$23.66 ,$53.51 ,$22.75 ,$72.80 ,$72.80 ,$23.66 ,$18.52 ,$38.04 ,$50.95 ,$73.03 ,$23.66 ,$91.00 ,$20.02 ,$68.25 ,$64.61 ,$64.61 ,$20.02 ,$64.61 ,$76.44 ,$76.44 ,$76.44 , N/A ,$81.90 ,$50.05 ,$77.35 ,$20.02 ,$91.00 ,$54.60 ,$20.02 ,$37.86 ,$29.54 ,$26.85 ,$23.66 ,$77.35 ,$55.50 ,$72.80 ,$25.48 ,$81.90 ,$91.00 ,$20.02 ,$76.44 ,$58.42 ,$58.42 ,$23.66 ,$59.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101382,84206,HC PROINSULIN-90,301,1 ,$193.00 ,$125.45 ,$40.71 ,$193.00 ,$106.15 ,$115.80 ,$115.80 ,$50.18 ,$54.04 ,$98.04 ,$50.18 ,$113.48 ,$48.25 ,$154.40 ,$154.40 ,$50.18 ,$125.45 ,$80.67 ,$46.55 ,$66.73 ,$50.18 ,$193.00 ,$42.46 ,$144.75 ,$137.03 ,$137.03 ,$42.46 ,$137.03 ,$162.12 ,$162.12 ,$162.12 , N/A ,$173.70 ,$106.15 ,$164.05 ,$42.46 ,$193.00 ,$115.80 ,$42.46 ,$80.29 ,$44.78 ,$40.71 ,$50.18 ,$164.05 ,$50.71 ,$154.40 ,$54.04 ,$173.70 ,$193.00 ,$42.46 ,$162.12 ,$53.38 ,$53.38 ,$50.18 ,$125.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101383,84207,HC VITAMIN B6-90,301,1 ,$156.00 ,$101.40 ,$17.39 ,$156.00 ,$85.80 ,$93.60 ,$93.60 ,$40.56 ,$43.68 ,$79.25 ,$40.56 ,$91.73 ,$39.00 ,$124.80 ,$124.80 ,$40.56 ,$101.40 ,$65.21 ,$54.72 ,$70.25 ,$40.56 ,$156.00 ,$34.32 ,$117.00 ,$110.76 ,$110.76 ,$34.32 ,$110.76 ,$131.04 ,$131.04 ,$131.04 , N/A ,$140.40 ,$85.80 ,$132.60 ,$34.32 ,$156.00 ,$93.60 ,$34.32 ,$64.90 ,$19.13 ,$17.39 ,$40.56 ,$132.60 ,$53.39 ,$124.80 ,$43.68 ,$140.40 ,$156.00 ,$34.32 ,$131.04 ,$56.20 ,$56.20 ,$40.56 ,$101.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101384,84210,HC PYRUVATE-90,301,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$25.16 ,$36.20 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$19.13 ,$17.39 ,$13.52 ,$44.20 ,$27.51 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$28.96 ,$28.96 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101387,84244,HC RENIN-90,301,1 ,$85.00 ,$55.25 ,$18.70 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$43.18 ,$22.10 ,$49.98 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$42.77 ,$54.98 ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 ,$44.78 ,$40.71 ,$22.10 ,$72.25 ,$41.78 ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$43.98 ,$43.98 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101388,84255,HC SELENIUM-90,301,1 ,$16.00 ,$10.40 ,$3.52 ,$40.00 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$8.13 ,$4.16 ,$9.41 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$16.00 ,$40.00 ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 ,$19.13 ,$17.39 ,$4.16 ,$13.60 ,$30.40 ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$16.00 ,$16.00 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$229.00 ,$148.85 ,$17.39 ,$229.00 ,$125.95 ,$137.40 ,$137.40 ,$59.54 ,$64.12 ,$116.33 ,$59.54 ,$134.65 ,$57.25 ,$183.20 ,$183.20 ,$59.54 ,$148.85 ,$95.72 ,$39.00 ,$50.60 ,$59.54 ,$229.00 ,$50.38 ,$171.75 ,$162.59 ,$162.59 ,$50.38 ,$162.59 ,$192.36 ,$192.36 ,$192.36 , N/A ,$206.10 ,$125.95 ,$194.65 ,$50.38 ,$229.00 ,$137.40 ,$50.38 ,$95.26 ,$19.13 ,$17.39 ,$59.54 ,$194.65 ,$38.46 ,$183.20 ,$64.12 ,$206.10 ,$229.00 ,$50.38 ,$192.36 ,$40.48 ,$40.48 ,$59.54 ,$148.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$174.00 ,$113.10 ,$17.39 ,$174.00 ,$95.70 ,$104.40 ,$104.40 ,$45.24 ,$48.72 ,$88.39 ,$45.24 ,$102.31 ,$43.50 ,$139.20 ,$139.20 ,$45.24 ,$113.10 ,$72.73 ,$42.14 ,$54.33 ,$45.24 ,$174.00 ,$38.28 ,$130.50 ,$123.54 ,$123.54 ,$38.28 ,$123.54 ,$146.16 ,$146.16 ,$146.16 , N/A ,$156.60 ,$95.70 ,$147.90 ,$38.28 ,$174.00 ,$104.40 ,$38.28 ,$72.38 ,$19.13 ,$17.39 ,$45.24 ,$147.90 ,$41.29 ,$139.20 ,$48.72 ,$156.60 ,$174.00 ,$38.28 ,$146.16 ,$43.46 ,$43.46 ,$45.24 ,$113.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101392,84260,HC SEROTONIN-90,301,1 ,$595.00 ,$386.75 ,$40.71 ,$595.00 ,$327.25 ,$357.00 ,$357.00 ,$154.70 ,$166.60 ,$231.70 ,$154.70 ,$283.16 ,$148.75 ,$476.00 ,$476.00 ,$154.70 ,$386.75 ,$248.71 ,$60.39 ,$77.45 ,$154.70 ,$595.00 ,$130.90 ,$446.25 ,$422.45 ,$422.45 ,$130.90 ,$422.45 ,$499.80 ,$499.80 ,$499.80 , N/A ,$535.50 ,$327.25 ,$505.75 ,$130.90 ,$595.00 ,$357.00 ,$130.90 ,$247.52 ,$44.78 ,$40.71 ,$154.70 ,$505.75 ,$58.86 ,$476.00 ,$166.60 ,$535.50 ,$595.00 ,$130.90 ,$499.80 ,$61.96 ,$61.96 ,$154.70 ,$386.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101394,84300,HC SODIUM URINE-90,301,1 ,$52.00 ,$33.80 ,$7.74 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$9.44 ,$12.65 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$9.61 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$10.12 ,$10.12 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$16.00 ,$10.40 ,$3.52 ,$16.00 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$8.13 ,$4.16 ,$9.41 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$9.44 ,$12.15 ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 ,$8.51 ,$7.74 ,$4.16 ,$13.60 ,$9.23 ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$9.72 ,$9.72 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101396,84305,HC SOMATOMEDIN-90,301,1 ,$127.00 ,$82.55 ,$27.94 ,$127.00 ,$69.85 ,$76.20 ,$76.20 ,$33.02 ,$35.56 ,$64.52 ,$33.02 ,$74.68 ,$31.75 ,$101.60 ,$101.60 ,$33.02 ,$82.55 ,$53.09 ,$41.52 ,$53.15 ,$33.02 ,$127.00 ,$27.94 ,$95.25 ,$90.17 ,$90.17 ,$27.94 ,$90.17 ,$106.68 ,$106.68 ,$106.68 , N/A ,$114.30 ,$69.85 ,$107.95 ,$27.94 ,$127.00 ,$76.20 ,$27.94 ,$52.83 ,$44.78 ,$40.71 ,$33.02 ,$107.95 ,$40.39 ,$101.60 ,$35.56 ,$114.30 ,$127.00 ,$27.94 ,$106.68 ,$42.52 ,$42.52 ,$33.02 ,$82.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$28.00 ,$18.20 ,$6.16 ,$28.00 ,$15.40 ,$16.80 ,$16.80 ,$7.28 ,$7.84 ,$14.22 ,$7.28 ,$16.46 ,$7.00 ,$22.40 ,$22.40 ,$7.28 ,$18.20 ,$11.70 ,$13.84 ,$20.25 ,$7.28 ,$28.00 ,$6.16 ,$21.00 ,$19.88 ,$19.88 ,$6.16 ,$19.88 ,$23.52 ,$23.52 ,$23.52 , N/A ,$25.20 ,$15.40 ,$23.80 ,$6.16 ,$28.00 ,$16.80 ,$6.16 ,$11.65 ,$19.13 ,$17.39 ,$7.28 ,$23.80 ,$15.39 ,$22.40 ,$7.84 ,$25.20 ,$28.00 ,$6.16 ,$23.52 ,$16.20 ,$16.20 ,$7.28 ,$18.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101405,84392,HC SULFATE URINE-90,301,1 ,$52.00 ,$33.80 ,$6.21 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$9.44 ,$13.73 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$6.83 ,$6.21 ,$13.52 ,$44.20 ,$10.43 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$10.98 ,$10.98 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$99.00 ,$64.35 ,$21.78 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$49.69 ,$63.68 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$44.78 ,$40.71 ,$25.74 ,$84.15 ,$48.39 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$50.94 ,$50.94 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$184.00 ,$119.60 ,$40.48 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$50.32 ,$64.53 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$44.78 ,$40.71 ,$47.84 ,$156.40 ,$49.04 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$51.62 ,$51.62 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101408,84425,HC VITAMIN B1-90,301,1 ,$277.00 ,$180.05 ,$17.39 ,$277.00 ,$152.35 ,$166.20 ,$166.20 ,$72.02 ,$77.56 ,$140.72 ,$72.02 ,$162.88 ,$69.25 ,$221.60 ,$221.60 ,$72.02 ,$180.05 ,$115.79 ,$40.89 ,$53.08 ,$72.02 ,$277.00 ,$60.94 ,$207.75 ,$196.67 ,$196.67 ,$60.94 ,$196.67 ,$232.68 ,$232.68 ,$232.68 , N/A ,$249.30 ,$152.35 ,$235.45 ,$60.94 ,$277.00 ,$166.20 ,$60.94 ,$115.23 ,$19.13 ,$17.39 ,$72.02 ,$235.45 ,$40.34 ,$221.60 ,$77.56 ,$249.30 ,$277.00 ,$60.94 ,$232.68 ,$42.46 ,$42.46 ,$72.02 ,$180.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101410,84432,HC THYROGLOBULIN-90,301,1 ,$53.00 ,$34.45 ,$11.66 ,$53.00 ,$29.15 ,$31.80 ,$31.80 ,$13.78 ,$14.84 ,$26.92 ,$13.78 ,$31.16 ,$13.25 ,$42.40 ,$42.40 ,$13.78 ,$34.45 ,$22.15 ,$31.45 ,$40.15 ,$13.78 ,$53.00 ,$11.66 ,$39.75 ,$37.63 ,$37.63 ,$11.66 ,$37.63 ,$44.52 ,$44.52 ,$44.52 , N/A ,$47.70 ,$29.15 ,$45.05 ,$11.66 ,$53.00 ,$31.80 ,$11.66 ,$22.05 ,$44.78 ,$40.71 ,$13.78 ,$45.05 ,$30.51 ,$42.40 ,$14.84 ,$47.70 ,$53.00 ,$11.66 ,$44.52 ,$32.12 ,$32.12 ,$13.78 ,$34.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101413,84439,HC T4 FREE-90,301,1 ,$48.00 ,$31.20 ,$10.56 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$17.61 ,$22.55 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$25.75 ,$23.41 ,$12.48 ,$40.80 ,$17.14 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$18.04 ,$18.04 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$18.00 ,$11.70 ,$3.96 ,$36.95 ,$9.90 ,$10.80 ,$10.80 ,$4.68 ,$5.04 ,$9.14 ,$4.68 ,$10.58 ,$4.50 ,$14.40 ,$14.40 ,$4.68 ,$11.70 ,$7.52 ,$18.00 ,$36.95 ,$4.68 ,$18.00 ,$3.96 ,$13.50 ,$12.78 ,$12.78 ,$3.96 ,$12.78 ,$15.12 ,$15.12 ,$15.12 , N/A ,$16.20 ,$9.90 ,$15.30 ,$3.96 ,$18.00 ,$10.80 ,$3.96 ,$7.49 ,$25.75 ,$23.41 ,$4.68 ,$15.30 ,$28.08 ,$14.40 ,$5.04 ,$16.20 ,$18.00 ,$3.96 ,$15.12 ,$18.00 ,$18.00 ,$4.68 ,$11.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$61.00 ,$39.65 ,$13.42 ,$127.15 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$30.99 ,$15.86 ,$35.87 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$39.65 ,$25.50 ,$61.00 ,$127.15 ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 ,$44.78 ,$40.71 ,$15.86 ,$51.85 ,$96.63 ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$61.00 ,$61.00 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101418,84446,HC VITAMIN E-90,301,1 ,$46.00 ,$29.90 ,$10.12 ,$46.00 ,$25.30 ,$27.60 ,$27.60 ,$11.96 ,$12.88 ,$23.37 ,$11.96 ,$27.05 ,$11.50 ,$36.80 ,$36.80 ,$11.96 ,$29.90 ,$19.23 ,$27.68 ,$35.45 ,$11.96 ,$46.00 ,$10.12 ,$34.50 ,$32.66 ,$32.66 ,$10.12 ,$32.66 ,$38.64 ,$38.64 ,$38.64 , N/A ,$41.40 ,$25.30 ,$39.10 ,$10.12 ,$46.00 ,$27.60 ,$10.12 ,$19.14 ,$19.13 ,$17.39 ,$11.96 ,$39.10 ,$26.94 ,$36.80 ,$12.88 ,$41.40 ,$46.00 ,$10.12 ,$38.64 ,$28.36 ,$28.36 ,$11.96 ,$29.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101419,84460,HC ALT-90,301,1 ,$37.00 ,$24.05 ,$7.74 ,$37.00 ,$20.35 ,$22.20 ,$22.20 ,$9.62 ,$10.36 ,$18.80 ,$9.62 ,$21.76 ,$9.25 ,$29.60 ,$29.60 ,$9.62 ,$24.05 ,$15.47 ,$10.06 ,$13.25 ,$9.62 ,$37.00 ,$8.14 ,$27.75 ,$26.27 ,$26.27 ,$8.14 ,$26.27 ,$31.08 ,$31.08 ,$31.08 , N/A ,$33.30 ,$20.35 ,$31.45 ,$8.14 ,$37.00 ,$22.20 ,$8.14 ,$15.39 ,$8.51 ,$7.74 ,$9.62 ,$31.45 ,$10.07 ,$29.60 ,$10.36 ,$33.30 ,$37.00 ,$8.14 ,$31.08 ,$10.60 ,$10.60 ,$9.62 ,$24.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101420,84466,HC TRANSFERRIN-90,301,1 ,$153.00 ,$99.45 ,$17.39 ,$153.00 ,$84.15 ,$91.80 ,$91.80 ,$39.78 ,$42.84 ,$77.72 ,$39.78 ,$89.96 ,$38.25 ,$122.40 ,$122.40 ,$39.78 ,$99.45 ,$63.95 ,$24.53 ,$31.90 ,$39.78 ,$153.00 ,$33.66 ,$114.75 ,$108.63 ,$108.63 ,$33.66 ,$108.63 ,$128.52 ,$128.52 ,$128.52 , N/A ,$137.70 ,$84.15 ,$130.05 ,$33.66 ,$153.00 ,$91.80 ,$33.66 ,$63.65 ,$19.13 ,$17.39 ,$39.78 ,$130.05 ,$24.24 ,$122.40 ,$42.84 ,$137.70 ,$153.00 ,$33.66 ,$128.52 ,$25.52 ,$25.52 ,$39.78 ,$99.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101422,84479,HC T3 UPTAKE-90,301,1 ,$113.00 ,$73.45 ,$12.29 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$48.37 ,$29.38 ,$59.11 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$12.58 ,$16.18 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$25.75 ,$23.41 ,$29.38 ,$96.05 ,$12.29 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$12.94 ,$12.94 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101423,84480,HC T3 TOTAL-90,301,1 ,$127.00 ,$82.55 ,$23.41 ,$127.00 ,$69.85 ,$76.20 ,$76.20 ,$33.02 ,$35.56 ,$64.52 ,$33.02 ,$74.68 ,$31.75 ,$101.60 ,$101.60 ,$33.02 ,$82.55 ,$53.09 ,$27.68 ,$35.45 ,$33.02 ,$127.00 ,$27.94 ,$95.25 ,$90.17 ,$90.17 ,$27.94 ,$90.17 ,$106.68 ,$106.68 ,$106.68 , N/A ,$114.30 ,$69.85 ,$107.95 ,$27.94 ,$127.00 ,$76.20 ,$27.94 ,$52.83 ,$25.75 ,$23.41 ,$33.02 ,$107.95 ,$26.94 ,$101.60 ,$35.56 ,$114.30 ,$127.00 ,$27.94 ,$106.68 ,$28.36 ,$28.36 ,$33.02 ,$82.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101425,84482,HC T3 REVERSE-90,301,1 ,$254.00 ,$165.10 ,$23.41 ,$254.00 ,$139.70 ,$152.40 ,$152.40 ,$66.04 ,$71.12 ,$117.90 ,$66.04 ,$144.08 ,$63.50 ,$203.20 ,$203.20 ,$66.04 ,$165.10 ,$106.17 ,$30.82 ,$39.40 ,$66.04 ,$254.00 ,$55.88 ,$190.50 ,$180.34 ,$180.34 ,$55.88 ,$180.34 ,$213.36 ,$213.36 ,$213.36 , N/A ,$228.60 ,$139.70 ,$215.90 ,$55.88 ,$254.00 ,$152.40 ,$55.88 ,$105.66 ,$25.75 ,$23.41 ,$66.04 ,$215.90 ,$29.94 ,$203.20 ,$71.12 ,$228.60 ,$254.00 ,$55.88 ,$213.36 ,$31.52 ,$31.52 ,$66.04 ,$165.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$52.00 ,$33.80 ,$7.74 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$9.44 ,$12.70 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$8.51 ,$7.74 ,$13.52 ,$44.20 ,$9.65 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$10.16 ,$10.16 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$100.00 ,$65.00 ,$22.00 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$30.19 ,$38.75 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$44.78 ,$40.71 ,$26.00 ,$85.00 ,$29.45 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$31.00 ,$31.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$252.00 ,$163.80 ,$40.71 ,$252.00 ,$138.60 ,$151.20 ,$151.20 ,$65.52 ,$70.56 ,$128.02 ,$65.52 ,$148.18 ,$63.00 ,$201.60 ,$201.60 ,$65.52 ,$163.80 ,$105.34 ,$68.56 ,$88.33 ,$65.52 ,$252.00 ,$55.44 ,$189.00 ,$178.92 ,$178.92 ,$55.44 ,$178.92 ,$211.68 ,$211.68 ,$211.68 , N/A ,$226.80 ,$138.60 ,$214.20 ,$55.44 ,$252.00 ,$151.20 ,$55.44 ,$104.83 ,$44.78 ,$40.71 ,$65.52 ,$214.20 ,$67.13 ,$201.60 ,$70.56 ,$226.80 ,$252.00 ,$55.44 ,$211.68 ,$70.66 ,$70.66 ,$65.52 ,$163.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101438,84590,HC VITAMIN A-90,301,1 ,$209.00 ,$135.85 ,$17.39 ,$209.00 ,$114.95 ,$125.40 ,$125.40 ,$54.34 ,$58.52 ,$86.77 ,$54.34 ,$106.04 ,$52.25 ,$167.20 ,$167.20 ,$54.34 ,$135.85 ,$87.36 ,$22.64 ,$29.03 ,$54.34 ,$209.00 ,$45.98 ,$156.75 ,$148.39 ,$148.39 ,$45.98 ,$148.39 ,$175.56 ,$175.56 ,$175.56 , N/A ,$188.10 ,$114.95 ,$177.65 ,$45.98 ,$209.00 ,$125.40 ,$45.98 ,$86.94 ,$19.13 ,$17.39 ,$54.34 ,$177.65 ,$22.06 ,$167.20 ,$58.52 ,$188.10 ,$209.00 ,$45.98 ,$175.56 ,$23.22 ,$23.22 ,$54.34 ,$135.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101439,84591,HC VITAMIN A OTHER-90,301,1 ,$40.00 ,$26.00 ,$8.80 ,$42.65 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$20.32 ,$10.40 ,$23.52 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$26.00 ,$16.72 ,$29.56 ,$42.65 ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 ,$21.97 ,$19.97 ,$10.40 ,$34.00 ,$32.41 ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$34.12 ,$34.12 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101440,84597,HC VITAMIN K-90,301,1 ,$94.00 ,$61.10 ,$17.39 ,$94.00 ,$51.70 ,$56.40 ,$56.40 ,$24.44 ,$26.32 ,$47.75 ,$24.44 ,$55.27 ,$23.50 ,$75.20 ,$75.20 ,$24.44 ,$61.10 ,$39.29 ,$26.42 ,$34.30 ,$24.44 ,$94.00 ,$20.68 ,$70.50 ,$66.74 ,$66.74 ,$20.68 ,$66.74 ,$78.96 ,$78.96 ,$78.96 , N/A ,$84.60 ,$51.70 ,$79.90 ,$20.68 ,$94.00 ,$56.40 ,$20.68 ,$39.10 ,$19.13 ,$17.39 ,$24.44 ,$79.90 ,$26.07 ,$75.20 ,$26.32 ,$84.60 ,$94.00 ,$20.68 ,$78.96 ,$27.44 ,$27.44 ,$24.44 ,$61.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101441,84600,HC VOLATILES-90,301,1 ,$63.00 ,$40.95 ,$13.86 ,$63.00 ,$34.65 ,$37.80 ,$37.80 ,$16.38 ,$17.64 ,$32.00 ,$16.38 ,$37.04 ,$15.75 ,$50.40 ,$50.40 ,$16.38 ,$40.95 ,$26.33 ,$31.45 ,$42.78 ,$16.38 ,$63.00 ,$13.86 ,$47.25 ,$44.73 ,$44.73 ,$13.86 ,$44.73 ,$52.92 ,$52.92 ,$52.92 , N/A ,$56.70 ,$34.65 ,$53.55 ,$13.86 ,$63.00 ,$37.80 ,$13.86 ,$26.21 ,$19.13 ,$17.39 ,$16.38 ,$53.55 ,$32.51 ,$50.40 ,$17.64 ,$56.70 ,$63.00 ,$13.86 ,$52.92 ,$34.22 ,$34.22 ,$16.38 ,$40.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101442,84630,HC ZINC-90,301,1 ,$104.00 ,$67.60 ,$21.21 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$22.02 ,$28.48 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$23.33 ,$21.21 ,$27.04 ,$88.40 ,$21.64 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$22.78 ,$22.78 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101443,84681,HC C PEPTIDE-90,301,1 ,$305.00 ,$198.25 ,$17.39 ,$305.00 ,$167.75 ,$183.00 ,$183.00 ,$79.30 ,$85.40 ,$154.94 ,$79.30 ,$179.34 ,$76.25 ,$244.00 ,$244.00 ,$79.30 ,$198.25 ,$127.49 ,$40.26 ,$52.03 ,$79.30 ,$305.00 ,$67.10 ,$228.75 ,$216.55 ,$216.55 ,$67.10 ,$216.55 ,$256.20 ,$256.20 ,$256.20 , N/A ,$274.50 ,$167.75 ,$259.25 ,$67.10 ,$305.00 ,$183.00 ,$67.10 ,$126.88 ,$19.13 ,$17.39 ,$79.30 ,$259.25 ,$39.54 ,$244.00 ,$85.40 ,$274.50 ,$305.00 ,$67.10 ,$256.20 ,$41.62 ,$41.62 ,$79.30 ,$198.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101444,84702,HC HCG QN-90,301,1 ,$208.00 ,$135.20 ,$23.41 ,$208.00 ,$114.40 ,$124.80 ,$124.80 ,$54.08 ,$58.24 ,$105.66 ,$54.08 ,$122.30 ,$52.00 ,$166.40 ,$166.40 ,$54.08 ,$135.20 ,$86.94 ,$28.93 ,$37.63 ,$54.08 ,$208.00 ,$45.76 ,$156.00 ,$147.68 ,$147.68 ,$45.76 ,$147.68 ,$174.72 ,$174.72 ,$174.72 , N/A ,$187.20 ,$114.40 ,$176.80 ,$45.76 ,$208.00 ,$124.80 ,$45.76 ,$86.53 ,$25.75 ,$23.41 ,$54.08 ,$176.80 ,$28.60 ,$166.40 ,$58.24 ,$187.20 ,$208.00 ,$45.76 ,$174.72 ,$30.10 ,$30.10 ,$54.08 ,$135.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101452,G0480,HC DRUG SCRN DEFINT 1-7 CLASS T3,301,1 ,$241.00 ,$156.65 ,$32.62 ,$286.08 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$32.62 ,$62.66 ,$39.87 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$200.03 ,$286.08 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$51.50 ,$46.82 ,$62.66 ,$204.85 ,$217.42 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$228.86 ,$228.86 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101455,G0480,HC DRUG SCRN DEFNT 1-7 CLS T1-90,301,1 ,$241.00 ,$156.65 ,$32.62 ,$286.08 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$32.62 ,$62.66 ,$39.87 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$200.03 ,$286.08 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$51.50 ,$46.82 ,$62.66 ,$204.85 ,$217.42 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$228.86 ,$228.86 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101456,G0480,HC DRUG SCRN DEFNT 1-7 CLS T2-90,301,1 ,$241.00 ,$156.65 ,$32.62 ,$286.08 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$32.62 ,$62.66 ,$39.87 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$200.03 ,$286.08 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$51.50 ,$46.82 ,$62.66 ,$204.85 ,$217.42 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$228.86 ,$228.86 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101457,G0480,HC DRUG SCRN DEFNT 1-7 CLS T3-90,301,1 ,$241.00 ,$156.65 ,$32.62 ,$286.08 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$32.62 ,$62.66 ,$39.87 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$200.03 ,$286.08 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$51.50 ,$46.82 ,$62.66 ,$204.85 ,$217.42 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$228.86 ,$228.86 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101458,G0480,HC DRUG SCRN DEFNT 1-7 CLS T4-90,301,1 ,$241.00 ,$156.65 ,$32.62 ,$286.08 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$32.62 ,$62.66 ,$39.87 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$200.03 ,$286.08 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$51.50 ,$46.82 ,$62.66 ,$204.85 ,$217.42 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$228.86 ,$228.86 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101463,G0483,HC DRUG SCRN DEFINT 22+ CLASS-90,301,1 ,$246.00 ,$159.90 ,$32.62 ,$615.00 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$32.62 ,$63.96 ,$39.87 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$159.90 ,$102.83 ,$246.00 ,$615.00 ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$246.00 ,$147.60 ,$54.12 ,$102.34 ,$51.50 ,$46.82 ,$63.96 ,$209.10 ,$467.40 ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$246.00 ,$246.00 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101464,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$53.00 ,$34.45 ,$7.55 ,$53.00 ,$29.15 ,$31.80 ,$31.80 ,$13.78 ,$14.84 ,$26.92 ,$13.78 ,$31.16 ,$13.25 ,$42.40 ,$42.40 ,$13.78 ,$34.45 ,$22.15 ,$7.55 ,$10.58 ,$13.78 ,$53.00 ,$11.66 ,$39.75 ,$37.63 ,$37.63 ,$11.66 ,$37.63 ,$44.52 ,$44.52 ,$44.52 , N/A ,$47.70 ,$29.15 ,$45.05 ,$11.66 ,$53.00 ,$31.80 ,$11.66 ,$22.05 ,$8.51 ,$7.74 ,$13.78 ,$45.05 ,$8.04 ,$42.40 ,$14.84 ,$47.70 ,$53.00 ,$11.66 ,$44.52 ,$8.46 ,$8.46 ,$13.78 ,$34.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$297.00 ,$193.05 ,$17.39 ,$297.00 ,$163.35 ,$178.20 ,$178.20 ,$77.22 ,$83.16 ,$128.52 ,$77.22 ,$157.07 ,$74.25 ,$237.60 ,$237.60 ,$77.22 ,$193.05 ,$124.15 ,$37.11 ,$53.03 ,$77.22 ,$297.00 ,$65.34 ,$222.75 ,$210.87 ,$210.87 ,$65.34 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$163.35 ,$252.45 ,$65.34 ,$297.00 ,$178.20 ,$65.34 ,$123.55 ,$19.13 ,$17.39 ,$77.22 ,$252.45 ,$40.30 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$65.34 ,$249.48 ,$42.42 ,$42.42 ,$77.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101473,80339,HC ANTIEPILIPTICS NOS 1-3 -90,301,1 ,$137.00 ,$89.05 ,$30.14 ,$137.00 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 , N/A ,$35.62 , N/A ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$89.05 ,$57.27 ,$93.16 , N/A ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$51.50 ,$46.82 ,$35.62 ,$116.45 , N/A ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 , N/A , N/A ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101476,82610,HC CYSTATIN C -90,301,1 ,$140.00 ,$91.00 ,$17.39 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$71.12 ,$36.40 ,$82.32 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$32.08 ,$46.30 ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 ,$19.13 ,$17.39 ,$36.40 ,$119.00 ,$35.19 ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$37.04 ,$37.04 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101509,82330,HC CALCIUM IONIZED STAT -90,301,1 ,$53.00 ,$34.45 ,$11.66 ,$53.00 ,$29.15 ,$31.80 ,$31.80 ,$13.78 ,$14.84 ,$26.92 ,$13.78 ,$31.16 ,$13.25 ,$42.40 ,$42.40 ,$13.78 ,$34.45 ,$22.15 ,$26.42 ,$34.20 ,$13.78 ,$53.00 ,$11.66 ,$39.75 ,$37.63 ,$37.63 ,$11.66 ,$37.63 ,$44.52 ,$44.52 ,$44.52 , N/A ,$47.70 ,$29.15 ,$45.05 ,$11.66 ,$53.00 ,$31.80 ,$11.66 ,$22.05 ,$19.13 ,$17.39 ,$13.78 ,$45.05 ,$25.99 ,$42.40 ,$14.84 ,$47.70 ,$53.00 ,$11.66 ,$44.52 ,$27.36 ,$27.36 ,$13.78 ,$34.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101511,80345,HC BARBITURATE -90,301,1 ,$44.00 ,$28.60 ,$9.68 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 , N/A ,$11.44 , N/A ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$29.92 , N/A ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$19.13 ,$17.39 ,$11.44 ,$37.40 , N/A ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 , N/A , N/A ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101512,80324,HC AMPHETAMINE 1-2 -90,301,1 ,$44.00 ,$28.60 ,$9.68 ,$51.50 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 , N/A ,$11.44 , N/A ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$29.92 , N/A ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$51.50 ,$46.82 ,$11.44 ,$37.40 , N/A ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 , N/A , N/A ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101516,80321,HC ALCOHOL BIOMARKERS 1-2 - 90,301,1 ,$193.00 ,$125.45 ,$42.46 ,$193.00 ,$106.15 ,$115.80 ,$115.80 ,$50.18 ,$54.04 , N/A ,$50.18 , N/A ,$48.25 ,$154.40 ,$154.40 ,$50.18 ,$125.45 ,$80.67 ,$131.24 , N/A ,$50.18 ,$193.00 ,$42.46 ,$144.75 ,$137.03 ,$137.03 ,$42.46 ,$137.03 ,$162.12 ,$162.12 ,$162.12 , N/A ,$173.70 ,$106.15 ,$164.05 ,$42.46 ,$193.00 ,$115.80 ,$42.46 ,$80.29 ,$51.50 ,$46.82 ,$50.18 ,$164.05 , N/A ,$154.40 ,$54.04 ,$173.70 ,$193.00 ,$42.46 ,$162.12 , N/A , N/A ,$50.18 ,$125.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$19.00 ,$12.35 ,$4.18 ,$46.93 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.65 ,$4.94 ,$11.17 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$19.00 ,$46.93 ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 ,$19.13 ,$17.39 ,$4.94 ,$16.15 ,$35.66 ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$19.00 ,$19.00 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101536,84443,HC THYROID STIMULATING HORM-90,301,1 ,$21.00 ,$13.65 ,$4.62 ,$42.00 ,$11.55 ,$12.60 ,$12.60 ,$5.46 ,$5.88 ,$10.67 ,$5.46 ,$12.35 ,$5.25 ,$16.80 ,$16.80 ,$5.46 ,$13.65 ,$8.78 ,$21.00 ,$42.00 ,$5.46 ,$21.00 ,$4.62 ,$15.75 ,$14.91 ,$14.91 ,$4.62 ,$14.91 ,$17.64 ,$17.64 ,$17.64 , N/A ,$18.90 ,$11.55 ,$17.85 ,$4.62 ,$21.00 ,$12.60 ,$4.62 ,$8.74 ,$25.75 ,$23.41 ,$5.46 ,$17.85 ,$31.92 ,$16.80 ,$5.88 ,$18.90 ,$21.00 ,$4.62 ,$17.64 ,$21.00 ,$21.00 ,$5.46 ,$13.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101538,83491,HC CORTICOSTEROIDS 17D -90,301,1 ,$57.00 ,$37.05 ,$12.54 ,$57.00 ,$31.35 ,$34.20 ,$34.20 ,$14.82 ,$15.96 ,$28.96 ,$14.82 ,$33.52 ,$14.25 ,$45.60 ,$45.60 ,$14.82 ,$37.05 ,$23.83 ,$33.97 ,$44.75 ,$14.82 ,$57.00 ,$12.54 ,$42.75 ,$40.47 ,$40.47 ,$12.54 ,$40.47 ,$47.88 ,$47.88 ,$47.88 , N/A ,$51.30 ,$31.35 ,$48.45 ,$12.54 ,$57.00 ,$34.20 ,$12.54 ,$23.71 ,$44.78 ,$40.71 ,$14.82 ,$48.45 ,$34.01 ,$45.60 ,$15.96 ,$51.30 ,$57.00 ,$12.54 ,$47.88 ,$35.80 ,$35.80 ,$14.82 ,$37.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101540,84163,HC PLASMA PROTEIN-A PREGNANCY ASSOCIATED-90,301,1 ,$142.00 ,$92.30 ,$17.39 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$72.14 ,$36.92 ,$83.50 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$92.30 ,$59.36 ,$28.93 ,$37.63 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$19.13 ,$17.39 ,$36.92 ,$120.70 ,$28.60 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$30.10 ,$30.10 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101542,80047,HC BASIC METABOLIC PANEL IONIZED CALCIUM,301,1 ,$108.00 ,$70.20 ,$15.86 ,$108.00 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$54.86 ,$28.08 ,$63.50 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$70.20 ,$45.14 ,$23.90 ,$34.33 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$17.45 ,$15.86 ,$28.08 ,$91.80 ,$26.09 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$27.46 ,$27.46 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101543,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$600.00 ,$390.00 ,$15.86 ,$600.00 ,$330.00 ,$360.00 ,$360.00 ,$156.00 ,$168.00 ,$304.80 ,$156.00 ,$352.80 ,$150.00 ,$480.00 ,$480.00 ,$156.00 ,$390.00 ,$250.80 ,$92.47 ,$119.08 ,$156.00 ,$600.00 ,$132.00 ,$450.00 ,$426.00 ,$426.00 ,$132.00 ,$426.00 ,$504.00 ,$504.00 ,$504.00 , N/A ,$540.00 ,$330.00 ,$510.00 ,$132.00 ,$600.00 ,$360.00 ,$132.00 ,$249.60 ,$17.45 ,$15.86 ,$156.00 ,$510.00 ,$90.50 ,$480.00 ,$168.00 ,$540.00 ,$600.00 ,$132.00 ,$504.00 ,$95.26 ,$95.26 ,$156.00 ,$390.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101545,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$138.00 ,$89.70 ,$19.97 ,$138.00 ,$75.90 ,$82.80 ,$82.80 ,$35.88 ,$38.64 ,$70.10 ,$35.88 ,$81.14 ,$34.50 ,$110.40 ,$110.40 ,$35.88 ,$89.70 ,$57.68 ,$28.31 ,$36.43 ,$35.88 ,$138.00 ,$30.36 ,$103.50 ,$97.98 ,$97.98 ,$30.36 ,$97.98 ,$115.92 ,$115.92 ,$115.92 , N/A ,$124.20 ,$75.90 ,$117.30 ,$30.36 ,$138.00 ,$82.80 ,$30.36 ,$57.41 ,$21.97 ,$19.97 ,$35.88 ,$117.30 ,$27.68 ,$110.40 ,$38.64 ,$124.20 ,$138.00 ,$30.36 ,$115.92 ,$29.14 ,$29.14 ,$35.88 ,$89.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101546,80164,HC VALPROCIC ACID,301,1 ,$160.00 ,$104.00 ,$19.97 ,$160.00 ,$88.00 ,$96.00 ,$96.00 ,$41.60 ,$44.80 ,$81.28 ,$41.60 ,$94.08 ,$40.00 ,$128.00 ,$128.00 ,$41.60 ,$104.00 ,$66.88 ,$26.42 ,$33.85 ,$41.60 ,$160.00 ,$35.20 ,$120.00 ,$113.60 ,$113.60 ,$35.20 ,$113.60 ,$134.40 ,$134.40 ,$134.40 , N/A ,$144.00 ,$88.00 ,$136.00 ,$35.20 ,$160.00 ,$96.00 ,$35.20 ,$66.56 ,$21.97 ,$19.97 ,$41.60 ,$136.00 ,$25.73 ,$128.00 ,$44.80 ,$144.00 ,$160.00 ,$35.20 ,$134.40 ,$27.08 ,$27.08 ,$41.60 ,$104.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101547,80170,HC GENTAMICIN,301,1 ,$217.00 ,$141.05 ,$19.97 ,$217.00 ,$119.35 ,$130.20 ,$130.20 ,$56.42 ,$60.76 ,$110.24 ,$56.42 ,$127.60 ,$54.25 ,$173.60 ,$173.60 ,$56.42 ,$141.05 ,$90.71 ,$32.08 ,$40.95 ,$56.42 ,$217.00 ,$47.74 ,$162.75 ,$154.07 ,$154.07 ,$47.74 ,$154.07 ,$182.28 ,$182.28 ,$182.28 , N/A ,$195.30 ,$119.35 ,$184.45 ,$47.74 ,$217.00 ,$130.20 ,$47.74 ,$90.27 ,$21.97 ,$19.97 ,$56.42 ,$184.45 ,$31.12 ,$173.60 ,$60.76 ,$195.30 ,$217.00 ,$47.74 ,$182.28 ,$32.76 ,$32.76 ,$56.42 ,$141.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101548,80178,HC LITHIUM,301,1 ,$111.00 ,$72.15 ,$12.56 ,$111.00 ,$61.05 ,$66.60 ,$66.60 ,$28.86 ,$31.08 ,$56.39 ,$28.86 ,$65.27 ,$27.75 ,$88.80 ,$88.80 ,$28.86 ,$72.15 ,$46.40 ,$12.58 ,$16.53 ,$28.86 ,$111.00 ,$24.42 ,$83.25 ,$78.81 ,$78.81 ,$24.42 ,$78.81 ,$93.24 ,$93.24 ,$93.24 , N/A ,$99.90 ,$61.05 ,$94.35 ,$24.42 ,$111.00 ,$66.60 ,$24.42 ,$46.18 ,$21.97 ,$19.97 ,$28.86 ,$94.35 ,$12.56 ,$88.80 ,$31.08 ,$99.90 ,$111.00 ,$24.42 ,$93.24 ,$13.22 ,$13.22 ,$28.86 ,$72.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101549,80184,HC PHENOBARBITAL,301,1 ,$156.00 ,$101.40 ,$19.97 ,$156.00 ,$85.80 ,$93.60 ,$93.60 ,$40.56 ,$43.68 ,$79.25 ,$40.56 ,$91.73 ,$39.00 ,$124.80 ,$124.80 ,$40.56 ,$101.40 ,$65.21 ,$26.42 ,$38.25 ,$40.56 ,$156.00 ,$34.32 ,$117.00 ,$110.76 ,$110.76 ,$34.32 ,$110.76 ,$131.04 ,$131.04 ,$131.04 , N/A ,$140.40 ,$85.80 ,$132.60 ,$34.32 ,$156.00 ,$93.60 ,$34.32 ,$64.90 ,$21.97 ,$19.97 ,$40.56 ,$132.60 ,$29.07 ,$124.80 ,$43.68 ,$140.40 ,$156.00 ,$34.32 ,$131.04 ,$30.60 ,$30.60 ,$40.56 ,$101.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101551,80198,HC THEOPHYLLINE,301,1 ,$99.00 ,$64.35 ,$19.97 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$27.68 ,$35.35 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$21.97 ,$19.97 ,$25.74 ,$84.15 ,$26.87 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$28.28 ,$28.28 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101552,80200,HC TOBRAMYCIN,301,1 ,$145.00 ,$94.25 ,$19.97 ,$145.00 ,$79.75 ,$87.00 ,$87.00 ,$37.70 ,$40.60 ,$73.66 ,$37.70 ,$85.26 ,$36.25 ,$116.00 ,$116.00 ,$37.70 ,$94.25 ,$60.61 ,$31.45 ,$40.33 ,$37.70 ,$145.00 ,$31.90 ,$108.75 ,$102.95 ,$102.95 ,$31.90 ,$102.95 ,$121.80 ,$121.80 ,$121.80 , N/A ,$130.50 ,$79.75 ,$123.25 ,$31.90 ,$145.00 ,$87.00 ,$31.90 ,$60.32 ,$21.97 ,$19.97 ,$37.70 ,$123.25 ,$30.65 ,$116.00 ,$40.60 ,$130.50 ,$145.00 ,$31.90 ,$121.80 ,$32.26 ,$32.26 ,$37.70 ,$94.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,$605.00 ,$393.25 ,$32.62 ,$605.00 ,$332.75 ,$363.00 ,$363.00 ,$157.30 ,$169.40 ,$32.62 ,$157.30 ,$39.87 ,$363.00 ,$484.00 ,$484.00 , N/A ,$393.25 , N/A ,$198.80 ,$423.50 ,$157.30 ,$605.00 ,$133.10 ,$453.75 ,$429.55 ,$429.55 , N/A ,$429.55 ,$508.20 ,$508.20 ,$508.20 , N/A ,$544.50 ,$332.75 ,$514.25 ,$133.10 ,$605.00 ,$363.00 ,$133.10 ,$251.68 ,$67.90 ,$61.73 ,$157.30 ,$514.25 ,$363.00 ,$484.00 ,$169.40 ,$544.50 ,$605.00 ,$133.10 ,$508.20 ,$302.50 ,$302.50 ,$157.30 ,$393.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101556,82042,HC ALBUMIN OTHER SOURCE,301,1 ,$53.00 ,$34.45 ,$7.74 ,$53.00 ,$29.15 ,$31.80 ,$31.80 ,$13.78 ,$14.84 ,$26.92 ,$13.78 ,$31.16 ,$13.25 ,$42.40 ,$42.40 ,$13.78 ,$34.45 ,$22.15 ,$13.84 ,$19.45 ,$13.78 ,$53.00 ,$11.66 ,$39.75 ,$37.63 ,$37.63 ,$11.66 ,$37.63 ,$44.52 ,$44.52 ,$44.52 , N/A ,$47.70 ,$29.15 ,$45.05 ,$11.66 ,$53.00 ,$31.80 ,$11.66 ,$22.05 ,$8.51 ,$7.74 ,$13.78 ,$45.05 ,$14.78 ,$42.40 ,$14.84 ,$47.70 ,$53.00 ,$11.66 ,$44.52 ,$15.56 ,$15.56 ,$13.78 ,$34.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101559,82150,HC AMYLASE,301,1 ,$159.00 ,$103.35 ,$12.31 ,$159.00 ,$87.45 ,$95.40 ,$95.40 ,$41.34 ,$44.52 ,$65.61 ,$41.34 ,$80.19 ,$39.75 ,$127.20 ,$127.20 ,$41.34 ,$103.35 ,$66.46 ,$12.58 ,$16.20 ,$41.34 ,$159.00 ,$34.98 ,$119.25 ,$112.89 ,$112.89 ,$34.98 ,$112.89 ,$133.56 ,$133.56 ,$133.56 , N/A ,$143.10 ,$87.45 ,$135.15 ,$34.98 ,$159.00 ,$95.40 ,$34.98 ,$66.14 ,$19.13 ,$17.39 ,$41.34 ,$135.15 ,$12.31 ,$127.20 ,$44.52 ,$143.10 ,$159.00 ,$34.98 ,$133.56 ,$12.96 ,$12.96 ,$41.34 ,$103.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101561,82247,HC BILIRUBIN TOTAL,301,1 ,$248.00 ,$161.20 ,$7.74 ,$248.00 ,$136.40 ,$148.80 ,$148.80 ,$64.48 ,$69.44 ,$50.79 ,$64.48 ,$62.08 ,$62.00 ,$198.40 ,$198.40 ,$64.48 ,$161.20 ,$103.66 ,$9.44 ,$12.55 ,$64.48 ,$248.00 ,$54.56 ,$186.00 ,$176.08 ,$176.08 ,$54.56 ,$176.08 ,$208.32 ,$208.32 ,$208.32 , N/A ,$223.20 ,$136.40 ,$210.80 ,$54.56 ,$248.00 ,$148.80 ,$54.56 ,$103.17 ,$8.51 ,$7.74 ,$64.48 ,$210.80 ,$9.54 ,$198.40 ,$69.44 ,$223.20 ,$248.00 ,$54.56 ,$208.32 ,$10.04 ,$10.04 ,$64.48 ,$161.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101564,82306,HC VITAMIN D 25 OH,301,1 ,$102.00 ,$66.30 ,$22.44 ,$102.00 ,$56.10 ,$61.20 ,$61.20 ,$26.52 ,$28.56 ,$51.82 ,$26.52 ,$59.98 ,$25.50 ,$81.60 ,$81.60 ,$26.52 ,$66.30 ,$42.64 ,$57.24 ,$74.00 ,$26.52 ,$102.00 ,$22.44 ,$76.50 ,$72.42 ,$72.42 ,$22.44 ,$72.42 ,$85.68 ,$85.68 ,$85.68 , N/A ,$91.80 ,$56.10 ,$86.70 ,$22.44 ,$102.00 ,$61.20 ,$22.44 ,$42.43 ,$51.50 ,$46.82 ,$26.52 ,$86.70 ,$56.24 ,$81.60 ,$28.56 ,$91.80 ,$102.00 ,$22.44 ,$85.68 ,$59.20 ,$59.20 ,$26.52 ,$66.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101565,82310,HC CALCIUM,301,1 ,$218.00 ,$141.70 ,$7.74 ,$218.00 ,$119.90 ,$130.80 ,$130.80 ,$56.68 ,$61.04 ,$52.29 ,$56.68 ,$63.90 ,$54.50 ,$174.40 ,$174.40 ,$56.68 ,$141.70 ,$91.12 ,$10.06 ,$12.90 ,$56.68 ,$218.00 ,$47.96 ,$163.50 ,$154.78 ,$154.78 ,$47.96 ,$154.78 ,$183.12 ,$183.12 ,$183.12 , N/A ,$196.20 ,$119.90 ,$185.30 ,$47.96 ,$218.00 ,$130.80 ,$47.96 ,$90.69 ,$8.51 ,$7.74 ,$56.68 ,$185.30 ,$9.80 ,$174.40 ,$61.04 ,$196.20 ,$218.00 ,$47.96 ,$183.12 ,$10.32 ,$10.32 ,$56.68 ,$141.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101566,82340,HC CALCIUM URINE QN TIMED,301,1 ,$221.00 ,$143.65 ,$11.46 ,$221.00 ,$121.55 ,$132.60 ,$132.60 ,$57.46 ,$61.88 ,$45.11 ,$57.46 ,$55.13 ,$55.25 ,$176.80 ,$176.80 ,$57.46 ,$143.65 ,$92.38 ,$11.95 ,$15.08 ,$57.46 ,$221.00 ,$48.62 ,$165.75 ,$156.91 ,$156.91 ,$48.62 ,$156.91 ,$185.64 ,$185.64 ,$185.64 , N/A ,$198.90 ,$121.55 ,$187.85 ,$48.62 ,$221.00 ,$132.60 ,$48.62 ,$91.94 ,$19.13 ,$17.39 ,$57.46 ,$187.85 ,$11.46 ,$176.80 ,$61.88 ,$198.90 ,$221.00 ,$48.62 ,$185.64 ,$12.06 ,$12.06 ,$57.46 ,$143.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101568,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$121.00 ,$78.65 ,$17.39 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$61.47 ,$31.46 ,$71.15 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$36.48 ,$47.40 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$19.13 ,$17.39 ,$31.46 ,$102.85 ,$36.02 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$37.92 ,$37.92 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101569,82436,HC CHLORIDE URINE,301,1 ,$223.00 ,$144.95 ,$7.74 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$37.65 ,$57.98 ,$46.02 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$10.06 ,$14.38 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$8.51 ,$7.74 ,$57.98 ,$189.55 ,$10.93 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$11.50 ,$11.50 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101570,82465,HC CHOLESTEROL,301,1 ,$104.00 ,$67.60 ,$7.74 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$44.08 ,$27.04 ,$53.87 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$8.18 ,$10.88 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$8.51 ,$7.74 ,$27.04 ,$88.40 ,$8.27 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$8.70 ,$8.70 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101571,82533,HC CORTISOL TOTAL,301,1 ,$266.00 ,$172.90 ,$30.97 ,$266.00 ,$146.30 ,$159.60 ,$159.60 ,$69.16 ,$74.48 ,$121.91 ,$69.16 ,$148.98 ,$66.50 ,$212.80 ,$212.80 ,$69.16 ,$172.90 ,$111.19 ,$31.45 ,$40.75 ,$69.16 ,$266.00 ,$58.52 ,$199.50 ,$188.86 ,$188.86 ,$58.52 ,$188.86 ,$223.44 ,$223.44 ,$223.44 , N/A ,$239.40 ,$146.30 ,$226.10 ,$58.52 ,$266.00 ,$159.60 ,$58.52 ,$110.66 ,$44.78 ,$40.71 ,$69.16 ,$226.10 ,$30.97 ,$212.80 ,$74.48 ,$239.40 ,$266.00 ,$58.52 ,$223.44 ,$32.60 ,$32.60 ,$69.16 ,$172.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101572,82570,HC CREATININE OTH SOURCE,301,1 ,$137.00 ,$89.05 ,$7.74 ,$137.00 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 ,$52.38 ,$35.62 ,$64.01 ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$89.05 ,$57.27 ,$10.06 ,$12.95 ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$8.51 ,$7.74 ,$35.62 ,$116.45 ,$9.84 ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 ,$10.36 ,$10.36 ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101581,82945,HC GLUCOSE BODY FLUID,301,1 ,$309.00 ,$200.85 ,$7.47 ,$309.00 ,$169.95 ,$185.40 ,$185.40 ,$80.34 ,$86.52 ,$39.80 ,$80.34 ,$48.64 ,$77.25 ,$247.20 ,$247.20 ,$80.34 ,$200.85 ,$129.16 ,$7.55 ,$9.83 ,$80.34 ,$309.00 ,$67.98 ,$231.75 ,$219.39 ,$219.39 ,$67.98 ,$219.39 ,$259.56 ,$259.56 ,$259.56 , N/A ,$278.10 ,$169.95 ,$262.65 ,$67.98 ,$309.00 ,$185.40 ,$67.98 ,$128.54 ,$8.51 ,$7.74 ,$80.34 ,$262.65 ,$7.47 ,$247.20 ,$86.52 ,$278.10 ,$309.00 ,$67.98 ,$259.56 ,$7.86 ,$7.86 ,$80.34 ,$200.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101584,82977,HC GGT / GGTP,301,1 ,$349.00 ,$226.85 ,$7.74 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$72.88 ,$90.74 ,$89.07 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$226.85 ,$145.88 ,$13.84 ,$18.00 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$8.51 ,$7.74 ,$90.74 ,$296.65 ,$13.68 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$14.40 ,$14.40 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101585,83001,HC FSH,301,1 ,$384.00 ,$249.60 ,$35.30 ,$384.00 ,$211.20 ,$230.40 ,$230.40 ,$99.84 ,$107.52 ,$188.17 ,$99.84 ,$225.79 ,$96.00 ,$307.20 ,$307.20 ,$99.84 ,$249.60 ,$160.51 ,$35.85 ,$46.45 ,$99.84 ,$384.00 ,$84.48 ,$288.00 ,$272.64 ,$272.64 ,$84.48 ,$272.64 ,$322.56 ,$322.56 ,$322.56 , N/A ,$345.60 ,$211.20 ,$326.40 ,$84.48 ,$384.00 ,$230.40 ,$84.48 ,$159.74 ,$44.78 ,$40.71 ,$99.84 ,$326.40 ,$35.30 ,$307.20 ,$107.52 ,$345.60 ,$384.00 ,$84.48 ,$322.56 ,$37.16 ,$37.16 ,$99.84 ,$249.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101586,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$140.00 ,$91.00 ,$30.80 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$71.12 ,$36.40 ,$82.32 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$35.85 ,$46.30 ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 ,$44.78 ,$40.71 ,$36.40 ,$119.00 ,$35.19 ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$37.04 ,$37.04 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101587,83010,HC HAPTOGLOBIN,301,1 ,$44.00 ,$28.60 ,$9.68 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 ,$22.35 ,$11.44 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$24.53 ,$31.45 ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$19.13 ,$17.39 ,$11.44 ,$37.40 ,$23.90 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 ,$25.16 ,$25.16 ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101594,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$163.00 ,$105.95 ,$7.74 ,$163.00 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$45.11 ,$42.38 ,$55.13 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$105.95 ,$68.13 ,$11.95 ,$15.10 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$8.51 ,$7.74 ,$42.38 ,$138.55 ,$11.48 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$12.08 ,$12.08 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101595,83690,HC LIPASE,301,1 ,$161.00 ,$104.65 ,$7.74 ,$161.00 ,$88.55 ,$96.60 ,$96.60 ,$41.86 ,$45.08 ,$51.54 ,$41.86 ,$62.99 ,$40.25 ,$128.80 ,$128.80 ,$41.86 ,$104.65 ,$67.30 ,$13.21 ,$17.23 ,$41.86 ,$161.00 ,$35.42 ,$120.75 ,$114.31 ,$114.31 ,$35.42 ,$114.31 ,$135.24 ,$135.24 ,$135.24 , N/A ,$144.90 ,$88.55 ,$136.85 ,$35.42 ,$161.00 ,$96.60 ,$35.42 ,$66.98 ,$8.51 ,$7.74 ,$41.86 ,$136.85 ,$13.09 ,$128.80 ,$45.08 ,$144.90 ,$161.00 ,$35.42 ,$135.24 ,$13.78 ,$13.78 ,$41.86 ,$104.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101598,83930,HC OSMOLALITY BLOOD,301,1 ,$202.00 ,$131.30 ,$7.74 ,$202.00 ,$111.10 ,$121.20 ,$121.20 ,$52.52 ,$56.56 ,$49.40 ,$52.52 ,$60.37 ,$50.50 ,$161.60 ,$161.60 ,$52.52 ,$131.30 ,$84.44 ,$12.58 ,$16.53 ,$52.52 ,$202.00 ,$44.44 ,$151.50 ,$143.42 ,$143.42 ,$44.44 ,$143.42 ,$169.68 ,$169.68 ,$169.68 , N/A ,$181.80 ,$111.10 ,$171.70 ,$44.44 ,$202.00 ,$121.20 ,$44.44 ,$84.03 ,$8.51 ,$7.74 ,$52.52 ,$171.70 ,$12.56 ,$161.60 ,$56.56 ,$181.80 ,$202.00 ,$44.44 ,$169.68 ,$13.22 ,$13.22 ,$52.52 ,$131.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101599,83935,HC OSMOLALITY URINE,301,1 ,$159.00 ,$103.35 ,$7.74 ,$159.00 ,$87.45 ,$95.40 ,$95.40 ,$41.34 ,$44.52 ,$50.98 ,$41.34 ,$62.30 ,$39.75 ,$127.20 ,$127.20 ,$41.34 ,$103.35 ,$66.46 ,$13.21 ,$17.05 ,$41.34 ,$159.00 ,$34.98 ,$119.25 ,$112.89 ,$112.89 ,$34.98 ,$112.89 ,$133.56 ,$133.56 ,$133.56 , N/A ,$143.10 ,$87.45 ,$135.15 ,$34.98 ,$159.00 ,$95.40 ,$34.98 ,$66.14 ,$8.51 ,$7.74 ,$41.34 ,$135.15 ,$12.96 ,$127.20 ,$44.52 ,$143.10 ,$159.00 ,$34.98 ,$133.56 ,$13.64 ,$13.64 ,$41.34 ,$103.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101600,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$47.00 ,$30.55 ,$10.34 ,$103.20 ,$25.85 ,$28.20 ,$28.20 ,$12.22 ,$13.16 ,$23.88 ,$12.22 ,$27.64 ,$11.75 ,$37.60 ,$37.60 ,$12.22 ,$30.55 ,$19.65 ,$47.00 ,$103.20 ,$12.22 ,$47.00 ,$10.34 ,$35.25 ,$33.37 ,$33.37 ,$10.34 ,$33.37 ,$39.48 ,$39.48 ,$39.48 , N/A ,$42.30 ,$25.85 ,$39.95 ,$10.34 ,$47.00 ,$28.20 ,$10.34 ,$19.55 ,$44.78 ,$40.71 ,$12.22 ,$39.95 ,$78.43 ,$37.60 ,$13.16 ,$42.30 ,$47.00 ,$10.34 ,$39.48 ,$47.00 ,$47.00 ,$12.22 ,$30.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101601,84075,HC ALKALINE PHOSPHATASE,301,1 ,$83.00 ,$53.95 ,$7.74 ,$83.00 ,$45.65 ,$49.80 ,$49.80 ,$21.58 ,$23.24 ,$42.16 ,$21.58 ,$48.80 ,$20.75 ,$66.40 ,$66.40 ,$21.58 ,$53.95 ,$34.69 ,$10.06 ,$12.95 ,$21.58 ,$83.00 ,$18.26 ,$62.25 ,$58.93 ,$58.93 ,$18.26 ,$58.93 ,$69.72 ,$69.72 ,$69.72 , N/A ,$74.70 ,$45.65 ,$70.55 ,$18.26 ,$83.00 ,$49.80 ,$18.26 ,$34.53 ,$8.51 ,$7.74 ,$21.58 ,$70.55 ,$9.84 ,$66.40 ,$23.24 ,$74.70 ,$83.00 ,$18.26 ,$69.72 ,$10.36 ,$10.36 ,$21.58 ,$53.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101602,84105,HC PHOSPHORUS UR,301,1 ,$192.00 ,$124.80 ,$7.74 ,$192.00 ,$105.60 ,$115.20 ,$115.20 ,$49.92 ,$53.76 ,$38.68 ,$49.92 ,$47.27 ,$48.00 ,$153.60 ,$153.60 ,$49.92 ,$124.80 ,$80.26 ,$10.06 ,$14.45 ,$49.92 ,$192.00 ,$42.24 ,$144.00 ,$136.32 ,$136.32 ,$42.24 ,$136.32 ,$161.28 ,$161.28 ,$161.28 , N/A ,$172.80 ,$105.60 ,$163.20 ,$42.24 ,$192.00 ,$115.20 ,$42.24 ,$79.87 ,$8.51 ,$7.74 ,$49.92 ,$163.20 ,$10.98 ,$153.60 ,$53.76 ,$172.80 ,$192.00 ,$42.24 ,$161.28 ,$11.56 ,$11.56 ,$49.92 ,$124.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101604,84133,HC POTASSIUM UR,301,1 ,$137.00 ,$89.05 ,$7.74 ,$137.00 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 ,$32.25 ,$35.62 ,$39.41 ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$89.05 ,$57.27 ,$8.18 ,$11.83 ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$8.51 ,$7.74 ,$35.62 ,$116.45 ,$8.99 ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 ,$9.46 ,$9.46 ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101608,84146,HC PROLACTIN,301,1 ,$162.00 ,$105.30 ,$35.64 ,$162.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$37.74 ,$48.45 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$44.78 ,$40.71 ,$42.12 ,$137.70 ,$36.82 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$38.76 ,$38.76 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101609,84153,HC PSA TOTAL,301,1 ,$47.00 ,$30.55 ,$10.34 ,$47.00 ,$25.85 ,$28.20 ,$28.20 ,$12.22 ,$13.16 ,$23.88 ,$12.22 ,$27.64 ,$11.75 ,$37.60 ,$37.60 ,$12.22 ,$30.55 ,$19.65 ,$35.85 ,$45.98 ,$12.22 ,$47.00 ,$10.34 ,$35.25 ,$33.37 ,$33.37 ,$10.34 ,$33.37 ,$39.48 ,$39.48 ,$39.48 , N/A ,$42.30 ,$25.85 ,$39.95 ,$10.34 ,$47.00 ,$28.20 ,$10.34 ,$19.55 ,$19.13 ,$17.39 ,$12.22 ,$39.95 ,$34.94 ,$37.60 ,$13.16 ,$42.30 ,$47.00 ,$10.34 ,$39.48 ,$36.78 ,$36.78 ,$12.22 ,$30.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101610,84154,HC PSA FREE,301,1 ,$159.00 ,$103.35 ,$17.39 ,$159.00 ,$87.45 ,$95.40 ,$95.40 ,$41.34 ,$44.52 ,$80.77 ,$41.34 ,$93.49 ,$39.75 ,$127.20 ,$127.20 ,$41.34 ,$103.35 ,$66.46 ,$35.85 ,$45.98 ,$41.34 ,$159.00 ,$34.98 ,$119.25 ,$112.89 ,$112.89 ,$34.98 ,$112.89 ,$133.56 ,$133.56 ,$133.56 , N/A ,$143.10 ,$87.45 ,$135.15 ,$34.98 ,$159.00 ,$95.40 ,$34.98 ,$66.14 ,$19.13 ,$17.39 ,$41.34 ,$135.15 ,$34.94 ,$127.20 ,$44.52 ,$143.10 ,$159.00 ,$34.98 ,$133.56 ,$36.78 ,$36.78 ,$41.34 ,$103.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101613,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$338.00 ,$219.70 ,$6.92 ,$338.00 ,$185.90 ,$202.80 ,$202.80 ,$87.88 ,$94.64 ,$37.19 ,$87.88 ,$45.45 ,$84.50 ,$270.40 ,$270.40 ,$87.88 ,$219.70 ,$141.28 ,$6.92 ,$10.00 ,$87.88 ,$338.00 ,$74.36 ,$253.50 ,$239.98 ,$239.98 ,$74.36 ,$239.98 ,$283.92 ,$283.92 ,$283.92 , N/A ,$304.20 ,$185.90 ,$287.30 ,$74.36 ,$338.00 ,$202.80 ,$74.36 ,$140.61 ,$8.51 ,$7.74 ,$87.88 ,$287.30 ,$7.60 ,$270.40 ,$94.64 ,$304.20 ,$338.00 ,$74.36 ,$283.92 ,$8.00 ,$8.00 ,$87.88 ,$219.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101617,84300,HC SODIUM URINE,301,1 ,$244.00 ,$158.60 ,$7.74 ,$244.00 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$36.35 ,$63.44 ,$44.42 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$158.60 ,$101.99 ,$9.44 ,$12.65 ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 ,$8.51 ,$7.74 ,$63.44 ,$207.40 ,$9.61 ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$10.12 ,$10.12 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101618,84302,HC SODIUM OTHER FLUID,301,1 ,$66.00 ,$42.90 ,$7.74 ,$66.00 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$33.53 ,$17.16 ,$38.81 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$42.90 ,$27.59 ,$9.44 ,$12.15 ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.46 ,$8.51 ,$7.74 ,$17.16 ,$56.10 ,$9.23 ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 ,$9.72 ,$9.72 ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101621,84450,HC AST,301,1 ,$182.00 ,$118.30 ,$7.74 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$52.38 ,$47.32 ,$64.01 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$10.06 ,$12.95 ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 ,$8.51 ,$7.74 ,$47.32 ,$154.70 ,$9.84 ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$10.36 ,$10.36 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101625,84481,HC T3 FREE,301,1 ,$113.00 ,$73.45 ,$23.41 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$32.71 ,$42.35 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$25.75 ,$23.41 ,$29.38 ,$96.05 ,$32.19 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$33.88 ,$33.88 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101626,84520,HC BUN,301,1 ,$47.00 ,$30.55 ,$3.95 ,$47.00 ,$25.85 ,$28.20 ,$28.20 ,$12.22 ,$13.16 ,$23.88 ,$12.22 ,$27.64 ,$11.75 ,$37.60 ,$37.60 ,$12.22 ,$30.55 ,$19.65 ,$7.55 ,$9.88 ,$12.22 ,$47.00 ,$10.34 ,$35.25 ,$33.37 ,$33.37 ,$10.34 ,$33.37 ,$39.48 ,$39.48 ,$39.48 , N/A ,$42.30 ,$25.85 ,$39.95 ,$10.34 ,$3.95 ,$28.20 ,$10.34 ,$19.55 ,$8.51 ,$7.74 ,$12.22 ,$39.95 ,$7.51 ,$37.60 ,$13.16 ,$42.30 ,$47.00 ,$10.34 ,$39.48 ,$7.90 ,$7.90 ,$12.22 ,$30.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101627,84540,HC UREA URINE,301,1 ,$68.00 ,$44.20 ,$7.74 ,$68.00 ,$37.40 ,$40.80 ,$40.80 ,$17.68 ,$19.04 ,$34.54 ,$17.68 ,$39.98 ,$17.00 ,$54.40 ,$54.40 ,$17.68 ,$44.20 ,$28.42 ,$9.44 ,$13.90 ,$17.68 ,$68.00 ,$14.96 ,$51.00 ,$48.28 ,$48.28 ,$14.96 ,$48.28 ,$57.12 ,$57.12 ,$57.12 , N/A ,$61.20 ,$37.40 ,$57.80 ,$14.96 ,$68.00 ,$40.80 ,$14.96 ,$28.29 ,$8.51 ,$7.74 ,$17.68 ,$57.80 ,$10.56 ,$54.40 ,$19.04 ,$61.20 ,$68.00 ,$14.96 ,$57.12 ,$11.12 ,$11.12 ,$17.68 ,$44.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101628,84560,HC URIC ACID OTH SRC,301,1 ,$217.00 ,$141.05 ,$7.74 ,$217.00 ,$119.35 ,$130.20 ,$130.20 ,$56.42 ,$60.76 ,$35.51 ,$56.42 ,$43.40 ,$54.25 ,$173.60 ,$173.60 ,$56.42 ,$141.05 ,$90.71 ,$9.44 ,$12.70 ,$56.42 ,$217.00 ,$47.74 ,$162.75 ,$154.07 ,$154.07 ,$47.74 ,$154.07 ,$182.28 ,$182.28 ,$182.28 , N/A ,$195.30 ,$119.35 ,$184.45 ,$47.74 ,$217.00 ,$130.20 ,$47.74 ,$90.27 ,$8.51 ,$7.74 ,$56.42 ,$184.45 ,$9.65 ,$173.60 ,$60.76 ,$195.30 ,$217.00 ,$47.74 ,$182.28 ,$10.16 ,$10.16 ,$56.42 ,$141.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101636,83735,HC MAGNESIUM,301,1 ,$192.00 ,$124.80 ,$7.74 ,$192.00 ,$105.60 ,$115.20 ,$115.20 ,$49.92 ,$53.76 ,$67.85 ,$49.92 ,$82.92 ,$48.00 ,$153.60 ,$153.60 ,$49.92 ,$124.80 ,$80.26 ,$13.21 ,$16.75 ,$49.92 ,$192.00 ,$42.24 ,$144.00 ,$136.32 ,$136.32 ,$42.24 ,$136.32 ,$161.28 ,$161.28 ,$161.28 , N/A ,$172.80 ,$105.60 ,$163.20 ,$42.24 ,$192.00 ,$115.20 ,$42.24 ,$79.87 ,$8.51 ,$7.74 ,$49.92 ,$163.20 ,$12.73 ,$153.60 ,$53.76 ,$172.80 ,$192.00 ,$42.24 ,$161.28 ,$13.40 ,$13.40 ,$49.92 ,$124.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101638,84100,HC PHOSPHORUS,301,1 ,$127.00 ,$82.55 ,$7.74 ,$127.00 ,$69.85 ,$76.20 ,$76.20 ,$33.02 ,$35.56 ,$35.42 ,$33.02 ,$43.28 ,$31.75 ,$101.60 ,$101.60 ,$33.02 ,$82.55 ,$53.09 ,$9.44 ,$11.85 ,$33.02 ,$127.00 ,$27.94 ,$95.25 ,$90.17 ,$90.17 ,$27.94 ,$90.17 ,$106.68 ,$106.68 ,$106.68 , N/A ,$114.30 ,$69.85 ,$107.95 ,$27.94 ,$127.00 ,$76.20 ,$27.94 ,$52.83 ,$8.51 ,$7.74 ,$33.02 ,$107.95 ,$9.01 ,$101.60 ,$35.56 ,$114.30 ,$127.00 ,$27.94 ,$106.68 ,$9.48 ,$9.48 ,$33.02 ,$82.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101639,G0103,HC PSA ANNUAL SCREENING,301,1 ,$75.00 ,$48.75 ,$16.50 ,$75.00 ,$41.25 ,$45.00 ,$45.00 ,$19.50 ,$21.00 ,$38.10 ,$19.50 ,$44.10 ,$18.75 ,$60.00 ,$60.00 ,$19.50 ,$48.75 ,$31.35 ,$35.85 ,$48.28 ,$19.50 ,$75.00 ,$16.50 ,$56.25 ,$53.25 ,$53.25 ,$16.50 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$41.25 ,$63.75 ,$16.50 ,$75.00 ,$45.00 ,$16.50 ,$31.20 ,$19.13 ,$17.39 ,$19.50 ,$63.75 ,$36.69 ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$16.50 ,$63.00 ,$38.62 ,$38.62 ,$19.50 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101651,84150,HC PROSTAGLANDIN-90,301,1 ,$113.00 ,$73.45 ,$24.86 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$72.97 ,$104.43 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$44.78 ,$40.71 ,$29.38 ,$96.05 ,$79.36 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$83.54 ,$83.54 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101652,83698,HC LIPOPROTEIN ASSOC PHOSPHOLIPASE A2-90,301,1 ,$182.00 ,$118.30 ,$40.04 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$92.46 ,$47.32 ,$107.02 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$80.51 ,$115.78 ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 ,$51.50 ,$46.82 ,$47.32 ,$154.70 ,$87.99 ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$92.62 ,$92.62 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101656,83036,HC HEALTH FAIR HEMOGLOBIN A1C,301,1 ,$10.00 ,$6.50 ,$2.20 ,$24.28 ,$5.50 ,$6.00 ,$6.00 ,$2.60 ,$2.80 ,$5.08 ,$2.60 ,$5.88 ,$2.50 ,$8.00 ,$8.00 ,$2.60 ,$6.50 ,$4.18 ,$10.00 ,$24.28 ,$2.60 ,$10.00 ,$2.20 ,$7.50 ,$7.10 ,$7.10 ,$2.20 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$5.50 ,$8.50 ,$2.20 ,$10.00 ,$6.00 ,$2.20 ,$4.16 ,$19.13 ,$17.39 ,$2.60 ,$8.50 ,$18.45 ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$2.20 ,$8.40 ,$10.00 ,$10.00 ,$2.60 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101657,N/A,HC HEALTH FAIR TOTAL PSA SCREEN,301,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.31 ,$3.90 ,$8.42 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$7.50 ,$7.50 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101658,N/A,HC HEALTH FAIR VITAMIN D 25-OH,301,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.31 ,$3.90 ,$8.42 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$7.50 ,$7.50 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101659,84443,HC HEALTH FAIR TSH,301,1 ,$15.00 ,$9.75 ,$3.30 ,$37.50 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.62 ,$3.90 ,$8.82 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$15.00 ,$37.50 ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 ,$25.75 ,$23.41 ,$3.90 ,$12.75 ,$28.50 ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$15.00 ,$15.00 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101660,N/A,HC HEALTH FAIR LAB PANEL,301,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$21.92 ,$11.70 ,$25.25 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$30.60 , N/A ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 , N/A , N/A ,$11.70 ,$38.25 , N/A ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$22.50 ,$22.50 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101661,80061,HC HEALTH FAIR LIPID W/CALC LDL,301,1 ,$15.00 ,$9.75 ,$3.30 ,$33.48 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.62 ,$3.90 ,$8.82 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$15.00 ,$33.48 ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 ,$17.45 ,$15.86 ,$3.90 ,$12.75 ,$25.44 ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$15.00 ,$15.00 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101662,N/A,HC HEALTH FAIR OCCULT BLOOD FECAL SCREEN,301,1 ,$15.00 ,$9.75 ,$3.30 ,$15.00 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.31 ,$3.90 ,$8.42 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$10.20 , N/A ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 , N/A , N/A ,$3.90 ,$12.75 , N/A ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$7.50 ,$7.50 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101685,80235,HC LACOSAMIDE -90,301,1 ,$134.00 ,$87.10 ,$19.97 ,$134.00 ,$73.70 ,$80.40 ,$80.40 ,$34.84 ,$37.52 ,$65.26 ,$34.84 ,$75.17 ,$33.50 ,$107.20 ,$107.20 ,$34.84 ,$87.10 ,$56.01 ,$91.12 ,$67.78 ,$34.84 ,$134.00 ,$29.48 ,$100.50 ,$95.14 ,$95.14 ,$29.48 ,$95.14 ,$112.56 ,$112.56 ,$112.56 , N/A ,$120.60 ,$73.70 ,$113.90 ,$29.48 ,$134.00 ,$80.40 ,$29.48 ,$55.74 ,$21.97 ,$19.97 ,$34.84 ,$113.90 ,$51.51 ,$107.20 ,$37.52 ,$120.60 ,$134.00 ,$29.48 ,$112.56 ,$54.22 ,$54.22 ,$34.84 ,$87.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101739,80280,HC DRUG ASSAY VEDOLIZUMAB-90,301,1 ,$300.00 ,$195.00 ,$19.97 ,$300.00 ,$165.00 ,$180.00 ,$180.00 ,$78.00 ,$84.00 ,$146.10 ,$78.00 ,$168.30 ,$75.00 ,$240.00 ,$240.00 ,$78.00 ,$195.00 ,$125.40 ,$204.00 ,$96.43 ,$78.00 ,$300.00 ,$66.00 ,$225.00 ,$213.00 ,$213.00 ,$66.00 ,$213.00 ,$252.00 ,$252.00 ,$252.00 , N/A ,$270.00 ,$165.00 ,$255.00 ,$66.00 ,$300.00 ,$180.00 ,$66.00 ,$124.80 ,$21.97 ,$19.97 ,$78.00 ,$255.00 ,$73.28 ,$240.00 ,$84.00 ,$270.00 ,$300.00 ,$66.00 ,$252.00 ,$77.14 ,$77.14 ,$78.00 ,$195.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$169.00 ,$109.85 ,$17.39 ,$169.00 ,$92.95 ,$101.40 ,$101.40 ,$43.94 ,$47.32 ,$82.30 ,$43.94 ,$94.81 ,$42.25 ,$135.20 ,$135.20 ,$43.94 ,$109.85 ,$70.64 ,$114.92 ,$43.18 ,$43.94 ,$169.00 ,$37.18 ,$126.75 ,$119.99 ,$119.99 ,$37.18 ,$119.99 ,$141.96 ,$141.96 ,$141.96 , N/A ,$152.10 ,$92.95 ,$143.65 ,$37.18 ,$169.00 ,$101.40 ,$37.18 ,$70.30 ,$19.13 ,$17.39 ,$43.94 ,$143.65 ,$32.81 ,$135.20 ,$47.32 ,$152.10 ,$169.00 ,$37.18 ,$141.96 ,$34.54 ,$34.54 ,$43.94 ,$109.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30101771,82653,HC EL-1 FECAL QUANTITATIVE-90,301,1 ,$323.00 ,$209.95 ,$17.39 ,$323.00 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$157.30 ,$83.98 ,$181.20 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$209.95 ,$135.01 ,$219.64 ,$57.43 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$19.13 ,$17.39 ,$83.98 ,$274.55 ,$43.64 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$45.94 ,$45.94 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$140.00 ,$91.00 ,$9.84 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$52.38 ,$36.40 ,$64.01 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$10.06 ,$12.95 ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 ,$17.14 ,$15.58 ,$36.40 ,$119.00 ,$9.84 ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$10.36 ,$10.36 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200200,86580,HC SKIN TEST TB INTRADERMAL,302,1 ,$331.00 ,$215.15 ,$10.35 ,$331.00 ,$182.05 ,$198.60 ,$198.60 ,$86.06 ,$92.68 ,$101.87 ,$86.06 ,$124.49 ,$82.75 ,$264.80 ,$264.80 ,$86.06 ,$10.35 ,$138.36 ,$15.16 ,$63.08 ,$86.06 ,$331.00 ,$72.82 ,$248.25 ,$235.01 ,$235.01 ,$72.82 ,$235.01 ,$278.04 ,$278.04 ,$278.04 , N/A ,$297.90 ,$182.05 ,$281.35 ,$72.82 ,$331.00 ,$198.60 ,$72.82 ,$137.70 ,$17.14 ,$15.58 ,$86.06 ,$281.35 ,$47.94 ,$264.80 ,$92.68 ,$297.90 ,$331.00 ,$72.82 ,$278.04 ,$49.34 ,$49.34 ,$86.06 ,$215.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200251,86677,HC H PYLORI AB,302,1 ,$99.00 ,$64.35 ,$21.78 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$29.56 ,$42.13 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$29.54 ,$26.85 ,$25.74 ,$84.15 ,$32.02 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$33.70 ,$33.70 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200270,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$243.00 ,$157.95 ,$15.58 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$123.44 ,$63.18 ,$142.88 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$157.95 ,$101.57 ,$26.42 ,$34.28 ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 ,$17.14 ,$15.58 ,$63.18 ,$206.55 ,$26.05 ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$27.42 ,$27.42 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200559,86850,HC AB SCREEN,302,1 ,$200.00 ,$130.00 ,$15.58 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$59.18 ,$52.00 ,$72.33 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$16.98 ,$126.88 ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 ,$17.14 ,$15.58 ,$52.00 ,$170.00 ,$96.43 ,$160.00 ,$56.00 ,$180.00 ,$200.00 ,$44.00 ,$168.00 ,$19.54 ,$19.54 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200560,86860,HC ELUTION,302,1 ,$104.00 ,$67.60 ,$15.58 ,$380.80 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$52.83 ,$27.04 ,$61.15 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$57.24 ,$380.80 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$17.14 ,$15.58 ,$27.04 ,$88.40 ,$289.41 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$104.00 ,$104.00 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200562,86880,HC COOMBS DIRECT,302,1 ,$106.00 ,$68.90 ,$10.69 ,$142.13 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$40.26 ,$27.56 ,$49.20 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$10.69 ,$142.13 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$17.14 ,$15.58 ,$27.56 ,$90.10 ,$108.02 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$10.78 ,$10.78 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$16.00 ,$10.40 ,$3.52 ,$287.90 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$8.13 ,$4.16 ,$9.41 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$5.66 ,$287.90 ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 ,$10.62 ,$9.65 ,$4.16 ,$13.60 ,$218.80 ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$5.98 ,$5.98 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200566,86901,HC BLOOD TYPING RH,302,1 ,$104.00 ,$67.60 ,$5.66 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$22.37 ,$27.04 ,$27.34 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$5.66 ,$86.43 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$10.62 ,$9.65 ,$27.04 ,$88.40 ,$65.68 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$5.98 ,$5.98 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200567,86902,HC RBC AG SCR RGT SERUM,302,1 ,$124.00 ,$80.60 ,$9.65 ,$743.63 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$38.49 ,$32.24 ,$47.04 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$11.32 ,$743.63 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$10.62 ,$9.65 ,$32.24 ,$105.40 ,$565.16 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$12.70 ,$12.70 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$296.00 ,$192.40 ,$7.55 ,$743.63 ,$162.80 ,$177.60 ,$177.60 ,$76.96 ,$82.88 ,$28.61 ,$76.96 ,$34.97 ,$74.00 ,$236.80 ,$236.80 ,$76.96 ,$192.40 ,$123.73 ,$7.55 ,$743.63 ,$76.96 ,$296.00 ,$65.12 ,$222.00 ,$210.16 ,$210.16 ,$65.12 ,$210.16 ,$248.64 ,$248.64 ,$248.64 , N/A ,$266.40 ,$162.80 ,$251.60 ,$65.12 ,$296.00 ,$177.60 ,$65.12 ,$123.14 ,$10.62 ,$9.65 ,$76.96 ,$251.60 ,$565.16 ,$236.80 ,$82.88 ,$266.40 ,$296.00 ,$65.12 ,$248.64 ,$7.66 ,$7.66 ,$76.96 ,$192.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$99.00 ,$64.35 ,$9.65 ,$380.80 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$63.53 ,$380.80 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$10.62 ,$9.65 ,$25.74 ,$84.15 ,$289.41 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$99.00 ,$99.00 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200570,86921,HC CROSSMATCH INCUBATION,302,1 ,$316.00 ,$205.40 ,$9.65 ,$380.80 ,$173.80 ,$189.60 ,$189.60 ,$82.16 ,$88.48 ,$160.53 ,$82.16 ,$185.81 ,$79.00 ,$252.80 ,$252.80 ,$82.16 ,$205.40 ,$132.09 ,$57.24 ,$380.80 ,$82.16 ,$316.00 ,$69.52 ,$237.00 ,$224.36 ,$224.36 ,$69.52 ,$224.36 ,$265.44 ,$265.44 ,$265.44 , N/A ,$284.40 ,$173.80 ,$268.60 ,$69.52 ,$316.00 ,$189.60 ,$69.52 ,$131.46 ,$10.62 ,$9.65 ,$82.16 ,$268.60 ,$289.41 ,$252.80 ,$88.48 ,$284.40 ,$316.00 ,$69.52 ,$265.44 ,$298.32 ,$298.32 ,$82.16 ,$205.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200571,86922,HC CROSSMATCH AHG,302,1 ,$194.00 ,$126.10 ,$42.68 ,$380.80 ,$106.70 ,$116.40 ,$116.40 ,$50.44 ,$54.32 ,$98.55 ,$50.44 ,$114.07 ,$48.50 ,$155.20 ,$155.20 ,$50.44 ,$126.10 ,$81.09 ,$67.93 ,$380.80 ,$50.44 ,$194.00 ,$42.68 ,$145.50 ,$137.74 ,$137.74 ,$42.68 ,$137.74 ,$162.96 ,$162.96 ,$162.96 , N/A ,$174.60 ,$106.70 ,$164.90 ,$42.68 ,$194.00 ,$116.40 ,$42.68 ,$80.70 ,$69.16 ,$62.87 ,$50.44 ,$164.90 ,$289.41 ,$155.20 ,$54.32 ,$174.60 ,$194.00 ,$42.68 ,$162.96 ,$194.00 ,$194.00 ,$50.44 ,$126.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200573,86978,HC RBC PRETREAT ABSOR,302,1 ,$125.00 ,$81.25 ,$9.65 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$63.53 ,$86.43 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$10.62 ,$9.65 ,$32.50 ,$106.25 ,$65.68 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$67.68 ,$67.68 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200843,86000,HC AGGLUTININS FEBRILE EA AG-90,302,1 ,$26.00 ,$16.90 ,$5.72 ,$26.00 ,$14.30 ,$15.60 ,$15.60 ,$6.76 ,$7.28 ,$13.21 ,$6.76 ,$15.29 ,$6.50 ,$20.80 ,$20.80 ,$6.76 ,$16.90 ,$10.87 ,$13.84 ,$17.45 ,$6.76 ,$26.00 ,$5.72 ,$19.50 ,$18.46 ,$18.46 ,$5.72 ,$18.46 ,$21.84 ,$21.84 ,$21.84 , N/A ,$23.40 ,$14.30 ,$22.10 ,$5.72 ,$26.00 ,$15.60 ,$5.72 ,$10.82 ,$17.14 ,$15.58 ,$6.76 ,$22.10 ,$13.26 ,$20.80 ,$7.28 ,$23.40 ,$26.00 ,$5.72 ,$21.84 ,$13.96 ,$13.96 ,$6.76 ,$16.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$117.00 ,$76.05 ,$13.84 ,$117.00 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$47.35 ,$30.42 ,$57.86 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$76.05 ,$48.91 ,$13.84 ,$19.55 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$17.14 ,$15.58 ,$30.42 ,$99.45 ,$14.86 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$15.64 ,$15.64 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$55.00 ,$35.75 ,$9.92 ,$55.00 ,$30.25 ,$33.00 ,$33.00 ,$14.30 ,$15.40 ,$27.94 ,$14.30 ,$32.34 ,$13.75 ,$44.00 ,$44.00 ,$14.30 ,$35.75 ,$22.99 ,$10.06 ,$13.05 ,$14.30 ,$55.00 ,$12.10 ,$41.25 ,$39.05 ,$39.05 ,$12.10 ,$39.05 ,$46.20 ,$46.20 ,$46.20 , N/A ,$49.50 ,$30.25 ,$46.75 ,$12.10 ,$55.00 ,$33.00 ,$12.10 ,$22.88 ,$17.14 ,$15.58 ,$14.30 ,$46.75 ,$9.92 ,$44.00 ,$15.40 ,$49.50 ,$55.00 ,$12.10 ,$46.20 ,$10.44 ,$10.44 ,$14.30 ,$35.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200847,86021,HC LEUKO AB ID-90,302,1 ,$125.00 ,$81.25 ,$15.58 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$28.93 ,$37.63 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$17.14 ,$15.58 ,$32.50 ,$106.25 ,$28.60 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$30.10 ,$30.10 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200851,86022,HC PLATELET AB ID-90,302,1 ,$145.00 ,$94.25 ,$15.58 ,$145.00 ,$79.75 ,$87.00 ,$87.00 ,$37.70 ,$40.60 ,$73.66 ,$37.70 ,$85.26 ,$36.25 ,$116.00 ,$116.00 ,$37.70 ,$94.25 ,$60.61 ,$35.85 ,$45.93 ,$37.70 ,$145.00 ,$31.90 ,$108.75 ,$102.95 ,$102.95 ,$31.90 ,$102.95 ,$121.80 ,$121.80 ,$121.80 , N/A ,$130.50 ,$79.75 ,$123.25 ,$31.90 ,$145.00 ,$87.00 ,$31.90 ,$60.32 ,$17.14 ,$15.58 ,$37.70 ,$123.25 ,$34.90 ,$116.00 ,$40.60 ,$130.50 ,$145.00 ,$31.90 ,$121.80 ,$36.74 ,$36.74 ,$37.70 ,$94.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200858,86038,HC ANA SCREEN-90,302,1 ,$197.00 ,$128.05 ,$15.58 ,$197.00 ,$108.35 ,$118.20 ,$118.20 ,$51.22 ,$55.16 ,$90.40 ,$51.22 ,$110.48 ,$49.25 ,$157.60 ,$157.60 ,$51.22 ,$128.05 ,$82.35 ,$23.27 ,$30.23 ,$51.22 ,$197.00 ,$43.34 ,$147.75 ,$139.87 ,$139.87 ,$43.34 ,$139.87 ,$165.48 ,$165.48 ,$165.48 , N/A ,$177.30 ,$108.35 ,$167.45 ,$43.34 ,$197.00 ,$118.20 ,$43.34 ,$81.95 ,$17.14 ,$15.58 ,$51.22 ,$167.45 ,$22.97 ,$157.60 ,$55.16 ,$177.30 ,$197.00 ,$43.34 ,$165.48 ,$24.18 ,$24.18 ,$51.22 ,$128.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200859,86039,HC ANA TITER-90,302,1 ,$101.00 ,$65.65 ,$15.58 ,$101.00 ,$55.55 ,$60.60 ,$60.60 ,$26.26 ,$28.28 ,$51.31 ,$26.26 ,$59.39 ,$25.25 ,$80.80 ,$80.80 ,$26.26 ,$65.65 ,$42.22 ,$21.39 ,$27.90 ,$26.26 ,$101.00 ,$22.22 ,$75.75 ,$71.71 ,$71.71 ,$22.22 ,$71.71 ,$84.84 ,$84.84 ,$84.84 , N/A ,$90.90 ,$55.55 ,$85.85 ,$22.22 ,$101.00 ,$60.60 ,$22.22 ,$42.02 ,$17.14 ,$15.58 ,$26.26 ,$85.85 ,$21.20 ,$80.80 ,$28.28 ,$90.90 ,$101.00 ,$22.22 ,$84.84 ,$22.32 ,$22.32 ,$26.26 ,$65.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200860,86060,HC ASO-90,302,1 ,$142.00 ,$92.30 ,$13.87 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$54.62 ,$36.92 ,$66.75 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$92.30 ,$59.36 ,$14.47 ,$18.25 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$17.14 ,$15.58 ,$36.92 ,$120.70 ,$13.87 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$14.60 ,$14.60 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$90.00 ,$58.50 ,$9.84 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$38.68 ,$23.40 ,$47.27 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$10.06 ,$12.95 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$17.14 ,$15.58 ,$23.40 ,$76.50 ,$9.84 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$10.36 ,$10.36 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$90.00 ,$58.50 ,$17.39 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$45.72 ,$23.40 ,$52.92 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$49.06 ,$63.63 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$19.13 ,$17.39 ,$23.40 ,$76.50 ,$48.36 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$50.90 ,$50.90 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$132.00 ,$85.80 ,$26.85 ,$132.00 ,$72.60 ,$79.20 ,$79.20 ,$34.32 ,$36.96 ,$67.06 ,$34.32 ,$77.62 ,$33.00 ,$105.60 ,$105.60 ,$34.32 ,$85.80 ,$55.18 ,$49.06 ,$63.63 ,$34.32 ,$132.00 ,$29.04 ,$99.00 ,$93.72 ,$93.72 ,$29.04 ,$93.72 ,$110.88 ,$110.88 ,$110.88 , N/A ,$118.80 ,$72.60 ,$112.20 ,$29.04 ,$132.00 ,$79.20 ,$29.04 ,$54.91 ,$29.54 ,$26.85 ,$34.32 ,$112.20 ,$48.36 ,$105.60 ,$36.96 ,$118.80 ,$132.00 ,$29.04 ,$110.88 ,$50.90 ,$50.90 ,$34.32 ,$85.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$51.00 ,$33.15 ,$11.22 ,$51.00 ,$28.05 ,$30.60 ,$30.60 ,$13.26 ,$14.28 ,$25.91 ,$13.26 ,$29.99 ,$12.75 ,$40.80 ,$40.80 ,$13.26 ,$33.15 ,$21.32 ,$31.45 ,$40.18 ,$13.26 ,$51.00 ,$11.22 ,$38.25 ,$36.21 ,$36.21 ,$11.22 ,$36.21 ,$42.84 ,$42.84 ,$42.84 , N/A ,$45.90 ,$28.05 ,$43.35 ,$11.22 ,$51.00 ,$30.60 ,$11.22 ,$21.22 ,$19.13 ,$17.39 ,$13.26 ,$43.35 ,$30.53 ,$40.80 ,$14.28 ,$45.90 ,$51.00 ,$11.22 ,$42.84 ,$32.14 ,$32.14 ,$13.26 ,$33.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$152.00 ,$98.80 ,$15.31 ,$152.00 ,$83.60 ,$91.20 ,$91.20 ,$39.52 ,$42.56 ,$60.30 ,$39.52 ,$73.69 ,$38.00 ,$121.60 ,$121.60 ,$39.52 ,$98.80 ,$63.54 ,$15.73 ,$20.15 ,$39.52 ,$152.00 ,$33.44 ,$114.00 ,$107.92 ,$107.92 ,$33.44 ,$107.92 ,$127.68 ,$127.68 ,$127.68 , N/A ,$136.80 ,$83.60 ,$129.20 ,$33.44 ,$152.00 ,$91.20 ,$33.44 ,$63.23 ,$17.14 ,$15.58 ,$39.52 ,$129.20 ,$15.31 ,$121.60 ,$42.56 ,$136.80 ,$152.00 ,$33.44 ,$127.68 ,$16.12 ,$16.12 ,$39.52 ,$98.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$237.00 ,$154.05 ,$15.58 ,$237.00 ,$130.35 ,$142.20 ,$142.20 ,$61.62 ,$66.36 ,$89.75 ,$61.62 ,$109.69 ,$59.25 ,$189.60 ,$189.60 ,$61.62 ,$154.05 ,$99.07 ,$23.27 ,$30.00 ,$61.62 ,$237.00 ,$52.14 ,$177.75 ,$168.27 ,$168.27 ,$52.14 ,$168.27 ,$199.08 ,$199.08 ,$199.08 , N/A ,$213.30 ,$130.35 ,$201.45 ,$52.14 ,$237.00 ,$142.20 ,$52.14 ,$98.59 ,$17.14 ,$15.58 ,$61.62 ,$201.45 ,$22.80 ,$189.60 ,$66.36 ,$213.30 ,$237.00 ,$52.14 ,$199.08 ,$24.00 ,$24.00 ,$61.62 ,$154.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$97.00 ,$63.05 ,$15.58 ,$97.00 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$23.27 ,$30.00 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$17.14 ,$15.58 ,$25.22 ,$82.45 ,$22.80 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$24.00 ,$24.00 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$208.00 ,$135.20 ,$15.58 ,$208.00 ,$114.40 ,$124.80 ,$124.80 ,$54.08 ,$58.24 ,$105.66 ,$54.08 ,$122.30 ,$52.00 ,$166.40 ,$166.40 ,$54.08 ,$135.20 ,$86.94 ,$39.63 ,$50.80 ,$54.08 ,$208.00 ,$45.76 ,$156.00 ,$147.68 ,$147.68 ,$45.76 ,$147.68 ,$174.72 ,$174.72 ,$174.72 , N/A ,$187.20 ,$114.40 ,$176.80 ,$45.76 ,$208.00 ,$124.80 ,$45.76 ,$86.53 ,$17.14 ,$15.58 ,$54.08 ,$176.80 ,$38.61 ,$166.40 ,$58.24 ,$187.20 ,$208.00 ,$45.76 ,$174.72 ,$40.64 ,$40.64 ,$54.08 ,$135.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200873,86200,HC CCP AB-90,302,1 ,$211.00 ,$137.15 ,$15.58 ,$211.00 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$96.83 ,$54.86 ,$118.34 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$137.15 ,$88.20 ,$25.16 ,$32.38 ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 ,$17.14 ,$15.58 ,$54.86 ,$179.35 ,$24.61 ,$168.80 ,$59.08 ,$189.90 ,$211.00 ,$46.42 ,$177.24 ,$25.90 ,$25.90 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$116.00 ,$75.40 ,$15.58 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$25.79 ,$33.13 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$17.14 ,$15.58 ,$30.16 ,$98.60 ,$25.18 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$26.50 ,$26.50 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200875,86225,HC DNA DOUBLE STRAND AB-90,302,1 ,$213.00 ,$138.45 ,$15.58 ,$213.00 ,$117.15 ,$127.80 ,$127.80 ,$55.38 ,$59.64 ,$102.80 ,$55.38 ,$125.24 ,$53.25 ,$170.40 ,$170.40 ,$55.38 ,$138.45 ,$89.03 ,$26.42 ,$34.35 ,$55.38 ,$213.00 ,$46.86 ,$159.75 ,$151.23 ,$151.23 ,$46.86 ,$151.23 ,$178.92 ,$178.92 ,$178.92 , N/A ,$191.70 ,$117.15 ,$181.05 ,$46.86 ,$213.00 ,$127.80 ,$46.86 ,$88.61 ,$17.14 ,$15.58 ,$55.38 ,$181.05 ,$26.11 ,$170.40 ,$59.64 ,$191.70 ,$213.00 ,$46.86 ,$178.92 ,$27.48 ,$27.48 ,$55.38 ,$138.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200877,86235,HC ENA AB-90,302,1 ,$99.00 ,$64.35 ,$21.78 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$34.60 ,$44.83 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$29.54 ,$26.85 ,$25.74 ,$84.15 ,$34.07 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$35.86 ,$35.86 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200878,86255,HC FLUOR AB SCR-90,302,1 ,$254.00 ,$165.10 ,$18.52 ,$254.00 ,$139.70 ,$152.40 ,$152.40 ,$66.04 ,$71.12 ,$90.12 ,$66.04 ,$110.14 ,$63.50 ,$203.20 ,$203.20 ,$66.04 ,$18.52 ,$106.17 ,$23.27 ,$30.13 ,$66.04 ,$254.00 ,$55.88 ,$190.50 ,$180.34 ,$180.34 ,$55.88 ,$180.34 ,$213.36 ,$213.36 ,$213.36 , N/A ,$228.60 ,$139.70 ,$215.90 ,$55.88 ,$254.00 ,$152.40 ,$55.88 ,$105.66 ,$29.54 ,$26.85 ,$66.04 ,$215.90 ,$22.90 ,$203.20 ,$71.12 ,$228.60 ,$254.00 ,$55.88 ,$213.36 ,$24.10 ,$24.10 ,$66.04 ,$165.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200879,86256,HC FLUOR AB TITER-90,302,1 ,$131.00 ,$85.15 ,$18.52 ,$131.00 ,$72.05 ,$78.60 ,$78.60 ,$34.06 ,$36.68 ,$66.55 ,$34.06 ,$77.03 ,$32.75 ,$104.80 ,$104.80 ,$34.06 ,$18.52 ,$54.76 ,$23.27 ,$30.13 ,$34.06 ,$131.00 ,$28.82 ,$98.25 ,$93.01 ,$93.01 ,$28.82 ,$93.01 ,$110.04 ,$110.04 ,$110.04 , N/A ,$117.90 ,$72.05 ,$111.35 ,$28.82 ,$131.00 ,$78.60 ,$28.82 ,$54.50 ,$29.54 ,$26.85 ,$34.06 ,$111.35 ,$22.90 ,$104.80 ,$36.68 ,$117.90 ,$131.00 ,$28.82 ,$110.04 ,$24.10 ,$24.10 ,$34.06 ,$85.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$295.00 ,$191.75 ,$39.54 ,$295.00 ,$162.25 ,$177.00 ,$177.00 ,$76.70 ,$82.60 ,$149.86 ,$76.70 ,$173.46 ,$73.75 ,$236.00 ,$236.00 ,$76.70 ,$191.75 ,$123.31 ,$40.26 ,$52.03 ,$76.70 ,$295.00 ,$64.90 ,$221.25 ,$209.45 ,$209.45 ,$64.90 ,$209.45 ,$247.80 ,$247.80 ,$247.80 , N/A ,$265.50 ,$162.25 ,$250.75 ,$64.90 ,$295.00 ,$177.00 ,$64.90 ,$122.72 ,$45.41 ,$41.28 ,$76.70 ,$250.75 ,$39.54 ,$236.00 ,$82.60 ,$265.50 ,$295.00 ,$64.90 ,$247.80 ,$41.62 ,$41.62 ,$76.70 ,$191.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200881,86301,HC TUMOR AG CA 19-9  -90,302,1 ,$333.00 ,$216.45 ,$39.54 ,$333.00 ,$183.15 ,$199.80 ,$199.80 ,$86.58 ,$93.24 ,$155.74 ,$86.58 ,$190.33 ,$83.25 ,$266.40 ,$266.40 ,$86.58 ,$216.45 ,$139.19 ,$40.26 ,$52.03 ,$86.58 ,$333.00 ,$73.26 ,$249.75 ,$236.43 ,$236.43 ,$73.26 ,$236.43 ,$279.72 ,$279.72 ,$279.72 , N/A ,$299.70 ,$183.15 ,$283.05 ,$73.26 ,$333.00 ,$199.80 ,$73.26 ,$138.53 ,$45.41 ,$41.28 ,$86.58 ,$283.05 ,$39.54 ,$266.40 ,$93.24 ,$299.70 ,$333.00 ,$73.26 ,$279.72 ,$41.62 ,$41.62 ,$86.58 ,$216.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200882,86304,HC TUMOR AG CA 125 -90,302,1 ,$367.00 ,$238.55 ,$39.54 ,$367.00 ,$201.85 ,$220.20 ,$220.20 ,$95.42 ,$102.76 ,$155.74 ,$95.42 ,$190.33 ,$91.75 ,$293.60 ,$293.60 ,$95.42 ,$238.55 ,$153.41 ,$40.26 ,$52.03 ,$95.42 ,$367.00 ,$80.74 ,$275.25 ,$260.57 ,$260.57 ,$80.74 ,$260.57 ,$308.28 ,$308.28 ,$308.28 , N/A ,$330.30 ,$201.85 ,$311.95 ,$80.74 ,$367.00 ,$220.20 ,$80.74 ,$152.67 ,$45.41 ,$41.28 ,$95.42 ,$311.95 ,$39.54 ,$293.60 ,$102.76 ,$330.30 ,$367.00 ,$80.74 ,$308.28 ,$41.62 ,$41.62 ,$95.42 ,$238.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200886,86632,HC CHLAMYDIA AB IGM-90,302,1 ,$134.00 ,$87.10 ,$12.42 ,$134.00 ,$73.70 ,$80.40 ,$80.40 ,$34.84 ,$37.52 ,$68.07 ,$34.84 ,$78.79 ,$33.50 ,$107.20 ,$107.20 ,$34.84 ,$87.10 ,$56.01 ,$24.53 ,$31.70 ,$34.84 ,$134.00 ,$29.48 ,$100.50 ,$95.14 ,$95.14 ,$29.48 ,$95.14 ,$112.56 ,$112.56 ,$112.56 , N/A ,$120.60 ,$73.70 ,$113.90 ,$29.48 ,$134.00 ,$80.40 ,$29.48 ,$55.74 ,$13.66 ,$12.42 ,$34.84 ,$113.90 ,$24.09 ,$107.20 ,$37.52 ,$120.60 ,$134.00 ,$29.48 ,$112.56 ,$25.36 ,$25.36 ,$34.84 ,$87.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$42.00 ,$27.30 ,$9.24 ,$42.00 ,$23.10 ,$25.20 ,$25.20 ,$10.92 ,$11.76 ,$21.34 ,$10.92 ,$24.70 ,$10.50 ,$33.60 ,$33.60 ,$10.92 ,$27.30 ,$17.56 ,$22.02 ,$28.68 ,$10.92 ,$42.00 ,$9.24 ,$31.50 ,$29.82 ,$29.82 ,$9.24 ,$29.82 ,$35.28 ,$35.28 ,$35.28 , N/A ,$37.80 ,$23.10 ,$35.70 ,$9.24 ,$42.00 ,$25.20 ,$9.24 ,$17.47 ,$29.54 ,$26.85 ,$10.92 ,$35.70 ,$21.79 ,$33.60 ,$11.76 ,$37.80 ,$42.00 ,$9.24 ,$35.28 ,$22.94 ,$22.94 ,$10.92 ,$27.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200889,86641,HC CRYPTOCOCCAL AB-90,302,1 ,$155.00 ,$100.75 ,$26.85 ,$155.00 ,$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$78.74 ,$40.30 ,$91.14 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$100.75 ,$64.79 ,$27.68 ,$36.03 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 ,$29.54 ,$26.85 ,$40.30 ,$131.75 ,$27.38 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$28.82 ,$28.82 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200890,86644,HC CMV AB-90,302,1 ,$154.00 ,$100.10 ,$26.85 ,$154.00 ,$84.70 ,$92.40 ,$92.40 ,$40.04 ,$43.12 ,$78.23 ,$40.04 ,$90.55 ,$38.50 ,$123.20 ,$123.20 ,$40.04 ,$100.10 ,$64.37 ,$27.68 ,$35.98 ,$40.04 ,$154.00 ,$33.88 ,$115.50 ,$109.34 ,$109.34 ,$33.88 ,$109.34 ,$129.36 ,$129.36 ,$129.36 , N/A ,$138.60 ,$84.70 ,$130.90 ,$33.88 ,$154.00 ,$92.40 ,$33.88 ,$64.06 ,$29.54 ,$26.85 ,$40.04 ,$130.90 ,$27.34 ,$123.20 ,$43.12 ,$138.60 ,$154.00 ,$33.88 ,$129.36 ,$28.78 ,$28.78 ,$40.04 ,$100.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200891,86645,HC CMV AB IGM-90,302,1 ,$193.00 ,$125.45 ,$26.85 ,$193.00 ,$106.15 ,$115.80 ,$115.80 ,$50.18 ,$54.04 ,$98.04 ,$50.18 ,$113.48 ,$48.25 ,$154.40 ,$154.40 ,$50.18 ,$125.45 ,$80.67 ,$32.71 ,$42.13 ,$50.18 ,$193.00 ,$42.46 ,$144.75 ,$137.03 ,$137.03 ,$42.46 ,$137.03 ,$162.12 ,$162.12 ,$162.12 , N/A ,$173.70 ,$106.15 ,$164.05 ,$42.46 ,$193.00 ,$115.80 ,$42.46 ,$80.29 ,$29.54 ,$26.85 ,$50.18 ,$164.05 ,$32.02 ,$154.40 ,$54.04 ,$173.70 ,$193.00 ,$42.46 ,$162.12 ,$33.70 ,$33.70 ,$50.18 ,$125.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200892,86648,HC DIPTHERIA-90,302,1 ,$152.00 ,$98.80 ,$26.85 ,$152.00 ,$83.60 ,$91.20 ,$91.20 ,$39.52 ,$42.56 ,$77.22 ,$39.52 ,$89.38 ,$38.00 ,$121.60 ,$121.60 ,$39.52 ,$98.80 ,$63.54 ,$29.56 ,$38.03 ,$39.52 ,$152.00 ,$33.44 ,$114.00 ,$107.92 ,$107.92 ,$33.44 ,$107.92 ,$127.68 ,$127.68 ,$127.68 , N/A ,$136.80 ,$83.60 ,$129.20 ,$33.44 ,$152.00 ,$91.20 ,$33.44 ,$63.23 ,$29.54 ,$26.85 ,$39.52 ,$129.20 ,$28.90 ,$121.60 ,$42.56 ,$136.80 ,$152.00 ,$33.44 ,$127.68 ,$30.42 ,$30.42 ,$39.52 ,$98.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$22.86 ,$11.70 ,$26.46 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$25.16 ,$32.58 ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 ,$29.54 ,$26.85 ,$11.70 ,$38.25 ,$24.76 ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$26.06 ,$26.06 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200898,86663,HC EBV EARLY AG-90,302,1 ,$79.00 ,$51.35 ,$17.38 ,$79.00 ,$43.45 ,$47.40 ,$47.40 ,$20.54 ,$22.12 ,$40.13 ,$20.54 ,$46.45 ,$19.75 ,$63.20 ,$63.20 ,$20.54 ,$51.35 ,$33.02 ,$25.16 ,$32.80 ,$20.54 ,$79.00 ,$17.38 ,$59.25 ,$56.09 ,$56.09 ,$17.38 ,$56.09 ,$66.36 ,$66.36 ,$66.36 , N/A ,$71.10 ,$43.45 ,$67.15 ,$17.38 ,$79.00 ,$47.40 ,$17.38 ,$32.86 ,$29.54 ,$26.85 ,$20.54 ,$67.15 ,$24.93 ,$63.20 ,$22.12 ,$71.10 ,$79.00 ,$17.38 ,$66.36 ,$26.24 ,$26.24 ,$20.54 ,$51.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$183.00 ,$118.95 ,$26.85 ,$183.00 ,$100.65 ,$109.80 ,$109.80 ,$47.58 ,$51.24 ,$92.96 ,$47.58 ,$107.60 ,$45.75 ,$146.40 ,$146.40 ,$47.58 ,$118.95 ,$76.49 ,$29.56 ,$38.23 ,$47.58 ,$183.00 ,$40.26 ,$137.25 ,$129.93 ,$129.93 ,$40.26 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$100.65 ,$155.55 ,$40.26 ,$183.00 ,$109.80 ,$40.26 ,$76.13 ,$29.54 ,$26.85 ,$47.58 ,$155.55 ,$29.05 ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$40.26 ,$153.72 ,$30.58 ,$30.58 ,$47.58 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$131.00 ,$85.15 ,$26.85 ,$131.00 ,$72.05 ,$78.60 ,$78.60 ,$34.06 ,$36.68 ,$66.55 ,$34.06 ,$77.03 ,$32.75 ,$104.80 ,$104.80 ,$34.06 ,$85.15 ,$54.76 ,$35.23 ,$45.35 ,$34.06 ,$131.00 ,$28.82 ,$98.25 ,$93.01 ,$93.01 ,$28.82 ,$93.01 ,$110.04 ,$110.04 ,$110.04 , N/A ,$117.90 ,$72.05 ,$111.35 ,$28.82 ,$131.00 ,$78.60 ,$28.82 ,$54.50 ,$29.54 ,$26.85 ,$34.06 ,$111.35 ,$34.47 ,$104.80 ,$36.68 ,$117.90 ,$131.00 ,$28.82 ,$110.04 ,$36.28 ,$36.28 ,$34.06 ,$85.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200901,86666,HC EHRLICHIA AB-90,302,1 ,$155.00 ,$100.75 ,$19.34 ,$155.00 ,$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$76.05 ,$40.30 ,$91.14 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$100.75 ,$64.79 ,$19.50 ,$25.45 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 ,$29.54 ,$26.85 ,$40.30 ,$131.75 ,$19.34 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$20.36 ,$20.36 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$100.00 ,$65.00 ,$15.58 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$23.90 ,$30.63 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$17.14 ,$15.58 ,$26.00 ,$85.00 ,$23.28 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$24.50 ,$24.50 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200906,86682,HC HELMINTH ANTIBODY-90,302,1 ,$94.00 ,$61.10 ,$15.58 ,$94.00 ,$51.70 ,$56.40 ,$56.40 ,$24.44 ,$26.32 ,$47.75 ,$24.44 ,$55.27 ,$23.50 ,$75.20 ,$75.20 ,$24.44 ,$61.10 ,$39.29 ,$25.16 ,$32.53 ,$24.44 ,$94.00 ,$20.68 ,$70.50 ,$66.74 ,$66.74 ,$20.68 ,$66.74 ,$78.96 ,$78.96 ,$78.96 , N/A ,$84.60 ,$51.70 ,$79.90 ,$20.68 ,$94.00 ,$56.40 ,$20.68 ,$39.10 ,$17.14 ,$15.58 ,$24.44 ,$79.90 ,$24.72 ,$75.20 ,$26.32 ,$84.60 ,$94.00 ,$20.68 ,$78.96 ,$26.02 ,$26.02 ,$24.44 ,$61.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200907,86684,HC HAEMOPHILUS INFLUENZA AB-90,302,1 ,$152.00 ,$98.80 ,$15.58 ,$152.00 ,$83.60 ,$91.20 ,$91.20 ,$39.52 ,$42.56 ,$77.22 ,$39.52 ,$89.38 ,$38.00 ,$121.60 ,$121.60 ,$39.52 ,$98.80 ,$63.54 ,$30.82 ,$39.60 ,$39.52 ,$152.00 ,$33.44 ,$114.00 ,$107.92 ,$107.92 ,$33.44 ,$107.92 ,$127.68 ,$127.68 ,$127.68 , N/A ,$136.80 ,$83.60 ,$129.20 ,$33.44 ,$152.00 ,$91.20 ,$33.44 ,$63.23 ,$17.14 ,$15.58 ,$39.52 ,$129.20 ,$30.10 ,$121.60 ,$42.56 ,$136.80 ,$152.00 ,$33.44 ,$127.68 ,$31.68 ,$31.68 ,$39.52 ,$98.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200909,86689,HC HTLV OR HIV AB CONF-90,302,1 ,$323.00 ,$209.95 ,$26.85 ,$323.00 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$144.83 ,$83.98 ,$177.00 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$209.95 ,$135.01 ,$37.74 ,$48.38 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$29.54 ,$26.85 ,$83.98 ,$274.55 ,$36.77 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$38.70 ,$38.70 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200910,86692,HC HEPATITIS D AB-90,302,1 ,$23.00 ,$14.95 ,$5.06 ,$42.90 ,$12.65 ,$13.80 ,$13.80 ,$5.98 ,$6.44 ,$11.68 ,$5.98 ,$13.52 ,$5.75 ,$18.40 ,$18.40 ,$5.98 ,$14.95 ,$9.61 ,$23.00 ,$42.90 ,$5.98 ,$23.00 ,$5.06 ,$17.25 ,$16.33 ,$16.33 ,$5.06 ,$16.33 ,$19.32 ,$19.32 ,$19.32 , N/A ,$20.70 ,$12.65 ,$19.55 ,$5.06 ,$23.00 ,$13.80 ,$5.06 ,$9.57 ,$17.14 ,$15.58 ,$5.98 ,$19.55 ,$32.60 ,$18.40 ,$6.44 ,$20.70 ,$23.00 ,$5.06 ,$19.32 ,$23.00 ,$23.00 ,$5.98 ,$14.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200911,86694,HC HERPES SIMPLEX AB-90,302,1 ,$233.00 ,$151.45 ,$26.85 ,$233.00 ,$128.15 ,$139.80 ,$139.80 ,$60.58 ,$65.24 ,$107.65 ,$60.58 ,$131.55 ,$58.25 ,$186.40 ,$186.40 ,$60.58 ,$151.45 ,$97.39 ,$27.68 ,$35.98 ,$60.58 ,$233.00 ,$51.26 ,$174.75 ,$165.43 ,$165.43 ,$51.26 ,$165.43 ,$195.72 ,$195.72 ,$195.72 , N/A ,$209.70 ,$128.15 ,$198.05 ,$51.26 ,$233.00 ,$139.80 ,$51.26 ,$96.93 ,$29.54 ,$26.85 ,$60.58 ,$198.05 ,$27.34 ,$186.40 ,$65.24 ,$209.70 ,$233.00 ,$51.26 ,$195.72 ,$28.78 ,$28.78 ,$60.58 ,$151.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$174.00 ,$113.10 ,$25.06 ,$174.00 ,$95.70 ,$104.40 ,$104.40 ,$45.24 ,$48.72 ,$88.39 ,$45.24 ,$102.31 ,$43.50 ,$139.20 ,$139.20 ,$45.24 ,$113.10 ,$72.73 ,$25.79 ,$32.98 ,$45.24 ,$174.00 ,$38.28 ,$130.50 ,$123.54 ,$123.54 ,$38.28 ,$123.54 ,$146.16 ,$146.16 ,$146.16 , N/A ,$156.60 ,$95.70 ,$147.90 ,$38.28 ,$174.00 ,$104.40 ,$38.28 ,$72.38 ,$29.54 ,$26.85 ,$45.24 ,$147.90 ,$25.06 ,$139.20 ,$48.72 ,$156.60 ,$174.00 ,$38.28 ,$146.16 ,$26.38 ,$26.38 ,$45.24 ,$113.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$108.00 ,$70.20 ,$15.58 ,$108.00 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$54.86 ,$28.08 ,$63.50 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$70.20 ,$45.14 ,$37.74 ,$48.38 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$17.14 ,$15.58 ,$28.08 ,$91.80 ,$36.77 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$38.70 ,$38.70 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$22.86 ,$11.70 ,$26.46 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$24.53 ,$34.48 ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 ,$29.54 ,$26.85 ,$11.70 ,$38.25 ,$26.20 ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$27.58 ,$27.58 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200923,86707,HC HEP B E AB-90,302,1 ,$65.00 ,$42.25 ,$14.30 ,$65.00 ,$35.75 ,$39.00 ,$39.00 ,$16.90 ,$18.20 ,$33.02 ,$16.90 ,$38.22 ,$16.25 ,$52.00 ,$52.00 ,$16.90 ,$42.25 ,$27.17 ,$22.64 ,$28.93 ,$16.90 ,$65.00 ,$14.30 ,$48.75 ,$46.15 ,$46.15 ,$14.30 ,$46.15 ,$54.60 ,$54.60 ,$54.60 , N/A ,$58.50 ,$35.75 ,$55.25 ,$14.30 ,$65.00 ,$39.00 ,$14.30 ,$27.04 ,$17.14 ,$15.58 ,$16.90 ,$55.25 ,$21.98 ,$52.00 ,$18.20 ,$58.50 ,$65.00 ,$14.30 ,$54.60 ,$23.14 ,$23.14 ,$16.90 ,$42.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$207.00 ,$134.55 ,$15.58 ,$207.00 ,$113.85 ,$124.20 ,$124.20 ,$53.82 ,$57.96 ,$92.64 ,$53.82 ,$113.22 ,$51.75 ,$165.60 ,$165.60 ,$53.82 ,$134.55 ,$86.53 ,$23.90 ,$30.98 ,$53.82 ,$207.00 ,$45.54 ,$155.25 ,$146.97 ,$146.97 ,$45.54 ,$146.97 ,$173.88 ,$173.88 ,$173.88 , N/A ,$186.30 ,$113.85 ,$175.95 ,$45.54 ,$207.00 ,$124.20 ,$45.54 ,$86.11 ,$17.14 ,$15.58 ,$53.82 ,$175.95 ,$23.54 ,$165.60 ,$57.96 ,$186.30 ,$207.00 ,$45.54 ,$173.88 ,$24.78 ,$24.78 ,$53.82 ,$134.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200925,86709,HC HEP A AB IGM-90,302,1 ,$183.00 ,$118.95 ,$15.58 ,$183.00 ,$100.65 ,$109.80 ,$109.80 ,$47.58 ,$51.24 ,$84.25 ,$47.58 ,$102.97 ,$45.75 ,$146.40 ,$146.40 ,$47.58 ,$118.95 ,$76.49 ,$22.02 ,$28.15 ,$47.58 ,$183.00 ,$40.26 ,$137.25 ,$129.93 ,$129.93 ,$40.26 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$100.65 ,$155.55 ,$40.26 ,$183.00 ,$109.80 ,$40.26 ,$76.13 ,$17.14 ,$15.58 ,$47.58 ,$155.55 ,$21.39 ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$40.26 ,$153.72 ,$22.52 ,$22.52 ,$47.58 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200926,86710,HC INFLUENZA AB-90,302,1 ,$121.00 ,$78.65 ,$15.58 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$61.47 ,$31.46 ,$71.15 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$26.42 ,$33.88 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$17.14 ,$15.58 ,$31.46 ,$102.85 ,$25.75 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$27.10 ,$27.10 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200927,86713,HC LEGIONELLA AB-90,302,1 ,$72.00 ,$46.80 ,$15.84 ,$72.00 ,$39.60 ,$43.20 ,$43.20 ,$18.72 ,$20.16 ,$36.58 ,$18.72 ,$42.34 ,$18.00 ,$57.60 ,$57.60 ,$18.72 ,$46.80 ,$30.10 ,$29.56 ,$38.25 ,$18.72 ,$72.00 ,$15.84 ,$54.00 ,$51.12 ,$51.12 ,$15.84 ,$51.12 ,$60.48 ,$60.48 ,$60.48 , N/A ,$64.80 ,$39.60 ,$61.20 ,$15.84 ,$72.00 ,$43.20 ,$15.84 ,$29.95 ,$29.54 ,$26.85 ,$18.72 ,$61.20 ,$29.07 ,$57.60 ,$20.16 ,$64.80 ,$72.00 ,$15.84 ,$60.48 ,$30.60 ,$30.60 ,$18.72 ,$46.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200931,86735,HC MUMPS AB-90,302,1 ,$157.00 ,$102.05 ,$15.58 ,$157.00 ,$86.35 ,$94.20 ,$94.20 ,$40.82 ,$43.96 ,$79.76 ,$40.82 ,$92.32 ,$39.25 ,$125.60 ,$125.60 ,$40.82 ,$102.05 ,$65.63 ,$25.16 ,$32.63 ,$40.82 ,$157.00 ,$34.54 ,$117.75 ,$111.47 ,$111.47 ,$34.54 ,$111.47 ,$131.88 ,$131.88 ,$131.88 , N/A ,$141.30 ,$86.35 ,$133.45 ,$34.54 ,$157.00 ,$94.20 ,$34.54 ,$65.31 ,$17.14 ,$15.58 ,$40.82 ,$133.45 ,$24.80 ,$125.60 ,$43.96 ,$141.30 ,$157.00 ,$34.54 ,$131.88 ,$26.10 ,$26.10 ,$40.82 ,$102.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$48.00 ,$31.20 ,$10.56 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$25.79 ,$33.10 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$29.54 ,$26.85 ,$12.48 ,$40.80 ,$25.16 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$26.48 ,$26.48 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$309.00 ,$200.85 ,$26.85 ,$309.00 ,$169.95 ,$185.40 ,$185.40 ,$80.34 ,$86.52 ,$112.40 ,$80.34 ,$137.36 ,$77.25 ,$247.20 ,$247.20 ,$80.34 ,$200.85 ,$129.16 ,$28.93 ,$37.58 ,$80.34 ,$309.00 ,$67.98 ,$231.75 ,$219.39 ,$219.39 ,$67.98 ,$219.39 ,$259.56 ,$259.56 ,$259.56 , N/A ,$278.10 ,$169.95 ,$262.65 ,$67.98 ,$309.00 ,$185.40 ,$67.98 ,$128.54 ,$29.54 ,$26.85 ,$80.34 ,$262.65 ,$28.56 ,$247.20 ,$86.52 ,$278.10 ,$309.00 ,$67.98 ,$259.56 ,$30.06 ,$30.06 ,$80.34 ,$200.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200937,86753,HC PROTOZOA AB-90,302,1 ,$115.00 ,$74.75 ,$15.58 ,$115.00 ,$63.25 ,$69.00 ,$69.00 ,$29.90 ,$32.20 ,$58.42 ,$29.90 ,$67.62 ,$28.75 ,$92.00 ,$92.00 ,$29.90 ,$74.75 ,$48.07 ,$23.90 ,$30.98 ,$29.90 ,$115.00 ,$25.30 ,$86.25 ,$81.65 ,$81.65 ,$25.30 ,$81.65 ,$96.60 ,$96.60 ,$96.60 , N/A ,$103.50 ,$63.25 ,$97.75 ,$25.30 ,$115.00 ,$69.00 ,$25.30 ,$47.84 ,$17.14 ,$15.58 ,$29.90 ,$97.75 ,$23.54 ,$92.00 ,$32.20 ,$103.50 ,$115.00 ,$25.30 ,$96.60 ,$24.78 ,$24.78 ,$29.90 ,$74.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200939,86757,HC RICKETTSIA AB-90,302,1 ,$15.00 ,$9.75 ,$3.30 ,$37.50 ,$8.25 ,$9.00 ,$9.00 ,$3.90 ,$4.20 ,$7.62 ,$3.90 ,$8.82 ,$3.75 ,$12.00 ,$12.00 ,$3.90 ,$9.75 ,$6.27 ,$15.00 ,$37.50 ,$3.90 ,$15.00 ,$3.30 ,$11.25 ,$10.65 ,$10.65 ,$3.30 ,$10.65 ,$12.60 ,$12.60 ,$12.60 , N/A ,$13.50 ,$8.25 ,$12.75 ,$3.30 ,$15.00 ,$9.00 ,$3.30 ,$6.24 ,$29.54 ,$26.85 ,$3.90 ,$12.75 ,$28.50 ,$12.00 ,$4.20 ,$13.50 ,$15.00 ,$3.30 ,$12.60 ,$15.00 ,$15.00 ,$3.90 ,$9.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200941,86765,HC RUBEOLA AB-90,302,1 ,$123.00 ,$79.95 ,$15.58 ,$123.00 ,$67.65 ,$73.80 ,$73.80 ,$31.98 ,$34.44 ,$62.48 ,$31.98 ,$72.32 ,$30.75 ,$98.40 ,$98.40 ,$31.98 ,$79.95 ,$51.41 ,$25.16 ,$32.20 ,$31.98 ,$123.00 ,$27.06 ,$92.25 ,$87.33 ,$87.33 ,$27.06 ,$87.33 ,$103.32 ,$103.32 ,$103.32 , N/A ,$110.70 ,$67.65 ,$104.55 ,$27.06 ,$123.00 ,$73.80 ,$27.06 ,$51.17 ,$17.14 ,$15.58 ,$31.98 ,$104.55 ,$24.47 ,$98.40 ,$34.44 ,$110.70 ,$123.00 ,$27.06 ,$103.32 ,$25.76 ,$25.76 ,$31.98 ,$79.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200943,86774,HC TETANUS AB-90,302,1 ,$45.00 ,$29.25 ,$9.90 ,$45.00 ,$24.75 ,$27.00 ,$27.00 ,$11.70 ,$12.60 ,$22.86 ,$11.70 ,$26.46 ,$11.25 ,$36.00 ,$36.00 ,$11.70 ,$29.25 ,$18.81 ,$28.93 ,$37.00 ,$11.70 ,$45.00 ,$9.90 ,$33.75 ,$31.95 ,$31.95 ,$9.90 ,$31.95 ,$37.80 ,$37.80 ,$37.80 , N/A ,$40.50 ,$24.75 ,$38.25 ,$9.90 ,$45.00 ,$27.00 ,$9.90 ,$18.72 ,$29.54 ,$26.85 ,$11.70 ,$38.25 ,$28.12 ,$36.00 ,$12.60 ,$40.50 ,$45.00 ,$9.90 ,$37.80 ,$29.60 ,$29.60 ,$11.70 ,$29.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$55.00 ,$35.75 ,$12.10 ,$55.00 ,$30.25 ,$33.00 ,$33.00 ,$14.30 ,$15.40 ,$27.94 ,$14.30 ,$32.34 ,$13.75 ,$44.00 ,$44.00 ,$14.30 ,$35.75 ,$22.99 ,$27.68 ,$35.98 ,$14.30 ,$55.00 ,$12.10 ,$41.25 ,$39.05 ,$39.05 ,$12.10 ,$39.05 ,$46.20 ,$46.20 ,$46.20 , N/A ,$49.50 ,$30.25 ,$46.75 ,$12.10 ,$55.00 ,$33.00 ,$12.10 ,$22.88 ,$29.54 ,$26.85 ,$14.30 ,$46.75 ,$27.34 ,$44.00 ,$15.40 ,$49.50 ,$55.00 ,$12.10 ,$46.20 ,$28.78 ,$28.78 ,$14.30 ,$35.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$55.00 ,$35.75 ,$12.10 ,$55.00 ,$30.25 ,$33.00 ,$33.00 ,$14.30 ,$15.40 ,$27.94 ,$14.30 ,$32.34 ,$13.75 ,$44.00 ,$44.00 ,$14.30 ,$35.75 ,$22.99 ,$27.68 ,$36.03 ,$14.30 ,$55.00 ,$12.10 ,$41.25 ,$39.05 ,$39.05 ,$12.10 ,$39.05 ,$46.20 ,$46.20 ,$46.20 , N/A ,$49.50 ,$30.25 ,$46.75 ,$12.10 ,$55.00 ,$33.00 ,$12.10 ,$22.88 ,$29.54 ,$26.85 ,$14.30 ,$46.75 ,$27.38 ,$44.00 ,$15.40 ,$49.50 ,$55.00 ,$12.10 ,$46.20 ,$28.82 ,$28.82 ,$14.30 ,$35.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$140.00 ,$91.00 ,$25.16 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$71.12 ,$36.40 ,$82.32 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$25.79 ,$33.10 ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 ,$29.54 ,$26.85 ,$36.40 ,$119.00 ,$25.16 ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$26.48 ,$26.48 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$331.00 ,$215.15 ,$15.58 ,$331.00 ,$182.05 ,$198.60 ,$198.60 ,$86.06 ,$92.68 ,$96.37 ,$86.06 ,$117.77 ,$82.75 ,$264.80 ,$264.80 ,$86.06 ,$215.15 ,$138.36 ,$25.16 ,$32.20 ,$86.06 ,$331.00 ,$72.82 ,$248.25 ,$235.01 ,$235.01 ,$72.82 ,$235.01 ,$278.04 ,$278.04 ,$278.04 , N/A ,$297.90 ,$182.05 ,$281.35 ,$72.82 ,$331.00 ,$198.60 ,$72.82 ,$137.70 ,$17.14 ,$15.58 ,$86.06 ,$281.35 ,$24.47 ,$264.80 ,$92.68 ,$297.90 ,$331.00 ,$72.82 ,$278.04 ,$25.76 ,$25.76 ,$86.06 ,$215.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200951,86790,HC VIRUS AB NOT SPECIFIED-90,302,1 ,$99.00 ,$64.35 ,$15.58 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$25.16 ,$32.20 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$17.14 ,$15.58 ,$25.74 ,$84.15 ,$24.47 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$25.76 ,$25.76 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$243.00 ,$157.95 ,$30.23 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$119.02 ,$63.18 ,$142.88 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$157.95 ,$101.57 ,$30.82 ,$39.78 ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 ,$44.78 ,$40.71 ,$63.18 ,$206.55 ,$30.23 ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$31.82 ,$31.82 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$182.00 ,$118.30 ,$40.04 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$92.46 ,$47.32 ,$107.02 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$50.32 ,$64.53 ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 ,$69.16 ,$62.87 ,$47.32 ,$154.70 ,$49.04 ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$51.62 ,$51.62 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200966,86850,HC AB SCREEN-90,302,1 ,$97.00 ,$63.05 ,$15.58 ,$126.88 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$16.98 ,$126.88 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$17.14 ,$15.58 ,$25.22 ,$82.45 ,$96.43 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$19.54 ,$19.54 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200970,86860,HC ELUTION-90,302,1 ,$233.00 ,$151.45 ,$15.58 ,$380.80 ,$128.15 ,$139.80 ,$139.80 ,$60.58 ,$65.24 ,$118.36 ,$60.58 ,$137.00 ,$58.25 ,$186.40 ,$186.40 ,$60.58 ,$151.45 ,$97.39 ,$57.24 ,$380.80 ,$60.58 ,$233.00 ,$51.26 ,$174.75 ,$165.43 ,$165.43 ,$51.26 ,$165.43 ,$195.72 ,$195.72 ,$195.72 , N/A ,$209.70 ,$128.15 ,$198.05 ,$51.26 ,$233.00 ,$139.80 ,$51.26 ,$96.93 ,$17.14 ,$15.58 ,$60.58 ,$198.05 ,$289.41 ,$186.40 ,$65.24 ,$209.70 ,$233.00 ,$51.26 ,$195.72 ,$233.00 ,$233.00 ,$60.58 ,$151.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200974,86870,HC RBC AB ID PANEL-90,302,1 ,$191.00 ,$124.15 ,$15.58 ,$743.63 ,$105.05 ,$114.60 ,$114.60 ,$49.66 ,$53.48 ,$97.03 ,$49.66 ,$112.31 ,$47.75 ,$152.80 ,$152.80 ,$49.66 ,$124.15 ,$79.84 ,$78.63 ,$743.63 ,$49.66 ,$191.00 ,$42.02 ,$143.25 ,$135.61 ,$135.61 ,$42.02 ,$135.61 ,$160.44 ,$160.44 ,$160.44 , N/A ,$171.90 ,$105.05 ,$162.35 ,$42.02 ,$191.00 ,$114.60 ,$42.02 ,$79.46 ,$17.14 ,$15.58 ,$49.66 ,$162.35 ,$565.16 ,$152.80 ,$53.48 ,$171.90 ,$191.00 ,$42.02 ,$160.44 ,$191.00 ,$191.00 ,$49.66 ,$124.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200976,86880,HC COOMBS DIRECT-90,302,1 ,$90.00 ,$58.50 ,$10.69 ,$142.13 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$40.26 ,$23.40 ,$49.20 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$10.69 ,$142.13 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$17.14 ,$15.58 ,$23.40 ,$76.50 ,$108.02 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$10.78 ,$10.78 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200978,86886,HC INDIRECT TITER-90,302,1 ,$217.00 ,$141.05 ,$10.06 ,$380.80 ,$119.35 ,$130.20 ,$130.20 ,$56.42 ,$60.76 ,$38.68 ,$56.42 ,$47.27 ,$54.25 ,$173.60 ,$173.60 ,$56.42 ,$141.05 ,$90.71 ,$10.06 ,$380.80 ,$56.42 ,$217.00 ,$47.74 ,$162.75 ,$154.07 ,$154.07 ,$47.74 ,$154.07 ,$182.28 ,$182.28 ,$182.28 , N/A ,$195.30 ,$119.35 ,$184.45 ,$47.74 ,$217.00 ,$130.20 ,$47.74 ,$90.27 ,$17.14 ,$15.58 ,$56.42 ,$184.45 ,$289.41 ,$173.60 ,$60.76 ,$195.30 ,$217.00 ,$47.74 ,$182.28 ,$10.36 ,$10.36 ,$56.42 ,$141.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$73.00 ,$47.45 ,$5.66 ,$287.90 ,$40.15 ,$43.80 ,$43.80 ,$18.98 ,$20.44 ,$22.37 ,$18.98 ,$27.34 ,$18.25 ,$58.40 ,$58.40 ,$18.98 ,$47.45 ,$30.51 ,$5.66 ,$287.90 ,$18.98 ,$73.00 ,$16.06 ,$54.75 ,$51.83 ,$51.83 ,$16.06 ,$51.83 ,$61.32 ,$61.32 ,$61.32 , N/A ,$65.70 ,$40.15 ,$62.05 ,$16.06 ,$73.00 ,$43.80 ,$16.06 ,$30.37 ,$10.62 ,$9.65 ,$18.98 ,$62.05 ,$218.80 ,$58.40 ,$20.44 ,$65.70 ,$73.00 ,$16.06 ,$61.32 ,$5.98 ,$5.98 ,$18.98 ,$47.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$73.00 ,$47.45 ,$5.66 ,$86.43 ,$40.15 ,$43.80 ,$43.80 ,$18.98 ,$20.44 ,$22.37 ,$18.98 ,$27.34 ,$18.25 ,$58.40 ,$58.40 ,$18.98 ,$47.45 ,$30.51 ,$5.66 ,$86.43 ,$18.98 ,$73.00 ,$16.06 ,$54.75 ,$51.83 ,$51.83 ,$16.06 ,$51.83 ,$61.32 ,$61.32 ,$61.32 , N/A ,$65.70 ,$40.15 ,$62.05 ,$16.06 ,$73.00 ,$43.80 ,$16.06 ,$30.37 ,$10.62 ,$9.65 ,$18.98 ,$62.05 ,$65.68 ,$58.40 ,$20.44 ,$65.70 ,$73.00 ,$16.06 ,$61.32 ,$5.98 ,$5.98 ,$18.98 ,$47.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200989,86902,HC RBC AG SCR RGT SERUM-90,302,1 ,$97.00 ,$63.05 ,$9.65 ,$743.63 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$38.49 ,$25.22 ,$47.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$11.32 ,$743.63 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$10.62 ,$9.65 ,$25.22 ,$82.45 ,$565.16 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$12.70 ,$12.70 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200997,86905,HC RBC AG TYPING NON ABO/RH-90,302,1 ,$97.00 ,$63.05 ,$7.55 ,$743.63 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$28.61 ,$25.22 ,$34.97 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$7.55 ,$743.63 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$10.62 ,$9.65 ,$25.22 ,$82.45 ,$565.16 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$7.66 ,$7.66 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$110.00 ,$71.50 ,$9.65 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$15.10 ,$86.43 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$10.62 ,$9.65 ,$28.60 ,$93.50 ,$65.68 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$15.50 ,$15.50 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30200999,86906,HC RH PHENOTYPE COMPLETE,302,1 ,$96.00 ,$62.40 ,$9.65 ,$96.00 ,$52.80 ,$57.60 ,$57.60 ,$24.96 ,$26.88 ,$48.77 ,$24.96 ,$56.45 ,$24.00 ,$76.80 ,$76.80 ,$24.96 ,$62.40 ,$40.13 ,$15.10 ,$86.43 ,$24.96 ,$96.00 ,$21.12 ,$72.00 ,$68.16 ,$68.16 ,$21.12 ,$68.16 ,$80.64 ,$80.64 ,$80.64 , N/A ,$86.40 ,$52.80 ,$81.60 ,$21.12 ,$96.00 ,$57.60 ,$21.12 ,$39.94 ,$10.62 ,$9.65 ,$24.96 ,$81.60 ,$65.68 ,$76.80 ,$26.88 ,$86.40 ,$96.00 ,$21.12 ,$80.64 ,$15.50 ,$15.50 ,$24.96 ,$62.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$196.00 ,$127.40 ,$43.12 ,$196.00 ,$107.80 ,$117.60 ,$117.60 ,$50.96 ,$54.88 ,$99.57 ,$50.96 ,$115.25 ,$49.00 ,$156.80 ,$156.80 ,$50.96 ,$127.40 ,$81.93 ,$53.47 ,$86.43 ,$50.96 ,$196.00 ,$43.12 ,$147.00 ,$139.16 ,$139.16 ,$43.12 ,$139.16 ,$164.64 ,$164.64 ,$164.64 , N/A ,$176.40 ,$107.80 ,$166.60 ,$43.12 ,$196.00 ,$117.60 ,$43.12 ,$81.54 ,$69.16 ,$62.87 ,$50.96 ,$166.60 ,$65.68 ,$156.80 ,$54.88 ,$176.40 ,$196.00 ,$43.12 ,$164.64 ,$67.68 ,$67.68 ,$50.96 ,$127.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$97.00 ,$63.05 ,$21.34 ,$743.63 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$63.05 ,$40.55 ,$42.77 ,$743.63 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$69.16 ,$62.87 ,$25.22 ,$82.45 ,$565.16 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$97.00 ,$97.00 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$110.00 ,$71.50 ,$24.20 ,$380.80 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$74.22 ,$380.80 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$69.16 ,$62.87 ,$28.60 ,$93.50 ,$289.41 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$110.00 ,$110.00 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201009,86975,HC INCUBATION OF SERUM W/DRUG-90,302,1 ,$158.00 ,$102.70 ,$34.76 ,$692.95 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$102.70 ,$66.04 ,$57.24 ,$692.95 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$69.16 ,$62.87 ,$41.08 ,$134.30 ,$526.64 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$158.00 ,$158.00 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201016,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT-90,302,1 ,$168.00 ,$109.20 ,$36.96 ,$380.80 ,$92.40 ,$100.80 ,$100.80 ,$43.68 ,$47.04 ,$85.34 ,$43.68 ,$98.78 ,$42.00 ,$134.40 ,$134.40 ,$43.68 ,$109.20 ,$70.22 ,$63.53 ,$380.80 ,$43.68 ,$168.00 ,$36.96 ,$126.00 ,$119.28 ,$119.28 ,$36.96 ,$119.28 ,$141.12 ,$141.12 ,$141.12 , N/A ,$151.20 ,$92.40 ,$142.80 ,$36.96 ,$168.00 ,$100.80 ,$36.96 ,$69.89 ,$69.16 ,$62.87 ,$43.68 ,$142.80 ,$289.41 ,$134.40 ,$47.04 ,$151.20 ,$168.00 ,$36.96 ,$141.12 ,$168.00 ,$168.00 ,$43.68 ,$109.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201018,86978,HC RBC PRETREAT ABSOR AUTO,302,1 ,$125.00 ,$81.25 ,$9.65 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$63.53 ,$86.43 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$10.62 ,$9.65 ,$32.50 ,$106.25 ,$65.68 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$67.68 ,$67.68 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$185.00 ,$120.25 ,$9.65 ,$185.00 ,$101.75 ,$111.00 ,$111.00 ,$48.10 ,$51.80 ,$93.98 ,$48.10 ,$108.78 ,$46.25 ,$148.00 ,$148.00 ,$48.10 ,$120.25 ,$77.33 ,$63.53 ,$86.43 ,$48.10 ,$185.00 ,$40.70 ,$138.75 ,$131.35 ,$131.35 ,$40.70 ,$131.35 ,$155.40 ,$155.40 ,$155.40 , N/A ,$166.50 ,$101.75 ,$157.25 ,$40.70 ,$185.00 ,$111.00 ,$40.70 ,$76.96 ,$10.62 ,$9.65 ,$48.10 ,$157.25 ,$65.68 ,$148.00 ,$51.80 ,$166.50 ,$185.00 ,$40.70 ,$155.40 ,$67.68 ,$67.68 ,$48.10 ,$120.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$269.00 ,$174.85 ,$17.39 ,$269.00 ,$147.95 ,$161.40 ,$161.40 ,$69.94 ,$75.32 ,$136.65 ,$69.94 ,$158.17 ,$67.25 ,$215.20 ,$215.20 ,$69.94 ,$174.85 ,$112.44 ,$40.26 ,$52.03 ,$69.94 ,$269.00 ,$59.18 ,$201.75 ,$190.99 ,$190.99 ,$59.18 ,$190.99 ,$225.96 ,$225.96 ,$225.96 , N/A ,$242.10 ,$147.95 ,$228.65 ,$59.18 ,$269.00 ,$161.40 ,$59.18 ,$111.90 ,$19.13 ,$17.39 ,$69.94 ,$228.65 ,$39.54 ,$215.20 ,$75.32 ,$242.10 ,$269.00 ,$59.18 ,$225.96 ,$41.62 ,$41.62 ,$69.94 ,$174.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$411.00 ,$267.15 ,$26.85 ,$411.00 ,$226.05 ,$246.60 ,$246.60 ,$106.86 ,$115.08 ,$112.12 ,$106.86 ,$137.02 ,$102.75 ,$328.80 ,$328.80 ,$106.86 ,$267.15 ,$171.80 ,$28.93 ,$37.48 ,$106.86 ,$411.00 ,$90.42 ,$308.25 ,$291.81 ,$291.81 ,$90.42 ,$291.81 ,$345.24 ,$345.24 ,$345.24 , N/A ,$369.90 ,$226.05 ,$349.35 ,$90.42 ,$411.00 ,$246.60 ,$90.42 ,$170.98 ,$29.54 ,$26.85 ,$106.86 ,$349.35 ,$28.48 ,$328.80 ,$115.08 ,$369.90 ,$411.00 ,$90.42 ,$345.24 ,$29.98 ,$29.98 ,$106.86 ,$267.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201030,86332,HC IMMUNE COMPLEX ASSAY-90,302,1 ,$90.00 ,$58.50 ,$19.80 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$45.72 ,$23.40 ,$52.92 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$47.18 ,$60.93 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$29.54 ,$26.85 ,$23.40 ,$76.50 ,$46.30 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$48.74 ,$48.74 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$287.00 ,$186.55 ,$18.52 ,$287.00 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$18.52 ,$119.97 ,$43.40 ,$55.85 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$29.54 ,$26.85 ,$74.62 ,$243.95 ,$42.45 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$44.68 ,$44.68 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201032,86335,HC IMMUNOFIX ELECTRO OTH-90,302,1 ,$176.00 ,$114.40 ,$18.52 ,$176.00 ,$96.80 ,$105.60 ,$105.60 ,$45.76 ,$49.28 ,$89.41 ,$45.76 ,$103.49 ,$44.00 ,$140.80 ,$140.80 ,$45.76 ,$18.52 ,$73.57 ,$56.61 ,$73.38 ,$45.76 ,$176.00 ,$38.72 ,$132.00 ,$124.96 ,$124.96 ,$38.72 ,$124.96 ,$147.84 ,$147.84 ,$147.84 , N/A ,$158.40 ,$96.80 ,$149.60 ,$38.72 ,$176.00 ,$105.60 ,$38.72 ,$73.22 ,$29.54 ,$26.85 ,$45.76 ,$149.60 ,$55.77 ,$140.80 ,$49.28 ,$158.40 ,$176.00 ,$38.72 ,$147.84 ,$58.70 ,$58.70 ,$45.76 ,$114.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201033,86336,HC INHIBIN A-90,302,1 ,$114.00 ,$74.10 ,$17.39 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$57.91 ,$29.64 ,$67.03 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$74.10 ,$47.65 ,$30.19 ,$38.98 ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 ,$19.13 ,$17.39 ,$29.64 ,$96.90 ,$29.62 ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 ,$31.18 ,$31.18 ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201034,86337,HC INSULIN AB-90,302,1 ,$128.00 ,$83.20 ,$28.16 ,$128.00 ,$70.40 ,$76.80 ,$76.80 ,$33.28 ,$35.84 ,$65.02 ,$33.28 ,$75.26 ,$32.00 ,$102.40 ,$102.40 ,$33.28 ,$83.20 ,$53.50 ,$41.52 ,$53.53 ,$33.28 ,$128.00 ,$28.16 ,$96.00 ,$90.88 ,$90.88 ,$28.16 ,$90.88 ,$107.52 ,$107.52 ,$107.52 , N/A ,$115.20 ,$70.40 ,$108.80 ,$28.16 ,$128.00 ,$76.80 ,$28.16 ,$53.25 ,$44.78 ,$40.71 ,$33.28 ,$108.80 ,$40.68 ,$102.40 ,$35.84 ,$115.20 ,$128.00 ,$28.16 ,$107.52 ,$42.82 ,$42.82 ,$33.28 ,$83.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$183.00 ,$118.95 ,$28.65 ,$183.00 ,$100.65 ,$109.80 ,$109.80 ,$47.58 ,$51.24 ,$92.96 ,$47.58 ,$107.60 ,$45.75 ,$146.40 ,$146.40 ,$47.58 ,$118.95 ,$76.49 ,$28.93 ,$37.70 ,$47.58 ,$183.00 ,$40.26 ,$137.25 ,$129.93 ,$129.93 ,$40.26 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$100.65 ,$155.55 ,$40.26 ,$183.00 ,$109.80 ,$40.26 ,$76.13 ,$44.78 ,$40.71 ,$47.58 ,$155.55 ,$28.65 ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$40.26 ,$153.72 ,$30.16 ,$30.16 ,$47.58 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201036,86341,HC ISLET CELL AB-90,302,1 ,$177.00 ,$115.05 ,$26.85 ,$177.00 ,$97.35 ,$106.20 ,$106.20 ,$46.02 ,$49.56 ,$89.92 ,$46.02 ,$104.08 ,$44.25 ,$141.60 ,$141.60 ,$46.02 ,$115.05 ,$73.99 ,$40.89 ,$58.93 ,$46.02 ,$177.00 ,$38.94 ,$132.75 ,$125.67 ,$125.67 ,$38.94 ,$125.67 ,$148.68 ,$148.68 ,$148.68 , N/A ,$159.30 ,$97.35 ,$150.45 ,$38.94 ,$177.00 ,$106.20 ,$38.94 ,$73.63 ,$29.54 ,$26.85 ,$46.02 ,$150.45 ,$44.78 ,$141.60 ,$49.56 ,$159.30 ,$177.00 ,$38.94 ,$148.68 ,$47.14 ,$47.14 ,$46.02 ,$115.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201037,86343,HC LEUKOCYTE HISTAMINE RELEASE-90,302,1 ,$280.00 ,$182.00 ,$23.67 ,$280.00 ,$154.00 ,$168.00 ,$168.00 ,$72.80 ,$78.40 ,$93.20 ,$72.80 ,$113.90 ,$70.00 ,$224.00 ,$224.00 ,$72.80 ,$182.00 ,$117.04 ,$23.90 ,$31.15 ,$72.80 ,$280.00 ,$61.60 ,$210.00 ,$198.80 ,$198.80 ,$61.60 ,$198.80 ,$235.20 ,$235.20 ,$235.20 , N/A ,$252.00 ,$154.00 ,$238.00 ,$61.60 ,$280.00 ,$168.00 ,$61.60 ,$116.48 ,$29.54 ,$26.85 ,$72.80 ,$238.00 ,$23.67 ,$224.00 ,$78.40 ,$252.00 ,$280.00 ,$61.60 ,$235.20 ,$24.92 ,$24.92 ,$72.80 ,$182.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$174.00 ,$113.10 ,$26.85 ,$174.00 ,$95.70 ,$104.40 ,$104.40 ,$45.24 ,$48.72 ,$88.39 ,$45.24 ,$102.31 ,$43.50 ,$139.20 ,$139.20 ,$45.24 ,$113.10 ,$72.73 ,$72.97 ,$94.33 ,$45.24 ,$174.00 ,$38.28 ,$130.50 ,$123.54 ,$123.54 ,$38.28 ,$123.54 ,$146.16 ,$146.16 ,$146.16 , N/A ,$156.60 ,$95.70 ,$147.90 ,$38.28 ,$174.00 ,$104.40 ,$38.28 ,$72.38 ,$29.54 ,$26.85 ,$45.24 ,$147.90 ,$71.69 ,$139.20 ,$48.72 ,$156.60 ,$174.00 ,$38.28 ,$146.16 ,$75.46 ,$75.46 ,$45.24 ,$113.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201042,86357,HC CD8 TOTAL COUNT-90,302,1 ,$168.00 ,$109.20 ,$26.85 ,$168.00 ,$92.40 ,$100.80 ,$100.80 ,$43.68 ,$47.04 ,$85.34 ,$43.68 ,$98.78 ,$42.00 ,$134.40 ,$134.40 ,$43.68 ,$109.20 ,$70.22 ,$72.97 ,$94.33 ,$43.68 ,$168.00 ,$36.96 ,$126.00 ,$119.28 ,$119.28 ,$36.96 ,$119.28 ,$141.12 ,$141.12 ,$141.12 , N/A ,$151.20 ,$92.40 ,$142.80 ,$36.96 ,$168.00 ,$100.80 ,$36.96 ,$69.89 ,$29.54 ,$26.85 ,$43.68 ,$142.80 ,$71.69 ,$134.40 ,$47.04 ,$151.20 ,$168.00 ,$36.96 ,$141.12 ,$75.46 ,$75.46 ,$43.68 ,$109.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$113.00 ,$73.45 ,$24.86 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$72.97 ,$94.33 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$29.54 ,$26.85 ,$29.38 ,$96.05 ,$71.69 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$75.46 ,$75.46 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$176.00 ,$114.40 ,$26.85 ,$176.00 ,$96.80 ,$105.60 ,$105.60 ,$45.76 ,$49.28 ,$89.41 ,$45.76 ,$103.49 ,$44.00 ,$140.80 ,$140.80 ,$45.76 ,$114.40 ,$73.57 ,$91.21 ,$117.45 ,$45.76 ,$176.00 ,$38.72 ,$132.00 ,$124.96 ,$124.96 ,$38.72 ,$124.96 ,$147.84 ,$147.84 ,$147.84 , N/A ,$158.40 ,$96.80 ,$149.60 ,$38.72 ,$176.00 ,$105.60 ,$38.72 ,$73.22 ,$29.54 ,$26.85 ,$45.76 ,$149.60 ,$89.26 ,$140.80 ,$49.28 ,$158.40 ,$176.00 ,$38.72 ,$147.84 ,$93.96 ,$93.96 ,$45.76 ,$114.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201046,86361,HC T CELLS CD4 COUNT-90,302,1 ,$42.00 ,$27.30 ,$9.24 ,$66.95 ,$23.10 ,$25.20 ,$25.20 ,$10.92 ,$11.76 ,$21.34 ,$10.92 ,$24.70 ,$10.50 ,$33.60 ,$33.60 ,$10.92 ,$27.30 ,$17.56 ,$42.00 ,$66.95 ,$10.92 ,$42.00 ,$9.24 ,$31.50 ,$29.82 ,$29.82 ,$9.24 ,$29.82 ,$35.28 ,$35.28 ,$35.28 , N/A ,$37.80 ,$23.10 ,$35.70 ,$9.24 ,$42.00 ,$25.20 ,$9.24 ,$17.47 ,$29.54 ,$26.85 ,$10.92 ,$35.70 ,$50.88 ,$33.60 ,$11.76 ,$37.80 ,$42.00 ,$9.24 ,$35.28 ,$42.00 ,$42.00 ,$10.92 ,$27.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201047,86376,HC MICROSOMAL AB-90,302,1 ,$243.00 ,$157.95 ,$27.65 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$108.76 ,$63.18 ,$132.92 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$157.95 ,$101.57 ,$28.31 ,$36.38 ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 ,$44.78 ,$40.71 ,$63.18 ,$206.55 ,$27.65 ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$29.10 ,$29.10 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201049,86403,HC PARTICLE AGG SCREEN-90,302,1 ,$29.00 ,$18.85 ,$6.38 ,$29.00 ,$15.95 ,$17.40 ,$17.40 ,$7.54 ,$8.12 ,$14.73 ,$7.54 ,$17.05 ,$7.25 ,$23.20 ,$23.20 ,$7.54 ,$18.85 ,$12.12 ,$20.13 ,$28.85 ,$7.54 ,$29.00 ,$6.38 ,$21.75 ,$20.59 ,$20.59 ,$6.38 ,$20.59 ,$24.36 ,$24.36 ,$24.36 , N/A ,$26.10 ,$15.95 ,$24.65 ,$6.38 ,$29.00 ,$17.40 ,$6.38 ,$12.06 ,$17.14 ,$15.58 ,$7.54 ,$24.65 ,$21.93 ,$23.20 ,$8.12 ,$26.10 ,$29.00 ,$6.38 ,$24.36 ,$23.08 ,$23.08 ,$7.54 ,$18.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201051,86406,HC PARTICLE AGGLUT TITER-90,302,1 ,$103.00 ,$66.95 ,$15.58 ,$103.00 ,$56.65 ,$61.80 ,$61.80 ,$26.78 ,$28.84 ,$52.32 ,$26.78 ,$60.56 ,$25.75 ,$82.40 ,$82.40 ,$26.78 ,$66.95 ,$43.05 ,$20.76 ,$26.60 ,$26.78 ,$103.00 ,$22.66 ,$77.25 ,$73.13 ,$73.13 ,$22.66 ,$73.13 ,$86.52 ,$86.52 ,$86.52 , N/A ,$92.70 ,$56.65 ,$87.55 ,$22.66 ,$103.00 ,$61.80 ,$22.66 ,$42.85 ,$17.14 ,$15.58 ,$26.78 ,$87.55 ,$20.22 ,$82.40 ,$28.84 ,$92.70 ,$103.00 ,$22.66 ,$86.52 ,$21.28 ,$21.28 ,$26.78 ,$66.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$4.80 ,$3.12 ,$1.06 ,$17.14 ,$2.65 ,$2.88 ,$2.88 ,$1.25 ,$1.34 ,$2.44 ,$1.25 ,$2.82 ,$1.20 ,$3.84 ,$3.84 ,$1.25 ,$3.12 ,$2.01 ,$4.80 ,$12.00 ,$1.25 ,$4.80 ,$1.06 ,$3.60 ,$3.41 ,$3.41 ,$1.06 ,$3.41 ,$4.03 ,$4.03 ,$4.03 , N/A ,$4.32 ,$2.65 ,$4.08 ,$1.06 ,$4.80 ,$2.88 ,$1.06 ,$2.00 ,$17.14 ,$15.58 ,$1.25 ,$4.08 ,$9.12 ,$3.84 ,$1.34 ,$4.32 ,$4.80 ,$1.06 ,$4.03 ,$4.80 ,$4.80 ,$1.25 ,$3.12 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201053,86480,HC TB QUANTIFERON GOLD-90,302,1 ,$250.00 ,$162.50 ,$26.85 ,$250.00 ,$137.50 ,$150.00 ,$150.00 ,$65.00 ,$70.00 ,$127.00 ,$65.00 ,$147.00 ,$62.50 ,$200.00 ,$200.00 ,$65.00 ,$162.50 ,$104.50 ,$120.14 ,$154.95 ,$65.00 ,$250.00 ,$55.00 ,$187.50 ,$177.50 ,$177.50 ,$55.00 ,$177.50 ,$210.00 ,$210.00 ,$210.00 , N/A ,$225.00 ,$137.50 ,$212.50 ,$55.00 ,$250.00 ,$150.00 ,$55.00 ,$104.00 ,$29.54 ,$26.85 ,$65.00 ,$212.50 ,$117.76 ,$200.00 ,$70.00 ,$225.00 ,$250.00 ,$55.00 ,$210.00 ,$123.96 ,$123.96 ,$65.00 ,$162.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$101.00 ,$65.65 ,$8.11 ,$101.00 ,$55.55 ,$60.60 ,$60.60 ,$26.26 ,$28.28 ,$31.97 ,$26.26 ,$39.07 ,$25.25 ,$80.80 ,$80.80 ,$26.26 ,$65.65 ,$42.22 ,$8.18 ,$10.68 ,$26.26 ,$101.00 ,$22.22 ,$75.75 ,$71.71 ,$71.71 ,$22.22 ,$71.71 ,$84.84 ,$84.84 ,$84.84 , N/A ,$90.90 ,$55.55 ,$85.85 ,$22.22 ,$101.00 ,$60.60 ,$22.22 ,$42.02 ,$17.14 ,$15.58 ,$26.26 ,$85.85 ,$8.11 ,$80.80 ,$28.28 ,$90.90 ,$101.00 ,$22.22 ,$84.84 ,$8.54 ,$8.54 ,$26.26 ,$65.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$48.00 ,$31.20 ,$10.56 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$25.16 ,$32.18 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$29.54 ,$26.85 ,$12.48 ,$40.80 ,$24.45 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$25.74 ,$25.74 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$56.00 ,$36.40 ,$12.32 ,$56.00 ,$30.80 ,$33.60 ,$33.60 ,$14.56 ,$15.68 ,$28.45 ,$14.56 ,$32.93 ,$14.00 ,$44.80 ,$44.80 ,$14.56 ,$36.40 ,$23.41 ,$28.93 ,$37.63 ,$14.56 ,$56.00 ,$12.32 ,$42.00 ,$39.76 ,$39.76 ,$12.32 ,$39.76 ,$47.04 ,$47.04 ,$47.04 , N/A ,$50.40 ,$30.80 ,$47.60 ,$12.32 ,$56.00 ,$33.60 ,$12.32 ,$23.30 ,$29.54 ,$26.85 ,$14.56 ,$47.60 ,$28.60 ,$44.80 ,$15.68 ,$50.40 ,$56.00 ,$12.32 ,$47.04 ,$30.10 ,$30.10 ,$14.56 ,$36.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$154.00 ,$100.10 ,$19.34 ,$154.00 ,$84.70 ,$92.40 ,$92.40 ,$40.04 ,$43.12 ,$76.05 ,$40.04 ,$90.55 ,$38.50 ,$123.20 ,$123.20 ,$40.04 ,$100.10 ,$64.37 ,$19.50 ,$25.45 ,$40.04 ,$154.00 ,$33.88 ,$115.50 ,$109.34 ,$109.34 ,$33.88 ,$109.34 ,$129.36 ,$129.36 ,$129.36 , N/A ,$138.60 ,$84.70 ,$130.90 ,$33.88 ,$154.00 ,$92.40 ,$33.88 ,$64.06 ,$29.54 ,$26.85 ,$40.04 ,$130.90 ,$19.34 ,$123.20 ,$43.12 ,$138.60 ,$154.00 ,$33.88 ,$129.36 ,$20.36 ,$20.36 ,$40.04 ,$100.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$48.00 ,$31.20 ,$10.56 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$25.16 ,$32.25 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$29.54 ,$26.85 ,$12.48 ,$40.80 ,$24.51 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$25.80 ,$25.80 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201061,86615,HC BORDETELLA AB-90,302,1 ,$125.00 ,$81.25 ,$25.06 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$25.79 ,$32.98 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$29.54 ,$26.85 ,$32.50 ,$106.25 ,$25.06 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$26.38 ,$26.38 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$257.00 ,$167.05 ,$26.85 ,$257.00 ,$141.35 ,$154.20 ,$154.20 ,$66.82 ,$71.96 ,$115.85 ,$66.82 ,$141.58 ,$64.25 ,$205.60 ,$205.60 ,$66.82 ,$167.05 ,$107.43 ,$30.19 ,$38.73 ,$66.82 ,$257.00 ,$56.54 ,$192.75 ,$182.47 ,$182.47 ,$56.54 ,$182.47 ,$215.88 ,$215.88 ,$215.88 , N/A ,$231.30 ,$141.35 ,$218.45 ,$56.54 ,$257.00 ,$154.20 ,$56.54 ,$106.91 ,$29.54 ,$26.85 ,$66.82 ,$218.45 ,$29.43 ,$205.60 ,$71.96 ,$231.30 ,$257.00 ,$56.54 ,$215.88 ,$30.98 ,$30.98 ,$66.82 ,$167.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201063,86618,HC LYME AB-90,302,1 ,$131.00 ,$85.15 ,$26.85 ,$131.00 ,$72.05 ,$78.60 ,$78.60 ,$34.06 ,$36.68 ,$66.55 ,$34.06 ,$77.03 ,$32.75 ,$104.80 ,$104.80 ,$34.06 ,$85.15 ,$54.76 ,$32.71 ,$42.58 ,$34.06 ,$131.00 ,$28.82 ,$98.25 ,$93.01 ,$93.01 ,$28.82 ,$93.01 ,$110.04 ,$110.04 ,$110.04 , N/A ,$117.90 ,$72.05 ,$111.35 ,$28.82 ,$131.00 ,$78.60 ,$28.82 ,$54.50 ,$29.54 ,$26.85 ,$34.06 ,$111.35 ,$32.36 ,$104.80 ,$36.68 ,$117.90 ,$131.00 ,$28.82 ,$110.04 ,$34.06 ,$34.06 ,$34.06 ,$85.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201065,86622,HC BRUCELLA AB-90,302,1 ,$33.00 ,$21.45 ,$7.26 ,$33.00 ,$18.15 ,$19.80 ,$19.80 ,$8.58 ,$9.24 ,$16.76 ,$8.58 ,$19.40 ,$8.25 ,$26.40 ,$26.40 ,$8.58 ,$21.45 ,$13.79 ,$17.61 ,$22.33 ,$8.58 ,$33.00 ,$7.26 ,$24.75 ,$23.43 ,$23.43 ,$7.26 ,$23.43 ,$27.72 ,$27.72 ,$27.72 , N/A ,$29.70 ,$18.15 ,$28.05 ,$7.26 ,$33.00 ,$19.80 ,$7.26 ,$13.73 ,$29.54 ,$26.85 ,$8.58 ,$28.05 ,$16.97 ,$26.40 ,$9.24 ,$29.70 ,$33.00 ,$7.26 ,$27.72 ,$17.86 ,$17.86 ,$8.58 ,$21.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201066,86628,HC CANDIDA AB-90,302,1 ,$12.00 ,$7.80 ,$2.64 ,$30.00 ,$6.60 ,$7.20 ,$7.20 ,$3.12 ,$3.36 ,$6.10 ,$3.12 ,$7.06 ,$3.00 ,$9.60 ,$9.60 ,$3.12 ,$7.80 ,$5.02 ,$12.00 ,$30.00 ,$3.12 ,$12.00 ,$2.64 ,$9.00 ,$8.52 ,$8.52 ,$2.64 ,$8.52 ,$10.08 ,$10.08 ,$10.08 , N/A ,$10.80 ,$6.60 ,$10.20 ,$2.64 ,$12.00 ,$7.20 ,$2.64 ,$4.99 ,$13.66 ,$12.42 ,$3.12 ,$10.20 ,$22.80 ,$9.60 ,$3.36 ,$10.80 ,$12.00 ,$2.64 ,$10.08 ,$12.00 ,$12.00 ,$3.12 ,$7.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201067,86631,HC CHLAMYDIA AB-90,302,1 ,$85.00 ,$55.25 ,$12.42 ,$85.00 ,$46.75 ,$51.00 ,$51.00 ,$22.10 ,$23.80 ,$43.18 ,$22.10 ,$49.98 ,$21.25 ,$68.00 ,$68.00 ,$22.10 ,$55.25 ,$35.53 ,$22.64 ,$29.55 ,$22.10 ,$85.00 ,$18.70 ,$63.75 ,$60.35 ,$60.35 ,$18.70 ,$60.35 ,$71.40 ,$71.40 ,$71.40 , N/A ,$76.50 ,$46.75 ,$72.25 ,$18.70 ,$85.00 ,$51.00 ,$18.70 ,$35.36 ,$13.66 ,$12.42 ,$22.10 ,$72.25 ,$22.46 ,$68.00 ,$23.80 ,$76.50 ,$85.00 ,$18.70 ,$71.40 ,$23.64 ,$23.64 ,$22.10 ,$55.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201074,86695,HC HERPES SIMPLEX AB I W/O TITER-90,302,1 ,$7.00 ,$4.55 ,$1.54 ,$29.54 ,$3.85 ,$4.20 ,$4.20 ,$1.82 ,$1.96 ,$3.56 ,$1.82 ,$4.12 ,$1.75 ,$5.60 ,$5.60 ,$1.82 ,$4.55 ,$2.93 ,$7.00 ,$17.50 ,$1.82 ,$7.00 ,$1.54 ,$5.25 ,$4.97 ,$4.97 ,$1.54 ,$4.97 ,$5.88 ,$5.88 ,$5.88 , N/A ,$6.30 ,$3.85 ,$5.95 ,$1.54 ,$7.00 ,$4.20 ,$1.54 ,$2.91 ,$29.54 ,$26.85 ,$1.82 ,$5.95 ,$13.30 ,$5.60 ,$1.96 ,$6.30 ,$7.00 ,$1.54 ,$5.88 ,$7.00 ,$7.00 ,$1.82 ,$4.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201092,86593,HC SYPHILIS VDRL RPR QN-90,302,1 ,$3.00 ,$1.95 ,$0.66 ,$17.14 ,$1.65 ,$1.80 ,$1.80 ,$0.78 ,$0.84 ,$1.52 ,$0.78 ,$1.76 ,$0.75 ,$2.40 ,$2.40 ,$0.78 ,$1.95 ,$1.25 ,$3.00 ,$7.50 ,$0.78 ,$3.00 ,$0.66 ,$2.25 ,$2.13 ,$2.13 ,$0.66 ,$2.13 ,$2.52 ,$2.52 ,$2.52 , N/A ,$2.70 ,$1.65 ,$2.55 ,$0.66 ,$3.00 ,$1.80 ,$0.66 ,$1.25 ,$17.14 ,$15.58 ,$0.78 ,$2.55 ,$5.70 ,$2.40 ,$0.84 ,$2.70 ,$3.00 ,$0.66 ,$2.52 ,$3.00 ,$3.00 ,$0.78 ,$1.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201096,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$219.00 ,$142.35 ,$15.58 ,$219.00 ,$120.45 ,$131.40 ,$131.40 ,$56.94 ,$61.32 ,$96.83 ,$56.94 ,$118.34 ,$54.75 ,$175.20 ,$175.20 ,$56.94 ,$142.35 ,$91.54 ,$25.16 ,$32.38 ,$56.94 ,$219.00 ,$48.18 ,$164.25 ,$155.49 ,$155.49 ,$48.18 ,$155.49 ,$183.96 ,$183.96 ,$183.96 , N/A ,$197.10 ,$120.45 ,$186.15 ,$48.18 ,$219.00 ,$131.40 ,$48.18 ,$91.10 ,$17.14 ,$15.58 ,$56.94 ,$186.15 ,$24.61 ,$175.20 ,$61.32 ,$197.10 ,$219.00 ,$48.18 ,$183.96 ,$25.90 ,$25.90 ,$56.94 ,$142.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201108,86431,HC RHEUMATOID FACTOR QN,302,1 ,$147.00 ,$95.55 ,$10.69 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$42.41 ,$38.22 ,$51.82 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$95.55 ,$61.45 ,$10.69 ,$14.18 ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$147.00 ,$88.20 ,$32.34 ,$61.15 ,$17.14 ,$15.58 ,$38.22 ,$124.95 ,$10.77 ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$11.34 ,$11.34 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201122,86705,HC HEP B CORE IGM,302,1 ,$317.00 ,$206.05 ,$15.58 ,$317.00 ,$174.35 ,$190.20 ,$190.20 ,$82.42 ,$88.76 ,$88.07 ,$82.42 ,$107.64 ,$79.25 ,$253.60 ,$253.60 ,$82.42 ,$206.05 ,$132.51 ,$22.64 ,$29.43 ,$82.42 ,$317.00 ,$69.74 ,$237.75 ,$225.07 ,$225.07 ,$69.74 ,$225.07 ,$266.28 ,$266.28 ,$266.28 , N/A ,$285.30 ,$174.35 ,$269.45 ,$69.74 ,$317.00 ,$190.20 ,$69.74 ,$131.87 ,$17.14 ,$15.58 ,$82.42 ,$269.45 ,$22.36 ,$253.60 ,$88.76 ,$285.30 ,$317.00 ,$69.74 ,$266.28 ,$23.54 ,$23.54 ,$82.42 ,$206.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201123,86706,HC HEP B SURFACE AB,302,1 ,$106.00 ,$68.90 ,$15.58 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$20.76 ,$26.85 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$17.14 ,$15.58 ,$27.56 ,$90.10 ,$20.41 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$21.48 ,$21.48 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201125,86709,HC HEP A AB (HAAB) IGM,302,1 ,$242.00 ,$157.30 ,$15.58 ,$242.00 ,$133.10 ,$145.20 ,$145.20 ,$62.92 ,$67.76 ,$84.25 ,$62.92 ,$102.97 ,$60.50 ,$193.60 ,$193.60 ,$62.92 ,$157.30 ,$101.16 ,$22.02 ,$28.15 ,$62.92 ,$242.00 ,$53.24 ,$181.50 ,$171.82 ,$171.82 ,$53.24 ,$171.82 ,$203.28 ,$203.28 ,$203.28 , N/A ,$217.80 ,$133.10 ,$205.70 ,$53.24 ,$242.00 ,$145.20 ,$53.24 ,$100.67 ,$17.14 ,$15.58 ,$62.92 ,$205.70 ,$21.39 ,$193.60 ,$67.76 ,$217.80 ,$242.00 ,$53.24 ,$203.28 ,$22.52 ,$22.52 ,$62.92 ,$157.