ST. FRANCIS HOSPITAL - Price Transparency,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, Site,Svc_Cd,HCPC/Cpt_Cd,CDM_Svc_Descr,Rev_Cd, Quantity/Units , Hospital_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 , CURRENT HEALTH SOLUTIONS ," 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 , HFN , HOPETRUST , 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 , PHYSICIANS HEALTH ASSOCIATION OF IL BCBS HMO , PLAIN CHURCH MEDICAL GROUP , PROVIDER NETWORK OF AMERICA , ST CLAIR COUNTY HOUSING AUTHORITY , UHC CATERPILLAR , UNITED HEALTH ALL PAYOR , UNITED HEALTH CARE MEDICARE , WELLFIRST ST. FRANCIS HOSPITAL - ACUTE,N/A,216,CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC,120,1 ,"$60,517.70 ","$43,572.74 ","$2,470.94 ","$88,380.75 ","$88,380.75 ","$43,572.74 ","$32,921.63 ","$34,645.25 ","$16,944.96 ","$46,950.83 ","$34,645.25 ","$49,421.93 ","$34,645.25 ","$44,479.74 ","$44,479.74 ","$34,645.25 ","$44,479.74 ","$71,411.65 ","$51,440.05 ", N/A ,"$34,645.25 ","$51,440.05 ","$45,388.28 ","$34,645.25 ","$45,388.28 ","$45,388.28 ","$45,388.28 ","$34,645.25 ","$45,388.28 ", N/A , N/A , N/A ,"$54,465.93 ","$88,380.75 ","$34,645.25 ", N/A ,"$33,950.43 ","$34,645.25 ","$25,054.33 ","$2,588.61 ","$2,470.94 ","$36,377.52 ","$51,440.05 ","$44,479.74 ","$16,944.96 ","$54,465.93 ", N/A ,"$48,414.16 ","$48,414.16 ","$34,645.25 ","$39,336.51 " ST. FRANCIS HOSPITAL - ACUTE,N/A,473,CERVICAL SPINAL FUSION WITHOUT CC/MCC,120,1 ,"$15,305.70 ","$11,020.10 ","$2,324.00 ","$15,305.70 ","$11,784.10 ","$11,020.10 ","$8,326.30 ","$4,619.37 ","$4,285.60 ","$12,171.78 ","$4,619.37 ","$12,812.40 ","$4,619.37 ","$11,531.16 ","$11,531.16 ","$4,619.37 ","$11,531.16 ","$9,521.55 ","$13,009.85 ", N/A ,"$4,619.37 ","$13,009.85 ","$11,479.28 ","$4,619.37 ","$11,479.28 ","$2,324.00 ","$2,324.00 ","$4,619.37 ","$2,324.00 ", N/A , N/A , N/A ,"$13,775.13 ","$11,784.10 ","$4,619.37 ", N/A ,"$8,586.50 ","$4,619.37 ","$6,336.56 ","$2,588.61 ","$2,470.94 ","$4,850.33 ","$13,009.85 ","$11,531.16 ","$4,285.60 ","$13,775.13 ", N/A ,"$12,244.56 ","$12,244.56 ","$4,619.37 ","$9,948.71 " ST. FRANCIS HOSPITAL - ACUTE,N/A,470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,120,1 ,"$11,455.16 ","$8,247.72 ","$2,324.00 ","$11,784.10 ","$11,784.10 ","$8,247.72 ","$6,231.61 ","$4,619.37 ","$3,207.44 ","$9,179.61 ","$4,619.37 ","$9,662.74 ","$4,619.37 ","$8,696.47 ","$8,696.47 ","$4,619.37 ","$8,696.47 ","$9,521.55 ","$9,736.89 ", N/A ,"$4,619.37 ","$9,736.89 ","$8,591.37 ","$4,619.37 ","$8,591.37 ","$2,324.00 ","$2,324.00 ","$4,619.37 ","$2,324.00 ", N/A , N/A , N/A ,"$10,309.64 ","$11,784.10 ","$4,619.37 ", N/A ,"$6,426.34 ","$4,619.37 ","$4,742.44 ","$2,588.61 ","$2,470.94 ","$4,850.33 ","$9,736.89 ","$8,696.47 ","$3,207.44 ","$10,309.64 ", N/A ,"$9,164.13 ","$9,164.13 ","$4,619.37 ","$7,445.85 " ST. FRANCIS HOSPITAL - ACUTE,N/A,460,SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC,120,1 ,"$23,694.57 ","$17,060.09 ","$2,470.94 ","$23,694.57 ","$23,568.20 ","$17,060.09 ","$12,889.85 ","$9,238.73 ","$6,634.48 ","$18,081.70 ","$9,238.73 ","$19,033.36 ","$9,238.73 ","$17,130.03 ","$17,130.03 ","$9,238.73 ","$17,130.03 ","$19,043.11 ","$20,140.38 ", N/A ,"$9,238.73 ","$20,140.38 ","$17,770.93 ","$9,238.73 ","$17,770.93 ","$4,648.00 ","$4,648.00 ","$9,238.73 ","$4,648.00 ", N/A , N/A , N/A ,"$21,325.11 ","$23,568.20 ","$9,238.73 ", N/A ,"$13,292.65 ","$9,238.73 ","$9,809.55 ","$2,588.61 ","$2,470.94 ","$9,700.67 ","$20,140.38 ","$17,130.03 ","$6,634.48 ","$21,325.11 ", N/A ,"$18,955.66 ","$18,955.66 ","$9,238.73 ","$15,401.47 " ST. FRANCIS HOSPITAL - ACUTE,N/A,743,UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,120,1 ,"$6,828.61 ","$4,916.60 ","$1,912.01 ","$11,784.10 ","$11,784.10 ","$4,916.60 ","$3,714.76 ","$4,619.37 ","$1,912.01 ","$5,620.40 ","$4,619.37 ","$5,916.21 ","$4,619.37 ","$5,324.59 ","$5,324.59 ","$4,619.37 ","$5,324.59 ","$9,521.55 ","$5,804.32 ", N/A ,"$4,619.37 ","$5,804.32 ","$5,121.46 ","$4,619.37 ","$5,121.46 ","$2,324.00 ","$2,324.00 ","$4,619.37 ","$2,324.00 ", N/A , N/A , N/A ,"$6,145.75 ","$11,784.10 ","$4,619.37 ", N/A ,"$3,830.85 ","$4,619.37 ","$2,827.04 ","$2,588.61 ","$2,470.94 ","$4,850.33 ","$5,804.32 ","$5,324.59 ","$1,912.01 ","$6,145.75 ", N/A ,"$5,462.89 ","$5,462.89 ","$4,619.37 ","$4,438.60 " ST. FRANCIS HOSPITAL - ACUTE,12000001,N/A,HC DAILY SERVICE GENERAL,120,1 ,"$1,188.00 ",$855.36 ,$332.64 ,"$1,188.00 ", Inpatient Medicare +150% ,$855.36 ,$646.27 , Inpatient Medicare ,$332.64 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,"$1,009.80 ", Inpatient Medicare +150% , Inpatient Medicare ,"$1,009.80 ",$891.00 , Inpatient Medicare ,$891.00 ,"$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,014.00 ","$1,014.00 ","$1,014.00 ","$1,069.20 ", Inpatient Medicare +150% , Inpatient Medicare , N/A ,$666.47 , Inpatient Medicare ,$491.83 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,009.80 ","$4,548.60 ",$332.64 ,"$1,069.20 ","$1,014.00 ",$950.40 ,$950.40 , Inpatient Medicare ,$772.20 ST. FRANCIS HOSPITAL - ACUTE,12000002,N/A,HC DAILY SERVICE SWING BED,120,1 ,$369.00 ,$265.68 ,$103.32 ,$369.00 , Inpatient Medicare +150% ,$265.68 ,$200.74 , Inpatient Medicare ,$103.32 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,$313.65 , Inpatient Medicare +150% , Inpatient Medicare ,$313.65 ,$276.75 , Inpatient Medicare ,$276.75 ,"$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,014.00 ","$1,014.00 ","$1,014.00 ",$332.10 , Inpatient Medicare +150% , Inpatient Medicare , N/A ,$207.01 , Inpatient Medicare ,$152.77 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$313.65 ,"$4,548.60 ",$103.32 ,$332.10 ,"$1,014.00 ",$295.20 ,$295.20 , Inpatient Medicare ,$239.85 ST. FRANCIS HOSPITAL - ACUTE,12000006,N/A,HC DAILY SERVICE W/TELEMETRY,120,1 ,"$1,622.00 ","$1,167.84 ",$454.16 ,"$1,622.00 ", Inpatient Medicare +150% ,"$1,167.84 ",$882.37 , Inpatient Medicare ,$454.16 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,"$1,378.70 ", Inpatient Medicare +150% , Inpatient Medicare ,"$1,378.70 ","$1,216.50 ", Inpatient Medicare ,"$1,216.50 ","$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,014.00 ","$1,014.00 ","$1,014.00 ","$1,459.80 ", Inpatient Medicare +150% , Inpatient Medicare , N/A ,$909.94 , Inpatient Medicare ,$671.51 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,378.70 ","$4,548.60 ",$454.16 ,"$1,459.80 ","$1,014.00 ","$1,297.60 ","$1,297.60 ", Inpatient Medicare ,"$1,054.30 " ST. FRANCIS HOSPITAL - ACUTE,12200001,N/A,HC DAILY SERVICE OBSTETRICS,122,1 ,"$1,188.00 ",$855.36 ,$332.64 ,"$1,188.00 ", Inpatient Medicare +150% ,$855.36 ,$646.27 , Inpatient Medicare ,$332.64 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,"$1,009.80 ", Inpatient Medicare +150% , Inpatient Medicare ,"$1,009.80 ",$757.35 , Inpatient Medicare ,$891.00 ,"$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,014.00 ","$1,014.00 ","$1,014.00 ","$1,069.20 ", Inpatient Medicare +150% , Inpatient Medicare , N/A ,$666.47 , Inpatient Medicare ,$491.83 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$1,009.80 ","$4,548.60 ",$332.64 ,"$1,069.20 ","$1,014.00 ",$950.40 ,$950.40 , Inpatient Medicare ,$772.20 ST. FRANCIS HOSPITAL - ACUTE,12500001,N/A,HC DAILY HOSPICE ACUTE CARE,125,1 ,$900.00 ,$648.00 ,$252.00 ,$900.00 , Inpatient Medicare +150% ,$648.00 ,$489.60 , Inpatient Medicare ,$252.00 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,$765.00 , Inpatient Medicare +150% , Inpatient Medicare ,$765.00 ,$675.00 , Inpatient Medicare ,$675.00 ,"$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,014.00 ","$1,014.00 ","$1,014.00 ",$810.00 , Inpatient Medicare +150% , Inpatient Medicare , N/A ,$504.90 , Inpatient Medicare ,$372.60 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$765.00 ,"$4,548.60 ",$252.00 ,$810.00 ,"$1,014.00 ",$720.00 ,$720.00 , Inpatient Medicare ,$585.00 ST. FRANCIS HOSPITAL - ACUTE,17100001,N/A,HC DAILY INFANT SERVICE LEV 1,171,1 ,$641.00 ,$461.52 ,$179.48 ,$641.00 , Inpatient Medicare +150% ,$461.52 ,$348.70 , Inpatient Medicare ,$179.48 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,$544.85 , Inpatient Medicare +150% , Inpatient Medicare ,$544.85 ,$480.75 , Inpatient Medicare ,$480.75 ,0.00,0.00, Inpatient Medicare ,0.00,$299.00 ,$299.00 ,$299.00 ,$576.90 , Inpatient Medicare +150% , Inpatient Medicare , N/A ,$359.60 , Inpatient Medicare ,$265.37 , Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,$544.85 ,"$4,548.60 ",$179.48 ,$576.90 ,$299.00 ,$512.80 ,$512.80 , Inpatient Medicare ,$416.65 ST. FRANCIS HOSPITAL - ACUTE,20000001,N/A,HC DAILY SERVICE ICU,200,1 ,"$2,493.00 ","$1,794.96 ",$698.04 ,"$2,493.00 ", Inpatient Medicare +150% ,"$1,794.96 ","$1,356.19 ", Inpatient Medicare ,$698.04 ,"$4,801.30 ", Inpatient Medicare ,"$5,054.00 ", Inpatient Medicare ,"$4,548.60 ","$4,548.60 ", Inpatient Medicare ,"$4,548.60 ", Inpatient Medicare +102% ,"$2,119.05 ", Inpatient Medicare +150% , Inpatient Medicare ,"$2,119.05 ","$1,869.75 ", Inpatient Medicare ,"$1,869.75 ","$1,162.00 ","$1,162.00 ", Inpatient Medicare ,"$1,162.00 ","$1,967.00 ","$1,967.00 ","$1,967.00 ","$2,243.70 ", Inpatient Medicare +150% , Inpatient Medicare , N/A ,"$1,398.57 ", Inpatient Medicare ,"$1,032.10 ", Inpatient Medicaid +10% , Inpatient Medicaid +5% , Inpatient Medicare +5% ,"$2,119.05 ","$4,548.60 ",$698.04 ,"$2,243.70 ","$1,967.00 ","$1,994.40 ","$1,994.40 ", Inpatient Medicare ,"$1,620.45 " ST. FRANCIS HOSPITAL - ACUTE,23100003,N/A,HC ADVANCED NURSING CARE,231,1 ,$260.00 ,$187.20 ,$58.60 ,$260.00 ,$149.50 ,$187.20 ,$141.44 ,$58.60 ,$72.80 ,$172.90 ,$58.60 ,$182.00 ,$58.60 ,$163.80 ,$163.80 ,$58.60 ,$163.80 ,$120.80 ,$239.20 , N/A ,$58.60 ,$221.00 ,$218.40 ,$58.60 ,$195.00 ,$208.00 ,$208.00 ,$58.60 ,$208.00 ,$226.20 ,$226.20 ,$226.20 ,$234.00 ,$149.50 ,$58.60 ,$260.00 ,$145.86 ,$58.60 ,$107.64 , N/A , N/A ,$61.53 ,$221.00 ,$163.80 ,$72.80 ,$234.00 ,$226.20 ,$208.00 ,$208.00 ,$58.60 ,$169.00 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ATROPINE 1 % SOLN 5 ML BOTTLE,250,1 ,$110.95 ,$79.88 ,$25.01 ,$110.95 ,$63.80 ,$79.88 ,$60.36 ,$25.01 ,$31.07 ,$73.78 ,$25.01 ,$77.67 ,$25.01 ,$69.90 ,$69.90 ,$25.01 ,$69.90 ,$51.55 ,$102.07 , N/A ,$25.01 ,$94.31 ,$93.20 ,$25.01 ,$83.21 ,$88.76 ,$88.76 ,$25.01 ,$88.76 ,$96.53 ,$96.53 ,$96.53 ,$99.86 ,$63.80 ,$25.01 ,$110.95 ,$62.24 ,$25.01 ,$45.93 , N/A , N/A ,$26.26 ,$94.31 ,$69.90 ,$31.07 ,$99.86 ,$96.53 ,$88.76 ,$88.76 ,$25.01 ,$72.12 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,AZTREONAM 1 G SOLR 1 EACH VIAL,250,1 ,$86.60 ,$62.35 ,$19.52 ,$86.60 ,$49.80 ,$62.35 ,$47.11 ,$19.52 ,$24.25 ,$57.59 ,$19.52 ,$60.62 ,$19.52 ,$54.56 ,$54.56 ,$19.52 ,$54.56 ,$40.24 ,$79.67 , N/A ,$19.52 ,$73.61 ,$72.74 ,$19.52 ,$64.95 ,$69.28 ,$69.28 ,$19.52 ,$69.28 ,$75.34 ,$75.34 ,$75.34 ,$77.94 ,$49.80 ,$19.52 ,$86.60 ,$48.58 ,$19.52 ,$35.85 , N/A , N/A ,$20.50 ,$73.61 ,$54.56 ,$24.25 ,$77.94 ,$75.34 ,$69.28 ,$69.28 ,$19.52 ,$56.29 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,AZTREONAM 2 G SOLR 1 EACH VIAL,250,1 ,$139.20 ,$100.22 ,$31.38 ,$139.20 ,$80.05 ,$100.22 ,$75.72 ,$31.38 ,$38.98 ,$92.57 ,$31.38 ,$97.44 ,$31.38 ,$87.70 ,$87.70 ,$31.38 ,$87.70 ,$64.68 ,$128.06 , N/A ,$31.38 ,$118.32 ,$116.93 ,$31.38 ,$104.40 ,$111.36 ,$111.36 ,$31.38 ,$111.36 ,$121.10 ,$121.10 ,$121.10 ,$125.28 ,$80.05 ,$31.38 ,$139.20 ,$78.09 ,$31.38 ,$57.63 , N/A , N/A ,$32.95 ,$118.32 ,$87.70 ,$38.98 ,$125.28 ,$121.10 ,$111.36 ,$111.36 ,$31.38 ,$90.48 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BARIUM SULFATE 2 % SUSP,250,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 , N/A ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 , N/A , N/A ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BARIUM SULFATE 60 % SUSP,250,1 ,$101.55 ,$73.12 ,$22.89 ,$101.55 ,$58.40 ,$73.12 ,$55.24 ,$22.89 ,$28.43 ,$67.53 ,$22.89 ,$71.09 ,$22.89 ,$63.98 ,$63.98 ,$22.89 ,$63.98 ,$47.19 ,$93.43 , N/A ,$22.89 ,$86.32 ,$85.30 ,$22.89 ,$76.16 ,$81.24 ,$81.24 ,$22.89 ,$81.24 ,$88.35 ,$88.35 ,$88.35 ,$91.40 ,$58.40 ,$22.89 ,$101.55 ,$56.97 ,$22.89 ,$42.04 , N/A , N/A ,$24.04 ,$86.32 ,$63.98 ,$28.43 ,$91.40 ,$88.35 ,$81.24 ,$81.24 ,$22.89 ,$66.01 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 56 G CAN,250,1 ,$10.90 ,$7.85 ,$2.46 ,$10.90 ,$6.28 ,$7.85 ,$5.93 ,$2.46 ,$3.05 ,$7.25 ,$2.46 ,$7.63 ,$2.46 ,$6.87 ,$6.87 ,$2.46 ,$6.87 ,$5.07 ,$10.03 , N/A ,$2.46 ,$9.27 ,$9.16 ,$2.46 ,$8.18 ,$8.72 ,$8.72 ,$2.46 ,$8.72 ,$9.48 ,$9.48 ,$9.48 ,$9.81 ,$6.28 ,$2.46 ,$10.90 ,$6.11 ,$2.46 ,$4.51 , N/A , N/A ,$2.59 ,$9.27 ,$6.87 ,$3.05 ,$9.81 ,$9.48 ,$8.72 ,$8.72 ,$2.46 ,$7.09 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BENZOCAINE-MENTHOL 20-0.5 % AERO 85 G CAN,250,1 ,$13.30 ,$9.58 ,$3.00 ,$13.30 ,$7.65 ,$9.58 ,$7.24 ,$3.00 ,$3.72 ,$8.84 ,$3.00 ,$9.31 ,$3.00 ,$8.38 ,$8.38 ,$3.00 ,$8.38 ,$6.18 ,$12.24 , N/A ,$3.00 ,$11.31 ,$11.17 ,$3.00 ,$9.98 ,$10.64 ,$10.64 ,$3.00 ,$10.64 ,$11.57 ,$11.57 ,$11.57 ,$11.97 ,$7.65 ,$3.00 ,$13.30 ,$7.46 ,$3.00 ,$5.51 , N/A , N/A ,$3.15 ,$11.31 ,$8.38 ,$3.72 ,$11.97 ,$11.57 ,$10.64 ,$10.64 ,$3.00 ,$8.65 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BRIMONIDINE 0.2 % SOLN 5 ML BOTTLE,250,1 ,$25.00 ,$18.00 ,$5.63 ,$25.00 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 , N/A ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUDESONIDE 0.25 MG/2ML SUSP,250,1 ,$19.00 ,$13.68 ,$4.28 ,$19.00 ,$10.93 ,$13.68 ,$10.34 ,$4.28 ,$5.32 ,$12.64 ,$4.28 ,$13.30 ,$4.28 ,$11.97 ,$11.97 ,$4.28 ,$11.97 ,$8.83 ,$17.48 , N/A ,$4.28 ,$16.15 ,$15.96 ,$4.28 ,$14.25 ,$15.20 ,$15.20 ,$4.28 ,$15.20 ,$16.53 ,$16.53 ,$16.53 ,$17.10 ,$10.93 ,$4.28 ,$19.00 ,$10.66 ,$4.28 ,$7.87 , N/A , N/A ,$4.50 ,$16.15 ,$11.97 ,$5.32 ,$17.10 ,$16.53 ,$15.20 ,$15.20 ,$4.28 ,$12.35 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUDESONIDE 0.5 MG/2ML SUSP,250,1 ,$24.65 ,$17.75 ,$5.56 ,$24.65 ,$14.18 ,$17.75 ,$13.41 ,$5.56 ,$6.90 ,$16.39 ,$5.56 ,$17.26 ,$5.56 ,$15.53 ,$15.53 ,$5.56 ,$15.53 ,$11.45 ,$22.68 , N/A ,$5.56 ,$20.95 ,$20.71 ,$5.56 ,$18.49 ,$19.72 ,$19.72 ,$5.56 ,$19.72 ,$21.45 ,$21.45 ,$21.45 ,$22.19 ,$14.18 ,$5.56 ,$24.65 ,$13.83 ,$5.56 ,$10.21 , N/A , N/A ,$5.83 ,$20.95 ,$15.53 ,$6.90 ,$22.19 ,$21.45 ,$19.72 ,$19.72 ,$5.56 ,$16.02 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE (PF) 0.5 % SOLN,250,1 ,$30.25 ,$21.78 ,$6.82 ,$30.25 ,$17.40 ,$21.78 ,$16.46 ,$6.82 ,$8.47 ,$20.12 ,$6.82 ,$21.18 ,$6.82 ,$19.06 ,$19.06 ,$6.82 ,$19.06 ,$14.06 ,$27.83 , N/A ,$6.82 ,$25.71 ,$25.41 ,$6.82 ,$22.69 ,$24.20 ,$24.20 ,$6.82 ,$24.20 ,$26.32 ,$26.32 ,$26.32 ,$27.23 ,$17.40 ,$6.82 ,$30.25 ,$16.97 ,$6.82 ,$12.52 , N/A , N/A ,$7.16 ,$25.71 ,$19.06 ,$8.47 ,$27.23 ,$26.32 ,$24.20 ,$24.20 ,$6.82 ,$19.66 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE-EPINEPHRINE (PF) 0.25% -1:200000 SOLN,250,1 ,$44.20 ,$31.82 ,$9.97 ,$44.20 ,$25.43 ,$31.82 ,$24.04 ,$9.97 ,$12.38 ,$29.39 ,$9.97 ,$30.94 ,$9.97 ,$27.85 ,$27.85 ,$9.97 ,$27.85 ,$20.54 ,$40.66 , N/A ,$9.97 ,$37.57 ,$37.13 ,$9.97 ,$33.15 ,$35.36 ,$35.36 ,$9.97 ,$35.36 ,$38.45 ,$38.45 ,$38.45 ,$39.78 ,$25.43 ,$9.97 ,$44.20 ,$24.80 ,$9.97 ,$18.30 , N/A , N/A ,$10.47 ,$37.57 ,$27.85 ,$12.38 ,$39.78 ,$38.45 ,$35.36 ,$35.36 ,$9.97 ,$28.73 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE-EPINEPHRINE PF 0.5% -1:200000 SOLN,250,1 ,$47.55 ,$34.24 ,$10.72 ,$47.55 ,$27.35 ,$34.24 ,$25.87 ,$10.72 ,$13.31 ,$31.62 ,$10.72 ,$33.29 ,$10.72 ,$29.96 ,$29.96 ,$10.72 ,$29.96 ,$22.10 ,$43.75 , N/A ,$10.72 ,$40.42 ,$39.94 ,$10.72 ,$35.66 ,$38.04 ,$38.04 ,$10.72 ,$38.04 ,$41.37 ,$41.37 ,$41.37 ,$42.80 ,$27.35 ,$10.72 ,$47.55 ,$26.68 ,$10.72 ,$19.69 , N/A , N/A ,$11.26 ,$40.42 ,$29.96 ,$13.31 ,$42.80 ,$41.37 ,$38.04 ,$38.04 ,$10.72 ,$30.91 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CALCIUM CHLORIDE 10 % SOLN,250,1 ,$41.40 ,$29.81 ,$9.33 ,$41.40 ,$23.80 ,$29.81 ,$22.52 ,$9.33 ,$11.59 ,$27.53 ,$9.33 ,$28.98 ,$9.33 ,$26.08 ,$26.08 ,$9.33 ,$26.08 ,$19.23 ,$38.09 , N/A ,$9.33 ,$35.19 ,$34.78 ,$9.33 ,$31.05 ,$33.12 ,$33.12 ,$9.33 ,$33.12 ,$36.02 ,$36.02 ,$36.02 ,$37.26 ,$23.80 ,$9.33 ,$41.40 ,$23.23 ,$9.33 ,$17.14 , N/A , N/A ,$9.80 ,$35.19 ,$26.08 ,$11.59 ,$37.26 ,$36.02 ,$33.12 ,$33.12 ,$9.33 ,$26.91 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CALCIUM CHLORIDE 10 % SOLN 10 ML VIAL,250,1 ,$97.05 ,$69.88 ,$21.87 ,$97.05 ,$55.80 ,$69.88 ,$52.80 ,$21.87 ,$27.17 ,$64.54 ,$21.87 ,$67.94 ,$21.87 ,$61.14 ,$61.14 ,$21.87 ,$61.14 ,$45.09 ,$89.29 , N/A ,$21.87 ,$82.49 ,$81.52 ,$21.87 ,$72.79 ,$77.64 ,$77.64 ,$21.87 ,$77.64 ,$84.43 ,$84.43 ,$84.43 ,$87.35 ,$55.80 ,$21.87 ,$97.05 ,$54.45 ,$21.87 ,$40.18 , N/A , N/A ,$22.97 ,$82.49 ,$61.14 ,$27.17 ,$87.35 ,$84.43 ,$77.64 ,$77.64 ,$21.87 ,$63.08 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CARBOPROST 250 MCG/ML SOLN,250,1 ,"$1,709.80 ","$1,231.06 ",$385.38 ,"$1,709.80 ",$983.13 ,"$1,231.06 ",$930.13 ,$385.38 ,$478.74 ,"$1,137.02 ",$385.38 ,"$1,196.86 ",$385.38 ,"$1,077.17 ","$1,077.17 ",$385.38 ,"$1,077.17 ",$794.37 ,"$1,573.02 ", N/A ,$385.38 ,"$1,453.33 ","$1,436.23 ",$385.38 ,"$1,282.35 ","$1,367.84 ","$1,367.84 ",$385.38 ,"$1,367.84 ","$1,487.53 ","$1,487.53 ","$1,487.53 ","$1,538.82 ",$983.13 ,$385.38 ,"$1,709.80 ",$959.20 ,$385.38 ,$707.86 , N/A , N/A ,$404.65 ,"$1,453.33 ","$1,077.17 ",$478.74 ,"$1,538.82 ","$1,487.53 ","$1,367.84 ","$1,367.84 ",$385.38 ,"$1,111.37 " ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CHARCOAL ACTIVATED LIQD,250,1 ,$29.03 ,$20.90 ,$6.55 ,$29.03 ,$16.70 ,$20.90 ,$15.79 ,$6.55 ,$8.13 ,$19.31 ,$6.55 ,$20.32 ,$6.55 ,$18.29 ,$18.29 ,$6.55 ,$18.29 ,$13.49 ,$26.71 , N/A ,$6.55 ,$24.68 ,$24.39 ,$6.55 ,$21.77 ,$23.22 ,$23.22 ,$6.55 ,$23.22 ,$25.26 ,$25.26 ,$25.26 ,$26.13 ,$16.70 ,$6.55 ,$29.03 ,$16.29 ,$6.55 ,$12.02 , N/A , N/A ,$6.87 ,$24.68 ,$18.29 ,$8.13 ,$26.13 ,$25.26 ,$23.22 ,$23.22 ,$6.55 ,$18.87 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CHARCOAL ACTIVATED LIQD 120 ML BOTTLE,250,1 ,$59.30 ,$42.70 ,$13.37 ,$59.30 ,$34.10 ,$42.70 ,$32.26 ,$13.37 ,$16.60 ,$39.43 ,$13.37 ,$41.51 ,$13.37 ,$37.36 ,$37.36 ,$13.37 ,$37.36 ,$27.55 ,$54.56 , N/A ,$13.37 ,$50.41 ,$49.81 ,$13.37 ,$44.48 ,$47.44 ,$47.44 ,$13.37 ,$47.44 ,$51.59 ,$51.59 ,$51.59 ,$53.37 ,$34.10 ,$13.37 ,$59.30 ,$33.27 ,$13.37 ,$24.55 , N/A , N/A ,$14.03 ,$50.41 ,$37.36 ,$16.60 ,$53.37 ,$51.59 ,$47.44 ,$47.44 ,$13.37 ,$38.55 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CHLORHEXIDINE 0.12 % SOLN,250,1 ,$6.55 ,$4.72 ,$1.48 ,$6.55 ,$3.78 ,$4.72 ,$3.56 ,$1.48 ,$1.83 ,$4.36 ,$1.48 ,$4.59 ,$1.48 ,$4.13 ,$4.13 ,$1.48 ,$4.13 ,$3.05 ,$6.03 , N/A ,$1.48 ,$5.57 ,$5.50 ,$1.48 ,$4.91 ,$5.24 ,$5.24 ,$1.48 ,$5.24 ,$5.70 ,$5.70 ,$5.70 ,$5.90 ,$3.78 ,$1.48 ,$6.55 ,$3.67 ,$1.48 ,$2.71 , N/A , N/A ,$1.56 ,$5.57 ,$4.13 ,$1.83 ,$5.90 ,$5.70 ,$5.24 ,$5.24 ,$1.48 ,$4.26 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CIPROFLOXACIN 0.3 % SOLN 5 ML BOTTLE,250,1 ,$94.65 ,$68.15 ,$21.33 ,$94.65 ,$54.43 ,$68.15 ,$51.49 ,$21.33 ,$26.50 ,$62.94 ,$21.33 ,$66.26 ,$21.33 ,$59.63 ,$59.63 ,$21.33 ,$59.63 ,$43.98 ,$87.08 , N/A ,$21.33 ,$80.45 ,$79.51 ,$21.33 ,$70.99 ,$75.72 ,$75.72 ,$21.33 ,$75.72 ,$82.35 ,$82.35 ,$82.35 ,$85.19 ,$54.43 ,$21.33 ,$94.65 ,$53.10 ,$21.33 ,$39.19 , N/A , N/A ,$22.40 ,$80.45 ,$59.63 ,$26.50 ,$85.19 ,$82.35 ,$75.72 ,$75.72 ,$21.33 ,$61.52 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,COLLAGENASE 250 UNIT/GM OINT 30 G TUBE,250,1 ,$21.95 ,$15.80 ,$4.95 ,$21.95 ,$12.63 ,$15.80 ,$11.94 ,$4.95 ,$6.15 ,$14.60 ,$4.95 ,$15.37 ,$4.95 ,$13.83 ,$13.83 ,$4.95 ,$13.83 ,$10.20 ,$20.19 , N/A ,$4.95 ,$18.66 ,$18.44 ,$4.95 ,$16.46 ,$17.56 ,$17.56 ,$4.95 ,$17.56 ,$19.10 ,$19.10 ,$19.10 ,$19.76 ,$12.63 ,$4.95 ,$21.95 ,$12.31 ,$4.95 ,$9.09 , N/A , N/A ,$5.19 ,$18.66 ,$13.83 ,$6.15 ,$19.76 ,$19.10 ,$17.56 ,$17.56 ,$4.95 ,$14.27 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DEXAMETHASONE 0.1 % SOLN 5 ML BOTTLE,250,1 ,$129.40 ,$93.17 ,$29.16 ,$129.40 ,$74.40 ,$93.17 ,$70.39 ,$29.16 ,$36.23 ,$86.05 ,$29.16 ,$90.58 ,$29.16 ,$81.52 ,$81.52 ,$29.16 ,$81.52 ,$60.12 ,$119.05 , N/A ,$29.16 ,$109.99 ,$108.70 ,$29.16 ,$97.05 ,$103.52 ,$103.52 ,$29.16 ,$103.52 ,$112.58 ,$112.58 ,$112.58 ,$116.46 ,$74.40 ,$29.16 ,$129.40 ,$72.59 ,$29.16 ,$53.57 , N/A , N/A ,$30.62 ,$109.99 ,$81.52 ,$36.23 ,$116.46 ,$112.58 ,$103.52 ,$103.52 ,$29.16 ,$84.11 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DEXMEDETOMIDINE 200 MCG/2ML SOLN,250,1 ,$26.05 ,$18.76 ,$5.87 ,$26.05 ,$14.98 ,$18.76 ,$14.17 ,$5.87 ,$7.29 ,$17.32 ,$5.87 ,$18.24 ,$5.87 ,$16.41 ,$16.41 ,$5.87 ,$16.41 ,$12.10 ,$23.97 , N/A ,$5.87 ,$22.14 ,$21.88 ,$5.87 ,$19.54 ,$20.84 ,$20.84 ,$5.87 ,$20.84 ,$22.66 ,$22.66 ,$22.66 ,$23.45 ,$14.98 ,$5.87 ,$26.05 ,$14.61 ,$5.87 ,$10.78 , N/A , N/A ,$6.16 ,$22.14 ,$16.41 ,$7.29 ,$23.45 ,$22.66 ,$20.84 ,$20.84 ,$5.87 ,$16.93 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DILTIAZEM 1 MG/ML SOLN,250,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CLINDAMYCIN 300-0.9 MG/50ML-% SOLN,250,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CLINDAMYCIN 600-0.9 MG/50ML-% SOLN,250,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CLINDAMYCIN 900-0.9 MG/50ML-% SOLN,250,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DOXYCYCLINE HYCLATE 100 MG SOLR 1 EACH VIAL,250,1 ,$120.80 ,$86.98 ,$27.22 ,$120.80 ,$69.45 ,$86.98 ,$65.72 ,$27.22 ,$33.82 ,$80.33 ,$27.22 ,$84.56 ,$27.22 ,$76.10 ,$76.10 ,$27.22 ,$76.10 ,$56.12 ,$111.14 , N/A ,$27.22 ,$102.68 ,$101.47 ,$27.22 ,$90.60 ,$96.64 ,$96.64 ,$27.22 ,$96.64 ,$105.10 ,$105.10 ,$105.10 ,$108.72 ,$69.45 ,$27.22 ,$120.80 ,$67.77 ,$27.22 ,$50.01 , N/A , N/A ,$28.59 ,$102.68 ,$76.10 ,$33.82 ,$108.72 ,$105.10 ,$96.64 ,$96.64 ,$27.22 ,$78.52 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ETOMIDATE 2 MG/ML SOLN,250,1 ,$30.75 ,$22.14 ,$6.93 ,$30.75 ,$17.68 ,$22.14 ,$16.73 ,$6.93 ,$8.61 ,$20.45 ,$6.93 ,$21.53 ,$6.93 ,$19.37 ,$19.37 ,$6.93 ,$19.37 ,$14.28 ,$28.29 , N/A ,$6.93 ,$26.14 ,$25.83 ,$6.93 ,$23.06 ,$24.60 ,$24.60 ,$6.93 ,$24.60 ,$26.75 ,$26.75 ,$26.75 ,$27.68 ,$17.68 ,$6.93 ,$30.75 ,$17.25 ,$6.93 ,$12.73 , N/A , N/A ,$7.27 ,$26.14 ,$19.37 ,$8.61 ,$27.68 ,$26.75 ,$24.60 ,$24.60 ,$6.93 ,$19.99 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FAT EMULSION 20 % EMUL,250,1 ,$90.40 ,$65.09 ,$20.37 ,$90.40 ,$51.98 ,$65.09 ,$49.18 ,$20.37 ,$25.31 ,$60.12 ,$20.37 ,$63.28 ,$20.37 ,$56.95 ,$56.95 ,$20.37 ,$56.95 ,$42.00 ,$83.17 , N/A ,$20.37 ,$76.84 ,$75.94 ,$20.37 ,$67.80 ,$72.32 ,$72.32 ,$20.37 ,$72.32 ,$78.65 ,$78.65 ,$78.65 ,$81.36 ,$51.98 ,$20.37 ,$90.40 ,$50.71 ,$20.37 ,$37.43 , N/A , N/A ,$21.39 ,$76.84 ,$56.95 ,$25.31 ,$81.36 ,$78.65 ,$72.32 ,$72.32 ,$20.37 ,$58.76 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FORMOTEROL 20 MCG/2ML NEBU,250,1 ,$44.65 ,$32.15 ,$10.06 ,$44.65 ,$25.68 ,$32.15 ,$24.29 ,$10.06 ,$12.50 ,$29.69 ,$10.06 ,$31.26 ,$10.06 ,$28.13 ,$28.13 ,$10.06 ,$28.13 ,$20.75 ,$41.08 , N/A ,$10.06 ,$37.95 ,$37.51 ,$10.06 ,$33.49 ,$35.72 ,$35.72 ,$10.06 ,$35.72 ,$38.85 ,$38.85 ,$38.85 ,$40.19 ,$25.68 ,$10.06 ,$44.65 ,$25.05 ,$10.06 ,$18.49 , N/A , N/A ,$10.56 ,$37.95 ,$28.13 ,$12.50 ,$40.19 ,$38.85 ,$35.72 ,$35.72 ,$10.06 ,$29.02 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,GENTIAN VIOLET 1 % SOLN 59 ML BOTTLE,250,1 ,$16.65 ,$11.99 ,$3.75 ,$16.65 ,$9.58 ,$11.99 ,$9.06 ,$3.75 ,$4.66 ,$11.07 ,$3.75 ,$11.66 ,$3.75 ,$10.49 ,$10.49 ,$3.75 ,$10.49 ,$7.74 ,$15.32 , N/A ,$3.75 ,$14.15 ,$13.99 ,$3.75 ,$12.49 ,$13.32 ,$13.32 ,$3.75 ,$13.32 ,$14.49 ,$14.49 ,$14.49 ,$14.99 ,$9.58 ,$3.75 ,$16.65 ,$9.34 ,$3.75 ,$6.89 , N/A , N/A ,$3.94 ,$14.15 ,$10.49 ,$4.66 ,$14.99 ,$14.49 ,$13.32 ,$13.32 ,$3.75 ,$10.82 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,INSULIN REGULAR 100 UNITS/100 ML NS SOLN,250,1 ,$168.00 ,$120.96 ,$37.87 ,$168.00 ,$96.60 ,$120.96 ,$91.39 ,$37.87 ,$47.04 ,$111.72 ,$37.87 ,$117.60 ,$37.87 ,$105.84 ,$105.84 ,$37.87 ,$105.84 ,$78.05 ,$154.56 , N/A ,$37.87 ,$142.80 ,$141.12 ,$37.87 ,$126.00 ,$134.40 ,$134.40 ,$37.87 ,$134.40 ,$146.16 ,$146.16 ,$146.16 ,$151.20 ,$96.60 ,$37.87 ,$168.00 ,$94.25 ,$37.87 ,$69.55 , N/A , N/A ,$39.76 ,$142.80 ,$105.84 ,$47.04 ,$151.20 ,$146.16 ,$134.40 ,$134.40 ,$37.87 ,$109.20 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,IPRATROPIUM 0.06 % SOLN 15 ML BOTTLE,250,1 ,$191.45 ,$137.84 ,$43.15 ,$191.45 ,$110.08 ,$137.84 ,$104.15 ,$43.15 ,$53.61 ,$127.31 ,$43.15 ,$134.02 ,$43.15 ,$120.61 ,$120.61 ,$43.15 ,$120.61 ,$88.94 ,$176.13 , N/A ,$43.15 ,$162.73 ,$160.82 ,$43.15 ,$143.59 ,$153.16 ,$153.16 ,$43.15 ,$153.16 ,$166.56 ,$166.56 ,$166.56 ,$172.31 ,$110.08 ,$43.15 ,$191.45 ,$107.40 ,$43.15 ,$79.26 , N/A , N/A ,$45.31 ,$162.73 ,$120.61 ,$53.61 ,$172.31 ,$166.56 ,$153.16 ,$153.16 ,$43.15 ,$124.44 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LEVOTHYROXINE 100 MCG SOLR,250,1 ,$253.40 ,$182.45 ,$57.11 ,$253.40 ,$145.70 ,$182.45 ,$137.85 ,$57.11 ,$70.95 ,$168.51 ,$57.11 ,$177.38 ,$57.11 ,$159.64 ,$159.64 ,$57.11 ,$159.64 ,$117.73 ,$233.13 , N/A ,$57.11 ,$215.39 ,$212.86 ,$57.11 ,$190.05 ,$202.72 ,$202.72 ,$57.11 ,$202.72 ,$220.46 ,$220.46 ,$220.46 ,$228.06 ,$145.70 ,$57.11 ,$253.40 ,$142.16 ,$57.11 ,$104.91 , N/A , N/A ,$59.97 ,$215.39 ,$159.64 ,$70.95 ,$228.06 ,$220.46 ,$202.72 ,$202.72 ,$57.11 ,$164.71 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE (PF) 2 % SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE-EPINEPHRINE 0.5% -1:200000 SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DILTIAZEM 25 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ENALAPRILAT 1.25 MG/ML INJ,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ESMOLOL 100 MG/10ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FAMOTIDINE (PF) 20 MG/2ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FAMOTIDINE 20 MG/2ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FLUMAZENIL 0.5 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FOLIC ACID 5 MG/ML SOLN 10 ML VIAL,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,GLYCOPYRROLATE 1 MG/5ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,KETAMINE 10 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,KETAMINE 50 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUMETANIDE 0.25 MG/ML SOLN,250,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 0.5 % SOLN,250,1 ,$36.25 ,$26.10 ,$8.17 ,$36.25 ,$20.85 ,$26.10 ,$19.72 ,$8.17 ,$10.15 ,$24.11 ,$8.17 ,$25.38 ,$8.17 ,$22.84 ,$22.84 ,$8.17 ,$22.84 ,$16.85 ,$33.35 , N/A ,$8.17 ,$30.81 ,$30.45 ,$8.17 ,$27.19 ,$29.00 ,$29.00 ,$8.17 ,$29.00 ,$31.54 ,$31.54 ,$31.54 ,$32.63 ,$20.85 ,$8.17 ,$36.25 ,$20.34 ,$8.17 ,$15.01 , N/A , N/A ,$8.58 ,$30.81 ,$22.84 ,$10.15 ,$32.63 ,$31.54 ,$29.00 ,$29.00 ,$8.17 ,$23.56 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 1 % SOLN,250,1 ,$49.20 ,$35.42 ,$11.09 ,$49.20 ,$28.30 ,$35.42 ,$26.76 ,$11.09 ,$13.78 ,$32.72 ,$11.09 ,$34.44 ,$11.09 ,$31.00 ,$31.00 ,$11.09 ,$31.00 ,$22.87 ,$45.26 , N/A ,$11.09 ,$41.82 ,$41.33 ,$11.09 ,$36.90 ,$39.36 ,$39.36 ,$11.09 ,$39.36 ,$42.80 ,$42.80 ,$42.80 ,$44.28 ,$28.30 ,$11.09 ,$49.20 ,$27.60 ,$11.09 ,$20.37 , N/A , N/A ,$11.65 ,$41.82 ,$31.00 ,$13.78 ,$44.28 ,$42.80 ,$39.36 ,$39.36 ,$11.09 ,$31.98 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 2 % GEL 30 ML TUBE,250,1 ,$256.70 ,$184.82 ,$57.86 ,$256.70 ,$147.60 ,$184.82 ,$139.64 ,$57.86 ,$71.88 ,$170.71 ,$57.86 ,$179.69 ,$57.86 ,$161.72 ,$161.72 ,$57.86 ,$161.72 ,$119.26 ,$236.16 , N/A ,$57.86 ,$218.20 ,$215.63 ,$57.86 ,$192.53 ,$205.36 ,$205.36 ,$57.86 ,$205.36 ,$223.33 ,$223.33 ,$223.33 ,$231.03 ,$147.60 ,$57.86 ,$256.70 ,$144.01 ,$57.86 ,$106.27 , N/A , N/A ,$60.75 ,$218.20 ,$161.72 ,$71.88 ,$231.03 ,$223.33 ,$205.36 ,$205.36 ,$57.86 ,$166.86 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 2 % GEL 5 ML TUBE,250,1 ,$16.80 ,$12.10 ,$3.78 ,$16.80 ,$9.65 ,$12.10 ,$9.14 ,$3.78 ,$4.70 ,$11.17 ,$3.78 ,$11.76 ,$3.78 ,$10.58 ,$10.58 ,$3.78 ,$10.58 ,$7.80 ,$15.46 , N/A ,$3.78 ,$14.28 ,$14.11 ,$3.78 ,$12.60 ,$13.44 ,$13.44 ,$3.78 ,$13.44 ,$14.62 ,$14.62 ,$14.62 ,$15.12 ,$9.65 ,$3.78 ,$16.80 ,$9.42 ,$3.78 ,$6.96 , N/A , N/A ,$3.97 ,$14.28 ,$10.58 ,$4.70 ,$15.12 ,$14.62 ,$13.44 ,$13.44 ,$3.78 ,$10.92 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 2 % PRSY 10 ML SYRINGE,250,1 ,$15.40 ,$11.09 ,$3.47 ,$15.40 ,$8.85 ,$11.09 ,$8.38 ,$3.47 ,$4.31 ,$10.24 ,$3.47 ,$10.78 ,$3.47 ,$9.70 ,$9.70 ,$3.47 ,$9.70 ,$7.15 ,$14.17 , N/A ,$3.47 ,$13.09 ,$12.94 ,$3.47 ,$11.55 ,$12.32 ,$12.32 ,$3.47 ,$12.32 ,$13.40 ,$13.40 ,$13.40 ,$13.86 ,$8.85 ,$3.47 ,$15.40 ,$8.64 ,$3.47 ,$6.38 , N/A , N/A ,$3.65 ,$13.09 ,$9.70 ,$4.31 ,$13.86 ,$13.40 ,$12.32 ,$12.32 ,$3.47 ,$10.01 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 2 % PRSY 6 ML SYRINGE,250,1 ,$10.75 ,$7.74 ,$2.42 ,$10.75 ,$6.18 ,$7.74 ,$5.85 ,$2.42 ,$3.01 ,$7.15 ,$2.42 ,$7.53 ,$2.42 ,$6.77 ,$6.77 ,$2.42 ,$6.77 ,$4.99 ,$9.89 , N/A ,$2.42 ,$9.14 ,$9.03 ,$2.42 ,$8.06 ,$8.60 ,$8.60 ,$2.42 ,$8.60 ,$9.35 ,$9.35 ,$9.35 ,$9.68 ,$6.18 ,$2.42 ,$10.75 ,$6.03 ,$2.42 ,$4.45 , N/A , N/A ,$2.54 ,$9.14 ,$6.77 ,$3.01 ,$9.68 ,$9.35 ,$8.60 ,$8.60 ,$2.42 ,$6.99 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 4 % SOLN 100 ML SPRAY BOTTLE,250,1 ,$18.40 ,$13.25 ,$4.15 ,$18.40 ,$10.58 ,$13.25 ,$10.01 ,$4.15 ,$5.15 ,$12.24 ,$4.15 ,$12.88 ,$4.15 ,$11.59 ,$11.59 ,$4.15 ,$11.59 ,$8.54 ,$16.93 , N/A ,$4.15 ,$15.64 ,$15.46 ,$4.15 ,$13.80 ,$14.72 ,$14.72 ,$4.15 ,$14.72 ,$16.01 ,$16.01 ,$16.01 ,$16.56 ,$10.58 ,$4.15 ,$18.40 ,$10.32 ,$4.15 ,$7.62 , N/A , N/A ,$4.35 ,$15.64 ,$11.59 ,$5.15 ,$16.56 ,$16.01 ,$14.72 ,$14.72 ,$4.15 ,$11.96 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 4%-EPINEPHRINE 0.18%-TETRACAINE 0.5% KIT,250,1 ,$8.35 ,$6.01 ,$1.88 ,$8.35 ,$4.80 ,$6.01 ,$4.54 ,$1.88 ,$2.34 ,$5.55 ,$1.88 ,$5.85 ,$1.88 ,$5.26 ,$5.26 ,$1.88 ,$5.26 ,$3.88 ,$7.68 , N/A ,$1.88 ,$7.10 ,$7.01 ,$1.88 ,$6.26 ,$6.68 ,$6.68 ,$1.88 ,$6.68 ,$7.26 ,$7.26 ,$7.26 ,$7.52 ,$4.80 ,$1.88 ,$8.35 ,$4.68 ,$1.88 ,$3.46 , N/A , N/A ,$1.98 ,$7.10 ,$5.26 ,$2.34 ,$7.52 ,$7.26 ,$6.68 ,$6.68 ,$1.88 ,$5.43 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 5 % OINT 35.44 G TUBE,250,1 ,$633.35 ,$456.01 ,$142.76 ,$633.35 ,$364.18 ,$456.01 ,$344.54 ,$142.76 ,$177.34 ,$421.18 ,$142.76 ,$443.35 ,$142.76 ,$399.01 ,$399.01 ,$142.76 ,$399.01 ,$294.25 ,$582.68 , N/A ,$142.76 ,$538.35 ,$532.01 ,$142.76 ,$475.01 ,$506.68 ,$506.68 ,$142.76 ,$506.68 ,$551.01 ,$551.01 ,$551.01 ,$570.02 ,$364.18 ,$142.76 ,$633.35 ,$355.31 ,$142.76 ,$262.21 , N/A , N/A ,$149.89 ,$538.35 ,$399.01 ,$177.34 ,$570.02 ,$551.01 ,$506.68 ,$506.68 ,$142.76 ,$411.68 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 5 % PTCH,250,1 ,$18.73 ,$13.49 ,$4.22 ,$18.73 ,$10.78 ,$13.49 ,$10.19 ,$4.22 ,$5.24 ,$12.46 ,$4.22 ,$13.11 ,$4.22 ,$11.80 ,$11.80 ,$4.22 ,$11.80 ,$8.71 ,$17.23 , N/A ,$4.22 ,$15.92 ,$15.73 ,$4.22 ,$14.05 ,$14.98 ,$14.98 ,$4.22 ,$14.98 ,$16.30 ,$16.30 ,$16.30 ,$16.86 ,$10.78 ,$4.22 ,$18.73 ,$10.51 ,$4.22 ,$7.75 , N/A , N/A ,$4.44 ,$15.92 ,$11.80 ,$5.24 ,$16.86 ,$16.30 ,$14.98 ,$14.98 ,$4.22 ,$12.17 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE-EPINEPHRINE 2 %-1:200000 SOLN,250,1 ,$67.90 ,$48.89 ,$15.31 ,$67.90 ,$39.05 ,$48.89 ,$36.94 ,$15.31 ,$19.01 ,$45.15 ,$15.31 ,$47.53 ,$15.31 ,$42.78 ,$42.78 ,$15.31 ,$42.78 ,$31.55 ,$62.47 , N/A ,$15.31 ,$57.72 ,$57.04 ,$15.31 ,$50.93 ,$54.32 ,$54.32 ,$15.31 ,$54.32 ,$59.07 ,$59.07 ,$59.07 ,$61.11 ,$39.05 ,$15.31 ,$67.90 ,$38.09 ,$15.31 ,$28.11 , N/A , N/A ,$16.07 ,$57.72 ,$42.78 ,$19.01 ,$61.11 ,$59.07 ,$54.32 ,$54.32 ,$15.31 ,$44.14 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE-PRILOCAINE 2.5-2.5 % CREA 5 G TUBE,250,1 ,$19.85 ,$14.29 ,$4.48 ,$19.85 ,$11.43 ,$14.29 ,$10.80 ,$4.48 ,$5.56 ,$13.20 ,$4.48 ,$13.90 ,$4.48 ,$12.51 ,$12.51 ,$4.48 ,$12.51 ,$9.23 ,$18.26 , N/A ,$4.48 ,$16.87 ,$16.67 ,$4.48 ,$14.89 ,$15.88 ,$15.88 ,$4.48 ,$15.88 ,$17.27 ,$17.27 ,$17.27 ,$17.87 ,$11.43 ,$4.48 ,$19.85 ,$11.14 ,$4.48 ,$8.22 , N/A , N/A ,$4.70 ,$16.87 ,$12.51 ,$5.56 ,$17.87 ,$17.27 ,$15.88 ,$15.88 ,$4.48 ,$12.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,METRONIDAZOLE 500 MG/100ML SOLN,250,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,NEOMYCIN-POLYMYXIN B 40 MG-200000 UNITS SOLN 1 ML AMPULE,250,1 ,$54.65 ,$39.35 ,$12.32 ,$54.65 ,$31.43 ,$39.35 ,$29.73 ,$12.32 ,$15.30 ,$36.34 ,$12.32 ,$38.26 ,$12.32 ,$34.43 ,$34.43 ,$12.32 ,$34.43 ,$25.39 ,$50.28 , N/A ,$12.32 ,$46.45 ,$45.91 ,$12.32 ,$40.99 ,$43.72 ,$43.72 ,$12.32 ,$43.72 ,$47.55 ,$47.55 ,$47.55 ,$49.19 ,$31.43 ,$12.32 ,$54.65 ,$30.66 ,$12.32 ,$22.63 , N/A , N/A ,$12.94 ,$46.45 ,$34.43 ,$15.30 ,$49.19 ,$47.55 ,$43.72 ,$43.72 ,$12.32 ,$35.52 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,NICARDIPINE HCL IN NACL 20-0.9 MG/200ML-% SOLN,250,1 ,$390.40 ,$281.09 ,$87.99 ,$390.40 ,$224.48 ,$281.09 ,$212.38 ,$87.99 ,$109.31 ,$259.62 ,$87.99 ,$273.28 ,$87.99 ,$245.95 ,$245.95 ,$87.99 ,$245.95 ,$181.38 ,$359.17 , N/A ,$87.99 ,$331.84 ,$327.94 ,$87.99 ,$292.80 ,$312.32 ,$312.32 ,$87.99 ,$312.32 ,$339.65 ,$339.65 ,$339.65 ,$351.36 ,$224.48 ,$87.99 ,$390.40 ,$219.01 ,$87.99 ,$161.63 , N/A , N/A ,$92.39 ,$331.84 ,$245.95 ,$109.31 ,$351.36 ,$339.65 ,$312.32 ,$312.32 ,$87.99 ,$253.76 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,NITROGLYCERIN 200-5 MCG/ML-% SOLN,250,1 ,$108.00 ,$77.76 ,$24.34 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$71.82 ,$24.34 ,$75.60 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 , N/A ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 , N/A , N/A ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,NOREPINEPHRINE 1 MG/ML SOLN 4 ML VIAL,250,1 ,$98.10 ,$70.63 ,$22.11 ,$98.10 ,$56.40 ,$70.63 ,$53.37 ,$22.11 ,$27.47 ,$65.24 ,$22.11 ,$68.67 ,$22.11 ,$61.80 ,$61.80 ,$22.11 ,$61.80 ,$45.57 ,$90.25 , N/A ,$22.11 ,$83.39 ,$82.40 ,$22.11 ,$73.58 ,$78.48 ,$78.48 ,$22.11 ,$78.48 ,$85.35 ,$85.35 ,$85.35 ,$88.29 ,$56.40 ,$22.11 ,$98.10 ,$55.03 ,$22.11 ,$40.61 , N/A , N/A ,$23.22 ,$83.39 ,$61.80 ,$27.47 ,$88.29 ,$85.35 ,$78.48 ,$78.48 ,$22.11 ,$63.77 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,NOREPINEPHRINE 4-5 MG/250ML-% SOLN,250,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 , N/A ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,PILOCARPINE 1 % SOLN 15 ML BOTTLE,250,1 ,$147.85 ,$106.45 ,$33.33 ,$147.85 ,$85.03 ,$106.45 ,$80.43 ,$33.33 ,$41.40 ,$98.32 ,$33.33 ,$103.50 ,$33.33 ,$93.15 ,$93.15 ,$33.33 ,$93.15 ,$68.70 ,$136.02 , N/A ,$33.33 ,$125.67 ,$124.19 ,$33.33 ,$110.89 ,$118.28 ,$118.28 ,$33.33 ,$118.28 ,$128.63 ,$128.63 ,$128.63 ,$133.07 ,$85.03 ,$33.33 ,$147.85 ,$82.94 ,$33.33 ,$61.21 , N/A , N/A ,$35.00 ,$125.67 ,$93.15 ,$41.40 ,$133.07 ,$128.63 ,$118.28 ,$118.28 ,$33.33 ,$96.10 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,PILOCARPINE 2 % SOLN 15 ML BOTTLE,250,1 ,$201.65 ,$145.19 ,$45.45 ,$201.65 ,$115.95 ,$145.19 ,$109.70 ,$45.45 ,$56.46 ,$134.10 ,$45.45 ,$141.16 ,$45.45 ,$127.04 ,$127.04 ,$45.45 ,$127.04 ,$93.69 ,$185.52 , N/A ,$45.45 ,$171.40 ,$169.39 ,$45.45 ,$151.24 ,$161.32 ,$161.32 ,$45.45 ,$161.32 ,$175.44 ,$175.44 ,$175.44 ,$181.49 ,$115.95 ,$45.45 ,$201.65 ,$113.13 ,$45.45 ,$83.48 , N/A , N/A ,$47.73 ,$171.40 ,$127.04 ,$56.46 ,$181.49 ,$175.44 ,$161.32 ,$161.32 ,$45.45 ,$131.07 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"POLYETHYLENE GLYCOL 236 G SOLR 4,000 ML BOTTLE",250,1 ,$56.00 ,$40.32 ,$12.62 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 , N/A ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 , N/A , N/A ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,POLYVINYL ALCOHOL-POVIDONE 5-6 MG/ML SOLN 15 ML BOTTLE,250,1 ,$8.70 ,$6.26 ,$1.96 ,$8.70 ,$5.00 ,$6.26 ,$4.73 ,$1.96 ,$2.44 ,$5.79 ,$1.96 ,$6.09 ,$1.96 ,$5.48 ,$5.48 ,$1.96 ,$5.48 ,$4.04 ,$8.00 , N/A ,$1.96 ,$7.40 ,$7.31 ,$1.96 ,$6.53 ,$6.96 ,$6.96 ,$1.96 ,$6.96 ,$7.57 ,$7.57 ,$7.57 ,$7.83 ,$5.00 ,$1.96 ,$8.70 ,$4.88 ,$1.96 ,$3.60 , N/A , N/A ,$2.06 ,$7.40 ,$5.48 ,$2.44 ,$7.83 ,$7.57 ,$6.96 ,$6.96 ,$1.96 ,$5.66 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,POTASSIUM PHOSPHATE 45 MMOLE/15ML SOLN 15 ML VIAL,250,1 ,$47.35 ,$34.09 ,$10.67 ,$47.35 ,$27.23 ,$34.09 ,$25.76 ,$10.67 ,$13.26 ,$31.49 ,$10.67 ,$33.15 ,$10.67 ,$29.83 ,$29.83 ,$10.67 ,$29.83 ,$22.00 ,$43.56 , N/A ,$10.67 ,$40.25 ,$39.77 ,$10.67 ,$35.51 ,$37.88 ,$37.88 ,$10.67 ,$37.88 ,$41.19 ,$41.19 ,$41.19 ,$42.62 ,$27.23 ,$10.67 ,$47.35 ,$26.56 ,$10.67 ,$19.60 , N/A , N/A ,$11.20 ,$40.25 ,$29.83 ,$13.26 ,$42.62 ,$41.19 ,$37.88 ,$37.88 ,$10.67 ,$30.78 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,PREDNISOLONE ACETATE 1 % SUSP 5 ML BOTTLE,250,1 ,$110.65 ,$79.67 ,$24.94 ,$110.65 ,$63.63 ,$79.67 ,$60.19 ,$24.94 ,$30.98 ,$73.58 ,$24.94 ,$77.46 ,$24.94 ,$69.71 ,$69.71 ,$24.94 ,$69.71 ,$51.41 ,$101.80 , N/A ,$24.94 ,$94.05 ,$92.95 ,$24.94 ,$82.99 ,$88.52 ,$88.52 ,$24.94 ,$88.52 ,$96.27 ,$96.27 ,$96.27 ,$99.59 ,$63.63 ,$24.94 ,$110.65 ,$62.07 ,$24.94 ,$45.81 , N/A , N/A ,$26.19 ,$94.05 ,$69.71 ,$30.98 ,$99.59 ,$96.27 ,$88.52 ,$88.52 ,$24.94 ,$71.92 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,PROPARACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$87.75 ,$63.18 ,$19.78 ,$87.75 ,$50.45 ,$63.18 ,$47.74 ,$19.78 ,$24.57 ,$58.35 ,$19.78 ,$61.43 ,$19.78 ,$55.28 ,$55.28 ,$19.78 ,$55.28 ,$40.76 ,$80.73 , N/A ,$19.78 ,$74.59 ,$73.71 ,$19.78 ,$65.81 ,$70.20 ,$70.20 ,$19.78 ,$70.20 ,$76.34 ,$76.34 ,$76.34 ,$78.98 ,$50.45 ,$19.78 ,$87.75 ,$49.23 ,$19.78 ,$36.33 , N/A , N/A ,$20.77 ,$74.59 ,$55.28 ,$24.57 ,$78.98 ,$76.34 ,$70.20 ,$70.20 ,$19.78 ,$57.04 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ROCURONIUM 50 MG/5ML SOLN,250,1 ,$42.00 ,$30.24 ,$9.47 ,$42.00 ,$24.15 ,$30.24 ,$22.85 ,$9.47 ,$11.76 ,$27.93 ,$9.47 ,$29.40 ,$9.47 ,$26.46 ,$26.46 ,$9.47 ,$26.46 ,$19.51 ,$38.64 , N/A ,$9.47 ,$35.70 ,$35.28 ,$9.47 ,$31.50 ,$33.60 ,$33.60 ,$9.47 ,$33.60 ,$36.54 ,$36.54 ,$36.54 ,$37.80 ,$24.15 ,$9.47 ,$42.00 ,$23.56 ,$9.47 ,$17.39 , N/A , N/A ,$9.94 ,$35.70 ,$26.46 ,$11.76 ,$37.80 ,$36.54 ,$33.60 ,$33.60 ,$9.47 ,$27.30 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SCOPOLAMINE 1 MG/3DAYS PT72,250,1 ,$51.15 ,$36.83 ,$11.52 ,$51.15 ,$29.40 ,$36.83 ,$27.83 ,$11.52 ,$14.32 ,$34.01 ,$11.52 ,$35.81 ,$11.52 ,$32.22 ,$32.22 ,$11.52 ,$32.22 ,$23.76 ,$47.06 , N/A ,$11.52 ,$43.48 ,$42.97 ,$11.52 ,$38.36 ,$40.92 ,$40.92 ,$11.52 ,$40.92 ,$44.50 ,$44.50 ,$44.50 ,$46.04 ,$29.40 ,$11.52 ,$51.15 ,$28.70 ,$11.52 ,$21.18 , N/A , N/A ,$12.10 ,$43.48 ,$32.22 ,$14.32 ,$46.04 ,$44.50 ,$40.92 ,$40.92 ,$11.52 ,$33.25 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN,250,1 ,$62.80 ,$45.22 ,$14.15 ,$62.80 ,$36.10 ,$45.22 ,$34.16 ,$14.15 ,$17.58 ,$41.76 ,$14.15 ,$43.96 ,$14.15 ,$39.56 ,$39.56 ,$14.15 ,$39.56 ,$29.17 ,$57.78 , N/A ,$14.15 ,$53.38 ,$52.75 ,$14.15 ,$47.10 ,$50.24 ,$50.24 ,$14.15 ,$50.24 ,$54.64 ,$54.64 ,$54.64 ,$56.52 ,$36.10 ,$14.15 ,$62.80 ,$35.23 ,$14.15 ,$26.00 , N/A , N/A ,$14.86 ,$53.38 ,$39.56 ,$17.58 ,$56.52 ,$54.64 ,$50.24 ,$50.24 ,$14.15 ,$40.82 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SODIUM BICARBONATE 8.4 % SOLN 50 ML VIAL,250,1 ,$46.80 ,$33.70 ,$10.54 ,$46.80 ,$26.90 ,$33.70 ,$25.46 ,$10.54 ,$13.10 ,$31.12 ,$10.54 ,$32.76 ,$10.54 ,$29.48 ,$29.48 ,$10.54 ,$29.48 ,$21.74 ,$43.06 , N/A ,$10.54 ,$39.78 ,$39.31 ,$10.54 ,$35.10 ,$37.44 ,$37.44 ,$10.54 ,$37.44 ,$40.72 ,$40.72 ,$40.72 ,$42.12 ,$26.90 ,$10.54 ,$46.80 ,$26.25 ,$10.54 ,$19.38 , N/A , N/A ,$11.07 ,$39.78 ,$29.48 ,$13.10 ,$42.12 ,$40.72 ,$37.44 ,$37.44 ,$10.54 ,$30.42 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"SODIUM CHLORIDE 0.45 % SOLN 1,000 ML FLEX CONT",250,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 , N/A ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 , N/A , N/A ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DEXTROSE 10 %,250,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 , N/A ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 , N/A , N/A ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BARIUM SULFATE 98 % SUSR,250,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 , N/A ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 , N/A , N/A ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 1,000 ML FLEX CONT",250,1 ,$12.00 ,$8.64 ,$2.70 ,$12.00 ,$6.90 ,$8.64 ,$6.53 ,$2.70 ,$3.36 ,$7.98 ,$2.70 ,$8.40 ,$2.70 ,$7.56 ,$7.56 ,$2.70 ,$7.56 ,$5.58 ,$11.04 , N/A ,$2.70 ,$10.20 ,$10.08 ,$2.70 ,$9.00 ,$9.60 ,$9.60 ,$2.70 ,$9.60 ,$10.44 ,$10.44 ,$10.44 ,$10.80 ,$6.90 ,$2.70 ,$12.00 ,$6.73 ,$2.70 ,$4.97 , N/A , N/A ,$2.84 ,$10.20 ,$7.56 ,$3.36 ,$10.80 ,$10.44 ,$9.60 ,$9.60 ,$2.70 ,$7.80 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"SODIUM CHLORIDE 0.9 % SOLN 3,000 ML PLAS CONT",250,1 ,$36.00 ,$25.92 ,$8.11 ,$36.00 ,$20.70 ,$25.92 ,$19.58 ,$8.11 ,$10.08 ,$23.94 ,$8.11 ,$25.20 ,$8.11 ,$22.68 ,$22.68 ,$8.11 ,$22.68 ,$16.73 ,$33.12 , N/A ,$8.11 ,$30.60 ,$30.24 ,$8.11 ,$27.00 ,$28.80 ,$28.80 ,$8.11 ,$28.80 ,$31.32 ,$31.32 ,$31.32 ,$32.40 ,$20.70 ,$8.11 ,$36.00 ,$20.20 ,$8.11 ,$14.90 , N/A , N/A ,$8.52 ,$30.60 ,$22.68 ,$10.08 ,$32.40 ,$31.32 ,$28.80 ,$28.80 ,$8.11 ,$23.40 ST. FRANCIS HOSPITAL - ACUTE,25000003,J3490,SODIUM CHLORIDE 0.9 % SOLN PER,250,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 , N/A ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 , N/A , N/A ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,J3490,SODIUM CHLORIDE (PF) 0.9 % SOLN 50 ML FLEX CONT PER,250,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 , N/A ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 , N/A , N/A ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"STERILE WATER (BOTTLE) SOLN 1,000 ML BOTTLE",250,1 ,$8.00 ,$5.76 ,$1.80 ,$8.00 ,$4.60 ,$5.76 ,$4.35 ,$1.80 ,$2.24 ,$5.32 ,$1.80 ,$5.60 ,$1.80 ,$5.04 ,$5.04 ,$1.80 ,$5.04 ,$3.72 ,$7.36 , N/A ,$1.80 ,$6.80 ,$6.72 ,$1.80 ,$6.00 ,$6.40 ,$6.40 ,$1.80 ,$6.40 ,$6.96 ,$6.96 ,$6.96 ,$7.20 ,$4.60 ,$1.80 ,$8.00 ,$4.49 ,$1.80 ,$3.31 , N/A , N/A ,$1.89 ,$6.80 ,$5.04 ,$2.24 ,$7.20 ,$6.96 ,$6.40 ,$6.40 ,$1.80 ,$5.20 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,"STERILE WATER (BOTTLE) SOLN 3,000 ML FLEX CONT",250,1 ,$31.50 ,$22.68 ,$7.09 ,$31.50 ,$18.13 ,$22.68 ,$17.14 ,$7.09 ,$8.82 ,$20.95 ,$7.09 ,$22.05 ,$7.09 ,$19.85 ,$19.85 ,$7.09 ,$19.85 ,$14.65 ,$28.98 , N/A ,$7.09 ,$26.78 ,$26.46 ,$7.09 ,$23.63 ,$25.20 ,$25.20 ,$7.09 ,$25.20 ,$27.41 ,$27.41 ,$27.41 ,$28.35 ,$18.13 ,$7.09 ,$31.50 ,$17.67 ,$7.09 ,$13.04 , N/A , N/A ,$7.46 ,$26.78 ,$19.85 ,$8.82 ,$28.35 ,$27.41 ,$25.20 ,$25.20 ,$7.09 ,$20.48 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,STERILE WATER SOLN 20 ML VIAL,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE 0.75% IN DEXTROSE 8.25% (INTRATHECAL) 0.75-8.25 % SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE-EPINEPHRINE 0.25% -1:200000 SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CISATRACURIUM 10 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DILTIAZEM 125 MG/25ML SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,KETAMINE 100 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,KETAMINE 50 MG/ML SOLN 10 ML VIAL,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LABETALOL 5 MG/ML SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE (PF) 1 % SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 2 % SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE-EPINEPHRINE 1 %-1:100000 SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,METOPROLOL TARTRATE 5 MG/5ML SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,STERILE WATER SOLN 10 ML VIAL,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,BUPIVACAINE 0.25 % SOLN,250,1 ,$35.00 ,$25.20 ,$7.89 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 , N/A ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 , N/A , N/A ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SUGAMMADEX 200 MG/2ML SOLN,250,1 ,$554.05 ,$398.92 ,$124.88 ,$554.05 ,$318.58 ,$398.92 ,$301.40 ,$124.88 ,$155.13 ,$368.44 ,$124.88 ,$387.84 ,$124.88 ,$349.05 ,$349.05 ,$124.88 ,$349.05 ,$257.41 ,$509.73 , N/A ,$124.88 ,$470.94 ,$465.40 ,$124.88 ,$415.54 ,$443.24 ,$443.24 ,$124.88 ,$443.24 ,$482.02 ,$482.02 ,$482.02 ,$498.65 ,$318.58 ,$124.88 ,$554.05 ,$310.82 ,$124.88 ,$229.38 , N/A , N/A ,$131.12 ,$470.94 ,$349.05 ,$155.13 ,$498.65 ,$482.02 ,$443.24 ,$443.24 ,$124.88 ,$360.13 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,TETRACAINE 0.5 % SOLN 15 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CYCLOPENTOLATE 1 % SOLN 15 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CYCLOPENTOLATE 1 % SOLN 2 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,CYCLOPENTOLATE 1 % SOLN 5 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,DEXAMETHASONE 4 MG/ML SOLN,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,FLUORESCEIN 1 MG STRP,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,HYDROGEN PEROXIDE 3 % SOLN 473 ML BOTTLE,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,IPRATROPIUM 0.02 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,IPRATROPIUM-ALBUTEROL 0.5-2.5 (3) MG/3ML SOLN,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE 4 % PTCH,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,LIDOCAINE VISCOUS 2 % SOLN 15 ML CUP,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,RACEPINEPHRINE 2.25 % 2.25 % NEBU,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SILVER-POTASSIUM NITRATE 75-25 % MISC,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SIMETHICONE 40 MG/0.6ML SUSP,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,SODIUM CHLORIDE BACTERIOSTATIC 0.9 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ACETYLCYSTEINE 20 % 20 % SOLN,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ALBUTEROL (2.5 MG/3ML) 0.083% NEBU,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,ALBUTEROL 1.25 MG/3ML NEBU,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,AMMONIA INHA,250,1 ,$6.00 ,$4.32 ,$1.35 ,$6.00 ,$3.45 ,$4.32 ,$3.26 ,$1.35 ,$1.68 ,$3.99 ,$1.35 ,$4.20 ,$1.35 ,$3.78 ,$3.78 ,$1.35 ,$3.78 ,$2.79 ,$5.52 , N/A ,$1.35 ,$5.10 ,$5.04 ,$1.35 ,$4.50 ,$4.80 ,$4.80 ,$1.35 ,$4.80 ,$5.22 ,$5.22 ,$5.22 ,$5.40 ,$3.45 ,$1.35 ,$6.00 ,$3.37 ,$1.35 ,$2.48 , N/A , N/A ,$1.42 ,$5.10 ,$3.78 ,$1.68 ,$5.40 ,$5.22 ,$4.80 ,$4.80 ,$1.35 ,$3.90 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,TPN-CLINIMIX 4.25/5 (STANDARD ELECTROLYTES),250,1 ,$55.85 ,$40.21 ,$12.59 ,$55.85 ,$32.13 ,$40.21 ,$30.38 ,$12.59 ,$15.64 ,$37.14 ,$12.59 ,$39.10 ,$12.59 ,$35.19 ,$35.19 ,$12.59 ,$35.19 ,$25.96 ,$51.38 , N/A ,$12.59 ,$47.47 ,$46.91 ,$12.59 ,$41.89 ,$44.68 ,$44.68 ,$12.59 ,$44.68 ,$48.59 ,$48.59 ,$48.59 ,$50.27 ,$32.13 ,$12.59 ,$55.85 ,$31.33 ,$12.59 ,$23.12 , N/A , N/A ,$13.22 ,$47.47 ,$35.19 ,$15.64 ,$50.27 ,$48.59 ,$44.68 ,$44.68 ,$12.59 ,$36.30 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,TRANEXAMIC ACID 1000 MG/10ML SOLN,250,1 ,$73.10 ,$52.63 ,$16.47 ,$73.10 ,$42.03 ,$52.63 ,$39.77 ,$16.47 ,$20.47 ,$48.61 ,$16.47 ,$51.17 ,$16.47 ,$46.05 ,$46.05 ,$16.47 ,$46.05 ,$33.96 ,$67.25 , N/A ,$16.47 ,$62.14 ,$61.40 ,$16.47 ,$54.83 ,$58.48 ,$58.48 ,$16.47 ,$58.48 ,$63.60 ,$63.60 ,$63.60 ,$65.79 ,$42.03 ,$16.47 ,$73.10 ,$41.01 ,$16.47 ,$30.26 , N/A , N/A ,$17.30 ,$62.14 ,$46.05 ,$20.47 ,$65.79 ,$63.60 ,$58.48 ,$58.48 ,$16.47 ,$47.52 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,TRANEXAMIC ACID 1000 MG/10ML SOLN 10 ML VIAL,250,1 ,$240.00 ,$172.80 ,$54.10 ,$240.00 ,$138.00 ,$172.80 ,$130.56 ,$54.10 ,$67.20 ,$159.60 ,$54.10 ,$168.00 ,$54.10 ,$151.20 ,$151.20 ,$54.10 ,$151.20 ,$111.50 ,$220.80 , N/A ,$54.10 ,$204.00 ,$201.60 ,$54.10 ,$180.00 ,$192.00 ,$192.00 ,$54.10 ,$192.00 ,$208.80 ,$208.80 ,$208.80 ,$216.00 ,$138.00 ,$54.10 ,$240.00 ,$134.64 ,$54.10 ,$99.36 , N/A , N/A ,$56.80 ,$204.00 ,$151.20 ,$67.20 ,$216.00 ,$208.80 ,$192.00 ,$192.00 ,$54.10 ,$156.00 ST. FRANCIS HOSPITAL - ACUTE,25000003,N/A,VALPROATE 100 MG/ML SOLN 5 ML VIAL,250,1 ,$32.20 ,$23.18 ,$7.26 ,$32.20 ,$18.53 ,$23.18 ,$17.52 ,$7.26 ,$9.02 ,$21.41 ,$7.26 ,$22.54 ,$7.26 ,$20.29 ,$20.29 ,$7.26 ,$20.29 ,$14.97 ,$29.62 , N/A ,$7.26 ,$27.37 ,$27.05 ,$7.26 ,$24.15 ,$25.76 ,$25.76 ,$7.26 ,$25.76 ,$28.01 ,$28.01 ,$28.01 ,$28.98 ,$18.53 ,$7.26 ,$32.20 ,$18.06 ,$7.26 ,$13.33 , N/A , N/A ,$7.62 ,$27.37 ,$20.29 ,$9.02 ,$28.98 ,$28.01 ,$25.76 ,$25.76 ,$7.26 ,$20.93 ST. FRANCIS HOSPITAL - ACUTE,25800000,N/A,DEXTROSE 10 % SOLN,258,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 , N/A ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 , N/A , N/A ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,25800000,N/A,DEXTROSE 50 % SOLN,258,1 ,$36.60 ,$26.35 ,$8.25 ,$36.60 ,$21.05 ,$26.35 ,$19.91 ,$8.25 ,$10.25 ,$24.34 ,$8.25 ,$25.62 ,$8.25 ,$23.06 ,$23.06 ,$8.25 ,$23.06 ,$17.01 ,$33.67 , N/A ,$8.25 ,$31.11 ,$30.74 ,$8.25 ,$27.45 ,$29.28 ,$29.28 ,$8.25 ,$29.28 ,$31.84 ,$31.84 ,$31.84 ,$32.94 ,$21.05 ,$8.25 ,$36.60 ,$20.53 ,$8.25 ,$15.15 , N/A , N/A ,$8.66 ,$31.11 ,$23.06 ,$10.25 ,$32.94 ,$31.84 ,$29.28 ,$29.28 ,$8.25 ,$23.79 ST. FRANCIS HOSPITAL - ACUTE,26000000,96360,HC HYDRATION THERAPY 1ST HOUR,260,1 ,$429.00 ,$308.88 ,$96.70 ,$516.43 ,$246.68 ,$308.88 ,$233.38 ,$96.70 ,$120.12 ,$285.29 ,$96.70 ,$300.30 ,$96.70 ,$270.27 ,$270.27 ,$96.70 ,$270.27 ,$199.31 , N/A ,$516.43 ,$96.70 ,$364.65 ,$360.36 ,$96.70 ,$321.75 ,$343.20 ,$343.20 ,$96.70 ,$343.20 ,$373.23 ,$373.23 ,$373.23 ,$386.10 ,$246.68 ,$96.70 ,$429.00 ,$240.67 ,$96.70 ,$177.61 ,$330.08 ,$315.07 ,$101.53 ,$364.65 ,$270.27 ,$120.12 ,$386.10 ,$373.23 ,$343.20 ,$343.20 ,$96.70 ,$278.85 ST. FRANCIS HOSPITAL - ACUTE,26000001,96361,HC HYDRATION THERAPY EA ADDL HR,260,1 ,$283.00 ,$203.76 ,$63.79 ,$516.01 ,$162.73 ,$203.76 ,$153.95 ,$63.79 ,$79.24 ,$188.20 ,$63.79 ,$198.10 ,$63.79 ,$178.29 ,$178.29 ,$63.79 ,$178.29 ,$131.48 , N/A ,$105.93 ,$63.79 ,$240.55 ,$237.72 ,$63.79 ,$212.25 ,$226.40 ,$226.40 ,$63.79 ,$226.40 ,$246.21 ,$246.21 ,$246.21 ,$254.70 ,$162.73 ,$63.79 ,$283.00 ,$158.76 ,$63.79 ,$117.16 ,$516.01 ,$492.56 ,$66.97 ,$240.55 ,$178.29 ,$79.24 ,$254.70 ,$246.21 ,$226.40 ,$226.40 ,$63.79 ,$183.95 ST. FRANCIS HOSPITAL - ACUTE,26000002,96365,HC INFUSION THERAPY 1ST HOUR,260,1 ,$429.00 ,$308.88 ,$96.70 ,$516.43 ,$246.68 ,$308.88 ,$233.38 ,$96.70 ,$120.12 ,$285.29 ,$96.70 ,$300.30 ,$96.70 ,$270.27 ,$270.27 ,$96.70 ,$270.27 ,$199.31 , N/A ,$516.43 ,$96.70 ,$364.65 ,$360.36 ,$96.70 ,$321.75 ,$343.20 ,$343.20 ,$96.70 ,$343.20 ,$373.23 ,$373.23 ,$373.23 ,$386.10 ,$246.68 ,$96.70 ,$429.00 ,$240.67 ,$96.70 ,$177.61 ,$330.08 ,$315.07 ,$101.53 ,$364.65 ,$270.27 ,$120.12 ,$386.10 ,$373.23 ,$343.20 ,$343.20 ,$96.70 ,$278.85 ST. FRANCIS HOSPITAL - ACUTE,26000003,96366,HC INFUSION THERAPY EA ADDL HR,260,1 ,$283.00 ,$203.76 ,$63.79 ,$516.01 ,$162.73 ,$203.76 ,$153.95 ,$63.79 ,$79.24 ,$188.20 ,$63.79 ,$198.10 ,$63.79 ,$178.29 ,$178.29 ,$63.79 ,$178.29 ,$131.48 , N/A ,$105.93 ,$63.79 ,$240.55 ,$237.72 ,$63.79 ,$212.25 ,$226.40 ,$226.40 ,$63.79 ,$226.40 ,$246.21 ,$246.21 ,$246.21 ,$254.70 ,$162.73 ,$63.79 ,$283.00 ,$158.76 ,$63.79 ,$117.16 ,$516.01 ,$492.56 ,$66.97 ,$240.55 ,$178.29 ,$79.24 ,$254.70 ,$246.21 ,$226.40 ,$226.40 ,$63.79 ,$183.95 ST. FRANCIS HOSPITAL - ACUTE,26000004,96367,HC IV INF ADDL SEQ INIT HR,260,1 ,$283.00 ,$203.76 ,$63.79 ,$330.08 ,$162.73 ,$203.76 ,$153.95 ,$63.79 ,$79.24 ,$188.20 ,$63.79 ,$198.10 ,$63.79 ,$178.29 ,$178.29 ,$63.79 ,$178.29 ,$131.48 , N/A ,$168.68 ,$63.79 ,$240.55 ,$237.72 ,$63.79 ,$212.25 ,$226.40 ,$226.40 ,$63.79 ,$226.40 ,$246.21 ,$246.21 ,$246.21 ,$254.70 ,$162.73 ,$63.79 ,$283.00 ,$158.76 ,$63.79 ,$117.16 ,$330.08 ,$315.07 ,$66.97 ,$240.55 ,$178.29 ,$79.24 ,$254.70 ,$246.21 ,$226.40 ,$226.40 ,$63.79 ,$183.95 ST. FRANCIS HOSPITAL - ACUTE,26000005,96368,HC INFUS CONCURRENT,260,1 ,$283.00 ,$203.76 ,$63.79 ,$330.08 ,$162.73 ,$203.76 ,$153.95 ,$63.79 ,$79.24 ,$188.20 ,$63.79 ,$198.10 ,$63.79 ,$178.29 ,$178.29 ,$63.79 ,$178.29 ,$131.48 , N/A , N/A ,$63.79 ,$240.55 ,$237.72 ,$63.79 ,$212.25 ,$226.40 ,$226.40 ,$63.79 ,$226.40 ,$246.21 ,$246.21 ,$246.21 ,$254.70 ,$162.73 ,$63.79 ,$283.00 ,$158.76 ,$63.79 ,$117.16 ,$330.08 ,$315.07 ,$66.97 ,$240.55 ,$178.29 ,$79.24 ,$254.70 ,$246.21 ,$226.40 ,$226.40 ,$63.79 ,$183.95 ST. FRANCIS HOSPITAL - ACUTE,26000010,96370,HC IV INFUSION THERPAY/PROPH SUBQ EA ADDL HR,260,1 ,$202.00 ,$145.44 ,$45.53 ,$516.01 ,$116.15 ,$145.44 ,$109.89 ,$45.53 ,$56.56 ,$134.33 ,$45.53 ,$141.40 ,$45.53 ,$127.26 ,$127.26 ,$45.53 ,$127.26 ,$93.85 , N/A ,$105.93 ,$45.53 ,$171.70 ,$169.68 ,$45.53 ,$151.50 ,$161.60 ,$161.60 ,$45.53 ,$161.60 ,$175.74 ,$175.74 ,$175.74 ,$181.80 ,$116.15 ,$45.53 ,$202.00 ,$113.32 ,$45.53 ,$83.63 ,$516.01 ,$492.56 ,$47.80 ,$171.70 ,$127.26 ,$56.56 ,$181.80 ,$175.74 ,$161.60 ,$161.60 ,$45.53 ,$131.30 ST. FRANCIS HOSPITAL - ACUTE,26000011,96371,HC IV INFUSION THERPAY/PROPH SUBQ SECOND LOCATION,260,1 ,$256.00 ,$184.32 ,$57.70 ,$330.08 ,$147.20 ,$184.32 ,$139.26 ,$57.70 ,$71.68 ,$170.24 ,$57.70 ,$179.20 ,$57.70 ,$161.28 ,$161.28 ,$57.70 ,$161.28 ,$118.94 , N/A ,$168.68 ,$57.70 ,$217.60 ,$215.04 ,$57.70 ,$192.00 ,$204.80 ,$204.80 ,$57.70 ,$204.80 ,$222.72 ,$222.72 ,$222.72 ,$230.40 ,$147.20 ,$57.70 ,$256.00 ,$143.62 ,$57.70 ,$105.98 ,$330.08 ,$315.07 ,$60.58 ,$217.60 ,$161.28 ,$71.68 ,$230.40 ,$222.72 ,$204.80 ,$204.80 ,$57.70 ,$166.40 ST. FRANCIS HOSPITAL - ACUTE,26000012,96369,HC INFUSION THERAPY/PROPHLAXIS INIT <1HR,260,1 ,$471.00 ,$339.12 ,$106.16 ,$516.43 ,$270.83 ,$339.12 ,$256.22 ,$106.16 ,$131.88 ,$313.22 ,$106.16 ,$329.70 ,$106.16 ,$296.73 ,$296.73 ,$106.16 ,$296.73 ,$218.83 , N/A ,$516.43 ,$106.16 ,$400.35 ,$395.64 ,$106.16 ,$353.25 ,$376.80 ,$376.80 ,$106.16 ,$376.80 ,$409.77 ,$409.77 ,$409.77 ,$423.90 ,$270.83 ,$106.16 ,$471.00 ,$264.23 ,$106.16 ,$194.99 ,$330.08 ,$315.07 ,$111.47 ,$400.35 ,$296.73 ,$131.88 ,$423.90 ,$409.77 ,$376.80 ,$376.80 ,$106.16 ,$306.15 ST. FRANCIS HOSPITAL - ACUTE,26000014,M0239,"HC INTRAVENOUS INFUSION, BAMLANIVIMAB",260,1 ,"$1,045.00 ",$752.40 ,$235.54 ,"$1,045.00 ",$600.88 ,$752.40 ,$568.48 ,$235.54 ,$292.60 ,$694.93 ,$235.54 ,$731.50 ,$235.54 ,$658.35 ,$658.35 ,$235.54 ,$658.35 ,$485.51 ,$961.40 , N/A ,$235.54 ,$888.25 ,$877.80 ,$235.54 ,$783.75 ,$836.00 ,$836.00 ,$235.54 ,$836.00 ,$909.15 ,$909.15 ,$909.15 ,$940.50 ,$600.88 ,$235.54 ,"$1,045.00 ",$586.25 ,$235.54 ,$432.63 , N/A , N/A ,$247.32 ,$888.25 ,$658.35 ,$292.60 ,$940.50 ,$909.15 ,$836.00 ,$836.00 ,$235.54 ,$679.25 ST. FRANCIS HOSPITAL - ACUTE,26000015,M0243,"HC INTRAVENOUS INFUSION, CASIRIVIMAB AND IMDEVIMAB ADMINISTRATION",260,1 ,$930.00 ,$669.60 ,$209.62 ,"$1,126.25 ",$534.75 ,$669.60 ,$505.92 ,$209.62 ,$260.40 ,$618.45 ,$209.62 ,$651.00 ,$209.62 ,$585.90 ,$585.90 ,$209.62 ,$585.90 ,$432.08 ,$855.60 ,"$1,126.25 ",$209.62 ,$790.50 ,$781.20 ,$209.62 ,$697.50 ,$744.00 ,$744.00 ,$209.62 ,$744.00 ,$809.10 ,$809.10 ,$809.10 ,$837.00 ,$534.75 ,$209.62 ,$930.00 ,$521.73 ,$209.62 ,$385.02 ,$330.08 ,$315.07 ,$220.11 ,$790.50 ,$585.90 ,$260.40 ,$837.00 ,$809.10 ,$744.00 ,$744.00 ,$209.62 ,$604.50 ST. FRANCIS HOSPITAL - ACUTE,27000008,N/A,HC CONTAINER DRAINAGE,270,1 ,$36.00 ,$25.92 ,$8.11 ,$36.00 ,$20.70 ,$25.92 ,$19.58 ,$8.11 ,$10.08 ,$23.94 ,$8.11 ,$25.20 ,$8.11 ,$22.68 ,$22.68 ,$8.11 ,$22.68 ,$16.73 ,$33.12 , N/A ,$8.11 ,$30.60 ,$30.24 ,$8.11 ,$27.00 ,$28.80 ,$28.80 ,$8.11 ,$28.80 ,$31.32 ,$31.32 ,$31.32 ,$32.40 ,$20.70 ,$8.11 ,$36.00 ,$20.20 ,$8.11 ,$14.90 , N/A , N/A ,$8.52 ,$30.60 ,$22.68 ,$10.08 ,$32.40 ,$31.32 ,$28.80 ,$28.80 ,$8.11 ,$23.40 ST. FRANCIS HOSPITAL - ACUTE,27000027,N/A,HC TRAY AMNIOCENTESIS,270,1 ,$128.00 ,$92.16 ,$28.85 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$85.12 ,$28.85 ,$89.60 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 , N/A ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 , N/A , N/A ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,27000052,N/A,HC KIT CPM MACHINE,270,1 ,$53.00 ,$38.16 ,$11.95 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 , N/A ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 , N/A , N/A ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,27000113,N/A,HC SHOE ORTHOTIC,270,1 ,$77.00 ,$55.44 ,$17.36 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 , N/A ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 , N/A , N/A ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,27000132,A6010,HC COLLAGEN BASED WOUND FILLER,270,1 ,$60.00 ,$43.20 ,$13.52 ,$60.00 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 , N/A , N/A ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 , N/A , N/A ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,27100027,N/A,HC CAST SPLINT ARM LONG,271,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27100028,N/A,HC CAST SPLINT ARM SHORT,271,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 , N/A ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 , N/A , N/A ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,27100029,N/A,HC CAST SPLINT LEG LONG,271,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27100030,N/A,HC CAST SPLINT LEG SHORT,271,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27100038,N/A,HC CPAP MASK,271,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 , N/A ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 , N/A , N/A ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,27100075,N/A,HC IPPB CIRCUITS,271,1 ,$44.00 ,$31.68 ,$9.92 ,$44.00 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 , N/A ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 , N/A , N/A ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,27100080,N/A,HC LARYNGEAL MASK AIRWAY,272,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,27100106,N/A,HC OXYGEN DAILY,271,1 ,$189.00 ,$136.08 ,$42.60 ,$189.00 ,$108.68 ,$136.08 ,$102.82 ,$42.60 ,$52.92 ,$125.69 ,$42.60 ,$132.30 ,$42.60 ,$119.07 ,$119.07 ,$42.60 ,$119.07 ,$87.81 ,$173.88 , N/A ,$42.60 ,$160.65 ,$158.76 ,$42.60 ,$141.75 ,$151.20 ,$151.20 ,$42.60 ,$151.20 ,$164.43 ,$164.43 ,$164.43 ,$170.10 ,$108.68 ,$42.60 ,$189.00 ,$106.03 ,$42.60 ,$78.25 , N/A , N/A ,$44.73 ,$160.65 ,$119.07 ,$52.92 ,$170.10 ,$164.43 ,$151.20 ,$151.20 ,$42.60 ,$122.85 ST. FRANCIS HOSPITAL - ACUTE,27100107,N/A,HC OXYGEN HOURLY,271,1 ,$24.00 ,$17.28 ,$5.41 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 , N/A ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 , N/A , N/A ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,27100108,N/A,HC OXYGEN HOOD DAILY,271,1 ,$100.00 ,$72.00 ,$22.54 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 , N/A ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 , N/A , N/A ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,27100110,N/A,HC OXYGEN/AEROSAL MASK,271,1 ,$47.00 ,$33.84 ,$10.59 ,$47.00 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$31.26 ,$10.59 ,$32.90 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 , N/A ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 , N/A , N/A ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,27100114,N/A,HC PEAK FLOWMETER,271,1 ,$29.00 ,$20.88 ,$6.54 ,$29.00 ,$16.68 ,$20.88 ,$15.78 ,$6.54 ,$8.12 ,$19.29 ,$6.54 ,$20.30 ,$6.54 ,$18.27 ,$18.27 ,$6.54 ,$18.27 ,$13.47 ,$26.68 , N/A ,$6.54 ,$24.65 ,$24.36 ,$6.54 ,$21.75 ,$23.20 ,$23.20 ,$6.54 ,$23.20 ,$25.23 ,$25.23 ,$25.23 ,$26.10 ,$16.68 ,$6.54 ,$29.00 ,$16.27 ,$6.54 ,$12.01 , N/A , N/A ,$6.86 ,$24.65 ,$18.27 ,$8.12 ,$26.10 ,$25.23 ,$23.20 ,$23.20 ,$6.54 ,$18.85 ST. FRANCIS HOSPITAL - ACUTE,27100120,N/A,HC CAST SHOE,271,1 ,$41.00 ,$29.52 ,$9.24 ,$41.00 ,$23.58 ,$29.52 ,$22.30 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.70 ,$9.24 ,$25.83 ,$25.83 ,$9.24 ,$25.83 ,$19.05 ,$37.72 , N/A ,$9.24 ,$34.85 ,$34.44 ,$9.24 ,$30.75 ,$32.80 ,$32.80 ,$9.24 ,$32.80 ,$35.67 ,$35.67 ,$35.67 ,$36.90 ,$23.58 ,$9.24 ,$41.00 ,$23.00 ,$9.24 ,$16.97 , N/A , N/A ,$9.70 ,$34.85 ,$25.83 ,$11.48 ,$36.90 ,$35.67 ,$32.80 ,$32.80 ,$9.24 ,$26.65 ST. FRANCIS HOSPITAL - ACUTE,27100136,N/A,HC FINGER SPLINT,271,1 ,$13.00 ,$9.36 ,$2.93 ,$13.00 ,$7.48 ,$9.36 ,$7.07 ,$2.93 ,$3.64 ,$8.65 ,$2.93 ,$9.10 ,$2.93 ,$8.19 ,$8.19 ,$2.93 ,$8.19 ,$6.04 ,$11.96 , N/A ,$2.93 ,$11.05 ,$10.92 ,$2.93 ,$9.75 ,$10.40 ,$10.40 ,$2.93 ,$10.40 ,$11.31 ,$11.31 ,$11.31 ,$11.70 ,$7.48 ,$2.93 ,$13.00 ,$7.29 ,$2.93 ,$5.38 , N/A , N/A ,$3.08 ,$11.05 ,$8.19 ,$3.64 ,$11.70 ,$11.31 ,$10.40 ,$10.40 ,$2.93 ,$8.45 ST. FRANCIS HOSPITAL - ACUTE,27100159,N/A,HC TUBE GAUZE,271,1 ,$37.00 ,$26.64 ,$8.34 ,$37.00 ,$21.28 ,$26.64 ,$20.13 ,$8.34 ,$10.36 ,$24.61 ,$8.34 ,$25.90 ,$8.34 ,$23.31 ,$23.31 ,$8.34 ,$23.31 ,$17.19 ,$34.04 , N/A ,$8.34 ,$31.45 ,$31.08 ,$8.34 ,$27.75 ,$29.60 ,$29.60 ,$8.34 ,$29.60 ,$32.19 ,$32.19 ,$32.19 ,$33.30 ,$21.28 ,$8.34 ,$37.00 ,$20.76 ,$8.34 ,$15.32 , N/A , N/A ,$8.76 ,$31.45 ,$23.31 ,$10.36 ,$33.30 ,$32.19 ,$29.60 ,$29.60 ,$8.34 ,$24.05 ST. FRANCIS HOSPITAL - ACUTE,27100182,N/A,HC HAND SPLINT,271,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 , N/A ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 , N/A , N/A ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,27100187,N/A,HC BAG DRAINAGE,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100188,N/A,HC SLING ARM,271,1 ,$96.00 ,$69.12 ,$21.64 ,$96.00 ,$55.20 ,$69.12 ,$52.22 ,$21.64 ,$26.88 ,$63.84 ,$21.64 ,$67.20 ,$21.64 ,$60.48 ,$60.48 ,$21.64 ,$60.48 ,$44.60 ,$88.32 , N/A ,$21.64 ,$81.60 ,$80.64 ,$21.64 ,$72.00 ,$76.80 ,$76.80 ,$21.64 ,$76.80 ,$83.52 ,$83.52 ,$83.52 ,$86.40 ,$55.20 ,$21.64 ,$96.00 ,$53.86 ,$21.64 ,$39.74 , N/A , N/A ,$22.72 ,$81.60 ,$60.48 ,$26.88 ,$86.40 ,$83.52 ,$76.80 ,$76.80 ,$21.64 ,$62.40 ST. FRANCIS HOSPITAL - ACUTE,27100204,N/A,HC CIRCUIT BREATHING,271,1 ,$43.61 ,$31.40 ,$9.83 ,$43.61 ,$25.08 ,$31.40 ,$23.72 ,$9.83 ,$12.21 ,$29.00 ,$9.83 ,$30.53 ,$9.83 ,$27.47 ,$27.47 ,$9.83 ,$27.47 ,$20.26 ,$40.12 , N/A ,$9.83 ,$37.07 ,$36.63 ,$9.83 ,$32.71 ,$34.89 ,$34.89 ,$9.83 ,$34.89 ,$37.94 ,$37.94 ,$37.94 ,$39.25 ,$25.08 ,$9.83 ,$43.61 ,$24.47 ,$9.83 ,$18.05 , N/A , N/A ,$10.32 ,$37.07 ,$27.47 ,$12.21 ,$39.25 ,$37.94 ,$34.89 ,$34.89 ,$9.83 ,$28.35 ST. FRANCIS HOSPITAL - ACUTE,27100207,N/A,HC DRESSING BANDAGE ELASTIC,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100209,N/A,HC ENEMA BAG,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100211,N/A,HC PAD DEFIBRILLATOR,271,1 ,$54.00 ,$38.88 ,$12.17 ,$54.00 ,$31.05 ,$38.88 ,$29.38 ,$12.17 ,$15.12 ,$35.91 ,$12.17 ,$37.80 ,$12.17 ,$34.02 ,$34.02 ,$12.17 ,$34.02 ,$25.09 ,$49.68 , N/A ,$12.17 ,$45.90 ,$45.36 ,$12.17 ,$40.50 ,$43.20 ,$43.20 ,$12.17 ,$43.20 ,$46.98 ,$46.98 ,$46.98 ,$48.60 ,$31.05 ,$12.17 ,$54.00 ,$30.29 ,$12.17 ,$22.36 , N/A , N/A ,$12.78 ,$45.90 ,$34.02 ,$15.12 ,$48.60 ,$46.98 ,$43.20 ,$43.20 ,$12.17 ,$35.10 ST. FRANCIS HOSPITAL - ACUTE,27100215,N/A,HC RESTRAINT ANY TYPE,271,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27100218,N/A,HC SET IV BLOOD ADMINISTRATION,271,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27100221,N/A,HC SET IV PCA,271,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27100222,N/A,HC SET OSTOMY IRRIGATION,271,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27100223,N/A,HC SHELL/SHIELD BREAST,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100225,N/A,HC SPLINT KNEE,271,1 ,$148.00 ,$106.56 ,$33.36 ,$148.00 ,$85.10 ,$106.56 ,$80.51 ,$33.36 ,$41.44 ,$98.42 ,$33.36 ,$103.60 ,$33.36 ,$93.24 ,$93.24 ,$33.36 ,$93.24 ,$68.76 ,$136.16 , N/A ,$33.36 ,$125.80 ,$124.32 ,$33.36 ,$111.00 ,$118.40 ,$118.40 ,$33.36 ,$118.40 ,$128.76 ,$128.76 ,$128.76 ,$133.20 ,$85.10 ,$33.36 ,$148.00 ,$83.03 ,$33.36 ,$61.27 , N/A , N/A ,$35.03 ,$125.80 ,$93.24 ,$41.44 ,$133.20 ,$128.76 ,$118.40 ,$118.40 ,$33.36 ,$96.20 ST. FRANCIS HOSPITAL - ACUTE,27100231,N/A,HC TUBING DRAINAGE,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100234,N/A,HC MASK BIPAP,271,1 ,$152.00 ,$109.44 ,$34.26 ,$152.00 ,$87.40 ,$109.44 ,$82.69 ,$34.26 ,$42.56 ,$101.08 ,$34.26 ,$106.40 ,$34.26 ,$95.76 ,$95.76 ,$34.26 ,$95.76 ,$70.62 ,$139.84 , N/A ,$34.26 ,$129.20 ,$127.68 ,$34.26 ,$114.00 ,$121.60 ,$121.60 ,$34.26 ,$121.60 ,$132.24 ,$132.24 ,$132.24 ,$136.80 ,$87.40 ,$34.26 ,$152.00 ,$85.27 ,$34.26 ,$62.93 , N/A , N/A ,$35.98 ,$129.20 ,$95.76 ,$42.56 ,$136.80 ,$132.24 ,$121.60 ,$121.60 ,$34.26 ,$98.80 ST. FRANCIS HOSPITAL - ACUTE,27100239,N/A,HC TUBING OXYGEN,271,1 ,$41.00 ,$29.52 ,$9.24 ,$41.00 ,$23.58 ,$29.52 ,$22.30 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.70 ,$9.24 ,$25.83 ,$25.83 ,$9.24 ,$25.83 ,$19.05 ,$37.72 , N/A ,$9.24 ,$34.85 ,$34.44 ,$9.24 ,$30.75 ,$32.80 ,$32.80 ,$9.24 ,$32.80 ,$35.67 ,$35.67 ,$35.67 ,$36.90 ,$23.58 ,$9.24 ,$41.00 ,$23.00 ,$9.24 ,$16.97 , N/A , N/A ,$9.70 ,$34.85 ,$25.83 ,$11.48 ,$36.90 ,$35.67 ,$32.80 ,$32.80 ,$9.24 ,$26.65 ST. FRANCIS HOSPITAL - ACUTE,27100256,N/A,HC ELECTRODE FETAL SCALP,271,1 ,$209.00 ,$150.48 ,$47.11 ,$209.00 ,$120.18 ,$150.48 ,$113.70 ,$47.11 ,$58.52 ,$138.99 ,$47.11 ,$146.30 ,$47.11 ,$131.67 ,$131.67 ,$47.11 ,$131.67 ,$97.10 ,$192.28 , N/A ,$47.11 ,$177.65 ,$175.56 ,$47.11 ,$156.75 ,$167.20 ,$167.20 ,$47.11 ,$167.20 ,$181.83 ,$181.83 ,$181.83 ,$188.10 ,$120.18 ,$47.11 ,$209.00 ,$117.25 ,$47.11 ,$86.53 , N/A , N/A ,$49.46 ,$177.65 ,$131.67 ,$58.52 ,$188.10 ,$181.83 ,$167.20 ,$167.20 ,$47.11 ,$135.85 ST. FRANCIS HOSPITAL - ACUTE,27100261,N/A,HC PAD K PAD,271,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27100273,N/A,HC SPLINT OCL CUSTOM,271,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27100282,N/A,HC PACK HOT/ COLD SMALL,271,1 ,$13.00 ,$9.36 ,$2.93 ,$13.00 ,$7.48 ,$9.36 ,$7.07 ,$2.93 ,$3.64 ,$8.65 ,$2.93 ,$9.10 ,$2.93 ,$8.19 ,$8.19 ,$2.93 ,$8.19 ,$6.04 ,$11.96 , N/A ,$2.93 ,$11.05 ,$10.92 ,$2.93 ,$9.75 ,$10.40 ,$10.40 ,$2.93 ,$10.40 ,$11.31 ,$11.31 ,$11.31 ,$11.70 ,$7.48 ,$2.93 ,$13.00 ,$7.29 ,$2.93 ,$5.38 , N/A , N/A ,$3.08 ,$11.05 ,$8.19 ,$3.64 ,$11.70 ,$11.31 ,$10.40 ,$10.40 ,$2.93 ,$8.45 ST. FRANCIS HOSPITAL - ACUTE,27100290,A4467,HC GARMENT ELASTIC,271,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 , N/A , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27100291,L3650,HC IMMOBILIZER SHOULDER ADB RESTR,271,1 ,$60.00 ,$43.20 ,$13.52 ,$180.42 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 ,$55.20 ,$180.42 ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 , N/A , N/A ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,27100325,N/A,HC SPACER MDI,271,1 ,$16.00 ,$11.52 ,$3.61 ,$16.00 ,$9.20 ,$11.52 ,$8.70 ,$3.61 ,$4.48 ,$10.64 ,$3.61 ,$11.20 ,$3.61 ,$10.08 ,$10.08 ,$3.61 ,$10.08 ,$7.43 ,$14.72 , N/A ,$3.61 ,$13.60 ,$13.44 ,$3.61 ,$12.00 ,$12.80 ,$12.80 ,$3.61 ,$12.80 ,$13.92 ,$13.92 ,$13.92 ,$14.40 ,$9.20 ,$3.61 ,$16.00 ,$8.98 ,$3.61 ,$6.62 , N/A , N/A ,$3.78 ,$13.60 ,$10.08 ,$4.48 ,$14.40 ,$13.92 ,$12.80 ,$12.80 ,$3.61 ,$10.40 ST. FRANCIS HOSPITAL - ACUTE,27100326,N/A,HC STOCKING ANTIEMBOLISM,271,1 ,$75.00 ,$54.00 ,$16.90 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 , N/A ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 , N/A , N/A ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,27100483,N/A,HC BOTTLE HUMIDITY,271,1 ,$17.00 ,$12.24 ,$3.83 ,$17.00 ,$9.78 ,$12.24 ,$9.25 ,$3.83 ,$4.76 ,$11.31 ,$3.83 ,$11.90 ,$3.83 ,$10.71 ,$10.71 ,$3.83 ,$10.71 ,$7.90 ,$15.64 , N/A ,$3.83 ,$14.45 ,$14.28 ,$3.83 ,$12.75 ,$13.60 ,$13.60 ,$3.83 ,$13.60 ,$14.79 ,$14.79 ,$14.79 ,$15.30 ,$9.78 ,$3.83 ,$17.00 ,$9.54 ,$3.83 ,$7.04 , N/A , N/A ,$4.03 ,$14.45 ,$10.71 ,$4.76 ,$15.30 ,$14.79 ,$13.60 ,$13.60 ,$3.83 ,$11.05 ST. FRANCIS HOSPITAL - ACUTE,27100484,N/A,HC ROLL CAST FIBERGLASS,271,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27100485,N/A,HC ROLL CAST PLASTER,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27100491,N/A,HC PROTECTANT SKIN,271,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 , N/A ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 , N/A , N/A ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,27100493,N/A,HC PAD SENSOR,271,1 ,$41.00 ,$29.52 ,$9.24 ,$41.00 ,$23.58 ,$29.52 ,$22.30 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.70 ,$9.24 ,$25.83 ,$25.83 ,$9.24 ,$25.83 ,$19.05 ,$37.72 , N/A ,$9.24 ,$34.85 ,$34.44 ,$9.24 ,$30.75 ,$32.80 ,$32.80 ,$9.24 ,$32.80 ,$35.67 ,$35.67 ,$35.67 ,$36.90 ,$23.58 ,$9.24 ,$41.00 ,$23.00 ,$9.24 ,$16.97 , N/A , N/A ,$9.70 ,$34.85 ,$25.83 ,$11.48 ,$36.90 ,$35.67 ,$32.80 ,$32.80 ,$9.24 ,$26.65 ST. FRANCIS HOSPITAL - ACUTE,27100495,N/A,HC SPLITTER PILL,271,1 ,$34.00 ,$24.48 ,$7.66 ,$34.00 ,$19.55 ,$24.48 ,$18.50 ,$7.66 ,$9.52 ,$22.61 ,$7.66 ,$23.80 ,$7.66 ,$21.42 ,$21.42 ,$7.66 ,$21.42 ,$15.80 ,$31.28 , N/A ,$7.66 ,$28.90 ,$28.56 ,$7.66 ,$25.50 ,$27.20 ,$27.20 ,$7.66 ,$27.20 ,$29.58 ,$29.58 ,$29.58 ,$30.60 ,$19.55 ,$7.66 ,$34.00 ,$19.07 ,$7.66 ,$14.08 , N/A , N/A ,$8.05 ,$28.90 ,$21.42 ,$9.52 ,$30.60 ,$29.58 ,$27.20 ,$27.20 ,$7.66 ,$22.10 ST. FRANCIS HOSPITAL - ACUTE,27100497,N/A,HC STRAP CATHETER,271,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BAG BILE,271,1 ,$22.15 ,$15.95 ,$4.99 ,$22.15 ,$12.73 ,$15.95 ,$12.05 ,$4.99 ,$6.20 ,$14.73 ,$4.99 ,$15.51 ,$4.99 ,$13.95 ,$13.95 ,$4.99 ,$13.95 ,$10.28 ,$20.38 , N/A ,$4.99 ,$18.83 ,$18.61 ,$4.99 ,$16.61 ,$17.72 ,$17.72 ,$4.99 ,$17.72 ,$19.27 ,$19.27 ,$19.27 ,$19.94 ,$12.73 ,$4.99 ,$22.15 ,$12.43 ,$4.99 ,$9.17 , N/A , N/A ,$5.23 ,$18.83 ,$13.95 ,$6.20 ,$19.94 ,$19.27 ,$17.72 ,$17.72 ,$4.99 ,$14.40 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BAG DRAINAGE 18OZ ANTIREFLUX VALVE LOW PROFILE BUTTON COMBINATION PACK LEG STERILE LATEX FREE 10X4.25IN,271,1 ,$14.42 ,$10.38 ,$3.25 ,$14.42 ,$8.30 ,$10.38 ,$7.84 ,$3.25 ,$4.04 ,$9.59 ,$3.25 ,$10.09 ,$3.25 ,$9.08 ,$9.08 ,$3.25 ,$9.08 ,$6.71 ,$13.27 , N/A ,$3.25 ,$12.26 ,$12.11 ,$3.25 ,$10.82 ,$11.54 ,$11.54 ,$3.25 ,$11.54 ,$12.55 ,$12.55 ,$12.55 ,$12.98 ,$8.30 ,$3.25 ,$14.42 ,$8.09 ,$3.25 ,$5.97 , N/A , N/A ,$3.42 ,$12.26 ,$9.08 ,$4.04 ,$12.98 ,$12.55 ,$11.54 ,$11.54 ,$3.25 ,$9.37 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BAG ICE 12X6IN EZY GEL MICROWAVABLE CRYOTHERAPY,271,1 ,$15.20 ,$10.94 ,$3.43 ,$15.20 ,$8.75 ,$10.94 ,$8.27 ,$3.43 ,$4.26 ,$10.11 ,$3.43 ,$10.64 ,$3.43 ,$9.58 ,$9.58 ,$3.43 ,$9.58 ,$7.07 ,$13.98 , N/A ,$3.43 ,$12.92 ,$12.77 ,$3.43 ,$11.40 ,$12.16 ,$12.16 ,$3.43 ,$12.16 ,$13.22 ,$13.22 ,$13.22 ,$13.68 ,$8.75 ,$3.43 ,$15.20 ,$8.53 ,$3.43 ,$6.29 , N/A , N/A ,$3.61 ,$12.92 ,$9.58 ,$4.26 ,$13.68 ,$13.22 ,$12.16 ,$12.16 ,$3.43 ,$9.88 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BAG PRESSURE INFUSION 1000ML C-FUSOR MEDEX 3 WAY STOPCOCK LARGE SQUEEZE BULB INTRAVENOUS NONSTERILE LATEX FREE REUSABLE,271,1 ,$254.19 ,$183.02 ,$57.29 ,$254.19 ,$146.15 ,$183.02 ,$138.28 ,$57.29 ,$71.17 ,$169.04 ,$57.29 ,$177.93 ,$57.29 ,$160.14 ,$160.14 ,$57.29 ,$160.14 ,$118.09 ,$233.85 , N/A ,$57.29 ,$216.06 ,$213.52 ,$57.29 ,$190.64 ,$203.35 ,$203.35 ,$57.29 ,$203.35 ,$221.15 ,$221.15 ,$221.15 ,$228.77 ,$146.15 ,$57.29 ,$254.19 ,$142.60 ,$57.29 ,$105.23 , N/A , N/A ,$60.15 ,$216.06 ,$160.14 ,$71.17 ,$228.77 ,$221.15 ,$203.35 ,$203.35 ,$57.29 ,$165.22 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BAG URINE DRAINAGE 4 LITER,271,1 ,$10.14 ,$7.30 ,$2.28 ,$10.14 ,$5.83 ,$7.30 ,$5.52 ,$2.28 ,$2.84 ,$6.74 ,$2.28 ,$7.10 ,$2.28 ,$6.39 ,$6.39 ,$2.28 ,$6.39 ,$4.71 ,$9.33 , N/A ,$2.28 ,$8.62 ,$8.52 ,$2.28 ,$7.61 ,$8.11 ,$8.11 ,$2.28 ,$8.11 ,$8.82 ,$8.82 ,$8.82 ,$9.13 ,$5.83 ,$2.28 ,$10.14 ,$5.69 ,$2.28 ,$4.20 , N/A , N/A ,$2.40 ,$8.62 ,$6.39 ,$2.84 ,$9.13 ,$8.82 ,$8.11 ,$8.11 ,$2.28 ,$6.59 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BELT RIB UNIVERSAL 6IN 6 VERTICAL PILE STRIP CHEST MALE 24-48IN,271,1 ,$13.05 ,$9.40 ,$2.94 ,$13.05 ,$7.50 ,$9.40 ,$7.10 ,$2.94 ,$3.65 ,$8.68 ,$2.94 ,$9.14 ,$2.94 ,$8.22 ,$8.22 ,$2.94 ,$8.22 ,$6.06 ,$12.01 , N/A ,$2.94 ,$11.09 ,$10.96 ,$2.94 ,$9.79 ,$10.44 ,$10.44 ,$2.94 ,$10.44 ,$11.35 ,$11.35 ,$11.35 ,$11.75 ,$7.50 ,$2.94 ,$13.05 ,$7.32 ,$2.94 ,$5.40 , N/A , N/A ,$3.09 ,$11.09 ,$8.22 ,$3.65 ,$11.75 ,$11.35 ,$10.44 ,$10.44 ,$2.94 ,$8.48 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BELT RIB UNIVERSAL 6IN 6 VERTICAL PILE STRIP CHEST LATEX FREE FEMALE 24-48IN,271,1 ,$13.05 ,$9.40 ,$2.94 ,$13.05 ,$7.50 ,$9.40 ,$7.10 ,$2.94 ,$3.65 ,$8.68 ,$2.94 ,$9.14 ,$2.94 ,$8.22 ,$8.22 ,$2.94 ,$8.22 ,$6.06 ,$12.01 , N/A ,$2.94 ,$11.09 ,$10.96 ,$2.94 ,$9.79 ,$10.44 ,$10.44 ,$2.94 ,$10.44 ,$11.35 ,$11.35 ,$11.35 ,$11.75 ,$7.50 ,$2.94 ,$13.05 ,$7.32 ,$2.94 ,$5.40 , N/A , N/A ,$3.09 ,$11.09 ,$8.22 ,$3.65 ,$11.75 ,$11.35 ,$10.44 ,$10.44 ,$2.94 ,$8.48 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BELT WHEELCHAIR 21.5X4.5IN POSEY STANDARD FOAM QUICK RELEASE 1 STRAP TIE SOFT PAD MACHINE WASHABLE 73IN,271,1 ,$19.86 ,$14.30 ,$4.48 ,$19.86 ,$11.43 ,$14.30 ,$10.80 ,$4.48 ,$5.56 ,$13.21 ,$4.48 ,$13.90 ,$4.48 ,$12.51 ,$12.51 ,$4.48 ,$12.51 ,$9.23 ,$18.27 , N/A ,$4.48 ,$16.88 ,$16.68 ,$4.48 ,$14.90 ,$15.89 ,$15.89 ,$4.48 ,$15.89 ,$17.28 ,$17.28 ,$17.28 ,$17.87 ,$11.43 ,$4.48 ,$19.86 ,$11.14 ,$4.48 ,$8.22 , N/A , N/A ,$4.70 ,$16.88 ,$12.51 ,$5.56 ,$17.87 ,$17.28 ,$15.89 ,$15.89 ,$4.48 ,$12.91 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BINDER ABDOMINAL 12IN 45-62IN,271,1 ,$22.63 ,$16.29 ,$5.10 ,$22.63 ,$13.00 ,$16.29 ,$12.31 ,$5.10 ,$6.34 ,$15.05 ,$5.10 ,$15.84 ,$5.10 ,$14.26 ,$14.26 ,$5.10 ,$14.26 ,$10.50 ,$20.82 , N/A ,$5.10 ,$19.24 ,$19.01 ,$5.10 ,$16.97 ,$18.10 ,$18.10 ,$5.10 ,$18.10 ,$19.69 ,$19.69 ,$19.69 ,$20.37 ,$13.00 ,$5.10 ,$22.63 ,$12.70 ,$5.10 ,$9.37 , N/A , N/A ,$5.35 ,$19.24 ,$14.26 ,$6.34 ,$20.37 ,$19.69 ,$18.10 ,$18.10 ,$5.10 ,$14.71 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BOOT TRACTION UNIVERSAL MEDIAL LATERAL STAY 20IN 20IN,271,1 ,$100.74 ,$72.53 ,$22.71 ,$100.74 ,$57.93 ,$72.53 ,$54.80 ,$22.71 ,$28.21 ,$66.99 ,$22.71 ,$70.52 ,$22.71 ,$63.47 ,$63.47 ,$22.71 ,$63.47 ,$46.80 ,$92.68 , N/A ,$22.71 ,$85.63 ,$84.62 ,$22.71 ,$75.56 ,$80.59 ,$80.59 ,$22.71 ,$80.59 ,$87.64 ,$87.64 ,$87.64 ,$90.67 ,$57.93 ,$22.71 ,$100.74 ,$56.52 ,$22.71 ,$41.71 , N/A , N/A ,$23.84 ,$85.63 ,$63.47 ,$28.21 ,$90.67 ,$87.64 ,$80.59 ,$80.59 ,$22.71 ,$65.48 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC 9.5IN ANKLE SEMIRIGID SHELL HEEL PAD COMPRESSION VELCRO PLASTIC AIR-STIRRUP UNIVERSE LATEX FREE,271,1 ,$45.63 ,$32.85 ,$10.28 ,$45.63 ,$26.23 ,$32.85 ,$24.82 ,$10.28 ,$12.78 ,$30.34 ,$10.28 ,$31.94 ,$10.28 ,$28.75 ,$28.75 ,$10.28 ,$28.75 ,$21.19 ,$41.98 , N/A ,$10.28 ,$38.79 ,$38.33 ,$10.28 ,$34.22 ,$36.50 ,$36.50 ,$10.28 ,$36.50 ,$39.70 ,$39.70 ,$39.70 ,$41.07 ,$26.23 ,$10.28 ,$45.63 ,$25.60 ,$10.28 ,$18.89 , N/A , N/A ,$10.79 ,$38.79 ,$28.75 ,$12.78 ,$41.07 ,$39.70 ,$36.50 ,$36.50 ,$10.28 ,$29.66 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC XS 7.5IN 4.5-5.5IN WRIST LEFT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM PEDIATRIC LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC LARGE 8.5IN 7.5-8.5IN WRIST LEFT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE BREATHABLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC LARGE 8.5IN 7.5-8.5IN WRIST RIGHT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC MEDIUM 8IN 6.5-7.5IN WRIST LEFT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC MEDIUM 8IN 6.5-7.5IN WRIST RIGHT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC SMALL 7.5IN 5.5-6.5IN WRIST LEFT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC SMALL 7.5IN 5.5-6.5IN WRIST RIGHT LOOP LOCK CLOSURE PREFORM STAY THUMB HOLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM LATEX FREE CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRACE ORTHOPEDIC XL 8.5IN 8.5+ IN WRIST RIGHT PREFORM STAY LOOP LOCK CLOSURE LIGHTWEIGHT BREATHABLE LYCRA ALUMINUM FOAM PROCARE COMFORTFORM CARPAL TUNNEL SYNDROME,271,1 ,$14.13 ,$10.17 ,$3.18 ,$14.13 ,$8.13 ,$10.17 ,$7.69 ,$3.18 ,$3.96 ,$9.40 ,$3.18 ,$9.89 ,$3.18 ,$8.90 ,$8.90 ,$3.18 ,$8.90 ,$6.57 ,$13.00 , N/A ,$3.18 ,$12.01 ,$11.87 ,$3.18 ,$10.60 ,$11.30 ,$11.30 ,$3.18 ,$11.30 ,$12.29 ,$12.29 ,$12.29 ,$12.72 ,$8.13 ,$3.18 ,$14.13 ,$7.93 ,$3.18 ,$5.85 , N/A , N/A ,$3.34 ,$12.01 ,$8.90 ,$3.96 ,$12.72 ,$12.29 ,$11.30 ,$11.30 ,$3.18 ,$9.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRIEF 48-58IN LARGE INCONTINENCE ADULT ODOR CONTROL WETNESS INDICATOR SKIN CLOSURE SOFT BACKSHEET FITRIGHT BASIC 4D-CORE BRONZE SERIES LATEX FREE DISPOSABLE,271,1 ,$18.15 ,$13.07 ,$4.09 ,$18.15 ,$10.43 ,$13.07 ,$9.87 ,$4.09 ,$5.08 ,$12.07 ,$4.09 ,$12.71 ,$4.09 ,$11.43 ,$11.43 ,$4.09 ,$11.43 ,$8.42 ,$16.70 , N/A ,$4.09 ,$15.43 ,$15.25 ,$4.09 ,$13.61 ,$14.52 ,$14.52 ,$4.09 ,$14.52 ,$15.79 ,$15.79 ,$15.79 ,$16.34 ,$10.43 ,$4.09 ,$18.15 ,$10.18 ,$4.09 ,$7.51 , N/A , N/A ,$4.29 ,$15.43 ,$11.43 ,$5.08 ,$16.34 ,$15.79 ,$14.52 ,$14.52 ,$4.09 ,$11.80 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRIEF 59-66IN XL INCONTINENCE ADULT HEAVY ABSORBENCY,271,1 ,$1.10 ,$0.79 ,$0.24 ,$1.10 ,$0.63 ,$0.79 ,$0.60 ,$0.24 ,$0.31 ,$0.73 ,$0.24 ,$0.77 ,$0.24 ,$0.69 ,$0.69 ,$0.24 ,$0.69 ,$0.51 ,$1.01 , N/A ,$0.24 ,$0.94 ,$0.92 ,$0.24 ,$0.83 ,$0.88 ,$0.88 ,$0.24 ,$0.88 ,$0.96 ,$0.96 ,$0.96 ,$0.99 ,$0.63 ,$0.24 ,$1.10 ,$0.62 ,$0.24 ,$0.46 , N/A , N/A ,$0.25 ,$0.94 ,$0.69 ,$0.31 ,$0.99 ,$0.96 ,$0.88 ,$0.88 ,$0.24 ,$0.72 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,BRIEF XL INCONTINENCE ADULT ODOR CONTROL MOISTURE ALERT WETNESS INDICATOR BACKSHEET FITRIGHT BASIC 4D-CORE BRONZE SERIES CLOTH 57-66IN LATEX FREE DISPOSABLE,271,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 ,$19.49 , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CANNISTER SET AQUILEX BEMIS HOLOGIC,271,1 ,$46.67 ,$33.60 ,$10.52 ,$46.67 ,$26.83 ,$33.60 ,$25.39 ,$10.52 ,$13.07 ,$31.04 ,$10.52 ,$32.67 ,$10.52 ,$29.40 ,$29.40 ,$10.52 ,$29.40 ,$21.67 ,$42.94 , N/A ,$10.52 ,$39.67 ,$39.20 ,$10.52 ,$35.00 ,$37.34 ,$37.34 ,$10.52 ,$37.34 ,$40.60 ,$40.60 ,$40.60 ,$42.00 ,$26.83 ,$10.52 ,$46.67 ,$26.18 ,$10.52 ,$19.32 , N/A , N/A ,$11.04 ,$39.67 ,$29.40 ,$13.07 ,$42.00 ,$40.60 ,$37.34 ,$37.34 ,$10.52 ,$30.34 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CAST PAD SYNTHETIC 2,271,1 ,$26.58 ,$19.14 ,$5.99 ,$26.58 ,$15.28 ,$19.14 ,$14.46 ,$5.99 ,$7.44 ,$17.68 ,$5.99 ,$18.61 ,$5.99 ,$16.75 ,$16.75 ,$5.99 ,$16.75 ,$12.34 ,$24.45 , N/A ,$5.99 ,$22.59 ,$22.33 ,$5.99 ,$19.94 ,$21.26 ,$21.26 ,$5.99 ,$21.26 ,$23.12 ,$23.12 ,$23.12 ,$23.92 ,$15.28 ,$5.99 ,$26.58 ,$14.91 ,$5.99 ,$11.00 , N/A , N/A ,$6.29 ,$22.59 ,$16.75 ,$7.44 ,$23.92 ,$23.12 ,$21.26 ,$21.26 ,$5.99 ,$17.28 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CAST PAD SYNTHETIC 3,271,1 ,$19.74 ,$14.21 ,$4.45 ,$19.74 ,$11.35 ,$14.21 ,$10.74 ,$4.45 ,$5.53 ,$13.13 ,$4.45 ,$13.82 ,$4.45 ,$12.44 ,$12.44 ,$4.45 ,$12.44 ,$9.17 ,$18.16 , N/A ,$4.45 ,$16.78 ,$16.58 ,$4.45 ,$14.81 ,$15.79 ,$15.79 ,$4.45 ,$15.79 ,$17.17 ,$17.17 ,$17.17 ,$17.77 ,$11.35 ,$4.45 ,$19.74 ,$11.07 ,$4.45 ,$8.17 , N/A , N/A ,$4.67 ,$16.78 ,$12.44 ,$5.53 ,$17.77 ,$17.17 ,$15.79 ,$15.79 ,$4.45 ,$12.83 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CAST PAD SYNTHETIC 4,271,1 ,$26.71 ,$19.23 ,$6.02 ,$26.71 ,$15.35 ,$19.23 ,$14.53 ,$6.02 ,$7.48 ,$17.76 ,$6.02 ,$18.70 ,$6.02 ,$16.83 ,$16.83 ,$6.02 ,$16.83 ,$12.40 ,$24.57 , N/A ,$6.02 ,$22.70 ,$22.44 ,$6.02 ,$20.03 ,$21.37 ,$21.37 ,$6.02 ,$21.37 ,$23.24 ,$23.24 ,$23.24 ,$24.04 ,$15.35 ,$6.02 ,$26.71 ,$14.98 ,$6.02 ,$11.06 , N/A , N/A ,$6.32 ,$22.70 ,$16.83 ,$7.48 ,$24.04 ,$23.24 ,$21.37 ,$21.37 ,$6.02 ,$17.36 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CAST PAD SYNTHETIC 6,271,1 ,$21.43 ,$15.43 ,$4.83 ,$21.43 ,$12.33 ,$15.43 ,$11.66 ,$4.83 ,$6.00 ,$14.25 ,$4.83 ,$15.00 ,$4.83 ,$13.50 ,$13.50 ,$4.83 ,$13.50 ,$9.96 ,$19.72 , N/A ,$4.83 ,$18.22 ,$18.00 ,$4.83 ,$16.07 ,$17.14 ,$17.14 ,$4.83 ,$17.14 ,$18.64 ,$18.64 ,$18.64 ,$19.29 ,$12.33 ,$4.83 ,$21.43 ,$12.02 ,$4.83 ,$8.87 , N/A , N/A ,$5.08 ,$18.22 ,$13.50 ,$6.00 ,$19.29 ,$18.64 ,$17.14 ,$17.14 ,$4.83 ,$13.93 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,COLLAR CERVICAL SMALL XLONG CONTOUR 2.5IN SERPENTINE CONTACT CLOSURE WASHABLE FOAM 16.5IN,271,1 ,$8.76 ,$6.31 ,$1.97 ,$8.76 ,$5.03 ,$6.31 ,$4.77 ,$1.97 ,$2.45 ,$5.83 ,$1.97 ,$6.13 ,$1.97 ,$5.52 ,$5.52 ,$1.97 ,$5.52 ,$4.06 ,$8.06 , N/A ,$1.97 ,$7.45 ,$7.36 ,$1.97 ,$6.57 ,$7.01 ,$7.01 ,$1.97 ,$7.01 ,$7.62 ,$7.62 ,$7.62 ,$7.88 ,$5.03 ,$1.97 ,$8.76 ,$4.91 ,$1.97 ,$3.63 , N/A , N/A ,$2.07 ,$7.45 ,$5.52 ,$2.45 ,$7.88 ,$7.62 ,$7.01 ,$7.01 ,$1.97 ,$5.69 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CUFF TOURNIQUET DUAL PORT 18,271,1 ,$48.54 ,$34.95 ,$10.94 ,$48.54 ,$27.90 ,$34.95 ,$26.41 ,$10.94 ,$13.59 ,$32.28 ,$10.94 ,$33.98 ,$10.94 ,$30.58 ,$30.58 ,$10.94 ,$30.58 ,$22.54 ,$44.66 , N/A ,$10.94 ,$41.26 ,$40.77 ,$10.94 ,$36.41 ,$38.83 ,$38.83 ,$10.94 ,$38.83 ,$42.23 ,$42.23 ,$42.23 ,$43.69 ,$27.90 ,$10.94 ,$48.54 ,$27.23 ,$10.94 ,$20.10 , N/A , N/A ,$11.49 ,$41.26 ,$30.58 ,$13.59 ,$43.69 ,$42.23 ,$38.83 ,$38.83 ,$10.94 ,$31.55 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,CUFF TOURNIQUET SINGLE PORT 24,271,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,DIAPER PAMPERS 3,271,1 ,$0.08 ,$0.06 ,$0.02 ,$0.08 ,$0.05 ,$0.06 ,$0.04 ,$0.02 ,$0.02 ,$0.05 ,$0.02 ,$0.06 ,$0.02 ,$0.05 ,$0.05 ,$0.02 ,$0.05 ,$0.04 ,$0.07 , N/A ,$0.02 ,$0.07 ,$0.07 ,$0.02 ,$0.06 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.05 ,$0.02 ,$0.08 ,$0.04 ,$0.02 ,$0.03 , N/A , N/A ,$0.02 ,$0.07 ,$0.05 ,$0.02 ,$0.07 ,$0.07 ,$0.06 ,$0.06 ,$0.02 ,$0.05 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,DRESSING COBAN 1,271,1 ,$1.42 ,$1.02 ,$0.32 ,$1.42 ,$0.83 ,$1.02 ,$0.77 ,$0.32 ,$0.40 ,$0.94 ,$0.32 ,$0.99 ,$0.32 ,$0.89 ,$0.89 ,$0.32 ,$0.89 ,$0.67 ,$1.31 , N/A ,$0.32 ,$1.21 ,$1.19 ,$0.32 ,$1.07 ,$1.14 ,$1.14 ,$0.32 ,$1.14 ,$1.24 ,$1.24 ,$1.24 ,$1.28 ,$0.83 ,$0.32 ,$1.42 ,$0.80 ,$0.32 ,$0.59 , N/A , N/A ,$0.34 ,$1.21 ,$0.89 ,$0.40 ,$1.28 ,$1.24 ,$1.14 ,$1.14 ,$0.32 ,$0.92 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,DRESSING EYE PAD,271,1 ,$0.16 ,$0.12 ,$0.04 ,$0.16 ,$0.10 ,$0.12 ,$0.09 ,$0.04 ,$0.04 ,$0.11 ,$0.04 ,$0.11 ,$0.04 ,$0.10 ,$0.10 ,$0.04 ,$0.10 ,$0.08 ,$0.15 , N/A ,$0.04 ,$0.14 ,$0.13 ,$0.04 ,$0.12 ,$0.13 ,$0.13 ,$0.04 ,$0.13 ,$0.14 ,$0.14 ,$0.14 ,$0.14 ,$0.10 ,$0.04 ,$0.16 ,$0.09 ,$0.04 ,$0.07 , N/A , N/A ,$0.04 ,$0.14 ,$0.10 ,$0.04 ,$0.14 ,$0.14 ,$0.13 ,$0.13 ,$0.04 ,$0.10 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,DRESSING STOCKINETTE TAN J AND J 3,271,1 ,$28.17 ,$20.28 ,$6.35 ,$28.17 ,$16.20 ,$20.28 ,$15.32 ,$6.35 ,$7.89 ,$18.73 ,$6.35 ,$19.72 ,$6.35 ,$17.75 ,$17.75 ,$6.35 ,$17.75 ,$13.09 ,$25.92 , N/A ,$6.35 ,$23.94 ,$23.66 ,$6.35 ,$21.13 ,$22.54 ,$22.54 ,$6.35 ,$22.54 ,$24.51 ,$24.51 ,$24.51 ,$25.35 ,$16.20 ,$6.35 ,$28.17 ,$15.80 ,$6.35 ,$11.66 , N/A , N/A ,$6.66 ,$23.94 ,$17.75 ,$7.89 ,$25.35 ,$24.51 ,$22.54 ,$22.54 ,$6.35 ,$18.31 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,HOLDER LIMB 13X3IN 4-12IN POSEY THK.25IN ANKLE WRIST FOAM 2 STRAP TIE QUICK RELEASE BUCKLE HOOK LOOP ADJUSTABLE 33IN LATEX FREE,271,1 ,$7.86 ,$5.66 ,$1.77 ,$7.86 ,$4.53 ,$5.66 ,$4.28 ,$1.77 ,$2.20 ,$5.23 ,$1.77 ,$5.50 ,$1.77 ,$4.95 ,$4.95 ,$1.77 ,$4.95 ,$3.66 ,$7.23 , N/A ,$1.77 ,$6.68 ,$6.60 ,$1.77 ,$5.90 ,$6.29 ,$6.29 ,$1.77 ,$6.29 ,$6.84 ,$6.84 ,$6.84 ,$7.07 ,$4.53 ,$1.77 ,$7.86 ,$4.41 ,$1.77 ,$3.25 , N/A , N/A ,$1.86 ,$6.68 ,$4.95 ,$2.20 ,$7.07 ,$6.84 ,$6.29 ,$6.29 ,$1.77 ,$5.11 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,IMMOBILIZER ORTHOPEDIC UNIVERSAL 24IN 32- IN KNEE TRIMMABLE MULTIPANEL ELASTIC STRAP STRAIGHT MEDIAL LATERAL STAY PLUSH FOAM PROCARE LATEX FREE 6IN,271,1 ,$55.47 ,$39.94 ,$12.50 ,$55.47 ,$31.90 ,$39.94 ,$30.18 ,$12.50 ,$15.53 ,$36.89 ,$12.50 ,$38.83 ,$12.50 ,$34.95 ,$34.95 ,$12.50 ,$34.95 ,$25.78 ,$51.03 , N/A ,$12.50 ,$47.15 ,$46.59 ,$12.50 ,$41.60 ,$44.38 ,$44.38 ,$12.50 ,$44.38 ,$48.26 ,$48.26 ,$48.26 ,$49.92 ,$31.90 ,$12.50 ,$55.47 ,$31.12 ,$12.50 ,$22.96 , N/A , N/A ,$13.13 ,$47.15 ,$34.95 ,$15.53 ,$49.92 ,$48.26 ,$44.38 ,$44.38 ,$12.50 ,$36.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,IMMOBILIZER ORTHOPEDIC UNIVERSAL STRAIGHT 20IN 30- IN KNEE MULTIPANEL MEDIAL LATERAL STAY ELASTIC STRAP TRIMMABLE PLUSH FOAM PROCARE LATEX FREE 6IN,271,1 ,$49.47 ,$35.62 ,$11.15 ,$49.47 ,$28.45 ,$35.62 ,$26.91 ,$11.15 ,$13.85 ,$32.90 ,$11.15 ,$34.63 ,$11.15 ,$31.17 ,$31.17 ,$11.15 ,$31.17 ,$22.99 ,$45.51 , N/A ,$11.15 ,$42.05 ,$41.55 ,$11.15 ,$37.10 ,$39.58 ,$39.58 ,$11.15 ,$39.58 ,$43.04 ,$43.04 ,$43.04 ,$44.52 ,$28.45 ,$11.15 ,$49.47 ,$27.75 ,$11.15 ,$20.48 , N/A , N/A ,$11.71 ,$42.05 ,$31.17 ,$13.85 ,$44.52 ,$43.04 ,$39.58 ,$39.58 ,$11.15 ,$32.16 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,IMMOBILZER KNEE 20 SMALL,271,1 ,$21.51 ,$15.49 ,$4.85 ,$21.51 ,$12.38 ,$15.49 ,$11.70 ,$4.85 ,$6.02 ,$14.30 ,$4.85 ,$15.06 ,$4.85 ,$13.55 ,$13.55 ,$4.85 ,$13.55 ,$10.00 ,$19.79 , N/A ,$4.85 ,$18.28 ,$18.07 ,$4.85 ,$16.13 ,$17.21 ,$17.21 ,$4.85 ,$17.21 ,$18.71 ,$18.71 ,$18.71 ,$19.36 ,$12.38 ,$4.85 ,$21.51 ,$12.07 ,$4.85 ,$8.91 , N/A , N/A ,$5.10 ,$18.28 ,$13.55 ,$6.02 ,$19.36 ,$18.71 ,$17.21 ,$17.21 ,$4.85 ,$13.98 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,KIT ENEMA PACK FLEET,271,1 ,$7.77 ,$5.59 ,$1.75 ,$7.77 ,$4.48 ,$5.59 ,$4.23 ,$1.75 ,$2.18 ,$5.17 ,$1.75 ,$5.44 ,$1.75 ,$4.90 ,$4.90 ,$1.75 ,$4.90 ,$3.62 ,$7.15 , N/A ,$1.75 ,$6.60 ,$6.53 ,$1.75 ,$5.83 ,$6.22 ,$6.22 ,$1.75 ,$6.22 ,$6.76 ,$6.76 ,$6.76 ,$6.99 ,$4.48 ,$1.75 ,$7.77 ,$4.36 ,$1.75 ,$3.22 , N/A , N/A ,$1.84 ,$6.60 ,$4.90 ,$2.18 ,$6.99 ,$6.76 ,$6.22 ,$6.22 ,$1.75 ,$5.05 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,MATTRESS OVERLAY 75X30X3IN STATIC AIR PUMP EXPANSION CONTROL LATEX FREE WAFFLE,271,1 ,$99.84 ,$71.88 ,$22.50 ,$99.84 ,$57.40 ,$71.88 ,$54.31 ,$22.50 ,$27.96 ,$66.39 ,$22.50 ,$69.89 ,$22.50 ,$62.90 ,$62.90 ,$22.50 ,$62.90 ,$46.38 ,$91.85 , N/A ,$22.50 ,$84.86 ,$83.87 ,$22.50 ,$74.88 ,$79.87 ,$79.87 ,$22.50 ,$79.87 ,$86.86 ,$86.86 ,$86.86 ,$89.86 ,$57.40 ,$22.50 ,$99.84 ,$56.01 ,$22.50 ,$41.33 , N/A , N/A ,$23.63 ,$84.86 ,$62.90 ,$27.96 ,$89.86 ,$86.86 ,$79.87 ,$79.87 ,$22.50 ,$64.90 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,OXIMETER ADULT,271,1 ,$19.97 ,$14.38 ,$4.50 ,$19.97 ,$11.48 ,$14.38 ,$10.86 ,$4.50 ,$5.59 ,$13.28 ,$4.50 ,$13.98 ,$4.50 ,$12.58 ,$12.58 ,$4.50 ,$12.58 ,$9.27 ,$18.37 , N/A ,$4.50 ,$16.97 ,$16.77 ,$4.50 ,$14.98 ,$15.98 ,$15.98 ,$4.50 ,$15.98 ,$17.37 ,$17.37 ,$17.37 ,$17.97 ,$11.48 ,$4.50 ,$19.97 ,$11.20 ,$4.50 ,$8.27 , N/A , N/A ,$4.72 ,$16.97 ,$12.58 ,$5.59 ,$17.97 ,$17.37 ,$15.98 ,$15.98 ,$4.50 ,$12.98 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PAD POSITIONING MASON LEG FOAM HOLDER REPLACEMENT,271,1 ,$41.01 ,$29.53 ,$9.24 ,$41.01 ,$23.58 ,$29.53 ,$22.31 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.71 ,$9.24 ,$25.84 ,$25.84 ,$9.24 ,$25.84 ,$19.05 ,$37.73 , N/A ,$9.24 ,$34.86 ,$34.45 ,$9.24 ,$30.76 ,$32.81 ,$32.81 ,$9.24 ,$32.81 ,$35.68 ,$35.68 ,$35.68 ,$36.91 ,$23.58 ,$9.24 ,$41.01 ,$23.01 ,$9.24 ,$16.98 , N/A , N/A ,$9.70 ,$34.86 ,$25.84 ,$11.48 ,$36.91 ,$35.68 ,$32.81 ,$32.81 ,$9.24 ,$26.66 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PAN 900ML PLASTIC URINE STOOL GRADUATE REINFORCE RIBBING NONSTERILE SPECIMEN STANDARD LATEX FREE,271,1 ,$0.67 ,$0.48 ,$0.15 ,$0.67 ,$0.38 ,$0.48 ,$0.36 ,$0.15 ,$0.19 ,$0.45 ,$0.15 ,$0.47 ,$0.15 ,$0.42 ,$0.42 ,$0.15 ,$0.42 ,$0.30 ,$0.62 , N/A ,$0.15 ,$0.57 ,$0.56 ,$0.15 ,$0.50 ,$0.54 ,$0.54 ,$0.15 ,$0.54 ,$0.58 ,$0.58 ,$0.58 ,$0.60 ,$0.38 ,$0.15 ,$0.67 ,$0.38 ,$0.15 ,$0.28 , N/A , N/A ,$0.16 ,$0.57 ,$0.42 ,$0.19 ,$0.60 ,$0.58 ,$0.54 ,$0.54 ,$0.15 ,$0.44 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PASTE OSTOMY,271,1 ,$4.23 ,$3.05 ,$0.95 ,$4.23 ,$2.43 ,$3.05 ,$2.30 ,$0.95 ,$1.18 ,$2.81 ,$0.95 ,$2.96 ,$0.95 ,$2.66 ,$2.66 ,$0.95 ,$2.66 ,$1.96 ,$3.89 , N/A ,$0.95 ,$3.60 ,$3.55 ,$0.95 ,$3.17 ,$3.38 ,$3.38 ,$0.95 ,$3.38 ,$3.68 ,$3.68 ,$3.68 ,$3.81 ,$2.43 ,$0.95 ,$4.23 ,$2.37 ,$0.95 ,$1.75 , N/A , N/A ,$1.00 ,$3.60 ,$2.66 ,$1.18 ,$3.81 ,$3.68 ,$3.38 ,$3.38 ,$0.95 ,$2.75 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER BLUE 3 FAST,271,1 ,$2.59 ,$1.86 ,$0.59 ,$2.59 ,$1.50 ,$1.86 ,$1.41 ,$0.59 ,$0.73 ,$1.72 ,$0.59 ,$1.81 ,$0.59 ,$1.63 ,$1.63 ,$0.59 ,$1.63 ,$1.21 ,$2.38 , N/A ,$0.59 ,$2.20 ,$2.18 ,$0.59 ,$1.94 ,$2.07 ,$2.07 ,$0.59 ,$2.07 ,$2.25 ,$2.25 ,$2.25 ,$2.33 ,$1.50 ,$0.59 ,$2.59 ,$1.45 ,$0.59 ,$1.07 , N/A , N/A ,$0.62 ,$2.20 ,$1.63 ,$0.73 ,$2.33 ,$2.25 ,$2.07 ,$2.07 ,$0.59 ,$1.68 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER GREEN 2 X-FAST,271,1 ,$2.06 ,$1.48 ,$0.46 ,$2.06 ,$1.18 ,$1.48 ,$1.12 ,$0.46 ,$0.58 ,$1.37 ,$0.46 ,$1.44 ,$0.46 ,$1.30 ,$1.30 ,$0.46 ,$1.30 ,$0.95 ,$1.90 , N/A ,$0.46 ,$1.75 ,$1.73 ,$0.46 ,$1.55 ,$1.65 ,$1.65 ,$0.46 ,$1.65 ,$1.79 ,$1.79 ,$1.79 ,$1.85 ,$1.18 ,$0.46 ,$2.06 ,$1.16 ,$0.46 ,$0.85 , N/A , N/A ,$0.48 ,$1.75 ,$1.30 ,$0.58 ,$1.85 ,$1.79 ,$1.65 ,$1.65 ,$0.46 ,$1.34 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER BLUE 2 FAST,271,1 ,$2.06 ,$1.48 ,$0.46 ,$2.06 ,$1.18 ,$1.48 ,$1.12 ,$0.46 ,$0.58 ,$1.37 ,$0.46 ,$1.44 ,$0.46 ,$1.30 ,$1.30 ,$0.46 ,$1.30 ,$0.95 ,$1.90 , N/A ,$0.46 ,$1.75 ,$1.73 ,$0.46 ,$1.55 ,$1.65 ,$1.65 ,$0.46 ,$1.65 ,$1.79 ,$1.79 ,$1.79 ,$1.85 ,$1.18 ,$0.46 ,$2.06 ,$1.16 ,$0.46 ,$0.85 , N/A , N/A ,$0.48 ,$1.75 ,$1.30 ,$0.58 ,$1.85 ,$1.79 ,$1.65 ,$1.65 ,$0.46 ,$1.34 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER GREEN 3 X-FAST,271,1 ,$2.58 ,$1.86 ,$0.58 ,$2.58 ,$1.48 ,$1.86 ,$1.40 ,$0.58 ,$0.72 ,$1.72 ,$0.58 ,$1.81 ,$0.58 ,$1.63 ,$1.63 ,$0.58 ,$1.63 ,$1.19 ,$2.37 , N/A ,$0.58 ,$2.19 ,$2.17 ,$0.58 ,$1.94 ,$2.06 ,$2.06 ,$0.58 ,$2.06 ,$2.24 ,$2.24 ,$2.24 ,$2.32 ,$1.48 ,$0.58 ,$2.58 ,$1.45 ,$0.58 ,$1.07 , N/A , N/A ,$0.61 ,$2.19 ,$1.63 ,$0.72 ,$2.32 ,$2.24 ,$2.06 ,$2.06 ,$0.58 ,$1.68 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER GREEN 4 X-FAST,271,1 ,$3.85 ,$2.77 ,$0.87 ,$3.85 ,$2.23 ,$2.77 ,$2.09 ,$0.87 ,$1.08 ,$2.56 ,$0.87 ,$2.70 ,$0.87 ,$2.43 ,$2.43 ,$0.87 ,$2.43 ,$1.80 ,$3.54 , N/A ,$0.87 ,$3.27 ,$3.23 ,$0.87 ,$2.89 ,$3.08 ,$3.08 ,$0.87 ,$3.08 ,$3.35 ,$3.35 ,$3.35 ,$3.47 ,$2.23 ,$0.87 ,$3.85 ,$2.16 ,$0.87 ,$1.59 , N/A , N/A ,$0.91 ,$3.27 ,$2.43 ,$1.08 ,$3.47 ,$3.35 ,$3.08 ,$3.08 ,$0.87 ,$2.50 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER BLUE 4 FAST,271,1 ,$3.85 ,$2.77 ,$0.87 ,$3.85 ,$2.23 ,$2.77 ,$2.09 ,$0.87 ,$1.08 ,$2.56 ,$0.87 ,$2.70 ,$0.87 ,$2.43 ,$2.43 ,$0.87 ,$2.43 ,$1.80 ,$3.54 , N/A ,$0.87 ,$3.27 ,$3.23 ,$0.87 ,$2.89 ,$3.08 ,$3.08 ,$0.87 ,$3.08 ,$3.35 ,$3.35 ,$3.35 ,$3.47 ,$2.23 ,$0.87 ,$3.85 ,$2.16 ,$0.87 ,$1.59 , N/A , N/A ,$0.91 ,$3.27 ,$2.43 ,$1.08 ,$3.47 ,$3.35 ,$3.08 ,$3.08 ,$0.87 ,$2.50 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PLASTER GREEN 6 X-FAST,271,1 ,$5.34 ,$3.84 ,$1.21 ,$5.34 ,$3.08 ,$3.84 ,$2.91 ,$1.21 ,$1.50 ,$3.55 ,$1.21 ,$3.74 ,$1.21 ,$3.36 ,$3.36 ,$1.21 ,$3.36 ,$2.48 ,$4.91 , N/A ,$1.21 ,$4.54 ,$4.49 ,$1.21 ,$4.01 ,$4.27 ,$4.27 ,$1.21 ,$4.27 ,$4.65 ,$4.65 ,$4.65 ,$4.81 ,$3.08 ,$1.21 ,$5.34 ,$3.00 ,$1.21 ,$2.21 , N/A , N/A ,$1.26 ,$4.54 ,$3.36 ,$1.50 ,$4.81 ,$4.65 ,$4.27 ,$4.27 ,$1.21 ,$3.47 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PREP CHLORAPREP 26ML,271,1 ,$16.41 ,$11.82 ,$3.69 ,$16.41 ,$9.43 ,$11.82 ,$8.93 ,$3.69 ,$4.59 ,$10.91 ,$3.69 ,$11.49 ,$3.69 ,$10.34 ,$10.34 ,$3.69 ,$10.34 ,$7.62 ,$15.10 , N/A ,$3.69 ,$13.95 ,$13.78 ,$3.69 ,$12.31 ,$13.13 ,$13.13 ,$3.69 ,$13.13 ,$14.28 ,$14.28 ,$14.28 ,$14.77 ,$9.43 ,$3.69 ,$16.41 ,$9.21 ,$3.69 ,$6.79 , N/A , N/A ,$3.88 ,$13.95 ,$10.34 ,$4.59 ,$14.77 ,$14.28 ,$13.13 ,$13.13 ,$3.69 ,$10.67 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PREP HIBICLENS 4OZ LF,271,1 ,$6.04 ,$4.35 ,$1.36 ,$6.04 ,$3.48 ,$4.35 ,$3.29 ,$1.36 ,$1.69 ,$4.02 ,$1.36 ,$4.23 ,$1.36 ,$3.81 ,$3.81 ,$1.36 ,$3.81 ,$2.81 ,$5.56 , N/A ,$1.36 ,$5.13 ,$5.07 ,$1.36 ,$4.53 ,$4.83 ,$4.83 ,$1.36 ,$4.83 ,$5.25 ,$5.25 ,$5.25 ,$5.44 ,$3.48 ,$1.36 ,$6.04 ,$3.39 ,$1.36 ,$2.50 , N/A , N/A ,$1.43 ,$5.13 ,$3.81 ,$1.69 ,$5.44 ,$5.25 ,$4.83 ,$4.83 ,$1.36 ,$3.93 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PREP IODINE BETADINE PAINT 4 OZ GR,271,1 ,$2.49 ,$1.79 ,$0.56 ,$2.49 ,$1.43 ,$1.79 ,$1.35 ,$0.56 ,$0.70 ,$1.66 ,$0.56 ,$1.74 ,$0.56 ,$1.57 ,$1.57 ,$0.56 ,$1.57 ,$1.15 ,$2.29 , N/A ,$0.56 ,$2.12 ,$2.09 ,$0.56 ,$1.87 ,$1.99 ,$1.99 ,$0.56 ,$1.99 ,$2.17 ,$2.17 ,$2.17 ,$2.24 ,$1.43 ,$0.56 ,$2.49 ,$1.40 ,$0.56 ,$1.03 , N/A , N/A ,$0.59 ,$2.12 ,$1.57 ,$0.70 ,$2.24 ,$2.17 ,$1.99 ,$1.99 ,$0.56 ,$1.62 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,PREP TRAY WET SKIN,271,1 ,$12.22 ,$8.80 ,$2.75 ,$12.22 ,$7.03 ,$8.80 ,$6.65 ,$2.75 ,$3.42 ,$8.13 ,$2.75 ,$8.55 ,$2.75 ,$7.70 ,$7.70 ,$2.75 ,$7.70 ,$5.68 ,$11.24 , N/A ,$2.75 ,$10.39 ,$10.26 ,$2.75 ,$9.17 ,$9.78 ,$9.78 ,$2.75 ,$9.78 ,$10.63 ,$10.63 ,$10.63 ,$11.00 ,$7.03 ,$2.75 ,$12.22 ,$6.86 ,$2.75 ,$5.06 , N/A , N/A ,$2.89 ,$10.39 ,$7.70 ,$3.42 ,$11.00 ,$10.63 ,$9.78 ,$9.78 ,$2.75 ,$7.94 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,RESUSCITATOR MANUAL PEDIATRIC O2 RESERVOIR BAG MASK SWIVEL ELBOW ADAPTER FLOW DIVERTER LATEX FREE DISPOSABLE LIFESAVER NONSTERILE,271,1 ,$93.17 ,$67.08 ,$21.00 ,$93.17 ,$53.58 ,$67.08 ,$50.68 ,$21.00 ,$26.09 ,$61.96 ,$21.00 ,$65.22 ,$21.00 ,$58.70 ,$58.70 ,$21.00 ,$58.70 ,$43.29 ,$85.72 , N/A ,$21.00 ,$79.19 ,$78.26 ,$21.00 ,$69.88 ,$74.54 ,$74.54 ,$21.00 ,$74.54 ,$81.06 ,$81.06 ,$81.06 ,$83.85 ,$53.58 ,$21.00 ,$93.17 ,$52.27 ,$21.00 ,$38.57 , N/A , N/A ,$22.05 ,$79.19 ,$58.70 ,$26.09 ,$83.85 ,$81.06 ,$74.54 ,$74.54 ,$21.00 ,$60.56 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,RING 17X15IN PLASTIC VINYL INVALID INFLATE HEAVY DUTY LATEX FREE,271,1 ,$2.18 ,$1.57 ,$0.49 ,$2.18 ,$1.25 ,$1.57 ,$1.19 ,$0.49 ,$0.61 ,$1.45 ,$0.49 ,$1.53 ,$0.49 ,$1.37 ,$1.37 ,$0.49 ,$1.37 ,$1.01 ,$2.01 , N/A ,$0.49 ,$1.85 ,$1.83 ,$0.49 ,$1.64 ,$1.74 ,$1.74 ,$0.49 ,$1.74 ,$1.90 ,$1.90 ,$1.90 ,$1.96 ,$1.25 ,$0.49 ,$2.18 ,$1.22 ,$0.49 ,$0.90 , N/A , N/A ,$0.52 ,$1.85 ,$1.37 ,$0.61 ,$1.96 ,$1.90 ,$1.74 ,$1.74 ,$0.49 ,$1.42 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SENSOR PATIENT 13X13IN POSEY TLC XL SQUARE 30 DAY GERI CHAIR EXTEND CORD 8FT KEEPSAFE DELUXE SITTER ELITE SITTER SELECT LATEX FREE DISPOSABLE,271,1 ,$33.63 ,$24.21 ,$7.58 ,$33.63 ,$19.33 ,$24.21 ,$18.29 ,$7.58 ,$9.42 ,$22.36 ,$7.58 ,$23.54 ,$7.58 ,$21.19 ,$21.19 ,$7.58 ,$21.19 ,$15.61 ,$30.94 , N/A ,$7.58 ,$28.59 ,$28.25 ,$7.58 ,$25.22 ,$26.90 ,$26.90 ,$7.58 ,$26.90 ,$29.26 ,$29.26 ,$29.26 ,$30.27 ,$19.33 ,$7.58 ,$33.63 ,$18.87 ,$7.58 ,$13.92 , N/A , N/A ,$7.96 ,$28.59 ,$21.19 ,$9.42 ,$30.27 ,$29.26 ,$26.90 ,$26.90 ,$7.58 ,$21.86 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SHIELD XS INFANT SILICONE 16MM NIPPLE CONTACT BPA FREE NONSTERILE BREAST LATEX FREE .1LB,271,1 ,$10.21 ,$7.35 ,$2.30 ,$10.21 ,$5.88 ,$7.35 ,$5.55 ,$2.30 ,$2.86 ,$6.79 ,$2.30 ,$7.15 ,$2.30 ,$6.43 ,$6.43 ,$2.30 ,$6.43 ,$4.75 ,$9.39 , N/A ,$2.30 ,$8.68 ,$8.58 ,$2.30 ,$7.66 ,$8.17 ,$8.17 ,$2.30 ,$8.17 ,$8.88 ,$8.88 ,$8.88 ,$9.19 ,$5.88 ,$2.30 ,$10.21 ,$5.73 ,$2.30 ,$4.23 , N/A , N/A ,$2.42 ,$8.68 ,$6.43 ,$2.86 ,$9.19 ,$8.88 ,$8.17 ,$8.17 ,$2.30 ,$6.64 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SHOE CAST MEDIUM CANVAS PROCARE FLEXIBLE ROCKER SOLE TOE CONTACT CLOSURE HEEL STRAP 11X4.75IN LATEX FREE,271,1 ,$14.77 ,$10.63 ,$3.33 ,$14.77 ,$8.50 ,$10.63 ,$8.03 ,$3.33 ,$4.14 ,$9.82 ,$3.33 ,$10.34 ,$3.33 ,$9.31 ,$9.31 ,$3.33 ,$9.31 ,$6.87 ,$13.59 , N/A ,$3.33 ,$12.55 ,$12.41 ,$3.33 ,$11.08 ,$11.82 ,$11.82 ,$3.33 ,$11.82 ,$12.85 ,$12.85 ,$12.85 ,$13.29 ,$8.50 ,$3.33 ,$14.77 ,$8.29 ,$3.33 ,$6.11 , N/A , N/A ,$3.50 ,$12.55 ,$9.31 ,$4.14 ,$13.29 ,$12.85 ,$11.82 ,$11.82 ,$3.33 ,$9.60 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SLING ARM XTRA LARGE,271,1 ,$6.84 ,$4.92 ,$1.54 ,$6.84 ,$3.93 ,$4.92 ,$3.72 ,$1.54 ,$1.92 ,$4.55 ,$1.54 ,$4.79 ,$1.54 ,$4.31 ,$4.31 ,$1.54 ,$4.31 ,$3.17 ,$6.29 , N/A ,$1.54 ,$5.81 ,$5.75 ,$1.54 ,$5.13 ,$5.47 ,$5.47 ,$1.54 ,$5.47 ,$5.95 ,$5.95 ,$5.95 ,$6.16 ,$3.93 ,$1.54 ,$6.84 ,$3.84 ,$1.54 ,$2.83 , N/A , N/A ,$1.62 ,$5.81 ,$4.31 ,$1.92 ,$6.16 ,$5.95 ,$5.47 ,$5.47 ,$1.54 ,$4.45 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SLING ARM MEDIUM,271,1 ,$6.84 ,$4.92 ,$1.54 ,$6.84 ,$3.93 ,$4.92 ,$3.72 ,$1.54 ,$1.92 ,$4.55 ,$1.54 ,$4.79 ,$1.54 ,$4.31 ,$4.31 ,$1.54 ,$4.31 ,$3.17 ,$6.29 , N/A ,$1.54 ,$5.81 ,$5.75 ,$1.54 ,$5.13 ,$5.47 ,$5.47 ,$1.54 ,$5.47 ,$5.95 ,$5.95 ,$5.95 ,$6.16 ,$3.93 ,$1.54 ,$6.84 ,$3.84 ,$1.54 ,$2.83 , N/A , N/A ,$1.62 ,$5.81 ,$4.31 ,$1.92 ,$6.16 ,$5.95 ,$5.47 ,$5.47 ,$1.54 ,$4.45 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SLING ARM SMALL PADDED STRAP,271,1 ,$6.84 ,$4.92 ,$1.54 ,$6.84 ,$3.93 ,$4.92 ,$3.72 ,$1.54 ,$1.92 ,$4.55 ,$1.54 ,$4.79 ,$1.54 ,$4.31 ,$4.31 ,$1.54 ,$4.31 ,$3.17 ,$6.29 , N/A ,$1.54 ,$5.81 ,$5.75 ,$1.54 ,$5.13 ,$5.47 ,$5.47 ,$1.54 ,$5.47 ,$5.95 ,$5.95 ,$5.95 ,$6.16 ,$3.93 ,$1.54 ,$6.84 ,$3.84 ,$1.54 ,$2.83 , N/A , N/A ,$1.62 ,$5.81 ,$4.31 ,$1.92 ,$6.16 ,$5.95 ,$5.47 ,$5.47 ,$1.54 ,$4.45 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOL IRR 1.5% GLY AA 3L FLEX CNTNR LTXFR,271,1 ,$20.07 ,$14.45 ,$4.53 ,$20.07 ,$11.55 ,$14.45 ,$10.92 ,$4.53 ,$5.62 ,$13.35 ,$4.53 ,$14.05 ,$4.53 ,$12.64 ,$12.64 ,$4.53 ,$12.64 ,$9.33 ,$18.46 , N/A ,$4.53 ,$17.06 ,$16.86 ,$4.53 ,$15.05 ,$16.06 ,$16.06 ,$4.53 ,$16.06 ,$17.46 ,$17.46 ,$17.46 ,$18.06 ,$11.55 ,$4.53 ,$20.07 ,$11.26 ,$4.53 ,$8.31 , N/A , N/A ,$4.75 ,$17.06 ,$12.64 ,$5.62 ,$18.06 ,$17.46 ,$16.06 ,$16.06 ,$4.53 ,$13.05 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLN IRR 0.9 NACL 3000ML BAG,271,1 ,$29.60 ,$21.31 ,$6.67 ,$29.60 ,$17.03 ,$21.31 ,$16.10 ,$6.67 ,$8.29 ,$19.68 ,$6.67 ,$20.72 ,$6.67 ,$18.65 ,$18.65 ,$6.67 ,$18.65 ,$13.76 ,$27.23 , N/A ,$6.67 ,$25.16 ,$24.86 ,$6.67 ,$22.20 ,$23.68 ,$23.68 ,$6.67 ,$23.68 ,$25.75 ,$25.75 ,$25.75 ,$26.64 ,$17.03 ,$6.67 ,$29.60 ,$16.61 ,$6.67 ,$12.25 , N/A , N/A ,$7.01 ,$25.16 ,$18.65 ,$8.29 ,$26.64 ,$25.75 ,$23.68 ,$23.68 ,$6.67 ,$19.24 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLUTION IRR 0.9% NACL PLS PB,271,1 ,$7.80 ,$5.62 ,$1.75 ,$7.80 ,$4.48 ,$5.62 ,$4.24 ,$1.75 ,$2.18 ,$5.19 ,$1.75 ,$5.46 ,$1.75 ,$4.91 ,$4.91 ,$1.75 ,$4.91 ,$3.62 ,$7.18 , N/A ,$1.75 ,$6.63 ,$6.55 ,$1.75 ,$5.85 ,$6.24 ,$6.24 ,$1.75 ,$6.24 ,$6.79 ,$6.79 ,$6.79 ,$7.02 ,$4.48 ,$1.75 ,$7.80 ,$4.38 ,$1.75 ,$3.23 , N/A , N/A ,$1.84 ,$6.63 ,$4.91 ,$2.18 ,$7.02 ,$6.79 ,$6.24 ,$6.24 ,$1.75 ,$5.07 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLUTION IRRIGATION 0.9% SODIUM CHLORIDE 1000ML,271,1 ,$6.90 ,$4.97 ,$1.56 ,$6.90 ,$3.98 ,$4.97 ,$3.75 ,$1.56 ,$1.93 ,$4.59 ,$1.56 ,$4.83 ,$1.56 ,$4.35 ,$4.35 ,$1.56 ,$4.35 ,$3.21 ,$6.35 , N/A ,$1.56 ,$5.87 ,$5.80 ,$1.56 ,$5.18 ,$5.52 ,$5.52 ,$1.56 ,$5.52 ,$6.00 ,$6.00 ,$6.00 ,$6.21 ,$3.98 ,$1.56 ,$6.90 ,$3.87 ,$1.56 ,$2.86 , N/A , N/A ,$1.64 ,$5.87 ,$4.35 ,$1.93 ,$6.21 ,$6.00 ,$5.52 ,$5.52 ,$1.56 ,$4.49 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLUTION IRRIGATION 0.9% SODIUM CHLORIDE 250ML,271,1 ,$9.45 ,$6.80 ,$2.13 ,$9.45 ,$5.43 ,$6.80 ,$5.14 ,$2.13 ,$2.65 ,$6.28 ,$2.13 ,$6.62 ,$2.13 ,$5.95 ,$5.95 ,$2.13 ,$5.95 ,$4.38 ,$8.69 , N/A ,$2.13 ,$8.03 ,$7.94 ,$2.13 ,$7.09 ,$7.56 ,$7.56 ,$2.13 ,$7.56 ,$8.22 ,$8.22 ,$8.22 ,$8.51 ,$5.43 ,$2.13 ,$9.45 ,$5.30 ,$2.13 ,$3.91 , N/A , N/A ,$2.23 ,$8.03 ,$5.95 ,$2.65 ,$8.51 ,$8.22 ,$7.56 ,$7.56 ,$2.13 ,$6.14 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLN IRR 0.9% SALINE 1000ML BOTTLE,271,1 ,$9.45 ,$6.80 ,$2.13 ,$9.45 ,$5.43 ,$6.80 ,$5.14 ,$2.13 ,$2.65 ,$6.28 ,$2.13 ,$6.62 ,$2.13 ,$5.95 ,$5.95 ,$2.13 ,$5.95 ,$4.38 ,$8.69 , N/A ,$2.13 ,$8.03 ,$7.94 ,$2.13 ,$7.09 ,$7.56 ,$7.56 ,$2.13 ,$7.56 ,$8.22 ,$8.22 ,$8.22 ,$8.51 ,$5.43 ,$2.13 ,$9.45 ,$5.30 ,$2.13 ,$3.91 , N/A , N/A ,$2.23 ,$8.03 ,$5.95 ,$2.65 ,$8.51 ,$8.22 ,$7.56 ,$7.56 ,$2.13 ,$6.14 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLN IRR WATER BOTTLE 1000ML,271,1 ,$9.45 ,$6.80 ,$2.13 ,$9.45 ,$5.43 ,$6.80 ,$5.14 ,$2.13 ,$2.65 ,$6.28 ,$2.13 ,$6.62 ,$2.13 ,$5.95 ,$5.95 ,$2.13 ,$5.95 ,$4.38 ,$8.69 , N/A ,$2.13 ,$8.03 ,$7.94 ,$2.13 ,$7.09 ,$7.56 ,$7.56 ,$2.13 ,$7.56 ,$8.22 ,$8.22 ,$8.22 ,$8.51 ,$5.43 ,$2.13 ,$9.45 ,$5.30 ,$2.13 ,$3.91 , N/A , N/A ,$2.23 ,$8.03 ,$5.95 ,$2.65 ,$8.51 ,$8.22 ,$7.56 ,$7.56 ,$2.13 ,$6.14 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SOLUTION IRRIGATION UROMATIC VIAFLEX 1.5% GLYCINE PLASTIC CONTAINER PH 6 3000ML,271,1 ,$36.92 ,$26.58 ,$8.32 ,$36.92 ,$21.23 ,$26.58 ,$20.08 ,$8.32 ,$10.34 ,$24.55 ,$8.32 ,$25.84 ,$8.32 ,$23.26 ,$23.26 ,$8.32 ,$23.26 ,$17.15 ,$33.97 , N/A ,$8.32 ,$31.38 ,$31.01 ,$8.32 ,$27.69 ,$29.54 ,$29.54 ,$8.32 ,$29.54 ,$32.12 ,$32.12 ,$32.12 ,$33.23 ,$21.23 ,$8.32 ,$36.92 ,$20.71 ,$8.32 ,$15.28 , N/A , N/A ,$8.73 ,$31.38 ,$23.26 ,$10.34 ,$33.23 ,$32.12 ,$29.54 ,$29.54 ,$8.32 ,$24.00 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT CLAVICLE 27.25X2.25IN MCLEOD MEDIUM PAD BUCKLE CLOSURE WASHABLE PEDIATRIC LATEX FREE,271,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT CLAVICLE 20.5INX1 5/8IN MCLEOD XS PAD BUCKLE CLOSURE WASHABLE NEONATE LATEX FREE,271,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT CLAVICLE 41X3IN MCLEOD XL PAD BUCKLE CLOSURE WASHABLE PEDIATRIC LATEX FREE,271,1 ,$15.00 ,$10.80 ,$3.38 ,$15.00 ,$8.63 ,$10.80 ,$8.16 ,$3.38 ,$4.20 ,$9.98 ,$3.38 ,$10.50 ,$3.38 ,$9.45 ,$9.45 ,$3.38 ,$9.45 ,$6.97 ,$13.80 , N/A ,$3.38 ,$12.75 ,$12.60 ,$3.38 ,$11.25 ,$12.00 ,$12.00 ,$3.38 ,$12.00 ,$13.05 ,$13.05 ,$13.05 ,$13.50 ,$8.63 ,$3.38 ,$15.00 ,$8.42 ,$3.38 ,$6.21 , N/A , N/A ,$3.55 ,$12.75 ,$9.45 ,$4.20 ,$13.50 ,$13.05 ,$12.00 ,$12.00 ,$3.38 ,$9.75 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT NASAL 2.75INX1.75IN THK.02IN FLUOROPLASTIC SEPTUM SIMPLE INEXPENSIVE INTERNAL STERILE LATEX FREE DISPOSABLE WHITE,271,1 ,$12.36 ,$8.90 ,$2.78 ,$12.36 ,$7.10 ,$8.90 ,$6.72 ,$2.78 ,$3.46 ,$8.22 ,$2.78 ,$8.65 ,$2.78 ,$7.79 ,$7.79 ,$2.78 ,$7.79 ,$5.74 ,$11.37 , N/A ,$2.78 ,$10.51 ,$10.38 ,$2.78 ,$9.27 ,$9.89 ,$9.89 ,$2.78 ,$9.89 ,$10.75 ,$10.75 ,$10.75 ,$11.12 ,$7.10 ,$2.78 ,$12.36 ,$6.93 ,$2.78 ,$5.12 , N/A , N/A ,$2.92 ,$10.51 ,$7.79 ,$3.46 ,$11.12 ,$10.75 ,$9.89 ,$9.89 ,$2.78 ,$8.03 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT ORTHOPEDIC 20FTX3IN ROLL 15 LAYER REINFORCE OPEN CELL DUOSET FOAM OCL,271,1 ,$153.99 ,$110.87 ,$34.71 ,$153.99 ,$88.55 ,$110.87 ,$83.77 ,$34.71 ,$43.12 ,$102.40 ,$34.71 ,$107.79 ,$34.71 ,$97.01 ,$97.01 ,$34.71 ,$97.01 ,$71.55 ,$141.67 , N/A ,$34.71 ,$130.89 ,$129.35 ,$34.71 ,$115.49 ,$123.19 ,$123.19 ,$34.71 ,$123.19 ,$133.97 ,$133.97 ,$133.97 ,$138.59 ,$88.55 ,$34.71 ,$153.99 ,$86.39 ,$34.71 ,$63.75 , N/A , N/A ,$36.45 ,$130.89 ,$97.01 ,$43.12 ,$138.59 ,$133.97 ,$123.19 ,$123.19 ,$34.71 ,$100.09 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT ORTHOPEDIC LARGE CURVE 6X.875IN FINGER GUTTER PAD LIGHTWEIGHT ALUMINUM FOAM PROCARE BLUE,271,1 ,$2.08 ,$1.50 ,$0.47 ,$2.08 ,$1.20 ,$1.50 ,$1.13 ,$0.47 ,$0.58 ,$1.38 ,$0.47 ,$1.46 ,$0.47 ,$1.31 ,$1.31 ,$0.47 ,$1.31 ,$0.97 ,$1.91 , N/A ,$0.47 ,$1.77 ,$1.75 ,$0.47 ,$1.56 ,$1.66 ,$1.66 ,$0.47 ,$1.66 ,$1.81 ,$1.81 ,$1.81 ,$1.87 ,$1.20 ,$0.47 ,$2.08 ,$1.17 ,$0.47 ,$0.86 , N/A , N/A ,$0.49 ,$1.77 ,$1.31 ,$0.58 ,$1.87 ,$1.81 ,$1.66 ,$1.66 ,$0.47 ,$1.35 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT ORTHOPEDIC SMALL 8X3IN HAND RIGHT METACARPAL PAD PERFORATE PREFORM PREMOLD ALUMINUM FOAM PROCARE,271,1 ,$14.10 ,$10.15 ,$3.18 ,$14.10 ,$8.10 ,$10.15 ,$7.67 ,$3.18 ,$3.95 ,$9.38 ,$3.18 ,$9.87 ,$3.18 ,$8.88 ,$8.88 ,$3.18 ,$8.88 ,$6.54 ,$12.97 , N/A ,$3.18 ,$11.99 ,$11.84 ,$3.18 ,$10.58 ,$11.28 ,$11.28 ,$3.18 ,$11.28 ,$12.27 ,$12.27 ,$12.27 ,$12.69 ,$8.10 ,$3.18 ,$14.10 ,$7.91 ,$3.18 ,$5.84 , N/A , N/A ,$3.33 ,$11.99 ,$8.88 ,$3.95 ,$12.69 ,$12.27 ,$11.28 ,$11.28 ,$3.18 ,$9.17 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PLASTER 4 X 15,271,1 ,$0.42 ,$0.30 ,$0.10 ,$0.42 ,$0.25 ,$0.30 ,$0.23 ,$0.10 ,$0.12 ,$0.28 ,$0.10 ,$0.29 ,$0.10 ,$0.26 ,$0.26 ,$0.10 ,$0.26 ,$0.20 ,$0.39 , N/A ,$0.10 ,$0.36 ,$0.35 ,$0.10 ,$0.32 ,$0.34 ,$0.34 ,$0.10 ,$0.34 ,$0.37 ,$0.37 ,$0.37 ,$0.38 ,$0.25 ,$0.10 ,$0.42 ,$0.24 ,$0.10 ,$0.17 , N/A , N/A ,$0.11 ,$0.36 ,$0.26 ,$0.12 ,$0.38 ,$0.37 ,$0.34 ,$0.34 ,$0.10 ,$0.27 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PLASTER BLUE 3 X 15 FAST,271,1 ,$0.38 ,$0.27 ,$0.09 ,$0.38 ,$0.23 ,$0.27 ,$0.21 ,$0.09 ,$0.11 ,$0.25 ,$0.09 ,$0.27 ,$0.09 ,$0.24 ,$0.24 ,$0.09 ,$0.24 ,$0.18 ,$0.35 , N/A ,$0.09 ,$0.32 ,$0.32 ,$0.09 ,$0.29 ,$0.30 ,$0.30 ,$0.09 ,$0.30 ,$0.33 ,$0.33 ,$0.33 ,$0.34 ,$0.23 ,$0.09 ,$0.38 ,$0.21 ,$0.09 ,$0.16 , N/A , N/A ,$0.09 ,$0.32 ,$0.24 ,$0.11 ,$0.34 ,$0.33 ,$0.30 ,$0.30 ,$0.09 ,$0.25 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PLASTER BLUE 5 X 30 FAST,271,1 ,$0.86 ,$0.62 ,$0.20 ,$0.86 ,$0.50 ,$0.62 ,$0.47 ,$0.20 ,$0.24 ,$0.57 ,$0.20 ,$0.60 ,$0.20 ,$0.54 ,$0.54 ,$0.20 ,$0.54 ,$0.40 ,$0.79 , N/A ,$0.20 ,$0.73 ,$0.72 ,$0.20 ,$0.65 ,$0.69 ,$0.69 ,$0.20 ,$0.69 ,$0.75 ,$0.75 ,$0.75 ,$0.77 ,$0.50 ,$0.20 ,$0.86 ,$0.48 ,$0.20 ,$0.36 , N/A , N/A ,$0.21 ,$0.73 ,$0.54 ,$0.24 ,$0.77 ,$0.75 ,$0.69 ,$0.69 ,$0.20 ,$0.56 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PLASTER GREEN 4 X 15 X-FAST,271,1 ,$21.00 ,$15.12 ,$4.73 ,$21.00 ,$12.08 ,$15.12 ,$11.42 ,$4.73 ,$5.88 ,$13.97 ,$4.73 ,$14.70 ,$4.73 ,$13.23 ,$13.23 ,$4.73 ,$13.23 ,$9.76 ,$19.32 , N/A ,$4.73 ,$17.85 ,$17.64 ,$4.73 ,$15.75 ,$16.80 ,$16.80 ,$4.73 ,$16.80 ,$18.27 ,$18.27 ,$18.27 ,$18.90 ,$12.08 ,$4.73 ,$21.00 ,$11.78 ,$4.73 ,$8.69 , N/A , N/A ,$4.97 ,$17.85 ,$13.23 ,$5.88 ,$18.90 ,$18.27 ,$16.80 ,$16.80 ,$4.73 ,$13.65 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PLASTER XFAST 5 X 30,271,1 ,$42.99 ,$30.95 ,$9.69 ,$42.99 ,$24.73 ,$30.95 ,$23.39 ,$9.69 ,$12.04 ,$28.59 ,$9.69 ,$30.09 ,$9.69 ,$27.08 ,$27.08 ,$9.69 ,$27.08 ,$19.98 ,$39.55 , N/A ,$9.69 ,$36.54 ,$36.11 ,$9.69 ,$32.24 ,$34.39 ,$34.39 ,$9.69 ,$34.39 ,$37.40 ,$37.40 ,$37.40 ,$38.69 ,$24.73 ,$9.69 ,$42.99 ,$24.12 ,$9.69 ,$17.80 , N/A , N/A ,$10.17 ,$36.54 ,$27.08 ,$12.04 ,$38.69 ,$37.40 ,$34.39 ,$34.39 ,$9.69 ,$27.94 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SPLINT PRTHO 15X3,271,1 ,$18.87 ,$13.59 ,$4.25 ,$18.87 ,$10.85 ,$13.59 ,$10.27 ,$4.25 ,$5.28 ,$12.55 ,$4.25 ,$13.21 ,$4.25 ,$11.89 ,$11.89 ,$4.25 ,$11.89 ,$8.77 ,$17.36 , N/A ,$4.25 ,$16.04 ,$15.85 ,$4.25 ,$14.15 ,$15.10 ,$15.10 ,$4.25 ,$15.10 ,$16.42 ,$16.42 ,$16.42 ,$16.98 ,$10.85 ,$4.25 ,$18.87 ,$10.59 ,$4.25 ,$7.81 , N/A , N/A ,$4.47 ,$16.04 ,$11.89 ,$5.28 ,$16.98 ,$16.42 ,$15.10 ,$15.10 ,$4.25 ,$12.27 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STATLOCK FOLEY DEVICE,271,1 ,$7.26 ,$5.23 ,$1.64 ,$7.26 ,$4.18 ,$5.23 ,$3.95 ,$1.64 ,$2.03 ,$4.83 ,$1.64 ,$5.08 ,$1.64 ,$4.57 ,$4.57 ,$1.64 ,$4.57 ,$3.37 ,$6.68 , N/A ,$1.64 ,$6.17 ,$6.10 ,$1.64 ,$5.45 ,$5.81 ,$5.81 ,$1.64 ,$5.81 ,$6.32 ,$6.32 ,$6.32 ,$6.53 ,$4.18 ,$1.64 ,$7.26 ,$4.07 ,$1.64 ,$3.01 , N/A , N/A ,$1.71 ,$6.17 ,$4.57 ,$2.03 ,$6.53 ,$6.32 ,$5.81 ,$5.81 ,$1.64 ,$4.72 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STERILE WATER FOR IRRIG.USP.,271,1 ,$29.21 ,$21.03 ,$6.59 ,$29.21 ,$16.80 ,$21.03 ,$15.89 ,$6.59 ,$8.18 ,$19.42 ,$6.59 ,$20.45 ,$6.59 ,$18.40 ,$18.40 ,$6.59 ,$18.40 ,$13.57 ,$26.87 , N/A ,$6.59 ,$24.83 ,$24.54 ,$6.59 ,$21.91 ,$23.37 ,$23.37 ,$6.59 ,$23.37 ,$25.41 ,$25.41 ,$25.41 ,$26.29 ,$16.80 ,$6.59 ,$29.21 ,$16.39 ,$6.59 ,$12.09 , N/A , N/A ,$6.92 ,$24.83 ,$18.40 ,$8.18 ,$26.29 ,$25.41 ,$23.37 ,$23.37 ,$6.59 ,$18.99 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKINETTE 2IN X 25YD,271,1 ,$21.60 ,$15.55 ,$4.87 ,$21.60 ,$12.43 ,$15.55 ,$11.75 ,$4.87 ,$6.05 ,$14.36 ,$4.87 ,$15.12 ,$4.87 ,$13.61 ,$13.61 ,$4.87 ,$13.61 ,$10.04 ,$19.87 , N/A ,$4.87 ,$18.36 ,$18.14 ,$4.87 ,$16.20 ,$17.28 ,$17.28 ,$4.87 ,$17.28 ,$18.79 ,$18.79 ,$18.79 ,$19.44 ,$12.43 ,$4.87 ,$21.60 ,$12.12 ,$4.87 ,$8.94 , N/A , N/A ,$5.12 ,$18.36 ,$13.61 ,$6.05 ,$19.44 ,$18.79 ,$17.28 ,$17.28 ,$4.87 ,$14.04 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKINETTE 4IN X 25YD,271,1 ,$36.18 ,$26.05 ,$8.15 ,$36.18 ,$20.80 ,$26.05 ,$19.68 ,$8.15 ,$10.13 ,$24.06 ,$8.15 ,$25.33 ,$8.15 ,$22.79 ,$22.79 ,$8.15 ,$22.79 ,$16.81 ,$33.29 , N/A ,$8.15 ,$30.75 ,$30.39 ,$8.15 ,$27.14 ,$28.94 ,$28.94 ,$8.15 ,$28.94 ,$31.48 ,$31.48 ,$31.48 ,$32.56 ,$20.80 ,$8.15 ,$36.18 ,$20.30 ,$8.15 ,$14.98 , N/A , N/A ,$8.57 ,$30.75 ,$22.79 ,$10.13 ,$32.56 ,$31.48 ,$28.94 ,$28.94 ,$8.15 ,$23.52 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKINETTE 6 X 25YD,271,1 ,$52.95 ,$38.12 ,$11.94 ,$52.95 ,$30.45 ,$38.12 ,$28.80 ,$11.94 ,$14.83 ,$35.21 ,$11.94 ,$37.07 ,$11.94 ,$33.36 ,$33.36 ,$11.94 ,$33.36 ,$24.60 ,$48.71 , N/A ,$11.94 ,$45.01 ,$44.48 ,$11.94 ,$39.71 ,$42.36 ,$42.36 ,$11.94 ,$42.36 ,$46.07 ,$46.07 ,$46.07 ,$47.66 ,$30.45 ,$11.94 ,$52.95 ,$29.71 ,$11.94 ,$21.92 , N/A , N/A ,$12.53 ,$45.01 ,$33.36 ,$14.83 ,$47.66 ,$46.07 ,$42.36 ,$42.36 ,$11.94 ,$34.42 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION MED REG KNEE,271,1 ,$6.25 ,$4.50 ,$1.41 ,$6.25 ,$3.60 ,$4.50 ,$3.40 ,$1.41 ,$1.75 ,$4.16 ,$1.41 ,$4.38 ,$1.41 ,$3.94 ,$3.94 ,$1.41 ,$3.94 ,$2.91 ,$5.75 , N/A ,$1.41 ,$5.31 ,$5.25 ,$1.41 ,$4.69 ,$5.00 ,$5.00 ,$1.41 ,$5.00 ,$5.44 ,$5.44 ,$5.44 ,$5.63 ,$3.60 ,$1.41 ,$6.25 ,$3.51 ,$1.41 ,$2.59 , N/A , N/A ,$1.48 ,$5.31 ,$3.94 ,$1.75 ,$5.63 ,$5.44 ,$5.00 ,$5.00 ,$1.41 ,$4.