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201127,86762,HC RUBELLA AB,302,1 ,$126.00 ,$81.90 ,$15.58 ,$126.00 ,$69.30 ,$75.60 ,$75.60 ,$32.76 ,$35.28 ,$64.01 ,$32.76 ,$74.09 ,$31.50 ,$100.80 ,$100.80 ,$32.76 ,$81.90 ,$52.67 ,$27.68 ,$35.98 ,$32.76 ,$126.00 ,$27.72 ,$94.50 ,$89.46 ,$89.46 ,$27.72 ,$89.46 ,$105.84 ,$105.84 ,$105.84 , N/A ,$113.40 ,$69.30 ,$107.10 ,$27.72 ,$126.00 ,$75.60 ,$27.72 ,$52.42 ,$17.14 ,$15.58 ,$32.76 ,$107.10 ,$27.34 ,$100.80 ,$35.28 ,$113.40 ,$126.00 ,$27.72 ,$105.84 ,$28.78 ,$28.78 ,$32.76 ,$81.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201129,86780,HC TREPONEMA P AB CONFIRM,302,1 ,$277.00 ,$180.05 ,$25.16 ,$277.00 ,$152.35 ,$166.20 ,$166.20 ,$72.02 ,$77.56 ,$134.02 ,$72.02 ,$162.88 ,$69.25 ,$221.60 ,$221.60 ,$72.02 ,$180.05 ,$115.79 ,$25.79 ,$33.10 ,$72.02 ,$277.00 ,$60.94 ,$207.75 ,$196.67 ,$196.67 ,$60.94 ,$196.67 ,$232.68 ,$232.68 ,$232.68 , N/A ,$249.30 ,$152.35 ,$235.45 ,$60.94 ,$277.00 ,$166.20 ,$60.94 ,$115.23 ,$29.54 ,$26.85 ,$72.02 ,$235.45 ,$25.16 ,$221.60 ,$77.56 ,$249.30 ,$277.00 ,$60.94 ,$232.68 ,$26.48 ,$26.48 ,$72.02 ,$180.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201132,86803,HC HEP C AB,302,1 ,$576.00 ,$374.40 ,$26.85 ,$576.00 ,$316.80 ,$345.60 ,$345.60 ,$149.76 ,$161.28 ,$144.46 ,$149.76 ,$176.55 ,$144.00 ,$460.80 ,$460.80 ,$149.76 ,$374.40 ,$240.77 ,$27.68 ,$35.68 ,$149.76 ,$576.00 ,$126.72 ,$432.00 ,$408.96 ,$408.96 ,$126.72 ,$408.96 ,$483.84 ,$483.84 ,$483.84 , N/A ,$518.40 ,$316.80 ,$489.60 ,$126.72 ,$576.00 ,$345.60 ,$126.72 ,$239.62 ,$29.54 ,$26.85 ,$149.76 ,$489.60 ,$27.11 ,$460.80 ,$161.28 ,$518.40 ,$576.00 ,$126.72 ,$483.84 ,$28.54 ,$28.54 ,$149.76 ,$374.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$169.00 ,$109.85 ,$9.65 ,$743.63 ,$92.95 ,$101.40 ,$101.40 ,$43.94 ,$47.32 ,$38.49 ,$43.94 ,$47.04 ,$42.25 ,$135.20 ,$135.20 ,$43.94 ,$109.85 ,$70.64 ,$11.32 ,$743.63 ,$43.94 ,$169.00 ,$37.18 ,$126.75 ,$119.99 ,$119.99 ,$37.18 ,$119.99 ,$141.96 ,$141.96 ,$141.96 , N/A ,$152.10 ,$92.95 ,$143.65 ,$37.18 ,$169.00 ,$101.40 ,$37.18 ,$70.30 ,$10.62 ,$9.65 ,$43.94 ,$143.65 ,$565.16 ,$135.20 ,$47.32 ,$152.10 ,$169.00 ,$37.18 ,$141.96 ,$12.70 ,$12.70 ,$43.94 ,$109.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$218.00 ,$141.70 ,$9.65 ,$743.63 ,$119.90 ,$130.80 ,$130.80 ,$56.68 ,$61.04 ,$38.49 ,$56.68 ,$47.04 ,$54.50 ,$174.40 ,$174.40 ,$56.68 ,$141.70 ,$91.12 ,$11.32 ,$743.63 ,$56.68 ,$218.00 ,$47.96 ,$163.50 ,$154.78 ,$154.78 ,$47.96 ,$154.78 ,$183.12 ,$183.12 ,$183.12 , N/A ,$196.20 ,$119.90 ,$185.30 ,$47.96 ,$218.00 ,$130.80 ,$47.96 ,$90.69 ,$10.62 ,$9.65 ,$56.68 ,$185.30 ,$565.16 ,$174.40 ,$61.04 ,$196.20 ,$218.00 ,$47.96 ,$183.12 ,$12.70 ,$12.70 ,$56.68 ,$141.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$268.00 ,$174.20 ,$9.65 ,$743.63 ,$147.40 ,$160.80 ,$160.80 ,$69.68 ,$75.04 ,$38.49 ,$69.68 ,$47.04 ,$67.00 ,$214.40 ,$214.40 ,$69.68 ,$174.20 ,$112.02 ,$11.32 ,$743.63 ,$69.68 ,$268.00 ,$58.96 ,$201.00 ,$190.28 ,$190.28 ,$58.96 ,$190.28 ,$225.12 ,$225.12 ,$225.12 , N/A ,$241.20 ,$147.40 ,$227.80 ,$58.96 ,$268.00 ,$160.80 ,$58.96 ,$111.49 ,$10.62 ,$9.65 ,$69.68 ,$227.80 ,$565.16 ,$214.40 ,$75.04 ,$241.20 ,$268.00 ,$58.96 ,$225.12 ,$12.70 ,$12.70 ,$69.68 ,$174.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$169.00 ,$109.85 ,$7.55 ,$743.63 ,$92.95 ,$101.40 ,$101.40 ,$43.94 ,$47.32 ,$28.61 ,$43.94 ,$34.97 ,$42.25 ,$135.20 ,$135.20 ,$43.94 ,$109.85 ,$70.64 ,$7.55 ,$743.63 ,$43.94 ,$169.00 ,$37.18 ,$126.75 ,$119.99 ,$119.99 ,$37.18 ,$119.99 ,$141.96 ,$141.96 ,$141.96 , N/A ,$152.10 ,$92.95 ,$143.65 ,$37.18 ,$169.00 ,$101.40 ,$37.18 ,$70.30 ,$10.62 ,$9.65 ,$43.94 ,$143.65 ,$565.16 ,$135.20 ,$47.32 ,$152.10 ,$169.00 ,$37.18 ,$141.96 ,$7.66 ,$7.66 ,$43.94 ,$109.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$218.00 ,$141.70 ,$7.55 ,$743.63 ,$119.90 ,$130.80 ,$130.80 ,$56.68 ,$61.04 ,$28.61 ,$56.68 ,$34.97 ,$54.50 ,$174.40 ,$174.40 ,$56.68 ,$141.70 ,$91.12 ,$7.55 ,$743.63 ,$56.68 ,$218.00 ,$47.96 ,$163.50 ,$154.78 ,$154.78 ,$47.96 ,$154.78 ,$183.12 ,$183.12 ,$183.12 , N/A ,$196.20 ,$119.90 ,$185.30 ,$47.96 ,$218.00 ,$130.80 ,$47.96 ,$90.69 ,$10.62 ,$9.65 ,$56.68 ,$185.30 ,$565.16 ,$174.40 ,$61.04 ,$196.20 ,$218.00 ,$47.96 ,$183.12 ,$7.66 ,$7.66 ,$56.68 ,$141.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$268.00 ,$174.20 ,$7.55 ,$743.63 ,$147.40 ,$160.80 ,$160.80 ,$69.68 ,$75.04 ,$28.61 ,$69.68 ,$34.97 ,$67.00 ,$214.40 ,$214.40 ,$69.68 ,$174.20 ,$112.02 ,$7.55 ,$743.63 ,$69.68 ,$268.00 ,$58.96 ,$201.00 ,$190.28 ,$190.28 ,$58.96 ,$190.28 ,$225.12 ,$225.12 ,$225.12 , N/A ,$241.20 ,$147.40 ,$227.80 ,$58.96 ,$268.00 ,$160.80 ,$58.96 ,$111.49 ,$10.62 ,$9.65 ,$69.68 ,$227.80 ,$565.16 ,$214.40 ,$75.04 ,$241.20 ,$268.00 ,$58.96 ,$225.12 ,$7.66 ,$7.66 ,$69.68 ,$174.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201148,83986,HC PH BODY FLUID,302,1 ,$89.00 ,$57.85 ,$6.80 ,$89.00 ,$48.95 ,$53.40 ,$53.40 ,$23.14 ,$24.92 ,$36.25 ,$23.14 ,$44.31 ,$22.25 ,$71.20 ,$71.20 ,$23.14 ,$57.85 ,$37.20 ,$6.92 ,$8.95 ,$23.14 ,$89.00 ,$19.58 ,$66.75 ,$63.19 ,$63.19 ,$19.58 ,$63.19 ,$74.76 ,$74.76 ,$74.76 , N/A ,$80.10 ,$48.95 ,$75.65 ,$19.58 ,$89.00 ,$53.40 ,$19.58 ,$37.02 ,$8.51 ,$7.74 ,$23.14 ,$75.65 ,$6.80 ,$71.20 ,$24.92 ,$80.10 ,$89.00 ,$19.58 ,$74.76 ,$7.16 ,$7.16 ,$23.14 ,$57.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201152,86255,HC FLUOR AB SCR AQUAPORIN-90,302,1 ,$36.00 ,$23.40 ,$7.92 ,$36.00 ,$19.80 ,$21.60 ,$21.60 ,$9.36 ,$10.08 ,$18.29 ,$9.36 ,$21.17 ,$9.00 ,$28.80 ,$28.80 ,$9.36 ,$18.52 ,$15.05 ,$23.27 ,$30.13 ,$9.36 ,$36.00 ,$7.92 ,$27.00 ,$25.56 ,$25.56 ,$7.92 ,$25.56 ,$30.24 ,$30.24 ,$30.24 , N/A ,$32.40 ,$19.80 ,$30.60 ,$7.92 ,$36.00 ,$21.60 ,$7.92 ,$14.98 ,$29.54 ,$26.85 ,$9.36 ,$30.60 ,$22.90 ,$28.80 ,$10.08 ,$32.40 ,$36.00 ,$7.92 ,$30.24 ,$24.10 ,$24.10 ,$9.36 ,$23.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$36.00 ,$23.40 ,$7.92 ,$36.00 ,$19.80 ,$21.60 ,$21.60 ,$9.36 ,$10.08 ,$18.29 ,$9.36 ,$21.17 ,$9.00 ,$28.80 ,$28.80 ,$9.36 ,$23.40 ,$15.05 ,$23.27 ,$29.95 ,$9.36 ,$36.00 ,$7.92 ,$27.00 ,$25.56 ,$25.56 ,$7.92 ,$25.56 ,$30.24 ,$30.24 ,$30.24 , N/A ,$32.40 ,$19.80 ,$30.60 ,$7.92 ,$36.00 ,$21.60 ,$7.92 ,$14.98 ,$17.14 ,$15.58 ,$9.36 ,$30.60 ,$22.76 ,$28.80 ,$10.08 ,$32.40 ,$36.00 ,$7.92 ,$30.24 ,$23.96 ,$23.96 ,$9.36 ,$23.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201166,86780,HC ANTIBODY TREPONEMA PALLIDUM-90,302,1 ,$12.00 ,$7.80 ,$2.64 ,$30.00 ,$6.60 ,$7.20 ,$7.20 ,$3.12 ,$3.36 ,$6.10 ,$3.12 ,$7.06 ,$3.00 ,$9.60 ,$9.60 ,$3.12 ,$7.80 ,$5.02 ,$12.00 ,$30.00 ,$3.12 ,$12.00 ,$2.64 ,$9.00 ,$8.52 ,$8.52 ,$2.64 ,$8.52 ,$10.08 ,$10.08 ,$10.08 , N/A ,$10.80 ,$6.60 ,$10.20 ,$2.64 ,$12.00 ,$7.20 ,$2.64 ,$4.99 ,$29.54 ,$26.85 ,$3.12 ,$10.20 ,$22.80 ,$9.60 ,$3.36 ,$10.80 ,$12.00 ,$2.64 ,$10.08 ,$12.00 ,$12.00 ,$3.12 ,$7.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201186,86628,HC ANTIBODY CANDIDA-90,302,1 ,$202.00 ,$131.30 ,$12.42 ,$202.00 ,$111.10 ,$121.20 ,$121.20 ,$52.52 ,$56.56 ,$89.75 ,$52.52 ,$109.69 ,$50.50 ,$161.60 ,$161.60 ,$52.52 ,$131.30 ,$84.44 ,$23.27 ,$30.03 ,$52.52 ,$202.00 ,$44.44 ,$151.50 ,$143.42 ,$143.42 ,$44.44 ,$143.42 ,$169.68 ,$169.68 ,$169.68 , N/A ,$181.80 ,$111.10 ,$171.70 ,$44.44 ,$202.00 ,$121.20 ,$44.44 ,$84.03 ,$13.66 ,$12.42 ,$52.52 ,$171.70 ,$22.82 ,$161.60 ,$56.56 ,$181.80 ,$202.00 ,$44.44 ,$169.68 ,$24.02 ,$24.02 ,$52.52 ,$131.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$121.00 ,$78.65 ,$15.58 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$58.93 ,$31.46 ,$67.88 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$82.28 ,$28.83 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$17.14 ,$15.58 ,$31.46 ,$102.85 ,$21.91 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$23.06 ,$23.06 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$223.00 ,$144.95 ,$15.58 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$108.60 ,$57.98 ,$125.10 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$151.64 ,$30.13 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$17.14 ,$15.58 ,$57.98 ,$189.55 ,$22.90 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$24.10 ,$24.10 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201191,86037,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY TITER- 90,302,1 ,$56.00 ,$36.40 ,$12.32 ,$56.00 ,$30.80 ,$33.60 ,$33.60 ,$14.56 ,$15.68 ,$27.27 ,$14.56 ,$31.42 ,$14.00 ,$44.80 ,$44.80 ,$14.56 ,$36.40 ,$23.41 ,$38.08 ,$30.13 ,$14.56 ,$56.00 ,$12.32 ,$42.00 ,$39.76 ,$39.76 ,$12.32 ,$39.76 ,$47.04 ,$47.04 ,$47.04 , N/A ,$50.40 ,$30.80 ,$47.60 ,$12.32 ,$56.00 ,$33.60 ,$12.32 ,$23.30 ,$17.14 ,$15.58 ,$14.56 ,$47.60 ,$22.90 ,$44.80 ,$15.68 ,$50.40 ,$56.00 ,$12.32 ,$47.04 ,$24.10 ,$24.10 ,$14.56 ,$36.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201192,86364,HC TISS TRANSGLUTAMINASE EA IMMUNO- 90,302,1 ,$121.00 ,$78.65 ,$15.58 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$58.93 ,$31.46 ,$67.88 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$82.28 ,$28.83 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$17.14 ,$15.58 ,$31.46 ,$102.85 ,$21.91 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$23.06 ,$23.06 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201193,86231,HC EMA EACH IG CLASS- 90,302,1 ,$184.00 ,$119.60 ,$15.58 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$89.61 ,$47.84 ,$103.22 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$125.12 ,$30.23 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$17.14 ,$15.58 ,$47.84 ,$156.40 ,$22.97 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$24.18 ,$24.18 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201194,86258,HC GLIADIN ANTIBODY EA- 90,302,1 ,$121.00 ,$78.65 ,$15.58 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$58.93 ,$31.46 ,$67.88 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$82.28 ,$28.83 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$17.14 ,$15.58 ,$31.46 ,$102.85 ,$21.91 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$23.06 ,$23.06 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$184.00 ,$119.60 ,$15.58 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$89.61 ,$47.84 ,$103.22 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$125.12 ,$63.63 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$17.14 ,$15.58 ,$47.84 ,$156.40 ,$48.36 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$50.90 ,$50.90 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$245.00 ,$159.25 ,$6.92 ,$245.00 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$34.76 ,$63.70 ,$42.48 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$6.92 ,$9.50 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$11.88 ,$10.80 ,$63.70 ,$208.25 ,$7.22 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$7.60 ,$7.60 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500104,85014,HC HEMATOCRIT,305,1 ,$423.00 ,$274.95 ,$2.37 ,$423.00 ,$232.65 ,$253.80 ,$253.80 ,$109.98 ,$118.44 ,$24.05 ,$109.98 ,$29.39 ,$105.75 ,$338.40 ,$338.40 ,$109.98 ,$274.95 ,$176.81 ,$4.40 ,$5.93 ,$109.98 ,$423.00 ,$93.06 ,$317.25 ,$300.33 ,$300.33 ,$93.06 ,$300.33 ,$355.32 ,$355.32 ,$355.32 , N/A ,$380.70 ,$232.65 ,$359.55 ,$93.06 ,$2.37 ,$253.80 ,$93.06 ,$175.97 ,$11.88 ,$10.80 ,$109.98 ,$359.55 ,$4.50 ,$338.40 ,$118.44 ,$380.70 ,$423.00 ,$93.06 ,$355.32 ,$4.74 ,$4.74 ,$109.98 ,$274.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500106,85018,HC HGB,305,1 ,$506.00 ,$328.90 ,$2.37 ,$506.00 ,$278.30 ,$303.60 ,$303.60 ,$131.56 ,$141.68 ,$24.05 ,$131.56 ,$29.39 ,$126.50 ,$404.80 ,$404.80 ,$131.56 ,$328.90 ,$211.51 ,$4.40 ,$5.93 ,$131.56 ,$506.00 ,$111.32 ,$379.50 ,$359.26 ,$359.26 ,$111.32 ,$359.26 ,$425.04 ,$425.04 ,$425.04 , N/A ,$455.40 ,$278.30 ,$430.10 ,$111.32 ,$2.37 ,$303.60 ,$111.32 ,$210.50 ,$11.88 ,$10.80 ,$131.56 ,$430.10 ,$4.50 ,$404.80 ,$141.68 ,$455.40 ,$506.00 ,$111.32 ,$425.04 ,$4.74 ,$4.74 ,$131.56 ,$328.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$147.00 ,$95.55 ,$7.77 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$74.68 ,$38.22 ,$86.44 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$95.55 ,$61.45 ,$15.10 ,$19.43 ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$7.77 ,$88.20 ,$32.34 ,$61.15 ,$11.88 ,$10.80 ,$38.22 ,$124.95 ,$14.76 ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$15.54 ,$15.54 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500108,85027,HC CBC W/O DIFF,305,1 ,$506.00 ,$328.90 ,$6.47 ,$506.00 ,$278.30 ,$303.60 ,$303.60 ,$131.56 ,$141.68 ,$65.43 ,$131.56 ,$79.96 ,$126.50 ,$404.80 ,$404.80 ,$131.56 ,$328.90 ,$211.51 ,$12.58 ,$16.18 ,$131.56 ,$506.00 ,$111.32 ,$379.50 ,$359.26 ,$359.26 ,$111.32 ,$359.26 ,$425.04 ,$425.04 ,$425.04 , N/A ,$455.40 ,$278.30 ,$430.10 ,$111.32 ,$6.47 ,$303.60 ,$111.32 ,$210.50 ,$11.88 ,$10.80 ,$131.56 ,$430.10 ,$12.29 ,$404.80 ,$141.68 ,$455.40 ,$506.00 ,$111.32 ,$425.04 ,$12.94 ,$12.94 ,$131.56 ,$328.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500111,85045,HC RETIC COUNT AUTO,305,1 ,$277.00 ,$180.05 ,$7.55 ,$277.00 ,$152.35 ,$166.20 ,$166.20 ,$72.02 ,$77.56 ,$40.45 ,$72.02 ,$49.43 ,$69.25 ,$221.60 ,$221.60 ,$72.02 ,$180.05 ,$115.79 ,$7.55 ,$9.98 ,$72.02 ,$277.00 ,$60.94 ,$207.75 ,$196.67 ,$196.67 ,$60.94 ,$196.67 ,$232.68 ,$232.68 ,$232.68 , N/A ,$249.30 ,$152.35 ,$235.45 ,$60.94 ,$277.00 ,$166.20 ,$60.94 ,$115.23 ,$11.88 ,$10.80 ,$72.02 ,$235.45 ,$7.58 ,$221.60 ,$77.56 ,$249.30 ,$277.00 ,$60.94 ,$232.68 ,$7.98 ,$7.98 ,$72.02 ,$180.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$486.00 ,$315.90 ,$4.83 ,$486.00 ,$267.30 ,$291.60 ,$291.60 ,$126.36 ,$136.08 ,$25.63 ,$126.36 ,$31.32 ,$121.50 ,$388.80 ,$388.80 ,$126.36 ,$315.90 ,$203.15 ,$5.03 ,$6.35 ,$126.36 ,$486.00 ,$106.92 ,$364.50 ,$345.06 ,$345.06 ,$106.92 ,$345.06 ,$408.24 ,$408.24 ,$408.24 , N/A ,$437.40 ,$267.30 ,$413.10 ,$106.92 ,$486.00 ,$291.60 ,$106.92 ,$202.18 ,$11.88 ,$10.80 ,$126.36 ,$413.10 ,$4.83 ,$388.80 ,$136.08 ,$437.40 ,$486.00 ,$106.92 ,$408.24 ,$5.08 ,$5.08 ,$126.36 ,$315.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$629.00 ,$408.85 ,$8.51 ,$629.00 ,$345.95 ,$377.40 ,$377.40 ,$163.54 ,$176.12 ,$45.39 ,$163.54 ,$55.47 ,$157.25 ,$503.20 ,$503.20 ,$163.54 ,$408.85 ,$262.92 ,$8.81 ,$11.20 ,$163.54 ,$629.00 ,$138.38 ,$471.75 ,$446.59 ,$446.59 ,$138.38 ,$446.59 ,$528.36 ,$528.36 ,$528.36 , N/A ,$566.10 ,$345.95 ,$534.65 ,$138.38 ,$629.00 ,$377.40 ,$138.38 ,$261.66 ,$11.88 ,$10.80 ,$163.54 ,$534.65 ,$8.51 ,$503.20 ,$176.12 ,$566.10 ,$629.00 ,$138.38 ,$528.36 ,$8.96 ,$8.96 ,$163.54 ,$408.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500116,85097,HC BONE MARROW SMEAR INTERP,305,1 ,$490.00 ,$318.50 ,$48.77 ,"$1,673.23 ",$269.50 ,$294.00 ,$294.00 ,$127.40 ,$137.20 ,$248.92 ,$127.40 ,$288.12 ,$122.50 ,$392.00 ,$392.00 ,$127.40 ,$48.77 ,$204.82 ,$60.55 ,"$1,673.23 ",$127.40 ,$490.00 ,$107.80 ,$367.50 ,$347.90 ,$347.90 ,$107.80 ,$347.90 ,$411.60 ,$411.60 ,$411.60 , N/A ,$441.00 ,$269.50 ,$416.50 ,$107.80 ,$490.00 ,$294.00 ,$107.80 ,$203.84 ,$54.66 ,$49.69 ,$127.40 ,$416.50 ,"$1,271.65 ",$392.00 ,$137.20 ,$441.00 ,$490.00 ,$107.80 ,$411.60 ,$490.00 ,$490.00 ,$127.40 ,$318.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500175,85379,HC D DIMER QN,305,1 ,$490.00 ,$318.50 ,$18.73 ,$490.00 ,$269.50 ,$294.00 ,$294.00 ,$127.40 ,$137.20 ,$76.05 ,$127.40 ,$92.94 ,$122.50 ,$392.00 ,$392.00 ,$127.40 ,$318.50 ,$204.82 ,$19.50 ,$25.45 ,$127.40 ,$490.00 ,$107.80 ,$367.50 ,$347.90 ,$347.90 ,$107.80 ,$347.90 ,$411.60 ,$411.60 ,$411.60 , N/A ,$441.00 ,$269.50 ,$416.50 ,$107.80 ,$490.00 ,$294.00 ,$107.80 ,$203.84 ,$20.60 ,$18.73 ,$127.40 ,$416.50 ,$19.34 ,$392.00 ,$137.20 ,$441.00 ,$490.00 ,$107.80 ,$411.60 ,$20.36 ,$20.36 ,$127.40 ,$318.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500187,85520,HC HEPARIN ASSAY,305,1 ,$223.00 ,$144.95 ,$18.73 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$97.86 ,$57.98 ,$119.60 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$25.16 ,$32.73 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$20.60 ,$18.73 ,$57.98 ,$189.55 ,$24.87 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$26.18 ,$26.18 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$147.00 ,$95.55 ,$18.52 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$74.68 ,$38.22 ,$86.44 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$18.52 ,$61.45 ,$43.40 ,$62.28 ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$147.00 ,$88.20 ,$32.34 ,$61.15 ,$20.60 ,$18.73 ,$38.22 ,$124.95 ,$47.33 ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$49.82 ,$49.82 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$147.00 ,$95.55 ,$6.31 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$39.80 ,$38.22 ,$48.64 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$95.55 ,$61.45 ,$7.55 ,$10.73 ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$147.00 ,$88.20 ,$32.34 ,$61.15 ,$6.94 ,$6.31 ,$38.22 ,$124.95 ,$8.15 ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$8.58 ,$8.58 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500205,85652,HC SED RATE AUTO,305,1 ,$223.00 ,$144.95 ,$5.03 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$27.31 ,$57.98 ,$33.37 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$5.03 ,$6.75 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$11.88 ,$10.80 ,$57.98 ,$189.55 ,$5.13 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$5.40 ,$5.40 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500211,85730,HC PTT,305,1 ,$223.00 ,$144.95 ,$6.31 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$60.86 ,$57.98 ,$74.38 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$11.95 ,$15.03 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$6.94 ,$6.31 ,$57.98 ,$189.55 ,$11.42 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$12.02 ,$12.02 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500234,85014,HC HEMATOCRIT-90,305,1 ,$32.00 ,$20.80 ,$2.37 ,$32.00 ,$17.60 ,$19.20 ,$19.20 ,$8.32 ,$8.96 ,$16.26 ,$8.32 ,$18.82 ,$8.00 ,$25.60 ,$25.60 ,$8.32 ,$20.80 ,$13.38 ,$4.40 ,$5.93 ,$8.32 ,$32.00 ,$7.04 ,$24.00 ,$22.72 ,$22.72 ,$7.04 ,$22.72 ,$26.88 ,$26.88 ,$26.88 , N/A ,$28.80 ,$17.60 ,$27.20 ,$7.04 ,$2.37 ,$19.20 ,$7.04 ,$13.31 ,$11.88 ,$10.80 ,$8.32 ,$27.20 ,$4.50 ,$25.60 ,$8.96 ,$28.80 ,$32.00 ,$7.04 ,$26.88 ,$4.74 ,$4.74 ,$8.32 ,$20.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500238,85018,HC HGB-90,305,1 ,$32.00 ,$20.80 ,$2.37 ,$32.00 ,$17.60 ,$19.20 ,$19.20 ,$8.32 ,$8.96 ,$16.26 ,$8.32 ,$18.82 ,$8.00 ,$25.60 ,$25.60 ,$8.32 ,$20.80 ,$13.38 ,$4.40 ,$5.93 ,$8.32 ,$32.00 ,$7.04 ,$24.00 ,$22.72 ,$22.72 ,$7.04 ,$22.72 ,$26.88 ,$26.88 ,$26.88 , N/A ,$28.80 ,$17.60 ,$27.20 ,$7.04 ,$2.37 ,$19.20 ,$7.04 ,$13.31 ,$11.88 ,$10.80 ,$8.32 ,$27.20 ,$4.50 ,$25.60 ,$8.96 ,$28.80 ,$32.00 ,$7.04 ,$26.88 ,$4.74 ,$4.74 ,$8.32 ,$20.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$24.00 ,$15.60 ,$5.28 ,$24.00 ,$13.20 ,$14.40 ,$14.40 ,$6.24 ,$6.72 ,$12.19 ,$6.24 ,$14.11 ,$6.00 ,$19.20 ,$19.20 ,$6.24 ,$15.60 ,$10.03 ,$5.66 ,$7.55 ,$6.24 ,$24.00 ,$5.28 ,$18.00 ,$17.04 ,$17.04 ,$5.28 ,$17.04 ,$20.16 ,$20.16 ,$20.16 , N/A ,$21.60 ,$13.20 ,$20.40 ,$5.28 ,$24.00 ,$14.40 ,$5.28 ,$9.98 ,$11.88 ,$10.80 ,$6.24 ,$20.40 ,$5.74 ,$19.20 ,$6.72 ,$21.60 ,$24.00 ,$5.28 ,$20.16 ,$6.04 ,$6.04 ,$6.24 ,$15.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500249,85210,HC FACTOR II-90,305,1 ,$125.00 ,$81.25 ,$6.31 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$25.16 ,$32.45 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$6.94 ,$6.31 ,$32.50 ,$106.25 ,$24.66 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$25.96 ,$25.96 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500250,85220,HC FACTOR V-90,305,1 ,$240.00 ,$156.00 ,$18.73 ,$240.00 ,$132.00 ,$144.00 ,$144.00 ,$62.40 ,$67.20 ,$121.92 ,$62.40 ,$141.12 ,$60.00 ,$192.00 ,$192.00 ,$62.40 ,$156.00 ,$100.32 ,$33.97 ,$44.13 ,$62.40 ,$240.00 ,$52.80 ,$180.00 ,$170.40 ,$170.40 ,$52.80 ,$170.40 ,$201.60 ,$201.60 ,$201.60 , N/A ,$216.00 ,$132.00 ,$204.00 ,$52.80 ,$240.00 ,$144.00 ,$52.80 ,$99.84 ,$20.60 ,$18.73 ,$62.40 ,$204.00 ,$33.54 ,$192.00 ,$67.20 ,$216.00 ,$240.00 ,$52.80 ,$201.60 ,$35.30 ,$35.30 ,$62.40 ,$156.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500252,85240,HC FACTOR VIII AHG-90,305,1 ,$139.00 ,$90.35 ,$18.73 ,$139.00 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$70.61 ,$36.14 ,$81.73 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$90.35 ,$58.10 ,$34.60 ,$44.75 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 ,$20.60 ,$18.73 ,$36.14 ,$118.15 ,$34.01 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$35.80 ,$35.80 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500253,85245,HC FACTOR VIII VW RISTO-90,305,1 ,$103.00 ,$66.95 ,$18.73 ,$103.00 ,$56.65 ,$61.80 ,$61.80 ,$26.78 ,$28.84 ,$52.32 ,$26.78 ,$60.56 ,$25.75 ,$82.40 ,$82.40 ,$26.78 ,$66.95 ,$43.05 ,$44.66 ,$57.35 ,$26.78 ,$103.00 ,$22.66 ,$77.25 ,$73.13 ,$73.13 ,$22.66 ,$73.13 ,$86.52 ,$86.52 ,$86.52 , N/A ,$92.70 ,$56.65 ,$87.55 ,$22.66 ,$103.00 ,$61.80 ,$22.66 ,$42.85 ,$20.60 ,$18.73 ,$26.78 ,$87.55 ,$43.59 ,$82.40 ,$28.84 ,$92.70 ,$103.00 ,$22.66 ,$86.52 ,$45.88 ,$45.88 ,$26.78 ,$66.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500254,85246,HC FACTOR VIII VW AG-90,305,1 ,$126.00 ,$81.90 ,$18.73 ,$126.00 ,$69.30 ,$75.60 ,$75.60 ,$32.76 ,$35.28 ,$64.01 ,$32.76 ,$74.09 ,$31.50 ,$100.80 ,$100.80 ,$32.76 ,$81.90 ,$52.67 ,$44.66 ,$57.35 ,$32.76 ,$126.00 ,$27.72 ,$94.50 ,$89.46 ,$89.46 ,$27.72 ,$89.46 ,$105.84 ,$105.84 ,$105.84 , N/A ,$113.40 ,$69.30 ,$107.10 ,$27.72 ,$126.00 ,$75.60 ,$27.72 ,$52.42 ,$20.60 ,$18.73 ,$32.76 ,$107.10 ,$43.59 ,$100.80 ,$35.28 ,$113.40 ,$126.00 ,$27.72 ,$105.84 ,$45.88 ,$45.88 ,$32.76 ,$81.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500255,85247,HC FACTOR VW MULTIM ANALY-90,305,1 ,$122.00 ,$79.30 ,$18.73 ,$122.00 ,$67.10 ,$73.20 ,$73.20 ,$31.72 ,$34.16 ,$61.98 ,$31.72 ,$71.74 ,$30.50 ,$97.60 ,$97.60 ,$31.72 ,$79.30 ,$51.00 ,$44.66 ,$57.35 ,$31.72 ,$122.00 ,$26.84 ,$91.50 ,$86.62 ,$86.62 ,$26.84 ,$86.62 ,$102.48 ,$102.48 ,$102.48 , N/A ,$109.80 ,$67.10 ,$103.70 ,$26.84 ,$122.00 ,$73.20 ,$26.84 ,$50.75 ,$20.60 ,$18.73 ,$31.72 ,$103.70 ,$43.59 ,$97.60 ,$34.16 ,$109.80 ,$122.00 ,$26.84 ,$102.48 ,$45.88 ,$45.88 ,$31.72 ,$79.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500256,85250,HC FACTOR IX-90,305,1 ,$110.00 ,$71.50 ,$18.73 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$37.11 ,$47.60 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$20.60 ,$18.73 ,$28.60 ,$93.50 ,$36.18 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$38.08 ,$38.08 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500257,85260,HC FACTOR X-90,305,1 ,$125.00 ,$81.25 ,$18.73 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$34.60 ,$44.75 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$20.60 ,$18.73 ,$32.50 ,$106.25 ,$34.01 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$35.80 ,$35.80 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500259,85280,HC FACTOR XI-90,305,1 ,$52.00 ,$33.80 ,$11.44 ,$52.00 ,$28.60 ,$31.20 ,$31.20 ,$13.52 ,$14.56 ,$26.42 ,$13.52 ,$30.58 ,$13.00 ,$41.60 ,$41.60 ,$13.52 ,$33.80 ,$21.74 ,$37.74 ,$48.38 ,$13.52 ,$52.00 ,$11.44 ,$39.00 ,$36.92 ,$36.92 ,$11.44 ,$36.92 ,$43.68 ,$43.68 ,$43.68 , N/A ,$46.80 ,$28.60 ,$44.20 ,$11.44 ,$52.00 ,$31.20 ,$11.44 ,$21.63 ,$20.60 ,$18.73 ,$13.52 ,$44.20 ,$36.77 ,$41.60 ,$14.56 ,$46.80 ,$52.00 ,$11.44 ,$43.68 ,$38.70 ,$38.70 ,$13.52 ,$33.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$109.00 ,$70.85 ,$18.73 ,$109.00 ,$59.95 ,$65.40 ,$65.40 ,$28.34 ,$30.52 ,$55.37 ,$28.34 ,$64.09 ,$27.25 ,$87.20 ,$87.20 ,$28.34 ,$70.85 ,$45.56 ,$23.27 ,$29.63 ,$28.34 ,$109.00 ,$23.98 ,$81.75 ,$77.39 ,$77.39 ,$23.98 ,$77.39 ,$91.56 ,$91.56 ,$91.56 , N/A ,$98.10 ,$59.95 ,$92.65 ,$23.98 ,$109.00 ,$65.40 ,$23.98 ,$45.34 ,$20.60 ,$18.73 ,$28.34 ,$92.65 ,$22.52 ,$87.20 ,$30.52 ,$98.10 ,$109.00 ,$23.98 ,$91.56 ,$23.70 ,$23.70 ,$28.34 ,$70.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$40.00 ,$26.00 ,$8.80 ,$40.00 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$20.32 ,$10.40 ,$23.52 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$26.00 ,$16.72 ,$20.76 ,$27.03 ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 ,$20.60 ,$18.73 ,$10.40 ,$34.00 ,$20.54 ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$21.62 ,$21.62 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500263,85302,HC PROTEIN C AG-90,305,1 ,$237.00 ,$154.05 ,$18.73 ,$237.00 ,$130.35 ,$142.20 ,$142.20 ,$61.62 ,$66.36 ,$89.84 ,$61.62 ,$109.80 ,$59.25 ,$189.60 ,$189.60 ,$61.62 ,$154.05 ,$99.07 ,$23.27 ,$30.03 ,$61.62 ,$237.00 ,$52.14 ,$177.75 ,$168.27 ,$168.27 ,$52.14 ,$168.27 ,$199.08 ,$199.08 ,$199.08 , N/A ,$213.30 ,$130.35 ,$201.45 ,$52.14 ,$237.00 ,$142.20 ,$52.14 ,$98.59 ,$20.60 ,$18.73 ,$61.62 ,$201.45 ,$22.82 ,$189.60 ,$66.36 ,$213.30 ,$237.00 ,$52.14 ,$199.08 ,$24.02 ,$24.02 ,$61.62 ,$154.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$179.00 ,$116.35 ,$18.73 ,$179.00 ,$98.45 ,$107.40 ,$107.40 ,$46.54 ,$50.12 ,$90.93 ,$46.54 ,$105.25 ,$44.75 ,$143.20 ,$143.20 ,$46.54 ,$116.35 ,$74.82 ,$27.05 ,$34.60 ,$46.54 ,$179.00 ,$39.38 ,$134.25 ,$127.09 ,$127.09 ,$39.38 ,$127.09 ,$150.36 ,$150.36 ,$150.36 , N/A ,$161.10 ,$98.45 ,$152.15 ,$39.38 ,$179.00 ,$107.40 ,$39.38 ,$74.46 ,$20.60 ,$18.73 ,$46.54 ,$152.15 ,$26.30 ,$143.20 ,$50.12 ,$161.10 ,$179.00 ,$39.38 ,$150.36 ,$27.68 ,$27.68 ,$46.54 ,$116.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$290.00 ,$188.50 ,$18.73 ,$290.00 ,$159.50 ,$174.00 ,$174.00 ,$75.40 ,$81.20 ,$86.77 ,$75.40 ,$106.04 ,$72.50 ,$232.00 ,$232.00 ,$75.40 ,$188.50 ,$121.22 ,$22.64 ,$29.03 ,$75.40 ,$290.00 ,$63.80 ,$217.50 ,$205.90 ,$205.90 ,$63.80 ,$205.90 ,$243.60 ,$243.60 ,$243.60 , N/A ,$261.00 ,$159.50 ,$246.50 ,$63.80 ,$290.00 ,$174.00 ,$63.80 ,$120.64 ,$20.60 ,$18.73 ,$75.40 ,$246.50 ,$22.06 ,$232.00 ,$81.20 ,$261.00 ,$290.00 ,$63.80 ,$243.60 ,$23.22 ,$23.22 ,$75.40 ,$188.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500266,85306,HC PROTEIN S FREE-90,305,1 ,$167.00 ,$108.55 ,$18.73 ,$167.00 ,$91.85 ,$100.20 ,$100.20 ,$43.42 ,$46.76 ,$84.84 ,$43.42 ,$98.20 ,$41.75 ,$133.60 ,$133.60 ,$43.42 ,$108.55 ,$69.81 ,$29.56 ,$38.30 ,$43.42 ,$167.00 ,$36.74 ,$125.25 ,$118.57 ,$118.57 ,$36.74 ,$118.57 ,$140.28 ,$140.28 ,$140.28 , N/A ,$150.30 ,$91.85 ,$141.95 ,$36.74 ,$167.00 ,$100.20 ,$36.74 ,$69.47 ,$20.60 ,$18.73 ,$43.42 ,$141.95 ,$29.11 ,$133.60 ,$46.76 ,$150.30 ,$167.00 ,$36.74 ,$140.28 ,$30.64 ,$30.64 ,$43.42 ,$108.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$57.00 ,$37.05 ,$12.54 ,$57.00 ,$31.35 ,$34.20 ,$34.20 ,$14.82 ,$15.96 ,$28.96 ,$14.82 ,$33.52 ,$14.25 ,$45.60 ,$45.60 ,$14.82 ,$37.05 ,$23.83 ,$29.56 ,$38.30 ,$14.82 ,$57.00 ,$12.54 ,$42.75 ,$40.47 ,$40.47 ,$12.54 ,$40.47 ,$47.88 ,$47.88 ,$47.88 , N/A ,$51.30 ,$31.35 ,$48.45 ,$12.54 ,$57.00 ,$34.20 ,$12.54 ,$23.71 ,$19.13 ,$17.39 ,$14.82 ,$48.45 ,$29.11 ,$45.60 ,$15.96 ,$51.30 ,$57.00 ,$12.54 ,$47.88 ,$30.64 ,$30.64 ,$14.82 ,$37.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500268,85335,HC FACTOR INHIBITOR-90,305,1 ,$292.00 ,$189.80 ,$18.73 ,$292.00 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$96.28 ,$75.92 ,$117.66 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$189.80 ,$122.06 ,$25.16 ,$32.18 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 ,$20.60 ,$18.73 ,$75.92 ,$248.20 ,$24.45 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$25.74 ,$25.74 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$250.00 ,$162.50 ,$18.73 ,$250.00 ,$137.50 ,$150.00 ,$150.00 ,$65.00 ,$70.00 ,$127.00 ,$65.00 ,$147.00 ,$62.50 ,$200.00 ,$200.00 ,$65.00 ,$162.50 ,$104.50 ,$54.10 ,$77.15 ,$65.00 ,$250.00 ,$55.00 ,$187.50 ,$177.50 ,$177.50 ,$55.00 ,$177.50 ,$210.00 ,$210.00 ,$210.00 , N/A ,$225.00 ,$137.50 ,$212.50 ,$55.00 ,$250.00 ,$150.00 ,$55.00 ,$104.00 ,$20.60 ,$18.73 ,$65.00 ,$212.50 ,$58.63 ,$200.00 ,$70.00 ,$225.00 ,$250.00 ,$55.00 ,$210.00 ,$61.72 ,$61.72 ,$65.00 ,$162.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500283,85520,HC HEPARIN ASSAY-90,305,1 ,$159.00 ,$103.35 ,$18.73 ,$159.00 ,$87.45 ,$95.40 ,$95.40 ,$41.34 ,$44.52 ,$80.77 ,$41.34 ,$93.49 ,$39.75 ,$127.20 ,$127.20 ,$41.34 ,$103.35 ,$66.46 ,$25.16 ,$32.73 ,$41.34 ,$159.00 ,$34.98 ,$119.25 ,$112.89 ,$112.89 ,$34.98 ,$112.89 ,$133.56 ,$133.56 ,$133.56 , N/A ,$143.10 ,$87.45 ,$135.15 ,$34.98 ,$159.00 ,$95.40 ,$34.98 ,$66.14 ,$20.60 ,$18.73 ,$41.34 ,$135.15 ,$24.87 ,$127.20 ,$44.52 ,$143.10 ,$159.00 ,$34.98 ,$133.56 ,$26.18 ,$26.18 ,$41.34 ,$103.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500287,85549,HC MURAMIDASE-90,305,1 ,$58.00 ,$37.70 ,$12.76 ,$58.00 ,$31.90 ,$34.80 ,$34.80 ,$15.08 ,$16.24 ,$29.46 ,$15.08 ,$34.10 ,$14.50 ,$46.40 ,$46.40 ,$15.08 ,$37.70 ,$24.24 ,$36.48 ,$46.88 ,$15.08 ,$58.00 ,$12.76 ,$43.50 ,$41.18 ,$41.18 ,$12.76 ,$41.18 ,$48.72 ,$48.72 ,$48.72 , N/A ,$52.20 ,$31.90 ,$49.30 ,$12.76 ,$58.00 ,$34.80 ,$12.76 ,$24.13 ,$19.13 ,$17.39 ,$15.08 ,$49.30 ,$35.63 ,$46.40 ,$16.24 ,$52.20 ,$58.00 ,$12.76 ,$48.72 ,$37.50 ,$37.50 ,$15.08 ,$37.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$117.00 ,$76.05 ,$18.73 ,$117.00 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$59.44 ,$30.42 ,$68.80 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$76.05 ,$48.91 ,$34.60 ,$44.95 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$20.60 ,$18.73 ,$30.42 ,$99.45 ,$34.16 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$35.96 ,$35.96 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$139.00 ,$90.35 ,$18.73 ,$139.00 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$70.61 ,$36.14 ,$81.73 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$90.35 ,$58.10 ,$34.60 ,$44.95 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 ,$20.60 ,$18.73 ,$36.14 ,$118.15 ,$34.16 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$35.96 ,$35.96 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$189.00 ,$122.85 ,$18.20 ,$189.00 ,$103.95 ,$113.40 ,$113.40 ,$49.14 ,$52.92 ,$71.67 ,$49.14 ,$87.59 ,$47.25 ,$151.20 ,$151.20 ,$49.14 ,$122.85 ,$79.00 ,$18.87 ,$23.95 ,$49.14 ,$189.00 ,$41.58 ,$141.75 ,$134.19 ,$134.19 ,$41.58 ,$134.19 ,$158.76 ,$158.76 ,$158.76 , N/A ,$170.10 ,$103.95 ,$160.65 ,$41.58 ,$189.00 ,$113.40 ,$41.58 ,$78.62 ,$20.60 ,$18.73 ,$49.14 ,$160.65 ,$18.20 ,$151.20 ,$52.92 ,$170.10 ,$189.00 ,$41.58 ,$158.76 ,$19.16 ,$19.16 ,$49.14 ,$122.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$56.00 ,$36.40 ,$6.31 ,$56.00 ,$30.80 ,$33.60 ,$33.60 ,$14.56 ,$15.68 ,$28.45 ,$14.56 ,$32.93 ,$14.00 ,$44.80 ,$44.80 ,$14.56 ,$36.40 ,$23.41 ,$11.32 ,$14.43 ,$14.56 ,$56.00 ,$12.32 ,$42.00 ,$39.76 ,$39.76 ,$12.32 ,$39.76 ,$47.04 ,$47.04 ,$47.04 , N/A ,$50.40 ,$30.80 ,$47.60 ,$12.32 ,$56.00 ,$33.60 ,$12.32 ,$23.30 ,$6.94 ,$6.31 ,$14.56 ,$47.60 ,$10.96 ,$44.80 ,$15.68 ,$50.40 ,$56.00 ,$12.32 ,$47.04 ,$11.54 ,$11.54 ,$14.56 ,$36.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500305,85730,HC PTT-90,305,1 ,$120.00 ,$78.00 ,$6.31 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.86 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$11.95 ,$15.03 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$6.94 ,$6.31 ,$31.20 ,$102.00 ,$11.42 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$12.02 ,$12.02 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500310,85810,HC VISCOSITY-90,305,1 ,$210.00 ,$136.50 ,$16.44 ,$210.00 ,$115.50 ,$126.00 ,$126.00 ,$54.60 ,$58.80 ,$87.33 ,$54.60 ,$106.72 ,$52.50 ,$168.00 ,$168.00 ,$54.60 ,$136.50 ,$87.78 ,$22.64 ,$29.18 ,$54.60 ,$210.00 ,$46.20 ,$157.50 ,$149.10 ,$149.10 ,$46.20 ,$149.10 ,$176.40 ,$176.40 ,$176.40 , N/A ,$189.00 ,$115.50 ,$178.50 ,$46.20 ,$210.00 ,$126.00 ,$46.20 ,$87.36 ,$18.08 ,$16.44 ,$54.60 ,$178.50 ,$22.17 ,$168.00 ,$58.80 ,$189.00 ,$210.00 ,$46.20 ,$176.40 ,$23.34 ,$23.34 ,$54.60 ,$136.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500323,85008,HC BLOOD COUNT W/O MAN DIFF WBC,305,1 ,$44.00 ,$28.60 ,$6.52 ,$44.00 ,$24.20 ,$26.40 ,$26.40 ,$11.44 ,$12.32 ,$22.35 ,$11.44 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$11.44 ,$28.60 ,$18.39 ,$6.92 ,$8.58 ,$11.44 ,$44.00 ,$9.68 ,$33.00 ,$31.24 ,$31.24 ,$9.68 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$24.20 ,$37.40 ,$9.68 ,$44.00 ,$26.40 ,$9.68 ,$18.30 ,$11.88 ,$10.80 ,$11.44 ,$37.40 ,$6.52 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$9.68 ,$36.96 ,$6.86 ,$6.86 ,$11.44 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500327,85041,HC BLOOD COUNT RBS AUTO,305,1 ,$117.00 ,$76.05 ,$5.66 ,$117.00 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$30.57 ,$30.42 ,$37.36 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$76.05 ,$48.91 ,$5.66 ,$7.55 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$11.88 ,$10.80 ,$30.42 ,$99.45 ,$5.74 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$6.04 ,$6.04 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500831,85384,HC FIBRINOGEN,305,1 ,$76.00 ,$49.40 ,$6.31 ,$76.00 ,$41.80 ,$45.60 ,$45.60 ,$19.76 ,$21.28 ,$38.61 ,$19.76 ,$44.69 ,$19.00 ,$60.80 ,$60.80 ,$19.76 ,$49.40 ,$31.77 ,$16.98 ,$24.30 ,$19.76 ,$76.00 ,$16.72 ,$57.00 ,$53.96 ,$53.96 ,$16.72 ,$53.96 ,$63.84 ,$63.84 ,$63.84 , N/A ,$68.40 ,$41.80 ,$64.60 ,$16.72 ,$76.00 ,$45.60 ,$16.72 ,$31.62 ,$6.94 ,$6.31 ,$19.76 ,$64.60 ,$18.47 ,$60.80 ,$21.28 ,$68.40 ,$76.00 ,$16.72 ,$63.84 ,$19.44 ,$19.44 ,$19.76 ,$49.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500832,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$247.00 ,$160.55 ,$14.69 ,$247.00 ,$135.85 ,$148.20 ,$148.20 ,$64.22 ,$69.16 ,$57.88 ,$64.22 ,$70.73 ,$61.75 ,$197.60 ,$197.60 ,$64.22 ,$160.55 ,$103.25 ,$15.10 ,$19.33 ,$64.22 ,$247.00 ,$54.34 ,$185.25 ,$175.37 ,$175.37 ,$54.34 ,$175.37 ,$207.48 ,$207.48 ,$207.48 , N/A ,$222.30 ,$135.85 ,$209.95 ,$54.34 ,$247.00 ,$148.20 ,$54.34 ,$102.75 ,$18.08 ,$16.44 ,$64.22 ,$209.95 ,$14.69 ,$197.60 ,$69.16 ,$222.30 ,$247.00 ,$54.34 ,$207.48 ,$15.46 ,$15.46 ,$64.22 ,$160.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500833,85520,HC HEPARIN ASSAY,305,1 ,$183.00 ,$118.95 ,$18.73 ,$183.00 ,$100.65 ,$109.80 ,$109.80 ,$47.58 ,$51.24 ,$92.96 ,$47.58 ,$107.60 ,$45.75 ,$146.40 ,$146.40 ,$47.58 ,$118.95 ,$76.49 ,$25.16 ,$32.73 ,$47.58 ,$183.00 ,$40.26 ,$137.25 ,$129.93 ,$129.93 ,$40.26 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$100.65 ,$155.55 ,$40.26 ,$183.00 ,$109.80 ,$40.26 ,$76.13 ,$20.60 ,$18.73 ,$47.58 ,$155.55 ,$24.87 ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$40.26 ,$153.72 ,$26.18 ,$26.18 ,$47.58 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500834,85540,HC LEUKOCYTE ALK PHOSPHATASE,305,1 ,$120.00 ,$78.00 ,$10.80 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.96 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$16.98 ,$21.50 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$11.88 ,$10.80 ,$31.20 ,$102.00 ,$16.34 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$17.20 ,$17.20 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500836,85610,HC PROTHROMBIN TIME (PT),305,1 ,$147.00 ,$95.55 ,$6.31 ,$147.00 ,$80.85 ,$88.20 ,$88.20 ,$38.22 ,$41.16 ,$39.80 ,$38.22 ,$48.64 ,$36.75 ,$117.60 ,$117.60 ,$38.22 ,$95.55 ,$61.45 ,$7.55 ,$10.73 ,$38.22 ,$147.00 ,$32.34 ,$110.25 ,$104.37 ,$104.37 ,$32.34 ,$104.37 ,$123.48 ,$123.48 ,$123.48 , N/A ,$132.30 ,$80.85 ,$124.95 ,$32.34 ,$147.00 ,$88.20 ,$32.34 ,$61.15 ,$6.94 ,$6.31 ,$38.22 ,$124.95 ,$8.15 ,$117.60 ,$41.16 ,$132.30 ,$147.00 ,$32.34 ,$123.48 ,$8.58 ,$8.58 ,$38.22 ,$95.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500838,85730,HC PARTIAL THROMBO TIME (PTT),305,1 ,$223.00 ,$144.95 ,$6.31 ,$223.00 ,$122.65 ,$133.80 ,$133.80 ,$57.98 ,$62.44 ,$60.86 ,$57.98 ,$74.38 ,$55.75 ,$178.40 ,$178.40 ,$57.98 ,$144.95 ,$93.21 ,$11.95 ,$15.03 ,$57.98 ,$223.00 ,$49.06 ,$167.25 ,$158.33 ,$158.33 ,$49.06 ,$158.33 ,$187.32 ,$187.32 ,$187.32 , N/A ,$200.70 ,$122.65 ,$189.55 ,$49.06 ,$223.00 ,$133.80 ,$49.06 ,$92.77 ,$6.94 ,$6.31 ,$57.98 ,$189.55 ,$11.42 ,$178.40 ,$62.44 ,$200.70 ,$223.00 ,$49.06 ,$187.32 ,$12.02 ,$12.02 ,$57.98 ,$144.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30500842,85660,HC SICKLE CELL RBC,305,1 ,$88.00 ,$57.20 ,$10.47 ,$88.00 ,$48.40 ,$52.80 ,$52.80 ,$22.88 ,$24.64 ,$41.19 ,$22.88 ,$50.34 ,$22.00 ,$70.40 ,$70.40 ,$22.88 ,$57.20 ,$36.78 ,$10.69 ,$13.78 ,$22.88 ,$88.00 ,$19.36 ,$66.00 ,$62.48 ,$62.48 ,$19.36 ,$62.48 ,$73.92 ,$73.92 ,$73.92 , N/A ,$79.20 ,$48.40 ,$74.80 ,$19.36 ,$88.00 ,$52.80 ,$19.36 ,$36.61 ,$11.88 ,$10.80 ,$22.88 ,$74.80 ,$10.47 ,$70.40 ,$24.64 ,$79.20 ,$88.00 ,$19.36 ,$73.92 ,$11.02 ,$11.02 ,$22.88 ,$57.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30530180,85999,HC URINE EOSINOPHIL COUNT- 90,305,1 ,$8.00 ,$5.20 ,$1.76 ,$11.88 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$4.80 ,$6.40 ,$6.40 , N/A ,$5.20 , N/A ,$8.00 ,$5.60 ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 , N/A ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$3.33 ,$11.88 ,$10.80 ,$2.08 ,$6.80 ,$4.80 ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 ,$4.00 ,$4.00 ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600101,87015,HC CONCENTRATION INFECTIOUS AGENT,306,1 ,$275.00 ,$178.75 ,$12.42 ,$275.00 ,$151.25 ,$165.00 ,$165.00 ,$71.50 ,$77.00 ,$49.96 ,$71.50 ,$61.05 ,$68.75 ,$220.00 ,$220.00 ,$71.50 ,$178.75 ,$114.95 ,$13.21 ,$16.70 ,$71.50 ,$275.00 ,$60.50 ,$206.25 ,$195.25 ,$195.25 ,$60.50 ,$195.25 ,$231.00 ,$231.00 ,$231.00 , N/A ,$247.50 ,$151.25 ,$233.75 ,$60.50 ,$275.00 ,$165.00 ,$60.50 ,$114.40 ,$13.66 ,$12.42 ,$71.50 ,$233.75 ,$12.69 ,$220.00 ,$77.00 ,$247.50 ,$275.00 ,$60.50 ,$231.00 ,$13.36 ,$13.36 ,$71.50 ,$178.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600102,87040,HC BLOOD CULTURE,306,1 ,$275.00 ,$178.75 ,$19.61 ,$275.00 ,$151.25 ,$165.00 ,$165.00 ,$71.50 ,$77.00 ,$77.17 ,$71.50 ,$94.31 ,$68.75 ,$220.00 ,$220.00 ,$71.50 ,$178.75 ,$114.95 ,$20.13 ,$25.80 ,$71.50 ,$275.00 ,$60.50 ,$206.25 ,$195.25 ,$195.25 ,$60.50 ,$195.25 ,$231.00 ,$231.00 ,$231.00 , N/A ,$247.50 ,$151.25 ,$233.75 ,$60.50 ,$275.00 ,$165.00 ,$60.50 ,$114.40 ,$45.41 ,$41.28 ,$71.50 ,$233.75 ,$19.61 ,$220.00 ,$77.00 ,$247.50 ,$275.00 ,$60.50 ,$231.00 ,$20.64 ,$20.64 ,$71.50 ,$178.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600162,87169,HC PARASITE ID,306,1 ,$69.00 ,$44.85 ,$8.18 ,$69.00 ,$37.95 ,$41.40 ,$41.40 ,$17.94 ,$19.32 ,$31.97 ,$17.94 ,$39.07 ,$17.25 ,$55.20 ,$55.20 ,$17.94 ,$44.85 ,$28.84 ,$8.18 ,$10.78 ,$17.94 ,$69.00 ,$15.18 ,$51.75 ,$48.99 ,$48.99 ,$15.18 ,$48.99 ,$57.96 ,$57.96 ,$57.96 , N/A ,$62.10 ,$37.95 ,$58.65 ,$15.18 ,$69.00 ,$41.40 ,$15.18 ,$28.70 ,$13.66 ,$12.42 ,$17.94 ,$58.65 ,$8.19 ,$55.20 ,$19.32 ,$62.10 ,$69.00 ,$15.18 ,$57.96 ,$8.62 ,$8.62 ,$17.94 ,$44.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600163,87172,HC PINWORM EXAM,306,1 ,$124.00 ,$80.60 ,$8.11 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$43.24 ,$32.24 ,$52.85 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$8.18 ,$10.68 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$13.66 ,$12.42 ,$32.24 ,$105.40 ,$8.11 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$8.54 ,$8.54 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$112.00 ,$72.80 ,$8.11 ,$112.00 ,$61.60 ,$67.20 ,$67.20 ,$29.12 ,$31.36 ,$43.24 ,$29.12 ,$52.85 ,$28.00 ,$89.60 ,$89.60 ,$29.12 ,$72.80 ,$46.82 ,$8.18 ,$10.68 ,$29.12 ,$112.00 ,$24.64 ,$84.00 ,$79.52 ,$79.52 ,$24.64 ,$79.52 ,$94.08 ,$94.08 ,$94.08 , N/A ,$100.80 ,$61.60 ,$95.20 ,$24.64 ,$112.00 ,$67.20 ,$24.64 ,$46.59 ,$13.66 ,$12.42 ,$29.12 ,$95.20 ,$8.11 ,$89.60 ,$31.36 ,$100.80 ,$112.00 ,$24.64 ,$94.08 ,$8.54 ,$8.54 ,$29.12 ,$72.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600183,87210,HC SMEAR WET MOUNT,306,1 ,$102.00 ,$66.30 ,$10.06 ,$102.00 ,$56.10 ,$61.20 ,$61.20 ,$26.52 ,$28.56 ,$47.72 ,$26.52 ,$58.32 ,$25.50 ,$81.60 ,$81.60 ,$26.52 ,$66.30 ,$42.64 ,$10.06 ,$14.55 ,$26.52 ,$102.00 ,$22.44 ,$76.50 ,$72.42 ,$72.42 ,$22.44 ,$72.42 ,$85.68 ,$85.68 ,$85.68 , N/A ,$91.80 ,$56.10 ,$86.70 ,$22.44 ,$102.00 ,$61.20 ,$22.44 ,$42.43 ,$13.66 ,$12.42 ,$26.52 ,$86.70 ,$11.06 ,$81.60 ,$28.56 ,$91.80 ,$102.00 ,$22.44 ,$85.68 ,$11.64 ,$11.64 ,$26.52 ,$66.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600185,87220,HC TISSUE KOH PREP,306,1 ,$101.00 ,$65.65 ,$8.11 ,$101.00 ,$55.55 ,$60.60 ,$60.60 ,$26.26 ,$28.28 ,$43.24 ,$26.26 ,$52.85 ,$25.25 ,$80.80 ,$80.80 ,$26.26 ,$65.65 ,$42.22 ,$8.18 ,$10.68 ,$26.26 ,$101.00 ,$22.22 ,$75.75 ,$71.71 ,$71.71 ,$22.22 ,$71.71 ,$84.84 ,$84.84 ,$84.84 , N/A ,$90.90 ,$55.55 ,$85.85 ,$22.22 ,$101.00 ,$60.60 ,$22.22 ,$42.02 ,$13.66 ,$12.42 ,$26.26 ,$85.85 ,$8.11 ,$80.80 ,$28.28 ,$90.90 ,$101.00 ,$22.22 ,$84.84 ,$8.54 ,$8.54 ,$26.26 ,$65.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$263.00 ,$170.95 ,$15.58 ,$263.00 ,$144.65 ,$157.80 ,$157.80 ,$68.38 ,$73.64 ,$89.66 ,$68.38 ,$109.57 ,$65.75 ,$210.40 ,$210.40 ,$68.38 ,$170.95 ,$109.93 ,$23.27 ,$29.95 ,$68.38 ,$263.00 ,$57.86 ,$197.25 ,$186.73 ,$186.73 ,$57.86 ,$186.73 ,$220.92 ,$220.92 ,$220.92 , N/A ,$236.70 ,$144.65 ,$223.55 ,$57.86 ,$263.00 ,$157.80 ,$57.86 ,$109.41 ,$17.14 ,$15.58 ,$68.38 ,$223.55 ,$22.76 ,$210.40 ,$73.64 ,$236.70 ,$263.00 ,$57.86 ,$220.92 ,$23.96 ,$23.96 ,$68.38 ,$170.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600227,87425,HC EIA QL ROTAVIRUS AG,306,1 ,$192.00 ,$124.80 ,$15.58 ,$192.00 ,$105.60 ,$115.20 ,$115.20 ,$49.92 ,$53.76 ,$89.66 ,$49.92 ,$109.57 ,$48.00 ,$153.60 ,$153.60 ,$49.92 ,$124.80 ,$80.26 ,$23.27 ,$29.95 ,$49.92 ,$192.00 ,$42.24 ,$144.00 ,$136.32 ,$136.32 ,$42.24 ,$136.32 ,$161.28 ,$161.28 ,$161.28 , N/A ,$172.80 ,$105.60 ,$163.20 ,$42.24 ,$192.00 ,$115.20 ,$42.24 ,$79.87 ,$17.14 ,$15.58 ,$49.92 ,$163.20 ,$22.76 ,$153.60 ,$53.76 ,$172.80 ,$192.00 ,$42.24 ,$161.28 ,$23.96 ,$23.96 ,$49.92 ,$124.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600269,87807,HC QL RSV,306,1 ,$266.00 ,$172.90 ,$12.42 ,$266.00 ,$146.30 ,$159.60 ,$159.60 ,$69.16 ,$74.48 ,$121.35 ,$69.16 ,$148.30 ,$66.50 ,$212.80 ,$212.80 ,$69.16 ,$172.90 ,$111.19 ,$23.27 ,$32.75 ,$69.16 ,$266.00 ,$58.52 ,$199.50 ,$188.86 ,$188.86 ,$58.52 ,$188.86 ,$223.44 ,$223.44 ,$223.44 , N/A ,$239.40 ,$146.30 ,$226.10 ,$58.52 ,$266.00 ,$159.60 ,$58.52 ,$110.66 ,$13.66 ,$12.42 ,$69.16 ,$226.10 ,$24.89 ,$212.80 ,$74.48 ,$239.40 ,$266.00 ,$58.52 ,$223.44 ,$26.20 ,$26.20 ,$69.16 ,$172.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600270,87880,HC OPTICAL STREP,306,1 ,$165.00 ,$107.25 ,$12.42 ,$165.00 ,$90.75 ,$99.00 ,$99.00 ,$42.90 ,$46.20 ,$83.82 ,$42.90 ,$97.02 ,$41.25 ,$132.00 ,$132.00 ,$42.90 ,$107.25 ,$68.97 ,$28.93 ,$41.33 ,$42.90 ,$165.00 ,$36.30 ,$123.75 ,$117.15 ,$117.15 ,$36.30 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$90.75 ,$140.25 ,$36.30 ,$165.00 ,$99.00 ,$36.30 ,$68.64 ,$13.66 ,$12.42 ,$42.90 ,$140.25 ,$31.41 ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$36.30 ,$138.60 ,$33.06 ,$33.06 ,$42.90 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600271,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$377.00 ,$245.05 ,$12.42 ,$377.00 ,$207.35 ,$226.20 ,$226.20 ,$98.02 ,$105.56 ,$131.78 ,$98.02 ,$161.05 ,$94.25 ,$301.60 ,$301.60 ,$98.02 ,$245.05 ,$157.59 ,$28.31 ,$40.18 ,$98.02 ,$377.00 ,$82.94 ,$282.75 ,$267.67 ,$267.67 ,$82.94 ,$267.67 ,$316.68 ,$316.68 ,$316.68 , N/A ,$339.30 ,$207.35 ,$320.45 ,$82.94 ,$377.00 ,$226.20 ,$82.94 ,$156.83 ,$13.66 ,$12.42 ,$98.02 ,$320.45 ,$30.53 ,$301.60 ,$105.56 ,$339.30 ,$377.00 ,$82.94 ,$316.68 ,$32.14 ,$32.14 ,$98.02 ,$245.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600283,87804,HC QL INFLUENZA A/B,306,1 ,$256.00 ,$166.40 ,$12.42 ,$256.00 ,$140.80 ,$153.60 ,$153.60 ,$66.56 ,$71.68 ,$130.05 ,$66.56 ,$150.53 ,$64.00 ,$204.80 ,$204.80 ,$66.56 ,$166.40 ,$107.01 ,$28.93 ,$41.38 ,$66.56 ,$256.00 ,$56.32 ,$192.00 ,$181.76 ,$181.76 ,$56.32 ,$181.76 ,$215.04 ,$215.04 ,$215.04 , N/A ,$230.40 ,$140.80 ,$217.60 ,$56.32 ,$256.00 ,$153.60 ,$56.32 ,$106.50 ,$13.66 ,$12.42 ,$66.56 ,$217.60 ,$31.45 ,$204.80 ,$71.68 ,$230.40 ,$256.00 ,$56.32 ,$215.04 ,$33.10 ,$33.10 ,$66.56 ,$166.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$90.00 ,$58.50 ,$15.58 ,$90.00 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$45.72 ,$23.40 ,$52.92 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$58.50 ,$37.62 ,$23.27 ,$29.95 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 ,$17.14 ,$15.58 ,$23.40 ,$76.50 ,$22.76 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$23.96 ,$23.96 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$220.00 ,$143.00 ,$41.28 ,$220.00 ,$121.00 ,$132.00 ,$132.00 ,$57.20 ,$61.60 ,$111.76 ,$57.20 ,$129.36 ,$55.00 ,$176.00 ,$176.00 ,$57.20 ,$143.00 ,$91.96 ,$67.93 ,$87.73 ,$57.20 ,$220.00 ,$48.40 ,$165.00 ,$156.20 ,$156.20 ,$48.40 ,$156.20 ,$184.80 ,$184.80 ,$184.80 , N/A ,$198.00 ,$121.00 ,$187.00 ,$48.40 ,$220.00 ,$132.00 ,$48.40 ,$91.52 ,$45.41 ,$41.28 ,$57.20 ,$187.00 ,$66.67 ,$176.00 ,$61.60 ,$198.00 ,$220.00 ,$48.40 ,$184.80 ,$70.18 ,$70.18 ,$57.20 ,$143.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$48.00 ,$31.20 ,$10.56 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$13.21 ,$16.70 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$13.66 ,$12.42 ,$12.48 ,$40.80 ,$12.69 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$13.36 ,$13.36 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600359,87081,HC CULTURE SCR PRESUMP PATHOGENS-90,306,1 ,$129.00 ,$83.85 ,$12.42 ,$129.00 ,$70.95 ,$77.40 ,$77.40 ,$33.54 ,$36.12 ,$65.53 ,$33.54 ,$75.85 ,$32.25 ,$103.20 ,$103.20 ,$33.54 ,$83.85 ,$53.92 ,$12.58 ,$16.58 ,$33.54 ,$129.00 ,$28.38 ,$96.75 ,$91.59 ,$91.59 ,$28.38 ,$91.59 ,$108.36 ,$108.36 ,$108.36 , N/A ,$116.10 ,$70.95 ,$109.65 ,$28.38 ,$129.00 ,$77.40 ,$28.38 ,$53.66 ,$13.66 ,$12.42 ,$33.54 ,$109.65 ,$12.60 ,$103.20 ,$36.12 ,$116.10 ,$129.00 ,$28.38 ,$108.36 ,$13.26 ,$13.26 ,$33.54 ,$83.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$111.00 ,$72.15 ,$12.42 ,$111.00 ,$61.05 ,$66.60 ,$66.60 ,$28.86 ,$31.08 ,$56.39 ,$28.86 ,$65.27 ,$27.75 ,$88.80 ,$88.80 ,$28.86 ,$72.15 ,$46.40 ,$12.58 ,$16.58 ,$28.86 ,$111.00 ,$24.42 ,$83.25 ,$78.81 ,$78.81 ,$24.42 ,$78.81 ,$93.24 ,$93.24 ,$93.24 , N/A ,$99.90 ,$61.05 ,$94.35 ,$24.42 ,$111.00 ,$66.60 ,$24.42 ,$46.18 ,$13.66 ,$12.42 ,$28.86 ,$94.35 ,$12.60 ,$88.80 ,$31.08 ,$99.90 ,$111.00 ,$24.42 ,$93.24 ,$13.26 ,$13.26 ,$28.86 ,$72.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600363,87103,HC CULTURE FUNGUS BLOOD-90,306,1 ,$84.00 ,$54.60 ,$18.48 ,$84.00 ,$46.20 ,$50.40 ,$50.40 ,$21.84 ,$23.52 ,$42.67 ,$21.84 ,$49.39 ,$21.00 ,$67.20 ,$67.20 ,$21.84 ,$54.60 ,$35.11 ,$35.85 ,$51.15 ,$21.84 ,$84.00 ,$18.48 ,$63.00 ,$59.64 ,$59.64 ,$18.48 ,$59.64 ,$70.56 ,$70.56 ,$70.56 , N/A ,$75.60 ,$46.20 ,$71.40 ,$18.48 ,$84.00 ,$50.40 ,$18.48 ,$34.94 ,$45.41 ,$41.28 ,$21.84 ,$71.40 ,$38.87 ,$67.20 ,$23.52 ,$75.60 ,$84.00 ,$18.48 ,$70.56 ,$40.92 ,$40.92 ,$21.84 ,$54.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600364,87106,HC CULTURE FUNGUS ID YEAST-90,306,1 ,$86.00 ,$55.90 ,$12.42 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$43.69 ,$22.36 ,$50.57 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$55.90 ,$35.95 ,$20.13 ,$25.80 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$13.66 ,$12.42 ,$22.36 ,$73.10 ,$19.61 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$20.64 ,$20.64 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600365,87107,HC CULTURE FUNGUS ID MOLD-90,306,1 ,$16.00 ,$10.40 ,$3.52 ,$45.41 ,$8.80 ,$9.60 ,$9.60 ,$4.16 ,$4.48 ,$8.13 ,$4.16 ,$9.41 ,$4.00 ,$12.80 ,$12.80 ,$4.16 ,$10.40 ,$6.69 ,$16.00 ,$25.80 ,$4.16 ,$16.00 ,$3.52 ,$12.00 ,$11.36 ,$11.36 ,$3.52 ,$11.36 ,$13.44 ,$13.44 ,$13.44 , N/A ,$14.40 ,$8.80 ,$13.60 ,$3.52 ,$16.00 ,$9.60 ,$3.52 ,$6.66 ,$45.41 ,$41.28 ,$4.16 ,$13.60 ,$19.61 ,$12.80 ,$4.48 ,$14.40 ,$16.00 ,$3.52 ,$13.44 ,$16.00 ,$16.00 ,$4.16 ,$10.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600366,87109,HC CULTURE MYCOPLASMA-90,306,1 ,$112.00 ,$72.80 ,$24.64 ,$112.00 ,$61.60 ,$67.20 ,$67.20 ,$29.12 ,$31.36 ,$56.90 ,$29.12 ,$65.86 ,$28.00 ,$89.60 ,$89.60 ,$29.12 ,$72.80 ,$46.82 ,$29.56 ,$38.48 ,$29.12 ,$112.00 ,$24.64 ,$84.00 ,$79.52 ,$79.52 ,$24.64 ,$79.52 ,$94.08 ,$94.08 ,$94.08 , N/A ,$100.80 ,$61.60 ,$95.20 ,$24.64 ,$112.00 ,$67.20 ,$24.64 ,$46.59 ,$45.41 ,$41.28 ,$29.12 ,$95.20 ,$29.24 ,$89.60 ,$31.36 ,$100.80 ,$112.00 ,$24.64 ,$94.08 ,$30.78 ,$30.78 ,$29.12 ,$72.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600367,87110,HC CULTURE CHLAMYDIA-90,306,1 ,$272.00 ,$176.80 ,$12.42 ,$272.00 ,$149.60 ,$163.20 ,$163.20 ,$70.72 ,$76.16 ,$138.18 ,$70.72 ,$159.94 ,$68.00 ,$217.60 ,$217.60 ,$70.72 ,$176.80 ,$113.70 ,$37.74 ,$49.00 ,$70.72 ,$272.00 ,$59.84 ,$204.00 ,$193.12 ,$193.12 ,$59.84 ,$193.12 ,$228.48 ,$228.48 ,$228.48 , N/A ,$244.80 ,$149.60 ,$231.20 ,$59.84 ,$272.00 ,$163.20 ,$59.84 ,$113.15 ,$13.66 ,$12.42 ,$70.72 ,$231.20 ,$37.24 ,$217.60 ,$76.16 ,$244.80 ,$272.00 ,$59.84 ,$228.48 ,$39.20 ,$39.20 ,$70.72 ,$176.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$76.00 ,$49.40 ,$16.72 ,$76.00 ,$41.80 ,$45.60 ,$45.60 ,$19.76 ,$21.28 ,$38.61 ,$19.76 ,$44.69 ,$19.00 ,$60.80 ,$60.80 ,$19.76 ,$49.40 ,$31.77 ,$20.76 ,$27.00 ,$19.76 ,$76.00 ,$16.72 ,$57.00 ,$53.96 ,$53.96 ,$16.72 ,$53.96 ,$63.84 ,$63.84 ,$63.84 , N/A ,$68.40 ,$41.80 ,$64.60 ,$16.72 ,$76.00 ,$45.60 ,$16.72 ,$31.62 ,$45.41 ,$41.28 ,$19.76 ,$64.60 ,$20.52 ,$60.80 ,$21.28 ,$68.40 ,$76.00 ,$16.72 ,$63.84 ,$21.60 ,$21.60 ,$19.76 ,$49.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600369,87118,HC CULTURE MYCOBACTERIA ID-90,306,1 ,$100.00 ,$65.00 ,$22.00 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$25.79 ,$36.53 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$45.41 ,$41.28 ,$26.00 ,$85.00 ,$27.76 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$29.22 ,$29.22 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$36.00 ,$23.40 ,$7.92 ,$45.41 ,$19.80 ,$21.60 ,$21.60 ,$9.36 ,$10.08 ,$18.29 ,$9.36 ,$21.17 ,$9.00 ,$28.80 ,$28.80 ,$9.36 ,$23.40 ,$15.05 ,$10.69 ,$13.93 ,$9.36 ,$36.00 ,$7.92 ,$27.00 ,$25.56 ,$25.56 ,$7.92 ,$25.56 ,$30.24 ,$30.24 ,$30.24 , N/A ,$32.40 ,$19.80 ,$30.60 ,$7.92 ,$36.00 ,$21.60 ,$7.92 ,$14.98 ,$45.41 ,$41.28 ,$9.36 ,$30.60 ,$10.58 ,$28.80 ,$10.08 ,$32.40 ,$36.00 ,$7.92 ,$30.24 ,$11.14 ,$11.14 ,$9.36 ,$23.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600375,87149,HC CULTURE TYPING ID NUCLEIC ACID-90,306,1 ,$110.00 ,$71.50 ,$12.42 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$39.00 ,$50.13 ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$13.66 ,$12.42 ,$28.60 ,$93.50 ,$38.10 ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$40.10 ,$40.10 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$146.00 ,$94.90 ,$12.42 ,$146.00 ,$80.30 ,$87.60 ,$87.60 ,$37.96 ,$40.88 ,$74.17 ,$37.96 ,$85.85 ,$36.50 ,$116.80 ,$116.80 ,$37.96 ,$94.90 ,$61.03 ,$16.98 ,$22.25 ,$37.96 ,$146.00 ,$32.12 ,$109.50 ,$103.66 ,$103.66 ,$32.12 ,$103.66 ,$122.64 ,$122.64 ,$122.64 , N/A ,$131.40 ,$80.30 ,$124.10 ,$32.12 ,$146.00 ,$87.60 ,$32.12 ,$60.74 ,$13.66 ,$12.42 ,$37.96 ,$124.10 ,$16.91 ,$116.80 ,$40.88 ,$131.40 ,$146.00 ,$32.12 ,$122.64 ,$17.80 ,$17.80 ,$37.96 ,$94.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$184.00 ,$119.60 ,$10.24 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$54.52 ,$47.84 ,$66.63 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$119.60 ,$76.91 ,$10.69 ,$13.48 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$13.66 ,$12.42 ,$47.84 ,$156.40 ,$10.24 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$10.78 ,$10.78 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$80.00 ,$52.00 ,$11.32 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$40.64 ,$20.80 ,$47.04 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$18.52 ,$33.44 ,$11.32 ,$14.98 ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 ,$13.66 ,$12.42 ,$20.80 ,$68.00 ,$11.38 ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$11.98 ,$11.98 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600399,87209,HC OVA  AND  PARASITE W/STAIN-90,306,1 ,$51.00 ,$33.15 ,$11.22 ,$51.00 ,$28.05 ,$30.60 ,$30.60 ,$13.26 ,$14.28 ,$25.91 ,$13.26 ,$29.99 ,$12.75 ,$40.80 ,$40.80 ,$13.26 ,$33.15 ,$21.32 ,$34.60 ,$44.95 ,$13.26 ,$51.00 ,$11.22 ,$38.25 ,$36.21 ,$36.21 ,$11.22 ,$36.21 ,$42.84 ,$42.84 ,$42.84 , N/A ,$45.90 ,$28.05 ,$43.35 ,$11.22 ,$51.00 ,$30.60 ,$11.22 ,$21.22 ,$45.41 ,$41.28 ,$13.26 ,$43.35 ,$34.16 ,$40.80 ,$14.28 ,$45.90 ,$51.00 ,$11.22 ,$42.84 ,$35.96 ,$35.96 ,$13.26 ,$33.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600402,87252,HC CULTURE VIRUS ID TISSUE-90,306,1 ,$170.00 ,$110.50 ,$37.40 ,$170.00 ,$93.50 ,$102.00 ,$102.00 ,$44.20 ,$47.60 ,$86.36 ,$44.20 ,$99.96 ,$42.50 ,$136.00 ,$136.00 ,$44.20 ,$110.50 ,$71.06 ,$50.32 ,$65.18 ,$44.20 ,$170.00 ,$37.40 ,$127.50 ,$120.70 ,$120.70 ,$37.40 ,$120.70 ,$142.80 ,$142.80 ,$142.80 , N/A ,$153.00 ,$93.50 ,$144.50 ,$37.40 ,$170.00 ,$102.00 ,$37.40 ,$70.72 ,$45.41 ,$41.28 ,$44.20 ,$144.50 ,$49.53 ,$136.00 ,$47.60 ,$153.00 ,$170.00 ,$37.40 ,$142.80 ,$52.14 ,$52.14 ,$44.20 ,$110.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600403,87253,HC CULTURE VIRUS ID ADDL EA-90,306,1 ,$82.00 ,$53.30 ,$18.04 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$39.00 ,$50.50 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$45.41 ,$41.28 ,$21.32 ,$69.70 ,$38.38 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$40.40 ,$40.40 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$91.00 ,$59.15 ,$20.02 ,$91.00 ,$50.05 ,$54.60 ,$54.60 ,$23.66 ,$25.48 ,$46.23 ,$23.66 ,$53.51 ,$22.75 ,$72.80 ,$72.80 ,$23.66 ,$59.15 ,$38.04 ,$37.74 ,$48.90 ,$23.66 ,$91.00 ,$20.02 ,$68.25 ,$64.61 ,$64.61 ,$20.02 ,$64.61 ,$76.44 ,$76.44 ,$76.44 , N/A ,$81.90 ,$50.05 ,$77.35 ,$20.02 ,$91.00 ,$54.60 ,$20.02 ,$37.86 ,$45.41 ,$41.28 ,$23.66 ,$77.35 ,$37.16 ,$72.80 ,$25.48 ,$81.90 ,$91.00 ,$20.02 ,$76.44 ,$39.12 ,$39.12 ,$23.66 ,$59.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600407,87260,HC IF ADENOVIRUS AG-90,306,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$25.40 ,$13.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$25.16 ,$36.08 ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 ,$17.14 ,$15.58 ,$13.00 ,$42.50 ,$27.42 ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$28.86 ,$28.86 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600413,87290,HC IF VARICELLA ZOETER AG-90,306,1 ,$36.00 ,$23.40 ,$7.92 ,$36.00 ,$19.80 ,$21.60 ,$21.60 ,$9.36 ,$10.08 ,$18.29 ,$9.36 ,$21.17 ,$9.00 ,$28.80 ,$28.80 ,$9.36 ,$23.40 ,$15.05 ,$23.27 ,$33.55 ,$9.36 ,$36.00 ,$7.92 ,$27.00 ,$25.56 ,$25.56 ,$7.92 ,$25.56 ,$30.24 ,$30.24 ,$30.24 , N/A ,$32.40 ,$19.80 ,$30.60 ,$7.92 ,$36.00 ,$21.60 ,$7.92 ,$14.98 ,$17.14 ,$15.58 ,$9.36 ,$30.60 ,$25.50 ,$28.80 ,$10.08 ,$32.40 ,$36.00 ,$7.92 ,$30.24 ,$26.84 ,$26.84 ,$9.36 ,$23.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$93.00 ,$60.45 ,$15.58 ,$93.00 ,$51.15 ,$55.80 ,$55.80 ,$24.18 ,$26.04 ,$47.24 ,$24.18 ,$54.68 ,$23.25 ,$74.40 ,$74.40 ,$24.18 ,$60.45 ,$38.87 ,$28.31 ,$40.25 ,$24.18 ,$93.00 ,$20.46 ,$69.75 ,$66.03 ,$66.03 ,$20.46 ,$66.03 ,$78.12 ,$78.12 ,$78.12 , N/A ,$83.70 ,$51.15 ,$79.05 ,$20.46 ,$93.00 ,$55.80 ,$20.46 ,$38.69 ,$17.14 ,$15.58 ,$24.18 ,$79.05 ,$30.59 ,$74.40 ,$26.04 ,$83.70 ,$93.00 ,$20.46 ,$78.12 ,$32.20 ,$32.20 ,$24.18 ,$60.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600419,87338,HC EIA QL H PYLORI AG STOOL-90,306,1 ,$282.00 ,$183.30 ,$15.58 ,$282.00 ,$155.10 ,$169.20 ,$169.20 ,$73.32 ,$78.96 ,$143.26 ,$73.32 ,$165.82 ,$70.50 ,$225.60 ,$225.60 ,$73.32 ,$183.30 ,$117.88 ,$27.68 ,$35.95 ,$73.32 ,$282.00 ,$62.04 ,$211.50 ,$200.22 ,$200.22 ,$62.04 ,$200.22 ,$236.88 ,$236.88 ,$236.88 , N/A ,$253.80 ,$155.10 ,$239.70 ,$62.04 ,$282.00 ,$169.20 ,$62.04 ,$117.31 ,$17.14 ,$15.58 ,$73.32 ,$239.70 ,$27.32 ,$225.60 ,$78.96 ,$253.80 ,$282.00 ,$62.04 ,$236.88 ,$28.76 ,$28.76 ,$73.32 ,$183.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$96.00 ,$62.40 ,$15.58 ,$96.00 ,$52.80 ,$57.60 ,$57.60 ,$24.96 ,$26.88 ,$48.77 ,$24.96 ,$56.45 ,$24.00 ,$76.80 ,$76.80 ,$24.96 ,$62.40 ,$40.13 ,$22.64 ,$28.83 ,$24.96 ,$96.00 ,$21.12 ,$72.00 ,$68.16 ,$68.16 ,$21.12 ,$68.16 ,$80.64 ,$80.64 ,$80.64 , N/A ,$86.40 ,$52.80 ,$81.60 ,$21.12 ,$96.00 ,$57.60 ,$21.12 ,$39.94 ,$17.14 ,$15.58 ,$24.96 ,$81.60 ,$21.91 ,$76.80 ,$26.88 ,$86.40 ,$96.00 ,$21.12 ,$80.64 ,$23.06 ,$23.06 ,$24.96 ,$62.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$174.00 ,$113.10 ,$15.58 ,$174.00 ,$95.70 ,$104.40 ,$104.40 ,$45.24 ,$48.72 ,$88.39 ,$45.24 ,$102.31 ,$43.50 ,$139.20 ,$139.20 ,$45.24 ,$113.10 ,$72.73 ,$23.27 ,$33.13 ,$45.24 ,$174.00 ,$38.28 ,$130.50 ,$123.54 ,$123.54 ,$38.28 ,$123.54 ,$146.16 ,$146.16 ,$146.16 , N/A ,$156.60 ,$95.70 ,$147.90 ,$38.28 ,$174.00 ,$104.40 ,$38.28 ,$72.38 ,$17.14 ,$15.58 ,$45.24 ,$147.90 ,$25.18 ,$139.20 ,$48.72 ,$156.60 ,$174.00 ,$38.28 ,$146.16 ,$26.50 ,$26.50 ,$45.24 ,$113.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$78.00 ,$50.70 ,$15.58 ,$78.00 ,$42.90 ,$46.80 ,$46.80 ,$20.28 ,$21.84 ,$39.62 ,$20.28 ,$45.86 ,$19.50 ,$62.40 ,$62.40 ,$20.28 ,$50.70 ,$32.60 ,$23.27 ,$29.95 ,$20.28 ,$78.00 ,$17.16 ,$58.50 ,$55.38 ,$55.38 ,$17.16 ,$55.38 ,$65.52 ,$65.52 ,$65.52 , N/A ,$70.20 ,$42.90 ,$66.30 ,$17.16 ,$78.00 ,$46.80 ,$17.16 ,$32.45 ,$17.14 ,$15.58 ,$20.28 ,$66.30 ,$22.76 ,$62.40 ,$21.84 ,$70.20 ,$78.00 ,$17.16 ,$65.52 ,$23.96 ,$23.96 ,$20.28 ,$50.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$95.00 ,$61.75 ,$15.58 ,$95.00 ,$52.25 ,$57.00 ,$57.00 ,$24.70 ,$26.60 ,$48.26 ,$24.70 ,$55.86 ,$23.75 ,$76.00 ,$76.00 ,$24.70 ,$61.75 ,$39.71 ,$67.93 ,$87.73 ,$24.70 ,$95.00 ,$20.90 ,$71.25 ,$67.45 ,$67.45 ,$20.90 ,$67.45 ,$79.80 ,$79.80 ,$79.80 , N/A ,$85.50 ,$52.25 ,$80.75 ,$20.90 ,$95.00 ,$57.00 ,$20.90 ,$39.52 ,$17.14 ,$15.58 ,$24.70 ,$80.75 ,$66.67 ,$76.00 ,$26.60 ,$85.50 ,$95.00 ,$20.90 ,$79.80 ,$70.18 ,$70.18 ,$24.70 ,$61.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600441,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$217.00 ,$141.05 ,$15.58 ,$217.00 ,$119.35 ,$130.20 ,$130.20 ,$56.42 ,$60.76 ,$110.24 ,$56.42 ,$127.60 ,$54.25 ,$173.60 ,$173.60 ,$56.42 ,$141.05 ,$90.71 ,$67.93 ,$93.18 ,$56.42 ,$217.00 ,$47.74 ,$162.75 ,$154.07 ,$154.07 ,$47.74 ,$154.07 ,$182.28 ,$182.28 ,$182.28 , N/A ,$195.30 ,$119.35 ,$184.45 ,$47.74 ,$217.00 ,$130.20 ,$47.74 ,$90.27 ,$17.14 ,$15.58 ,$56.42 ,$184.45 ,$70.81 ,$173.60 ,$60.76 ,$195.30 ,$217.00 ,$47.74 ,$182.28 ,$74.54 ,$74.54 ,$56.42 ,$141.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$143.00 ,$92.95 ,$31.46 ,$143.00 ,$78.65 ,$85.80 ,$85.80 ,$37.18 ,$40.04 ,$72.64 ,$37.18 ,$84.08 ,$35.75 ,$114.40 ,$114.40 ,$37.18 ,$92.95 ,$59.77 ,$67.93 ,$87.73 ,$37.18 ,$143.00 ,$31.46 ,$107.25 ,$101.53 ,$101.53 ,$31.46 ,$101.53 ,$120.12 ,$120.12 ,$120.12 , N/A ,$128.70 ,$78.65 ,$121.55 ,$31.46 ,$143.00 ,$85.80 ,$31.46 ,$59.49 ,$45.41 ,$41.28 ,$37.18 ,$121.55 ,$66.67 ,$114.40 ,$40.04 ,$128.70 ,$143.00 ,$31.46 ,$120.12 ,$70.18 ,$70.18 ,$37.18 ,$92.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600443,87497,HC CMV QN-90,306,1 ,$350.00 ,$227.50 ,$41.28 ,$350.00 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$227.50 ,$146.30 ,$83.03 ,$107.10 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$45.41 ,$41.28 ,$91.00 ,$297.50 ,$81.40 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$85.68 ,$85.68 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600444,87498,HC ENTEROVIRUS AMP PROBE-90,306,1 ,$463.00 ,$300.95 ,$41.28 ,$463.00 ,$254.65 ,$277.80 ,$277.80 ,$120.38 ,$129.64 ,$235.20 ,$120.38 ,$272.24 ,$115.75 ,$370.40 ,$370.40 ,$120.38 ,$300.95 ,$193.53 ,$67.93 ,$87.73 ,$120.38 ,$463.00 ,$101.86 ,$347.25 ,$328.73 ,$328.73 ,$101.86 ,$328.73 ,$388.92 ,$388.92 ,$388.92 , N/A ,$416.70 ,$254.65 ,$393.55 ,$101.86 ,$463.00 ,$277.80 ,$101.86 ,$192.61 ,$45.41 ,$41.28 ,$120.38 ,$393.55 ,$66.67 ,$370.40 ,$129.64 ,$416.70 ,$463.00 ,$101.86 ,$388.92 ,$70.18 ,$70.18 ,$120.38 ,$300.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600446,87502,HC INFLUENZA VIRUS MULTIPLE DNA/RNA-90,306,1 ,$165.00 ,$107.25 ,$26.85 ,$239.50 ,$90.75 ,$99.00 ,$99.00 ,$42.90 ,$46.20 ,$83.82 ,$42.90 ,$97.02 ,$41.25 ,$132.00 ,$132.00 ,$42.90 ,$107.25 ,$68.97 ,$165.00 ,$239.50 ,$42.90 ,$165.00 ,$36.30 ,$123.75 ,$117.15 ,$117.15 ,$36.30 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$90.75 ,$140.25 ,$36.30 ,$165.00 ,$99.00 ,$36.30 ,$68.64 ,$29.54 ,$26.85 ,$42.90 ,$140.25 ,$182.02 ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$36.30 ,$138.60 ,$165.00 ,$165.00 ,$42.90 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600448,87517,HC HEPATITIS B QN-90,306,1 ,$280.00 ,$182.00 ,$41.28 ,$280.00 ,$154.00 ,$168.00 ,$168.00 ,$72.80 ,$78.40 ,$142.24 ,$72.80 ,$164.64 ,$70.00 ,$224.00 ,$224.00 ,$72.80 ,$182.00 ,$117.04 ,$83.03 ,$107.10 ,$72.80 ,$280.00 ,$61.60 ,$210.00 ,$198.80 ,$198.80 ,$61.60 ,$198.80 ,$235.20 ,$235.20 ,$235.20 , N/A ,$252.00 ,$154.00 ,$238.00 ,$61.60 ,$280.00 ,$168.00 ,$61.60 ,$116.48 ,$45.41 ,$41.28 ,$72.80 ,$238.00 ,$81.40 ,$224.00 ,$78.40 ,$252.00 ,$280.00 ,$61.60 ,$235.20 ,$85.68 ,$85.68 ,$72.80 ,$182.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600451,87522,HC HEPATITIS C QN-90,306,1 ,$500.00 ,$325.00 ,$41.28 ,$500.00 ,$275.00 ,$300.00 ,$300.00 ,$130.00 ,$140.00 ,$254.00 ,$130.00 ,$294.00 ,$125.00 ,$400.00 ,$400.00 ,$130.00 ,$325.00 ,$209.00 ,$83.03 ,$107.10 ,$130.00 ,$500.00 ,$110.00 ,$375.00 ,$355.00 ,$355.00 ,$110.00 ,$355.00 ,$420.00 ,$420.00 ,$420.00 , N/A ,$450.00 ,$275.00 ,$425.00 ,$110.00 ,$500.00 ,$300.00 ,$110.00 ,$208.00 ,$45.41 ,$41.28 ,$130.00 ,$425.00 ,$81.40 ,$400.00 ,$140.00 ,$450.00 ,$500.00 ,$110.00 ,$420.00 ,$85.68 ,$85.68 ,$130.00 ,$325.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$246.00 ,$159.90 ,$41.28 ,$246.00 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$124.97 ,$63.96 ,$144.65 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$159.90 ,$102.83 ,$67.93 ,$87.73 ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$246.00 ,$147.60 ,$54.12 ,$102.34 ,$45.41 ,$41.28 ,$63.96 ,$209.10 ,$66.67 ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$70.18 ,$70.18 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600454,87530,HC HSV QUANT-90,306,1 ,$330.00 ,$214.50 ,$41.28 ,$330.00 ,$181.50 ,$198.00 ,$198.00 ,$85.80 ,$92.40 ,$167.64 ,$85.80 ,$194.04 ,$82.50 ,$264.00 ,$264.00 ,$85.80 ,$214.50 ,$137.94 ,$83.03 ,$107.10 ,$85.80 ,$330.00 ,$72.60 ,$247.50 ,$234.30 ,$234.30 ,$72.60 ,$234.30 ,$277.20 ,$277.20 ,$277.20 , N/A ,$297.00 ,$181.50 ,$280.50 ,$72.60 ,$330.00 ,$198.00 ,$72.60 ,$137.28 ,$45.41 ,$41.28 ,$85.80 ,$280.50 ,$81.40 ,$264.00 ,$92.40 ,$297.00 ,$330.00 ,$72.60 ,$277.20 ,$85.68 ,$85.68 ,$85.80 ,$214.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600458,87536,HC HIV-1 QN-90,306,1 ,$271.00 ,$176.15 ,$41.28 ,$271.00 ,$149.05 ,$162.60 ,$162.60 ,$70.46 ,$75.88 ,$137.67 ,$70.46 ,$159.35 ,$67.75 ,$216.80 ,$216.80 ,$70.46 ,$176.15 ,$113.28 ,$164.80 ,$212.75 ,$70.46 ,$271.00 ,$59.62 ,$203.25 ,$192.41 ,$192.41 ,$59.62 ,$192.41 ,$227.64 ,$227.64 ,$227.64 , N/A ,$243.90 ,$149.05 ,$230.35 ,$59.62 ,$271.00 ,$162.60 ,$59.62 ,$112.74 ,$45.41 ,$41.28 ,$70.46 ,$230.35 ,$161.69 ,$216.80 ,$75.88 ,$243.90 ,$271.00 ,$59.62 ,$227.64 ,$170.20 ,$170.20 ,$70.46 ,$176.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600460,87591,HC NEISSERIA AMP-90,306,1 ,$95.00 ,$61.75 ,$20.90 ,$95.00 ,$52.25 ,$57.00 ,$57.00 ,$24.70 ,$26.60 ,$48.26 ,$24.70 ,$55.86 ,$23.75 ,$76.00 ,$76.00 ,$24.70 ,$61.75 ,$39.71 ,$67.93 ,$87.73 ,$24.70 ,$95.00 ,$20.90 ,$71.25 ,$67.45 ,$67.45 ,$20.90 ,$67.45 ,$79.80 ,$79.80 ,$79.80 , N/A ,$85.50 ,$52.25 ,$80.75 ,$20.90 ,$95.00 ,$57.00 ,$20.90 ,$39.52 ,$45.41 ,$41.28 ,$24.70 ,$80.75 ,$66.67 ,$76.00 ,$26.60 ,$85.50 ,$95.00 ,$20.90 ,$79.80 ,$70.18 ,$70.18 ,$24.70 ,$61.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$173.00 ,$112.45 ,$38.06 ,$173.00 ,$95.15 ,$103.80 ,$103.80 ,$44.98 ,$48.44 ,$87.88 ,$44.98 ,$101.72 ,$43.25 ,$138.40 ,$138.40 ,$44.98 ,$112.45 ,$72.31 ,$67.93 ,$87.73 ,$44.98 ,$173.00 ,$38.06 ,$129.75 ,$122.83 ,$122.83 ,$38.06 ,$122.83 ,$145.32 ,$145.32 ,$145.32 , N/A ,$155.70 ,$95.15 ,$147.05 ,$38.06 ,$173.00 ,$103.80 ,$38.06 ,$71.97 ,$45.41 ,$41.28 ,$44.98 ,$147.05 ,$66.67 ,$138.40 ,$48.44 ,$155.70 ,$173.00 ,$38.06 ,$145.32 ,$70.18 ,$70.18 ,$44.98 ,$112.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600471,87798,HC INFECT AMP-90,306,1 ,$404.00 ,$262.60 ,$41.28 ,$404.00 ,$222.20 ,$242.40 ,$242.40 ,$105.04 ,$113.12 ,$205.23 ,$105.04 ,$237.55 ,$101.00 ,$323.20 ,$323.20 ,$105.04 ,$262.60 ,$168.87 ,$67.93 ,$87.73 ,$105.04 ,$404.00 ,$88.88 ,$303.00 ,$286.84 ,$286.84 ,$88.88 ,$286.84 ,$339.36 ,$339.36 ,$339.36 , N/A ,$363.60 ,$222.20 ,$343.40 ,$88.88 ,$404.00 ,$242.40 ,$88.88 ,$168.06 ,$45.41 ,$41.28 ,$105.04 ,$343.40 ,$66.67 ,$323.20 ,$113.12 ,$363.60 ,$404.00 ,$88.88 ,$339.36 ,$70.18 ,$70.18 ,$105.04 ,$262.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600475,87798,HC PROBE VZV DNA QUAL RT PCR-90,306,1 ,$200.00 ,$130.00 ,$41.28 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$101.60 ,$52.00 ,$117.60 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$67.93 ,$87.73 ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 ,$45.41 ,$41.28 ,$52.00 ,$170.00 ,$66.67 ,$160.00 ,$56.00 ,$180.00 ,$200.00 ,$44.00 ,$168.00 ,$70.18 ,$70.18 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600476,87798,HC INFECT AMP T1,306,1 ,$464.00 ,$301.60 ,$41.28 ,$464.00 ,$255.20 ,$278.40 ,$278.40 ,$120.64 ,$129.92 ,$235.71 ,$120.64 ,$272.83 ,$116.00 ,$371.20 ,$371.20 ,$120.64 ,$301.60 ,$193.95 ,$67.93 ,$87.73 ,$120.64 ,$464.00 ,$102.08 ,$348.00 ,$329.44 ,$329.44 ,$102.08 ,$329.44 ,$389.76 ,$389.76 ,$389.76 , N/A ,$417.60 ,$255.20 ,$394.40 ,$102.08 ,$464.00 ,$278.40 ,$102.08 ,$193.02 ,$45.41 ,$41.28 ,$120.64 ,$394.40 ,$66.67 ,$371.20 ,$129.92 ,$417.60 ,$464.00 ,$102.08 ,$389.76 ,$70.18 ,$70.18 ,$120.64 ,$301.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600478,87799,HC INFECT AGENT QN-90,306,1 ,$213.00 ,$138.45 ,$41.28 ,$213.00 ,$117.15 ,$127.80 ,$127.80 ,$55.38 ,$59.64 ,$108.20 ,$55.38 ,$125.24 ,$53.25 ,$170.40 ,$170.40 ,$55.38 ,$138.45 ,$89.03 ,$83.03 ,$107.10 ,$55.38 ,$213.00 ,$46.86 ,$159.75 ,$151.23 ,$151.23 ,$46.86 ,$151.23 ,$178.92 ,$178.92 ,$178.92 , N/A ,$191.70 ,$117.15 ,$181.05 ,$46.86 ,$213.00 ,$127.80 ,$46.86 ,$88.61 ,$45.41 ,$41.28 ,$55.38 ,$181.05 ,$81.40 ,$170.40 ,$59.64 ,$191.70 ,$213.00 ,$46.86 ,$178.92 ,$85.68 ,$85.68 ,$55.38 ,$138.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600480,87899,HC INFECT AGENT DETECT OPTICAL-90,306,1 ,$271.00 ,$176.15 ,$12.42 ,$271.00 ,$149.05 ,$162.60 ,$162.60 ,$70.46 ,$75.88 ,$131.78 ,$70.46 ,$159.35 ,$67.75 ,$216.80 ,$216.80 ,$70.46 ,$176.15 ,$113.28 ,$28.31 ,$40.18 ,$70.46 ,$271.00 ,$59.62 ,$203.25 ,$192.41 ,$192.41 ,$59.62 ,$192.41 ,$227.64 ,$227.64 ,$227.64 , N/A ,$243.90 ,$149.05 ,$230.35 ,$59.62 ,$271.00 ,$162.60 ,$59.62 ,$112.74 ,$13.66 ,$12.42 ,$70.46 ,$230.35 ,$30.53 ,$216.80 ,$75.88 ,$243.90 ,$271.00 ,$59.62 ,$227.64 ,$32.14 ,$32.14 ,$70.46 ,$176.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$495.00 ,$321.75 ,$41.28 ,$643.63 ,$272.25 ,$297.00 ,$297.00 ,$128.70 ,$138.60 ,$251.46 ,$128.70 ,$291.06 ,$123.75 ,$396.00 ,$396.00 ,$128.70 ,$321.75 ,$206.91 ,$495.00 ,$643.63 ,$128.70 ,$495.00 ,$108.90 ,$371.25 ,$351.45 ,$351.45 ,$108.90 ,$351.45 ,$415.80 ,$415.80 ,$415.80 , N/A ,$445.50 ,$272.25 ,$420.75 ,$108.90 ,$495.00 ,$297.00 ,$108.90 ,$205.92 ,$45.41 ,$41.28 ,$128.70 ,$420.75 ,$489.16 ,$396.00 ,$138.60 ,$445.50 ,$495.00 ,$108.90 ,$415.80 ,$495.00 ,$495.00 ,$128.70 ,$321.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600490,87272,HC IF CRYPTOSPORIDIUM AG-90,306,1 ,$98.00 ,$63.70 ,$15.58 ,$98.00 ,$53.90 ,$58.80 ,$58.80 ,$25.48 ,$27.44 ,$49.78 ,$25.48 ,$57.62 ,$24.50 ,$78.40 ,$78.40 ,$25.48 ,$63.70 ,$40.96 ,$23.27 ,$29.95 ,$25.48 ,$98.00 ,$21.56 ,$73.50 ,$69.58 ,$69.58 ,$21.56 ,$69.58 ,$82.32 ,$82.32 ,$82.32 , N/A ,$88.20 ,$53.90 ,$83.30 ,$21.56 ,$98.00 ,$58.80 ,$21.56 ,$40.77 ,$17.14 ,$15.58 ,$25.48 ,$83.30 ,$22.76 ,$78.40 ,$27.44 ,$88.20 ,$98.00 ,$21.56 ,$82.32 ,$23.96 ,$23.96 ,$25.48 ,$63.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600503,87389,HC HIV-1 AG W/HIV-1  AND  HIV-2 AB-90,306,1 ,$375.00 ,$243.75 ,$15.58 ,$375.00 ,$206.25 ,$225.00 ,$225.00 ,$97.50 ,$105.00 ,$190.50 ,$97.50 ,$220.50 ,$93.75 ,$300.00 ,$300.00 ,$97.50 ,$243.75 ,$156.75 ,$46.55 ,$60.20 ,$97.50 ,$375.00 ,$82.50 ,$281.25 ,$266.25 ,$266.25 ,$82.50 ,$266.25 ,$315.00 ,$315.00 ,$315.00 , N/A ,$337.50 ,$206.25 ,$318.75 ,$82.50 ,$375.00 ,$225.00 ,$82.50 ,$156.00 ,$17.14 ,$15.58 ,$97.50 ,$318.75 ,$45.75 ,$300.00 ,$105.00 ,$337.50 ,$375.00 ,$82.50 ,$315.00 ,$48.16 ,$48.16 ,$97.50 ,$243.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600516,87040,HC BACTERIA BLOOD CULTURE T1,306,1 ,$124.00 ,$80.60 ,$19.61 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$20.13 ,$25.80 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$45.41 ,$41.28 ,$32.24 ,$105.40 ,$19.61 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$20.64 ,$20.64 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600517,87045,HC STOOL CULTURE,306,1 ,$120.00 ,$78.00 ,$12.42 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.96 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$18.24 ,$23.60 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$13.66 ,$12.42 ,$31.20 ,$102.00 ,$17.94 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$18.88 ,$18.88 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600518,87046,HC STOOL CULTURE OTH SRC,306,1 ,$125.00 ,$81.25 ,$12.42 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$63.50 ,$32.50 ,$73.50 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$18.24 ,$23.60 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$13.66 ,$12.42 ,$32.50 ,$106.25 ,$17.94 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$18.88 ,$18.88 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600519,87070,HC BODY FLUID CULTURE,306,1 ,$172.00 ,$111.80 ,$12.42 ,$172.00 ,$94.60 ,$103.20 ,$103.20 ,$44.72 ,$48.16 ,$87.24 ,$44.72 ,$101.14 ,$43.00 ,$137.60 ,$137.60 ,$44.72 ,$111.80 ,$71.90 ,$16.98 ,$21.55 ,$44.72 ,$172.00 ,$37.84 ,$129.00 ,$122.12 ,$122.12 ,$37.84 ,$122.12 ,$144.48 ,$144.48 ,$144.48 , N/A ,$154.80 ,$94.60 ,$146.20 ,$37.84 ,$172.00 ,$103.20 ,$37.84 ,$71.55 ,$13.66 ,$12.42 ,$44.72 ,$146.20 ,$16.38 ,$137.60 ,$48.16 ,$154.80 ,$172.00 ,$37.84 ,$144.48 ,$17.24 ,$17.24 ,$44.72 ,$111.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600520,87071,HC CULTURE AEROBIC OTH QN,306,1 ,$220.00 ,$143.00 ,$12.42 ,$220.00 ,$121.00 ,$132.00 ,$132.00 ,$57.20 ,$61.60 ,$70.65 ,$57.20 ,$86.34 ,$55.00 ,$176.00 ,$176.00 ,$57.20 ,$143.00 ,$91.96 ,$18.24 ,$24.73 ,$57.20 ,$220.00 ,$48.40 ,$165.00 ,$156.20 ,$156.20 ,$48.40 ,$156.20 ,$184.80 ,$184.80 ,$184.80 , N/A ,$198.00 ,$121.00 ,$187.00 ,$48.40 ,$220.00 ,$132.00 ,$48.40 ,$91.52 ,$13.66 ,$12.42 ,$57.20 ,$187.00 ,$18.79 ,$176.00 ,$61.60 ,$198.00 ,$220.00 ,$48.40 ,$184.80 ,$19.78 ,$19.78 ,$57.20 ,$143.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600521,87073,HC CULTURE ANAEROBIC OTHER SOURCE QN,306,1 ,$161.00 ,$104.65 ,$18.24 ,$161.00 ,$88.55 ,$96.60 ,$96.60 ,$41.86 ,$45.08 ,$70.65 ,$41.86 ,$86.34 ,$40.25 ,$128.80 ,$128.80 ,$41.86 ,$104.65 ,$67.30 ,$18.24 ,$24.15 ,$41.86 ,$161.00 ,$35.42 ,$120.75 ,$114.31 ,$114.31 ,$35.42 ,$114.31 ,$135.24 ,$135.24 ,$135.24 , N/A ,$144.90 ,$88.55 ,$136.85 ,$35.42 ,$161.00 ,$96.60 ,$35.42 ,$66.98 ,$45.41 ,$41.28 ,$41.86 ,$136.85 ,$18.35 ,$128.80 ,$45.08 ,$144.90 ,$161.00 ,$35.42 ,$135.24 ,$19.32 ,$19.32 ,$41.86 ,$104.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600522,87075,HC CULTURE ANAEROBIC,306,1 ,$474.00 ,$308.10 ,$12.42 ,$474.00 ,$260.70 ,$284.40 ,$284.40 ,$123.24 ,$132.72 ,$70.83 ,$123.24 ,$86.56 ,$118.50 ,$379.20 ,$379.20 ,$123.24 ,$308.10 ,$198.13 ,$18.24 ,$23.68 ,$123.24 ,$474.00 ,$104.28 ,$355.50 ,$336.54 ,$336.54 ,$104.28 ,$336.54 ,$398.16 ,$398.16 ,$398.16 , N/A ,$426.60 ,$260.70 ,$402.90 ,$104.28 ,$474.00 ,$284.40 ,$104.28 ,$197.18 ,$13.66 ,$12.42 ,$123.24 ,$402.90 ,$17.99 ,$379.20 ,$132.72 ,$426.60 ,$474.00 ,$104.28 ,$398.16 ,$18.94 ,$18.94 ,$123.24 ,$308.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$121.00 ,$78.65 ,$12.42 ,$121.00 ,$66.55 ,$72.60 ,$72.60 ,$31.46 ,$33.88 ,$60.39 ,$31.46 ,$71.15 ,$30.25 ,$96.80 ,$96.80 ,$31.46 ,$78.65 ,$50.58 ,$15.73 ,$20.20 ,$31.46 ,$121.00 ,$26.62 ,$90.75 ,$85.91 ,$85.91 ,$26.62 ,$85.91 ,$101.64 ,$101.64 ,$101.64 , N/A ,$108.90 ,$66.55 ,$102.85 ,$26.62 ,$121.00 ,$72.60 ,$26.62 ,$50.34 ,$13.66 ,$12.42 ,$31.46 ,$102.85 ,$15.35 ,$96.80 ,$33.88 ,$108.90 ,$121.00 ,$26.62 ,$101.64 ,$16.16 ,$16.16 ,$31.46 ,$78.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$148.00 ,$96.20 ,$12.42 ,$148.00 ,$81.40 ,$88.80 ,$88.80 ,$38.48 ,$41.44 ,$75.18 ,$38.48 ,$87.02 ,$37.00 ,$118.40 ,$118.40 ,$38.48 ,$96.20 ,$61.86 ,$15.73 ,$20.20 ,$38.48 ,$148.00 ,$32.56 ,$111.00 ,$105.08 ,$105.08 ,$32.56 ,$105.08 ,$124.32 ,$124.32 ,$124.32 , N/A ,$133.20 ,$81.40 ,$125.80 ,$32.56 ,$148.00 ,$88.80 ,$32.56 ,$61.57 ,$13.66 ,$12.42 ,$38.48 ,$125.80 ,$15.35 ,$118.40 ,$41.44 ,$133.20 ,$148.00 ,$32.56 ,$124.32 ,$16.16 ,$16.16 ,$38.48 ,$96.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600526,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$111.00 ,$72.15 ,$12.42 ,$111.00 ,$61.05 ,$66.60 ,$66.60 ,$28.86 ,$31.08 ,$56.39 ,$28.86 ,$65.27 ,$27.75 ,$88.80 ,$88.80 ,$28.86 ,$72.15 ,$46.40 ,$12.58 ,$16.58 ,$28.86 ,$111.00 ,$24.42 ,$83.25 ,$78.81 ,$78.81 ,$24.42 ,$78.81 ,$93.24 ,$93.24 ,$93.24 , N/A ,$99.90 ,$61.05 ,$94.35 ,$24.42 ,$111.00 ,$66.60 ,$24.42 ,$46.18 ,$13.66 ,$12.42 ,$28.86 ,$94.35 ,$12.60 ,$88.80 ,$31.08 ,$99.90 ,$111.00 ,$24.42 ,$93.24 ,$13.26 ,$13.26 ,$28.86 ,$72.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600527,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$213.00 ,$138.45 ,$12.42 ,$213.00 ,$117.15 ,$127.80 ,$127.80 ,$55.38 ,$59.64 ,$81.64 ,$55.38 ,$99.78 ,$53.25 ,$170.40 ,$170.40 ,$55.38 ,$138.45 ,$89.03 ,$15.73 ,$20.18 ,$55.38 ,$213.00 ,$46.86 ,$159.75 ,$151.23 ,$151.23 ,$46.86 ,$151.23 ,$178.92 ,$178.92 ,$178.92 , N/A ,$191.70 ,$117.15 ,$181.05 ,$46.86 ,$213.00 ,$127.80 ,$46.86 ,$88.61 ,$13.66 ,$12.42 ,$55.38 ,$181.05 ,$15.33 ,$170.40 ,$59.64 ,$191.70 ,$213.00 ,$46.86 ,$178.92 ,$16.14 ,$16.14 ,$55.38 ,$138.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600528,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$142.00 ,$92.30 ,$12.42 ,$142.00 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$72.14 ,$36.92 ,$83.50 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$92.30 ,$59.36 ,$15.73 ,$20.23 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$142.00 ,$85.20 ,$31.24 ,$59.07 ,$13.66 ,$12.42 ,$36.92 ,$120.70 ,$15.37 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$16.18 ,$16.18 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600530,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$216.00 ,$140.40 ,$12.42 ,$216.00 ,$118.80 ,$129.60 ,$129.60 ,$56.16 ,$60.48 ,$57.60 ,$56.16 ,$70.39 ,$54.00 ,$172.80 ,$172.80 ,$56.16 ,$140.40 ,$90.29 ,$15.10 ,$19.28 ,$56.16 ,$216.00 ,$47.52 ,$162.00 ,$153.36 ,$153.36 ,$47.52 ,$153.36 ,$181.44 ,$181.44 ,$181.44 , N/A ,$194.40 ,$118.80 ,$183.60 ,$47.52 ,$216.00 ,$129.60 ,$47.52 ,$89.86 ,$13.66 ,$12.42 ,$56.16 ,$183.60 ,$14.65 ,$172.80 ,$60.48 ,$194.40 ,$216.00 ,$47.52 ,$181.44 ,$15.42 ,$15.42 ,$56.16 ,$140.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600531,87102,HC CULTURE FUNGUS OTHER,306,1 ,$266.00 ,$172.90 ,$12.42 ,$266.00 ,$146.30 ,$159.60 ,$159.60 ,$69.16 ,$74.48 ,$62.91 ,$69.16 ,$76.88 ,$66.50 ,$212.80 ,$212.80 ,$69.16 ,$172.90 ,$111.19 ,$16.35 ,$21.03 ,$69.16 ,$266.00 ,$58.52 ,$199.50 ,$188.86 ,$188.86 ,$58.52 ,$188.86 ,$223.44 ,$223.44 ,$223.44 , N/A ,$239.40 ,$146.30 ,$226.10 ,$58.52 ,$266.00 ,$159.60 ,$58.52 ,$110.66 ,$13.66 ,$12.42 ,$69.16 ,$226.10 ,$15.98 ,$212.80 ,$74.48 ,$239.40 ,$266.00 ,$58.52 ,$223.44 ,$16.82 ,$16.82 ,$69.16 ,$172.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$91.00 ,$59.15 ,$12.42 ,$91.00 ,$50.05 ,$54.60 ,$54.60 ,$23.66 ,$25.48 ,$46.23 ,$23.66 ,$53.51 ,$22.75 ,$72.80 ,$72.80 ,$23.66 ,$59.15 ,$38.04 ,$20.13 ,$25.80 ,$23.66 ,$91.00 ,$20.02 ,$68.25 ,$64.61 ,$64.61 ,$20.02 ,$64.61 ,$76.44 ,$76.44 ,$76.44 , N/A ,$81.90 ,$50.05 ,$77.35 ,$20.02 ,$91.00 ,$54.60 ,$20.02 ,$37.86 ,$13.66 ,$12.42 ,$23.66 ,$77.35 ,$19.61 ,$72.80 ,$25.48 ,$81.90 ,$91.00 ,$20.02 ,$76.44 ,$20.64 ,$20.64 ,$23.66 ,$59.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$19.00 ,$12.35 ,$4.18 ,$19.00 ,$10.45 ,$11.40 ,$11.40 ,$4.94 ,$5.32 ,$9.65 ,$4.94 ,$11.17 ,$4.75 ,$15.20 ,$15.20 ,$4.94 ,$12.35 ,$7.94 ,$10.06 ,$12.95 ,$4.94 ,$19.00 ,$4.18 ,$14.25 ,$13.49 ,$13.49 ,$4.18 ,$13.49 ,$15.96 ,$15.96 ,$15.96 , N/A ,$17.10 ,$10.45 ,$16.15 ,$4.18 ,$19.00 ,$11.40 ,$4.18 ,$7.90 ,$13.66 ,$12.42 ,$4.94 ,$16.15 ,$9.84 ,$15.20 ,$5.32 ,$17.10 ,$19.00 ,$4.18 ,$15.96 ,$10.36 ,$10.36 ,$4.94 ,$12.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600542,87176,HC HOMOGENIZATION TISSUE,306,1 ,$67.00 ,$43.55 ,$11.17 ,$67.00 ,$36.85 ,$40.20 ,$40.20 ,$17.42 ,$18.76 ,$34.04 ,$17.42 ,$39.40 ,$16.75 ,$53.60 ,$53.60 ,$17.42 ,$43.55 ,$28.01 ,$11.32 ,$14.70 ,$17.42 ,$67.00 ,$14.74 ,$50.25 ,$47.57 ,$47.57 ,$14.74 ,$47.57 ,$56.28 ,$56.28 ,$56.28 , N/A ,$60.30 ,$36.85 ,$56.95 ,$14.74 ,$67.00 ,$40.20 ,$14.74 ,$27.87 ,$13.66 ,$12.42 ,$17.42 ,$56.95 ,$11.17 ,$53.60 ,$18.76 ,$60.30 ,$67.00 ,$14.74 ,$56.28 ,$11.76 ,$11.76 ,$17.42 ,$43.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600543,87177,HC SMEAR OVA PARASITE CONC/ID,306,1 ,$168.00 ,$109.20 ,$12.42 ,$168.00 ,$92.40 ,$100.80 ,$100.80 ,$43.68 ,$47.04 ,$85.34 ,$43.68 ,$98.78 ,$42.00 ,$134.40 ,$134.40 ,$43.68 ,$109.20 ,$70.22 ,$16.98 ,$22.25 ,$43.68 ,$168.00 ,$36.96 ,$126.00 ,$119.28 ,$119.28 ,$36.96 ,$119.28 ,$141.12 ,$141.12 ,$141.12 , N/A ,$151.20 ,$92.40 ,$142.80 ,$36.96 ,$168.00 ,$100.80 ,$36.96 ,$69.89 ,$13.66 ,$12.42 ,$43.68 ,$142.80 ,$16.91 ,$134.40 ,$47.04 ,$151.20 ,$168.00 ,$36.96 ,$141.12 ,$17.80 ,$17.80 ,$43.68 ,$109.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$29.00 ,$18.85 ,$6.38 ,$29.00 ,$15.95 ,$17.40 ,$17.40 ,$7.54 ,$8.12 ,$14.73 ,$7.54 ,$17.05 ,$7.25 ,$23.20 ,$23.20 ,$7.54 ,$18.85 ,$12.12 ,$9.44 ,$11.88 ,$7.54 ,$29.00 ,$6.38 ,$21.75 ,$20.59 ,$20.59 ,$6.38 ,$20.59 ,$24.36 ,$24.36 ,$24.36 , N/A ,$26.10 ,$15.95 ,$24.65 ,$6.38 ,$29.00 ,$17.40 ,$6.38 ,$12.06 ,$13.66 ,$12.42 ,$7.54 ,$24.65 ,$9.03 ,$23.20 ,$8.12 ,$26.10 ,$29.00 ,$6.38 ,$24.36 ,$9.50 ,$9.50 ,$7.54 ,$18.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600545,87184,HC SENSITIVITY DISK KB,306,1 ,$111.00 ,$72.15 ,$12.42 ,$111.00 ,$61.05 ,$66.60 ,$66.60 ,$28.86 ,$31.08 ,$56.39 ,$28.86 ,$65.27 ,$27.75 ,$88.80 ,$88.80 ,$28.86 ,$72.15 ,$46.40 ,$13.21 ,$18.70 ,$28.86 ,$111.00 ,$24.42 ,$83.25 ,$78.81 ,$78.81 ,$24.42 ,$78.81 ,$93.24 ,$93.24 ,$93.24 , N/A ,$99.90 ,$61.05 ,$94.35 ,$24.42 ,$111.00 ,$66.60 ,$24.42 ,$46.18 ,$13.66 ,$12.42 ,$28.86 ,$94.35 ,$14.21 ,$88.80 ,$31.08 ,$99.90 ,$111.00 ,$24.42 ,$93.24 ,$14.96 ,$14.96 ,$28.86 ,$72.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600546,87185,HC BETA LACTAMASE,306,1 ,$86.00 ,$55.90 ,$9.03 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$35.51 ,$22.36 ,$43.40 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$55.90 ,$35.95 ,$9.44 ,$11.88 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$13.66 ,$12.42 ,$22.36 ,$73.10 ,$9.03 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$9.50 ,$9.50 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600547,87186,HC SENSITIVITY MIC,306,1 ,$188.00 ,$122.20 ,$12.42 ,$188.00 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$64.68 ,$48.88 ,$79.05 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$122.20 ,$78.58 ,$16.98 ,$21.63 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$13.66 ,$12.42 ,$48.88 ,$159.80 ,$16.44 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$17.30 ,$17.30 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600551,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$104.00 ,$67.60 ,$8.11 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$43.24 ,$27.04 ,$52.85 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$8.18 ,$10.68 ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$43.26 ,$13.66 ,$12.42 ,$27.04 ,$88.40 ,$8.11 ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 ,$8.54 ,$8.54 ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$65.00 ,$42.25 ,$10.24 ,$65.00 ,$35.75 ,$39.00 ,$39.00 ,$16.90 ,$18.20 ,$33.02 ,$16.90 ,$38.22 ,$16.25 ,$52.00 ,$52.00 ,$16.90 ,$42.25 ,$27.17 ,$10.69 ,$13.48 ,$16.90 ,$65.00 ,$14.30 ,$48.75 ,$46.15 ,$46.15 ,$14.30 ,$46.15 ,$54.60 ,$54.60 ,$54.60 , N/A ,$58.50 ,$35.75 ,$55.25 ,$14.30 ,$65.00 ,$39.00 ,$14.30 ,$27.04 ,$13.66 ,$12.42 ,$16.90 ,$55.25 ,$10.24 ,$52.00 ,$18.20 ,$58.50 ,$65.00 ,$14.30 ,$54.60 ,$10.78 ,$10.78 ,$16.90 ,$42.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$124.00 ,$80.60 ,$27.28 ,$124.00 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$80.60 ,$51.83 ,$65.42 ,$84.65 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$45.41 ,$41.28 ,$32.24 ,$105.40 ,$64.33 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$67.72 ,$67.72 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600557,87329,HC EIA QL GIARDIA AG,306,1 ,$109.00 ,$70.85 ,$15.58 ,$109.00 ,$59.95 ,$65.40 ,$65.40 ,$28.34 ,$30.52 ,$55.37 ,$28.34 ,$64.09 ,$27.25 ,$87.20 ,$87.20 ,$28.34 ,$70.85 ,$45.56 ,$23.27 ,$29.95 ,$28.34 ,$109.00 ,$23.98 ,$81.75 ,$77.39 ,$77.39 ,$23.98 ,$77.39 ,$91.56 ,$91.56 ,$91.56 , N/A ,$98.10 ,$59.95 ,$92.65 ,$23.98 ,$109.00 ,$65.40 ,$23.98 ,$45.34 ,$17.14 ,$15.58 ,$28.34 ,$92.65 ,$22.76 ,$87.20 ,$30.52 ,$98.10 ,$109.00 ,$23.98 ,$91.56 ,$23.96 ,$23.96 ,$28.34 ,$70.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600559,87340,HC EIA QL HEPATITIS B AG,306,1 ,$151.00 ,$98.15 ,$15.58 ,$151.00 ,$83.05 ,$90.60 ,$90.60 ,$39.26 ,$42.28 ,$76.71 ,$39.26 ,$88.79 ,$37.75 ,$120.80 ,$120.80 ,$39.26 ,$98.15 ,$63.12 ,$20.13 ,$25.83 ,$39.26 ,$151.00 ,$33.22 ,$113.25 ,$107.21 ,$107.21 ,$33.22 ,$107.21 ,$126.84 ,$126.84 ,$126.84 , N/A ,$135.90 ,$83.05 ,$128.35 ,$33.22 ,$151.00 ,$90.60 ,$33.22 ,$62.82 ,$17.14 ,$15.58 ,$39.26 ,$128.35 ,$19.63 ,$120.80 ,$42.28 ,$135.90 ,$151.00 ,$33.22 ,$126.84 ,$20.66 ,$20.66 ,$39.26 ,$98.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600563,87427,HC SHIGELLA LIKE TOXIN AG,306,1 ,$99.00 ,$64.35 ,$15.58 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$23.27 ,$29.95 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 ,$17.14 ,$15.58 ,$25.74 ,$84.15 ,$22.76 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$23.96 ,$23.96 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600568,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$116.00 ,$75.40 ,$25.52 ,$116.00 ,$63.80 ,$69.60 ,$69.60 ,$30.16 ,$32.48 ,$58.93 ,$30.16 ,$68.21 ,$29.00 ,$92.80 ,$92.80 ,$30.16 ,$75.40 ,$48.49 ,$67.93 ,$87.73 ,$30.16 ,$116.00 ,$25.52 ,$87.00 ,$82.36 ,$82.36 ,$25.52 ,$82.36 ,$97.44 ,$97.44 ,$97.44 , N/A ,$104.40 ,$63.80 ,$98.60 ,$25.52 ,$116.00 ,$69.60 ,$25.52 ,$48.26 ,$45.41 ,$41.28 ,$30.16 ,$98.60 ,$66.67 ,$92.80 ,$32.48 ,$104.40 ,$116.00 ,$25.52 ,$97.44 ,$70.18 ,$70.18 ,$30.16 ,$75.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600569,87490,HC CHLAMYDIA TRACH DNA DIR PROBE -90,306,1 ,$120.00 ,$78.00 ,$15.58 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.96 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$39.63 ,$56.88 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$17.14 ,$15.58 ,$31.20 ,$102.00 ,$43.23 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$45.50 ,$45.50 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600570,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$274.00 ,$178.10 ,$15.58 ,$274.00 ,$150.70 ,$164.40 ,$164.40 ,$71.24 ,$76.72 ,$139.19 ,$71.24 ,$161.11 ,$68.50 ,$219.20 ,$219.20 ,$71.24 ,$178.10 ,$114.53 ,$67.93 ,$87.73 ,$71.24 ,$274.00 ,$60.28 ,$205.50 ,$194.54 ,$194.54 ,$60.28 ,$194.54 ,$230.16 ,$230.16 ,$230.16 , N/A ,$246.60 ,$150.70 ,$232.90 ,$60.28 ,$274.00 ,$164.40 ,$60.28 ,$113.98 ,$17.14 ,$15.58 ,$71.24 ,$232.90 ,$66.67 ,$219.20 ,$76.72 ,$246.60 ,$274.00 ,$60.28 ,$230.16 ,$70.18 ,$70.18 ,$71.24 ,$178.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600571,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$791.00 ,$514.15 ,$41.28 ,"$1,041.95 ",$435.05 ,$474.60 ,$474.60 ,$205.66 ,$221.48 ,$401.83 ,$205.66 ,$465.11 ,$197.75 ,$632.80 ,$632.80 ,$205.66 ,$514.15 ,$330.64 ,$791.00 ,"$1,041.95 ",$205.66 ,$791.00 ,$174.02 ,$593.25 ,$561.61 ,$561.61 ,$174.02 ,$561.61 ,$664.44 ,$664.44 ,$664.44 , N/A ,$711.90 ,$435.05 ,$672.35 ,$174.02 ,$791.00 ,$474.60 ,$174.02 ,$329.06 ,$45.41 ,$41.28 ,$205.66 ,$672.35 ,$791.88 ,$632.80 ,$221.48 ,$711.90 ,$791.00 ,$174.02 ,$664.44 ,$791.00 ,$791.00 ,$205.66 ,$514.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600573,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$462.00 ,$300.30 ,$41.28 ,$462.00 ,$254.10 ,$277.20 ,$277.20 ,$120.12 ,$129.36 ,$234.70 ,$120.12 ,$271.66 ,$115.50 ,$369.60 ,$369.60 ,$120.12 ,$300.30 ,$193.12 ,$67.93 ,$87.73 ,$120.12 ,$462.00 ,$101.64 ,$346.50 ,$328.02 ,$328.02 ,$101.64 ,$328.02 ,$388.08 ,$388.08 ,$388.08 , N/A ,$415.80 ,$254.10 ,$392.70 ,$101.64 ,$462.00 ,$277.20 ,$101.64 ,$192.19 ,$45.41 ,$41.28 ,$120.12 ,$392.70 ,$66.67 ,$369.60 ,$129.36 ,$415.80 ,$462.00 ,$101.64 ,$388.08 ,$70.18 ,$70.18 ,$120.12 ,$300.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600574,87590,HC NEISSERIA DIR PROBE -90,306,1 ,$106.00 ,$68.90 ,$23.32 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$47.18 ,$67.20 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$45.41 ,$41.28 ,$27.56 ,$90.10 ,$51.07 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$53.76 ,$53.76 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600575,87591,HC NEISSERIA AMP,306,1 ,$242.00 ,$157.30 ,$41.28 ,$242.00 ,$133.10 ,$145.20 ,$145.20 ,$62.92 ,$67.76 ,$122.94 ,$62.92 ,$142.30 ,$60.50 ,$193.60 ,$193.60 ,$62.92 ,$157.30 ,$101.16 ,$67.93 ,$87.73 ,$62.92 ,$242.00 ,$53.24 ,$181.50 ,$171.82 ,$171.82 ,$53.24 ,$171.82 ,$203.28 ,$203.28 ,$203.28 , N/A ,$217.80 ,$133.10 ,$205.70 ,$53.24 ,$242.00 ,$145.20 ,$53.24 ,$100.67 ,$45.41 ,$41.28 ,$62.92 ,$205.70 ,$66.67 ,$193.60 ,$67.76 ,$217.80 ,$242.00 ,$53.24 ,$203.28 ,$70.18 ,$70.18 ,$62.92 ,$157.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600576,87624,HC HPV HIGH RISK ALL OTHERS,306,1 ,$310.00 ,$201.50 ,$35.09 ,$310.00 ,$170.50 ,$186.00 ,$186.00 ,$80.60 ,$86.80 ,$157.48 ,$80.60 ,$182.28 ,$77.50 ,$248.00 ,$248.00 ,$80.60 ,$201.50 ,$129.58 ,$67.93 ,$87.73 ,$80.60 ,$310.00 ,$68.20 ,$232.50 ,$220.10 ,$220.10 ,$68.20 ,$220.10 ,$260.40 ,$260.40 ,$260.40 , N/A ,$279.00 ,$170.50 ,$263.50 ,$68.20 ,$35.09 ,$186.00 ,$68.20 ,$128.96 ,$45.41 ,$41.28 ,$80.60 ,$263.50 ,$66.67 ,$248.00 ,$86.80 ,$279.00 ,$310.00 ,$68.20 ,$260.40 ,$70.18 ,$70.18 ,$80.60 ,$201.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600577,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,"$1,375.00 ",$893.75 ,$41.28 ,"$1,375.00 ",$756.25 ,$825.00 ,$825.00 ,$357.50 ,$385.00 ,$698.50 ,$357.50 ,$808.50 ,$343.75 ,"$1,100.00 ","$1,100.00 ",$357.50 ,$893.75 ,$574.75 ,$808.29 ,"$1,041.95 ",$357.50 ,"$1,375.00 ",$302.50 ,"$1,031.25 ",$976.25 ,$976.25 ,$302.50 ,$976.25 ,"$1,155.00 ","$1,155.00 ","$1,155.00 ", N/A ,"$1,237.50 ",$756.25 ,"$1,168.75 ",$302.50 ,"$1,375.00 ",$825.00 ,$302.50 ,$572.00 ,$45.41 ,$41.28 ,$357.50 ,"$1,168.75 ",$791.88 ,"$1,100.00 ",$385.00 ,"$1,237.50 ","$1,375.00 ",$302.50 ,"$1,155.00 ",$833.56 ,$833.56 ,$357.50 ,$893.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600581,87798,HC INFECT AMP,306,1 ,$442.00 ,$287.30 ,$41.28 ,$442.00 ,$243.10 ,$265.20 ,$265.20 ,$114.92 ,$123.76 ,$224.54 ,$114.92 ,$259.90 ,$110.50 ,$353.60 ,$353.60 ,$114.92 ,$287.30 ,$184.76 ,$67.93 ,$87.73 ,$114.92 ,$442.00 ,$97.24 ,$331.50 ,$313.82 ,$313.82 ,$97.24 ,$313.82 ,$371.28 ,$371.28 ,$371.28 , N/A ,$397.80 ,$243.10 ,$375.70 ,$97.24 ,$442.00 ,$265.20 ,$97.24 ,$183.87 ,$45.41 ,$41.28 ,$114.92 ,$375.70 ,$66.67 ,$353.60 ,$123.76 ,$397.80 ,$442.00 ,$97.24 ,$371.28 ,$70.18 ,$70.18 ,$114.92 ,$287.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600583,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$167.00 ,$108.55 ,$12.42 ,$167.00 ,$91.85 ,$100.20 ,$100.20 ,$43.42 ,$46.76 ,$84.84 ,$43.42 ,$98.20 ,$41.75 ,$133.60 ,$133.60 ,$43.42 ,$108.55 ,$69.81 ,$26.42 ,$38.23 ,$43.42 ,$167.00 ,$36.74 ,$125.25 ,$118.57 ,$118.57 ,$36.74 ,$118.57 ,$140.28 ,$140.28 ,$140.28 , N/A ,$150.30 ,$91.85 ,$141.95 ,$36.74 ,$167.00 ,$100.20 ,$36.74 ,$69.47 ,$13.66 ,$12.42 ,$43.42 ,$141.95 ,$29.05 ,$133.60 ,$46.76 ,$150.30 ,$167.00 ,$36.74 ,$140.28 ,$30.58 ,$30.58 ,$43.42 ,$108.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600590,87328,HC EIA QL CRYPTOSPORIDIUM AG,306,1 ,$109.00 ,$70.85 ,$15.58 ,$109.00 ,$59.95 ,$65.40 ,$65.40 ,$28.34 ,$30.52 ,$55.37 ,$28.34 ,$64.09 ,$27.25 ,$87.20 ,$87.20 ,$28.34 ,$70.85 ,$45.56 ,$23.90 ,$34.55 ,$28.34 ,$109.00 ,$23.98 ,$81.75 ,$77.39 ,$77.39 ,$23.98 ,$77.39 ,$91.56 ,$91.56 ,$91.56 , N/A ,$98.10 ,$59.95 ,$92.65 ,$23.98 ,$109.00 ,$65.40 ,$23.98 ,$45.34 ,$17.14 ,$15.58 ,$28.34 ,$92.65 ,$26.26 ,$87.20 ,$30.52 ,$98.10 ,$109.00 ,$23.98 ,$91.56 ,$27.64 ,$27.64 ,$28.34 ,$70.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600592,87486,HC CHLAMYDIA PNEUM AMP PROBE-90,306,1 ,$106.00 ,$68.90 ,$23.32 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$68.90 ,$44.31 ,$67.93 ,$87.73 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$45.41 ,$41.28 ,$27.56 ,$90.10 ,$66.67 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$70.18 ,$70.18 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600593,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$182.00 ,$118.30 ,$12.42 ,$182.00 ,$100.10 ,$109.20 ,$109.20 ,$47.32 ,$50.96 ,$92.46 ,$47.32 ,$107.02 ,$45.50 ,$145.60 ,$145.60 ,$47.32 ,$118.30 ,$76.08 ,$28.31 ,$40.18 ,$47.32 ,$182.00 ,$40.04 ,$136.50 ,$129.22 ,$129.22 ,$40.04 ,$129.22 ,$152.88 ,$152.88 ,$152.88 , N/A ,$163.80 ,$100.10 ,$154.70 ,$40.04 ,$182.00 ,$109.20 ,$40.04 ,$75.71 ,$13.66 ,$12.42 ,$47.32 ,$154.70 ,$30.53 ,$145.60 ,$50.96 ,$163.80 ,$182.00 ,$40.04 ,$152.88 ,$32.14 ,$32.14 ,$47.32 ,$118.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600610,87632,HC RESP VIRUS AMP 6-11 TARGETS-90,306,1 ,"$1,705.00 ","$1,108.25 ",$41.28 ,"$1,705.00 ",$937.75 ,"$1,023.00 ","$1,023.00 ",$443.30 ,$477.40 ,$866.14 ,$443.30 ,"$1,002.54 ",$426.25 ,"$1,364.00 ","$1,364.00 ",$443.30 ,"$1,108.25 ",$712.69 ,$413.89 ,$545.15 ,$443.30 ,"$1,705.00 ",$375.10 ,"$1,278.75 ","$1,210.55 ","$1,210.55 ",$375.10 ,"$1,210.55 ","$1,432.20 ","$1,432.20 ","$1,432.20 ", N/A ,"$1,534.50 ",$937.75 ,"$1,449.25 ",$375.10 ,"$1,705.00 ","$1,023.00 ",$375.10 ,$709.28 ,$45.41 ,$41.28 ,$443.30 ,"$1,449.25 ",$414.31 ,"$1,364.00 ",$477.40 ,"$1,534.50 ","$1,705.00 ",$375.10 ,"$1,432.20 ",$436.12 ,$436.12 ,$443.30 ,"$1,108.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600614,87220,HC TISSUE KOH PREP,306,1 ,$100.00 ,$65.00 ,$8.11 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$43.24 ,$26.00 ,$52.85 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$8.18 ,$10.68 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$13.66 ,$12.42 ,$26.00 ,$85.00 ,$8.11 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$8.54 ,$8.54 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600615,87169,HC PARASITE ID-90,306,1 ,$22.00 ,$14.30 ,$4.84 ,$22.00 ,$12.10 ,$13.20 ,$13.20 ,$5.72 ,$6.16 ,$11.18 ,$5.72 ,$12.94 ,$5.50 ,$17.60 ,$17.60 ,$5.72 ,$14.30 ,$9.20 ,$8.18 ,$10.78 ,$5.72 ,$22.00 ,$4.84 ,$16.50 ,$15.62 ,$15.62 ,$4.84 ,$15.62 ,$18.48 ,$18.48 ,$18.48 , N/A ,$19.80 ,$12.10 ,$18.70 ,$4.84 ,$22.00 ,$13.20 ,$4.84 ,$9.15 ,$13.66 ,$12.42 ,$5.72 ,$18.70 ,$8.19 ,$17.60 ,$6.16 ,$19.80 ,$22.00 ,$4.84 ,$18.48 ,$8.62 ,$8.62 ,$5.72 ,$14.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$438.00 ,$284.70 ,$41.28 ,$438.00 ,$240.90 ,$262.80 ,$262.80 ,$113.88 ,$122.64 ,$213.31 ,$113.88 ,$245.72 ,$109.50 ,$350.40 ,$350.40 ,$113.88 ,$284.70 ,$183.08 ,$51.31 ,$128.28 ,$113.88 ,$438.00 ,$96.36 ,$328.50 ,$310.98 ,$310.98 ,$96.36 ,$310.98 ,$367.92 ,$367.92 ,$367.92 , N/A ,$394.20 ,$240.90 ,$372.30 ,$96.36 ,$51.31 ,$262.80 ,$96.36 ,$182.21 ,$45.41 ,$41.28 ,$113.88 ,$372.30 ,$97.49 ,$350.40 ,$122.64 ,$394.20 ,$438.00 ,$96.36 ,$367.92 ,$102.62 ,$102.62 ,$113.88 ,$284.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$125.00 ,$81.25 ,$12.42 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$60.88 ,$32.50 ,$70.13 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$41.38 ,$103.45 ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 ,$13.66 ,$12.42 ,$32.50 ,$106.25 ,$78.62 ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$83.04 ,$83.04 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$438.00 ,$284.70 ,$41.28 ,$438.00 ,$240.90 ,$262.80 ,$262.80 ,$113.88 ,$122.64 ,$213.31 ,$113.88 ,$245.72 ,$109.50 ,$350.40 ,$350.40 ,$113.88 ,$284.70 ,$183.08 ,$51.31 ,$128.28 ,$113.88 ,$438.00 ,$96.36 ,$328.50 ,$310.98 ,$310.98 ,$96.36 ,$310.98 ,$367.92 ,$367.92 ,$367.92 , N/A ,$394.20 ,$240.90 ,$372.30 ,$96.36 ,$51.31 ,$262.80 ,$96.36 ,$182.21 ,$45.41 ,$41.28 ,$113.88 ,$372.30 ,$97.49 ,$350.40 ,$122.64 ,$394.20 ,$438.00 ,$96.36 ,$367.92 ,$102.62 ,$102.62 ,$113.88 ,$284.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$82.00 ,$53.30 ,$18.04 ,$128.28 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$51.31 ,$128.28 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$51.31 ,$49.20 ,$18.04 ,$34.11 ,$45.41 ,$41.28 ,$21.32 ,$69.70 ,$97.49 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682005,87430,HC RAPID STREP,306,1 ,$144.00 ,$93.60 ,$15.58 ,$144.00 ,$79.20 ,$86.40 ,$86.40 ,$37.44 ,$40.32 ,$73.15 ,$37.44 ,$84.67 ,$36.00 ,$115.20 ,$115.20 ,$37.44 ,$93.60 ,$60.19 ,$29.56 ,$42.03 ,$37.44 ,$144.00 ,$31.68 ,$108.00 ,$102.24 ,$102.24 ,$31.68 ,$102.24 ,$120.96 ,$120.96 ,$120.96 , N/A ,$129.60 ,$79.20 ,$122.40 ,$31.68 ,$144.00 ,$86.40 ,$31.68 ,$59.90 ,$17.14 ,$15.58 ,$37.44 ,$122.40 ,$31.94 ,$115.20 ,$40.32 ,$129.60 ,$144.00 ,$31.68 ,$120.96 ,$33.62 ,$33.62 ,$37.44 ,$93.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$438.00 ,$284.70 ,$41.28 ,$438.00 ,$240.90 ,$262.80 ,$262.80 ,$113.88 ,$122.64 ,$213.31 ,$113.88 ,$245.72 ,$109.50 ,$350.40 ,$350.40 ,$113.88 ,$284.70 ,$183.08 ,$51.31 ,$128.28 ,$113.88 ,$438.00 ,$96.36 ,$328.50 ,$310.98 ,$310.98 ,$96.36 ,$310.98 ,$367.92 ,$367.92 ,$367.92 , N/A ,$394.20 ,$240.90 ,$372.30 ,$96.36 ,$51.31 ,$262.80 ,$96.36 ,$182.21 ,$45.41 ,$41.28 ,$113.88 ,$372.30 ,$97.49 ,$350.40 ,$122.64 ,$394.20 ,$438.00 ,$96.36 ,$367.92 ,$102.62 ,$102.62 ,$113.88 ,$284.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682012,87635,HC COVID-19 LAB TEST,306,1 ,$438.00 ,$284.70 ,$41.28 ,$438.00 ,$240.90 ,$262.80 ,$262.80 ,$113.88 ,$122.64 ,$213.31 ,$113.88 ,$245.72 ,$109.50 ,$350.40 ,$350.40 ,$113.88 ,$284.70 ,$183.08 ,$51.31 ,$128.28 ,$113.88 ,$438.00 ,$96.36 ,$328.50 ,$310.98 ,$310.98 ,$96.36 ,$310.98 ,$367.92 ,$367.92 ,$367.92 , N/A ,$394.20 ,$240.90 ,$372.30 ,$96.36 ,$51.31 ,$262.80 ,$96.36 ,$182.21 ,$45.41 ,$41.28 ,$113.88 ,$372.30 ,$97.49 ,$350.40 ,$122.64 ,$394.20 ,$438.00 ,$96.36 ,$367.92 ,$102.62 ,$102.62 ,$113.88 ,$284.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$260.00 ,$169.00 ,$15.58 ,$260.00 ,$143.00 ,$156.00 ,$156.00 ,$67.60 ,$72.80 ,$126.62 ,$67.60 ,$145.86 ,$65.00 ,$208.00 ,$208.00 ,$67.60 ,$169.00 ,$108.68 ,$42.13 ,$105.33 ,$67.60 ,$260.00 ,$57.20 ,$195.00 ,$184.60 ,$184.60 ,$57.20 ,$184.60 ,$218.40 ,$218.40 ,$218.40 , N/A ,$234.00 ,$143.00 ,$221.00 ,$57.20 ,$260.00 ,$156.00 ,$57.20 ,$108.16 ,$17.14 ,$15.58 ,$67.60 ,$221.00 ,$80.05 ,$208.00 ,$72.80 ,$234.00 ,$260.00 ,$57.20 ,$218.40 ,$84.26 ,$84.26 ,$67.60 ,$169.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$82.00 ,$53.30 ,$12.42 ,$88.33 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$45.23 ,$88.33 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$37.79 ,$49.20 ,$18.04 ,$34.11 ,$13.66 ,$12.42 ,$21.32 ,$69.70 ,$67.13 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$82.00 ,$53.30 ,$18.04 ,$128.28 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$51.31 ,$128.28 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$51.31 ,$49.20 ,$18.04 ,$34.11 ,$45.41 ,$41.28 ,$21.32 ,$69.70 ,$97.49 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$82.00 ,$53.30 ,$18.04 ,$128.28 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.30 ,$34.28 ,$51.31 ,$128.28 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$51.31 ,$49.20 ,$18.04 ,$34.11 ,$45.41 ,$41.28 ,$21.32 ,$69.70 ,$97.49 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700101,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$131.00 ,$85.15 ,$3.17 ,$131.00 ,$72.05 ,$78.60 ,$78.60 ,$34.06 ,$36.68 ,$32.15 ,$34.06 ,$39.30 ,$32.75 ,$104.80 ,$104.80 ,$34.06 ,$85.15 ,$54.76 ,$6.29 ,$7.93 ,$34.06 ,$131.00 ,$28.82 ,$98.25 ,$93.01 ,$93.01 ,$28.82 ,$93.01 ,$110.04 ,$110.04 ,$110.04 , N/A ,$117.90 ,$72.05 ,$111.35 ,$28.82 ,$3.17 ,$78.60 ,$28.82 ,$54.50 ,$6.83 ,$6.21 ,$34.06 ,$111.35 ,$6.02 ,$104.80 ,$36.68 ,$117.90 ,$131.00 ,$28.82 ,$110.04 ,$6.34 ,$6.34 ,$34.06 ,$85.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700104,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$92.00 ,$59.80 ,$3.92 ,$92.00 ,$50.60 ,$55.20 ,$55.20 ,$23.92 ,$25.76 ,$22.74 ,$23.92 ,$27.79 ,$23.00 ,$73.60 ,$73.60 ,$23.92 ,$59.80 ,$38.46 ,$4.40 ,$5.63 ,$23.92 ,$92.00 ,$20.24 ,$69.00 ,$65.32 ,$65.32 ,$20.24 ,$65.32 ,$77.28 ,$77.28 ,$77.28 , N/A ,$82.80 ,$50.60 ,$78.20 ,$20.24 ,$92.00 ,$55.20 ,$20.24 ,$38.27 ,$4.31 ,$3.92 ,$23.92 ,$78.20 ,$4.28 ,$73.60 ,$25.76 ,$82.80 ,$92.00 ,$20.24 ,$77.28 ,$4.50 ,$4.50 ,$23.92 ,$59.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700115,81015,HC URINALYSIS MICRO ONLY,307,1 ,$49.00 ,$31.85 ,$5.66 ,$49.00 ,$26.95 ,$29.40 ,$29.40 ,$12.74 ,$13.72 ,$24.89 ,$12.74 ,$28.81 ,$12.25 ,$39.20 ,$39.20 ,$12.74 ,$31.85 ,$20.48 ,$5.66 ,$7.63 ,$12.74 ,$49.00 ,$10.78 ,$36.75 ,$34.79 ,$34.79 ,$10.78 ,$34.79 ,$41.16 ,$41.16 ,$41.16 , N/A ,$44.10 ,$26.95 ,$41.65 ,$10.78 ,$49.00 ,$29.40 ,$10.78 ,$20.38 ,$6.83 ,$6.21 ,$12.74 ,$41.65 ,$5.80 ,$39.20 ,$13.72 ,$44.10 ,$49.00 ,$10.78 ,$41.16 ,$6.10 ,$6.10 ,$12.74 ,$31.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700116,81025,HC URINE PREGNANCY TEST,307,1 ,$178.00 ,$115.70 ,$6.21 ,$178.00 ,$97.90 ,$106.80 ,$106.80 ,$46.28 ,$49.84 ,$70.65 ,$46.28 ,$86.34 ,$44.50 ,$142.40 ,$142.40 ,$46.28 ,$115.70 ,$74.40 ,$15.10 ,$21.53 ,$46.28 ,$178.00 ,$39.16 ,$133.50 ,$126.38 ,$126.38 ,$39.16 ,$126.38 ,$149.52 ,$149.52 ,$149.52 , N/A ,$160.20 ,$97.90 ,$151.30 ,$39.16 ,$8.61 ,$106.80 ,$39.16 ,$74.05 ,$6.83 ,$6.21 ,$46.28 ,$151.30 ,$16.36 ,$142.40 ,$49.84 ,$160.20 ,$178.00 ,$39.16 ,$149.52 ,$17.22 ,$17.22 ,$46.28 ,$115.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700117,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$59.00 ,$38.35 ,$6.21 ,$59.00 ,$32.45 ,$35.40 ,$35.40 ,$15.34 ,$16.52 ,$22.46 ,$15.34 ,$27.45 ,$14.75 ,$47.20 ,$47.20 ,$15.34 ,$38.35 ,$24.66 ,$6.29 ,$9.10 ,$15.34 ,$59.00 ,$12.98 ,$44.25 ,$41.89 ,$41.89 ,$12.98 ,$41.89 ,$49.56 ,$49.56 ,$49.56 , N/A ,$53.10 ,$32.45 ,$50.15 ,$12.98 ,$59.00 ,$35.40 ,$12.98 ,$24.54 ,$6.83 ,$6.21 ,$15.34 ,$50.15 ,$6.92 ,$47.20 ,$16.52 ,$53.10 ,$59.00 ,$12.98 ,$49.56 ,$7.28 ,$7.28 ,$15.34 ,$38.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700119,81005,HC URINALYSIS QL/SEMI QN,307,1 ,$154.00 ,$100.10 ,$4.12 ,$154.00 ,$84.70 ,$92.40 ,$92.40 ,$40.04 ,$43.12 ,$21.90 ,$40.04 ,$26.77 ,$38.50 ,$123.20 ,$123.20 ,$40.04 ,$100.10 ,$64.37 ,$4.40 ,$5.43 ,$40.04 ,$154.00 ,$33.88 ,$115.50 ,$109.34 ,$109.34 ,$33.88 ,$109.34 ,$129.36 ,$129.36 ,$129.36 , N/A ,$138.60 ,$84.70 ,$130.90 ,$33.88 ,$154.00 ,$92.40 ,$33.88 ,$64.06 ,$6.83 ,$6.21 ,$40.04 ,$130.90 ,$4.12 ,$123.20 ,$43.12 ,$138.60 ,$154.00 ,$33.88 ,$129.36 ,$4.34 ,$4.34 ,$40.04 ,$100.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700120,81002,HC URANALYSIS NON AUTO W/O MICRO,307,1 ,$48.00 ,$31.20 ,$3.92 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$6.29 ,$8.70 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$4.31 ,$3.92 ,$12.48 ,$40.80 ,$6.61 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$6.96 ,$6.96 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$42.00 ,$27.30 ,$4.12 ,$42.00 ,$23.10 ,$25.20 ,$25.20 ,$10.92 ,$11.76 ,$21.34 ,$10.92 ,$24.70 ,$10.50 ,$33.60 ,$33.60 ,$10.92 ,$27.30 ,$17.56 ,$4.40 ,$5.43 ,$10.92 ,$42.00 ,$9.24 ,$31.50 ,$29.82 ,$29.82 ,$9.24 ,$29.82 ,$35.28 ,$35.28 ,$35.28 , N/A ,$37.80 ,$23.10 ,$35.70 ,$9.24 ,$42.00 ,$25.20 ,$9.24 ,$17.47 ,$6.83 ,$6.21 ,$10.92 ,$35.70 ,$4.12 ,$33.60 ,$11.76 ,$37.80 ,$42.00 ,$9.24 ,$35.28 ,$4.34 ,$4.34 ,$10.92 ,$27.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,30700132,81002,HC URANALYSIS NON AUTO W/O MICRO-QW,307,1 ,$48.00 ,$31.20 ,$3.92 ,$48.00 ,$26.40 ,$28.80 ,$28.80 ,$12.48 ,$13.44 ,$24.38 ,$12.48 ,$28.22 ,$12.00 ,$38.40 ,$38.40 ,$12.48 ,$31.20 ,$20.06 ,$6.29 ,$8.70 ,$12.48 ,$48.00 ,$10.56 ,$36.00 ,$34.08 ,$34.08 ,$10.56 ,$34.08 ,$40.32 ,$40.32 ,$40.32 , N/A ,$43.20 ,$26.40 ,$40.80 ,$10.56 ,$48.00 ,$28.80 ,$10.56 ,$19.97 ,$4.31 ,$3.92 ,$12.48 ,$40.80 ,$6.61 ,$38.40 ,$13.44 ,$43.20 ,$48.00 ,$10.56 ,$40.32 ,$6.96 ,$6.96 ,$12.48 ,$31.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000128,81162,HC BRCA1  AND  BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90,310,1 ,"$4,172.00 ","$2,711.80 ",$570.26 ,"$4,562.20 ","$2,294.60 ","$2,503.20 ","$2,503.20 ","$1,084.72 ","$1,168.16 ","$2,119.38 ","$1,084.72 ","$2,453.14 ","$1,043.00 ","$3,337.60 ","$3,337.60 ","$1,084.72 ","$2,711.80 ","$1,743.90 ","$2,836.96 ","$4,562.20 ","$1,084.72 ","$4,172.00 ",$917.84 ,"$3,129.00 ","$2,962.12 ","$2,962.12 ",$917.84 ,"$2,962.12 ","$3,504.48 ","$3,504.48 ","$3,504.48 ", N/A ,"$3,754.80 ","$2,294.60 ","$3,546.20 ",$917.84 ,"$4,172.00 ","$2,503.20 ",$917.84 ,"$1,735.55 ",$627.29 ,$570.26 ,"$1,084.72 ","$3,546.20 ","$3,467.27 ","$3,337.60 ","$1,168.16 ","$3,754.80 ","$4,172.00 ",$917.84 ,"$3,504.48 ","$3,649.76 ","$3,649.76 ","$1,084.72 ","$2,711.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$186.00 ,$120.90 ,$40.92 ,$409.90 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$120.90 ,$77.75 ,$126.48 ,$409.90 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 ,$221.05 ,$200.95 ,$48.36 ,$158.10 ,$311.52 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$186.00 ,$186.00 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$186.00 ,$120.90 ,$40.92 ,$362.10 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$120.90 ,$77.75 ,$126.48 ,$362.10 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 ,$221.05 ,$200.95 ,$48.36 ,$158.10 ,$275.20 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$186.00 ,$186.00 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,$241.00 ,$156.65 ,$53.02 ,$602.50 ,$132.55 ,$144.60 ,$144.60 ,$62.66 ,$67.48 ,$122.43 ,$62.66 ,$141.71 ,$60.25 ,$192.80 ,$192.80 ,$62.66 ,$156.65 ,$100.74 ,$163.88 ,$602.50 ,$62.66 ,$241.00 ,$53.02 ,$180.75 ,$171.11 ,$171.11 ,$53.02 ,$171.11 ,$202.44 ,$202.44 ,$202.44 , N/A ,$216.90 ,$132.55 ,$204.85 ,$53.02 ,$241.00 ,$144.60 ,$53.02 ,$100.26 ,$67.90 ,$61.73 ,$62.66 ,$204.85 ,$457.90 ,$192.80 ,$67.48 ,$216.90 ,$241.00 ,$53.02 ,$202.44 ,$241.00 ,$241.00 ,$62.66 ,$156.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$1,600.00 ","$1,040.00 ",$352.00 ,"$2,900.00 ",$880.00 ,$960.00 ,$960.00 ,$416.00 ,$448.00 ,$812.80 ,$416.00 ,$940.80 ,$400.00 ,"$1,280.00 ","$1,280.00 ",$416.00 ,"$1,040.00 ",$668.80 ,"$1,088.00 ","$2,900.00 ",$416.00 ,"$1,600.00 ",$352.00 ,"$1,200.00 ","$1,136.00 ","$1,136.00 ",$352.00 ,"$1,136.00 ","$1,344.00 ","$1,344.00 ","$1,344.00 ", N/A ,"$1,440.00 ",$880.00 ,"$1,360.00 ",$352.00 ,"$1,600.00 ",$960.00 ,$352.00 ,$665.60 ,$627.29 ,$570.26 ,$416.00 ,"$1,360.00 ","$2,204.00 ","$1,280.00 ",$448.00 ,"$1,440.00 ","$1,600.00 ",$352.00 ,"$1,344.00 ","$1,600.00 ","$1,600.00 ",$416.00 ,"$1,040.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000140,81225,HC CYP2C19 GENE ANYL COMMON VARIANTS-90,310,1 ,$660.00 ,$429.00 ,$145.20 ,$728.40 ,$363.00 ,$396.00 ,$396.00 ,$171.60 ,$184.80 ,$335.28 ,$171.60 ,$388.08 ,$165.00 ,$528.00 ,$528.00 ,$171.60 ,$429.00 ,$275.88 ,$448.80 ,$728.40 ,$171.60 ,$660.00 ,$145.20 ,$495.00 ,$468.60 ,$468.60 ,$145.20 ,$468.60 ,$554.40 ,$554.40 ,$554.40 , N/A ,$594.00 ,$363.00 ,$561.00 ,$145.20 ,$660.00 ,$396.00 ,$145.20 ,$274.56 ,$221.05 ,$200.95 ,$171.60 ,$561.00 ,$553.58 ,$528.00 ,$184.80 ,$594.00 ,$660.00 ,$145.20 ,$554.40 ,$582.72 ,$582.72 ,$171.60 ,$429.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$349.00 ,$226.85 ,$61.73 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.29 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$226.85 ,$145.88 ,$237.32 ,$164.23 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$67.90 ,$61.73 ,$90.74 ,$296.65 ,$124.81 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$131.38 ,$131.38 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$117.00 ,$76.05 ,$25.74 ,$183.43 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$59.44 ,$30.42 ,$68.80 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$76.05 ,$48.91 ,$79.56 ,$183.43 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$67.90 ,$61.73 ,$30.42 ,$99.45 ,$139.40 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$117.00 ,$117.00 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000146,81243,HC FMR1 GENE DETECTION -90,310,1 ,$266.00 ,$172.90 ,$58.52 ,$266.00 ,$146.30 ,$159.60 ,$159.60 ,$69.16 ,$74.48 ,$135.13 ,$69.16 ,$156.41 ,$159.60 ,$212.80 ,$212.80 , N/A ,$172.90 , N/A ,$180.88 ,$186.20 ,$69.16 ,$266.00 ,$58.52 ,$199.50 ,$188.86 ,$188.86 , N/A ,$188.86 ,$223.44 ,$223.44 ,$223.44 , N/A ,$239.40 ,$146.30 ,$226.10 ,$58.52 ,$266.00 ,$159.60 ,$58.52 ,$110.66 ,$67.90 ,$61.73 ,$69.16 ,$226.10 ,$159.60 ,$212.80 ,$74.48 ,$239.40 ,$266.00 ,$58.52 ,$223.44 ,$114.08 ,$114.08 ,$69.16 ,$172.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000147,81244,HC FMR1 GENE CHARACTERIZATION - 90,310,1 ,$139.00 ,$90.35 ,$30.58 ,$139.00 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$70.61 ,$36.14 ,$81.73 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$90.35 ,$58.10 ,$94.52 ,$112.23 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 ,$67.90 ,$61.73 ,$36.14 ,$118.15 ,$85.29 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$89.78 ,$89.78 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$305.00 ,$198.25 ,$61.73 ,$305.00 ,$167.75 ,$183.00 ,$183.00 ,$79.30 ,$85.40 ,$154.94 ,$79.30 ,$179.34 ,$76.25 ,$244.00 ,$244.00 ,$79.30 ,$198.25 ,$127.49 ,$207.40 ,$163.40 ,$79.30 ,$305.00 ,$67.10 ,$228.75 ,$216.55 ,$216.55 ,$67.10 ,$216.55 ,$256.20 ,$256.20 ,$256.20 , N/A ,$274.50 ,$167.75 ,$259.25 ,$67.10 ,$305.00 ,$183.00 ,$67.10 ,$126.88 ,$67.90 ,$61.73 ,$79.30 ,$259.25 ,$124.18 ,$244.00 ,$85.40 ,$274.50 ,$305.00 ,$67.10 ,$256.20 ,$130.72 ,$130.72 ,$79.30 ,$198.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,$634.00 ,$412.10 ,$61.73 ,$634.00 ,$348.70 ,$380.40 ,$380.40 ,$164.84 ,$177.52 ,$322.07 ,$164.84 ,$372.79 ,$158.50 ,$507.20 ,$507.20 ,$164.84 ,$412.10 ,$265.01 ,$431.12 ,$229.15 ,$164.84 ,$634.00 ,$139.48 ,$475.50 ,$450.14 ,$450.14 ,$139.48 ,$450.14 ,$532.56 ,$532.56 ,$532.56 , N/A ,$570.60 ,$348.70 ,$538.90 ,$139.48 ,$634.00 ,$380.40 ,$139.48 ,$263.74 ,$67.90 ,$61.73 ,$164.84 ,$538.90 ,$174.15 ,$507.20 ,$177.52 ,$570.60 ,$634.00 ,$139.48 ,$532.56 ,$183.32 ,$183.32 ,$164.84 ,$412.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$270.00 ,$175.50 ,$59.40 ,$270.00 ,$148.50 ,$162.00 ,$162.00 ,$70.20 ,$75.60 ,$137.16 ,$70.20 ,$158.76 ,$67.50 ,$216.00 ,$216.00 ,$70.20 ,$175.50 ,$112.86 ,$183.60 ,$163.35 ,$70.20 ,$270.00 ,$59.40 ,$202.50 ,$191.70 ,$191.70 ,$59.40 ,$191.70 ,$226.80 ,$226.80 ,$226.80 , N/A ,$243.00 ,$148.50 ,$229.50 ,$59.40 ,$270.00 ,$162.00 ,$59.40 ,$112.32 ,$67.90 ,$61.73 ,$70.20 ,$229.50 ,$124.15 ,$216.00 ,$75.60 ,$243.00 ,$270.00 ,$59.40 ,$226.80 ,$130.68 ,$130.68 ,$70.20 ,$175.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000174,81372,HC CLASS 1 TYPING COMPLETE LOW RESOLUTION-90,310,1 ,$465.00 ,$302.25 ,$102.30 ,"$1,008.98 ",$255.75 ,$279.00 ,$279.00 ,$120.90 ,$130.20 ,$236.22 ,$120.90 ,$273.42 ,$116.25 ,$372.00 ,$372.00 ,$120.90 ,$302.25 ,$194.37 ,$316.20 ,"$1,008.98 ",$120.90 ,$465.00 ,$102.30 ,$348.75 ,$330.15 ,$330.15 ,$102.30 ,$330.15 ,$390.60 ,$390.60 ,$390.60 , N/A ,$418.50 ,$255.75 ,$395.25 ,$102.30 ,$465.00 ,$279.00 ,$102.30 ,$193.44 ,$221.05 ,$200.95 ,$120.90 ,$395.25 ,$766.82 ,$372.00 ,$130.20 ,$418.50 ,$465.00 ,$102.30 ,$390.60 ,$465.00 ,$465.00 ,$120.90 ,$302.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000178,81377,HC HLA CLASS 2 TYPE 1 AG EQV LR-90,310,1 ,$557.00 ,$362.05 ,$61.73 ,$557.00 ,$306.35 ,$334.20 ,$334.20 ,$144.82 ,$155.96 ,$282.96 ,$144.82 ,$327.52 ,$139.25 ,$445.60 ,$445.60 ,$144.82 ,$362.05 ,$232.83 ,$378.76 ,$236.85 ,$144.82 ,$557.00 ,$122.54 ,$417.75 ,$395.47 ,$395.47 ,$122.54 ,$395.47 ,$467.88 ,$467.88 ,$467.88 , N/A ,$501.30 ,$306.35 ,$473.45 ,$122.54 ,$557.00 ,$334.20 ,$122.54 ,$231.71 ,$67.90 ,$61.73 ,$144.82 ,$473.45 ,$180.01 ,$445.60 ,$155.96 ,$501.30 ,$557.00 ,$122.54 ,$467.88 ,$189.48 ,$189.48 ,$144.82 ,$362.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000179,81381,HC HLA 1 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$67.90 ,$61.73 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000180,81383,HC HLA 2 TYPE 1 ALLELE HIGH RESOLUTION -90,310,1 ,$557.00 ,$362.05 ,$61.73 ,$557.00 ,$306.35 ,$334.20 ,$334.20 ,$144.82 ,$155.96 ,$282.96 ,$144.82 ,$327.52 ,$139.25 ,$445.60 ,$445.60 ,$144.82 ,$362.05 ,$232.83 ,$378.76 ,$272.83 ,$144.82 ,$557.00 ,$122.54 ,$417.75 ,$395.47 ,$395.47 ,$122.54 ,$395.47 ,$467.88 ,$467.88 ,$467.88 , N/A ,$501.30 ,$306.35 ,$473.45 ,$122.54 ,$557.00 ,$334.20 ,$122.54 ,$231.71 ,$67.90 ,$61.73 ,$144.82 ,$473.45 ,$207.35 ,$445.60 ,$155.96 ,$501.30 ,$557.00 ,$122.54 ,$467.88 ,$218.26 ,$218.26 ,$144.82 ,$362.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$682.00 ,$443.30 ,$61.73 ,$682.00 ,$375.10 ,$409.20 ,$409.20 ,$177.32 ,$190.96 ,$346.46 ,$177.32 ,$401.02 ,$170.50 ,$545.60 ,$545.60 ,$177.32 ,$443.30 ,$285.08 ,$463.76 ,$159.90 ,$177.32 ,$682.00 ,$150.04 ,$511.50 ,$484.22 ,$484.22 ,$150.04 ,$484.22 ,$572.88 ,$572.88 ,$572.88 , N/A ,$613.80 ,$375.10 ,$579.70 ,$150.04 ,$682.00 ,$409.20 ,$150.04 ,$283.71 ,$67.90 ,$61.73 ,$177.32 ,$579.70 ,$121.52 ,$545.60 ,$190.96 ,$613.80 ,$682.00 ,$150.04 ,$572.88 ,$127.92 ,$127.92 ,$177.32 ,$443.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$535.00 ,$347.75 ,$61.73 ,$535.00 ,$294.25 ,$321.00 ,$321.00 ,$139.10 ,$149.80 ,$271.78 ,$139.10 ,$314.58 ,$321.00 ,$428.00 ,$428.00 , N/A ,$347.75 , N/A ,$363.80 ,$374.50 ,$139.10 ,$535.00 ,$117.70 ,$401.25 ,$379.85 ,$379.85 , N/A ,$379.85 ,$449.40 ,$449.40 ,$449.40 , N/A ,$481.50 ,$294.25 ,$454.75 ,$117.70 ,$535.00 ,$321.00 ,$117.70 ,$222.56 ,$67.90 ,$61.73 ,$139.10 ,$454.75 ,$321.00 ,$428.00 ,$149.80 ,$481.50 ,$535.00 ,$117.70 ,$449.40 ,$274.00 ,$274.00 ,$139.10 ,$347.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,$631.00 ,$410.15 ,$61.73 ,$631.00 ,$347.05 ,$378.60 ,$378.60 ,$164.06 ,$176.68 ,$320.55 ,$164.06 ,$371.03 ,$378.60 ,$504.80 ,$504.80 , N/A ,$410.15 , N/A ,$429.08 ,$441.70 ,$164.06 ,$631.00 ,$138.82 ,$473.25 ,$448.01 ,$448.01 , N/A ,$448.01 ,$530.04 ,$530.04 ,$530.04 , N/A ,$567.90 ,$347.05 ,$536.35 ,$138.82 ,$631.00 ,$378.60 ,$138.82 ,$262.50 ,$67.90 ,$61.73 ,$164.06 ,$536.35 ,$378.60 ,$504.80 ,$176.68 ,$567.90 ,$631.00 ,$138.82 ,$530.04 ,$370.40 ,$370.40 ,$164.06 ,$410.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000191,81479,HC IBD CELIAC UNLISTED MOLECULAR PATH-90,310,1 ,$539.00 ,$350.35 ,$32.62 ,$539.00 ,$296.45 ,$323.40 ,$323.40 ,$140.14 ,$150.92 ,$32.62 ,$140.14 ,$39.87 ,$323.40 ,$431.20 ,$431.20 , N/A ,$350.35 , N/A ,$366.52 ,$377.30 ,$140.14 ,$539.00 ,$118.58 ,$404.25 ,$382.69 ,$382.69 , N/A ,$382.69 ,$452.76 ,$452.76 ,$452.76 , N/A ,$485.10 ,$296.45 ,$458.15 ,$118.58 ,$539.00 ,$323.40 ,$118.58 ,$224.22 ,$67.90 ,$61.73 ,$140.14 ,$458.15 ,$323.40 ,$431.20 ,$150.92 ,$485.10 ,$539.00 ,$118.58 ,$452.76 ,$269.50 ,$269.50 ,$140.14 ,$350.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$539.00 ,$350.35 ,$61.73 ,$539.00 ,$296.45 ,$323.40 ,$323.40 ,$140.14 ,$150.92 ,$273.81 ,$140.14 ,$316.93 ,$323.40 ,$431.20 ,$431.20 , N/A ,$350.35 , N/A ,$366.52 ,$377.30 ,$140.14 ,$539.00 ,$118.58 ,$404.25 ,$382.69 ,$382.69 , N/A ,$382.69 ,$452.76 ,$452.76 ,$452.76 , N/A ,$485.10 ,$296.45 ,$458.15 ,$118.58 ,$539.00 ,$323.40 ,$118.58 ,$224.22 ,$67.90 ,$61.73 ,$140.14 ,$458.15 ,$323.40 ,$431.20 ,$150.92 ,$485.10 ,$539.00 ,$118.58 ,$452.76 ,$300.66 ,$300.66 ,$140.14 ,$350.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000209,81232,HC DPYD GENE ANALYSIS COMMON VARIANT-90,310,1 ,$245.00 ,$159.25 ,$53.90 ,$437.03 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$124.46 ,$63.70 ,$144.06 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$166.60 ,$437.03 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$221.05 ,$200.95 ,$63.70 ,$208.25 ,$332.14 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$245.00 ,$245.00 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$221.05 ,$200.95 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000228,81350,HC UGT1A1 GENE ANALYSIS COM VARIANTS-90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$67.90 ,$61.73 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000243,81305,HC MYD99 GENE ANALYSIS VARIANT-90,310,1 ,$765.00 ,$497.25 ,$168.30 ,$765.00 ,$420.75 ,$459.00 ,$459.00 ,$198.90 ,$214.20 ,$372.56 ,$198.90 ,$429.17 ,$191.25 ,$612.00 ,$612.00 ,$198.90 ,$497.25 ,$319.77 ,$520.20 ,$438.50 ,$198.90 ,$765.00 ,$168.30 ,$573.75 ,$543.15 ,$543.15 ,$168.30 ,$543.15 ,$642.60 ,$642.60 ,$642.60 , N/A ,$688.50 ,$420.75 ,$650.25 ,$168.30 ,$765.00 ,$459.00 ,$168.30 ,$318.24 ,$221.05 ,$200.95 ,$198.90 ,$650.25 ,$333.26 ,$612.00 ,$214.20 ,$688.50 ,$765.00 ,$168.30 ,$642.60 ,$350.80 ,$350.80 ,$198.90 ,$497.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000245,81271,HC HTT GENE ANALYSIS DETECT ABNORMAL ALLELES-90,310,1 ,$502.00 ,$326.30 ,$61.73 ,$502.00 ,$276.10 ,$301.20 ,$301.20 ,$130.52 ,$140.56 ,$244.47 ,$130.52 ,$281.62 ,$125.50 ,$401.60 ,$401.60 ,$130.52 ,$326.30 ,$209.84 ,$341.36 ,$342.50 ,$130.52 ,$502.00 ,$110.44 ,$376.50 ,$356.42 ,$356.42 ,$110.44 ,$356.42 ,$421.68 ,$421.68 ,$421.68 , N/A ,$451.80 ,$276.10 ,$426.70 ,$110.44 ,$502.00 ,$301.20 ,$110.44 ,$208.83 ,$67.90 ,$61.73 ,$130.52 ,$426.70 ,$260.30 ,$401.60 ,$140.56 ,$451.80 ,$502.00 ,$110.44 ,$421.68 ,$274.00 ,$274.00 ,$130.52 ,$326.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000248,81226,HC CYP2D6 GENE COM VARIANTS-90,310,1 ,$245.00 ,$159.25 ,$53.90 ,$627.29 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$124.46 ,$63.70 ,$144.06 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$166.60 ,$612.50 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$627.29 ,$570.26 ,$63.70 ,$208.25 ,$465.50 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$245.00 ,$245.00 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000261,81227,HC CYP2C9 GENE COM VARIANTS-90,310,1 ,$245.00 ,$159.25 ,$53.90 ,$437.03 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$124.46 ,$63.70 ,$144.06 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$166.60 ,$437.03 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$221.05 ,$200.95 ,$63.70 ,$208.25 ,$332.14 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$245.00 ,$245.00 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000262,81230,HC CYP3A4 GENE COM VARIANTS-90,310,1 ,$245.00 ,$159.25 ,$53.90 ,$437.03 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$124.46 ,$63.70 ,$144.06 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$166.60 ,$437.03 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$67.90 ,$61.73 ,$63.70 ,$208.25 ,$332.14 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$245.00 ,$245.00 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000263,81231,HC CYP3A5 GENE COM VARIANTS-90,310,1 ,$245.00 ,$159.25 ,$53.90 ,$437.03 ,$134.75 ,$147.00 ,$147.00 ,$63.70 ,$68.60 ,$124.46 ,$63.70 ,$144.06 ,$61.25 ,$196.00 ,$196.00 ,$63.70 ,$159.25 ,$102.41 ,$166.60 ,$437.03 ,$63.70 ,$245.00 ,$53.90 ,$183.75 ,$173.95 ,$173.95 ,$53.90 ,$173.95 ,$205.80 ,$205.80 ,$205.80 , N/A ,$220.50 ,$134.75 ,$208.25 ,$53.90 ,$245.00 ,$147.00 ,$53.90 ,$101.92 ,$221.05 ,$200.95 ,$63.70 ,$208.25 ,$332.14 ,$196.00 ,$68.60 ,$220.50 ,$245.00 ,$53.90 ,$205.80 ,$245.00 ,$245.00 ,$63.70 ,$159.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000266,81355,HC VKORC1 GENE ANALYSIS COMMON VARIANTS-90,310,1 ,"$1,162.00 ",$755.30 ,$61.73 ,"$1,162.00 ",$639.10 ,$697.20 ,$697.20 ,$302.12 ,$325.36 ,$534.32 ,$302.12 ,$652.99 ,$290.50 ,$929.60 ,$929.60 ,$302.12 ,$755.30 ,$485.72 ,$790.16 ,$220.50 ,$302.12 ,"$1,162.00 ",$255.64 ,$871.50 ,$825.02 ,$825.02 ,$255.64 ,$825.02 ,$976.08 ,$976.08 ,$976.08 , N/A ,"$1,045.80 ",$639.10 ,$987.70 ,$255.64 ,"$1,162.00 ",$697.20 ,$255.64 ,$483.39 ,$67.90 ,$61.73 ,$302.12 ,$987.70 ,$167.58 ,$929.60 ,$325.36 ,"$1,045.80 ","$1,162.00 ",$255.64 ,$976.08 ,$176.40 ,$176.40 ,$302.12 ,$755.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000267,81247,HC G6PD GENE ANALYSIS COMMON VARIANT-90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$221.05 ,$200.95 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000268,81306,HC NUDT15 GENE COMMON VARIANTS-90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$78.89 ,$42.12 ,$90.88 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$221.05 ,$200.95 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000269,81328,HC SLCO1B1 GENE COMMON VARIANTS-90,310,1 ,$162.00 ,$105.30 ,$35.64 ,$405.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$105.30 ,$67.72 ,$110.16 ,$405.00 ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$162.00 ,$97.20 ,$35.64 ,$67.39 ,$221.05 ,$200.95 ,$42.12 ,$137.70 ,$307.80 ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$162.00 ,$162.00 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000270,81223,HC CYSTIC FIBROSIS FULL GENE ANALYSIS-90,310,1 ,"$4,533.00 ","$2,946.45 ",$61.73 ,"$4,533.00 ","$2,493.15 ","$2,719.80 ","$2,719.80 ","$1,178.58 ","$1,269.24 ","$2,302.76 ","$1,178.58 ","$2,665.40 ","$1,133.25 ","$3,626.40 ","$3,626.40 ","$1,178.58 ","$2,946.45 ","$1,894.79 ","$3,082.44 ","$1,247.50 ","$1,178.58 ","$4,533.00 ",$997.26 ,"$3,399.75 ","$3,218.43 ","$3,218.43 ",$997.26 ,"$3,218.43 ","$3,807.72 ","$3,807.72 ","$3,807.72 ", N/A ,"$4,079.70 ","$2,493.15 ","$3,853.05 ",$997.26 ,"$4,533.00 ","$2,719.80 ",$997.26 ,"$1,885.73 ",$67.90 ,$61.73 ,"$1,178.58 ","$3,853.05 ",$948.10 ,"$3,626.40 ","$1,269.24 ","$4,079.70 ","$4,533.00 ",$997.26 ,"$3,807.72 ",$998.00 ,$998.00 ,"$1,178.58 ","$2,946.