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION SHORT LARGE THIGH LENGTH 2 PLY HEEL POCKET TED NYLON 29- IN 25- IN 15-17.5IN LATEX FREE BLUE THROMBOSIS PROPHYLAXIS,271,1 ,$11.04 ,$7.95 ,$2.49 ,$11.04 ,$6.35 ,$7.95 ,$6.01 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.73 ,$2.49 ,$6.96 ,$6.96 ,$2.49 ,$6.96 ,$5.13 ,$10.16 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.28 ,$8.83 ,$8.83 ,$2.49 ,$8.83 ,$9.60 ,$9.60 ,$9.60 ,$9.94 ,$6.35 ,$2.49 ,$11.04 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.96 ,$3.09 ,$9.94 ,$9.60 ,$8.83 ,$8.83 ,$2.49 ,$7.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION LARGE THIGH,271,1 ,$11.04 ,$7.95 ,$2.49 ,$11.04 ,$6.35 ,$7.95 ,$6.01 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.73 ,$2.49 ,$6.96 ,$6.96 ,$2.49 ,$6.96 ,$5.13 ,$10.16 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.28 ,$8.83 ,$8.83 ,$2.49 ,$8.83 ,$9.60 ,$9.60 ,$9.60 ,$9.94 ,$6.35 ,$2.49 ,$11.04 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.96 ,$3.09 ,$9.94 ,$9.60 ,$8.83 ,$8.83 ,$2.49 ,$7.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION SMALL LONG KNEE LENGTH HEEL POCKET 1 WAY HORIZONTAL STRETCH OPEN TOE TED NYLON 16+ IN 12- IN LATEX FREE YELLOW,271,1 ,$5.71 ,$4.11 ,$1.28 ,$5.71 ,$3.28 ,$4.11 ,$3.11 ,$1.28 ,$1.60 ,$3.80 ,$1.28 ,$4.00 ,$1.28 ,$3.60 ,$3.60 ,$1.28 ,$3.60 ,$2.65 ,$5.25 , N/A ,$1.28 ,$4.85 ,$4.80 ,$1.28 ,$4.28 ,$4.57 ,$4.57 ,$1.28 ,$4.57 ,$4.97 ,$4.97 ,$4.97 ,$5.14 ,$3.28 ,$1.28 ,$5.71 ,$3.20 ,$1.28 ,$2.36 , N/A , N/A ,$1.35 ,$4.85 ,$3.60 ,$1.60 ,$5.14 ,$4.97 ,$4.57 ,$4.57 ,$1.28 ,$3.71 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION SMALL REGULAR KNEE OPEN TOE,271,1 ,$6.24 ,$4.49 ,$1.41 ,$6.24 ,$3.60 ,$4.49 ,$3.39 ,$1.41 ,$1.75 ,$4.15 ,$1.41 ,$4.37 ,$1.41 ,$3.93 ,$3.93 ,$1.41 ,$3.93 ,$2.91 ,$5.74 , N/A ,$1.41 ,$5.30 ,$5.24 ,$1.41 ,$4.68 ,$4.99 ,$4.99 ,$1.41 ,$4.99 ,$5.43 ,$5.43 ,$5.43 ,$5.62 ,$3.60 ,$1.41 ,$6.24 ,$3.50 ,$1.41 ,$2.58 , N/A , N/A ,$1.48 ,$5.30 ,$3.93 ,$1.75 ,$5.62 ,$5.43 ,$4.99 ,$4.99 ,$1.41 ,$4.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION LARGE,271,1 ,$6.24 ,$4.49 ,$1.41 ,$6.24 ,$3.60 ,$4.49 ,$3.39 ,$1.41 ,$1.75 ,$4.15 ,$1.41 ,$4.37 ,$1.41 ,$3.93 ,$3.93 ,$1.41 ,$3.93 ,$2.91 ,$5.74 , N/A ,$1.41 ,$5.30 ,$5.24 ,$1.41 ,$4.68 ,$4.99 ,$4.99 ,$1.41 ,$4.99 ,$5.43 ,$5.43 ,$5.43 ,$5.62 ,$3.60 ,$1.41 ,$6.24 ,$3.50 ,$1.41 ,$2.58 , N/A , N/A ,$1.48 ,$5.30 ,$3.93 ,$1.75 ,$5.62 ,$5.43 ,$4.99 ,$4.99 ,$1.41 ,$4.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION MEDIUM LONG KNEE,271,1 ,$6.24 ,$4.49 ,$1.41 ,$6.24 ,$3.60 ,$4.49 ,$3.39 ,$1.41 ,$1.75 ,$4.15 ,$1.41 ,$4.37 ,$1.41 ,$3.93 ,$3.93 ,$1.41 ,$3.93 ,$2.91 ,$5.74 , N/A ,$1.41 ,$5.30 ,$5.24 ,$1.41 ,$4.68 ,$4.99 ,$4.99 ,$1.41 ,$4.99 ,$5.43 ,$5.43 ,$5.43 ,$5.62 ,$3.60 ,$1.41 ,$6.24 ,$3.50 ,$1.41 ,$2.58 , N/A , N/A ,$1.48 ,$5.30 ,$3.93 ,$1.75 ,$5.62 ,$5.43 ,$4.99 ,$4.99 ,$1.41 ,$4.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION SMALL SHORT THIGH LENGTH BELT 2 PLY GUSSET HEEL POCKET TED NYLON 29- IN 25- IN 12- IN LATEX FREE YELLOW THROMBOSIS PROPHYLAXIS,271,1 ,$11.03 ,$7.94 ,$2.49 ,$11.03 ,$6.35 ,$7.94 ,$6.00 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.72 ,$2.49 ,$6.95 ,$6.95 ,$2.49 ,$6.95 ,$5.13 ,$10.15 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.27 ,$8.82 ,$8.82 ,$2.49 ,$8.82 ,$9.60 ,$9.60 ,$9.60 ,$9.93 ,$6.35 ,$2.49 ,$11.03 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.95 ,$3.09 ,$9.93 ,$9.60 ,$8.82 ,$8.82 ,$2.49 ,$7.17 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION MEDIUM LONG THIGH LENGTH 2 PLY HEEL POCKET TED NYLON 33+ IN 25- IN 12-15IN LATEX FREE WHITE THROMBOSIS PROPHYLAXIS,271,1 ,$11.03 ,$7.94 ,$2.49 ,$11.03 ,$6.35 ,$7.94 ,$6.00 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.72 ,$2.49 ,$6.95 ,$6.95 ,$2.49 ,$6.95 ,$5.13 ,$10.15 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.27 ,$8.82 ,$8.82 ,$2.49 ,$8.82 ,$9.60 ,$9.60 ,$9.60 ,$9.93 ,$6.35 ,$2.49 ,$11.03 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.95 ,$3.09 ,$9.93 ,$9.60 ,$8.82 ,$8.82 ,$2.49 ,$7.17 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION REGULAR SMALL THIGH LENGTH INSPECTION TOE BELT 2 PLY GUSSET HEEL POCKET TED NYLON 29-33IN 25- IN 12- IN LATEX FREE WHITE THROMBOSIS PROPHYLAXIS,271,1 ,$11.03 ,$7.94 ,$2.49 ,$11.03 ,$6.35 ,$7.94 ,$6.00 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.72 ,$2.49 ,$6.95 ,$6.95 ,$2.49 ,$6.95 ,$5.13 ,$10.15 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.27 ,$8.82 ,$8.82 ,$2.49 ,$8.82 ,$9.60 ,$9.60 ,$9.60 ,$9.93 ,$6.35 ,$2.49 ,$11.03 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.95 ,$3.09 ,$9.93 ,$9.60 ,$8.82 ,$8.82 ,$2.49 ,$7.17 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION SMALL LONG THIGH LENGTH 2 PLY HEEL POCKET TED NYLON 33+ IN 25- IN 12- IN LATEX FREE WHITE THROMBOSIS PROPHYLAXIS,271,1 ,$11.03 ,$7.94 ,$2.49 ,$11.03 ,$6.35 ,$7.94 ,$6.00 ,$2.49 ,$3.09 ,$7.34 ,$2.49 ,$7.72 ,$2.49 ,$6.95 ,$6.95 ,$2.49 ,$6.95 ,$5.13 ,$10.15 , N/A ,$2.49 ,$9.38 ,$9.27 ,$2.49 ,$8.27 ,$8.82 ,$8.82 ,$2.49 ,$8.82 ,$9.60 ,$9.60 ,$9.60 ,$9.93 ,$6.35 ,$2.49 ,$11.03 ,$6.19 ,$2.49 ,$4.57 , N/A , N/A ,$2.62 ,$9.38 ,$6.95 ,$3.09 ,$9.93 ,$9.60 ,$8.82 ,$8.82 ,$2.49 ,$7.17 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION XL LONG THIGH LENGTH HEEL POCKET TED NYLON 33+ IN 25-32IN 17.5-21.5IN LATEX FREE THROMBOSIS PROPHYLAXIS,271,1 ,$18.34 ,$13.20 ,$4.14 ,$18.34 ,$10.55 ,$13.20 ,$9.98 ,$4.14 ,$5.14 ,$12.20 ,$4.14 ,$12.84 ,$4.14 ,$11.55 ,$11.55 ,$4.14 ,$11.55 ,$8.52 ,$16.87 , N/A ,$4.14 ,$15.59 ,$15.41 ,$4.14 ,$13.76 ,$14.67 ,$14.67 ,$4.14 ,$14.67 ,$15.96 ,$15.96 ,$15.96 ,$16.51 ,$10.55 ,$4.14 ,$18.34 ,$10.29 ,$4.14 ,$7.59 , N/A , N/A ,$4.34 ,$15.59 ,$11.55 ,$5.14 ,$16.51 ,$15.96 ,$14.67 ,$14.67 ,$4.14 ,$11.92 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION XL REGULAR KNEE LENGTH OPEN TOE HEEL POCKET TED NYLON 18- IN 17.5-20IN LATEX FREE GREEN THROMBOSIS PROPHYLAXIS,271,1 ,$5.70 ,$4.10 ,$1.28 ,$5.70 ,$3.28 ,$4.10 ,$3.10 ,$1.28 ,$1.60 ,$3.79 ,$1.28 ,$3.99 ,$1.28 ,$3.59 ,$3.59 ,$1.28 ,$3.59 ,$2.65 ,$5.24 , N/A ,$1.28 ,$4.85 ,$4.79 ,$1.28 ,$4.28 ,$4.56 ,$4.56 ,$1.28 ,$4.56 ,$4.96 ,$4.96 ,$4.96 ,$5.13 ,$3.28 ,$1.28 ,$5.70 ,$3.20 ,$1.28 ,$2.36 , N/A , N/A ,$1.35 ,$4.85 ,$3.59 ,$1.60 ,$5.13 ,$4.96 ,$4.56 ,$4.56 ,$1.28 ,$3.71 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STOCKING COMPRESSION LARGE REG KNEE,271,1 ,$5.70 ,$4.10 ,$1.28 ,$5.70 ,$3.28 ,$4.10 ,$3.10 ,$1.28 ,$1.60 ,$3.79 ,$1.28 ,$3.99 ,$1.28 ,$3.59 ,$3.59 ,$1.28 ,$3.59 ,$2.65 ,$5.24 , N/A ,$1.28 ,$4.85 ,$4.79 ,$1.28 ,$4.28 ,$4.56 ,$4.56 ,$1.28 ,$4.56 ,$4.96 ,$4.96 ,$4.96 ,$5.13 ,$3.28 ,$1.28 ,$5.70 ,$3.20 ,$1.28 ,$2.36 , N/A , N/A ,$1.35 ,$4.85 ,$3.59 ,$1.60 ,$5.13 ,$4.96 ,$4.56 ,$4.56 ,$1.28 ,$3.71 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STRAP BAG 15INX1 1/8IN SMALL WIDE LEG VINYL FABRIC STEP CONNECTOR BUTTON SOFT LATEX FREE REUSABLE,271,1 ,$12.04 ,$8.67 ,$2.71 ,$12.04 ,$6.93 ,$8.67 ,$6.55 ,$2.71 ,$3.37 ,$8.01 ,$2.71 ,$8.43 ,$2.71 ,$7.59 ,$7.59 ,$2.71 ,$7.59 ,$5.60 ,$11.08 , N/A ,$2.71 ,$10.23 ,$10.11 ,$2.71 ,$9.03 ,$9.63 ,$9.63 ,$2.71 ,$9.63 ,$10.47 ,$10.47 ,$10.47 ,$10.84 ,$6.93 ,$2.71 ,$12.04 ,$6.75 ,$2.71 ,$4.98 , N/A , N/A ,$2.85 ,$10.23 ,$7.59 ,$3.37 ,$10.84 ,$10.47 ,$9.63 ,$9.63 ,$2.71 ,$7.83 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,STRAP GUHL ANKLE DISTRACTOR,271,1 ,$93.81 ,$67.54 ,$21.15 ,$93.81 ,$53.95 ,$67.54 ,$51.03 ,$21.15 ,$26.27 ,$62.38 ,$21.15 ,$65.67 ,$21.15 ,$59.10 ,$59.10 ,$21.15 ,$59.10 ,$43.59 ,$86.31 , N/A ,$21.15 ,$79.74 ,$78.80 ,$21.15 ,$70.36 ,$75.05 ,$75.05 ,$21.15 ,$75.05 ,$81.61 ,$81.61 ,$81.61 ,$84.43 ,$53.95 ,$21.15 ,$93.81 ,$52.63 ,$21.15 ,$38.84 , N/A , N/A ,$22.21 ,$79.74 ,$59.10 ,$26.27 ,$84.43 ,$81.61 ,$75.05 ,$75.05 ,$21.15 ,$60.98 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SUPPORTER ADULT X-LARGE,271,1 ,$28.83 ,$20.76 ,$6.50 ,$28.83 ,$16.58 ,$20.76 ,$15.68 ,$6.50 ,$8.07 ,$19.17 ,$6.50 ,$20.18 ,$6.50 ,$18.16 ,$18.16 ,$6.50 ,$18.16 ,$13.39 ,$26.52 , N/A ,$6.50 ,$24.51 ,$24.22 ,$6.50 ,$21.62 ,$23.06 ,$23.06 ,$6.50 ,$23.06 ,$25.08 ,$25.08 ,$25.08 ,$25.95 ,$16.58 ,$6.50 ,$28.83 ,$16.17 ,$6.50 ,$11.94 , N/A , N/A ,$6.82 ,$24.51 ,$18.16 ,$8.07 ,$25.95 ,$25.08 ,$23.06 ,$23.06 ,$6.50 ,$18.74 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SUPPORTER MENS LARGE,271,1 ,$31.62 ,$22.77 ,$7.12 ,$31.62 ,$18.18 ,$22.77 ,$17.20 ,$7.12 ,$8.85 ,$21.03 ,$7.12 ,$22.13 ,$7.12 ,$19.92 ,$19.92 ,$7.12 ,$19.92 ,$14.69 ,$29.09 , N/A ,$7.12 ,$26.88 ,$26.56 ,$7.12 ,$23.72 ,$25.30 ,$25.30 ,$7.12 ,$25.30 ,$27.51 ,$27.51 ,$27.51 ,$28.46 ,$18.18 ,$7.12 ,$31.62 ,$17.74 ,$7.12 ,$13.09 , N/A , N/A ,$7.48 ,$26.88 ,$19.92 ,$8.85 ,$28.46 ,$27.51 ,$25.30 ,$25.30 ,$7.12 ,$20.55 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SUPPORTER MENS MEDIUM,271,1 ,$29.07 ,$20.93 ,$6.56 ,$29.07 ,$16.73 ,$20.93 ,$15.81 ,$6.56 ,$8.14 ,$19.33 ,$6.56 ,$20.35 ,$6.56 ,$18.31 ,$18.31 ,$6.56 ,$18.31 ,$13.51 ,$26.74 , N/A ,$6.56 ,$24.71 ,$24.42 ,$6.56 ,$21.80 ,$23.26 ,$23.26 ,$6.56 ,$23.26 ,$25.29 ,$25.29 ,$25.29 ,$26.16 ,$16.73 ,$6.56 ,$29.07 ,$16.31 ,$6.56 ,$12.04 , N/A , N/A ,$6.88 ,$24.71 ,$18.31 ,$8.14 ,$26.16 ,$25.29 ,$23.26 ,$23.26 ,$6.56 ,$18.90 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,SUPPORTER MENS SMALL,271,1 ,$32.58 ,$23.46 ,$7.34 ,$32.58 ,$18.73 ,$23.46 ,$17.72 ,$7.34 ,$9.12 ,$21.67 ,$7.34 ,$22.81 ,$7.34 ,$20.53 ,$20.53 ,$7.34 ,$20.53 ,$15.13 ,$29.97 , N/A ,$7.34 ,$27.69 ,$27.37 ,$7.34 ,$24.44 ,$26.06 ,$26.06 ,$7.34 ,$26.06 ,$28.34 ,$28.34 ,$28.34 ,$29.32 ,$18.73 ,$7.34 ,$32.58 ,$18.28 ,$7.34 ,$13.49 , N/A , N/A ,$7.70 ,$27.69 ,$20.53 ,$9.12 ,$29.32 ,$28.34 ,$26.06 ,$26.06 ,$7.34 ,$21.18 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE DERMICEL SILK 1 IN,271,1 ,$1.52 ,$1.09 ,$0.34 ,$1.52 ,$0.88 ,$1.09 ,$0.83 ,$0.34 ,$0.43 ,$1.01 ,$0.34 ,$1.06 ,$0.34 ,$0.96 ,$0.96 ,$0.34 ,$0.96 ,$0.71 ,$1.40 , N/A ,$0.34 ,$1.29 ,$1.28 ,$0.34 ,$1.14 ,$1.22 ,$1.22 ,$0.34 ,$1.22 ,$1.32 ,$1.32 ,$1.32 ,$1.37 ,$0.88 ,$0.34 ,$1.52 ,$0.85 ,$0.34 ,$0.63 , N/A , N/A ,$0.36 ,$1.29 ,$0.96 ,$0.43 ,$1.37 ,$1.32 ,$1.22 ,$1.22 ,$0.34 ,$0.99 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE DURAPORE 2,271,1 ,$3.03 ,$2.18 ,$0.69 ,$3.03 ,$1.75 ,$2.18 ,$1.65 ,$0.69 ,$0.85 ,$2.02 ,$0.69 ,$2.12 ,$0.69 ,$1.91 ,$1.91 ,$0.69 ,$1.91 ,$1.41 ,$2.79 , N/A ,$0.69 ,$2.58 ,$2.55 ,$0.69 ,$2.27 ,$2.42 ,$2.42 ,$0.69 ,$2.42 ,$2.64 ,$2.64 ,$2.64 ,$2.73 ,$1.75 ,$0.69 ,$3.03 ,$1.70 ,$0.69 ,$1.25 , N/A , N/A ,$0.73 ,$2.58 ,$1.91 ,$0.85 ,$2.73 ,$2.64 ,$2.42 ,$2.42 ,$0.69 ,$1.97 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE MEDIPORE 2,271,1 ,$9.47 ,$6.82 ,$2.14 ,$9.47 ,$5.45 ,$6.82 ,$5.15 ,$2.14 ,$2.65 ,$6.30 ,$2.14 ,$6.63 ,$2.14 ,$5.97 ,$5.97 ,$2.14 ,$5.97 ,$4.40 ,$8.71 , N/A ,$2.14 ,$8.05 ,$7.95 ,$2.14 ,$7.10 ,$7.58 ,$7.58 ,$2.14 ,$7.58 ,$8.24 ,$8.24 ,$8.24 ,$8.52 ,$5.45 ,$2.14 ,$9.47 ,$5.31 ,$2.14 ,$3.92 , N/A , N/A ,$2.24 ,$8.05 ,$5.97 ,$2.65 ,$8.52 ,$8.24 ,$7.58 ,$7.58 ,$2.14 ,$6.16 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE MEDIPORE 4 X 10YD,271,1 ,$18.91 ,$13.62 ,$4.26 ,$18.91 ,$10.88 ,$13.62 ,$10.29 ,$4.26 ,$5.29 ,$12.58 ,$4.26 ,$13.24 ,$4.26 ,$11.91 ,$11.91 ,$4.26 ,$11.91 ,$8.79 ,$17.40 , N/A ,$4.26 ,$16.07 ,$15.88 ,$4.26 ,$14.18 ,$15.13 ,$15.13 ,$4.26 ,$15.13 ,$16.45 ,$16.45 ,$16.45 ,$17.02 ,$10.88 ,$4.26 ,$18.91 ,$10.61 ,$4.26 ,$7.83 , N/A , N/A ,$4.48 ,$16.07 ,$11.91 ,$5.29 ,$17.02 ,$16.45 ,$15.13 ,$15.13 ,$4.26 ,$12.29 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE MICROPORE 1,271,1 ,$0.81 ,$0.58 ,$0.19 ,$0.81 ,$0.48 ,$0.58 ,$0.44 ,$0.19 ,$0.23 ,$0.54 ,$0.19 ,$0.57 ,$0.19 ,$0.51 ,$0.51 ,$0.19 ,$0.51 ,$0.38 ,$0.75 , N/A ,$0.19 ,$0.69 ,$0.68 ,$0.19 ,$0.61 ,$0.65 ,$0.65 ,$0.19 ,$0.65 ,$0.70 ,$0.70 ,$0.70 ,$0.73 ,$0.48 ,$0.19 ,$0.81 ,$0.45 ,$0.19 ,$0.34 , N/A , N/A ,$0.20 ,$0.69 ,$0.51 ,$0.23 ,$0.73 ,$0.70 ,$0.65 ,$0.65 ,$0.19 ,$0.53 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE PAPER 2,271,1 ,$1.63 ,$1.17 ,$0.36 ,$1.63 ,$0.93 ,$1.17 ,$0.89 ,$0.36 ,$0.46 ,$1.08 ,$0.36 ,$1.14 ,$0.36 ,$1.03 ,$1.03 ,$0.36 ,$1.03 ,$0.75 ,$1.50 , N/A ,$0.36 ,$1.39 ,$1.37 ,$0.36 ,$1.22 ,$1.30 ,$1.30 ,$0.36 ,$1.30 ,$1.42 ,$1.42 ,$1.42 ,$1.47 ,$0.93 ,$0.36 ,$1.63 ,$0.91 ,$0.36 ,$0.67 , N/A , N/A ,$0.38 ,$1.39 ,$1.03 ,$0.46 ,$1.47 ,$1.42 ,$1.30 ,$1.30 ,$0.36 ,$1.06 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE SURGICAL 10YDX.5IN DURAPORE CLOTH HYPOALLERGENIC WATER RESISTANT BIDIRECTIONAL TEAR LATEX FREE STERILE DISPOSABLE WHITE,271,1 ,$0.76 ,$0.55 ,$0.17 ,$0.76 ,$0.43 ,$0.55 ,$0.41 ,$0.17 ,$0.21 ,$0.51 ,$0.17 ,$0.53 ,$0.17 ,$0.48 ,$0.48 ,$0.17 ,$0.48 ,$0.34 ,$0.70 , N/A ,$0.17 ,$0.65 ,$0.64 ,$0.17 ,$0.57 ,$0.61 ,$0.61 ,$0.17 ,$0.61 ,$0.66 ,$0.66 ,$0.66 ,$0.68 ,$0.43 ,$0.17 ,$0.76 ,$0.43 ,$0.17 ,$0.31 , N/A , N/A ,$0.18 ,$0.65 ,$0.48 ,$0.21 ,$0.68 ,$0.66 ,$0.61 ,$0.61 ,$0.17 ,$0.49 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE TRANSPORE 1/2,271,1 ,$0.77 ,$0.55 ,$0.18 ,$0.77 ,$0.45 ,$0.55 ,$0.42 ,$0.18 ,$0.22 ,$0.51 ,$0.18 ,$0.54 ,$0.18 ,$0.49 ,$0.49 ,$0.18 ,$0.49 ,$0.36 ,$0.71 , N/A ,$0.18 ,$0.65 ,$0.65 ,$0.18 ,$0.58 ,$0.62 ,$0.62 ,$0.18 ,$0.62 ,$0.67 ,$0.67 ,$0.67 ,$0.69 ,$0.45 ,$0.18 ,$0.77 ,$0.43 ,$0.18 ,$0.32 , N/A , N/A ,$0.19 ,$0.65 ,$0.49 ,$0.22 ,$0.69 ,$0.67 ,$0.62 ,$0.62 ,$0.18 ,$0.50 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE TRANSPORE 1,271,1 ,$1.53 ,$1.10 ,$0.34 ,$1.53 ,$0.88 ,$1.10 ,$0.83 ,$0.34 ,$0.43 ,$1.02 ,$0.34 ,$1.07 ,$0.34 ,$0.96 ,$0.96 ,$0.34 ,$0.96 ,$0.71 ,$1.41 , N/A ,$0.34 ,$1.30 ,$1.29 ,$0.34 ,$1.15 ,$1.22 ,$1.22 ,$0.34 ,$1.22 ,$1.33 ,$1.33 ,$1.33 ,$1.38 ,$0.88 ,$0.34 ,$1.53 ,$0.86 ,$0.34 ,$0.63 , N/A , N/A ,$0.36 ,$1.30 ,$0.96 ,$0.43 ,$1.38 ,$1.33 ,$1.22 ,$1.22 ,$0.34 ,$0.99 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE ZONAS CLOTH TAPE 1,271,1 ,$4.56 ,$3.28 ,$1.03 ,$4.56 ,$2.63 ,$3.28 ,$2.48 ,$1.03 ,$1.28 ,$3.03 ,$1.03 ,$3.19 ,$1.03 ,$2.87 ,$2.87 ,$1.03 ,$2.87 ,$2.12 ,$4.20 , N/A ,$1.03 ,$3.88 ,$3.83 ,$1.03 ,$3.42 ,$3.65 ,$3.65 ,$1.03 ,$3.65 ,$3.97 ,$3.97 ,$3.97 ,$4.10 ,$2.63 ,$1.03 ,$4.56 ,$2.56 ,$1.03 ,$1.89 , N/A , N/A ,$1.08 ,$3.88 ,$2.87 ,$1.28 ,$4.10 ,$3.97 ,$3.65 ,$3.65 ,$1.03 ,$2.96 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TAPE ZONAS CLOTH TAPE 2,271,1 ,$8.93 ,$6.43 ,$2.01 ,$8.93 ,$5.13 ,$6.43 ,$4.86 ,$2.01 ,$2.50 ,$5.94 ,$2.01 ,$6.25 ,$2.01 ,$5.63 ,$5.63 ,$2.01 ,$5.63 ,$4.14 ,$8.22 , N/A ,$2.01 ,$7.59 ,$7.50 ,$2.01 ,$6.70 ,$7.14 ,$7.14 ,$2.01 ,$7.14 ,$7.77 ,$7.77 ,$7.77 ,$8.04 ,$5.13 ,$2.01 ,$8.93 ,$5.01 ,$2.01 ,$3.70 , N/A , N/A ,$2.11 ,$7.59 ,$5.63 ,$2.50 ,$8.04 ,$7.77 ,$7.14 ,$7.14 ,$2.01 ,$5.80 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,TUBING EXTENSION 18IN OVAL PLASTIC CONNECTOR STRAP BELT KINK RESISTANT NONSTERILE LATEX FREE,271,1 ,$8.74 ,$6.29 ,$1.97 ,$8.74 ,$5.03 ,$6.29 ,$4.75 ,$1.97 ,$2.45 ,$5.81 ,$1.97 ,$6.12 ,$1.97 ,$5.51 ,$5.51 ,$1.97 ,$5.51 ,$4.06 ,$8.04 , N/A ,$1.97 ,$7.43 ,$7.34 ,$1.97 ,$6.56 ,$6.99 ,$6.99 ,$1.97 ,$6.99 ,$7.60 ,$7.60 ,$7.60 ,$7.87 ,$5.03 ,$1.97 ,$8.74 ,$4.90 ,$1.97 ,$3.62 , N/A , N/A ,$2.07 ,$7.43 ,$5.51 ,$2.45 ,$7.87 ,$7.60 ,$6.99 ,$6.99 ,$1.97 ,$5.68 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,WRAP THERAPEUTIC POLAR CARE HIP 4 GEL PACK STATIC COMPRESSION ELASTIC STRAP,271,1 ,$60.63 ,$43.65 ,$13.66 ,$60.63 ,$34.85 ,$43.65 ,$32.98 ,$13.66 ,$16.98 ,$40.32 ,$13.66 ,$42.44 ,$13.66 ,$38.20 ,$38.20 ,$13.66 ,$38.20 ,$28.16 ,$55.78 , N/A ,$13.66 ,$51.54 ,$50.93 ,$13.66 ,$45.47 ,$48.50 ,$48.50 ,$13.66 ,$48.50 ,$52.75 ,$52.75 ,$52.75 ,$54.57 ,$34.85 ,$13.66 ,$60.63 ,$34.01 ,$13.66 ,$25.10 , N/A , N/A ,$14.35 ,$51.54 ,$38.20 ,$16.98 ,$54.57 ,$52.75 ,$48.50 ,$48.50 ,$13.66 ,$39.41 ST. FRANCIS HOSPITAL - ACUTE,27170000,N/A,WRAP THERAPEUTIC POLAR CARE SHOULDER 2 PREMIUM GEL PACK STATIC COMPRESSION ELASTIC STRAP,271,1 ,$46.17 ,$33.24 ,$10.41 ,$46.17 ,$26.55 ,$33.24 ,$25.12 ,$10.41 ,$12.93 ,$30.70 ,$10.41 ,$32.32 ,$10.41 ,$29.09 ,$29.09 ,$10.41 ,$29.09 ,$21.45 ,$42.48 , N/A ,$10.41 ,$39.24 ,$38.78 ,$10.41 ,$34.63 ,$36.94 ,$36.94 ,$10.41 ,$36.94 ,$40.17 ,$40.17 ,$40.17 ,$41.55 ,$26.55 ,$10.41 ,$46.17 ,$25.90 ,$10.41 ,$19.11 , N/A , N/A ,$10.93 ,$39.24 ,$29.09 ,$12.93 ,$41.55 ,$40.17 ,$36.94 ,$36.94 ,$10.41 ,$30.01 ST. FRANCIS HOSPITAL - ACUTE,27200035,C1729,HC CATHETER DRAINAGE PLEUREX,272,1 ,$221.00 ,$159.12 ,$49.81 ,$221.00 ,$127.08 ,$159.12 ,$120.22 ,$49.81 ,$61.88 ,$146.97 ,$49.81 ,$154.70 ,$49.81 ,$139.23 ,$139.23 ,$49.81 ,$139.23 ,$102.68 , N/A , N/A ,$49.81 ,$187.85 ,$185.64 ,$49.81 ,$165.75 ,$176.80 ,$176.80 ,$49.81 ,$176.80 ,$192.27 ,$192.27 ,$192.27 ,$198.90 ,$127.08 ,$49.81 ,$221.00 ,$123.98 ,$49.81 ,$91.49 , N/A , N/A ,$52.30 ,$187.85 ,$139.23 ,$61.88 ,$198.90 ,$192.27 ,$176.80 ,$176.80 ,$49.81 ,$143.65 ST. FRANCIS HOSPITAL - ACUTE,27200075,C1758,HC CATHETER URETERAL,272,1 ,$91.00 ,$65.52 ,$20.51 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 , N/A , N/A ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,27200200,N/A,HC ABDOMINAL BINDERS,272,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 , N/A ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 , N/A , N/A ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,27200226,N/A,HC ADHESIVE DERMABOND,272,1 ,$69.00 ,$49.68 ,$15.55 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 , N/A ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 , N/A , N/A ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,27200236,N/A,HC AIRWAY NASO-PHARYNGEAL,272,1 ,$47.00 ,$33.84 ,$10.59 ,$47.00 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$31.26 ,$10.59 ,$32.90 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 , N/A ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 , N/A , N/A ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,27200257,N/A,HC AQUACEL DRESSINGS,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27200290,N/A,HC BAG BILE,272,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 , N/A ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 , N/A , N/A ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,27200502,N/A,HC BLADE SAW,272,1 ,$25.00 ,$18.00 ,$5.63 ,$25.00 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 , N/A ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,27200571,N/A,HC BREAST PUMP KIT,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27200832,N/A,HC CATH TRAY WITH FOLEY,272,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27200849,N/A,HC CATHETER - FOLEY,272,1 ,$232.85 ,$167.65 ,$52.49 ,$232.85 ,$133.90 ,$167.65 ,$126.67 ,$52.49 ,$65.20 ,$154.85 ,$52.49 ,$163.00 ,$52.49 ,$146.70 ,$146.70 ,$52.49 ,$146.70 ,$108.19 ,$214.22 , N/A ,$52.49 ,$197.92 ,$195.59 ,$52.49 ,$174.64 ,$186.28 ,$186.28 ,$52.49 ,$186.28 ,$202.58 ,$202.58 ,$202.58 ,$209.57 ,$133.90 ,$52.49 ,$232.85 ,$130.63 ,$52.49 ,$96.40 , N/A , N/A ,$55.12 ,$197.92 ,$146.70 ,$65.20 ,$209.57 ,$202.58 ,$186.28 ,$186.28 ,$52.49 ,$151.35 ST. FRANCIS HOSPITAL - ACUTE,27201042,N/A,HC DERMABOND,272,1 ,$115.00 ,$82.80 ,$25.92 ,$115.00 ,$66.13 ,$82.80 ,$62.56 ,$25.92 ,$32.20 ,$76.48 ,$25.92 ,$80.50 ,$25.92 ,$72.45 ,$72.45 ,$25.92 ,$72.45 ,$53.43 ,$105.80 , N/A ,$25.92 ,$97.75 ,$96.60 ,$25.92 ,$86.25 ,$92.00 ,$92.00 ,$25.92 ,$92.00 ,$100.05 ,$100.05 ,$100.05 ,$103.50 ,$66.13 ,$25.92 ,$115.00 ,$64.52 ,$25.92 ,$47.61 , N/A , N/A ,$27.21 ,$97.75 ,$72.45 ,$32.20 ,$103.50 ,$100.05 ,$92.00 ,$92.00 ,$25.92 ,$74.75 ST. FRANCIS HOSPITAL - ACUTE,27201077,N/A,HC DIS INCENTIVE SPIROMETER,272,1 ,$114.00 ,$82.08 ,$25.70 ,$114.00 ,$65.55 ,$82.08 ,$62.02 ,$25.70 ,$31.92 ,$75.81 ,$25.70 ,$79.80 ,$25.70 ,$71.82 ,$71.82 ,$25.70 ,$71.82 ,$52.96 ,$104.88 , N/A ,$25.70 ,$96.90 ,$95.76 ,$25.70 ,$85.50 ,$91.20 ,$91.20 ,$25.70 ,$91.20 ,$99.18 ,$99.18 ,$99.18 ,$102.60 ,$65.55 ,$25.70 ,$114.00 ,$63.95 ,$25.70 ,$47.20 , N/A , N/A ,$26.98 ,$96.90 ,$71.82 ,$31.92 ,$102.60 ,$99.18 ,$91.20 ,$91.20 ,$25.70 ,$74.10 ST. FRANCIS HOSPITAL - ACUTE,27201157,N/A,HC DRSG ADAPTIC 3X3 PK,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27201252,N/A,HC EPIDURAL TRAY,272,1 ,$230.00 ,$165.60 ,$51.84 ,$230.00 ,$132.25 ,$165.60 ,$125.12 ,$51.84 ,$64.40 ,$152.95 ,$51.84 ,$161.00 ,$51.84 ,$144.90 ,$144.90 ,$51.84 ,$144.90 ,$106.86 ,$211.60 , N/A ,$51.84 ,$195.50 ,$193.20 ,$51.84 ,$172.50 ,$184.00 ,$184.00 ,$51.84 ,$184.00 ,$200.10 ,$200.10 ,$200.10 ,$207.00 ,$132.25 ,$51.84 ,$230.00 ,$129.03 ,$51.84 ,$95.22 , N/A , N/A ,$54.44 ,$195.50 ,$144.90 ,$64.40 ,$207.00 ,$200.10 ,$184.00 ,$184.00 ,$51.84 ,$149.50 ST. FRANCIS HOSPITAL - ACUTE,27201282,N/A,HC FEEDING TUBE,272,1 ,$53.00 ,$38.16 ,$11.95 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 , N/A ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 , N/A , N/A ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,27201315,N/A,HC FLUTTER VALVE EQUIPMENT,272,1 ,$115.00 ,$82.80 ,$25.92 ,$115.00 ,$66.13 ,$82.80 ,$62.56 ,$25.92 ,$32.20 ,$76.48 ,$25.92 ,$80.50 ,$25.92 ,$72.45 ,$72.45 ,$25.92 ,$72.45 ,$53.43 ,$105.80 , N/A ,$25.92 ,$97.75 ,$96.60 ,$25.92 ,$86.25 ,$92.00 ,$92.00 ,$25.92 ,$92.00 ,$100.05 ,$100.05 ,$100.05 ,$103.50 ,$66.13 ,$25.92 ,$115.00 ,$64.52 ,$25.92 ,$47.61 , N/A , N/A ,$27.21 ,$97.75 ,$72.45 ,$32.20 ,$103.50 ,$100.05 ,$92.00 ,$92.00 ,$25.92 ,$74.75 ST. FRANCIS HOSPITAL - ACUTE,27201319,N/A,HC FOLEY CATH W/URINE METER,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27201502,N/A,HC KIT DRAINAGE,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27201713,N/A,HC NEEDLE SPINAL,272,1 ,$60.00 ,$43.20 ,$13.52 ,$60.00 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 ,$55.20 , N/A ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 , N/A , N/A ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,27201799,N/A,HC PACKING - WOUND,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27201938,N/A,HC PULSE OXIMETER PROBE DISP,272,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27202018,N/A,HC SENSOR ADULT ADHESIVE,272,1 ,$108.00 ,$77.76 ,$24.34 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$71.82 ,$24.34 ,$75.60 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 , N/A ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 , N/A , N/A ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,27202033,N/A,HC SET IV SECONDARY,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27202120,N/A,HC STAPLER SKIN,272,1 ,$107.00 ,$77.04 ,$24.12 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 , N/A ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 , N/A , N/A ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,27202600,N/A,HC SUTURE,272,1 ,$155.00 ,$111.60 ,$34.94 ,$155.00 ,$89.13 ,$111.60 ,$84.32 ,$34.94 ,$43.40 ,$103.08 ,$34.94 ,$108.50 ,$34.94 ,$97.65 ,$97.65 ,$34.94 ,$97.65 ,$72.01 ,$142.60 , N/A ,$34.94 ,$131.75 ,$130.20 ,$34.94 ,$116.25 ,$124.00 ,$124.00 ,$34.94 ,$124.00 ,$134.85 ,$134.85 ,$134.85 ,$139.50 ,$89.13 ,$34.94 ,$155.00 ,$86.96 ,$34.94 ,$64.17 , N/A , N/A ,$36.68 ,$131.75 ,$97.65 ,$43.40 ,$139.50 ,$134.85 ,$124.00 ,$124.00 ,$34.94 ,$100.75 ST. FRANCIS HOSPITAL - ACUTE,27202743,N/A,HC TRAY CATH,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27202786,N/A,HC TRAY PERI-CERV BLOCK,272,1 ,$250.00 ,$180.00 ,$56.35 ,$250.00 ,$143.75 ,$180.00 ,$136.00 ,$56.35 ,$70.00 ,$166.25 ,$56.35 ,$175.00 ,$56.35 ,$157.50 ,$157.50 ,$56.35 ,$157.50 ,$116.15 ,$230.00 , N/A ,$56.35 ,$212.50 ,$210.00 ,$56.35 ,$187.50 ,$200.00 ,$200.00 ,$56.35 ,$200.00 ,$217.50 ,$217.50 ,$217.50 ,$225.00 ,$143.75 ,$56.35 ,$250.00 ,$140.25 ,$56.35 ,$103.50 , N/A , N/A ,$59.17 ,$212.50 ,$157.50 ,$70.00 ,$225.00 ,$217.50 ,$200.00 ,$200.00 ,$56.35 ,$162.50 ST. FRANCIS HOSPITAL - ACUTE,27203103,N/A,HC DRSG PRIMAPORE,272,1 ,$12.00 ,$8.64 ,$2.70 ,$12.00 ,$6.90 ,$8.64 ,$6.53 ,$2.70 ,$3.36 ,$7.98 ,$2.70 ,$8.40 ,$2.70 ,$7.56 ,$7.56 ,$2.70 ,$7.56 ,$5.58 ,$11.04 , N/A ,$2.70 ,$10.20 ,$10.08 ,$2.70 ,$9.00 ,$9.60 ,$9.60 ,$2.70 ,$9.60 ,$10.44 ,$10.44 ,$10.44 ,$10.80 ,$6.90 ,$2.70 ,$12.00 ,$6.73 ,$2.70 ,$4.97 , N/A , N/A ,$2.84 ,$10.20 ,$7.56 ,$3.36 ,$10.80 ,$10.44 ,$9.60 ,$9.60 ,$2.70 ,$7.80 ST. FRANCIS HOSPITAL - ACUTE,27203503,N/A,HC CANNULA NASAL HEATED HI FLOW,272,1 ,$185.00 ,$133.20 ,$41.70 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$123.03 ,$41.70 ,$129.50 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 , N/A ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 , N/A , N/A ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,27203509,N/A,HC CATHETER FOLEY 3W,272,1 ,$245.00 ,$176.40 ,$55.22 ,$245.00 ,$140.88 ,$176.40 ,$133.28 ,$55.22 ,$68.60 ,$162.93 ,$55.22 ,$171.50 ,$55.22 ,$154.35 ,$154.35 ,$55.22 ,$154.35 ,$113.83 ,$225.40 , N/A ,$55.22 ,$208.25 ,$205.80 ,$55.22 ,$183.75 ,$196.00 ,$196.00 ,$55.22 ,$196.00 ,$213.15 ,$213.15 ,$213.15 ,$220.50 ,$140.88 ,$55.22 ,$245.00 ,$137.45 ,$55.22 ,$101.43 , N/A , N/A ,$57.99 ,$208.25 ,$154.35 ,$68.60 ,$220.50 ,$213.15 ,$196.00 ,$196.00 ,$55.22 ,$159.25 ST. FRANCIS HOSPITAL - ACUTE,27203511,N/A,HC BAG LEG URINARY,272,1 ,$22.00 ,$15.84 ,$4.96 ,$22.00 ,$12.65 ,$15.84 ,$11.97 ,$4.96 ,$6.16 ,$14.63 ,$4.96 ,$15.40 ,$4.96 ,$13.86 ,$13.86 ,$4.96 ,$13.86 ,$10.22 ,$20.24 , N/A ,$4.96 ,$18.70 ,$18.48 ,$4.96 ,$16.50 ,$17.60 ,$17.60 ,$4.96 ,$17.60 ,$19.14 ,$19.14 ,$19.14 ,$19.80 ,$12.65 ,$4.96 ,$22.00 ,$12.34 ,$4.96 ,$9.11 , N/A , N/A ,$5.20 ,$18.70 ,$13.86 ,$6.16 ,$19.80 ,$19.14 ,$17.60 ,$17.60 ,$4.96 ,$14.30 ST. FRANCIS HOSPITAL - ACUTE,27203519,A6223,HC DRESSING XEROFORM,272,1 ,$142.32 ,$102.47 ,$28.99 ,$142.32 ,$81.83 ,$102.47 ,$77.42 ,$32.08 ,$39.85 ,$28.99 ,$32.08 ,$30.52 ,$32.08 ,$89.66 ,$89.66 ,$32.08 ,$89.66 ,$66.11 , N/A , N/A ,$32.08 ,$120.97 ,$119.55 ,$32.08 ,$106.74 ,$113.86 ,$113.86 ,$32.08 ,$113.86 ,$123.82 ,$123.82 ,$123.82 ,$128.09 ,$81.83 ,$32.08 ,$142.32 ,$79.84 ,$32.08 ,$58.92 , N/A , N/A ,$33.68 ,$120.97 ,$89.66 ,$39.85 ,$128.09 ,$123.82 ,$113.86 ,$113.86 ,$32.08 ,$92.51 ST. FRANCIS HOSPITAL - ACUTE,27203521,A6234,HC DRESSING DUODERM <16 SQ CM,272,1 ,$148.50 ,$106.92 ,$33.48 ,$148.50 ,$85.40 ,$106.92 ,$80.78 ,$33.48 ,$41.58 ,$78.34 ,$33.48 ,$82.46 ,$33.48 ,$93.56 ,$93.56 ,$33.48 ,$93.56 ,$69.00 , N/A , N/A ,$33.48 ,$126.23 ,$124.74 ,$33.48 ,$111.38 ,$118.80 ,$118.80 ,$33.48 ,$118.80 ,$129.20 ,$129.20 ,$129.20 ,$133.65 ,$85.40 ,$33.48 ,$148.50 ,$83.31 ,$33.48 ,$61.48 , N/A , N/A ,$35.15 ,$126.23 ,$93.56 ,$41.58 ,$133.65 ,$129.20 ,$118.80 ,$118.80 ,$33.48 ,$96.53 ST. FRANCIS HOSPITAL - ACUTE,27203526,A6266,HC PACKING GAUZE IODOFORM,272,1 ,$13.00 ,$9.36 ,$2.93 ,$13.00 ,$7.48 ,$9.36 ,$7.07 ,$2.93 ,$3.64 ,$8.65 ,$2.93 ,$9.10 ,$2.93 ,$8.19 ,$8.19 ,$2.93 ,$8.19 ,$6.04 , N/A , N/A ,$2.93 ,$11.05 ,$10.92 ,$2.93 ,$9.75 ,$10.40 ,$10.40 ,$2.93 ,$10.40 ,$11.31 ,$11.31 ,$11.31 ,$11.70 ,$7.48 ,$2.93 ,$13.00 ,$7.29 ,$2.93 ,$5.38 , N/A , N/A ,$3.08 ,$11.05 ,$8.19 ,$3.64 ,$11.70 ,$11.31 ,$10.40 ,$10.40 ,$2.93 ,$8.45 ST. FRANCIS HOSPITAL - ACUTE,27203528,A6403,HC DRESSING KERLIX SPONGE >16 AND <48 SQ CM,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$6.65 ,$5.86 ,$7.00 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 , N/A , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27203531,C1751,HC CATHETER CV TRIPLE-LUMEN,272,1 ,$302.00 ,$217.44 ,$68.07 ,$302.00 ,$173.65 ,$217.44 ,$164.29 ,$68.07 ,$84.56 ,$200.83 ,$68.07 ,$211.40 ,$68.07 ,$190.26 ,$190.26 ,$68.07 ,$190.26 ,$140.31 , N/A , N/A ,$68.07 ,$256.70 ,$253.68 ,$68.07 ,$226.50 ,$241.60 ,$241.60 ,$68.07 ,$241.60 ,$262.74 ,$262.74 ,$262.74 ,$271.80 ,$173.65 ,$68.07 ,$302.00 ,$169.42 ,$68.07 ,$125.03 , N/A , N/A ,$71.47 ,$256.70 ,$190.26 ,$84.56 ,$271.80 ,$262.74 ,$241.60 ,$241.60 ,$68.07 ,$196.30 ST. FRANCIS HOSPITAL - ACUTE,27203535,N/A,HC TRAY LUMBAR PUNCTURE,272,1 ,$263.00 ,$189.36 ,$59.28 ,$263.00 ,$151.23 ,$189.36 ,$143.07 ,$59.28 ,$73.64 ,$174.90 ,$59.28 ,$184.10 ,$59.28 ,$165.69 ,$165.69 ,$59.28 ,$165.69 ,$122.19 ,$241.96 , N/A ,$59.28 ,$223.55 ,$220.92 ,$59.28 ,$197.25 ,$210.40 ,$210.40 ,$59.28 ,$210.40 ,$228.81 ,$228.81 ,$228.81 ,$236.70 ,$151.23 ,$59.28 ,$263.00 ,$147.54 ,$59.28 ,$108.88 , N/A , N/A ,$62.24 ,$223.55 ,$165.69 ,$73.64 ,$236.70 ,$228.81 ,$210.40 ,$210.40 ,$59.28 ,$170.95 ST. FRANCIS HOSPITAL - ACUTE,27203538,N/A,HC KIT ARTERIAL LINE,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27203557,N/A,HC CATHETER INTRAUTERINE,272,1 ,$346.00 ,$249.12 ,$77.99 ,$346.00 ,$198.95 ,$249.12 ,$188.22 ,$77.99 ,$96.88 ,$230.09 ,$77.99 ,$242.20 ,$77.99 ,$217.98 ,$217.98 ,$77.99 ,$217.98 ,$160.75 ,$318.32 , N/A ,$77.99 ,$294.10 ,$290.64 ,$77.99 ,$259.50 ,$276.80 ,$276.80 ,$77.99 ,$276.80 ,$301.02 ,$301.02 ,$301.02 ,$311.40 ,$198.95 ,$77.99 ,$346.00 ,$194.11 ,$77.99 ,$143.24 , N/A , N/A ,$81.89 ,$294.10 ,$217.98 ,$96.88 ,$311.40 ,$301.02 ,$276.80 ,$276.80 ,$77.99 ,$224.90 ST. FRANCIS HOSPITAL - ACUTE,27203558,N/A,HC EXTRACTOR,272,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27203560,N/A,HC CATHETER IV,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27203562,N/A,HC CATHETER SUCTION,272,1 ,$134.00 ,$96.48 ,$30.20 ,$134.00 ,$77.05 ,$96.48 ,$72.90 ,$30.20 ,$37.52 ,$89.11 ,$30.20 ,$93.80 ,$30.20 ,$84.42 ,$84.42 ,$30.20 ,$84.42 ,$62.26 ,$123.28 , N/A ,$30.20 ,$113.90 ,$112.56 ,$30.20 ,$100.50 ,$107.20 ,$107.20 ,$30.20 ,$107.20 ,$116.58 ,$116.58 ,$116.58 ,$120.60 ,$77.05 ,$30.20 ,$134.00 ,$75.17 ,$30.20 ,$55.48 , N/A , N/A ,$31.71 ,$113.90 ,$84.42 ,$37.52 ,$120.60 ,$116.58 ,$107.20 ,$107.20 ,$30.20 ,$87.10 ST. FRANCIS HOSPITAL - ACUTE,27203575,N/A,HC DRESSING TELFA,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27203576,N/A,HC DRESSING V.A.C.,272,1 ,$78.00 ,$56.16 ,$17.58 ,$78.00 ,$44.85 ,$56.16 ,$42.43 ,$17.58 ,$21.84 ,$51.87 ,$17.58 ,$54.60 ,$17.58 ,$49.14 ,$49.14 ,$17.58 ,$49.14 ,$36.24 ,$71.76 , N/A ,$17.58 ,$66.30 ,$65.52 ,$17.58 ,$58.50 ,$62.40 ,$62.40 ,$17.58 ,$62.40 ,$67.86 ,$67.86 ,$67.86 ,$70.20 ,$44.85 ,$17.58 ,$78.00 ,$43.76 ,$17.58 ,$32.29 , N/A , N/A ,$18.46 ,$66.30 ,$49.14 ,$21.84 ,$70.20 ,$67.86 ,$62.40 ,$62.40 ,$17.58 ,$50.70 ST. FRANCIS HOSPITAL - ACUTE,27203586,N/A,HC SALEM SUMP,272,1 ,$62.00 ,$44.64 ,$13.97 ,$62.00 ,$35.65 ,$44.64 ,$33.73 ,$13.97 ,$17.36 ,$41.23 ,$13.97 ,$43.40 ,$13.97 ,$39.06 ,$39.06 ,$13.97 ,$39.06 ,$28.81 ,$57.04 , N/A ,$13.97 ,$52.70 ,$52.08 ,$13.97 ,$46.50 ,$49.60 ,$49.60 ,$13.97 ,$49.60 ,$53.94 ,$53.94 ,$53.94 ,$55.80 ,$35.65 ,$13.97 ,$62.00 ,$34.78 ,$13.97 ,$25.67 , N/A , N/A ,$14.67 ,$52.70 ,$39.06 ,$17.36 ,$55.80 ,$53.94 ,$49.60 ,$49.60 ,$13.97 ,$40.30 ST. FRANCIS HOSPITAL - ACUTE,27203591,N/A,HC TRAP SPECIMEN,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27203597,N/A,HC TUBING ANY,272,1 ,$57.00 ,$41.04 ,$12.85 ,$57.00 ,$32.78 ,$41.04 ,$31.01 ,$12.85 ,$15.96 ,$37.91 ,$12.85 ,$39.90 ,$12.85 ,$35.91 ,$35.91 ,$12.85 ,$35.91 ,$26.48 ,$52.44 , N/A ,$12.85 ,$48.45 ,$47.88 ,$12.85 ,$42.75 ,$45.60 ,$45.60 ,$12.85 ,$45.60 ,$49.59 ,$49.59 ,$49.59 ,$51.30 ,$32.78 ,$12.85 ,$57.00 ,$31.98 ,$12.85 ,$23.60 , N/A , N/A ,$13.49 ,$48.45 ,$35.91 ,$15.96 ,$51.30 ,$49.59 ,$45.60 ,$45.60 ,$12.85 ,$37.05 ST. FRANCIS HOSPITAL - ACUTE,27203612,N/A,HC KIT TRACHEOSTOMY CARE,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27203626,N/A,HC TUBE ENDOTRACH,272,1 ,$89.00 ,$64.08 ,$20.06 ,$89.00 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 , N/A ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$36.85 , N/A , N/A ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 ,$71.20 ,$71.20 ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,27203703,C1751,HC CATHETER PICC,272,1 ,$420.00 ,$302.40 ,$94.67 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 , N/A , N/A ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 , N/A , N/A ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,27203827,C1894,HC INTRODUCER/SHEATH/CATH,272,1 ,$90.00 ,$64.80 ,$20.29 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$59.85 ,$20.29 ,$63.00 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 , N/A , N/A ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 , N/A , N/A ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,27203841,N/A,HC BALLOON DILATOR CERVICAL,272,1 ,$126.00 ,$90.72 ,$28.40 ,$126.00 ,$72.45 ,$90.72 ,$68.54 ,$28.40 ,$35.28 ,$83.79 ,$28.40 ,$88.20 ,$28.40 ,$79.38 ,$79.38 ,$28.40 ,$79.38 ,$58.54 ,$115.92 , N/A ,$28.40 ,$107.10 ,$105.84 ,$28.40 ,$94.50 ,$100.80 ,$100.80 ,$28.40 ,$100.80 ,$109.62 ,$109.62 ,$109.62 ,$113.40 ,$72.45 ,$28.40 ,$126.00 ,$70.69 ,$28.40 ,$52.16 , N/A , N/A ,$29.82 ,$107.10 ,$79.38 ,$35.28 ,$113.40 ,$109.62 ,$100.80 ,$100.80 ,$28.40 ,$81.90 ST. FRANCIS HOSPITAL - ACUTE,27203847,N/A,HC NEEDLE INTRAOSSEOUS,272,1 ,$133.00 ,$95.76 ,$29.98 ,$133.00 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 , N/A ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 , N/A , N/A ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,27203871,N/A,HC NASAL RHINO ROCKET,272,1 ,$151.00 ,$108.72 ,$34.04 ,$151.00 ,$86.83 ,$108.72 ,$82.14 ,$34.04 ,$42.28 ,$100.42 ,$34.04 ,$105.70 ,$34.04 ,$95.13 ,$95.13 ,$34.04 ,$95.13 ,$70.15 ,$138.92 , N/A ,$34.04 ,$128.35 ,$126.84 ,$34.04 ,$113.25 ,$120.80 ,$120.80 ,$34.04 ,$120.80 ,$131.37 ,$131.37 ,$131.37 ,$135.90 ,$86.83 ,$34.04 ,$151.00 ,$84.71 ,$34.04 ,$62.51 , N/A , N/A ,$35.74 ,$128.35 ,$95.13 ,$42.28 ,$135.90 ,$131.37 ,$120.80 ,$120.80 ,$34.04 ,$98.15 ST. FRANCIS HOSPITAL - ACUTE,27204594,N/A,HC SPONGE GELFOAM,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204596,N/A,HC SUCTION TIP,272,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27204603,N/A,HC TRAY UMBILICAL CATH,272,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27204607,N/A,HC TUBE NASOGASTRIC,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204612,N/A,HC TUBING EXTENSION,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27204615,N/A,HC TUBING Y,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204622,N/A,HC MARKER BIOPSY SITE,272,1 ,$211.00 ,$151.92 ,$47.56 ,$211.00 ,$121.33 ,$151.92 ,$114.78 ,$47.56 ,$59.08 ,$140.32 ,$47.56 ,$147.70 ,$47.56 ,$132.93 ,$132.93 ,$47.56 ,$132.93 ,$98.03 ,$194.12 , N/A ,$47.56 ,$179.35 ,$177.24 ,$47.56 ,$158.25 ,$168.80 ,$168.80 ,$47.56 ,$168.80 ,$183.57 ,$183.57 ,$183.57 ,$189.90 ,$121.33 ,$47.56 ,$211.00 ,$118.37 ,$47.56 ,$87.35 , N/A , N/A ,$49.94 ,$179.35 ,$132.93 ,$59.08 ,$189.90 ,$183.57 ,$168.80 ,$168.80 ,$47.56 ,$137.15 ST. FRANCIS HOSPITAL - ACUTE,27204654,N/A,HC BAG RESUSCITATE INFANT,272,1 ,$53.00 ,$38.16 ,$11.95 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 , N/A ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 , N/A , N/A ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,27204655,N/A,HC BAG RESUSCITATE PEDIATRIC,272,1 ,$53.00 ,$38.16 ,$11.95 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 , N/A ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 , N/A , N/A ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,27204656,N/A,HC BAG RESUSCITOR,272,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,27204657,N/A,HC CANISTER V.A.C.,272,1 ,$65.00 ,$46.80 ,$14.65 ,$65.00 ,$37.38 ,$46.80 ,$35.36 ,$14.65 ,$18.20 ,$43.23 ,$14.65 ,$45.50 ,$14.65 ,$40.95 ,$40.95 ,$14.65 ,$40.95 ,$30.20 ,$59.80 , N/A ,$14.65 ,$55.25 ,$54.60 ,$14.65 ,$48.75 ,$52.00 ,$52.00 ,$14.65 ,$52.00 ,$56.55 ,$56.55 ,$56.55 ,$58.50 ,$37.38 ,$14.65 ,$65.00 ,$36.47 ,$14.65 ,$26.91 , N/A , N/A ,$15.39 ,$55.25 ,$40.95 ,$18.20 ,$58.50 ,$56.55 ,$52.00 ,$52.00 ,$14.65 ,$42.25 ST. FRANCIS HOSPITAL - ACUTE,27204692,N/A,HC MASK NON-REBREATHER ADULT,272,1 ,$13.00 ,$9.36 ,$2.93 ,$13.00 ,$7.48 ,$9.36 ,$7.07 ,$2.93 ,$3.64 ,$8.65 ,$2.93 ,$9.10 ,$2.93 ,$8.19 ,$8.19 ,$2.93 ,$8.19 ,$6.04 ,$11.96 , N/A ,$2.93 ,$11.05 ,$10.92 ,$2.93 ,$9.75 ,$10.40 ,$10.40 ,$2.93 ,$10.40 ,$11.31 ,$11.31 ,$11.31 ,$11.70 ,$7.48 ,$2.93 ,$13.00 ,$7.29 ,$2.93 ,$5.38 , N/A , N/A ,$3.08 ,$11.05 ,$8.19 ,$3.64 ,$11.70 ,$11.31 ,$10.40 ,$10.40 ,$2.93 ,$8.45 ST. FRANCIS HOSPITAL - ACUTE,27204771,N/A,HC BLADE LARYNGOSCOPE,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27204869,N/A,HC IV ANGIOCATH,272,1 ,$59.00 ,$42.48 ,$13.30 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 , N/A ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 , N/A , N/A ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,27204887,N/A,HC KIT CATHETER FEMALE,272,1 ,$23.00 ,$16.56 ,$5.18 ,$23.00 ,$13.23 ,$16.56 ,$12.51 ,$5.18 ,$6.44 ,$15.30 ,$5.18 ,$16.10 ,$5.18 ,$14.49 ,$14.49 ,$5.18 ,$14.49 ,$10.69 ,$21.16 , N/A ,$5.18 ,$19.55 ,$19.32 ,$5.18 ,$17.25 ,$18.40 ,$18.40 ,$5.18 ,$18.40 ,$20.01 ,$20.01 ,$20.01 ,$20.70 ,$13.23 ,$5.18 ,$23.00 ,$12.90 ,$5.18 ,$9.52 , N/A , N/A ,$5.44 ,$19.55 ,$14.49 ,$6.44 ,$20.70 ,$20.01 ,$18.40 ,$18.40 ,$5.18 ,$14.95 ST. FRANCIS HOSPITAL - ACUTE,27204901,N/A,HC KIT IRRIGATION PISTON SYRINGE,272,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 , N/A ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 , N/A , N/A ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,27204937,N/A,HC NEEDLE NERVE BLOCK STIMULATING,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204957,N/A,HC BARRIER PROTECTANT SENSI-CARE,272,1 ,$34.00 ,$24.48 ,$7.66 ,$34.00 ,$19.55 ,$24.48 ,$18.50 ,$7.66 ,$9.52 ,$22.61 ,$7.66 ,$23.80 ,$7.66 ,$21.42 ,$21.42 ,$7.66 ,$21.42 ,$15.80 ,$31.28 , N/A ,$7.66 ,$28.90 ,$28.56 ,$7.66 ,$25.50 ,$27.20 ,$27.20 ,$7.66 ,$27.20 ,$29.58 ,$29.58 ,$29.58 ,$30.60 ,$19.55 ,$7.66 ,$34.00 ,$19.07 ,$7.66 ,$14.08 , N/A , N/A ,$8.05 ,$28.90 ,$21.42 ,$9.52 ,$30.60 ,$29.58 ,$27.20 ,$27.20 ,$7.66 ,$22.10 ST. FRANCIS HOSPITAL - ACUTE,27204966,N/A,HC OSTOMY POUCH,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204968,N/A,HC OSTOMY PASTE,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27204969,N/A,HC OSTOMY STOMAHESIVE POWDER,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27205010,N/A,HC VALVE ANTI-REFLUX SALEM,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205028,N/A,HC STAPLE REMOVER SKIN,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205029,N/A,HC STATLOCK DEVICE FOLEY,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205033,N/A,HC STOPCOCK 4 WAY,272,1 ,$22.00 ,$15.84 ,$4.96 ,$22.00 ,$12.65 ,$15.84 ,$11.97 ,$4.96 ,$6.16 ,$14.63 ,$4.96 ,$15.40 ,$4.96 ,$13.86 ,$13.86 ,$4.96 ,$13.86 ,$10.22 ,$20.24 , N/A ,$4.96 ,$18.70 ,$18.48 ,$4.96 ,$16.50 ,$17.60 ,$17.60 ,$4.96 ,$17.60 ,$19.14 ,$19.14 ,$19.14 ,$19.80 ,$12.65 ,$4.96 ,$22.00 ,$12.34 ,$4.96 ,$9.11 , N/A , N/A ,$5.20 ,$18.70 ,$13.86 ,$6.16 ,$19.80 ,$19.14 ,$17.60 ,$17.60 ,$4.96 ,$14.30 ST. FRANCIS HOSPITAL - ACUTE,27205049,N/A,HC TAPE MEDIPORE,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27205058,N/A,HC TRAY FOLEY,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205063,N/A,HC TRAY SUTURE REMOVAL,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205072,N/A,HC BAG DRAINAGE GRAVITY,272,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 , N/A ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 , N/A , N/A ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,27205083,N/A,HC TUBING BLOOD WARMING,272,1 ,$15.00 ,$10.80 ,$3.38 ,$15.00 ,$8.63 ,$10.80 ,$8.16 ,$3.38 ,$4.20 ,$9.98 ,$3.38 ,$10.50 ,$3.38 ,$9.45 ,$9.45 ,$3.38 ,$9.45 ,$6.97 ,$13.80 , N/A ,$3.38 ,$12.75 ,$12.60 ,$3.38 ,$11.25 ,$12.00 ,$12.00 ,$3.38 ,$12.00 ,$13.05 ,$13.05 ,$13.05 ,$13.50 ,$8.63 ,$3.38 ,$15.00 ,$8.42 ,$3.38 ,$6.21 , N/A , N/A ,$3.55 ,$12.75 ,$9.45 ,$4.20 ,$13.50 ,$13.05 ,$12.00 ,$12.00 ,$3.38 ,$9.75 ST. FRANCIS HOSPITAL - ACUTE,27205084,N/A,HC TUBING FEEDING KANGAROO,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205095,N/A,HC WEDGE WAFFLE,272,1 ,$44.00 ,$31.68 ,$9.92 ,$44.00 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 , N/A ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 , N/A , N/A ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,27205105,N/A,HC DRESSING NASAL RHINO ROCKET RAPID,272,1 ,$86.00 ,$61.92 ,$19.38 ,$86.00 ,$49.45 ,$61.92 ,$46.78 ,$19.38 ,$24.08 ,$57.19 ,$19.38 ,$60.20 ,$19.38 ,$54.18 ,$54.18 ,$19.38 ,$54.18 ,$39.96 ,$79.12 , N/A ,$19.38 ,$73.10 ,$72.24 ,$19.38 ,$64.50 ,$68.80 ,$68.80 ,$19.38 ,$68.80 ,$74.82 ,$74.82 ,$74.82 ,$77.40 ,$49.45 ,$19.38 ,$86.00 ,$48.25 ,$19.38 ,$35.60 , N/A , N/A ,$20.35 ,$73.10 ,$54.18 ,$24.08 ,$77.40 ,$74.82 ,$68.80 ,$68.80 ,$19.38 ,$55.90 ST. FRANCIS HOSPITAL - ACUTE,27205115,N/A,HC DRESSING AQUACEL AG,272,1 ,$22.00 ,$15.84 ,$4.96 ,$22.00 ,$12.65 ,$15.84 ,$11.97 ,$4.96 ,$6.16 ,$14.63 ,$4.96 ,$15.40 ,$4.96 ,$13.86 ,$13.86 ,$4.96 ,$13.86 ,$10.22 ,$20.24 , N/A ,$4.96 ,$18.70 ,$18.48 ,$4.96 ,$16.50 ,$17.60 ,$17.60 ,$4.96 ,$17.60 ,$19.14 ,$19.14 ,$19.14 ,$19.80 ,$12.65 ,$4.96 ,$22.00 ,$12.34 ,$4.96 ,$9.11 , N/A , N/A ,$5.20 ,$18.70 ,$13.86 ,$6.16 ,$19.80 ,$19.14 ,$17.60 ,$17.60 ,$4.96 ,$14.30 ST. FRANCIS HOSPITAL - ACUTE,27205125,N/A,HC CATHETER NASAL,272,1 ,$177.00 ,$127.44 ,$39.90 ,$177.00 ,$101.78 ,$127.44 ,$96.29 ,$39.90 ,$49.56 ,$117.71 ,$39.90 ,$123.90 ,$39.90 ,$111.51 ,$111.51 ,$39.90 ,$111.51 ,$82.23 ,$162.84 , N/A ,$39.90 ,$150.45 ,$148.68 ,$39.90 ,$132.75 ,$141.60 ,$141.60 ,$39.90 ,$141.60 ,$153.99 ,$153.99 ,$153.99 ,$159.30 ,$101.78 ,$39.90 ,$177.00 ,$99.30 ,$39.90 ,$73.28 , N/A , N/A ,$41.89 ,$150.45 ,$111.51 ,$49.56 ,$159.30 ,$153.99 ,$141.60 ,$141.60 ,$39.90 ,$115.05 ST. FRANCIS HOSPITAL - ACUTE,27205181,N/A,HC STRYKER AIR 2 MATTRESS OVERLAY,272,1 ,$85.00 ,$61.20 ,$19.16 ,$85.00 ,$48.88 ,$61.20 ,$46.24 ,$19.16 ,$23.80 ,$56.53 ,$19.16 ,$59.50 ,$19.16 ,$53.55 ,$53.55 ,$19.16 ,$53.55 ,$39.49 ,$78.20 , N/A ,$19.16 ,$72.25 ,$71.40 ,$19.16 ,$63.75 ,$68.00 ,$68.00 ,$19.16 ,$68.00 ,$73.95 ,$73.95 ,$73.95 ,$76.50 ,$48.88 ,$19.16 ,$85.00 ,$47.69 ,$19.16 ,$35.19 , N/A , N/A ,$20.12 ,$72.25 ,$53.55 ,$23.80 ,$76.50 ,$73.95 ,$68.00 ,$68.00 ,$19.16 ,$55.25 ST. FRANCIS HOSPITAL - ACUTE,27205275,N/A,HC ADAPTER CPAP,272,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 , N/A ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 , N/A , N/A ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,27205283,N/A,HC AIRWAY ORAL NASAL,272,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 , N/A ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 , N/A , N/A ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,27205287,N/A,HC BAG TUBING,272,1 ,$146.00 ,$105.12 ,$32.91 ,$146.00 ,$83.95 ,$105.12 ,$79.42 ,$32.91 ,$40.88 ,$97.09 ,$32.91 ,$102.20 ,$32.91 ,$91.98 ,$91.98 ,$32.91 ,$91.98 ,$67.83 ,$134.32 , N/A ,$32.91 ,$124.10 ,$122.64 ,$32.91 ,$109.50 ,$116.80 ,$116.80 ,$32.91 ,$116.80 ,$127.02 ,$127.02 ,$127.02 ,$131.40 ,$83.95 ,$32.91 ,$146.00 ,$81.91 ,$32.91 ,$60.44 , N/A , N/A ,$34.55 ,$124.10 ,$91.98 ,$40.88 ,$131.40 ,$127.02 ,$116.80 ,$116.80 ,$32.91 ,$94.90 ST. FRANCIS HOSPITAL - ACUTE,27205288,N/A,HC BANDAGE ADHESIVE,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205291,N/A,HC BARRIER OSTOMY OINTMENT,270,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205294,N/A,HC SWAB BETADINE,270,1 ,$3.00 ,$2.16 ,$0.68 ,$3.00 ,$1.73 ,$2.16 ,$1.63 ,$0.68 ,$0.84 ,$2.00 ,$0.68 ,$2.10 ,$0.68 ,$1.89 ,$1.89 ,$0.68 ,$1.89 ,$1.39 ,$2.76 , N/A ,$0.68 ,$2.55 ,$2.52 ,$0.68 ,$2.25 ,$2.40 ,$2.40 ,$0.68 ,$2.40 ,$2.61 ,$2.61 ,$2.61 ,$2.70 ,$1.73 ,$0.68 ,$3.00 ,$1.68 ,$0.68 ,$1.24 , N/A , N/A ,$0.71 ,$2.55 ,$1.89 ,$0.84 ,$2.70 ,$2.61 ,$2.40 ,$2.40 ,$0.68 ,$1.95 ST. FRANCIS HOSPITAL - ACUTE,27205298,N/A,HC CATHETER FOLEY COUDE,272,1 ,$241.00 ,$173.52 ,$54.32 ,$241.00 ,$138.58 ,$173.52 ,$131.10 ,$54.32 ,$67.48 ,$160.27 ,$54.32 ,$168.70 ,$54.32 ,$151.83 ,$151.83 ,$54.32 ,$151.83 ,$111.97 ,$221.72 , N/A ,$54.32 ,$204.85 ,$202.44 ,$54.32 ,$180.75 ,$192.80 ,$192.80 ,$54.32 ,$192.80 ,$209.67 ,$209.67 ,$209.67 ,$216.90 ,$138.58 ,$54.32 ,$241.00 ,$135.20 ,$54.32 ,$99.77 , N/A , N/A ,$57.04 ,$204.85 ,$151.83 ,$67.48 ,$216.90 ,$209.67 ,$192.80 ,$192.80 ,$54.32 ,$156.65 ST. FRANCIS HOSPITAL - ACUTE,27205300,N/A,HC CAUTERY PEN LOW TEMP,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27205301,N/A,HC CLEANSER WOUND,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27205306,N/A,HC ELECTRODE NONINVASIVE PACING PAD,272,1 ,$70.00 ,$50.40 ,$15.78 ,$70.00 ,$40.25 ,$50.40 ,$38.08 ,$15.78 ,$19.60 ,$46.55 ,$15.78 ,$49.00 ,$15.78 ,$44.10 ,$44.10 ,$15.78 ,$44.10 ,$32.52 ,$64.40 , N/A ,$15.78 ,$59.50 ,$58.80 ,$15.78 ,$52.50 ,$56.00 ,$56.00 ,$15.78 ,$56.00 ,$60.90 ,$60.90 ,$60.90 ,$63.00 ,$40.25 ,$15.78 ,$70.00 ,$39.27 ,$15.78 ,$28.98 , N/A , N/A ,$16.57 ,$59.50 ,$44.10 ,$19.60 ,$63.00 ,$60.90 ,$56.00 ,$56.00 ,$15.78 ,$45.50 ST. FRANCIS HOSPITAL - ACUTE,27205310,N/A,HC KIT ENEMA,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205317,N/A,HC NEEDLE NON-CORING,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205318,N/A,HC NEEDLE ANGLED,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205324,N/A,HC PAD ABDOMNINAL,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205334,N/A,HC TRAY ENT,272,1 ,$64.00 ,$46.08 ,$14.43 ,$64.00 ,$36.80 ,$46.08 ,$34.82 ,$14.43 ,$17.92 ,$42.56 ,$14.43 ,$44.80 ,$14.43 ,$40.32 ,$40.32 ,$14.43 ,$40.32 ,$29.73 ,$58.88 , N/A ,$14.43 ,$54.40 ,$53.76 ,$14.43 ,$48.00 ,$51.20 ,$51.20 ,$14.43 ,$51.20 ,$55.68 ,$55.68 ,$55.68 ,$57.60 ,$36.80 ,$14.43 ,$64.00 ,$35.90 ,$14.43 ,$26.50 , N/A , N/A ,$15.15 ,$54.40 ,$40.32 ,$17.92 ,$57.60 ,$55.68 ,$51.20 ,$51.20 ,$14.43 ,$41.60 ST. FRANCIS HOSPITAL - ACUTE,27205335,N/A,HC TRAY EPISIOTOMY,272,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 , N/A ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 , N/A , N/A ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,27205339,N/A,HC KIT DRESSING,272,1 ,$25.79 ,$18.57 ,$5.81 ,$25.79 ,$14.83 ,$18.57 ,$14.03 ,$5.81 ,$7.22 ,$17.15 ,$5.81 ,$18.05 ,$5.81 ,$16.25 ,$16.25 ,$5.81 ,$16.25 ,$11.98 ,$23.73 , N/A ,$5.81 ,$21.92 ,$21.66 ,$5.81 ,$19.34 ,$20.63 ,$20.63 ,$5.81 ,$20.63 ,$22.44 ,$22.44 ,$22.44 ,$23.21 ,$14.83 ,$5.81 ,$25.79 ,$14.47 ,$5.81 ,$10.68 , N/A , N/A ,$6.11 ,$21.92 ,$16.25 ,$7.22 ,$23.21 ,$22.44 ,$20.63 ,$20.63 ,$5.81 ,$16.76 ST. FRANCIS HOSPITAL - ACUTE,27205341,N/A,HC DRESSING BANDAGE ACE DOUBLE,272,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 , N/A ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 , N/A , N/A ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,27205342,N/A,HC DRESSING TEGADERM,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205345,N/A,HC DRESSING GAUZE STRETCH,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205387,N/A,HC IRRIGATION SOL W/WATER/SODIUM CHLORIDE,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205391,N/A,HC DRESSING AQUACEL FOAM/FLAT,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27205432,N/A,HC NEO PUFF MASK DISPOSABLE,272,1 ,$18.00 ,$12.96 ,$4.06 ,$18.00 ,$10.35 ,$12.96 ,$9.79 ,$4.06 ,$5.04 ,$11.97 ,$4.06 ,$12.60 ,$4.06 ,$11.34 ,$11.34 ,$4.06 ,$11.34 ,$8.36 ,$16.56 , N/A ,$4.06 ,$15.30 ,$15.12 ,$4.06 ,$13.50 ,$14.40 ,$14.40 ,$4.06 ,$14.40 ,$15.66 ,$15.66 ,$15.66 ,$16.20 ,$10.35 ,$4.06 ,$18.00 ,$10.10 ,$4.06 ,$7.45 , N/A , N/A ,$4.26 ,$15.30 ,$11.34 ,$5.04 ,$16.20 ,$15.66 ,$14.40 ,$14.40 ,$4.06 ,$11.70 ST. FRANCIS HOSPITAL - ACUTE,27206923,N/A,HC MASK TUBING KIT,272,1 ,$102.00 ,$73.44 ,$22.99 ,$102.00 ,$58.65 ,$73.44 ,$55.49 ,$22.99 ,$28.56 ,$67.83 ,$22.99 ,$71.40 ,$22.99 ,$64.26 ,$64.26 ,$22.99 ,$64.26 ,$47.39 ,$93.84 , N/A ,$22.99 ,$86.70 ,$85.68 ,$22.99 ,$76.50 ,$81.60 ,$81.60 ,$22.99 ,$81.60 ,$88.74 ,$88.74 ,$88.74 ,$91.80 ,$58.65 ,$22.99 ,$102.00 ,$57.22 ,$22.99 ,$42.23 , N/A , N/A ,$24.14 ,$86.70 ,$64.26 ,$28.56 ,$91.80 ,$88.74 ,$81.60 ,$81.60 ,$22.99 ,$66.30 ST. FRANCIS HOSPITAL - ACUTE,27260409,N/A,HC CONNECTOR T-TUBE,272,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 , N/A ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 , N/A , N/A ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ADAPTER CIRCUIT 30MM 22MM O2-RESQ T 1 ARM VALVE LATEX FREE,272,1 ,$6.26 ,$4.51 ,$1.41 ,$6.26 ,$3.60 ,$4.51 ,$3.41 ,$1.41 ,$1.75 ,$4.16 ,$1.41 ,$4.38 ,$1.41 ,$3.94 ,$3.94 ,$1.41 ,$3.94 ,$2.91 ,$5.76 , N/A ,$1.41 ,$5.32 ,$5.26 ,$1.41 ,$4.70 ,$5.01 ,$5.01 ,$1.41 ,$5.01 ,$5.45 ,$5.45 ,$5.45 ,$5.63 ,$3.60 ,$1.41 ,$6.26 ,$3.51 ,$1.41 ,$2.59 , N/A , N/A ,$1.48 ,$5.32 ,$3.94 ,$1.75 ,$5.63 ,$5.45 ,$5.01 ,$5.01 ,$1.41 ,$4.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ADAPTER HOSE BLUE ATS UNIVERSAL,272,1 ,$5.07 ,$3.65 ,$1.15 ,$5.07 ,$2.93 ,$3.65 ,$2.76 ,$1.15 ,$1.42 ,$3.37 ,$1.15 ,$3.55 ,$1.15 ,$3.19 ,$3.19 ,$1.15 ,$3.19 ,$2.36 ,$4.66 , N/A ,$1.15 ,$4.31 ,$4.26 ,$1.15 ,$3.80 ,$4.06 ,$4.06 ,$1.15 ,$4.06 ,$4.41 ,$4.41 ,$4.41 ,$4.56 ,$2.93 ,$1.15 ,$5.07 ,$2.84 ,$1.15 ,$2.10 , N/A , N/A ,$1.21 ,$4.31 ,$3.19 ,$1.42 ,$4.56 ,$4.41 ,$4.06 ,$4.06 ,$1.15 ,$3.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ADAPTER HOSE RED ATS UNIVERSAL,272,1 ,$5.03 ,$3.62 ,$1.14 ,$5.03 ,$2.90 ,$3.62 ,$2.74 ,$1.14 ,$1.41 ,$3.35 ,$1.14 ,$3.52 ,$1.14 ,$3.17 ,$3.17 ,$1.14 ,$3.17 ,$2.34 ,$4.63 , N/A ,$1.14 ,$4.28 ,$4.23 ,$1.14 ,$3.77 ,$4.02 ,$4.02 ,$1.14 ,$4.02 ,$4.38 ,$4.38 ,$4.38 ,$4.53 ,$2.90 ,$1.14 ,$5.03 ,$2.82 ,$1.14 ,$2.08 , N/A , N/A ,$1.20 ,$4.28 ,$3.17 ,$1.41 ,$4.53 ,$4.38 ,$4.02 ,$4.02 ,$1.14 ,$3.27 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ADHESIVE DERMABOND,272,1 ,$47.66 ,$34.32 ,$10.74 ,$47.66 ,$27.40 ,$34.32 ,$25.93 ,$10.74 ,$13.34 ,$31.69 ,$10.74 ,$33.36 ,$10.74 ,$30.03 ,$30.03 ,$10.74 ,$30.03 ,$22.14 ,$43.85 , N/A ,$10.74 ,$40.51 ,$40.03 ,$10.74 ,$35.75 ,$38.13 ,$38.13 ,$10.74 ,$38.13 ,$41.46 ,$41.46 ,$41.46 ,$42.89 ,$27.40 ,$10.74 ,$47.66 ,$26.74 ,$10.74 ,$19.73 , N/A , N/A ,$11.28 ,$40.51 ,$30.03 ,$13.34 ,$42.89 ,$41.46 ,$38.13 ,$38.13 ,$10.74 ,$30.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,APPLICATOR ARISTA AH FLEXITIP XL 38CM,272,1 ,$42.90 ,$30.89 ,$9.67 ,$42.90 ,$24.68 ,$30.89 ,$23.34 ,$9.67 ,$12.01 ,$28.53 ,$9.67 ,$30.03 ,$9.67 ,$27.03 ,$27.03 ,$9.67 ,$27.03 ,$19.94 ,$39.47 , N/A ,$9.67 ,$36.47 ,$36.04 ,$9.67 ,$32.18 ,$34.32 ,$34.32 ,$9.67 ,$34.32 ,$37.32 ,$37.32 ,$37.32 ,$38.61 ,$24.68 ,$9.67 ,$42.90 ,$24.07 ,$9.67 ,$17.76 , N/A , N/A ,$10.15 ,$36.47 ,$27.03 ,$12.01 ,$38.61 ,$37.32 ,$34.32 ,$34.32 ,$9.67 ,$27.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,APPLIER INTERNAL CLIP 135D STANDARD 2300MM ROTATABLE QUICKCLIP2 STERILE LATEX FREE DISPOSABLE 28MM CHANNEL,272,1 ,$158.92 ,$114.42 ,$35.82 ,$158.92 ,$91.38 ,$114.42 ,$86.45 ,$35.82 ,$44.50 ,$105.68 ,$35.82 ,$111.24 ,$35.82 ,$100.12 ,$100.12 ,$35.82 ,$100.12 ,$73.83 ,$146.21 , N/A ,$35.82 ,$135.08 ,$133.49 ,$35.82 ,$119.19 ,$127.14 ,$127.14 ,$35.82 ,$127.14 ,$138.26 ,$138.26 ,$138.26 ,$143.03 ,$91.38 ,$35.82 ,$158.92 ,$89.15 ,$35.82 ,$65.79 , N/A , N/A ,$37.61 ,$135.08 ,$100.12 ,$44.50 ,$143.03 ,$138.26 ,$127.14 ,$127.14 ,$35.82 ,$103.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,AVITENE FLOUR,272,1 ,$378.00 ,$272.16 ,$85.20 ,$378.00 ,$217.35 ,$272.16 ,$205.63 ,$85.20 ,$105.84 ,$251.37 ,$85.20 ,$264.60 ,$85.20 ,$238.14 ,$238.14 ,$85.20 ,$238.14 ,$175.62 ,$347.76 , N/A ,$85.20 ,$321.30 ,$317.52 ,$85.20 ,$283.50 ,$302.40 ,$302.40 ,$85.20 ,$302.40 ,$328.86 ,$328.86 ,$328.86 ,$340.20 ,$217.35 ,$85.20 ,$378.00 ,$212.06 ,$85.20 ,$156.49 , N/A , N/A ,$89.46 ,$321.30 ,$238.14 ,$105.84 ,$340.20 ,$328.86 ,$302.40 ,$302.40 ,$85.20 ,$245.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BAG DRAIN 2000ML RND TRDRP ANT,272,1 ,$7.32 ,$5.27 ,$1.65 ,$7.32 ,$4.20 ,$5.27 ,$3.98 ,$1.65 ,$2.05 ,$4.87 ,$1.65 ,$5.12 ,$1.65 ,$4.61 ,$4.61 ,$1.65 ,$4.61 ,$3.39 ,$6.73 , N/A ,$1.65 ,$6.22 ,$6.15 ,$1.65 ,$5.49 ,$5.86 ,$5.86 ,$1.65 ,$5.86 ,$6.37 ,$6.37 ,$6.37 ,$6.59 ,$4.20 ,$1.65 ,$7.32 ,$4.11 ,$1.65 ,$3.03 , N/A , N/A ,$1.72 ,$6.22 ,$4.61 ,$2.05 ,$6.59 ,$6.37 ,$5.86 ,$5.86 ,$1.65 ,$4.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BAG RESUSITATION ADULT,272,1 ,$17.64 ,$12.70 ,$3.98 ,$17.64 ,$10.15 ,$12.70 ,$9.60 ,$3.98 ,$4.94 ,$11.73 ,$3.98 ,$12.35 ,$3.98 ,$11.11 ,$11.11 ,$3.98 ,$11.11 ,$8.20 ,$16.23 , N/A ,$3.98 ,$14.99 ,$14.82 ,$3.98 ,$13.23 ,$14.11 ,$14.11 ,$3.98 ,$14.11 ,$15.35 ,$15.35 ,$15.35 ,$15.88 ,$10.15 ,$3.98 ,$17.64 ,$9.90 ,$3.98 ,$7.30 , N/A , N/A ,$4.17 ,$14.99 ,$11.11 ,$4.94 ,$15.88 ,$15.35 ,$14.11 ,$14.11 ,$3.98 ,$11.47 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE 2X1.5IN LARGE CURAD FLEX-FABRIC NONADHERENT FINGERTIP ADHESIVE DISPOSABLE STERILE LATEX FREE,272,1 ,$0.09 ,$0.06 ,$0.02 ,$0.09 ,$0.05 ,$0.06 ,$0.05 ,$0.02 ,$0.03 ,$0.06 ,$0.02 ,$0.06 ,$0.02 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.04 ,$0.08 , N/A ,$0.02 ,$0.08 ,$0.08 ,$0.02 ,$0.07 ,$0.07 ,$0.07 ,$0.02 ,$0.07 ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.05 ,$0.02 ,$0.09 ,$0.05 ,$0.02 ,$0.04 , N/A , N/A ,$0.02 ,$0.08 ,$0.06 ,$0.03 ,$0.08 ,$0.08 ,$0.07 ,$0.07 ,$0.02 ,$0.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TAPE MEASURE 36IN PAPER GRADUATE PEDIATRIC LATEX FREE DISPOSABLE,272,1 ,$0.09 ,$0.06 ,$0.02 ,$0.09 ,$0.05 ,$0.06 ,$0.05 ,$0.02 ,$0.03 ,$0.06 ,$0.02 ,$0.06 ,$0.02 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.04 ,$0.08 , N/A ,$0.02 ,$0.08 ,$0.08 ,$0.02 ,$0.07 ,$0.07 ,$0.07 ,$0.02 ,$0.07 ,$0.08 ,$0.08 ,$0.08 ,$0.08 ,$0.05 ,$0.02 ,$0.09 ,$0.05 ,$0.02 ,$0.04 , N/A , N/A ,$0.02 ,$0.08 ,$0.06 ,$0.03 ,$0.08 ,$0.08 ,$0.07 ,$0.07 ,$0.02 ,$0.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE 5YDX6IN SELF ADHERENT ADHESIVE STERILE LATEX FREE,272,1 ,$13.55 ,$9.76 ,$3.06 ,$13.55 ,$7.80 ,$9.76 ,$7.37 ,$3.06 ,$3.79 ,$9.01 ,$3.06 ,$9.49 ,$3.06 ,$8.54 ,$8.54 ,$3.06 ,$8.54 ,$6.30 ,$12.47 , N/A ,$3.06 ,$11.52 ,$11.38 ,$3.06 ,$10.16 ,$10.84 ,$10.84 ,$3.06 ,$10.84 ,$11.79 ,$11.79 ,$11.79 ,$12.20 ,$7.80 ,$3.06 ,$13.55 ,$7.60 ,$3.06 ,$5.61 , N/A , N/A ,$3.21 ,$11.52 ,$8.54 ,$3.79 ,$12.20 ,$11.79 ,$10.84 ,$10.84 ,$3.06 ,$8.81 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE 8X4IN CURITY ABSORBENT PLASTIC BACKING TELFA PAD ADHESIVE DISPOSABLE STERILE LATEX FREE,272,1 ,$1.56 ,$1.12 ,$0.35 ,$1.56 ,$0.90 ,$1.12 ,$0.85 ,$0.35 ,$0.44 ,$1.04 ,$0.35 ,$1.09 ,$0.35 ,$0.98 ,$0.98 ,$0.35 ,$0.98 ,$0.73 ,$1.44 , N/A ,$0.35 ,$1.33 ,$1.31 ,$0.35 ,$1.17 ,$1.25 ,$1.25 ,$0.35 ,$1.25 ,$1.36 ,$1.36 ,$1.36 ,$1.40 ,$0.90 ,$0.35 ,$1.56 ,$0.88 ,$0.35 ,$0.65 , N/A , N/A ,$0.37 ,$1.33 ,$0.98 ,$0.44 ,$1.40 ,$1.36 ,$1.25 ,$1.25 ,$0.35 ,$1.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE ACE NONSTERILE DOUBLE 6 X 10YD,272,1 ,$3.64 ,$2.62 ,$0.82 ,$3.64 ,$2.10 ,$2.62 ,$1.98 ,$0.82 ,$1.02 ,$2.42 ,$0.82 ,$2.55 ,$0.82 ,$2.29 ,$2.29 ,$0.82 ,$2.29 ,$1.70 ,$3.35 , N/A ,$0.82 ,$3.09 ,$3.06 ,$0.82 ,$2.73 ,$2.91 ,$2.91 ,$0.82 ,$2.91 ,$3.17 ,$3.17 ,$3.17 ,$3.28 ,$2.10 ,$0.82 ,$3.64 ,$2.04 ,$0.82 ,$1.51 , N/A , N/A ,$0.86 ,$3.09 ,$2.29 ,$1.02 ,$3.28 ,$3.17 ,$2.91 ,$2.91 ,$0.82 ,$2.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE ESMARK 4,272,1 ,$6.66 ,$4.80 ,$1.50 ,$6.66 ,$3.83 ,$4.80 ,$3.62 ,$1.50 ,$1.86 ,$4.43 ,$1.50 ,$4.66 ,$1.50 ,$4.20 ,$4.20 ,$1.50 ,$4.20 ,$3.09 ,$6.13 , N/A ,$1.50 ,$5.66 ,$5.59 ,$1.50 ,$5.00 ,$5.33 ,$5.33 ,$1.50 ,$5.33 ,$5.79 ,$5.79 ,$5.79 ,$5.99 ,$3.83 ,$1.50 ,$6.66 ,$3.74 ,$1.50 ,$2.76 , N/A , N/A ,$1.58 ,$5.66 ,$4.20 ,$1.86 ,$5.99 ,$5.79 ,$5.33 ,$5.33 ,$1.50 ,$4.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE ESMARK 6',272,1 ,$6.20 ,$4.46 ,$1.40 ,$6.20 ,$3.58 ,$4.46 ,$3.37 ,$1.40 ,$1.74 ,$4.12 ,$1.40 ,$4.34 ,$1.40 ,$3.91 ,$3.91 ,$1.40 ,$3.91 ,$2.89 ,$5.70 , N/A ,$1.40 ,$5.27 ,$5.21 ,$1.40 ,$4.65 ,$4.96 ,$4.96 ,$1.40 ,$4.96 ,$5.39 ,$5.39 ,$5.39 ,$5.58 ,$3.58 ,$1.40 ,$6.20 ,$3.48 ,$1.40 ,$2.57 , N/A , N/A ,$1.47 ,$5.27 ,$3.91 ,$1.74 ,$5.58 ,$5.39 ,$4.96 ,$4.96 ,$1.40 ,$4.03 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE MATRIX 10YDX6IN STERILE BEIGE WHITE COMPRESSION LATEX FREE ELASTIC HOOK LOOP CLOSURE POLYESTER COTTON MEDIUM,272,1 ,$5.56 ,$4.00 ,$1.25 ,$5.56 ,$3.20 ,$4.00 ,$3.02 ,$1.25 ,$1.56 ,$3.70 ,$1.25 ,$3.89 ,$1.25 ,$3.50 ,$3.50 ,$1.25 ,$3.50 ,$2.59 ,$5.12 , N/A ,$1.25 ,$4.73 ,$4.67 ,$1.25 ,$4.17 ,$4.45 ,$4.45 ,$1.25 ,$4.45 ,$4.84 ,$4.84 ,$4.84 ,$5.00 ,$3.20 ,$1.25 ,$5.56 ,$3.12 ,$1.25 ,$2.30 , N/A , N/A ,$1.31 ,$4.73 ,$3.50 ,$1.56 ,$5.00 ,$4.84 ,$4.45 ,$4.45 ,$1.25 ,$3.61 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BARRIER SKIN 2.75IN 2 PIECE CUT TO FIT TAPE BORDER INTEGRATE FLOAT FLANGE FLAT NEW IMAGE FLEXWEAR LATEX FREE BLUE 2.25- IN,272,1 ,$1.62 ,$1.17 ,$0.36 ,$1.62 ,$0.93 ,$1.17 ,$0.88 ,$0.36 ,$0.45 ,$1.08 ,$0.36 ,$1.13 ,$0.36 ,$1.02 ,$1.02 ,$0.36 ,$1.02 ,$0.75 ,$1.49 , N/A ,$0.36 ,$1.38 ,$1.36 ,$0.36 ,$1.22 ,$1.30 ,$1.30 ,$0.36 ,$1.30 ,$1.41 ,$1.41 ,$1.41 ,$1.46 ,$0.93 ,$0.36 ,$1.62 ,$0.91 ,$0.36 ,$0.67 , N/A , N/A ,$0.38 ,$1.38 ,$1.02 ,$0.45 ,$1.46 ,$1.41 ,$1.30 ,$1.30 ,$0.36 ,$1.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BARRIER SKIN 4IN 3.25- IN CUT TO FIT TAPE BORDER FLAT HOLLIHESIVE,272,1 ,$3.54 ,$2.55 ,$0.79 ,$3.54 ,$2.03 ,$2.55 ,$1.93 ,$0.79 ,$0.99 ,$2.35 ,$0.79 ,$2.48 ,$0.79 ,$2.23 ,$2.23 ,$0.79 ,$2.23 ,$1.64 ,$3.26 , N/A ,$0.79 ,$3.01 ,$2.97 ,$0.79 ,$2.66 ,$2.83 ,$2.83 ,$0.79 ,$2.83 ,$3.08 ,$3.08 ,$3.08 ,$3.19 ,$2.03 ,$0.79 ,$3.54 ,$1.99 ,$0.79 ,$1.47 , N/A , N/A ,$0.83 ,$3.01 ,$2.23 ,$0.99 ,$3.19 ,$3.08 ,$2.83 ,$2.83 ,$0.79 ,$2.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 37IN 10 GTT/ML INTRAVENOUS DUO-VENT SECONDARY MEDICATION MALE LUER LOCK ADAPTER HANGER DEHP STERILE LATEX FREE CLEARLINK,272,1 ,$3.54 ,$2.55 ,$0.79 ,$3.54 ,$2.03 ,$2.55 ,$1.93 ,$0.79 ,$0.99 ,$2.35 ,$0.79 ,$2.48 ,$0.79 ,$2.23 ,$2.23 ,$0.79 ,$2.23 ,$1.64 ,$3.26 , N/A ,$0.79 ,$3.01 ,$2.97 ,$0.79 ,$2.66 ,$2.83 ,$2.83 ,$0.79 ,$2.83 ,$3.08 ,$3.08 ,$3.08 ,$3.19 ,$2.03 ,$0.79 ,$3.54 ,$1.99 ,$0.79 ,$1.47 , N/A , N/A ,$0.83 ,$3.01 ,$2.23 ,$0.99 ,$3.19 ,$3.08 ,$2.83 ,$2.83 ,$0.79 ,$2.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BASKET STONE RETRIEVAL 120CM 1.9FR ESCAPE URETERAL NITINOL STANDARD 4 WIRE HOLMIUM LASER FIBER LITHOTRIPSY STERILE LATEX FREE DISPOSABLE,272,1 ,$638.31 ,$459.58 ,$143.87 ,$638.31 ,$367.03 ,$459.58 ,$347.24 ,$143.87 ,$178.73 ,$424.48 ,$143.87 ,$446.82 ,$143.87 ,$402.14 ,$402.14 ,$143.87 ,$402.14 ,$296.56 ,$587.25 , N/A ,$143.87 ,$542.56 ,$536.18 ,$143.87 ,$478.73 ,$510.65 ,$510.65 ,$143.87 ,$510.65 ,$555.33 ,$555.33 ,$555.33 ,$574.48 ,$367.03 ,$143.87 ,$638.31 ,$358.09 ,$143.87 ,$264.26 , N/A , N/A ,$151.07 ,$542.56 ,$402.14 ,$178.73 ,$574.48 ,$555.33 ,$510.65 ,$510.65 ,$143.87 ,$414.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BASKET URETERAL GEMINI 5 WIRE 0 DEG TIP,272,1 ,$464.37 ,$334.35 ,$104.67 ,$464.37 ,$267.03 ,$334.35 ,$252.62 ,$104.67 ,$130.02 ,$308.81 ,$104.67 ,$325.06 ,$104.67 ,$292.55 ,$292.55 ,$104.67 ,$292.55 ,$215.76 ,$427.22 , N/A ,$104.67 ,$394.71 ,$390.07 ,$104.67 ,$348.28 ,$371.50 ,$371.50 ,$104.67 ,$371.50 ,$404.00 ,$404.00 ,$404.00 ,$417.93 ,$267.03 ,$104.67 ,$464.37 ,$260.51 ,$104.67 ,$192.25 , N/A , N/A ,$109.91 ,$394.71 ,$292.55 ,$130.02 ,$417.93 ,$404.00 ,$371.50 ,$371.50 ,$104.67 ,$301.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BASKET URETERAL SEGURA 2.4 FR W 0 DEG TIP,272,1 ,$441.15 ,$317.63 ,$99.43 ,$441.15 ,$253.65 ,$317.63 ,$239.99 ,$99.43 ,$123.52 ,$293.36 ,$99.43 ,$308.81 ,$99.43 ,$277.92 ,$277.92 ,$99.43 ,$277.92 ,$204.95 ,$405.86 , N/A ,$99.43 ,$374.98 ,$370.57 ,$99.43 ,$330.86 ,$352.92 ,$352.92 ,$99.43 ,$352.92 ,$383.80 ,$383.80 ,$383.80 ,$397.04 ,$253.65 ,$99.43 ,$441.15 ,$247.49 ,$99.43 ,$182.64 , N/A , N/A ,$104.40 ,$374.98 ,$277.92 ,$123.52 ,$397.04 ,$383.80 ,$352.92 ,$352.92 ,$99.43 ,$286.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BATTERY SURGICAL DRIVER LARGE SMARTLIFE SYSTEM 7,272,1 ,"$1,484.91 ","$1,069.14 ",$334.70 ,"$1,484.91 ",$853.83 ,"$1,069.14 ",$807.79 ,$334.70 ,$415.77 ,$987.47 ,$334.70 ,"$1,039.44 ",$334.70 ,$935.49 ,$935.49 ,$334.70 ,$935.49 ,$689.89 ,"$1,366.12 ", N/A ,$334.70 ,"$1,262.17 ","$1,247.32 ",$334.70 ,"$1,113.68 ","$1,187.93 ","$1,187.93 ",$334.70 ,"$1,187.93 ","$1,291.87 ","$1,291.87 ","$1,291.87 ","$1,336.42 ",$853.83 ,$334.70 ,"$1,484.91 ",$833.03 ,$334.70 ,$614.75 , N/A , N/A ,$351.44 ,"$1,262.17 ",$935.49 ,$415.77 ,"$1,336.42 ","$1,291.87 ","$1,187.93 ","$1,187.93 ",$334.70 ,$965.19 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BINDER ABDOMINAL UNIVERSAL,272,1 ,$14.16 ,$10.20 ,$3.19 ,$14.16 ,$8.15 ,$10.20 ,$7.70 ,$3.19 ,$3.96 ,$9.42 ,$3.19 ,$9.91 ,$3.19 ,$8.92 ,$8.92 ,$3.19 ,$8.92 ,$6.59 ,$13.03 , N/A ,$3.19 ,$12.04 ,$11.89 ,$3.19 ,$10.62 ,$11.33 ,$11.33 ,$3.19 ,$11.33 ,$12.32 ,$12.32 ,$12.32 ,$12.74 ,$8.15 ,$3.19 ,$14.16 ,$7.94 ,$3.19 ,$5.86 , N/A , N/A ,$3.35 ,$12.04 ,$8.92 ,$3.96 ,$12.74 ,$12.32 ,$11.33 ,$11.33 ,$3.19 ,$9.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 125MM 2MM,272,1 ,$313.20 ,$225.50 ,$70.60 ,$313.20 ,$180.10 ,$225.50 ,$170.38 ,$70.60 ,$87.70 ,$208.28 ,$70.60 ,$219.24 ,$70.60 ,$197.32 ,$197.32 ,$70.60 ,$197.32 ,$145.52 ,$288.14 , N/A ,$70.60 ,$266.22 ,$263.09 ,$70.60 ,$234.90 ,$250.56 ,$250.56 ,$70.60 ,$250.56 ,$272.48 ,$272.48 ,$272.48 ,$281.88 ,$180.10 ,$70.60 ,$313.20 ,$175.71 ,$70.60 ,$129.66 , N/A , N/A ,$74.13 ,$266.22 ,$197.32 ,$87.70 ,$281.88 ,$272.48 ,$250.56 ,$250.56 ,$70.60 ,$203.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 125MM 2.7MM SPS TWIST CALIBRATED AO FITTING NONSTERILE,272,1 ,$313.20 ,$225.50 ,$70.60 ,$313.20 ,$180.10 ,$225.50 ,$170.38 ,$70.60 ,$87.70 ,$208.28 ,$70.60 ,$219.24 ,$70.60 ,$197.32 ,$197.32 ,$70.60 ,$197.32 ,$145.52 ,$288.14 , N/A ,$70.60 ,$266.22 ,$263.09 ,$70.60 ,$234.90 ,$250.56 ,$250.56 ,$70.60 ,$250.56 ,$272.48 ,$272.48 ,$272.48 ,$281.88 ,$180.10 ,$70.60 ,$313.20 ,$175.71 ,$70.60 ,$129.66 , N/A , N/A ,$74.13 ,$266.22 ,$197.32 ,$87.70 ,$281.88 ,$272.48 ,$250.56 ,$250.56 ,$70.60 ,$203.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 150MM 1.4MM ASNIS III 4MM SCREW NONSTERILE DISPOSABLE,272,1 ,$439.20 ,$316.22 ,$99.00 ,$439.20 ,$252.55 ,$316.22 ,$238.92 ,$99.00 ,$122.98 ,$292.07 ,$99.00 ,$307.44 ,$99.00 ,$276.70 ,$276.70 ,$99.00 ,$276.70 ,$204.06 ,$404.06 , N/A ,$99.00 ,$373.32 ,$368.93 ,$99.00 ,$329.40 ,$351.36 ,$351.36 ,$99.00 ,$351.36 ,$382.10 ,$382.10 ,$382.10 ,$395.28 ,$252.55 ,$99.00 ,$439.20 ,$246.39 ,$99.00 ,$181.83 , N/A , N/A ,$103.95 ,$373.32 ,$276.70 ,$122.98 ,$395.28 ,$382.10 ,$351.36 ,$351.36 ,$99.00 ,$285.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 300MM 3.2MM ASNIS III NONSTERILE,272,1 ,$334.80 ,$241.06 ,$75.46 ,$334.80 ,$192.50 ,$241.06 ,$182.13 ,$75.46 ,$93.74 ,$222.64 ,$75.46 ,$234.36 ,$75.46 ,$210.92 ,$210.92 ,$75.46 ,$210.92 ,$155.54 ,$308.02 , N/A ,$75.46 ,$284.58 ,$281.23 ,$75.46 ,$251.10 ,$267.84 ,$267.84 ,$75.46 ,$267.84 ,$291.28 ,$291.28 ,$291.28 ,$301.32 ,$192.50 ,$75.46 ,$334.80 ,$187.82 ,$75.46 ,$138.61 , N/A , N/A ,$79.23 ,$284.58 ,$210.92 ,$93.74 ,$301.32 ,$291.28 ,$267.84 ,$267.84 ,$75.46 ,$217.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE CLIPPER SURGICAL,272,1 ,$5.72 ,$4.12 ,$1.29 ,$5.72 ,$3.30 ,$4.12 ,$3.11 ,$1.29 ,$1.60 ,$3.80 ,$1.29 ,$4.00 ,$1.29 ,$3.60 ,$3.60 ,$1.29 ,$3.60 ,$2.67 ,$5.26 , N/A ,$1.29 ,$4.86 ,$4.80 ,$1.29 ,$4.29 ,$4.58 ,$4.58 ,$1.29 ,$4.58 ,$4.98 ,$4.98 ,$4.98 ,$5.15 ,$3.30 ,$1.29 ,$5.72 ,$3.21 ,$1.29 ,$2.37 , N/A , N/A ,$1.36 ,$4.86 ,$3.60 ,$1.60 ,$5.15 ,$4.98 ,$4.58 ,$4.58 ,$1.29 ,$3.72 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE ENDOSCOPIC GREAT WHITE STERLING 13CM 4.2MM ARTHROSCOPIC,272,1 ,$111.00 ,$79.92 ,$25.02 ,$111.00 ,$63.83 ,$79.92 ,$60.38 ,$25.02 ,$31.08 ,$73.82 ,$25.02 ,$77.70 ,$25.02 ,$69.93 ,$69.93 ,$25.02 ,$69.93 ,$51.57 ,$102.12 , N/A ,$25.02 ,$94.35 ,$93.24 ,$25.02 ,$83.25 ,$88.80 ,$88.80 ,$25.02 ,$88.80 ,$96.57 ,$96.57 ,$96.57 ,$99.90 ,$63.83 ,$25.02 ,$111.00 ,$62.27 ,$25.02 ,$45.95 , N/A , N/A ,$26.27 ,$94.35 ,$69.93 ,$31.08 ,$99.90 ,$96.57 ,$88.80 ,$88.80 ,$25.02 ,$72.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE ARTHROSCOPIC STERLING GATOR 3.5MM,272,1 ,$111.00 ,$79.92 ,$25.02 ,$111.00 ,$63.83 ,$79.92 ,$60.38 ,$25.02 ,$31.08 ,$73.82 ,$25.02 ,$77.70 ,$25.02 ,$69.93 ,$69.93 ,$25.02 ,$69.93 ,$51.57 ,$102.12 , N/A ,$25.02 ,$94.35 ,$93.24 ,$25.02 ,$83.25 ,$88.80 ,$88.80 ,$25.02 ,$88.80 ,$96.57 ,$96.57 ,$96.57 ,$99.90 ,$63.83 ,$25.02 ,$111.00 ,$62.27 ,$25.02 ,$45.95 , N/A , N/A ,$26.27 ,$94.35 ,$69.93 ,$31.08 ,$99.90 ,$96.57 ,$88.80 ,$88.80 ,$25.02 ,$72.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 12IN GIGLI STAINLESS STEEL NONSTERILE LATEX FREE,272,1 ,$57.33 ,$41.28 ,$12.93 ,$57.33 ,$32.98 ,$41.28 ,$31.19 ,$12.93 ,$16.05 ,$38.12 ,$12.93 ,$40.13 ,$12.93 ,$36.12 ,$36.12 ,$12.93 ,$36.12 ,$26.64 ,$52.74 , N/A ,$12.93 ,$48.73 ,$48.16 ,$12.93 ,$43.00 ,$45.86 ,$45.86 ,$12.93 ,$45.86 ,$49.88 ,$49.88 ,$49.88 ,$51.60 ,$32.98 ,$12.93 ,$57.33 ,$32.16 ,$12.93 ,$23.73 , N/A , N/A ,$13.57 ,$48.73 ,$36.12 ,$16.05 ,$51.60 ,$49.88 ,$45.86 ,$45.86 ,$12.93 ,$37.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 18MM LONG THICK STAINLESS STEEL SAGITTAL STERILE,272,1 ,$56.85 ,$40.93 ,$12.82 ,$56.85 ,$32.70 ,$40.93 ,$30.93 ,$12.82 ,$15.92 ,$37.81 ,$12.82 ,$39.80 ,$12.82 ,$35.82 ,$35.82 ,$12.82 ,$35.82 ,$26.42 ,$52.30 , N/A ,$12.82 ,$48.32 ,$47.75 ,$12.82 ,$42.64 ,$45.48 ,$45.48 ,$12.82 ,$45.48 ,$49.46 ,$49.46 ,$49.46 ,$51.17 ,$32.70 ,$12.82 ,$56.85 ,$31.89 ,$12.82 ,$23.54 , N/A , N/A ,$13.46 ,$48.32 ,$35.82 ,$15.92 ,$51.17 ,$49.46 ,$45.48 ,$45.48 ,$12.82 ,$36.95 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 70X12.5MM THK1MM STAINLESS STEEL RECIPROCATE OFFSET 2 SIDE STERILE LATEX FREE DISPOSABLE,272,1 ,$64.26 ,$46.27 ,$14.48 ,$64.26 ,$36.95 ,$46.27 ,$34.96 ,$14.48 ,$17.99 ,$42.73 ,$14.48 ,$44.98 ,$14.48 ,$40.48 ,$40.48 ,$14.48 ,$40.48 ,$29.86 ,$59.12 , N/A ,$14.48 ,$54.62 ,$53.98 ,$14.48 ,$48.20 ,$51.41 ,$51.41 ,$14.48 ,$51.41 ,$55.91 ,$55.91 ,$55.91 ,$57.83 ,$36.95 ,$14.48 ,$64.26 ,$36.05 ,$14.48 ,$26.60 , N/A , N/A ,$15.21 ,$54.62 ,$40.48 ,$17.99 ,$57.83 ,$55.91 ,$51.41 ,$51.41 ,$14.48 ,$41.77 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 90X11MM THK1.13MM STAINLESS STEEL SAGITTAL 2 CUT REPROCESSED STERILE LATEX FREE DISPOSABLE,272,1 ,$115.23 ,$82.97 ,$25.97 ,$115.23 ,$66.25 ,$82.97 ,$62.69 ,$25.97 ,$32.26 ,$76.63 ,$25.97 ,$80.66 ,$25.97 ,$72.59 ,$72.59 ,$25.97 ,$72.59 ,$53.53 ,$106.01 , N/A ,$25.97 ,$97.95 ,$96.79 ,$25.97 ,$86.42 ,$92.18 ,$92.18 ,$25.97 ,$92.18 ,$100.25 ,$100.25 ,$100.25 ,$103.71 ,$66.25 ,$25.97 ,$115.23 ,$64.64 ,$25.97 ,$47.71 , N/A , N/A ,$27.27 ,$97.95 ,$72.59 ,$32.26 ,$103.71 ,$100.25 ,$92.18 ,$92.18 ,$25.97 ,$74.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 90X18MM THK1.27MM SAGITTAL STERILE,272,1 ,$151.89 ,$109.36 ,$34.23 ,$151.89 ,$87.33 ,$109.36 ,$82.63 ,$34.23 ,$42.53 ,$101.01 ,$34.23 ,$106.32 ,$34.23 ,$95.69 ,$95.69 ,$34.23 ,$95.69 ,$70.56 ,$139.74 , N/A ,$34.23 ,$129.11 ,$127.59 ,$34.23 ,$113.92 ,$121.51 ,$121.51 ,$34.23 ,$121.51 ,$132.14 ,$132.14 ,$132.14 ,$136.70 ,$87.33 ,$34.23 ,$151.89 ,$85.21 ,$34.23 ,$62.88 , N/A , N/A ,$35.95 ,$129.11 ,$95.69 ,$42.53 ,$136.70 ,$132.14 ,$121.51 ,$121.51 ,$34.23 ,$98.73 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 90X13MM STRYKER PERFORMANCE SERIES THK1.27MM SAGITTAL HEAVY DUTY SYSTEM 6 STERILE LATEX FREE DISPOSABLE,272,1 ,$151.89 ,$109.36 ,$34.23 ,$151.89 ,$87.33 ,$109.36 ,$82.63 ,$34.23 ,$42.53 ,$101.01 ,$34.23 ,$106.32 ,$34.23 ,$95.69 ,$95.69 ,$34.23 ,$95.69 ,$70.56 ,$139.74 , N/A ,$34.23 ,$129.11 ,$127.59 ,$34.23 ,$113.92 ,$121.51 ,$121.51 ,$34.23 ,$121.51 ,$132.14 ,$132.14 ,$132.14 ,$136.70 ,$87.33 ,$34.23 ,$151.89 ,$85.21 ,$34.23 ,$62.88 , N/A , N/A ,$35.95 ,$129.11 ,$95.69 ,$42.53 ,$136.70 ,$132.14 ,$121.51 ,$121.51 ,$34.23 ,$98.73 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SHAVER 130MM 4.2MM MERLIN GREAT WHITE 15D PREBENT LARGE HUB ARTHROSCOPIC STERILE,272,1 ,$177.00 ,$127.44 ,$39.90 ,$177.00 ,$101.78 ,$127.44 ,$96.29 ,$39.90 ,$49.56 ,$117.71 ,$39.90 ,$123.90 ,$39.90 ,$111.51 ,$111.51 ,$39.90 ,$111.51 ,$82.23 ,$162.84 , N/A ,$39.90 ,$150.45 ,$148.68 ,$39.90 ,$132.75 ,$141.60 ,$141.60 ,$39.90 ,$141.60 ,$153.99 ,$153.99 ,$153.99 ,$159.30 ,$101.78 ,$39.90 ,$177.00 ,$99.30 ,$39.90 ,$73.28 , N/A , N/A ,$41.89 ,$150.45 ,$111.51 ,$49.56 ,$159.30 ,$153.99 ,$141.60 ,$141.60 ,$39.90 ,$115.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SHAVER 5.5MM CYCLONE ROUND AGGRESSIVE ARTHROSCOPIC STERILE DISPOSABLE,272,1 ,$135.00 ,$97.20 ,$30.43 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 , N/A ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ROUTER SURGICAL 13CM 4.5MM STERLING VORTEX 12000 RPM HOOD 5 FLUTE REPROCESSED STERILE,272,1 ,$135.00 ,$97.20 ,$30.43 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 , N/A ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ROUTER SURGICAL 13CM 6MM STERLING VORTEX 12000 RPM HOOD 5 FLUTE REPROCESSED STERILE,272,1 ,$135.00 ,$97.20 ,$30.43 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 , N/A ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE ARTHROSCOPIC LARGE HUB 2 SERRATE STERLING CUDA 2500-6000 RPM STRAIGHT 13CM STERILE 4.2MM,272,1 ,$135.00 ,$97.20 ,$30.43 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 , N/A ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE ARTHROSCOPIC LARGE HUB STERLING GATOR 2500-6000 RPM 13CM STERILE 4.2MM,272,1 ,$135.00 ,$97.20 ,$30.43 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 , N/A ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE STRYKER LONG NARROW 29.5 X 7,272,1 ,$63.93 ,$46.03 ,$14.41 ,$63.93 ,$36.75 ,$46.03 ,$34.78 ,$14.41 ,$17.90 ,$42.51 ,$14.41 ,$44.75 ,$14.41 ,$40.28 ,$40.28 ,$14.41 ,$40.28 ,$29.69 ,$58.82 , N/A ,$14.41 ,$54.34 ,$53.70 ,$14.41 ,$47.95 ,$51.14 ,$51.14 ,$14.41 ,$51.14 ,$55.62 ,$55.62 ,$55.62 ,$57.54 ,$36.75 ,$14.41 ,$63.93 ,$35.86 ,$14.41 ,$26.47 , N/A , N/A ,$15.13 ,$54.34 ,$40.28 ,$17.90 ,$57.54 ,$55.62 ,$51.14 ,$51.14 ,$14.41 ,$41.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 25X9MM THK.015MM MEDIUM LONG STAINLESS STEEL SAGITTAL OSCILLATE STERILE LATEX FREE,272,1 ,$63.93 ,$46.03 ,$14.41 ,$63.93 ,$36.75 ,$46.03 ,$34.78 ,$14.41 ,$17.90 ,$42.51 ,$14.41 ,$44.75 ,$14.41 ,$40.28 ,$40.28 ,$14.41 ,$40.28 ,$29.69 ,$58.82 , N/A ,$14.41 ,$54.34 ,$53.70 ,$14.41 ,$47.95 ,$51.14 ,$51.14 ,$14.41 ,$51.14 ,$55.62 ,$55.62 ,$55.62 ,$57.54 ,$36.75 ,$14.41 ,$63.93 ,$35.86 ,$14.41 ,$26.47 , N/A , N/A ,$15.13 ,$54.34 ,$40.28 ,$17.90 ,$57.54 ,$55.62 ,$51.14 ,$51.14 ,$14.41 ,$41.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 5.5MM CORE THK.51MM 25MM LONG NARROW SAGITTAL OSCILLATE CUT EDGE 6MM STERILE,272,1 ,$63.93 ,$46.03 ,$14.41 ,$63.93 ,$36.75 ,$46.03 ,$34.78 ,$14.41 ,$17.90 ,$42.51 ,$14.41 ,$44.75 ,$14.41 ,$40.28 ,$40.28 ,$14.41 ,$40.28 ,$29.69 ,$58.82 , N/A ,$14.41 ,$54.34 ,$53.70 ,$14.41 ,$47.95 ,$51.14 ,$51.14 ,$14.41 ,$51.14 ,$55.62 ,$55.62 ,$55.62 ,$57.54 ,$36.75 ,$14.41 ,$63.93 ,$35.86 ,$14.41 ,$26.47 , N/A , N/A ,$15.13 ,$54.34 ,$40.28 ,$17.90 ,$57.54 ,$55.62 ,$51.14 ,$51.14 ,$14.41 ,$41.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 9MM PRECISION THK.51MM 31MM MEDIUM LONG STAINLESS STEEL OSCILLATE SAGITTAL STERILE LATEX FREE DISPOSABLE,272,1 ,$63.93 ,$46.03 ,$14.41 ,$63.93 ,$36.75 ,$46.03 ,$34.78 ,$14.41 ,$17.90 ,$42.51 ,$14.41 ,$44.75 ,$14.41 ,$40.28 ,$40.28 ,$14.41 ,$40.28 ,$29.69 ,$58.82 , N/A ,$14.41 ,$54.34 ,$53.70 ,$14.41 ,$47.95 ,$51.14 ,$51.14 ,$14.41 ,$51.14 ,$55.62 ,$55.62 ,$55.62 ,$57.54 ,$36.75 ,$14.41 ,$63.93 ,$35.86 ,$14.41 ,$26.47 , N/A , N/A ,$15.13 ,$54.34 ,$40.28 ,$17.90 ,$57.54 ,$55.62 ,$51.14 ,$51.14 ,$14.41 ,$41.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE STRYKER MICRO OSC 18.5 X 9,272,1 ,$15.69 ,$11.30 ,$3.54 ,$15.69 ,$9.03 ,$11.30 ,$8.54 ,$3.54 ,$4.39 ,$10.43 ,$3.54 ,$10.98 ,$3.54 ,$9.88 ,$9.88 ,$3.54 ,$9.88 ,$7.29 ,$14.43 , N/A ,$3.54 ,$13.34 ,$13.18 ,$3.54 ,$11.77 ,$12.55 ,$12.55 ,$3.54 ,$12.55 ,$13.65 ,$13.65 ,$13.65 ,$14.12 ,$9.03 ,$3.54 ,$15.69 ,$8.80 ,$3.54 ,$6.50 , N/A , N/A ,$3.71 ,$13.34 ,$9.88 ,$4.39 ,$14.12 ,$13.65 ,$12.55 ,$12.55 ,$3.54 ,$10.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 25.5X9.5X4MM MICRO 100 MICROPOWER THK.6MM STAINLESS STEEL SAGITTAL FINE TOOTH STERILE LATEX FREE,272,1 ,$15.69 ,$11.30 ,$3.54 ,$15.69 ,$9.03 ,$11.30 ,$8.54 ,$3.54 ,$4.39 ,$10.43 ,$3.54 ,$10.98 ,$3.54 ,$9.88 ,$9.88 ,$3.54 ,$9.88 ,$7.29 ,$14.43 , N/A ,$3.54 ,$13.34 ,$13.18 ,$3.54 ,$11.77 ,$12.55 ,$12.55 ,$3.54 ,$12.55 ,$13.65 ,$13.65 ,$13.65 ,$14.12 ,$9.03 ,$3.54 ,$15.69 ,$8.80 ,$3.54 ,$6.50 , N/A , N/A ,$3.71 ,$13.34 ,$9.88 ,$4.39 ,$14.12 ,$13.65 ,$12.55 ,$12.55 ,$3.54 ,$10.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SAW 5.5MM MICRO 100 MICROPOWER THK.4MM STAINLESS STEEL COARSE TOOTH SAGITTAL STERILE,272,1 ,$15.69 ,$11.30 ,$3.54 ,$15.69 ,$9.03 ,$11.30 ,$8.54 ,$3.54 ,$4.39 ,$10.43 ,$3.54 ,$10.98 ,$3.54 ,$9.88 ,$9.88 ,$3.54 ,$9.88 ,$7.29 ,$14.43 , N/A ,$3.54 ,$13.34 ,$13.18 ,$3.54 ,$11.77 ,$12.55 ,$12.55 ,$3.54 ,$12.55 ,$13.65 ,$13.65 ,$13.65 ,$14.12 ,$9.03 ,$3.54 ,$15.69 ,$8.80 ,$3.54 ,$6.50 , N/A , N/A ,$3.71 ,$13.34 ,$9.88 ,$4.39 ,$14.12 ,$13.65 ,$12.55 ,$12.55 ,$3.54 ,$10.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE STRYKER PRECISION OSCILLATING (6525-127-105),272,1 ,$750.33 ,$540.24 ,$169.13 ,$750.33 ,$431.45 ,$540.24 ,$408.18 ,$169.13 ,$210.09 ,$498.97 ,$169.13 ,$525.23 ,$169.13 ,$472.71 ,$472.71 ,$169.13 ,$472.71 ,$348.61 ,$690.30 , N/A ,$169.13 ,$637.78 ,$630.28 ,$169.13 ,$562.75 ,$600.26 ,$600.26 ,$169.13 ,$600.26 ,$652.79 ,$652.79 ,$652.79 ,$675.30 ,$431.45 ,$169.13 ,$750.33 ,$420.94 ,$169.13 ,$310.64 , N/A , N/A ,$177.59 ,$637.78 ,$472.71 ,$210.09 ,$675.30 ,$652.79 ,$600.26 ,$600.26 ,$169.13 ,$487.71 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SURGICAL 15,272,1 ,$1.07 ,$0.77 ,$0.24 ,$1.07 ,$0.63 ,$0.77 ,$0.58 ,$0.24 ,$0.30 ,$0.71 ,$0.24 ,$0.75 ,$0.24 ,$0.67 ,$0.67 ,$0.24 ,$0.67 ,$0.51 ,$0.98 , N/A ,$0.24 ,$0.91 ,$0.90 ,$0.24 ,$0.80 ,$0.86 ,$0.86 ,$0.24 ,$0.86 ,$0.93 ,$0.93 ,$0.93 ,$0.96 ,$0.63 ,$0.24 ,$1.07 ,$0.60 ,$0.24 ,$0.44 , N/A , N/A ,$0.25 ,$0.91 ,$0.67 ,$0.30 ,$0.96 ,$0.93 ,$0.86 ,$0.86 ,$0.24 ,$0.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SURGICAL 20,272,1 ,$0.84 ,$0.60 ,$0.19 ,$0.84 ,$0.48 ,$0.60 ,$0.46 ,$0.19 ,$0.24 ,$0.56 ,$0.19 ,$0.59 ,$0.19 ,$0.53 ,$0.53 ,$0.19 ,$0.53 ,$0.38 ,$0.77 , N/A ,$0.19 ,$0.71 ,$0.71 ,$0.19 ,$0.63 ,$0.67 ,$0.67 ,$0.19 ,$0.67 ,$0.73 ,$0.73 ,$0.73 ,$0.76 ,$0.48 ,$0.19 ,$0.84 ,$0.47 ,$0.19 ,$0.35 , N/A , N/A ,$0.20 ,$0.71 ,$0.53 ,$0.24 ,$0.76 ,$0.73 ,$0.67 ,$0.67 ,$0.19 ,$0.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SURGICAL CLIPPER PIVOT HEAD 9661 STERILE LATEX FREE DISPOSABLE GRAY,272,1 ,$21.48 ,$15.47 ,$4.84 ,$21.48 ,$12.35 ,$15.47 ,$11.69 ,$4.84 ,$6.01 ,$14.28 ,$4.84 ,$15.04 ,$4.84 ,$13.53 ,$13.53 ,$4.84 ,$13.53 ,$9.98 ,$19.76 , N/A ,$4.84 ,$18.26 ,$18.04 ,$4.84 ,$16.11 ,$17.18 ,$17.18 ,$4.84 ,$17.18 ,$18.69 ,$18.69 ,$18.69 ,$19.33 ,$12.35 ,$4.84 ,$21.48 ,$12.05 ,$4.84 ,$8.89 , N/A , N/A ,$5.09 ,$18.26 ,$13.53 ,$6.01 ,$19.33 ,$18.69 ,$17.18 ,$17.18 ,$4.84 ,$13.96 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SURGICAL10 WITH SHEATH,272,1 ,$4.78 ,$3.44 ,$1.08 ,$4.78 ,$2.75 ,$3.44 ,$2.60 ,$1.08 ,$1.34 ,$3.18 ,$1.08 ,$3.35 ,$1.08 ,$3.01 ,$3.01 ,$1.08 ,$3.01 ,$2.22 ,$4.40 , N/A ,$1.08 ,$4.06 ,$4.02 ,$1.08 ,$3.59 ,$3.82 ,$3.82 ,$1.08 ,$3.82 ,$4.16 ,$4.16 ,$4.16 ,$4.30 ,$2.75 ,$1.08 ,$4.78 ,$2.68 ,$1.08 ,$1.98 , N/A , N/A ,$1.14 ,$4.06 ,$3.01 ,$1.34 ,$4.30 ,$4.16 ,$3.82 ,$3.82 ,$1.08 ,$3.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE SURGICAL 11,272,1 ,$4.78 ,$3.44 ,$1.08 ,$4.78 ,$2.75 ,$3.44 ,$2.60 ,$1.08 ,$1.34 ,$3.18 ,$1.08 ,$3.35 ,$1.08 ,$3.01 ,$3.01 ,$1.08 ,$3.01 ,$2.22 ,$4.40 , N/A ,$1.08 ,$4.06 ,$4.02 ,$1.08 ,$3.59 ,$3.82 ,$3.82 ,$1.08 ,$3.82 ,$4.16 ,$4.16 ,$4.16 ,$4.30 ,$2.75 ,$1.08 ,$4.78 ,$2.68 ,$1.08 ,$1.98 , N/A , N/A ,$1.14 ,$4.06 ,$3.01 ,$1.34 ,$4.30 ,$4.16 ,$3.82 ,$3.82 ,$1.08 ,$3.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BODY HUMERAL 12MM GLOBAL UNITE 135D SHOULDER POROCOAT PLATFORM ARTHROPLASTY SYSTEM STERILE,272,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BRUSH CYTOLOGY 3.2FR 115CM BIOPSY SET STRAIGHT TIP URETERAL,272,1 ,$347.22 ,$250.00 ,$78.26 ,$347.22 ,$199.65 ,$250.00 ,$188.89 ,$78.26 ,$97.22 ,$230.90 ,$78.26 ,$243.05 ,$78.26 ,$218.75 ,$218.75 ,$78.26 ,$218.75 ,$161.32 ,$319.44 , N/A ,$78.26 ,$295.14 ,$291.66 ,$78.26 ,$260.42 ,$277.78 ,$277.78 ,$78.26 ,$277.78 ,$302.08 ,$302.08 ,$302.08 ,$312.50 ,$199.65 ,$78.26 ,$347.22 ,$194.79 ,$78.26 ,$143.75 , N/A , N/A ,$82.17 ,$295.14 ,$218.75 ,$97.22 ,$312.50 ,$302.08 ,$277.78 ,$277.78 ,$78.26 ,$225.69 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BURR SURGICAL 8MM 4MM HALL MEDIUM OVAL SMALL BONE CARBIDE STERILE DISPOSABLE,272,1 ,$28.50 ,$20.52 ,$6.43 ,$28.50 ,$16.40 ,$20.52 ,$15.50 ,$6.43 ,$7.98 ,$18.95 ,$6.43 ,$19.95 ,$6.43 ,$17.96 ,$17.96 ,$6.43 ,$17.96 ,$13.25 ,$26.22 , N/A ,$6.43 ,$24.23 ,$23.94 ,$6.43 ,$21.38 ,$22.80 ,$22.80 ,$6.43 ,$22.80 ,$24.80 ,$24.80 ,$24.80 ,$25.65 ,$16.40 ,$6.43 ,$28.50 ,$15.99 ,$6.43 ,$11.80 , N/A , N/A ,$6.75 ,$24.23 ,$17.96 ,$7.98 ,$25.65 ,$24.80 ,$22.80 ,$22.80 ,$6.43 ,$18.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING IRRIGATION 305CM ENDOGATOR EGP-100 DISPOSABLE,272,1 ,$28.50 ,$20.52 ,$6.43 ,$28.50 ,$16.40 ,$20.52 ,$15.50 ,$6.43 ,$7.98 ,$18.95 ,$6.43 ,$19.95 ,$6.43 ,$17.96 ,$17.96 ,$6.43 ,$17.96 ,$13.25 ,$26.22 , N/A ,$6.43 ,$24.23 ,$23.94 ,$6.43 ,$21.38 ,$22.80 ,$22.80 ,$6.43 ,$22.80 ,$24.80 ,$24.80 ,$24.80 ,$25.65 ,$16.40 ,$6.43 ,$28.50 ,$15.99 ,$6.43 ,$11.80 , N/A , N/A ,$6.75 ,$24.23 ,$17.96 ,$7.98 ,$25.65 ,$24.80 ,$22.80 ,$22.80 ,$6.43 ,$18.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BURR SURGICAL 5MM MICROPOWER MICRO100 MEDIUM CARBIDE ROUND STERILE,272,1 ,$28.50 ,$20.52 ,$6.43 ,$28.50 ,$16.40 ,$20.52 ,$15.50 ,$6.43 ,$7.98 ,$18.95 ,$6.43 ,$19.95 ,$6.43 ,$17.96 ,$17.96 ,$6.43 ,$17.96 ,$13.25 ,$26.22 , N/A ,$6.43 ,$24.23 ,$23.94 ,$6.43 ,$21.38 ,$22.80 ,$22.80 ,$6.43 ,$22.80 ,$24.80 ,$24.80 ,$24.80 ,$25.65 ,$16.40 ,$6.43 ,$28.50 ,$15.99 ,$6.43 ,$11.80 , N/A , N/A ,$6.75 ,$24.23 ,$17.96 ,$7.98 ,$25.65 ,$24.80 ,$22.80 ,$22.80 ,$6.43 ,$18.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BURR SURGICAL 6.5MM MICROPOWER MICRO100 HALL 10MM MEDIUM SMALL BONE CARBIDE ROUND FLUTED STERILE,272,1 ,$28.50 ,$20.52 ,$6.43 ,$28.50 ,$16.40 ,$20.52 ,$15.50 ,$6.43 ,$7.98 ,$18.95 ,$6.43 ,$19.95 ,$6.43 ,$17.96 ,$17.96 ,$6.43 ,$17.96 ,$13.25 ,$26.22 , N/A ,$6.43 ,$24.23 ,$23.94 ,$6.43 ,$21.38 ,$22.80 ,$22.80 ,$6.43 ,$22.80 ,$24.80 ,$24.80 ,$24.80 ,$25.65 ,$16.40 ,$6.43 ,$28.50 ,$15.99 ,$6.43 ,$11.80 , N/A , N/A ,$6.75 ,$24.23 ,$17.96 ,$7.98 ,$25.65 ,$24.80 ,$22.80 ,$22.80 ,$6.43 ,$18.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANISTER WOUND DRAINAGE INFOVAC GEL TUBE CLAMP CONNECTOR 500ML VAC ULTA,272,1 ,$88.97 ,$64.06 ,$20.05 ,$88.97 ,$51.15 ,$64.06 ,$48.40 ,$20.05 ,$24.91 ,$59.17 ,$20.05 ,$62.28 ,$20.05 ,$56.05 ,$56.05 ,$20.05 ,$56.05 ,$41.33 ,$81.85 , N/A ,$20.05 ,$75.62 ,$74.73 ,$20.05 ,$66.73 ,$71.18 ,$71.18 ,$20.05 ,$71.18 ,$77.40 ,$77.40 ,$77.40 ,$80.07 ,$51.15 ,$20.05 ,$88.97 ,$49.91 ,$20.05 ,$36.83 , N/A , N/A ,$21.05 ,$75.62 ,$56.05 ,$24.91 ,$80.07 ,$77.40 ,$71.18 ,$71.18 ,$20.05 ,$57.83 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA ARTHREX QUICKPASS 5.75,272,1 ,$480.00 ,$345.60 ,$108.19 ,$480.00 ,$276.00 ,$345.60 ,$261.12 ,$108.19 ,$134.40 ,$319.20 ,$108.19 ,$336.00 ,$108.19 ,$302.40 ,$302.40 ,$108.19 ,$302.40 ,$223.01 ,$441.60 , N/A ,$108.19 ,$408.00 ,$403.20 ,$108.19 ,$360.00 ,$384.00 ,$384.00 ,$108.19 ,$384.00 ,$417.60 ,$417.60 ,$417.60 ,$432.00 ,$276.00 ,$108.19 ,$480.00 ,$269.28 ,$108.19 ,$198.72 , N/A , N/A ,$113.60 ,$408.00 ,$302.40 ,$134.40 ,$432.00 ,$417.60 ,$384.00 ,$384.00 ,$108.19 ,$312.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ARTHREX LASSO QUICKPASS LEFT CURVED 45D,272,1 ,$480.00 ,$345.60 ,$108.19 ,$480.00 ,$276.00 ,$345.60 ,$261.12 ,$108.19 ,$134.40 ,$319.20 ,$108.19 ,$336.00 ,$108.19 ,$302.40 ,$302.40 ,$108.19 ,$302.40 ,$223.01 ,$441.60 , N/A ,$108.19 ,$408.00 ,$403.20 ,$108.19 ,$360.00 ,$384.00 ,$384.00 ,$108.19 ,$384.00 ,$417.60 ,$417.60 ,$417.60 ,$432.00 ,$276.00 ,$108.19 ,$480.00 ,$269.28 ,$108.19 ,$198.72 , N/A , N/A ,$113.60 ,$408.00 ,$302.40 ,$134.40 ,$432.00 ,$417.60 ,$384.00 ,$384.00 ,$108.19 ,$312.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA CLEAR MITEK 7 X 75MM,272,1 ,$117.00 ,$84.24 ,$26.37 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 , N/A ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 , N/A , N/A ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ARTHREX FIBERWIRE COLLAGEN COATED,272,1 ,$117.00 ,$84.24 ,$26.37 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 , N/A ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 , N/A , N/A ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA PASSPORT BUTTON 12MM X 3CM,272,1 ,$180.00 ,$129.60 ,$40.57 ,$180.00 ,$103.50 ,$129.60 ,$97.92 ,$40.57 ,$50.40 ,$119.70 ,$40.57 ,$126.00 ,$40.57 ,$113.40 ,$113.40 ,$40.57 ,$113.40 ,$83.63 ,$165.60 , N/A ,$40.57 ,$153.00 ,$151.20 ,$40.57 ,$135.00 ,$144.00 ,$144.00 ,$40.57 ,$144.00 ,$156.60 ,$156.60 ,$156.60 ,$162.00 ,$103.50 ,$40.57 ,$180.00 ,$100.98 ,$40.57 ,$74.52 , N/A , N/A ,$42.60 ,$153.00 ,$113.40 ,$50.40 ,$162.00 ,$156.60 ,$144.00 ,$144.00 ,$40.57 ,$117.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA PASSPORT BUTTON 8 X 3,272,1 ,$96.00 ,$69.12 ,$21.64 ,$96.00 ,$55.20 ,$69.12 ,$52.22 ,$21.64 ,$26.88 ,$63.84 ,$21.64 ,$67.20 ,$21.64 ,$60.48 ,$60.48 ,$21.64 ,$60.48 ,$44.60 ,$88.32 , N/A ,$21.64 ,$81.60 ,$80.64 ,$21.64 ,$72.00 ,$76.80 ,$76.80 ,$21.64 ,$76.80 ,$83.52 ,$83.52 ,$83.52 ,$86.40 ,$55.20 ,$21.64 ,$96.00 ,$53.86 ,$21.64 ,$39.74 , N/A , N/A ,$22.72 ,$81.60 ,$60.48 ,$26.88 ,$86.40 ,$83.52 ,$76.80 ,$76.80 ,$21.64 ,$62.40 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA BUTTON 8MM 2CM PASSPORT BUTTON SILICONE CURVE HIP 1 PIECE MOLD 2 DAM 2 FLANGE LOW PROFILE STERILE LATEX FREE DISPOSABLE,272,1 ,$96.00 ,$69.12 ,$21.64 ,$96.00 ,$55.20 ,$69.12 ,$52.22 ,$21.64 ,$26.88 ,$63.84 ,$21.64 ,$67.20 ,$21.64 ,$60.48 ,$60.48 ,$21.64 ,$60.48 ,$44.60 ,$88.32 , N/A ,$21.64 ,$81.60 ,$80.64 ,$21.64 ,$72.00 ,$76.80 ,$76.80 ,$21.64 ,$76.80 ,$83.52 ,$83.52 ,$83.52 ,$86.40 ,$55.20 ,$21.64 ,$96.00 ,$53.86 ,$21.64 ,$39.74 , N/A , N/A ,$22.72 ,$81.60 ,$60.48 ,$26.88 ,$86.40 ,$83.52 ,$76.80 ,$76.80 ,$21.64 ,$62.40 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA PASSPORT BUTTON 4MM X 8CM (AR-6592-08-40),272,1 ,$96.00 ,$69.12 ,$21.64 ,$96.00 ,$55.20 ,$69.12 ,$52.22 ,$21.64 ,$26.88 ,$63.84 ,$21.64 ,$67.20 ,$21.64 ,$60.48 ,$60.48 ,$21.64 ,$60.48 ,$44.60 ,$88.32 , N/A ,$21.64 ,$81.60 ,$80.64 ,$21.64 ,$72.00 ,$76.80 ,$76.80 ,$21.64 ,$76.80 ,$83.52 ,$83.52 ,$83.52 ,$86.40 ,$55.20 ,$21.64 ,$96.00 ,$53.86 ,$21.64 ,$39.74 , N/A , N/A ,$22.72 ,$81.60 ,$60.48 ,$26.88 ,$86.40 ,$83.52 ,$76.80 ,$76.80 ,$21.64 ,$62.40 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA SLEEVE WITH BALLOON FIXATION,272,1 ,$24.00 ,$17.28 ,$5.41 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 , N/A ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 , N/A , N/A ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR SLEEVE 5X100MM Z THREADED,272,1 ,$24.00 ,$17.28 ,$5.41 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 , N/A ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 , N/A , N/A ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA TWIST IN 8.25MM X 7CM,272,1 ,$75.00 ,$54.00 ,$16.90 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 , N/A ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 , N/A , N/A ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR BALLOON HASSAN 12X100MM BLUNT TIP,272,1 ,$75.00 ,$54.00 ,$16.90 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 , N/A ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 , N/A , N/A ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR Z THREADED 12X100MM BLADELESS,272,1 ,$75.00 ,$54.00 ,$16.90 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 , N/A ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 , N/A , N/A ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CANNULA ARTHROSCOPIC 7MM 7CM TWIST-IN,272,1 ,$75.00 ,$54.00 ,$16.90 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 , N/A ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 , N/A , N/A ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAP ENDOSCOPE SEALING 1.2MM SELF HOLE GYNECOLOGY,272,1 ,$21.35 ,$15.37 ,$4.81 ,$21.35 ,$12.28 ,$15.37 ,$11.61 ,$4.81 ,$5.98 ,$14.20 ,$4.81 ,$14.95 ,$4.81 ,$13.45 ,$13.45 ,$4.81 ,$13.45 ,$9.92 ,$19.64 , N/A ,$4.81 ,$18.15 ,$17.93 ,$4.81 ,$16.01 ,$17.08 ,$17.08 ,$4.81 ,$17.08 ,$18.57 ,$18.57 ,$18.57 ,$19.22 ,$12.28 ,$4.81 ,$21.35 ,$11.98 ,$4.81 ,$8.84 , N/A , N/A ,$5.06 ,$18.15 ,$13.45 ,$5.98 ,$19.22 ,$18.57 ,$17.08 ,$17.08 ,$4.81 ,$13.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CARTRIDGE FILTER CASTVAC REPLACEMENT LATEX FREE,272,1 ,$135.30 ,$97.42 ,$30.50 ,$135.30 ,$77.80 ,$97.42 ,$73.60 ,$30.50 ,$37.88 ,$89.97 ,$30.50 ,$94.71 ,$30.50 ,$85.24 ,$85.24 ,$30.50 ,$85.24 ,$62.86 ,$124.48 , N/A ,$30.50 ,$115.01 ,$113.65 ,$30.50 ,$101.48 ,$108.24 ,$108.24 ,$30.50 ,$108.24 ,$117.71 ,$117.71 ,$117.71 ,$121.77 ,$77.80 ,$30.50 ,$135.30 ,$75.90 ,$30.50 ,$56.01 , N/A , N/A ,$32.03 ,$115.01 ,$85.24 ,$37.88 ,$121.77 ,$117.71 ,$108.24 ,$108.24 ,$30.50 ,$87.95 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATCH ENDO POUCH,272,1 ,$111.64 ,$80.38 ,$25.17 ,$111.64 ,$64.20 ,$80.38 ,$60.73 ,$25.17 ,$31.26 ,$74.24 ,$25.17 ,$78.15 ,$25.17 ,$70.33 ,$70.33 ,$25.17 ,$70.33 ,$51.87 ,$102.71 , N/A ,$25.17 ,$94.89 ,$93.78 ,$25.17 ,$83.73 ,$89.31 ,$89.31 ,$25.17 ,$89.31 ,$97.13 ,$97.13 ,$97.13 ,$100.48 ,$64.20 ,$25.17 ,$111.64 ,$62.63 ,$25.17 ,$46.22 , N/A , N/A ,$26.42 ,$94.89 ,$70.33 ,$31.26 ,$100.48 ,$97.13 ,$89.31 ,$89.31 ,$25.17 ,$72.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER IV 16GA 1.88IN RADIOPAQUE DEHP FREE FEP BD ANGIOCATH PERIPHERAL STANDARD STERILE LATEX FREE DISPOSABLE GRAY,272,1 ,$10.59 ,$7.62 ,$2.39 ,$10.59 ,$6.10 ,$7.62 ,$5.76 ,$2.39 ,$2.97 ,$7.04 ,$2.39 ,$7.41 ,$2.39 ,$6.67 ,$6.67 ,$2.39 ,$6.67 ,$4.93 ,$9.74 , N/A ,$2.39 ,$9.00 ,$8.90 ,$2.39 ,$7.94 ,$8.47 ,$8.47 ,$2.39 ,$8.47 ,$9.21 ,$9.21 ,$9.21 ,$9.53 ,$6.10 ,$2.39 ,$10.59 ,$5.94 ,$2.39 ,$4.38 , N/A , N/A ,$2.51 ,$9.00 ,$6.67 ,$2.97 ,$9.53 ,$9.21 ,$8.47 ,$8.47 ,$2.39 ,$6.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER IV 20GA 1.88IN,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER ANGIO 20G,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER ANGIO AUTOGUARD 22 G 1,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER ANGIO AUTOGUARD 24 GA,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER BD ANGIOCATHETER AUTOGUARD 20GA X 1IN,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER IV 18GA 1.16IN,272,1 ,$4.52 ,$3.25 ,$1.02 ,$4.52 ,$2.60 ,$3.25 ,$2.46 ,$1.02 ,$1.27 ,$3.01 ,$1.02 ,$3.16 ,$1.02 ,$2.85 ,$2.85 ,$1.02 ,$2.85 ,$2.10 ,$4.16 , N/A ,$1.02 ,$3.84 ,$3.80 ,$1.02 ,$3.39 ,$3.62 ,$3.62 ,$1.02 ,$3.62 ,$3.93 ,$3.93 ,$3.93 ,$4.07 ,$2.60 ,$1.02 ,$4.52 ,$2.54 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.84 ,$2.85 ,$1.27 ,$4.07 ,$3.93 ,$3.62 ,$3.62 ,$1.02 ,$2.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER IV 22GA 1IN,272,1 ,$11.16 ,$8.04 ,$2.52 ,$11.16 ,$6.43 ,$8.04 ,$6.07 ,$2.52 ,$3.12 ,$7.42 ,$2.52 ,$7.81 ,$2.52 ,$7.03 ,$7.03 ,$2.52 ,$7.03 ,$5.19 ,$10.27 , N/A ,$2.52 ,$9.49 ,$9.37 ,$2.52 ,$8.37 ,$8.93 ,$8.93 ,$2.52 ,$8.93 ,$9.71 ,$9.71 ,$9.71 ,$10.04 ,$6.43 ,$2.52 ,$11.16 ,$6.26 ,$2.52 ,$4.62 , N/A , N/A ,$2.65 ,$9.49 ,$7.03 ,$3.12 ,$10.04 ,$9.71 ,$8.93 ,$8.93 ,$2.52 ,$7.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAP MUCUS 14FR SPECIMEN LATEX FREE,272,1 ,$11.16 ,$8.04 ,$2.52 ,$11.16 ,$6.43 ,$8.04 ,$6.07 ,$2.52 ,$3.12 ,$7.42 ,$2.52 ,$7.81 ,$2.52 ,$7.03 ,$7.03 ,$2.52 ,$7.03 ,$5.19 ,$10.27 , N/A ,$2.52 ,$9.49 ,$9.37 ,$2.52 ,$8.37 ,$8.93 ,$8.93 ,$2.52 ,$8.93 ,$9.71 ,$9.71 ,$9.71 ,$10.04 ,$6.43 ,$2.52 ,$11.16 ,$6.26 ,$2.52 ,$4.62 , N/A , N/A ,$2.65 ,$9.49 ,$7.03 ,$3.12 ,$10.04 ,$9.71 ,$8.93 ,$8.93 ,$2.52 ,$7.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER IV 18GA 1.25IN,272,1 ,$11.16 ,$8.04 ,$2.52 ,$11.16 ,$6.43 ,$8.04 ,$6.07 ,$2.52 ,$3.12 ,$7.42 ,$2.52 ,$7.81 ,$2.52 ,$7.03 ,$7.03 ,$2.52 ,$7.03 ,$5.19 ,$10.27 , N/A ,$2.52 ,$9.49 ,$9.37 ,$2.52 ,$8.37 ,$8.93 ,$8.93 ,$2.52 ,$8.93 ,$9.71 ,$9.71 ,$9.71 ,$10.04 ,$6.43 ,$2.52 ,$11.16 ,$6.26 ,$2.52 ,$4.62 , N/A , N/A ,$2.65 ,$9.49 ,$7.03 ,$3.12 ,$10.04 ,$9.71 ,$8.93 ,$8.93 ,$2.52 ,$7.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER MALE,272,1 ,$2.64 ,$1.90 ,$0.60 ,$2.64 ,$1.53 ,$1.90 ,$1.44 ,$0.60 ,$0.74 ,$1.76 ,$0.60 ,$1.85 ,$0.60 ,$1.66 ,$1.66 ,$0.60 ,$1.66 ,$1.23 ,$2.43 , N/A ,$0.60 ,$2.24 ,$2.22 ,$0.60 ,$1.98 ,$2.11 ,$2.11 ,$0.60 ,$2.11 ,$2.30 ,$2.30 ,$2.30 ,$2.38 ,$1.53 ,$0.60 ,$2.64 ,$1.48 ,$0.60 ,$1.09 , N/A , N/A ,$0.63 ,$2.24 ,$1.66 ,$0.74 ,$2.38 ,$2.30 ,$2.11 ,$2.11 ,$0.60 ,$1.72 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER PLUG,272,1 ,$2.27 ,$1.63 ,$0.51 ,$2.27 ,$1.30 ,$1.63 ,$1.23 ,$0.51 ,$0.64 ,$1.51 ,$0.51 ,$1.59 ,$0.51 ,$1.43 ,$1.43 ,$0.51 ,$1.43 ,$1.05 ,$2.09 , N/A ,$0.51 ,$1.93 ,$1.91 ,$0.51 ,$1.70 ,$1.82 ,$1.82 ,$0.51 ,$1.82 ,$1.97 ,$1.97 ,$1.97 ,$2.04 ,$1.30 ,$0.51 ,$2.27 ,$1.27 ,$0.51 ,$0.94 , N/A , N/A ,$0.54 ,$1.93 ,$1.43 ,$0.64 ,$2.04 ,$1.97 ,$1.82 ,$1.82 ,$0.51 ,$1.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER SUCTION 10FR 22IN THUMB VALVE PREVENT PLUG LONG TUBE OPEN END TRACHEAL PLASTIC STERILE LATEX FREE DISPOSABLE,272,1 ,$4.61 ,$3.32 ,$1.04 ,$4.61 ,$2.65 ,$3.32 ,$2.51 ,$1.04 ,$1.29 ,$3.07 ,$1.04 ,$3.23 ,$1.04 ,$2.90 ,$2.90 ,$1.04 ,$2.90 ,$2.14 ,$4.24 , N/A ,$1.04 ,$3.92 ,$3.87 ,$1.04 ,$3.46 ,$3.69 ,$3.69 ,$1.04 ,$3.69 ,$4.01 ,$4.01 ,$4.01 ,$4.15 ,$2.65 ,$1.04 ,$4.61 ,$2.59 ,$1.04 ,$1.91 , N/A , N/A ,$1.09 ,$3.92 ,$2.90 ,$1.29 ,$4.15 ,$4.01 ,$3.69 ,$3.69 ,$1.04 ,$3.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER SUCTION 6.5FR DELEE WHISTLE TIP MUCUS TRAP MOLD MOUTHPIECE ORAL ARGYLE SLIDE-TEX 20CC STERILE LATEX FREE,272,1 ,$2.87 ,$2.07 ,$0.65 ,$2.87 ,$1.65 ,$2.07 ,$1.56 ,$0.65 ,$0.80 ,$1.91 ,$0.65 ,$2.01 ,$0.65 ,$1.81 ,$1.81 ,$0.65 ,$1.81 ,$1.33 ,$2.64 , N/A ,$0.65 ,$2.44 ,$2.41 ,$0.65 ,$2.15 ,$2.30 ,$2.30 ,$0.65 ,$2.30 ,$2.50 ,$2.50 ,$2.50 ,$2.58 ,$1.65 ,$0.65 ,$2.87 ,$1.61 ,$0.65 ,$1.19 , N/A , N/A ,$0.68 ,$2.44 ,$1.81 ,$0.80 ,$2.58 ,$2.50 ,$2.30 ,$2.30 ,$0.65 ,$1.87 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER SUCTION 8FR 2 TRIANGULAR EYE CONTROL PORT BEVEL TIP LOOP AIRLIFE TRI-FLO STERILE LATEX FREE DISPOSABLE,272,1 ,$1.93 ,$1.39 ,$0.43 ,$1.93 ,$1.10 ,$1.39 ,$1.05 ,$0.43 ,$0.54 ,$1.28 ,$0.43 ,$1.35 ,$0.43 ,$1.22 ,$1.22 ,$0.43 ,$1.22 ,$0.89 ,$1.78 , N/A ,$0.43 ,$1.64 ,$1.62 ,$0.43 ,$1.45 ,$1.54 ,$1.54 ,$0.43 ,$1.54 ,$1.68 ,$1.68 ,$1.68 ,$1.74 ,$1.10 ,$0.43 ,$1.93 ,$1.08 ,$0.43 ,$0.80 , N/A , N/A ,$0.45 ,$1.64 ,$1.22 ,$0.54 ,$1.74 ,$1.68 ,$1.54 ,$1.54 ,$0.43 ,$1.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER TRAY BASIC WITHOUT CATHETER,272,1 ,$4.24 ,$3.05 ,$0.96 ,$4.24 ,$2.45 ,$3.05 ,$2.31 ,$0.96 ,$1.19 ,$2.82 ,$0.96 ,$2.97 ,$0.96 ,$2.67 ,$2.67 ,$0.96 ,$2.67 ,$1.98 ,$3.90 , N/A ,$0.96 ,$3.60 ,$3.56 ,$0.96 ,$3.18 ,$3.39 ,$3.39 ,$0.96 ,$3.39 ,$3.69 ,$3.69 ,$3.69 ,$3.82 ,$2.45 ,$0.96 ,$4.24 ,$2.38 ,$0.96 ,$1.76 , N/A , N/A ,$1.01 ,$3.60 ,$2.67 ,$1.19 ,$3.82 ,$3.69 ,$3.39 ,$3.39 ,$0.96 ,$2.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY ELECTRODE BALL 5MM,272,1 ,$31.92 ,$22.98 ,$7.19 ,$31.92 ,$18.35 ,$22.98 ,$17.36 ,$7.19 ,$8.94 ,$21.23 ,$7.19 ,$22.34 ,$7.19 ,$20.11 ,$20.11 ,$7.19 ,$20.11 ,$14.83 ,$29.37 , N/A ,$7.19 ,$27.13 ,$26.81 ,$7.19 ,$23.94 ,$25.54 ,$25.54 ,$7.19 ,$25.54 ,$27.77 ,$27.77 ,$27.77 ,$28.73 ,$18.35 ,$7.19 ,$31.92 ,$17.91 ,$7.19 ,$13.21 , N/A , N/A ,$7.56 ,$27.13 ,$20.11 ,$8.94 ,$28.73 ,$27.77 ,$25.54 ,$25.54 ,$7.19 ,$20.