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,$574.00 ,$373.10 ,$61.73 ,$574.00 ,$315.70 ,$344.40 ,$344.40 ,$149.24 ,$160.72 ,$291.59 ,$149.24 ,$337.51 ,$344.40 ,$459.20 ,$459.20 , N/A ,$373.10 , N/A ,$390.32 ,$401.80 ,$149.24 ,$574.00 ,$126.28 ,$430.50 ,$407.54 ,$407.54 , N/A ,$407.54 ,$482.16 ,$482.16 ,$482.16 , N/A ,$516.60 ,$315.70 ,$487.90 ,$126.28 ,$574.00 ,$344.40 ,$126.28 ,$238.78 ,$67.90 ,$61.73 ,$149.24 ,$487.90 ,$344.40 ,$459.20 ,$160.72 ,$516.60 ,$574.00 ,$126.28 ,$482.16 ,$370.40 ,$370.40 ,$149.24 ,$373.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31040111,81162,HC BRCA1 AND 2 GEN FULL SEQ DUP/DEL-90,310,1 ,$53.00 ,$34.45 ,$11.66 ,$627.29 ,$29.15 ,$31.80 ,$31.80 ,$13.78 ,$14.84 ,$26.92 ,$13.78 ,$31.16 ,$13.25 ,$42.40 ,$42.40 ,$13.78 ,$34.45 ,$22.15 ,$36.04 ,$132.50 ,$13.78 ,$53.00 ,$11.66 ,$39.75 ,$37.63 ,$37.63 ,$11.66 ,$37.63 ,$44.52 ,$44.52 ,$44.52 , N/A ,$47.70 ,$29.15 ,$45.05 ,$11.66 ,$53.00 ,$31.80 ,$11.66 ,$22.05 ,$627.29 ,$570.26 ,$13.78 ,$45.05 ,$100.70 ,$42.40 ,$14.84 ,$47.70 ,$53.00 ,$11.66 ,$44.52 ,$53.00 ,$53.00 ,$13.78 ,$34.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100104,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$186.00 ,$120.90 ,$37.74 ,$186.00 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$37.74 ,$77.75 ,$126.48 ,$126.88 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 ,$60.13 ,$54.66 ,$48.36 ,$158.10 ,$96.43 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$99.52 ,$99.52 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100114,88172,HC FINE NEEDLE EVAL,311,1 ,$460.00 ,$299.00 ,$18.83 ,$460.00 ,$253.00 ,$276.00 ,$276.00 ,$119.60 ,$128.80 ,$233.68 ,$119.60 ,$270.48 ,$115.00 ,$368.00 ,$368.00 ,$119.60 ,$18.83 ,$192.28 ,$312.80 ,$380.80 ,$119.60 ,$460.00 ,$101.20 ,$345.00 ,$326.60 ,$326.60 ,$101.20 ,$326.60 ,$386.40 ,$386.40 ,$386.40 , N/A ,$414.00 ,$253.00 ,$391.00 ,$101.20 ,$21.05 ,$276.00 ,$101.20 ,$191.36 ,$54.66 ,$49.69 ,$119.60 ,$391.00 ,$289.41 ,$368.00 ,$128.80 ,$414.00 ,$460.00 ,$101.20 ,$386.40 ,$298.32 ,$298.32 ,$119.60 ,$299.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100115,88173,HC FINE NEEDLE INTERP,311,1 ,$158.00 ,$102.70 ,$34.76 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$85.10 ,$66.04 ,$107.44 ,$126.88 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$89.83 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$96.43 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$99.52 ,$99.52 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$80.00 ,$52.00 ,$17.60 ,$743.63 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$40.64 ,$20.80 ,$47.04 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$65.70 ,$33.44 ,$54.40 ,$743.63 ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 ,$60.13 ,$54.66 ,$20.80 ,$68.00 ,$565.16 ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$80.00 ,$80.00 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$80.00 ,$52.00 ,$17.60 ,$80.00 ,$44.00 ,$48.00 ,$48.00 ,$20.80 ,$22.40 ,$40.64 ,$20.80 ,$47.04 ,$20.00 ,$64.00 ,$64.00 ,$20.80 ,$20.86 ,$33.44 ,$54.40 , N/A ,$20.80 ,$80.00 ,$17.60 ,$60.00 ,$56.80 ,$56.80 ,$17.60 ,$56.80 ,$67.20 ,$67.20 ,$67.20 , N/A ,$72.00 ,$44.00 ,$68.00 ,$17.60 ,$80.00 ,$48.00 ,$17.60 ,$33.28 ,$60.13 ,$54.66 ,$20.80 ,$68.00 , N/A ,$64.00 ,$22.40 ,$72.00 ,$80.00 ,$17.60 ,$67.20 ,$46.06 ,$46.06 ,$20.80 ,$52.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100248,88187,HC FLOW CYTO INT 2-8 MARKERS-90,311,1 ,$227.00 ,$147.55 ,$36.38 ,$227.00 ,$124.85 ,$136.20 ,$136.20 ,$59.02 ,$63.56 ,$115.32 ,$59.02 ,$133.48 ,$56.75 ,$181.60 ,$181.60 ,$59.02 ,$36.38 ,$94.89 ,$154.36 , N/A ,$59.02 ,$227.00 ,$49.94 ,$170.25 ,$161.17 ,$161.17 ,$49.94 ,$161.17 ,$190.68 ,$190.68 ,$190.68 , N/A ,$204.30 ,$124.85 ,$192.95 ,$49.94 ,$227.00 ,$136.20 ,$49.94 ,$94.43 ,$54.66 ,$49.69 ,$59.02 ,$192.95 , N/A ,$181.60 ,$63.56 ,$204.30 ,$227.00 ,$49.94 ,$190.68 ,$73.28 ,$73.28 ,$59.02 ,$147.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100251,88230,HC TISSUE CULT NONNEO LYMPHOCYTE-90,311,1 ,$646.00 ,$419.90 ,$54.66 ,$646.00 ,$355.30 ,$387.60 ,$387.60 ,$167.96 ,$180.88 ,$328.17 ,$167.96 ,$379.85 ,$161.50 ,$516.80 ,$516.80 ,$167.96 ,$419.90 ,$270.03 ,$439.28 ,$291.23 ,$167.96 ,$646.00 ,$142.12 ,$484.50 ,$458.66 ,$458.66 ,$142.12 ,$458.66 ,$542.64 ,$542.64 ,$542.64 , N/A ,$581.40 ,$355.30 ,$549.10 ,$142.12 ,$646.00 ,$387.60 ,$142.12 ,$268.74 ,$60.13 ,$54.66 ,$167.96 ,$549.10 ,$221.33 ,$516.80 ,$180.88 ,$581.40 ,$646.00 ,$142.12 ,$542.64 ,$232.98 ,$232.98 ,$167.96 ,$419.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100252,88233,HC TISSUE CULT SKIN/OTH SOLID-90,311,1 ,$851.00 ,$553.15 ,$54.66 ,$851.00 ,$468.05 ,$510.60 ,$510.60 ,$221.26 ,$238.28 ,$432.31 ,$221.26 ,$500.39 ,$212.75 ,$680.80 ,$680.80 ,$221.26 ,$553.15 ,$355.72 ,$578.68 ,$351.83 ,$221.26 ,$851.00 ,$187.22 ,$638.25 ,$604.21 ,$604.21 ,$187.22 ,$604.21 ,$714.84 ,$714.84 ,$714.84 , N/A ,$765.90 ,$468.05 ,$723.35 ,$187.22 ,$851.00 ,$510.60 ,$187.22 ,$354.02 ,$60.13 ,$54.66 ,$221.26 ,$723.35 ,$267.39 ,$680.80 ,$238.28 ,$765.90 ,$851.00 ,$187.22 ,$714.84 ,$281.46 ,$281.46 ,$221.26 ,$553.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100257,88262,HC CHROM COUNT 15-20/2-90,311,1 ,$646.00 ,$419.90 ,$61.73 ,$646.00 ,$355.30 ,$387.60 ,$387.60 ,$167.96 ,$180.88 ,$328.17 ,$167.96 ,$379.85 ,$161.50 ,$516.80 ,$516.80 ,$167.96 ,$419.90 ,$270.03 ,$439.28 ,$313.73 ,$167.96 ,$646.00 ,$142.12 ,$484.50 ,$458.66 ,$458.66 ,$142.12 ,$458.66 ,$542.64 ,$542.64 ,$542.64 , N/A ,$581.40 ,$355.30 ,$549.10 ,$142.12 ,$646.00 ,$387.60 ,$142.12 ,$268.74 ,$67.90 ,$61.73 ,$167.96 ,$549.10 ,$238.43 ,$516.80 ,$180.88 ,$581.40 ,$646.00 ,$142.12 ,$542.64 ,$250.98 ,$250.98 ,$167.96 ,$419.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100274,88289,HC CHROM ADDL HIGH RES-90,311,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.96 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$81.60 ,$86.08 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$67.90 ,$61.73 ,$31.20 ,$102.00 ,$65.42 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$68.86 ,$68.86 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100275,88291,HC INTERPRETATION-90,311,1 ,$752.00 ,$488.80 ,$33.66 ,$752.00 ,$413.60 ,$451.20 ,$451.20 ,$195.52 ,$210.56 ,$382.02 ,$195.52 ,$442.18 ,$188.00 ,$601.60 ,$601.60 ,$195.52 ,$33.66 ,$314.34 ,$511.36 , N/A ,$195.52 ,$752.00 ,$165.44 ,$564.00 ,$533.92 ,$533.92 ,$165.44 ,$533.92 ,$631.68 ,$631.68 ,$631.68 , N/A ,$676.80 ,$413.60 ,$639.20 ,$165.44 ,$752.00 ,$451.20 ,$165.44 ,$312.83 ,$67.90 ,$61.73 ,$195.52 ,$639.20 , N/A ,$601.60 ,$210.56 ,$676.80 ,$752.00 ,$165.44 ,$631.68 ,$67.70 ,$67.70 ,$195.52 ,$488.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100283,88120,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC-90,311,1 ,$406.00 ,$263.90 ,$54.66 ,$406.00 ,$223.30 ,$243.60 ,$243.60 ,$105.56 ,$113.68 ,$206.25 ,$105.56 ,$238.73 ,$101.50 ,$324.80 ,$324.80 ,$105.56 ,$406.00 ,$169.71 ,$276.08 ,$380.80 ,$105.56 ,$406.00 ,$89.32 ,$304.50 ,$288.26 ,$288.26 ,$89.32 ,$288.26 ,$341.04 ,$341.04 ,$341.04 , N/A ,$365.40 ,$223.30 ,$345.10 ,$89.32 ,$406.00 ,$243.60 ,$89.32 ,$168.90 ,$60.13 ,$54.66 ,$105.56 ,$345.10 ,$289.41 ,$324.80 ,$113.68 ,$365.40 ,$406.00 ,$89.32 ,$341.04 ,$298.32 ,$298.32 ,$105.56 ,$263.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100293,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$167.00 ,$108.55 ,$20.26 ,$167.00 ,$91.85 ,$100.20 ,$100.20 ,$43.42 ,$46.76 ,$84.84 ,$43.42 ,$98.20 ,$41.75 ,$133.60 ,$133.60 ,$43.42 ,$108.55 ,$69.81 ,$113.56 ,$66.53 ,$43.42 ,$167.00 ,$36.74 ,$125.25 ,$118.57 ,$118.57 ,$36.74 ,$118.57 ,$140.28 ,$140.28 ,$140.28 , N/A ,$150.30 ,$91.85 ,$141.95 ,$36.74 ,$20.26 ,$100.20 ,$36.74 ,$69.47 ,$39.62 ,$36.02 ,$43.42 ,$141.95 ,$50.56 ,$133.60 ,$46.76 ,$150.30 ,$167.00 ,$36.74 ,$140.28 ,$53.22 ,$53.22 ,$43.42 ,$108.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$117.00 ,$76.05 ,$25.74 ,$743.63 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$59.44 ,$30.42 ,$68.80 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$65.70 ,$48.91 ,$79.56 ,$743.63 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$60.13 ,$54.66 ,$30.42 ,$99.45 ,$565.16 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$117.00 ,$117.00 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$101.00 ,$65.65 ,$20.86 ,$101.00 ,$55.55 ,$60.60 ,$60.60 ,$26.26 ,$28.28 ,$51.31 ,$26.26 ,$59.39 ,$25.25 ,$80.80 ,$80.80 ,$26.26 ,$20.86 ,$42.22 ,$68.68 , N/A ,$26.26 ,$101.00 ,$22.22 ,$75.75 ,$71.71 ,$71.71 ,$22.22 ,$71.71 ,$84.84 ,$84.84 ,$84.84 , N/A ,$90.90 ,$55.55 ,$85.85 ,$22.22 ,$101.00 ,$60.60 ,$22.22 ,$42.02 ,$60.13 ,$54.66 ,$26.26 ,$85.85 , N/A ,$80.80 ,$28.28 ,$90.90 ,$101.00 ,$22.22 ,$84.84 ,$46.06 ,$46.06 ,$26.26 ,$65.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100299,88104,HC CYTOPATH FLD SMEAR,311,1 ,$107.00 ,$69.55 ,$23.54 ,$107.00 ,$58.85 ,$64.20 ,$64.20 ,$27.82 ,$29.96 ,$54.36 ,$27.82 ,$62.92 ,$26.75 ,$85.60 ,$85.60 ,$27.82 ,$38.72 ,$44.73 ,$72.76 ,$86.43 ,$27.82 ,$107.00 ,$23.54 ,$80.25 ,$75.97 ,$75.97 ,$23.54 ,$75.97 ,$89.88 ,$89.88 ,$89.88 , N/A ,$96.30 ,$58.85 ,$90.95 ,$23.54 ,$107.00 ,$64.20 ,$23.54 ,$44.51 ,$54.66 ,$49.69 ,$27.82 ,$90.95 ,$65.68 ,$85.60 ,$29.96 ,$96.30 ,$107.00 ,$23.54 ,$89.88 ,$67.68 ,$67.68 ,$27.82 ,$69.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$92.00 ,$59.80 ,$20.24 ,$92.00 ,$50.60 ,$55.20 ,$55.20 ,$23.92 ,$25.76 ,$46.74 ,$23.92 ,$54.10 ,$23.00 ,$73.60 ,$73.60 ,$23.92 ,$46.54 ,$38.46 ,$62.56 ,$63.08 ,$23.92 ,$92.00 ,$20.24 ,$69.00 ,$65.32 ,$65.32 ,$20.24 ,$65.32 ,$77.28 ,$77.28 ,$77.28 , N/A ,$82.80 ,$50.60 ,$78.20 ,$20.24 ,$92.00 ,$55.20 ,$20.24 ,$38.27 ,$54.66 ,$49.69 ,$23.92 ,$78.20 ,$47.94 ,$73.60 ,$25.76 ,$82.80 ,$92.00 ,$20.24 ,$77.28 ,$49.34 ,$49.34 ,$23.92 ,$59.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100301,88175,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$228.00 ,$148.20 ,$20.26 ,$228.00 ,$125.40 ,$136.80 ,$136.80 ,$59.28 ,$63.84 ,$115.82 ,$59.28 ,$134.06 ,$57.00 ,$182.40 ,$182.40 ,$59.28 ,$148.20 ,$95.30 ,$155.04 ,$66.53 ,$59.28 ,$228.00 ,$50.16 ,$171.00 ,$161.88 ,$161.88 ,$50.16 ,$161.88 ,$191.52 ,$191.52 ,$191.52 , N/A ,$205.20 ,$125.40 ,$193.80 ,$50.16 ,$20.26 ,$136.80 ,$50.16 ,$94.85 ,$39.62 ,$36.02 ,$59.28 ,$193.80 ,$50.56 ,$182.40 ,$63.84 ,$205.20 ,$228.00 ,$50.16 ,$191.52 ,$53.22 ,$53.22 ,$59.28 ,$148.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100303,88172,HC FINE NEEDLE EVAL,311,1 ,$489.00 ,$317.85 ,$18.83 ,$489.00 ,$268.95 ,$293.40 ,$293.40 ,$127.14 ,$136.92 ,$248.41 ,$127.14 ,$287.53 ,$122.25 ,$391.20 ,$391.20 ,$127.14 ,$18.83 ,$204.40 ,$332.52 ,$380.80 ,$127.14 ,$489.00 ,$107.58 ,$366.75 ,$347.19 ,$347.19 ,$107.58 ,$347.19 ,$410.76 ,$410.76 ,$410.76 , N/A ,$440.10 ,$268.95 ,$415.65 ,$107.58 ,$21.05 ,$293.40 ,$107.58 ,$203.42 ,$54.66 ,$49.69 ,$127.14 ,$415.65 ,$289.41 ,$391.20 ,$136.92 ,$440.10 ,$489.00 ,$107.58 ,$410.76 ,$298.32 ,$298.32 ,$127.14 ,$317.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100304,88173,HC FINE NEEDLE INTERP,311,1 ,$158.00 ,$102.70 ,$34.76 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$85.10 ,$66.04 ,$107.44 ,$126.88 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$89.83 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$96.43 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$99.52 ,$99.52 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100307,88177,HC FINE NEEDLE EVAL ADDL,311,1 ,$145.00 ,$94.25 ,$6.85 ,$145.00 ,$79.75 ,$87.00 ,$87.00 ,$37.70 ,$40.60 ,$73.66 ,$37.70 ,$85.26 ,$36.25 ,$116.00 ,$116.00 ,$37.70 ,$6.85 ,$60.61 ,$98.60 , N/A ,$37.70 ,$145.00 ,$31.90 ,$108.75 ,$102.95 ,$102.95 ,$31.90 ,$102.95 ,$121.80 ,$121.80 ,$121.80 , N/A ,$130.50 ,$79.75 ,$123.25 ,$31.90 ,$145.00 ,$87.00 ,$31.90 ,$60.32 ,$54.66 ,$49.69 ,$37.70 ,$123.25 , N/A ,$116.00 ,$40.60 ,$130.50 ,$145.00 ,$31.90 ,$121.80 ,$14.66 ,$14.66 ,$37.70 ,$94.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100310,88121,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC COMP ASSIST-90,311,1 ,$427.00 ,$277.55 ,$54.66 ,$743.63 ,$234.85 ,$256.20 ,$256.20 ,$111.02 ,$119.56 ,$216.92 ,$111.02 ,$251.08 ,$106.75 ,$341.60 ,$341.60 ,$111.02 ,$373.18 ,$178.49 ,$290.36 ,$743.63 ,$111.02 ,$427.00 ,$93.94 ,$320.25 ,$303.17 ,$303.17 ,$93.94 ,$303.17 ,$358.68 ,$358.68 ,$358.68 , N/A ,$384.30 ,$234.85 ,$362.95 ,$93.94 ,$427.00 ,$256.20 ,$93.94 ,$177.63 ,$60.13 ,$54.66 ,$111.02 ,$362.95 ,$565.16 ,$341.60 ,$119.56 ,$384.30 ,$427.00 ,$93.94 ,$358.68 ,$427.00 ,$427.00 ,$111.02 ,$277.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100312,88189,HC FLOW CYTO INT >16 MARKERS-90,311,1 ,$707.00 ,$459.55 ,$49.69 ,$707.00 ,$388.85 ,$424.20 ,$424.20 ,$183.82 ,$197.96 ,$359.16 ,$183.82 ,$415.72 ,$176.75 ,$565.60 ,$565.60 ,$183.82 ,$85.19 ,$295.53 ,$480.76 , N/A ,$183.82 ,$707.00 ,$155.54 ,$530.25 ,$501.97 ,$501.97 ,$155.54 ,$501.97 ,$593.88 ,$593.88 ,$593.88 , N/A ,$636.30 ,$388.85 ,$600.95 ,$155.54 ,$707.00 ,$424.20 ,$155.54 ,$294.11 ,$54.66 ,$49.69 ,$183.82 ,$600.95 , N/A ,$565.60 ,$197.96 ,$636.30 ,$707.00 ,$155.54 ,$593.88 ,$170.28 ,$170.28 ,$183.82 ,$459.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100313,88112,HC CYTOPATH CELL ENHANCE-90,311,1 ,$427.00 ,$277.55 ,$37.74 ,$427.00 ,$234.85 ,$256.20 ,$256.20 ,$111.02 ,$119.56 ,$216.92 ,$111.02 ,$251.08 ,$106.75 ,$341.60 ,$341.60 ,$111.02 ,$37.74 ,$178.49 ,$290.36 ,$126.88 ,$111.02 ,$427.00 ,$93.94 ,$320.25 ,$303.17 ,$303.17 ,$93.94 ,$303.17 ,$358.68 ,$358.68 ,$358.68 , N/A ,$384.30 ,$234.85 ,$362.95 ,$93.94 ,$427.00 ,$256.20 ,$93.94 ,$177.63 ,$60.13 ,$54.66 ,$111.02 ,$362.95 ,$96.43 ,$341.60 ,$119.56 ,$384.30 ,$427.00 ,$93.94 ,$358.68 ,$99.52 ,$99.52 ,$111.02 ,$277.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31100314,88142,HC THINPREP PAP,311,1 ,$138.00 ,$89.70 ,$20.26 ,$138.00 ,$75.90 ,$82.80 ,$82.80 ,$35.88 ,$38.64 ,$70.10 ,$35.88 ,$81.14 ,$34.50 ,$110.40 ,$110.40 ,$35.88 ,$89.70 ,$57.68 ,$93.84 ,$50.65 ,$35.88 ,$138.00 ,$30.36 ,$103.50 ,$97.98 ,$97.98 ,$30.36 ,$97.98 ,$115.92 ,$115.92 ,$115.92 , N/A ,$124.20 ,$75.90 ,$117.30 ,$30.36 ,$20.26 ,$82.80 ,$30.36 ,$57.41 ,$39.62 ,$36.02 ,$35.88 ,$117.30 ,$38.49 ,$110.40 ,$38.64 ,$124.20 ,$138.00 ,$30.36 ,$115.92 ,$40.52 ,$40.52 ,$35.88 ,$89.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200101,88300,HC GROSS ONLY LEVEL I,312,1 ,$61.00 ,$39.65 ,$10.68 ,$63.08 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$30.99 ,$15.86 ,$35.87 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$10.68 ,$25.50 ,$41.48 ,$63.08 ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 ,$54.66 ,$49.69 ,$15.86 ,$51.85 ,$47.94 ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$49.34 ,$49.34 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200102,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$219.00 ,$142.35 ,$24.05 ,$219.00 ,$120.45 ,$131.40 ,$131.40 ,$56.94 ,$61.32 ,$111.25 ,$56.94 ,$128.77 ,$54.75 ,$175.20 ,$175.20 ,$56.94 ,$24.05 ,$91.54 ,$148.92 ,$63.08 ,$56.94 ,$219.00 ,$48.18 ,$164.25 ,$155.49 ,$155.49 ,$48.18 ,$155.49 ,$183.96 ,$183.96 ,$183.96 , N/A ,$197.10 ,$120.45 ,$186.15 ,$48.18 ,$219.00 ,$131.40 ,$48.18 ,$91.10 ,$54.66 ,$49.69 ,$56.94 ,$186.15 ,$47.94 ,$175.20 ,$61.32 ,$197.10 ,$219.00 ,$48.18 ,$183.96 ,$49.34 ,$49.34 ,$56.94 ,$142.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200103,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$243.00 ,$157.95 ,$29.26 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$123.44 ,$63.18 ,$142.88 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$29.26 ,$101.57 ,$165.24 ,$126.88 ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 ,$54.66 ,$49.69 ,$63.18 ,$206.55 ,$96.43 ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$99.52 ,$99.52 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200108,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$362.00 ,$235.30 ,$32.85 ,$362.00 ,$199.10 ,$217.20 ,$217.20 ,$94.12 ,$101.36 ,$183.90 ,$94.12 ,$212.86 ,$90.50 ,$289.60 ,$289.60 ,$94.12 ,$32.85 ,$151.32 ,$246.16 ,$126.88 ,$94.12 ,$362.00 ,$79.64 ,$271.50 ,$257.02 ,$257.02 ,$79.64 ,$257.02 ,$304.08 ,$304.08 ,$304.08 , N/A ,$325.80 ,$199.10 ,$307.70 ,$79.64 ,$35.62 ,$217.20 ,$79.64 ,$150.59 ,$54.66 ,$49.69 ,$94.12 ,$307.70 ,$96.43 ,$289.60 ,$101.36 ,$325.80 ,$362.00 ,$79.64 ,$304.08 ,$99.52 ,$99.52 ,$94.12 ,$235.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200110,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$415.00 ,$269.75 ,$54.66 ,$743.63 ,$228.25 ,$249.00 ,$249.00 ,$107.90 ,$116.20 ,$210.82 ,$107.90 ,$244.02 ,$103.75 ,$332.00 ,$332.00 ,$107.90 ,$197.24 ,$173.47 ,$282.20 ,$743.63 ,$107.90 ,$415.00 ,$91.30 ,$311.25 ,$294.65 ,$294.65 ,$91.30 ,$294.65 ,$348.60 ,$348.60 ,$348.60 , N/A ,$373.50 ,$228.25 ,$352.75 ,$91.30 ,$217.17 ,$249.00 ,$91.30 ,$172.64 ,$60.13 ,$54.66 ,$107.90 ,$352.75 ,$565.16 ,$332.00 ,$116.20 ,$373.50 ,$415.00 ,$91.30 ,$348.60 ,$415.00 ,$415.00 ,$107.90 ,$269.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200113,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,$431.00 ,$280.15 ,$54.66 ,"$1,673.23 ",$237.05 ,$258.60 ,$258.60 ,$112.06 ,$120.68 ,$218.95 ,$112.06 ,$253.43 ,$107.75 ,$344.80 ,$344.80 ,$112.06 ,$280.70 ,$180.16 ,$293.08 ,"$1,673.23 ",$112.06 ,$431.00 ,$94.82 ,$323.25 ,$306.01 ,$306.01 ,$94.82 ,$306.01 ,$362.04 ,$362.04 ,$362.04 , N/A ,$387.90 ,$237.05 ,$366.35 ,$94.82 ,$431.00 ,$258.60 ,$94.82 ,$179.30 ,$60.13 ,$54.66 ,$112.06 ,$366.35 ,"$1,271.65 ",$344.80 ,$120.68 ,$387.90 ,$431.00 ,$94.82 ,$362.04 ,$431.00 ,$431.00 ,$112.06 ,$280.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200116,88311,HC DECALCIFICATION,312,1 ,$110.00 ,$71.50 ,$8.40 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$8.40 ,$45.98 ,$74.80 , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$54.66 ,$49.69 ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$17.44 ,$17.44 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200123,88312,HC SPECIAL STAIN I,312,1 ,$158.00 ,$102.70 ,$34.76 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$83.38 ,$66.04 ,$107.44 ,$126.88 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$96.43 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$99.52 ,$99.52 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200125,88313,HC SPECIAL STAIN II,312,1 ,$49.00 ,$31.85 ,$10.78 ,$86.43 ,$26.95 ,$29.40 ,$29.40 ,$12.74 ,$13.72 ,$24.89 ,$12.74 ,$28.81 ,$12.25 ,$39.20 ,$39.20 ,$12.74 ,$49.00 ,$20.48 ,$33.32 ,$86.43 ,$12.74 ,$49.00 ,$10.78 ,$36.75 ,$34.79 ,$34.79 ,$10.78 ,$34.79 ,$41.16 ,$41.16 ,$41.16 , N/A ,$44.10 ,$26.95 ,$41.65 ,$10.78 ,$49.00 ,$29.40 ,$10.78 ,$20.38 ,$54.66 ,$49.69 ,$12.74 ,$41.65 ,$65.68 ,$39.20 ,$13.72 ,$44.10 ,$49.00 ,$10.78 ,$41.16 ,$49.00 ,$49.00 ,$12.74 ,$31.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200171,88325,HC CONSULT PATH REV/REP,312,1 ,$158.00 ,$102.70 ,$34.76 ,$380.80 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$136.49 ,$66.04 ,$107.44 ,$380.80 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$289.41 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$158.00 ,$158.00 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200172,88329,HC CONSULT PATH SURGERY,312,1 ,$107.00 ,$69.55 ,$23.54 ,$107.00 ,$58.85 ,$64.20 ,$64.20 ,$27.82 ,$29.96 ,$54.36 ,$27.82 ,$62.92 ,$26.75 ,$85.60 ,$85.60 ,$27.82 ,$35.92 ,$44.73 ,$72.76 ,$86.43 ,$27.82 ,$107.00 ,$23.54 ,$80.25 ,$75.97 ,$75.97 ,$23.54 ,$75.97 ,$89.88 ,$89.88 ,$89.88 , N/A ,$96.30 ,$58.85 ,$90.95 ,$23.54 ,$107.00 ,$64.20 ,$23.54 ,$44.51 ,$54.66 ,$49.69 ,$27.82 ,$90.95 ,$65.68 ,$85.60 ,$29.96 ,$96.30 ,$107.00 ,$23.54 ,$89.88 ,$67.68 ,$67.68 ,$27.82 ,$69.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200173,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$183.00 ,$118.95 ,$39.37 ,$380.80 ,$100.65 ,$109.80 ,$109.80 ,$47.58 ,$51.24 ,$92.96 ,$47.58 ,$107.60 ,$45.75 ,$146.40 ,$146.40 ,$47.58 ,$39.37 ,$76.49 ,$124.44 ,$380.80 ,$47.58 ,$183.00 ,$40.26 ,$137.25 ,$129.93 ,$129.93 ,$40.26 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$100.65 ,$155.55 ,$40.26 ,$44.37 ,$109.80 ,$40.26 ,$76.13 ,$54.66 ,$49.69 ,$47.58 ,$155.55 ,$289.41 ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$40.26 ,$153.72 ,$183.00 ,$183.00 ,$47.58 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200174,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$145.00 ,$94.25 ,$23.39 ,$145.00 ,$79.75 ,$87.00 ,$87.00 ,$37.70 ,$40.60 ,$73.66 ,$37.70 ,$85.26 ,$36.25 ,$116.00 ,$116.00 ,$37.70 ,$23.39 ,$60.61 ,$98.60 , N/A ,$37.70 ,$145.00 ,$31.90 ,$108.75 ,$102.95 ,$102.95 ,$31.90 ,$102.95 ,$121.80 ,$121.80 ,$121.80 , N/A ,$130.50 ,$79.75 ,$123.25 ,$31.90 ,$25.42 ,$87.00 ,$31.90 ,$60.32 ,$54.66 ,$49.69 ,$37.70 ,$123.25 , N/A ,$116.00 ,$40.60 ,$130.50 ,$145.00 ,$31.90 ,$121.80 ,$48.16 ,$48.16 ,$37.70 ,$94.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200175,88333,HC CONSULT PATH SURG CYTO INIT,312,1 ,"$2,012.00 ","$1,307.80 ",$31.22 ,"$2,012.00 ","$1,106.60 ","$1,207.20 ","$1,207.20 ",$523.12 ,$563.36 ,"$1,022.10 ",$523.12 ,"$1,183.06 ",$503.00 ,"$1,609.60 ","$1,609.60 ",$523.12 ,$31.22 ,$841.02 ,"$1,368.16 ","$1,673.23 ",$523.12 ,"$2,012.00 ",$442.64 ,"$1,509.00 ","$1,428.52 ","$1,428.52 ",$442.64 ,"$1,428.52 ","$1,690.08 ","$1,690.08 ","$1,690.08 ", N/A ,"$1,810.80 ","$1,106.60 ","$1,710.20 ",$442.64 ,"$2,012.00 ","$1,207.20 ",$442.64 ,$836.99 ,$54.66 ,$49.69 ,$523.12 ,"$1,710.20 ","$1,271.65 ","$1,609.60 ",$563.36 ,"$1,810.80 ","$2,012.00 ",$442.64 ,"$1,690.08 ","$1,312.30 ","$1,312.30 ",$523.12 ,"$1,307.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200176,88334,HC CONSULT PATH SURG EA ADDL,312,1 ,$154.00 ,$100.10 ,$18.26 ,$154.00 ,$84.70 ,$92.40 ,$92.40 ,$40.04 ,$43.12 ,$78.23 ,$40.04 ,$90.55 ,$38.50 ,$123.20 ,$123.20 ,$40.04 ,$18.26 ,$64.37 ,$104.72 , N/A ,$40.04 ,$154.00 ,$33.88 ,$115.50 ,$109.34 ,$109.34 ,$33.88 ,$109.34 ,$129.36 ,$129.36 ,$129.36 , N/A ,$138.60 ,$84.70 ,$130.90 ,$33.88 ,$154.00 ,$92.40 ,$33.88 ,$64.06 ,$54.66 ,$49.69 ,$40.04 ,$130.90 , N/A ,$123.20 ,$43.12 ,$138.60 ,$154.00 ,$33.88 ,$129.36 ,$38.38 ,$38.38 ,$40.04 ,$100.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200261,88321,HC CONSULT REFERRED SLIDES-90,312,1 ,$480.00 ,$312.00 ,$49.69 ,$480.00 ,$264.00 ,$288.00 ,$288.00 ,$124.80 ,$134.40 ,$243.84 ,$124.80 ,$282.24 ,$120.00 ,$384.00 ,$384.00 ,$124.80 ,$84.73 ,$200.64 ,$326.40 ,$86.43 ,$124.80 ,$480.00 ,$105.60 ,$360.00 ,$340.80 ,$340.80 ,$105.60 ,$340.80 ,$403.20 ,$403.20 ,$403.20 , N/A ,$432.00 ,$264.00 ,$408.00 ,$105.60 ,$480.00 ,$288.00 ,$105.60 ,$199.68 ,$54.66 ,$49.69 ,$124.80 ,$408.00 ,$65.68 ,$384.00 ,$134.40 ,$432.00 ,$480.00 ,$105.60 ,$403.20 ,$67.68 ,$67.68 ,$124.80 ,$312.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200262,88323,HC CONSULT/SLIDE PREP-90,312,1 ,$480.00 ,$312.00 ,$26.00 ,$480.00 ,$264.00 ,$288.00 ,$288.00 ,$124.80 ,$134.40 ,$243.84 ,$124.80 ,$282.24 ,$120.00 ,$384.00 ,$384.00 ,$124.80 ,$26.00 ,$200.64 ,$326.40 ,$126.88 ,$124.80 ,$480.00 ,$105.60 ,$360.00 ,$340.80 ,$340.80 ,$105.60 ,$340.80 ,$403.20 ,$403.20 ,$403.20 , N/A ,$432.00 ,$264.00 ,$408.00 ,$105.60 ,$480.00 ,$288.00 ,$105.60 ,$199.68 ,$54.66 ,$49.69 ,$124.80 ,$408.00 ,$96.43 ,$384.00 ,$134.40 ,$432.00 ,$480.00 ,$105.60 ,$403.20 ,$99.52 ,$99.52 ,$124.80 ,$312.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200264,88325,HC CONSULT PATH REV/REP-90,312,1 ,$480.00 ,$312.00 ,$49.69 ,$480.00 ,$264.00 ,$288.00 ,$288.00 ,$124.80 ,$134.40 ,$243.84 ,$124.80 ,$282.24 ,$120.00 ,$384.00 ,$384.00 ,$124.80 ,$136.49 ,$200.64 ,$326.40 ,$380.80 ,$124.80 ,$480.00 ,$105.60 ,$360.00 ,$340.80 ,$340.80 ,$105.60 ,$340.80 ,$403.20 ,$403.20 ,$403.20 , N/A ,$432.00 ,$264.00 ,$408.00 ,$105.60 ,$480.00 ,$288.00 ,$105.60 ,$199.68 ,$54.66 ,$49.69 ,$124.80 ,$408.00 ,$289.41 ,$384.00 ,$134.40 ,$432.00 ,$480.00 ,$105.60 ,$403.20 ,$298.32 ,$298.32 ,$124.80 ,$312.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200265,88341,HC IMMUNOHISOCHEM EA AD SGL STN-90,312,1 ,$246.00 ,$159.90 ,$49.69 ,$246.00 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$124.97 ,$63.96 ,$144.65 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$58.03 ,$102.83 ,$167.28 , N/A ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$68.12 ,$147.60 ,$54.12 ,$102.34 ,$54.66 ,$49.69 ,$63.96 ,$209.10 , N/A ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$130.50 ,$130.50 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200269,88342,HC IMMUNOHISOCHEMISTR EA AB INIT-90,312,1 ,$153.00 ,$99.45 ,$33.66 ,$380.80 ,$84.15 ,$91.80 ,$91.80 ,$39.78 ,$42.84 ,$77.72 ,$39.78 ,$89.96 ,$38.25 ,$122.40 ,$122.40 ,$39.78 ,$64.14 ,$63.95 ,$104.04 ,$380.80 ,$39.78 ,$153.00 ,$33.66 ,$114.75 ,$108.63 ,$108.63 ,$33.66 ,$108.63 ,$128.52 ,$128.52 ,$128.52 , N/A ,$137.70 ,$84.15 ,$130.05 ,$33.66 ,$74.24 ,$91.80 ,$33.66 ,$63.65 ,$54.66 ,$49.69 ,$39.78 ,$130.05 ,$289.41 ,$122.40 ,$42.84 ,$137.70 ,$153.00 ,$33.66 ,$128.52 ,$153.00 ,$153.00 ,$39.78 ,$99.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200271,88344,HC IMMUNOHISOCHEMISTR EA ADDL-90,312,1 ,$916.00 ,$595.40 ,$49.69 ,$916.00 ,$503.80 ,$549.60 ,$549.60 ,$238.16 ,$256.48 ,$465.33 ,$238.16 ,$538.61 ,$229.00 ,$732.80 ,$732.80 ,$238.16 ,$127.39 ,$382.89 ,$622.88 ,$743.63 ,$238.16 ,$916.00 ,$201.52 ,$687.00 ,$650.36 ,$650.36 ,$201.52 ,$650.36 ,$769.44 ,$769.44 ,$769.44 , N/A ,$824.40 ,$503.80 ,$778.60 ,$201.52 ,$916.00 ,$549.60 ,$201.52 ,$381.06 ,$54.66 ,$49.69 ,$238.16 ,$778.60 ,$565.16 ,$732.80 ,$256.48 ,$824.40 ,$916.00 ,$201.52 ,$769.44 ,$582.52 ,$582.52 ,$238.16 ,$595.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200272,88346,HC IF DIRECT-90,312,1 ,$124.00 ,$80.60 ,$27.28 ,$743.63 ,$68.20 ,$74.40 ,$74.40 ,$32.24 ,$34.72 ,$62.99 ,$32.24 ,$72.91 ,$31.00 ,$99.20 ,$99.20 ,$32.24 ,$113.04 ,$51.83 ,$84.32 ,$743.63 ,$32.24 ,$124.00 ,$27.28 ,$93.00 ,$88.04 ,$88.04 ,$27.28 ,$88.04 ,$104.16 ,$104.16 ,$104.16 , N/A ,$111.60 ,$68.20 ,$105.40 ,$27.28 ,$124.00 ,$74.40 ,$27.28 ,$51.58 ,$54.66 ,$49.69 ,$32.24 ,$105.40 ,$565.16 ,$99.20 ,$34.72 ,$111.60 ,$124.00 ,$27.28 ,$104.16 ,$124.00 ,$124.00 ,$32.24 ,$80.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200275,88360,HC MORPHO ANLYS TUMOR MAN-90,312,1 ,$142.00 ,$92.30 ,$31.24 ,$380.80 ,$78.10 ,$85.20 ,$85.20 ,$36.92 ,$39.76 ,$72.14 ,$36.92 ,$83.50 ,$35.50 ,$113.60 ,$113.60 ,$36.92 ,$76.53 ,$59.36 ,$96.56 ,$380.80 ,$36.92 ,$142.00 ,$31.24 ,$106.50 ,$100.82 ,$100.82 ,$31.24 ,$100.82 ,$119.28 ,$119.28 ,$119.28 , N/A ,$127.80 ,$78.10 ,$120.70 ,$31.24 ,$86.62 ,$85.20 ,$31.24 ,$59.07 ,$60.13 ,$54.66 ,$36.92 ,$120.70 ,$289.41 ,$113.60 ,$39.76 ,$127.80 ,$142.00 ,$31.24 ,$119.28 ,$142.00 ,$142.00 ,$36.92 ,$92.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200279,88365,HC IN SITU HYBRID (FISH)-90,312,1 ,$947.00 ,$615.55 ,$49.69 ,$947.00 ,$520.85 ,$568.20 ,$568.20 ,$246.22 ,$265.16 ,$481.08 ,$246.22 ,$556.84 ,$236.75 ,$757.60 ,$757.60 ,$246.22 ,$131.55 ,$395.85 ,$643.96 ,$380.80 ,$246.22 ,$947.00 ,$208.34 ,$710.25 ,$672.37 ,$672.37 ,$208.34 ,$672.37 ,$795.48 ,$795.48 ,$795.48 , N/A ,$852.30 ,$520.85 ,$804.95 ,$208.34 ,$947.00 ,$568.20 ,$208.34 ,$393.95 ,$54.66 ,$49.69 ,$246.22 ,$804.95 ,$289.41 ,$757.60 ,$265.16 ,$852.30 ,$947.00 ,$208.34 ,$795.48 ,$298.32 ,$298.32 ,$246.22 ,$615.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200284,88377,HC MORPH ANLZ INST HYB EA MTPL-90,312,1 ,"$2,724.00 ","$1,770.60 ",$54.66 ,"$2,724.00 ","$1,498.20 ","$1,634.40 ","$1,634.40 ",$708.24 ,$762.72 ,"$1,383.79 ",$708.24 ,"$1,601.71 ",$681.00 ,"$2,179.20 ","$2,179.20 ",$708.24 ,$328.44 ,"$1,138.63 ","$1,852.32 ",$380.80 ,$708.24 ,"$2,724.00 ",$599.28 ,"$2,043.00 ","$1,934.04 ","$1,934.04 ",$599.28 ,"$1,934.04 ","$2,288.16 ","$2,288.16 ","$2,288.16 ", N/A ,"$2,451.60 ","$1,498.20 ","$2,315.40 ",$599.28 ,"$2,724.00 ","$1,634.40 ",$599.28 ,"$1,133.18 ",$60.13 ,$54.66 ,$708.24 ,"$2,315.40 ",$289.41 ,"$2,179.20 ",$762.72 ,"$2,451.60 ","$2,724.00 ",$599.28 ,"$2,288.16 ",$298.32 ,$298.32 ,$708.24 ,"$1,770.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200293,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$162.00 ,$105.30 ,$23.39 ,$162.00 ,$89.10 ,$97.20 ,$97.20 ,$42.12 ,$45.36 ,$82.30 ,$42.12 ,$95.26 ,$40.50 ,$129.60 ,$129.60 ,$42.12 ,$23.39 ,$67.72 ,$110.16 , N/A ,$42.12 ,$162.00 ,$35.64 ,$121.50 ,$115.02 ,$115.02 ,$35.64 ,$115.02 ,$136.08 ,$136.08 ,$136.08 , N/A ,$145.80 ,$89.10 ,$137.70 ,$35.64 ,$25.42 ,$97.20 ,$35.64 ,$67.39 ,$54.66 ,$49.69 ,$42.12 ,$137.70 , N/A ,$129.60 ,$45.36 ,$145.80 ,$162.00 ,$35.64 ,$136.08 ,$48.16 ,$48.16 ,$42.12 ,$105.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200294,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$288.00 ,$187.20 ,$39.37 ,$380.80 ,$158.40 ,$172.80 ,$172.80 ,$74.88 ,$80.64 ,$146.30 ,$74.88 ,$169.34 ,$72.00 ,$230.40 ,$230.40 ,$74.88 ,$39.37 ,$120.38 ,$195.84 ,$380.80 ,$74.88 ,$288.00 ,$63.36 ,$216.00 ,$204.48 ,$204.48 ,$63.36 ,$204.48 ,$241.92 ,$241.92 ,$241.92 , N/A ,$259.20 ,$158.40 ,$244.80 ,$63.36 ,$44.37 ,$172.80 ,$63.36 ,$119.81 ,$54.66 ,$49.69 ,$74.88 ,$244.80 ,$289.41 ,$230.40 ,$80.64 ,$259.20 ,$288.00 ,$63.36 ,$241.92 ,$288.00 ,$288.00 ,$74.88 ,$187.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200295,88323,HC CONSULT/SLIDE PREP,312,1 ,$158.00 ,$102.70 ,$26.00 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$26.00 ,$66.04 ,$107.44 ,$126.88 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$96.43 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$99.52 ,$99.52 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200296,88311,HC DECALCIFICATION,312,1 ,$110.00 ,$71.50 ,$8.40 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$55.88 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$8.40 ,$45.98 ,$74.80 , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 ,$54.66 ,$49.69 ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$17.44 ,$17.44 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200297,88302,HC GROSS  AND  MICRO LEVEL II,312,1 ,$237.00 ,$154.05 ,$24.05 ,$237.00 ,$130.35 ,$142.20 ,$142.20 ,$61.62 ,$66.36 ,$120.40 ,$61.62 ,$139.36 ,$59.25 ,$189.60 ,$189.60 ,$61.62 ,$24.05 ,$99.07 ,$161.16 ,$63.08 ,$61.62 ,$237.00 ,$52.14 ,$177.75 ,$168.27 ,$168.27 ,$52.14 ,$168.27 ,$199.08 ,$199.08 ,$199.08 , N/A ,$213.30 ,$130.35 ,$201.45 ,$52.14 ,$237.00 ,$142.20 ,$52.14 ,$98.59 ,$54.66 ,$49.69 ,$61.62 ,$201.45 ,$47.94 ,$189.60 ,$66.36 ,$213.30 ,$237.00 ,$52.14 ,$199.08 ,$49.34 ,$49.34 ,$61.62 ,$154.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200298,88304,HC GROSS  AND  MICRO LEVEL III,312,1 ,$289.00 ,$187.85 ,$29.26 ,$289.00 ,$158.95 ,$173.40 ,$173.40 ,$75.14 ,$80.92 ,$146.81 ,$75.14 ,$169.93 ,$72.25 ,$231.20 ,$231.20 ,$75.14 ,$29.26 ,$120.80 ,$196.52 ,$126.88 ,$75.14 ,$289.00 ,$63.58 ,$216.75 ,$205.19 ,$205.19 ,$63.58 ,$205.19 ,$242.76 ,$242.76 ,$242.76 , N/A ,$260.10 ,$158.95 ,$245.65 ,$63.58 ,$289.00 ,$173.40 ,$63.58 ,$120.22 ,$54.66 ,$49.69 ,$75.14 ,$245.65 ,$96.43 ,$231.20 ,$80.92 ,$260.10 ,$289.00 ,$63.58 ,$242.76 ,$99.52 ,$99.52 ,$75.14 ,$187.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200299,88305,HC GROSS  AND  MICRO LEVEL IV,312,1 ,$358.00 ,$232.70 ,$32.85 ,$358.00 ,$196.90 ,$214.80 ,$214.80 ,$93.08 ,$100.24 ,$181.86 ,$93.08 ,$210.50 ,$89.50 ,$286.40 ,$286.40 ,$93.08 ,$32.85 ,$149.64 ,$243.44 ,$126.88 ,$93.08 ,$358.00 ,$78.76 ,$268.50 ,$254.18 ,$254.18 ,$78.76 ,$254.18 ,$300.72 ,$300.72 ,$300.72 , N/A ,$322.20 ,$196.90 ,$304.30 ,$78.76 ,$35.62 ,$214.80 ,$78.76 ,$148.93 ,$54.66 ,$49.69 ,$93.08 ,$304.30 ,$96.43 ,$286.40 ,$100.24 ,$322.20 ,$358.00 ,$78.76 ,$300.72 ,$99.52 ,$99.52 ,$93.08 ,$232.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200300,88307,HC GROSS  AND  MICRO LEVEL V,312,1 ,$762.00 ,$495.30 ,$54.66 ,$762.00 ,$419.10 ,$457.20 ,$457.20 ,$198.12 ,$213.36 ,$387.10 ,$198.12 ,$448.06 ,$190.50 ,$609.60 ,$609.60 ,$198.12 ,$197.24 ,$318.52 ,$518.16 ,$743.63 ,$198.12 ,$762.00 ,$167.64 ,$571.50 ,$541.02 ,$541.02 ,$167.64 ,$541.02 ,$640.08 ,$640.08 ,$640.08 , N/A ,$685.80 ,$419.10 ,$647.70 ,$167.64 ,$217.17 ,$457.20 ,$167.64 ,$316.99 ,$60.13 ,$54.66 ,$198.12 ,$647.70 ,$565.16 ,$609.60 ,$213.36 ,$685.80 ,$762.00 ,$167.64 ,$640.08 ,$582.52 ,$582.52 ,$198.12 ,$495.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200301,88309,HC GROSS  AND  MICRO LEVEL VI,312,1 ,"$1,099.00 ",$714.35 ,$54.66 ,"$1,673.23 ",$604.45 ,$659.40 ,$659.40 ,$285.74 ,$307.72 ,$558.29 ,$285.74 ,$646.21 ,$274.75 ,$879.20 ,$879.20 ,$285.74 ,$280.70 ,$459.38 ,$747.32 ,"$1,673.23 ",$285.74 ,"$1,099.00 ",$241.78 ,$824.25 ,$780.29 ,$780.29 ,$241.78 ,$780.29 ,$923.16 ,$923.16 ,$923.16 , N/A ,$989.10 ,$604.45 ,$934.15 ,$241.78 ,"$1,099.00 ",$659.40 ,$241.78 ,$457.18 ,$60.13 ,$54.66 ,$285.74 ,$934.15 ,"$1,271.65 ",$879.20 ,$307.72 ,$989.10 ,"$1,099.00 ",$241.78 ,$923.16 ,"$1,099.00 ","$1,099.00 ",$285.74 ,$714.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200302,88300,HC GROSS ONLY LEVEL I,312,1 ,$113.00 ,$73.45 ,$10.68 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$10.68 ,$47.23 ,$76.84 ,$63.08 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 ,$54.66 ,$49.69 ,$29.38 ,$96.05 ,$47.94 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$49.34 ,$49.34 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200303,88312,HC SPECIAL STAIN I,312,1 ,$158.00 ,$102.70 ,$34.76 ,$158.00 ,$86.90 ,$94.80 ,$94.80 ,$41.08 ,$44.24 ,$80.26 ,$41.08 ,$92.90 ,$39.50 ,$126.40 ,$126.40 ,$41.08 ,$83.38 ,$66.04 ,$107.44 ,$126.88 ,$41.08 ,$158.00 ,$34.76 ,$118.50 ,$112.18 ,$112.18 ,$34.76 ,$112.18 ,$132.72 ,$132.72 ,$132.72 , N/A ,$142.20 ,$86.90 ,$134.30 ,$34.76 ,$158.00 ,$94.80 ,$34.76 ,$65.73 ,$54.66 ,$49.69 ,$41.08 ,$134.30 ,$96.43 ,$126.40 ,$44.24 ,$142.20 ,$158.00 ,$34.76 ,$132.72 ,$99.52 ,$99.52 ,$41.08 ,$102.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200304,88313,HC SPECIAL STAIN II,312,1 ,$77.00 ,$50.05 ,$16.94 ,$86.43 ,$42.35 ,$46.20 ,$46.20 ,$20.02 ,$21.56 ,$39.12 ,$20.02 ,$45.28 ,$19.25 ,$61.60 ,$61.60 ,$20.02 ,$66.42 ,$32.19 ,$52.36 ,$86.43 ,$20.02 ,$77.00 ,$16.94 ,$57.75 ,$54.67 ,$54.67 ,$16.94 ,$54.67 ,$64.68 ,$64.68 ,$64.68 , N/A ,$69.30 ,$42.35 ,$65.45 ,$16.94 ,$77.00 ,$46.20 ,$16.94 ,$32.03 ,$54.66 ,$49.69 ,$20.02 ,$65.45 ,$65.68 ,$61.60 ,$21.56 ,$69.30 ,$77.00 ,$16.94 ,$64.68 ,$67.68 ,$67.68 ,$20.02 ,$50.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200305,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$314.00 ,$204.10 ,$49.69 ,$380.80 ,$172.70 ,$188.40 ,$188.40 ,$81.64 ,$87.92 ,$159.51 ,$81.64 ,$184.63 ,$78.50 ,$251.20 ,$251.20 ,$81.64 ,$64.14 ,$131.25 ,$213.52 ,$380.80 ,$81.64 ,$314.00 ,$69.08 ,$235.50 ,$222.94 ,$222.94 ,$69.08 ,$222.94 ,$263.76 ,$263.76 ,$263.76 , N/A ,$282.60 ,$172.70 ,$266.90 ,$69.08 ,$74.24 ,$188.40 ,$69.08 ,$130.62 ,$54.66 ,$49.69 ,$81.64 ,$266.90 ,$289.41 ,$251.20 ,$87.92 ,$282.60 ,$314.00 ,$69.08 ,$263.76 ,$298.32 ,$298.32 ,$81.64 ,$204.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200306,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$707.00 ,$459.55 ,$49.69 ,$743.63 ,$388.85 ,$424.20 ,$424.20 ,$183.82 ,$197.96 ,$359.16 ,$183.82 ,$415.72 ,$176.75 ,$565.60 ,$565.60 ,$183.82 ,$127.39 ,$295.53 ,$480.76 ,$743.63 ,$183.82 ,$707.00 ,$155.54 ,$530.25 ,$501.97 ,$501.97 ,$155.54 ,$501.97 ,$593.88 ,$593.88 ,$593.88 , N/A ,$636.30 ,$388.85 ,$600.95 ,$155.54 ,$707.00 ,$424.20 ,$155.54 ,$294.11 ,$54.66 ,$49.69 ,$183.82 ,$600.95 ,$565.16 ,$565.60 ,$197.96 ,$636.30 ,$707.00 ,$155.54 ,$593.88 ,$582.52 ,$582.52 ,$183.82 ,$459.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200307,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$283.00 ,$183.95 ,$49.69 ,$283.00 ,$155.65 ,$169.80 ,$169.80 ,$73.58 ,$79.24 ,$143.76 ,$73.58 ,$166.40 ,$70.75 ,$226.40 ,$226.40 ,$73.58 ,$58.03 ,$118.29 ,$192.44 , N/A ,$73.58 ,$283.00 ,$62.26 ,$212.25 ,$200.93 ,$200.93 ,$62.26 ,$200.93 ,$237.72 ,$237.72 ,$237.72 , N/A ,$254.70 ,$155.65 ,$240.55 ,$62.26 ,$68.12 ,$169.80 ,$62.26 ,$117.73 ,$54.66 ,$49.69 ,$73.58 ,$240.55 , N/A ,$226.40 ,$79.24 ,$254.70 ,$283.00 ,$62.26 ,$237.72 ,$130.50 ,$130.50 ,$73.58 ,$183.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200308,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$171.00 ,$111.15 ,$37.62 ,$171.00 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$86.87 ,$44.46 ,$100.55 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$37.74 ,$71.48 ,$116.28 ,$126.88 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 ,$60.13 ,$54.66 ,$44.46 ,$145.35 ,$96.43 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$99.52 ,$99.52 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200319,88361,HC MORPHO ANLYS COMP ASSIST,312,1 ,$907.00 ,$589.55 ,$54.66 ,$907.00 ,$498.85 ,$544.20 ,$544.20 ,$235.82 ,$253.96 ,$460.76 ,$235.82 ,$533.32 ,$226.75 ,$725.60 ,$725.60 ,$235.82 ,$74.25 ,$379.13 ,$616.76 ,$743.63 ,$235.82 ,$907.00 ,$199.54 ,$680.25 ,$643.97 ,$643.97 ,$199.54 ,$643.97 ,$761.88 ,$761.88 ,$761.88 , N/A ,$816.30 ,$498.85 ,$770.95 ,$199.54 ,$84.07 ,$544.20 ,$199.54 ,$377.31 ,$60.13 ,$54.66 ,$235.82 ,$770.95 ,$565.16 ,$725.60 ,$253.96 ,$816.30 ,$907.00 ,$199.54 ,$761.88 ,$582.52 ,$582.52 ,$235.82 ,$589.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,31200320,G0416,HC PROSTATE NEEDLE BX SAMPLING 1-20 SPEC,312,1 ,$907.00 ,$589.55 ,$54.66 ,$907.00 ,$498.85 ,$544.20 ,$544.20 ,$235.82 ,$253.96 ,$460.76 ,$235.82 ,$533.32 ,$226.75 ,$725.60 ,$725.60 ,$235.82 ,$171.49 ,$379.13 ,$616.76 ,$743.63 ,$235.82 ,$907.00 ,$199.54 ,$680.25 ,$643.97 ,$643.97 ,$199.54 ,$643.97 ,$761.88 ,$761.88 ,$761.88 , N/A ,$816.30 ,$498.85 ,$770.95 ,$199.54 ,$907.00 ,$544.20 ,$199.54 ,$377.31 ,$60.13 ,$54.66 ,$235.82 ,$770.95 ,$565.16 ,$725.60 ,$253.96 ,$816.30 ,$907.00 ,$199.54 ,$761.88 ,$582.52 ,$582.52 ,$235.82 ,$589.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$461.00 ,$299.65 ,$51.84 ,$461.00 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$224.51 ,$119.86 ,$258.62 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$51.84 ,$192.70 ,$313.48 , N/A ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 , N/A , N/A ,$119.86 ,$391.85 , N/A ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$461.00 ,$461.00 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000010,24220,HC ARTHROGRAM INJ ELBOW,320,1 ,$264.00 ,$171.60 ,$58.08 ,$264.00 ,$145.20 ,$158.40 ,$158.40 ,$68.64 ,$73.92 ,$128.57 ,$68.64 ,$148.10 ,$66.00 ,$211.20 ,$211.20 ,$68.64 ,$68.86 ,$110.35 ,$179.52 , N/A ,$68.64 ,$264.00 ,$58.08 ,$198.00 ,$187.44 ,$187.44 ,$58.08 ,$187.44 ,$221.76 ,$221.76 ,$221.76 , N/A ,$237.60 ,$145.20 ,$224.40 ,$58.08 ,$264.00 ,$158.40 ,$58.08 ,$109.82 , N/A , N/A ,$68.64 ,$224.40 , N/A ,$211.20 ,$73.92 ,$237.60 ,$264.00 ,$58.08 ,$221.76 ,$264.00 ,$264.00 ,$68.64 ,$171.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$284.00 ,$184.60 ,$62.48 ,$589.45 ,$156.20 ,$170.40 ,$170.40 ,$73.84 ,$79.52 ,$138.31 ,$73.84 ,$159.32 ,$71.00 ,$227.20 ,$227.20 ,$73.84 ,$75.33 ,$118.71 ,$193.12 , N/A ,$73.84 ,$284.00 ,$62.48 ,$213.00 ,$201.64 ,$201.64 ,$62.48 ,$201.64 ,$238.56 ,$238.56 ,$238.56 , N/A ,$255.60 ,$156.20 ,$241.40 ,$62.48 ,$284.00 ,$170.40 ,$62.48 ,$118.14 ,$589.45 ,$535.86 ,$73.84 ,$241.40 , N/A ,$227.20 ,$79.52 ,$255.60 ,$284.00 ,$62.48 ,$238.56 ,$284.00 ,$284.00 ,$73.84 ,$184.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$461.00 ,$299.65 ,$70.14 ,$589.45 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$224.51 ,$119.86 ,$258.62 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$70.14 ,$192.70 ,$313.48 , N/A ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 ,$589.45 ,$535.86 ,$119.86 ,$391.85 , N/A ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$461.00 ,$461.00 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$191.00 ,$124.15 ,$42.02 ,$191.00 ,$105.05 ,$114.60 ,$114.60 ,$49.66 ,$53.48 ,$93.02 ,$49.66 ,$107.15 ,$47.75 ,$152.80 ,$152.80 ,$49.66 ,$42.17 ,$79.84 ,$129.88 , N/A ,$49.66 ,$191.00 ,$42.02 ,$143.25 ,$135.61 ,$135.61 ,$42.02 ,$135.61 ,$160.44 ,$160.44 ,$160.44 , N/A ,$171.90 ,$105.05 ,$162.35 ,$42.02 ,$191.00 ,$114.60 ,$42.02 ,$79.46 , N/A , N/A ,$49.66 ,$162.35 , N/A ,$152.80 ,$53.48 ,$171.90 ,$191.00 ,$42.02 ,$160.44 ,$191.00 ,$191.00 ,$49.66 ,$124.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,"$4,893.00 ","$3,180.45 ",$170.07 ,"$4,893.00 ","$2,691.15 ","$2,935.80 ","$2,935.80 ","$1,272.18 ","$1,370.04 ","$2,382.89 ","$1,272.18 ","$2,744.97 ","$1,223.25 ","$3,914.40 ","$3,914.40 ","$1,272.18 ",$170.07 ,"$2,045.27 ","$3,327.24 ","$3,590.40 ","$1,272.18 ","$4,893.00 ","$1,076.46 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,076.46 ","$3,474.03 ","$4,110.12 ","$4,110.12 ","$4,110.12 ", N/A ,"$4,403.70 ","$2,691.15 ","$4,159.05 ","$1,076.46 ","$4,893.00 ","$2,935.80 ","$1,076.46 ","$2,035.49 ","$1,174.58 ","$1,067.80 ","$1,272.18 ","$4,159.05 ","$2,728.70 ","$3,914.40 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,076.46 ","$4,110.12 ",$525.00 ,$525.00 ,"$1,272.18 ","$3,180.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$157.00 ,$102.05 ,$34.54 ,$157.00 ,$86.35 ,$94.20 ,$94.20 ,$40.82 ,$43.96 ,$76.46 ,$40.82 ,$88.08 ,$39.25 ,$125.60 ,$125.60 ,$40.82 ,$125.60 ,$65.63 ,$106.76 , N/A ,$40.82 ,$157.00 ,$34.54 ,$117.75 ,$111.47 ,$111.47 ,$34.54 ,$111.47 ,$131.88 ,$131.88 ,$131.88 , N/A ,$141.30 ,$86.35 ,$133.45 ,$34.54 ,$157.00 ,$94.20 ,$34.54 ,$65.31 ,$82.30 ,$74.82 ,$40.82 ,$133.45 , N/A ,$125.60 ,$43.96 ,$141.30 ,$157.00 ,$34.54 ,$131.88 , N/A , N/A ,$40.82 ,$102.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$606.00 ,$393.90 ,$38.03 ,"$2,890.06 ",$333.30 ,$363.60 ,$363.60 ,$157.56 ,$169.68 ,$295.12 ,$157.56 ,$339.97 ,$151.50 ,$484.80 ,$484.80 ,$157.56 ,$38.03 ,$253.31 ,$412.08 ,$522.33 ,$157.56 ,$606.00 ,$133.32 ,$454.50 ,$430.26 ,$430.26 ,$133.32 ,$430.26 ,$509.04 ,$509.04 ,$509.04 , N/A ,$545.40 ,$333.30 ,$515.10 ,$133.32 ,$606.00 ,$363.60 ,$133.32 ,$252.10 ,"$2,890.06 ","$2,627.33 ",$157.56 ,$515.10 ,$396.97 ,$484.80 ,$169.68 ,$545.40 ,$606.00 ,$133.32 ,$509.04 ,$525.00 ,$525.00 ,$157.56 ,$393.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000033,42550,HC SIALOGRAM INJECTION,320,1 ,$304.00 ,$197.60 ,$63.68 ,$589.45 ,$167.20 ,$182.40 ,$182.40 ,$79.04 ,$85.12 ,$148.05 ,$79.04 ,$170.54 ,$76.00 ,$243.20 ,$243.20 ,$79.04 ,$63.68 ,$127.07 ,$206.72 , N/A ,$79.04 ,$304.00 ,$66.88 ,$228.00 ,$215.84 ,$215.84 ,$66.88 ,$215.84 ,$255.36 ,$255.36 ,$255.36 , N/A ,$273.60 ,$167.20 ,$258.40 ,$66.88 ,$304.00 ,$182.40 ,$66.88 ,$126.46 ,$589.45 ,$535.86 ,$79.04 ,$258.40 , N/A ,$243.20 ,$85.12 ,$273.60 ,$304.00 ,$66.88 ,$255.36 ,$304.00 ,$304.00 ,$79.04 ,$197.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$2,429.00 ","$1,578.85 ",$67.33 ,"$2,429.00 ","$1,335.95 ","$1,457.40 ","$1,457.40 ",$631.54 ,$680.12 ,"$1,182.92 ",$631.54 ,"$1,362.67 ",$607.25 ,"$1,943.20 ","$1,943.20 ",$631.54 ,$67.33 ,"$1,015.32 ","$1,651.72 ","$2,065.98 ",$631.54 ,"$2,429.00 ",$534.38 ,"$1,821.75 ","$1,724.59 ","$1,724.59 ",$534.38 ,"$1,724.59 ","$2,040.36 ","$2,040.36 ","$2,040.36 ", N/A ,"$2,186.10 ","$1,335.95 ","$2,064.65 ",$534.38 ,"$2,429.00 ","$1,457.40 ",$534.38 ,"$1,010.46 ","$1,022.38 ",$929.44 ,$631.54 ,"$2,064.65 ","$1,570.14 ","$1,943.20 ",$680.12 ,"$2,186.10 ","$2,429.00 ",$534.38 ,"$2,040.36 ",$525.00 ,$525.00 ,$631.54 ,"$1,578.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$657.00 ,$427.05 ,$31.18 ,$657.00 ,$361.35 ,$394.20 ,$394.20 ,$170.82 ,$183.96 ,$319.96 ,$170.82 ,$368.58 ,$164.25 ,$525.60 ,$525.60 ,$170.82 ,$31.18 ,$274.63 ,$446.76 ,$587.50 ,$170.82 ,$657.00 ,$144.54 ,$492.75 ,$466.47 ,$466.47 ,$144.54 ,$466.47 ,$551.88 ,$551.88 ,$551.88 , N/A ,$591.30 ,$361.35 ,$558.45 ,$144.54 ,$657.00 ,$394.20 ,$144.54 ,$273.31 ,$589.45 ,$535.86 ,$170.82 ,$558.45 ,$446.50 ,$525.60 ,$183.96 ,$591.30 ,$657.00 ,$144.54 ,$551.88 ,$525.00 ,$525.00 ,$170.82 ,$427.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000085,51600,HC INJ CYSTOGRAM,320,1 ,"$1,130.00 ",$734.50 ,$45.73 ,"$1,130.00 ",$621.50 ,$678.00 ,$678.00 ,$293.80 ,$316.40 ,$550.31 ,$293.80 ,$633.93 ,$282.50 ,$904.00 ,$904.00 ,$293.80 ,$45.73 ,$472.34 ,$768.40 , N/A ,$293.80 ,"$1,130.00 ",$248.60 ,$847.50 ,$802.30 ,$802.30 ,$248.60 ,$802.30 ,$949.20 ,$949.20 ,$949.20 , N/A ,"$1,017.00 ",$621.50 ,$960.50 ,$248.60 ,"$1,130.00 ",$678.00 ,$248.60 ,$470.08 ,$589.45 ,$535.86 ,$293.80 ,$960.50 , N/A ,$904.00 ,$316.40 ,"$1,017.00 ","$1,130.00 ",$248.60 ,$949.20 ,$525.00 ,$525.00 ,$293.80 ,$734.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$260.00 ,$169.00 ,$23.39 ,$260.00 ,$143.00 ,$156.00 ,$156.00 ,$67.60 ,$72.80 ,$132.60 ,$67.60 ,$152.88 ,$65.00 ,$208.00 ,$208.00 ,$67.60 ,$23.39 ,$108.68 ,$56.37 ,$206.53 ,$67.60 ,$260.00 ,$57.20 ,$195.00 ,$184.60 ,$184.60 ,$57.20 ,$184.60 ,$218.40 ,$218.40 ,$218.40 , N/A ,$234.00 ,$143.00 ,$221.00 ,$57.20 ,$260.00 ,$156.00 ,$57.20 ,$108.16 ,$94.49 ,$85.90 ,$67.60 ,$221.00 ,$156.96 ,$208.00 ,$72.80 ,$234.00 ,$260.00 ,$57.20 ,$218.40 ,$260.00 ,$260.00 ,$67.60 ,$169.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$388.00 ,$252.20 ,$23.39 ,$388.00 ,$213.40 ,$232.80 ,$232.80 ,$100.88 ,$108.64 ,$197.88 ,$100.88 ,$228.14 ,$97.00 ,$310.40 ,$310.40 ,$100.88 ,$23.39 ,$162.18 ,$56.37 ,$206.53 ,$100.88 ,$388.00 ,$85.36 ,$291.00 ,$275.48 ,$275.48 ,$85.36 ,$275.48 ,$325.92 ,$325.92 ,$325.92 , N/A ,$349.20 ,$213.40 ,$329.80 ,$85.36 ,$388.00 ,$232.80 ,$85.36 ,$161.41 ,$141.74 ,$128.85 ,$100.88 ,$329.80 ,$156.96 ,$310.40 ,$108.64 ,$349.20 ,$388.00 ,$85.36 ,$325.92 ,$388.00 ,$388.00 ,$100.88 ,$252.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,$452.00 ,$293.80 ,$31.54 ,$452.00 ,$248.60 ,$271.20 ,$271.20 ,$117.52 ,$126.56 ,$230.52 ,$117.52 ,$265.78 ,$113.00 ,$361.60 ,$361.60 ,$117.52 ,$31.54 ,$188.94 ,$73.54 ,$277.98 ,$117.52 ,$452.00 ,$99.44 ,$339.00 ,$320.92 ,$320.92 ,$99.44 ,$320.92 ,$379.68 ,$379.68 ,$379.68 , N/A ,$406.80 ,$248.60 ,$384.20 ,$99.44 ,$452.00 ,$271.20 ,$99.44 ,$188.03 ,$94.49 ,$85.90 ,$117.52 ,$384.20 ,$211.26 ,$361.60 ,$126.56 ,$406.80 ,$452.00 ,$99.44 ,$379.68 ,$452.00 ,$452.00 ,$117.52 ,$293.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000103,70140,HC FACIAL BONES < 3 VIEWS,320,1 ,$352.00 ,$228.80 ,$22.09 ,$352.00 ,$193.60 ,$211.20 ,$211.20 ,$91.52 ,$98.56 ,$179.52 ,$91.52 ,$206.98 ,$88.00 ,$281.60 ,$281.60 ,$91.52 ,$22.09 ,$147.14 ,$54.47 ,$206.53 ,$91.52 ,$352.00 ,$77.44 ,$264.00 ,$249.92 ,$249.92 ,$77.44 ,$249.92 ,$295.68 ,$295.68 ,$295.68 , N/A ,$316.80 ,$193.60 ,$299.20 ,$77.44 ,$352.00 ,$211.20 ,$77.44 ,$146.43 ,$94.49 ,$85.90 ,$91.52 ,$299.20 ,$156.96 ,$281.60 ,$98.56 ,$316.80 ,$352.00 ,$77.44 ,$295.68 ,$352.00 ,$352.00 ,$91.52 ,$228.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$526.00 ,$341.90 ,$34.48 ,$526.00 ,$289.30 ,$315.60 ,$315.60 ,$136.76 ,$147.28 ,$268.26 ,$136.76 ,$309.29 ,$131.50 ,$420.80 ,$420.80 ,$136.76 ,$34.48 ,$219.87 ,$81.17 ,$277.98 ,$136.76 ,$526.00 ,$115.72 ,$394.50 ,$373.46 ,$373.46 ,$115.72 ,$373.46 ,$441.84 ,$441.84 ,$441.84 , N/A ,$473.40 ,$289.30 ,$447.10 ,$115.72 ,$526.00 ,$315.60 ,$115.72 ,$218.82 ,$94.49 ,$85.90 ,$136.76 ,$447.10 ,$211.26 ,$420.80 ,$147.28 ,$473.40 ,$526.00 ,$115.72 ,$441.84 ,$525.00 ,$525.00 ,$136.76 ,$341.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$580.00 ,$377.00 ,$29.26 ,$580.00 ,$319.00 ,$348.00 ,$348.00 ,$150.80 ,$162.40 ,$295.80 ,$150.80 ,$341.04 ,$145.00 ,$464.00 ,$464.00 ,$150.80 ,$29.26 ,$242.44 ,$68.77 ,$206.53 ,$150.80 ,$580.00 ,$127.60 ,$435.00 ,$411.80 ,$411.80 ,$127.60 ,$411.80 ,$487.20 ,$487.20 ,$487.20 , N/A ,$522.00 ,$319.00 ,$493.00 ,$127.60 ,$580.00 ,$348.00 ,$127.60 ,$241.28 ,$94.49 ,$85.90 ,$150.80 ,$493.00 ,$156.96 ,$464.00 ,$162.40 ,$522.00 ,$580.00 ,$127.60 ,$487.20 ,$525.00 ,$525.00 ,$150.80 ,$377.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$396.00 ,$257.40 ,$34.48 ,$396.00 ,$217.80 ,$237.60 ,$237.60 ,$102.96 ,$110.88 ,$201.96 ,$102.96 ,$232.85 ,$99.00 ,$316.80 ,$316.80 ,$102.96 ,$34.48 ,$165.53 ,$80.22 ,$277.98 ,$102.96 ,$396.00 ,$87.12 ,$297.00 ,$281.16 ,$281.16 ,$87.12 ,$281.16 ,$332.64 ,$332.64 ,$332.64 , N/A ,$356.40 ,$217.80 ,$336.60 ,$87.12 ,$396.00 ,$237.60 ,$87.12 ,$164.74 ,$94.49 ,$85.90 ,$102.96 ,$336.60 ,$211.26 ,$316.80 ,$110.88 ,$356.40 ,$396.00 ,$87.12 ,$332.64 ,$396.00 ,$396.00 ,$102.96 ,$257.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$580.00 ,$377.00 ,$26.98 ,$580.00 ,$319.00 ,$348.00 ,$348.00 ,$150.80 ,$162.40 ,$295.80 ,$150.80 ,$341.04 ,$145.00 ,$464.00 ,$464.00 ,$150.80 ,$26.98 ,$242.44 ,$70.68 ,$206.53 ,$150.80 ,$580.00 ,$127.60 ,$435.00 ,$411.80 ,$411.80 ,$127.60 ,$411.80 ,$487.20 ,$487.20 ,$487.20 , N/A ,$522.00 ,$319.00 ,$493.00 ,$127.60 ,$580.00 ,$348.00 ,$127.60 ,$241.28 ,$94.49 ,$85.90 ,$150.80 ,$493.00 ,$156.96 ,$464.00 ,$162.40 ,$522.00 ,$580.00 ,$127.60 ,$487.20 ,$525.00 ,$525.00 ,$150.80 ,$377.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$287.00 ,$186.55 ,$26.65 ,$287.00 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$146.37 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$26.65 ,$119.97 ,$67.82 ,$277.98 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$94.49 ,$85.90 ,$74.62 ,$243.95 ,$211.26 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$287.00 ,$287.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$711.00 ,$462.15 ,$30.89 ,$711.00 ,$391.05 ,$426.60 ,$426.60 ,$184.86 ,$199.08 ,$362.61 ,$184.86 ,$418.07 ,$177.75 ,$568.80 ,$568.80 ,$184.86 ,$30.89 ,$297.20 ,$80.22 ,$277.98 ,$184.86 ,$711.00 ,$156.42 ,$533.25 ,$504.81 ,$504.81 ,$156.42 ,$504.81 ,$597.24 ,$597.24 ,$597.24 , N/A ,$639.90 ,$391.05 ,$604.35 ,$156.42 ,$711.00 ,$426.60 ,$156.42 ,$295.78 ,$94.49 ,$85.90 ,$184.86 ,$604.35 ,$211.26 ,$568.80 ,$199.08 ,$639.90 ,$711.00 ,$156.42 ,$597.24 ,$525.00 ,$525.00 ,$184.86 ,$462.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$377.00 ,$245.05 ,$41.32 ,$377.00 ,$207.35 ,$226.20 ,$226.20 ,$98.02 ,$105.56 ,$192.27 ,$98.02 ,$221.68 ,$94.25 ,$301.60 ,$301.60 ,$98.02 ,$41.32 ,$157.59 ,$99.30 ,$206.53 ,$98.02 ,$377.00 ,$82.94 ,$282.75 ,$267.67 ,$267.67 ,$82.94 ,$267.67 ,$316.68 ,$316.68 ,$316.68 , N/A ,$339.30 ,$207.35 ,$320.45 ,$82.94 ,$377.00 ,$226.20 ,$82.94 ,$156.83 ,$94.49 ,$85.90 ,$98.02 ,$320.45 ,$156.96 ,$301.60 ,$105.56 ,$339.30 ,$377.00 ,$82.94 ,$316.68 ,$377.00 ,$377.00 ,$98.02 ,$245.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000114,70336,HC MRI TMJ,320,1 ,"$3,754.00 ","$2,440.10 ",$207.18 ,"$3,754.00 ","$2,064.70 ","$2,252.40 ","$2,252.40 ",$976.04 ,"$1,051.12 ","$1,914.54 ",$976.04 ,"$2,207.35 ",$938.50 ,"$3,003.20 ","$3,003.20 ",$976.04 ,$207.18 ,"$1,569.17 ","$2,552.72 ",$587.50 ,$976.04 ,"$3,754.00 ",$825.88 ,"$2,815.50 ","$2,665.34 ","$2,665.34 ",$825.88 ,"$2,665.34 ","$3,153.36 ","$3,153.36 ","$3,153.36 ", N/A ,"$3,378.60 ","$2,064.70 ","$3,190.90 ",$825.88 ,"$3,754.00 ","$2,252.40 ",$825.88 ,"$1,561.66 ",$396.99 ,$360.90 ,$976.04 ,"$3,190.90 ",$446.50 ,"$3,003.20 ","$1,051.12 ","$3,378.60 ","$3,754.00 ",$825.88 ,"$3,153.36 ",$525.00 ,$525.00 ,$976.04 ,"$2,440.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000114,70336,HC MRI TMJ,320,1 ,"$5,631.00 ","$3,660.15 ",$207.18 ,"$5,631.00 ","$3,097.05 ","$3,378.60 ","$3,378.60 ","$1,464.06 ","$1,576.68 ","$2,871.81 ","$1,464.06 ","$3,311.03 ","$1,407.75 ","$4,504.80 ","$4,504.80 ","$1,464.06 ",$207.18 ,"$2,353.76 ","$3,829.08 ","$1,334.70 ","$1,464.06 ","$5,631.00 ","$1,238.82 ","$4,223.25 ","$3,998.01 ","$3,998.01 ","$1,238.82 ","$3,998.01 ","$4,730.04 ","$4,730.04 ","$4,730.04 ", N/A ,"$5,067.90 ","$3,097.05 ","$4,786.35 ","$1,238.82 ","$5,631.00 ","$3,378.60 ","$1,238.82 ","$2,342.50 ",$595.50 ,$541.36 ,"$1,464.06 ","$4,786.35 ","$1,014.37 ","$4,504.80 ","$1,576.68 ","$5,067.90 ","$5,631.00 ","$1,238.82 ","$4,730.04 ",$525.00 ,$525.00 ,"$1,464.06 ","$3,660.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$341.00 ,$221.65 ,$22.42 ,$341.00 ,$187.55 ,$204.60 ,$204.60 ,$88.66 ,$95.48 ,$173.91 ,$88.66 ,$200.51 ,$85.25 ,$272.80 ,$272.80 ,$88.66 ,$22.42 ,$142.54 ,$58.28 ,$206.53 ,$88.66 ,$341.00 ,$75.02 ,$255.75 ,$242.11 ,$242.11 ,$75.02 ,$242.11 ,$286.44 ,$286.44 ,$286.44 , N/A ,$306.90 ,$187.55 ,$289.85 ,$75.02 ,$341.00 ,$204.60 ,$75.02 ,$141.86 ,$94.49 ,$85.90 ,$88.66 ,$289.85 ,$156.96 ,$272.80 ,$95.48 ,$306.90 ,$341.00 ,$75.02 ,$286.44 ,$341.00 ,$341.00 ,$88.66 ,$221.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000120,70390,HC XRAY SIALOGRAPHY,320,1 ,$628.00 ,$408.20 ,$100.33 ,$628.00 ,$345.40 ,$376.80 ,$376.80 ,$163.28 ,$175.84 ,$320.28 ,$163.28 ,$369.26 ,$157.00 ,$502.40 ,$502.40 ,$163.28 ,$100.33 ,$262.50 ,$225.21 ,$587.50 ,$163.28 ,$628.00 ,$138.16 ,$471.00 ,$445.88 ,$445.88 ,$138.16 ,$445.88 ,$527.52 ,$527.52 ,$527.52 , N/A ,$565.20 ,$345.40 ,$533.80 ,$138.16 ,$628.00 ,$376.80 ,$138.16 ,$261.25 ,$538.47 ,$489.52 ,$163.28 ,$533.80 ,$446.50 ,$502.40 ,$175.84 ,$565.20 ,$628.00 ,$138.16 ,$527.52 ,$525.00 ,$525.00 ,$163.28 ,$408.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000121,71045,HC XR CHEST 1V,320,1 ,$363.00 ,$235.95 ,$16.87 ,$363.00 ,$199.65 ,$217.80 ,$217.80 ,$94.38 ,$101.64 ,$177.57 ,$94.38 ,$177.57 ,$90.75 ,$290.40 ,$290.40 ,$94.38 ,$16.87 ,$151.73 ,$42.06 ,$206.53 ,$94.38 ,$363.00 ,$79.86 ,$272.25 ,$257.73 ,$257.73 ,$79.86 ,$257.73 ,$304.92 ,$304.92 ,$304.92 , N/A ,$326.70 ,$199.65 ,$308.55 ,$79.86 ,$18.14 ,$217.80 ,$79.86 ,$151.01 ,$94.49 ,$85.90 ,$94.38 ,$308.55 ,$156.96 ,$290.40 ,$101.64 ,$326.70 ,$363.00 ,$79.86 ,$304.92 ,$363.00 ,$363.00 ,$94.38 ,$235.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000127,71046,HC XR CHEST 2V,320,1 ,$472.00 ,$306.80 ,$22.74 ,$472.00 ,$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$240.72 ,$122.72 ,$277.54 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$22.74 ,$197.30 ,$55.42 ,$206.53 ,$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$24.70 ,$283.20 ,$103.84 ,$196.35 ,$94.49 ,$85.90 ,$122.72 ,$401.20 ,$156.96 ,$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$472.00 ,$306.80 ,$28.94 ,$472.00 ,$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$240.72 ,$122.72 ,$277.54 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$28.94 ,$197.30 ,$68.77 ,$206.53 ,$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$472.00 ,$283.20 ,$103.84 ,$196.35 ,$94.49 ,$85.90 ,$122.72 ,$401.20 ,$156.96 ,$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$472.00 ,$306.80 ,$22.74 ,$472.00 ,$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$240.72 ,$122.72 ,$277.54 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$22.74 ,$197.30 ,$55.42 ,$206.53 ,$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$24.70 ,$283.20 ,$103.84 ,$196.35 ,$94.49 ,$85.90 ,$122.72 ,$401.20 ,$156.96 ,$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$510.00 ,$331.50 ,$25.68 ,$510.00 ,$280.50 ,$306.00 ,$306.00 ,$132.60 ,$142.80 ,$260.10 ,$132.60 ,$299.88 ,$127.50 ,$408.00 ,$408.00 ,$132.60 ,$25.68 ,$213.18 ,$62.10 ,$206.53 ,$132.60 ,$510.00 ,$112.20 ,$382.50 ,$362.10 ,$362.10 ,$112.20 ,$362.10 ,$428.40 ,$428.40 ,$428.40 , N/A ,$459.00 ,$280.50 ,$433.50 ,$112.20 ,$510.00 ,$306.00 ,$112.20 ,$212.16 ,$94.49 ,$85.90 ,$132.60 ,$433.50 ,$156.96 ,$408.00 ,$142.80 ,$459.00 ,$510.00 ,$112.20 ,$428.40 ,$510.00 ,$510.00 ,$132.60 ,$331.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$603.00 ,$391.95 ,$28.94 ,$603.00 ,$331.65 ,$361.80 ,$361.80 ,$156.78 ,$168.84 ,$307.53 ,$156.78 ,$354.56 ,$150.75 ,$482.40 ,$482.40 ,$156.78 ,$28.94 ,$252.05 ,$68.77 ,$277.98 ,$156.78 ,$603.00 ,$132.66 ,$452.25 ,$428.13 ,$428.13 ,$132.66 ,$428.13 ,$506.52 ,$506.52 ,$506.52 , N/A ,$542.70 ,$331.65 ,$512.55 ,$132.66 ,$603.00 ,$361.80 ,$132.66 ,$250.85 ,$94.49 ,$85.90 ,$156.78 ,$512.55 ,$211.26 ,$482.40 ,$168.84 ,$542.70 ,$603.00 ,$132.66 ,$506.52 ,$525.00 ,$525.00 ,$156.78 ,$391.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$349.00 ,$226.85 ,$29.59 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$29.59 ,$145.88 ,$70.68 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$332.00 ,$215.80 ,$36.76 ,$332.00 ,$182.60 ,$199.20 ,$199.20 ,$86.32 ,$92.96 ,$169.32 ,$86.32 ,$195.22 ,$83.00 ,$265.60 ,$265.60 ,$86.32 ,$36.76 ,$138.78 ,$86.90 ,$277.98 ,$86.32 ,$332.00 ,$73.04 ,$249.00 ,$235.72 ,$235.72 ,$73.04 ,$235.72 ,$278.88 ,$278.88 ,$278.88 , N/A ,$298.80 ,$182.60 ,$282.20 ,$73.04 ,$332.00 ,$199.20 ,$73.04 ,$138.11 ,$94.49 ,$85.90 ,$86.32 ,$282.20 ,$211.26 ,$265.60 ,$92.96 ,$298.80 ,$332.00 ,$73.04 ,$278.88 ,$332.00 ,$332.00 ,$86.32 ,$215.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000141,71120,HC XR STERNUM 2+V,320,1 ,$367.00 ,$238.55 ,$24.05 ,$367.00 ,$201.85 ,$220.20 ,$220.20 ,$95.42 ,$102.76 ,$187.17 ,$95.42 ,$215.80 ,$91.75 ,$293.60 ,$293.60 ,$95.42 ,$24.05 ,$153.41 ,$56.37 ,$206.53 ,$95.42 ,$367.00 ,$80.74 ,$275.25 ,$260.57 ,$260.57 ,$80.74 ,$260.57 ,$308.28 ,$308.28 ,$308.28 , N/A ,$330.30 ,$201.85 ,$311.95 ,$80.74 ,$367.00 ,$220.20 ,$80.74 ,$152.67 ,$94.49 ,$85.90 ,$95.42 ,$311.95 ,$156.96 ,$293.60 ,$102.76 ,$330.30 ,$367.00 ,$80.74 ,$308.28 ,$367.00 ,$367.00 ,$95.42 ,$238.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$313.00 ,$203.45 ,$30.57 ,$313.00 ,$172.15 ,$187.80 ,$187.80 ,$81.38 ,$87.64 ,$159.63 ,$81.38 ,$184.04 ,$78.25 ,$250.40 ,$250.40 ,$81.38 ,$30.57 ,$130.83 ,$70.68 ,$206.53 ,$81.38 ,$313.00 ,$68.86 ,$234.75 ,$222.23 ,$222.23 ,$68.86 ,$222.23 ,$262.92 ,$262.92 ,$262.92 , N/A ,$281.70 ,$172.15 ,$266.05 ,$68.86 ,$313.00 ,$187.80 ,$68.86 ,$130.21 ,$94.49 ,$85.90 ,$81.38 ,$266.05 ,$156.96 ,$250.40 ,$87.64 ,$281.70 ,$313.00 ,$68.86 ,$262.92 ,$313.00 ,$313.00 ,$81.38 ,$203.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,294.00 ","$1,491.10 ",$84.68 ,"$2,294.00 ","$1,261.70 ","$1,376.40 ","$1,376.40 ",$596.44 ,$642.32 ,"$1,169.94 ",$596.44 ,"$1,348.87 ",$573.50 ,"$1,835.20 ","$1,835.20 ",$596.44 ,$84.68 ,$958.89 ,"$1,049.00 ",$277.98 ,$596.44 ,"$2,294.00 ",$504.68 ,"$1,720.50 ","$1,628.74 ","$1,628.74 ",$504.68 ,"$1,628.74 ","$1,926.96 ","$1,926.96 ","$1,926.96 ", N/A ,"$2,064.60 ","$1,261.70 ","$1,949.90 ",$504.68 ,"$2,294.00 ","$1,376.40 ",$504.68 ,$954.30 ,$235.76 ,$214.33 ,$596.44 ,"$1,949.90 ",$211.26 ,"$1,835.20 ",$642.32 ,"$2,064.60 ","$2,294.00 ",$504.68 ,"$1,926.96 ",$975.00 ,$975.00 ,$596.44 ,"$1,491.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$2,367.00 ","$1,538.55 ",$115.65 ,"$2,367.00 ","$1,301.85 ","$1,420.20 ","$1,420.20 ",$615.42 ,$662.76 ,"$1,207.17 ",$615.42 ,"$1,391.80 ",$591.75 ,"$1,893.60 ","$1,893.60 ",$615.42 ,$115.65 ,$989.41 ,"$1,049.00 ",$456.08 ,$615.42 ,"$2,367.00 ",$520.74 ,"$1,775.25 ","$1,680.57 ","$1,680.57 ",$520.74 ,"$1,680.57 ","$1,988.28 ","$1,988.28 ","$1,988.28 ", N/A ,"$2,130.30 ","$1,301.85 ","$2,011.95 ",$520.74 ,"$2,367.00 ","$1,420.20 ",$520.74 ,$984.67 ,$235.76 ,$214.33 ,$615.42 ,"$2,011.95 ",$346.62 ,"$1,893.60 ",$662.76 ,"$2,130.30 ","$2,367.00 ",$520.74 ,"$1,988.28 ",$975.00 ,$975.00 ,$615.42 ,"$1,538.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$3,111.00 ","$2,022.15 ",$143.28 ,"$3,111.00 ","$1,711.05 ","$1,866.60 ","$1,866.60 ",$808.86 ,$871.08 ,"$1,586.61 ",$808.86 ,"$1,829.27 ",$777.75 ,"$2,488.80 ","$2,488.80 ",$808.86 ,$143.28 ,"$1,300.40 ","$1,049.00 ",$456.08 ,$808.86 ,"$3,111.00 ",$684.42 ,"$2,333.25 ","$2,208.81 ","$2,208.81 ",$684.42 ,"$2,208.81 ","$2,613.24 ","$2,613.24 ","$2,613.24 ", N/A ,"$2,799.90 ","$1,711.05 ","$2,644.35 ",$684.42 ,"$3,111.00 ","$1,866.60 ",$684.42 ,"$1,294.18 ",$235.76 ,$214.33 ,$808.86 ,"$2,644.35 ",$346.62 ,"$2,488.80 ",$871.08 ,"$2,799.90 ","$3,111.00 ",$684.42 ,"$2,613.24 ",$975.00 ,$975.00 ,$808.86 ,"$2,022.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$3,295.00 ","$2,141.75 ",$203.11 ,"$3,295.00 ","$1,812.25 ","$1,977.00 ","$1,977.00 ",$856.70 ,$922.60 ,"$1,680.45 ",$856.70 ,"$1,937.46 ",$823.75 ,"$2,636.00 ","$2,636.00 ",$856.70 ,$203.11 ,"$1,377.31 ","$1,049.00 ",$456.08 ,$856.70 ,"$3,295.00 ",$724.90 ,"$2,471.25 ","$2,339.45 ","$2,339.45 ",$724.90 ,"$2,339.45 ","$2,767.80 ","$2,767.80 ","$2,767.80 ", N/A ,"$2,965.50 ","$1,812.25 ","$2,800.75 ",$724.90 ,"$3,295.00 ","$1,977.00 ",$724.90 ,"$1,370.72 ",$532.80 ,$484.36 ,$856.70 ,"$2,800.75 ",$346.62 ,"$2,636.00 ",$922.60 ,"$2,965.50 ","$3,295.00 ",$724.90 ,"$2,767.80 ",$975.00 ,$975.00 ,$856.70 ,"$2,141.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000151,71550,HC MRI CHEST W/O CON,610,1 ,$699.00 ,$454.35 ,$153.78 ,$808.60 ,$384.45 ,$419.40 ,$419.40 ,$181.74 ,$195.72 ,$356.49 ,$181.74 ,$411.01 ,$174.75 ,$559.20 ,$559.20 ,$181.74 ,$285.26 ,$292.18 ,$699.00 ,$587.50 ,$181.74 ,$699.00 ,$153.78 ,$524.25 ,$496.29 ,$496.29 ,$153.78 ,$496.29 ,$587.16 ,$587.16 ,$587.16 , N/A ,$629.10 ,$384.45 ,$594.15 ,$153.78 ,$699.00 ,$419.40 ,$153.78 ,$290.78 ,$808.60 ,$735.09 ,$181.74 ,$594.15 ,$446.50 ,$559.20 ,$195.72 ,$629.10 ,$699.00 ,$153.78 ,$587.16 ,$699.00 ,$699.00 ,$181.74 ,$454.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$2,042.00 ","$1,327.30 ",$310.03 ,"$2,042.00 ","$1,123.10 ","$1,225.20 ","$1,225.20 ",$530.92 ,$571.76 ,"$1,041.42 ",$530.92 ,"$1,200.70 ",$510.50 ,"$1,633.60 ","$1,633.60 ",$530.92 ,$310.03 ,$853.56 ,"$1,493.00 ","$1,826.68 ",$530.92 ,"$2,042.00 ",$449.24 ,"$1,531.50 ","$1,449.82 ","$1,449.82 ",$449.24 ,"$1,449.82 ","$1,715.28 ","$1,715.28 ","$1,715.28 ", N/A ,"$1,837.80 ","$1,123.10 ","$1,735.70 ",$449.24 ,"$2,042.00 ","$1,225.20 ",$449.24 ,$849.47 ,$808.60 ,$735.09 ,$530.92 ,"$1,735.70 ","$1,388.27 ","$1,633.60 ",$571.76 ,"$1,837.80 ","$2,042.00 ",$449.24 ,"$1,715.28 ","$1,750.00 ","$1,750.00 ",$530.92 ,"$1,327.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$1,104.00 ",$717.60 ,$242.88 ,"$1,104.00 ",$607.20 ,$662.40 ,$662.40 ,$287.04 ,$309.12 ,$563.04 ,$287.04 ,$649.15 ,$276.00 ,$883.20 ,$883.20 ,$287.04 ,$388.27 ,$461.47 ,"$1,104.00 ",$940.23 ,$287.04 ,"$1,104.00 ",$242.88 ,$828.00 ,$783.84 ,$783.84 ,$242.88 ,$783.84 ,$927.36 ,$927.36 ,$927.36 , N/A ,$993.60 ,$607.20 ,$938.40 ,$242.88 ,"$1,104.00 ",$662.40 ,$242.88 ,$459.26 ,$808.60 ,$735.09 ,$287.04 ,$938.40 ,$714.57 ,$883.20 ,$309.12 ,$993.60 ,"$1,104.00 ",$242.88 ,$927.36 ,"$1,104.00 ","$1,104.00 ",$287.04 ,$717.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$528.00 ,$343.20 ,$28.28 ,$528.00 ,$290.40 ,$316.80 ,$316.80 ,$137.28 ,$147.84 ,$269.28 ,$137.28 ,$310.46 ,$132.00 ,$422.40 ,$422.40 ,$137.28 ,$28.28 ,$220.70 ,$67.82 ,$206.53 ,$137.28 ,$528.00 ,$116.16 ,$396.00 ,$374.88 ,$374.88 ,$116.16 ,$374.88 ,$443.52 ,$443.52 ,$443.52 , N/A ,$475.20 ,$290.40 ,$448.80 ,$116.16 ,$528.00 ,$316.80 ,$116.16 ,$219.65 ,$94.49 ,$85.90 ,$137.28 ,$448.80 ,$156.96 ,$422.40 ,$147.84 ,$475.20 ,$528.00 ,$116.16 ,$443.52 ,$525.00 ,$525.00 ,$137.28 ,$343.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$676.00 ,$439.40 ,$39.37 ,$676.00 ,$371.80 ,$405.60 ,$405.60 ,$175.76 ,$189.28 ,$344.76 ,$175.76 ,$397.49 ,$169.00 ,$540.80 ,$540.80 ,$175.76 ,$39.37 ,$282.57 ,$92.62 ,$277.98 ,$175.76 ,$676.00 ,$148.72 ,$507.00 ,$479.96 ,$479.96 ,$148.72 ,$479.96 ,$567.84 ,$567.84 ,$567.84 , N/A ,$608.40 ,$371.80 ,$574.60 ,$148.72 ,$676.00 ,$405.60 ,$148.72 ,$281.22 ,$94.49 ,$85.90 ,$175.76 ,$574.60 ,$211.26 ,$540.80 ,$189.28 ,$608.40 ,$676.00 ,$148.72 ,$567.84 ,$525.00 ,$525.00 ,$175.76 ,$439.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,$936.00 ,$608.40 ,$46.87 ,$936.00 ,$514.80 ,$561.60 ,$561.60 ,$243.36 ,$262.08 ,$477.36 ,$243.36 ,$550.37 ,$234.00 ,$748.80 ,$748.80 ,$243.36 ,$46.87 ,$391.25 ,$111.70 ,$277.98 ,$243.36 ,$936.00 ,$205.92 ,$702.00 ,$664.56 ,$664.56 ,$205.92 ,$664.56 ,$786.24 ,$786.24 ,$786.24 , N/A ,$842.40 ,$514.80 ,$795.60 ,$205.92 ,$936.00 ,$561.60 ,$205.92 ,$389.38 ,$94.49 ,$85.90 ,$243.36 ,$795.60 ,$211.26 ,$748.80 ,$262.08 ,$842.40 ,$936.00 ,$205.92 ,$786.24 ,$525.00 ,$525.00 ,$243.36 ,$608.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000172,72070,HC XR T-SPINE 2V,320,1 ,$349.00 ,$226.85 ,$22.74 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$22.74 ,$145.88 ,$61.14 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000174,72072,HC XR T-SPINE 3V,320,1 ,$349.00 ,$226.85 ,$27.96 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$27.96 ,$145.88 ,$67.82 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$752.00 ,$488.80 ,$28.61 ,$752.00 ,$413.60 ,$451.20 ,$451.20 ,$195.52 ,$210.56 ,$383.52 ,$195.52 ,$390.45 ,$188.00 ,$601.60 ,$601.60 ,$195.52 ,$28.61 ,$314.34 ,$67.82 ,$277.98 ,$195.52 ,$752.00 ,$165.44 ,$564.00 ,$533.92 ,$533.92 ,$165.44 ,$533.92 ,$631.68 ,$631.68 ,$631.68 , N/A ,$676.80 ,$413.60 ,$639.20 ,$165.44 ,$752.00 ,$451.20 ,$165.44 ,$312.83 ,$94.49 ,$85.90 ,$195.52 ,$639.20 ,$211.26 ,$601.60 ,$210.56 ,$676.80 ,$752.00 ,$165.44 ,$631.68 ,$525.00 ,$525.00 ,$195.52 ,$488.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000181,72110,HC XR L-SPINE 4+V,320,1 ,$941.00 ,$611.65 ,$38.06 ,$941.00 ,$517.55 ,$564.60 ,$564.60 ,$244.66 ,$263.48 ,$479.91 ,$244.66 ,$553.31 ,$235.25 ,$752.80 ,$752.80 ,$244.66 ,$38.06 ,$393.34 ,$94.53 ,$277.98 ,$244.66 ,$941.00 ,$207.02 ,$705.75 ,$668.11 ,$668.11 ,$207.02 ,$668.11 ,$790.44 ,$790.44 ,$790.44 , N/A ,$846.90 ,$517.55 ,$799.85 ,$207.02 ,$941.00 ,$564.60 ,$207.02 ,$391.46 ,$94.49 ,$85.90 ,$244.66 ,$799.85 ,$211.26 ,$752.80 ,$263.48 ,$846.90 ,$941.00 ,$207.02 ,$790.44 ,$525.00 ,$525.00 ,$244.66 ,$611.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000183,72120,HC XR L-SPINE BENDING ONLY MIN 4V,320,1 ,$421.00 ,$273.65 ,$29.59 ,$421.00 ,$231.55 ,$252.60 ,$252.60 ,$109.46 ,$117.88 ,$214.71 ,$109.46 ,$247.55 ,$105.25 ,$336.80 ,$336.80 ,$109.46 ,$29.59 ,$175.98 ,$84.99 ,$277.98 ,$109.46 ,$421.00 ,$92.62 ,$315.75 ,$298.91 ,$298.91 ,$92.62 ,$298.91 ,$353.64 ,$353.64 ,$353.64 , N/A ,$378.90 ,$231.55 ,$357.85 ,$92.62 ,$421.00 ,$252.60 ,$92.62 ,$175.14 ,$94.49 ,$85.90 ,$109.46 ,$357.85 ,$211.26 ,$336.80 ,$117.88 ,$378.90 ,$421.00 ,$92.62 ,$353.64 ,$421.00 ,$421.00 ,$109.46 ,$273.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,165.00 ",$757.25 ,$46.54 ,"$1,165.00 ",$640.75 ,$699.00 ,$699.00 ,$302.90 ,$326.20 ,$594.15 ,$302.90 ,$685.02 ,$291.25 ,$932.00 ,$932.00 ,$302.90 ,$46.54 ,$486.97 ,$111.70 ,$277.98 ,$302.90 ,"$1,165.00 ",$256.30 ,$873.75 ,$827.15 ,$827.15 ,$256.30 ,$827.15 ,$978.60 ,$978.60 ,$978.60 , N/A ,"$1,048.50 ",$640.75 ,$990.25 ,$256.30 ,"$1,165.00 ",$699.00 ,$256.30 ,$484.64 ,$94.49 ,$85.90 ,$302.90 ,$990.25 ,$211.26 ,$932.00 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$256.30 ,$978.60 ,$525.00 ,$525.00 ,$302.90 ,$757.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$436.00 ,$283.40 ,$19.16 ,$436.00 ,$239.80 ,$261.60 ,$261.60 ,$113.36 ,$122.08 ,$222.36 ,$113.36 ,$256.37 ,$109.00 ,$348.80 ,$348.80 ,$113.36 ,$19.16 ,$182.25 ,$64.96 ,$277.98 ,$113.36 ,$436.00 ,$95.92 ,$327.00 ,$309.56 ,$309.56 ,$95.92 ,$309.56 ,$366.24 ,$366.24 ,$366.24 , N/A ,$392.40 ,$239.80 ,$370.60 ,$95.92 ,$436.00 ,$261.60 ,$95.92 ,$181.38 ,$94.49 ,$85.90 ,$113.36 ,$370.60 ,$211.26 ,$348.80 ,$122.08 ,$392.40 ,$436.00 ,$95.92 ,$366.24 ,$436.00 ,$436.00 ,$113.36 ,$283.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$532.00 ,$345.80 ,$29.59 ,$532.00 ,$292.60 ,$319.20 ,$319.20 ,$138.32 ,$148.96 ,$271.32 ,$138.32 ,$312.82 ,$133.00 ,$425.60 ,$425.60 ,$138.32 ,$29.59 ,$222.38 ,$77.36 ,$277.98 ,$138.32 ,$532.00 ,$117.04 ,$399.00 ,$377.72 ,$377.72 ,$117.04 ,$377.72 ,$446.88 ,$446.88 ,$446.88 , N/A ,$478.80 ,$292.60 ,$452.20 ,$117.04 ,$532.00 ,$319.20 ,$117.04 ,$221.31 ,$94.49 ,$85.90 ,$138.32 ,$452.20 ,$211.26 ,$425.60 ,$148.96 ,$478.80 ,$532.00 ,$117.04 ,$446.88 ,$525.00 ,$525.00 ,$138.32 ,$345.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$420.00 ,$273.00 ,$27.96 ,$420.00 ,$231.00 ,$252.00 ,$252.00 ,$109.20 ,$117.60 ,$214.20 ,$109.20 ,$246.96 ,$105.00 ,$336.00 ,$336.00 ,$109.20 ,$27.96 ,$175.56 ,$67.82 ,$277.98 ,$109.20 ,$420.00 ,$92.40 ,$315.00 ,$298.20 ,$298.20 ,$92.40 ,$298.20 ,$352.80 ,$352.80 ,$352.80 , N/A ,$378.00 ,$231.00 ,$357.00 ,$92.40 ,$420.00 ,$252.00 ,$92.40 ,$174.72 ,$94.49 ,$85.90 ,$109.20 ,$357.00 ,$211.26 ,$336.00 ,$117.60 ,$378.00 ,$420.00 ,$92.40 ,$352.80 ,$420.00 ,$420.00 ,$109.20 ,$273.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$532.00 ,$345.80 ,$23.72 ,$532.00 ,$292.60 ,$319.20 ,$319.20 ,$138.32 ,$148.96 ,$271.32 ,$138.32 ,$312.82 ,$133.00 ,$425.60 ,$425.60 ,$138.32 ,$23.72 ,$222.38 ,$58.28 ,$206.53 ,$138.32 ,$532.00 ,$117.04 ,$399.00 ,$377.72 ,$377.72 ,$117.04 ,$377.72 ,$446.88 ,$446.88 ,$446.88 , N/A ,$478.80 ,$292.60 ,$452.20 ,$117.04 ,$532.00 ,$319.20 ,$117.04 ,$221.31 ,$94.49 ,$85.90 ,$138.32 ,$452.20 ,$156.96 ,$425.60 ,$148.96 ,$478.80 ,$532.00 ,$117.04 ,$446.88 ,$525.00 ,$525.00 ,$138.32 ,$345.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000194,62302,HC XR MYELOGRAM C-SPINE,320,1 ,"$2,469.00 ","$1,604.85 ",$123.34 ,"$2,469.00 ","$1,357.95 ","$1,481.40 ","$1,481.40 ",$641.94 ,$691.32 ,"$1,254.25 ",$641.94 ,"$1,451.77 ",$617.25 ,"$1,975.20 ","$1,975.20 ",$641.94 ,$123.34 ,"$1,032.04 ","$1,678.92 ","$1,826.68 ",$641.94 ,"$2,469.00 ",$543.18 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$543.18 ,"$1,752.99 ","$2,073.96 ","$2,073.96 ","$2,073.96 ", N/A ,"$2,222.10 ","$1,357.95 ","$2,098.65 ",$543.18 ,"$2,469.00 ","$1,481.40 ",$543.18 ,"$1,027.10 ","$1,028.27 ",$934.79 ,$641.94 ,"$2,098.65 ","$1,388.27 ","$1,975.20 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$543.18 ,"$2,073.96 ",$525.00 ,$525.00 ,$641.94 ,"$1,604.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000195,62303,HC XR MYELOGRAM T-SPINE,320,1 ,"$2,469.00 ","$1,604.85 ",$123.67 ,"$2,469.00 ","$1,357.95 ","$1,481.40 ","$1,481.40 ",$641.94 ,$691.32 ,"$1,254.25 ",$641.94 ,"$1,451.77 ",$617.25 ,"$1,975.20 ","$1,975.20 ",$641.94 ,$123.67 ,"$1,032.04 ","$1,678.92 ","$1,826.68 ",$641.94 ,"$2,469.00 ",$543.18 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$543.18 ,"$1,752.99 ","$2,073.96 ","$2,073.96 ","$2,073.96 ", N/A ,"$2,222.10 ","$1,357.95 ","$2,098.65 ",$543.18 ,"$2,469.00 ","$1,481.40 ",$543.18 ,"$1,027.10 ","$1,028.27 ",$934.79 ,$641.94 ,"$2,098.65 ","$1,388.27 ","$1,975.20 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$543.18 ,"$2,073.96 ",$525.00 ,$525.00 ,$641.94 ,"$1,604.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000196,62304,HC XR MYELOGRAM L-SPINE,320,1 ,"$2,469.00 ","$1,604.85 ",$121.63 ,"$2,469.00 ","$1,357.95 ","$1,481.40 ","$1,481.40 ",$641.94 ,$691.32 ,"$1,254.25 ",$641.94 ,"$1,451.77 ",$617.25 ,"$1,975.20 ","$1,975.20 ",$641.94 ,$121.63 ,"$1,032.04 ","$1,678.92 ","$1,826.68 ",$641.94 ,"$2,469.00 ",$543.18 ,"$1,851.75 ","$1,752.99 ","$1,752.99 ",$543.18 ,"$1,752.99 ","$2,073.96 ","$2,073.96 ","$2,073.96 ", N/A ,"$2,222.10 ","$1,357.95 ","$2,098.65 ",$543.18 ,"$2,469.00 ","$1,481.40 ",$543.18 ,"$1,027.10 ","$1,028.27 ",$934.79 ,$641.94 ,"$2,098.65 ","$1,388.27 ","$1,975.20 ",$691.32 ,"$2,222.10 ","$2,469.00 ",$543.18 ,"$2,073.96 ",$525.00 ,$525.00 ,$641.94 ,"$1,604.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000197,62305,HC XR MYELOGRAM >2 REGIONS,320,1 ,"$3,087.00 ","$2,006.55 ",$126.97 ,"$3,087.00 ","$1,697.85 ","$1,852.20 ","$1,852.20 ",$802.62 ,$864.36 ,"$1,568.20 ",$802.62 ,"$1,815.16 ",$771.75 ,"$2,469.60 ","$2,469.60 ",$802.62 ,$126.97 ,"$1,290.37 ","$2,099.16 ","$1,826.68 ",$802.62 ,"$3,087.00 ",$679.14 ,"$2,315.25 ","$2,191.77 ","$2,191.77 ",$679.14 ,"$2,191.77 ","$2,593.08 ","$2,593.08 ","$2,593.08 ", N/A ,"$2,778.30 ","$1,697.85 ","$2,623.95 ",$679.14 ,"$3,087.00 ","$1,852.20 ",$679.14 ,"$1,284.19 ","$1,028.27 ",$934.79 ,$802.62 ,"$2,623.95 ","$1,388.27 ","$2,469.60 ",$864.36 ,"$2,778.30 ","$3,087.00 ",$679.14 ,"$2,593.08 ",$525.00 ,$525.00 ,$802.62 ,"$2,006.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000201,73000,HC XRAY CLAVICLE,320,1 ,$543.00 ,$352.95 ,$23.72 ,$543.00 ,$298.65 ,$325.80 ,$325.80 ,$141.18 ,$152.04 ,$276.93 ,$141.18 ,$319.28 ,$135.75 ,$434.40 ,$434.40 ,$141.18 ,$23.72 ,$226.97 ,$55.42 ,$206.53 ,$141.18 ,$543.00 ,$119.46 ,$407.25 ,$385.53 ,$385.53 ,$119.46 ,$385.53 ,$456.12 ,$456.12 ,$456.12 , N/A ,$488.70 ,$298.65 ,$461.55 ,$119.46 ,$543.00 ,$325.80 ,$119.46 ,$225.89 ,$94.49 ,$85.90 ,$141.18 ,$461.55 ,$156.96 ,$434.40 ,$152.04 ,$488.70 ,$543.00 ,$119.46 ,$456.12 ,$525.00 ,$525.00 ,$141.18 ,$352.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000204,73010,HC XRAY SCAPULA,320,1 ,$404.00 ,$262.60 ,$14.92 ,$404.00 ,$222.20 ,$242.40 ,$242.40 ,$105.04 ,$113.12 ,$206.04 ,$105.04 ,$237.55 ,$101.00 ,$323.20 ,$323.20 ,$105.04 ,$14.92 ,$168.87 ,$61.14 ,$277.98 ,$105.04 ,$404.00 ,$88.88 ,$303.00 ,$286.84 ,$286.84 ,$88.88 ,$286.84 ,$339.36 ,$339.36 ,$339.36 , N/A ,$363.60 ,$222.20 ,$343.40 ,$88.88 ,$404.00 ,$242.40 ,$88.88 ,$168.06 ,$94.49 ,$85.90 ,$105.04 ,$343.40 ,$211.26 ,$323.20 ,$113.12 ,$363.60 ,$404.00 ,$88.88 ,$339.36 ,$404.00 ,$404.00 ,$105.04 ,$262.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$437.00 ,$284.05 ,$13.94 ,$437.00 ,$240.35 ,$262.20 ,$262.20 ,$113.62 ,$122.36 ,$222.87 ,$113.62 ,$246.59 ,$109.25 ,$349.60 ,$349.60 ,$113.62 ,$13.94 ,$182.67 ,$42.06 ,$206.53 ,$113.62 ,$437.00 ,$96.14 ,$327.75 ,$310.27 ,$310.27 ,$96.14 ,$310.27 ,$367.08 ,$367.08 ,$367.08 , N/A ,$393.30 ,$240.35 ,$371.45 ,$96.14 ,$437.00 ,$262.20 ,$96.14 ,$181.79 ,$94.49 ,$85.90 ,$113.62 ,$371.45 ,$156.96 ,$349.60 ,$122.36 ,$393.30 ,$437.00 ,$96.14 ,$367.08 ,$437.00 ,$437.00 ,$113.62 ,$284.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$544.00 ,$353.60 ,$25.02 ,$544.00 ,$299.20 ,$326.40 ,$326.40 ,$141.44 ,$152.32 ,$277.44 ,$141.44 ,$319.87 ,$136.00 ,$435.20 ,$435.20 ,$141.44 ,$25.02 ,$227.39 ,$55.42 ,$206.53 ,$141.44 ,$544.00 ,$119.68 ,$408.00 ,$386.24 ,$386.24 ,$119.68 ,$386.24 ,$456.96 ,$456.96 ,$456.96 , N/A ,$489.60 ,$299.20 ,$462.40 ,$119.68 ,$544.00 ,$326.40 ,$119.68 ,$226.30 ,$94.49 ,$85.90 ,$141.44 ,$462.40 ,$156.96 ,$435.20 ,$152.32 ,$489.60 ,$544.00 ,$119.68 ,$456.96 ,$525.00 ,$525.00 ,$141.44 ,$353.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,"$2,273.00 ","$1,477.45 ",$25.02 ,"$2,273.00 ","$1,250.15 ","$1,363.80 ","$1,363.80 ",$590.98 ,$636.44 ,$414.37 ,$590.98 ,$414.37 ,$568.25 ,"$1,818.40 ","$1,818.40 ",$590.98 ,$25.02 ,$950.11 ,$55.42 ,$206.53 ,$590.98 ,"$2,273.00 ",$500.06 ,"$1,704.75 ","$1,613.83 ","$1,613.83 ",$500.06 ,"$1,613.83 ","$1,909.32 ","$1,909.32 ","$1,909.32 ", N/A ,"$2,045.70 ","$1,250.15 ","$1,932.05 ",$500.06 ,"$2,273.00 ","$1,363.80 ",$500.06 ,$945.57 ,$141.74 ,$128.85 ,$590.98 ,"$1,932.05 ",$156.96 ,"$1,818.40 ",$636.44 ,"$2,045.70 ","$2,273.00 ",$500.06 ,"$1,909.32 ",$525.00 ,$525.00 ,$590.98 ,"$1,477.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,605.00 ","$1,043.25 ",$103.91 ,"$1,605.00 ",$882.75 ,$963.00 ,$963.00 ,$417.30 ,$449.40 ,$818.55 ,$417.30 ,$943.74 ,$401.25 ,"$1,284.00 ","$1,284.00 ",$417.30 ,$103.91 ,$670.89 ,$223.31 ,$940.23 ,$417.30 ,"$1,605.00 ",$353.10 ,"$1,203.75 ","$1,139.55 ","$1,139.55 ",$353.10 ,"$1,139.55 ","$1,348.20 ","$1,348.20 ","$1,348.20 ", N/A ,"$1,444.50 ",$882.75 ,"$1,364.25 ",$353.10 ,"$1,605.00 ",$963.00 ,$353.10 ,$667.68 ,$538.47 ,$489.52 ,$417.30 ,"$1,364.25 ",$714.57 ,"$1,284.00 ",$449.40 ,"$1,444.50 ","$1,605.00 ",$353.10 ,"$1,348.20 ",$525.00 ,$525.00 ,$417.30 ,"$1,043.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$482.00 ,$313.30 ,$19.16 ,$482.00 ,$265.10 ,$289.20 ,$289.20 ,$125.32 ,$134.96 ,$245.82 ,$125.32 ,$283.42 ,$120.50 ,$385.60 ,$385.60 ,$125.32 ,$19.16 ,$201.48 ,$71.64 ,$206.53 ,$125.32 ,$482.00 ,$106.04 ,$361.50 ,$342.22 ,$342.22 ,$106.04 ,$342.22 ,$404.88 ,$404.88 ,$404.88 , N/A ,$433.80 ,$265.10 ,$409.70 ,$106.04 ,$482.00 ,$289.20 ,$106.04 ,$200.51 ,$94.49 ,$85.90 ,$125.32 ,$409.70 ,$156.96 ,$385.60 ,$134.96 ,$433.80 ,$482.00 ,$106.04 ,$404.88 ,$482.00 ,$482.00 ,$125.32 ,$313.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$380.00 ,$247.00 ,$23.72 ,$380.00 ,$209.00 ,$228.00 ,$228.00 ,$98.80 ,$106.40 ,$193.80 ,$98.80 ,$223.44 ,$95.00 ,$304.00 ,$304.00 ,$98.80 ,$23.72 ,$158.84 ,$58.28 ,$206.53 ,$98.80 ,$380.00 ,$83.60 ,$285.00 ,$269.80 ,$269.80 ,$83.60 ,$269.80 ,$319.20 ,$319.20 ,$319.20 , N/A ,$342.00 ,$209.00 ,$323.00 ,$83.60 ,$380.00 ,$228.00 ,$83.60 ,$158.08 ,$94.49 ,$85.90 ,$98.80 ,$323.00 ,$156.96 ,$304.00 ,$106.40 ,$342.00 ,$380.00 ,$83.60 ,$319.20 ,$380.00 ,$380.00 ,$98.80 ,$247.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$475.00 ,$308.75 ,$20.79 ,$475.00 ,$261.25 ,$285.00 ,$285.00 ,$123.50 ,$133.00 ,$242.25 ,$123.50 ,$279.30 ,$118.75 ,$380.00 ,$380.00 ,$123.50 ,$20.79 ,$198.55 ,$50.65 ,$206.53 ,$123.50 ,$475.00 ,$104.50 ,$356.25 ,$337.25 ,$337.25 ,$104.50 ,$337.25 ,$399.00 ,$399.00 ,$399.00 , N/A ,$427.50 ,$261.25 ,$403.75 ,$104.50 ,$475.00 ,$285.00 ,$104.50 ,$197.60 ,$94.49 ,$85.90 ,$123.50 ,$403.75 ,$156.96 ,$380.00 ,$133.00 ,$427.50 ,$475.00 ,$104.50 ,$399.00 ,$475.00 ,$475.00 ,$123.50 ,$308.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$515.00 ,$334.75 ,$23.72 ,$515.00 ,$283.25 ,$309.00 ,$309.00 ,$133.90 ,$144.20 ,$262.65 ,$133.90 ,$302.82 ,$128.75 ,$412.00 ,$412.00 ,$133.90 ,$23.72 ,$215.27 ,$56.37 ,$206.53 ,$133.90 ,$515.00 ,$113.30 ,$386.25 ,$365.65 ,$365.65 ,$113.30 ,$365.65 ,$432.60 ,$432.60 ,$432.60 , N/A ,$463.50 ,$283.25 ,$437.75 ,$113.30 ,$515.00 ,$309.00 ,$113.30 ,$214.24 ,$94.49 ,$85.90 ,$133.90 ,$437.75 ,$156.96 ,$412.00 ,$144.20 ,$463.50 ,$515.00 ,$113.30 ,$432.60 ,$515.00 ,$515.00 ,$133.90 ,$334.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000222,73085,HC XRAY ELBOW ARTHRO,320,1 ,$849.00 ,$551.85 ,$84.68 ,$940.23 ,$466.95 ,$509.40 ,$509.40 ,$220.74 ,$237.72 ,$432.99 ,$220.74 ,$499.21 ,$212.25 ,$679.20 ,$679.20 ,$220.74 ,$84.68 ,$354.88 ,$207.09 ,$940.23 ,$220.74 ,$849.00 ,$186.78 ,$636.75 ,$602.79 ,$602.79 ,$186.78 ,$602.79 ,$713.16 ,$713.16 ,$713.16 , N/A ,$764.10 ,$466.95 ,$721.65 ,$186.78 ,$849.00 ,$509.40 ,$186.78 ,$353.18 ,$538.47 ,$489.52 ,$220.74 ,$721.65 ,$714.57 ,$679.20 ,$237.72 ,$764.10 ,$849.00 ,$186.78 ,$713.16 ,$525.00 ,$525.00 ,$220.74 ,$551.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$437.00 ,$284.05 ,$21.11 ,$437.00 ,$240.35 ,$262.20 ,$262.20 ,$113.62 ,$122.36 ,$222.87 ,$113.62 ,$256.96 ,$109.25 ,$349.60 ,$349.60 ,$113.62 ,$21.11 ,$182.67 ,$52.56 ,$206.53 ,$113.62 ,$437.00 ,$96.14 ,$327.75 ,$310.27 ,$310.27 ,$96.14 ,$310.27 ,$367.08 ,$367.08 ,$367.08 , N/A ,$393.30 ,$240.35 ,$371.45 ,$96.14 ,$437.00 ,$262.20 ,$96.14 ,$181.79 ,$94.49 ,$85.90 ,$113.62 ,$371.45 ,$156.96 ,$349.60 ,$122.36 ,$393.30 ,$437.00 ,$96.14 ,$367.08 ,$437.00 ,$437.00 ,$113.62 ,$284.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$364.00 ,$236.60 ,$23.72 ,$364.00 ,$200.20 ,$218.40 ,$218.40 ,$94.64 ,$101.92 ,$185.64 ,$94.64 ,$214.03 ,$91.00 ,$291.20 ,$291.20 ,$94.64 ,$23.72 ,$152.15 ,$55.42 ,$277.98 ,$94.64 ,$364.00 ,$80.08 ,$273.00 ,$258.44 ,$258.44 ,$80.08 ,$258.44 ,$305.76 ,$305.76 ,$305.76 , N/A ,$327.60 ,$200.20 ,$309.40 ,$80.08 ,$364.00 ,$218.40 ,$80.08 ,$151.42 ,$94.49 ,$85.90 ,$94.64 ,$309.40 ,$211.26 ,$291.20 ,$101.92 ,$327.60 ,$364.00 ,$80.08 ,$305.76 ,$364.00 ,$364.00 ,$94.64 ,$236.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$404.00 ,$262.60 ,$25.35 ,$404.00 ,$222.20 ,$242.40 ,$242.40 ,$105.04 ,$113.12 ,$206.04 ,$105.04 ,$237.55 ,$101.00 ,$323.20 ,$323.20 ,$105.04 ,$25.35 ,$168.87 ,$63.05 ,$206.53 ,$105.04 ,$404.00 ,$88.88 ,$303.00 ,$286.84 ,$286.84 ,$88.88 ,$286.84 ,$339.36 ,$339.36 ,$339.36 , N/A ,$363.60 ,$222.20 ,$343.40 ,$88.88 ,$404.00 ,$242.40 ,$88.88 ,$168.06 ,$94.49 ,$85.90 ,$105.04 ,$343.40 ,$156.96 ,$323.20 ,$113.12 ,$363.60 ,$404.00 ,$88.88 ,$339.36 ,$404.00 ,$404.00 ,$105.04 ,$262.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$543.00 ,$352.95 ,$31.87 ,$543.00 ,$298.65 ,$325.80 ,$325.80 ,$141.18 ,$152.04 ,$276.93 ,$141.18 ,$319.28 ,$135.75 ,$434.40 ,$434.40 ,$141.18 ,$31.87 ,$226.97 ,$74.50 ,$206.53 ,$141.18 ,$543.00 ,$119.46 ,$407.25 ,$385.53 ,$385.53 ,$119.46 ,$385.53 ,$456.12 ,$456.12 ,$456.12 , N/A ,$488.70 ,$298.65 ,$461.55 ,$119.46 ,$543.00 ,$325.80 ,$119.46 ,$225.89 ,$94.49 ,$85.90 ,$141.18 ,$461.55 ,$156.96 ,$434.40 ,$152.04 ,$488.70 ,$543.00 ,$119.46 ,$456.12 ,$525.00 ,$525.00 ,$141.18 ,$352.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,"$1,515.00 ",$984.75 ,$108.48 ,"$1,515.00 ",$833.25 ,$909.00 ,$909.00 ,$393.90 ,$424.20 ,$772.65 ,$393.90 ,$890.82 ,$378.75 ,"$1,212.00 ","$1,212.00 ",$393.90 ,$108.48 ,$633.27 ,$240.48 ,$940.23 ,$393.90 ,"$1,515.00 ",$333.30 ,"$1,136.25 ","$1,075.65 ","$1,075.65 ",$333.30 ,"$1,075.65 ","$1,272.60 ","$1,272.60 ","$1,272.60 ", N/A ,"$1,363.50 ",$833.25 ,"$1,287.75 ",$333.30 ,"$1,515.00 ",$909.00 ,$333.30 ,$630.24 ,$538.47 ,$489.52 ,$393.90 ,"$1,287.75 ",$714.57 ,"$1,212.00 ",$424.20 ,"$1,363.50 ","$1,515.00 ",$333.30 ,"$1,272.60 ",$525.00 ,$525.00 ,$393.90 ,$984.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$330.00 ,$214.50 ,$22.74 ,$330.00 ,$181.50 ,$198.00 ,$198.00 ,$85.80 ,$92.40 ,$168.30 ,$85.80 ,$194.04 ,$82.50 ,$264.00 ,$264.00 ,$85.80 ,$22.74 ,$137.94 ,$55.42 ,$277.98 ,$85.80 ,$330.00 ,$72.60 ,$247.50 ,$234.30 ,$234.30 ,$72.60 ,$234.30 ,$277.20 ,$277.20 ,$277.20 , N/A ,$297.00 ,$181.50 ,$280.50 ,$72.60 ,$330.00 ,$198.00 ,$72.60 ,$137.28 ,$94.49 ,$85.90 ,$85.80 ,$280.50 ,$211.26 ,$264.00 ,$92.40 ,$297.00 ,$330.00 ,$72.60 ,$277.20 ,$330.00 ,$330.00 ,$85.80 ,$214.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$493.00 ,$320.45 ,$27.63 ,$493.00 ,$271.15 ,$295.80 ,$295.80 ,$128.18 ,$138.04 ,$251.43 ,$128.18 ,$289.88 ,$123.25 ,$394.40 ,$394.40 ,$128.18 ,$27.63 ,$206.07 ,$65.91 ,$206.53 ,$128.18 ,$493.00 ,$108.46 ,$369.75 ,$350.03 ,$350.03 ,$108.46 ,$350.03 ,$414.12 ,$414.12 ,$414.12 , N/A ,$443.70 ,$271.15 ,$419.05 ,$108.46 ,$493.00 ,$295.80 ,$108.46 ,$205.09 ,$94.49 ,$85.90 ,$128.18 ,$419.05 ,$156.96 ,$394.40 ,$138.04 ,$443.70 ,$493.00 ,$108.46 ,$414.12 ,$493.00 ,$493.00 ,$128.18 ,$320.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$543.00 ,$352.95 ,$30.24 ,$543.00 ,$298.65 ,$325.80 ,$325.80 ,$141.18 ,$152.04 ,$276.93 ,$141.18 ,$319.28 ,$135.75 ,$434.40 ,$434.40 ,$141.18 ,$30.24 ,$226.97 ,$71.64 ,$206.53 ,$141.18 ,$543.00 ,$119.46 ,$407.25 ,$385.53 ,$385.53 ,$119.46 ,$385.53 ,$456.12 ,$456.12 ,$456.12 , N/A ,$488.70 ,$298.65 ,$461.55 ,$119.46 ,$543.00 ,$325.80 ,$119.46 ,$225.89 ,$94.49 ,$85.90 ,$141.18 ,$461.55 ,$156.96 ,$434.40 ,$152.04 ,$488.70 ,$543.00 ,$119.46 ,$456.12 ,$525.00 ,$525.00 ,$141.18 ,$352.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,605.00 ","$1,043.25 ",$104.89 ,"$1,605.00 ",$882.75 ,$963.00 ,$963.00 ,$417.30 ,$449.40 ,$818.55 ,$417.30 ,$943.74 ,$401.25 ,"$1,284.00 ","$1,284.00 ",$417.30 ,$104.89 ,$670.89 ,$224.26 ,$940.23 ,$417.30 ,"$1,605.00 ",$353.10 ,"$1,203.75 ","$1,139.55 ","$1,139.55 ",$353.10 ,"$1,139.55 ","$1,348.20 ","$1,348.20 ","$1,348.20 ", N/A ,"$1,444.50 ",$882.75 ,"$1,364.25 ",$353.10 ,"$1,605.00 ",$963.00 ,$353.10 ,$667.68 ,$538.47 ,$489.52 ,$417.30 ,"$1,364.25 ",$714.57 ,"$1,284.00 ",$449.40 ,"$1,444.50 ","$1,605.00 ",$353.10 ,"$1,348.20 ",$525.00 ,$525.00 ,$417.30 ,"$1,043.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$2,407.00 ","$1,564.55 ",$104.89 ,"$2,407.00 ","$1,323.85 ","$1,444.20 ","$1,444.20 ",$625.82 ,$673.96 ,"$1,215.77 ",$625.82 ,"$1,215.77 ",$601.75 ,"$1,925.60 ","$1,925.60 ",$625.82 ,$104.89 ,"$1,006.13 ",$224.26 ,$940.23 ,$625.82 ,"$2,407.00 ",$529.54 ,"$1,805.25 ","$1,708.97 ","$1,708.97 ",$529.54 ,"$1,708.97 ","$2,021.88 ","$2,021.88 ","$2,021.88 ", N/A ,"$2,166.30 ","$1,323.85 ","$2,045.95 ",$529.54 ,"$2,407.00 ","$1,444.20 ",$529.54 ,"$1,001.31 ",$807.71 ,$734.28 ,$625.82 ,"$2,045.95 ",$714.57 ,"$1,925.60 ",$673.96 ,"$2,166.30 ","$2,407.00 ",$529.54 ,"$2,021.88 ",$525.00 ,$525.00 ,$625.82 ,"$1,564.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$489.00 ,$317.85 ,$25.68 ,$489.00 ,$268.95 ,$293.40 ,$293.40 ,$127.14 ,$136.92 ,$249.39 ,$127.14 ,$287.53 ,$122.25 ,$391.20 ,$391.20 ,$127.14 ,$25.68 ,$204.40 ,$64.00 ,$206.53 ,$127.14 ,$489.00 ,$107.58 ,$366.75 ,$347.19 ,$347.19 ,$107.58 ,$347.19 ,$410.76 ,$410.76 ,$410.76 , N/A ,$440.10 ,$268.95 ,$415.65 ,$107.58 ,$489.00 ,$293.40 ,$107.58 ,$203.42 ,$94.49 ,$85.90 ,$127.14 ,$415.65 ,$156.96 ,$391.20 ,$136.92 ,$440.10 ,$489.00 ,$107.58 ,$410.76 ,$489.00 ,$489.00 ,$127.14 ,$317.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$603.00 ,$391.95 ,$31.22 ,$603.00 ,$331.65 ,$361.80 ,$361.80 ,$156.78 ,$168.84 ,$307.53 ,$156.78 ,$354.56 ,$150.75 ,$482.40 ,$482.40 ,$156.78 ,$31.22 ,$252.05 ,$74.50 ,$206.53 ,$156.78 ,$603.00 ,$132.66 ,$452.25 ,$428.13 ,$428.13 ,$132.66 ,$428.13 ,$506.52 ,$506.52 ,$506.52 , N/A ,$542.70 ,$331.65 ,$512.55 ,$132.66 ,$603.00 ,$361.80 ,$132.66 ,$250.85 ,$94.49 ,$85.90 ,$156.78 ,$512.55 ,$156.96 ,$482.40 ,$168.84 ,$542.70 ,$603.00 ,$132.66 ,$506.52 ,$525.00 ,$525.00 ,$156.78 ,$391.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$718.00 ,$466.70 ,$34.80 ,$718.00 ,$394.90 ,$430.80 ,$430.80 ,$186.68 ,$201.04 ,$366.18 ,$186.68 ,$422.18 ,$179.50 ,$574.40 ,$574.40 ,$186.68 ,$34.80 ,$300.12 ,$81.17 ,$277.98 ,$186.68 ,$718.00 ,$157.96 ,$538.50 ,$509.78 ,$509.78 ,$157.96 ,$509.78 ,$603.12 ,$603.12 ,$603.12 , N/A ,$646.20 ,$394.90 ,$610.30 ,$157.96 ,$718.00 ,$430.80 ,$157.96 ,$298.69 ,$94.49 ,$85.90 ,$186.68 ,$610.30 ,$211.26 ,$574.40 ,$201.04 ,$646.20 ,$718.00 ,$157.96 ,$603.12 ,$525.00 ,$525.00 ,$186.68 ,$466.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000267,73565,HC XR KNEE STAND,320,1 ,$243.00 ,$157.95 ,$31.54 ,$243.00 ,$133.65 ,$145.80 ,$145.80 ,$63.18 ,$68.04 ,$123.93 ,$63.18 ,$142.88 ,$60.75 ,$194.40 ,$194.40 ,$63.18 ,$31.54 ,$101.57 ,$76.41 ,$206.53 ,$63.18 ,$243.00 ,$53.46 ,$182.25 ,$172.53 ,$172.53 ,$53.46 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$133.65 ,$206.55 ,$53.46 ,$243.00 ,$145.80 ,$53.46 ,$101.09 ,$94.49 ,$85.90 ,$63.18 ,$206.55 ,$156.96 ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$53.46 ,$204.12 ,$243.00 ,$243.00 ,$63.18 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,"$1,515.00 ",$984.75 ,$118.58 ,"$1,515.00 ",$833.25 ,$909.00 ,$909.00 ,$393.90 ,$424.20 ,$772.65 ,$393.90 ,$890.82 ,$378.75 ,"$1,212.00 ","$1,212.00 ",$393.90 ,$118.58 ,$633.27 ,$264.32 ,$940.23 ,$393.90 ,"$1,515.00 ",$333.30 ,"$1,136.25 ","$1,075.65 ","$1,075.65 ",$333.30 ,"$1,075.65 ","$1,272.60 ","$1,272.60 ","$1,272.60 ", N/A ,"$1,363.50 ",$833.25 ,"$1,287.75 ",$333.30 ,"$1,515.00 ",$909.00 ,$333.30 ,$630.24 ,$538.47 ,$489.52 ,$393.90 ,"$1,287.75 ",$714.57 ,"$1,212.00 ",$424.20 ,"$1,363.50 ","$1,515.00 ",$333.30 ,"$1,272.60 ",$525.00 ,$525.00 ,$393.90 ,$984.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$486.00 ,$315.90 ,$23.39 ,$486.00 ,$267.30 ,$291.60 ,$291.60 ,$126.36 ,$136.08 ,$247.86 ,$126.36 ,$285.77 ,$121.50 ,$388.80 ,$388.80 ,$126.36 ,$23.39 ,$203.15 ,$57.33 ,$206.53 ,$126.36 ,$486.00 ,$106.92 ,$364.50 ,$345.06 ,$345.06 ,$106.92 ,$345.06 ,$408.24 ,$408.24 ,$408.24 , N/A ,$437.40 ,$267.30 ,$413.10 ,$106.92 ,$486.00 ,$291.60 ,$106.92 ,$202.18 ,$94.49 ,$85.90 ,$126.36 ,$413.10 ,$156.96 ,$388.80 ,$136.08 ,$437.40 ,$486.00 ,$106.92 ,$408.24 ,$486.00 ,$486.00 ,$126.36 ,$315.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$192.00 ,$124.80 ,$23.72 ,$206.53 ,$105.60 ,$115.20 ,$115.20 ,$49.92 ,$53.76 ,$97.92 ,$49.92 ,$112.90 ,$48.00 ,$153.60 ,$153.60 ,$49.92 ,$23.72 ,$80.26 ,$55.42 ,$206.53 ,$49.92 ,$192.00 ,$42.24 ,$144.00 ,$136.32 ,$136.32 ,$42.24 ,$136.32 ,$161.28 ,$161.28 ,$161.28 , N/A ,$172.80 ,$105.60 ,$163.20 ,$42.24 ,$192.00 ,$115.20 ,$42.24 ,$79.87 ,$94.49 ,$85.90 ,$49.92 ,$163.20 ,$156.96 ,$153.60 ,$53.76 ,$172.80 ,$192.00 ,$42.24 ,$161.28 ,$192.00 ,$192.00 ,$49.92 ,$124.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$404.00 ,$262.60 ,$24.05 ,$404.00 ,$222.20 ,$242.40 ,$242.40 ,$105.04 ,$113.12 ,$206.04 ,$105.04 ,$237.55 ,$101.00 ,$323.20 ,$323.20 ,$105.04 ,$24.05 ,$168.87 ,$60.19 ,$206.53 ,$105.04 ,$404.00 ,$88.88 ,$303.00 ,$286.84 ,$286.84 ,$88.88 ,$286.84 ,$339.36 ,$339.36 ,$339.36 , N/A ,$363.60 ,$222.20 ,$343.40 ,$88.88 ,$404.00 ,$242.40 ,$88.88 ,$168.06 ,$94.49 ,$85.90 ,$105.04 ,$343.40 ,$156.96 ,$323.20 ,$113.12 ,$363.60 ,$404.00 ,$88.88 ,$339.36 ,$404.00 ,$404.00 ,$105.04 ,$262.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$517.00 ,$336.05 ,$27.96 ,$517.00 ,$284.35 ,$310.20 ,$310.20 ,$134.42 ,$144.76 ,$263.67 ,$134.42 ,$304.00 ,$129.25 ,$413.60 ,$413.60 ,$134.42 ,$27.96 ,$216.11 ,$65.91 ,$206.53 ,$134.42 ,$517.00 ,$113.74 ,$387.75 ,$367.07 ,$367.07 ,$113.74 ,$367.07 ,$434.28 ,$434.28 ,$434.28 , N/A ,$465.30 ,$284.35 ,$439.45 ,$113.74 ,$517.00 ,$310.20 ,$113.74 ,$215.07 ,$94.49 ,$85.90 ,$134.42 ,$439.45 ,$156.96 ,$413.60 ,$144.76 ,$465.30 ,$517.00 ,$113.74 ,$434.28 ,$517.00 ,$517.00 ,$134.42 ,$336.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$543.00 ,$352.95 ,$20.46 ,$543.00 ,$298.65 ,$325.80 ,$325.80 ,$141.18 ,$152.04 ,$276.93 ,$141.18 ,$306.28 ,$135.75 ,$434.40 ,$434.40 ,$141.18 ,$20.46 ,$226.97 ,$51.60 ,$206.53 ,$141.18 ,$543.00 ,$119.46 ,$407.25 ,$385.53 ,$385.53 ,$119.46 ,$385.53 ,$456.12 ,$456.12 ,$456.12 , N/A ,$488.70 ,$298.65 ,$461.55 ,$119.46 ,$543.00 ,$325.80 ,$119.46 ,$225.89 ,$94.49 ,$85.90 ,$141.18 ,$461.55 ,$156.96 ,$434.40 ,$152.04 ,$488.70 ,$543.00 ,$119.46 ,$456.12 ,$525.00 ,$525.00 ,$141.18 ,$352.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$543.00 ,$352.95 ,$26.00 ,$543.00 ,$298.65 ,$325.80 ,$325.80 ,$141.18 ,$152.04 ,$276.93 ,$141.18 ,$319.28 ,$135.75 ,$434.40 ,$434.40 ,$141.18 ,$26.00 ,$226.97 ,$61.14 ,$206.53 ,$141.18 ,$543.00 ,$119.46 ,$407.25 ,$385.53 ,$385.53 ,$119.46 ,$385.53 ,$456.12 ,$456.12 ,$456.12 , N/A ,$488.70 ,$298.65 ,$461.55 ,$119.46 ,$543.00 ,$325.80 ,$119.46 ,$225.89 ,$94.49 ,$85.90 ,$141.18 ,$461.55 ,$156.96 ,$434.40 ,$152.04 ,$488.70 ,$543.00 ,$119.46 ,$456.12 ,$525.00 ,$525.00 ,$141.18 ,$352.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$472.00 ,$306.80 ,$20.79 ,$472.00 ,$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$240.72 ,$122.72 ,$277.54 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$20.79 ,$197.30 ,$50.65 ,$206.53 ,$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$472.00 ,$283.20 ,$103.84 ,$196.35 ,$94.49 ,$85.90 ,$122.72 ,$401.20 ,$156.96 ,$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$472.00 ,$306.80 ,$22.42 ,$472.00 ,$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$240.72 ,$122.72 ,$277.54 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$22.42 ,$197.30 ,$59.24 ,$206.53 ,$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$472.00 ,$283.20 ,$103.84 ,$196.35 ,$94.49 ,$85.90 ,$122.72 ,$401.20 ,$156.96 ,$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$506.00 ,$328.90 ,$21.11 ,$506.00 ,$278.30 ,$303.60 ,$303.60 ,$131.56 ,$141.68 ,$258.06 ,$131.56 ,$297.53 ,$126.50 ,$404.80 ,$404.80 ,$131.56 ,$21.11 ,$211.51 ,$51.60 ,$206.53 ,$131.56 ,$506.00 ,$111.32 ,$379.50 ,$359.26 ,$359.26 ,$111.32 ,$359.26 ,$425.04 ,$425.04 ,$425.04 , N/A ,$455.40 ,$278.30 ,$430.10 ,$111.32 ,$506.00 ,$303.60 ,$111.32 ,$210.50 ,$94.49 ,$85.90 ,$131.56 ,$430.10 ,$156.96 ,$404.80 ,$141.68 ,$455.40 ,$506.00 ,$111.32 ,$425.04 ,$506.00 ,$506.00 ,$131.56 ,$328.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000294,74019,HC XRAY ABDOMEN AP  AND  LAT (2 V OR 3 V),320,1 ,$532.00 ,$345.80 ,$25.35 ,$532.00 ,$292.60 ,$319.20 ,$319.20 ,$138.32 ,$148.96 ,$271.32 ,$138.32 ,$312.82 ,$133.00 ,$425.60 ,$425.60 ,$138.32 ,$25.35 ,$222.38 ,$62.10 ,$277.98 ,$138.32 ,$532.00 ,$117.04 ,$399.00 ,$377.72 ,$377.72 ,$117.04 ,$377.72 ,$446.88 ,$446.88 ,$446.88 , N/A ,$478.80 ,$292.60 ,$452.20 ,$117.04 ,$532.00 ,$319.20 ,$117.04 ,$221.31 ,$94.49 ,$85.90 ,$138.32 ,$452.20 ,$211.26 ,$425.60 ,$148.96 ,$478.80 ,$532.00 ,$117.04 ,$446.88 ,$525.00 ,$525.00 ,$138.32 ,$345.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$785.00 ,$510.25 ,$34.15 ,$785.00 ,$431.75 ,$471.00 ,$471.00 ,$204.10 ,$219.80 ,$400.35 ,$204.10 ,$461.58 ,$196.25 ,$628.00 ,$628.00 ,$204.10 ,$34.15 ,$328.13 ,$81.17 ,$277.98 ,$204.10 ,$785.00 ,$172.70 ,$588.75 ,$557.35 ,$557.35 ,$172.70 ,$557.35 ,$659.40 ,$659.40 ,$659.40 , N/A ,$706.50 ,$431.75 ,$667.25 ,$172.70 ,$785.00 ,$471.00 ,$172.70 ,$326.56 ,$94.49 ,$85.90 ,$204.10 ,$667.25 ,$211.26 ,$628.00 ,$219.80 ,$706.50 ,$785.00 ,$172.70 ,$659.40 ,$525.00 ,$525.00 ,$204.10 ,$510.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$748.00 ,$486.20 ,$70.66 ,$748.00 ,$411.40 ,$448.80 ,$448.80 ,$194.48 ,$209.44 ,$381.48 ,$194.48 ,$439.82 ,$187.00 ,$598.40 ,$598.40 ,$194.48 ,$70.66 ,$312.66 ,$168.93 ,$456.08 ,$194.48 ,$748.00 ,$164.56 ,$561.00 ,$531.08 ,$531.08 ,$164.56 ,$531.08 ,$628.32 ,$628.32 ,$628.32 , N/A ,$673.20 ,$411.40 ,$635.80 ,$164.56 ,$748.00 ,$448.80 ,$164.56 ,$311.17 ,$94.49 ,$85.90 ,$194.48 ,$635.80 ,$346.62 ,$598.40 ,$209.44 ,$673.20 ,$748.00 ,$164.56 ,$628.32 ,$525.00 ,$525.00 ,$194.48 ,$486.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,"$1,309.00 ",$850.85 ,$102.61 ,"$1,309.00 ",$719.95 ,$785.40 ,$785.40 ,$340.34 ,$366.52 ,$667.59 ,$340.34 ,$769.69 ,$327.25 ,"$1,047.20 ","$1,047.20 ",$340.34 ,$102.61 ,$547.16 ,$270.05 ,$456.08 ,$340.34 ,"$1,309.00 ",$287.98 ,$981.75 ,$929.39 ,$929.39 ,$287.98 ,$929.39 ,"$1,099.56 ","$1,099.56 ","$1,099.56 ", N/A ,"$1,178.10 ",$719.95 ,"$1,112.65 ",$287.98 ,"$1,309.00 ",$785.40 ,$287.98 ,$544.54 ,$207.80 ,$188.91 ,$340.34 ,"$1,112.65 ",$346.62 ,"$1,047.20 ",$366.52 ,"$1,178.10 ","$1,309.00 ",$287.98 ,"$1,099.56 ",$525.00 ,$525.00 ,$340.34 ,$850.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,$546.00 ,$354.90 ,$86.31 ,$546.00 ,$300.30 ,$327.60 ,$327.60 ,$141.96 ,$152.88 ,$278.46 ,$141.96 ,$321.05 ,$136.50 ,$436.80 ,$436.80 ,$141.96 ,$86.31 ,$228.23 ,$234.75 ,$456.08 ,$141.96 ,$546.00 ,$120.12 ,$409.50 ,$387.66 ,$387.66 ,$120.12 ,$387.66 ,$458.64 ,$458.64 ,$458.64 , N/A ,$491.40 ,$300.30 ,$464.10 ,$120.12 ,$546.00 ,$327.60 ,$120.12 ,$227.14 ,$207.80 ,$188.91 ,$141.96 ,$464.10 ,$346.62 ,$436.80 ,$152.88 ,$491.40 ,$546.00 ,$120.12 ,$458.64 ,$525.00 ,$525.00 ,$141.96 ,$354.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$473.00 ,$307.45 ,$99.35 ,$473.00 ,$260.15 ,$283.80 ,$283.80 ,$122.98 ,$132.44 ,$241.23 ,$122.98 ,$278.12 ,$118.25 ,$378.40 ,$378.40 ,$122.98 ,$99.35 ,$197.71 ,$272.91 ,$456.08 ,$122.98 ,$473.00 ,$104.06 ,$354.75 ,$335.83 ,$335.83 ,$104.06 ,$335.83 ,$397.32 ,$397.32 ,$397.32 , N/A ,$425.70 ,$260.15 ,$402.05 ,$104.06 ,$473.00 ,$283.80 ,$104.06 ,$196.77 ,$207.80 ,$188.91 ,$122.98 ,$402.05 ,$346.62 ,$378.40 ,$132.44 ,$425.70 ,$473.00 ,$104.06 ,$397.32 ,$473.00 ,$473.00 ,$122.98 ,$307.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$654.00 ,$425.10 ,$85.66 ,$654.00 ,$359.70 ,$392.40 ,$392.40 ,$170.04 ,$183.12 ,$333.54 ,$170.04 ,$384.55 ,$163.50 ,$523.20 ,$523.20 ,$170.04 ,$85.66 ,$273.37 ,$239.52 ,$456.08 ,$170.04 ,$654.00 ,$143.88 ,$490.50 ,$464.34 ,$464.34 ,$143.88 ,$464.34 ,$549.36 ,$549.36 ,$549.36 , N/A ,$588.60 ,$359.70 ,$555.90 ,$143.88 ,$654.00 ,$392.40 ,$143.88 ,$272.06 ,$207.80 ,$188.91 ,$170.04 ,$555.90 ,$346.62 ,$523.20 ,$183.12 ,$588.60 ,$654.00 ,$143.88 ,$549.36 ,$525.00 ,$525.00 ,$170.04 ,$425.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000315,74270,HC XRAY COLON BARIUM,320,1 ,$546.00 ,$354.90 ,$106.85 ,$546.00 ,$300.30 ,$327.60 ,$327.60 ,$141.96 ,$152.88 ,$278.46 ,$141.96 ,$321.05 ,$136.50 ,$436.80 ,$436.80 ,$141.96 ,$106.85 ,$228.23 ,$339.68 ,$456.08 ,$141.96 ,$546.00 ,$120.12 ,$409.50 ,$387.66 ,$387.66 ,$120.12 ,$387.66 ,$458.64 ,$458.64 ,$458.64 , N/A ,$491.40 ,$300.30 ,$464.10 ,$120.12 ,$546.00 ,$327.60 ,$120.12 ,$227.14 ,$207.80 ,$188.91 ,$141.96 ,$464.10 ,$346.62 ,$436.80 ,$152.88 ,$491.40 ,$546.00 ,$120.12 ,$458.64 ,$525.00 ,$525.00 ,$141.96 ,$354.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,$546.00 ,$354.90 ,$106.85 ,$546.00 ,$300.30 ,$327.60 ,$327.60 ,$141.96 ,$152.88 ,$278.46 ,$141.96 ,$321.05 ,$136.50 ,$436.80 ,$436.80 ,$141.96 ,$106.85 ,$228.23 ,$339.68 ,$456.08 ,$141.96 ,$546.00 ,$120.12 ,$409.50 ,$387.66 ,$387.66 ,$120.12 ,$387.66 ,$458.64 ,$458.64 ,$458.64 , N/A ,$491.40 ,$300.30 ,$464.10 ,$120.12 ,$546.00 ,$327.60 ,$120.12 ,$227.14 ,$207.80 ,$188.91 ,$141.96 ,$464.10 ,$346.62 ,$436.80 ,$152.88 ,$491.40 ,$546.00 ,$120.12 ,$458.64 ,$525.00 ,$525.00 ,$141.96 ,$354.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,$546.00 ,$354.90 ,$106.85 ,$546.00 ,$300.30 ,$327.60 ,$327.60 ,$141.96 ,$152.88 ,$278.46 ,$141.96 ,$321.05 ,$136.50 ,$436.80 ,$436.80 ,$141.96 ,$106.85 ,$228.23 ,$339.68 ,$456.08 ,$141.96 ,$546.00 ,$120.12 ,$409.50 ,$387.66 ,$387.66 ,$120.12 ,$387.66 ,$458.64 ,$458.64 ,$458.64 , N/A ,$491.40 ,$300.30 ,$464.10 ,$120.12 ,$546.00 ,$327.60 ,$120.12 ,$227.14 ,$207.80 ,$188.91 ,$141.96 ,$464.10 ,$346.62 ,$436.80 ,$152.88 ,$491.40 ,$546.00 ,$120.12 ,$458.64 ,$525.00 ,$525.00 ,$141.96 ,$354.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000320,74280,HC XRAY COLON BARIUM AIR CONTRAST,320,1 ,"$1,349.00 ",$876.85 ,$164.55 ,"$1,349.00 ",$741.95 ,$809.40 ,$809.40 ,$350.74 ,$377.72 ,$687.99 ,$350.74 ,$793.21 ,$337.25 ,"$1,079.20 ","$1,079.20 ",$350.74 ,$164.55 ,$563.88 ,$477.04 ,$456.08 ,$350.74 ,"$1,349.00 ",$296.78 ,"$1,011.75 ",$957.79 ,$957.79 ,$296.78 ,$957.79 ,"$1,133.16 ","$1,133.16 ","$1,133.16 ", N/A ,"$1,214.10 ",$741.95 ,"$1,146.65 ",$296.78 ,"$1,349.00 ",$809.40 ,$296.78 ,$561.18 ,$207.80 ,$188.91 ,$350.74 ,"$1,146.65 ",$346.62 ,"$1,079.20 ",$377.72 ,"$1,214.10 ","$1,349.00 ",$296.78 ,"$1,133.16 ",$525.00 ,$525.00 ,$350.74 ,$876.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,010.00 ",$656.50 ,$13.75 ,"$1,010.00 ",$555.50 ,$606.00 ,$606.00 ,$262.60 ,$282.80 ,$515.10 ,$262.60 ,$586.93 ,$252.50 ,$808.00 ,$808.00 ,$262.60 ,$13.75 ,$422.18 ,$686.80 , N/A ,$262.60 ,"$1,010.00 ",$222.20 ,$757.50 ,$717.10 ,$717.10 ,$222.20 ,$717.10 ,$848.40 ,$848.40 ,$848.40 , N/A ,$909.00 ,$555.50 ,$858.50 ,$222.20 ,"$1,010.00 ",$606.00 ,$222.20 ,$420.16 ,$538.47 ,$489.52 ,$262.60 ,$858.50 , N/A ,$808.00 ,$282.80 ,$909.00 ,"$1,010.00 ",$222.20 ,$848.40 ,$525.00 ,$525.00 ,$262.60 ,$656.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000324,74301,HC CHOLANGIOGRAPHY OPERATIVE ADDL,320,1 ,$298.00 ,$193.70 ,$10.45 ,$538.47 ,$163.90 ,$178.80 ,$178.80 ,$77.48 ,$83.44 ,$151.98 ,$77.48 ,$175.22 ,$74.50 ,$238.40 ,$238.40 ,$77.48 ,$10.45 ,$124.56 ,$202.64 , N/A ,$77.48 ,$298.00 ,$65.56 ,$223.50 ,$211.58 ,$211.58 ,$65.56 ,$211.58 ,$250.32 ,$250.32 ,$250.32 , N/A ,$268.20 ,$163.90 ,$253.30 ,$65.56 ,$298.00 ,$178.80 ,$65.56 ,$123.97 ,$538.47 ,$489.52 ,$77.48 ,$253.30 , N/A ,$238.40 ,$83.44 ,$268.20 ,$298.00 ,$65.56 ,$250.32 ,$298.00 ,$298.00 ,$77.48 ,$193.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000325,47531,HC XRAY CHOLANGIOGRAM THRU CATH,320,1 ,"$1,465.00 ",$952.25 ,$71.52 ,"$8,123.38 ",$805.75 ,$879.00 ,$879.00 ,$380.90 ,$410.20 ,$713.46 ,$380.90 ,$821.87 ,$366.25 ,"$1,172.00 ","$1,172.00 ",$380.90 ,$71.52 ,$612.37 ,$996.20 ,"$8,123.38 ",$380.90 ,"$1,465.00 ",$322.30 ,"$1,098.75 ","$1,040.15 ","$1,040.15 ",$322.30 ,"$1,040.15 ","$1,230.60 ","$1,230.60 ","$1,230.60 ", N/A ,"$1,318.50 ",$805.75 ,"$1,245.25 ",$322.30 ,"$1,465.00 ",$879.00 ,$322.30 ,$609.44 ,$207.80 ,$188.91 ,$380.90 ,"$1,245.25 ","$6,173.77 ","$1,172.00 ",$410.20 ,"$1,318.50 ","$1,465.00 ",$322.30 ,"$1,230.60 ",$525.00 ,$525.00 ,$380.90 ,$952.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000331,74340,HC INTRODUCTION LONG GI TUBE,320,1 ,$458.00 ,$297.70 ,$27.18 ,$538.47 ,$251.90 ,$274.80 ,$274.80 ,$119.08 ,$128.24 ,$233.58 ,$119.08 ,$269.30 ,$114.50 ,$366.40 ,$366.40 ,$119.08 ,$27.18 ,$191.44 ,$311.44 , N/A ,$119.08 ,$458.00 ,$100.76 ,$343.50 ,$325.18 ,$325.18 ,$100.76 ,$325.18 ,$384.72 ,$384.72 ,$384.72 , N/A ,$412.20 ,$251.90 ,$389.30 ,$100.76 ,$458.00 ,$274.80 ,$100.76 ,$190.53 ,$538.47 ,$489.52 ,$119.08 ,$389.30 , N/A ,$366.40 ,$128.24 ,$412.20 ,$458.00 ,$100.76 ,$384.72 ,$458.00 ,$458.00 ,$119.08 ,$297.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000335,74400,HC XRAY IVP W OR W/O TOMO,320,1 ,$663.00 ,$430.95 ,$112.72 ,$663.00 ,$364.65 ,$397.80 ,$397.80 ,$172.38 ,$185.64 ,$338.13 ,$172.38 ,$389.84 ,$165.75 ,$530.40 ,$530.40 ,$172.38 ,$112.72 ,$277.13 ,$253.83 ,$456.08 ,$172.38 ,$663.00 ,$145.86 ,$497.25 ,$470.73 ,$470.73 ,$145.86 ,$470.73 ,$556.92 ,$556.92 ,$556.92 , N/A ,$596.70 ,$364.65 ,$563.55 ,$145.86 ,$663.00 ,$397.80 ,$145.86 ,$275.81 ,$589.45 ,$535.86 ,$172.38 ,$563.55 ,$346.62 ,$530.40 ,$185.64 ,$596.70 ,$663.00 ,$145.86 ,$556.92 ,$525.00 ,$525.00 ,$172.38 ,$430.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,"$1,275.00 ",$828.75 ,$51.43 ,"$1,275.00 ",$701.25 ,$765.00 ,$765.00 ,$331.50 ,$357.00 ,$650.25 ,$331.50 ,$749.70 ,$318.75 ,"$1,020.00 ","$1,020.00 ",$331.50 ,$51.43 ,$532.95 ,$123.15 ,$940.23 ,$331.50 ,"$1,275.00 ",$280.50 ,$956.25 ,$905.25 ,$905.25 ,$280.50 ,$905.25 ,"$1,071.00 ","$1,071.00 ","$1,071.00 ", N/A ,"$1,147.50 ",$701.25 ,"$1,083.75 ",$280.50 ,"$1,275.00 ",$765.00 ,$280.50 ,$530.40 ,$589.45 ,$535.86 ,$331.50 ,"$1,083.75 ",$714.57 ,"$1,020.00 ",$357.00 ,"$1,147.50 ","$1,275.00 ",$280.50 ,"$1,071.00 ",$525.00 ,$525.00 ,$331.50 ,$828.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$770.00 ,$500.50 ,$25.35 ,$940.23 ,$423.50 ,$462.00 ,$462.00 ,$200.20 ,$215.60 ,$364.14 ,$200.20 ,$364.14 ,$192.50 ,$616.00 ,$616.00 ,$200.20 ,$25.35 ,$321.86 ,$62.10 ,$940.23 ,$200.20 ,$770.00 ,$169.40 ,$577.50 ,$546.70 ,$546.70 ,$169.40 ,$546.70 ,$646.80 ,$646.80 ,$646.80 , N/A ,$693.00 ,$423.50 ,$654.50 ,$169.40 ,$770.00 ,$462.00 ,$169.40 ,$320.32 ,$538.47 ,$489.52 ,$200.20 ,$654.50 ,$714.57 ,$616.00 ,$215.60 ,$693.00 ,$770.00 ,$169.40 ,$646.80 ,$525.00 ,$525.00 ,$200.20 ,$500.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,$827.00 ,$537.55 ,$15.91 ,$827.00 ,$454.85 ,$496.20 ,$496.20 ,$215.02 ,$231.56 ,$421.77 ,$215.02 ,$486.28 ,$206.75 ,$661.60 ,$661.60 ,$215.02 ,$15.91 ,$345.69 ,$150.51 ,$587.50 ,$215.02 ,$827.00 ,$181.94 ,$620.25 ,$587.17 ,$587.17 ,$181.94 ,$587.17 ,$694.68 ,$694.68 ,$694.68 , N/A ,$744.30 ,$454.85 ,$702.95 ,$181.94 ,$827.00 ,$496.20 ,$181.94 ,$344.03 ,$538.47 ,$489.52 ,$215.02 ,$702.95 ,$446.50 ,$661.60 ,$231.56 ,$744.30 ,$827.00 ,$181.94 ,$694.68 ,$525.00 ,$525.00 ,$215.02 ,$537.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,$657.00 ,$427.05 ,$89.24 ,$657.00 ,$361.35 ,$394.20 ,$394.20 ,$170.82 ,$183.96 ,$335.07 ,$170.82 ,$386.32 ,$164.25 ,$525.60 ,$525.60 ,$170.82 ,$89.24 ,$274.63 ,$198.50 ,$587.50 ,$170.82 ,$657.00 ,$144.54 ,$492.75 ,$466.47 ,$466.47 ,$144.54 ,$466.47 ,$551.88 ,$551.88 ,$551.88 , N/A ,$591.30 ,$361.35 ,$558.45 ,$144.54 ,$657.00 ,$394.20 ,$144.54 ,$273.31 ,$538.47 ,$489.52 ,$170.82 ,$558.45 ,$446.50 ,$525.60 ,$183.96 ,$591.30 ,$657.00 ,$144.54 ,$551.88 ,$525.00 ,$525.00 ,$170.82 ,$427.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000444,49406,HC PERC DRN ABSC/HEM/CYST PERIT/RETROPER,320,1 ,"$4,311.00 ","$2,802.15 ",$200.92 ,"$4,311.00 ","$2,371.05 ","$2,586.60 ","$2,586.60 ","$1,120.86 ","$1,207.08 ","$2,099.46 ","$1,120.86 ","$2,418.47 ","$1,077.75 ","$3,448.80 ","$3,448.80 ","$1,120.86 ",$200.92 ,"$1,802.00 ","$2,931.48 ","$3,592.48 ","$1,120.86 ","$4,311.00 ",$948.42 ,"$3,233.25 ","$3,060.81 ","$3,060.81 ",$948.42 ,"$3,060.81 ","$3,621.24 ","$3,621.24 ","$3,621.24 ", N/A ,"$3,879.90 ","$2,371.05 ","$3,664.35 ",$948.42 ,"$4,311.00 ","$2,586.60 ",$948.42 ,"$1,793.38 ","$1,174.58 ","$1,067.80 ","$1,120.86 ","$3,664.35 ","$2,730.28 ","$3,448.80 ","$1,207.08 ","$3,879.90 ","$4,311.00 ",$948.42 ,"$3,621.24 ",$525.00 ,$525.00 ,"$1,120.86 ","$2,802.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$1,847.00 ","$1,200.55 ",$58.28 ,"$1,847.00 ","$1,015.85 ","$1,108.20 ","$1,108.20 ",$480.22 ,$517.16 ,$941.97 ,$480.22 ,"$1,036.15 ",$461.75 ,"$1,477.60 ","$1,477.60 ",$480.22 ,$58.28 ,$772.05 ,"$1,255.96 ", N/A ,$480.22 ,"$1,847.00 ",$406.34 ,"$1,385.25 ","$1,311.37 ","$1,311.37 ",$406.34 ,"$1,311.37 ","$1,551.48 ","$1,551.48 ","$1,551.48 ", N/A ,"$1,662.30 ","$1,015.85 ","$1,569.95 ",$406.34 ,"$1,847.00 ","$1,108.20 ",$406.34 ,$768.35 ,$538.47 ,$489.52 ,$480.22 ,"$1,569.95 ", N/A ,"$1,477.60 ",$517.16 ,"$1,662.30 ","$1,847.00 ",$406.34 ,"$1,551.48 ",$525.00 ,$525.00 ,$480.22 ,"$1,200.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,$735.00 ,$477.75 ,$27.31 ,$735.00 ,$404.25 ,$441.00 ,$441.00 ,$191.10 ,$205.80 ,$374.85 ,$191.10 ,$432.18 ,$183.75 ,$588.00 ,$588.00 ,$191.10 ,$27.31 ,$307.23 ,$84.99 ,$587.50 ,$191.10 ,$735.00 ,$161.70 ,$551.25 ,$521.85 ,$521.85 ,$161.70 ,$521.85 ,$617.40 ,$617.40 ,$617.40 , N/A ,$661.50 ,$404.25 ,$624.75 ,$161.70 ,$735.00 ,$441.00 ,$161.70 ,$305.76 ,$94.49 ,$85.90 ,$191.10 ,$624.75 ,$446.50 ,$588.00 ,$205.80 ,$661.50 ,$735.00 ,$161.70 ,$617.40 ,$525.00 ,$525.00 ,$191.10 ,$477.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000464,76010,HC BABYGRAM,320,1 ,$363.00 ,$235.95 ,$20.79 ,$363.00 ,$199.65 ,$217.80 ,$217.80 ,$94.38 ,$101.64 ,$185.13 ,$94.38 ,$213.44 ,$90.75 ,$290.40 ,$290.40 ,$94.38 ,$20.79 ,$151.73 ,$48.74 ,$206.53 ,$94.38 ,$363.00 ,$79.86 ,$272.25 ,$257.73 ,$257.73 ,$79.86 ,$257.73 ,$304.92 ,$304.92 ,$304.92 , N/A ,$326.70 ,$199.65 ,$308.55 ,$79.86 ,$363.00 ,$217.80 ,$79.86 ,$151.01 ,$94.49 ,$85.90 ,$94.38 ,$308.55 ,$156.96 ,$290.40 ,$101.64 ,$326.70 ,$363.00 ,$79.86 ,$304.92 ,$363.00 ,$363.00 ,$94.38 ,$235.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000465,76080,HC ABSCESS FISTULA OR SINUS TRACT,320,1 ,"$1,317.00 ",$856.05 ,$35.13 ,"$1,317.00 ",$724.35 ,$790.20 ,$790.20 ,$342.42 ,$368.76 ,$474.28 ,$342.42 ,$474.28 ,$329.25 ,"$1,053.60 ","$1,053.60 ",$342.42 ,$35.13 ,$550.51 ,$83.08 ,"$1,233.70 ",$342.42 ,"$1,317.00 ",$289.74 ,$987.75 ,$935.07 ,$935.07 ,$289.74 ,$935.07 ,"$1,106.28 ","$1,106.28 ","$1,106.28 ", N/A ,"$1,185.30 ",$724.35 ,"$1,119.45 ",$289.74 ,"$1,317.00 ",$790.20 ,$289.74 ,$547.87 ,$538.47 ,$489.52 ,$342.42 ,"$1,119.45 ",$937.61 ,"$1,053.60 ",$368.76 ,"$1,185.30 ","$1,317.00 ",$289.74 ,"$1,106.28 ",$525.00 ,$525.00 ,$342.42 ,$856.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$404.00 ,$262.60 ,$22.99 ,"$1,233.70 ",$222.20 ,$242.40 ,$242.40 ,$105.04 ,$113.12 ,$149.78 ,$105.04 ,$149.78 ,$101.00 ,$323.20 ,$323.20 ,$105.04 ,$25.02 ,$168.87 ,$22.99 ,"$1,233.70 ",$105.04 ,$404.00 ,$88.88 ,$303.00 ,$286.84 ,$286.84 ,$88.88 ,$286.84 ,$339.36 ,$339.36 ,$339.36 , N/A ,$363.60 ,$222.20 ,$343.40 ,$88.88 ,$28.70 ,$242.40 ,$88.88 ,$168.06 ,$94.49 ,$85.90 ,$105.04 ,$343.40 ,$937.61 ,$323.20 ,$113.12 ,$363.60 ,$404.00 ,$88.88 ,$339.36 ,$404.00 ,$404.00 ,$105.04 ,$262.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,"$1,242.00 ",$807.30 ,$83.05 ,"$1,242.00 ",$683.10 ,$745.20 ,$745.20 ,$322.92 ,$347.76 ,$633.42 ,$322.92 ,$730.30 ,$310.50 ,$993.60 ,$993.60 ,$322.92 ,$83.05 ,$519.16 ,$844.56 , N/A ,$322.92 ,"$1,242.00 ",$273.24 ,$931.50 ,$881.82 ,$881.82 ,$273.24 ,$881.82 ,"$1,043.28 ","$1,043.28 ","$1,043.28 ", N/A ,"$1,117.80 ",$683.10 ,"$1,055.70 ",$273.24 ,"$1,242.00 ",$745.20 ,$273.24 ,$516.67 ,$538.47 ,$489.52 ,$322.92 ,"$1,055.70 ", N/A ,$993.60 ,$347.76 ,"$1,117.80 ","$1,242.00 ",$273.24 ,"$1,043.28 ",$525.00 ,$525.00 ,$322.92 ,$807.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$474.00 ,$308.10 ,$87.94 ,$538.47 ,$260.70 ,$284.40 ,$284.40 ,$123.24 ,$132.72 ,$241.74 ,$123.24 ,$278.71 ,$118.50 ,$379.20 ,$379.20 ,$123.24 ,$87.94 ,$198.13 ,$322.32 , N/A ,$123.24 ,$474.00 ,$104.28 ,$355.50 ,$336.54 ,$336.54 ,$104.28 ,$336.54 ,$398.16 ,$398.16 ,$398.16 , N/A ,$426.60 ,$260.70 ,$402.90 ,$104.28 ,$474.00 ,$284.40 ,$104.28 ,$197.18 ,$538.47 ,$489.52 ,$123.24 ,$402.90 , N/A ,$379.20 ,$132.72 ,$426.60 ,$474.00 ,$104.28 ,$398.16 ,$474.00 ,$474.00 ,$123.24 ,$308.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$522.00 ,$339.30 ,$75.55 ,$538.47 ,$287.10 ,$313.20 ,$313.20 ,$135.72 ,$146.16 ,$266.22 ,$135.72 ,$306.94 ,$130.50 ,$417.60 ,$417.60 ,$135.72 ,$75.55 ,$218.20 ,$354.96 , N/A ,$135.72 ,$522.00 ,$114.84 ,$391.50 ,$370.62 ,$370.62 ,$114.84 ,$370.62 ,$438.48 ,$438.48 ,$438.48 , N/A ,$469.80 ,$287.10 ,$443.70 ,$114.84 ,$522.00 ,$313.20 ,$114.84 ,$217.15 ,$538.47 ,$489.52 ,$135.72 ,$443.70 , N/A ,$417.60 ,$146.16 ,$469.80 ,$522.00 ,$114.84 ,$438.48 ,$522.00 ,$522.00 ,$135.72 ,$339.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$2,741.00 ","$1,781.65 ",$104.18 ,"$2,741.00 ","$1,507.55 ","$1,644.60 ","$1,644.60 ",$712.66 ,$767.48 ,"$1,334.87 ",$712.66 ,"$1,537.70 ",$685.25 ,"$2,192.80 ","$2,192.80 ",$712.66 ,$104.18 ,"$1,145.74 ","$1,863.88 ","$1,588.85 ",$712.66 ,"$2,741.00 ",$603.02 ,"$2,055.75 ","$1,946.11 ","$1,946.11 ",$603.02 ,"$1,946.11 ","$2,302.44 ","$2,302.44 ","$2,302.44 ", N/A ,"$2,466.90 ","$1,507.55 ","$2,329.85 ",$603.02 ,$294.90 ,"$1,644.60 ",$603.02 ,"$1,140.26 ",$304.13 ,$276.48 ,$712.66 ,"$2,329.85 ","$1,207.53 ","$2,192.80 ",$767.48 ,"$2,466.90 ","$2,741.00 ",$603.02 ,"$2,302.44 ",$525.00 ,$525.00 ,$712.66 ,"$1,781.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,827.00 ","$1,187.55 ",$92.16 ,"$1,827.00 ","$1,004.85 ","$1,096.20 ","$1,096.20 ",$475.02 ,$511.56 ,$889.75 ,$475.02 ,"$1,024.95 ",$456.75 ,"$1,461.60 ","$1,461.60 ",$475.02 ,$104.18 ,$763.69 ,"$1,242.36 ",$794.43 ,$475.02 ,"$1,827.00 ",$401.94 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$401.94 ,"$1,297.17 ","$1,534.68 ","$1,534.68 ","$1,534.68 ", N/A ,"$1,644.30 ","$1,004.85 ","$1,552.95 ",$401.94 ,$294.90 ,"$1,096.20 ",$401.94 ,$760.03 ,$101.38 ,$92.16 ,$475.02 ,"$1,552.95 ",$603.76 ,"$1,461.60 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$401.94 ,"$1,534.68 ",$525.00 ,$525.00 ,$475.02 ,"$1,187.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000483,19283,HC MAMM STER GUIDE BRST NDL PL,320,1 ,"$1,827.00 ","$1,187.55 ",$92.16 ,"$1,827.00 ","$1,004.85 ","$1,096.20 ","$1,096.20 ",$475.02 ,$511.56 ,$889.75 ,$475.02 ,"$1,024.95 ",$456.75 ,"$1,461.60 ","$1,461.60 ",$475.02 ,$104.18 ,$763.69 ,"$1,242.36 ",$794.43 ,$475.02 ,"$1,827.00 ",$401.94 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$401.94 ,"$1,297.17 ","$1,534.68 ","$1,534.68 ","$1,534.68 ", N/A ,"$1,644.30 ","$1,004.85 ","$1,552.95 ",$401.94 ,$294.90 ,"$1,096.20 ",$401.94 ,$760.03 ,$101.38 ,$92.16 ,$475.02 ,"$1,552.95 ",$603.76 ,"$1,461.60 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$401.94 ,"$1,534.68 ",$525.00 ,$525.00 ,$475.02 ,"$1,187.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000487,19081,HC MAMM STER GUIDE BRST MAMMT STEREO CORE,320,1 ,"$4,862.00 ","$3,160.30 ",$171.62 ,"$4,862.00 ","$2,674.10 ","$2,917.20 ","$2,917.20 ","$1,264.12 ","$1,361.36 ","$2,367.79 ","$1,264.12 ","$2,727.58 ","$1,215.50 ","$3,889.60 ","$3,889.60 ","$1,264.12 ",$171.62 ,"$2,032.32 ","$3,306.16 ","$3,592.48 ","$1,264.12 ","$4,862.00 ","$1,069.64 ","$3,646.50 ","$3,452.02 ","$3,452.02 ","$1,069.64 ","$3,452.02 ","$4,084.08 ","$4,084.08 ","$4,084.08 ", N/A ,"$4,375.80 ","$2,674.10 ","$4,132.70 ","$1,069.64 ",$619.99 ,"$2,917.20 ","$1,069.64 ","$2,022.59 ","$2,093.03 ","$1,902.75 ","$1,264.12 ","$4,132.70 ","$2,730.28 ","$3,889.60 ","$1,361.36 ","$4,375.80 ","$4,862.00 ","$1,069.64 ","$4,084.08 ",$525.00 ,$525.00 ,"$1,264.12 ","$3,160.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,827.00 ","$1,187.55 ",$92.16 ,"$1,827.00 ","$1,004.85 ","$1,096.20 ","$1,096.20 ",$475.02 ,$511.56 ,$889.75 ,$475.02 ,"$1,024.95 ",$456.75 ,"$1,461.60 ","$1,461.60 ",$475.02 ,$103.03 ,$763.69 ,"$1,242.36 ",$794.43 ,$475.02 ,"$1,827.00 ",$401.94 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$401.94 ,"$1,297.17 ","$1,534.68 ","$1,534.68 ","$1,534.68 ", N/A ,"$1,644.30 ","$1,004.85 ","$1,552.95 ",$401.94 ,$266.06 ,"$1,096.20 ",$401.94 ,$760.03 ,$101.38 ,$92.16 ,$475.02 ,"$1,552.95 ",$603.76 ,"$1,461.60 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$401.94 ,"$1,534.68 ",$525.00 ,$525.00 ,$475.02 ,"$1,187.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,827.00 ","$1,187.55 ",$92.16 ,"$1,827.00 ","$1,004.85 ","$1,096.20 ","$1,096.20 ",$475.02 ,$511.56 ,$889.75 ,$475.02 ,"$1,024.95 ",$456.75 ,"$1,461.60 ","$1,461.60 ",$475.02 ,$103.03 ,$763.69 ,"$1,242.36 ",$794.43 ,$475.02 ,"$1,827.00 ",$401.94 ,"$1,370.25 ","$1,297.17 ","$1,297.17 ",$401.94 ,"$1,297.17 ","$1,534.68 ","$1,534.68 ","$1,534.68 ", N/A ,"$1,644.30 ","$1,004.85 ","$1,552.95 ",$401.94 ,$266.06 ,"$1,096.20 ",$401.94 ,$760.03 ,$101.38 ,$92.16 ,$475.02 ,"$1,552.95 ",$603.76 ,"$1,461.60 ",$511.56 ,"$1,644.30 ","$1,827.00 ",$401.94 ,"$1,534.68 ",$525.00 ,$525.00 ,$475.02 ,"$1,187.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$2,741.00 ","$1,781.65 ",$103.03 ,"$2,741.00 ","$1,507.55 ","$1,644.60 ","$1,644.60 ",$712.66 ,$767.48 ,"$1,334.87 ",$712.66 ,"$1,537.70 ",$685.25 ,"$2,192.80 ","$2,192.80 ",$712.66 ,$103.03 ,"$1,145.74 ","$1,863.88 ","$1,588.85 ",$712.66 ,"$2,741.00 ",$603.02 ,"$2,055.75 ","$1,946.11 ","$1,946.11 ",$603.02 ,"$1,946.11 ","$2,302.44 ","$2,302.44 ","$2,302.44 ", N/A ,"$2,466.90 ","$1,507.55 ","$2,329.85 ",$603.02 ,$266.06 ,"$1,644.60 ",$603.02 ,"$1,140.26 ",$304.13 ,$276.48 ,$712.66 ,"$2,329.85 ","$1,207.53 ","$2,192.80 ",$767.48 ,"$2,466.90 ","$2,741.00 ",$603.02 ,"$2,302.44 ",$525.00 ,$525.00 ,$712.66 ,"$1,781.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,$560.00 ,$364.00 ,$35.46 ,$587.50 ,$308.00 ,$336.00 ,$336.00 ,$145.60 ,$156.80 ,$285.60 ,$145.60 ,$329.28 ,$140.00 ,$448.00 ,$448.00 ,$145.60 ,$35.46 ,$234.08 ,$105.98 ,$587.50 ,$145.60 ,$560.00 ,$123.20 ,$420.00 ,$397.60 ,$397.60 ,$123.20 ,$397.60 ,$470.40 ,$470.40 ,$470.40 , N/A ,$504.00 ,$308.00 ,$476.00 ,$123.20 ,$40.72 ,$336.00 ,$123.20 ,$232.96 ,$538.47 ,$489.52 ,$145.60 ,$476.00 ,$446.50 ,$448.00 ,$156.80 ,$504.00 ,$560.00 ,$123.20 ,$470.40 ,$525.00 ,$525.00 ,$145.60 ,$364.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$641.00 ,$416.65 ,$31.54 ,$641.00 ,$352.55 ,$384.60 ,$384.60 ,$166.66 ,$179.48 ,$326.91 ,$166.66 ,$358.33 ,$160.25 ,$512.80 ,$512.80 ,$166.66 ,$31.54 ,$267.94 ,$62.10 ,$277.98 ,$166.66 ,$641.00 ,$141.02 ,$480.75 ,$455.11 ,$455.11 ,$141.02 ,$455.11 ,$538.44 ,$538.44 ,$538.44 , N/A ,$576.90 ,$352.55 ,$544.85 ,$141.02 ,$641.00 ,$384.60 ,$141.02 ,$266.66 ,$94.49 ,$85.90 ,$166.66 ,$544.85 ,$211.26 ,$512.80 ,$179.48 ,$576.90 ,$641.00 ,$141.02 ,$538.44 ,$525.00 ,$525.00 ,$166.66 ,$416.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,077.00 ",$700.05 ,$71.64 ,"$1,077.00 ",$592.35 ,$646.20 ,$646.20 ,$280.02 ,$301.56 ,$549.27 ,$280.02 ,$633.28 ,$269.25 ,$861.60 ,$861.60 ,$280.02 ,$71.64 ,$450.19 ,$174.66 ,$277.98 ,$280.02 ,"$1,077.00 ",$236.94 ,$807.75 ,$764.67 ,$764.67 ,$236.94 ,$764.67 ,$904.68 ,$904.68 ,$904.68 , N/A ,$969.30 ,$592.35 ,$915.45 ,$236.94 ,"$1,077.00 ",$646.20 ,$236.94 ,$448.03 ,$94.49 ,$85.90 ,$280.02 ,$915.45 ,$211.26 ,$861.60 ,$301.56 ,$969.30 ,"$1,077.00 ",$236.94 ,$904.68 ,$525.00 ,$525.00 ,$280.02 ,$700.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000496,77080,HC BONE DENSITY DXA,320,1 ,$535.00 ,$347.75 ,$26.98 ,$535.00 ,$294.25 ,$321.00 ,$321.00 ,$139.10 ,$149.80 ,$272.85 ,$139.10 ,$314.58 ,$133.75 ,$428.00 ,$428.00 ,$139.10 ,$26.98 ,$223.63 ,$81.17 ,$277.98 ,$139.10 ,$535.00 ,$117.70 ,$401.25 ,$379.85 ,$379.85 ,$117.70 ,$379.85 ,$449.40 ,$449.40 ,$449.40 , N/A ,$481.50 ,$294.25 ,$454.75 ,$117.70 ,$535.00 ,$321.00 ,$117.70 ,$222.56 ,$149.26 ,$135.69 ,$139.10 ,$454.75 ,$211.26 ,$428.00 ,$149.80 ,$481.50 ,$535.00 ,$117.70 ,$449.40 ,$525.00 ,$525.00 ,$139.10 ,$347.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,$735.00 ,$477.75 ,$27.31 ,$735.00 ,$404.25 ,$441.00 ,$441.00 ,$191.10 ,$205.80 ,$374.85 ,$191.10 ,$432.18 ,$183.75 ,$588.00 ,$588.00 ,$191.10 ,$27.31 ,$307.23 ,$84.99 ,$587.50 ,$191.10 ,$735.00 ,$161.70 ,$551.25 ,$521.85 ,$521.85 ,$161.70 ,$521.85 ,$617.40 ,$617.40 ,$617.40 , N/A ,$661.50 ,$404.25 ,$624.75 ,$161.70 ,$735.00 ,$441.00 ,$161.70 ,$305.76 ,$94.49 ,$85.90 ,$191.10 ,$624.75 ,$446.50 ,$588.00 ,$205.80 ,$661.50 ,$735.00 ,$161.70 ,$617.40 ,$525.00 ,$525.00 ,$191.10 ,$477.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$361.00 ,$234.65 ,$41.48 ,$667.08 ,$198.55 ,$216.60 ,$216.60 ,$93.86 ,$101.08 ,$175.81 ,$93.86 ,$202.52 ,$90.25 ,$288.80 ,$288.80 ,$93.86 ,$41.48 ,$150.90 ,$245.48 ,$667.08 ,$93.86 ,$361.00 ,$79.42 ,$270.75 ,$256.31 ,$256.31 ,$79.42 ,$256.31 ,$303.24 ,$303.24 ,$303.24 , N/A ,$324.90 ,$198.55 ,$306.85 ,$79.42 ,$361.00 ,$216.60 ,$79.42 ,$150.18 ,$549.62 ,$499.65 ,$93.86 ,$306.85 ,$506.98 ,$288.80 ,$101.08 ,$324.90 ,$361.00 ,$79.42 ,$303.24 ,$361.00 ,$361.00 ,$93.86 ,$234.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$402.00 ,$261.30 ,$39.75 ,$667.08 ,$221.10 ,$241.20 ,$241.20 ,$104.52 ,$112.56 ,$195.77 ,$104.52 ,$225.52 ,$100.50 ,$321.60 ,$321.60 ,$104.52 ,$39.75 ,$168.04 ,$273.36 ,$667.08 ,$104.52 ,$402.00 ,$88.44 ,$301.50 ,$285.42 ,$285.42 ,$88.44 ,$285.42 ,$337.68 ,$337.68 ,$337.68 , N/A ,$361.80 ,$221.10 ,$341.70 ,$88.44 ,$402.00 ,$241.20 ,$88.44 ,$167.23 ,$549.62 ,$499.65 ,$104.52 ,$341.70 ,$506.98 ,$321.60 ,$112.56 ,$361.80 ,$402.00 ,$88.44 ,$337.68 ,$402.00 ,$402.00 ,$104.52 ,$261.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000506,20553,HC INJ TRIGGER PT 3+ MUSC GROUP,320,1 ,$757.00 ,$492.05 ,$45.07 ,$757.00 ,$416.35 ,$454.20 ,$454.20 ,$196.82 ,$211.96 ,$368.66 ,$196.82 ,$424.68 ,$189.25 ,$605.60 ,$605.60 ,$196.82 ,$45.07 ,$316.43 ,$514.76 ,$667.08 ,$196.82 ,$757.00 ,$166.54 ,$567.75 ,$537.47 ,$537.47 ,$166.54 ,$537.47 ,$635.88 ,$635.88 ,$635.88 , N/A ,$681.30 ,$416.35 ,$643.45 ,$166.54 ,$757.00 ,$454.20 ,$166.54 ,$314.91 ,$549.62 ,$499.65 ,$196.82 ,$643.45 ,$506.98 ,$605.60 ,$211.96 ,$681.30 ,$757.00 ,$166.54 ,$635.88 ,$525.00 ,$525.00 ,$196.82 ,$492.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000509,77072,HC BONE AGE STUDIES,320,1 ,$212.00 ,$137.80 ,$16.87 ,$277.98 ,$116.60 ,$127.20 ,$127.20 ,$55.12 ,$59.36 ,$108.12 ,$55.12 ,$124.66 ,$53.00 ,$169.60 ,$169.60 ,$55.12 ,$16.87 ,$88.62 ,$39.20 ,$277.98 ,$55.12 ,$212.00 ,$46.64 ,$159.00 ,$150.52 ,$150.52 ,$46.64 ,$150.52 ,$178.08 ,$178.08 ,$178.08 , N/A ,$190.80 ,$116.60 ,$180.20 ,$46.64 ,$212.00 ,$127.20 ,$46.64 ,$88.19 ,$94.49 ,$85.90 ,$55.12 ,$180.20 ,$211.26 ,$169.60 ,$59.36 ,$190.80 ,$212.00 ,$46.64 ,$178.08 ,$212.00 ,$212.00 ,$55.12 ,$137.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,$870.00 ,$565.50 ,$114.18 ,"$1,380.10 ",$478.50 ,$522.00 ,$522.00 ,$226.20 ,$243.60 ,$423.69 ,$226.20 ,$488.07 ,$217.50 ,$696.00 ,$696.00 ,$226.20 ,$114.18 ,$363.66 ,$591.60 ,"$1,380.10 ",$226.20 ,$870.00 ,$191.40 ,$652.50 ,$617.70 ,$617.70 ,$191.40 ,$617.70 ,$730.80 ,$730.80 ,$730.80 , N/A ,$783.00 ,$478.50 ,$739.50 ,$191.40 ,$870.00 ,$522.00 ,$191.40 ,$361.92 ,"$1,174.58 ","$1,067.80 ",$226.20 ,$739.50 ,"$1,048.88 ",$696.00 ,$243.60 ,$783.00 ,$870.00 ,$191.40 ,$730.80 ,$525.00 ,$525.00 ,$226.20 ,$565.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000542,20551,HC INJ TENDON ORIGIN,320,1 ,$750.00 ,$487.50 ,$41.23 ,$750.00 ,$412.50 ,$450.00 ,$450.00 ,$195.00 ,$210.00 ,$365.25 ,$195.00 ,$420.75 ,$187.50 ,$600.00 ,$600.00 ,$195.00 ,$41.23 ,$313.50 ,$510.00 ,$667.08 ,$195.00 ,$750.00 ,$165.00 ,$562.50 ,$532.50 ,$532.50 ,$165.00 ,$532.50 ,$630.00 ,$630.00 ,$630.00 , N/A ,$675.00 ,$412.50 ,$637.50 ,$165.00 ,$750.00 ,$450.00 ,$165.00 ,$312.00 ,$549.62 ,$499.65 ,$195.00 ,$637.50 ,$506.98 ,$600.00 ,$210.00 ,$675.00 ,$750.00 ,$165.00 ,$630.00 ,$525.00 ,$525.00 ,$195.00 ,$487.