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY ELECTRODE NEEDLE TEFLON,272,1 ,$9.02 ,$6.49 ,$2.03 ,$9.02 ,$5.18 ,$6.49 ,$4.91 ,$2.03 ,$2.53 ,$6.00 ,$2.03 ,$6.31 ,$2.03 ,$5.68 ,$5.68 ,$2.03 ,$5.68 ,$4.18 ,$8.30 , N/A ,$2.03 ,$7.67 ,$7.58 ,$2.03 ,$6.77 ,$7.22 ,$7.22 ,$2.03 ,$7.22 ,$7.85 ,$7.85 ,$7.85 ,$8.12 ,$5.18 ,$2.03 ,$9.02 ,$5.06 ,$2.03 ,$3.73 , N/A , N/A ,$2.13 ,$7.67 ,$5.68 ,$2.53 ,$8.12 ,$7.85 ,$7.22 ,$7.22 ,$2.03 ,$5.86 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY LIGASURE HANDPIECE BLUNT TIP 37CM,272,1 ,$814.11 ,$586.16 ,$183.50 ,$814.11 ,$468.13 ,$586.16 ,$442.88 ,$183.50 ,$227.95 ,$541.38 ,$183.50 ,$569.88 ,$183.50 ,$512.89 ,$512.89 ,$183.50 ,$512.89 ,$378.25 ,$748.98 , N/A ,$183.50 ,$691.99 ,$683.85 ,$183.50 ,$610.58 ,$651.29 ,$651.29 ,$183.50 ,$651.29 ,$708.28 ,$708.28 ,$708.28 ,$732.70 ,$468.13 ,$183.50 ,$814.11 ,$456.72 ,$183.50 ,$337.04 , N/A , N/A ,$192.68 ,$691.99 ,$512.89 ,$227.95 ,$732.70 ,$708.28 ,$651.29 ,$651.29 ,$183.50 ,$529.17 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY OPHTHALMIC LOW TEMPERATURE,272,1 ,$14.52 ,$10.45 ,$3.27 ,$14.52 ,$8.35 ,$10.45 ,$7.90 ,$3.27 ,$4.07 ,$9.66 ,$3.27 ,$10.16 ,$3.27 ,$9.15 ,$9.15 ,$3.27 ,$9.15 ,$6.75 ,$13.36 , N/A ,$3.27 ,$12.34 ,$12.20 ,$3.27 ,$10.89 ,$11.62 ,$11.62 ,$3.27 ,$11.62 ,$12.63 ,$12.63 ,$12.63 ,$13.07 ,$8.35 ,$3.27 ,$14.52 ,$8.15 ,$3.27 ,$6.01 , N/A , N/A ,$3.44 ,$12.34 ,$9.15 ,$4.07 ,$13.07 ,$12.63 ,$11.62 ,$11.62 ,$3.27 ,$9.44 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY PENCIL,272,1 ,$13.37 ,$9.63 ,$3.02 ,$13.37 ,$7.70 ,$9.63 ,$7.27 ,$3.02 ,$3.74 ,$8.89 ,$3.02 ,$9.36 ,$3.02 ,$8.42 ,$8.42 ,$3.02 ,$8.42 ,$6.22 ,$12.30 , N/A ,$3.02 ,$11.36 ,$11.23 ,$3.02 ,$10.03 ,$10.70 ,$10.70 ,$3.02 ,$10.70 ,$11.63 ,$11.63 ,$11.63 ,$12.03 ,$7.70 ,$3.02 ,$13.37 ,$7.50 ,$3.02 ,$5.54 , N/A , N/A ,$3.17 ,$11.36 ,$8.42 ,$3.74 ,$12.03 ,$11.63 ,$10.70 ,$10.70 ,$3.02 ,$8.69 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CAUTERY TIP CLEANER SURGICAL,272,1 ,$1.48 ,$1.07 ,$0.33 ,$1.48 ,$0.85 ,$1.07 ,$0.81 ,$0.33 ,$0.41 ,$0.98 ,$0.33 ,$1.04 ,$0.33 ,$0.93 ,$0.93 ,$0.33 ,$0.93 ,$0.69 ,$1.36 , N/A ,$0.33 ,$1.26 ,$1.24 ,$0.33 ,$1.11 ,$1.18 ,$1.18 ,$0.33 ,$1.18 ,$1.29 ,$1.29 ,$1.29 ,$1.33 ,$0.85 ,$0.33 ,$1.48 ,$0.83 ,$0.33 ,$0.61 , N/A , N/A ,$0.35 ,$1.26 ,$0.93 ,$0.41 ,$1.33 ,$1.29 ,$1.18 ,$1.18 ,$0.33 ,$0.96 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE ASEPTO BULB MEDLINE 60ML,272,1 ,$1.48 ,$1.07 ,$0.33 ,$1.48 ,$0.85 ,$1.07 ,$0.81 ,$0.33 ,$0.41 ,$0.98 ,$0.33 ,$1.04 ,$0.33 ,$0.93 ,$0.93 ,$0.33 ,$0.93 ,$0.69 ,$1.36 , N/A ,$0.33 ,$1.26 ,$1.24 ,$0.33 ,$1.11 ,$1.18 ,$1.18 ,$0.33 ,$1.18 ,$1.29 ,$1.29 ,$1.29 ,$1.33 ,$0.85 ,$0.33 ,$1.48 ,$0.83 ,$0.33 ,$0.61 , N/A , N/A ,$0.35 ,$1.26 ,$0.93 ,$0.41 ,$1.33 ,$1.29 ,$1.18 ,$1.18 ,$0.33 ,$0.96 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CEMENT MIXER BOWL W/TIP,272,1 ,$202.31 ,$145.66 ,$45.60 ,$202.31 ,$116.33 ,$145.66 ,$110.06 ,$45.60 ,$56.65 ,$134.54 ,$45.60 ,$141.62 ,$45.60 ,$127.46 ,$127.46 ,$45.60 ,$127.46 ,$93.99 ,$186.13 , N/A ,$45.60 ,$171.96 ,$169.94 ,$45.60 ,$151.73 ,$161.85 ,$161.85 ,$45.60 ,$161.85 ,$176.01 ,$176.01 ,$176.01 ,$182.08 ,$116.33 ,$45.60 ,$202.31 ,$113.50 ,$45.60 ,$83.76 , N/A , N/A ,$47.88 ,$171.96 ,$127.46 ,$56.65 ,$182.08 ,$176.01 ,$161.85 ,$161.85 ,$45.60 ,$131.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CLAMP CORD DOUBLE-GRIP UMBILICAL PLASTIC HINGE GUARD SERRATE JAW NEONATE STERILE LATEX FREE DISPOSABLE,272,1 ,$7.65 ,$5.51 ,$1.72 ,$7.65 ,$4.40 ,$5.51 ,$4.16 ,$1.72 ,$2.14 ,$5.09 ,$1.72 ,$5.36 ,$1.72 ,$4.82 ,$4.82 ,$1.72 ,$4.82 ,$3.56 ,$7.04 , N/A ,$1.72 ,$6.50 ,$6.43 ,$1.72 ,$5.74 ,$6.12 ,$6.12 ,$1.72 ,$6.12 ,$6.66 ,$6.66 ,$6.66 ,$6.89 ,$4.40 ,$1.72 ,$7.65 ,$4.29 ,$1.72 ,$3.17 , N/A , N/A ,$1.81 ,$6.50 ,$4.82 ,$2.14 ,$6.89 ,$6.66 ,$6.12 ,$6.12 ,$1.72 ,$4.97 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CLIP MEDIUM CHEVRON HEART INTERNAL WECK HEMOCLIP TANTALUM LIGATE TRIANGULATE CROSS SECTION WIRE CARTRIDGE BASE STERILE DISPOSABLE LATEX FREE BLUE,272,1 ,$31.75 ,$22.86 ,$7.15 ,$31.75 ,$18.25 ,$22.86 ,$17.27 ,$7.15 ,$8.89 ,$21.11 ,$7.15 ,$22.23 ,$7.15 ,$20.00 ,$20.00 ,$7.15 ,$20.00 ,$14.75 ,$29.21 , N/A ,$7.15 ,$26.99 ,$26.67 ,$7.15 ,$23.81 ,$25.40 ,$25.40 ,$7.15 ,$25.40 ,$27.62 ,$27.62 ,$27.62 ,$28.58 ,$18.25 ,$7.15 ,$31.75 ,$17.81 ,$7.15 ,$13.14 , N/A , N/A ,$7.52 ,$26.99 ,$20.00 ,$8.89 ,$28.58 ,$27.62 ,$25.40 ,$25.40 ,$7.15 ,$20.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUCTION CANNISTER BERKELY WITH TRAP,272,1 ,$31.75 ,$22.86 ,$7.15 ,$31.75 ,$18.25 ,$22.86 ,$17.27 ,$7.15 ,$8.89 ,$21.11 ,$7.15 ,$22.23 ,$7.15 ,$20.00 ,$20.00 ,$7.15 ,$20.00 ,$14.75 ,$29.21 , N/A ,$7.15 ,$26.99 ,$26.67 ,$7.15 ,$23.81 ,$25.40 ,$25.40 ,$7.15 ,$25.40 ,$27.62 ,$27.62 ,$27.62 ,$28.58 ,$18.25 ,$7.15 ,$31.75 ,$17.81 ,$7.15 ,$13.14 , N/A , N/A ,$7.52 ,$26.99 ,$20.00 ,$8.89 ,$28.58 ,$27.62 ,$25.40 ,$25.40 ,$7.15 ,$20.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,COAGULATOR SUCTION 6IN 10FR VALLEYLAB HANDSWITCH CORD THERMAL REDUCTION FLUID EVACUATION TUBE ENT STERILE LATEX FREE DISPOSABLE,272,1 ,$22.75 ,$16.38 ,$5.13 ,$22.75 ,$13.08 ,$16.38 ,$12.38 ,$5.13 ,$6.37 ,$15.13 ,$5.13 ,$15.93 ,$5.13 ,$14.33 ,$14.33 ,$5.13 ,$14.33 ,$10.56 ,$20.93 , N/A ,$5.13 ,$19.34 ,$19.11 ,$5.13 ,$17.06 ,$18.20 ,$18.20 ,$5.13 ,$18.20 ,$19.79 ,$19.79 ,$19.79 ,$20.48 ,$13.08 ,$5.13 ,$22.75 ,$12.76 ,$5.13 ,$9.42 , N/A , N/A ,$5.38 ,$19.34 ,$14.33 ,$6.37 ,$20.48 ,$19.79 ,$18.20 ,$18.20 ,$5.13 ,$14.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,COLLECTOR MEASURITE 32OZ SLANT PAINT GRADUATE NONSTERILE SPECIMEN WHITE,272,1 ,$1.45 ,$1.04 ,$0.32 ,$1.45 ,$0.83 ,$1.04 ,$0.79 ,$0.32 ,$0.41 ,$0.96 ,$0.32 ,$1.02 ,$0.32 ,$0.91 ,$0.91 ,$0.32 ,$0.91 ,$0.67 ,$1.33 , N/A ,$0.32 ,$1.23 ,$1.22 ,$0.32 ,$1.09 ,$1.16 ,$1.16 ,$0.32 ,$1.16 ,$1.26 ,$1.26 ,$1.26 ,$1.31 ,$0.83 ,$0.32 ,$1.45 ,$0.81 ,$0.32 ,$0.60 , N/A , N/A ,$0.34 ,$1.23 ,$0.91 ,$0.41 ,$1.31 ,$1.26 ,$1.16 ,$1.16 ,$0.32 ,$0.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CONNECTOR 5 IN 1,272,1 ,$0.46 ,$0.33 ,$0.11 ,$0.46 ,$0.28 ,$0.33 ,$0.25 ,$0.11 ,$0.13 ,$0.31 ,$0.11 ,$0.32 ,$0.11 ,$0.29 ,$0.29 ,$0.11 ,$0.29 ,$0.22 ,$0.42 , N/A ,$0.11 ,$0.39 ,$0.39 ,$0.11 ,$0.35 ,$0.37 ,$0.37 ,$0.11 ,$0.37 ,$0.40 ,$0.40 ,$0.40 ,$0.41 ,$0.28 ,$0.11 ,$0.46 ,$0.26 ,$0.11 ,$0.19 , N/A , N/A ,$0.12 ,$0.39 ,$0.29 ,$0.13 ,$0.41 ,$0.40 ,$0.37 ,$0.37 ,$0.11 ,$0.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CONNECTOR ONE-LINK NDLEF,272,1 ,$4.72 ,$3.40 ,$1.07 ,$4.72 ,$2.73 ,$3.40 ,$2.57 ,$1.07 ,$1.32 ,$3.14 ,$1.07 ,$3.30 ,$1.07 ,$2.97 ,$2.97 ,$1.07 ,$2.97 ,$2.20 ,$4.34 , N/A ,$1.07 ,$4.01 ,$3.96 ,$1.07 ,$3.54 ,$3.78 ,$3.78 ,$1.07 ,$3.78 ,$4.11 ,$4.11 ,$4.11 ,$4.25 ,$2.73 ,$1.07 ,$4.72 ,$2.65 ,$1.07 ,$1.95 , N/A , N/A ,$1.12 ,$4.01 ,$2.97 ,$1.32 ,$4.25 ,$4.11 ,$3.78 ,$3.78 ,$1.07 ,$3.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CORD BIPOLAR FORCEPS VALLEYLAB,272,1 ,$7.41 ,$5.34 ,$1.67 ,$7.41 ,$4.25 ,$5.34 ,$4.03 ,$1.67 ,$2.07 ,$4.93 ,$1.67 ,$5.19 ,$1.67 ,$4.67 ,$4.67 ,$1.67 ,$4.67 ,$3.43 ,$6.82 , N/A ,$1.67 ,$6.30 ,$6.22 ,$1.67 ,$5.56 ,$5.93 ,$5.93 ,$1.67 ,$5.93 ,$6.45 ,$6.45 ,$6.45 ,$6.67 ,$4.25 ,$1.67 ,$7.41 ,$4.16 ,$1.67 ,$3.07 , N/A , N/A ,$1.75 ,$6.30 ,$4.67 ,$2.07 ,$6.67 ,$6.45 ,$5.93 ,$5.93 ,$1.67 ,$4.82 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CUFF TOURNIQUET GREEN ATS 3K 4 X 24,272,1 ,$30.78 ,$22.16 ,$6.94 ,$30.78 ,$17.70 ,$22.16 ,$16.74 ,$6.94 ,$8.62 ,$20.47 ,$6.94 ,$21.55 ,$6.94 ,$19.39 ,$19.39 ,$6.94 ,$19.39 ,$14.30 ,$28.32 , N/A ,$6.94 ,$26.16 ,$25.86 ,$6.94 ,$23.09 ,$24.62 ,$24.62 ,$6.94 ,$24.62 ,$26.78 ,$26.78 ,$26.78 ,$27.70 ,$17.70 ,$6.94 ,$30.78 ,$17.27 ,$6.94 ,$12.74 , N/A , N/A ,$7.28 ,$26.16 ,$19.39 ,$8.62 ,$27.70 ,$26.78 ,$24.62 ,$24.62 ,$6.94 ,$20.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DETECTOR CARBON DIOXIDE COLORIMETRIC LATEX FREE NELLCOR ENDOTRACHEAL TUBE PLACEMENT 22MM 15MM 15MM 13MM DISPOSABLE ADULT,272,1 ,$23.48 ,$16.91 ,$5.29 ,$23.48 ,$13.50 ,$16.91 ,$12.77 ,$5.29 ,$6.57 ,$15.61 ,$5.29 ,$16.44 ,$5.29 ,$14.79 ,$14.79 ,$5.29 ,$14.79 ,$10.91 ,$21.60 , N/A ,$5.29 ,$19.96 ,$19.72 ,$5.29 ,$17.61 ,$18.78 ,$18.78 ,$5.29 ,$18.78 ,$20.43 ,$20.43 ,$20.43 ,$21.13 ,$13.50 ,$5.29 ,$23.48 ,$13.17 ,$5.29 ,$9.72 , N/A , N/A ,$5.56 ,$19.96 ,$14.79 ,$6.57 ,$21.13 ,$20.43 ,$18.78 ,$18.78 ,$5.29 ,$15.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE FIXATION ULTRA FAST-FIX CURVE MENISCAL REPAIR SYSTEM,272,1 ,$701.82 ,$505.31 ,$158.19 ,$701.82 ,$403.55 ,$505.31 ,$381.79 ,$158.19 ,$196.51 ,$466.71 ,$158.19 ,$491.27 ,$158.19 ,$442.15 ,$442.15 ,$158.19 ,$442.15 ,$326.07 ,$645.67 , N/A ,$158.19 ,$596.55 ,$589.53 ,$158.19 ,$526.37 ,$561.46 ,$561.46 ,$158.19 ,$561.46 ,$610.58 ,$610.58 ,$610.58 ,$631.64 ,$403.55 ,$158.19 ,$701.82 ,$393.72 ,$158.19 ,$290.55 , N/A , N/A ,$166.10 ,$596.55 ,$442.15 ,$196.51 ,$631.64 ,$610.58 ,$561.46 ,$561.46 ,$158.19 ,$456.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYSTEM CURVED NEEDLE DELIVERY SMITH AND NEPHEW,272,1 ,$701.82 ,$505.31 ,$158.19 ,$701.82 ,$403.55 ,$505.31 ,$381.79 ,$158.19 ,$196.51 ,$466.71 ,$158.19 ,$491.27 ,$158.19 ,$442.15 ,$442.15 ,$158.19 ,$442.15 ,$326.07 ,$645.67 , N/A ,$158.19 ,$596.55 ,$589.53 ,$158.19 ,$526.37 ,$561.46 ,$561.46 ,$158.19 ,$561.46 ,$610.58 ,$610.58 ,$610.58 ,$631.64 ,$403.55 ,$158.19 ,$701.82 ,$393.72 ,$158.19 ,$290.55 , N/A , N/A ,$166.10 ,$596.55 ,$442.15 ,$196.51 ,$631.64 ,$610.58 ,$561.46 ,$561.46 ,$158.19 ,$456.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE FIXATION ULTRA FAST-FIX STRAIGHT MENISCAL REPAIR SYSTEM,272,1 ,$885.36 ,$637.46 ,$199.56 ,$885.36 ,$509.08 ,$637.46 ,$481.64 ,$199.56 ,$247.90 ,$588.76 ,$199.56 ,$619.75 ,$199.56 ,$557.78 ,$557.78 ,$199.56 ,$557.78 ,$411.33 ,$814.53 , N/A ,$199.56 ,$752.56 ,$743.70 ,$199.56 ,$664.02 ,$708.29 ,$708.29 ,$199.56 ,$708.29 ,$770.26 ,$770.26 ,$770.26 ,$796.82 ,$509.08 ,$199.56 ,$885.36 ,$496.69 ,$199.56 ,$366.54 , N/A , N/A ,$209.53 ,$752.56 ,$557.78 ,$247.90 ,$796.82 ,$770.26 ,$708.29 ,$708.29 ,$199.56 ,$575.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE LAPROSHARK FASCIAL CLOSURE,272,1 ,$170.97 ,$123.10 ,$38.53 ,$170.97 ,$98.30 ,$123.10 ,$93.01 ,$38.53 ,$47.87 ,$113.70 ,$38.53 ,$119.68 ,$38.53 ,$107.71 ,$107.71 ,$38.53 ,$107.71 ,$79.43 ,$157.29 , N/A ,$38.53 ,$145.32 ,$143.61 ,$38.53 ,$128.23 ,$136.78 ,$136.78 ,$38.53 ,$136.78 ,$148.74 ,$148.74 ,$148.74 ,$153.87 ,$98.30 ,$38.53 ,$170.97 ,$95.91 ,$38.53 ,$70.78 , N/A , N/A ,$40.46 ,$145.32 ,$107.71 ,$47.87 ,$153.87 ,$148.74 ,$136.78 ,$136.78 ,$38.53 ,$111.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE MYOSURE REACH,272,1 ,"$2,785.00 ","$2,005.20 ",$627.74 ,"$2,785.00 ","$1,601.38 ","$2,005.20 ","$1,515.04 ",$627.74 ,$779.80 ,"$1,852.03 ",$627.74 ,"$1,949.50 ",$627.74 ,"$1,754.55 ","$1,754.55 ",$627.74 ,"$1,754.55 ","$1,293.91 ","$2,562.20 ", N/A ,$627.74 ,"$2,367.25 ","$2,339.40 ",$627.74 ,"$2,088.75 ","$2,228.00 ","$2,228.00 ",$627.74 ,"$2,228.00 ","$2,422.95 ","$2,422.95 ","$2,422.95 ","$2,506.50 ","$1,601.38 ",$627.74 ,"$2,785.00 ","$1,562.39 ",$627.74 ,"$1,152.99 ", N/A , N/A ,$659.13 ,"$2,367.25 ","$1,754.55 ",$779.80 ,"$2,506.50 ","$2,422.95 ","$2,228.00 ","$2,228.00 ",$627.74 ,"$1,810.25 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE POSITIONING LARGE ALUMI-HAND IMMOBILIZER ALUMINUM DISPOSABLE STERILE LATEX FREE,272,1 ,$96.38 ,$69.39 ,$21.73 ,$96.38 ,$55.43 ,$69.39 ,$52.43 ,$21.73 ,$26.99 ,$64.09 ,$21.73 ,$67.47 ,$21.73 ,$60.72 ,$60.72 ,$21.73 ,$60.72 ,$44.78 ,$88.67 , N/A ,$21.73 ,$81.92 ,$80.96 ,$21.73 ,$72.29 ,$77.10 ,$77.10 ,$21.73 ,$77.10 ,$83.85 ,$83.85 ,$83.85 ,$86.74 ,$55.43 ,$21.73 ,$96.38 ,$54.07 ,$21.73 ,$39.90 , N/A , N/A ,$22.81 ,$81.92 ,$60.72 ,$26.99 ,$86.74 ,$83.85 ,$77.10 ,$77.10 ,$21.73 ,$62.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DEVICE UTERINE EXAMINATION PELVIC,272,1 ,$20.78 ,$14.96 ,$4.68 ,$20.78 ,$11.95 ,$14.96 ,$11.30 ,$4.68 ,$5.82 ,$13.82 ,$4.68 ,$14.55 ,$4.68 ,$13.09 ,$13.09 ,$4.68 ,$13.09 ,$9.66 ,$19.12 , N/A ,$4.68 ,$17.66 ,$17.46 ,$4.68 ,$15.59 ,$16.62 ,$16.62 ,$4.68 ,$16.62 ,$18.08 ,$18.08 ,$18.08 ,$18.70 ,$11.95 ,$4.68 ,$20.78 ,$11.66 ,$4.68 ,$8.60 , N/A , N/A ,$4.92 ,$17.66 ,$13.09 ,$5.82 ,$18.70 ,$18.08 ,$16.62 ,$16.62 ,$4.68 ,$13.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DILATOR ENDOSCOPIC ELIMINATOR PET 230CM 4CM 18MM PYLORIC BALLOON COLONIC,272,1 ,$210.60 ,$151.63 ,$47.47 ,$210.60 ,$121.10 ,$151.63 ,$114.57 ,$47.47 ,$58.97 ,$140.05 ,$47.47 ,$147.42 ,$47.47 ,$132.68 ,$132.68 ,$47.47 ,$132.68 ,$97.85 ,$193.75 , N/A ,$47.47 ,$179.01 ,$176.90 ,$47.47 ,$157.95 ,$168.48 ,$168.48 ,$47.47 ,$168.48 ,$183.22 ,$183.22 ,$183.22 ,$189.54 ,$121.10 ,$47.47 ,$210.60 ,$118.15 ,$47.47 ,$87.19 , N/A , N/A ,$49.84 ,$179.01 ,$132.68 ,$58.97 ,$189.54 ,$183.22 ,$168.48 ,$168.48 ,$47.47 ,$136.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DILATOR ENDOSCOPIC ELIMINATOR PET 230CM 4CM 12MM PYLORIC BALLOON COLONIC,272,1 ,$210.60 ,$151.63 ,$47.47 ,$210.60 ,$121.10 ,$151.63 ,$114.57 ,$47.47 ,$58.97 ,$140.05 ,$47.47 ,$147.42 ,$47.47 ,$132.68 ,$132.68 ,$47.47 ,$132.68 ,$97.85 ,$193.75 , N/A ,$47.47 ,$179.01 ,$176.90 ,$47.47 ,$157.95 ,$168.48 ,$168.48 ,$47.47 ,$168.48 ,$183.22 ,$183.22 ,$183.22 ,$189.54 ,$121.10 ,$47.47 ,$210.60 ,$118.15 ,$47.47 ,$87.19 , N/A , N/A ,$49.84 ,$179.01 ,$132.68 ,$58.97 ,$189.54 ,$183.22 ,$168.48 ,$168.48 ,$47.47 ,$136.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DILATOR SURGICAL ELIMINATOR BALLOON 230CM 4CM 20MM COLON PYLORUS STERILE LATEX FREE DISPOSABLE,272,1 ,$213.45 ,$153.68 ,$48.11 ,$213.45 ,$122.73 ,$153.68 ,$116.12 ,$48.11 ,$59.77 ,$141.94 ,$48.11 ,$149.42 ,$48.11 ,$134.47 ,$134.47 ,$48.11 ,$134.47 ,$99.16 ,$196.37 , N/A ,$48.11 ,$181.43 ,$179.30 ,$48.11 ,$160.09 ,$170.76 ,$170.76 ,$48.11 ,$170.76 ,$185.70 ,$185.70 ,$185.70 ,$192.11 ,$122.73 ,$48.11 ,$213.45 ,$119.75 ,$48.11 ,$88.37 , N/A , N/A ,$50.51 ,$181.43 ,$134.47 ,$59.77 ,$192.11 ,$185.70 ,$170.76 ,$170.76 ,$48.11 ,$138.74 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRAIN BARD W/ TROCAR ROUND 10FR,272,1 ,$21.87 ,$15.75 ,$4.93 ,$21.87 ,$12.58 ,$15.75 ,$11.90 ,$4.93 ,$6.12 ,$14.54 ,$4.93 ,$15.31 ,$4.93 ,$13.78 ,$13.78 ,$4.93 ,$13.78 ,$10.16 ,$20.12 , N/A ,$4.93 ,$18.59 ,$18.37 ,$4.93 ,$16.40 ,$17.50 ,$17.50 ,$4.93 ,$17.50 ,$19.03 ,$19.03 ,$19.03 ,$19.68 ,$12.58 ,$4.93 ,$21.87 ,$12.27 ,$4.93 ,$9.05 , N/A , N/A ,$5.17 ,$18.59 ,$13.78 ,$6.12 ,$19.68 ,$19.03 ,$17.50 ,$17.50 ,$4.93 ,$14.22 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRAIN FULLY PERFORATED FLAT BARD 20CM X 7MM,272,1 ,$35.61 ,$25.64 ,$8.03 ,$35.61 ,$20.48 ,$25.64 ,$19.37 ,$8.03 ,$9.97 ,$23.68 ,$8.03 ,$24.93 ,$8.03 ,$22.43 ,$22.43 ,$8.03 ,$22.43 ,$16.54 ,$32.76 , N/A ,$8.03 ,$30.27 ,$29.91 ,$8.03 ,$26.71 ,$28.49 ,$28.49 ,$8.03 ,$28.49 ,$30.98 ,$30.98 ,$30.98 ,$32.05 ,$20.48 ,$8.03 ,$35.61 ,$19.98 ,$8.03 ,$14.74 , N/A , N/A ,$8.43 ,$30.27 ,$22.43 ,$9.97 ,$32.05 ,$30.98 ,$28.49 ,$28.49 ,$8.03 ,$23.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRAIN INCISION EXPRESS THORAX 1 CHAMBER 1 TUBE 1 WAY VALVE DRY SEAL 2L STERILE LATEX FREE DISPOSABLE,272,1 ,$110.47 ,$79.54 ,$24.90 ,$110.47 ,$63.53 ,$79.54 ,$60.10 ,$24.90 ,$30.93 ,$73.46 ,$24.90 ,$77.33 ,$24.90 ,$69.60 ,$69.60 ,$24.90 ,$69.60 ,$51.33 ,$101.63 , N/A ,$24.90 ,$93.90 ,$92.79 ,$24.90 ,$82.85 ,$88.38 ,$88.38 ,$24.90 ,$88.38 ,$96.11 ,$96.11 ,$96.11 ,$99.42 ,$63.53 ,$24.90 ,$110.47 ,$61.97 ,$24.90 ,$45.73 , N/A , N/A ,$26.15 ,$93.90 ,$69.60 ,$30.93 ,$99.42 ,$96.11 ,$88.38 ,$88.38 ,$24.90 ,$71.81 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRAIN PENROSE 5/16 X 12,272,1 ,$0.97 ,$0.70 ,$0.22 ,$0.97 ,$0.55 ,$0.70 ,$0.53 ,$0.22 ,$0.27 ,$0.65 ,$0.22 ,$0.68 ,$0.22 ,$0.61 ,$0.61 ,$0.22 ,$0.61 ,$0.44 ,$0.89 , N/A ,$0.22 ,$0.82 ,$0.81 ,$0.22 ,$0.73 ,$0.78 ,$0.78 ,$0.22 ,$0.78 ,$0.84 ,$0.84 ,$0.84 ,$0.87 ,$0.55 ,$0.22 ,$0.97 ,$0.54 ,$0.22 ,$0.40 , N/A , N/A ,$0.23 ,$0.82 ,$0.61 ,$0.27 ,$0.87 ,$0.84 ,$0.78 ,$0.78 ,$0.22 ,$0.63 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRAPE STOCKINETTE IMPERVIOUS XL,272,1 ,$10.53 ,$7.58 ,$2.37 ,$10.53 ,$6.05 ,$7.58 ,$5.73 ,$2.37 ,$2.95 ,$7.00 ,$2.37 ,$7.37 ,$2.37 ,$6.63 ,$6.63 ,$2.37 ,$6.63 ,$4.89 ,$9.69 , N/A ,$2.37 ,$8.95 ,$8.85 ,$2.37 ,$7.90 ,$8.42 ,$8.42 ,$2.37 ,$8.42 ,$9.16 ,$9.16 ,$9.16 ,$9.48 ,$6.05 ,$2.37 ,$10.53 ,$5.91 ,$2.37 ,$4.36 , N/A , N/A ,$2.49 ,$8.95 ,$6.63 ,$2.95 ,$9.48 ,$9.16 ,$8.42 ,$8.42 ,$2.37 ,$6.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BAG DRAIN 19OZ BARD FLP DABG,272,1 ,$10.53 ,$7.58 ,$2.37 ,$10.53 ,$6.05 ,$7.58 ,$5.73 ,$2.37 ,$2.95 ,$7.00 ,$2.37 ,$7.37 ,$2.37 ,$6.63 ,$6.63 ,$2.37 ,$6.63 ,$4.89 ,$9.69 , N/A ,$2.37 ,$8.95 ,$8.85 ,$2.37 ,$7.90 ,$8.42 ,$8.42 ,$2.37 ,$8.42 ,$9.16 ,$9.16 ,$9.16 ,$9.48 ,$6.05 ,$2.37 ,$10.53 ,$5.91 ,$2.37 ,$4.36 , N/A , N/A ,$2.49 ,$8.95 ,$6.63 ,$2.95 ,$9.48 ,$9.16 ,$8.42 ,$8.42 ,$2.37 ,$6.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING ABD,272,1 ,$0.22 ,$0.16 ,$0.05 ,$0.22 ,$0.13 ,$0.16 ,$0.12 ,$0.05 ,$0.06 ,$0.15 ,$0.05 ,$0.15 ,$0.05 ,$0.14 ,$0.14 ,$0.05 ,$0.14 ,$0.10 ,$0.20 , N/A ,$0.05 ,$0.19 ,$0.18 ,$0.05 ,$0.17 ,$0.18 ,$0.18 ,$0.05 ,$0.18 ,$0.19 ,$0.19 ,$0.19 ,$0.20 ,$0.13 ,$0.05 ,$0.22 ,$0.12 ,$0.05 ,$0.09 , N/A , N/A ,$0.05 ,$0.19 ,$0.14 ,$0.06 ,$0.20 ,$0.19 ,$0.18 ,$0.18 ,$0.05 ,$0.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING ADAPTIC 7.36 X 20.3CM,272,1 ,$2.75 ,$1.98 ,$0.62 ,$2.75 ,$1.58 ,$1.98 ,$1.50 ,$0.62 ,$0.77 ,$1.83 ,$0.62 ,$1.93 ,$0.62 ,$1.73 ,$1.73 ,$0.62 ,$1.73 ,$1.27 ,$2.53 , N/A ,$0.62 ,$2.34 ,$2.31 ,$0.62 ,$2.06 ,$2.20 ,$2.20 ,$0.62 ,$2.20 ,$2.39 ,$2.39 ,$2.39 ,$2.48 ,$1.58 ,$0.62 ,$2.75 ,$1.54 ,$0.62 ,$1.14 , N/A , N/A ,$0.65 ,$2.34 ,$1.73 ,$0.77 ,$2.48 ,$2.39 ,$2.20 ,$2.20 ,$0.62 ,$1.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING ALGINATE 18X.75IN AQUACEL HYDROFIBER RIBBON LATEX FREE STERILE,272,1 ,$9.56 ,$6.88 ,$2.16 ,$9.56 ,$5.50 ,$6.88 ,$5.20 ,$2.16 ,$2.68 ,$6.36 ,$2.16 ,$6.69 ,$2.16 ,$6.02 ,$6.02 ,$2.16 ,$6.02 ,$4.44 ,$8.80 , N/A ,$2.16 ,$8.13 ,$8.03 ,$2.16 ,$7.17 ,$7.65 ,$7.65 ,$2.16 ,$7.65 ,$8.32 ,$8.32 ,$8.32 ,$8.60 ,$5.50 ,$2.16 ,$9.56 ,$5.36 ,$2.16 ,$3.96 , N/A , N/A ,$2.26 ,$8.13 ,$6.02 ,$2.68 ,$8.60 ,$8.32 ,$7.65 ,$7.65 ,$2.16 ,$6.21 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING AQUACEL 4X4IN,272,1 ,$4.81 ,$3.46 ,$1.09 ,$4.81 ,$2.78 ,$3.46 ,$2.62 ,$1.09 ,$1.35 ,$3.20 ,$1.09 ,$3.37 ,$1.09 ,$3.03 ,$3.03 ,$1.09 ,$3.03 ,$2.24 ,$4.43 , N/A ,$1.09 ,$4.09 ,$4.04 ,$1.09 ,$3.61 ,$3.85 ,$3.85 ,$1.09 ,$3.85 ,$4.18 ,$4.18 ,$4.18 ,$4.33 ,$2.78 ,$1.09 ,$4.81 ,$2.70 ,$1.09 ,$1.99 , N/A , N/A ,$1.15 ,$4.09 ,$3.03 ,$1.35 ,$4.33 ,$4.18 ,$3.85 ,$3.85 ,$1.09 ,$3.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING AQUACEL AG HYDROFIBER 3.5 X 14,272,1 ,$90.31 ,$65.02 ,$20.35 ,$90.31 ,$51.93 ,$65.02 ,$49.13 ,$20.35 ,$25.29 ,$60.06 ,$20.35 ,$63.22 ,$20.35 ,$56.90 ,$56.90 ,$20.35 ,$56.90 ,$41.96 ,$83.09 , N/A ,$20.35 ,$76.76 ,$75.86 ,$20.35 ,$67.73 ,$72.25 ,$72.25 ,$20.35 ,$72.25 ,$78.57 ,$78.57 ,$78.57 ,$81.28 ,$51.93 ,$20.35 ,$90.31 ,$50.66 ,$20.35 ,$37.39 , N/A , N/A ,$21.37 ,$76.76 ,$56.90 ,$25.29 ,$81.28 ,$78.57 ,$72.25 ,$72.25 ,$20.35 ,$58.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING AQUACEL AG HYDROFIBER 3.5 X11.8,272,1 ,$89.40 ,$64.37 ,$20.15 ,$89.40 ,$51.40 ,$64.37 ,$48.63 ,$20.15 ,$25.03 ,$59.45 ,$20.15 ,$62.58 ,$20.15 ,$56.32 ,$56.32 ,$20.15 ,$56.32 ,$41.53 ,$82.25 , N/A ,$20.15 ,$75.99 ,$75.10 ,$20.15 ,$67.05 ,$71.52 ,$71.52 ,$20.15 ,$71.52 ,$77.78 ,$77.78 ,$77.78 ,$80.46 ,$51.40 ,$20.15 ,$89.40 ,$50.15 ,$20.15 ,$37.01 , N/A , N/A ,$21.16 ,$75.99 ,$56.32 ,$25.03 ,$80.46 ,$77.78 ,$71.52 ,$71.52 ,$20.15 ,$58.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING AQUACEL AG HYRDOFIBER 3.5 X 10,272,1 ,$81.08 ,$58.38 ,$18.28 ,$81.08 ,$46.63 ,$58.38 ,$44.11 ,$18.28 ,$22.70 ,$53.92 ,$18.28 ,$56.76 ,$18.28 ,$51.08 ,$51.08 ,$18.28 ,$51.08 ,$37.67 ,$74.59 , N/A ,$18.28 ,$68.92 ,$68.11 ,$18.28 ,$60.81 ,$64.86 ,$64.86 ,$18.28 ,$64.86 ,$70.54 ,$70.54 ,$70.54 ,$72.97 ,$46.63 ,$18.28 ,$81.08 ,$45.49 ,$18.28 ,$33.57 , N/A , N/A ,$19.19 ,$68.92 ,$51.08 ,$22.70 ,$72.97 ,$70.54 ,$64.86 ,$64.86 ,$18.28 ,$52.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING BIOPATCH 2.5CM X 4.0MM,272,1 ,$17.04 ,$12.27 ,$3.84 ,$17.04 ,$9.80 ,$12.27 ,$9.27 ,$3.84 ,$4.77 ,$11.33 ,$3.84 ,$11.93 ,$3.84 ,$10.74 ,$10.74 ,$3.84 ,$10.74 ,$7.92 ,$15.68 , N/A ,$3.84 ,$14.48 ,$14.31 ,$3.84 ,$12.78 ,$13.63 ,$13.63 ,$3.84 ,$13.63 ,$14.82 ,$14.82 ,$14.82 ,$15.34 ,$9.80 ,$3.84 ,$17.04 ,$9.56 ,$3.84 ,$7.05 , N/A , N/A ,$4.04 ,$14.48 ,$10.74 ,$4.77 ,$15.34 ,$14.82 ,$13.63 ,$13.63 ,$3.84 ,$11.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING COBAN 2,272,1 ,$2.51 ,$1.81 ,$0.57 ,$2.51 ,$1.45 ,$1.81 ,$1.37 ,$0.57 ,$0.70 ,$1.67 ,$0.57 ,$1.76 ,$0.57 ,$1.58 ,$1.58 ,$0.57 ,$1.58 ,$1.17 ,$2.31 , N/A ,$0.57 ,$2.13 ,$2.11 ,$0.57 ,$1.88 ,$2.01 ,$2.01 ,$0.57 ,$2.01 ,$2.18 ,$2.18 ,$2.18 ,$2.26 ,$1.45 ,$0.57 ,$2.51 ,$1.41 ,$0.57 ,$1.04 , N/A , N/A ,$0.60 ,$2.13 ,$1.58 ,$0.70 ,$2.26 ,$2.18 ,$2.01 ,$2.01 ,$0.57 ,$1.63 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING COBAN 3 INCH,272,1 ,$3.29 ,$2.37 ,$0.74 ,$3.29 ,$1.90 ,$2.37 ,$1.79 ,$0.74 ,$0.92 ,$2.19 ,$0.74 ,$2.30 ,$0.74 ,$2.07 ,$2.07 ,$0.74 ,$2.07 ,$1.54 ,$3.03 , N/A ,$0.74 ,$2.80 ,$2.76 ,$0.74 ,$2.47 ,$2.63 ,$2.63 ,$0.74 ,$2.63 ,$2.86 ,$2.86 ,$2.86 ,$2.96 ,$1.90 ,$0.74 ,$3.29 ,$1.85 ,$0.74 ,$1.36 , N/A , N/A ,$0.78 ,$2.80 ,$2.07 ,$0.92 ,$2.96 ,$2.86 ,$2.63 ,$2.63 ,$0.74 ,$2.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING COBAN 4 NONSTERILE,272,1 ,$3.63 ,$2.61 ,$0.81 ,$3.63 ,$2.08 ,$2.61 ,$1.97 ,$0.81 ,$1.02 ,$2.41 ,$0.81 ,$2.54 ,$0.81 ,$2.29 ,$2.29 ,$0.81 ,$2.29 ,$1.68 ,$3.34 , N/A ,$0.81 ,$3.09 ,$3.05 ,$0.81 ,$2.72 ,$2.90 ,$2.90 ,$0.81 ,$2.90 ,$3.16 ,$3.16 ,$3.16 ,$3.27 ,$2.08 ,$0.81 ,$3.63 ,$2.04 ,$0.81 ,$1.50 , N/A , N/A ,$0.85 ,$3.09 ,$2.29 ,$1.02 ,$3.27 ,$3.16 ,$2.90 ,$2.90 ,$0.81 ,$2.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING COBAN 4 STERILE,272,1 ,$5.69 ,$4.10 ,$1.28 ,$5.69 ,$3.28 ,$4.10 ,$3.10 ,$1.28 ,$1.59 ,$3.78 ,$1.28 ,$3.98 ,$1.28 ,$3.58 ,$3.58 ,$1.28 ,$3.58 ,$2.65 ,$5.23 , N/A ,$1.28 ,$4.84 ,$4.78 ,$1.28 ,$4.27 ,$4.55 ,$4.55 ,$1.28 ,$4.55 ,$4.95 ,$4.95 ,$4.95 ,$5.12 ,$3.28 ,$1.28 ,$5.69 ,$3.19 ,$1.28 ,$2.36 , N/A , N/A ,$1.35 ,$4.84 ,$3.58 ,$1.59 ,$5.12 ,$4.95 ,$4.55 ,$4.55 ,$1.28 ,$3.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING COBAN 6 STERILE,272,1 ,$9.07 ,$6.53 ,$2.05 ,$9.07 ,$5.23 ,$6.53 ,$4.93 ,$2.05 ,$2.54 ,$6.03 ,$2.05 ,$6.35 ,$2.05 ,$5.71 ,$5.71 ,$2.05 ,$5.71 ,$4.22 ,$8.34 , N/A ,$2.05 ,$7.71 ,$7.62 ,$2.05 ,$6.80 ,$7.26 ,$7.26 ,$2.05 ,$7.26 ,$7.89 ,$7.89 ,$7.89 ,$8.16 ,$5.23 ,$2.05 ,$9.07 ,$5.09 ,$2.05 ,$3.76 , N/A , N/A ,$2.15 ,$7.71 ,$5.71 ,$2.54 ,$8.16 ,$7.89 ,$7.26 ,$7.26 ,$2.05 ,$5.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING GAUZE IODOFORM 1/2,272,1 ,$13.77 ,$9.91 ,$3.11 ,$13.77 ,$7.93 ,$9.91 ,$7.49 ,$3.11 ,$3.86 ,$9.16 ,$3.11 ,$9.64 ,$3.11 ,$8.68 ,$8.68 ,$3.11 ,$8.68 ,$6.40 ,$12.67 , N/A ,$3.11 ,$11.70 ,$11.57 ,$3.11 ,$10.33 ,$11.02 ,$11.02 ,$3.11 ,$11.02 ,$11.98 ,$11.98 ,$11.98 ,$12.39 ,$7.93 ,$3.11 ,$13.77 ,$7.73 ,$3.11 ,$5.70 , N/A , N/A ,$3.26 ,$11.70 ,$8.68 ,$3.86 ,$12.39 ,$11.98 ,$11.02 ,$11.02 ,$3.11 ,$8.95 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING GAUZE IODOFORM 1/4,272,1 ,$11.77 ,$8.47 ,$2.66 ,$11.77 ,$6.78 ,$8.47 ,$6.40 ,$2.66 ,$3.30 ,$7.83 ,$2.66 ,$8.24 ,$2.66 ,$7.42 ,$7.42 ,$2.66 ,$7.42 ,$5.47 ,$10.83 , N/A ,$2.66 ,$10.00 ,$9.89 ,$2.66 ,$8.83 ,$9.42 ,$9.42 ,$2.66 ,$9.42 ,$10.24 ,$10.24 ,$10.24 ,$10.59 ,$6.78 ,$2.66 ,$11.77 ,$6.60 ,$2.66 ,$4.87 , N/A , N/A ,$2.79 ,$10.00 ,$7.42 ,$3.30 ,$10.59 ,$10.24 ,$9.42 ,$9.42 ,$2.66 ,$7.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING GLASSCOCK EAR,272,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 , N/A ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 , N/A , N/A ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING HYDROCOLLOID PRESERVATIVE FREE CLEAR STERILE DUODERM HYDROACTIVE GEL 15GM,272,1 ,$6.27 ,$4.51 ,$1.41 ,$6.27 ,$3.60 ,$4.51 ,$3.41 ,$1.41 ,$1.76 ,$4.17 ,$1.41 ,$4.39 ,$1.41 ,$3.95 ,$3.95 ,$1.41 ,$3.95 ,$2.91 ,$5.77 , N/A ,$1.41 ,$5.33 ,$5.27 ,$1.41 ,$4.70 ,$5.02 ,$5.02 ,$1.41 ,$5.02 ,$5.45 ,$5.45 ,$5.45 ,$5.64 ,$3.60 ,$1.41 ,$6.27 ,$3.52 ,$1.41 ,$2.60 , N/A , N/A ,$1.48 ,$5.33 ,$3.95 ,$1.76 ,$5.64 ,$5.45 ,$5.02 ,$5.02 ,$1.41 ,$4.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING HYDROCOLLOID SQUARE 5.5X5.5IN DUODERM SIGNAL ADHESIVE TAPER EDGE CHANGE INDICATOR OUTER FILM STERILE LATEX FREE BEIGE,272,1 ,$9.52 ,$6.85 ,$2.15 ,$9.52 ,$5.48 ,$6.85 ,$5.18 ,$2.15 ,$2.67 ,$6.33 ,$2.15 ,$6.66 ,$2.15 ,$6.00 ,$6.00 ,$2.15 ,$6.00 ,$4.42 ,$8.76 , N/A ,$2.15 ,$8.09 ,$8.00 ,$2.15 ,$7.14 ,$7.62 ,$7.62 ,$2.15 ,$7.62 ,$8.28 ,$8.28 ,$8.28 ,$8.57 ,$5.48 ,$2.15 ,$9.52 ,$5.34 ,$2.15 ,$3.94 , N/A , N/A ,$2.25 ,$8.09 ,$6.00 ,$2.67 ,$8.57 ,$8.28 ,$7.62 ,$7.62 ,$2.15 ,$6.19 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING HYDROCOLLOID XTHIN OVAL 1.75X1.5IN DUODERM SPOT VAPOR PERMEABLE OUTER FILM LATEX FREE,272,1 ,$1.10 ,$0.79 ,$0.24 ,$1.10 ,$0.63 ,$0.79 ,$0.60 ,$0.24 ,$0.31 ,$0.73 ,$0.24 ,$0.77 ,$0.24 ,$0.69 ,$0.69 ,$0.24 ,$0.69 ,$0.51 ,$1.01 , N/A ,$0.24 ,$0.94 ,$0.92 ,$0.24 ,$0.83 ,$0.88 ,$0.88 ,$0.24 ,$0.88 ,$0.96 ,$0.96 ,$0.96 ,$0.99 ,$0.63 ,$0.24 ,$1.10 ,$0.62 ,$0.24 ,$0.46 , N/A , N/A ,$0.25 ,$0.94 ,$0.69 ,$0.31 ,$0.99 ,$0.96 ,$0.88 ,$0.88 ,$0.24 ,$0.72 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BLADE 10 BARD-PARKER RIB-BACK SAFETYLOCK CARBON STEEL SURGICAL STERILE LATEX FREE DISPOSABLE,272,1 ,$1.10 ,$0.79 ,$0.24 ,$1.10 ,$0.63 ,$0.79 ,$0.60 ,$0.24 ,$0.31 ,$0.73 ,$0.24 ,$0.77 ,$0.24 ,$0.69 ,$0.69 ,$0.24 ,$0.69 ,$0.51 ,$1.01 , N/A ,$0.24 ,$0.94 ,$0.92 ,$0.24 ,$0.83 ,$0.88 ,$0.88 ,$0.24 ,$0.88 ,$0.96 ,$0.96 ,$0.96 ,$0.99 ,$0.63 ,$0.24 ,$1.10 ,$0.62 ,$0.24 ,$0.46 , N/A , N/A ,$0.25 ,$0.94 ,$0.69 ,$0.31 ,$0.99 ,$0.96 ,$0.88 ,$0.88 ,$0.24 ,$0.72 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING HYDROCOLLOID XTHIN SQUARE 4X4IN DUODERM VAPOR PERMEABLE FILM FLEXIBLE MOISTURE RESISTANT TRANSLUCENT BACK STERILE LATEX FREE ULCER BEIGE,272,1 ,$3.05 ,$2.20 ,$0.69 ,$3.05 ,$1.75 ,$2.20 ,$1.66 ,$0.69 ,$0.85 ,$2.03 ,$0.69 ,$2.14 ,$0.69 ,$1.92 ,$1.92 ,$0.69 ,$1.92 ,$1.41 ,$2.81 , N/A ,$0.69 ,$2.59 ,$2.56 ,$0.69 ,$2.29 ,$2.44 ,$2.44 ,$0.69 ,$2.44 ,$2.65 ,$2.65 ,$2.65 ,$2.75 ,$1.75 ,$0.69 ,$3.05 ,$1.71 ,$0.69 ,$1.26 , N/A , N/A ,$0.73 ,$2.59 ,$1.92 ,$0.85 ,$2.75 ,$2.65 ,$2.44 ,$2.44 ,$0.69 ,$1.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING KERLIX 4.5IN STERILE,272,1 ,$1.32 ,$0.95 ,$0.29 ,$1.32 ,$0.75 ,$0.95 ,$0.72 ,$0.29 ,$0.37 ,$0.88 ,$0.29 ,$0.92 ,$0.29 ,$0.83 ,$0.83 ,$0.29 ,$0.83 ,$0.61 ,$1.21 , N/A ,$0.29 ,$1.12 ,$1.11 ,$0.29 ,$0.99 ,$1.06 ,$1.06 ,$0.29 ,$1.06 ,$1.15 ,$1.15 ,$1.15 ,$1.19 ,$0.75 ,$0.29 ,$1.32 ,$0.74 ,$0.29 ,$0.55 , N/A , N/A ,$0.31 ,$1.12 ,$0.83 ,$0.37 ,$1.19 ,$1.15 ,$1.06 ,$1.06 ,$0.29 ,$0.86 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING LARGE TELFA,272,1 ,$0.50 ,$0.36 ,$0.12 ,$0.50 ,$0.30 ,$0.36 ,$0.27 ,$0.12 ,$0.14 ,$0.33 ,$0.12 ,$0.35 ,$0.12 ,$0.32 ,$0.32 ,$0.12 ,$0.32 ,$0.24 ,$0.46 , N/A ,$0.12 ,$0.43 ,$0.42 ,$0.12 ,$0.38 ,$0.40 ,$0.40 ,$0.12 ,$0.40 ,$0.44 ,$0.44 ,$0.44 ,$0.45 ,$0.30 ,$0.12 ,$0.50 ,$0.28 ,$0.12 ,$0.21 , N/A , N/A ,$0.13 ,$0.43 ,$0.32 ,$0.14 ,$0.45 ,$0.44 ,$0.40 ,$0.40 ,$0.12 ,$0.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING MASTISOL 2/3CC,272,1 ,$4.71 ,$3.39 ,$1.06 ,$4.71 ,$2.70 ,$3.39 ,$2.56 ,$1.06 ,$1.32 ,$3.13 ,$1.06 ,$3.30 ,$1.06 ,$2.97 ,$2.97 ,$1.06 ,$2.97 ,$2.18 ,$4.33 , N/A ,$1.06 ,$4.00 ,$3.96 ,$1.06 ,$3.53 ,$3.77 ,$3.77 ,$1.06 ,$3.77 ,$4.10 ,$4.10 ,$4.10 ,$4.24 ,$2.70 ,$1.06 ,$4.71 ,$2.64 ,$1.06 ,$1.95 , N/A , N/A ,$1.11 ,$4.00 ,$2.97 ,$1.32 ,$4.24 ,$4.10 ,$3.77 ,$3.77 ,$1.06 ,$3.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING MEDLINE ACE WRAP 2,272,1 ,$0.77 ,$0.55 ,$0.18 ,$0.77 ,$0.45 ,$0.55 ,$0.42 ,$0.18 ,$0.22 ,$0.51 ,$0.18 ,$0.54 ,$0.18 ,$0.49 ,$0.49 ,$0.18 ,$0.49 ,$0.36 ,$0.71 , N/A ,$0.18 ,$0.65 ,$0.65 ,$0.18 ,$0.58 ,$0.62 ,$0.62 ,$0.18 ,$0.62 ,$0.67 ,$0.67 ,$0.67 ,$0.69 ,$0.45 ,$0.18 ,$0.77 ,$0.43 ,$0.18 ,$0.32 , N/A , N/A ,$0.19 ,$0.65 ,$0.49 ,$0.22 ,$0.69 ,$0.67 ,$0.62 ,$0.62 ,$0.18 ,$0.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE BD SAFETYGLIDE .5IN 27GA 1ML LATEX FREE STERILE REGULAR BEVEL PERMANENT ATTACH NEEDLE SHIELD MECHANISM TUBERCULIN POLYPROPYLENE DISPOSABLE GRAY,272,1 ,$0.77 ,$0.55 ,$0.18 ,$0.77 ,$0.45 ,$0.55 ,$0.42 ,$0.18 ,$0.22 ,$0.51 ,$0.18 ,$0.54 ,$0.18 ,$0.49 ,$0.49 ,$0.18 ,$0.49 ,$0.36 ,$0.71 , N/A ,$0.18 ,$0.65 ,$0.65 ,$0.18 ,$0.58 ,$0.62 ,$0.62 ,$0.18 ,$0.62 ,$0.67 ,$0.67 ,$0.67 ,$0.69 ,$0.45 ,$0.18 ,$0.77 ,$0.43 ,$0.18 ,$0.32 , N/A , N/A ,$0.19 ,$0.65 ,$0.49 ,$0.22 ,$0.69 ,$0.67 ,$0.62 ,$0.62 ,$0.18 ,$0.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING MEDLINE ACE WRAP 3,272,1 ,$1.04 ,$0.75 ,$0.24 ,$1.04 ,$0.60 ,$0.75 ,$0.57 ,$0.24 ,$0.29 ,$0.69 ,$0.24 ,$0.73 ,$0.24 ,$0.66 ,$0.66 ,$0.24 ,$0.66 ,$0.48 ,$0.96 , N/A ,$0.24 ,$0.88 ,$0.87 ,$0.24 ,$0.78 ,$0.83 ,$0.83 ,$0.24 ,$0.83 ,$0.90 ,$0.90 ,$0.90 ,$0.94 ,$0.60 ,$0.24 ,$1.04 ,$0.58 ,$0.24 ,$0.43 , N/A , N/A ,$0.24 ,$0.88 ,$0.66 ,$0.29 ,$0.94 ,$0.90 ,$0.83 ,$0.83 ,$0.24 ,$0.68 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE TB W/LUER LOCK 27G,272,1 ,$1.04 ,$0.75 ,$0.24 ,$1.04 ,$0.60 ,$0.75 ,$0.57 ,$0.24 ,$0.29 ,$0.69 ,$0.24 ,$0.73 ,$0.24 ,$0.66 ,$0.66 ,$0.24 ,$0.66 ,$0.48 ,$0.96 , N/A ,$0.24 ,$0.88 ,$0.87 ,$0.24 ,$0.78 ,$0.83 ,$0.83 ,$0.24 ,$0.83 ,$0.90 ,$0.90 ,$0.90 ,$0.94 ,$0.60 ,$0.24 ,$1.04 ,$0.58 ,$0.24 ,$0.43 , N/A , N/A ,$0.24 ,$0.88 ,$0.66 ,$0.29 ,$0.94 ,$0.90 ,$0.83 ,$0.83 ,$0.24 ,$0.68 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING MEDLINE ACE WRAP 4,272,1 ,$1.24 ,$0.89 ,$0.28 ,$1.24 ,$0.73 ,$0.89 ,$0.67 ,$0.28 ,$0.35 ,$0.82 ,$0.28 ,$0.87 ,$0.28 ,$0.78 ,$0.78 ,$0.28 ,$0.78 ,$0.59 ,$1.14 , N/A ,$0.28 ,$1.05 ,$1.04 ,$0.28 ,$0.93 ,$0.99 ,$0.99 ,$0.28 ,$0.99 ,$1.08 ,$1.08 ,$1.08 ,$1.12 ,$0.73 ,$0.28 ,$1.24 ,$0.70 ,$0.28 ,$0.51 , N/A , N/A ,$0.29 ,$1.05 ,$0.78 ,$0.35 ,$1.12 ,$1.08 ,$0.99 ,$0.99 ,$0.28 ,$0.81 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING MEDLINE ACE WRAP 6,272,1 ,$1.83 ,$1.32 ,$0.41 ,$1.83 ,$1.05 ,$1.32 ,$1.00 ,$0.41 ,$0.51 ,$1.22 ,$0.41 ,$1.28 ,$0.41 ,$1.15 ,$1.15 ,$0.41 ,$1.15 ,$0.85 ,$1.68 , N/A ,$0.41 ,$1.56 ,$1.54 ,$0.41 ,$1.37 ,$1.46 ,$1.46 ,$0.41 ,$1.46 ,$1.59 ,$1.59 ,$1.59 ,$1.65 ,$1.05 ,$0.41 ,$1.83 ,$1.03 ,$0.41 ,$0.76 , N/A , N/A ,$0.43 ,$1.56 ,$1.15 ,$0.51 ,$1.65 ,$1.59 ,$1.46 ,$1.46 ,$0.41 ,$1.19 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING PRIMAPORE 13.75X4,272,1 ,$4.29 ,$3.09 ,$0.97 ,$4.29 ,$2.48 ,$3.09 ,$2.33 ,$0.97 ,$1.20 ,$2.85 ,$0.97 ,$3.00 ,$0.97 ,$2.70 ,$2.70 ,$0.97 ,$2.70 ,$2.00 ,$3.95 , N/A ,$0.97 ,$3.65 ,$3.60 ,$0.97 ,$3.22 ,$3.43 ,$3.43 ,$0.97 ,$3.43 ,$3.73 ,$3.73 ,$3.73 ,$3.86 ,$2.48 ,$0.97 ,$4.29 ,$2.41 ,$0.97 ,$1.78 , N/A , N/A ,$1.02 ,$3.65 ,$2.70 ,$1.20 ,$3.86 ,$3.73 ,$3.43 ,$3.43 ,$0.97 ,$2.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE NASOGASTRIC 48IN 16FR 1 LUMEN 4 EYE RADIOPAQUE ROUND TIP CLEAR LEVIN TYPE PVC NONSTERILE LATEX FREE,272,1 ,$4.29 ,$3.09 ,$0.97 ,$4.29 ,$2.48 ,$3.09 ,$2.33 ,$0.97 ,$1.20 ,$2.85 ,$0.97 ,$3.00 ,$0.97 ,$2.70 ,$2.70 ,$0.97 ,$2.70 ,$2.00 ,$3.95 , N/A ,$0.97 ,$3.65 ,$3.60 ,$0.97 ,$3.22 ,$3.43 ,$3.43 ,$0.97 ,$3.43 ,$3.73 ,$3.73 ,$3.73 ,$3.86 ,$2.48 ,$0.97 ,$4.29 ,$2.41 ,$0.97 ,$1.78 , N/A , N/A ,$1.02 ,$3.65 ,$2.70 ,$1.20 ,$3.86 ,$3.73 ,$3.43 ,$3.43 ,$0.97 ,$2.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING PRIMAPORE 8X4,272,1 ,$2.09 ,$1.50 ,$0.47 ,$2.09 ,$1.20 ,$1.50 ,$1.14 ,$0.47 ,$0.59 ,$1.39 ,$0.47 ,$1.46 ,$0.47 ,$1.32 ,$1.32 ,$0.47 ,$1.32 ,$0.97 ,$1.92 , N/A ,$0.47 ,$1.78 ,$1.76 ,$0.47 ,$1.57 ,$1.67 ,$1.67 ,$0.47 ,$1.67 ,$1.82 ,$1.82 ,$1.82 ,$1.88 ,$1.20 ,$0.47 ,$2.09 ,$1.17 ,$0.47 ,$0.87 , N/A , N/A ,$0.49 ,$1.78 ,$1.32 ,$0.59 ,$1.88 ,$1.82 ,$1.67 ,$1.67 ,$0.47 ,$1.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING SACRAL 8X7IN ABSORBENT PAD ADHESIVE WATERPROOF BACTERIAL BARRIER SILICONE LATEX FREE AQUACEL FOAM,272,1 ,$13.00 ,$9.36 ,$2.93 ,$13.00 ,$7.48 ,$9.36 ,$7.07 ,$2.93 ,$3.64 ,$8.65 ,$2.93 ,$9.10 ,$2.93 ,$8.19 ,$8.19 ,$2.93 ,$8.19 ,$6.04 ,$11.96 , N/A ,$2.93 ,$11.05 ,$10.92 ,$2.93 ,$9.75 ,$10.40 ,$10.40 ,$2.93 ,$10.40 ,$11.31 ,$11.31 ,$11.31 ,$11.70 ,$7.48 ,$2.93 ,$13.00 ,$7.29 ,$2.93 ,$5.38 , N/A , N/A ,$3.08 ,$11.05 ,$8.19 ,$3.64 ,$11.70 ,$11.31 ,$10.40 ,$10.40 ,$2.93 ,$8.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING SECUREMENT 4.75X4IN TEGADERM INTRAVENOUS FILM TAPE STRIP STERILE LATEX FREE,272,1 ,$2.90 ,$2.09 ,$0.66 ,$2.90 ,$1.68 ,$2.09 ,$1.58 ,$0.66 ,$0.81 ,$1.93 ,$0.66 ,$2.03 ,$0.66 ,$1.83 ,$1.83 ,$0.66 ,$1.83 ,$1.35 ,$2.67 , N/A ,$0.66 ,$2.47 ,$2.44 ,$0.66 ,$2.18 ,$2.32 ,$2.32 ,$0.66 ,$2.32 ,$2.52 ,$2.52 ,$2.52 ,$2.61 ,$1.68 ,$0.66 ,$2.90 ,$1.63 ,$0.66 ,$1.20 , N/A , N/A ,$0.69 ,$2.47 ,$1.83 ,$0.81 ,$2.61 ,$2.52 ,$2.32 ,$2.32 ,$0.66 ,$1.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING SPONGE MEDLINE 4X4,272,1 ,$0.99 ,$0.71 ,$0.23 ,$0.99 ,$0.58 ,$0.71 ,$0.54 ,$0.23 ,$0.28 ,$0.66 ,$0.23 ,$0.69 ,$0.23 ,$0.62 ,$0.62 ,$0.23 ,$0.62 ,$0.46 ,$0.91 , N/A ,$0.23 ,$0.84 ,$0.83 ,$0.23 ,$0.74 ,$0.79 ,$0.79 ,$0.23 ,$0.79 ,$0.86 ,$0.86 ,$0.86 ,$0.89 ,$0.58 ,$0.23 ,$0.99 ,$0.56 ,$0.23 ,$0.41 , N/A , N/A ,$0.24 ,$0.84 ,$0.62 ,$0.28 ,$0.89 ,$0.86 ,$0.79 ,$0.79 ,$0.23 ,$0.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CLAMP OSTOMY LF,272,1 ,$0.99 ,$0.71 ,$0.23 ,$0.99 ,$0.58 ,$0.71 ,$0.54 ,$0.23 ,$0.28 ,$0.66 ,$0.23 ,$0.69 ,$0.23 ,$0.62 ,$0.62 ,$0.23 ,$0.62 ,$0.46 ,$0.91 , N/A ,$0.23 ,$0.84 ,$0.83 ,$0.23 ,$0.74 ,$0.79 ,$0.79 ,$0.23 ,$0.79 ,$0.86 ,$0.86 ,$0.86 ,$0.89 ,$0.58 ,$0.23 ,$0.99 ,$0.56 ,$0.23 ,$0.41 , N/A , N/A ,$0.24 ,$0.84 ,$0.62 ,$0.28 ,$0.89 ,$0.86 ,$0.79 ,$0.79 ,$0.23 ,$0.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING TEGADERM 4.0IN X 4.5IN LF,272,1 ,$1.94 ,$1.40 ,$0.44 ,$1.94 ,$1.13 ,$1.40 ,$1.06 ,$0.44 ,$0.54 ,$1.29 ,$0.44 ,$1.36 ,$0.44 ,$1.22 ,$1.22 ,$0.44 ,$1.22 ,$0.91 ,$1.78 , N/A ,$0.44 ,$1.65 ,$1.63 ,$0.44 ,$1.46 ,$1.55 ,$1.55 ,$0.44 ,$1.55 ,$1.69 ,$1.69 ,$1.69 ,$1.75 ,$1.13 ,$0.44 ,$1.94 ,$1.09 ,$0.44 ,$0.80 , N/A , N/A ,$0.46 ,$1.65 ,$1.22 ,$0.54 ,$1.75 ,$1.69 ,$1.55 ,$1.55 ,$0.44 ,$1.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING TEGADERM 4X10,272,1 ,$3.09 ,$2.22 ,$0.70 ,$3.09 ,$1.78 ,$2.22 ,$1.68 ,$0.70 ,$0.87 ,$2.05 ,$0.70 ,$2.16 ,$0.70 ,$1.95 ,$1.95 ,$0.70 ,$1.95 ,$1.43 ,$2.84 , N/A ,$0.70 ,$2.63 ,$2.60 ,$0.70 ,$2.32 ,$2.47 ,$2.47 ,$0.70 ,$2.47 ,$2.69 ,$2.69 ,$2.69 ,$2.78 ,$1.78 ,$0.70 ,$3.09 ,$1.73 ,$0.70 ,$1.28 , N/A , N/A ,$0.73 ,$2.63 ,$1.95 ,$0.87 ,$2.78 ,$2.69 ,$2.47 ,$2.47 ,$0.70 ,$2.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING EXTENSION 18IN CONNECTOR STRAP REUSABLE,272,1 ,$3.09 ,$2.22 ,$0.70 ,$3.09 ,$1.78 ,$2.22 ,$1.68 ,$0.70 ,$0.87 ,$2.05 ,$0.70 ,$2.16 ,$0.70 ,$1.95 ,$1.95 ,$0.70 ,$1.95 ,$1.43 ,$2.84 , N/A ,$0.70 ,$2.63 ,$2.60 ,$0.70 ,$2.32 ,$2.47 ,$2.47 ,$0.70 ,$2.47 ,$2.69 ,$2.69 ,$2.69 ,$2.78 ,$1.78 ,$0.70 ,$3.09 ,$1.73 ,$0.70 ,$1.28 , N/A , N/A ,$0.73 ,$2.63 ,$1.95 ,$0.87 ,$2.78 ,$2.69 ,$2.47 ,$2.47 ,$0.70 ,$2.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING TELFA 3IN X 8IN,272,1 ,$0.24 ,$0.17 ,$0.06 ,$0.24 ,$0.15 ,$0.17 ,$0.13 ,$0.06 ,$0.07 ,$0.16 ,$0.06 ,$0.17 ,$0.06 ,$0.15 ,$0.15 ,$0.06 ,$0.15 ,$0.12 ,$0.22 , N/A ,$0.06 ,$0.20 ,$0.20 ,$0.06 ,$0.18 ,$0.19 ,$0.19 ,$0.06 ,$0.19 ,$0.21 ,$0.21 ,$0.21 ,$0.22 ,$0.15 ,$0.06 ,$0.24 ,$0.13 ,$0.06 ,$0.10 , N/A , N/A ,$0.06 ,$0.20 ,$0.15 ,$0.07 ,$0.22 ,$0.21 ,$0.19 ,$0.19 ,$0.06 ,$0.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING TRACH 4 X 4,272,1 ,$2.38 ,$1.71 ,$0.54 ,$2.38 ,$1.38 ,$1.71 ,$1.29 ,$0.54 ,$0.67 ,$1.58 ,$0.54 ,$1.67 ,$0.54 ,$1.50 ,$1.50 ,$0.54 ,$1.50 ,$1.11 ,$2.19 , N/A ,$0.54 ,$2.02 ,$2.00 ,$0.54 ,$1.79 ,$1.90 ,$1.90 ,$0.54 ,$1.90 ,$2.07 ,$2.07 ,$2.07 ,$2.14 ,$1.38 ,$0.54 ,$2.38 ,$1.34 ,$0.54 ,$0.99 , N/A , N/A ,$0.57 ,$2.02 ,$1.50 ,$0.67 ,$2.14 ,$2.07 ,$1.90 ,$1.90 ,$0.54 ,$1.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING VAC GRANUFOAM 10X7.5CM SMALL,272,1 ,$85.57 ,$61.61 ,$19.29 ,$85.57 ,$49.20 ,$61.61 ,$46.55 ,$19.29 ,$23.96 ,$56.90 ,$19.29 ,$59.90 ,$19.29 ,$53.91 ,$53.91 ,$19.29 ,$53.91 ,$39.75 ,$78.72 , N/A ,$19.29 ,$72.73 ,$71.88 ,$19.29 ,$64.18 ,$68.46 ,$68.46 ,$19.29 ,$68.46 ,$74.45 ,$74.45 ,$74.45 ,$77.01 ,$49.20 ,$19.29 ,$85.57 ,$48.00 ,$19.29 ,$35.43 , N/A , N/A ,$20.25 ,$72.73 ,$53.91 ,$23.96 ,$77.01 ,$74.45 ,$68.46 ,$68.46 ,$19.29 ,$55.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING VAC GRANUFOAM BLACK 18X12.5CM,272,1 ,$107.79 ,$77.61 ,$24.29 ,$107.79 ,$61.98 ,$77.61 ,$58.64 ,$24.29 ,$30.18 ,$71.68 ,$24.29 ,$75.45 ,$24.29 ,$67.91 ,$67.91 ,$24.29 ,$67.91 ,$50.08 ,$99.17 , N/A ,$24.29 ,$91.62 ,$90.54 ,$24.29 ,$80.84 ,$86.23 ,$86.23 ,$24.29 ,$86.23 ,$93.78 ,$93.78 ,$93.78 ,$97.01 ,$61.98 ,$24.29 ,$107.79 ,$60.47 ,$24.29 ,$44.63 , N/A , N/A ,$25.51 ,$91.62 ,$67.91 ,$30.18 ,$97.01 ,$93.78 ,$86.23 ,$86.23 ,$24.29 ,$70.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING VAC GRANUFOAM LARGE 26X15CM,272,1 ,$130.01 ,$93.61 ,$29.30 ,$130.01 ,$74.75 ,$93.61 ,$70.73 ,$29.30 ,$36.40 ,$86.46 ,$29.30 ,$91.01 ,$29.30 ,$81.91 ,$81.91 ,$29.30 ,$81.91 ,$60.40 ,$119.61 , N/A ,$29.30 ,$110.51 ,$109.21 ,$29.30 ,$97.51 ,$104.01 ,$104.01 ,$29.30 ,$104.01 ,$113.11 ,$113.11 ,$113.11 ,$117.01 ,$74.75 ,$29.30 ,$130.01 ,$72.94 ,$29.30 ,$53.82 , N/A , N/A ,$30.77 ,$110.51 ,$81.91 ,$36.40 ,$117.01 ,$113.11 ,$104.01 ,$104.01 ,$29.30 ,$84.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING WEBRIL 4 UNSTERILE,272,1 ,$4.77 ,$3.43 ,$1.08 ,$4.77 ,$2.75 ,$3.43 ,$2.59 ,$1.08 ,$1.34 ,$3.17 ,$1.08 ,$3.34 ,$1.08 ,$3.01 ,$3.01 ,$1.08 ,$3.01 ,$2.22 ,$4.39 , N/A ,$1.08 ,$4.05 ,$4.01 ,$1.08 ,$3.58 ,$3.82 ,$3.82 ,$1.08 ,$3.82 ,$4.15 ,$4.15 ,$4.15 ,$4.29 ,$2.75 ,$1.08 ,$4.77 ,$2.68 ,$1.08 ,$1.97 , N/A , N/A ,$1.14 ,$4.05 ,$3.01 ,$1.34 ,$4.29 ,$4.15 ,$3.82 ,$3.82 ,$1.08 ,$3.10 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING XEROFORM 1 X 8,272,1 ,$2.28 ,$1.64 ,$0.51 ,$2.28 ,$1.30 ,$1.64 ,$1.24 ,$0.51 ,$0.64 ,$1.52 ,$0.51 ,$1.60 ,$0.51 ,$1.44 ,$1.44 ,$0.51 ,$1.44 ,$1.05 ,$2.10 , N/A ,$0.51 ,$1.94 ,$1.92 ,$0.51 ,$1.71 ,$1.82 ,$1.82 ,$0.51 ,$1.82 ,$1.98 ,$1.98 ,$1.98 ,$2.05 ,$1.30 ,$0.51 ,$2.28 ,$1.28 ,$0.51 ,$0.94 , N/A , N/A ,$0.54 ,$1.94 ,$1.44 ,$0.64 ,$2.05 ,$1.98 ,$1.82 ,$1.82 ,$0.51 ,$1.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING XEROFORM 5 X 9,272,1 ,$4.62 ,$3.33 ,$1.04 ,$4.62 ,$2.65 ,$3.33 ,$2.51 ,$1.04 ,$1.29 ,$3.07 ,$1.04 ,$3.23 ,$1.04 ,$2.91 ,$2.91 ,$1.04 ,$2.91 ,$2.14 ,$4.25 , N/A ,$1.04 ,$3.93 ,$3.88 ,$1.04 ,$3.47 ,$3.70 ,$3.70 ,$1.04 ,$3.70 ,$4.02 ,$4.02 ,$4.02 ,$4.16 ,$2.65 ,$1.04 ,$4.62 ,$2.59 ,$1.04 ,$1.91 , N/A , N/A ,$1.09 ,$3.93 ,$2.91 ,$1.29 ,$4.16 ,$4.02 ,$3.70 ,$3.70 ,$1.04 ,$3.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BANDAGE 5YDX5IN SPECIALIST PLASTER OF PARIS SMOOTH FINISH EXTRA FAST SET LATEX FREE PLASTER,272,1 ,$4.62 ,$3.33 ,$1.04 ,$4.62 ,$2.65 ,$3.33 ,$2.51 ,$1.04 ,$1.29 ,$3.07 ,$1.04 ,$3.23 ,$1.04 ,$2.91 ,$2.91 ,$1.04 ,$2.91 ,$2.14 ,$4.25 , N/A ,$1.04 ,$3.93 ,$3.88 ,$1.04 ,$3.47 ,$3.70 ,$3.70 ,$1.04 ,$3.70 ,$4.02 ,$4.02 ,$4.02 ,$4.16 ,$2.65 ,$1.04 ,$4.62 ,$2.59 ,$1.04 ,$1.91 , N/A , N/A ,$1.09 ,$3.93 ,$2.91 ,$1.29 ,$4.16 ,$4.02 ,$3.70 ,$3.70 ,$1.04 ,$3.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL ACUMED LONG STANDARD,272,1 ,"$1,149.00 ",$827.28 ,$258.98 ,"$1,149.00 ",$660.68 ,$827.28 ,$625.06 ,$258.98 ,$321.72 ,$764.09 ,$258.98 ,$804.30 ,$258.98 ,$723.87 ,$723.87 ,$258.98 ,$723.87 ,$533.83 ,"$1,057.08 ", N/A ,$258.98 ,$976.65 ,$965.16 ,$258.98 ,$861.75 ,$919.20 ,$919.20 ,$258.98 ,$919.20 ,$999.63 ,$999.63 ,$999.63 ,"$1,034.10 ",$660.68 ,$258.98 ,"$1,149.00 ",$644.59 ,$258.98 ,$475.69 , N/A , N/A ,$271.93 ,$976.65 ,$723.87 ,$321.72 ,"$1,034.10 ",$999.63 ,$919.20 ,$919.20 ,$258.98 ,$746.85 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT ARTHREX 2.0MM,272,1 ,$285.00 ,$205.20 ,$64.24 ,$285.00 ,$163.88 ,$205.20 ,$155.04 ,$64.24 ,$79.80 ,$189.53 ,$64.24 ,$199.50 ,$64.24 ,$179.55 ,$179.55 ,$64.24 ,$179.55 ,$132.41 ,$262.20 , N/A ,$64.24 ,$242.25 ,$239.40 ,$64.24 ,$213.75 ,$228.00 ,$228.00 ,$64.24 ,$228.00 ,$247.95 ,$247.95 ,$247.95 ,$256.50 ,$163.88 ,$64.24 ,$285.00 ,$159.89 ,$64.24 ,$117.99 , N/A , N/A ,$67.45 ,$242.25 ,$179.55 ,$79.80 ,$256.50 ,$247.95 ,$228.00 ,$228.00 ,$64.24 ,$185.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT ARTHREX 2.5MM CALIBRATED,272,1 ,$255.00 ,$183.60 ,$57.48 ,$255.00 ,$146.63 ,$183.60 ,$138.72 ,$57.48 ,$71.40 ,$169.58 ,$57.48 ,$178.50 ,$57.48 ,$160.65 ,$160.65 ,$57.48 ,$160.65 ,$118.47 ,$234.60 , N/A ,$57.48 ,$216.75 ,$214.20 ,$57.48 ,$191.25 ,$204.00 ,$204.00 ,$57.48 ,$204.00 ,$221.85 ,$221.85 ,$221.85 ,$229.50 ,$146.63 ,$57.48 ,$255.00 ,$143.06 ,$57.48 ,$105.57 , N/A , N/A ,$60.35 ,$216.75 ,$160.65 ,$71.40 ,$229.50 ,$221.85 ,$204.00 ,$204.00 ,$57.48 ,$165.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT ARTHREX 2.5MM,272,1 ,$255.00 ,$183.60 ,$57.48 ,$255.00 ,$146.63 ,$183.60 ,$138.72 ,$57.48 ,$71.40 ,$169.58 ,$57.48 ,$178.50 ,$57.48 ,$160.65 ,$160.65 ,$57.48 ,$160.65 ,$118.47 ,$234.60 , N/A ,$57.48 ,$216.75 ,$214.20 ,$57.48 ,$191.25 ,$204.00 ,$204.00 ,$57.48 ,$204.00 ,$221.85 ,$221.85 ,$221.85 ,$229.50 ,$146.63 ,$57.48 ,$255.00 ,$143.06 ,$57.48 ,$105.57 , N/A , N/A ,$60.35 ,$216.75 ,$160.65 ,$71.40 ,$229.50 ,$221.85 ,$204.00 ,$204.00 ,$57.48 ,$165.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT ARTHREX 3.0 STEP,272,1 ,$240.00 ,$172.80 ,$54.10 ,$240.00 ,$138.00 ,$172.80 ,$130.56 ,$54.10 ,$67.20 ,$159.60 ,$54.10 ,$168.00 ,$54.10 ,$151.20 ,$151.20 ,$54.10 ,$151.20 ,$111.50 ,$220.80 , N/A ,$54.10 ,$204.00 ,$201.60 ,$54.10 ,$180.00 ,$192.00 ,$192.00 ,$54.10 ,$192.00 ,$208.80 ,$208.80 ,$208.80 ,$216.00 ,$138.00 ,$54.10 ,$240.00 ,$134.64 ,$54.10 ,$99.36 , N/A , N/A ,$56.80 ,$204.00 ,$151.20 ,$67.20 ,$216.00 ,$208.80 ,$192.00 ,$192.00 ,$54.10 ,$156.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT CANNULATED STRYKER,272,1 ,$691.20 ,$497.66 ,$155.80 ,$691.20 ,$397.45 ,$497.66 ,$376.01 ,$155.80 ,$193.54 ,$459.65 ,$155.80 ,$483.84 ,$155.80 ,$435.46 ,$435.46 ,$155.80 ,$435.46 ,$321.14 ,$635.90 , N/A ,$155.80 ,$587.52 ,$580.61 ,$155.80 ,$518.40 ,$552.96 ,$552.96 ,$155.80 ,$552.96 ,$601.34 ,$601.34 ,$601.34 ,$622.08 ,$397.45 ,$155.80 ,$691.20 ,$387.76 ,$155.80 ,$286.16 , N/A , N/A ,$163.59 ,$587.52 ,$435.46 ,$193.54 ,$622.08 ,$601.34 ,$552.96 ,$552.96 ,$155.80 ,$449.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT CENTER DEPUY,272,1 ,$549.15 ,$395.39 ,$123.77 ,$549.15 ,$315.75 ,$395.39 ,$298.74 ,$123.77 ,$153.76 ,$365.18 ,$123.77 ,$384.41 ,$123.77 ,$345.96 ,$345.96 ,$123.77 ,$345.96 ,$255.13 ,$505.22 , N/A ,$123.77 ,$466.78 ,$461.29 ,$123.77 ,$411.86 ,$439.32 ,$439.32 ,$123.77 ,$439.32 ,$477.76 ,$477.76 ,$477.76 ,$494.24 ,$315.75 ,$123.77 ,$549.15 ,$308.07 ,$123.77 ,$227.35 , N/A , N/A ,$129.97 ,$466.78 ,$345.96 ,$153.76 ,$494.24 ,$477.76 ,$439.32 ,$439.32 ,$123.77 ,$356.95 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT DEPUY 2.5,272,1 ,$217.08 ,$156.30 ,$48.93 ,$217.08 ,$124.83 ,$156.30 ,$118.09 ,$48.93 ,$60.78 ,$144.36 ,$48.93 ,$151.96 ,$48.93 ,$136.76 ,$136.76 ,$48.93 ,$136.76 ,$100.86 ,$199.71 , N/A ,$48.93 ,$184.52 ,$182.35 ,$48.93 ,$162.81 ,$173.66 ,$173.66 ,$48.93 ,$173.66 ,$188.86 ,$188.86 ,$188.86 ,$195.37 ,$124.83 ,$48.93 ,$217.08 ,$121.78 ,$48.93 ,$89.87 , N/A , N/A ,$51.38 ,$184.52 ,$136.76 ,$60.78 ,$195.37 ,$188.86 ,$173.66 ,$173.66 ,$48.93 ,$141.10 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT PERIPHERAL DEPUY,272,1 ,$368.01 ,$264.97 ,$82.95 ,$368.01 ,$211.60 ,$264.97 ,$200.20 ,$82.95 ,$103.04 ,$244.73 ,$82.95 ,$257.61 ,$82.95 ,$231.85 ,$231.85 ,$82.95 ,$231.85 ,$170.97 ,$338.57 , N/A ,$82.95 ,$312.81 ,$309.13 ,$82.95 ,$276.01 ,$294.41 ,$294.41 ,$82.95 ,$294.41 ,$320.17 ,$320.17 ,$320.17 ,$331.21 ,$211.60 ,$82.95 ,$368.01 ,$206.45 ,$82.95 ,$152.36 , N/A , N/A ,$87.09 ,$312.81 ,$231.85 ,$103.04 ,$331.21 ,$320.17 ,$294.41 ,$294.41 ,$82.95 ,$239.21 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT STRYKER 2.3MM,272,1 ,$351.42 ,$253.02 ,$79.21 ,$351.42 ,$202.08 ,$253.02 ,$191.17 ,$79.21 ,$98.40 ,$233.69 ,$79.21 ,$245.99 ,$79.21 ,$221.39 ,$221.39 ,$79.21 ,$221.39 ,$163.28 ,$323.31 , N/A ,$79.21 ,$298.71 ,$295.19 ,$79.21 ,$263.57 ,$281.14 ,$281.14 ,$79.21 ,$281.14 ,$305.74 ,$305.74 ,$305.74 ,$316.28 ,$202.08 ,$79.21 ,$351.42 ,$197.15 ,$79.21 ,$145.49 , N/A , N/A ,$83.17 ,$298.71 ,$221.39 ,$98.40 ,$316.28 ,$305.74 ,$281.14 ,$281.14 ,$79.21 ,$228.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT STRYKER 1.9MM,272,1 ,$351.42 ,$253.02 ,$79.21 ,$351.42 ,$202.08 ,$253.02 ,$191.17 ,$79.21 ,$98.40 ,$233.69 ,$79.21 ,$245.99 ,$79.21 ,$221.39 ,$221.39 ,$79.21 ,$221.39 ,$163.28 ,$323.31 , N/A ,$79.21 ,$298.71 ,$295.19 ,$79.21 ,$263.57 ,$281.14 ,$281.14 ,$79.21 ,$281.14 ,$305.74 ,$305.74 ,$305.74 ,$316.28 ,$202.08 ,$79.21 ,$351.42 ,$197.15 ,$79.21 ,$145.49 , N/A , N/A ,$83.17 ,$298.71 ,$221.39 ,$98.40 ,$316.28 ,$305.74 ,$281.14 ,$281.14 ,$79.21 ,$228.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT STRYKER GOLD 125MM 2.5MM,272,1 ,$283.20 ,$203.90 ,$63.84 ,$283.20 ,$162.85 ,$203.90 ,$154.06 ,$63.84 ,$79.30 ,$188.33 ,$63.84 ,$198.24 ,$63.84 ,$178.42 ,$178.42 ,$63.84 ,$178.42 ,$131.58 ,$260.54 , N/A ,$63.84 ,$240.72 ,$237.89 ,$63.84 ,$212.40 ,$226.56 ,$226.56 ,$63.84 ,$226.56 ,$246.38 ,$246.38 ,$246.38 ,$254.88 ,$162.85 ,$63.84 ,$283.20 ,$158.88 ,$63.84 ,$117.24 , N/A , N/A ,$67.03 ,$240.72 ,$178.42 ,$79.30 ,$254.88 ,$246.38 ,$226.56 ,$226.56 ,$63.84 ,$184.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 125MM 3.5MM SPS STANDARD TWIST AO FIT CALIBRATE NONSTERILE,272,1 ,$283.20 ,$203.90 ,$63.84 ,$283.20 ,$162.85 ,$203.90 ,$154.06 ,$63.84 ,$79.30 ,$188.33 ,$63.84 ,$198.24 ,$63.84 ,$178.42 ,$178.42 ,$63.84 ,$178.42 ,$131.58 ,$260.54 , N/A ,$63.84 ,$240.72 ,$237.89 ,$63.84 ,$212.40 ,$226.56 ,$226.56 ,$63.84 ,$226.56 ,$246.38 ,$246.38 ,$246.38 ,$254.88 ,$162.85 ,$63.84 ,$283.20 ,$158.88 ,$63.84 ,$117.24 , N/A , N/A ,$67.03 ,$240.72 ,$178.42 ,$79.30 ,$254.88 ,$246.38 ,$226.56 ,$226.56 ,$63.84 ,$184.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT STRYKER T2 3.5 X 130MM,272,1 ,$415.20 ,$298.94 ,$93.59 ,$415.20 ,$238.75 ,$298.94 ,$225.87 ,$93.59 ,$116.26 ,$276.11 ,$93.59 ,$290.64 ,$93.59 ,$261.58 ,$261.58 ,$93.59 ,$261.58 ,$192.91 ,$381.98 , N/A ,$93.59 ,$352.92 ,$348.77 ,$93.59 ,$311.40 ,$332.16 ,$332.16 ,$93.59 ,$332.16 ,$361.22 ,$361.22 ,$361.22 ,$373.68 ,$238.75 ,$93.59 ,$415.20 ,$232.93 ,$93.59 ,$171.89 , N/A , N/A ,$98.27 ,$352.92 ,$261.58 ,$116.26 ,$373.68 ,$361.22 ,$332.16 ,$332.16 ,$93.59 ,$269.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL 230MM 3.5MM T2 AO PROXIMAL HUMERAL NAIL SYSTEM STERILE,272,1 ,$415.20 ,$298.94 ,$93.59 ,$415.20 ,$238.75 ,$298.94 ,$225.87 ,$93.59 ,$116.26 ,$276.11 ,$93.59 ,$290.64 ,$93.59 ,$261.58 ,$261.58 ,$93.59 ,$261.58 ,$192.91 ,$381.98 , N/A ,$93.59 ,$352.92 ,$348.77 ,$93.59 ,$311.40 ,$332.16 ,$332.16 ,$93.59 ,$332.16 ,$361.22 ,$361.22 ,$361.22 ,$373.68 ,$238.75 ,$93.59 ,$415.20 ,$232.93 ,$93.59 ,$171.89 , N/A , N/A ,$98.27 ,$352.92 ,$261.58 ,$116.26 ,$373.68 ,$361.22 ,$332.16 ,$332.16 ,$93.59 ,$269.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT SYNTHES 1.5 QC 96MM,272,1 ,$407.19 ,$293.18 ,$91.78 ,$407.19 ,$234.13 ,$293.18 ,$221.51 ,$91.78 ,$114.01 ,$270.78 ,$91.78 ,$285.03 ,$91.78 ,$256.53 ,$256.53 ,$91.78 ,$256.53 ,$189.17 ,$374.61 , N/A ,$91.78 ,$346.11 ,$342.04 ,$91.78 ,$305.39 ,$325.75 ,$325.75 ,$91.78 ,$325.75 ,$354.26 ,$354.26 ,$354.26 ,$366.47 ,$234.13 ,$91.78 ,$407.19 ,$228.43 ,$91.78 ,$168.58 , N/A , N/A ,$96.36 ,$346.11 ,$256.53 ,$114.01 ,$366.47 ,$354.26 ,$325.75 ,$325.75 ,$91.78 ,$264.67 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT SYNTHES 2.5 QC 110MM GOLD,272,1 ,$198.45 ,$142.88 ,$44.73 ,$198.45 ,$114.10 ,$142.88 ,$107.96 ,$44.73 ,$55.57 ,$131.97 ,$44.73 ,$138.92 ,$44.73 ,$125.02 ,$125.02 ,$44.73 ,$125.02 ,$92.19 ,$182.57 , N/A ,$44.73 ,$168.68 ,$166.70 ,$44.73 ,$148.84 ,$158.76 ,$158.76 ,$44.73 ,$158.76 ,$172.65 ,$172.65 ,$172.65 ,$178.61 ,$114.10 ,$44.73 ,$198.45 ,$111.33 ,$44.73 ,$82.16 , N/A , N/A ,$46.96 ,$168.68 ,$125.02 ,$55.57 ,$178.61 ,$172.65 ,$158.76 ,$158.76 ,$44.73 ,$128.99 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT SYNTHES 2.8 QC 165MM,272,1 ,$246.96 ,$177.81 ,$55.66 ,$246.96 ,$142.00 ,$177.81 ,$134.35 ,$55.66 ,$69.15 ,$164.23 ,$55.66 ,$172.87 ,$55.66 ,$155.58 ,$155.58 ,$55.66 ,$155.58 ,$114.74 ,$227.20 , N/A ,$55.66 ,$209.92 ,$207.45 ,$55.66 ,$185.22 ,$197.57 ,$197.57 ,$55.66 ,$197.57 ,$214.86 ,$214.86 ,$214.86 ,$222.26 ,$142.00 ,$55.66 ,$246.96 ,$138.54 ,$55.66 ,$102.24 , N/A , N/A ,$58.45 ,$209.92 ,$155.58 ,$69.15 ,$222.26 ,$214.86 ,$197.57 ,$197.57 ,$55.66 ,$160.52 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT SYNTHES 5.0 QC 300MM,272,1 ,"$1,221.00 ",$879.12 ,$275.21 ,"$1,221.00 ",$702.08 ,$879.12 ,$664.22 ,$275.21 ,$341.88 ,$811.97 ,$275.21 ,$854.70 ,$275.21 ,$769.23 ,$769.23 ,$275.21 ,$769.23 ,$567.28 ,"$1,123.32 ", N/A ,$275.21 ,"$1,037.85 ","$1,025.64 ",$275.21 ,$915.75 ,$976.80 ,$976.80 ,$275.21 ,$976.80 ,"$1,062.27 ","$1,062.27 ","$1,062.27 ","$1,098.90 ",$702.08 ,$275.21 ,"$1,221.00 ",$684.98 ,$275.21 ,$505.49 , N/A , N/A ,$288.97 ,"$1,037.85 ",$769.23 ,$341.88 ,"$1,098.90 ","$1,062.27 ",$976.80 ,$976.80 ,$275.21 ,$793.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL SURGICAL CANNULATED AO COUPLING TWIST 4MM NONSTERILE,272,1 ,$716.40 ,$515.81 ,$161.47 ,$716.40 ,$411.93 ,$515.81 ,$389.72 ,$161.47 ,$200.59 ,$476.41 ,$161.47 ,$501.48 ,$161.47 ,$451.33 ,$451.33 ,$161.47 ,$451.33 ,$332.84 ,$659.09 , N/A ,$161.47 ,$608.94 ,$601.78 ,$161.47 ,$537.30 ,$573.12 ,$573.12 ,$161.47 ,$573.12 ,$623.27 ,$623.27 ,$623.27 ,$644.76 ,$411.93 ,$161.47 ,$716.40 ,$401.90 ,$161.47 ,$296.59 , N/A , N/A ,$169.55 ,$608.94 ,$451.33 ,$200.59 ,$644.76 ,$623.27 ,$573.12 ,$573.12 ,$161.47 ,$465.66 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL SURGICAL CANNULATED LARGE AO FIT ASNIS III NONSTERILE 8 MM SCREW,272,1 ,"$1,106.40 ",$796.61 ,$249.38 ,"$1,106.40 ",$636.18 ,$796.61 ,$601.88 ,$249.38 ,$309.79 ,$735.76 ,$249.38 ,$774.48 ,$249.38 ,$697.03 ,$697.03 ,$249.38 ,$697.03 ,$514.03 ,"$1,017.89 ", N/A ,$249.38 ,$940.44 ,$929.38 ,$249.38 ,$829.80 ,$885.12 ,$885.12 ,$249.38 ,$885.12 ,$962.57 ,$962.57 ,$962.57 ,$995.76 ,$636.18 ,$249.38 ,"$1,106.40 ",$620.69 ,$249.38 ,$458.05 , N/A , N/A ,$261.85 ,$940.44 ,$697.03 ,$309.79 ,$995.76 ,$962.57 ,$885.12 ,$885.12 ,$249.38 ,$719.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL SURGICAL CANNULATED LARGE AO FIT NONSTERILE 6.5 MM SCREW,272,1 ,"$1,126.80 ",$811.30 ,$253.98 ,"$1,126.80 ",$647.90 ,$811.30 ,$612.98 ,$253.98 ,$315.50 ,$749.32 ,$253.98 ,$788.76 ,$253.98 ,$709.88 ,$709.88 ,$253.98 ,$709.88 ,$523.50 ,"$1,036.66 ", N/A ,$253.98 ,$957.78 ,$946.51 ,$253.98 ,$845.10 ,$901.44 ,$901.44 ,$253.98 ,$901.44 ,$980.32 ,$980.32 ,$980.32 ,"$1,014.12 ",$647.90 ,$253.98 ,"$1,126.80 ",$632.13 ,$253.98 ,$466.50 , N/A , N/A ,$266.68 ,$957.78 ,$709.88 ,$315.50 ,"$1,014.12 ",$980.32 ,$901.44 ,$901.44 ,$253.98 ,$732.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL SURGICAL CANNULATED TWIST ASNIS III NONSTERILE 6.5 MM SCREW,272,1 ,"$1,006.80 ",$724.90 ,$226.93 ,"$1,006.80 ",$578.90 ,$724.90 ,$547.70 ,$226.93 ,$281.90 ,$669.52 ,$226.93 ,$704.76 ,$226.93 ,$634.28 ,$634.28 ,$226.93 ,$634.28 ,$467.75 ,$926.26 , N/A ,$226.93 ,$855.78 ,$845.71 ,$226.93 ,$755.10 ,$805.44 ,$805.44 ,$226.93 ,$805.44 ,$875.92 ,$875.92 ,$875.92 ,$906.12 ,$578.90 ,$226.93 ,"$1,006.80 ",$564.81 ,$226.93 ,$416.82 , N/A , N/A ,$238.28 ,$855.78 ,$634.28 ,$281.90 ,$906.12 ,$875.92 ,$805.44 ,$805.44 ,$226.93 ,$654.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL TWIST 60MM 1.1MM 20 COIL QUICK COUPLING,272,1 ,$154.80 ,$111.46 ,$34.89 ,$154.80 ,$89.00 ,$111.46 ,$84.21 ,$34.89 ,$43.34 ,$102.94 ,$34.89 ,$108.36 ,$34.89 ,$97.52 ,$97.52 ,$34.89 ,$97.52 ,$71.91 ,$142.42 , N/A ,$34.89 ,$131.58 ,$130.03 ,$34.89 ,$116.10 ,$123.84 ,$123.84 ,$34.89 ,$123.84 ,$134.68 ,$134.68 ,$134.68 ,$139.32 ,$89.00 ,$34.89 ,$154.80 ,$86.84 ,$34.89 ,$64.09 , N/A , N/A ,$36.63 ,$131.58 ,$97.52 ,$43.34 ,$139.32 ,$134.68 ,$123.84 ,$123.84 ,$34.89 ,$100.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT TWIST 150MM 2MM 50 COIL QUICK COUPLING,272,1 ,$154.80 ,$111.46 ,$34.89 ,$154.80 ,$89.00 ,$111.46 ,$84.21 ,$34.89 ,$43.34 ,$102.94 ,$34.89 ,$108.36 ,$34.89 ,$97.52 ,$97.52 ,$34.89 ,$97.52 ,$71.91 ,$142.42 , N/A ,$34.89 ,$131.58 ,$130.03 ,$34.89 ,$116.10 ,$123.84 ,$123.84 ,$34.89 ,$123.84 ,$134.68 ,$134.68 ,$134.68 ,$139.32 ,$89.00 ,$34.89 ,$154.80 ,$86.84 ,$34.89 ,$64.09 , N/A , N/A ,$36.63 ,$131.58 ,$97.52 ,$43.34 ,$139.32 ,$134.68 ,$123.84 ,$123.84 ,$34.89 ,$100.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL STRYKER 1.5 85,272,1 ,$154.80 ,$111.46 ,$34.89 ,$154.80 ,$89.00 ,$111.46 ,$84.21 ,$34.89 ,$43.34 ,$102.94 ,$34.89 ,$108.36 ,$34.89 ,$97.52 ,$97.52 ,$34.89 ,$97.52 ,$71.91 ,$142.42 , N/A ,$34.89 ,$131.58 ,$130.03 ,$34.89 ,$116.10 ,$123.84 ,$123.84 ,$34.89 ,$123.84 ,$134.68 ,$134.68 ,$134.68 ,$139.32 ,$89.00 ,$34.89 ,$154.80 ,$86.84 ,$34.89 ,$64.09 , N/A , N/A ,$36.63 ,$131.58 ,$97.52 ,$43.34 ,$139.32 ,$134.68 ,$123.84 ,$123.84 ,$34.89 ,$100.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL STRYKER 2.0 100,272,1 ,$154.80 ,$111.46 ,$34.89 ,$154.80 ,$89.00 ,$111.46 ,$84.21 ,$34.89 ,$43.34 ,$102.94 ,$34.89 ,$108.36 ,$34.89 ,$97.52 ,$97.52 ,$34.89 ,$97.52 ,$71.91 ,$142.42 , N/A ,$34.89 ,$131.58 ,$130.03 ,$34.89 ,$116.10 ,$123.84 ,$123.84 ,$34.89 ,$123.84 ,$134.68 ,$134.68 ,$134.68 ,$139.32 ,$89.00 ,$34.89 ,$154.80 ,$86.84 ,$34.89 ,$64.09 , N/A , N/A ,$36.63 ,$131.58 ,$97.52 ,$43.34 ,$139.32 ,$134.68 ,$123.84 ,$123.84 ,$34.89 ,$100.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,BIT DRILL STRYKER 2.7 100,272,1 ,$154.80 ,$111.46 ,$34.89 ,$154.80 ,$89.00 ,$111.46 ,$84.21 ,$34.89 ,$43.34 ,$102.94 ,$34.89 ,$108.36 ,$34.89 ,$97.52 ,$97.52 ,$34.89 ,$97.52 ,$71.91 ,$142.42 , N/A ,$34.89 ,$131.58 ,$130.03 ,$34.89 ,$116.10 ,$123.84 ,$123.84 ,$34.89 ,$123.84 ,$134.68 ,$134.68 ,$134.68 ,$139.32 ,$89.00 ,$34.89 ,$154.80 ,$86.84 ,$34.89 ,$64.09 , N/A , N/A ,$36.63 ,$131.58 ,$97.52 ,$43.34 ,$139.32 ,$134.68 ,$123.84 ,$123.84 ,$34.89 ,$100.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL TWIST YELLOW 122MM 2.6MM AO SHAFT END 70MM VARIAX LOCK PLATE SYSTEM NONSTERILE,272,1 ,$301.20 ,$216.86 ,$67.89 ,$301.20 ,$173.20 ,$216.86 ,$163.85 ,$67.89 ,$84.34 ,$200.30 ,$67.89 ,$210.84 ,$67.89 ,$189.76 ,$189.76 ,$67.89 ,$189.76 ,$139.95 ,$277.10 , N/A ,$67.89 ,$256.02 ,$253.01 ,$67.89 ,$225.90 ,$240.96 ,$240.96 ,$67.89 ,$240.96 ,$262.04 ,$262.04 ,$262.04 ,$271.08 ,$173.20 ,$67.89 ,$301.20 ,$168.97 ,$67.89 ,$124.70 , N/A , N/A ,$71.29 ,$256.02 ,$189.76 ,$84.34 ,$271.08 ,$262.04 ,$240.96 ,$240.96 ,$67.89 ,$195.78 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRSG WND 5X4IN RECT,272,1 ,$20.82 ,$14.99 ,$4.69 ,$20.82 ,$11.98 ,$14.99 ,$11.33 ,$4.69 ,$5.83 ,$13.85 ,$4.69 ,$14.57 ,$4.69 ,$13.12 ,$13.12 ,$4.69 ,$13.12 ,$9.68 ,$19.15 , N/A ,$4.69 ,$17.70 ,$17.49 ,$4.69 ,$15.62 ,$16.66 ,$16.66 ,$4.69 ,$16.66 ,$18.11 ,$18.11 ,$18.11 ,$18.74 ,$11.98 ,$4.69 ,$20.82 ,$11.68 ,$4.69 ,$8.62 , N/A , N/A ,$4.93 ,$17.70 ,$13.12 ,$5.83 ,$18.74 ,$18.11 ,$16.66 ,$16.66 ,$4.69 ,$13.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE BIPOLAR 27FR CUT STERILE LATEX FREE DISPOSABLE,272,1 ,"$1,744.89 ","$1,256.32 ",$393.29 ,"$1,744.89 ","$1,003.30 ","$1,256.32 ",$949.22 ,$393.29 ,$488.57 ,"$1,160.35 ",$393.29 ,"$1,221.42 ",$393.29 ,"$1,099.28 ","$1,099.28 ",$393.29 ,"$1,099.28 ",$810.67 ,"$1,605.30 ", N/A ,$393.29 ,"$1,483.16 ","$1,465.71 ",$393.29 ,"$1,308.67 ","$1,395.91 ","$1,395.91 ",$393.29 ,"$1,395.91 ","$1,518.05 ","$1,518.05 ","$1,518.05 ","$1,570.40 ","$1,003.30 ",$393.29 ,"$1,744.89 ",$978.88 ,$393.29 ,$722.38 , N/A , N/A ,$412.96 ,"$1,483.16 ","$1,099.28 ",$488.57 ,"$1,570.40 ","$1,518.05 ","$1,395.91 ","$1,395.91 ",$393.29 ,"$1,134.18 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE CAUTERY TIP LLETZ LOOP 5IN,272,1 ,$30.54 ,$21.99 ,$6.88 ,$30.54 ,$17.55 ,$21.99 ,$16.61 ,$6.88 ,$8.55 ,$20.31 ,$6.88 ,$21.38 ,$6.88 ,$19.24 ,$19.24 ,$6.88 ,$19.24 ,$14.18 ,$28.10 , N/A ,$6.88 ,$25.96 ,$25.65 ,$6.88 ,$22.91 ,$24.43 ,$24.43 ,$6.88 ,$24.43 ,$26.57 ,$26.57 ,$26.57 ,$27.49 ,$17.55 ,$6.88 ,$30.54 ,$17.13 ,$6.88 ,$12.64 , N/A , N/A ,$7.22 ,$25.96 ,$19.24 ,$8.55 ,$27.49 ,$26.57 ,$24.43 ,$24.43 ,$6.88 ,$19.85 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE DEFIBRILLATOR 24IN EDGE SYSTEM QUIK-COMBO CONNECTOR LEADWIRE PEDIATRIC LIFEPAK 15 MONITOR DEFIBRILLATOR,272,1 ,$38.28 ,$27.56 ,$8.62 ,$38.28 ,$22.00 ,$27.56 ,$20.82 ,$8.62 ,$10.72 ,$25.46 ,$8.62 ,$26.80 ,$8.62 ,$24.12 ,$24.12 ,$8.62 ,$24.12 ,$17.78 ,$35.22 , N/A ,$8.62 ,$32.54 ,$32.16 ,$8.62 ,$28.71 ,$30.62 ,$30.62 ,$8.62 ,$30.62 ,$33.30 ,$33.30 ,$33.30 ,$34.45 ,$22.00 ,$8.62 ,$38.28 ,$21.48 ,$8.62 ,$15.85 , N/A , N/A ,$9.06 ,$32.54 ,$24.12 ,$10.72 ,$34.45 ,$33.30 ,$30.62 ,$30.62 ,$8.62 ,$24.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE DEFIBRILLATOR RED 5.95X5.24IN EDGE SYSTEM RECTANGLE PRECONNECT CONDUCTIVE GEL LEADWIRE PAD 42IN ADULT LATEX FREE,272,1 ,$71.58 ,$51.54 ,$16.13 ,$71.58 ,$41.15 ,$51.54 ,$38.94 ,$16.13 ,$20.04 ,$47.60 ,$16.13 ,$50.11 ,$16.13 ,$45.10 ,$45.10 ,$16.13 ,$45.10 ,$33.25 ,$65.85 , N/A ,$16.13 ,$60.84 ,$60.13 ,$16.13 ,$53.69 ,$57.26 ,$57.26 ,$16.13 ,$57.26 ,$62.27 ,$62.27 ,$62.27 ,$64.42 ,$41.15 ,$16.13 ,$71.58 ,$40.16 ,$16.13 ,$29.63 , N/A , N/A ,$16.93 ,$60.84 ,$45.10 ,$20.04 ,$64.42 ,$62.27 ,$57.26 ,$57.26 ,$16.13 ,$46.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL 24FR STERILE DISPOSABLE BAR,272,1 ,"$1,875.00 ","$1,350.00 ",$422.62 ,"$1,875.00 ","$1,078.13 ","$1,350.00 ","$1,020.00 ",$422.62 ,$525.00 ,"$1,246.88 ",$422.62 ,"$1,312.50 ",$422.62 ,"$1,181.25 ","$1,181.25 ",$422.62 ,"$1,181.25 ",$871.13 ,"$1,725.00 ", N/A ,$422.62 ,"$1,593.75 ","$1,575.00 ",$422.62 ,"$1,406.25 ","$1,500.00 ","$1,500.00 ",$422.62 ,"$1,500.00 ","$1,631.25 ","$1,631.25 ","$1,631.25 ","$1,687.50 ","$1,078.13 ",$422.62 ,"$1,875.00 ","$1,051.88 ",$422.62 ,$776.25 , N/A , N/A ,$443.75 ,"$1,593.75 ","$1,181.25 ",$525.00 ,"$1,687.50 ","$1,631.25 ","$1,500.00 ","$1,500.00 ",$422.62 ,"$1,218.75 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL 90D L HOOK 170MM STERILE DISPOSABLE INSULATE ARTHROSCOPIC STANDARD VALLEYLAB SWITCHPEN,272,1 ,$104.31 ,$75.10 ,$23.51 ,$104.31 ,$59.98 ,$75.10 ,$56.74 ,$23.51 ,$29.21 ,$69.37 ,$23.51 ,$73.02 ,$23.51 ,$65.72 ,$65.72 ,$23.51 ,$65.72 ,$48.46 ,$95.97 , N/A ,$23.51 ,$88.66 ,$87.62 ,$23.51 ,$78.23 ,$83.45 ,$83.45 ,$23.51 ,$83.45 ,$90.75 ,$90.75 ,$90.75 ,$93.88 ,$59.98 ,$23.51 ,$104.31 ,$58.52 ,$23.51 ,$43.18 , N/A , N/A ,$24.69 ,$88.66 ,$65.72 ,$29.21 ,$93.88 ,$90.75 ,$83.45 ,$83.45 ,$23.51 ,$67.80 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL 90D VAPR PREMIERE 90 STERILE DISPOSABLE SUCTION,272,1 ,$906.00 ,$652.32 ,$204.21 ,$906.00 ,$520.95 ,$652.32 ,$492.86 ,$204.21 ,$253.68 ,$602.49 ,$204.21 ,$634.20 ,$204.21 ,$570.78 ,$570.78 ,$204.21 ,$570.78 ,$420.93 ,$833.52 , N/A ,$204.21 ,$770.10 ,$761.04 ,$204.21 ,$679.50 ,$724.80 ,$724.80 ,$204.21 ,$724.80 ,$788.22 ,$788.22 ,$788.22 ,$815.40 ,$520.95 ,$204.21 ,$906.00 ,$508.27 ,$204.21 ,$375.08 , N/A , N/A ,$214.42 ,$770.10 ,$570.78 ,$253.68 ,$815.40 ,$788.22 ,$724.80 ,$724.80 ,$204.21 ,$588.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL BALL STERILE DISPOSABLE COAGULATE LATEX FREE,272,1 ,$290.81 ,$209.38 ,$65.55 ,$290.81 ,$167.23 ,$209.38 ,$158.20 ,$65.55 ,$81.43 ,$193.39 ,$65.55 ,$203.57 ,$65.55 ,$183.21 ,$183.21 ,$65.55 ,$183.21 ,$135.12 ,$267.55 , N/A ,$65.55 ,$247.19 ,$244.28 ,$65.55 ,$218.11 ,$232.65 ,$232.65 ,$65.55 ,$232.65 ,$253.00 ,$253.00 ,$253.00 ,$261.73 ,$167.23 ,$65.55 ,$290.81 ,$163.14 ,$65.55 ,$120.40 , N/A , N/A ,$68.83 ,$247.19 ,$183.21 ,$81.43 ,$261.73 ,$253.00 ,$232.65 ,$232.65 ,$65.55 ,$189.03 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL INSULATED BLADE 2.75IN 3/32IN EDGE,272,1 ,$8.96 ,$6.45 ,$2.02 ,$8.96 ,$5.15 ,$6.45 ,$4.87 ,$2.02 ,$2.51 ,$5.96 ,$2.02 ,$6.27 ,$2.02 ,$5.64 ,$5.64 ,$2.02 ,$5.64 ,$4.16 ,$8.24 , N/A ,$2.02 ,$7.62 ,$7.53 ,$2.02 ,$6.72 ,$7.17 ,$7.17 ,$2.02 ,$7.17 ,$7.80 ,$7.80 ,$7.80 ,$8.06 ,$5.15 ,$2.02 ,$8.96 ,$5.03 ,$2.02 ,$3.71 , N/A , N/A ,$2.12 ,$7.62 ,$5.64 ,$2.51 ,$8.06 ,$7.80 ,$7.17 ,$7.17 ,$2.02 ,$5.82 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL LOOP 24FR CUT STORZ 2 STEM RESECTOSCOPE,272,1 ,$159.57 ,$114.89 ,$35.97 ,$159.57 ,$91.75 ,$114.89 ,$86.81 ,$35.97 ,$44.68 ,$106.11 ,$35.97 ,$111.70 ,$35.97 ,$100.53 ,$100.53 ,$35.97 ,$100.53 ,$74.13 ,$146.80 , N/A ,$35.97 ,$135.63 ,$134.04 ,$35.97 ,$119.68 ,$127.66 ,$127.66 ,$35.97 ,$127.66 ,$138.83 ,$138.83 ,$138.83 ,$143.61 ,$91.75 ,$35.97 ,$159.57 ,$89.52 ,$35.97 ,$66.06 , N/A , N/A ,$37.77 ,$135.63 ,$100.53 ,$44.68 ,$143.61 ,$138.83 ,$127.66 ,$127.66 ,$35.97 ,$103.72 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE ELECTROSURGICAL LOOP 5IN 3/32IN VALLEYLAB STERILE TUNGSTEN 10X10MM DISPOSABLE STANDARD SHAFT LATEX FREE LLETZ,272,1 ,$30.80 ,$22.18 ,$6.94 ,$30.80 ,$17.70 ,$22.18 ,$16.76 ,$6.94 ,$8.62 ,$20.48 ,$6.94 ,$21.56 ,$6.94 ,$19.40 ,$19.40 ,$6.94 ,$19.40 ,$14.30 ,$28.34 , N/A ,$6.94 ,$26.18 ,$25.87 ,$6.94 ,$23.10 ,$24.64 ,$24.64 ,$6.94 ,$24.64 ,$26.80 ,$26.80 ,$26.80 ,$27.72 ,$17.70 ,$6.94 ,$30.80 ,$17.28 ,$6.94 ,$12.75 , N/A , N/A ,$7.28 ,$26.18 ,$19.40 ,$8.62 ,$27.72 ,$26.80 ,$24.64 ,$24.64 ,$6.94 ,$20.02 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE HOOK ENDO E-Z CLEAN,272,1 ,$115.50 ,$83.16 ,$26.04 ,$115.50 ,$66.43 ,$83.16 ,$62.83 ,$26.04 ,$32.34 ,$76.81 ,$26.04 ,$80.85 ,$26.04 ,$72.77 ,$72.77 ,$26.04 ,$72.77 ,$53.67 ,$106.26 , N/A ,$26.04 ,$98.18 ,$97.02 ,$26.04 ,$86.63 ,$92.40 ,$92.40 ,$26.04 ,$92.40 ,$100.49 ,$100.49 ,$100.49 ,$103.95 ,$66.43 ,$26.04 ,$115.50 ,$64.80 ,$26.04 ,$47.82 , N/A , N/A ,$27.34 ,$98.18 ,$72.77 ,$32.34 ,$103.95 ,$100.49 ,$92.40 ,$92.40 ,$26.04 ,$75.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ELECTRODE MITEK VAPR S90 WITH SUCTION,272,1 ,$738.00 ,$531.36 ,$166.35 ,$738.00 ,$424.35 ,$531.36 ,$401.47 ,$166.35 ,$206.64 ,$490.77 ,$166.35 ,$516.60 ,$166.35 ,$464.94 ,$464.94 ,$166.35 ,$464.94 ,$342.87 ,$678.96 , N/A ,$166.35 ,$627.30 ,$619.92 ,$166.35 ,$553.50 ,$590.40 ,$590.40 ,$166.35 ,$590.40 ,$642.06 ,$642.06 ,$642.06 ,$664.20 ,$424.35 ,$166.35 ,$738.00 ,$414.02 ,$166.35 ,$305.53 , N/A , N/A ,$174.67 ,$627.30 ,$464.94 ,$206.64 ,$664.20 ,$642.06 ,$590.40 ,$590.40 ,$166.35 ,$479.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ENDO CLIP APPLIER LIGAMAX M/L 5MM,272,1 ,$192.40 ,$138.53 ,$43.36 ,$192.40 ,$110.63 ,$138.53 ,$104.67 ,$43.36 ,$53.87 ,$127.95 ,$43.36 ,$134.68 ,$43.36 ,$121.21 ,$121.21 ,$43.36 ,$121.21 ,$89.39 ,$177.01 , N/A ,$43.36 ,$163.54 ,$161.62 ,$43.36 ,$144.30 ,$153.92 ,$153.92 ,$43.36 ,$153.92 ,$167.39 ,$167.39 ,$167.39 ,$173.16 ,$110.63 ,$43.36 ,$192.40 ,$107.94 ,$43.36 ,$79.65 , N/A , N/A ,$45.53 ,$163.54 ,$121.21 ,$53.87 ,$173.16 ,$167.39 ,$153.92 ,$153.92 ,$43.36 ,$125.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ENDOCLOSE SUTURING INSTRUMENT,272,1 ,$67.92 ,$48.90 ,$15.31 ,$67.92 ,$39.05 ,$48.90 ,$36.95 ,$15.31 ,$19.02 ,$45.17 ,$15.31 ,$47.54 ,$15.31 ,$42.79 ,$42.79 ,$15.31 ,$42.79 ,$31.55 ,$62.49 , N/A ,$15.31 ,$57.73 ,$57.05 ,$15.31 ,$50.94 ,$54.34 ,$54.34 ,$15.31 ,$54.34 ,$59.09 ,$59.09 ,$59.09 ,$61.13 ,$39.05 ,$15.31 ,$67.92 ,$38.10 ,$15.31 ,$28.12 , N/A , N/A ,$16.07 ,$57.73 ,$42.79 ,$19.02 ,$61.13 ,$59.09 ,$54.34 ,$54.34 ,$15.31 ,$44.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ENDOGATOR PVC CO2,272,1 ,$58.20 ,$41.90 ,$13.12 ,$58.20 ,$33.48 ,$41.90 ,$31.66 ,$13.12 ,$16.30 ,$38.70 ,$13.12 ,$40.74 ,$13.12 ,$36.67 ,$36.67 ,$13.12 ,$36.67 ,$27.05 ,$53.54 , N/A ,$13.12 ,$49.47 ,$48.89 ,$13.12 ,$43.65 ,$46.56 ,$46.56 ,$13.12 ,$46.56 ,$50.63 ,$50.63 ,$50.63 ,$52.38 ,$33.48 ,$13.12 ,$58.20 ,$32.65 ,$13.12 ,$24.09 , N/A , N/A ,$13.78 ,$49.47 ,$36.67 ,$16.30 ,$52.38 ,$50.63 ,$46.56 ,$46.56 ,$13.12 ,$37.83 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,EVACUATOR SMOKE ELIMINATION PUSH BUTTON QUIET PNEUVIEW XE STERILE DISPOSABLE,272,1 ,$60.00 ,$43.20 ,$13.52 ,$60.00 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 ,$55.20 , N/A ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 , N/A , N/A ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,EVERTER NIPPLE 2.13X1.75X4.88IN LATCHASSIST LANSINOH 19MM 24MM BREASTFEEDING AID LATEX FREE,272,1 ,$24.39 ,$17.56 ,$5.50 ,$24.39 ,$14.03 ,$17.56 ,$13.27 ,$5.50 ,$6.83 ,$16.22 ,$5.50 ,$17.07 ,$5.50 ,$15.37 ,$15.37 ,$5.50 ,$15.37 ,$11.33 ,$22.44 , N/A ,$5.50 ,$20.73 ,$20.49 ,$5.50 ,$18.29 ,$19.51 ,$19.51 ,$5.50 ,$19.51 ,$21.22 ,$21.22 ,$21.22 ,$21.95 ,$14.03 ,$5.50 ,$24.39 ,$13.68 ,$5.50 ,$10.10 , N/A , N/A ,$5.77 ,$20.73 ,$15.37 ,$6.83 ,$21.95 ,$21.22 ,$19.51 ,$19.51 ,$5.50 ,$15.85 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FIBERSTICK ARTHREX # 2 (AR-7209),272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERLOOP 2 AR-7234,272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERLOOP 2-0 SD-2 13IN 2 ARM MULTISTRAND BLUE NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE TIGERLOOP TIGERWIRE 2 STRAIGHT 20IN BRAID MULTISTRAND NEEDLE GREEN WHITE 3IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE TIGERSTICK TIGERWIRE 2 50IN 1 END STIFFEN MONOFILAMENT BLACK WHITE 12IN NONABSORBABLE,272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT PINNACLE DEPUY 40MM,272,1 ,$150.00 ,$108.00 ,$33.81 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 , N/A ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 , N/A , N/A ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 9.5MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIP CUTTER II ARTHREX 10.0MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIP CUTTER II ARTHREX SHORT 7.5MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 10.0MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 10.5MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 8.0MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 8.5MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FLIPCUTTER II SHORT 9.0MM,272,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FOLLOWER 13.35IN 14FR HEYMAN,272,1 ,$102.70 ,$73.94 ,$23.15 ,$102.70 ,$59.05 ,$73.94 ,$55.87 ,$23.15 ,$28.76 ,$68.30 ,$23.15 ,$71.89 ,$23.15 ,$64.70 ,$64.70 ,$23.15 ,$64.70 ,$47.71 ,$94.48 , N/A ,$23.15 ,$87.30 ,$86.27 ,$23.15 ,$77.03 ,$82.16 ,$82.16 ,$23.15 ,$82.16 ,$89.35 ,$89.35 ,$89.35 ,$92.43 ,$59.05 ,$23.15 ,$102.70 ,$57.61 ,$23.15 ,$42.52 , N/A , N/A ,$24.30 ,$87.30 ,$64.70 ,$28.76 ,$92.43 ,$89.35 ,$82.16 ,$82.16 ,$23.15 ,$66.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FOLLOWER 13.35IN 18FR HEYMAN,272,1 ,$102.53 ,$73.82 ,$23.11 ,$102.53 ,$58.95 ,$73.82 ,$55.78 ,$23.11 ,$28.71 ,$68.18 ,$23.11 ,$71.77 ,$23.11 ,$64.59 ,$64.59 ,$23.11 ,$64.59 ,$47.63 ,$94.33 , N/A ,$23.11 ,$87.15 ,$86.13 ,$23.11 ,$76.90 ,$82.02 ,$82.02 ,$23.11 ,$82.02 ,$89.20 ,$89.20 ,$89.20 ,$92.28 ,$58.95 ,$23.11 ,$102.53 ,$57.52 ,$23.11 ,$42.45 , N/A , N/A ,$24.26 ,$87.15 ,$64.59 ,$28.71 ,$92.28 ,$89.20 ,$82.02 ,$82.02 ,$23.11 ,$66.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEP BIOPSY HOT 240CM 2.2MM RAD,272,1 ,$50.25 ,$36.18 ,$11.33 ,$50.25 ,$28.90 ,$36.18 ,$27.34 ,$11.33 ,$14.07 ,$33.42 ,$11.33 ,$35.18 ,$11.33 ,$31.66 ,$31.66 ,$11.33 ,$31.66 ,$23.35 ,$46.23 , N/A ,$11.33 ,$42.71 ,$42.21 ,$11.33 ,$37.69 ,$40.20 ,$40.20 ,$11.33 ,$40.20 ,$43.72 ,$43.72 ,$43.72 ,$45.23 ,$28.90 ,$11.33 ,$50.25 ,$28.19 ,$11.33 ,$20.80 , N/A , N/A ,$11.90 ,$42.71 ,$31.66 ,$14.07 ,$45.23 ,$43.72 ,$40.20 ,$40.20 ,$11.33 ,$32.66 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEP BIOPSY RADIAL JAW HOT 2.8,272,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEP ENDO SHEARS 5MM CURVED,272,1 ,$117.43 ,$84.55 ,$26.47 ,$117.43 ,$67.53 ,$84.55 ,$63.88 ,$26.47 ,$32.88 ,$78.09 ,$26.47 ,$82.20 ,$26.47 ,$73.98 ,$73.98 ,$26.47 ,$73.98 ,$54.56 ,$108.04 , N/A ,$26.47 ,$99.82 ,$98.64 ,$26.47 ,$88.07 ,$93.94 ,$93.94 ,$26.47 ,$93.94 ,$102.16 ,$102.16 ,$102.16 ,$105.69 ,$67.53 ,$26.47 ,$117.43 ,$65.88 ,$26.47 ,$48.62 , N/A , N/A ,$27.79 ,$99.82 ,$73.98 ,$32.88 ,$105.69 ,$102.16 ,$93.94 ,$93.94 ,$26.47 ,$76.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEP RADIAL JAW BX,272,1 ,$21.00 ,$15.12 ,$4.73 ,$21.00 ,$12.08 ,$15.12 ,$11.42 ,$4.73 ,$5.88 ,$13.97 ,$4.73 ,$14.70 ,$4.73 ,$13.23 ,$13.23 ,$4.73 ,$13.23 ,$9.76 ,$19.32 , N/A ,$4.73 ,$17.85 ,$17.64 ,$4.73 ,$15.75 ,$16.80 ,$16.80 ,$4.73 ,$16.80 ,$18.27 ,$18.27 ,$18.27 ,$18.90 ,$12.08 ,$4.73 ,$21.00 ,$11.78 ,$4.73 ,$8.69 , N/A , N/A ,$4.97 ,$17.85 ,$13.23 ,$5.88 ,$18.90 ,$18.27 ,$16.80 ,$16.80 ,$4.73 ,$13.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEPS BIOPSY FLEXIBLE OVAL CUP 115CM 3.3FR TISSUE,272,1 ,"$1,265.79 ",$911.37 ,$285.31 ,"$1,265.79 ",$727.83 ,$911.37 ,$688.59 ,$285.31 ,$354.42 ,$841.75 ,$285.31 ,$886.05 ,$285.31 ,$797.45 ,$797.45 ,$285.31 ,$797.45 ,$588.08 ,"$1,164.53 ", N/A ,$285.31 ,"$1,075.92 ","$1,063.26 ",$285.31 ,$949.34 ,"$1,012.63 ","$1,012.63 ",$285.31 ,"$1,012.63 ","$1,101.24 ","$1,101.24 ","$1,101.24 ","$1,139.21 ",$727.83 ,$285.31 ,"$1,265.79 ",$710.11 ,$285.31 ,$524.04 , N/A , N/A ,$299.58 ,"$1,075.92 ",$797.45 ,$354.42 ,"$1,139.21 ","$1,101.24 ","$1,012.63 ","$1,012.63 ",$285.31 ,$822.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEPS BIOPSY MICROMESH TEETH STREAMLINE CATHETER 240CM 2.4MM RADIAL JAW 4 STAINLESS STEEL LARGE CAPACITY STERILE DISPOSABLE ORANGE 2.8MM WORK CHANNEL,272,1 ,$40.50 ,$29.16 ,$9.13 ,$40.50 ,$23.30 ,$29.16 ,$22.03 ,$9.13 ,$11.34 ,$26.93 ,$9.13 ,$28.35 ,$9.13 ,$25.52 ,$25.52 ,$9.13 ,$25.52 ,$18.83 ,$37.26 , N/A ,$9.13 ,$34.43 ,$34.02 ,$9.13 ,$30.38 ,$32.40 ,$32.40 ,$9.13 ,$32.40 ,$35.24 ,$35.24 ,$35.24 ,$36.45 ,$23.30 ,$9.13 ,$40.50 ,$22.72 ,$9.13 ,$16.77 , N/A , N/A ,$9.59 ,$34.43 ,$25.52 ,$11.34 ,$36.45 ,$35.24 ,$32.40 ,$32.40 ,$9.13 ,$26.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FORCEPS ENDOSCOPIC LARGE TISSUE HANDLE 240CM 2.8MM RADIAL JAW 4 3.2MM JUMBO STERILE DISPOSABLE ORANGE,272,1 ,$79.50 ,$57.24 ,$17.92 ,$79.50 ,$45.73 ,$57.24 ,$43.25 ,$17.92 ,$22.26 ,$52.87 ,$17.92 ,$55.65 ,$17.92 ,$50.09 ,$50.09 ,$17.92 ,$50.09 ,$36.95 ,$73.14 , N/A ,$17.92 ,$67.58 ,$66.78 ,$17.92 ,$59.63 ,$63.60 ,$63.60 ,$17.92 ,$63.60 ,$69.17 ,$69.17 ,$69.17 ,$71.55 ,$45.73 ,$17.92 ,$79.50 ,$44.60 ,$17.92 ,$32.91 , N/A , N/A ,$18.82 ,$67.58 ,$50.09 ,$22.26 ,$71.55 ,$69.17 ,$63.60 ,$63.60 ,$17.92 ,$51.68 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GAUZE SURG-O-FLEX SIZE C SURG-O-FLEX OF AMERICA,272,1 ,$145.20 ,$104.54 ,$32.73 ,$145.20 ,$83.50 ,$104.54 ,$78.99 ,$32.73 ,$40.66 ,$96.56 ,$32.73 ,$101.64 ,$32.73 ,$91.48 ,$91.48 ,$32.73 ,$91.48 ,$67.47 ,$133.58 , N/A ,$32.73 ,$123.42 ,$121.97 ,$32.73 ,$108.90 ,$116.16 ,$116.16 ,$32.73 ,$116.16 ,$126.32 ,$126.32 ,$126.32 ,$130.68 ,$83.50 ,$32.73 ,$145.20 ,$81.46 ,$32.73 ,$60.11 , N/A , N/A ,$34.37 ,$123.42 ,$91.48 ,$40.66 ,$130.68 ,$126.32 ,$116.16 ,$116.16 ,$32.73 ,$94.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GRASPER LAPAROSCOPIC MODIFY 5MM CONTROLTIP RAPTOR 25.9MM DISPOSABLE,272,1 ,$169.50 ,$122.04 ,$38.21 ,$169.50 ,$97.48 ,$122.04 ,$92.21 ,$38.21 ,$47.46 ,$112.72 ,$38.21 ,$118.65 ,$38.21 ,$106.79 ,$106.79 ,$38.21 ,$106.79 ,$78.76 ,$155.94 , N/A ,$38.21 ,$144.08 ,$142.38 ,$38.21 ,$127.13 ,$135.60 ,$135.60 ,$38.21 ,$135.60 ,$147.47 ,$147.47 ,$147.47 ,$152.55 ,$97.48 ,$38.21 ,$169.50 ,$95.09 ,$38.21 ,$70.17 , N/A , N/A ,$40.12 ,$144.08 ,$106.79 ,$47.46 ,$152.55 ,$147.47 ,$135.60 ,$135.60 ,$38.21 ,$110.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TIP DISSECTOR MARYLAND MONOPOLAR TRADITIONAL,272,1 ,$169.50 ,$122.04 ,$38.21 ,$169.50 ,$97.48 ,$122.04 ,$92.21 ,$38.21 ,$47.46 ,$112.72 ,$38.21 ,$118.65 ,$38.21 ,$106.79 ,$106.79 ,$38.21 ,$106.79 ,$78.76 ,$155.94 , N/A ,$38.21 ,$144.08 ,$142.38 ,$38.21 ,$127.13 ,$135.60 ,$135.60 ,$38.21 ,$135.60 ,$147.47 ,$147.47 ,$147.47 ,$152.55 ,$97.48 ,$38.21 ,$169.50 ,$95.09 ,$38.21 ,$70.17 , N/A , N/A ,$40.12 ,$144.08 ,$106.79 ,$47.46 ,$152.55 ,$147.47 ,$135.60 ,$135.60 ,$38.21 ,$110.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GRASPER LAPAROSCOPIC FENESTRATE 5MM CONTROLTIP 22.6MM DISPOSABLE,272,1 ,$169.50 ,$122.04 ,$38.21 ,$169.50 ,$97.48 ,$122.04 ,$92.21 ,$38.21 ,$47.46 ,$112.72 ,$38.21 ,$118.65 ,$38.21 ,$106.79 ,$106.79 ,$38.21 ,$106.79 ,$78.76 ,$155.94 , N/A ,$38.21 ,$144.08 ,$142.38 ,$38.21 ,$127.13 ,$135.60 ,$135.60 ,$38.21 ,$135.60 ,$147.47 ,$147.47 ,$147.47 ,$152.55 ,$97.48 ,$38.21 ,$169.50 ,$95.09 ,$38.21 ,$70.17 , N/A , N/A ,$40.12 ,$144.08 ,$106.79 ,$47.46 ,$152.55 ,$147.47 ,$135.60 ,$135.60 ,$38.21 ,$110.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GUARD PIN BLUE 0.035,272,1 ,$2.37 ,$1.71 ,$0.54 ,$2.37 ,$1.38 ,$1.71 ,$1.29 ,$0.54 ,$0.66 ,$1.58 ,$0.54 ,$1.66 ,$0.54 ,$1.49 ,$1.49 ,$0.54 ,$1.49 ,$1.11 ,$2.18 , N/A ,$0.54 ,$2.01 ,$1.99 ,$0.54 ,$1.78 ,$1.90 ,$1.90 ,$0.54 ,$1.90 ,$2.06 ,$2.06 ,$2.06 ,$2.13 ,$1.38 ,$0.54 ,$2.37 ,$1.33 ,$0.54 ,$0.98 , N/A , N/A ,$0.57 ,$2.01 ,$1.49 ,$0.66 ,$2.13 ,$2.06 ,$1.90 ,$1.90 ,$0.54 ,$1.54 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GUARD PIN 0.045,272,1 ,$2.37 ,$1.71 ,$0.54 ,$2.37 ,$1.38 ,$1.71 ,$1.29 ,$0.54 ,$0.66 ,$1.58 ,$0.54 ,$1.66 ,$0.54 ,$1.49 ,$1.49 ,$0.54 ,$1.49 ,$1.11 ,$2.18 , N/A ,$0.54 ,$2.01 ,$1.99 ,$0.54 ,$1.78 ,$1.90 ,$1.90 ,$0.54 ,$1.90 ,$2.06 ,$2.06 ,$2.06 ,$2.13 ,$1.38 ,$0.54 ,$2.37 ,$1.33 ,$0.54 ,$0.98 , N/A , N/A ,$0.57 ,$2.01 ,$1.49 ,$0.66 ,$2.13 ,$2.06 ,$1.90 ,$1.90 ,$0.54 ,$1.54 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GUARD PIN 0.062,272,1 ,$2.37 ,$1.71 ,$0.54 ,$2.37 ,$1.38 ,$1.71 ,$1.29 ,$0.54 ,$0.66 ,$1.58 ,$0.54 ,$1.66 ,$0.54 ,$1.49 ,$1.49 ,$0.54 ,$1.49 ,$1.11 ,$2.18 , N/A ,$0.54 ,$2.01 ,$1.99 ,$0.54 ,$1.78 ,$1.90 ,$1.90 ,$0.54 ,$1.90 ,$2.06 ,$2.06 ,$2.06 ,$2.13 ,$1.38 ,$0.54 ,$2.37 ,$1.33 ,$0.54 ,$0.98 , N/A , N/A ,$0.57 ,$2.01 ,$1.49 ,$0.66 ,$2.13 ,$2.06 ,$1.90 ,$1.90 ,$0.54 ,$1.54 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,GUARD PIN WHITE JURGAN PIN BALL 6 BALL .035IN K WIRE W SERIES STERILE LATEX FREE DISPOSABLE,272,1 ,$126.00 ,$90.72 ,$28.40 ,$126.00 ,$72.45 ,$90.72 ,$68.54 ,$28.40 ,$35.28 ,$83.79 ,$28.40 ,$88.20 ,$28.40 ,$79.38 ,$79.38 ,$28.40 ,$79.38 ,$58.54 ,$115.92 , N/A ,$28.40 ,$107.10 ,$105.84 ,$28.40 ,$94.50 ,$100.80 ,$100.80 ,$28.40 ,$100.80 ,$109.62 ,$109.62 ,$109.62 ,$113.40 ,$72.45 ,$28.40 ,$126.00 ,$70.69 ,$28.40 ,$52.16 , N/A , N/A ,$29.82 ,$107.10 ,$79.38 ,$35.28 ,$113.40 ,$109.62 ,$100.80 ,$100.80 ,$28.40 ,$81.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,HANDLE SUCTION FRAZIER 10FR CONTROL VENT STERILE LATEX FREE DISPOSABLE,272,1 ,$6.02 ,$4.33 ,$1.35 ,$6.02 ,$3.45 ,$4.33 ,$3.27 ,$1.35 ,$1.69 ,$4.00 ,$1.35 ,$4.21 ,$1.35 ,$3.79 ,$3.79 ,$1.35 ,$3.79 ,$2.79 ,$5.54 , N/A ,$1.35 ,$5.12 ,$5.06 ,$1.35 ,$4.52 ,$4.82 ,$4.82 ,$1.35 ,$4.82 ,$5.24 ,$5.24 ,$5.24 ,$5.42 ,$3.45 ,$1.35 ,$6.02 ,$3.38 ,$1.35 ,$2.49 , N/A , N/A ,$1.42 ,$5.12 ,$3.79 ,$1.69 ,$5.42 ,$5.24 ,$4.82 ,$4.82 ,$1.35 ,$3.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,HEMADERM/EPISTAXIS KIT ENT,272,1 ,$359.10 ,$258.55 ,$80.94 ,$359.10 ,$206.48 ,$258.55 ,$195.35 ,$80.94 ,$100.55 ,$238.80 ,$80.94 ,$251.37 ,$80.94 ,$226.23 ,$226.23 ,$80.94 ,$226.23 ,$166.83 ,$330.37 , N/A ,$80.94 ,$305.24 ,$301.64 ,$80.94 ,$269.33 ,$287.28 ,$287.28 ,$80.94 ,$287.28 ,$312.42 ,$312.42 ,$312.42 ,$323.19 ,$206.48 ,$80.94 ,$359.10 ,$201.46 ,$80.94 ,$148.67 , N/A , N/A ,$84.99 ,$305.24 ,$226.23 ,$100.55 ,$323.19 ,$312.42 ,$287.28 ,$287.28 ,$80.94 ,$233.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,INTERNAL BRACE KIT KNEE,272,1 ,"$5,124.00 ","$3,689.28 ","$1,154.95 ","$5,124.00 ","$2,946.30 ","$3,689.28 ","$2,787.46 ","$1,154.95 ","$1,434.72 ","$3,407.46 ","$1,154.95 ","$3,586.80 ","$1,154.95 ","$3,228.12 ","$3,228.12 ","$1,154.95 ","$3,228.12 ","$2,380.61 ","$4,714.08 ", N/A ,"$1,154.95 ","$4,355.40 ","$4,304.16 ","$1,154.95 ","$3,843.00 ","$4,099.20 ","$4,099.20 ","$1,154.95 ","$4,099.20 ","$4,457.88 ","$4,457.88 ","$4,457.88 ","$4,611.60 ","$2,946.30 ","$1,154.95 ","$5,124.00 ","$2,874.56 ","$1,154.95 ","$2,121.34 ", N/A , N/A ,"$1,212.70 ","$4,355.40 ","$3,228.12 ","$1,434.72 ","$4,611.60 ","$4,457.88 ","$4,099.20 ","$4,099.20 ","$1,154.95 ","$3,330.60 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,IRRIGATOR ENDOSCOPIC 10IN PATHFINDER PLUS BULB UROLOGICAL TUBE LUER LOCK STERILE DISPOSABLE,272,1 ,$115.44 ,$83.12 ,$26.02 ,$115.44 ,$66.38 ,$83.12 ,$62.80 ,$26.02 ,$32.32 ,$76.77 ,$26.02 ,$80.81 ,$26.02 ,$72.73 ,$72.73 ,$26.02 ,$72.73 ,$53.63 ,$106.20 , N/A ,$26.02 ,$98.12 ,$96.97 ,$26.02 ,$86.58 ,$92.35 ,$92.35 ,$26.02 ,$92.35 ,$100.43 ,$100.43 ,$100.43 ,$103.90 ,$66.38 ,$26.02 ,$115.44 ,$64.76 ,$26.02 ,$47.79 , N/A , N/A ,$27.32 ,$98.12 ,$72.73 ,$32.32 ,$103.90 ,$100.43 ,$92.35 ,$92.35 ,$26.02 ,$75.04 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,IRRIGATOR STRYKER SURGILAV INTERPULSE,272,1 ,$81.83 ,$58.92 ,$18.44 ,$81.83 ,$47.05 ,$58.92 ,$44.52 ,$18.44 ,$22.91 ,$54.42 ,$18.44 ,$57.28 ,$18.44 ,$51.55 ,$51.55 ,$18.44 ,$51.55 ,$38.02 ,$75.28 , N/A ,$18.44 ,$69.56 ,$68.74 ,$18.44 ,$61.37 ,$65.46 ,$65.46 ,$18.44 ,$65.46 ,$71.19 ,$71.19 ,$71.19 ,$73.65 ,$47.05 ,$18.44 ,$81.83 ,$45.91 ,$18.44 ,$33.88 , N/A , N/A ,$19.36 ,$69.56 ,$51.55 ,$22.91 ,$73.65 ,$71.19 ,$65.46 ,$65.46 ,$18.44 ,$53.19 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT BIOPSY ANGEL BONE MARROW CONCENTRATE,272,1 ,"$2,940.00 ","$2,116.80 ",$662.68 ,"$2,940.00 ","$1,690.50 ","$2,116.80 ","$1,599.36 ",$662.68 ,$823.20 ,"$1,955.10 ",$662.68 ,"$2,058.00 ",$662.68 ,"$1,852.20 ","$1,852.20 ",$662.68 ,"$1,852.20 ","$1,365.92 ","$2,704.80 ", N/A ,$662.68 ,"$2,499.00 ","$2,469.60 ",$662.68 ,"$2,205.00 ","$2,352.00 ","$2,352.00 ",$662.68 ,"$2,352.00 ","$2,557.80 ","$2,557.80 ","$2,557.80 ","$2,646.00 ","$1,690.50 ",$662.68 ,"$2,940.00 ","$1,649.34 ",$662.68 ,"$1,217.16 ", N/A , N/A ,$695.81 ,"$2,499.00 ","$1,852.20 ",$823.20 ,"$2,646.00 ","$2,557.80 ","$2,352.00 ","$2,352.00 ",$662.68 ,"$1,911.00 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT COLON WITH LUBE,272,1 ,$62.10 ,$44.71 ,$13.99 ,$62.10 ,$35.70 ,$44.71 ,$33.78 ,$13.99 ,$17.39 ,$41.30 ,$13.99 ,$43.47 ,$13.99 ,$39.12 ,$39.12 ,$13.99 ,$39.12 ,$28.85 ,$57.13 , N/A ,$13.99 ,$52.79 ,$52.16 ,$13.99 ,$46.58 ,$49.68 ,$49.68 ,$13.99 ,$49.68 ,$54.03 ,$54.03 ,$54.03 ,$55.89 ,$35.70 ,$13.99 ,$62.10 ,$34.84 ,$13.99 ,$25.71 , N/A , N/A ,$14.69 ,$52.79 ,$39.12 ,$17.39 ,$55.89 ,$54.03 ,$49.68 ,$49.68 ,$13.99 ,$40.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT CPM NORCO 1 KNEE SYNTHETIC SHEEPSKIN OPTIFLEX,272,1 ,$52.41 ,$37.74 ,$11.81 ,$52.41 ,$30.13 ,$37.74 ,$28.51 ,$11.81 ,$14.67 ,$34.85 ,$11.81 ,$36.69 ,$11.81 ,$33.02 ,$33.02 ,$11.81 ,$33.02 ,$24.34 ,$48.22 , N/A ,$11.81 ,$44.55 ,$44.02 ,$11.81 ,$39.31 ,$41.93 ,$41.93 ,$11.81 ,$41.93 ,$45.60 ,$45.60 ,$45.60 ,$47.17 ,$30.13 ,$11.81 ,$52.41 ,$29.40 ,$11.81 ,$21.70 , N/A , N/A ,$12.40 ,$44.55 ,$33.02 ,$14.67 ,$47.17 ,$45.60 ,$41.93 ,$41.93 ,$11.81 ,$34.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT CPM OPTIFLEX CHATTANOOGA COOL QUILT KNEE,272,1 ,$62.55 ,$45.04 ,$14.10 ,$62.55 ,$35.98 ,$45.04 ,$34.03 ,$14.10 ,$17.51 ,$41.60 ,$14.10 ,$43.79 ,$14.10 ,$39.41 ,$39.41 ,$14.10 ,$39.41 ,$29.07 ,$57.55 , N/A ,$14.10 ,$53.17 ,$52.54 ,$14.10 ,$46.91 ,$50.04 ,$50.04 ,$14.10 ,$50.04 ,$54.42 ,$54.42 ,$54.42 ,$56.30 ,$35.98 ,$14.10 ,$62.55 ,$35.09 ,$14.10 ,$25.90 , N/A , N/A ,$14.81 ,$53.17 ,$39.41 ,$17.51 ,$56.30 ,$54.42 ,$50.04 ,$50.04 ,$14.10 ,$40.66 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT FOLEY 18FR LATEX FREE,272,1 ,$32.43 ,$23.35 ,$7.31 ,$32.43 ,$18.65 ,$23.35 ,$17.64 ,$7.31 ,$9.08 ,$21.57 ,$7.31 ,$22.70 ,$7.31 ,$20.43 ,$20.43 ,$7.31 ,$20.43 ,$15.07 ,$29.84 , N/A ,$7.31 ,$27.57 ,$27.24 ,$7.31 ,$24.32 ,$25.94 ,$25.94 ,$7.31 ,$25.94 ,$28.21 ,$28.21 ,$28.21 ,$29.19 ,$18.65 ,$7.31 ,$32.43 ,$18.19 ,$7.31 ,$13.43 , N/A , N/A ,$7.67 ,$27.57 ,$20.43 ,$9.08 ,$29.19 ,$28.21 ,$25.94 ,$25.94 ,$7.31 ,$21.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT INSTRUMENT 2.4MM STEP DRILL GUIDE DISPOSABLE SMALL JOINT SUTURETAK,272,1 ,$435.00 ,$313.20 ,$98.05 ,$435.00 ,$250.13 ,$313.20 ,$236.64 ,$98.05 ,$121.80 ,$289.28 ,$98.05 ,$304.50 ,$98.05 ,$274.05 ,$274.05 ,$98.05 ,$274.05 ,$202.10 ,$400.20 , N/A ,$98.05 ,$369.75 ,$365.40 ,$98.05 ,$326.25 ,$348.00 ,$348.00 ,$98.05 ,$348.00 ,$378.45 ,$378.45 ,$378.45 ,$391.50 ,$250.13 ,$98.05 ,$435.00 ,$244.04 ,$98.05 ,$180.09 , N/A , N/A ,$102.95 ,$369.75 ,$274.05 ,$121.80 ,$391.50 ,$378.45 ,$348.00 ,$348.00 ,$98.05 ,$282.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT INSTRUMENT ACL TRANSTIBIAL HALL STYLE SAW BLADE DISPOSABLE,272,1 ,$337.50 ,$243.00 ,$76.08 ,$337.50 ,$194.08 ,$243.00 ,$183.60 ,$76.08 ,$94.50 ,$224.44 ,$76.08 ,$236.25 ,$76.08 ,$212.63 ,$212.63 ,$76.08 ,$212.63 ,$156.81 ,$310.50 , N/A ,$76.08 ,$286.88 ,$283.50 ,$76.08 ,$253.13 ,$270.00 ,$270.00 ,$76.08 ,$270.00 ,$293.63 ,$293.63 ,$293.63 ,$303.75 ,$194.08 ,$76.08 ,$337.50 ,$189.34 ,$76.08 ,$139.73 , N/A , N/A ,$79.88 ,$286.88 ,$212.63 ,$94.50 ,$303.75 ,$293.63 ,$270.00 ,$270.00 ,$76.08 ,$219.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT IV START,272,1 ,$2.10 ,$1.51 ,$0.47 ,$2.10 ,$1.20 ,$1.51 ,$1.14 ,$0.47 ,$0.59 ,$1.40 ,$0.47 ,$1.47 ,$0.47 ,$1.32 ,$1.32 ,$0.47 ,$1.32 ,$0.97 ,$1.93 , N/A ,$0.47 ,$1.79 ,$1.76 ,$0.47 ,$1.58 ,$1.68 ,$1.68 ,$0.47 ,$1.68 ,$1.83 ,$1.83 ,$1.83 ,$1.89 ,$1.20 ,$0.47 ,$2.10 ,$1.18 ,$0.47 ,$0.87 , N/A , N/A ,$0.49 ,$1.79 ,$1.32 ,$0.59 ,$1.89 ,$1.83 ,$1.68 ,$1.68 ,$0.47 ,$1.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT NOVASURE,272,1 ,"$3,145.77 ","$2,264.95 ",$709.06 ,"$3,145.77 ","$1,808.83 ","$2,264.95 ","$1,711.30 ",$709.06 ,$880.82 ,"$2,091.94 ",$709.06 ,"$2,202.04 ",$709.06 ,"$1,981.84 ","$1,981.84 ",$709.06 ,"$1,981.84 ","$1,461.53 ","$2,894.11 ", N/A ,$709.06 ,"$2,673.90 ","$2,642.45 ",$709.06 ,"$2,359.33 ","$2,516.62 ","$2,516.62 ",$709.06 ,"$2,516.62 ","$2,736.82 ","$2,736.82 ","$2,736.82 ","$2,831.19 ","$1,808.83 ",$709.06 ,"$3,145.77 ","$1,764.78 ",$709.06 ,"$1,302.35 ", N/A , N/A ,$744.52 ,"$2,673.90 ","$1,981.84 ",$880.82 ,"$2,831.19 ","$2,736.82 ","$2,516.62 ","$2,516.62 ",$709.06 ,"$2,044.75 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT PAIN PUMP 4ML/HR ON-Q SILVERSOAKER DEHP CATHETER 5IN 270ML STERILE,272,1 ,$441.60 ,$317.95 ,$99.54 ,$441.60 ,$253.93 ,$317.95 ,$240.23 ,$99.54 ,$123.65 ,$293.66 ,$99.54 ,$309.12 ,$99.54 ,$278.21 ,$278.21 ,$99.54 ,$278.21 ,$205.17 ,$406.27 , N/A ,$99.54 ,$375.36 ,$370.94 ,$99.54 ,$331.20 ,$353.28 ,$353.28 ,$99.54 ,$353.28 ,$384.19 ,$384.19 ,$384.19 ,$397.44 ,$253.93 ,$99.54 ,$441.60 ,$247.74 ,$99.54 ,$182.82 , N/A , N/A ,$104.52 ,$375.36 ,$278.21 ,$123.65 ,$397.44 ,$384.19 ,$353.28 ,$353.28 ,$99.54 ,$287.04 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT PEG 20FR 13.8FR SILICONE,272,1 ,$196.41 ,$141.42 ,$44.27 ,$196.41 ,$112.93 ,$141.42 ,$106.85 ,$44.27 ,$54.99 ,$130.61 ,$44.27 ,$137.49 ,$44.27 ,$123.74 ,$123.74 ,$44.27 ,$123.74 ,$91.24 ,$180.70 , N/A ,$44.27 ,$166.95 ,$164.98 ,$44.27 ,$147.31 ,$157.13 ,$157.13 ,$44.27 ,$157.13 ,$170.88 ,$170.88 ,$170.88 ,$176.77 ,$112.93 ,$44.27 ,$196.41 ,$110.19 ,$44.27 ,$81.31 , N/A , N/A ,$46.48 ,$166.95 ,$123.74 ,$54.99 ,$176.77 ,$170.88 ,$157.13 ,$157.13 ,$44.27 ,$127.67 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT PUSHLOCK 3.5 DISPOSABLE,272,1 ,$525.00 ,$378.00 ,$118.33 ,$525.00 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 , N/A ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$217.35 , N/A , N/A ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 ,$420.00 ,$420.00 ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL SURGICAL 2.9 MM SHORT PUSHLOCK DISPOSABLE KIT,272,1 ,$525.00 ,$378.00 ,$118.33 ,$525.00 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 , N/A ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$217.35 , N/A , N/A ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 ,$420.00 ,$420.00 ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT RESUSCITATION 6IN LIFESAVER VALVE MOUTHPIECE TUBE ISOLATE KIT ADULT DISPOSABLE,272,1 ,$159.86 ,$115.10 ,$36.03 ,$159.86 ,$91.93 ,$115.10 ,$86.96 ,$36.03 ,$44.76 ,$106.31 ,$36.03 ,$111.90 ,$36.03 ,$100.71 ,$100.71 ,$36.03 ,$100.71 ,$74.28 ,$147.07 , N/A ,$36.03 ,$135.88 ,$134.28 ,$36.03 ,$119.90 ,$127.89 ,$127.89 ,$36.03 ,$127.89 ,$139.08 ,$139.08 ,$139.08 ,$143.87 ,$91.93 ,$36.03 ,$159.86 ,$89.68 ,$36.03 ,$66.18 , N/A , N/A ,$37.84 ,$135.88 ,$100.71 ,$44.76 ,$143.87 ,$139.08 ,$127.89 ,$127.89 ,$36.03 ,$103.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT SECONDARY FIXATION ACL/PCL,272,1 ,"$1,800.00 ","$1,296.00 ",$405.72 ,"$1,800.00 ","$1,035.00 ","$1,296.00 ",$979.20 ,$405.72 ,$504.00 ,"$1,197.00 ",$405.72 ,"$1,260.00 ",$405.72 ,"$1,134.00 ","$1,134.00 ",$405.72 ,"$1,134.00 ",$836.28 ,"$1,656.00 ", N/A ,$405.72 ,"$1,530.00 ","$1,512.00 ",$405.72 ,"$1,350.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,440.00 ","$1,566.00 ","$1,566.00 ","$1,566.00 ","$1,620.00 ","$1,035.00 ",$405.72 ,"$1,800.00 ","$1,009.80 ",$405.72 ,$745.20 , N/A , N/A ,$426.01 ,"$1,530.00 ","$1,134.00 ",$504.00 ,"$1,620.00 ","$1,566.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,170.00 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,LIGHT HANDLE COVER,272,1 ,$3.16 ,$2.28 ,$0.72 ,$3.16 ,$1.83 ,$2.28 ,$1.72 ,$0.72 ,$0.88 ,$2.10 ,$0.72 ,$2.21 ,$0.72 ,$1.99 ,$1.99 ,$0.72 ,$1.99 ,$1.47 ,$2.91 , N/A ,$0.72 ,$2.69 ,$2.65 ,$0.72 ,$2.37 ,$2.53 ,$2.53 ,$0.72 ,$2.53 ,$2.75 ,$2.75 ,$2.75 ,$2.84 ,$1.83 ,$0.72 ,$3.16 ,$1.77 ,$0.72 ,$1.31 , N/A , N/A ,$0.75 ,$2.69 ,$1.99 ,$0.88 ,$2.84 ,$2.75 ,$2.53 ,$2.53 ,$0.72 ,$2.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,LINE MONITOR 4MR MICROSTREAM SMART CAPNOLINE NASAL ORAL 2 PURPOSE CIRCUIT ETCO2 O2 ADULT NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$60.04 ,$43.23 ,$13.53 ,$60.04 ,$34.53 ,$43.23 ,$32.66 ,$13.53 ,$16.81 ,$39.93 ,$13.53 ,$42.03 ,$13.53 ,$37.83 ,$37.83 ,$13.53 ,$37.83 ,$27.90 ,$55.24 , N/A ,$13.53 ,$51.03 ,$50.43 ,$13.53 ,$45.03 ,$48.03 ,$48.03 ,$13.53 ,$48.03 ,$52.23 ,$52.23 ,$52.23 ,$54.04 ,$34.53 ,$13.53 ,$60.04 ,$33.68 ,$13.53 ,$24.86 , N/A , N/A ,$14.21 ,$51.03 ,$37.83 ,$16.81 ,$54.04 ,$52.23 ,$48.03 ,$48.03 ,$13.53 ,$39.03 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,LOOP VESSEL THK.9MM MINI 1.3MM LATEX FREE BLUE FLUID REPELLENT RADIOPAQUE SILICONE VEIN MEDI-LOOPS STERILE,272,1 ,$3.22 ,$2.32 ,$0.73 ,$3.22 ,$1.85 ,$2.32 ,$1.75 ,$0.73 ,$0.90 ,$2.14 ,$0.73 ,$2.25 ,$0.73 ,$2.03 ,$2.03 ,$0.73 ,$2.03 ,$1.49 ,$2.96 , N/A ,$0.73 ,$2.74 ,$2.70 ,$0.73 ,$2.42 ,$2.58 ,$2.58 ,$0.73 ,$2.58 ,$2.80 ,$2.80 ,$2.80 ,$2.90 ,$1.85 ,$0.73 ,$3.22 ,$1.81 ,$0.73 ,$1.33 , N/A , N/A ,$0.76 ,$2.74 ,$2.03 ,$0.90 ,$2.90 ,$2.80 ,$2.58 ,$2.58 ,$0.73 ,$2.09 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MANIFOLD FOR NEPTUNE,272,1 ,$38.10 ,$27.43 ,$8.58 ,$38.10 ,$21.90 ,$27.43 ,$20.73 ,$8.58 ,$10.67 ,$25.34 ,$8.58 ,$26.67 ,$8.58 ,$24.00 ,$24.00 ,$8.58 ,$24.00 ,$17.70 ,$35.05 , N/A ,$8.58 ,$32.39 ,$32.00 ,$8.58 ,$28.58 ,$30.48 ,$30.48 ,$8.58 ,$30.48 ,$33.15 ,$33.15 ,$33.15 ,$34.29 ,$21.90 ,$8.58 ,$38.10 ,$21.37 ,$8.58 ,$15.77 , N/A , N/A ,$9.02 ,$32.39 ,$24.00 ,$10.67 ,$34.29 ,$33.15 ,$30.48 ,$30.48 ,$8.58 ,$24.77 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MANIFOLD SUCTION NEPTUNE 2 2 STANDARD 4 PORT WASTE,272,1 ,$41.75 ,$30.06 ,$9.41 ,$41.75 ,$24.00 ,$30.06 ,$22.71 ,$9.41 ,$11.69 ,$27.76 ,$9.41 ,$29.23 ,$9.41 ,$26.30 ,$26.30 ,$9.41 ,$26.30 ,$19.39 ,$38.41 , N/A ,$9.41 ,$35.49 ,$35.07 ,$9.41 ,$31.31 ,$33.40 ,$33.40 ,$9.41 ,$33.40 ,$36.32 ,$36.32 ,$36.32 ,$37.58 ,$24.00 ,$9.41 ,$41.75 ,$23.42 ,$9.41 ,$17.28 , N/A , N/A ,$9.88 ,$35.49 ,$26.30 ,$11.69 ,$37.58 ,$36.32 ,$33.40 ,$33.40 ,$9.41 ,$27.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING WEBRIL 3 UNSTERILE,272,1 ,$41.75 ,$30.06 ,$9.41 ,$41.75 ,$24.00 ,$30.06 ,$22.71 ,$9.41 ,$11.69 ,$27.76 ,$9.41 ,$29.23 ,$9.41 ,$26.30 ,$26.30 ,$9.41 ,$26.30 ,$19.39 ,$38.41 , N/A ,$9.41 ,$35.49 ,$35.07 ,$9.41 ,$31.31 ,$33.40 ,$33.40 ,$9.41 ,$33.40 ,$36.32 ,$36.32 ,$36.32 ,$37.58 ,$24.00 ,$9.41 ,$41.75 ,$23.42 ,$9.41 ,$17.28 , N/A , N/A ,$9.88 ,$35.49 ,$26.30 ,$11.69 ,$37.58 ,$36.32 ,$33.40 ,$33.40 ,$9.41 ,$27.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MARKER ENDOSPOT,272,1 ,$103.50 ,$74.52 ,$23.33 ,$103.50 ,$59.53 ,$74.52 ,$56.30 ,$23.33 ,$28.98 ,$68.83 ,$23.33 ,$72.45 ,$23.33 ,$65.21 ,$65.21 ,$23.33 ,$65.21 ,$48.10 ,$95.22 , N/A ,$23.33 ,$87.98 ,$86.94 ,$23.33 ,$77.63 ,$82.80 ,$82.80 ,$23.33 ,$82.80 ,$90.05 ,$90.05 ,$90.05 ,$93.15 ,$59.53 ,$23.33 ,$103.50 ,$58.06 ,$23.33 ,$42.85 , N/A , N/A ,$24.50 ,$87.98 ,$65.21 ,$28.98 ,$93.15 ,$90.05 ,$82.80 ,$82.80 ,$23.33 ,$67.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MARKER FIDUCIAL 20CM SOFT TISSUE GOLD RADIATION THERAPY 3X1MM,272,1 ,$139.13 ,$100.17 ,$31.36 ,$139.13 ,$80.00 ,$100.17 ,$75.69 ,$31.36 ,$38.96 ,$92.52 ,$31.36 ,$97.39 ,$31.36 ,$87.65 ,$87.65 ,$31.36 ,$87.65 ,$64.64 ,$128.00 , N/A ,$31.36 ,$118.26 ,$116.87 ,$31.36 ,$104.35 ,$111.30 ,$111.30 ,$31.36 ,$111.30 ,$121.04 ,$121.04 ,$121.04 ,$125.22 ,$80.00 ,$31.36 ,$139.13 ,$78.05 ,$31.36 ,$57.60 , N/A , N/A ,$32.93 ,$118.26 ,$87.65 ,$38.96 ,$125.22 ,$121.04 ,$111.30 ,$111.30 ,$31.36 ,$90.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MASK CPAP MEDIUM ADULT 3 SET VALVE FLOW GENERATOR O2 HOSE HEAD STRAP BITRAC ED FULL FACE 10X7.5X5CM 4IN,272,1 ,$152.97 ,$110.14 ,$34.48 ,$152.97 ,$87.95 ,$110.14 ,$83.22 ,$34.48 ,$42.83 ,$101.73 ,$34.48 ,$107.08 ,$34.48 ,$96.37 ,$96.37 ,$34.48 ,$96.37 ,$71.06 ,$140.73 , N/A ,$34.48 ,$130.02 ,$128.49 ,$34.48 ,$114.73 ,$122.38 ,$122.38 ,$34.48 ,$122.38 ,$133.08 ,$133.08 ,$133.08 ,$137.67 ,$87.95 ,$34.48 ,$152.97 ,$85.82 ,$34.48 ,$63.33 , N/A , N/A ,$36.20 ,$130.02 ,$96.37 ,$42.83 ,$137.67 ,$133.08 ,$122.38 ,$122.38 ,$34.48 ,$99.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MAT SUCTION 56X35IN THE SUCTIONER FOAM ABSORBABLE ANTIFATIGUE ANTISLIP CONTINUOUS,272,1 ,$237.00 ,$170.64 ,$53.42 ,$237.00 ,$136.28 ,$170.64 ,$128.93 ,$53.42 ,$66.36 ,$157.61 ,$53.42 ,$165.90 ,$53.42 ,$149.31 ,$149.31 ,$53.42 ,$149.31 ,$110.11 ,$218.04 , N/A ,$53.42 ,$201.45 ,$199.08 ,$53.42 ,$177.75 ,$189.60 ,$189.60 ,$53.42 ,$189.60 ,$206.19 ,$206.19 ,$206.19 ,$213.30 ,$136.28 ,$53.42 ,$237.00 ,$132.96 ,$53.42 ,$98.12 , N/A , N/A ,$56.10 ,$201.45 ,$149.31 ,$66.36 ,$213.30 ,$206.19 ,$189.60 ,$189.60 ,$53.42 ,$154.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRILL BIT ARTHREX 1.7MM,272,1 ,$237.00 ,$170.64 ,$53.42 ,$237.00 ,$136.28 ,$170.64 ,$128.93 ,$53.42 ,$66.36 ,$157.61 ,$53.42 ,$165.90 ,$53.42 ,$149.31 ,$149.31 ,$53.42 ,$149.31 ,$110.11 ,$218.04 , N/A ,$53.42 ,$201.45 ,$199.08 ,$53.42 ,$177.75 ,$189.60 ,$189.60 ,$53.42 ,$189.60 ,$206.19 ,$206.19 ,$206.19 ,$213.30 ,$136.28 ,$53.42 ,$237.00 ,$132.96 ,$53.42 ,$98.12 , N/A , N/A ,$56.10 ,$201.45 ,$149.31 ,$66.36 ,$213.30 ,$206.19 ,$189.60 ,$189.60 ,$53.42 ,$154.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,MOUTHPIECE ENDOSCOPIC REUSABLE,272,1 ,$28.35 ,$20.41 ,$6.39 ,$28.35 ,$16.30 ,$20.41 ,$15.42 ,$6.39 ,$7.94 ,$18.85 ,$6.39 ,$19.85 ,$6.39 ,$17.86 ,$17.86 ,$6.39 ,$17.86 ,$13.17 ,$26.08 , N/A ,$6.39 ,$24.10 ,$23.81 ,$6.39 ,$21.26 ,$22.68 ,$22.68 ,$6.39 ,$22.68 ,$24.66 ,$24.66 ,$24.66 ,$25.52 ,$16.30 ,$6.39 ,$28.35 ,$15.90 ,$6.39 ,$11.74 , N/A , N/A ,$6.71 ,$24.10 ,$17.86 ,$7.94 ,$25.52 ,$24.66 ,$22.68 ,$22.68 ,$6.39 ,$18.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NAIL 11MM 360MM FEMUR RIGHT GAMMA3 INTRAMEDULLARY 125D R1.5 LOCK TITANIUM STERILE,272,1 ,"$5,826.60 ","$4,195.15 ","$1,313.32 ","$5,826.60 ","$3,350.30 ","$4,195.15 ","$3,169.67 ","$1,313.32 ","$1,631.45 ","$3,874.69 ","$1,313.32 ","$4,078.62 ","$1,313.32 ","$3,670.76 ","$3,670.76 ","$1,313.32 ","$3,670.76 ","$2,707.04 ","$5,360.47 ", N/A ,"$1,313.32 ","$4,952.61 ","$4,894.34 ","$1,313.32 ","$4,369.95 ","$4,661.28 ","$4,661.28 ","$1,313.32 ","$4,661.28 ","$5,069.14 ","$5,069.14 ","$5,069.14 ","$5,243.94 ","$3,350.30 ","$1,313.32 ","$5,826.60 ","$3,268.72 ","$1,313.32 ","$2,412.21 ", N/A , N/A ,"$1,378.99 ","$4,952.61 ","$3,670.76 ","$1,631.45 ","$5,243.94 ","$5,069.14 ","$4,661.28 ","$4,661.28 ","$1,313.32 ","$3,787.29 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle BIOPSY BARD MONOPTY 13GA X 7.8CM,272,1 ,$50.75 ,$36.54 ,$11.44 ,$50.75 ,$29.18 ,$36.54 ,$27.61 ,$11.44 ,$14.21 ,$33.75 ,$11.44 ,$35.53 ,$11.44 ,$31.97 ,$31.97 ,$11.44 ,$31.97 ,$23.57 ,$46.69 , N/A ,$11.44 ,$43.14 ,$42.63 ,$11.44 ,$38.06 ,$40.60 ,$40.60 ,$11.44 ,$40.60 ,$44.15 ,$44.15 ,$44.15 ,$45.68 ,$29.18 ,$11.44 ,$50.75 ,$28.47 ,$11.44 ,$21.01 , N/A , N/A ,$12.00 ,$43.14 ,$31.97 ,$14.21 ,$45.68 ,$44.15 ,$40.60 ,$40.60 ,$11.44 ,$32.99 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle BIOPSY MAXCORE 18GA X 20CM,272,1 ,$137.45 ,$98.96 ,$30.98 ,$137.45 ,$79.03 ,$98.96 ,$74.77 ,$30.98 ,$38.49 ,$91.40 ,$30.98 ,$96.22 ,$30.98 ,$86.59 ,$86.59 ,$30.98 ,$86.59 ,$63.85 ,$126.45 , N/A ,$30.98 ,$116.83 ,$115.46 ,$30.98 ,$103.09 ,$109.96 ,$109.96 ,$30.98 ,$109.96 ,$119.58 ,$119.58 ,$119.58 ,$123.71 ,$79.03 ,$30.98 ,$137.45 ,$77.11 ,$30.98 ,$56.90 , N/A , N/A ,$32.53 ,$116.83 ,$86.59 ,$38.49 ,$123.71 ,$119.58 ,$109.96 ,$109.96 ,$30.98 ,$89.34 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE CARDINAL HEALTH COUNTER SMALL,272,1 ,$2.99 ,$2.15 ,$0.68 ,$2.99 ,$1.73 ,$2.15 ,$1.63 ,$0.68 ,$0.84 ,$1.99 ,$0.68 ,$2.09 ,$0.68 ,$1.88 ,$1.88 ,$0.68 ,$1.88 ,$1.39 ,$2.75 , N/A ,$0.68 ,$2.54 ,$2.51 ,$0.68 ,$2.24 ,$2.39 ,$2.39 ,$0.68 ,$2.39 ,$2.60 ,$2.60 ,$2.60 ,$2.69 ,$1.73 ,$0.68 ,$2.99 ,$1.68 ,$0.68 ,$1.24 , N/A , N/A ,$0.71 ,$2.54 ,$1.88 ,$0.84 ,$2.69 ,$2.60 ,$2.39 ,$2.39 ,$0.68 ,$1.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle FILTER 19GA 1 1/2,272,1 ,$0.49 ,$0.35 ,$0.11 ,$0.49 ,$0.28 ,$0.35 ,$0.27 ,$0.11 ,$0.14 ,$0.33 ,$0.11 ,$0.34 ,$0.11 ,$0.31 ,$0.31 ,$0.11 ,$0.31 ,$0.22 ,$0.45 , N/A ,$0.11 ,$0.42 ,$0.41 ,$0.11 ,$0.37 ,$0.39 ,$0.39 ,$0.11 ,$0.39 ,$0.43 ,$0.43 ,$0.43 ,$0.44 ,$0.28 ,$0.11 ,$0.49 ,$0.27 ,$0.11 ,$0.20 , N/A , N/A ,$0.12 ,$0.42 ,$0.31 ,$0.14 ,$0.44 ,$0.43 ,$0.39 ,$0.39 ,$0.11 ,$0.32 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 18G X 1.5,272,1 ,$0.07 ,$0.05 ,$0.02 ,$0.07 ,$0.05 ,$0.05 ,$0.04 ,$0.02 ,$0.02 ,$0.05 ,$0.02 ,$0.05 ,$0.02 ,$0.04 ,$0.04 ,$0.02 ,$0.04 ,$0.04 ,$0.06 , N/A ,$0.02 ,$0.06 ,$0.06 ,$0.02 ,$0.05 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.05 ,$0.02 ,$0.07 ,$0.04 ,$0.02 ,$0.03 , N/A , N/A ,$0.02 ,$0.06 ,$0.04 ,$0.02 ,$0.06 ,$0.06 ,$0.06 ,$0.06 ,$0.02 ,$0.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 18GA 1.5IN,272,1 ,$0.08 ,$0.06 ,$0.02 ,$0.08 ,$0.05 ,$0.06 ,$0.04 ,$0.02 ,$0.02 ,$0.05 ,$0.02 ,$0.06 ,$0.02 ,$0.05 ,$0.05 ,$0.02 ,$0.05 ,$0.04 ,$0.07 , N/A ,$0.02 ,$0.07 ,$0.07 ,$0.02 ,$0.06 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.07 ,$0.07 ,$0.07 ,$0.07 ,$0.05 ,$0.02 ,$0.08 ,$0.04 ,$0.02 ,$0.03 , N/A , N/A ,$0.02 ,$0.07 ,$0.05 ,$0.02 ,$0.07 ,$0.07 ,$0.06 ,$0.06 ,$0.02 ,$0.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 19GA 1.5IN,272,1 ,$0.14 ,$0.10 ,$0.03 ,$0.14 ,$0.08 ,$0.10 ,$0.08 ,$0.03 ,$0.04 ,$0.09 ,$0.03 ,$0.10 ,$0.03 ,$0.09 ,$0.09 ,$0.03 ,$0.09 ,$0.06 ,$0.13 , N/A ,$0.03 ,$0.12 ,$0.12 ,$0.03 ,$0.11 ,$0.11 ,$0.11 ,$0.03 ,$0.11 ,$0.12 ,$0.12 ,$0.12 ,$0.13 ,$0.08 ,$0.03 ,$0.14 ,$0.08 ,$0.03 ,$0.06 , N/A , N/A ,$0.03 ,$0.12 ,$0.09 ,$0.04 ,$0.13 ,$0.12 ,$0.11 ,$0.11 ,$0.03 ,$0.09 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 21GA X 1 1/3IN,272,1 ,$0.54 ,$0.39 ,$0.12 ,$0.54 ,$0.30 ,$0.39 ,$0.29 ,$0.12 ,$0.15 ,$0.36 ,$0.12 ,$0.38 ,$0.12 ,$0.34 ,$0.34 ,$0.12 ,$0.34 ,$0.24 ,$0.50 , N/A ,$0.12 ,$0.46 ,$0.45 ,$0.12 ,$0.41 ,$0.43 ,$0.43 ,$0.12 ,$0.43 ,$0.47 ,$0.47 ,$0.47 ,$0.49 ,$0.30 ,$0.12 ,$0.54 ,$0.30 ,$0.12 ,$0.22 , N/A , N/A ,$0.13 ,$0.46 ,$0.34 ,$0.15 ,$0.49 ,$0.47 ,$0.43 ,$0.43 ,$0.12 ,$0.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 23GA 1.5IN,272,1 ,$0.10 ,$0.07 ,$0.02 ,$0.10 ,$0.05 ,$0.07 ,$0.05 ,$0.02 ,$0.03 ,$0.07 ,$0.02 ,$0.07 ,$0.02 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.04 ,$0.09 , N/A ,$0.02 ,$0.09 ,$0.08 ,$0.02 ,$0.08 ,$0.08 ,$0.08 ,$0.02 ,$0.08 ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.05 ,$0.02 ,$0.10 ,$0.06 ,$0.02 ,$0.04 , N/A , N/A ,$0.02 ,$0.09 ,$0.06 ,$0.03 ,$0.09 ,$0.09 ,$0.08 ,$0.08 ,$0.02 ,$0.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 3ML LUER LOCK,272,1 ,$0.10 ,$0.07 ,$0.02 ,$0.10 ,$0.05 ,$0.07 ,$0.05 ,$0.02 ,$0.03 ,$0.07 ,$0.02 ,$0.07 ,$0.02 ,$0.06 ,$0.06 ,$0.02 ,$0.06 ,$0.04 ,$0.09 , N/A ,$0.02 ,$0.09 ,$0.08 ,$0.02 ,$0.08 ,$0.08 ,$0.08 ,$0.02 ,$0.08 ,$0.09 ,$0.09 ,$0.09 ,$0.09 ,$0.05 ,$0.02 ,$0.10 ,$0.06 ,$0.02 ,$0.04 , N/A , N/A ,$0.02 ,$0.09 ,$0.06 ,$0.03 ,$0.09 ,$0.09 ,$0.08 ,$0.08 ,$0.02 ,$0.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 25G 1 1/2IN,272,1 ,$0.44 ,$0.32 ,$0.10 ,$0.44 ,$0.25 ,$0.32 ,$0.24 ,$0.10 ,$0.12 ,$0.29 ,$0.10 ,$0.31 ,$0.10 ,$0.28 ,$0.28 ,$0.10 ,$0.28 ,$0.20 ,$0.40 , N/A ,$0.10 ,$0.37 ,$0.37 ,$0.10 ,$0.33 ,$0.35 ,$0.35 ,$0.10 ,$0.35 ,$0.38 ,$0.38 ,$0.38 ,$0.40 ,$0.25 ,$0.10 ,$0.44 ,$0.25 ,$0.10 ,$0.18 , N/A , N/A ,$0.11 ,$0.37 ,$0.28 ,$0.12 ,$0.40 ,$0.38 ,$0.35 ,$0.35 ,$0.10 ,$0.29 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 25G X 5/8IN,272,1 ,$0.57 ,$0.41 ,$0.13 ,$0.57 ,$0.33 ,$0.41 ,$0.31 ,$0.13 ,$0.16 ,$0.38 ,$0.13 ,$0.40 ,$0.13 ,$0.36 ,$0.36 ,$0.13 ,$0.36 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.48 ,$0.13 ,$0.43 ,$0.46 ,$0.46 ,$0.13 ,$0.46 ,$0.50 ,$0.50 ,$0.50 ,$0.51 ,$0.33 ,$0.13 ,$0.57 ,$0.32 ,$0.13 ,$0.24 , N/A , N/A ,$0.14 ,$0.48 ,$0.36 ,$0.16 ,$0.51 ,$0.50 ,$0.46 ,$0.46 ,$0.13 ,$0.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CATHETER SUCTION 14FR,272,1 ,$0.57 ,$0.41 ,$0.13 ,$0.57 ,$0.33 ,$0.41 ,$0.31 ,$0.13 ,$0.16 ,$0.38 ,$0.13 ,$0.40 ,$0.13 ,$0.36 ,$0.36 ,$0.13 ,$0.36 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.48 ,$0.13 ,$0.43 ,$0.46 ,$0.46 ,$0.13 ,$0.46 ,$0.50 ,$0.50 ,$0.50 ,$0.51 ,$0.33 ,$0.13 ,$0.57 ,$0.32 ,$0.13 ,$0.24 , N/A , N/A ,$0.14 ,$0.48 ,$0.36 ,$0.16 ,$0.51 ,$0.50 ,$0.46 ,$0.46 ,$0.13 ,$0.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 18G X 1 1/2,272,1 ,$0.57 ,$0.41 ,$0.13 ,$0.57 ,$0.33 ,$0.41 ,$0.31 ,$0.13 ,$0.16 ,$0.38 ,$0.13 ,$0.40 ,$0.13 ,$0.36 ,$0.36 ,$0.13 ,$0.36 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.48 ,$0.13 ,$0.43 ,$0.46 ,$0.46 ,$0.13 ,$0.46 ,$0.50 ,$0.50 ,$0.50 ,$0.51 ,$0.33 ,$0.13 ,$0.57 ,$0.32 ,$0.13 ,$0.24 , N/A , N/A ,$0.14 ,$0.48 ,$0.36 ,$0.16 ,$0.51 ,$0.50 ,$0.46 ,$0.46 ,$0.13 ,$0.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 21G X 1 1/2,272,1 ,$0.57 ,$0.41 ,$0.13 ,$0.57 ,$0.33 ,$0.41 ,$0.31 ,$0.13 ,$0.16 ,$0.38 ,$0.13 ,$0.40 ,$0.13 ,$0.36 ,$0.36 ,$0.13 ,$0.36 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.48 ,$0.13 ,$0.43 ,$0.46 ,$0.46 ,$0.13 ,$0.46 ,$0.50 ,$0.50 ,$0.50 ,$0.51 ,$0.33 ,$0.13 ,$0.57 ,$0.32 ,$0.13 ,$0.24 , N/A , N/A ,$0.14 ,$0.48 ,$0.36 ,$0.16 ,$0.51 ,$0.50 ,$0.46 ,$0.46 ,$0.13 ,$0.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 21GA 1IN,272,1 ,$0.57 ,$0.41 ,$0.13 ,$0.57 ,$0.33 ,$0.41 ,$0.31 ,$0.13 ,$0.16 ,$0.38 ,$0.13 ,$0.40 ,$0.13 ,$0.36 ,$0.36 ,$0.13 ,$0.36 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.48 ,$0.13 ,$0.43 ,$0.46 ,$0.46 ,$0.13 ,$0.46 ,$0.50 ,$0.50 ,$0.50 ,$0.51 ,$0.33 ,$0.13 ,$0.57 ,$0.32 ,$0.13 ,$0.24 , N/A , N/A ,$0.14 ,$0.48 ,$0.36 ,$0.16 ,$0.51 ,$0.50 ,$0.46 ,$0.46 ,$0.13 ,$0.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 25GA 2IN,272,1 ,$0.43 ,$0.31 ,$0.10 ,$0.43 ,$0.25 ,$0.31 ,$0.23 ,$0.10 ,$0.12 ,$0.29 ,$0.10 ,$0.30 ,$0.10 ,$0.27 ,$0.27 ,$0.10 ,$0.27 ,$0.20 ,$0.40 , N/A ,$0.10 ,$0.37 ,$0.36 ,$0.10 ,$0.32 ,$0.34 ,$0.34 ,$0.10 ,$0.34 ,$0.37 ,$0.37 ,$0.37 ,$0.39 ,$0.25 ,$0.10 ,$0.43 ,$0.24 ,$0.10 ,$0.18 , N/A , N/A ,$0.11 ,$0.37 ,$0.27 ,$0.12 ,$0.39 ,$0.37 ,$0.34 ,$0.34 ,$0.10 ,$0.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO 27GA 1 1/2,272,1 ,$0.28 ,$0.20 ,$0.06 ,$0.28 ,$0.15 ,$0.20 ,$0.15 ,$0.06 ,$0.08 ,$0.19 ,$0.06 ,$0.20 ,$0.06 ,$0.18 ,$0.18 ,$0.06 ,$0.18 ,$0.12 ,$0.26 , N/A ,$0.06 ,$0.24 ,$0.24 ,$0.06 ,$0.21 ,$0.22 ,$0.22 ,$0.06 ,$0.22 ,$0.24 ,$0.24 ,$0.24 ,$0.25 ,$0.15 ,$0.06 ,$0.28 ,$0.16 ,$0.06 ,$0.12 , N/A , N/A ,$0.06 ,$0.24 ,$0.18 ,$0.08 ,$0.25 ,$0.24 ,$0.22 ,$0.22 ,$0.06 ,$0.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle HYPO ANGLED 19GA,272,1 ,$11.60 ,$8.35 ,$2.62 ,$11.60 ,$6.68 ,$8.35 ,$6.31 ,$2.62 ,$3.25 ,$7.71 ,$2.62 ,$8.12 ,$2.62 ,$7.31 ,$7.31 ,$2.62 ,$7.31 ,$5.39 ,$10.67 , N/A ,$2.62 ,$9.86 ,$9.74 ,$2.62 ,$8.70 ,$9.28 ,$9.28 ,$2.62 ,$9.28 ,$10.09 ,$10.09 ,$10.09 ,$10.44 ,$6.68 ,$2.62 ,$11.60 ,$6.51 ,$2.62 ,$4.80 , N/A , N/A ,$2.74 ,$9.86 ,$7.31 ,$3.25 ,$10.44 ,$10.09 ,$9.28 ,$9.28 ,$2.62 ,$7.54 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE HYPO HUBER SAFETY 20GA X 3/4IN,272,1 ,$16.59 ,$11.94 ,$3.74 ,$16.59 ,$9.55 ,$11.94 ,$9.03 ,$3.74 ,$4.65 ,$11.03 ,$3.74 ,$11.61 ,$3.74 ,$10.45 ,$10.45 ,$3.74 ,$10.45 ,$7.72 ,$15.26 , N/A ,$3.74 ,$14.10 ,$13.94 ,$3.74 ,$12.44 ,$13.27 ,$13.27 ,$3.74 ,$13.27 ,$14.43 ,$14.43 ,$14.43 ,$14.93 ,$9.55 ,$3.74 ,$16.59 ,$9.31 ,$3.74 ,$6.87 , N/A , N/A ,$3.93 ,$14.10 ,$10.45 ,$4.65 ,$14.93 ,$14.43 ,$13.27 ,$13.27 ,$3.74 ,$10.78 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE HYPO VERRES INSUFLATION 120MM,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SNARE LARGE OVAL MEDIUM STIFF ENDOSCOPIC OLYMPUS DISPOSABLE,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CUFF TOURNIQUET DUAL PORT 4 X 34,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,CUFF TOURNIQUET DUAL PORT 4 X 42,272,1 ,$39.00 ,$28.08 ,$8.79 ,$39.00 ,$22.43 ,$28.08 ,$21.22 ,$8.79 ,$10.92 ,$25.94 ,$8.79 ,$27.30 ,$8.79 ,$24.57 ,$24.57 ,$8.79 ,$24.57 ,$18.12 ,$35.88 , N/A ,$8.79 ,$33.15 ,$32.76 ,$8.79 ,$29.25 ,$31.20 ,$31.20 ,$8.79 ,$31.20 ,$33.93 ,$33.93 ,$33.93 ,$35.10 ,$22.43 ,$8.79 ,$39.00 ,$21.88 ,$8.79 ,$16.15 , N/A , N/A ,$9.23 ,$33.15 ,$24.57 ,$10.92 ,$35.10 ,$33.93 ,$31.20 ,$31.20 ,$8.79 ,$25.