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$349.00 ,$226.85 ,$32.20 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$32.20 ,$145.88 ,$77.36 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$327.00 ,$212.55 ,$29.91 ,$327.00 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$166.77 ,$85.02 ,$192.28 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$29.91 ,$136.69 ,$60.19 ,$277.98 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,$94.49 ,$85.90 ,$85.02 ,$277.95 ,$211.26 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$380.00 ,$247.00 ,$29.26 ,$380.00 ,$209.00 ,$228.00 ,$228.00 ,$98.80 ,$106.40 ,$193.80 ,$98.80 ,$223.44 ,$95.00 ,$304.00 ,$304.00 ,$98.80 ,$29.26 ,$158.84 ,$67.82 ,$206.53 ,$98.80 ,$380.00 ,$83.60 ,$285.00 ,$269.80 ,$269.80 ,$83.60 ,$269.80 ,$319.20 ,$319.20 ,$319.20 , N/A ,$342.00 ,$209.00 ,$323.00 ,$83.60 ,$380.00 ,$228.00 ,$83.60 ,$158.08 ,$94.49 ,$85.90 ,$98.80 ,$323.00 ,$156.96 ,$304.00 ,$106.40 ,$342.00 ,$380.00 ,$83.60 ,$319.20 ,$380.00 ,$380.00 ,$98.80 ,$247.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$239.00 ,$155.35 ,$29.59 ,$239.00 ,$131.45 ,$143.40 ,$143.40 ,$62.14 ,$66.92 ,$121.89 ,$62.14 ,$140.53 ,$59.75 ,$191.20 ,$191.20 ,$62.14 ,$29.59 ,$99.90 ,$71.64 ,$206.53 ,$62.14 ,$239.00 ,$52.58 ,$179.25 ,$169.69 ,$169.69 ,$52.58 ,$169.69 ,$200.76 ,$200.76 ,$200.76 , N/A ,$215.10 ,$131.45 ,$203.15 ,$52.58 ,$239.00 ,$143.40 ,$52.58 ,$99.42 ,$94.49 ,$85.90 ,$62.14 ,$203.15 ,$156.96 ,$191.20 ,$66.92 ,$215.10 ,$239.00 ,$52.58 ,$200.76 ,$239.00 ,$239.00 ,$62.14 ,$155.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$349.00 ,$226.85 ,$54.04 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$54.04 ,$145.88 ,$130.78 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$239.00 ,$155.35 ,$23.07 ,$239.00 ,$131.45 ,$143.40 ,$143.40 ,$62.14 ,$66.92 ,$121.89 ,$62.14 ,$140.53 ,$59.75 ,$191.20 ,$191.20 ,$62.14 ,$23.07 ,$99.90 ,$57.33 ,$206.53 ,$62.14 ,$239.00 ,$52.58 ,$179.25 ,$169.69 ,$169.69 ,$52.58 ,$169.69 ,$200.76 ,$200.76 ,$200.76 , N/A ,$215.10 ,$131.45 ,$203.15 ,$52.58 ,$239.00 ,$143.40 ,$52.58 ,$99.42 ,$94.49 ,$85.90 ,$62.14 ,$203.15 ,$156.96 ,$191.20 ,$66.92 ,$215.10 ,$239.00 ,$52.58 ,$200.76 ,$239.00 ,$239.00 ,$62.14 ,$155.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$239.00 ,$155.35 ,$35.46 ,$239.00 ,$131.45 ,$143.40 ,$143.40 ,$62.14 ,$66.92 ,$121.89 ,$62.14 ,$140.53 ,$59.75 ,$191.20 ,$191.20 ,$62.14 ,$35.46 ,$99.90 ,$84.99 ,$206.53 ,$62.14 ,$239.00 ,$52.58 ,$179.25 ,$169.69 ,$169.69 ,$52.58 ,$169.69 ,$200.76 ,$200.76 ,$200.76 , N/A ,$215.10 ,$131.45 ,$203.15 ,$52.58 ,$239.00 ,$143.40 ,$52.58 ,$99.42 ,$94.49 ,$85.90 ,$62.14 ,$203.15 ,$156.96 ,$191.20 ,$66.92 ,$215.10 ,$239.00 ,$52.58 ,$200.76 ,$239.00 ,$239.00 ,$62.14 ,$155.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000576,73503,HC XR HIP W/PELVIS UNI 4+VWS,320,1 ,$349.00 ,$226.85 ,$44.91 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$44.91 ,$145.88 ,$105.98 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$349.00 ,$226.85 ,$29.91 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$29.91 ,$145.88 ,$72.59 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,$349.00 ,$226.85 ,$38.72 ,$349.00 ,$191.95 ,$209.40 ,$209.40 ,$90.74 ,$97.72 ,$177.99 ,$90.74 ,$205.21 ,$87.25 ,$279.20 ,$279.20 ,$90.74 ,$38.72 ,$145.88 ,$93.58 ,$277.98 ,$90.74 ,$349.00 ,$76.78 ,$261.75 ,$247.79 ,$247.79 ,$76.78 ,$247.79 ,$293.16 ,$293.16 ,$293.16 , N/A ,$314.10 ,$191.95 ,$296.65 ,$76.78 ,$349.00 ,$209.40 ,$76.78 ,$145.18 ,$94.49 ,$85.90 ,$90.74 ,$296.65 ,$211.26 ,$279.20 ,$97.72 ,$314.10 ,$349.00 ,$76.78 ,$293.16 ,$349.00 ,$349.00 ,$90.74 ,$226.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,$340.00 ,$221.00 ,$45.56 ,$340.00 ,$187.00 ,$204.00 ,$204.00 ,$88.40 ,$95.20 ,$173.40 ,$88.40 ,$199.92 ,$85.00 ,$272.00 ,$272.00 ,$88.40 ,$45.56 ,$142.12 ,$113.61 ,$277.98 ,$88.40 ,$340.00 ,$74.80 ,$255.00 ,$241.40 ,$241.40 ,$74.80 ,$241.40 ,$285.60 ,$285.60 ,$285.60 , N/A ,$306.00 ,$187.00 ,$289.00 ,$74.80 ,$340.00 ,$204.00 ,$74.80 ,$141.44 ,$94.49 ,$85.90 ,$88.40 ,$289.00 ,$211.26 ,$272.00 ,$95.20 ,$306.00 ,$340.00 ,$74.80 ,$285.60 ,$340.00 ,$340.00 ,$88.40 ,$221.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$239.00 ,$155.35 ,$20.79 ,$239.00 ,$131.45 ,$143.40 ,$143.40 ,$62.14 ,$66.92 ,$121.89 ,$62.14 ,$140.53 ,$59.75 ,$191.20 ,$191.20 ,$62.14 ,$20.79 ,$99.90 ,$53.51 ,$206.53 ,$62.14 ,$239.00 ,$52.58 ,$179.25 ,$169.69 ,$169.69 ,$52.58 ,$169.69 ,$200.76 ,$200.76 ,$200.76 , N/A ,$215.10 ,$131.45 ,$203.15 ,$52.58 ,$239.00 ,$143.40 ,$52.58 ,$99.42 ,$94.49 ,$85.90 ,$62.14 ,$203.15 ,$156.96 ,$191.20 ,$66.92 ,$215.10 ,$239.00 ,$52.58 ,$200.76 ,$239.00 ,$239.00 ,$62.14 ,$155.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$239.00 ,$155.35 ,$26.00 ,$239.00 ,$131.45 ,$143.40 ,$143.40 ,$62.14 ,$66.92 ,$121.89 ,$62.14 ,$140.53 ,$59.75 ,$191.20 ,$191.20 ,$62.14 ,$26.00 ,$99.90 ,$64.96 ,$206.53 ,$62.14 ,$239.00 ,$52.58 ,$179.25 ,$169.69 ,$169.69 ,$52.58 ,$169.69 ,$200.76 ,$200.76 ,$200.76 , N/A ,$215.10 ,$131.45 ,$203.15 ,$52.58 ,$239.00 ,$143.40 ,$52.58 ,$99.42 ,$94.49 ,$85.90 ,$62.14 ,$203.15 ,$156.96 ,$191.20 ,$66.92 ,$215.10 ,$239.00 ,$52.58 ,$200.76 ,$239.00 ,$239.00 ,$62.14 ,$155.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$357.00 ,$232.05 ,$26.00 ,$357.00 ,$196.35 ,$214.20 ,$214.20 ,$92.82 ,$99.96 ,$182.07 ,$92.82 ,$209.92 ,$89.25 ,$285.60 ,$285.60 ,$92.82 ,$26.00 ,$149.23 ,$64.96 ,$206.53 ,$92.82 ,$357.00 ,$78.54 ,$267.75 ,$253.47 ,$253.47 ,$78.54 ,$253.47 ,$299.88 ,$299.88 ,$299.88 , N/A ,$321.30 ,$196.35 ,$303.45 ,$78.54 ,$357.00 ,$214.20 ,$78.54 ,$148.51 ,$141.74 ,$128.85 ,$92.82 ,$303.45 ,$156.96 ,$285.60 ,$99.96 ,$321.30 ,$357.00 ,$78.54 ,$299.88 ,$357.00 ,$357.00 ,$92.82 ,$232.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$351.00 ,$228.15 ,$24.37 ,$351.00 ,$193.05 ,$210.60 ,$210.60 ,$91.26 ,$98.28 ,$179.01 ,$91.26 ,$206.39 ,$87.75 ,$280.80 ,$280.80 ,$91.26 ,$24.37 ,$146.72 ,$59.24 ,$277.98 ,$91.26 ,$351.00 ,$77.22 ,$263.25 ,$249.21 ,$249.21 ,$77.22 ,$249.21 ,$294.84 ,$294.84 ,$294.84 , N/A ,$315.90 ,$193.05 ,$298.35 ,$77.22 ,$351.00 ,$210.60 ,$77.22 ,$146.02 ,$94.49 ,$85.90 ,$91.26 ,$298.35 ,$211.26 ,$280.80 ,$98.28 ,$315.90 ,$351.00 ,$77.22 ,$294.84 ,$351.00 ,$351.00 ,$91.26 ,$228.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000589,74019,HC XR ABDOMEN 2V,320,1 ,$532.00 ,$345.80 ,$25.35 ,$532.00 ,$292.60 ,$319.20 ,$319.20 ,$138.32 ,$148.96 ,$271.32 ,$138.32 ,$312.82 ,$133.00 ,$425.60 ,$425.60 ,$138.32 ,$25.35 ,$222.38 ,$62.10 ,$277.98 ,$138.32 ,$532.00 ,$117.04 ,$399.00 ,$377.72 ,$377.72 ,$117.04 ,$377.72 ,$446.88 ,$446.88 ,$446.88 , N/A ,$478.80 ,$292.60 ,$452.20 ,$117.04 ,$532.00 ,$319.20 ,$117.04 ,$221.31 ,$94.49 ,$85.90 ,$138.32 ,$452.20 ,$211.26 ,$425.60 ,$148.96 ,$478.80 ,$532.00 ,$117.04 ,$446.88 ,$525.00 ,$525.00 ,$138.32 ,$345.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,$735.00 ,$477.75 ,$27.31 ,$735.00 ,$404.25 ,$441.00 ,$441.00 ,$191.10 ,$205.80 ,$374.85 ,$191.10 ,$432.18 ,$183.75 ,$588.00 ,$588.00 ,$191.10 ,$27.31 ,$307.23 ,$84.99 ,$587.50 ,$191.10 ,$735.00 ,$161.70 ,$551.25 ,$521.85 ,$521.85 ,$161.70 ,$521.85 ,$617.40 ,$617.40 ,$617.40 , N/A ,$661.50 ,$404.25 ,$624.75 ,$161.70 ,$735.00 ,$441.00 ,$161.70 ,$305.76 ,$94.49 ,$85.90 ,$191.10 ,$624.75 ,$446.50 ,$588.00 ,$205.80 ,$661.50 ,$735.00 ,$161.70 ,$617.40 ,$525.00 ,$525.00 ,$191.10 ,$477.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000605,71045,HC XR CHEST 1V W/PICC INS,320,1 ,$363.00 ,$235.95 ,$16.87 ,$363.00 ,$199.65 ,$217.80 ,$217.80 ,$94.38 ,$101.64 ,$177.57 ,$94.38 ,$177.57 ,$90.75 ,$290.40 ,$290.40 ,$94.38 ,$16.87 ,$151.73 ,$42.06 ,$206.53 ,$94.38 ,$363.00 ,$79.86 ,$272.25 ,$257.73 ,$257.73 ,$79.86 ,$257.73 ,$304.92 ,$304.92 ,$304.92 , N/A ,$326.70 ,$199.65 ,$308.55 ,$79.86 ,$18.14 ,$217.80 ,$79.86 ,$151.01 ,$94.49 ,$85.90 ,$94.38 ,$308.55 ,$156.96 ,$290.40 ,$101.64 ,$326.70 ,$363.00 ,$79.86 ,$304.92 ,$363.00 ,$363.00 ,$94.38 ,$235.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000610,N/A,HC HEALTH FAIR BONE DENSITY,320,1 ,$5.00 ,$3.25 ,$1.10 ,$5.00 ,$2.75 ,$3.00 ,$3.00 ,$1.30 ,$1.40 ,$2.44 ,$1.30 ,$2.81 ,$1.25 ,$4.00 ,$4.00 ,$1.30 ,$3.25 ,$2.09 ,$3.40 , N/A ,$1.30 ,$5.00 ,$1.10 ,$3.75 ,$3.55 ,$3.55 ,$1.10 ,$3.55 ,$4.20 ,$4.20 ,$4.20 , N/A ,$4.50 ,$2.75 ,$4.25 ,$1.10 ,$5.00 ,$3.00 ,$1.10 ,$2.08 , N/A , N/A ,$1.30 ,$4.25 , N/A ,$4.00 ,$1.40 ,$4.50 ,$5.00 ,$1.10 ,$4.20 ,$5.00 ,$5.00 ,$1.30 ,$3.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000611,G1004,HC RAD AUC CDSM NATL DECISION SUPPORT COMPANY,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,351.00 ",$878.15 ,$50.78 ,"$1,351.00 ",$743.05 ,$810.60 ,$810.60 ,$351.26 ,$378.28 ,$657.94 ,$351.26 ,$757.91 ,$337.75 ,"$1,080.80 ","$1,080.80 ",$351.26 ,$50.78 ,$564.72 ,$918.68 , N/A ,$351.26 ,"$1,351.00 ",$297.22 ,"$1,013.25 ",$959.21 ,$959.21 ,$297.22 ,$959.21 ,"$1,134.84 ","$1,134.84 ","$1,134.84 ", N/A ,"$1,215.90 ",$743.05 ,"$1,148.35 ",$297.22 ,"$1,351.00 ",$810.60 ,$297.22 ,$562.02 ,$94.49 ,$85.90 ,$351.26 ,"$1,148.35 ", N/A ,"$1,080.80 ",$378.28 ,"$1,215.90 ","$1,351.00 ",$297.22 ,"$1,134.84 ",$525.00 ,$525.00 ,$351.26 ,$878.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000613,G1002,HC RAD AUC CDSM MEDCURRENT,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000614,G1003,HC RAD AUC CDSM MEDICALIS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000615,G1005,HC RAD AUC CDSM NATIONAL IMAGING ASSOCIATES,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000616,G1006,HC RAD AUC CDSM TEST APPROPRIATE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000617,G1007,HC RAD AUC CDSM AIM SPECIALTY HEALTH,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000618,G1008,HC RAD AUC CDSM CRANBERRY PEAK,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000619,G1009,HC RAD AUC CDSM SAGE HEALTH MGMT SOLUTIONS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000620,G1010,HC RAD AUC CDSM STANSON,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000621,G1011,HC RAD AUC CDSM QUALIFIED TOOL NOS,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,32000623,G1001,HC RAD AUC CDSM EVICORE,320,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$680.00 ,$442.00 ,$134.83 ,$814.10 ,$374.00 ,$408.00 ,$408.00 ,$176.80 ,$190.40 ,$345.44 ,$176.80 ,$399.84 ,$170.00 ,$544.00 ,$544.00 ,$176.80 ,$134.83 ,$284.24 ,$462.40 ,$814.10 ,$176.80 ,$680.00 ,$149.60 ,$510.00 ,$482.80 ,$482.80 ,$149.60 ,$482.80 ,$571.20 ,$571.20 ,$571.20 , N/A ,$612.00 ,$374.00 ,$578.00 ,$149.60 ,$680.00 ,$408.00 ,$149.60 ,$282.88 ,$531.21 ,$482.92 ,$176.80 ,$578.00 ,$618.72 ,$544.00 ,$190.40 ,$612.00 ,$680.00 ,$149.60 ,$571.20 ,$680.00 ,$680.00 ,$176.80 ,$442.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$289.00 ,$187.85 ,$28.91 ,$830.46 ,$158.95 ,$173.40 ,$173.40 ,$75.14 ,$80.92 ,$146.81 ,$75.14 ,$169.93 ,$72.25 ,$231.20 ,$231.20 ,$75.14 ,$28.91 ,$120.80 ,$196.52 ,$158.30 ,$75.14 ,$289.00 ,$63.58 ,$216.75 ,$205.19 ,$205.19 ,$63.58 ,$205.19 ,$242.76 ,$242.76 ,$242.76 , N/A ,$260.10 ,$158.95 ,$245.65 ,$63.58 ,$289.00 ,$173.40 ,$63.58 ,$120.22 ,$830.46 ,$754.96 ,$75.14 ,$245.65 ,$120.31 ,$231.20 ,$80.92 ,$260.10 ,$289.00 ,$63.58 ,$242.76 ,$289.00 ,$289.00 ,$75.14 ,$187.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$171.00 ,$111.15 ,$32.83 ,$171.00 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$86.87 ,$44.46 ,$100.55 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$32.83 ,$71.48 ,$116.28 ,$158.30 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 , N/A , N/A ,$44.46 ,$145.35 ,$120.31 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$171.00 ,$171.00 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000002,78012,HC THYROID UPTAKE SGL/MULT 78012,340,1 ,"$1,551.00 ","$1,008.15 ",$70.43 ,"$1,551.00 ",$853.05 ,$930.60 ,$930.60 ,$403.26 ,$434.28 ,$791.01 ,$403.26 ,$911.99 ,$387.75 ,"$1,240.80 ","$1,240.80 ",$403.26 ,$70.43 ,$648.32 ,$197.64 ,$962.48 ,$403.26 ,"$1,551.00 ",$341.22 ,"$1,163.25 ","$1,101.21 ","$1,101.21 ",$341.22 ,"$1,101.21 ","$1,302.84 ","$1,302.84 ","$1,302.84 ", N/A ,"$1,395.90 ",$853.05 ,"$1,318.35 ",$341.22 ,"$1,551.00 ",$930.60 ,$341.22 ,$645.22 ,$714.53 ,$649.57 ,$403.26 ,"$1,318.35 ",$731.48 ,"$1,240.80 ",$434.28 ,"$1,395.90 ","$1,551.00 ",$341.22 ,"$1,302.84 ","$1,551.00 ","$1,551.00 ",$403.26 ,"$1,008.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000004,78014,HC NM THYROID IMAGING SGL OR MULT UPTAKE 78014,340,1 ,"$2,219.00 ","$1,442.35 ",$198.55 ,"$2,219.00 ","$1,220.45 ","$1,331.40 ","$1,331.40 ",$576.94 ,$621.32 ,"$1,131.69 ",$576.94 ,"$1,304.77 ",$554.75 ,"$1,775.20 ","$1,775.20 ",$576.94 ,$198.55 ,$927.54 ,$596.47 ,$962.48 ,$576.94 ,"$2,219.00 ",$488.18 ,"$1,664.25 ","$1,575.49 ","$1,575.49 ",$488.18 ,"$1,575.49 ","$1,863.96 ","$1,863.96 ","$1,863.96 ", N/A ,"$1,997.10 ","$1,220.45 ","$1,886.15 ",$488.18 ,"$2,219.00 ","$1,331.40 ",$488.18 ,$923.10 ,$714.53 ,$649.57 ,$576.94 ,"$1,886.15 ",$731.48 ,"$1,775.20 ",$621.32 ,"$1,997.10 ","$2,219.00 ",$488.18 ,"$1,863.96 ","$1,826.00 ","$1,826.00 ",$576.94 ,"$1,442.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000006,78013,HC NM THYROID SCAN,340,1 ,$895.00 ,$581.75 ,$163.66 ,$962.48 ,$492.25 ,$537.00 ,$537.00 ,$232.70 ,$250.60 ,$456.45 ,$232.70 ,$526.26 ,$223.75 ,$716.00 ,$716.00 ,$232.70 ,$163.66 ,$374.11 ,$479.14 ,$962.48 ,$232.70 ,$895.00 ,$196.90 ,$671.25 ,$635.45 ,$635.45 ,$196.90 ,$635.45 ,$751.80 ,$751.80 ,$751.80 , N/A ,$805.50 ,$492.25 ,$760.75 ,$196.90 ,$895.00 ,$537.00 ,$196.90 ,$372.32 ,$714.53 ,$649.57 ,$232.70 ,$760.75 ,$731.48 ,$716.00 ,$250.60 ,$805.50 ,$895.00 ,$196.90 ,$751.80 ,$895.00 ,$895.00 ,$232.70 ,$581.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,$893.00 ,$580.45 ,$196.46 ,$962.48 ,$491.15 ,$535.80 ,$535.80 ,$232.18 ,$250.04 ,$455.43 ,$232.18 ,$525.08 ,$223.25 ,$714.40 ,$714.40 ,$232.18 ,$235.38 ,$373.27 ,$715.70 ,$962.48 ,$232.18 ,$893.00 ,$196.46 ,$669.75 ,$634.03 ,$634.03 ,$196.46 ,$634.03 ,$750.12 ,$750.12 ,$750.12 , N/A ,$803.70 ,$491.15 ,$759.05 ,$196.46 ,$893.00 ,$535.80 ,$196.46 ,$371.49 ,$637.69 ,$579.72 ,$232.18 ,$759.05 ,$731.48 ,$714.40 ,$250.04 ,$803.70 ,$893.00 ,$196.46 ,$750.12 ,$893.00 ,$893.00 ,$232.18 ,$580.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$1,224.00 ",$795.60 ,$269.28 ,"$1,249.45 ",$673.20 ,$734.40 ,$734.40 ,$318.24 ,$342.72 ,$624.24 ,$318.24 ,$719.71 ,$306.00 ,$979.20 ,$979.20 ,$318.24 ,$274.42 ,$511.63 ,$820.73 ,"$1,249.45 ",$318.24 ,"$1,224.00 ",$269.28 ,$918.00 ,$869.04 ,$869.04 ,$269.28 ,$869.04 ,"$1,028.16 ","$1,028.16 ","$1,028.16 ", N/A ,"$1,101.60 ",$673.20 ,"$1,040.40 ",$269.28 ,"$1,224.00 ",$734.40 ,$269.28 ,$509.18 ,$714.53 ,$649.57 ,$318.24 ,"$1,040.40 ",$949.58 ,$979.20 ,$342.72 ,"$1,101.60 ","$1,224.00 ",$269.28 ,"$1,028.16 ","$1,224.00 ","$1,224.00 ",$318.24 ,$795.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,795.00 ","$1,166.75 ",$160.40 ,"$1,795.00 ",$987.25 ,"$1,077.00 ","$1,077.00 ",$466.70 ,$502.60 ,$915.45 ,$466.70 ,"$1,055.46 ",$448.75 ,"$1,436.00 ","$1,436.00 ",$466.70 ,$160.40 ,$750.31 ,$469.60 ,$962.48 ,$466.70 ,"$1,795.00 ",$394.90 ,"$1,346.25 ","$1,274.45 ","$1,274.45 ",$394.90 ,"$1,274.45 ","$1,507.80 ","$1,507.80 ","$1,507.80 ", N/A ,"$1,615.50 ",$987.25 ,"$1,525.75 ",$394.90 ,"$1,795.00 ","$1,077.00 ",$394.90 ,$746.72 ,$637.69 ,$579.72 ,$466.70 ,"$1,525.75 ",$731.48 ,"$1,436.00 ",$502.60 ,"$1,615.50 ","$1,795.00 ",$394.90 ,"$1,507.80 ","$1,795.00 ","$1,795.00 ",$466.70 ,"$1,166.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$2,568.00 ","$1,669.20 ",$267.90 ,"$2,568.00 ","$1,412.40 ","$1,540.80 ","$1,540.80 ",$667.68 ,$719.04 ,"$1,309.68 ",$667.68 ,"$1,509.98 ",$642.00 ,"$2,054.40 ","$2,054.40 ",$667.68 ,$267.90 ,"$1,073.42 ",$809.28 ,$962.48 ,$667.68 ,"$2,568.00 ",$564.96 ,"$1,926.00 ","$1,823.28 ","$1,823.28 ",$564.96 ,"$1,823.28 ","$2,157.12 ","$2,157.12 ","$2,157.12 ", N/A ,"$2,311.20 ","$1,412.40 ","$2,182.80 ",$564.96 ,"$2,568.00 ","$1,540.80 ",$564.96 ,"$1,068.29 ",$714.53 ,$649.57 ,$667.68 ,"$2,182.80 ",$731.48 ,"$2,054.40 ",$719.04 ,"$2,311.20 ","$2,568.00 ",$564.96 ,"$2,157.12 ","$1,826.00 ","$1,826.00 ",$667.68 ,"$1,669.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,963.00 ","$1,275.95 ",$270.51 ,"$1,963.00 ","$1,079.65 ","$1,177.80 ","$1,177.80 ",$510.38 ,$549.64 ,"$1,001.13 ",$510.38 ,"$1,154.24 ",$490.75 ,"$1,570.40 ","$1,570.40 ",$510.38 ,$270.51 ,$820.53 ,$815.96 ,$962.48 ,$510.38 ,"$1,963.00 ",$431.86 ,"$1,472.25 ","$1,393.73 ","$1,393.73 ",$431.86 ,"$1,393.73 ","$1,648.92 ","$1,648.92 ","$1,648.92 ", N/A ,"$1,766.70 ","$1,079.65 ","$1,668.55 ",$431.86 ,"$1,963.00 ","$1,177.80 ",$431.86 ,$816.61 ,$714.53 ,$649.57 ,$510.38 ,"$1,668.55 ",$731.48 ,"$1,570.40 ",$549.64 ,"$1,766.70 ","$1,963.00 ",$431.86 ,"$1,648.92 ","$1,826.00 ","$1,826.00 ",$510.38 ,"$1,275.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,495.00 ",$971.75 ,$278.01 ,"$1,495.00 ",$822.25 ,$897.00 ,$897.00 ,$388.70 ,$418.60 ,$762.45 ,$388.70 ,$879.06 ,$373.75 ,"$1,196.00 ","$1,196.00 ",$388.70 ,$278.01 ,$624.91 ,$827.40 ,$962.48 ,$388.70 ,"$1,495.00 ",$328.90 ,"$1,121.25 ","$1,061.45 ","$1,061.45 ",$328.90 ,"$1,061.45 ","$1,255.80 ","$1,255.80 ","$1,255.80 ", N/A ,"$1,345.50 ",$822.25 ,"$1,270.75 ",$328.90 ,"$1,495.00 ",$897.00 ,$328.90 ,$621.92 ,$714.53 ,$649.57 ,$388.70 ,"$1,270.75 ",$731.48 ,"$1,196.00 ",$418.60 ,"$1,345.50 ","$1,495.00 ",$328.90 ,"$1,255.80 ","$1,495.00 ","$1,495.00 ",$388.70 ,$971.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,574.00 ","$1,023.10 ",$274.75 ,"$1,574.00 ",$865.70 ,$944.40 ,$944.40 ,$409.24 ,$440.72 ,$802.74 ,$409.24 ,$925.51 ,$393.50 ,"$1,259.20 ","$1,259.20 ",$409.24 ,$274.75 ,$657.93 ,$818.82 ,$962.48 ,$409.24 ,"$1,574.00 ",$346.28 ,"$1,180.50 ","$1,117.54 ","$1,117.54 ",$346.28 ,"$1,117.54 ","$1,322.16 ","$1,322.16 ","$1,322.16 ", N/A ,"$1,416.60 ",$865.70 ,"$1,337.90 ",$346.28 ,"$1,574.00 ",$944.40 ,$346.28 ,$654.78 ,$637.69 ,$579.72 ,$409.24 ,"$1,337.90 ",$731.48 ,"$1,259.20 ",$440.72 ,"$1,416.60 ","$1,574.00 ",$346.28 ,"$1,322.16 ","$1,574.00 ","$1,574.00 ",$409.24 ,"$1,023.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,095.00 ",$711.75 ,$183.22 ,"$1,095.00 ",$602.25 ,$657.00 ,$657.00 ,$284.70 ,$306.60 ,$558.45 ,$284.70 ,$643.86 ,$273.75 ,$876.00 ,$876.00 ,$284.70 ,$183.22 ,$457.71 ,$548.68 ,$962.48 ,$284.70 ,"$1,095.00 ",$240.90 ,$821.25 ,$777.45 ,$777.45 ,$240.90 ,$777.45 ,$919.80 ,$919.80 ,$919.80 , N/A ,$985.50 ,$602.25 ,$930.75 ,$240.90 ,"$1,095.00 ",$657.00 ,$240.90 ,$455.52 ,$637.69 ,$579.72 ,$284.70 ,$930.75 ,$731.48 ,$876.00 ,$306.60 ,$985.50 ,"$1,095.00 ",$240.90 ,$919.80 ,"$1,095.00 ","$1,095.00 ",$284.70 ,$711.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,095.00 ",$711.75 ,$217.78 ,"$1,095.00 ",$602.25 ,$657.00 ,$657.00 ,$284.70 ,$306.60 ,$558.45 ,$284.70 ,$643.86 ,$273.75 ,$876.00 ,$876.00 ,$284.70 ,$217.78 ,$457.71 ,$659.42 ,$962.48 ,$284.70 ,"$1,095.00 ",$240.90 ,$821.25 ,$777.45 ,$777.45 ,$240.90 ,$777.45 ,$919.80 ,$919.80 ,$919.80 , N/A ,$985.50 ,$602.25 ,$930.75 ,$240.90 ,"$1,095.00 ",$657.00 ,$240.90 ,$455.52 ,$637.69 ,$579.72 ,$284.70 ,$930.75 ,$731.48 ,$876.00 ,$306.60 ,$985.50 ,"$1,095.00 ",$240.90 ,$919.80 ,"$1,095.00 ","$1,095.00 ",$284.70 ,$711.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,095.00 ",$711.75 ,$236.03 ,"$1,095.00 ",$602.25 ,$657.00 ,$657.00 ,$284.70 ,$306.60 ,$558.45 ,$284.70 ,$643.86 ,$273.75 ,$876.00 ,$876.00 ,$284.70 ,$236.03 ,$457.71 ,$716.66 ,$962.48 ,$284.70 ,"$1,095.00 ",$240.90 ,$821.25 ,$777.45 ,$777.45 ,$240.90 ,$777.45 ,$919.80 ,$919.80 ,$919.80 , N/A ,$985.50 ,$602.25 ,$930.75 ,$240.90 ,"$1,095.00 ",$657.00 ,$240.90 ,$455.52 ,$637.69 ,$579.72 ,$284.70 ,$930.75 ,$731.48 ,$876.00 ,$306.60 ,$985.50 ,"$1,095.00 ",$240.90 ,$919.80 ,"$1,095.00 ","$1,095.00 ",$284.70 ,$711.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,095.00 ",$711.75 ,$240.90 ,"$1,095.00 ",$602.25 ,$657.00 ,$657.00 ,$284.70 ,$306.60 ,$558.45 ,$284.70 ,$643.86 ,$273.75 ,$876.00 ,$876.00 ,$284.70 ,$274.75 ,$457.71 ,$816.91 ,$962.48 ,$284.70 ,"$1,095.00 ",$240.90 ,$821.25 ,$777.45 ,$777.45 ,$240.90 ,$777.45 ,$919.80 ,$919.80 ,$919.80 , N/A ,$985.50 ,$602.25 ,$930.75 ,$240.90 ,"$1,095.00 ",$657.00 ,$240.90 ,$455.52 ,$637.69 ,$579.72 ,$284.70 ,$930.75 ,$731.48 ,$876.00 ,$306.60 ,$985.50 ,"$1,095.00 ",$240.90 ,$919.80 ,"$1,095.00 ","$1,095.00 ",$284.70 ,$711.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,$799.00 ,$519.35 ,$175.78 ,"$3,336.55 ",$439.45 ,$479.40 ,$479.40 ,$207.74 ,$223.72 ,$407.49 ,$207.74 ,$469.81 ,$199.75 ,$639.20 ,$639.20 ,$207.74 ,$253.23 ,$333.98 ,$750.14 ,"$3,336.55 ",$207.74 ,$799.00 ,$175.78 ,$599.25 ,$567.29 ,$567.29 ,$175.78 ,$567.29 ,$671.16 ,$671.16 ,$671.16 , N/A ,$719.10 ,$439.45 ,$679.15 ,$175.78 ,$799.00 ,$479.40 ,$175.78 ,$332.38 ,$714.53 ,$649.57 ,$207.74 ,$679.15 ,"$2,535.78 ",$639.20 ,$223.72 ,$719.10 ,$799.00 ,$175.78 ,$671.16 ,$799.00 ,$799.00 ,$207.74 ,$519.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$5,380.00 ","$3,497.00 ",$366.12 ,"$5,380.00 ","$2,959.00 ","$3,228.00 ","$3,228.00 ","$1,398.80 ","$1,506.40 ","$2,743.80 ","$1,398.80 ","$3,163.44 ","$1,345.00 ","$4,304.00 ","$4,304.00 ","$1,398.80 ",$366.12 ,"$2,248.84 ","$1,084.19 ","$3,336.55 ","$1,398.80 ","$5,380.00 ","$1,183.60 ","$4,035.00 ","$3,819.80 ","$3,819.80 ","$1,183.60 ","$3,819.80 ","$4,519.20 ","$4,519.20 ","$4,519.20 ", N/A ,"$4,842.00 ","$2,959.00 ","$4,573.00 ","$1,183.60 ","$5,380.00 ","$3,228.00 ","$1,183.60 ","$2,238.08 ","$1,564.43 ","$1,422.21 ","$1,398.80 ","$4,573.00 ","$2,535.78 ","$4,304.00 ","$1,506.40 ","$4,842.00 ","$5,380.00 ","$1,183.60 ","$4,519.20 ","$1,826.00 ","$1,826.00 ","$1,398.80 ","$3,497.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$2,147.00 ","$1,395.55 ",$167.90 ,"$2,147.00 ","$1,180.85 ","$1,288.20 ","$1,288.20 ",$558.22 ,$601.16 ,"$1,094.97 ",$558.22 ,"$1,262.44 ",$536.75 ,"$1,717.60 ","$1,717.60 ",$558.22 ,$167.90 ,$897.45 ,$498.21 ,$962.48 ,$558.22 ,"$2,147.00 ",$472.34 ,"$1,610.25 ","$1,524.37 ","$1,524.37 ",$472.34 ,"$1,524.37 ","$1,803.48 ","$1,803.48 ","$1,803.48 ", N/A ,"$1,932.30 ","$1,180.85 ","$1,824.95 ",$472.34 ,"$2,147.00 ","$1,288.20 ",$472.34 ,$893.15 ,$637.69 ,$579.72 ,$558.22 ,"$1,824.95 ",$731.48 ,"$1,717.60 ",$601.16 ,"$1,932.30 ","$2,147.00 ",$472.34 ,"$1,803.48 ","$1,826.00 ","$1,826.00 ",$558.22 ,"$1,395.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000047,78580,HC LUNG PERFUS,340,1 ,"$2,363.00 ","$1,535.95 ",$185.83 ,"$2,363.00 ","$1,299.65 ","$1,417.80 ","$1,417.80 ",$614.38 ,$661.64 ,"$1,205.13 ",$614.38 ,"$1,389.44 ",$590.75 ,"$1,890.40 ","$1,890.40 ",$614.38 ,$185.83 ,$987.73 ,$556.40 ,$962.48 ,$614.38 ,"$2,363.00 ",$519.86 ,"$1,772.25 ","$1,677.73 ","$1,677.73 ",$519.86 ,"$1,677.73 ","$1,984.92 ","$1,984.92 ","$1,984.92 ", N/A ,"$2,126.70 ","$1,299.65 ","$2,008.55 ",$519.86 ,"$2,363.00 ","$1,417.80 ",$519.86 ,$983.01 ,$714.53 ,$649.57 ,$614.38 ,"$2,008.55 ",$731.48 ,"$1,890.40 ",$661.64 ,"$2,126.70 ","$2,363.00 ",$519.86 ,"$1,984.92 ","$1,826.00 ","$1,826.00 ",$614.38 ,"$1,535.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$3,405.00 ","$2,213.25 ",$260.08 ,"$3,405.00 ","$1,872.75 ","$2,043.00 ","$2,043.00 ",$885.30 ,$953.40 ,"$1,736.55 ",$885.30 ,"$2,002.14 ",$851.25 ,"$2,724.00 ","$2,724.00 ",$885.30 ,$260.08 ,"$1,423.29 ",$776.85 ,"$1,249.45 ",$885.30 ,"$3,405.00 ",$749.10 ,"$2,553.75 ","$2,417.55 ","$2,417.55 ",$749.10 ,"$2,417.55 ","$2,860.20 ","$2,860.20 ","$2,860.20 ", N/A ,"$3,064.50 ","$1,872.75 ","$2,894.25 ",$749.10 ,"$3,405.00 ","$2,043.00 ",$749.10 ,"$1,416.48 ",$714.53 ,$649.57 ,$885.30 ,"$2,894.25 ",$949.58 ,"$2,724.00 ",$953.40 ,"$3,064.50 ","$3,405.00 ",$749.10 ,"$2,860.20 ","$1,826.00 ","$1,826.00 ",$885.30 ,"$2,213.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000060,78700,HC KIDNEY SCAN,340,1 ,"$1,301.00 ",$845.65 ,$138.89 ,"$1,301.00 ",$715.55 ,$780.60 ,$780.60 ,$338.26 ,$364.28 ,$663.51 ,$338.26 ,$764.99 ,$325.25 ,"$1,040.80 ","$1,040.80 ",$338.26 ,$138.89 ,$543.82 ,$410.46 ,$962.48 ,$338.26 ,"$1,301.00 ",$286.22 ,$975.75 ,$923.71 ,$923.71 ,$286.22 ,$923.71 ,"$1,092.84 ","$1,092.84 ","$1,092.84 ", N/A ,"$1,170.90 ",$715.55 ,"$1,105.85 ",$286.22 ,"$1,301.00 ",$780.60 ,$286.22 ,$541.22 ,$637.69 ,$579.72 ,$338.26 ,"$1,105.85 ",$731.48 ,"$1,040.80 ",$364.28 ,"$1,170.90 ","$1,301.00 ",$286.22 ,"$1,092.84 ","$1,301.00 ","$1,301.00 ",$338.26 ,$845.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$3,991.00 ","$2,594.15 ",$115.99 ,"$3,991.00 ","$2,195.05 ","$2,394.60 ","$2,394.60 ","$1,037.66 ","$1,117.48 ","$2,018.65 ","$1,037.66 ","$2,018.65 ",$997.75 ,"$3,192.80 ","$3,192.80 ","$1,037.66 ",$115.99 ,"$1,668.24 ",$325.65 ,"$1,249.45 ","$1,037.66 ","$3,991.00 ",$878.02 ,"$2,993.25 ","$2,833.61 ","$2,833.61 ",$878.02 ,"$2,833.61 ","$3,352.44 ","$3,352.44 ","$3,352.44 ", N/A ,"$3,591.90 ","$2,195.05 ","$3,392.35 ",$878.02 ,"$3,991.00 ","$2,394.60 ",$878.02 ,"$1,660.26 ",$637.69 ,$579.72 ,"$1,037.66 ","$3,392.35 ",$949.58 ,"$3,192.80 ","$1,117.48 ","$3,591.90 ","$3,991.00 ",$878.02 ,"$3,352.44 ","$1,826.00 ","$1,826.00 ","$1,037.66 ","$2,594.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$4,254.00 ","$2,765.10 ",$279.31 ,"$4,254.00 ","$2,339.70 ","$2,552.40 ","$2,552.40 ","$1,106.04 ","$1,191.12 ","$2,169.54 ","$1,106.04 ","$2,501.35 ","$1,063.50 ","$3,403.20 ","$3,403.20 ","$1,106.04 ",$279.31 ,"$1,778.17 ",$826.45 ,"$1,249.45 ","$1,106.04 ","$4,254.00 ",$935.88 ,"$3,190.50 ","$3,020.34 ","$3,020.34 ",$935.88 ,"$3,020.34 ","$3,573.36 ","$3,573.36 ","$3,573.36 ", N/A ,"$3,828.60 ","$2,339.70 ","$3,615.90 ",$935.88 ,"$4,254.00 ","$2,552.40 ",$935.88 ,"$1,769.66 ",$637.69 ,$579.72 ,"$1,106.04 ","$3,615.90 ",$949.58 ,"$3,403.20 ","$1,191.12 ","$3,828.60 ","$4,254.00 ",$935.88 ,"$3,573.36 ","$1,826.00 ","$1,826.00 ","$1,106.04 ","$2,765.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$1,146.00 ",$744.90 ,$205.72 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$584.46 ,$297.96 ,$673.85 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$205.72 ,$479.03 ,$443.84 ,$962.48 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$714.53 ,$649.57 ,$297.96 ,$974.10 ,$731.48 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$1,886.00 ","$1,225.90 ",$307.35 ,"$3,336.55 ","$1,037.30 ","$1,131.60 ","$1,131.60 ",$490.36 ,$528.08 ,$961.86 ,$490.36 ,"$1,108.97 ",$471.50 ,"$1,508.80 ","$1,508.80 ",$490.36 ,$307.35 ,$788.35 ,$794.97 ,"$3,336.55 ",$490.36 ,"$1,886.00 ",$414.92 ,"$1,414.50 ","$1,339.06 ","$1,339.06 ",$414.92 ,"$1,339.06 ","$1,584.24 ","$1,584.24 ","$1,584.24 ", N/A ,"$1,697.40 ","$1,037.30 ","$1,603.10 ",$414.92 ,"$1,886.00 ","$1,131.60 ",$414.92 ,$784.58 ,"$1,564.43 ","$1,422.21 ",$490.36 ,"$1,603.10 ","$2,535.78 ","$1,508.80 ",$528.08 ,"$1,697.40 ","$1,886.00 ",$414.92 ,"$1,584.24 ","$1,826.00 ","$1,826.00 ",$490.36 ,"$1,225.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$2,752.00 ","$1,788.80 ",$154.86 ,"$2,752.00 ","$1,513.60 ","$1,651.20 ","$1,651.20 ",$715.52 ,$770.56 ,"$1,403.52 ",$715.52 ,"$1,618.18 ",$688.00 ,"$2,201.60 ","$2,201.60 ",$715.52 ,$154.86 ,"$1,150.34 ",$456.15 ,$962.48 ,$715.52 ,"$2,752.00 ",$605.44 ,"$2,064.00 ","$1,953.92 ","$1,953.92 ",$605.44 ,"$1,953.92 ","$2,311.68 ","$2,311.68 ","$2,311.68 ", N/A ,"$2,476.80 ","$1,513.60 ","$2,339.20 ",$605.44 ,"$2,752.00 ","$1,651.20 ",$605.44 ,"$1,144.83 ",$714.53 ,$649.57 ,$715.52 ,"$2,339.20 ",$731.48 ,"$2,201.60 ",$770.56 ,"$2,476.80 ","$2,752.00 ",$605.44 ,"$2,311.68 ","$1,826.00 ","$1,826.00 ",$715.52 ,"$1,788.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$2,752.00 ","$1,788.80 ",$364.90 ,"$2,752.00 ","$1,513.60 ","$1,651.20 ","$1,651.20 ",$715.52 ,$770.56 ,"$1,403.52 ",$715.52 ,"$1,618.18 ",$688.00 ,"$2,201.60 ","$2,201.60 ",$715.52 ,$364.90 ,"$1,150.34 ","$1,106.99 ","$1,249.45 ",$715.52 ,"$2,752.00 ",$605.44 ,"$2,064.00 ","$1,953.92 ","$1,953.92 ",$605.44 ,"$1,953.92 ","$2,311.68 ","$2,311.68 ","$2,311.68 ", N/A ,"$2,476.80 ","$1,513.60 ","$2,339.20 ",$605.44 ,"$2,752.00 ","$1,651.20 ",$605.44 ,"$1,144.83 ",$714.53 ,$649.57 ,$715.52 ,"$2,339.20 ",$949.58 ,"$2,201.60 ",$770.56 ,"$2,476.80 ","$2,752.00 ",$605.44 ,"$2,311.68 ","$1,826.00 ","$1,826.00 ",$715.52 ,"$1,788.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34100007,A9538,HC NM PYROPHOSPHATE 99M VIAL,343,1 ,$305.00 ,$198.25 ,$67.10 ,$305.00 ,$167.75 ,$183.00 ,$183.00 ,$79.30 ,$85.40 ,$155.55 ,$79.30 ,$179.34 ,$76.25 ,$244.00 ,$244.00 ,$79.30 ,$198.25 ,$127.49 , N/A , N/A ,$79.30 ,$305.00 ,$67.10 ,$228.75 ,$216.55 ,$216.55 ,$67.10 ,$216.55 ,$256.20 ,$256.20 ,$256.20 , N/A ,$274.50 ,$167.75 ,$259.25 ,$67.10 ,$305.00 ,$183.00 ,$67.10 ,$126.88 , N/A , N/A ,$79.30 ,$259.25 , N/A ,$244.00 ,$85.40 ,$274.50 ,$305.00 ,$67.10 ,$256.20 ,$71.38 ,$71.38 ,$79.30 ,$198.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$367.00 ,$238.55 ,$80.74 ,$367.00 ,$201.85 ,$220.20 ,$220.20 ,$95.42 ,$102.76 ,$187.17 ,$95.42 ,$215.80 ,$91.75 ,$293.60 ,$293.60 ,$95.42 ,$238.55 ,$153.41 , N/A , N/A ,$95.42 ,$367.00 ,$80.74 ,$275.25 ,$260.57 ,$260.57 ,$80.74 ,$260.57 ,$308.28 ,$308.28 ,$308.28 , N/A ,$330.30 ,$201.85 ,$311.95 ,$80.74 ,$367.00 ,$220.20 ,$80.74 ,$152.67 , N/A , N/A ,$95.42 ,$311.95 , N/A ,$293.60 ,$102.76 ,$330.30 ,$367.00 ,$80.74 ,$308.28 ,$367.00 ,$367.00 ,$95.42 ,$238.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300003,A9502,HC TETROFOSMIN/MYOVUE,343,1 ,$613.00 ,$398.45 ,$134.86 ,$613.00 ,$337.15 ,$367.80 ,$367.80 ,$159.38 ,$171.64 ,$312.63 ,$159.38 ,$360.44 ,$153.25 ,$490.40 ,$490.40 ,$159.38 ,$398.45 ,$256.23 , N/A , N/A ,$159.38 ,$613.00 ,$134.86 ,$459.75 ,$435.23 ,$435.23 ,$134.86 ,$435.23 ,$514.92 ,$514.92 ,$514.92 , N/A ,$551.70 ,$337.15 ,$521.05 ,$134.86 ,$613.00 ,$367.80 ,$134.86 ,$255.01 , N/A , N/A ,$159.38 ,$521.05 , N/A ,$490.40 ,$171.64 ,$551.70 ,$613.00 ,$134.86 ,$514.92 ,$175.87 ,$175.87 ,$159.38 ,$398.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$627.00 ,$407.55 ,$26.83 ,$627.00 ,$344.85 ,$376.20 ,$376.20 ,$163.02 ,$175.56 ,$177.68 ,$163.02 ,$177.68 ,$156.75 ,$501.60 ,$501.60 ,$163.02 ,$407.55 ,$262.09 , N/A , N/A ,$163.02 ,$627.00 ,$137.94 ,$470.25 ,$445.17 ,$445.17 ,$137.94 ,$445.17 ,$526.68 ,$526.68 ,$526.68 , N/A ,$564.30 ,$344.85 ,$532.95 ,$137.94 ,$627.00 ,$376.20 ,$137.94 ,$260.83 , N/A , N/A ,$163.02 ,$532.95 , N/A ,$501.60 ,$175.56 ,$564.30 ,$627.00 ,$137.94 ,$526.68 ,$26.83 ,$26.83 ,$163.02 ,$407.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$134.00 ,$87.10 ,$29.48 ,$134.00 ,$73.70 ,$80.40 ,$80.40 ,$34.84 ,$37.52 ,$68.34 ,$34.84 ,$78.79 ,$33.50 ,$107.20 ,$107.20 ,$34.84 ,$87.10 ,$56.01 , N/A , N/A ,$34.84 ,$134.00 ,$29.48 ,$100.50 ,$95.14 ,$95.14 ,$29.48 ,$95.14 ,$112.56 ,$112.56 ,$112.56 , N/A ,$120.60 ,$73.70 ,$113.90 ,$29.48 ,$134.00 ,$80.40 ,$29.48 ,$55.74 , N/A , N/A ,$34.84 ,$113.90 , N/A ,$107.20 ,$37.52 ,$120.60 ,$134.00 ,$29.48 ,$112.56 ,$134.00 ,$134.00 ,$34.84 ,$87.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300007,A9507,HC DIAGNUCLIDE PROSTASCINT,343,1 ,"$4,177.00 ","$2,715.05 ",$918.94 ,"$4,177.00 ","$2,297.35 ","$2,506.20 ","$2,506.20 ","$1,086.02 ","$1,169.56 ","$2,130.27 ","$1,086.02 ","$2,456.08 ","$1,044.25 ","$3,341.60 ","$3,341.60 ","$1,086.02 ","$2,715.05 ","$1,745.99 ", N/A , N/A ,"$1,086.02 ","$4,177.00 ",$918.94 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$918.94 ,"$2,965.67 ","$3,508.68 ","$3,508.68 ","$3,508.68 ", N/A ,"$3,759.30 ","$2,297.35 ","$3,550.45 ",$918.94 ,"$4,177.00 ","$2,506.20 ",$918.94 ,"$1,737.63 ", N/A , N/A ,"$1,086.02 ","$3,550.45 ", N/A ,"$3,341.60 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$918.94 ,"$3,508.68 ","$1,724.99 ","$1,724.99 ","$1,086.02 ","$2,715.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$114.00 ,$74.10 ,$19.42 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$55.52 ,$29.64 ,$63.95 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$74.10 ,$47.65 , N/A , N/A ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 , N/A , N/A ,$29.64 ,$96.90 , N/A ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 ,$19.42 ,$19.42 ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$100.00 ,$65.00 ,$22.00 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$51.00 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 , N/A , N/A ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 , N/A , N/A ,$26.00 ,$85.00 , N/A ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$100.00 ,$100.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300011,A9517,HC DIAGNUCLIDE I131 CAPS PER MCI,343,1 ,$136.00 ,$88.40 ,$29.92 ,"$1,143.68 ",$74.80 ,$81.60 ,$81.60 ,$35.36 ,$38.08 ,$69.36 ,$35.36 ,$79.97 ,$34.00 ,$108.80 ,$108.80 ,$35.36 ,$88.40 ,$56.85 ,$92.48 ,$50.30 ,$35.36 ,$136.00 ,$29.92 ,$102.00 ,$96.56 ,$96.56 ,$29.92 ,$96.56 ,$114.24 ,$114.24 ,$114.24 , N/A ,$122.40 ,$74.80 ,$115.60 ,$29.92 ,$136.00 ,$81.60 ,$29.92 ,$56.58 ,"$1,143.68 ","$1,039.71 ",$35.36 ,$115.60 ,$38.23 ,$108.80 ,$38.08 ,$122.40 ,$136.00 ,$29.92 ,$114.24 ,$33.20 ,$33.20 ,$35.36 ,$88.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300012,A9521,HC DIAGNUCLIDE CERETEC,343,1 ,$156.00 ,$101.40 ,$34.32 ,$156.00 ,$85.80 ,$93.60 ,$93.60 ,$40.56 ,$43.68 ,$79.56 ,$40.56 ,$91.73 ,$39.00 ,$124.80 ,$124.80 ,$40.56 ,$101.40 ,$65.21 , N/A , N/A ,$40.56 ,$156.00 ,$34.32 ,$117.00 ,$110.76 ,$110.76 ,$34.32 ,$110.76 ,$131.04 ,$131.04 ,$131.04 , N/A ,$140.40 ,$85.80 ,$132.60 ,$34.32 ,$156.00 ,$93.60 ,$34.32 ,$64.90 , N/A , N/A ,$40.56 ,$132.60 , N/A ,$124.80 ,$43.68 ,$140.40 ,$156.00 ,$34.32 ,$131.04 ,$156.00 ,$156.00 ,$40.56 ,$101.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$198.00 ,$128.70 ,$43.56 ,$198.00 ,$108.90 ,$118.80 ,$118.80 ,$51.48 ,$55.44 ,$100.98 ,$51.48 ,$116.42 ,$49.50 ,$158.40 ,$158.40 ,$51.48 ,$128.70 ,$82.76 , N/A , N/A ,$51.48 ,$198.00 ,$43.56 ,$148.50 ,$140.58 ,$140.58 ,$43.56 ,$140.58 ,$166.32 ,$166.32 ,$166.32 , N/A ,$178.20 ,$108.90 ,$168.30 ,$43.56 ,$198.00 ,$118.80 ,$43.56 ,$82.37 , N/A , N/A ,$51.48 ,$168.30 , N/A ,$158.40 ,$55.44 ,$178.20 ,$198.00 ,$43.56 ,$166.32 ,$138.60 ,$138.60 ,$51.48 ,$128.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300017,A9539,HC DIAGNUCLIDE DTPA KIDNEY PER DOSE,343,1 ,$305.00 ,$198.25 ,$51.96 ,$305.00 ,$167.75 ,$183.00 ,$183.00 ,$79.30 ,$85.40 ,$155.55 ,$79.30 ,$179.34 ,$76.25 ,$244.00 ,$244.00 ,$79.30 ,$198.25 ,$127.49 , N/A , N/A ,$79.30 ,$305.00 ,$67.10 ,$228.75 ,$216.55 ,$216.55 ,$67.10 ,$216.55 ,$256.20 ,$256.20 ,$256.20 , N/A ,$274.50 ,$167.75 ,$259.25 ,$67.10 ,$305.00 ,$183.00 ,$67.10 ,$126.88 , N/A , N/A ,$79.30 ,$259.25 , N/A ,$244.00 ,$85.40 ,$274.50 ,$305.00 ,$67.10 ,$256.20 ,$51.96 ,$51.96 ,$79.30 ,$198.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$110.00 ,$71.50 ,$24.20 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$56.10 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 , N/A , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 , N/A , N/A ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$55.95 ,$55.95 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,$110.00 ,$71.50 ,$24.20 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$56.10 ,$28.60 ,$64.68 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 , N/A , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$45.76 , N/A , N/A ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 ,$110.00 ,$110.00 ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$1,892.00 ","$1,229.80 ",$416.24 ,"$1,892.00 ","$1,040.60 ","$1,135.20 ","$1,135.20 ",$491.92 ,$529.76 ,$964.92 ,$491.92 ,"$1,112.50 ",$473.00 ,"$1,513.60 ","$1,513.60 ",$491.92 ,"$1,229.80 ",$790.86 , N/A , N/A ,$491.92 ,"$1,892.00 ",$416.24 ,"$1,419.00 ","$1,343.32 ","$1,343.32 ",$416.24 ,"$1,343.32 ","$1,589.28 ","$1,589.28 ","$1,589.28 ", N/A ,"$1,702.80 ","$1,040.60 ","$1,608.20 ",$416.24 ,"$1,892.00 ","$1,135.20 ",$416.24 ,$787.07 , N/A , N/A ,$491.92 ,"$1,608.20 ", N/A ,"$1,513.60 ",$529.76 ,"$1,702.80 ","$1,892.00 ",$416.24 ,"$1,589.28 ",$491.06 ,$491.06 ,$491.92 ,"$1,229.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300031,A9556,HC DIAGNUCLIDE GA67 PER MCI,343,1 ,$119.00 ,$77.35 ,$26.18 ,$119.00 ,$65.45 ,$71.40 ,$71.40 ,$30.94 ,$33.32 ,$60.69 ,$30.94 ,$69.97 ,$29.75 ,$95.20 ,$95.20 ,$30.94 ,$77.35 ,$49.74 , N/A , N/A ,$30.94 ,$119.00 ,$26.18 ,$89.25 ,$84.49 ,$84.49 ,$26.18 ,$84.49 ,$99.96 ,$99.96 ,$99.96 , N/A ,$107.10 ,$65.45 ,$101.15 ,$26.18 ,$119.00 ,$71.40 ,$26.18 ,$49.50 , N/A , N/A ,$30.94 ,$101.15 , N/A ,$95.20 ,$33.32 ,$107.10 ,$119.00 ,$26.18 ,$99.96 ,$38.82 ,$38.82 ,$30.94 ,$77.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$405.00 ,$263.25 ,$89.10 ,$405.00 ,$222.75 ,$243.00 ,$243.00 ,$105.30 ,$113.40 ,$206.55 ,$105.30 ,$238.14 ,$101.25 ,$324.00 ,$324.00 ,$105.30 ,$263.25 ,$169.29 , N/A , N/A ,$105.30 ,$405.00 ,$89.10 ,$303.75 ,$287.55 ,$287.55 ,$89.10 ,$287.55 ,$340.20 ,$340.20 ,$340.20 , N/A ,$364.50 ,$222.75 ,$344.25 ,$89.10 ,$405.00 ,$243.00 ,$89.10 ,$168.48 , N/A , N/A ,$105.30 ,$344.25 , N/A ,$324.00 ,$113.40 ,$364.50 ,$405.00 ,$89.10 ,$340.20 ,$165.59 ,$165.59 ,$105.30 ,$263.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,$451.00 ,$293.15 ,$99.22 ,$451.00 ,$248.05 ,$270.60 ,$270.60 ,$117.26 ,$126.28 ,$230.01 ,$117.26 ,$265.19 ,$112.75 ,$360.80 ,$360.80 ,$117.26 ,$293.15 ,$188.52 , N/A , N/A ,$117.26 ,$451.00 ,$99.22 ,$338.25 ,$320.21 ,$320.21 ,$99.22 ,$320.21 ,$378.84 ,$378.84 ,$378.84 , N/A ,$405.90 ,$248.05 ,$383.35 ,$99.22 ,$451.00 ,$270.60 ,$99.22 ,$187.62 , N/A , N/A ,$117.26 ,$383.35 , N/A ,$360.80 ,$126.28 ,$405.90 ,$451.00 ,$99.22 ,$378.84 ,$451.00 ,$451.00 ,$117.26 ,$293.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$360.00 ,$234.00 ,$79.20 ,$360.00 ,$198.00 ,$216.00 ,$216.00 ,$93.60 ,$100.80 ,$182.88 ,$93.60 ,$211.68 ,$90.00 ,$288.00 ,$288.00 ,$93.60 ,$288.00 ,$150.48 ,$244.80 , N/A ,$93.60 ,$360.00 ,$79.20 ,$270.00 ,$255.60 ,$255.60 ,$79.20 ,$255.60 ,$302.40 ,$302.40 ,$302.40 , N/A ,$324.00 ,$198.00 ,$306.00 ,$79.20 ,$360.00 ,$216.00 ,$79.20 ,$149.76 ,$231.76 ,$210.69 ,$93.60 ,$306.00 , N/A ,$288.00 ,$100.80 ,$324.00 ,$360.00 ,$79.20 ,$302.40 ,$190.82 ,$190.82 ,$93.60 ,$234.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300057,A9569,HC TC99M EXAMETAZIME CERETEC DX PER DOSE,343,1 ,"$3,381.00 ","$2,197.65 ",$743.82 ,"$3,381.00 ","$1,859.55 ","$2,028.60 ","$2,028.60 ",$879.06 ,$946.68 ,"$1,724.31 ",$879.06 ,"$1,988.03 ",$845.25 ,"$2,704.80 ","$2,704.80 ",$879.06 ,"$2,197.65 ","$1,413.26 ", N/A , N/A ,$879.06 ,"$3,381.00 ",$743.82 ,"$2,535.75 ","$2,400.51 ","$2,400.51 ",$743.82 ,"$2,400.51 ","$2,840.04 ","$2,840.04 ","$2,840.04 ", N/A ,"$3,042.90 ","$1,859.55 ","$2,873.85 ",$743.82 ,"$3,381.00 ","$2,028.60 ",$743.82 ,"$1,406.50 ", N/A , N/A ,$879.06 ,"$2,873.85 ", N/A ,"$2,704.80 ",$946.68 ,"$3,042.90 ","$3,381.00 ",$743.82 ,"$2,840.04 ","$2,760.22 ","$2,760.22 ",$879.06 ,"$2,197.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$367.00 ,$238.55 ,$80.74 ,$367.00 ,$201.85 ,$220.20 ,$220.20 ,$95.42 ,$102.76 ,$187.17 ,$95.42 ,$215.80 ,$91.75 ,$293.60 ,$293.60 ,$95.42 ,$238.55 ,$153.41 , N/A , N/A ,$95.42 ,$367.00 ,$80.74 ,$275.25 ,$260.57 ,$260.57 ,$80.74 ,$260.57 ,$308.28 ,$308.28 ,$308.28 , N/A ,$330.30 ,$201.85 ,$311.95 ,$80.74 ,$367.00 ,$220.20 ,$80.74 ,$152.67 , N/A , N/A ,$95.42 ,$311.95 , N/A ,$293.60 ,$102.76 ,$330.30 ,$367.00 ,$80.74 ,$308.28 ,$367.00 ,$367.00 ,$95.42 ,$238.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300059,A9510,HC DIAGNUCLIDE TC-99 DISOFENIN DIAG PER STUDY UP TO 15MCI,343,1 ,$176.00 ,$114.40 ,$38.72 ,$176.00 ,$96.80 ,$105.60 ,$105.60 ,$45.76 ,$49.28 ,$89.76 ,$45.76 ,$103.49 ,$44.00 ,$140.80 ,$140.80 ,$45.76 ,$114.40 ,$73.57 , N/A , N/A ,$45.76 ,$176.00 ,$38.72 ,$132.00 ,$124.96 ,$124.96 ,$38.72 ,$124.96 ,$147.84 ,$147.84 ,$147.84 , N/A ,$158.40 ,$96.80 ,$149.60 ,$38.72 ,$176.00 ,$105.60 ,$38.72 ,$73.22 , N/A , N/A ,$45.76 ,$149.60 , N/A ,$140.80 ,$49.28 ,$158.40 ,$176.00 ,$38.72 ,$147.84 ,$106.21 ,$106.21 ,$45.76 ,$114.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300063,A9567,HC DIAGNUCLIDE TC-99 PETETATE AERO PER STUDY UP TO 75MCI,343,1 ,$119.00 ,$77.35 ,$26.18 ,$119.00 ,$65.45 ,$71.40 ,$71.40 ,$30.94 ,$33.32 ,$60.69 ,$30.94 ,$69.97 ,$29.75 ,$95.20 ,$95.20 ,$30.94 ,$77.35 ,$49.74 , N/A , N/A ,$30.94 ,$119.00 ,$26.18 ,$89.25 ,$84.49 ,$84.49 ,$26.18 ,$84.49 ,$99.96 ,$99.96 ,$99.96 , N/A ,$107.10 ,$65.45 ,$101.15 ,$26.18 ,$119.00 ,$71.40 ,$26.18 ,$49.50 , N/A , N/A ,$30.94 ,$101.15 , N/A ,$95.20 ,$33.32 ,$107.10 ,$119.00 ,$26.18 ,$99.96 ,$35.97 ,$35.97 ,$30.94 ,$77.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300067,A9561,HC DIAGNUCLIDE TC-99 OXIDRONATE PER STUDY UP TO 30MCI,343,1 ,$305.00 ,$198.25 ,$67.10 ,$305.00 ,$167.75 ,$183.00 ,$183.00 ,$79.30 ,$85.40 ,$155.55 ,$79.30 ,$179.34 ,$76.25 ,$244.00 ,$244.00 ,$79.30 ,$198.25 ,$127.49 , N/A , N/A ,$79.30 ,$305.00 ,$67.10 ,$228.75 ,$216.55 ,$216.55 ,$67.10 ,$216.55 ,$256.20 ,$256.20 ,$256.20 , N/A ,$274.50 ,$167.75 ,$259.25 ,$67.10 ,$305.00 ,$183.00 ,$67.10 ,$126.88 , N/A , N/A ,$79.30 ,$259.25 , N/A ,$244.00 ,$85.40 ,$274.50 ,$305.00 ,$67.10 ,$256.20 ,$78.80 ,$78.80 ,$79.30 ,$198.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,34300072,A9595,"HC PIFLUFOLASTAT F-18, DIAGNOSTIC, 1 MILLICURIE",343,1 ,"$1,579.00 ","$1,026.35 ",$347.38 ,"$1,579.00 ",$868.45 ,$947.40 ,$947.40 ,$410.54 ,$442.12 ,$768.97 ,$410.54 ,$885.82 ,$394.75 ,"$1,263.20 ","$1,263.20 ",$410.54 ,"$1,026.35 ",$660.02 , N/A ,"$1,354.45 ",$410.54 ,"$1,579.00 ",$347.38 ,"$1,184.25 ","$1,121.09 ","$1,121.09 ",$347.38 ,"$1,121.09 ","$1,326.36 ","$1,326.36 ","$1,326.36 ", N/A ,"$1,421.10 ",$868.45 ,"$1,342.15 ",$347.38 ,"$1,579.00 ",$947.40 ,$347.38 ,$656.86 , N/A , N/A ,$410.54 ,"$1,342.15 ","$1,029.38 ","$1,263.20 ",$442.12 ,"$1,421.10 ","$1,579.00 ",$347.38 ,"$1,326.36 ",$893.94 ,$893.94 ,$410.54 ,"$1,026.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000006,21550,HC BX TISSUE NECK/THORAX,350,1 ,"$3,921.00 ","$2,548.65 ",$161.41 ,"$3,921.00 ","$2,156.55 ","$2,352.60 ","$2,352.60 ","$1,019.46 ","$1,097.88 ","$1,909.53 ","$1,019.46 ","$2,199.68 ",$980.25 ,"$3,136.80 ","$3,136.80 ","$1,019.46 ",$161.41 ,"$1,638.98 ","$1,049.00 ","$3,592.48 ","$1,019.46 ","$3,921.00 ",$862.62 ,"$2,940.75 ","$2,783.91 ","$2,783.91 ",$862.62 ,"$2,783.91 ","$3,293.64 ","$3,293.64 ","$3,293.64 ", N/A ,"$3,528.90 ","$2,156.55 ","$3,332.85 ",$862.62 ,"$3,921.00 ","$2,352.60 ",$862.62 ,"$1,631.14 ","$1,094.18 ",$994.71 ,"$1,019.46 ","$3,332.85 ","$2,730.28 ","$3,136.80 ","$1,097.88 ","$3,528.90 ","$3,921.00 ",$862.62 ,"$3,293.64 ",$975.00 ,$975.00 ,"$1,019.46 ","$2,548.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000025,49180,HC ABDOM/RETRO/MASS BIOP,350,1 ,"$3,135.00 ","$2,037.75 ",$85.52 ,"$3,592.48 ","$1,724.25 ","$1,881.00 ","$1,881.00 ",$815.10 ,$877.80 ,"$1,526.75 ",$815.10 ,"$1,758.74 ",$783.75 ,"$2,508.00 ","$2,508.00 ",$815.10 ,$85.52 ,"$1,310.43 ","$1,049.00 ","$3,592.48 ",$815.10 ,"$3,135.00 ",$689.70 ,"$2,351.25 ","$2,225.85 ","$2,225.85 ",$689.70 ,"$2,225.85 ","$2,633.40 ","$2,633.40 ","$2,633.40 ", N/A ,"$2,821.50 ","$1,724.25 ","$2,664.75 ",$689.70 ,"$3,135.00 ","$1,881.00 ",$689.70 ,"$1,304.16 ","$1,032.79 ",$938.90 ,$815.10 ,"$2,664.75 ","$2,730.28 ","$2,508.00 ",$877.80 ,"$2,821.50 ","$3,135.00 ",$689.70 ,"$2,633.40 ",$975.00 ,$975.00 ,$815.10 ,"$2,037.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000028,60100,HC BX THYROID NEEDLE PERC,350,1 ,$580.00 ,$377.00 ,$79.64 ,"$1,588.85 ",$319.00 ,$348.00 ,$348.00 ,$150.80 ,$162.40 ,$282.46 ,$150.80 ,$325.38 ,$145.00 ,$464.00 ,$464.00 ,$150.80 ,$79.64 ,$242.44 ,$580.00 ,"$1,588.85 ",$150.80 ,$580.00 ,$127.60 ,$435.00 ,$411.80 ,$411.80 ,$127.60 ,$411.80 ,$487.20 ,$487.20 ,$487.20 , N/A ,$522.00 ,$319.00 ,$493.00 ,$127.60 ,$580.00 ,$348.00 ,$127.60 ,$241.28 ,"$1,032.79 ",$938.90 ,$150.80 ,$493.00 ,"$1,207.53 ",$464.00 ,$162.40 ,$522.00 ,$580.00 ,$127.60 ,$487.20 ,$580.00 ,$580.00 ,$150.80 ,$377.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,035.00 ","$1,322.75 ",$68.05 ,"$2,035.00 ","$1,119.25 ","$1,221.00 ","$1,221.00 ",$529.10 ,$569.80 ,"$1,037.85 ",$529.10 ,"$1,195.84 ",$508.75 ,"$1,628.00 ","$1,628.00 ",$529.10 ,$68.05 ,$850.63 ,"$1,049.00 ",$277.98 ,$529.10 ,"$2,035.00 ",$447.70 ,"$1,526.25 ","$1,444.85 ","$1,444.85 ",$447.70 ,"$1,444.85 ","$1,709.40 ","$1,709.40 ","$1,709.40 ", N/A ,"$1,831.50 ","$1,119.25 ","$1,729.75 ",$447.70 ,"$2,035.00 ","$1,221.00 ",$447.70 ,$846.56 ,$485.18 ,$441.07 ,$529.10 ,"$1,729.75 ",$211.26 ,"$1,628.00 ",$569.80 ,"$1,831.50 ","$2,035.00 ",$447.70 ,"$1,709.40 ",$975.00 ,$975.00 ,$529.10 ,"$1,322.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$2,358.00 ","$1,532.70 ",$98.37 ,"$2,358.00 ","$1,296.90 ","$1,414.80 ","$1,414.80 ",$613.08 ,$660.24 ,"$1,202.58 ",$613.08 ,"$1,386.50 ",$589.50 ,"$1,886.40 ","$1,886.40 ",$613.08 ,$98.37 ,$985.64 ,"$1,049.00 ",$456.08 ,$613.08 ,"$2,358.00 ",$518.76 ,"$1,768.50 ","$1,674.18 ","$1,674.18 ",$518.76 ,"$1,674.18 ","$1,980.72 ","$1,980.72 ","$1,980.72 ", N/A ,"$2,122.20 ","$1,296.90 ","$2,004.30 ",$518.76 ,"$2,358.00 ","$1,414.80 ",$518.76 ,$980.93 ,$485.18 ,$441.07 ,$613.08 ,"$2,004.30 ",$346.62 ,"$1,886.40 ",$660.24 ,"$2,122.20 ","$2,358.00 ",$518.76 ,"$1,980.72 ",$975.00 ,$975.00 ,$613.08 ,"$1,532.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$2,871.00 ","$1,866.15 ",$117.93 ,"$2,871.00 ","$1,579.05 ","$1,722.60 ","$1,722.60 ",$746.46 ,$803.88 ,"$1,464.21 ",$746.46 ,"$1,688.15 ",$717.75 ,"$2,296.80 ","$2,296.80 ",$746.46 ,$117.93 ,"$1,200.08 ","$1,049.00 ",$456.08 ,$746.46 ,"$2,871.00 ",$631.62 ,"$2,153.25 ","$2,038.41 ","$2,038.41 ",$631.62 ,"$2,038.41 ","$2,411.64 ","$2,411.64 ","$2,411.64 ", N/A ,"$2,583.90 ","$1,579.05 ","$2,440.35 ",$631.62 ,"$2,871.00 ","$1,722.60 ",$631.62 ,"$1,194.34 ",$485.18 ,$441.07 ,$746.46 ,"$2,440.35 ",$346.62 ,"$2,296.80 ",$803.88 ,"$2,583.90 ","$2,871.00 ",$631.62 ,"$2,411.64 ",$975.00 ,$975.00 ,$746.46 ,"$1,866.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$2,242.00 ","$1,457.30 ",$101.63 ,"$2,242.00 ","$1,233.10 ","$1,345.20 ","$1,345.20 ",$582.92 ,$627.76 ,"$1,143.42 ",$582.92 ,"$1,318.30 ",$560.50 ,"$1,793.60 ","$1,793.60 ",$582.92 ,$101.63 ,$937.16 ,"$1,049.00 ",$277.98 ,$582.92 ,"$2,242.00 ",$493.24 ,"$1,681.50 ","$1,591.82 ","$1,591.82 ",$493.24 ,"$1,591.82 ","$1,883.28 ","$1,883.28 ","$1,883.28 ", N/A ,"$2,017.80 ","$1,233.10 ","$1,905.70 ",$493.24 ,"$2,242.00 ","$1,345.20 ",$493.24 ,$932.67 ,$235.76 ,$214.33 ,$582.92 ,"$1,905.70 ",$211.26 ,"$1,793.60 ",$627.76 ,"$2,017.80 ","$2,242.00 ",$493.24 ,"$1,883.28 ",$975.00 ,$975.00 ,$582.92 ,"$1,457.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$2,610.00 ","$1,696.50 ",$131.95 ,"$2,610.00 ","$1,435.50 ","$1,566.00 ","$1,566.00 ",$678.60 ,$730.80 ,"$1,331.10 ",$678.60 ,"$1,534.68 ",$652.50 ,"$2,088.00 ","$2,088.00 ",$678.60 ,$131.95 ,"$1,090.98 ","$1,049.00 ",$456.08 ,$678.60 ,"$2,610.00 ",$574.20 ,"$1,957.50 ","$1,853.10 ","$1,853.10 ",$574.20 ,"$1,853.10 ","$2,192.40 ","$2,192.40 ","$2,192.40 ", N/A ,"$2,349.00 ","$1,435.50 ","$2,218.50 ",$574.20 ,"$2,610.00 ","$1,566.00 ",$574.20 ,"$1,085.76 ",$235.76 ,$214.33 ,$678.60 ,"$2,218.50 ",$346.62 ,"$2,088.00 ",$730.80 ,"$2,349.00 ","$2,610.00 ",$574.20 ,"$2,192.40 ",$975.00 ,$975.00 ,$678.60 ,"$1,696.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$3,184.00 ","$2,069.60 ",$157.63 ,"$3,184.00 ","$1,751.20 ","$1,910.40 ","$1,910.40 ",$827.84 ,$891.52 ,"$1,623.84 ",$827.84 ,"$1,872.19 ",$796.00 ,"$2,547.20 ","$2,547.20 ",$827.84 ,$157.63 ,"$1,330.91 ","$1,049.00 ",$456.08 ,$827.84 ,"$3,184.00 ",$700.48 ,"$2,388.00 ","$2,260.64 ","$2,260.64 ",$700.48 ,"$2,260.64 ","$2,674.56 ","$2,674.56 ","$2,674.56 ", N/A ,"$2,865.60 ","$1,751.20 ","$2,706.40 ",$700.48 ,"$3,184.00 ","$1,910.40 ",$700.48 ,"$1,324.54 ",$235.76 ,$214.33 ,$827.84 ,"$2,706.40 ",$346.62 ,"$2,547.20 ",$891.52 ,"$2,865.60 ","$3,184.00 ",$700.48 ,"$2,674.56 ",$975.00 ,$975.00 ,$827.84 ,"$2,069.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$2,016.00 ","$1,310.40 ",$90.22 ,"$2,016.00 ","$1,108.80 ","$1,209.60 ","$1,209.60 ",$524.16 ,$564.48 ,"$1,028.16 ",$524.16 ,"$1,185.41 ",$504.00 ,"$1,612.80 ","$1,612.80 ",$524.16 ,$90.22 ,$842.69 ,"$1,049.00 ",$277.98 ,$524.16 ,"$2,016.00 ",$443.52 ,"$1,512.00 ","$1,431.36 ","$1,431.36 ",$443.52 ,"$1,431.36 ","$1,693.44 ","$1,693.44 ","$1,693.44 ", N/A ,"$1,814.40 ","$1,108.80 ","$1,713.60 ",$443.52 ,"$2,016.00 ","$1,209.60 ",$443.52 ,$838.66 ,$235.76 ,$214.33 ,$524.16 ,"$1,713.60 ",$211.26 ,"$1,612.80 ",$564.48 ,"$1,814.40 ","$2,016.00 ",$443.52 ,"$1,693.44 ",$975.00 ,$975.00 ,$524.16 ,"$1,310.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$2,193.00 ","$1,425.45 ",$102.61 ,"$2,193.00 ","$1,206.15 ","$1,315.80 ","$1,315.80 ",$570.18 ,$614.04 ,"$1,118.43 ",$570.18 ,"$1,289.48 ",$548.25 ,"$1,754.40 ","$1,754.40 ",$570.18 ,$102.61 ,$916.67 ,"$1,049.00 ",$456.08 ,$570.18 ,"$2,193.00 ",$482.46 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$482.46 ,"$1,557.03 ","$1,842.12 ","$1,842.12 ","$1,842.12 ", N/A ,"$1,973.70 ","$1,206.15 ","$1,864.05 ",$482.46 ,"$2,193.00 ","$1,315.80 ",$482.46 ,$912.29 ,$235.76 ,$214.33 ,$570.18 ,"$1,864.05 ",$346.62 ,"$1,754.40 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$482.46 ,"$1,842.12 ",$975.00 ,$975.00 ,$570.18 ,"$1,425.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,501.00 ","$1,625.65 ",$129.99 ,"$2,501.00 ","$1,375.55 ","$1,500.60 ","$1,500.60 ",$650.26 ,$700.28 ,"$1,275.51 ",$650.26 ,"$1,470.59 ",$625.25 ,"$2,000.80 ","$2,000.80 ",$650.26 ,$129.99 ,"$1,045.42 ","$1,049.00 ",$456.08 ,$650.26 ,"$2,501.00 ",$550.22 ,"$1,875.75 ","$1,775.71 ","$1,775.71 ",$550.22 ,"$1,775.71 ","$2,100.84 ","$2,100.84 ","$2,100.84 ", N/A ,"$2,250.90 ","$1,375.55 ","$2,125.85 ",$550.22 ,"$2,501.00 ","$1,500.60 ",$550.22 ,"$1,040.42 ",$235.76 ,$214.33 ,$650.26 ,"$2,125.85 ",$346.62 ,"$2,000.80 ",$700.28 ,"$2,250.90 ","$2,501.00 ",$550.22 ,"$2,100.84 ",$975.00 ,$975.00 ,$650.26 ,"$1,625.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,191.00 ","$1,424.15 ",$93.16 ,"$2,191.00 ","$1,205.05 ","$1,314.60 ","$1,314.60 ",$569.66 ,$613.48 ,"$1,117.41 ",$569.66 ,"$1,288.31 ",$547.75 ,"$1,752.80 ","$1,752.80 ",$569.66 ,$93.16 ,$915.84 ,"$1,049.00 ",$277.98 ,$569.66 ,"$2,191.00 ",$482.02 ,"$1,643.25 ","$1,555.61 ","$1,555.61 ",$482.02 ,"$1,555.61 ","$1,840.44 ","$1,840.44 ","$1,840.44 ", N/A ,"$1,971.90 ","$1,205.05 ","$1,862.35 ",$482.02 ,"$2,191.00 ","$1,314.60 ",$482.02 ,$911.46 ,$235.76 ,$214.33 ,$569.66 ,"$1,862.35 ",$211.26 ,"$1,752.80 ",$613.48 ,"$1,971.90 ","$2,191.00 ",$482.02 ,"$1,840.44 ",$975.00 ,$975.00 ,$569.66 ,"$1,424.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$2,636.00 ","$1,713.40 ",$124.13 ,"$2,636.00 ","$1,449.80 ","$1,581.60 ","$1,581.60 ",$685.36 ,$738.08 ,"$1,344.36 ",$685.36 ,"$1,549.97 ",$659.00 ,"$2,108.80 ","$2,108.80 ",$685.36 ,$124.13 ,"$1,101.85 ","$1,049.00 ",$456.08 ,$685.36 ,"$2,636.00 ",$579.92 ,"$1,977.00 ","$1,871.56 ","$1,871.56 ",$579.92 ,"$1,871.56 ","$2,214.24 ","$2,214.24 ","$2,214.24 ", N/A ,"$2,372.40 ","$1,449.80 ","$2,240.60 ",$579.92 ,"$2,636.00 ","$1,581.60 ",$579.92 ,"$1,096.58 ",$235.76 ,$214.33 ,$685.36 ,"$2,240.60 ",$346.62 ,"$2,108.80 ",$738.08 ,"$2,372.40 ","$2,636.00 ",$579.92 ,"$2,214.24 ",$975.00 ,$975.00 ,$685.36 ,"$1,713.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$2,645.00 ","$1,719.25 ",$151.76 ,"$2,645.00 ","$1,454.75 ","$1,587.00 ","$1,587.00 ",$687.70 ,$740.60 ,"$1,348.95 ",$687.70 ,"$1,555.26 ",$661.25 ,"$2,116.00 ","$2,116.00 ",$687.70 ,$151.76 ,"$1,105.61 ","$1,049.00 ",$456.08 ,$687.70 ,"$2,645.00 ",$581.90 ,"$1,983.75 ","$1,877.95 ","$1,877.95 ",$581.90 ,"$1,877.95 ","$2,221.80 ","$2,221.80 ","$2,221.80 ", N/A ,"$2,380.50 ","$1,454.75 ","$2,248.25 ",$581.90 ,"$2,645.00 ","$1,587.00 ",$581.90 ,"$1,100.32 ",$235.76 ,$214.33 ,$687.70 ,"$2,248.25 ",$346.62 ,"$2,116.00 ",$740.60 ,"$2,380.50 ","$2,645.00 ",$581.90 ,"$2,221.80 ",$975.00 ,$975.00 ,$687.70 ,"$1,719.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$2,659.00 ","$1,728.35 ",$200.50 ,"$2,659.00 ","$1,462.45 ","$1,595.40 ","$1,595.40 ",$691.34 ,$744.52 ,"$1,356.09 ",$691.34 ,"$1,563.49 ",$664.75 ,"$2,127.20 ","$2,127.20 ",$691.34 ,$200.50 ,"$1,111.46 ","$1,049.00 ",$456.08 ,$691.34 ,"$2,659.00 ",$584.98 ,"$1,994.25 ","$1,887.89 ","$1,887.89 ",$584.98 ,"$1,887.89 ","$2,233.56 ","$2,233.56 ","$2,233.56 ", N/A ,"$2,393.10 ","$1,462.45 ","$2,260.15 ",$584.98 ,"$2,659.00 ","$1,595.40 ",$584.98 ,"$1,106.14 ",$621.40 ,$564.91 ,$691.34 ,"$2,260.15 ",$346.62 ,"$2,127.20 ",$744.52 ,"$2,393.10 ","$2,659.00 ",$584.98 ,"$2,233.56 ",$975.00 ,$975.00 ,$691.34 ,"$1,728.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$3,350.00 ","$2,177.50 ",$200.18 ,"$3,350.00 ","$1,842.50 ","$2,010.00 ","$2,010.00 ",$871.00 ,$938.00 ,"$1,708.50 ",$871.00 ,"$1,969.80 ",$837.50 ,"$2,680.00 ","$2,680.00 ",$871.00 ,$200.18 ,"$1,400.30 ","$1,049.00 ",$456.08 ,$871.00 ,"$3,350.00 ",$737.00 ,"$2,512.50 ","$2,378.50 ","$2,378.50 ",$737.00 ,"$2,378.50 ","$2,814.00 ","$2,814.00 ","$2,814.00 ", N/A ,"$3,015.00 ","$1,842.50 ","$2,847.50 ",$737.00 ,"$3,350.00 ","$2,010.00 ",$737.00 ,"$1,393.60 ",$235.76 ,$214.33 ,$871.00 ,"$2,847.50 ",$346.62 ,"$2,680.00 ",$938.00 ,"$3,015.00 ","$3,350.00 ",$737.00 ,"$2,814.00 ",$975.00 ,$975.00 ,$871.00 ,"$2,177.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,189.00 ","$2,072.85 ",$171.32 ,"$3,189.00 ","$1,753.95 ","$1,913.40 ","$1,913.40 ",$829.14 ,$892.92 ,"$1,626.39 ",$829.14 ,"$1,875.13 ",$797.25 ,"$2,551.20 ","$2,551.20 ",$829.14 ,$171.32 ,"$1,333.00 ","$1,493.00 ",$587.50 ,$829.14 ,"$3,189.00 ",$701.58 ,"$2,391.75 ","$2,264.19 ","$2,264.19 ",$701.58 ,"$2,264.19 ","$2,678.76 ","$2,678.76 ","$2,678.76 ", N/A ,"$2,870.10 ","$1,753.95 ","$2,710.65 ",$701.58 ,"$3,189.00 ","$1,913.40 ",$701.58 ,"$1,326.62 ",$588.18 ,$534.71 ,$829.14 ,"$2,710.65 ",$446.50 ,"$2,551.20 ",$892.92 ,"$2,870.10 ","$3,189.00 ",$701.58 ,"$2,678.76 ","$1,750.00 ","$1,750.00 ",$829.14 ,"$2,072.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,756.00 ","$1,791.40 ",$85.66 ,"$2,756.00 ","$1,515.80 ","$1,653.60 ","$1,653.60 ",$716.56 ,$771.68 ,"$1,405.56 ",$716.56 ,"$1,620.53 ",$689.00 ,"$2,204.80 ","$2,204.80 ",$716.56 ,$85.66 ,"$1,152.01 ","$1,049.00 ",$277.98 ,$716.56 ,"$2,756.00 ",$606.32 ,"$2,067.00 ","$1,956.76 ","$1,956.76 ",$606.32 ,"$1,956.76 ","$2,315.04 ","$2,315.04 ","$2,315.04 ", N/A ,"$2,480.40 ","$1,515.80 ","$2,342.60 ",$606.32 ,"$2,756.00 ","$1,653.60 ",$606.32 ,"$1,146.50 ",$267.61 ,$243.28 ,$716.56 ,"$2,342.60 ",$211.26 ,"$2,204.80 ",$771.68 ,"$2,480.40 ","$2,756.00 ",$606.32 ,"$2,315.04 ",$975.00 ,$975.00 ,$716.56 ,"$1,791.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$2,894.00 ","$1,881.10 ",$115.32 ,"$2,894.00 ","$1,591.70 ","$1,736.40 ","$1,736.40 ",$752.44 ,$810.32 ,"$1,475.94 ",$752.44 ,"$1,701.67 ",$723.50 ,"$2,315.20 ","$2,315.20 ",$752.44 ,$115.32 ,"$1,209.69 ","$1,049.00 ",$940.23 ,$752.44 ,"$2,894.00 ",$636.68 ,"$2,170.50 ","$2,054.74 ","$2,054.74 ",$636.68 ,"$2,054.74 ","$2,430.96 ","$2,430.96 ","$2,430.96 ", N/A ,"$2,604.60 ","$1,591.70 ","$2,459.90 ",$636.68 ,"$2,894.00 ","$1,736.40 ",$636.68 ,"$1,203.90 ",$267.61 ,$243.28 ,$752.44 ,"$2,459.90 ",$714.57 ,"$2,315.20 ",$810.32 ,"$2,604.60 ","$2,894.00 ",$636.68 ,"$2,430.96 ",$975.00 ,$975.00 ,$752.44 ,"$1,881.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$3,184.00 ","$2,069.60 ",$143.28 ,"$3,184.00 ","$1,751.20 ","$1,910.40 ","$1,910.40 ",$827.84 ,$891.52 ,"$1,623.84 ",$827.84 ,"$1,872.19 ",$796.00 ,"$2,547.20 ","$2,547.20 ",$827.84 ,$143.28 ,"$1,330.91 ","$1,049.00 ",$456.08 ,$827.84 ,"$3,184.00 ",$700.48 ,"$2,388.00 ","$2,260.64 ","$2,260.64 ",$700.48 ,"$2,260.64 ","$2,674.56 ","$2,674.56 ","$2,674.56 ", N/A ,"$2,865.60 ","$1,751.20 ","$2,706.40 ",$700.48 ,"$3,184.00 ","$1,910.40 ",$700.48 ,"$1,324.54 ",$267.61 ,$243.28 ,$827.84 ,"$2,706.40 ",$346.62 ,"$2,547.20 ",$891.52 ,"$2,865.60 ","$3,184.00 ",$700.48 ,"$2,674.56 ",$975.00 ,$975.00 ,$827.84 ,"$2,069.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,$321.00 ,$208.65 ,$70.62 ,$321.00 ,$176.55 ,$192.60 ,$192.60 ,$83.46 ,$89.88 ,$163.71 ,$83.46 ,$188.75 ,$80.25 ,$256.80 ,$256.80 ,$83.46 ,$85.33 ,$134.18 ,$321.00 ,$277.98 ,$83.46 ,$321.00 ,$70.62 ,$240.75 ,$227.91 ,$227.91 ,$70.62 ,$227.91 ,$269.64 ,$269.64 ,$269.64 , N/A ,$288.90 ,$176.55 ,$272.85 ,$70.62 ,$321.00 ,$192.60 ,$70.62 ,$133.54 ,$267.61 ,$243.28 ,$83.46 ,$272.85 ,$211.26 ,$256.80 ,$89.88 ,$288.90 ,$321.00 ,$70.62 ,$269.64 ,$321.00 ,$321.00 ,$83.46 ,$208.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,$522.00 ,$339.30 ,$114.84 ,$522.00 ,$287.10 ,$313.20 ,$313.20 ,$135.72 ,$146.16 ,$266.22 ,$135.72 ,$306.94 ,$130.50 ,$417.60 ,$417.60 ,$135.72 ,$116.30 ,$218.20 ,$522.00 ,$456.08 ,$135.72 ,$522.00 ,$114.84 ,$391.50 ,$370.62 ,$370.62 ,$114.84 ,$370.62 ,$438.48 ,$438.48 ,$438.48 , N/A ,$469.80 ,$287.10 ,$443.70 ,$114.84 ,$522.00 ,$313.20 ,$114.84 ,$217.15 ,$267.61 ,$243.28 ,$135.72 ,$443.70 ,$346.62 ,$417.60 ,$146.16 ,$469.80 ,$522.00 ,$114.84 ,$438.48 ,$522.00 ,$522.00 ,$135.72 ,$339.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$2,639.00 ","$1,715.35 ",$85.01 ,"$2,639.00 ","$1,451.45 ","$1,583.40 ","$1,583.40 ",$686.14 ,$738.92 ,"$1,345.89 ",$686.14 ,"$1,551.73 ",$659.75 ,"$2,111.20 ","$2,111.20 ",$686.14 ,$85.01 ,"$1,103.10 ","$1,049.00 ",$277.98 ,$686.14 ,"$2,639.00 ",$580.58 ,"$1,979.25 ","$1,873.69 ","$1,873.69 ",$580.58 ,"$1,873.69 ","$2,216.76 ","$2,216.76 ","$2,216.76 ", N/A ,"$2,375.10 ","$1,451.45 ","$2,243.15 ",$580.58 ,"$2,639.00 ","$1,583.40 ",$580.58 ,"$1,097.82 ",$267.61 ,$243.28 ,$686.14 ,"$2,243.15 ",$211.26 ,"$2,111.20 ",$738.92 ,"$2,375.10 ","$2,639.00 ",$580.58 ,"$2,216.76 ",$975.00 ,$975.00 ,$686.14 ,"$1,715.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$2,732.00 ","$1,775.80 ",$115.32 ,"$2,732.00 ","$1,502.60 ","$1,639.20 ","$1,639.20 ",$710.32 ,$764.96 ,"$1,393.32 ",$710.32 ,"$1,606.42 ",$683.00 ,"$2,185.60 ","$2,185.60 ",$710.32 ,$115.32 ,"$1,141.98 ","$1,049.00 ",$940.23 ,$710.32 ,"$2,732.00 ",$601.04 ,"$2,049.00 ","$1,939.72 ","$1,939.72 ",$601.04 ,"$1,939.72 ","$2,294.88 ","$2,294.88 ","$2,294.88 ", N/A ,"$2,458.80 ","$1,502.60 ","$2,322.20 ",$601.04 ,"$2,732.00 ","$1,639.20 ",$601.04 ,"$1,136.51 ",$267.61 ,$243.28 ,$710.32 ,"$2,322.20 ",$714.57 ,"$2,185.60 ",$764.96 ,"$2,458.80 ","$2,732.00 ",$601.04 ,"$2,294.88 ",$975.00 ,$975.00 ,$710.32 ,"$1,775.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$2,896.00 ","$1,882.40 ",$142.96 ,"$2,896.00 ","$1,592.80 ","$1,737.60 ","$1,737.60 ",$752.96 ,$810.88 ,"$1,476.96 ",$752.96 ,"$1,702.85 ",$724.00 ,"$2,316.80 ","$2,316.80 ",$752.96 ,$142.96 ,"$1,210.53 ","$1,049.00 ",$456.08 ,$752.96 ,"$2,896.00 ",$637.12 ,"$2,172.00 ","$2,056.16 ","$2,056.16 ",$637.12 ,"$2,056.16 ","$2,432.64 ","$2,432.64 ","$2,432.64 ", N/A ,"$2,606.40 ","$1,592.80 ","$2,461.60 ",$637.12 ,"$2,896.00 ","$1,737.60 ",$637.12 ,"$1,204.74 ",$267.61 ,$243.28 ,$752.96 ,"$2,461.60 ",$346.62 ,"$2,316.80 ",$810.88 ,"$2,606.40 ","$2,896.00 ",$637.12 ,"$2,432.64 ",$975.00 ,$975.00 ,$752.96 ,"$1,882.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$2,369.00 ","$1,539.85 ",$84.68 ,"$2,369.00 ","$1,302.95 ","$1,421.40 ","$1,421.40 ",$615.94 ,$663.32 ,"$1,208.19 ",$615.94 ,"$1,392.97 ",$592.25 ,"$1,895.20 ","$1,895.20 ",$615.94 ,$84.68 ,$990.24 ,"$1,049.00 ",$277.98 ,$615.94 ,"$2,369.00 ",$521.18 ,"$1,776.75 ","$1,681.99 ","$1,681.99 ",$521.18 ,"$1,681.99 ","$1,989.96 ","$1,989.96 ","$1,989.96 ", N/A ,"$2,132.10 ","$1,302.95 ","$2,013.65 ",$521.18 ,"$2,369.00 ","$1,421.40 ",$521.18 ,$985.50 ,$533.32 ,$484.84 ,$615.94 ,"$2,013.65 ",$211.26 ,"$1,895.20 ",$663.32 ,"$2,132.10 ","$2,369.00 ",$521.18 ,"$1,989.96 ",$975.00 ,$975.00 ,$615.94 ,"$1,539.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,681.00 ","$1,742.65 ",$184.11 ,"$2,681.00 ","$1,474.55 ","$1,608.60 ","$1,608.60 ",$697.06 ,$750.68 ,"$1,367.31 ",$697.06 ,"$1,576.43 ",$670.25 ,"$2,144.80 ","$2,144.80 ",$697.06 ,$184.11 ,"$1,120.66 ","$1,049.00 ",$456.08 ,$697.06 ,"$2,681.00 ",$589.82 ,"$2,010.75 ","$1,903.51 ","$1,903.51 ",$589.82 ,"$1,903.51 ","$2,252.04 ","$2,252.04 ","$2,252.04 ", N/A ,"$2,412.90 ","$1,474.55 ","$2,278.85 ",$589.82 ,"$2,681.00 ","$1,608.60 ",$589.82 ,"$1,115.30 ",$533.32 ,$484.84 ,$697.06 ,"$2,278.85 ",$346.62 ,"$2,144.80 ",$750.68 ,"$2,412.90 ","$2,681.00 ",$589.82 ,"$2,252.04 ",$975.00 ,$975.00 ,$697.06 ,"$1,742.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$2,859.00 ","$1,858.35 ",$205.87 ,"$2,859.00 ","$1,572.45 ","$1,715.40 ","$1,715.40 ",$743.34 ,$800.52 ,"$1,458.09 ",$743.34 ,"$1,681.09 ",$714.75 ,"$2,287.20 ","$2,287.20 ",$743.34 ,$205.87 ,"$1,195.06 ","$1,049.00 ",$456.08 ,$743.34 ,"$2,859.00 ",$628.98 ,"$2,144.25 ","$2,029.89 ","$2,029.89 ",$628.98 ,"$2,029.89 ","$2,401.56 ","$2,401.56 ","$2,401.56 ", N/A ,"$2,573.10 ","$1,572.45 ","$2,430.15 ",$628.98 ,"$2,859.00 ","$1,715.40 ",$628.98 ,"$1,189.34 ",$533.32 ,$484.84 ,$743.34 ,"$2,430.15 ",$346.62 ,"$2,287.20 ",$800.52 ,"$2,573.10 ","$2,859.00 ",$628.98 ,"$2,401.56 ",$975.00 ,$975.00 ,$743.34 ,"$1,858.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$1,880.00 ","$1,222.00 ",$119.89 ,"$1,880.00 ","$1,034.00 ","$1,128.00 ","$1,128.00 ",$488.80 ,$526.40 ,$958.80 ,$488.80 ,"$1,105.44 ",$470.00 ,"$1,504.00 ","$1,504.00 ",$488.80 ,$119.89 ,$785.84 ,"$1,049.00 ",$277.98 ,$488.80 ,"$1,880.00 ",$413.60 ,"$1,410.00 ","$1,334.80 ","$1,334.80 ",$413.60 ,"$1,334.80 ","$1,579.20 ","$1,579.20 ","$1,579.20 ", N/A ,"$1,692.00 ","$1,034.00 ","$1,598.00 ",$413.60 ,"$1,880.00 ","$1,128.00 ",$413.60 ,$782.08 ,$235.76 ,$214.33 ,$488.80 ,"$1,598.00 ",$211.26 ,"$1,504.00 ",$526.40 ,"$1,692.00 ","$1,880.00 ",$413.60 ,"$1,579.20 ",$975.00 ,$975.00 ,$488.80 ,"$1,222.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$1,902.00 ","$1,236.30 ",$152.49 ,"$1,902.00 ","$1,046.10 ","$1,141.20 ","$1,141.20 ",$494.52 ,$532.56 ,$970.02 ,$494.52 ,"$1,118.38 ",$475.50 ,"$1,521.60 ","$1,521.60 ",$494.52 ,$152.49 ,$795.04 ,"$1,049.00 ",$940.23 ,$494.52 ,"$1,902.00 ",$418.44 ,"$1,426.50 ","$1,350.42 ","$1,350.42 ",$418.44 ,"$1,350.42 ","$1,597.68 ","$1,597.68 ","$1,597.68 ", N/A ,"$1,711.80 ","$1,046.10 ","$1,616.70 ",$418.44 ,"$1,902.00 ","$1,141.20 ",$418.44 ,$791.23 ,$235.76 ,$214.33 ,$494.52 ,"$1,616.70 ",$714.57 ,"$1,521.60 ",$532.56 ,"$1,711.80 ","$1,902.00 ",$418.44 ,"$1,597.68 ",$975.00 ,$975.00 ,$494.52 ,"$1,236.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$1,982.00 ","$1,288.30 ",$201.63 ,"$1,982.00 ","$1,090.10 ","$1,189.20 ","$1,189.20 ",$515.32 ,$554.96 ,"$1,010.82 ",$515.32 ,"$1,165.42 ",$495.50 ,"$1,585.60 ","$1,585.60 ",$515.32 ,$201.63 ,$828.48 ,"$1,049.00 ",$456.08 ,$515.32 ,"$1,982.00 ",$436.04 ,"$1,486.50 ","$1,407.22 ","$1,407.22 ",$436.04 ,"$1,407.22 ","$1,664.88 ","$1,664.88 ","$1,664.88 ", N/A ,"$1,783.80 ","$1,090.10 ","$1,684.70 ",$436.04 ,"$1,982.00 ","$1,189.20 ",$436.04 ,$824.51 ,$235.76 ,$214.33 ,$515.32 ,"$1,684.70 ",$346.62 ,"$1,585.60 ",$554.96 ,"$1,783.80 ","$1,982.00 ",$436.04 ,"$1,664.88 ",$975.00 ,$975.00 ,$515.32 ,"$1,288.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,$606.00 ,$393.90 ,$133.32 ,$606.00 ,$333.30 ,$363.60 ,$363.60 ,$157.56 ,$169.68 ,$309.06 ,$157.56 ,$356.33 ,$151.50 ,$484.80 ,$484.80 ,$157.56 ,$222.99 ,$253.31 ,$606.00 ,$456.08 ,$157.56 ,$606.00 ,$133.32 ,$454.50 ,$430.26 ,$430.26 ,$133.32 ,$430.26 ,$509.04 ,$509.04 ,$509.04 , N/A ,$545.40 ,$333.30 ,$515.10 ,$133.32 ,$606.00 ,$363.60 ,$133.32 ,$252.10 ,$532.80 ,$484.36 ,$157.56 ,$515.10 ,$346.62 ,$484.80 ,$169.68 ,$545.40 ,$606.00 ,$133.32 ,$509.04 ,$606.00 ,$606.00 ,$157.56 ,$393.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$1,897.00 ","$1,233.05 ",$85.01 ,"$1,897.00 ","$1,043.35 ","$1,138.20 ","$1,138.20 ",$493.22 ,$531.16 ,$967.47 ,$493.22 ,"$1,115.44 ",$474.25 ,"$1,517.60 ","$1,517.60 ",$493.22 ,$85.01 ,$792.95 ,"$1,049.00 ",$277.98 ,$493.22 ,"$1,897.00 ",$417.34 ,"$1,422.75 ","$1,346.87 ","$1,346.87 ",$417.34 ,"$1,346.87 ","$1,593.48 ","$1,593.48 ","$1,593.48 ", N/A ,"$1,707.30 ","$1,043.35 ","$1,612.45 ",$417.34 ,"$1,897.00 ","$1,138.20 ",$417.34 ,$789.15 ,$235.76 ,$214.33 ,$493.22 ,"$1,612.45 ",$211.26 ,"$1,517.60 ",$531.16 ,"$1,707.30 ","$1,897.00 ",$417.34 ,"$1,593.48 ",$975.00 ,$975.00 ,$493.22 ,"$1,233.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$2,006.00 ","$1,303.90 ",$115.98 ,"$2,006.00 ","$1,103.30 ","$1,203.60 ","$1,203.60 ",$521.56 ,$561.68 ,"$1,023.06 ",$521.56 ,"$1,179.53 ",$501.50 ,"$1,604.80 ","$1,604.80 ",$521.56 ,$115.98 ,$838.51 ,"$1,049.00 ",$456.08 ,$521.56 ,"$2,006.00 ",$441.32 ,"$1,504.50 ","$1,424.26 ","$1,424.26 ",$441.32 ,"$1,424.26 ","$1,685.04 ","$1,685.04 ","$1,685.04 ", N/A ,"$1,805.40 ","$1,103.30 ","$1,705.10 ",$441.32 ,"$2,006.00 ","$1,203.60 ",$441.32 ,$834.50 ,$235.76 ,$214.33 ,$521.56 ,"$1,705.10 ",$346.62 ,"$1,604.80 ",$561.68 ,"$1,805.40 ","$2,006.00 ",$441.32 ,"$1,685.04 ",$975.00 ,$975.00 ,$521.56 ,"$1,303.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000077,73702,HC CT LOWER EXTR W/WO CONTR,350,1 ,"$2,220.00 ","$1,443.00 ",$142.63 ,"$2,220.00 ","$1,221.00 ","$1,332.00 ","$1,332.00 ",$577.20 ,$621.60 ,"$1,132.20 ",$577.20 ,"$1,305.36 ",$555.00 ,"$1,776.00 ","$1,776.00 ",$577.20 ,$142.63 ,$927.96 ,"$1,049.00 ",$456.08 ,$577.20 ,"$2,220.00 ",$488.40 ,"$1,665.00 ","$1,576.20 ","$1,576.20 ",$488.40 ,"$1,576.20 ","$1,864.80 ","$1,864.80 ","$1,864.80 ", N/A ,"$1,998.00 ","$1,221.00 ","$1,887.00 ",$488.40 ,"$2,220.00 ","$1,332.00 ",$488.40 ,$923.52 ,$235.76 ,$214.33 ,$577.20 ,"$1,887.00 ",$346.62 ,"$1,776.00 ",$621.60 ,"$1,998.00 ","$2,220.00 ",$488.40 ,"$1,864.80 ",$975.00 ,$975.00 ,$577.20 ,"$1,443.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$2,939.00 ","$1,910.35 ",$244.84 ,"$2,939.00 ","$1,616.45 ","$1,763.40 ","$1,763.40 ",$764.14 ,$822.92 ,"$1,498.89 ",$764.14 ,"$1,728.13 ",$734.75 ,"$2,351.20 ","$2,351.20 ",$764.14 ,$244.84 ,"$1,228.50 ","$1,049.00 ",$456.08 ,$764.14 ,"$2,939.00 ",$646.58 ,"$2,204.25 ","$2,086.69 ","$2,086.69 ",$646.58 ,"$2,086.69 ","$2,468.76 ","$2,468.76 ","$2,468.76 ", N/A ,"$2,645.10 ","$1,616.45 ","$2,498.15 ",$646.58 ,"$2,939.00 ","$1,763.40 ",$646.58 ,"$1,222.62 ",$532.80 ,$484.36 ,$764.14 ,"$2,498.15 ",$346.62 ,"$2,351.20 ",$822.92 ,"$2,645.10 ","$2,939.00 ",$646.58 ,"$2,468.76 ",$975.00 ,$975.00 ,$764.14 ,"$1,910.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,431.00 ","$1,580.15 ",$83.70 ,"$2,431.00 ","$1,337.05 ","$1,458.60 ","$1,458.60 ",$632.06 ,$680.68 ,"$1,239.81 ",$632.06 ,"$1,429.43 ",$607.75 ,"$1,944.80 ","$1,944.80 ",$632.06 ,$83.70 ,"$1,016.16 ","$1,049.00 ",$277.98 ,$632.06 ,"$2,431.00 ",$534.82 ,"$1,823.25 ","$1,726.01 ","$1,726.01 ",$534.82 ,"$1,726.01 ","$2,042.04 ","$2,042.04 ","$2,042.04 ", N/A ,"$2,187.90 ","$1,337.05 ","$2,066.35 ",$534.82 ,"$2,431.00 ","$1,458.60 ",$534.82 ,"$1,011.30 ",$533.32 ,$484.84 ,$632.06 ,"$2,066.35 ",$211.26 ,"$1,944.80 ",$680.68 ,"$2,187.90 ","$2,431.00 ",$534.82 ,"$2,042.04 ",$975.00 ,$975.00 ,$632.06 ,"$1,580.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$2,674.00 ","$1,738.10 ",$183.46 ,"$2,674.00 ","$1,470.70 ","$1,604.40 ","$1,604.40 ",$695.24 ,$748.72 ,"$1,363.74 ",$695.24 ,"$1,572.31 ",$668.50 ,"$2,139.20 ","$2,139.20 ",$695.24 ,$183.46 ,"$1,117.73 ","$1,049.00 ",$456.08 ,$695.24 ,"$2,674.00 ",$588.28 ,"$2,005.50 ","$1,898.54 ","$1,898.54 ",$588.28 ,"$1,898.54 ","$2,246.16 ","$2,246.16 ","$2,246.16 ", N/A ,"$2,406.60 ","$1,470.70 ","$2,272.90 ",$588.28 ,"$2,674.00 ","$1,604.40 ",$588.28 ,"$1,112.38 ",$533.32 ,$484.84 ,$695.24 ,"$2,272.90 ",$346.62 ,"$2,139.20 ",$748.72 ,"$2,406.60 ","$2,674.00 ",$588.28 ,"$2,246.16 ",$975.00 ,$975.00 ,$695.24 ,"$1,738.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,335.00 ","$2,167.75 ",$206.85 ,"$3,335.00 ","$1,834.25 ","$2,001.00 ","$2,001.00 ",$867.10 ,$933.80 ,"$1,700.85 ",$867.10 ,"$1,960.98 ",$833.75 ,"$2,668.00 ","$2,668.00 ",$867.10 ,$206.85 ,"$1,394.03 ","$1,049.00 ",$456.08 ,$867.10 ,"$3,335.00 ",$733.70 ,"$2,501.25 ","$2,367.85 ","$2,367.85 ",$733.70 ,"$2,367.85 ","$2,801.40 ","$2,801.40 ","$2,801.40 ", N/A ,"$3,001.50 ","$1,834.25 ","$2,834.75 ",$733.70 ,"$3,335.00 ","$2,001.00 ",$733.70 ,"$1,387.36 ",$533.32 ,$484.84 ,$867.10 ,"$2,834.75 ",$346.62 ,"$2,668.00 ",$933.80 ,"$3,001.50 ","$3,335.00 ",$733.70 ,"$2,801.40 ",$975.00 ,$975.00 ,$867.10 ,"$2,167.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$2,763.00 ","$1,795.95 ",$229.99 ,"$2,763.00 ","$1,519.65 ","$1,657.80 ","$1,657.80 ",$718.38 ,$773.64 ,"$1,409.13 ",$718.38 ,"$1,624.64 ",$690.75 ,"$2,210.40 ","$2,210.40 ",$718.38 ,$229.99 ,"$1,154.93 ","$1,049.00 ",$456.08 ,$718.38 ,"$2,763.00 ",$607.86 ,"$2,072.25 ","$1,961.73 ","$1,961.73 ",$607.86 ,"$1,961.73 ","$2,320.92 ","$2,320.92 ","$2,320.92 ", N/A ,"$2,486.70 ","$1,519.65 ","$2,348.55 ",$607.86 ,"$2,763.00 ","$1,657.80 ",$607.86 ,"$1,149.41 ",$532.80 ,$484.36 ,$718.38 ,"$2,348.55 ",$346.62 ,"$2,210.40 ",$773.64 ,"$2,486.70 ","$2,763.00 ",$607.86 ,"$2,320.92 ",$975.00 ,$975.00 ,$718.38 ,"$1,795.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$5,079.00 ","$3,301.35 ",$104.89 ,"$5,079.00 ","$2,793.45 ","$3,047.40 ","$3,047.40 ","$1,320.54 ","$1,422.12 ","$2,338.03 ","$1,320.54 ","$2,338.03 ","$1,269.75 ","$4,063.20 ","$4,063.20 ","$1,320.54 ",$104.89 ,"$2,123.02 ","$1,049.00 ",$587.50 ,"$1,320.54 ","$5,079.00 ","$1,117.38 ","$3,809.25 ","$3,606.09 ","$3,606.09 ","$1,117.38 ","$3,606.09 ","$4,266.36 ","$4,266.36 ","$4,266.36 ", N/A ,"$4,571.10 ","$2,793.45 ","$4,317.15 ","$1,117.38 ","$5,079.00 ","$3,047.40 ","$1,117.38 ","$2,112.86 ",$533.32 ,$484.84 ,"$1,320.54 ","$4,317.15 ",$446.50 ,"$4,063.20 ","$1,422.12 ","$4,571.10 ","$5,079.00 ","$1,117.38 ","$4,266.36 ",$975.00 ,$975.00 ,"$1,320.54 ","$3,301.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$5,422.00 ","$3,524.30 ",$230.65 ,"$5,422.00 ","$2,982.10 ","$3,253.20 ","$3,253.20 ","$1,409.72 ","$1,518.16 ","$2,765.22 ","$1,409.72 ","$3,188.14 ","$1,355.50 ","$4,337.60 ","$4,337.60 ","$1,409.72 ",$230.65 ,"$2,266.40 ","$1,049.00 ",$940.23 ,"$1,409.72 ","$5,422.00 ","$1,192.84 ","$4,066.50 ","$3,849.62 ","$3,849.62 ","$1,192.84 ","$3,849.62 ","$4,554.48 ","$4,554.48 ","$4,554.48 ", N/A ,"$4,879.80 ","$2,982.10 ","$4,608.70 ","$1,192.84 ","$5,422.00 ","$3,253.20 ","$1,192.84 ","$2,255.55 ",$533.32 ,$484.84 ,"$1,409.72 ","$4,608.70 ",$714.57 ,"$4,337.60 ","$1,518.16 ","$4,879.80 ","$5,422.00 ","$1,192.84 ","$4,554.48 ",$975.00 ,$975.00 ,"$1,409.72 ","$3,524.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$5,837.00 ","$3,794.05 ",$259.99 ,"$5,837.00 ","$3,210.35 ","$3,502.20 ","$3,502.20 ","$1,517.62 ","$1,634.36 ","$2,976.87 ","$1,517.62 ","$3,432.16 ","$1,459.25 ","$4,669.60 ","$4,669.60 ","$1,517.62 ",$259.99 ,"$2,439.87 ","$1,049.00 ",$940.23 ,"$1,517.62 ","$5,837.00 ","$1,284.14 ","$4,377.75 ","$4,144.27 ","$4,144.27 ","$1,284.14 ","$4,144.27 ","$4,903.08 ","$4,903.08 ","$4,903.08 ", N/A ,"$5,253.30 ","$3,210.35 ","$4,961.45 ","$1,284.14 ","$5,837.00 ","$3,502.20 ","$1,284.14 ","$2,428.19 ",$533.32 ,$484.84 ,"$1,517.62 ","$4,961.45 ",$714.57 ,"$4,669.60 ","$1,634.36 ","$5,253.30 ","$5,837.00 ","$1,284.14 ","$4,903.08 ",$975.00 ,$975.00 ,"$1,517.62 ","$3,794.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$3,094.00 ","$2,011.10 ",$308.40 ,"$3,094.00 ","$1,701.70 ","$1,856.40 ","$1,856.40 ",$804.44 ,$866.32 ,"$1,577.94 ",$804.44 ,"$1,819.27 ",$773.50 ,"$2,475.20 ","$2,475.20 ",$804.44 ,$308.40 ,"$1,293.29 ","$1,049.00 ",$456.08 ,$804.44 ,"$3,094.00 ",$680.68 ,"$2,320.50 ","$2,196.74 ","$2,196.74 ",$680.68 ,"$2,196.74 ","$2,598.96 ","$2,598.96 ","$2,598.96 ", N/A ,"$2,784.60 ","$1,701.70 ","$2,629.90 ",$680.68 ,"$3,094.00 ","$1,856.40 ",$680.68 ,"$1,287.10 ",$532.80 ,$484.36 ,$804.44 ,"$2,629.90 ",$346.62 ,"$2,475.20 ",$866.32 ,"$2,784.60 ","$3,094.00 ",$680.68 ,"$2,598.96 ",$975.00 ,$975.00 ,$804.44 ,"$2,011.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,"$1,078.00 ",$700.70 ,$13.29 ,"$1,078.00 ",$592.90 ,$646.80 ,$646.80 ,$280.28 ,$301.84 ,$283.16 ,$280.28 ,$283.16 ,$269.50 ,$862.40 ,$862.40 ,$280.28 ,$13.29 ,$450.60 ,"$1,049.00 ", N/A ,$280.28 ,"$1,078.00 ",$237.16 ,$808.50 ,$765.38 ,$765.38 ,$237.16 ,$765.38 ,$905.52 ,$905.52 ,$905.52 , N/A ,$970.20 ,$592.90 ,$916.30 ,$237.16 ,"$1,078.00 ",$646.80 ,$237.16 ,$448.45 , N/A , N/A ,$280.28 ,$916.30 , N/A ,$862.40 ,$301.84 ,$970.20 ,"$1,078.00 ",$237.16 ,$905.52 ,$975.00 ,$975.00 ,$280.28 ,$700.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,$896.00 ,$582.40 ,$33.50 ,$896.00 ,$492.80 ,$537.60 ,$537.60 ,$232.96 ,$250.88 ,$456.96 ,$232.96 ,$514.83 ,$224.00 ,$716.80 ,$716.80 ,$232.96 ,$33.50 ,$374.53 ,$896.00 , N/A ,$232.96 ,$896.00 ,$197.12 ,$672.00 ,$636.16 ,$636.16 ,$197.12 ,$636.16 ,$752.64 ,$752.64 ,$752.64 , N/A ,$806.40 ,$492.80 ,$761.60 ,$197.12 ,$896.00 ,$537.60 ,$197.12 ,$372.74 , N/A , N/A ,$232.96 ,$761.60 , N/A ,$716.80 ,$250.88 ,$806.40 ,$896.00 ,$197.12 ,$752.64 ,$896.00 ,$896.00 ,$232.96 ,$582.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$2,696.00 ","$1,752.40 ",$71.31 ,"$2,696.00 ","$1,482.80 ","$1,617.60 ","$1,617.60 ",$700.96 ,$754.88 ,"$1,374.96 ",$700.96 ,"$1,390.72 ",$674.00 ,"$2,156.80 ","$2,156.80 ",$700.96 ,$71.31 ,"$1,126.93 ","$1,049.00 ", N/A ,$700.96 ,"$2,696.00 ",$593.12 ,"$2,022.00 ","$1,914.16 ","$1,914.16 ",$593.12 ,"$1,914.16 ","$2,264.64 ","$2,264.64 ","$2,264.64 ", N/A ,"$2,426.40 ","$1,482.80 ","$2,291.60 ",$593.12 ,"$2,696.00 ","$1,617.60 ",$593.12 ,"$1,121.54 ",$181.84 ,$165.31 ,$700.96 ,"$2,291.60 ", N/A ,"$2,156.80 ",$754.88 ,"$2,426.40 ","$2,696.00 ",$593.12 ,"$2,264.64 ",$975.00 ,$975.00 ,$700.96 ,"$1,752.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000120,74174,HC CT ANGIO ABD/PELV W  AND  WO CONTRAST,350,1 ,"$3,316.00 ","$2,155.40 ",$289.82 ,"$3,316.00 ","$1,823.80 ","$1,989.60 ","$1,989.60 ",$862.16 ,$928.48 ,"$1,691.16 ",$862.16 ,"$1,949.81 ",$829.00 ,"$2,652.80 ","$2,652.80 ",$862.16 ,$289.82 ,"$1,386.09 ","$1,049.00 ",$940.23 ,$862.16 ,"$3,316.00 ",$729.52 ,"$2,487.00 ","$2,354.36 ","$2,354.36 ",$729.52 ,"$2,354.36 ","$2,785.44 ","$2,785.44 ","$2,785.44 ", N/A ,"$2,984.40 ","$1,823.80 ","$2,818.60 ",$729.52 ,"$3,316.00 ","$1,989.60 ",$729.52 ,"$1,379.46 ",$533.32 ,$484.84 ,$862.16 ,"$2,818.60 ",$714.57 ,"$2,652.80 ",$928.48 ,"$2,984.40 ","$3,316.00 ",$729.52 ,"$2,785.44 ",$975.00 ,$975.00 ,$862.16 ,"$2,155.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000132,G0260,HC INJECTION SACRO JOINT W/ ANESTH,350,1 ,"$1,702.00 ","$1,106.30 ",$374.44 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,106.30 ",$711.44 ,"$1,049.00 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 ,$549.62 ,$499.65 ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$975.00 ,$975.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000135,22513,HC VERTEBROPLASTY INJ PERC THOR  KYPHOPLASTY,350,1 ,"$16,371.00 ","$10,641.15 ",$545.24 ,"$21,136.43 ","$9,004.05 ","$9,822.60 ","$9,822.60 ","$4,256.46 ","$4,583.88 ","$7,972.68 ","$4,256.46 ","$9,184.13 ","$4,092.75 ","$13,096.80 ","$13,096.80 ","$4,256.46 ",$545.24 ,"$6,843.08 ","$1,049.00 ","$15,992.63 ","$4,256.46 ","$16,371.00 ","$3,601.62 ","$12,278.25 ","$11,623.41 ","$11,623.41 ","$3,601.62 ","$11,623.41 ","$13,751.64 ","$13,751.64 ","$13,751.64 ", N/A ,"$14,733.90 ","$9,004.05 ","$13,915.35 ","$3,601.62 ","$16,371.00 ","$9,822.60 ","$3,601.62 ","$6,810.34 ","$21,136.43 ","$19,214.94 ","$4,256.46 ","$13,915.35 ","$12,154.40 ","$13,096.80 ","$4,583.88 ","$14,733.90 ","$16,371.00 ","$3,601.62 ","$13,751.64 ",$975.00 ,$975.00 ,"$4,256.46 ","$10,641.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000137,22515,HC VERTEBROPLASTY INJ PERC EA ADDNT THOR OR LUMB KYPHO,350,1 ,"$12,854.00 ","$8,355.10 ",$236.47 ,"$21,136.43 ","$7,069.70 ","$7,712.40 ","$7,712.40 ","$3,342.04 ","$3,599.12 ","$6,259.90 ","$3,342.04 ","$7,211.09 ","$3,213.50 ","$10,283.20 ","$10,283.20 ","$3,342.04 ",$236.47 ,"$5,372.97 ","$1,049.00 ", N/A ,"$3,342.04 ","$12,854.00 ","$2,827.88 ","$9,640.50 ","$9,126.34 ","$9,126.34 ","$2,827.88 ","$9,126.34 ","$10,797.36 ","$10,797.36 ","$10,797.36 ", N/A ,"$11,568.60 ","$7,069.70 ","$10,925.90 ","$2,827.88 ","$12,854.00 ","$7,712.40 ","$2,827.88 ","$5,347.26 ","$21,136.43 ","$19,214.94 ","$3,342.04 ","$10,925.90 ", N/A ,"$10,283.20 ","$3,599.12 ","$11,568.60 ","$12,854.00 ","$2,827.88 ","$10,797.36 ",$975.00 ,$975.00 ,"$3,342.04 ","$8,355.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$230.00 ,$149.50 ,$50.60 ,$277.98 ,$126.50 ,$138.00 ,$138.00 ,$59.80 ,$64.40 ,$112.01 ,$59.80 ,$129.03 ,$57.50 ,$184.00 ,$184.00 ,$59.80 ,$89.24 ,$96.14 ,$230.00 ,$277.98 ,$59.80 ,$230.00 ,$50.60 ,$172.50 ,$163.30 ,$163.30 ,$50.60 ,$163.30 ,$193.20 ,$193.20 ,$193.20 , N/A ,$207.00 ,$126.50 ,$195.50 ,$50.60 ,$230.00 ,$138.00 ,$50.60 ,$95.68 ,$235.76 ,$214.33 ,$59.80 ,$195.50 ,$211.26 ,$184.00 ,$64.40 ,$207.00 ,$230.00 ,$50.60 ,$193.20 ,$230.00 ,$230.00 ,$59.80 ,$149.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$457.00 ,$297.05 ,$100.54 ,$510.19 ,$251.35 ,$274.20 ,$274.20 ,$118.82 ,$127.96 ,$222.56 ,$118.82 ,$256.38 ,$114.25 ,$365.60 ,$365.60 ,$118.82 ,$365.60 ,$191.03 ,$310.76 ,$458.50 ,$118.82 ,$457.00 ,$100.54 ,$342.75 ,$324.47 ,$324.47 ,$100.54 ,$324.47 ,$383.88 ,$383.88 ,$383.88 , N/A ,$411.30 ,$251.35 ,$388.45 ,$100.54 ,$457.00 ,$274.20 ,$100.54 ,$190.11 ,$510.19 ,$463.81 ,$118.82 ,$388.45 ,$348.46 ,$365.60 ,$127.96 ,$411.30 ,$457.00 ,$100.54 ,$383.88 ,$450.00 ,$450.00 ,$118.82 ,$297.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,$472.00 ,$306.80 ,$103.84 ,"$3,592.48 ",$259.60 ,$283.20 ,$283.20 ,$122.72 ,$132.16 ,$229.86 ,$122.72 ,$264.79 ,$118.00 ,$377.60 ,$377.60 ,$122.72 ,$377.60 ,$197.30 ,$320.96 ,"$3,592.48 ",$122.72 ,$472.00 ,$103.84 ,$354.00 ,$335.12 ,$335.12 ,$103.84 ,$335.12 ,$396.48 ,$396.48 ,$396.48 , N/A ,$424.80 ,$259.60 ,$401.20 ,$103.84 ,$472.00 ,$283.20 ,$103.84 ,$196.35 ,"$1,779.48 ","$1,617.71 ",$122.72 ,$401.20 ,"$2,730.28 ",$377.60 ,$132.16 ,$424.80 ,$472.00 ,$103.84 ,$396.48 ,$472.00 ,$472.00 ,$122.72 ,$306.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$233.00 ,$151.45 ,$51.26 ,$882.50 ,$128.15 ,$139.80 ,$139.80 ,$60.58 ,$65.24 ,$113.47 ,$60.58 ,$130.71 ,$58.25 ,$186.40 ,$186.40 ,$60.58 ,$186.40 ,$97.39 ,$158.44 ,$882.50 ,$60.58 ,$233.00 ,$51.26 ,$174.75 ,$165.43 ,$165.43 ,$51.26 ,$165.43 ,$195.72 ,$195.72 ,$195.72 , N/A ,$209.70 ,$128.15 ,$198.05 ,$51.26 ,$233.00 ,$139.80 ,$51.26 ,$96.93 ,$510.19 ,$463.81 ,$60.58 ,$198.05 ,$670.70 ,$186.40 ,$65.24 ,$209.70 ,$233.00 ,$51.26 ,$195.72 ,$233.00 ,$233.00 ,$60.58 ,$151.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000078,19000,HC ASP CYST BREAST,360,1 ,$527.00 ,$342.55 ,$115.94 ,"$1,588.85 ",$289.85 ,$316.20 ,$316.20 ,$137.02 ,$147.56 ,$256.65 ,$137.02 ,$295.65 ,$131.75 ,$421.60 ,$421.60 ,$137.02 ,$421.60 ,$220.29 ,$358.36 ,"$1,588.85 ",$137.02 ,$527.00 ,$115.94 ,$395.25 ,$374.17 ,$374.17 ,$115.94 ,$374.17 ,$442.68 ,$442.68 ,$442.68 , N/A ,$474.30 ,$289.85 ,$447.95 ,$115.94 ,$177.68 ,$316.20 ,$115.94 ,$219.23 ,"$1,032.79 ",$938.90 ,$137.02 ,$447.95 ,"$1,207.53 ",$421.60 ,$147.56 ,$474.30 ,$527.00 ,$115.94 ,$442.68 ,$527.00 ,$527.00 ,$137.02 ,$342.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$669.00 ,$434.85 ,$29.74 ,"$1,032.79 ",$367.95 ,$401.40 ,$401.40 ,$173.94 ,$187.32 ,$325.80 ,$173.94 ,$375.31 ,$167.25 ,$535.20 ,$535.20 ,$173.94 ,$535.20 ,$279.64 ,$454.92 , N/A ,$173.94 ,$669.00 ,$147.18 ,$501.75 ,$474.99 ,$474.99 ,$147.18 ,$474.99 ,$561.96 ,$561.96 ,$561.96 , N/A ,$602.10 ,$367.95 ,$568.65 ,$147.18 ,$29.74 ,$401.40 ,$147.18 ,$278.30 ,"$1,032.79 ",$938.90 ,$173.94 ,$568.65 , N/A ,$535.20 ,$187.32 ,$602.10 ,$669.00 ,$147.18 ,$561.96 ,$450.00 ,$450.00 ,$173.94 ,$434.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,$203.00 ,$131.95 ,$44.66 ,$203.00 ,$111.65 ,$121.80 ,$121.80 ,$52.78 ,$56.84 ,$98.86 ,$52.78 ,$113.88 ,$50.75 ,$162.40 ,$162.40 ,$52.78 ,$162.40 ,$84.85 ,$138.04 , N/A ,$52.78 ,$203.00 ,$44.66 ,$152.25 ,$144.13 ,$144.13 ,$44.66 ,$144.13 ,$170.52 ,$170.52 ,$170.52 , N/A ,$182.70 ,$111.65 ,$172.55 ,$44.66 ,$203.00 ,$121.80 ,$44.66 ,$84.45 , N/A , N/A ,$52.78 ,$172.55 , N/A ,$162.40 ,$56.84 ,$182.70 ,$203.00 ,$44.66 ,$170.52 ,$203.00 ,$203.00 ,$52.78 ,$131.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$6,167.00 ","$4,008.55 ",$620.94 ,"$6,167.00 ","$3,391.85 ","$3,700.20 ","$3,700.20 ","$1,603.42 ","$1,726.76 ","$3,003.33 ","$1,603.42 ","$3,459.69 ","$1,541.75 ","$2,031.00 ","$2,031.00 ","$1,603.42 ","$2,031.00 ","$2,577.81 ","$4,193.56 ","$6,053.88 ","$1,603.42 ","$6,167.00 ","$1,356.74 ","$4,625.25 ","$4,378.57 ","$4,378.57 ","$1,356.74 ","$4,378.57 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$5,550.30 ","$3,391.85 ","$5,241.95 ","$1,356.74 ",$620.94 ,"$3,700.20 ","$1,356.74 ","$2,565.47 ","$3,139.53 ","$2,854.12 ","$1,603.42 ","$5,241.95 ","$4,600.95 ","$2,031.00 ","$1,726.76 ","$5,550.30 ","$6,167.00 ","$1,356.74 ","$3,038.00 ","$3,607.50 ","$3,607.50 ","$1,603.42 ","$4,008.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,672.80 ",$620.94 ,"$4,112.00 ","$2,261.60 ","$2,467.20 ","$2,467.20 ","$1,069.12 ","$1,151.36 ","$2,002.54 ","$1,069.12 ","$2,306.83 ","$1,028.00 ","$2,031.00 ","$2,031.00 ","$1,069.12 ","$2,031.00 ","$1,718.82 ","$2,796.16 ","$1,796.24 ","$1,069.12 ","$4,112.00 ",$904.64 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$904.64 ,"$2,919.52 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,700.80 ","$2,261.60 ","$3,495.20 ",$904.64 ,$620.94 ,"$2,467.20 ",$904.64 ,"$1,710.59 ","$1,046.51 ",$951.37 ,"$1,069.12 ","$3,495.20 ","$1,365.14 ","$2,031.00 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$904.64 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,069.12 ","$2,672.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,672.80 ",$620.94 ,"$4,112.00 ","$2,261.60 ","$2,467.20 ","$2,467.20 ","$1,069.12 ","$1,151.36 ","$2,002.54 ","$1,069.12 ","$2,306.83 ","$1,028.00 ","$2,031.00 ","$2,031.00 ","$1,069.12 ","$2,031.00 ","$1,718.82 ","$2,796.16 ","$1,796.24 ","$1,069.12 ","$4,112.00 ",$904.64 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$904.64 ,"$2,919.52 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,700.80 ","$2,261.60 ","$3,495.20 ",$904.64 ,$620.94 ,"$2,467.20 ",$904.64 ,"$1,710.59 ","$1,046.51 ",$951.37 ,"$1,069.12 ","$3,495.20 ","$1,365.14 ","$2,031.00 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$904.64 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,069.12 ","$2,672.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$4,112.00 ","$2,672.80 ",$620.94 ,"$4,112.00 ","$2,261.60 ","$2,467.20 ","$2,467.20 ","$1,069.12 ","$1,151.36 ","$2,002.54 ","$1,069.12 ","$2,306.83 ","$1,028.00 ","$2,031.00 ","$2,031.00 ","$1,069.12 ","$2,031.00 ","$1,718.82 ","$2,796.16 ","$1,796.24 ","$1,069.12 ","$4,112.00 ",$904.64 ,"$3,084.00 ","$2,919.52 ","$2,919.52 ",$904.64 ,"$2,919.52 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,700.80 ","$2,261.60 ","$3,495.20 ",$904.64 ,$620.94 ,"$2,467.20 ",$904.64 ,"$1,710.59 ","$1,046.51 ",$951.37 ,"$1,069.12 ","$3,495.20 ","$1,365.14 ","$2,031.00 ","$1,151.36 ","$3,700.80 ","$4,112.00 ",$904.64 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,069.12 ","$2,672.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,122.00 ","$1,379.30 ",$184.32 ,"$2,122.00 ","$1,167.10 ","$1,273.20 ","$1,273.20 ",$551.72 ,$594.16 ,"$1,033.41 ",$551.72 ,"$1,190.44 ",$530.50 ,"$1,697.60 ","$1,697.60 ",$551.72 ,"$1,697.60 ",$887.00 ,"$1,442.96 ","$1,588.85 ",$551.72 ,"$2,122.00 ",$466.84 ,"$1,591.50 ","$1,506.62 ","$1,506.62 ",$466.84 ,"$1,506.62 ","$1,782.48 ","$1,782.48 ","$1,782.48 ", N/A ,"$1,909.80 ","$1,167.10 ","$1,803.70 ",$466.84 ,$464.28 ,"$1,273.20 ",$466.84 ,$882.75 ,$202.75 ,$184.32 ,$551.72 ,"$1,803.70 ","$1,207.53 ","$1,697.60 ",$594.16 ,"$1,909.80 ","$2,122.00 ",$466.84 ,"$1,782.48 ","$2,027.00 ","$2,027.00 ",$551.72 ,"$1,379.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$2,681.00 ","$1,742.65 ",$276.48 ,"$2,681.00 ","$1,474.55 ","$1,608.60 ","$1,608.60 ",$697.06 ,$750.68 ,"$1,305.65 ",$697.06 ,"$1,504.04 ",$670.25 ,"$2,031.00 ","$2,031.00 ",$697.06 ,"$2,031.00 ","$1,120.66 ","$1,823.08 ","$1,588.85 ",$697.06 ,"$2,681.00 ",$589.82 ,"$2,010.75 ","$1,903.51 ","$1,903.51 ",$589.82 ,"$1,903.51 ","$2,252.04 ","$2,252.04 ","$2,252.04 ", N/A ,"$2,412.90 ","$1,474.55 ","$2,278.85 ",$589.82 ,$464.28 ,"$1,608.60 ",$589.82 ,"$1,115.30 ",$304.13 ,$276.48 ,$697.06 ,"$2,278.85 ","$1,207.53 ","$2,031.00 ",$750.68 ,"$2,412.90 ","$2,681.00 ",$589.82 ,"$2,252.04 ","$2,681.00 ","$2,681.00 ",$697.06 ,"$1,742.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$1,488.00 ",$967.20 ,$327.36 ,"$3,592.48 ",$818.40 ,$892.80 ,$892.80 ,$386.88 ,$416.64 ,$724.66 ,$386.88 ,$834.77 ,$372.00 ,"$1,190.40 ","$1,190.40 ",$386.88 ,"$1,190.40 ",$621.98 ,"$1,011.84 ","$3,592.48 ",$386.88 ,"$1,488.00 ",$327.36 ,"$1,116.00 ","$1,056.48 ","$1,056.48 ",$327.36 ,"$1,056.48 ","$1,249.92 ","$1,249.92 ","$1,249.92 ", N/A ,"$1,339.20 ",$818.40 ,"$1,264.80 ",$327.36 ,"$1,488.00 ",$892.80 ,$327.36 ,$619.01 ,"$1,094.18 ",$994.71 ,$386.88 ,"$1,264.80 ","$2,730.28 ","$1,190.40 ",$416.64 ,"$1,339.20 ","$1,488.00 ",$327.36 ,"$1,249.92 ","$1,488.00 ","$1,488.00 ",$386.88 ,$967.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$3,160.00 ","$2,054.00 ",$494.86 ,"$3,160.00 ","$1,738.00 ","$1,896.00 ","$1,896.00 ",$821.60 ,$884.80 ,"$1,538.92 ",$821.60 ,"$1,772.76 ",$790.00 ,"$2,031.00 ","$2,031.00 ",$821.60 ,"$2,031.00 ","$1,320.88 ","$2,148.80 ", N/A ,$821.60 ,"$3,160.00 ",$695.20 ,"$2,370.00 ","$2,243.60 ","$2,243.60 ",$695.20 ,"$2,243.60 ","$2,654.40 ","$2,654.40 ","$2,654.40 ", N/A ,"$2,844.00 ","$1,738.00 ","$2,686.00 ",$695.20 ,$494.86 ,"$1,896.00 ",$695.20 ,"$1,314.56 ","$2,093.03 ","$1,902.75 ",$821.60 ,"$2,686.00 ", N/A ,"$2,031.00 ",$884.80 ,"$2,844.00 ","$3,160.00 ",$695.20 ,"$2,654.40 ",$675.00 ,$675.00 ,$821.60 ,"$2,054.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000108,19082,HC BREAST LOC BX PERC STEREO ADDN LESION,360,1 ,"$2,431.00 ","$1,580.15 ",$450.00 ,"$2,431.00 ","$1,337.05 ","$1,458.60 ","$1,458.60 ",$632.06 ,$680.68 ,"$1,183.90 ",$632.06 ,"$1,363.79 ",$607.75 ,"$1,944.80 ","$1,944.80 ",$632.06 ,"$1,944.80 ","$1,016.16 ","$1,653.08 ", N/A ,$632.06 ,"$2,431.00 ",$534.82 ,"$1,823.25 ","$1,726.01 ","$1,726.01 ",$534.82 ,"$1,726.01 ","$2,042.04 ","$2,042.04 ","$2,042.04 ", N/A ,"$2,187.90 ","$1,337.05 ","$2,066.35 ",$534.82 ,$494.86 ,"$1,458.60 ",$534.82 ,"$1,011.30 ","$2,093.03 ","$1,902.75 ",$632.06 ,"$2,066.35 ", N/A ,"$1,944.80 ",$680.68 ,"$2,187.90 ","$2,431.00 ",$534.82 ,"$2,042.04 ",$450.00 ,$450.00 ,$632.06 ,"$1,580.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$2,926.00 ","$1,901.90 ",$485.95 ,"$2,926.00 ","$1,609.30 ","$1,755.60 ","$1,755.60 ",$760.76 ,$819.28 ,"$1,424.96 ",$760.76 ,"$1,641.49 ",$731.50 ,"$2,031.00 ","$2,031.00 ",$760.76 ,"$2,031.00 ","$1,223.07 ","$1,989.68 ", N/A ,$760.76 ,"$2,926.00 ",$643.72 ,"$2,194.50 ","$2,077.46 ","$2,077.46 ",$643.72 ,"$2,077.46 ","$2,457.84 ","$2,457.84 ","$2,457.84 ", N/A ,"$2,633.40 ","$1,609.30 ","$2,487.10 ",$643.72 ,$485.95 ,"$1,755.60 ",$643.72 ,"$1,217.22 ","$2,093.03 ","$1,902.75 ",$760.76 ,"$2,487.10 ", N/A ,"$2,031.00 ",$819.28 ,"$2,633.40 ","$2,926.00 ",$643.72 ,"$2,457.84 ",$675.00 ,$675.00 ,$760.76 ,"$1,901.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,"$1,709.00 ","$1,110.85 ",$375.98 ,"$2,093.03 ",$939.95 ,"$1,025.40 ","$1,025.40 ",$444.34 ,$478.52 ,$832.28 ,$444.34 ,$958.75 ,$427.25 ,"$1,367.20 ","$1,367.20 ",$444.34 ,"$1,367.20 ",$714.36 ,"$1,162.12 ", N/A ,$444.34 ,"$1,709.00 ",$375.98 ,"$1,281.75 ","$1,213.39 ","$1,213.39 ",$375.98 ,"$1,213.39 ","$1,435.56 ","$1,435.56 ","$1,435.56 ", N/A ,"$1,538.10 ",$939.95 ,"$1,452.65 ",$375.98 ,$485.95 ,"$1,025.40 ",$375.98 ,$710.94 ,"$2,093.03 ","$1,902.75 ",$444.34 ,"$1,452.65 ", N/A ,"$1,367.20 ",$478.52 ,"$1,538.10 ","$1,709.00 ",$375.98 ,"$1,435.56 ",$450.00 ,$450.00 ,$444.34 ,"$1,110.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,086.00 ",$705.90 ,$184.32 ,"$1,086.00 ",$597.30 ,$651.60 ,$651.60 ,$282.36 ,$304.08 ,$528.88 ,$282.36 ,$609.25 ,$271.50 ,$868.80 ,$868.80 ,$282.36 ,$868.80 ,$453.95 ,$738.48 , N/A ,$282.36 ,"$1,086.00 ",$238.92 ,$814.50 ,$771.06 ,$771.06 ,$238.92 ,$771.06 ,$912.24 ,$912.24 ,$912.24 , N/A ,$977.40 ,$597.30 ,$923.10 ,$238.92 ,$189.78 ,$651.60 ,$238.92 ,$451.78 ,$202.75 ,$184.32 ,$282.36 ,$923.10 , N/A ,$868.80 ,$304.08 ,$977.40 ,"$1,086.00 ",$238.92 ,$912.24 ,$450.00 ,$450.00 ,$282.36 ,$705.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,365.00 ",$887.25 ,$184.32 ,"$1,365.00 ",$750.75 ,$819.00 ,$819.00 ,$354.90 ,$382.20 ,$664.76 ,$354.90 ,$765.77 ,$341.25 ,"$1,092.00 ","$1,092.00 ",$354.90 ,"$1,092.00 ",$570.57 ,$928.20 , N/A ,$354.90 ,"$1,365.00 ",$300.30 ,"$1,023.75 ",$969.15 ,$969.15 ,$300.30 ,$969.15 ,"$1,146.60 ","$1,146.60 ","$1,146.60 ", N/A ,"$1,228.50 ",$750.75 ,"$1,160.25 ",$300.30 ,$189.78 ,$819.00 ,$300.30 ,$567.84 ,$202.75 ,$184.32 ,$354.90 ,"$1,160.25 ", N/A ,"$1,092.00 ",$382.20 ,"$1,228.50 ","$1,365.00 ",$300.30 ,"$1,146.60 ",$675.00 ,$675.00 ,$354.90 ,$887.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000115,19284,HC BREAST STEREO NDL LOC BX ADDN LESION,360,1 ,"$2,068.00 ","$1,344.20 ",$184.32 ,"$2,068.00 ","$1,137.40 ","$1,240.80 ","$1,240.80 ",$537.68 ,$579.04 ,"$1,007.12 ",$537.68 ,"$1,160.15 ",$517.00 ,"$1,654.40 ","$1,654.40 ",$537.68 ,"$1,654.40 ",$864.42 ,"$1,406.24 ", N/A ,$537.68 ,"$2,068.00 ",$454.96 ,"$1,551.00 ","$1,468.28 ","$1,468.28 ",$454.96 ,"$1,468.28 ","$1,737.12 ","$1,737.12 ","$1,737.12 ", N/A ,"$1,861.20 ","$1,137.40 ","$1,757.80 ",$454.96 ,$225.18 ,"$1,240.80 ",$454.96 ,$860.29 ,$202.75 ,$184.32 ,$537.68 ,"$1,757.80 ", N/A ,"$1,654.40 ",$579.04 ,"$1,861.20 ","$2,068.00 ",$454.96 ,"$1,737.12 ",$675.00 ,$675.00 ,$537.68 ,"$1,344.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000115,19284,HC BREAST STEREO NDL LOC BX ADDN LESION,360,1 ,"$1,593.00 ","$1,035.45 ",$184.32 ,"$1,593.00 ",$876.15 ,$955.80 ,$955.80 ,$414.18 ,$446.04 ,$775.79 ,$414.18 ,$893.67 ,$398.25 ,"$1,274.40 ","$1,274.40 ",$414.18 ,"$1,274.40 ",$665.87 ,"$1,083.24 ", N/A ,$414.18 ,"$1,593.00 ",$350.46 ,"$1,194.75 ","$1,131.03 ","$1,131.03 ",$350.46 ,"$1,131.03 ","$1,338.12 ","$1,338.12 ","$1,338.12 ", N/A ,"$1,433.70 ",$876.15 ,"$1,354.05 ",$350.46 ,$225.18 ,$955.80 ,$350.46 ,$662.69 ,$202.75 ,$184.32 ,$414.18 ,"$1,354.05 ", N/A ,"$1,274.40 ",$446.04 ,"$1,433.70 ","$1,593.00 ",$350.46 ,"$1,338.12 ",$450.00 ,$450.00 ,$414.18 ,"$1,035.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000116,19286,HC BREAST NDL LOC BX ULTRA  ADDN LESION,360,1 ,"$1,341.00 ",$871.65 ,$184.32 ,"$1,341.00 ",$737.55 ,$804.60 ,$804.60 ,$348.66 ,$375.48 ,$653.07 ,$348.66 ,$752.30 ,$335.25 ,"$1,072.80 ","$1,072.80 ",$348.66 ,"$1,072.80 ",$560.54 ,$911.88 , N/A ,$348.66 ,"$1,341.00 ",$295.02 ,"$1,005.75 ",$952.11 ,$952.11 ,$295.02 ,$952.11 ,"$1,126.44 ","$1,126.44 ","$1,126.44 ", N/A ,"$1,206.90 ",$737.55 ,"$1,139.85 ",$295.02 ,$391.77 ,$804.60 ,$295.02 ,$557.86 ,$202.75 ,$184.32 ,$348.66 ,"$1,139.85 ", N/A ,"$1,072.80 ",$375.48 ,"$1,206.90 ","$1,341.00 ",$295.02 ,"$1,126.44 ",$675.00 ,$675.00 ,$348.66 ,$871.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000116,19286,HC BREAST NDL LOC BX ULTRA  ADDN LESION,360,1 ,"$1,062.00 ",$690.30 ,$184.32 ,"$1,062.00 ",$584.10 ,$637.20 ,$637.20 ,$276.12 ,$297.36 ,$517.19 ,$276.12 ,$595.78 ,$265.50 ,$849.60 ,$849.60 ,$276.12 ,$849.60 ,$443.92 ,$722.16 , N/A ,$276.12 ,"$1,062.00 ",$233.64 ,$796.50 ,$754.02 ,$754.02 ,$233.64 ,$754.02 ,$892.08 ,$892.08 ,$892.08 , N/A ,$955.80 ,$584.10 ,$902.70 ,$233.64 ,$391.77 ,$637.20 ,$233.64 ,$441.79 ,$202.75 ,$184.32 ,$276.12 ,$902.70 , N/A ,$849.60 ,$297.36 ,$955.80 ,"$1,062.00 ",$233.64 ,$892.08 ,$450.00 ,$450.00 ,$276.12 ,$690.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000122,36555,HC INS CATH CV NON-TUNL <5 YRS,360,1 ,"$1,496.00 ",$972.40 ,$329.12 ,"$7,309.08 ",$822.80 ,$897.60 ,$897.60 ,$388.96 ,$418.88 ,$728.55 ,$388.96 ,$839.26 ,$374.00 ,"$1,196.80 ","$1,196.80 ",$388.96 ,"$1,196.80 ",$625.33 ,"$1,017.28 ","$7,309.08 ",$388.96 ,"$1,496.00 ",$329.12 ,"$1,122.00 ","$1,062.16 ","$1,062.16 ",$329.12 ,"$1,062.16 ","$1,256.64 ","$1,256.64 ","$1,256.64 ", N/A ,"$1,346.40 ",$822.80 ,"$1,271.60 ",$329.12 ,"$1,496.00 ",$897.60 ,$329.12 ,$622.34 , N/A , N/A ,$388.96 ,"$1,271.60 ","$5,554.90 ","$1,196.80 ",$418.88 ,"$1,346.40 ","$1,496.00 ",$329.12 ,"$1,256.64 ","$1,496.00 ","$1,496.00 ",$388.96 ,$972.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,"$1,645.00 ","$1,069.25 ",$361.90 ,"$7,309.08 ",$904.75 ,$987.00 ,$987.00 ,$427.70 ,$460.60 ,$801.12 ,$427.70 ,$922.85 ,$411.25 ,"$1,316.00 ","$1,316.00 ",$427.70 ,"$1,316.00 ",$687.61 ,"$1,118.60 ","$7,309.08 ",$427.70 ,"$1,645.00 ",$361.90 ,"$1,233.75 ","$1,167.95 ","$1,167.95 ",$361.90 ,"$1,167.95 ","$1,381.80 ","$1,381.80 ","$1,381.80 ", N/A ,"$1,480.50 ",$904.75 ,"$1,398.25 ",$361.90 ,"$1,645.00 ",$987.00 ,$361.90 ,$684.32 ,"$2,890.06 ","$2,627.33 ",$427.70 ,"$1,398.25 ","$5,554.90 ","$1,316.00 ",$460.60 ,"$1,480.50 ","$1,645.00 ",$361.90 ,"$1,381.80 ","$1,645.00 ","$1,645.00 ",$427.70 ,"$1,069.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000131,36568,HC INS CATH PERIPH CV W/O PORT <5,360,1 ,$921.00 ,$598.65 ,$202.62 ,"$3,590.40 ",$506.55 ,$552.60 ,$552.60 ,$239.46 ,$257.88 ,$448.53 ,$239.46 ,$516.68 ,$230.25 ,$736.80 ,$736.80 ,$239.46 ,$736.80 ,$384.98 ,$626.28 ,"$3,590.40 ",$239.46 ,$921.00 ,$202.62 ,$690.75 ,$653.91 ,$653.91 ,$202.62 ,$653.91 ,$773.64 ,$773.64 ,$773.64 , N/A ,$828.90 ,$506.55 ,$782.85 ,$202.62 ,$921.00 ,$552.60 ,$202.62 ,$383.14 , N/A , N/A ,$239.46 ,$782.85 ,"$2,728.70 ",$736.80 ,$257.88 ,$828.90 ,$921.00 ,$202.62 ,$773.64 ,$921.00 ,$921.00 ,$239.46 ,$598.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,"$1,669.00 ","$1,084.85 ",$367.18 ,"$3,590.40 ",$917.95 ,"$1,001.40 ","$1,001.40 ",$433.94 ,$467.32 ,$812.80 ,$433.94 ,$936.31 ,$417.25 ,"$1,335.20 ","$1,335.20 ",$433.94 ,"$1,335.20 ",$697.64 ,"$1,134.92 ","$3,590.40 ",$433.94 ,"$1,669.00 ",$367.18 ,"$1,251.75 ","$1,184.99 ","$1,184.99 ",$367.18 ,"$1,184.99 ","$1,401.96 ","$1,401.96 ","$1,401.96 ", N/A ,"$1,502.10 ",$917.95 ,"$1,418.65 ",$367.18 ,"$1,669.00 ","$1,001.40 ",$367.18 ,$694.30 ,$841.29 ,$764.81 ,$433.94 ,"$1,418.65 ","$2,728.70 ","$1,335.20 ",$467.32 ,"$1,502.10 ","$1,669.00 ",$367.18 ,"$1,401.96 ","$1,669.00 ","$1,669.00 ",$433.94 ,"$1,084.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000141,36589,HC REMOVE TUNNELED CATH-NO PORT,360,1 ,$674.00 ,$438.10 ,$148.28 ,"$1,380.10 ",$370.70 ,$404.40 ,$404.40 ,$175.24 ,$188.72 ,$328.24 ,$175.24 ,$378.11 ,$168.50 ,$539.20 ,$539.20 ,$175.24 ,$539.20 ,$281.73 ,$458.32 ,"$1,380.10 ",$175.24 ,$674.00 ,$148.28 ,$505.50 ,$478.54 ,$478.54 ,$148.28 ,$478.54 ,$566.16 ,$566.16 ,$566.16 , N/A ,$606.60 ,$370.70 ,$572.90 ,$148.28 ,$674.00 ,$404.40 ,$148.28 ,$280.38 ,$240.80 ,$218.91 ,$175.24 ,$572.90 ,"$1,048.88 ",$539.20 ,$188.72 ,$606.60 ,$674.00 ,$148.28 ,$566.16 ,$674.00 ,$674.00 ,$175.24 ,$438.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000148,36620,HC CATH/CANN ARTERY PERC 36620,360,1 ,"$1,226.00 ",$796.90 ,$269.72 ,"$4,543.31 ",$674.30 ,$735.60 ,$735.60 ,$318.76 ,$343.28 ,$597.06 ,$318.76 ,$687.79 ,$306.50 ,$980.80 ,$980.80 ,$318.76 ,$980.80 ,$512.47 ,$833.68 , N/A ,$318.76 ,"$1,226.00 ",$269.72 ,$919.50 ,$870.46 ,$870.46 ,$269.72 ,$870.46 ,"$1,029.84 ","$1,029.84 ","$1,029.84 ", N/A ,"$1,103.40 ",$674.30 ,"$1,042.10 ",$269.72 ,"$1,226.00 ",$735.60 ,$269.72 ,$510.02 ,"$4,543.31 ","$4,130.28 ",$318.76 ,"$1,042.10 ", N/A ,$980.80 ,$343.28 ,"$1,103.40 ","$1,226.00 ",$269.72 ,"$1,029.84 ",$450.00 ,$450.00 ,$318.76 ,$796.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000158,38221,HC BX BONE MARROW ONLY,360,1 ,"$3,919.00 ","$2,547.35 ",$862.18 ,"$3,919.00 ","$2,155.45 ","$2,351.40 ","$2,351.40 ","$1,018.94 ","$1,097.32 ","$1,908.55 ","$1,018.94 ","$2,198.56 ",$979.75 ,"$2,031.00 ","$2,031.00 ","$1,018.94 ","$2,031.00 ","$1,638.14 ","$2,664.92 ","$3,592.48 ","$1,018.94 ","$3,919.00 ",$862.18 ,"$2,939.25 ","$2,782.49 ","$2,782.49 ",$862.18 ,"$2,782.49 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,527.10 ","$2,155.45 ","$3,331.15 ",$862.18 ,"$3,919.00 ","$2,351.40 ",$862.18 ,"$1,630.30 ","$1,032.79 ",$938.90 ,"$1,018.94 ","$3,331.15 ","$2,730.28 ","$2,031.00 ","$1,097.32 ","$3,527.10 ","$3,919.00 ",$862.18 ,"$3,038.00 ","$2,027.00 ","$2,027.00 ","$1,018.94 ","$2,547.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$4,118.00 ","$2,676.70 ",$905.96 ,"$4,118.00 ","$2,264.90 ","$2,470.80 ","$2,470.80 ","$1,070.68 ","$1,153.04 ","$2,005.47 ","$1,070.68 ","$2,310.20 ","$1,029.50 ","$2,031.00 ","$2,031.00 ","$1,070.68 ","$2,031.00 ","$1,721.32 ","$2,800.24 ","$3,592.48 ","$1,070.68 ","$4,118.00 ",$905.96 ,"$3,088.50 ","$2,923.78 ","$2,923.78 ",$905.96 ,"$2,923.78 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,706.20 ","$2,264.90 ","$3,500.30 ",$905.96 ,"$4,118.00 ","$2,470.80 ",$905.96 ,"$1,713.09 ","$1,094.18 ",$994.71 ,"$1,070.68 ","$3,500.30 ","$2,730.28 ","$2,031.00 ","$1,153.04 ","$3,706.20 ","$4,118.00 ",$905.96 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,070.68 ","$2,676.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$1,214.00 ",$789.10 ,$267.08 ,"$1,214.00 ",$667.70 ,$728.40 ,$728.40 ,$315.64 ,$339.92 ,$591.22 ,$315.64 ,$681.05 ,$303.50 ,$971.20 ,$971.20 ,$315.64 ,$971.20 ,$507.45 ,$825.52 ,$962.48 ,$315.64 ,"$1,214.00 ",$267.08 ,$910.50 ,$861.94 ,$861.94 ,$267.08 ,$861.94 ,"$1,019.76 ","$1,019.76 ","$1,019.76 ", N/A ,"$1,092.60 ",$667.70 ,"$1,031.90 ",$267.08 ,"$1,214.00 ",$728.40 ,$267.08 ,$505.02 , N/A , N/A ,$315.64 ,"$1,031.90 ",$731.48 ,$971.20 ,$339.92 ,"$1,092.60 ","$1,214.00 ",$267.08 ,"$1,019.76 ",$450.00 ,$450.00 ,$315.64 ,$789.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000188,55700,HC BX PROSTATE NEEDLE/PUNCH,360,1 ,$596.00 ,$387.40 ,$131.12 ,"$4,571.63 ",$327.80 ,$357.60 ,$357.60 ,$154.96 ,$166.88 ,$290.25 ,$154.96 ,$334.36 ,$149.00 ,$476.80 ,$476.80 ,$154.96 ,$476.80 ,$249.13 ,$405.28 ,"$4,571.63 ",$154.96 ,$596.00 ,$131.12 ,$447.00 ,$423.16 ,$423.16 ,$131.12 ,$423.16 ,$500.64 ,$500.64 ,$500.64 , N/A ,$536.40 ,$327.80 ,$506.60 ,$131.12 ,$596.00 ,$357.60 ,$131.12 ,$247.94 ,"$1,960.59 ","$1,782.35 ",$154.96 ,$506.60 ,"$3,474.44 ",$476.80 ,$166.88 ,$536.40 ,$596.00 ,$131.12 ,$500.64 ,$596.00 ,$596.00 ,$154.96 ,$387.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,$627.00 ,$407.55 ,$137.94 ,"$1,621.30 ",$344.85 ,$376.20 ,$376.20 ,$163.02 ,$175.56 ,$305.35 ,$163.02 ,$351.75 ,$156.75 ,$501.60 ,$501.60 ,$163.02 ,$501.60 ,$262.09 ,$426.36 ,"$1,621.30 ",$163.02 ,$627.00 ,$137.94 ,$470.25 ,$445.17 ,$445.17 ,$137.94 ,$445.17 ,$526.68 ,$526.68 ,$526.68 , N/A ,$564.30 ,$344.85 ,$532.95 ,$137.94 ,$627.00 ,$376.20 ,$137.94 ,$260.83 ,$877.24 ,$797.49 ,$163.02 ,$532.95 ,"$1,232.19 ",$501.60 ,$175.56 ,$564.30 ,$627.00 ,$137.94 ,$526.68 ,$627.00 ,$627.00 ,$163.02 ,$407.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000309,27096,HC INJECTION SACRAL JOINT,360,1 ,$681.00 ,$442.65 ,$149.82 ,$681.00 ,$374.55 ,$408.60 ,$408.60 ,$177.06 ,$190.68 ,$331.65 ,$177.06 ,$382.04 ,$170.25 ,$544.80 ,$544.80 ,$177.06 ,$544.80 ,$284.66 ,$463.08 , N/A ,$177.06 ,$681.00 ,$149.82 ,$510.75 ,$483.51 ,$483.51 ,$149.82 ,$483.51 ,$572.04 ,$572.04 ,$572.04 , N/A ,$612.90 ,$374.55 ,$578.85 ,$149.82 ,$681.00 ,$408.60 ,$149.82 ,$283.30 ,$549.62 ,$499.65 ,$177.06 ,$578.85 , N/A ,$544.80 ,$190.68 ,$612.90 ,$681.00 ,$149.82 ,$572.04 ,$450.00 ,$450.00 ,$177.06 ,$442.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000310,64421,HC INJ ANES INTERCOSTAL NERVE EA ADDNT LEVEL,360,1 ,"$1,104.00 ",$717.60 ,$242.88 ,"$2,101.83 ",$607.20 ,$662.40 ,$662.40 ,$287.04 ,$309.12 ,$537.65 ,$287.04 ,$619.34 ,$276.00 ,$883.20 ,$883.20 ,$287.04 ,$883.20 ,$461.47 ,$750.72 ,"$2,101.83 ",$287.04 ,"$1,104.00 ",$242.88 ,$828.00 ,$783.84 ,$783.84 ,$242.88 ,$783.84 ,$927.36 ,$927.36 ,$927.36 , N/A ,$993.60 ,$607.20 ,$938.40 ,$242.88 ,"$1,104.00 ",$662.40 ,$242.88 ,$459.26 ,$746.69 ,$678.81 ,$287.04 ,$938.40 ,"$1,597.39 ",$883.20 ,$309.12 ,$993.60 ,"$1,104.00 ",$242.88 ,$927.36 ,"$1,104.00 ","$1,104.00 ",$287.04 ,$717.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000311,64420,HC INJ INTERCOSTAL NERVE;SINGLE,360,1 ,$832.00 ,$540.80 ,$183.04 ,"$1,621.30 ",$457.60 ,$499.20 ,$499.20 ,$216.32 ,$232.96 ,$405.18 ,$216.32 ,$466.75 ,$208.00 ,$665.60 ,$665.60 ,$216.32 ,$665.60 ,$347.78 ,$565.76 ,"$1,621.30 ",$216.32 ,$832.00 ,$183.04 ,$624.00 ,$590.72 ,$590.72 ,$183.04 ,$590.72 ,$698.88 ,$698.88 ,$698.88 , N/A ,$748.80 ,$457.60 ,$707.20 ,$183.04 ,$832.00 ,$499.20 ,$183.04 ,$346.11 ,$746.69 ,$678.81 ,$216.32 ,$707.20 ,"$1,232.19 ",$665.60 ,$232.96 ,$748.80 ,$832.00 ,$183.04 ,$698.88 ,$832.00 ,$832.00 ,$216.32 ,$540.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000319,20526,HC INJECTION;CARPAL TUNNEL,360,1 ,$757.00 ,$492.05 ,$166.54 ,$757.00 ,$416.35 ,$454.20 ,$454.20 ,$196.82 ,$211.96 ,$368.66 ,$196.82 ,$424.68 ,$189.25 ,$605.60 ,$605.60 ,$196.82 ,$605.60 ,$316.43 ,$514.76 ,$667.08 ,$196.82 ,$757.00 ,$166.54 ,$567.75 ,$537.47 ,$537.47 ,$166.54 ,$537.47 ,$635.88 ,$635.88 ,$635.88 , N/A ,$681.30 ,$416.35 ,$643.45 ,$166.54 ,$757.00 ,$454.20 ,$166.54 ,$314.91 ,$549.62 ,$499.65 ,$196.82 ,$643.45 ,$506.98 ,$605.60 ,$211.96 ,$681.30 ,$757.00 ,$166.54 ,$635.88 ,$450.00 ,$450.00 ,$196.82 ,$492.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000331,64520,HC NERVE BLOCK;L/S PARAVERTEBAL SYMP,360,1 ,"$2,095.00 ","$1,361.75 ",$460.90 ,"$2,101.83 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,"$1,676.00 ",$875.71 ,"$1,424.60 ","$2,101.83 ",$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ","$1,597.39 ","$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ","$2,027.00 ","$2,027.00 ",$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000334,63650,HC IMPLANT NEUROELECTRODES,360,1 ,"$5,141.00 ","$3,341.65 ","$1,131.02 ","$15,738.63 ","$2,827.55 ","$3,084.60 ","$3,084.60 ","$1,336.66 ","$1,439.48 ","$2,503.67 ","$1,336.66 ","$2,884.10 ","$1,285.25 ","$2,031.00 ","$2,031.00 ","$1,336.66 ","$2,031.00 ","$2,148.94 ","$3,495.88 ","$15,738.63 ","$1,336.66 ","$5,141.00 ","$1,131.02 ","$3,855.75 ","$3,650.11 ","$3,650.11 ","$1,131.02 ","$3,650.11 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,626.90 ","$2,827.55 ","$4,369.85 ","$1,131.02 ","$5,141.00 ","$3,084.60 ","$1,131.02 ","$2,138.66 ","$8,325.00 ","$7,568.18 ","$1,336.66 ","$4,369.85 ","$11,961.36 ","$2,031.00 ","$1,439.48 ","$4,626.90 ","$5,141.00 ","$1,131.02 ","$3,038.00 ","$4,700.00 ","$4,700.00 ","$1,336.66 ","$3,341.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000397,27301,HC I AND D ABSC/BURSA THIGH/KNEE,360,1 ,"$6,957.00 ","$4,522.05 ","$1,530.54 ","$6,957.00 ","$3,826.35 ","$4,174.20 ","$4,174.20 ","$1,808.82 ","$1,947.96 ","$3,388.06 ","$1,808.82 ","$3,902.88 ","$1,739.25 ","$2,031.00 ","$2,031.00 ","$1,808.82 ","$2,031.00 ","$2,908.03 ","$4,730.76 ","$6,053.88 ","$1,808.82 ","$6,957.00 ","$1,530.54 ","$5,217.75 ","$4,939.47 ","$4,939.47 ","$1,530.54 ","$4,939.47 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,261.30 ","$3,826.35 ","$5,913.45 ","$1,530.54 ","$6,957.00 ","$4,174.20 ","$1,530.54 ","$2,894.11 ","$1,779.48 ","$1,617.71 ","$1,808.82 ","$5,913.45 ","$4,600.95 ","$2,031.00 ","$1,947.96 ","$6,261.30 ","$6,957.00 ","$1,530.54 ","$3,038.00 ","$2,784.00 ","$2,784.00 ","$1,808.82 ","$4,522.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000420,26735,HC TX FX OPEN SHAFT FINGER/THUMB W/INT FIX EACH,360,1 ,"$8,212.00 ","$5,337.80 ","$1,806.64 ","$8,212.00 ","$4,516.60 ","$4,927.20 ","$4,927.20 ","$2,135.12 ","$2,299.36 ","$3,999.24 ","$2,135.12 ","$4,606.93 ","$2,053.00 ","$2,031.00 ","$2,031.00 ","$2,135.12 ","$2,031.00 ","$3,432.62 ","$5,584.16 ","$7,230.70 ","$2,135.12 ","$8,212.00 ","$1,806.64 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,806.64 ","$5,830.52 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$7,390.80 ","$4,516.60 ","$6,980.20 ","$1,806.64 ","$8,212.00 ","$4,927.20 ","$1,806.64 ","$3,416.19 ","$7,610.26 ","$6,918.42 ","$2,135.12 ","$6,980.20 ","$5,495.33 ","$2,031.00 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,806.64 ","$3,038.00 ","$2,784.00 ","$2,784.00 ","$2,135.12 ","$5,337.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000581,30801,HC ABLATION SOFT TISSUE INF TURBINATES UNI/BIL,360,1 ,$752.00 ,$488.80 ,$165.44 ,"$3,453.85 ",$413.60 ,$451.20 ,$451.20 ,$195.52 ,$210.56 ,$366.22 ,$195.52 ,$421.87 ,$188.00 ,$601.60 ,$601.60 ,$195.52 ,$601.60 ,$314.34 ,$511.36 ,"$3,453.85 ",$195.52 ,$752.00 ,$165.44 ,$564.00 ,$533.92 ,$533.92 ,$165.44 ,$533.92 ,$631.68 ,$631.68 ,$631.68 , N/A ,$676.80 ,$413.60 ,$639.20 ,$165.44 ,$752.00 ,$451.20 ,$165.44 ,$312.83 ,$202.75 ,$184.32 ,$195.52 ,$639.20 ,"$2,624.93 ",$601.60 ,$210.56 ,$676.80 ,$752.00 ,$165.44 ,$631.68 ,$752.00 ,$752.00 ,$195.52 ,$488.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000652,36478,HC ABLATION THPY EXTREM PERC LASER INIT VEIN,360,1 ,"$9,145.00 ","$5,944.25 ","$2,011.90 ","$9,145.00 ","$5,029.75 ","$5,487.00 ","$5,487.00 ","$2,377.70 ","$2,560.60 ","$4,263.59 ","$2,377.70 ","$4,900.67 ","$2,286.25 ","$2,031.00 ","$2,031.00 ","$2,377.70 ","$2,031.00 ","$3,822.61 ","$6,218.60 ","$7,309.08 ","$2,377.70 ","$9,145.00 ","$2,011.90 ","$6,858.75 ","$6,492.95 ","$6,492.95 ","$2,011.90 ","$6,492.95 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$8,230.50 ","$5,029.75 ","$7,773.25 ","$2,011.90 ","$9,145.00 ","$5,487.00 ","$2,011.90 ","$3,804.32 ","$4,095.44 ","$3,723.13 ","$2,377.70 ","$7,773.25 ","$5,554.90 ","$2,031.00 ","$2,560.60 ","$8,230.50 ","$9,145.00 ","$2,011.90 ","$3,038.00 ","$3,200.00 ","$3,200.00 ","$2,377.70 ","$5,944.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000681,50590,HC LITHOTRIPSY EXTRCORPOREAL SHOCK WAVE BIL,360,1 ,"$17,914.00 ","$11,644.10 ","$2,031.00 ","$17,914.00 ","$9,852.70 ","$10,748.40 ","$10,748.40 ","$4,657.64 ","$5,015.92 ","$4,263.59 ","$4,657.64 ","$4,900.67 ","$4,478.50 ","$2,031.00 ","$2,031.00 ","$4,657.64 ","$2,031.00 ","$7,488.05 ","$8,269.00 ","$7,850.10 ","$4,657.64 ","$17,914.00 ","$3,941.08 ","$13,435.50 ","$12,718.94 ","$12,718.94 ","$3,941.08 ","$12,718.94 ","$15,047.76 ","$15,047.76 ","$15,047.76 ", N/A ,"$16,122.60 ","$9,852.70 ","$15,226.90 ","$3,941.08 ","$17,914.00 ","$10,748.40 ","$3,941.08 ","$7,452.22 ","$4,372.50 ","$3,975.00 ","$4,657.64 ","$15,226.90 ","$5,966.08 ","$2,031.00 ","$5,015.92 ","$16,122.60 ","$17,914.00 ","$3,941.08 ","$15,047.76 ","$4,700.00 ","$4,700.00 ","$4,657.64 ","$11,644.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000755,41018,HC I AND D MASTICATOR SPACE,360,1 ,"$4,058.37 ","$2,637.94 ",$892.84 ,"$4,058.37 ","$2,232.10 ","$2,435.02 ","$2,435.02 ","$1,055.18 ","$1,136.34 ","$1,976.43 ","$1,055.18 ","$2,276.75 ","$1,014.59 ","$2,031.00 ","$2,031.00 ","$1,055.18 ","$2,031.00 ","$1,696.40 ","$2,759.69 ","$3,453.85 ","$1,055.18 ","$4,058.37 ",$892.84 ,"$3,043.78 ","$2,881.44 ","$2,881.44 ",$892.84 ,"$2,881.44 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,652.53 ","$2,232.10 ","$3,449.61 ",$892.84 ,"$4,058.37 ","$2,435.02 ",$892.84 ,"$1,688.28 ","$2,172.91 ","$1,975.37 ","$1,055.18 ","$3,449.61 ","$2,624.93 ","$2,031.00 ","$1,136.34 ","$3,652.53 ","$4,058.37 ",$892.84 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,055.18 ","$2,637.94 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000758,43460,HC PRESSURE TREATMENT ESOPHAGUS,360,1 ,"$1,569.00 ","$1,019.85 ",$345.18 ,"$1,569.00 ",$862.95 ,$941.40 ,$941.40 ,$407.94 ,$439.32 ,$764.10 ,$407.94 ,$880.21 ,$392.25 ,"$1,255.20 ","$1,255.20 ",$407.94 ,"$1,255.20 ",$655.84 ,"$1,066.92 ", N/A ,$407.94 ,"$1,569.00 ",$345.18 ,"$1,176.75 ","$1,113.99 ","$1,113.99 ",$345.18 ,"$1,113.99 ","$1,317.96 ","$1,317.96 ","$1,317.96 ", N/A ,"$1,412.10 ",$862.95 ,"$1,333.65 ",$345.18 ,"$1,569.00 ",$941.40 ,$345.18 ,$652.70 , N/A , N/A ,$407.94 ,"$1,333.65 ", N/A ,"$1,255.20 ",$439.32 ,"$1,412.10 ","$1,569.00 ",$345.18 ,"$1,317.96 ","$1,569.00 ","$1,569.00 ",$407.94 ,"$1,019.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36000761,54115,HC REMOVAL FOREIGN BODY DEEP PENILE TISSUE,360,1 ,"$7,110.00 ","$4,621.50 ","$1,564.20 ","$7,110.00 ","$3,910.50 ","$4,266.00 ","$4,266.00 ","$1,848.60 ","$1,990.80 ","$3,462.57 ","$1,848.60 ","$3,988.71 ","$1,777.50 ","$2,031.00 ","$2,031.00 ","$1,848.60 ","$2,031.00 ","$2,971.98 ","$4,834.80 ","$6,053.88 ","$1,848.60 ","$7,110.00 ","$1,564.20 ","$5,332.50 ","$5,048.10 ","$5,048.10 ","$1,564.20 ","$5,048.10 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,399.00 ","$3,910.50 ","$6,043.50 ","$1,564.20 ","$7,110.00 ","$4,266.00 ","$1,564.20 ","$2,957.76 ","$4,061.92 ","$3,692.65 ","$1,848.60 ","$6,043.50 ","$4,600.95 ","$2,031.00 ","$1,990.80 ","$6,399.00 ","$7,110.00 ","$1,564.20 ","$3,038.00 ","$2,784.00 ","$2,784.00 ","$1,848.60 ","$4,621.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,$236.00 ,$153.40 ,$51.92 ,$236.00 ,$129.80 ,$141.60 ,$141.60 ,$61.36 ,$66.08 ,$114.93 ,$61.36 ,$132.40 ,$59.00 ,$188.80 ,$188.80 ,$61.36 ,$188.80 ,$98.65 ,$160.48 , N/A ,$61.36 ,$236.00 ,$51.92 ,$177.00 ,$167.56 ,$167.56 ,$51.92 ,$167.56 ,$198.24 ,$198.24 ,$198.24 , N/A ,$212.40 ,$129.80 ,$200.60 ,$51.92 ,$236.00 ,$141.60 ,$51.92 ,$98.18 , N/A , N/A ,$61.36 ,$200.60 , N/A ,$188.80 ,$66.08 ,$212.40 ,$236.00 ,$51.92 ,$198.24 , N/A , N/A ,$61.36 ,$153.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,$292.00 ,$189.80 ,$64.24 ,$292.00 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 , N/A ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 , N/A ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 , N/A , N/A ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,$335.00 ,$217.75 ,$73.70 ,$335.00 ,$184.25 ,$201.00 ,$201.00 ,$87.10 ,$93.80 ,$163.15 ,$87.10 ,$187.94 ,$83.75 ,$268.00 ,$268.00 ,$87.10 ,$268.00 ,$140.03 ,$227.80 , N/A ,$87.10 ,$335.00 ,$73.70 ,$251.25 ,$237.85 ,$237.85 ,$73.70 ,$237.85 ,$281.40 ,$281.40 ,$281.40 , N/A ,$301.50 ,$184.25 ,$284.75 ,$73.70 ,$335.00 ,$201.00 ,$73.70 ,$139.36 , N/A , N/A ,$87.10 ,$284.75 , N/A ,$268.00 ,$93.80 ,$301.50 ,$335.00 ,$73.70 ,$281.40 , N/A , N/A ,$87.10 ,$217.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,$386.00 ,$250.90 ,$84.92 ,$386.00 ,$212.30 ,$231.60 ,$231.60 ,$100.36 ,$108.08 ,$187.98 ,$100.36 ,$216.55 ,$96.50 ,$308.80 ,$308.80 ,$100.36 ,$308.80 ,$161.35 ,$262.48 , N/A ,$100.36 ,$386.00 ,$84.92 ,$289.50 ,$274.06 ,$274.06 ,$84.92 ,$274.06 ,$324.24 ,$324.24 ,$324.24 , N/A ,$347.40 ,$212.30 ,$328.10 ,$84.92 ,$386.00 ,$231.60 ,$84.92 ,$160.58 , N/A , N/A ,$100.36 ,$328.10 , N/A ,$308.80 ,$108.08 ,$347.40 ,$386.00 ,$84.92 ,$324.24 , N/A , N/A ,$100.36 ,$250.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,$484.00 ,$314.60 ,$106.48 ,$484.00 ,$266.20 ,$290.40 ,$290.40 ,$125.84 ,$135.52 ,$235.71 ,$125.84 ,$271.52 ,$121.00 ,$387.20 ,$387.20 ,$125.84 ,$387.20 ,$202.31 ,$329.12 , N/A ,$125.84 ,$484.00 ,$106.48 ,$363.00 ,$343.64 ,$343.64 ,$106.48 ,$343.64 ,$406.56 ,$406.56 ,$406.56 , N/A ,$435.60 ,$266.20 ,$411.40 ,$106.48 ,$484.00 ,$290.40 ,$106.48 ,$201.34 , N/A , N/A ,$125.84 ,$411.40 , N/A ,$387.20 ,$135.52 ,$435.60 ,$484.00 ,$106.48 ,$406.56 , N/A , N/A ,$125.84 ,$314.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,$542.00 ,$352.30 ,$119.24 ,$542.00 ,$298.10 ,$325.20 ,$325.20 ,$140.92 ,$151.76 ,$263.95 ,$140.92 ,$304.06 ,$135.50 ,$433.60 ,$433.60 ,$140.92 ,$433.60 ,$226.56 ,$368.56 , N/A ,$140.92 ,$542.00 ,$119.24 ,$406.50 ,$384.82 ,$384.82 ,$119.24 ,$384.82 ,$455.28 ,$455.28 ,$455.28 , N/A ,$487.80 ,$298.10 ,$460.70 ,$119.24 ,$542.00 ,$325.20 ,$119.24 ,$225.47 , N/A , N/A ,$140.92 ,$460.70 , N/A ,$433.60 ,$151.76 ,$487.80 ,$542.00 ,$119.24 ,$455.28 , N/A , N/A ,$140.92 ,$352.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060025,N/A,HC OR LEVEL 1 INITIAL 30MIN,360,1 ,"$3,649.00 ","$2,371.85 ",$802.78 ,"$3,649.00 ","$2,006.95 ","$2,189.40 ","$2,189.40 ",$948.74 ,"$1,021.72 ","$1,777.06 ",$948.74 ,"$2,047.09 ",$912.25 ,"$2,031.00 ","$2,031.00 ",$948.74 ,"$2,031.00 ","$1,525.28 ","$2,481.32 ", N/A ,$948.74 ,"$3,649.00 ",$802.78 ,"$2,736.75 ","$2,590.79 ","$2,590.79 ",$802.78 ,"$2,590.79 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,284.10 ","$2,006.95 ","$3,101.65 ",$802.78 ,"$3,649.00 ","$2,189.40 ",$802.78 ,"$1,517.98 ", N/A , N/A ,$948.74 ,"$3,101.65 ", N/A ,"$2,031.00 ","$1,021.72 ","$3,284.10 ","$3,649.00 ",$802.78 ,"$3,038.00 ", N/A , N/A ,$948.74 ,"$2,371.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060026,N/A,HC OR LEVEL 2 INITIAL 30MIN,360,1 ,"$4,059.00 ","$2,638.35 ",$892.98 ,"$4,059.00 ","$2,232.45 ","$2,435.40 ","$2,435.40 ","$1,055.34 ","$1,136.52 ","$1,976.73 ","$1,055.34 ","$2,277.10 ","$1,014.75 ","$2,031.00 ","$2,031.00 ","$1,055.34 ","$2,031.00 ","$1,696.66 ","$2,760.12 ", N/A ,"$1,055.34 ","$4,059.00 ",$892.98 ,"$3,044.25 ","$2,881.89 ","$2,881.89 ",$892.98 ,"$2,881.89 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,653.10 ","$2,232.45 ","$3,450.15 ",$892.98 ,"$4,059.00 ","$2,435.40 ",$892.98 ,"$1,688.54 ", N/A , N/A ,"$1,055.34 ","$3,450.15 ", N/A ,"$2,031.00 ","$1,136.52 ","$3,653.10 ","$4,059.00 ",$892.98 ,"$3,038.00 ", N/A , N/A ,"$1,055.34 ","$2,638.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060027,N/A,HC OR LEVEL 3 INITIAL 30MIN,360,1 ,"$4,258.00 ","$2,767.70 ",$936.76 ,"$4,258.00 ","$2,341.90 ","$2,554.80 ","$2,554.80 ","$1,107.08 ","$1,192.24 ","$2,073.65 ","$1,107.08 ","$2,388.74 ","$1,064.50 ","$2,031.00 ","$2,031.00 ","$1,107.08 ","$2,031.00 ","$1,779.84 ","$2,895.44 ", N/A ,"$1,107.08 ","$4,258.00 ",$936.76 ,"$3,193.50 ","$3,023.18 ","$3,023.18 ",$936.76 ,"$3,023.18 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,832.20 ","$2,341.90 ","$3,619.30 ",$936.76 ,"$4,258.00 ","$2,554.80 ",$936.76 ,"$1,771.33 ", N/A , N/A ,"$1,107.08 ","$3,619.30 ", N/A ,"$2,031.00 ","$1,192.24 ","$3,832.20 ","$4,258.00 ",$936.76 ,"$3,038.00 ", N/A , N/A ,"$1,107.08 ","$2,767.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060028,N/A,HC OR LEVEL 4 INITIAL 30MIN,360,1 ,"$4,538.00 ","$2,949.70 ",$998.36 ,"$4,538.00 ","$2,495.90 ","$2,722.80 ","$2,722.80 ","$1,179.88 ","$1,270.64 ","$2,210.01 ","$1,179.88 ","$2,545.82 ","$1,134.50 ","$2,031.00 ","$2,031.00 ","$1,179.88 ","$2,031.00 ","$1,896.88 ","$3,085.84 ", N/A ,"$1,179.88 ","$4,538.00 ",$998.36 ,"$3,403.50 ","$3,221.98 ","$3,221.98 ",$998.36 ,"$3,221.98 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,084.20 ","$2,495.90 ","$3,857.30 ",$998.36 ,"$4,538.00 ","$2,722.80 ",$998.36 ,"$1,887.81 ", N/A , N/A ,"$1,179.88 ","$3,857.30 ", N/A ,"$2,031.00 ","$1,270.64 ","$4,084.20 ","$4,538.00 ",$998.36 ,"$3,038.00 ", N/A , N/A ,"$1,179.88 ","$2,949.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060029,N/A,HC OR LEVEL 5 INITIAL 30MIN,360,1 ,"$4,825.00 ","$3,136.25 ","$1,061.50 ","$4,825.00 ","$2,653.75 ","$2,895.00 ","$2,895.00 ","$1,254.50 ","$1,351.00 ","$2,349.78 ","$1,254.50 ","$2,706.83 ","$1,206.25 ","$2,031.00 ","$2,031.00 ","$1,254.50 ","$2,031.00 ","$2,016.85 ","$3,281.00 ", N/A ,"$1,254.50 ","$4,825.00 ","$1,061.50 ","$3,618.75 ","$3,425.75 ","$3,425.75 ","$1,061.50 ","$3,425.75 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,342.50 ","$2,653.75 ","$4,101.25 ","$1,061.50 ","$4,825.00 ","$2,895.00 ","$1,061.50 ","$2,007.20 ", N/A , N/A ,"$1,254.50 ","$4,101.25 ", N/A ,"$2,031.00 ","$1,351.00 ","$4,342.50 ","$4,825.00 ","$1,061.50 ","$3,038.00 ", N/A , N/A ,"$1,254.50 ","$3,136.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060030,N/A,HC OR LEVEL 6 INITIAL 30MIN,360,1 ,"$5,037.00 ","$3,274.05 ","$1,108.14 ","$5,037.00 ","$2,770.35 ","$3,022.20 ","$3,022.20 ","$1,309.62 ","$1,410.36 ","$2,453.02 ","$1,309.62 ","$2,825.76 ","$1,259.25 ","$2,031.00 ","$2,031.00 ","$1,309.62 ","$2,031.00 ","$2,105.47 ","$3,425.16 ", N/A ,"$1,309.62 ","$5,037.00 ","$1,108.14 ","$3,777.75 ","$3,576.27 ","$3,576.27 ","$1,108.14 ","$3,576.27 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,533.30 ","$2,770.35 ","$4,281.45 ","$1,108.14 ","$5,037.00 ","$3,022.20 ","$1,108.14 ","$2,095.39 ", N/A , N/A ,"$1,309.62 ","$4,281.45 ", N/A ,"$2,031.00 ","$1,410.36 ","$4,533.30 ","$5,037.00 ","$1,108.14 ","$3,038.00 ", N/A , N/A ,"$1,309.62 ","$3,274.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060040,N/A,HC OR LEVEL LITHOTRIPSY INITIAL 45 MIN,360,1 ,"$11,007.00 ","$7,154.55 ","$2,031.00 ","$11,007.00 ","$6,053.85 ","$6,604.20 ","$6,604.20 ","$2,861.82 ","$3,081.96 ","$4,263.59 ","$2,861.82 ","$4,900.67 ","$2,751.75 ","$2,031.00 ","$2,031.00 ","$2,861.82 ","$2,031.00 ","$4,600.93 ","$7,484.76 ", N/A ,"$2,861.82 ","$11,007.00 ","$2,421.54 ","$8,255.25 ","$7,814.97 ","$7,814.97 ","$2,421.54 ","$7,814.97 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$9,906.30 ","$6,053.85 ","$9,355.95 ","$2,421.54 ","$11,007.00 ","$6,604.20 ","$2,421.54 ","$4,578.91 ", N/A , N/A ,"$2,861.82 ","$9,355.95 ", N/A ,"$2,031.00 ","$3,081.96 ","$9,906.30 ","$11,007.00 ","$2,421.54 ","$3,038.00 ", N/A , N/A ,"$2,861.82 ","$7,154.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36060041,N/A,HC OR LEVEL LITHOTRIPSY ADDL 15 MIN,360,1 ,$325.00 ,$211.25 ,$71.50 ,$325.00 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$158.28 ,$84.50 ,$182.33 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$260.00 ,$135.85 ,$221.00 , N/A ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 , N/A , N/A ,$84.50 ,$276.25 , N/A ,$260.00 ,$91.00 ,$292.50 ,$325.00 ,$71.50 ,$273.00 , N/A , N/A ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$705.00 ,$458.25 ,$155.10 ,$746.69 ,$387.75 ,$423.00 ,$423.00 ,$183.30 ,$197.40 ,$343.34 ,$183.30 ,$395.51 ,$176.25 ,$564.00 ,$564.00 ,$183.30 ,$564.00 ,$294.69 ,$479.40 ,$667.08 ,$183.30 ,$705.00 ,$155.10 ,$528.75 ,$500.55 ,$500.55 ,$155.10 ,$500.55 ,$592.20 ,$592.20 ,$592.20 , N/A ,$634.50 ,$387.75 ,$599.25 ,$155.10 ,$705.00 ,$423.00 ,$155.10 ,$293.28 ,$746.69 ,$678.81 ,$183.30 ,$599.25 ,$506.98 ,$564.00 ,$197.40 ,$634.50 ,$705.00 ,$155.10 ,$592.20 ,$450.00 ,$450.00 ,$183.30 ,$458.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,023.00 ","$1,314.95 ",$445.06 ,"$2,101.83 ","$1,112.65 ","$1,213.80 ","$1,213.80 ",$525.98 ,$566.44 ,$985.20 ,$525.98 ,"$1,134.90 ",$505.75 ,"$1,618.40 ","$1,618.40 ",$525.98 ,"$1,618.40 ",$845.61 ,"$1,375.64 ","$2,101.83 ",$525.98 ,"$2,023.00 ",$445.06 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$445.06 ,"$1,436.33 ","$1,699.32 ","$1,699.32 ","$1,699.32 ", N/A ,"$1,820.70 ","$1,112.65 ","$1,719.55 ",$445.06 ,"$2,023.00 ","$1,213.80 ",$445.06 ,$841.57 ,$746.69 ,$678.81 ,$525.98 ,"$1,719.55 ","$1,597.39 ","$1,618.40 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$445.06 ,"$1,699.32 ","$2,023.00 ","$2,023.00 ",$525.98 ,"$1,314.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100034,55876,HC PLACE DEVICE/MARKER PROSTATE,361,1 ,"$4,110.00 ","$2,671.50 ",$904.20 ,"$4,110.00 ","$2,260.50 ","$2,466.00 ","$2,466.00 ","$1,068.60 ","$1,150.80 ","$2,001.57 ","$1,068.60 ","$2,305.71 ","$1,027.50 ","$2,031.00 ","$2,031.00 ","$1,068.60 ","$2,031.00 ","$1,717.98 ","$2,794.80 ","$3,224.18 ","$1,068.60 ","$4,110.00 ",$904.20 ,"$3,082.50 ","$2,918.10 ","$2,918.10 ",$904.20 ,"$2,918.10 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,699.00 ","$2,260.50 ","$3,493.50 ",$904.20 ,"$4,110.00 ","$2,466.00 ",$904.20 ,"$1,709.76 ","$2,483.60 ","$2,257.82 ","$1,068.60 ","$3,493.50 ","$2,450.37 ","$2,031.00 ","$1,150.80 ","$3,699.00 ","$4,110.00 ",$904.20 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,068.60 ","$2,671.