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SCLEROTHERAPY 25GA,272,1 ,$243.00 ,$174.96 ,$54.77 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 , N/A ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 , N/A , N/A ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SCORPION AR-13995N,272,1 ,$510.00 ,$367.20 ,$114.95 ,$510.00 ,$293.25 ,$367.20 ,$277.44 ,$114.95 ,$142.80 ,$339.15 ,$114.95 ,$357.00 ,$114.95 ,$321.30 ,$321.30 ,$114.95 ,$321.30 ,$236.95 ,$469.20 , N/A ,$114.95 ,$433.50 ,$428.40 ,$114.95 ,$382.50 ,$408.00 ,$408.00 ,$114.95 ,$408.00 ,$443.70 ,$443.70 ,$443.70 ,$459.00 ,$293.25 ,$114.95 ,$510.00 ,$286.11 ,$114.95 ,$211.14 , N/A , N/A ,$120.71 ,$433.50 ,$321.30 ,$142.80 ,$459.00 ,$443.70 ,$408.00 ,$408.00 ,$114.95 ,$331.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SCORPION SUREFIRE,272,1 ,$420.00 ,$302.40 ,$94.67 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 ,$386.40 , N/A ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 , N/A , N/A ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED LT (AR-4068-45L),272,1 ,$420.00 ,$302.40 ,$94.67 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 ,$386.40 , N/A ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 , N/A , N/A ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ARTHREX LASSO SD 45 DEG CURVED RT (AR-4068-45R),272,1 ,$420.00 ,$302.40 ,$94.67 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 ,$386.40 , N/A ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 , N/A , N/A ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SCORPION,272,1 ,$420.00 ,$302.40 ,$94.67 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 ,$386.40 , N/A ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 , N/A , N/A ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SPINAL 20GA 3 1/2IN,272,1 ,$3.06 ,$2.20 ,$0.69 ,$3.06 ,$1.75 ,$2.20 ,$1.66 ,$0.69 ,$0.86 ,$2.03 ,$0.69 ,$2.14 ,$0.69 ,$1.93 ,$1.93 ,$0.69 ,$1.93 ,$1.41 ,$2.82 , N/A ,$0.69 ,$2.60 ,$2.57 ,$0.69 ,$2.30 ,$2.45 ,$2.45 ,$0.69 ,$2.45 ,$2.66 ,$2.66 ,$2.66 ,$2.75 ,$1.75 ,$0.69 ,$3.06 ,$1.72 ,$0.69 ,$1.27 , N/A , N/A ,$0.73 ,$2.60 ,$1.93 ,$0.86 ,$2.75 ,$2.66 ,$2.45 ,$2.45 ,$0.69 ,$1.99 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SPINAL 18GA X 31/2,272,1 ,$3.06 ,$2.20 ,$0.69 ,$3.06 ,$1.75 ,$2.20 ,$1.66 ,$0.69 ,$0.86 ,$2.03 ,$0.69 ,$2.14 ,$0.69 ,$1.93 ,$1.93 ,$0.69 ,$1.93 ,$1.41 ,$2.82 , N/A ,$0.69 ,$2.60 ,$2.57 ,$0.69 ,$2.30 ,$2.45 ,$2.45 ,$0.69 ,$2.45 ,$2.66 ,$2.66 ,$2.66 ,$2.75 ,$1.75 ,$0.69 ,$3.06 ,$1.72 ,$0.69 ,$1.27 , N/A , N/A ,$0.73 ,$2.60 ,$1.93 ,$0.86 ,$2.75 ,$2.66 ,$2.45 ,$2.45 ,$0.69 ,$1.99 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SPINAL 22GA X 1 1/2IN,272,1 ,$3.27 ,$2.35 ,$0.73 ,$3.27 ,$1.88 ,$2.35 ,$1.78 ,$0.73 ,$0.92 ,$2.17 ,$0.73 ,$2.29 ,$0.73 ,$2.06 ,$2.06 ,$0.73 ,$2.06 ,$1.52 ,$3.01 , N/A ,$0.73 ,$2.78 ,$2.75 ,$0.73 ,$2.45 ,$2.62 ,$2.62 ,$0.73 ,$2.62 ,$2.84 ,$2.84 ,$2.84 ,$2.94 ,$1.88 ,$0.73 ,$3.27 ,$1.83 ,$0.73 ,$1.35 , N/A , N/A ,$0.77 ,$2.78 ,$2.06 ,$0.92 ,$2.94 ,$2.84 ,$2.62 ,$2.62 ,$0.73 ,$2.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SPINAL 22GA X 7,272,1 ,$523.47 ,$376.90 ,$117.99 ,$523.47 ,$301.00 ,$376.90 ,$284.77 ,$117.99 ,$146.57 ,$348.11 ,$117.99 ,$366.43 ,$117.99 ,$329.79 ,$329.79 ,$117.99 ,$329.79 ,$243.21 ,$481.59 , N/A ,$117.99 ,$444.95 ,$439.71 ,$117.99 ,$392.60 ,$418.78 ,$418.78 ,$117.99 ,$418.78 ,$455.42 ,$455.42 ,$455.42 ,$471.12 ,$301.00 ,$117.99 ,$523.47 ,$293.67 ,$117.99 ,$216.72 , N/A , N/A ,$123.89 ,$444.95 ,$329.79 ,$146.57 ,$471.12 ,$455.42 ,$418.78 ,$418.78 ,$117.99 ,$340.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SPINAL 25GA X 3.5IN,272,1 ,$3.18 ,$2.29 ,$0.72 ,$3.18 ,$1.83 ,$2.29 ,$1.73 ,$0.72 ,$0.89 ,$2.11 ,$0.72 ,$2.23 ,$0.72 ,$2.00 ,$2.00 ,$0.72 ,$2.00 ,$1.47 ,$2.93 , N/A ,$0.72 ,$2.70 ,$2.67 ,$0.72 ,$2.39 ,$2.54 ,$2.54 ,$0.72 ,$2.54 ,$2.77 ,$2.77 ,$2.77 ,$2.86 ,$1.83 ,$0.72 ,$3.18 ,$1.78 ,$0.72 ,$1.32 , N/A , N/A ,$0.75 ,$2.70 ,$2.00 ,$0.89 ,$2.86 ,$2.77 ,$2.54 ,$2.54 ,$0.72 ,$2.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SPINAL 4.75IN 22GA SPINOCAN QUINCKE BISPHENOL A BEVEL PRECISION GROUND STYLET PVC FREE DEHP FREE STERILE LATEX FREE,272,1 ,$8.12 ,$5.85 ,$1.83 ,$8.12 ,$4.68 ,$5.85 ,$4.42 ,$1.83 ,$2.27 ,$5.40 ,$1.83 ,$5.68 ,$1.83 ,$5.12 ,$5.12 ,$1.83 ,$5.12 ,$3.78 ,$7.47 , N/A ,$1.83 ,$6.90 ,$6.82 ,$1.83 ,$6.09 ,$6.50 ,$6.50 ,$1.83 ,$6.50 ,$7.06 ,$7.06 ,$7.06 ,$7.31 ,$4.68 ,$1.83 ,$8.12 ,$4.56 ,$1.83 ,$3.36 , N/A , N/A ,$1.92 ,$6.90 ,$5.12 ,$2.27 ,$7.31 ,$7.06 ,$6.50 ,$6.50 ,$1.83 ,$5.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SPINAL BLACK 3IN 22GA BD REGULAR WALL POLYPROPYLENE QUINCKE TIP STERILE LATEX FREE DISPOSABLE,272,1 ,$3.14 ,$2.26 ,$0.71 ,$3.14 ,$1.80 ,$2.26 ,$1.71 ,$0.71 ,$0.88 ,$2.09 ,$0.71 ,$2.20 ,$0.71 ,$1.98 ,$1.98 ,$0.71 ,$1.98 ,$1.45 ,$2.89 , N/A ,$0.71 ,$2.67 ,$2.64 ,$0.71 ,$2.36 ,$2.51 ,$2.51 ,$0.71 ,$2.51 ,$2.73 ,$2.73 ,$2.73 ,$2.83 ,$1.80 ,$0.71 ,$3.14 ,$1.76 ,$0.71 ,$1.30 , N/A , N/A ,$0.74 ,$2.67 ,$1.98 ,$0.88 ,$2.83 ,$2.73 ,$2.51 ,$2.51 ,$0.71 ,$2.04 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle SPINAL 22GA 3 1/2IN,272,1 ,$3.14 ,$2.26 ,$0.71 ,$3.14 ,$1.80 ,$2.26 ,$1.71 ,$0.71 ,$0.88 ,$2.09 ,$0.71 ,$2.20 ,$0.71 ,$1.98 ,$1.98 ,$0.71 ,$1.98 ,$1.45 ,$2.89 , N/A ,$0.71 ,$2.67 ,$2.64 ,$0.71 ,$2.36 ,$2.51 ,$2.51 ,$0.71 ,$2.51 ,$2.73 ,$2.73 ,$2.73 ,$2.83 ,$1.80 ,$0.71 ,$3.14 ,$1.76 ,$0.71 ,$1.30 , N/A , N/A ,$0.74 ,$2.67 ,$1.98 ,$0.88 ,$2.83 ,$2.73 ,$2.51 ,$2.51 ,$0.71 ,$2.04 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SUTURE 4 .5 CIRCLE TROCAR POINT STERILE DISPOSABLE,272,1 ,$7.95 ,$5.72 ,$1.79 ,$7.95 ,$4.58 ,$5.72 ,$4.32 ,$1.79 ,$2.23 ,$5.29 ,$1.79 ,$5.57 ,$1.79 ,$5.01 ,$5.01 ,$1.79 ,$5.01 ,$3.70 ,$7.31 , N/A ,$1.79 ,$6.76 ,$6.68 ,$1.79 ,$5.96 ,$6.36 ,$6.36 ,$1.79 ,$6.36 ,$6.92 ,$6.92 ,$6.92 ,$7.16 ,$4.58 ,$1.79 ,$7.95 ,$4.46 ,$1.79 ,$3.29 , N/A , N/A ,$1.88 ,$6.76 ,$5.01 ,$2.23 ,$7.16 ,$6.92 ,$6.36 ,$6.36 ,$1.79 ,$5.17 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE SUTURE EXPRESS SEW IIII,272,1 ,$700.20 ,$504.14 ,$157.83 ,$700.20 ,$402.63 ,$504.14 ,$380.91 ,$157.83 ,$196.06 ,$465.63 ,$157.83 ,$490.14 ,$157.83 ,$441.13 ,$441.13 ,$157.83 ,$441.13 ,$325.32 ,$644.18 , N/A ,$157.83 ,$595.17 ,$588.17 ,$157.83 ,$525.15 ,$560.16 ,$560.16 ,$157.83 ,$560.16 ,$609.17 ,$609.17 ,$609.17 ,$630.18 ,$402.63 ,$157.83 ,$700.20 ,$392.81 ,$157.83 ,$289.88 , N/A , N/A ,$165.72 ,$595.17 ,$441.13 ,$196.06 ,$630.18 ,$609.17 ,$560.16 ,$560.16 ,$157.83 ,$455.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,NEEDLE TUOHY 20G X 7,272,1 ,$32.55 ,$23.44 ,$7.34 ,$32.55 ,$18.73 ,$23.44 ,$17.71 ,$7.34 ,$9.11 ,$21.65 ,$7.34 ,$22.79 ,$7.34 ,$20.51 ,$20.51 ,$7.34 ,$20.51 ,$15.13 ,$29.95 , N/A ,$7.34 ,$27.67 ,$27.34 ,$7.34 ,$24.41 ,$26.04 ,$26.04 ,$7.34 ,$26.04 ,$28.32 ,$28.32 ,$28.32 ,$29.30 ,$18.73 ,$7.34 ,$32.55 ,$18.26 ,$7.34 ,$13.48 , N/A , N/A ,$7.70 ,$27.67 ,$20.51 ,$9.11 ,$29.30 ,$28.32 ,$26.04 ,$26.04 ,$7.34 ,$21.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,Needle TUOHY EPIDURAL 17GA X 3.5,272,1 ,$16.34 ,$11.76 ,$3.68 ,$16.34 ,$9.40 ,$11.76 ,$8.89 ,$3.68 ,$4.58 ,$10.87 ,$3.68 ,$11.44 ,$3.68 ,$10.29 ,$10.29 ,$3.68 ,$10.29 ,$7.60 ,$15.03 , N/A ,$3.68 ,$13.89 ,$13.73 ,$3.68 ,$12.26 ,$13.07 ,$13.07 ,$3.68 ,$13.07 ,$14.22 ,$14.22 ,$14.22 ,$14.71 ,$9.40 ,$3.68 ,$16.34 ,$9.17 ,$3.68 ,$6.76 , N/A , N/A ,$3.87 ,$13.89 ,$10.29 ,$4.58 ,$14.71 ,$14.22 ,$13.07 ,$13.07 ,$3.68 ,$10.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,OINTMENT ALOE VESTA ANTIFUNGAL TUBE DYE FREE PROTECTIVE 2% MICONAZOLE NITRATE PETROLATUM ALOE 2OZ LATEX FREE CLEAR,272,1 ,$3.97 ,$2.86 ,$0.89 ,$3.97 ,$2.28 ,$2.86 ,$2.16 ,$0.89 ,$1.11 ,$2.64 ,$0.89 ,$2.78 ,$0.89 ,$2.50 ,$2.50 ,$0.89 ,$2.50 ,$1.84 ,$3.65 , N/A ,$0.89 ,$3.37 ,$3.33 ,$0.89 ,$2.98 ,$3.18 ,$3.18 ,$0.89 ,$3.18 ,$3.45 ,$3.45 ,$3.45 ,$3.57 ,$2.28 ,$0.89 ,$3.97 ,$2.23 ,$0.89 ,$1.64 , N/A , N/A ,$0.94 ,$3.37 ,$2.50 ,$1.11 ,$3.57 ,$3.45 ,$3.18 ,$3.18 ,$0.89 ,$2.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,OINTMENT CALMOSEPTINE TUBE 4 OZ,272,1 ,$18.78 ,$13.52 ,$4.23 ,$18.78 ,$10.80 ,$13.52 ,$10.22 ,$4.23 ,$5.26 ,$12.49 ,$4.23 ,$13.15 ,$4.23 ,$11.83 ,$11.83 ,$4.23 ,$11.83 ,$8.73 ,$17.28 , N/A ,$4.23 ,$15.96 ,$15.78 ,$4.23 ,$14.09 ,$15.02 ,$15.02 ,$4.23 ,$15.02 ,$16.34 ,$16.34 ,$16.34 ,$16.90 ,$10.80 ,$4.23 ,$18.78 ,$10.54 ,$4.23 ,$7.77 , N/A , N/A ,$4.45 ,$15.96 ,$11.83 ,$5.26 ,$16.90 ,$16.34 ,$15.02 ,$15.02 ,$4.23 ,$12.21 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,OINTMENT SKIN ALOE VESTA PETROLATUM NONSENSITIZE EMOLLIENT 8OZ LATEX FREE FRAGRANCE FREE,272,1 ,$5.54 ,$3.99 ,$1.24 ,$5.54 ,$3.18 ,$3.99 ,$3.01 ,$1.24 ,$1.55 ,$3.68 ,$1.24 ,$3.88 ,$1.24 ,$3.49 ,$3.49 ,$1.24 ,$3.49 ,$2.57 ,$5.10 , N/A ,$1.24 ,$4.71 ,$4.65 ,$1.24 ,$4.16 ,$4.43 ,$4.43 ,$1.24 ,$4.43 ,$4.82 ,$4.82 ,$4.82 ,$4.99 ,$3.18 ,$1.24 ,$5.54 ,$3.11 ,$1.24 ,$2.29 , N/A , N/A ,$1.30 ,$4.71 ,$3.49 ,$1.55 ,$4.99 ,$4.82 ,$4.43 ,$4.43 ,$1.24 ,$3.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,DRESSING PERI-PAD,272,1 ,$5.54 ,$3.99 ,$1.24 ,$5.54 ,$3.18 ,$3.99 ,$3.01 ,$1.24 ,$1.55 ,$3.68 ,$1.24 ,$3.88 ,$1.24 ,$3.49 ,$3.49 ,$1.24 ,$3.49 ,$2.57 ,$5.10 , N/A ,$1.24 ,$4.71 ,$4.65 ,$1.24 ,$4.16 ,$4.43 ,$4.43 ,$1.24 ,$4.43 ,$4.82 ,$4.82 ,$4.82 ,$4.99 ,$3.18 ,$1.24 ,$5.54 ,$3.11 ,$1.24 ,$2.29 , N/A , N/A ,$1.30 ,$4.71 ,$3.49 ,$1.55 ,$4.99 ,$4.82 ,$4.43 ,$4.43 ,$1.24 ,$3.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK ARTHROSCOPY,272,1 ,$213.63 ,$153.81 ,$48.15 ,$213.63 ,$122.83 ,$153.81 ,$116.21 ,$48.15 ,$59.82 ,$142.06 ,$48.15 ,$149.54 ,$48.15 ,$134.59 ,$134.59 ,$48.15 ,$134.59 ,$99.24 ,$196.54 , N/A ,$48.15 ,$181.59 ,$179.45 ,$48.15 ,$160.22 ,$170.90 ,$170.90 ,$48.15 ,$170.90 ,$185.86 ,$185.86 ,$185.86 ,$192.27 ,$122.83 ,$48.15 ,$213.63 ,$119.85 ,$48.15 ,$88.44 , N/A , N/A ,$50.56 ,$181.59 ,$134.59 ,$59.82 ,$192.27 ,$185.86 ,$170.90 ,$170.90 ,$48.15 ,$138.86 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK ARTHROSCOPY SFL GSS,272,1 ,$215.66 ,$155.28 ,$48.61 ,$215.66 ,$124.00 ,$155.28 ,$117.32 ,$48.61 ,$60.38 ,$143.41 ,$48.61 ,$150.96 ,$48.61 ,$135.87 ,$135.87 ,$48.61 ,$135.87 ,$100.19 ,$198.41 , N/A ,$48.61 ,$183.31 ,$181.15 ,$48.61 ,$161.75 ,$172.53 ,$172.53 ,$48.61 ,$172.53 ,$187.62 ,$187.62 ,$187.62 ,$194.09 ,$124.00 ,$48.61 ,$215.66 ,$120.99 ,$48.61 ,$89.28 , N/A , N/A ,$51.04 ,$183.31 ,$135.87 ,$60.38 ,$194.09 ,$187.62 ,$172.53 ,$172.53 ,$48.61 ,$140.18 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK BASIC 571 SFL GSS,272,1 ,$72.49 ,$52.19 ,$16.34 ,$72.49 ,$41.68 ,$52.19 ,$39.43 ,$16.34 ,$20.30 ,$48.21 ,$16.34 ,$50.74 ,$16.34 ,$45.67 ,$45.67 ,$16.34 ,$45.67 ,$33.67 ,$66.69 , N/A ,$16.34 ,$61.62 ,$60.89 ,$16.34 ,$54.37 ,$57.99 ,$57.99 ,$16.34 ,$57.99 ,$63.07 ,$63.07 ,$63.07 ,$65.24 ,$41.68 ,$16.34 ,$72.49 ,$40.67 ,$16.34 ,$30.01 , N/A , N/A ,$17.15 ,$61.62 ,$45.67 ,$20.30 ,$65.24 ,$63.07 ,$57.99 ,$57.99 ,$16.34 ,$47.12 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK BASIC SET UP,272,1 ,$61.51 ,$44.29 ,$13.87 ,$61.51 ,$35.38 ,$44.29 ,$33.46 ,$13.87 ,$17.22 ,$40.90 ,$13.87 ,$43.06 ,$13.87 ,$38.75 ,$38.75 ,$13.87 ,$38.75 ,$28.58 ,$56.59 , N/A ,$13.87 ,$52.28 ,$51.67 ,$13.87 ,$46.13 ,$49.21 ,$49.21 ,$13.87 ,$49.21 ,$53.51 ,$53.51 ,$53.51 ,$55.36 ,$35.38 ,$13.87 ,$61.51 ,$34.51 ,$13.87 ,$25.47 , N/A , N/A ,$14.56 ,$52.28 ,$38.75 ,$17.22 ,$55.36 ,$53.51 ,$49.21 ,$49.21 ,$13.87 ,$39.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK C SECTION 576 SFL,272,1 ,$139.56 ,$100.48 ,$31.46 ,$139.56 ,$80.25 ,$100.48 ,$75.92 ,$31.46 ,$39.08 ,$92.81 ,$31.46 ,$97.69 ,$31.46 ,$87.92 ,$87.92 ,$31.46 ,$87.92 ,$64.84 ,$128.40 , N/A ,$31.46 ,$118.63 ,$117.23 ,$31.46 ,$104.67 ,$111.65 ,$111.65 ,$31.46 ,$111.65 ,$121.42 ,$121.42 ,$121.42 ,$125.60 ,$80.25 ,$31.46 ,$139.56 ,$78.29 ,$31.46 ,$57.78 , N/A , N/A ,$33.04 ,$118.63 ,$87.92 ,$39.08 ,$125.60 ,$121.42 ,$111.65 ,$111.65 ,$31.46 ,$90.71 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK C-SECTION,272,1 ,$127.04 ,$91.47 ,$28.64 ,$127.04 ,$73.05 ,$91.47 ,$69.11 ,$28.64 ,$35.57 ,$84.48 ,$28.64 ,$88.93 ,$28.64 ,$80.04 ,$80.04 ,$28.64 ,$80.04 ,$59.02 ,$116.88 , N/A ,$28.64 ,$107.98 ,$106.71 ,$28.64 ,$95.28 ,$101.63 ,$101.63 ,$28.64 ,$101.63 ,$110.52 ,$110.52 ,$110.52 ,$114.34 ,$73.05 ,$28.64 ,$127.04 ,$71.27 ,$28.64 ,$52.59 , N/A , N/A ,$30.07 ,$107.98 ,$80.04 ,$35.57 ,$114.34 ,$110.52 ,$101.63 ,$101.63 ,$28.64 ,$82.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK CYSTO,272,1 ,$52.01 ,$37.45 ,$11.72 ,$52.01 ,$29.90 ,$37.45 ,$28.29 ,$11.72 ,$14.56 ,$34.59 ,$11.72 ,$36.41 ,$11.72 ,$32.77 ,$32.77 ,$11.72 ,$32.77 ,$24.16 ,$47.85 , N/A ,$11.72 ,$44.21 ,$43.69 ,$11.72 ,$39.01 ,$41.61 ,$41.61 ,$11.72 ,$41.61 ,$45.25 ,$45.25 ,$45.25 ,$46.81 ,$29.90 ,$11.72 ,$52.01 ,$29.18 ,$11.72 ,$21.53 , N/A , N/A ,$12.31 ,$44.21 ,$32.77 ,$14.56 ,$46.81 ,$45.25 ,$41.61 ,$41.61 ,$11.72 ,$33.81 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK CYSTO 572 SFL,272,1 ,$30.01 ,$21.61 ,$6.76 ,$30.01 ,$17.25 ,$21.61 ,$16.33 ,$6.76 ,$8.40 ,$19.96 ,$6.76 ,$21.01 ,$6.76 ,$18.91 ,$18.91 ,$6.76 ,$18.91 ,$13.94 ,$27.61 , N/A ,$6.76 ,$25.51 ,$25.21 ,$6.76 ,$22.51 ,$24.01 ,$24.01 ,$6.76 ,$24.01 ,$26.11 ,$26.11 ,$26.11 ,$27.01 ,$17.25 ,$6.76 ,$30.01 ,$16.84 ,$6.76 ,$12.42 , N/A , N/A ,$7.09 ,$25.51 ,$18.91 ,$8.40 ,$27.01 ,$26.11 ,$24.01 ,$24.01 ,$6.76 ,$19.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK D AND C,272,1 ,$51.50 ,$37.08 ,$11.61 ,$51.50 ,$29.63 ,$37.08 ,$28.02 ,$11.61 ,$14.42 ,$34.25 ,$11.61 ,$36.05 ,$11.61 ,$32.45 ,$32.45 ,$11.61 ,$32.45 ,$23.94 ,$47.38 , N/A ,$11.61 ,$43.78 ,$43.26 ,$11.61 ,$38.63 ,$41.20 ,$41.20 ,$11.61 ,$41.20 ,$44.81 ,$44.81 ,$44.81 ,$46.35 ,$29.63 ,$11.61 ,$51.50 ,$28.89 ,$11.61 ,$21.32 , N/A , N/A ,$12.19 ,$43.78 ,$32.45 ,$14.42 ,$46.35 ,$44.81 ,$41.20 ,$41.20 ,$11.61 ,$33.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK GYN,272,1 ,$66.35 ,$47.77 ,$14.95 ,$66.35 ,$38.15 ,$47.77 ,$36.09 ,$14.95 ,$18.58 ,$44.12 ,$14.95 ,$46.45 ,$14.95 ,$41.80 ,$41.80 ,$14.95 ,$41.80 ,$30.83 ,$61.04 , N/A ,$14.95 ,$56.40 ,$55.73 ,$14.95 ,$49.76 ,$53.08 ,$53.08 ,$14.95 ,$53.08 ,$57.72 ,$57.72 ,$57.72 ,$59.72 ,$38.15 ,$14.95 ,$66.35 ,$37.22 ,$14.95 ,$27.47 , N/A , N/A ,$15.70 ,$56.40 ,$41.80 ,$18.58 ,$59.72 ,$57.72 ,$53.08 ,$53.08 ,$14.95 ,$43.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK HEAD AND NECK,272,1 ,$78.60 ,$56.59 ,$17.72 ,$78.60 ,$45.20 ,$56.59 ,$42.76 ,$17.72 ,$22.01 ,$52.27 ,$17.72 ,$55.02 ,$17.72 ,$49.52 ,$49.52 ,$17.72 ,$49.52 ,$36.52 ,$72.31 , N/A ,$17.72 ,$66.81 ,$66.02 ,$17.72 ,$58.95 ,$62.88 ,$62.88 ,$17.72 ,$62.88 ,$68.38 ,$68.38 ,$68.38 ,$70.74 ,$45.20 ,$17.72 ,$78.60 ,$44.09 ,$17.72 ,$32.54 , N/A , N/A ,$18.60 ,$66.81 ,$49.52 ,$22.01 ,$70.74 ,$68.38 ,$62.88 ,$62.88 ,$17.72 ,$51.09 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK LAP,272,1 ,$399.71 ,$287.79 ,$90.09 ,$399.71 ,$229.83 ,$287.79 ,$217.44 ,$90.09 ,$111.92 ,$265.81 ,$90.09 ,$279.80 ,$90.09 ,$251.82 ,$251.82 ,$90.09 ,$251.82 ,$185.70 ,$367.73 , N/A ,$90.09 ,$339.75 ,$335.76 ,$90.09 ,$299.78 ,$319.77 ,$319.77 ,$90.09 ,$319.77 ,$347.75 ,$347.75 ,$347.75 ,$359.74 ,$229.83 ,$90.09 ,$399.71 ,$224.24 ,$90.09 ,$165.48 , N/A , N/A ,$94.60 ,$339.75 ,$251.82 ,$111.92 ,$359.74 ,$347.75 ,$319.77 ,$319.77 ,$90.09 ,$259.81 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK LAP ABDOMINAL SFL,272,1 ,$339.86 ,$244.70 ,$76.61 ,$339.86 ,$195.43 ,$244.70 ,$184.88 ,$76.61 ,$95.16 ,$226.01 ,$76.61 ,$237.90 ,$76.61 ,$214.11 ,$214.11 ,$76.61 ,$214.11 ,$157.90 ,$312.67 , N/A ,$76.61 ,$288.88 ,$285.48 ,$76.61 ,$254.90 ,$271.89 ,$271.89 ,$76.61 ,$271.89 ,$295.68 ,$295.68 ,$295.68 ,$305.87 ,$195.43 ,$76.61 ,$339.86 ,$190.66 ,$76.61 ,$140.70 , N/A , N/A ,$80.44 ,$288.88 ,$214.11 ,$95.16 ,$305.87 ,$295.68 ,$271.89 ,$271.89 ,$76.61 ,$220.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK LAP TIBURON,272,1 ,$15.41 ,$11.10 ,$3.47 ,$15.41 ,$8.85 ,$11.10 ,$8.38 ,$3.47 ,$4.31 ,$10.25 ,$3.47 ,$10.79 ,$3.47 ,$9.71 ,$9.71 ,$3.47 ,$9.71 ,$7.15 ,$14.18 , N/A ,$3.47 ,$13.10 ,$12.94 ,$3.47 ,$11.56 ,$12.33 ,$12.33 ,$3.47 ,$12.33 ,$13.41 ,$13.41 ,$13.41 ,$13.87 ,$8.85 ,$3.47 ,$15.41 ,$8.65 ,$3.47 ,$6.38 , N/A , N/A ,$3.65 ,$13.10 ,$9.71 ,$4.31 ,$13.87 ,$13.41 ,$12.33 ,$12.33 ,$3.47 ,$10.02 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK LAPAROTOMY,272,1 ,$92.49 ,$66.59 ,$20.84 ,$92.49 ,$53.18 ,$66.59 ,$50.31 ,$20.84 ,$25.90 ,$61.51 ,$20.84 ,$64.74 ,$20.84 ,$58.27 ,$58.27 ,$20.84 ,$58.27 ,$42.97 ,$85.09 , N/A ,$20.84 ,$78.62 ,$77.69 ,$20.84 ,$69.37 ,$73.99 ,$73.99 ,$20.84 ,$73.99 ,$80.47 ,$80.47 ,$80.47 ,$83.24 ,$53.18 ,$20.84 ,$92.49 ,$51.89 ,$20.84 ,$38.29 , N/A , N/A ,$21.88 ,$78.62 ,$58.27 ,$25.90 ,$83.24 ,$80.47 ,$73.99 ,$73.99 ,$20.84 ,$60.12 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK MAJOR ORTHO SFL,272,1 ,$206.46 ,$148.65 ,$46.54 ,$206.46 ,$118.73 ,$148.65 ,$112.31 ,$46.54 ,$57.81 ,$137.30 ,$46.54 ,$144.52 ,$46.54 ,$130.07 ,$130.07 ,$46.54 ,$130.07 ,$95.93 ,$189.94 , N/A ,$46.54 ,$175.49 ,$173.43 ,$46.54 ,$154.85 ,$165.17 ,$165.17 ,$46.54 ,$165.17 ,$179.62 ,$179.62 ,$179.62 ,$185.81 ,$118.73 ,$46.54 ,$206.46 ,$115.82 ,$46.54 ,$85.47 , N/A , N/A ,$48.86 ,$175.49 ,$130.07 ,$57.81 ,$185.81 ,$179.62 ,$165.17 ,$165.17 ,$46.54 ,$134.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK MINOR UROLOGY 573 SFL,272,1 ,$27.77 ,$19.99 ,$6.26 ,$27.77 ,$15.98 ,$19.99 ,$15.11 ,$6.26 ,$7.78 ,$18.47 ,$6.26 ,$19.44 ,$6.26 ,$17.50 ,$17.50 ,$6.26 ,$17.50 ,$12.91 ,$25.55 , N/A ,$6.26 ,$23.60 ,$23.33 ,$6.26 ,$20.83 ,$22.22 ,$22.22 ,$6.26 ,$22.22 ,$24.16 ,$24.16 ,$24.16 ,$24.99 ,$15.98 ,$6.26 ,$27.77 ,$15.58 ,$6.26 ,$11.50 , N/A , N/A ,$6.58 ,$23.60 ,$17.50 ,$7.78 ,$24.99 ,$24.16 ,$22.22 ,$22.22 ,$6.26 ,$18.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK ORTHO MAJOR SFL GSS,272,1 ,$207.93 ,$149.71 ,$46.86 ,$207.93 ,$119.55 ,$149.71 ,$113.11 ,$46.86 ,$58.22 ,$138.27 ,$46.86 ,$145.55 ,$46.86 ,$131.00 ,$131.00 ,$46.86 ,$131.00 ,$96.60 ,$191.30 , N/A ,$46.86 ,$176.74 ,$174.66 ,$46.86 ,$155.95 ,$166.34 ,$166.34 ,$46.86 ,$166.34 ,$180.90 ,$180.90 ,$180.90 ,$187.14 ,$119.55 ,$46.86 ,$207.93 ,$116.65 ,$46.86 ,$86.08 , N/A , N/A ,$49.21 ,$176.74 ,$131.00 ,$58.22 ,$187.14 ,$180.90 ,$166.34 ,$166.34 ,$46.86 ,$135.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK ORTHO MINOR,272,1 ,$132.36 ,$95.30 ,$29.83 ,$132.36 ,$76.10 ,$95.30 ,$72.00 ,$29.83 ,$37.06 ,$88.02 ,$29.83 ,$92.65 ,$29.83 ,$83.39 ,$83.39 ,$29.83 ,$83.39 ,$61.49 ,$121.77 , N/A ,$29.83 ,$112.51 ,$111.18 ,$29.83 ,$99.27 ,$105.89 ,$105.89 ,$29.83 ,$105.89 ,$115.15 ,$115.15 ,$115.15 ,$119.12 ,$76.10 ,$29.83 ,$132.36 ,$74.25 ,$29.83 ,$54.80 , N/A , N/A ,$31.32 ,$112.51 ,$83.39 ,$37.06 ,$119.12 ,$115.15 ,$105.89 ,$105.89 ,$29.83 ,$86.03 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK ORTHO MINOR 575 SFL GSS,272,1 ,$140.47 ,$101.14 ,$31.66 ,$140.47 ,$80.78 ,$101.14 ,$76.42 ,$31.66 ,$39.33 ,$93.41 ,$31.66 ,$98.33 ,$31.66 ,$88.50 ,$88.50 ,$31.66 ,$88.50 ,$65.27 ,$129.23 , N/A ,$31.66 ,$119.40 ,$117.99 ,$31.66 ,$105.35 ,$112.38 ,$112.38 ,$31.66 ,$112.38 ,$122.21 ,$122.21 ,$122.21 ,$126.42 ,$80.78 ,$31.66 ,$140.47 ,$78.80 ,$31.66 ,$58.15 , N/A , N/A ,$33.25 ,$119.40 ,$88.50 ,$39.33 ,$126.42 ,$122.21 ,$112.38 ,$112.38 ,$31.66 ,$91.31 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK SHOULDER SJS GSS,272,1 ,$217.23 ,$156.41 ,$48.96 ,$217.23 ,$124.90 ,$156.41 ,$118.17 ,$48.96 ,$60.82 ,$144.46 ,$48.96 ,$152.06 ,$48.96 ,$136.85 ,$136.85 ,$48.96 ,$136.85 ,$100.92 ,$199.85 , N/A ,$48.96 ,$184.65 ,$182.47 ,$48.96 ,$162.92 ,$173.78 ,$173.78 ,$48.96 ,$173.78 ,$188.99 ,$188.99 ,$188.99 ,$195.51 ,$124.90 ,$48.96 ,$217.23 ,$121.87 ,$48.96 ,$89.93 , N/A , N/A ,$51.41 ,$184.65 ,$136.85 ,$60.82 ,$195.51 ,$188.99 ,$173.78 ,$173.78 ,$48.96 ,$141.20 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK SURGICAL VAGINAL DELIVERY ST FRANCIS HOSPITAL,272,1 ,$61.69 ,$44.42 ,$13.91 ,$61.69 ,$35.48 ,$44.42 ,$33.56 ,$13.91 ,$17.27 ,$41.02 ,$13.91 ,$43.18 ,$13.91 ,$38.86 ,$38.86 ,$13.91 ,$38.86 ,$28.66 ,$56.75 , N/A ,$13.91 ,$52.44 ,$51.82 ,$13.91 ,$46.27 ,$49.35 ,$49.35 ,$13.91 ,$49.35 ,$53.67 ,$53.67 ,$53.67 ,$55.52 ,$35.48 ,$13.91 ,$61.69 ,$34.61 ,$13.91 ,$25.54 , N/A , N/A ,$14.60 ,$52.44 ,$38.86 ,$17.27 ,$55.52 ,$53.67 ,$49.35 ,$49.35 ,$13.91 ,$40.10 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK UNIVERSAL SPLIT,272,1 ,$27.42 ,$19.74 ,$6.18 ,$27.42 ,$15.78 ,$19.74 ,$14.92 ,$6.18 ,$7.68 ,$18.23 ,$6.18 ,$19.19 ,$6.18 ,$17.27 ,$17.27 ,$6.18 ,$17.27 ,$12.75 ,$25.23 , N/A ,$6.18 ,$23.31 ,$23.03 ,$6.18 ,$20.57 ,$21.94 ,$21.94 ,$6.18 ,$21.94 ,$23.86 ,$23.86 ,$23.86 ,$24.68 ,$15.78 ,$6.18 ,$27.42 ,$15.38 ,$6.18 ,$11.35 , N/A , N/A ,$6.50 ,$23.31 ,$17.27 ,$7.68 ,$24.68 ,$23.86 ,$21.94 ,$21.94 ,$6.18 ,$17.82 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK UROLOGY MINOR,272,1 ,$51.71 ,$37.23 ,$11.65 ,$51.71 ,$29.73 ,$37.23 ,$28.13 ,$11.65 ,$14.48 ,$34.39 ,$11.65 ,$36.20 ,$11.65 ,$32.58 ,$32.58 ,$11.65 ,$32.58 ,$24.02 ,$47.57 , N/A ,$11.65 ,$43.95 ,$43.44 ,$11.65 ,$38.78 ,$41.37 ,$41.37 ,$11.65 ,$41.37 ,$44.99 ,$44.99 ,$44.99 ,$46.54 ,$29.73 ,$11.65 ,$51.71 ,$29.01 ,$11.65 ,$21.41 , N/A , N/A ,$12.23 ,$43.95 ,$32.58 ,$14.48 ,$46.54 ,$44.99 ,$41.37 ,$41.37 ,$11.65 ,$33.61 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACK UROLOGY UROVIEW 2800 CONSUMABLE SAVE TIME DRAPE AMD DISPOSABLE,272,1 ,"$1,020.00 ",$734.40 ,$229.91 ,"$1,020.00 ",$586.50 ,$734.40 ,$554.88 ,$229.91 ,$285.60 ,$678.30 ,$229.91 ,$714.00 ,$229.91 ,$642.60 ,$642.60 ,$229.91 ,$642.60 ,$473.89 ,$938.40 , N/A ,$229.91 ,$867.00 ,$856.80 ,$229.91 ,$765.00 ,$816.00 ,$816.00 ,$229.91 ,$816.00 ,$887.40 ,$887.40 ,$887.40 ,$918.00 ,$586.50 ,$229.91 ,"$1,020.00 ",$572.22 ,$229.91 ,$422.28 , N/A , N/A ,$241.40 ,$867.00 ,$642.60 ,$285.60 ,$918.00 ,$887.40 ,$816.00 ,$816.00 ,$229.91 ,$663.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACKING 5.5CM NASAL INFLATABLE UNILATERAL WITHOUT AIRWAY RAPID RHINO HYDROCOLLOID FABRIC,272,1 ,$127.71 ,$91.95 ,$28.78 ,$127.71 ,$73.43 ,$91.95 ,$69.47 ,$28.78 ,$35.76 ,$84.93 ,$28.78 ,$89.40 ,$28.78 ,$80.46 ,$80.46 ,$28.78 ,$80.46 ,$59.33 ,$117.49 , N/A ,$28.78 ,$108.55 ,$107.28 ,$28.78 ,$95.78 ,$102.17 ,$102.17 ,$28.78 ,$102.17 ,$111.11 ,$111.11 ,$111.11 ,$114.94 ,$73.43 ,$28.78 ,$127.71 ,$71.65 ,$28.78 ,$52.87 , N/A , N/A ,$30.22 ,$108.55 ,$80.46 ,$35.76 ,$114.94 ,$111.11 ,$102.17 ,$102.17 ,$28.78 ,$83.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACKING NASAL RAPID RHINO ANTERIOR,272,1 ,$131.67 ,$94.80 ,$29.67 ,$131.67 ,$75.70 ,$94.80 ,$71.63 ,$29.67 ,$36.87 ,$87.56 ,$29.67 ,$92.17 ,$29.67 ,$82.95 ,$82.95 ,$29.67 ,$82.95 ,$61.17 ,$121.14 , N/A ,$29.67 ,$111.92 ,$110.60 ,$29.67 ,$98.75 ,$105.34 ,$105.34 ,$29.67 ,$105.34 ,$114.55 ,$114.55 ,$114.55 ,$118.50 ,$75.70 ,$29.67 ,$131.67 ,$73.87 ,$29.67 ,$54.51 , N/A , N/A ,$31.15 ,$111.92 ,$82.95 ,$36.87 ,$118.50 ,$114.55 ,$105.34 ,$105.34 ,$29.67 ,$85.59 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACKING NASAL RHINO ROCKET LARGE POST OP,272,1 ,$57.52 ,$41.41 ,$12.97 ,$57.52 ,$33.08 ,$41.41 ,$31.29 ,$12.97 ,$16.11 ,$38.25 ,$12.97 ,$40.26 ,$12.97 ,$36.24 ,$36.24 ,$12.97 ,$36.24 ,$26.72 ,$52.92 , N/A ,$12.97 ,$48.89 ,$48.32 ,$12.97 ,$43.14 ,$46.02 ,$46.02 ,$12.97 ,$46.02 ,$50.04 ,$50.04 ,$50.04 ,$51.77 ,$33.08 ,$12.97 ,$57.52 ,$32.27 ,$12.97 ,$23.81 , N/A , N/A ,$13.61 ,$48.89 ,$36.24 ,$16.11 ,$51.77 ,$50.04 ,$46.02 ,$46.02 ,$12.97 ,$37.39 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PACKING WOUND 1YDX.25IN 0.2% PHMB CURITY AMD STRIP HYPOALLERGENIC STERILE LATEX FREE DISPOSABLE,272,1 ,$3.57 ,$2.57 ,$0.80 ,$3.57 ,$2.05 ,$2.57 ,$1.94 ,$0.80 ,$1.00 ,$2.37 ,$0.80 ,$2.50 ,$0.80 ,$2.25 ,$2.25 ,$0.80 ,$2.25 ,$1.66 ,$3.28 , N/A ,$0.80 ,$3.03 ,$3.00 ,$0.80 ,$2.68 ,$2.86 ,$2.86 ,$0.80 ,$2.86 ,$3.11 ,$3.11 ,$3.11 ,$3.21 ,$2.05 ,$0.80 ,$3.57 ,$2.00 ,$0.80 ,$1.48 , N/A , N/A ,$0.84 ,$3.03 ,$2.25 ,$1.00 ,$3.21 ,$3.11 ,$2.86 ,$2.86 ,$0.80 ,$2.32 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILION 2-0 FS,272,1 ,$3.57 ,$2.57 ,$0.80 ,$3.57 ,$2.05 ,$2.57 ,$1.94 ,$0.80 ,$1.00 ,$2.37 ,$0.80 ,$2.50 ,$0.80 ,$2.25 ,$2.25 ,$0.80 ,$2.25 ,$1.66 ,$3.28 , N/A ,$0.80 ,$3.03 ,$3.00 ,$0.80 ,$2.68 ,$2.86 ,$2.86 ,$0.80 ,$2.86 ,$3.11 ,$3.11 ,$3.11 ,$3.21 ,$2.05 ,$0.80 ,$3.57 ,$2.00 ,$0.80 ,$1.48 , N/A , N/A ,$0.84 ,$3.03 ,$2.25 ,$1.00 ,$3.21 ,$3.11 ,$2.86 ,$2.86 ,$0.80 ,$2.32 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PAD ELECTROSURGICAL GROUNDING 15SQ IN UNIVERSAL FOAM SPLIT PREATTACH CORD ADULT 9100 SERIES,272,1 ,$6.86 ,$4.94 ,$1.55 ,$6.86 ,$3.95 ,$4.94 ,$3.73 ,$1.55 ,$1.92 ,$4.56 ,$1.55 ,$4.80 ,$1.55 ,$4.32 ,$4.32 ,$1.55 ,$4.32 ,$3.19 ,$6.31 , N/A ,$1.55 ,$5.83 ,$5.76 ,$1.55 ,$5.15 ,$5.49 ,$5.49 ,$1.55 ,$5.49 ,$5.97 ,$5.97 ,$5.97 ,$6.17 ,$3.95 ,$1.55 ,$6.86 ,$3.85 ,$1.55 ,$2.84 , N/A , N/A ,$1.63 ,$5.83 ,$4.32 ,$1.92 ,$6.17 ,$5.97 ,$5.49 ,$5.49 ,$1.55 ,$4.46 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PAD INCONTINENCE FLUFF POLYMER POLYPROPYLENE L30 IN X W30 IN,272,1 ,$5.31 ,$3.82 ,$1.20 ,$5.31 ,$3.05 ,$3.82 ,$2.89 ,$1.20 ,$1.49 ,$3.53 ,$1.20 ,$3.72 ,$1.20 ,$3.35 ,$3.35 ,$1.20 ,$3.35 ,$2.46 ,$4.89 , N/A ,$1.20 ,$4.51 ,$4.46 ,$1.20 ,$3.98 ,$4.25 ,$4.25 ,$1.20 ,$4.25 ,$4.62 ,$4.62 ,$4.62 ,$4.78 ,$3.05 ,$1.20 ,$5.31 ,$2.98 ,$1.20 ,$2.20 , N/A , N/A ,$1.25 ,$4.51 ,$3.35 ,$1.49 ,$4.78 ,$4.62 ,$4.25 ,$4.25 ,$1.20 ,$3.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PAD POLAR CARE KNEE/SHOULDER PAD,272,1 ,$3.72 ,$2.68 ,$0.84 ,$3.72 ,$2.15 ,$2.68 ,$2.02 ,$0.84 ,$1.04 ,$2.47 ,$0.84 ,$2.60 ,$0.84 ,$2.34 ,$2.34 ,$0.84 ,$2.34 ,$1.74 ,$3.42 , N/A ,$0.84 ,$3.16 ,$3.12 ,$0.84 ,$2.79 ,$2.98 ,$2.98 ,$0.84 ,$2.98 ,$3.24 ,$3.24 ,$3.24 ,$3.35 ,$2.15 ,$0.84 ,$3.72 ,$2.09 ,$0.84 ,$1.54 , N/A , N/A ,$0.88 ,$3.16 ,$2.34 ,$1.04 ,$3.35 ,$3.24 ,$2.98 ,$2.98 ,$0.84 ,$2.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAP MUCUS DELEE 20ML 10FR GRADUATE LOOP VALVE STERILE LATEX FREE,272,1 ,$3.72 ,$2.68 ,$0.84 ,$3.72 ,$2.15 ,$2.68 ,$2.02 ,$0.84 ,$1.04 ,$2.47 ,$0.84 ,$2.60 ,$0.84 ,$2.34 ,$2.34 ,$0.84 ,$2.34 ,$1.74 ,$3.42 , N/A ,$0.84 ,$3.16 ,$3.12 ,$0.84 ,$2.79 ,$2.98 ,$2.98 ,$0.84 ,$2.98 ,$3.24 ,$3.24 ,$3.24 ,$3.35 ,$2.15 ,$0.84 ,$3.72 ,$2.09 ,$0.84 ,$1.54 , N/A , N/A ,$0.88 ,$3.16 ,$2.34 ,$1.04 ,$3.35 ,$3.24 ,$2.98 ,$2.98 ,$0.84 ,$2.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PAD THERAPEUTIC 22X15IN NONWOVEN LOCALIZED TEMPERATURE CLICK-TITE CONNECTOR PLASTIC CLOTH MUL-T-PAD STERILE LATEX FREE DISPOSABLE,272,1 ,$31.77 ,$22.87 ,$7.16 ,$31.77 ,$18.28 ,$22.87 ,$17.28 ,$7.16 ,$8.90 ,$21.13 ,$7.16 ,$22.24 ,$7.16 ,$20.02 ,$20.02 ,$7.16 ,$20.02 ,$14.77 ,$29.23 , N/A ,$7.16 ,$27.00 ,$26.69 ,$7.16 ,$23.83 ,$25.42 ,$25.42 ,$7.16 ,$25.42 ,$27.64 ,$27.64 ,$27.64 ,$28.59 ,$18.28 ,$7.16 ,$31.77 ,$17.82 ,$7.16 ,$13.15 , N/A , N/A ,$7.53 ,$27.00 ,$20.02 ,$8.90 ,$28.59 ,$27.64 ,$25.42 ,$25.42 ,$7.16 ,$20.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PARTICLES ARISTA HEMOSTATIC 3GM (SM0002-USA),272,1 ,$487.50 ,$351.00 ,$109.89 ,$487.50 ,$280.33 ,$351.00 ,$265.20 ,$109.89 ,$136.50 ,$324.19 ,$109.89 ,$341.25 ,$109.89 ,$307.13 ,$307.13 ,$109.89 ,$307.13 ,$226.50 ,$448.50 , N/A ,$109.89 ,$414.38 ,$409.50 ,$109.89 ,$365.63 ,$390.00 ,$390.00 ,$109.89 ,$390.00 ,$424.13 ,$424.13 ,$424.13 ,$438.75 ,$280.33 ,$109.89 ,$487.50 ,$273.49 ,$109.89 ,$201.83 , N/A , N/A ,$115.39 ,$414.38 ,$307.13 ,$136.50 ,$438.75 ,$424.13 ,$390.00 ,$390.00 ,$109.89 ,$316.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PASSER ARTHREX SUTURESNARE 90D STRAIGHT SUTURE STERILE LATEX FREE DISPOSABLE,272,1 ,$825.00 ,$594.00 ,$185.95 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$759.00 , N/A ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$825.00 ,$462.83 ,$185.95 ,$341.55 , N/A , N/A ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PEN CAUTERY LOW TEMP,272,1 ,$18.46 ,$13.29 ,$4.16 ,$18.46 ,$10.63 ,$13.29 ,$10.04 ,$4.16 ,$5.17 ,$12.28 ,$4.16 ,$12.92 ,$4.16 ,$11.63 ,$11.63 ,$4.16 ,$11.63 ,$8.59 ,$16.98 , N/A ,$4.16 ,$15.69 ,$15.51 ,$4.16 ,$13.85 ,$14.77 ,$14.77 ,$4.16 ,$14.77 ,$16.06 ,$16.06 ,$16.06 ,$16.61 ,$10.63 ,$4.16 ,$18.46 ,$10.36 ,$4.16 ,$7.64 , N/A , N/A ,$4.37 ,$15.69 ,$11.63 ,$5.17 ,$16.61 ,$16.06 ,$14.77 ,$14.77 ,$4.16 ,$12.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PILLOW 27X21IN NYLON POLYESTER POSITIONING WIPEABLE FILL STAIN RESISTANT BLUE NIGHT CLOUD,272,1 ,$20.10 ,$14.47 ,$4.53 ,$20.10 ,$11.55 ,$14.47 ,$10.93 ,$4.53 ,$5.63 ,$13.37 ,$4.53 ,$14.07 ,$4.53 ,$12.66 ,$12.66 ,$4.53 ,$12.66 ,$9.33 ,$18.49 , N/A ,$4.53 ,$17.09 ,$16.88 ,$4.53 ,$15.08 ,$16.08 ,$16.08 ,$4.53 ,$16.08 ,$17.49 ,$17.49 ,$17.49 ,$18.09 ,$11.55 ,$4.53 ,$20.10 ,$11.28 ,$4.53 ,$8.32 , N/A , N/A ,$4.75 ,$17.09 ,$12.66 ,$5.63 ,$18.09 ,$17.49 ,$16.08 ,$16.08 ,$4.53 ,$13.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PIN GUIDE DEPUY 2.5,272,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,FIBER LINK ARTHREX,272,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,POUCH 12IN 2.75IN OSTOMY 2 PIECE DRAINABLE BELT TAB TRANSPARENT LATEX FREE NEW IMAGE COMFORTWEAR LOCK N ROLL BLUE,272,1 ,$1.03 ,$0.74 ,$0.24 ,$1.03 ,$0.60 ,$0.74 ,$0.56 ,$0.24 ,$0.29 ,$0.69 ,$0.24 ,$0.72 ,$0.24 ,$0.65 ,$0.65 ,$0.24 ,$0.65 ,$0.48 ,$0.95 , N/A ,$0.24 ,$0.88 ,$0.87 ,$0.24 ,$0.77 ,$0.82 ,$0.82 ,$0.24 ,$0.82 ,$0.90 ,$0.90 ,$0.90 ,$0.93 ,$0.60 ,$0.24 ,$1.03 ,$0.58 ,$0.24 ,$0.43 , N/A , N/A ,$0.24 ,$0.88 ,$0.65 ,$0.29 ,$0.93 ,$0.90 ,$0.82 ,$0.82 ,$0.24 ,$0.67 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,ADAPTER BLOOD COLLECTION BD VACUTAINER MULTISAMPLE TUBE HOLDER STERILE LATEX FREE DISPOSABLE,272,1 ,$1.03 ,$0.74 ,$0.24 ,$1.03 ,$0.60 ,$0.74 ,$0.56 ,$0.24 ,$0.29 ,$0.69 ,$0.24 ,$0.72 ,$0.24 ,$0.65 ,$0.65 ,$0.24 ,$0.65 ,$0.48 ,$0.95 , N/A ,$0.24 ,$0.88 ,$0.87 ,$0.24 ,$0.77 ,$0.82 ,$0.82 ,$0.24 ,$0.82 ,$0.90 ,$0.90 ,$0.90 ,$0.93 ,$0.60 ,$0.24 ,$1.03 ,$0.58 ,$0.24 ,$0.43 , N/A , N/A ,$0.24 ,$0.88 ,$0.65 ,$0.29 ,$0.93 ,$0.90 ,$0.82 ,$0.82 ,$0.24 ,$0.67 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,POUCH 4IN OSTOMY STANDARD LENGTH DRAINABLE CENTERPOINTLOCK TRANSPARENT,272,1 ,$1.57 ,$1.13 ,$0.35 ,$1.57 ,$0.90 ,$1.13 ,$0.85 ,$0.35 ,$0.44 ,$1.04 ,$0.35 ,$1.10 ,$0.35 ,$0.99 ,$0.99 ,$0.35 ,$0.99 ,$0.73 ,$1.44 , N/A ,$0.35 ,$1.33 ,$1.32 ,$0.35 ,$1.18 ,$1.26 ,$1.26 ,$0.35 ,$1.26 ,$1.37 ,$1.37 ,$1.37 ,$1.41 ,$0.90 ,$0.35 ,$1.57 ,$0.88 ,$0.35 ,$0.65 , N/A , N/A ,$0.37 ,$1.33 ,$0.99 ,$0.44 ,$1.41 ,$1.37 ,$1.26 ,$1.26 ,$0.35 ,$1.02 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,POWDER OSTOMY PUFF BOTTLE ADHERENCE BARRIER VIEW WINDOW ADAPT STOMAHESIVE 1OZ NONSTERILE LATEX FREE,272,1 ,$3.48 ,$2.51 ,$0.78 ,$3.48 ,$2.00 ,$2.51 ,$1.89 ,$0.78 ,$0.97 ,$2.31 ,$0.78 ,$2.44 ,$0.78 ,$2.19 ,$2.19 ,$0.78 ,$2.19 ,$1.62 ,$3.20 , N/A ,$0.78 ,$2.96 ,$2.92 ,$0.78 ,$2.61 ,$2.78 ,$2.78 ,$0.78 ,$2.78 ,$3.03 ,$3.03 ,$3.03 ,$3.13 ,$2.00 ,$0.78 ,$3.48 ,$1.95 ,$0.78 ,$1.44 , N/A , N/A ,$0.82 ,$2.96 ,$2.19 ,$0.97 ,$3.13 ,$3.03 ,$2.78 ,$2.78 ,$0.78 ,$2.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PROTECTOR EXTREMITY UNIVERSAL WAFFLE AIR CUSHION 1 STRAP LINER VELCRO VINYL FOOT HEEL,272,1 ,$60.36 ,$43.46 ,$13.60 ,$60.36 ,$34.70 ,$43.46 ,$32.84 ,$13.60 ,$16.90 ,$40.14 ,$13.60 ,$42.25 ,$13.60 ,$38.03 ,$38.03 ,$13.60 ,$38.03 ,$28.04 ,$55.53 , N/A ,$13.60 ,$51.31 ,$50.70 ,$13.60 ,$45.27 ,$48.29 ,$48.29 ,$13.60 ,$48.29 ,$52.51 ,$52.51 ,$52.51 ,$54.32 ,$34.70 ,$13.60 ,$60.36 ,$33.86 ,$13.60 ,$24.99 , N/A , N/A ,$14.28 ,$51.31 ,$38.03 ,$16.90 ,$54.32 ,$52.51 ,$48.29 ,$48.29 ,$13.60 ,$39.23 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PUMP BREAST HARMONY 1 MANUAL LIGHTWEIGHT SOFT TOUCH STERILE LATEX FREE DISPOSABLE 120ML 1LB,272,1 ,$40.11 ,$28.88 ,$9.05 ,$40.11 ,$23.08 ,$28.88 ,$21.82 ,$9.05 ,$11.23 ,$26.67 ,$9.05 ,$28.08 ,$9.05 ,$25.27 ,$25.27 ,$9.05 ,$25.27 ,$18.64 ,$36.90 , N/A ,$9.05 ,$34.09 ,$33.69 ,$9.05 ,$30.08 ,$32.09 ,$32.09 ,$9.05 ,$32.09 ,$34.90 ,$34.90 ,$34.90 ,$36.10 ,$23.08 ,$9.05 ,$40.11 ,$22.50 ,$9.05 ,$16.61 , N/A , N/A ,$9.50 ,$34.09 ,$25.27 ,$11.23 ,$36.10 ,$34.90 ,$32.09 ,$32.09 ,$9.05 ,$26.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,PUSHER SUTURE CUTTER STERILE KNOT MENISCAL REPAIR SYSTEM ULTRA FAST-FIX STRAIGHT DISPOSABLE,272,1 ,$287.10 ,$206.71 ,$64.71 ,$287.10 ,$165.08 ,$206.71 ,$156.18 ,$64.71 ,$80.39 ,$190.92 ,$64.71 ,$200.97 ,$64.71 ,$180.87 ,$180.87 ,$64.71 ,$180.87 ,$133.38 ,$264.13 , N/A ,$64.71 ,$244.04 ,$241.16 ,$64.71 ,$215.33 ,$229.68 ,$229.68 ,$64.71 ,$229.68 ,$249.78 ,$249.78 ,$249.78 ,$258.39 ,$165.08 ,$64.71 ,$287.10 ,$161.06 ,$64.71 ,$118.86 , N/A , N/A ,$67.94 ,$244.04 ,$180.87 ,$80.39 ,$258.39 ,$249.78 ,$229.68 ,$229.68 ,$64.71 ,$186.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER ARTHREX PILOTED HEAD 7MM,272,1 ,$615.00 ,$442.80 ,$138.62 ,$615.00 ,$353.63 ,$442.80 ,$334.56 ,$138.62 ,$172.20 ,$408.98 ,$138.62 ,$430.50 ,$138.62 ,$387.45 ,$387.45 ,$138.62 ,$387.45 ,$285.73 ,$565.80 , N/A ,$138.62 ,$522.75 ,$516.60 ,$138.62 ,$461.25 ,$492.00 ,$492.00 ,$138.62 ,$492.00 ,$535.05 ,$535.05 ,$535.05 ,$553.50 ,$353.63 ,$138.62 ,$615.00 ,$345.02 ,$138.62 ,$254.61 , N/A , N/A ,$145.55 ,$522.75 ,$387.45 ,$172.20 ,$553.50 ,$535.05 ,$492.00 ,$492.00 ,$138.62 ,$399.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER ARTHREX PILOT HEAD SWIVEL LOCK 7.5MM,272,1 ,$615.00 ,$442.80 ,$138.62 ,$615.00 ,$353.63 ,$442.80 ,$334.56 ,$138.62 ,$172.20 ,$408.98 ,$138.62 ,$430.50 ,$138.62 ,$387.45 ,$387.45 ,$138.62 ,$387.45 ,$285.73 ,$565.80 , N/A ,$138.62 ,$522.75 ,$516.60 ,$138.62 ,$461.25 ,$492.00 ,$492.00 ,$138.62 ,$492.00 ,$535.05 ,$535.05 ,$535.05 ,$553.50 ,$353.63 ,$138.62 ,$615.00 ,$345.02 ,$138.62 ,$254.61 , N/A , N/A ,$145.55 ,$522.75 ,$387.45 ,$172.20 ,$553.50 ,$535.05 ,$492.00 ,$492.00 ,$138.62 ,$399.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER LOW PROFILE,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT ARTHREX BIO TENODESIS INSTRUMENT DISPOSABLE,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,KIT ARTHREX PERCUTANEOUS 3.0 SUTURTAKS,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER ARTHREX 10.5MM,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER ARTHREX LOW PROFILE,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,REAMER ARTHREX LOW PROFILE 8MM,272,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 , N/A , N/A ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,RESUSCITATOR MANUAL PEDIATRIC RESERVOIR TUBING MANOMETER PORT MASK BAG LATEX FREE DISPOSABLE SPUR II 10IN,272,1 ,$26.63 ,$19.17 ,$6.00 ,$26.63 ,$15.30 ,$19.17 ,$14.49 ,$6.00 ,$7.46 ,$17.71 ,$6.00 ,$18.64 ,$6.00 ,$16.78 ,$16.78 ,$6.00 ,$16.78 ,$12.36 ,$24.50 , N/A ,$6.00 ,$22.64 ,$22.37 ,$6.00 ,$19.97 ,$21.30 ,$21.30 ,$6.00 ,$21.30 ,$23.17 ,$23.17 ,$23.17 ,$23.97 ,$15.30 ,$6.00 ,$26.63 ,$14.94 ,$6.00 ,$11.02 , N/A , N/A ,$6.30 ,$22.64 ,$16.78 ,$7.46 ,$23.97 ,$23.17 ,$21.30 ,$21.30 ,$6.00 ,$17.31 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,RETAINER DRESSING 50YDX1IN 12 TUBULAR FLAT TUBEGAUZ COTTON ROLL LATEX NONSTERILE LARGE FINGER TOE WHITE,272,1 ,$49.05 ,$35.32 ,$11.05 ,$49.05 ,$28.20 ,$35.32 ,$26.68 ,$11.05 ,$13.73 ,$32.62 ,$11.05 ,$34.34 ,$11.05 ,$30.90 ,$30.90 ,$11.05 ,$30.90 ,$22.79 ,$45.13 , N/A ,$11.05 ,$41.69 ,$41.20 ,$11.05 ,$36.79 ,$39.24 ,$39.24 ,$11.05 ,$39.24 ,$42.67 ,$42.67 ,$42.67 ,$44.15 ,$28.20 ,$11.05 ,$49.05 ,$27.52 ,$11.05 ,$20.31 , N/A , N/A ,$11.60 ,$41.69 ,$30.90 ,$13.73 ,$44.15 ,$42.67 ,$39.24 ,$39.24 ,$11.05 ,$31.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,RETRACTOR ALEXIS WOUND RIGID SMALL,272,1 ,$186.00 ,$133.92 ,$41.92 ,$186.00 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 , N/A ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$186.00 ,$104.35 ,$41.92 ,$77.00 , N/A , N/A ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 ,$148.80 ,$148.80 ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,RETRACTOR ALEXIS WOUND MEDIUM,272,1 ,$186.00 ,$133.92 ,$41.92 ,$186.00 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 , N/A ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$186.00 ,$104.35 ,$41.92 ,$77.00 , N/A , N/A ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 ,$148.80 ,$148.80 ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,RETRIEVER SUTURE HEWSON,272,1 ,$261.39 ,$188.20 ,$58.92 ,$261.39 ,$150.30 ,$188.20 ,$142.20 ,$58.92 ,$73.19 ,$173.82 ,$58.92 ,$182.97 ,$58.92 ,$164.68 ,$164.68 ,$58.92 ,$164.68 ,$121.44 ,$240.48 , N/A ,$58.92 ,$222.18 ,$219.57 ,$58.92 ,$196.04 ,$209.11 ,$209.11 ,$58.92 ,$209.11 ,$227.41 ,$227.41 ,$227.41 ,$235.25 ,$150.30 ,$58.92 ,$261.39 ,$146.64 ,$58.92 ,$108.22 , N/A , N/A ,$61.87 ,$222.18 ,$164.68 ,$73.19 ,$235.25 ,$227.41 ,$209.11 ,$209.11 ,$58.92 ,$169.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SENSOR NELLCOR OXIMETER SPO2 ADHESIVE STERILE LATEX FREE DISPOSABLE,272,1 ,$25.96 ,$18.69 ,$5.85 ,$25.96 ,$14.93 ,$18.69 ,$14.12 ,$5.85 ,$7.27 ,$17.26 ,$5.85 ,$18.17 ,$5.85 ,$16.35 ,$16.35 ,$5.85 ,$16.35 ,$12.06 ,$23.88 , N/A ,$5.85 ,$22.07 ,$21.81 ,$5.85 ,$19.47 ,$20.77 ,$20.77 ,$5.85 ,$20.77 ,$22.59 ,$22.59 ,$22.59 ,$23.36 ,$14.93 ,$5.85 ,$25.96 ,$14.56 ,$5.85 ,$10.75 , N/A , N/A ,$6.14 ,$22.07 ,$16.35 ,$7.27 ,$23.36 ,$22.59 ,$20.77 ,$20.77 ,$5.85 ,$16.87 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SENSOR ADULT NELLCOR LOSAT 18IN C50+ KG NASAL OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC STERILE LATEX FREE DISPOSABLE,272,1 ,$25.96 ,$18.69 ,$5.85 ,$25.96 ,$14.93 ,$18.69 ,$14.12 ,$5.85 ,$7.27 ,$17.26 ,$5.85 ,$18.17 ,$5.85 ,$16.35 ,$16.35 ,$5.85 ,$16.35 ,$12.06 ,$23.88 , N/A ,$5.85 ,$22.07 ,$21.81 ,$5.85 ,$19.47 ,$20.77 ,$20.77 ,$5.85 ,$20.77 ,$22.59 ,$22.59 ,$22.59 ,$23.36 ,$14.93 ,$5.85 ,$25.96 ,$14.56 ,$5.85 ,$10.75 , N/A , N/A ,$6.14 ,$22.07 ,$16.35 ,$7.27 ,$23.36 ,$22.59 ,$20.77 ,$20.77 ,$5.85 ,$16.87 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SENSOR INFANT NELLCOR LOSAT 18IN C3-20KG OXIMETER SPO2 ADHESIVE TEAR RESISTANT BANDAGE PVC STERILE LATEX FREE DISPOSABLE,272,1 ,$25.96 ,$18.69 ,$5.85 ,$25.96 ,$14.93 ,$18.69 ,$14.12 ,$5.85 ,$7.27 ,$17.26 ,$5.85 ,$18.17 ,$5.85 ,$16.35 ,$16.35 ,$5.85 ,$16.35 ,$12.06 ,$23.88 , N/A ,$5.85 ,$22.07 ,$21.81 ,$5.85 ,$19.47 ,$20.77 ,$20.77 ,$5.85 ,$20.77 ,$22.59 ,$22.59 ,$22.59 ,$23.36 ,$14.93 ,$5.85 ,$25.96 ,$14.56 ,$5.85 ,$10.75 , N/A , N/A ,$6.14 ,$22.07 ,$16.35 ,$7.27 ,$23.36 ,$22.59 ,$20.77 ,$20.77 ,$5.85 ,$16.87 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 109IN 10 GTT/ML INTRAVENOUS CLEARLINK CONTINU-FLO 3 LUER ACTIVATE BACKCHECK VALVE RETRACT COLLAR DEHP STERILE LATEX FREE,272,1 ,$12.87 ,$9.27 ,$2.90 ,$12.87 ,$7.40 ,$9.27 ,$7.00 ,$2.90 ,$3.60 ,$8.56 ,$2.90 ,$9.01 ,$2.90 ,$8.11 ,$8.11 ,$2.90 ,$8.11 ,$5.98 ,$11.84 , N/A ,$2.90 ,$10.94 ,$10.81 ,$2.90 ,$9.65 ,$10.30 ,$10.30 ,$2.90 ,$10.30 ,$11.20 ,$11.20 ,$11.20 ,$11.58 ,$7.40 ,$2.90 ,$12.87 ,$7.22 ,$2.90 ,$5.33 , N/A , N/A ,$3.05 ,$10.94 ,$8.11 ,$3.60 ,$11.58 ,$11.20 ,$10.30 ,$10.30 ,$2.90 ,$8.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 17.5IN 150ML INTRAVENOUS LIFESHIELD CAIR MACROBORE TUBE 2 SLIDE CLAMP BURETTE INLINE .12IN NONSTERILE LATEX FREE,272,1 ,$8.85 ,$6.37 ,$2.00 ,$8.85 ,$5.10 ,$6.37 ,$4.81 ,$2.00 ,$2.48 ,$5.89 ,$2.00 ,$6.20 ,$2.00 ,$5.58 ,$5.58 ,$2.00 ,$5.58 ,$4.12 ,$8.14 , N/A ,$2.00 ,$7.52 ,$7.43 ,$2.00 ,$6.64 ,$7.08 ,$7.08 ,$2.00 ,$7.08 ,$7.70 ,$7.70 ,$7.70 ,$7.97 ,$5.10 ,$2.00 ,$8.85 ,$4.96 ,$2.00 ,$3.66 , N/A , N/A ,$2.10 ,$7.52 ,$5.58 ,$2.48 ,$7.97 ,$7.70 ,$7.08 ,$7.08 ,$2.00 ,$5.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 17IN 60 GTT/ML 150ML INTRAVENOUS INTERLINK BURETROL INJECTION SITE SLIDE CLAMP DEHP STERILE LATEX FREE,272,1 ,$15.71 ,$11.31 ,$3.54 ,$15.71 ,$9.03 ,$11.31 ,$8.55 ,$3.54 ,$4.40 ,$10.45 ,$3.54 ,$11.00 ,$3.54 ,$9.90 ,$9.90 ,$3.54 ,$9.90 ,$7.29 ,$14.45 , N/A ,$3.54 ,$13.35 ,$13.20 ,$3.54 ,$11.78 ,$12.57 ,$12.57 ,$3.54 ,$12.57 ,$13.67 ,$13.67 ,$13.67 ,$14.14 ,$9.03 ,$3.54 ,$15.71 ,$8.81 ,$3.54 ,$6.50 , N/A , N/A ,$3.71 ,$13.35 ,$9.90 ,$4.40 ,$14.14 ,$13.67 ,$12.57 ,$12.57 ,$3.54 ,$10.21 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 34IN INTRAVENOUS .1IN LIFESHIELD OPTION-LOK CAIR SECONDARY CONVERTIBLE PIERCE PIN MACROBORE TUBE DEHP FREE NONSTERILE LATEX FREE 15 GTT/ML 7ML,272,1 ,$2.19 ,$1.58 ,$0.49 ,$2.19 ,$1.25 ,$1.58 ,$1.19 ,$0.49 ,$0.61 ,$1.46 ,$0.49 ,$1.53 ,$0.49 ,$1.38 ,$1.38 ,$0.49 ,$1.38 ,$1.01 ,$2.01 , N/A ,$0.49 ,$1.86 ,$1.84 ,$0.49 ,$1.64 ,$1.75 ,$1.75 ,$0.49 ,$1.75 ,$1.91 ,$1.91 ,$1.91 ,$1.97 ,$1.25 ,$0.49 ,$2.19 ,$1.23 ,$0.49 ,$0.91 , N/A , N/A ,$0.52 ,$1.86 ,$1.38 ,$0.61 ,$1.97 ,$1.91 ,$1.75 ,$1.75 ,$0.49 ,$1.42 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ADMINISTRATION 98IN 15 GTT/ML 170-260UM Y INTRAVENOUS CLEARLINK 2 VALVE MALE LUER LOCK ADAPTER LARGE STANDARD BLOOD FILTER PRESSURE PUMP DEHP STERILE LATEX FREE,272,1 ,$20.36 ,$14.66 ,$4.59 ,$20.36 ,$11.70 ,$14.66 ,$11.08 ,$4.59 ,$5.70 ,$13.54 ,$4.59 ,$14.25 ,$4.59 ,$12.83 ,$12.83 ,$4.59 ,$12.83 ,$9.45 ,$18.73 , N/A ,$4.59 ,$17.31 ,$17.10 ,$4.59 ,$15.27 ,$16.29 ,$16.29 ,$4.59 ,$16.29 ,$17.71 ,$17.71 ,$17.71 ,$18.32 ,$11.70 ,$4.59 ,$20.36 ,$11.42 ,$4.59 ,$8.43 , N/A , N/A ,$4.81 ,$17.31 ,$12.83 ,$5.70 ,$18.32 ,$17.71 ,$16.29 ,$16.29 ,$4.59 ,$13.23 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET BLOOD ADMINISTRATION 180UM 15 GTT 121IN NEEDLE FREE VALVE 2 MALE LUER LOCK 2 SLIDE CLAMP DEHP FREE INTRAVENOUS STERILE LATEX FREE ALARIS 33ML DISPOSABLE,272,1 ,$18.12 ,$13.05 ,$4.09 ,$18.12 ,$10.43 ,$13.05 ,$9.86 ,$4.09 ,$5.07 ,$12.05 ,$4.09 ,$12.68 ,$4.09 ,$11.42 ,$11.42 ,$4.09 ,$11.42 ,$8.42 ,$16.67 , N/A ,$4.09 ,$15.40 ,$15.22 ,$4.09 ,$13.59 ,$14.50 ,$14.50 ,$4.09 ,$14.50 ,$15.76 ,$15.76 ,$15.76 ,$16.31 ,$10.43 ,$4.09 ,$18.12 ,$10.17 ,$4.09 ,$7.50 , N/A , N/A ,$4.29 ,$15.40 ,$11.42 ,$5.07 ,$16.31 ,$15.76 ,$14.50 ,$14.50 ,$4.09 ,$11.78 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET BLOOD ADMINISTRATION THK200UM 20 GTT/ML 110IN 2 NONVENT PIERCE PIN MACROBORE TUBE FILTER DEHP FREE INTRAVENOUS NONSTERILE LATEX FREE LIFESHIELD PLUMSET CLAVE CAIR .1IN 49ML,272,1 ,$30.06 ,$21.64 ,$6.77 ,$30.06 ,$17.28 ,$21.64 ,$16.35 ,$6.77 ,$8.42 ,$19.99 ,$6.77 ,$21.04 ,$6.77 ,$18.94 ,$18.94 ,$6.77 ,$18.94 ,$13.96 ,$27.66 , N/A ,$6.77 ,$25.55 ,$25.25 ,$6.77 ,$22.55 ,$24.05 ,$24.05 ,$6.77 ,$24.05 ,$26.15 ,$26.15 ,$26.15 ,$27.05 ,$17.28 ,$6.77 ,$30.06 ,$16.86 ,$6.77 ,$12.44 , N/A , N/A ,$7.11 ,$25.55 ,$18.94 ,$8.42 ,$27.05 ,$26.15 ,$24.05 ,$24.05 ,$6.77 ,$19.54 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET BLOOD WARMING STANDARD FLOW HEAT EXCHANGER BUBBLE TRAP 39ML RANGER DISPOSABLE 9000ML/HOUR 30IN STERILE LATEX FREE,272,1 ,$25.50 ,$18.36 ,$5.75 ,$25.50 ,$14.68 ,$18.36 ,$13.87 ,$5.75 ,$7.14 ,$16.96 ,$5.75 ,$17.85 ,$5.75 ,$16.07 ,$16.07 ,$5.75 ,$16.07 ,$11.86 ,$23.46 , N/A ,$5.75 ,$21.68 ,$21.42 ,$5.75 ,$19.13 ,$20.40 ,$20.40 ,$5.75 ,$20.40 ,$22.19 ,$22.19 ,$22.19 ,$22.95 ,$14.68 ,$5.75 ,$25.50 ,$14.31 ,$5.75 ,$10.56 , N/A , N/A ,$6.04 ,$21.68 ,$16.07 ,$7.14 ,$22.95 ,$22.19 ,$20.40 ,$20.40 ,$5.75 ,$16.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET CATHETER 40-45CM 8FR CVX-RIPE SILICONE 2 CONICAL BALLOON DEHP FREE BPA FREE 2 BALLOON TRANSCERVICAL RIPEN CERVICAL RIPENING STERILE LATEX FREE,272,1 ,$133.95 ,$96.44 ,$30.19 ,$133.95 ,$77.03 ,$96.44 ,$72.87 ,$30.19 ,$37.51 ,$89.08 ,$30.19 ,$93.77 ,$30.19 ,$84.39 ,$84.39 ,$30.19 ,$84.39 ,$62.24 ,$123.23 , N/A ,$30.19 ,$113.86 ,$112.52 ,$30.19 ,$100.46 ,$107.16 ,$107.16 ,$30.19 ,$107.16 ,$116.54 ,$116.54 ,$116.54 ,$120.56 ,$77.03 ,$30.19 ,$133.95 ,$75.15 ,$30.19 ,$55.46 , N/A , N/A ,$31.70 ,$113.86 ,$84.39 ,$37.51 ,$120.56 ,$116.54 ,$107.16 ,$107.16 ,$30.19 ,$87.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET CONTINU-FLO SOLN DUO,272,1 ,$12.90 ,$9.29 ,$2.91 ,$12.90 ,$7.43 ,$9.29 ,$7.02 ,$2.91 ,$3.61 ,$8.58 ,$2.91 ,$9.03 ,$2.91 ,$8.13 ,$8.13 ,$2.91 ,$8.13 ,$6.00 ,$11.87 , N/A ,$2.91 ,$10.97 ,$10.84 ,$2.91 ,$9.68 ,$10.32 ,$10.32 ,$2.91 ,$10.32 ,$11.22 ,$11.22 ,$11.22 ,$11.61 ,$7.43 ,$2.91 ,$12.90 ,$7.24 ,$2.91 ,$5.34 , N/A , N/A ,$3.06 ,$10.97 ,$8.13 ,$3.61 ,$11.61 ,$11.22 ,$10.32 ,$10.32 ,$2.91 ,$8.39 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET DILATOR 35CM 8-30FR AMPLATZ RENAL,272,1 ,$567.57 ,$408.65 ,$127.93 ,$567.57 ,$326.35 ,$408.65 ,$308.76 ,$127.93 ,$158.92 ,$377.43 ,$127.93 ,$397.30 ,$127.93 ,$357.57 ,$357.57 ,$127.93 ,$357.57 ,$263.69 ,$522.16 , N/A ,$127.93 ,$482.43 ,$476.76 ,$127.93 ,$425.68 ,$454.06 ,$454.06 ,$127.93 ,$454.06 ,$493.79 ,$493.79 ,$493.79 ,$510.81 ,$326.35 ,$127.93 ,$567.57 ,$318.41 ,$127.93 ,$234.97 , N/A , N/A ,$134.33 ,$482.43 ,$357.57 ,$158.92 ,$510.81 ,$493.79 ,$454.06 ,$454.06 ,$127.93 ,$368.92 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET DILATOR SHEATH COAXIAL BOSTON SCIENTIFIC,272,1 ,$98.01 ,$70.57 ,$22.09 ,$98.01 ,$56.35 ,$70.57 ,$53.32 ,$22.09 ,$27.44 ,$65.18 ,$22.09 ,$68.61 ,$22.09 ,$61.75 ,$61.75 ,$22.09 ,$61.75 ,$45.53 ,$90.17 , N/A ,$22.09 ,$83.31 ,$82.33 ,$22.09 ,$73.51 ,$78.41 ,$78.41 ,$22.09 ,$78.41 ,$85.27 ,$85.27 ,$85.27 ,$88.21 ,$56.35 ,$22.09 ,$98.01 ,$54.98 ,$22.09 ,$40.58 , N/A , N/A ,$23.20 ,$83.31 ,$61.75 ,$27.44 ,$88.21 ,$85.27 ,$78.41 ,$78.41 ,$22.09 ,$63.71 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET ENEMA 54IN VINYL SLIDE CLAMP PRELUBRICATE SPILL PROOF VALVE BAG 1500ML NONSTERILE LATEX FREE DISPOSABLE,272,1 ,$2.05 ,$1.48 ,$0.46 ,$2.05 ,$1.18 ,$1.48 ,$1.12 ,$0.46 ,$0.57 ,$1.36 ,$0.46 ,$1.44 ,$0.46 ,$1.29 ,$1.29 ,$0.46 ,$1.29 ,$0.95 ,$1.89 , N/A ,$0.46 ,$1.74 ,$1.72 ,$0.46 ,$1.54 ,$1.64 ,$1.64 ,$0.46 ,$1.64 ,$1.78 ,$1.78 ,$1.78 ,$1.85 ,$1.18 ,$0.46 ,$2.05 ,$1.15 ,$0.46 ,$0.85 , N/A , N/A ,$0.48 ,$1.74 ,$1.29 ,$0.57 ,$1.85 ,$1.78 ,$1.64 ,$1.64 ,$0.46 ,$1.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,"SET EXT 325 PSI, .59ML 9.3X12.24X21.88IN STD BORE",272,1 ,$9.47 ,$6.82 ,$2.14 ,$9.47 ,$5.45 ,$6.82 ,$5.15 ,$2.14 ,$2.65 ,$6.30 ,$2.14 ,$6.63 ,$2.14 ,$5.97 ,$5.97 ,$2.14 ,$5.97 ,$4.40 ,$8.71 , N/A ,$2.14 ,$8.05 ,$7.95 ,$2.14 ,$7.10 ,$7.58 ,$7.58 ,$2.14 ,$7.58 ,$8.24 ,$8.24 ,$8.24 ,$8.52 ,$5.45 ,$2.14 ,$9.47 ,$5.31 ,$2.14 ,$3.92 , N/A , N/A ,$2.24 ,$8.05 ,$5.97 ,$2.65 ,$8.52 ,$8.24 ,$7.58 ,$7.58 ,$2.14 ,$6.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET EXT CLEARLINK 2 INJ,272,1 ,$7.70 ,$5.54 ,$1.73 ,$7.70 ,$4.43 ,$5.54 ,$4.19 ,$1.73 ,$2.16 ,$5.12 ,$1.73 ,$5.39 ,$1.73 ,$4.85 ,$4.85 ,$1.73 ,$4.85 ,$3.58 ,$7.08 , N/A ,$1.73 ,$6.55 ,$6.47 ,$1.73 ,$5.78 ,$6.16 ,$6.16 ,$1.73 ,$6.16 ,$6.70 ,$6.70 ,$6.70 ,$6.93 ,$4.43 ,$1.73 ,$7.70 ,$4.32 ,$1.73 ,$3.19 , N/A , N/A ,$1.82 ,$6.55 ,$4.85 ,$2.16 ,$6.93 ,$6.70 ,$6.16 ,$6.16 ,$1.73 ,$5.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET EXTENSION .047IN .27ML 5.5IN INTRAVENOUS SMALL BORE TUBE J LOOP DEHP FREE STERILE CLAVE LATEX FREE,272,1 ,$6.45 ,$4.64 ,$1.45 ,$6.45 ,$3.70 ,$4.64 ,$3.51 ,$1.45 ,$1.81 ,$4.29 ,$1.45 ,$4.52 ,$1.45 ,$4.06 ,$4.06 ,$1.45 ,$4.06 ,$2.99 ,$5.93 , N/A ,$1.45 ,$5.48 ,$5.42 ,$1.45 ,$4.84 ,$5.16 ,$5.16 ,$1.45 ,$5.16 ,$5.61 ,$5.61 ,$5.61 ,$5.81 ,$3.70 ,$1.45 ,$6.45 ,$3.62 ,$1.45 ,$2.67 , N/A , N/A ,$1.52 ,$5.48 ,$4.06 ,$1.81 ,$5.81 ,$5.61 ,$5.16 ,$5.16 ,$1.45 ,$4.19 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET EXTENSION 2.5ML 22IN INTRAVENOUS 4 WAY STOPCOCK STANDARD BORE SLIDE SWIVEL LUER LOCK DEHP FREE STERILE MEDFUSION LATEX FREE DISPOSABLE,272,1 ,$3.23 ,$2.33 ,$0.73 ,$3.23 ,$1.85 ,$2.33 ,$1.76 ,$0.73 ,$0.90 ,$2.15 ,$0.73 ,$2.26 ,$0.73 ,$2.03 ,$2.03 ,$0.73 ,$2.03 ,$1.49 ,$2.97 , N/A ,$0.73 ,$2.75 ,$2.71 ,$0.73 ,$2.42 ,$2.58 ,$2.58 ,$0.73 ,$2.58 ,$2.81 ,$2.81 ,$2.81 ,$2.91 ,$1.85 ,$0.73 ,$3.23 ,$1.81 ,$0.73 ,$1.34 , N/A , N/A ,$0.76 ,$2.75 ,$2.03 ,$0.90 ,$2.91 ,$2.81 ,$2.58 ,$2.58 ,$0.73 ,$2.10 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET FEEDING KANGAROO EPUMP ANTIFREE FLOW DEHP FREE SCREW SPIKE FLUSH BAG 1000ML NONSTERILE ENTERAL PVC LATEX FREE,272,1 ,$11.74 ,$8.45 ,$2.65 ,$11.74 ,$6.75 ,$8.45 ,$6.39 ,$2.65 ,$3.29 ,$7.81 ,$2.65 ,$8.22 ,$2.65 ,$7.40 ,$7.40 ,$2.65 ,$7.40 ,$5.45 ,$10.80 , N/A ,$2.65 ,$9.98 ,$9.86 ,$2.65 ,$8.81 ,$9.39 ,$9.39 ,$2.65 ,$9.39 ,$10.21 ,$10.21 ,$10.21 ,$10.57 ,$6.75 ,$2.65 ,$11.74 ,$6.59 ,$2.65 ,$4.86 , N/A , N/A ,$2.78 ,$9.98 ,$7.40 ,$3.29 ,$10.57 ,$10.21 ,$9.39 ,$9.39 ,$2.65 ,$7.63 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET INFUSION 8IN 20GA PMI NEEDLE FREE Y SITE TUBE 1IN STERILE LATEX FREE DISPOSABLE,272,1 ,$12.17 ,$8.76 ,$2.74 ,$12.17 ,$7.00 ,$8.76 ,$6.62 ,$2.74 ,$3.41 ,$8.09 ,$2.74 ,$8.52 ,$2.74 ,$7.67 ,$7.67 ,$2.74 ,$7.67 ,$5.66 ,$11.20 , N/A ,$2.74 ,$10.34 ,$10.22 ,$2.74 ,$9.13 ,$9.74 ,$9.74 ,$2.74 ,$9.74 ,$10.59 ,$10.59 ,$10.59 ,$10.95 ,$7.00 ,$2.74 ,$12.17 ,$6.83 ,$2.74 ,$5.04 , N/A , N/A ,$2.88 ,$10.34 ,$7.67 ,$3.41 ,$10.95 ,$10.59 ,$9.74 ,$9.74 ,$2.74 ,$7.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET IV 103IN .1IN PL,272,1 ,$14.04 ,$10.11 ,$3.17 ,$14.04 ,$8.08 ,$10.11 ,$7.64 ,$3.17 ,$3.93 ,$9.34 ,$3.17 ,$9.83 ,$3.17 ,$8.85 ,$8.85 ,$3.17 ,$8.85 ,$6.52 ,$12.92 , N/A ,$3.17 ,$11.93 ,$11.79 ,$3.17 ,$10.53 ,$11.23 ,$11.23 ,$3.17 ,$11.23 ,$12.21 ,$12.21 ,$12.21 ,$12.64 ,$8.08 ,$3.17 ,$14.04 ,$7.88 ,$3.17 ,$5.81 , N/A , N/A ,$3.32 ,$11.93 ,$8.85 ,$3.93 ,$12.64 ,$12.21 ,$11.23 ,$11.23 ,$3.17 ,$9.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET SEAL MYOSURE,272,1 ,$24.74 ,$17.81 ,$5.58 ,$24.74 ,$14.23 ,$17.81 ,$13.46 ,$5.58 ,$6.93 ,$16.45 ,$5.58 ,$17.32 ,$5.58 ,$15.59 ,$15.59 ,$5.58 ,$15.59 ,$11.49 ,$22.76 , N/A ,$5.58 ,$21.03 ,$20.78 ,$5.58 ,$18.56 ,$19.79 ,$19.79 ,$5.58 ,$19.79 ,$21.52 ,$21.52 ,$21.52 ,$22.27 ,$14.23 ,$5.58 ,$24.74 ,$13.88 ,$5.58 ,$10.24 , N/A , N/A ,$5.85 ,$21.03 ,$15.59 ,$6.93 ,$22.27 ,$21.52 ,$19.79 ,$19.79 ,$5.58 ,$16.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET TUBING AQUILEX Y FLUID CONTROL INFLOW OUTFLOW,272,1 ,$284.45 ,$204.80 ,$64.11 ,$284.45 ,$163.55 ,$204.80 ,$154.74 ,$64.11 ,$79.65 ,$189.16 ,$64.11 ,$199.12 ,$64.11 ,$179.20 ,$179.20 ,$64.11 ,$179.20 ,$132.15 ,$261.69 , N/A ,$64.11 ,$241.78 ,$238.94 ,$64.11 ,$213.34 ,$227.56 ,$227.56 ,$64.11 ,$227.56 ,$247.47 ,$247.47 ,$247.47 ,$256.01 ,$163.55 ,$64.11 ,$284.45 ,$159.58 ,$64.11 ,$117.76 , N/A , N/A ,$67.32 ,$241.78 ,$179.20 ,$79.65 ,$256.01 ,$247.47 ,$227.56 ,$227.56 ,$64.11 ,$184.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SET TUBING LINVATEC 10K ARTHROSCOPIC INFLO,272,1 ,$94.70 ,$68.18 ,$21.34 ,$94.70 ,$54.45 ,$68.18 ,$51.52 ,$21.34 ,$26.52 ,$62.98 ,$21.34 ,$66.29 ,$21.34 ,$59.66 ,$59.66 ,$21.34 ,$59.66 ,$44.00 ,$87.12 , N/A ,$21.34 ,$80.50 ,$79.55 ,$21.34 ,$71.03 ,$75.76 ,$75.76 ,$21.34 ,$75.76 ,$82.39 ,$82.39 ,$82.39 ,$85.23 ,$54.45 ,$21.34 ,$94.70 ,$53.13 ,$21.34 ,$39.21 , N/A , N/A ,$22.41 ,$80.50 ,$59.66 ,$26.52 ,$85.23 ,$82.39 ,$75.76 ,$75.76 ,$21.34 ,$61.56 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SLEEVE LAPAROSCOPIC 5MM 100MM ENDOPATH XCEL UNIVERSAL STABILITY CANNULA RADIOPAQUE TROCAR STERILE LATEX FREE DISPOSABLE,272,1 ,$188.68 ,$135.85 ,$42.53 ,$188.68 ,$108.50 ,$135.85 ,$102.64 ,$42.53 ,$52.83 ,$125.47 ,$42.53 ,$132.08 ,$42.53 ,$118.87 ,$118.87 ,$42.53 ,$118.87 ,$87.67 ,$173.59 , N/A ,$42.53 ,$160.38 ,$158.49 ,$42.53 ,$141.51 ,$150.94 ,$150.94 ,$42.53 ,$150.94 ,$164.15 ,$164.15 ,$164.15 ,$169.81 ,$108.50 ,$42.53 ,$188.68 ,$105.85 ,$42.53 ,$78.11 , N/A , N/A ,$44.66 ,$160.38 ,$118.87 ,$52.83 ,$169.81 ,$164.15 ,$150.94 ,$150.94 ,$42.53 ,$122.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SLEEVE OSTOMY IRRIGATION 30IN 4IN CENTERPOINTLOCK L 2 PIECE FLANGE NONSTICK BARRIER TRANSPARENT,272,1 ,$3.58 ,$2.58 ,$0.80 ,$3.58 ,$2.05 ,$2.58 ,$1.95 ,$0.80 ,$1.00 ,$2.38 ,$0.80 ,$2.51 ,$0.80 ,$2.26 ,$2.26 ,$0.80 ,$2.26 ,$1.66 ,$3.29 , N/A ,$0.80 ,$3.04 ,$3.01 ,$0.80 ,$2.69 ,$2.86 ,$2.86 ,$0.80 ,$2.86 ,$3.11 ,$3.11 ,$3.11 ,$3.22 ,$2.05 ,$0.80 ,$3.58 ,$2.01 ,$0.80 ,$1.48 , N/A , N/A ,$0.84 ,$3.04 ,$2.26 ,$1.00 ,$3.22 ,$3.11 ,$2.86 ,$2.86 ,$0.80 ,$2.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SLEEVE SCD CALF 17,272,1 ,$21.78 ,$15.68 ,$4.91 ,$21.78 ,$12.53 ,$15.68 ,$11.85 ,$4.91 ,$6.10 ,$14.48 ,$4.91 ,$15.25 ,$4.91 ,$13.72 ,$13.72 ,$4.91 ,$13.72 ,$10.12 ,$20.04 , N/A ,$4.91 ,$18.51 ,$18.30 ,$4.91 ,$16.34 ,$17.42 ,$17.42 ,$4.91 ,$17.42 ,$18.95 ,$18.95 ,$18.95 ,$19.60 ,$12.53 ,$4.91 ,$21.78 ,$12.22 ,$4.91 ,$9.02 , N/A , N/A ,$5.15 ,$18.51 ,$13.72 ,$6.10 ,$19.60 ,$18.95 ,$17.42 ,$17.42 ,$4.91 ,$14.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SNARE CAPTIVATO COLD SINGLE-USE SNARE,272,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 , N/A ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 , N/A , N/A ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SNARE MEDIUM OVAL 240CM 2.4MM SENSATION LOOP FLEXIBLE STIFFNESS SHEATH ENDOSCOPIC POLYPECTOMY 27MM DISPOSABLE,272,1 ,$49.68 ,$35.77 ,$11.20 ,$49.68 ,$28.58 ,$35.77 ,$27.03 ,$11.20 ,$13.91 ,$33.04 ,$11.20 ,$34.78 ,$11.20 ,$31.30 ,$31.30 ,$11.20 ,$31.30 ,$23.09 ,$45.71 , N/A ,$11.20 ,$42.23 ,$41.73 ,$11.20 ,$37.26 ,$39.74 ,$39.74 ,$11.20 ,$39.74 ,$43.22 ,$43.22 ,$43.22 ,$44.71 ,$28.58 ,$11.20 ,$49.68 ,$27.87 ,$11.20 ,$20.57 , N/A , N/A ,$11.76 ,$42.23 ,$31.30 ,$13.91 ,$44.71 ,$43.22 ,$39.74 ,$39.74 ,$11.20 ,$32.29 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SNARE XS OVAL 240CM 2.4MM CAPTIFLEX LOOP,272,1 ,$41.40 ,$29.81 ,$9.33 ,$41.40 ,$23.80 ,$29.81 ,$22.52 ,$9.33 ,$11.59 ,$27.53 ,$9.33 ,$28.98 ,$9.33 ,$26.08 ,$26.08 ,$9.33 ,$26.08 ,$19.23 ,$38.09 , N/A ,$9.33 ,$35.19 ,$34.78 ,$9.33 ,$31.05 ,$33.12 ,$33.12 ,$9.33 ,$33.12 ,$36.02 ,$36.02 ,$36.02 ,$37.26 ,$23.80 ,$9.33 ,$41.40 ,$23.23 ,$9.33 ,$17.14 , N/A , N/A ,$9.80 ,$35.19 ,$26.08 ,$11.59 ,$37.26 ,$36.02 ,$33.12 ,$33.12 ,$9.33 ,$26.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SOLUTION WOUND CLEANSING BACTISURE,272,1 ,"$1,350.00 ",$972.00 ,$304.29 ,"$1,350.00 ",$776.25 ,$972.00 ,$734.40 ,$304.29 ,$378.00 ,$897.75 ,$304.29 ,$945.00 ,$304.29 ,$850.50 ,$850.50 ,$304.29 ,$850.50 ,$627.21 ,"$1,242.00 ", N/A ,$304.29 ,"$1,147.50 ","$1,134.00 ",$304.29 ,"$1,012.50 ","$1,080.00 ","$1,080.00 ",$304.29 ,"$1,080.00 ","$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,215.00 ",$776.25 ,$304.29 ,"$1,350.00 ",$757.35 ,$304.29 ,$558.90 , N/A , N/A ,$319.51 ,"$1,147.50 ",$850.50 ,$378.00 ,"$1,215.00 ","$1,174.50 ","$1,080.00 ","$1,080.00 ",$304.29 ,$877.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SPECULUM ER-SPEC OFFICESPEC LARGE LED LIGHT BATTERY LOCK HINGE DISPOSABLE VAGINAL CLEAR LATEX FREE NONSTERILE,272,1 ,$9.41 ,$6.78 ,$2.12 ,$9.41 ,$5.40 ,$6.78 ,$5.12 ,$2.12 ,$2.63 ,$6.26 ,$2.12 ,$6.59 ,$2.12 ,$5.93 ,$5.93 ,$2.12 ,$5.93 ,$4.36 ,$8.66 , N/A ,$2.12 ,$8.00 ,$7.90 ,$2.12 ,$7.06 ,$7.53 ,$7.53 ,$2.12 ,$7.53 ,$8.19 ,$8.19 ,$8.19 ,$8.47 ,$5.40 ,$2.12 ,$9.41 ,$5.28 ,$2.12 ,$3.90 , N/A , N/A ,$2.22 ,$8.00 ,$5.93 ,$2.63 ,$8.47 ,$8.19 ,$7.53 ,$7.53 ,$2.12 ,$6.12 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SPECULUM ER-SPEC OFFICESPEC MEDIUM LED LIGHT BATTERY LOCK HINGE DISPOSABLE VAGINAL CLEAR LATEX FREE NONSTERILE,272,1 ,$9.42 ,$6.78 ,$2.13 ,$9.42 ,$5.43 ,$6.78 ,$5.12 ,$2.13 ,$2.64 ,$6.26 ,$2.13 ,$6.59 ,$2.13 ,$5.93 ,$5.93 ,$2.13 ,$5.93 ,$4.38 ,$8.67 , N/A ,$2.13 ,$8.01 ,$7.91 ,$2.13 ,$7.07 ,$7.54 ,$7.54 ,$2.13 ,$7.54 ,$8.20 ,$8.20 ,$8.20 ,$8.48 ,$5.43 ,$2.13 ,$9.42 ,$5.28 ,$2.13 ,$3.90 , N/A , N/A ,$2.23 ,$8.01 ,$5.93 ,$2.64 ,$8.48 ,$8.20 ,$7.54 ,$7.54 ,$2.13 ,$6.12 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SPONGE SURGICEL 2 X 14,272,1 ,$152.39 ,$109.72 ,$34.35 ,$152.39 ,$87.63 ,$109.72 ,$82.90 ,$34.35 ,$42.67 ,$101.34 ,$34.35 ,$106.67 ,$34.35 ,$96.01 ,$96.01 ,$34.35 ,$96.01 ,$70.80 ,$140.20 , N/A ,$34.35 ,$129.53 ,$128.01 ,$34.35 ,$114.29 ,$121.91 ,$121.91 ,$34.35 ,$121.91 ,$132.58 ,$132.58 ,$132.58 ,$137.15 ,$87.63 ,$34.35 ,$152.39 ,$85.49 ,$34.35 ,$63.09 , N/A , N/A ,$36.06 ,$129.53 ,$96.01 ,$42.67 ,$137.15 ,$132.58 ,$121.91 ,$121.91 ,$34.35 ,$99.05 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE ETS 30-3.5 RELOAD (TR35B),272,1 ,$285.84 ,$205.80 ,$64.43 ,$285.84 ,$164.35 ,$205.80 ,$155.50 ,$64.43 ,$80.04 ,$190.08 ,$64.43 ,$200.09 ,$64.43 ,$180.08 ,$180.08 ,$64.43 ,$180.08 ,$132.79 ,$262.97 , N/A ,$64.43 ,$242.96 ,$240.11 ,$64.43 ,$214.38 ,$228.67 ,$228.67 ,$64.43 ,$228.67 ,$248.68 ,$248.68 ,$248.68 ,$257.26 ,$164.35 ,$64.43 ,$285.84 ,$160.36 ,$64.43 ,$118.34 , N/A , N/A ,$67.65 ,$242.96 ,$180.08 ,$80.04 ,$257.26 ,$248.68 ,$228.67 ,$228.67 ,$64.43 ,$185.80 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE ETS 45-3.5 RELOAD 6R45B,272,1 ,$288.28 ,$207.56 ,$64.97 ,$288.28 ,$165.75 ,$207.56 ,$156.82 ,$64.97 ,$80.72 ,$191.71 ,$64.97 ,$201.80 ,$64.97 ,$181.62 ,$181.62 ,$64.97 ,$181.62 ,$133.93 ,$265.22 , N/A ,$64.97 ,$245.04 ,$242.16 ,$64.97 ,$216.21 ,$230.62 ,$230.62 ,$64.97 ,$230.62 ,$250.80 ,$250.80 ,$250.80 ,$259.45 ,$165.75 ,$64.97 ,$288.28 ,$161.73 ,$64.97 ,$119.35 , N/A , N/A ,$68.23 ,$245.04 ,$181.62 ,$80.72 ,$259.45 ,$250.80 ,$230.62 ,$230.62 ,$64.97 ,$187.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE PROXIMATE CUTTER 60-3.8 RELOAD TCR55 GIA,272,1 ,$108.81 ,$78.34 ,$24.53 ,$108.81 ,$62.58 ,$78.34 ,$59.19 ,$24.53 ,$30.47 ,$72.36 ,$24.53 ,$76.17 ,$24.53 ,$68.55 ,$68.55 ,$24.53 ,$68.55 ,$50.56 ,$100.11 , N/A ,$24.53 ,$92.49 ,$91.40 ,$24.53 ,$81.61 ,$87.05 ,$87.05 ,$24.53 ,$87.05 ,$94.66 ,$94.66 ,$94.66 ,$97.93 ,$62.58 ,$24.53 ,$108.81 ,$61.04 ,$24.53 ,$45.05 , N/A , N/A ,$25.75 ,$92.49 ,$68.55 ,$30.47 ,$97.93 ,$94.66 ,$87.05 ,$87.05 ,$24.53 ,$70.73 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE PROXIMATE CUTTER 7.5 - 3.8 RELOAD TCR75,272,1 ,$161.57 ,$116.33 ,$36.42 ,$161.57 ,$92.90 ,$116.33 ,$87.89 ,$36.42 ,$45.24 ,$107.44 ,$36.42 ,$113.10 ,$36.42 ,$101.79 ,$101.79 ,$36.42 ,$101.79 ,$75.06 ,$148.64 , N/A ,$36.42 ,$137.33 ,$135.72 ,$36.42 ,$121.18 ,$129.26 ,$129.26 ,$36.42 ,$129.26 ,$140.57 ,$140.57 ,$140.57 ,$145.41 ,$92.90 ,$36.42 ,$161.57 ,$90.64 ,$36.42 ,$66.89 , N/A , N/A ,$38.24 ,$137.33 ,$101.79 ,$45.24 ,$145.41 ,$140.57 ,$129.26 ,$129.26 ,$36.42 ,$105.02 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE RELOAD 10 COUNT RELIATACK FIXATION,272,1 ,$389.55 ,$280.48 ,$87.81 ,$389.55 ,$224.00 ,$280.48 ,$211.92 ,$87.81 ,$109.07 ,$259.05 ,$87.81 ,$272.69 ,$87.81 ,$245.42 ,$245.42 ,$87.81 ,$245.42 ,$180.99 ,$358.39 , N/A ,$87.81 ,$331.12 ,$327.22 ,$87.81 ,$292.16 ,$311.64 ,$311.64 ,$87.81 ,$311.64 ,$338.91 ,$338.91 ,$338.91 ,$350.60 ,$224.00 ,$87.81 ,$389.55 ,$218.54 ,$87.81 ,$161.27 , N/A , N/A ,$92.20 ,$331.12 ,$245.42 ,$109.07 ,$350.60 ,$338.91 ,$311.64 ,$311.64 ,$87.81 ,$253.21 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE RELOAD 5 COUNT RELIATACK FIXATION,272,1 ,$242.55 ,$174.64 ,$54.67 ,$242.55 ,$139.48 ,$174.64 ,$131.95 ,$54.67 ,$67.91 ,$161.30 ,$54.67 ,$169.79 ,$54.67 ,$152.81 ,$152.81 ,$54.67 ,$152.81 ,$112.70 ,$223.15 , N/A ,$54.67 ,$206.17 ,$203.74 ,$54.67 ,$181.91 ,$194.04 ,$194.04 ,$54.67 ,$194.04 ,$211.02 ,$211.02 ,$211.02 ,$218.30 ,$139.48 ,$54.67 ,$242.55 ,$136.07 ,$54.67 ,$100.42 , N/A , N/A ,$57.41 ,$206.17 ,$152.81 ,$67.91 ,$218.30 ,$211.02 ,$194.04 ,$194.04 ,$54.67 ,$157.66 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE RELOAD ENDOPATH ETS 4.1MM WHITE,272,1 ,$289.48 ,$208.43 ,$65.25 ,$289.48 ,$166.45 ,$208.43 ,$157.48 ,$65.25 ,$81.05 ,$192.50 ,$65.25 ,$202.64 ,$65.25 ,$182.37 ,$182.37 ,$65.25 ,$182.37 ,$134.49 ,$266.32 , N/A ,$65.25 ,$246.06 ,$243.16 ,$65.25 ,$217.11 ,$231.58 ,$231.58 ,$65.25 ,$231.58 ,$251.85 ,$251.85 ,$251.85 ,$260.53 ,$166.45 ,$65.25 ,$289.48 ,$162.40 ,$65.25 ,$119.84 , N/A , N/A ,$68.51 ,$246.06 ,$182.37 ,$81.05 ,$260.53 ,$251.85 ,$231.58 ,$231.58 ,$65.25 ,$188.16 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE RELOAD RELIATACK ARTIC FIXATION,272,1 ,"$1,368.90 ",$985.61 ,$308.55 ,"$1,368.90 ",$787.13 ,$985.61 ,$744.68 ,$308.55 ,$383.29 ,$910.32 ,$308.55 ,$958.23 ,$308.55 ,$862.41 ,$862.41 ,$308.55 ,$862.41 ,$636.00 ,"$1,259.39 ", N/A ,$308.55 ,"$1,163.57 ","$1,149.88 ",$308.55 ,"$1,026.68 ","$1,095.12 ","$1,095.12 ",$308.55 ,"$1,095.12 ","$1,190.94 ","$1,190.94 ","$1,190.94 ","$1,232.01 ",$787.13 ,$308.55 ,"$1,368.90 ",$767.95 ,$308.55 ,$566.72 , N/A , N/A ,$323.98 ,"$1,163.57 ",$862.41 ,$383.29 ,"$1,232.01 ","$1,190.94 ","$1,095.12 ","$1,095.12 ",$308.55 ,$889.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLE REMOVER PSX,272,1 ,$5.41 ,$3.90 ,$1.22 ,$5.41 ,$3.10 ,$3.90 ,$2.94 ,$1.22 ,$1.51 ,$3.60 ,$1.22 ,$3.79 ,$1.22 ,$3.41 ,$3.41 ,$1.22 ,$3.41 ,$2.50 ,$4.98 , N/A ,$1.22 ,$4.60 ,$4.54 ,$1.22 ,$4.06 ,$4.33 ,$4.33 ,$1.22 ,$4.33 ,$4.71 ,$4.71 ,$4.71 ,$4.87 ,$3.10 ,$1.22 ,$5.41 ,$3.04 ,$1.22 ,$2.24 , N/A , N/A ,$1.27 ,$4.60 ,$3.41 ,$1.51 ,$4.87 ,$4.71 ,$4.33 ,$4.33 ,$1.22 ,$3.52 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER BLUE (ETS) 35MM FLEXIBLE,272,1 ,$647.24 ,$466.01 ,$145.89 ,$647.24 ,$372.18 ,$466.01 ,$352.10 ,$145.89 ,$181.23 ,$430.41 ,$145.89 ,$453.07 ,$145.89 ,$407.76 ,$407.76 ,$145.89 ,$407.76 ,$300.72 ,$595.46 , N/A ,$145.89 ,$550.15 ,$543.68 ,$145.89 ,$485.43 ,$517.79 ,$517.79 ,$145.89 ,$517.79 ,$563.10 ,$563.10 ,$563.10 ,$582.52 ,$372.18 ,$145.89 ,$647.24 ,$363.10 ,$145.89 ,$267.96 , N/A , N/A ,$153.18 ,$550.15 ,$407.76 ,$181.23 ,$582.52 ,$563.10 ,$517.79 ,$517.79 ,$145.89 ,$420.71 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER ETS 45MM FLEXIBLE ATS45,272,1 ,$574.77 ,$413.83 ,$129.56 ,$574.77 ,$330.50 ,$413.83 ,$312.67 ,$129.56 ,$160.94 ,$382.22 ,$129.56 ,$402.34 ,$129.56 ,$362.11 ,$362.11 ,$129.56 ,$362.11 ,$267.04 ,$528.79 , N/A ,$129.56 ,$488.55 ,$482.81 ,$129.56 ,$431.08 ,$459.82 ,$459.82 ,$129.56 ,$459.82 ,$500.05 ,$500.05 ,$500.05 ,$517.29 ,$330.50 ,$129.56 ,$574.77 ,$322.45 ,$129.56 ,$237.95 , N/A , N/A ,$136.03 ,$488.55 ,$362.11 ,$160.94 ,$517.29 ,$500.05 ,$459.82 ,$459.82 ,$129.56 ,$373.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER LAPAROSCOPIC HERNIA PROTAC,272,1 ,$775.01 ,$558.01 ,$174.68 ,$775.01 ,$445.63 ,$558.01 ,$421.61 ,$174.68 ,$217.00 ,$515.38 ,$174.68 ,$542.51 ,$174.68 ,$488.26 ,$488.26 ,$174.68 ,$488.26 ,$360.07 ,$713.01 , N/A ,$174.68 ,$658.76 ,$651.01 ,$174.68 ,$581.26 ,$620.01 ,$620.01 ,$174.68 ,$620.01 ,$674.26 ,$674.26 ,$674.26 ,$697.51 ,$445.63 ,$174.68 ,$775.01 ,$434.78 ,$174.68 ,$320.85 , N/A , N/A ,$183.42 ,$658.76 ,$488.26 ,$217.00 ,$697.51 ,$674.26 ,$620.01 ,$620.01 ,$174.68 ,$503.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER PROXIMATE CUTTER 60 3.8 TLC55 GIA,272,1 ,$203.02 ,$146.17 ,$45.76 ,$203.02 ,$116.73 ,$146.17 ,$110.44 ,$45.76 ,$56.85 ,$135.01 ,$45.76 ,$142.11 ,$45.76 ,$127.90 ,$127.90 ,$45.76 ,$127.90 ,$94.31 ,$186.78 , N/A ,$45.76 ,$172.57 ,$170.54 ,$45.76 ,$152.27 ,$162.42 ,$162.42 ,$45.76 ,$162.42 ,$176.63 ,$176.63 ,$176.63 ,$182.72 ,$116.73 ,$45.76 ,$203.02 ,$113.89 ,$45.76 ,$84.05 , N/A , N/A ,$48.04 ,$172.57 ,$127.90 ,$56.85 ,$182.72 ,$176.63 ,$162.42 ,$162.42 ,$45.76 ,$131.96 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER PROXIMATE CUTTER 75 3.8,272,1 ,$302.98 ,$218.15 ,$68.30 ,$302.98 ,$174.23 ,$218.15 ,$164.82 ,$68.30 ,$84.83 ,$201.48 ,$68.30 ,$212.09 ,$68.30 ,$190.88 ,$190.88 ,$68.30 ,$190.88 ,$140.77 ,$278.74 , N/A ,$68.30 ,$257.53 ,$254.50 ,$68.30 ,$227.24 ,$242.38 ,$242.38 ,$68.30 ,$242.38 ,$263.59 ,$263.59 ,$263.59 ,$272.68 ,$174.23 ,$68.30 ,$302.98 ,$169.97 ,$68.30 ,$125.43 , N/A , N/A ,$71.71 ,$257.53 ,$190.88 ,$84.83 ,$272.68 ,$263.59 ,$242.38 ,$242.38 ,$68.30 ,$196.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER SKIN 35W,272,1 ,$13.68 ,$9.85 ,$3.09 ,$13.68 ,$7.88 ,$9.85 ,$7.44 ,$3.09 ,$3.83 ,$9.10 ,$3.09 ,$9.58 ,$3.09 ,$8.62 ,$8.62 ,$3.09 ,$8.62 ,$6.36 ,$12.59 , N/A ,$3.09 ,$11.63 ,$11.49 ,$3.09 ,$10.26 ,$10.94 ,$10.94 ,$3.09 ,$10.94 ,$11.90 ,$11.90 ,$11.90 ,$12.31 ,$7.88 ,$3.09 ,$13.68 ,$7.67 ,$3.09 ,$5.66 , N/A , N/A ,$3.24 ,$11.63 ,$8.62 ,$3.83 ,$12.31 ,$11.90 ,$10.94 ,$10.94 ,$3.09 ,$8.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER SKIN 5 ARCUATE MULTISHOT STERILE LATEX FREE PRECISE DISPOSABLE,272,1 ,$10.80 ,$7.78 ,$2.43 ,$10.80 ,$6.20 ,$7.78 ,$5.88 ,$2.43 ,$3.02 ,$7.18 ,$2.43 ,$7.56 ,$2.43 ,$6.80 ,$6.80 ,$2.43 ,$6.80 ,$5.01 ,$9.94 , N/A ,$2.43 ,$9.18 ,$9.07 ,$2.43 ,$8.10 ,$8.64 ,$8.64 ,$2.43 ,$8.64 ,$9.40 ,$9.40 ,$9.40 ,$9.72 ,$6.20 ,$2.43 ,$10.80 ,$6.06 ,$2.43 ,$4.47 , N/A , N/A ,$2.55 ,$9.18 ,$6.80 ,$3.02 ,$9.72 ,$9.40 ,$8.64 ,$8.64 ,$2.43 ,$7.02 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER SKIN ANGLE WIDE 15 COUNT SHORT TRIGGER STROKE STERILE LATEX FREE PRECISE VISTA DISPOSABLE,272,1 ,$27.52 ,$19.81 ,$6.20 ,$27.52 ,$15.83 ,$19.81 ,$14.97 ,$6.20 ,$7.71 ,$18.30 ,$6.20 ,$19.26 ,$6.20 ,$17.34 ,$17.34 ,$6.20 ,$17.34 ,$12.79 ,$25.32 , N/A ,$6.20 ,$23.39 ,$23.12 ,$6.20 ,$20.64 ,$22.02 ,$22.02 ,$6.20 ,$22.02 ,$23.94 ,$23.94 ,$23.94 ,$24.77 ,$15.83 ,$6.20 ,$27.52 ,$15.44 ,$6.20 ,$11.39 , N/A , N/A ,$6.52 ,$23.39 ,$17.34 ,$7.71 ,$24.77 ,$23.94 ,$22.02 ,$22.02 ,$6.20 ,$17.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER SKIN PROXIMATE WIDE PXW35,272,1 ,$17.72 ,$12.76 ,$4.00 ,$17.72 ,$10.20 ,$12.76 ,$9.64 ,$4.00 ,$4.96 ,$11.78 ,$4.00 ,$12.40 ,$4.00 ,$11.16 ,$11.16 ,$4.00 ,$11.16 ,$8.24 ,$16.30 , N/A ,$4.00 ,$15.06 ,$14.88 ,$4.00 ,$13.29 ,$14.18 ,$14.18 ,$4.00 ,$14.18 ,$15.42 ,$15.42 ,$15.42 ,$15.95 ,$10.20 ,$4.00 ,$17.72 ,$9.94 ,$4.00 ,$7.34 , N/A , N/A ,$4.19 ,$15.06 ,$11.16 ,$4.96 ,$15.95 ,$15.42 ,$14.18 ,$14.18 ,$4.00 ,$11.52 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAPLER SORBAFIX TACKER,272,1 ,"$1,650.00 ","$1,188.00 ",$371.91 ,"$1,650.00 ",$948.75 ,"$1,188.00 ",$897.60 ,$371.91 ,$462.00 ,"$1,097.25 ",$371.91 ,"$1,155.00 ",$371.91 ,"$1,039.50 ","$1,039.50 ",$371.91 ,"$1,039.50 ",$766.59 ,"$1,518.00 ", N/A ,$371.91 ,"$1,402.50 ","$1,386.00 ",$371.91 ,"$1,237.50 ","$1,320.00 ","$1,320.00 ",$371.91 ,"$1,320.00 ","$1,435.50 ","$1,435.50 ","$1,435.50 ","$1,485.00 ",$948.75 ,$371.91 ,"$1,650.00 ",$925.65 ,$371.91 ,$683.10 , N/A , N/A ,$390.51 ,"$1,402.50 ","$1,039.50 ",$462.00 ,"$1,485.00 ","$1,435.50 ","$1,320.00 ","$1,320.00 ",$371.91 ,"$1,072.50 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STAYS LONE STAR RETRACTOR SHARP 5MM,272,1 ,$276.54 ,$199.11 ,$62.33 ,$276.54 ,$159.00 ,$199.11 ,$150.44 ,$62.33 ,$77.43 ,$183.90 ,$62.33 ,$193.58 ,$62.33 ,$174.22 ,$174.22 ,$62.33 ,$174.22 ,$128.47 ,$254.42 , N/A ,$62.33 ,$235.06 ,$232.29 ,$62.33 ,$207.41 ,$221.23 ,$221.23 ,$62.33 ,$221.23 ,$240.59 ,$240.59 ,$240.59 ,$248.89 ,$159.00 ,$62.33 ,$276.54 ,$155.14 ,$62.33 ,$114.49 , N/A , N/A ,$65.44 ,$235.06 ,$174.22 ,$77.43 ,$248.89 ,$240.59 ,$221.23 ,$221.23 ,$62.33 ,$179.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STIMULATOR NERVE,272,1 ,$126.24 ,$90.89 ,$28.46 ,$126.24 ,$72.60 ,$90.89 ,$68.67 ,$28.46 ,$35.35 ,$83.95 ,$28.46 ,$88.37 ,$28.46 ,$79.53 ,$79.53 ,$28.46 ,$79.53 ,$58.66 ,$116.14 , N/A ,$28.46 ,$107.30 ,$106.04 ,$28.46 ,$94.68 ,$100.99 ,$100.99 ,$28.46 ,$100.99 ,$109.83 ,$109.83 ,$109.83 ,$113.62 ,$72.60 ,$28.46 ,$126.24 ,$70.82 ,$28.46 ,$52.26 , N/A , N/A ,$29.88 ,$107.30 ,$79.53 ,$35.35 ,$113.62 ,$109.83 ,$100.99 ,$100.99 ,$28.46 ,$82.06 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUCTION TUBE MINI DEPUY,272,1 ,$44.25 ,$31.86 ,$9.98 ,$44.25 ,$25.45 ,$31.86 ,$24.07 ,$9.98 ,$12.39 ,$29.43 ,$9.98 ,$30.98 ,$9.98 ,$27.88 ,$27.88 ,$9.98 ,$27.88 ,$20.56 ,$40.71 , N/A ,$9.98 ,$37.61 ,$37.17 ,$9.98 ,$33.19 ,$35.40 ,$35.40 ,$9.98 ,$35.40 ,$38.50 ,$38.50 ,$38.50 ,$39.83 ,$25.45 ,$9.98 ,$44.25 ,$24.82 ,$9.98 ,$18.32 , N/A , N/A ,$10.48 ,$37.61 ,$27.88 ,$12.39 ,$39.83 ,$38.50 ,$35.40 ,$35.40 ,$9.98 ,$28.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUCTION TUBING 10FT .25IN NONCDTV UNIV F STRT M CONN,272,1 ,$1.75 ,$1.26 ,$0.39 ,$1.75 ,$1.00 ,$1.26 ,$0.95 ,$0.39 ,$0.49 ,$1.16 ,$0.39 ,$1.23 ,$0.39 ,$1.10 ,$1.10 ,$0.39 ,$1.10 ,$0.81 ,$1.61 , N/A ,$0.39 ,$1.49 ,$1.47 ,$0.39 ,$1.31 ,$1.40 ,$1.40 ,$0.39 ,$1.40 ,$1.52 ,$1.52 ,$1.52 ,$1.58 ,$1.00 ,$0.39 ,$1.75 ,$0.98 ,$0.39 ,$0.72 , N/A , N/A ,$0.41 ,$1.49 ,$1.10 ,$0.49 ,$1.58 ,$1.52 ,$1.40 ,$1.40 ,$0.39 ,$1.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUCTION YANKUER STANDARD,272,1 ,$0.37 ,$0.27 ,$0.09 ,$0.37 ,$0.23 ,$0.27 ,$0.20 ,$0.09 ,$0.10 ,$0.25 ,$0.09 ,$0.26 ,$0.09 ,$0.23 ,$0.23 ,$0.09 ,$0.23 ,$0.18 ,$0.34 , N/A ,$0.09 ,$0.31 ,$0.31 ,$0.09 ,$0.28 ,$0.30 ,$0.30 ,$0.09 ,$0.30 ,$0.32 ,$0.32 ,$0.32 ,$0.33 ,$0.23 ,$0.09 ,$0.37 ,$0.21 ,$0.09 ,$0.15 , N/A , N/A ,$0.09 ,$0.31 ,$0.23 ,$0.10 ,$0.33 ,$0.32 ,$0.30 ,$0.30 ,$0.09 ,$0.24 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUCTION/IRRIGATOR STRYKER ENDOSCOPY STRYKEFLOW II,272,1 ,$146.94 ,$105.80 ,$33.12 ,$146.94 ,$84.50 ,$105.80 ,$79.94 ,$33.12 ,$41.14 ,$97.72 ,$33.12 ,$102.86 ,$33.12 ,$92.57 ,$92.57 ,$33.12 ,$92.57 ,$68.28 ,$135.18 , N/A ,$33.12 ,$124.90 ,$123.43 ,$33.12 ,$110.21 ,$117.55 ,$117.55 ,$33.12 ,$117.55 ,$127.84 ,$127.84 ,$127.84 ,$132.25 ,$84.50 ,$33.12 ,$146.94 ,$82.43 ,$33.12 ,$60.83 , N/A , N/A ,$34.78 ,$124.90 ,$92.57 ,$41.14 ,$132.25 ,$127.84 ,$117.55 ,$117.55 ,$33.12 ,$95.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SURGILUBE FOIL PACKET 2.7GM,272,1 ,$0.11 ,$0.08 ,$0.03 ,$0.11 ,$0.08 ,$0.08 ,$0.06 ,$0.03 ,$0.03 ,$0.07 ,$0.03 ,$0.08 ,$0.03 ,$0.07 ,$0.07 ,$0.03 ,$0.07 ,$0.06 ,$0.10 , N/A ,$0.03 ,$0.09 ,$0.09 ,$0.03 ,$0.08 ,$0.09 ,$0.09 ,$0.03 ,$0.09 ,$0.10 ,$0.10 ,$0.10 ,$0.10 ,$0.08 ,$0.03 ,$0.11 ,$0.06 ,$0.03 ,$0.05 , N/A , N/A ,$0.03 ,$0.09 ,$0.07 ,$0.03 ,$0.10 ,$0.10 ,$0.09 ,$0.09 ,$0.03 ,$0.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ABSORBABLE PDS II 3-0 CT-1 L27 IN MONOFILAMENT VIOLET,272,1 ,$5.75 ,$4.14 ,$1.29 ,$5.75 ,$3.30 ,$4.14 ,$3.13 ,$1.29 ,$1.61 ,$3.82 ,$1.29 ,$4.03 ,$1.29 ,$3.62 ,$3.62 ,$1.29 ,$3.62 ,$2.67 ,$5.29 , N/A ,$1.29 ,$4.89 ,$4.83 ,$1.29 ,$4.31 ,$4.60 ,$4.60 ,$1.29 ,$4.60 ,$5.00 ,$5.00 ,$5.00 ,$5.18 ,$3.30 ,$1.29 ,$5.75 ,$3.23 ,$1.29 ,$2.38 , N/A , N/A ,$1.36 ,$4.89 ,$3.62 ,$1.61 ,$5.18 ,$5.00 ,$4.60 ,$4.60 ,$1.29 ,$3.74 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 2-0 SH 27 G123H,272,1 ,$6.59 ,$4.74 ,$1.49 ,$6.59 ,$3.80 ,$4.74 ,$3.59 ,$1.49 ,$1.85 ,$4.38 ,$1.49 ,$4.61 ,$1.49 ,$4.15 ,$4.15 ,$1.49 ,$4.15 ,$3.07 ,$6.06 , N/A ,$1.49 ,$5.60 ,$5.54 ,$1.49 ,$4.94 ,$5.27 ,$5.27 ,$1.49 ,$5.27 ,$5.73 ,$5.73 ,$5.73 ,$5.93 ,$3.80 ,$1.49 ,$6.59 ,$3.70 ,$1.49 ,$2.73 , N/A , N/A ,$1.57 ,$5.60 ,$4.15 ,$1.85 ,$5.93 ,$5.73 ,$5.27 ,$5.27 ,$1.49 ,$4.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 3-0 CT-1 36 922H,272,1 ,$7.19 ,$5.18 ,$1.62 ,$7.19 ,$4.13 ,$5.18 ,$3.91 ,$1.62 ,$2.01 ,$4.78 ,$1.62 ,$5.03 ,$1.62 ,$4.53 ,$4.53 ,$1.62 ,$4.53 ,$3.33 ,$6.61 , N/A ,$1.62 ,$6.11 ,$6.04 ,$1.62 ,$5.39 ,$5.75 ,$5.75 ,$1.62 ,$5.75 ,$6.26 ,$6.26 ,$6.26 ,$6.47 ,$4.13 ,$1.62 ,$7.19 ,$4.03 ,$1.62 ,$2.98 , N/A , N/A ,$1.70 ,$6.11 ,$4.53 ,$2.01 ,$6.47 ,$6.26 ,$5.75 ,$5.75 ,$1.62 ,$4.67 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 3-0 SH 27 G122H,272,1 ,$6.69 ,$4.82 ,$1.51 ,$6.69 ,$3.85 ,$4.82 ,$3.64 ,$1.51 ,$1.87 ,$4.45 ,$1.51 ,$4.68 ,$1.51 ,$4.21 ,$4.21 ,$1.51 ,$4.21 ,$3.11 ,$6.15 , N/A ,$1.51 ,$5.69 ,$5.62 ,$1.51 ,$5.02 ,$5.35 ,$5.35 ,$1.51 ,$5.35 ,$5.82 ,$5.82 ,$5.82 ,$6.02 ,$3.85 ,$1.51 ,$6.69 ,$3.75 ,$1.51 ,$2.77 , N/A , N/A ,$1.59 ,$5.69 ,$4.21 ,$1.87 ,$6.02 ,$5.82 ,$5.35 ,$5.35 ,$1.51 ,$4.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 0 CT-1 812H,272,1 ,$6.69 ,$4.82 ,$1.51 ,$6.69 ,$3.85 ,$4.82 ,$3.64 ,$1.51 ,$1.87 ,$4.45 ,$1.51 ,$4.68 ,$1.51 ,$4.21 ,$4.21 ,$1.51 ,$4.21 ,$3.11 ,$6.15 , N/A ,$1.51 ,$5.69 ,$5.62 ,$1.51 ,$5.02 ,$5.35 ,$5.35 ,$1.51 ,$5.35 ,$5.82 ,$5.82 ,$5.82 ,$6.02 ,$3.85 ,$1.51 ,$6.69 ,$3.75 ,$1.51 ,$2.77 , N/A , N/A ,$1.59 ,$5.69 ,$4.21 ,$1.87 ,$6.02 ,$5.82 ,$5.35 ,$5.35 ,$1.51 ,$4.35 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 4-0 FS-2 27 635H,272,1 ,$6.33 ,$4.56 ,$1.43 ,$6.33 ,$3.65 ,$4.56 ,$3.44 ,$1.43 ,$1.77 ,$4.21 ,$1.43 ,$4.43 ,$1.43 ,$3.99 ,$3.99 ,$1.43 ,$3.99 ,$2.95 ,$5.82 , N/A ,$1.43 ,$5.38 ,$5.32 ,$1.43 ,$4.75 ,$5.06 ,$5.06 ,$1.43 ,$5.06 ,$5.51 ,$5.51 ,$5.51 ,$5.70 ,$3.65 ,$1.43 ,$6.33 ,$3.55 ,$1.43 ,$2.62 , N/A , N/A ,$1.50 ,$5.38 ,$3.99 ,$1.77 ,$5.70 ,$5.51 ,$5.06 ,$5.06 ,$1.43 ,$4.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 3-0 FS-2 636H,272,1 ,$6.33 ,$4.56 ,$1.43 ,$6.33 ,$3.65 ,$4.56 ,$3.44 ,$1.43 ,$1.77 ,$4.21 ,$1.43 ,$4.43 ,$1.43 ,$3.99 ,$3.99 ,$1.43 ,$3.99 ,$2.95 ,$5.82 , N/A ,$1.43 ,$5.38 ,$5.32 ,$1.43 ,$4.75 ,$5.06 ,$5.06 ,$1.43 ,$5.06 ,$5.51 ,$5.51 ,$5.51 ,$5.70 ,$3.65 ,$1.43 ,$6.33 ,$3.55 ,$1.43 ,$2.62 , N/A , N/A ,$1.50 ,$5.38 ,$3.99 ,$1.77 ,$5.70 ,$5.51 ,$5.06 ,$5.06 ,$1.43 ,$4.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 4-0 G-3,272,1 ,$34.40 ,$24.77 ,$7.75 ,$34.40 ,$19.78 ,$24.77 ,$18.71 ,$7.75 ,$9.63 ,$22.88 ,$7.75 ,$24.08 ,$7.75 ,$21.67 ,$21.67 ,$7.75 ,$21.67 ,$15.98 ,$31.65 , N/A ,$7.75 ,$29.24 ,$28.90 ,$7.75 ,$25.80 ,$27.52 ,$27.52 ,$7.75 ,$27.52 ,$29.93 ,$29.93 ,$29.93 ,$30.96 ,$19.78 ,$7.75 ,$34.40 ,$19.30 ,$7.75 ,$14.24 , N/A , N/A ,$8.14 ,$29.24 ,$21.67 ,$9.63 ,$30.96 ,$29.93 ,$27.52 ,$27.52 ,$7.75 ,$22.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 5-0 RB-1 27 U202H,272,1 ,$6.94 ,$5.00 ,$1.57 ,$6.94 ,$4.00 ,$5.00 ,$3.78 ,$1.57 ,$1.94 ,$4.62 ,$1.57 ,$4.86 ,$1.57 ,$4.37 ,$4.37 ,$1.57 ,$4.37 ,$3.23 ,$6.38 , N/A ,$1.57 ,$5.90 ,$5.83 ,$1.57 ,$5.21 ,$5.55 ,$5.55 ,$1.57 ,$5.55 ,$6.04 ,$6.04 ,$6.04 ,$6.25 ,$4.00 ,$1.57 ,$6.94 ,$3.89 ,$1.57 ,$2.87 , N/A , N/A ,$1.65 ,$5.90 ,$4.37 ,$1.94 ,$6.25 ,$6.04 ,$5.55 ,$5.55 ,$1.57 ,$4.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC 4-0 SH 27 G121H,272,1 ,$6.94 ,$5.00 ,$1.57 ,$6.94 ,$4.00 ,$5.00 ,$3.78 ,$1.57 ,$1.94 ,$4.62 ,$1.57 ,$4.86 ,$1.57 ,$4.37 ,$4.37 ,$1.57 ,$4.37 ,$3.23 ,$6.38 , N/A ,$1.57 ,$5.90 ,$5.83 ,$1.57 ,$5.21 ,$5.55 ,$5.55 ,$1.57 ,$5.55 ,$6.04 ,$6.04 ,$6.04 ,$6.25 ,$4.00 ,$1.57 ,$6.94 ,$3.89 ,$1.57 ,$2.87 , N/A , N/A ,$1.65 ,$5.90 ,$4.37 ,$1.94 ,$6.25 ,$6.04 ,$5.55 ,$5.55 ,$1.57 ,$4.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CHROMIC GUT 2-0 54 REEL L113G,272,1 ,$7.90 ,$5.69 ,$1.78 ,$7.90 ,$4.55 ,$5.69 ,$4.30 ,$1.78 ,$2.21 ,$5.25 ,$1.78 ,$5.53 ,$1.78 ,$4.98 ,$4.98 ,$1.78 ,$4.98 ,$3.68 ,$7.27 , N/A ,$1.78 ,$6.72 ,$6.64 ,$1.78 ,$5.93 ,$6.32 ,$6.32 ,$1.78 ,$6.32 ,$6.87 ,$6.87 ,$6.87 ,$7.11 ,$4.55 ,$1.78 ,$7.90 ,$4.43 ,$1.78 ,$3.27 , N/A , N/A ,$1.87 ,$6.72 ,$4.98 ,$2.21 ,$7.11 ,$6.87 ,$6.32 ,$6.32 ,$1.78 ,$5.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE CR ULT 7-0 CS175-8 18IN 2 ARM MFIL BRN ABSORB,272,1 ,$47.71 ,$34.35 ,$10.75 ,$47.71 ,$27.43 ,$34.35 ,$25.95 ,$10.75 ,$13.36 ,$31.73 ,$10.75 ,$33.40 ,$10.75 ,$30.06 ,$30.06 ,$10.75 ,$30.06 ,$22.16 ,$43.89 , N/A ,$10.75 ,$40.55 ,$40.08 ,$10.75 ,$35.78 ,$38.17 ,$38.17 ,$10.75 ,$38.17 ,$41.51 ,$41.51 ,$41.51 ,$42.94 ,$27.43 ,$10.75 ,$47.71 ,$26.77 ,$10.75 ,$19.75 , N/A , N/A ,$11.29 ,$40.55 ,$30.06 ,$13.36 ,$42.94 ,$41.51 ,$38.17 ,$38.17 ,$10.75 ,$31.01 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHIBOND EXCEL 1 OS-6 30,272,1 ,$5.51 ,$3.97 ,$1.24 ,$5.51 ,$3.18 ,$3.97 ,$3.00 ,$1.24 ,$1.54 ,$3.66 ,$1.24 ,$3.86 ,$1.24 ,$3.47 ,$3.47 ,$1.24 ,$3.47 ,$2.57 ,$5.07 , N/A ,$1.24 ,$4.68 ,$4.63 ,$1.24 ,$4.13 ,$4.41 ,$4.41 ,$1.24 ,$4.41 ,$4.79 ,$4.79 ,$4.79 ,$4.96 ,$3.18 ,$1.24 ,$5.51 ,$3.09 ,$1.24 ,$2.28 , N/A , N/A ,$1.30 ,$4.68 ,$3.47 ,$1.54 ,$4.96 ,$4.79 ,$4.41 ,$4.41 ,$1.24 ,$3.58 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON (NYLON) 3-0 PS-2 18 1669H,272,1 ,$7.43 ,$5.35 ,$1.68 ,$7.43 ,$4.28 ,$5.35 ,$4.04 ,$1.68 ,$2.08 ,$4.94 ,$1.68 ,$5.20 ,$1.68 ,$4.68 ,$4.68 ,$1.68 ,$4.68 ,$3.45 ,$6.84 , N/A ,$1.68 ,$6.32 ,$6.24 ,$1.68 ,$5.57 ,$5.94 ,$5.94 ,$1.68 ,$5.94 ,$6.46 ,$6.46 ,$6.46 ,$6.69 ,$4.28 ,$1.68 ,$7.43 ,$4.17 ,$1.68 ,$3.08 , N/A , N/A ,$1.76 ,$6.32 ,$4.68 ,$2.08 ,$6.69 ,$6.46 ,$5.94 ,$5.94 ,$1.68 ,$4.83 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 3-0 PS-1 18 1663G,272,1 ,$8.16 ,$5.88 ,$1.84 ,$8.16 ,$4.70 ,$5.88 ,$4.44 ,$1.84 ,$2.28 ,$5.43 ,$1.84 ,$5.71 ,$1.84 ,$5.14 ,$5.14 ,$1.84 ,$5.14 ,$3.80 ,$7.51 , N/A ,$1.84 ,$6.94 ,$6.85 ,$1.84 ,$6.12 ,$6.53 ,$6.53 ,$1.84 ,$6.53 ,$7.10 ,$7.10 ,$7.10 ,$7.34 ,$4.70 ,$1.84 ,$8.16 ,$4.58 ,$1.84 ,$3.38 , N/A , N/A ,$1.93 ,$6.94 ,$5.14 ,$2.28 ,$7.34 ,$7.10 ,$6.53 ,$6.53 ,$1.84 ,$5.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 3-0 PC-5 18 1893G,272,1 ,$8.16 ,$5.88 ,$1.84 ,$8.16 ,$4.70 ,$5.88 ,$4.44 ,$1.84 ,$2.28 ,$5.43 ,$1.84 ,$5.71 ,$1.84 ,$5.14 ,$5.14 ,$1.84 ,$5.14 ,$3.80 ,$7.51 , N/A ,$1.84 ,$6.94 ,$6.85 ,$1.84 ,$6.12 ,$6.53 ,$6.53 ,$1.84 ,$6.53 ,$7.10 ,$7.10 ,$7.10 ,$7.34 ,$4.70 ,$1.84 ,$8.16 ,$4.58 ,$1.84 ,$3.38 , N/A , N/A ,$1.93 ,$6.94 ,$5.14 ,$2.28 ,$7.34 ,$7.10 ,$6.53 ,$6.53 ,$1.84 ,$5.30 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 4-0 PC-3 18 1864G,272,1 ,$8.21 ,$5.91 ,$1.85 ,$8.21 ,$4.73 ,$5.91 ,$4.47 ,$1.85 ,$2.30 ,$5.46 ,$1.85 ,$5.75 ,$1.85 ,$5.17 ,$5.17 ,$1.85 ,$5.17 ,$3.82 ,$7.55 , N/A ,$1.85 ,$6.98 ,$6.90 ,$1.85 ,$6.16 ,$6.57 ,$6.57 ,$1.85 ,$6.57 ,$7.14 ,$7.14 ,$7.14 ,$7.39 ,$4.73 ,$1.85 ,$8.21 ,$4.61 ,$1.85 ,$3.40 , N/A , N/A ,$1.94 ,$6.98 ,$5.17 ,$2.30 ,$7.39 ,$7.14 ,$6.57 ,$6.57 ,$1.85 ,$5.34 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 4-0 PS-2 19 1667G,272,1 ,$7.48 ,$5.39 ,$1.69 ,$7.48 ,$4.30 ,$5.39 ,$4.07 ,$1.69 ,$2.09 ,$4.97 ,$1.69 ,$5.24 ,$1.69 ,$4.71 ,$4.71 ,$1.69 ,$4.71 ,$3.47 ,$6.88 , N/A ,$1.69 ,$6.36 ,$6.28 ,$1.69 ,$5.61 ,$5.98 ,$5.98 ,$1.69 ,$5.98 ,$6.51 ,$6.51 ,$6.51 ,$6.73 ,$4.30 ,$1.69 ,$7.48 ,$4.20 ,$1.69 ,$3.10 , N/A , N/A ,$1.77 ,$6.36 ,$4.71 ,$2.09 ,$6.73 ,$6.51 ,$5.98 ,$5.98 ,$1.69 ,$4.86 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 5-0 P-1,272,1 ,$8.28 ,$5.96 ,$1.86 ,$8.28 ,$4.75 ,$5.96 ,$4.50 ,$1.86 ,$2.32 ,$5.51 ,$1.86 ,$5.80 ,$1.86 ,$5.22 ,$5.22 ,$1.86 ,$5.22 ,$3.84 ,$7.62 , N/A ,$1.86 ,$7.04 ,$6.96 ,$1.86 ,$6.21 ,$6.62 ,$6.62 ,$1.86 ,$6.62 ,$7.20 ,$7.20 ,$7.20 ,$7.45 ,$4.75 ,$1.86 ,$8.28 ,$4.65 ,$1.86 ,$3.43 , N/A , N/A ,$1.96 ,$7.04 ,$5.22 ,$2.32 ,$7.45 ,$7.20 ,$6.62 ,$6.62 ,$1.86 ,$5.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 5-0 PC-3 18 1865G,272,1 ,$8.29 ,$5.97 ,$1.87 ,$8.29 ,$4.78 ,$5.97 ,$4.51 ,$1.87 ,$2.32 ,$5.51 ,$1.87 ,$5.80 ,$1.87 ,$5.22 ,$5.22 ,$1.87 ,$5.22 ,$3.86 ,$7.63 , N/A ,$1.87 ,$7.05 ,$6.96 ,$1.87 ,$6.22 ,$6.63 ,$6.63 ,$1.87 ,$6.63 ,$7.21 ,$7.21 ,$7.21 ,$7.46 ,$4.78 ,$1.87 ,$8.29 ,$4.65 ,$1.87 ,$3.43 , N/A , N/A ,$1.97 ,$7.05 ,$5.22 ,$2.32 ,$7.46 ,$7.21 ,$6.63 ,$6.63 ,$1.87 ,$5.39 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,"SUTURE ETHILON 6-0 PC-1 18"" 1956G",272,1 ,$8.39 ,$6.04 ,$1.89 ,$8.39 ,$4.83 ,$6.04 ,$4.56 ,$1.89 ,$2.35 ,$5.58 ,$1.89 ,$5.87 ,$1.89 ,$5.29 ,$5.29 ,$1.89 ,$5.29 ,$3.90 ,$7.72 , N/A ,$1.89 ,$7.13 ,$7.05 ,$1.89 ,$6.29 ,$6.71 ,$6.71 ,$1.89 ,$6.71 ,$7.30 ,$7.30 ,$7.30 ,$7.55 ,$4.83 ,$1.89 ,$8.39 ,$4.71 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.13 ,$5.29 ,$2.35 ,$7.55 ,$7.30 ,$6.71 ,$6.71 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 6-0 PC-1 18 1856G,272,1 ,$8.39 ,$6.04 ,$1.89 ,$8.39 ,$4.83 ,$6.04 ,$4.56 ,$1.89 ,$2.35 ,$5.58 ,$1.89 ,$5.87 ,$1.89 ,$5.29 ,$5.29 ,$1.89 ,$5.29 ,$3.90 ,$7.72 , N/A ,$1.89 ,$7.13 ,$7.05 ,$1.89 ,$6.29 ,$6.71 ,$6.71 ,$1.89 ,$6.71 ,$7.30 ,$7.30 ,$7.30 ,$7.55 ,$4.83 ,$1.89 ,$8.39 ,$4.71 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.13 ,$5.29 ,$2.35 ,$7.55 ,$7.30 ,$6.71 ,$6.71 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,"SUTURE ETHILON 9-0 VAS100-4 6"" 2809G",272,1 ,$28.86 ,$20.78 ,$6.51 ,$28.86 ,$16.60 ,$20.78 ,$15.70 ,$6.51 ,$8.08 ,$19.19 ,$6.51 ,$20.20 ,$6.51 ,$18.18 ,$18.18 ,$6.51 ,$18.18 ,$13.41 ,$26.55 , N/A ,$6.51 ,$24.53 ,$24.24 ,$6.51 ,$21.65 ,$23.09 ,$23.09 ,$6.51 ,$23.09 ,$25.11 ,$25.11 ,$25.11 ,$25.97 ,$16.60 ,$6.51 ,$28.86 ,$16.19 ,$6.51 ,$11.95 , N/A , N/A ,$6.83 ,$24.53 ,$18.18 ,$8.08 ,$25.97 ,$25.11 ,$23.09 ,$23.09 ,$6.51 ,$18.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON MULTIPASS 5-0 PC-1 18IN,272,1 ,$8.22 ,$5.92 ,$1.85 ,$8.22 ,$4.73 ,$5.92 ,$4.47 ,$1.85 ,$2.30 ,$5.47 ,$1.85 ,$5.75 ,$1.85 ,$5.18 ,$5.18 ,$1.85 ,$5.18 ,$3.82 ,$7.56 , N/A ,$1.85 ,$6.99 ,$6.90 ,$1.85 ,$6.17 ,$6.58 ,$6.58 ,$1.85 ,$6.58 ,$7.15 ,$7.15 ,$7.15 ,$7.40 ,$4.73 ,$1.85 ,$8.22 ,$4.61 ,$1.85 ,$3.40 , N/A , N/A ,$1.94 ,$6.99 ,$5.18 ,$2.30 ,$7.40 ,$7.15 ,$6.58 ,$6.58 ,$1.85 ,$5.34 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERTAPE ARTHREX 2MM 36 BLUE #2 FIBERWIRE,272,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$130.41 , N/A , N/A ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 ,$252.00 ,$252.00 ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,STEP DRILL FOR 3.0 KNOTLESS SUTURE TAK,272,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$130.41 , N/A , N/A ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 ,$252.00 ,$252.00 ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERWIRE #5 AR-7211,272,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 , N/A ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERWIRE 4-0 1 T-12 TAPER 8 3/8 CIR,272,1 ,$66.00 ,$47.52 ,$14.88 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 , N/A ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 , N/A , N/A ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERWIRE #2 AR-7200,272,1 ,$66.00 ,$47.52 ,$14.88 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 , N/A ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 , N/A , N/A ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE FIBERWIRE 0 38IN,272,1 ,$66.00 ,$47.52 ,$14.88 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 , N/A ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 , N/A , N/A ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MAXON 3-0 GS-21 30IN,272,1 ,$25.38 ,$18.27 ,$5.72 ,$25.38 ,$14.60 ,$18.27 ,$13.81 ,$5.72 ,$7.11 ,$16.88 ,$5.72 ,$17.77 ,$5.72 ,$15.99 ,$15.99 ,$5.72 ,$15.99 ,$11.80 ,$23.35 , N/A ,$5.72 ,$21.57 ,$21.32 ,$5.72 ,$19.04 ,$20.30 ,$20.30 ,$5.72 ,$20.30 ,$22.08 ,$22.08 ,$22.08 ,$22.84 ,$14.60 ,$5.72 ,$25.38 ,$14.24 ,$5.72 ,$10.51 , N/A , N/A ,$6.01 ,$21.57 ,$15.99 ,$7.11 ,$22.84 ,$22.08 ,$20.30 ,$20.30 ,$5.72 ,$16.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 2-0 SH 27 Y417H,272,1 ,$4.26 ,$3.07 ,$0.96 ,$4.26 ,$2.45 ,$3.07 ,$2.32 ,$0.96 ,$1.19 ,$2.83 ,$0.96 ,$2.98 ,$0.96 ,$2.68 ,$2.68 ,$0.96 ,$2.68 ,$1.98 ,$3.92 , N/A ,$0.96 ,$3.62 ,$3.58 ,$0.96 ,$3.20 ,$3.41 ,$3.41 ,$0.96 ,$3.41 ,$3.71 ,$3.71 ,$3.71 ,$3.83 ,$2.45 ,$0.96 ,$4.26 ,$2.39 ,$0.96 ,$1.76 , N/A , N/A ,$1.01 ,$3.62 ,$2.68 ,$1.19 ,$3.83 ,$3.71 ,$3.41 ,$3.41 ,$0.96 ,$2.77 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 3-0 RB-1 27 UNDYED Y215H,272,1 ,$4.74 ,$3.41 ,$1.07 ,$4.74 ,$2.73 ,$3.41 ,$2.58 ,$1.07 ,$1.33 ,$3.15 ,$1.07 ,$3.32 ,$1.07 ,$2.99 ,$2.99 ,$1.07 ,$2.99 ,$2.20 ,$4.36 , N/A ,$1.07 ,$4.03 ,$3.98 ,$1.07 ,$3.56 ,$3.79 ,$3.79 ,$1.07 ,$3.79 ,$4.12 ,$4.12 ,$4.12 ,$4.27 ,$2.73 ,$1.07 ,$4.74 ,$2.66 ,$1.07 ,$1.96 , N/A , N/A ,$1.12 ,$4.03 ,$2.99 ,$1.33 ,$4.27 ,$4.12 ,$3.79 ,$3.79 ,$1.07 ,$3.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 4-0 PS-2 27 Y426H,272,1 ,$11.69 ,$8.42 ,$2.64 ,$11.69 ,$6.73 ,$8.42 ,$6.36 ,$2.64 ,$3.27 ,$7.77 ,$2.64 ,$8.18 ,$2.64 ,$7.36 ,$7.36 ,$2.64 ,$7.36 ,$5.43 ,$10.75 , N/A ,$2.64 ,$9.94 ,$9.82 ,$2.64 ,$8.77 ,$9.35 ,$9.35 ,$2.64 ,$9.35 ,$10.17 ,$10.17 ,$10.17 ,$10.52 ,$6.73 ,$2.64 ,$11.69 ,$6.56 ,$2.64 ,$4.84 , N/A , N/A ,$2.76 ,$9.94 ,$7.36 ,$3.27 ,$10.52 ,$10.17 ,$9.35 ,$9.35 ,$2.64 ,$7.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 3-0 PS-2 27 Y427H,272,1 ,$11.69 ,$8.42 ,$2.64 ,$11.69 ,$6.73 ,$8.42 ,$6.36 ,$2.64 ,$3.27 ,$7.77 ,$2.64 ,$8.18 ,$2.64 ,$7.36 ,$7.36 ,$2.64 ,$7.36 ,$5.43 ,$10.75 , N/A ,$2.64 ,$9.94 ,$9.82 ,$2.64 ,$8.77 ,$9.35 ,$9.35 ,$2.64 ,$9.35 ,$10.17 ,$10.17 ,$10.17 ,$10.52 ,$6.73 ,$2.64 ,$11.69 ,$6.56 ,$2.64 ,$4.84 , N/A , N/A ,$2.76 ,$9.94 ,$7.36 ,$3.27 ,$10.52 ,$10.17 ,$9.35 ,$9.35 ,$2.64 ,$7.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 5-0 P-3 18 UNDYED Y493G,272,1 ,$12.27 ,$8.83 ,$2.76 ,$12.27 ,$7.05 ,$8.83 ,$6.67 ,$2.76 ,$3.44 ,$8.16 ,$2.76 ,$8.59 ,$2.76 ,$7.73 ,$7.73 ,$2.76 ,$7.73 ,$5.70 ,$11.29 , N/A ,$2.76 ,$10.43 ,$10.31 ,$2.76 ,$9.20 ,$9.82 ,$9.82 ,$2.76 ,$9.82 ,$10.67 ,$10.67 ,$10.67 ,$11.04 ,$7.05 ,$2.76 ,$12.27 ,$6.88 ,$2.76 ,$5.08 , N/A , N/A ,$2.90 ,$10.43 ,$7.73 ,$3.44 ,$11.04 ,$10.67 ,$9.82 ,$9.82 ,$2.76 ,$7.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOCRYL 4-0 P-3 Y494G,272,1 ,$12.27 ,$8.83 ,$2.76 ,$12.27 ,$7.05 ,$8.83 ,$6.67 ,$2.76 ,$3.44 ,$8.16 ,$2.76 ,$8.59 ,$2.76 ,$7.73 ,$7.73 ,$2.76 ,$7.73 ,$5.70 ,$11.29 , N/A ,$2.76 ,$10.43 ,$10.31 ,$2.76 ,$9.20 ,$9.82 ,$9.82 ,$2.76 ,$9.82 ,$10.67 ,$10.67 ,$10.67 ,$11.04 ,$7.05 ,$2.76 ,$12.27 ,$6.88 ,$2.76 ,$5.08 , N/A , N/A ,$2.90 ,$10.43 ,$7.73 ,$3.44 ,$11.04 ,$10.67 ,$9.82 ,$9.82 ,$2.76 ,$7.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE MONOSOF 4-0 PC-11 18IN MONOFILAMENT BLACK,272,1 ,$37.58 ,$27.06 ,$8.47 ,$37.58 ,$21.60 ,$27.06 ,$20.44 ,$8.47 ,$10.52 ,$24.99 ,$8.47 ,$26.31 ,$8.47 ,$23.68 ,$23.68 ,$8.47 ,$23.68 ,$17.45 ,$34.57 , N/A ,$8.47 ,$31.94 ,$31.57 ,$8.47 ,$28.19 ,$30.06 ,$30.06 ,$8.47 ,$30.06 ,$32.69 ,$32.69 ,$32.69 ,$33.82 ,$21.60 ,$8.47 ,$37.58 ,$21.08 ,$8.47 ,$15.56 , N/A , N/A ,$8.89 ,$31.94 ,$23.68 ,$10.52 ,$33.82 ,$32.69 ,$30.06 ,$30.06 ,$8.47 ,$24.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE NOVAFIL DERMAX 6-0 DX-11 18IN MONOFILAMENT BLUE,272,1 ,$635.07 ,$457.25 ,$143.15 ,$635.07 ,$365.18 ,$457.25 ,$345.48 ,$143.15 ,$177.82 ,$422.32 ,$143.15 ,$444.55 ,$143.15 ,$400.09 ,$400.09 ,$143.15 ,$400.09 ,$295.06 ,$584.26 , N/A ,$143.15 ,$539.81 ,$533.46 ,$143.15 ,$476.30 ,$508.06 ,$508.06 ,$143.15 ,$508.06 ,$552.51 ,$552.51 ,$552.51 ,$571.56 ,$365.18 ,$143.15 ,$635.07 ,$356.27 ,$143.15 ,$262.92 , N/A , N/A ,$150.30 ,$539.81 ,$400.09 ,$177.82 ,$571.56 ,$552.51 ,$508.06 ,$508.06 ,$143.15 ,$412.80 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE NUROLON 0 CT-2 18 CR/8,272,1 ,$21.44 ,$15.44 ,$4.83 ,$21.44 ,$12.33 ,$15.44 ,$11.66 ,$4.83 ,$6.00 ,$14.26 ,$4.83 ,$15.01 ,$4.83 ,$13.51 ,$13.51 ,$4.83 ,$13.51 ,$9.96 ,$19.72 , N/A ,$4.83 ,$18.22 ,$18.01 ,$4.83 ,$16.08 ,$17.15 ,$17.15 ,$4.83 ,$17.15 ,$18.65 ,$18.65 ,$18.65 ,$19.30 ,$12.33 ,$4.83 ,$21.44 ,$12.03 ,$4.83 ,$8.88 , N/A , N/A ,$5.08 ,$18.22 ,$13.51 ,$6.00 ,$19.30 ,$18.65 ,$17.15 ,$17.15 ,$4.83 ,$13.94 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE NUROLON 4-0 RB-1 CR C554D,272,1 ,$26.59 ,$19.14 ,$6.00 ,$26.59 ,$15.30 ,$19.14 ,$14.47 ,$6.00 ,$7.45 ,$17.68 ,$6.00 ,$18.61 ,$6.00 ,$16.75 ,$16.75 ,$6.00 ,$16.75 ,$12.36 ,$24.46 , N/A ,$6.00 ,$22.60 ,$22.34 ,$6.00 ,$19.94 ,$21.27 ,$21.27 ,$6.00 ,$21.27 ,$23.13 ,$23.13 ,$23.13 ,$23.93 ,$15.30 ,$6.00 ,$26.59 ,$14.92 ,$6.00 ,$11.01 , N/A , N/A ,$6.30 ,$22.60 ,$16.75 ,$7.45 ,$23.93 ,$23.13 ,$21.27 ,$21.27 ,$6.00 ,$17.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS 0 CT-1 36,272,1 ,$5.79 ,$4.17 ,$1.30 ,$5.79 ,$3.33 ,$4.17 ,$3.15 ,$1.30 ,$1.62 ,$3.85 ,$1.30 ,$4.05 ,$1.30 ,$3.65 ,$3.65 ,$1.30 ,$3.65 ,$2.69 ,$5.33 , N/A ,$1.30 ,$4.92 ,$4.86 ,$1.30 ,$4.34 ,$4.63 ,$4.63 ,$1.30 ,$4.63 ,$5.04 ,$5.04 ,$5.04 ,$5.21 ,$3.33 ,$1.30 ,$5.79 ,$3.25 ,$1.30 ,$2.40 , N/A , N/A ,$1.37 ,$4.92 ,$3.65 ,$1.62 ,$5.21 ,$5.04 ,$4.63 ,$4.63 ,$1.30 ,$3.76 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS 1 CT-1 Z347H,272,1 ,$6.16 ,$4.44 ,$1.39 ,$6.16 ,$3.55 ,$4.44 ,$3.35 ,$1.39 ,$1.72 ,$4.10 ,$1.39 ,$4.31 ,$1.39 ,$3.88 ,$3.88 ,$1.39 ,$3.88 ,$2.87 ,$5.67 , N/A ,$1.39 ,$5.24 ,$5.17 ,$1.39 ,$4.62 ,$4.93 ,$4.93 ,$1.39 ,$4.93 ,$5.36 ,$5.36 ,$5.36 ,$5.54 ,$3.55 ,$1.39 ,$6.16 ,$3.46 ,$1.39 ,$2.55 , N/A , N/A ,$1.46 ,$5.24 ,$3.88 ,$1.72 ,$5.54 ,$5.36 ,$4.93 ,$4.93 ,$1.39 ,$4.00 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS 2 6-0 P1 18IN MFIL VIO,272,1 ,$13.22 ,$9.52 ,$2.98 ,$13.22 ,$7.60 ,$9.52 ,$7.19 ,$2.98 ,$3.70 ,$8.79 ,$2.98 ,$9.25 ,$2.98 ,$8.33 ,$8.33 ,$2.98 ,$8.33 ,$6.14 ,$12.16 , N/A ,$2.98 ,$11.24 ,$11.10 ,$2.98 ,$9.92 ,$10.58 ,$10.58 ,$2.98 ,$10.58 ,$11.50 ,$11.50 ,$11.50 ,$11.90 ,$7.60 ,$2.98 ,$13.22 ,$7.42 ,$2.98 ,$5.47 , N/A , N/A ,$3.13 ,$11.24 ,$8.33 ,$3.70 ,$11.90 ,$11.50 ,$10.58 ,$10.58 ,$2.98 ,$8.59 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS 2-0 CT-2 27,272,1 ,$5.80 ,$4.18 ,$1.30 ,$5.80 ,$3.33 ,$4.18 ,$3.16 ,$1.30 ,$1.62 ,$3.86 ,$1.30 ,$4.06 ,$1.30 ,$3.65 ,$3.65 ,$1.30 ,$3.65 ,$2.69 ,$5.34 , N/A ,$1.30 ,$4.93 ,$4.87 ,$1.30 ,$4.35 ,$4.64 ,$4.64 ,$1.30 ,$4.64 ,$5.05 ,$5.05 ,$5.05 ,$5.22 ,$3.33 ,$1.30 ,$5.80 ,$3.25 ,$1.30 ,$2.40 , N/A , N/A ,$1.37 ,$4.93 ,$3.65 ,$1.62 ,$5.22 ,$5.05 ,$4.64 ,$4.64 ,$1.30 ,$3.77 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS 3-0 SH 27 Z316H,272,1 ,$5.57 ,$4.01 ,$1.25 ,$5.57 ,$3.20 ,$4.01 ,$3.03 ,$1.25 ,$1.56 ,$3.70 ,$1.25 ,$3.90 ,$1.25 ,$3.51 ,$3.51 ,$1.25 ,$3.51 ,$2.59 ,$5.12 , N/A ,$1.25 ,$4.73 ,$4.68 ,$1.25 ,$4.18 ,$4.46 ,$4.46 ,$1.25 ,$4.46 ,$4.85 ,$4.85 ,$4.85 ,$5.01 ,$3.20 ,$1.25 ,$5.57 ,$3.12 ,$1.25 ,$2.31 , N/A , N/A ,$1.31 ,$4.73 ,$3.51 ,$1.56 ,$5.01 ,$4.85 ,$4.46 ,$4.46 ,$1.25 ,$3.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS II 0 CT-1 CR 8-18 Z740D,272,1 ,$41.67 ,$30.00 ,$9.39 ,$41.67 ,$23.95 ,$30.00 ,$22.67 ,$9.39 ,$11.67 ,$27.71 ,$9.39 ,$29.17 ,$9.39 ,$26.25 ,$26.25 ,$9.39 ,$26.25 ,$19.35 ,$38.34 , N/A ,$9.39 ,$35.42 ,$35.00 ,$9.39 ,$31.25 ,$33.34 ,$33.34 ,$9.39 ,$33.34 ,$36.25 ,$36.25 ,$36.25 ,$37.50 ,$23.95 ,$9.39 ,$41.67 ,$23.38 ,$9.39 ,$17.25 , N/A , N/A ,$9.86 ,$35.42 ,$26.25 ,$11.67 ,$37.50 ,$36.25 ,$33.34 ,$33.34 ,$9.39 ,$27.09 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PDS II I 96 LOOP Z880G,272,1 ,$10.30 ,$7.42 ,$2.32 ,$10.30 ,$5.93 ,$7.42 ,$5.60 ,$2.32 ,$2.88 ,$6.85 ,$2.32 ,$7.21 ,$2.32 ,$6.49 ,$6.49 ,$2.32 ,$6.49 ,$4.79 ,$9.48 , N/A ,$2.32 ,$8.76 ,$8.65 ,$2.32 ,$7.73 ,$8.24 ,$8.24 ,$2.32 ,$8.24 ,$8.96 ,$8.96 ,$8.96 ,$9.27 ,$5.93 ,$2.32 ,$10.30 ,$5.78 ,$2.32 ,$4.26 , N/A , N/A ,$2.44 ,$8.76 ,$6.49 ,$2.88 ,$9.27 ,$8.96 ,$8.24 ,$8.24 ,$2.32 ,$6.70 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PLAIN GUT 2-0 FN-2,272,1 ,$6.71 ,$4.83 ,$1.51 ,$6.71 ,$3.85 ,$4.83 ,$3.65 ,$1.51 ,$1.88 ,$4.46 ,$1.51 ,$4.70 ,$1.51 ,$4.23 ,$4.23 ,$1.51 ,$4.23 ,$3.11 ,$6.17 , N/A ,$1.51 ,$5.70 ,$5.64 ,$1.51 ,$5.03 ,$5.37 ,$5.37 ,$1.51 ,$5.37 ,$5.84 ,$5.84 ,$5.84 ,$6.04 ,$3.85 ,$1.51 ,$6.71 ,$3.76 ,$1.51 ,$2.78 , N/A , N/A ,$1.59 ,$5.70 ,$4.23 ,$1.88 ,$6.04 ,$5.84 ,$5.37 ,$5.37 ,$1.51 ,$4.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PLAIN LGPK 3-0 54IN MFIL,272,1 ,$7.66 ,$5.52 ,$1.72 ,$7.66 ,$4.40 ,$5.52 ,$4.17 ,$1.72 ,$2.14 ,$5.09 ,$1.72 ,$5.36 ,$1.72 ,$4.83 ,$4.83 ,$1.72 ,$4.83 ,$3.56 ,$7.05 , N/A ,$1.72 ,$6.51 ,$6.43 ,$1.72 ,$5.75 ,$6.13 ,$6.13 ,$1.72 ,$6.13 ,$6.66 ,$6.66 ,$6.66 ,$6.89 ,$4.40 ,$1.72 ,$7.66 ,$4.30 ,$1.72 ,$3.17 , N/A , N/A ,$1.81 ,$6.51 ,$4.83 ,$2.14 ,$6.89 ,$6.66 ,$6.13 ,$6.13 ,$1.72 ,$4.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE POLYSORB SURGITIE 2-0 21IN BRAIDED LOOP COATED VIOLET ABSORBABLE,272,1 ,$292.82 ,$210.83 ,$66.00 ,$292.82 ,$168.38 ,$210.83 ,$159.29 ,$66.00 ,$81.99 ,$194.73 ,$66.00 ,$204.97 ,$66.00 ,$184.48 ,$184.48 ,$66.00 ,$184.48 ,$136.05 ,$269.39 , N/A ,$66.00 ,$248.90 ,$245.97 ,$66.00 ,$219.62 ,$234.26 ,$234.26 ,$66.00 ,$234.26 ,$254.75 ,$254.75 ,$254.75 ,$263.54 ,$168.38 ,$66.00 ,$292.82 ,$164.27 ,$66.00 ,$121.23 , N/A , N/A ,$69.31 ,$248.90 ,$184.48 ,$81.99 ,$263.54 ,$254.75 ,$234.26 ,$234.26 ,$66.00 ,$190.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 0 MO-6 30 8418H,272,1 ,$7.57 ,$5.45 ,$1.71 ,$7.57 ,$4.35 ,$5.45 ,$4.12 ,$1.71 ,$2.12 ,$5.03 ,$1.71 ,$5.30 ,$1.71 ,$4.77 ,$4.77 ,$1.71 ,$4.77 ,$3.51 ,$6.96 , N/A ,$1.71 ,$6.43 ,$6.36 ,$1.71 ,$5.68 ,$6.06 ,$6.06 ,$1.71 ,$6.06 ,$6.59 ,$6.59 ,$6.59 ,$6.81 ,$4.35 ,$1.71 ,$7.57 ,$4.25 ,$1.71 ,$3.13 , N/A , N/A ,$1.79 ,$6.43 ,$4.77 ,$2.12 ,$6.81 ,$6.59 ,$6.06 ,$6.06 ,$1.71 ,$4.92 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON (NYLON) 4-0 P-3/P-3 18 699G,272,1 ,$7.57 ,$5.45 ,$1.71 ,$7.57 ,$4.35 ,$5.45 ,$4.12 ,$1.71 ,$2.12 ,$5.03 ,$1.71 ,$5.30 ,$1.71 ,$4.77 ,$4.77 ,$1.71 ,$4.77 ,$3.51 ,$6.96 , N/A ,$1.71 ,$6.43 ,$6.36 ,$1.71 ,$5.68 ,$6.06 ,$6.06 ,$1.71 ,$6.06 ,$6.59 ,$6.59 ,$6.59 ,$6.81 ,$4.35 ,$1.71 ,$7.57 ,$4.25 ,$1.71 ,$3.13 , N/A , N/A ,$1.79 ,$6.43 ,$4.77 ,$2.12 ,$6.81 ,$6.59 ,$6.06 ,$6.06 ,$1.71 ,$4.92 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 0 SH 30 8834H,272,1 ,$6.84 ,$4.92 ,$1.54 ,$6.84 ,$3.93 ,$4.92 ,$3.72 ,$1.54 ,$1.92 ,$4.55 ,$1.54 ,$4.79 ,$1.54 ,$4.31 ,$4.31 ,$1.54 ,$4.31 ,$3.17 ,$6.29 , N/A ,$1.54 ,$5.81 ,$5.75 ,$1.54 ,$5.13 ,$5.47 ,$5.47 ,$1.54 ,$5.47 ,$5.95 ,$5.95 ,$5.95 ,$6.16 ,$3.93 ,$1.54 ,$6.84 ,$3.84 ,$1.54 ,$2.83 , N/A , N/A ,$1.62 ,$5.81 ,$4.31 ,$1.92 ,$6.16 ,$5.95 ,$5.47 ,$5.47 ,$1.54 ,$4.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 2-0 CT-1 30 8423H,272,1 ,$5.91 ,$4.26 ,$1.33 ,$5.91 ,$3.40 ,$4.26 ,$3.22 ,$1.33 ,$1.65 ,$3.93 ,$1.33 ,$4.14 ,$1.33 ,$3.72 ,$3.72 ,$1.33 ,$3.72 ,$2.75 ,$5.44 , N/A ,$1.33 ,$5.02 ,$4.96 ,$1.33 ,$4.43 ,$4.73 ,$4.73 ,$1.33 ,$4.73 ,$5.14 ,$5.14 ,$5.14 ,$5.32 ,$3.40 ,$1.33 ,$5.91 ,$3.32 ,$1.33 ,$2.45 , N/A , N/A ,$1.40 ,$5.02 ,$3.72 ,$1.65 ,$5.32 ,$5.14 ,$4.73 ,$4.73 ,$1.33 ,$3.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 1 CT 30 8435H,272,1 ,$5.91 ,$4.26 ,$1.33 ,$5.91 ,$3.40 ,$4.26 ,$3.22 ,$1.33 ,$1.65 ,$3.93 ,$1.33 ,$4.14 ,$1.33 ,$3.72 ,$3.72 ,$1.33 ,$3.72 ,$2.75 ,$5.44 , N/A ,$1.33 ,$5.02 ,$4.96 ,$1.33 ,$4.43 ,$4.73 ,$4.73 ,$1.33 ,$4.73 ,$5.14 ,$5.14 ,$5.14 ,$5.32 ,$3.40 ,$1.33 ,$5.91 ,$3.32 ,$1.33 ,$2.45 , N/A , N/A ,$1.40 ,$5.02 ,$3.72 ,$1.65 ,$5.32 ,$5.14 ,$4.73 ,$4.73 ,$1.33 ,$3.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 2-0 SH 30 8833H,272,1 ,$6.36 ,$4.58 ,$1.43 ,$6.36 ,$3.65 ,$4.58 ,$3.46 ,$1.43 ,$1.78 ,$4.23 ,$1.43 ,$4.45 ,$1.43 ,$4.01 ,$4.01 ,$1.43 ,$4.01 ,$2.95 ,$5.85 , N/A ,$1.43 ,$5.41 ,$5.34 ,$1.43 ,$4.77 ,$5.09 ,$5.09 ,$1.43 ,$5.09 ,$5.53 ,$5.53 ,$5.53 ,$5.72 ,$3.65 ,$1.43 ,$6.36 ,$3.57 ,$1.43 ,$2.63 , N/A , N/A ,$1.50 ,$5.41 ,$4.01 ,$1.78 ,$5.72 ,$5.53 ,$5.09 ,$5.09 ,$1.43 ,$4.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 3-0 SH 30IN 8832H,272,1 ,$6.55 ,$4.72 ,$1.48 ,$6.55 ,$3.78 ,$4.72 ,$3.56 ,$1.48 ,$1.83 ,$4.36 ,$1.48 ,$4.59 ,$1.48 ,$4.13 ,$4.13 ,$1.48 ,$4.13 ,$3.05 ,$6.03 , N/A ,$1.48 ,$5.57 ,$5.50 ,$1.48 ,$4.91 ,$5.24 ,$5.24 ,$1.48 ,$5.24 ,$5.70 ,$5.70 ,$5.70 ,$5.90 ,$3.78 ,$1.48 ,$6.55 ,$3.67 ,$1.48 ,$2.71 , N/A , N/A ,$1.56 ,$5.57 ,$4.13 ,$1.83 ,$5.90 ,$5.70 ,$5.24 ,$5.24 ,$1.48 ,$4.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 4-0 FS-2 18 8683G,272,1 ,$6.39 ,$4.60 ,$1.44 ,$6.39 ,$3.68 ,$4.60 ,$3.48 ,$1.44 ,$1.79 ,$4.25 ,$1.44 ,$4.47 ,$1.44 ,$4.03 ,$4.03 ,$1.44 ,$4.03 ,$2.97 ,$5.88 , N/A ,$1.44 ,$5.43 ,$5.37 ,$1.44 ,$4.79 ,$5.11 ,$5.11 ,$1.44 ,$5.11 ,$5.56 ,$5.56 ,$5.56 ,$5.75 ,$3.68 ,$1.44 ,$6.39 ,$3.58 ,$1.44 ,$2.65 , N/A , N/A ,$1.51 ,$5.43 ,$4.03 ,$1.79 ,$5.75 ,$5.56 ,$5.11 ,$5.11 ,$1.44 ,$4.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 5-0 PC-3 18IN MONOFILAMENT BLUE NONABSORBABLE,272,1 ,$12.47 ,$8.98 ,$2.81 ,$12.47 ,$7.18 ,$8.98 ,$6.78 ,$2.81 ,$3.49 ,$8.29 ,$2.81 ,$8.73 ,$2.81 ,$7.86 ,$7.86 ,$2.81 ,$7.86 ,$5.80 ,$11.47 , N/A ,$2.81 ,$10.60 ,$10.47 ,$2.81 ,$9.35 ,$9.98 ,$9.98 ,$2.81 ,$9.98 ,$10.85 ,$10.85 ,$10.85 ,$11.22 ,$7.18 ,$2.81 ,$12.47 ,$7.00 ,$2.81 ,$5.16 , N/A , N/A ,$2.95 ,$10.60 ,$7.86 ,$3.49 ,$11.22 ,$10.85 ,$9.98 ,$9.98 ,$2.81 ,$8.11 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE PROLENE 5-0 RB-1 30IN,272,1 ,$6.76 ,$4.87 ,$1.52 ,$6.76 ,$3.88 ,$4.87 ,$3.68 ,$1.52 ,$1.89 ,$4.50 ,$1.52 ,$4.73 ,$1.52 ,$4.26 ,$4.26 ,$1.52 ,$4.26 ,$3.13 ,$6.22 , N/A ,$1.52 ,$5.75 ,$5.68 ,$1.52 ,$5.07 ,$5.41 ,$5.41 ,$1.52 ,$5.41 ,$5.88 ,$5.88 ,$5.88 ,$6.08 ,$3.88 ,$1.52 ,$6.76 ,$3.79 ,$1.52 ,$2.80 , N/A , N/A ,$1.60 ,$5.75 ,$4.26 ,$1.89 ,$6.08 ,$5.88 ,$5.41 ,$5.41 ,$1.52 ,$4.39 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 6-0 P-3 1698G,272,1 ,$6.76 ,$4.87 ,$1.52 ,$6.76 ,$3.88 ,$4.87 ,$3.68 ,$1.52 ,$1.89 ,$4.50 ,$1.52 ,$4.73 ,$1.52 ,$4.26 ,$4.26 ,$1.52 ,$4.26 ,$3.13 ,$6.22 , N/A ,$1.52 ,$5.75 ,$5.68 ,$1.52 ,$5.07 ,$5.41 ,$5.41 ,$1.52 ,$5.41 ,$5.88 ,$5.88 ,$5.88 ,$6.08 ,$3.88 ,$1.52 ,$6.76 ,$3.79 ,$1.52 ,$2.80 , N/A , N/A ,$1.60 ,$5.75 ,$4.26 ,$1.89 ,$6.08 ,$5.88 ,$5.41 ,$5.41 ,$1.52 ,$4.39 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 0 SH 30 K834H,272,1 ,$2.76 ,$1.99 ,$0.62 ,$2.76 ,$1.58 ,$1.99 ,$1.50 ,$0.62 ,$0.77 ,$1.84 ,$0.62 ,$1.93 ,$0.62 ,$1.74 ,$1.74 ,$0.62 ,$1.74 ,$1.27 ,$2.54 , N/A ,$0.62 ,$2.35 ,$2.32 ,$0.62 ,$2.07 ,$2.21 ,$2.21 ,$0.62 ,$2.21 ,$2.40 ,$2.40 ,$2.40 ,$2.48 ,$1.58 ,$0.62 ,$2.76 ,$1.55 ,$0.62 ,$1.14 , N/A , N/A ,$0.65 ,$2.35 ,$1.74 ,$0.77 ,$2.48 ,$2.40 ,$2.21 ,$2.21 ,$0.62 ,$1.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 0 TIES 18 A186H,272,1 ,$1.68 ,$1.21 ,$0.38 ,$1.68 ,$0.98 ,$1.21 ,$0.91 ,$0.38 ,$0.47 ,$1.12 ,$0.38 ,$1.18 ,$0.38 ,$1.06 ,$1.06 ,$0.38 ,$1.06 ,$0.79 ,$1.55 , N/A ,$0.38 ,$1.43 ,$1.41 ,$0.38 ,$1.26 ,$1.34 ,$1.34 ,$0.38 ,$1.34 ,$1.46 ,$1.46 ,$1.46 ,$1.51 ,$0.98 ,$0.38 ,$1.68 ,$0.94 ,$0.38 ,$0.70 , N/A , N/A ,$0.40 ,$1.43 ,$1.06 ,$0.47 ,$1.51 ,$1.46 ,$1.34 ,$1.34 ,$0.38 ,$1.09 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 2-0 30 TIES A305H,272,1 ,$5.32 ,$3.83 ,$1.20 ,$5.32 ,$3.05 ,$3.83 ,$2.89 ,$1.20 ,$1.49 ,$3.54 ,$1.20 ,$3.72 ,$1.20 ,$3.35 ,$3.35 ,$1.20 ,$3.35 ,$2.46 ,$4.89 , N/A ,$1.20 ,$4.52 ,$4.47 ,$1.20 ,$3.99 ,$4.26 ,$4.26 ,$1.20 ,$4.26 ,$4.63 ,$4.63 ,$4.63 ,$4.79 ,$3.05 ,$1.20 ,$5.32 ,$2.98 ,$1.20 ,$2.20 , N/A , N/A ,$1.25 ,$4.52 ,$3.35 ,$1.49 ,$4.79 ,$4.63 ,$4.26 ,$4.26 ,$1.20 ,$3.46 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 2-0 SH CR/5,272,1 ,$11.73 ,$8.45 ,$2.65 ,$11.73 ,$6.75 ,$8.45 ,$6.38 ,$2.65 ,$3.28 ,$7.80 ,$2.65 ,$8.21 ,$2.65 ,$7.39 ,$7.39 ,$2.65 ,$7.39 ,$5.45 ,$10.79 , N/A ,$2.65 ,$9.97 ,$9.85 ,$2.65 ,$8.80 ,$9.38 ,$9.38 ,$2.65 ,$9.38 ,$10.21 ,$10.21 ,$10.21 ,$10.56 ,$6.75 ,$2.65 ,$11.73 ,$6.58 ,$2.65 ,$4.86 , N/A , N/A ,$2.78 ,$9.97 ,$7.39 ,$3.28 ,$10.56 ,$10.21 ,$9.38 ,$9.38 ,$2.65 ,$7.62 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 3-0 TIES 12-18 A184H,272,1 ,$3.59 ,$2.58 ,$0.81 ,$3.59 ,$2.08 ,$2.58 ,$1.95 ,$0.81 ,$1.01 ,$2.39 ,$0.81 ,$2.51 ,$0.81 ,$2.26 ,$2.26 ,$0.81 ,$2.26 ,$1.68 ,$3.30 , N/A ,$0.81 ,$3.05 ,$3.02 ,$0.81 ,$2.69 ,$2.87 ,$2.87 ,$0.81 ,$2.87 ,$3.12 ,$3.12 ,$3.12 ,$3.23 ,$2.08 ,$0.81 ,$3.59 ,$2.01 ,$0.81 ,$1.49 , N/A , N/A ,$0.85 ,$3.05 ,$2.26 ,$1.01 ,$3.23 ,$3.12 ,$2.87 ,$2.87 ,$0.81 ,$2.33 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 4-0 18 TIES A183H,272,1 ,$4.21 ,$3.03 ,$0.95 ,$4.21 ,$2.43 ,$3.03 ,$2.29 ,$0.95 ,$1.18 ,$2.80 ,$0.95 ,$2.95 ,$0.95 ,$2.65 ,$2.65 ,$0.95 ,$2.65 ,$1.96 ,$3.87 , N/A ,$0.95 ,$3.58 ,$3.54 ,$0.95 ,$3.16 ,$3.37 ,$3.37 ,$0.95 ,$3.37 ,$3.66 ,$3.66 ,$3.66 ,$3.79 ,$2.43 ,$0.95 ,$4.21 ,$2.36 ,$0.95 ,$1.74 , N/A , N/A ,$1.00 ,$3.58 ,$2.65 ,$1.18 ,$3.79 ,$3.66 ,$3.37 ,$3.37 ,$0.95 ,$2.74 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 6-0 TG140-8 DA 18,272,1 ,$25.04 ,$18.03 ,$5.64 ,$25.04 ,$14.40 ,$18.03 ,$13.62 ,$5.64 ,$7.01 ,$16.65 ,$5.64 ,$17.53 ,$5.64 ,$15.78 ,$15.78 ,$5.64 ,$15.78 ,$11.64 ,$23.04 , N/A ,$5.64 ,$21.28 ,$21.03 ,$5.64 ,$18.78 ,$20.03 ,$20.03 ,$5.64 ,$20.03 ,$21.78 ,$21.78 ,$21.78 ,$22.54 ,$14.40 ,$5.64 ,$25.04 ,$14.05 ,$5.64 ,$10.37 , N/A , N/A ,$5.93 ,$21.28 ,$15.78 ,$7.01 ,$22.54 ,$21.78 ,$20.03 ,$20.03 ,$5.64 ,$16.28 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK PERMA-HAND 4-0 FS-2 18IN BRAID BLACK NONABSORBABLE,272,1 ,$3.55 ,$2.56 ,$0.80 ,$3.55 ,$2.05 ,$2.56 ,$1.93 ,$0.80 ,$0.99 ,$2.36 ,$0.80 ,$2.49 ,$0.80 ,$2.24 ,$2.24 ,$0.80 ,$2.24 ,$1.66 ,$3.27 , N/A ,$0.80 ,$3.02 ,$2.98 ,$0.80 ,$2.66 ,$2.84 ,$2.84 ,$0.80 ,$2.84 ,$3.09 ,$3.09 ,$3.09 ,$3.20 ,$2.05 ,$0.80 ,$3.55 ,$1.99 ,$0.80 ,$1.47 , N/A , N/A ,$0.84 ,$3.02 ,$2.24 ,$0.99 ,$3.20 ,$3.09 ,$2.84 ,$2.84 ,$0.80 ,$2.31 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK SOFSILK D-TACH 3-0 V-20 18IN BRAID 5 STRAND COATED BLACK NONABSORBABLE,272,1 ,$22.09 ,$15.90 ,$4.98 ,$22.09 ,$12.70 ,$15.90 ,$12.02 ,$4.98 ,$6.19 ,$14.69 ,$4.98 ,$15.46 ,$4.98 ,$13.92 ,$13.92 ,$4.98 ,$13.92 ,$10.26 ,$20.32 , N/A ,$4.98 ,$18.78 ,$18.56 ,$4.98 ,$16.57 ,$17.67 ,$17.67 ,$4.98 ,$17.67 ,$19.22 ,$19.22 ,$19.22 ,$19.88 ,$12.70 ,$4.98 ,$22.09 ,$12.39 ,$4.98 ,$9.15 , N/A , N/A ,$5.22 ,$18.78 ,$13.92 ,$6.19 ,$19.88 ,$19.22 ,$17.67 ,$17.67 ,$4.98 ,$14.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE STEEL 4-0 FS-2 18 603G,272,1 ,$4.12 ,$2.97 ,$0.93 ,$4.12 ,$2.38 ,$2.97 ,$2.24 ,$0.93 ,$1.15 ,$2.74 ,$0.93 ,$2.88 ,$0.93 ,$2.60 ,$2.60 ,$0.93 ,$2.60 ,$1.92 ,$3.79 , N/A ,$0.93 ,$3.50 ,$3.46 ,$0.93 ,$3.09 ,$3.30 ,$3.30 ,$0.93 ,$3.30 ,$3.58 ,$3.58 ,$3.58 ,$3.71 ,$2.38 ,$0.93 ,$4.12 ,$2.31 ,$0.93 ,$1.71 , N/A , N/A ,$0.98 ,$3.50 ,$2.60 ,$1.15 ,$3.71 ,$3.58 ,$3.30 ,$3.30 ,$0.93 ,$2.68 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE STEEL 3-0 FS-2 18 607G,272,1 ,$4.12 ,$2.97 ,$0.93 ,$4.12 ,$2.38 ,$2.97 ,$2.24 ,$0.93 ,$1.15 ,$2.74 ,$0.93 ,$2.88 ,$0.93 ,$2.60 ,$2.60 ,$0.93 ,$2.60 ,$1.92 ,$3.79 , N/A ,$0.93 ,$3.50 ,$3.46 ,$0.93 ,$3.09 ,$3.30 ,$3.30 ,$0.93 ,$3.30 ,$3.58 ,$3.58 ,$3.58 ,$3.71 ,$2.38 ,$0.93 ,$4.12 ,$2.31 ,$0.93 ,$1.71 , N/A , N/A ,$0.98 ,$3.50 ,$2.60 ,$1.15 ,$3.71 ,$3.58 ,$3.30 ,$3.30 ,$0.93 ,$2.68 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 0 CP-1 36IN J473H,272,1 ,$4.43 ,$3.19 ,$1.00 ,$4.43 ,$2.55 ,$3.19 ,$2.41 ,$1.00 ,$1.24 ,$2.95 ,$1.00 ,$3.10 ,$1.00 ,$2.79 ,$2.79 ,$1.00 ,$2.79 ,$2.06 ,$4.08 , N/A ,$1.00 ,$3.77 ,$3.72 ,$1.00 ,$3.32 ,$3.54 ,$3.54 ,$1.00 ,$3.54 ,$3.85 ,$3.85 ,$3.85 ,$3.99 ,$2.55 ,$1.00 ,$4.43 ,$2.49 ,$1.00 ,$1.83 , N/A , N/A ,$1.05 ,$3.77 ,$2.79 ,$1.24 ,$3.99 ,$3.85 ,$3.54 ,$3.54 ,$1.00 ,$2.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 0 CT-1 36 J946H,272,1 ,$3.86 ,$2.78 ,$0.87 ,$3.86 ,$2.23 ,$2.78 ,$2.10 ,$0.87 ,$1.08 ,$2.57 ,$0.87 ,$2.70 ,$0.87 ,$2.43 ,$2.43 ,$0.87 ,$2.43 ,$1.80 ,$3.55 , N/A ,$0.87 ,$3.28 ,$3.24 ,$0.87 ,$2.90 ,$3.09 ,$3.09 ,$0.87 ,$3.09 ,$3.36 ,$3.36 ,$3.36 ,$3.47 ,$2.23 ,$0.87 ,$3.86 ,$2.17 ,$0.87 ,$1.60 , N/A , N/A ,$0.91 ,$3.28 ,$2.43 ,$1.08 ,$3.47 ,$3.36 ,$3.09 ,$3.09 ,$0.87 ,$2.51 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 0 UR-6 36 J603H,272,1 ,$4.51 ,$3.25 ,$1.02 ,$4.51 ,$2.60 ,$3.25 ,$2.45 ,$1.02 ,$1.26 ,$3.00 ,$1.02 ,$3.16 ,$1.02 ,$2.84 ,$2.84 ,$1.02 ,$2.84 ,$2.10 ,$4.15 , N/A ,$1.02 ,$3.83 ,$3.79 ,$1.02 ,$3.38 ,$3.61 ,$3.61 ,$1.02 ,$3.61 ,$3.92 ,$3.92 ,$3.92 ,$4.06 ,$2.60 ,$1.02 ,$4.51 ,$2.53 ,$1.02 ,$1.87 , N/A , N/A ,$1.07 ,$3.83 ,$2.84 ,$1.26 ,$4.06 ,$3.92 ,$3.61 ,$3.61 ,$1.02 ,$2.93 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 1 CT-1 36 J947H,272,1 ,$4.02 ,$2.89 ,$0.90 ,$4.02 ,$2.30 ,$2.89 ,$2.19 ,$0.90 ,$1.13 ,$2.67 ,$0.90 ,$2.81 ,$0.90 ,$2.53 ,$2.53 ,$0.90 ,$2.53 ,$1.86 ,$3.70 , N/A ,$0.90 ,$3.42 ,$3.38 ,$0.90 ,$3.02 ,$3.22 ,$3.22 ,$0.90 ,$3.22 ,$3.50 ,$3.50 ,$3.50 ,$3.62 ,$2.30 ,$0.90 ,$4.02 ,$2.26 ,$0.90 ,$1.66 , N/A , N/A ,$0.95 ,$3.42 ,$2.53 ,$1.13 ,$3.62 ,$3.50 ,$3.22 ,$3.22 ,$0.90 ,$2.61 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 1 CT 36IN,272,1 ,$4.04 ,$2.91 ,$0.91 ,$4.04 ,$2.33 ,$2.91 ,$2.20 ,$0.91 ,$1.13 ,$2.69 ,$0.91 ,$2.83 ,$0.91 ,$2.55 ,$2.55 ,$0.91 ,$2.55 ,$1.88 ,$3.72 , N/A ,$0.91 ,$3.43 ,$3.39 ,$0.91 ,$3.03 ,$3.23 ,$3.23 ,$0.91 ,$3.23 ,$3.51 ,$3.51 ,$3.51 ,$3.64 ,$2.33 ,$0.91 ,$4.04 ,$2.27 ,$0.91 ,$1.67 , N/A , N/A ,$0.96 ,$3.43 ,$2.55 ,$1.13 ,$3.64 ,$3.51 ,$3.23 ,$3.23 ,$0.91 ,$2.63 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 1 CT-1 36IN,272,1 ,$4.00 ,$2.88 ,$0.90 ,$4.00 ,$2.30 ,$2.88 ,$2.18 ,$0.90 ,$1.12 ,$2.66 ,$0.90 ,$2.80 ,$0.90 ,$2.52 ,$2.52 ,$0.90 ,$2.52 ,$1.86 ,$3.68 , N/A ,$0.90 ,$3.40 ,$3.36 ,$0.90 ,$3.00 ,$3.20 ,$3.20 ,$0.90 ,$3.20 ,$3.48 ,$3.48 ,$3.48 ,$3.60 ,$2.30 ,$0.90 ,$4.00 ,$2.24 ,$0.90 ,$1.66 , N/A , N/A ,$0.95 ,$3.40 ,$2.52 ,$1.12 ,$3.60 ,$3.48 ,$3.20 ,$3.20 ,$0.90 ,$2.60 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 2-0 CT-2 27 J269H,272,1 ,$3.89 ,$2.80 ,$0.87 ,$3.89 ,$2.23 ,$2.80 ,$2.12 ,$0.87 ,$1.09 ,$2.59 ,$0.87 ,$2.72 ,$0.87 ,$2.45 ,$2.45 ,$0.87 ,$2.45 ,$1.80 ,$3.58 , N/A ,$0.87 ,$3.31 ,$3.27 ,$0.87 ,$2.92 ,$3.11 ,$3.11 ,$0.87 ,$3.11 ,$3.38 ,$3.38 ,$3.38 ,$3.50 ,$2.23 ,$0.87 ,$3.89 ,$2.18 ,$0.87 ,$1.61 , N/A , N/A ,$0.91 ,$3.31 ,$2.45 ,$1.09 ,$3.50 ,$3.38 ,$3.11 ,$3.11 ,$0.87 ,$2.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE ETHILON 3-0 FSL 30 1671H,272,1 ,$3.89 ,$2.80 ,$0.87 ,$3.89 ,$2.23 ,$2.80 ,$2.12 ,$0.87 ,$1.09 ,$2.59 ,$0.87 ,$2.72 ,$0.87 ,$2.45 ,$2.45 ,$0.87 ,$2.45 ,$1.80 ,$3.58 , N/A ,$0.87 ,$3.31 ,$3.27 ,$0.87 ,$2.92 ,$3.11 ,$3.11 ,$0.87 ,$3.11 ,$3.38 ,$3.38 ,$3.38 ,$3.50 ,$2.23 ,$0.87 ,$3.89 ,$2.18 ,$0.87 ,$1.61 , N/A , N/A ,$0.91 ,$3.31 ,$2.45 ,$1.09 ,$3.50 ,$3.38 ,$3.11 ,$3.11 ,$0.87 ,$2.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 2-0 CT-1 36IN,272,1 ,$3.89 ,$2.80 ,$0.87 ,$3.89 ,$2.23 ,$2.80 ,$2.12 ,$0.87 ,$1.09 ,$2.59 ,$0.87 ,$2.72 ,$0.87 ,$2.45 ,$2.45 ,$0.87 ,$2.45 ,$1.80 ,$3.58 , N/A ,$0.87 ,$3.31 ,$3.27 ,$0.87 ,$2.92 ,$3.11 ,$3.11 ,$0.87 ,$3.11 ,$3.38 ,$3.38 ,$3.38 ,$3.50 ,$2.23 ,$0.87 ,$3.89 ,$2.18 ,$0.87 ,$1.61 , N/A , N/A ,$0.91 ,$3.31 ,$2.45 ,$1.09 ,$3.50 ,$3.38 ,$3.11 ,$3.11 ,$0.87 ,$2.53 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 2-0 SH 27 DYED J317H,272,1 ,$3.65 ,$2.63 ,$0.82 ,$3.65 ,$2.10 ,$2.63 ,$1.99 ,$0.82 ,$1.02 ,$2.43 ,$0.82 ,$2.56 ,$0.82 ,$2.30 ,$2.30 ,$0.82 ,$2.30 ,$1.70 ,$3.36 , N/A ,$0.82 ,$3.10 ,$3.07 ,$0.82 ,$2.74 ,$2.92 ,$2.92 ,$0.82 ,$2.92 ,$3.18 ,$3.18 ,$3.18 ,$3.29 ,$2.10 ,$0.82 ,$3.65 ,$2.05 ,$0.82 ,$1.51 , N/A , N/A ,$0.86 ,$3.10 ,$2.30 ,$1.02 ,$3.29 ,$3.18 ,$2.92 ,$2.92 ,$0.82 ,$2.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 2-0 CT-1 UNDYED 27 J259H,272,1 ,$3.65 ,$2.63 ,$0.82 ,$3.65 ,$2.10 ,$2.63 ,$1.99 ,$0.82 ,$1.02 ,$2.43 ,$0.82 ,$2.56 ,$0.82 ,$2.30 ,$2.30 ,$0.82 ,$2.30 ,$1.70 ,$3.36 , N/A ,$0.82 ,$3.10 ,$3.07 ,$0.82 ,$2.74 ,$2.92 ,$2.92 ,$0.82 ,$2.92 ,$3.18 ,$3.18 ,$3.18 ,$3.29 ,$2.10 ,$0.82 ,$3.65 ,$2.05 ,$0.82 ,$1.51 , N/A , N/A ,$0.86 ,$3.10 ,$2.30 ,$1.02 ,$3.29 ,$3.18 ,$2.92 ,$2.92 ,$0.82 ,$2.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 2-0 UR-6 J602H,272,1 ,$4.58 ,$3.30 ,$1.03 ,$4.58 ,$2.63 ,$3.30 ,$2.49 ,$1.03 ,$1.28 ,$3.05 ,$1.03 ,$3.21 ,$1.03 ,$2.89 ,$2.89 ,$1.03 ,$2.89 ,$2.12 ,$4.21 , N/A ,$1.03 ,$3.89 ,$3.85 ,$1.03 ,$3.44 ,$3.66 ,$3.66 ,$1.03 ,$3.66 ,$3.98 ,$3.98 ,$3.98 ,$4.12 ,$2.63 ,$1.03 ,$4.58 ,$2.57 ,$1.03 ,$1.90 , N/A , N/A ,$1.08 ,$3.89 ,$2.89 ,$1.28 ,$4.12 ,$3.98 ,$3.66 ,$3.66 ,$1.03 ,$2.98 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 3-0 SH 27 UNDYED J416H,272,1 ,$3.66 ,$2.64 ,$0.82 ,$3.66 ,$2.10 ,$2.64 ,$1.99 ,$0.82 ,$1.02 ,$2.43 ,$0.82 ,$2.56 ,$0.82 ,$2.31 ,$2.31 ,$0.82 ,$2.31 ,$1.70 ,$3.37 , N/A ,$0.82 ,$3.11 ,$3.07 ,$0.82 ,$2.75 ,$2.93 ,$2.93 ,$0.82 ,$2.93 ,$3.18 ,$3.18 ,$3.18 ,$3.29 ,$2.10 ,$0.82 ,$3.66 ,$2.05 ,$0.82 ,$1.52 , N/A , N/A ,$0.86 ,$3.11 ,$2.31 ,$1.02 ,$3.29 ,$3.18 ,$2.93 ,$2.93 ,$0.82 ,$2.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 3-0 CP-2 27IN J868H,272,1 ,$3.96 ,$2.85 ,$0.89 ,$3.96 ,$2.28 ,$2.85 ,$2.15 ,$0.89 ,$1.11 ,$2.63 ,$0.89 ,$2.77 ,$0.89 ,$2.49 ,$2.49 ,$0.89 ,$2.49 ,$1.84 ,$3.64 , N/A ,$0.89 ,$3.37 ,$3.33 ,$0.89 ,$2.97 ,$3.17 ,$3.17 ,$0.89 ,$3.17 ,$3.45 ,$3.45 ,$3.45 ,$3.56 ,$2.28 ,$0.89 ,$3.96 ,$2.22 ,$0.89 ,$1.64 , N/A , N/A ,$0.94 ,$3.37 ,$2.49 ,$1.11 ,$3.56 ,$3.45 ,$3.17 ,$3.17 ,$0.89 ,$2.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 3-0 CT-1 36 J344H,272,1 ,$3.94 ,$2.84 ,$0.89 ,$3.94 ,$2.28 ,$2.84 ,$2.14 ,$0.89 ,$1.10 ,$2.62 ,$0.89 ,$2.76 ,$0.89 ,$2.48 ,$2.48 ,$0.89 ,$2.48 ,$1.84 ,$3.62 , N/A ,$0.89 ,$3.35 ,$3.31 ,$0.89 ,$2.96 ,$3.15 ,$3.15 ,$0.89 ,$3.15 ,$3.43 ,$3.43 ,$3.43 ,$3.55 ,$2.28 ,$0.89 ,$3.94 ,$2.21 ,$0.89 ,$1.63 , N/A , N/A ,$0.94 ,$3.35 ,$2.48 ,$1.10 ,$3.55 ,$3.43 ,$3.15 ,$3.15 ,$0.89 ,$2.56 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 3-0 FS-2 J423H,272,1 ,$5.25 ,$3.78 ,$1.19 ,$5.25 ,$3.03 ,$3.78 ,$2.86 ,$1.19 ,$1.47 ,$3.49 ,$1.19 ,$3.68 ,$1.19 ,$3.31 ,$3.31 ,$1.19 ,$3.31 ,$2.44 ,$4.83 , N/A ,$1.19 ,$4.46 ,$4.41 ,$1.19 ,$3.94 ,$4.20 ,$4.20 ,$1.19 ,$4.20 ,$4.57 ,$4.57 ,$4.57 ,$4.73 ,$3.03 ,$1.19 ,$5.25 ,$2.95 ,$1.19 ,$2.17 , N/A , N/A ,$1.24 ,$4.46 ,$3.31 ,$1.47 ,$4.73 ,$4.57 ,$4.20 ,$4.20 ,$1.19 ,$3.41 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 4-0 PS-2 27 UNDYED J426H,272,1 ,$9.27 ,$6.67 ,$2.09 ,$9.27 ,$5.33 ,$6.67 ,$5.04 ,$2.09 ,$2.60 ,$6.16 ,$2.09 ,$6.49 ,$2.09 ,$5.84 ,$5.84 ,$2.09 ,$5.84 ,$4.30 ,$8.53 , N/A ,$2.09 ,$7.88 ,$7.79 ,$2.09 ,$6.95 ,$7.42 ,$7.42 ,$2.09 ,$7.42 ,$8.06 ,$8.06 ,$8.06 ,$8.34 ,$5.33 ,$2.09 ,$9.27 ,$5.20 ,$2.09 ,$3.84 , N/A , N/A ,$2.20 ,$7.88 ,$5.84 ,$2.60 ,$8.34 ,$8.06 ,$7.42 ,$7.42 ,$2.09 ,$6.03 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 4-0 KEITH J662H,272,1 ,$4.80 ,$3.46 ,$1.08 ,$4.80 ,$2.75 ,$3.46 ,$2.61 ,$1.08 ,$1.34 ,$3.19 ,$1.08 ,$3.36 ,$1.08 ,$3.02 ,$3.02 ,$1.08 ,$3.02 ,$2.22 ,$4.42 , N/A ,$1.08 ,$4.08 ,$4.03 ,$1.08 ,$3.60 ,$3.84 ,$3.84 ,$1.08 ,$3.84 ,$4.18 ,$4.18 ,$4.18 ,$4.32 ,$2.75 ,$1.08 ,$4.80 ,$2.69 ,$1.08 ,$1.99 , N/A , N/A ,$1.14 ,$4.08 ,$3.02 ,$1.34 ,$4.32 ,$4.18 ,$3.84 ,$3.84 ,$1.08 ,$3.12 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 4-0 RB-1 27 J214H,272,1 ,$3.77 ,$2.71 ,$0.85 ,$3.77 ,$2.18 ,$2.71 ,$2.05 ,$0.85 ,$1.06 ,$2.51 ,$0.85 ,$2.64 ,$0.85 ,$2.38 ,$2.38 ,$0.85 ,$2.38 ,$1.76 ,$3.47 , N/A ,$0.85 ,$3.20 ,$3.17 ,$0.85 ,$2.83 ,$3.02 ,$3.02 ,$0.85 ,$3.02 ,$3.28 ,$3.28 ,$3.28 ,$3.39 ,$2.18 ,$0.85 ,$3.77 ,$2.12 ,$0.85 ,$1.56 , N/A , N/A ,$0.89 ,$3.20 ,$2.38 ,$1.06 ,$3.39 ,$3.28 ,$3.02 ,$3.02 ,$0.85 ,$2.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 5-0 PC-3 18 J844G,272,1 ,$10.10 ,$7.27 ,$2.27 ,$10.10 ,$5.80 ,$7.27 ,$5.49 ,$2.27 ,$2.83 ,$6.72 ,$2.27 ,$7.07 ,$2.27 ,$6.36 ,$6.36 ,$2.27 ,$6.36 ,$4.69 ,$9.29 , N/A ,$2.27 ,$8.59 ,$8.48 ,$2.27 ,$7.58 ,$8.08 ,$8.08 ,$2.27 ,$8.08 ,$8.79 ,$8.79 ,$8.79 ,$9.09 ,$5.80 ,$2.27 ,$10.10 ,$5.67 ,$2.27 ,$4.18 , N/A , N/A ,$2.39 ,$8.59 ,$6.36 ,$2.83 ,$9.09 ,$8.79 ,$8.08 ,$8.08 ,$2.27 ,$6.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 6-0 C-2 DA 18,272,1 ,$10.10 ,$7.27 ,$2.27 ,$10.10 ,$5.80 ,$7.27 ,$5.49 ,$2.27 ,$2.83 ,$6.72 ,$2.27 ,$7.07 ,$2.27 ,$6.36 ,$6.36 ,$2.27 ,$6.36 ,$4.69 ,$9.29 , N/A ,$2.27 ,$8.59 ,$8.48 ,$2.27 ,$7.58 ,$8.08 ,$8.08 ,$2.27 ,$8.08 ,$8.79 ,$8.79 ,$8.79 ,$9.09 ,$5.80 ,$2.27 ,$10.10 ,$5.67 ,$2.27 ,$4.18 , N/A , N/A ,$2.39 ,$8.59 ,$6.36 ,$2.83 ,$9.09 ,$8.79 ,$8.08 ,$8.08 ,$2.27 ,$6.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 5-0 P-3 J493G,272,1 ,$10.10 ,$7.27 ,$2.27 ,$10.10 ,$5.80 ,$7.27 ,$5.49 ,$2.27 ,$2.83 ,$6.72 ,$2.27 ,$7.07 ,$2.27 ,$6.36 ,$6.36 ,$2.27 ,$6.36 ,$4.69 ,$9.29 , N/A ,$2.27 ,$8.59 ,$8.48 ,$2.27 ,$7.58 ,$8.08 ,$8.08 ,$2.27 ,$8.08 ,$8.79 ,$8.79 ,$8.79 ,$9.09 ,$5.80 ,$2.27 ,$10.10 ,$5.67 ,$2.27 ,$4.18 , N/A , N/A ,$2.39 ,$8.59 ,$6.36 ,$2.83 ,$9.09 ,$8.79 ,$8.08 ,$8.08 ,$2.27 ,$6.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL 6-0 P-1/P-1 18 UNDYED J489G,272,1 ,$10.21 ,$7.35 ,$2.30 ,$10.21 ,$5.88 ,$7.35 ,$5.55 ,$2.30 ,$2.86 ,$6.79 ,$2.30 ,$7.15 ,$2.30 ,$6.43 ,$6.43 ,$2.30 ,$6.43 ,$4.75 ,$9.39 , N/A ,$2.30 ,$8.68 ,$8.58 ,$2.30 ,$7.66 ,$8.17 ,$8.17 ,$2.30 ,$8.17 ,$8.88 ,$8.88 ,$8.88 ,$9.19 ,$5.88 ,$2.30 ,$10.21 ,$5.73 ,$2.30 ,$4.23 , N/A , N/A ,$2.42 ,$8.68 ,$6.43 ,$2.86 ,$9.19 ,$8.88 ,$8.17 ,$8.17 ,$2.30 ,$6.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE VICRYL MULTIPASS 4-0 PS-2 18IN,272,1 ,$9.11 ,$6.56 ,$2.06 ,$9.11 ,$5.25 ,$6.56 ,$4.96 ,$2.06 ,$2.55 ,$6.06 ,$2.06 ,$6.38 ,$2.06 ,$5.74 ,$5.74 ,$2.06 ,$5.74 ,$4.24 ,$8.38 , N/A ,$2.06 ,$7.74 ,$7.65 ,$2.06 ,$6.83 ,$7.29 ,$7.29 ,$2.06 ,$7.29 ,$7.93 ,$7.93 ,$7.93 ,$8.20 ,$5.25 ,$2.06 ,$9.11 ,$5.11 ,$2.06 ,$3.77 , N/A , N/A ,$2.17 ,$7.74 ,$5.74 ,$2.55 ,$8.20 ,$7.93 ,$7.29 ,$7.29 ,$2.06 ,$5.92 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYR INJ L-F SYR FRNT LOAD HANDIFIL COIL TUBE,272,1 ,$33.00 ,$23.76 ,$7.44 ,$33.00 ,$18.98 ,$23.76 ,$17.95 ,$7.44 ,$9.24 ,$21.95 ,$7.44 ,$23.10 ,$7.44 ,$20.79 ,$20.79 ,$7.44 ,$20.79 ,$15.33 ,$30.36 , N/A ,$7.44 ,$28.05 ,$27.72 ,$7.44 ,$24.75 ,$26.40 ,$26.40 ,$7.44 ,$26.40 ,$28.71 ,$28.71 ,$28.71 ,$29.70 ,$18.98 ,$7.44 ,$33.00 ,$18.51 ,$7.44 ,$13.66 , N/A , N/A ,$7.81 ,$28.05 ,$20.79 ,$9.24 ,$29.70 ,$28.71 ,$26.40 ,$26.40 ,$7.44 ,$21.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 10ML LUER LOCK,272,1 ,$0.21 ,$0.15 ,$0.05 ,$0.21 ,$0.13 ,$0.15 ,$0.11 ,$0.05 ,$0.06 ,$0.14 ,$0.05 ,$0.15 ,$0.05 ,$0.13 ,$0.13 ,$0.05 ,$0.13 ,$0.10 ,$0.19 , N/A ,$0.05 ,$0.18 ,$0.18 ,$0.05 ,$0.16 ,$0.17 ,$0.17 ,$0.05 ,$0.17 ,$0.18 ,$0.18 ,$0.18 ,$0.19 ,$0.13 ,$0.05 ,$0.21 ,$0.12 ,$0.05 ,$0.09 , N/A , N/A ,$0.05 ,$0.18 ,$0.13 ,$0.06 ,$0.19 ,$0.18 ,$0.17 ,$0.17 ,$0.05 ,$0.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 10ML,272,1 ,$0.21 ,$0.15 ,$0.05 ,$0.21 ,$0.13 ,$0.15 ,$0.11 ,$0.05 ,$0.06 ,$0.14 ,$0.05 ,$0.15 ,$0.05 ,$0.13 ,$0.13 ,$0.05 ,$0.13 ,$0.10 ,$0.19 , N/A ,$0.05 ,$0.18 ,$0.18 ,$0.05 ,$0.16 ,$0.17 ,$0.17 ,$0.05 ,$0.17 ,$0.18 ,$0.18 ,$0.18 ,$0.19 ,$0.13 ,$0.05 ,$0.21 ,$0.12 ,$0.05 ,$0.09 , N/A , N/A ,$0.05 ,$0.18 ,$0.13 ,$0.06 ,$0.19 ,$0.18 ,$0.17 ,$0.17 ,$0.05 ,$0.14 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 20ML LUER LOCK,272,1 ,$0.48 ,$0.35 ,$0.11 ,$0.48 ,$0.28 ,$0.35 ,$0.26 ,$0.11 ,$0.13 ,$0.32 ,$0.11 ,$0.34 ,$0.11 ,$0.30 ,$0.30 ,$0.11 ,$0.30 ,$0.22 ,$0.44 , N/A ,$0.11 ,$0.41 ,$0.40 ,$0.11 ,$0.36 ,$0.38 ,$0.38 ,$0.11 ,$0.38 ,$0.42 ,$0.42 ,$0.42 ,$0.43 ,$0.28 ,$0.11 ,$0.48 ,$0.27 ,$0.11 ,$0.20 , N/A , N/A ,$0.12 ,$0.41 ,$0.30 ,$0.13 ,$0.43 ,$0.42 ,$0.38 ,$0.38 ,$0.11 ,$0.31 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 2OZ LATEX FREE STERILE BULB TAPER TIP FLAT BOTTOM EAR DISPOSABLE BLUE ULCER,272,1 ,$2.63 ,$1.89 ,$0.59 ,$2.63 ,$1.50 ,$1.89 ,$1.43 ,$0.59 ,$0.74 ,$1.75 ,$0.59 ,$1.84 ,$0.59 ,$1.66 ,$1.66 ,$0.59 ,$1.66 ,$1.21 ,$2.42 , N/A ,$0.59 ,$2.24 ,$2.21 ,$0.59 ,$1.97 ,$2.10 ,$2.10 ,$0.59 ,$2.10 ,$2.29 ,$2.29 ,$2.29 ,$2.37 ,$1.50 ,$0.59 ,$2.63 ,$1.48 ,$0.59 ,$1.09 , N/A , N/A ,$0.62 ,$2.24 ,$1.66 ,$0.74 ,$2.37 ,$2.29 ,$2.10 ,$2.10 ,$0.59 ,$1.71 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 3ML 22GA 1.5IN NEEDLE,272,1 ,$0.85 ,$0.61 ,$0.20 ,$0.85 ,$0.50 ,$0.61 ,$0.46 ,$0.20 ,$0.24 ,$0.57 ,$0.20 ,$0.60 ,$0.20 ,$0.54 ,$0.54 ,$0.20 ,$0.54 ,$0.40 ,$0.78 , N/A ,$0.20 ,$0.72 ,$0.71 ,$0.20 ,$0.64 ,$0.68 ,$0.68 ,$0.20 ,$0.68 ,$0.74 ,$0.74 ,$0.74 ,$0.77 ,$0.50 ,$0.20 ,$0.85 ,$0.48 ,$0.20 ,$0.35 , N/A , N/A ,$0.21 ,$0.72 ,$0.54 ,$0.24 ,$0.77 ,$0.74 ,$0.68 ,$0.68 ,$0.20 ,$0.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 3ML 21GA 1.5IN NEEDLE,272,1 ,$0.85 ,$0.61 ,$0.20 ,$0.85 ,$0.50 ,$0.61 ,$0.46 ,$0.20 ,$0.24 ,$0.57 ,$0.20 ,$0.60 ,$0.20 ,$0.54 ,$0.54 ,$0.20 ,$0.54 ,$0.40 ,$0.78 , N/A ,$0.20 ,$0.72 ,$0.71 ,$0.20 ,$0.64 ,$0.68 ,$0.68 ,$0.20 ,$0.68 ,$0.74 ,$0.74 ,$0.74 ,$0.77 ,$0.50 ,$0.20 ,$0.85 ,$0.48 ,$0.20 ,$0.35 , N/A , N/A ,$0.21 ,$0.72 ,$0.54 ,$0.24 ,$0.77 ,$0.74 ,$0.68 ,$0.68 ,$0.20 ,$0.55 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 5CC LUER LOCK,272,1 ,$0.20 ,$0.14 ,$0.05 ,$0.20 ,$0.13 ,$0.14 ,$0.11 ,$0.05 ,$0.06 ,$0.13 ,$0.05 ,$0.14 ,$0.05 ,$0.13 ,$0.13 ,$0.05 ,$0.13 ,$0.10 ,$0.18 , N/A ,$0.05 ,$0.17 ,$0.17 ,$0.05 ,$0.15 ,$0.16 ,$0.16 ,$0.05 ,$0.16 ,$0.17 ,$0.17 ,$0.17 ,$0.18 ,$0.13 ,$0.05 ,$0.20 ,$0.11 ,$0.05 ,$0.08 , N/A , N/A ,$0.05 ,$0.17 ,$0.13 ,$0.06 ,$0.18 ,$0.17 ,$0.16 ,$0.16 ,$0.05 ,$0.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SWABS RECTAL LONG,272,1 ,$0.20 ,$0.14 ,$0.05 ,$0.20 ,$0.13 ,$0.14 ,$0.11 ,$0.05 ,$0.06 ,$0.13 ,$0.05 ,$0.14 ,$0.05 ,$0.13 ,$0.13 ,$0.05 ,$0.13 ,$0.10 ,$0.18 , N/A ,$0.05 ,$0.17 ,$0.17 ,$0.05 ,$0.15 ,$0.16 ,$0.16 ,$0.05 ,$0.16 ,$0.17 ,$0.17 ,$0.17 ,$0.18 ,$0.13 ,$0.05 ,$0.20 ,$0.11 ,$0.05 ,$0.08 , N/A , N/A ,$0.05 ,$0.17 ,$0.13 ,$0.06 ,$0.18 ,$0.17 ,$0.16 ,$0.16 ,$0.05 ,$0.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 60CC LUER LOCK,272,1 ,$0.86 ,$0.62 ,$0.20 ,$0.86 ,$0.50 ,$0.62 ,$0.47 ,$0.20 ,$0.24 ,$0.57 ,$0.20 ,$0.60 ,$0.20 ,$0.54 ,$0.54 ,$0.20 ,$0.54 ,$0.40 ,$0.79 , N/A ,$0.20 ,$0.73 ,$0.72 ,$0.20 ,$0.65 ,$0.69 ,$0.69 ,$0.20 ,$0.69 ,$0.75 ,$0.75 ,$0.75 ,$0.77 ,$0.50 ,$0.20 ,$0.86 ,$0.48 ,$0.20 ,$0.36 , N/A , N/A ,$0.21 ,$0.73 ,$0.54 ,$0.24 ,$0.77 ,$0.75 ,$0.69 ,$0.69 ,$0.20 ,$0.56 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 60CC CATHETERETER TIP,272,1 ,$0.86 ,$0.62 ,$0.20 ,$0.86 ,$0.50 ,$0.62 ,$0.47 ,$0.20 ,$0.24 ,$0.57 ,$0.20 ,$0.60 ,$0.20 ,$0.54 ,$0.54 ,$0.20 ,$0.54 ,$0.40 ,$0.79 , N/A ,$0.20 ,$0.73 ,$0.72 ,$0.20 ,$0.65 ,$0.69 ,$0.69 ,$0.20 ,$0.69 ,$0.75 ,$0.75 ,$0.75 ,$0.77 ,$0.50 ,$0.20 ,$0.86 ,$0.48 ,$0.20 ,$0.36 , N/A , N/A ,$0.21 ,$0.73 ,$0.54 ,$0.24 ,$0.77 ,$0.75 ,$0.69 ,$0.69 ,$0.20 ,$0.56 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 60ML LATEX FREE STERILE LID RIGID PAD BULB TIP IRRIGATION TYVEK,272,1 ,$2.83 ,$2.04 ,$0.64 ,$2.83 ,$1.63 ,$2.04 ,$1.54 ,$0.64 ,$0.79 ,$1.88 ,$0.64 ,$1.98 ,$0.64 ,$1.78 ,$1.78 ,$0.64 ,$1.78 ,$1.31 ,$2.60 , N/A ,$0.64 ,$2.41 ,$2.38 ,$0.64 ,$2.12 ,$2.26 ,$2.26 ,$0.64 ,$2.26 ,$2.46 ,$2.46 ,$2.46 ,$2.55 ,$1.63 ,$0.64 ,$2.83 ,$1.59 ,$0.64 ,$1.17 , N/A , N/A ,$0.67 ,$2.41 ,$1.78 ,$0.79 ,$2.55 ,$2.46 ,$2.26 ,$2.26 ,$0.64 ,$1.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE 60ML LATEX FREE STERILE THUMB RING PISTON RIGID BASE ELONGATE TIP IRRIGATION TYVEK DISPOSABLE,272,1 ,$2.52 ,$1.81 ,$0.57 ,$2.52 ,$1.45 ,$1.81 ,$1.37 ,$0.57 ,$0.71 ,$1.68 ,$0.57 ,$1.76 ,$0.57 ,$1.59 ,$1.59 ,$0.57 ,$1.59 ,$1.17 ,$2.32 , N/A ,$0.57 ,$2.14 ,$2.12 ,$0.57 ,$1.89 ,$2.02 ,$2.02 ,$0.57 ,$2.02 ,$2.19 ,$2.19 ,$2.19 ,$2.27 ,$1.45 ,$0.57 ,$2.52 ,$1.41 ,$0.57 ,$1.04 , N/A , N/A ,$0.60 ,$2.14 ,$1.59 ,$0.71 ,$2.27 ,$2.19 ,$2.02 ,$2.02 ,$0.57 ,$1.64 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE ASEPTO,272,1 ,$5.02 ,$3.61 ,$1.13 ,$5.02 ,$2.88 ,$3.61 ,$2.73 ,$1.13 ,$1.41 ,$3.34 ,$1.13 ,$3.51 ,$1.13 ,$3.16 ,$3.16 ,$1.13 ,$3.16 ,$2.32 ,$4.62 , N/A ,$1.13 ,$4.27 ,$4.22 ,$1.13 ,$3.77 ,$4.02 ,$4.02 ,$1.13 ,$4.02 ,$4.37 ,$4.37 ,$4.37 ,$4.52 ,$2.88 ,$1.13 ,$5.02 ,$2.82 ,$1.13 ,$2.08 , N/A , N/A ,$1.19 ,$4.27 ,$3.16 ,$1.41 ,$4.52 ,$4.37 ,$4.02 ,$4.02 ,$1.13 ,$3.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE BD LUER-LOK 1.5IN 18GA 3ML LATEX FREE STERILE REGULAR BEVEL DETACHABLE NEEDLE MEDICAL REGULAR WALL DISPOSABLE,272,1 ,$0.23 ,$0.17 ,$0.05 ,$0.23 ,$0.13 ,$0.17 ,$0.13 ,$0.05 ,$0.06 ,$0.15 ,$0.05 ,$0.16 ,$0.05 ,$0.14 ,$0.14 ,$0.05 ,$0.14 ,$0.10 ,$0.21 , N/A ,$0.05 ,$0.20 ,$0.19 ,$0.05 ,$0.17 ,$0.18 ,$0.18 ,$0.05 ,$0.18 ,$0.20 ,$0.20 ,$0.20 ,$0.21 ,$0.13 ,$0.05 ,$0.23 ,$0.13 ,$0.05 ,$0.10 , N/A , N/A ,$0.05 ,$0.20 ,$0.14 ,$0.06 ,$0.21 ,$0.20 ,$0.18 ,$0.18 ,$0.05 ,$0.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE BULB MEDLINE 2OZ,272,1 ,$1.49 ,$1.07 ,$0.33 ,$1.49 ,$0.85 ,$1.07 ,$0.81 ,$0.33 ,$0.42 ,$0.99 ,$0.33 ,$1.04 ,$0.33 ,$0.94 ,$0.94 ,$0.33 ,$0.94 ,$0.69 ,$1.37 , N/A ,$0.33 ,$1.27 ,$1.25 ,$0.33 ,$1.12 ,$1.19 ,$1.19 ,$0.33 ,$1.19 ,$1.30 ,$1.30 ,$1.30 ,$1.34 ,$0.85 ,$0.33 ,$1.49 ,$0.84 ,$0.33 ,$0.62 , N/A , N/A ,$0.35 ,$1.27 ,$0.94 ,$0.42 ,$1.34 ,$1.30 ,$1.19 ,$1.19 ,$0.33 ,$0.97 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE CONTROL 10ML,272,1 ,$1.80 ,$1.30 ,$0.40 ,$1.80 ,$1.03 ,$1.30 ,$0.98 ,$0.40 ,$0.50 ,$1.20 ,$0.40 ,$1.26 ,$0.40 ,$1.13 ,$1.13 ,$0.40 ,$1.13 ,$0.83 ,$1.66 , N/A ,$0.40 ,$1.53 ,$1.51 ,$0.40 ,$1.35 ,$1.44 ,$1.44 ,$0.40 ,$1.44 ,$1.57 ,$1.57 ,$1.57 ,$1.62 ,$1.03 ,$0.40 ,$1.80 ,$1.01 ,$0.40 ,$0.75 , N/A , N/A ,$0.42 ,$1.53 ,$1.13 ,$0.50 ,$1.62 ,$1.57 ,$1.44 ,$1.44 ,$0.40 ,$1.17 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE LUER LOCK 30 ML,272,1 ,$0.56 ,$0.40 ,$0.13 ,$0.56 ,$0.33 ,$0.40 ,$0.30 ,$0.13 ,$0.16 ,$0.37 ,$0.13 ,$0.39 ,$0.13 ,$0.35 ,$0.35 ,$0.13 ,$0.35 ,$0.26 ,$0.52 , N/A ,$0.13 ,$0.48 ,$0.47 ,$0.13 ,$0.42 ,$0.45 ,$0.45 ,$0.13 ,$0.45 ,$0.49 ,$0.49 ,$0.49 ,$0.50 ,$0.33 ,$0.13 ,$0.56 ,$0.31 ,$0.13 ,$0.23 , N/A , N/A ,$0.14 ,$0.48 ,$0.35 ,$0.16 ,$0.50 ,$0.49 ,$0.45 ,$0.45 ,$0.13 ,$0.36 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE RHOGAM LATEX FREE STERILE 1 DOSE ULTRA FILTER PLUS PREFILL THIMEROSAL FREE MEDICAL RHO D IMMUNE GLOBULIN 300 MCG INTRAMUSCULAR,272,1 ,"$5,925.00 ","$4,266.00 ","$1,335.49 ","$5,925.00 ","$3,406.88 ","$4,266.00 ","$3,223.20 ","$1,335.49 ","$1,659.00 ","$3,940.13 ","$1,335.49 ","$4,147.50 ","$1,335.49 ","$3,732.75 ","$3,732.75 ","$1,335.49 ","$3,732.75 ","$2,752.76 ","$5,451.00 ", N/A ,"$1,335.49 ","$5,036.25 ","$4,977.00 ","$1,335.49 ","$4,443.75 ","$4,740.00 ","$4,740.00 ","$1,335.49 ","$4,740.00 ","$5,154.75 ","$5,154.75 ","$5,154.75 ","$5,332.50 ","$3,406.88 ","$1,335.49 ","$5,925.00 ","$3,323.93 ","$1,335.49 ","$2,452.95 ", N/A , N/A ,"$1,402.27 ","$5,036.25 ","$3,732.75 ","$1,659.00 ","$5,332.50 ","$5,154.75 ","$4,740.00 ","$4,740.00 ","$1,335.49 ","$3,851.25 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE SALINE FLUSH 10ML,272,1 ,$0.69 ,$0.50 ,$0.16 ,$0.69 ,$0.40 ,$0.50 ,$0.38 ,$0.16 ,$0.19 ,$0.46 ,$0.16 ,$0.48 ,$0.16 ,$0.43 ,$0.43 ,$0.16 ,$0.43 ,$0.32 ,$0.63 , N/A ,$0.16 ,$0.59 ,$0.58 ,$0.16 ,$0.52 ,$0.55 ,$0.55 ,$0.16 ,$0.55 ,$0.60 ,$0.60 ,$0.60 ,$0.62 ,$0.40 ,$0.16 ,$0.69 ,$0.39 ,$0.16 ,$0.29 , N/A , N/A ,$0.17 ,$0.59 ,$0.43 ,$0.19 ,$0.62 ,$0.60 ,$0.55 ,$0.55 ,$0.16 ,$0.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE SLIP TIP 20ML,272,1 ,$0.47 ,$0.34 ,$0.11 ,$0.47 ,$0.28 ,$0.34 ,$0.26 ,$0.11 ,$0.13 ,$0.31 ,$0.11 ,$0.33 ,$0.11 ,$0.30 ,$0.30 ,$0.11 ,$0.30 ,$0.22 ,$0.43 , N/A ,$0.11 ,$0.40 ,$0.39 ,$0.11 ,$0.35 ,$0.38 ,$0.38 ,$0.11 ,$0.38 ,$0.41 ,$0.41 ,$0.41 ,$0.42 ,$0.28 ,$0.11 ,$0.47 ,$0.26 ,$0.11 ,$0.19 , N/A , N/A ,$0.12 ,$0.40 ,$0.30 ,$0.13 ,$0.42 ,$0.41 ,$0.38 ,$0.38 ,$0.11 ,$0.31 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE THIN WALL .5IN 29GA .5ML INSULIN PERMANENT ATTACH NEEDLE VISIBLE LOCK SHIELD MECHANISM BD SAFETYGLIDE STERILE LATEX FREE DISPOSABLE U-100,272,1 ,$0.76 ,$0.55 ,$0.17 ,$0.76 ,$0.43 ,$0.55 ,$0.41 ,$0.17 ,$0.21 ,$0.51 ,$0.17 ,$0.53 ,$0.17 ,$0.48 ,$0.48 ,$0.17 ,$0.48 ,$0.34 ,$0.70 , N/A ,$0.17 ,$0.65 ,$0.64 ,$0.17 ,$0.57 ,$0.61 ,$0.61 ,$0.17 ,$0.61 ,$0.66 ,$0.66 ,$0.66 ,$0.68 ,$0.43 ,$0.17 ,$0.76 ,$0.43 ,$0.17 ,$0.31 , N/A , N/A ,$0.18 ,$0.65 ,$0.48 ,$0.21 ,$0.68 ,$0.66 ,$0.61 ,$0.61 ,$0.17 ,$0.49 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYRINGE INSULIN .5IN 29GA 1ML,272,1 ,$0.76 ,$0.55 ,$0.17 ,$0.76 ,$0.43 ,$0.55 ,$0.41 ,$0.17 ,$0.21 ,$0.51 ,$0.17 ,$0.53 ,$0.17 ,$0.48 ,$0.48 ,$0.17 ,$0.48 ,$0.34 ,$0.70 , N/A ,$0.17 ,$0.65 ,$0.64 ,$0.17 ,$0.57 ,$0.61 ,$0.61 ,$0.17 ,$0.61 ,$0.66 ,$0.66 ,$0.66 ,$0.68 ,$0.43 ,$0.17 ,$0.76 ,$0.43 ,$0.17 ,$0.31 , N/A , N/A ,$0.18 ,$0.65 ,$0.48 ,$0.21 ,$0.68 ,$0.66 ,$0.61 ,$0.61 ,$0.17 ,$0.49 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYS ATF BLOOD CNSRVT KIT; WND DRAIN CVC CBC2 STER,272,1 ,$284.29 ,$204.69 ,$64.08 ,$284.29 ,$163.48 ,$204.69 ,$154.65 ,$64.08 ,$79.60 ,$189.05 ,$64.08 ,$199.00 ,$64.08 ,$179.10 ,$179.10 ,$64.08 ,$179.10 ,$132.09 ,$261.55 , N/A ,$64.08 ,$241.65 ,$238.80 ,$64.08 ,$213.22 ,$227.43 ,$227.43 ,$64.08 ,$227.43 ,$247.33 ,$247.33 ,$247.33 ,$255.86 ,$163.48 ,$64.08 ,$284.29 ,$159.49 ,$64.08 ,$117.70 , N/A , N/A ,$67.29 ,$241.65 ,$179.10 ,$79.60 ,$255.86 ,$247.33 ,$227.43 ,$227.43 ,$64.08 ,$184.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYSTEM BONE CEMENT REVOLUTION BREAKAWAY NOZZLE,272,1 ,$238.28 ,$171.56 ,$53.70 ,$238.28 ,$137.00 ,$171.56 ,$129.62 ,$53.70 ,$66.72 ,$158.46 ,$53.70 ,$166.80 ,$53.70 ,$150.12 ,$150.12 ,$53.70 ,$150.12 ,$110.70 ,$219.22 , N/A ,$53.70 ,$202.54 ,$200.16 ,$53.70 ,$178.71 ,$190.62 ,$190.62 ,$53.70 ,$190.62 ,$207.30 ,$207.30 ,$207.30 ,$214.45 ,$137.00 ,$53.70 ,$238.28 ,$133.68 ,$53.70 ,$98.65 , N/A , N/A ,$56.39 ,$202.54 ,$150.12 ,$66.72 ,$214.45 ,$207.30 ,$190.62 ,$190.62 ,$53.70 ,$154.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYSTEM DRAINAGE CLEAR 5FT 9/32IN ARGYLE CHEST GLASS PVC STANDARD BOTTLE GRADUATE TUBE 2000ML STERILE LATEX FREE,272,1 ,$87.76 ,$63.19 ,$19.78 ,$87.76 ,$50.45 ,$63.19 ,$47.74 ,$19.78 ,$24.57 ,$58.36 ,$19.78 ,$61.43 ,$19.78 ,$55.29 ,$55.29 ,$19.78 ,$55.29 ,$40.76 ,$80.74 , N/A ,$19.78 ,$74.60 ,$73.72 ,$19.78 ,$65.82 ,$70.21 ,$70.21 ,$19.78 ,$70.21 ,$76.35 ,$76.35 ,$76.35 ,$78.98 ,$50.45 ,$19.78 ,$87.76 ,$49.23 ,$19.78 ,$36.33 , N/A , N/A ,$20.77 ,$74.60 ,$55.29 ,$24.57 ,$78.98 ,$76.35 ,$70.21 ,$70.21 ,$19.78 ,$57.04 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYSTEM FIXATION 36CM SORBAFIX 15 ABSORBABLE FASTENER LOW PROFILE HOLLOW CORE ATRAUMATIC BLUNT TIP LAPAROSCOPIC INGUINAL VENTRAL HERNIA REPAIR LATEX FREE DISPOSABLE,272,1 ,"$1,170.00 ",$842.40 ,$263.72 ,"$1,170.00 ",$672.75 ,$842.40 ,$636.48 ,$263.72 ,$327.60 ,$778.05 ,$263.72 ,$819.00 ,$263.72 ,$737.10 ,$737.10 ,$263.72 ,$737.10 ,$543.58 ,"$1,076.40 ", N/A ,$263.72 ,$994.50 ,$982.80 ,$263.72 ,$877.50 ,$936.00 ,$936.00 ,$263.72 ,$936.00 ,"$1,017.90 ","$1,017.90 ","$1,017.90 ","$1,053.00 ",$672.75 ,$263.72 ,"$1,170.00 ",$656.37 ,$263.72 ,$484.38 , N/A , N/A ,$276.91 ,$994.50 ,$737.10 ,$327.60 ,"$1,053.00 ","$1,017.90 ",$936.00 ,$936.00 ,$263.72 ,$760.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SYSTEM FIXATION SPEEDBRIDGE JUMPSTART ACHILLES BIOCOMPOSITE STERILE,272,1 ,"$5,985.00 ","$4,309.20 ","$1,349.02 ","$5,985.00 ","$3,441.38 ","$4,309.20 ","$3,255.84 ","$1,349.02 ","$1,675.80 ","$3,980.03 ","$1,349.02 ","$4,189.50 ","$1,349.02 ","$3,770.55 ","$3,770.55 ","$1,349.02 ","$3,770.55 ","$2,780.63 ","$5,506.20 ", N/A ,"$1,349.02 ","$5,087.25 ","$5,027.40 ","$1,349.02 ","$4,488.75 ","$4,788.00 ","$4,788.00 ","$1,349.02 ","$4,788.00 ","$5,206.95 ","$5,206.95 ","$5,206.95 ","$5,386.50 ","$3,441.38 ","$1,349.02 ","$5,985.00 ","$3,357.59 ","$1,349.02 ","$2,477.79 ", N/A , N/A ,"$1,416.47 ","$5,087.25 ","$3,770.55 ","$1,675.80 ","$5,386.50 ","$5,206.95 ","$4,788.00 ","$4,788.00 ","$1,349.02 ","$3,890.25 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TAP 2MM 100MM SURGICAL CORTICAL SCREW 38MM,272,1 ,$153.60 ,$110.59 ,$34.62 ,$153.60 ,$88.33 ,$110.59 ,$83.56 ,$34.62 ,$43.01 ,$102.14 ,$34.62 ,$107.52 ,$34.62 ,$96.77 ,$96.77 ,$34.62 ,$96.77 ,$71.37 ,$141.31 , N/A ,$34.62 ,$130.56 ,$129.02 ,$34.62 ,$115.20 ,$122.88 ,$122.88 ,$34.62 ,$122.88 ,$133.63 ,$133.63 ,$133.63 ,$138.24 ,$88.33 ,$34.62 ,$153.60 ,$86.17 ,$34.62 ,$63.59 , N/A , N/A ,$36.36 ,$130.56 ,$96.77 ,$43.01 ,$138.24 ,$133.63 ,$122.88 ,$122.88 ,$34.62 ,$99.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TAP 1.5MM 50MM SURGICAL CORTICAL SCREW 20MM,272,1 ,$153.60 ,$110.59 ,$34.62 ,$153.60 ,$88.33 ,$110.59 ,$83.56 ,$34.62 ,$43.01 ,$102.14 ,$34.62 ,$107.52 ,$34.62 ,$96.77 ,$96.77 ,$34.62 ,$96.77 ,$71.37 ,$141.31 , N/A ,$34.62 ,$130.56 ,$129.02 ,$34.62 ,$115.20 ,$122.88 ,$122.88 ,$34.62 ,$122.88 ,$133.63 ,$133.63 ,$133.63 ,$138.24 ,$88.33 ,$34.62 ,$153.60 ,$86.17 ,$34.62 ,$63.59 , N/A , N/A ,$36.36 ,$130.56 ,$96.77 ,$43.01 ,$138.24 ,$133.63 ,$122.88 ,$122.88 ,$34.62 ,$99.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TAP 2.7MM 100MM SURGICAL CORTICAL SCREW 33MM,272,1 ,$153.60 ,$110.59 ,$34.62 ,$153.60 ,$88.33 ,$110.59 ,$83.56 ,$34.62 ,$43.01 ,$102.14 ,$34.62 ,$107.52 ,$34.62 ,$96.77 ,$96.77 ,$34.62 ,$96.77 ,$71.37 ,$141.31 , N/A ,$34.62 ,$130.56 ,$129.02 ,$34.62 ,$115.20 ,$122.88 ,$122.88 ,$34.62 ,$122.88 ,$133.63 ,$133.63 ,$133.63 ,$138.24 ,$88.33 ,$34.62 ,$153.60 ,$86.17 ,$34.62 ,$63.59 , N/A , N/A ,$36.36 ,$130.56 ,$96.77 ,$43.01 ,$138.24 ,$133.63 ,$122.88 ,$122.88 ,$34.62 ,$99.84 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TAPE 4YDX3IN ZIM-FLEX RADIOLUCENT CASTING REGULAR,272,1 ,$37.50 ,$27.00 ,$8.46 ,$37.50 ,$21.58 ,$27.00 ,$20.40 ,$8.46 ,$10.50 ,$24.94 ,$8.46 ,$26.25 ,$8.46 ,$23.63 ,$23.63 ,$8.46 ,$23.63 ,$17.43 ,$34.50 , N/A ,$8.46 ,$31.88 ,$31.50 ,$8.46 ,$28.13 ,$30.00 ,$30.00 ,$8.46 ,$30.00 ,$32.63 ,$32.63 ,$32.63 ,$33.75 ,$21.58 ,$8.46 ,$37.50 ,$21.04 ,$8.46 ,$15.53 , N/A , N/A ,$8.88 ,$31.88 ,$23.63 ,$10.50 ,$33.75 ,$32.63 ,$30.00 ,$30.00 ,$8.46 ,$24.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TIP SCISSOR ENDOCUT MICROLINE,272,1 ,$112.50 ,$81.00 ,$25.36 ,$112.50 ,$64.70 ,$81.00 ,$61.20 ,$25.36 ,$31.50 ,$74.81 ,$25.36 ,$78.75 ,$25.36 ,$70.88 ,$70.88 ,$25.36 ,$70.88 ,$52.28 ,$103.50 , N/A ,$25.36 ,$95.63 ,$94.50 ,$25.36 ,$84.38 ,$90.00 ,$90.00 ,$25.36 ,$90.00 ,$97.88 ,$97.88 ,$97.88 ,$101.25 ,$64.70 ,$25.36 ,$112.50 ,$63.11 ,$25.36 ,$46.58 , N/A , N/A ,$26.63 ,$95.63 ,$70.88 ,$31.50 ,$101.25 ,$97.88 ,$90.00 ,$90.00 ,$25.36 ,$73.13 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAP POLYP MULTI CONMED,272,1 ,$12.10 ,$8.71 ,$2.72 ,$12.10 ,$6.95 ,$8.71 ,$6.58 ,$2.72 ,$3.39 ,$8.05 ,$2.72 ,$8.47 ,$2.72 ,$7.62 ,$7.62 ,$2.72 ,$7.62 ,$5.62 ,$11.13 , N/A ,$2.72 ,$10.29 ,$10.16 ,$2.72 ,$9.08 ,$9.68 ,$9.68 ,$2.72 ,$9.68 ,$10.53 ,$10.53 ,$10.53 ,$10.89 ,$6.95 ,$2.72 ,$12.10 ,$6.79 ,$2.72 ,$5.01 , N/A , N/A ,$2.86 ,$10.29 ,$7.62 ,$3.39 ,$10.89 ,$10.53 ,$9.68 ,$9.68 ,$2.72 ,$7.87 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY CATHETER 4FR 18GA INTRAVENOUS POWERPICC SOLO ONE 1 LUMEN MAXIMAL BARRIER MAXIMUM INJECTION RATE REVERSE TAPER DESIGN UNIVERSAL .73ML LATEX FREE ORANGE,272,1 ,$382.20 ,$275.18 ,$86.15 ,$382.20 ,$219.78 ,$275.18 ,$207.92 ,$86.15 ,$107.02 ,$254.16 ,$86.15 ,$267.54 ,$86.15 ,$240.79 ,$240.79 ,$86.15 ,$240.79 ,$177.58 ,$351.62 , N/A ,$86.15 ,$324.87 ,$321.05 ,$86.15 ,$286.65 ,$305.76 ,$305.76 ,$86.15 ,$305.76 ,$332.51 ,$332.51 ,$332.51 ,$343.98 ,$219.78 ,$86.15 ,$382.20 ,$214.41 ,$86.15 ,$158.23 , N/A , N/A ,$90.46 ,$324.87 ,$240.79 ,$107.02 ,$343.98 ,$332.51 ,$305.76 ,$305.76 ,$86.15 ,$248.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY CATHETERIZATION BARD 15FR SPECIMEN CONTAINER LABEL LUBRICANT PACKET SWAB UNDERPAD RUBBER 5GM URETERAL LATEX RED,272,1 ,$3.60 ,$2.59 ,$0.81 ,$3.60 ,$2.08 ,$2.59 ,$1.96 ,$0.81 ,$1.01 ,$2.39 ,$0.81 ,$2.52 ,$0.81 ,$2.27 ,$2.27 ,$0.81 ,$2.27 ,$1.68 ,$3.31 , N/A ,$0.81 ,$3.06 ,$3.02 ,$0.81 ,$2.70 ,$2.88 ,$2.88 ,$0.81 ,$2.88 ,$3.13 ,$3.13 ,$3.13 ,$3.24 ,$2.08 ,$0.81 ,$3.60 ,$2.02 ,$0.81 ,$1.49 , N/A , N/A ,$0.85 ,$3.06 ,$2.27 ,$1.01 ,$3.24 ,$3.13 ,$2.88 ,$2.88 ,$0.81 ,$2.34 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY CATHETERIZATION STATLOCK 18FR 2000ML DRAINAGE BAG FOLEY CONTROL FIT OUTLET TUBE ADVANCE SILICONE STERILE LATEX FREE DISPOSABLE,272,1 ,$21.30 ,$15.34 ,$4.80 ,$21.30 ,$12.25 ,$15.34 ,$11.59 ,$4.80 ,$5.96 ,$14.16 ,$4.80 ,$14.91 ,$4.80 ,$13.42 ,$13.42 ,$4.80 ,$13.42 ,$9.90 ,$19.60 , N/A ,$4.80 ,$18.11 ,$17.89 ,$4.80 ,$15.98 ,$17.04 ,$17.04 ,$4.80 ,$17.04 ,$18.53 ,$18.53 ,$18.53 ,$19.17 ,$12.25 ,$4.80 ,$21.30 ,$11.95 ,$4.80 ,$8.82 , N/A , N/A ,$5.05 ,$18.11 ,$13.42 ,$5.96 ,$19.17 ,$18.53 ,$17.04 ,$17.04 ,$4.80 ,$13.85 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY FOLEY 18FR STATLOCK PERI-CARE,272,1 ,$30.59 ,$22.02 ,$6.90 ,$30.59 ,$17.60 ,$22.02 ,$16.64 ,$6.90 ,$8.57 ,$20.34 ,$6.90 ,$21.41 ,$6.90 ,$19.27 ,$19.27 ,$6.90 ,$19.27 ,$14.22 ,$28.14 , N/A ,$6.90 ,$26.00 ,$25.70 ,$6.90 ,$22.94 ,$24.47 ,$24.47 ,$6.90 ,$24.47 ,$26.61 ,$26.61 ,$26.61 ,$27.53 ,$17.60 ,$6.90 ,$30.59 ,$17.16 ,$6.90 ,$12.66 , N/A , N/A ,$7.24 ,$26.00 ,$19.27 ,$8.57 ,$27.53 ,$26.61 ,$24.47 ,$24.47 ,$6.90 ,$19.88 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY FOLEY 18FR WITH BAG,272,1 ,$40.69 ,$29.30 ,$9.17 ,$40.69 ,$23.40 ,$29.30 ,$22.14 ,$9.17 ,$11.39 ,$27.06 ,$9.17 ,$28.48 ,$9.17 ,$25.63 ,$25.63 ,$9.17 ,$25.63 ,$18.91 ,$37.43 , N/A ,$9.17 ,$34.59 ,$34.18 ,$9.17 ,$30.52 ,$32.55 ,$32.55 ,$9.17 ,$32.55 ,$35.40 ,$35.40 ,$35.40 ,$36.62 ,$23.40 ,$9.17 ,$40.69 ,$22.83 ,$9.17 ,$16.85 , N/A , N/A ,$9.63 ,$34.59 ,$25.63 ,$11.39 ,$36.62 ,$35.40 ,$32.55 ,$32.55 ,$9.17 ,$26.45 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY FOLEY ADD A CATHETER,272,1 ,$13.04 ,$9.39 ,$2.94 ,$13.04 ,$7.50 ,$9.39 ,$7.09 ,$2.94 ,$3.65 ,$8.67 ,$2.94 ,$9.13 ,$2.94 ,$8.22 ,$8.22 ,$2.94 ,$8.22 ,$6.06 ,$12.00 , N/A ,$2.94 ,$11.08 ,$10.95 ,$2.94 ,$9.78 ,$10.43 ,$10.43 ,$2.94 ,$10.43 ,$11.34 ,$11.34 ,$11.34 ,$11.74 ,$7.50 ,$2.94 ,$13.04 ,$7.32 ,$2.94 ,$5.40 , N/A , N/A ,$3.09 ,$11.08 ,$8.22 ,$3.65 ,$11.74 ,$11.34 ,$10.43 ,$10.43 ,$2.94 ,$8.48 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY IRRIGATION BULB SYRINGE GRADUATE FLASK PEELBACK LID UNDERPAD 50CC LATEX FREE STERILE DISPOSABLE,272,1 ,$2.72 ,$1.96 ,$0.62 ,$2.72 ,$1.58 ,$1.96 ,$1.48 ,$0.62 ,$0.76 ,$1.81 ,$0.62 ,$1.90 ,$0.62 ,$1.71 ,$1.71 ,$0.62 ,$1.71 ,$1.27 ,$2.50 , N/A ,$0.62 ,$2.31 ,$2.28 ,$0.62 ,$2.04 ,$2.18 ,$2.18 ,$0.62 ,$2.18 ,$2.37 ,$2.37 ,$2.37 ,$2.45 ,$1.58 ,$0.62 ,$2.72 ,$1.53 ,$0.62 ,$1.13 , N/A , N/A ,$0.65 ,$2.31 ,$1.71 ,$0.76 ,$2.45 ,$2.37 ,$2.18 ,$2.18 ,$0.62 ,$1.77 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY IRRIGATION PISTON BARD,272,1 ,$7.59 ,$5.46 ,$1.71 ,$7.59 ,$4.38 ,$5.46 ,$4.13 ,$1.71 ,$2.13 ,$5.05 ,$1.71 ,$5.31 ,$1.71 ,$4.78 ,$4.78 ,$1.71 ,$4.78 ,$3.54 ,$6.98 , N/A ,$1.71 ,$6.45 ,$6.38 ,$1.71 ,$5.69 ,$6.07 ,$6.07 ,$1.71 ,$6.07 ,$6.60 ,$6.60 ,$6.60 ,$6.83 ,$4.38 ,$1.71 ,$7.59 ,$4.26 ,$1.71 ,$3.14 , N/A , N/A ,$1.80 ,$6.45 ,$4.78 ,$2.13 ,$6.83 ,$6.60 ,$6.07 ,$6.07 ,$1.71 ,$4.93 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY SPINAL 1.5IN 22GA 25GA PORTEX PLASTIC PREATTACH LANCET POINT NEEDLE FENESTRATE DRAPE TOWEL 5/8IN 3ML LUMBAR PUNCTURE STERILE LATEX FREE DISPOSABLE,272,1 ,$50.87 ,$36.63 ,$11.47 ,$50.87 ,$29.25 ,$36.63 ,$27.67 ,$11.47 ,$14.24 ,$33.83 ,$11.47 ,$35.61 ,$11.47 ,$32.05 ,$32.05 ,$11.47 ,$32.05 ,$23.63 ,$46.80 , N/A ,$11.47 ,$43.24 ,$42.73 ,$11.47 ,$38.15 ,$40.70 ,$40.70 ,$11.47 ,$40.70 ,$44.26 ,$44.26 ,$44.26 ,$45.78 ,$29.25 ,$11.47 ,$50.87 ,$28.54 ,$11.47 ,$21.06 , N/A , N/A ,$12.04 ,$43.24 ,$32.05 ,$14.24 ,$45.78 ,$44.26 ,$40.70 ,$40.70 ,$11.47 ,$33.07 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY SPINAL 3.5IN 20GA PORTEX PLASTIC PAPER LANCET NEEDLE SPONGE APPLICATOR FENESTRATE DRAPE 3ML ADULT LUMBAR PUNCTURE STERILE LATEX FREE DISPOSABLE,272,1 ,$53.71 ,$38.67 ,$12.10 ,$53.71 ,$30.88 ,$38.67 ,$29.22 ,$12.10 ,$15.04 ,$35.72 ,$12.10 ,$37.60 ,$12.10 ,$33.84 ,$33.84 ,$12.10 ,$33.84 ,$24.95 ,$49.41 , N/A ,$12.10 ,$45.65 ,$45.12 ,$12.10 ,$40.28 ,$42.97 ,$42.97 ,$12.10 ,$42.97 ,$46.73 ,$46.73 ,$46.73 ,$48.34 ,$30.88 ,$12.10 ,$53.71 ,$30.13 ,$12.10 ,$22.24 , N/A , N/A ,$12.71 ,$45.65 ,$33.84 ,$15.04 ,$48.34 ,$46.73 ,$42.97 ,$42.97 ,$12.10 ,$34.91 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY SPINAL WHITE CUSTOM LATEX FREE,272,1 ,$43.47 ,$31.30 ,$9.80 ,$43.47 ,$25.00 ,$31.30 ,$23.65 ,$9.80 ,$12.17 ,$28.91 ,$9.80 ,$30.43 ,$9.80 ,$27.39 ,$27.39 ,$9.80 ,$27.39 ,$20.20 ,$39.99 , N/A ,$9.80 ,$36.95 ,$36.51 ,$9.80 ,$32.60 ,$34.78 ,$34.78 ,$9.80 ,$34.78 ,$37.82 ,$37.82 ,$37.82 ,$39.12 ,$25.00 ,$9.80 ,$43.47 ,$24.39 ,$9.80 ,$18.00 , N/A , N/A ,$10.29 ,$36.95 ,$27.39 ,$12.17 ,$39.12 ,$37.82 ,$34.78 ,$34.78 ,$9.80 ,$28.26 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY SPINAL WHITE STERILE CUSTOM,272,1 ,$45.39 ,$32.68 ,$10.23 ,$45.39 ,$26.10 ,$32.68 ,$24.69 ,$10.23 ,$12.71 ,$30.18 ,$10.23 ,$31.77 ,$10.23 ,$28.60 ,$28.60 ,$10.23 ,$28.60 ,$21.09 ,$41.76 , N/A ,$10.23 ,$38.58 ,$38.13 ,$10.23 ,$34.04 ,$36.31 ,$36.31 ,$10.23 ,$36.31 ,$39.49 ,$39.49 ,$39.49 ,$40.85 ,$26.10 ,$10.23 ,$45.39 ,$25.46 ,$10.23 ,$18.79 , N/A , N/A ,$10.74 ,$38.58 ,$28.60 ,$12.71 ,$40.85 ,$39.49 ,$36.31 ,$36.31 ,$10.23 ,$29.50 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY SUTURE REMOVAL 067 STANDARD,272,1 ,$2.96 ,$2.13 ,$0.67 ,$2.96 ,$1.70 ,$2.13 ,$1.61 ,$0.67 ,$0.83 ,$1.97 ,$0.67 ,$2.07 ,$0.67 ,$1.86 ,$1.86 ,$0.67 ,$1.86 ,$1.37 ,$2.72 , N/A ,$0.67 ,$2.52 ,$2.49 ,$0.67 ,$2.22 ,$2.37 ,$2.37 ,$0.67 ,$2.37 ,$2.58 ,$2.58 ,$2.58 ,$2.66 ,$1.70 ,$0.67 ,$2.96 ,$1.66 ,$0.67 ,$1.23 , N/A , N/A ,$0.70 ,$2.52 ,$1.86 ,$0.83 ,$2.66 ,$2.58 ,$2.37 ,$2.37 ,$0.67 ,$1.92 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TRAY THORACENTESIS/PARACENTESIS 8FR THORA-PARA POLYURETHANE CATHETER STERILE LATEX FREE,272,1 ,$73.31 ,$52.78 ,$16.52 ,$73.31 ,$42.15 ,$52.78 ,$39.88 ,$16.52 ,$20.53 ,$48.75 ,$16.52 ,$51.32 ,$16.52 ,$46.19 ,$46.19 ,$16.52 ,$46.19 ,$34.06 ,$67.45 , N/A ,$16.52 ,$62.31 ,$61.58 ,$16.52 ,$54.98 ,$58.65 ,$58.65 ,$16.52 ,$58.65 ,$63.78 ,$63.78 ,$63.78 ,$65.98 ,$42.15 ,$16.52 ,$73.31 ,$41.13 ,$16.52 ,$30.35 , N/A , N/A ,$17.35 ,$62.31 ,$46.19 ,$20.53 ,$65.98 ,$63.78 ,$58.65 ,$58.65 ,$16.52 ,$47.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR LAPAROSCOPIC 5MM SPACEMAKER PRO OVAL DISSECTION STRUCTURAL BALLOON LOW PROFILE OPTICAL LATEX FREE TOTAL EXTRAPERITONEAL HERNIA REPAIR CLEAR,272,1 ,"$1,703.01 ","$1,226.17 ",$383.86 ,"$1,703.01 ",$979.23 ,"$1,226.17 ",$926.44 ,$383.86 ,$476.84 ,"$1,132.50 ",$383.86 ,"$1,192.11 ",$383.86 ,"$1,072.90 ","$1,072.90 ",$383.86 ,"$1,072.90 ",$791.21 ,"$1,566.77 ", N/A ,$383.86 ,"$1,447.56 ","$1,430.53 ",$383.86 ,"$1,277.26 ","$1,362.41 ","$1,362.41 ",$383.86 ,"$1,362.41 ","$1,481.62 ","$1,481.62 ","$1,481.62 ","$1,532.71 ",$979.23 ,$383.86 ,"$1,703.01 ",$955.39 ,$383.86 ,$705.05 , N/A , N/A ,$403.04 ,"$1,447.56 ","$1,072.90 ",$476.84 ,"$1,532.71 ","$1,481.62 ","$1,362.41 ","$1,362.41 ",$383.86 ,"$1,106.96 " ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR Z THREADED 5X100MM BLADELESS,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR FIOS ADVANCE 5X100MM BLADELESS,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TROCAR LAPAROSCOPIC 150MM 5MM KII FIOS ADVANCE FIXATION SLEEVE FIRST ENTRY STERILE LATEX FREE ACCESS SYSTEM ABDOMINAL,272,1 ,$51.00 ,$36.72 ,$11.50 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 , N/A ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 , N/A , N/A ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE CHEST 36 FR THORACIC,272,1 ,$11.43 ,$8.23 ,$2.58 ,$11.43 ,$6.58 ,$8.23 ,$6.22 ,$2.58 ,$3.20 ,$7.60 ,$2.58 ,$8.00 ,$2.58 ,$7.20 ,$7.20 ,$2.58 ,$7.20 ,$5.31 ,$10.52 , N/A ,$2.58 ,$9.72 ,$9.60 ,$2.58 ,$8.57 ,$9.14 ,$9.14 ,$2.58 ,$9.14 ,$9.94 ,$9.94 ,$9.94 ,$10.29 ,$6.58 ,$2.58 ,$11.43 ,$6.41 ,$2.58 ,$4.73 , N/A , N/A ,$2.70 ,$9.72 ,$7.20 ,$3.20 ,$10.29 ,$9.94 ,$9.14 ,$9.14 ,$2.58 ,$7.43 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE CHEST ARGYLE W/ TROCAR 20FR,272,1 ,$63.83 ,$45.96 ,$14.39 ,$63.83 ,$36.70 ,$45.96 ,$34.72 ,$14.39 ,$17.87 ,$42.45 ,$14.39 ,$44.68 ,$14.39 ,$40.21 ,$40.21 ,$14.39 ,$40.21 ,$29.65 ,$58.72 , N/A ,$14.39 ,$54.26 ,$53.62 ,$14.39 ,$47.87 ,$51.06 ,$51.06 ,$14.39 ,$51.06 ,$55.53 ,$55.53 ,$55.53 ,$57.45 ,$36.70 ,$14.39 ,$63.83 ,$35.81 ,$14.39 ,$26.43 , N/A , N/A ,$15.10 ,$54.26 ,$40.21 ,$17.87 ,$57.45 ,$55.53 ,$51.06 ,$51.06 ,$14.39 ,$41.49 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE FEEDING 8FR X 16,272,1 ,$1.66 ,$1.20 ,$0.37 ,$1.66 ,$0.95 ,$1.20 ,$0.90 ,$0.37 ,$0.46 ,$1.10 ,$0.37 ,$1.16 ,$0.37 ,$1.05 ,$1.05 ,$0.37 ,$1.05 ,$0.77 ,$1.53 , N/A ,$0.37 ,$1.41 ,$1.39 ,$0.37 ,$1.25 ,$1.33 ,$1.33 ,$0.37 ,$1.33 ,$1.44 ,$1.44 ,$1.44 ,$1.49 ,$0.95 ,$0.37 ,$1.66 ,$0.93 ,$0.37 ,$0.69 , N/A , N/A ,$0.39 ,$1.41 ,$1.05 ,$0.46 ,$1.49 ,$1.44 ,$1.33 ,$1.33 ,$0.37 ,$1.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE FEEDING 5FR X 16,272,1 ,$1.66 ,$1.20 ,$0.37 ,$1.66 ,$0.95 ,$1.20 ,$0.90 ,$0.37 ,$0.46 ,$1.10 ,$0.37 ,$1.16 ,$0.37 ,$1.05 ,$1.05 ,$0.37 ,$1.05 ,$0.77 ,$1.53 , N/A ,$0.37 ,$1.41 ,$1.39 ,$0.37 ,$1.25 ,$1.33 ,$1.33 ,$0.37 ,$1.33 ,$1.44 ,$1.44 ,$1.44 ,$1.49 ,$0.95 ,$0.37 ,$1.66 ,$0.93 ,$0.37 ,$0.69 , N/A , N/A ,$0.39 ,$1.41 ,$1.05 ,$0.46 ,$1.49 ,$1.44 ,$1.33 ,$1.33 ,$0.37 ,$1.08 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE HUMERAL STRYKER T2 TEFLON,272,1 ,$565.20 ,$406.94 ,$127.40 ,$565.20 ,$325.00 ,$406.94 ,$307.47 ,$127.40 ,$158.26 ,$375.86 ,$127.40 ,$395.64 ,$127.40 ,$356.08 ,$356.08 ,$127.40 ,$356.08 ,$262.60 ,$519.98 , N/A ,$127.40 ,$480.42 ,$474.77 ,$127.40 ,$423.90 ,$452.16 ,$452.16 ,$127.40 ,$452.16 ,$491.72 ,$491.72 ,$491.72 ,$508.68 ,$325.00 ,$127.40 ,$565.20 ,$317.08 ,$127.40 ,$233.99 , N/A , N/A ,$133.77 ,$480.42 ,$356.08 ,$158.26 ,$508.68 ,$491.72 ,$452.16 ,$452.16 ,$127.40 ,$367.38 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE NASOGASTRIC 15IN 8FR CURITY PVC PEDIATRIC,272,1 ,$1.37 ,$0.99 ,$0.31 ,$1.37 ,$0.80 ,$0.99 ,$0.75 ,$0.31 ,$0.38 ,$0.91 ,$0.31 ,$0.96 ,$0.31 ,$0.86 ,$0.86 ,$0.31 ,$0.86 ,$0.65 ,$1.26 , N/A ,$0.31 ,$1.16 ,$1.15 ,$0.31 ,$1.03 ,$1.10 ,$1.10 ,$0.31 ,$1.10 ,$1.19 ,$1.19 ,$1.19 ,$1.23 ,$0.80 ,$0.31 ,$1.37 ,$0.77 ,$0.31 ,$0.57 , N/A , N/A ,$0.33 ,$1.16 ,$0.86 ,$0.38 ,$1.23 ,$1.19 ,$1.10 ,$1.10 ,$0.31 ,$0.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE FEEDING 5 FRENCH,272,1 ,$1.37 ,$0.99 ,$0.31 ,$1.37 ,$0.80 ,$0.99 ,$0.75 ,$0.31 ,$0.38 ,$0.91 ,$0.31 ,$0.96 ,$0.31 ,$0.86 ,$0.86 ,$0.31 ,$0.86 ,$0.65 ,$1.26 , N/A ,$0.31 ,$1.16 ,$1.15 ,$0.31 ,$1.03 ,$1.10 ,$1.10 ,$0.31 ,$1.10 ,$1.19 ,$1.19 ,$1.19 ,$1.23 ,$0.80 ,$0.31 ,$1.37 ,$0.77 ,$0.31 ,$0.57 , N/A , N/A ,$0.33 ,$1.16 ,$0.86 ,$0.38 ,$1.23 ,$1.19 ,$1.10 ,$1.10 ,$0.31 ,$0.89 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE NG 14 FR SALEM,272,1 ,$2.54 ,$1.83 ,$0.57 ,$2.54 ,$1.45 ,$1.83 ,$1.38 ,$0.57 ,$0.71 ,$1.69 ,$0.57 ,$1.78 ,$0.57 ,$1.60 ,$1.60 ,$0.57 ,$1.60 ,$1.17 ,$2.34 , N/A ,$0.57 ,$2.16 ,$2.13 ,$0.57 ,$1.91 ,$2.03 ,$2.03 ,$0.57 ,$2.03 ,$2.21 ,$2.21 ,$2.21 ,$2.29 ,$1.45 ,$0.57 ,$2.54 ,$1.42 ,$0.57 ,$1.05 , N/A , N/A ,$0.60 ,$2.16 ,$1.60 ,$0.71 ,$2.29 ,$2.21 ,$2.03 ,$2.03 ,$0.57 ,$1.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SPONGE PEANUT SOFT HIBBS,272,1 ,$2.54 ,$1.83 ,$0.57 ,$2.54 ,$1.45 ,$1.83 ,$1.38 ,$0.57 ,$0.71 ,$1.69 ,$0.57 ,$1.78 ,$0.57 ,$1.60 ,$1.60 ,$0.57 ,$1.60 ,$1.17 ,$2.34 , N/A ,$0.57 ,$2.16 ,$2.13 ,$0.57 ,$1.91 ,$2.03 ,$2.03 ,$0.57 ,$2.03 ,$2.21 ,$2.21 ,$2.21 ,$2.29 ,$1.45 ,$0.57 ,$2.54 ,$1.42 ,$0.57 ,$1.05 , N/A , N/A ,$0.60 ,$2.16 ,$1.60 ,$0.71 ,$2.29 ,$2.21 ,$2.03 ,$2.03 ,$0.57 ,$1.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE NASOGASTRIC 48IN 16FR STANDARD RADIOPAQUE 2 LUMEN SALEM SUMP STERILE LATEX FREE DISPOSABLE,272,1 ,$2.54 ,$1.83 ,$0.57 ,$2.54 ,$1.45 ,$1.83 ,$1.38 ,$0.57 ,$0.71 ,$1.69 ,$0.57 ,$1.78 ,$0.57 ,$1.60 ,$1.60 ,$0.57 ,$1.60 ,$1.17 ,$2.34 , N/A ,$0.57 ,$2.16 ,$2.13 ,$0.57 ,$1.91 ,$2.03 ,$2.03 ,$0.57 ,$2.03 ,$2.21 ,$2.21 ,$2.21 ,$2.29 ,$1.45 ,$0.57 ,$2.54 ,$1.42 ,$0.57 ,$1.05 , N/A , N/A ,$0.60 ,$2.16 ,$1.60 ,$0.71 ,$2.29 ,$2.21 ,$2.03 ,$2.03 ,$0.57 ,$1.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE NASOGASTRIC 48IN 18FR STANDARD 2 LUMEN STERILE LATEX FREE DISPOSABLE,272,1 ,$2.54 ,$1.83 ,$0.57 ,$2.54 ,$1.45 ,$1.83 ,$1.38 ,$0.57 ,$0.71 ,$1.69 ,$0.57 ,$1.78 ,$0.57 ,$1.60 ,$1.60 ,$0.57 ,$1.60 ,$1.17 ,$2.34 , N/A ,$0.57 ,$2.16 ,$2.13 ,$0.57 ,$1.91 ,$2.03 ,$2.03 ,$0.57 ,$2.03 ,$2.21 ,$2.21 ,$2.21 ,$2.29 ,$1.45 ,$0.57 ,$2.54 ,$1.42 ,$0.57 ,$1.05 , N/A , N/A ,$0.60 ,$2.16 ,$1.60 ,$0.71 ,$2.29 ,$2.21 ,$2.03 ,$2.03 ,$0.57 ,$1.65 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE RECTAL 20IN 24FR SEAMLESS PRELUBRICATE TIP DOVER POLYURETHANE STERILE LATEX FREE,272,1 ,$3.41 ,$2.46 ,$0.76 ,$3.41 ,$1.95 ,$2.46 ,$1.86 ,$0.76 ,$0.95 ,$2.27 ,$0.76 ,$2.39 ,$0.76 ,$2.15 ,$2.15 ,$0.76 ,$2.15 ,$1.58 ,$3.14 , N/A ,$0.76 ,$2.90 ,$2.86 ,$0.76 ,$2.56 ,$2.73 ,$2.73 ,$0.76 ,$2.73 ,$2.97 ,$2.97 ,$2.97 ,$3.07 ,$1.95 ,$0.76 ,$3.41 ,$1.91 ,$0.76 ,$1.41 , N/A , N/A ,$0.80 ,$2.90 ,$2.15 ,$0.95 ,$3.07 ,$2.97 ,$2.73 ,$2.73 ,$0.76 ,$2.22 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE SILK 2-0 FS 685G,272,1 ,$3.41 ,$2.46 ,$0.76 ,$3.41 ,$1.95 ,$2.46 ,$1.86 ,$0.76 ,$0.95 ,$2.27 ,$0.76 ,$2.39 ,$0.76 ,$2.15 ,$2.15 ,$0.76 ,$2.15 ,$1.58 ,$3.14 , N/A ,$0.76 ,$2.90 ,$2.86 ,$0.76 ,$2.56 ,$2.73 ,$2.73 ,$0.76 ,$2.73 ,$2.97 ,$2.97 ,$2.97 ,$3.07 ,$1.95 ,$0.76 ,$3.41 ,$1.91 ,$0.76 ,$1.41 , N/A , N/A ,$0.80 ,$2.90 ,$2.15 ,$0.95 ,$3.07 ,$2.97 ,$2.73 ,$2.73 ,$0.76 ,$2.22 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBE SUCTION FRAZIER 10FR,272,1 ,$5.14 ,$3.70 ,$1.16 ,$5.14 ,$2.95 ,$3.70 ,$2.80 ,$1.16 ,$1.44 ,$3.42 ,$1.16 ,$3.60 ,$1.16 ,$3.24 ,$3.24 ,$1.16 ,$3.24 ,$2.38 ,$4.73 , N/A ,$1.16 ,$4.37 ,$4.32 ,$1.16 ,$3.86 ,$4.11 ,$4.11 ,$1.16 ,$4.11 ,$4.47 ,$4.47 ,$4.47 ,$4.63 ,$2.95 ,$1.16 ,$5.14 ,$2.88 ,$1.16 ,$2.13 , N/A , N/A ,$1.22 ,$4.37 ,$3.24 ,$1.44 ,$4.63 ,$4.47 ,$4.11 ,$4.11 ,$1.16 ,$3.34 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING INSUFFLATION HUMIDIFYING,272,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE COLLAGEN COATED ARTHREX FIBER LOOP #2,272,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,SUTURE COLLAGEN FIBERTAPE FIBERWIRE 2 TAPER 7INX2MM BRAID BLUE NONABSORBABLE,272,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING IRRIGATION CYSTO,272,1 ,$24.29 ,$17.49 ,$5.48 ,$24.29 ,$13.98 ,$17.49 ,$13.21 ,$5.48 ,$6.80 ,$16.15 ,$5.48 ,$17.00 ,$5.48 ,$15.30 ,$15.30 ,$5.48 ,$15.30 ,$11.29 ,$22.35 , N/A ,$5.48 ,$20.65 ,$20.40 ,$5.48 ,$18.22 ,$19.43 ,$19.43 ,$5.48 ,$19.43 ,$21.13 ,$21.13 ,$21.13 ,$21.86 ,$13.98 ,$5.48 ,$24.29 ,$13.63 ,$5.48 ,$10.06 , N/A , N/A ,$5.75 ,$20.65 ,$15.30 ,$6.80 ,$21.86 ,$21.13 ,$19.43 ,$19.43 ,$5.48 ,$15.79 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING IV PRIMARY,272,1 ,$9.18 ,$6.61 ,$2.07 ,$9.18 ,$5.28 ,$6.61 ,$4.99 ,$2.07 ,$2.57 ,$6.10 ,$2.07 ,$6.43 ,$2.07 ,$5.78 ,$5.78 ,$2.07 ,$5.78 ,$4.26 ,$8.45 , N/A ,$2.07 ,$7.80 ,$7.71 ,$2.07 ,$6.89 ,$7.34 ,$7.34 ,$2.07 ,$7.34 ,$7.99 ,$7.99 ,$7.99 ,$8.26 ,$5.28 ,$2.07 ,$9.18 ,$5.15 ,$2.07 ,$3.80 , N/A , N/A ,$2.18 ,$7.80 ,$5.78 ,$2.57 ,$8.26 ,$7.99 ,$7.34 ,$7.34 ,$2.07 ,$5.97 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,TUBING SUCTION 10FT 9/32IN FEMALE CONNECTOR RIBBED STERILE LATEX FREE,272,1 ,$2.42 ,$1.74 ,$0.55 ,$2.42 ,$1.40 ,$1.74 ,$1.32 ,$0.55 ,$0.68 ,$1.61 ,$0.55 ,$1.69 ,$0.55 ,$1.52 ,$1.52 ,$0.55 ,$1.52 ,$1.13 ,$2.23 , N/A ,$0.55 ,$2.06 ,$2.03 ,$0.55 ,$1.82 ,$1.94 ,$1.94 ,$0.55 ,$1.94 ,$2.11 ,$2.11 ,$2.11 ,$2.18 ,$1.40 ,$0.55 ,$2.42 ,$1.36 ,$0.55 ,$1.00 , N/A , N/A ,$0.58 ,$2.06 ,$1.52 ,$0.68 ,$2.18 ,$2.11 ,$1.94 ,$1.94 ,$0.55 ,$1.57 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,VALVE FEEDING TUBE SALEM SUMP PVC ANTIREFLUX STERILE LATEX FREE,272,1 ,$14.41 ,$10.38 ,$3.24 ,$14.41 ,$8.28 ,$10.38 ,$7.84 ,$3.24 ,$4.03 ,$9.58 ,$3.24 ,$10.09 ,$3.24 ,$9.08 ,$9.08 ,$3.24 ,$9.08 ,$6.69 ,$13.26 , N/A ,$3.24 ,$12.25 ,$12.10 ,$3.24 ,$10.81 ,$11.53 ,$11.53 ,$3.24 ,$11.53 ,$12.54 ,$12.54 ,$12.54 ,$12.97 ,$8.28 ,$3.24 ,$14.41 ,$8.08 ,$3.24 ,$5.97 , N/A , N/A ,$3.41 ,$12.25 ,$9.08 ,$4.03 ,$12.97 ,$12.54 ,$11.53 ,$11.53 ,$3.24 ,$9.37 ST. FRANCIS HOSPITAL - ACUTE,27270000,N/A,VIAL BD VIRAL UNIVERSAL 3ML NONSTERILE TRANSPORT,272,1 ,$236.94 ,$170.60 ,$53.41 ,$236.94 ,$136.25 ,$170.60 ,$128.90 ,$53.41 ,$66.34 ,$157.57 ,$53.41 ,$165.86 ,$53.41 ,$149.27 ,$149.27 ,$53.41 ,$149.27 ,$110.09 ,$217.98 , N/A ,$53.41 ,$201.40 ,$199.03 ,$53.41 ,$177.71 ,$189.55 ,$189.55 ,$53.41 ,$189.55 ,$206.14 ,$206.14 ,$206.14 ,$213.25 ,$136.25 ,$53.41 ,$236.94 ,$132.92 ,$53.41 ,$98.09 , N/A , N/A ,$56.09 ,$201.40 ,$149.27 ,$66.34 ,$213.25 ,$206.14 ,$189.55 ,$189.55 ,$53.41 ,$154.01 ST. FRANCIS HOSPITAL - ACUTE,27271725,C1725,CATHETER ANGIO 14 GAUGE,272,1 ,$10.59 ,$7.62 ,$2.39 ,$10.59 ,$6.10 ,$7.62 ,$5.76 ,$2.39 ,$2.97 ,$7.04 ,$2.39 ,$7.41 ,$2.39 ,$6.67 ,$6.67 ,$2.39 ,$6.67 ,$4.93 , N/A , N/A ,$2.39 ,$9.00 ,$8.90 ,$2.39 ,$7.94 ,$8.47 ,$8.47 ,$2.39 ,$8.47 ,$9.21 ,$9.21 ,$9.21 ,$9.53 ,$6.10 ,$2.39 ,$10.59 ,$5.94 ,$2.39 ,$4.38 , N/A , N/A ,$2.51 ,$9.00 ,$6.67 ,$2.97 ,$9.53 ,$9.21 ,$8.47 ,$8.47 ,$2.39 ,$6.88 ST. FRANCIS HOSPITAL - ACUTE,27271726,C1726,CATHETER BALLOON 3-WAY 20FR 30CC LATEX,272,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 , N/A , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27271726,C1726,CATHETER UROMAX BALLOON DIALATOR 18 FR 10CM,272,1 ,$656.82 ,$472.91 ,$148.05 ,$656.82 ,$377.68 ,$472.91 ,$357.31 ,$148.05 ,$183.91 ,$436.79 ,$148.05 ,$459.77 ,$148.05 ,$413.80 ,$413.80 ,$148.05 ,$413.80 ,$305.16 , N/A , N/A ,$148.05 ,$558.30 ,$551.73 ,$148.05 ,$492.62 ,$525.46 ,$525.46 ,$148.05 ,$525.46 ,$571.43 ,$571.43 ,$571.43 ,$591.14 ,$377.68 ,$148.05 ,$656.82 ,$368.48 ,$148.05 ,$271.92 , N/A , N/A ,$155.45 ,$558.30 ,$413.80 ,$183.91 ,$591.14 ,$571.43 ,$525.46 ,$525.46 ,$148.05 ,$426.93 ST. FRANCIS HOSPITAL - ACUTE,27271726,C1726,DEVICE INFLATION CRE (SYRINGE),272,1 ,$87.60 ,$63.07 ,$19.75 ,$87.60 ,$50.38 ,$63.07 ,$47.65 ,$19.75 ,$24.53 ,$58.25 ,$19.75 ,$61.32 ,$19.75 ,$55.19 ,$55.19 ,$19.75 ,$55.19 ,$40.70 , N/A , N/A ,$19.75 ,$74.46 ,$73.58 ,$19.75 ,$65.70 ,$70.08 ,$70.08 ,$19.75 ,$70.08 ,$76.21 ,$76.21 ,$76.21 ,$78.84 ,$50.38 ,$19.75 ,$87.60 ,$49.14 ,$19.75 ,$36.27 , N/A , N/A ,$20.74 ,$74.46 ,$55.19 ,$24.53 ,$78.84 ,$76.21 ,$70.08 ,$70.08 ,$19.75 ,$56.94 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY 24FR 30CC,272,1 ,$9.86 ,$7.10 ,$2.22 ,$9.86 ,$5.68 ,$7.10 ,$5.36 ,$2.22 ,$2.76 ,$6.56 ,$2.22 ,$6.90 ,$2.22 ,$6.21 ,$6.21 ,$2.22 ,$6.21 ,$4.59 , N/A , N/A ,$2.22 ,$8.38 ,$8.28 ,$2.22 ,$7.40 ,$7.89 ,$7.89 ,$2.22 ,$7.89 ,$8.58 ,$8.58 ,$8.58 ,$8.87 ,$5.68 ,$2.22 ,$9.86 ,$5.53 ,$2.22 ,$4.08 , N/A , N/A ,$2.33 ,$8.38 ,$6.21 ,$2.76 ,$8.87 ,$8.58 ,$7.89 ,$7.89 ,$2.22 ,$6.41 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY 16FR 30ML,272,1 ,$9.86 ,$7.10 ,$2.22 ,$9.86 ,$5.68 ,$7.10 ,$5.36 ,$2.22 ,$2.76 ,$6.56 ,$2.22 ,$6.90 ,$2.22 ,$6.21 ,$6.21 ,$2.22 ,$6.21 ,$4.59 , N/A , N/A ,$2.22 ,$8.38 ,$8.28 ,$2.22 ,$7.40 ,$7.89 ,$7.89 ,$2.22 ,$7.89 ,$8.58 ,$8.58 ,$8.58 ,$8.87 ,$5.68 ,$2.22 ,$9.86 ,$5.53 ,$2.22 ,$4.08 , N/A , N/A ,$2.33 ,$8.38 ,$6.21 ,$2.76 ,$8.87 ,$8.58 ,$7.89 ,$7.89 ,$2.22 ,$6.41 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY BARD 3-WAY 26FR 30ML,272,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 , N/A , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY BARD 3-WAY 22FR 30ML,272,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 , N/A , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY BARD 3-WAY 24FR 30ML,272,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 , N/A , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY LATEX 8FR 3CC,272,1 ,$16.40 ,$11.81 ,$3.69 ,$16.40 ,$9.43 ,$11.81 ,$8.92 ,$3.69 ,$4.59 ,$10.91 ,$3.69 ,$11.48 ,$3.69 ,$10.33 ,$10.33 ,$3.69 ,$10.33 ,$7.62 , N/A , N/A ,$3.69 ,$13.94 ,$13.78 ,$3.69 ,$12.30 ,$13.12 ,$13.12 ,$3.69 ,$13.12 ,$14.27 ,$14.27 ,$14.27 ,$14.76 ,$9.43 ,$3.69 ,$16.40 ,$9.20 ,$3.69 ,$6.79 , N/A , N/A ,$3.88 ,$13.94 ,$10.33 ,$4.59 ,$14.76 ,$14.27 ,$13.12 ,$13.12 ,$3.69 ,$10.66 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY 10FR 3CC BALLOON,272,1 ,$16.40 ,$11.81 ,$3.69 ,$16.40 ,$9.43 ,$11.81 ,$8.92 ,$3.69 ,$4.59 ,$10.91 ,$3.69 ,$11.48 ,$3.69 ,$10.33 ,$10.33 ,$3.69 ,$10.33 ,$7.62 , N/A , N/A ,$3.69 ,$13.94 ,$13.78 ,$3.69 ,$12.30 ,$13.12 ,$13.12 ,$3.69 ,$13.12 ,$14.27 ,$14.27 ,$14.27 ,$14.76 ,$9.43 ,$3.69 ,$16.40 ,$9.20 ,$3.69 ,$6.79 , N/A , N/A ,$3.88 ,$13.94 ,$10.33 ,$4.59 ,$14.76 ,$14.27 ,$13.12 ,$13.12 ,$3.69 ,$10.66 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY SILICONE COATED 20FR 5ML,272,1 ,$4.84 ,$3.48 ,$1.09 ,$4.84 ,$2.78 ,$3.48 ,$2.63 ,$1.09 ,$1.36 ,$3.22 ,$1.09 ,$3.39 ,$1.09 ,$3.05 ,$3.05 ,$1.09 ,$3.05 ,$2.24 , N/A , N/A ,$1.09 ,$4.11 ,$4.07 ,$1.09 ,$3.63 ,$3.87 ,$3.87 ,$1.09 ,$3.87 ,$4.21 ,$4.21 ,$4.21 ,$4.36 ,$2.78 ,$1.09 ,$4.84 ,$2.72 ,$1.09 ,$2.00 , N/A , N/A ,$1.15 ,$4.11 ,$3.05 ,$1.36 ,$4.36 ,$4.21 ,$3.87 ,$3.87 ,$1.09 ,$3.15 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY 14 FR BARD,272,1 ,$4.84 ,$3.48 ,$1.09 ,$4.84 ,$2.78 ,$3.48 ,$2.63 ,$1.09 ,$1.36 ,$3.22 ,$1.09 ,$3.39 ,$1.09 ,$3.05 ,$3.05 ,$1.09 ,$3.05 ,$2.24 , N/A , N/A ,$1.09 ,$4.11 ,$4.07 ,$1.09 ,$3.63 ,$3.87 ,$3.87 ,$1.09 ,$3.87 ,$4.21 ,$4.21 ,$4.21 ,$4.36 ,$2.78 ,$1.09 ,$4.84 ,$2.72 ,$1.09 ,$2.00 , N/A , N/A ,$1.15 ,$4.11 ,$3.05 ,$1.36 ,$4.36 ,$4.21 ,$3.87 ,$3.87 ,$1.09 ,$3.15 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY BARD BALLOON SILICONE COATED 22FR 5ML,272,1 ,$4.84 ,$3.48 ,$1.09 ,$4.84 ,$2.78 ,$3.48 ,$2.63 ,$1.09 ,$1.36 ,$3.22 ,$1.09 ,$3.39 ,$1.09 ,$3.05 ,$3.05 ,$1.09 ,$3.05 ,$2.24 , N/A , N/A ,$1.09 ,$4.11 ,$4.07 ,$1.09 ,$3.63 ,$3.87 ,$3.87 ,$1.09 ,$3.87 ,$4.21 ,$4.21 ,$4.21 ,$4.36 ,$2.78 ,$1.09 ,$4.84 ,$2.72 ,$1.09 ,$2.00 , N/A , N/A ,$1.15 ,$4.11 ,$3.05 ,$1.36 ,$4.36 ,$4.21 ,$3.87 ,$3.87 ,$1.09 ,$3.15 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER RED ROBINSON 8FR,272,1 ,$8.38 ,$6.03 ,$1.89 ,$8.38 ,$4.83 ,$6.03 ,$4.56 ,$1.89 ,$2.35 ,$5.57 ,$1.89 ,$5.87 ,$1.89 ,$5.28 ,$5.28 ,$1.89 ,$5.28 ,$3.90 , N/A , N/A ,$1.89 ,$7.12 ,$7.04 ,$1.89 ,$6.29 ,$6.70 ,$6.70 ,$1.89 ,$6.70 ,$7.29 ,$7.29 ,$7.29 ,$7.54 ,$4.83 ,$1.89 ,$8.38 ,$4.70 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.12 ,$5.28 ,$2.35 ,$7.54 ,$7.29 ,$6.70 ,$6.70 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER RED ROBINSON 10FR,272,1 ,$8.38 ,$6.03 ,$1.89 ,$8.38 ,$4.83 ,$6.03 ,$4.56 ,$1.89 ,$2.35 ,$5.57 ,$1.89 ,$5.87 ,$1.89 ,$5.28 ,$5.28 ,$1.89 ,$5.28 ,$3.90 , N/A , N/A ,$1.89 ,$7.12 ,$7.04 ,$1.89 ,$6.29 ,$6.70 ,$6.70 ,$1.89 ,$6.70 ,$7.29 ,$7.29 ,$7.29 ,$7.54 ,$4.83 ,$1.89 ,$8.38 ,$4.70 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.12 ,$5.28 ,$2.35 ,$7.54 ,$7.29 ,$6.70 ,$6.70 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER RED ROBINSON 14F,272,1 ,$8.38 ,$6.03 ,$1.89 ,$8.38 ,$4.83 ,$6.03 ,$4.56 ,$1.89 ,$2.35 ,$5.57 ,$1.89 ,$5.87 ,$1.89 ,$5.28 ,$5.28 ,$1.89 ,$5.28 ,$3.90 , N/A , N/A ,$1.89 ,$7.12 ,$7.04 ,$1.89 ,$6.29 ,$6.70 ,$6.70 ,$1.89 ,$6.70 ,$7.29 ,$7.29 ,$7.29 ,$7.54 ,$4.83 ,$1.89 ,$8.38 ,$4.70 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.12 ,$5.28 ,$2.35 ,$7.54 ,$7.29 ,$6.70 ,$6.70 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER RED ROBINSON 16FR,272,1 ,$8.38 ,$6.03 ,$1.89 ,$8.38 ,$4.83 ,$6.03 ,$4.56 ,$1.89 ,$2.35 ,$5.57 ,$1.89 ,$5.87 ,$1.89 ,$5.28 ,$5.28 ,$1.89 ,$5.28 ,$3.90 , N/A , N/A ,$1.89 ,$7.12 ,$7.04 ,$1.89 ,$6.29 ,$6.70 ,$6.70 ,$1.89 ,$6.70 ,$7.29 ,$7.29 ,$7.29 ,$7.54 ,$4.83 ,$1.89 ,$8.38 ,$4.70 ,$1.89 ,$3.47 , N/A , N/A ,$1.99 ,$7.12 ,$5.28 ,$2.35 ,$7.54 ,$7.29 ,$6.70 ,$6.70 ,$1.89 ,$5.45 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER THORACIC 24FR W TROCAR,272,1 ,$64.41 ,$46.38 ,$14.51 ,$64.41 ,$37.03 ,$46.38 ,$35.04 ,$14.51 ,$18.03 ,$42.83 ,$14.51 ,$45.09 ,$14.51 ,$40.58 ,$40.58 ,$14.51 ,$40.58 ,$29.92 , N/A , N/A ,$14.51 ,$54.75 ,$54.10 ,$14.51 ,$48.31 ,$51.53 ,$51.53 ,$14.51 ,$51.53 ,$56.04 ,$56.04 ,$56.04 ,$57.97 ,$37.03 ,$14.51 ,$64.41 ,$36.13 ,$14.51 ,$26.67 , N/A , N/A ,$15.24 ,$54.75 ,$40.58 ,$18.03 ,$57.97 ,$56.04 ,$51.53 ,$51.53 ,$14.51 ,$41.87 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER TROCAR 32FR,272,1 ,$68.19 ,$49.10 ,$15.37 ,$68.19 ,$39.20 ,$49.10 ,$37.10 ,$15.37 ,$19.09 ,$45.35 ,$15.37 ,$47.73 ,$15.37 ,$42.96 ,$42.96 ,$15.37 ,$42.96 ,$31.67 , N/A , N/A ,$15.37 ,$57.96 ,$57.28 ,$15.37 ,$51.14 ,$54.55 ,$54.55 ,$15.37 ,$54.55 ,$59.33 ,$59.33 ,$59.33 ,$61.37 ,$39.20 ,$15.37 ,$68.19 ,$38.25 ,$15.37 ,$28.23 , N/A , N/A ,$16.13 ,$57.96 ,$42.96 ,$19.09 ,$61.37 ,$59.33 ,$54.55 ,$54.55 ,$15.37 ,$44.32 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER TROCAR CHEST 20 FR,272,1 ,$9.25 ,$6.66 ,$2.09 ,$9.25 ,$5.33 ,$6.66 ,$5.03 ,$2.09 ,$2.59 ,$6.15 ,$2.09 ,$6.48 ,$2.09 ,$5.83 ,$5.83 ,$2.09 ,$5.83 ,$4.30 , N/A , N/A ,$2.09 ,$7.86 ,$7.77 ,$2.09 ,$6.94 ,$7.40 ,$7.40 ,$2.09 ,$7.40 ,$8.05 ,$8.05 ,$8.05 ,$8.33 ,$5.33 ,$2.09 ,$9.25 ,$5.19 ,$2.09 ,$3.83 , N/A , N/A ,$2.20 ,$7.86 ,$5.83 ,$2.59 ,$8.33 ,$8.05 ,$7.40 ,$7.40 ,$2.09 ,$6.01 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER TROCAR CHEST 24 FR,272,1 ,$10.96 ,$7.89 ,$2.47 ,$10.96 ,$6.30 ,$7.89 ,$5.96 ,$2.47 ,$3.07 ,$7.29 ,$2.47 ,$7.67 ,$2.47 ,$6.90 ,$6.90 ,$2.47 ,$6.90 ,$5.09 , N/A , N/A ,$2.47 ,$9.32 ,$9.21 ,$2.47 ,$8.22 ,$8.77 ,$8.77 ,$2.47 ,$8.77 ,$9.54 ,$9.54 ,$9.54 ,$9.86 ,$6.30 ,$2.47 ,$10.96 ,$6.15 ,$2.47 ,$4.54 , N/A , N/A ,$2.60 ,$9.32 ,$6.90 ,$3.07 ,$9.86 ,$9.54 ,$8.77 ,$8.77 ,$2.47 ,$7.12 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETHRAL 14FR 2 DRAINAGE EYE COUDE TIP INTERMITTENT RUBBER STERILE LATEX DISPOSABLE RED TIEMANN MODEL,272,1 ,$9.68 ,$6.97 ,$2.19 ,$9.68 ,$5.58 ,$6.97 ,$5.27 ,$2.19 ,$2.71 ,$6.44 ,$2.19 ,$6.78 ,$2.19 ,$6.10 ,$6.10 ,$2.19 ,$6.10 ,$4.50 , N/A , N/A ,$2.19 ,$8.23 ,$8.13 ,$2.19 ,$7.26 ,$7.74 ,$7.74 ,$2.19 ,$7.74 ,$8.42 ,$8.42 ,$8.42 ,$8.71 ,$5.58 ,$2.19 ,$9.68 ,$5.43 ,$2.19 ,$4.01 , N/A , N/A ,$2.29 ,$8.23 ,$6.10 ,$2.71 ,$8.71 ,$8.42 ,$7.74 ,$7.74 ,$2.19 ,$6.29 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 16FR FOLEY 2 WAY BALLOON NATURAL RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE,272,1 ,$6.05 ,$4.36 ,$1.36 ,$6.05 ,$3.48 ,$4.36 ,$3.29 ,$1.36 ,$1.69 ,$4.02 ,$1.36 ,$4.24 ,$1.36 ,$3.81 ,$3.81 ,$1.36 ,$3.81 ,$2.81 , N/A , N/A ,$1.36 ,$5.14 ,$5.08 ,$1.36 ,$4.54 ,$4.84 ,$4.84 ,$1.36 ,$4.84 ,$5.26 ,$5.26 ,$5.26 ,$5.45 ,$3.48 ,$1.36 ,$6.05 ,$3.39 ,$1.36 ,$2.50 , N/A , N/A ,$1.43 ,$5.14 ,$3.81 ,$1.69 ,$5.45 ,$5.26 ,$4.84 ,$4.84 ,$1.36 ,$3.93 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY BALLOON LATEX 20FR 30CC,272,1 ,$6.05 ,$4.36 ,$1.36 ,$6.05 ,$3.48 ,$4.36 ,$3.29 ,$1.36 ,$1.69 ,$4.02 ,$1.36 ,$4.24 ,$1.36 ,$3.81 ,$3.81 ,$1.36 ,$3.81 ,$2.81 , N/A , N/A ,$1.36 ,$5.14 ,$5.08 ,$1.36 ,$4.54 ,$4.84 ,$4.84 ,$1.36 ,$4.84 ,$5.26 ,$5.26 ,$5.26 ,$5.45 ,$3.48 ,$1.36 ,$6.05 ,$3.39 ,$1.36 ,$2.50 , N/A , N/A ,$1.43 ,$5.14 ,$3.81 ,$1.69 ,$5.45 ,$5.26 ,$4.84 ,$4.84 ,$1.36 ,$3.93 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY LATEX 22FR 30CC,272,1 ,$6.05 ,$4.36 ,$1.36 ,$6.05 ,$3.48 ,$4.36 ,$3.29 ,$1.36 ,$1.69 ,$4.02 ,$1.36 ,$4.24 ,$1.36 ,$3.81 ,$3.81 ,$1.36 ,$3.81 ,$2.81 , N/A , N/A ,$1.36 ,$5.14 ,$5.08 ,$1.36 ,$4.54 ,$4.84 ,$4.84 ,$1.36 ,$4.84 ,$5.26 ,$5.26 ,$5.26 ,$5.45 ,$3.48 ,$1.36 ,$6.05 ,$3.39 ,$1.36 ,$2.50 , N/A , N/A ,$1.43 ,$5.14 ,$3.81 ,$1.69 ,$5.45 ,$5.26 ,$4.84 ,$4.84 ,$1.36 ,$3.93 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETERAL BARDX LBTCATHETER 18FR,272,1 ,$6.05 ,$4.36 ,$1.36 ,$6.05 ,$3.48 ,$4.36 ,$3.29 ,$1.36 ,$1.69 ,$4.02 ,$1.36 ,$4.24 ,$1.36 ,$3.81 ,$3.81 ,$1.36 ,$3.81 ,$2.81 , N/A , N/A ,$1.36 ,$5.14 ,$5.08 ,$1.36 ,$4.54 ,$4.84 ,$4.84 ,$1.36 ,$4.84 ,$5.26 ,$5.26 ,$5.26 ,$5.45 ,$3.48 ,$1.36 ,$6.05 ,$3.39 ,$1.36 ,$2.50 , N/A , N/A ,$1.43 ,$5.14 ,$3.81 ,$1.69 ,$5.45 ,$5.26 ,$4.84 ,$4.84 ,$1.36 ,$3.93 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 22FR STANDARD FOLEY 2 WAY DRAINAGE EYE MEDIUM OLIVE COUDE TIP RUBBER HYDROGEL 5CC STERILE LATEX MALE DISPOSABLE RED TIEMANN MODEL,272,1 ,$24.99 ,$17.99 ,$5.63 ,$24.99 ,$14.38 ,$17.99 ,$13.59 ,$5.63 ,$7.00 ,$16.62 ,$5.63 ,$17.49 ,$5.63 ,$15.74 ,$15.74 ,$5.63 ,$15.74 ,$11.62 , N/A , N/A ,$5.63 ,$21.24 ,$20.99 ,$5.63 ,$18.74 ,$19.99 ,$19.99 ,$5.63 ,$19.99 ,$21.74 ,$21.74 ,$21.74 ,$22.49 ,$14.38 ,$5.63 ,$24.99 ,$14.02 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.24 ,$15.74 ,$7.00 ,$22.49 ,$21.74 ,$19.99 ,$19.99 ,$5.63 ,$16.24 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER FOLEY COUDE 16FR 5ML,272,1 ,$24.99 ,$17.99 ,$5.63 ,$24.99 ,$14.38 ,$17.99 ,$13.59 ,$5.63 ,$7.00 ,$16.62 ,$5.63 ,$17.49 ,$5.63 ,$15.74 ,$15.74 ,$5.63 ,$15.74 ,$11.62 , N/A , N/A ,$5.63 ,$21.24 ,$20.99 ,$5.63 ,$18.74 ,$19.99 ,$19.99 ,$5.63 ,$19.99 ,$21.74 ,$21.74 ,$21.74 ,$22.49 ,$14.38 ,$5.63 ,$24.99 ,$14.02 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.24 ,$15.74 ,$7.00 ,$22.49 ,$21.74 ,$19.99 ,$19.99 ,$5.63 ,$16.24 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETHRAL BARDEX LUBRICATH 24FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE RED,272,1 ,$25.87 ,$18.63 ,$5.83 ,$25.87 ,$14.88 ,$18.63 ,$14.07 ,$5.83 ,$7.24 ,$17.20 ,$5.83 ,$18.11 ,$5.83 ,$16.30 ,$16.30 ,$5.83 ,$16.30 ,$12.02 , N/A , N/A ,$5.83 ,$21.99 ,$21.73 ,$5.83 ,$19.40 ,$20.70 ,$20.70 ,$5.83 ,$20.70 ,$22.51 ,$22.51 ,$22.51 ,$23.28 ,$14.88 ,$5.83 ,$25.87 ,$14.51 ,$5.83 ,$10.71 , N/A , N/A ,$6.12 ,$21.99 ,$16.30 ,$7.24 ,$23.28 ,$22.51 ,$20.70 ,$20.70 ,$5.83 ,$16.82 ST. FRANCIS HOSPITAL - ACUTE,27271729,C1729,CATHETER URETHRAL DOVER ROB-NEL 18FR 16IN 2 STAGGER DRAINAGE EYE ROUND CLOSED TIP INTEGRAL FUNNEL CONNECTOR PVC STERILE LATEX FREE DISPOSABLE,272,1 ,$1.88 ,$1.35 ,$0.42 ,$1.88 ,$1.08 ,$1.35 ,$1.02 ,$0.42 ,$0.53 ,$1.25 ,$0.42 ,$1.32 ,$0.42 ,$1.18 ,$1.18 ,$0.42 ,$1.18 ,$0.87 , N/A , N/A ,$0.42 ,$1.60 ,$1.58 ,$0.42 ,$1.41 ,$1.50 ,$1.50 ,$0.42 ,$1.50 ,$1.64 ,$1.64 ,$1.64 ,$1.69 ,$1.08 ,$0.42 ,$1.88 ,$1.05 ,$0.42 ,$0.78 , N/A , N/A ,$0.44 ,$1.60 ,$1.18 ,$0.53 ,$1.69 ,$1.64 ,$1.50 ,$1.50 ,$0.42 ,$1.22 ST. FRANCIS HOSPITAL - ACUTE,27271751,C1751,KIT CATHETER 7FR 8IN .032IN MTLUM PRESS INJ SPRG GDWIRE 2 LL,272,1 ,$351.50 ,$253.08 ,$79.23 ,$351.50 ,$202.13 ,$253.08 ,$191.22 ,$79.23 ,$98.42 ,$233.75 ,$79.23 ,$246.05 ,$79.23 ,$221.45 ,$221.45 ,$79.23 ,$221.45 ,$163.32 , N/A , N/A ,$79.23 ,$298.78 ,$295.26 ,$79.23 ,$263.63 ,$281.20 ,$281.20 ,$79.23 ,$281.20 ,$305.81 ,$305.81 ,$305.81 ,$316.35 ,$202.13 ,$79.23 ,$351.50 ,$197.19 ,$79.23 ,$145.52 , N/A , N/A ,$83.19 ,$298.78 ,$221.45 ,$98.42 ,$316.35 ,$305.81 ,$281.20 ,$281.20 ,$79.23 ,$228.48 ST. FRANCIS HOSPITAL - ACUTE,27271751,C1751,KIT CATHETER SURESTEP REPLACEMENT GREEN,272,1 ,$9.53 ,$6.86 ,$2.15 ,$9.53 ,$5.48 ,$6.86 ,$5.18 ,$2.15 ,$2.67 ,$6.34 ,$2.15 ,$6.67 ,$2.15 ,$6.00 ,$6.00 ,$2.15 ,$6.00 ,$4.42 , N/A , N/A ,$2.15 ,$8.10 ,$8.01 ,$2.15 ,$7.15 ,$7.62 ,$7.62 ,$2.15 ,$7.62 ,$8.29 ,$8.29 ,$8.29 ,$8.58 ,$5.48 ,$2.15 ,$9.53 ,$5.35 ,$2.15 ,$3.95 , N/A , N/A ,$2.25 ,$8.10 ,$6.00 ,$2.67 ,$8.58 ,$8.29 ,$7.62 ,$7.62 ,$2.15 ,$6.19 ST. FRANCIS HOSPITAL - ACUTE,27271751,C1751,KIT CATHETER SURESTEP REPLACEMENT BLUE,272,1 ,$9.53 ,$6.86 ,$2.15 ,$9.53 ,$5.48 ,$6.86 ,$5.18 ,$2.15 ,$2.67 ,$6.34 ,$2.15 ,$6.67 ,$2.15 ,$6.00 ,$6.00 ,$2.15 ,$6.00 ,$4.42 , N/A , N/A ,$2.15 ,$8.10 ,$8.01 ,$2.15 ,$7.15 ,$7.62 ,$7.62 ,$2.15 ,$7.62 ,$8.29 ,$8.29 ,$8.29 ,$8.58 ,$5.48 ,$2.15 ,$9.53 ,$5.35 ,$2.15 ,$3.95 , N/A , N/A ,$2.25 ,$8.10 ,$6.00 ,$2.67 ,$8.58 ,$8.29 ,$7.62 ,$7.62 ,$2.15 ,$6.19 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER COUDE 20FR 5CC,272,1 ,$24.99 ,$17.99 ,$5.63 ,$24.99 ,$14.38 ,$17.99 ,$13.59 ,$5.63 ,$7.00 ,$16.62 ,$5.63 ,$17.49 ,$5.63 ,$15.74 ,$15.74 ,$5.63 ,$15.74 ,$11.62 , N/A , N/A ,$5.63 ,$21.24 ,$20.99 ,$5.63 ,$18.74 ,$19.99 ,$19.99 ,$5.63 ,$19.99 ,$21.74 ,$21.74 ,$21.74 ,$22.49 ,$14.38 ,$5.63 ,$24.99 ,$14.02 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.24 ,$15.74 ,$7.00 ,$22.49 ,$21.74 ,$19.99 ,$19.99 ,$5.63 ,$16.24 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER COUDE 14FR,272,1 ,$24.99 ,$17.99 ,$5.63 ,$24.99 ,$14.38 ,$17.99 ,$13.59 ,$5.63 ,$7.00 ,$16.62 ,$5.63 ,$17.49 ,$5.63 ,$15.74 ,$15.74 ,$5.63 ,$15.74 ,$11.62 , N/A , N/A ,$5.63 ,$21.24 ,$20.99 ,$5.63 ,$18.74 ,$19.99 ,$19.99 ,$5.63 ,$19.99 ,$21.74 ,$21.74 ,$21.74 ,$22.49 ,$14.38 ,$5.63 ,$24.99 ,$14.02 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.24 ,$15.74 ,$7.00 ,$22.49 ,$21.74 ,$19.99 ,$19.99 ,$5.63 ,$16.24 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER COUDE 18FR 5CC,272,1 ,$24.99 ,$17.99 ,$5.63 ,$24.99 ,$14.38 ,$17.99 ,$13.59 ,$5.63 ,$7.00 ,$16.62 ,$5.63 ,$17.49 ,$5.63 ,$15.74 ,$15.74 ,$5.63 ,$15.74 ,$11.62 , N/A , N/A ,$5.63 ,$21.24 ,$20.99 ,$5.63 ,$18.74 ,$19.99 ,$19.99 ,$5.63 ,$19.99 ,$21.74 ,$21.74 ,$21.74 ,$22.49 ,$14.38 ,$5.63 ,$24.99 ,$14.02 ,$5.63 ,$10.35 , N/A , N/A ,$5.92 ,$21.24 ,$15.74 ,$7.00 ,$22.49 ,$21.74 ,$19.99 ,$19.99 ,$5.63 ,$16.24 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETERAL FLEXM 5FR 8FR 70CM 1 LUM INJ HUB RADOPQ,272,1 ,$24.35 ,$17.53 ,$5.49 ,$24.35 ,$14.00 ,$17.53 ,$13.25 ,$5.49 ,$6.82 ,$16.19 ,$5.49 ,$17.05 ,$5.49 ,$15.34 ,$15.34 ,$5.49 ,$15.34 ,$11.31 , N/A , N/A ,$5.49 ,$20.70 ,$20.45 ,$5.49 ,$18.26 ,$19.48 ,$19.48 ,$5.49 ,$19.48 ,$21.18 ,$21.18 ,$21.18 ,$21.92 ,$14.00 ,$5.49 ,$24.35 ,$13.66 ,$5.49 ,$10.08 , N/A , N/A ,$5.76 ,$20.70 ,$15.34 ,$6.82 ,$21.92 ,$21.18 ,$19.48 ,$19.48 ,$5.49 ,$15.83 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETERAL IMGR2 5FR 65CM,272,1 ,$45.41 ,$32.70 ,$10.23 ,$45.41 ,$26.10 ,$32.70 ,$24.70 ,$10.23 ,$12.71 ,$30.20 ,$10.23 ,$31.79 ,$10.23 ,$28.61 ,$28.61 ,$10.23 ,$28.61 ,$21.09 , N/A , N/A ,$10.23 ,$38.60 ,$38.14 ,$10.23 ,$34.06 ,$36.33 ,$36.33 ,$10.23 ,$36.33 ,$39.51 ,$39.51 ,$39.51 ,$40.87 ,$26.10 ,$10.23 ,$45.41 ,$25.48 ,$10.23 ,$18.80 , N/A , N/A ,$10.74 ,$38.60 ,$28.61 ,$12.71 ,$40.87 ,$39.51 ,$36.33 ,$36.33 ,$10.23 ,$29.52 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETERAL IMAGER II 5FR 65CM STRAIGHT 1 LUMEN TORQUEABLE LUER LOCK HUB BRAID WIRE STAINLESS STEEL POLYMER STERILE LATEX FREE DISPOSABLE,272,1 ,$45.41 ,$32.70 ,$10.23 ,$45.41 ,$26.10 ,$32.70 ,$24.70 ,$10.23 ,$12.71 ,$30.20 ,$10.23 ,$31.79 ,$10.23 ,$28.61 ,$28.61 ,$10.23 ,$28.61 ,$21.09 , N/A , N/A ,$10.23 ,$38.60 ,$38.14 ,$10.23 ,$34.06 ,$36.33 ,$36.33 ,$10.23 ,$36.33 ,$39.51 ,$39.51 ,$39.51 ,$40.87 ,$26.10 ,$10.23 ,$45.41 ,$25.48 ,$10.23 ,$18.80 , N/A , N/A ,$10.74 ,$38.60 ,$28.61 ,$12.71 ,$40.87 ,$39.51 ,$36.33 ,$36.33 ,$10.23 ,$29.52 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETHRAL BARD 12FR FOLEY 2 WAY 2 OPPOSE EYE ROUND TIP NATURAL RUBBER HYDROPHOBIC SILICONE ELASTOMER 5CC STERILE LATEX DISPOSABLE,272,1 ,$4.84 ,$3.48 ,$1.09 ,$4.84 ,$2.78 ,$3.48 ,$2.63 ,$1.09 ,$1.36 ,$3.22 ,$1.09 ,$3.39 ,$1.09 ,$3.05 ,$3.05 ,$1.09 ,$3.05 ,$2.24 , N/A , N/A ,$1.09 ,$4.11 ,$4.07 ,$1.09 ,$3.63 ,$3.87 ,$3.87 ,$1.09 ,$3.87 ,$4.21 ,$4.21 ,$4.21 ,$4.36 ,$2.78 ,$1.09 ,$4.84 ,$2.72 ,$1.09 ,$2.00 , N/A , N/A ,$1.15 ,$4.11 ,$3.05 ,$1.36 ,$4.36 ,$4.21 ,$3.87 ,$3.87 ,$1.09 ,$3.15 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETHRAL BARDEX LUBRICATH 18FR STANDARD FOLEY 3 WAY 2 STAGGER DRAINAGE EYE MEDIUM ROUND TIP NATURAL RUBBER HYDROGEL 30CC STERILE LATEX DISPOSABLE,272,1 ,$21.18 ,$15.25 ,$4.77 ,$21.18 ,$12.18 ,$15.25 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.83 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 , N/A , N/A ,$4.77 ,$18.00 ,$17.79 ,$4.77 ,$15.89 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.43 ,$18.43 ,$18.43 ,$19.06 ,$12.18 ,$4.77 ,$21.18 ,$11.88 ,$4.77 ,$8.77 , N/A , N/A ,$5.01 ,$18.00 ,$13.34 ,$5.93 ,$19.06 ,$18.43 ,$16.94 ,$16.94 ,$4.77 ,$13.77 ST. FRANCIS HOSPITAL - ACUTE,27271758,C1758,CATHETER URETHRAL PUREWICK FREE FEMALE,272,1 ,$23.45 ,$16.88 ,$5.28 ,$23.45 ,$13.48 ,$16.88 ,$12.76 ,$5.28 ,$6.57 ,$15.59 ,$5.28 ,$16.42 ,$5.28 ,$14.77 ,$14.77 ,$5.28 ,$14.77 ,$10.89 , N/A , N/A ,$5.28 ,$19.93 ,$19.70 ,$5.28 ,$17.59 ,$18.76 ,$18.76 ,$5.28 ,$18.76 ,$20.40 ,$20.40 ,$20.40 ,$21.11 ,$13.48 ,$5.28 ,$23.45 ,$13.16 ,$5.28 ,$9.71 , N/A , N/A ,$5.55 ,$19.93 ,$14.77 ,$6.57 ,$21.11 ,$20.40 ,$18.76 ,$18.76 ,$5.28 ,$15.24 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHO 800MM 2.2MM HUM,272,1 ,$399.60 ,$287.71 ,$90.07 ,$399.60 ,$229.78 ,$287.71 ,$217.38 ,$90.07 ,$111.89 ,$265.73 ,$90.07 ,$279.72 ,$90.07 ,$251.75 ,$251.75 ,$90.07 ,$251.75 ,$185.66 , N/A , N/A ,$90.07 ,$339.66 ,$335.66 ,$90.07 ,$299.70 ,$319.68 ,$319.68 ,$90.07 ,$319.68 ,$347.65 ,$347.65 ,$347.65 ,$359.64 ,$229.78 ,$90.07 ,$399.60 ,$224.18 ,$90.07 ,$165.43 , N/A , N/A ,$94.58 ,$339.66 ,$251.75 ,$111.89 ,$359.64 ,$347.65 ,$319.68 ,$319.68 ,$90.07 ,$259.74 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHOPEDIC 300MM 3.2MM ASNIS III THREAD 6.5/8MM SCREW NONSTERILE,272,1 ,$111.60 ,$80.35 ,$25.16 ,$111.60 ,$64.18 ,$80.35 ,$60.71 ,$25.16 ,$31.25 ,$74.21 ,$25.16 ,$78.12 ,$25.16 ,$70.31 ,$70.31 ,$25.16 ,$70.31 ,$51.85 , N/A , N/A ,$25.16 ,$94.86 ,$93.74 ,$25.16 ,$83.70 ,$89.28 ,$89.28 ,$25.16 ,$89.28 ,$97.09 ,$97.09 ,$97.09 ,$100.44 ,$64.18 ,$25.16 ,$111.60 ,$62.61 ,$25.16 ,$46.20 , N/A , N/A ,$26.41 ,$94.86 ,$70.31 ,$31.25 ,$100.44 ,$97.09 ,$89.28 ,$89.28 ,$25.16 ,$72.54 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHOPEDIC 300MM 3.2MM ASNIS III 6.5/8MM SCREW NONSTERILE,272,1 ,$111.60 ,$80.35 ,$25.16 ,$111.60 ,$64.18 ,$80.35 ,$60.71 ,$25.16 ,$31.25 ,$74.21 ,$25.16 ,$78.12 ,$25.16 ,$70.31 ,$70.31 ,$25.16 ,$70.31 ,$51.85 , N/A , N/A ,$25.16 ,$94.86 ,$93.74 ,$25.16 ,$83.70 ,$89.28 ,$89.28 ,$25.16 ,$89.28 ,$97.09 ,$97.09 ,$97.09 ,$100.44 ,$64.18 ,$25.16 ,$111.60 ,$62.61 ,$25.16 ,$46.20 , N/A , N/A ,$26.41 ,$94.86 ,$70.31 ,$31.25 ,$100.44 ,$97.09 ,$89.28 ,$89.28 ,$25.16 ,$72.54 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHOPEDIC 5.91IN .045IN TROCAR TIP,272,1 ,$21.00 ,$15.12 ,$4.73 ,$21.00 ,$12.08 ,$15.12 ,$11.42 ,$4.73 ,$5.88 ,$13.97 ,$4.73 ,$14.70 ,$4.73 ,$13.23 ,$13.23 ,$4.73 ,$13.23 ,$9.76 , N/A , N/A ,$4.73 ,$17.85 ,$17.64 ,$4.73 ,$15.75 ,$16.80 ,$16.80 ,$4.73 ,$16.80 ,$18.27 ,$18.27 ,$18.27 ,$18.90 ,$12.08 ,$4.73 ,$21.00 ,$11.78 ,$4.73 ,$8.69 , N/A , N/A ,$4.97 ,$17.85 ,$13.23 ,$5.88 ,$18.90 ,$18.27 ,$16.80 ,$16.80 ,$4.73 ,$13.65 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHOPEDIC 7IN .054IN STAINLESS STEEL TROCAR,272,1 ,$57.00 ,$41.04 ,$12.85 ,$57.00 ,$32.78 ,$41.04 ,$31.01 ,$12.85 ,$15.96 ,$37.91 ,$12.85 ,$39.90 ,$12.85 ,$35.91 ,$35.91 ,$12.85 ,$35.91 ,$26.48 , N/A , N/A ,$12.85 ,$48.45 ,$47.88 ,$12.85 ,$42.75 ,$45.60 ,$45.60 ,$12.85 ,$45.60 ,$49.59 ,$49.59 ,$49.59 ,$51.30 ,$32.78 ,$12.85 ,$57.00 ,$31.98 ,$12.85 ,$23.60 , N/A , N/A ,$13.49 ,$48.45 ,$35.91 ,$15.96 ,$51.30 ,$49.59 ,$45.60 ,$45.60 ,$12.85 ,$37.05 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ORTHOPEDIC 800MM 2.5MM T2 TITANIUM BALL TIP HUMERAL NAIL SYSTEM STERILE,272,1 ,$410.40 ,$295.49 ,$92.50 ,$410.40 ,$235.98 ,$295.49 ,$223.26 ,$92.50 ,$114.91 ,$272.92 ,$92.50 ,$287.28 ,$92.50 ,$258.55 ,$258.55 ,$92.50 ,$258.55 ,$190.67 , N/A , N/A ,$92.50 ,$348.84 ,$344.74 ,$92.50 ,$307.80 ,$328.32 ,$328.32 ,$92.50 ,$328.32 ,$357.05 ,$357.05 ,$357.05 ,$369.36 ,$235.98 ,$92.50 ,$410.40 ,$230.23 ,$92.50 ,$169.91 , N/A , N/A ,$97.13 ,$348.84 ,$258.55 ,$114.91 ,$369.36 ,$357.05 ,$328.32 ,$328.32 ,$92.50 ,$266.76 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE SENSOR .035 X 150CM,272,1 ,$109.37 ,$78.75 ,$24.66 ,$109.37 ,$62.90 ,$78.75 ,$59.50 ,$24.66 ,$30.62 ,$72.73 ,$24.66 ,$76.56 ,$24.66 ,$68.90 ,$68.90 ,$24.66 ,$68.90 ,$50.82 , N/A , N/A ,$24.66 ,$92.96 ,$91.87 ,$24.66 ,$82.03 ,$87.50 ,$87.50 ,$24.66 ,$87.50 ,$95.15 ,$95.15 ,$95.15 ,$98.43 ,$62.90 ,$24.66 ,$109.37 ,$61.36 ,$24.66 ,$45.28 , N/A , N/A ,$25.89 ,$92.96 ,$68.90 ,$30.62 ,$98.43 ,$95.15 ,$87.50 ,$87.50 ,$24.66 ,$71.09 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE STRYKER 2 X 150MM,272,1 ,$175.20 ,$126.14 ,$39.49 ,$175.20 ,$100.75 ,$126.14 ,$95.31 ,$39.49 ,$49.06 ,$116.51 ,$39.49 ,$122.64 ,$39.49 ,$110.38 ,$110.38 ,$39.49 ,$110.38 ,$81.41 , N/A , N/A ,$39.49 ,$148.92 ,$147.17 ,$39.49 ,$131.40 ,$140.16 ,$140.16 ,$39.49 ,$140.16 ,$152.42 ,$152.42 ,$152.42 ,$157.68 ,$100.75 ,$39.49 ,$175.20 ,$98.29 ,$39.49 ,$72.53 , N/A , N/A ,$41.47 ,$148.92 ,$110.38 ,$49.06 ,$157.68 ,$152.42 ,$140.16 ,$140.16 ,$39.49 ,$113.88 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE STRYKER,272,1 ,$175.20 ,$126.14 ,$39.49 ,$175.20 ,$100.75 ,$126.14 ,$95.31 ,$39.49 ,$49.06 ,$116.51 ,$39.49 ,$122.64 ,$39.49 ,$110.38 ,$110.38 ,$39.49 ,$110.38 ,$81.41 , N/A , N/A ,$39.49 ,$148.92 ,$147.17 ,$39.49 ,$131.40 ,$140.16 ,$140.16 ,$39.49 ,$140.16 ,$152.42 ,$152.42 ,$152.42 ,$157.68 ,$100.75 ,$39.49 ,$175.20 ,$98.29 ,$39.49 ,$72.53 , N/A , N/A ,$41.47 ,$148.92 ,$110.38 ,$49.06 ,$157.68 ,$152.42 ,$140.16 ,$140.16 ,$39.49 ,$113.88 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE STRYKER GAMMA 3 BALL TIP 3X1000MM,272,1 ,$441.60 ,$317.95 ,$99.54 ,$441.60 ,$253.93 ,$317.95 ,$240.23 ,$99.54 ,$123.65 ,$293.66 ,$99.54 ,$309.12 ,$99.54 ,$278.21 ,$278.21 ,$99.54 ,$278.21 ,$205.17 , N/A , N/A ,$99.54 ,$375.36 ,$370.94 ,$99.54 ,$331.20 ,$353.28 ,$353.28 ,$99.54 ,$353.28 ,$384.19 ,$384.19 ,$384.19 ,$397.44 ,$253.93 ,$99.54 ,$441.60 ,$247.74 ,$99.54 ,$182.82 , N/A , N/A ,$104.52 ,$375.36 ,$278.21 ,$123.65 ,$397.44 ,$384.19 ,$353.28 ,$353.28 ,$99.54 ,$287.04 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE UROLOGICAL 145CM .038IN AMPLATZ SUPER STIFF BENTSON STRAIGHT PTFE FLAT WIRE OUTER COIL 6CM LATEX FREE,272,1 ,$66.05 ,$47.56 ,$14.89 ,$66.05 ,$37.98 ,$47.56 ,$35.93 ,$14.89 ,$18.49 ,$43.92 ,$14.89 ,$46.24 ,$14.89 ,$41.61 ,$41.61 ,$14.89 ,$41.61 ,$30.68 , N/A , N/A ,$14.89 ,$56.14 ,$55.48 ,$14.89 ,$49.54 ,$52.84 ,$52.84 ,$14.89 ,$52.84 ,$57.46 ,$57.46 ,$57.46 ,$59.45 ,$37.98 ,$14.89 ,$66.05 ,$37.05 ,$14.89 ,$27.34 , N/A , N/A ,$15.63 ,$56.14 ,$41.61 ,$18.49 ,$59.45 ,$57.46 ,$52.84 ,$52.84 ,$14.89 ,$42.93 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE VASCULAR 5 3/8IN .018IN SPRING TUBE ASSEMBLY STERILE LATEX FREE DISPOSABLE,272,1 ,$19.80 ,$14.26 ,$4.46 ,$19.80 ,$11.38 ,$14.26 ,$10.77 ,$4.46 ,$5.54 ,$13.17 ,$4.46 ,$13.86 ,$4.46 ,$12.47 ,$12.47 ,$4.46 ,$12.47 ,$9.19 , N/A , N/A ,$4.46 ,$16.83 ,$16.63 ,$4.46 ,$14.85 ,$15.84 ,$15.84 ,$4.46 ,$15.84 ,$17.23 ,$17.23 ,$17.23 ,$17.82 ,$11.38 ,$4.46 ,$19.80 ,$11.11 ,$4.46 ,$8.20 , N/A , N/A ,$4.68 ,$16.83 ,$12.47 ,$5.54 ,$17.82 ,$17.23 ,$15.84 ,$15.84 ,$4.46 ,$12.87 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,GUIDEWIRE ZIPWIRE BOSTON SCI.035IN X 150CM LF,272,1 ,$142.55 ,$102.64 ,$32.13 ,$142.55 ,$81.98 ,$102.64 ,$77.55 ,$32.13 ,$39.91 ,$94.80 ,$32.13 ,$99.79 ,$32.13 ,$89.81 ,$89.81 ,$32.13 ,$89.81 ,$66.24 , N/A , N/A ,$32.13 ,$121.17 ,$119.74 ,$32.13 ,$106.91 ,$114.04 ,$114.04 ,$32.13 ,$114.04 ,$124.02 ,$124.02 ,$124.02 ,$128.30 ,$81.98 ,$32.13 ,$142.55 ,$79.97 ,$32.13 ,$59.02 , N/A , N/A ,$33.74 ,$121.17 ,$89.81 ,$39.91 ,$128.30 ,$124.02 ,$114.04 ,$114.04 ,$32.13 ,$92.66 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE 229MM 1.6MM KIRSCH SS 2,272,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 , N/A , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE 15.2CM 1.6MM KIRSCH SS 2,272,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 , N/A , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE 229MM 1.1MM KIRSCH SS 2,272,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 , N/A , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE ARTHREX SUTURE PASSING,272,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 , N/A , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE GUIDE DEPUY 1.5,272,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 , N/A , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE GUIDE SYNTHES 2.8 THREADED TROCAR POINT 300MM,272,1 ,$129.00 ,$92.88 ,$29.08 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 , N/A , N/A ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 , N/A , N/A ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE K STRYKER GAMMA 3 3.2X450MM,272,1 ,$290.40 ,$209.09 ,$65.45 ,$290.40 ,$166.98 ,$209.09 ,$157.98 ,$65.45 ,$81.31 ,$193.12 ,$65.45 ,$203.28 ,$65.45 ,$182.95 ,$182.95 ,$65.45 ,$182.95 ,$134.92 , N/A , N/A ,$65.45 ,$246.84 ,$243.94 ,$65.45 ,$217.80 ,$232.32 ,$232.32 ,$65.45 ,$232.32 ,$252.65 ,$252.65 ,$252.65 ,$261.36 ,$166.98 ,$65.45 ,$290.40 ,$162.91 ,$65.45 ,$120.23 , N/A , N/A ,$68.73 ,$246.84 ,$182.95 ,$81.31 ,$261.36 ,$252.65 ,$232.32 ,$232.32 ,$65.45 ,$188.76 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE KIRSCHNER OLIVE TIP STRYKER,272,1 ,$73.20 ,$52.70 ,$16.50 ,$73.20 ,$42.10 ,$52.70 ,$39.82 ,$16.50 ,$20.50 ,$48.68 ,$16.50 ,$51.24 ,$16.50 ,$46.12 ,$46.12 ,$16.50 ,$46.12 ,$34.02 , N/A , N/A ,$16.50 ,$62.22 ,$61.49 ,$16.50 ,$54.90 ,$58.56 ,$58.56 ,$16.50 ,$58.56 ,$63.68 ,$63.68 ,$63.68 ,$65.88 ,$42.10 ,$16.50 ,$73.20 ,$41.07 ,$16.50 ,$30.30 , N/A , N/A ,$17.33 ,$62.22 ,$46.12 ,$20.50 ,$65.88 ,$63.68 ,$58.56 ,$58.56 ,$16.50 ,$47.58 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE KIRSCHNER STRYKER T2 3 X 285MM,272,1 ,$276.00 ,$198.72 ,$62.21 ,$276.00 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 , N/A , N/A ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 , N/A , N/A ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE KIRSCHNER VARIAX FOOT SYSTEM STRYKER 1.4MMX 270MM,272,1 ,$46.80 ,$33.70 ,$10.54 ,$46.80 ,$26.90 ,$33.70 ,$25.46 ,$10.54 ,$13.10 ,$31.12 ,$10.54 ,$32.76 ,$10.54 ,$29.48 ,$29.48 ,$10.54 ,$29.48 ,$21.74 , N/A , N/A ,$10.54 ,$39.78 ,$39.31 ,$10.54 ,$35.10 ,$37.44 ,$37.44 ,$10.54 ,$37.44 ,$40.72 ,$40.72 ,$40.72 ,$42.12 ,$26.90 ,$10.54 ,$46.80 ,$26.25 ,$10.54 ,$19.38 , N/A , N/A ,$11.07 ,$39.78 ,$29.48 ,$13.10 ,$42.12 ,$40.72 ,$37.44 ,$37.44 ,$10.54 ,$30.42 ST. FRANCIS HOSPITAL - ACUTE,27271769,C1769,WIRE STRYKER T2K FOR CONDYLE SCREWS,272,1 ,$271.20 ,$195.26 ,$61.13 ,$271.20 ,$155.95 ,$195.26 ,$147.53 ,$61.13 ,$75.94 ,$180.35 ,$61.13 ,$189.84 ,$61.13 ,$170.86 ,$170.86 ,$61.13 ,$170.86 ,$126.01 , N/A , N/A ,$61.13 ,$230.52 ,$227.81 ,$61.13 ,$203.40 ,$216.96 ,$216.96 ,$61.13 ,$216.96 ,$235.94 ,$235.94 ,$235.94 ,$244.08 ,$155.95 ,$61.13 ,$271.20 ,$152.14 ,$61.13 ,$112.28 , N/A , N/A ,$64.19 ,$230.52 ,$170.86 ,$75.94 ,$244.08 ,$235.94 ,$216.96 ,$216.96 ,$61.13 ,$176.28 ST. FRANCIS HOSPITAL - ACUTE,27271894,C1894,KIT CATHETER SURESTEP REPLACEMENT ORANGE,272,1 ,$9.53 ,$6.86 ,$2.15 ,$9.53 ,$5.48 ,$6.86 ,$5.18 ,$2.15 ,$2.67 ,$6.34 ,$2.15 ,$6.67 ,$2.15 ,$6.00 ,$6.00 ,$2.15 ,$6.00 ,$4.42 , N/A , N/A ,$2.15 ,$8.10 ,$8.01 ,$2.15 ,$7.15 ,$7.62 ,$7.62 ,$2.15 ,$7.62 ,$8.29 ,$8.29 ,$8.29 ,$8.58 ,$5.48 ,$2.15 ,$9.53 ,$5.35 ,$2.15 ,$3.95 , N/A , N/A ,$2.25 ,$8.10 ,$6.00 ,$2.67 ,$8.58 ,$8.29 ,$7.62 ,$7.62 ,$2.15 ,$6.19 ST. FRANCIS HOSPITAL - ACUTE,27271894,C1894,SHEATH ACCESS URETERAL NAVIGATOR HD 13/15FR X 36CM,272,1 ,$298.74 ,$215.09 ,$67.34 ,$298.74 ,$171.78 ,$215.09 ,$162.51 ,$67.34 ,$83.65 ,$198.66 ,$67.34 ,$209.12 ,$67.34 ,$188.21 ,$188.21 ,$67.34 ,$188.21 ,$138.79 , N/A , N/A ,$67.34 ,$253.93 ,$250.94 ,$67.34 ,$224.06 ,$238.99 ,$238.99 ,$67.34 ,$238.99 ,$259.90 ,$259.90 ,$259.90 ,$268.87 ,$171.78 ,$67.34 ,$298.74 ,$167.59 ,$67.34 ,$123.68 , N/A , N/A ,$70.71 ,$253.93 ,$188.21 ,$83.65 ,$268.87 ,$259.90 ,$238.99 ,$238.99 ,$67.34 ,$194.18 ST. FRANCIS HOSPITAL - ACUTE,27271894,C1894,SHEATH URETERAL ACCESS 11/13*36CM NAVIGATOR,272,1 ,$278.61 ,$200.60 ,$62.80 ,$278.61 ,$160.20 ,$200.60 ,$151.56 ,$62.80 ,$78.01 ,$185.28 ,$62.80 ,$195.03 ,$62.80 ,$175.52 ,$175.52 ,$62.80 ,$175.52 ,$129.44 , N/A , N/A ,$62.80 ,$236.82 ,$234.03 ,$62.80 ,$208.96 ,$222.89 ,$222.89 ,$62.80 ,$222.89 ,$242.39 ,$242.39 ,$242.39 ,$250.75 ,$160.20 ,$62.80 ,$278.61 ,$156.30 ,$62.80 ,$115.34 , N/A , N/A ,$65.93 ,$236.82 ,$175.52 ,$78.01 ,$250.75 ,$242.39 ,$222.89 ,$222.89 ,$62.80 ,$181.10 ST. FRANCIS HOSPITAL - ACUTE,27400006,L0150,HC PHILADELPHA COLLAR,274,1 ,$136.00 ,$97.92 ,$30.65 ,$313.50 ,$78.20 ,$97.92 ,$73.98 ,$30.65 ,$38.08 ,$90.44 ,$30.65 ,$95.20 ,$30.65 ,$85.68 ,$85.68 ,$30.65 ,$85.68 ,$63.19 ,$125.12 ,$313.50 ,$30.65 ,$115.60 ,$114.24 ,$30.65 ,$102.00 ,$108.80 ,$108.80 ,$30.65 ,$108.80 ,$118.32 ,$118.32 ,$118.32 ,$122.40 ,$78.20 ,$30.65 ,$136.00 ,$76.30 ,$30.65 ,$56.30 , N/A , N/A ,$32.18 ,$115.60 ,$85.68 ,$38.08 ,$122.40 ,$118.32 ,$108.80 ,$108.80 ,$30.65 ,$88.40 ST. FRANCIS HOSPITAL - ACUTE,27400044,L3908,HC COCK UP WRIST SPLINT/FIT AND ADJ,274,1 ,$78.00 ,$56.16 ,$17.58 ,$192.04 ,$44.85 ,$56.16 ,$42.43 ,$17.58 ,$21.84 ,$51.87 ,$17.58 ,$54.60 ,$17.58 ,$49.14 ,$49.14 ,$17.58 ,$49.14 ,$36.24 ,$71.76 ,$192.04 ,$17.58 ,$66.30 ,$65.52 ,$17.58 ,$58.50 ,$62.40 ,$62.40 ,$17.58 ,$62.40 ,$67.86 ,$67.86 ,$67.86 ,$70.20 ,$44.85 ,$17.58 ,$78.00 ,$43.76 ,$17.58 ,$32.29 , N/A , N/A ,$18.46 ,$66.30 ,$49.14 ,$21.84 ,$70.20 ,$67.86 ,$62.40 ,$62.40 ,$17.58 ,$50.70 ST. FRANCIS HOSPITAL - ACUTE,27400128,L1930,HC AFO ANKLE BRACE CUSTOM,274,1 ,$187.00 ,$134.64 ,$42.15 ,$671.32 ,$107.53 ,$134.64 ,$101.73 ,$42.15 ,$52.36 ,$124.36 ,$42.15 ,$130.90 ,$42.15 ,$117.81 ,$117.81 ,$42.15 ,$117.81 ,$86.88 ,$172.04 ,$671.32 ,$42.15 ,$158.95 ,$157.08 ,$42.15 ,$140.25 ,$149.60 ,$149.60 ,$42.15 ,$149.60 ,$162.69 ,$162.69 ,$162.69 ,$168.30 ,$107.53 ,$42.15 ,$187.00 ,$104.91 ,$42.15 ,$77.42 , N/A , N/A ,$44.26 ,$158.95 ,$117.81 ,$52.36 ,$168.30 ,$162.69 ,$149.60 ,$149.60 ,$42.15 ,$121.55 ST. FRANCIS HOSPITAL - ACUTE,27800553,A4648,HC TISSUE MARKER IMPLANTABLE,278,1 ,$238.00 ,$171.36 ,$53.65 ,$238.00 ,$136.85 ,$171.36 ,$129.47 ,$53.65 ,$66.64 ,$158.27 ,$53.65 ,$166.60 ,$53.65 ,$149.94 ,$149.94 ,$53.65 ,$149.94 ,$110.57 ,$218.96 , N/A ,$53.65 ,$202.30 ,$199.92 ,$53.65 ,$178.50 ,$190.40 ,$190.40 ,$53.65 ,$190.40 ,$207.06 ,$207.06 ,$207.06 ,$214.20 ,$136.85 ,$53.65 ,$238.00 ,$133.52 ,$53.65 ,$98.53 , N/A , N/A ,$56.33 ,$202.30 ,$149.94 ,$66.64 ,$214.20 ,$207.06 ,$190.40 ,$190.40 ,$53.65 ,$154.70 ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,CEMENT HYDROSET 10CC,278,1 ,"$6,906.69 ","$4,972.82 ","$1,556.77 ","$6,906.69 ","$3,971.35 ","$4,972.82 ","$3,757.24 ","$1,556.77 ","$1,933.87 ","$4,592.95 ","$1,556.77 ","$4,834.68 ","$1,556.77 ","$4,351.21 ","$4,351.21 ","$1,556.77 ","$4,351.21 ","$3,208.85 ","$6,354.15 ", N/A ,"$1,556.77 ","$5,870.69 ","$5,801.62 ","$1,556.77 ","$5,180.02 ","$5,525.35 ","$5,525.35 ","$1,556.77 ","$5,525.35 ","$6,008.82 ","$6,008.82 ","$6,008.82 ","$6,216.02 ","$3,971.35 ","$1,556.77 ","$6,906.69 ","$3,874.65 ","$1,556.77 ","$2,859.37 ", N/A , N/A ,"$1,634.61 ","$5,870.69 ","$4,351.21 ","$1,933.87 ","$6,216.02 ","$6,008.82 ","$5,525.35 ","$5,525.35 ","$1,556.77 ","$4,489.35 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,CLIP CARTRIDGE SMALL HORIZON RED,278,1 ,$6.17 ,$4.44 ,$1.39 ,$6.17 ,$3.55 ,$4.44 ,$3.36 ,$1.39 ,$1.73 ,$4.10 ,$1.39 ,$4.32 ,$1.39 ,$3.89 ,$3.89 ,$1.39 ,$3.89 ,$2.87 ,$5.68 , N/A ,$1.39 ,$5.24 ,$5.18 ,$1.39 ,$4.63 ,$4.94 ,$4.94 ,$1.39 ,$4.94 ,$5.37 ,$5.37 ,$5.37 ,$5.55 ,$3.55 ,$1.39 ,$6.17 ,$3.46 ,$1.39 ,$2.55 , N/A , N/A ,$1.46 ,$5.24 ,$3.89 ,$1.73 ,$5.55 ,$5.37 ,$4.94 ,$4.94 ,$1.39 ,$4.01 ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,FILLER BONE VOID CERAMENT 5CC,278,1 ,"$4,632.00 ","$3,335.04 ","$1,044.05 ","$4,632.00 ","$2,663.40 ","$3,335.04 ","$2,519.81 ","$1,044.05 ","$1,296.96 ","$3,080.28 ","$1,044.05 ","$3,242.40 ","$1,044.05 ","$2,918.16 ","$2,918.16 ","$1,044.05 ","$2,918.16 ","$2,152.03 ","$4,261.44 ", N/A ,"$1,044.05 ","$3,937.20 ","$3,890.88 ","$1,044.05 ","$3,474.00 ","$3,705.60 ","$3,705.60 ","$1,044.05 ","$3,705.60 ","$4,029.84 ","$4,029.84 ","$4,029.84 ","$4,168.80 ","$2,663.40 ","$1,044.05 ","$4,632.00 ","$2,598.55 ","$1,044.05 ","$1,917.65 ", N/A , N/A ,"$1,096.26 ","$3,937.20 ","$2,918.16 ","$1,296.96 ","$4,168.80 ","$4,029.84 ","$3,705.60 ","$3,705.60 ","$1,044.05 ","$3,010.80 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,GRAFT BONE ALLOMATRIX PUTTY WRIGHT MEDICAL 5ML,278,1 ,"$2,070.00 ","$1,490.40 ",$466.58 ,"$2,070.00 ","$1,190.25 ","$1,490.40 ","$1,126.08 ",$466.58 ,$579.60 ,"$1,376.55 ",$466.58 ,"$1,449.00 ",$466.58 ,"$1,304.10 ","$1,304.10 ",$466.58 ,"$1,304.10 ",$961.72 ,"$1,904.40 ", N/A ,$466.58 ,"$1,759.50 ","$1,738.80 ",$466.58 ,"$1,552.50 ","$1,656.00 ","$1,656.00 ",$466.58 ,"$1,656.00 ","$1,800.90 ","$1,800.90 ","$1,800.90 ","$1,863.00 ","$1,190.25 ",$466.58 ,"$2,070.00 ","$1,161.27 ",$466.58 ,$856.98 , N/A , N/A ,$489.91 ,"$1,759.50 ","$1,304.10 ",$579.60 ,"$1,863.00 ","$1,800.90 ","$1,656.00 ","$1,656.00 ",$466.58 ,"$1,345.50 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,GRAFT BONE CANCELLOUS 15ML 1-10MM FREEZE DRIED CHIPS,278,1 ,$578.43 ,$416.47 ,$130.38 ,$578.43 ,$332.60 ,$416.47 ,$314.67 ,$130.38 ,$161.96 ,$384.66 ,$130.38 ,$404.90 ,$130.38 ,$364.41 ,$364.41 ,$130.38 ,$364.41 ,$268.74 ,$532.16 , N/A ,$130.38 ,$491.67 ,$485.88 ,$130.38 ,$433.82 ,$462.74 ,$462.74 ,$130.38 ,$462.74 ,$503.23 ,$503.23 ,$503.23 ,$520.59 ,$332.60 ,$130.38 ,$578.43 ,$324.50 ,$130.38 ,$239.47 , N/A , N/A ,$136.90 ,$491.67 ,$364.41 ,$161.96 ,$520.59 ,$503.23 ,$462.74 ,$462.74 ,$130.38 ,$375.98 ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,GUIDEWIRE STRYKER BALL TIP STERILE 3.0 X 800MM,278,1 ,$422.40 ,$304.13 ,$95.21 ,$422.40 ,$242.88 ,$304.13 ,$229.79 ,$95.21 ,$118.27 ,$280.90 ,$95.21 ,$295.68 ,$95.21 ,$266.11 ,$266.11 ,$95.21 ,$266.11 ,$196.24 ,$388.61 , N/A ,$95.21 ,$359.04 ,$354.82 ,$95.21 ,$316.80 ,$337.92 ,$337.92 ,$95.21 ,$337.92 ,$367.49 ,$367.49 ,$367.49 ,$380.16 ,$242.88 ,$95.21 ,$422.40 ,$236.97 ,$95.21 ,$174.87 , N/A , N/A ,$99.97 ,$359.04 ,$266.11 ,$118.27 ,$380.16 ,$367.49 ,$337.92 ,$337.92 ,$95.21 ,$274.56 ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,IMPLANT REPAIR TIGHTROPE SYNDESMOSIS ARTHREX,278,1 ,"$3,525.00 ","$2,538.00 ",$794.53 ,"$3,525.00 ","$2,026.88 ","$2,538.00 ","$1,917.60 ",$794.53 ,$987.00 ,"$2,344.13 ",$794.53 ,"$2,467.50 ",$794.53 ,"$2,220.75 ","$2,220.75 ",$794.53 ,"$2,220.75 ","$1,637.72 ","$3,243.00 ", N/A ,$794.53 ,"$2,996.25 ","$2,961.00 ",$794.53 ,"$2,643.75 ","$2,820.00 ","$2,820.00 ",$794.53 ,"$2,820.00 ","$3,066.75 ","$3,066.75 ","$3,066.75 ","$3,172.50 ","$2,026.88 ",$794.53 ,"$3,525.00 ","$1,977.53 ",$794.53 ,"$1,459.35 ", N/A , N/A ,$834.26 ,"$2,996.25 ","$2,220.75 ",$987.00 ,"$3,172.50 ","$3,066.75 ","$2,820.00 ","$2,820.00 ",$794.53 ,"$2,291.25 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,SPACER HUMERAL DEPUY 9MM,278,1 ,"$1,800.00 ","$1,296.00 ",$405.72 ,"$1,800.00 ","$1,035.00 ","$1,296.00 ",$979.20 ,$405.72 ,$504.00 ,"$1,197.00 ",$405.72 ,"$1,260.00 ",$405.72 ,"$1,134.00 ","$1,134.00 ",$405.72 ,"$1,134.00 ",$836.28 ,"$1,656.00 ", N/A ,$405.72 ,"$1,530.00 ","$1,512.00 ",$405.72 ,"$1,350.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,440.00 ","$1,566.00 ","$1,566.00 ","$1,566.00 ","$1,620.00 ","$1,035.00 ",$405.72 ,"$1,800.00 ","$1,009.80 ",$405.72 ,$745.20 , N/A , N/A ,$426.01 ,"$1,530.00 ","$1,134.00 ",$504.00 ,"$1,620.00 ","$1,566.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,170.00 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,SYSTEM IMPLANT ACHILLES SPEEDBRIDGE ARTHREX,278,1 ,"$5,220.00 ","$3,758.40 ","$1,176.59 ","$5,220.00 ","$3,001.50 ","$3,758.40 ","$2,839.68 ","$1,176.59 ","$1,461.60 ","$3,471.30 ","$1,176.59 ","$3,654.00 ","$1,176.59 ","$3,288.60 ","$3,288.60 ","$1,176.59 ","$3,288.60 ","$2,425.21 ","$4,802.40 ", N/A ,"$1,176.59 ","$4,437.00 ","$4,384.80 ","$1,176.59 ","$3,915.00 ","$4,176.00 ","$4,176.00 ","$1,176.59 ","$4,176.00 ","$4,541.40 ","$4,541.40 ","$4,541.40 ","$4,698.00 ","$3,001.50 ","$1,176.59 ","$5,220.00 ","$2,928.42 ","$1,176.59 ","$2,161.08 ", N/A , N/A ,"$1,235.42 ","$4,437.00 ","$3,288.60 ","$1,461.60 ","$4,698.00 ","$4,541.40 ","$4,176.00 ","$4,176.00 ","$1,176.59 ","$3,393.00 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,TRAY CEMENTED REVISION DEPUY 2.5,278,1 ,"$12,811.50 ","$9,224.28 ","$2,887.72 ","$12,811.50 ","$7,366.63 ","$9,224.28 ","$6,969.46 ","$2,887.72 ","$3,587.22 ","$8,519.65 ","$2,887.72 ","$8,968.05 ","$2,887.72 ","$8,071.25 ","$8,071.25 ","$2,887.72 ","$8,071.25 ","$5,952.23 ","$11,786.58 ", N/A ,"$2,887.72 ","$10,889.78 ","$10,761.66 ","$2,887.72 ","$9,608.63 ","$10,249.20 ","$10,249.20 ","$2,887.72 ","$10,249.20 ","$11,146.01 ","$11,146.01 ","$11,146.01 ","$11,530.35 ","$7,366.63 ","$2,887.72 ","$12,811.50 ","$7,187.25 ","$2,887.72 ","$5,303.96 ", N/A , N/A ,"$3,032.10 ","$10,889.78 ","$8,071.25 ","$3,587.22 ","$11,530.35 ","$11,146.01 ","$10,249.20 ","$10,249.20 ","$2,887.72 ","$8,327.48 " ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,TUBE EAR COLLAR BUTTON FLUOROPLASTIC GYRUS,278,1 ,$47.00 ,$33.84 ,$10.59 ,$47.00 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$31.26 ,$10.59 ,$32.90 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 , N/A ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 , N/A , N/A ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,27870000,N/A,TUBE VENTILATION BLUE 4.8MM 1.32MM T EAR SILICONE SHORT FLANGE MODIFY MYRINGOTOMY STERILE,278,1 ,$121.00 ,$87.12 ,$27.27 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$80.47 ,$27.27 ,$84.70 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 , N/A ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 , N/A , N/A ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ADAPTER FEMORAL PFC SIGMA NEUTRAL KNEE BOLT STERILE,278,1 ,$787.50 ,$567.00 ,$177.51 ,$787.50 ,$452.83 ,$567.00 ,$428.40 ,$177.51 ,$220.50 ,$523.69 ,$177.51 ,$551.25 ,$177.51 ,$496.13 ,$496.13 ,$177.51 ,$496.13 ,$365.88 ,$724.50 , N/A ,$177.51 ,$669.38 ,$661.50 ,$177.51 ,$590.63 ,$630.00 ,$630.00 ,$177.51 ,$630.00 ,$685.13 ,$685.13 ,$685.13 ,$708.75 ,$452.83 ,$177.51 ,$787.50 ,$441.79 ,$177.51 ,$326.03 , N/A , N/A ,$186.39 ,$669.38 ,$496.13 ,$220.50 ,$708.75 ,$685.13 ,$630.00 ,$630.00 ,$177.51 ,$511.88 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ADAPTER FEMORAL PFC SIGMA +2/-2MM OFFSET KNEE BOLT STERILE,278,1 ,$787.50 ,$567.00 ,$177.51 ,$787.50 ,$452.83 ,$567.00 ,$428.40 ,$177.51 ,$220.50 ,$523.69 ,$177.51 ,$551.25 ,$177.51 ,$496.13 ,$496.13 ,$177.51 ,$496.13 ,$365.88 ,$724.50 , N/A ,$177.51 ,$669.38 ,$661.50 ,$177.51 ,$590.63 ,$630.00 ,$630.00 ,$177.51 ,$630.00 ,$685.13 ,$685.13 ,$685.13 ,$708.75 ,$452.83 ,$177.51 ,$787.50 ,$441.79 ,$177.51 ,$326.03 , N/A , N/A ,$186.39 ,$669.38 ,$496.13 ,$220.50 ,$708.75 ,$685.13 ,$630.00 ,$630.00 ,$177.51 ,$511.88 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR ARTHREX BIO COMPOSITE SUTURETAK,278,1 ,$960.00 ,$691.20 ,$216.38 ,$960.00 ,$552.00 ,$691.20 ,$522.24 ,$216.38 ,$268.80 ,$638.40 ,$216.38 ,$672.00 ,$216.38 ,$604.80 ,$604.80 ,$216.38 ,$604.80 ,$446.02 ,$883.20 , N/A ,$216.38 ,$816.00 ,$806.40 ,$216.38 ,$720.00 ,$768.00 ,$768.00 ,$216.38 ,$768.00 ,$835.20 ,$835.20 ,$835.20 ,$864.00 ,$552.00 ,$216.38 ,$960.00 ,$538.56 ,$216.38 ,$397.44 , N/A , N/A ,$227.20 ,$816.00 ,$604.80 ,$268.80 ,$864.00 ,$835.20 ,$768.00 ,$768.00 ,$216.38 ,$624.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR PEG DEPUY GLENOID 52MM,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR PEG DEPUY GLENOID 48MM,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE 3.9MM 2 CORKSCREW KNOTLESS PEEK 10.2MM,278,1 ,"$1,155.00 ",$831.60 ,$260.34 ,"$1,155.00 ",$664.13 ,$831.60 ,$628.32 ,$260.34 ,$323.40 ,$768.08 ,$260.34 ,$808.50 ,$260.34 ,$727.65 ,$727.65 ,$260.34 ,$727.65 ,$536.61 ,"$1,062.60 ", N/A ,$260.34 ,$981.75 ,$970.20 ,$260.34 ,$866.25 ,$924.00 ,$924.00 ,$260.34 ,$924.00 ,"$1,004.85 ","$1,004.85 ","$1,004.85 ","$1,039.50 ",$664.13 ,$260.34 ,"$1,155.00 ",$647.96 ,$260.34 ,$478.17 , N/A , N/A ,$273.35 ,$981.75 ,$727.65 ,$323.40 ,"$1,039.50 ","$1,004.85 ",$924.00 ,$924.00 ,$260.34 ,$750.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE ARTHREX SWIVELOCK TIGERWIRE 4.75MM,278,1 ,"$1,251.00 ",$900.72 ,$281.98 ,"$1,251.00 ",$719.33 ,$900.72 ,$680.54 ,$281.98 ,$350.28 ,$831.92 ,$281.98 ,$875.70 ,$281.98 ,$788.13 ,$788.13 ,$281.98 ,$788.13 ,$581.21 ,"$1,150.92 ", N/A ,$281.98 ,"$1,063.35 ","$1,050.84 ",$281.98 ,$938.25 ,"$1,000.80 ","$1,000.80 ",$281.98 ,"$1,000.80 ","$1,088.37 ","$1,088.37 ","$1,088.37 ","$1,125.90 ",$719.33 ,$281.98 ,"$1,251.00 ",$701.81 ,$281.98 ,$517.91 , N/A , N/A ,$296.08 ,"$1,063.35 ",$788.13 ,$350.28 ,"$1,125.90 ","$1,088.37 ","$1,000.80 ","$1,000.80 ",$281.98 ,$813.15 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX WHITE/BLACK 4.75 X 19.1MM,278,1 ,"$1,410.00 ","$1,015.20 ",$317.81 ,"$1,410.00 ",$810.75 ,"$1,015.20 ",$767.04 ,$317.81 ,$394.80 ,$937.65 ,$317.81 ,$987.00 ,$317.81 ,$888.30 ,$888.30 ,$317.81 ,$888.30 ,$655.09 ,"$1,297.20 ", N/A ,$317.81 ,"$1,198.50 ","$1,184.40 ",$317.81 ,"$1,057.50 ","$1,128.00 ","$1,128.00 ",$317.81 ,"$1,128.00 ","$1,226.70 ","$1,226.70 ","$1,226.70 ","$1,269.00 ",$810.75 ,$317.81 ,"$1,410.00 ",$791.01 ,$317.81 ,$583.74 , N/A , N/A ,$333.71 ,"$1,198.50 ",$888.30 ,$394.80 ,"$1,269.00 ","$1,226.70 ","$1,128.00 ","$1,128.00 ",$317.81 ,$916.50 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK C ARTHREX,278,1 ,"$1,410.00 ","$1,015.20 ",$317.81 ,"$1,410.00 ",$810.75 ,"$1,015.20 ",$767.04 ,$317.81 ,$394.80 ,$937.65 ,$317.81 ,$987.00 ,$317.81 ,$888.30 ,$888.30 ,$317.81 ,$888.30 ,$655.09 ,"$1,297.20 ", N/A ,$317.81 ,"$1,198.50 ","$1,184.40 ",$317.81 ,"$1,057.50 ","$1,128.00 ","$1,128.00 ",$317.81 ,"$1,128.00 ","$1,226.70 ","$1,226.70 ","$1,226.70 ","$1,269.00 ",$810.75 ,$317.81 ,"$1,410.00 ",$791.01 ,$317.81 ,$583.74 , N/A , N/A ,$333.71 ,"$1,198.50 ",$888.30 ,$394.80 ,"$1,269.00 ","$1,226.70 ","$1,128.00 ","$1,128.00 ",$317.81 ,$916.50 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE CORKSCREW ARTHREX 2.2MM,278,1 ,$855.00 ,$615.60 ,$192.72 ,$855.00 ,$491.63 ,$615.60 ,$465.12 ,$192.72 ,$239.40 ,$568.58 ,$192.72 ,$598.50 ,$192.72 ,$538.65 ,$538.65 ,$192.72 ,$538.65 ,$397.23 ,$786.60 , N/A ,$192.72 ,$726.75 ,$718.20 ,$192.72 ,$641.25 ,$684.00 ,$684.00 ,$192.72 ,$684.00 ,$743.85 ,$743.85 ,$743.85 ,$769.50 ,$491.63 ,$192.72 ,$855.00 ,$479.66 ,$192.72 ,$353.97 , N/A , N/A ,$202.35 ,$726.75 ,$538.65 ,$239.40 ,$769.50 ,$743.85 ,$684.00 ,$684.00 ,$192.72 ,$555.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE SWIVELOCK SELF PUNCH 24.5MM BIOCOMPOSITE,278,1 ,"$1,260.00 ",$907.20 ,$284.00 ,"$1,260.00 ",$724.50 ,$907.20 ,$685.44 ,$284.00 ,$352.80 ,$837.90 ,$284.00 ,$882.00 ,$284.00 ,$793.80 ,$793.80 ,$284.00 ,$793.80 ,$585.40 ,"$1,159.20 ", N/A ,$284.00 ,"$1,071.00 ","$1,058.40 ",$284.00 ,$945.00 ,"$1,008.00 ","$1,008.00 ",$284.00 ,"$1,008.00 ","$1,096.20 ","$1,096.20 ","$1,096.20 ","$1,134.00 ",$724.50 ,$284.00 ,"$1,260.00 ",$706.86 ,$284.00 ,$521.64 , N/A , N/A ,$298.20 ,"$1,071.00 ",$793.80 ,$352.80 ,"$1,134.00 ","$1,096.20 ","$1,008.00 ","$1,008.00 ",$284.00 ,$819.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE BIO-SWIVELOCK ARTHREX 5.5 X 24.5,278,1 ,"$1,260.00 ",$907.20 ,$284.00 ,"$1,260.00 ",$724.50 ,$907.20 ,$685.44 ,$284.00 ,$352.80 ,$837.90 ,$284.00 ,$882.00 ,$284.00 ,$793.80 ,$793.80 ,$284.00 ,$793.80 ,$585.40 ,"$1,159.20 ", N/A ,$284.00 ,"$1,071.00 ","$1,058.40 ",$284.00 ,$945.00 ,"$1,008.00 ","$1,008.00 ",$284.00 ,"$1,008.00 ","$1,096.20 ","$1,096.20 ","$1,096.20 ","$1,134.00 ",$724.50 ,$284.00 ,"$1,260.00 ",$706.86 ,$284.00 ,$521.64 , N/A , N/A ,$298.20 ,"$1,071.00 ",$793.80 ,$352.80 ,"$1,134.00 ","$1,096.20 ","$1,008.00 ","$1,008.00 ",$284.00 ,$819.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,BONE SCREW ARTHREX LOW PROFILE HEXALOBE LOCK 3.5MMx16MM,278,1 ,$255.00 ,$183.60 ,$57.48 ,$255.00 ,$146.63 ,$183.60 ,$138.72 ,$57.48 ,$71.40 ,$169.58 ,$57.48 ,$178.50 ,$57.48 ,$160.65 ,$160.65 ,$57.48 ,$160.65 ,$118.47 ,$234.60 , N/A ,$57.48 ,$216.75 ,$214.20 ,$57.48 ,$191.25 ,$204.00 ,$204.00 ,$57.48 ,$204.00 ,$221.85 ,$221.85 ,$221.85 ,$229.50 ,$146.63 ,$57.48 ,$255.00 ,$143.06 ,$57.48 ,$105.57 , N/A , N/A ,$60.35 ,$216.75 ,$160.65 ,$71.40 ,$229.50 ,$221.85 ,$204.00 ,$204.00 ,$57.48 ,$165.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,CEMENT BONE GMV GENTAMICIN 40G,278,1 ,$474.00 ,$341.28 ,$106.84 ,$474.00 ,$272.55 ,$341.28 ,$257.86 ,$106.84 ,$132.72 ,$315.21 ,$106.84 ,$331.80 ,$106.84 ,$298.62 ,$298.62 ,$106.84 ,$298.62 ,$220.22 ,$436.08 , N/A ,$106.84 ,$402.90 ,$398.16 ,$106.84 ,$355.50 ,$379.20 ,$379.20 ,$106.84 ,$379.20 ,$412.38 ,$412.38 ,$412.38 ,$426.60 ,$272.55 ,$106.84 ,$474.00 ,$265.91 ,$106.84 ,$196.24 , N/A , N/A ,$112.18 ,$402.90 ,$298.62 ,$132.72 ,$426.60 ,$412.38 ,$379.20 ,$379.20 ,$106.84 ,$308.10 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,CEMENT HYDROSET 3CC,278,1 ,"$2,240.40 ","$1,613.09 ",$504.98 ,"$2,240.40 ","$1,288.23 ","$1,613.09 ","$1,218.78 ",$504.98 ,$627.31 ,"$1,489.87 ",$504.98 ,"$1,568.28 ",$504.98 ,"$1,411.45 ","$1,411.45 ",$504.98 ,"$1,411.45 ","$1,040.89 ","$2,061.17 ", N/A ,$504.98 ,"$1,904.34 ","$1,881.94 ",$504.98 ,"$1,680.30 ","$1,792.32 ","$1,792.32 ",$504.98 ,"$1,792.32 ","$1,949.15 ","$1,949.15 ","$1,949.15 ","$2,016.36 ","$1,288.23 ",$504.98 ,"$2,240.40 ","$1,256.86 ",$504.98 ,$927.53 , N/A , N/A ,$530.23 ,"$1,904.34 ","$1,411.45 ",$627.31 ,"$2,016.36 ","$1,949.15 ","$1,792.32 ","$1,792.32 ",$504.98 ,"$1,456.26 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,CEMENT HYDROSET 5CC,278,1 ,"$3,593.01 ","$2,586.97 ",$809.86 ,"$3,593.01 ","$2,065.98 ","$2,586.97 ","$1,954.60 ",$809.86 ,"$1,006.04 ","$2,389.35 ",$809.86 ,"$2,515.11 ",$809.86 ,"$2,263.60 ","$2,263.60 ",$809.86 ,"$2,263.60 ","$1,669.31 ","$3,305.57 ", N/A ,$809.86 ,"$3,054.06 ","$3,018.13 ",$809.86 ,"$2,694.76 ","$2,874.41 ","$2,874.41 ",$809.86 ,"$2,874.41 ","$3,125.92 ","$3,125.92 ","$3,125.92 ","$3,233.71 ","$2,065.98 ",$809.86 ,"$3,593.01 ","$2,015.68 ",$809.86 ,"$1,487.51 ", N/A , N/A ,$850.36 ,"$3,054.06 ","$2,263.60 ","$1,006.04 ","$3,233.71 ","$3,125.92 ","$2,874.41 ","$2,874.41 ",$809.86 ,"$2,335.46 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,CEMENT SIMPLEX HV W/GENTAMICIN,278,1 ,$465.00 ,$334.80 ,$104.81 ,$465.00 ,$267.38 ,$334.80 ,$252.96 ,$104.81 ,$130.20 ,$309.23 ,$104.81 ,$325.50 ,$104.81 ,$292.95 ,$292.95 ,$104.81 ,$292.95 ,$216.04 ,$427.80 , N/A ,$104.81 ,$395.25 ,$390.60 ,$104.81 ,$348.75 ,$372.00 ,$372.00 ,$104.81 ,$372.00 ,$404.55 ,$404.55 ,$404.55 ,$418.50 ,$267.38 ,$104.81 ,$465.00 ,$260.87 ,$104.81 ,$192.51 , N/A , N/A ,$110.05 ,$395.25 ,$292.95 ,$130.20 ,$418.50 ,$404.55 ,$372.00 ,$372.00 ,$104.81 ,$302.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT ANCHOR ARTHREX BIO SWIVELOCK 4.75MM,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR ARTHREX PUSHLOCK BIOCOMPOSITE 2.9 X 12.5MM,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE ARTHREX BIO SWIVELOCK 3.5X15.8MM,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT ANCHOR SUT 5.5MM HEALIX BR OTHCRD SHLDR NDL,278,1 ,"$1,446.00 ","$1,041.12 ",$325.93 ,"$1,446.00 ",$831.45 ,"$1,041.12 ",$786.62 ,$325.93 ,$404.88 ,$961.59 ,$325.93 ,"$1,012.20 ",$325.93 ,$910.98 ,$910.98 ,$325.93 ,$910.98 ,$671.81 ,"$1,330.32 ", N/A ,$325.93 ,"$1,229.10 ","$1,214.64 ",$325.93 ,"$1,084.50 ","$1,156.80 ","$1,156.80 ",$325.93 ,"$1,156.80 ","$1,258.02 ","$1,258.02 ","$1,258.02 ","$1,301.40 ",$831.45 ,$325.93 ,"$1,446.00 ",$811.21 ,$325.93 ,$598.64 , N/A , N/A ,$342.23 ,"$1,229.10 ",$910.98 ,$404.88 ,"$1,301.40 ","$1,258.02 ","$1,156.80 ","$1,156.80 ",$325.93 ,$939.90 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT ARTHREX ANCHOR BIO-CORKSCREW 4.5MM,278,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT ANCHOR SUTURE BIOCORKSCREW 5.5MM W/FIBERWIRE,278,1 ,$975.00 ,$702.00 ,$219.76 ,$975.00 ,$560.63 ,$702.00 ,$530.40 ,$219.76 ,$273.00 ,$648.38 ,$219.76 ,$682.50 ,$219.76 ,$614.25 ,$614.25 ,$219.76 ,$614.25 ,$452.99 ,$897.00 , N/A ,$219.76 ,$828.75 ,$819.00 ,$219.76 ,$731.25 ,$780.00 ,$780.00 ,$219.76 ,$780.00 ,$848.25 ,$848.25 ,$848.25 ,$877.50 ,$560.63 ,$219.76 ,$975.00 ,$546.98 ,$219.76 ,$403.65 , N/A , N/A ,$230.75 ,$828.75 ,$614.25 ,$273.00 ,$877.50 ,$848.25 ,$780.00 ,$780.00 ,$219.76 ,$633.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT SYSTEM ARTHREX PROXIMAL TENODESIS,278,1 ,"$2,025.00 ","$1,458.00 ",$456.43 ,"$2,025.00 ","$1,164.38 ","$1,458.00 ","$1,101.60 ",$456.43 ,$567.00 ,"$1,346.63 ",$456.43 ,"$1,417.50 ",$456.43 ,"$1,275.75 ","$1,275.75 ",$456.43 ,"$1,275.75 ",$940.82 ,"$1,863.00 ", N/A ,$456.43 ,"$1,721.25 ","$1,701.00 ",$456.43 ,"$1,518.75 ","$1,620.00 ","$1,620.00 ",$456.43 ,"$1,620.00 ","$1,761.75 ","$1,761.75 ","$1,761.75 ","$1,822.50 ","$1,164.38 ",$456.43 ,"$2,025.00 ","$1,136.03 ",$456.43 ,$838.35 , N/A , N/A ,$479.26 ,"$1,721.25 ","$1,275.75 ",$567.00 ,"$1,822.50 ","$1,761.75 ","$1,620.00 ","$1,620.00 ",$456.43 ,"$1,316.25 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT TIGHTROPE ABS BUTTON ROUND 11MM CONCAVE ARTHREX,278,1 ,$672.00 ,$483.84 ,$151.47 ,$672.00 ,$386.40 ,$483.84 ,$365.57 ,$151.47 ,$188.16 ,$446.88 ,$151.47 ,$470.40 ,$151.47 ,$423.36 ,$423.36 ,$151.47 ,$423.36 ,$312.21 ,$618.24 , N/A ,$151.47 ,$571.20 ,$564.48 ,$151.47 ,$504.00 ,$537.60 ,$537.60 ,$151.47 ,$537.60 ,$584.64 ,$584.64 ,$584.64 ,$604.80 ,$386.40 ,$151.47 ,$672.00 ,$376.99 ,$151.47 ,$278.21 , N/A , N/A ,$159.04 ,$571.20 ,$423.36 ,$188.16 ,$604.80 ,$584.64 ,$537.60 ,$537.60 ,$151.47 ,$436.80 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,IMPLANT TIGHTROPE ABS OPEN ARTHREX,278,1 ,$582.00 ,$419.04 ,$131.18 ,$582.00 ,$334.65 ,$419.04 ,$316.61 ,$131.18 ,$162.96 ,$387.03 ,$131.18 ,$407.40 ,$131.18 ,$366.66 ,$366.66 ,$131.18 ,$366.66 ,$270.40 ,$535.44 , N/A ,$131.18 ,$494.70 ,$488.88 ,$131.18 ,$436.50 ,$465.60 ,$465.60 ,$131.18 ,$465.60 ,$506.34 ,$506.34 ,$506.34 ,$523.80 ,$334.65 ,$131.18 ,$582.00 ,$326.50 ,$131.18 ,$240.95 , N/A , N/A ,$137.74 ,$494.70 ,$366.66 ,$162.96 ,$523.80 ,$506.34 ,$465.60 ,$465.60 ,$131.18 ,$378.