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100043,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-BIL,361,1 ,"$1,070.00 ",$695.50 ,$235.40 ,"$1,070.00 ",$588.50 ,$642.00 ,$642.00 ,$278.20 ,$299.60 ,$521.09 ,$278.20 ,$600.27 ,$267.50 ,$856.00 ,$856.00 ,$278.20 ,$856.00 ,$447.26 ,$727.60 ,"$1,000.61 ",$278.20 ,"$1,070.00 ",$235.40 ,$802.50 ,$759.70 ,$759.70 ,$235.40 ,$759.70 ,$898.80 ,$898.80 ,$898.80 , N/A ,$963.00 ,$588.50 ,$909.50 ,$235.40 ,"$1,070.00 ",$642.00 ,$235.40 ,$445.12 ,$824.42 ,$749.47 ,$278.20 ,$909.50 ,$760.47 ,$856.00 ,$299.60 ,$963.00 ,"$1,070.00 ",$235.40 ,$898.80 ,$675.00 ,$675.00 ,$278.20 ,$695.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,"$1,070.00 ",$695.50 ,$235.40 ,"$1,070.00 ",$588.50 ,$642.00 ,$642.00 ,$278.20 ,$299.60 ,$521.09 ,$278.20 ,$600.27 ,$267.50 ,$856.00 ,$856.00 ,$278.20 ,$856.00 ,$447.26 ,$727.60 ,"$1,000.61 ",$278.20 ,"$1,070.00 ",$235.40 ,$802.50 ,$759.70 ,$759.70 ,$235.40 ,$759.70 ,$898.80 ,$898.80 ,$898.80 , N/A ,$963.00 ,$588.50 ,$909.50 ,$235.40 ,"$1,070.00 ",$642.00 ,$235.40 ,$445.12 ,$824.42 ,$749.47 ,$278.20 ,$909.50 ,$760.47 ,$856.00 ,$299.60 ,$963.00 ,"$1,070.00 ",$235.40 ,$898.80 ,$675.00 ,$675.00 ,$278.20 ,$695.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$4,373.15 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 ,"$4,373.15 ",$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 ,"$3,323.59 ",$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$962.00 ,$962.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$4,373.15 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 ,"$4,373.15 ",$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 ,"$3,323.59 ",$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$962.00 ,$962.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$352.00 ,$228.80 ,$77.44 ,"$2,689.51 ",$193.60 ,$211.20 ,$211.20 ,$91.52 ,$98.56 ,$171.42 ,$91.52 ,$197.47 ,$88.00 ,$281.60 ,$281.60 ,$91.52 ,$281.60 ,$147.14 ,$239.36 , N/A ,$91.52 ,$352.00 ,$77.44 ,$264.00 ,$249.92 ,$249.92 ,$77.44 ,$249.92 ,$295.68 ,$295.68 ,$295.68 , N/A ,$316.80 ,$193.60 ,$299.20 ,$77.44 ,$352.00 ,$211.20 ,$77.44 ,$146.43 ,"$2,689.51 ","$2,445.01 ",$91.52 ,$299.20 , N/A ,$281.60 ,$98.56 ,$316.80 ,$352.00 ,$77.44 ,$295.68 ,$352.00 ,$352.00 ,$91.52 ,$228.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$352.00 ,$228.80 ,$77.44 ,"$2,689.51 ",$193.60 ,$211.20 ,$211.20 ,$91.52 ,$98.56 ,$171.42 ,$91.52 ,$197.47 ,$88.00 ,$281.60 ,$281.60 ,$91.52 ,$281.60 ,$147.14 ,$239.36 , N/A ,$91.52 ,$352.00 ,$77.44 ,$264.00 ,$249.92 ,$249.92 ,$77.44 ,$249.92 ,$295.68 ,$295.68 ,$295.68 , N/A ,$316.80 ,$193.60 ,$299.20 ,$77.44 ,$352.00 ,$211.20 ,$77.44 ,$146.43 ,"$2,689.51 ","$2,445.01 ",$91.52 ,$299.20 , N/A ,$281.60 ,$98.56 ,$316.80 ,$352.00 ,$77.44 ,$295.68 ,$352.00 ,$352.00 ,$91.52 ,$228.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,467.00 ",$953.55 ,$322.74 ,"$8,990.55 ",$806.85 ,$880.20 ,$880.20 ,$381.42 ,$410.76 ,$714.43 ,$381.42 ,$822.99 ,$366.75 ,"$1,173.60 ","$1,173.60 ",$381.42 ,"$1,173.60 ",$613.21 ,$997.56 ,"$8,990.55 ",$381.42 ,"$1,467.00 ",$322.74 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$322.74 ,"$1,041.57 ","$1,232.28 ","$1,232.28 ","$1,232.28 ", N/A ,"$1,320.30 ",$806.85 ,"$1,246.95 ",$322.74 ,"$1,467.00 ",$880.20 ,$322.74 ,$610.27 ,"$2,689.51 ","$2,445.01 ",$381.42 ,"$1,246.95 ","$6,832.82 ","$1,173.60 ",$410.76 ,"$1,320.30 ","$1,467.00 ",$322.74 ,"$1,232.28 ","$1,467.00 ","$1,467.00 ",$381.42 ,$953.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,467.00 ",$953.55 ,$322.74 ,"$8,990.55 ",$806.85 ,$880.20 ,$880.20 ,$381.42 ,$410.76 ,$714.43 ,$381.42 ,$822.99 ,$366.75 ,"$1,173.60 ","$1,173.60 ",$381.42 ,"$1,173.60 ",$613.21 ,$997.56 ,"$8,990.55 ",$381.42 ,"$1,467.00 ",$322.74 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$322.74 ,"$1,041.57 ","$1,232.28 ","$1,232.28 ","$1,232.28 ", N/A ,"$1,320.30 ",$806.85 ,"$1,246.95 ",$322.74 ,"$1,467.00 ",$880.20 ,$322.74 ,$610.27 ,"$2,689.51 ","$2,445.01 ",$381.42 ,"$1,246.95 ","$6,832.82 ","$1,173.60 ",$410.76 ,"$1,320.30 ","$1,467.00 ",$322.74 ,"$1,232.28 ","$1,467.00 ","$1,467.00 ",$381.42 ,$953.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$2,689.51 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 , N/A ,$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 , N/A ,$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$450.00 ,$450.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$2,689.51 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 , N/A ,$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 , N/A ,$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$450.00 ,$450.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$4,373.15 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 ,"$4,373.15 ",$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 ,"$3,323.59 ",$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$962.00 ,$962.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$4,373.15 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 ,"$4,373.15 ",$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 ,"$3,323.59 ",$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$962.00 ,$962.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$352.00 ,$228.80 ,$77.44 ,"$2,689.51 ",$193.60 ,$211.20 ,$211.20 ,$91.52 ,$98.56 ,$171.42 ,$91.52 ,$197.47 ,$88.00 ,$281.60 ,$281.60 ,$91.52 ,$281.60 ,$147.14 ,$239.36 , N/A ,$91.52 ,$352.00 ,$77.44 ,$264.00 ,$249.92 ,$249.92 ,$77.44 ,$249.92 ,$295.68 ,$295.68 ,$295.68 , N/A ,$316.80 ,$193.60 ,$299.20 ,$77.44 ,$352.00 ,$211.20 ,$77.44 ,$146.43 ,"$2,689.51 ","$2,445.01 ",$91.52 ,$299.20 , N/A ,$281.60 ,$98.56 ,$316.80 ,$352.00 ,$77.44 ,$295.68 ,$352.00 ,$352.00 ,$91.52 ,$228.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$352.00 ,$228.80 ,$77.44 ,"$2,689.51 ",$193.60 ,$211.20 ,$211.20 ,$91.52 ,$98.56 ,$171.42 ,$91.52 ,$197.47 ,$88.00 ,$281.60 ,$281.60 ,$91.52 ,$281.60 ,$147.14 ,$239.36 , N/A ,$91.52 ,$352.00 ,$77.44 ,$264.00 ,$249.92 ,$249.92 ,$77.44 ,$249.92 ,$295.68 ,$295.68 ,$295.68 , N/A ,$316.80 ,$193.60 ,$299.20 ,$77.44 ,$352.00 ,$211.20 ,$77.44 ,$146.43 ,"$2,689.51 ","$2,445.01 ",$91.52 ,$299.20 , N/A ,$281.60 ,$98.56 ,$316.80 ,$352.00 ,$77.44 ,$295.68 ,$352.00 ,$352.00 ,$91.52 ,$228.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,467.00 ",$953.55 ,$322.74 ,"$4,373.15 ",$806.85 ,$880.20 ,$880.20 ,$381.42 ,$410.76 ,$714.43 ,$381.42 ,$822.99 ,$366.75 ,"$1,173.60 ","$1,173.60 ",$381.42 ,"$1,173.60 ",$613.21 ,$997.56 ,"$4,373.15 ",$381.42 ,"$1,467.00 ",$322.74 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$322.74 ,"$1,041.57 ","$1,232.28 ","$1,232.28 ","$1,232.28 ", N/A ,"$1,320.30 ",$806.85 ,"$1,246.95 ",$322.74 ,"$1,467.00 ",$880.20 ,$322.74 ,$610.27 ,"$2,689.51 ","$2,445.01 ",$381.42 ,"$1,246.95 ","$3,323.59 ","$1,173.60 ",$410.76 ,"$1,320.30 ","$1,467.00 ",$322.74 ,"$1,232.28 ","$1,467.00 ","$1,467.00 ",$381.42 ,$953.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,467.00 ",$953.55 ,$322.74 ,"$4,373.15 ",$806.85 ,$880.20 ,$880.20 ,$381.42 ,$410.76 ,$714.43 ,$381.42 ,$822.99 ,$366.75 ,"$1,173.60 ","$1,173.60 ",$381.42 ,"$1,173.60 ",$613.21 ,$997.56 ,"$4,373.15 ",$381.42 ,"$1,467.00 ",$322.74 ,"$1,100.25 ","$1,041.57 ","$1,041.57 ",$322.74 ,"$1,041.57 ","$1,232.28 ","$1,232.28 ","$1,232.28 ", N/A ,"$1,320.30 ",$806.85 ,"$1,246.95 ",$322.74 ,"$1,467.00 ",$880.20 ,$322.74 ,$610.27 ,"$2,689.51 ","$2,445.01 ",$381.42 ,"$1,246.95 ","$3,323.59 ","$1,173.60 ",$410.76 ,"$1,320.30 ","$1,467.00 ",$322.74 ,"$1,232.28 ","$1,467.00 ","$1,467.00 ",$381.42 ,$953.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$2,689.51 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 , N/A ,$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 , N/A ,$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$450.00 ,$450.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,$962.00 ,$625.30 ,$211.64 ,"$2,689.51 ",$529.10 ,$577.20 ,$577.20 ,$250.12 ,$269.36 ,$468.49 ,$250.12 ,$539.68 ,$240.50 ,$769.60 ,$769.60 ,$250.12 ,$769.60 ,$402.12 ,$654.16 , N/A ,$250.12 ,$962.00 ,$211.64 ,$721.50 ,$683.02 ,$683.02 ,$211.64 ,$683.02 ,$808.08 ,$808.08 ,$808.08 , N/A ,$865.80 ,$529.10 ,$817.70 ,$211.64 ,$962.00 ,$577.20 ,$211.64 ,$400.19 ,"$2,689.51 ","$2,445.01 ",$250.12 ,$817.70 , N/A ,$769.60 ,$269.36 ,$865.80 ,$962.00 ,$211.64 ,$808.08 ,$450.00 ,$450.00 ,$250.12 ,$625.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 ,$549.62 ,$499.65 ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$450.00 ,$450.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 ,"$1,337.23 ",$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 ,"$1,016.29 ",$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 ,"$1,337.23 ",$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 ,"$1,016.29 ",$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$212.55 ,$71.94 ,"$2,689.51 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 , N/A ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,"$2,689.51 ","$2,445.01 ",$85.02 ,$277.95 , N/A ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$212.55 ,$71.94 ,"$2,689.51 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 , N/A ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,"$2,689.51 ","$2,445.01 ",$85.02 ,$277.95 , N/A ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$884.00 ,$299.20 ,"$4,373.15 ",$748.00 ,$816.00 ,$816.00 ,$353.60 ,$380.80 ,$662.32 ,$353.60 ,$762.96 ,$340.00 ,"$1,088.00 ","$1,088.00 ",$353.60 ,"$1,088.00 ",$568.48 ,$924.80 ,"$4,373.15 ",$353.60 ,"$1,360.00 ",$299.20 ,"$1,020.00 ",$965.60 ,$965.60 ,$299.20 ,$965.60 ,"$1,142.40 ","$1,142.40 ","$1,142.40 ", N/A ,"$1,224.00 ",$748.00 ,"$1,156.00 ",$299.20 ,"$1,360.00 ",$816.00 ,$299.20 ,$565.76 ,"$2,689.51 ","$2,445.01 ",$353.60 ,"$1,156.00 ","$3,323.59 ","$1,088.00 ",$380.80 ,"$1,224.00 ","$1,360.00 ",$299.20 ,"$1,142.40 ","$1,360.00 ","$1,360.00 ",$353.60 ,$884.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$884.00 ,$299.20 ,"$4,373.15 ",$748.00 ,$816.00 ,$816.00 ,$353.60 ,$380.80 ,$662.32 ,$353.60 ,$762.96 ,$340.00 ,"$1,088.00 ","$1,088.00 ",$353.60 ,"$1,088.00 ",$568.48 ,$924.80 ,"$4,373.15 ",$353.60 ,"$1,360.00 ",$299.20 ,"$1,020.00 ",$965.60 ,$965.60 ,$299.20 ,$965.60 ,"$1,142.40 ","$1,142.40 ","$1,142.40 ", N/A ,"$1,224.00 ",$748.00 ,"$1,156.00 ",$299.20 ,"$1,360.00 ",$816.00 ,$299.20 ,$565.76 ,"$2,689.51 ","$2,445.01 ",$353.60 ,"$1,156.00 ","$3,323.59 ","$1,088.00 ",$380.80 ,"$1,224.00 ","$1,360.00 ",$299.20 ,"$1,142.40 ","$1,360.00 ","$1,360.00 ",$353.60 ,$884.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 , N/A ,$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 , N/A ,$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 , N/A ,$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 , N/A ,$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 ,"$1,337.23 ",$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 ,"$1,016.29 ",$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 ,"$1,337.23 ",$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 ,"$1,016.29 ",$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$212.55 ,$71.94 ,"$2,689.51 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 , N/A ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,"$2,689.51 ","$2,445.01 ",$85.02 ,$277.95 , N/A ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$212.55 ,$71.94 ,"$2,689.51 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 , N/A ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,"$2,689.51 ","$2,445.01 ",$85.02 ,$277.95 , N/A ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$884.00 ,$299.20 ,"$2,689.51 ",$748.00 ,$816.00 ,$816.00 ,$353.60 ,$380.80 ,$662.32 ,$353.60 ,$762.96 ,$340.00 ,"$1,088.00 ","$1,088.00 ",$353.60 ,"$1,088.00 ",$568.48 ,$924.80 ,"$1,337.23 ",$353.60 ,"$1,360.00 ",$299.20 ,"$1,020.00 ",$965.60 ,$965.60 ,$299.20 ,$965.60 ,"$1,142.40 ","$1,142.40 ","$1,142.40 ", N/A ,"$1,224.00 ",$748.00 ,"$1,156.00 ",$299.20 ,"$1,360.00 ",$816.00 ,$299.20 ,$565.76 ,"$2,689.51 ","$2,445.01 ",$353.60 ,"$1,156.00 ","$1,016.29 ","$1,088.00 ",$380.80 ,"$1,224.00 ","$1,360.00 ",$299.20 ,"$1,142.40 ",$450.00 ,$450.00 ,$353.60 ,$884.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$884.00 ,$299.20 ,"$2,689.51 ",$748.00 ,$816.00 ,$816.00 ,$353.60 ,$380.80 ,$662.32 ,$353.60 ,$762.96 ,$340.00 ,"$1,088.00 ","$1,088.00 ",$353.60 ,"$1,088.00 ",$568.48 ,$924.80 ,"$1,337.23 ",$353.60 ,"$1,360.00 ",$299.20 ,"$1,020.00 ",$965.60 ,$965.60 ,$299.20 ,$965.60 ,"$1,142.40 ","$1,142.40 ","$1,142.40 ", N/A ,"$1,224.00 ",$748.00 ,"$1,156.00 ",$299.20 ,"$1,360.00 ",$816.00 ,$299.20 ,$565.76 ,"$2,689.51 ","$2,445.01 ",$353.60 ,"$1,156.00 ","$1,016.29 ","$1,088.00 ",$380.80 ,"$1,224.00 ","$1,360.00 ",$299.20 ,"$1,142.40 ",$450.00 ,$450.00 ,$353.60 ,$884.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 , N/A ,$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 , N/A ,$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$579.80 ,$196.24 ,"$2,689.51 ",$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 , N/A ,$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 ,"$2,689.51 ","$2,445.01 ",$231.92 ,$758.20 , N/A ,$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$450.00 ,$450.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100092,N/A,HC BEDSIDE SURG PROC LEVEL 1,361,1 ,$552.00 ,$358.80 ,$121.44 ,$552.00 ,$303.60 ,$331.20 ,$331.20 ,$143.52 ,$154.56 ,$268.82 ,$143.52 ,$309.67 ,$138.00 ,$441.60 ,$441.60 ,$143.52 ,$441.60 ,$230.74 ,$375.36 , N/A ,$143.52 ,$552.00 ,$121.44 ,$414.00 ,$391.92 ,$391.92 ,$121.44 ,$391.92 ,$463.68 ,$463.68 ,$463.68 , N/A ,$496.80 ,$303.60 ,$469.20 ,$121.44 ,$552.00 ,$331.20 ,$121.44 ,$229.63 , N/A , N/A ,$143.52 ,$469.20 , N/A ,$441.60 ,$154.56 ,$496.80 ,$552.00 ,$121.44 ,$463.68 , N/A , N/A ,$143.52 ,$358.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100100,62320,HC INJ INTRLAMNR CERV/THOR W/O GUIDE,361,1 ,"$1,771.00 ","$1,151.15 ",$389.62 ,"$1,771.00 ",$974.05 ,"$1,062.60 ","$1,062.60 ",$460.46 ,$495.88 ,$862.48 ,$460.46 ,$993.53 ,$442.75 ,"$1,416.80 ","$1,416.80 ",$460.46 ,"$1,416.80 ",$740.28 ,"$1,204.28 ","$1,621.30 ",$460.46 ,"$1,771.00 ",$389.62 ,"$1,328.25 ","$1,257.41 ","$1,257.41 ",$389.62 ,"$1,257.41 ","$1,487.64 ","$1,487.64 ","$1,487.64 ", N/A ,"$1,593.90 ",$974.05 ,"$1,505.35 ",$389.62 ,"$1,771.00 ","$1,062.60 ",$389.62 ,$736.74 ,$746.69 ,$678.81 ,$460.46 ,"$1,505.35 ","$1,232.19 ","$1,416.80 ",$495.88 ,"$1,593.90 ","$1,771.00 ",$389.62 ,"$1,487.64 ","$1,771.00 ","$1,771.00 ",$460.46 ,"$1,151.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100101,62321,HC INJ INTRLAMNR CERV/THOR W/GUIDE,361,1 ,"$2,718.00 ","$1,766.70 ",$597.96 ,"$2,718.00 ","$1,494.90 ","$1,630.80 ","$1,630.80 ",$706.68 ,$761.04 ,"$1,323.67 ",$706.68 ,"$1,524.80 ",$679.50 ,"$2,031.00 ","$2,031.00 ",$706.68 ,"$2,031.00 ","$1,136.12 ","$1,848.24 ","$1,621.30 ",$706.68 ,"$2,718.00 ",$597.96 ,"$2,038.50 ","$1,929.78 ","$1,929.78 ",$597.96 ,"$1,929.78 ","$2,283.12 ","$2,283.12 ","$2,283.12 ", N/A ,"$2,446.20 ","$1,494.90 ","$2,310.30 ",$597.96 ,"$2,718.00 ","$1,630.80 ",$597.96 ,"$1,130.69 ",$746.69 ,$678.81 ,$706.68 ,"$2,310.30 ","$1,232.19 ","$2,031.00 ",$761.04 ,"$2,446.20 ","$2,718.00 ",$597.96 ,"$2,283.12 ","$2,027.00 ","$2,027.00 ",$706.68 ,"$1,766.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100102,62322,HC INJ INTRLAMNR LUM/SAC W/O GUIDE,361,1 ,"$2,491.00 ","$1,619.15 ",$548.02 ,"$2,491.00 ","$1,370.05 ","$1,494.60 ","$1,494.60 ",$647.66 ,$697.48 ,"$1,213.12 ",$647.66 ,"$1,397.45 ",$622.75 ,"$1,992.80 ","$1,992.80 ",$647.66 ,"$1,992.80 ","$1,041.24 ","$1,693.88 ","$1,621.30 ",$647.66 ,"$2,491.00 ",$548.02 ,"$1,868.25 ","$1,768.61 ","$1,768.61 ",$548.02 ,"$1,768.61 ","$2,092.44 ","$2,092.44 ","$2,092.44 ", N/A ,"$2,241.90 ","$1,370.05 ","$2,117.35 ",$548.02 ,"$2,491.00 ","$1,494.60 ",$548.02 ,"$1,036.26 ",$746.69 ,$678.81 ,$647.66 ,"$2,117.35 ","$1,232.19 ","$1,992.80 ",$697.48 ,"$2,241.90 ","$2,491.00 ",$548.02 ,"$2,092.44 ","$2,027.00 ","$2,027.00 ",$647.66 ,"$1,619.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100103,62323,HC INJ INTRLAMNR LUM/SAC W/GUIDE,361,1 ,"$3,438.00 ","$2,234.70 ",$678.81 ,"$3,438.00 ","$1,890.90 ","$2,062.80 ","$2,062.80 ",$893.88 ,$962.64 ,"$1,674.31 ",$893.88 ,"$1,928.72 ",$859.50 ,"$2,031.00 ","$2,031.00 ",$893.88 ,"$2,031.00 ","$1,437.08 ","$2,337.84 ","$1,621.30 ",$893.88 ,"$3,438.00 ",$756.36 ,"$2,578.50 ","$2,440.98 ","$2,440.98 ",$756.36 ,"$2,440.98 ","$2,887.92 ","$2,887.92 ","$2,887.92 ", N/A ,"$3,094.20 ","$1,890.90 ","$2,922.30 ",$756.36 ,"$3,438.00 ","$2,062.80 ",$756.36 ,"$1,430.21 ",$746.69 ,$678.81 ,$893.88 ,"$2,922.30 ","$1,232.19 ","$2,031.00 ",$962.64 ,"$3,094.20 ","$3,438.00 ",$756.36 ,"$2,887.92 ","$2,027.00 ","$2,027.00 ",$893.88 ,"$2,234.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$2,695.00 ","$1,751.75 ",$592.90 ,"$2,695.00 ","$1,482.25 ","$1,617.00 ","$1,617.00 ",$700.70 ,$754.60 ,"$1,312.47 ",$700.70 ,"$1,511.90 ",$673.75 ,"$2,031.00 ","$2,031.00 ",$700.70 ,"$2,031.00 ","$1,126.51 ","$1,832.60 ","$2,101.83 ",$700.70 ,"$2,695.00 ",$592.90 ,"$2,021.25 ","$1,913.45 ","$1,913.45 ",$592.90 ,"$1,913.45 ","$2,263.80 ","$2,263.80 ","$2,263.80 ", N/A ,"$2,425.50 ","$1,482.25 ","$2,290.75 ",$592.90 ,"$2,695.00 ","$1,617.00 ",$592.90 ,"$1,121.12 ","$1,354.21 ","$1,231.10 ",$700.70 ,"$2,290.75 ","$1,597.39 ","$2,031.00 ",$754.60 ,"$2,425.50 ","$2,695.00 ",$592.90 ,"$2,263.80 ","$2,027.00 ","$2,027.00 ",$700.70 ,"$1,751.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100107,62327,HC INJ W/CATH LUM/SAC W/GUIDE,361,1 ,"$3,642.00 ","$2,367.30 ",$801.24 ,"$3,642.00 ","$2,003.10 ","$2,185.20 ","$2,185.20 ",$946.92 ,"$1,019.76 ","$1,773.65 ",$946.92 ,"$2,043.16 ",$910.50 ,"$2,031.00 ","$2,031.00 ",$946.92 ,"$2,031.00 ","$1,522.36 ","$2,476.56 ","$2,101.83 ",$946.92 ,"$3,642.00 ",$801.24 ,"$2,731.50 ","$2,585.82 ","$2,585.82 ",$801.24 ,"$2,585.82 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,277.80 ","$2,003.10 ","$3,095.70 ",$801.24 ,"$3,642.00 ","$2,185.20 ",$801.24 ,"$1,515.07 ","$1,354.21 ","$1,231.10 ",$946.92 ,"$3,095.70 ","$1,597.39 ","$2,031.00 ","$1,019.76 ","$3,277.80 ","$3,642.00 ",$801.24 ,"$3,038.00 ","$2,027.00 ","$2,027.00 ",$946.92 ,"$2,367.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100108,29445,HC APPL CAST LEG RIGID CONTACT -BIL,361,1 ,$965.00 ,$627.25 ,$212.30 ,$965.00 ,$530.75 ,$579.00 ,$579.00 ,$250.90 ,$270.20 ,$469.96 ,$250.90 ,$541.37 ,$241.25 ,$772.00 ,$772.00 ,$250.90 ,$772.00 ,$403.37 ,$656.20 ,$923.93 ,$250.90 ,$965.00 ,$212.30 ,$723.75 ,$685.15 ,$685.15 ,$212.30 ,$685.15 ,$810.60 ,$810.60 ,$810.60 , N/A ,$868.50 ,$530.75 ,$820.25 ,$212.30 ,$965.00 ,$579.00 ,$212.30 ,$401.44 ,$828.05 ,$752.77 ,$250.90 ,$820.25 ,$702.18 ,$772.00 ,$270.20 ,$868.50 ,$965.00 ,$212.30 ,$810.60 ,$675.00 ,$675.00 ,$250.90 ,$627.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,$643.00 ,$417.95 ,$141.46 ,$643.00 ,$353.65 ,$385.80 ,$385.80 ,$167.18 ,$180.04 ,$313.14 ,$167.18 ,$360.72 ,$160.75 ,$514.40 ,$514.40 ,$167.18 ,$514.40 ,$268.77 ,$437.24 ,$615.95 ,$167.18 ,$643.00 ,$141.46 ,$482.25 ,$456.53 ,$456.53 ,$141.46 ,$456.53 ,$540.12 ,$540.12 ,$540.12 , N/A ,$578.70 ,$353.65 ,$546.55 ,$141.46 ,$643.00 ,$385.80 ,$141.46 ,$267.49 ,$552.02 ,$501.84 ,$167.18 ,$546.55 ,$468.12 ,$514.40 ,$180.04 ,$578.70 ,$643.00 ,$141.46 ,$540.12 ,$450.00 ,$450.00 ,$167.18 ,$417.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,$643.00 ,$417.95 ,$141.46 ,$643.00 ,$353.65 ,$385.80 ,$385.80 ,$167.18 ,$180.04 ,$313.14 ,$167.18 ,$360.72 ,$160.75 ,$514.40 ,$514.40 ,$167.18 ,$514.40 ,$268.77 ,$437.24 ,$615.95 ,$167.18 ,$643.00 ,$141.46 ,$482.25 ,$456.53 ,$456.53 ,$141.46 ,$456.53 ,$540.12 ,$540.12 ,$540.12 , N/A ,$578.70 ,$353.65 ,$546.55 ,$141.46 ,$643.00 ,$385.80 ,$141.46 ,$267.49 ,$552.02 ,$501.84 ,$167.18 ,$546.55 ,$468.12 ,$514.40 ,$180.04 ,$578.70 ,$643.00 ,$141.46 ,$540.12 ,$450.00 ,$450.00 ,$167.18 ,$417.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100119,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-BIL,361,1 ,"$7,350.00 ","$4,777.50 ",$675.00 ,"$7,350.00 ","$4,042.50 ","$4,410.00 ","$4,410.00 ","$1,911.00 ","$2,058.00 ","$3,579.45 ","$1,911.00 ","$4,123.35 ","$1,837.50 ","$2,031.00 ","$2,031.00 ","$1,911.00 ","$2,031.00 ","$3,072.30 ","$4,998.00 ", N/A ,"$1,911.00 ","$7,350.00 ","$1,617.00 ","$5,512.50 ","$5,218.50 ","$5,218.50 ","$1,617.00 ","$5,218.50 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,615.00 ","$4,042.50 ","$6,247.50 ","$1,617.00 ","$7,350.00 ","$4,410.00 ","$1,617.00 ","$3,057.60 ","$2,031.33 ","$1,846.66 ","$1,911.00 ","$6,247.50 ", N/A ,"$2,031.00 ","$2,058.00 ","$6,615.00 ","$7,350.00 ","$1,617.00 ","$3,038.00 ",$675.00 ,$675.00 ,"$1,911.00 ","$4,777.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100120,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-LT,361,1 ,"$4,900.00 ","$3,185.00 ",$450.00 ,"$4,900.00 ","$2,695.00 ","$2,940.00 ","$2,940.00 ","$1,274.00 ","$1,372.00 ","$2,386.30 ","$1,274.00 ","$2,748.90 ","$1,225.00 ","$2,031.00 ","$2,031.00 ","$1,274.00 ","$2,031.00 ","$2,048.20 ","$3,332.00 ", N/A ,"$1,274.00 ","$4,900.00 ","$1,078.00 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,078.00 ","$3,479.00 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,410.00 ","$2,695.00 ","$4,165.00 ","$1,078.00 ","$4,900.00 ","$2,940.00 ","$1,078.00 ","$2,038.40 ","$1,354.21 ","$1,231.10 ","$1,274.00 ","$4,165.00 ", N/A ,"$2,031.00 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,078.00 ","$3,038.00 ",$450.00 ,$450.00 ,"$1,274.00 ","$3,185.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100121,64634,HC DESTROY NERVE CERVICAL/THORACIC EA ADDL-RT,361,1 ,"$4,900.00 ","$3,185.00 ",$450.00 ,"$4,900.00 ","$2,695.00 ","$2,940.00 ","$2,940.00 ","$1,274.00 ","$1,372.00 ","$2,386.30 ","$1,274.00 ","$2,748.90 ","$1,225.00 ","$2,031.00 ","$2,031.00 ","$1,274.00 ","$2,031.00 ","$2,048.20 ","$3,332.00 ", N/A ,"$1,274.00 ","$4,900.00 ","$1,078.00 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,078.00 ","$3,479.00 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,410.00 ","$2,695.00 ","$4,165.00 ","$1,078.00 ","$4,900.00 ","$2,940.00 ","$1,078.00 ","$2,038.40 ","$1,354.21 ","$1,231.10 ","$1,274.00 ","$4,165.00 ", N/A ,"$2,031.00 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,078.00 ","$3,038.00 ",$450.00 ,$450.00 ,"$1,274.00 ","$3,185.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100122,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-BIL,361,1 ,"$7,350.00 ","$4,777.50 ","$1,617.00 ","$7,350.00 ","$4,042.50 ","$4,410.00 ","$4,410.00 ","$1,911.00 ","$2,058.00 ","$3,579.45 ","$1,911.00 ","$4,123.35 ","$1,837.50 ","$2,031.00 ","$2,031.00 ","$1,911.00 ","$2,031.00 ","$3,072.30 ","$4,998.00 ","$4,483.28 ","$1,911.00 ","$7,350.00 ","$1,617.00 ","$5,512.50 ","$5,218.50 ","$5,218.50 ","$1,617.00 ","$5,218.50 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,615.00 ","$4,042.50 ","$6,247.50 ","$1,617.00 ","$7,350.00 ","$4,410.00 ","$1,617.00 ","$3,057.60 ","$2,031.33 ","$1,846.66 ","$1,911.00 ","$6,247.50 ","$3,407.29 ","$2,031.00 ","$2,058.00 ","$6,615.00 ","$7,350.00 ","$1,617.00 ","$3,038.00 ","$4,176.00 ","$4,176.00 ","$1,911.00 ","$4,777.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100123,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-LT,361,1 ,"$4,900.00 ","$3,185.00 ","$1,078.00 ","$4,900.00 ","$2,695.00 ","$2,940.00 ","$2,940.00 ","$1,274.00 ","$1,372.00 ","$2,386.30 ","$1,274.00 ","$2,748.90 ","$1,225.00 ","$2,031.00 ","$2,031.00 ","$1,274.00 ","$2,031.00 ","$2,048.20 ","$3,332.00 ","$4,483.28 ","$1,274.00 ","$4,900.00 ","$1,078.00 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,078.00 ","$3,479.00 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,410.00 ","$2,695.00 ","$4,165.00 ","$1,078.00 ","$4,900.00 ","$2,940.00 ","$1,078.00 ","$2,038.40 ","$1,354.21 ","$1,231.10 ","$1,274.00 ","$4,165.00 ","$3,407.29 ","$2,031.00 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,078.00 ","$3,038.00 ","$2,784.00 ","$2,784.00 ","$1,274.00 ","$3,185.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100124,64633,HC DESTROY NERVE CERVICAL/THORACIC SGL-RT,361,1 ,"$4,900.00 ","$3,185.00 ","$1,078.00 ","$4,900.00 ","$2,695.00 ","$2,940.00 ","$2,940.00 ","$1,274.00 ","$1,372.00 ","$2,386.30 ","$1,274.00 ","$2,748.90 ","$1,225.00 ","$2,031.00 ","$2,031.00 ","$1,274.00 ","$2,031.00 ","$2,048.20 ","$3,332.00 ","$4,483.28 ","$1,274.00 ","$4,900.00 ","$1,078.00 ","$3,675.00 ","$3,479.00 ","$3,479.00 ","$1,078.00 ","$3,479.00 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,410.00 ","$2,695.00 ","$4,165.00 ","$1,078.00 ","$4,900.00 ","$2,940.00 ","$1,078.00 ","$2,038.40 ","$1,354.21 ","$1,231.10 ","$1,274.00 ","$4,165.00 ","$3,407.29 ","$2,031.00 ","$1,372.00 ","$4,410.00 ","$4,900.00 ","$1,078.00 ","$3,038.00 ","$2,784.00 ","$2,784.00 ","$1,274.00 ","$3,185.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100125,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-BIL,361,1 ,"$1,414.00 ",$919.10 ,$311.08 ,"$2,031.33 ",$777.70 ,$848.40 ,$848.40 ,$367.64 ,$395.92 ,$688.62 ,$367.64 ,$793.25 ,$353.50 ,"$1,131.20 ","$1,131.20 ",$367.64 ,"$1,131.20 ",$591.05 ,$961.52 , N/A ,$367.64 ,"$1,414.00 ",$311.08 ,"$1,060.50 ","$1,003.94 ","$1,003.94 ",$311.08 ,"$1,003.94 ","$1,187.76 ","$1,187.76 ","$1,187.76 ", N/A ,"$1,272.60 ",$777.70 ,"$1,201.90 ",$311.08 ,"$1,414.00 ",$848.40 ,$311.08 ,$588.22 ,"$2,031.33 ","$1,846.66 ",$367.64 ,"$1,201.90 ", N/A ,"$1,131.20 ",$395.92 ,"$1,272.60 ","$1,414.00 ",$311.08 ,"$1,187.76 ",$675.00 ,$675.00 ,$367.64 ,$919.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100126,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-LT,361,1 ,$943.00 ,$612.95 ,$207.46 ,"$1,354.21 ",$518.65 ,$565.80 ,$565.80 ,$245.18 ,$264.04 ,$459.24 ,$245.18 ,$529.02 ,$235.75 ,$754.40 ,$754.40 ,$245.18 ,$754.40 ,$394.17 ,$641.24 , N/A ,$245.18 ,$943.00 ,$207.46 ,$707.25 ,$669.53 ,$669.53 ,$207.46 ,$669.53 ,$792.12 ,$792.12 ,$792.12 , N/A ,$848.70 ,$518.65 ,$801.55 ,$207.46 ,$943.00 ,$565.80 ,$207.46 ,$392.29 ,"$1,354.21 ","$1,231.10 ",$245.18 ,$801.55 , N/A ,$754.40 ,$264.04 ,$848.70 ,$943.00 ,$207.46 ,$792.12 ,$450.00 ,$450.00 ,$245.18 ,$612.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100127,64636,HC DESTROY NERVE LUMBAR/SACRAL EA ADDL-RT,361,1 ,$943.00 ,$612.95 ,$207.46 ,"$1,354.21 ",$518.65 ,$565.80 ,$565.80 ,$245.18 ,$264.04 ,$459.24 ,$245.18 ,$529.02 ,$235.75 ,$754.40 ,$754.40 ,$245.18 ,$754.40 ,$394.17 ,$641.24 , N/A ,$245.18 ,$943.00 ,$207.46 ,$707.25 ,$669.53 ,$669.53 ,$207.46 ,$669.53 ,$792.12 ,$792.12 ,$792.12 , N/A ,$848.70 ,$518.65 ,$801.55 ,$207.46 ,$943.00 ,$565.80 ,$207.46 ,$392.29 ,"$1,354.21 ","$1,231.10 ",$245.18 ,$801.55 , N/A ,$754.40 ,$264.04 ,$848.70 ,$943.00 ,$207.46 ,$792.12 ,$450.00 ,$450.00 ,$245.18 ,$612.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100128,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-BIL,361,1 ,"$3,291.00 ","$2,139.15 ",$724.02 ,"$4,483.28 ","$1,810.05 ","$1,974.60 ","$1,974.60 ",$855.66 ,$921.48 ,"$1,602.72 ",$855.66 ,"$1,846.25 ",$822.75 ,"$2,031.00 ","$2,031.00 ",$855.66 ,"$2,031.00 ","$1,375.64 ","$2,237.88 ","$4,483.28 ",$855.66 ,"$3,291.00 ",$724.02 ,"$2,468.25 ","$2,336.61 ","$2,336.61 ",$724.02 ,"$2,336.61 ","$2,764.44 ","$2,764.44 ","$2,764.44 ", N/A ,"$2,961.90 ","$1,810.05 ","$2,797.35 ",$724.02 ,"$3,291.00 ","$1,974.60 ",$724.02 ,"$1,369.06 ","$2,031.33 ","$1,846.66 ",$855.66 ,"$2,797.35 ","$3,407.29 ","$2,031.00 ",$921.48 ,"$2,961.90 ","$3,291.00 ",$724.02 ,"$2,764.44 ","$3,291.00 ","$3,291.00 ",$855.66 ,"$2,139.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100129,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-LT,361,1 ,"$2,193.00 ","$1,425.45 ",$482.46 ,"$4,483.28 ","$1,206.15 ","$1,315.80 ","$1,315.80 ",$570.18 ,$614.04 ,"$1,067.99 ",$570.18 ,"$1,230.27 ",$548.25 ,"$1,754.40 ","$1,754.40 ",$570.18 ,"$1,754.40 ",$916.67 ,"$1,491.24 ","$4,483.28 ",$570.18 ,"$2,193.00 ",$482.46 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$482.46 ,"$1,557.03 ","$1,842.12 ","$1,842.12 ","$1,842.12 ", N/A ,"$1,973.70 ","$1,206.15 ","$1,864.05 ",$482.46 ,"$2,193.00 ","$1,315.80 ",$482.46 ,$912.29 ,"$1,354.21 ","$1,231.10 ",$570.18 ,"$1,864.05 ","$3,407.29 ","$1,754.40 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$482.46 ,"$1,842.12 ","$2,193.00 ","$2,193.00 ",$570.18 ,"$1,425.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100130,64635,HC DESTROY NERVE LUMBAR/SACRAL SGL-RT,361,1 ,"$2,193.00 ","$1,425.45 ",$482.46 ,"$4,483.28 ","$1,206.15 ","$1,315.80 ","$1,315.80 ",$570.18 ,$614.04 ,"$1,067.99 ",$570.18 ,"$1,230.27 ",$548.25 ,"$1,754.40 ","$1,754.40 ",$570.18 ,"$1,754.40 ",$916.67 ,"$1,491.24 ","$4,483.28 ",$570.18 ,"$2,193.00 ",$482.46 ,"$1,644.75 ","$1,557.03 ","$1,557.03 ",$482.46 ,"$1,557.03 ","$1,842.12 ","$1,842.12 ","$1,842.12 ", N/A ,"$1,973.70 ","$1,206.15 ","$1,864.05 ",$482.46 ,"$2,193.00 ","$1,315.80 ",$482.46 ,$912.29 ,"$1,354.21 ","$1,231.10 ",$570.18 ,"$1,864.05 ","$3,407.29 ","$1,754.40 ",$614.04 ,"$1,973.70 ","$2,193.00 ",$482.46 ,"$1,842.12 ","$2,193.00 ","$2,193.00 ",$570.18 ,"$1,425.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100131,64640,HC DESTROY NERVE PERIPHERAL-BIL,361,1 ,"$3,143.00 ","$2,042.95 ",$691.46 ,"$3,152.74 ","$1,728.65 ","$1,885.80 ","$1,885.80 ",$817.18 ,$880.04 ,"$1,530.64 ",$817.18 ,"$1,763.22 ",$785.75 ,"$2,031.00 ","$2,031.00 ",$817.18 ,"$2,031.00 ","$1,313.77 ","$2,137.24 ","$3,152.74 ",$817.18 ,"$3,143.00 ",$691.46 ,"$2,357.25 ","$2,231.53 ","$2,231.53 ",$691.46 ,"$2,231.53 ","$2,640.12 ","$2,640.12 ","$2,640.12 ", N/A ,"$2,828.70 ","$1,728.65 ","$2,671.55 ",$691.46 ,"$3,143.00 ","$1,885.80 ",$691.46 ,"$1,307.49 ","$2,031.33 ","$1,846.66 ",$817.18 ,"$2,671.55 ","$2,396.08 ","$2,031.00 ",$880.04 ,"$2,828.70 ","$3,143.00 ",$691.46 ,"$2,640.12 ","$3,040.50 ","$3,040.50 ",$817.18 ,"$2,042.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100132,64640,HC DESTROY NERVE PERIPHERAL-LT,361,1 ,"$2,095.00 ","$1,361.75 ",$460.90 ,"$2,101.83 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,"$1,676.00 ",$875.71 ,"$1,424.60 ","$2,101.83 ",$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ","$1,597.39 ","$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ","$2,027.00 ","$2,027.00 ",$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100133,64640,HC DESTROY NERVE PERIPHERAL-RT,361,1 ,"$2,095.00 ","$1,361.75 ",$460.90 ,"$2,101.83 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,"$1,676.00 ",$875.71 ,"$1,424.60 ","$2,101.83 ",$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ","$1,597.39 ","$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ","$2,027.00 ","$2,027.00 ",$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100145,68040,HC EXPRESS CONJUNCTIVAL FOLLICLES,361,1 ,$155.00 ,$100.75 ,$34.10 ,"$2,237.44 ",$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$75.49 ,$40.30 ,$86.96 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$124.00 ,$64.79 ,$105.40 ,$667.90 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 ,"$2,237.44 ","$2,034.04 ",$40.30 ,$131.75 ,$507.60 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$155.00 ,$155.00 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100164,N/A,HC BEDSIDE SURG PROC LEVEL 2,361,1 ,"$1,104.00 ",$717.60 ,$242.88 ,"$1,104.00 ",$607.20 ,$662.40 ,$662.40 ,$287.04 ,$309.12 ,$537.65 ,$287.04 ,$619.34 ,$276.00 ,$883.20 ,$883.20 ,$287.04 ,$883.20 ,$461.47 ,$750.72 , N/A ,$287.04 ,"$1,104.00 ",$242.88 ,$828.00 ,$783.84 ,$783.84 ,$242.88 ,$783.84 ,$927.36 ,$927.36 ,$927.36 , N/A ,$993.60 ,$607.20 ,$938.40 ,$242.88 ,"$1,104.00 ",$662.40 ,$242.88 ,$459.26 , N/A , N/A ,$287.04 ,$938.40 , N/A ,$883.20 ,$309.12 ,$993.60 ,"$1,104.00 ",$242.88 ,$927.36 , N/A , N/A ,$287.04 ,$717.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100165,N/A,HC BEDSIDE SURG PROC LEVEL 3,361,1 ,"$1,626.00 ","$1,056.90 ",$357.72 ,"$1,626.00 ",$894.30 ,$975.60 ,$975.60 ,$422.76 ,$455.28 ,$791.86 ,$422.76 ,$912.19 ,$406.50 ,"$1,300.80 ","$1,300.80 ",$422.76 ,"$1,300.80 ",$679.67 ,"$1,105.68 ", N/A ,$422.76 ,"$1,626.00 ",$357.72 ,"$1,219.50 ","$1,154.46 ","$1,154.46 ",$357.72 ,"$1,154.46 ","$1,365.84 ","$1,365.84 ","$1,365.84 ", N/A ,"$1,463.40 ",$894.30 ,"$1,382.10 ",$357.72 ,"$1,626.00 ",$975.60 ,$357.72 ,$676.42 , N/A , N/A ,$422.76 ,"$1,382.10 ", N/A ,"$1,300.80 ",$455.28 ,"$1,463.40 ","$1,626.00 ",$357.72 ,"$1,365.84 ", N/A , N/A ,$422.76 ,"$1,056.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100166,N/A,HC BEDSIDE SURG PROC LEVEL 4,361,1 ,"$2,208.00 ","$1,435.20 ",$485.76 ,"$2,208.00 ","$1,214.40 ","$1,324.80 ","$1,324.80 ",$574.08 ,$618.24 ,"$1,075.30 ",$574.08 ,"$1,238.69 ",$552.00 ,"$1,766.40 ","$1,766.40 ",$574.08 ,"$1,766.40 ",$922.94 ,"$1,501.44 ", N/A ,$574.08 ,"$2,208.00 ",$485.76 ,"$1,656.00 ","$1,567.68 ","$1,567.68 ",$485.76 ,"$1,567.68 ","$1,854.72 ","$1,854.72 ","$1,854.72 ", N/A ,"$1,987.20 ","$1,214.40 ","$1,876.80 ",$485.76 ,"$2,208.00 ","$1,324.80 ",$485.76 ,$918.53 , N/A , N/A ,$574.08 ,"$1,876.80 ", N/A ,"$1,766.40 ",$618.24 ,"$1,987.20 ","$2,208.00 ",$485.76 ,"$1,854.72 ", N/A , N/A ,$574.08 ,"$1,435.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100167,N/A,HC BEDSIDE SURG PROC LEVEL 5,361,1 ,"$2,760.00 ","$1,794.00 ",$607.20 ,"$2,760.00 ","$1,518.00 ","$1,656.00 ","$1,656.00 ",$717.60 ,$772.80 ,"$1,344.12 ",$717.60 ,"$1,548.36 ",$690.00 ,"$2,031.00 ","$2,031.00 ",$717.60 ,"$2,031.00 ","$1,153.68 ","$1,876.80 ", N/A ,$717.60 ,"$2,760.00 ",$607.20 ,"$2,070.00 ","$1,959.60 ","$1,959.60 ",$607.20 ,"$1,959.60 ","$2,318.40 ","$2,318.40 ","$2,318.40 ", N/A ,"$2,484.00 ","$1,518.00 ","$2,346.00 ",$607.20 ,"$2,760.00 ","$1,656.00 ",$607.20 ,"$1,148.16 ", N/A , N/A ,$717.60 ,"$2,346.00 ", N/A ,"$2,031.00 ",$772.80 ,"$2,484.00 ","$2,760.00 ",$607.20 ,"$2,318.40 ", N/A , N/A ,$717.60 ,"$1,794.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100189,64415,HC INTRASCALENE BLOCK SINGLE,361,1 ,"$2,843.00 ","$1,847.95 ",$625.46 ,"$2,843.00 ","$1,563.65 ","$1,705.80 ","$1,705.80 ",$739.18 ,$796.04 ,"$1,384.54 ",$739.18 ,"$1,594.92 ",$710.75 ,"$2,031.00 ","$2,031.00 ",$739.18 ,"$2,031.00 ","$1,188.37 ","$1,933.24 ","$2,101.83 ",$739.18 ,"$2,843.00 ",$625.46 ,"$2,132.25 ","$2,018.53 ","$2,018.53 ",$625.46 ,"$2,018.53 ","$2,388.12 ","$2,388.12 ","$2,388.12 ", N/A ,"$2,558.70 ","$1,563.65 ","$2,416.55 ",$625.46 ,"$2,843.00 ","$1,705.80 ",$625.46 ,"$1,182.69 ",$746.69 ,$678.81 ,$739.18 ,"$2,416.55 ","$1,597.39 ","$2,031.00 ",$796.04 ,"$2,558.70 ","$2,843.00 ",$625.46 ,"$2,388.12 ","$2,027.00 ","$2,027.00 ",$739.18 ,"$1,847.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$2,023.00 ","$1,314.95 ",$445.06 ,"$2,023.00 ","$1,112.65 ","$1,213.80 ","$1,213.80 ",$525.98 ,$566.44 ,$985.20 ,$525.98 ,"$1,134.90 ",$505.75 ,"$1,618.40 ","$1,618.40 ",$525.98 ,"$1,618.40 ",$845.61 ,"$1,375.64 ","$1,621.30 ",$525.98 ,"$2,023.00 ",$445.06 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$445.06 ,"$1,436.33 ","$1,699.32 ","$1,699.32 ","$1,699.32 ", N/A ,"$1,820.70 ","$1,112.65 ","$1,719.55 ",$445.06 ,"$2,023.00 ","$1,213.80 ",$445.06 ,$841.57 ,$746.69 ,$678.81 ,$525.98 ,"$1,719.55 ","$1,232.19 ","$1,618.40 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$445.06 ,"$1,699.32 ","$2,023.00 ","$2,023.00 ",$525.98 ,"$1,314.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100197,64450,HC INJ ANES NERVE PERIPHERAL,361,1 ,"$1,702.00 ","$1,106.30 ",$374.44 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,361.60 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 ,$746.69 ,$678.81 ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ","$1,702.00 ","$1,702.00 ",$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$291.00 ,$189.15 ,$64.02 ,"$1,094.18 ",$160.05 ,$174.60 ,$174.60 ,$75.66 ,$81.48 ,$141.72 ,$75.66 ,$163.25 ,$72.75 ,$232.80 ,$232.80 ,$75.66 ,$232.80 ,$121.64 ,$197.88 , N/A ,$75.66 ,$291.00 ,$64.02 ,$218.25 ,$206.61 ,$206.61 ,$64.02 ,$206.61 ,$244.44 ,$244.44 ,$244.44 , N/A ,$261.90 ,$160.05 ,$247.35 ,$64.02 ,$291.00 ,$174.60 ,$64.02 ,$121.06 ,"$1,094.18 ",$994.71 ,$75.66 ,$247.35 , N/A ,$232.80 ,$81.48 ,$261.90 ,$291.00 ,$64.02 ,$244.44 ,$291.00 ,$291.00 ,$75.66 ,$189.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100234,11107,HC BIOPSY SKIN INCISIONAL ADDL LESN,361,1 ,$264.00 ,$171.60 ,$58.08 ,"$1,094.18 ",$145.20 ,$158.40 ,$158.40 ,$68.64 ,$73.92 ,$128.57 ,$68.64 ,$148.10 ,$66.00 ,$211.20 ,$211.20 ,$68.64 ,$211.20 ,$110.35 ,$179.52 , N/A ,$68.64 ,$264.00 ,$58.08 ,$198.00 ,$187.44 ,$187.44 ,$58.08 ,$187.44 ,$221.76 ,$221.76 ,$221.76 , N/A ,$237.60 ,$145.20 ,$224.40 ,$58.08 ,$264.00 ,$158.40 ,$58.08 ,$109.82 ,"$1,094.18 ",$994.71 ,$68.64 ,$224.40 , N/A ,$211.20 ,$73.92 ,$237.60 ,$264.00 ,$58.08 ,$221.76 ,$264.00 ,$264.00 ,$68.64 ,$171.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,$539.00 ,$350.35 ,$118.58 ,"$1,094.18 ",$296.45 ,$323.40 ,$323.40 ,$140.14 ,$150.92 ,$262.49 ,$140.14 ,$302.38 ,$134.75 ,$431.20 ,$431.20 ,$140.14 ,$431.20 ,$225.30 ,$366.52 ,$458.50 ,$140.14 ,$539.00 ,$118.58 ,$404.25 ,$382.69 ,$382.69 ,$118.58 ,$382.69 ,$452.76 ,$452.76 ,$452.76 , N/A ,$485.10 ,$296.45 ,$458.15 ,$118.58 ,$539.00 ,$323.40 ,$118.58 ,$224.22 ,"$1,094.18 ",$994.71 ,$140.14 ,$458.15 ,$348.46 ,$431.20 ,$150.92 ,$485.10 ,$539.00 ,$118.58 ,$452.76 ,$450.00 ,$450.00 ,$140.14 ,$350.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,$586.00 ,$380.90 ,$128.92 ,"$1,094.18 ",$322.30 ,$351.60 ,$351.60 ,$152.36 ,$164.08 ,$285.38 ,$152.36 ,$328.75 ,$146.50 ,$468.80 ,$468.80 ,$152.36 ,$468.80 ,$244.95 ,$398.48 ,$882.50 ,$152.36 ,$586.00 ,$128.92 ,$439.50 ,$416.06 ,$416.06 ,$128.92 ,$416.06 ,$492.24 ,$492.24 ,$492.24 , N/A ,$527.40 ,$322.30 ,$498.10 ,$128.92 ,$586.00 ,$351.60 ,$128.92 ,$243.78 ,"$1,094.18 ",$994.71 ,$152.36 ,$498.10 ,$670.70 ,$468.80 ,$164.08 ,$527.40 ,$586.00 ,$128.92 ,$492.24 ,$450.00 ,$450.00 ,$152.36 ,$380.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100237,11106,HC BIOPSY SKIN INCISIONAL INIT LESN,361,1 ,$533.00 ,$346.45 ,$117.26 ,"$1,337.23 ",$293.15 ,$319.80 ,$319.80 ,$138.58 ,$149.24 ,$259.57 ,$138.58 ,$299.01 ,$133.25 ,$426.40 ,$426.40 ,$138.58 ,$426.40 ,$222.79 ,$362.44 ,"$1,337.23 ",$138.58 ,$533.00 ,$117.26 ,$399.75 ,$378.43 ,$378.43 ,$117.26 ,$378.43 ,$447.72 ,$447.72 ,$447.72 , N/A ,$479.70 ,$293.15 ,$453.05 ,$117.26 ,$533.00 ,$319.80 ,$117.26 ,$221.73 ,"$1,094.18 ",$994.71 ,$138.58 ,$453.05 ,"$1,016.29 ",$426.40 ,$149.24 ,$479.70 ,$533.00 ,$117.26 ,$447.72 ,$533.00 ,$533.00 ,$138.58 ,$346.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100238,10005,HC ASP FINE NDL W/US GUIDE INIT LESN,361,1 ,"$1,836.00 ","$1,193.40 ",$148.00 ,"$1,836.00 ","$1,009.80 ","$1,101.60 ","$1,101.60 ",$477.36 ,$514.08 ,$894.13 ,$477.36 ,"$1,030.00 ",$459.00 ,"$1,468.80 ","$1,468.80 ",$477.36 ,"$1,468.80 ",$767.45 ,"$1,248.48 ","$1,588.85 ",$477.36 ,"$1,836.00 ",$403.92 ,"$1,377.00 ","$1,303.56 ","$1,303.56 ",$403.92 ,"$1,303.56 ","$1,542.24 ","$1,542.24 ","$1,542.24 ", N/A ,"$1,652.40 ","$1,009.80 ","$1,560.60 ",$403.92 ,$148.00 ,"$1,101.60 ",$403.92 ,$763.78 ,"$1,032.79 ",$938.90 ,$477.36 ,"$1,560.60 ","$1,207.53 ","$1,468.80 ",$514.08 ,"$1,652.40 ","$1,836.00 ",$403.92 ,"$1,542.24 ","$1,836.00 ","$1,836.00 ",$477.36 ,"$1,193.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100239,10006,HC ASP FINE NDL W/US GUIDE EA ADDL LESN,361,1 ,"$1,836.00 ","$1,193.40 ",$66.21 ,"$1,836.00 ","$1,009.80 ","$1,101.60 ","$1,101.60 ",$477.36 ,$514.08 ,$894.13 ,$477.36 ,"$1,030.00 ",$459.00 ,"$1,468.80 ","$1,468.80 ",$477.36 ,"$1,468.80 ",$767.45 ,"$1,248.48 ", N/A ,$477.36 ,"$1,836.00 ",$403.92 ,"$1,377.00 ","$1,303.56 ","$1,303.56 ",$403.92 ,"$1,303.56 ","$1,542.24 ","$1,542.24 ","$1,542.24 ", N/A ,"$1,652.40 ","$1,009.80 ","$1,560.60 ",$403.92 ,$66.21 ,"$1,101.60 ",$403.92 ,$763.78 ,"$1,032.79 ",$938.90 ,$477.36 ,"$1,560.60 ", N/A ,"$1,468.80 ",$514.08 ,"$1,652.40 ","$1,836.00 ",$403.92 ,"$1,542.24 ",$450.00 ,$450.00 ,$477.36 ,"$1,193.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100273,64454,HC INJ ANESTHETIC/STEROID GENICULAR NERVES W/FLUORO OR CT GUID,361,1 ,"$1,875.00 ","$1,218.75 ",$412.50 ,"$1,875.00 ","$1,031.25 ","$1,125.00 ","$1,125.00 ",$487.50 ,$525.00 ,$913.13 ,$487.50 ,"$1,051.88 ",$468.75 ,"$1,500.00 ","$1,500.00 ",$487.50 ,"$1,500.00 ",$783.75 ,"$1,275.00 ","$1,621.30 ",$487.50 ,"$1,875.00 ",$412.50 ,"$1,406.25 ","$1,331.25 ","$1,331.25 ",$412.50 ,"$1,331.25 ","$1,575.00 ","$1,575.00 ","$1,575.00 ", N/A ,"$1,687.50 ","$1,031.25 ","$1,593.75 ",$412.50 ,"$1,875.00 ","$1,125.00 ",$412.50 ,$780.00 ,$746.69 ,$678.81 ,$487.50 ,"$1,593.75 ","$1,232.19 ","$1,500.00 ",$525.00 ,"$1,687.50 ","$1,875.00 ",$412.50 ,"$1,575.00 ","$1,875.00 ","$1,875.00 ",$487.50 ,"$1,218.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100281,32408,HC CORE NDL BX LUNG/MEDIASTINUM PERQ W IMG,361,1 ,"$4,221.00 ","$2,743.65 ",$928.62 ,"$4,221.00 ","$2,321.55 ","$2,532.60 ","$2,532.60 ","$1,097.46 ","$1,181.88 ","$2,055.63 ","$1,097.46 ","$2,367.98 ","$1,055.25 ","$2,031.00 ","$2,031.00 ","$1,097.46 ","$2,031.00 ","$1,764.38 ","$2,870.28 ","$3,592.48 ","$1,097.46 ","$4,221.00 ",$928.62 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$928.62 ,"$2,996.91 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$3,798.90 ","$2,321.55 ","$3,587.85 ",$928.62 ,"$4,221.00 ","$2,532.60 ",$928.62 ,"$1,755.94 ","$1,174.58 ","$1,067.80 ","$1,097.46 ","$3,587.85 ","$2,730.28 ","$2,031.00 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$928.62 ,"$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,097.46 ","$2,743.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,$258.00 ,$167.70 ,$56.76 ,"$4,571.63 ",$141.90 ,$154.80 ,$154.80 ,$67.08 ,$72.24 ,$125.65 ,$67.08 ,$144.74 ,$64.50 ,$206.40 ,$206.40 ,$67.08 ,$206.40 ,$107.84 ,$175.44 ,"$4,571.63 ",$67.08 ,$258.00 ,$56.76 ,$193.50 ,$183.18 ,$183.18 ,$56.76 ,$183.18 ,$216.72 ,$216.72 ,$216.72 , N/A ,$232.20 ,$141.90 ,$219.30 ,$56.76 ,$258.00 ,$154.80 ,$56.76 ,$107.33 , N/A , N/A ,$67.08 ,$219.30 ,"$3,474.44 ",$206.40 ,$72.24 ,$232.20 ,$258.00 ,$56.76 ,$216.72 ,$258.00 ,$258.00 ,$67.08 ,$167.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$670.00 ,$435.50 ,$147.40 ,"$1,146.84 ",$368.50 ,$402.00 ,$402.00 ,$174.20 ,$187.60 ,$326.29 ,$174.20 ,$375.87 ,$167.50 ,$536.00 ,$536.00 ,$174.20 ,$536.00 ,$280.06 ,$455.60 ,$540.18 ,$174.20 ,$670.00 ,$147.40 ,$502.50 ,$475.70 ,$475.70 ,$147.40 ,$475.70 ,$562.80 ,$562.80 ,$562.80 , N/A ,$603.00 ,$368.50 ,$569.50 ,$147.40 ,$670.00 ,$402.00 ,$147.40 ,$278.72 ,"$1,146.84 ","$1,042.58 ",$174.20 ,$569.50 ,$410.53 ,$536.00 ,$187.60 ,$603.00 ,$670.00 ,$147.40 ,$562.80 ,$450.00 ,$450.00 ,$174.20 ,$435.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,$568.00 ,$369.20 ,$124.96 ,$568.00 ,$312.40 ,$340.80 ,$340.80 ,$147.68 ,$159.04 ,$276.62 ,$147.68 ,$318.65 ,$142.00 ,$454.40 ,$454.40 ,$147.68 ,$454.40 ,$237.42 ,$386.24 , N/A ,$147.68 ,$568.00 ,$124.96 ,$426.00 ,$403.28 ,$403.28 ,$124.96 ,$403.28 ,$477.12 ,$477.12 ,$477.12 , N/A ,$511.20 ,$312.40 ,$482.80 ,$124.96 ,$568.00 ,$340.80 ,$124.96 ,$236.29 , N/A , N/A ,$147.68 ,$482.80 , N/A ,$454.40 ,$159.04 ,$511.20 ,$568.00 ,$124.96 ,$477.12 ,$426.00 ,$426.00 ,$147.68 ,$369.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$491.00 ,$319.15 ,$108.02 ,$491.00 ,$270.05 ,$294.60 ,$294.60 ,$127.66 ,$137.48 ,$239.12 ,$127.66 ,$275.45 ,$122.75 ,$392.80 ,$392.80 ,$127.66 ,$392.80 ,$205.24 ,$333.88 , N/A ,$127.66 ,$491.00 ,$108.02 ,$368.25 ,$348.61 ,$348.61 ,$108.02 ,$348.61 ,$412.44 ,$412.44 ,$412.44 , N/A ,$441.90 ,$270.05 ,$417.35 ,$108.02 ,$491.00 ,$294.60 ,$108.02 ,$204.26 , N/A , N/A ,$127.66 ,$417.35 , N/A ,$392.80 ,$137.48 ,$441.90 ,$491.00 ,$108.02 ,$412.44 ,$368.25 ,$368.25 ,$127.66 ,$319.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,$490.00 ,$318.50 ,$107.80 ,$490.00 ,$269.50 ,$294.00 ,$294.00 ,$127.40 ,$137.20 ,$238.63 ,$127.40 ,$274.89 ,$122.50 ,$392.00 ,$392.00 ,$127.40 ,$392.00 ,$204.82 ,$333.20 , N/A ,$127.40 ,$490.00 ,$107.80 ,$367.50 ,$347.90 ,$347.90 ,$107.80 ,$347.90 ,$411.60 ,$411.60 ,$411.60 , N/A ,$441.00 ,$269.50 ,$416.50 ,$107.80 ,$490.00 ,$294.00 ,$107.80 ,$203.84 , N/A , N/A ,$127.40 ,$416.50 , N/A ,$392.00 ,$137.20 ,$441.00 ,$490.00 ,$107.80 ,$411.60 ,$367.50 ,$367.50 ,$127.40 ,$318.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$431.00 ,$280.15 ,$94.82 ,$431.00 ,$237.05 ,$258.60 ,$258.60 ,$112.06 ,$120.68 ,$209.90 ,$112.06 ,$241.79 ,$107.75 ,$344.80 ,$344.80 ,$112.06 ,$344.80 ,$180.16 ,$293.08 , N/A ,$112.06 ,$431.00 ,$94.82 ,$323.25 ,$306.01 ,$306.01 ,$94.82 ,$306.01 ,$362.04 ,$362.04 ,$362.04 , N/A ,$387.90 ,$237.05 ,$366.35 ,$94.82 ,$431.00 ,$258.60 ,$94.82 ,$179.30 , N/A , N/A ,$112.06 ,$366.35 , N/A ,$344.80 ,$120.68 ,$387.90 ,$431.00 ,$94.82 ,$362.04 ,$323.25 ,$323.25 ,$112.06 ,$280.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$199.00 ,$129.35 ,$36.41 ,$199.00 ,$109.45 ,$119.40 ,$119.40 ,$51.74 ,$55.72 ,$101.09 ,$51.74 ,$117.01 ,$49.75 ,$159.20 ,$159.20 ,$51.74 ,$159.20 ,$83.18 ,$135.32 , N/A ,$51.74 ,$199.00 ,$43.78 ,$149.25 ,$141.29 ,$141.29 ,$43.78 ,$141.29 ,$167.16 ,$167.16 ,$167.16 , N/A ,$179.10 ,$109.45 ,$169.15 ,$43.78 ,$199.00 ,$119.40 ,$43.78 ,$82.78 ,$40.05 ,$36.41 ,$51.74 ,$169.15 , N/A ,$159.20 ,$55.72 ,$179.10 ,$199.00 ,$43.78 ,$167.16 ,$149.25 ,$149.25 ,$51.74 ,$129.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,$366.00 ,$237.90 ,$80.52 ,$366.00 ,$201.30 ,$219.60 ,$219.60 ,$95.16 ,$102.48 ,$178.24 ,$95.16 ,$205.33 ,$91.50 ,$292.80 ,$292.80 ,$95.16 ,$292.80 ,$152.99 ,$248.88 , N/A ,$95.16 ,$366.00 ,$80.52 ,$274.50 ,$259.86 ,$259.86 ,$80.52 ,$259.86 ,$307.44 ,$307.44 ,$307.44 , N/A ,$329.40 ,$201.30 ,$311.10 ,$80.52 ,$366.00 ,$219.60 ,$80.52 ,$152.26 , N/A , N/A ,$95.16 ,$311.10 , N/A ,$292.80 ,$102.48 ,$329.40 ,$366.00 ,$80.52 ,$307.44 ,$274.50 ,$274.50 ,$95.16 ,$237.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$292.00 ,$189.80 ,$64.24 ,$292.00 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 , N/A ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 , N/A ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$219.00 ,$219.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,37080000,64447,HC FEMORAL NERVE BLOCK SINGLE,360,1 ,"$2,023.00 ","$1,314.95 ",$445.06 ,"$2,023.00 ","$1,112.65 ","$1,213.80 ","$1,213.80 ",$525.98 ,$566.44 ,$985.20 ,$525.98 ,"$1,134.90 ",$505.75 ,"$1,618.40 ","$1,618.40 ",$525.98 ,"$1,618.40 ",$845.61 ,"$1,375.64 ","$1,621.30 ",$525.98 ,"$2,023.00 ",$445.06 ,"$1,517.25 ","$1,436.33 ","$1,436.33 ",$445.06 ,"$1,436.33 ","$1,699.32 ","$1,699.32 ","$1,699.32 ", N/A ,"$1,820.70 ","$1,112.65 ","$1,719.55 ",$445.06 ,"$2,023.00 ","$1,213.80 ",$445.06 ,$841.57 ,$746.69 ,$678.81 ,$525.98 ,"$1,719.55 ","$1,232.19 ","$1,618.40 ",$566.44 ,"$1,820.70 ","$2,023.00 ",$445.06 ,"$1,699.32 ","$2,023.00 ","$2,023.00 ",$525.98 ,"$1,314.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$81.00 ,$52.65 ,$9.65 ,$86.43 ,$44.55 ,$48.60 ,$48.60 ,$21.06 ,$22.68 ,$41.15 ,$21.06 ,$47.63 ,$20.25 ,$64.80 ,$64.80 ,$21.06 ,$64.80 ,$33.86 ,$55.08 ,$86.43 ,$21.06 ,$81.00 ,$17.82 ,$60.75 ,$57.51 ,$57.51 ,$17.82 ,$57.51 ,$68.04 ,$68.04 ,$68.04 , N/A ,$72.90 ,$44.55 ,$68.85 ,$17.82 ,$81.00 ,$48.60 ,$17.82 ,$33.70 ,$10.62 ,$9.65 ,$21.06 ,$68.85 ,$65.68 ,$64.80 ,$22.68 ,$72.90 ,$81.00 ,$17.82 ,$68.04 ,$81.00 ,$81.00 ,$21.06 ,$52.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$189.00 ,$122.85 ,$41.58 ,"$1,127.07 ",$103.95 ,$113.40 ,$113.40 ,$49.14 ,$52.92 ,$92.04 ,$49.14 ,$106.03 ,$47.25 ,$151.20 ,$151.20 ,$49.14 ,$151.20 ,$79.00 ,$128.52 ,$211.00 ,$49.14 ,$189.00 ,$41.58 ,$141.75 ,$134.19 ,$134.19 ,$41.58 ,$134.19 ,$158.76 ,$158.76 ,$158.76 , N/A ,$170.10 ,$103.95 ,$160.65 ,$41.58 ,$189.00 ,$113.40 ,$41.58 ,$78.62 ,"$1,127.07 ","$1,024.61 ",$49.14 ,$160.65 ,$160.36 ,$151.20 ,$52.92 ,$170.10 ,$189.00 ,$41.58 ,$158.76 ,$189.00 ,$189.00 ,$49.14 ,$122.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$189.00 ,$122.85 ,$41.58 ,"$1,127.07 ",$103.95 ,$113.40 ,$113.40 ,$49.14 ,$52.92 ,$92.04 ,$49.14 ,$106.03 ,$47.25 ,$151.20 ,$151.20 ,$49.14 ,$151.20 ,$79.00 ,$128.52 ,$181.60 ,$49.14 ,$189.00 ,$41.58 ,$141.75 ,$134.19 ,$134.19 ,$41.58 ,$134.19 ,$158.76 ,$158.76 ,$158.76 , N/A ,$170.10 ,$103.95 ,$160.65 ,$41.58 ,$189.00 ,$113.40 ,$41.58 ,$78.62 ,"$1,127.07 ","$1,024.61 ",$49.14 ,$160.65 ,$138.02 ,$151.20 ,$52.92 ,$170.10 ,$189.00 ,$41.58 ,$158.76 ,$189.00 ,$189.00 ,$49.14 ,$122.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,$622.00 ,$404.30 ,$136.84 ,"$1,127.07 ",$342.10 ,$373.20 ,$373.20 ,$161.72 ,$174.16 ,$302.91 ,$161.72 ,$348.94 ,$155.50 ,$497.60 ,$497.60 ,$161.72 ,$497.60 ,$260.00 ,$422.96 ,$480.98 ,$161.72 ,$622.00 ,$136.84 ,$466.50 ,$441.62 ,$441.62 ,$136.84 ,$441.62 ,$522.48 ,$522.48 ,$522.48 , N/A ,$559.80 ,$342.10 ,$528.70 ,$136.84 ,$622.00 ,$373.20 ,$136.84 ,$258.75 ,"$1,127.07 ","$1,024.61 ",$161.72 ,$528.70 ,$365.54 ,$497.60 ,$174.16 ,$559.80 ,$622.00 ,$136.84 ,$522.48 ,$290.00 ,$290.00 ,$161.72 ,$404.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$1,142.00 ",$742.30 ,$251.24 ,"$1,242.28 ",$628.10 ,$685.20 ,$685.20 ,$296.92 ,$319.76 ,$556.15 ,$296.92 ,$640.66 ,$285.50 ,$913.60 ,$913.60 ,$296.92 ,$913.60 ,$477.36 ,$776.56 ,"$1,242.28 ",$296.92 ,"$1,142.00 ",$251.24 ,$856.50 ,$810.82 ,$810.82 ,$251.24 ,$810.82 ,$959.28 ,$959.28 ,$959.28 , N/A ,"$1,027.80 ",$628.10 ,$970.70 ,$251.24 ,"$1,142.00 ",$685.20 ,$251.24 ,$475.07 ,"$1,127.07 ","$1,024.61 ",$296.92 ,$970.70 ,$944.13 ,$913.60 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$251.24 ,$959.28 ,$290.00 ,$290.00 ,$296.92 ,$742.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000180,P9037,HC PLATELETS PHER L/R IRR EA T2,390,1 ,"$1,142.00 ",$742.30 ,$251.24 ,"$1,575.80 ",$628.10 ,$685.20 ,$685.20 ,$296.92 ,$319.76 ,$556.15 ,$296.92 ,$640.66 ,$285.50 ,$913.60 ,$913.60 ,$296.92 ,$913.60 ,$477.36 ,$776.56 ,"$1,575.80 ",$296.92 ,"$1,142.00 ",$251.24 ,$856.50 ,$810.82 ,$810.82 ,$251.24 ,$810.82 ,$959.28 ,$959.28 ,$959.28 , N/A ,"$1,027.80 ",$628.10 ,$970.70 ,$251.24 ,"$1,142.00 ",$685.20 ,$251.24 ,$475.07 ,"$1,127.07 ","$1,024.61 ",$296.92 ,$970.70 ,"$1,197.61 ",$913.60 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$251.24 ,$959.28 ,$290.00 ,$290.00 ,$296.92 ,$742.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,$678.00 ,$440.70 ,$149.16 ,"$1,127.07 ",$372.90 ,$406.80 ,$406.80 ,$176.28 ,$189.84 ,$330.19 ,$176.28 ,$380.36 ,$169.50 ,$542.40 ,$542.40 ,$176.28 ,$542.40 ,$283.40 ,$461.04 ,$665.08 ,$176.28 ,$678.00 ,$149.16 ,$508.50 ,$481.38 ,$481.38 ,$149.16 ,$481.38 ,$569.52 ,$569.52 ,$569.52 , N/A ,$610.20 ,$372.90 ,$576.30 ,$149.16 ,$678.00 ,$406.80 ,$149.16 ,$282.05 ,"$1,127.07 ","$1,024.61 ",$176.28 ,$576.30 ,$505.46 ,$542.40 ,$189.84 ,$610.20 ,$678.00 ,$149.16 ,$569.52 ,$290.00 ,$290.00 ,$176.28 ,$440.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000198,P9058,HC RBC LEUKORED CMV NEG IRRAD,390,1 ,$473.00 ,$307.45 ,$104.06 ,"$1,127.07 ",$260.15 ,$283.80 ,$283.80 ,$122.98 ,$132.44 ,$230.35 ,$122.98 ,$265.35 ,$118.25 ,$378.40 ,$378.40 ,$122.98 ,$378.40 ,$197.71 ,$321.64 ,$622.48 ,$122.98 ,$473.00 ,$104.06 ,$354.75 ,$335.83 ,$335.83 ,$104.06 ,$335.83 ,$397.32 ,$397.32 ,$397.32 , N/A ,$425.70 ,$260.15 ,$402.05 ,$104.06 ,$473.00 ,$283.80 ,$104.06 ,$196.77 ,"$1,127.07 ","$1,024.61 ",$122.98 ,$402.05 ,$473.08 ,$378.40 ,$132.44 ,$425.70 ,$473.00 ,$104.06 ,$397.32 ,$290.00 ,$290.00 ,$122.98 ,$307.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39000205,P9073,HC PLATELETS PHERESIS PATH REDUCED EA UN T1,390,1 ,"$1,138.00 ",$739.70 ,$250.36 ,"$1,490.33 ",$625.90 ,$682.80 ,$682.80 ,$295.88 ,$318.64 ,$554.21 ,$295.88 ,$638.42 ,$284.50 ,$910.40 ,$910.40 ,$295.88 ,$910.40 ,$475.68 ,$773.84 ,"$1,490.33 ",$295.88 ,"$1,138.00 ",$250.36 ,$853.50 ,$807.98 ,$807.98 ,$250.36 ,$807.98 ,$955.92 ,$955.92 ,$955.92 , N/A ,"$1,024.20 ",$625.90 ,$967.30 ,$250.36 ,"$1,138.00 ",$682.80 ,$250.36 ,$473.41 ,"$1,127.07 ","$1,024.61 ",$295.88 ,$967.30 ,"$1,132.65 ",$910.40 ,$318.64 ,"$1,024.20 ","$1,138.00 ",$250.36 ,$955.92 ,$290.00 ,$290.00 ,$295.88 ,$739.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,$876.00 ,$569.40 ,$192.72 ,"$1,127.07 ",$481.80 ,$525.60 ,$525.60 ,$227.76 ,$245.28 ,$426.61 ,$227.76 ,$491.44 ,$219.00 ,$700.80 ,$700.80 ,$227.76 ,$700.80 ,$366.17 ,$595.68 ,"$1,013.43 ",$227.76 ,$876.00 ,$192.72 ,$657.00 ,$621.96 ,$621.96 ,$192.72 ,$621.96 ,$735.84 ,$735.84 ,$735.84 , N/A ,$788.40 ,$481.80 ,$744.60 ,$192.72 ,$876.00 ,$525.60 ,$192.72 ,$364.42 ,"$1,127.07 ","$1,024.61 ",$227.76 ,$744.60 ,$770.20 ,$700.80 ,$245.28 ,$788.40 ,$876.00 ,$192.72 ,$735.84 ,$290.00 ,$290.00 ,$227.76 ,$569.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$537.00 ,$349.05 ,$106.64 ,$537.00 ,$295.35 ,$322.20 ,$322.20 ,$139.62 ,$150.36 ,$273.87 ,$139.62 ,$315.76 ,$134.25 ,$429.60 ,$429.60 ,$139.62 ,$109.13 ,$224.47 ,$318.70 ,$272.83 ,$139.62 ,$537.00 ,$118.14 ,$402.75 ,$381.27 ,$381.27 ,$118.14 ,$381.27 ,$451.08 ,$451.08 ,$451.08 , N/A ,$483.30 ,$295.35 ,$456.45 ,$118.14 ,$122.32 ,$322.20 ,$118.14 ,$223.39 ,$117.30 ,$106.64 ,$139.62 ,$456.45 ,$207.35 ,$429.60 ,$150.36 ,$483.30 ,$537.00 ,$118.14 ,$451.08 ,$280.00 ,$280.00 ,$139.62 ,$349.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$537.00 ,$349.05 ,$106.64 ,$537.00 ,$295.35 ,$322.20 ,$322.20 ,$139.62 ,$150.36 ,$273.87 ,$139.62 ,$315.76 ,$134.25 ,$429.60 ,$429.60 ,$139.62 ,$109.13 ,$224.47 ,$318.70 ,$272.83 ,$139.62 ,$537.00 ,$118.14 ,$402.75 ,$381.27 ,$381.27 ,$118.14 ,$381.27 ,$451.08 ,$451.08 ,$451.08 , N/A ,$483.30 ,$295.35 ,$456.45 ,$118.14 ,$122.32 ,$322.20 ,$118.14 ,$223.39 ,$117.30 ,$106.64 ,$139.62 ,$456.45 ,$207.35 ,$429.60 ,$150.36 ,$483.30 ,$537.00 ,$118.14 ,$451.08 ,$280.00 ,$280.00 ,$139.62 ,$349.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$537.00 ,$349.05 ,$106.64 ,$537.00 ,$295.35 ,$322.20 ,$322.20 ,$139.62 ,$150.36 ,$273.87 ,$139.62 ,$315.76 ,$134.25 ,$429.60 ,$429.60 ,$139.62 ,$109.13 ,$224.47 ,$318.70 ,$272.83 ,$139.62 ,$537.00 ,$118.14 ,$402.75 ,$381.27 ,$381.27 ,$118.14 ,$381.27 ,$451.08 ,$451.08 ,$451.08 , N/A ,$483.30 ,$295.35 ,$456.45 ,$118.14 ,$122.32 ,$322.20 ,$118.14 ,$223.39 ,$117.30 ,$106.64 ,$139.62 ,$456.45 ,$207.35 ,$429.60 ,$150.36 ,$483.30 ,$537.00 ,$118.14 ,$451.08 ,$280.00 ,$280.00 ,$139.62 ,$349.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$281.00 ,$182.65 ,$61.82 ,$281.00 ,$154.55 ,$168.60 ,$168.60 ,$73.06 ,$78.68 ,$143.31 ,$73.06 ,$165.23 ,$70.25 ,$224.80 ,$224.80 ,$73.06 ,$85.66 ,$117.46 ,$249.06 ,$214.15 ,$73.06 ,$281.00 ,$61.82 ,$210.75 ,$199.51 ,$199.51 ,$61.82 ,$199.51 ,$236.04 ,$236.04 ,$236.04 , N/A ,$252.90 ,$154.55 ,$238.85 ,$61.82 ,$95.73 ,$168.60 ,$61.82 ,$116.90 ,$117.30 ,$106.64 ,$73.06 ,$238.85 ,$162.75 ,$224.80 ,$78.68 ,$252.90 ,$281.00 ,$61.82 ,$236.04 ,$280.00 ,$280.00 ,$73.06 ,$182.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD  ADDNT VIEW,401,1 ,$281.00 ,$182.65 ,$61.82 ,$281.00 ,$154.55 ,$168.60 ,$168.60 ,$73.06 ,$78.68 ,$143.31 ,$73.06 ,$165.23 ,$70.25 ,$224.80 ,$224.80 ,$73.06 ,$85.66 ,$117.46 ,$249.06 ,$214.15 ,$73.06 ,$281.00 ,$61.82 ,$210.75 ,$199.51 ,$199.51 ,$61.82 ,$199.51 ,$236.04 ,$236.04 ,$236.04 , N/A ,$252.90 ,$154.55 ,$238.85 ,$61.82 ,$95.73 ,$168.60 ,$61.82 ,$116.90 ,$117.30 ,$106.64 ,$73.06 ,$238.85 ,$162.75 ,$224.80 ,$78.68 ,$252.90 ,$281.00 ,$61.82 ,$236.04 ,$280.00 ,$280.00 ,$73.06 ,$182.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$281.00 ,$182.65 ,$61.82 ,$281.00 ,$154.55 ,$168.60 ,$168.60 ,$73.06 ,$78.68 ,$143.31 ,$73.06 ,$165.23 ,$70.25 ,$224.80 ,$224.80 ,$73.06 ,$85.66 ,$117.46 ,$249.06 ,$214.15 ,$73.06 ,$281.00 ,$61.82 ,$210.75 ,$199.51 ,$199.51 ,$61.82 ,$199.51 ,$236.04 ,$236.04 ,$236.04 , N/A ,$252.90 ,$154.55 ,$238.85 ,$61.82 ,$95.73 ,$168.60 ,$61.82 ,$116.90 ,$117.30 ,$106.64 ,$73.06 ,$238.85 ,$162.75 ,$224.80 ,$78.68 ,$252.90 ,$281.00 ,$61.82 ,$236.04 ,$280.00 ,$280.00 ,$73.06 ,$182.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$118.00 ,$76.70 ,$22.82 ,$118.00 ,$64.90 ,$70.80 ,$70.80 ,$30.68 ,$33.04 ,$60.18 ,$30.68 ,$69.38 ,$29.50 ,$94.40 ,$94.40 ,$30.68 ,$22.82 ,$49.32 ,$66.77 ,$57.05 ,$30.68 ,$118.00 ,$25.96 ,$88.50 ,$83.78 ,$83.78 ,$25.96 ,$83.78 ,$99.12 ,$99.12 ,$99.12 , N/A ,$106.20 ,$64.90 ,$100.30 ,$25.96 ,$26.59 ,$70.80 ,$25.96 ,$49.09 ,$117.30 ,$106.64 ,$30.68 ,$100.30 ,$43.36 ,$94.40 ,$33.04 ,$106.20 ,$118.00 ,$25.96 ,$99.12 ,$118.00 ,$118.00 ,$30.68 ,$76.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200007,51798,HC US BLADDER SCAN,402,1 ,$171.00 ,$111.15 ,$10.35 ,$202.75 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$83.28 ,$44.46 ,$95.93 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$10.35 ,$71.48 ,$116.28 ,$142.13 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 ,$202.75 ,$184.32 ,$44.46 ,$145.35 ,$108.02 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$171.00 ,$171.00 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,"$1,111.00 ",$722.15 ,$83.70 ,"$1,111.00 ",$611.05 ,$666.60 ,$666.60 ,$288.86 ,$311.08 ,$566.61 ,$288.86 ,$653.27 ,$277.75 ,$888.80 ,$888.80 ,$288.86 ,$83.70 ,$464.40 ,$233.80 ,$277.98 ,$288.86 ,"$1,111.00 ",$244.42 ,$833.25 ,$788.81 ,$788.81 ,$244.42 ,$788.81 ,$933.24 ,$933.24 ,$933.24 , N/A ,$999.90 ,$611.05 ,$944.35 ,$244.42 ,"$1,111.00 ",$666.60 ,$244.42 ,$462.18 ,$258.25 ,$234.77 ,$288.86 ,$944.35 ,$211.26 ,$888.80 ,$311.08 ,$999.90 ,"$1,111.00 ",$244.42 ,$933.24 ,$550.00 ,$550.00 ,$288.86 ,$722.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200014,76604,HC US CHEST,402,1 ,$388.00 ,$252.20 ,$30.24 ,$388.00 ,$213.40 ,$232.80 ,$232.80 ,$100.88 ,$108.64 ,$197.88 ,$100.88 ,$228.14 ,$97.00 ,$310.40 ,$310.40 ,$100.88 ,$30.24 ,$162.18 ,$166.07 ,$277.98 ,$100.88 ,$388.00 ,$85.36 ,$291.00 ,$275.48 ,$275.48 ,$85.36 ,$275.48 ,$325.92 ,$325.92 ,$325.92 , N/A ,$349.20 ,$213.40 ,$329.80 ,$85.36 ,$388.00 ,$232.80 ,$85.36 ,$161.41 ,$258.25 ,$234.77 ,$100.88 ,$329.80 ,$211.26 ,$310.40 ,$108.64 ,$349.20 ,$388.00 ,$85.36 ,$325.92 ,$388.00 ,$388.00 ,$100.88 ,$252.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200015,76641,HC US BREAST COMPLETE,402,1 ,"$1,613.00 ","$1,048.45 ",$67.73 ,"$1,613.00 ",$887.15 ,$967.80 ,$967.80 ,$419.38 ,$451.64 ,$822.63 ,$419.38 ,$948.44 ,$403.25 ,"$1,290.40 ","$1,290.40 ",$419.38 ,$67.73 ,$674.23 ,$188.97 ,$277.98 ,$419.38 ,"$1,613.00 ",$354.86 ,"$1,209.75 ","$1,145.23 ","$1,145.23 ",$354.86 ,"$1,145.23 ","$1,354.92 ","$1,354.92 ","$1,354.92 ", N/A ,"$1,451.70 ",$887.15 ,"$1,371.05 ",$354.86 ,$76.42 ,$967.80 ,$354.86 ,$671.01 ,$258.25 ,$234.77 ,$419.38 ,"$1,371.05 ",$211.26 ,"$1,290.40 ",$451.64 ,"$1,451.70 ","$1,613.00 ",$354.86 ,"$1,354.92 ",$550.00 ,$550.00 ,$419.38 ,"$1,048.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200016,76642,HC US BREAST LIMITED,402,1 ,$806.00 ,$523.90 ,$51.76 ,$806.00 ,$443.30 ,$483.60 ,$483.60 ,$209.56 ,$225.68 ,$411.06 ,$209.56 ,$473.93 ,$201.50 ,$644.80 ,$644.80 ,$209.56 ,$51.76 ,$336.91 ,$143.18 ,$206.53 ,$209.56 ,$806.00 ,$177.32 ,$604.50 ,$572.26 ,$572.26 ,$177.32 ,$572.26 ,$677.04 ,$677.04 ,$677.04 , N/A ,$725.40 ,$443.30 ,$685.10 ,$177.32 ,$58.57 ,$483.60 ,$177.32 ,$335.30 ,$258.25 ,$234.77 ,$209.56 ,$685.10 ,$156.96 ,$644.80 ,$225.68 ,$725.40 ,$806.00 ,$177.32 ,$677.04 ,$550.00 ,$550.00 ,$209.56 ,$523.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,415.00 ",$919.75 ,$78.16 ,"$1,415.00 ",$778.25 ,$849.00 ,$849.00 ,$367.90 ,$396.20 ,$721.65 ,$367.90 ,$832.02 ,$353.75 ,"$1,132.00 ","$1,132.00 ",$367.90 ,$78.16 ,$591.47 ,$217.58 ,$277.98 ,$367.90 ,"$1,415.00 ",$311.30 ,"$1,061.25 ","$1,004.65 ","$1,004.65 ",$311.30 ,"$1,004.65 ","$1,188.60 ","$1,188.60 ","$1,188.60 ", N/A ,"$1,273.50 ",$778.25 ,"$1,202.75 ",$311.30 ,"$1,415.00 ",$849.00 ,$311.30 ,$588.64 ,$258.25 ,$234.77 ,$367.90 ,"$1,202.75 ",$211.26 ,"$1,132.00 ",$396.20 ,"$1,273.50 ","$1,415.00 ",$311.30 ,"$1,188.60 ",$550.00 ,$550.00 ,$367.90 ,$919.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,364.00 ",$886.60 ,$58.93 ,"$1,364.00 ",$750.20 ,$818.40 ,$818.40 ,$354.64 ,$381.92 ,$695.64 ,$354.64 ,$802.03 ,$341.00 ,"$1,091.20 ","$1,091.20 ",$354.64 ,$58.93 ,$570.15 ,$165.12 ,$277.98 ,$354.64 ,"$1,364.00 ",$300.08 ,"$1,023.00 ",$968.44 ,$968.44 ,$300.08 ,$968.44 ,"$1,145.76 ","$1,145.76 ","$1,145.76 ", N/A ,"$1,227.60 ",$750.20 ,"$1,159.40 ",$300.08 ,"$1,364.00 ",$818.40 ,$300.08 ,$567.42 ,$258.25 ,$234.77 ,$354.64 ,"$1,159.40 ",$211.26 ,"$1,091.20 ",$381.92 ,"$1,227.60 ","$1,364.00 ",$300.08 ,"$1,145.76 ",$550.00 ,$550.00 ,$354.64 ,$886.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200019,76770,HC US RETROPERITIONEAL,402,1 ,$362.00 ,$235.30 ,$72.94 ,$362.00 ,$199.10 ,$217.20 ,$217.20 ,$94.12 ,$101.36 ,$184.62 ,$94.12 ,$212.86 ,$90.50 ,$289.60 ,$289.60 ,$94.12 ,$72.94 ,$151.32 ,$203.27 ,$277.98 ,$94.12 ,$362.00 ,$79.64 ,$271.50 ,$257.02 ,$257.02 ,$79.64 ,$257.02 ,$304.08 ,$304.08 ,$304.08 , N/A ,$325.80 ,$199.10 ,$307.70 ,$79.64 ,$362.00 ,$217.20 ,$79.64 ,$150.59 ,$258.25 ,$234.77 ,$94.12 ,$307.70 ,$211.26 ,$289.60 ,$101.36 ,$325.80 ,$362.00 ,$79.64 ,$304.08 ,$362.00 ,$362.00 ,$94.12 ,$235.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,$362.00 ,$235.30 ,$29.91 ,$362.00 ,$199.10 ,$217.20 ,$217.20 ,$94.12 ,$101.36 ,$184.62 ,$94.12 ,$212.86 ,$90.50 ,$289.60 ,$289.60 ,$94.12 ,$29.91 ,$151.32 ,$79.27 ,$277.98 ,$94.12 ,$362.00 ,$79.64 ,$271.50 ,$257.02 ,$257.02 ,$79.64 ,$257.02 ,$304.08 ,$304.08 ,$304.08 , N/A ,$325.80 ,$199.10 ,$307.70 ,$79.64 ,$362.00 ,$217.20 ,$79.64 ,$150.59 ,$258.25 ,$234.77 ,$94.12 ,$307.70 ,$211.26 ,$289.60 ,$101.36 ,$325.80 ,$362.00 ,$79.64 ,$304.08 ,$362.00 ,$362.00 ,$94.12 ,$235.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,"$1,172.00 ",$761.80 ,$69.68 ,"$1,172.00 ",$644.60 ,$703.20 ,$703.20 ,$304.72 ,$328.16 ,$597.72 ,$304.72 ,$689.14 ,$293.00 ,$937.60 ,$937.60 ,$304.72 ,$69.68 ,$489.90 ,$194.69 ,$277.98 ,$304.72 ,"$1,172.00 ",$257.84 ,$879.00 ,$832.12 ,$832.12 ,$257.84 ,$832.12 ,$984.48 ,$984.48 ,$984.48 , N/A ,"$1,054.80 ",$644.60 ,$996.20 ,$257.84 ,"$1,172.00 ",$703.20 ,$257.84 ,$487.55 , N/A , N/A ,$304.72 ,$996.20 ,$211.26 ,$937.60 ,$328.16 ,"$1,054.80 ","$1,172.00 ",$257.84 ,$984.48 ,$550.00 ,$550.00 ,$304.72 ,$761.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,"$1,172.00 ",$761.80 ,$86.64 ,"$1,172.00 ",$644.60 ,$703.20 ,$703.20 ,$304.72 ,$328.16 ,$597.72 ,$304.72 ,$689.14 ,$293.00 ,$937.60 ,$937.60 ,$304.72 ,$86.64 ,$489.90 ,$242.38 ,$277.98 ,$304.72 ,"$1,172.00 ",$257.84 ,$879.00 ,$832.12 ,$832.12 ,$257.84 ,$832.12 ,$984.48 ,$984.48 ,$984.48 , N/A ,"$1,054.80 ",$644.60 ,$996.20 ,$257.84 ,"$1,172.00 ",$703.20 ,$257.84 ,$487.55 , N/A , N/A ,$304.72 ,$996.20 ,$211.26 ,$937.60 ,$328.16 ,"$1,054.80 ","$1,172.00 ",$257.84 ,$984.48 ,$550.00 ,$550.00 ,$304.72 ,$761.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,$767.00 ,$498.55 ,$82.49 ,$767.00 ,$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$391.17 ,$199.42 ,$451.00 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$82.49 ,$320.61 ,$224.35 ,$587.50 ,$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,$446.50 ,$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$550.00 ,$550.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$707.00 ,$459.55 ,$106.44 ,$707.00 ,$388.85 ,$424.20 ,$424.20 ,$183.82 ,$197.96 ,$360.57 ,$183.82 ,$415.72 ,$176.75 ,$565.60 ,$565.60 ,$183.82 ,$106.44 ,$295.53 ,$480.76 , N/A ,$183.82 ,$707.00 ,$155.54 ,$530.25 ,$501.97 ,$501.97 ,$155.54 ,$501.97 ,$593.88 ,$593.88 ,$593.88 , N/A ,$636.30 ,$388.85 ,$600.95 ,$155.54 ,$707.00 ,$424.20 ,$155.54 ,$294.11 , N/A , N/A ,$183.82 ,$600.95 , N/A ,$565.60 ,$197.96 ,$636.30 ,$707.00 ,$155.54 ,$593.88 ,$550.00 ,$550.00 ,$183.82 ,$459.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$357.00 ,$232.05 ,$68.05 ,$357.00 ,$196.35 ,$214.20 ,$214.20 ,$92.82 ,$99.96 ,$182.07 ,$92.82 ,$209.92 ,$89.25 ,$285.60 ,$285.60 ,$92.82 ,$68.05 ,$149.23 ,$189.92 ,$277.98 ,$92.82 ,$357.00 ,$78.54 ,$267.75 ,$253.47 ,$253.47 ,$78.54 ,$253.47 ,$299.88 ,$299.88 ,$299.88 , N/A ,$321.30 ,$196.35 ,$303.45 ,$78.54 ,$357.00 ,$214.20 ,$78.54 ,$148.51 , N/A , N/A ,$92.82 ,$303.45 ,$211.26 ,$285.60 ,$99.96 ,$321.30 ,$357.00 ,$78.54 ,$299.88 ,$357.00 ,$357.00 ,$92.82 ,$232.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$669.00 ,$434.85 ,$49.80 ,$669.00 ,$367.95 ,$401.40 ,$401.40 ,$173.94 ,$187.32 ,$341.19 ,$173.94 ,$393.37 ,$167.25 ,$535.20 ,$535.20 ,$173.94 ,$49.80 ,$279.64 ,$138.41 ,$277.98 ,$173.94 ,$669.00 ,$147.18 ,$501.75 ,$474.99 ,$474.99 ,$147.18 ,$474.99 ,$561.96 ,$561.96 ,$561.96 , N/A ,$602.10 ,$367.95 ,$568.65 ,$147.18 ,$669.00 ,$401.40 ,$147.18 ,$278.30 , N/A , N/A ,$173.94 ,$568.65 ,$211.26 ,$535.20 ,$187.32 ,$602.10 ,$669.00 ,$147.18 ,$561.96 ,$550.00 ,$550.00 ,$173.94 ,$434.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$906.00 ,$588.90 ,$56.32 ,$906.00 ,$498.30 ,$543.60 ,$543.60 ,$235.56 ,$253.68 ,$462.06 ,$235.56 ,$532.73 ,$226.50 ,$724.80 ,$724.80 ,$235.56 ,$56.32 ,$378.71 ,$157.49 ,$277.98 ,$235.56 ,$906.00 ,$199.32 ,$679.50 ,$643.26 ,$643.26 ,$199.32 ,$643.26 ,$761.04 ,$761.04 ,$761.04 , N/A ,$815.40 ,$498.30 ,$770.10 ,$199.32 ,$906.00 ,$543.60 ,$199.32 ,$376.90 , N/A , N/A ,$235.56 ,$770.10 ,$211.26 ,$724.80 ,$253.68 ,$815.40 ,$906.00 ,$199.32 ,$761.04 ,$550.00 ,$550.00 ,$235.56 ,$588.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200033,76818,HC US FETAL BIO PROFILE W/NST,402,1 ,"$1,570.00 ","$1,020.50 ",$63.41 ,"$1,570.00 ",$863.50 ,$942.00 ,$942.00 ,$408.20 ,$439.60 ,$800.70 ,$408.20 ,$923.16 ,$392.50 ,"$1,256.00 ","$1,256.00 ",$408.20 ,$63.41 ,$656.26 ,$181.43 ,$277.98 ,$408.20 ,"$1,570.00 ",$345.40 ,"$1,177.50 ","$1,114.70 ","$1,114.70 ",$345.40 ,"$1,114.70 ","$1,318.80 ","$1,318.80 ","$1,318.80 ", N/A ,"$1,413.00 ",$863.50 ,"$1,334.50 ",$345.40 ,"$1,570.00 ",$942.00 ,$345.40 ,$653.12 , N/A , N/A ,$408.20 ,"$1,334.50 ",$211.26 ,"$1,256.00 ",$439.60 ,"$1,413.00 ","$1,570.00 ",$345.40 ,"$1,318.80 ",$550.00 ,$550.00 ,$408.20 ,"$1,020.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,$816.00 ,$530.40 ,$45.89 ,$816.00 ,$448.80 ,$489.60 ,$489.60 ,$212.16 ,$228.48 ,$416.16 ,$212.16 ,$479.81 ,$204.00 ,$652.80 ,$652.80 ,$212.16 ,$45.89 ,$341.09 ,$133.64 ,$277.98 ,$212.16 ,$816.00 ,$179.52 ,$612.00 ,$579.36 ,$579.36 ,$179.52 ,$579.36 ,$685.44 ,$685.44 ,$685.44 , N/A ,$734.40 ,$448.80 ,$693.60 ,$179.52 ,$816.00 ,$489.60 ,$179.52 ,$339.46 , N/A , N/A ,$212.16 ,$693.60 ,$211.26 ,$652.80 ,$228.48 ,$734.40 ,$816.00 ,$179.52 ,$685.44 ,$550.00 ,$550.00 ,$212.16 ,$530.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200038,76830,HC US TRANSVAGINAL,402,1 ,$930.00 ,$604.50 ,$85.98 ,$930.00 ,$511.50 ,$558.00 ,$558.00 ,$241.80 ,$260.40 ,$474.30 ,$241.80 ,$546.84 ,$232.50 ,$744.00 ,$744.00 ,$241.80 ,$85.98 ,$388.74 ,$233.80 ,$277.98 ,$241.80 ,$930.00 ,$204.60 ,$697.50 ,$660.30 ,$660.30 ,$204.60 ,$660.30 ,$781.20 ,$781.20 ,$781.20 , N/A ,$837.00 ,$511.50 ,$790.50 ,$204.60 ,$930.00 ,$558.00 ,$204.60 ,$386.88 ,$258.25 ,$234.77 ,$241.80 ,$790.50 ,$211.26 ,$744.00 ,$260.40 ,$837.00 ,$930.00 ,$204.60 ,$781.20 ,$550.00 ,$550.00 ,$241.80 ,$604.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,394.00 ",$906.10 ,$72.29 ,"$1,394.00 ",$766.70 ,$836.40 ,$836.40 ,$362.44 ,$390.32 ,$710.94 ,$362.44 ,$819.67 ,$348.50 ,"$1,115.20 ","$1,115.20 ",$362.44 ,$72.29 ,$582.69 ,$201.37 ,$277.98 ,$362.44 ,"$1,394.00 ",$306.68 ,"$1,045.50 ",$989.74 ,$989.74 ,$306.68 ,$989.74 ,"$1,170.96 ","$1,170.96 ","$1,170.96 ", N/A ,"$1,254.60 ",$766.70 ,"$1,184.90 ",$306.68 ,$81.89 ,$836.40 ,$306.68 ,$579.90 ,$258.25 ,$234.77 ,$362.44 ,"$1,184.90 ",$211.26 ,"$1,115.20 ",$390.32 ,"$1,254.60 ","$1,394.00 ",$306.68 ,"$1,170.96 ",$550.00 ,$550.00 ,$362.44 ,$906.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$682.00 ,$443.30 ,$24.05 ,$682.00 ,$375.10 ,$409.20 ,$409.20 ,$177.32 ,$190.96 ,$347.82 ,$177.32 ,$401.02 ,$170.50 ,$545.60 ,$545.60 ,$177.32 ,$24.05 ,$285.08 ,$64.00 ,$277.98 ,$177.32 ,$682.00 ,$150.04 ,$511.50 ,$484.22 ,$484.22 ,$150.04 ,$484.22 ,$572.88 ,$572.88 ,$572.88 , N/A ,$613.80 ,$375.10 ,$579.70 ,$150.04 ,$682.00 ,$409.20 ,$150.04 ,$283.71 ,$258.25 ,$234.77 ,$177.32 ,$579.70 ,$211.26 ,$545.60 ,$190.96 ,$613.80 ,$682.00 ,$150.04 ,$572.88 ,$550.00 ,$550.00 ,$177.32 ,$443.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200042,76870,HC US SCROTUM,402,1 ,"$1,427.00 ",$927.55 ,$69.68 ,"$1,427.00 ",$784.85 ,$856.20 ,$856.20 ,$371.02 ,$399.56 ,$727.77 ,$371.02 ,$749.46 ,$356.75 ,"$1,141.60 ","$1,141.60 ",$371.02 ,$69.68 ,$596.49 ,$196.60 ,$277.98 ,$371.02 ,"$1,427.00 ",$313.94 ,"$1,070.25 ","$1,013.17 ","$1,013.17 ",$313.94 ,"$1,013.17 ","$1,198.68 ","$1,198.68 ","$1,198.68 ", N/A ,"$1,284.30 ",$784.85 ,"$1,212.95 ",$313.94 ,"$1,427.00 ",$856.20 ,$313.94 ,$593.63 ,$258.25 ,$234.77 ,$371.02 ,"$1,212.95 ",$211.26 ,"$1,141.60 ",$399.56 ,"$1,284.30 ","$1,427.00 ",$313.94 ,"$1,198.68 ",$550.00 ,$550.00 ,$371.02 ,$927.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200043,76872,HC ULTRA BX PROS,402,1 ,"$1,183.00 ",$768.95 ,$168.71 ,"$1,183.00 ",$650.65 ,$709.80 ,$709.80 ,$307.58 ,$331.24 ,$603.33 ,$307.58 ,$695.60 ,$295.75 ,$946.40 ,$946.40 ,$307.58 ,$168.71 ,$494.49 ,$254.78 ,$277.98 ,$307.58 ,"$1,183.00 ",$260.26 ,$887.25 ,$839.93 ,$839.93 ,$260.26 ,$839.93 ,$993.72 ,$993.72 ,$993.72 , N/A ,"$1,064.70 ",$650.65 ,"$1,005.55 ",$260.26 ,"$1,183.00 ",$709.80 ,$260.26 ,$492.13 ,$258.25 ,$234.77 ,$307.58 ,"$1,005.55 ",$211.26 ,$946.40 ,$331.24 ,"$1,064.70 ","$1,183.00 ",$260.26 ,$993.72 ,$550.00 ,$550.00 ,$307.58 ,$768.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,"$1,076.00 ",$699.40 ,$27.96 ,"$1,076.00 ",$591.80 ,$645.60 ,$645.60 ,$279.76 ,$301.28 ,$548.76 ,$279.76 ,$632.69 ,$269.00 ,$860.80 ,$860.80 ,$279.76 ,$27.96 ,$449.77 ,$153.67 ,$277.98 ,$279.76 ,"$1,076.00 ",$236.72 ,$807.00 ,$763.96 ,$763.96 ,$236.72 ,$763.96 ,$903.84 ,$903.84 ,$903.84 , N/A ,$968.40 ,$591.80 ,$914.60 ,$236.72 ,"$1,076.00 ",$645.60 ,$236.72 ,$447.62 ,$258.25 ,$234.77 ,$279.76 ,$914.60 ,$211.26 ,$860.80 ,$301.28 ,$968.40 ,"$1,076.00 ",$236.72 ,$903.84 ,$550.00 ,$550.00 ,$279.76 ,$699.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,"$1,011.00 ",$657.15 ,$32.52 ,"$1,011.00 ",$556.05 ,$606.60 ,$606.60 ,$262.86 ,$283.08 ,$515.61 ,$262.86 ,$549.57 ,$252.75 ,$808.80 ,$808.80 ,$262.86 ,$32.52 ,$422.60 ,$87.85 ,$277.98 ,$262.86 ,"$1,011.00 ",$222.42 ,$758.25 ,$717.81 ,$717.81 ,$222.42 ,$717.81 ,$849.24 ,$849.24 ,$849.24 , N/A ,$909.90 ,$556.05 ,$859.35 ,$222.42 ,"$1,011.00 ",$606.60 ,$222.42 ,$420.58 ,$258.25 ,$234.77 ,$262.86 ,$859.35 ,$211.26 ,$808.80 ,$283.08 ,$909.90 ,"$1,011.00 ",$222.42 ,$849.24 ,$550.00 ,$550.00 ,$262.86 ,$657.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$193.00 ,$125.45 ,$25.10 ,$193.00 ,$106.15 ,$115.80 ,$115.80 ,$50.18 ,$54.04 ,$98.43 ,$50.18 ,$113.48 ,$48.25 ,$154.40 ,$154.40 ,$50.18 ,$25.10 ,$80.67 ,$131.24 , N/A ,$50.18 ,$193.00 ,$42.46 ,$144.75 ,$137.03 ,$137.03 ,$42.46 ,$137.03 ,$162.12 ,$162.12 ,$162.12 , N/A ,$173.70 ,$106.15 ,$164.05 ,$42.46 ,$193.00 ,$115.80 ,$42.46 ,$80.29 ,$188.46 ,$171.33 ,$50.18 ,$164.05 , N/A ,$154.40 ,$54.04 ,$173.70 ,$193.00 ,$42.46 ,$162.12 ,$193.00 ,$193.00 ,$50.18 ,$125.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,"$1,221.00 ",$793.65 ,$26.98 ,"$1,221.00 ",$671.55 ,$732.60 ,$732.60 ,$317.46 ,$341.88 ,$528.72 ,$317.46 ,$528.72 ,$305.25 ,$976.80 ,$976.80 ,$317.46 ,$26.98 ,$510.38 ,$830.28 , N/A ,$317.46 ,"$1,221.00 ",$268.62 ,$915.75 ,$866.91 ,$866.91 ,$268.62 ,$866.91 ,"$1,025.64 ","$1,025.64 ","$1,025.64 ", N/A ,"$1,098.90 ",$671.55 ,"$1,037.85 ",$268.62 ,$29.07 ,$732.60 ,$268.62 ,$507.94 ,$188.46 ,$171.33 ,$317.46 ,"$1,037.85 ", N/A ,$976.80 ,$341.88 ,"$1,098.90 ","$1,221.00 ",$268.62 ,"$1,025.64 ",$550.00 ,$550.00 ,$317.46 ,$793.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$908.00 ,$590.20 ,$66.64 ,$908.00 ,$499.40 ,$544.80 ,$544.80 ,$236.08 ,$254.24 ,$463.08 ,$236.08 ,$533.90 ,$227.00 ,$726.40 ,$726.40 ,$236.08 ,$66.64 ,$379.54 ,$617.44 , N/A ,$236.08 ,$908.00 ,$199.76 ,$681.00 ,$644.68 ,$644.68 ,$199.76 ,$644.68 ,$762.72 ,$762.72 ,$762.72 , N/A ,$817.20 ,$499.40 ,$771.80 ,$199.76 ,$908.00 ,$544.80 ,$199.76 ,$377.73 ,$188.46 ,$171.33 ,$236.08 ,$771.80 , N/A ,$726.40 ,$254.24 ,$817.20 ,$908.00 ,$199.76 ,$762.72 ,$550.00 ,$550.00 ,$236.08 ,$590.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,$357.00 ,$232.05 ,$78.54 ,$357.00 ,$196.35 ,$214.20 ,$214.20 ,$92.82 ,$99.96 ,$181.36 ,$92.82 ,$209.92 ,$89.25 ,$285.60 ,$285.60 ,$92.82 ,$118.83 ,$149.23 ,$334.91 ,$277.98 ,$92.82 ,$357.00 ,$78.54 ,$267.75 ,$253.47 ,$253.47 ,$78.54 ,$253.47 ,$299.88 ,$299.88 ,$299.88 , N/A ,$321.30 ,$196.35 ,$303.45 ,$78.54 ,$357.00 ,$214.20 ,$78.54 ,$148.51 ,$258.25 ,$234.77 ,$92.82 ,$303.45 ,$211.26 ,$285.60 ,$99.96 ,$321.30 ,$357.00 ,$78.54 ,$299.88 ,$357.00 ,$357.00 ,$92.82 ,$232.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,$767.00 ,$498.55 ,$141.82 ,$767.00 ,$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$389.64 ,$199.42 ,$451.00 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$141.82 ,$320.61 ,$402.73 ,$587.50 ,$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 ,$258.25 ,$234.77 ,$199.42 ,$651.95 ,$446.50 ,$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$575.25 ,$575.25 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200075,76706,HC US AORTA (SCREENING),402,1 ,$381.00 ,$247.65 ,$79.46 ,$381.00 ,$209.55 ,$228.60 ,$228.60 ,$99.06 ,$106.68 ,$194.31 ,$99.06 ,$224.03 ,$95.25 ,$304.80 ,$304.80 ,$99.06 ,$79.46 ,$159.26 ,$230.94 ,$277.98 ,$99.06 ,$381.00 ,$83.82 ,$285.75 ,$270.51 ,$270.51 ,$83.82 ,$270.51 ,$320.04 ,$320.04 ,$320.04 , N/A ,$342.90 ,$209.55 ,$323.85 ,$83.82 ,$381.00 ,$228.60 ,$83.82 ,$158.50 ,$258.25 ,$234.77 ,$99.06 ,$323.85 ,$211.26 ,$304.80 ,$106.68 ,$342.90 ,$381.00 ,$83.82 ,$320.04 ,$381.00 ,$381.00 ,$99.06 ,$247.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40200092,76813,HC US FETAL NUCHAL TRANSLUCENCY SNG,402,1 ,$368.00 ,$239.20 ,$60.88 ,$368.00 ,$202.40 ,$220.80 ,$220.80 ,$95.68 ,$103.04 ,$187.68 ,$95.68 ,$216.38 ,$92.00 ,$294.40 ,$294.40 ,$95.68 ,$60.88 ,$153.82 ,$164.16 ,$277.98 ,$95.68 ,$368.00 ,$80.96 ,$276.00 ,$261.28 ,$261.28 ,$80.96 ,$261.28 ,$309.12 ,$309.12 ,$309.12 , N/A ,$331.20 ,$202.40 ,$312.80 ,$80.96 ,$368.00 ,$220.80 ,$80.96 ,$153.09 ,$167.12 ,$151.93 ,$95.68 ,$312.80 ,$211.26 ,$294.40 ,$103.04 ,$331.20 ,$368.00 ,$80.96 ,$309.12 ,$368.00 ,$368.00 ,$95.68 ,$239.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$297.00 ,$193.05 ,$53.32 ,$297.00 ,$225.55 ,$178.20 ,$178.20 ,$90.22 ,$83.16 ,$151.47 ,$90.22 ,$174.64 ,$90.22 ,$237.60 ,$237.60 ,$90.22 ,$90.22 ,$171.42 ,$263.37 ,$225.55 ,$90.22 ,$297.00 ,$90.22 ,$222.75 ,$210.87 ,$210.87 ,$90.22 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$225.55 ,$252.45 ,$90.22 ,$101.20 ,$178.20 ,$90.22 ,$123.55 ,$58.65 ,$53.32 ,$90.22 ,$252.45 ,$171.42 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$90.22 ,$249.48 ,$280.00 ,$280.00 ,$90.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$297.00 ,$193.05 ,$53.32 ,$297.00 ,$225.55 ,$178.20 ,$178.20 ,$90.22 ,$83.16 ,$151.47 ,$90.22 ,$174.64 ,$90.22 ,$237.60 ,$237.60 ,$90.22 ,$90.22 ,$171.42 ,$263.37 ,$225.55 ,$90.22 ,$297.00 ,$90.22 ,$222.75 ,$210.87 ,$210.87 ,$90.22 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$225.55 ,$252.45 ,$90.22 ,$101.20 ,$178.20 ,$90.22 ,$123.55 ,$58.65 ,$53.32 ,$90.22 ,$252.45 ,$171.42 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$90.22 ,$249.48 ,$280.00 ,$280.00 ,$90.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$297.00 ,$193.05 ,$53.32 ,$297.00 ,$225.55 ,$178.20 ,$178.20 ,$90.22 ,$83.16 ,$151.47 ,$90.22 ,$174.64 ,$90.22 ,$237.60 ,$237.60 ,$90.22 ,$90.22 ,$171.42 ,$263.37 ,$225.55 ,$90.22 ,$297.00 ,$90.22 ,$222.75 ,$210.87 ,$210.87 ,$90.22 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$225.55 ,$252.45 ,$90.22 ,$101.20 ,$178.20 ,$90.22 ,$123.55 ,$58.65 ,$53.32 ,$90.22 ,$252.45 ,$171.42 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$90.22 ,$249.48 ,$280.00 ,$280.00 ,$90.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$297.00 ,$193.05 ,$53.32 ,$297.00 ,$225.55 ,$178.20 ,$178.20 ,$90.22 ,$83.16 ,$151.47 ,$90.22 ,$174.64 ,$90.22 ,$237.60 ,$237.60 ,$90.22 ,$90.22 ,$171.42 ,$263.37 ,$225.55 ,$90.22 ,$297.00 ,$90.22 ,$222.75 ,$210.87 ,$210.87 ,$90.22 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$225.55 ,$252.45 ,$90.22 ,$101.20 ,$178.20 ,$90.22 ,$123.55 ,$58.65 ,$53.32 ,$90.22 ,$252.45 ,$171.42 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$90.22 ,$249.48 ,$280.00 ,$280.00 ,$90.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$112.00 ,$72.80 ,$22.82 ,$117.30 ,$57.05 ,$67.20 ,$67.20 ,$24.64 ,$31.36 ,$57.12 ,$24.64 ,$65.86 ,$28.00 ,$89.60 ,$89.60 ,$29.12 ,$22.82 ,$46.82 ,$66.77 ,$57.05 ,$24.64 ,$112.00 ,$22.82 ,$84.00 ,$79.52 ,$79.52 ,$24.64 ,$79.52 ,$94.08 ,$94.08 ,$94.08 , N/A ,$100.80 ,$57.05 ,$95.20 ,$22.82 ,$26.59 ,$67.20 ,$22.82 ,$46.59 ,$117.30 ,$106.64 ,$24.64 ,$95.20 ,$43.36 ,$89.60 ,$31.36 ,$100.80 ,$112.00 ,$22.82 ,$94.08 ,$112.00 ,$112.00 ,$22.82 ,$72.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40300007,77063,HC SCREEN DIG BREAST TOMO BIL-52,403,1 ,$112.00 ,$72.80 ,$22.82 ,$112.00 ,$57.05 ,$67.20 ,$67.20 ,$24.64 ,$31.36 ,$57.12 ,$24.64 ,$65.86 ,$28.00 ,$89.60 ,$89.60 ,$29.12 ,$22.82 ,$46.82 ,$66.77 ,$57.05 ,$24.64 ,$112.00 ,$22.82 ,$84.00 ,$79.52 ,$79.52 ,$24.64 ,$79.52 ,$94.08 ,$94.08 ,$94.08 , N/A ,$100.80 ,$57.05 ,$95.20 ,$22.82 ,$26.59 ,$67.20 ,$22.82 ,$46.59 ,$58.65 ,$53.32 ,$24.64 ,$95.20 ,$43.36 ,$89.60 ,$31.36 ,$100.80 ,$112.00 ,$22.82 ,$94.08 ,$112.00 ,$112.00 ,$22.82 ,$72.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,40400003,78814,HC PET W/CT TUMR LIMITED AREA,404,1 ,"$5,475.00 ","$3,558.75 ",$104.78 ,"$5,475.00 ","$3,011.25 ","$3,285.00 ","$3,285.00 ","$1,423.50 ","$1,533.00 ","$2,781.30 ","$1,423.50 ","$3,219.30 ","$1,368.75 ","$4,380.00 ","$4,380.00 ","$1,423.50 ",$104.78 ,"$2,288.55 ","$2,123.26 ","$3,778.90 ","$1,423.50 ","$5,475.00 ","$1,204.50 ","$4,106.25 ","$3,887.25 ","$3,887.25 ","$1,204.50 ","$3,887.25 ","$4,599.00 ","$4,599.00 ","$4,599.00 ", N/A ,"$4,927.50 ","$3,011.25 ","$4,653.75 ","$1,204.50 ","$5,475.00 ","$3,285.00 ","$1,204.50 ","$2,277.60 ","$2,077.47 ","$1,888.61 ","$1,423.50 ","$4,653.75 ","$2,871.96 ","$4,380.00 ","$1,533.00 ","$4,927.50 ","$5,475.00 ","$1,204.50 ","$4,599.00 ",$400.00 ,$400.00 ,"$1,423.50 ","$3,558.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40400004,78815,HC PET W/CT TUMR SKULL MID-THIGH,404,1 ,"$5,497.00 ","$3,573.05 ",$116.27 ,"$5,497.00 ","$3,023.35 ","$3,298.20 ","$3,298.20 ","$1,429.22 ","$1,539.16 ","$2,792.48 ","$1,429.22 ","$3,232.24 ","$1,374.25 ","$4,397.60 ","$4,397.60 ","$1,429.22 ",$116.27 ,"$2,297.75 ","$2,376.31 ","$3,778.90 ","$1,429.22 ","$5,497.00 ","$1,209.34 ","$4,122.75 ","$3,902.87 ","$3,902.87 ","$1,209.34 ","$3,902.87 ","$4,617.48 ","$4,617.48 ","$4,617.48 ", N/A ,"$4,947.30 ","$3,023.35 ","$4,672.45 ","$1,209.34 ","$5,497.00 ","$3,298.20 ","$1,209.34 ","$2,286.75 ","$2,077.47 ","$1,888.61 ","$1,429.22 ","$4,672.45 ","$2,871.96 ","$4,397.60 ","$1,539.16 ","$4,947.30 ","$5,497.00 ","$1,209.34 ","$4,617.48 ",$400.00 ,$400.00 ,"$1,429.22 ","$3,573.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40400005,78816,HC PET W/CT MELAN IMAG WHOLE BODY,404,1 ,"$5,772.00 ","$3,751.80 ",$117.12 ,"$5,772.00 ","$3,174.60 ","$3,463.20 ","$3,463.20 ","$1,500.72 ","$1,616.16 ","$2,932.18 ","$1,500.72 ","$3,393.94 ","$1,443.00 ","$4,617.60 ","$4,617.60 ","$1,500.72 ",$117.12 ,"$2,412.70 ","$2,404.06 ","$3,778.90 ","$1,500.72 ","$5,772.00 ","$1,269.84 ","$4,329.00 ","$4,098.12 ","$4,098.12 ","$1,269.84 ","$4,098.12 ","$4,848.48 ","$4,848.48 ","$4,848.48 ", N/A ,"$5,194.80 ","$3,174.60 ","$4,906.20 ","$1,269.84 ","$5,772.00 ","$3,463.20 ","$1,269.84 ","$2,401.15 ","$2,077.47 ","$1,888.61 ","$1,500.72 ","$4,906.20 ","$2,871.96 ","$4,617.60 ","$1,616.16 ","$5,194.80 ","$5,772.00 ","$1,269.84 ","$4,848.48 ",$400.00 ,$400.00 ,"$1,500.72 ","$3,751.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40400006,78608,HC PET BRAIN LIMITED ALZHEIMERS,404,1 ,"$6,421.00 ","$4,173.65 ",$70.10 ,"$6,421.00 ","$3,531.55 ","$3,852.60 ","$3,852.60 ","$1,669.46 ","$1,797.88 ","$3,261.87 ","$1,669.46 ","$3,775.55 ","$1,605.25 ","$5,136.80 ","$5,136.80 ","$1,669.46 ",$70.10 ,"$2,683.98 ","$1,434.04 ","$3,778.90 ","$1,669.46 ","$6,421.00 ","$1,412.62 ","$4,815.75 ","$4,558.91 ","$4,558.91 ","$1,412.62 ","$4,558.91 ","$5,393.64 ","$5,393.64 ","$5,393.64 ", N/A ,"$5,778.90 ","$3,531.55 ","$5,457.85 ","$1,412.62 ","$6,421.00 ","$3,852.60 ","$1,412.62 ","$2,671.14 ","$2,077.47 ","$1,888.61 ","$1,669.46 ","$5,457.85 ","$2,871.96 ","$5,136.80 ","$1,797.88 ","$5,778.90 ","$6,421.00 ","$1,412.62 ","$5,393.64 ",$400.00 ,$400.00 ,"$1,669.46 ","$4,173.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,40400007,78459,HC PET MYOCARDIAL METABOLIC EVAL,404,1 ,"$6,421.00 ","$4,173.65 ",$74.56 ,"$6,421.00 ","$3,531.55 ","$3,852.60 ","$3,852.60 ","$1,669.46 ","$1,797.88 ","$3,261.87 ","$1,669.46 ","$3,775.55 ","$1,605.25 ","$5,136.80 ","$5,136.80 ","$1,669.46 ",$74.56 ,"$2,683.98 ",$940.35 ,"$3,336.55 ","$1,669.46 ","$6,421.00 ","$1,412.62 ","$4,815.75 ","$4,558.91 ","$4,558.91 ","$1,412.62 ","$4,558.91 ","$5,393.64 ","$5,393.64 ","$5,393.64 ", N/A ,"$5,778.90 ","$3,531.55 ","$5,457.85 ","$1,412.62 ","$6,421.00 ","$3,852.60 ","$1,412.62 ","$2,671.14 ","$2,077.47 ","$1,888.61 ","$1,669.46 ","$5,457.85 ","$2,535.78 ","$5,136.80 ","$1,797.88 ","$5,778.90 ","$6,421.00 ","$1,412.62 ","$5,393.64 ",$400.00 ,$400.00 ,"$1,669.46 ","$4,173.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000005,92950,HC CPR,480,1 ,$844.00 ,$548.60 ,$185.68 ,"$1,146.84 ",$464.20 ,$506.40 ,$506.40 ,$219.44 ,$236.32 ,$428.75 ,$219.44 ,$496.27 ,$211.00 ,$675.20 ,$675.20 ,$219.44 ,$193.69 ,$352.79 ,$573.92 ,$675.73 ,$219.44 ,$844.00 ,$185.68 ,$633.00 ,$599.24 ,$599.24 ,$185.68 ,$599.24 ,$708.96 ,$708.96 ,$708.96 , N/A ,$759.60 ,$464.20 ,$717.40 ,$185.68 ,$844.00 ,$506.40 ,$185.68 ,$351.10 ,"$1,146.84 ","$1,042.58 ",$219.44 ,$717.40 ,$513.55 ,$675.20 ,$236.32 ,$759.60 ,$844.00 ,$185.68 ,$708.96 ,$844.00 ,$844.00 ,$219.44 ,$548.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,$534.00 ,$347.10 ,$96.24 ,"$1,243.85 ",$293.70 ,$320.40 ,$320.40 ,$138.84 ,$149.52 ,$271.27 ,$138.84 ,$313.99 ,$133.50 ,$427.20 ,$427.20 ,$138.84 ,$96.24 ,$223.21 ,$363.12 ,"$1,243.85 ",$138.84 ,$534.00 ,$117.48 ,$400.50 ,$379.14 ,$379.14 ,$117.48 ,$379.14 ,$448.56 ,$448.56 ,$448.56 , N/A ,$480.60 ,$293.70 ,$453.90 ,$117.48 ,$534.00 ,$320.40 ,$117.48 ,$222.14 ,"$1,243.43 ","$1,130.39 ",$138.84 ,$453.90 ,$945.33 ,$427.20 ,$149.52 ,$480.60 ,$534.00 ,$117.48 ,$448.56 ,$225.00 ,$225.00 ,$138.84 ,$347.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000016,94660,HC VENT NONINVAS NEO INTL DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000018,94660,HC VENT NONINVAS PEDS INTL DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,$244.00 ,$158.60 ,$53.68 ,"$1,243.85 ",$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$67.42 ,$101.99 ,$165.92 ,"$1,243.85 ",$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 ,"$1,243.43 ","$1,130.39 ",$63.44 ,$207.40 ,$945.33 ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$225.00 ,$225.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000033,94660,HC VENT NONINVAS PEDS SUBQ DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000034,94640,HC IPPB,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000037,94640,HC INCENTIVE SPIROMETER TRT,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000044,94640,HC UPDRAFT W/INSTRUCT AND EVAL,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$390.00 ,$253.50 ,$59.58 ,$390.00 ,$214.50 ,$234.00 ,$234.00 ,$101.40 ,$109.20 ,$198.12 ,$101.40 ,$229.32 ,$97.50 ,$312.00 ,$312.00 ,$101.40 ,$59.58 ,$163.02 ,$265.20 ,$287.90 ,$101.40 ,$390.00 ,$85.80 ,$292.50 ,$276.90 ,$276.90 ,$85.80 ,$276.90 ,$327.60 ,$327.60 ,$327.60 , N/A ,$351.00 ,$214.50 ,$331.50 ,$85.80 ,$390.00 ,$234.00 ,$85.80 ,$162.24 ,$126.97 ,$115.43 ,$101.40 ,$331.50 ,$218.80 ,$312.00 ,$109.20 ,$351.00 ,$390.00 ,$85.80 ,$327.60 ,$225.00 ,$225.00 ,$101.40 ,$253.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$154.00 ,$100.10 ,$15.57 ,$154.00 ,$84.70 ,$92.40 ,$92.40 ,$40.04 ,$43.12 ,$78.23 ,$40.04 ,$90.55 ,$38.50 ,$123.20 ,$123.20 ,$40.04 ,$15.57 ,$64.37 ,$104.72 , N/A ,$40.04 ,$154.00 ,$33.88 ,$115.50 ,$109.34 ,$109.34 ,$33.88 ,$109.34 ,$129.36 ,$129.36 ,$129.36 , N/A ,$138.60 ,$84.70 ,$130.90 ,$33.88 ,$154.00 ,$92.40 ,$33.88 ,$64.06 ,$126.97 ,$115.43 ,$40.04 ,$130.90 , N/A ,$123.20 ,$43.12 ,$138.60 ,$154.00 ,$33.88 ,$129.36 ,$154.00 ,$154.00 ,$40.04 ,$100.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000052,94660,HC CPAP,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000053,94660,HC CPAP DAILY EST PT,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$37.00 ,$24.05 ,$8.14 ,$479.93 ,$20.35 ,$22.20 ,$22.20 ,$9.62 ,$10.36 ,$18.80 ,$9.62 ,$21.76 ,$9.25 ,$29.60 ,$29.60 ,$9.62 ,$16.55 ,$15.47 ,$25.16 ,$479.93 ,$9.62 ,$37.00 ,$8.14 ,$27.75 ,$26.27 ,$26.27 ,$8.14 ,$26.27 ,$31.08 ,$31.08 ,$31.08 , N/A ,$33.30 ,$20.35 ,$31.45 ,$8.14 ,$37.00 ,$22.20 ,$8.14 ,$15.39 ,$61.28 ,$55.71 ,$9.62 ,$31.45 ,$364.74 ,$29.60 ,$10.36 ,$33.30 ,$37.00 ,$8.14 ,$31.08 ,$37.00 ,$37.00 ,$9.62 ,$24.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$297.00 ,$193.05 ,$22.34 ,$411.82 ,$163.35 ,$178.20 ,$178.20 ,$77.22 ,$83.16 ,$150.88 ,$77.22 ,$174.64 ,$74.25 ,$237.60 ,$237.60 ,$77.22 ,$22.34 ,$124.15 ,$201.96 ,$287.90 ,$77.22 ,$297.00 ,$65.34 ,$222.75 ,$210.87 ,$210.87 ,$65.34 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$163.35 ,$252.45 ,$65.34 ,$297.00 ,$178.20 ,$65.34 ,$123.55 ,$411.82 ,$374.38 ,$77.22 ,$252.45 ,$218.80 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$65.34 ,$249.48 ,$225.00 ,$225.00 ,$77.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$297.00 ,$193.05 ,$22.34 ,$411.82 ,$163.35 ,$178.20 ,$178.20 ,$77.22 ,$83.16 ,$150.88 ,$77.22 ,$174.64 ,$74.25 ,$237.60 ,$237.60 ,$77.22 ,$22.34 ,$124.15 ,$201.96 ,$287.90 ,$77.22 ,$297.00 ,$65.34 ,$222.75 ,$210.87 ,$210.87 ,$65.34 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$163.35 ,$252.45 ,$65.34 ,$297.00 ,$178.20 ,$65.34 ,$123.55 ,$411.82 ,$374.38 ,$77.22 ,$252.45 ,$218.80 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$65.34 ,$249.48 ,$225.00 ,$225.00 ,$77.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$297.00 ,$193.05 ,$34.40 ,$411.82 ,$163.35 ,$178.20 ,$178.20 ,$77.22 ,$83.16 ,$144.64 ,$77.22 ,$166.62 ,$74.25 ,$237.60 ,$237.60 ,$77.22 ,$34.40 ,$124.15 ,$201.96 ,$287.90 ,$77.22 ,$297.00 ,$65.34 ,$222.75 ,$210.87 ,$210.87 ,$65.34 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$163.35 ,$252.45 ,$65.34 ,$297.00 ,$178.20 ,$65.34 ,$123.55 ,$411.82 ,$374.38 ,$77.22 ,$252.45 ,$218.80 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$65.34 ,$249.48 ,$225.00 ,$225.00 ,$77.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$297.00 ,$193.05 ,$34.40 ,$411.82 ,$163.35 ,$178.20 ,$178.20 ,$77.22 ,$83.16 ,$144.64 ,$77.22 ,$166.62 ,$74.25 ,$237.60 ,$237.60 ,$77.22 ,$34.40 ,$124.15 ,$201.96 ,$287.90 ,$77.22 ,$297.00 ,$65.34 ,$222.75 ,$210.87 ,$210.87 ,$65.34 ,$210.87 ,$249.48 ,$249.48 ,$249.48 , N/A ,$267.30 ,$163.35 ,$252.45 ,$65.34 ,$297.00 ,$178.20 ,$65.34 ,$123.55 ,$411.82 ,$374.38 ,$77.22 ,$252.45 ,$218.80 ,$237.60 ,$83.16 ,$267.30 ,$297.00 ,$65.34 ,$249.48 ,$225.00 ,$225.00 ,$77.22 ,$193.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$69.00 ,$44.85 ,$10.03 ,$411.82 ,$37.95 ,$41.40 ,$41.40 ,$17.94 ,$19.32 ,$35.05 ,$17.94 ,$40.57 ,$17.25 ,$55.20 ,$55.20 ,$17.94 ,$10.03 ,$28.84 ,$46.92 ,$63.08 ,$17.94 ,$69.00 ,$15.18 ,$51.75 ,$48.99 ,$48.99 ,$15.18 ,$48.99 ,$57.96 ,$57.96 ,$57.96 , N/A ,$62.10 ,$37.95 ,$58.65 ,$15.18 ,$69.00 ,$41.40 ,$15.18 ,$28.70 ,$411.82 ,$374.38 ,$17.94 ,$58.65 ,$47.94 ,$55.20 ,$19.32 ,$62.10 ,$69.00 ,$15.18 ,$57.96 ,$69.00 ,$69.00 ,$17.94 ,$44.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$69.00 ,$44.85 ,$10.03 ,$411.82 ,$37.95 ,$41.40 ,$41.40 ,$17.94 ,$19.32 ,$35.05 ,$17.94 ,$40.57 ,$17.25 ,$55.20 ,$55.20 ,$17.94 ,$10.03 ,$28.84 ,$46.92 ,$63.08 ,$17.94 ,$69.00 ,$15.18 ,$51.75 ,$48.99 ,$48.99 ,$15.18 ,$48.99 ,$57.96 ,$57.96 ,$57.96 , N/A ,$62.10 ,$37.95 ,$58.65 ,$15.18 ,$69.00 ,$41.40 ,$15.18 ,$28.70 ,$411.82 ,$374.38 ,$17.94 ,$58.65 ,$47.94 ,$55.20 ,$19.32 ,$62.10 ,$69.00 ,$15.18 ,$57.96 ,$69.00 ,$69.00 ,$17.94 ,$44.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$100.00 ,$65.00 ,$3.63 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$12.64 ,$41.80 ,$68.00 ,$86.43 ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$3.99 ,$3.63 ,$26.00 ,$85.00 ,$65.68 ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$100.00 ,$100.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000073,94660,HC VENT NONINVAS NEON SUBQ DAY,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000077,94762,HC PULSE OX PER DAY,410,1 ,$248.00 ,$161.20 ,$25.68 ,$356.48 ,$136.40 ,$148.80 ,$148.80 ,$64.48 ,$69.44 ,$125.98 ,$64.48 ,$145.82 ,$62.00 ,$198.40 ,$198.40 ,$64.48 ,$25.68 ,$103.66 ,$168.64 ,$356.48 ,$64.48 ,$248.00 ,$54.56 ,$186.00 ,$176.08 ,$176.08 ,$54.56 ,$176.08 ,$208.32 ,$208.32 ,$208.32 , N/A ,$223.20 ,$136.40 ,$210.80 ,$54.56 ,$248.00 ,$148.80 ,$54.56 ,$103.17 ,$126.97 ,$115.43 ,$64.48 ,$210.80 ,$270.92 ,$198.40 ,$69.44 ,$223.20 ,$248.00 ,$54.56 ,$208.32 ,$225.00 ,$225.00 ,$64.48 ,$161.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000082,94640,HC EZPAP TREATMENT SUBSQ,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$501.00 ,$325.65 ,$39.45 ,"$1,243.43 ",$275.55 ,$300.60 ,$300.60 ,$130.26 ,$140.28 ,$254.51 ,$130.26 ,$294.59 ,$125.25 ,$400.80 ,$400.80 ,$130.26 ,$39.45 ,$209.42 ,$340.68 ,$479.93 ,$130.26 ,$501.00 ,$110.22 ,$375.75 ,$355.71 ,$355.71 ,$110.22 ,$355.71 ,$420.84 ,$420.84 ,$420.84 , N/A ,$450.90 ,$275.55 ,$425.85 ,$110.22 ,$501.00 ,$300.60 ,$110.22 ,$208.42 ,"$1,243.43 ","$1,130.39 ",$130.26 ,$425.85 ,$364.74 ,$400.80 ,$140.28 ,$450.90 ,$501.00 ,$110.22 ,$420.84 ,$225.00 ,$225.00 ,$130.26 ,$325.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41000092,94640,HC AEROSOL INHALATION SUBSQ,410,1 ,$350.00 ,$227.50 ,$11.01 ,$479.93 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$177.80 ,$91.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$11.01 ,$146.30 ,$238.00 ,$479.93 ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 ,$411.82 ,$374.38 ,$91.00 ,$297.50 ,$364.74 ,$280.00 ,$98.00 ,$315.00 ,$350.00 ,$77.00 ,$294.00 ,$225.00 ,$225.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,$880.00 ,$572.00 ,$112.82 ,$880.00 ,$484.00 ,$528.00 ,$528.00 ,$228.80 ,$246.40 ,$447.04 ,$228.80 ,$517.44 ,$220.00 ,$704.00 ,$704.00 ,$228.80 ,$112.82 ,$367.84 ,$598.40 , N/A ,$228.80 ,$880.00 ,$193.60 ,$660.00 ,$624.80 ,$624.80 ,$193.60 ,$624.80 ,$739.20 ,$739.20 ,$739.20 , N/A ,$792.00 ,$484.00 ,$748.00 ,$193.60 ,$880.00 ,$528.00 ,$193.60 ,$366.08 , N/A , N/A ,$228.80 ,$748.00 , N/A ,$704.00 ,$246.40 ,$792.00 ,$880.00 ,$193.60 ,$739.20 ,$500.00 ,$500.00 ,$228.80 ,$572.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,41300002,G0277,HC HYPERBARIC O2 PER 30 MIN,413,1 ,$220.00 ,$143.00 ,$48.40 ,$841.29 ,$121.00 ,$132.00 ,$132.00 ,$57.20 ,$61.60 ,$107.14 ,$57.20 ,$123.42 ,$55.00 ,$176.00 ,$176.00 ,$57.20 ,$170.66 ,$91.96 ,$149.60 ,$304.50 ,$57.20 ,$220.00 ,$48.40 ,$165.00 ,$156.20 ,$156.20 ,$48.40 ,$156.20 ,$184.80 ,$184.80 ,$184.80 , N/A ,$198.00 ,$121.00 ,$187.00 ,$48.40 ,$220.00 ,$132.00 ,$48.40 ,$91.52 ,$841.29 ,$764.81 ,$57.20 ,$187.00 ,$231.42 ,$176.00 ,$61.60 ,$198.00 ,$220.00 ,$48.40 ,$184.80 ,$220.00 ,$220.00 ,$57.20 ,$143.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000006,G0283,HC APPL NEUROSTIMULATOR TRANSCUT,420,1 ,$39.00 ,$25.35 ,$8.58 ,$46.88 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$12.35 ,$16.30 ,$39.00 ,$30.88 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$46.88 ,$42.62 ,$10.14 ,$33.15 ,$23.47 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$39.00 ,$39.00 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$117.00 ,$76.05 ,$14.77 ,$573.78 ,$64.35 ,$70.20 ,$70.20 ,$30.42 ,$32.76 ,$59.44 ,$30.42 ,$68.80 ,$29.25 ,$93.60 ,$93.60 ,$30.42 ,$14.77 ,$48.91 ,$117.00 ,$36.93 ,$30.42 ,$117.00 ,$25.74 ,$87.75 ,$83.07 ,$83.07 ,$25.74 ,$83.07 ,$98.28 ,$98.28 ,$98.28 , N/A ,$105.30 ,$64.35 ,$99.45 ,$25.74 ,$117.00 ,$70.20 ,$25.74 ,$48.67 ,$573.78 ,$521.62 ,$30.42 ,$99.45 ,$28.06 ,$93.60 ,$32.76 ,$105.30 ,$117.00 ,$25.74 ,$98.28 ,$117.00 ,$117.00 ,$30.42 ,$76.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$172.00 ,$111.80 ,$19.68 ,$573.78 ,$94.60 ,$103.20 ,$103.20 ,$44.72 ,$48.16 ,$87.38 ,$44.72 ,$101.14 ,$43.00 ,$137.60 ,$137.60 ,$44.72 ,$19.68 ,$71.90 ,$127.00 ,$49.20 ,$44.72 ,$172.00 ,$37.84 ,$129.00 ,$122.12 ,$122.12 ,$37.84 ,$122.12 ,$144.48 ,$144.48 ,$144.48 , N/A ,$154.80 ,$94.60 ,$146.20 ,$37.84 ,$172.00 ,$103.20 ,$37.84 ,$71.55 ,$573.78 ,$521.62 ,$44.72 ,$146.20 ,$37.39 ,$137.60 ,$48.16 ,$154.80 ,$172.00 ,$37.84 ,$144.48 ,$172.00 ,$172.00 ,$44.72 ,$111.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$210.00 ,$136.50 ,$14.36 ,$573.78 ,$115.50 ,$126.00 ,$126.00 ,$54.60 ,$58.80 ,$106.68 ,$54.60 ,$123.48 ,$52.50 ,$168.00 ,$168.00 ,$54.60 ,$14.36 ,$87.78 ,$127.00 ,$35.90 ,$54.60 ,$210.00 ,$46.20 ,$157.50 ,$149.10 ,$149.10 ,$46.20 ,$149.10 ,$176.40 ,$176.40 ,$176.40 , N/A ,$189.00 ,$115.50 ,$178.50 ,$46.20 ,$210.00 ,$126.00 ,$46.20 ,$87.36 ,$573.78 ,$521.62 ,$54.60 ,$178.50 ,$27.28 ,$168.00 ,$58.80 ,$189.00 ,$210.00 ,$46.20 ,$176.40 ,$210.00 ,$210.00 ,$54.60 ,$136.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$88.00 ,$57.20 ,$19.36 ,$573.78 ,$48.40 ,$52.80 ,$52.80 ,$22.88 ,$24.64 ,$44.70 ,$22.88 ,$51.74 ,$22.00 ,$70.40 ,$70.40 ,$22.88 ,$29.76 ,$36.78 ,$88.00 ,$74.40 ,$22.88 ,$88.00 ,$19.36 ,$66.00 ,$62.48 ,$62.48 ,$19.36 ,$62.48 ,$73.92 ,$73.92 ,$73.92 , N/A ,$79.20 ,$48.40 ,$74.80 ,$19.36 ,$88.00 ,$52.80 ,$19.36 ,$36.61 ,$573.78 ,$521.62 ,$22.88 ,$74.80 ,$56.54 ,$70.40 ,$24.64 ,$79.20 ,$88.00 ,$19.36 ,$73.92 ,$88.00 ,$88.00 ,$22.88 ,$57.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$185.00 ,$120.25 ,$34.43 ,$573.78 ,$101.75 ,$111.00 ,$111.00 ,$48.10 ,$51.80 ,$93.98 ,$48.10 ,$108.78 ,$46.25 ,$148.00 ,$148.00 ,$48.10 ,$34.43 ,$77.33 ,$127.00 ,$86.08 ,$48.10 ,$185.00 ,$40.70 ,$138.75 ,$131.35 ,$131.35 ,$40.70 ,$131.35 ,$155.40 ,$155.40 ,$155.40 , N/A ,$166.50 ,$101.75 ,$157.25 ,$40.70 ,$185.00 ,$111.00 ,$40.70 ,$76.96 ,$573.78 ,$521.62 ,$48.10 ,$157.25 ,$65.42 ,$148.00 ,$51.80 ,$166.50 ,$185.00 ,$40.70 ,$155.40 ,$185.00 ,$185.00 ,$48.10 ,$120.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$106.00 ,$68.90 ,$23.32 ,$573.78 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$29.76 ,$44.31 ,$106.00 ,$74.40 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$573.78 ,$521.62 ,$27.56 ,$90.10 ,$56.54 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$106.00 ,$106.00 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$108.00 ,$70.20 ,$23.76 ,$573.78 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$54.86 ,$28.08 ,$63.50 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$29.64 ,$45.14 ,$108.00 ,$74.10 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$573.78 ,$521.62 ,$28.08 ,$91.80 ,$56.32 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$108.00 ,$108.00 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$184.00 ,$119.60 ,$27.44 ,$573.78 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$27.44 ,$76.91 ,$127.00 ,$68.60 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$573.78 ,$521.62 ,$47.84 ,$156.40 ,$52.14 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$184.00 ,$184.00 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$82.00 ,$53.30 ,$18.04 ,$573.78 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$37.24 ,$34.28 ,$82.00 ,$93.10 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$573.78 ,$521.62 ,$21.32 ,$69.70 ,$70.76 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$369.00 ,$239.85 ,$26.87 ,$369.00 ,$202.95 ,$221.40 ,$221.40 ,$95.94 ,$103.32 ,$124.15 ,$95.94 ,$124.15 ,$92.25 ,$295.20 ,$295.20 ,$95.94 ,$26.87 ,$154.24 ,$127.00 , N/A ,$95.94 ,$369.00 ,$81.18 ,$276.75 ,$261.99 ,$261.99 ,$81.18 ,$261.99 ,$309.96 ,$309.96 ,$309.96 , N/A ,$332.10 ,$202.95 ,$313.65 ,$81.18 ,$369.00 ,$221.40 ,$81.18 ,$153.50 ,$202.75 ,$184.32 ,$95.94 ,$313.65 , N/A ,$295.20 ,$103.32 ,$332.10 ,$369.00 ,$81.18 ,$309.96 ,$235.00 ,$235.00 ,$95.94 ,$239.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$246.00 ,$159.90 ,$54.12 ,$488.43 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$124.97 ,$63.96 ,$144.65 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$159.90 ,$102.83 ,$127.00 , N/A ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$246.00 ,$147.60 ,$54.12 ,$102.34 ,$488.43 ,$444.03 ,$63.96 ,$209.10 , N/A ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$235.00 ,$235.00 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$268.00 ,$174.20 ,$25.40 ,$488.43 ,$147.40 ,$160.80 ,$160.80 ,$69.68 ,$75.04 ,$136.14 ,$69.68 ,$157.58 ,$67.00 ,$214.40 ,$214.40 ,$69.68 ,$25.40 ,$112.02 ,$127.00 ,$105.88 ,$69.68 ,$268.00 ,$58.96 ,$201.00 ,$190.28 ,$190.28 ,$58.96 ,$190.28 ,$225.12 ,$225.12 ,$225.12 , N/A ,$241.20 ,$147.40 ,$227.80 ,$58.96 ,$268.00 ,$160.80 ,$58.96 ,$111.49 ,$488.43 ,$444.03 ,$69.68 ,$227.80 ,$80.47 ,$214.40 ,$75.04 ,$241.20 ,$268.00 ,$58.96 ,$225.12 ,$235.00 ,$235.00 ,$69.68 ,$174.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$405.00 ,$263.25 ,$27.78 ,$488.43 ,$222.75 ,$243.00 ,$243.00 ,$105.30 ,$113.40 ,$205.74 ,$105.30 ,$238.14 ,$101.25 ,$324.00 ,$324.00 ,$105.30 ,$27.78 ,$169.29 ,$127.00 ,$124.88 ,$105.30 ,$405.00 ,$89.10 ,$303.75 ,$287.55 ,$287.55 ,$89.10 ,$287.55 ,$340.20 ,$340.20 ,$340.20 , N/A ,$364.50 ,$222.75 ,$344.25 ,$89.10 ,$405.00 ,$243.00 ,$89.10 ,$168.48 ,$488.43 ,$444.03 ,$105.30 ,$344.25 ,$94.91 ,$324.00 ,$113.40 ,$364.50 ,$405.00 ,$89.10 ,$340.20 ,$235.00 ,$235.00 ,$105.30 ,$263.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$82.00 ,$53.30 ,$18.04 ,$573.78 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$41.60 ,$34.28 ,$82.00 ,$104.00 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$573.78 ,$521.62 ,$21.32 ,$69.70 ,$79.04 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000095,97763,HC ORTHTC/PRSTHTC CHECK EA 15MIN,420,1 ,$82.00 ,$53.30 ,$18.04 ,$573.78 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$53.62 ,$34.28 ,$82.00 ,$134.05 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$573.78 ,$521.62 ,$21.32 ,$69.70 ,$101.88 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000160,97113,HC THERAPEUTIC ACT W/AQUA,420,1 ,$210.00 ,$136.50 ,$36.99 ,$573.78 ,$115.50 ,$126.00 ,$126.00 ,$54.60 ,$58.80 ,$106.68 ,$54.60 ,$123.48 ,$52.50 ,$168.00 ,$168.00 ,$54.60 ,$36.99 ,$87.78 ,$127.00 ,$92.48 ,$54.60 ,$210.00 ,$46.20 ,$157.50 ,$149.10 ,$149.10 ,$46.20 ,$149.10 ,$176.40 ,$176.40 ,$176.40 , N/A ,$189.00 ,$115.50 ,$178.50 ,$46.20 ,$210.00 ,$126.00 ,$46.20 ,$87.36 ,$573.78 ,$521.62 ,$54.60 ,$178.50 ,$70.28 ,$168.00 ,$58.80 ,$189.00 ,$210.00 ,$46.20 ,$176.40 ,$210.00 ,$210.00 ,$54.60 ,$136.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$39.00 ,$25.35 ,$8.58 ,$46.88 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$12.35 ,$16.30 ,$39.00 ,$30.88 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$46.88 ,$42.62 ,$10.14 ,$33.15 ,$23.47 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$39.00 ,$39.00 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$39.00 ,$25.35 ,$8.58 ,$46.88 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$12.35 ,$16.30 ,$39.00 ,$30.88 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$46.88 ,$42.62 ,$10.14 ,$33.15 ,$23.47 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$39.00 ,$39.00 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$39.00 ,$25.35 ,$8.58 ,$46.88 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$12.35 ,$16.30 ,$39.00 ,$30.88 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$46.88 ,$42.62 ,$10.14 ,$33.15 ,$23.47 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$39.00 ,$39.00 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$39.00 ,$25.35 ,$8.58 ,$46.88 ,$21.45 ,$23.40 ,$23.40 ,$10.14 ,$10.92 ,$19.81 ,$10.14 ,$22.93 ,$9.75 ,$31.20 ,$31.20 ,$10.14 ,$12.35 ,$16.30 ,$39.00 ,$30.88 ,$10.14 ,$39.00 ,$8.58 ,$29.25 ,$27.69 ,$27.69 ,$8.58 ,$27.69 ,$32.76 ,$32.76 ,$32.76 , N/A ,$35.10 ,$21.45 ,$33.15 ,$8.58 ,$39.00 ,$23.40 ,$8.58 ,$16.22 ,$46.88 ,$42.62 ,$10.14 ,$33.15 ,$23.47 ,$31.20 ,$10.92 ,$35.10 ,$39.00 ,$8.58 ,$32.76 ,$39.00 ,$39.00 ,$10.14 ,$25.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$82.00 ,$53.30 ,$12.02 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$12.02 ,$34.28 ,$82.00 ,$30.05 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$22.84 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$82.00 ,$53.30 ,$12.02 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$12.02 ,$34.28 ,$82.00 ,$30.05 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$22.84 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000212,97016,HC APPLY VASOPNEUMATIC DEVICE 45MIN,420,1 ,$82.00 ,$53.30 ,$12.02 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$12.02 ,$34.28 ,$82.00 ,$30.05 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$22.84 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000213,97016,HC APPLY VASOPNEUMATIC DEVICE 60MIN,420,1 ,$82.00 ,$53.30 ,$12.02 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$12.02 ,$34.28 ,$82.00 ,$30.05 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$22.84 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000214,97012,HC TRACTION MECHANICAL APPL 15 MIN,420,1 ,$184.00 ,$119.60 ,$14.44 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$14.44 ,$76.91 ,$127.00 ,$36.10 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$46.88 ,$42.62 ,$47.84 ,$156.40 ,$27.44 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$184.00 ,$184.00 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000215,97012,HC TRACTION MECHANICAL APPL 30 MIN,420,1 ,$184.00 ,$119.60 ,$14.44 ,$184.00 ,$101.20 ,$110.40 ,$110.40 ,$47.84 ,$51.52 ,$93.47 ,$47.84 ,$108.19 ,$46.00 ,$147.20 ,$147.20 ,$47.84 ,$14.44 ,$76.91 ,$127.00 ,$36.10 ,$47.84 ,$184.00 ,$40.48 ,$138.00 ,$130.64 ,$130.64 ,$40.48 ,$130.64 ,$154.56 ,$154.56 ,$154.56 , N/A ,$165.60 ,$101.20 ,$156.40 ,$40.48 ,$184.00 ,$110.40 ,$40.48 ,$76.54 ,$46.88 ,$42.62 ,$47.84 ,$156.40 ,$27.44 ,$147.20 ,$51.52 ,$165.60 ,$184.00 ,$40.48 ,$154.56 ,$184.00 ,$184.00 ,$47.84 ,$119.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000230,95851,HC RANGE OF MOTION TESTING EXT/TRUNK LOW COMLXTY 15MIN,420,1 ,$66.00 ,$42.90 ,$8.07 ,$66.00 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$33.53 ,$17.16 ,$38.81 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$8.07 ,$27.59 ,$66.00 ,$51.15 ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.46 , N/A , N/A ,$17.16 ,$56.10 ,$38.87 ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 ,$66.00 ,$66.00 ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000267,N/A,HC THERAPY ASSESSMENT - SELF PAY,420,1 ,$125.00 ,$81.25 ,$27.50 ,$125.00 ,$68.75 ,$75.00 ,$75.00 ,$32.50 ,$35.00 ,$60.88 ,$32.50 ,$70.13 ,$31.25 ,$100.00 ,$100.00 ,$32.50 ,$81.25 ,$52.25 ,$125.00 , N/A ,$32.50 ,$125.00 ,$27.50 ,$93.75 ,$88.75 ,$88.75 ,$27.50 ,$88.75 ,$105.00 ,$105.00 ,$105.00 , N/A ,$112.50 ,$68.75 ,$106.25 ,$27.50 ,$125.00 ,$75.00 ,$27.50 ,$52.00 , N/A , N/A ,$32.50 ,$106.25 , N/A ,$100.00 ,$35.00 ,$112.50 ,$125.00 ,$27.50 ,$105.00 ,$125.00 ,$125.00 ,$32.50 ,$81.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000268,N/A,HC THERAPY TREATMENT 30MIN - SELF PAY,420,1 ,$75.00 ,$48.75 ,$16.50 ,$75.00 ,$41.25 ,$45.00 ,$45.00 ,$19.50 ,$21.00 ,$36.53 ,$19.50 ,$42.08 ,$18.75 ,$60.00 ,$60.00 ,$19.50 ,$48.75 ,$31.35 ,$75.00 , N/A ,$19.50 ,$75.00 ,$16.50 ,$56.25 ,$53.25 ,$53.25 ,$16.50 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$41.25 ,$63.75 ,$16.50 ,$75.00 ,$45.00 ,$16.50 ,$31.20 , N/A , N/A ,$19.50 ,$63.75 , N/A ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$16.50 ,$63.00 ,$75.00 ,$75.00 ,$19.50 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000269,N/A,HC THERAPY GROUP - SELF PAY,420,1 ,$30.00 ,$19.50 ,$6.60 ,$30.00 ,$16.50 ,$18.00 ,$18.00 ,$7.80 ,$8.40 ,$14.61 ,$7.80 ,$16.83 ,$7.50 ,$24.00 ,$24.00 ,$7.80 ,$19.50 ,$12.54 ,$30.00 , N/A ,$7.80 ,$30.00 ,$6.60 ,$22.50 ,$21.30 ,$21.30 ,$6.60 ,$21.30 ,$25.20 ,$25.20 ,$25.20 , N/A ,$27.00 ,$16.50 ,$25.50 ,$6.60 ,$30.00 ,$18.00 ,$6.60 ,$12.48 , N/A , N/A ,$7.80 ,$25.50 , N/A ,$24.00 ,$8.40 ,$27.00 ,$30.00 ,$6.60 ,$25.20 ,$30.00 ,$30.00 ,$7.80 ,$19.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000270,20560,HC NEEDLE INSERTION W/O INJ 1-2 MUSC SELF PAY,420,1 ,$30.00 ,$19.50 ,$6.60 ,$63.08 ,$16.50 ,$18.00 ,$18.00 ,$7.80 ,$8.40 ,$14.61 ,$7.80 ,$16.83 ,$7.50 ,$24.00 ,$24.00 ,$7.80 ,$15.48 ,$12.54 ,$30.00 ,$63.08 ,$7.80 ,$30.00 ,$6.60 ,$22.50 ,$21.30 ,$21.30 ,$6.60 ,$21.30 ,$25.20 ,$25.20 ,$25.20 , N/A ,$27.00 ,$16.50 ,$25.50 ,$6.60 ,$30.00 ,$18.00 ,$6.60 ,$12.48 ,$46.88 ,$42.62 ,$7.80 ,$25.50 ,$47.94 ,$24.00 ,$8.40 ,$27.00 ,$30.00 ,$6.60 ,$25.20 ,$30.00 ,$30.00 ,$7.80 ,$19.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42000271,20561,HC NEEDLE INSERTION W/O INJ 3+ MUSC SELF PAY,420,1 ,$40.00 ,$26.00 ,$8.80 ,$63.08 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$19.48 ,$10.40 ,$22.44 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$22.65 ,$16.72 ,$40.00 ,$63.08 ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 ,$46.88 ,$42.62 ,$10.40 ,$34.00 ,$47.94 ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$40.00 ,$40.00 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$287.00 ,$186.55 ,$63.14 ,$573.78 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.33 ,$119.97 ,$127.00 ,$253.33 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$573.78 ,$521.62 ,$74.62 ,$243.95 ,$192.53 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$287.00 ,$186.55 ,$63.14 ,$573.78 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.33 ,$119.97 ,$127.00 ,$253.33 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$573.78 ,$521.62 ,$74.62 ,$243.95 ,$192.53 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$287.00 ,$186.55 ,$63.14 ,$573.78 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.33 ,$119.97 ,$127.00 ,$253.33 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$573.78 ,$521.62 ,$74.62 ,$243.95 ,$192.53 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400047,97161,HC PT EVAL LOW COMPLEXITY 75MIN,424,1 ,$287.00 ,$186.55 ,$63.14 ,$573.78 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.33 ,$119.97 ,$127.00 ,$253.33 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$573.78 ,$521.62 ,$74.62 ,$243.95 ,$192.53 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$293.00 ,$190.45 ,$64.46 ,$573.78 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.33 ,$122.47 ,$127.00 ,$253.33 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$573.78 ,$521.62 ,$76.18 ,$249.05 ,$192.53 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$293.00 ,$190.45 ,$64.46 ,$573.78 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.33 ,$122.47 ,$127.00 ,$253.33 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$573.78 ,$521.62 ,$76.18 ,$249.05 ,$192.53 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$293.00 ,$190.45 ,$64.46 ,$573.78 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.33 ,$122.47 ,$127.00 ,$253.33 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$573.78 ,$521.62 ,$76.18 ,$249.05 ,$192.53 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400059,97162,HC PT EVAL MOD COMPLEXITY 75MIN,424,1 ,$293.00 ,$190.45 ,$64.46 ,$573.78 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.33 ,$122.47 ,$127.00 ,$253.33 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$573.78 ,$521.62 ,$76.18 ,$249.05 ,$192.53 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400069,97163,HC PT EVAL HIGH COMPLEXITY 45MIN,424,1 ,$306.00 ,$198.90 ,$67.32 ,$573.78 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.33 ,$127.91 ,$127.00 ,$253.33 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$573.78 ,$521.62 ,$79.56 ,$260.10 ,$192.53 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400070,97163,HC PT EVAL HIGH COMPLEXITY 60MIN,424,1 ,$306.00 ,$198.90 ,$67.32 ,$573.78 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.33 ,$127.91 ,$127.00 ,$253.33 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$573.78 ,$521.62 ,$79.56 ,$260.10 ,$192.53 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400071,97163,HC PT EVAL HIGH COMPLEXITY 75MIN,424,1 ,$306.00 ,$198.90 ,$67.32 ,$573.78 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.33 ,$127.91 ,$127.00 ,$253.33 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$573.78 ,$521.62 ,$79.56 ,$260.10 ,$192.53 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$163.00 ,$105.95 ,$35.86 ,$573.78 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.42 ,$68.13 ,$127.00 ,$173.55 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$573.78 ,$521.62 ,$42.38 ,$138.55 ,$131.90 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$163.00 ,$105.95 ,$35.86 ,$573.78 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.42 ,$68.13 ,$127.00 ,$173.55 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$573.78 ,$521.62 ,$42.38 ,$138.55 ,$131.90 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$163.00 ,$105.95 ,$35.86 ,$573.78 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.42 ,$68.13 ,$127.00 ,$173.55 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$573.78 ,$521.62 ,$42.38 ,$138.55 ,$131.90 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000015,97533,HC PERCEPTUAL ACTIVITY EA 15 MIN,430,1 ,$82.00 ,$53.30 ,$18.04 ,$912.76 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$63.73 ,$34.28 ,$82.00 ,$159.33 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$912.76 ,$829.78 ,$21.32 ,$69.70 ,$121.09 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$82.00 ,$53.30 ,$18.04 ,$912.76 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$41.66 ,$21.32 ,$48.22 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$33.02 ,$34.28 ,$82.00 ,$82.55 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$912.76 ,$829.78 ,$21.32 ,$69.70 ,$62.74 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$108.00 ,$70.20 ,$23.76 ,$573.78 ,$59.40 ,$64.80 ,$64.80 ,$28.08 ,$30.24 ,$54.86 ,$28.08 ,$63.50 ,$27.00 ,$86.40 ,$86.40 ,$28.08 ,$48.44 ,$45.14 ,$108.00 ,$121.10 ,$28.08 ,$108.00 ,$23.76 ,$81.00 ,$76.68 ,$76.68 ,$23.76 ,$76.68 ,$90.72 ,$90.72 ,$90.72 , N/A ,$97.20 ,$59.40 ,$91.80 ,$23.76 ,$108.00 ,$64.80 ,$23.76 ,$44.93 ,$573.78 ,$521.62 ,$28.08 ,$91.80 ,$92.04 ,$86.40 ,$30.24 ,$97.20 ,$108.00 ,$23.76 ,$90.72 ,$108.00 ,$108.00 ,$28.08 ,$70.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$82.00 ,$53.30 ,$5.91 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$5.91 ,$34.28 ,$82.00 ,$14.78 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$11.23 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$82.00 ,$53.30 ,$5.91 ,$82.00 ,$45.10 ,$49.20 ,$49.20 ,$21.32 ,$22.96 ,$39.93 ,$21.32 ,$46.00 ,$20.50 ,$65.60 ,$65.60 ,$21.32 ,$5.91 ,$34.28 ,$82.00 ,$14.78 ,$21.32 ,$82.00 ,$18.04 ,$61.50 ,$58.22 ,$58.22 ,$18.04 ,$58.22 ,$68.88 ,$68.88 ,$68.88 , N/A ,$73.80 ,$45.10 ,$69.70 ,$18.04 ,$82.00 ,$49.20 ,$18.04 ,$34.11 ,$46.88 ,$42.62 ,$21.32 ,$69.70 ,$11.23 ,$65.60 ,$22.96 ,$73.80 ,$82.00 ,$18.04 ,$68.88 ,$82.00 ,$82.00 ,$21.32 ,$53.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000049,95852,HC RANGE OF MOTION TESTING HAND,430,1 ,$66.00 ,$42.90 ,$5.69 ,$66.00 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$33.53 ,$17.16 ,$38.81 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$5.69 ,$27.59 ,$66.00 ,$42.75 ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.46 , N/A , N/A ,$17.16 ,$56.10 ,$32.49 ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 ,$66.00 ,$66.00 ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000060,N/A,HC REHAB THERAPY LEE SLVRMN VOICE TX MONTHLY,430,1 ,$46.00 ,$29.90 ,$10.12 ,$46.00 ,$25.30 ,$27.60 ,$27.60 ,$11.96 ,$12.88 ,$22.40 ,$11.96 ,$25.81 ,$11.50 ,$36.80 ,$36.80 ,$11.96 ,$29.90 ,$19.23 ,$46.00 , N/A ,$11.96 ,$46.00 ,$10.12 ,$34.50 ,$32.66 ,$32.66 ,$10.12 ,$32.66 ,$38.64 ,$38.64 ,$38.64 , N/A ,$41.40 ,$25.30 ,$39.10 ,$10.12 ,$46.00 ,$27.60 ,$10.12 ,$19.14 , N/A , N/A ,$11.96 ,$39.10 , N/A ,$36.80 ,$12.88 ,$41.40 ,$46.00 ,$10.12 ,$38.64 ,$46.00 ,$46.00 ,$11.96 ,$29.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$86.00 ,$55.90 ,$18.92 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$41.88 ,$22.36 ,$48.25 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$23.34 ,$35.95 ,$86.00 ,$58.35 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$46.88 ,$42.62 ,$22.36 ,$73.10 ,$44.35 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$86.00 ,$86.00 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$86.00 ,$55.90 ,$18.92 ,$86.00 ,$47.30 ,$51.60 ,$51.60 ,$22.36 ,$24.08 ,$41.88 ,$22.36 ,$48.25 ,$21.50 ,$68.80 ,$68.80 ,$22.36 ,$22.32 ,$35.95 ,$86.00 ,$56.63 ,$22.36 ,$86.00 ,$18.92 ,$64.50 ,$61.06 ,$61.06 ,$18.92 ,$61.06 ,$72.24 ,$72.24 ,$72.24 , N/A ,$77.40 ,$47.30 ,$73.10 ,$18.92 ,$86.00 ,$51.60 ,$18.92 ,$35.78 ,$46.88 ,$42.62 ,$22.36 ,$73.10 ,$43.04 ,$68.80 ,$24.08 ,$77.40 ,$86.00 ,$18.92 ,$72.24 ,$86.00 ,$86.00 ,$22.36 ,$55.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$287.00 ,$186.55 ,$63.14 ,$912.76 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.98 ,$119.97 ,$127.00 ,$254.95 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$912.76 ,$829.78 ,$74.62 ,$243.95 ,$193.76 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$287.00 ,$186.55 ,$63.14 ,$912.76 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.98 ,$119.97 ,$127.00 ,$254.95 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$912.76 ,$829.78 ,$74.62 ,$243.95 ,$193.76 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$287.00 ,$186.55 ,$63.14 ,$912.76 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.98 ,$119.97 ,$127.00 ,$254.95 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$912.76 ,$829.78 ,$74.62 ,$243.95 ,$193.76 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400038,97165,HC OT EVAL LOW COMPLEXITY 75MIN,434,1 ,$287.00 ,$186.55 ,$63.14 ,$912.76 ,$157.85 ,$172.20 ,$172.20 ,$74.62 ,$80.36 ,$145.80 ,$74.62 ,$168.76 ,$71.75 ,$229.60 ,$229.60 ,$74.62 ,$101.98 ,$119.97 ,$127.00 ,$254.95 ,$74.62 ,$287.00 ,$63.14 ,$215.25 ,$203.77 ,$203.77 ,$63.14 ,$203.77 ,$241.08 ,$241.08 ,$241.08 , N/A ,$258.30 ,$157.85 ,$243.95 ,$63.14 ,$287.00 ,$172.20 ,$63.14 ,$119.39 ,$912.76 ,$829.78 ,$74.62 ,$243.95 ,$193.76 ,$229.60 ,$80.36 ,$258.30 ,$287.00 ,$63.14 ,$241.08 ,$235.00 ,$235.00 ,$74.62 ,$186.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$293.00 ,$190.45 ,$64.46 ,$912.76 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.98 ,$122.47 ,$127.00 ,$254.95 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$912.76 ,$829.78 ,$76.18 ,$249.05 ,$193.76 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$293.00 ,$190.45 ,$64.46 ,$912.76 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.98 ,$122.47 ,$127.00 ,$254.95 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$912.76 ,$829.78 ,$76.18 ,$249.05 ,$193.76 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$293.00 ,$190.45 ,$64.46 ,$912.76 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.98 ,$122.47 ,$127.00 ,$254.95 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$912.76 ,$829.78 ,$76.18 ,$249.05 ,$193.76 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400050,97166,HC OT EVAL MOD COMPLEXITY 75MIN,434,1 ,$293.00 ,$190.45 ,$64.46 ,$912.76 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$101.98 ,$122.47 ,$127.00 ,$254.95 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 ,$912.76 ,$829.78 ,$76.18 ,$249.05 ,$193.76 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$235.00 ,$235.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400060,97167,HC OT EVAL HIGH COMPLEXITY 45MIN,434,1 ,$306.00 ,$198.90 ,$67.32 ,$912.76 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.98 ,$127.91 ,$127.00 ,$254.95 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$912.76 ,$829.78 ,$79.56 ,$260.10 ,$193.76 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400061,97167,HC OT EVAL HIGH COMPLEXITY 60MIN,434,1 ,$306.00 ,$198.90 ,$67.32 ,$912.76 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.98 ,$127.91 ,$127.00 ,$254.95 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$912.76 ,$829.78 ,$79.56 ,$260.10 ,$193.76 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400062,97167,HC OT EVAL HIGH COMPLEXITY 75MIN,434,1 ,$306.00 ,$198.90 ,$67.32 ,$912.76 ,$168.30 ,$183.60 ,$183.60 ,$79.56 ,$85.68 ,$155.45 ,$79.56 ,$179.93 ,$76.50 ,$244.80 ,$244.80 ,$79.56 ,$101.98 ,$127.91 ,$127.00 ,$254.95 ,$79.56 ,$306.00 ,$67.32 ,$229.50 ,$217.26 ,$217.26 ,$67.32 ,$217.26 ,$257.04 ,$257.04 ,$257.04 , N/A ,$275.40 ,$168.30 ,$260.10 ,$67.32 ,$306.00 ,$183.60 ,$67.32 ,$127.30 ,$912.76 ,$829.78 ,$79.56 ,$260.10 ,$193.76 ,$244.80 ,$85.68 ,$275.40 ,$306.00 ,$67.32 ,$257.04 ,$235.00 ,$235.00 ,$79.56 ,$198.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$163.00 ,$105.95 ,$35.86 ,$912.76 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.75 ,$68.13 ,$127.00 ,$174.38 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$912.76 ,$829.78 ,$42.38 ,$138.55 ,$132.53 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$163.00 ,$105.95 ,$35.86 ,$912.76 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.75 ,$68.13 ,$127.00 ,$174.38 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$912.76 ,$829.78 ,$42.38 ,$138.55 ,$132.53 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$163.00 ,$105.95 ,$35.86 ,$912.76 ,$89.65 ,$97.80 ,$97.80 ,$42.38 ,$45.64 ,$82.80 ,$42.38 ,$95.84 ,$40.75 ,$130.40 ,$130.40 ,$42.38 ,$69.75 ,$68.13 ,$127.00 ,$174.38 ,$42.38 ,$163.00 ,$35.86 ,$122.25 ,$115.73 ,$115.73 ,$35.86 ,$115.73 ,$136.92 ,$136.92 ,$136.92 , N/A ,$146.70 ,$89.65 ,$138.55 ,$35.86 ,$163.00 ,$97.80 ,$35.86 ,$67.81 ,$912.76 ,$829.78 ,$42.38 ,$138.55 ,$132.53 ,$130.40 ,$45.64 ,$146.70 ,$163.00 ,$35.86 ,$136.92 ,$163.00 ,$163.00 ,$42.38 ,$105.