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,KIT ARTHREX MINI TIGHTROPE CMC,278,1 ,"$2,685.00 ","$1,933.20 ",$605.20 ,"$2,685.00 ","$1,543.88 ","$1,933.20 ","$1,460.64 ",$605.20 ,$751.80 ,"$1,785.53 ",$605.20 ,"$1,879.50 ",$605.20 ,"$1,691.55 ","$1,691.55 ",$605.20 ,"$1,691.55 ","$1,247.45 ","$2,470.20 ", N/A ,$605.20 ,"$2,282.25 ","$2,255.40 ",$605.20 ,"$2,013.75 ","$2,148.00 ","$2,148.00 ",$605.20 ,"$2,148.00 ","$2,335.95 ","$2,335.95 ","$2,335.95 ","$2,416.50 ","$1,543.88 ",$605.20 ,"$2,685.00 ","$1,506.29 ",$605.20 ,"$1,111.59 ", N/A , N/A ,$635.46 ,"$2,282.25 ","$1,691.55 ",$751.80 ,"$2,416.50 ","$2,335.95 ","$2,148.00 ","$2,148.00 ",$605.20 ,"$1,745.25 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,NAIL CONDYLAR T2 SUPRA STRYKER 12 X 200MM,278,1 ,"$4,633.02 ","$3,335.77 ","$1,044.28 ","$4,633.02 ","$2,663.98 ","$3,335.77 ","$2,520.36 ","$1,044.28 ","$1,297.25 ","$3,080.96 ","$1,044.28 ","$3,243.11 ","$1,044.28 ","$2,918.80 ","$2,918.80 ","$1,044.28 ","$2,918.80 ","$2,152.49 ","$4,262.38 ", N/A ,"$1,044.28 ","$3,938.07 ","$3,891.74 ","$1,044.28 ","$3,474.77 ","$3,706.42 ","$3,706.42 ","$1,044.28 ","$3,706.42 ","$4,030.73 ","$4,030.73 ","$4,030.73 ","$4,169.72 ","$2,663.98 ","$1,044.28 ","$4,633.02 ","$2,599.12 ","$1,044.28 ","$1,918.07 ", N/A , N/A ,"$1,096.49 ","$3,938.07 ","$2,918.80 ","$1,297.25 ","$4,169.72 ","$4,030.73 ","$3,706.42 ","$3,706.42 ","$1,044.28 ","$3,011.46 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,NAIL TROCHANTERIC STRYKER 11 X 180MM X 130 DEGREE,278,1 ,"$3,522.15 ","$2,535.95 ",$793.89 ,"$3,522.15 ","$2,025.23 ","$2,535.95 ","$1,916.05 ",$793.89 ,$986.20 ,"$2,342.23 ",$793.89 ,"$2,465.51 ",$793.89 ,"$2,218.95 ","$2,218.95 ",$793.89 ,"$2,218.95 ","$1,636.38 ","$3,240.38 ", N/A ,$793.89 ,"$2,993.83 ","$2,958.61 ",$793.89 ,"$2,641.61 ","$2,817.72 ","$2,817.72 ",$793.89 ,"$2,817.72 ","$3,064.27 ","$3,064.27 ","$3,064.27 ","$3,169.94 ","$2,025.23 ",$793.89 ,"$3,522.15 ","$1,975.93 ",$793.89 ,"$1,458.17 ", N/A , N/A ,$833.58 ,"$2,993.83 ","$2,218.95 ",$986.20 ,"$3,169.94 ","$3,064.27 ","$2,817.72 ","$2,817.72 ",$793.89 ,"$2,289.40 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,KIT STRYKER NAIL TROCHANTERIC 11MM X 180MM,278,1 ,"$3,522.15 ","$2,535.95 ",$793.89 ,"$3,522.15 ","$2,025.23 ","$2,535.95 ","$1,916.05 ",$793.89 ,$986.20 ,"$2,342.23 ",$793.89 ,"$2,465.51 ",$793.89 ,"$2,218.95 ","$2,218.95 ",$793.89 ,"$2,218.95 ","$1,636.38 ","$3,240.38 ", N/A ,$793.89 ,"$2,993.83 ","$2,958.61 ",$793.89 ,"$2,641.61 ","$2,817.72 ","$2,817.72 ",$793.89 ,"$2,817.72 ","$3,064.27 ","$3,064.27 ","$3,064.27 ","$3,169.94 ","$2,025.23 ",$793.89 ,"$3,522.15 ","$1,975.93 ",$793.89 ,"$1,458.17 ", N/A , N/A ,$833.58 ,"$2,993.83 ","$2,218.95 ",$986.20 ,"$3,169.94 ","$3,064.27 ","$2,817.72 ","$2,817.72 ",$793.89 ,"$2,289.40 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PIN FIXATION 229MM 2.8MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$20.65 ,$14.87 ,$4.65 ,$20.65 ,$11.88 ,$14.87 ,$11.23 ,$4.65 ,$5.78 ,$13.73 ,$4.65 ,$14.46 ,$4.65 ,$13.01 ,$13.01 ,$4.65 ,$13.01 ,$9.60 ,$19.00 , N/A ,$4.65 ,$17.55 ,$17.35 ,$4.65 ,$15.49 ,$16.52 ,$16.52 ,$4.65 ,$16.52 ,$17.97 ,$17.97 ,$17.97 ,$18.59 ,$11.88 ,$4.65 ,$20.65 ,$11.58 ,$4.65 ,$8.55 , N/A , N/A ,$4.89 ,$17.55 ,$13.01 ,$5.78 ,$18.59 ,$17.97 ,$16.52 ,$16.52 ,$4.65 ,$13.42 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PIN FIXATION 229MM 2.4MM STEINMANN STAINLESS STEEL 1 END TROCAR POINT STYLE 5 NONSTERILE,278,1 ,$20.65 ,$14.87 ,$4.65 ,$20.65 ,$11.88 ,$14.87 ,$11.23 ,$4.65 ,$5.78 ,$13.73 ,$4.65 ,$14.46 ,$4.65 ,$13.01 ,$13.01 ,$4.65 ,$13.01 ,$9.60 ,$19.00 , N/A ,$4.65 ,$17.55 ,$17.35 ,$4.65 ,$15.49 ,$16.52 ,$16.52 ,$4.65 ,$16.52 ,$17.97 ,$17.97 ,$17.97 ,$18.59 ,$11.88 ,$4.65 ,$20.65 ,$11.58 ,$4.65 ,$8.55 , N/A , N/A ,$4.89 ,$17.55 ,$13.01 ,$5.78 ,$18.59 ,$17.97 ,$16.52 ,$16.52 ,$4.65 ,$13.42 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR ROUND 25MM 3 HOLE BONE 2.7MM,278,1 ,$195.36 ,$140.66 ,$44.03 ,$195.36 ,$112.33 ,$140.66 ,$106.28 ,$44.03 ,$54.70 ,$129.91 ,$44.03 ,$136.75 ,$44.03 ,$123.08 ,$123.08 ,$44.03 ,$123.08 ,$90.76 ,$179.73 , N/A ,$44.03 ,$166.06 ,$164.10 ,$44.03 ,$146.52 ,$156.29 ,$156.29 ,$44.03 ,$156.29 ,$169.96 ,$169.96 ,$169.96 ,$175.82 ,$112.33 ,$44.03 ,$195.36 ,$109.60 ,$44.03 ,$80.88 , N/A , N/A ,$46.24 ,$166.06 ,$123.08 ,$54.70 ,$175.82 ,$169.96 ,$156.29 ,$156.29 ,$44.03 ,$126.98 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR ROUND 49MM 6 HOLE BONE 2.7MM,278,1 ,$227.04 ,$163.47 ,$51.18 ,$227.04 ,$130.55 ,$163.47 ,$123.51 ,$51.18 ,$63.57 ,$150.98 ,$51.18 ,$158.93 ,$51.18 ,$143.04 ,$143.04 ,$51.18 ,$143.04 ,$105.48 ,$208.88 , N/A ,$51.18 ,$192.98 ,$190.71 ,$51.18 ,$170.28 ,$181.63 ,$181.63 ,$51.18 ,$181.63 ,$197.52 ,$197.52 ,$197.52 ,$204.34 ,$130.55 ,$51.18 ,$227.04 ,$127.37 ,$51.18 ,$93.99 , N/A , N/A ,$53.73 ,$192.98 ,$143.04 ,$63.57 ,$204.34 ,$197.52 ,$181.63 ,$181.63 ,$51.18 ,$147.58 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR ROUND 57MM 7 HOLE BONE 2.7MM,278,1 ,$249.48 ,$179.63 ,$56.23 ,$249.48 ,$143.45 ,$179.63 ,$135.72 ,$56.23 ,$69.85 ,$165.90 ,$56.23 ,$174.64 ,$56.23 ,$157.17 ,$157.17 ,$56.23 ,$157.17 ,$115.91 ,$229.52 , N/A ,$56.23 ,$212.06 ,$209.56 ,$56.23 ,$187.11 ,$199.58 ,$199.58 ,$56.23 ,$199.58 ,$217.05 ,$217.05 ,$217.05 ,$224.53 ,$143.45 ,$56.23 ,$249.48 ,$139.96 ,$56.23 ,$103.28 , N/A , N/A ,$59.04 ,$212.06 ,$157.17 ,$69.85 ,$224.53 ,$217.05 ,$199.58 ,$199.58 ,$56.23 ,$162.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR ROUND 65MM 8 HOLE BONE 2.7MM,278,1 ,$254.76 ,$183.43 ,$57.42 ,$254.76 ,$146.48 ,$183.43 ,$138.59 ,$57.42 ,$71.33 ,$169.42 ,$57.42 ,$178.33 ,$57.42 ,$160.50 ,$160.50 ,$57.42 ,$160.50 ,$118.35 ,$234.38 , N/A ,$57.42 ,$216.55 ,$214.00 ,$57.42 ,$191.07 ,$203.81 ,$203.81 ,$57.42 ,$203.81 ,$221.64 ,$221.64 ,$221.64 ,$229.28 ,$146.48 ,$57.42 ,$254.76 ,$142.92 ,$57.42 ,$105.47 , N/A , N/A ,$60.29 ,$216.55 ,$160.50 ,$71.33 ,$229.28 ,$221.64 ,$203.81 ,$203.81 ,$57.42 ,$165.59 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 181MM TITANIUM SMALL FRAGMENT SET 14 HOLE COLLAR SPS BONE,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR 41MM 5 ROUND HOLE BONE 2.7MM,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 129MM TITANIUM SMALL FRAGMENT SET 10 HOLE COLLAR SPS BONE,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 142MM TITANIUM SMALL FRAGMENT SET 12 HOLE COLLAR SPS BONE,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 155MM TITANIUM SMALL FRAGMENT SET 12 HOLE COLLAR SPS BONE,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 168MM TITANIUM SMALL FRAGMENT SET 13 HOLE COLLAR SPS BONE,278,1 ,$212.52 ,$153.01 ,$47.90 ,$212.52 ,$122.20 ,$153.01 ,$115.61 ,$47.90 ,$59.51 ,$141.33 ,$47.90 ,$148.76 ,$47.90 ,$133.89 ,$133.89 ,$47.90 ,$133.89 ,$98.74 ,$195.52 , N/A ,$47.90 ,$180.64 ,$178.52 ,$47.90 ,$159.39 ,$170.02 ,$170.02 ,$47.90 ,$170.02 ,$184.89 ,$184.89 ,$184.89 ,$191.27 ,$122.20 ,$47.90 ,$212.52 ,$119.22 ,$47.90 ,$87.98 , N/A , N/A ,$50.29 ,$180.64 ,$133.89 ,$59.51 ,$191.27 ,$184.89 ,$170.02 ,$170.02 ,$47.90 ,$138.14 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 90MM TITANIUM SMALL FRAGMENT SET 7 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 103MM TITANIUM SMALL FRAGMENT SET 8 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 116MM TITANIUM SMALL FRAGMENT SET 9 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 25MM TITANIUM SMALL FRAGMENT SET 2 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 38MM TITANIUM SMALL FRAGMENT SET 3 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 51MM TITANIUM SMALL FRAGMENT SET 4 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 64MM TITANIUM SMALL FRAGMENT SET 5 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 1/3 TUBULAR 77MM TITANIUM SMALL FRAGMENT SET 6 HOLE COLLAR SPS BONE,278,1 ,$172.92 ,$124.50 ,$38.97 ,$172.92 ,$99.43 ,$124.50 ,$94.07 ,$38.97 ,$48.42 ,$114.99 ,$38.97 ,$121.04 ,$38.97 ,$108.94 ,$108.94 ,$38.97 ,$108.94 ,$80.34 ,$159.09 , N/A ,$38.97 ,$146.98 ,$145.25 ,$38.97 ,$129.69 ,$138.34 ,$138.34 ,$38.97 ,$138.34 ,$150.44 ,$150.44 ,$150.44 ,$155.63 ,$99.43 ,$38.97 ,$172.92 ,$97.01 ,$38.97 ,$71.59 , N/A , N/A ,$40.92 ,$146.98 ,$108.94 ,$48.42 ,$155.63 ,$150.44 ,$138.34 ,$138.34 ,$38.97 ,$112.40 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 113X10X2MM TITANIUM 6 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$1,709.28 ","$1,230.68 ",$385.27 ,"$1,709.28 ",$982.83 ,"$1,230.68 ",$929.85 ,$385.27 ,$478.60 ,"$1,136.67 ",$385.27 ,"$1,196.50 ",$385.27 ,"$1,076.85 ","$1,076.85 ",$385.27 ,"$1,076.85 ",$794.12 ,"$1,572.54 ", N/A ,$385.27 ,"$1,452.89 ","$1,435.80 ",$385.27 ,"$1,281.96 ","$1,367.42 ","$1,367.42 ",$385.27 ,"$1,367.42 ","$1,487.07 ","$1,487.07 ","$1,487.07 ","$1,538.35 ",$982.83 ,$385.27 ,"$1,709.28 ",$958.91 ,$385.27 ,$707.64 , N/A , N/A ,$404.53 ,"$1,452.89 ","$1,076.85 ",$478.60 ,"$1,538.35 ","$1,487.07 ","$1,367.42 ","$1,367.42 ",$385.27 ,"$1,111.03 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 145MMX3MM 2.7MM SCREW 11 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 189MMX3MM 2.7MM SCREW 15 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$4,528.80 ","$3,260.74 ","$1,020.79 ","$4,528.80 ","$2,604.05 ","$3,260.74 ","$2,463.67 ","$1,020.79 ","$1,268.06 ","$3,011.65 ","$1,020.79 ","$3,170.16 ","$1,020.79 ","$2,853.14 ","$2,853.14 ","$1,020.79 ","$2,853.14 ","$2,104.07 ","$4,166.50 ", N/A ,"$1,020.79 ","$3,849.48 ","$3,804.19 ","$1,020.79 ","$3,396.60 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$3,623.04 ","$3,940.06 ","$3,940.06 ","$3,940.06 ","$4,075.92 ","$2,604.05 ","$1,020.79 ","$4,528.80 ","$2,540.66 ","$1,020.79 ","$1,874.92 ", N/A , N/A ,"$1,071.83 ","$3,849.48 ","$2,853.14 ","$1,268.06 ","$4,075.92 ","$3,940.06 ","$3,623.04 ","$3,623.04 ","$1,020.79 ","$2,943.72 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL NARROW 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 100MMX3MM 2.7MM SCREW 8 HOLE VARIAX BONE 2MM RADIAL RIGHT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 2XL STANDARD 74MMX3MM 2.7MM SCREW 5 HOLE VARIAX BONE 2MM RADIAL LEFT DISTAL VOLAR STERILE,278,1 ,"$3,961.44 ","$2,852.24 ",$892.91 ,"$3,961.44 ","$2,277.83 ","$2,852.24 ","$2,155.02 ",$892.91 ,"$1,109.20 ","$2,634.36 ",$892.91 ,"$2,773.01 ",$892.91 ,"$2,495.71 ","$2,495.71 ",$892.91 ,"$2,495.71 ","$1,840.48 ","$3,644.52 ", N/A ,$892.91 ,"$3,367.22 ","$3,327.61 ",$892.91 ,"$2,971.08 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$3,169.15 ","$3,446.45 ","$3,446.45 ","$3,446.45 ","$3,565.30 ","$2,277.83 ",$892.91 ,"$3,961.44 ","$2,222.37 ",$892.91 ,"$1,640.04 ", N/A , N/A ,$937.56 ,"$3,367.22 ","$2,495.71 ","$1,109.20 ","$3,565.30 ","$3,446.45 ","$3,169.15 ","$3,169.15 ",$892.91 ,"$2,574.94 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 89X10X2MM TITANIUM 4 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$1,645.92 ","$1,185.06 ",$370.99 ,"$1,645.92 ",$946.40 ,"$1,185.06 ",$895.38 ,$370.99 ,$460.86 ,"$1,094.54 ",$370.99 ,"$1,152.14 ",$370.99 ,"$1,036.93 ","$1,036.93 ",$370.99 ,"$1,036.93 ",$764.69 ,"$1,514.25 ", N/A ,$370.99 ,"$1,399.03 ","$1,382.57 ",$370.99 ,"$1,234.44 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,316.74 ","$1,431.95 ","$1,431.95 ","$1,431.95 ","$1,481.33 ",$946.40 ,$370.99 ,"$1,645.92 ",$923.36 ,$370.99 ,$681.41 , N/A , N/A ,$389.54 ,"$1,399.03 ","$1,036.93 ",$460.86 ,"$1,481.33 ","$1,431.95 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,069.85 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 101X10X2MM TITANIUM 5 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$1,645.92 ","$1,185.06 ",$370.99 ,"$1,645.92 ",$946.40 ,"$1,185.06 ",$895.38 ,$370.99 ,$460.86 ,"$1,094.54 ",$370.99 ,"$1,152.14 ",$370.99 ,"$1,036.93 ","$1,036.93 ",$370.99 ,"$1,036.93 ",$764.69 ,"$1,514.25 ", N/A ,$370.99 ,"$1,399.03 ","$1,382.57 ",$370.99 ,"$1,234.44 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,316.74 ","$1,431.95 ","$1,431.95 ","$1,431.95 ","$1,481.33 ",$946.40 ,$370.99 ,"$1,645.92 ",$923.36 ,$370.99 ,$681.41 , N/A , N/A ,$389.54 ,"$1,399.03 ","$1,036.93 ",$460.86 ,"$1,481.33 ","$1,431.95 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,069.85 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE 77X10X2MM TITANIUM 3 HOLE POLYAXIAL LOCK LOW PROFILE VARIAX BONE 16X1.3MM FIBULA LATERAL NONSTERILE,278,1 ,"$1,645.92 ","$1,185.06 ",$370.99 ,"$1,645.92 ",$946.40 ,"$1,185.06 ",$895.38 ,$370.99 ,$460.86 ,"$1,094.54 ",$370.99 ,"$1,152.14 ",$370.99 ,"$1,036.93 ","$1,036.93 ",$370.99 ,"$1,036.93 ",$764.69 ,"$1,514.25 ", N/A ,$370.99 ,"$1,399.03 ","$1,382.57 ",$370.99 ,"$1,234.44 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,316.74 ","$1,431.95 ","$1,431.95 ","$1,431.95 ","$1,481.33 ",$946.40 ,$370.99 ,"$1,645.92 ",$923.36 ,$370.99 ,$681.41 , N/A , N/A ,$389.54 ,"$1,399.03 ","$1,036.93 ",$460.86 ,"$1,481.33 ","$1,431.95 ","$1,316.74 ","$1,316.74 ",$370.99 ,"$1,069.85 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE L MINI 2MM SCREW 3 ROUND HOLE BONE FOOT ANKLE,278,1 ,$143.88 ,$103.59 ,$32.43 ,$143.88 ,$82.73 ,$103.59 ,$78.27 ,$32.43 ,$40.29 ,$95.68 ,$32.43 ,$100.72 ,$32.43 ,$90.64 ,$90.64 ,$32.43 ,$90.64 ,$66.84 ,$132.37 , N/A ,$32.43 ,$122.30 ,$120.86 ,$32.43 ,$107.91 ,$115.10 ,$115.10 ,$32.43 ,$115.10 ,$125.18 ,$125.18 ,$125.18 ,$129.49 ,$82.73 ,$32.43 ,$143.88 ,$80.72 ,$32.43 ,$59.57 , N/A , N/A ,$34.05 ,$122.30 ,$90.64 ,$40.29 ,$129.49 ,$125.18 ,$115.10 ,$115.10 ,$32.43 ,$93.52 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE L MINI 2MM SCREW 4 ROUND HOLE BONE FOOT ANKLE,278,1 ,$154.44 ,$111.20 ,$34.81 ,$154.44 ,$88.80 ,$111.20 ,$84.02 ,$34.81 ,$43.24 ,$102.70 ,$34.81 ,$108.11 ,$34.81 ,$97.30 ,$97.30 ,$34.81 ,$97.30 ,$71.75 ,$142.08 , N/A ,$34.81 ,$131.27 ,$129.73 ,$34.81 ,$115.83 ,$123.55 ,$123.55 ,$34.81 ,$123.55 ,$134.36 ,$134.36 ,$134.36 ,$139.00 ,$88.80 ,$34.81 ,$154.44 ,$86.64 ,$34.81 ,$63.94 , N/A , N/A ,$36.55 ,$131.27 ,$97.30 ,$43.24 ,$139.00 ,$134.36 ,$123.55 ,$123.55 ,$34.81 ,$100.39 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 70MM TITANIUM BONE CALCANEUS,278,1 ,"$1,195.92 ",$861.06 ,$269.56 ,"$1,195.92 ",$687.65 ,$861.06 ,$650.58 ,$269.56 ,$334.86 ,$795.29 ,$269.56 ,$837.14 ,$269.56 ,$753.43 ,$753.43 ,$269.56 ,$753.43 ,$555.62 ,"$1,100.25 ", N/A ,$269.56 ,"$1,016.53 ","$1,004.57 ",$269.56 ,$896.94 ,$956.74 ,$956.74 ,$269.56 ,$956.74 ,"$1,040.45 ","$1,040.45 ","$1,040.45 ","$1,076.33 ",$687.65 ,$269.56 ,"$1,195.92 ",$670.91 ,$269.56 ,$495.11 , N/A , N/A ,$283.03 ,"$1,016.53 ",$753.43 ,$334.86 ,"$1,076.33 ","$1,040.45 ",$956.74 ,$956.74 ,$269.56 ,$777.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 50MM TITANIUM BONE CALCANEUS,278,1 ,"$1,195.92 ",$861.06 ,$269.56 ,"$1,195.92 ",$687.65 ,$861.06 ,$650.58 ,$269.56 ,$334.86 ,$795.29 ,$269.56 ,$837.14 ,$269.56 ,$753.43 ,$753.43 ,$269.56 ,$753.43 ,$555.62 ,"$1,100.25 ", N/A ,$269.56 ,"$1,016.53 ","$1,004.57 ",$269.56 ,$896.94 ,$956.74 ,$956.74 ,$269.56 ,$956.74 ,"$1,040.45 ","$1,040.45 ","$1,040.45 ","$1,076.33 ",$687.65 ,$269.56 ,"$1,195.92 ",$670.91 ,$269.56 ,$495.11 , N/A , N/A ,$283.03 ,"$1,016.53 ",$753.43 ,$334.86 ,"$1,076.33 ","$1,040.45 ",$956.74 ,$956.74 ,$269.56 ,$777.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 60MM TITANIUM BONE CALCANEUS,278,1 ,"$1,195.92 ",$861.06 ,$269.56 ,"$1,195.92 ",$687.65 ,$861.06 ,$650.58 ,$269.56 ,$334.86 ,$795.29 ,$269.56 ,$837.14 ,$269.56 ,$753.43 ,$753.43 ,$269.56 ,$753.43 ,$555.62 ,"$1,100.25 ", N/A ,$269.56 ,"$1,016.53 ","$1,004.57 ",$269.56 ,$896.94 ,$956.74 ,$956.74 ,$269.56 ,$956.74 ,"$1,040.45 ","$1,040.45 ","$1,040.45 ","$1,076.33 ",$687.65 ,$269.56 ,"$1,195.92 ",$670.91 ,$269.56 ,$495.11 , N/A , N/A ,$283.03 ,"$1,016.53 ",$753.43 ,$334.86 ,"$1,076.33 ","$1,040.45 ",$956.74 ,$956.74 ,$269.56 ,$777.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 76MM 14 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,880.00 ","$2,073.60 ",$649.15 ,"$2,880.00 ","$1,656.00 ","$2,073.60 ","$1,566.72 ",$649.15 ,$806.40 ,"$1,915.20 ",$649.15 ,"$2,016.00 ",$649.15 ,"$1,814.40 ","$1,814.40 ",$649.15 ,"$1,814.40 ","$1,338.05 ","$2,649.60 ", N/A ,$649.15 ,"$2,448.00 ","$2,419.20 ",$649.15 ,"$2,160.00 ","$2,304.00 ","$2,304.00 ",$649.15 ,"$2,304.00 ","$2,505.60 ","$2,505.60 ","$2,505.60 ","$2,592.00 ","$1,656.00 ",$649.15 ,"$2,880.00 ","$1,615.68 ",$649.15 ,"$1,192.32 ", N/A , N/A ,$681.61 ,"$2,448.00 ","$1,814.40 ",$806.40 ,"$2,592.00 ","$2,505.60 ","$2,304.00 ","$2,304.00 ",$649.15 ,"$1,872.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 14 HOLE INTERMEDIATE BONE RADIUS RIGHT DISTAL VOLAR,278,1 ,"$2,880.00 ","$2,073.60 ",$649.15 ,"$2,880.00 ","$1,656.00 ","$2,073.60 ","$1,566.72 ",$649.15 ,$806.40 ,"$1,915.20 ",$649.15 ,"$2,016.00 ",$649.15 ,"$1,814.40 ","$1,814.40 ",$649.15 ,"$1,814.40 ","$1,338.05 ","$2,649.60 ", N/A ,$649.15 ,"$2,448.00 ","$2,419.20 ",$649.15 ,"$2,160.00 ","$2,304.00 ","$2,304.00 ",$649.15 ,"$2,304.00 ","$2,505.60 ","$2,505.60 ","$2,505.60 ","$2,592.00 ","$1,656.00 ",$649.15 ,"$2,880.00 ","$1,615.68 ",$649.15 ,"$1,192.32 ", N/A , N/A ,$681.61 ,"$2,448.00 ","$1,814.40 ",$806.40 ,"$2,592.00 ","$2,505.60 ","$2,304.00 ","$2,304.00 ",$649.15 ,"$1,872.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG 80MM TITANIUM BONE CALCANEUS,278,1 ,$920.04 ,$662.43 ,$207.38 ,$920.04 ,$529.03 ,$662.43 ,$500.50 ,$207.38 ,$257.61 ,$611.83 ,$207.38 ,$644.03 ,$207.38 ,$579.63 ,$579.63 ,$207.38 ,$579.63 ,$427.45 ,$846.44 , N/A ,$207.38 ,$782.03 ,$772.83 ,$207.38 ,$690.03 ,$736.03 ,$736.03 ,$207.38 ,$736.03 ,$800.43 ,$800.43 ,$800.43 ,$828.04 ,$529.03 ,$207.38 ,$920.04 ,$516.14 ,$207.38 ,$380.90 , N/A , N/A ,$217.75 ,$782.03 ,$579.63 ,$257.61 ,$828.04 ,$800.43 ,$736.03 ,$736.03 ,$207.38 ,$598.03 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG STANDARD 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,702.88 ","$1,946.07 ",$609.23 ,"$2,702.88 ","$1,554.15 ","$1,946.07 ","$1,470.37 ",$609.23 ,$756.81 ,"$1,797.42 ",$609.23 ,"$1,892.02 ",$609.23 ,"$1,702.81 ","$1,702.81 ",$609.23 ,"$1,702.81 ","$1,255.75 ","$2,486.65 ", N/A ,$609.23 ,"$2,297.45 ","$2,270.42 ",$609.23 ,"$2,027.16 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$2,162.30 ","$2,351.51 ","$2,351.51 ","$2,351.51 ","$2,432.59 ","$1,554.15 ",$609.23 ,"$2,702.88 ","$1,516.32 ",$609.23 ,"$1,118.99 ", N/A , N/A ,$639.69 ,"$2,297.45 ","$1,702.81 ",$756.81 ,"$2,432.59 ","$2,351.51 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$1,756.87 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG NARROW 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,702.88 ","$1,946.07 ",$609.23 ,"$2,702.88 ","$1,554.15 ","$1,946.07 ","$1,470.37 ",$609.23 ,$756.81 ,"$1,797.42 ",$609.23 ,"$1,892.02 ",$609.23 ,"$1,702.81 ","$1,702.81 ",$609.23 ,"$1,702.81 ","$1,255.75 ","$2,486.65 ", N/A ,$609.23 ,"$2,297.45 ","$2,270.42 ",$609.23 ,"$2,027.16 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$2,162.30 ","$2,351.51 ","$2,351.51 ","$2,351.51 ","$2,432.59 ","$1,554.15 ",$609.23 ,"$2,702.88 ","$1,516.32 ",$609.23 ,"$1,118.99 ", N/A , N/A ,$639.69 ,"$2,297.45 ","$1,702.81 ",$756.81 ,"$2,432.59 ","$2,351.51 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$1,756.87 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG NARROW 76MMX2MM TITANIUM LOCK VARIAX BONE RADIUS LEFT VOLAR DISTAL,278,1 ,"$2,702.88 ","$1,946.07 ",$609.23 ,"$2,702.88 ","$1,554.15 ","$1,946.07 ","$1,470.37 ",$609.23 ,$756.81 ,"$1,797.42 ",$609.23 ,"$1,892.02 ",$609.23 ,"$1,702.81 ","$1,702.81 ",$609.23 ,"$1,702.81 ","$1,255.75 ","$2,486.65 ", N/A ,$609.23 ,"$2,297.45 ","$2,270.42 ",$609.23 ,"$2,027.16 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$2,162.30 ","$2,351.51 ","$2,351.51 ","$2,351.51 ","$2,432.59 ","$1,554.15 ",$609.23 ,"$2,702.88 ","$1,516.32 ",$609.23 ,"$1,118.99 ", N/A , N/A ,$639.69 ,"$2,297.45 ","$1,702.81 ",$756.81 ,"$2,432.59 ","$2,351.51 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$1,756.87 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG STANDARD 76MMX2MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL VOLAR,278,1 ,"$2,702.88 ","$1,946.07 ",$609.23 ,"$2,702.88 ","$1,554.15 ","$1,946.07 ","$1,470.37 ",$609.23 ,$756.81 ,"$1,797.42 ",$609.23 ,"$1,892.02 ",$609.23 ,"$1,702.81 ","$1,702.81 ",$609.23 ,"$1,702.81 ","$1,255.75 ","$2,486.65 ", N/A ,$609.23 ,"$2,297.45 ","$2,270.42 ",$609.23 ,"$2,027.16 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$2,162.30 ","$2,351.51 ","$2,351.51 ","$2,351.51 ","$2,432.59 ","$1,554.15 ",$609.23 ,"$2,702.88 ","$1,516.32 ",$609.23 ,"$1,118.99 ", N/A , N/A ,$639.69 ,"$2,297.45 ","$1,702.81 ",$756.81 ,"$2,432.59 ","$2,351.51 ","$2,162.30 ","$2,162.30 ",$609.23 ,"$1,756.87 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI 2MM SCREW 5 ROUND HOLE BONE,278,1 ,$163.68 ,$117.85 ,$36.90 ,$163.68 ,$94.13 ,$117.85 ,$89.04 ,$36.90 ,$45.83 ,$108.85 ,$36.90 ,$114.58 ,$36.90 ,$103.12 ,$103.12 ,$36.90 ,$103.12 ,$76.05 ,$150.59 , N/A ,$36.90 ,$139.13 ,$137.49 ,$36.90 ,$122.76 ,$130.94 ,$130.94 ,$36.90 ,$130.94 ,$142.40 ,$142.40 ,$142.40 ,$147.31 ,$94.13 ,$36.90 ,$163.68 ,$91.82 ,$36.90 ,$67.76 , N/A , N/A ,$38.74 ,$139.13 ,$103.12 ,$45.83 ,$147.31 ,$142.40 ,$130.94 ,$130.94 ,$36.90 ,$106.39 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI T 19MM 4 HOLE BONE 2MM LEFT,278,1 ,$167.64 ,$120.70 ,$37.79 ,$167.64 ,$96.40 ,$120.70 ,$91.20 ,$37.79 ,$46.94 ,$111.48 ,$37.79 ,$117.35 ,$37.79 ,$105.61 ,$105.61 ,$37.79 ,$105.61 ,$77.89 ,$154.23 , N/A ,$37.79 ,$142.49 ,$140.82 ,$37.79 ,$125.73 ,$134.11 ,$134.11 ,$37.79 ,$134.11 ,$145.85 ,$145.85 ,$145.85 ,$150.88 ,$96.40 ,$37.79 ,$167.64 ,$94.05 ,$37.79 ,$69.40 , N/A , N/A ,$39.68 ,$142.49 ,$105.61 ,$46.94 ,$150.88 ,$145.85 ,$134.11 ,$134.11 ,$37.79 ,$108.97 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI L OBLIQUE 4 HOLE BONE 2MM LEFT,278,1 ,$167.64 ,$120.70 ,$37.79 ,$167.64 ,$96.40 ,$120.70 ,$91.20 ,$37.79 ,$46.94 ,$111.48 ,$37.79 ,$117.35 ,$37.79 ,$105.61 ,$105.61 ,$37.79 ,$105.61 ,$77.89 ,$154.23 , N/A ,$37.79 ,$142.49 ,$140.82 ,$37.79 ,$125.73 ,$134.11 ,$134.11 ,$37.79 ,$134.11 ,$145.85 ,$145.85 ,$145.85 ,$150.88 ,$96.40 ,$37.79 ,$167.64 ,$94.05 ,$37.79 ,$69.40 , N/A , N/A ,$39.68 ,$142.49 ,$105.61 ,$46.94 ,$150.88 ,$145.85 ,$134.11 ,$134.11 ,$37.79 ,$108.97 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI L OBLIQUE 4 HOLE BONE 2MM RIGHT,278,1 ,$167.64 ,$120.70 ,$37.79 ,$167.64 ,$96.40 ,$120.70 ,$91.20 ,$37.79 ,$46.94 ,$111.48 ,$37.79 ,$117.35 ,$37.79 ,$105.61 ,$105.61 ,$37.79 ,$105.61 ,$77.89 ,$154.23 , N/A ,$37.79 ,$142.49 ,$140.82 ,$37.79 ,$125.73 ,$134.11 ,$134.11 ,$37.79 ,$134.11 ,$145.85 ,$145.85 ,$145.85 ,$150.88 ,$96.40 ,$37.79 ,$167.64 ,$94.05 ,$37.79 ,$69.40 , N/A , N/A ,$39.68 ,$142.49 ,$105.61 ,$46.94 ,$150.88 ,$145.85 ,$134.11 ,$134.11 ,$37.79 ,$108.97 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI L STRAIGHT 4 HOLE BONE 2MM LEFT,278,1 ,$167.64 ,$120.70 ,$37.79 ,$167.64 ,$96.40 ,$120.70 ,$91.20 ,$37.79 ,$46.94 ,$111.48 ,$37.79 ,$117.35 ,$37.79 ,$105.61 ,$105.61 ,$37.79 ,$105.61 ,$77.89 ,$154.23 , N/A ,$37.79 ,$142.49 ,$140.82 ,$37.79 ,$125.73 ,$134.11 ,$134.11 ,$37.79 ,$134.11 ,$145.85 ,$145.85 ,$145.85 ,$150.88 ,$96.40 ,$37.79 ,$167.64 ,$94.05 ,$37.79 ,$69.40 , N/A , N/A ,$39.68 ,$142.49 ,$105.61 ,$46.94 ,$150.88 ,$145.85 ,$134.11 ,$134.11 ,$37.79 ,$108.97 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE MINI L STRAIGHT 4 HOLE BONE 2MM RIGHT,278,1 ,$167.64 ,$120.70 ,$37.79 ,$167.64 ,$96.40 ,$120.70 ,$91.20 ,$37.79 ,$46.94 ,$111.48 ,$37.79 ,$117.35 ,$37.79 ,$105.61 ,$105.61 ,$37.79 ,$105.61 ,$77.89 ,$154.23 , N/A ,$37.79 ,$142.49 ,$140.82 ,$37.79 ,$125.73 ,$134.11 ,$134.11 ,$37.79 ,$134.11 ,$145.85 ,$145.85 ,$145.85 ,$150.88 ,$96.40 ,$37.79 ,$167.64 ,$94.05 ,$37.79 ,$69.40 , N/A , N/A ,$39.68 ,$142.49 ,$105.61 ,$46.94 ,$150.88 ,$145.85 ,$134.11 ,$134.11 ,$37.79 ,$108.97 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT 44MMX1MM TITANIUM COLUMN FRAGMENT SPECIFIC VARIAX BONE DISTAL RADIUS,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG LOCK COLUMN FRAGMENT SPECIFIC VARIAX SMARTLOCK BONE ULNAR RADIAL RIGHT DISTAL,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG TITANIUM COLUMN SMARTLOCK BONE LEFT RADIAL DISTAL ULNAR,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG TITANIUM COLUMN SMARTLOCK BONE RADIUS DISTAL VOLAR,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT 40MMX1MM TITANIUM COLUMN VARIAX BONE ULNAR RIGHT,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT 40MMX1MM TITANIUM FRAGMENT SPECIFIC LOCK COLUMN VARIAX BONE ULNA LEFT,278,1 ,"$1,742.40 ","$1,254.53 ",$392.73 ,"$1,742.40 ","$1,001.88 ","$1,254.53 ",$947.87 ,$392.73 ,$487.87 ,"$1,158.70 ",$392.73 ,"$1,219.68 ",$392.73 ,"$1,097.71 ","$1,097.71 ",$392.73 ,"$1,097.71 ",$809.52 ,"$1,603.01 ", N/A ,$392.73 ,"$1,481.04 ","$1,463.62 ",$392.73 ,"$1,306.80 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,393.92 ","$1,515.89 ","$1,515.89 ","$1,515.89 ","$1,568.16 ","$1,001.88 ",$392.73 ,"$1,742.40 ",$977.49 ,$392.73 ,$721.35 , N/A , N/A ,$412.37 ,"$1,481.04 ","$1,097.71 ",$487.87 ,"$1,568.16 ","$1,515.89 ","$1,393.92 ","$1,393.92 ",$392.73 ,"$1,132.56 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT WIDE UNIVERSAL 53MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG UNIVERSAL NARROW 73MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG UNIVERSAL STANDARD 73MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE LONG UNIVERSAL WIDE LOCK VARIAX BONE RADIUS DISTAL VOLAR,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT STANDARD UNIVERSAL 53MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT UNIVERSAL NARROW TITANIUM LOCK VARIAX BONE HAND RADIUS DISTAL VOLAR,278,1 ,"$1,977.12 ","$1,423.53 ",$445.65 ,"$1,977.12 ","$1,136.85 ","$1,423.53 ","$1,075.55 ",$445.65 ,$553.59 ,"$1,314.78 ",$445.65 ,"$1,383.98 ",$445.65 ,"$1,245.59 ","$1,245.59 ",$445.65 ,"$1,245.59 ",$918.57 ,"$1,818.95 ", N/A ,$445.65 ,"$1,680.55 ","$1,660.78 ",$445.65 ,"$1,482.84 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,581.70 ","$1,720.09 ","$1,720.09 ","$1,720.09 ","$1,779.41 ","$1,136.85 ",$445.65 ,"$1,977.12 ","$1,109.16 ",$445.65 ,$818.53 , N/A , N/A ,$467.93 ,"$1,680.55 ","$1,245.59 ",$553.59 ,"$1,779.41 ","$1,720.09 ","$1,581.70 ","$1,581.70 ",$445.65 ,"$1,285.13 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 36MM 4 HOLE ACP BONE 2.7MM,278,1 ,$199.32 ,$143.51 ,$44.92 ,$199.32 ,$114.60 ,$143.51 ,$108.43 ,$44.92 ,$55.81 ,$132.55 ,$44.92 ,$139.52 ,$44.92 ,$125.57 ,$125.57 ,$44.92 ,$125.57 ,$92.60 ,$183.37 , N/A ,$44.92 ,$169.42 ,$167.43 ,$44.92 ,$149.49 ,$159.46 ,$159.46 ,$44.92 ,$159.46 ,$173.41 ,$173.41 ,$173.41 ,$179.39 ,$114.60 ,$44.92 ,$199.32 ,$111.82 ,$44.92 ,$82.52 , N/A , N/A ,$47.17 ,$169.42 ,$125.57 ,$55.81 ,$179.39 ,$173.41 ,$159.46 ,$159.46 ,$44.92 ,$129.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE .25 TUBULAR ROUND 33MM 4 HOLE BONE 2.7MM,278,1 ,$199.32 ,$143.51 ,$44.92 ,$199.32 ,$114.60 ,$143.51 ,$108.43 ,$44.92 ,$55.81 ,$132.55 ,$44.92 ,$139.52 ,$44.92 ,$125.57 ,$125.57 ,$44.92 ,$125.57 ,$92.60 ,$183.37 , N/A ,$44.92 ,$169.42 ,$167.43 ,$44.92 ,$149.49 ,$159.46 ,$159.46 ,$44.92 ,$159.46 ,$173.41 ,$173.41 ,$173.41 ,$179.39 ,$114.60 ,$44.92 ,$199.32 ,$111.82 ,$44.92 ,$82.52 , N/A , N/A ,$47.17 ,$169.42 ,$125.57 ,$55.81 ,$179.39 ,$173.41 ,$159.46 ,$159.46 ,$44.92 ,$129.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 44MM 5 HOLE ACP BONE 2.7MM,278,1 ,$211.20 ,$152.06 ,$47.61 ,$211.20 ,$121.45 ,$152.06 ,$114.89 ,$47.61 ,$59.14 ,$140.45 ,$47.61 ,$147.84 ,$47.61 ,$133.06 ,$133.06 ,$47.61 ,$133.06 ,$98.13 ,$194.30 , N/A ,$47.61 ,$179.52 ,$177.41 ,$47.61 ,$158.40 ,$168.96 ,$168.96 ,$47.61 ,$168.96 ,$183.74 ,$183.74 ,$183.74 ,$190.08 ,$121.45 ,$47.61 ,$211.20 ,$118.48 ,$47.61 ,$87.44 , N/A , N/A ,$49.99 ,$179.52 ,$133.06 ,$59.14 ,$190.08 ,$183.74 ,$168.96 ,$168.96 ,$47.61 ,$137.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 52MM 6 HOLE ACP BONE 2.7MM,278,1 ,$217.80 ,$156.82 ,$49.09 ,$217.80 ,$125.23 ,$156.82 ,$118.48 ,$49.09 ,$60.98 ,$144.84 ,$49.09 ,$152.46 ,$49.09 ,$137.21 ,$137.21 ,$49.09 ,$137.21 ,$101.18 ,$200.38 , N/A ,$49.09 ,$185.13 ,$182.95 ,$49.09 ,$163.35 ,$174.24 ,$174.24 ,$49.09 ,$174.24 ,$189.49 ,$189.49 ,$189.49 ,$196.02 ,$125.23 ,$49.09 ,$217.80 ,$122.19 ,$49.09 ,$90.17 , N/A , N/A ,$51.54 ,$185.13 ,$137.21 ,$60.98 ,$196.02 ,$189.49 ,$174.24 ,$174.24 ,$49.09 ,$141.57 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 60MM 7 HOLE ACP BONE 2.7MM,278,1 ,$229.68 ,$165.37 ,$51.77 ,$229.68 ,$132.08 ,$165.37 ,$124.95 ,$51.77 ,$64.31 ,$152.74 ,$51.77 ,$160.78 ,$51.77 ,$144.70 ,$144.70 ,$51.77 ,$144.70 ,$106.72 ,$211.31 , N/A ,$51.77 ,$195.23 ,$192.93 ,$51.77 ,$172.26 ,$183.74 ,$183.74 ,$51.77 ,$183.74 ,$199.82 ,$199.82 ,$199.82 ,$206.71 ,$132.08 ,$51.77 ,$229.68 ,$128.85 ,$51.77 ,$95.09 , N/A , N/A ,$54.36 ,$195.23 ,$144.70 ,$64.31 ,$206.71 ,$199.82 ,$183.74 ,$183.74 ,$51.77 ,$149.29 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 68MM 8 HOLE ACP BONE 2.7MM,278,1 ,$241.56 ,$173.92 ,$54.45 ,$241.56 ,$138.90 ,$173.92 ,$131.41 ,$54.45 ,$67.64 ,$160.64 ,$54.45 ,$169.09 ,$54.45 ,$152.18 ,$152.18 ,$54.45 ,$152.18 ,$112.23 ,$222.24 , N/A ,$54.45 ,$205.33 ,$202.91 ,$54.45 ,$181.17 ,$193.25 ,$193.25 ,$54.45 ,$193.25 ,$210.16 ,$210.16 ,$210.16 ,$217.40 ,$138.90 ,$54.45 ,$241.56 ,$135.52 ,$54.45 ,$100.01 , N/A , N/A ,$57.17 ,$205.33 ,$152.18 ,$67.64 ,$217.40 ,$210.16 ,$193.25 ,$193.25 ,$54.45 ,$157.01 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 76MM 9 HOLE ACP BONE 2.7MM,278,1 ,$246.84 ,$177.72 ,$55.63 ,$246.84 ,$141.93 ,$177.72 ,$134.28 ,$55.63 ,$69.12 ,$164.15 ,$55.63 ,$172.79 ,$55.63 ,$155.51 ,$155.51 ,$55.63 ,$155.51 ,$114.68 ,$227.09 , N/A ,$55.63 ,$209.81 ,$207.35 ,$55.63 ,$185.13 ,$197.47 ,$197.47 ,$55.63 ,$197.47 ,$214.75 ,$214.75 ,$214.75 ,$222.16 ,$141.93 ,$55.63 ,$246.84 ,$138.48 ,$55.63 ,$102.19 , N/A , N/A ,$58.42 ,$209.81 ,$155.51 ,$69.12 ,$222.16 ,$214.75 ,$197.47 ,$197.47 ,$55.63 ,$160.45 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL 84MM 10 HOLE ACP BONE 2.7MM,278,1 ,$271.92 ,$195.78 ,$61.29 ,$271.92 ,$156.35 ,$195.78 ,$147.92 ,$61.29 ,$76.14 ,$180.83 ,$61.29 ,$190.34 ,$61.29 ,$171.31 ,$171.31 ,$61.29 ,$171.31 ,$126.33 ,$250.17 , N/A ,$61.29 ,$231.13 ,$228.41 ,$61.29 ,$203.94 ,$217.54 ,$217.54 ,$61.29 ,$217.54 ,$236.57 ,$236.57 ,$236.57 ,$244.73 ,$156.35 ,$61.29 ,$271.92 ,$152.55 ,$61.29 ,$112.57 , N/A , N/A ,$64.36 ,$231.13 ,$171.31 ,$76.14 ,$244.73 ,$236.57 ,$217.54 ,$217.54 ,$61.29 ,$176.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SMALL T 32MM 2/3 HOLE BONE 2.7MM LEFT,278,1 ,$165.00 ,$118.80 ,$37.19 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER COMPRESSION 14,278,1 ,$666.60 ,$479.95 ,$150.25 ,$666.60 ,$383.30 ,$479.95 ,$362.63 ,$150.25 ,$186.65 ,$443.29 ,$150.25 ,$466.62 ,$150.25 ,$419.96 ,$419.96 ,$150.25 ,$419.96 ,$309.71 ,$613.27 , N/A ,$150.25 ,$566.61 ,$559.94 ,$150.25 ,$499.95 ,$533.28 ,$533.28 ,$150.25 ,$533.28 ,$579.94 ,$579.94 ,$579.94 ,$599.94 ,$383.30 ,$150.25 ,$666.60 ,$373.96 ,$150.25 ,$275.97 , N/A , N/A ,$157.77 ,$566.61 ,$419.96 ,$186.65 ,$599.94 ,$579.94 ,$533.28 ,$533.28 ,$150.25 ,$433.29 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER NARROW ANATOMIC VOLAR LEFT,278,1 ,"$2,340.00 ","$1,684.80 ",$527.44 ,"$2,340.00 ","$1,345.50 ","$1,684.80 ","$1,272.96 ",$527.44 ,$655.20 ,"$1,556.10 ",$527.44 ,"$1,638.00 ",$527.44 ,"$1,474.20 ","$1,474.20 ",$527.44 ,"$1,474.20 ","$1,087.16 ","$2,152.80 ", N/A ,$527.44 ,"$1,989.00 ","$1,965.60 ",$527.44 ,"$1,755.00 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,872.00 ","$2,035.80 ","$2,035.80 ","$2,035.80 ","$2,106.00 ","$1,345.50 ",$527.44 ,"$2,340.00 ","$1,312.74 ",$527.44 ,$968.76 , N/A , N/A ,$553.81 ,"$1,989.00 ","$1,474.20 ",$655.20 ,"$2,106.00 ","$2,035.80 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,521.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE NARROW 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,340.00 ","$1,684.80 ",$527.44 ,"$2,340.00 ","$1,345.50 ","$1,684.80 ","$1,272.96 ",$527.44 ,$655.20 ,"$1,556.10 ",$527.44 ,"$1,638.00 ",$527.44 ,"$1,474.20 ","$1,474.20 ",$527.44 ,"$1,474.20 ","$1,087.16 ","$2,152.80 ", N/A ,$527.44 ,"$1,989.00 ","$1,965.60 ",$527.44 ,"$1,755.00 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,872.00 ","$2,035.80 ","$2,035.80 ","$2,035.80 ","$2,106.00 ","$1,345.50 ",$527.44 ,"$2,340.00 ","$1,312.74 ",$527.44 ,$968.76 , N/A , N/A ,$553.81 ,"$1,989.00 ","$1,474.20 ",$655.20 ,"$2,106.00 ","$2,035.80 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,521.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL VOLAR,278,1 ,"$2,340.00 ","$1,684.80 ",$527.44 ,"$2,340.00 ","$1,345.50 ","$1,684.80 ","$1,272.96 ",$527.44 ,$655.20 ,"$1,556.10 ",$527.44 ,"$1,638.00 ",$527.44 ,"$1,474.20 ","$1,474.20 ",$527.44 ,"$1,474.20 ","$1,087.16 ","$2,152.80 ", N/A ,$527.44 ,"$1,989.00 ","$1,965.60 ",$527.44 ,"$1,755.00 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,872.00 ","$2,035.80 ","$2,035.80 ","$2,035.80 ","$2,106.00 ","$1,345.50 ",$527.44 ,"$2,340.00 ","$1,312.74 ",$527.44 ,$968.76 , N/A , N/A ,$553.81 ,"$1,989.00 ","$1,474.20 ",$655.20 ,"$2,106.00 ","$2,035.80 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,521.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD 56MMX2MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL VOLAR,278,1 ,"$2,340.00 ","$1,684.80 ",$527.44 ,"$2,340.00 ","$1,345.50 ","$1,684.80 ","$1,272.96 ",$527.44 ,$655.20 ,"$1,556.10 ",$527.44 ,"$1,638.00 ",$527.44 ,"$1,474.20 ","$1,474.20 ",$527.44 ,"$1,474.20 ","$1,087.16 ","$2,152.80 ", N/A ,$527.44 ,"$1,989.00 ","$1,965.60 ",$527.44 ,"$1,755.00 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,872.00 ","$2,035.80 ","$2,035.80 ","$2,035.80 ","$2,106.00 ","$1,345.50 ",$527.44 ,"$2,340.00 ","$1,312.74 ",$527.44 ,$968.76 , N/A , N/A ,$553.81 ,"$1,989.00 ","$1,474.20 ",$655.20 ,"$2,106.00 ","$2,035.80 ","$1,872.00 ","$1,872.00 ",$527.44 ,"$1,521.00 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 2.0 LCP 5H/38MM,278,1 ,$683.55 ,$492.16 ,$154.08 ,$683.55 ,$393.05 ,$492.16 ,$371.85 ,$154.08 ,$191.39 ,$454.56 ,$154.08 ,$478.49 ,$154.08 ,$430.64 ,$430.64 ,$154.08 ,$430.64 ,$317.58 ,$628.87 , N/A ,$154.08 ,$581.02 ,$574.18 ,$154.08 ,$512.66 ,$546.84 ,$546.84 ,$154.08 ,$546.84 ,$594.69 ,$594.69 ,$594.69 ,$615.20 ,$393.05 ,$154.08 ,$683.55 ,$383.47 ,$154.08 ,$282.99 , N/A , N/A ,$161.78 ,$581.02 ,$430.64 ,$191.39 ,$615.20 ,$594.69 ,$546.84 ,$546.84 ,$154.08 ,$444.31 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 2.0 LCP 7H/55MM Y,278,1 ,"$1,153.95 ",$830.84 ,$260.10 ,"$1,153.95 ",$663.53 ,$830.84 ,$627.75 ,$260.10 ,$323.11 ,$767.38 ,$260.10 ,$807.77 ,$260.10 ,$726.99 ,$726.99 ,$260.10 ,$726.99 ,$536.13 ,"$1,061.63 ", N/A ,$260.10 ,$980.86 ,$969.32 ,$260.10 ,$865.46 ,$923.16 ,$923.16 ,$260.10 ,$923.16 ,"$1,003.94 ","$1,003.94 ","$1,003.94 ","$1,038.56 ",$663.53 ,$260.10 ,"$1,153.95 ",$647.37 ,$260.10 ,$477.74 , N/A , N/A ,$273.11 ,$980.86 ,$726.99 ,$323.11 ,"$1,038.56 ","$1,003.94 ",$923.16 ,$923.16 ,$260.10 ,$750.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 2.0 LCP 7H/53MM T,278,1 ,"$1,153.95 ",$830.84 ,$260.10 ,"$1,153.95 ",$663.53 ,$830.84 ,$627.75 ,$260.10 ,$323.11 ,$767.38 ,$260.10 ,$807.77 ,$260.10 ,$726.99 ,$726.99 ,$260.10 ,$726.99 ,$536.13 ,"$1,061.63 ", N/A ,$260.10 ,$980.86 ,$969.32 ,$260.10 ,$865.46 ,$923.16 ,$923.16 ,$260.10 ,$923.16 ,"$1,003.94 ","$1,003.94 ","$1,003.94 ","$1,038.56 ",$663.53 ,$260.10 ,"$1,153.95 ",$647.37 ,$260.10 ,$477.74 , N/A , N/A ,$273.11 ,$980.86 ,$726.99 ,$323.11 ,"$1,038.56 ","$1,003.94 ",$923.16 ,$923.16 ,$260.10 ,$750.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 2.4 LCP T 7H/58MM,278,1 ,"$1,918.35 ","$1,381.21 ",$432.40 ,"$1,918.35 ","$1,103.05 ","$1,381.21 ","$1,043.58 ",$432.40 ,$537.14 ,"$1,275.70 ",$432.40 ,"$1,342.85 ",$432.40 ,"$1,208.56 ","$1,208.56 ",$432.40 ,"$1,208.56 ",$891.26 ,"$1,764.88 ", N/A ,$432.40 ,"$1,630.60 ","$1,611.41 ",$432.40 ,"$1,438.76 ","$1,534.68 ","$1,534.68 ",$432.40 ,"$1,534.68 ","$1,668.96 ","$1,668.96 ","$1,668.96 ","$1,726.52 ","$1,103.05 ",$432.40 ,"$1,918.35 ","$1,076.19 ",$432.40 ,$794.20 , N/A , N/A ,$454.01 ,"$1,630.60 ","$1,208.56 ",$537.14 ,"$1,726.52 ","$1,668.96 ","$1,534.68 ","$1,534.68 ",$432.40 ,"$1,246.93 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 5 HOLE,278,1 ,"$1,151.01 ",$828.73 ,$259.44 ,"$1,151.01 ",$661.83 ,$828.73 ,$626.15 ,$259.44 ,$322.28 ,$765.42 ,$259.44 ,$805.71 ,$259.44 ,$725.14 ,$725.14 ,$259.44 ,$725.14 ,$534.75 ,"$1,058.93 ", N/A ,$259.44 ,$978.36 ,$966.85 ,$259.44 ,$863.26 ,$920.81 ,$920.81 ,$259.44 ,$920.81 ,"$1,001.38 ","$1,001.38 ","$1,001.38 ","$1,035.91 ",$661.83 ,$259.44 ,"$1,151.01 ",$645.72 ,$259.44 ,$476.52 , N/A , N/A ,$272.41 ,$978.36 ,$725.14 ,$322.28 ,"$1,035.91 ","$1,001.38 ",$920.81 ,$920.81 ,$259.44 ,$748.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 6 HOLE,278,1 ,"$1,330.35 ",$957.85 ,$299.86 ,"$1,330.35 ",$764.95 ,$957.85 ,$723.71 ,$299.86 ,$372.50 ,$884.68 ,$299.86 ,$931.25 ,$299.86 ,$838.12 ,$838.12 ,$299.86 ,$838.12 ,$618.08 ,"$1,223.92 ", N/A ,$299.86 ,"$1,130.80 ","$1,117.49 ",$299.86 ,$997.76 ,"$1,064.28 ","$1,064.28 ",$299.86 ,"$1,064.28 ","$1,157.40 ","$1,157.40 ","$1,157.40 ","$1,197.32 ",$764.95 ,$299.86 ,"$1,330.35 ",$746.33 ,$299.86 ,$550.76 , N/A , N/A ,$314.85 ,"$1,130.80 ",$838.12 ,$372.50 ,"$1,197.32 ","$1,157.40 ","$1,064.28 ","$1,064.28 ",$299.86 ,$864.73 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP RECON 7 HOLE,278,1 ,"$1,395.03 ","$1,004.42 ",$314.44 ,"$1,395.03 ",$802.15 ,"$1,004.42 ",$758.90 ,$314.44 ,$390.61 ,$927.70 ,$314.44 ,$976.52 ,$314.44 ,$878.87 ,$878.87 ,$314.44 ,$878.87 ,$648.14 ,"$1,283.43 ", N/A ,$314.44 ,"$1,185.78 ","$1,171.83 ",$314.44 ,"$1,046.27 ","$1,116.02 ","$1,116.02 ",$314.44 ,"$1,116.02 ","$1,213.68 ","$1,213.68 ","$1,213.68 ","$1,255.53 ",$802.15 ,$314.44 ,"$1,395.03 ",$782.61 ,$314.44 ,$577.54 , N/A , N/A ,$330.16 ,"$1,185.78 ",$878.87 ,$390.61 ,"$1,255.53 ","$1,213.68 ","$1,116.02 ","$1,116.02 ",$314.44 ,$906.77 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 10 HOLE,278,1 ,$974.61 ,$701.72 ,$219.68 ,$974.61 ,$560.40 ,$701.72 ,$530.19 ,$219.68 ,$272.89 ,$648.12 ,$219.68 ,$682.23 ,$219.68 ,$614.00 ,$614.00 ,$219.68 ,$614.00 ,$452.80 ,$896.64 , N/A ,$219.68 ,$828.42 ,$818.67 ,$219.68 ,$730.96 ,$779.69 ,$779.69 ,$219.68 ,$779.69 ,$847.91 ,$847.91 ,$847.91 ,$877.15 ,$560.40 ,$219.68 ,$974.61 ,$546.76 ,$219.68 ,$403.49 , N/A , N/A ,$230.66 ,$828.42 ,$614.00 ,$272.89 ,$877.15 ,$847.91 ,$779.69 ,$779.69 ,$219.68 ,$633.50 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 5 HOLE,278,1 ,$783.51 ,$564.13 ,$176.61 ,$783.51 ,$450.53 ,$564.13 ,$426.23 ,$176.61 ,$219.38 ,$521.03 ,$176.61 ,$548.46 ,$176.61 ,$493.61 ,$493.61 ,$176.61 ,$493.61 ,$364.02 ,$720.83 , N/A ,$176.61 ,$665.98 ,$658.15 ,$176.61 ,$587.63 ,$626.81 ,$626.81 ,$176.61 ,$626.81 ,$681.65 ,$681.65 ,$681.65 ,$705.16 ,$450.53 ,$176.61 ,$783.51 ,$439.55 ,$176.61 ,$324.37 , N/A , N/A ,$185.44 ,$665.98 ,$493.61 ,$219.38 ,$705.16 ,$681.65 ,$626.81 ,$626.81 ,$176.61 ,$509.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SYNTHES 3.5 LCP-COMBI 6 HOLE,278,1 ,$833.49 ,$600.11 ,$187.87 ,$833.49 ,$479.25 ,$600.11 ,$453.42 ,$187.87 ,$233.38 ,$554.27 ,$187.87 ,$583.44 ,$187.87 ,$525.10 ,$525.10 ,$187.87 ,$525.10 ,$387.23 ,$766.81 , N/A ,$187.87 ,$708.47 ,$700.13 ,$187.87 ,$625.12 ,$666.79 ,$666.79 ,$187.87 ,$666.79 ,$725.14 ,$725.14 ,$725.14 ,$750.14 ,$479.25 ,$187.87 ,$833.49 ,$467.59 ,$187.87 ,$345.06 , N/A , N/A ,$197.26 ,$708.47 ,$525.10 ,$233.38 ,$750.14 ,$725.14 ,$666.79 ,$666.79 ,$187.87 ,$541.77 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 12 HOLE COMPRESSION BONE,278,1 ,$411.84 ,$296.52 ,$92.83 ,$411.84 ,$236.80 ,$296.52 ,$224.04 ,$92.83 ,$115.32 ,$273.87 ,$92.83 ,$288.29 ,$92.83 ,$259.46 ,$259.46 ,$92.83 ,$259.46 ,$191.33 ,$378.89 , N/A ,$92.83 ,$350.06 ,$345.95 ,$92.83 ,$308.88 ,$329.47 ,$329.47 ,$92.83 ,$329.47 ,$358.30 ,$358.30 ,$358.30 ,$370.66 ,$236.80 ,$92.83 ,$411.84 ,$231.04 ,$92.83 ,$170.50 , N/A , N/A ,$97.47 ,$350.06 ,$259.46 ,$115.32 ,$370.66 ,$358.30 ,$329.47 ,$329.47 ,$92.83 ,$267.70 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 10 HOLE COMPRESSION BONE,278,1 ,$411.84 ,$296.52 ,$92.83 ,$411.84 ,$236.80 ,$296.52 ,$224.04 ,$92.83 ,$115.32 ,$273.87 ,$92.83 ,$288.29 ,$92.83 ,$259.46 ,$259.46 ,$92.83 ,$259.46 ,$191.33 ,$378.89 , N/A ,$92.83 ,$350.06 ,$345.95 ,$92.83 ,$308.88 ,$329.47 ,$329.47 ,$92.83 ,$329.47 ,$358.30 ,$358.30 ,$358.30 ,$370.66 ,$236.80 ,$92.83 ,$411.84 ,$231.04 ,$92.83 ,$170.50 , N/A , N/A ,$97.47 ,$350.06 ,$259.46 ,$115.32 ,$370.66 ,$358.30 ,$329.47 ,$329.47 ,$92.83 ,$267.70 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 11 HOLE COMPRESSION BONE ORTHOPEDIC,278,1 ,$411.84 ,$296.52 ,$92.83 ,$411.84 ,$236.80 ,$296.52 ,$224.04 ,$92.83 ,$115.32 ,$273.87 ,$92.83 ,$288.29 ,$92.83 ,$259.46 ,$259.46 ,$92.83 ,$259.46 ,$191.33 ,$378.89 , N/A ,$92.83 ,$350.06 ,$345.95 ,$92.83 ,$308.88 ,$329.47 ,$329.47 ,$92.83 ,$329.47 ,$358.30 ,$358.30 ,$358.30 ,$370.66 ,$236.80 ,$92.83 ,$411.84 ,$231.04 ,$92.83 ,$170.50 , N/A , N/A ,$97.47 ,$350.06 ,$259.46 ,$115.32 ,$370.66 ,$358.30 ,$329.47 ,$329.47 ,$92.83 ,$267.70 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 3 HOLE CLOVERLEAF BONE,278,1 ,$625.68 ,$450.49 ,$141.03 ,$625.68 ,$359.78 ,$450.49 ,$340.37 ,$141.03 ,$175.19 ,$416.08 ,$141.03 ,$437.98 ,$141.03 ,$394.18 ,$394.18 ,$141.03 ,$394.18 ,$290.70 ,$575.63 , N/A ,$141.03 ,$531.83 ,$525.57 ,$141.03 ,$469.26 ,$500.54 ,$500.54 ,$141.03 ,$500.54 ,$544.34 ,$544.34 ,$544.34 ,$563.11 ,$359.78 ,$141.03 ,$625.68 ,$351.01 ,$141.03 ,$259.03 , N/A , N/A ,$148.09 ,$531.83 ,$394.18 ,$175.19 ,$563.11 ,$544.34 ,$500.54 ,$500.54 ,$141.03 ,$406.69 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER CLOVERLEAF 4,278,1 ,$625.68 ,$450.49 ,$141.03 ,$625.68 ,$359.78 ,$450.49 ,$340.37 ,$141.03 ,$175.19 ,$416.08 ,$141.03 ,$437.98 ,$141.03 ,$394.18 ,$394.18 ,$141.03 ,$394.18 ,$290.70 ,$575.63 , N/A ,$141.03 ,$531.83 ,$525.57 ,$141.03 ,$469.26 ,$500.54 ,$500.54 ,$141.03 ,$500.54 ,$544.34 ,$544.34 ,$544.34 ,$563.11 ,$359.78 ,$141.03 ,$625.68 ,$351.01 ,$141.03 ,$259.03 , N/A , N/A ,$148.09 ,$531.83 ,$394.18 ,$175.19 ,$563.11 ,$544.34 ,$500.54 ,$500.54 ,$141.03 ,$406.69 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 3 HOLE OBLIQUE BONE ORTHOPEDIC,278,1 ,$432.96 ,$311.73 ,$97.59 ,$432.96 ,$248.95 ,$311.73 ,$235.53 ,$97.59 ,$121.23 ,$287.92 ,$97.59 ,$303.07 ,$97.59 ,$272.76 ,$272.76 ,$97.59 ,$272.76 ,$201.15 ,$398.32 , N/A ,$97.59 ,$368.02 ,$363.69 ,$97.59 ,$324.72 ,$346.37 ,$346.37 ,$97.59 ,$346.37 ,$376.68 ,$376.68 ,$376.68 ,$389.66 ,$248.95 ,$97.59 ,$432.96 ,$242.89 ,$97.59 ,$179.25 , N/A , N/A ,$102.47 ,$368.02 ,$272.76 ,$121.23 ,$389.66 ,$376.68 ,$346.37 ,$346.37 ,$97.59 ,$281.42 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER OBLIQUE T 53MM 4,278,1 ,$432.96 ,$311.73 ,$97.59 ,$432.96 ,$248.95 ,$311.73 ,$235.53 ,$97.59 ,$121.23 ,$287.92 ,$97.59 ,$303.07 ,$97.59 ,$272.76 ,$272.76 ,$97.59 ,$272.76 ,$201.15 ,$398.32 , N/A ,$97.59 ,$368.02 ,$363.69 ,$97.59 ,$324.72 ,$346.37 ,$346.37 ,$97.59 ,$346.37 ,$376.68 ,$376.68 ,$376.68 ,$389.66 ,$248.95 ,$97.59 ,$432.96 ,$242.89 ,$97.59 ,$179.25 , N/A , N/A ,$102.47 ,$368.02 ,$272.76 ,$121.23 ,$389.66 ,$376.68 ,$346.37 ,$346.37 ,$97.59 ,$281.42 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 4 HOLE COMPRESSION BONE,278,1 ,$266.64 ,$191.98 ,$60.10 ,$266.64 ,$153.33 ,$191.98 ,$145.05 ,$60.10 ,$74.66 ,$177.32 ,$60.10 ,$186.65 ,$60.10 ,$167.98 ,$167.98 ,$60.10 ,$167.98 ,$123.89 ,$245.31 , N/A ,$60.10 ,$226.64 ,$223.98 ,$60.10 ,$199.98 ,$213.31 ,$213.31 ,$60.10 ,$213.31 ,$231.98 ,$231.98 ,$231.98 ,$239.98 ,$153.33 ,$60.10 ,$266.64 ,$149.59 ,$60.10 ,$110.39 , N/A , N/A ,$63.11 ,$226.64 ,$167.98 ,$74.66 ,$239.98 ,$231.98 ,$213.31 ,$213.31 ,$60.10 ,$173.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 2 HOLE COMPRESSION BONE,278,1 ,$266.64 ,$191.98 ,$60.10 ,$266.64 ,$153.33 ,$191.98 ,$145.05 ,$60.10 ,$74.66 ,$177.32 ,$60.10 ,$186.65 ,$60.10 ,$167.98 ,$167.98 ,$60.10 ,$167.98 ,$123.89 ,$245.31 , N/A ,$60.10 ,$226.64 ,$223.98 ,$60.10 ,$199.98 ,$213.31 ,$213.31 ,$60.10 ,$213.31 ,$231.98 ,$231.98 ,$231.98 ,$239.98 ,$153.33 ,$60.10 ,$266.64 ,$149.59 ,$60.10 ,$110.39 , N/A , N/A ,$63.11 ,$226.64 ,$167.98 ,$74.66 ,$239.98 ,$231.98 ,$213.31 ,$213.31 ,$60.10 ,$173.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 3 HOLE COMPRESSION BONE,278,1 ,$266.64 ,$191.98 ,$60.10 ,$266.64 ,$153.33 ,$191.98 ,$145.05 ,$60.10 ,$74.66 ,$177.32 ,$60.10 ,$186.65 ,$60.10 ,$167.98 ,$167.98 ,$60.10 ,$167.98 ,$123.89 ,$245.31 , N/A ,$60.10 ,$226.64 ,$223.98 ,$60.10 ,$199.98 ,$213.31 ,$213.31 ,$60.10 ,$213.31 ,$231.98 ,$231.98 ,$231.98 ,$239.98 ,$153.33 ,$60.10 ,$266.64 ,$149.59 ,$60.10 ,$110.39 , N/A , N/A ,$63.11 ,$226.64 ,$167.98 ,$74.66 ,$239.98 ,$231.98 ,$213.31 ,$213.31 ,$60.10 ,$173.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 5 HOLE SHAFT 3 HOLE HEAD T BONE ORTHOPEDIC,278,1 ,$373.56 ,$268.96 ,$84.20 ,$373.56 ,$214.80 ,$268.96 ,$203.22 ,$84.20 ,$104.60 ,$248.42 ,$84.20 ,$261.49 ,$84.20 ,$235.34 ,$235.34 ,$84.20 ,$235.34 ,$173.56 ,$343.68 , N/A ,$84.20 ,$317.53 ,$313.79 ,$84.20 ,$280.17 ,$298.85 ,$298.85 ,$84.20 ,$298.85 ,$325.00 ,$325.00 ,$325.00 ,$336.20 ,$214.80 ,$84.20 ,$373.56 ,$209.57 ,$84.20 ,$154.65 , N/A , N/A ,$88.42 ,$317.53 ,$235.34 ,$104.60 ,$336.20 ,$325.00 ,$298.85 ,$298.85 ,$84.20 ,$242.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE T TITANIUM 4 HOLE SHAFT 4 HOLE HEAD BONE,278,1 ,$373.56 ,$268.96 ,$84.20 ,$373.56 ,$214.80 ,$268.96 ,$203.22 ,$84.20 ,$104.60 ,$248.42 ,$84.20 ,$261.49 ,$84.20 ,$235.34 ,$235.34 ,$84.20 ,$235.34 ,$173.56 ,$343.68 , N/A ,$84.20 ,$317.53 ,$313.79 ,$84.20 ,$280.17 ,$298.85 ,$298.85 ,$84.20 ,$298.85 ,$325.00 ,$325.00 ,$325.00 ,$336.20 ,$214.80 ,$84.20 ,$373.56 ,$209.57 ,$84.20 ,$154.65 , N/A , N/A ,$88.42 ,$317.53 ,$235.34 ,$104.60 ,$336.20 ,$325.00 ,$298.85 ,$298.85 ,$84.20 ,$242.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 3 HOLE SHAFT 3 HOLE HEAD T BONE ORTHOPEDIC,278,1 ,$373.56 ,$268.96 ,$84.20 ,$373.56 ,$214.80 ,$268.96 ,$203.22 ,$84.20 ,$104.60 ,$248.42 ,$84.20 ,$261.49 ,$84.20 ,$235.34 ,$235.34 ,$84.20 ,$235.34 ,$173.56 ,$343.68 , N/A ,$84.20 ,$317.53 ,$313.79 ,$84.20 ,$280.17 ,$298.85 ,$298.85 ,$84.20 ,$298.85 ,$325.00 ,$325.00 ,$325.00 ,$336.20 ,$214.80 ,$84.20 ,$373.56 ,$209.57 ,$84.20 ,$154.65 , N/A , N/A ,$88.42 ,$317.53 ,$235.34 ,$104.60 ,$336.20 ,$325.00 ,$298.85 ,$298.85 ,$84.20 ,$242.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 4 HOLE SHAFT 3 HOLE HEAD T BONE,278,1 ,$373.56 ,$268.96 ,$84.20 ,$373.56 ,$214.80 ,$268.96 ,$203.22 ,$84.20 ,$104.60 ,$248.42 ,$84.20 ,$261.49 ,$84.20 ,$235.34 ,$235.34 ,$84.20 ,$235.34 ,$173.56 ,$343.68 , N/A ,$84.20 ,$317.53 ,$313.79 ,$84.20 ,$280.17 ,$298.85 ,$298.85 ,$84.20 ,$298.85 ,$325.00 ,$325.00 ,$325.00 ,$336.20 ,$214.80 ,$84.20 ,$373.56 ,$209.57 ,$84.20 ,$154.65 , N/A , N/A ,$88.42 ,$317.53 ,$235.34 ,$104.60 ,$336.20 ,$325.00 ,$298.85 ,$298.85 ,$84.20 ,$242.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 6 HOLE CLOVERLEAF BONE ORTHOPEDIC,278,1 ,$792.00 ,$570.24 ,$178.52 ,$792.00 ,$455.40 ,$570.24 ,$430.85 ,$178.52 ,$221.76 ,$526.68 ,$178.52 ,$554.40 ,$178.52 ,$498.96 ,$498.96 ,$178.52 ,$498.96 ,$367.96 ,$728.64 , N/A ,$178.52 ,$673.20 ,$665.28 ,$178.52 ,$594.00 ,$633.60 ,$633.60 ,$178.52 ,$633.60 ,$689.04 ,$689.04 ,$689.04 ,$712.80 ,$455.40 ,$178.52 ,$792.00 ,$444.31 ,$178.52 ,$327.89 , N/A , N/A ,$187.44 ,$673.20 ,$498.96 ,$221.76 ,$712.80 ,$689.04 ,$633.60 ,$633.60 ,$178.52 ,$514.80 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 5 HOLE CLOVERLEAF BONE ORTHOPEDIC,278,1 ,$792.00 ,$570.24 ,$178.52 ,$792.00 ,$455.40 ,$570.24 ,$430.85 ,$178.52 ,$221.76 ,$526.68 ,$178.52 ,$554.40 ,$178.52 ,$498.96 ,$498.96 ,$178.52 ,$498.96 ,$367.96 ,$728.64 , N/A ,$178.52 ,$673.20 ,$665.28 ,$178.52 ,$594.00 ,$633.60 ,$633.60 ,$178.52 ,$633.60 ,$689.04 ,$689.04 ,$689.04 ,$712.80 ,$455.40 ,$178.52 ,$792.00 ,$444.31 ,$178.52 ,$327.89 , N/A , N/A ,$187.44 ,$673.20 ,$498.96 ,$221.76 ,$712.80 ,$689.04 ,$633.60 ,$633.60 ,$178.52 ,$514.80 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 7 HOLE COMPRESSION BONE,278,1 ,$327.36 ,$235.70 ,$73.78 ,$327.36 ,$188.23 ,$235.70 ,$178.08 ,$73.78 ,$91.66 ,$217.69 ,$73.78 ,$229.15 ,$73.78 ,$206.24 ,$206.24 ,$73.78 ,$206.24 ,$152.09 ,$301.17 , N/A ,$73.78 ,$278.26 ,$274.98 ,$73.78 ,$245.52 ,$261.89 ,$261.89 ,$73.78 ,$261.89 ,$284.80 ,$284.80 ,$284.80 ,$294.62 ,$188.23 ,$73.78 ,$327.36 ,$183.65 ,$73.78 ,$135.53 , N/A , N/A ,$77.47 ,$278.26 ,$206.24 ,$91.66 ,$294.62 ,$284.80 ,$261.89 ,$261.89 ,$73.78 ,$212.78 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 5 HOLE COMPRESSION BONE,278,1 ,$327.36 ,$235.70 ,$73.78 ,$327.36 ,$188.23 ,$235.70 ,$178.08 ,$73.78 ,$91.66 ,$217.69 ,$73.78 ,$229.15 ,$73.78 ,$206.24 ,$206.24 ,$73.78 ,$206.24 ,$152.09 ,$301.17 , N/A ,$73.78 ,$278.26 ,$274.98 ,$73.78 ,$245.52 ,$261.89 ,$261.89 ,$73.78 ,$261.89 ,$284.80 ,$284.80 ,$284.80 ,$294.62 ,$188.23 ,$73.78 ,$327.36 ,$183.65 ,$73.78 ,$135.53 , N/A , N/A ,$77.47 ,$278.26 ,$206.24 ,$91.66 ,$294.62 ,$284.80 ,$261.89 ,$261.89 ,$73.78 ,$212.78 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 6 HOLE COMPRESSION BONE,278,1 ,$327.36 ,$235.70 ,$73.78 ,$327.36 ,$188.23 ,$235.70 ,$178.08 ,$73.78 ,$91.66 ,$217.69 ,$73.78 ,$229.15 ,$73.78 ,$206.24 ,$206.24 ,$73.78 ,$206.24 ,$152.09 ,$301.17 , N/A ,$73.78 ,$278.26 ,$274.98 ,$73.78 ,$245.52 ,$261.89 ,$261.89 ,$73.78 ,$261.89 ,$284.80 ,$284.80 ,$284.80 ,$294.62 ,$188.23 ,$73.78 ,$327.36 ,$183.65 ,$73.78 ,$135.53 , N/A , N/A ,$77.47 ,$278.26 ,$206.24 ,$91.66 ,$294.62 ,$284.80 ,$261.89 ,$261.89 ,$73.78 ,$212.78 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 8 HOLE CLOVERLEAF BONE ORTHOPEDIC,278,1 ,$999.24 ,$719.45 ,$225.23 ,$999.24 ,$574.58 ,$719.45 ,$543.59 ,$225.23 ,$279.79 ,$664.49 ,$225.23 ,$699.47 ,$225.23 ,$629.52 ,$629.52 ,$225.23 ,$629.52 ,$464.26 ,$919.30 , N/A ,$225.23 ,$849.35 ,$839.36 ,$225.23 ,$749.43 ,$799.39 ,$799.39 ,$225.23 ,$799.39 ,$869.34 ,$869.34 ,$869.34 ,$899.32 ,$574.58 ,$225.23 ,$999.24 ,$560.57 ,$225.23 ,$413.69 , N/A , N/A ,$236.49 ,$849.35 ,$629.52 ,$279.79 ,$899.32 ,$869.34 ,$799.39 ,$799.39 ,$225.23 ,$649.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 10 HOLE CLOVERLEAF BONE ORTHOPEDIC,278,1 ,$999.24 ,$719.45 ,$225.23 ,$999.24 ,$574.58 ,$719.45 ,$543.59 ,$225.23 ,$279.79 ,$664.49 ,$225.23 ,$699.47 ,$225.23 ,$629.52 ,$629.52 ,$225.23 ,$629.52 ,$464.26 ,$919.30 , N/A ,$225.23 ,$849.35 ,$839.36 ,$225.23 ,$749.43 ,$799.39 ,$799.39 ,$225.23 ,$799.39 ,$869.34 ,$869.34 ,$869.34 ,$899.32 ,$574.58 ,$225.23 ,$999.24 ,$560.57 ,$225.23 ,$413.69 , N/A , N/A ,$236.49 ,$849.35 ,$629.52 ,$279.79 ,$899.32 ,$869.34 ,$799.39 ,$799.39 ,$225.23 ,$649.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 8 HOLE OBLIQUE BONE ORTHOPEDIC,278,1 ,$483.12 ,$347.85 ,$108.90 ,$483.12 ,$277.80 ,$347.85 ,$262.82 ,$108.90 ,$135.27 ,$321.27 ,$108.90 ,$338.18 ,$108.90 ,$304.37 ,$304.37 ,$108.90 ,$304.37 ,$224.46 ,$444.47 , N/A ,$108.90 ,$410.65 ,$405.82 ,$108.90 ,$362.34 ,$386.50 ,$386.50 ,$108.90 ,$386.50 ,$420.31 ,$420.31 ,$420.31 ,$434.81 ,$277.80 ,$108.90 ,$483.12 ,$271.03 ,$108.90 ,$200.01 , N/A , N/A ,$114.35 ,$410.65 ,$304.37 ,$135.27 ,$434.81 ,$420.31 ,$386.50 ,$386.50 ,$108.90 ,$314.03 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER OBLIQUE T 70MM 6,278,1 ,$483.12 ,$347.85 ,$108.90 ,$483.12 ,$277.80 ,$347.85 ,$262.82 ,$108.90 ,$135.27 ,$321.27 ,$108.90 ,$338.18 ,$108.90 ,$304.37 ,$304.37 ,$108.90 ,$304.37 ,$224.46 ,$444.47 , N/A ,$108.90 ,$410.65 ,$405.82 ,$108.90 ,$362.34 ,$386.50 ,$386.50 ,$108.90 ,$386.50 ,$420.31 ,$420.31 ,$420.31 ,$434.81 ,$277.80 ,$108.90 ,$483.12 ,$271.03 ,$108.90 ,$200.01 , N/A , N/A ,$114.35 ,$410.65 ,$304.37 ,$135.27 ,$434.81 ,$420.31 ,$386.50 ,$386.50 ,$108.90 ,$314.03 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 5 HOLE OBLIQUE BONE ORTHOPEDIC,278,1 ,$483.12 ,$347.85 ,$108.90 ,$483.12 ,$277.80 ,$347.85 ,$262.82 ,$108.90 ,$135.27 ,$321.27 ,$108.90 ,$338.18 ,$108.90 ,$304.37 ,$304.37 ,$108.90 ,$304.37 ,$224.46 ,$444.47 , N/A ,$108.90 ,$410.65 ,$405.82 ,$108.90 ,$362.34 ,$386.50 ,$386.50 ,$108.90 ,$386.50 ,$420.31 ,$420.31 ,$420.31 ,$434.81 ,$277.80 ,$108.90 ,$483.12 ,$271.03 ,$108.90 ,$200.01 , N/A , N/A ,$114.35 ,$410.65 ,$304.37 ,$135.27 ,$434.81 ,$420.31 ,$386.50 ,$386.50 ,$108.90 ,$314.03 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 8 HOLE SHAFT 3 HOLE HEAD T BONE ORTHOPEDIC,278,1 ,$459.36 ,$330.74 ,$103.54 ,$459.36 ,$264.13 ,$330.74 ,$249.89 ,$103.54 ,$128.62 ,$305.47 ,$103.54 ,$321.55 ,$103.54 ,$289.40 ,$289.40 ,$103.54 ,$289.40 ,$213.41 ,$422.61 , N/A ,$103.54 ,$390.46 ,$385.86 ,$103.54 ,$344.52 ,$367.49 ,$367.49 ,$103.54 ,$367.49 ,$399.64 ,$399.64 ,$399.64 ,$413.42 ,$264.13 ,$103.54 ,$459.36 ,$257.70 ,$103.54 ,$190.18 , N/A , N/A ,$108.71 ,$390.46 ,$289.40 ,$128.62 ,$413.42 ,$399.64 ,$367.49 ,$367.49 ,$103.54 ,$298.58 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STRYKER T 68MM 6H,278,1 ,$459.36 ,$330.74 ,$103.54 ,$459.36 ,$264.13 ,$330.74 ,$249.89 ,$103.54 ,$128.62 ,$305.47 ,$103.54 ,$321.55 ,$103.54 ,$289.40 ,$289.40 ,$103.54 ,$289.40 ,$213.41 ,$422.61 , N/A ,$103.54 ,$390.46 ,$385.86 ,$103.54 ,$344.52 ,$367.49 ,$367.49 ,$103.54 ,$367.49 ,$399.64 ,$399.64 ,$399.64 ,$413.42 ,$264.13 ,$103.54 ,$459.36 ,$257.70 ,$103.54 ,$190.18 , N/A , N/A ,$108.71 ,$390.46 ,$289.40 ,$128.62 ,$413.42 ,$399.64 ,$367.49 ,$367.49 ,$103.54 ,$298.58 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 10 HOLE SHAFT 3 HOLE HEAD T BONE ORTHOPEDIC,278,1 ,$459.36 ,$330.74 ,$103.54 ,$459.36 ,$264.13 ,$330.74 ,$249.89 ,$103.54 ,$128.62 ,$305.47 ,$103.54 ,$321.55 ,$103.54 ,$289.40 ,$289.40 ,$103.54 ,$289.40 ,$213.41 ,$422.61 , N/A ,$103.54 ,$390.46 ,$385.86 ,$103.54 ,$344.52 ,$367.49 ,$367.49 ,$103.54 ,$367.49 ,$399.64 ,$399.64 ,$399.64 ,$413.42 ,$264.13 ,$103.54 ,$459.36 ,$257.70 ,$103.54 ,$190.18 , N/A , N/A ,$108.71 ,$390.46 ,$289.40 ,$128.62 ,$413.42 ,$399.64 ,$367.49 ,$367.49 ,$103.54 ,$298.58 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 9 HOLE COMPRESSION BONE,278,1 ,$365.64 ,$263.26 ,$82.42 ,$365.64 ,$210.25 ,$263.26 ,$198.91 ,$82.42 ,$102.38 ,$243.15 ,$82.42 ,$255.95 ,$82.42 ,$230.35 ,$230.35 ,$82.42 ,$230.35 ,$169.88 ,$336.39 , N/A ,$82.42 ,$310.79 ,$307.14 ,$82.42 ,$274.23 ,$292.51 ,$292.51 ,$82.42 ,$292.51 ,$318.11 ,$318.11 ,$318.11 ,$329.08 ,$210.25 ,$82.42 ,$365.64 ,$205.12 ,$82.42 ,$151.38 , N/A , N/A ,$86.54 ,$310.79 ,$230.35 ,$102.38 ,$329.08 ,$318.11 ,$292.51 ,$292.51 ,$82.42 ,$237.67 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE TITANIUM 8 HOLE COMPRESSION BONE,278,1 ,$365.64 ,$263.26 ,$82.42 ,$365.64 ,$210.25 ,$263.26 ,$198.91 ,$82.42 ,$102.38 ,$243.15 ,$82.42 ,$255.95 ,$82.42 ,$230.35 ,$230.35 ,$82.42 ,$230.35 ,$169.88 ,$336.39 , N/A ,$82.42 ,$310.79 ,$307.14 ,$82.42 ,$274.23 ,$292.51 ,$292.51 ,$82.42 ,$292.51 ,$318.11 ,$318.11 ,$318.11 ,$329.08 ,$210.25 ,$82.42 ,$365.64 ,$205.12 ,$82.42 ,$151.38 , N/A , N/A ,$86.54 ,$310.79 ,$230.35 ,$102.38 ,$329.08 ,$318.11 ,$292.51 ,$292.51 ,$82.42 ,$237.67 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE VARIAX STRYKER 2.3,278,1 ,"$1,044.00 ",$751.68 ,$235.32 ,"$1,044.00 ",$600.30 ,$751.68 ,$567.94 ,$235.32 ,$292.32 ,$694.26 ,$235.32 ,$730.80 ,$235.32 ,$657.72 ,$657.72 ,$235.32 ,$657.72 ,$485.04 ,$960.48 , N/A ,$235.32 ,$887.40 ,$876.96 ,$235.32 ,$783.00 ,$835.20 ,$835.20 ,$235.32 ,$835.20 ,$908.28 ,$908.28 ,$908.28 ,$939.60 ,$600.30 ,$235.32 ,"$1,044.00 ",$585.68 ,$235.32 ,$432.22 , N/A , N/A ,$247.09 ,$887.40 ,$657.72 ,$292.32 ,$939.60 ,$908.28 ,$835.20 ,$835.20 ,$235.32 ,$678.60 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE WIDE 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL DORSAL,278,1 ,"$2,384.64 ","$1,716.94 ",$537.50 ,"$2,384.64 ","$1,371.18 ","$1,716.94 ","$1,297.24 ",$537.50 ,$667.70 ,"$1,585.79 ",$537.50 ,"$1,669.25 ",$537.50 ,"$1,502.32 ","$1,502.32 ",$537.50 ,"$1,502.32 ","$1,107.91 ","$2,193.87 ", N/A ,$537.50 ,"$2,026.94 ","$2,003.10 ",$537.50 ,"$1,788.48 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,907.71 ","$2,074.64 ","$2,074.64 ","$2,074.64 ","$2,146.18 ","$1,371.18 ",$537.50 ,"$2,384.64 ","$1,337.78 ",$537.50 ,$987.24 , N/A , N/A ,$564.37 ,"$2,026.94 ","$1,502.32 ",$667.70 ,"$2,146.18 ","$2,074.64 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,550.02 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL LEFT DISTAL DORSAL,278,1 ,"$2,384.64 ","$1,716.94 ",$537.50 ,"$2,384.64 ","$1,371.18 ","$1,716.94 ","$1,297.24 ",$537.50 ,$667.70 ,"$1,585.79 ",$537.50 ,"$1,669.25 ",$537.50 ,"$1,502.32 ","$1,502.32 ",$537.50 ,"$1,502.32 ","$1,107.91 ","$2,193.87 ", N/A ,$537.50 ,"$2,026.94 ","$2,003.10 ",$537.50 ,"$1,788.48 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,907.71 ","$2,074.64 ","$2,074.64 ","$2,074.64 ","$2,146.18 ","$1,371.18 ",$537.50 ,"$2,384.64 ","$1,337.78 ",$537.50 ,$987.24 , N/A , N/A ,$564.37 ,"$2,026.94 ","$1,502.32 ",$667.70 ,"$2,146.18 ","$2,074.64 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,550.02 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD 60MMX1.5MM TITANIUM LOCK VARIAX BONE RADIAL RIGHT DISTAL DORSAL,278,1 ,"$2,384.64 ","$1,716.94 ",$537.50 ,"$2,384.64 ","$1,371.18 ","$1,716.94 ","$1,297.24 ",$537.50 ,$667.70 ,"$1,585.79 ",$537.50 ,"$1,669.25 ",$537.50 ,"$1,502.32 ","$1,502.32 ",$537.50 ,"$1,502.32 ","$1,107.91 ","$2,193.87 ", N/A ,$537.50 ,"$2,026.94 ","$2,003.10 ",$537.50 ,"$1,788.48 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,907.71 ","$2,074.64 ","$2,074.64 ","$2,074.64 ","$2,146.18 ","$1,371.18 ",$537.50 ,"$2,384.64 ","$1,337.78 ",$537.50 ,$987.24 , N/A , N/A ,$564.37 ,"$2,026.94 ","$1,502.32 ",$667.70 ,"$2,146.18 ","$2,074.64 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,550.02 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE DORSAL STRYKER VARIAX 11 HOLE,278,1 ,"$2,384.64 ","$1,716.94 ",$537.50 ,"$2,384.64 ","$1,371.18 ","$1,716.94 ","$1,297.24 ",$537.50 ,$667.70 ,"$1,585.79 ",$537.50 ,"$1,669.25 ",$537.50 ,"$1,502.32 ","$1,502.32 ",$537.50 ,"$1,502.32 ","$1,107.91 ","$2,193.87 ", N/A ,$537.50 ,"$2,026.94 ","$2,003.10 ",$537.50 ,"$1,788.48 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,907.71 ","$2,074.64 ","$2,074.64 ","$2,074.64 ","$2,146.18 ","$1,371.18 ",$537.50 ,"$2,384.64 ","$1,337.78 ",$537.50 ,$987.24 , N/A , N/A ,$564.37 ,"$2,026.94 ","$1,502.32 ",$667.70 ,"$2,146.18 ","$2,074.64 ","$1,907.71 ","$1,907.71 ",$537.50 ,"$1,550.02 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XLONG LOCKING WIDE VARIAX BONE LEFT DISTAL DORSAL RADIAL,278,1 ,"$2,751.84 ","$1,981.32 ",$620.26 ,"$2,751.84 ","$1,582.30 ","$1,981.32 ","$1,497.00 ",$620.26 ,$770.52 ,"$1,829.97 ",$620.26 ,"$1,926.29 ",$620.26 ,"$1,733.66 ","$1,733.66 ",$620.26 ,"$1,733.66 ","$1,278.50 ","$2,531.69 ", N/A ,$620.26 ,"$2,339.06 ","$2,311.55 ",$620.26 ,"$2,063.88 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$2,201.47 ","$2,394.10 ","$2,394.10 ","$2,394.10 ","$2,476.66 ","$1,582.30 ",$620.26 ,"$2,751.84 ","$1,543.78 ",$620.26 ,"$1,139.26 ", N/A , N/A ,$651.28 ,"$2,339.06 ","$1,733.66 ",$770.52 ,"$2,476.66 ","$2,394.10 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$1,788.70 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD XLONG 81MMX1.5MM TITANIUM LOCK VARIAX BONE RADIUS RIGHT DISTAL DORSAL,278,1 ,"$2,751.84 ","$1,981.32 ",$620.26 ,"$2,751.84 ","$1,582.30 ","$1,981.32 ","$1,497.00 ",$620.26 ,$770.52 ,"$1,829.97 ",$620.26 ,"$1,926.29 ",$620.26 ,"$1,733.66 ","$1,733.66 ",$620.26 ,"$1,733.66 ","$1,278.50 ","$2,531.69 ", N/A ,$620.26 ,"$2,339.06 ","$2,311.55 ",$620.26 ,"$2,063.88 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$2,201.47 ","$2,394.10 ","$2,394.10 ","$2,394.10 ","$2,476.66 ","$1,582.30 ",$620.26 ,"$2,751.84 ","$1,543.78 ",$620.26 ,"$1,139.26 ", N/A , N/A ,$651.28 ,"$2,339.06 ","$1,733.66 ",$770.52 ,"$2,476.66 ","$2,394.10 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$1,788.70 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE DORSAL RADIUS STRYKER WIDE RIGHT,278,1 ,"$2,751.84 ","$1,981.32 ",$620.26 ,"$2,751.84 ","$1,582.30 ","$1,981.32 ","$1,497.00 ",$620.26 ,$770.52 ,"$1,829.97 ",$620.26 ,"$1,926.29 ",$620.26 ,"$1,733.66 ","$1,733.66 ",$620.26 ,"$1,733.66 ","$1,278.50 ","$2,531.69 ", N/A ,$620.26 ,"$2,339.06 ","$2,311.55 ",$620.26 ,"$2,063.88 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$2,201.47 ","$2,394.10 ","$2,394.10 ","$2,394.10 ","$2,476.66 ","$1,582.30 ",$620.26 ,"$2,751.84 ","$1,543.78 ",$620.26 ,"$1,139.26 ", N/A , N/A ,$651.28 ,"$2,339.06 ","$1,733.66 ",$770.52 ,"$2,476.66 ","$2,394.10 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$1,788.70 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE DORSAL RADIUS STRYKER X-LONG,278,1 ,"$2,751.84 ","$1,981.32 ",$620.26 ,"$2,751.84 ","$1,582.30 ","$1,981.32 ","$1,497.00 ",$620.26 ,$770.52 ,"$1,829.97 ",$620.26 ,"$1,926.29 ",$620.26 ,"$1,733.66 ","$1,733.66 ",$620.26 ,"$1,733.66 ","$1,278.50 ","$2,531.69 ", N/A ,$620.26 ,"$2,339.06 ","$2,311.55 ",$620.26 ,"$2,063.88 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$2,201.47 ","$2,394.10 ","$2,394.10 ","$2,394.10 ","$2,476.66 ","$1,582.30 ",$620.26 ,"$2,751.84 ","$1,543.78 ",$620.26 ,"$1,139.26 ", N/A , N/A ,$651.28 ,"$2,339.06 ","$1,733.66 ",$770.52 ,"$2,476.66 ","$2,394.10 ","$2,201.47 ","$2,201.47 ",$620.26 ,"$1,788.70 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XLONG UNIVERSAL TITANIUM LOCKING WIDE VARIAX BONE LEFT DISTAL VOLAR RADIAL,278,1 ,"$2,115.36 ","$1,523.06 ",$476.80 ,"$2,115.36 ","$1,216.33 ","$1,523.06 ","$1,150.76 ",$476.80 ,$592.30 ,"$1,406.71 ",$476.80 ,"$1,480.75 ",$476.80 ,"$1,332.68 ","$1,332.68 ",$476.80 ,"$1,332.68 ",$982.79 ,"$1,946.13 ", N/A ,$476.80 ,"$1,798.06 ","$1,776.90 ",$476.80 ,"$1,586.52 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,692.29 ","$1,840.36 ","$1,840.36 ","$1,840.36 ","$1,903.82 ","$1,216.33 ",$476.80 ,"$2,115.36 ","$1,186.72 ",$476.80 ,$875.76 , N/A , N/A ,$500.64 ,"$1,798.06 ","$1,332.68 ",$592.30 ,"$1,903.82 ","$1,840.36 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,374.98 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XLONG NARROW UNIVERSAL 94MMX2MM TITANIUM LOCK VARIAX BONE RADIAL DISTAL VOLAR,278,1 ,"$2,115.36 ","$1,523.06 ",$476.80 ,"$2,115.36 ","$1,216.33 ","$1,523.06 ","$1,150.76 ",$476.80 ,$592.30 ,"$1,406.71 ",$476.80 ,"$1,480.75 ",$476.80 ,"$1,332.68 ","$1,332.68 ",$476.80 ,"$1,332.68 ",$982.79 ,"$1,946.13 ", N/A ,$476.80 ,"$1,798.06 ","$1,776.90 ",$476.80 ,"$1,586.52 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,692.29 ","$1,840.36 ","$1,840.36 ","$1,840.36 ","$1,903.82 ","$1,216.33 ",$476.80 ,"$2,115.36 ","$1,186.72 ",$476.80 ,$875.76 , N/A , N/A ,$500.64 ,"$1,798.06 ","$1,332.68 ",$592.30 ,"$1,903.82 ","$1,840.36 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,374.98 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XLONG STANDARD UNIVERSAL TITANIUM LOCK VARIAX BONE LEFT DISTAL VOLAR RADIAL,278,1 ,"$2,115.36 ","$1,523.06 ",$476.80 ,"$2,115.36 ","$1,216.33 ","$1,523.06 ","$1,150.76 ",$476.80 ,$592.30 ,"$1,406.71 ",$476.80 ,"$1,480.75 ",$476.80 ,"$1,332.68 ","$1,332.68 ",$476.80 ,"$1,332.68 ",$982.79 ,"$1,946.13 ", N/A ,$476.80 ,"$1,798.06 ","$1,776.90 ",$476.80 ,"$1,586.52 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,692.29 ","$1,840.36 ","$1,840.36 ","$1,840.36 ","$1,903.82 ","$1,216.33 ",$476.80 ,"$2,115.36 ","$1,186.72 ",$476.80 ,$875.76 , N/A , N/A ,$500.64 ,"$1,798.06 ","$1,332.68 ",$592.30 ,"$1,903.82 ","$1,840.36 ","$1,692.29 ","$1,692.29 ",$476.80 ,"$1,374.98 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XSHORT NARROW 49MM 8 HOLE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT 56MM 11 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE SHORT 56MM 11 HOLE INTERMEDIATE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD XSHORT 49MM 10 HOLE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE STANDARD XSHORT 49MM 10 HOLE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XSHORT 49MM 10 HOLE INTERMEDIATE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XSHORT 49MM 10 HOLE INTERMEDIATE VARIAX BONE RADIAL RIGHT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PLATE XSHORT NARROW 49MM 8 HOLE VARIAX BONE RADIAL LEFT DISTAL VOLAR NONSTERILE,278,1 ,"$2,499.84 ","$1,799.88 ",$563.46 ,"$2,499.84 ","$1,437.40 ","$1,799.88 ","$1,359.91 ",$563.46 ,$699.96 ,"$1,662.39 ",$563.46 ,"$1,749.89 ",$563.46 ,"$1,574.90 ","$1,574.90 ",$563.46 ,"$1,574.90 ","$1,161.42 ","$2,299.85 ", N/A ,$563.46 ,"$2,124.86 ","$2,099.87 ",$563.46 ,"$1,874.88 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,999.87 ","$2,174.86 ","$2,174.86 ","$2,174.86 ","$2,249.86 ","$1,437.40 ",$563.46 ,"$2,499.84 ","$1,402.41 ",$563.46 ,"$1,034.93 ", N/A , N/A ,$591.64 ,"$2,124.86 ","$1,574.90 ",$699.96 ,"$2,249.86 ","$2,174.86 ","$1,999.87 ","$1,999.87 ",$563.46 ,"$1,624.90 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 26MM VARIAX TITANIUM T7 PARTIAL THREAD NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 16MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 18MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 20MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 22MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 24MM VARIAX T7 PARTIAL THREAD NONSTERILE LATEX FREE,278,1 ,$233.70 ,$168.26 ,$52.67 ,$233.70 ,$134.38 ,$168.26 ,$127.13 ,$52.67 ,$65.44 ,$155.41 ,$52.67 ,$163.59 ,$52.67 ,$147.23 ,$147.23 ,$52.67 ,$147.23 ,$108.58 ,$215.00 , N/A ,$52.67 ,$198.65 ,$196.31 ,$52.67 ,$175.28 ,$186.96 ,$186.96 ,$52.67 ,$186.96 ,$203.32 ,$203.32 ,$203.32 ,$210.33 ,$134.38 ,$52.67 ,$233.70 ,$131.11 ,$52.67 ,$96.75 , N/A , N/A ,$55.31 ,$198.65 ,$147.23 ,$65.44 ,$210.33 ,$203.32 ,$186.96 ,$186.96 ,$52.67 ,$151.91 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 18MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$345.00 ,$248.40 ,$77.76 ,$345.00 ,$198.38 ,$248.40 ,$187.68 ,$77.76 ,$96.60 ,$229.43 ,$77.76 ,$241.50 ,$77.76 ,$217.35 ,$217.35 ,$77.76 ,$217.35 ,$160.29 ,$317.40 , N/A ,$77.76 ,$293.25 ,$289.80 ,$77.76 ,$258.75 ,$276.00 ,$276.00 ,$77.76 ,$276.00 ,$300.15 ,$300.15 ,$300.15 ,$310.50 ,$198.38 ,$77.76 ,$345.00 ,$193.55 ,$77.76 ,$142.83 , N/A , N/A ,$81.65 ,$293.25 ,$217.35 ,$96.60 ,$310.50 ,$300.15 ,$276.00 ,$276.00 ,$77.76 ,$224.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 14MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP LOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$345.00 ,$248.40 ,$77.76 ,$345.00 ,$198.38 ,$248.40 ,$187.68 ,$77.76 ,$96.60 ,$229.43 ,$77.76 ,$241.50 ,$77.76 ,$217.35 ,$217.35 ,$77.76 ,$217.35 ,$160.29 ,$317.40 , N/A ,$77.76 ,$293.25 ,$289.80 ,$77.76 ,$258.75 ,$276.00 ,$276.00 ,$77.76 ,$276.00 ,$300.15 ,$300.15 ,$300.15 ,$310.50 ,$198.38 ,$77.76 ,$345.00 ,$193.55 ,$77.76 ,$142.83 , N/A , N/A ,$81.65 ,$293.25 ,$217.35 ,$96.60 ,$310.50 ,$300.15 ,$276.00 ,$276.00 ,$77.76 ,$224.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 46MM,278,1 ,$445.74 ,$320.93 ,$100.47 ,$445.74 ,$256.30 ,$320.93 ,$242.48 ,$100.47 ,$124.81 ,$296.42 ,$100.47 ,$312.02 ,$100.47 ,$280.82 ,$280.82 ,$100.47 ,$280.82 ,$207.09 ,$410.08 , N/A ,$100.47 ,$378.88 ,$374.42 ,$100.47 ,$334.31 ,$356.59 ,$356.59 ,$100.47 ,$356.59 ,$387.79 ,$387.79 ,$387.79 ,$401.17 ,$256.30 ,$100.47 ,$445.74 ,$250.06 ,$100.47 ,$184.54 , N/A , N/A ,$105.50 ,$378.88 ,$280.82 ,$124.81 ,$401.17 ,$387.79 ,$356.59 ,$356.59 ,$100.47 ,$289.73 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 36MM,278,1 ,$445.74 ,$320.93 ,$100.47 ,$445.74 ,$256.30 ,$320.93 ,$242.48 ,$100.47 ,$124.81 ,$296.42 ,$100.47 ,$312.02 ,$100.47 ,$280.82 ,$280.82 ,$100.47 ,$280.82 ,$207.09 ,$410.08 , N/A ,$100.47 ,$378.88 ,$374.42 ,$100.47 ,$334.31 ,$356.59 ,$356.59 ,$100.47 ,$356.59 ,$387.79 ,$387.79 ,$387.79 ,$401.17 ,$256.30 ,$100.47 ,$445.74 ,$250.06 ,$100.47 ,$184.54 , N/A , N/A ,$105.50 ,$378.88 ,$280.82 ,$124.81 ,$401.17 ,$387.79 ,$356.59 ,$356.59 ,$100.47 ,$289.73 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 38MM,278,1 ,$445.74 ,$320.93 ,$100.47 ,$445.74 ,$256.30 ,$320.93 ,$242.48 ,$100.47 ,$124.81 ,$296.42 ,$100.47 ,$312.02 ,$100.47 ,$280.82 ,$280.82 ,$100.47 ,$280.82 ,$207.09 ,$410.08 , N/A ,$100.47 ,$378.88 ,$374.42 ,$100.47 ,$334.31 ,$356.59 ,$356.59 ,$100.47 ,$356.59 ,$387.79 ,$387.79 ,$387.79 ,$401.17 ,$256.30 ,$100.47 ,$445.74 ,$250.06 ,$100.47 ,$184.54 , N/A , N/A ,$105.50 ,$378.88 ,$280.82 ,$124.81 ,$401.17 ,$387.79 ,$356.59 ,$356.59 ,$100.47 ,$289.73 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 4 X 40MM,278,1 ,$445.74 ,$320.93 ,$100.47 ,$445.74 ,$256.30 ,$320.93 ,$242.48 ,$100.47 ,$124.81 ,$296.42 ,$100.47 ,$312.02 ,$100.47 ,$280.82 ,$280.82 ,$100.47 ,$280.82 ,$207.09 ,$410.08 , N/A ,$100.47 ,$378.88 ,$374.42 ,$100.47 ,$334.31 ,$356.59 ,$356.59 ,$100.47 ,$356.59 ,$387.79 ,$387.79 ,$387.79 ,$401.17 ,$256.30 ,$100.47 ,$445.74 ,$250.06 ,$100.47 ,$184.54 , N/A , N/A ,$105.50 ,$378.88 ,$280.82 ,$124.81 ,$401.17 ,$387.79 ,$356.59 ,$356.59 ,$100.47 ,$289.73 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CONDYLE STRYKER T2 5 X 70MM,278,1 ,$480.06 ,$345.64 ,$108.20 ,$480.06 ,$276.03 ,$345.64 ,$261.15 ,$108.20 ,$134.42 ,$319.24 ,$108.20 ,$336.04 ,$108.20 ,$302.44 ,$302.44 ,$108.20 ,$302.44 ,$223.03 ,$441.66 , N/A ,$108.20 ,$408.05 ,$403.25 ,$108.20 ,$360.05 ,$384.05 ,$384.05 ,$108.20 ,$384.05 ,$417.65 ,$417.65 ,$417.65 ,$432.05 ,$276.03 ,$108.20 ,$480.06 ,$269.31 ,$108.20 ,$198.74 , N/A , N/A ,$113.61 ,$408.05 ,$302.44 ,$134.42 ,$432.05 ,$417.65 ,$384.05 ,$384.05 ,$108.20 ,$312.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 8MM,278,1 ,$230.28 ,$165.80 ,$51.90 ,$230.28 ,$132.40 ,$165.80 ,$125.27 ,$51.90 ,$64.48 ,$153.14 ,$51.90 ,$161.20 ,$51.90 ,$145.08 ,$145.08 ,$51.90 ,$145.08 ,$106.98 ,$211.86 , N/A ,$51.90 ,$195.74 ,$193.44 ,$51.90 ,$172.71 ,$184.22 ,$184.22 ,$51.90 ,$184.22 ,$200.34 ,$200.34 ,$200.34 ,$207.25 ,$132.40 ,$51.90 ,$230.28 ,$129.19 ,$51.90 ,$95.34 , N/A , N/A ,$54.50 ,$195.74 ,$145.08 ,$64.48 ,$207.25 ,$200.34 ,$184.22 ,$184.22 ,$51.90 ,$149.68 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 10MM,278,1 ,$230.28 ,$165.80 ,$51.90 ,$230.28 ,$132.40 ,$165.80 ,$125.27 ,$51.90 ,$64.48 ,$153.14 ,$51.90 ,$161.20 ,$51.90 ,$145.08 ,$145.08 ,$51.90 ,$145.08 ,$106.98 ,$211.86 , N/A ,$51.90 ,$195.74 ,$193.44 ,$51.90 ,$172.71 ,$184.22 ,$184.22 ,$51.90 ,$184.22 ,$200.34 ,$200.34 ,$200.34 ,$207.25 ,$132.40 ,$51.90 ,$230.28 ,$129.19 ,$51.90 ,$95.34 , N/A , N/A ,$54.50 ,$195.74 ,$145.08 ,$64.48 ,$207.25 ,$200.34 ,$184.22 ,$184.22 ,$51.90 ,$149.68 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 12MM,278,1 ,$230.28 ,$165.80 ,$51.90 ,$230.28 ,$132.40 ,$165.80 ,$125.27 ,$51.90 ,$64.48 ,$153.14 ,$51.90 ,$161.20 ,$51.90 ,$145.08 ,$145.08 ,$51.90 ,$145.08 ,$106.98 ,$211.86 , N/A ,$51.90 ,$195.74 ,$193.44 ,$51.90 ,$172.71 ,$184.22 ,$184.22 ,$51.90 ,$184.22 ,$200.34 ,$200.34 ,$200.34 ,$207.25 ,$132.40 ,$51.90 ,$230.28 ,$129.19 ,$51.90 ,$95.34 , N/A , N/A ,$54.50 ,$195.74 ,$145.08 ,$64.48 ,$207.25 ,$200.34 ,$184.22 ,$184.22 ,$51.90 ,$149.68 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 14MM,278,1 ,$230.28 ,$165.80 ,$51.90 ,$230.28 ,$132.40 ,$165.80 ,$125.27 ,$51.90 ,$64.48 ,$153.14 ,$51.90 ,$161.20 ,$51.90 ,$145.08 ,$145.08 ,$51.90 ,$145.08 ,$106.98 ,$211.86 , N/A ,$51.90 ,$195.74 ,$193.44 ,$51.90 ,$172.71 ,$184.22 ,$184.22 ,$51.90 ,$184.22 ,$200.34 ,$200.34 ,$200.34 ,$207.25 ,$132.40 ,$51.90 ,$230.28 ,$129.19 ,$51.90 ,$95.34 , N/A , N/A ,$54.50 ,$195.74 ,$145.08 ,$64.48 ,$207.25 ,$200.34 ,$184.22 ,$184.22 ,$51.90 ,$149.68 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CROSSPIN LOCKING STRYKER 2.3 X 9MM,278,1 ,$237.12 ,$170.73 ,$53.45 ,$237.12 ,$136.35 ,$170.73 ,$128.99 ,$53.45 ,$66.39 ,$157.68 ,$53.45 ,$165.98 ,$53.45 ,$149.39 ,$149.39 ,$53.45 ,$149.39 ,$110.17 ,$218.15 , N/A ,$53.45 ,$201.55 ,$199.18 ,$53.45 ,$177.84 ,$189.70 ,$189.70 ,$53.45 ,$189.70 ,$206.29 ,$206.29 ,$206.29 ,$213.41 ,$136.35 ,$53.45 ,$237.12 ,$133.02 ,$53.45 ,$98.17 , N/A , N/A ,$56.12 ,$201.55 ,$149.39 ,$66.39 ,$213.41 ,$206.29 ,$189.70 ,$189.70 ,$53.45 ,$154.13 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW DEPUY PINNACLE CANCELLOUS 6.5 X 35MM,278,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW DEPUY CANCELLOUS BONE 6.5MM X 25MM,278,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW DEPUY CANCELLOUS BONE 6.5MM X 30MM,278,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW DEPUY PINNACLE CANCELLOUS 6.5 X 15MM,278,1 ,$225.00 ,$162.00 ,$50.70 ,$225.00 ,$129.38 ,$162.00 ,$122.40 ,$50.70 ,$63.00 ,$149.63 ,$50.70 ,$157.50 ,$50.70 ,$141.75 ,$141.75 ,$50.70 ,$141.75 ,$104.54 ,$207.00 , N/A ,$50.70 ,$191.25 ,$189.00 ,$50.70 ,$168.75 ,$180.00 ,$180.00 ,$50.70 ,$180.00 ,$195.75 ,$195.75 ,$195.75 ,$202.50 ,$129.38 ,$50.70 ,$225.00 ,$126.23 ,$50.70 ,$93.15 , N/A , N/A ,$53.25 ,$191.25 ,$141.75 ,$63.00 ,$202.50 ,$195.75 ,$180.00 ,$180.00 ,$50.70 ,$146.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW INTERFERENCE ARTHREX 9 X 23MM,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BICOMPOSIT INTERFERENCE SHEATHED FULL THREADED ARTHREX,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BIO COMPOSITE 7MM X 23MM,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BIO COMPOSITE 8MM X 23MM,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BIOCOMPOSITE 10MM X 28MM,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BIOCOMPOSITE 11MM X 28MM,278,1 ,$705.00 ,$507.60 ,$158.91 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 , N/A ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$705.00 ,$395.51 ,$158.91 ,$291.87 , N/A , N/A ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW INTERFERENCE PLLA HA 23MM 8MM WEDGE ACL BIOABSORBABLE CANNULATED THREAD BIOSTEON STERILE,278,1 ,$791.13 ,$569.61 ,$178.32 ,$791.13 ,$454.90 ,$569.61 ,$430.37 ,$178.32 ,$221.52 ,$526.10 ,$178.32 ,$553.79 ,$178.32 ,$498.41 ,$498.41 ,$178.32 ,$498.41 ,$367.56 ,$727.84 , N/A ,$178.32 ,$672.46 ,$664.55 ,$178.32 ,$593.35 ,$632.90 ,$632.90 ,$178.32 ,$632.90 ,$688.28 ,$688.28 ,$688.28 ,$712.02 ,$454.90 ,$178.32 ,$791.13 ,$443.82 ,$178.32 ,$327.53 , N/A , N/A ,$187.24 ,$672.46 ,$498.41 ,$221.52 ,$712.02 ,$688.28 ,$632.90 ,$632.90 ,$178.32 ,$514.23 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER 1.7 X 9MM,278,1 ,$229.14 ,$164.98 ,$51.65 ,$229.14 ,$131.75 ,$164.98 ,$124.65 ,$51.65 ,$64.16 ,$152.38 ,$51.65 ,$160.40 ,$51.65 ,$144.36 ,$144.36 ,$51.65 ,$144.36 ,$106.45 ,$210.81 , N/A ,$51.65 ,$194.77 ,$192.48 ,$51.65 ,$171.86 ,$183.31 ,$183.31 ,$51.65 ,$183.31 ,$199.35 ,$199.35 ,$199.35 ,$206.23 ,$131.75 ,$51.65 ,$229.14 ,$128.55 ,$51.65 ,$94.86 , N/A , N/A ,$54.23 ,$194.77 ,$144.36 ,$64.16 ,$206.23 ,$199.35 ,$183.31 ,$183.31 ,$51.65 ,$148.94 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER,278,1 ,$229.14 ,$164.98 ,$51.65 ,$229.14 ,$131.75 ,$164.98 ,$124.65 ,$51.65 ,$64.16 ,$152.38 ,$51.65 ,$160.40 ,$51.65 ,$144.36 ,$144.36 ,$51.65 ,$144.36 ,$106.45 ,$210.81 , N/A ,$51.65 ,$194.77 ,$192.48 ,$51.65 ,$171.86 ,$183.31 ,$183.31 ,$51.65 ,$183.31 ,$199.35 ,$199.35 ,$199.35 ,$206.23 ,$131.75 ,$51.65 ,$229.14 ,$128.55 ,$51.65 ,$94.86 , N/A , N/A ,$54.23 ,$194.77 ,$144.36 ,$64.16 ,$206.23 ,$199.35 ,$183.31 ,$183.31 ,$51.65 ,$148.94 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 24MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 10MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 12MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 14MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 16MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 18MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T10 3.5 X 20MM,278,1 ,$360.24 ,$259.37 ,$81.20 ,$360.24 ,$207.15 ,$259.37 ,$195.97 ,$81.20 ,$100.87 ,$239.56 ,$81.20 ,$252.17 ,$81.20 ,$226.95 ,$226.95 ,$81.20 ,$226.95 ,$167.38 ,$331.42 , N/A ,$81.20 ,$306.20 ,$302.60 ,$81.20 ,$270.18 ,$288.19 ,$288.19 ,$81.20 ,$288.19 ,$313.41 ,$313.41 ,$313.41 ,$324.22 ,$207.15 ,$81.20 ,$360.24 ,$202.09 ,$81.20 ,$149.14 , N/A , N/A ,$85.26 ,$306.20 ,$226.95 ,$100.87 ,$324.22 ,$313.41 ,$288.19 ,$288.19 ,$81.20 ,$234.16 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW NON LOCKING DEPUY DELTA XTEND LG 18MM,278,1 ,$300.00 ,$216.00 ,$67.62 ,$300.00 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$124.20 , N/A , N/A ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 ,$240.00 ,$240.00 ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING DEPUY DELTA XTEND LG 24MM,278,1 ,$300.00 ,$216.00 ,$67.62 ,$300.00 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$124.20 , N/A , N/A ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 ,$240.00 ,$240.00 ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING DEPUY DELTA XTEND LG 30MM,278,1 ,$300.00 ,$216.00 ,$67.62 ,$300.00 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$124.20 , N/A , N/A ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 ,$240.00 ,$240.00 ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING DEPUY DELTA XTEND LG 36MM,278,1 ,$300.00 ,$216.00 ,$67.62 ,$300.00 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$124.20 , N/A , N/A ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 ,$240.00 ,$240.00 ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING DEPUY DELTA XTEND LG 42MM,278,1 ,$300.00 ,$216.00 ,$67.62 ,$300.00 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$124.20 , N/A , N/A ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 ,$240.00 ,$240.00 ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5X28MM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 10MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 12MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 14MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 16MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 18MM VARIAX TITANIUM T10 FULL THREAD FOOT ANKLE SELF TAP NONSTERILE YELLOW LOCK PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 20MM VARIAX TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 24MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 26MM TITANIUM T10 FULL THREAD SELF TAP STARDRIVE NONSTERILE YELLOW VARIAX FOOT PLATE SYSTEM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5 X 32MM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5 X 40MM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW NON-LOCKING STRYKER T10 3.5X22MM,278,1 ,$182.40 ,$131.33 ,$41.11 ,$182.40 ,$104.88 ,$131.33 ,$99.23 ,$41.11 ,$51.07 ,$121.30 ,$41.11 ,$127.68 ,$41.11 ,$114.91 ,$114.91 ,$41.11 ,$114.91 ,$84.74 ,$167.81 , N/A ,$41.11 ,$155.04 ,$153.22 ,$41.11 ,$136.80 ,$145.92 ,$145.92 ,$41.11 ,$145.92 ,$158.69 ,$158.69 ,$158.69 ,$164.16 ,$104.88 ,$41.11 ,$182.40 ,$102.33 ,$41.11 ,$75.51 , N/A , N/A ,$43.17 ,$155.04 ,$114.91 ,$51.07 ,$164.16 ,$158.69 ,$145.92 ,$145.92 ,$41.11 ,$118.56 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SET TITANIUM 17.5MM 8MM HIP GAMMA3 STERILE LONG NAIL,278,1 ,$496.80 ,$357.70 ,$111.97 ,$496.80 ,$285.65 ,$357.70 ,$270.26 ,$111.97 ,$139.10 ,$330.37 ,$111.97 ,$347.76 ,$111.97 ,$312.98 ,$312.98 ,$111.97 ,$312.98 ,$230.81 ,$457.06 , N/A ,$111.97 ,$422.28 ,$417.31 ,$111.97 ,$372.60 ,$397.44 ,$397.44 ,$111.97 ,$397.44 ,$432.22 ,$432.22 ,$432.22 ,$447.12 ,$285.65 ,$111.97 ,$496.80 ,$278.70 ,$111.97 ,$205.68 , N/A , N/A ,$117.57 ,$422.28 ,$312.98 ,$139.10 ,$447.12 ,$432.22 ,$397.44 ,$397.44 ,$111.97 ,$322.92 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 9MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 1.5MM 10MM CORTICAL SELF TAP,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 1.5MM 11MM CORTICAL SELF TAP,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 12MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 14MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 16MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 18MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 20MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 6MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 7MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.5MM CORTICAL SELF TAP 8MM,278,1 ,$110.88 ,$79.83 ,$24.99 ,$110.88 ,$63.75 ,$79.83 ,$60.32 ,$24.99 ,$31.05 ,$73.74 ,$24.99 ,$77.62 ,$24.99 ,$69.85 ,$69.85 ,$24.99 ,$69.85 ,$51.51 ,$102.01 , N/A ,$24.99 ,$94.25 ,$93.14 ,$24.99 ,$83.16 ,$88.70 ,$88.70 ,$24.99 ,$88.70 ,$96.47 ,$96.47 ,$96.47 ,$99.79 ,$63.75 ,$24.99 ,$110.88 ,$62.20 ,$24.99 ,$45.90 , N/A , N/A ,$26.24 ,$94.25 ,$69.85 ,$31.05 ,$99.79 ,$96.47 ,$88.70 ,$88.70 ,$24.99 ,$72.07 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 1.7 X 10MM,278,1 ,$189.24 ,$136.25 ,$42.66 ,$189.24 ,$108.83 ,$136.25 ,$102.95 ,$42.66 ,$52.99 ,$125.84 ,$42.66 ,$132.47 ,$42.66 ,$119.22 ,$119.22 ,$42.66 ,$119.22 ,$87.93 ,$174.10 , N/A ,$42.66 ,$160.85 ,$158.96 ,$42.66 ,$141.93 ,$151.39 ,$151.39 ,$42.66 ,$151.39 ,$164.64 ,$164.64 ,$164.64 ,$170.32 ,$108.83 ,$42.66 ,$189.24 ,$106.16 ,$42.66 ,$78.35 , N/A , N/A ,$44.80 ,$160.85 ,$119.22 ,$52.99 ,$170.32 ,$164.64 ,$151.39 ,$151.39 ,$42.66 ,$123.01 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.3 X 9MM,278,1 ,$190.38 ,$137.07 ,$42.91 ,$190.38 ,$109.48 ,$137.07 ,$103.57 ,$42.91 ,$53.31 ,$126.60 ,$42.91 ,$133.27 ,$42.91 ,$119.94 ,$119.94 ,$42.91 ,$119.94 ,$88.46 ,$175.15 , N/A ,$42.91 ,$161.82 ,$159.92 ,$42.91 ,$142.79 ,$152.30 ,$152.30 ,$42.91 ,$152.30 ,$165.63 ,$165.63 ,$165.63 ,$171.34 ,$109.48 ,$42.91 ,$190.38 ,$106.80 ,$42.91 ,$78.82 , N/A , N/A ,$45.06 ,$161.82 ,$119.94 ,$53.31 ,$171.34 ,$165.63 ,$152.30 ,$152.30 ,$42.91 ,$123.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.3 X 10MM,278,1 ,$190.38 ,$137.07 ,$42.91 ,$190.38 ,$109.48 ,$137.07 ,$103.57 ,$42.91 ,$53.31 ,$126.60 ,$42.91 ,$133.27 ,$42.91 ,$119.94 ,$119.94 ,$42.91 ,$119.94 ,$88.46 ,$175.15 , N/A ,$42.91 ,$161.82 ,$159.92 ,$42.91 ,$142.79 ,$152.30 ,$152.30 ,$42.91 ,$152.30 ,$165.63 ,$165.63 ,$165.63 ,$171.34 ,$109.48 ,$42.91 ,$190.38 ,$106.80 ,$42.91 ,$78.82 , N/A , N/A ,$45.06 ,$161.82 ,$119.94 ,$53.31 ,$171.34 ,$165.63 ,$152.30 ,$152.30 ,$42.91 ,$123.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.3 X 8MM,278,1 ,$190.38 ,$137.07 ,$42.91 ,$190.38 ,$109.48 ,$137.07 ,$103.57 ,$42.91 ,$53.31 ,$126.60 ,$42.91 ,$133.27 ,$42.91 ,$119.94 ,$119.94 ,$42.91 ,$119.94 ,$88.46 ,$175.15 , N/A ,$42.91 ,$161.82 ,$159.92 ,$42.91 ,$142.79 ,$152.30 ,$152.30 ,$42.91 ,$152.30 ,$165.63 ,$165.63 ,$165.63 ,$171.34 ,$109.48 ,$42.91 ,$190.38 ,$106.80 ,$42.91 ,$78.82 , N/A , N/A ,$45.06 ,$161.82 ,$119.94 ,$53.31 ,$171.34 ,$165.63 ,$152.30 ,$152.30 ,$42.91 ,$123.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 8MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 10MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 12MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 14MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 16MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 18MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 20MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 22MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 24MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 26MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 28MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 30MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 32MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 34MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 36MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 38MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 40MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 45MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 50MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 55MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7MM CORTICAL SELF TAP 60MM,278,1 ,$125.40 ,$90.29 ,$28.26 ,$125.40 ,$72.10 ,$90.29 ,$68.22 ,$28.26 ,$35.11 ,$83.39 ,$28.26 ,$87.78 ,$28.26 ,$79.00 ,$79.00 ,$28.26 ,$79.00 ,$58.26 ,$115.37 , N/A ,$28.26 ,$106.59 ,$105.34 ,$28.26 ,$94.05 ,$100.32 ,$100.32 ,$28.26 ,$100.32 ,$109.10 ,$109.10 ,$109.10 ,$112.86 ,$72.10 ,$28.26 ,$125.40 ,$70.35 ,$28.26 ,$51.92 , N/A , N/A ,$29.67 ,$106.59 ,$79.00 ,$35.11 ,$112.86 ,$109.10 ,$100.32 ,$100.32 ,$28.26 ,$81.51 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 8MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 10MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 12MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 14MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 16MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 18MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 20MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 22MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 24MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 26MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 28MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 30MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 32MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 34MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 36MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 38MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 40MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2MM CORTICAL SELF TAP 6MM,278,1 ,$118.80 ,$85.54 ,$26.77 ,$118.80 ,$68.30 ,$85.54 ,$64.63 ,$26.77 ,$33.26 ,$79.00 ,$26.77 ,$83.16 ,$26.77 ,$74.84 ,$74.84 ,$26.77 ,$74.84 ,$55.19 ,$109.30 , N/A ,$26.77 ,$100.98 ,$99.79 ,$26.77 ,$89.10 ,$95.04 ,$95.04 ,$26.77 ,$95.04 ,$103.36 ,$103.36 ,$103.36 ,$106.92 ,$68.30 ,$26.77 ,$118.80 ,$66.65 ,$26.77 ,$49.18 , N/A , N/A ,$28.12 ,$100.98 ,$74.84 ,$33.26 ,$106.92 ,$103.36 ,$95.04 ,$95.04 ,$26.77 ,$77.22 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 3.5 CORTICAL SEL,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 10MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 12MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 14MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 16MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 18MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 20MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 22MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 26MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 28MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 30MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 32MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 34MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 36MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 38MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 40MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 42MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 44MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 48MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 55MM SPS TITANIUM FULL THREAD CORTICAL SELF TAP SMALL FRAGMENT SET,278,1 ,$64.68 ,$46.57 ,$14.58 ,$64.68 ,$37.20 ,$46.57 ,$35.19 ,$14.58 ,$18.11 ,$43.01 ,$14.58 ,$45.28 ,$14.58 ,$40.75 ,$40.75 ,$14.58 ,$40.75 ,$30.06 ,$59.51 , N/A ,$14.58 ,$54.98 ,$54.33 ,$14.58 ,$48.51 ,$51.74 ,$51.74 ,$14.58 ,$51.74 ,$56.27 ,$56.27 ,$56.27 ,$58.21 ,$37.20 ,$14.58 ,$64.68 ,$36.29 ,$14.58 ,$26.78 , N/A , N/A ,$15.31 ,$54.98 ,$40.75 ,$18.11 ,$58.21 ,$56.27 ,$51.74 ,$51.74 ,$14.58 ,$42.04 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 75MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 100MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAP SELF DRILL CANNULATED NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 100MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 105MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 105MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 110MM 20MM ASNIS III TITANIUM HIP FEMUR CANNULATED THREADED NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 110MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 115MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 115MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 120MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 120MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 40MM 20MM ASNIS III TITANIUM PARTIAL THREAD HIP FEMUR LOW PROFILE CANNULATED SELF DRILLING NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 45MM 20MM ASNIS III TITANIUM LOW PROFILE REVERSE CUT FLUTE PELVIS SELF TAP SELF DRILL CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 50MM 20MM ASNIS III TITANIUM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 55MM 20MM ASNIS III TITANIUM LONG BONE SMALL BONE SELF DRILL SELF TAP CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 55MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 60MM 20MM ASNIS III TITANIUM PARTIAL THREAD LOW PROFILE REVERSE CUT FLUTE SMALL BONE LONG BONE CANNULATED SELF DRILLING NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 60MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 65MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 65MM 40MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 70MM 20MM ASNIS III TITANIUM PARTIAL THREAD HIP FEMUR CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 70MM 40MM ASNIS III TITANIUM FULL THREAD HIP FEMORAL CANNULATED SELF TAP SELF DRILL STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 75MM 20MM ASNIS III TITANIUM PARTIAL THREAD HIP FEMORAL CANNULATED SELF TAP SELF DRILL STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 75MM 40MM ASNIS III TITANIUM HIP FEMUR SELF TAP SELF DRILL CANNULATED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 80MM 40MM TITANIUM SELF DRILLING CANNULATED SELF TAPPING NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 80MM ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 85MM 40MM ASNIS III TITANIUM LOW PROFILE REVERSE CUTTING FLUTE LONG BONE CANNULATED SELF DRILLING TAPPING DESIGN HEXAGONAL DRIVE NONSTERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 90MM 20MM ASNIS III TITANIUM PARTIAL THREAD HIP FEMUR LOW PROFILE CANNULATED SELF DRILLING STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 90MM ASNIS III TITANIUM ORTHOPEDIC CANNULATED,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 95MM 40MM ASNIS III TITANIUM CANNULATED SELF DRILLING TAPPING THREADED STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 95MM ASNIS III TITANIUM PARTIAL THREAD REVERSE CUT FLUTE SELF TAP SELF DRILL CANNULATED LOW PROFILE HEAD STERILE,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 6.5 X 70MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 45MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 50MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 55MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 65MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 70MM,278,1 ,$695.52 ,$500.77 ,$156.77 ,$695.52 ,$399.93 ,$500.77 ,$378.36 ,$156.77 ,$194.75 ,$462.52 ,$156.77 ,$486.86 ,$156.77 ,$438.18 ,$438.18 ,$156.77 ,$438.18 ,$323.14 ,$639.88 , N/A ,$156.77 ,$591.19 ,$584.24 ,$156.77 ,$521.64 ,$556.42 ,$556.42 ,$156.77 ,$556.42 ,$605.10 ,$605.10 ,$605.10 ,$625.97 ,$399.93 ,$156.77 ,$695.52 ,$390.19 ,$156.77 ,$287.95 , N/A , N/A ,$164.61 ,$591.19 ,$438.18 ,$194.75 ,$625.97 ,$605.10 ,$556.42 ,$556.42 ,$156.77 ,$452.09 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 95MM,278,1 ,$702.42 ,$505.74 ,$158.33 ,$702.42 ,$403.90 ,$505.74 ,$382.12 ,$158.33 ,$196.68 ,$467.11 ,$158.33 ,$491.69 ,$158.33 ,$442.52 ,$442.52 ,$158.33 ,$442.52 ,$326.35 ,$646.23 , N/A ,$158.33 ,$597.06 ,$590.03 ,$158.33 ,$526.82 ,$561.94 ,$561.94 ,$158.33 ,$561.94 ,$611.11 ,$611.11 ,$611.11 ,$632.18 ,$403.90 ,$158.33 ,$702.42 ,$394.06 ,$158.33 ,$290.80 , N/A , N/A ,$166.25 ,$597.06 ,$442.52 ,$196.68 ,$632.18 ,$611.11 ,$561.94 ,$561.94 ,$158.33 ,$456.57 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 85MM 20MM ASNIS III TITANIUM HIP FEMUR SELF TAPPING SELF DRILLING CANNULATED NONSTERILE,278,1 ,$702.42 ,$505.74 ,$158.33 ,$702.42 ,$403.90 ,$505.74 ,$382.12 ,$158.33 ,$196.68 ,$467.11 ,$158.33 ,$491.69 ,$158.33 ,$442.52 ,$442.52 ,$158.33 ,$442.52 ,$326.35 ,$646.23 , N/A ,$158.33 ,$597.06 ,$590.03 ,$158.33 ,$526.82 ,$561.94 ,$561.94 ,$158.33 ,$561.94 ,$611.11 ,$611.11 ,$611.11 ,$632.18 ,$403.90 ,$158.33 ,$702.42 ,$394.06 ,$158.33 ,$290.80 , N/A , N/A ,$166.25 ,$597.06 ,$442.52 ,$196.68 ,$632.18 ,$611.11 ,$561.94 ,$561.94 ,$158.33 ,$456.57 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 80MM,278,1 ,$702.42 ,$505.74 ,$158.33 ,$702.42 ,$403.90 ,$505.74 ,$382.12 ,$158.33 ,$196.68 ,$467.11 ,$158.33 ,$491.69 ,$158.33 ,$442.52 ,$442.52 ,$158.33 ,$442.52 ,$326.35 ,$646.23 , N/A ,$158.33 ,$597.06 ,$590.03 ,$158.33 ,$526.82 ,$561.94 ,$561.94 ,$158.33 ,$561.94 ,$611.11 ,$611.11 ,$611.11 ,$632.18 ,$403.90 ,$158.33 ,$702.42 ,$394.06 ,$158.33 ,$290.80 , N/A , N/A ,$166.25 ,$597.06 ,$442.52 ,$196.68 ,$632.18 ,$611.11 ,$561.94 ,$561.94 ,$158.33 ,$456.57 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 TI ASNIS III PART THREAD SELF TAP 90MM,278,1 ,$702.42 ,$505.74 ,$158.33 ,$702.42 ,$403.90 ,$505.74 ,$382.12 ,$158.33 ,$196.68 ,$467.11 ,$158.33 ,$491.69 ,$158.33 ,$442.52 ,$442.52 ,$158.33 ,$442.52 ,$326.35 ,$646.23 , N/A ,$158.33 ,$597.06 ,$590.03 ,$158.33 ,$526.82 ,$561.94 ,$561.94 ,$158.33 ,$561.94 ,$611.11 ,$611.11 ,$611.11 ,$632.18 ,$403.90 ,$158.33 ,$702.42 ,$394.06 ,$158.33 ,$290.80 , N/A , N/A ,$166.25 ,$597.06 ,$442.52 ,$196.68 ,$632.18 ,$611.11 ,$561.94 ,$561.94 ,$158.33 ,$456.57 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 90MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 100MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 100MM 40MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR THREAD NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 105MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 105MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 110MM 20MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR PARTIAL THREAD CANNULATED NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 110MM 40MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR THREAD NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 115MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 115MM 40MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR THREAD NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 120MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 120MM 40MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR THREAD NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 45MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 50MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 55MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 55MM 40MM ASNIS III STAINLESS STEEL PELVIC ACETABULAR THREAD NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 60MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 65MM 20MM ASNIS III STAINLESS STEEL HIP FEMORAL CANNULATED NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 65MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 70MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 75MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 75MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 80MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 85MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 85MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 90MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 90MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 95MM 20MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 6.5MM 95MM 40MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 100MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 100MM 25MM ASNIS III TITANIUM FEMUR INTRACAPSULAR CANNULATED NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 105MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 110MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 110MM ASNIS III TITANIUM CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 115MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 120MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 120MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 125MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 130MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 135MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 140MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 145MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 150MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 155MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD PELVIC ACETABULAR CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 160MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 165MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 170MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 175MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 180MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 40MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 45MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 45MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 50MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 50MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 55MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 60MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 60MM 25MM ASNIS III TITANIUM LOW PROFILE REVERSE CUTTING FLUTE TAPER TARSUS METATARSAL CANNULATED SELF DRILLING NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 60MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 65MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 65MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 70MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 70MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 75MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 75MM 25MM ASNIS III TITANIUM ORTHOPEDIC SELF TAPPING SELF DRILLING CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 80MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 80MM 25MM ASNIS III TITANIUM THREAD SELF TAP SELF DRILL CANNULATED NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 85MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 85MM 25MM ASNIS III TITANIUM REVERSE CUT FLUTE PELVIS CANNULATED SELF DRILL SELF TAP LOW PROFILE NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 90MM TITANIUM CANNULATED,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 95MM 25MM ASNIS III STAINLESS STEEL PARTIAL THREAD REVERSE CUT FLUTE CANNULATED SELF TAP SELF DRILL LOW PROFILE HEAD NONSTERILE ACCEPTS 3.2MM GUIDEWIRE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 8MM 95MM 25MM ASNIS III TITANIUM CANNULATED NONSTERILE,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW CANNULATED STRYKER ASNIS III TITANIUM 8 X 80MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 ASNIS II PART TH CANN 80MM X 40MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH 40MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 60MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 6.5 ASNIS III CANN PART TH SELF TAP 70MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 105MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 40MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER ASNIS III PART TH CANN 8MM X 55MM,278,1 ,$709.32 ,$510.71 ,$159.88 ,$709.32 ,$407.85 ,$510.71 ,$385.87 ,$159.88 ,$198.61 ,$471.70 ,$159.88 ,$496.52 ,$159.88 ,$446.87 ,$446.87 ,$159.88 ,$446.87 ,$329.54 ,$652.57 , N/A ,$159.88 ,$602.92 ,$595.83 ,$159.88 ,$531.99 ,$567.46 ,$567.46 ,$159.88 ,$567.46 ,$617.11 ,$617.11 ,$617.11 ,$638.39 ,$407.85 ,$159.88 ,$709.32 ,$397.93 ,$159.88 ,$293.66 , N/A , N/A ,$167.87 ,$602.92 ,$446.87 ,$198.61 ,$638.39 ,$617.11 ,$567.46 ,$567.46 ,$159.88 ,$461.06 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER BONE 2.7MM X 16MM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 10MM VARIAX T7 NONSTERILE LATEX FREE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 14MM VARIAX TITANIUM T7 FULL THREAD RADIUS DISTAL NONSTERILE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 16MM VARIAX T7 NONSTERILE LATEX FREE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 20MM VARIAX TITANIUM T7 FULL THREAD NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 22MM TITANIUM T7 FULL THREAD RADIUS DISTAL STERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 26MM VARIAX T7,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 28MM T7,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 30MM VARIAX T7 NONSTERILE LATEX FREE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 32MM VARIAX TITANIUM T7 RADIUS DISTAL NONLOCK DRIVE NONSTERILE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 34MM VARIAX T7 NONSTERILE LATEX FREE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 36MM VARIAX TITANIUM T7 RADIUS DISTAL NONLOCK DRIVE NONSTERILE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 38MM VARIAX TITANIUM T7 RADIUS DISTAL NONLOCK DRIVE NONSTERILE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 10MM VARIAX TITANIUM T7 FULL THREAD NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 12MM VARIAX TITANIUM T7 FULL THREAD NONSTERILE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 14MM TITANIUM T7 FULL THREAD RADIUS DISTAL NONSTERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 20MM VARIAX TITANIUM T7 FULL THREAD NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 22MM VARIAX TITANIUM T7 FULL THREAD NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 24MM T7,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 26MM VARIAX T7 NONSTERILE LATEX FREE,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,HEAD HUMERAL 12MM 2.3MM T7,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER 24MM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.3 X 18MM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 2.7 X 18MM,278,1 ,$180.12 ,$129.69 ,$40.60 ,$180.12 ,$103.58 ,$129.69 ,$97.99 ,$40.60 ,$50.43 ,$119.78 ,$40.60 ,$126.08 ,$40.60 ,$113.48 ,$113.48 ,$40.60 ,$113.48 ,$83.69 ,$165.71 , N/A ,$40.60 ,$153.10 ,$151.30 ,$40.60 ,$135.09 ,$144.10 ,$144.10 ,$40.60 ,$144.10 ,$156.70 ,$156.70 ,$156.70 ,$162.11 ,$103.58 ,$40.60 ,$180.12 ,$101.05 ,$40.60 ,$74.57 , N/A , N/A ,$42.63 ,$153.10 ,$113.48 ,$50.43 ,$162.11 ,$156.70 ,$144.10 ,$144.10 ,$40.60 ,$117.08 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER BONE 4MM PART THREADED 22MM,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 14MM ISO SPS TITANIUM FULL THREAD CORTICAL SELF TAPPING SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 16MM TITANIUM FULL THREAD CORTICAL SELF TAPPING,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 18MM TITANIUM FULL THREAD CORTICAL SELF TAPPING,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 20MM TITANIUM FULL THREAD CORTICAL SELF TAP,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 22MM TITANIUM FULL THREAD CORTICAL SELF TAPPING,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 24MM TITANIUM FULL THREAD CORTICAL SELF TAP,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 26MM TITANIUM FULL THREAD CORTICAL SELF TAPPING,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 28MM TITANIUM FULL THREAD CORTICAL SELF TAP,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 10MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 10MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 12MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 12MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 14MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 16MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 16MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 18MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 20MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 20MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 22MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 24MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 26MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 26MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 28MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 28MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 30MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 30MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 32MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 34MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 34MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 36MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 36MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 38MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 38MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 40MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 45MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 45MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 50MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 50MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 55MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 55MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 60MM SPS TITANIUM FULL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 4MM 60MM SPS TITANIUM PARTIAL THREAD CANCELLOUS SMALL FRAGMENT SET,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 4.0 CANCELLOUS F,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER 4.0 CANCELLOUS P,278,1 ,$62.04 ,$44.67 ,$13.98 ,$62.04 ,$35.68 ,$44.67 ,$33.75 ,$13.98 ,$17.37 ,$41.26 ,$13.98 ,$43.43 ,$13.98 ,$39.09 ,$39.09 ,$13.98 ,$39.09 ,$28.83 ,$57.08 , N/A ,$13.98 ,$52.73 ,$52.11 ,$13.98 ,$46.53 ,$49.63 ,$49.63 ,$13.98 ,$49.63 ,$53.97 ,$53.97 ,$53.97 ,$55.84 ,$35.68 ,$13.98 ,$62.04 ,$34.80 ,$13.98 ,$25.68 , N/A , N/A ,$14.68 ,$52.73 ,$39.09 ,$17.37 ,$55.84 ,$53.97 ,$49.63 ,$49.63 ,$13.98 ,$40.33 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER LAG 10.5MM X 95MM,278,1 ,"$1,385.10 ",$997.27 ,$312.20 ,"$1,385.10 ",$796.43 ,$997.27 ,$753.49 ,$312.20 ,$387.83 ,$921.09 ,$312.20 ,$969.57 ,$312.20 ,$872.61 ,$872.61 ,$312.20 ,$872.61 ,$643.51 ,"$1,274.29 ", N/A ,$312.20 ,"$1,177.34 ","$1,163.48 ",$312.20 ,"$1,038.83 ","$1,108.08 ","$1,108.08 ",$312.20 ,"$1,108.08 ","$1,205.04 ","$1,205.04 ","$1,205.04 ","$1,246.59 ",$796.43 ,$312.20 ,"$1,385.10 ",$777.04 ,$312.20 ,$573.43 , N/A , N/A ,$327.81 ,"$1,177.34 ",$872.61 ,$387.83 ,"$1,246.59 ","$1,205.04 ","$1,108.08 ","$1,108.08 ",$312.20 ,$900.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 10.5MM 105MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,385.10 ",$997.27 ,$312.20 ,"$1,385.10 ",$796.43 ,$997.27 ,$753.49 ,$312.20 ,$387.83 ,$921.09 ,$312.20 ,$969.57 ,$312.20 ,$872.61 ,$872.61 ,$312.20 ,$872.61 ,$643.51 ,"$1,274.29 ", N/A ,$312.20 ,"$1,177.34 ","$1,163.48 ",$312.20 ,"$1,038.83 ","$1,108.08 ","$1,108.08 ",$312.20 ,"$1,108.08 ","$1,205.04 ","$1,205.04 ","$1,205.04 ","$1,246.59 ",$796.43 ,$312.20 ,"$1,385.10 ",$777.04 ,$312.20 ,$573.43 , N/A , N/A ,$327.81 ,"$1,177.34 ",$872.61 ,$387.83 ,"$1,246.59 ","$1,205.04 ","$1,108.08 ","$1,108.08 ",$312.20 ,$900.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 10.5MM 115MM GAMMA3 TITANIUM LAG STERILE TROCHANTER NAIL 180,278,1 ,"$1,385.10 ",$997.27 ,$312.20 ,"$1,385.10 ",$796.43 ,$997.27 ,$753.49 ,$312.20 ,$387.83 ,$921.09 ,$312.20 ,$969.57 ,$312.20 ,$872.61 ,$872.61 ,$312.20 ,$872.61 ,$643.51 ,"$1,274.29 ", N/A ,$312.20 ,"$1,177.34 ","$1,163.48 ",$312.20 ,"$1,038.83 ","$1,108.08 ","$1,108.08 ",$312.20 ,"$1,108.08 ","$1,205.04 ","$1,205.04 ","$1,205.04 ","$1,246.59 ",$796.43 ,$312.20 ,"$1,385.10 ",$777.04 ,$312.20 ,$573.43 , N/A , N/A ,$327.81 ,"$1,177.34 ",$872.61 ,$387.83 ,"$1,246.59 ","$1,205.04 ","$1,108.08 ","$1,108.08 ",$312.20 ,$900.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 10.5MM 90MM GAMMA3 TITANIUM LAG STERILE LATEX FREE DISPOSABLE TROCHANTER NAIL 180,278,1 ,"$1,385.10 ",$997.27 ,$312.20 ,"$1,385.10 ",$796.43 ,$997.27 ,$753.49 ,$312.20 ,$387.83 ,$921.09 ,$312.20 ,$969.57 ,$312.20 ,$872.61 ,$872.61 ,$312.20 ,$872.61 ,$643.51 ,"$1,274.29 ", N/A ,$312.20 ,"$1,177.34 ","$1,163.48 ",$312.20 ,"$1,038.83 ","$1,108.08 ","$1,108.08 ",$312.20 ,"$1,108.08 ","$1,205.04 ","$1,205.04 ","$1,205.04 ","$1,246.59 ",$796.43 ,$312.20 ,"$1,385.10 ",$777.04 ,$312.20 ,$573.43 , N/A , N/A ,$327.81 ,"$1,177.34 ",$872.61 ,$387.83 ,"$1,246.59 ","$1,205.04 ","$1,108.08 ","$1,108.08 ",$312.20 ,$900.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW GAMMA 3 STRYKER,278,1 ,"$1,385.10 ",$997.27 ,$312.20 ,"$1,385.10 ",$796.43 ,$997.27 ,$753.49 ,$312.20 ,$387.83 ,$921.09 ,$312.20 ,$969.57 ,$312.20 ,$872.61 ,$872.61 ,$312.20 ,$872.61 ,$643.51 ,"$1,274.29 ", N/A ,$312.20 ,"$1,177.34 ","$1,163.48 ",$312.20 ,"$1,038.83 ","$1,108.08 ","$1,108.08 ",$312.20 ,"$1,108.08 ","$1,205.04 ","$1,205.04 ","$1,205.04 ","$1,246.59 ",$796.43 ,$312.20 ,"$1,385.10 ",$777.04 ,$312.20 ,$573.43 , N/A , N/A ,$327.81 ,"$1,177.34 ",$872.61 ,$387.83 ,"$1,246.59 ","$1,205.04 ","$1,108.08 ","$1,108.08 ",$312.20 ,$900.32 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER LOCKING 2.3MM X 22MM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 10MM T7 LOCK,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 12MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 14MM VARIAX TITANIUM DISTAL RADIUS LOCKING T7 DRIVE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 16MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 18MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 20MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 26MM VARIAX T7 RADIUS LOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 28MM TITANIUM T7 FULL THREAD RADIUS DISTAL LOCK NONSTERILE VARIAX LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 30MM VARIAX T7 LOCK NONSTERILE LATEX FREE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 32MM VARIAX T7 LOCK NONSTERILE LATEX FREE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 34MM VARIAX T7 LOCK NONSTERILE LATEX FREE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 36MM VARIAX T7 LOCK NONSTERILE LATEX FREE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.3MM 38MM VARIAX T7 LOCK NONSTERILE LATEX FREE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 10MM VARIAX TITANIUM DISTAL RADIUS LOCKING T7 DRIVE STERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 12MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 14MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 16MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 18MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 20MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 22MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 24MM VARIAX TITANIUM T7 FULL THREAD RADIUS DISTAL LOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 2.7MM 26MM VARIAX TITANIUM T7 FULL THREAD LOCK NONSTERILE DISTAL RADIUS LOCK PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 16MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 18MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 20MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 22MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 24MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2.7MM 26MM PARTIAL THREAD T7 RADIUS DISTAL TITANIUM VARIAX SMARTLOCK NONSTERILE,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 16MM RADIUS DISTAL LOCK T7 DRIVE SCREW TITANIUM VARIAX NONSTERILE PLATING SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 18MM RADIUS DISTAL LOCK T7 DRIVE SCREW TITANIUM VARIAX NONSTERILE PLATING SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 20MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 22MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 24MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,PEG FIXATION 2MM 26MM T7 HAND WRIST RADIUS DISTAL LOCK TITANIUM VARIAX NONSTERILE PLATE SYSTEM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER 2.3 X 24MM,278,1 ,$240.54 ,$173.19 ,$54.21 ,$240.54 ,$138.30 ,$173.19 ,$130.85 ,$54.21 ,$67.35 ,$159.96 ,$54.21 ,$168.38 ,$54.21 ,$151.54 ,$151.54 ,$54.21 ,$151.54 ,$111.75 ,$221.30 , N/A ,$54.21 ,$204.46 ,$202.05 ,$54.21 ,$180.41 ,$192.43 ,$192.43 ,$54.21 ,$192.43 ,$209.27 ,$209.27 ,$209.27 ,$216.49 ,$138.30 ,$54.21 ,$240.54 ,$134.94 ,$54.21 ,$99.58 , N/A , N/A ,$56.93 ,$204.46 ,$151.54 ,$67.35 ,$216.49 ,$209.27 ,$192.43 ,$192.43 ,$54.21 ,$156.35 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER LOCKING FULLY THREADED 5 X 45MM,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 5MM 37.5MM T2 TITANIUM FULL THREAD FOOT ANKLE LOCK STERILE,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 50MM,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW LOCKING STRYKER T2 F/T 5 X 65MM,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER LOCKING 5MM X 35MM,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW STRYKER LOCKING 5MM X 40MM,278,1 ,$441.00 ,$317.52 ,$99.40 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 , N/A ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 1.5 TI CORTEX 10MM,278,1 ,$90.66 ,$65.28 ,$20.43 ,$90.66 ,$52.13 ,$65.28 ,$49.32 ,$20.43 ,$25.38 ,$60.29 ,$20.43 ,$63.46 ,$20.43 ,$57.12 ,$57.12 ,$20.43 ,$57.12 ,$42.12 ,$83.41 , N/A ,$20.43 ,$77.06 ,$76.15 ,$20.43 ,$68.00 ,$72.53 ,$72.53 ,$20.43 ,$72.53 ,$78.87 ,$78.87 ,$78.87 ,$81.59 ,$52.13 ,$20.43 ,$90.66 ,$50.86 ,$20.43 ,$37.53 , N/A , N/A ,$21.45 ,$77.06 ,$57.12 ,$25.38 ,$81.59 ,$78.87 ,$72.53 ,$72.53 ,$20.43 ,$58.93 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 2.0 CORTEX STARDRIVE 10MM,278,1 ,$126.42 ,$91.02 ,$28.50 ,$126.42 ,$72.70 ,$91.02 ,$68.77 ,$28.50 ,$35.40 ,$84.07 ,$28.50 ,$88.49 ,$28.50 ,$79.64 ,$79.64 ,$28.50 ,$79.64 ,$58.74 ,$116.31 , N/A ,$28.50 ,$107.46 ,$106.19 ,$28.50 ,$94.82 ,$101.14 ,$101.14 ,$28.50 ,$101.14 ,$109.99 ,$109.99 ,$109.99 ,$113.78 ,$72.70 ,$28.50 ,$126.42 ,$70.92 ,$28.50 ,$52.34 , N/A , N/A ,$29.92 ,$107.46 ,$79.64 ,$35.40 ,$113.78 ,$109.99 ,$101.14 ,$101.14 ,$28.50 ,$82.17 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 2.0 LOCKING SELF TAP STARDRIVE RECESS 10MM,278,1 ,$307.23 ,$221.21 ,$69.25 ,$307.23 ,$176.65 ,$221.21 ,$167.13 ,$69.25 ,$86.02 ,$204.31 ,$69.25 ,$215.06 ,$69.25 ,$193.55 ,$193.55 ,$69.25 ,$193.55 ,$142.73 ,$282.65 , N/A ,$69.25 ,$261.15 ,$258.07 ,$69.25 ,$230.42 ,$245.78 ,$245.78 ,$69.25 ,$245.78 ,$267.29 ,$267.29 ,$267.29 ,$276.51 ,$176.65 ,$69.25 ,$307.23 ,$172.36 ,$69.25 ,$127.19 , N/A , N/A ,$72.71 ,$261.15 ,$193.55 ,$86.02 ,$276.51 ,$267.29 ,$245.78 ,$245.78 ,$69.25 ,$199.70 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 18MM,278,1 ,$56.70 ,$40.82 ,$12.78 ,$56.70 ,$32.60 ,$40.82 ,$30.84 ,$12.78 ,$15.88 ,$37.71 ,$12.78 ,$39.69 ,$12.78 ,$35.72 ,$35.72 ,$12.78 ,$35.72 ,$26.34 ,$52.16 , N/A ,$12.78 ,$48.20 ,$47.63 ,$12.78 ,$42.53 ,$45.36 ,$45.36 ,$12.78 ,$45.36 ,$49.33 ,$49.33 ,$49.33 ,$51.03 ,$32.60 ,$12.78 ,$56.70 ,$31.81 ,$12.78 ,$23.47 , N/A , N/A ,$13.42 ,$48.20 ,$35.72 ,$15.88 ,$51.03 ,$49.33 ,$45.36 ,$45.36 ,$12.78 ,$36.86 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 14MM,278,1 ,$56.70 ,$40.82 ,$12.78 ,$56.70 ,$32.60 ,$40.82 ,$30.84 ,$12.78 ,$15.88 ,$37.71 ,$12.78 ,$39.69 ,$12.78 ,$35.72 ,$35.72 ,$12.78 ,$35.72 ,$26.34 ,$52.16 , N/A ,$12.78 ,$48.20 ,$47.63 ,$12.78 ,$42.53 ,$45.36 ,$45.36 ,$12.78 ,$45.36 ,$49.33 ,$49.33 ,$49.33 ,$51.03 ,$32.60 ,$12.78 ,$56.70 ,$31.81 ,$12.78 ,$23.47 , N/A , N/A ,$13.42 ,$48.20 ,$35.72 ,$15.88 ,$51.03 ,$49.33 ,$45.36 ,$45.36 ,$12.78 ,$36.86 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 CORTEX S/TAP 16MM,278,1 ,$56.70 ,$40.82 ,$12.78 ,$56.70 ,$32.60 ,$40.82 ,$30.84 ,$12.78 ,$15.88 ,$37.71 ,$12.78 ,$39.69 ,$12.78 ,$35.72 ,$35.72 ,$12.78 ,$35.72 ,$26.34 ,$52.16 , N/A ,$12.78 ,$48.20 ,$47.63 ,$12.78 ,$42.53 ,$45.36 ,$45.36 ,$12.78 ,$45.36 ,$49.33 ,$49.33 ,$49.33 ,$51.03 ,$32.60 ,$12.78 ,$56.70 ,$31.81 ,$12.78 ,$23.47 , N/A , N/A ,$13.42 ,$48.20 ,$35.72 ,$15.88 ,$51.03 ,$49.33 ,$45.36 ,$45.36 ,$12.78 ,$36.86 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 22MM,278,1 ,$336.63 ,$242.37 ,$75.87 ,$336.63 ,$193.55 ,$242.37 ,$183.13 ,$75.87 ,$94.26 ,$223.86 ,$75.87 ,$235.64 ,$75.87 ,$212.08 ,$212.08 ,$75.87 ,$212.08 ,$156.39 ,$309.70 , N/A ,$75.87 ,$286.14 ,$282.77 ,$75.87 ,$252.47 ,$269.30 ,$269.30 ,$75.87 ,$269.30 ,$292.87 ,$292.87 ,$292.87 ,$302.97 ,$193.55 ,$75.87 ,$336.63 ,$188.85 ,$75.87 ,$139.36 , N/A , N/A ,$79.66 ,$286.14 ,$212.08 ,$94.26 ,$302.97 ,$292.87 ,$269.30 ,$269.30 ,$75.87 ,$218.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 14MM,278,1 ,$336.63 ,$242.37 ,$75.87 ,$336.63 ,$193.55 ,$242.37 ,$183.13 ,$75.87 ,$94.26 ,$223.86 ,$75.87 ,$235.64 ,$75.87 ,$212.08 ,$212.08 ,$75.87 ,$212.08 ,$156.39 ,$309.70 , N/A ,$75.87 ,$286.14 ,$282.77 ,$75.87 ,$252.47 ,$269.30 ,$269.30 ,$75.87 ,$269.30 ,$292.87 ,$292.87 ,$292.87 ,$302.97 ,$193.55 ,$75.87 ,$336.63 ,$188.85 ,$75.87 ,$139.36 , N/A , N/A ,$79.66 ,$286.14 ,$212.08 ,$94.26 ,$302.97 ,$292.87 ,$269.30 ,$269.30 ,$75.87 ,$218.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 16MM,278,1 ,$336.63 ,$242.37 ,$75.87 ,$336.63 ,$193.55 ,$242.37 ,$183.13 ,$75.87 ,$94.26 ,$223.86 ,$75.87 ,$235.64 ,$75.87 ,$212.08 ,$212.08 ,$75.87 ,$212.08 ,$156.39 ,$309.70 , N/A ,$75.87 ,$286.14 ,$282.77 ,$75.87 ,$252.47 ,$269.30 ,$269.30 ,$75.87 ,$269.30 ,$292.87 ,$292.87 ,$292.87 ,$302.97 ,$193.55 ,$75.87 ,$336.63 ,$188.85 ,$75.87 ,$139.36 , N/A , N/A ,$79.66 ,$286.14 ,$212.08 ,$94.26 ,$302.97 ,$292.87 ,$269.30 ,$269.30 ,$75.87 ,$218.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 18MM,278,1 ,$336.63 ,$242.37 ,$75.87 ,$336.63 ,$193.55 ,$242.37 ,$183.13 ,$75.87 ,$94.26 ,$223.86 ,$75.87 ,$235.64 ,$75.87 ,$212.08 ,$212.08 ,$75.87 ,$212.08 ,$156.39 ,$309.70 , N/A ,$75.87 ,$286.14 ,$282.77 ,$75.87 ,$252.47 ,$269.30 ,$269.30 ,$75.87 ,$269.30 ,$292.87 ,$292.87 ,$292.87 ,$302.97 ,$193.55 ,$75.87 ,$336.63 ,$188.85 ,$75.87 ,$139.36 , N/A , N/A ,$79.66 ,$286.14 ,$212.08 ,$94.26 ,$302.97 ,$292.87 ,$269.30 ,$269.30 ,$75.87 ,$218.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 3.5 LOCKING STARDRIVE 20MM,278,1 ,$336.63 ,$242.37 ,$75.87 ,$336.63 ,$193.55 ,$242.37 ,$183.13 ,$75.87 ,$94.26 ,$223.86 ,$75.87 ,$235.64 ,$75.87 ,$212.08 ,$212.08 ,$75.87 ,$212.08 ,$156.39 ,$309.70 , N/A ,$75.87 ,$286.14 ,$282.77 ,$75.87 ,$252.47 ,$269.30 ,$269.30 ,$75.87 ,$269.30 ,$292.87 ,$292.87 ,$292.87 ,$302.97 ,$193.55 ,$75.87 ,$336.63 ,$188.85 ,$75.87 ,$139.36 , N/A , N/A ,$79.66 ,$286.14 ,$212.08 ,$94.26 ,$302.97 ,$292.87 ,$269.30 ,$269.30 ,$75.87 ,$218.81 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 35,278,1 ,$46.62 ,$33.57 ,$10.51 ,$46.62 ,$26.80 ,$33.57 ,$25.36 ,$10.51 ,$13.05 ,$31.00 ,$10.51 ,$32.63 ,$10.51 ,$29.37 ,$29.37 ,$10.51 ,$29.37 ,$21.65 ,$42.89 , N/A ,$10.51 ,$39.63 ,$39.16 ,$10.51 ,$34.97 ,$37.30 ,$37.30 ,$10.51 ,$37.30 ,$40.56 ,$40.56 ,$40.56 ,$41.96 ,$26.80 ,$10.51 ,$46.62 ,$26.15 ,$10.51 ,$19.30 , N/A , N/A ,$11.03 ,$39.63 ,$29.37 ,$13.05 ,$41.96 ,$40.56 ,$37.30 ,$37.30 ,$10.51 ,$30.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 16,278,1 ,$46.62 ,$33.57 ,$10.51 ,$46.62 ,$26.80 ,$33.57 ,$25.36 ,$10.51 ,$13.05 ,$31.00 ,$10.51 ,$32.63 ,$10.51 ,$29.37 ,$29.37 ,$10.51 ,$29.37 ,$21.65 ,$42.89 , N/A ,$10.51 ,$39.63 ,$39.16 ,$10.51 ,$34.97 ,$37.30 ,$37.30 ,$10.51 ,$37.30 ,$40.56 ,$40.56 ,$40.56 ,$41.96 ,$26.80 ,$10.51 ,$46.62 ,$26.15 ,$10.51 ,$19.30 , N/A , N/A ,$11.03 ,$39.63 ,$29.37 ,$13.05 ,$41.96 ,$40.56 ,$37.30 ,$37.30 ,$10.51 ,$30.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 18,278,1 ,$46.62 ,$33.57 ,$10.51 ,$46.62 ,$26.80 ,$33.57 ,$25.36 ,$10.51 ,$13.05 ,$31.00 ,$10.51 ,$32.63 ,$10.51 ,$29.37 ,$29.37 ,$10.51 ,$29.37 ,$21.65 ,$42.89 , N/A ,$10.51 ,$39.63 ,$39.16 ,$10.51 ,$34.97 ,$37.30 ,$37.30 ,$10.51 ,$37.30 ,$40.56 ,$40.56 ,$40.56 ,$41.96 ,$26.80 ,$10.51 ,$46.62 ,$26.15 ,$10.51 ,$19.30 , N/A , N/A ,$11.03 ,$39.63 ,$29.37 ,$13.05 ,$41.96 ,$40.56 ,$37.30 ,$37.30 ,$10.51 ,$30.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 20,278,1 ,$46.62 ,$33.57 ,$10.51 ,$46.62 ,$26.80 ,$33.57 ,$25.36 ,$10.51 ,$13.05 ,$31.00 ,$10.51 ,$32.63 ,$10.51 ,$29.37 ,$29.37 ,$10.51 ,$29.37 ,$21.65 ,$42.89 , N/A ,$10.51 ,$39.63 ,$39.16 ,$10.51 ,$34.97 ,$37.30 ,$37.30 ,$10.51 ,$37.30 ,$40.56 ,$40.56 ,$40.56 ,$41.96 ,$26.80 ,$10.51 ,$46.62 ,$26.15 ,$10.51 ,$19.30 , N/A , N/A ,$11.03 ,$39.63 ,$29.37 ,$13.05 ,$41.96 ,$40.56 ,$37.30 ,$37.30 ,$10.51 ,$30.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS FULL THREAD 22,278,1 ,$46.62 ,$33.57 ,$10.51 ,$46.62 ,$26.80 ,$33.57 ,$25.36 ,$10.51 ,$13.05 ,$31.00 ,$10.51 ,$32.63 ,$10.51 ,$29.37 ,$29.37 ,$10.51 ,$29.37 ,$21.65 ,$42.89 , N/A ,$10.51 ,$39.63 ,$39.16 ,$10.51 ,$34.97 ,$37.30 ,$37.30 ,$10.51 ,$37.30 ,$40.56 ,$40.56 ,$40.56 ,$41.96 ,$26.80 ,$10.51 ,$46.62 ,$26.15 ,$10.51 ,$19.30 , N/A , N/A ,$11.03 ,$39.63 ,$29.37 ,$13.05 ,$41.96 ,$40.56 ,$37.30 ,$37.30 ,$10.51 ,$30.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT 35,278,1 ,$43.50 ,$31.32 ,$9.81 ,$43.50 ,$25.03 ,$31.32 ,$23.66 ,$9.81 ,$12.18 ,$28.93 ,$9.81 ,$30.45 ,$9.81 ,$27.41 ,$27.41 ,$9.81 ,$27.41 ,$20.22 ,$40.02 , N/A ,$9.81 ,$36.98 ,$36.54 ,$9.81 ,$32.63 ,$34.80 ,$34.80 ,$9.81 ,$34.80 ,$37.85 ,$37.85 ,$37.85 ,$39.15 ,$25.03 ,$9.81 ,$43.50 ,$24.40 ,$9.81 ,$18.01 , N/A , N/A ,$10.30 ,$36.98 ,$27.41 ,$12.18 ,$39.15 ,$37.85 ,$34.80 ,$34.80 ,$9.81 ,$28.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 4.0 CANCELLOUS PT 30,278,1 ,$43.50 ,$31.32 ,$9.81 ,$43.50 ,$25.03 ,$31.32 ,$23.66 ,$9.81 ,$12.18 ,$28.93 ,$9.81 ,$30.45 ,$9.81 ,$27.41 ,$27.41 ,$9.81 ,$27.41 ,$20.22 ,$40.02 , N/A ,$9.81 ,$36.98 ,$36.54 ,$9.81 ,$32.63 ,$34.80 ,$34.80 ,$9.81 ,$34.80 ,$37.85 ,$37.85 ,$37.85 ,$39.15 ,$25.03 ,$9.81 ,$43.50 ,$24.40 ,$9.81 ,$18.01 , N/A , N/A ,$10.30 ,$36.98 ,$27.41 ,$12.18 ,$39.15 ,$37.85 ,$34.80 ,$34.80 ,$9.81 ,$28.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 6.5 CANN SELF TAP 16MM PT 90,278,1 ,$705.93 ,$508.27 ,$159.11 ,$705.93 ,$405.90 ,$508.27 ,$384.03 ,$159.11 ,$197.66 ,$469.44 ,$159.11 ,$494.15 ,$159.11 ,$444.74 ,$444.74 ,$159.11 ,$444.74 ,$327.97 ,$649.46 , N/A ,$159.11 ,$600.04 ,$592.98 ,$159.11 ,$529.45 ,$564.74 ,$564.74 ,$159.11 ,$564.74 ,$614.16 ,$614.16 ,$614.16 ,$635.34 ,$405.90 ,$159.11 ,$705.93 ,$396.03 ,$159.11 ,$292.26 , N/A , N/A ,$167.07 ,$600.04 ,$444.74 ,$197.66 ,$635.34 ,$614.16 ,$564.74 ,$564.74 ,$159.11 ,$458.85 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW SYNTHES 6.5 CANN SELF TAP 16MM PT 85,278,1 ,$705.93 ,$508.27 ,$159.11 ,$705.93 ,$405.90 ,$508.27 ,$384.03 ,$159.11 ,$197.66 ,$469.44 ,$159.11 ,$494.15 ,$159.11 ,$444.74 ,$444.74 ,$159.11 ,$444.74 ,$327.97 ,$649.46 , N/A ,$159.11 ,$600.04 ,$592.98 ,$159.11 ,$529.45 ,$564.74 ,$564.74 ,$159.11 ,$564.74 ,$614.16 ,$614.16 ,$614.16 ,$635.34 ,$405.90 ,$159.11 ,$705.93 ,$396.03 ,$159.11 ,$292.26 , N/A , N/A ,$167.07 ,$600.04 ,$444.74 ,$197.66 ,$635.34 ,$614.16 ,$564.74 ,$564.74 ,$159.11 ,$458.85 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,"SUTURE ANCHOR, SWIVELOCK TENODESIS, BIOCOMPOSITE 7X19.1MM",278,1 ,"$1,305.00 ",$939.60 ,$294.15 ,"$1,305.00 ",$750.38 ,$939.60 ,$709.92 ,$294.15 ,$365.40 ,$867.83 ,$294.15 ,$913.50 ,$294.15 ,$822.15 ,$822.15 ,$294.15 ,$822.15 ,$606.30 ,"$1,200.60 ", N/A ,$294.15 ,"$1,109.25 ","$1,096.20 ",$294.15 ,$978.75 ,"$1,044.00 ","$1,044.00 ",$294.15 ,"$1,044.00 ","$1,135.35 ","$1,135.35 ","$1,135.35 ","$1,174.50 ",$750.38 ,$294.15 ,"$1,305.00 ",$732.11 ,$294.15 ,$540.27 , N/A , N/A ,$308.86 ,"$1,109.25 ",$822.15 ,$365.40 ,"$1,174.50 ","$1,135.35 ","$1,044.00 ","$1,044.00 ",$294.15 ,$848.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SUTURE FIBERWIRE #2 TAPE 1.3 BRAIDED FLAT,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW ARTHREX CORTICAL 3.5 X 18 MM,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 14MM LOW PROFILE SCREW STAINLESS STEEL T15 FULL THREAD CORTEX NONLOCK SELF TAP ANKLE FRACTURE MANAGEMENT,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 16MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP NONLOCK STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 20MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SCREW BONE 3.5MM 26MM LOW PROFILE SCREWS STAINLESS STEEL T15 FULL THREAD CORTEX SELF TAP STARDRIVE SOLID ANKLE FRACTURE MANAGEMENT,278,1 ,$105.00 ,$75.60 ,$23.67 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 , N/A , N/A ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,SYSTEM FIXATION SPEEDBRIDGE ACHILLES MIDSUBSTANCE,278,1 ,"$2,925.00 ","$2,106.00 ",$659.29 ,"$2,925.00 ","$1,681.88 ","$2,106.00 ","$1,591.20 ",$659.29 ,$819.00 ,"$1,945.13 ",$659.29 ,"$2,047.50 ",$659.29 ,"$1,842.75 ","$1,842.75 ",$659.29 ,"$1,842.75 ","$1,358.96 ","$2,691.00 ", N/A ,$659.29 ,"$2,486.25 ","$2,457.00 ",$659.29 ,"$2,193.75 ","$2,340.00 ","$2,340.00 ",$659.29 ,"$2,340.00 ","$2,544.75 ","$2,544.75 ","$2,544.75 ","$2,632.50 ","$1,681.88 ",$659.29 ,"$2,925.00 ","$1,640.93 ",$659.29 ,"$1,210.95 ", N/A , N/A ,$692.26 ,"$2,486.25 ","$1,842.75 ",$819.00 ,"$2,632.50 ","$2,544.75 ","$2,340.00 ","$2,340.00 ",$659.29 ,"$1,901.25 " ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,TIGHTROPE ABS ACL ARTHREX,278,1 ,$552.00 ,$397.44 ,$124.42 ,$552.00 ,$317.40 ,$397.44 ,$300.29 ,$124.42 ,$154.56 ,$367.08 ,$124.42 ,$386.40 ,$124.42 ,$347.76 ,$347.76 ,$124.42 ,$347.76 ,$256.46 ,$507.84 , N/A ,$124.42 ,$469.20 ,$463.68 ,$124.42 ,$414.00 ,$441.60 ,$441.60 ,$124.42 ,$441.60 ,$480.24 ,$480.24 ,$480.24 ,$496.80 ,$317.40 ,$124.42 ,$552.00 ,$309.67 ,$124.42 ,$228.53 , N/A , N/A ,$130.64 ,$469.20 ,$347.76 ,$154.56 ,$496.80 ,$480.24 ,$441.60 ,$441.60 ,$124.42 ,$358.80 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,TIGHTROPE ARTHRES BUTTON ACL 12 X 8MM,278,1 ,$429.00 ,$308.88 ,$96.70 ,$429.00 ,$246.68 ,$308.88 ,$233.38 ,$96.70 ,$120.12 ,$285.29 ,$96.70 ,$300.30 ,$96.70 ,$270.27 ,$270.27 ,$96.70 ,$270.27 ,$199.31 ,$394.68 , N/A ,$96.70 ,$364.65 ,$360.36 ,$96.70 ,$321.75 ,$343.20 ,$343.20 ,$96.70 ,$343.20 ,$373.23 ,$373.23 ,$373.23 ,$386.10 ,$246.68 ,$96.70 ,$429.00 ,$240.67 ,$96.70 ,$177.61 , N/A , N/A ,$101.53 ,$364.65 ,$270.27 ,$120.12 ,$386.10 ,$373.23 ,$343.20 ,$343.20 ,$96.70 ,$278.85 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,TIGHTROPE BUTTON ACL ARTHREX,278,1 ,$642.00 ,$462.24 ,$144.71 ,$642.00 ,$369.15 ,$462.24 ,$349.25 ,$144.71 ,$179.76 ,$426.93 ,$144.71 ,$449.40 ,$144.71 ,$404.46 ,$404.46 ,$144.71 ,$404.46 ,$298.27 ,$590.64 , N/A ,$144.71 ,$545.70 ,$539.28 ,$144.71 ,$481.50 ,$513.60 ,$513.60 ,$144.71 ,$513.60 ,$558.54 ,$558.54 ,$558.54 ,$577.80 ,$369.15 ,$144.71 ,$642.00 ,$360.16 ,$144.71 ,$265.79 , N/A , N/A ,$151.94 ,$545.70 ,$404.46 ,$179.76 ,$577.80 ,$558.54 ,$513.60 ,$513.60 ,$144.71 ,$417.30 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,TIGHTROPE W/ DRILL PIN ARTHREX,278,1 ,"$1,275.00 ",$918.00 ,$287.38 ,"$1,275.00 ",$733.13 ,$918.00 ,$693.60 ,$287.38 ,$357.00 ,$847.88 ,$287.38 ,$892.50 ,$287.38 ,$803.25 ,$803.25 ,$287.38 ,$803.25 ,$592.37 ,"$1,173.00 ", N/A ,$287.38 ,"$1,083.75 ","$1,071.00 ",$287.38 ,$956.25 ,"$1,020.00 ","$1,020.00 ",$287.38 ,"$1,020.00 ","$1,109.25 ","$1,109.25 ","$1,109.25 ","$1,147.50 ",$733.13 ,$287.38 ,"$1,275.00 ",$715.28 ,$287.38 ,$527.85 , N/A , N/A ,$301.75 ,"$1,083.75 ",$803.25 ,$357.00 ,"$1,147.50 ","$1,109.25 ","$1,020.00 ","$1,020.00 ",$287.38 ,$828.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,ANCHOR SUTURE 3MM 2 SUTURETAK FIBERWIRE ARTHREX KNOTLESS CRUCIATE LIGAMENT BIOCOMPOSITE 12.7MM STERILE,278,1 ,"$1,275.00 ",$918.00 ,$287.38 ,"$1,275.00 ",$733.13 ,$918.00 ,$693.60 ,$287.38 ,$357.00 ,$847.88 ,$287.38 ,$892.50 ,$287.38 ,$803.25 ,$803.25 ,$287.38 ,$803.25 ,$592.37 ,"$1,173.00 ", N/A ,$287.38 ,"$1,083.75 ","$1,071.00 ",$287.38 ,$956.25 ,"$1,020.00 ","$1,020.00 ",$287.38 ,"$1,020.00 ","$1,109.25 ","$1,109.25 ","$1,109.25 ","$1,147.50 ",$733.13 ,$287.38 ,"$1,275.00 ",$715.28 ,$287.38 ,$527.85 , N/A , N/A ,$301.75 ,"$1,083.75 ",$803.25 ,$357.00 ,"$1,147.50 ","$1,109.25 ","$1,020.00 ","$1,020.00 ",$287.38 ,$828.75 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WASHER 9MM ORTHOPEDIC TITANIUM 1MM 2.7/3.6MM SCREW,278,1 ,$88.44 ,$63.68 ,$19.93 ,$88.44 ,$50.85 ,$63.68 ,$48.11 ,$19.93 ,$24.76 ,$58.81 ,$19.93 ,$61.91 ,$19.93 ,$55.72 ,$55.72 ,$19.93 ,$55.72 ,$41.09 ,$81.36 , N/A ,$19.93 ,$75.17 ,$74.29 ,$19.93 ,$66.33 ,$70.75 ,$70.75 ,$19.93 ,$70.75 ,$76.94 ,$76.94 ,$76.94 ,$79.60 ,$50.85 ,$19.93 ,$88.44 ,$49.61 ,$19.93 ,$36.61 , N/A , N/A ,$20.93 ,$75.17 ,$55.72 ,$24.76 ,$79.60 ,$76.94 ,$70.75 ,$70.75 ,$19.93 ,$57.49 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WASHER ASNIS III TI 4.0MM STRYKER,278,1 ,$74.52 ,$53.65 ,$16.80 ,$74.52 ,$42.85 ,$53.65 ,$40.54 ,$16.80 ,$20.87 ,$49.56 ,$16.80 ,$52.16 ,$16.80 ,$46.95 ,$46.95 ,$16.80 ,$46.95 ,$34.62 ,$68.56 , N/A ,$16.80 ,$63.34 ,$62.60 ,$16.80 ,$55.89 ,$59.62 ,$59.62 ,$16.80 ,$59.62 ,$64.83 ,$64.83 ,$64.83 ,$67.07 ,$42.85 ,$16.80 ,$74.52 ,$41.81 ,$16.80 ,$30.85 , N/A , N/A ,$17.64 ,$63.34 ,$46.95 ,$20.87 ,$67.07 ,$64.83 ,$59.62 ,$59.62 ,$16.80 ,$48.44 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 1.6MM 102MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 ,$16.74 , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 1.1MM 102MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 ,$16.74 , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 1.1MM 152MM KIRSCHNER STAINLESS STEEL 2 END DIAMOND POINT STYLE 7 NONSTERILE,278,1 ,$18.20 ,$13.10 ,$4.11 ,$18.20 ,$10.48 ,$13.10 ,$9.90 ,$4.11 ,$5.10 ,$12.10 ,$4.11 ,$12.74 ,$4.11 ,$11.47 ,$11.47 ,$4.11 ,$11.47 ,$8.46 ,$16.74 , N/A ,$4.11 ,$15.47 ,$15.29 ,$4.11 ,$13.65 ,$14.56 ,$14.56 ,$4.11 ,$14.56 ,$15.83 ,$15.83 ,$15.83 ,$16.38 ,$10.48 ,$4.11 ,$18.20 ,$10.21 ,$4.11 ,$7.53 , N/A , N/A ,$4.31 ,$15.47 ,$11.47 ,$5.10 ,$16.38 ,$15.83 ,$14.56 ,$14.56 ,$4.11 ,$11.83 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 2MM 150MM KIRSCHNER TITANIUM TROCAR TIP,278,1 ,$31.20 ,$22.46 ,$7.04 ,$31.20 ,$17.95 ,$22.46 ,$16.97 ,$7.04 ,$8.74 ,$20.75 ,$7.04 ,$21.84 ,$7.04 ,$19.66 ,$19.66 ,$7.04 ,$19.66 ,$14.50 ,$28.70 , N/A ,$7.04 ,$26.52 ,$26.21 ,$7.04 ,$23.40 ,$24.96 ,$24.96 ,$7.04 ,$24.96 ,$27.14 ,$27.14 ,$27.14 ,$28.08 ,$17.95 ,$7.04 ,$31.20 ,$17.50 ,$7.04 ,$12.92 , N/A , N/A ,$7.39 ,$26.52 ,$19.66 ,$8.74 ,$28.08 ,$27.14 ,$24.96 ,$24.96 ,$7.04 ,$20.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 1.25MM 150MM KIRSCHNER TITANIUM TROCAR TIP,278,1 ,$31.20 ,$22.46 ,$7.04 ,$31.20 ,$17.95 ,$22.46 ,$16.97 ,$7.04 ,$8.74 ,$20.75 ,$7.04 ,$21.84 ,$7.04 ,$19.66 ,$19.66 ,$7.04 ,$19.66 ,$14.50 ,$28.70 , N/A ,$7.04 ,$26.52 ,$26.21 ,$7.04 ,$23.40 ,$24.96 ,$24.96 ,$7.04 ,$24.96 ,$27.14 ,$27.14 ,$27.14 ,$28.08 ,$17.95 ,$7.04 ,$31.20 ,$17.50 ,$7.04 ,$12.92 , N/A , N/A ,$7.39 ,$26.52 ,$19.66 ,$8.74 ,$28.08 ,$27.14 ,$24.96 ,$24.96 ,$7.04 ,$20.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE FIXATION 1.6MM 150MM KIRSCHNER TITANIUM TROCAR TIP,278,1 ,$31.20 ,$22.46 ,$7.04 ,$31.20 ,$17.95 ,$22.46 ,$16.97 ,$7.04 ,$8.74 ,$20.75 ,$7.04 ,$21.84 ,$7.04 ,$19.66 ,$19.66 ,$7.04 ,$19.66 ,$14.50 ,$28.70 , N/A ,$7.04 ,$26.52 ,$26.21 ,$7.04 ,$23.40 ,$24.96 ,$24.96 ,$7.04 ,$24.96 ,$27.14 ,$27.14 ,$27.14 ,$28.08 ,$17.95 ,$7.04 ,$31.20 ,$17.50 ,$7.04 ,$12.92 , N/A , N/A ,$7.39 ,$26.52 ,$19.66 ,$8.74 ,$28.08 ,$27.14 ,$24.96 ,$24.96 ,$7.04 ,$20.28 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE SYNTHES 0.8 KIRSCHNER W/TROCAR POINT 70MM,278,1 ,$21.17 ,$15.24 ,$4.77 ,$21.17 ,$12.18 ,$15.24 ,$11.52 ,$4.77 ,$5.93 ,$14.08 ,$4.77 ,$14.82 ,$4.77 ,$13.34 ,$13.34 ,$4.77 ,$13.34 ,$9.84 ,$19.48 , N/A ,$4.77 ,$17.99 ,$17.78 ,$4.77 ,$15.88 ,$16.94 ,$16.94 ,$4.77 ,$16.94 ,$18.42 ,$18.42 ,$18.42 ,$19.05 ,$12.18 ,$4.77 ,$21.17 ,$11.88 ,$4.77 ,$8.76 , N/A , N/A ,$5.01 ,$17.99 ,$13.34 ,$5.93 ,$19.05 ,$18.42 ,$16.94 ,$16.94 ,$4.77 ,$13.76 ST. FRANCIS HOSPITAL - ACUTE,27871713,C1713,WIRE SYNTHES GUIDE 2.8 THREADED 450/300MM,278,1 ,$222.00 ,$159.84 ,$50.04 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$147.63 ,$50.04 ,$155.40 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 , N/A ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 , N/A , N/A ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,27871762,C1762,DECELLULARIZED ARTHROFLEX DERMIS LIFENET 40X70 2.5-3.5MM,278,1 ,"$11,083.65 ","$7,980.23 ","$2,498.26 ","$11,083.65 ","$6,373.10 ","$7,980.23 ","$6,029.51 ","$2,498.26 ","$3,103.42 ","$7,370.63 ","$2,498.26 ","$7,758.56 ","$2,498.26 ","$6,982.70 ","$6,982.70 ","$2,498.26 ","$6,982.70 ","$5,149.46 ","$10,196.96 ", N/A ,"$2,498.26 ","$9,421.10 ","$9,310.27 ","$2,498.26 ","$8,312.74 ","$8,866.92 ","$8,866.92 ","$2,498.26 ","$8,866.92 ","$9,642.78 ","$9,642.78 ","$9,642.78 ","$9,975.29 ","$6,373.10 ","$2,498.26 ","$11,083.65 ","$6,217.93 ","$2,498.26 ","$4,588.63 ", N/A , N/A ,"$2,623.17 ","$9,421.10 ","$6,982.70 ","$3,103.42 ","$9,975.29 ","$9,642.78 ","$8,866.92 ","$8,866.92 ","$2,498.26 ","$7,204.37 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,ADAPTER FEMORAL PFC SIGMA 5D KNEE STERILE,278,1 ,"$5,536.50 ","$3,986.28 ","$1,247.93 ","$5,536.50 ","$3,183.50 ","$3,986.28 ","$3,011.86 ","$1,247.93 ","$1,550.22 ","$3,681.77 ","$1,247.93 ","$3,875.55 ","$1,247.93 ","$3,488.00 ","$3,488.00 ","$1,247.93 ","$3,488.00 ","$2,572.27 ","$5,093.58 ", N/A ,"$1,247.93 ","$4,706.03 ","$4,650.66 ","$1,247.93 ","$4,152.38 ","$4,429.20 ","$4,429.20 ","$1,247.93 ","$4,429.20 ","$4,816.76 ","$4,816.76 ","$4,816.76 ","$4,982.85 ","$3,183.50 ","$1,247.93 ","$5,536.50 ","$3,105.98 ","$1,247.93 ","$2,292.11 ", N/A , N/A ,"$1,310.33 ","$4,706.03 ","$3,488.00 ","$1,550.22 ","$4,982.85 ","$4,816.76 ","$4,429.20 ","$4,429.20 ","$1,247.93 ","$3,598.73 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,AUGMENTATION POSTERIOR DEPUY COMBO 4MM,278,1 ,"$2,578.50 ","$1,856.52 ",$581.20 ,"$2,578.50 ","$1,482.65 ","$1,856.52 ","$1,402.70 ",$581.20 ,$721.98 ,"$1,714.70 ",$581.20 ,"$1,804.95 ",$581.20 ,"$1,624.46 ","$1,624.46 ",$581.20 ,"$1,624.46 ","$1,197.98 ","$2,372.22 ", N/A ,$581.20 ,"$2,191.73 ","$2,165.94 ",$581.20 ,"$1,933.88 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$2,062.80 ","$2,243.30 ","$2,243.30 ","$2,243.30 ","$2,320.65 ","$1,482.65 ",$581.20 ,"$2,578.50 ","$1,446.54 ",$581.20 ,"$1,067.50 ", N/A , N/A ,$610.26 ,"$2,191.73 ","$1,624.46 ",$721.98 ,"$2,320.65 ","$2,243.30 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$1,676.03 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,AUGMENTATION DISTAL DEPUY 4MM RIGHT,278,1 ,"$2,578.50 ","$1,856.52 ",$581.20 ,"$2,578.50 ","$1,482.65 ","$1,856.52 ","$1,402.70 ",$581.20 ,$721.98 ,"$1,714.70 ",$581.20 ,"$1,804.95 ",$581.20 ,"$1,624.46 ","$1,624.46 ",$581.20 ,"$1,624.46 ","$1,197.98 ","$2,372.22 ", N/A ,$581.20 ,"$2,191.73 ","$2,165.94 ",$581.20 ,"$1,933.88 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$2,062.80 ","$2,243.30 ","$2,243.30 ","$2,243.30 ","$2,320.65 ","$1,482.65 ",$581.20 ,"$2,578.50 ","$1,446.54 ",$581.20 ,"$1,067.50 ", N/A , N/A ,$610.26 ,"$2,191.73 ","$1,624.46 ",$721.98 ,"$2,320.65 ","$2,243.30 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$1,676.03 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,AUGMENTATION DISTAL DEPUY 8MM RIGHT,278,1 ,"$2,578.50 ","$1,856.52 ",$581.20 ,"$2,578.50 ","$1,482.65 ","$1,856.52 ","$1,402.70 ",$581.20 ,$721.98 ,"$1,714.70 ",$581.20 ,"$1,804.95 ",$581.20 ,"$1,624.46 ","$1,624.46 ",$581.20 ,"$1,624.46 ","$1,197.98 ","$2,372.22 ", N/A ,$581.20 ,"$2,191.73 ","$2,165.94 ",$581.20 ,"$1,933.88 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$2,062.80 ","$2,243.30 ","$2,243.30 ","$2,243.30 ","$2,320.65 ","$1,482.65 ",$581.20 ,"$2,578.50 ","$1,446.54 ",$581.20 ,"$1,067.50 ", N/A , N/A ,$610.26 ,"$2,191.73 ","$1,624.46 ",$721.98 ,"$2,320.65 ","$2,243.30 ","$2,062.80 ","$2,062.80 ",$581.20 ,"$1,676.03 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CENTRALIZER DEPUY 14MM,278,1 ,$192.00 ,$138.24 ,$43.28 ,$192.00 ,$110.40 ,$138.24 ,$104.45 ,$43.28 ,$53.76 ,$127.68 ,$43.28 ,$134.40 ,$43.28 ,$120.96 ,$120.96 ,$43.28 ,$120.96 ,$89.20 ,$176.64 , N/A ,$43.28 ,$163.20 ,$161.28 ,$43.28 ,$144.00 ,$153.60 ,$153.60 ,$43.28 ,$153.60 ,$167.04 ,$167.04 ,$167.04 ,$172.80 ,$110.40 ,$43.28 ,$192.00 ,$107.71 ,$43.28 ,$79.49 , N/A , N/A ,$45.44 ,$163.20 ,$120.96 ,$53.76 ,$172.80 ,$167.04 ,$153.60 ,$153.60 ,$43.28 ,$124.80 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CEMENTRALIZER DEPUY 11.0MM,278,1 ,$192.00 ,$138.24 ,$43.28 ,$192.00 ,$110.40 ,$138.24 ,$104.45 ,$43.28 ,$53.76 ,$127.68 ,$43.28 ,$134.40 ,$43.28 ,$120.96 ,$120.96 ,$43.28 ,$120.96 ,$89.20 ,$176.64 , N/A ,$43.28 ,$163.20 ,$161.28 ,$43.28 ,$144.00 ,$153.60 ,$153.60 ,$43.28 ,$153.60 ,$167.04 ,$167.04 ,$167.04 ,$172.80 ,$110.40 ,$43.28 ,$192.00 ,$107.71 ,$43.28 ,$79.49 , N/A , N/A ,$45.44 ,$163.20 ,$120.96 ,$53.76 ,$172.80 ,$167.04 ,$153.60 ,$153.60 ,$43.28 ,$124.80 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CEMENTRALIZER DEPUY 12.0MM,278,1 ,$192.00 ,$138.24 ,$43.28 ,$192.00 ,$110.40 ,$138.24 ,$104.45 ,$43.28 ,$53.76 ,$127.68 ,$43.28 ,$134.40 ,$43.28 ,$120.96 ,$120.96 ,$43.28 ,$120.96 ,$89.20 ,$176.64 , N/A ,$43.28 ,$163.20 ,$161.28 ,$43.28 ,$144.00 ,$153.60 ,$153.60 ,$43.28 ,$153.60 ,$167.04 ,$167.04 ,$167.04 ,$172.80 ,$110.40 ,$43.28 ,$192.00 ,$107.71 ,$43.28 ,$79.49 , N/A , N/A ,$45.44 ,$163.20 ,$120.96 ,$53.76 ,$172.80 ,$167.04 ,$153.60 ,$153.60 ,$43.28 ,$124.80 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CEMENTRALIZER DEPUY 13.0MM,278,1 ,$192.00 ,$138.24 ,$43.28 ,$192.00 ,$110.40 ,$138.24 ,$104.45 ,$43.28 ,$53.76 ,$127.68 ,$43.28 ,$134.40 ,$43.28 ,$120.96 ,$120.96 ,$43.28 ,$120.96 ,$89.20 ,$176.64 , N/A ,$43.28 ,$163.20 ,$161.28 ,$43.28 ,$144.00 ,$153.60 ,$153.60 ,$43.28 ,$153.60 ,$167.04 ,$167.04 ,$167.04 ,$172.80 ,$110.40 ,$43.28 ,$192.00 ,$107.71 ,$43.28 ,$79.49 , N/A , N/A ,$45.44 ,$163.20 ,$120.96 ,$53.76 ,$172.80 ,$167.04 ,$153.60 ,$153.60 ,$43.28 ,$124.80 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,COMPONENT FEMORAL DEPUY RIGHT SIZE 3,278,1 ,"$15,184.50 ","$10,932.84 ","$3,422.59 ","$15,184.50 ","$8,731.10 ","$10,932.84 ","$8,260.37 ","$3,422.59 ","$4,251.66 ","$10,097.69 ","$3,422.59 ","$10,629.15 ","$3,422.59 ","$9,566.24 ","$9,566.24 ","$3,422.59 ","$9,566.24 ","$7,054.73 ","$13,969.74 ", N/A ,"$3,422.59 ","$12,906.83 ","$12,754.98 ","$3,422.59 ","$11,388.38 ","$12,147.60 ","$12,147.60 ","$3,422.59 ","$12,147.60 ","$13,210.52 ","$13,210.52 ","$13,210.52 ","$13,666.05 ","$8,731.10 ","$3,422.59 ","$15,184.50 ","$8,518.50 ","$3,422.59 ","$6,286.38 ", N/A , N/A ,"$3,593.72 ","$12,906.83 ","$9,566.24 ","$4,251.66 ","$13,666.05 ","$13,210.52 ","$12,147.60 ","$12,147.60 ","$3,422.59 ","$9,869.93 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,COMPONENT GLENOID 27MM STANDARD CEMENTLESS DELTA XTEND SHOULDER STERILE METAGLENE LATEX FREE REVERSE SYSTEM,278,1 ,"$3,750.00 ","$2,700.00 ",$845.25 ,"$3,750.00 ","$2,156.25 ","$2,700.00 ","$2,040.00 ",$845.25 ,"$1,050.00 ","$2,493.75 ",$845.25 ,"$2,625.00 ",$845.25 ,"$2,362.50 ","$2,362.50 ",$845.25 ,"$2,362.50 ","$1,742.25 ","$3,450.00 ", N/A ,$845.25 ,"$3,187.50 ","$3,150.00 ",$845.25 ,"$2,812.50 ","$3,000.00 ","$3,000.00 ",$845.25 ,"$3,000.00 ","$3,262.50 ","$3,262.50 ","$3,262.50 ","$3,375.00 ","$2,156.25 ",$845.25 ,"$3,750.00 ","$2,103.75 ",$845.25 ,"$1,552.50 ", N/A , N/A ,$887.52 ,"$3,187.50 ","$2,362.50 ","$1,050.00 ","$3,375.00 ","$3,262.50 ","$3,000.00 ","$3,000.00 ",$845.25 ,"$2,437.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 58MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 48MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 50MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 52MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 54MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HIP ACETABULAR DEPUY 56MM,278,1 ,"$2,673.00 ","$1,924.56 ",$602.49 ,"$2,673.00 ","$1,536.98 ","$1,924.56 ","$1,454.11 ",$602.49 ,$748.44 ,"$1,777.55 ",$602.49 ,"$1,871.10 ",$602.49 ,"$1,683.99 ","$1,683.99 ",$602.49 ,"$1,683.99 ","$1,241.88 ","$2,459.16 ", N/A ,$602.49 ,"$2,272.05 ","$2,245.32 ",$602.49 ,"$2,004.75 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$2,138.40 ","$2,325.51 ","$2,325.51 ","$2,325.51 ","$2,405.70 ","$1,536.98 ",$602.49 ,"$2,673.00 ","$1,499.55 ",$602.49 ,"$1,106.62 ", N/A , N/A ,$632.62 ,"$2,272.05 ","$1,683.99 ",$748.44 ,"$2,405.70 ","$2,325.51 ","$2,138.40 ","$2,138.40 ",$602.49 ,"$1,737.45 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL STANDARD PE DEPUY DIA42/+3,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL DEPUY,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL RETENTIVE DEPUY,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL STANDARD DELTA XTEND DEPUY,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL STANDARD DELTA XTEND DEPUY DIA38/+6,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL STANDARD DEPUY DIA 38/+9,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP HUMERAL STANDARD PE DEPUY,278,1 ,"$2,550.00 ","$1,836.00 ",$574.77 ,"$2,550.00 ","$1,466.25 ","$1,836.00 ","$1,387.20 ",$574.77 ,$714.00 ,"$1,695.75 ",$574.77 ,"$1,785.00 ",$574.77 ,"$1,606.50 ","$1,606.50 ",$574.77 ,"$1,606.50 ","$1,184.73 ","$2,346.00 ", N/A ,$574.77 ,"$2,167.50 ","$2,142.00 ",$574.77 ,"$1,912.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$2,040.00 ","$2,218.50 ","$2,218.50 ","$2,218.50 ","$2,295.00 ","$1,466.25 ",$574.77 ,"$2,550.00 ","$1,430.55 ",$574.77 ,"$1,055.70 ", N/A , N/A ,$603.51 ,"$2,167.50 ","$1,606.50 ",$714.00 ,"$2,295.00 ","$2,218.50 ","$2,040.00 ","$2,040.00 ",$574.77 ,"$1,657.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,DOME DEPUY OVAL PATELLA 3-PEG 38MM,278,1 ,$900.00 ,$648.00 ,$202.86 ,$900.00 ,$517.50 ,$648.00 ,$489.60 ,$202.86 ,$252.00 ,$598.50 ,$202.86 ,$630.00 ,$202.86 ,$567.00 ,$567.00 ,$202.86 ,$567.00 ,$418.14 ,$828.00 , N/A ,$202.86 ,$765.00 ,$756.00 ,$202.86 ,$675.00 ,$720.00 ,$720.00 ,$202.86 ,$720.00 ,$783.00 ,$783.00 ,$783.00 ,$810.00 ,$517.50 ,$202.86 ,$900.00 ,$504.90 ,$202.86 ,$372.60 , N/A , N/A ,$213.00 ,$765.00 ,$567.00 ,$252.00 ,$810.00 ,$783.00 ,$720.00 ,$720.00 ,$202.86 ,$585.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,DOME DEPUY OVAL PATELLA 3-PEG 32MM,278,1 ,$900.00 ,$648.00 ,$202.86 ,$900.00 ,$517.50 ,$648.00 ,$489.60 ,$202.86 ,$252.00 ,$598.50 ,$202.86 ,$630.00 ,$202.86 ,$567.00 ,$567.00 ,$202.86 ,$567.00 ,$418.14 ,$828.00 , N/A ,$202.86 ,$765.00 ,$756.00 ,$202.86 ,$675.00 ,$720.00 ,$720.00 ,$202.86 ,$720.00 ,$783.00 ,$783.00 ,$783.00 ,$810.00 ,$517.50 ,$202.86 ,$900.00 ,$504.90 ,$202.86 ,$372.60 , N/A , N/A ,$213.00 ,$765.00 ,$567.00 ,$252.00 ,$810.00 ,$783.00 ,$720.00 ,$720.00 ,$202.86 ,$585.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,DOME DEPUY OVAL PATELLA 3-PEG 35MM,278,1 ,$900.00 ,$648.00 ,$202.86 ,$900.00 ,$517.50 ,$648.00 ,$489.60 ,$202.86 ,$252.00 ,$598.50 ,$202.86 ,$630.00 ,$202.86 ,$567.00 ,$567.00 ,$202.86 ,$567.00 ,$418.14 ,$828.00 , N/A ,$202.86 ,$765.00 ,$756.00 ,$202.86 ,$675.00 ,$720.00 ,$720.00 ,$202.86 ,$720.00 ,$783.00 ,$783.00 ,$783.00 ,$810.00 ,$517.50 ,$202.86 ,$900.00 ,$504.90 ,$202.86 ,$372.60 , N/A , N/A ,$213.00 ,$765.00 ,$567.00 ,$252.00 ,$810.00 ,$783.00 ,$720.00 ,$720.00 ,$202.86 ,$585.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,EPIPHYSIS MODULAR ECCENTRIC DELTA XTEND DEPUY,278,1 ,"$5,700.00 ","$4,104.00 ","$1,284.78 ","$5,700.00 ","$3,277.50 ","$4,104.00 ","$3,100.80 ","$1,284.78 ","$1,596.00 ","$3,790.50 ","$1,284.78 ","$3,990.00 ","$1,284.78 ","$3,591.00 ","$3,591.00 ","$1,284.78 ","$3,591.00 ","$2,648.22 ","$5,244.00 ", N/A ,"$1,284.78 ","$4,845.00 ","$4,788.00 ","$1,284.78 ","$4,275.00 ","$4,560.00 ","$4,560.00 ","$1,284.78 ","$4,560.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ","$5,130.00 ","$3,277.50 ","$1,284.78 ","$5,700.00 ","$3,197.70 ","$1,284.78 ","$2,359.80 ", N/A , N/A ,"$1,349.02 ","$4,845.00 ","$3,591.00 ","$1,596.00 ","$5,130.00 ","$4,959.00 ","$4,560.00 ","$4,560.00 ","$1,284.78 ","$3,705.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,EPIPHYSIS DELTA XTEND DEPUY SIZE 1 RIGHT,278,1 ,"$5,700.00 ","$4,104.00 ","$1,284.78 ","$5,700.00 ","$3,277.50 ","$4,104.00 ","$3,100.80 ","$1,284.78 ","$1,596.00 ","$3,790.50 ","$1,284.78 ","$3,990.00 ","$1,284.78 ","$3,591.00 ","$3,591.00 ","$1,284.78 ","$3,591.00 ","$2,648.22 ","$5,244.00 ", N/A ,"$1,284.78 ","$4,845.00 ","$4,788.00 ","$1,284.78 ","$4,275.00 ","$4,560.00 ","$4,560.00 ","$1,284.78 ","$4,560.00 ","$4,959.00 ","$4,959.00 ","$4,959.00 ","$5,130.00 ","$3,277.50 ","$1,284.78 ","$5,700.00 ","$3,197.70 ","$1,284.78 ","$2,359.80 ", N/A , N/A ,"$1,349.02 ","$4,845.00 ","$3,591.00 ","$1,596.00 ","$5,130.00 ","$4,959.00 ","$4,560.00 ","$4,560.00 ","$1,284.78 ","$3,705.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 5 RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 2 RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 2.5 LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 2.5 RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 3 LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 3 RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 4 LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 4 RIGHT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 4N LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,FEMUR POSTERIOR DEPUY STABILIZED SIZE 5 LEFT,278,1 ,"$4,500.00 ","$3,240.00 ","$1,014.30 ","$4,500.00 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ","$4,140.00 ", N/A ,"$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ", N/A , N/A ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,GLENOSPHERE ECCENTRIC DEPUY 38MM,278,1 ,"$3,900.00 ","$2,808.00 ",$879.06 ,"$3,900.00 ","$2,242.50 ","$2,808.00 ","$2,121.60 ",$879.06 ,"$1,092.00 ","$2,593.50 ",$879.06 ,"$2,730.00 ",$879.06 ,"$2,457.00 ","$2,457.00 ",$879.06 ,"$2,457.00 ","$1,811.94 ","$3,588.00 ", N/A ,$879.06 ,"$3,315.00 ","$3,276.00 ",$879.06 ,"$2,925.00 ","$3,120.00 ","$3,120.00 ",$879.06 ,"$3,120.00 ","$3,393.00 ","$3,393.00 ","$3,393.00 ","$3,510.00 ","$2,242.50 ",$879.06 ,"$3,900.00 ","$2,187.90 ",$879.06 ,"$1,614.60 ", N/A , N/A ,$923.01 ,"$3,315.00 ","$2,457.00 ","$1,092.00 ","$3,510.00 ","$3,393.00 ","$3,120.00 ","$3,120.00 ",$879.06 ,"$2,535.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 32MM +9,278,1 ,"$6,117.00 ","$4,404.24 ","$1,378.77 ","$6,117.00 ","$3,517.28 ","$4,404.24 ","$3,327.65 ","$1,378.77 ","$1,712.76 ","$4,067.81 ","$1,378.77 ","$4,281.90 ","$1,378.77 ","$3,853.71 ","$3,853.71 ","$1,378.77 ","$3,853.71 ","$2,841.96 ","$5,627.64 ", N/A ,"$1,378.77 ","$5,199.45 ","$5,138.28 ","$1,378.77 ","$4,587.75 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$4,893.60 ","$5,321.79 ","$5,321.79 ","$5,321.79 ","$5,505.30 ","$3,517.28 ","$1,378.77 ","$6,117.00 ","$3,431.64 ","$1,378.77 ","$2,532.44 ", N/A , N/A ,"$1,447.71 ","$5,199.45 ","$3,853.71 ","$1,712.76 ","$5,505.30 ","$5,321.79 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$3,976.05 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 32MM +1,278,1 ,"$6,117.00 ","$4,404.24 ","$1,378.77 ","$6,117.00 ","$3,517.28 ","$4,404.24 ","$3,327.65 ","$1,378.77 ","$1,712.76 ","$4,067.81 ","$1,378.77 ","$4,281.90 ","$1,378.77 ","$3,853.71 ","$3,853.71 ","$1,378.77 ","$3,853.71 ","$2,841.96 ","$5,627.64 ", N/A ,"$1,378.77 ","$5,199.45 ","$5,138.28 ","$1,378.77 ","$4,587.75 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$4,893.60 ","$5,321.79 ","$5,321.79 ","$5,321.79 ","$5,505.30 ","$3,517.28 ","$1,378.77 ","$6,117.00 ","$3,431.64 ","$1,378.77 ","$2,532.44 ", N/A , N/A ,"$1,447.71 ","$5,199.45 ","$3,853.71 ","$1,712.76 ","$5,505.30 ","$5,321.79 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$3,976.05 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 32MM +5,278,1 ,"$6,117.00 ","$4,404.24 ","$1,378.77 ","$6,117.00 ","$3,517.28 ","$4,404.24 ","$3,327.65 ","$1,378.77 ","$1,712.76 ","$4,067.81 ","$1,378.77 ","$4,281.90 ","$1,378.77 ","$3,853.71 ","$3,853.71 ","$1,378.77 ","$3,853.71 ","$2,841.96 ","$5,627.64 ", N/A ,"$1,378.77 ","$5,199.45 ","$5,138.28 ","$1,378.77 ","$4,587.75 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$4,893.60 ","$5,321.79 ","$5,321.79 ","$5,321.79 ","$5,505.30 ","$3,517.28 ","$1,378.77 ","$6,117.00 ","$3,431.64 ","$1,378.77 ","$2,532.44 ", N/A , N/A ,"$1,447.71 ","$5,199.45 ","$3,853.71 ","$1,712.76 ","$5,505.30 ","$5,321.79 ","$4,893.60 ","$4,893.60 ","$1,378.77 ","$3,976.05 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 36MM +8.5,278,1 ,"$6,409.50 ","$4,614.84 ","$1,444.71 ","$6,409.50 ","$3,685.48 ","$4,614.84 ","$3,486.77 ","$1,444.71 ","$1,794.66 ","$4,262.32 ","$1,444.71 ","$4,486.65 ","$1,444.71 ","$4,037.99 ","$4,037.99 ","$1,444.71 ","$4,037.99 ","$2,977.86 ","$5,896.74 ", N/A ,"$1,444.71 ","$5,448.08 ","$5,383.98 ","$1,444.71 ","$4,807.13 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$5,127.60 ","$5,576.27 ","$5,576.27 ","$5,576.27 ","$5,768.55 ","$3,685.48 ","$1,444.71 ","$6,409.50 ","$3,595.73 ","$1,444.71 ","$2,653.53 ", N/A , N/A ,"$1,516.94 ","$5,448.08 ","$4,037.99 ","$1,794.66 ","$5,768.55 ","$5,576.27 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$4,166.18 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 36MM +1.5,278,1 ,"$6,409.50 ","$4,614.84 ","$1,444.71 ","$6,409.50 ","$3,685.48 ","$4,614.84 ","$3,486.77 ","$1,444.71 ","$1,794.66 ","$4,262.32 ","$1,444.71 ","$4,486.65 ","$1,444.71 ","$4,037.99 ","$4,037.99 ","$1,444.71 ","$4,037.99 ","$2,977.86 ","$5,896.74 ", N/A ,"$1,444.71 ","$5,448.08 ","$5,383.98 ","$1,444.71 ","$4,807.13 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$5,127.60 ","$5,576.27 ","$5,576.27 ","$5,576.27 ","$5,768.55 ","$3,685.48 ","$1,444.71 ","$6,409.50 ","$3,595.73 ","$1,444.71 ","$2,653.53 ", N/A , N/A ,"$1,516.94 ","$5,448.08 ","$4,037.99 ","$1,794.66 ","$5,768.55 ","$5,576.27 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$4,166.18 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 36MM +5,278,1 ,"$6,409.50 ","$4,614.84 ","$1,444.71 ","$6,409.50 ","$3,685.48 ","$4,614.84 ","$3,486.77 ","$1,444.71 ","$1,794.66 ","$4,262.32 ","$1,444.71 ","$4,486.65 ","$1,444.71 ","$4,037.99 ","$4,037.99 ","$1,444.71 ","$4,037.99 ","$2,977.86 ","$5,896.74 ", N/A ,"$1,444.71 ","$5,448.08 ","$5,383.98 ","$1,444.71 ","$4,807.13 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$5,127.60 ","$5,576.27 ","$5,576.27 ","$5,576.27 ","$5,768.55 ","$3,685.48 ","$1,444.71 ","$6,409.50 ","$3,595.73 ","$1,444.71 ","$2,653.53 ", N/A , N/A ,"$1,516.94 ","$5,448.08 ","$4,037.99 ","$1,794.66 ","$5,768.55 ","$5,576.27 ","$5,127.60 ","$5,127.60 ","$1,444.71 ","$4,166.18 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL DELTA 40MM +5,278,1 ,"$3,000.00 ","$2,160.00 ",$676.20 ,"$3,000.00 ","$1,725.00 ","$2,160.00 ","$1,632.00 ",$676.20 ,$840.00 ,"$1,995.00 ",$676.20 ,"$2,100.00 ",$676.20 ,"$1,890.00 ","$1,890.00 ",$676.20 ,"$1,890.00 ","$1,393.80 ","$2,760.00 ", N/A ,$676.20 ,"$2,550.00 ","$2,520.00 ",$676.20 ,"$2,250.00 ","$2,400.00 ","$2,400.00 ",$676.20 ,"$2,400.00 ","$2,610.00 ","$2,610.00 ","$2,610.00 ","$2,700.00 ","$1,725.00 ",$676.20 ,"$3,000.00 ","$1,683.00 ",$676.20 ,"$1,242.00 ", N/A , N/A ,$710.01 ,"$2,550.00 ","$1,890.00 ",$840.00 ,"$2,700.00 ","$2,610.00 ","$2,400.00 ","$2,400.00 ",$676.20 ,"$1,950.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 54 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 44 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 45 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 46 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 47 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 48 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 49 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY SELF CENTERING BI POLAR 53 X 28,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD BI-POLAR DEPUY SELF CENTERING 28MM,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD BIPOLAR BLUE 56MM 28MM SELF-CENTERING HIP FEMUR STERILE,278,1 ,"$2,004.00 ","$1,442.88 ",$451.70 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$1,843.68 ", N/A ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 , N/A , N/A ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD FEMORAL ZIMMER VERSYS 12/14 40MM +3.5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +1.5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 28MM +8.5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 32MM +1,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 32MM +5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +1.5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM +8.5,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD DEPUY FEMORAL ARTICULEZE 36MM -2,278,1 ,"$1,200.00 ",$864.00 ,$270.48 ,"$1,200.00 ",$690.00 ,$864.00 ,$652.80 ,$270.48 ,$336.00 ,$798.00 ,$270.48 ,$840.00 ,$270.48 ,$756.00 ,$756.00 ,$270.48 ,$756.00 ,$557.52 ,"$1,104.00 ", N/A ,$270.48 ,"$1,020.00 ","$1,008.00 ",$270.48 ,$900.00 ,$960.00 ,$960.00 ,$270.48 ,$960.00 ,"$1,044.00 ","$1,044.00 ","$1,044.00 ","$1,080.00 ",$690.00 ,$270.48 ,"$1,200.00 ",$673.20 ,$270.48 ,$496.80 , N/A , N/A ,$284.00 ,"$1,020.00 ",$756.00 ,$336.00 ,"$1,080.00 ","$1,044.00 ",$960.00 ,$960.00 ,$270.48 ,$780.00 ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,HEAD HUMERAL 18MM 48MM SHOULDER GLOBAL UNITE ECCENTRIC,278,1 ,"$3,150.00 ","$2,268.00 ",$710.01 ,"$3,150.00 ","$1,811.25 ","$2,268.00 ","$1,713.60 ",$710.01 ,$882.00 ,"$2,094.75 ",$710.01 ,"$2,205.00 ",$710.01 ,"$1,984.50 ","$1,984.50 ",$710.01 ,"$1,984.50 ","$1,463.49 ","$2,898.00 ", N/A ,$710.01 ,"$2,677.50 ","$2,646.00 ",$710.01 ,"$2,362.50 ","$2,520.00 ","$2,520.00 ",$710.01 ,"$2,520.00 ","$2,740.50 ","$2,740.50 ","$2,740.50 ","$2,835.00 ","$1,811.25 ",$710.01 ,"$3,150.00 ","$1,767.15 ",$710.01 ,"$1,304.10 ", N/A , N/A ,$745.52 ,"$2,677.50 ","$1,984.50 ",$882.00 ,"$2,835.00 ","$2,740.50 ","$2,520.00 ","$2,520.00 ",$710.01 ,"$2,047.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,IMPLANT HUMERAL DELTA XTEND DEPUY,278,1 ,"$9,000.00 ","$6,480.00 ","$2,028.60 ","$9,000.00 ","$5,175.00 ","$6,480.00 ","$4,896.00 ","$2,028.60 ","$2,520.00 ","$5,985.00 ","$2,028.60 ","$6,300.00 ","$2,028.60 ","$5,670.00 ","$5,670.00 ","$2,028.60 ","$5,670.00 ","$4,181.40 ","$8,280.00 ", N/A ,"$2,028.60 ","$7,650.00 ","$7,560.00 ","$2,028.60 ","$6,750.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$7,200.00 ","$7,830.00 ","$7,830.00 ","$7,830.00 ","$8,100.00 ","$5,175.00 ","$2,028.60 ","$9,000.00 ","$5,049.00 ","$2,028.60 ","$3,726.00 ", N/A , N/A ,"$2,130.03 ","$7,650.00 ","$5,670.00 ","$2,520.00 ","$8,100.00 ","$7,830.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$5,850.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,EPIPHYSIS MONOBLOC HUM CEMENTED DEPUY SZ1/DIA 12,278,1 ,"$9,000.00 ","$6,480.00 ","$2,028.60 ","$9,000.00 ","$5,175.00 ","$6,480.00 ","$4,896.00 ","$2,028.60 ","$2,520.00 ","$5,985.00 ","$2,028.60 ","$6,300.00 ","$2,028.60 ","$5,670.00 ","$5,670.00 ","$2,028.60 ","$5,670.00 ","$4,181.40 ","$8,280.00 ", N/A ,"$2,028.60 ","$7,650.00 ","$7,560.00 ","$2,028.60 ","$6,750.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$7,200.00 ","$7,830.00 ","$7,830.00 ","$7,830.00 ","$8,100.00 ","$5,175.00 ","$2,028.60 ","$9,000.00 ","$5,049.00 ","$2,028.60 ","$3,726.00 ", N/A , N/A ,"$2,130.03 ","$7,650.00 ","$5,670.00 ","$2,520.00 ","$8,100.00 ","$7,830.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$5,850.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,EPIPHYSIS MONOBLOC HUM CEMENTED DEPUY SZ1/DIA 14,278,1 ,"$9,000.00 ","$6,480.00 ","$2,028.60 ","$9,000.00 ","$5,175.00 ","$6,480.00 ","$4,896.00 ","$2,028.60 ","$2,520.00 ","$5,985.00 ","$2,028.60 ","$6,300.00 ","$2,028.60 ","$5,670.00 ","$5,670.00 ","$2,028.60 ","$5,670.00 ","$4,181.40 ","$8,280.00 ", N/A ,"$2,028.60 ","$7,650.00 ","$7,560.00 ","$2,028.60 ","$6,750.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$7,200.00 ","$7,830.00 ","$7,830.00 ","$7,830.00 ","$8,100.00 ","$5,175.00 ","$2,028.60 ","$9,000.00 ","$5,049.00 ","$2,028.60 ","$3,726.00 ", N/A , N/A ,"$2,130.03 ","$7,650.00 ","$5,670.00 ","$2,520.00 ","$8,100.00 ","$7,830.00 ","$7,200.00 ","$7,200.00 ","$2,028.60 ","$5,850.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY STABILIZED 10MM,278,1 ,"$1,800.00 ","$1,296.00 ",$405.72 ,"$1,800.00 ","$1,035.00 ","$1,296.00 ",$979.20 ,$405.72 ,$504.00 ,"$1,197.00 ",$405.72 ,"$1,260.00 ",$405.72 ,"$1,134.00 ","$1,134.00 ",$405.72 ,"$1,134.00 ",$836.28 ,"$1,656.00 ", N/A ,$405.72 ,"$1,530.00 ","$1,512.00 ",$405.72 ,"$1,350.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,440.00 ","$1,566.00 ","$1,566.00 ","$1,566.00 ","$1,620.00 ","$1,035.00 ",$405.72 ,"$1,800.00 ","$1,009.80 ",$405.72 ,$745.20 , N/A , N/A ,$426.01 ,"$1,530.00 ","$1,134.00 ",$504.00 ,"$1,620.00 ","$1,566.00 ","$1,440.00 ","$1,440.00 ",$405.72 ,"$1,170.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT TC3 SIGMA RP DEPUY SIZE 3 10MM,278,1 ,"$7,150.50 ","$5,148.36 ","$1,611.73 ","$7,150.50 ","$4,111.55 ","$5,148.36 ","$3,889.87 ","$1,611.73 ","$2,002.14 ","$4,755.08 ","$1,611.73 ","$5,005.35 ","$1,611.73 ","$4,504.82 ","$4,504.82 ","$1,611.73 ","$4,504.82 ","$3,322.13 ","$6,578.46 ", N/A ,"$1,611.73 ","$6,077.93 ","$6,006.42 ","$1,611.73 ","$5,362.88 ","$5,720.40 ","$5,720.40 ","$1,611.73 ","$5,720.40 ","$6,220.94 ","$6,220.94 ","$6,220.94 ","$6,435.45 ","$4,111.55 ","$1,611.73 ","$7,150.50 ","$4,011.43 ","$1,611.73 ","$2,960.31 ", N/A , N/A ,"$1,692.31 ","$6,077.93 ","$4,504.82 ","$2,002.14 ","$6,435.45 ","$6,220.94 ","$5,720.40 ","$5,720.40 ","$1,611.73 ","$4,647.83 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT TIBIAL FIXED BEARING DEPUY SZ4 10MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 2.5 10MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 2.5 12.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 2.5 15MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 2.5 17.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 2.5 8MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 3 10MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 3 12.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 3 15MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 3 17.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 3 8MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 5 10MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 5 8MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY SIGMA TIBIAL SIZE 6 10MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY TIBIAL CROSS-LINKED STABILIZED SIZE 5 12.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT DEPUY TIBIAL FIXED BEARING STABILIZED SIZE 4 -15MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT TIBIAL 4 8MM KNEE XLK STABILIZE FIX BEARING PFC SIGMA STERILE,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,INSERT TIBIAL DEPUY CROSS-LINKED STABILIZED SIZE 4 12.5MM,278,1 ,"$2,250.00 ","$1,620.00 ",$507.15 ,"$2,250.00 ","$1,293.75 ","$1,620.00 ","$1,224.00 ",$507.15 ,$630.00 ,"$1,496.25 ",$507.15 ,"$1,575.00 ",$507.15 ,"$1,417.50 ","$1,417.50 ",$507.15 ,"$1,417.50 ","$1,045.35 ","$2,070.00 ", N/A ,$507.15 ,"$1,912.50 ","$1,890.00 ",$507.15 ,"$1,687.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,800.00 ","$1,957.50 ","$1,957.50 ","$1,957.50 ","$2,025.00 ","$1,293.75 ",$507.15 ,"$2,250.00 ","$1,262.25 ",$507.15 ,$931.50 , N/A , N/A ,$532.51 ,"$1,912.50 ","$1,417.50 ",$630.00 ,"$2,025.00 ","$1,957.50 ","$1,800.00 ","$1,800.00 ",$507.15 ,"$1,462.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 32 X 50,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER ACETABULAR TRILOGY 0D STANDARD NEUTRAL 7.9MM 60MM 40MM LONGEVITY HIP STERILE PRIMARY MODULAR CUP,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 36X52,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 36X54,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 36X56,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 36X58,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 32 X 48,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 32 X 50,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 52,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 54,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 56,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 58,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 60,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX +4 10D 36 X 62,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,LINER DEPUY ACETABULAR ALTRX NEUT 32 X 48,278,1 ,"$2,400.00 ","$1,728.00 ",$540.96 ,"$2,400.00 ","$1,380.00 ","$1,728.00 ","$1,305.60 ",$540.96 ,$672.00 ,"$1,596.00 ",$540.96 ,"$1,680.00 ",$540.96 ,"$1,512.00 ","$1,512.00 ",$540.96 ,"$1,512.00 ","$1,115.04 ","$2,208.00 ", N/A ,$540.96 ,"$2,040.00 ","$2,016.00 ",$540.96 ,"$1,800.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,920.00 ","$2,088.00 ","$2,088.00 ","$2,088.00 ","$2,160.00 ","$1,380.00 ",$540.96 ,"$2,400.00 ","$1,346.40 ",$540.96 ,$993.60 , N/A , N/A ,$568.01 ,"$2,040.00 ","$1,512.00 ",$672.00 ,"$2,160.00 ","$2,088.00 ","$1,920.00 ","$1,920.00 ",$540.96 ,"$1,560.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,NAIL 11MM 400MM FEMUR RIGHT GAMMA3 INTRAMEDULLARY 125D R1.5 LOCK TITANIUM STERILE,278,1 ,"$5,826.60 ","$4,195.15 ","$1,313.32 ","$5,826.60 ","$3,350.30 ","$4,195.15 ","$3,169.67 ","$1,313.32 ","$1,631.45 ","$3,874.69 ","$1,313.32 ","$4,078.62 ","$1,313.32 ","$3,670.76 ","$3,670.76 ","$1,313.32 ","$3,670.76 ","$2,707.04 ","$5,360.47 ", N/A ,"$1,313.32 ","$4,952.61 ","$4,894.34 ","$1,313.32 ","$4,369.95 ","$4,661.28 ","$4,661.28 ","$1,313.32 ","$4,661.28 ","$5,069.14 ","$5,069.14 ","$5,069.14 ","$5,243.94 ","$3,350.30 ","$1,313.32 ","$5,826.60 ","$3,268.72 ","$1,313.32 ","$2,412.21 ", N/A , N/A ,"$1,378.99 ","$4,952.61 ","$3,670.76 ","$1,631.45 ","$5,243.94 ","$5,069.14 ","$4,661.28 ","$4,661.28 ","$1,313.32 ","$3,787.29 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,NAIL 8MM 260MM HUMERUS LEFT PROXIMAL T2 INTRAMEDULLARY ANTEGRADE RETROGRADE LOCK GUN DRILL TITANIUM STERILE,278,1 ,"$4,325.58 ","$3,114.42 ",$974.98 ,"$4,325.58 ","$2,487.20 ","$3,114.42 ","$2,353.12 ",$974.98 ,"$1,211.16 ","$2,876.51 ",$974.98 ,"$3,027.91 ",$974.98 ,"$2,725.12 ","$2,725.12 ",$974.98 ,"$2,725.12 ","$2,009.66 ","$3,979.53 ", N/A ,$974.98 ,"$3,676.74 ","$3,633.49 ",$974.98 ,"$3,244.19 ","$3,460.46 ","$3,460.46 ",$974.98 ,"$3,460.46 ","$3,763.25 ","$3,763.25 ","$3,763.25 ","$3,893.02 ","$2,487.20 ",$974.98 ,"$4,325.58 ","$2,426.65 ",$974.98 ,"$1,790.79 ", N/A , N/A ,"$1,023.73 ","$3,676.74 ","$2,725.12 ","$1,211.16 ","$3,893.02 ","$3,763.25 ","$3,460.46 ","$3,460.46 ",$974.98 ,"$2,811.63 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,SHELL ACETABULAR DEPUY 56MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,SHELL ACETABULAR DEPUY 54MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 48MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 50MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 58MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 60MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 62MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,CUP ACETABULAR DEPUY 52MM,278,1 ,"$3,450.00 ","$2,484.00 ",$777.63 ,"$3,450.00 ","$1,983.75 ","$2,484.00 ","$1,876.80 ",$777.63 ,$966.00 ,"$2,294.25 ",$777.63 ,"$2,415.00 ",$777.63 ,"$2,173.50 ","$2,173.50 ",$777.63 ,"$2,173.50 ","$1,602.87 ","$3,174.00 ", N/A ,$777.63 ,"$2,932.50 ","$2,898.00 ",$777.63 ,"$2,587.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,760.00 ","$3,001.50 ","$3,001.50 ","$3,001.50 ","$3,105.00 ","$1,983.75 ",$777.63 ,"$3,450.00 ","$1,935.45 ",$777.63 ,"$1,428.30 ", N/A , N/A ,$816.52 ,"$2,932.50 ","$2,173.50 ",$966.00 ,"$3,105.00 ","$3,001.50 ","$2,760.00 ","$2,760.00 ",$777.63 ,"$2,242.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SUMMIT CEMENTED STEM SZ 6 STD,278,1 ,"$4,455.00 ","$3,207.60 ","$1,004.16 ","$4,455.00 ","$2,561.63 ","$3,207.60 ","$2,423.52 ","$1,004.16 ","$1,247.40 ","$2,962.58 ","$1,004.16 ","$3,118.50 ","$1,004.16 ","$2,806.65 ","$2,806.65 ","$1,004.16 ","$2,806.65 ","$2,069.79 ","$4,098.60 ", N/A ,"$1,004.16 ","$3,786.75 ","$3,742.20 ","$1,004.16 ","$3,341.25 ","$3,564.00 ","$3,564.00 ","$1,004.16 ","$3,564.00 ","$3,875.85 ","$3,875.85 ","$3,875.85 ","$4,009.50 ","$2,561.63 ","$1,004.16 ","$4,455.00 ","$2,499.26 ","$1,004.16 ","$1,844.37 ", N/A , N/A ,"$1,054.36 ","$3,786.75 ","$2,806.65 ","$1,247.40 ","$4,009.50 ","$3,875.85 ","$3,564.00 ","$3,564.00 ","$1,004.16 ","$2,895.75 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY CEMENTED SUMMIT BASIC SZ 7,278,1 ,"$3,300.00 ","$2,376.00 ",$743.82 ,"$3,300.00 ","$1,897.50 ","$2,376.00 ","$1,795.20 ",$743.82 ,$924.00 ,"$2,194.50 ",$743.82 ,"$2,310.00 ",$743.82 ,"$2,079.00 ","$2,079.00 ",$743.82 ,"$2,079.00 ","$1,533.18 ","$3,036.00 ", N/A ,$743.82 ,"$2,805.00 ","$2,772.00 ",$743.82 ,"$2,475.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,640.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ","$2,970.00 ","$1,897.50 ",$743.82 ,"$3,300.00 ","$1,851.30 ",$743.82 ,"$1,366.20 ", N/A , N/A ,$781.01 ,"$2,805.00 ","$2,079.00 ",$924.00 ,"$2,970.00 ","$2,871.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,145.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM DEPUY FEMORAL SUMMIT BASIC CEMENTED SIZE 6,278,1 ,"$3,300.00 ","$2,376.00 ",$743.82 ,"$3,300.00 ","$1,897.50 ","$2,376.00 ","$1,795.20 ",$743.82 ,$924.00 ,"$2,194.50 ",$743.82 ,"$2,310.00 ",$743.82 ,"$2,079.00 ","$2,079.00 ",$743.82 ,"$2,079.00 ","$1,533.18 ","$3,036.00 ", N/A ,$743.82 ,"$2,805.00 ","$2,772.00 ",$743.82 ,"$2,475.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,640.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ","$2,970.00 ","$1,897.50 ",$743.82 ,"$3,300.00 ","$1,851.30 ",$743.82 ,"$1,366.20 ", N/A , N/A ,$781.01 ,"$2,805.00 ","$2,079.00 ",$924.00 ,"$2,970.00 ","$2,871.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,145.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY CEMENTED SUMMIT BASIC SZ 3,278,1 ,"$3,300.00 ","$2,376.00 ",$743.82 ,"$3,300.00 ","$1,897.50 ","$2,376.00 ","$1,795.20 ",$743.82 ,$924.00 ,"$2,194.50 ",$743.82 ,"$2,310.00 ",$743.82 ,"$2,079.00 ","$2,079.00 ",$743.82 ,"$2,079.00 ","$1,533.18 ","$3,036.00 ", N/A ,$743.82 ,"$2,805.00 ","$2,772.00 ",$743.82 ,"$2,475.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,640.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ","$2,970.00 ","$1,897.50 ",$743.82 ,"$3,300.00 ","$1,851.30 ",$743.82 ,"$1,366.20 ", N/A , N/A ,$781.01 ,"$2,805.00 ","$2,079.00 ",$924.00 ,"$2,970.00 ","$2,871.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,145.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY CEMENTED SUMMIT BASIC SZ 4,278,1 ,"$3,300.00 ","$2,376.00 ",$743.82 ,"$3,300.00 ","$1,897.50 ","$2,376.00 ","$1,795.20 ",$743.82 ,$924.00 ,"$2,194.50 ",$743.82 ,"$2,310.00 ",$743.82 ,"$2,079.00 ","$2,079.00 ",$743.82 ,"$2,079.00 ","$1,533.18 ","$3,036.00 ", N/A ,$743.82 ,"$2,805.00 ","$2,772.00 ",$743.82 ,"$2,475.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,640.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ","$2,970.00 ","$1,897.50 ",$743.82 ,"$3,300.00 ","$1,851.30 ",$743.82 ,"$1,366.20 ", N/A , N/A ,$781.01 ,"$2,805.00 ","$2,079.00 ",$924.00 ,"$2,970.00 ","$2,871.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,145.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY CEMENTED SUMMIT BASIC SZ 5,278,1 ,"$3,300.00 ","$2,376.00 ",$743.82 ,"$3,300.00 ","$1,897.50 ","$2,376.00 ","$1,795.20 ",$743.82 ,$924.00 ,"$2,194.50 ",$743.82 ,"$2,310.00 ",$743.82 ,"$2,079.00 ","$2,079.00 ",$743.82 ,"$2,079.00 ","$1,533.18 ","$3,036.00 ", N/A ,$743.82 ,"$2,805.00 ","$2,772.00 ",$743.82 ,"$2,475.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,640.00 ","$2,871.00 ","$2,871.00 ","$2,871.00 ","$2,970.00 ","$1,897.50 ",$743.82 ,"$3,300.00 ","$1,851.30 ",$743.82 ,"$1,366.20 ", N/A , N/A ,$781.01 ,"$2,805.00 ","$2,079.00 ",$924.00 ,"$2,970.00 ","$2,871.00 ","$2,640.00 ","$2,640.00 ",$743.82 ,"$2,145.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY W/ POROCOAT SIZE 8 HI OFFSET,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM DEPUY FEMORAL SIZE 5 145MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM DEPUY TRI LOCK BPS HI OFFSET SZ 1,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM DEPUY TRI LOCK BPS HI OFFSET SZ 3,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 1,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 2,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 3,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 4,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 5,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 6,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 7,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM FEMORAL DEPUY SIZE 8,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY CEMENTED,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED 140MM 12/14 SIZE 4,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED 150MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED 155MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED 160MM,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED SIZE 1,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED SIZE 5,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY TAPERED SIZE 9,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HIP DEPUY W/ POROCOAT 4 SZ,278,1 ,"$7,500.00 ","$5,400.00 ","$1,690.50 ","$7,500.00 ","$4,312.50 ","$5,400.00 ","$4,080.00 ","$1,690.50 ","$2,100.00 ","$4,987.50 ","$1,690.50 ","$5,250.00 ","$1,690.50 ","$4,725.00 ","$4,725.00 ","$1,690.50 ","$4,725.00 ","$3,484.50 ","$6,900.00 ", N/A ,"$1,690.50 ","$6,375.00 ","$6,300.00 ","$1,690.50 ","$5,625.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$6,000.00 ","$6,525.00 ","$6,525.00 ","$6,525.00 ","$6,750.00 ","$4,312.50 ","$1,690.50 ","$7,500.00 ","$4,207.50 ","$1,690.50 ","$3,105.00 ", N/A , N/A ,"$1,775.02 ","$6,375.00 ","$4,725.00 ","$2,100.00 ","$6,750.00 ","$6,525.00 ","$6,000.00 ","$6,000.00 ","$1,690.50 ","$4,875.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HUMERAL 121MM 12MM MODULAR GLOBAL UNITE POROUS STANDARD SHOULDER PLATFORM ARTHROPLASTY SYSTEM,278,1 ,"$5,850.00 ","$4,212.00 ","$1,318.59 ","$5,850.00 ","$3,363.75 ","$4,212.00 ","$3,182.40 ","$1,318.59 ","$1,638.00 ","$3,890.25 ","$1,318.59 ","$4,095.00 ","$1,318.59 ","$3,685.50 ","$3,685.50 ","$1,318.59 ","$3,685.50 ","$2,717.91 ","$5,382.00 ", N/A ,"$1,318.59 ","$4,972.50 ","$4,914.00 ","$1,318.59 ","$4,387.50 ","$4,680.00 ","$4,680.00 ","$1,318.59 ","$4,680.00 ","$5,089.50 ","$5,089.50 ","$5,089.50 ","$5,265.00 ","$3,363.75 ","$1,318.59 ","$5,850.00 ","$3,281.85 ","$1,318.59 ","$2,421.90 ", N/A , N/A ,"$1,384.52 ","$4,972.50 ","$3,685.50 ","$1,638.00 ","$5,265.00 ","$5,089.50 ","$4,680.00 ","$4,680.00 ","$1,318.59 ","$3,802.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HUMERAL MODULAR DEPUY,278,1 ,"$4,800.00 ","$3,456.00 ","$1,081.92 ","$4,800.00 ","$2,760.00 ","$3,456.00 ","$2,611.20 ","$1,081.92 ","$1,344.00 ","$3,192.00 ","$1,081.92 ","$3,360.00 ","$1,081.92 ","$3,024.00 ","$3,024.00 ","$1,081.92 ","$3,024.00 ","$2,230.08 ","$4,416.00 ", N/A ,"$1,081.92 ","$4,080.00 ","$4,032.00 ","$1,081.92 ","$3,600.00 ","$3,840.00 ","$3,840.00 ","$1,081.92 ","$3,840.00 ","$4,176.00 ","$4,176.00 ","$4,176.00 ","$4,320.00 ","$2,760.00 ","$1,081.92 ","$4,800.00 ","$2,692.80 ","$1,081.92 ","$1,987.20 ", N/A , N/A ,"$1,136.02 ","$4,080.00 ","$3,024.00 ","$1,344.00 ","$4,320.00 ","$4,176.00 ","$3,840.00 ","$3,840.00 ","$1,081.92 ","$3,120.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM HUMERAL 10MM CEMENTLESS MODULAR DELTA XTEND HA SHOULDER STERILE LATEX FREE REVERSE SYSTEM,278,1 ,"$4,800.00 ","$3,456.00 ","$1,081.92 ","$4,800.00 ","$2,760.00 ","$3,456.00 ","$2,611.20 ","$1,081.92 ","$1,344.00 ","$3,192.00 ","$1,081.92 ","$3,360.00 ","$1,081.92 ","$3,024.00 ","$3,024.00 ","$1,081.92 ","$3,024.00 ","$2,230.08 ","$4,416.00 ", N/A ,"$1,081.92 ","$4,080.00 ","$4,032.00 ","$1,081.92 ","$3,600.00 ","$3,840.00 ","$3,840.00 ","$1,081.92 ","$3,840.00 ","$4,176.00 ","$4,176.00 ","$4,176.00 ","$4,320.00 ","$2,760.00 ","$1,081.92 ","$4,800.00 ","$2,692.80 ","$1,081.92 ","$1,987.20 ", N/A , N/A ,"$1,136.02 ","$4,080.00 ","$3,024.00 ","$1,344.00 ","$4,320.00 ","$4,176.00 ","$3,840.00 ","$3,840.00 ","$1,081.92 ","$3,120.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 75MM X 16MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 115 X 14MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 115 X 16MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 115 X 20MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 75 X 12MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,STEM UNIVERSAL FLUTED DEPUY 75 X 14MM,278,1 ,"$4,032.00 ","$2,903.04 ",$908.81 ,"$4,032.00 ","$2,318.40 ","$2,903.04 ","$2,193.41 ",$908.81 ,"$1,128.96 ","$2,681.28 ",$908.81 ,"$2,822.40 ",$908.81 ,"$2,540.16 ","$2,540.16 ",$908.81 ,"$2,540.16 ","$1,873.27 ","$3,709.44 ", N/A ,$908.81 ,"$3,427.20 ","$3,386.88 ",$908.81 ,"$3,024.00 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$3,225.60 ","$3,507.84 ","$3,507.84 ","$3,507.84 ","$3,628.80 ","$2,318.40 ",$908.81 ,"$4,032.00 ","$2,261.95 ",$908.81 ,"$1,669.25 ", N/A , N/A ,$954.26 ,"$3,427.20 ","$2,540.16 ","$1,128.96 ","$3,628.80 ","$3,507.84 ","$3,225.60 ","$3,225.60 ",$908.81 ,"$2,620.80 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY DEPUY SIGMA TIBIAL SIZE4,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY DEPUY SIGMA TIBIAL SIZE 6,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY DEPUY SIGMA TIBIAL SIZE 2.5,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY DEPUY SIGMA TIBIAL SIZE 3,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY DEPUY SIGMA TIBIAL SIZE 5,278,1 ,"$2,850.00 ","$2,052.00 ",$642.39 ,"$2,850.00 ","$1,638.75 ","$2,052.00 ","$1,550.40 ",$642.39 ,$798.00 ,"$1,895.25 ",$642.39 ,"$1,995.00 ",$642.39 ,"$1,795.50 ","$1,795.50 ",$642.39 ,"$1,795.50 ","$1,324.11 ","$2,622.00 ", N/A ,$642.39 ,"$2,422.50 ","$2,394.00 ",$642.39 ,"$2,137.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$2,280.00 ","$2,479.50 ","$2,479.50 ","$2,479.50 ","$2,565.00 ","$1,638.75 ",$642.39 ,"$2,850.00 ","$1,598.85 ",$642.39 ,"$1,179.90 ", N/A , N/A ,$674.51 ,"$2,422.50 ","$1,795.50 ",$798.00 ,"$2,565.00 ","$2,479.50 ","$2,280.00 ","$2,280.00 ",$642.39 ,"$1,852.50 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,TRAY SLEEVE POROUS DEPUY M/L 29MM,278,1 ,"$7,320.00 ","$5,270.40 ","$1,649.93 ","$7,320.00 ","$4,209.00 ","$5,270.40 ","$3,982.08 ","$1,649.93 ","$2,049.60 ","$4,867.80 ","$1,649.93 ","$5,124.00 ","$1,649.93 ","$4,611.60 ","$4,611.60 ","$1,649.93 ","$4,611.60 ","$3,400.87 ","$6,734.40 ", N/A ,"$1,649.93 ","$6,222.00 ","$6,148.80 ","$1,649.93 ","$5,490.00 ","$5,856.00 ","$5,856.00 ","$1,649.93 ","$5,856.00 ","$6,368.40 ","$6,368.40 ","$6,368.40 ","$6,588.00 ","$4,209.00 ","$1,649.93 ","$7,320.00 ","$4,106.52 ","$1,649.93 ","$3,030.48 ", N/A , N/A ,"$1,732.42 ","$6,222.00 ","$4,611.60 ","$2,049.60 ","$6,588.00 ","$6,368.40 ","$5,856.00 ","$5,856.00 ","$1,649.93 ","$4,758.00 " ST. FRANCIS HOSPITAL - ACUTE,27871776,C1776,WIRE FIX 30CM 1.22MM LUQ LOOP,278,1 ,$101.01 ,$72.73 ,$22.77 ,$101.01 ,$58.08 ,$72.73 ,$54.95 ,$22.77 ,$28.28 ,$67.17 ,$22.77 ,$70.71 ,$22.77 ,$63.64 ,$63.64 ,$22.77 ,$63.64 ,$46.92 ,$92.93 , N/A ,$22.77 ,$85.86 ,$84.85 ,$22.77 ,$75.76 ,$80.81 ,$80.81 ,$22.77 ,$80.81 ,$87.88 ,$87.88 ,$87.88 ,$90.91 ,$58.08 ,$22.77 ,$101.01 ,$56.67 ,$22.77 ,$41.82 , N/A , N/A ,$23.90 ,$85.86 ,$63.64 ,$28.28 ,$90.91 ,$87.88 ,$80.81 ,$80.81 ,$22.77 ,$65.66 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH BARD 3D MAX LARGE LEFT 4.1 X 6.2 0117311,278,1 ,"$1,062.60 ",$765.07 ,$239.51 ,"$1,062.60 ",$611.00 ,$765.07 ,$578.05 ,$239.51 ,$297.53 ,$706.63 ,$239.51 ,$743.82 ,$239.51 ,$669.44 ,$669.44 ,$239.51 ,$669.44 ,$493.69 ,$977.59 , N/A ,$239.51 ,$903.21 ,$892.58 ,$239.51 ,$796.95 ,$850.08 ,$850.08 ,$239.51 ,$850.08 ,$924.46 ,$924.46 ,$924.46 ,$956.34 ,$611.00 ,$239.51 ,"$1,062.60 ",$596.12 ,$239.51 ,$439.92 , N/A , N/A ,$251.49 ,$903.21 ,$669.44 ,$297.53 ,$956.34 ,$924.46 ,$850.08 ,$850.08 ,$239.51 ,$690.69 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH BARD 3D MAX LARGE RIGHT 4.1 X 6.2 0117321,278,1 ,"$1,072.50 ",$772.20 ,$241.75 ,"$1,072.50 ",$616.70 ,$772.20 ,$583.44 ,$241.75 ,$300.30 ,$713.21 ,$241.75 ,$750.75 ,$241.75 ,$675.68 ,$675.68 ,$241.75 ,$675.68 ,$498.29 ,$986.70 , N/A ,$241.75 ,$911.63 ,$900.90 ,$241.75 ,$804.38 ,$858.00 ,$858.00 ,$241.75 ,$858.00 ,$933.08 ,$933.08 ,$933.08 ,$965.25 ,$616.70 ,$241.75 ,"$1,072.50 ",$601.67 ,$241.75 ,$444.02 , N/A , N/A ,$253.83 ,$911.63 ,$675.68 ,$300.30 ,$965.25 ,$933.08 ,$858.00 ,$858.00 ,$241.75 ,$697.13 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH BARD 3D MAX MEDIUM RIGHT 3.1 X 5.3 0117320,278,1 ,"$1,006.50 ",$724.68 ,$226.87 ,"$1,006.50 ",$578.75 ,$724.68 ,$547.54 ,$226.87 ,$281.82 ,$669.32 ,$226.87 ,$704.55 ,$226.87 ,$634.10 ,$634.10 ,$226.87 ,$634.10 ,$467.63 ,$925.98 , N/A ,$226.87 ,$855.53 ,$845.46 ,$226.87 ,$754.88 ,$805.20 ,$805.20 ,$226.87 ,$805.20 ,$875.66 ,$875.66 ,$875.66 ,$905.85 ,$578.75 ,$226.87 ,"$1,006.50 ",$564.65 ,$226.87 ,$416.69 , N/A , N/A ,$238.22 ,$855.53 ,$634.10 ,$281.82 ,$905.85 ,$875.66 ,$805.20 ,$805.20 ,$226.87 ,$654.23 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH BARD 3D MAX MEDIUM LEFT 3.1 X 5.3 0117310,278,1 ,"$1,006.50 ",$724.68 ,$226.87 ,"$1,006.50 ",$578.75 ,$724.68 ,$547.54 ,$226.87 ,$281.82 ,$669.32 ,$226.87 ,$704.55 ,$226.87 ,$634.10 ,$634.10 ,$226.87 ,$634.10 ,$467.63 ,$925.98 , N/A ,$226.87 ,$855.53 ,$845.46 ,$226.87 ,$754.88 ,$805.20 ,$805.20 ,$226.87 ,$805.20 ,$875.66 ,$875.66 ,$875.66 ,$905.85 ,$578.75 ,$226.87 ,"$1,006.50 ",$564.65 ,$226.87 ,$416.69 , N/A , N/A ,$238.22 ,$855.53 ,$634.10 ,$281.82 ,$905.85 ,$875.66 ,$805.20 ,$805.20 ,$226.87 ,$654.23 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH BARD PLUG XLARGE 0112780,278,1 ,$894.60 ,$644.11 ,$201.64 ,$894.60 ,$514.40 ,$644.11 ,$486.66 ,$201.64 ,$250.49 ,$594.91 ,$201.64 ,$626.22 ,$201.64 ,$563.60 ,$563.60 ,$201.64 ,$563.60 ,$415.64 ,$823.03 , N/A ,$201.64 ,$760.41 ,$751.46 ,$201.64 ,$670.95 ,$715.68 ,$715.68 ,$201.64 ,$715.68 ,$778.30 ,$778.30 ,$778.30 ,$805.14 ,$514.40 ,$201.64 ,$894.60 ,$501.87 ,$201.64 ,$370.36 , N/A , N/A ,$211.73 ,$760.41 ,$563.60 ,$250.49 ,$805.14 ,$778.30 ,$715.68 ,$715.68 ,$201.64 ,$581.49 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH PARIETEX PATCH 6 CM,278,1 ,"$1,250.58 ",$900.42 ,$281.88 ,"$1,250.58 ",$719.08 ,$900.42 ,$680.32 ,$281.88 ,$350.16 ,$831.64 ,$281.88 ,$875.41 ,$281.88 ,$787.87 ,$787.87 ,$281.88 ,$787.87 ,$581.01 ,"$1,150.53 ", N/A ,$281.88 ,"$1,062.99 ","$1,050.49 ",$281.88 ,$937.94 ,"$1,000.46 ","$1,000.46 ",$281.88 ,"$1,000.46 ","$1,088.00 ","$1,088.00 ","$1,088.00 ","$1,125.52 ",$719.08 ,$281.88 ,"$1,250.58 ",$701.58 ,$281.88 ,$517.74 , N/A , N/A ,$295.97 ,"$1,062.99 ",$787.87 ,$350.16 ,"$1,125.52 ","$1,088.00 ","$1,000.46 ","$1,000.46 ",$281.88 ,$812.88 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH PARIETEX PROGRIP RECTANGLE 15CM X 9CM,278,1 ,$789.78 ,$568.64 ,$178.02 ,$789.78 ,$454.13 ,$568.64 ,$429.64 ,$178.02 ,$221.14 ,$525.20 ,$178.02 ,$552.85 ,$178.02 ,$497.56 ,$497.56 ,$178.02 ,$497.56 ,$366.93 ,$726.60 , N/A ,$178.02 ,$671.31 ,$663.42 ,$178.02 ,$592.34 ,$631.82 ,$631.82 ,$178.02 ,$631.82 ,$687.11 ,$687.11 ,$687.11 ,$710.80 ,$454.13 ,$178.02 ,$789.78 ,$443.07 ,$178.02 ,$326.97 , N/A , N/A ,$186.92 ,$671.31 ,$497.56 ,$221.14 ,$710.80 ,$687.11 ,$631.82 ,$631.82 ,$178.02 ,$513.36 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH PARIETEX RIGID 15CM X 10CM,278,1 ,$300.42 ,$216.30 ,$67.72 ,$300.42 ,$172.75 ,$216.30 ,$163.43 ,$67.72 ,$84.12 ,$199.78 ,$67.72 ,$210.29 ,$67.72 ,$189.26 ,$189.26 ,$67.72 ,$189.26 ,$139.58 ,$276.39 , N/A ,$67.72 ,$255.36 ,$252.35 ,$67.72 ,$225.32 ,$240.34 ,$240.34 ,$67.72 ,$240.34 ,$261.37 ,$261.37 ,$261.37 ,$270.38 ,$172.75 ,$67.72 ,$300.42 ,$168.54 ,$67.72 ,$124.37 , N/A , N/A ,$71.11 ,$255.36 ,$189.26 ,$84.12 ,$270.38 ,$261.37 ,$240.34 ,$240.34 ,$67.72 ,$195.27 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL 3DMAX 6.7X4.8IN ABDOMINAL LEFT LIGHTWEIGHT PORE KNIT MONOFILAMENT SEAL EDGE STERILE POLYPROPYLENE XL LATEX FREE,278,1 ,"$1,188.00 ",$855.36 ,$267.78 ,"$1,188.00 ",$683.10 ,$855.36 ,$646.27 ,$267.78 ,$332.64 ,$790.02 ,$267.78 ,$831.60 ,$267.78 ,$748.44 ,$748.44 ,$267.78 ,$748.44 ,$551.94 ,"$1,092.96 ", N/A ,$267.78 ,"$1,009.80 ",$997.92 ,$267.78 ,$891.00 ,$950.40 ,$950.40 ,$267.78 ,$950.40 ,"$1,033.56 ","$1,033.56 ","$1,033.56 ","$1,069.20 ",$683.10 ,$267.78 ,"$1,188.00 ",$666.47 ,$267.78 ,$491.83 , N/A , N/A ,$281.16 ,"$1,009.80 ",$748.44 ,$332.64 ,"$1,069.20 ","$1,033.56 ",$950.40 ,$950.40 ,$267.78 ,$772.20 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL 3DMAX 6.7X4.8IN ABDOMINAL RIGHT LIGHTWEIGHT MONOFILAMENT ANATOMICAL SEAL EDGE STERILE POLYPROPYLENE XL LATEX FREE,278,1 ,"$1,134.00 ",$816.48 ,$255.60 ,"$1,134.00 ",$652.05 ,$816.48 ,$616.90 ,$255.60 ,$317.52 ,$754.11 ,$255.60 ,$793.80 ,$255.60 ,$714.42 ,$714.42 ,$255.60 ,$714.42 ,$526.86 ,"$1,043.28 ", N/A ,$255.60 ,$963.90 ,$952.56 ,$255.60 ,$850.50 ,$907.20 ,$907.20 ,$255.60 ,$907.20 ,$986.58 ,$986.58 ,$986.58 ,"$1,020.60 ",$652.05 ,$255.60 ,"$1,134.00 ",$636.17 ,$255.60 ,$469.48 , N/A , N/A ,$268.38 ,$963.90 ,$714.42 ,$317.52 ,"$1,020.60 ",$986.58 ,$907.20 ,$907.20 ,$255.60 ,$737.10 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL SURGIPRO 1IN PLUG MEDIUM,278,1 ,$283.85 ,$204.37 ,$63.98 ,$283.85 ,$163.23 ,$204.37 ,$154.41 ,$63.98 ,$79.48 ,$188.76 ,$63.98 ,$198.70 ,$63.98 ,$178.83 ,$178.83 ,$63.98 ,$178.83 ,$131.89 ,$261.14 , N/A ,$63.98 ,$241.27 ,$238.43 ,$63.98 ,$212.89 ,$227.08 ,$227.08 ,$63.98 ,$227.08 ,$246.95 ,$246.95 ,$246.95 ,$255.47 ,$163.23 ,$63.98 ,$283.85 ,$159.24 ,$63.98 ,$117.51 , N/A , N/A ,$67.18 ,$241.27 ,$178.83 ,$79.48 ,$255.47 ,$246.95 ,$227.08 ,$227.08 ,$63.98 ,$184.50 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH PARIETEX PLUG PATCH 6CM,278,1 ,$283.85 ,$204.37 ,$63.98 ,$283.85 ,$163.23 ,$204.37 ,$154.41 ,$63.98 ,$79.48 ,$188.76 ,$63.98 ,$198.70 ,$63.98 ,$178.83 ,$178.83 ,$63.98 ,$178.83 ,$131.89 ,$261.14 , N/A ,$63.98 ,$241.27 ,$238.43 ,$63.98 ,$212.89 ,$227.08 ,$227.08 ,$63.98 ,$227.08 ,$246.95 ,$246.95 ,$246.95 ,$255.47 ,$163.23 ,$63.98 ,$283.85 ,$159.24 ,$63.98 ,$117.51 , N/A , N/A ,$67.18 ,$241.27 ,$178.83 ,$79.48 ,$255.47 ,$246.95 ,$227.08 ,$227.08 ,$63.98 ,$184.50 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL SURGIPRO 3IN PLUG LARGE,278,1 ,$298.41 ,$214.86 ,$67.26 ,$298.41 ,$171.58 ,$214.86 ,$162.34 ,$67.26 ,$83.55 ,$198.44 ,$67.26 ,$208.89 ,$67.26 ,$188.00 ,$188.00 ,$67.26 ,$188.00 ,$138.63 ,$274.54 , N/A ,$67.26 ,$253.65 ,$250.66 ,$67.26 ,$223.81 ,$238.73 ,$238.73 ,$67.26 ,$238.73 ,$259.62 ,$259.62 ,$259.62 ,$268.57 ,$171.58 ,$67.26 ,$298.41 ,$167.41 ,$67.26 ,$123.54 , N/A , N/A ,$70.62 ,$253.65 ,$188.00 ,$83.55 ,$268.57 ,$259.62 ,$238.73 ,$238.73 ,$67.26 ,$193.97 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH PARIETEX PLUG AND PATCH 8CM,278,1 ,$298.41 ,$214.86 ,$67.26 ,$298.41 ,$171.58 ,$214.86 ,$162.34 ,$67.26 ,$83.55 ,$198.44 ,$67.26 ,$208.89 ,$67.26 ,$188.00 ,$188.00 ,$67.26 ,$188.00 ,$138.63 ,$274.54 , N/A ,$67.26 ,$253.65 ,$250.66 ,$67.26 ,$223.81 ,$238.73 ,$238.73 ,$67.26 ,$238.73 ,$259.62 ,$259.62 ,$259.62 ,$268.57 ,$171.58 ,$67.26 ,$298.41 ,$167.41 ,$67.26 ,$123.54 , N/A , N/A ,$70.62 ,$253.65 ,$188.00 ,$83.55 ,$268.57 ,$259.62 ,$238.73 ,$238.73 ,$67.26 ,$193.97 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL VENTRALIGHT ST SEPRA 4.5IN UNCOATED MONOFILAMENT LIGHTWEIGHT ABSORBABLE LOW PROFILE STERILE POLYPROPYLENE HYDROGEL CIRCLE LATEX FREE VENTRAL HERNIA REPAIR,278,1 ,"$2,895.00 ","$2,084.40 ",$652.53 ,"$2,895.00 ","$1,664.63 ","$2,084.40 ","$1,574.88 ",$652.53 ,$810.60 ,"$1,925.18 ",$652.53 ,"$2,026.50 ",$652.53 ,"$1,823.85 ","$1,823.85 ",$652.53 ,"$1,823.85 ","$1,345.02 ","$2,663.40 ", N/A ,$652.53 ,"$2,460.75 ","$2,431.80 ",$652.53 ,"$2,171.25 ","$2,316.00 ","$2,316.00 ",$652.53 ,"$2,316.00 ","$2,518.65 ","$2,518.65 ","$2,518.65 ","$2,605.50 ","$1,664.63 ",$652.53 ,"$2,895.00 ","$1,624.10 ",$652.53 ,"$1,198.53 ", N/A , N/A ,$685.16 ,"$2,460.75 ","$1,823.85 ",$810.60 ,"$2,605.50 ","$2,518.65 ","$2,316.00 ","$2,316.00 ",$652.53 ,"$1,881.75 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGICAL VENTRALIGHT ST SEPRA ECHO PS 6IN MONOFILAMENT LIGHTWEIGHT ABSORBABLE LOW PROFILE STERILE SEPRAFILM POLYPROPYLENE HYDROGEL CIRCLE LATEX FREE VENTRAL HERNIA REPAIR,278,1 ,"$4,155.00 ","$2,991.60 ",$936.54 ,"$4,155.00 ","$2,389.13 ","$2,991.60 ","$2,260.32 ",$936.54 ,"$1,163.40 ","$2,763.08 ",$936.54 ,"$2,908.50 ",$936.54 ,"$2,617.65 ","$2,617.65 ",$936.54 ,"$2,617.65 ","$1,930.41 ","$3,822.60 ", N/A ,$936.54 ,"$3,531.75 ","$3,490.20 ",$936.54 ,"$3,116.25 ","$3,324.00 ","$3,324.00 ",$936.54 ,"$3,324.00 ","$3,614.85 ","$3,614.85 ","$3,614.85 ","$3,739.50 ","$2,389.13 ",$936.54 ,"$4,155.00 ","$2,330.96 ",$936.54 ,"$1,720.17 ", N/A , N/A ,$983.36 ,"$3,531.75 ","$2,617.65 ","$1,163.40 ","$3,739.50 ","$3,614.85 ","$3,324.00 ","$3,324.00 ",$936.54 ,"$2,700.75 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SURGIPRO 6 X 6,278,1 ,$123.35 ,$88.81 ,$27.80 ,$123.35 ,$70.93 ,$88.81 ,$67.10 ,$27.80 ,$34.54 ,$82.03 ,$27.80 ,$86.35 ,$27.80 ,$77.71 ,$77.71 ,$27.80 ,$77.71 ,$57.31 ,$113.48 , N/A ,$27.80 ,$104.85 ,$103.61 ,$27.80 ,$92.51 ,$98.68 ,$98.68 ,$27.80 ,$98.68 ,$107.31 ,$107.31 ,$107.31 ,$111.02 ,$70.93 ,$27.80 ,$123.35 ,$69.20 ,$27.80 ,$51.07 , N/A , N/A ,$29.19 ,$104.85 ,$77.71 ,$34.54 ,$111.02 ,$107.31 ,$98.68 ,$98.68 ,$27.80 ,$80.18 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SYMBOTEX 15CM,278,1 ,"$1,733.28 ","$1,247.96 ",$390.68 ,"$1,733.28 ",$996.63 ,"$1,247.96 ",$942.90 ,$390.68 ,$485.32 ,"$1,152.63 ",$390.68 ,"$1,213.30 ",$390.68 ,"$1,091.97 ","$1,091.97 ",$390.68 ,"$1,091.97 ",$805.27 ,"$1,594.62 ", N/A ,$390.68 ,"$1,473.29 ","$1,455.96 ",$390.68 ,"$1,299.96 ","$1,386.62 ","$1,386.62 ",$390.68 ,"$1,386.62 ","$1,507.95 ","$1,507.95 ","$1,507.95 ","$1,559.95 ",$996.63 ,$390.68 ,"$1,733.28 ",$972.37 ,$390.68 ,$717.58 , N/A , N/A ,$410.21 ,"$1,473.29 ","$1,091.97 ",$485.32 ,"$1,559.95 ","$1,507.95 ","$1,386.62 ","$1,386.62 ",$390.68 ,"$1,126.63 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SYMBOTEX 3.3 X 2.3MM 9CM,278,1 ,$965.61 ,$695.24 ,$217.65 ,$965.61 ,$555.23 ,$695.24 ,$525.29 ,$217.65 ,$270.37 ,$642.13 ,$217.65 ,$675.93 ,$217.65 ,$608.33 ,$608.33 ,$217.65 ,$608.33 ,$448.62 ,$888.36 , N/A ,$217.65 ,$820.77 ,$811.11 ,$217.65 ,$724.21 ,$772.49 ,$772.49 ,$217.65 ,$772.49 ,$840.08 ,$840.08 ,$840.08 ,$869.05 ,$555.23 ,$217.65 ,$965.61 ,$541.71 ,$217.65 ,$399.76 , N/A , N/A ,$228.53 ,$820.77 ,$608.33 ,$270.37 ,$869.05 ,$840.08 ,$772.49 ,$772.49 ,$217.65 ,$627.65 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SYMBOTEX COMPOSITE 12CM,278,1 ,"$1,324.23 ",$953.45 ,$298.48 ,"$1,324.23 ",$761.43 ,$953.45 ,$720.38 ,$298.48 ,$370.78 ,$880.61 ,$298.48 ,$926.96 ,$298.48 ,$834.26 ,$834.26 ,$298.48 ,$834.26 ,$615.23 ,"$1,218.29 ", N/A ,$298.48 ,"$1,125.60 ","$1,112.35 ",$298.48 ,$993.17 ,"$1,059.38 ","$1,059.38 ",$298.48 ,"$1,059.38 ","$1,152.08 ","$1,152.08 ","$1,152.08 ","$1,191.81 ",$761.43 ,$298.48 ,"$1,324.23 ",$742.89 ,$298.48 ,$548.23 , N/A , N/A ,$313.40 ,"$1,125.60 ",$834.26 ,$370.78 ,"$1,191.81 ","$1,152.08 ","$1,059.38 ","$1,059.38 ",$298.48 ,$860.75 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH SYMBOTEX 15X10CM,278,1 ,"$1,324.23 ",$953.45 ,$298.48 ,"$1,324.23 ",$761.43 ,$953.45 ,$720.38 ,$298.48 ,$370.78 ,$880.61 ,$298.48 ,$926.96 ,$298.48 ,$834.26 ,$834.26 ,$298.48 ,$834.26 ,$615.23 ,"$1,218.29 ", N/A ,$298.48 ,"$1,125.60 ","$1,112.35 ",$298.48 ,$993.17 ,"$1,059.38 ","$1,059.38 ",$298.48 ,"$1,059.38 ","$1,152.08 ","$1,152.08 ","$1,152.08 ","$1,191.81 ",$761.43 ,$298.48 ,"$1,324.23 ",$742.89 ,$298.48 ,$548.23 , N/A , N/A ,$313.40 ,"$1,125.60 ",$834.26 ,$370.78 ,"$1,191.81 ","$1,152.08 ","$1,059.38 ","$1,059.38 ",$298.48 ,$860.75 ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH VENTRALIGHT 4 X 6 5954460,278,1 ,"$2,265.00 ","$1,630.80 ",$510.53 ,"$2,265.00 ","$1,302.38 ","$1,630.80 ","$1,232.16 ",$510.53 ,$634.20 ,"$1,506.23 ",$510.53 ,"$1,585.50 ",$510.53 ,"$1,426.95 ","$1,426.95 ",$510.53 ,"$1,426.95 ","$1,052.32 ","$2,083.80 ", N/A ,$510.53 ,"$1,925.25 ","$1,902.60 ",$510.53 ,"$1,698.75 ","$1,812.00 ","$1,812.00 ",$510.53 ,"$1,812.00 ","$1,970.55 ","$1,970.55 ","$1,970.55 ","$2,038.50 ","$1,302.38 ",$510.53 ,"$2,265.00 ","$1,270.67 ",$510.53 ,$937.71 , N/A , N/A ,$536.06 ,"$1,925.25 ","$1,426.95 ",$634.20 ,"$2,038.50 ","$1,970.55 ","$1,812.00 ","$1,812.00 ",$510.53 ,"$1,472.25 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH VENTRALIGHT ST OVAL,278,1 ,"$6,555.00 ","$4,719.60 ","$1,477.50 ","$6,555.00 ","$3,769.13 ","$4,719.60 ","$3,565.92 ","$1,477.50 ","$1,835.40 ","$4,359.08 ","$1,477.50 ","$4,588.50 ","$1,477.50 ","$4,129.65 ","$4,129.65 ","$1,477.50 ","$4,129.65 ","$3,045.45 ","$6,030.60 ", N/A ,"$1,477.50 ","$5,571.75 ","$5,506.20 ","$1,477.50 ","$4,916.25 ","$5,244.00 ","$5,244.00 ","$1,477.50 ","$5,244.00 ","$5,702.85 ","$5,702.85 ","$5,702.85 ","$5,899.50 ","$3,769.13 ","$1,477.50 ","$6,555.00 ","$3,677.36 ","$1,477.50 ","$2,713.77 ", N/A , N/A ,"$1,551.37 ","$5,571.75 ","$4,129.65 ","$1,835.40 ","$5,899.50 ","$5,702.85 ","$5,244.00 ","$5,244.00 ","$1,477.50 ","$4,260.75 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH VENTRALIGHT ST W/ECHO POSITIONING 6 X 8 5955680,278,1 ,"$5,265.00 ","$3,790.80 ","$1,186.73 ","$5,265.00 ","$3,027.38 ","$3,790.80 ","$2,864.16 ","$1,186.73 ","$1,474.20 ","$3,501.23 ","$1,186.73 ","$3,685.50 ","$1,186.73 ","$3,316.95 ","$3,316.95 ","$1,186.73 ","$3,316.95 ","$2,446.12 ","$4,843.80 ", N/A ,"$1,186.73 ","$4,475.25 ","$4,422.60 ","$1,186.73 ","$3,948.75 ","$4,212.00 ","$4,212.00 ","$1,186.73 ","$4,212.00 ","$4,580.55 ","$4,580.55 ","$4,580.55 ","$4,738.50 ","$3,027.38 ","$1,186.73 ","$5,265.00 ","$2,953.67 ","$1,186.73 ","$2,179.71 ", N/A , N/A ,"$1,246.07 ","$4,475.25 ","$3,316.95 ","$1,474.20 ","$4,738.50 ","$4,580.55 ","$4,212.00 ","$4,212.00 ","$1,186.73 ","$3,422.25 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,MESH VENTRALIGHT ST W/ECHO POSITIONING 8 X 10 5955810,278,1 ,"$8,235.00 ","$5,929.20 ","$1,856.17 ","$8,235.00 ","$4,735.13 ","$5,929.20 ","$4,479.84 ","$1,856.17 ","$2,305.80 ","$5,476.28 ","$1,856.17 ","$5,764.50 ","$1,856.17 ","$5,188.05 ","$5,188.05 ","$1,856.17 ","$5,188.05 ","$3,825.98 ","$7,576.20 ", N/A ,"$1,856.17 ","$6,999.75 ","$6,917.40 ","$1,856.17 ","$6,176.25 ","$6,588.00 ","$6,588.00 ","$1,856.17 ","$6,588.00 ","$7,164.45 ","$7,164.45 ","$7,164.45 ","$7,411.50 ","$4,735.13 ","$1,856.17 ","$8,235.00 ","$4,619.84 ","$1,856.17 ","$3,409.29 ", N/A , N/A ,"$1,948.97 ","$6,999.75 ","$5,188.05 ","$2,305.80 ","$7,411.50 ","$7,164.45 ","$6,588.00 ","$6,588.00 ","$1,856.17 ","$5,352.75 " ST. FRANCIS HOSPITAL - ACUTE,27871781,C1781,PLUG LARGE MESH PERFIX 1.6 X 1.90,278,1 ,$768.00 ,$552.96 ,$173.11 ,$768.00 ,$441.60 ,$552.96 ,$417.79 ,$173.11 ,$215.04 ,$510.72 ,$173.11 ,$537.60 ,$173.11 ,$483.84 ,$483.84 ,$173.11 ,$483.84 ,$356.81 ,$706.56 , N/A ,$173.11 ,$652.80 ,$645.12 ,$173.11 ,$576.00 ,$614.40 ,$614.40 ,$173.11 ,$614.40 ,$668.16 ,$668.16 ,$668.16 ,$691.20 ,$441.60 ,$173.11 ,$768.00 ,$430.85 ,$173.11 ,$317.95 , N/A , N/A ,$181.76 ,$652.80 ,$483.84 ,$215.04 ,$691.20 ,$668.16 ,$614.40 ,$614.40 ,$173.11 ,$499.20 ST. FRANCIS HOSPITAL - ACUTE,27871788,C1788,POWERPORT AIRGUARD SILICONE 9.6FR,278,1 ,$780.00 ,$561.60 ,$175.81 ,$780.00 ,$448.50 ,$561.60 ,$424.32 ,$175.81 ,$218.40 ,$518.70 ,$175.81 ,$546.00 ,$175.81 ,$491.40 ,$491.40 ,$175.81 ,$491.40 ,$362.39 ,$717.60 , N/A ,$175.81 ,$663.00 ,$655.20 ,$175.81 ,$585.00 ,$624.00 ,$624.00 ,$175.81 ,$624.00 ,$678.60 ,$678.60 ,$678.60 ,$702.00 ,$448.50 ,$175.81 ,$780.00 ,$437.58 ,$175.81 ,$322.92 , N/A , N/A ,$184.60 ,$663.00 ,$491.40 ,$218.40 ,$702.00 ,$678.60 ,$624.00 ,$624.00 ,$175.81 ,$507.00 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,SET STENT COOK URETERAL FILIFORM DOUBLE PIGTAIL 7FR X 26CM SILICONE,278,1 ,$512.91 ,$369.30 ,$115.61 ,$512.91 ,$294.93 ,$369.30 ,$279.02 ,$115.61 ,$143.61 ,$341.09 ,$115.61 ,$359.04 ,$115.61 ,$323.13 ,$323.13 ,$115.61 ,$323.13 ,$238.30 ,$471.88 , N/A ,$115.61 ,$435.97 ,$430.84 ,$115.61 ,$384.68 ,$410.33 ,$410.33 ,$115.61 ,$410.33 ,$446.23 ,$446.23 ,$446.23 ,$461.62 ,$294.93 ,$115.61 ,$512.91 ,$287.74 ,$115.61 ,$212.34 , N/A , N/A ,$121.39 ,$435.97 ,$323.13 ,$143.61 ,$461.62 ,$446.23 ,$410.33 ,$410.33 ,$115.61 ,$333.39 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL 7FR 26CM 3CM .035IN PIGTAIL CURVE STRAIGHT TAPER TIP BLADDER MARK LOW PROFILE FLEXIBLE CONTOUR ZIPWIRE PERCUFLEX HYDROPLUS LATEX FREE,278,1 ,$402.45 ,$289.76 ,$90.71 ,$402.45 ,$231.40 ,$289.76 ,$218.93 ,$90.71 ,$112.69 ,$267.63 ,$90.71 ,$281.72 ,$90.71 ,$253.54 ,$253.54 ,$90.71 ,$253.54 ,$186.97 ,$370.25 , N/A ,$90.71 ,$342.08 ,$338.06 ,$90.71 ,$301.84 ,$321.96 ,$321.96 ,$90.71 ,$321.96 ,$350.13 ,$350.13 ,$350.13 ,$362.21 ,$231.40 ,$90.71 ,$402.45 ,$225.77 ,$90.71 ,$166.61 , N/A , N/A ,$95.25 ,$342.08 ,$253.54 ,$112.69 ,$362.21 ,$350.13 ,$321.96 ,$321.96 ,$90.71 ,$261.59 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR 7FR X 28CM,278,1 ,$274.32 ,$197.51 ,$61.83 ,$274.32 ,$157.73 ,$197.51 ,$149.23 ,$61.83 ,$76.81 ,$182.42 ,$61.83 ,$192.02 ,$61.83 ,$172.82 ,$172.82 ,$61.83 ,$172.82 ,$127.44 ,$252.37 , N/A ,$61.83 ,$233.17 ,$230.43 ,$61.83 ,$205.74 ,$219.46 ,$219.46 ,$61.83 ,$219.46 ,$238.66 ,$238.66 ,$238.66 ,$246.89 ,$157.73 ,$61.83 ,$274.32 ,$153.89 ,$61.83 ,$113.57 , N/A , N/A ,$64.92 ,$233.17 ,$172.82 ,$76.81 ,$246.89 ,$238.66 ,$219.46 ,$219.46 ,$61.83 ,$178.31 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR 6FR X 24CM,278,1 ,$274.32 ,$197.51 ,$61.83 ,$274.32 ,$157.73 ,$197.51 ,$149.23 ,$61.83 ,$76.81 ,$182.42 ,$61.83 ,$192.02 ,$61.83 ,$172.82 ,$172.82 ,$61.83 ,$172.82 ,$127.44 ,$252.37 , N/A ,$61.83 ,$233.17 ,$230.43 ,$61.83 ,$205.74 ,$219.46 ,$219.46 ,$61.83 ,$219.46 ,$238.66 ,$238.66 ,$238.66 ,$246.89 ,$157.73 ,$61.83 ,$274.32 ,$153.89 ,$61.83 ,$113.57 , N/A , N/A ,$64.92 ,$233.17 ,$172.82 ,$76.81 ,$246.89 ,$238.66 ,$219.46 ,$219.46 ,$61.83 ,$178.31 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR 6FR X 26CM,278,1 ,$274.32 ,$197.51 ,$61.83 ,$274.32 ,$157.73 ,$197.51 ,$149.23 ,$61.83 ,$76.81 ,$182.42 ,$61.83 ,$192.02 ,$61.83 ,$172.82 ,$172.82 ,$61.83 ,$172.82 ,$127.44 ,$252.37 , N/A ,$61.83 ,$233.17 ,$230.43 ,$61.83 ,$205.74 ,$219.46 ,$219.46 ,$61.83 ,$219.46 ,$238.66 ,$238.66 ,$238.66 ,$246.89 ,$157.73 ,$61.83 ,$274.32 ,$153.89 ,$61.83 ,$113.57 , N/A , N/A ,$64.92 ,$233.17 ,$172.82 ,$76.81 ,$246.89 ,$238.66 ,$219.46 ,$219.46 ,$61.83 ,$178.31 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR 6FR X 28CM,278,1 ,$274.32 ,$197.51 ,$61.83 ,$274.32 ,$157.73 ,$197.51 ,$149.23 ,$61.83 ,$76.81 ,$182.42 ,$61.83 ,$192.02 ,$61.83 ,$172.82 ,$172.82 ,$61.83 ,$172.82 ,$127.44 ,$252.37 , N/A ,$61.83 ,$233.17 ,$230.43 ,$61.83 ,$205.74 ,$219.46 ,$219.46 ,$61.83 ,$219.46 ,$238.66 ,$238.66 ,$238.66 ,$246.89 ,$157.73 ,$61.83 ,$274.32 ,$153.89 ,$61.83 ,$113.57 , N/A , N/A ,$64.92 ,$233.17 ,$172.82 ,$76.81 ,$246.89 ,$238.66 ,$219.46 ,$219.46 ,$61.83 ,$178.31 ST. FRANCIS HOSPITAL - ACUTE,27872617,C2617,STENT URETERAL BOSTON SCI CONTOUR 7FR X 24CM,278,1 ,$274.32 ,$197.51 ,$61.83 ,$274.32 ,$157.73 ,$197.51 ,$149.23 ,$61.83 ,$76.81 ,$182.42 ,$61.83 ,$192.02 ,$61.83 ,$172.82 ,$172.82 ,$61.83 ,$172.82 ,$127.44 ,$252.37 , N/A ,$61.83 ,$233.17 ,$230.43 ,$61.83 ,$205.74 ,$219.46 ,$219.46 ,$61.83 ,$219.46 ,$238.66 ,$238.66 ,$238.66 ,$246.89 ,$157.73 ,$61.83 ,$274.32 ,$153.89 ,$61.83 ,$113.57 , N/A , N/A ,$64.92 ,$233.17 ,$172.82 ,$76.81 ,$246.89 ,$238.66 ,$219.46 ,$219.46 ,$61.83 ,$178.31 ST. FRANCIS HOSPITAL - ACUTE,28000001,G0498,HC CHEMO IV W/PUMP EXTENDED,280,1 ,$935.00 ,$673.20 ,$210.75 ,$935.00 ,$537.63 ,$673.20 ,$508.64 ,$210.75 ,$261.80 ,$621.78 ,$210.75 ,$654.50 ,$210.75 ,$589.05 ,$589.05 ,$210.75 ,$589.05 ,$434.40 ,$860.20 ,$831.55 ,$210.75 ,$794.75 ,$785.40 ,$210.75 ,$701.25 ,$748.00 ,$748.00 ,$210.75 ,$748.00 ,$813.45 ,$813.45 ,$813.45 ,$841.50 ,$537.63 ,$210.75 ,$935.00 ,$524.54 ,$210.75 ,$387.09 ,$516.01 ,$492.56 ,$221.28 ,$794.75 ,$589.05 ,$261.80 ,$841.50 ,$813.45 ,$748.00 ,$748.00 ,$210.75 ,$607.75 ST. FRANCIS HOSPITAL - ACUTE,30000009,36416,HC CAPILLARY COLLECTION,300,1 ,$33.00 ,$23.76 ,$7.44 ,$33.00 ,$18.98 ,$23.76 ,$17.95 ,$7.44 ,$9.24 ,$21.95 ,$7.44 ,$23.10 ,$7.44 ,$20.79 ,$20.79 ,$7.44 ,$20.79 ,$15.33 , N/A , N/A ,$7.44 ,$28.05 ,$27.72 ,$7.44 ,$24.75 ,$26.40 ,$26.40 ,$7.44 ,$26.40 ,$28.71 ,$28.71 ,$28.71 ,$29.70 ,$18.98 ,$7.44 ,$33.00 ,$18.51 ,$7.44 ,$13.66 , N/A , N/A ,$7.81 ,$28.05 ,$20.79 ,$9.24 ,$29.70 ,$28.71 ,$26.40 ,$26.40 ,$7.44 ,$21.45 ST. FRANCIS HOSPITAL - ACUTE,30000010,36415,HC VENIPUNCTURE,300,1 ,$27.00 ,$19.44 ,$2.37 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 , N/A ,$21.43 ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 , N/A , N/A ,$6.09 , N/A ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$3.00 ,$15.15 ,$6.09 ,$11.18 ,$2.49 ,$2.37 ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,30000015,36600,HC ARTERIAL PUNCTURE,300,1 ,$83.00 ,$59.76 ,$18.71 ,$290.28 ,$47.73 ,$59.76 ,$45.15 ,$18.71 ,$23.24 ,$55.20 ,$18.71 ,$58.10 ,$18.71 ,$52.29 ,$52.29 ,$18.71 ,$52.29 ,$38.56 ,$76.36 ,$290.28 ,$18.71 ,$70.55 ,$69.72 ,$18.71 ,$62.25 ,$66.40 ,$66.40 ,$18.71 ,$66.40 ,$72.21 ,$72.21 ,$72.21 ,$74.70 ,$47.73 ,$18.71 ,$83.00 ,$46.56 ,$18.71 ,$34.36 ,$51.14 ,$48.81 ,$19.64 ,$70.55 ,$52.29 ,$23.24 ,$74.70 ,$72.21 ,$66.40 ,$66.40 ,$18.71 ,$53.95 ST. FRANCIS HOSPITAL - ACUTE,30000016,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$169.00 ,$121.68 ,$38.09 ,$290.28 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 , N/A ,$290.28 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$51.14 ,$48.81 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30000206,80307,HC DRUG SCREEN PANEL 9,300,1 ,$115.00 ,$82.80 ,$25.92 ,$155.35 ,$66.13 ,$82.80 ,$62.56 ,$25.92 ,$32.20 ,$76.48 ,$25.92 ,$80.50 ,$25.92 ,$72.45 ,$72.45 ,$25.92 ,$72.45 ,$53.43 ,$105.80 ,$155.35 ,$25.92 ,$97.75 ,$96.60 ,$25.92 ,$86.25 ,$92.00 ,$92.00 ,$25.92 ,$92.00 ,$100.05 ,$100.05 ,$100.05 ,$103.50 ,$66.13 ,$25.92 ,$115.00 ,$64.52 ,$25.92 ,$47.61 ,$32.00 ,$30.54 ,$27.21 ,$97.75 ,$72.45 ,$32.20 ,$103.50 ,$100.05 ,$92.00 ,$92.00 ,$25.92 ,$74.75 ST. FRANCIS HOSPITAL - ACUTE,30000213,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$200.00 ,$144.00 ,$45.08 ,$290.28 ,$115.00 ,$144.00 ,$108.80 ,$45.08 ,$56.00 ,$133.00 ,$45.08 ,$140.00 ,$45.08 ,$126.00 ,$126.00 ,$45.08 ,$126.00 ,$92.92 , N/A ,$290.28 ,$45.08 ,$170.00 ,$168.00 ,$45.08 ,$150.00 ,$160.00 ,$160.00 ,$45.08 ,$160.00 ,$174.00 ,$174.00 ,$174.00 ,$180.00 ,$115.00 ,$45.08 ,$200.00 ,$112.20 ,$45.08 ,$82.80 ,$51.14 ,$48.81 ,$47.33 ,$170.00 ,$126.00 ,$56.00 ,$180.00 ,$174.00 ,$160.00 ,$160.00 ,$45.08 ,$130.00 ST. FRANCIS HOSPITAL - ACUTE,30000218,86927,HC FFP THAWING EACH UNIT,300,1 ,$91.00 ,$65.52 ,$20.51 ,$393.13 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 ,$393.13 ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 ,$42.98 ,$41.02 ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,30000219,86970,HC RBC PRETREAT CHEM,300,1 ,$137.00 ,$98.64 ,$30.88 ,$137.00 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$84.90 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$42.98 ,$41.02 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,30000221,86999,HC TRANSFUSION UNLISTED PROCEDURE,300,1 ,$93.00 ,$66.96 ,$20.96 ,$93.00 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$62.40 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$38.50 ,$42.98 ,$41.02 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 ,$74.40 ,$74.40 ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,30000222,89050,HC BODY FLUID CELL COUNT,300,1 ,$121.00 ,$87.12 ,$11.80 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$58.48 ,$27.27 ,$61.56 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$11.80 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$33.96 ,$32.41 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30000223,89051,HC CELL CT BODY FLUID W/DIFF,300,1 ,$299.00 ,$215.28 ,$14.00 ,$299.00 ,$171.93 ,$215.28 ,$162.66 ,$67.39 ,$83.72 ,$68.17 ,$67.39 ,$71.76 ,$67.39 ,$188.37 ,$188.37 ,$67.39 ,$188.37 ,$138.92 ,$275.08 ,$14.00 ,$67.39 ,$254.15 ,$251.16 ,$67.39 ,$224.25 ,$239.20 ,$239.20 ,$67.39 ,$239.20 ,$260.13 ,$260.13 ,$260.13 ,$269.10 ,$171.93 ,$67.39 ,$299.00 ,$167.74 ,$67.39 ,$123.79 ,$33.96 ,$32.41 ,$70.77 ,$254.15 ,$188.37 ,$83.72 ,$269.10 ,$260.13 ,$239.20 ,$239.20 ,$67.39 ,$194.35 ST. FRANCIS HOSPITAL - ACUTE,30000230,99001,HC LAB HANDLING CHARGE SPECIMEN,300,1 ,$29.00 ,$20.88 ,$6.54 ,$29.00 ,$16.68 ,$20.88 ,$15.78 ,$6.54 ,$8.12 ,$19.29 ,$6.54 ,$20.30 ,$6.54 ,$18.27 ,$18.27 ,$6.54 ,$18.27 ,$13.47 ,$26.68 , N/A ,$6.54 ,$24.65 ,$24.36 ,$6.54 ,$21.75 ,$23.20 ,$23.20 ,$6.54 ,$23.20 ,$25.23 ,$25.23 ,$25.23 ,$26.10 ,$16.68 ,$6.54 ,$29.00 ,$16.27 ,$6.54 ,$12.01 , N/A , N/A ,$6.86 ,$24.65 ,$18.27 ,$8.12 ,$26.10 ,$25.23 ,$23.20 ,$23.20 ,$6.54 ,$18.85 ST. FRANCIS HOSPITAL - ACUTE,30000242,36591,HC COLLECT BLOOD PORT/ACCESS DVC,300,1 ,$200.00 ,$144.00 ,$45.08 ,$290.28 ,$115.00 ,$144.00 ,$108.80 ,$45.08 ,$56.00 ,$133.00 ,$45.08 ,$140.00 ,$45.08 ,$126.00 ,$126.00 ,$45.08 ,$126.00 ,$92.92 , N/A ,$290.28 ,$45.08 ,$170.00 ,$168.00 ,$45.08 ,$150.00 ,$160.00 ,$160.00 ,$45.08 ,$160.00 ,$174.00 ,$174.00 ,$174.00 ,$180.00 ,$115.00 ,$45.08 ,$200.00 ,$112.20 ,$45.08 ,$82.80 ,$51.14 ,$48.81 ,$47.33 ,$170.00 ,$126.00 ,$56.00 ,$180.00 ,$174.00 ,$160.00 ,$160.00 ,$45.08 ,$130.00 ST. FRANCIS HOSPITAL - ACUTE,30002013,36592,HC COLLECT BLD CENTRL/PERPH CATH,300,1 ,$169.00 ,$121.68 ,$38.09 ,$290.28 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 , N/A ,$290.28 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$51.14 ,$48.81 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30002017,89055,HC LEUKO ASSESS STOOL QN/SEMI,300,1 ,$44.00 ,$31.68 ,$7.05 ,$44.00 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 ,$10.68 ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 ,$7.38 ,$7.05 ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,30002018,89060,HC CRYSTAL ID LIGHT MICRO,300,1 ,$93.00 ,$66.96 ,$18.33 ,$93.00 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$18.33 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$38.50 ,$33.96 ,$32.41 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 ,$74.40 ,$74.40 ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,30002022,80306,HC DRUG SCREEN SGL CLASS PRESUMPTIVE INSTRMNT,300,1 ,$321.00 ,$231.12 ,$11.35 ,$321.00 ,$184.58 ,$231.12 ,$174.62 ,$72.35 ,$89.88 ,$133.04 ,$72.35 ,$140.04 ,$72.35 ,$202.23 ,$202.23 ,$72.35 ,$202.23 ,$149.14 ,$295.32 ,$42.85 ,$72.35 ,$272.85 ,$269.64 ,$72.35 ,$240.75 ,$256.80 ,$256.80 ,$72.35 ,$256.80 ,$279.27 ,$279.27 ,$279.27 ,$288.90 ,$184.58 ,$72.35 ,$321.00 ,$180.08 ,$72.35 ,$132.89 ,$11.89 ,$11.35 ,$75.97 ,$272.85 ,$202.23 ,$89.88 ,$288.90 ,$279.27 ,$256.80 ,$256.80 ,$72.35 ,$208.65 ST. FRANCIS HOSPITAL - ACUTE,30002023,G0483,HC TOX SCREEN CHAIN OF CUSTODY URINE,300,1 ,$59.00 ,$42.48 ,$13.30 ,$147.50 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$147.50 