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$77.53 ,$78.58 ,$127.00 ,$193.83 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$147.31 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$77.53 ,$78.58 ,$127.00 ,$193.83 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$147.31 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$77.53 ,$78.58 ,$127.00 ,$193.83 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$147.31 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$77.53 ,$78.58 ,$127.00 ,$193.83 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$147.31 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$85.76 ,$78.58 ,$127.00 ,$214.40 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$162.94 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000015,92526,HC DYSPHAGIA TREATMENT 30MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$85.76 ,$78.58 ,$127.00 ,$214.40 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$162.94 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000016,92526,HC DYSPHAGIA TREATMENT 45MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$85.76 ,$78.58 ,$127.00 ,$214.40 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$162.94 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44000017,92526,HC DYSPHAGIA TREATMENT 60MIN,440,1 ,$188.00 ,$122.20 ,$41.36 ,$424.12 ,$103.40 ,$112.80 ,$112.80 ,$48.88 ,$52.64 ,$95.50 ,$48.88 ,$110.54 ,$47.00 ,$150.40 ,$150.40 ,$48.88 ,$85.76 ,$78.58 ,$127.00 ,$214.40 ,$48.88 ,$188.00 ,$41.36 ,$141.00 ,$133.48 ,$133.48 ,$41.36 ,$133.48 ,$157.92 ,$157.92 ,$157.92 , N/A ,$169.20 ,$103.40 ,$159.80 ,$41.36 ,$188.00 ,$112.80 ,$41.36 ,$78.21 ,$424.12 ,$385.56 ,$48.88 ,$159.80 ,$162.94 ,$150.40 ,$52.64 ,$169.20 ,$188.00 ,$41.36 ,$157.92 ,$150.00 ,$150.00 ,$48.88 ,$122.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$71.51 ,$135.43 ,$127.00 ,$216.25 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$164.35 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400018,92610,HC DYSPHAGIA EVALUATION  30MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$71.51 ,$135.43 ,$127.00 ,$216.25 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$164.35 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$71.51 ,$135.43 ,$127.00 ,$216.25 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$164.35 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$71.51 ,$135.43 ,$127.00 ,$216.25 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$164.35 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400033,92611,HC DYSPHAGIA EVAL-VIDEO,444,1 ,$355.00 ,$230.75 ,$78.10 ,$355.00 ,$195.25 ,$213.00 ,$213.00 ,$92.30 ,$99.40 ,$180.34 ,$92.30 ,$208.74 ,$88.75 ,$284.00 ,$284.00 ,$92.30 ,$93.27 ,$148.39 ,$127.00 ,$233.18 ,$92.30 ,$355.00 ,$78.10 ,$266.25 ,$252.05 ,$252.05 ,$78.10 ,$252.05 ,$298.20 ,$298.20 ,$298.20 , N/A ,$319.50 ,$195.25 ,$301.75 ,$78.10 ,$355.00 ,$213.00 ,$78.10 ,$147.68 ,$94.49 ,$85.90 ,$92.30 ,$301.75 ,$177.21 ,$284.00 ,$99.40 ,$319.50 ,$355.00 ,$78.10 ,$298.20 ,$150.00 ,$150.00 ,$92.30 ,$230.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400040,92521,HC EVALUATION OF SPEECH FLUENCY 15 MIN,444,1 ,$323.00 ,$209.95 ,$71.06 ,$424.12 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$164.08 ,$83.98 ,$189.92 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$134.52 ,$135.01 ,$127.00 ,$336.30 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$424.12 ,$385.56 ,$83.98 ,$274.55 ,$255.59 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$150.00 ,$150.00 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$571.95 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$228.78 ,$135.43 ,$127.00 ,$571.95 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$434.68 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400043,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 15MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$111.71 ,$135.43 ,$127.00 ,$279.28 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$212.25 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400052,92521,HC EVALUATION OF SPEECH FLUENCY 30MIN,444,1 ,$323.00 ,$209.95 ,$71.06 ,$424.12 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$164.08 ,$83.98 ,$189.92 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$134.52 ,$135.01 ,$127.00 ,$336.30 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$424.12 ,$385.56 ,$83.98 ,$274.55 ,$255.59 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$150.00 ,$150.00 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400053,92521,HC EVALUATION OF SPEECH FLUENCY 45MIN,444,1 ,$323.00 ,$209.95 ,$71.06 ,$424.12 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$164.08 ,$83.98 ,$189.92 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$134.52 ,$135.01 ,$127.00 ,$336.30 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$424.12 ,$385.56 ,$83.98 ,$274.55 ,$255.59 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$150.00 ,$150.00 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400054,92521,HC EVALUATION OF SPEECH FLUENCY 60MIN,444,1 ,$323.00 ,$209.95 ,$71.06 ,$424.12 ,$177.65 ,$193.80 ,$193.80 ,$83.98 ,$90.44 ,$164.08 ,$83.98 ,$189.92 ,$80.75 ,$258.40 ,$258.40 ,$83.98 ,$134.52 ,$135.01 ,$127.00 ,$336.30 ,$83.98 ,$323.00 ,$71.06 ,$242.25 ,$229.33 ,$229.33 ,$71.06 ,$229.33 ,$271.32 ,$271.32 ,$271.32 , N/A ,$290.70 ,$177.65 ,$274.55 ,$71.06 ,$323.00 ,$193.80 ,$71.06 ,$134.37 ,$424.12 ,$385.56 ,$83.98 ,$274.55 ,$255.59 ,$258.40 ,$90.44 ,$290.70 ,$323.00 ,$71.06 ,$271.32 ,$150.00 ,$150.00 ,$83.98 ,$209.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$571.95 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$228.78 ,$135.43 ,$127.00 ,$571.95 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$434.68 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400059,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 45MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$571.95 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$228.78 ,$135.43 ,$127.00 ,$571.95 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$434.68 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$571.95 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$228.78 ,$135.43 ,$127.00 ,$571.95 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$434.68 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400061,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 30MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$111.71 ,$135.43 ,$127.00 ,$279.28 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$212.25 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400062,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 45MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$111.71 ,$135.43 ,$127.00 ,$279.28 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$212.25 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,44400063,92524,HC BEHAVIORAL QUALITY ANALYSIS VOICE 60MIN,444,1 ,$324.00 ,$210.60 ,$71.28 ,$424.12 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$164.59 ,$84.24 ,$190.51 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$111.71 ,$135.43 ,$127.00 ,$279.28 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 ,$424.12 ,$385.56 ,$84.24 ,$275.40 ,$212.25 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$150.00 ,$150.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$665.00 ,$432.25 ,$146.30 ,$882.50 ,$365.75 ,$399.00 ,$399.00 ,$172.90 ,$186.20 ,$323.86 ,$172.90 ,$373.07 ,$166.25 ,$532.00 ,$532.00 ,$172.90 ,$532.00 ,$277.97 ,$452.20 ,$882.50 ,$172.90 ,$665.00 ,$146.30 ,$498.75 ,$472.15 ,$472.15 ,$146.30 ,$472.15 ,$558.60 ,$558.60 ,$558.60 , N/A ,$598.50 ,$365.75 ,$565.25 ,$146.30 ,$665.00 ,$399.00 ,$146.30 ,$276.64 , N/A , N/A ,$172.90 ,$565.25 ,$670.70 ,$532.00 ,$186.20 ,$598.50 ,$665.00 ,$146.30 ,$558.60 ,$500.00 ,$500.00 ,$172.90 ,$432.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,"$1,661.00 ","$1,079.65 ",$365.42 ,"$1,661.00 ",$913.55 ,$996.60 ,$996.60 ,$431.86 ,$465.08 ,$808.91 ,$431.86 ,$931.82 ,$415.25 ,"$1,328.80 ","$1,328.80 ",$431.86 ,"$1,328.80 ",$694.30 ,"$1,129.48 ","$1,588.85 ",$431.86 ,"$1,661.00 ",$365.42 ,"$1,245.75 ","$1,179.31 ","$1,179.31 ",$365.42 ,"$1,179.31 ","$1,395.24 ","$1,395.24 ","$1,395.24 ", N/A ,"$1,494.90 ",$913.55 ,"$1,411.85 ",$365.42 ,"$1,661.00 ",$996.60 ,$365.42 ,$690.98 , N/A , N/A ,$431.86 ,"$1,411.85 ","$1,207.53 ","$1,328.80 ",$465.08 ,"$1,494.90 ","$1,661.00 ",$365.42 ,"$1,395.24 ",$500.00 ,$500.00 ,$431.86 ,"$1,079.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$1,739.00 ","$1,130.35 ",$382.58 ,"$1,739.00 ",$956.45 ,"$1,043.40 ","$1,043.40 ",$452.14 ,$486.92 ,$846.89 ,$452.14 ,$975.58 ,$434.75 ,"$1,391.20 ","$1,391.20 ",$452.14 ,"$1,391.20 ",$726.90 ,"$1,182.52 ","$1,588.85 ",$452.14 ,"$1,739.00 ",$382.58 ,"$1,304.25 ","$1,234.69 ","$1,234.69 ",$382.58 ,"$1,234.69 ","$1,460.76 ","$1,460.76 ","$1,460.76 ", N/A ,"$1,565.10 ",$956.45 ,"$1,478.15 ",$382.58 ,"$1,739.00 ","$1,043.40 ",$382.58 ,$723.42 , N/A , N/A ,$452.14 ,"$1,478.15 ","$1,207.53 ","$1,391.20 ",$486.92 ,"$1,565.10 ","$1,739.00 ",$382.58 ,"$1,460.76 ",$500.00 ,$500.00 ,$452.14 ,"$1,130.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$258.00 ,$167.70 ,$56.76 ,$882.50 ,$141.90 ,$154.80 ,$154.80 ,$67.08 ,$72.24 ,$125.65 ,$67.08 ,$144.74 ,$64.50 ,$206.40 ,$206.40 ,$67.08 ,$206.40 ,$107.84 ,$175.44 ,$882.50 ,$67.08 ,$258.00 ,$56.76 ,$193.50 ,$183.18 ,$183.18 ,$56.76 ,$183.18 ,$216.72 ,$216.72 ,$216.72 , N/A ,$232.20 ,$141.90 ,$219.30 ,$56.76 ,$258.00 ,$154.80 ,$56.76 ,$107.33 , N/A , N/A ,$67.08 ,$219.30 ,$670.70 ,$206.40 ,$72.24 ,$232.20 ,$258.00 ,$56.76 ,$216.72 ,$258.00 ,$258.00 ,$67.08 ,$167.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$415.00 ,$269.75 ,$91.30 ,$458.50 ,$228.25 ,$249.00 ,$249.00 ,$107.90 ,$116.20 ,$202.11 ,$107.90 ,$232.82 ,$103.75 ,$332.00 ,$332.00 ,$107.90 ,$332.00 ,$173.47 ,$282.20 ,$458.50 ,$107.90 ,$415.00 ,$91.30 ,$311.25 ,$294.65 ,$294.65 ,$91.30 ,$294.65 ,$348.60 ,$348.60 ,$348.60 , N/A ,$373.50 ,$228.25 ,$352.75 ,$91.30 ,$415.00 ,$249.00 ,$91.30 ,$172.64 , N/A , N/A ,$107.90 ,$352.75 ,$348.46 ,$332.00 ,$116.20 ,$373.50 ,$415.00 ,$91.30 ,$348.60 ,$415.00 ,$415.00 ,$107.90 ,$269.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$264.00 ,$171.60 ,$58.08 ,$264.00 ,$145.20 ,$158.40 ,$158.40 ,$68.64 ,$73.92 ,$128.57 ,$68.64 ,$148.10 ,$66.00 ,$211.20 ,$211.20 ,$68.64 ,$211.20 ,$110.35 ,$179.52 , N/A ,$68.64 ,$264.00 ,$58.08 ,$198.00 ,$187.44 ,$187.44 ,$58.08 ,$187.44 ,$221.76 ,$221.76 ,$221.76 , N/A ,$237.60 ,$145.20 ,$224.40 ,$58.08 ,$264.00 ,$158.40 ,$58.08 ,$109.82 , N/A , N/A ,$68.64 ,$224.40 , N/A ,$211.20 ,$73.92 ,$237.60 ,$264.00 ,$58.08 ,$221.76 ,$264.00 ,$264.00 ,$68.64 ,$171.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$87.00 ,$56.55 ,$19.14 ,$287.90 ,$47.85 ,$52.20 ,$52.20 ,$22.62 ,$24.36 ,$42.37 ,$22.62 ,$48.81 ,$21.75 ,$69.60 ,$69.60 ,$22.62 ,$69.60 ,$36.37 ,$59.16 ,$287.90 ,$22.62 ,$87.00 ,$19.14 ,$65.25 ,$61.77 ,$61.77 ,$19.14 ,$61.77 ,$73.08 ,$73.08 ,$73.08 , N/A ,$78.30 ,$47.85 ,$73.95 ,$19.14 ,$87.00 ,$52.20 ,$19.14 ,$36.19 , N/A , N/A ,$22.62 ,$73.95 ,$218.80 ,$69.60 ,$24.36 ,$78.30 ,$87.00 ,$19.14 ,$73.08 ,$87.00 ,$87.00 ,$22.62 ,$56.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000012,11760,HC REPAIR NAIL BED,450,1 ,$244.00 ,$158.60 ,$53.68 ,"$1,337.23 ",$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,"$1,337.23 ",$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,"$1,016.29 ",$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$271.00 ,$176.15 ,$59.62 ,$458.50 ,$149.05 ,$162.60 ,$162.60 ,$70.46 ,$75.88 ,$131.98 ,$70.46 ,$152.03 ,$67.75 ,$216.80 ,$216.80 ,$70.46 ,$216.80 ,$113.28 ,$184.28 ,$458.50 ,$70.46 ,$271.00 ,$59.62 ,$203.25 ,$192.41 ,$192.41 ,$59.62 ,$192.41 ,$227.64 ,$227.64 ,$227.64 , N/A ,$243.90 ,$149.05 ,$230.35 ,$59.62 ,$271.00 ,$162.60 ,$59.62 ,$112.74 , N/A , N/A ,$70.46 ,$230.35 ,$348.46 ,$216.80 ,$75.88 ,$243.90 ,$271.00 ,$59.62 ,$227.64 ,$271.00 ,$271.00 ,$70.46 ,$176.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$298.00 ,$193.70 ,$65.56 ,$458.50 ,$163.90 ,$178.80 ,$178.80 ,$77.48 ,$83.44 ,$145.13 ,$77.48 ,$167.18 ,$74.50 ,$238.40 ,$238.40 ,$77.48 ,$238.40 ,$124.56 ,$202.64 ,$458.50 ,$77.48 ,$298.00 ,$65.56 ,$223.50 ,$211.58 ,$211.58 ,$65.56 ,$211.58 ,$250.32 ,$250.32 ,$250.32 , N/A ,$268.20 ,$163.90 ,$253.30 ,$65.56 ,$298.00 ,$178.80 ,$65.56 ,$123.97 , N/A , N/A ,$77.48 ,$253.30 ,$348.46 ,$238.40 ,$83.44 ,$268.20 ,$298.00 ,$65.56 ,$250.32 ,$298.00 ,$298.00 ,$77.48 ,$193.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$328.00 ,$213.20 ,$72.16 ,$458.50 ,$180.40 ,$196.80 ,$196.80 ,$85.28 ,$91.84 ,$159.74 ,$85.28 ,$184.01 ,$82.00 ,$262.40 ,$262.40 ,$85.28 ,$262.40 ,$137.10 ,$223.04 ,$458.50 ,$85.28 ,$328.00 ,$72.16 ,$246.00 ,$232.88 ,$232.88 ,$72.16 ,$232.88 ,$275.52 ,$275.52 ,$275.52 , N/A ,$295.20 ,$180.40 ,$278.80 ,$72.16 ,$328.00 ,$196.80 ,$72.16 ,$136.45 , N/A , N/A ,$85.28 ,$278.80 ,$348.46 ,$262.40 ,$91.84 ,$295.20 ,$328.00 ,$72.16 ,$275.52 ,$328.00 ,$328.00 ,$85.28 ,$213.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$360.00 ,$234.00 ,$79.20 ,$882.50 ,$198.00 ,$216.00 ,$216.00 ,$93.60 ,$100.80 ,$175.32 ,$93.60 ,$201.96 ,$90.00 ,$288.00 ,$288.00 ,$93.60 ,$288.00 ,$150.48 ,$244.80 ,$882.50 ,$93.60 ,$360.00 ,$79.20 ,$270.00 ,$255.60 ,$255.60 ,$79.20 ,$255.60 ,$302.40 ,$302.40 ,$302.40 , N/A ,$324.00 ,$198.00 ,$306.00 ,$79.20 ,$360.00 ,$216.00 ,$79.20 ,$149.76 , N/A , N/A ,$93.60 ,$306.00 ,$670.70 ,$288.00 ,$100.80 ,$324.00 ,$360.00 ,$79.20 ,$302.40 ,$360.00 ,$360.00 ,$93.60 ,$234.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$396.00 ,$257.40 ,$87.12 ,$882.50 ,$217.80 ,$237.60 ,$237.60 ,$102.96 ,$110.88 ,$192.85 ,$102.96 ,$222.16 ,$99.00 ,$316.80 ,$316.80 ,$102.96 ,$316.80 ,$165.53 ,$269.28 ,$882.50 ,$102.96 ,$396.00 ,$87.12 ,$297.00 ,$281.16 ,$281.16 ,$87.12 ,$281.16 ,$332.64 ,$332.64 ,$332.64 , N/A ,$356.40 ,$217.80 ,$336.60 ,$87.12 ,$396.00 ,$237.60 ,$87.12 ,$164.74 , N/A , N/A ,$102.96 ,$336.60 ,$670.70 ,$316.80 ,$110.88 ,$356.40 ,$396.00 ,$87.12 ,$332.64 ,$396.00 ,$396.00 ,$102.96 ,$257.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,$436.00 ,$283.40 ,$95.92 ,$458.50 ,$239.80 ,$261.60 ,$261.60 ,$113.36 ,$122.08 ,$212.33 ,$113.36 ,$244.60 ,$109.00 ,$348.80 ,$348.80 ,$113.36 ,$348.80 ,$182.25 ,$296.48 ,$458.50 ,$113.36 ,$436.00 ,$95.92 ,$327.00 ,$309.56 ,$309.56 ,$95.92 ,$309.56 ,$366.24 ,$366.24 ,$366.24 , N/A ,$392.40 ,$239.80 ,$370.60 ,$95.92 ,$436.00 ,$261.60 ,$95.92 ,$181.38 , N/A , N/A ,$113.36 ,$370.60 ,$348.46 ,$348.80 ,$122.08 ,$392.40 ,$436.00 ,$95.92 ,$366.24 ,$436.00 ,$436.00 ,$113.36 ,$283.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$269.00 ,$174.85 ,$59.18 ,$458.50 ,$147.95 ,$161.40 ,$161.40 ,$69.94 ,$75.32 ,$131.00 ,$69.94 ,$150.91 ,$67.25 ,$215.20 ,$215.20 ,$69.94 ,$215.20 ,$112.44 ,$182.92 ,$458.50 ,$69.94 ,$269.00 ,$59.18 ,$201.75 ,$190.99 ,$190.99 ,$59.18 ,$190.99 ,$225.96 ,$225.96 ,$225.96 , N/A ,$242.10 ,$147.95 ,$228.65 ,$59.18 ,$269.00 ,$161.40 ,$59.18 ,$111.90 , N/A , N/A ,$69.94 ,$228.65 ,$348.46 ,$215.20 ,$75.32 ,$242.10 ,$269.00 ,$59.18 ,$225.96 ,$269.00 ,$269.00 ,$69.94 ,$174.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$295.00 ,$191.75 ,$64.90 ,$458.50 ,$162.25 ,$177.00 ,$177.00 ,$76.70 ,$82.60 ,$143.67 ,$76.70 ,$165.50 ,$73.75 ,$236.00 ,$236.00 ,$76.70 ,$236.00 ,$123.31 ,$200.60 ,$458.50 ,$76.70 ,$295.00 ,$64.90 ,$221.25 ,$209.45 ,$209.45 ,$64.90 ,$209.45 ,$247.80 ,$247.80 ,$247.80 , N/A ,$265.50 ,$162.25 ,$250.75 ,$64.90 ,$295.00 ,$177.00 ,$64.90 ,$122.72 , N/A , N/A ,$76.70 ,$250.75 ,$348.46 ,$236.00 ,$82.60 ,$265.50 ,$295.00 ,$64.90 ,$247.80 ,$295.00 ,$295.00 ,$76.70 ,$191.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$325.00 ,$211.25 ,$71.50 ,$458.50 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$158.28 ,$84.50 ,$182.33 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$260.00 ,$135.85 ,$221.00 ,$458.50 ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 , N/A , N/A ,$84.50 ,$276.25 ,$348.46 ,$260.00 ,$91.00 ,$292.50 ,$325.00 ,$71.50 ,$273.00 ,$325.00 ,$325.00 ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$358.00 ,$232.70 ,$78.76 ,$458.50 ,$196.90 ,$214.80 ,$214.80 ,$93.08 ,$100.24 ,$174.35 ,$93.08 ,$200.84 ,$89.50 ,$286.40 ,$286.40 ,$93.08 ,$286.40 ,$149.64 ,$243.44 ,$458.50 ,$93.08 ,$358.00 ,$78.76 ,$268.50 ,$254.18 ,$254.18 ,$78.76 ,$254.18 ,$300.72 ,$300.72 ,$300.72 , N/A ,$322.20 ,$196.90 ,$304.30 ,$78.76 ,$358.00 ,$214.80 ,$78.76 ,$148.93 , N/A , N/A ,$93.08 ,$304.30 ,$348.46 ,$286.40 ,$100.24 ,$322.20 ,$358.00 ,$78.76 ,$300.72 ,$358.00 ,$358.00 ,$93.08 ,$232.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000024,12016,HC SIMP F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$393.00 ,$255.45 ,$86.46 ,$882.50 ,$216.15 ,$235.80 ,$235.80 ,$102.18 ,$110.04 ,$191.39 ,$102.18 ,$220.47 ,$98.25 ,$314.40 ,$314.40 ,$102.18 ,$314.40 ,$164.27 ,$267.24 ,$882.50 ,$102.18 ,$393.00 ,$86.46 ,$294.75 ,$279.03 ,$279.03 ,$86.46 ,$279.03 ,$330.12 ,$330.12 ,$330.12 , N/A ,$353.70 ,$216.15 ,$334.05 ,$86.46 ,$393.00 ,$235.80 ,$86.46 ,$163.49 , N/A , N/A ,$102.18 ,$334.05 ,$670.70 ,$314.40 ,$110.04 ,$353.70 ,$393.00 ,$86.46 ,$330.12 ,$393.00 ,$393.00 ,$102.18 ,$255.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000025,12017,HC SIMP F/E/E/N/L/MM 20.1-30.0CM,450,1 ,$433.00 ,$281.45 ,$95.26 ,$882.50 ,$238.15 ,$259.80 ,$259.80 ,$112.58 ,$121.24 ,$210.87 ,$112.58 ,$242.91 ,$108.25 ,$346.40 ,$346.40 ,$112.58 ,$346.40 ,$180.99 ,$294.44 ,$882.50 ,$112.58 ,$433.00 ,$95.26 ,$324.75 ,$307.43 ,$307.43 ,$95.26 ,$307.43 ,$363.72 ,$363.72 ,$363.72 , N/A ,$389.70 ,$238.15 ,$368.05 ,$95.26 ,$433.00 ,$259.80 ,$95.26 ,$180.13 , N/A , N/A ,$112.58 ,$368.05 ,$670.70 ,$346.40 ,$121.24 ,$389.70 ,$433.00 ,$95.26 ,$363.72 ,$433.00 ,$433.00 ,$112.58 ,$281.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000026,12018,HC SIMP F/E/E/N/L/MM OVER 30CM,450,1 ,$476.00 ,$309.40 ,$104.72 ,$476.00 ,$261.80 ,$285.60 ,$285.60 ,$123.76 ,$133.28 ,$231.81 ,$123.76 ,$267.04 ,$119.00 ,$380.80 ,$380.80 ,$123.76 ,$380.80 ,$198.97 ,$323.68 ,$458.50 ,$123.76 ,$476.00 ,$104.72 ,$357.00 ,$337.96 ,$337.96 ,$104.72 ,$337.96 ,$399.84 ,$399.84 ,$399.84 , N/A ,$428.40 ,$261.80 ,$404.60 ,$104.72 ,$476.00 ,$285.60 ,$104.72 ,$198.02 , N/A , N/A ,$123.76 ,$404.60 ,$348.46 ,$380.80 ,$133.28 ,$428.40 ,$476.00 ,$104.72 ,$399.84 ,$476.00 ,$476.00 ,$123.76 ,$309.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$279.00 ,$181.35 ,$61.38 ,$882.50 ,$153.45 ,$167.40 ,$167.40 ,$72.54 ,$78.12 ,$135.87 ,$72.54 ,$156.52 ,$69.75 ,$223.20 ,$223.20 ,$72.54 ,$223.20 ,$116.62 ,$189.72 ,$882.50 ,$72.54 ,$279.00 ,$61.38 ,$209.25 ,$198.09 ,$198.09 ,$61.38 ,$198.09 ,$234.36 ,$234.36 ,$234.36 , N/A ,$251.10 ,$153.45 ,$237.15 ,$61.38 ,$279.00 ,$167.40 ,$61.38 ,$116.06 , N/A , N/A ,$72.54 ,$237.15 ,$670.70 ,$223.20 ,$78.12 ,$251.10 ,$279.00 ,$61.38 ,$234.36 ,$279.00 ,$279.00 ,$72.54 ,$181.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$307.00 ,$199.55 ,$67.54 ,$882.50 ,$168.85 ,$184.20 ,$184.20 ,$79.82 ,$85.96 ,$149.51 ,$79.82 ,$172.23 ,$76.75 ,$245.60 ,$245.60 ,$79.82 ,$245.60 ,$128.33 ,$208.76 ,$882.50 ,$79.82 ,$307.00 ,$67.54 ,$230.25 ,$217.97 ,$217.97 ,$67.54 ,$217.97 ,$257.88 ,$257.88 ,$257.88 , N/A ,$276.30 ,$168.85 ,$260.95 ,$67.54 ,$307.00 ,$184.20 ,$67.54 ,$127.71 , N/A , N/A ,$79.82 ,$260.95 ,$670.70 ,$245.60 ,$85.96 ,$276.30 ,$307.00 ,$67.54 ,$257.88 ,$307.00 ,$307.00 ,$79.82 ,$199.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$338.00 ,$219.70 ,$74.36 ,$882.50 ,$185.90 ,$202.80 ,$202.80 ,$87.88 ,$94.64 ,$164.61 ,$87.88 ,$189.62 ,$84.50 ,$270.40 ,$270.40 ,$87.88 ,$270.40 ,$141.28 ,$229.84 ,$882.50 ,$87.88 ,$338.00 ,$74.36 ,$253.50 ,$239.98 ,$239.98 ,$74.36 ,$239.98 ,$283.92 ,$283.92 ,$283.92 , N/A ,$304.20 ,$185.90 ,$287.30 ,$74.36 ,$338.00 ,$202.80 ,$74.36 ,$140.61 , N/A , N/A ,$87.88 ,$287.30 ,$670.70 ,$270.40 ,$94.64 ,$304.20 ,$338.00 ,$74.36 ,$283.92 ,$338.00 ,$338.00 ,$87.88 ,$219.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000032,12035,HC INTRM S/A/T/EXT 12.6-20.0CM,450,1 ,$371.00 ,$241.15 ,$81.62 ,$882.50 ,$204.05 ,$222.60 ,$222.60 ,$96.46 ,$103.88 ,$180.68 ,$96.46 ,$208.13 ,$92.75 ,$296.80 ,$296.80 ,$96.46 ,$296.80 ,$155.08 ,$252.28 ,$882.50 ,$96.46 ,$371.00 ,$81.62 ,$278.25 ,$263.41 ,$263.41 ,$81.62 ,$263.41 ,$311.64 ,$311.64 ,$311.64 , N/A ,$333.90 ,$204.05 ,$315.35 ,$81.62 ,$371.00 ,$222.60 ,$81.62 ,$154.34 , N/A , N/A ,$96.46 ,$315.35 ,$670.70 ,$296.80 ,$103.88 ,$333.90 ,$371.00 ,$81.62 ,$311.64 ,$371.00 ,$371.00 ,$96.46 ,$241.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000033,12036,HC INTRM S/A/T/EXT 20.1-30.0CM,450,1 ,$408.00 ,$265.20 ,$89.76 ,"$1,337.23 ",$224.40 ,$244.80 ,$244.80 ,$106.08 ,$114.24 ,$198.70 ,$106.08 ,$228.89 ,$102.00 ,$326.40 ,$326.40 ,$106.08 ,$326.40 ,$170.54 ,$277.44 ,"$1,337.23 ",$106.08 ,$408.00 ,$89.76 ,$306.00 ,$289.68 ,$289.68 ,$89.76 ,$289.68 ,$342.72 ,$342.72 ,$342.72 , N/A ,$367.20 ,$224.40 ,$346.80 ,$89.76 ,$408.00 ,$244.80 ,$89.76 ,$169.73 , N/A , N/A ,$106.08 ,$346.80 ,"$1,016.29 ",$326.40 ,$114.24 ,$367.20 ,$408.00 ,$89.76 ,$342.72 ,$408.00 ,$408.00 ,$106.08 ,$265.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000034,12037,HC INTRM S/A/T/EXT OVER 30CM,450,1 ,$449.00 ,$291.85 ,$98.78 ,"$4,373.15 ",$246.95 ,$269.40 ,$269.40 ,$116.74 ,$125.72 ,$218.66 ,$116.74 ,$251.89 ,$112.25 ,$359.20 ,$359.20 ,$116.74 ,$359.20 ,$187.68 ,$305.32 ,"$4,373.15 ",$116.74 ,$449.00 ,$98.78 ,$336.75 ,$318.79 ,$318.79 ,$98.78 ,$318.79 ,$377.16 ,$377.16 ,$377.16 , N/A ,$404.10 ,$246.95 ,$381.65 ,$98.78 ,$449.00 ,$269.40 ,$98.78 ,$186.78 , N/A , N/A ,$116.74 ,$381.65 ,"$3,323.59 ",$359.20 ,$125.72 ,$404.10 ,$449.00 ,$98.78 ,$377.16 ,$449.00 ,$449.00 ,$116.74 ,$291.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$244.00 ,$158.60 ,$53.68 ,$882.50 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,$882.50 ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,$670.70 ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$244.00 ,$158.60 ,$53.68 ,$882.50 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,$882.50 ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,$670.70 ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$244.00 ,$158.60 ,$53.68 ,"$1,337.23 ",$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,"$1,337.23 ",$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,"$1,016.29 ",$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000038,12045,HC INTRM N/H/F/GEN 12.6-20.0CM,450,1 ,$244.00 ,$158.60 ,$53.68 ,"$1,337.23 ",$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,"$1,337.23 ",$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,"$1,016.29 ",$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000039,12046,HC INTRM N/H/F/GEN 20.1-30CM,450,1 ,$244.00 ,$158.60 ,$53.68 ,"$1,337.23 ",$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,"$1,337.23 ",$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,"$1,016.29 ",$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000040,12047,HC INTRM N/H/F/GEN OVER 30CM,450,1 ,$768.00 ,$499.20 ,$168.96 ,"$4,373.15 ",$422.40 ,$460.80 ,$460.80 ,$199.68 ,$215.04 ,$374.02 ,$199.68 ,$430.85 ,$192.00 ,$614.40 ,$614.40 ,$199.68 ,$614.40 ,$321.02 ,$522.24 ,"$4,373.15 ",$199.68 ,$768.00 ,$168.96 ,$576.00 ,$545.28 ,$545.28 ,$168.96 ,$545.28 ,$645.12 ,$645.12 ,$645.12 , N/A ,$691.20 ,$422.40 ,$652.80 ,$168.96 ,$768.00 ,$460.80 ,$168.96 ,$319.49 , N/A , N/A ,$199.68 ,$652.80 ,"$3,323.59 ",$614.40 ,$215.04 ,$691.20 ,$768.00 ,$168.96 ,$645.12 ,$500.00 ,$500.00 ,$199.68 ,$499.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$244.00 ,$158.60 ,$53.68 ,$882.50 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 ,$882.50 ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 ,$670.70 ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$269.00 ,$174.85 ,$59.18 ,$882.50 ,$147.95 ,$161.40 ,$161.40 ,$69.94 ,$75.32 ,$131.00 ,$69.94 ,$150.91 ,$67.25 ,$215.20 ,$215.20 ,$69.94 ,$215.20 ,$112.44 ,$182.92 ,$882.50 ,$69.94 ,$269.00 ,$59.18 ,$201.75 ,$190.99 ,$190.99 ,$59.18 ,$190.99 ,$225.96 ,$225.96 ,$225.96 , N/A ,$242.10 ,$147.95 ,$228.65 ,$59.18 ,$269.00 ,$161.40 ,$59.18 ,$111.90 , N/A , N/A ,$69.94 ,$228.65 ,$670.70 ,$215.20 ,$75.32 ,$242.10 ,$269.00 ,$59.18 ,$225.96 ,$269.00 ,$269.00 ,$69.94 ,$174.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000043,12053,HC INTRM F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$295.00 ,$191.75 ,$64.90 ,$882.50 ,$162.25 ,$177.00 ,$177.00 ,$76.70 ,$82.60 ,$143.67 ,$76.70 ,$165.50 ,$73.75 ,$236.00 ,$236.00 ,$76.70 ,$236.00 ,$123.31 ,$200.60 ,$882.50 ,$76.70 ,$295.00 ,$64.90 ,$221.25 ,$209.45 ,$209.45 ,$64.90 ,$209.45 ,$247.80 ,$247.80 ,$247.80 , N/A ,$265.50 ,$162.25 ,$250.75 ,$64.90 ,$295.00 ,$177.00 ,$64.90 ,$122.72 , N/A , N/A ,$76.70 ,$250.75 ,$670.70 ,$236.00 ,$82.60 ,$265.50 ,$295.00 ,$64.90 ,$247.80 ,$295.00 ,$295.00 ,$76.70 ,$191.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000044,12054,HC INTRM F/E/E/N/L/MM 7.6-12.5CM,450,1 ,$325.00 ,$211.25 ,$71.50 ,$882.50 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$158.28 ,$84.50 ,$182.33 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$260.00 ,$135.85 ,$221.00 ,$882.50 ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 , N/A , N/A ,$84.50 ,$276.25 ,$670.70 ,$260.00 ,$91.00 ,$292.50 ,$325.00 ,$71.50 ,$273.00 ,$325.00 ,$325.00 ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000045,12055,HC INTRM F/E/E/N/L/MM 12.6-20.0CM,450,1 ,$357.00 ,$232.05 ,$78.54 ,$882.50 ,$196.35 ,$214.20 ,$214.20 ,$92.82 ,$99.96 ,$173.86 ,$92.82 ,$200.28 ,$89.25 ,$285.60 ,$285.60 ,$92.82 ,$285.60 ,$149.23 ,$242.76 ,$882.50 ,$92.82 ,$357.00 ,$78.54 ,$267.75 ,$253.47 ,$253.47 ,$78.54 ,$253.47 ,$299.88 ,$299.88 ,$299.88 , N/A ,$321.30 ,$196.35 ,$303.45 ,$78.54 ,$357.00 ,$214.20 ,$78.54 ,$148.51 , N/A , N/A ,$92.82 ,$303.45 ,$670.70 ,$285.60 ,$99.96 ,$321.30 ,$357.00 ,$78.54 ,$299.88 ,$357.00 ,$357.00 ,$92.82 ,$232.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000046,12056,HC INTRM F/E/E/N/L/MM 20.1-30.0CM,450,1 ,$393.00 ,$255.45 ,$86.46 ,$882.50 ,$216.15 ,$235.80 ,$235.80 ,$102.18 ,$110.04 ,$191.39 ,$102.18 ,$220.47 ,$98.25 ,$314.40 ,$314.40 ,$102.18 ,$314.40 ,$164.27 ,$267.24 ,$882.50 ,$102.18 ,$393.00 ,$86.46 ,$294.75 ,$279.03 ,$279.03 ,$86.46 ,$279.03 ,$330.12 ,$330.12 ,$330.12 , N/A ,$353.70 ,$216.15 ,$334.05 ,$86.46 ,$393.00 ,$235.80 ,$86.46 ,$163.49 , N/A , N/A ,$102.18 ,$334.05 ,$670.70 ,$314.40 ,$110.04 ,$353.70 ,$393.00 ,$86.46 ,$330.12 ,$393.00 ,$393.00 ,$102.18 ,$255.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000047,12057,HC INTRM F/E/E/N/L/MM OVER 30.0CM,450,1 ,$432.00 ,$280.80 ,$95.04 ,$882.50 ,$237.60 ,$259.20 ,$259.20 ,$112.32 ,$120.96 ,$210.38 ,$112.32 ,$242.35 ,$108.00 ,$345.60 ,$345.60 ,$112.32 ,$345.60 ,$180.58 ,$293.76 ,$882.50 ,$112.32 ,$432.00 ,$95.04 ,$324.00 ,$306.72 ,$306.72 ,$95.04 ,$306.72 ,$362.88 ,$362.88 ,$362.88 , N/A ,$388.80 ,$237.60 ,$367.20 ,$95.04 ,$432.00 ,$259.20 ,$95.04 ,$179.71 , N/A , N/A ,$112.32 ,$367.20 ,$670.70 ,$345.60 ,$120.96 ,$388.80 ,$432.00 ,$95.04 ,$362.88 ,$432.00 ,$432.00 ,$112.32 ,$280.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000048,13100,HC CMPLX TRUNK 1.1-2.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000049,13101,HC CMPLX TRUNK 2.6-7.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000053,13122,HC CMPLX S/A/L EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$158.60 ,$53.68 ,$244.00 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 , N/A ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 , N/A ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,$882.50 ,$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,$882.50 ,$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,$670.70 ,$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000056,13133,HC CMPLX F/C/C/M/N/A/G/H/F EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$158.60 ,$53.68 ,$244.00 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 , N/A ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 , N/A ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000058,13151,HC CMPLX E/N/E/L 1.1-2.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,$767.00 ,$498.55 ,$168.74 ,"$1,337.23 ",$421.85 ,$460.20 ,$460.20 ,$199.42 ,$214.76 ,$373.53 ,$199.42 ,$430.29 ,$191.75 ,$613.60 ,$613.60 ,$199.42 ,$613.60 ,$320.61 ,$521.56 ,"$1,337.23 ",$199.42 ,$767.00 ,$168.74 ,$575.25 ,$544.57 ,$544.57 ,$168.74 ,$544.57 ,$644.28 ,$644.28 ,$644.28 , N/A ,$690.30 ,$421.85 ,$651.95 ,$168.74 ,$767.00 ,$460.20 ,$168.74 ,$319.07 , N/A , N/A ,$199.42 ,$651.95 ,"$1,016.29 ",$613.60 ,$214.76 ,$690.30 ,$767.00 ,$168.74 ,$644.28 ,$500.00 ,$500.00 ,$199.42 ,$498.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000060,13153,HC CMPLX E/N/E/L EA ADDL 5 CM OR LESS,450,1 ,$244.00 ,$158.60 ,$53.68 ,$244.00 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$118.83 ,$63.44 ,$136.88 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$195.20 ,$101.99 ,$165.92 , N/A ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 , N/A , N/A ,$63.44 ,$207.40 , N/A ,$195.20 ,$68.32 ,$219.60 ,$244.00 ,$53.68 ,$204.96 ,$244.00 ,$244.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$157.00 ,$102.05 ,$34.54 ,$458.50 ,$86.35 ,$94.20 ,$94.20 ,$40.82 ,$43.96 ,$76.46 ,$40.82 ,$88.08 ,$39.25 ,$125.60 ,$125.60 ,$40.82 ,$125.60 ,$65.63 ,$106.76 ,$458.50 ,$40.82 ,$157.00 ,$34.54 ,$117.75 ,$111.47 ,$111.47 ,$34.54 ,$111.47 ,$131.88 ,$131.88 ,$131.88 , N/A ,$141.30 ,$86.35 ,$133.45 ,$34.54 ,$157.00 ,$94.20 ,$34.54 ,$65.31 , N/A , N/A ,$40.82 ,$133.45 ,$348.46 ,$125.60 ,$43.96 ,$141.30 ,$157.00 ,$34.54 ,$131.88 ,$157.00 ,$157.00 ,$40.82 ,$102.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$293.00 ,$190.45 ,$64.46 ,$458.50 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$142.69 ,$76.18 ,$164.37 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$234.40 ,$122.47 ,$199.24 ,$458.50 ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$293.00 ,$175.80 ,$64.46 ,$121.89 , N/A , N/A ,$76.18 ,$249.05 ,$348.46 ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$293.00 ,$293.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$346.00 ,$224.90 ,$76.12 ,$458.50 ,$190.30 ,$207.60 ,$207.60 ,$89.96 ,$96.88 ,$168.50 ,$89.96 ,$194.11 ,$86.50 ,$276.80 ,$276.80 ,$89.96 ,$276.80 ,$144.63 ,$235.28 ,$458.50 ,$89.96 ,$346.00 ,$76.12 ,$259.50 ,$245.66 ,$245.66 ,$76.12 ,$245.66 ,$290.64 ,$290.64 ,$290.64 , N/A ,$311.40 ,$190.30 ,$294.10 ,$76.12 ,$346.00 ,$207.60 ,$76.12 ,$143.94 , N/A , N/A ,$89.96 ,$294.10 ,$348.46 ,$276.80 ,$96.88 ,$311.40 ,$346.00 ,$76.12 ,$290.64 ,$346.00 ,$346.00 ,$89.96 ,$224.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$412.00 ,$267.80 ,$90.64 ,$882.50 ,$226.60 ,$247.20 ,$247.20 ,$107.12 ,$115.36 ,$200.64 ,$107.12 ,$231.13 ,$103.00 ,$329.60 ,$329.60 ,$107.12 ,$329.60 ,$172.22 ,$280.16 ,$882.50 ,$107.12 ,$412.00 ,$90.64 ,$309.00 ,$292.52 ,$292.52 ,$90.64 ,$292.52 ,$346.08 ,$346.08 ,$346.08 , N/A ,$370.80 ,$226.60 ,$350.20 ,$90.64 ,$412.00 ,$247.20 ,$90.64 ,$171.39 , N/A , N/A ,$107.12 ,$350.20 ,$670.70 ,$329.60 ,$115.36 ,$370.80 ,$412.00 ,$90.64 ,$346.08 ,$412.00 ,$412.00 ,$107.12 ,$267.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$307.00 ,$199.55 ,$67.54 ,$458.50 ,$168.85 ,$184.20 ,$184.20 ,$79.82 ,$85.96 ,$149.51 ,$79.82 ,$172.23 ,$76.75 ,$245.60 ,$245.60 ,$79.82 ,$245.60 ,$128.33 ,$208.76 ,$458.50 ,$79.82 ,$307.00 ,$67.54 ,$230.25 ,$217.97 ,$217.97 ,$67.54 ,$217.97 ,$257.88 ,$257.88 ,$257.88 , N/A ,$276.30 ,$168.85 ,$260.95 ,$67.54 ,$307.00 ,$184.20 ,$67.54 ,$127.71 , N/A , N/A ,$79.82 ,$260.95 ,$348.46 ,$245.60 ,$85.96 ,$276.30 ,$307.00 ,$67.54 ,$257.88 ,$307.00 ,$307.00 ,$79.82 ,$199.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000068,20103,HC EXPL PENTR WOUND EXTREMITY,450,1 ,$493.00 ,$320.45 ,$108.46 ,"$1,588.85 ",$271.15 ,$295.80 ,$295.80 ,$128.18 ,$138.04 ,$240.09 ,$128.18 ,$276.57 ,$123.25 ,$394.40 ,$394.40 ,$128.18 ,$394.40 ,$206.07 ,$335.24 ,"$1,588.85 ",$128.18 ,$493.00 ,$108.46 ,$369.75 ,$350.03 ,$350.03 ,$108.46 ,$350.03 ,$414.12 ,$414.12 ,$414.12 , N/A ,$443.70 ,$271.15 ,$419.05 ,$108.46 ,$493.00 ,$295.80 ,$108.46 ,$205.09 , N/A , N/A ,$128.18 ,$419.05 ,"$1,207.53 ",$394.40 ,$138.04 ,$443.70 ,$493.00 ,$108.46 ,$414.12 ,$493.00 ,$493.00 ,$128.18 ,$320.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,"$1,070.00 ",$695.50 ,$235.40 ,"$1,070.00 ",$588.50 ,$642.00 ,$642.00 ,$278.20 ,$299.60 ,$521.09 ,$278.20 ,$600.27 ,$267.50 ,$856.00 ,$856.00 ,$278.20 ,$856.00 ,$447.26 ,$727.60 ,"$1,000.61 ",$278.20 ,"$1,070.00 ",$235.40 ,$802.50 ,$759.70 ,$759.70 ,$235.40 ,$759.70 ,$898.80 ,$898.80 ,$898.80 , N/A ,$963.00 ,$588.50 ,$909.50 ,$235.40 ,"$1,070.00 ",$642.00 ,$235.40 ,$445.12 , N/A , N/A ,$278.20 ,$909.50 ,$760.47 ,$856.00 ,$299.60 ,$963.00 ,"$1,070.00 ",$235.40 ,$898.80 ,$500.00 ,$500.00 ,$278.20 ,$695.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,070.00 ",$695.50 ,$235.40 ,"$1,070.00 ",$588.50 ,$642.00 ,$642.00 ,$278.20 ,$299.60 ,$521.09 ,$278.20 ,$600.27 ,$267.50 ,$856.00 ,$856.00 ,$278.20 ,$856.00 ,$447.26 ,$727.60 ,"$1,000.61 ",$278.20 ,"$1,070.00 ",$235.40 ,$802.50 ,$759.70 ,$759.70 ,$235.40 ,$759.70 ,$898.80 ,$898.80 ,$898.80 , N/A ,$963.00 ,$588.50 ,$909.50 ,$235.40 ,"$1,070.00 ",$642.00 ,$235.40 ,$445.12 , N/A , N/A ,$278.20 ,$909.50 ,$760.47 ,$856.00 ,$299.60 ,$963.00 ,"$1,070.00 ",$235.40 ,$898.80 ,$500.00 ,$500.00 ,$278.20 ,$695.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$587.00 ,$381.55 ,$129.14 ,$587.00 ,$322.85 ,$352.20 ,$352.20 ,$152.62 ,$164.36 ,$285.87 ,$152.62 ,$329.31 ,$146.75 ,$469.60 ,$469.60 ,$152.62 ,$469.60 ,$245.37 ,$399.16 ,$526.25 ,$152.62 ,$587.00 ,$129.14 ,$440.25 ,$416.77 ,$416.77 ,$129.14 ,$416.77 ,$493.08 ,$493.08 ,$493.08 , N/A ,$528.30 ,$322.85 ,$498.95 ,$129.14 ,$587.00 ,$352.20 ,$129.14 ,$244.19 , N/A , N/A ,$152.62 ,$498.95 ,$399.95 ,$469.60 ,$164.36 ,$528.30 ,$587.00 ,$129.14 ,$493.08 ,$500.00 ,$500.00 ,$152.62 ,$381.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,"$3,691.00 ","$2,399.15 ",$500.00 ,"$3,691.00 ","$2,030.05 ","$2,214.60 ","$2,214.60 ",$959.66 ,"$1,033.48 ","$1,797.52 ",$959.66 ,"$2,070.65 ",$922.75 ,"$2,952.80 ","$2,952.80 ",$959.66 ,"$2,952.80 ","$1,542.84 ","$2,509.88 ","$3,556.28 ",$959.66 ,"$3,691.00 ",$812.02 ,"$2,768.25 ","$2,620.61 ","$2,620.61 ",$812.02 ,"$2,620.61 ","$3,100.44 ","$3,100.44 ","$3,100.44 ", N/A ,"$3,321.90 ","$2,030.05 ","$3,137.35 ",$812.02 ,"$3,691.00 ","$2,214.60 ",$812.02 ,"$1,535.46 ", N/A , N/A ,$959.66 ,"$3,137.35 ","$2,702.77 ","$2,952.80 ","$1,033.48 ","$3,321.90 ","$3,691.00 ",$812.02 ,"$3,100.44 ",$500.00 ,$500.00 ,$959.66 ,"$2,399.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000081,25565,HC CL TX RADIAL/ULNAR SHAFT FX W MANIP,450,1 ,$574.00 ,$373.10 ,$126.28 ,"$3,556.28 ",$315.70 ,$344.40 ,$344.40 ,$149.24 ,$160.72 ,$279.54 ,$149.24 ,$322.01 ,$143.50 ,$459.20 ,$459.20 ,$149.24 ,$459.20 ,$239.93 ,$390.32 ,"$3,556.28 ",$149.24 ,$574.00 ,$126.28 ,$430.50 ,$407.54 ,$407.54 ,$126.28 ,$407.54 ,$482.16 ,$482.16 ,$482.16 , N/A ,$516.60 ,$315.70 ,$487.90 ,$126.28 ,$574.00 ,$344.40 ,$126.28 ,$238.78 , N/A , N/A ,$149.24 ,$487.90 ,"$2,702.77 ",$459.20 ,$160.72 ,$516.60 ,$574.00 ,$126.28 ,$482.16 ,$500.00 ,$500.00 ,$149.24 ,$373.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$490.00 ,$318.50 ,$107.80 ,"$3,556.28 ",$269.50 ,$294.00 ,$294.00 ,$127.40 ,$137.20 ,$238.63 ,$127.40 ,$274.89 ,$122.50 ,$392.00 ,$392.00 ,$127.40 ,$392.00 ,$204.82 ,$333.20 ,"$3,556.28 ",$127.40 ,$490.00 ,$107.80 ,$367.50 ,$347.90 ,$347.90 ,$107.80 ,$347.90 ,$411.60 ,$411.60 ,$411.60 , N/A ,$441.00 ,$269.50 ,$416.50 ,$107.80 ,$490.00 ,$294.00 ,$107.80 ,$203.84 , N/A , N/A ,$127.40 ,$416.50 ,"$2,702.77 ",$392.00 ,$137.20 ,$441.00 ,$490.00 ,$107.80 ,$411.60 ,$490.00 ,$490.00 ,$127.40 ,$318.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$3,556.28 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$3,556.28 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$2,702.77 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$4,221.00 ","$2,743.65 ",$500.00 ,"$4,221.00 ","$2,321.55 ","$2,532.60 ","$2,532.60 ","$1,097.46 ","$1,181.88 ","$2,055.63 ","$1,097.46 ","$2,367.98 ","$1,055.25 ","$3,376.80 ","$3,376.80 ","$1,097.46 ","$3,376.80 ","$1,764.38 ","$2,870.28 ","$3,592.48 ","$1,097.46 ","$4,221.00 ",$928.62 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$928.62 ,"$2,996.91 ","$3,545.64 ","$3,545.64 ","$3,545.64 ", N/A ,"$3,798.90 ","$2,321.55 ","$3,587.85 ",$928.62 ,"$4,221.00 ","$2,532.60 ",$928.62 ,"$1,755.94 ", N/A , N/A ,"$1,097.46 ","$3,587.85 ","$2,730.28 ","$3,376.80 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$928.62 ,"$3,545.64 ",$500.00 ,$500.00 ,"$1,097.46 ","$2,743.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$327.00 ,$212.55 ,$71.94 ,$526.25 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000088,26742,HC TX FX (M-P)(I-P) JT W/MAN,450,1 ,$529.00 ,$343.85 ,$116.38 ,"$3,556.28 ",$290.95 ,$317.40 ,$317.40 ,$137.54 ,$148.12 ,$257.62 ,$137.54 ,$296.77 ,$132.25 ,$423.20 ,$423.20 ,$137.54 ,$423.20 ,$221.12 ,$359.72 ,"$3,556.28 ",$137.54 ,$529.00 ,$116.38 ,$396.75 ,$375.59 ,$375.59 ,$116.38 ,$375.59 ,$444.36 ,$444.36 ,$444.36 , N/A ,$476.10 ,$290.95 ,$449.65 ,$116.38 ,$529.00 ,$317.40 ,$116.38 ,$220.06 , N/A , N/A ,$137.54 ,$449.65 ,"$2,702.77 ",$423.20 ,$148.12 ,$476.10 ,$529.00 ,$116.38 ,$444.36 ,$500.00 ,$500.00 ,$137.54 ,$343.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000089,26755,HC TX FX PHALANX DIST W/MAN CLS,450,1 ,$327.00 ,$212.55 ,$71.94 ,$526.25 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$650.00 ,$422.50 ,$143.00 ,$650.00 ,$357.50 ,$390.00 ,$390.00 ,$169.00 ,$182.00 ,$316.55 ,$169.00 ,$364.65 ,$162.50 ,$520.00 ,$520.00 ,$169.00 ,$520.00 ,$271.70 ,$442.00 ,$526.25 ,$169.00 ,$650.00 ,$143.00 ,$487.50 ,$461.50 ,$461.50 ,$143.00 ,$461.50 ,$546.00 ,$546.00 ,$546.00 , N/A ,$585.00 ,$357.50 ,$552.50 ,$143.00 ,$650.00 ,$390.00 ,$143.00 ,$270.40 , N/A , N/A ,$169.00 ,$552.50 ,$399.95 ,$520.00 ,$182.00 ,$585.00 ,$650.00 ,$143.00 ,$546.00 ,$500.00 ,$500.00 ,$169.00 ,$422.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$8,212.00 ","$5,337.80 ",$500.00 ,"$8,212.00 ","$4,516.60 ","$4,927.20 ","$4,927.20 ","$2,135.12 ","$2,299.36 ","$2,794.50 ","$2,135.12 ","$4,606.93 ","$2,053.00 ","$5,500.00 ","$5,500.00 ","$2,135.12 ","$5,500.00 ","$3,432.62 ","$5,584.16 ","$7,230.70 ","$2,135.12 ","$8,212.00 ","$1,806.64 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,806.64 ","$5,830.52 ","$6,898.08 ","$6,898.08 ","$6,898.08 ", N/A ,"$7,390.80 ","$4,516.60 ","$6,980.20 ","$1,806.64 ","$8,212.00 ","$4,927.20 ","$1,806.64 ","$3,416.19 ", N/A , N/A ,"$2,135.12 ","$6,980.20 ","$5,495.33 ","$5,500.00 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,806.64 ","$6,898.08 ",$500.00 ,$500.00 ,"$2,135.12 ","$5,337.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000092,27250,HC TX DISCL HIP CLOSED W/O ANES,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$373.00 ,$242.45 ,$82.06 ,$789.38 ,$205.15 ,$223.80 ,$223.80 ,$96.98 ,$104.44 ,$181.65 ,$96.98 ,$209.25 ,$93.25 ,$298.40 ,$298.40 ,$96.98 ,$298.40 ,$155.91 ,$253.64 ,$789.38 ,$96.98 ,$373.00 ,$82.06 ,$279.75 ,$264.83 ,$264.83 ,$82.06 ,$264.83 ,$313.32 ,$313.32 ,$313.32 , N/A ,$335.70 ,$205.15 ,$317.05 ,$82.06 ,$373.00 ,$223.80 ,$82.06 ,$155.17 , N/A , N/A ,$96.98 ,$317.05 ,$599.93 ,$298.40 ,$104.44 ,$335.70 ,$373.00 ,$82.06 ,$313.32 ,$373.00 ,$373.00 ,$96.98 ,$242.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$249.00 ,$161.85 ,$54.78 ,$526.25 ,$136.95 ,$149.40 ,$149.40 ,$64.74 ,$69.72 ,$121.26 ,$64.74 ,$139.69 ,$62.25 ,$199.20 ,$199.20 ,$64.74 ,$199.20 ,$104.08 ,$169.32 ,$526.25 ,$64.74 ,$249.00 ,$54.78 ,$186.75 ,$176.79 ,$176.79 ,$54.78 ,$176.79 ,$209.16 ,$209.16 ,$209.16 , N/A ,$224.10 ,$136.95 ,$211.65 ,$54.78 ,$249.00 ,$149.40 ,$54.78 ,$103.58 , N/A , N/A ,$64.74 ,$211.65 ,$399.95 ,$199.20 ,$69.72 ,$224.10 ,$249.00 ,$54.78 ,$209.16 ,$249.00 ,$249.00 ,$64.74 ,$161.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$327.00 ,$212.55 ,$71.94 ,$526.25 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,"$3,550.00 ","$2,307.50 ",$500.00 ,"$3,550.00 ","$1,952.50 ","$2,130.00 ","$2,130.00 ",$923.00 ,$994.00 ,"$1,728.85 ",$923.00 ,"$1,991.55 ",$887.50 ,"$2,840.00 ","$2,840.00 ",$923.00 ,"$2,840.00 ","$1,483.90 ","$2,414.00 ","$1,588.85 ",$923.00 ,"$3,550.00 ",$781.00 ,"$2,662.50 ","$2,520.50 ","$2,520.50 ",$781.00 ,"$2,520.50 ","$2,982.00 ","$2,982.00 ","$2,982.00 ", N/A ,"$3,195.00 ","$1,952.50 ","$3,017.50 ",$781.00 ,"$3,550.00 ","$2,130.00 ",$781.00 ,"$1,476.80 ", N/A , N/A ,$923.00 ,"$3,017.50 ","$1,207.53 ","$2,840.00 ",$994.00 ,"$3,195.00 ","$3,550.00 ",$781.00 ,"$2,982.00 ",$500.00 ,$500.00 ,$923.00 ,"$2,307.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$292.00 ,$189.80 ,$64.24 ,$360.73 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$360.73 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$274.15 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$292.00 ,$189.80 ,$64.24 ,$292.00 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$287.90 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$218.80 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$327.00 ,$212.55 ,$71.94 ,$327.00 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$287.90 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$218.80 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$139.00 ,$90.35 ,$30.58 ,$287.90 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$111.20 ,$58.10 ,$94.52 ,$287.90 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 , N/A , N/A ,$36.14 ,$118.15 ,$218.80 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$139.00 ,$139.00 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000105,29240,HC STRAPPING SHLDR,450,1 ,$211.00 ,$137.15 ,$46.42 ,$287.90 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$102.76 ,$54.86 ,$118.37 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$168.80 ,$88.20 ,$143.48 ,$287.90 ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 , N/A , N/A ,$54.86 ,$179.35 ,$218.80 ,$168.80 ,$59.08 ,$189.90 ,$211.00 ,$46.42 ,$177.24 ,$211.00 ,$211.00 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$139.00 ,$90.35 ,$30.58 ,$360.73 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$111.20 ,$58.10 ,$94.52 ,$360.73 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 , N/A , N/A ,$36.14 ,$118.15 ,$274.15 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$139.00 ,$139.00 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$238.00 ,$154.70 ,$52.36 ,$360.73 ,$130.90 ,$142.80 ,$142.80 ,$61.88 ,$66.64 ,$115.91 ,$61.88 ,$133.52 ,$59.50 ,$190.40 ,$190.40 ,$61.88 ,$190.40 ,$99.48 ,$161.84 ,$360.73 ,$61.88 ,$238.00 ,$52.36 ,$178.50 ,$168.98 ,$168.98 ,$52.36 ,$168.98 ,$199.92 ,$199.92 ,$199.92 , N/A ,$214.20 ,$130.90 ,$202.30 ,$52.36 ,$238.00 ,$142.80 ,$52.36 ,$99.01 , N/A , N/A ,$61.88 ,$202.30 ,$274.15 ,$190.40 ,$66.64 ,$214.20 ,$238.00 ,$52.36 ,$199.92 ,$238.00 ,$238.00 ,$61.88 ,$154.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000110,30300,HC REM FB INTRANASAL,450,1 ,$88.00 ,$57.20 ,$19.36 ,$287.90 ,$48.40 ,$52.80 ,$52.80 ,$22.88 ,$24.64 ,$42.86 ,$22.88 ,$49.37 ,$22.00 ,$70.40 ,$70.40 ,$22.88 ,$70.40 ,$36.78 ,$59.84 ,$287.90 ,$22.88 ,$88.00 ,$19.36 ,$66.00 ,$62.48 ,$62.48 ,$19.36 ,$62.48 ,$73.92 ,$73.92 ,$73.92 , N/A ,$79.20 ,$48.40 ,$74.80 ,$19.36 ,$88.00 ,$52.80 ,$19.36 ,$36.61 , N/A , N/A ,$22.88 ,$74.80 ,$218.80 ,$70.40 ,$24.64 ,$79.20 ,$88.00 ,$19.36 ,$73.92 ,$88.00 ,$88.00 ,$22.88 ,$57.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$322.00 ,$209.30 ,$70.84 ,$322.00 ,$177.10 ,$193.20 ,$193.20 ,$83.72 ,$90.16 ,$156.81 ,$83.72 ,$180.64 ,$80.50 ,$257.60 ,$257.60 ,$83.72 ,$257.60 ,$134.60 ,$218.96 ,$287.90 ,$83.72 ,$322.00 ,$70.84 ,$241.50 ,$228.62 ,$228.62 ,$70.84 ,$228.62 ,$270.48 ,$270.48 ,$270.48 , N/A ,$289.80 ,$177.10 ,$273.70 ,$70.84 ,$322.00 ,$193.20 ,$70.84 ,$133.95 , N/A , N/A ,$83.72 ,$273.70 ,$218.80 ,$257.60 ,$90.16 ,$289.80 ,$322.00 ,$70.84 ,$270.48 ,$322.00 ,$322.00 ,$83.72 ,$209.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$215.00 ,$139.75 ,$47.30 ,$287.90 ,$118.25 ,$129.00 ,$129.00 ,$55.90 ,$60.20 ,$104.71 ,$55.90 ,$120.62 ,$53.75 ,$172.00 ,$172.00 ,$55.90 ,$172.00 ,$89.87 ,$146.20 ,$287.90 ,$55.90 ,$215.00 ,$47.30 ,$161.25 ,$152.65 ,$152.65 ,$47.30 ,$152.65 ,$180.60 ,$180.60 ,$180.60 , N/A ,$193.50 ,$118.25 ,$182.75 ,$47.30 ,$215.00 ,$129.00 ,$47.30 ,$89.44 , N/A , N/A ,$55.90 ,$182.75 ,$218.80 ,$172.00 ,$60.20 ,$193.50 ,$215.00 ,$47.30 ,$180.60 ,$215.00 ,$215.00 ,$55.90 ,$139.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$336.00 ,$218.40 ,$73.92 ,$336.00 ,$184.80 ,$201.60 ,$201.60 ,$87.36 ,$94.08 ,$163.63 ,$87.36 ,$188.50 ,$84.00 ,$268.80 ,$268.80 ,$87.36 ,$268.80 ,$140.45 ,$228.48 ,$287.90 ,$87.36 ,$336.00 ,$73.92 ,$252.00 ,$238.56 ,$238.56 ,$73.92 ,$238.56 ,$282.24 ,$282.24 ,$282.24 , N/A ,$302.40 ,$184.80 ,$285.60 ,$73.92 ,$336.00 ,$201.60 ,$73.92 ,$139.78 , N/A , N/A ,$87.36 ,$285.60 ,$218.80 ,$268.80 ,$94.08 ,$302.40 ,$336.00 ,$73.92 ,$282.24 ,$336.00 ,$336.00 ,$87.36 ,$218.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$215.00 ,$139.75 ,$47.30 ,$287.90 ,$118.25 ,$129.00 ,$129.00 ,$55.90 ,$60.20 ,$104.71 ,$55.90 ,$120.62 ,$53.75 ,$172.00 ,$172.00 ,$55.90 ,$172.00 ,$89.87 ,$146.20 ,$287.90 ,$55.90 ,$215.00 ,$47.30 ,$161.25 ,$152.65 ,$152.65 ,$47.30 ,$152.65 ,$180.60 ,$180.60 ,$180.60 , N/A ,$193.50 ,$118.25 ,$182.75 ,$47.30 ,$215.00 ,$129.00 ,$47.30 ,$89.44 , N/A , N/A ,$55.90 ,$182.75 ,$218.80 ,$172.00 ,$60.20 ,$193.50 ,$215.00 ,$47.30 ,$180.60 ,$215.00 ,$215.00 ,$55.90 ,$139.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000116,31720,HC ASP CATH NASOTRACHEAL,450,1 ,$132.00 ,$85.80 ,$29.04 ,$479.93 ,$72.60 ,$79.20 ,$79.20 ,$34.32 ,$36.96 ,$64.28 ,$34.32 ,$74.05 ,$33.00 ,$105.60 ,$105.60 ,$34.32 ,$105.60 ,$55.18 ,$89.76 ,$479.93 ,$34.32 ,$132.00 ,$29.04 ,$99.00 ,$93.72 ,$93.72 ,$29.04 ,$93.72 ,$110.88 ,$110.88 ,$110.88 , N/A ,$118.80 ,$72.60 ,$112.20 ,$29.04 ,$132.00 ,$79.20 ,$29.04 ,$54.91 , N/A , N/A ,$34.32 ,$112.20 ,$364.74 ,$105.60 ,$36.96 ,$118.80 ,$132.00 ,$29.04 ,$110.88 ,$132.00 ,$132.00 ,$34.32 ,$85.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$286.00 ,$185.90 ,$62.92 ,$692.95 ,$157.30 ,$171.60 ,$171.60 ,$74.36 ,$80.08 ,$139.28 ,$74.36 ,$160.45 ,$71.50 ,$228.80 ,$228.80 ,$74.36 ,$228.80 ,$119.55 ,$194.48 ,$692.95 ,$74.36 ,$286.00 ,$62.92 ,$214.50 ,$203.06 ,$203.06 ,$62.92 ,$203.06 ,$240.24 ,$240.24 ,$240.24 , N/A ,$257.40 ,$157.30 ,$243.10 ,$62.92 ,$286.00 ,$171.60 ,$62.92 ,$118.98 , N/A , N/A ,$74.36 ,$243.10 ,$526.64 ,$228.80 ,$80.08 ,$257.40 ,$286.00 ,$62.92 ,$240.24 ,$286.00 ,$286.00 ,$74.36 ,$185.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,"$1,830.00 ","$1,189.50 ",$402.60 ,"$1,830.00 ","$1,006.50 ","$1,098.00 ","$1,098.00 ",$475.80 ,$512.40 ,$891.21 ,$475.80 ,"$1,026.63 ",$457.50 ,"$1,464.00 ","$1,464.00 ",$475.80 ,"$1,464.00 ",$764.94 ,"$1,244.40 ","$1,588.85 ",$475.80 ,"$1,830.00 ",$402.60 ,"$1,372.50 ","$1,299.30 ","$1,299.30 ",$402.60 ,"$1,299.30 ","$1,537.20 ","$1,537.20 ","$1,537.20 ", N/A ,"$1,647.00 ","$1,006.50 ","$1,555.50 ",$402.60 ,"$1,830.00 ","$1,098.00 ",$402.60 ,$761.28 , N/A , N/A ,$475.80 ,"$1,555.50 ","$1,207.53 ","$1,464.00 ",$512.40 ,"$1,647.00 ","$1,830.00 ",$402.60 ,"$1,537.20 ",$500.00 ,$500.00 ,$475.80 ,"$1,189.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$408.00 ,$265.20 ,$89.76 ,$540.18 ,$224.40 ,$244.80 ,$244.80 ,$106.08 ,$114.24 ,$198.70 ,$106.08 ,$228.89 ,$102.00 ,$326.40 ,$326.40 ,$106.08 ,$326.40 ,$170.54 ,$277.44 ,$540.18 ,$106.08 ,$408.00 ,$89.76 ,$306.00 ,$289.68 ,$289.68 ,$89.76 ,$289.68 ,$342.72 ,$342.72 ,$342.72 , N/A ,$367.20 ,$224.40 ,$346.80 ,$89.76 ,$408.00 ,$244.80 ,$89.76 ,$169.73 , N/A , N/A ,$106.08 ,$346.80 ,$410.53 ,$326.40 ,$114.24 ,$367.20 ,$408.00 ,$89.76 ,$342.72 ,$408.00 ,$408.00 ,$106.08 ,$265.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$140.00 ,$91.00 ,$30.80 ,$692.95 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$68.18 ,$36.40 ,$78.54 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$112.00 ,$58.52 ,$95.20 ,$692.95 ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 , N/A , N/A ,$36.40 ,$119.00 ,$526.64 ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$140.00 ,$140.00 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$174.00 ,$113.10 ,$38.28 ,$287.90 ,$95.70 ,$104.40 ,$104.40 ,$45.24 ,$48.72 ,$84.74 ,$45.24 ,$97.61 ,$43.50 ,$139.20 ,$139.20 ,$45.24 ,$139.20 ,$72.73 ,$118.32 ,$287.90 ,$45.24 ,$174.00 ,$38.28 ,$130.50 ,$123.54 ,$123.54 ,$38.28 ,$123.54 ,$146.16 ,$146.16 ,$146.16 , N/A ,$156.60 ,$95.70 ,$147.90 ,$38.28 ,$174.00 ,$104.40 ,$38.28 ,$72.38 , N/A , N/A ,$45.24 ,$147.90 ,$218.80 ,$139.20 ,$48.72 ,$156.60 ,$174.00 ,$38.28 ,$146.16 ,$174.00 ,$174.00 ,$45.24 ,$113.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000140,42700,HC I AND D ABSC PERITONSILLAR,450,1 ,$648.00 ,$421.20 ,$142.56 ,$648.00 ,$356.40 ,$388.80 ,$388.80 ,$168.48 ,$181.44 ,$315.58 ,$168.48 ,$363.53 ,$162.00 ,$518.40 ,$518.40 ,$168.48 ,$518.40 ,$270.86 ,$440.64 ,$540.18 ,$168.48 ,$648.00 ,$142.56 ,$486.00 ,$460.08 ,$460.08 ,$142.56 ,$460.08 ,$544.32 ,$544.32 ,$544.32 , N/A ,$583.20 ,$356.40 ,$550.80 ,$142.56 ,$648.00 ,$388.80 ,$142.56 ,$269.57 , N/A , N/A ,$168.48 ,$550.80 ,$410.53 ,$518.40 ,$181.44 ,$583.20 ,$648.00 ,$142.56 ,$544.32 ,$500.00 ,$500.00 ,$168.48 ,$421.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000141,42809,HC REMOVE PHARYNX FOREIGN BODY,450,1 ,$884.00 ,$574.60 ,$194.48 ,$884.00 ,$486.20 ,$530.40 ,$530.40 ,$229.84 ,$247.52 ,$430.51 ,$229.84 ,$495.92 ,$221.00 ,$707.20 ,$707.20 ,$229.84 ,$707.20 ,$369.51 ,$601.12 ,$692.95 ,$229.84 ,$884.00 ,$194.48 ,$663.00 ,$627.64 ,$627.64 ,$194.48 ,$627.64 ,$742.56 ,$742.56 ,$742.56 , N/A ,$795.60 ,$486.20 ,$751.40 ,$194.48 ,$884.00 ,$530.40 ,$194.48 ,$367.74 , N/A , N/A ,$229.84 ,$751.40 ,$526.64 ,$707.20 ,$247.52 ,$795.60 ,$884.00 ,$194.48 ,$742.56 ,$500.00 ,$500.00 ,$229.84 ,$574.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$215.00 ,$139.75 ,$47.30 ,$675.73 ,$118.25 ,$129.00 ,$129.00 ,$55.90 ,$60.20 ,$104.71 ,$55.90 ,$120.62 ,$53.75 ,$172.00 ,$172.00 ,$55.90 ,$172.00 ,$89.87 ,$146.20 ,$675.73 ,$55.90 ,$215.00 ,$47.30 ,$161.25 ,$152.65 ,$152.65 ,$47.30 ,$152.65 ,$180.60 ,$180.60 ,$180.60 , N/A ,$193.50 ,$118.25 ,$182.75 ,$47.30 ,$215.00 ,$129.00 ,$47.30 ,$89.44 , N/A , N/A ,$55.90 ,$182.75 ,$513.55 ,$172.00 ,$60.20 ,$193.50 ,$215.00 ,$47.30 ,$180.60 ,$215.00 ,$215.00 ,$55.90 ,$139.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$3,190.00 ","$2,073.50 ",$500.00 ,"$3,190.00 ","$1,754.50 ","$1,914.00 ","$1,914.00 ",$829.40 ,$893.20 ,"$1,553.53 ",$829.40 ,"$1,789.59 ",$797.50 ,"$2,552.00 ","$2,552.00 ",$829.40 ,"$2,552.00 ","$1,333.42 ","$2,169.20 ","$2,647.65 ",$829.40 ,"$3,190.00 ",$701.80 ,"$2,392.50 ","$2,264.90 ","$2,264.90 ",$701.80 ,"$2,264.90 ","$2,679.60 ","$2,679.60 ","$2,679.60 ", N/A ,"$2,871.00 ","$1,754.50 ","$2,711.50 ",$701.80 ,"$3,190.00 ","$1,914.00 ",$701.80 ,"$1,327.04 ", N/A , N/A ,$829.40 ,"$2,711.50 ","$2,012.21 ","$2,552.00 ",$893.20 ,"$2,871.00 ","$3,190.00 ",$701.80 ,"$2,679.60 ",$500.00 ,$500.00 ,$829.40 ,"$2,073.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$649.00 ,$421.85 ,$142.78 ,"$2,026.20 ",$356.95 ,$389.40 ,$389.40 ,$168.74 ,$181.72 ,$316.06 ,$168.74 ,$364.09 ,$162.25 ,$519.20 ,$519.20 ,$168.74 ,$519.20 ,$271.28 ,$441.32 ,"$2,026.20 ",$168.74 ,$649.00 ,$142.78 ,$486.75 ,$460.79 ,$460.79 ,$142.78 ,$460.79 ,$545.16 ,$545.16 ,$545.16 , N/A ,$584.10 ,$356.95 ,$551.65 ,$142.78 ,$649.00 ,$389.40 ,$142.78 ,$269.98 , N/A , N/A ,$168.74 ,$551.65 ,"$1,539.91 ",$519.20 ,$181.72 ,$584.10 ,$649.00 ,$142.78 ,$545.16 ,$500.00 ,$500.00 ,$168.74 ,$421.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$496.00 ,$322.40 ,$109.12 ,$679.43 ,$272.80 ,$297.60 ,$297.60 ,$128.96 ,$138.88 ,$241.55 ,$128.96 ,$278.26 ,$124.00 ,$396.80 ,$396.80 ,$128.96 ,$396.80 ,$207.33 ,$337.28 ,$679.43 ,$128.96 ,$496.00 ,$109.12 ,$372.00 ,$352.16 ,$352.16 ,$109.12 ,$352.16 ,$416.64 ,$416.64 ,$416.64 , N/A ,$446.40 ,$272.80 ,$421.60 ,$109.12 ,$496.00 ,$297.60 ,$109.12 ,$206.34 , N/A , N/A ,$128.96 ,$421.60 ,$516.36 ,$396.80 ,$138.88 ,$446.40 ,$496.00 ,$109.12 ,$416.64 ,$496.00 ,$496.00 ,$128.96 ,$322.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000150,46600,HC ANOSCOPY,450,1 ,$281.00 ,$182.65 ,$61.82 ,$287.90 ,$154.55 ,$168.60 ,$168.60 ,$73.06 ,$78.68 ,$136.85 ,$73.06 ,$157.64 ,$70.25 ,$224.80 ,$224.80 ,$73.06 ,$224.80 ,$117.46 ,$191.08 ,$287.90 ,$73.06 ,$281.00 ,$61.82 ,$210.75 ,$199.51 ,$199.51 ,$61.82 ,$199.51 ,$236.04 ,$236.04 ,$236.04 , N/A ,$252.90 ,$154.55 ,$238.85 ,$61.82 ,$281.00 ,$168.60 ,$61.82 ,$116.90 , N/A , N/A ,$73.06 ,$238.85 ,$218.80 ,$224.80 ,$78.68 ,$252.90 ,$281.00 ,$61.82 ,$236.04 ,$281.00 ,$281.00 ,$73.06 ,$182.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$396.00 ,$257.40 ,$87.12 ,$679.43 ,$217.80 ,$237.60 ,$237.60 ,$102.96 ,$110.88 ,$192.85 ,$102.96 ,$222.16 ,$99.00 ,$316.80 ,$316.80 ,$102.96 ,$316.80 ,$165.53 ,$269.28 ,$679.43 ,$102.96 ,$396.00 ,$87.12 ,$297.00 ,$281.16 ,$281.16 ,$87.12 ,$281.16 ,$332.64 ,$332.64 ,$332.64 , N/A ,$356.40 ,$217.80 ,$336.60 ,$87.12 ,$396.00 ,$237.60 ,$87.12 ,$164.74 , N/A , N/A ,$102.96 ,$336.60 ,$516.36 ,$316.80 ,$110.88 ,$356.40 ,$396.00 ,$87.12 ,$332.64 ,$396.00 ,$396.00 ,$102.96 ,$257.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$482.00 ,$313.30 ,$106.04 ,$679.43 ,$265.10 ,$289.20 ,$289.20 ,$125.32 ,$134.96 ,$234.73 ,$125.32 ,$270.40 ,$120.50 ,$385.60 ,$385.60 ,$125.32 ,$385.60 ,$201.48 ,$327.76 ,$679.43 ,$125.32 ,$482.00 ,$106.04 ,$361.50 ,$342.22 ,$342.22 ,$106.04 ,$342.22 ,$404.88 ,$404.88 ,$404.88 , N/A ,$433.80 ,$265.10 ,$409.70 ,$106.04 ,$482.00 ,$289.20 ,$106.04 ,$200.51 , N/A , N/A ,$125.32 ,$409.70 ,$516.36 ,$385.60 ,$134.96 ,$433.80 ,$482.00 ,$106.04 ,$404.88 ,$482.00 ,$482.00 ,$125.32 ,$313.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000161,54700,HC I AND D EPIDIDYMIS TESTIS OR SCROTAL SPACE,450,1 ,"$5,315.00 ","$3,454.75 ",$500.00 ,"$5,315.00 ","$2,923.25 ","$3,189.00 ","$3,189.00 ","$1,381.90 ","$1,488.20 ","$2,588.41 ","$1,381.90 ","$2,981.72 ","$1,328.75 ","$4,252.00 ","$4,252.00 ","$1,381.90 ","$4,252.00 ","$2,221.67 ","$3,614.20 ","$4,571.63 ","$1,381.90 ","$5,315.00 ","$1,169.30 ","$3,986.25 ","$3,773.65 ","$3,773.65 ","$1,169.30 ","$3,773.65 ","$4,464.60 ","$4,464.60 ","$4,464.60 ", N/A ,"$4,783.50 ","$2,923.25 ","$4,517.75 ","$1,169.30 ","$5,315.00 ","$3,189.00 ","$1,169.30 ","$2,211.04 ", N/A , N/A ,"$1,381.90 ","$4,517.75 ","$3,474.44 ","$4,252.00 ","$1,488.20 ","$4,783.50 ","$5,315.00 ","$1,169.30 ","$4,464.60 ",$500.00 ,$500.00 ,"$1,381.90 ","$3,454.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$380.00 ,$247.00 ,$83.60 ,$720.10 ,$209.00 ,$228.00 ,$228.00 ,$98.80 ,$106.40 ,$185.06 ,$98.80 ,$213.18 ,$95.00 ,$304.00 ,$304.00 ,$98.80 ,$304.00 ,$158.84 ,$258.40 ,$720.10 ,$98.80 ,$380.00 ,$83.60 ,$285.00 ,$269.80 ,$269.80 ,$83.60 ,$269.80 ,$319.20 ,$319.20 ,$319.20 , N/A ,$342.00 ,$209.00 ,$323.00 ,$83.60 ,$380.00 ,$228.00 ,$83.60 ,$158.08 , N/A , N/A ,$98.80 ,$323.00 ,$547.28 ,$304.00 ,$106.40 ,$342.00 ,$380.00 ,$83.60 ,$319.20 ,$380.00 ,$380.00 ,$98.80 ,$247.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$498.00 ,$323.70 ,$109.56 ,$498.00 ,$273.90 ,$298.80 ,$298.80 ,$129.48 ,$139.44 ,$242.53 ,$129.48 ,$279.38 ,$124.50 ,$398.40 ,$398.40 ,$129.48 ,$398.40 ,$208.16 ,$338.64 ,$434.98 ,$129.48 ,$498.00 ,$109.56 ,$373.50 ,$353.58 ,$353.58 ,$109.56 ,$353.58 ,$418.32 ,$418.32 ,$418.32 , N/A ,$448.20 ,$273.90 ,$423.30 ,$109.56 ,$498.00 ,$298.80 ,$109.56 ,$207.17 , N/A , N/A ,$129.48 ,$423.30 ,$330.58 ,$398.40 ,$139.44 ,$448.20 ,$498.00 ,$109.56 ,$418.32 ,$498.00 ,$498.00 ,$129.48 ,$323.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000166,59414,HC DELIVERY OF PLACENTA,450,1 ,"$1,897.00 ","$1,233.05 ",$417.34 ,"$6,698.90 ","$1,043.35 ","$1,138.20 ","$1,138.20 ",$493.22 ,$531.16 ,$923.84 ,$493.22 ,"$1,064.22 ",$474.25 ,"$1,517.60 ","$1,517.60 ",$493.22 ,"$1,517.60 ",$792.95 ,"$1,289.96 ","$6,698.90 ",$493.22 ,"$1,897.00 ",$417.34 ,"$1,422.75 ","$1,346.87 ","$1,346.87 ",$417.34 ,"$1,346.87 ","$1,593.48 ","$1,593.48 ","$1,593.48 ", N/A ,"$1,707.30 ","$1,043.35 ","$1,612.45 ",$417.34 ,"$1,897.00 ","$1,138.20 ",$417.34 ,$789.15 , N/A , N/A ,$493.22 ,"$1,612.45 ","$5,091.16 ","$1,517.60 ",$531.16 ,"$1,707.30 ","$1,897.00 ",$417.34 ,"$1,593.48 ",$500.00 ,$500.00 ,$493.22 ,"$1,233.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000168,64400,HC DENTAL BLOCK,450,1 ,$705.00 ,$458.25 ,$155.10 ,$705.00 ,$387.75 ,$423.00 ,$423.00 ,$183.30 ,$197.40 ,$343.34 ,$183.30 ,$395.51 ,$176.25 ,$564.00 ,$564.00 ,$183.30 ,$564.00 ,$294.69 ,$479.40 ,$667.08 ,$183.30 ,$705.00 ,$155.10 ,$528.75 ,$500.55 ,$500.55 ,$155.10 ,$500.55 ,$592.20 ,$592.20 ,$592.20 , N/A ,$634.50 ,$387.75 ,$599.25 ,$155.10 ,$705.00 ,$423.00 ,$155.10 ,$293.28 , N/A , N/A ,$183.30 ,$599.25 ,$506.98 ,$564.00 ,$197.40 ,$634.50 ,$705.00 ,$155.10 ,$592.20 ,$500.00 ,$500.00 ,$183.30 ,$458.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$388.00 ,$252.20 ,$85.36 ,$667.08 ,$213.40 ,$232.80 ,$232.80 ,$100.88 ,$108.64 ,$188.96 ,$100.88 ,$217.67 ,$97.00 ,$310.40 ,$310.40 ,$100.88 ,$310.40 ,$162.18 ,$263.84 ,$667.08 ,$100.88 ,$388.00 ,$85.36 ,$291.00 ,$275.48 ,$275.48 ,$85.36 ,$275.48 ,$325.92 ,$325.92 ,$325.92 , N/A ,$349.20 ,$213.40 ,$329.80 ,$85.36 ,$388.00 ,$232.80 ,$85.36 ,$161.41 , N/A , N/A ,$100.88 ,$329.80 ,$506.98 ,$310.40 ,$108.64 ,$349.20 ,$388.00 ,$85.36 ,$325.92 ,$388.00 ,$388.00 ,$100.88 ,$252.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,797.00 ","$1,168.05 ",$395.34 ,"$1,797.00 ",$988.35 ,"$1,078.20 ","$1,078.20 ",$467.22 ,$503.16 ,$875.14 ,$467.22 ,"$1,008.12 ",$449.25 ,"$1,437.60 ","$1,437.60 ",$467.22 ,"$1,437.60 ",$751.15 ,"$1,221.96 ","$1,621.30 ",$467.22 ,"$1,797.00 ",$395.34 ,"$1,347.75 ","$1,275.87 ","$1,275.87 ",$395.34 ,"$1,275.87 ","$1,509.48 ","$1,509.48 ","$1,509.48 ", N/A ,"$1,617.30 ",$988.35 ,"$1,527.45 ",$395.34 ,"$1,797.00 ","$1,078.20 ",$395.34 ,$747.55 , N/A , N/A ,$467.22 ,"$1,527.45 ","$1,232.19 ","$1,437.60 ",$503.16 ,"$1,617.30 ","$1,797.00 ",$395.34 ,"$1,509.48 ",$500.00 ,$500.00 ,$467.22 ,"$1,168.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$412.00 ,$267.80 ,$90.64 ,$412.00 ,$226.60 ,$247.20 ,$247.20 ,$107.12 ,$115.36 ,$200.64 ,$107.12 ,$231.13 ,$103.00 ,$329.60 ,$329.60 ,$107.12 ,$329.60 ,$172.22 ,$280.16 ,$287.90 ,$107.12 ,$412.00 ,$90.64 ,$309.00 ,$292.52 ,$292.52 ,$90.64 ,$292.52 ,$346.08 ,$346.08 ,$346.08 , N/A ,$370.80 ,$226.60 ,$350.20 ,$90.64 ,$412.00 ,$247.20 ,$90.64 ,$171.39 , N/A , N/A ,$107.12 ,$350.20 ,$218.80 ,$329.60 ,$115.36 ,$370.80 ,$412.00 ,$90.64 ,$346.08 ,$412.00 ,$412.00 ,$107.12 ,$267.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000172,65210,HC REM EYE FB CONJUCT EMBED,450,1 ,"$1,200.00 ",$780.00 ,$264.00 ,"$1,200.00 ",$660.00 ,$720.00 ,$720.00 ,$312.00 ,$336.00 ,$584.40 ,$312.00 ,$673.20 ,$300.00 ,$960.00 ,$960.00 ,$312.00 ,$960.00 ,$501.60 ,$816.00 ,$692.95 ,$312.00 ,"$1,200.00 ",$264.00 ,$900.00 ,$852.00 ,$852.00 ,$264.00 ,$852.00 ,"$1,008.00 ","$1,008.00 ","$1,008.00 ", N/A ,"$1,080.00 ",$660.00 ,"$1,020.00 ",$264.00 ,"$1,200.00 ",$720.00 ,$264.00 ,$499.20 , N/A , N/A ,$312.00 ,"$1,020.00 ",$526.64 ,$960.00 ,$336.00 ,"$1,080.00 ","$1,200.00 ",$264.00 ,"$1,008.00 ",$500.00 ,$500.00 ,$312.00 ,$780.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$363.00 ,$235.95 ,$79.86 ,$692.95 ,$199.65 ,$217.80 ,$217.80 ,$94.38 ,$101.64 ,$176.78 ,$94.38 ,$203.64 ,$90.75 ,$290.40 ,$290.40 ,$94.38 ,$290.40 ,$151.73 ,$246.84 ,$692.95 ,$94.38 ,$363.00 ,$79.86 ,$272.25 ,$257.73 ,$257.73 ,$79.86 ,$257.73 ,$304.92 ,$304.92 ,$304.92 , N/A ,$326.70 ,$199.65 ,$308.55 ,$79.86 ,$363.00 ,$217.80 ,$79.86 ,$151.01 , N/A , N/A ,$94.38 ,$308.55 ,$526.64 ,$290.40 ,$101.64 ,$326.70 ,$363.00 ,$79.86 ,$304.92 ,$363.00 ,$363.00 ,$94.38 ,$235.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000178,67938,HC REMOVE EMBEDDED FB EYELID,450,1 ,$155.00 ,$100.75 ,$34.10 ,$667.90 ,$85.25 ,$93.00 ,$93.00 ,$40.30 ,$43.40 ,$75.49 ,$40.30 ,$86.96 ,$38.75 ,$124.00 ,$124.00 ,$40.30 ,$124.00 ,$64.79 ,$105.40 ,$667.90 ,$40.30 ,$155.00 ,$34.10 ,$116.25 ,$110.05 ,$110.05 ,$34.10 ,$110.05 ,$130.20 ,$130.20 ,$130.20 , N/A ,$139.50 ,$85.25 ,$131.75 ,$34.10 ,$155.00 ,$93.00 ,$34.10 ,$64.48 , N/A , N/A ,$40.30 ,$131.75 ,$507.60 ,$124.00 ,$43.40 ,$139.50 ,$155.00 ,$34.10 ,$130.20 ,$155.00 ,$155.00 ,$40.30 ,$100.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000179,69000,HC DRAIN ABSC/HEMA EAR EXT SMP,450,1 ,"$1,830.00 ","$1,189.50 ",$402.60 ,"$1,830.00 ","$1,006.50 ","$1,098.00 ","$1,098.00 ",$475.80 ,$512.40 ,$891.21 ,$475.80 ,"$1,026.63 ",$457.50 ,"$1,464.00 ","$1,464.00 ",$475.80 ,"$1,464.00 ",$764.94 ,"$1,244.40 ","$1,588.85 ",$475.80 ,"$1,830.00 ",$402.60 ,"$1,372.50 ","$1,299.30 ","$1,299.30 ",$402.60 ,"$1,299.30 ","$1,537.20 ","$1,537.20 ","$1,537.20 ", N/A ,"$1,647.00 ","$1,006.50 ","$1,555.50 ",$402.60 ,"$1,830.00 ","$1,098.00 ",$402.60 ,$761.28 , N/A , N/A ,$475.80 ,"$1,555.50 ","$1,207.53 ","$1,464.00 ",$512.40 ,"$1,647.00 ","$1,830.00 ",$402.60 ,"$1,537.20 ",$500.00 ,$500.00 ,$475.80 ,"$1,189.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000181,69200,HC FB REMOVAL EAR,450,1 ,$229.00 ,$148.85 ,$50.38 ,$287.90 ,$125.95 ,$137.40 ,$137.40 ,$59.54 ,$64.12 ,$111.52 ,$59.54 ,$128.47 ,$57.25 ,$183.20 ,$183.20 ,$59.54 ,$183.20 ,$95.72 ,$155.72 ,$287.90 ,$59.54 ,$229.00 ,$50.38 ,$171.75 ,$162.59 ,$162.59 ,$50.38 ,$162.59 ,$192.36 ,$192.36 ,$192.36 , N/A ,$206.10 ,$125.95 ,$194.65 ,$50.38 ,$229.00 ,$137.40 ,$50.38 ,$95.26 , N/A , N/A ,$59.54 ,$194.65 ,$218.80 ,$183.20 ,$64.12 ,$206.10 ,$229.00 ,$50.38 ,$192.36 ,$229.00 ,$229.00 ,$59.54 ,$148.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000181,69200,HC FB REMOVAL EAR,450,1 ,$344.00 ,$223.60 ,$75.68 ,$344.00 ,$189.20 ,$206.40 ,$206.40 ,$89.44 ,$96.32 ,$167.53 ,$89.44 ,$192.98 ,$86.00 ,$275.20 ,$275.20 ,$89.44 ,$275.20 ,$143.79 ,$233.92 ,$287.90 ,$89.44 ,$344.00 ,$75.68 ,$258.00 ,$244.24 ,$244.24 ,$75.68 ,$244.24 ,$288.96 ,$288.96 ,$288.96 , N/A ,$309.60 ,$189.20 ,$292.40 ,$75.68 ,$344.00 ,$206.40 ,$75.68 ,$143.10 , N/A , N/A ,$89.44 ,$292.40 ,$218.80 ,$275.20 ,$96.32 ,$309.60 ,$344.00 ,$75.68 ,$288.96 ,$344.00 ,$344.00 ,$89.44 ,$223.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$211.00 ,$137.15 ,$25.00 ,$211.00 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$102.76 ,$54.86 ,$118.37 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$168.80 ,$88.20 ,$143.48 ,$142.13 ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 , N/A , N/A ,$54.86 ,$179.35 ,$108.02 ,$168.80 ,$59.08 ,$189.90 ,$25.00 ,$46.42 ,$177.24 ,$211.00 ,$211.00 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$316.00 ,$205.40 ,$25.00 ,$316.00 ,$173.80 ,$189.60 ,$189.60 ,$82.16 ,$88.48 ,$153.89 ,$82.16 ,$177.28 ,$79.00 ,$252.80 ,$252.80 ,$82.16 ,$252.80 ,$132.09 ,$214.88 ,$142.13 ,$82.16 ,$316.00 ,$69.52 ,$237.00 ,$224.36 ,$224.36 ,$69.52 ,$224.36 ,$265.44 ,$265.44 ,$265.44 , N/A ,$284.40 ,$173.80 ,$268.60 ,$69.52 ,$316.00 ,$189.60 ,$69.52 ,$131.46 , N/A , N/A ,$82.16 ,$268.60 ,$108.02 ,$252.80 ,$88.48 ,$284.40 ,$25.00 ,$69.52 ,$265.44 ,$316.00 ,$316.00 ,$82.16 ,$205.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000188,99281,HC ER LEVEL 1,450,1 ,$360.00 ,$234.00 ,$79.20 ,$360.00 ,$198.00 ,$216.00 ,$216.00 ,$93.60 ,$100.80 ,$175.32 ,$93.60 ,$201.96 ,$90.00 ,$288.00 ,$288.00 ,$93.60 ,$288.00 ,$150.48 ,$244.80 ,$185.20 ,$93.60 ,$360.00 ,$79.20 ,$270.00 ,$255.60 ,$255.60 ,$79.20 ,$255.60 ,$302.40 ,$302.40 ,$302.40 , N/A ,$324.00 ,$198.00 ,$306.00 ,$79.20 ,$360.00 ,$216.00 ,$79.20 ,$149.76 , N/A , N/A ,$93.60 ,$306.00 ,$140.75 ,$288.00 ,$100.80 ,$324.00 ,$360.00 ,$79.20 ,$302.40 ,$360.00 ,$360.00 ,$93.60 ,$234.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000189,99282,HC ER LEVEL 2,450,1 ,$563.00 ,$365.95 ,$123.86 ,$563.00 ,$309.65 ,$337.80 ,$337.80 ,$146.38 ,$157.64 ,$274.18 ,$146.38 ,$315.84 ,$140.75 ,$450.40 ,$450.40 ,$146.38 ,$450.40 ,$235.33 ,$382.84 ,$335.38 ,$146.38 ,$563.00 ,$123.86 ,$422.25 ,$399.73 ,$399.73 ,$123.86 ,$399.73 ,$472.92 ,$472.92 ,$472.92 , N/A ,$506.70 ,$309.65 ,$478.55 ,$123.86 ,$563.00 ,$337.80 ,$123.86 ,$234.21 , N/A , N/A ,$146.38 ,$478.55 ,$254.89 ,$450.40 ,$157.64 ,$506.70 ,$563.00 ,$123.86 ,$472.92 ,$563.00 ,$563.00 ,$146.38 ,$365.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000190,99283,HC ER LEVEL 3,450,1 ,$802.00 ,$521.30 ,$176.44 ,$802.00 ,$441.10 ,$481.20 ,$481.20 ,$208.52 ,$224.56 ,$390.57 ,$208.52 ,$449.92 ,$200.50 ,$641.60 ,$641.60 ,$208.52 ,$641.60 ,$335.24 ,$545.36 ,$590.88 ,$208.52 ,$802.00 ,$176.44 ,$601.50 ,$569.42 ,$569.42 ,$176.44 ,$569.42 ,$673.68 ,$673.68 ,$673.68 , N/A ,$721.80 ,$441.10 ,$681.70 ,$176.44 ,$802.00 ,$481.20 ,$176.44 ,$333.63 , N/A , N/A ,$208.52 ,$681.70 ,$449.07 ,$641.60 ,$224.56 ,$721.80 ,$802.00 ,$176.44 ,$673.68 ,$802.00 ,$802.00 ,$208.52 ,$521.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,222.00 ",$794.30 ,$217.00 ,"$1,222.00 ",$672.10 ,$733.20 ,$733.20 ,$317.72 ,$342.16 ,$595.11 ,$317.72 ,$685.54 ,$305.50 ,$977.60 ,$977.60 ,$317.72 ,$977.60 ,$510.80 ,$830.96 ,$928.80 ,$317.72 ,"$1,222.00 ",$268.84 ,$916.50 ,$867.62 ,$867.62 ,$268.84 ,$867.62 ,"$1,026.48 ","$1,026.48 ","$1,026.48 ", N/A ,"$1,099.80 ",$672.10 ,"$1,038.70 ",$268.84 ,"$1,222.00 ",$733.20 ,$268.84 ,$508.35 ,$238.70 ,$217.00 ,$317.72 ,"$1,038.70 ",$705.89 ,$977.60 ,$342.16 ,"$1,099.80 ","$1,222.00 ",$268.84 ,"$1,026.48 ","$1,222.00 ","$1,222.00 ",$317.72 ,$794.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000192,99285,HC ER LEVEL 5,450,1 ,"$1,739.00 ","$1,130.35 ",$217.00 ,"$1,739.00 ",$956.45 ,"$1,043.40 ","$1,043.40 ",$452.14 ,$486.92 ,$846.89 ,$452.14 ,$975.58 ,$434.75 ,"$1,391.20 ","$1,391.20 ",$452.14 ,"$1,391.20 ",$726.90 ,"$1,182.52 ","$1,333.18 ",$452.14 ,"$1,739.00 ",$382.58 ,"$1,304.25 ","$1,234.69 ","$1,234.69 ",$382.58 ,"$1,234.69 ","$1,460.76 ","$1,460.76 ","$1,460.76 ", N/A ,"$1,565.10 ",$956.45 ,"$1,478.15 ",$382.58 ,"$1,739.00 ","$1,043.40 ",$382.58 ,$723.42 ,$238.70 ,$217.00 ,$452.14 ,"$1,478.15 ","$1,013.21 ","$1,391.20 ",$486.92 ,"$1,565.10 ","$1,739.00 ",$382.58 ,"$1,460.76 ","$1,739.00 ","$1,739.00 ",$452.14 ,"$1,130.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,224.00 ","$1,445.60 ",$217.00 ,"$2,224.00 ","$1,223.20 ","$1,334.40 ","$1,334.40 ",$578.24 ,$622.72 ,"$1,083.09 ",$578.24 ,"$1,247.66 ",$556.00 ,"$1,779.20 ","$1,779.20 ",$578.24 ,"$1,779.20 ",$929.63 ,"$1,512.32 ","$1,901.85 ",$578.24 ,"$2,224.00 ",$489.28 ,"$1,668.00 ","$1,579.04 ","$1,579.04 ",$489.28 ,"$1,579.04 ","$1,868.16 ","$1,868.16 ","$1,868.16 ", N/A ,"$2,001.60 ","$1,223.20 ","$1,890.40 ",$489.28 ,"$2,224.00 ","$1,334.40 ",$489.28 ,$925.18 ,$238.70 ,$217.00 ,$578.24 ,"$1,890.40 ","$1,445.41 ","$1,779.20 ",$622.72 ,"$2,001.60 ","$2,224.00 ",$489.28 ,"$1,868.16 ","$2,224.00 ","$2,224.00 ",$578.24 ,"$1,445.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$845.00 ,$549.25 ,$185.90 ,$845.00 ,$464.75 ,$507.00 ,$507.00 ,$219.70 ,$236.60 ,$411.52 ,$219.70 ,$474.05 ,$211.25 ,$676.00 ,$676.00 ,$219.70 ,$676.00 ,$353.21 ,$574.60 , N/A ,$219.70 ,$845.00 ,$185.90 ,$633.75 ,$599.95 ,$599.95 ,$185.90 ,$599.95 ,$709.80 ,$709.80 ,$709.80 , N/A ,$760.50 ,$464.75 ,$718.25 ,$185.90 ,$845.00 ,$507.00 ,$185.90 ,$351.52 , N/A , N/A ,$219.70 ,$718.25 , N/A ,$676.00 ,$236.60 ,$760.50 ,$845.00 ,$185.90 ,$709.80 ,$500.00 ,$500.00 ,$219.70 ,$549.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,$370.00 ,$240.50 ,$81.40 ,"$3,556.28 ",$203.50 ,$222.00 ,$222.00 ,$96.20 ,$103.60 ,$180.19 ,$96.20 ,$207.57 ,$92.50 ,$296.00 ,$296.00 ,$96.20 ,$296.00 ,$154.66 ,$251.60 ,"$3,556.28 ",$96.20 ,$370.00 ,$81.40 ,$277.50 ,$262.70 ,$262.70 ,$81.40 ,$262.70 ,$310.80 ,$310.80 ,$310.80 , N/A ,$333.00 ,$203.50 ,$314.50 ,$81.40 ,$370.00 ,$222.00 ,$81.40 ,$153.92 , N/A , N/A ,$96.20 ,$314.50 ,"$2,702.77 ",$296.00 ,$103.60 ,$333.00 ,$370.00 ,$81.40 ,$310.80 ,$370.00 ,$370.00 ,$96.20 ,$240.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000197,26700,HC TX DISL (M-P) W/O ANES CLS,450,1 ,$377.00 ,$245.05 ,$82.94 ,$526.25 ,$207.35 ,$226.20 ,$226.20 ,$98.02 ,$105.56 ,$183.60 ,$98.02 ,$211.50 ,$94.25 ,$301.60 ,$301.60 ,$98.02 ,$301.60 ,$157.59 ,$256.36 ,$526.25 ,$98.02 ,$377.00 ,$82.94 ,$282.75 ,$267.67 ,$267.67 ,$82.94 ,$267.67 ,$316.68 ,$316.68 ,$316.68 , N/A ,$339.30 ,$207.35 ,$320.45 ,$82.94 ,$377.00 ,$226.20 ,$82.94 ,$156.83 , N/A , N/A ,$98.02 ,$320.45 ,$399.95 ,$301.60 ,$105.56 ,$339.30 ,$377.00 ,$82.94 ,$316.68 ,$377.00 ,$377.00 ,$98.02 ,$245.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000200,35206,HC RPR VESSEL EXTREM UPR,450,1 ,"$3,678.00 ","$2,390.70 ",$500.00 ,"$7,309.08 ","$2,022.90 ","$2,206.80 ","$2,206.80 ",$956.28 ,"$1,029.84 ","$1,791.19 ",$956.28 ,"$2,063.36 ",$919.50 ,"$2,942.40 ","$2,942.40 ",$956.28 ,"$2,942.40 ","$1,537.40 ","$2,501.04 ","$7,309.08 ",$956.28 ,"$3,678.00 ",$809.16 ,"$2,758.50 ","$2,611.38 ","$2,611.38 ",$809.16 ,"$2,611.38 ","$3,089.52 ","$3,089.52 ","$3,089.52 ", N/A ,"$3,310.20 ","$2,022.90 ","$3,126.30 ",$809.16 ,"$3,678.00 ","$2,206.80 ",$809.16 ,"$1,530.05 ", N/A , N/A ,$956.28 ,"$3,126.30 ","$5,554.90 ","$2,942.40 ","$1,029.84 ","$3,310.20 ","$3,678.00 ",$809.16 ,"$3,089.52 ",$500.00 ,$500.00 ,$956.28 ,"$2,390.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000203,27840,HC TX DISL ANKE W/O ANES CLS,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,"$4,221.00 ","$2,743.65 ",$500.00 ,"$4,221.00 ","$2,321.55 ","$2,532.60 ","$2,532.60 ","$1,097.46 ","$1,181.88 ","$2,055.63 ","$1,097.46 ","$2,367.98 ","$1,055.25 ","$3,376.80 ","$3,376.80 ","$1,097.46 ","$3,376.80 ","$1,764.38 ","$2,870.28 ","$3,592.48 ","$1,097.46 ","$4,221.00 ",$928.62 ,"$3,165.75 ","$2,996.91 ","$2,996.91 ",$928.62 ,"$2,996.91 ","$3,545.64 ","$3,545.64 ","$3,545.64 ", N/A ,"$3,798.90 ","$2,321.55 ","$3,587.85 ",$928.62 ,"$4,221.00 ","$2,532.60 ",$928.62 ,"$1,755.94 ", N/A , N/A ,"$1,097.46 ","$3,587.85 ","$2,730.28 ","$3,376.80 ","$1,181.88 ","$3,798.90 ","$4,221.00 ",$928.62 ,"$3,545.64 ",$500.00 ,$500.00 ,"$1,097.46 ","$2,743.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$4,177.00 ","$2,715.05 ",$500.00 ,"$4,177.00 ","$2,297.35 ","$2,506.20 ","$2,506.20 ","$1,086.02 ","$1,169.56 ","$2,034.20 ","$1,086.02 ","$2,343.30 ","$1,044.25 ","$3,341.60 ","$3,341.60 ","$1,086.02 ","$3,341.60 ","$1,745.99 ","$2,840.36 ","$3,556.28 ","$1,086.02 ","$4,177.00 ",$918.94 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$918.94 ,"$2,965.67 ","$3,508.68 ","$3,508.68 ","$3,508.68 ", N/A ,"$3,759.30 ","$2,297.35 ","$3,550.45 ",$918.94 ,"$4,177.00 ","$2,506.20 ",$918.94 ,"$1,737.63 ", N/A , N/A ,"$1,086.02 ","$3,550.45 ","$2,702.77 ","$3,341.60 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$918.94 ,"$3,508.68 ",$500.00 ,$500.00 ,"$1,086.02 ","$2,715.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$865.00 ,$562.25 ,$190.30 ,$865.00 ,$475.75 ,$519.00 ,$519.00 ,$224.90 ,$242.20 ,$421.26 ,$224.90 ,$485.27 ,$216.25 ,$692.00 ,$692.00 ,$224.90 ,$692.00 ,$361.57 ,$588.20 ,$814.10 ,$224.90 ,$865.00 ,$190.30 ,$648.75 ,$614.15 ,$614.15 ,$190.30 ,$614.15 ,$726.60 ,$726.60 ,$726.60 , N/A ,$778.50 ,$475.75 ,$735.25 ,$190.30 ,$865.00 ,$519.00 ,$190.30 ,$359.84 , N/A , N/A ,$224.90 ,$735.25 ,$618.72 ,$692.00 ,$242.20 ,$778.50 ,$865.00 ,$190.30 ,$726.60 ,$500.00 ,$500.00 ,$224.90 ,$562.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$370.00 ,$240.50 ,$81.40 ,"$3,556.28 ",$203.50 ,$222.00 ,$222.00 ,$96.20 ,$103.60 ,$180.19 ,$96.20 ,$207.57 ,$92.50 ,$296.00 ,$296.00 ,$96.20 ,$296.00 ,$154.66 ,$251.60 ,"$3,556.28 ",$96.20 ,$370.00 ,$81.40 ,$277.50 ,$262.70 ,$262.70 ,$81.40 ,$262.70 ,$310.80 ,$310.80 ,$310.80 , N/A ,$333.00 ,$203.50 ,$314.50 ,$81.40 ,$370.00 ,$222.00 ,$81.40 ,$153.92 , N/A , N/A ,$96.20 ,$314.50 ,"$2,702.77 ",$296.00 ,$103.60 ,$333.00 ,$370.00 ,$81.40 ,$310.80 ,$370.00 ,$370.00 ,$96.20 ,$240.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000221,10121,HC RM FB SUBQ W/INC COMPL,450,1 ,"$1,819.00 ","$1,182.35 ",$400.18 ,"$3,592.48 ","$1,000.45 ","$1,091.40 ","$1,091.40 ",$472.94 ,$509.32 ,$885.85 ,$472.94 ,"$1,020.46 ",$454.75 ,"$1,455.20 ","$1,455.20 ",$472.94 ,"$1,455.20 ",$760.34 ,"$1,236.92 ","$3,592.48 ",$472.94 ,"$1,819.00 ",$400.18 ,"$1,364.25 ","$1,291.49 ","$1,291.49 ",$400.18 ,"$1,291.49 ","$1,527.96 ","$1,527.96 ","$1,527.96 ", N/A ,"$1,637.10 ","$1,000.45 ","$1,546.15 ",$400.18 ,"$1,819.00 ","$1,091.40 ",$400.18 ,$756.70 , N/A , N/A ,$472.94 ,"$1,546.15 ","$2,730.28 ","$1,455.20 ",$509.32 ,"$1,637.10 ","$1,819.00 ",$400.18 ,"$1,527.96 ",$500.00 ,$500.00 ,$472.94 ,"$1,182.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000223,25635,HC CLSD CARPAL BONE W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,"$3,556.28 ",$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,"$3,556.28 ",$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,"$2,702.77 ",$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000226,23505,HC CLOSED CLAVICLE FX W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,"$3,556.28 ",$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,"$3,556.28 ",$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,"$2,702.77 ",$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$587.00 ,$381.55 ,$129.14 ,$587.00 ,$322.85 ,$352.20 ,$352.20 ,$152.62 ,$164.36 ,$285.87 ,$152.62 ,$329.31 ,$146.75 ,$469.60 ,$469.60 ,$152.62 ,$469.60 ,$245.37 ,$399.16 ,$526.25 ,$152.62 ,$587.00 ,$129.14 ,$440.25 ,$416.77 ,$416.77 ,$129.14 ,$416.77 ,$493.08 ,$493.08 ,$493.08 , N/A ,$528.30 ,$322.85 ,$498.95 ,$129.14 ,$587.00 ,$352.20 ,$129.14 ,$244.19 , N/A , N/A ,$152.62 ,$498.95 ,$399.95 ,$469.60 ,$164.36 ,$528.30 ,$587.00 ,$129.14 ,$493.08 ,$500.00 ,$500.00 ,$152.62 ,$381.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$360.00 ,$234.00 ,$79.20 ,$526.25 ,$198.00 ,$216.00 ,$216.00 ,$93.60 ,$100.80 ,$175.32 ,$93.60 ,$201.96 ,$90.00 ,$288.00 ,$288.00 ,$93.60 ,$288.00 ,$150.48 ,$244.80 ,$526.25 ,$93.60 ,$360.00 ,$79.20 ,$270.00 ,$255.60 ,$255.60 ,$79.20 ,$255.60 ,$302.40 ,$302.40 ,$302.40 , N/A ,$324.00 ,$198.00 ,$306.00 ,$79.20 ,$360.00 ,$216.00 ,$79.20 ,$149.76 , N/A , N/A ,$93.60 ,$306.00 ,$399.95 ,$288.00 ,$100.80 ,$324.00 ,$360.00 ,$79.20 ,$302.40 ,$360.00 ,$360.00 ,$93.60 ,$234.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$3,556.28 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$3,556.28 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$2,702.77 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000231,25505,HC RADIUS FX W MANIP,450,1 ,$490.00 ,$318.50 ,$107.80 ,"$3,556.28 ",$269.50 ,$294.00 ,$294.00 ,$127.40 ,$137.20 ,$238.63 ,$127.40 ,$274.89 ,$122.50 ,$392.00 ,$392.00 ,$127.40 ,$392.00 ,$204.82 ,$333.20 ,"$3,556.28 ",$127.40 ,$490.00 ,$107.80 ,$367.50 ,$347.90 ,$347.90 ,$107.80 ,$347.90 ,$411.60 ,$411.60 ,$411.60 , N/A ,$441.00 ,$269.50 ,$416.50 ,$107.80 ,$490.00 ,$294.00 ,$107.80 ,$203.84 , N/A , N/A ,$127.40 ,$416.50 ,"$2,702.77 ",$392.00 ,$137.20 ,$441.00 ,$490.00 ,$107.80 ,$411.60 ,$490.00 ,$490.00 ,$127.40 ,$318.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,$587.00 ,$381.55 ,$129.14 ,$587.00 ,$322.85 ,$352.20 ,$352.20 ,$152.62 ,$164.36 ,$285.87 ,$152.62 ,$329.31 ,$146.75 ,$469.60 ,$469.60 ,$152.62 ,$469.60 ,$245.37 ,$399.16 ,$526.25 ,$152.62 ,$587.00 ,$129.14 ,$440.25 ,$416.77 ,$416.77 ,$129.14 ,$416.77 ,$493.08 ,$493.08 ,$493.08 , N/A ,$528.30 ,$322.85 ,$498.95 ,$129.14 ,$587.00 ,$352.20 ,$129.14 ,$244.19 , N/A , N/A ,$152.62 ,$498.95 ,$399.95 ,$469.60 ,$164.36 ,$528.30 ,$587.00 ,$129.14 ,$493.08 ,$500.00 ,$500.00 ,$152.62 ,$381.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,"$1,525.00 ",$991.25 ,$335.50 ,"$1,525.00 ",$838.75 ,$915.00 ,$915.00 ,$396.50 ,$427.00 ,$742.68 ,$396.50 ,$855.53 ,$381.25 ,"$1,220.00 ","$1,220.00 ",$396.50 ,"$1,220.00 ",$637.45 ,"$1,037.00 ",$526.25 ,$396.50 ,"$1,525.00 ",$335.50 ,"$1,143.75 ","$1,082.75 ","$1,082.75 ",$335.50 ,"$1,082.75 ","$1,281.00 ","$1,281.00 ","$1,281.00 ", N/A ,"$1,372.50 ",$838.75 ,"$1,296.25 ",$335.50 ,"$1,525.00 ",$915.00 ,$335.50 ,$634.40 , N/A , N/A ,$396.50 ,"$1,296.25 ",$399.95 ,"$1,220.00 ",$427.00 ,"$1,372.50 ","$1,525.00 ",$335.50 ,"$1,281.00 ",$500.00 ,$500.00 ,$396.50 ,$991.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000244,28495,HC GREAT TOE RED FX,510,1 ,$327.00 ,$212.55 ,$71.94 ,$964.05 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$152.11 ,$136.69 , N/A ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 ,$964.05 ,$876.41 ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$115.00 ,$115.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$615.00 ,$399.75 ,$135.30 ,$615.00 ,$338.25 ,$369.00 ,$369.00 ,$159.90 ,$172.20 ,$299.51 ,$159.90 ,$345.02 ,$153.75 ,$492.00 ,$492.00 ,$159.90 ,$492.00 ,$257.07 ,$418.20 ,$526.25 ,$159.90 ,$615.00 ,$135.30 ,$461.25 ,$436.65 ,$436.65 ,$135.30 ,$436.65 ,$516.60 ,$516.60 ,$516.60 , N/A ,$553.50 ,$338.25 ,$522.75 ,$135.30 ,$615.00 ,$369.00 ,$135.30 ,$255.84 , N/A , N/A ,$159.90 ,$522.75 ,$399.95 ,$492.00 ,$172.20 ,$553.50 ,$615.00 ,$135.30 ,$516.60 ,$500.00 ,$500.00 ,$159.90 ,$399.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000249,28515,HC TOE FX W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000258,29345,HC LONG LEG CAST,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000259,28630,HC FOOT DISCL W/O ANES,450,1 ,$607.00 ,$394.55 ,$133.54 ,$607.00 ,$333.85 ,$364.20 ,$364.20 ,$157.82 ,$169.96 ,$295.61 ,$157.82 ,$340.53 ,$151.75 ,$485.60 ,$485.60 ,$157.82 ,$485.60 ,$253.73 ,$412.76 ,$526.25 ,$157.82 ,$607.00 ,$133.54 ,$455.25 ,$430.97 ,$430.97 ,$133.54 ,$430.97 ,$509.88 ,$509.88 ,$509.88 , N/A ,$546.30 ,$333.85 ,$515.95 ,$133.54 ,$607.00 ,$364.20 ,$133.54 ,$252.51 , N/A , N/A ,$157.82 ,$515.95 ,$399.95 ,$485.60 ,$169.96 ,$546.30 ,$607.00 ,$133.54 ,$509.88 ,$500.00 ,$500.00 ,$157.82 ,$394.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000270,20606,HC ARTHROCNT ASP/INJ JT INTRM W/ULTRA,450,1 ,"$1,702.00 ","$1,106.30 ",$374.44 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,361.60 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 , N/A , N/A ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$500.00 ,$500.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$225.00 ,$146.25 ,$6.00 ,$225.00 ,$123.75 ,$135.00 ,$135.00 ,$58.50 ,$63.00 ,$109.58 ,$58.50 ,$126.23 ,$56.25 ,$180.00 ,$180.00 ,$58.50 ,$180.00 ,$94.05 ,$153.00 ,$142.13 ,$58.50 ,$225.00 ,$49.50 ,$168.75 ,$159.75 ,$159.75 ,$49.50 ,$159.75 ,$189.00 ,$189.00 ,$189.00 , N/A ,$202.50 ,$123.75 ,$191.25 ,$49.50 ,$225.00 ,$135.00 ,$49.50 ,$93.60 , N/A , N/A ,$58.50 ,$191.25 ,$108.02 ,$180.00 ,$63.00 ,$202.50 ,$6.00 ,$49.50 ,$189.00 ,$225.00 ,$225.00 ,$58.50 ,$146.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$150.00 ,$97.50 ,$6.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$120.00 ,$62.70 ,$102.00 ,$142.13 ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 ,$108.02 ,$120.00 ,$42.00 ,$135.00 ,$6.00 ,$33.00 ,$126.00 ,$150.00 ,$150.00 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000287,11402,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,450,1 ,"$1,538.00 ",$999.70 ,$338.36 ,"$1,588.85 ",$845.90 ,$922.80 ,$922.80 ,$399.88 ,$430.64 ,$749.01 ,$399.88 ,$862.82 ,$384.50 ,"$1,230.40 ","$1,230.40 ",$399.88 ,"$1,230.40 ",$642.88 ,"$1,045.84 ","$1,588.85 ",$399.88 ,"$1,538.00 ",$338.36 ,"$1,153.50 ","$1,091.98 ","$1,091.98 ",$338.36 ,"$1,091.98 ","$1,291.92 ","$1,291.92 ","$1,291.92 ", N/A ,"$1,384.20 ",$845.90 ,"$1,307.30 ",$338.36 ,"$1,538.00 ",$922.80 ,$338.36 ,$639.81 , N/A , N/A ,$399.88 ,"$1,307.30 ","$1,207.53 ","$1,230.40 ",$430.64 ,"$1,384.20 ","$1,538.00 ",$338.36 ,"$1,291.92 ",$500.00 ,$500.00 ,$399.88 ,$999.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000288,11403,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,450,1 ,"$2,243.00 ","$1,457.95 ",$493.46 ,"$2,243.00 ","$1,233.65 ","$1,345.80 ","$1,345.80 ",$583.18 ,$628.04 ,"$1,092.34 ",$583.18 ,"$1,258.32 ",$560.75 ,"$1,794.40 ","$1,794.40 ",$583.18 ,"$1,794.40 ",$937.57 ,"$1,525.24 ","$1,588.85 ",$583.18 ,"$2,243.00 ",$493.46 ,"$1,682.25 ","$1,592.53 ","$1,592.53 ",$493.46 ,"$1,592.53 ","$1,884.12 ","$1,884.12 ","$1,884.12 ", N/A ,"$2,018.70 ","$1,233.65 ","$1,906.55 ",$493.46 ,"$2,243.00 ","$1,345.80 ",$493.46 ,$933.09 , N/A , N/A ,$583.18 ,"$1,906.55 ","$1,207.53 ","$1,794.40 ",$628.04 ,"$2,018.70 ","$2,243.00 ",$493.46 ,"$1,884.12 ",$500.00 ,$500.00 ,$583.18 ,"$1,457.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000290,11420,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,450,1 ,"$1,826.00 ","$1,186.90 ",$401.72 ,"$3,592.48 ","$1,004.30 ","$1,095.60 ","$1,095.60 ",$474.76 ,$511.28 ,$889.26 ,$474.76 ,"$1,024.39 ",$456.50 ,"$1,460.80 ","$1,460.80 ",$474.76 ,"$1,460.80 ",$763.27 ,"$1,241.68 ","$3,592.48 ",$474.76 ,"$1,826.00 ",$401.72 ,"$1,369.50 ","$1,296.46 ","$1,296.46 ",$401.72 ,"$1,296.46 ","$1,533.84 ","$1,533.84 ","$1,533.84 ", N/A ,"$1,643.40 ","$1,004.30 ","$1,552.10 ",$401.72 ,"$1,826.00 ","$1,095.60 ",$401.72 ,$759.62 , N/A , N/A ,$474.76 ,"$1,552.10 ","$2,730.28 ","$1,460.80 ",$511.28 ,"$1,643.40 ","$1,826.00 ",$401.72 ,"$1,533.84 ",$500.00 ,$500.00 ,$474.76 ,"$1,186.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000296,20100,HC EXPLORE WOUND NECK,450,1 ,$540.00 ,$351.00 ,$118.80 ,"$1,154.75 ",$297.00 ,$324.00 ,$324.00 ,$140.40 ,$151.20 ,$262.98 ,$140.40 ,$302.94 ,$135.00 ,$432.00 ,$432.00 ,$140.40 ,$432.00 ,$225.72 ,$367.20 ,"$1,154.75 ",$140.40 ,$540.00 ,$118.80 ,$405.00 ,$383.40 ,$383.40 ,$118.80 ,$383.40 ,$453.60 ,$453.60 ,$453.60 , N/A ,$486.00 ,$297.00 ,$459.00 ,$118.80 ,$540.00 ,$324.00 ,$118.80 ,$224.64 , N/A , N/A ,$140.40 ,$459.00 ,$877.61 ,$432.00 ,$151.20 ,$486.00 ,$540.00 ,$118.80 ,$453.60 ,$500.00 ,$500.00 ,$140.40 ,$351.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,"$2,718.00 ","$1,766.70 ",$500.00 ,"$3,592.48 ","$1,494.90 ","$1,630.80 ","$1,630.80 ",$706.68 ,$761.04 ,"$1,323.67 ",$706.68 ,"$1,524.80 ",$679.50 ,"$2,174.40 ","$2,174.40 ",$706.68 ,"$2,174.40 ","$1,136.12 ","$1,848.24 ","$3,592.48 ",$706.68 ,"$2,718.00 ",$597.96 ,"$2,038.50 ","$1,929.78 ","$1,929.78 ",$597.96 ,"$1,929.78 ","$2,283.12 ","$2,283.12 ","$2,283.12 ", N/A ,"$2,446.20 ","$1,494.90 ","$2,310.30 ",$597.96 ,"$2,718.00 ","$1,630.80 ",$597.96 ,"$1,130.69 ", N/A , N/A ,$706.68 ,"$2,310.30 ","$2,730.28 ","$2,174.40 ",$761.04 ,"$2,446.20 ","$2,718.00 ",$597.96 ,"$2,283.12 ",$500.00 ,$500.00 ,$706.68 ,"$1,766.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,"$1,812.00 ","$1,177.80 ",$398.64 ,"$3,592.48 ",$996.60 ,"$1,087.20 ","$1,087.20 ",$471.12 ,$507.36 ,$882.44 ,$471.12 ,"$1,016.53 ",$453.00 ,"$1,449.60 ","$1,449.60 ",$471.12 ,"$1,449.60 ",$757.42 ,"$1,232.16 ","$3,592.48 ",$471.12 ,"$1,812.00 ",$398.64 ,"$1,359.00 ","$1,286.52 ","$1,286.52 ",$398.64 ,"$1,286.52 ","$1,522.08 ","$1,522.08 ","$1,522.08 ", N/A ,"$1,630.80 ",$996.60 ,"$1,540.20 ",$398.64 ,"$1,812.00 ","$1,087.20 ",$398.64 ,$753.79 , N/A , N/A ,$471.12 ,"$1,540.20 ","$2,730.28 ","$1,449.60 ",$507.36 ,"$1,630.80 ","$1,812.00 ",$398.64 ,"$1,522.08 ",$500.00 ,$500.00 ,$471.12 ,"$1,177.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$128.00 ,$83.20 ,$28.16 ,$420.30 ,$70.40 ,$76.80 ,$76.80 ,$33.28 ,$35.84 ,$62.34 ,$33.28 ,$71.81 ,$32.00 ,$102.40 ,$102.40 ,$33.28 ,$102.40 ,$53.50 ,$87.04 ,$420.30 ,$33.28 ,$128.00 ,$28.16 ,$96.00 ,$90.88 ,$90.88 ,$28.16 ,$90.88 ,$107.52 ,$107.52 ,$107.52 , N/A ,$115.20 ,$70.40 ,$108.80 ,$28.16 ,$128.00 ,$76.80 ,$28.16 ,$53.25 , N/A , N/A ,$33.28 ,$108.80 ,$319.43 ,$102.40 ,$35.84 ,$115.20 ,$128.00 ,$28.16 ,$107.52 ,$128.00 ,$128.00 ,$33.28 ,$83.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000322,23330,HC REMOVE FOREIGN BODY SHOULDER SUBQ,450,1 ,$920.00 ,$598.00 ,$202.40 ,"$1,588.85 ",$506.00 ,$552.00 ,$552.00 ,$239.20 ,$257.60 ,$448.04 ,$239.20 ,$516.12 ,$230.00 ,$736.00 ,$736.00 ,$239.20 ,$736.00 ,$384.56 ,$625.60 ,"$1,588.85 ",$239.20 ,$920.00 ,$202.40 ,$690.00 ,$653.20 ,$653.20 ,$202.40 ,$653.20 ,$772.80 ,$772.80 ,$772.80 , N/A ,$828.00 ,$506.00 ,$782.00 ,$202.40 ,$920.00 ,$552.00 ,$202.40 ,$382.72 , N/A , N/A ,$239.20 ,$782.00 ,"$1,207.53 ",$736.00 ,$257.60 ,$828.00 ,$920.00 ,$202.40 ,$772.80 ,$500.00 ,$500.00 ,$239.20 ,$598.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000325,24655,HC CLOSED TX FX RADIAL HEAD/NECK W/MANIP,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$3,556.28 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$3,556.28 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$2,702.77 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000327,26765,HC TX FX OPEN FINGER/THUMB W/INT FIX EACH,450,1 ,"$4,796.00 ","$3,117.40 ",$500.00 ,"$7,230.70 ","$2,637.80 ","$2,877.60 ","$2,877.60 ","$1,246.96 ","$1,342.88 ","$2,335.65 ","$1,246.96 ","$2,690.56 ","$1,199.00 ","$3,836.80 ","$3,836.80 ","$1,246.96 ","$3,836.80 ","$2,004.73 ","$3,261.28 ","$7,230.70 ","$1,246.96 ","$4,796.00 ","$1,055.12 ","$3,597.00 ","$3,405.16 ","$3,405.16 ","$1,055.12 ","$3,405.16 ","$4,028.64 ","$4,028.64 ","$4,028.64 ", N/A ,"$4,316.40 ","$2,637.80 ","$4,076.60 ","$1,055.12 ","$4,796.00 ","$2,877.60 ","$1,055.12 ","$1,995.14 ", N/A , N/A ,"$1,246.96 ","$4,076.60 ","$5,495.33 ","$3,836.80 ","$1,342.88 ","$4,316.40 ","$4,796.00 ","$1,055.12 ","$4,028.64 ",$500.00 ,$500.00 ,"$1,246.96 ","$3,117.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$327.00 ,$212.55 ,$71.94 ,$526.25 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$370.00 ,$240.50 ,$81.40 ,"$3,556.28 ",$203.50 ,$222.00 ,$222.00 ,$96.20 ,$103.60 ,$180.19 ,$96.20 ,$207.57 ,$92.50 ,$296.00 ,$296.00 ,$96.20 ,$296.00 ,$154.66 ,$251.60 ,"$3,556.28 ",$96.20 ,$370.00 ,$81.40 ,$277.50 ,$262.70 ,$262.70 ,$81.40 ,$262.70 ,$310.80 ,$310.80 ,$310.80 , N/A ,$333.00 ,$203.50 ,$314.50 ,$81.40 ,$370.00 ,$222.00 ,$81.40 ,$153.92 , N/A , N/A ,$96.20 ,$314.50 ,"$2,702.77 ",$296.00 ,$103.60 ,$333.00 ,$370.00 ,$81.40 ,$310.80 ,$370.00 ,$370.00 ,$96.20 ,$240.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$555.00 ,$360.75 ,$122.10 ,"$3,556.28 ",$305.25 ,$333.00 ,$333.00 ,$144.30 ,$155.40 ,$270.29 ,$144.30 ,$311.36 ,$138.75 ,$444.00 ,$444.00 ,$144.30 ,$444.00 ,$231.99 ,$377.40 ,"$3,556.28 ",$144.30 ,$555.00 ,$122.10 ,$416.25 ,$394.05 ,$394.05 ,$122.10 ,$394.05 ,$466.20 ,$466.20 ,$466.20 , N/A ,$499.50 ,$305.25 ,$471.75 ,$122.10 ,$555.00 ,$333.00 ,$122.10 ,$230.88 , N/A , N/A ,$144.30 ,$471.75 ,"$2,702.77 ",$444.00 ,$155.40 ,$499.50 ,$555.00 ,$122.10 ,$466.20 ,$500.00 ,$500.00 ,$144.30 ,$360.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$370.00 ,$240.50 ,$81.40 ,$526.25 ,$203.50 ,$222.00 ,$222.00 ,$96.20 ,$103.60 ,$180.19 ,$96.20 ,$207.57 ,$92.50 ,$296.00 ,$296.00 ,$96.20 ,$296.00 ,$154.66 ,$251.60 ,$526.25 ,$96.20 ,$370.00 ,$81.40 ,$277.50 ,$262.70 ,$262.70 ,$81.40 ,$262.70 ,$310.80 ,$310.80 ,$310.80 , N/A ,$333.00 ,$203.50 ,$314.50 ,$81.40 ,$370.00 ,$222.00 ,$81.40 ,$153.92 , N/A , N/A ,$96.20 ,$314.50 ,$399.95 ,$296.00 ,$103.60 ,$333.00 ,$370.00 ,$81.40 ,$310.80 ,$370.00 ,$370.00 ,$96.20 ,$240.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000333,29200,HC STRAPPING THORAX,450,1 ,$139.00 ,$90.35 ,$30.58 ,$360.73 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$111.20 ,$58.10 ,$94.52 ,$360.73 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 , N/A , N/A ,$36.14 ,$118.15 ,$274.15 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$139.00 ,$139.00 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000335,29530,HC STRAPPING KNEE,450,1 ,$165.00 ,$107.25 ,$36.30 ,$287.90 ,$90.75 ,$99.00 ,$99.00 ,$42.90 ,$46.20 ,$80.36 ,$42.90 ,$92.57 ,$41.25 ,$132.00 ,$132.00 ,$42.90 ,$132.00 ,$68.97 ,$112.20 ,$287.90 ,$42.90 ,$165.00 ,$36.30 ,$123.75 ,$117.15 ,$117.15 ,$36.30 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$90.75 ,$140.25 ,$36.30 ,$165.00 ,$99.00 ,$36.30 ,$68.64 , N/A , N/A ,$42.90 ,$140.25 ,$218.80 ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$36.30 ,$138.60 ,$165.00 ,$165.00 ,$42.90 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000336,29550,HC STRAPPING TOES,450,1 ,$139.00 ,$90.35 ,$30.58 ,$142.13 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$111.20 ,$58.10 ,$94.52 ,$142.13 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 , N/A , N/A ,$36.14 ,$118.15 ,$108.02 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$139.00 ,$139.00 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$635.00 ,$412.75 ,$139.70 ,$635.00 ,$349.25 ,$381.00 ,$381.00 ,$165.10 ,$177.80 ,$309.25 ,$165.10 ,$356.24 ,$158.75 ,$508.00 ,$508.00 ,$165.10 ,$508.00 ,$265.43 ,$431.80 ,$540.18 ,$165.10 ,$635.00 ,$139.70 ,$476.25 ,$450.85 ,$450.85 ,$139.70 ,$450.85 ,$533.40 ,$533.40 ,$533.40 , N/A ,$571.50 ,$349.25 ,$539.75 ,$139.70 ,$635.00 ,$381.00 ,$139.70 ,$264.16 , N/A , N/A ,$165.10 ,$539.75 ,$410.53 ,$508.00 ,$177.80 ,$571.50 ,$635.00 ,$139.70 ,$533.40 ,$500.00 ,$500.00 ,$165.10 ,$412.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,"$4,177.00 ","$2,715.05 ",$500.00 ,"$4,177.00 ","$2,297.35 ","$2,506.20 ","$2,506.20 ","$1,086.02 ","$1,169.56 ","$2,034.20 ","$1,086.02 ","$2,343.30 ","$1,044.25 ","$3,341.60 ","$3,341.60 ","$1,086.02 ","$3,341.60 ","$1,745.99 ","$2,840.36 ","$3,556.28 ","$1,086.02 ","$4,177.00 ",$918.94 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$918.94 ,"$2,965.67 ","$3,508.68 ","$3,508.68 ","$3,508.68 ", N/A ,"$3,759.30 ","$2,297.35 ","$3,550.45 ",$918.94 ,"$4,177.00 ","$2,506.20 ",$918.94 ,"$1,737.63 ", N/A , N/A ,"$1,086.02 ","$3,550.45 ","$2,702.77 ","$3,341.60 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$918.94 ,"$3,508.68 ",$500.00 ,$500.00 ,"$1,086.02 ","$2,715.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000347,28665,HC CLSD TX DISLOC (I-P) JOINT W/ANES,450,1 ,$971.00 ,$631.15 ,$213.62 ,$971.00 ,$534.05 ,$582.60 ,$582.60 ,$252.46 ,$271.88 ,$472.88 ,$252.46 ,$544.73 ,$242.75 ,$776.80 ,$776.80 ,$252.46 ,$776.80 ,$405.88 ,$660.28 ,$615.95 ,$252.46 ,$971.00 ,$213.62 ,$728.25 ,$689.41 ,$689.41 ,$213.62 ,$689.41 ,$815.64 ,$815.64 ,$815.64 , N/A ,$873.90 ,$534.05 ,$825.35 ,$213.62 ,$971.00 ,$582.60 ,$213.62 ,$403.94 , N/A , N/A ,$252.46 ,$825.35 ,$468.12 ,$776.80 ,$271.88 ,$873.90 ,$971.00 ,$213.62 ,$815.64 ,$500.00 ,$500.00 ,$252.46 ,$631.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000349,27532,HC CLOSED RX TIB PLAT FX+MANIP,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$7,230.70 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$7,230.70 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$5,495.33 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000350,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-LT,450,1 ,$150.00 ,$97.50 ,$6.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$120.00 ,$62.70 ,$102.00 ,$142.13 ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 ,$108.02 ,$120.00 ,$42.00 ,$135.00 ,$6.00 ,$33.00 ,$126.00 ,$150.00 ,$150.00 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000351,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI-RT,450,1 ,$150.00 ,$97.50 ,$6.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$120.00 ,$62.70 ,$102.00 ,$142.13 ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 ,$108.02 ,$120.00 ,$42.00 ,$135.00 ,$6.00 ,$33.00 ,$126.00 ,$150.00 ,$150.00 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000431,32551,HC TUBE THORACOSTOMY-LT,450,1 ,"$4,893.00 ","$3,180.45 ",$500.00 ,"$4,893.00 ","$2,691.15 ","$2,935.80 ","$2,935.80 ","$1,272.18 ","$1,370.04 ","$2,382.89 ","$1,272.18 ","$2,744.97 ","$1,223.25 ","$3,914.40 ","$3,914.40 ","$1,272.18 ","$3,914.40 ","$2,045.27 ","$3,327.24 ","$3,590.40 ","$1,272.18 ","$4,893.00 ","$1,076.46 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,076.46 ","$3,474.03 ","$4,110.12 ","$4,110.12 ","$4,110.12 ", N/A ,"$4,403.70 ","$2,691.15 ","$4,159.05 ","$1,076.46 ","$4,893.00 ","$2,935.80 ","$1,076.46 ","$2,035.49 ", N/A , N/A ,"$1,272.18 ","$4,159.05 ","$2,728.70 ","$3,914.40 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,076.46 ","$4,110.12 ",$500.00 ,$500.00 ,"$1,272.18 ","$3,180.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000432,32551,HC TUBE THORACOSTOMY-RT,450,1 ,"$4,893.00 ","$3,180.45 ",$500.00 ,"$4,893.00 ","$2,691.15 ","$2,935.80 ","$2,935.80 ","$1,272.18 ","$1,370.04 ","$2,382.89 ","$1,272.18 ","$2,744.97 ","$1,223.25 ","$3,914.40 ","$3,914.40 ","$1,272.18 ","$3,914.40 ","$2,045.27 ","$3,327.24 ","$3,590.40 ","$1,272.18 ","$4,893.00 ","$1,076.46 ","$3,669.75 ","$3,474.03 ","$3,474.03 ","$1,076.46 ","$3,474.03 ","$4,110.12 ","$4,110.12 ","$4,110.12 ", N/A ,"$4,403.70 ","$2,691.15 ","$4,159.05 ","$1,076.46 ","$4,893.00 ","$2,935.80 ","$1,076.46 ","$2,035.49 ", N/A , N/A ,"$1,272.18 ","$4,159.05 ","$2,728.70 ","$3,914.40 ","$1,370.04 ","$4,403.70 ","$4,893.00 ","$1,076.46 ","$4,110.12 ",$500.00 ,$500.00 ,"$1,272.18 ","$3,180.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000439,64450,HC INJ ANES OTHER THAN PERIPHERAL-LT,450,1 ,"$1,702.00 ","$1,106.30 ",$374.44 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,361.60 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 , N/A , N/A ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$500.00 ,$500.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000440,64450,HC INJ ANES OTHER THAN PERIPHERAL-RT,450,1 ,"$1,702.00 ","$1,106.30 ",$374.44 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,361.60 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 , N/A , N/A ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$500.00 ,$500.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000455,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,450,1 ,$211.00 ,$137.15 ,$25.00 ,$211.00 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$102.76 ,$54.86 ,$118.37 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$168.80 ,$88.20 ,$143.48 ,$142.13 ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 , N/A , N/A ,$54.86 ,$179.35 ,$108.02 ,$168.80 ,$59.08 ,$189.90 ,$25.00 ,$46.42 ,$177.24 ,$211.00 ,$211.00 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000456,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,450,1 ,$211.00 ,$137.15 ,$25.00 ,$211.00 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$102.76 ,$54.86 ,$118.37 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$168.80 ,$88.20 ,$143.48 ,$142.13 ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 , N/A , N/A ,$54.86 ,$179.35 ,$108.02 ,$168.80 ,$59.08 ,$189.90 ,$25.00 ,$46.42 ,$177.24 ,$211.00 ,$211.00 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000457,29365,HC APPL CAST CYCLINDER THIGH TO ANKLE,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000462,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ULTRA -LT,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000463,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ULTRA -RT,450,1 ,$713.00 ,$463.45 ,$156.86 ,$713.00 ,$392.15 ,$427.80 ,$427.80 ,$185.38 ,$199.64 ,$347.23 ,$185.38 ,$399.99 ,$178.25 ,$570.40 ,$570.40 ,$185.38 ,$570.40 ,$298.03 ,$484.84 ,$667.08 ,$185.38 ,$713.00 ,$156.86 ,$534.75 ,$506.23 ,$506.23 ,$156.86 ,$506.23 ,$598.92 ,$598.92 ,$598.92 , N/A ,$641.70 ,$392.15 ,$606.05 ,$156.86 ,$713.00 ,$427.80 ,$156.86 ,$296.61 , N/A , N/A ,$185.38 ,$606.05 ,$506.98 ,$570.40 ,$199.64 ,$641.70 ,$713.00 ,$156.86 ,$598.92 ,$500.00 ,$500.00 ,$185.38 ,$463.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000468,23525,HC CLOSED TX STERN-CLAV DISLOC W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$87.00 ,$56.55 ,$19.14 ,$287.90 ,$47.85 ,$52.20 ,$52.20 ,$22.62 ,$24.36 ,$42.37 ,$22.62 ,$48.81 ,$21.75 ,$69.60 ,$69.60 ,$22.62 ,$69.60 ,$36.37 ,$59.16 ,$287.90 ,$22.62 ,$87.00 ,$19.14 ,$65.25 ,$61.77 ,$61.77 ,$19.14 ,$61.77 ,$73.08 ,$73.08 ,$73.08 , N/A ,$78.30 ,$47.85 ,$73.95 ,$19.14 ,$87.00 ,$52.20 ,$19.14 ,$36.19 , N/A , N/A ,$22.62 ,$73.95 ,$218.80 ,$69.60 ,$24.36 ,$78.30 ,$87.00 ,$19.14 ,$73.08 ,$87.00 ,$87.00 ,$22.62 ,$56.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000497,27086,HC REMOVE FB PELVIS/HIP SUBQ TISSUE,450,1 ,$920.00 ,$598.00 ,$202.40 ,"$6,053.88 ",$506.00 ,$552.00 ,$552.00 ,$239.20 ,$257.60 ,$448.04 ,$239.20 ,$516.12 ,$230.00 ,$736.00 ,$736.00 ,$239.20 ,$736.00 ,$384.56 ,$625.60 ,"$6,053.88 ",$239.20 ,$920.00 ,$202.40 ,$690.00 ,$653.20 ,$653.20 ,$202.40 ,$653.20 ,$772.80 ,$772.80 ,$772.80 , N/A ,$828.00 ,$506.00 ,$782.00 ,$202.40 ,$920.00 ,$552.00 ,$202.40 ,$382.72 , N/A , N/A ,$239.20 ,$782.00 ,"$4,600.95 ",$736.00 ,$257.60 ,$828.00 ,$920.00 ,$202.40 ,$772.80 ,$500.00 ,$500.00 ,$239.20 ,$598.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000498,69210,HC REMOVE CERUMEN IMPACTED W/INSTRUMENT-BIL,450,1 ,$316.00 ,$205.40 ,$25.00 ,$316.00 ,$173.80 ,$189.60 ,$189.60 ,$82.16 ,$88.48 ,$153.89 ,$82.16 ,$177.28 ,$79.00 ,$252.80 ,$252.80 ,$82.16 ,$252.80 ,$132.09 ,$214.88 ,$142.13 ,$82.16 ,$316.00 ,$69.52 ,$237.00 ,$224.36 ,$224.36 ,$69.52 ,$224.36 ,$265.44 ,$265.44 ,$265.44 , N/A ,$284.40 ,$173.80 ,$268.60 ,$69.52 ,$316.00 ,$189.60 ,$69.52 ,$131.46 , N/A , N/A ,$82.16 ,$268.60 ,$108.02 ,$252.80 ,$88.48 ,$284.40 ,$25.00 ,$69.52 ,$265.44 ,$316.00 ,$316.00 ,$82.16 ,$205.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000499,26540,HC REPAIR LIGAMENT META/INTER PHAL JOINT,450,1 ,"$2,050.00 ","$1,332.50 ",$451.00 ,"$7,230.70 ","$1,127.50 ","$1,230.00 ","$1,230.00 ",$533.00 ,$574.00 ,$998.35 ,$533.00 ,"$1,150.05 ",$512.50 ,"$1,640.00 ","$1,640.00 ",$533.00 ,"$1,640.00 ",$856.90 ,"$1,394.00 ","$7,230.70 ",$533.00 ,"$2,050.00 ",$451.00 ,"$1,537.50 ","$1,455.50 ","$1,455.50 ",$451.00 ,"$1,455.50 ","$1,722.00 ","$1,722.00 ","$1,722.00 ", N/A ,"$1,845.00 ","$1,127.50 ","$1,742.50 ",$451.00 ,"$2,050.00 ","$1,230.00 ",$451.00 ,$852.80 , N/A , N/A ,$533.00 ,"$1,742.50 ","$5,495.33 ","$1,640.00 ",$574.00 ,"$1,845.00 ","$2,050.00 ",$451.00 ,"$1,722.00 ",$500.00 ,$500.00 ,$533.00 ,"$1,332.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$309.00 ,$200.85 ,$67.98 ,$360.73 ,$169.95 ,$185.40 ,$185.40 ,$80.34 ,$86.52 ,$150.48 ,$80.34 ,$173.35 ,$77.25 ,$247.20 ,$247.20 ,$80.34 ,$247.20 ,$129.16 ,$210.12 ,$360.73 ,$80.34 ,$309.00 ,$67.98 ,$231.75 ,$219.39 ,$219.39 ,$67.98 ,$219.39 ,$259.56 ,$259.56 ,$259.56 , N/A ,$278.10 ,$169.95 ,$262.65 ,$67.98 ,$309.00 ,$185.40 ,$67.98 ,$128.54 , N/A , N/A ,$80.34 ,$262.65 ,$274.15 ,$247.20 ,$86.52 ,$278.10 ,$309.00 ,$67.98 ,$259.56 ,$309.00 ,$309.00 ,$80.34 ,$200.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$309.00 ,$200.85 ,$67.98 ,$360.73 ,$169.95 ,$185.40 ,$185.40 ,$80.34 ,$86.52 ,$150.48 ,$80.34 ,$173.35 ,$77.25 ,$247.20 ,$247.20 ,$80.34 ,$247.20 ,$129.16 ,$210.12 ,$360.73 ,$80.34 ,$309.00 ,$67.98 ,$231.75 ,$219.39 ,$219.39 ,$67.98 ,$219.39 ,$259.56 ,$259.56 ,$259.56 , N/A ,$278.10 ,$169.95 ,$262.65 ,$67.98 ,$309.00 ,$185.40 ,$67.98 ,$128.54 , N/A , N/A ,$80.34 ,$262.65 ,$274.15 ,$247.20 ,$86.52 ,$278.10 ,$309.00 ,$67.98 ,$259.56 ,$309.00 ,$309.00 ,$80.34 ,$200.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,"$7,340.00 ","$4,771.00 ",$500.00 ,"$7,340.00 ","$4,037.00 ","$4,404.00 ","$4,404.00 ","$1,908.40 ","$2,055.20 ","$2,794.50 ","$1,908.40 ","$4,117.74 ","$1,835.00 ","$5,500.00 ","$5,500.00 ","$1,908.40 ","$5,500.00 ","$3,068.12 ","$4,991.20 ","$7,309.08 ","$1,908.40 ","$7,340.00 ","$1,614.80 ","$5,505.00 ","$5,211.40 ","$5,211.40 ","$1,614.80 ","$5,211.40 ","$6,165.60 ","$6,165.60 ","$6,165.60 ", N/A ,"$6,606.00 ","$4,037.00 ","$6,239.00 ","$1,614.80 ","$7,340.00 ","$4,404.00 ","$1,614.80 ","$3,053.44 ", N/A , N/A ,"$1,908.40 ","$6,239.00 ","$5,554.90 ","$5,500.00 ","$2,055.20 ","$6,606.00 ","$7,340.00 ","$1,614.80 ","$6,165.60 ",$500.00 ,$500.00 ,"$1,908.40 ","$4,771.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000516,26775,HC TX DISLOC I-P JOINT W/ANES/MAN,450,1 ,$650.00 ,$422.50 ,$143.00 ,$650.00 ,$357.50 ,$390.00 ,$390.00 ,$169.00 ,$182.00 ,$316.55 ,$169.00 ,$364.65 ,$162.50 ,$520.00 ,$520.00 ,$169.00 ,$520.00 ,$271.70 ,$442.00 ,$615.95 ,$169.00 ,$650.00 ,$143.00 ,$487.50 ,$461.50 ,$461.50 ,$143.00 ,$461.50 ,$546.00 ,$546.00 ,$546.00 , N/A ,$585.00 ,$357.50 ,$552.50 ,$143.00 ,$650.00 ,$390.00 ,$143.00 ,$270.40 , N/A , N/A ,$169.00 ,$552.50 ,$468.12 ,$520.00 ,$182.00 ,$585.00 ,$650.00 ,$143.00 ,$546.00 ,$500.00 ,$500.00 ,$169.00 ,$422.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000518,27200,HC TX FX COCCYGEAL CLOSED,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000529,28600,HC TX FX METATARSAL W/O ANES,450,1 ,$361.00 ,$234.65 ,$79.42 ,$526.25 ,$198.55 ,$216.60 ,$216.60 ,$93.86 ,$101.08 ,$175.81 ,$93.86 ,$202.52 ,$90.25 ,$288.80 ,$288.80 ,$93.86 ,$288.80 ,$150.90 ,$245.48 ,$526.25 ,$93.86 ,$361.00 ,$79.42 ,$270.75 ,$256.31 ,$256.31 ,$79.42 ,$256.31 ,$303.24 ,$303.24 ,$303.24 , N/A ,$324.90 ,$198.55 ,$306.85 ,$79.42 ,$361.00 ,$216.60 ,$79.42 ,$150.18 , N/A , N/A ,$93.86 ,$306.85 ,$399.95 ,$288.80 ,$101.08 ,$324.90 ,$361.00 ,$79.42 ,$303.24 ,$361.00 ,$361.00 ,$93.86 ,$234.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000532,23575,HC TX FX SCAPULA CLOSED W/MANIP W/W/O TRACTION,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$3,556.28 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$3,556.28 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$2,702.77 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000539,22315,HC TX FX/DISLOC VERT CAST/BRACE W/MANIP OR TRACTION,450,1 ,$407.00 ,$264.55 ,$89.54 ,"$7,230.70 ",$223.85 ,$244.20 ,$244.20 ,$105.82 ,$113.96 ,$198.21 ,$105.82 ,$228.33 ,$101.75 ,$325.60 ,$325.60 ,$105.82 ,$325.60 ,$170.13 ,$276.76 ,"$7,230.70 ",$105.82 ,$407.00 ,$89.54 ,$305.25 ,$288.97 ,$288.97 ,$89.54 ,$288.97 ,$341.88 ,$341.88 ,$341.88 , N/A ,$366.30 ,$223.85 ,$345.95 ,$89.54 ,$407.00 ,$244.20 ,$89.54 ,$169.31 , N/A , N/A ,$105.82 ,$345.95 ,"$5,495.33 ",$325.60 ,$113.96 ,$366.30 ,$407.00 ,$89.54 ,$341.88 ,$407.00 ,$407.00 ,$105.82 ,$264.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000548,29425,HC APPLY SHORT LEG CAST WALKING,450,1 ,$292.00 ,$189.80 ,$64.24 ,$615.95 ,$160.60 ,$175.20 ,$175.20 ,$75.92 ,$81.76 ,$142.20 ,$75.92 ,$163.81 ,$73.00 ,$233.60 ,$233.60 ,$75.92 ,$233.60 ,$122.06 ,$198.56 ,$615.95 ,$75.92 ,$292.00 ,$64.24 ,$219.00 ,$207.32 ,$207.32 ,$64.24 ,$207.32 ,$245.28 ,$245.28 ,$245.28 , N/A ,$262.80 ,$160.60 ,$248.20 ,$64.24 ,$292.00 ,$175.20 ,$64.24 ,$121.47 , N/A , N/A ,$75.92 ,$248.20 ,$468.12 ,$233.60 ,$81.76 ,$262.80 ,$292.00 ,$64.24 ,$245.28 ,$292.00 ,$292.00 ,$75.92 ,$189.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$324.00 ,$210.60 ,$71.28 ,$360.73 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$157.79 ,$84.24 ,$181.76 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$259.20 ,$135.43 ,$220.32 ,$360.73 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 , N/A , N/A ,$84.24 ,$275.40 ,$274.15 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$324.00 ,$324.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$324.00 ,$210.60 ,$71.28 ,$360.73 ,$178.20 ,$194.40 ,$194.40 ,$84.24 ,$90.72 ,$157.79 ,$84.24 ,$181.76 ,$81.00 ,$259.20 ,$259.20 ,$84.24 ,$259.20 ,$135.43 ,$220.32 ,$360.73 ,$84.24 ,$324.00 ,$71.28 ,$243.00 ,$230.04 ,$230.04 ,$71.28 ,$230.04 ,$272.16 ,$272.16 ,$272.16 , N/A ,$291.60 ,$178.20 ,$275.40 ,$71.28 ,$324.00 ,$194.40 ,$71.28 ,$134.78 , N/A , N/A ,$84.24 ,$275.40 ,$274.15 ,$259.20 ,$90.72 ,$291.60 ,$324.00 ,$71.28 ,$272.16 ,$324.00 ,$324.00 ,$84.24 ,$210.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45000785,25624,HC TX CARPAL NAVICULAR W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,"$3,556.28 ",$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,"$3,556.28 ",$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,"$2,702.77 ",$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001126,32160,HC THORACOTOMY OPEN HEART MASSAGE,450,1 ,$476.00 ,$309.40 ,$104.72 ,$476.00 ,$261.80 ,$285.60 ,$285.60 ,$123.76 ,$133.28 ,$231.81 ,$123.76 ,$267.04 ,$119.00 ,$380.80 ,$380.80 ,$123.76 ,$380.80 ,$198.97 ,$323.68 , N/A ,$123.76 ,$476.00 ,$104.72 ,$357.00 ,$337.96 ,$337.96 ,$104.72 ,$337.96 ,$399.84 ,$399.84 ,$399.84 , N/A ,$428.40 ,$261.80 ,$404.60 ,$104.72 ,$476.00 ,$285.60 ,$104.72 ,$198.02 , N/A , N/A ,$123.76 ,$404.60 , N/A ,$380.80 ,$133.28 ,$428.40 ,$476.00 ,$104.72 ,$399.84 ,$476.00 ,$476.00 ,$123.76 ,$309.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,380.00 ","$3,497.00 ",$500.00 ,"$5,380.00 ","$2,959.00 ","$3,228.00 ","$3,228.00 ","$1,398.80 ","$1,506.40 ","$2,620.06 ","$1,398.80 ","$3,018.18 ","$1,345.00 ","$4,304.00 ","$4,304.00 ","$1,398.80 ","$4,304.00 ","$2,248.84 ","$3,658.40 ","$4,571.63 ","$1,398.80 ","$5,380.00 ","$1,183.60 ","$4,035.00 ","$3,819.80 ","$3,819.80 ","$1,183.60 ","$3,819.80 ","$4,519.20 ","$4,519.20 ","$4,519.20 ", N/A ,"$4,842.00 ","$2,959.00 ","$4,573.00 ","$1,183.60 ","$5,380.00 ","$3,228.00 ","$1,183.60 ","$2,238.08 ", N/A , N/A ,"$1,398.80 ","$4,573.00 ","$3,474.44 ","$4,304.00 ","$1,506.40 ","$4,842.00 ","$5,380.00 ","$1,183.60 ","$4,519.20 ",$500.00 ,$500.00 ,"$1,398.80 ","$3,497.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$798.00 ,$518.70 ,$175.56 ,$798.00 ,$438.90 ,$478.80 ,$478.80 ,$207.48 ,$223.44 ,$388.63 ,$207.48 ,$447.68 ,$199.50 ,$638.40 ,$638.40 ,$207.48 ,$638.40 ,$333.56 ,$542.64 ,$679.43 ,$207.48 ,$798.00 ,$175.56 ,$598.50 ,$566.58 ,$566.58 ,$175.56 ,$566.58 ,$670.32 ,$670.32 ,$670.32 , N/A ,$718.20 ,$438.90 ,$678.30 ,$175.56 ,$798.00 ,$478.80 ,$175.56 ,$331.97 , N/A , N/A ,$207.48 ,$678.30 ,$516.36 ,$638.40 ,$223.44 ,$718.20 ,$798.00 ,$175.56 ,$670.32 ,$500.00 ,$500.00 ,$207.48 ,$518.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001229,69100,HC BIOPSY EXTERNAL EAR,450,1 ,$892.00 ,$579.80 ,$196.24 ,$892.00 ,$490.60 ,$535.20 ,$535.20 ,$231.92 ,$249.76 ,$434.40 ,$231.92 ,$500.41 ,$223.00 ,$713.60 ,$713.60 ,$231.92 ,$713.60 ,$372.86 ,$606.56 ,$540.18 ,$231.92 ,$892.00 ,$196.24 ,$669.00 ,$633.32 ,$633.32 ,$196.24 ,$633.32 ,$749.28 ,$749.28 ,$749.28 , N/A ,$802.80 ,$490.60 ,$758.20 ,$196.24 ,$892.00 ,$535.20 ,$196.24 ,$371.07 , N/A , N/A ,$231.92 ,$758.20 ,$410.53 ,$713.60 ,$249.76 ,$802.80 ,$892.00 ,$196.24 ,$749.28 ,$500.00 ,$500.00 ,$231.92 ,$579.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,$808.00 ,$525.20 ,$177.76 ,"$3,556.28 ",$444.40 ,$484.80 ,$484.80 ,$210.08 ,$226.24 ,$393.50 ,$210.08 ,$453.29 ,$202.00 ,$646.40 ,$646.40 ,$210.08 ,$646.40 ,$337.74 ,$549.44 ,"$3,556.28 ",$210.08 ,$808.00 ,$177.76 ,$606.00 ,$573.68 ,$573.68 ,$177.76 ,$573.68 ,$678.72 ,$678.72 ,$678.72 , N/A ,$727.20 ,$444.40 ,$686.80 ,$177.76 ,$808.00 ,$484.80 ,$177.76 ,$336.13 , N/A , N/A ,$210.08 ,$686.80 ,"$2,702.77 ",$646.40 ,$226.24 ,$727.20 ,$808.00 ,$177.76 ,$678.72 ,$500.00 ,$500.00 ,$210.08 ,$525.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,$539.00 ,$350.35 ,$118.58 ,"$3,556.28 ",$296.45 ,$323.40 ,$323.40 ,$140.14 ,$150.92 ,$262.49 ,$140.14 ,$302.38 ,$134.75 ,$431.20 ,$431.20 ,$140.14 ,$431.20 ,$225.30 ,$366.52 ,"$3,556.28 ",$140.14 ,$539.00 ,$118.58 ,$404.25 ,$382.69 ,$382.69 ,$118.58 ,$382.69 ,$452.76 ,$452.76 ,$452.76 , N/A ,$485.10 ,$296.45 ,$458.15 ,$118.58 ,$539.00 ,$323.40 ,$118.58 ,$224.22 , N/A , N/A ,$140.14 ,$458.15 ,"$2,702.77 ",$431.20 ,$150.92 ,$485.10 ,$539.00 ,$118.58 ,$452.76 ,$500.00 ,$500.00 ,$140.14 ,$350.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001273,23675,HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP,450,1 ,"$4,066.00 ","$2,642.90 ",$500.00 ,"$4,066.00 ","$2,236.30 ","$2,439.60 ","$2,439.60 ","$1,057.16 ","$1,138.48 ","$1,980.14 ","$1,057.16 ","$2,281.03 ","$1,016.50 ","$3,252.80 ","$3,252.80 ","$1,057.16 ","$3,252.80 ","$1,699.59 ","$2,764.88 ","$3,556.28 ","$1,057.16 ","$4,066.00 ",$894.52 ,"$3,049.50 ","$2,886.86 ","$2,886.86 ",$894.52 ,"$2,886.86 ","$3,415.44 ","$3,415.44 ","$3,415.44 ", N/A ,"$3,659.40 ","$2,236.30 ","$3,456.10 ",$894.52 ,"$4,066.00 ","$2,439.60 ",$894.52 ,"$1,691.46 ", N/A , N/A ,"$1,057.16 ","$3,456.10 ","$2,702.77 ","$3,252.80 ","$1,138.48 ","$3,659.40 ","$4,066.00 ",$894.52 ,"$3,415.44 ",$500.00 ,$500.00 ,"$1,057.16 ","$2,642.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001276,24535,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/MANIP,450,1 ,$327.00 ,$212.55 ,$71.94 ,"$3,556.28 ",$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,"$3,556.28 ",$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,"$2,702.77 ",$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$4,177.00 ","$2,715.05 ",$500.00 ,"$4,177.00 ","$2,297.35 ","$2,506.20 ","$2,506.20 ","$1,086.02 ","$1,169.56 ","$2,034.20 ","$1,086.02 ","$2,343.30 ","$1,044.25 ","$3,341.60 ","$3,341.60 ","$1,086.02 ","$3,341.60 ","$1,745.99 ","$2,840.36 ","$3,556.28 ","$1,086.02 ","$4,177.00 ",$918.94 ,"$3,132.75 ","$2,965.67 ","$2,965.67 ",$918.94 ,"$2,965.67 ","$3,508.68 ","$3,508.68 ","$3,508.68 ", N/A ,"$3,759.30 ","$2,297.35 ","$3,550.45 ",$918.94 ,"$4,177.00 ","$2,506.20 ",$918.94 ,"$1,737.63 ", N/A , N/A ,"$1,086.02 ","$3,550.45 ","$2,702.77 ","$3,341.60 ","$1,169.56 ","$3,759.30 ","$4,177.00 ",$918.94 ,"$3,508.68 ",$500.00 ,$500.00 ,"$1,086.02 ","$2,715.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001278,24675,HC TX FX CLOSED ULNA PROXIMAL W/MANIP,450,1 ,$361.00 ,$234.65 ,$79.42 ,"$3,556.28 ",$198.55 ,$216.60 ,$216.60 ,$93.86 ,$101.08 ,$175.81 ,$93.86 ,$202.52 ,$90.25 ,$288.80 ,$288.80 ,$93.86 ,$288.80 ,$150.90 ,$245.48 ,"$3,556.28 ",$93.86 ,$361.00 ,$79.42 ,$270.75 ,$256.31 ,$256.31 ,$79.42 ,$256.31 ,$303.24 ,$303.24 ,$303.24 , N/A ,$324.90 ,$198.55 ,$306.85 ,$79.42 ,$361.00 ,$216.60 ,$79.42 ,$150.18 , N/A , N/A ,$93.86 ,$306.85 ,"$2,702.77 ",$288.80 ,$101.08 ,$324.90 ,$361.00 ,$79.42 ,$303.24 ,$361.00 ,$361.00 ,$93.86 ,$234.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001282,25535,HC TX FX ULNAR CLOSED W/MANIP,450,1 ,$327.00 ,$212.55 ,$71.94 ,$526.25 ,$179.85 ,$196.20 ,$196.20 ,$85.02 ,$91.56 ,$159.25 ,$85.02 ,$183.45 ,$81.75 ,$261.60 ,$261.60 ,$85.02 ,$261.60 ,$136.69 ,$222.36 ,$526.25 ,$85.02 ,$327.00 ,$71.94 ,$245.25 ,$232.17 ,$232.17 ,$71.94 ,$232.17 ,$274.68 ,$274.68 ,$274.68 , N/A ,$294.30 ,$179.85 ,$277.95 ,$71.94 ,$327.00 ,$196.20 ,$71.94 ,$136.03 , N/A , N/A ,$85.02 ,$277.95 ,$399.95 ,$261.60 ,$91.56 ,$294.30 ,$327.00 ,$71.94 ,$274.68 ,$327.00 ,$327.00 ,$85.02 ,$212.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$3,593.00 ","$2,335.45 ",$500.00 ,"$3,593.00 ","$1,976.15 ","$2,155.80 ","$2,155.80 ",$934.18 ,"$1,006.04 ","$1,749.79 ",$934.18 ,"$2,015.67 ",$898.25 ,"$2,874.40 ","$2,874.40 ",$934.18 ,"$2,874.40 ","$1,501.87 ","$2,443.24 ","$3,556.28 ",$934.18 ,"$3,593.00 ",$790.46 ,"$2,694.75 ","$2,551.03 ","$2,551.03 ",$790.46 ,"$2,551.03 ","$3,018.12 ","$3,018.12 ","$3,018.12 ", N/A ,"$3,233.70 ","$1,976.15 ","$3,054.05 ",$790.46 ,"$3,593.00 ","$2,155.80 ",$790.46 ,"$1,494.69 ", N/A , N/A ,$934.18 ,"$3,054.05 ","$2,702.77 ","$2,874.40 ","$1,006.04 ","$3,233.70 ","$3,593.00 ",$790.46 ,"$3,018.12 ",$500.00 ,$500.00 ,$934.18 ,"$2,335.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001297,27781,HC TX FX PROXIMAL FIBULA/SHAFT W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,"$3,556.28 ",$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,"$3,556.28 ",$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,"$2,702.77 ",$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$618.00 ,$401.70 ,$135.96 ,$618.00 ,$339.90 ,$370.80 ,$370.80 ,$160.68 ,$173.04 ,$300.97 ,$160.68 ,$346.70 ,$154.50 ,$494.40 ,$494.40 ,$160.68 ,$494.40 ,$258.32 ,$420.24 ,$526.25 ,$160.68 ,$618.00 ,$135.96 ,$463.50 ,$438.78 ,$438.78 ,$135.96 ,$438.78 ,$519.12 ,$519.12 ,$519.12 , N/A ,$556.20 ,$339.90 ,$525.30 ,$135.96 ,$618.00 ,$370.80 ,$135.96 ,$257.09 , N/A , N/A ,$160.68 ,$525.30 ,$399.95 ,$494.40 ,$173.04 ,$556.20 ,$618.00 ,$135.96 ,$519.12 ,$500.00 ,$500.00 ,$160.68 ,$401.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001300,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES,450,1 ,"$3,593.00 ","$2,335.45 ",$500.00 ,"$3,593.00 ","$1,976.15 ","$2,155.80 ","$2,155.80 ",$934.18 ,"$1,006.04 ","$1,749.79 ",$934.18 ,"$2,015.67 ",$898.25 ,"$2,874.40 ","$2,874.40 ",$934.18 ,"$2,874.40 ","$1,501.87 ","$2,443.24 ","$3,556.28 ",$934.18 ,"$3,593.00 ",$790.46 ,"$2,694.75 ","$2,551.03 ","$2,551.03 ",$790.46 ,"$2,551.03 ","$3,018.12 ","$3,018.12 ","$3,018.12 ", N/A ,"$3,233.70 ","$1,976.15 ","$3,054.05 ",$790.46 ,"$3,593.00 ","$2,155.80 ",$790.46 ,"$1,494.69 ", N/A , N/A ,$934.18 ,"$3,054.05 ","$2,702.77 ","$2,874.40 ","$1,006.04 ","$3,233.70 ","$3,593.00 ",$790.46 ,"$3,018.12 ",$500.00 ,$500.00 ,$934.18 ,"$2,335.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001300,27825,HC TX FX TIBIA DISTAL W/MANIP W/W/O ANES,450,1 ,"$5,389.00 ","$3,502.85 ",$500.00 ,"$5,389.00 ","$2,963.95 ","$3,233.40 ","$3,233.40 ","$1,401.14 ","$1,508.92 ","$2,624.44 ","$1,401.14 ","$3,023.23 ","$1,347.25 ","$4,311.20 ","$4,311.20 ","$1,401.14 ","$4,311.20 ","$2,252.60 ","$3,664.52 ","$3,556.28 ","$1,401.14 ","$5,389.00 ","$1,185.58 ","$4,041.75 ","$3,826.19 ","$3,826.19 ","$1,185.58 ","$3,826.19 ","$4,526.76 ","$4,526.76 ","$4,526.76 ", N/A ,"$4,850.10 ","$2,963.95 ","$4,580.65 ","$1,185.58 ","$5,389.00 ","$3,233.40 ","$1,185.58 ","$2,241.82 ", N/A , N/A ,"$1,401.14 ","$4,580.65 ","$2,702.77 ","$4,311.20 ","$1,508.92 ","$4,850.10 ","$5,389.00 ","$1,185.58 ","$4,526.76 ",$500.00 ,$500.00 ,"$1,401.14 ","$3,502.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001304,28405,HC TX FX CALCANEAL W/MANIP,450,1 ,$329.00 ,$213.85 ,$72.38 ,$526.25 ,$180.95 ,$197.40 ,$197.40 ,$85.54 ,$92.12 ,$160.22 ,$85.54 ,$184.57 ,$82.25 ,$263.20 ,$263.20 ,$85.54 ,$263.20 ,$137.52 ,$223.72 ,$526.25 ,$85.54 ,$329.00 ,$72.38 ,$246.75 ,$233.59 ,$233.59 ,$72.38 ,$233.59 ,$276.36 ,$276.36 ,$276.36 , N/A ,$296.10 ,$180.95 ,$279.65 ,$72.38 ,$329.00 ,$197.40 ,$72.38 ,$136.86 , N/A , N/A ,$85.54 ,$279.65 ,$399.95 ,$263.20 ,$92.12 ,$296.10 ,$329.00 ,$72.38 ,$276.36 ,$329.00 ,$329.00 ,$85.54 ,$213.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$6,387.00 ","$4,151.55 ",$500.00 ,"$6,387.00 ","$3,512.85 ","$3,832.20 ","$3,832.20 ","$1,660.62 ","$1,788.36 ","$2,794.50 ","$1,660.62 ","$3,583.11 ","$1,596.75 ","$5,109.60 ","$5,109.60 ","$1,660.62 ","$5,109.60 ","$2,669.77 ","$4,343.16 ","$5,109.25 ","$1,660.62 ","$6,387.00 ","$1,405.14 ","$4,790.25 ","$4,534.77 ","$4,534.77 ","$1,405.14 ","$4,534.77 ","$5,365.08 ","$5,365.08 ","$5,365.08 ", N/A ,"$5,748.30 ","$3,512.85 ","$5,428.95 ","$1,405.14 ","$6,387.00 ","$3,832.20 ","$1,405.14 ","$2,656.99 ", N/A , N/A ,"$1,660.62 ","$5,428.95 ","$3,883.03 ","$5,109.60 ","$1,788.36 ","$5,748.30 ","$6,387.00 ","$1,405.14 ","$5,365.08 ",$500.00 ,$500.00 ,"$1,660.62 ","$4,151.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001329,41005,HC I AND D INTRAORAL LESION,450,1 ,$90.00 ,$58.50 ,$19.80 ,$540.18 ,$49.50 ,$54.00 ,$54.00 ,$23.40 ,$25.20 ,$43.83 ,$23.40 ,$50.49 ,$22.50 ,$72.00 ,$72.00 ,$23.40 ,$72.00 ,$37.62 ,$61.20 ,$540.18 ,$23.40 ,$90.00 ,$19.80 ,$67.50 ,$63.90 ,$63.90 ,$19.80 ,$63.90 ,$75.60 ,$75.60 ,$75.60 , N/A ,$81.00 ,$49.50 ,$76.50 ,$19.80 ,$90.00 ,$54.00 ,$19.80 ,$37.44 , N/A , N/A ,$23.40 ,$76.50 ,$410.53 ,$72.00 ,$25.20 ,$81.00 ,$90.00 ,$19.80 ,$75.60 ,$90.00 ,$90.00 ,$23.40 ,$58.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$659.00 ,$428.35 ,$144.98 ,$679.43 ,$362.45 ,$395.40 ,$395.40 ,$171.34 ,$184.52 ,$320.93 ,$171.34 ,$369.70 ,$164.75 ,$527.20 ,$527.20 ,$171.34 ,$527.20 ,$275.46 ,$448.12 ,$679.43 ,$171.34 ,$659.00 ,$144.98 ,$494.25 ,$467.89 ,$467.89 ,$144.98 ,$467.89 ,$553.56 ,$553.56 ,$553.56 , N/A ,$593.10 ,$362.45 ,$560.15 ,$144.98 ,$659.00 ,$395.40 ,$144.98 ,$274.14 , N/A , N/A ,$171.34 ,$560.15 ,$516.36 ,$527.20 ,$184.52 ,$593.10 ,$659.00 ,$144.98 ,$553.56 ,$500.00 ,$500.00 ,$171.34 ,$428.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$7,509.00 ","$4,880.85 ",$500.00 ,"$7,509.00 ","$4,129.95 ","$4,505.40 ","$4,505.40 ","$1,952.34 ","$2,102.52 ","$2,794.50 ","$1,952.34 ","$4,212.55 ","$1,877.25 ","$5,500.00 ","$5,500.00 ","$1,952.34 ","$5,500.00 ","$3,138.76 ","$5,106.12 ","$6,984.95 ","$1,952.34 ","$7,509.00 ","$1,651.98 ","$5,631.75 ","$5,331.39 ","$5,331.39 ","$1,651.98 ","$5,331.39 ","$6,307.56 ","$6,307.56 ","$6,307.56 ", N/A ,"$6,758.10 ","$4,129.95 ","$6,382.65 ","$1,651.98 ","$7,509.00 ","$4,505.40 ","$1,651.98 ","$3,123.74 ", N/A , N/A ,"$1,952.34 ","$6,382.65 ","$5,308.56 ","$5,500.00 ","$2,102.52 ","$6,758.10 ","$7,509.00 ","$1,651.98 ","$6,307.56 ",$500.00 ,$500.00 ,"$1,952.34 ","$4,880.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001347,27503,HC CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ,450,1 ,"$4,473.00 ","$2,907.45 ",$500.00 ,"$4,473.00 ","$2,460.15 ","$2,683.80 ","$2,683.80 ","$1,162.98 ","$1,252.44 ","$2,178.35 ","$1,162.98 ","$2,509.35 ","$1,118.25 ","$3,578.40 ","$3,578.40 ","$1,162.98 ","$3,578.40 ","$1,869.71 ","$3,041.64 ","$3,556.28 ","$1,162.98 ","$4,473.00 ",$984.06 ,"$3,354.75 ","$3,175.83 ","$3,175.83 ",$984.06 ,"$3,175.83 ","$3,757.32 ","$3,757.32 ","$3,757.32 ", N/A ,"$4,025.70 ","$2,460.15 ","$3,802.05 ",$984.06 ,"$4,473.00 ","$2,683.80 ",$984.06 ,"$1,860.77 ", N/A , N/A ,"$1,162.98 ","$3,802.05 ","$2,702.77 ","$3,578.40 ","$1,252.44 ","$4,025.70 ","$4,473.00 ",$984.06 ,"$3,757.32 ",$500.00 ,$500.00 ,"$1,162.98 ","$2,907.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001350,P9612,HC STRAIGHT CATH FOR URINE SPECIMEN,450,1 ,$186.00 ,$120.90 ,$5.70 ,$186.00 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$90.58 ,$48.36 ,$104.35 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$148.80 ,$77.75 ,$126.48 ,$7.50 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 , N/A , N/A ,$48.36 ,$158.10 ,$5.70 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$186.00 ,$186.00 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001352,26545,HC RECONSTRUCT FINGER JOINT,450,1 ,"$8,212.00 ","$5,337.80 ",$500.00 ,"$8,212.00 ","$4,516.60 ","$4,927.20 ","$4,927.20 ","$2,135.12 ","$2,299.36 ","$2,794.50 ","$2,135.12 ","$4,606.93 ","$2,053.00 ","$5,500.00 ","$5,500.00 ","$2,135.12 ","$5,500.00 ","$3,432.62 ","$5,584.16 ","$7,230.70 ","$2,135.12 ","$8,212.00 ","$1,806.64 ","$6,159.00 ","$5,830.52 ","$5,830.52 ","$1,806.64 ","$5,830.52 ","$6,898.08 ","$6,898.08 ","$6,898.08 ", N/A ,"$7,390.80 ","$4,516.60 ","$6,980.20 ","$1,806.64 ","$8,212.00 ","$4,927.20 ","$1,806.64 ","$3,416.19 ", N/A , N/A ,"$2,135.12 ","$6,980.20 ","$5,495.33 ","$5,500.00 ","$2,299.36 ","$7,390.80 ","$8,212.00 ","$1,806.64 ","$6,898.08 ",$500.00 ,$500.00 ,"$2,135.12 ","$5,337.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001355,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1 >BONES W MAN,450,1 ,$587.00 ,$381.55 ,$129.14 ,$587.00 ,$322.85 ,$352.20 ,$352.20 ,$152.62 ,$164.36 ,$285.87 ,$152.62 ,$329.31 ,$146.75 ,$469.60 ,$469.60 ,$152.62 ,$469.60 ,$245.37 ,$399.16 ,$526.25 ,$152.62 ,$587.00 ,$129.14 ,$440.25 ,$416.77 ,$416.77 ,$129.14 ,$416.77 ,$493.08 ,$493.08 ,$493.08 , N/A ,$528.30 ,$322.85 ,$498.95 ,$129.14 ,$587.00 ,$352.20 ,$129.14 ,$244.19 , N/A , N/A ,$152.62 ,$498.95 ,$399.95 ,$469.60 ,$164.36 ,$528.30 ,$587.00 ,$129.14 ,$493.08 ,$500.00 ,$500.00 ,$152.62 ,$381.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,130.00 ",$734.50 ,$248.60 ,"$1,130.00 ",$621.50 ,$678.00 ,$678.00 ,$293.80 ,$316.40 ,$550.31 ,$293.80 ,$633.93 ,$282.50 ,$904.00 ,$904.00 ,$293.80 ,$904.00 ,$472.34 ,$768.40 ,$959.70 ,$293.80 ,"$1,130.00 ",$248.60 ,$847.50 ,$802.30 ,$802.30 ,$248.60 ,$802.30 ,$949.20 ,$949.20 ,$949.20 , N/A ,"$1,017.00 ",$621.50 ,$960.50 ,$248.60 ,"$1,130.00 ",$678.00 ,$248.60 ,$470.08 , N/A , N/A ,$293.80 ,$960.50 ,$729.37 ,$904.00 ,$316.40 ,"$1,017.00 ","$1,130.00 ",$248.60 ,$949.20 ,$500.00 ,$500.00 ,$293.80 ,$734.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,45080003,59409,HC DELIVERY VAGINAL,450,1 ,"$3,252.00 ","$2,113.80 ",$500.00 ,"$6,698.90 ","$1,788.60 ","$1,951.20 ","$1,951.20 ",$845.52 ,$910.56 ,"$1,583.72 ",$845.52 ,"$1,824.37 ",$813.00 ,"$2,601.60 ","$2,601.60 ",$845.52 ,"$2,601.60 ","$1,359.34 ","$2,211.36 ","$6,698.90 ",$845.52 ,"$3,252.00 ",$715.44 ,"$2,439.00 ","$2,308.92 ","$2,308.92 ",$715.44 ,"$2,308.92 ","$2,731.68 ","$2,731.68 ","$2,731.68 ", N/A ,"$2,926.80 ","$1,788.60 ","$2,764.20 ",$715.44 ,"$3,252.00 ","$1,951.20 ",$715.44 ,"$1,352.83 ", N/A , N/A ,$845.52 ,"$2,764.20 ","$5,091.16 ","$2,601.60 ",$910.56 ,"$2,926.80 ","$3,252.00 ",$715.44 ,"$2,731.68 ",$500.00 ,$500.00 ,$845.52 ,"$2,113.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$448.00 ,$291.20 ,$18.18 ,$448.00 ,$246.40 ,$268.80 ,$268.80 ,$116.48 ,$125.44 ,$227.58 ,$116.48 ,$263.42 ,$112.00 ,$358.40 ,$358.40 ,$116.48 ,$18.18 ,$187.26 ,$304.64 ,$356.48 ,$116.48 ,$448.00 ,$98.56 ,$336.00 ,$318.08 ,$318.08 ,$98.56 ,$318.08 ,$376.32 ,$376.32 ,$376.32 , N/A ,$403.20 ,$246.40 ,$380.80 ,$98.56 ,$448.00 ,$268.80 ,$98.56 ,$186.37 ,$126.97 ,$115.43 ,$116.48 ,$380.80 ,$270.92 ,$358.40 ,$125.44 ,$403.20 ,$448.00 ,$98.56 ,$376.32 ,$448.00 ,$448.00 ,$116.48 ,$291.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000004,94060,HC SPIROMETRY/PFT PRE  AND  POST,460,1 ,$482.00 ,$313.30 ,$27.96 ,$675.73 ,$265.10 ,$289.20 ,$289.20 ,$125.32 ,$134.96 ,$244.86 ,$125.32 ,$283.42 ,$120.50 ,$385.60 ,$385.60 ,$125.32 ,$27.96 ,$201.48 ,$327.76 ,$675.73 ,$125.32 ,$482.00 ,$106.04 ,$361.50 ,$342.22 ,$342.22 ,$106.04 ,$342.22 ,$404.88 ,$404.88 ,$404.88 , N/A ,$433.80 ,$265.10 ,$409.70 ,$106.04 ,$482.00 ,$289.20 ,$106.04 ,$200.51 ,$126.97 ,$115.43 ,$125.32 ,$409.70 ,$513.55 ,$385.60 ,$134.96 ,$433.80 ,$482.00 ,$106.04 ,$404.88 ,$482.00 ,$482.00 ,$125.32 ,$313.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000006,94070,HC SPIROMETRY/PFT CPLX,460,1 ,"$1,214.00 ",$789.10 ,$32.85 ,"$1,214.00 ",$667.70 ,$728.40 ,$728.40 ,$315.64 ,$339.92 ,$551.05 ,$315.64 ,$551.05 ,$303.50 ,$971.20 ,$971.20 ,$315.64 ,$32.85 ,$507.45 ,$825.52 ,$675.73 ,$315.64 ,"$1,214.00 ",$267.08 ,$910.50 ,$861.94 ,$861.94 ,$267.08 ,$861.94 ,"$1,019.76 ","$1,019.76 ","$1,019.76 ", N/A ,"$1,092.60 ",$667.70 ,"$1,031.90 ",$267.08 ,"$1,214.00 ",$728.40 ,$267.08 ,$505.02 ,$387.96 ,$352.69 ,$315.64 ,"$1,031.90 ",$513.55 ,$971.20 ,$339.92 ,"$1,092.60 ","$1,214.00 ",$267.08 ,"$1,019.76 ",$647.00 ,$647.00 ,$315.64 ,$789.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000007,94150,HC VITAL CAPACITY TOTAL,460,1 ,$120.00 ,$78.00 ,$26.40 ,$356.48 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$60.96 ,$31.20 ,$70.56 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$81.60 ,$356.48 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 ,$126.97 ,$115.43 ,$31.20 ,$102.00 ,$270.92 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$120.00 ,$120.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,"$1,038.00 ",$674.70 ,$41.57 ,"$1,038.00 ",$570.90 ,$622.80 ,$622.80 ,$269.88 ,$290.64 ,$527.30 ,$269.88 ,$610.34 ,$259.50 ,$830.40 ,$830.40 ,$269.88 ,$41.57 ,$433.88 ,$705.84 ,$675.73 ,$269.88 ,"$1,038.00 ",$228.36 ,$778.50 ,$736.98 ,$736.98 ,$228.36 ,$736.98 ,$871.92 ,$871.92 ,$871.92 , N/A ,$934.20 ,$570.90 ,$882.30 ,$228.36 ,"$1,038.00 ",$622.80 ,$228.36 ,$431.81 ,$126.97 ,$115.43 ,$269.88 ,$882.30 ,$513.55 ,$830.40 ,$290.64 ,$934.20 ,"$1,038.00 ",$228.36 ,$871.92 ,$647.00 ,$647.00 ,$269.88 ,$674.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$762.00 ,$495.30 ,$11.01 ,$762.00 ,$419.10 ,$457.20 ,$457.20 ,$198.12 ,$213.36 ,$199.33 ,$198.12 ,$199.33 ,$190.50 ,$609.60 ,$609.60 ,$198.12 ,$11.01 ,$318.52 ,$518.16 ,$287.90 ,$198.12 ,$762.00 ,$167.64 ,$571.50 ,$541.02 ,$541.02 ,$167.64 ,$541.02 ,$640.08 ,$640.08 ,$640.08 , N/A ,$685.80 ,$419.10 ,$647.70 ,$167.64 ,$762.00 ,$457.20 ,$167.64 ,$316.99 ,$387.96 ,$352.69 ,$198.12 ,$647.70 ,$218.80 ,$609.60 ,$213.36 ,$685.80 ,$762.00 ,$167.64 ,$640.08 ,$647.00 ,$647.00 ,$198.12 ,$495.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$534.00 ,$347.10 ,$48.17 ,$534.00 ,$293.70 ,$320.40 ,$320.40 ,$138.84 ,$149.52 ,$271.27 ,$138.84 ,$313.99 ,$133.50 ,$427.20 ,$427.20 ,$138.84 ,$48.17 ,$223.21 ,$363.12 , N/A ,$138.84 ,$534.00 ,$117.48 ,$400.50 ,$379.14 ,$379.14 ,$117.48 ,$379.14 ,$448.56 ,$448.56 ,$448.56 , N/A ,$480.60 ,$293.70 ,$453.90 ,$117.48 ,$534.00 ,$320.40 ,$117.48 ,$222.14 ,$126.97 ,$115.43 ,$138.84 ,$453.90 , N/A ,$427.20 ,$149.52 ,$480.60 ,$534.00 ,$117.48 ,$448.56 ,$534.00 ,$534.00 ,$138.84 ,$347.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000021,94760,HC PULSE OX SINGLE,460,1 ,$73.00 ,$47.45 ,$2.53 ,$73.00 ,$40.15 ,$43.80 ,$43.80 ,$18.98 ,$20.44 ,$37.08 ,$18.98 ,$42.92 ,$18.25 ,$58.40 ,$58.40 ,$18.98 ,$2.53 ,$30.51 ,$49.64 , N/A ,$18.98 ,$73.00 ,$16.06 ,$54.75 ,$51.83 ,$51.83 ,$16.06 ,$51.83 ,$61.32 ,$61.32 ,$61.32 , N/A ,$65.70 ,$40.15 ,$62.05 ,$16.06 ,$73.00 ,$43.80 ,$16.06 ,$30.37 , N/A , N/A ,$18.98 ,$62.05 , N/A ,$58.40 ,$20.44 ,$65.70 ,$73.00 ,$16.06 ,$61.32 ,$73.00 ,$73.00 ,$18.98 ,$47.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000022,94200,HC MAXIMAL VOL VENTILATION,942,1 ,$504.00 ,$327.60 ,$11.98 ,$504.00 ,$277.20 ,$302.40 ,$302.40 ,$131.04 ,$141.12 ,$256.03 ,$131.04 ,$296.35 ,$126.00 ,$403.20 ,$403.20 ,$131.04 ,$11.98 ,$210.67 ,$342.72 ,$142.13 ,$131.04 ,$504.00 ,$110.88 ,$378.00 ,$357.84 ,$357.84 ,$110.88 ,$357.84 ,$423.36 ,$423.36 ,$423.36 , N/A ,$453.60 ,$277.20 ,$428.40 ,$110.88 ,$504.00 ,$302.40 ,$110.88 ,$209.66 , N/A , N/A ,$131.04 ,$428.40 ,$108.02 ,$403.20 ,$141.12 ,$453.60 ,$504.00 ,$110.88 ,$423.36 ,$104.00 ,$104.00 ,$131.04 ,$327.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000023,94761,HC PULSE OX MULTI DETERMIN,360,1 ,$114.00 ,$74.10 ,$25.08 ,$114.00 ,$62.70 ,$68.40 ,$68.40 ,$29.64 ,$31.92 ,$55.52 ,$29.64 ,$63.95 ,$28.50 ,$91.20 ,$91.20 ,$29.64 ,$91.20 ,$47.65 ,$77.52 , N/A ,$29.64 ,$114.00 ,$25.08 ,$85.50 ,$80.94 ,$80.94 ,$25.08 ,$80.94 ,$95.76 ,$95.76 ,$95.76 , N/A ,$102.60 ,$62.70 ,$96.90 ,$25.08 ,$114.00 ,$68.40 ,$25.08 ,$47.42 , N/A , N/A ,$29.64 ,$96.90 , N/A ,$91.20 ,$31.92 ,$102.60 ,$114.00 ,$25.08 ,$95.76 , N/A , N/A ,$29.64 ,$74.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,46000028,94690,HC O2 UPTAKE EXPIRED GAS REST,460,1 ,$169.00 ,$109.85 ,$37.18 ,$169.00 ,$92.95 ,$101.40 ,$101.40 ,$43.94 ,$47.32 ,$85.85 ,$43.94 ,$99.37 ,$42.25 ,$135.20 ,$135.20 ,$43.94 ,$38.39 ,$70.64 ,$114.92 ,$142.13 ,$43.94 ,$169.00 ,$37.18 ,$126.75 ,$119.99 ,$119.99 ,$37.18 ,$119.99 ,$141.96 ,$141.96 ,$141.96 , N/A ,$152.10 ,$92.95 ,$143.65 ,$37.18 ,$169.00 ,$101.40 ,$37.18 ,$70.30 ,$126.97 ,$115.43 ,$43.94 ,$143.65 ,$108.02 ,$135.20 ,$47.32 ,$152.10 ,$169.00 ,$37.18 ,$141.96 ,$169.00 ,$169.00 ,$43.94 ,$109.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000001,92587,HC DISTORTION EVOKED POTENT LTD,470,1 ,$339.00 ,$220.35 ,$4.16 ,$675.73 ,$186.45 ,$203.40 ,$203.40 ,$88.14 ,$94.92 ,$50.23 ,$88.14 ,$50.23 ,$84.75 ,$271.20 ,$271.20 ,$88.14 ,$4.16 ,$141.70 ,$230.52 ,$675.73 ,$88.14 ,$339.00 ,$74.58 ,$254.25 ,$240.69 ,$240.69 ,$74.58 ,$240.69 ,$284.76 ,$284.76 ,$284.76 , N/A ,$305.10 ,$186.45 ,$288.15 ,$74.58 ,$339.00 ,$203.40 ,$74.58 ,$141.02 ,$370.29 ,$336.63 ,$88.14 ,$288.15 ,$513.55 ,$271.20 ,$94.92 ,$305.10 ,$339.00 ,$74.58 ,$284.76 ,$150.00 ,$150.00 ,$88.14 ,$220.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000014,V5014,HC REPROGRAM HEARING AID W/O WARRANTY,470,1 ,$25.00 ,$16.25 ,$6.25 ,$234.39 ,$62.50 ,$15.00 ,$15.00 ,$25.00 ,$7.00 ,$12.70 ,$25.00 ,$14.70 ,$6.25 ,$20.00 ,$20.00 ,$25.00 ,$16.25 ,$47.50 ,$17.00 , N/A ,$25.00 ,$25.00 ,$25.00 ,$18.75 ,$17.75 ,$17.75 ,$25.00 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$62.50 ,$21.25 ,$25.00 ,$25.00 ,$15.00 ,$25.00 ,$10.40 ,$234.39 ,$213.08 ,$25.00 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$25.00 ,$21.00 ,$25.00 ,$25.00 ,$25.00 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000015,V5014,HC REPAIR HEARING AID T1,470,1 ,$1.00 ,$0.65 ,$0.25 ,$234.39 ,$2.50 ,$0.60 ,$0.60 ,$1.00 ,$0.28 ,$0.51 ,$1.00 ,$0.59 ,$0.25 ,$0.80 ,$0.80 ,$1.00 ,$0.65 ,$1.90 ,$0.68 , N/A ,$1.00 ,$1.00 ,$1.00 ,$0.75 ,$0.71 ,$0.71 ,$1.00 ,$0.71 ,$0.84 ,$0.84 ,$0.84 , N/A ,$0.90 ,$2.50 ,$0.85 ,$1.00 ,$1.00 ,$0.60 ,$1.00 ,$0.42 ,$234.39 ,$213.08 ,$1.00 ,$0.85 , N/A ,$0.80 ,$0.28 ,$0.90 ,$1.00 ,$1.00 ,$0.84 ,$1.00 ,$1.00 ,$1.00 ,$0.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000016,V5014,HC REPAIR HEARING AID T2,470,1 ,$10.00 ,$6.50 ,$2.50 ,$234.39 ,$25.00 ,$6.00 ,$6.00 ,$10.00 ,$2.80 ,$5.08 ,$10.00 ,$5.88 ,$2.50 ,$8.00 ,$8.00 ,$10.00 ,$6.50 ,$19.00 ,$6.80 , N/A ,$10.00 ,$10.00 ,$10.00 ,$7.50 ,$7.10 ,$7.10 ,$10.00 ,$7.10 ,$8.40 ,$8.40 ,$8.40 , N/A ,$9.00 ,$25.00 ,$8.50 ,$10.00 ,$10.00 ,$6.00 ,$10.00 ,$4.16 ,$234.39 ,$213.08 ,$10.00 ,$8.50 , N/A ,$8.00 ,$2.80 ,$9.00 ,$10.00 ,$10.00 ,$8.40 ,$10.00 ,$10.00 ,$10.00 ,$6.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000017,V5014,HC REPAIR HEARING AID T3,470,1 ,$25.00 ,$16.25 ,$6.25 ,$234.39 ,$62.50 ,$15.00 ,$15.00 ,$25.00 ,$7.00 ,$12.70 ,$25.00 ,$14.70 ,$6.25 ,$20.00 ,$20.00 ,$25.00 ,$16.25 ,$47.50 ,$17.00 , N/A ,$25.00 ,$25.00 ,$25.00 ,$18.75 ,$17.75 ,$17.75 ,$25.00 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$62.50 ,$21.25 ,$25.00 ,$25.00 ,$15.00 ,$25.00 ,$10.40 ,$234.39 ,$213.08 ,$25.00 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$25.00 ,$21.00 ,$25.00 ,$25.00 ,$25.00 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000018,V5014,HC REPAIR HEARING AID T4,470,1 ,$50.00 ,$32.50 ,$12.50 ,$234.39 ,$125.00 ,$30.00 ,$30.00 ,$50.00 ,$14.00 ,$25.40 ,$50.00 ,$29.40 ,$12.50 ,$40.00 ,$40.00 ,$50.00 ,$32.50 ,$95.00 ,$34.00 , N/A ,$50.00 ,$50.00 ,$50.00 ,$37.50 ,$35.50 ,$35.50 ,$50.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$125.00 ,$42.50 ,$50.00 ,$50.00 ,$30.00 ,$50.00 ,$20.80 ,$234.39 ,$213.08 ,$50.00 ,$42.50 , N/A ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$50.00 ,$42.00 ,$50.00 ,$50.00 ,$50.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000019,V5014,HC REPAIR HEARING AID T5,470,1 ,$75.00 ,$48.75 ,$18.75 ,$234.39 ,$187.50 ,$45.00 ,$45.00 ,$75.00 ,$21.00 ,$38.10 ,$75.00 ,$44.10 ,$18.75 ,$60.00 ,$60.00 ,$75.00 ,$48.75 ,$142.50 ,$51.00 , N/A ,$75.00 ,$75.00 ,$75.00 ,$56.25 ,$53.25 ,$53.25 ,$75.00 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$187.50 ,$63.75 ,$75.00 ,$75.00 ,$45.00 ,$75.00 ,$31.20 ,$234.39 ,$213.08 ,$75.00 ,$63.75 , N/A ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$75.00 ,$63.00 ,$75.00 ,$75.00 ,$75.00 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000020,V5014,HC REPAIR HEARING AID T6,470,1 ,$100.00 ,$65.00 ,$25.00 ,$250.00 ,$250.00 ,$60.00 ,$60.00 ,$100.00 ,$28.00 ,$50.80 ,$100.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$100.00 ,$65.00 ,$190.00 ,$68.00 , N/A ,$100.00 ,$100.00 ,$100.00 ,$75.00 ,$71.00 ,$71.00 ,$100.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$250.00 ,$85.00 ,$100.00 ,$100.00 ,$60.00 ,$100.00 ,$41.60 ,$234.39 ,$213.08 ,$100.00 ,$85.00 , N/A ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$100.00 ,$84.00 ,$100.00 ,$100.00 ,$100.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000021,V5014,HC REPAIR HEARING AID T7,470,1 ,$175.00 ,$113.75 ,$43.75 ,$437.50 ,$437.50 ,$105.00 ,$105.00 ,$175.00 ,$49.00 ,$88.90 ,$175.00 ,$102.90 ,$43.75 ,$140.00 ,$140.00 ,$175.00 ,$113.75 ,$332.50 ,$119.00 , N/A ,$175.00 ,$175.00 ,$175.00 ,$131.25 ,$124.25 ,$124.25 ,$175.00 ,$124.25 ,$147.00 ,$147.00 ,$147.00 , N/A ,$157.50 ,$437.50 ,$148.75 ,$175.00 ,$175.00 ,$105.00 ,$175.00 ,$72.80 ,$234.39 ,$213.08 ,$175.00 ,$148.75 , N/A ,$140.00 ,$49.00 ,$157.50 ,$150.00 ,$175.00 ,$147.00 ,$150.00 ,$150.00 ,$175.00 ,$113.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000022,V5014,HC REPAIR HEARING AID T8,470,1 ,$200.00 ,$130.00 ,$50.00 ,$500.00 ,$500.00 ,$120.00 ,$120.00 ,$200.00 ,$56.00 ,$101.60 ,$200.00 ,$117.60 ,$50.00 ,$160.00 ,$160.00 ,$200.00 ,$130.00 ,$380.00 ,$136.00 , N/A ,$200.00 ,$200.00 ,$200.00 ,$150.00 ,$142.00 ,$142.00 ,$200.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$500.00 ,$170.00 ,$200.00 ,$200.00 ,$120.00 ,$200.00 ,$83.20 ,$234.39 ,$213.08 ,$200.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$200.00 ,$168.00 ,$150.00 ,$150.00 ,$200.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000023,V5014,HC REPAIR HEARING AID T9,470,1 ,$250.00 ,$162.50 ,$62.50 ,$625.00 ,$625.00 ,$150.00 ,$150.00 ,$250.00 ,$70.00 ,$127.00 ,$250.00 ,$147.00 ,$62.50 ,$200.00 ,$200.00 ,$250.00 ,$162.50 ,$475.00 ,$170.00 , N/A ,$250.00 ,$250.00 ,$250.00 ,$187.50 ,$177.50 ,$177.50 ,$250.00 ,$177.50 ,$210.00 ,$210.00 ,$210.00 , N/A ,$225.00 ,$625.00 ,$212.50 ,$250.00 ,$250.00 ,$150.00 ,$250.00 ,$104.00 ,$234.39 ,$213.08 ,$250.00 ,$212.50 , N/A ,$200.00 ,$70.00 ,$225.00 ,$150.00 ,$250.00 ,$210.00 ,$150.00 ,$150.00 ,$250.00 ,$162.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000024,V5014,HC REPAIR HEARING AID T10,470,1 ,$300.00 ,$195.00 ,$75.00 ,$750.00 ,$750.00 ,$180.00 ,$180.00 ,$300.00 ,$84.00 ,$152.40 ,$300.00 ,$176.40 ,$75.00 ,$240.00 ,$240.00 ,$300.00 ,$195.00 ,$570.00 ,$204.00 , N/A ,$300.00 ,$300.00 ,$300.00 ,$225.00 ,$213.00 ,$213.00 ,$300.00 ,$213.00 ,$252.00 ,$252.00 ,$252.00 , N/A ,$270.00 ,$750.00 ,$255.00 ,$300.00 ,$300.00 ,$180.00 ,$300.00 ,$124.80 ,$234.39 ,$213.08 ,$300.00 ,$255.00 , N/A ,$240.00 ,$84.00 ,$270.00 ,$150.00 ,$300.00 ,$252.00 ,$150.00 ,$150.00 ,$300.00 ,$195.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000025,V5014,HC REPAIR HEARING AID T11,470,1 ,$350.00 ,$227.50 ,$87.50 ,$875.00 ,$875.00 ,$210.00 ,$210.00 ,$350.00 ,$98.00 ,$177.80 ,$350.00 ,$205.80 ,$87.50 ,$280.00 ,$280.00 ,$350.00 ,$227.50 ,$665.00 ,$238.00 , N/A ,$350.00 ,$350.00 ,$350.00 ,$262.50 ,$248.50 ,$248.50 ,$350.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$875.00 ,$297.50 ,$350.00 ,$350.00 ,$210.00 ,$350.00 ,$145.60 ,$234.39 ,$213.08 ,$350.00 ,$297.50 , N/A ,$280.00 ,$98.00 ,$315.00 ,$150.00 ,$350.00 ,$294.00 ,$150.00 ,$150.00 ,$350.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000026,V5014,HC REPAIR HEARING AID T12,470,1 ,$400.00 ,$260.00 ,$100.00 ,"$1,000.00 ","$1,000.00 ",$240.00 ,$240.00 ,$400.00 ,$112.00 ,$203.20 ,$400.00 ,$235.20 ,$100.00 ,$320.00 ,$320.00 ,$400.00 ,$260.00 ,$760.00 ,$272.00 , N/A ,$400.00 ,$400.00 ,$400.00 ,$300.00 ,$284.00 ,$284.00 ,$400.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,"$1,000.00 ",$340.00 ,$400.00 ,$400.00 ,$240.00 ,$400.00 ,$166.40 ,$234.39 ,$213.08 ,$400.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$150.00 ,$400.00 ,$336.00 ,$150.00 ,$150.00 ,$400.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000027,V5014,HC REPAIR HEARING AID T13,470,1 ,$450.00 ,$292.50 ,$112.50 ,"$1,125.00 ","$1,125.00 ",$270.00 ,$270.00 ,$450.00 ,$126.00 ,$228.60 ,$450.00 ,$264.60 ,$112.50 ,$360.00 ,$360.00 ,$450.00 ,$292.50 ,$855.00 ,$306.00 , N/A ,$450.00 ,$450.00 ,$450.00 ,$337.50 ,$319.50 ,$319.50 ,$450.00 ,$319.50 ,$378.00 ,$378.00 ,$378.00 , N/A ,$405.00 ,"$1,125.00 ",$382.50 ,$450.00 ,$450.00 ,$270.00 ,$450.00 ,$187.20 ,$234.39 ,$213.08 ,$450.00 ,$382.50 , N/A ,$360.00 ,$126.00 ,$405.00 ,$150.00 ,$450.00 ,$378.00 ,$150.00 ,$150.00 ,$450.00 ,$292.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000028,V5010,HC HEARING AID ASSESSMENT,470,1 ,$214.00 ,$139.10 ,$47.08 ,$234.39 ,$117.70 ,$128.40 ,$128.40 ,$55.64 ,$59.92 ,$108.71 ,$55.64 ,$125.83 ,$53.50 ,$171.20 ,$171.20 ,$55.64 ,$139.10 ,$89.45 ,$145.52 , N/A ,$55.64 ,$214.00 ,$47.08 ,$160.50 ,$151.94 ,$151.94 ,$47.08 ,$151.94 ,$179.76 ,$179.76 ,$179.76 , N/A ,$192.60 ,$117.70 ,$181.90 ,$47.08 ,$214.00 ,$128.40 ,$47.08 ,$89.02 ,$234.39 ,$213.08 ,$55.64 ,$181.90 , N/A ,$171.20 ,$59.92 ,$192.60 ,$150.00 ,$47.08 ,$179.76 ,$150.00 ,$150.00 ,$55.64 ,$139.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000029,V5011,HC HEARING AID FITTING/CHECK,470,1 ,$25.00 ,$16.25 ,$5.50 ,$234.39 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 ,$234.39 ,$213.08 ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$25.00 ,$25.00 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000030,V5020,HC CONFORMITY EVAL,470,1 ,$65.00 ,$42.25 ,$14.30 ,$234.39 ,$35.75 ,$39.00 ,$39.00 ,$16.90 ,$18.20 ,$33.02 ,$16.90 ,$38.22 ,$16.25 ,$52.00 ,$52.00 ,$16.90 ,$42.25 ,$27.17 ,$44.20 , N/A ,$16.90 ,$65.00 ,$14.30 ,$48.75 ,$46.15 ,$46.15 ,$14.30 ,$46.15 ,$54.60 ,$54.60 ,$54.60 , N/A ,$58.50 ,$35.75 ,$55.25 ,$14.30 ,$65.00 ,$39.00 ,$14.30 ,$27.04 ,$234.39 ,$213.08 ,$16.90 ,$55.25 , N/A ,$52.00 ,$18.20 ,$58.50 ,$65.00 ,$14.30 ,$54.60 ,$65.00 ,$65.00 ,$16.90 ,$42.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000031,V5299,HC WARRANTY TIER 1,470,1 ,$100.00 ,$65.00 ,$22.00 ,$100.00 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$48.70 ,$26.00 ,$56.10 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$65.00 ,$41.80 ,$68.00 , N/A ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 , N/A , N/A ,$26.00 ,$85.00 , N/A ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$100.00 ,$100.00 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000032,V5299,HC WARRANTY TIER 2,470,1 ,$150.00 ,$97.50 ,$33.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$97.50 ,$62.70 ,$102.00 , N/A ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 , N/A ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 ,$150.00 ,$150.00 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000033,V5299,HC WARRANTY TIER 3,470,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000034,V5299,HC WARRANTY TIER 4,470,1 ,$230.00 ,$149.50 ,$50.60 ,$230.00 ,$126.50 ,$138.00 ,$138.00 ,$59.80 ,$64.40 ,$112.01 ,$59.80 ,$129.03 ,$57.50 ,$184.00 ,$184.00 ,$59.80 ,$149.50 ,$96.14 ,$156.40 , N/A ,$59.80 ,$230.00 ,$50.60 ,$172.50 ,$163.30 ,$163.30 ,$50.60 ,$163.30 ,$193.20 ,$193.20 ,$193.20 , N/A ,$207.00 ,$126.50 ,$195.50 ,$50.60 ,$230.00 ,$138.00 ,$50.60 ,$95.68 , N/A , N/A ,$59.80 ,$195.50 , N/A ,$184.00 ,$64.40 ,$207.00 ,$150.00 ,$50.60 ,$193.20 ,$150.00 ,$150.00 ,$59.80 ,$149.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000035,V5299,HC WARRANTY TIER 5,470,1 ,$250.00 ,$162.50 ,$55.00 ,$250.00 ,$137.50 ,$150.00 ,$150.00 ,$65.00 ,$70.00 ,$121.75 ,$65.00 ,$140.25 ,$62.50 ,$200.00 ,$200.00 ,$65.00 ,$162.50 ,$104.50 ,$170.00 , N/A ,$65.00 ,$250.00 ,$55.00 ,$187.50 ,$177.50 ,$177.50 ,$55.00 ,$177.50 ,$210.00 ,$210.00 ,$210.00 , N/A ,$225.00 ,$137.50 ,$212.50 ,$55.00 ,$250.00 ,$150.00 ,$55.00 ,$104.00 , N/A , N/A ,$65.00 ,$212.50 , N/A ,$200.00 ,$70.00 ,$225.00 ,$150.00 ,$55.00 ,$210.00 ,$150.00 ,$150.00 ,$65.00 ,$162.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000036,V5299,HC HEARING AID FLEX SOFTWARE UPGRADE 500-600,470,1 ,$265.00 ,$172.25 ,$58.30 ,$265.00 ,$145.75 ,$159.00 ,$159.00 ,$68.90 ,$74.20 ,$129.06 ,$68.90 ,$148.67 ,$66.25 ,$212.00 ,$212.00 ,$68.90 ,$172.25 ,$110.77 ,$180.20 , N/A ,$68.90 ,$265.00 ,$58.30 ,$198.75 ,$188.15 ,$188.15 ,$58.30 ,$188.15 ,$222.60 ,$222.60 ,$222.60 , N/A ,$238.50 ,$145.75 ,$225.25 ,$58.30 ,$265.00 ,$159.00 ,$58.30 ,$110.24 , N/A , N/A ,$68.90 ,$225.25 , N/A ,$212.00 ,$74.20 ,$238.50 ,$150.00 ,$58.30 ,$222.60 ,$150.00 ,$150.00 ,$68.90 ,$172.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000037,V5299,HC HEARING AID FLEX SOFTWARE UPGRADE 600-700,470,1 ,$310.00 ,$201.50 ,$68.20 ,$310.00 ,$170.50 ,$186.00 ,$186.00 ,$80.60 ,$86.80 ,$150.97 ,$80.60 ,$173.91 ,$77.50 ,$248.00 ,$248.00 ,$80.60 ,$201.50 ,$129.58 ,$210.80 , N/A ,$80.60 ,$310.00 ,$68.20 ,$232.50 ,$220.10 ,$220.10 ,$68.20 ,$220.10 ,$260.40 ,$260.40 ,$260.40 , N/A ,$279.00 ,$170.50 ,$263.50 ,$68.20 ,$310.00 ,$186.00 ,$68.20 ,$128.96 , N/A , N/A ,$80.60 ,$263.50 , N/A ,$248.00 ,$86.80 ,$279.00 ,$150.00 ,$68.20 ,$260.40 ,$150.00 ,$150.00 ,$80.60 ,$201.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000038,V5299,HC HEARING AID FLEX SOFTWARE UPGRADE 700-800,470,1 ,$350.00 ,$227.50 ,$77.00 ,$350.00 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$170.45 ,$91.00 ,$196.35 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$227.50 ,$146.30 ,$238.00 , N/A ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 , N/A , N/A ,$91.00 ,$297.50 , N/A ,$280.00 ,$98.00 ,$315.00 ,$150.00 ,$77.00 ,$294.00 ,$150.00 ,$150.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000039,V5299,HC HEARING AID FLEX SOFTWARE UPGRADE 800-PRO,470,1 ,$700.00 ,$455.00 ,$150.00 ,$700.00 ,$385.00 ,$420.00 ,$420.00 ,$182.00 ,$196.00 ,$340.90 ,$182.00 ,$392.70 ,$175.00 ,$560.00 ,$560.00 ,$182.00 ,$455.00 ,$292.60 ,$476.00 , N/A ,$182.00 ,$700.00 ,$154.00 ,$525.00 ,$497.00 ,$497.00 ,$154.00 ,$497.00 ,$588.00 ,$588.00 ,$588.00 , N/A ,$630.00 ,$385.00 ,$595.00 ,$154.00 ,$700.00 ,$420.00 ,$154.00 ,$291.20 , N/A , N/A ,$182.00 ,$595.00 , N/A ,$560.00 ,$196.00 ,$630.00 ,$150.00 ,$154.00 ,$588.00 ,$150.00 ,$150.00 ,$182.00 ,$455.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000040,V5299,HC WARRANTY DEDUCTIBLE T1,470,1 ,$150.00 ,$97.50 ,$33.00 ,$150.00 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$73.05 ,$39.00 ,$84.15 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$97.50 ,$62.70 ,$102.00 , N/A ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 , N/A ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 ,$150.00 ,$150.00 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000041,V5299,HC WARRANTY DEDUCTIBLE T2,470,1 ,$200.00 ,$130.00 ,$44.00 ,$200.00 ,$110.00 ,$120.00 ,$120.00 ,$52.00 ,$56.00 ,$97.40 ,$52.00 ,$112.20 ,$50.00 ,$160.00 ,$160.00 ,$52.00 ,$130.00 ,$83.60 ,$136.00 , N/A ,$52.00 ,$200.00 ,$44.00 ,$150.00 ,$142.00 ,$142.00 ,$44.00 ,$142.00 ,$168.00 ,$168.00 ,$168.00 , N/A ,$180.00 ,$110.00 ,$170.00 ,$44.00 ,$200.00 ,$120.00 ,$44.00 ,$83.20 , N/A , N/A ,$52.00 ,$170.00 , N/A ,$160.00 ,$56.00 ,$180.00 ,$150.00 ,$44.00 ,$168.00 ,$150.00 ,$150.00 ,$52.00 ,$130.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000042,V5299,HC WARRANTY DEDUCTIBLE T3,470,1 ,$300.00 ,$195.00 ,$66.00 ,$300.00 ,$165.00 ,$180.00 ,$180.00 ,$78.00 ,$84.00 ,$146.10 ,$78.00 ,$168.30 ,$75.00 ,$240.00 ,$240.00 ,$78.00 ,$195.00 ,$125.40 ,$204.00 , N/A ,$78.00 ,$300.00 ,$66.00 ,$225.00 ,$213.00 ,$213.00 ,$66.00 ,$213.00 ,$252.00 ,$252.00 ,$252.00 , N/A ,$270.00 ,$165.00 ,$255.00 ,$66.00 ,$300.00 ,$180.00 ,$66.00 ,$124.80 , N/A , N/A ,$78.00 ,$255.00 , N/A ,$240.00 ,$84.00 ,$270.00 ,$150.00 ,$66.00 ,$252.00 ,$150.00 ,$150.00 ,$78.00 ,$195.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000043,V5299,HC WARRANTY DEDUCTIBLE T4,470,1 ,$325.00 ,$211.25 ,$71.50 ,$325.00 ,$178.75 ,$195.00 ,$195.00 ,$84.50 ,$91.00 ,$158.28 ,$84.50 ,$182.33 ,$81.25 ,$260.00 ,$260.00 ,$84.50 ,$211.25 ,$135.85 ,$221.00 , N/A ,$84.50 ,$325.00 ,$71.50 ,$243.75 ,$230.75 ,$230.75 ,$71.50 ,$230.75 ,$273.00 ,$273.00 ,$273.00 , N/A ,$292.50 ,$178.75 ,$276.25 ,$71.50 ,$325.00 ,$195.00 ,$71.50 ,$135.20 , N/A , N/A ,$84.50 ,$276.25 , N/A ,$260.00 ,$91.00 ,$292.50 ,$150.00 ,$71.50 ,$273.00 ,$150.00 ,$150.00 ,$84.50 ,$211.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47000044,V5299,HC WARRANTY DEDUCTIBLE T5,470,1 ,$350.00 ,$227.50 ,$77.00 ,$350.00 ,$192.50 ,$210.00 ,$210.00 ,$91.00 ,$98.00 ,$170.45 ,$91.00 ,$196.35 ,$87.50 ,$280.00 ,$280.00 ,$91.00 ,$227.50 ,$146.30 ,$238.00 , N/A ,$91.00 ,$350.00 ,$77.00 ,$262.50 ,$248.50 ,$248.50 ,$77.00 ,$248.50 ,$294.00 ,$294.00 ,$294.00 , N/A ,$315.00 ,$192.50 ,$297.50 ,$77.00 ,$350.00 ,$210.00 ,$77.00 ,$145.60 , N/A , N/A ,$91.00 ,$297.50 , N/A ,$280.00 ,$98.00 ,$315.00 ,$150.00 ,$77.00 ,$294.00 ,$150.00 ,$150.00 ,$91.00 ,$227.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100001,92550,HC AUD TYMPAN/REFLEX THRESHOLD MEASURE,471,1 ,$180.00 ,$117.00 ,$20.00 ,$370.29 ,$99.00 ,$108.00 ,$108.00 ,$46.80 ,$50.40 ,$87.66 ,$46.80 ,$100.98 ,$45.00 ,$144.00 ,$144.00 ,$46.80 ,$22.72 ,$75.24 ,$122.40 ,$356.48 ,$46.80 ,$180.00 ,$39.60 ,$135.00 ,$127.80 ,$127.80 ,$39.60 ,$127.80 ,$151.20 ,$151.20 ,$151.20 , N/A ,$162.00 ,$99.00 ,$153.00 ,$39.60 ,$180.00 ,$108.00 ,$39.60 ,$74.88 ,$370.29 ,$336.63 ,$46.80 ,$153.00 ,$270.92 ,$144.00 ,$50.40 ,$162.00 ,$20.00 ,$39.60 ,$151.20 ,$150.00 ,$150.00 ,$46.80 ,$117.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100003,92567,HC TYMPANOMETRY IMPED TEST,471,1 ,$209.00 ,$135.85 ,$10.76 ,$234.39 ,$114.95 ,$125.40 ,$125.40 ,$54.34 ,$58.52 ,$106.17 ,$54.34 ,$122.89 ,$52.25 ,$167.20 ,$167.20 ,$54.34 ,$10.76 ,$87.36 ,$142.12 ,$86.43 ,$54.34 ,$209.00 ,$45.98 ,$156.75 ,$148.39 ,$148.39 ,$45.98 ,$148.39 ,$175.56 ,$175.56 ,$175.56 , N/A ,$188.10 ,$114.95 ,$177.65 ,$45.98 ,$209.00 ,$125.40 ,$45.98 ,$86.94 ,$234.39 ,$213.08 ,$54.34 ,$177.65 ,$65.68 ,$167.20 ,$58.52 ,$188.10 ,$209.00 ,$45.98 ,$175.56 ,$150.00 ,$150.00 ,$54.34 ,$135.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100004,92570,HC AUD ACOUSTIC REFLEX DECAY,471,1 ,$68.00 ,$44.20 ,$14.96 ,$356.48 ,$37.40 ,$40.80 ,$40.80 ,$17.68 ,$19.04 ,$33.12 ,$17.68 ,$38.15 ,$17.00 ,$54.40 ,$54.40 ,$17.68 ,$30.46 ,$28.42 ,$46.24 ,$356.48 ,$17.68 ,$68.00 ,$14.96 ,$51.00 ,$48.28 ,$48.28 ,$14.96 ,$48.28 ,$57.12 ,$57.12 ,$57.12 , N/A ,$61.20 ,$37.40 ,$57.80 ,$14.96 ,$68.00 ,$40.80 ,$14.96 ,$28.29 ,$202.75 ,$184.32 ,$17.68 ,$57.80 ,$270.92 ,$54.40 ,$19.04 ,$61.20 ,$68.00 ,$14.96 ,$57.12 ,$68.00 ,$68.00 ,$17.68 ,$44.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100005,92568,HC AUD ACOUSTIC REFLEX TESTING,471,1 ,$106.00 ,$68.90 ,$3.63 ,$106.00 ,$58.30 ,$63.60 ,$63.60 ,$27.56 ,$29.68 ,$53.85 ,$27.56 ,$62.33 ,$26.50 ,$84.80 ,$84.80 ,$27.56 ,$15.75 ,$44.31 ,$72.08 ,$86.43 ,$27.56 ,$106.00 ,$23.32 ,$79.50 ,$75.26 ,$75.26 ,$23.32 ,$75.26 ,$89.04 ,$89.04 ,$89.04 , N/A ,$95.40 ,$58.30 ,$90.10 ,$23.32 ,$106.00 ,$63.60 ,$23.32 ,$44.10 ,$3.99 ,$3.63 ,$27.56 ,$90.10 ,$65.68 ,$84.80 ,$29.68 ,$95.40 ,$106.00 ,$23.32 ,$89.04 ,$106.00 ,$106.00 ,$27.56 ,$68.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100006,92557,HC AUD COMPREHENSIVE AUDIO,471,1 ,$407.00 ,$264.55 ,$33.17 ,$407.00 ,$223.85 ,$244.20 ,$244.20 ,$105.82 ,$113.96 ,$206.76 ,$105.82 ,$239.32 ,$101.75 ,$325.60 ,$325.60 ,$105.82 ,$33.17 ,$170.13 ,$276.76 ,$356.48 ,$105.82 ,$407.00 ,$89.54 ,$305.25 ,$288.97 ,$288.97 ,$89.54 ,$288.97 ,$341.88 ,$341.88 ,$341.88 , N/A ,$366.30 ,$223.85 ,$345.95 ,$89.54 ,$407.00 ,$244.20 ,$89.54 ,$169.31 ,$234.39 ,$213.08 ,$105.82 ,$345.95 ,$270.92 ,$325.60 ,$113.96 ,$366.30 ,$40.00 ,$89.54 ,$341.88 ,$150.00 ,$150.00 ,$105.82 ,$264.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100007,92582,HC AUD CONDITION PLAY AUDIOMETRY,471,1 ,$227.00 ,$147.55 ,$49.94 ,$356.48 ,$124.85 ,$136.20 ,$136.20 ,$59.02 ,$63.56 ,$115.32 ,$59.02 ,$133.48 ,$56.75 ,$181.60 ,$181.60 ,$59.02 ,$74.82 ,$94.89 ,$154.36 ,$356.48 ,$59.02 ,$227.00 ,$49.94 ,$170.25 ,$161.17 ,$161.17 ,$49.94 ,$161.17 ,$190.68 ,$190.68 ,$190.68 , N/A ,$204.30 ,$124.85 ,$192.95 ,$49.94 ,$227.00 ,$136.20 ,$49.94 ,$94.43 ,$202.75 ,$184.32 ,$59.02 ,$192.95 ,$270.92 ,$181.60 ,$63.56 ,$204.30 ,$227.00 ,$49.94 ,$190.68 ,$150.00 ,$150.00 ,$59.02 ,$147.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100008,92588,HC AUD EVOKED OTOACOUS EMISSIONS COMP EVAL,471,1 ,$373.00 ,$242.45 ,$5.46 ,$675.73 ,$205.15 ,$223.80 ,$223.80 ,$96.98 ,$104.44 ,$60.37 ,$96.98 ,$60.37 ,$93.25 ,$298.40 ,$298.40 ,$96.98 ,$5.46 ,$155.91 ,$253.64 ,$675.73 ,$96.98 ,$373.00 ,$82.06 ,$279.75 ,$264.83 ,$264.83 ,$82.06 ,$264.83 ,$313.32 ,$313.32 ,$313.32 , N/A ,$335.70 ,$205.15 ,$317.05 ,$82.06 ,$373.00 ,$223.80 ,$82.06 ,$155.17 ,$370.29 ,$336.63 ,$96.98 ,$317.05 ,$513.55 ,$298.40 ,$104.44 ,$335.70 ,$373.00 ,$82.06 ,$313.32 ,$150.00 ,$150.00 ,$96.98 ,$242.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100009,92558,HC AUD EVOKED OTOACOUS EMISSIONS SCREENING,471,1 ,$209.00 ,$135.85 ,$45.98 ,$234.39 ,$114.95 ,$125.40 ,$125.40 ,$54.34 ,$58.52 ,$101.78 ,$54.34 ,$117.25 ,$52.25 ,$167.20 ,$167.20 ,$54.34 ,$135.85 ,$87.36 ,$142.12 , N/A ,$54.34 ,$209.00 ,$45.98 ,$156.75 ,$148.39 ,$148.39 ,$45.98 ,$148.39 ,$175.56 ,$175.56 ,$175.56 , N/A ,$188.10 ,$114.95 ,$177.65 ,$45.98 ,$209.00 ,$125.40 ,$45.98 ,$86.94 ,$234.39 ,$213.08 ,$54.34 ,$177.65 , N/A ,$167.20 ,$58.52 ,$188.10 ,$209.00 ,$45.98 ,$175.56 ,$150.00 ,$150.00 ,$54.34 ,$135.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100011,92553,HC AUD PURE TONE AIR  AND  BONE,471,1 ,$373.00 ,$242.45 ,$39.37 ,$373.00 ,$205.15 ,$223.80 ,$223.80 ,$96.98 ,$104.44 ,$189.48 ,$96.98 ,$219.32 ,$93.25 ,$298.40 ,$298.40 ,$96.98 ,$39.37 ,$155.91 ,$253.64 ,$356.48 ,$96.98 ,$373.00 ,$82.06 ,$279.75 ,$264.83 ,$264.83 ,$82.06 ,$264.83 ,$313.32 ,$313.32 ,$313.32 , N/A ,$335.70 ,$205.15 ,$317.05 ,$82.06 ,$373.00 ,$223.80 ,$82.06 ,$155.17 ,$234.39 ,$213.08 ,$96.98 ,$317.05 ,$270.92 ,$298.40 ,$104.44 ,$335.70 ,$373.00 ,$82.06 ,$313.32 ,$150.00 ,$150.00 ,$96.98 ,$242.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100012,92553,HC AUD PURE TONE AIR  AND  BONE -52,471,1 ,$373.00 ,$242.45 ,$39.37 ,$373.00 ,$205.15 ,$223.80 ,$223.80 ,$96.98 ,$104.44 ,$189.48 ,$96.98 ,$219.32 ,$93.25 ,$298.40 ,$298.40 ,$96.98 ,$39.37 ,$155.91 ,$253.64 ,$178.24 ,$96.98 ,$373.00 ,$82.06 ,$279.75 ,$264.83 ,$264.83 ,$82.06 ,$264.83 ,$313.32 ,$313.32 ,$313.32 , N/A ,$335.70 ,$205.15 ,$317.05 ,$82.06 ,$373.00 ,$223.80 ,$82.06 ,$155.17 ,$117.19 ,$106.54 ,$96.98 ,$317.05 ,$135.46 ,$298.40 ,$104.44 ,$335.70 ,$373.00 ,$82.06 ,$313.32 ,$150.00 ,$150.00 ,$96.98 ,$242.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100013,92552,HC AUD PURE TONE AIR ONLY,471,1 ,$98.00 ,$63.70 ,$21.56 ,$287.90 ,$53.90 ,$58.80 ,$58.80 ,$25.48 ,$27.44 ,$49.78 ,$25.48 ,$57.62 ,$24.50 ,$78.40 ,$78.40 ,$25.48 ,$32.52 ,$40.96 ,$66.64 ,$287.90 ,$25.48 ,$98.00 ,$21.56 ,$73.50 ,$69.58 ,$69.58 ,$21.56 ,$69.58 ,$82.32 ,$82.32 ,$82.32 , N/A ,$88.20 ,$53.90 ,$83.30 ,$21.56 ,$98.00 ,$58.80 ,$21.56 ,$40.77 ,$234.39 ,$213.08 ,$25.48 ,$83.30 ,$218.80 ,$78.40 ,$27.44 ,$88.20 ,$25.00 ,$21.56 ,$82.32 ,$98.00 ,$98.00 ,$25.48 ,$63.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100014,92583,HC AUD SELECT PICTURE AUDIOMETRY,471,1 ,$145.00 ,$94.25 ,$31.90 ,$202.75 ,$79.75 ,$87.00 ,$87.00 ,$37.70 ,$40.60 ,$73.66 ,$37.70 ,$85.26 ,$36.25 ,$116.00 ,$116.00 ,$37.70 ,$48.82 ,$60.61 ,$98.60 ,$142.13 ,$37.70 ,$145.00 ,$31.90 ,$108.75 ,$102.95 ,$102.95 ,$31.90 ,$102.95 ,$121.80 ,$121.80 ,$121.80 , N/A ,$130.50 ,$79.75 ,$123.25 ,$31.90 ,$145.00 ,$87.00 ,$31.90 ,$60.32 ,$202.75 ,$184.32 ,$37.70 ,$123.25 ,$108.02 ,$116.00 ,$40.60 ,$130.50 ,$145.00 ,$31.90 ,$121.80 ,$145.00 ,$145.00 ,$37.70 ,$94.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100015,92555,HC AUD SPEECH THRESHOLD,471,1 ,$97.00 ,$63.05 ,$21.34 ,$234.39 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$24.70 ,$40.55 ,$65.96 ,$86.43 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$234.39 ,$213.08 ,$25.22 ,$82.45 ,$65.68 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$97.00 ,$97.00 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100016,92556,HC AUD SPEECH THRESHOLD W/SPEECH RECOGNITION,471,1 ,$190.00 ,$123.50 ,$38.72 ,$234.39 ,$104.50 ,$114.00 ,$114.00 ,$49.40 ,$53.20 ,$96.52 ,$49.40 ,$111.72 ,$47.50 ,$152.00 ,$152.00 ,$49.40 ,$38.72 ,$79.42 ,$129.20 ,$142.13 ,$49.40 ,$190.00 ,$41.80 ,$142.50 ,$134.90 ,$134.90 ,$41.80 ,$134.90 ,$159.60 ,$159.60 ,$159.60 , N/A ,$171.00 ,$104.50 ,$161.50 ,$41.80 ,$190.00 ,$114.00 ,$41.80 ,$79.04 ,$234.39 ,$213.08 ,$49.40 ,$161.50 ,$108.02 ,$152.00 ,$53.20 ,$171.00 ,$190.00 ,$41.80 ,$159.60 ,$150.00 ,$150.00 ,$49.40 ,$123.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100017,92579,HC AUD VISUAL REINFORCEMENT AUDIOMETRY,471,1 ,$227.00 ,$147.55 ,$38.59 ,$356.48 ,$124.85 ,$136.20 ,$136.20 ,$59.02 ,$63.56 ,$115.32 ,$59.02 ,$133.48 ,$56.75 ,$181.60 ,$181.60 ,$59.02 ,$38.59 ,$94.89 ,$154.36 ,$356.48 ,$59.02 ,$227.00 ,$49.94 ,$170.25 ,$161.17 ,$161.17 ,$49.94 ,$161.17 ,$190.68 ,$190.68 ,$190.68 , N/A ,$204.30 ,$124.85 ,$192.95 ,$49.94 ,$227.00 ,$136.20 ,$49.94 ,$94.43 ,$234.39 ,$213.08 ,$59.02 ,$192.95 ,$270.92 ,$181.60 ,$63.56 ,$204.30 ,$227.00 ,$49.94 ,$190.68 ,$150.00 ,$150.00 ,$59.02 ,$147.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100018,92563,HC TONE DECAY TEST,471,1 ,$88.00 ,$57.20 ,$3.63 ,$88.00 ,$48.40 ,$52.80 ,$52.80 ,$22.88 ,$24.64 ,$44.70 ,$22.88 ,$51.74 ,$22.00 ,$70.40 ,$70.40 ,$22.88 ,$30.89 ,$36.78 ,$59.84 ,$86.43 ,$22.88 ,$88.00 ,$19.36 ,$66.00 ,$62.48 ,$62.48 ,$19.36 ,$62.48 ,$73.92 ,$73.92 ,$73.92 , N/A ,$79.20 ,$48.40 ,$74.80 ,$19.36 ,$88.00 ,$52.80 ,$19.36 ,$36.61 ,$3.99 ,$3.63 ,$22.88 ,$74.80 ,$65.68 ,$70.40 ,$24.64 ,$79.20 ,$88.00 ,$19.36 ,$73.92 ,$88.00 ,$88.00 ,$22.88 ,$57.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100038,92592,HC HEARING AID CHECK MONAURAL,471,1 ,$75.00 ,$48.75 ,$16.50 ,$234.39 ,$41.25 ,$45.00 ,$45.00 ,$19.50 ,$21.00 ,$38.10 ,$19.50 ,$44.10 ,$18.75 ,$60.00 ,$60.00 ,$19.50 ,$48.75 ,$31.35 ,$51.00 , N/A ,$19.50 ,$75.00 ,$16.50 ,$56.25 ,$53.25 ,$53.25 ,$16.50 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$41.25 ,$63.75 ,$16.50 ,$75.00 ,$45.00 ,$16.50 ,$31.20 ,$234.39 ,$213.08 ,$19.50 ,$63.75 , N/A ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$16.50 ,$63.00 ,$75.00 ,$75.00 ,$19.50 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100039,92591,HC HEARING AID EXAM BINAURAL,471,1 ,$211.00 ,$137.15 ,$46.42 ,$234.39 ,$116.05 ,$126.60 ,$126.60 ,$54.86 ,$59.08 ,$107.19 ,$54.86 ,$124.07 ,$52.75 ,$168.80 ,$168.80 ,$54.86 ,$137.15 ,$88.20 ,$143.48 , N/A ,$54.86 ,$211.00 ,$46.42 ,$158.25 ,$149.81 ,$149.81 ,$46.42 ,$149.81 ,$177.24 ,$177.24 ,$177.24 , N/A ,$189.90 ,$116.05 ,$179.35 ,$46.42 ,$211.00 ,$126.60 ,$46.42 ,$87.78 ,$234.39 ,$213.08 ,$54.86 ,$179.35 , N/A ,$168.80 ,$59.08 ,$189.90 ,$211.00 ,$46.42 ,$177.24 ,$150.00 ,$150.00 ,$54.86 ,$137.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100040,92590,HC HEARING AID EXAM MONAURAL,471,1 ,$206.00 ,$133.90 ,$45.32 ,$234.39 ,$113.30 ,$123.60 ,$123.60 ,$53.56 ,$57.68 ,$104.65 ,$53.56 ,$121.13 ,$51.50 ,$164.80 ,$164.80 ,$53.56 ,$133.90 ,$86.11 ,$140.08 , N/A ,$53.56 ,$206.00 ,$45.32 ,$154.50 ,$146.26 ,$146.26 ,$45.32 ,$146.26 ,$173.04 ,$173.04 ,$173.04 , N/A ,$185.40 ,$113.30 ,$175.10 ,$45.32 ,$206.00 ,$123.60 ,$45.32 ,$85.70 ,$234.39 ,$213.08 ,$53.56 ,$175.10 , N/A ,$164.80 ,$57.68 ,$185.40 ,$206.00 ,$45.32 ,$173.04 ,$150.00 ,$150.00 ,$53.56 ,$133.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100041,92555,HC AUD SPEECH THRESHOLD -52,471,1 ,$97.00 ,$63.05 ,$21.34 ,$117.19 ,$53.35 ,$58.20 ,$58.20 ,$25.22 ,$27.16 ,$49.28 ,$25.22 ,$57.04 ,$24.25 ,$77.60 ,$77.60 ,$25.22 ,$24.70 ,$40.55 ,$65.96 ,$43.21 ,$25.22 ,$97.00 ,$21.34 ,$72.75 ,$68.87 ,$68.87 ,$21.34 ,$68.87 ,$81.48 ,$81.48 ,$81.48 , N/A ,$87.30 ,$53.35 ,$82.45 ,$21.34 ,$97.00 ,$58.20 ,$21.34 ,$40.35 ,$117.19 ,$106.54 ,$25.22 ,$82.45 ,$32.84 ,$77.60 ,$27.16 ,$87.30 ,$97.00 ,$21.34 ,$81.48 ,$97.00 ,$97.00 ,$25.22 ,$63.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100042,92567,HC TYMPANOMETRY IMPED TEST -52,471,1 ,$209.00 ,$135.85 ,$10.76 ,$209.00 ,$114.95 ,$125.40 ,$125.40 ,$54.34 ,$58.52 ,$106.17 ,$54.34 ,$122.89 ,$52.25 ,$167.20 ,$167.20 ,$54.34 ,$10.76 ,$87.36 ,$142.12 ,$43.21 ,$54.34 ,$209.00 ,$45.98 ,$156.75 ,$148.39 ,$148.39 ,$45.98 ,$148.39 ,$175.56 ,$175.56 ,$175.56 , N/A ,$188.10 ,$114.95 ,$177.65 ,$45.98 ,$209.00 ,$125.40 ,$45.98 ,$86.94 ,$117.19 ,$106.54 ,$54.34 ,$177.65 ,$32.84 ,$167.20 ,$58.52 ,$188.10 ,$209.00 ,$45.98 ,$175.56 ,$150.00 ,$150.00 ,$54.34 ,$135.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100043,92552,HC AUD PURE TONE AIR ONLY -52,471,1 ,$98.00 ,$63.70 ,$21.56 ,$143.95 ,$53.90 ,$58.80 ,$58.80 ,$25.48 ,$27.44 ,$49.78 ,$25.48 ,$57.62 ,$24.50 ,$78.40 ,$78.40 ,$25.48 ,$32.52 ,$40.96 ,$66.64 ,$143.95 ,$25.48 ,$98.00 ,$21.56 ,$73.50 ,$69.58 ,$69.58 ,$21.56 ,$69.58 ,$82.32 ,$82.32 ,$82.32 , N/A ,$88.20 ,$53.90 ,$83.30 ,$21.56 ,$98.00 ,$58.80 ,$21.56 ,$40.77 ,$117.19 ,$106.54 ,$25.48 ,$83.30 ,$109.40 ,$78.40 ,$27.44 ,$88.20 ,$25.00 ,$21.56 ,$82.32 ,$98.00 ,$98.00 ,$25.48 ,$63.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100044,92556,HC AUD SPEECH THRESHOLD W/SPEECH RECOGNITION -52,471,1 ,$190.00 ,$123.50 ,$38.72 ,$190.00 ,$104.50 ,$114.00 ,$114.00 ,$49.40 ,$53.20 ,$96.52 ,$49.40 ,$111.72 ,$47.50 ,$152.00 ,$152.00 ,$49.40 ,$38.72 ,$79.42 ,$129.20 ,$71.06 ,$49.40 ,$190.00 ,$41.80 ,$142.50 ,$134.90 ,$134.90 ,$41.80 ,$134.90 ,$159.60 ,$159.60 ,$159.60 , N/A ,$171.00 ,$104.50 ,$161.50 ,$41.80 ,$190.00 ,$114.00 ,$41.80 ,$79.04 ,$117.19 ,$106.54 ,$49.40 ,$161.50 ,$54.01 ,$152.00 ,$53.20 ,$171.00 ,$190.00 ,$41.80 ,$159.60 ,$150.00 ,$150.00 ,$49.40 ,$123.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100045,92565,HC STENGER TEST PURE TONE,471,1 ,$244.00 ,$158.60 ,$3.63 ,$244.00 ,$134.20 ,$146.40 ,$146.40 ,$63.44 ,$68.32 ,$123.95 ,$63.44 ,$143.47 ,$61.00 ,$195.20 ,$195.20 ,$63.44 ,$18.50 ,$101.99 ,$165.92 ,$86.43 ,$63.44 ,$244.00 ,$53.68 ,$183.00 ,$173.24 ,$173.24 ,$53.68 ,$173.24 ,$204.96 ,$204.96 ,$204.96 , N/A ,$219.60 ,$134.20 ,$207.40 ,$53.68 ,$244.00 ,$146.40 ,$53.68 ,$101.50 ,$3.99 ,$3.63 ,$63.44 ,$207.40 ,$65.68 ,$195.20 ,$68.32 ,$219.60 ,$8.00 ,$53.68 ,$204.96 ,$150.00 ,$150.00 ,$63.44 ,$158.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100047,V5008,HC HEARING SCREENING,471,1 ,$66.00 ,$42.90 ,$14.52 ,$234.39 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$33.53 ,$17.16 ,$38.81 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$42.90 ,$27.59 ,$44.88 , N/A ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.46 ,$234.39 ,$213.08 ,$17.16 ,$56.10 , N/A ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 ,$66.00 ,$66.00 ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100048,92587,HC DISTORTION AUDITORY EVOKED POTENT LTD-52,471,1 ,$339.00 ,$220.35 ,$4.16 ,$339.00 ,$186.45 ,$203.40 ,$203.40 ,$88.14 ,$94.92 ,$50.23 ,$88.14 ,$50.23 ,$84.75 ,$271.20 ,$271.20 ,$88.14 ,$4.16 ,$141.70 ,$230.52 ,$337.86 ,$88.14 ,$339.00 ,$74.58 ,$254.25 ,$240.69 ,$240.69 ,$74.58 ,$240.69 ,$284.76 ,$284.76 ,$284.76 , N/A ,$305.10 ,$186.45 ,$288.15 ,$74.58 ,$339.00 ,$203.40 ,$74.58 ,$141.02 ,$185.15 ,$168.32 ,$88.14 ,$288.15 ,$256.78 ,$271.20 ,$94.92 ,$305.10 ,$339.00 ,$74.58 ,$284.76 ,$150.00 ,$150.00 ,$88.14 ,$220.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100049,92588,HC AUD EVOKED OTOACOUS EMISSIONS COMP EVAL-52,471,1 ,$373.00 ,$242.45 ,$5.46 ,$373.00 ,$205.15 ,$223.80 ,$223.80 ,$96.98 ,$104.44 ,$60.37 ,$96.98 ,$60.37 ,$93.25 ,$298.40 ,$298.40 ,$96.98 ,$5.46 ,$155.91 ,$253.64 ,$337.86 ,$96.98 ,$373.00 ,$82.06 ,$279.75 ,$264.83 ,$264.83 ,$82.06 ,$264.83 ,$313.32 ,$313.32 ,$313.32 , N/A ,$335.70 ,$205.15 ,$317.05 ,$82.06 ,$373.00 ,$223.80 ,$82.06 ,$155.17 ,$185.15 ,$168.32 ,$96.98 ,$317.05 ,$256.78 ,$298.40 ,$104.44 ,$335.70 ,$373.00 ,$82.06 ,$313.32 ,$150.00 ,$150.00 ,$96.98 ,$242.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100050,92557,HC AUD COMPREHENSIVE AUDIO-52,471,1 ,$407.00 ,$264.55 ,$33.17 ,$407.00 ,$223.85 ,$244.20 ,$244.20 ,$105.82 ,$113.96 ,$206.76 ,$105.82 ,$239.32 ,$101.75 ,$325.60 ,$325.60 ,$105.82 ,$33.17 ,$170.13 ,$276.76 ,$178.24 ,$105.82 ,$407.00 ,$89.54 ,$305.25 ,$288.97 ,$288.97 ,$89.54 ,$288.97 ,$341.88 ,$341.88 ,$341.88 , N/A ,$366.30 ,$223.85 ,$345.95 ,$89.54 ,$407.00 ,$244.20 ,$89.54 ,$169.31 ,$117.19 ,$106.54 ,$105.82 ,$345.95 ,$135.46 ,$325.60 ,$113.96 ,$366.30 ,$40.00 ,$89.54 ,$341.88 ,$150.00 ,$150.00 ,$105.82 ,$264.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,47100051,92570,HC AUD ACOUSTIC REFLEX DECAY-52,471,1 ,$68.00 ,$44.20 ,$14.96 ,$178.24 ,$37.40 ,$40.80 ,$40.80 ,$17.68 ,$19.04 ,$33.12 ,$17.68 ,$38.15 ,$17.00 ,$54.40 ,$54.40 ,$17.68 ,$30.46 ,$28.42 ,$46.24 ,$178.24 ,$17.68 ,$68.00 ,$14.96 ,$51.00 ,$48.28 ,$48.28 ,$14.96 ,$48.28 ,$57.12 ,$57.12 ,$57.12 , N/A ,$61.20 ,$37.40 ,$57.80 ,$14.96 ,$68.00 ,$40.80 ,$14.96 ,$28.29 ,$101.38 ,$92.16 ,$17.68 ,$57.80 ,$135.46 ,$54.40 ,$19.04 ,$61.20 ,$68.00 ,$14.96 ,$57.12 ,$68.00 ,$68.00 ,$17.68 ,$44.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,$778.00 ,$505.70 ,$110.51 ,"$1,434.33 ",$427.90 ,$466.80 ,$466.80 ,$202.28 ,$217.84 ,$395.22 ,$202.28 ,$457.46 ,$194.50 ,$622.40 ,$622.40 ,$202.28 ,$110.51 ,$325.20 ,$529.04 ,"$1,434.33 ",$202.28 ,$778.00 ,$171.16 ,$583.50 ,$552.38 ,$552.38 ,$171.16 ,$552.38 ,$653.52 ,$653.52 ,$653.52 , N/A ,$700.20 ,$427.90 ,$661.30 ,$171.16 ,$778.00 ,$466.80 ,$171.16 ,$323.65 ,"$1,034.47 ",$940.43 ,$202.28 ,$661.30 ,"$1,090.09 ",$622.40 ,$217.84 ,$700.20 ,$778.00 ,$171.16 ,$653.52 ,$778.00 ,$778.00 ,$202.28 ,$505.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48000015,93618,HC ARRHYTHMIA INDUCTION ELECTRIC,480,1 ,"$3,207.00 ","$2,084.55 ",$235.90 ,"$8,867.14 ","$1,763.85 ","$1,924.20 ","$1,924.20 ",$833.82 ,$897.96 ,"$1,629.16 ",$833.82 ,"$1,885.72 ",$801.75 ,"$2,565.60 ","$2,565.60 ",$833.82 ,$235.90 ,"$1,340.53 ","$2,180.76 ","$2,843.80 ",$833.82 ,"$3,207.00 ",$705.54 ,"$2,405.25 ","$2,276.97 ","$2,276.97 ",$705.54 ,"$2,276.97 ","$2,693.88 ","$2,693.88 ","$2,693.88 ", N/A ,"$2,886.30 ","$1,763.85 ","$2,725.95 ",$705.54 ,"$3,207.00 ","$1,924.20 ",$705.54 ,"$1,334.11 ","$8,867.14 ","$8,061.04 ",$833.82 ,"$2,725.95 ","$2,161.29 ","$2,565.60 ",$897.96 ,"$2,886.30 ","$3,207.00 ",$705.54 ,"$2,693.88 ","$1,275.00 ","$1,275.00 ",$833.82 ,"$2,084.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$212.00 ,$137.80 ,$13.61 ,$518.29 ,$116.60 ,$127.20 ,$127.20 ,$55.12 ,$59.36 ,$107.70 ,$55.12 ,$124.66 ,$53.00 ,$169.60 ,$169.60 ,$55.12 ,$13.61 ,$88.62 ,$144.16 ,$142.13 ,$55.12 ,$212.00 ,$46.64 ,$159.00 ,$150.52 ,$150.52 ,$46.64 ,$150.52 ,$178.08 ,$178.08 ,$178.08 , N/A ,$190.80 ,$116.60 ,$180.20 ,$46.64 ,$212.00 ,$127.20 ,$46.64 ,$88.19 ,$518.29 ,$471.17 ,$55.12 ,$180.20 ,$108.02 ,$169.60 ,$59.36 ,$190.80 ,$212.00 ,$46.64 ,$178.08 ,$212.00 ,$212.00 ,$55.12 ,$137.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,$868.00 ,$564.20 ,$34.40 ,$868.00 ,$477.40 ,$520.80 ,$520.80 ,$225.68 ,$243.04 ,$440.94 ,$225.68 ,$510.38 ,$217.00 ,$694.40 ,$694.40 ,$225.68 ,$34.40 ,$362.82 ,$590.24 ,$675.73 ,$225.68 ,$868.00 ,$190.96 ,$651.00 ,$616.28 ,$616.28 ,$190.96 ,$616.28 ,$729.12 ,$729.12 ,$729.12 , N/A ,$781.20 ,$477.40 ,$737.80 ,$190.96 ,$868.00 ,$520.80 ,$190.96 ,$361.09 ,$518.29 ,$471.17 ,$225.68 ,$737.80 ,$513.55 ,$694.40 ,$243.04 ,$781.20 ,$868.00 ,$190.96 ,$729.12 ,$868.00 ,$868.00 ,$225.68 ,$564.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,230.00 ","$2,099.50 ",$127.31 ,"$3,230.00 ","$1,776.50 ","$1,938.00 ","$1,938.00 ",$839.80 ,$904.40 ,"$1,640.84 ",$839.80 ,"$1,899.24 ",$807.50 ,"$2,584.00 ","$2,584.00 ",$839.80 ,$127.31 ,"$1,350.14 ","$2,196.40 ","$1,233.70 ",$839.80 ,"$3,230.00 ",$710.60 ,"$2,422.50 ","$2,293.30 ","$2,293.30 ",$710.60 ,"$2,293.30 ","$2,713.20 ","$2,713.20 ","$2,713.20 ", N/A ,"$2,907.00 ","$1,776.50 ","$2,745.50 ",$710.60 ,"$3,230.00 ","$1,938.00 ",$710.60 ,"$1,343.68 ",$823.74 ,$748.85 ,$839.80 ,"$2,745.50 ",$937.61 ,"$2,584.00 ",$904.40 ,"$2,907.00 ","$3,230.00 ",$710.60 ,"$2,713.20 ",$750.00 ,$750.00 ,$839.80 ,"$2,099.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300001,93307,HC ECHOCARDIOGRAM 2D W/O DOP,483,1 ,"$2,014.00 ","$1,309.10 ",$93.73 ,"$2,014.00 ","$1,107.70 ","$1,208.40 ","$1,208.40 ",$523.64 ,$563.92 ,"$1,023.11 ",$523.64 ,"$1,184.23 ",$503.50 ,"$1,611.20 ","$1,611.20 ",$523.64 ,$93.73 ,$841.85 ,"$1,369.52 ",$587.50 ,$523.64 ,"$2,014.00 ",$443.08 ,"$1,510.50 ","$1,429.94 ","$1,429.94 ",$443.08 ,"$1,429.94 ","$1,691.76 ","$1,691.76 ","$1,691.76 ", N/A ,"$1,812.60 ","$1,107.70 ","$1,711.90 ",$443.08 ,"$2,014.00 ","$1,208.40 ",$443.08 ,$837.82 ,$823.74 ,$748.85 ,$523.64 ,"$1,711.90 ",$446.50 ,"$1,611.20 ",$563.92 ,"$1,812.60 ","$2,014.00 ",$443.08 ,"$1,691.76 ",$750.00 ,$750.00 ,$523.64 ,"$1,309.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$876.00 ,$569.40 ,$72.29 ,$876.00 ,$481.80 ,$525.60 ,$525.60 ,$227.76 ,$245.28 ,$445.01 ,$227.76 ,$515.09 ,$219.00 ,$700.80 ,$700.80 ,$227.76 ,$72.29 ,$366.17 ,$595.68 ,$587.50 ,$227.76 ,$876.00 ,$192.72 ,$657.00 ,$621.96 ,$621.96 ,$192.72 ,$621.96 ,$735.84 ,$735.84 ,$735.84 , N/A ,$788.40 ,$481.80 ,$744.60 ,$192.72 ,$876.00 ,$525.60 ,$192.72 ,$364.42 ,$823.74 ,$748.85 ,$227.76 ,$744.60 ,$446.50 ,$700.80 ,$245.28 ,$788.40 ,$876.00 ,$192.72 ,$735.84 ,$750.00 ,$750.00 ,$227.76 ,$569.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$332.00 ,$215.80 ,$20.21 ,$823.74 ,$182.60 ,$199.20 ,$199.20 ,$86.32 ,$92.96 ,$168.66 ,$86.32 ,$195.22 ,$83.00 ,$265.60 ,$265.60 ,$86.32 ,$20.21 ,$138.78 ,$225.76 , N/A ,$86.32 ,$332.00 ,$73.04 ,$249.00 ,$235.72 ,$235.72 ,$73.04 ,$235.72 ,$278.88 ,$278.88 ,$278.88 , N/A ,$298.80 ,$182.60 ,$282.20 ,$73.04 ,$332.00 ,$199.20 ,$73.04 ,$138.11 ,$823.74 ,$748.85 ,$86.32 ,$282.20 , N/A ,$265.60 ,$92.96 ,$298.80 ,$332.00 ,$73.04 ,$278.88 ,$332.00 ,$332.00 ,$86.32 ,$215.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300007,93350,HC ECHO REST  AND  STRESS W/PF,483,1 ,"$2,926.00 ","$1,901.90 ",$117.53 ,"$2,926.00 ","$1,609.30 ","$1,755.60 ","$1,755.60 ",$760.76 ,$819.28 ,"$1,486.41 ",$760.76 ,"$1,720.49 ",$731.50 ,"$2,340.80 ","$2,340.80 ",$760.76 ,$117.53 ,"$1,223.07 ","$1,989.68 ","$1,233.70 ",$760.76 ,"$2,926.00 ",$643.72 ,"$2,194.50 ","$2,077.46 ","$2,077.46 ",$643.72 ,"$2,077.46 ","$2,457.84 ","$2,457.84 ","$2,457.84 ", N/A ,"$2,633.40 ","$1,609.30 ","$2,487.10 ",$643.72 ,"$2,926.00 ","$1,755.60 ",$643.72 ,"$1,217.22 ",$823.74 ,$748.85 ,$760.76 ,"$2,487.10 ",$937.61 ,"$2,340.80 ",$819.28 ,"$2,633.40 ","$2,926.00 ",$643.72 ,"$2,457.84 ",$750.00 ,$750.00 ,$760.76 ,"$1,901.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$320.00 ,$208.00 ,$17.93 ,$823.74 ,$176.00 ,$192.00 ,$192.00 ,$83.20 ,$89.60 ,$162.56 ,$83.20 ,$188.16 ,$80.00 ,$256.00 ,$256.00 ,$83.20 ,$17.93 ,$133.76 ,$217.60 , N/A ,$83.20 ,$320.00 ,$70.40 ,$240.00 ,$227.20 ,$227.20 ,$70.40 ,$227.20 ,$268.80 ,$268.80 ,$268.80 , N/A ,$288.00 ,$176.00 ,$272.00 ,$70.40 ,$320.00 ,$192.00 ,$70.40 ,$133.12 ,$823.74 ,$748.85 ,$83.20 ,$272.00 , N/A ,$256.00 ,$89.60 ,$288.00 ,$320.00 ,$70.40 ,$268.80 ,$320.00 ,$320.00 ,$83.20 ,$208.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300011,93351,HC ECHO 2D STRESS CONT MONITORING,483,1 ,"$1,784.00 ","$1,159.60 ",$148.99 ,"$1,784.00 ",$981.20 ,"$1,070.40 ","$1,070.40 ",$463.84 ,$499.52 ,$906.27 ,$463.84 ,"$1,048.99 ",$446.00 ,"$1,427.20 ","$1,427.20 ",$463.84 ,$148.99 ,$745.71 ,"$1,213.12 ","$1,233.70 ",$463.84 ,"$1,784.00 ",$392.48 ,"$1,338.00 ","$1,266.64 ","$1,266.64 ",$392.48 ,"$1,266.64 ","$1,498.56 ","$1,498.56 ","$1,498.56 ", N/A ,"$1,605.60 ",$981.20 ,"$1,516.40 ",$392.48 ,"$1,784.00 ","$1,070.40 ",$392.48 ,$742.14 ,$823.74 ,$748.85 ,$463.84 ,"$1,516.40 ",$937.61 ,"$1,427.20 ",$499.52 ,"$1,605.60 ","$1,784.00 ",$392.48 ,"$1,498.56 ",$750.00 ,$750.00 ,$463.84 ,"$1,159.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300016,C8924,HC ECHO TTE W/W/O CONT  AND  W/CONT LIMIT,483,1 ,"$1,261.00 ",$819.65 ,$277.42 ,"$1,261.00 ",$693.55 ,$756.60 ,$756.60 ,$327.86 ,$353.08 ,$614.11 ,$327.86 ,$707.42 ,$315.25 ,"$1,008.80 ","$1,008.80 ",$327.86 ,$819.65 ,$527.10 ,$857.48 ,$940.23 ,$327.86 ,"$1,261.00 ",$277.42 ,$945.75 ,$895.31 ,$895.31 ,$277.42 ,$895.31 ,"$1,059.24 ","$1,059.24 ","$1,059.24 ", N/A ,"$1,134.90 ",$693.55 ,"$1,071.85 ",$277.42 ,"$1,261.00 ",$756.60 ,$277.42 ,$524.58 ,$823.74 ,$748.85 ,$327.86 ,"$1,071.85 ",$714.57 ,"$1,008.80 ",$353.08 ,"$1,134.90 ","$1,261.00 ",$277.42 ,"$1,059.24 ",$750.00 ,$750.00 ,$327.86 ,$819.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300018,C8928,HC ECHO TTE 2D STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$1,465.00 ",$952.25 ,$322.30 ,"$1,826.68 ",$805.75 ,$879.00 ,$879.00 ,$380.90 ,$410.20 ,$713.46 ,$380.90 ,$821.87 ,$366.25 ,"$1,172.00 ","$1,172.00 ",$380.90 ,$952.25 ,$612.37 ,$996.20 ,"$1,826.68 ",$380.90 ,"$1,465.00 ",$322.30 ,"$1,098.75 ","$1,040.15 ","$1,040.15 ",$322.30 ,"$1,040.15 ","$1,230.60 ","$1,230.60 ","$1,230.60 ", N/A ,"$1,318.50 ",$805.75 ,"$1,245.25 ",$322.30 ,"$1,465.00 ",$879.00 ,$322.30 ,$609.44 ,$823.74 ,$748.85 ,$380.90 ,"$1,245.25 ","$1,388.27 ","$1,172.00 ",$410.20 ,"$1,318.50 ","$1,465.00 ",$322.30 ,"$1,230.60 ",$750.00 ,$750.00 ,$380.90 ,$952.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT  AND  W/CONT,483,1 ,"$3,005.00 ","$1,953.25 ",$661.10 ,"$3,005.00 ","$1,652.75 ","$1,803.00 ","$1,803.00 ",$781.30 ,$841.40 ,"$1,463.44 ",$781.30 ,"$1,685.81 ",$751.25 ,"$2,404.00 ","$2,404.00 ",$781.30 ,"$1,953.25 ","$1,256.09 ","$2,043.40 ","$1,826.68 ",$781.30 ,"$3,005.00 ",$661.10 ,"$2,253.75 ","$2,133.55 ","$2,133.55 ",$661.10 ,"$2,133.55 ","$2,524.20 ","$2,524.20 ","$2,524.20 ", N/A ,"$2,704.50 ","$1,652.75 ","$2,554.25 ",$661.10 ,"$3,005.00 ","$1,803.00 ",$661.10 ,"$1,250.08 ",$823.74 ,$748.85 ,$781.30 ,"$2,554.25 ","$1,388.27 ","$2,404.00 ",$841.40 ,"$2,704.50 ","$3,005.00 ",$661.10 ,"$2,524.20 ",$750.00 ,$750.00 ,$781.30 ,"$1,953.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,48300020,C8930,HC ECHO TTE 2D REST/STRESS W/W/O CONT  AND  W/CONT W/PF,483,1 ,"$2,246.00 ","$1,459.90 ",$494.12 ,"$2,246.00 ","$1,235.30 ","$1,347.60 ","$1,347.60 ",$583.96 ,$628.88 ,"$1,093.80 ",$583.96 ,"$1,260.01 ",$561.50 ,"$1,796.80 ","$1,796.80 ",$583.96 ,"$1,459.90 ",$938.83 ,"$1,527.28 ","$1,826.68 ",$583.96 ,"$2,246.00 ",$494.12 ,"$1,684.50 ","$1,594.66 ","$1,594.66 ",$494.12 ,"$1,594.66 ","$1,886.64 ","$1,886.64 ","$1,886.64 ", N/A ,"$2,021.40 ","$1,235.30 ","$1,909.10 ",$494.12 ,"$2,246.00 ","$1,347.60 ",$494.12 ,$934.34 ,$823.74 ,$748.85 ,$583.96 ,"$1,909.10 ","$1,388.27 ","$1,796.80 ",$628.88 ,"$2,021.40 ","$2,246.00 ",$494.12 ,"$1,886.64 ",$750.00 ,$750.00 ,$583.96 ,"$1,459.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,095.00 ",$711.75 ,$62.39 ,"$1,095.00 ",$602.25 ,$657.00 ,$657.00 ,$284.70 ,$306.60 ,$533.27 ,$284.70 ,$614.30 ,$273.75 ,$876.00 ,$876.00 ,$284.70 ,$62.39 ,$457.71 , N/A ,$882.50 ,$284.70 ,"$1,095.00 ",$240.90 ,$821.25 ,$777.45 ,$777.45 ,$240.90 ,$777.45 ,$919.80 ,$919.80 ,$919.80 , N/A ,$985.50 ,$602.25 ,$930.75 ,$240.90 ,"$1,095.00 ",$657.00 ,$240.90 ,$455.52 ,$520.60 ,$473.27 ,$284.70 ,$930.75 ,$670.70 ,$876.00 ,$306.60 ,$985.50 ,"$1,095.00 ",$240.90 ,$919.80 ,$115.00 ,$115.00 ,$284.70 ,$711.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,"$1,619.00 ","$1,052.35 ",$115.00 ,"$1,619.00 ",$890.45 ,$971.40 ,$971.40 ,$420.94 ,$453.32 ,$788.45 ,$420.94 ,$908.26 ,$404.75 ,"$1,295.20 ","$1,295.20 ",$420.94 ,$162.64 ,$676.74 , N/A ,"$1,337.23 ",$420.94 ,"$1,619.00 ",$356.18 ,"$1,214.25 ","$1,149.49 ","$1,149.49 ",$356.18 ,"$1,149.49 ","$1,359.96 ","$1,359.96 ","$1,359.96 ", N/A ,"$1,457.10 ",$890.45 ,"$1,376.15 ",$356.18 ,"$1,619.00 ",$971.40 ,$356.18 ,$673.50 ,"$1,416.34 ","$1,287.58 ",$420.94 ,"$1,376.15 ","$1,016.29 ","$1,295.20 ",$453.32 ,"$1,457.10 ","$1,619.00 ",$356.18 ,"$1,359.96 ",$115.00 ,$115.00 ,$420.94 ,"$1,052.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$2,652.00 ","$1,723.80 ",$115.00 ,"$3,592.48 ","$1,458.60 ","$1,591.20 ","$1,591.20 ",$689.52 ,$742.56 ,"$1,291.52 ",$689.52 ,"$1,487.77 ",$663.00 ,"$2,121.60 ","$2,121.60 ",$689.52 ,$239.56 ,"$1,108.54 ", N/A ,"$3,592.48 ",$689.52 ,"$2,652.00 ",$583.44 ,"$1,989.00 ","$1,882.92 ","$1,882.92 ",$583.44 ,"$1,882.92 ","$2,227.68 ","$2,227.68 ","$2,227.68 ", N/A ,"$2,386.80 ","$1,458.60 ","$2,254.20 ",$583.44 ,"$2,652.00 ","$1,591.20 ",$583.44 ,"$1,103.23 ","$2,033.01 ","$1,848.19 ",$689.52 ,"$2,254.20 ","$2,730.28 ","$2,121.60 ",$742.56 ,"$2,386.80 ","$2,652.00 ",$583.44 ,"$2,227.68 ",$115.00 ,$115.00 ,$689.52 ,"$1,723.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,$763.00 ,$495.95 ,$28.34 ,"$1,416.34 ",$419.65 ,$457.80 ,$457.80 ,$198.38 ,$213.64 ,$371.58 ,$198.38 ,$428.04 ,$190.75 ,$610.40 ,$610.40 ,$198.38 ,$28.34 ,$318.93 , N/A , N/A ,$198.38 ,$763.00 ,$167.86 ,$572.25 ,$541.73 ,$541.73 ,$167.86 ,$541.73 ,$640.92 ,$640.92 ,$640.92 , N/A ,$686.70 ,$419.65 ,$648.55 ,$167.86 ,$763.00 ,$457.80 ,$167.86 ,$317.41 ,"$1,416.34 ","$1,287.58 ",$198.38 ,$648.55 , N/A ,$610.40 ,$213.64 ,$686.70 ,$763.00 ,$167.86 ,$640.92 ,$115.00 ,$115.00 ,$198.38 ,$495.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$826.00 ,$536.90 ,$60.18 ,"$1,416.34 ",$454.30 ,$495.60 ,$495.60 ,$214.76 ,$231.28 ,$402.26 ,$214.76 ,$463.39 ,$206.50 ,$660.80 ,$660.80 ,$214.76 ,$60.18 ,$345.27 , N/A , N/A ,$214.76 ,$826.00 ,$181.72 ,$619.50 ,$586.46 ,$586.46 ,$181.72 ,$586.46 ,$693.84 ,$693.84 ,$693.84 , N/A ,$743.40 ,$454.30 ,$702.10 ,$181.72 ,$826.00 ,$495.60 ,$181.72 ,$343.62 ,"$1,416.34 ","$1,287.58 ",$214.76 ,$702.10 , N/A ,$660.80 ,$231.28 ,$743.40 ,$826.00 ,$181.72 ,$693.84 ,$115.00 ,$115.00 ,$214.76 ,$536.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$2,078.00 ","$1,350.70 ",$104.98 ,"$2,078.00 ","$1,142.90 ","$1,246.80 ","$1,246.80 ",$540.28 ,$581.84 ,"$1,011.99 ",$540.28 ,"$1,165.76 ",$519.50 ,"$1,662.40 ","$1,662.40 ",$540.28 ,$104.98 ,$868.60 , N/A , N/A ,$540.28 ,"$2,078.00 ",$457.16 ,"$1,558.50 ","$1,475.38 ","$1,475.38 ",$457.16 ,"$1,475.38 ","$1,745.52 ","$1,745.52 ","$1,745.52 ", N/A ,"$1,870.20 ","$1,142.90 ","$1,766.30 ",$457.16 ,"$2,078.00 ","$1,246.80 ",$457.16 ,$864.45 ,"$2,033.01 ","$1,848.19 ",$540.28 ,"$1,766.30 ", N/A ,"$1,662.40 ",$581.84 ,"$1,870.20 ","$2,078.00 ",$457.16 ,"$1,745.52 ",$115.00 ,$115.00 ,$540.28 ,"$1,350.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$229.00 ,$148.85 ,$17.02 ,$520.60 ,$125.95 ,$137.40 ,$137.40 ,$59.54 ,$64.12 ,$111.52 ,$59.54 ,$128.47 ,$57.25 ,$183.20 ,$183.20 ,$59.54 ,$17.02 ,$95.72 , N/A ,$458.50 ,$59.54 ,$229.00 ,$50.38 ,$171.75 ,$162.59 ,$162.59 ,$50.38 ,$162.59 ,$192.36 ,$192.36 ,$192.36 , N/A ,$206.10 ,$125.95 ,$194.65 ,$50.38 ,$229.00 ,$137.40 ,$50.38 ,$95.26 ,$520.60 ,$473.27 ,$59.54 ,$194.65 ,$348.46 ,$183.20 ,$64.12 ,$206.10 ,$229.00 ,$50.38 ,$192.36 ,$115.00 ,$115.00 ,$59.54 ,$148.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$252.00 ,$163.80 ,$23.19 ,$520.60 ,$138.60 ,$151.20 ,$151.20 ,$65.52 ,$70.56 ,$122.72 ,$65.52 ,$141.37 ,$63.00 ,$201.60 ,$201.60 ,$65.52 ,$23.19 ,$105.34 , N/A ,$458.50 ,$65.52 ,$252.00 ,$55.44 ,$189.00 ,$178.92 ,$178.92 ,$55.44 ,$178.92 ,$211.68 ,$211.68 ,$211.68 , N/A ,$226.80 ,$138.60 ,$214.20 ,$55.44 ,$252.00 ,$151.20 ,$55.44 ,$104.83 ,$520.60 ,$473.27 ,$65.52 ,$214.20 ,$348.46 ,$201.60 ,$70.56 ,$226.80 ,$252.00 ,$55.44 ,$211.68 ,$115.00 ,$115.00 ,$65.52 ,$163.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$173.00 ,$112.45 ,$7.76 ,$173.00 ,$95.15 ,$103.80 ,$103.80 ,$44.98 ,$48.44 ,$84.25 ,$44.98 ,$97.05 ,$43.25 ,$138.40 ,$138.40 ,$44.98 ,$7.76 ,$72.31 , N/A ,$142.13 ,$44.98 ,$173.00 ,$38.06 ,$129.75 ,$122.83 ,$122.83 ,$38.06 ,$122.83 ,$145.32 ,$145.32 ,$145.32 , N/A ,$155.70 ,$95.15 ,$147.05 ,$38.06 ,$173.00 ,$103.80 ,$38.06 ,$71.97 ,$139.27 ,$126.61 ,$44.98 ,$147.05 ,$108.02 ,$138.40 ,$48.44 ,$155.70 ,$173.00 ,$38.06 ,$145.32 ,$115.00 ,$115.00 ,$44.98 ,$112.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$197.00 ,$128.05 ,$15.66 ,$197.00 ,$108.35 ,$118.20 ,$118.20 ,$51.22 ,$55.16 ,$95.94 ,$51.22 ,$110.52 ,$49.25 ,$157.60 ,$157.60 ,$51.22 ,$15.66 ,$82.35 , N/A ,$142.13 ,$51.22 ,$197.00 ,$43.34 ,$147.75 ,$139.87 ,$139.87 ,$43.34 ,$139.87 ,$165.48 ,$165.48 ,$165.48 , N/A ,$177.30 ,$108.35 ,$167.45 ,$43.34 ,$197.00 ,$118.20 ,$43.34 ,$81.95 ,$139.27 ,$126.61 ,$51.22 ,$167.45 ,$108.02 ,$157.60 ,$55.16 ,$177.30 ,$197.00 ,$43.34 ,$165.48 ,$115.00 ,$115.00 ,$51.22 ,$128.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$318.00 ,$206.70 ,$24.90 ,$318.00 ,$174.90 ,$190.80 ,$190.80 ,$82.68 ,$89.04 ,$154.87 ,$82.68 ,$178.40 ,$79.50 ,$254.40 ,$254.40 ,$82.68 ,$24.90 ,$132.92 , N/A ,$142.13 ,$82.68 ,$318.00 ,$69.96 ,$238.50 ,$225.78 ,$225.78 ,$69.96 ,$225.78 ,$267.12 ,$267.12 ,$267.12 , N/A ,$286.20 ,$174.90 ,$270.30 ,$69.96 ,$318.00 ,$190.80 ,$69.96 ,$132.29 ,$139.27 ,$126.61 ,$82.68 ,$270.30 ,$108.02 ,$254.40 ,$89.04 ,$286.20 ,$318.00 ,$69.96 ,$267.12 ,$115.00 ,$115.00 ,$82.68 ,$206.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,$929.00 ,$603.85 ,$102.98 ,"$1,094.18 ",$510.95 ,$557.40 ,$557.40 ,$241.54 ,$260.12 ,$452.42 ,$241.54 ,$521.17 ,$232.25 ,$743.20 ,$743.20 ,$241.54 ,$102.98 ,$388.32 , N/A ,$882.50 ,$241.54 ,$929.00 ,$204.38 ,$696.75 ,$659.59 ,$659.59 ,$204.38 ,$659.59 ,$780.36 ,$780.36 ,$780.36 , N/A ,$836.10 ,$510.95 ,$789.65 ,$204.38 ,$929.00 ,$557.40 ,$204.38 ,$386.46 ,"$1,094.18 ",$994.71 ,$241.54 ,$789.65 ,$670.70 ,$743.20 ,$260.12 ,$836.10 ,$929.00 ,$204.38 ,$780.36 ,$115.00 ,$115.00 ,$241.54 ,$603.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$778.00 ,$505.70 ,$32.12 ,$814.10 ,$427.90 ,$466.80 ,$466.80 ,$202.28 ,$217.84 ,$378.89 ,$202.28 ,$436.46 ,$194.50 ,$622.40 ,$622.40 ,$202.28 ,$32.12 ,$325.20 , N/A ,$814.10 ,$202.28 ,$778.00 ,$171.16 ,$583.50 ,$552.38 ,$552.38 ,$171.16 ,$552.38 ,$653.52 ,$653.52 ,$653.52 , N/A ,$700.20 ,$427.90 ,$661.30 ,$171.16 ,$778.00 ,$466.80 ,$171.16 ,$323.65 ,$202.75 ,$184.32 ,$202.28 ,$661.30 ,$618.72 ,$622.40 ,$217.84 ,$700.20 ,$778.00 ,$171.16 ,$653.52 ,$115.00 ,$115.00 ,$202.28 ,$505.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000051,20240,HC BX BN OPEN-SUPERFICIAL,510,1 ,"$4,158.00 ","$2,702.70 ",$115.00 ,"$6,053.88 ","$2,286.90 ","$2,494.80 ","$2,494.80 ","$1,081.08 ","$1,164.24 ","$2,024.95 ","$1,081.08 ","$2,332.64 ","$1,039.50 ","$3,326.40 ","$3,326.40 ","$1,081.08 ",$148.24 ,"$1,738.04 ", N/A ,"$6,053.88 ","$1,081.08 ","$4,158.00 ",$914.76 ,"$3,118.50 ","$2,952.18 ","$2,952.18 ",$914.76 ,"$2,952.18 ","$3,492.72 ","$3,492.72 ","$3,492.72 ", N/A ,"$3,742.20 ","$2,286.90 ","$3,534.30 ",$914.76 ,"$4,158.00 ","$2,494.80 ",$914.76 ,"$1,729.73 ","$2,188.35 ","$1,989.41 ","$1,081.08 ","$3,534.30 ","$4,600.95 ","$3,326.40 ","$1,164.24 ","$3,742.20 ","$4,158.00 ",$914.76 ,"$3,492.72 ",$115.00 ,$115.00 ,"$1,081.08 ","$2,702.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000053,29580,HC APPLY UNNA BOOT,510,1 ,$309.00 ,$200.85 ,$28.85 ,$427.90 ,$169.95 ,$185.40 ,$185.40 ,$80.34 ,$86.52 ,$156.97 ,$80.34 ,$181.69 ,$77.25 ,$247.20 ,$247.20 ,$80.34 ,$28.85 ,$129.16 , N/A ,$360.73 ,$80.34 ,$309.00 ,$67.98 ,$231.75 ,$219.39 ,$219.39 ,$67.98 ,$219.39 ,$259.56 ,$259.56 ,$259.56 , N/A ,$278.10 ,$169.95 ,$262.65 ,$67.98 ,$309.00 ,$185.40 ,$67.98 ,$128.54 ,$427.90 ,$389.00 ,$80.34 ,$262.65 ,$274.15 ,$247.20 ,$86.52 ,$278.10 ,$309.00 ,$67.98 ,$259.56 ,$115.00 ,$115.00 ,$80.34 ,$200.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$201.00 ,$130.65 ,$14.28 ,$201.00 ,$110.55 ,$120.60 ,$120.60 ,$52.26 ,$56.28 ,$102.11 ,$52.26 ,$118.19 ,$50.25 ,$160.80 ,$160.80 ,$52.26 ,$14.28 ,$84.02 ,$136.68 ,$158.30 ,$52.26 ,$201.00 ,$44.22 ,$150.75 ,$142.71 ,$142.71 ,$44.22 ,$142.71 ,$168.84 ,$168.84 ,$168.84 , N/A ,$180.90 ,$110.55 ,$170.85 ,$44.22 ,$201.00 ,$120.60 ,$44.22 ,$83.62 , N/A , N/A ,$52.26 ,$170.85 ,$120.31 ,$160.80 ,$56.28 ,$180.90 ,$201.00 ,$44.22 ,$168.84 ,$150.75 ,$150.75 ,$52.26 ,$130.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$326.00 ,$211.90 ,$38.67 ,$522.33 ,$179.30 ,$195.60 ,$195.60 ,$84.76 ,$91.28 ,$165.61 ,$84.76 ,$191.69 ,$81.50 ,$260.80 ,$260.80 ,$84.76 ,$38.67 ,$136.27 ,$221.68 ,$522.33 ,$84.76 ,$326.00 ,$71.72 ,$244.50 ,$231.46 ,$231.46 ,$71.72 ,$231.46 ,$273.84 ,$273.84 ,$273.84 , N/A ,$293.40 ,$179.30 ,$277.10 ,$71.72 ,$326.00 ,$195.60 ,$71.72 ,$135.62 , N/A , N/A ,$84.76 ,$277.10 ,$396.97 ,$260.80 ,$91.28 ,$293.40 ,$326.00 ,$71.72 ,$273.84 ,$244.50 ,$244.50 ,$84.76 ,$211.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$164.00 ,$106.60 ,$15.77 ,$164.00 ,$90.20 ,$98.40 ,$98.40 ,$42.64 ,$45.92 ,$83.31 ,$42.64 ,$96.43 ,$41.00 ,$131.20 ,$131.20 ,$42.64 ,$15.77 ,$68.55 ,$111.52 ,$102.18 ,$42.64 ,$164.00 ,$36.08 ,$123.00 ,$116.44 ,$116.44 ,$36.08 ,$116.44 ,$137.76 ,$137.76 ,$137.76 , N/A ,$147.60 ,$90.20 ,$139.40 ,$36.08 ,$164.00 ,$98.40 ,$36.08 ,$68.22 , N/A , N/A ,$42.64 ,$139.40 ,$77.65 ,$131.20 ,$45.92 ,$147.60 ,$164.00 ,$36.08 ,$137.76 ,$123.00 ,$123.00 ,$42.64 ,$106.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$164.00 ,$106.60 ,$36.08 ,$164.00 ,$90.20 ,$98.40 ,$98.40 ,$42.64 ,$45.92 ,$83.31 ,$42.64 ,$96.43 ,$41.00 ,$131.20 ,$131.20 ,$42.64 ,$106.60 ,$68.55 ,$111.52 , N/A ,$42.64 ,$164.00 ,$36.08 ,$123.00 ,$116.44 ,$116.44 ,$36.08 ,$116.44 ,$137.76 ,$137.76 ,$137.76 , N/A ,$147.60 ,$90.20 ,$139.40 ,$36.08 ,$164.00 ,$98.40 ,$36.08 ,$68.22 , N/A , N/A ,$42.64 ,$139.40 , N/A ,$131.20 ,$45.92 ,$147.60 ,$164.00 ,$36.08 ,$137.76 ,$123.00 ,$123.00 ,$42.64 ,$106.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$195.00 ,$126.75 ,$26.33 ,$202.75 ,$107.25 ,$117.00 ,$117.00 ,$50.70 ,$54.60 ,$99.06 ,$50.70 ,$114.66 ,$48.75 ,$156.00 ,$156.00 ,$50.70 ,$26.33 ,$81.51 , N/A ,$142.13 ,$50.70 ,$195.00 ,$42.90 ,$146.25 ,$138.45 ,$138.45 ,$42.90 ,$138.45 ,$163.80 ,$163.80 ,$163.80 , N/A ,$175.50 ,$107.25 ,$165.75 ,$42.90 ,$195.00 ,$117.00 ,$42.90 ,$81.12 ,$202.75 ,$184.32 ,$50.70 ,$165.75 ,$108.02 ,$156.00 ,$54.60 ,$175.50 ,$195.00 ,$42.90 ,$163.80 ,$115.00 ,$115.00 ,$50.70 ,$126.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$340.00 ,$221.00 ,$37.84 ,$458.50 ,$187.00 ,$204.00 ,$204.00 ,$88.40 ,$95.20 ,$172.72 ,$88.40 ,$199.92 ,$85.00 ,$272.00 ,$272.00 ,$88.40 ,$37.84 ,$142.12 , N/A ,$458.50 ,$88.40 ,$340.00 ,$74.80 ,$255.00 ,$241.40 ,$241.40 ,$74.80 ,$241.40 ,$285.60 ,$285.60 ,$285.60 , N/A ,$306.00 ,$187.00 ,$289.00 ,$74.80 ,$340.00 ,$204.00 ,$74.80 ,$141.44 ,$202.75 ,$184.32 ,$88.40 ,$289.00 ,$348.46 ,$272.00 ,$95.20 ,$306.00 ,$340.00 ,$74.80 ,$285.60 ,$115.00 ,$115.00 ,$88.40 ,$221.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$293.00 ,$190.45 ,$50.72 ,$293.00 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$50.72 ,$122.47 , N/A , N/A ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$78.75 ,$175.80 ,$64.46 ,$121.89 ,$238.70 ,$217.00 ,$76.18 ,$249.05 , N/A ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$115.00 ,$115.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$387.00 ,$251.55 ,$85.14 ,$387.00 ,$212.85 ,$232.20 ,$232.20 ,$100.62 ,$108.36 ,$196.60 ,$100.62 ,$227.56 ,$96.75 ,$309.60 ,$309.60 ,$100.62 ,$86.98 ,$161.77 , N/A , N/A ,$100.62 ,$387.00 ,$85.14 ,$290.25 ,$274.77 ,$274.77 ,$85.14 ,$274.77 ,$325.08 ,$325.08 ,$325.08 , N/A ,$348.30 ,$212.85 ,$328.95 ,$85.14 ,$121.24 ,$232.20 ,$85.14 ,$160.99 ,$238.70 ,$217.00 ,$100.62 ,$328.95 , N/A ,$309.60 ,$108.36 ,$348.30 ,$387.00 ,$85.14 ,$325.08 ,$115.00 ,$115.00 ,$100.62 ,$251.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$516.00 ,$335.40 ,$113.52 ,$516.00 ,$283.80 ,$309.60 ,$309.60 ,$134.16 ,$144.48 ,$262.13 ,$134.16 ,$303.41 ,$129.00 ,$412.80 ,$412.80 ,$134.16 ,$139.96 ,$215.69 , N/A , N/A ,$134.16 ,$516.00 ,$113.52 ,$387.00 ,$366.36 ,$366.36 ,$113.52 ,$366.36 ,$433.44 ,$433.44 ,$433.44 , N/A ,$464.40 ,$283.80 ,$438.60 ,$113.52 ,$181.05 ,$309.60 ,$113.52 ,$214.66 ,$238.70 ,$217.00 ,$134.16 ,$438.60 , N/A ,$412.80 ,$144.48 ,$464.40 ,$516.00 ,$113.52 ,$433.44 ,$115.00 ,$115.00 ,$134.16 ,$335.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$644.00 ,$418.60 ,$115.00 ,$644.00 ,$354.20 ,$386.40 ,$386.40 ,$167.44 ,$180.32 ,$327.15 ,$167.44 ,$378.67 ,$161.00 ,$515.20 ,$515.20 ,$167.44 ,$189.72 ,$269.19 , N/A , N/A ,$167.44 ,$644.00 ,$141.68 ,$483.00 ,$457.24 ,$457.24 ,$141.68 ,$457.24 ,$540.96 ,$540.96 ,$540.96 , N/A ,$579.60 ,$354.20 ,$547.40 ,$141.68 ,$239.15 ,$386.40 ,$141.68 ,$267.90 ,$238.70 ,$217.00 ,$167.44 ,$547.40 , N/A ,$515.20 ,$180.32 ,$579.60 ,$644.00 ,$141.68 ,$540.96 ,$115.00 ,$115.00 ,$167.44 ,$418.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$232.00 ,$150.80 ,$9.09 ,$238.70 ,$127.60 ,$139.20 ,$139.20 ,$60.32 ,$64.96 ,$117.86 ,$60.32 ,$120.51 ,$58.00 ,$185.60 ,$185.60 ,$60.32 ,$9.09 ,$96.98 , N/A , N/A ,$60.32 ,$232.00 ,$51.04 ,$174.00 ,$164.72 ,$164.72 ,$51.04 ,$164.72 ,$194.88 ,$194.88 ,$194.88 , N/A ,$208.80 ,$127.60 ,$197.20 ,$51.04 ,$232.00 ,$139.20 ,$51.04 ,$96.51 ,$238.70 ,$217.00 ,$60.32 ,$197.20 , N/A ,$185.60 ,$64.96 ,$208.80 ,$232.00 ,$51.04 ,$194.88 ,$115.00 ,$115.00 ,$60.32 ,$150.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$248.00 ,$161.20 ,$37.70 ,$248.00 ,$136.40 ,$148.80 ,$148.80 ,$64.48 ,$69.44 ,$125.98 ,$64.48 ,$145.82 ,$62.00 ,$198.40 ,$198.40 ,$64.48 ,$37.70 ,$103.66 , N/A , N/A ,$64.48 ,$248.00 ,$54.56 ,$186.00 ,$176.08 ,$176.08 ,$54.56 ,$176.08 ,$208.32 ,$208.32 ,$208.32 , N/A ,$223.20 ,$136.40 ,$210.80 ,$54.56 ,$60.02 ,$148.80 ,$54.56 ,$103.17 ,$238.70 ,$217.00 ,$64.48 ,$210.80 , N/A ,$198.40 ,$69.44 ,$223.20 ,$248.00 ,$54.56 ,$208.32 ,$115.00 ,$115.00 ,$64.48 ,$161.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$296.00 ,$192.40 ,$65.12 ,$296.00 ,$162.80 ,$177.60 ,$177.60 ,$76.96 ,$82.88 ,$150.37 ,$76.96 ,$174.05 ,$74.00 ,$236.80 ,$236.80 ,$76.96 ,$68.67 ,$123.73 , N/A , N/A ,$76.96 ,$296.00 ,$65.12 ,$222.00 ,$210.16 ,$210.16 ,$65.12 ,$210.16 ,$248.64 ,$248.64 ,$248.64 , N/A ,$266.40 ,$162.80 ,$251.60 ,$65.12 ,$97.92 ,$177.60 ,$65.12 ,$123.14 ,$238.70 ,$217.00 ,$76.96 ,$251.60 , N/A ,$236.80 ,$82.88 ,$266.40 ,$296.00 ,$65.12 ,$248.64 ,$115.00 ,$115.00 ,$76.96 ,$192.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$420.00 ,$273.00 ,$92.40 ,$420.00 ,$231.00 ,$252.00 ,$252.00 ,$109.20 ,$117.60 ,$213.36 ,$109.20 ,$246.96 ,$105.00 ,$336.00 ,$336.00 ,$109.20 ,$100.07 ,$175.56 , N/A , N/A ,$109.20 ,$420.00 ,$92.40 ,$315.00 ,$298.20 ,$298.20 ,$92.40 ,$298.20 ,$352.80 ,$352.80 ,$352.80 , N/A ,$378.00 ,$231.00 ,$357.00 ,$92.40 ,$420.00 ,$252.00 ,$92.40 ,$174.72 ,$238.70 ,$217.00 ,$109.20 ,$357.00 , N/A ,$336.00 ,$117.60 ,$378.00 ,$420.00 ,$92.40 ,$352.80 ,$115.00 ,$115.00 ,$109.20 ,$273.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$531.00 ,$345.15 ,$115.00 ,$531.00 ,$292.05 ,$318.60 ,$318.60 ,$138.06 ,$148.68 ,$269.75 ,$138.06 ,$312.23 ,$132.75 ,$424.80 ,$424.80 ,$138.06 ,$149.39 ,$221.96 , N/A , N/A ,$138.06 ,$531.00 ,$116.82 ,$398.25 ,$377.01 ,$377.01 ,$116.82 ,$377.01 ,$446.04 ,$446.04 ,$446.04 , N/A ,$477.90 ,$292.05 ,$451.35 ,$116.82 ,$531.00 ,$318.60 ,$116.82 ,$220.90 ,$238.70 ,$217.00 ,$138.06 ,$451.35 , N/A ,$424.80 ,$148.68 ,$477.90 ,$531.00 ,$116.82 ,$446.04 ,$115.00 ,$115.00 ,$138.06 ,$345.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$186.00 ,$120.90 ,$5.03 ,$186.00 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$18.17 ,$48.36 ,$22.21 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$120.90 ,$77.75 ,$5.03 ,$7.50 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 , N/A , N/A ,$48.36 ,$158.10 ,$5.70 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$6.00 ,$6.00 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$198.00 ,$128.70 ,$27.77 ,$287.90 ,$108.90 ,$118.80 ,$118.80 ,$51.48 ,$55.44 ,$96.43 ,$51.48 ,$111.08 ,$49.50 ,$158.40 ,$158.40 ,$51.48 ,$27.77 ,$82.76 , N/A ,$287.90 ,$51.48 ,$198.00 ,$43.56 ,$148.50 ,$140.58 ,$140.58 ,$43.56 ,$140.58 ,$166.32 ,$166.32 ,$166.32 , N/A ,$178.20 ,$108.90 ,$168.30 ,$43.56 ,$198.00 ,$118.80 ,$43.56 ,$82.37 ,$202.75 ,$184.32 ,$51.48 ,$168.30 ,$218.80 ,$158.40 ,$55.44 ,$178.20 ,$198.00 ,$43.56 ,$166.32 ,$115.00 ,$115.00 ,$51.48 ,$128.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000172,51702,HC CATH BLADDER SMP,510,1 ,$151.00 ,$98.15 ,$27.19 ,$287.90 ,$83.05 ,$90.60 ,$90.60 ,$39.26 ,$42.28 ,$73.54 ,$39.26 ,$84.71 ,$37.75 ,$120.80 ,$120.80 ,$39.26 ,$27.19 ,$63.12 , N/A ,$287.90 ,$39.26 ,$151.00 ,$33.22 ,$113.25 ,$107.21 ,$107.21 ,$33.22 ,$107.21 ,$126.84 ,$126.84 ,$126.84 , N/A ,$135.90 ,$83.05 ,$128.35 ,$33.22 ,$151.00 ,$90.60 ,$33.22 ,$62.82 ,$202.75 ,$184.32 ,$39.26 ,$128.35 ,$218.80 ,$120.80 ,$42.28 ,$135.90 ,$151.00 ,$33.22 ,$126.84 ,$115.00 ,$115.00 ,$39.26 ,$98.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$254.00 ,$165.10 ,$55.88 ,$356.48 ,$139.70 ,$152.40 ,$152.40 ,$66.04 ,$71.12 ,$123.70 ,$66.04 ,$142.49 ,$63.50 ,$203.20 ,$203.20 ,$66.04 ,$80.70 ,$106.17 , N/A ,$356.48 ,$66.04 ,$254.00 ,$55.88 ,$190.50 ,$180.34 ,$180.34 ,$55.88 ,$180.34 ,$213.36 ,$213.36 ,$213.36 , N/A ,$228.60 ,$139.70 ,$215.90 ,$55.88 ,$254.00 ,$152.40 ,$55.88 ,$105.66 ,$202.75 ,$184.32 ,$66.04 ,$215.90 ,$270.92 ,$203.20 ,$71.12 ,$228.60 ,$254.00 ,$55.88 ,$213.36 ,$115.00 ,$115.00 ,$66.04 ,$165.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000201,29799,HC REMOVAL REVISION LEGCAST FACILITY,510,1 ,$139.00 ,$90.35 ,$30.58 ,$427.90 ,$76.45 ,$83.40 ,$83.40 ,$36.14 ,$38.92 ,$67.69 ,$36.14 ,$77.98 ,$34.75 ,$111.20 ,$111.20 ,$36.14 ,$90.35 ,$58.10 , N/A ,$360.73 ,$36.14 ,$139.00 ,$30.58 ,$104.25 ,$98.69 ,$98.69 ,$30.58 ,$98.69 ,$116.76 ,$116.76 ,$116.76 , N/A ,$125.10 ,$76.45 ,$118.15 ,$30.58 ,$139.00 ,$83.40 ,$30.58 ,$57.82 ,$427.90 ,$389.00 ,$36.14 ,$118.15 ,$274.15 ,$111.20 ,$38.92 ,$125.10 ,$139.00 ,$30.58 ,$116.76 ,$115.00 ,$115.00 ,$36.14 ,$90.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$1,724.00 ","$1,120.60 ",$84.41 ,"$1,842.97 ",$948.20 ,"$1,034.40 ","$1,034.40 ",$448.24 ,$482.72 ,$839.59 ,$448.24 ,$967.16 ,$431.00 ,"$1,379.20 ","$1,379.20 ",$448.24 ,$84.41 ,$720.63 , N/A ,"$1,468.90 ",$448.24 ,"$1,724.00 ",$379.28 ,"$1,293.00 ","$1,224.04 ","$1,224.04 ",$379.28 ,"$1,224.04 ","$1,448.16 ","$1,448.16 ","$1,448.16 ", N/A ,"$1,551.60 ",$948.20 ,"$1,465.40 ",$379.28 ,"$1,724.00 ","$1,034.40 ",$379.28 ,$717.18 ,"$1,842.97 ","$1,675.43 ",$448.24 ,"$1,465.40 ","$1,116.36 ","$1,379.20 ",$482.72 ,"$1,551.60 ","$1,724.00 ",$379.28 ,"$1,448.16 ",$115.00 ,$115.00 ,$448.24 ,"$1,120.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000329,15275,HC APL SKIN SUB OTH<100 INT 25CM,761,1 ,"$5,146.00 ","$3,344.90 ",$97.97 ,"$5,146.00 ","$2,830.30 ","$3,087.60 ","$3,087.60 ","$1,337.96 ","$1,440.88 ","$2,506.10 ","$1,337.96 ","$2,886.91 ","$1,286.50 ","$4,116.80 ","$4,116.80 ","$1,337.96 ",$97.97 ,"$2,151.03 ","$3,499.28 ","$4,373.15 ","$1,337.96 ","$5,146.00 ","$1,132.12 ","$3,859.50 ","$3,653.66 ","$3,653.66 ","$1,132.12 ","$3,653.66 ","$4,322.64 ","$4,322.64 ","$4,322.64 ", N/A ,"$4,631.40 ","$2,830.30 ","$4,374.10 ","$1,132.12 ","$5,146.00 ","$3,087.60 ","$1,132.12 ","$2,140.74 ","$2,689.51 ","$2,445.01 ","$1,337.96 ","$4,374.10 ","$3,323.59 ","$4,116.80 ","$1,440.88 ","$4,631.40 ","$5,146.00 ","$1,132.12 ","$4,322.64 ",$125.00 ,$125.00 ,"$1,337.96 ","$3,344.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$277.00 ,$180.05 ,$29.93 ,$520.60 ,$152.35 ,$166.20 ,$166.20 ,$72.02 ,$77.56 ,$134.90 ,$72.02 ,$155.40 ,$69.25 ,$221.60 ,$221.60 ,$72.02 ,$29.93 ,$115.79 , N/A ,$458.50 ,$72.02 ,$277.00 ,$60.94 ,$207.75 ,$196.67 ,$196.67 ,$60.94 ,$196.67 ,$232.68 ,$232.68 ,$232.68 , N/A ,$249.30 ,$152.35 ,$235.45 ,$60.94 ,$277.00 ,$166.20 ,$60.94 ,$115.23 ,$520.60 ,$473.27 ,$72.02 ,$235.45 ,$348.46 ,$221.60 ,$77.56 ,$249.30 ,$277.00 ,$60.94 ,$232.68 ,$115.00 ,$115.00 ,$72.02 ,$180.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$464.00 ,$301.60 ,$28.85 ,$641.84 ,$255.20 ,$278.40 ,$278.40 ,$120.64 ,$129.92 ,$235.71 ,$120.64 ,$272.83 ,$116.00 ,$371.20 ,$371.20 ,$120.64 ,$28.85 ,$193.95 , N/A ,$541.09 ,$120.64 ,$464.00 ,$102.08 ,$348.00 ,$329.44 ,$329.44 ,$102.08 ,$329.44 ,$389.76 ,$389.76 ,$389.76 , N/A ,$417.60 ,$255.20 ,$394.40 ,$102.08 ,$464.00 ,$278.40 ,$102.08 ,$193.02 ,$641.84 ,$583.49 ,$120.64 ,$394.40 ,$411.23 ,$371.20 ,$129.92 ,$417.60 ,$464.00 ,$102.08 ,$389.76 ,$115.00 ,$115.00 ,$120.64 ,$301.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$486.00 ,$315.90 ,$27.78 ,$641.84 ,$267.30 ,$291.60 ,$291.60 ,$126.36 ,$136.08 ,$236.68 ,$126.36 ,$272.65 ,$121.50 ,$388.80 ,$388.80 ,$126.36 ,$27.78 ,$203.15 , N/A ,$541.09 ,$126.36 ,$486.00 ,$106.92 ,$364.50 ,$345.06 ,$345.06 ,$106.92 ,$345.06 ,$408.24 ,$408.24 ,$408.24 , N/A ,$437.40 ,$267.30 ,$413.10 ,$106.92 ,$486.00 ,$291.60 ,$106.92 ,$202.18 ,$641.84 ,$583.49 ,$126.36 ,$413.10 ,$411.23 ,$388.80 ,$136.08 ,$437.40 ,$486.00 ,$106.92 ,$408.24 ,$115.00 ,$115.00 ,$126.36 ,$315.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000407,11200,HC REMOVAL SKIN TAG LESIONS <=15 FAC,510,1 ,$524.00 ,$340.60 ,$76.26 ,$524.00 ,$288.20 ,$314.40 ,$314.40 ,$136.24 ,$146.72 ,$255.19 ,$136.24 ,$293.96 ,$131.00 ,$419.20 ,$419.20 ,$136.24 ,$76.26 ,$219.03 , N/A ,$458.50 ,$136.24 ,$524.00 ,$115.28 ,$393.00 ,$372.04 ,$372.04 ,$115.28 ,$372.04 ,$440.16 ,$440.16 ,$440.16 , N/A ,$471.60 ,$288.20 ,$445.40 ,$115.28 ,$524.00 ,$314.40 ,$115.28 ,$217.98 ,$520.60 ,$473.27 ,$136.24 ,$445.40 ,$348.46 ,$419.20 ,$146.72 ,$471.60 ,$524.00 ,$115.28 ,$440.16 ,$115.00 ,$115.00 ,$136.24 ,$340.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000434,11606,HC EXC MAL LESION >4CM TRUNK/ARM/LEG,510,1 ,"$4,128.00 ","$2,683.20 ",$115.00 ,"$4,128.00 ","$2,270.40 ","$2,476.80 ","$2,476.80 ","$1,073.28 ","$1,155.84 ","$2,010.34 ","$1,073.28 ","$2,315.81 ","$1,032.00 ","$3,302.40 ","$3,302.40 ","$1,073.28 ",$334.80 ,"$1,725.50 ", N/A ,"$3,592.48 ","$1,073.28 ","$4,128.00 ",$908.16 ,"$3,096.00 ","$2,930.88 ","$2,930.88 ",$908.16 ,"$2,930.88 ","$3,467.52 ","$3,467.52 ","$3,467.52 ", N/A ,"$3,715.20 ","$2,270.40 ","$3,508.80 ",$908.16 ,"$4,128.00 ","$2,476.80 ",$908.16 ,"$1,717.25 ","$2,188.35 ","$1,989.41 ","$1,073.28 ","$3,508.80 ","$2,730.28 ","$3,302.40 ","$1,155.84 ","$3,715.20 ","$4,128.00 ",$908.16 ,"$3,467.52 ",$115.00 ,$115.00 ,"$1,073.28 ","$2,683.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000435,11604,HC EXC MAL LESION 3.1-4CM TRUNK/ARM/LEG,510,1 ,$930.00 ,$604.50 ,$115.00 ,"$1,588.85 ",$511.50 ,$558.00 ,$558.00 ,$241.80 ,$260.40 ,$452.91 ,$241.80 ,$521.73 ,$232.50 ,$744.00 ,$744.00 ,$241.80 ,$218.76 ,$388.74 , N/A ,"$1,588.85 ",$241.80 ,$930.00 ,$204.60 ,$697.50 ,$660.30 ,$660.30 ,$204.60 ,$660.30 ,$781.20 ,$781.20 ,$781.20 , N/A ,$837.00 ,$511.50 ,$790.50 ,$204.60 ,$930.00 ,$558.00 ,$204.60 ,$386.88 ,"$1,094.18 ",$994.71 ,$241.80 ,$790.50 ,"$1,207.53 ",$744.00 ,$260.40 ,$837.00 ,$930.00 ,$204.60 ,$781.20 ,$115.00 ,$115.00 ,$241.80 ,$604.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000464,99202,HC CLINIC VISIT LIMITED NEW -25,510,1 ,$293.00 ,$190.45 ,$50.72 ,$293.00 ,$161.15 ,$175.80 ,$175.80 ,$76.18 ,$82.04 ,$148.84 ,$76.18 ,$172.28 ,$73.25 ,$234.40 ,$234.40 ,$76.18 ,$50.72 ,$122.47 , N/A , N/A ,$76.18 ,$293.00 ,$64.46 ,$219.75 ,$208.03 ,$208.03 ,$64.46 ,$208.03 ,$246.12 ,$246.12 ,$246.12 , N/A ,$263.70 ,$161.15 ,$249.05 ,$64.46 ,$78.75 ,$175.80 ,$64.46 ,$121.89 ,$238.70 ,$217.00 ,$76.18 ,$249.05 , N/A ,$234.40 ,$82.04 ,$263.70 ,$293.00 ,$64.46 ,$246.12 ,$115.00 ,$115.00 ,$76.18 ,$190.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000465,99203,HC CLINIC VISIT INTERM NEW -25,510,1 ,$387.00 ,$251.55 ,$85.14 ,$387.00 ,$212.85 ,$232.20 ,$232.20 ,$100.62 ,$108.36 ,$196.60 ,$100.62 ,$227.56 ,$96.75 ,$309.60 ,$309.60 ,$100.62 ,$86.98 ,$161.77 , N/A , N/A ,$100.62 ,$387.00 ,$85.14 ,$290.25 ,$274.77 ,$274.77 ,$85.14 ,$274.77 ,$325.08 ,$325.08 ,$325.08 , N/A ,$348.30 ,$212.85 ,$328.95 ,$85.14 ,$121.24 ,$232.20 ,$85.14 ,$160.99 ,$238.70 ,$217.00 ,$100.62 ,$328.95 , N/A ,$309.60 ,$108.36 ,$348.30 ,$387.00 ,$85.14 ,$325.08 ,$115.00 ,$115.00 ,$100.62 ,$251.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000466,99204,HC CLINIC VISIT COMPLEX NEW -25,510,1 ,$516.00 ,$335.40 ,$113.52 ,$516.00 ,$283.80 ,$309.60 ,$309.60 ,$134.16 ,$144.48 ,$262.13 ,$134.16 ,$303.41 ,$129.00 ,$412.80 ,$412.80 ,$134.16 ,$139.96 ,$215.69 , N/A , N/A ,$134.16 ,$516.00 ,$113.52 ,$387.00 ,$366.36 ,$366.36 ,$113.52 ,$366.36 ,$433.44 ,$433.44 ,$433.44 , N/A ,$464.40 ,$283.80 ,$438.60 ,$113.52 ,$181.05 ,$309.60 ,$113.52 ,$214.66 ,$238.70 ,$217.00 ,$134.16 ,$438.60 , N/A ,$412.80 ,$144.48 ,$464.40 ,$516.00 ,$113.52 ,$433.44 ,$115.00 ,$115.00 ,$134.16 ,$335.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000467,99205,HC CLINIC VISIT COMPREH NEW -25,510,1 ,$644.00 ,$418.60 ,$115.00 ,$644.00 ,$354.20 ,$386.40 ,$386.40 ,$167.44 ,$180.32 ,$327.15 ,$167.44 ,$378.67 ,$161.00 ,$515.20 ,$515.20 ,$167.44 ,$189.72 ,$269.19 , N/A , N/A ,$167.44 ,$644.00 ,$141.68 ,$483.00 ,$457.24 ,$457.24 ,$141.68 ,$457.24 ,$540.96 ,$540.96 ,$540.96 , N/A ,$579.60 ,$354.20 ,$547.40 ,$141.68 ,$239.15 ,$386.40 ,$141.68 ,$267.90 ,$238.70 ,$217.00 ,$167.44 ,$547.40 , N/A ,$515.20 ,$180.32 ,$579.60 ,$644.00 ,$141.68 ,$540.96 ,$115.00 ,$115.00 ,$167.44 ,$418.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000469,99212,HC CLINIC VISIT LIMITED ESTAB -25,510,1 ,$248.00 ,$161.20 ,$37.70 ,$248.00 ,$136.40 ,$148.80 ,$148.80 ,$64.48 ,$69.44 ,$125.98 ,$64.48 ,$145.82 ,$62.00 ,$198.40 ,$198.40 ,$64.48 ,$37.70 ,$103.66 , N/A , N/A ,$64.48 ,$248.00 ,$54.56 ,$186.00 ,$176.08 ,$176.08 ,$54.56 ,$176.08 ,$208.32 ,$208.32 ,$208.32 , N/A ,$223.20 ,$136.40 ,$210.80 ,$54.56 ,$60.02 ,$148.80 ,$54.56 ,$103.17 ,$238.70 ,$217.00 ,$64.48 ,$210.80 , N/A ,$198.40 ,$69.44 ,$223.20 ,$248.00 ,$54.56 ,$208.32 ,$115.00 ,$115.00 ,$64.48 ,$161.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000470,99213,HC CLINIC VISIT INTERM EST -25,510,1 ,$296.00 ,$192.40 ,$65.12 ,$296.00 ,$162.80 ,$177.60 ,$177.60 ,$76.96 ,$82.88 ,$150.37 ,$76.96 ,$174.05 ,$74.00 ,$236.80 ,$236.80 ,$76.96 ,$68.67 ,$123.73 , N/A , N/A ,$76.96 ,$296.00 ,$65.12 ,$222.00 ,$210.16 ,$210.16 ,$65.12 ,$210.16 ,$248.64 ,$248.64 ,$248.64 , N/A ,$266.40 ,$162.80 ,$251.60 ,$65.12 ,$97.92 ,$177.60 ,$65.12 ,$123.14 ,$238.70 ,$217.00 ,$76.96 ,$251.60 , N/A ,$236.80 ,$82.88 ,$266.40 ,$296.00 ,$65.12 ,$248.64 ,$115.00 ,$115.00 ,$76.96 ,$192.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000471,99214,HC CLINIC VISIT COMPLEX EST -25,510,1 ,$420.00 ,$273.00 ,$92.40 ,$420.00 ,$231.00 ,$252.00 ,$252.00 ,$109.20 ,$117.60 ,$213.36 ,$109.20 ,$246.96 ,$105.00 ,$336.00 ,$336.00 ,$109.20 ,$100.07 ,$175.56 , N/A , N/A ,$109.20 ,$420.00 ,$92.40 ,$315.00 ,$298.20 ,$298.20 ,$92.40 ,$298.20 ,$352.80 ,$352.80 ,$352.80 , N/A ,$378.00 ,$231.00 ,$357.00 ,$92.40 ,$420.00 ,$252.00 ,$92.40 ,$174.72 ,$238.70 ,$217.00 ,$109.20 ,$357.00 , N/A ,$336.00 ,$117.60 ,$378.00 ,$420.00 ,$92.40 ,$352.80 ,$115.00 ,$115.00 ,$109.20 ,$273.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51000472,99215,HC CLINIC VISIT COMPREH EST -25,510,1 ,$531.00 ,$345.15 ,$115.00 ,$531.00 ,$292.05 ,$318.60 ,$318.60 ,$138.06 ,$148.68 ,$269.75 ,$138.06 ,$312.23 ,$132.75 ,$424.80 ,$424.80 ,$138.06 ,$149.39 ,$221.96 , N/A , N/A ,$138.06 ,$531.00 ,$116.82 ,$398.25 ,$377.01 ,$377.01 ,$116.82 ,$377.01 ,$446.04 ,$446.04 ,$446.04 , N/A ,$477.90 ,$292.05 ,$451.35 ,$116.82 ,$531.00 ,$318.60 ,$116.82 ,$220.90 ,$238.70 ,$217.00 ,$138.06 ,$451.35 , N/A ,$424.80 ,$148.68 ,$477.90 ,$531.00 ,$116.82 ,$446.04 ,$115.00 ,$115.00 ,$138.06 ,$345.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,51070001,98960,HC EDUCATION SELF MGNT NON PHY HLTCARE PROF,510,1 ,$176.00 ,$114.40 ,$38.72 ,$176.00 ,$96.80 ,$105.60 ,$105.60 ,$45.76 ,$49.28 ,$89.41 ,$45.76 ,$103.49 ,$44.00 ,$140.80 ,$140.80 ,$45.76 ,$114.40 ,$73.57 , N/A , N/A ,$45.76 ,$176.00 ,$38.72 ,$132.00 ,$124.96 ,$124.96 ,$38.72 ,$124.96 ,$147.84 ,$147.84 ,$147.84 , N/A ,$158.40 ,$96.80 ,$149.60 ,$38.72 ,$176.00 ,$105.60 ,$38.72 ,$73.22 ,$61.28 ,$55.71 ,$45.76 ,$149.60 , N/A ,$140.80 ,$49.28 ,$158.40 ,$176.00 ,$38.72 ,$147.84 ,$115.00 ,$115.00 ,$45.76 ,$114.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000000,70543,HC MRI ORBIT/FACE/NECK W AND W/O CON,610,1 ,"$4,287.00 ","$2,786.55 ",$251.68 ,"$4,287.00 ","$2,357.85 ","$2,572.20 ","$2,572.20 ","$1,114.62 ","$1,200.36 ","$2,186.37 ","$1,114.62 ","$2,520.76 ","$1,071.75 ","$3,429.60 ","$3,429.60 ","$1,114.62 ",$251.68 ,"$1,791.97 ","$1,493.00 ",$940.23 ,"$1,114.62 ","$4,287.00 ",$943.14 ,"$3,215.25 ","$3,043.77 ","$3,043.77 ",$943.14 ,"$3,043.77 ","$3,601.08 ","$3,601.08 ","$3,601.08 ", N/A ,"$3,858.30 ","$2,357.85 ","$3,643.95 ",$943.14 ,"$4,287.00 ","$2,572.20 ",$943.14 ,"$1,783.39 ",$588.18 ,$534.71 ,"$1,114.62 ","$3,643.95 ",$714.57 ,"$3,429.60 ","$1,200.36 ","$3,858.30 ","$4,287.00 ",$943.14 ,"$3,601.08 ","$1,750.00 ","$1,750.00 ","$1,114.62 ","$2,786.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000001,70544,HC MRA HEAD W/O CONTRAST,610,1 ,"$3,490.00 ","$2,268.50 ",$165.12 ,"$3,490.00 ","$1,919.50 ","$2,094.00 ","$2,094.00 ",$907.40 ,$977.20 ,"$1,779.90 ",$907.40 ,"$2,052.12 ",$872.50 ,"$2,792.00 ","$2,792.00 ",$907.40 ,$165.12 ,"$1,458.82 ","$1,493.00 ",$587.50 ,$907.40 ,"$3,490.00 ",$767.80 ,"$2,617.50 ","$2,477.90 ","$2,477.90 ",$767.80 ,"$2,477.90 ","$2,931.60 ","$2,931.60 ","$2,931.60 ", N/A ,"$3,141.00 ","$1,919.50 ","$2,966.50 ",$767.80 ,"$3,490.00 ","$2,094.00 ",$767.80 ,"$1,451.84 ",$720.09 ,$654.63 ,$907.40 ,"$2,966.50 ",$446.50 ,"$2,792.00 ",$977.20 ,"$3,141.00 ","$3,490.00 ",$767.80 ,"$2,931.60 ","$1,750.00 ","$1,750.00 ",$907.40 ,"$2,268.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000002,70545,HC MRA HEAD W/CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$177.51 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$584.46 ,$297.96 ,$673.85 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$177.51 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$720.09 ,$654.63 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000003,70546,HC MRA HEAD W AND W/O CONTRAST,610,1 ,"$3,827.00 ","$2,487.55 ",$269.61 ,"$3,827.00 ","$2,104.85 ","$2,296.20 ","$2,296.20 ",$995.02 ,"$1,071.56 ","$1,951.77 ",$995.02 ,"$2,250.28 ",$956.75 ,"$3,061.60 ","$3,061.60 ",$995.02 ,$269.61 ,"$1,599.69 ","$1,493.00 ",$940.23 ,$995.02 ,"$3,827.00 ",$841.94 ,"$2,870.25 ","$2,717.17 ","$2,717.17 ",$841.94 ,"$2,717.17 ","$3,214.68 ","$3,214.68 ","$3,214.68 ", N/A ,"$3,444.30 ","$2,104.85 ","$3,252.95 ",$841.94 ,"$3,827.00 ","$2,296.20 ",$841.94 ,"$1,592.03 ",$720.09 ,$654.63 ,$995.02 ,"$3,252.95 ",$714.57 ,"$3,061.60 ","$1,071.56 ","$3,444.30 ","$3,827.00 ",$841.94 ,"$3,214.68 ","$1,750.00 ","$1,750.00 ",$995.02 ,"$2,487.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000005,70547,HC MRA NECK W/O CONTRAST,610,1 ,"$2,968.00 ","$1,929.20 ",$165.77 ,"$2,968.00 ","$1,632.40 ","$1,780.80 ","$1,780.80 ",$771.68 ,$831.04 ,"$1,513.68 ",$771.68 ,"$1,745.18 ",$742.00 ,"$2,374.40 ","$2,374.40 ",$771.68 ,$165.77 ,"$1,240.62 ","$1,493.00 ",$587.50 ,$771.68 ,"$2,968.00 ",$652.96 ,"$2,226.00 ","$2,107.28 ","$2,107.28 ",$652.96 ,"$2,107.28 ","$2,493.12 ","$2,493.12 ","$2,493.12 ", N/A ,"$2,671.20 ","$1,632.40 ","$2,522.80 ",$652.96 ,"$2,968.00 ","$1,780.80 ",$652.96 ,"$1,234.69 ",$720.09 ,$654.63 ,$771.68 ,"$2,522.80 ",$446.50 ,"$2,374.40 ",$831.04 ,"$2,671.20 ","$2,968.00 ",$652.96 ,"$2,493.12 ","$1,750.00 ","$1,750.00 ",$771.68 ,"$1,929.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000006,70548,HC MRA NECK W/CONTRAST,610,1 ,"$3,532.00 ","$2,295.80 ",$182.73 ,"$3,532.00 ","$1,942.60 ","$2,119.20 ","$2,119.20 ",$918.32 ,$988.96 ,"$1,801.32 ",$918.32 ,"$2,076.82 ",$883.00 ,"$2,825.60 ","$2,825.60 ",$918.32 ,$182.73 ,"$1,476.38 ","$1,493.00 ",$940.23 ,$918.32 ,"$3,532.00 ",$777.04 ,"$2,649.00 ","$2,507.72 ","$2,507.72 ",$777.04 ,"$2,507.72 ","$2,966.88 ","$2,966.88 ","$2,966.88 ", N/A ,"$3,178.80 ","$1,942.60 ","$3,002.20 ",$777.04 ,"$3,532.00 ","$2,119.20 ",$777.04 ,"$1,469.31 ",$720.09 ,$654.63 ,$918.32 ,"$3,002.20 ",$714.57 ,"$2,825.60 ",$988.96 ,"$3,178.80 ","$3,532.00 ",$777.04 ,"$2,966.88 ","$1,750.00 ","$1,750.00 ",$918.32 ,"$2,295.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000007,70549,HC MRA NECK W AND W/O CONTRAST,610,1 ,"$4,398.00 ","$2,858.70 ",$271.24 ,"$4,398.00 ","$2,418.90 ","$2,638.80 ","$2,638.80 ","$1,143.48 ","$1,231.44 ","$2,242.98 ","$1,143.48 ","$2,586.02 ","$1,099.50 ","$3,518.40 ","$3,518.40 ","$1,143.48 ",$271.24 ,"$1,838.36 ","$1,493.00 ",$940.23 ,"$1,143.48 ","$4,398.00 ",$967.56 ,"$3,298.50 ","$3,122.58 ","$3,122.58 ",$967.56 ,"$3,122.58 ","$3,694.32 ","$3,694.32 ","$3,694.32 ", N/A ,"$3,958.20 ","$2,418.90 ","$3,738.30 ",$967.56 ,"$4,398.00 ","$2,638.80 ",$967.56 ,"$1,829.57 ",$720.09 ,$654.63 ,"$1,143.48 ","$3,738.30 ",$714.57 ,"$3,518.40 ","$1,231.44 ","$3,958.20 ","$4,398.00 ",$967.56 ,"$3,694.32 ","$1,750.00 ","$1,750.00 ","$1,143.48 ","$2,858.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000008,70551,HC MRI BRAIN W/O CONTRAST,610,1 ,"$3,402.00 ","$2,211.30 ",$132.20 ,"$3,402.00 ","$1,871.10 ","$2,041.20 ","$2,041.20 ",$884.52 ,$952.56 ,"$1,735.02 ",$884.52 ,"$2,000.38 ",$850.50 ,"$2,721.60 ","$2,721.60 ",$884.52 ,$132.20 ,"$1,422.04 ","$1,493.00 ",$587.50 ,$884.52 ,"$3,402.00 ",$748.44 ,"$2,551.50 ","$2,415.42 ","$2,415.42 ",$748.44 ,"$2,415.42 ","$2,857.68 ","$2,857.68 ","$2,857.68 ", N/A ,"$3,061.80 ","$1,871.10 ","$2,891.70 ",$748.44 ,"$3,402.00 ","$2,041.20 ",$748.44 ,"$1,415.23 ",$659.03 ,$599.12 ,$884.52 ,"$2,891.70 ",$446.50 ,"$2,721.60 ",$952.56 ,"$3,061.80 ","$3,402.00 ",$748.44 ,"$2,857.68 ","$1,750.00 ","$1,750.00 ",$884.52 ,"$2,211.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000009,70552,HC MRI BRAIN W/CON,610,1 ,"$3,487.00 ","$2,266.55 ",$195.11 ,"$3,487.00 ","$1,917.85 ","$2,092.20 ","$2,092.20 ",$906.62 ,$976.36 ,"$1,778.37 ",$906.62 ,"$2,050.36 ",$871.75 ,"$2,789.60 ","$2,789.60 ",$906.62 ,$195.11 ,"$1,457.57 ","$1,493.00 ",$940.23 ,$906.62 ,"$3,487.00 ",$767.14 ,"$2,615.25 ","$2,475.77 ","$2,475.77 ",$767.14 ,"$2,475.77 ","$2,929.08 ","$2,929.08 ","$2,929.08 ", N/A ,"$3,138.30 ","$1,917.85 ","$2,963.95 ",$767.14 ,"$3,487.00 ","$2,092.20 ",$767.14 ,"$1,450.59 ",$659.03 ,$599.12 ,$906.62 ,"$2,963.95 ",$714.57 ,"$2,789.60 ",$976.36 ,"$3,138.30 ","$3,487.00 ",$767.14 ,"$2,929.08 ","$1,750.00 ","$1,750.00 ",$906.62 ,"$2,266.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000010,70553,HC MRI BRAIN W AND W/O CONTRAST,610,1 ,"$4,650.00 ","$3,022.50 ",$222.34 ,"$4,650.00 ","$2,557.50 ","$2,790.00 ","$2,790.00 ","$1,209.00 ","$1,302.00 ","$2,371.50 ","$1,209.00 ","$2,734.20 ","$1,162.50 ","$3,720.00 ","$3,720.00 ","$1,209.00 ",$222.34 ,"$1,943.70 ","$1,493.00 ",$940.23 ,"$1,209.00 ","$4,650.00 ","$1,023.00 ","$3,487.50 ","$3,301.50 ","$3,301.50 ","$1,023.00 ","$3,301.50 ","$3,906.00 ","$3,906.00 ","$3,906.00 ", N/A ,"$4,185.00 ","$2,557.50 ","$3,952.50 ","$1,023.00 ","$4,650.00 ","$2,790.00 ","$1,023.00 ","$1,934.40 ",$659.03 ,$599.12 ,"$1,209.00 ","$3,952.50 ",$714.57 ,"$3,720.00 ","$1,302.00 ","$4,185.00 ","$4,650.00 ","$1,023.00 ","$3,906.00 ","$1,750.00 ","$1,750.00 ","$1,209.00 ","$3,022.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000011,72141,HC MRI C-SPINE W/O CONTRAST,610,1 ,"$3,686.00 ","$2,395.90 ",$127.31 ,"$3,686.00 ","$2,027.30 ","$2,211.60 ","$2,211.60 ",$958.36 ,"$1,032.08 ","$1,879.86 ",$958.36 ,"$2,167.37 ",$921.50 ,"$2,948.80 ","$2,948.80 ",$958.36 ,$127.31 ,"$1,540.75 ","$1,493.00 ",$587.50 ,$958.36 ,"$3,686.00 ",$810.92 ,"$2,764.50 ","$2,617.06 ","$2,617.06 ",$810.92 ,"$2,617.06 ","$3,096.24 ","$3,096.24 ","$3,096.24 ", N/A ,"$3,317.40 ","$2,027.30 ","$3,133.10 ",$810.92 ,"$3,686.00 ","$2,211.60 ",$810.92 ,"$1,533.38 ",$475.30 ,$432.09 ,$958.36 ,"$3,133.10 ",$446.50 ,"$2,948.80 ","$1,032.08 ","$3,317.40 ","$3,686.00 ",$810.92 ,"$3,096.24 ","$1,750.00 ","$1,750.00 ",$958.36 ,"$2,395.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000012,72142,HC MRI C-SPINE W/CON,610,1 ,"$3,831.00 ","$2,490.15 ",$201.31 ,"$3,831.00 ","$2,107.05 ","$2,298.60 ","$2,298.60 ",$996.06 ,"$1,072.68 ","$1,953.81 ",$996.06 ,"$2,252.63 ",$957.75 ,"$3,064.80 ","$3,064.80 ",$996.06 ,$201.31 ,"$1,601.36 ","$1,493.00 ",$940.23 ,$996.06 ,"$3,831.00 ",$842.82 ,"$2,873.25 ","$2,720.01 ","$2,720.01 ",$842.82 ,"$2,720.01 ","$3,218.04 ","$3,218.04 ","$3,218.04 ", N/A ,"$3,447.90 ","$2,107.05 ","$3,256.35 ",$842.82 ,"$3,831.00 ","$2,298.60 ",$842.82 ,"$1,593.70 ",$475.30 ,$432.09 ,$996.06 ,"$3,256.35 ",$714.57 ,"$3,064.80 ","$1,072.68 ","$3,447.90 ","$3,831.00 ",$842.82 ,"$3,218.04 ","$1,750.00 ","$1,750.00 ",$996.06 ,"$2,490.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000013,72146,HC MRI T-SPINE W/O CONTRAST,610,1 ,"$3,850.00 ","$2,502.50 ",$127.31 ,"$3,850.00 ","$2,117.50 ","$2,310.00 ","$2,310.00 ","$1,001.00 ","$1,078.00 ","$1,963.50 ","$1,001.00 ","$2,263.80 ",$962.50 ,"$3,080.00 ","$3,080.00 ","$1,001.00 ",$127.31 ,"$1,609.30 ","$1,493.00 ",$587.50 ,"$1,001.00 ","$3,850.00 ",$847.00 ,"$2,887.50 ","$2,733.50 ","$2,733.50 ",$847.00 ,"$2,733.50 ","$3,234.00 ","$3,234.00 ","$3,234.00 ", N/A ,"$3,465.00 ","$2,117.50 ","$3,272.50 ",$847.00 ,"$3,850.00 ","$2,310.00 ",$847.00 ,"$1,601.60 ",$475.30 ,$432.09 ,"$1,001.00 ","$3,272.50 ",$446.50 ,"$3,080.00 ","$1,078.00 ","$3,465.00 ","$3,850.00 ",$847.00 ,"$3,234.00 ","$1,750.00 ","$1,750.00 ","$1,001.00 ","$2,502.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000014,72147,HC MRI T-SPINE W/CON,610,1 ,"$4,236.00 ","$2,753.40 ",$198.70 ,"$4,236.00 ","$2,329.80 ","$2,541.60 ","$2,541.60 ","$1,101.36 ","$1,186.08 ","$2,160.36 ","$1,101.36 ","$2,490.77 ","$1,059.00 ","$3,388.80 ","$3,388.80 ","$1,101.36 ",$198.70 ,"$1,770.65 ","$1,493.00 ",$940.23 ,"$1,101.36 ","$4,236.00 ",$931.92 ,"$3,177.00 ","$3,007.56 ","$3,007.56 ",$931.92 ,"$3,007.56 ","$3,558.24 ","$3,558.24 ","$3,558.24 ", N/A ,"$3,812.40 ","$2,329.80 ","$3,600.60 ",$931.92 ,"$4,236.00 ","$2,541.60 ",$931.92 ,"$1,762.18 ",$475.30 ,$432.09 ,"$1,101.36 ","$3,600.60 ",$714.57 ,"$3,388.80 ","$1,186.08 ","$3,812.40 ","$4,236.00 ",$931.92 ,"$3,558.24 ","$1,750.00 ","$1,750.00 ","$1,101.36 ","$2,753.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000016,72148,HC MRI L-SPINE W/O CONTRAST,610,1 ,"$3,711.00 ","$2,412.15 ",$127.63 ,"$3,711.00 ","$2,041.05 ","$2,226.60 ","$2,226.60 ",$964.86 ,"$1,039.08 ","$1,892.61 ",$964.86 ,"$2,182.07 ",$927.75 ,"$2,968.80 ","$2,968.80 ",$964.86 ,$127.63 ,"$1,551.20 ","$1,493.00 ",$587.50 ,$964.86 ,"$3,711.00 ",$816.42 ,"$2,783.25 ","$2,634.81 ","$2,634.81 ",$816.42 ,"$2,634.81 ","$3,117.24 ","$3,117.24 ","$3,117.24 ", N/A ,"$3,339.90 ","$2,041.05 ","$3,154.35 ",$816.42 ,"$3,711.00 ","$2,226.60 ",$816.42 ,"$1,543.78 ",$475.30 ,$432.09 ,$964.86 ,"$3,154.35 ",$446.50 ,"$2,968.80 ","$1,039.08 ","$3,339.90 ","$3,711.00 ",$816.42 ,"$3,117.24 ","$1,750.00 ","$1,750.00 ",$964.86 ,"$2,412.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000017,72149,HC MRI L-SPINE W/CON,610,1 ,"$4,113.00 ","$2,673.45 ",$196.42 ,"$4,113.00 ","$2,262.15 ","$2,467.80 ","$2,467.80 ","$1,069.38 ","$1,151.64 ","$2,097.63 ","$1,069.38 ","$2,418.44 ","$1,028.25 ","$3,290.40 ","$3,290.40 ","$1,069.38 ",$196.42 ,"$1,719.23 ","$1,493.00 ",$940.23 ,"$1,069.38 ","$4,113.00 ",$904.86 ,"$3,084.75 ","$2,920.23 ","$2,920.23 ",$904.86 ,"$2,920.23 ","$3,454.92 ","$3,454.92 ","$3,454.92 ", N/A ,"$3,701.70 ","$2,262.15 ","$3,496.05 ",$904.86 ,"$4,113.00 ","$2,467.80 ",$904.86 ,"$1,711.01 ",$475.30 ,$432.09 ,"$1,069.38 ","$3,496.05 ",$714.57 ,"$3,290.40 ","$1,151.64 ","$3,701.70 ","$4,113.00 ",$904.86 ,"$3,454.92 ","$1,750.00 ","$1,750.00 ","$1,069.38 ","$2,673.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000018,72156,HC MRI C-SPINE W AND W/O CON,610,1 ,"$4,621.00 ","$3,003.65 ",$223.80 ,"$4,621.00 ","$2,541.55 ","$2,772.60 ","$2,772.60 ","$1,201.46 ","$1,293.88 ","$2,356.71 ","$1,201.46 ","$2,717.15 ","$1,155.25 ","$3,696.80 ","$3,696.80 ","$1,201.46 ",$223.80 ,"$1,931.58 ","$1,493.00 ",$940.23 ,"$1,201.46 ","$4,621.00 ","$1,016.62 ","$3,465.75 ","$3,280.91 ","$3,280.91 ","$1,016.62 ","$3,280.91 ","$3,881.64 ","$3,881.64 ","$3,881.64 ", N/A ,"$4,158.90 ","$2,541.55 ","$3,927.85 ","$1,016.62 ","$4,621.00 ","$2,772.60 ","$1,016.62 ","$1,922.34 ",$475.30 ,$432.09 ,"$1,201.46 ","$3,927.85 ",$714.57 ,"$3,696.80 ","$1,293.88 ","$4,158.90 ","$4,621.00 ","$1,016.62 ","$3,881.64 ","$1,750.00 ","$1,750.00 ","$1,201.46 ","$3,003.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000019,72157,HC MRI T-SPINE W AND W/O CON,610,1 ,"$4,952.00 ","$3,218.80 ",$224.13 ,"$4,952.00 ","$2,723.60 ","$2,971.20 ","$2,971.20 ","$1,287.52 ","$1,386.56 ","$2,525.52 ","$1,287.52 ","$2,911.78 ","$1,238.00 ","$3,961.60 ","$3,961.60 ","$1,287.52 ",$224.13 ,"$2,069.94 ","$1,493.00 ",$940.23 ,"$1,287.52 ","$4,952.00 ","$1,089.44 ","$3,714.00 ","$3,515.92 ","$3,515.92 ","$1,089.44 ","$3,515.92 ","$4,159.68 ","$4,159.68 ","$4,159.68 ", N/A ,"$4,456.80 ","$2,723.60 ","$4,209.20 ","$1,089.44 ","$4,952.00 ","$2,971.20 ","$1,089.44 ","$2,060.03 ",$475.30 ,$432.09 ,"$1,287.52 ","$4,209.20 ",$714.57 ,"$3,961.60 ","$1,386.56 ","$4,456.80 ","$4,952.00 ","$1,089.44 ","$4,159.68 ","$1,750.00 ","$1,750.00 ","$1,287.52 ","$3,218.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000020,72158,HC MRI L-SPINE W AND W/O CON,610,1 ,"$5,414.00 ","$3,519.10 ",$222.82 ,"$5,414.00 ","$2,977.70 ","$3,248.40 ","$3,248.40 ","$1,407.64 ","$1,515.92 ","$2,761.14 ","$1,407.64 ","$3,183.43 ","$1,353.50 ","$4,331.20 ","$4,331.20 ","$1,407.64 ",$222.82 ,"$2,263.05 ","$1,493.00 ",$940.23 ,"$1,407.64 ","$5,414.00 ","$1,191.08 ","$4,060.50 ","$3,843.94 ","$3,843.94 ","$1,191.08 ","$3,843.94 ","$4,547.76 ","$4,547.76 ","$4,547.76 ", N/A ,"$4,872.60 ","$2,977.70 ","$4,601.90 ","$1,191.08 ","$5,414.00 ","$3,248.40 ","$1,191.08 ","$2,252.22 ",$475.30 ,$432.09 ,"$1,407.64 ","$4,601.90 ",$714.57 ,"$4,331.20 ","$1,515.92 ","$4,872.60 ","$5,414.00 ","$1,191.08 ","$4,547.76 ","$1,750.00 ","$1,750.00 ","$1,407.64 ","$3,519.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000021,72195,HC MRI PELVIS W/O CON,610,1 ,"$3,668.00 ","$2,384.20 ",$169.69 ,"$3,668.00 ","$2,017.40 ","$2,200.80 ","$2,200.80 ",$953.68 ,"$1,027.04 ","$1,870.68 ",$953.68 ,"$2,156.78 ",$917.00 ,"$2,934.40 ","$2,934.40 ",$953.68 ,$169.69 ,"$1,533.22 ","$1,493.00 ",$587.50 ,$953.68 ,"$3,668.00 ",$806.96 ,"$2,751.00 ","$2,604.28 ","$2,604.28 ",$806.96 ,"$2,604.28 ","$3,081.12 ","$3,081.12 ","$3,081.12 ", N/A ,"$3,301.20 ","$2,017.40 ","$3,117.80 ",$806.96 ,"$3,668.00 ","$2,200.80 ",$806.96 ,"$1,525.89 ",$588.18 ,$534.71 ,$953.68 ,"$3,117.80 ",$446.50 ,"$2,934.40 ","$1,027.04 ","$3,301.20 ","$3,668.00 ",$806.96 ,"$3,081.12 ","$1,750.00 ","$1,750.00 ",$953.68 ,"$2,384.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000022,72196,HC MRI PELVIS W/CON,610,1 ,"$1,146.00 ",$744.90 ,$198.05 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$584.46 ,$297.96 ,$673.85 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$198.05 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$588.18 ,$534.71 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000023,72197,HC MRI PELVIS W AND W/O CON,610,1 ,"$4,989.00 ","$3,242.85 ",$248.42 ,"$4,989.00 ","$2,743.95 ","$2,993.40 ","$2,993.40 ","$1,297.14 ","$1,396.92 ","$2,544.39 ","$1,297.14 ","$2,933.53 ","$1,247.25 ","$3,991.20 ","$3,991.20 ","$1,297.14 ",$248.42 ,"$2,085.40 ","$1,493.00 ",$940.23 ,"$1,297.14 ","$4,989.00 ","$1,097.58 ","$3,741.75 ","$3,542.19 ","$3,542.19 ","$1,097.58 ","$3,542.19 ","$4,190.76 ","$4,190.76 ","$4,190.76 ", N/A ,"$4,490.10 ","$2,743.95 ","$4,240.65 ","$1,097.58 ","$4,989.00 ","$2,993.40 ","$1,097.58 ","$2,075.42 ",$588.18 ,$534.71 ,"$1,297.14 ","$4,240.65 ",$714.57 ,"$3,991.20 ","$1,396.92 ","$4,490.10 ","$4,989.00 ","$1,097.58 ","$4,190.76 ","$1,750.00 ","$1,750.00 ","$1,297.14 ","$3,242.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000024,73218,HC MRI UPPR EXT NONJOINT W/O CONTRAST,610,1 ,"$3,941.00 ","$2,561.65 ",$252.49 ,"$3,941.00 ","$2,167.55 ","$2,364.60 ","$2,364.60 ","$1,024.66 ","$1,103.48 ","$2,009.91 ","$1,024.66 ","$2,317.31 ",$985.25 ,"$3,152.80 ","$3,152.80 ","$1,024.66 ",$252.49 ,"$1,647.34 ","$1,493.00 ",$587.50 ,"$1,024.66 ","$3,941.00 ",$867.02 ,"$2,955.75 ","$2,798.11 ","$2,798.11 ",$867.02 ,"$2,798.11 ","$3,310.44 ","$3,310.44 ","$3,310.44 ", N/A ,"$3,546.90 ","$2,167.55 ","$3,349.85 ",$867.02 ,"$3,941.00 ","$2,364.60 ",$867.02 ,"$1,639.46 ",$588.18 ,$534.71 ,"$1,024.66 ","$3,349.85 ",$446.50 ,"$3,152.80 ","$1,103.48 ","$3,546.90 ","$3,941.00 ",$867.02 ,"$3,310.44 ","$1,750.00 ","$1,750.00 ","$1,024.66 ","$2,561.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$6,193.00 ","$4,025.45 ",$268.46 ,"$6,193.00 ","$3,406.15 ","$3,715.80 ","$3,715.80 ","$1,610.18 ","$1,734.04 ","$3,158.43 ","$1,610.18 ","$3,641.48 ","$1,548.25 ","$4,954.40 ","$4,954.40 ","$1,610.18 ",$268.46 ,"$2,588.67 ","$1,493.00 ","$2,152.90 ","$1,610.18 ","$6,193.00 ","$1,362.46 ","$4,644.75 ","$4,397.03 ","$4,397.03 ","$1,362.46 ","$4,397.03 ","$5,202.12 ","$5,202.12 ","$5,202.12 ", N/A ,"$5,573.70 ","$3,406.15 ","$5,264.05 ","$1,362.46 ","$6,193.00 ","$3,715.80 ","$1,362.46 ","$2,576.29 ",$882.28 ,$802.07 ,"$1,610.18 ","$5,264.05 ","$1,636.20 ","$4,954.40 ","$1,734.04 ","$5,573.70 ","$6,193.00 ","$1,362.46 ","$5,202.12 ","$1,750.00 ","$1,750.00 ","$1,610.18 ","$4,025.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000025,73219,HC MRI UPPR EXT NONJOINT W/CONTRAST,610,1 ,"$4,129.00 ","$2,683.85 ",$268.46 ,"$4,129.00 ","$2,270.95 ","$2,477.40 ","$2,477.40 ","$1,073.54 ","$1,156.12 ","$2,105.79 ","$1,073.54 ","$2,427.85 ","$1,032.25 ","$3,303.20 ","$3,303.20 ","$1,073.54 ",$268.46 ,"$1,725.92 ","$1,493.00 ",$940.23 ,"$1,073.54 ","$4,129.00 ",$908.38 ,"$3,096.75 ","$2,931.59 ","$2,931.59 ",$908.38 ,"$2,931.59 ","$3,468.36 ","$3,468.36 ","$3,468.36 ", N/A ,"$3,716.10 ","$2,270.95 ","$3,509.65 ",$908.38 ,"$4,129.00 ","$2,477.40 ",$908.38 ,"$1,717.66 ",$588.18 ,$534.71 ,"$1,073.54 ","$3,509.65 ",$714.57 ,"$3,303.20 ","$1,156.12 ","$3,716.10 ","$4,129.00 ",$908.38 ,"$3,468.36 ","$1,750.00 ","$1,750.00 ","$1,073.54 ","$2,683.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000026,73220,HC MRI UPPR EXT NONJOINT W AND W/O CONTRAST,610,1 ,"$4,384.00 ","$2,849.60 ",$327.96 ,"$4,384.00 ","$2,411.20 ","$2,630.40 ","$2,630.40 ","$1,139.84 ","$1,227.52 ","$2,235.84 ","$1,139.84 ","$2,577.79 ","$1,096.00 ","$3,507.20 ","$3,507.20 ","$1,139.84 ",$327.96 ,"$1,832.51 ","$1,493.00 ",$940.23 ,"$1,139.84 ","$4,384.00 ",$964.48 ,"$3,288.00 ","$3,112.64 ","$3,112.64 ",$964.48 ,"$3,112.64 ","$3,682.56 ","$3,682.56 ","$3,682.56 ", N/A ,"$3,945.60 ","$2,411.20 ","$3,726.40 ",$964.48 ,"$4,384.00 ","$2,630.40 ",$964.48 ,"$1,823.74 ",$588.18 ,$534.71 ,"$1,139.84 ","$3,726.40 ",$714.57 ,"$3,507.20 ","$1,227.52 ","$3,945.60 ","$4,384.00 ",$964.48 ,"$3,682.56 ","$1,750.00 ","$1,750.00 ","$1,139.84 ","$2,849.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000027,73221,HC MRI UPPR EXT JOINT W/O CONTRAST,610,1 ,"$3,029.00 ","$1,968.85 ",$144.26 ,"$3,029.00 ","$1,665.95 ","$1,817.40 ","$1,817.40 ",$787.54 ,$848.12 ,"$1,544.79 ",$787.54 ,"$1,781.05 ",$757.25 ,"$2,423.20 ","$2,423.20 ",$787.54 ,$144.26 ,"$1,266.12 ","$1,493.00 ",$587.50 ,$787.54 ,"$3,029.00 ",$666.38 ,"$2,271.75 ","$2,150.59 ","$2,150.59 ",$666.38 ,"$2,150.59 ","$2,544.36 ","$2,544.36 ","$2,544.36 ", N/A ,"$2,726.10 ","$1,665.95 ","$2,574.65 ",$666.38 ,"$3,029.00 ","$1,817.40 ",$666.38 ,"$1,260.06 ",$396.99 ,$360.90 ,$787.54 ,"$2,574.65 ",$446.50 ,"$2,423.20 ",$848.12 ,"$2,726.10 ","$3,029.00 ",$666.38 ,"$2,544.36 ","$1,750.00 ","$1,750.00 ",$787.54 ,"$1,968.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000028,73222,HC MRI UPPR EXT JOINT W/CONTRAST,610,1 ,"$4,129.00 ","$2,683.85 ",$250.21 ,"$4,129.00 ","$2,270.95 ","$2,477.40 ","$2,477.40 ","$1,073.54 ","$1,156.12 ","$2,105.79 ","$1,073.54 ","$2,427.85 ","$1,032.25 ","$3,303.20 ","$3,303.20 ","$1,073.54 ",$250.21 ,"$1,725.92 ","$1,493.00 ","$1,826.68 ","$1,073.54 ","$4,129.00 ",$908.38 ,"$3,096.75 ","$2,931.59 ","$2,931.59 ",$908.38 ,"$2,931.59 ","$3,468.36 ","$3,468.36 ","$3,468.36 ", N/A ,"$3,716.10 ","$2,270.95 ","$3,509.65 ",$908.38 ,"$4,129.00 ","$2,477.40 ",$908.38 ,"$1,717.66 ",$396.99 ,$360.90 ,"$1,073.54 ","$3,509.65 ","$1,388.27 ","$3,303.20 ","$1,156.12 ","$3,716.10 ","$4,129.00 ",$908.38 ,"$3,468.36 ","$1,750.00 ","$1,750.00 ","$1,073.54 ","$2,683.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000029,73223,HC MRI UPPR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,729.00 ","$3,073.85 ",$304.49 ,"$4,729.00 ","$2,600.95 ","$2,837.40 ","$2,837.40 ","$1,229.54 ","$1,324.12 ","$2,411.79 ","$1,229.54 ","$2,780.65 ","$1,182.25 ","$3,783.20 ","$3,783.20 ","$1,229.54 ",$304.49 ,"$1,976.72 ","$1,493.00 ",$940.23 ,"$1,229.54 ","$4,729.00 ","$1,040.38 ","$3,546.75 ","$3,357.59 ","$3,357.59 ","$1,040.38 ","$3,357.59 ","$3,972.36 ","$3,972.36 ","$3,972.36 ", N/A ,"$4,256.10 ","$2,600.95 ","$4,019.65 ","$1,040.38 ","$4,729.00 ","$2,837.40 ","$1,040.38 ","$1,967.26 ",$396.99 ,$360.90 ,"$1,229.54 ","$4,019.65 ",$714.57 ,"$3,783.20 ","$1,324.12 ","$4,256.10 ","$4,729.00 ","$1,040.38 ","$3,972.36 ","$1,750.00 ","$1,750.00 ","$1,229.54 ","$3,073.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000030,73718,HC MRI LE NONJOINT WO CONTRAST,610,1 ,"$3,941.00 ","$2,561.65 ",$168.38 ,"$3,941.00 ","$2,167.55 ","$2,364.60 ","$2,364.60 ","$1,024.66 ","$1,103.48 ","$2,009.91 ","$1,024.66 ","$2,317.31 ",$985.25 ,"$3,152.80 ","$3,152.80 ","$1,024.66 ",$168.38 ,"$1,647.34 ","$1,493.00 ",$587.50 ,"$1,024.66 ","$3,941.00 ",$867.02 ,"$2,955.75 ","$2,798.11 ","$2,798.11 ",$867.02 ,"$2,798.11 ","$3,310.44 ","$3,310.44 ","$3,310.44 ", N/A ,"$3,546.90 ","$2,167.55 ","$3,349.85 ",$867.02 ,"$3,941.00 ","$2,364.60 ",$867.02 ,"$1,639.46 ",$588.18 ,$534.71 ,"$1,024.66 ","$3,349.85 ",$446.50 ,"$3,152.80 ","$1,103.48 ","$3,546.90 ","$3,941.00 ",$867.02 ,"$3,310.44 ","$1,750.00 ","$1,750.00 ","$1,024.66 ","$2,561.65 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000032,73719,HC MRI LE NONJOINT W/ CONTRAST,610,1 ,"$4,138.00 ","$2,689.70 ",$196.42 ,"$4,138.00 ","$2,275.90 ","$2,482.80 ","$2,482.80 ","$1,075.88 ","$1,158.64 ","$2,110.38 ","$1,075.88 ","$2,433.14 ","$1,034.50 ","$3,310.40 ","$3,310.40 ","$1,075.88 ",$196.42 ,"$1,729.68 ","$1,493.00 ",$940.23 ,"$1,075.88 ","$4,138.00 ",$910.36 ,"$3,103.50 ","$2,937.98 ","$2,937.98 ",$910.36 ,"$2,937.98 ","$3,475.92 ","$3,475.92 ","$3,475.92 ", N/A ,"$3,724.20 ","$2,275.90 ","$3,517.30 ",$910.36 ,"$4,138.00 ","$2,482.80 ",$910.36 ,"$1,721.41 ",$588.18 ,$534.71 ,"$1,075.88 ","$3,517.30 ",$714.57 ,"$3,310.40 ","$1,158.64 ","$3,724.20 ","$4,138.00 ",$910.36 ,"$3,475.92 ","$1,750.00 ","$1,750.00 ","$1,075.88 ","$2,689.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000033,73720,HC MRI LE NONJOINT W/WO CONTRAST,610,1 ,"$4,729.00 ","$3,073.85 ",$250.70 ,"$4,729.00 ","$2,600.95 ","$2,837.40 ","$2,837.40 ","$1,229.54 ","$1,324.12 ","$2,411.79 ","$1,229.54 ","$2,780.65 ","$1,182.25 ","$3,783.20 ","$3,783.20 ","$1,229.54 ",$250.70 ,"$1,976.72 ","$1,493.00 ",$940.23 ,"$1,229.54 ","$4,729.00 ","$1,040.38 ","$3,546.75 ","$3,357.59 ","$3,357.59 ","$1,040.38 ","$3,357.59 ","$3,972.36 ","$3,972.36 ","$3,972.36 ", N/A ,"$4,256.10 ","$2,600.95 ","$4,019.65 ","$1,040.38 ","$4,729.00 ","$2,837.40 ","$1,040.38 ","$1,967.26 ",$588.18 ,$534.71 ,"$1,229.54 ","$4,019.65 ",$714.57 ,"$3,783.20 ","$1,324.12 ","$4,256.10 ","$4,729.00 ","$1,040.38 ","$3,972.36 ","$1,750.00 ","$1,750.00 ","$1,229.54 ","$3,073.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000034,73721,HC MRI LWR EXT JOINT W/O CONTRAST,610,1 ,"$3,029.00 ","$1,968.85 ",$143.93 ,"$3,029.00 ","$1,665.95 ","$1,817.40 ","$1,817.40 ",$787.54 ,$848.12 ,"$1,544.79 ",$787.54 ,"$1,781.05 ",$757.25 ,"$2,423.20 ","$2,423.20 ",$787.54 ,$143.93 ,"$1,266.12 ","$1,493.00 ",$587.50 ,$787.54 ,"$3,029.00 ",$666.38 ,"$2,271.75 ","$2,150.59 ","$2,150.59 ",$666.38 ,"$2,150.59 ","$2,544.36 ","$2,544.36 ","$2,544.36 ", N/A ,"$2,726.10 ","$1,665.95 ","$2,574.65 ",$666.38 ,"$3,029.00 ","$1,817.40 ",$666.38 ,"$1,260.06 ",$396.99 ,$360.90 ,$787.54 ,"$2,574.65 ",$446.50 ,"$2,423.20 ",$848.12 ,"$2,726.10 ","$3,029.00 ",$666.38 ,"$2,544.36 ","$1,750.00 ","$1,750.00 ",$787.54 ,"$1,968.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000035,73722,HC MRI LWR EXT JOINT W/CONTRAST,610,1 ,"$4,113.00 ","$2,673.45 ",$250.86 ,"$4,113.00 ","$2,262.15 ","$2,467.80 ","$2,467.80 ","$1,069.38 ","$1,151.64 ","$2,097.63 ","$1,069.38 ","$2,418.44 ","$1,028.25 ","$3,290.40 ","$3,290.40 ","$1,069.38 ",$250.86 ,"$1,719.23 ","$1,493.00 ","$1,826.68 ","$1,069.38 ","$4,113.00 ",$904.86 ,"$3,084.75 ","$2,920.23 ","$2,920.23 ",$904.86 ,"$2,920.23 ","$3,454.92 ","$3,454.92 ","$3,454.92 ", N/A ,"$3,701.70 ","$2,262.15 ","$3,496.05 ",$904.86 ,"$4,113.00 ","$2,467.80 ",$904.86 ,"$1,711.01 ",$396.99 ,$360.90 ,"$1,069.38 ","$3,496.05 ","$1,388.27 ","$3,290.40 ","$1,151.64 ","$3,701.70 ","$4,113.00 ",$904.86 ,"$3,454.92 ","$1,750.00 ","$1,750.00 ","$1,069.38 ","$2,673.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000036,73723,HC MRI LWR EXT JOINT W AND W/O CONTRAST,610,1 ,"$4,729.00 ","$3,073.85 ",$303.51 ,"$4,729.00 ","$2,600.95 ","$2,837.40 ","$2,837.40 ","$1,229.54 ","$1,324.12 ","$2,411.79 ","$1,229.54 ","$2,780.65 ","$1,182.25 ","$3,783.20 ","$3,783.20 ","$1,229.54 ",$303.51 ,"$1,976.72 ","$1,493.00 ",$940.23 ,"$1,229.54 ","$4,729.00 ","$1,040.38 ","$3,546.75 ","$3,357.59 ","$3,357.59 ","$1,040.38 ","$3,357.59 ","$3,972.36 ","$3,972.36 ","$3,972.36 ", N/A ,"$4,256.10 ","$2,600.95 ","$4,019.65 ","$1,040.38 ","$4,729.00 ","$2,837.40 ","$1,040.38 ","$1,967.26 ",$396.99 ,$360.90 ,"$1,229.54 ","$4,019.65 ",$714.57 ,"$3,783.20 ","$1,324.12 ","$4,256.10 ","$4,729.00 ","$1,040.38 ","$3,972.36 ","$1,750.00 ","$1,750.00 ","$1,229.54 ","$3,073.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000038,74181,HC MRI ABDOMEN W/O CON,610,1 ,"$3,668.00 ","$2,384.20 ",$133.58 ,"$3,668.00 ","$2,017.40 ","$2,200.80 ","$2,200.80 ",$953.68 ,"$1,027.04 ","$1,870.68 ",$953.68 ,"$2,156.78 ",$917.00 ,"$2,934.40 ","$2,934.40 ",$953.68 ,$133.58 ,"$1,533.22 ","$1,493.00 ",$587.50 ,$953.68 ,"$3,668.00 ",$806.96 ,"$2,751.00 ","$2,604.28 ","$2,604.28 ",$806.96 ,"$2,604.28 ","$3,081.12 ","$3,081.12 ","$3,081.12 ", N/A ,"$3,301.20 ","$2,017.40 ","$3,117.80 ",$806.96 ,"$3,668.00 ","$2,200.80 ",$806.96 ,"$1,525.89 ",$704.96 ,$640.87 ,$953.68 ,"$3,117.80 ",$446.50 ,"$2,934.40 ","$1,027.04 ","$3,301.20 ","$3,668.00 ",$806.96 ,"$3,081.12 ","$1,750.00 ","$1,750.00 ",$953.68 ,"$2,384.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000039,74182,HC MRI ABDOMEN W/CON,610,1 ,"$1,146.00 ",$744.90 ,$232.93 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$584.46 ,$297.96 ,$673.85 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$232.93 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$704.96 ,$640.87 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000040,74183,HC MRI ABDOMEN W AND W/O CON,610,1 ,"$4,771.00 ","$3,101.15 ",$249.40 ,"$4,771.00 ","$2,624.05 ","$2,862.60 ","$2,862.60 ","$1,240.46 ","$1,335.88 ","$2,433.21 ","$1,240.46 ","$2,805.35 ","$1,192.75 ","$3,816.80 ","$3,816.80 ","$1,240.46 ",$249.40 ,"$1,994.28 ","$1,493.00 ",$940.23 ,"$1,240.46 ","$4,771.00 ","$1,049.62 ","$3,578.25 ","$3,387.41 ","$3,387.41 ","$1,049.62 ","$3,387.41 ","$4,007.64 ","$4,007.64 ","$4,007.64 ", N/A ,"$4,293.90 ","$2,624.05 ","$4,055.35 ","$1,049.62 ","$4,771.00 ","$2,862.60 ","$1,049.62 ","$1,984.74 ",$704.96 ,$640.87 ,"$1,240.46 ","$4,055.35 ",$714.57 ,"$3,816.80 ","$1,335.88 ","$4,293.90 ","$4,771.00 ","$1,049.62 ","$4,007.64 ","$1,750.00 ","$1,750.00 ","$1,240.46 ","$3,101.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000050,C8937,HC MRI BREAST CAD,610,1 ,$140.00 ,$91.00 ,$30.80 ,$140.00 ,$77.00 ,$84.00 ,$84.00 ,$36.40 ,$39.20 ,$68.18 ,$36.40 ,$78.54 ,$35.00 ,$112.00 ,$112.00 ,$36.40 ,$91.00 ,$58.52 ,$140.00 , N/A ,$36.40 ,$140.00 ,$30.80 ,$105.00 ,$99.40 ,$99.40 ,$30.80 ,$99.40 ,$117.60 ,$117.60 ,$117.60 , N/A ,$126.00 ,$77.00 ,$119.00 ,$30.80 ,$140.00 ,$84.00 ,$30.80 ,$58.24 , N/A , N/A ,$36.40 ,$119.00 , N/A ,$112.00 ,$39.20 ,$126.00 ,$140.00 ,$30.80 ,$117.60 ,$140.00 ,$140.00 ,$36.40 ,$91.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000051,C8900,HC MRA ABDOMEN W/CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$252.12 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$558.10 ,$297.96 ,$642.91 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$744.90 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$760.56 ,$691.42 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000052,C8901,HC MRA ABDOMEN W/O CONTRAST,610,1 ,$699.00 ,$454.35 ,$153.78 ,$760.56 ,$384.45 ,$419.40 ,$419.40 ,$181.74 ,$195.72 ,$340.41 ,$181.74 ,$392.14 ,$174.75 ,$559.20 ,$559.20 ,$181.74 ,$454.35 ,$292.18 ,$699.00 ,$587.50 ,$181.74 ,$699.00 ,$153.78 ,$524.25 ,$496.29 ,$496.29 ,$153.78 ,$496.29 ,$587.16 ,$587.16 ,$587.16 , N/A ,$629.10 ,$384.45 ,$594.15 ,$153.78 ,$699.00 ,$419.40 ,$153.78 ,$290.78 ,$760.56 ,$691.42 ,$181.74 ,$594.15 ,$446.50 ,$559.20 ,$195.72 ,$629.10 ,$699.00 ,$153.78 ,$587.16 ,$699.00 ,$699.00 ,$181.74 ,$454.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000053,C8902,HC MRA ABDOMEN W AND W/O CON,610,1 ,"$3,838.00 ","$2,494.70 ",$691.42 ,"$3,838.00 ","$2,110.90 ","$2,302.80 ","$2,302.80 ",$997.88 ,"$1,074.64 ","$1,869.11 ",$997.88 ,"$2,153.12 ",$959.50 ,"$3,070.40 ","$3,070.40 ",$997.88 ,"$2,494.70 ","$1,604.28 ","$1,493.00 ",$940.23 ,$997.88 ,"$3,838.00 ",$844.36 ,"$2,878.50 ","$2,724.98 ","$2,724.98 ",$844.36 ,"$2,724.98 ","$3,223.92 ","$3,223.92 ","$3,223.92 ", N/A ,"$3,454.20 ","$2,110.90 ","$3,262.30 ",$844.36 ,"$3,838.00 ","$2,302.80 ",$844.36 ,"$1,596.61 ",$760.56 ,$691.42 ,$997.88 ,"$3,262.30 ",$714.57 ,"$3,070.40 ","$1,074.64 ","$3,454.20 ","$3,838.00 ",$844.36 ,"$3,223.92 ","$1,750.00 ","$1,750.00 ",$997.88 ,"$2,494.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000056,C8905,HC MRI BREAST UNI W AND W/O CONTRAST,610,1 ,"$3,807.00 ","$2,474.55 ",$534.71 ,"$3,807.00 ","$2,093.85 ","$2,284.20 ","$2,284.20 ",$989.82 ,"$1,065.96 ","$1,854.01 ",$989.82 ,"$2,135.73 ",$951.75 ,"$3,045.60 ","$3,045.60 ",$989.82 ,"$2,474.55 ","$1,591.33 ","$1,493.00 ",$940.23 ,$989.82 ,"$3,807.00 ",$837.54 ,"$2,855.25 ","$2,702.97 ","$2,702.97 ",$837.54 ,"$2,702.97 ","$3,197.88 ","$3,197.88 ","$3,197.88 ", N/A ,"$3,426.30 ","$2,093.85 ","$3,235.95 ",$837.54 ,"$3,807.00 ","$2,284.20 ",$837.54 ,"$1,583.71 ",$588.18 ,$534.71 ,$989.82 ,"$3,235.95 ",$714.57 ,"$3,045.60 ","$1,065.96 ","$3,426.30 ","$3,807.00 ",$837.54 ,"$3,197.88 ","$1,750.00 ","$1,750.00 ",$989.82 ,"$2,474.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000058,77047,HC MRI BREAST BI W/O CON,610,1 ,"$3,612.00 ","$2,347.80 ",$151.76 ,"$3,612.00 ","$1,986.60 ","$2,167.20 ","$2,167.20 ",$939.12 ,"$1,011.36 ","$1,759.04 ",$939.12 ,"$2,026.33 ",$903.00 ,"$2,889.60 ","$2,889.60 ",$939.12 ,$151.76 ,"$1,509.82 ","$1,493.00 ",$587.50 ,$939.12 ,"$3,612.00 ",$794.64 ,"$2,709.00 ","$2,564.52 ","$2,564.52 ",$794.64 ,"$2,564.52 ","$3,034.08 ","$3,034.08 ","$3,034.08 ", N/A ,"$3,250.80 ","$1,986.60 ","$3,070.20 ",$794.64 ,$179.80 ,"$2,167.20 ",$794.64 ,"$1,502.59 ",$588.18 ,$534.71 ,$939.12 ,"$3,070.20 ",$446.50 ,"$2,889.60 ","$1,011.36 ","$3,250.80 ","$3,612.00 ",$794.64 ,"$3,034.08 ","$1,750.00 ","$1,750.00 ",$939.12 ,"$2,347.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000059,C8908,HC MRI BREAST BI W AND W/O CON,610,1 ,"$4,374.00 ","$2,843.10 ",$534.71 ,"$4,374.00 ","$2,405.70 ","$2,624.40 ","$2,624.40 ","$1,137.24 ","$1,224.72 ","$2,130.14 ","$1,137.24 ","$2,453.81 ","$1,093.50 ","$3,499.20 ","$3,499.20 ","$1,137.24 ","$2,843.10 ","$1,828.33 ","$1,493.00 ",$940.23 ,"$1,137.24 ","$4,374.00 ",$962.28 ,"$3,280.50 ","$3,105.54 ","$3,105.54 ",$962.28 ,"$3,105.54 ","$3,674.16 ","$3,674.16 ","$3,674.16 ", N/A ,"$3,936.60 ","$2,405.70 ","$3,717.90 ",$962.28 ,"$4,374.00 ","$2,624.40 ",$962.28 ,"$1,819.58 ",$588.18 ,$534.71 ,"$1,137.24 ","$3,717.90 ",$714.57 ,"$3,499.20 ","$1,224.72 ","$3,936.60 ","$4,374.00 ",$962.28 ,"$3,674.16 ","$1,750.00 ","$1,750.00 ","$1,137.24 ","$2,843.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000060,C8909,HC MRA CHEST W/CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$252.12 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$558.10 ,$297.96 ,$642.91 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$744.90 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$669.01 ,$608.19 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000061,C8910,HC MRA CHEST W/O CONTRAST,610,1 ,$699.00 ,$454.35 ,$153.78 ,$699.00 ,$384.45 ,$419.40 ,$419.40 ,$181.74 ,$195.72 ,$340.41 ,$181.74 ,$392.14 ,$174.75 ,$559.20 ,$559.20 ,$181.74 ,$454.35 ,$292.18 ,$699.00 ,$587.50 ,$181.74 ,$699.00 ,$153.78 ,$524.25 ,$496.29 ,$496.29 ,$153.78 ,$496.29 ,$587.16 ,$587.16 ,$587.16 , N/A ,$629.10 ,$384.45 ,$594.15 ,$153.78 ,$699.00 ,$419.40 ,$153.78 ,$290.78 ,$669.01 ,$608.19 ,$181.74 ,$594.15 ,$446.50 ,$559.20 ,$195.72 ,$629.10 ,$699.00 ,$153.78 ,$587.16 ,$699.00 ,$699.00 ,$181.74 ,$454.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000062,C8911,HC MRA CHEST W AND W/O CONTRAST,610,1 ,"$4,223.00 ","$2,744.95 ",$608.19 ,"$4,223.00 ","$2,322.65 ","$2,533.80 ","$2,533.80 ","$1,097.98 ","$1,182.44 ","$2,056.60 ","$1,097.98 ","$2,369.10 ","$1,055.75 ","$3,378.40 ","$3,378.40 ","$1,097.98 ","$2,744.95 ","$1,765.21 ","$1,493.00 ",$940.23 ,"$1,097.98 ","$4,223.00 ",$929.06 ,"$3,167.25 ","$2,998.33 ","$2,998.33 ",$929.06 ,"$2,998.33 ","$3,547.32 ","$3,547.32 ","$3,547.32 ", N/A ,"$3,800.70 ","$2,322.65 ","$3,589.55 ",$929.06 ,"$4,223.00 ","$2,533.80 ",$929.06 ,"$1,756.77 ",$669.01 ,$608.19 ,"$1,097.98 ","$3,589.55 ",$714.57 ,"$3,378.40 ","$1,182.44 ","$3,800.70 ","$4,223.00 ",$929.06 ,"$3,547.32 ","$1,750.00 ","$1,750.00 ","$1,097.98 ","$2,744.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000064,C8913,HC MRA LWR EXT W/O CON,610,1 ,$699.00 ,$454.35 ,$153.78 ,$760.56 ,$384.45 ,$419.40 ,$419.40 ,$181.74 ,$195.72 ,$340.41 ,$181.74 ,$392.14 ,$174.75 ,$559.20 ,$559.20 ,$181.74 ,$454.35 ,$292.18 ,$699.00 ,$587.50 ,$181.74 ,$699.00 ,$153.78 ,$524.25 ,$496.29 ,$496.29 ,$153.78 ,$496.29 ,$587.16 ,$587.16 ,$587.16 , N/A ,$629.10 ,$384.45 ,$594.15 ,$153.78 ,$699.00 ,$419.40 ,$153.78 ,$290.78 ,$760.56 ,$691.42 ,$181.74 ,$594.15 ,$446.50 ,$559.20 ,$195.72 ,$629.10 ,$699.00 ,$153.78 ,$587.16 ,$699.00 ,$699.00 ,$181.74 ,$454.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000067,C8914,HC MRA LWR EXT W AND W/O CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$252.12 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$558.10 ,$297.96 ,$642.91 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$744.90 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$760.56 ,$691.42 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000070,C8920,HC MRA PELVIS W AND W/O CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$252.12 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$558.10 ,$297.96 ,$642.91 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$744.90 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$760.56 ,$691.42 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000073,70553,HC MRI BRAIN W AND W/O CONTRAST PITUITARY,610,1 ,"$4,650.00 ","$3,022.50 ",$222.34 ,"$4,650.00 ","$2,557.50 ","$2,790.00 ","$2,790.00 ","$1,209.00 ","$1,302.00 ","$2,371.50 ","$1,209.00 ","$2,734.20 ","$1,162.50 ","$3,720.00 ","$3,720.00 ","$1,209.00 ",$222.34 ,"$1,943.70 ","$1,493.00 ",$940.23 ,"$1,209.00 ","$4,650.00 ","$1,023.00 ","$3,487.50 ","$3,301.50 ","$3,301.50 ","$1,023.00 ","$3,301.50 ","$3,906.00 ","$3,906.00 ","$3,906.00 ", N/A ,"$4,185.00 ","$2,557.50 ","$3,952.50 ","$1,023.00 ","$4,650.00 ","$2,790.00 ","$1,023.00 ","$1,934.40 ",$659.03 ,$599.12 ,"$1,209.00 ","$3,952.50 ",$714.57 ,"$3,720.00 ","$1,302.00 ","$4,185.00 ","$4,650.00 ","$1,023.00 ","$3,906.00 ","$1,750.00 ","$1,750.00 ","$1,209.00 ","$3,022.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,61000076,70542,HC MRI ORBIT/FACE/NECK W/CONTRAST,610,1 ,"$1,146.00 ",$744.90 ,$202.61 ,"$1,146.00 ",$630.30 ,$687.60 ,$687.60 ,$297.96 ,$320.88 ,$584.46 ,$297.96 ,$673.85 ,$286.50 ,$916.80 ,$916.80 ,$297.96 ,$202.61 ,$479.03 ,"$1,146.00 ",$940.23 ,$297.96 ,"$1,146.00 ",$252.12 ,$859.50 ,$813.66 ,$813.66 ,$252.12 ,$813.66 ,$962.64 ,$962.64 ,$962.64 , N/A ,"$1,031.40 ",$630.30 ,$974.10 ,$252.12 ,"$1,146.00 ",$687.60 ,$252.12 ,$476.74 ,$588.18 ,$534.71 ,$297.96 ,$974.10 ,$714.57 ,$916.80 ,$320.88 ,"$1,031.40 ","$1,146.00 ",$252.12 ,$962.64 ,"$1,146.00 ","$1,146.00 ",$297.96 ,$744.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,62300009,A6022,HC DRESSING COLLAGEN >16 = <48 SQ IN,623,1 ,$27.00 ,$17.55 ,$5.94 ,$27.00 ,$14.85 ,$16.20 ,$16.20 ,$7.02 ,$7.56 ,$13.72 ,$7.02 ,$15.88 ,$6.75 ,$21.60 ,$21.60 ,$7.02 ,$17.55 ,$11.29 ,$18.36 , N/A ,$7.02 ,$27.00 ,$5.94 ,$20.25 ,$19.17 ,$19.17 ,$5.94 ,$19.17 ,$22.68 ,$22.68 ,$22.68 , N/A ,$24.30 ,$14.85 ,$22.95 ,$5.94 ,$27.00 ,$16.20 ,$5.94 ,$11.23 , N/A , N/A ,$7.02 ,$22.95 , N/A ,$21.60 ,$7.56 ,$24.30 ,$27.00 ,$5.94 ,$22.68 ,$20.25 ,$20.25 ,$7.02 ,$17.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,62300010,A6197,HC DRESSING ALGINATE >16 = <48 SQ IN,623,1 ,$113.00 ,$73.45 ,$24.86 ,$113.00 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$73.45 ,$47.23 ,$76.84 , N/A ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 , N/A , N/A ,$29.38 ,$96.05 , N/A ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$84.75 ,$84.75 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600009,Q4186,HC EPIFIX PER SQ CM,636,1 ,$858.00 ,$557.70 ,$188.76 ,$858.00 ,$471.90 ,$514.80 ,$514.80 ,$223.08 ,$240.24 ,$417.85 ,$223.08 ,$481.34 ,$214.50 ,$686.40 ,$686.40 ,$223.08 ,$686.40 ,$358.64 ,$583.44 , N/A ,$223.08 ,$858.00 ,$188.76 ,$643.50 ,$609.18 ,$609.18 ,$188.76 ,$609.18 ,$720.72 ,$720.72 ,$720.72 , N/A ,$772.20 ,$471.90 ,$729.30 ,$188.76 ,$858.00 ,$514.80 ,$188.76 ,$356.93 ,$784.53 ,$713.21 ,$223.08 ,$729.30 , N/A ,$686.40 ,$240.24 ,$772.20 ,$858.00 ,$188.76 ,$720.72 ,$254.61 ,$254.61 ,$223.08 ,$557.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600019,M1145,"HC MFN DRUG ADD-ON, PER DOSE",636,1 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A , N/A , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600022,Q4151,"HC AMNIOBAND, GUARDIAN 1 SQ CM",636,1 ,$826.00 ,$536.90 ,$181.72 ,$826.00 ,$454.30 ,$495.60 ,$495.60 ,$214.76 ,$231.28 ,$402.26 ,$214.76 ,$463.39 ,$206.50 ,$660.80 ,$660.80 ,$214.76 ,$660.80 ,$345.27 ,$561.68 , N/A ,$214.76 ,$826.00 ,$181.72 ,$619.50 ,$586.46 ,$586.46 ,$181.72 ,$586.46 ,$693.84 ,$693.84 ,$693.84 , N/A ,$743.40 ,$454.30 ,$702.10 ,$181.72 ,$826.00 ,$495.60 ,$181.72 ,$343.62 ,$784.53 ,$713.21 ,$214.76 ,$702.10 , N/A ,$660.80 ,$231.28 ,$743.40 ,$826.00 ,$181.72 ,$693.84 ,$210.46 ,$210.46 ,$214.76 ,$536.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600183,Q4196,HC PURAPLY ANTIMICROBIAL PER SQ CENTIMETER USED - JC,636,1 ,$425.00 ,$276.25 ,$93.50 ,$784.53 ,$233.75 ,$255.00 ,$255.00 ,$110.50 ,$119.00 ,$206.98 ,$110.50 ,$238.43 ,$106.25 ,$340.00 ,$340.00 ,$110.50 ,$340.00 ,$177.65 ,$289.00 , N/A ,$110.50 ,$425.00 ,$93.50 ,$318.75 ,$301.75 ,$301.75 ,$93.50 ,$301.75 ,$357.00 ,$357.00 ,$357.00 , N/A ,$382.50 ,$233.75 ,$361.25 ,$93.50 ,$425.00 ,$255.00 ,$93.50 ,$176.80 ,$784.53 ,$713.21 ,$110.50 ,$361.25 , N/A ,$340.00 ,$119.00 ,$382.50 ,$425.00 ,$93.50 ,$357.00 ,$182.57 ,$182.57 ,$110.50 ,$276.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600185,Q4101,HC APLIGRAF PER SQ CM USED -JC,636,1 ,$100.00 ,$65.00 ,$22.00 ,$784.53 ,$55.00 ,$60.00 ,$60.00 ,$26.00 ,$28.00 ,$50.80 ,$26.00 ,$58.80 ,$25.00 ,$80.00 ,$80.00 ,$26.00 ,$80.00 ,$41.80 ,$68.00 , N/A ,$26.00 ,$100.00 ,$22.00 ,$75.00 ,$71.00 ,$71.00 ,$22.00 ,$71.00 ,$84.00 ,$84.00 ,$84.00 , N/A ,$90.00 ,$55.00 ,$85.00 ,$22.00 ,$100.00 ,$60.00 ,$22.00 ,$41.60 ,$784.53 ,$713.21 ,$26.00 ,$85.00 , N/A ,$80.00 ,$28.00 ,$90.00 ,$100.00 ,$22.00 ,$84.00 ,$50.23 ,$50.23 ,$26.00 ,$65.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600187,Q4106,HC DERMAGRAFT PER SQ CM USED -JC,636,1 ,$105.00 ,$68.25 ,$23.10 ,$784.53 ,$57.75 ,$63.00 ,$63.00 ,$27.30 ,$29.40 ,$53.34 ,$27.30 ,$61.74 ,$26.25 ,$84.00 ,$84.00 ,$27.30 ,$84.00 ,$43.89 ,$71.40 , N/A ,$27.30 ,$105.00 ,$23.10 ,$78.75 ,$74.55 ,$74.55 ,$23.10 ,$74.55 ,$88.20 ,$88.20 ,$88.20 , N/A ,$94.50 ,$57.75 ,$89.25 ,$23.10 ,$105.00 ,$63.00 ,$23.10 ,$43.68 ,$784.53 ,$713.21 ,$27.30 ,$89.25 , N/A ,$84.00 ,$29.40 ,$94.50 ,$105.00 ,$23.10 ,$88.20 ,$52.75 ,$52.75 ,$27.30 ,$68.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600190,Q4160,HC NUSHIELD PER SQ CM,636,1 ,$671.00 ,$436.15 ,$147.62 ,$784.53 ,$369.05 ,$402.60 ,$402.60 ,$174.46 ,$187.88 ,$326.78 ,$174.46 ,$376.43 ,$167.75 ,$536.80 ,$536.80 ,$174.46 ,$536.80 ,$280.48 ,$456.28 , N/A ,$174.46 ,$671.00 ,$147.62 ,$503.25 ,$476.41 ,$476.41 ,$147.62 ,$476.41 ,$563.64 ,$563.64 ,$563.64 , N/A ,$603.90 ,$369.05 ,$570.35 ,$147.62 ,$671.00 ,$402.60 ,$147.62 ,$279.14 ,$784.53 ,$713.21 ,$174.46 ,$570.35 , N/A ,$536.80 ,$187.88 ,$603.90 ,$671.00 ,$147.62 ,$563.64 ,$158.30 ,$158.30 ,$174.46 ,$436.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600191,Q4186,HC EPIFIX PER SQ CM USED- JC,636,1 ,$557.00 ,$362.05 ,$122.54 ,$784.53 ,$306.35 ,$334.20 ,$334.20 ,$144.82 ,$155.96 ,$271.26 ,$144.82 ,$312.48 ,$139.25 ,$445.60 ,$445.60 ,$144.82 ,$445.60 ,$232.83 ,$378.76 , N/A ,$144.82 ,$557.00 ,$122.54 ,$417.75 ,$395.47 ,$395.47 ,$122.54 ,$395.47 ,$467.88 ,$467.88 ,$467.88 , N/A ,$501.30 ,$306.35 ,$473.45 ,$122.54 ,$557.00 ,$334.20 ,$122.54 ,$231.71 ,$784.53 ,$713.21 ,$144.82 ,$473.45 , N/A ,$445.60 ,$155.96 ,$501.30 ,$557.00 ,$122.54 ,$467.88 ,$254.61 ,$254.61 ,$144.82 ,$362.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600195,Q4110,"HC PRIMATRIX, PER SQ CM USED - JC",636,1 ,$135.00 ,$87.75 ,$29.70 ,$784.53 ,$74.25 ,$81.00 ,$81.00 ,$35.10 ,$37.80 ,$68.58 ,$35.10 ,$79.38 ,$33.75 ,$108.00 ,$108.00 ,$35.10 ,$108.00 ,$56.43 ,$91.80 , N/A ,$35.10 ,$135.00 ,$29.70 ,$101.25 ,$95.85 ,$95.85 ,$29.70 ,$95.85 ,$113.40 ,$113.40 ,$113.40 , N/A ,$121.50 ,$74.25 ,$114.75 ,$29.70 ,$135.00 ,$81.00 ,$29.70 ,$56.16 ,$784.53 ,$713.21 ,$35.10 ,$114.75 , N/A ,$108.00 ,$37.80 ,$121.50 ,$135.00 ,$29.70 ,$113.40 ,$70.46 ,$70.46 ,$35.10 ,$87.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600197,Q4102,HC OASIS PER SQ CENTIMETER USED -JC,636,1 ,$17.00 ,$11.05 ,$3.74 ,$784.53 ,$9.35 ,$10.20 ,$10.20 ,$4.42 ,$4.76 ,$8.64 ,$4.42 ,$10.00 ,$4.25 ,$13.60 ,$13.60 ,$4.42 ,$13.60 ,$7.11 ,$11.56 , N/A ,$4.42 ,$17.00 ,$3.74 ,$12.75 ,$12.07 ,$12.07 ,$3.74 ,$12.07 ,$14.28 ,$14.28 ,$14.28 , N/A ,$15.30 ,$9.35 ,$14.45 ,$3.74 ,$17.00 ,$10.20 ,$3.74 ,$7.07 ,$784.53 ,$713.21 ,$4.42 ,$14.45 , N/A ,$13.60 ,$4.76 ,$15.30 ,$17.00 ,$3.74 ,$14.28 ,$16.17 ,$16.17 ,$4.42 ,$11.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600199,Q4105,HC DEMAL REGENERATN TEMPLT SQ CM USED -JC,636,1 ,$246.00 ,$159.90 ,$54.12 ,$784.53 ,$135.30 ,$147.60 ,$147.60 ,$63.96 ,$68.88 ,$124.97 ,$63.96 ,$144.65 ,$61.50 ,$196.80 ,$196.80 ,$63.96 ,$196.80 ,$102.83 ,$167.28 , N/A ,$63.96 ,$246.00 ,$54.12 ,$184.50 ,$174.66 ,$174.66 ,$54.12 ,$174.66 ,$206.64 ,$206.64 ,$206.64 , N/A ,$221.40 ,$135.30 ,$209.10 ,$54.12 ,$246.00 ,$147.60 ,$54.12 ,$102.34 ,$784.53 ,$713.21 ,$63.96 ,$209.10 , N/A ,$196.80 ,$68.88 ,$221.40 ,$246.00 ,$54.12 ,$206.64 ,$103.24 ,$103.24 ,$63.96 ,$159.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600201,Q4158,HC KERECIS OMEGA3 PER SQ CM USED - JC,636,1 ,$37.00 ,$24.05 ,$8.14 ,$784.53 ,$20.35 ,$22.20 ,$22.20 ,$9.62 ,$10.36 ,$18.80 ,$9.62 ,$21.76 ,$9.25 ,$29.60 ,$29.60 ,$9.62 ,$29.60 ,$15.47 ,$25.16 , N/A ,$9.62 ,$37.00 ,$8.14 ,$27.75 ,$26.27 ,$26.27 ,$8.14 ,$26.27 ,$31.08 ,$31.08 ,$31.08 , N/A ,$33.30 ,$20.35 ,$31.45 ,$8.14 ,$37.00 ,$22.20 ,$8.14 ,$15.39 ,$784.53 ,$713.21 ,$9.62 ,$31.45 , N/A ,$29.60 ,$10.36 ,$33.30 ,$37.00 ,$8.14 ,$31.08 ,$37.00 ,$37.00 ,$9.62 ,$24.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600203,Q4195,HC PURAPLY PER SQ CM USED-JC,636,1 ,$425.00 ,$276.25 ,$93.50 ,$784.53 ,$233.75 ,$255.00 ,$255.00 ,$110.50 ,$119.00 ,$206.98 ,$110.50 ,$238.43 ,$106.25 ,$340.00 ,$340.00 ,$110.50 ,$340.00 ,$177.65 ,$289.00 , N/A ,$110.50 ,$425.00 ,$93.50 ,$318.75 ,$301.75 ,$301.75 ,$93.50 ,$301.75 ,$357.00 ,$357.00 ,$357.00 , N/A ,$382.50 ,$233.75 ,$361.25 ,$93.50 ,$425.00 ,$255.00 ,$93.50 ,$176.80 ,$784.53 ,$713.21 ,$110.50 ,$361.25 , N/A ,$340.00 ,$119.00 ,$382.50 ,$425.00 ,$93.50 ,$357.00 ,$137.61 ,$137.61 ,$110.50 ,$276.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600207,Q4159,HC AFFINITY PER SQ CM USED - JC,636,1 ,$407.00 ,$264.55 ,$89.54 ,$784.53 ,$223.85 ,$244.20 ,$244.20 ,$105.82 ,$113.96 ,$198.21 ,$105.82 ,$228.33 ,$101.75 ,$325.60 ,$325.60 ,$105.82 ,$325.60 ,$170.13 ,$276.76 , N/A ,$105.82 ,$407.00 ,$89.54 ,$305.25 ,$288.97 ,$288.97 ,$89.54 ,$288.97 ,$341.88 ,$341.88 ,$341.88 , N/A ,$366.30 ,$223.85 ,$345.95 ,$89.54 ,$407.00 ,$244.20 ,$89.54 ,$169.31 ,$784.53 ,$713.21 ,$105.82 ,$345.95 , N/A ,$325.60 ,$113.96 ,$366.30 ,$407.00 ,$89.54 ,$341.88 ,$407.00 ,$407.00 ,$105.82 ,$264.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600209,Q4187,HC EPICORD PER SQ CM USED - JC,636,1 ,$557.00 ,$362.05 ,$122.54 ,$784.53 ,$306.35 ,$334.20 ,$334.20 ,$144.82 ,$155.96 ,$271.26 ,$144.82 ,$312.48 ,$139.25 ,$445.60 ,$445.60 ,$144.82 ,$445.60 ,$232.83 ,$378.76 , N/A ,$144.82 ,$557.00 ,$122.54 ,$417.75 ,$395.47 ,$395.47 ,$122.54 ,$395.47 ,$467.88 ,$467.88 ,$467.88 , N/A ,$501.30 ,$306.35 ,$473.45 ,$122.54 ,$557.00 ,$334.20 ,$122.54 ,$231.71 ,$784.53 ,$713.21 ,$144.82 ,$473.45 , N/A ,$445.60 ,$155.96 ,$501.30 ,$557.00 ,$122.54 ,$467.88 ,$369.15 ,$369.15 ,$144.82 ,$362.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600211,Q4124,HC OASIS TRI LAYER ULTRA PER SQ CM USED - JC,636,1 ,$30.00 ,$19.50 ,$6.60 ,$784.53 ,$16.50 ,$18.00 ,$18.00 ,$7.80 ,$8.40 ,$15.24 ,$7.80 ,$17.64 ,$7.50 ,$24.00 ,$24.00 ,$7.80 ,$24.00 ,$12.54 ,$20.40 , N/A ,$7.80 ,$30.00 ,$6.60 ,$22.50 ,$21.30 ,$21.30 ,$6.60 ,$21.30 ,$25.20 ,$25.20 ,$25.20 , N/A ,$27.00 ,$16.50 ,$25.50 ,$6.60 ,$30.00 ,$18.00 ,$6.60 ,$12.48 ,$784.53 ,$713.21 ,$7.80 ,$25.50 , N/A ,$24.00 ,$8.40 ,$27.00 ,$30.00 ,$6.60 ,$25.20 ,$26.71 ,$26.71 ,$7.80 ,$19.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600213,Q4137,HC AMNIOEXCEL/AMNIOEXCEL PLUS/BIODEXCEL PER SQ CM USED - JC,636,1 ,$321.38 ,$208.90 ,$70.70 ,$784.53 ,$176.75 ,$192.83 ,$192.83 ,$83.56 ,$89.99 ,$163.26 ,$83.56 ,$188.97 ,$80.35 ,$257.10 ,$257.10 ,$83.56 ,$257.10 ,$134.33 ,$218.54 , N/A ,$83.56 ,$321.38 ,$70.70 ,$241.04 ,$228.18 ,$228.18 ,$70.70 ,$228.18 ,$269.96 ,$269.96 ,$269.96 , N/A ,$289.24 ,$176.75 ,$273.17 ,$70.70 ,$321.38 ,$192.83 ,$70.70 ,$133.69 ,$784.53 ,$713.21 ,$83.56 ,$273.17 , N/A ,$257.10 ,$89.99 ,$289.24 ,$321.38 ,$70.70 ,$269.96 ,$166.72 ,$166.72 ,$83.56 ,$208.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,63600217,Q4121,HC THERASKIN PER SQ CM USED -JC,636,1 ,$137.00 ,$89.05 ,$30.14 ,$784.53 ,$75.35 ,$82.20 ,$82.20 ,$35.62 ,$38.36 ,$69.60 ,$35.62 ,$80.56 ,$34.25 ,$109.60 ,$109.60 ,$35.62 ,$109.60 ,$57.27 ,$93.16 , N/A ,$35.62 ,$137.00 ,$30.14 ,$102.75 ,$97.27 ,$97.27 ,$30.14 ,$97.27 ,$115.08 ,$115.08 ,$115.08 , N/A ,$123.30 ,$75.35 ,$116.45 ,$30.14 ,$137.00 ,$82.20 ,$30.14 ,$56.99 ,$784.53 ,$713.21 ,$35.62 ,$116.45 , N/A ,$109.60 ,$38.36 ,$123.30 ,$137.00 ,$30.14 ,$115.08 ,$72.30 ,$72.30 ,$35.62 ,$89.05 
ST. JOSEPH'S HOSPITAL - HIGHLAND,71000230,N/A,HC PHASE II RECOVERY 15 MIN,710,1 ,$156.00 ,$101.40 ,$34.32 ,$156.00 ,$85.80 ,$93.60 ,$93.60 ,$40.56 ,$43.68 ,$75.97 ,$40.56 ,$87.52 ,$39.00 ,$124.80 ,$124.80 ,$40.56 ,$124.80 ,$65.21 ,$106.08 , N/A ,$40.56 ,$156.00 ,$34.32 ,$117.00 ,$110.76 ,$110.76 ,$34.32 ,$110.76 ,$131.04 ,$131.04 ,$131.04 , N/A ,$140.40 ,$85.80 ,$132.60 ,$34.32 ,$156.00 ,$93.60 ,$34.32 ,$64.90 , N/A , N/A ,$40.56 ,$132.60 , N/A ,$124.80 ,$43.68 ,$140.40 ,$156.00 ,$34.32 ,$131.04 ,$117.00 ,$117.00 ,$40.56 ,$101.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,71000233,N/A,HC PHASE I RECOVERY 30 MIN,710,1 ,"$1,212.00 ",$787.80 ,$266.64 ,"$1,212.00 ",$666.60 ,$727.20 ,$727.20 ,$315.12 ,$339.36 ,$590.24 ,$315.12 ,$679.93 ,$303.00 ,$969.60 ,$969.60 ,$315.12 ,$969.60 ,$506.62 ,$824.16 , N/A ,$315.12 ,"$1,212.00 ",$266.64 ,$909.00 ,$860.52 ,$860.52 ,$266.64 ,$860.52 ,"$1,018.08 ","$1,018.08 ","$1,018.08 ", N/A ,"$1,090.80 ",$666.60 ,"$1,030.20 ",$266.64 ,"$1,212.00 ",$727.20 ,$266.64 ,$504.19 , N/A , N/A ,$315.12 ,"$1,030.20 ", N/A ,$969.60 ,$339.36 ,"$1,090.80 ","$1,212.00 ",$266.64 ,"$1,018.08 ",$909.00 ,$909.00 ,$315.12 ,$787.80 
ST. JOSEPH'S HOSPITAL - HIGHLAND,71000234,N/A,HC PHASE I RECOVERY 15 MIN,710,1 ,$230.00 ,$149.50 ,$50.60 ,$230.00 ,$126.50 ,$138.00 ,$138.00 ,$59.80 ,$64.40 ,$112.01 ,$59.80 ,$129.03 ,$57.50 ,$184.00 ,$184.00 ,$59.80 ,$184.00 ,$96.14 ,$156.40 , N/A ,$59.80 ,$230.00 ,$50.60 ,$172.50 ,$163.30 ,$163.30 ,$50.60 ,$163.30 ,$193.20 ,$193.20 ,$193.20 , N/A ,$207.00 ,$126.50 ,$195.50 ,$50.60 ,$230.00 ,$138.00 ,$50.60 ,$95.68 , N/A , N/A ,$59.80 ,$195.50 , N/A ,$184.00 ,$64.40 ,$207.00 ,$230.00 ,$50.60 ,$193.20 ,$172.50 ,$172.50 ,$59.80 ,$149.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,71000252,N/A,HC RECOVERY EXTENDED INIT HR,710,1 ,$67.00 ,$43.55 ,$14.74 ,$67.00 ,$36.85 ,$40.20 ,$40.20 ,$17.42 ,$18.76 ,$32.63 ,$17.42 ,$37.59 ,$16.75 ,$53.60 ,$53.60 ,$17.42 ,$53.60 ,$28.01 ,$45.56 , N/A ,$17.42 ,$67.00 ,$14.74 ,$50.25 ,$47.57 ,$47.57 ,$14.74 ,$47.57 ,$56.28 ,$56.28 ,$56.28 , N/A ,$60.30 ,$36.85 ,$56.95 ,$14.74 ,$67.00 ,$40.20 ,$14.74 ,$27.87 , N/A , N/A ,$17.42 ,$56.95 , N/A ,$53.60 ,$18.76 ,$60.30 ,$67.00 ,$14.74 ,$56.28 ,$50.25 ,$50.25 ,$17.42 ,$43.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,71000253,N/A,HC RECOVERY EXTENDED ADDL HR,710,1 ,$67.00 ,$43.55 ,$14.74 ,$67.00 ,$36.85 ,$40.20 ,$40.20 ,$17.42 ,$18.76 ,$32.63 ,$17.42 ,$37.59 ,$16.75 ,$53.60 ,$53.60 ,$17.42 ,$53.60 ,$28.01 ,$45.56 , N/A ,$17.42 ,$67.00 ,$14.74 ,$50.25 ,$47.57 ,$47.57 ,$14.74 ,$47.57 ,$56.28 ,$56.28 ,$56.28 , N/A ,$60.30 ,$36.85 ,$56.95 ,$14.74 ,$67.00 ,$40.20 ,$14.74 ,$27.87 , N/A , N/A ,$17.42 ,$56.95 , N/A ,$53.60 ,$18.76 ,$60.30 ,$67.00 ,$14.74 ,$56.28 ,$50.25 ,$50.25 ,$17.42 ,$43.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,73000002,93005,HC EKG,730,1 ,$403.00 ,$261.95 ,$6.12 ,$403.00 ,$221.65 ,$241.80 ,$241.80 ,$104.78 ,$112.84 ,$168.34 ,$104.78 ,$168.34 ,$100.75 ,$322.40 ,$322.40 ,$104.78 ,$6.12 ,$168.45 ,$274.04 ,$142.13 ,$104.78 ,$403.00 ,$88.66 ,$302.25 ,$286.13 ,$286.13 ,$88.66 ,$286.13 ,$338.52 ,$338.52 ,$338.52 , N/A ,$362.70 ,$221.65 ,$342.55 ,$88.66 ,$403.00 ,$241.80 ,$88.66 ,$167.65 ,$43.73 ,$39.75 ,$104.78 ,$342.55 ,$108.02 ,$322.40 ,$112.84 ,$362.70 ,$403.00 ,$88.66 ,$338.52 ,$386.00 ,$386.00 ,$104.78 ,$261.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,73000003,93041,HC EKG RHYTHM STRIP TRACING,730,1 ,$215.00 ,$139.75 ,$5.79 ,$215.00 ,$118.25 ,$129.00 ,$129.00 ,$55.90 ,$60.20 ,$104.71 ,$55.90 ,$120.62 ,$53.75 ,$172.00 ,$172.00 ,$55.90 ,$5.79 ,$89.87 ,$146.20 ,$142.13 ,$55.90 ,$215.00 ,$47.30 ,$161.25 ,$152.65 ,$152.65 ,$47.30 ,$152.65 ,$180.60 ,$180.60 ,$180.60 , N/A ,$193.50 ,$118.25 ,$182.75 ,$47.30 ,$215.00 ,$129.00 ,$47.30 ,$89.44 ,$43.73 ,$39.75 ,$55.90 ,$182.75 ,$108.02 ,$172.00 ,$60.20 ,$193.50 ,$215.00 ,$47.30 ,$180.60 ,$215.00 ,$215.00 ,$55.90 ,$139.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,73100000,93225,HC HOLTER MONITOR RECORDING,731,1 ,$370.00 ,$240.50 ,$18.83 ,$370.00 ,$203.50 ,$222.00 ,$222.00 ,$96.20 ,$103.60 ,$187.96 ,$96.20 ,$217.56 ,$92.50 ,$296.00 ,$296.00 ,$96.20 ,$18.83 ,$154.66 ,$251.60 ,$287.90 ,$96.20 ,$370.00 ,$81.40 ,$277.50 ,$262.70 ,$262.70 ,$81.40 ,$262.70 ,$310.80 ,$310.80 ,$310.80 , N/A ,$333.00 ,$203.50 ,$314.50 ,$81.40 ,$370.00 ,$222.00 ,$81.40 ,$153.92 ,$117.30 ,$106.64 ,$96.20 ,$314.50 ,$218.80 ,$296.00 ,$103.60 ,$333.00 ,$370.00 ,$81.40 ,$310.80 ,$370.00 ,$370.00 ,$96.20 ,$240.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,73100002,93226,HC HOLTER SCAN  AND  REPORT 48 HR,731,1 ,$527.00 ,$342.55 ,$36.76 ,$527.00 ,$289.85 ,$316.20 ,$316.20 ,$137.02 ,$147.56 ,$267.72 ,$137.02 ,$309.88 ,$131.75 ,$421.60 ,$421.60 ,$137.02 ,$36.76 ,$220.29 ,$358.36 ,$287.90 ,$137.02 ,$527.00 ,$115.94 ,$395.25 ,$374.17 ,$374.17 ,$115.94 ,$374.17 ,$442.68 ,$442.68 ,$442.68 , N/A ,$474.30 ,$289.85 ,$447.95 ,$115.94 ,$527.00 ,$316.20 ,$115.94 ,$219.23 ,$117.30 ,$106.64 ,$137.02 ,$447.95 ,$218.80 ,$421.60 ,$147.56 ,$474.30 ,$527.00 ,$115.94 ,$442.68 ,$527.00 ,$527.00 ,$137.02 ,$342.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000002,95805,HC MULTIPLE SLEEP LATENCY,740,1 ,"$5,271.00 ","$3,426.15 ",$349.99 ,"$5,271.00 ","$2,899.05 ","$3,162.60 ","$3,162.60 ","$1,370.46 ","$1,475.88 ","$2,677.67 ","$1,370.46 ","$3,099.35 ","$1,317.75 ","$4,216.80 ","$4,216.80 ","$1,370.46 ",$349.99 ,"$2,203.28 ","$3,584.28 ","$1,246.33 ","$1,370.46 ","$5,271.00 ","$1,159.62 ","$3,953.25 ","$3,742.41 ","$3,742.41 ","$1,159.62 ","$3,742.41 ","$4,427.64 ","$4,427.64 ","$4,427.64 ", N/A ,"$4,743.90 ","$2,899.05 ","$4,480.35 ","$1,159.62 ","$5,271.00 ","$3,162.60 ","$1,159.62 ","$2,192.74 ","$1,302.82 ","$1,184.38 ","$1,370.46 ","$4,480.35 ",$947.21 ,"$4,216.80 ","$1,475.88 ","$4,743.90 ","$5,271.00 ","$1,159.62 ","$4,427.64 ","$3,250.00 ","$3,250.00 ","$1,370.46 ","$3,426.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000006,95810,HC SLEEP STUDY,740,1 ,"$3,709.00 ","$2,410.85 ",$475.10 ,"$3,709.00 ","$2,039.95 ","$2,225.40 ","$2,225.40 ",$964.34 ,"$1,038.52 ","$1,884.17 ",$964.34 ,"$2,180.89 ",$927.25 ,"$2,967.20 ","$2,967.20 ",$964.34 ,$475.10 ,"$1,550.36 ","$2,522.12 ","$2,349.03 ",$964.34 ,"$3,709.00 ",$815.98 ,"$2,781.75 ","$2,633.39 ","$2,633.39 ",$815.98 ,"$2,633.39 ","$3,115.56 ","$3,115.56 ","$3,115.56 ", N/A ,"$3,338.10 ","$2,039.95 ","$3,152.65 ",$815.98 ,"$3,709.00 ","$2,225.40 ",$815.98 ,"$1,542.94 ","$1,302.82 ","$1,184.38 ",$964.34 ,"$3,152.65 ","$1,785.26 ","$2,967.20 ","$1,038.52 ","$3,338.10 ","$3,709.00 ",$815.98 ,"$3,115.56 ","$3,250.00 ","$3,250.00 ",$964.34 ,"$2,410.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000009,95811,HC SLEEP STUDY W/CPAP,740,1 ,"$6,225.00 ","$4,046.25 ",$496.86 ,"$6,225.00 ","$3,423.75 ","$3,735.00 ","$3,735.00 ","$1,618.50 ","$1,743.00 ","$3,162.30 ","$1,618.50 ","$3,660.30 ","$1,556.25 ","$4,980.00 ","$4,980.00 ","$1,618.50 ",$496.86 ,"$2,602.05 ","$4,233.00 ","$2,349.03 ","$1,618.50 ","$6,225.00 ","$1,369.50 ","$4,668.75 ","$4,419.75 ","$4,419.75 ","$1,369.50 ","$4,419.75 ","$5,229.00 ","$5,229.00 ","$5,229.00 ", N/A ,"$5,602.50 ","$3,423.75 ","$5,291.25 ","$1,369.50 ","$6,225.00 ","$3,735.00 ","$1,369.50 ","$2,589.60 ","$1,302.82 ","$1,184.38 ","$1,618.50 ","$5,291.25 ","$1,785.26 ","$4,980.00 ","$1,743.00 ","$5,602.50 ","$6,225.00 ","$1,369.50 ","$5,229.00 ","$3,250.00 ","$3,250.00 ","$1,618.50 ","$4,046.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000035,G0399,HC SLEEP STUDY HOME ADULT,740,1 ,$999.00 ,$649.35 ,$184.32 ,$999.00 ,$549.45 ,$599.40 ,$599.40 ,$259.74 ,$279.72 ,$486.51 ,$259.74 ,$560.44 ,$249.75 ,$799.20 ,$799.20 ,$259.74 ,$649.35 ,$417.58 ,$679.32 ,$356.48 ,$259.74 ,$999.00 ,$219.78 ,$749.25 ,$709.29 ,$709.29 ,$219.78 ,$709.29 ,$839.16 ,$839.16 ,$839.16 , N/A ,$899.10 ,$549.45 ,$849.15 ,$219.78 ,$999.00 ,$599.40 ,$219.78 ,$415.58 ,$202.75 ,$184.32 ,$259.74 ,$849.15 ,$270.92 ,$799.20 ,$279.72 ,$899.10 ,$999.00 ,$219.78 ,$839.16 ,$850.00 ,$850.00 ,$259.74 ,$649.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000045,95810,HC SLEEP STUDY PSG 4+ PARAMETERS >6YRS -52,740,1 ,"$3,709.00 ","$2,410.85 ",$475.10 ,"$3,709.00 ","$2,039.95 ","$2,225.40 ","$2,225.40 ",$964.34 ,"$1,038.52 ","$1,884.17 ",$964.34 ,"$2,180.89 ",$927.25 ,"$2,967.20 ","$2,967.20 ",$964.34 ,$475.10 ,"$1,550.36 ","$2,522.12 ","$1,174.51 ",$964.34 ,"$3,709.00 ",$815.98 ,"$2,781.75 ","$2,633.39 ","$2,633.39 ",$815.98 ,"$2,633.39 ","$3,115.56 ","$3,115.56 ","$3,115.56 ", N/A ,"$3,338.10 ","$2,039.95 ","$3,152.65 ",$815.98 ,"$3,709.00 ","$2,225.40 ",$815.98 ,"$1,542.94 ",$651.41 ,$592.19 ,$964.34 ,"$3,152.65 ",$892.63 ,"$2,967.20 ","$1,038.52 ","$3,338.10 ","$3,709.00 ",$815.98 ,"$3,115.56 ","$3,250.00 ","$3,250.00 ",$964.34 ,"$2,410.85 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,74000046,95811,HC SLEEP STUDY PSG 4+ PARAMTRS W/CPAP >6YR-52,740,1 ,"$6,225.00 ","$4,046.25 ",$496.86 ,"$6,225.00 ","$3,423.75 ","$3,735.00 ","$3,735.00 ","$1,618.50 ","$1,743.00 ","$3,162.30 ","$1,618.50 ","$3,660.30 ","$1,556.25 ","$4,980.00 ","$4,980.00 ","$1,618.50 ",$496.86 ,"$2,602.05 ","$4,233.00 ","$1,174.51 ","$1,618.50 ","$6,225.00 ","$1,369.50 ","$4,668.75 ","$4,419.75 ","$4,419.75 ","$1,369.50 ","$4,419.75 ","$5,229.00 ","$5,229.00 ","$5,229.00 ", N/A ,"$5,602.50 ","$3,423.75 ","$5,291.25 ","$1,369.50 ","$6,225.00 ","$3,735.00 ","$1,369.50 ","$2,589.60 ",$651.41 ,$592.19 ,"$1,618.50 ","$5,291.25 ",$892.63 ,"$4,980.00 ","$1,743.00 ","$5,602.50 ","$6,225.00 ","$1,369.50 ","$5,229.00 ","$3,250.00 ","$3,250.00 ","$1,618.50 ","$4,046.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,"$1,882.00 ","$1,223.30 ",$414.04 ,"$2,065.98 ","$1,035.10 ","$1,129.20 ","$1,129.20 ",$489.32 ,$526.96 ,$916.53 ,$489.32 ,"$1,055.80 ",$470.50 ,"$1,505.60 ","$1,505.60 ",$489.32 ,"$1,505.60 ",$786.68 ,"$1,279.76 ","$2,065.98 ",$489.32 ,"$1,882.00 ",$414.04 ,"$1,411.50 ","$1,336.22 ","$1,336.22 ",$414.04 ,"$1,336.22 ","$1,580.88 ","$1,580.88 ","$1,580.88 ", N/A ,"$1,693.80 ","$1,035.10 ","$1,599.70 ",$414.04 ,"$1,882.00 ","$1,129.20 ",$414.04 ,$782.91 ,"$1,174.58 ","$1,067.80 ",$489.32 ,"$1,599.70 ","$1,570.14 ","$1,505.60 ",$526.96 ,"$1,693.80 ","$1,882.00 ",$414.04 ,"$1,580.88 ","$1,882.00 ","$1,882.00 ",$489.32 ,"$1,223.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75000510,49082,HC PARACENTESIS W/O IMAGING,750,1 ,"$4,551.00 ","$2,958.15 ","$1,001.22 ","$4,551.00 ","$2,503.05 ","$2,730.60 ","$2,730.60 ","$1,183.26 ","$1,274.28 ","$2,216.34 ","$1,183.26 ","$2,553.11 ","$1,137.75 ","$3,640.80 ","$3,640.80 ","$1,183.26 ","$2,031.00 ","$1,902.32 ","$3,094.68 ","$2,065.98 ","$1,183.26 ","$4,551.00 ","$1,001.22 ","$3,413.25 ","$3,231.21 ","$3,231.21 ","$1,001.22 ","$3,231.21 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,095.90 ","$2,503.05 ","$3,868.35 ","$1,001.22 ","$4,551.00 ","$2,730.60 ","$1,001.22 ","$1,893.22 ","$1,174.58 ","$1,067.80 ","$1,183.26 ","$3,868.35 ","$1,570.14 ","$3,640.80 ","$1,274.28 ","$4,095.90 ","$4,551.00 ","$1,001.22 ","$3,038.00 ","$2,405.00 ","$2,405.00 ","$1,183.26 ","$2,958.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001068,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/FB REMOVAL - 43215,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001069,N/A,HC ESOPHAGOSCOPY FLEXIBLE W/BALLOON DILATION - 43220,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$4,588.00 ","$2,982.20 ","$1,009.36 ","$4,588.00 ","$2,523.40 ","$2,752.80 ","$2,752.80 ","$1,192.88 ","$1,284.64 ","$2,234.36 ","$1,192.88 ","$2,573.87 ","$1,147.00 ","$3,670.40 ","$3,670.40 ","$1,192.88 ","$2,031.00 ","$1,917.78 ","$3,119.84 ", N/A ,"$1,192.88 ","$4,588.00 ","$1,009.36 ","$3,441.00 ","$3,257.48 ","$3,257.48 ","$1,009.36 ","$3,257.48 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,129.20 ","$2,523.40 ","$3,899.80 ","$1,009.36 ","$4,588.00 ","$2,752.80 ","$1,009.36 ","$1,908.61 ", N/A , N/A ,"$1,192.88 ","$3,899.80 ", N/A ,"$3,670.40 ","$1,284.64 ","$4,129.20 ","$4,588.00 ","$1,009.36 ","$3,038.00 ", N/A , N/A ,"$1,192.88 ","$2,982.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001080,N/A,HC EGD W/BAND LIGATION - 43244,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$4,588.00 ","$2,982.20 ","$1,009.36 ","$4,588.00 ","$2,523.40 ","$2,752.80 ","$2,752.80 ","$1,192.88 ","$1,284.64 ","$2,234.36 ","$1,192.88 ","$2,573.87 ","$1,147.00 ","$3,670.40 ","$3,670.40 ","$1,192.88 ","$2,031.00 ","$1,917.78 ","$3,119.84 ", N/A ,"$1,192.88 ","$4,588.00 ","$1,009.36 ","$3,441.00 ","$3,257.48 ","$3,257.48 ","$1,009.36 ","$3,257.48 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,129.20 ","$2,523.40 ","$3,899.80 ","$1,009.36 ","$4,588.00 ","$2,752.80 ","$1,009.36 ","$1,908.61 ", N/A , N/A ,"$1,192.88 ","$3,899.80 ", N/A ,"$3,670.40 ","$1,284.64 ","$4,129.20 ","$4,588.00 ","$1,009.36 ","$3,038.00 ", N/A , N/A ,"$1,192.88 ","$2,982.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$5,071.00 ","$3,296.15 ","$1,115.62 ","$5,071.00 ","$2,789.05 ","$3,042.60 ","$3,042.60 ","$1,318.46 ","$1,419.88 ","$2,469.58 ","$1,318.46 ","$2,844.83 ","$1,267.75 ","$4,056.80 ","$4,056.80 ","$1,318.46 ","$2,031.00 ","$2,119.68 ","$3,448.28 ", N/A ,"$1,318.46 ","$5,071.00 ","$1,115.62 ","$3,803.25 ","$3,600.41 ","$3,600.41 ","$1,115.62 ","$3,600.41 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,563.90 ","$2,789.05 ","$4,310.35 ","$1,115.62 ","$5,071.00 ","$3,042.60 ","$1,115.62 ","$2,109.54 ", N/A , N/A ,"$1,318.46 ","$4,310.35 ", N/A ,"$4,056.80 ","$1,419.88 ","$4,563.90 ","$5,071.00 ","$1,115.62 ","$3,038.00 ", N/A , N/A ,"$1,318.46 ","$3,296.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$2,922.00 ","$1,899.30 ",$642.84 ,"$2,922.00 ","$1,607.10 ","$1,753.20 ","$1,753.20 ",$759.72 ,$818.16 ,"$1,423.01 ",$759.72 ,"$1,639.24 ",$730.50 ,"$2,337.60 ","$2,337.60 ",$759.72 ,"$2,031.00 ","$1,221.40 ","$1,986.96 ", N/A ,$759.72 ,"$2,922.00 ",$642.84 ,"$2,191.50 ","$2,074.62 ","$2,074.62 ",$642.84 ,"$2,074.62 ","$2,454.48 ","$2,454.48 ","$2,454.48 ", N/A ,"$2,629.80 ","$1,607.10 ","$2,483.70 ",$642.84 ,"$2,922.00 ","$1,753.20 ",$642.84 ,"$1,215.55 ", N/A , N/A ,$759.72 ,"$2,483.70 ", N/A ,"$2,337.60 ",$818.16 ,"$2,629.80 ","$2,922.00 ",$642.84 ,"$2,454.48 ", N/A , N/A ,$759.72 ,"$1,899.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$4,952.00 ","$3,218.80 ","$1,089.44 ","$4,952.00 ","$2,723.60 ","$2,971.20 ","$2,971.20 ","$1,287.52 ","$1,386.56 ","$2,411.62 ","$1,287.52 ","$2,778.07 ","$1,238.00 ","$3,961.60 ","$3,961.60 ","$1,287.52 ","$2,031.00 ","$2,069.94 ","$3,367.36 ", N/A ,"$1,287.52 ","$4,952.00 ","$1,089.44 ","$3,714.00 ","$3,515.92 ","$3,515.92 ","$1,089.44 ","$3,515.92 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,456.80 ","$2,723.60 ","$4,209.20 ","$1,089.44 ","$4,952.00 ","$2,971.20 ","$1,089.44 ","$2,060.03 ", N/A , N/A ,"$1,287.52 ","$4,209.20 ", N/A ,"$3,961.60 ","$1,386.56 ","$4,456.80 ","$4,952.00 ","$1,089.44 ","$3,038.00 ", N/A , N/A ,"$1,287.52 ","$3,218.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001094,N/A,HC ERCP W/BRUSH/WASH - 43260,750,1 ,"$3,126.00 ","$2,031.90 ",$687.72 ,"$3,126.00 ","$1,719.30 ","$1,875.60 ","$1,875.60 ",$812.76 ,$875.28 ,"$1,522.36 ",$812.76 ,"$1,753.69 ",$781.50 ,"$2,500.80 ","$2,500.80 ",$812.76 ,"$2,031.00 ","$1,306.67 ","$2,125.68 ", N/A ,$812.76 ,"$3,126.00 ",$687.72 ,"$2,344.50 ","$2,219.46 ","$2,219.46 ",$687.72 ,"$2,219.46 ","$2,625.84 ","$2,625.84 ","$2,625.84 ", N/A ,"$2,813.40 ","$1,719.30 ","$2,657.10 ",$687.72 ,"$3,126.00 ","$1,875.60 ",$687.72 ,"$1,300.42 ", N/A , N/A ,$812.76 ,"$2,657.10 ", N/A ,"$2,500.80 ",$875.28 ,"$2,813.40 ","$3,126.00 ",$687.72 ,"$2,625.84 ", N/A , N/A ,$812.76 ,"$2,031.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001095,N/A,HC ERCP W/BIOPSY SGL/MULT - 43261,750,1 ,"$7,566.00 ","$4,917.90 ","$1,664.52 ","$7,566.00 ","$4,161.30 ","$4,539.60 ","$4,539.60 ","$1,967.16 ","$2,118.48 ","$3,684.64 ","$1,967.16 ","$4,244.53 ","$1,891.50 ","$6,052.80 ","$6,052.80 ","$1,967.16 ","$2,031.00 ","$3,162.59 ","$5,144.88 ", N/A ,"$1,967.16 ","$7,566.00 ","$1,664.52 ","$5,674.50 ","$5,371.86 ","$5,371.86 ","$1,664.52 ","$5,371.86 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,809.40 ","$4,161.30 ","$6,431.10 ","$1,664.52 ","$7,566.00 ","$4,539.60 ","$1,664.52 ","$3,147.46 ", N/A , N/A ,"$1,967.16 ","$6,431.10 ", N/A ,"$6,052.80 ","$2,118.48 ","$6,809.40 ","$7,566.00 ","$1,664.52 ","$3,038.00 ", N/A , N/A ,"$1,967.16 ","$4,917.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001096,N/A,HC ERCP W/SPHINCTEROTOMY - 43262,750,1 ,"$9,242.00 ","$6,007.30 ","$2,031.00 ","$9,242.00 ","$5,083.10 ","$5,545.20 ","$5,545.20 ","$2,402.92 ","$2,587.76 ","$4,500.85 ","$2,402.92 ","$5,184.76 ","$2,310.50 ","$7,393.60 ","$7,393.60 ","$2,402.92 ","$2,031.00 ","$3,863.16 ","$6,284.56 ", N/A ,"$2,402.92 ","$9,242.00 ","$2,033.24 ","$6,931.50 ","$6,561.82 ","$6,561.82 ","$2,033.24 ","$6,561.82 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$8,317.80 ","$5,083.10 ","$7,855.70 ","$2,033.24 ","$9,242.00 ","$5,545.20 ","$2,033.24 ","$3,844.67 ", N/A , N/A ,"$2,402.92 ","$7,855.70 ", N/A ,"$7,393.60 ","$2,587.76 ","$8,317.80 ","$9,242.00 ","$2,033.24 ","$3,038.00 ", N/A , N/A ,"$2,402.92 ","$6,007.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001098,N/A,HC ERCP W/STONE REMOVAL DUCT - 43264,750,1 ,"$7,566.00 ","$4,917.90 ","$1,664.52 ","$7,566.00 ","$4,161.30 ","$4,539.60 ","$4,539.60 ","$1,967.16 ","$2,118.48 ","$3,684.64 ","$1,967.16 ","$4,244.53 ","$1,891.50 ","$6,052.80 ","$6,052.80 ","$1,967.16 ","$2,031.00 ","$3,162.59 ","$5,144.88 ", N/A ,"$1,967.16 ","$7,566.00 ","$1,664.52 ","$5,674.50 ","$5,371.86 ","$5,371.86 ","$1,664.52 ","$5,371.86 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$6,809.40 ","$4,161.30 ","$6,431.10 ","$1,664.52 ","$7,566.00 ","$4,539.60 ","$1,664.52 ","$3,147.46 ", N/A , N/A ,"$1,967.16 ","$6,431.10 ", N/A ,"$6,052.80 ","$2,118.48 ","$6,809.40 ","$7,566.00 ","$1,664.52 ","$3,038.00 ", N/A , N/A ,"$1,967.16 ","$4,917.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001099,N/A,HC ERCP W/LITHOTRIPSY - 43265,750,1 ,"$13,804.00 ","$8,972.60 ","$2,031.00 ","$13,804.00 ","$7,592.20 ","$8,282.40 ","$8,282.40 ","$3,589.04 ","$3,865.12 ","$6,722.55 ","$3,589.04 ","$7,744.04 ","$3,451.00 ","$11,043.20 ","$11,043.20 ","$3,589.04 ","$2,031.00 ","$5,770.07 ","$8,269.00 ", N/A ,"$3,589.04 ","$13,804.00 ","$3,036.88 ","$10,353.00 ","$9,800.84 ","$9,800.84 ","$3,036.88 ","$9,800.84 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$12,423.60 ","$7,592.20 ","$11,733.40 ","$3,036.88 ","$13,804.00 ","$8,282.40 ","$3,036.88 ","$5,742.46 ", N/A , N/A ,"$3,589.04 ","$11,733.40 ", N/A ,"$11,043.20 ","$3,865.12 ","$12,423.60 ","$13,804.00 ","$3,036.88 ","$3,038.00 ", N/A , N/A ,"$3,589.04 ","$8,972.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001100,N/A,HC ERCP W/STENT PLACEMENT DUCT - 43274,750,1 ,"$4,892.00 ","$3,179.80 ","$1,076.24 ","$4,892.00 ","$2,690.60 ","$2,935.20 ","$2,935.20 ","$1,271.92 ","$1,369.76 ","$2,382.40 ","$1,271.92 ","$2,744.41 ","$1,223.00 ","$3,913.60 ","$3,913.60 ","$1,271.92 ","$2,031.00 ","$2,044.86 ","$3,326.56 ", N/A ,"$1,271.92 ","$4,892.00 ","$1,076.24 ","$3,669.00 ","$3,473.32 ","$3,473.32 ","$1,076.24 ","$3,473.32 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$4,402.80 ","$2,690.60 ","$4,158.20 ","$1,076.24 ","$4,892.00 ","$2,935.20 ","$1,076.24 ","$2,035.07 ", N/A , N/A ,"$1,271.92 ","$4,158.20 ", N/A ,"$3,913.60 ","$1,369.76 ","$4,402.80 ","$4,892.00 ","$1,076.24 ","$3,038.00 ", N/A , N/A ,"$1,271.92 ","$3,179.80 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001101,N/A,HC ERCP W/FB OR STENT REMOVAL DUCT - 43275,750,1 ,"$8,819.00 ","$5,732.35 ","$1,940.18 ","$8,819.00 ","$4,850.45 ","$5,291.40 ","$5,291.40 ","$2,292.94 ","$2,469.32 ","$4,294.85 ","$2,292.94 ","$4,947.46 ","$2,204.75 ","$7,055.20 ","$7,055.20 ","$2,292.94 ","$2,031.00 ","$3,686.34 ","$5,996.92 ", N/A ,"$2,292.94 ","$8,819.00 ","$1,940.18 ","$6,614.25 ","$6,261.49 ","$6,261.49 ","$1,940.18 ","$6,261.49 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$7,937.10 ","$4,850.45 ","$7,496.15 ","$1,940.18 ","$8,819.00 ","$5,291.40 ","$1,940.18 ","$3,668.70 ", N/A , N/A ,"$2,292.94 ","$7,496.15 ", N/A ,"$7,055.20 ","$2,469.32 ","$7,937.10 ","$8,819.00 ","$1,940.18 ","$3,038.00 ", N/A , N/A ,"$2,292.94 ","$5,732.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001102,N/A,HC ERCP W/REM/EXCHG STENT W/DILAT  AND  WIRE EA - 43276,750,1 ,"$13,804.00 ","$8,972.60 ","$2,031.00 ","$13,804.00 ","$7,592.20 ","$8,282.40 ","$8,282.40 ","$3,589.04 ","$3,865.12 ","$6,722.55 ","$3,589.04 ","$7,744.04 ","$3,451.00 ","$11,043.20 ","$11,043.20 ","$3,589.04 ","$2,031.00 ","$5,770.07 ","$8,269.00 ", N/A ,"$3,589.04 ","$13,804.00 ","$3,036.88 ","$10,353.00 ","$9,800.84 ","$9,800.84 ","$3,036.88 ","$9,800.84 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$12,423.60 ","$7,592.20 ","$11,733.40 ","$3,036.88 ","$13,804.00 ","$8,282.40 ","$3,036.88 ","$5,742.46 ", N/A , N/A ,"$3,589.04 ","$11,733.40 ", N/A ,"$11,043.20 ","$3,865.12 ","$12,423.60 ","$13,804.00 ","$3,036.88 ","$3,038.00 ", N/A , N/A ,"$3,589.04 ","$8,972.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001103,N/A,HC ERCP W/BALL DILAT DUCT/AMPULLA EA -43277,750,1 ,"$8,819.00 ","$5,732.35 ","$1,940.18 ","$8,819.00 ","$4,850.45 ","$5,291.40 ","$5,291.40 ","$2,292.94 ","$2,469.32 ","$4,294.85 ","$2,292.94 ","$4,947.46 ","$2,204.75 ","$7,055.20 ","$7,055.20 ","$2,292.94 ","$2,031.00 ","$3,686.34 ","$5,996.92 ", N/A ,"$2,292.94 ","$8,819.00 ","$1,940.18 ","$6,614.25 ","$6,261.49 ","$6,261.49 ","$1,940.18 ","$6,261.49 ","$3,038.00 ","$3,038.00 ","$3,038.00 ", N/A ,"$7,937.10 ","$4,850.45 ","$7,496.15 ","$1,940.18 ","$8,819.00 ","$5,291.40 ","$1,940.18 ","$3,668.70 ", N/A , N/A ,"$2,292.94 ","$7,496.15 ", N/A ,"$7,055.20 ","$2,469.32 ","$7,937.10 ","$8,819.00 ","$1,940.18 ","$3,038.00 ", N/A , N/A ,"$2,292.94 ","$5,732.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001106,N/A,HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450,750,1 ,"$2,499.00 ","$1,624.35 ",$549.78 ,"$2,499.00 ","$1,374.45 ","$1,499.40 ","$1,499.40 ",$649.74 ,$699.72 ,"$1,217.01 ",$649.74 ,"$1,401.94 ",$624.75 ,"$1,999.20 ","$1,999.20 ",$649.74 ,"$1,999.20 ","$1,044.58 ","$1,699.32 ", N/A ,$649.74 ,"$2,499.00 ",$549.78 ,"$1,874.25 ","$1,774.29 ","$1,774.29 ",$549.78 ,"$1,774.29 ","$2,099.16 ","$2,099.16 ","$2,099.16 ", N/A ,"$2,249.10 ","$1,374.45 ","$2,124.15 ",$549.78 ,"$2,499.00 ","$1,499.40 ",$549.78 ,"$1,039.58 ", N/A , N/A ,$649.74 ,"$2,124.15 ", N/A ,"$1,999.20 ",$699.72 ,"$2,249.10 ","$2,499.00 ",$549.78 ,"$2,099.16 ", N/A , N/A ,$649.74 ,"$1,624.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001125,N/A,HC COLONOSCOPY STOMA DX W/BRUSH/WASH - 44388,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$3,008.00 ","$1,955.20 ",$661.76 ,"$3,008.00 ","$1,654.40 ","$1,804.80 ","$1,804.80 ",$782.08 ,$842.24 ,"$1,464.90 ",$782.08 ,"$1,687.49 ",$752.00 ,"$2,406.40 ","$2,406.40 ",$782.08 ,"$2,031.00 ","$1,257.34 ","$2,045.44 ", N/A ,$782.08 ,"$3,008.00 ",$661.76 ,"$2,256.00 ","$2,135.68 ","$2,135.68 ",$661.76 ,"$2,135.68 ","$2,526.72 ","$2,526.72 ","$2,526.72 ", N/A ,"$2,707.20 ","$1,654.40 ","$2,556.80 ",$661.76 ,"$3,008.00 ","$1,804.80 ",$661.76 ,"$1,251.33 ", N/A , N/A ,$782.08 ,"$2,556.80 ", N/A ,"$2,406.40 ",$842.24 ,"$2,707.20 ","$3,008.00 ",$661.76 ,"$2,526.72 ", N/A , N/A ,$782.08 ,"$1,955.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001139,N/A,HC PROCTOSIGMOIDOSCOPY RIGID DX W/W/O SPECIMEN - 45300,750,1 ,"$2,283.00 ","$1,483.95 ",$502.26 ,"$2,283.00 ","$1,255.65 ","$1,369.80 ","$1,369.80 ",$593.58 ,$639.24 ,"$1,111.82 ",$593.58 ,"$1,280.76 ",$570.75 ,"$1,826.40 ","$1,826.40 ",$593.58 ,"$1,826.40 ",$954.29 ,"$1,552.44 ", N/A ,$593.58 ,"$2,283.00 ",$502.26 ,"$1,712.25 ","$1,620.93 ","$1,620.93 ",$502.26 ,"$1,620.93 ","$1,917.72 ","$1,917.72 ","$1,917.72 ", N/A ,"$2,054.70 ","$1,255.65 ","$1,940.55 ",$502.26 ,"$2,283.00 ","$1,369.80 ",$502.26 ,$949.73 , N/A , N/A ,$593.58 ,"$1,940.55 ", N/A ,"$1,826.40 ",$639.24 ,"$2,054.70 ","$2,283.00 ",$502.26 ,"$1,917.72 ", N/A , N/A ,$593.58 ,"$1,483.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001142,N/A,HC SIGMOIDOSCOPY DX W/BRUSH/WASH - 45330,750,1 ,"$2,214.00 ","$1,439.10 ",$487.08 ,"$2,214.00 ","$1,217.70 ","$1,328.40 ","$1,328.40 ",$575.64 ,$619.92 ,"$1,078.22 ",$575.64 ,"$1,242.05 ",$553.50 ,"$1,771.20 ","$1,771.20 ",$575.64 ,"$1,771.20 ",$925.45 ,"$1,505.52 ", N/A ,$575.64 ,"$2,214.00 ",$487.08 ,"$1,660.50 ","$1,571.94 ","$1,571.94 ",$487.08 ,"$1,571.94 ","$1,859.76 ","$1,859.76 ","$1,859.76 ", N/A ,"$1,992.60 ","$1,217.70 ","$1,881.90 ",$487.08 ,"$2,214.00 ","$1,328.40 ",$487.08 ,$921.02 , N/A , N/A ,$575.64 ,"$1,881.90 ", N/A ,"$1,771.20 ",$619.92 ,"$1,992.60 ","$2,214.00 ",$487.08 ,"$1,859.76 ", N/A , N/A ,$575.64 ,"$1,439.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$2,214.00 ","$1,439.10 ",$487.08 ,"$2,214.00 ","$1,217.70 ","$1,328.40 ","$1,328.40 ",$575.64 ,$619.92 ,"$1,078.22 ",$575.64 ,"$1,242.05 ",$553.50 ,"$1,771.20 ","$1,771.20 ",$575.64 ,"$1,771.20 ",$925.45 ,"$1,505.52 ", N/A ,$575.64 ,"$2,214.00 ",$487.08 ,"$1,660.50 ","$1,571.94 ","$1,571.94 ",$487.08 ,"$1,571.94 ","$1,859.76 ","$1,859.76 ","$1,859.76 ", N/A ,"$1,992.60 ","$1,217.70 ","$1,881.90 ",$487.08 ,"$2,214.00 ","$1,328.40 ",$487.08 ,$921.02 , N/A , N/A ,$575.64 ,"$1,881.90 ", N/A ,"$1,771.20 ",$619.92 ,"$1,992.60 ","$2,214.00 ",$487.08 ,"$1,859.76 ", N/A , N/A ,$575.64 ,"$1,439.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$3,111.00 ","$2,022.15 ",$684.42 ,"$3,111.00 ","$1,711.05 ","$1,866.60 ","$1,866.60 ",$808.86 ,$871.08 ,"$1,515.06 ",$808.86 ,"$1,745.27 ",$777.75 ,"$2,488.80 ","$2,488.80 ",$808.86 ,"$2,031.00 ","$1,300.40 ","$2,115.48 ", N/A ,$808.86 ,"$3,111.00 ",$684.42 ,"$2,333.25 ","$2,208.81 ","$2,208.81 ",$684.42 ,"$2,208.81 ","$2,613.24 ","$2,613.24 ","$2,613.24 ", N/A ,"$2,799.90 ","$1,711.05 ","$2,644.35 ",$684.42 ,"$3,111.00 ","$1,866.60 ",$684.42 ,"$1,294.18 ", N/A , N/A ,$808.86 ,"$2,644.35 ", N/A ,"$2,488.80 ",$871.08 ,"$2,799.90 ","$3,111.00 ",$684.42 ,"$2,613.24 ", N/A , N/A ,$808.86 ,"$2,022.15 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$3,194.00 ","$2,076.10 ",$702.68 ,"$3,194.00 ","$1,756.70 ","$1,916.40 ","$1,916.40 ",$830.44 ,$894.32 ,"$1,555.48 ",$830.44 ,"$1,791.83 ",$798.50 ,"$2,555.20 ","$2,555.20 ",$830.44 ,"$2,031.00 ","$1,335.09 ","$2,171.92 ", N/A ,$830.44 ,"$3,194.00 ",$702.68 ,"$2,395.50 ","$2,267.74 ","$2,267.74 ",$702.68 ,"$2,267.74 ","$2,682.96 ","$2,682.96 ","$2,682.96 ", N/A ,"$2,874.60 ","$1,756.70 ","$2,714.90 ",$702.68 ,"$3,194.00 ","$1,916.40 ",$702.68 ,"$1,328.70 ", N/A , N/A ,$830.44 ,"$2,714.90 ", N/A ,"$2,555.20 ",$894.32 ,"$2,874.60 ","$3,194.00 ",$702.68 ,"$2,682.96 ", N/A , N/A ,$830.44 ,"$2,076.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$2,463.00 ","$1,600.95 ",$541.86 ,"$2,463.00 ","$1,354.65 ","$1,477.80 ","$1,477.80 ",$640.38 ,$689.64 ,"$1,199.48 ",$640.38 ,"$1,381.74 ",$615.75 ,"$1,970.40 ","$1,970.40 ",$640.38 ,"$1,970.40 ","$1,029.53 ","$1,674.84 ", N/A ,$640.38 ,"$2,463.00 ",$541.86 ,"$1,847.25 ","$1,748.73 ","$1,748.73 ",$541.86 ,"$1,748.73 ","$2,068.92 ","$2,068.92 ","$2,068.92 ", N/A ,"$2,216.70 ","$1,354.65 ","$2,093.55 ",$541.86 ,"$2,463.00 ","$1,477.80 ",$541.86 ,"$1,024.61 ", N/A , N/A ,$640.38 ,"$2,093.55 ", N/A ,"$1,970.40 ",$689.64 ,"$2,216.70 ","$2,463.00 ",$541.86 ,"$2,068.92 ", N/A , N/A ,$640.38 ,"$1,600.95 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$2,196.00 ","$1,427.40 ",$483.12 ,"$2,196.00 ","$1,207.80 ","$1,317.60 ","$1,317.60 ",$570.96 ,$614.88 ,"$1,069.45 ",$570.96 ,"$1,231.96 ",$549.00 ,"$1,756.80 ","$1,756.80 ",$570.96 ,"$1,756.80 ",$917.93 ,"$1,493.28 ", N/A ,$570.96 ,"$2,196.00 ",$483.12 ,"$1,647.00 ","$1,559.16 ","$1,559.16 ",$483.12 ,"$1,559.16 ","$1,844.64 ","$1,844.64 ","$1,844.64 ", N/A ,"$1,976.40 ","$1,207.80 ","$1,866.60 ",$483.12 ,"$2,196.00 ","$1,317.60 ",$483.12 ,$913.54 , N/A , N/A ,$570.96 ,"$1,866.60 ", N/A ,"$1,756.80 ",$614.88 ,"$1,976.40 ","$2,196.00 ",$483.12 ,"$1,844.64 ", N/A , N/A ,$570.96 ,"$1,427.40 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001176,N/A,HC ANOSCOPY W/BIOPSY SGL/MULT - 46606,750,1 ,"$2,953.00 ","$1,919.45 ",$649.66 ,"$2,953.00 ","$1,624.15 ","$1,771.80 ","$1,771.80 ",$767.78 ,$826.84 ,"$1,438.11 ",$767.78 ,"$1,656.63 ",$738.25 ,"$2,362.40 ","$2,362.40 ",$767.78 ,"$2,031.00 ","$1,234.35 ","$2,008.04 ", N/A ,$767.78 ,"$2,953.00 ",$649.66 ,"$2,214.75 ","$2,096.63 ","$2,096.63 ",$649.66 ,"$2,096.63 ","$2,480.52 ","$2,480.52 ","$2,480.52 ", N/A ,"$2,657.70 ","$1,624.15 ","$2,510.05 ",$649.66 ,"$2,953.00 ","$1,771.80 ",$649.66 ,"$1,228.45 ", N/A , N/A ,$767.78 ,"$2,510.05 ", N/A ,"$2,362.40 ",$826.84 ,"$2,657.70 ","$2,953.00 ",$649.66 ,"$2,480.52 ", N/A , N/A ,$767.78 ,"$1,919.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001193,91035,HC ACID REFLUX TEST MUCOSAL ELECTRODE- 91035,750,1 ,"$1,538.00 ",$999.70 ,$338.36 ,"$1,538.00 ",$845.90 ,$922.80 ,$922.80 ,$399.88 ,$430.64 ,$781.30 ,$399.88 ,$904.34 ,$384.50 ,"$1,230.40 ","$1,230.40 ",$399.88 ,"$1,230.40 ",$642.88 ,"$1,045.84 ","$1,246.33 ",$399.88 ,"$1,538.00 ",$338.36 ,"$1,153.50 ","$1,091.98 ","$1,091.98 ",$338.36 ,"$1,091.98 ","$1,291.92 ","$1,291.92 ","$1,291.92 ", N/A ,"$1,384.20 ",$845.90 ,"$1,307.30 ",$338.36 ,"$1,538.00 ",$922.80 ,$338.36 ,$639.81 ,"$1,022.38 ",$929.44 ,$399.88 ,"$1,307.30 ",$947.21 ,"$1,230.40 ",$430.64 ,"$1,384.20 ","$1,538.00 ",$338.36 ,"$1,291.92 ",$450.00 ,$450.00 ,$399.88 ,$999.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$2,457.00 ","$1,597.05 ",$540.54 ,"$2,457.00 ","$1,351.35 ","$1,474.20 ","$1,474.20 ",$638.82 ,$687.96 ,"$1,079.66 ",$638.82 ,"$1,079.66 ",$614.25 ,"$1,965.60 ","$1,965.60 ",$638.82 ,"$1,965.60 ","$1,027.03 ","$1,670.76 ","$2,026.20 ",$638.82 ,"$2,457.00 ",$540.54 ,"$1,842.75 ","$1,744.47 ","$1,744.47 ",$540.54 ,"$1,744.47 ","$2,063.88 ","$2,063.88 ","$2,063.88 ", N/A ,"$2,211.30 ","$1,351.35 ","$2,088.45 ",$540.54 ,"$2,457.00 ","$1,474.20 ",$540.54 ,"$1,022.11 ","$1,113.73 ","$1,012.48 ",$638.82 ,"$2,088.45 ","$1,539.91 ","$1,965.60 ",$687.96 ,"$2,211.30 ","$2,457.00 ",$540.54 ,"$2,063.88 ","$2,027.00 ","$2,027.00 ",$638.82 ,"$1,597.05 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$2,070.00 ","$1,345.50 ",$455.40 ,"$2,070.00 ","$1,138.50 ","$1,242.00 ","$1,242.00 ",$538.20 ,$579.60 ,"$1,008.09 ",$538.20 ,"$1,161.27 ",$517.50 ,"$1,656.00 ","$1,656.00 ",$538.20 ,"$1,656.00 ",$865.26 ,"$1,407.60 ", N/A ,$538.20 ,"$2,070.00 ",$455.40 ,"$1,552.50 ","$1,469.70 ","$1,469.70 ",$455.40 ,"$1,469.70 ","$1,738.80 ","$1,738.80 ","$1,738.80 ", N/A ,"$1,863.00 ","$1,138.50 ","$1,759.50 ",$455.40 ,"$2,070.00 ","$1,242.00 ",$455.40 ,$861.12 , N/A , N/A ,$538.20 ,"$1,759.50 ", N/A ,"$1,656.00 ",$579.60 ,"$1,863.00 ","$2,070.00 ",$455.40 ,"$1,738.80 ", N/A , N/A ,$538.20 ,"$1,345.50 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76000004,31579,HC LARYNG VIDEOSTROB INITIAL,760,1 ,$123.00 ,$79.95 ,$27.06 ,$959.70 ,$67.65 ,$73.80 ,$73.80 ,$31.98 ,$34.44 ,$59.90 ,$31.98 ,$69.00 ,$30.75 ,$98.40 ,$98.40 ,$31.98 ,$98.40 ,$51.41 ,$83.64 ,$959.70 ,$31.98 ,$123.00 ,$27.06 ,$92.25 ,$87.33 ,$87.33 ,$27.06 ,$87.33 ,$103.32 ,$103.32 ,$103.32 , N/A ,$110.70 ,$67.65 ,$104.55 ,$27.06 ,$123.00 ,$73.80 ,$27.06 ,$51.17 ,$685.73 ,$623.39 ,$31.98 ,$104.55 ,$729.37 ,$98.40 ,$34.44 ,$110.70 ,$123.00 ,$27.06 ,$103.32 ,$92.25 ,$92.25 ,$31.98 ,$79.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,"$1,026.00 ",$666.90 ,$225.72 ,"$1,621.30 ",$564.30 ,$615.60 ,$615.60 ,$266.76 ,$287.28 ,$499.66 ,$266.76 ,$575.59 ,$256.50 ,$820.80 ,$820.80 ,$266.76 ,$820.80 ,$428.87 ,$697.68 ,"$1,621.30 ",$266.76 ,"$1,026.00 ",$225.72 ,$769.50 ,$728.46 ,$728.46 ,$225.72 ,$728.46 ,$861.84 ,$861.84 ,$861.84 , N/A ,$923.40 ,$564.30 ,$872.10 ,$225.72 ,"$1,026.00 ",$615.60 ,$225.72 ,$426.82 ,"$1,354.21 ","$1,231.10 ",$266.76 ,$872.10 ,"$1,232.19 ",$820.80 ,$287.28 ,$923.40 ,"$1,026.00 ",$225.72 ,$861.84 ,$769.50 ,$769.50 ,$266.76 ,$666.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100011,64450,HC INJ ANES NERVE PERIPHERAL-BI,761,1 ,"$2,553.00 ","$1,659.45 ",$44.17 ,"$2,553.00 ","$1,404.15 ","$1,531.80 ","$1,531.80 ",$663.78 ,$714.84 ,"$1,243.31 ",$663.78 ,"$1,432.23 ",$638.25 ,"$2,042.40 ","$2,042.40 ",$663.78 ,$44.17 ,"$1,067.15 ","$1,736.04 ","$2,431.95 ",$663.78 ,"$2,553.00 ",$561.66 ,"$1,914.75 ","$1,812.63 ","$1,812.63 ",$561.66 ,"$1,812.63 ","$2,144.52 ","$2,144.52 ","$2,144.52 ", N/A ,"$2,297.70 ","$1,404.15 ","$2,170.05 ",$561.66 ,"$2,553.00 ","$1,531.80 ",$561.66 ,"$1,062.05 ","$1,120.03 ","$1,018.21 ",$663.78 ,"$2,170.05 ","$1,848.28 ","$2,042.40 ",$714.84 ,"$2,297.70 ","$2,553.00 ",$561.66 ,"$2,144.52 ",$125.00 ,$125.00 ,$663.78 ,"$1,659.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100018,G0260,HC INJ ARTHROGRAM SACROILIAC-BI,761,1 ,"$2,554.00 ","$1,660.10 ",$125.00 ,"$2,554.00 ","$1,404.70 ","$1,532.40 ","$1,532.40 ",$664.04 ,$715.12 ,"$1,243.80 ",$664.04 ,"$1,432.79 ",$638.50 ,"$2,043.20 ","$2,043.20 ",$664.04 ,"$1,660.10 ","$1,067.57 ","$1,736.72 ","$1,621.30 ",$664.04 ,"$2,554.00 ",$561.88 ,"$1,915.50 ","$1,813.34 ","$1,813.34 ",$561.88 ,"$1,813.34 ","$2,145.36 ","$2,145.36 ","$2,145.36 ", N/A ,"$2,298.60 ","$1,404.70 ","$2,170.90 ",$561.88 ,"$2,554.00 ","$1,532.40 ",$561.88 ,"$1,062.46 ",$549.62 ,$499.65 ,$664.04 ,"$2,170.90 ","$1,232.19 ","$2,043.20 ",$715.12 ,"$2,298.60 ","$2,554.00 ",$561.88 ,"$2,145.36 ",$125.00 ,$125.00 ,$664.04 ,"$1,660.10 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100019,G0260,HC INJ ARTHROGRAM SACROILIAC-LT,761,1 ,"$1,702.00 ","$1,106.30 ",$125.00 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,106.30 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 ,$549.62 ,$499.65 ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$125.00 ,$125.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100020,G0260,HC INJ ARTHROGRAM SACROILIAC-RT,761,1 ,"$1,702.00 ","$1,106.30 ",$125.00 ,"$1,702.00 ",$936.10 ,"$1,021.20 ","$1,021.20 ",$442.52 ,$476.56 ,$828.87 ,$442.52 ,$954.82 ,$425.50 ,"$1,361.60 ","$1,361.60 ",$442.52 ,"$1,106.30 ",$711.44 ,"$1,157.36 ","$1,621.30 ",$442.52 ,"$1,702.00 ",$374.44 ,"$1,276.50 ","$1,208.42 ","$1,208.42 ",$374.44 ,"$1,208.42 ","$1,429.68 ","$1,429.68 ","$1,429.68 ", N/A ,"$1,531.80 ",$936.10 ,"$1,446.70 ",$374.44 ,"$1,702.00 ","$1,021.20 ",$374.44 ,$708.03 ,$549.62 ,$499.65 ,$442.52 ,"$1,446.70 ","$1,232.19 ","$1,361.60 ",$476.56 ,"$1,531.80 ","$1,702.00 ",$374.44 ,"$1,429.68 ",$125.00 ,$125.00 ,$442.52 ,"$1,106.30 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100021,64484,HC INJ EPID LUMBAR/SACRAL ADDL,761,1 ,"$2,095.00 ","$1,361.75 ",$53.72 ,"$2,095.00 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,$53.72 ,$875.71 ,"$1,424.60 ", N/A ,$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ", N/A ,"$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ",$125.00 ,$125.00 ,$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100022,64484,HC INJ EPID LUMBAR/SACRAL ADDL-LT,761,1 ,"$2,095.00 ","$1,361.75 ",$53.72 ,"$2,095.00 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,$53.72 ,$875.71 ,"$1,424.60 ", N/A ,$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ", N/A ,"$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ",$125.00 ,$125.00 ,$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100023,64484,HC INJ EPID LUMBAR/SACRAL ADDL-RT,761,1 ,"$2,095.00 ","$1,361.75 ",$53.72 ,"$2,095.00 ","$1,152.25 ","$1,257.00 ","$1,257.00 ",$544.70 ,$586.60 ,"$1,020.27 ",$544.70 ,"$1,175.30 ",$523.75 ,"$1,676.00 ","$1,676.00 ",$544.70 ,$53.72 ,$875.71 ,"$1,424.60 ", N/A ,$544.70 ,"$2,095.00 ",$460.90 ,"$1,571.25 ","$1,487.45 ","$1,487.45 ",$460.90 ,"$1,487.45 ","$1,759.80 ","$1,759.80 ","$1,759.80 ", N/A ,"$1,885.50 ","$1,152.25 ","$1,780.75 ",$460.90 ,"$2,095.00 ","$1,257.00 ",$460.90 ,$871.52 ,"$1,354.21 ","$1,231.10 ",$544.70 ,"$1,780.75 ", N/A ,"$1,676.00 ",$586.60 ,"$1,885.50 ","$2,095.00 ",$460.90 ,"$1,759.80 ",$125.00 ,$125.00 ,$544.70 ,"$1,361.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100024,64483,HC INJ EPID LUMBAR/SACRAL SGL-BI,761,1 ,"$2,827.00 ","$1,837.55 ",$114.81 ,"$3,152.74 ","$1,554.85 ","$1,696.20 ","$1,696.20 ",$735.02 ,$791.56 ,"$1,376.75 ",$735.02 ,"$1,585.95 ",$706.75 ,"$2,261.60 ","$2,261.60 ",$735.02 ,$114.81 ,"$1,181.69 ","$1,922.36 ","$3,152.74 ",$735.02 ,"$2,827.00 ",$621.94 ,"$2,120.25 ","$2,007.17 ","$2,007.17 ",$621.94 ,"$2,007.17 ","$2,374.68 ","$2,374.68 ","$2,374.68 ", N/A ,"$2,544.30 ","$1,554.85 ","$2,402.95 ",$621.94 ,"$2,827.00 ","$1,696.20 ",$621.94 ,"$1,176.03 ","$2,031.33 ","$1,846.66 ",$735.02 ,"$2,402.95 ","$2,396.08 ","$2,261.60 ",$791.56 ,"$2,544.30 ","$2,827.00 ",$621.94 ,"$2,374.68 ",$125.00 ,$125.00 ,$735.02 ,"$1,837.55 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100025,64483,HC INJ EPID LUMBAR/SACRAL SGL-LT,761,1 ,"$1,885.00 ","$1,225.25 ",$114.81 ,"$2,101.83 ","$1,036.75 ","$1,131.00 ","$1,131.00 ",$490.10 ,$527.80 ,$918.00 ,$490.10 ,"$1,057.49 ",$471.25 ,"$1,508.00 ","$1,508.00 ",$490.10 ,$114.81 ,$787.93 ,"$1,281.80 ","$2,101.83 ",$490.10 ,"$1,885.00 ",$414.70 ,"$1,413.75 ","$1,338.35 ","$1,338.35 ",$414.70 ,"$1,338.35 ","$1,583.40 ","$1,583.40 ","$1,583.40 ", N/A ,"$1,696.50 ","$1,036.75 ","$1,602.25 ",$414.70 ,"$1,885.00 ","$1,131.00 ",$414.70 ,$784.16 ,"$1,354.21 ","$1,231.10 ",$490.10 ,"$1,602.25 ","$1,597.39 ","$1,508.00 ",$527.80 ,"$1,696.50 ","$1,885.00 ",$414.70 ,"$1,583.40 ",$125.00 ,$125.00 ,$490.10 ,"$1,225.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100026,64483,HC INJ EPID LUMBAR/SACRAL SGL-RT,761,1 ,"$1,885.00 ","$1,225.25 ",$114.81 ,"$2,101.83 ","$1,036.75 ","$1,131.00 ","$1,131.00 ",$490.10 ,$527.80 ,$918.00 ,$490.10 ,"$1,057.49 ",$471.25 ,"$1,508.00 ","$1,508.00 ",$490.10 ,$114.81 ,$787.93 ,"$1,281.80 ","$2,101.83 ",$490.10 ,"$1,885.00 ",$414.70 ,"$1,413.75 ","$1,338.35 ","$1,338.35 ",$414.70 ,"$1,338.35 ","$1,583.40 ","$1,583.40 ","$1,583.40 ", N/A ,"$1,696.50 ","$1,036.75 ","$1,602.25 ",$414.70 ,"$1,885.00 ","$1,131.00 ",$414.70 ,$784.16 ,"$1,354.21 ","$1,231.10 ",$490.10 ,"$1,602.25 ","$1,597.39 ","$1,508.00 ",$527.80 ,"$1,696.50 ","$1,885.00 ",$414.70 ,"$1,583.40 ",$125.00 ,$125.00 ,$490.10 ,"$1,225.25 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100030,64490,HC INJ PARAVERT F JNT C/T 1 LV-BI,761,1 ,"$2,766.00 ","$1,797.90 ",$109.69 ,"$3,152.74 ","$1,521.30 ","$1,659.60 ","$1,659.60 ",$719.16 ,$774.48 ,"$1,347.04 ",$719.16 ,"$1,551.73 ",$691.50 ,"$2,212.80 ","$2,212.80 ",$719.16 ,$109.69 ,"$1,156.19 ","$1,880.88 ","$3,152.74 ",$719.16 ,"$2,766.00 ",$608.52 ,"$2,074.50 ","$1,963.86 ","$1,963.86 ",$608.52 ,"$1,963.86 ","$2,323.44 ","$2,323.44 ","$2,323.44 ", N/A ,"$2,489.40 ","$1,521.30 ","$2,351.10 ",$608.52 ,"$2,766.00 ","$1,659.60 ",$608.52 ,"$1,150.66 ","$2,031.33 ","$1,846.66 ",$719.16 ,"$2,351.10 ","$2,396.08 ","$2,212.80 ",$774.48 ,"$2,489.40 ","$2,766.00 ",$608.52 ,"$2,323.44 ",$125.00 ,$125.00 ,$719.16 ,"$1,797.90 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100031,64490,HC INJ PARAVERT F JNT C/T 1 LV-LT,761,1 ,"$1,844.00 ","$1,198.60 ",$109.69 ,"$2,101.83 ","$1,014.20 ","$1,106.40 ","$1,106.40 ",$479.44 ,$516.32 ,$898.03 ,$479.44 ,"$1,034.48 ",$461.00 ,"$1,475.20 ","$1,475.20 ",$479.44 ,$109.69 ,$770.79 ,"$1,253.92 ","$2,101.83 ",$479.44 ,"$1,844.00 ",$405.68 ,"$1,383.00 ","$1,309.24 ","$1,309.24 ",$405.68 ,"$1,309.24 ","$1,548.96 ","$1,548.96 ","$1,548.96 ", N/A ,"$1,659.60 ","$1,014.20 ","$1,567.40 ",$405.68 ,"$1,844.00 ","$1,106.40 ",$405.68 ,$767.10 ,"$1,354.21 ","$1,231.10 ",$479.44 ,"$1,567.40 ","$1,597.39 ","$1,475.20 ",$516.32 ,"$1,659.60 ","$1,844.00 ",$405.68 ,"$1,548.96 ",$125.00 ,$125.00 ,$479.44 ,"$1,198.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100032,64490,HC INJ PARAVERT F JNT C/T 1 LV-RT,761,1 ,"$1,844.00 ","$1,198.60 ",$109.69 ,"$2,101.83 ","$1,014.20 ","$1,106.40 ","$1,106.40 ",$479.44 ,$516.32 ,$898.03 ,$479.44 ,"$1,034.48 ",$461.00 ,"$1,475.20 ","$1,475.20 ",$479.44 ,$109.69 ,$770.79 ,"$1,253.92 ","$2,101.83 ",$479.44 ,"$1,844.00 ",$405.68 ,"$1,383.00 ","$1,309.24 ","$1,309.24 ",$405.68 ,"$1,309.24 ","$1,548.96 ","$1,548.96 ","$1,548.96 ", N/A ,"$1,659.60 ","$1,014.20 ","$1,567.40 ",$405.68 ,"$1,844.00 ","$1,106.40 ",$405.68 ,$767.10 ,"$1,354.21 ","$1,231.10 ",$479.44 ,"$1,567.40 ","$1,597.39 ","$1,475.20 ",$516.32 ,"$1,659.60 ","$1,844.00 ",$405.68 ,"$1,548.96 ",$125.00 ,$125.00 ,$479.44 ,"$1,198.60 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100033,64491,HC INJ PARAVERT F JNT C/T 2 LV,761,1 ,"$1,179.00 ",$766.35 ,$61.79 ,"$1,354.21 ",$648.45 ,$707.40 ,$707.40 ,$306.54 ,$330.12 ,$574.17 ,$306.54 ,$661.42 ,$294.75 ,$943.20 ,$943.20 ,$306.54 ,$61.79 ,$492.82 ,$801.72 , N/A ,$306.54 ,"$1,179.00 ",$259.38 ,$884.25 ,$837.09 ,$837.09 ,$259.38 ,$837.09 ,$990.36 ,$990.36 ,$990.36 , N/A ,"$1,061.10 ",$648.45 ,"$1,002.15 ",$259.38 ,"$1,179.00 ",$707.40 ,$259.38 ,$490.46 ,"$1,354.21 ","$1,231.10 ",$306.54 ,"$1,002.15 ", N/A ,$943.20 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$259.38 ,$990.36 ,$125.00 ,$125.00 ,$306.54 ,$766.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100034,64491,HC INJ PARAVERT F JNT C/T 2 LV-LT,761,1 ,"$1,179.00 ",$766.35 ,$61.79 ,"$1,354.21 ",$648.45 ,$707.40 ,$707.40 ,$306.54 ,$330.12 ,$574.17 ,$306.54 ,$661.42 ,$294.75 ,$943.20 ,$943.20 ,$306.54 ,$61.79 ,$492.82 ,$801.72 , N/A ,$306.54 ,"$1,179.00 ",$259.38 ,$884.25 ,$837.09 ,$837.09 ,$259.38 ,$837.09 ,$990.36 ,$990.36 ,$990.36 , N/A ,"$1,061.10 ",$648.45 ,"$1,002.15 ",$259.38 ,"$1,179.00 ",$707.40 ,$259.38 ,$490.46 ,"$1,354.21 ","$1,231.10 ",$306.54 ,"$1,002.15 ", N/A ,$943.20 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$259.38 ,$990.36 ,$125.00 ,$125.00 ,$306.54 ,$766.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100035,64491,HC INJ PARAVERT F JNT C/T 2 LV-RT,761,1 ,"$1,179.00 ",$766.35 ,$61.79 ,"$1,354.21 ",$648.45 ,$707.40 ,$707.40 ,$306.54 ,$330.12 ,$574.17 ,$306.54 ,$661.42 ,$294.75 ,$943.20 ,$943.20 ,$306.54 ,$61.79 ,$492.82 ,$801.72 , N/A ,$306.54 ,"$1,179.00 ",$259.38 ,$884.25 ,$837.09 ,$837.09 ,$259.38 ,$837.09 ,$990.36 ,$990.36 ,$990.36 , N/A ,"$1,061.10 ",$648.45 ,"$1,002.15 ",$259.38 ,"$1,179.00 ",$707.40 ,$259.38 ,$490.46 ,"$1,354.21 ","$1,231.10 ",$306.54 ,"$1,002.15 ", N/A ,$943.20 ,$330.12 ,"$1,061.10 ","$1,179.00 ",$259.38 ,$990.36 ,$125.00 ,$125.00 ,$306.54 ,$766.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100036,64492,HC INJ PARAVERT F JNT C/T 3 LV,761,1 ,"$1,220.00 ",$793.00 ,$62.44 ,"$1,354.21 ",$671.00 ,$732.00 ,$732.00 ,$317.20 ,$341.60 ,$594.14 ,$317.20 ,$684.42 ,$305.00 ,$976.00 ,$976.00 ,$317.20 ,$62.44 ,$509.96 ,$829.60 , N/A ,$317.20 ,"$1,220.00 ",$268.40 ,$915.00 ,$866.20 ,$866.20 ,$268.40 ,$866.20 ,"$1,024.80 ","$1,024.80 ","$1,024.80 ", N/A ,"$1,098.00 ",$671.00 ,"$1,037.00 ",$268.40 ,"$1,220.00 ",$732.00 ,$268.40 ,$507.52 ,"$1,354.21 ","$1,231.10 ",$317.20 ,"$1,037.00 ", N/A ,$976.00 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$268.40 ,"$1,024.80 ",$125.00 ,$125.00 ,$317.20 ,$793.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100037,64492,HC INJ PARAVERT F JNT C/T 3 LV-LT,761,1 ,"$1,220.00 ",$793.00 ,$62.44 ,"$1,354.21 ",$671.00 ,$732.00 ,$732.00 ,$317.20 ,$341.60 ,$594.14 ,$317.20 ,$684.42 ,$305.00 ,$976.00 ,$976.00 ,$317.20 ,$62.44 ,$509.96 ,$829.60 , N/A ,$317.20 ,"$1,220.00 ",$268.40 ,$915.00 ,$866.20 ,$866.20 ,$268.40 ,$866.20 ,"$1,024.80 ","$1,024.80 ","$1,024.80 ", N/A ,"$1,098.00 ",$671.00 ,"$1,037.00 ",$268.40 ,"$1,220.00 ",$732.00 ,$268.40 ,$507.52 ,"$1,354.21 ","$1,231.10 ",$317.20 ,"$1,037.00 ", N/A ,$976.00 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$268.40 ,"$1,024.80 ",$125.00 ,$125.00 ,$317.20 ,$793.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100038,64492,HC INJ PARAVERT F JNT C/T 3 LV-RT,761,1 ,"$1,220.00 ",$793.00 ,$62.44 ,"$1,354.21 ",$671.00 ,$732.00 ,$732.00 ,$317.20 ,$341.60 ,$594.14 ,$317.20 ,$684.42 ,$305.00 ,$976.00 ,$976.00 ,$317.20 ,$62.44 ,$509.96 ,$829.60 , N/A ,$317.20 ,"$1,220.00 ",$268.40 ,$915.00 ,$866.20 ,$866.20 ,$268.40 ,$866.20 ,"$1,024.80 ","$1,024.80 ","$1,024.80 ", N/A ,"$1,098.00 ",$671.00 ,"$1,037.00 ",$268.40 ,"$1,220.00 ",$732.00 ,$268.40 ,$507.52 ,"$1,354.21 ","$1,231.10 ",$317.20 ,"$1,037.00 ", N/A ,$976.00 ,$341.60 ,"$1,098.00 ","$1,220.00 ",$268.40 ,"$1,024.80 ",$125.00 ,$125.00 ,$317.20 ,$793.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100039,64493,HC INJ PARAVERT F JNT L/S 1 LV-BI,761,1 ,"$2,608.00 ","$1,695.20 ",$92.27 ,"$3,152.74 ","$1,434.40 ","$1,564.80 ","$1,564.80 ",$678.08 ,$730.24 ,"$1,270.10 ",$678.08 ,"$1,463.09 ",$652.00 ,"$2,086.40 ","$2,086.40 ",$678.08 ,$92.27 ,"$1,090.14 ","$1,773.44 ","$3,152.74 ",$678.08 ,"$2,608.00 ",$573.76 ,"$1,956.00 ","$1,851.68 ","$1,851.68 ",$573.76 ,"$1,851.68 ","$2,190.72 ","$2,190.72 ","$2,190.72 ", N/A ,"$2,347.20 ","$1,434.40 ","$2,216.80 ",$573.76 ,"$2,608.00 ","$1,564.80 ",$573.76 ,"$1,084.93 ","$2,031.33 ","$1,846.66 ",$678.08 ,"$2,216.80 ","$2,396.08 ","$2,086.40 ",$730.24 ,"$2,347.20 ","$2,608.00 ",$573.76 ,"$2,190.72 ",$125.00 ,$125.00 ,$678.08 ,"$1,695.20 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100040,64493,HC INJ PARAVERT F JNT L/S 1 LV-LT,761,1 ,"$1,738.00 ","$1,129.70 ",$92.27 ,"$2,101.83 ",$955.90 ,"$1,042.80 ","$1,042.80 ",$451.88 ,$486.64 ,$846.41 ,$451.88 ,$975.02 ,$434.50 ,"$1,390.40 ","$1,390.40 ",$451.88 ,$92.27 ,$726.48 ,"$1,181.84 ","$2,101.83 ",$451.88 ,"$1,738.00 ",$382.36 ,"$1,303.50 ","$1,233.98 ","$1,233.98 ",$382.36 ,"$1,233.98 ","$1,459.92 ","$1,459.92 ","$1,459.92 ", N/A ,"$1,564.20 ",$955.90 ,"$1,477.30 ",$382.36 ,"$1,738.00 ","$1,042.80 ",$382.36 ,$723.01 ,"$1,354.21 ","$1,231.10 ",$451.88 ,"$1,477.30 ","$1,597.39 ","$1,390.40 ",$486.64 ,"$1,564.20 ","$1,738.00 ",$382.36 ,"$1,459.92 ",$125.00 ,$125.00 ,$451.88 ,"$1,129.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100041,64493,HC INJ PARAVERT F JNT L/S 1 LV-RT,761,1 ,"$1,738.00 ","$1,129.70 ",$92.27 ,"$2,101.83 ",$955.90 ,"$1,042.80 ","$1,042.80 ",$451.88 ,$486.64 ,$846.41 ,$451.88 ,$975.02 ,$434.50 ,"$1,390.40 ","$1,390.40 ",$451.88 ,$92.27 ,$726.48 ,"$1,181.84 ","$2,101.83 ",$451.88 ,"$1,738.00 ",$382.36 ,"$1,303.50 ","$1,233.98 ","$1,233.98 ",$382.36 ,"$1,233.98 ","$1,459.92 ","$1,459.92 ","$1,459.92 ", N/A ,"$1,564.20 ",$955.90 ,"$1,477.30 ",$382.36 ,"$1,738.00 ","$1,042.80 ",$382.36 ,$723.01 ,"$1,354.21 ","$1,231.10 ",$451.88 ,"$1,477.30 ","$1,597.39 ","$1,390.40 ",$486.64 ,"$1,564.20 ","$1,738.00 ",$382.36 ,"$1,459.92 ",$125.00 ,$125.00 ,$451.88 ,"$1,129.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100042,64494,HC INJ PARAVERT F JNT L/S 2 LV,761,1 ,"$1,165.00 ",$757.25 ,$53.39 ,"$1,354.21 ",$640.75 ,$699.00 ,$699.00 ,$302.90 ,$326.20 ,$567.36 ,$302.90 ,$653.57 ,$291.25 ,$932.00 ,$932.00 ,$302.90 ,$53.39 ,$486.97 ,$792.20 , N/A ,$302.90 ,"$1,165.00 ",$256.30 ,$873.75 ,$827.15 ,$827.15 ,$256.30 ,$827.15 ,$978.60 ,$978.60 ,$978.60 , N/A ,"$1,048.50 ",$640.75 ,$990.25 ,$256.30 ,"$1,165.00 ",$699.00 ,$256.30 ,$484.64 ,"$1,354.21 ","$1,231.10 ",$302.90 ,$990.25 , N/A ,$932.00 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$256.30 ,$978.60 ,$125.00 ,$125.00 ,$302.90 ,$757.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100043,64494,HC INJ PARAVERT F JNT L/S 2 LV-LT,761,1 ,"$1,165.00 ",$757.25 ,$53.39 ,"$1,354.21 ",$640.75 ,$699.00 ,$699.00 ,$302.90 ,$326.20 ,$567.36 ,$302.90 ,$653.57 ,$291.25 ,$932.00 ,$932.00 ,$302.90 ,$53.39 ,$486.97 ,$792.20 , N/A ,$302.90 ,"$1,165.00 ",$256.30 ,$873.75 ,$827.15 ,$827.15 ,$256.30 ,$827.15 ,$978.60 ,$978.60 ,$978.60 , N/A ,"$1,048.50 ",$640.75 ,$990.25 ,$256.30 ,"$1,165.00 ",$699.00 ,$256.30 ,$484.64 ,"$1,354.21 ","$1,231.10 ",$302.90 ,$990.25 , N/A ,$932.00 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$256.30 ,$978.60 ,$125.00 ,$125.00 ,$302.90 ,$757.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100044,64494,HC INJ PARAVERT F JNT L/S 2 LV-RT,761,1 ,"$1,165.00 ",$757.25 ,$53.39 ,"$1,354.21 ",$640.75 ,$699.00 ,$699.00 ,$302.90 ,$326.20 ,$567.36 ,$302.90 ,$653.57 ,$291.25 ,$932.00 ,$932.00 ,$302.90 ,$53.39 ,$486.97 ,$792.20 , N/A ,$302.90 ,"$1,165.00 ",$256.30 ,$873.75 ,$827.15 ,$827.15 ,$256.30 ,$827.15 ,$978.60 ,$978.60 ,$978.60 , N/A ,"$1,048.50 ",$640.75 ,$990.25 ,$256.30 ,"$1,165.00 ",$699.00 ,$256.30 ,$484.64 ,"$1,354.21 ","$1,231.10 ",$302.90 ,$990.25 , N/A ,$932.00 ,$326.20 ,"$1,048.50 ","$1,165.00 ",$256.30 ,$978.60 ,$125.00 ,$125.00 ,$302.90 ,$757.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100045,64495,HC INJ PARAVRT F JNT L/S 3+ LV,761,1 ,"$1,142.00 ",$742.30 ,$54.05 ,"$1,354.21 ",$628.10 ,$685.20 ,$685.20 ,$296.92 ,$319.76 ,$556.15 ,$296.92 ,$640.66 ,$285.50 ,$913.60 ,$913.60 ,$296.92 ,$54.05 ,$477.36 ,$776.56 , N/A ,$296.92 ,"$1,142.00 ",$251.24 ,$856.50 ,$810.82 ,$810.82 ,$251.24 ,$810.82 ,$959.28 ,$959.28 ,$959.28 , N/A ,"$1,027.80 ",$628.10 ,$970.70 ,$251.24 ,"$1,142.00 ",$685.20 ,$251.24 ,$475.07 ,"$1,354.21 ","$1,231.10 ",$296.92 ,$970.70 , N/A ,$913.60 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$251.24 ,$959.28 ,$125.00 ,$125.00 ,$296.92 ,$742.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100046,64495,HC INJ PARAVRT F JNT L/S 3+ LV-LT,761,1 ,"$1,142.00 ",$742.30 ,$54.05 ,"$1,354.21 ",$628.10 ,$685.20 ,$685.20 ,$296.92 ,$319.76 ,$556.15 ,$296.92 ,$640.66 ,$285.50 ,$913.60 ,$913.60 ,$296.92 ,$54.05 ,$477.36 ,$776.56 , N/A ,$296.92 ,"$1,142.00 ",$251.24 ,$856.50 ,$810.82 ,$810.82 ,$251.24 ,$810.82 ,$959.28 ,$959.28 ,$959.28 , N/A ,"$1,027.80 ",$628.10 ,$970.70 ,$251.24 ,"$1,142.00 ",$685.20 ,$251.24 ,$475.07 ,"$1,354.21 ","$1,231.10 ",$296.92 ,$970.70 , N/A ,$913.60 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$251.24 ,$959.28 ,$125.00 ,$125.00 ,$296.92 ,$742.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100047,64495,HC INJ PARAVRT F JNT L/S 3+ LV-RT,761,1 ,"$1,142.00 ",$742.30 ,$54.05 ,"$1,354.21 ",$628.10 ,$685.20 ,$685.20 ,$296.92 ,$319.76 ,$556.15 ,$296.92 ,$640.66 ,$285.50 ,$913.60 ,$913.60 ,$296.92 ,$54.05 ,$477.36 ,$776.56 , N/A ,$296.92 ,"$1,142.00 ",$251.24 ,$856.50 ,$810.82 ,$810.82 ,$251.24 ,$810.82 ,$959.28 ,$959.28 ,$959.28 , N/A ,"$1,027.80 ",$628.10 ,$970.70 ,$251.24 ,"$1,142.00 ",$685.20 ,$251.24 ,$475.07 ,"$1,354.21 ","$1,231.10 ",$296.92 ,$970.70 , N/A ,$913.60 ,$319.76 ,"$1,027.80 ","$1,142.00 ",$251.24 ,$959.28 ,$125.00 ,$125.00 ,$296.92 ,$742.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$850.00 ,$552.50 ,$24.33 ,$882.50 ,$467.50 ,$510.00 ,$510.00 ,$221.00 ,$238.00 ,$413.95 ,$221.00 ,$476.85 ,$212.50 ,$680.00 ,$680.00 ,$221.00 ,$24.33 ,$355.30 ,$578.00 ,$882.50 ,$221.00 ,$850.00 ,$187.00 ,$637.50 ,$603.50 ,$603.50 ,$187.00 ,$603.50 ,$714.00 ,$714.00 ,$714.00 , N/A ,$765.00 ,$467.50 ,$722.50 ,$187.00 ,$850.00 ,$510.00 ,$187.00 ,$353.60 ,$488.43 ,$444.03 ,$221.00 ,$722.50 ,$670.70 ,$680.00 ,$238.00 ,$765.00 ,$850.00 ,$187.00 ,$714.00 ,$125.00 ,$125.00 ,$221.00 ,$552.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$942.00 ,$612.30 ,$27.29 ,$942.00 ,$518.10 ,$565.20 ,$565.20 ,$244.92 ,$263.76 ,$458.75 ,$244.92 ,$528.46 ,$235.50 ,$753.60 ,$753.60 ,$244.92 ,$27.29 ,$393.76 ,$640.56 ,$882.50 ,$244.92 ,$942.00 ,$207.24 ,$706.50 ,$668.82 ,$668.82 ,$207.24 ,$668.82 ,$791.28 ,$791.28 ,$791.28 , N/A ,$847.80 ,$518.10 ,$800.70 ,$207.24 ,$942.00 ,$565.20 ,$207.24 ,$391.87 ,$488.43 ,$444.03 ,$244.92 ,$800.70 ,$670.70 ,$753.60 ,$263.76 ,$847.80 ,$942.00 ,$207.24 ,$791.28 ,$125.00 ,$125.00 ,$244.92 ,$612.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$347.00 ,$225.55 ,$76.34 ,$347.00 ,$190.85 ,$208.20 ,$208.20 ,$90.22 ,$97.16 ,$168.99 ,$90.22 ,$194.67 ,$86.75 ,$277.60 ,$277.60 ,$90.22 ,$277.60 ,$145.05 ,$235.96 , N/A ,$90.22 ,$347.00 ,$76.34 ,$260.25 ,$246.37 ,$246.37 ,$76.34 ,$246.37 ,$291.48 ,$291.48 ,$291.48 , N/A ,$312.30 ,$190.85 ,$294.95 ,$76.34 ,$347.00 ,$208.20 ,$76.34 ,$144.35 , N/A , N/A ,$90.22 ,$294.95 , N/A ,$277.60 ,$97.16 ,$312.30 ,$347.00 ,$76.34 ,$291.48 ,$347.00 ,$347.00 ,$90.22 ,$225.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$61.00 ,$39.65 ,$13.42 ,$61.00 ,$33.55 ,$36.60 ,$36.60 ,$15.86 ,$17.08 ,$29.71 ,$15.86 ,$34.22 ,$15.25 ,$48.80 ,$48.80 ,$15.86 ,$48.80 ,$25.50 ,$41.48 , N/A ,$15.86 ,$61.00 ,$13.42 ,$45.75 ,$43.31 ,$43.31 ,$13.42 ,$43.31 ,$51.24 ,$51.24 ,$51.24 , N/A ,$54.90 ,$33.55 ,$51.85 ,$13.42 ,$61.00 ,$36.60 ,$13.42 ,$25.38 , N/A , N/A ,$15.86 ,$51.85 , N/A ,$48.80 ,$17.08 ,$54.90 ,$61.00 ,$13.42 ,$51.24 ,$61.00 ,$61.00 ,$15.86 ,$39.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$113.00 ,$73.45 ,$16.56 ,$158.30 ,$62.15 ,$67.80 ,$67.80 ,$29.38 ,$31.64 ,$57.40 ,$29.38 ,$66.44 ,$28.25 ,$90.40 ,$90.40 ,$29.38 ,$16.56 ,$47.23 ,$76.84 ,$158.30 ,$29.38 ,$113.00 ,$24.86 ,$84.75 ,$80.23 ,$80.23 ,$24.86 ,$80.23 ,$94.92 ,$94.92 ,$94.92 , N/A ,$101.70 ,$62.15 ,$96.05 ,$24.86 ,$113.00 ,$67.80 ,$24.86 ,$47.01 , N/A , N/A ,$29.38 ,$96.05 ,$120.31 ,$90.40 ,$31.64 ,$101.70 ,$113.00 ,$24.86 ,$94.92 ,$50.00 ,$50.00 ,$29.38 ,$73.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$99.00 ,$64.35 ,$12.61 ,$99.00 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$12.61 ,$41.38 ,$67.32 , N/A ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 , N/A , N/A ,$25.74 ,$84.15 , N/A ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$50.00 ,$50.00 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$99.00 ,$64.35 ,$27.72 ,$102.18 , N/A ,$59.40 ,$59.40 , N/A ,$27.72 ,$50.29 , N/A ,$58.21 , N/A ,$79.20 ,$79.20 , N/A ,$64.35 , N/A ,$67.32 ,$102.18 , N/A ,$99.00 , N/A ,$74.25 ,$70.29 ,$70.29 , N/A ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 , N/A ,$84.15 , N/A ,$99.00 ,$59.40 , N/A ,$41.18 , N/A , N/A , N/A ,$84.15 ,$77.65 ,$79.20 ,$27.72 ,$89.10 ,$99.00 , N/A ,$83.16 ,$50.00 ,$50.00 , N/A ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$99.00 ,$64.35 ,$27.72 ,$102.18 , N/A ,$59.40 ,$59.40 , N/A ,$27.72 ,$50.29 , N/A ,$58.21 , N/A ,$79.20 ,$79.20 , N/A ,$64.35 , N/A ,$67.32 ,$102.18 , N/A ,$99.00 , N/A ,$74.25 ,$70.29 ,$70.29 , N/A ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 , N/A ,$84.15 , N/A ,$99.00 ,$59.40 , N/A ,$41.18 , N/A , N/A , N/A ,$84.15 ,$77.65 ,$79.20 ,$27.72 ,$89.10 ,$99.00 , N/A ,$83.16 ,$50.00 ,$50.00 , N/A ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$99.00 ,$64.35 ,$21.78 ,$102.18 ,$54.45 ,$59.40 ,$59.40 ,$25.74 ,$27.72 ,$50.29 ,$25.74 ,$58.21 ,$24.75 ,$79.20 ,$79.20 ,$25.74 ,$64.35 ,$41.38 ,$67.32 ,$102.18 ,$25.74 ,$99.00 ,$21.78 ,$74.25 ,$70.29 ,$70.29 ,$21.78 ,$70.29 ,$83.16 ,$83.16 ,$83.16 , N/A ,$89.10 ,$54.45 ,$84.15 ,$21.78 ,$99.00 ,$59.40 ,$21.78 ,$41.18 , N/A , N/A ,$25.74 ,$84.15 ,$77.65 ,$79.20 ,$27.72 ,$89.10 ,$99.00 ,$21.78 ,$83.16 ,$50.00 ,$50.00 ,$25.74 ,$64.35 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100008,N/A,HC HEALTH FAIR INFLUENZA VACCINE,771,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$10.40 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 ,$25.00 ,$25.00 ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$40.00 ,$100.00 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 , N/A , N/A ,$31.20 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$40.00 ,$100.00 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 , N/A , N/A ,$31.20 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$40.00 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$40.00 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$40.00 , N/A ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$40.00 , N/A ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$40.00 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$81.60 , N/A ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$81.60 , N/A ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 , N/A ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100018,0003A,HC ADM SARSCOV2 30MCG/0.3ML 3RD - PFIZER,771,1 ,$120.00 ,$78.00 ,$26.40 ,$120.00 ,$66.00 ,$72.00 ,$72.00 ,$31.20 ,$33.60 ,$58.44 ,$31.20 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$31.20 ,$78.00 ,$50.16 ,$81.60 ,$100.00 ,$31.20 ,$120.00 ,$26.40 ,$90.00 ,$85.20 ,$85.20 ,$26.40 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$66.00 ,$102.00 ,$26.40 ,$120.00 ,$72.00 ,$26.40 ,$49.92 , N/A , N/A ,$31.20 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$26.40 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$81.60 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$81.60 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON  AND  JOHNSON, BOOSTER DOSE",771,1 ,$120.00 ,$78.00 ,$2.49 ,$120.00 ,$78.00 ,$72.00 ,$72.00 ,$2.57 ,$33.60 ,$58.44 ,$2.57 ,$67.32 ,$30.00 ,$96.00 ,$96.00 ,$2.49 ,$78.00 ,$4.73 ,$81.60 ,$100.00 ,$2.57 ,$120.00 ,$31.20 ,$90.00 ,$85.20 ,$85.20 ,$2.49 ,$85.20 ,$100.80 ,$100.80 ,$100.80 , N/A ,$108.00 ,$78.00 ,$102.00 ,$2.57 ,$120.00 ,$72.00 ,$2.57 ,$49.92 , N/A , N/A ,$2.57 ,$102.00 ,$76.00 ,$96.00 ,$33.60 ,$108.00 ,$120.00 ,$2.57 ,$100.80 ,$50.00 ,$50.00 ,$31.20 ,$78.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$76.00 ,$49.40 ,$16.72 ,$76.00 ,$41.80 ,$45.60 ,$45.60 ,$19.76 ,$21.28 ,$37.01 ,$19.76 ,$42.64 ,$19.00 ,$60.80 ,$60.80 ,$19.76 ,$49.40 ,$31.77 ,$51.68 ,$68.98 ,$19.76 ,$76.00 ,$16.72 ,$57.00 ,$53.96 ,$53.96 ,$16.72 ,$53.96 ,$63.84 ,$63.84 ,$63.84 , N/A ,$68.40 ,$41.80 ,$64.60 ,$16.72 ,$76.00 ,$45.60 ,$16.72 ,$31.62 ,$24.81 ,$22.55 ,$19.76 ,$64.60 ,$52.42 ,$60.80 ,$21.28 ,$68.40 ,$76.00 ,$16.72 ,$63.84 ,$57.00 ,$57.00 ,$19.76 ,$49.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000024,90832,PC THERAPY INDIVIDUAL PSYCH 30 MIN - 95,780,1 ,$136.00 ,$88.40 ,$29.92 ,$341.63 ,$74.80 ,$81.60 ,$81.60 ,$35.36 ,$38.08 ,$69.09 ,$35.36 ,$79.97 ,$34.00 ,$108.80 ,$108.80 ,$35.36 ,$70.03 ,$56.85 ,$92.48 ,$341.63 ,$35.36 ,$136.00 ,$29.92 ,$102.00 ,$96.56 ,$96.56 ,$29.92 ,$96.56 ,$114.24 ,$114.24 ,$114.24 , N/A ,$122.40 ,$74.80 ,$115.60 ,$29.92 ,$136.00 ,$81.60 ,$29.92 ,$56.58 , N/A , N/A ,$35.36 ,$115.60 ,$259.64 ,$108.80 ,$38.08 ,$122.40 ,$136.00 ,$29.92 ,$114.24 ,$102.00 ,$102.00 ,$35.36 ,$88.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000026,90834,PC THERAPY INDIVIDUAL PSYCH 45 MIN - 95,961,1 ,$169.00 ,$109.85 ,$37.18 ,$341.63 ,$92.95 ,$101.40 ,$101.40 ,$43.94 ,$47.32 ,$85.85 ,$43.94 ,$99.37 ,$42.25 ,$135.20 ,$135.20 ,$43.94 ,$92.14 ,$70.64 ,$114.92 ,$341.63 ,$43.94 ,$169.00 ,$37.18 ,$126.75 ,$119.99 ,$119.99 ,$37.18 ,$119.99 ,$141.96 ,$141.96 ,$141.96 , N/A ,$152.10 ,$92.95 ,$143.65 ,$37.18 ,$169.00 ,$101.40 ,$37.18 ,$117.14 ,$251.74 ,$228.85 ,$43.94 ,$143.65 ,$259.64 ,$135.20 ,$47.32 ,$152.10 ,$169.00 ,$37.18 ,$141.96 , N/A , N/A ,$43.94 ,$109.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000028,90837,PC THERAPY INDIVIDUAL PSYCH 60 MIN - 95,961,1 ,$258.00 ,$167.70 ,$56.76 ,$341.63 ,$141.90 ,$154.80 ,$154.80 ,$67.08 ,$72.24 ,$131.06 ,$67.08 ,$151.70 ,$64.50 ,$206.40 ,$206.40 ,$67.08 ,$134.56 ,$107.84 ,$175.44 ,$341.63 ,$67.08 ,$258.00 ,$56.76 ,$193.50 ,$183.18 ,$183.18 ,$56.76 ,$183.18 ,$216.72 ,$216.72 ,$216.72 , N/A ,$232.20 ,$141.90 ,$219.30 ,$56.76 ,$258.00 ,$154.80 ,$56.76 ,$175.12 ,$251.74 ,$228.85 ,$67.08 ,$219.30 ,$259.64 ,$206.40 ,$72.24 ,$232.20 ,$258.00 ,$56.76 ,$216.72 , N/A , N/A ,$67.08 ,$167.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000221,90832,HC THERAPY INDIVIDUAL PSYCH 30 MIN-95,780,1 ,$150.00 ,$97.50 ,$33.00 ,$341.63 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$76.20 ,$39.00 ,$88.20 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$70.03 ,$62.70 ,$102.00 ,$341.63 ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 , N/A , N/A ,$39.00 ,$127.50 ,$259.64 ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 ,$112.50 ,$112.50 ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000222,90834,HC THERAPY INDIVIDUAL PSYCH 45 MIN-95,780,1 ,$186.00 ,$120.90 ,$40.92 ,$341.63 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$92.14 ,$77.75 ,$126.48 ,$341.63 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 , N/A , N/A ,$48.36 ,$158.10 ,$259.64 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 ,$139.50 ,$139.50 ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,78000223,90837,HC THERAPY INDIVIDUAL PSYCH 60 MIN-95,780,1 ,$284.00 ,$184.60 ,$62.48 ,$341.63 ,$156.20 ,$170.40 ,$170.40 ,$73.84 ,$79.52 ,$144.27 ,$73.84 ,$166.99 ,$71.00 ,$227.20 ,$227.20 ,$73.84 ,$134.56 ,$118.71 ,$193.12 ,$341.63 ,$73.84 ,$284.00 ,$62.48 ,$213.00 ,$201.64 ,$201.64 ,$62.48 ,$201.64 ,$238.56 ,$238.56 ,$238.56 , N/A ,$255.60 ,$156.20 ,$241.40 ,$62.48 ,$284.00 ,$170.40 ,$62.48 ,$118.14 , N/A , N/A ,$73.84 ,$241.40 ,$259.64 ,$227.20 ,$79.52 ,$255.60 ,$284.00 ,$62.48 ,$238.56 ,$213.00 ,$213.00 ,$73.84 ,$184.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91400004,90832,HC THERAPY INDIVIDUAL PSYCH 30MIN,914,1 ,$150.00 ,$97.50 ,$33.00 ,$341.63 ,$82.50 ,$90.00 ,$90.00 ,$39.00 ,$42.00 ,$76.20 ,$39.00 ,$88.20 ,$37.50 ,$120.00 ,$120.00 ,$39.00 ,$70.03 ,$62.70 ,$102.00 ,$341.63 ,$39.00 ,$150.00 ,$33.00 ,$112.50 ,$106.50 ,$106.50 ,$33.00 ,$106.50 ,$126.00 ,$126.00 ,$126.00 , N/A ,$135.00 ,$82.50 ,$127.50 ,$33.00 ,$150.00 ,$90.00 ,$33.00 ,$62.40 ,$251.32 ,$228.47 ,$39.00 ,$127.50 ,$259.64 ,$120.00 ,$42.00 ,$135.00 ,$150.00 ,$33.00 ,$126.00 , N/A , N/A ,$39.00 ,$97.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91400007,90834,HC THERAPY INDIVIDUAL PSYCH 45MIN,914,1 ,$186.00 ,$120.90 ,$40.92 ,$341.63 ,$102.30 ,$111.60 ,$111.60 ,$48.36 ,$52.08 ,$94.49 ,$48.36 ,$109.37 ,$46.50 ,$148.80 ,$148.80 ,$48.36 ,$92.14 ,$77.75 ,$126.48 ,$341.63 ,$48.36 ,$186.00 ,$40.92 ,$139.50 ,$132.06 ,$132.06 ,$40.92 ,$132.06 ,$156.24 ,$156.24 ,$156.24 , N/A ,$167.40 ,$102.30 ,$158.10 ,$40.92 ,$186.00 ,$111.60 ,$40.92 ,$77.38 ,$251.74 ,$228.85 ,$48.36 ,$158.10 ,$259.64 ,$148.80 ,$52.08 ,$167.40 ,$186.00 ,$40.92 ,$156.24 , N/A , N/A ,$48.36 ,$120.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91400012,90837,HC THERAPY INDIVIDUAL PSYCH 60MIN,914,1 ,$284.00 ,$184.60 ,$62.48 ,$341.63 ,$156.20 ,$170.40 ,$170.40 ,$73.84 ,$79.52 ,$144.27 ,$73.84 ,$166.99 ,$71.00 ,$227.20 ,$227.20 ,$73.84 ,$134.56 ,$118.71 ,$193.12 ,$341.63 ,$73.84 ,$284.00 ,$62.48 ,$213.00 ,$201.64 ,$201.64 ,$62.48 ,$201.64 ,$238.56 ,$238.56 ,$238.56 , N/A ,$255.60 ,$156.20 ,$241.40 ,$62.48 ,$284.00 ,$170.40 ,$62.48 ,$118.14 ,$251.74 ,$228.85 ,$73.84 ,$241.40 ,$259.64 ,$227.20 ,$79.52 ,$255.60 ,$284.00 ,$62.48 ,$238.56 , N/A , N/A ,$73.84 ,$184.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91600005,90846,HC THERAPY FAMILY PSYCH W/O PATIENT 50 MIN,916,1 ,$284.00 ,$184.60 ,$62.48 ,$341.63 ,$156.20 ,$170.40 ,$170.40 ,$73.84 ,$79.52 ,$144.27 ,$73.84 ,$166.99 ,$71.00 ,$227.20 ,$227.20 ,$73.84 ,$98.99 ,$118.71 ,$193.12 ,$341.63 ,$73.84 ,$284.00 ,$62.48 ,$213.00 ,$201.64 ,$201.64 ,$62.48 ,$201.64 ,$238.56 ,$238.56 ,$238.56 , N/A ,$255.60 ,$156.20 ,$241.40 ,$62.48 ,$284.00 ,$170.40 ,$62.48 ,$118.14 ,$265.40 ,$241.27 ,$73.84 ,$241.40 ,$259.64 ,$227.20 ,$79.52 ,$255.60 ,$284.00 ,$62.48 ,$238.56 , N/A , N/A ,$73.84 ,$184.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91600006,90847,HC THERAPY FAMILY PSYCH W/PATIENT 50 MIN,916,1 ,$311.00 ,$202.15 ,$68.42 ,$341.63 ,$171.05 ,$186.60 ,$186.60 ,$80.86 ,$87.08 ,$157.99 ,$80.86 ,$182.87 ,$77.75 ,$248.80 ,$248.80 ,$80.86 ,$102.77 ,$130.00 ,$211.48 ,$341.63 ,$80.86 ,$311.00 ,$68.42 ,$233.25 ,$220.81 ,$220.81 ,$68.42 ,$220.81 ,$261.24 ,$261.24 ,$261.24 , N/A ,$279.90 ,$171.05 ,$264.35 ,$68.42 ,$311.00 ,$186.60 ,$68.42 ,$129.38 ,$265.40 ,$241.27 ,$80.86 ,$264.35 ,$259.64 ,$248.80 ,$87.08 ,$279.90 ,$311.00 ,$68.42 ,$261.24 , N/A , N/A ,$80.86 ,$202.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91600007,90853,HC THERAPY GROUP PSYCH,916,1 ,$128.00 ,$83.20 ,$24.18 ,$356.95 ,$70.40 ,$76.80 ,$76.80 ,$33.28 ,$35.84 ,$65.02 ,$33.28 ,$75.26 ,$32.00 ,$102.40 ,$102.40 ,$33.28 ,$24.18 ,$53.50 ,$87.04 ,$191.05 ,$33.28 ,$128.00 ,$28.16 ,$96.00 ,$90.88 ,$90.88 ,$28.16 ,$90.88 ,$107.52 ,$107.52 ,$107.52 , N/A ,$115.20 ,$70.40 ,$108.80 ,$28.16 ,$128.00 ,$76.80 ,$28.16 ,$53.25 ,$356.95 ,$324.50 ,$33.28 ,$108.80 ,$145.20 ,$102.40 ,$35.84 ,$115.20 ,$128.00 ,$28.16 ,$107.52 , N/A , N/A ,$33.28 ,$83.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91800006,96116,HC NEUROPSYCH STATUS EXAM MD/QHCP INIT HOUR,918,1 ,$453.00 ,$294.45 ,$83.88 ,"$1,364.31 ",$249.15 ,$271.80 ,$271.80 ,$117.78 ,$126.84 ,$230.12 ,$117.78 ,$266.36 ,$113.25 ,$362.40 ,$362.40 ,$117.78 ,$83.88 ,$189.35 ,$308.04 ,$664.93 ,$117.78 ,$453.00 ,$99.66 ,$339.75 ,$321.63 ,$321.63 ,$99.66 ,$321.63 ,$380.52 ,$380.52 ,$380.52 , N/A ,$407.70 ,$249.15 ,$385.05 ,$99.66 ,$453.00 ,$271.80 ,$99.66 ,$188.45 ,"$1,364.31 ","$1,240.28 ",$117.78 ,$385.05 ,$505.34 ,$362.40 ,$126.84 ,$407.70 ,$453.00 ,$99.66 ,$380.52 ,$250.00 ,$250.00 ,$117.78 ,$294.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,91800007,96121,HC NEUROPSYCH STATUS EXAM MD/QHCP ADDL HOUR,918,1 ,$453.00 ,$294.45 ,$72.90 ,"$1,364.31 ",$249.15 ,$271.80 ,$271.80 ,$117.78 ,$126.84 ,$220.61 ,$117.78 ,$254.13 ,$113.25 ,$362.40 ,$362.40 ,$117.78 ,$72.90 ,$189.35 ,$308.04 , N/A ,$117.78 ,$453.00 ,$99.66 ,$339.75 ,$321.63 ,$321.63 ,$99.66 ,$321.63 ,$380.52 ,$380.52 ,$380.52 , N/A ,$407.70 ,$249.15 ,$385.05 ,$99.66 ,$453.00 ,$271.80 ,$99.66 ,$188.45 ,"$1,364.31 ","$1,240.28 ",$117.78 ,$385.05 , N/A ,$362.40 ,$126.84 ,$407.70 ,$453.00 ,$99.66 ,$380.52 ,$250.00 ,$250.00 ,$117.78 ,$294.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,$455.00 ,$295.75 ,$19.16 ,$455.00 ,$250.25 ,$273.00 ,$273.00 ,$118.30 ,$127.40 ,$221.59 ,$118.30 ,$255.26 ,$113.75 ,$364.00 ,$364.00 ,$118.30 ,$19.16 ,$190.19 ,$309.40 ,$434.98 ,$118.30 ,$455.00 ,$100.10 ,$341.25 ,$323.05 ,$323.05 ,$100.10 ,$323.05 ,$382.20 ,$382.20 ,$382.20 , N/A ,$409.50 ,$250.25 ,$386.75 ,$100.10 ,$455.00 ,$273.00 ,$100.10 ,$189.28 , N/A , N/A ,$118.30 ,$386.75 ,$330.58 ,$364.00 ,$127.40 ,$409.50 ,$455.00 ,$100.10 ,$382.20 ,$455.00 ,$455.00 ,$118.30 ,$295.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,540.00 ","$1,001.00 ",$151.11 ,"$1,540.00 ",$847.00 ,$924.00 ,$924.00 ,$400.40 ,$431.20 ,$782.32 ,$400.40 ,$905.52 ,$385.00 ,"$1,232.00 ","$1,232.00 ",$400.40 ,$151.11 ,$643.72 ,$435.16 ,$587.50 ,$400.40 ,"$1,540.00 ",$338.80 ,"$1,155.00 ","$1,093.40 ","$1,093.40 ",$338.80 ,"$1,093.40 ","$1,293.60 ","$1,293.60 ","$1,293.60 ", N/A ,"$1,386.00 ",$847.00 ,"$1,309.00 ",$338.80 ,"$1,540.00 ",$924.00 ,$338.80 ,$640.64 ,$258.25 ,$234.77 ,$400.40 ,"$1,309.00 ",$446.50 ,"$1,232.00 ",$431.20 ,"$1,386.00 ","$1,540.00 ",$338.80 ,"$1,293.60 ","$1,155.00 ","$1,155.00 ",$400.40 ,"$1,001.00 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$466.00 ,$302.90 ,$99.92 ,$466.00 ,$256.30 ,$279.60 ,$279.60 ,$121.16 ,$130.48 ,$236.73 ,$121.16 ,$274.01 ,$116.50 ,$372.80 ,$372.80 ,$121.16 ,$99.92 ,$194.79 ,$279.59 ,$277.98 ,$121.16 ,$466.00 ,$102.52 ,$349.50 ,$330.86 ,$330.86 ,$102.52 ,$330.86 ,$391.44 ,$391.44 ,$391.44 , N/A ,$419.40 ,$256.30 ,$396.10 ,$102.52 ,$466.00 ,$279.60 ,$102.52 ,$193.86 ,$258.25 ,$234.77 ,$121.16 ,$396.10 ,$211.26 ,$372.80 ,$130.48 ,$419.40 ,$466.00 ,$102.52 ,$391.44 ,$349.50 ,$349.50 ,$121.16 ,$302.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$889.00 ,$577.85 ,$68.38 ,$889.00 ,$488.95 ,$533.40 ,$533.40 ,$231.14 ,$248.92 ,$451.61 ,$231.14 ,$522.73 ,$222.25 ,$711.20 ,$711.20 ,$231.14 ,$68.38 ,$371.60 ,$198.50 ,$287.90 ,$231.14 ,$889.00 ,$195.58 ,$666.75 ,$631.19 ,$631.19 ,$195.58 ,$631.19 ,$746.76 ,$746.76 ,$746.76 , N/A ,$800.10 ,$488.95 ,$755.65 ,$195.58 ,$889.00 ,$533.40 ,$195.58 ,$369.82 ,$240.80 ,$218.91 ,$231.14 ,$755.65 ,$218.80 ,$711.20 ,$248.92 ,$800.10 ,$889.00 ,$195.58 ,$746.76 ,$666.75 ,$666.75 ,$231.14 ,$577.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$889.00 ,$577.85 ,$68.38 ,$889.00 ,$488.95 ,$533.40 ,$533.40 ,$231.14 ,$248.92 ,$451.61 ,$231.14 ,$522.73 ,$222.25 ,$711.20 ,$711.20 ,$231.14 ,$68.38 ,$371.60 ,$198.50 ,$143.95 ,$231.14 ,$889.00 ,$195.58 ,$666.75 ,$631.19 ,$631.19 ,$195.58 ,$631.19 ,$746.76 ,$746.76 ,$746.76 , N/A ,$800.10 ,$488.95 ,$755.65 ,$195.58 ,$889.00 ,$533.40 ,$195.58 ,$369.82 ,$120.41 ,$109.46 ,$231.14 ,$755.65 ,$109.40 ,$711.20 ,$248.92 ,$800.10 ,$889.00 ,$195.58 ,$746.76 ,$666.75 ,$666.75 ,$231.14 ,$577.85 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100023,93923,HC TCPO2/ABI/PPG MULT LEVELS,921,1 ,$461.00 ,$299.65 ,$101.42 ,$461.00 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$234.19 ,$119.86 ,$271.07 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$104.49 ,$192.70 ,$300.66 ,$356.48 ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 ,$240.80 ,$218.91 ,$119.86 ,$391.85 ,$270.92 ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$345.75 ,$345.75 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,$461.00 ,$299.65 ,$101.42 ,$461.00 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$234.19 ,$119.86 ,$271.07 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$104.49 ,$192.70 ,$300.66 ,$356.48 ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 ,$240.80 ,$218.91 ,$119.86 ,$391.85 ,$270.92 ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$345.75 ,$345.75 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100031,93923,HC RESTING ARTERIAL UPPER BILATERAL,921,1 ,$461.00 ,$299.65 ,$101.42 ,$461.00 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$234.19 ,$119.86 ,$271.07 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$104.49 ,$192.70 ,$300.66 ,$356.48 ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 ,$240.80 ,$218.91 ,$119.86 ,$391.85 ,$270.92 ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$345.75 ,$345.75 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$1,678.00 ","$1,090.70 ",$202.13 ,"$1,678.00 ",$922.90 ,"$1,006.80 ","$1,006.80 ",$436.28 ,$469.84 ,$852.42 ,$436.28 ,$986.66 ,$419.50 ,"$1,342.40 ","$1,342.40 ",$436.28 ,$202.13 ,$701.40 ,$585.02 ,$587.50 ,$436.28 ,"$1,678.00 ",$369.16 ,"$1,258.50 ","$1,191.38 ","$1,191.38 ",$369.16 ,"$1,191.38 ","$1,409.52 ","$1,409.52 ","$1,409.52 ", N/A ,"$1,510.20 ",$922.90 ,"$1,426.30 ",$369.16 ,"$1,678.00 ","$1,006.80 ",$369.16 ,$698.05 ,$339.92 ,$309.02 ,$436.28 ,"$1,426.30 ",$446.50 ,"$1,342.40 ",$469.84 ,"$1,510.20 ","$1,678.00 ",$369.16 ,"$1,409.52 ","$1,258.50 ","$1,258.50 ",$436.28 ,"$1,090.70 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,"$1,555.00 ","$1,010.75 ",$118.83 ,"$1,555.00 ",$855.25 ,$933.00 ,$933.00 ,$404.30 ,$435.40 ,$789.94 ,$404.30 ,$914.34 ,$388.75 ,"$1,244.00 ","$1,244.00 ",$404.30 ,$118.83 ,$649.99 ,$340.73 ,$277.98 ,$404.30 ,"$1,555.00 ",$342.10 ,"$1,166.25 ","$1,104.05 ","$1,104.05 ",$342.10 ,"$1,104.05 ","$1,306.20 ","$1,306.20 ","$1,306.20 ", N/A ,"$1,399.50 ",$855.25 ,"$1,321.75 ",$342.10 ,"$1,555.00 ",$933.00 ,$342.10 ,$646.88 ,$339.92 ,$309.02 ,$404.30 ,"$1,321.75 ",$211.26 ,"$1,244.00 ",$435.40 ,"$1,399.50 ","$1,555.00 ",$342.10 ,"$1,306.20 ","$1,166.25 ","$1,166.25 ",$404.30 ,"$1,010.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$2,779.00 ","$1,806.35 ",$156.82 ,"$2,779.00 ","$1,528.45 ","$1,667.40 ","$1,667.40 ",$722.54 ,$778.12 ,"$1,411.73 ",$722.54 ,"$1,634.05 ",$694.75 ,"$2,223.20 ","$2,223.20 ",$722.54 ,$156.82 ,"$1,161.62 ",$447.56 ,$587.50 ,$722.54 ,"$2,779.00 ",$611.38 ,"$2,084.25 ","$1,973.09 ","$1,973.09 ",$611.38 ,"$1,973.09 ","$2,334.36 ","$2,334.36 ","$2,334.36 ", N/A ,"$2,501.10 ","$1,528.45 ","$2,362.15 ",$611.38 ,"$2,779.00 ","$1,667.40 ",$611.38 ,"$1,156.06 ",$258.25 ,$234.77 ,$722.54 ,"$2,362.15 ",$446.50 ,"$2,223.20 ",$778.12 ,"$2,501.10 ","$2,779.00 ",$611.38 ,"$2,334.36 ","$2,084.25 ","$2,084.25 ",$722.54 ,"$1,806.35 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,"$1,853.00 ","$1,204.45 ",$99.60 ,"$1,853.00 ","$1,019.15 ","$1,111.80 ","$1,111.80 ",$481.78 ,$518.84 ,$941.32 ,$481.78 ,"$1,089.56 ",$463.25 ,"$1,482.40 ","$1,482.40 ",$481.78 ,$99.60 ,$774.55 ,$279.59 ,$277.98 ,$481.78 ,"$1,853.00 ",$407.66 ,"$1,389.75 ","$1,315.63 ","$1,315.63 ",$407.66 ,"$1,315.63 ","$1,556.52 ","$1,556.52 ","$1,556.52 ", N/A ,"$1,667.70 ","$1,019.15 ","$1,575.05 ",$407.66 ,"$1,853.00 ","$1,111.80 ",$407.66 ,$770.85 ,$258.25 ,$234.77 ,$481.78 ,"$1,575.05 ",$211.26 ,"$1,482.40 ",$518.84 ,"$1,667.70 ","$1,853.00 ",$407.66 ,"$1,556.52 ","$1,389.75 ","$1,389.75 ",$481.78 ,"$1,204.45 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$2,255.00 ","$1,465.75 ",$152.74 ,"$2,255.00 ","$1,240.25 ","$1,353.00 ","$1,353.00 ",$586.30 ,$631.40 ,"$1,145.54 ",$586.30 ,"$1,325.94 ",$563.75 ,"$1,804.00 ","$1,804.00 ",$586.30 ,$152.74 ,$942.59 ,$433.26 ,$587.50 ,$586.30 ,"$2,255.00 ",$496.10 ,"$1,691.25 ","$1,601.05 ","$1,601.05 ",$496.10 ,"$1,601.05 ","$1,894.20 ","$1,894.20 ","$1,894.20 ", N/A ,"$2,029.50 ","$1,240.25 ","$1,916.75 ",$496.10 ,"$2,255.00 ","$1,353.00 ",$496.10 ,$938.08 ,$339.92 ,$309.02 ,$586.30 ,"$1,916.75 ",$446.50 ,"$1,804.00 ",$631.40 ,"$2,029.50 ","$2,255.00 ",$496.10 ,"$1,894.20 ","$1,691.25 ","$1,691.25 ",$586.30 ,"$1,465.75 "
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,"$1,344.00 ",$873.60 ,$96.99 ,"$1,344.00 ",$739.20 ,$806.40 ,$806.40 ,$349.44 ,$376.32 ,$682.75 ,$349.44 ,$790.27 ,$336.00 ,"$1,075.20 ","$1,075.20 ",$349.44 ,$96.99 ,$561.79 ,$265.28 ,$277.98 ,$349.44 ,"$1,344.00 ",$295.68 ,"$1,008.00 ",$954.24 ,$954.24 ,$295.68 ,$954.24 ,"$1,128.96 ","$1,128.96 ","$1,128.96 ", N/A ,"$1,209.60 ",$739.20 ,"$1,142.40 ",$295.68 ,"$1,344.00 ",$806.40 ,$295.68 ,$559.10 ,$339.92 ,$309.02 ,$349.44 ,"$1,142.40 ",$211.26 ,"$1,075.20 ",$376.32 ,"$1,209.60 ","$1,344.00 ",$295.68 ,"$1,128.96 ","$1,008.00 ","$1,008.00 ",$349.44 ,$873.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,92100049,93923,HC RESTING ARTERIAL EXTREMITY COMP -52,921,1 ,$461.00 ,$299.65 ,$101.42 ,$461.00 ,$253.55 ,$276.60 ,$276.60 ,$119.86 ,$129.08 ,$234.19 ,$119.86 ,$271.07 ,$115.25 ,$368.80 ,$368.80 ,$119.86 ,$104.49 ,$192.70 ,$300.66 ,$178.24 ,$119.86 ,$461.00 ,$101.42 ,$345.75 ,$327.31 ,$327.31 ,$101.42 ,$327.31 ,$387.24 ,$387.24 ,$387.24 , N/A ,$414.90 ,$253.55 ,$391.85 ,$101.42 ,$461.00 ,$276.60 ,$101.42 ,$191.78 ,$120.41 ,$109.46 ,$119.86 ,$391.85 ,$135.46 ,$368.80 ,$129.08 ,$414.90 ,$461.00 ,$101.42 ,$387.24 ,$345.75 ,$345.75 ,$119.86 ,$299.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$165.00 ,$107.25 ,$36.30 ,$287.90 ,$90.75 ,$99.00 ,$99.00 ,$42.90 ,$46.20 ,$83.82 ,$42.90 ,$97.02 ,$41.25 ,$132.00 ,$132.00 ,$42.90 ,$99.86 ,$68.97 ,$112.20 ,$287.90 ,$42.90 ,$165.00 ,$36.30 ,$123.75 ,$117.15 ,$117.15 ,$36.30 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$90.75 ,$140.25 ,$36.30 ,$165.00 ,$99.00 ,$36.30 ,$68.64 ,$150.41 ,$136.74 ,$42.90 ,$140.25 ,$218.80 ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$36.30 ,$138.60 ,$89.76 ,$89.76 ,$42.90 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000110,99195,HC THERAPEUTIC PHLEBOTOMY,940,1 ,$165.00 ,$107.25 ,$36.30 ,$287.90 ,$90.75 ,$99.00 ,$99.00 ,$42.90 ,$46.20 ,$83.82 ,$42.90 ,$97.02 ,$41.25 ,$132.00 ,$132.00 ,$42.90 ,$99.86 ,$68.97 ,$112.20 ,$287.90 ,$42.90 ,$165.00 ,$36.30 ,$123.75 ,$117.15 ,$117.15 ,$36.30 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$90.75 ,$140.25 ,$36.30 ,$165.00 ,$99.00 ,$36.30 ,$68.64 ,$150.41 ,$136.74 ,$42.90 ,$140.25 ,$218.80 ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$36.30 ,$138.60 ,$89.76 ,$89.76 ,$42.90 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$63.08 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$63.08 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$46.88 ,$42.62 , N/A ,$0.01 ,$47.94 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$0.01 ,$0.01 ,$0.01 ,$63.08 , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$63.08 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A , N/A ,$46.88 ,$42.62 , N/A ,$0.01 ,$47.94 ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000118,N/A,HC CASH-BASED THERAPIES GENERIC PACKAGE #1,940,1 ,$400.00 ,$260.00 ,$88.00 ,$400.00 ,$220.00 ,$240.00 ,$240.00 ,$104.00 ,$112.00 ,$194.80 ,$104.00 ,$224.40 ,$100.00 ,$320.00 ,$320.00 ,$104.00 ,$260.00 ,$167.20 ,$272.00 , N/A ,$104.00 ,$400.00 ,$88.00 ,$300.00 ,$284.00 ,$284.00 ,$88.00 ,$284.00 ,$336.00 ,$336.00 ,$336.00 , N/A ,$360.00 ,$220.00 ,$340.00 ,$88.00 ,$400.00 ,$240.00 ,$88.00 ,$166.40 , N/A , N/A ,$104.00 ,$340.00 , N/A ,$320.00 ,$112.00 ,$360.00 ,$400.00 ,$88.00 ,$336.00 ,$217.60 ,$217.60 ,$104.00 ,$260.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94000119,N/A,HC CASH-BASED THERAPIES GENERIC PACKAGE #2,940,1 ,$700.00 ,$455.00 ,$154.00 ,$700.00 ,$385.00 ,$420.00 ,$420.00 ,$182.00 ,$196.00 ,$340.90 ,$182.00 ,$392.70 ,$175.00 ,$560.00 ,$560.00 ,$182.00 ,$455.00 ,$292.60 ,$476.00 , N/A ,$182.00 ,$700.00 ,$154.00 ,$525.00 ,$497.00 ,$497.00 ,$154.00 ,$497.00 ,$588.00 ,$588.00 ,$588.00 , N/A ,$630.00 ,$385.00 ,$595.00 ,$154.00 ,$700.00 ,$420.00 ,$154.00 ,$291.20 , N/A , N/A ,$182.00 ,$595.00 , N/A ,$560.00 ,$196.00 ,$630.00 ,$700.00 ,$154.00 ,$588.00 ,$380.80 ,$380.80 ,$182.00 ,$455.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$44.00 ,$28.60 ,$11.00 ,$91.93 ,$78.13 ,$26.40 ,$26.40 ,$31.25 ,$12.32 ,$22.35 ,$31.25 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$31.25 ,$32.53 ,$59.38 ,$29.92 ,$91.93 ,$31.25 ,$44.00 ,$31.25 ,$33.00 ,$31.24 ,$31.24 ,$31.25 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$78.13 ,$37.40 ,$31.25 ,$44.00 ,$26.40 ,$31.25 ,$18.30 , N/A , N/A ,$31.25 ,$37.40 ,$69.86 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$31.25 ,$36.96 ,$44.00 ,$44.00 ,$31.25 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94200006,97803,HC NUTRITION THRPY RE-EVAL 15 MIN,942,1 ,$44.00 ,$28.60 ,$11.00 ,$80.10 ,$68.08 ,$26.40 ,$26.40 ,$27.23 ,$12.32 ,$22.35 ,$27.23 ,$25.87 ,$11.00 ,$35.20 ,$35.20 ,$27.23 ,$27.81 ,$51.74 ,$29.92 ,$80.10 ,$27.23 ,$44.00 ,$27.23 ,$33.00 ,$31.24 ,$31.24 ,$27.23 ,$31.24 ,$36.96 ,$36.96 ,$36.96 , N/A ,$39.60 ,$68.08 ,$37.40 ,$27.23 ,$44.00 ,$26.40 ,$27.23 ,$18.30 , N/A , N/A ,$27.23 ,$37.40 ,$60.88 ,$35.20 ,$12.32 ,$39.60 ,$44.00 ,$27.23 ,$36.96 ,$44.00 ,$44.00 ,$27.23 ,$28.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94200011,G0108,HC DIABETES SELF MGT ED 30 MIN,942,1 ,$78.00 ,$50.70 ,$17.16 ,$139.65 ,$42.90 ,$46.80 ,$46.80 ,$20.28 ,$21.84 ,$39.62 ,$20.28 ,$45.86 ,$19.50 ,$62.40 ,$62.40 ,$20.28 ,$55.86 ,$32.60 ,$53.04 ,$139.65 ,$20.28 ,$78.00 ,$17.16 ,$58.50 ,$55.38 ,$55.38 ,$17.16 ,$55.38 ,$65.52 ,$65.52 ,$65.52 , N/A ,$70.20 ,$42.90 ,$66.30 ,$17.16 ,$78.00 ,$46.80 ,$17.16 ,$32.45 , N/A , N/A ,$20.28 ,$66.30 ,$106.13 ,$62.40 ,$21.84 ,$70.20 ,$78.00 ,$17.16 ,$65.52 ,$78.00 ,$78.00 ,$20.28 ,$50.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94200013,G0109,HC DIABETES SELF MGT GROUP 30MIN,942,1 ,$78.00 ,$50.70 ,$15.75 ,$78.00 ,$42.90 ,$46.80 ,$46.80 ,$20.28 ,$21.84 ,$39.62 ,$20.28 ,$45.86 ,$19.50 ,$62.40 ,$62.40 ,$20.28 ,$15.75 ,$32.60 ,$53.04 ,$39.38 ,$20.28 ,$78.00 ,$17.16 ,$58.50 ,$55.38 ,$55.38 ,$17.16 ,$55.38 ,$65.52 ,$65.52 ,$65.52 , N/A ,$70.20 ,$42.90 ,$66.30 ,$17.16 ,$78.00 ,$46.80 ,$17.16 ,$32.45 , N/A , N/A ,$20.28 ,$66.30 ,$29.93 ,$62.40 ,$21.84 ,$70.20 ,$78.00 ,$17.16 ,$65.52 ,$78.00 ,$78.00 ,$20.28 ,$50.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$233.00 ,$151.45 ,$9.66 ,$296.38 ,$128.15 ,$139.80 ,$139.80 ,$60.58 ,$65.24 ,$118.36 ,$60.58 ,$137.00 ,$58.25 ,$186.40 ,$186.40 ,$60.58 ,$9.66 ,$97.39 ,$158.44 ,$296.38 ,$60.58 ,$233.00 ,$51.26 ,$174.75 ,$165.43 ,$165.43 ,$51.26 ,$165.43 ,$195.72 ,$195.72 ,$195.72 , N/A ,$209.70 ,$128.15 ,$198.05 ,$51.26 ,$233.00 ,$139.80 ,$51.26 ,$96.93 , N/A , N/A ,$60.58 ,$198.05 ,$225.25 ,$186.40 ,$65.24 ,$209.70 ,$233.00 ,$51.26 ,$195.72 ,$233.00 ,$233.00 ,$60.58 ,$151.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$386.00 ,$250.90 ,$14.10 ,$386.00 ,$212.30 ,$231.60 ,$231.60 ,$100.36 ,$108.08 ,$196.09 ,$100.36 ,$226.97 ,$96.50 ,$308.80 ,$308.80 ,$100.36 ,$14.10 ,$161.35 ,$262.48 ,$296.38 ,$100.36 ,$386.00 ,$84.92 ,$289.50 ,$274.06 ,$274.06 ,$84.92 ,$274.06 ,$324.24 ,$324.24 ,$324.24 , N/A ,$347.40 ,$212.30 ,$328.10 ,$84.92 ,$386.00 ,$231.60 ,$84.92 ,$160.58 , N/A , N/A ,$100.36 ,$328.10 ,$225.25 ,$308.80 ,$108.08 ,$347.40 ,$386.00 ,$84.92 ,$324.24 ,$300.00 ,$300.00 ,$100.36 ,$250.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94300014,93798,HC CARD REHAB W/EKG SESS (PH2)-KX,943,1 ,$386.00 ,$250.90 ,$14.10 ,$386.00 ,$212.30 ,$231.60 ,$231.60 ,$100.36 ,$108.08 ,$196.09 ,$100.36 ,$226.97 ,$96.50 ,$308.80 ,$308.80 ,$100.36 ,$14.10 ,$161.35 ,$262.48 ,$296.38 ,$100.36 ,$386.00 ,$84.92 ,$289.50 ,$274.06 ,$274.06 ,$84.92 ,$274.06 ,$324.24 ,$324.24 ,$324.24 , N/A ,$347.40 ,$212.30 ,$328.10 ,$84.92 ,$386.00 ,$231.60 ,$84.92 ,$160.58 , N/A , N/A ,$100.36 ,$328.10 ,$225.25 ,$308.80 ,$108.08 ,$347.40 ,$386.00 ,$84.92 ,$324.24 ,$300.00 ,$300.00 ,$100.36 ,$250.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$50.00 ,$32.50 ,$11.00 ,$50.00 ,$27.50 ,$30.00 ,$30.00 ,$13.00 ,$14.00 ,$24.35 ,$13.00 ,$28.05 ,$12.50 ,$40.00 ,$40.00 ,$13.00 ,$32.50 ,$20.90 ,$34.00 , N/A ,$13.00 ,$50.00 ,$11.00 ,$37.50 ,$35.50 ,$35.50 ,$11.00 ,$35.50 ,$42.00 ,$42.00 ,$42.00 , N/A ,$45.00 ,$27.50 ,$42.50 ,$11.00 ,$50.00 ,$30.00 ,$11.00 ,$20.80 , N/A , N/A ,$13.00 ,$42.50 , N/A ,$40.00 ,$14.00 ,$45.00 ,$50.00 ,$11.00 ,$42.00 ,$50.00 ,$50.00 ,$13.00 ,$32.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94300022,N/A,HC CARDIAC REHAB 4 EXERCISE MONTHLY,943,1 ,$40.00 ,$26.00 ,$8.80 ,$40.00 ,$22.00 ,$24.00 ,$24.00 ,$10.40 ,$11.20 ,$19.48 ,$10.40 ,$22.44 ,$10.00 ,$32.00 ,$32.00 ,$10.40 ,$26.00 ,$16.72 ,$27.20 , N/A ,$10.40 ,$40.00 ,$8.80 ,$30.00 ,$28.40 ,$28.40 ,$8.80 ,$28.40 ,$33.60 ,$33.60 ,$33.60 , N/A ,$36.00 ,$22.00 ,$34.00 ,$8.80 ,$40.00 ,$24.00 ,$8.80 ,$16.64 , N/A , N/A ,$10.40 ,$34.00 , N/A ,$32.00 ,$11.20 ,$36.00 ,$40.00 ,$8.80 ,$33.60 ,$40.00 ,$40.00 ,$10.40 ,$26.00 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94800001,94625,HC PHY/QHP OP PULM RHB W/O MNTR,948,1 ,$171.00 ,$111.15 ,$19.90 ,$171.00 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$83.28 ,$44.46 ,$95.93 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$19.90 ,$71.48 ,$116.28 ,$142.13 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 , N/A , N/A ,$44.46 ,$145.35 ,$108.02 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$171.00 ,$171.00 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,94800002,94626,HC PHY/QHP OP PULM RHB W/MNTR,948,1 ,$171.00 ,$111.15 ,$27.87 ,$171.00 ,$94.05 ,$102.60 ,$102.60 ,$44.46 ,$47.88 ,$83.28 ,$44.46 ,$95.93 ,$42.75 ,$136.80 ,$136.80 ,$44.46 ,$27.87 ,$71.48 ,$116.28 ,$142.13 ,$44.46 ,$171.00 ,$37.62 ,$128.25 ,$121.41 ,$121.41 ,$37.62 ,$121.41 ,$143.64 ,$143.64 ,$143.64 , N/A ,$153.90 ,$94.05 ,$145.35 ,$37.62 ,$171.00 ,$102.60 ,$37.62 ,$71.14 , N/A , N/A ,$44.46 ,$145.35 ,$108.02 ,$136.80 ,$47.88 ,$153.90 ,$171.00 ,$37.62 ,$143.64 ,$171.00 ,$171.00 ,$44.46 ,$111.15 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96000044,G2061,PC NON PHYSICIAN EST PT 5-10 MIN,960,1 ,$38.00 ,$24.70 ,$8.36 ,$38.00 ,$20.90 ,$22.80 ,$22.80 ,$9.88 ,$10.64 ,$18.51 ,$9.88 ,$21.32 ,$9.50 ,$30.40 ,$30.40 ,$9.88 ,$24.70 ,$15.88 ,$25.84 , N/A ,$9.88 ,$38.00 ,$8.36 ,$28.50 ,$26.98 ,$26.98 ,$8.36 ,$26.98 ,$31.92 ,$31.92 ,$31.92 , N/A ,$34.20 ,$20.90 ,$32.30 ,$8.36 ,$38.00 ,$22.80 ,$8.36 ,$15.49 , N/A , N/A ,$9.88 ,$32.30 , N/A ,$30.40 ,$10.64 ,$34.20 ,$38.00 ,$8.36 ,$31.92 , N/A , N/A ,$9.88 ,$24.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96000045,G2062,PC NON PHYSICIAN EST PT 11-20 MIN,960,1 ,$66.00 ,$42.90 ,$14.52 ,$66.00 ,$36.30 ,$39.60 ,$39.60 ,$17.16 ,$18.48 ,$32.14 ,$17.16 ,$37.03 ,$16.50 ,$52.80 ,$52.80 ,$17.16 ,$42.90 ,$27.59 ,$44.88 , N/A ,$17.16 ,$66.00 ,$14.52 ,$49.50 ,$46.86 ,$46.86 ,$14.52 ,$46.86 ,$55.44 ,$55.44 ,$55.44 , N/A ,$59.40 ,$36.30 ,$56.10 ,$14.52 ,$66.00 ,$39.60 ,$14.52 ,$27.35 , N/A , N/A ,$17.16 ,$56.10 , N/A ,$52.80 ,$18.48 ,$59.40 ,$66.00 ,$14.52 ,$55.44 , N/A , N/A ,$17.16 ,$42.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96000046,G2063,PC NON PHYSICIAN EST PT > 21 MIN,960,1 ,$104.00 ,$67.60 ,$22.88 ,$104.00 ,$57.20 ,$62.40 ,$62.40 ,$27.04 ,$29.12 ,$50.65 ,$27.04 ,$58.34 ,$26.00 ,$83.20 ,$83.20 ,$27.04 ,$67.60 ,$43.47 ,$70.72 , N/A ,$27.04 ,$104.00 ,$22.88 ,$78.00 ,$73.84 ,$73.84 ,$22.88 ,$73.84 ,$87.36 ,$87.36 ,$87.36 , N/A ,$93.60 ,$57.20 ,$88.40 ,$22.88 ,$104.00 ,$62.40 ,$22.88 ,$42.42 , N/A , N/A ,$27.04 ,$88.40 , N/A ,$83.20 ,$29.12 ,$93.60 ,$104.00 ,$22.88 ,$87.36 , N/A , N/A ,$27.04 ,$67.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400259,1952,PC ANESTH BURN 4-9 PERCENT,964,1 ,$25.00 ,$16.25 ,$5.50 ,$25.00 ,$13.75 ,$15.00 ,$15.00 ,$6.50 ,$7.00 ,$12.18 ,$6.50 ,$14.03 ,$6.25 ,$20.00 ,$20.00 ,$6.50 ,$16.25 ,$10.45 ,$17.00 , N/A ,$6.50 ,$25.00 ,$5.50 ,$18.75 ,$17.75 ,$17.75 ,$5.50 ,$17.75 ,$21.00 ,$21.00 ,$21.00 , N/A ,$22.50 ,$13.75 ,$21.25 ,$5.50 ,$25.00 ,$15.00 ,$5.50 ,$17.50 , N/A , N/A ,$6.50 ,$21.25 , N/A ,$20.00 ,$7.00 ,$22.50 ,$25.00 ,$5.50 ,$21.00 , N/A , N/A ,$6.50 ,$16.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400287,120,PC ANESTH EXT/MID/INR EAR W/BX NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400288,140,PC ANESTH EYE NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400289,142,PC ANESTH EYE LENS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400290,160,PC ANESTH NOSE/SINUS NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400292,170,PC ANESTH MOUTH W/BIOPSY NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400294,300,PC ANESTH HEAD/NECK/TRUNK NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400295,320,PC ANESTH NECK ORGANS >1YR NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400296,400,PC ANESTH INTEG EXTRM/TRUNK NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400297,404,PC ANESTH BREAST RADICAL/MOD RAD-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400298,406,PC ANESTH BREAST/RAD/MOD RAD W/DISSECTION-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400300,450,PC ANESTH CLAVICLE/SCAPULA NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400301,520,PC ANESTH CHEST CLOSED NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400303,700,PC ANESTH ABD WALL/UPPER ANTR NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400306,750,PC ANESTH RPR HERNIA UPPER ABD NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400307,752,PC ANESTH RPR HERNIA LUMB/VENTR WND DEH-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400308,790,PC ANESTH UPPER ABD W/LAP NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400310,800,PC ANESTH ABD WALL LOW ANTR NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400312,820,PC ANESTH ABD WALL LOWER POSTR-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400313,830,PC ANESTH RPR HERNIA LOW ABD NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400314,832,PC ANESTH RPR HERNIA VENTRAL/INCISONAL-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400315,840,PC ANESTH LOWER ABD W/LAP NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400325,902,PC ANESTH ANORECTAL PROC-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400328,910,PC ANESTH TRANSURETHRAL PROC NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400332,920,PC ANESTH GENITALIA MALE NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400339,940,PC ANESTH VAGINAL PROCS W/BX NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400344,952,PC ANESTH HYSTEROSCOPY/HYSTERGRAPH-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400347,1250,PC ANESTH UPPER LEG PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400349,1320,PC ANESTH KNEE/POPLITEAL PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400352,1380,PC ANESTH KNEE JOINT CLOSED-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400353,1382,PC ANESTH KNEE ARTHROSCOPIC DIAG PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400354,1390,PC ANESTH KNEE CLOSED PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400355,1392,PC ANESTH KNEE OPEN PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400356,1400,PC ANESTH KNEE ARTHROSOPIC OPEN PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400357,1420,PC ANESTH KNEE JOINT CAST APPL/RPR/REM-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400360,1470,PC ANESTH LWR LEG NERV/MUSC/TEND NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400361,1472,PC ANESTH RPR ACHILLES TENDN W/OR W/O GRAFT-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400362,1480,PC ANESTH LWR LEG/ANKLE/FOOT OPEN NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400363,1482,PC ANESTH LWR LEG RADICAL RESECTION-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400365,1520,PC ANESTH VEINS LOWER LEG NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400366,1610,PC ANESTH SHLDR NERV/MUSC/TEND-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400367,1620,PC ANESTH SHLDR CLOSED PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400368,1630,PC ANESTH SHLDR ARTHROSCOPIC NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400369,1710,PC ANESTH UPPR ARM/ELBW NERV/MUSC/TEND NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400371,1740,PC ANESTH ELBOW ARTHROSCOPIC PROC NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400374,1810,PC ANESTH LOWR ARM NERV/MUSC/TEND PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400375,1820,PC ANESTH LOWER ARM CLOSED PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400376,1830,PC ANESTH LOWER ARM ARTHRO/ENDOSC-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400385,99100,PC ANESTH PAT AGE <1YR OR >70YRS-QZ,964,1 ,$110.00 ,$71.50 ,$24.20 ,$110.00 ,$60.50 ,$66.00 ,$66.00 ,$28.60 ,$30.80 ,$53.57 ,$28.60 ,$61.71 ,$27.50 ,$88.00 ,$88.00 ,$28.60 ,$71.50 ,$45.98 ,$37.40 , N/A ,$28.60 ,$110.00 ,$24.20 ,$82.50 ,$78.10 ,$78.10 ,$24.20 ,$78.10 ,$92.40 ,$92.40 ,$92.40 , N/A ,$99.00 ,$60.50 ,$93.50 ,$24.20 ,$110.00 ,$66.00 ,$24.20 ,$77.00 ,$40.05 ,$36.41 ,$28.60 ,$93.50 , N/A ,$88.00 ,$30.80 ,$99.00 ,$110.00 ,$24.20 ,$92.40 , N/A , N/A ,$28.60 ,$71.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400387,99140,PC ANESTH W/COMPLIC EMERGENCY COND-QZ,964,1 ,$190.00 ,$123.50 ,$36.41 ,$190.00 ,$104.50 ,$114.00 ,$114.00 ,$49.40 ,$53.20 ,$92.53 ,$49.40 ,$106.59 ,$47.50 ,$152.00 ,$152.00 ,$49.40 ,$123.50 ,$79.42 ,$64.60 , N/A ,$49.40 ,$190.00 ,$41.80 ,$142.50 ,$134.90 ,$134.90 ,$41.80 ,$134.90 ,$159.60 ,$159.60 ,$159.60 , N/A ,$171.00 ,$104.50 ,$161.50 ,$41.80 ,$190.00 ,$114.00 ,$41.80 ,$133.00 ,$40.05 ,$36.41 ,$49.40 ,$161.50 , N/A ,$152.00 ,$53.20 ,$171.00 ,$190.00 ,$41.80 ,$159.60 , N/A , N/A ,$49.40 ,$123.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400388,126,PC ANESTH TYMPANOTOMY -QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400393,64415,PC ANESTH INJ NERVE BRACHIAL PLEXUS SINGLE,964,1 ,$210.00 ,$136.50 ,$46.20 ,"$2,101.83 ",$115.50 ,$126.00 ,$126.00 ,$54.60 ,$58.80 ,$102.27 ,$54.60 ,$117.81 ,$52.50 ,$168.00 ,$168.00 ,$54.60 ,$65.43 ,$87.78 ,$142.80 ,"$2,101.83 ",$54.60 ,$210.00 ,$46.20 ,$157.50 ,$149.10 ,$149.10 ,$46.20 ,$149.10 ,$176.40 ,$176.40 ,$176.40 , N/A ,$189.00 ,$115.50 ,$178.50 ,$46.20 ,$210.00 ,$126.00 ,$46.20 ,$112.48 ,$746.69 ,$678.81 ,$54.60 ,$178.50 ,"$1,597.39 ",$168.00 ,$58.80 ,$189.00 ,$210.00 ,$46.20 ,$176.40 , N/A , N/A ,$54.60 ,$136.50 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400399,64450,PC INJ ANES OTHER THAN PERIPHERAL,964,1 ,$144.00 ,$93.60 ,$31.68 ,"$1,621.30 ",$79.20 ,$86.40 ,$86.40 ,$37.44 ,$40.32 ,$70.13 ,$37.44 ,$80.78 ,$36.00 ,$115.20 ,$115.20 ,$37.44 ,$44.17 ,$60.19 ,$97.92 ,"$1,621.30 ",$37.44 ,$144.00 ,$31.68 ,$108.00 ,$102.24 ,$102.24 ,$31.68 ,$102.24 ,$120.96 ,$120.96 ,$120.96 , N/A ,$129.60 ,$79.20 ,$122.40 ,$31.68 ,$144.00 ,$86.40 ,$31.68 ,$75.06 ,$746.69 ,$678.81 ,$37.44 ,$122.40 ,"$1,232.19 ",$115.20 ,$40.32 ,$129.60 ,$144.00 ,$31.68 ,$120.96 , N/A , N/A ,$37.44 ,$93.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400401,64417,PC NERVE BLOCK AXILLARY NERVE,964,1 ,$228.00 ,$148.20 ,$50.16 ,"$2,101.83 ",$125.40 ,$136.80 ,$136.80 ,$59.28 ,$63.84 ,$111.04 ,$59.28 ,$127.91 ,$57.00 ,$182.40 ,$182.40 ,$59.28 ,$63.31 ,$95.30 ,$155.04 ,"$2,101.83 ",$59.28 ,$228.00 ,$50.16 ,$171.00 ,$161.88 ,$161.88 ,$50.16 ,$161.88 ,$191.52 ,$191.52 ,$191.52 , N/A ,$205.20 ,$125.40 ,$193.80 ,$50.16 ,$228.00 ,$136.80 ,$50.16 ,$107.54 ,$746.69 ,$678.81 ,$59.28 ,$193.80 ,"$1,597.39 ",$182.40 ,$63.84 ,$205.20 ,$228.00 ,$50.16 ,$191.52 , N/A , N/A ,$59.28 ,$148.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400404,1996,PC DAILY MGMT CONTIN DRUG ADMIN,964,1 ,$207.00 ,$134.55 ,$45.54 ,$207.00 ,$113.85 ,$124.20 ,$124.20 ,$53.82 ,$57.96 ,$100.81 ,$53.82 ,$116.13 ,$51.75 ,$165.60 ,$165.60 ,$53.82 ,$134.55 ,$86.53 ,$140.76 , N/A ,$53.82 ,$207.00 ,$45.54 ,$155.25 ,$146.97 ,$146.97 ,$45.54 ,$146.97 ,$173.88 ,$173.88 ,$173.88 , N/A ,$186.30 ,$113.85 ,$175.95 ,$45.54 ,$207.00 ,$124.20 ,$45.54 ,$144.90 , N/A , N/A ,$53.82 ,$175.95 , N/A ,$165.60 ,$57.96 ,$186.30 ,$207.00 ,$45.54 ,$173.88 , N/A , N/A ,$53.82 ,$134.55 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400405,62326,PC INJ W/CATH PLACE LUMBAR/SACRAL W/O GUIDANCE,964,1 ,$321.00 ,$208.65 ,$70.62 ,"$2,101.83 ",$176.55 ,$192.60 ,$192.60 ,$83.46 ,$89.88 ,$156.33 ,$83.46 ,$180.08 ,$80.25 ,$256.80 ,$256.80 ,$83.46 ,$89.95 ,$134.18 ,$218.28 ,"$2,101.83 ",$83.46 ,$321.00 ,$70.62 ,$240.75 ,$227.91 ,$227.91 ,$70.62 ,$227.91 ,$269.64 ,$269.64 ,$269.64 , N/A ,$288.90 ,$176.55 ,$272.85 ,$70.62 ,$321.00 ,$192.60 ,$70.62 ,$154.45 ,"$1,354.21 ","$1,231.10 ",$83.46 ,$272.85 ,"$1,597.39 ",$256.80 ,$89.88 ,$288.90 ,$321.00 ,$70.62 ,$269.64 , N/A , N/A ,$83.46 ,$208.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400408,103,PC ANESTH EYELID BLEPHAROPLASTY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400410,124,PC ANESTH EAR PROC W/BX OTOSCOPY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400418,352,PC ANESTH NECK VESSEL SIMPLE LIGATION-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400424,532,PC ANESTH VASCULAR ACCESS CENTRAL VENOUS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400435,731,PC ANESTH UPPER GI ENDO PROC NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400436,732,PC ANESTH UPPER GI ERCP-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400438,811,PC ANESTH LOWER ENDO PROCS NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400439,812,PC ANESTH SCREENING COLONOSCOPY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400440,813,PC ANESTH UPPER/LOWER GI ENDO PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400444,1120,PC ANESTH BONY PELVIS PROCS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400446,1210,PC ANESTH OPEN HIP JOINT NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400447,1214,PC ANESTH HIP ARTHROPLASTY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400448,1215,PC ANESTH OPEN REVISE TOTAL HIP ARTHROPLASTY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400449,1220,PC ANESTH CLOSED PROCS FEMUR-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400450,1230,PC ANESTH OPEN FEMUR PROCS NOS-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400453,1402,PC ANESTH TOTAL KNEE ARTHROPLASTY-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400458,1622,PC ANESTH SHOULDER ARTHROSCOPY DX-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400459,1638,PC ANESTH TOTAL SHOULDER REPLACMENT-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400484,120,PC ANESTH EXT/MID/INR EAR W/BX NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400485,140,PC ANESTH EYE NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400486,160,PC ANESTH NOSE/SINUS NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400487,170,PC ANESTH MOUTH W/BIOPSY NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400489,300,PC ANESTH HEAD/NECK/TRUNK NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400490,320,PC ANESTH NECK ORGANS >1YR NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400491,400,PC ANESTH INTEG EXTRM/TRUNK NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400492,404,PC ANESTH BREAST RADICAL/MOD RAD-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400493,406,PC ANESTH BREAST/RAD/MOD RAD W/DISSECTION-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400495,450,PC ANESTH CLAVICLE/SCAPULA NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400496,520,PC ANESTH CHEST CLOSED NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400498,700,PC ANESTH ABD WALL/UPPER ANTR NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400500,750,PC ANESTH RPR HERNIA UPPER ABD NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400501,752,PC ANESTH RPR HERNIA LUMB/VENTR WND DEH-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400502,790,PC ANESTH UPPER ABD W/LAP NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400503,800,PC ANESTH ABD WALL LOW ANTR NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400504,820,PC ANESTH ABD WALL LOWER POSTR-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400505,830,PC ANESTH RPR HERNIA LOW ABD NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400506,832,PC ANESTH RPR HERNIA VENTRAL/INCISONAL-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400507,840,PC ANESTH LOWER ABD W/LAP NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400514,902,PC ANESTH ANORECTAL PROC-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400520,940,PC ANESTH VAGINAL PROCS W/BX NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400524,952,PC ANESTH HYSTEROSCOPY/HYSTERGRAPH-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400527,1250,PC ANESTH UPPER LEG PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400528,1320,PC ANESTH KNEE/POPLITEAL PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400531,1380,PC ANESTH KNEE JOINT CLOSED-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400532,1382,PC ANESTH KNEE ARTHROSCOPIC DIAG PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400533,1390,PC ANESTH KNEE CLOSED PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400534,1392,PC ANESTH KNEE OPEN PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400535,1400,PC ANESTH KNEE ARTHROSOPIC OPEN PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400538,1470,PC ANESTH LWR LEG NERV/MUSC/TEND NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400539,1472,PC ANESTH RPR ACHILLES TENDN W/OR W/O GRAFT-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400540,1480,PC ANESTH LWR LEG/ANKLE/FOOT OPEN NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400541,1482,PC ANESTH LWR LEG RADICAL RESECTION-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400542,1610,PC ANESTH SHLDR NERV/MUSC/TEND-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400543,1620,PC ANESTH SHLDR CLOSED PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400544,1630,PC ANESTH SHLDR ARTHROSCOPIC NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400545,1710,PC ANESTH UPPR ARM/ELBW NERV/MUSC/TEND NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400547,1740,PC ANESTH ELBOW ARTHROSCOPIC PROC NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400550,1810,PC ANESTH LOWR ARM NERV/MUSC/TEND PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400551,1820,PC ANESTH LOWER ARM CLOSED PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400552,1830,PC ANESTH LOWER ARM ARTHRO/ENDOSC-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400560,126,PC ANESTH TYMPANOTOMY -QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400561,103,PC ANESTH EYELID BLEPHAROPLASTY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400563,124,PC ANESTH EAR PROC W/BX OTOSCOPY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400571,352,PC ANESTH NECK VESSEL SIMPLE LIGATION-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400577,532,PC ANESTH VASCULAR ACCESS CENTRAL VENOUS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400588,731,PC ANESTH UPPER GI ENDO PROC NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400589,732,PC ANESTH UPPER GI ERCP-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400591,811,PC ANESTH LOWER ENDO PROCS NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400592,812,PC ANESTH SCREENING COLONOSCOPY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400593,813,PC ANESTH UPPER/LOWER GI ENDO PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400597,1120,PC ANESTH BONY PELVIS PROCS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400599,1210,PC ANESTH OPEN HIP JOINT NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400600,1214,PC ANESTH HIP ARTHROPLASTY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400601,1215,PC ANESTH OPEN REVISE TOTAL HIP ARTHROPLASTY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400602,1220,PC ANESTH CLOSED PROCS FEMUR-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400603,1230,PC ANESTH OPEN FEMUR PROCS NOS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400606,1402,PC ANESTH TOTAL KNEE ARTHROPLASTY-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400611,1622,PC ANESTH SHOULDER ARTHROSCOPY DX-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400612,1638,PC ANESTH TOTAL SHOULDER REPLACMENT-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400640,142,PC ANESTH EYE LENS-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400643,N/A,PC ANESTH KNEE JOINT CAST APPL/RPR/REM-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 ,$3.40 ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 ,$2.58 ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400644,N/A,PC ANESTH VEINS LOWER LEG NOW-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 ,$3.40 ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 ,$2.58 ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400645,834,PC ANESTH HERNIA REPAIR NOS<1 YR-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400646,834,PC ANESTH HERNIA REPAIR NOS<1 YR-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400647,906,PC ANESTH REMOVAL OF VULVA-QX,964,1 ,$8.00 ,$2.60 ,$0.88 ,$5.44 ,$2.20 ,$2.40 ,$2.40 ,$1.04 ,$1.12 ,$1.95 ,$1.04 ,$2.25 ,$1.00 ,$3.20 ,$3.20 ,$1.04 ,$2.60 ,$1.67 ,$5.44 , N/A ,$1.04 ,$4.00 ,$0.88 ,$3.00 ,$2.84 ,$2.84 ,$0.88 ,$2.84 ,$3.36 ,$3.36 ,$3.36 , N/A ,$3.60 ,$2.20 ,$3.40 ,$0.88 ,$4.00 ,$2.40 ,$0.88 ,$2.80 , N/A , N/A ,$1.04 ,$3.40 , N/A ,$3.20 ,$1.12 ,$3.60 ,$4.00 ,$0.88 ,$3.36 , N/A , N/A ,$1.04 ,$2.60 
ST. JOSEPH'S HOSPITAL - HIGHLAND,96400648,906,PC ANESTH REMOVAL OF VULVA-QZ,964,1 ,$8.00 ,$5.20 ,$1.76 ,$8.00 ,$4.40 ,$4.80 ,$4.80 ,$2.08 ,$2.24 ,$3.90 ,$2.08 ,$4.49 ,$2.00 ,$6.40 ,$6.40 ,$2.08 ,$5.20 ,$3.34 ,$2.72 , N/A ,$2.08 ,$8.00 ,$1.76 ,$6.00 ,$5.68 ,$5.68 ,$1.76 ,$5.68 ,$6.72 ,$6.72 ,$6.72 , N/A ,$7.20 ,$4.40 ,$6.80 ,$1.76 ,$8.00 ,$4.80 ,$1.76 ,$5.60 , N/A , N/A ,$2.08 ,$6.80 , N/A ,$6.40 ,$2.24 ,$7.20 ,$8.00 ,$1.76 ,$6.72 , N/A , N/A ,$2.08 ,$5.20 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180329,31500,PC INSERT EMERGENCY ENDOTRACH AIRWAY,981,1 ,$641.00 ,$416.65 ,$151.76 ,"$1,146.84 ",$424.93 ,$384.60 ,$384.60 ,$169.97 ,$179.48 ,$312.17 ,$169.97 ,$359.60 ,$169.97 ,$512.80 ,$512.80 ,$169.97 ,$151.76 ,$322.94 ,$435.88 ,$540.18 ,$169.97 ,$641.00 ,$169.97 ,$480.75 ,$455.11 ,$455.11 ,$169.97 ,$455.11 ,$538.44 ,$538.44 ,$538.44 , N/A ,$576.90 ,$424.93 ,$544.85 ,$169.97 ,$641.00 ,$384.60 ,$169.97 ,$257.30 ,"$1,146.84 ","$1,042.58 ",$169.97 ,$544.85 ,$410.53 ,$512.80 ,$179.48 ,$576.90 ,$641.00 ,$169.97 ,$538.44 , N/A , N/A ,$169.97 ,$416.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180529,36556,PC INS CATH CV NON-TUNL >5 YRS,981,1 ,$396.00 ,$257.40 ,$89.51 ,"$7,309.08 ",$250.63 ,$237.60 ,$237.60 ,$100.25 ,$110.88 ,$192.85 ,$100.25 ,$222.16 ,$100.25 ,$316.80 ,$316.80 ,$100.25 ,$89.51 ,$190.48 ,$269.28 ,"$7,309.08 ",$100.25 ,$396.00 ,$100.25 ,$297.00 ,$281.16 ,$281.16 ,$100.25 ,$281.16 ,$332.64 ,$332.64 ,$332.64 , N/A ,$356.40 ,$250.63 ,$336.60 ,$100.25 ,$396.00 ,$237.60 ,$100.25 ,$152.11 ,"$2,890.06 ","$2,627.33 ",$100.25 ,$336.60 ,"$5,554.90 ",$316.80 ,$110.88 ,$356.40 ,$396.00 ,$100.25 ,$332.64 , N/A , N/A ,$100.25 ,$257.40 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180531,36620,PC CATH/CANN ARTERY PERC,981,1 ,$165.00 ,$107.25 ,$46.20 ,"$4,543.31 ",$129.65 ,$99.00 ,$99.00 ,$51.86 ,$46.20 ,$80.36 ,$51.86 ,$92.57 ,$51.86 ,$132.00 ,$132.00 ,$51.86 ,$46.30 ,$98.53 ,$112.20 , N/A ,$51.86 ,$165.00 ,$51.86 ,$123.75 ,$117.15 ,$117.15 ,$51.86 ,$117.15 ,$138.60 ,$138.60 ,$138.60 , N/A ,$148.50 ,$129.65 ,$140.25 ,$51.86 ,$165.00 ,$99.00 ,$51.86 ,$79.19 ,"$4,543.31 ","$4,130.28 ",$51.86 ,$140.25 , N/A ,$132.00 ,$46.20 ,$148.50 ,$165.00 ,$51.86 ,$138.60 , N/A , N/A ,$51.86 ,$107.25 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180596,64447,PC INJ ANES NERVE FEMORAL SGL,981,1 ,$214.00 ,$139.10 ,$54.65 ,"$1,621.30 ",$153.03 ,$128.40 ,$128.40 ,$61.21 ,$59.92 ,$104.22 ,$61.21 ,$120.05 ,$61.21 ,$171.20 ,$171.20 ,$61.21 ,$54.65 ,$116.30 ,$145.52 ,"$1,621.30 ",$61.21 ,$214.00 ,$61.21 ,$160.50 ,$151.94 ,$151.94 ,$61.21 ,$151.94 ,$179.76 ,$179.76 ,$179.76 , N/A ,$192.60 ,$153.03 ,$181.90 ,$61.21 ,$214.00 ,$128.40 ,$61.21 ,$93.86 ,$746.69 ,$678.81 ,$61.21 ,$181.90 ,"$1,232.19 ",$171.20 ,$59.92 ,$192.60 ,$214.00 ,$61.21 ,$179.76 , N/A , N/A ,$61.21 ,$139.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180607,99151,PC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,981,1 ,$75.00 ,$48.75 ,$21.00 ,$75.00 ,$72.25 ,$45.00 ,$45.00 ,$28.90 ,$21.00 ,$38.10 ,$28.90 ,$44.10 ,$28.90 ,$60.00 ,$60.00 ,$28.90 ,$25.80 ,$54.91 ,$51.00 , N/A ,$28.90 ,$75.00 ,$28.90 ,$56.25 ,$53.25 ,$53.25 ,$28.90 ,$53.25 ,$63.00 ,$63.00 ,$63.00 , N/A ,$67.50 ,$72.25 ,$63.75 ,$28.90 ,$75.00 ,$45.00 ,$28.90 ,$44.49 ,$40.05 ,$36.41 ,$28.90 ,$63.75 , N/A ,$60.00 ,$21.00 ,$67.50 ,$75.00 ,$28.90 ,$63.00 , N/A , N/A ,$28.90 ,$48.75 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180609,99153,PC MODERATE SEDATION SAME PHY EA ADDL 15MIN,981,1 ,$33.00 ,$21.45 ,$9.24 ,$40.05 ,$30.60 ,$19.80 ,$19.80 ,$12.24 ,$9.24 ,$16.76 ,$12.24 ,$19.40 ,$12.24 ,$26.40 ,$26.40 ,$12.24 ,$10.93 ,$23.26 ,$22.44 , N/A ,$12.24 ,$33.00 ,$12.24 ,$24.75 ,$23.43 ,$23.43 ,$12.24 ,$23.43 ,$27.72 ,$27.72 ,$27.72 , N/A ,$29.70 ,$30.60 ,$28.05 ,$12.24 ,$33.00 ,$19.80 ,$12.24 ,$18.44 ,$40.05 ,$36.41 ,$12.24 ,$28.05 , N/A ,$26.40 ,$9.24 ,$29.70 ,$33.00 ,$12.24 ,$27.72 , N/A , N/A ,$12.24 ,$21.45 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180610,99155,PC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,981,1 ,$294.00 ,$191.10 ,$36.41 ,$294.00 ,$247.10 ,$176.40 ,$176.40 ,$98.84 ,$82.32 ,$149.35 ,$98.84 ,$172.87 ,$98.84 ,$235.20 ,$235.20 ,$98.84 ,$88.25 ,$187.80 ,$199.92 , N/A ,$98.84 ,$294.00 ,$98.84 ,$220.50 ,$208.74 ,$208.74 ,$98.84 ,$208.74 ,$246.96 ,$246.96 ,$246.96 , N/A ,$264.60 ,$247.10 ,$249.90 ,$98.84 ,$294.00 ,$176.40 ,$98.84 ,$162.39 ,$40.05 ,$36.41 ,$98.84 ,$249.90 , N/A ,$235.20 ,$82.32 ,$264.60 ,$294.00 ,$98.84 ,$246.96 , N/A , N/A ,$98.84 ,$191.10 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180611,99156,PC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,981,1 ,$243.00 ,$157.95 ,$36.41 ,$243.00 ,$225.38 ,$145.80 ,$145.80 ,$90.15 ,$68.04 ,$123.44 ,$90.15 ,$142.88 ,$90.15 ,$194.40 ,$194.40 ,$90.15 ,$80.49 ,$171.29 ,$165.24 , N/A ,$90.15 ,$243.00 ,$90.15 ,$182.25 ,$172.53 ,$172.53 ,$90.15 ,$172.53 ,$204.12 ,$204.12 ,$204.12 , N/A ,$218.70 ,$225.38 ,$206.55 ,$90.15 ,$200.00 ,$145.80 ,$90.15 ,$147.10 ,$40.05 ,$36.41 ,$90.15 ,$206.55 , N/A ,$194.40 ,$68.04 ,$218.70 ,$243.00 ,$90.15 ,$204.12 , N/A , N/A ,$90.15 ,$157.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180612,99157,PC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,981,1 ,$183.00 ,$118.95 ,$36.41 ,$183.00 ,$180.83 ,$109.80 ,$109.80 ,$72.33 ,$51.24 ,$92.96 ,$72.33 ,$107.60 ,$72.33 ,$146.40 ,$146.40 ,$72.33 ,$64.58 ,$137.43 ,$124.44 , N/A ,$72.33 ,$183.00 ,$72.33 ,$137.25 ,$129.93 ,$129.93 ,$72.33 ,$129.93 ,$153.72 ,$153.72 ,$153.72 , N/A ,$164.70 ,$180.83 ,$155.55 ,$72.33 ,$183.00 ,$109.80 ,$72.33 ,$118.80 ,$40.05 ,$36.41 ,$72.33 ,$155.55 , N/A ,$146.40 ,$51.24 ,$164.70 ,$183.00 ,$72.33 ,$153.72 , N/A , N/A ,$72.33 ,$118.95 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98180865,62273,PC ANESTH INJ EPIDURAL BLOOD CLOT/PATCH,981,1 ,$242.00 ,$157.30 ,$67.76 ,"$1,621.30 ",$328.83 ,$145.20 ,$145.20 ,$131.53 ,$67.76 ,$117.85 ,$131.53 ,$135.76 ,$131.53 ,$193.60 ,$193.60 ,$131.53 ,$117.44 ,$249.91 ,$164.56 ,"$1,621.30 ",$131.53 ,$242.00 ,$131.53 ,$181.50 ,$171.82 ,$171.82 ,$131.53 ,$171.82 ,$203.28 ,$203.28 ,$203.28 , N/A ,$217.80 ,$328.83 ,$205.70 ,$131.53 ,$242.00 ,$145.20 ,$131.53 ,$198.95 ,"$1,354.21 ","$1,231.10 ",$131.53 ,$205.70 ,"$1,232.19 ",$193.60 ,$67.76 ,$217.80 ,$242.00 ,$131.53 ,$203.28 , N/A , N/A ,$131.53 ,$157.30 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98300015,11100,PC BX LESN SKIN/SUBQ/MUCOUS SGL PRO,983,1 ,$198.00 ,$128.70 ,$43.56 ,$198.00 ,$108.90 ,$118.80 ,$118.80 ,$51.48 ,$55.44 ,$96.43 ,$51.48 ,$111.08 ,$49.50 ,$158.40 ,$158.40 ,$51.48 ,$128.70 ,$82.76 ,$134.64 , N/A ,$51.48 ,$198.00 ,$43.56 ,$148.50 ,$140.58 ,$140.58 ,$43.56 ,$140.58 ,$166.32 ,$166.32 ,$166.32 , N/A ,$178.20 ,$108.90 ,$168.30 ,$43.56 ,$198.00 ,$118.80 ,$43.56 ,$138.60 , N/A , N/A ,$51.48 ,$168.30 , N/A ,$158.40 ,$55.44 ,$178.20 ,$198.00 ,$43.56 ,$166.32 , N/A , N/A ,$51.48 ,$128.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98300017,11101,PC PUNCH BIOPSY EA ADD PRO,983,1 ,$78.00 ,$50.70 ,$17.16 ,$78.00 ,$42.90 ,$46.80 ,$46.80 ,$20.28 ,$21.84 ,$37.99 ,$20.28 ,$43.76 ,$19.50 ,$62.40 ,$62.40 ,$20.28 ,$50.70 ,$32.60 ,$53.04 , N/A ,$20.28 ,$78.00 ,$17.16 ,$58.50 ,$55.38 ,$55.38 ,$17.16 ,$55.38 ,$65.52 ,$65.52 ,$65.52 , N/A ,$70.20 ,$42.90 ,$66.30 ,$17.16 ,$78.00 ,$46.80 ,$17.16 ,$54.60 , N/A , N/A ,$20.28 ,$66.30 , N/A ,$62.40 ,$21.84 ,$70.20 ,$78.00 ,$17.16 ,$65.52 , N/A , N/A ,$20.28 ,$50.70 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98300154,G8427,PC DOC MEDS VERIFIED W/PT OR RE,983,1 ,$1.00 ,$0.65 ,$0.22 ,$1.00 ,$0.55 ,$0.60 ,$0.60 ,$0.26 ,$0.28 ,$0.49 ,$0.26 ,$0.56 ,$0.25 ,$0.80 ,$0.80 ,$0.26 ,$0.65 ,$0.42 ,$0.68 , N/A ,$0.26 ,$1.00 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.22 ,$0.71 ,$0.84 ,$0.84 ,$0.84 , N/A ,$0.90 ,$0.55 ,$0.85 ,$0.22 ,$1.00 ,$0.60 ,$0.22 ,$0.70 , N/A , N/A ,$0.26 ,$0.85 , N/A ,$0.80 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.84 , N/A , N/A ,$0.26 ,$0.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98300155,4004F,PC SCREENED TOBACCO USE  AND  REC'D TOBACCO CESSATION INTERV,983,1 ,$1.00 ,$0.65 ,$0.22 ,$1.00 ,$0.55 ,$0.60 ,$0.60 ,$0.26 ,$0.28 ,$0.49 ,$0.26 ,$0.56 ,$0.25 ,$0.80 ,$0.80 ,$0.26 ,$0.65 ,$0.42 ,$0.68 , N/A ,$0.26 ,$1.00 ,$0.22 ,$0.75 ,$0.71 ,$0.71 ,$0.22 ,$0.71 ,$0.84 ,$0.84 ,$0.84 , N/A ,$0.90 ,$0.55 ,$0.85 ,$0.22 ,$1.00 ,$0.60 ,$0.22 ,$0.70 , N/A , N/A ,$0.26 ,$0.85 , N/A ,$0.80 ,$0.28 ,$0.90 ,$1.00 ,$0.22 ,$0.84 , N/A , N/A ,$0.26 ,$0.65 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$46.00 ,$29.90 ,$8.41 ,$46.00 ,$25.30 ,$27.60 ,$27.60 ,$11.96 ,$12.88 ,$23.37 ,$11.96 ,$27.05 ,$11.50 ,$36.80 ,$36.80 ,$11.96 ,$8.41 ,$19.23 ,$31.28 , N/A ,$11.96 ,$46.00 ,$10.12 ,$34.50 ,$32.66 ,$32.66 ,$10.12 ,$32.66 ,$38.64 ,$38.64 ,$38.64 , N/A ,$41.40 ,$25.30 ,$39.10 ,$10.12 ,$46.00 ,$27.60 ,$10.12 ,$15.74 ,$43.73 ,$39.75 ,$11.96 ,$39.10 , N/A ,$36.80 ,$12.88 ,$41.40 ,$46.00 ,$10.12 ,$38.64 , N/A , N/A ,$11.96 ,$29.90 
ST. JOSEPH'S HOSPITAL - HIGHLAND,98500010,93227,PC HOLTER SCAN =< 48 HOURS,985,1 ,$109.00 ,$70.85 ,$18.64 ,$109.00 ,$59.95 ,$65.40 ,$65.40 ,$28.34 ,$30.52 ,$55.37 ,$28.34 ,$64.09 ,$27.25 ,$87.20 ,$87.20 ,$28.34 ,$18.64 ,$45.56 ,$74.12 , N/A ,$28.34 ,$109.00 ,$23.98 ,$81.75 ,$77.39 ,$77.39 ,$23.98 ,$77.39 ,$91.56 ,$91.56 ,$91.56 , N/A ,$98.10 ,$59.95 ,$92.65 ,$23.98 ,$109.00 ,$65.40 ,$23.98 ,$48.92 , N/A , N/A ,$28.34 ,$92.65 , N/A ,$87.20 ,$30.52 ,$98.10 ,$109.00 ,$23.98 ,$91.56 , N/A , N/A ,$28.34 ,$70.85