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$32.00 ,$30.54 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30002024,80307,HC TOX SCREEN CHAIN OF CUSTODY ALCOHOL-90,300,1 ,$47.00 ,$33.84 ,$10.59 ,$117.50 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$31.26 ,$10.59 ,$32.90 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 ,$117.50 ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 ,$32.00 ,$30.54 ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,30040115,99001,HC SPECIMEN HAND/CONVEY OTHER,300,1 ,$58.00 ,$41.76 ,$13.07 ,$58.00 ,$33.35 ,$41.76 ,$31.55 ,$13.07 ,$16.24 ,$38.57 ,$13.07 ,$40.60 ,$13.07 ,$36.54 ,$36.54 ,$13.07 ,$36.54 ,$26.95 ,$53.36 , N/A ,$13.07 ,$49.30 ,$48.72 ,$13.07 ,$43.50 ,$46.40 ,$46.40 ,$13.07 ,$46.40 ,$50.46 ,$50.46 ,$50.46 ,$52.20 ,$33.35 ,$13.07 ,$58.00 ,$32.54 ,$13.07 ,$24.01 , N/A , N/A ,$13.73 ,$49.30 ,$36.54 ,$16.24 ,$52.20 ,$50.46 ,$46.40 ,$46.40 ,$13.07 ,$37.70 ST. FRANCIS HOSPITAL - ACUTE,30100101,80048,HC BASIC METABOLIC PANEL,301,1 ,$238.00 ,$171.36 ,$8.46 ,$238.00 ,$136.85 ,$171.36 ,$129.47 ,$53.65 ,$66.64 ,$122.23 ,$53.65 ,$128.66 ,$53.65 ,$149.94 ,$149.94 ,$53.65 ,$149.94 ,$110.57 ,$218.96 ,$21.15 ,$53.65 ,$202.30 ,$199.92 ,$53.65 ,$178.50 ,$190.40 ,$190.40 ,$53.65 ,$190.40 ,$207.06 ,$207.06 ,$207.06 ,$214.20 ,$136.85 ,$53.65 ,$8.46 ,$133.52 ,$53.65 ,$98.53 ,$10.85 ,$10.35 ,$56.33 ,$202.30 ,$149.94 ,$66.64 ,$214.20 ,$207.06 ,$190.40 ,$190.40 ,$53.65 ,$154.70 ST. FRANCIS HOSPITAL - ACUTE,30100103,80051,HC ELECTROLYTE PANEL,301,1 ,$184.00 ,$132.48 ,$10.35 ,$184.00 ,$105.80 ,$132.48 ,$100.10 ,$41.47 ,$51.52 ,$101.35 ,$41.47 ,$106.68 ,$41.47 ,$115.92 ,$115.92 ,$41.47 ,$115.92 ,$85.49 ,$169.28 ,$17.53 ,$41.47 ,$156.40 ,$154.56 ,$41.47 ,$138.00 ,$147.20 ,$147.20 ,$41.47 ,$147.20 ,$160.08 ,$160.08 ,$160.08 ,$165.60 ,$105.80 ,$41.47 ,$184.00 ,$103.22 ,$41.47 ,$76.18 ,$10.85 ,$10.35 ,$43.55 ,$156.40 ,$115.92 ,$51.52 ,$165.60 ,$160.08 ,$147.20 ,$147.20 ,$41.47 ,$119.60 ST. FRANCIS HOSPITAL - ACUTE,30100104,80053,HC COMPREHENSIVE METABOL PANEL,301,1 ,$288.00 ,$207.36 ,$10.35 ,$288.00 ,$165.60 ,$207.36 ,$156.67 ,$64.92 ,$80.64 ,$152.68 ,$64.92 ,$160.72 ,$64.92 ,$181.44 ,$181.44 ,$64.92 ,$181.44 ,$133.80 ,$264.96 ,$26.40 ,$64.92 ,$244.80 ,$241.92 ,$64.92 ,$216.00 ,$230.40 ,$230.40 ,$64.92 ,$230.40 ,$250.56 ,$250.56 ,$250.56 ,$259.20 ,$165.60 ,$64.92 ,$10.56 ,$161.57 ,$64.92 ,$119.23 ,$10.85 ,$10.35 ,$68.16 ,$244.80 ,$181.44 ,$80.64 ,$259.20 ,$250.56 ,$230.40 ,$230.40 ,$64.92 ,$187.20 ST. FRANCIS HOSPITAL - ACUTE,30100107,80061,HC LIPID PANEL,301,1 ,$135.00 ,$97.20 ,$10.35 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$33.48 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$10.85 ,$10.35 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30100108,80069,HC RENAL PANEL,301,1 ,$248.00 ,$178.56 ,$10.35 ,$248.00 ,$142.60 ,$178.56 ,$134.91 ,$55.90 ,$69.44 ,$107.50 ,$55.90 ,$113.16 ,$55.90 ,$156.24 ,$156.24 ,$55.90 ,$156.24 ,$115.22 ,$228.16 ,$21.70 ,$55.90 ,$210.80 ,$208.32 ,$55.90 ,$186.00 ,$198.40 ,$198.40 ,$55.90 ,$198.40 ,$215.76 ,$215.76 ,$215.76 ,$223.20 ,$142.60 ,$55.90 ,$248.00 ,$139.13 ,$55.90 ,$102.67 ,$10.85 ,$10.35 ,$58.69 ,$210.80 ,$156.24 ,$69.44 ,$223.20 ,$215.76 ,$198.40 ,$198.40 ,$55.90 ,$161.20 ST. FRANCIS HOSPITAL - ACUTE,30100110,80076,HC LIVER (HEPATIC) PANEL,301,1 ,$218.00 ,$156.96 ,$10.35 ,$218.00 ,$125.35 ,$156.96 ,$118.59 ,$49.14 ,$61.04 ,$74.78 ,$49.14 ,$78.72 ,$49.14 ,$137.34 ,$137.34 ,$49.14 ,$137.34 ,$101.28 ,$200.56 ,$20.43 ,$49.14 ,$185.30 ,$183.12 ,$49.14 ,$163.50 ,$174.40 ,$174.40 ,$49.14 ,$174.40 ,$189.66 ,$189.66 ,$189.66 ,$196.20 ,$125.35 ,$49.14 ,$218.00 ,$122.30 ,$49.14 ,$90.25 ,$10.85 ,$10.35 ,$51.60 ,$185.30 ,$137.34 ,$61.04 ,$196.20 ,$189.66 ,$174.40 ,$174.40 ,$49.14 ,$141.70 ST. FRANCIS HOSPITAL - ACUTE,30100116,80156,HC CARBAMAZEPINE TOTAL,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$133.27 ,$52.29 ,$140.28 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$36.43 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100120,80162,HC DIGOXIN LEVELS,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$121.41 ,$52.29 ,$127.80 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$33.20 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100121,80164,HC VALPROIC ACID,301,1 ,$198.00 ,$142.56 ,$13.03 ,$198.00 ,$113.85 ,$142.56 ,$107.71 ,$44.63 ,$55.44 ,$123.92 ,$44.63 ,$130.44 ,$44.63 ,$124.74 ,$124.74 ,$44.63 ,$124.74 ,$91.99 ,$182.16 ,$33.85 ,$44.63 ,$168.30 ,$166.32 ,$44.63 ,$148.50 ,$158.40 ,$158.40 ,$44.63 ,$158.40 ,$172.26 ,$172.26 ,$172.26 ,$178.20 ,$113.85 ,$44.63 ,$198.00 ,$111.08 ,$44.63 ,$81.97 ,$13.65 ,$13.03 ,$46.86 ,$168.30 ,$124.74 ,$55.44 ,$178.20 ,$172.26 ,$158.40 ,$158.40 ,$44.63 ,$128.70 ST. FRANCIS HOSPITAL - ACUTE,30100124,80170,HC GENTAMICIN,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$149.80 ,$52.29 ,$157.68 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$40.95 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100127,80178,HC LITHIUM,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$81.85 ,$52.29 ,$86.16 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$16.53 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100130,80185,HC PHENYTOIN TOTAL,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$121.18 ,$52.29 ,$127.56 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$33.13 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100138,80198,HC THEOPHYLLINE,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$129.39 ,$52.29 ,$136.20 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$35.35 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30100141,80202,HC VANCOMYCIN,301,1 ,$275.00 ,$198.00 ,$13.03 ,$275.00 ,$158.13 ,$198.00 ,$149.60 ,$61.98 ,$77.00 ,$123.92 ,$61.98 ,$130.44 ,$61.98 ,$173.25 ,$173.25 ,$61.98 ,$173.25 ,$127.77 ,$253.00 ,$33.85 ,$61.98 ,$233.75 ,$231.00 ,$61.98 ,$206.25 ,$220.00 ,$220.00 ,$61.98 ,$220.00 ,$239.25 ,$239.25 ,$239.25 ,$247.50 ,$158.13 ,$61.98 ,$275.00 ,$154.28 ,$61.98 ,$113.85 ,$13.65 ,$13.03 ,$65.08 ,$233.75 ,$173.25 ,$77.00 ,$247.50 ,$239.25 ,$220.00 ,$220.00 ,$61.98 ,$178.75 ST. FRANCIS HOSPITAL - ACUTE,30100158,82010,HC ACETONE KETONES SERUM QN,301,1 ,$54.00 ,$38.88 ,$11.35 ,$54.00 ,$31.05 ,$38.88 ,$29.38 ,$12.17 ,$15.12 ,$35.91 ,$12.17 ,$37.80 ,$12.17 ,$34.02 ,$34.02 ,$12.17 ,$34.02 ,$25.09 ,$49.68 ,$20.43 ,$12.17 ,$45.90 ,$45.36 ,$12.17 ,$40.50 ,$43.20 ,$43.20 ,$12.17 ,$43.20 ,$46.98 ,$46.98 ,$46.98 ,$48.60 ,$31.05 ,$12.17 ,$54.00 ,$30.29 ,$12.17 ,$22.36 ,$11.89 ,$11.35 ,$12.78 ,$45.90 ,$34.02 ,$15.12 ,$48.60 ,$46.98 ,$43.20 ,$43.20 ,$12.17 ,$35.10 ST. FRANCIS HOSPITAL - ACUTE,30100165,82040,HC ALBUMIN SERUM,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$61.33 ,$27.27 ,$64.56 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$12.38 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100168,82043,HC MICROALBUMIN URINE QN,301,1 ,$135.00 ,$97.20 ,$4.05 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$71.59 ,$30.43 ,$75.36 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$14.45 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$4.25 ,$4.05 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30100186,82140,HC AMMONIA,301,1 ,$222.00 ,$159.84 ,$11.35 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$133.27 ,$50.04 ,$140.28 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$36.43 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 ,$11.89 ,$11.35 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,30100188,82150,HC AMYLASE,301,1 ,$158.00 ,$113.76 ,$11.35 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$80.26 ,$35.61 ,$84.48 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$16.20 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$11.89 ,$11.35 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100202,82247,HC BILIRUBIN TOTAL,301,1 ,$108.00 ,$77.76 ,$5.05 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$62.13 ,$24.34 ,$65.40 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 ,$12.55 ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 ,$5.29 ,$5.05 ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,30100203,82248,HC BILIRUBIN DIRECT,301,1 ,$90.00 ,$64.80 ,$5.05 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$59.85 ,$20.29 ,$63.00 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 ,$82.80 ,$12.55 ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 ,$5.29 ,$5.05 ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,30100214,82310,HC CALCIUM,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$63.95 ,$27.27 ,$67.32 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$12.90 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100216,82340,HC CALCIUM URINE QN TIMED,301,1 ,$158.00 ,$113.76 ,$11.35 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$55.18 ,$35.61 ,$58.08 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$15.08 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$11.89 ,$11.35 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100222,82374,HC BICARBONATE,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$60.53 ,$27.27 ,$63.72 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$12.20 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100225,82375,HC CARBOXYHEMOGLOBIN,301,1 ,$222.00 ,$159.84 ,$11.35 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$112.75 ,$50.04 ,$118.68 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$30.80 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 ,$11.89 ,$11.35 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,30100237,82435,HC CHLORIDE,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$57.00 ,$27.27 ,$60.00 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$11.50 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100238,82436,HC CHLORIDE URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$46.06 ,$35.61 ,$48.48 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$14.38 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100241,82465,HC CHOLESTEROL,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$53.92 ,$27.27 ,$56.76 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$10.88 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100259,82550,HC CREATINE KINASE (CPK) TOTAL,301,1 ,$185.00 ,$133.20 ,$5.05 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$80.71 ,$41.70 ,$84.96 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$16.28 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$5.29 ,$5.05 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,30100261,82553,HC CREATINE KINASE MB FRAC,301,1 ,$258.00 ,$185.76 ,$11.35 ,$258.00 ,$148.35 ,$185.76 ,$140.35 ,$58.15 ,$72.24 ,$105.68 ,$58.15 ,$111.24 ,$58.15 ,$162.54 ,$162.54 ,$58.15 ,$162.54 ,$119.87 ,$237.36 ,$28.88 ,$58.15 ,$219.30 ,$216.72 ,$58.15 ,$193.50 ,$206.40 ,$206.40 ,$58.15 ,$206.40 ,$224.46 ,$224.46 ,$224.46 ,$232.20 ,$148.35 ,$58.15 ,$258.00 ,$144.74 ,$58.15 ,$106.81 ,$11.89 ,$11.35 ,$61.06 ,$219.30 ,$162.54 ,$72.24 ,$232.20 ,$224.46 ,$206.40 ,$206.40 ,$58.15 ,$167.70 ST. FRANCIS HOSPITAL - ACUTE,30100262,82565,HC CREATININE,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$63.50 ,$27.27 ,$66.84 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$12.80 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$5.12 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100264,82570,HC CREATININE OTH SOURCE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$64.07 ,$35.61 ,$67.44 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$12.95 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100266,82575,HC CREATININE CLEARANCE,301,1 ,$266.00 ,$191.52 ,$11.35 ,$266.00 ,$152.95 ,$191.52 ,$144.70 ,$59.96 ,$74.48 ,$86.53 ,$59.96 ,$91.08 ,$59.96 ,$167.58 ,$167.58 ,$59.96 ,$167.58 ,$123.58 ,$244.72 ,$23.65 ,$59.96 ,$226.10 ,$223.44 ,$59.96 ,$199.50 ,$212.80 ,$212.80 ,$59.96 ,$212.80 ,$231.42 ,$231.42 ,$231.42 ,$239.40 ,$152.95 ,$59.96 ,$266.00 ,$149.23 ,$59.96 ,$110.12 ,$11.89 ,$11.35 ,$62.96 ,$226.10 ,$167.58 ,$74.48 ,$239.40 ,$231.42 ,$212.80 ,$212.80 ,$59.96 ,$172.90 ST. FRANCIS HOSPITAL - ACUTE,30100290,82728,HC FERRITIN,301,1 ,$186.00 ,$133.92 ,$11.35 ,$186.00 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 ,$34.08 ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$186.00 ,$104.35 ,$41.92 ,$77.00 ,$11.89 ,$11.35 ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 ,$148.80 ,$148.80 ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,30100305,82800,HC BLOOD GAS PH,301,1 ,$154.00 ,$110.88 ,$11.35 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$102.41 ,$34.71 ,$107.80 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$27.50 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$11.89 ,$11.35 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100307,82805,HC BLOOD GASES W/O2 SAT,301,1 ,$294.00 ,$211.68 ,$11.35 ,$294.00 ,$169.05 ,$211.68 ,$159.94 ,$66.27 ,$82.32 ,$195.51 ,$66.27 ,$205.80 ,$66.27 ,$185.22 ,$185.22 ,$66.27 ,$185.22 ,$136.59 ,$270.48 ,$196.93 ,$66.27 ,$249.90 ,$246.96 ,$66.27 ,$220.50 ,$235.20 ,$235.20 ,$66.27 ,$235.20 ,$255.78 ,$255.78 ,$255.78 ,$264.60 ,$169.05 ,$66.27 ,$294.00 ,$164.93 ,$66.27 ,$121.72 ,$11.89 ,$11.35 ,$69.58 ,$249.90 ,$185.22 ,$82.32 ,$264.60 ,$255.78 ,$235.20 ,$235.20 ,$66.27 ,$191.10 ST. FRANCIS HOSPITAL - ACUTE,30100311,82945,HC GLUCOSE BODY FLUID,301,1 ,$90.00 ,$64.80 ,$5.05 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$48.68 ,$20.29 ,$51.24 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 ,$82.80 ,$9.83 ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 ,$5.29 ,$5.05 ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,30100312,82947,HC GLUCOSE,301,1 ,$90.00 ,$64.80 ,$5.05 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$48.68 ,$20.29 ,$51.24 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 ,$82.80 ,$9.83 ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 ,$5.29 ,$5.05 ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,30100313,82950,HC GLUCOSE SCREEN,301,1 ,$117.00 ,$84.24 ,$5.05 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$58.82 ,$26.37 ,$61.92 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 ,$11.88 ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 ,$5.29 ,$5.05 ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,30100314,82951,HC GLUCOSE TOLERANCE,301,1 ,$182.00 ,$131.04 ,$11.35 ,$182.00 ,$104.65 ,$131.04 ,$99.01 ,$41.02 ,$50.96 ,$121.03 ,$41.02 ,$127.40 ,$41.02 ,$114.66 ,$114.66 ,$41.02 ,$114.66 ,$84.56 ,$167.44 ,$32.18 ,$41.02 ,$154.70 ,$152.88 ,$41.02 ,$136.50 ,$145.60 ,$145.60 ,$41.02 ,$145.60 ,$158.34 ,$158.34 ,$158.34 ,$163.80 ,$104.65 ,$41.02 ,$182.00 ,$102.10 ,$41.02 ,$75.35 ,$11.89 ,$11.35 ,$43.07 ,$154.70 ,$114.66 ,$50.96 ,$163.80 ,$158.34 ,$145.60 ,$145.60 ,$41.02 ,$118.30 ST. FRANCIS HOSPITAL - ACUTE,30100315,82952,HC GLUCOSE TOLERANCE ADDL SPEC,301,1 ,$66.00 ,$47.52 ,$9.80 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$9.80 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$11.89 ,$11.35 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30100318,82962,HC GLUCOSE BY DEVICE,301,1 ,$33.00 ,$23.76 ,$5.05 ,$33.00 ,$18.98 ,$23.76 ,$17.95 ,$7.44 ,$9.24 ,$21.95 ,$7.44 ,$23.10 ,$7.44 ,$20.79 ,$20.79 ,$7.44 ,$20.79 ,$15.33 ,$30.36 ,$8.20 ,$7.44 ,$28.05 ,$27.72 ,$7.44 ,$24.75 ,$26.40 ,$26.40 ,$7.44 ,$26.40 ,$28.71 ,$28.71 ,$28.71 ,$29.70 ,$18.98 ,$7.44 ,$33.00 ,$18.51 ,$7.44 ,$13.66 ,$5.29 ,$5.05 ,$7.81 ,$28.05 ,$20.79 ,$9.24 ,$29.70 ,$28.71 ,$26.40 ,$26.40 ,$7.44 ,$21.45 ST. FRANCIS HOSPITAL - ACUTE,30100319,82977,HC GGT/GGTP,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$89.15 ,$34.71 ,$93.84 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$18.00 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100337,83036,HC GLYCOSYLATED HGB,301,1 ,$203.00 ,$146.16 ,$11.35 ,$203.00 ,$116.73 ,$146.16 ,$110.43 ,$45.76 ,$56.84 ,$120.27 ,$45.76 ,$126.60 ,$45.76 ,$127.89 ,$127.89 ,$45.76 ,$127.89 ,$94.31 ,$186.76 ,$24.28 ,$45.76 ,$172.55 ,$170.52 ,$45.76 ,$152.25 ,$162.40 ,$162.40 ,$45.76 ,$162.40 ,$176.61 ,$176.61 ,$176.61 ,$182.70 ,$116.73 ,$45.76 ,$203.00 ,$113.88 ,$45.76 ,$84.04 ,$11.89 ,$11.35 ,$48.04 ,$172.55 ,$127.89 ,$56.84 ,$182.70 ,$176.61 ,$162.40 ,$162.40 ,$45.76 ,$131.95 ST. FRANCIS HOSPITAL - ACUTE,30100338,83050,HC METHEMOGLOBIN,301,1 ,$222.00 ,$159.84 ,$11.35 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$67.03 ,$50.04 ,$70.56 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$20.50 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 ,$11.89 ,$11.35 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,30100393,83540,HC IRON TOTAL,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$59.17 ,$34.71 ,$62.28 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$16.18 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100394,83550,HC IRON BINDING CAPACITY,301,1 ,$311.00 ,$223.92 ,$11.35 ,$311.00 ,$178.83 ,$223.92 ,$169.18 ,$70.10 ,$87.08 ,$79.91 ,$70.10 ,$84.12 ,$70.10 ,$195.93 ,$195.93 ,$70.10 ,$195.93 ,$144.49 ,$286.12 ,$21.85 ,$70.10 ,$264.35 ,$261.24 ,$70.10 ,$233.25 ,$248.80 ,$248.80 ,$70.10 ,$248.80 ,$270.57 ,$270.57 ,$270.57 ,$279.90 ,$178.83 ,$70.10 ,$311.00 ,$174.47 ,$70.10 ,$128.75 ,$11.89 ,$11.35 ,$73.61 ,$264.35 ,$195.93 ,$87.08 ,$279.90 ,$270.57 ,$248.80 ,$248.80 ,$70.10 ,$202.15 ST. FRANCIS HOSPITAL - ACUTE,30100396,83605,HC LACTATE/LACTIC ACID,301,1 ,$228.00 ,$164.16 ,$11.35 ,$228.00 ,$131.10 ,$164.16 ,$124.03 ,$51.39 ,$63.84 ,$132.35 ,$51.39 ,$139.32 ,$51.39 ,$143.64 ,$143.64 ,$51.39 ,$143.64 ,$105.93 ,$209.76 ,$28.93 ,$51.39 ,$193.80 ,$191.52 ,$51.39 ,$171.00 ,$182.40 ,$182.40 ,$51.39 ,$182.40 ,$198.36 ,$198.36 ,$198.36 ,$205.20 ,$131.10 ,$51.39 ,$228.00 ,$127.91 ,$51.39 ,$94.39 ,$11.89 ,$11.35 ,$53.96 ,$193.80 ,$143.64 ,$63.84 ,$205.20 ,$198.36 ,$182.40 ,$182.40 ,$51.39 ,$148.20 ST. FRANCIS HOSPITAL - ACUTE,30100397,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$55.18 ,$34.71 ,$58.08 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$15.10 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100409,83690,HC LIPASE,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$63.04 ,$34.71 ,$66.36 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$17.23 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100415,83718,HC CHOLESTEROL HDL,301,1 ,$120.00 ,$86.40 ,$11.35 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$20.48 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$11.89 ,$11.35 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,30100416,83721,HC CHOLESTEROL LDL,301,1 ,$120.00 ,$86.40 ,$11.35 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$26.25 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$11.89 ,$11.35 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,30100417,83735,HC MAGNESIUM,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$80.47 ,$27.27 ,$84.70 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$16.75 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100438,83880,HC BNP NATRIURETIC PEPTIDE,301,1 ,$284.00 ,$204.48 ,$30.54 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$188.86 ,$64.01 ,$198.80 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$98.15 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$32.00 ,$30.54 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,30100673,83986,HC PH BODY FLUID,301,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$8.95 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 ,$5.29 ,$5.05 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30100679,84075,HC ALKALINE PHOSPHATASE,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$64.07 ,$34.71 ,$67.44 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$12.95 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100684,84100,HC PHOSPHORUS,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$43.32 ,$27.27 ,$45.60 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$11.85 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100685,84105,HC PHOSPHORUS URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$47.31 ,$35.61 ,$49.80 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$14.45 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100688,84112,HC PLACENTAL ALPHA MICROGLOBULIN,301,1 ,$244.00 ,$175.68 ,$30.54 ,$245.28 ,$140.30 ,$175.68 ,$132.74 ,$55.00 ,$68.32 ,$162.26 ,$55.00 ,$170.80 ,$55.00 ,$153.72 ,$153.72 ,$55.00 ,$153.72 ,$113.36 ,$224.48 ,$245.28 ,$55.00 ,$207.40 ,$204.96 ,$55.00 ,$183.00 ,$195.20 ,$195.20 ,$55.00 ,$195.20 ,$212.28 ,$212.28 ,$212.28 ,$219.60 ,$140.30 ,$55.00 ,$244.00 ,$136.88 ,$55.00 ,$101.02 ,$32.00 ,$30.54 ,$57.75 ,$207.40 ,$153.72 ,$68.32 ,$219.60 ,$212.28 ,$195.20 ,$195.20 ,$55.00 ,$158.60 ST. FRANCIS HOSPITAL - ACUTE,30100691,84132,HC POTASSIUM,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$57.00 ,$27.27 ,$60.00 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$11.90 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100694,84133,HC POTASSIUM URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$39.44 ,$35.61 ,$41.52 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$11.83 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100698,84153,HC PSA TOTAL,301,1 ,$168.00 ,$120.96 ,$11.35 ,$168.00 ,$96.60 ,$120.96 ,$91.39 ,$37.87 ,$47.04 ,$111.72 ,$37.87 ,$117.60 ,$37.87 ,$105.84 ,$105.84 ,$37.87 ,$105.84 ,$78.05 ,$154.56 ,$45.98 ,$37.87 ,$142.80 ,$141.12 ,$37.87 ,$126.00 ,$134.40 ,$134.40 ,$37.87 ,$134.40 ,$146.16 ,$146.16 ,$146.16 ,$151.20 ,$96.60 ,$37.87 ,$168.00 ,$94.25 ,$37.87 ,$69.55 ,$11.89 ,$11.35 ,$39.76 ,$142.80 ,$105.84 ,$47.04 ,$151.20 ,$146.16 ,$134.40 ,$134.40 ,$37.87 ,$109.20 ST. FRANCIS HOSPITAL - ACUTE,30100700,84155,HC PROTEIN TOTAL,301,1 ,$26.00 ,$18.72 ,$5.05 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$9.18 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$5.29 ,$5.05 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30100701,84156,HC PROTEIN TOTAL URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$33.52 ,$35.61 ,$35.28 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$9.18 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100703,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$128.00 ,$92.16 ,$5.05 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$45.49 ,$28.85 ,$47.88 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 ,$10.00 ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 ,$5.29 ,$5.05 ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,30100721,84295,HC SODIUM,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$59.62 ,$27.27 ,$62.76 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$12.03 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100724,84300,HC SODIUM URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$44.46 ,$35.61 ,$46.80 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$12.65 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100730,84315,HC SPEC GRAVITY NON UR,301,1 ,$37.00 ,$26.64 ,$5.05 ,$37.00 ,$21.28 ,$26.64 ,$20.13 ,$8.34 ,$10.36 ,$24.28 ,$8.34 ,$25.56 ,$8.34 ,$23.31 ,$23.31 ,$8.34 ,$23.31 ,$17.19 ,$34.04 ,$8.20 ,$8.34 ,$31.45 ,$31.08 ,$8.34 ,$27.75 ,$29.60 ,$29.60 ,$8.34 ,$29.60 ,$32.19 ,$32.19 ,$32.19 ,$33.30 ,$21.28 ,$8.34 ,$37.00 ,$20.76 ,$8.34 ,$15.32 ,$5.29 ,$5.05 ,$8.76 ,$31.45 ,$23.31 ,$10.36 ,$33.30 ,$32.19 ,$29.60 ,$29.60 ,$8.34 ,$24.05 ST. FRANCIS HOSPITAL - ACUTE,30100740,84439,HC T4 FREE,301,1 ,$128.00 ,$92.16 ,$15.28 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$82.42 ,$28.85 ,$86.76 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 ,$22.55 ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 ,$16.01 ,$15.28 ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,30100743,84443,HC THYROID STIMULATING HORM,301,1 ,$158.00 ,$113.76 ,$15.28 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$105.07 ,$35.61 ,$110.60 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$42.00 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$16.01 ,$15.28 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100746,84450,HC AST,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$64.07 ,$34.71 ,$67.44 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$12.95 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100747,84460,HC ALT,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$65.66 ,$34.71 ,$69.12 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$13.25 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100750,84478,HC TRIGLYCERIDES,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$71.14 ,$27.27 ,$74.88 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$14.35 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100758,84484,HC TROPONIN QN,301,1 ,$276.00 ,$198.72 ,$11.35 ,$276.00 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$92.45 ,$62.21 ,$97.32 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 ,$31.18 ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 ,$11.89 ,$11.35 ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,30100761,84520,HC BUN,301,1 ,$121.00 ,$87.12 ,$3.95 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$48.91 ,$27.27 ,$51.48 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$9.88 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$3.95 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30100764,84540,HC UREA URINE,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$43.43 ,$35.61 ,$45.72 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$13.90 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100765,84550,HC URIC ACID,301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$55.97 ,$34.71 ,$58.92 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$11.30 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30100766,84560,HC URIC ACID OTH SRC,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$43.43 ,$35.61 ,$45.72 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$12.70 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30100767,84578,HC UROBILINOGEN,301,1 ,$35.00 ,$25.20 ,$2.55 ,$35.00 ,$20.13 ,$25.20 ,$19.04 ,$7.89 ,$9.80 ,$23.28 ,$7.89 ,$24.50 ,$7.89 ,$22.05 ,$22.05 ,$7.89 ,$22.05 ,$16.26 ,$32.20 ,$11.18 ,$7.89 ,$29.75 ,$29.40 ,$7.89 ,$26.25 ,$28.00 ,$28.00 ,$7.89 ,$28.00 ,$30.45 ,$30.45 ,$30.45 ,$31.50 ,$20.13 ,$7.89 ,$35.00 ,$19.64 ,$7.89 ,$14.49 ,$2.67 ,$2.55 ,$8.28 ,$29.75 ,$22.05 ,$9.80 ,$31.50 ,$30.45 ,$28.00 ,$28.00 ,$7.89 ,$22.75 ST. FRANCIS HOSPITAL - ACUTE,30100802,84702,HC HCG QN,301,1 ,$241.00 ,$173.52 ,$15.28 ,$241.00 ,$138.58 ,$173.52 ,$131.10 ,$54.32 ,$67.48 ,$160.27 ,$54.32 ,$168.70 ,$54.32 ,$151.83 ,$151.83 ,$54.32 ,$151.83 ,$111.97 ,$221.72 ,$37.63 ,$54.32 ,$204.85 ,$202.44 ,$54.32 ,$180.75 ,$192.80 ,$192.80 ,$54.32 ,$192.80 ,$209.67 ,$209.67 ,$209.67 ,$216.90 ,$138.58 ,$54.32 ,$241.00 ,$135.20 ,$54.32 ,$99.77 ,$16.01 ,$15.28 ,$57.04 ,$204.85 ,$151.83 ,$67.48 ,$216.90 ,$209.67 ,$192.80 ,$192.80 ,$54.32 ,$156.65 ST. FRANCIS HOSPITAL - ACUTE,30100810,88720,HC BILICHECK TEST,301,1 ,$51.00 ,$36.72 ,$5.05 ,$51.00 ,$29.33 ,$36.72 ,$27.74 ,$11.50 ,$14.28 ,$33.92 ,$11.50 ,$35.70 ,$11.50 ,$32.13 ,$32.13 ,$11.50 ,$32.13 ,$23.69 ,$46.92 ,$12.55 ,$11.50 ,$43.35 ,$42.84 ,$11.50 ,$38.25 ,$40.80 ,$40.80 ,$11.50 ,$40.80 ,$44.37 ,$44.37 ,$44.37 ,$45.90 ,$29.33 ,$11.50 ,$51.00 ,$28.61 ,$11.50 ,$21.11 ,$5.29 ,$5.05 ,$12.07 ,$43.35 ,$32.13 ,$14.28 ,$45.90 ,$44.37 ,$40.80 ,$40.80 ,$11.50 ,$33.15 ST. FRANCIS HOSPITAL - ACUTE,30101023,G0103,HC PSA ANNUAL SCREENING,301,1 ,$255.00 ,$183.60 ,$11.35 ,$255.00 ,$146.63 ,$183.60 ,$138.72 ,$57.48 ,$71.40 ,$168.26 ,$57.48 ,$177.12 ,$57.48 ,$160.65 ,$160.65 ,$57.48 ,$160.65 ,$118.47 ,$234.60 ,$48.28 ,$57.48 ,$216.75 ,$214.20 ,$57.48 ,$191.25 ,$204.00 ,$204.00 ,$57.48 ,$204.00 ,$221.85 ,$221.85 ,$221.85 ,$229.50 ,$146.63 ,$57.48 ,$255.00 ,$143.06 ,$57.48 ,$105.57 ,$11.89 ,$11.35 ,$60.35 ,$216.75 ,$160.65 ,$71.40 ,$229.50 ,$221.85 ,$204.00 ,$204.00 ,$57.48 ,$165.75 ST. FRANCIS HOSPITAL - ACUTE,30101089,80150,HC AMIKACIN - 90,301,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$37.70 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$13.65 ,$13.03 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101092,80156,HC CARBAMAZEPINE TOTAL - 90,301,1 ,$232.00 ,$167.04 ,$13.03 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$133.27 ,$52.29 ,$140.28 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$36.43 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$13.65 ,$13.03 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,30101094,80158,HC CYCLOSPORINE - 90,301,1 ,$82.00 ,$59.04 ,$13.03 ,$82.00 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$45.13 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 ,$13.65 ,$13.03 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,30101095,80159,HC CLOZAPINE - 90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$50.38 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$50.38 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$13.65 ,$13.03 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101099,80168,HC ETHOSUXIMIDE - 90,301,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$40.85 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$13.65 ,$13.03 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101100,80169,HC EVEROLIMUS - 90,301,1 ,$95.00 ,$68.40 ,$13.03 ,$95.00 ,$54.63 ,$68.40 ,$51.68 ,$21.41 ,$26.60 ,$63.18 ,$21.41 ,$66.50 ,$21.41 ,$59.85 ,$59.85 ,$21.41 ,$59.85 ,$44.14 ,$87.40 ,$34.33 ,$21.41 ,$80.75 ,$79.80 ,$21.41 ,$71.25 ,$76.00 ,$76.00 ,$21.41 ,$76.00 ,$82.65 ,$82.65 ,$82.65 ,$85.50 ,$54.63 ,$21.41 ,$95.00 ,$53.30 ,$21.41 ,$39.33 ,$13.65 ,$13.03 ,$22.48 ,$80.75 ,$59.85 ,$26.60 ,$85.50 ,$82.65 ,$76.00 ,$76.00 ,$21.41 ,$61.75 ST. FRANCIS HOSPITAL - ACUTE,30101102,80171,HC GABAPENTIN PLASMA - 90,301,1 ,$66.00 ,$47.52 ,$13.03 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$54.18 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$13.65 ,$13.03 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30101104,80175,HC LAMOTRIGINE - 90,301,1 ,$66.00 ,$47.52 ,$13.03 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$33.13 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$13.65 ,$13.03 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30101106,80177,HC LEVETIRACETAM - 90,301,1 ,$74.00 ,$53.28 ,$13.03 ,$74.00 ,$42.55 ,$53.28 ,$40.26 ,$16.68 ,$20.72 ,$49.21 ,$16.68 ,$51.80 ,$16.68 ,$46.62 ,$46.62 ,$16.68 ,$46.62 ,$34.38 ,$68.08 ,$33.13 ,$16.68 ,$62.90 ,$62.16 ,$16.68 ,$55.50 ,$59.20 ,$59.20 ,$16.68 ,$59.20 ,$64.38 ,$64.38 ,$64.38 ,$66.60 ,$42.55 ,$16.68 ,$74.00 ,$41.51 ,$16.68 ,$30.64 ,$13.65 ,$13.03 ,$17.51 ,$62.90 ,$46.62 ,$20.72 ,$66.60 ,$64.38 ,$59.20 ,$59.20 ,$16.68 ,$48.10 ST. FRANCIS HOSPITAL - ACUTE,30101108,80180,HC MYCOPHENOLATE/MYCOPHENOLIC ACID - 90,301,1 ,$213.00 ,$153.36 ,$13.03 ,$213.00 ,$122.48 ,$153.36 ,$115.87 ,$48.01 ,$59.64 ,$141.65 ,$48.01 ,$149.10 ,$48.01 ,$134.19 ,$134.19 ,$48.01 ,$134.19 ,$98.96 ,$195.96 ,$45.13 ,$48.01 ,$181.05 ,$178.92 ,$48.01 ,$159.75 ,$170.40 ,$170.40 ,$48.01 ,$170.40 ,$185.31 ,$185.31 ,$185.31 ,$191.70 ,$122.48 ,$48.01 ,$213.00 ,$119.49 ,$48.01 ,$88.18 ,$13.65 ,$13.03 ,$50.41 ,$181.05 ,$134.19 ,$59.64 ,$191.70 ,$185.31 ,$170.40 ,$170.40 ,$48.01 ,$138.45 ST. FRANCIS HOSPITAL - ACUTE,30101109,80183,HC OXCARBAZEPINE - 90,301,1 ,$84.00 ,$60.48 ,$13.03 ,$84.00 ,$48.30 ,$60.48 ,$45.70 ,$18.93 ,$23.52 ,$55.86 ,$18.93 ,$58.80 ,$18.93 ,$52.92 ,$52.92 ,$18.93 ,$52.92 ,$39.03 ,$77.28 ,$33.13 ,$18.93 ,$71.40 ,$70.56 ,$18.93 ,$63.00 ,$67.20 ,$67.20 ,$18.93 ,$67.20 ,$73.08 ,$73.08 ,$73.08 ,$75.60 ,$48.30 ,$18.93 ,$84.00 ,$47.12 ,$18.93 ,$34.78 ,$13.65 ,$13.03 ,$19.88 ,$71.40 ,$52.92 ,$23.52 ,$75.60 ,$73.08 ,$67.20 ,$67.20 ,$18.93 ,$54.60 ST. FRANCIS HOSPITAL - ACUTE,30101110,80184,HC PHENOBARBITAL - 90,301,1 ,$26.00 ,$18.72 ,$5.86 ,$38.25 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$38.25 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$13.65 ,$13.03 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30101114,80186,HC PHENYTOIN FREE - 90,301,1 ,$178.00 ,$128.16 ,$13.03 ,$178.00 ,$102.35 ,$128.16 ,$96.83 ,$40.12 ,$49.84 ,$118.37 ,$40.12 ,$124.60 ,$40.12 ,$112.14 ,$112.14 ,$40.12 ,$112.14 ,$82.70 ,$163.76 ,$34.40 ,$40.12 ,$151.30 ,$149.52 ,$40.12 ,$133.50 ,$142.40 ,$142.40 ,$40.12 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$102.35 ,$40.12 ,$178.00 ,$99.86 ,$40.12 ,$73.69 ,$13.65 ,$13.03 ,$42.13 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 ,$142.40 ,$142.40 ,$40.12 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,30101115,80188,HC PRIMIDONE - 90,301,1 ,$26.00 ,$18.72 ,$5.86 ,$41.48 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$41.48 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$13.65 ,$13.03 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30101116,80192,HC PROCAINEAMIDE - 90,301,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$41.88 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$13.65 ,$13.03 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101117,80194,HC QUINIDINE - 90,301,1 ,$55.00 ,$39.60 ,$12.40 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$36.50 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$13.65 ,$13.03 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101118,80195,HC RAPAMYCIN (SIROLIMUS) - 90,301,1 ,$87.00 ,$62.64 ,$13.03 ,$87.00 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$34.33 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 ,$13.65 ,$13.03 ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,30101119,80197,HC TACROLIMUS - 90,301,1 ,$228.00 ,$164.16 ,$13.03 ,$228.00 ,$131.10 ,$164.16 ,$124.03 ,$51.39 ,$63.84 ,$125.63 ,$51.39 ,$132.24 ,$51.39 ,$143.64 ,$143.64 ,$51.39 ,$143.64 ,$105.93 ,$209.76 ,$34.33 ,$51.39 ,$193.80 ,$191.52 ,$51.39 ,$171.00 ,$182.40 ,$182.40 ,$51.39 ,$182.40 ,$198.36 ,$198.36 ,$198.36 ,$205.20 ,$131.10 ,$51.39 ,$228.00 ,$127.91 ,$51.39 ,$94.39 ,$13.65 ,$13.03 ,$53.96 ,$193.80 ,$143.64 ,$63.84 ,$205.20 ,$198.36 ,$182.40 ,$182.40 ,$51.39 ,$148.20 ST. FRANCIS HOSPITAL - ACUTE,30101124,80201,HC TOPIRAMATE - 90,301,1 ,$63.00 ,$45.36 ,$13.03 ,$63.00 ,$36.23 ,$45.36 ,$34.27 ,$14.20 ,$17.64 ,$41.90 ,$14.20 ,$44.10 ,$14.20 ,$39.69 ,$39.69 ,$14.20 ,$39.69 ,$29.27 ,$57.96 ,$29.80 ,$14.20 ,$53.55 ,$52.92 ,$14.20 ,$47.25 ,$50.40 ,$50.40 ,$14.20 ,$50.40 ,$54.81 ,$54.81 ,$54.81 ,$56.70 ,$36.23 ,$14.20 ,$63.00 ,$35.34 ,$14.20 ,$26.08 ,$13.65 ,$13.03 ,$14.91 ,$53.55 ,$39.69 ,$17.64 ,$56.70 ,$54.81 ,$50.40 ,$50.40 ,$14.20 ,$40.95 ST. FRANCIS HOSPITAL - ACUTE,30101126,80203,HC ZONISAMIDE - 90,301,1 ,$209.00 ,$150.48 ,$13.03 ,$209.00 ,$120.18 ,$150.48 ,$113.70 ,$47.11 ,$58.52 ,$121.18 ,$47.11 ,$127.56 ,$47.11 ,$131.67 ,$131.67 ,$47.11 ,$131.67 ,$97.10 ,$192.28 ,$33.13 ,$47.11 ,$177.65 ,$175.56 ,$47.11 ,$156.75 ,$167.20 ,$167.20 ,$47.11 ,$167.20 ,$181.83 ,$181.83 ,$181.83 ,$188.10 ,$120.18 ,$47.11 ,$209.00 ,$117.25 ,$47.11 ,$86.53 ,$13.65 ,$13.03 ,$49.46 ,$177.65 ,$131.67 ,$58.52 ,$188.10 ,$181.83 ,$167.20 ,$167.20 ,$47.11 ,$135.85 ST. FRANCIS HOSPITAL - ACUTE,30101131,80299,HC THERAPEUTIC DRUG OTHER - 90,301,1 ,$87.00 ,$62.64 ,$13.03 ,$87.00 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$46.60 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 ,$13.65 ,$13.03 ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,30101134,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1,301,1 ,$174.00 ,$125.28 ,$30.54 ,$174.00 ,$100.05 ,$125.28 ,$94.66 ,$39.22 ,$48.72 ,$115.71 ,$39.22 ,$121.80 ,$39.22 ,$109.62 ,$109.62 ,$39.22 ,$109.62 ,$80.84 ,$160.08 ,$155.35 ,$39.22 ,$147.90 ,$146.16 ,$39.22 ,$130.50 ,$139.20 ,$139.20 ,$39.22 ,$139.20 ,$151.38 ,$151.38 ,$151.38 ,$156.60 ,$100.05 ,$39.22 ,$174.00 ,$97.61 ,$39.22 ,$72.04 ,$32.00 ,$30.54 ,$41.18 ,$147.90 ,$109.62 ,$48.72 ,$156.60 ,$151.38 ,$139.20 ,$139.20 ,$39.22 ,$113.10 ST. FRANCIS HOSPITAL - ACUTE,30101135,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2,301,1 ,$231.00 ,$166.32 ,$30.54 ,$231.00 ,$132.83 ,$166.32 ,$125.66 ,$52.07 ,$64.68 ,$153.62 ,$52.07 ,$161.70 ,$52.07 ,$145.53 ,$145.53 ,$52.07 ,$145.53 ,$107.32 ,$212.52 ,$155.35 ,$52.07 ,$196.35 ,$194.04 ,$52.07 ,$173.25 ,$184.80 ,$184.80 ,$52.07 ,$184.80 ,$200.97 ,$200.97 ,$200.97 ,$207.90 ,$132.83 ,$52.07 ,$231.00 ,$129.59 ,$52.07 ,$95.63 ,$32.00 ,$30.54 ,$54.67 ,$196.35 ,$145.53 ,$64.68 ,$207.90 ,$200.97 ,$184.80 ,$184.80 ,$52.07 ,$150.15 ST. FRANCIS HOSPITAL - ACUTE,30101136,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T3,301,1 ,$337.00 ,$242.64 ,$30.54 ,$337.00 ,$193.78 ,$242.64 ,$183.33 ,$75.96 ,$94.36 ,$224.11 ,$75.96 ,$235.90 ,$75.96 ,$212.31 ,$212.31 ,$75.96 ,$212.31 ,$156.57 ,$310.04 ,$155.35 ,$75.96 ,$286.45 ,$283.08 ,$75.96 ,$252.75 ,$269.60 ,$269.60 ,$75.96 ,$269.60 ,$293.19 ,$293.19 ,$293.19 ,$303.30 ,$193.78 ,$75.96 ,$337.00 ,$189.06 ,$75.96 ,$139.52 ,$32.00 ,$30.54 ,$79.76 ,$286.45 ,$212.31 ,$94.36 ,$303.30 ,$293.19 ,$269.60 ,$269.60 ,$75.96 ,$219.05 ST. FRANCIS HOSPITAL - ACUTE,30101140,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T1-90,301,1 ,$174.00 ,$125.28 ,$30.54 ,$174.00 ,$100.05 ,$125.28 ,$94.66 ,$39.22 ,$48.72 ,$115.71 ,$39.22 ,$121.80 ,$39.22 ,$109.62 ,$109.62 ,$39.22 ,$109.62 ,$80.84 ,$160.08 ,$155.35 ,$39.22 ,$147.90 ,$146.16 ,$39.22 ,$130.50 ,$139.20 ,$139.20 ,$39.22 ,$139.20 ,$151.38 ,$151.38 ,$151.38 ,$156.60 ,$100.05 ,$39.22 ,$174.00 ,$97.61 ,$39.22 ,$72.04 ,$32.00 ,$30.54 ,$41.18 ,$147.90 ,$109.62 ,$48.72 ,$156.60 ,$151.38 ,$139.20 ,$139.20 ,$39.22 ,$113.10 ST. FRANCIS HOSPITAL - ACUTE,30101141,80307,HC DRUG SCREEN PRESUMPTIVE INSTRUMENT T2-90,301,1 ,$59.00 ,$42.48 ,$13.30 ,$147.50 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$147.50 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$32.00 ,$30.54 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101145,80320,HC ALCOHOLS - 90,301,1 ,$200.00 ,$144.00 ,$11.35 ,$200.00 ,$115.00 ,$144.00 ,$108.80 ,$45.08 ,$56.00 , N/A ,$45.08 , N/A ,$45.08 ,$126.00 ,$126.00 ,$45.08 ,$126.00 ,$92.92 ,$184.00 , N/A ,$45.08 ,$170.00 ,$168.00 ,$45.08 ,$150.00 ,$160.00 ,$160.00 ,$45.08 ,$160.00 ,$174.00 ,$174.00 ,$174.00 ,$180.00 ,$115.00 ,$45.08 ,$200.00 ,$112.20 ,$45.08 ,$82.80 ,$11.89 ,$11.35 ,$47.33 ,$170.00 ,$126.00 ,$56.00 ,$180.00 ,$174.00 ,$160.00 ,$160.00 ,$45.08 ,$130.00 ST. FRANCIS HOSPITAL - ACUTE,30101146,80323,HC NICOTINE - 90,301,1 ,$165.00 ,$118.80 ,$30.54 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 , N/A ,$37.19 , N/A ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 , N/A ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$32.00 ,$30.54 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30101148,80327,HC ANABOLIC STERIODS 1-2 - 90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 , N/A ,$11.04 , N/A ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 , N/A ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$32.00 ,$30.54 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101149,80342,HC ANTIPSYCHOTICS NOT 1-3 -90,301,1 ,$195.00 ,$140.40 ,$30.54 ,$195.00 ,$112.13 ,$140.40 ,$106.08 ,$43.95 ,$54.60 , N/A ,$43.95 , N/A ,$43.95 ,$122.85 ,$122.85 ,$43.95 ,$122.85 ,$90.60 ,$179.40 , N/A ,$43.95 ,$165.75 ,$163.80 ,$43.95 ,$146.25 ,$156.00 ,$156.00 ,$43.95 ,$156.00 ,$169.65 ,$169.65 ,$169.65 ,$175.50 ,$112.13 ,$43.95 ,$195.00 ,$109.40 ,$43.95 ,$80.73 ,$32.00 ,$30.54 ,$46.15 ,$165.75 ,$122.85 ,$54.60 ,$175.50 ,$169.65 ,$156.00 ,$156.00 ,$43.95 ,$126.75 ST. FRANCIS HOSPITAL - ACUTE,30101150,80346,HC BENZODIAZEPINES 1-12 -90,301,1 ,$114.00 ,$82.08 ,$25.70 ,$114.00 ,$65.55 ,$82.08 ,$62.02 ,$25.70 ,$31.92 , N/A ,$25.70 , N/A ,$25.70 ,$71.82 ,$71.82 ,$25.70 ,$71.82 ,$52.96 ,$104.88 , N/A ,$25.70 ,$96.90 ,$95.76 ,$25.70 ,$85.50 ,$91.20 ,$91.20 ,$25.70 ,$91.20 ,$99.18 ,$99.18 ,$99.18 ,$102.60 ,$65.55 ,$25.70 ,$114.00 ,$63.95 ,$25.70 ,$47.20 ,$32.00 ,$30.54 ,$26.98 ,$96.90 ,$71.82 ,$31.92 ,$102.60 ,$99.18 ,$91.20 ,$91.20 ,$25.70 ,$74.10 ST. FRANCIS HOSPITAL - ACUTE,30101151,80349,HC CANNABINOIDS NATURAL -90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 , N/A ,$11.04 , N/A ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 , N/A ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101153,80359,HC METHYLENEDIOXYAMPHETAMINES MDA MDEA MDMA -90,301,1 ,$142.00 ,$102.24 ,$11.35 ,$142.00 ,$81.65 ,$102.24 ,$77.25 ,$32.01 ,$39.76 , N/A ,$32.01 , N/A ,$32.01 ,$89.46 ,$89.46 ,$32.01 ,$89.46 ,$65.97 ,$130.64 , N/A ,$32.01 ,$120.70 ,$119.28 ,$32.01 ,$106.50 ,$113.60 ,$113.60 ,$32.01 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$81.65 ,$32.01 ,$142.00 ,$79.66 ,$32.01 ,$58.79 ,$11.89 ,$11.35 ,$33.60 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 ,$113.60 ,$113.60 ,$32.01 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,30101154,80361,HC OPIATES 1 OR MORE -90,301,1 ,$147.00 ,$105.84 ,$30.54 ,$147.00 ,$84.53 ,$105.84 ,$79.97 ,$33.13 ,$41.16 , N/A ,$33.13 , N/A ,$33.13 ,$92.61 ,$92.61 ,$33.13 ,$92.61 ,$68.30 ,$135.24 , N/A ,$33.13 ,$124.95 ,$123.48 ,$33.13 ,$110.25 ,$117.60 ,$117.60 ,$33.13 ,$117.60 ,$127.89 ,$127.89 ,$127.89 ,$132.30 ,$84.53 ,$33.13 ,$147.00 ,$82.47 ,$33.13 ,$60.86 ,$32.00 ,$30.54 ,$34.79 ,$124.95 ,$92.61 ,$41.16 ,$132.30 ,$127.89 ,$117.60 ,$117.60 ,$33.13 ,$95.55 ST. FRANCIS HOSPITAL - ACUTE,30101157,82017,HC ACYLCARNITINES QN EA SPEC-90,301,1 ,$163.00 ,$117.36 ,$11.35 ,$163.00 ,$93.73 ,$117.36 ,$88.67 ,$36.74 ,$45.64 ,$108.40 ,$36.74 ,$114.10 ,$36.74 ,$102.69 ,$102.69 ,$36.74 ,$102.69 ,$75.73 ,$149.96 ,$42.18 ,$36.74 ,$138.55 ,$136.92 ,$36.74 ,$122.25 ,$130.40 ,$130.40 ,$36.74 ,$130.40 ,$141.81 ,$141.81 ,$141.81 ,$146.70 ,$93.73 ,$36.74 ,$163.00 ,$91.44 ,$36.74 ,$67.48 ,$11.89 ,$11.35 ,$38.57 ,$138.55 ,$102.69 ,$45.64 ,$146.70 ,$141.81 ,$130.40 ,$130.40 ,$36.74 ,$105.95 ST. FRANCIS HOSPITAL - ACUTE,30101158,82024,HC ACTH -90,301,1 ,$229.00 ,$164.88 ,$26.55 ,$229.00 ,$131.68 ,$164.88 ,$124.58 ,$51.62 ,$64.12 ,$152.29 ,$51.62 ,$160.30 ,$51.62 ,$144.27 ,$144.27 ,$51.62 ,$144.27 ,$106.39 ,$210.68 ,$96.55 ,$51.62 ,$194.65 ,$192.36 ,$51.62 ,$171.75 ,$183.20 ,$183.20 ,$51.62 ,$183.20 ,$199.23 ,$199.23 ,$199.23 ,$206.10 ,$131.68 ,$51.62 ,$229.00 ,$128.47 ,$51.62 ,$94.81 ,$27.82 ,$26.55 ,$54.19 ,$194.65 ,$144.27 ,$64.12 ,$206.10 ,$199.23 ,$183.20 ,$183.20 ,$51.62 ,$148.85 ST. FRANCIS HOSPITAL - ACUTE,30101159,82040,HC ALBUMIN-90,301,1 ,$83.00 ,$59.76 ,$5.05 ,$83.00 ,$47.73 ,$59.76 ,$45.15 ,$18.71 ,$23.24 ,$55.20 ,$18.71 ,$58.10 ,$18.71 ,$52.29 ,$52.29 ,$18.71 ,$52.29 ,$38.56 ,$76.36 ,$12.38 ,$18.71 ,$70.55 ,$69.72 ,$18.71 ,$62.25 ,$66.40 ,$66.40 ,$18.71 ,$66.40 ,$72.21 ,$72.21 ,$72.21 ,$74.70 ,$47.73 ,$18.71 ,$83.00 ,$46.56 ,$18.71 ,$34.36 ,$5.29 ,$5.05 ,$19.64 ,$70.55 ,$52.29 ,$23.24 ,$74.70 ,$72.21 ,$66.40 ,$66.40 ,$18.71 ,$53.95 ST. FRANCIS HOSPITAL - ACUTE,30101160,82042,HC ALBUMIN OTHER SOURCE-90,301,1 ,$97.00 ,$69.84 ,$5.05 ,$97.00 ,$55.78 ,$69.84 ,$52.77 ,$21.86 ,$27.16 ,$64.51 ,$21.86 ,$67.90 ,$21.86 ,$61.11 ,$61.11 ,$21.86 ,$61.11 ,$45.07 ,$89.24 ,$19.45 ,$21.86 ,$82.45 ,$81.48 ,$21.86 ,$72.75 ,$77.60 ,$77.60 ,$21.86 ,$77.60 ,$84.39 ,$84.39 ,$84.39 ,$87.30 ,$55.78 ,$21.86 ,$97.00 ,$54.42 ,$21.86 ,$40.16 ,$5.29 ,$5.05 ,$22.96 ,$82.45 ,$61.11 ,$27.16 ,$87.30 ,$84.39 ,$77.60 ,$77.60 ,$21.86 ,$63.05 ST. FRANCIS HOSPITAL - ACUTE,30101161,82043,HC MICROALBUMIN URINE QN-90,301,1 ,$135.00 ,$97.20 ,$4.05 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$71.59 ,$30.43 ,$75.36 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$14.45 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$4.25 ,$4.05 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30101162,82085,HC ALDOLASE-90,301,1 ,$63.00 ,$45.36 ,$11.35 ,$63.00 ,$36.23 ,$45.36 ,$34.27 ,$14.20 ,$17.64 ,$41.90 ,$14.20 ,$44.10 ,$14.20 ,$39.69 ,$39.69 ,$14.20 ,$39.69 ,$29.27 ,$57.96 ,$24.28 ,$14.20 ,$53.55 ,$52.92 ,$14.20 ,$47.25 ,$50.40 ,$50.40 ,$14.20 ,$50.40 ,$54.81 ,$54.81 ,$54.81 ,$56.70 ,$36.23 ,$14.20 ,$63.00 ,$35.34 ,$14.20 ,$26.08 ,$11.89 ,$11.35 ,$14.91 ,$53.55 ,$39.69 ,$17.64 ,$56.70 ,$54.81 ,$50.40 ,$50.40 ,$14.20 ,$40.95 ST. FRANCIS HOSPITAL - ACUTE,30101163,82088,HC ALDOSTERONE-90,301,1 ,$245.00 ,$176.40 ,$26.55 ,$245.00 ,$140.88 ,$176.40 ,$133.28 ,$55.22 ,$68.60 ,$162.93 ,$55.22 ,$171.50 ,$55.22 ,$154.35 ,$154.35 ,$55.22 ,$154.35 ,$113.83 ,$225.40 ,$101.88 ,$55.22 ,$208.25 ,$205.80 ,$55.22 ,$183.75 ,$196.00 ,$196.00 ,$55.22 ,$196.00 ,$213.15 ,$213.15 ,$213.15 ,$220.50 ,$140.88 ,$55.22 ,$245.00 ,$137.45 ,$55.22 ,$101.43 ,$27.82 ,$26.55 ,$57.99 ,$208.25 ,$154.35 ,$68.60 ,$220.50 ,$213.15 ,$196.00 ,$196.00 ,$55.22 ,$159.25 ST. FRANCIS HOSPITAL - ACUTE,30101164,82103,HC ALPHA-1 ANTITRYPSIN TOTAL-90,301,1 ,$94.00 ,$67.68 ,$11.35 ,$94.00 ,$54.05 ,$67.68 ,$51.14 ,$21.19 ,$26.32 ,$62.51 ,$21.19 ,$65.80 ,$21.19 ,$59.22 ,$59.22 ,$21.19 ,$59.22 ,$43.67 ,$86.48 ,$33.60 ,$21.19 ,$79.90 ,$78.96 ,$21.19 ,$70.50 ,$75.20 ,$75.20 ,$21.19 ,$75.20 ,$81.78 ,$81.78 ,$81.78 ,$84.60 ,$54.05 ,$21.19 ,$94.00 ,$52.73 ,$21.19 ,$38.92 ,$11.89 ,$11.35 ,$22.25 ,$79.90 ,$59.22 ,$26.32 ,$84.60 ,$81.78 ,$75.20 ,$75.20 ,$21.19 ,$61.10 ST. FRANCIS HOSPITAL - ACUTE,30101165,82104,HC ALPHA-1 ANTITRYPSIN PHENO-90,301,1 ,$178.00 ,$128.16 ,$11.35 ,$178.00 ,$102.35 ,$128.16 ,$96.83 ,$40.12 ,$49.84 ,$118.37 ,$40.12 ,$124.60 ,$40.12 ,$112.14 ,$112.14 ,$40.12 ,$112.14 ,$82.70 ,$163.76 ,$36.15 ,$40.12 ,$151.30 ,$149.52 ,$40.12 ,$133.50 ,$142.40 ,$142.40 ,$40.12 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$102.35 ,$40.12 ,$178.00 ,$99.86 ,$40.12 ,$73.69 ,$11.89 ,$11.35 ,$42.13 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 ,$142.40 ,$142.40 ,$40.12 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,30101166,82105,HC ALPHA FETOPROTEIN SERUM-90,301,1 ,$99.00 ,$71.28 ,$11.35 ,$99.00 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$65.84 ,$22.31 ,$69.30 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$41.93 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$11.89 ,$11.35 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30101169,82108,HC ALUMINUM-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$63.70 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$63.70 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$14.50 ,$13.84 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101172,82131,HC AMINO ACID QN SINGLE-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$57.45 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$57.45 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101175,82139,HC AMINO ACIDS 6+ QN CSF-90,301,1 ,$131.00 ,$94.32 ,$11.35 ,$131.00 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$87.12 ,$29.53 ,$91.70 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$42.18 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$11.89 ,$11.35 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30101176,82140,HC AMMONIA-90,301,1 ,$59.00 ,$42.48 ,$11.35 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$36.43 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$11.89 ,$11.35 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101178,82157,HC ANDROSTENEDIONE-90,301,1 ,$110.00 ,$79.20 ,$24.79 ,$110.00 ,$63.25 ,$79.20 ,$59.84 ,$24.79 ,$30.80 ,$73.15 ,$24.79 ,$77.00 ,$24.79 ,$69.30 ,$69.30 ,$24.79 ,$69.30 ,$51.11 ,$101.20 ,$73.20 ,$24.79 ,$93.50 ,$92.40 ,$24.79 ,$82.50 ,$88.00 ,$88.00 ,$24.79 ,$88.00 ,$95.70 ,$95.70 ,$95.70 ,$99.00 ,$63.25 ,$24.79 ,$110.00 ,$61.71 ,$24.79 ,$45.54 ,$27.82 ,$26.55 ,$26.04 ,$93.50 ,$69.30 ,$30.80 ,$99.00 ,$95.70 ,$88.00 ,$88.00 ,$24.79 ,$71.50 ST. FRANCIS HOSPITAL - ACUTE,30101179,82164,HC ANGIOTENSIN 1 ENZYME (ACE)-90,301,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$36.50 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$11.89 ,$11.35 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30101180,82172,HC APOLIPOPROTEIN SERUM-90,301,1 ,$40.00 ,$28.80 ,$9.02 ,$52.73 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$52.73 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$11.89 ,$11.35 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101181,82175,HC ARSENIC-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$47.43 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$47.43 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$14.50 ,$13.84 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101182,82180,HC VITAMIN C (ASCORBIC ACID)-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$24.73 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101184,82232,HC BETA 2 MICROGLOBULIN-90,301,1 ,$67.00 ,$48.24 ,$15.10 ,$67.00 ,$38.53 ,$48.24 ,$36.45 ,$15.10 ,$18.76 ,$44.56 ,$15.10 ,$46.90 ,$15.10 ,$42.21 ,$42.21 ,$15.10 ,$42.21 ,$31.13 ,$61.64 ,$40.45 ,$15.10 ,$56.95 ,$56.28 ,$15.10 ,$50.25 ,$53.60 ,$53.60 ,$15.10 ,$53.60 ,$58.29 ,$58.29 ,$58.29 ,$60.30 ,$38.53 ,$15.10 ,$67.00 ,$37.59 ,$15.10 ,$27.74 ,$27.82 ,$26.55 ,$15.86 ,$56.95 ,$42.21 ,$18.76 ,$60.30 ,$58.29 ,$53.60 ,$53.60 ,$15.10 ,$43.55 ST. FRANCIS HOSPITAL - ACUTE,30101185,82239,HC BILE ACID TOTAL-90,301,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 ,$42.80 ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 ,$11.89 ,$11.35 ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,30101186,82247,HC BILIRUBIN TOTAL-90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$12.55 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101188,82270,HC OCCULT BLOOD FECAL SCRN,301,1 ,$66.00 ,$47.52 ,$5.05 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$10.95 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$5.29 ,$5.05 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30101191,82271,HC OCCULT BLOOD GASTRIC,301,1 ,$54.00 ,$38.88 ,$5.05 ,$54.00 ,$31.05 ,$38.88 ,$29.38 ,$12.17 ,$15.12 ,$35.91 ,$12.17 ,$37.80 ,$12.17 ,$34.02 ,$34.02 ,$12.17 ,$34.02 ,$25.09 ,$49.68 ,$13.30 ,$12.17 ,$45.90 ,$45.36 ,$12.17 ,$40.50 ,$43.20 ,$43.20 ,$12.17 ,$43.20 ,$46.98 ,$46.98 ,$46.98 ,$48.60 ,$31.05 ,$12.17 ,$54.00 ,$30.29 ,$12.17 ,$22.36 ,$5.29 ,$5.05 ,$12.78 ,$45.90 ,$34.02 ,$15.12 ,$48.60 ,$46.98 ,$43.20 ,$43.20 ,$12.17 ,$35.10 ST. FRANCIS HOSPITAL - ACUTE,30101196,82300,HC CADMIUM-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$59.10 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$59.10 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$14.50 ,$13.84 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101197,82306,HC VITAMIN D 25 OH-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$74.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$74.00 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$32.00 ,$30.54 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101199,82308,HC CALCITONIN-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$66.98 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$66.98 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$27.82 ,$26.55 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101203,82340,HC CALCIUM URINE QN TIMED-90,301,1 ,$59.00 ,$42.48 ,$11.35 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$15.08 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$11.89 ,$11.35 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101205,82365,HC CALCULUS ANLYS INFRARED-90,301,1 ,$95.00 ,$68.40 ,$11.35 ,$95.00 ,$54.63 ,$68.40 ,$51.68 ,$21.41 ,$26.60 ,$63.18 ,$21.41 ,$66.50 ,$21.41 ,$59.85 ,$59.85 ,$21.41 ,$59.85 ,$44.14 ,$87.40 ,$32.25 ,$21.41 ,$80.75 ,$79.80 ,$21.41 ,$71.25 ,$76.00 ,$76.00 ,$21.41 ,$76.00 ,$82.65 ,$82.65 ,$82.65 ,$85.50 ,$54.63 ,$21.41 ,$95.00 ,$53.30 ,$21.41 ,$39.33 ,$11.89 ,$11.35 ,$22.48 ,$80.75 ,$59.85 ,$26.60 ,$85.50 ,$82.65 ,$76.00 ,$76.00 ,$21.41 ,$61.75 ST. FRANCIS HOSPITAL - ACUTE,30101207,82373,HC CARBOHY DEFICIENT TRANSFER CONGENTIAL-90,301,1 ,$134.00 ,$96.48 ,$11.35 ,$134.00 ,$77.05 ,$96.48 ,$72.90 ,$30.20 ,$37.52 ,$89.11 ,$30.20 ,$93.80 ,$30.20 ,$84.42 ,$84.42 ,$30.20 ,$84.42 ,$62.26 ,$123.28 ,$45.15 ,$30.20 ,$113.90 ,$112.56 ,$30.20 ,$100.50 ,$107.20 ,$107.20 ,$30.20 ,$107.20 ,$116.58 ,$116.58 ,$116.58 ,$120.60 ,$77.05 ,$30.20 ,$134.00 ,$75.17 ,$30.20 ,$55.48 ,$11.89 ,$11.35 ,$31.71 ,$113.90 ,$84.42 ,$37.52 ,$120.60 ,$116.58 ,$107.20 ,$107.20 ,$30.20 ,$87.10 ST. FRANCIS HOSPITAL - ACUTE,30101209,82379,HC CARNITINE TOTAL AND FREE QN-90,301,1 ,$172.00 ,$123.84 ,$11.35 ,$172.00 ,$98.90 ,$123.84 ,$93.57 ,$38.77 ,$48.16 ,$114.38 ,$38.77 ,$120.40 ,$38.77 ,$108.36 ,$108.36 ,$38.77 ,$108.36 ,$79.91 ,$158.24 ,$42.18 ,$38.77 ,$146.20 ,$144.48 ,$38.77 ,$129.00 ,$137.60 ,$137.60 ,$38.77 ,$137.60 ,$149.64 ,$149.64 ,$149.64 ,$154.80 ,$98.90 ,$38.77 ,$172.00 ,$96.49 ,$38.77 ,$71.21 ,$11.89 ,$11.35 ,$40.71 ,$146.20 ,$108.36 ,$48.16 ,$154.80 ,$149.64 ,$137.60 ,$137.60 ,$38.77 ,$111.80 ST. FRANCIS HOSPITAL - ACUTE,30101210,82380,HC CAROTENE-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$23.05 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101211,82384,HC CATECHOLAMINE FRACTION-90,301,1 ,$72.00 ,$51.84 ,$16.23 ,$72.00 ,$41.40 ,$51.84 ,$39.17 ,$16.23 ,$20.16 ,$47.88 ,$16.23 ,$50.40 ,$16.23 ,$45.36 ,$45.36 ,$16.23 ,$45.36 ,$33.45 ,$66.24 ,$63.13 ,$16.23 ,$61.20 ,$60.48 ,$16.23 ,$54.00 ,$57.60 ,$57.60 ,$16.23 ,$57.60 ,$62.64 ,$62.64 ,$62.64 ,$64.80 ,$41.40 ,$16.23 ,$72.00 ,$40.39 ,$16.23 ,$29.81 ,$27.82 ,$26.55 ,$17.04 ,$61.20 ,$45.36 ,$20.16 ,$64.80 ,$62.64 ,$57.60 ,$57.60 ,$16.23 ,$46.80 ST. FRANCIS HOSPITAL - ACUTE,30101212,82390,HC CERULOPLASMIN-90,301,1 ,$91.00 ,$65.52 ,$11.35 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 ,$26.85 ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 ,$11.89 ,$11.35 ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,30101213,82397,HC CHEMILUMINESCENT ASSAY-90,301,1 ,$37.00 ,$26.64 ,$8.34 ,$37.00 ,$21.28 ,$26.64 ,$20.13 ,$8.34 ,$10.36 ,$24.61 ,$8.34 ,$25.90 ,$8.34 ,$23.31 ,$23.31 ,$8.34 ,$23.31 ,$17.19 ,$34.04 ,$35.30 ,$8.34 ,$31.45 ,$31.08 ,$8.34 ,$27.75 ,$29.60 ,$29.60 ,$8.34 ,$29.60 ,$32.19 ,$32.19 ,$32.19 ,$33.30 ,$21.28 ,$8.34 ,$37.00 ,$20.76 ,$8.34 ,$15.32 ,$11.89 ,$11.35 ,$8.76 ,$31.45 ,$23.31 ,$10.36 ,$33.30 ,$32.19 ,$29.60 ,$29.60 ,$8.34 ,$24.05 ST. FRANCIS HOSPITAL - ACUTE,30101218,82495,HC CHROMIUM SERUM-90,301,1 ,$94.00 ,$67.68 ,$13.84 ,$94.00 ,$54.05 ,$67.68 ,$51.14 ,$21.19 ,$26.32 ,$62.51 ,$21.19 ,$65.80 ,$21.19 ,$59.22 ,$59.22 ,$21.19 ,$59.22 ,$43.67 ,$86.48 ,$50.70 ,$21.19 ,$79.90 ,$78.96 ,$21.19 ,$70.50 ,$75.20 ,$75.20 ,$21.19 ,$75.20 ,$81.78 ,$81.78 ,$81.78 ,$84.60 ,$54.05 ,$21.19 ,$94.00 ,$52.73 ,$21.19 ,$38.92 ,$14.50 ,$13.84 ,$22.25 ,$79.90 ,$59.22 ,$26.32 ,$84.60 ,$81.78 ,$75.20 ,$75.20 ,$21.19 ,$61.10 ST. FRANCIS HOSPITAL - ACUTE,30101219,82507,HC CITRATE-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$69.50 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$69.50 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$11.89 ,$11.35 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101220,82523,HC COLLAGEN CROSS LINKS ANY METHOD-90,301,1 ,$207.00 ,$149.04 ,$17.51 ,$207.00 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$137.66 ,$46.66 ,$144.90 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$46.70 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$18.35 ,$17.51 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,30101221,82525,HC COPPER-90,301,1 ,$77.00 ,$55.44 ,$13.84 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 ,$31.03 ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 ,$14.50 ,$13.84 ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,30101222,82530,HC CORTISOL FREE-90,301,1 ,$154.00 ,$110.88 ,$11.35 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$102.41 ,$34.71 ,$107.80 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$41.78 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$11.89 ,$11.35 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30101223,82533,HC CORTISOL TOTAL-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$40.75 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$27.82 ,$26.55 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101224,82542,HC CHROMO SPECTROMETRY -90,301,1 ,$119.00 ,$85.68 ,$11.35 ,$119.00 ,$68.43 ,$85.68 ,$64.74 ,$26.82 ,$33.32 ,$79.14 ,$26.82 ,$83.30 ,$26.82 ,$74.97 ,$74.97 ,$26.82 ,$74.97 ,$55.29 ,$109.48 ,$60.23 ,$26.82 ,$101.15 ,$99.96 ,$26.82 ,$89.25 ,$95.20 ,$95.20 ,$26.82 ,$95.20 ,$103.53 ,$103.53 ,$103.53 ,$107.10 ,$68.43 ,$26.82 ,$119.00 ,$66.76 ,$26.82 ,$49.27 ,$11.89 ,$11.35 ,$28.17 ,$101.15 ,$74.97 ,$33.32 ,$107.10 ,$103.53 ,$95.20 ,$95.20 ,$26.82 ,$77.35 ST. FRANCIS HOSPITAL - ACUTE,30101225,82550,HC CREATINE KINASE (CPK) TOTAL-90,301,1 ,$185.00 ,$133.20 ,$5.05 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$80.71 ,$41.70 ,$84.96 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$16.28 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$5.29 ,$5.05 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,30101226,82552,HC CREATINE KINASE (CPK) ISO-90,301,1 ,$56.00 ,$40.32 ,$11.35 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$33.48 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$11.89 ,$11.35 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101231,82570,HC CREATININE OTH SOURCE-90,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$64.07 ,$35.61 ,$67.44 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$12.95 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30101233,82595,HC CRYOGLOBULIN QL OR SQN-90,301,1 ,$95.00 ,$68.40 ,$11.35 ,$95.00 ,$54.63 ,$68.40 ,$51.68 ,$21.41 ,$26.60 ,$59.17 ,$21.41 ,$62.28 ,$21.41 ,$59.85 ,$59.85 ,$21.41 ,$59.85 ,$44.14 ,$87.40 ,$16.18 ,$21.41 ,$80.75 ,$79.80 ,$21.41 ,$71.25 ,$76.00 ,$76.00 ,$21.41 ,$76.00 ,$82.65 ,$82.65 ,$82.65 ,$85.50 ,$54.63 ,$21.41 ,$95.00 ,$53.30 ,$21.41 ,$39.33 ,$11.89 ,$11.35 ,$22.48 ,$80.75 ,$59.85 ,$26.60 ,$85.50 ,$82.65 ,$76.00 ,$76.00 ,$21.41 ,$61.75 ST. FRANCIS HOSPITAL - ACUTE,30101237,82626,HC DHEA-90,301,1 ,$252.00 ,$181.44 ,$11.35 ,$252.00 ,$144.90 ,$181.44 ,$137.09 ,$56.80 ,$70.56 ,$167.58 ,$56.80 ,$176.40 ,$56.80 ,$158.76 ,$158.76 ,$56.80 ,$158.76 ,$117.08 ,$231.84 ,$63.18 ,$56.80 ,$214.20 ,$211.68 ,$56.80 ,$189.00 ,$201.60 ,$201.60 ,$56.80 ,$201.60 ,$219.24 ,$219.24 ,$219.24 ,$226.80 ,$144.90 ,$56.80 ,$252.00 ,$141.37 ,$56.80 ,$104.33 ,$11.89 ,$11.35 ,$59.64 ,$214.20 ,$158.76 ,$70.56 ,$226.80 ,$219.24 ,$201.60 ,$201.60 ,$56.80 ,$163.80 ST. FRANCIS HOSPITAL - ACUTE,30101238,82627,HC DHEA SULFATE-90,301,1 ,$169.00 ,$121.68 ,$26.55 ,$169.00 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 ,$155.48 ,$55.58 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$27.82 ,$26.55 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30101240,82652,HC VITAMIN D (1 25 DIHYDROXY)-90,301,1 ,$276.00 ,$198.72 ,$30.54 ,$276.00 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 ,$96.25 ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 ,$32.00 ,$30.54 ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,30101241,82656,HC ELASTASE PANCREATIC EL1 FECAL QL OR SQN-90,301,1 ,$72.00 ,$51.84 ,$11.35 ,$72.00 ,$41.40 ,$51.84 ,$39.17 ,$16.23 ,$20.16 ,$47.88 ,$16.23 ,$50.40 ,$16.23 ,$45.36 ,$45.36 ,$16.23 ,$45.36 ,$33.45 ,$66.24 ,$28.83 ,$16.23 ,$61.20 ,$60.48 ,$16.23 ,$54.00 ,$57.60 ,$57.60 ,$16.23 ,$57.60 ,$62.64 ,$62.64 ,$62.64 ,$64.80 ,$41.40 ,$16.23 ,$72.00 ,$40.39 ,$16.23 ,$29.81 ,$11.89 ,$11.35 ,$17.04 ,$61.20 ,$45.36 ,$20.16 ,$64.80 ,$62.64 ,$57.60 ,$57.60 ,$16.23 ,$46.80 ST. FRANCIS HOSPITAL - ACUTE,30101242,82657,HC ENZYME ACT NONRAD SUBS-90,301,1 ,$409.00 ,$294.48 ,$11.35 ,$409.00 ,$235.18 ,$294.48 ,$222.50 ,$92.19 ,$114.52 ,$165.19 ,$92.19 ,$173.88 ,$92.19 ,$257.67 ,$257.67 ,$92.19 ,$257.67 ,$190.02 ,$376.28 ,$55.43 ,$92.19 ,$347.65 ,$343.56 ,$92.19 ,$306.75 ,$327.20 ,$327.20 ,$92.19 ,$327.20 ,$355.83 ,$355.83 ,$355.83 ,$368.10 ,$235.18 ,$92.19 ,$409.00 ,$229.45 ,$92.19 ,$169.33 ,$11.89 ,$11.35 ,$96.79 ,$347.65 ,$257.67 ,$114.52 ,$368.10 ,$355.83 ,$327.20 ,$327.20 ,$92.19 ,$265.85 ST. FRANCIS HOSPITAL - ACUTE,30101245,82668,HC ERYTHROPOIETIN-90,301,1 ,$224.00 ,$161.28 ,$11.35 ,$224.00 ,$128.80 ,$161.28 ,$121.86 ,$50.49 ,$62.72 ,$148.96 ,$50.49 ,$156.80 ,$50.49 ,$141.12 ,$141.12 ,$50.49 ,$141.12 ,$104.07 ,$206.08 ,$46.98 ,$50.49 ,$190.40 ,$188.16 ,$50.49 ,$168.00 ,$179.20 ,$179.20 ,$50.49 ,$179.20 ,$194.88 ,$194.88 ,$194.88 ,$201.60 ,$128.80 ,$50.49 ,$224.00 ,$125.66 ,$50.49 ,$92.74 ,$11.89 ,$11.35 ,$53.02 ,$190.40 ,$141.12 ,$62.72 ,$201.60 ,$194.88 ,$179.20 ,$179.20 ,$50.49 ,$145.60 ST. FRANCIS HOSPITAL - ACUTE,30101246,82670,HC ESTRADIOL-90,301,1 ,$130.00 ,$93.60 ,$26.55 ,$130.00 ,$74.75 ,$93.60 ,$70.72 ,$29.30 ,$36.40 ,$86.45 ,$29.30 ,$91.00 ,$29.30 ,$81.90 ,$81.90 ,$29.30 ,$81.90 ,$60.40 ,$119.60 ,$69.85 ,$29.30 ,$110.50 ,$109.20 ,$29.30 ,$97.50 ,$104.00 ,$104.00 ,$29.30 ,$104.00 ,$113.10 ,$113.10 ,$113.10 ,$117.00 ,$74.75 ,$29.30 ,$130.00 ,$72.93 ,$29.30 ,$53.82 ,$27.82 ,$26.55 ,$30.77 ,$110.50 ,$81.90 ,$36.40 ,$117.00 ,$113.10 ,$104.00 ,$104.00 ,$29.30 ,$84.50 ST. FRANCIS HOSPITAL - ACUTE,30101247,82670,HC ESTRADIOL FREE-90,301,1 ,$94.00 ,$67.68 ,$21.19 ,$94.00 ,$54.05 ,$67.68 ,$51.14 ,$21.19 ,$26.32 ,$62.51 ,$21.19 ,$65.80 ,$21.19 ,$59.22 ,$59.22 ,$21.19 ,$59.22 ,$43.67 ,$86.48 ,$69.85 ,$21.19 ,$79.90 ,$78.96 ,$21.19 ,$70.50 ,$75.20 ,$75.20 ,$21.19 ,$75.20 ,$81.78 ,$81.78 ,$81.78 ,$84.60 ,$54.05 ,$21.19 ,$94.00 ,$52.73 ,$21.19 ,$38.92 ,$27.82 ,$26.55 ,$22.25 ,$79.90 ,$59.22 ,$26.32 ,$84.60 ,$81.78 ,$75.20 ,$75.20 ,$21.19 ,$61.10 ST. FRANCIS HOSPITAL - ACUTE,30101248,82671,HC ESTROGEN FRACTIONATED-90,301,1 ,$212.00 ,$152.64 ,$26.55 ,$212.00 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$140.98 ,$47.78 ,$148.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$80.75 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$87.77 ,$27.82 ,$26.55 ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 ,$169.60 ,$169.60 ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,30101249,82672,HC ESTROGEN TOTAL-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$54.25 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$54.25 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$27.82 ,$26.55 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101250,82677,HC ESTRIOL-90,301,1 ,$56.00 ,$40.32 ,$12.62 ,$60.45 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$60.45 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$27.82 ,$26.55 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101251,82679,HC ESTRONE-90,301,1 ,$107.00 ,$77.04 ,$24.12 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$62.38 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$27.82 ,$26.55 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,30101252,82693,HC ETHYLENE GLYCOL-90,301,1 ,$243.00 ,$174.96 ,$13.84 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$136.34 ,$54.77 ,$143.52 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$37.25 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$14.50 ,$13.84 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,30101253,82705,HC FECAL FAT QUALITATIVE-90,301,1 ,$26.00 ,$18.72 ,$5.05 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$12.75 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$5.29 ,$5.05 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30101254,82710,HC FECAL FAT QN-90,301,1 ,$133.00 ,$95.76 ,$11.35 ,$133.00 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 ,$42.00 ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 ,$11.89 ,$11.35 ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,30101256,82728,HC FERRITIN-90,301,1 ,$201.00 ,$144.72 ,$11.35 ,$201.00 ,$115.58 ,$144.72 ,$109.34 ,$45.31 ,$56.28 ,$124.72 ,$45.31 ,$131.28 ,$45.31 ,$126.63 ,$126.63 ,$45.31 ,$126.63 ,$93.38 ,$184.92 ,$34.08 ,$45.31 ,$170.85 ,$168.84 ,$45.31 ,$150.75 ,$160.80 ,$160.80 ,$45.31 ,$160.80 ,$174.87 ,$174.87 ,$174.87 ,$180.90 ,$115.58 ,$45.31 ,$201.00 ,$112.76 ,$45.31 ,$83.21 ,$11.89 ,$11.35 ,$47.57 ,$170.85 ,$126.63 ,$56.28 ,$180.90 ,$174.87 ,$160.80 ,$160.80 ,$45.31 ,$130.65 ST. FRANCIS HOSPITAL - ACUTE,30101259,82747,HC FOLIC ACID RBC-90,301,1 ,$138.00 ,$99.36 ,$7.05 ,$138.00 ,$79.35 ,$99.36 ,$75.07 ,$31.11 ,$38.64 ,$91.77 ,$31.11 ,$96.60 ,$31.11 ,$86.94 ,$86.94 ,$31.11 ,$86.94 ,$64.11 ,$126.96 ,$44.13 ,$31.11 ,$117.30 ,$115.92 ,$31.11 ,$103.50 ,$110.40 ,$110.40 ,$31.11 ,$110.40 ,$120.06 ,$120.06 ,$120.06 ,$124.20 ,$79.35 ,$31.11 ,$138.00 ,$77.42 ,$31.11 ,$57.13 ,$7.38 ,$7.05 ,$32.66 ,$117.30 ,$86.94 ,$38.64 ,$124.20 ,$120.06 ,$110.40 ,$110.40 ,$31.11 ,$89.70 ST. FRANCIS HOSPITAL - ACUTE,30101262,82784,HC GAMMAGLOBULIN-90,301,1 ,$55.00 ,$39.60 ,$11.35 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$23.25 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$11.89 ,$11.35 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101263,82785,HC GAMMAGLOBULIN IGE-90,301,1 ,$179.00 ,$128.88 ,$11.35 ,$179.00 ,$102.93 ,$128.88 ,$97.38 ,$40.35 ,$50.12 ,$119.04 ,$40.35 ,$125.30 ,$40.35 ,$112.77 ,$112.77 ,$40.35 ,$112.77 ,$83.16 ,$164.68 ,$41.15 ,$40.35 ,$152.15 ,$150.36 ,$40.35 ,$134.25 ,$143.20 ,$143.20 ,$40.35 ,$143.20 ,$155.73 ,$155.73 ,$155.73 ,$161.10 ,$102.93 ,$40.35 ,$179.00 ,$100.42 ,$40.35 ,$74.11 ,$11.89 ,$11.35 ,$42.37 ,$152.15 ,$112.77 ,$50.12 ,$161.10 ,$155.73 ,$143.20 ,$143.20 ,$40.35 ,$116.35 ST. FRANCIS HOSPITAL - ACUTE,30101265,82787,HC IMMUNOGLOBULIN SUBCLASSES-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$20.05 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$18.35 ,$17.51 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101268,82941,HC GASTRIN-90,301,1 ,$117.00 ,$84.24 ,$26.37 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 ,$44.08 ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 ,$27.82 ,$26.55 ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,30101273,82948,HC GLUCOSE BLOOD REAGENT STRIP,301,1 ,$45.00 ,$32.40 ,$2.55 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$12.60 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$2.67 ,$2.55 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30101274,82955,HC G6PD ENZYME QN-90,301,1 ,$56.00 ,$40.32 ,$11.35 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$24.25 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$11.89 ,$11.35 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101275,82977,HC GGT/GGTP-90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$18.00 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101276,82985,HC FRUCTOSAMINE-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$41.90 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$41.90 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$11.89 ,$11.35 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101279,83003,HC GROWTH HORMONE (HGH)-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$41.68 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$27.82 ,$26.55 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101281,83010,HC HAPTOGLOBIN-90,301,1 ,$77.00 ,$55.44 ,$11.35 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 ,$31.45 ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 ,$11.89 ,$11.35 ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,30101282,83013,HC H PYLORI BREATH TEST-90,301,1 ,$175.00 ,$126.00 ,$30.54 ,$175.00 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$116.38 ,$39.44 ,$122.50 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 ,$168.40 ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$175.00 ,$98.18 ,$39.44 ,$72.45 ,$32.00 ,$30.54 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,30101283,83018,HC HEAVY METAL QN EACH-90,301,1 ,$68.00 ,$48.96 ,$13.84 ,$68.00 ,$39.10 ,$48.96 ,$36.99 ,$15.33 ,$19.04 ,$45.22 ,$15.33 ,$47.60 ,$15.33 ,$42.84 ,$42.84 ,$15.33 ,$42.84 ,$31.59 ,$62.56 ,$54.90 ,$15.33 ,$57.80 ,$57.12 ,$15.33 ,$51.00 ,$54.40 ,$54.40 ,$15.33 ,$54.40 ,$59.16 ,$59.16 ,$59.16 ,$61.20 ,$39.10 ,$15.33 ,$68.00 ,$38.15 ,$15.33 ,$28.15 ,$14.50 ,$13.84 ,$16.09 ,$57.80 ,$42.84 ,$19.04 ,$61.20 ,$59.16 ,$54.40 ,$54.40 ,$15.33 ,$44.20 ST. FRANCIS HOSPITAL - ACUTE,30101284,83020,HC HGB ELECTROPHORESIS-90,301,1 ,$178.00 ,$128.16 ,$11.35 ,$178.00 ,$102.35 ,$128.16 ,$96.83 ,$40.12 ,$49.84 ,$117.76 ,$40.12 ,$123.96 ,$40.12 ,$112.14 ,$112.14 ,$40.12 ,$112.14 ,$82.70 ,$163.76 ,$32.18 ,$40.12 ,$151.30 ,$149.52 ,$40.12 ,$133.50 ,$142.40 ,$142.40 ,$40.12 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$102.35 ,$40.12 ,$178.00 ,$99.86 ,$40.12 ,$73.69 ,$11.89 ,$11.35 ,$42.13 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 ,$142.40 ,$142.40 ,$40.12 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,30101285,83021,HC HEMOGLOBIN FRACT QN-90,301,1 ,$174.00 ,$125.28 ,$10.72 ,$174.00 ,$100.05 ,$125.28 ,$94.66 ,$39.22 ,$48.72 ,$115.71 ,$39.22 ,$121.80 ,$39.22 ,$109.62 ,$109.62 ,$39.22 ,$109.62 ,$80.84 ,$160.08 ,$45.15 ,$39.22 ,$147.90 ,$146.16 ,$39.22 ,$130.50 ,$139.20 ,$139.20 ,$39.22 ,$139.20 ,$151.38 ,$151.38 ,$151.38 ,$156.60 ,$100.05 ,$39.22 ,$174.00 ,$97.61 ,$39.22 ,$72.04 ,$11.23 ,$10.72 ,$41.18 ,$147.90 ,$109.62 ,$48.72 ,$156.60 ,$151.38 ,$139.20 ,$139.20 ,$39.22 ,$113.10 ST. FRANCIS HOSPITAL - ACUTE,30101291,83088,HC HISTAMINE-90,301,1 ,$277.50 ,$199.80 ,$30.54 ,$277.50 ,$159.58 ,$199.80 ,$150.96 ,$62.55 ,$77.70 ,$184.54 ,$62.55 ,$194.25 ,$62.55 ,$174.83 ,$174.83 ,$62.55 ,$174.83 ,$128.94 ,$255.30 ,$73.83 ,$62.55 ,$235.88 ,$233.10 ,$62.55 ,$208.13 ,$222.00 ,$222.00 ,$62.55 ,$222.00 ,$241.43 ,$241.43 ,$241.43 ,$249.75 ,$159.58 ,$62.55 ,$277.50 ,$155.68 ,$62.55 ,$114.89 ,$32.00 ,$30.54 ,$65.68 ,$235.88 ,$174.83 ,$77.70 ,$249.75 ,$241.43 ,$222.00 ,$222.00 ,$62.55 ,$180.38 ST. FRANCIS HOSPITAL - ACUTE,30101292,83090,HC HOMOCYSTEINE-90,301,1 ,$265.00 ,$190.80 ,$26.55 ,$265.00 ,$152.38 ,$190.80 ,$144.16 ,$59.73 ,$74.20 ,$154.36 ,$59.73 ,$162.48 ,$59.73 ,$166.95 ,$166.95 ,$59.73 ,$166.95 ,$123.12 ,$243.80 ,$44.80 ,$59.73 ,$225.25 ,$222.60 ,$59.73 ,$198.75 ,$212.00 ,$212.00 ,$59.73 ,$212.00 ,$230.55 ,$230.55 ,$230.55 ,$238.50 ,$152.38 ,$59.73 ,$265.00 ,$148.67 ,$59.73 ,$109.71 ,$27.82 ,$26.55 ,$62.72 ,$225.25 ,$166.95 ,$74.20 ,$238.50 ,$230.55 ,$212.00 ,$212.00 ,$59.73 ,$172.25 ST. FRANCIS HOSPITAL - ACUTE,30101294,83497,HC HYDROXYINDOLACET 5 (HIAA)-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$32.25 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$16.01 ,$15.28 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101295,83498,HC HYDROXYPROGESTERONE 17D-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$67.93 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$67.93 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$27.82 ,$26.55 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101297,83516,HC MLT NON INFECT QL/SQ-90,301,1 ,$98.00 ,$70.56 ,$10.16 ,$98.00 ,$56.35 ,$70.56 ,$53.31 ,$22.09 ,$27.44 ,$65.17 ,$22.09 ,$68.60 ,$22.09 ,$61.74 ,$61.74 ,$22.09 ,$61.74 ,$45.53 ,$90.16 ,$28.83 ,$22.09 ,$83.30 ,$82.32 ,$22.09 ,$73.50 ,$78.40 ,$78.40 ,$22.09 ,$78.40 ,$85.26 ,$85.26 ,$85.26 ,$88.20 ,$56.35 ,$22.09 ,$98.00 ,$54.98 ,$22.09 ,$40.57 ,$10.65 ,$10.16 ,$23.20 ,$83.30 ,$61.74 ,$27.44 ,$88.20 ,$85.26 ,$78.40 ,$78.40 ,$22.09 ,$63.70 ST. FRANCIS HOSPITAL - ACUTE,30101300,83516,HC MLT NON INFECT QL/SQ TTG-90,301,1 ,$48.00 ,$34.56 ,$10.16 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$28.83 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$10.65 ,$10.16 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101302,83519,HC QN RIA-90,301,1 ,$150.00 ,$108.00 ,$10.16 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 ,$46.00 ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 ,$10.65 ,$10.16 ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,30101303,83520,HC IMMUNOASSAY QN OTHER-90,301,1 ,$155.00 ,$111.60 ,$10.16 ,$155.00 ,$89.13 ,$111.60 ,$84.32 ,$34.94 ,$43.40 ,$103.08 ,$34.94 ,$108.50 ,$34.94 ,$97.65 ,$97.65 ,$34.94 ,$97.65 ,$72.01 ,$142.60 ,$43.18 ,$34.94 ,$131.75 ,$130.20 ,$34.94 ,$116.25 ,$124.00 ,$124.00 ,$34.94 ,$124.00 ,$134.85 ,$134.85 ,$134.85 ,$139.50 ,$89.13 ,$34.94 ,$155.00 ,$86.96 ,$34.94 ,$64.17 ,$10.65 ,$10.16 ,$36.68 ,$131.75 ,$97.65 ,$43.40 ,$139.50 ,$134.85 ,$124.00 ,$124.00 ,$34.94 ,$100.75 ST. FRANCIS HOSPITAL - ACUTE,30101306,83520,HC IMMUNOASSAY QN ENZYME-90,301,1 ,$297.00 ,$213.84 ,$10.16 ,$297.00 ,$170.78 ,$213.84 ,$161.57 ,$66.94 ,$83.16 ,$173.28 ,$66.94 ,$182.40 ,$66.94 ,$187.11 ,$187.11 ,$66.94 ,$187.11 ,$137.99 ,$273.24 ,$43.18 ,$66.94 ,$252.45 ,$249.48 ,$66.94 ,$222.75 ,$237.60 ,$237.60 ,$66.94 ,$237.60 ,$258.39 ,$258.39 ,$258.39 ,$267.30 ,$170.78 ,$66.94 ,$297.00 ,$166.62 ,$66.94 ,$122.96 ,$10.65 ,$10.16 ,$70.30 ,$252.45 ,$187.11 ,$83.16 ,$267.30 ,$258.39 ,$237.60 ,$237.60 ,$66.94 ,$193.05 ST. FRANCIS HOSPITAL - ACUTE,30101307,83525,HC INSULIN TOTAL-90,301,1 ,$68.00 ,$48.96 ,$15.28 ,$68.00 ,$39.10 ,$48.96 ,$36.99 ,$15.33 ,$19.04 ,$45.22 ,$15.33 ,$47.60 ,$15.33 ,$42.84 ,$42.84 ,$15.33 ,$42.84 ,$31.59 ,$62.56 ,$28.58 ,$15.33 ,$57.80 ,$57.12 ,$15.33 ,$51.00 ,$54.40 ,$54.40 ,$15.33 ,$54.40 ,$59.16 ,$59.16 ,$59.16 ,$61.20 ,$39.10 ,$15.33 ,$68.00 ,$38.15 ,$15.33 ,$28.15 ,$16.01 ,$15.28 ,$16.09 ,$57.80 ,$42.84 ,$19.04 ,$61.20 ,$59.16 ,$54.40 ,$54.40 ,$15.33 ,$44.20 ST. FRANCIS HOSPITAL - ACUTE,30101310,83586,HC KETOSTEROIDS (17-KS)-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$32.00 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$16.01 ,$15.28 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101312,83615,HC LACTATE DEHYDRO (LDH)-90,301,1 ,$113.00 ,$81.36 ,$5.05 ,$113.00 ,$64.98 ,$81.36 ,$61.47 ,$25.47 ,$31.64 ,$55.18 ,$25.47 ,$58.08 ,$25.47 ,$71.19 ,$71.19 ,$25.47 ,$71.19 ,$52.50 ,$103.96 ,$15.10 ,$25.47 ,$96.05 ,$94.92 ,$25.47 ,$84.75 ,$90.40 ,$90.40 ,$25.47 ,$90.40 ,$98.31 ,$98.31 ,$98.31 ,$101.70 ,$64.98 ,$25.47 ,$113.00 ,$63.39 ,$25.47 ,$46.78 ,$5.29 ,$5.05 ,$26.74 ,$96.05 ,$71.19 ,$31.64 ,$101.70 ,$98.31 ,$90.40 ,$90.40 ,$25.47 ,$73.45 ST. FRANCIS HOSPITAL - ACUTE,30101313,83625,HC LDH ISOENZYMES-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$31.98 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$31.98 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$11.89 ,$11.35 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101314,83630,HC LACTOGEN FECAL QL-90,301,1 ,$158.00 ,$113.76 ,$11.35 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$105.07 ,$35.61 ,$110.60 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$49.25 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$11.89 ,$11.35 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30101316,83655,HC LEAD-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$30.28 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$30.28 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$14.50 ,$13.84 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101325,80335,HC ANTIDEPRESSANTS TRYCLIC 1-2 -90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 , N/A ,$11.04 , N/A ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 , N/A ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$32.00 ,$30.54 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101326,83735,HC MAGNESIUM-90,301,1 ,$59.00 ,$42.48 ,$5.05 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$16.75 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$5.29 ,$5.05 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101327,83785,HC MANGANESE-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$66.63 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$66.63 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$14.50 ,$13.84 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101329,83825,HC MERCURY-90,301,1 ,$56.00 ,$40.32 ,$12.62 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$40.65 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$14.50 ,$13.84 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101330,83835,HC METANEPHRINES-90,301,1 ,$107.00 ,$77.04 ,$24.12 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$42.35 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$27.82 ,$26.55 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,30101332,83864,HC MUCOPOLYSACCHARIDES ACID QN-90,301,1 ,$377.00 ,$271.44 ,$11.35 ,$377.00 ,$216.78 ,$271.44 ,$205.09 ,$84.98 ,$105.56 ,$211.24 ,$84.98 ,$222.36 ,$84.98 ,$237.51 ,$237.51 ,$84.98 ,$237.51 ,$175.15 ,$346.84 ,$71.25 ,$84.98 ,$320.45 ,$316.68 ,$84.98 ,$282.75 ,$301.60 ,$301.60 ,$84.98 ,$301.60 ,$327.99 ,$327.99 ,$327.99 ,$339.30 ,$216.78 ,$84.98 ,$377.00 ,$211.50 ,$84.98 ,$156.08 ,$11.89 ,$11.35 ,$89.23 ,$320.45 ,$237.51 ,$105.56 ,$339.30 ,$327.99 ,$301.60 ,$301.60 ,$84.98 ,$245.05 ST. FRANCIS HOSPITAL - ACUTE,30101333,83873,HC MYELIN BASIC PROTEIN (CSF)-90,301,1 ,$226.00 ,$162.72 ,$11.35 ,$226.00 ,$129.95 ,$162.72 ,$122.94 ,$50.94 ,$63.28 ,$150.29 ,$50.94 ,$158.20 ,$50.94 ,$142.38 ,$142.38 ,$50.94 ,$142.38 ,$105.00 ,$207.92 ,$43.00 ,$50.94 ,$192.10 ,$189.84 ,$50.94 ,$169.50 ,$180.80 ,$180.80 ,$50.94 ,$180.80 ,$196.62 ,$196.62 ,$196.62 ,$203.40 ,$129.95 ,$50.94 ,$226.00 ,$126.79 ,$50.94 ,$93.56 ,$11.89 ,$11.35 ,$53.49 ,$192.10 ,$142.38 ,$63.28 ,$203.40 ,$196.62 ,$180.80 ,$180.80 ,$50.94 ,$146.90 ST. FRANCIS HOSPITAL - ACUTE,30101334,83874,HC MYOGLOBIN-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$32.30 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$11.89 ,$11.35 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101337,83883,HC NEPHELOMETRY EA ANALYTE-90,301,1 ,$125.00 ,$90.00 ,$17.51 ,$125.00 ,$71.88 ,$90.00 ,$68.00 ,$28.16 ,$35.00 ,$83.13 ,$28.16 ,$87.50 ,$28.16 ,$78.75 ,$78.75 ,$28.16 ,$78.75 ,$58.08 ,$115.00 ,$34.00 ,$28.16 ,$106.25 ,$105.00 ,$28.16 ,$93.75 ,$100.00 ,$100.00 ,$28.16 ,$100.00 ,$108.75 ,$108.75 ,$108.75 ,$112.50 ,$71.88 ,$28.16 ,$125.00 ,$70.13 ,$28.16 ,$51.75 ,$18.35 ,$17.51 ,$29.59 ,$106.25 ,$78.75 ,$35.00 ,$112.50 ,$108.75 ,$100.00 ,$100.00 ,$28.16 ,$81.25 ST. FRANCIS HOSPITAL - ACUTE,30101339,83915,HC NUCLEOTIDASE 5 -90,301,1 ,$70.00 ,$50.40 ,$11.35 ,$70.00 ,$40.25 ,$50.40 ,$38.08 ,$15.78 ,$19.60 ,$46.55 ,$15.78 ,$49.00 ,$15.78 ,$44.10 ,$44.10 ,$15.78 ,$44.10 ,$32.52 ,$64.40 ,$27.88 ,$15.78 ,$59.50 ,$58.80 ,$15.78 ,$52.50 ,$56.00 ,$56.00 ,$15.78 ,$56.00 ,$60.90 ,$60.90 ,$60.90 ,$63.00 ,$40.25 ,$15.78 ,$70.00 ,$39.27 ,$15.78 ,$28.98 ,$11.89 ,$11.35 ,$16.57 ,$59.50 ,$44.10 ,$19.60 ,$63.00 ,$60.90 ,$56.00 ,$56.00 ,$15.78 ,$45.50 ST. FRANCIS HOSPITAL - ACUTE,30101340,83916,HC OLIGOCLONAL BANDS-90,301,1 ,$235.00 ,$169.20 ,$11.35 ,$235.00 ,$135.13 ,$169.20 ,$127.84 ,$52.97 ,$65.80 ,$156.28 ,$52.97 ,$164.50 ,$52.97 ,$148.05 ,$148.05 ,$52.97 ,$148.05 ,$109.18 ,$216.20 ,$68.48 ,$52.97 ,$199.75 ,$197.40 ,$52.97 ,$176.25 ,$188.00 ,$188.00 ,$52.97 ,$188.00 ,$204.45 ,$204.45 ,$204.45 ,$211.50 ,$135.13 ,$52.97 ,$235.00 ,$131.84 ,$52.97 ,$97.29 ,$11.89 ,$11.35 ,$55.61 ,$199.75 ,$148.05 ,$65.80 ,$211.50 ,$204.45 ,$188.00 ,$188.00 ,$52.97 ,$152.75 ST. FRANCIS HOSPITAL - ACUTE,30101341,83918,HC ORGANIC ACIDS QN-90,301,1 ,$158.00 ,$113.76 ,$13.84 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$105.07 ,$35.61 ,$110.60 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$59.00 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$14.50 ,$13.84 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30101345,83945,HC OXALATE-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$36.13 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101348,83986,HC PH BODY FLUID NOT BLOOD-90,301,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$8.95 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 ,$5.29 ,$5.05 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30101351,83993,HC CALPROTECTIN STOOL-90,301,1 ,$117.00 ,$84.24 ,$11.35 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 ,$49.08 ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 ,$11.89 ,$11.35 ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,30101352,84030,HC NEWBORN SCREEN PKU-90,301,1 ,$169.00 ,$121.68 ,$5.05 ,$169.00 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$68.17 ,$38.09 ,$71.76 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 ,$155.48 ,$13.75 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$5.29 ,$5.05 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30101353,84066,HC PHOSPHATASE ACID PROSTATIC-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$24.15 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$11.89 ,$11.35 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101354,84075,HC ALKALINE PHOSPHATASE-90,301,1 ,$89.00 ,$64.08 ,$5.05 ,$89.00 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 ,$12.95 ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$36.85 ,$5.29 ,$5.05 ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 ,$71.20 ,$71.20 ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,30101356,84080,HC ALK PHOS ISOENZ-90,301,1 ,$106.00 ,$76.32 ,$11.35 ,$106.00 ,$60.95 ,$76.32 ,$57.66 ,$23.89 ,$29.68 ,$70.49 ,$23.89 ,$74.20 ,$23.89 ,$66.78 ,$66.78 ,$23.89 ,$66.78 ,$49.25 ,$97.52 ,$36.95 ,$23.89 ,$90.10 ,$89.04 ,$23.89 ,$79.50 ,$84.80 ,$84.80 ,$23.89 ,$84.80 ,$92.22 ,$92.22 ,$92.22 ,$95.40 ,$60.95 ,$23.89 ,$106.00 ,$59.47 ,$23.89 ,$43.88 ,$11.89 ,$11.35 ,$25.09 ,$90.10 ,$66.78 ,$29.68 ,$95.40 ,$92.22 ,$84.80 ,$84.80 ,$23.89 ,$68.90 ST. FRANCIS HOSPITAL - ACUTE,30101358,84105,HC PHOSPHORUS URINE-90,301,1 ,$59.00 ,$42.48 ,$5.05 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$14.45 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$5.29 ,$5.05 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101364,84133,HC POTASSIUM URINE-90,301,1 ,$59.00 ,$42.48 ,$5.05 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$11.83 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$5.29 ,$5.05 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101369,84145,HC PROCALCITONIN (PCT)-90,301,1 ,$133.00 ,$95.76 ,$26.55 ,$133.00 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 ,$68.05 ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 ,$27.82 ,$26.55 ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,30101370,84153,HC PSA TOTAL-90,301,1 ,$55.00 ,$39.60 ,$11.35 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$45.98 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$11.89 ,$11.35 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101371,84154,HC PSA FREE-90,301,1 ,$135.00 ,$97.20 ,$11.35 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$45.98 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$11.89 ,$11.35 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30101373,84156,HC PROTEIN TOTAL URINE-90,301,1 ,$158.00 ,$113.76 ,$5.05 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$33.52 ,$35.61 ,$35.28 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$9.18 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$5.29 ,$5.05 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30101377,84166,HC PROTEIN EP OTH FLUID-90,301,1 ,$184.00 ,$132.48 ,$11.35 ,$184.00 ,$105.80 ,$132.48 ,$100.10 ,$41.47 ,$51.52 ,$122.36 ,$41.47 ,$128.80 ,$41.47 ,$115.92 ,$115.92 ,$41.47 ,$115.92 ,$85.49 ,$169.28 ,$44.58 ,$41.47 ,$156.40 ,$154.56 ,$41.47 ,$138.00 ,$147.20 ,$147.20 ,$41.47 ,$147.20 ,$160.08 ,$160.08 ,$160.08 ,$165.60 ,$105.80 ,$41.47 ,$184.00 ,$103.22 ,$41.47 ,$76.18 ,$11.89 ,$11.35 ,$43.55 ,$156.40 ,$115.92 ,$51.52 ,$165.60 ,$160.08 ,$147.20 ,$147.20 ,$41.47 ,$119.60 ST. FRANCIS HOSPITAL - ACUTE,30101382,84206,HC PROINSULIN-90,301,1 ,$169.00 ,$121.68 ,$26.55 ,$169.00 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 ,$155.48 ,$66.73 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$27.82 ,$26.55 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30101383,84207,HC VITAMIN B6-90,301,1 ,$127.00 ,$91.44 ,$11.35 ,$127.00 ,$73.03 ,$91.44 ,$69.09 ,$28.63 ,$35.56 ,$84.46 ,$28.63 ,$88.90 ,$28.63 ,$80.01 ,$80.01 ,$28.63 ,$80.01 ,$59.00 ,$116.84 ,$70.25 ,$28.63 ,$107.95 ,$106.68 ,$28.63 ,$95.25 ,$101.60 ,$101.60 ,$28.63 ,$101.60 ,$110.49 ,$110.49 ,$110.49 ,$114.30 ,$73.03 ,$28.63 ,$127.00 ,$71.25 ,$28.63 ,$52.58 ,$11.89 ,$11.35 ,$30.06 ,$107.95 ,$80.01 ,$35.56 ,$114.30 ,$110.49 ,$101.60 ,$101.60 ,$28.63 ,$82.55 ST. FRANCIS HOSPITAL - ACUTE,30101384,84210,HC PYRUVATE-90,301,1 ,$162.00 ,$116.64 ,$11.35 ,$162.00 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$107.27 ,$36.51 ,$112.92 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$36.20 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 ,$11.89 ,$11.35 ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,30101387,84244,HC RENIN-90,301,1 ,$146.00 ,$105.12 ,$26.55 ,$146.00 ,$83.95 ,$105.12 ,$79.42 ,$32.91 ,$40.88 ,$97.09 ,$32.91 ,$102.20 ,$32.91 ,$91.98 ,$91.98 ,$32.91 ,$91.98 ,$67.83 ,$134.32 ,$54.98 ,$32.91 ,$124.10 ,$122.64 ,$32.91 ,$109.50 ,$116.80 ,$116.80 ,$32.91 ,$116.80 ,$127.02 ,$127.02 ,$127.02 ,$131.40 ,$83.95 ,$32.91 ,$146.00 ,$81.91 ,$32.91 ,$60.44 ,$27.82 ,$26.55 ,$34.55 ,$124.10 ,$91.98 ,$40.88 ,$131.40 ,$127.02 ,$116.80 ,$116.80 ,$32.91 ,$94.90 ST. FRANCIS HOSPITAL - ACUTE,30101388,84255,HC SELENIUM-90,301,1 ,$56.00 ,$40.32 ,$11.35 ,$63.83 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$63.83 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$11.89 ,$11.35 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101389,84252,HC VITAMIN B-2 (RIBOFLAVIN)-90,301,1 ,$234.00 ,$168.48 ,$11.35 ,$234.00 ,$134.55 ,$168.48 ,$127.30 ,$52.74 ,$65.52 ,$155.61 ,$52.74 ,$163.80 ,$52.74 ,$147.42 ,$147.42 ,$52.74 ,$147.42 ,$108.72 ,$215.28 ,$50.60 ,$52.74 ,$198.90 ,$196.56 ,$52.74 ,$175.50 ,$187.20 ,$187.20 ,$52.74 ,$187.20 ,$203.58 ,$203.58 ,$203.58 ,$210.60 ,$134.55 ,$52.74 ,$234.00 ,$131.27 ,$52.74 ,$96.88 ,$11.89 ,$11.35 ,$55.38 ,$198.90 ,$147.42 ,$65.52 ,$210.60 ,$203.58 ,$187.20 ,$187.20 ,$52.74 ,$152.10 ST. FRANCIS HOSPITAL - ACUTE,30101390,84270,HC SEX HORMONE BIND GLOB-90,301,1 ,$56.00 ,$40.32 ,$11.35 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$54.33 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$11.89 ,$11.35 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101392,84260,HC SEROTONIN-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$77.45 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$77.45 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$27.82 ,$26.55 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101394,84300,HC SODIUM URINE-90,301,1 ,$59.00 ,$42.48 ,$5.05 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$12.65 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$5.29 ,$5.05 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101395,84302,HC SODIUM OTHER FLUID-90,301,1 ,$48.00 ,$34.56 ,$5.05 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$12.15 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$5.29 ,$5.05 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101396,84305,HC SOMATOMEDIN-90,301,1 ,$123.00 ,$88.56 ,$26.55 ,$123.00 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$53.15 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$27.82 ,$26.55 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,30101398,84311,HC SPECTROPHOTOMETRY-90,301,1 ,$10.00 ,$7.20 ,$2.25 ,$20.25 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$20.25 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 ,$11.89 ,$11.35 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30101399,84311,HC SPECTROPHOTOMETRY FECAL-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$20.25 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$11.89 ,$11.35 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101400,84315,HC SPEC GRAVITY NON UR-90,301,1 ,$56.00 ,$40.32 ,$5.05 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$24.28 ,$12.62 ,$25.56 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$8.20 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$5.29 ,$5.05 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30101402,84376,HC SUGARS SINGLE QL-90,301,1 ,$24.00 ,$17.28 ,$5.05 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$13.75 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$5.29 ,$5.05 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101405,84392,HC SULFATE URINE-90,301,1 ,$59.00 ,$42.48 ,$4.05 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$13.73 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$4.25 ,$4.05 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101406,84402,HC TESTOSTERONE FREE-90,301,1 ,$78.00 ,$56.16 ,$17.58 ,$78.00 ,$44.85 ,$56.16 ,$42.43 ,$17.58 ,$21.84 ,$51.87 ,$17.58 ,$54.60 ,$17.58 ,$49.14 ,$49.14 ,$17.58 ,$49.14 ,$36.24 ,$71.76 ,$63.68 ,$17.58 ,$66.30 ,$65.52 ,$17.58 ,$58.50 ,$62.40 ,$62.40 ,$17.58 ,$62.40 ,$67.86 ,$67.86 ,$67.86 ,$70.20 ,$44.85 ,$17.58 ,$78.00 ,$43.76 ,$17.58 ,$32.29 ,$27.82 ,$26.55 ,$18.46 ,$66.30 ,$49.14 ,$21.84 ,$70.20 ,$67.86 ,$62.40 ,$62.40 ,$17.58 ,$50.70 ST. FRANCIS HOSPITAL - ACUTE,30101407,84403,HC TESTOSTERONE TOTAL-90,301,1 ,$109.00 ,$78.48 ,$24.57 ,$109.00 ,$62.68 ,$78.48 ,$59.30 ,$24.57 ,$30.52 ,$72.49 ,$24.57 ,$76.30 ,$24.57 ,$68.67 ,$68.67 ,$24.57 ,$68.67 ,$50.64 ,$100.28 ,$64.53 ,$24.57 ,$92.65 ,$91.56 ,$24.57 ,$81.75 ,$87.20 ,$87.20 ,$24.57 ,$87.20 ,$94.83 ,$94.83 ,$94.83 ,$98.10 ,$62.68 ,$24.57 ,$109.00 ,$61.15 ,$24.57 ,$45.13 ,$27.82 ,$26.55 ,$25.79 ,$92.65 ,$68.67 ,$30.52 ,$98.10 ,$94.83 ,$87.20 ,$87.20 ,$24.57 ,$70.85 ST. FRANCIS HOSPITAL - ACUTE,30101408,84425,HC VITAMIN B1-90,301,1 ,$99.00 ,$71.28 ,$11.35 ,$99.00 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$65.84 ,$22.31 ,$69.30 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$53.08 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$11.89 ,$11.35 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30101410,84432,HC THYROGLOBULIN-90,301,1 ,$92.00 ,$66.24 ,$20.74 ,$92.00 ,$52.90 ,$66.24 ,$50.05 ,$20.74 ,$25.76 ,$61.18 ,$20.74 ,$64.40 ,$20.74 ,$57.96 ,$57.96 ,$20.74 ,$57.96 ,$42.74 ,$84.64 ,$40.15 ,$20.74 ,$78.20 ,$77.28 ,$20.74 ,$69.00 ,$73.60 ,$73.60 ,$20.74 ,$73.60 ,$80.04 ,$80.04 ,$80.04 ,$82.80 ,$52.90 ,$20.74 ,$92.00 ,$51.61 ,$20.74 ,$38.09 ,$27.82 ,$26.55 ,$21.78 ,$78.20 ,$57.96 ,$25.76 ,$82.80 ,$80.04 ,$73.60 ,$73.60 ,$20.74 ,$59.80 ST. FRANCIS HOSPITAL - ACUTE,30101415,84442,HC THYROXINE BIND GLOB-90,301,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 ,$36.95 ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 ,$16.01 ,$15.28 ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,30101417,84445,HC THYROID STIM IMMUNO GLOB-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$120.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$120.00 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$27.82 ,$26.55 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101418,84446,HC VITAMIN E-90,301,1 ,$84.00 ,$60.48 ,$11.35 ,$84.00 ,$48.30 ,$60.48 ,$45.70 ,$18.93 ,$23.52 ,$55.86 ,$18.93 ,$58.80 ,$18.93 ,$52.92 ,$52.92 ,$18.93 ,$52.92 ,$39.03 ,$77.28 ,$35.45 ,$18.93 ,$71.40 ,$70.56 ,$18.93 ,$63.00 ,$67.20 ,$67.20 ,$18.93 ,$67.20 ,$73.08 ,$73.08 ,$73.08 ,$75.60 ,$48.30 ,$18.93 ,$84.00 ,$47.12 ,$18.93 ,$34.78 ,$11.89 ,$11.35 ,$19.88 ,$71.40 ,$52.92 ,$23.52 ,$75.60 ,$73.08 ,$67.20 ,$67.20 ,$18.93 ,$54.60 ST. FRANCIS HOSPITAL - ACUTE,30101419,84460,HC ALT-90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$13.25 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101420,84466,HC TRANSFERRIN-90,301,1 ,$112.00 ,$80.64 ,$11.35 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$31.90 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$11.89 ,$11.35 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30101421,84478,HC TRIGLYCERIDES-90,301,1 ,$121.00 ,$87.12 ,$5.05 ,$121.00 ,$69.58 ,$87.12 ,$65.82 ,$27.27 ,$33.88 ,$71.14 ,$27.27 ,$74.88 ,$27.27 ,$76.23 ,$76.23 ,$27.27 ,$76.23 ,$56.22 ,$111.32 ,$14.35 ,$27.27 ,$102.85 ,$101.64 ,$27.27 ,$90.75 ,$96.80 ,$96.80 ,$27.27 ,$96.80 ,$105.27 ,$105.27 ,$105.27 ,$108.90 ,$69.58 ,$27.27 ,$121.00 ,$67.88 ,$27.27 ,$50.09 ,$5.29 ,$5.05 ,$28.64 ,$102.85 ,$76.23 ,$33.88 ,$108.90 ,$105.27 ,$96.80 ,$96.80 ,$27.27 ,$78.65 ST. FRANCIS HOSPITAL - ACUTE,30101422,84479,HC T3 UPTAKE-90,301,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$16.18 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$16.01 ,$15.28 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101423,84480,HC T3 TOTAL-90,301,1 ,$24.00 ,$17.28 ,$5.41 ,$35.45 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$35.45 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$16.01 ,$15.28 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101425,84482,HC T3 REVERSE-90,301,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 ,$39.40 ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$16.01 ,$15.28 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,30101434,84560,HC URIC ACID OTH SRC-90,301,1 ,$24.00 ,$17.28 ,$5.05 ,$24.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$12.70 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$5.29 ,$5.05 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101435,84585,HC VANILLYLMAND AC (VMA)-90,301,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$38.75 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$27.82 ,$26.55 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101436,84586,HC VASOACTIVE INTEST PEPTIDE-90,301,1 ,$339.00 ,$244.08 ,$26.55 ,$339.00 ,$194.93 ,$244.08 ,$184.42 ,$76.41 ,$94.92 ,$225.44 ,$76.41 ,$237.30 ,$76.41 ,$213.57 ,$213.57 ,$76.41 ,$213.57 ,$157.50 ,$311.88 ,$88.33 ,$76.41 ,$288.15 ,$284.76 ,$76.41 ,$254.25 ,$271.20 ,$271.20 ,$76.41 ,$271.20 ,$294.93 ,$294.93 ,$294.93 ,$305.10 ,$194.93 ,$76.41 ,$339.00 ,$190.18 ,$76.41 ,$140.35 ,$27.82 ,$26.55 ,$80.23 ,$288.15 ,$213.57 ,$94.92 ,$305.10 ,$294.93 ,$271.20 ,$271.20 ,$76.41 ,$220.35 ST. FRANCIS HOSPITAL - ACUTE,30101437,84588,HC VASOPRESSIN (ADH)-90,301,1 ,$150.00 ,$108.00 ,$26.55 ,$150.00 ,$86.25 ,$108.00 ,$81.60 ,$33.81 ,$42.00 ,$99.75 ,$33.81 ,$105.00 ,$33.81 ,$94.50 ,$94.50 ,$33.81 ,$94.50 ,$69.69 ,$138.00 ,$84.85 ,$33.81 ,$127.50 ,$126.00 ,$33.81 ,$112.50 ,$120.00 ,$120.00 ,$33.81 ,$120.00 ,$130.50 ,$130.50 ,$130.50 ,$135.00 ,$86.25 ,$33.81 ,$150.00 ,$84.15 ,$33.81 ,$62.10 ,$27.82 ,$26.55 ,$35.51 ,$127.50 ,$94.50 ,$42.00 ,$135.00 ,$130.50 ,$120.00 ,$120.00 ,$33.81 ,$97.50 ST. FRANCIS HOSPITAL - ACUTE,30101438,84590,HC VITAMIN A-90,301,1 ,$89.00 ,$64.08 ,$11.35 ,$89.00 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 ,$29.03 ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$36.85 ,$11.89 ,$11.35 ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 ,$71.20 ,$71.20 ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,30101440,84597,HC VITAMIN K-90,301,1 ,$59.00 ,$42.48 ,$11.35 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$34.30 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$11.89 ,$11.35 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30101441,84600,HC VOLATILES-90,301,1 ,$149.00 ,$107.28 ,$11.35 ,$149.00 ,$85.68 ,$107.28 ,$81.06 ,$33.58 ,$41.72 ,$99.09 ,$33.58 ,$104.30 ,$33.58 ,$93.87 ,$93.87 ,$33.58 ,$93.87 ,$69.23 ,$137.08 ,$42.78 ,$33.58 ,$126.65 ,$125.16 ,$33.58 ,$111.75 ,$119.20 ,$119.20 ,$33.58 ,$119.20 ,$129.63 ,$129.63 ,$129.63 ,$134.10 ,$85.68 ,$33.58 ,$149.00 ,$83.59 ,$33.58 ,$61.69 ,$11.89 ,$11.35 ,$35.26 ,$126.65 ,$93.87 ,$41.72 ,$134.10 ,$129.63 ,$119.20 ,$119.20 ,$33.58 ,$96.85 ST. FRANCIS HOSPITAL - ACUTE,30101442,84630,HC ZINC-90,301,1 ,$72.00 ,$51.84 ,$13.84 ,$72.00 ,$41.40 ,$51.84 ,$39.17 ,$16.23 ,$20.16 ,$47.88 ,$16.23 ,$50.40 ,$16.23 ,$45.36 ,$45.36 ,$16.23 ,$45.36 ,$33.45 ,$66.24 ,$28.48 ,$16.23 ,$61.20 ,$60.48 ,$16.23 ,$54.00 ,$57.60 ,$57.60 ,$16.23 ,$57.60 ,$62.64 ,$62.64 ,$62.64 ,$64.80 ,$41.40 ,$16.23 ,$72.00 ,$40.39 ,$16.23 ,$29.81 ,$14.50 ,$13.84 ,$17.04 ,$61.20 ,$45.36 ,$20.16 ,$64.80 ,$62.64 ,$57.60 ,$57.60 ,$16.23 ,$46.80 ST. FRANCIS HOSPITAL - ACUTE,30101443,84681,HC C PEPTIDE-90,301,1 ,$78.00 ,$56.16 ,$11.35 ,$78.00 ,$44.85 ,$56.16 ,$42.43 ,$17.58 ,$21.84 ,$51.87 ,$17.58 ,$54.60 ,$17.58 ,$49.14 ,$49.14 ,$17.58 ,$49.14 ,$36.24 ,$71.76 ,$52.03 ,$17.58 ,$66.30 ,$65.52 ,$17.58 ,$58.50 ,$62.40 ,$62.40 ,$17.58 ,$62.40 ,$67.86 ,$67.86 ,$67.86 ,$70.20 ,$44.85 ,$17.58 ,$78.00 ,$43.76 ,$17.58 ,$32.29 ,$11.89 ,$11.35 ,$18.46 ,$66.30 ,$49.14 ,$21.84 ,$70.20 ,$67.86 ,$62.40 ,$62.40 ,$17.58 ,$50.70 ST. FRANCIS HOSPITAL - ACUTE,30101444,84702,HC HCG QN-90,301,1 ,$104.00 ,$74.88 ,$15.28 ,$104.00 ,$59.80 ,$74.88 ,$56.58 ,$23.44 ,$29.12 ,$69.16 ,$23.44 ,$72.80 ,$23.44 ,$65.52 ,$65.52 ,$23.44 ,$65.52 ,$48.32 ,$95.68 ,$37.63 ,$23.44 ,$88.40 ,$87.36 ,$23.44 ,$78.00 ,$83.20 ,$83.20 ,$23.44 ,$83.20 ,$90.48 ,$90.48 ,$90.48 ,$93.60 ,$59.80 ,$23.44 ,$104.00 ,$58.34 ,$23.44 ,$43.06 ,$16.01 ,$15.28 ,$24.62 ,$88.40 ,$65.52 ,$29.12 ,$93.60 ,$90.48 ,$83.20 ,$83.20 ,$23.44 ,$67.60 ST. FRANCIS HOSPITAL - ACUTE,30101457,G0480,HC DRUG SCRN DEFNT 1-7 CLS T3-90,301,1 ,$165.00 ,$118.80 ,$30.54 ,$286.08 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$39.90 ,$37.19 ,$42.00 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$286.08 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$32.00 ,$30.54 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30101464,82272,HC OCCULT BLOOD FECAL DIAG,301,1 ,$54.00 ,$38.88 ,$5.05 ,$54.00 ,$31.05 ,$38.88 ,$29.38 ,$12.17 ,$15.12 ,$35.91 ,$12.17 ,$37.80 ,$12.17 ,$34.02 ,$34.02 ,$12.17 ,$34.02 ,$25.09 ,$49.68 ,$10.58 ,$12.17 ,$45.90 ,$45.36 ,$12.17 ,$40.50 ,$43.20 ,$43.20 ,$12.17 ,$43.20 ,$46.98 ,$46.98 ,$46.98 ,$48.60 ,$31.05 ,$12.17 ,$54.00 ,$30.29 ,$12.17 ,$22.36 ,$5.29 ,$5.05 ,$12.78 ,$45.90 ,$34.02 ,$15.12 ,$48.60 ,$46.98 ,$43.20 ,$43.20 ,$12.17 ,$35.10 ST. FRANCIS HOSPITAL - ACUTE,30101465,83921,HC ORGANIC ACIDS QN SINGLE-90,301,1 ,$237.00 ,$170.64 ,$11.35 ,$237.00 ,$136.28 ,$170.64 ,$128.93 ,$53.42 ,$66.36 ,$157.21 ,$53.42 ,$165.48 ,$53.42 ,$149.31 ,$149.31 ,$53.42 ,$149.31 ,$110.11 ,$218.04 ,$53.03 ,$53.42 ,$201.45 ,$199.08 ,$53.42 ,$177.75 ,$189.60 ,$189.60 ,$53.42 ,$189.60 ,$206.19 ,$206.19 ,$206.19 ,$213.30 ,$136.28 ,$53.42 ,$237.00 ,$132.96 ,$53.42 ,$98.12 ,$11.89 ,$11.35 ,$56.10 ,$201.45 ,$149.31 ,$66.36 ,$213.30 ,$206.19 ,$189.60 ,$189.60 ,$53.42 ,$154.05 ST. FRANCIS HOSPITAL - ACUTE,30101475,80375,HC DRUG THIOPURINE METAOLITES-90,301,1 ,$277.00 ,$199.44 ,$30.54 ,$277.00 ,$159.28 ,$199.44 ,$150.69 ,$62.44 ,$77.56 , N/A ,$62.44 , N/A ,$62.44 ,$174.51 ,$174.51 ,$62.44 ,$174.51 ,$128.69 ,$254.84 , N/A ,$62.44 ,$235.45 ,$232.68 ,$62.44 ,$207.75 ,$221.60 ,$221.60 ,$62.44 ,$221.60 ,$240.99 ,$240.99 ,$240.99 ,$249.30 ,$159.28 ,$62.44 ,$277.00 ,$155.40 ,$62.44 ,$114.68 ,$32.00 ,$30.54 ,$65.56 ,$235.45 ,$174.51 ,$77.56 ,$249.30 ,$240.99 ,$221.60 ,$221.60 ,$62.44 ,$180.05 ST. FRANCIS HOSPITAL - ACUTE,30101476,82610,HC CYSTATIN C -90,301,1 ,$93.00 ,$66.96 ,$11.35 ,$93.00 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$46.30 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$38.50 ,$11.89 ,$11.35 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 ,$74.40 ,$74.40 ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,30101477,83519,HC QN RIA MUSK-90,301,1 ,"$1,250.00 ",$900.00 ,$10.16 ,"$1,250.00 ",$718.75 ,$900.00 ,$680.00 ,$281.75 ,$350.00 ,$136.34 ,$281.75 ,$143.52 ,$281.75 ,$787.50 ,$787.50 ,$281.75 ,$787.50 ,$580.75 ,$500.00 ,$46.00 ,$281.75 ,"$1,062.50 ","$1,050.00 ",$281.75 ,$937.50 ,"$1,000.00 ","$1,000.00 ",$281.75 ,"$1,000.00 ","$1,087.50 ","$1,087.50 ","$1,087.50 ","$1,125.00 ",$718.75 ,$281.75 ,"$1,250.00 ",$701.25 ,$281.75 ,$517.50 ,$10.65 ,$10.16 ,$295.84 ,"$1,062.50 ",$787.50 ,$350.00 ,"$1,125.00 ","$1,087.50 ","$1,000.00 ","$1,000.00 ",$281.75 ,$812.50 ST. FRANCIS HOSPITAL - ACUTE,30101497,80373,HC TRAMADOL-90,301,1 ,$129.00 ,$92.88 ,$11.35 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 , N/A ,$29.08 , N/A ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 , N/A ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$11.89 ,$11.35 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,30101509,82330,HC CALCIUM IONIZED STAT -90,301,1 ,$107.00 ,$77.04 ,$11.35 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$34.20 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$11.89 ,$11.35 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,30101511,80345,HC BARBITURATE -90,301,1 ,$52.00 ,$37.44 ,$11.35 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 , N/A ,$11.72 , N/A ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 ,$11.89 ,$11.35 ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,30101512,80324,HC AMPHETAMINE 1-2 -90,301,1 ,$52.00 ,$37.44 ,$11.72 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 , N/A ,$11.72 , N/A ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 , N/A ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 ,$32.00 ,$30.54 ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,30101513,80365,HC OXYCODONE -90,301,1 ,$125.00 ,$90.00 ,$11.35 ,$125.00 ,$71.88 ,$90.00 ,$68.00 ,$28.16 ,$35.00 , N/A ,$28.16 , N/A ,$28.16 ,$78.75 ,$78.75 ,$28.16 ,$78.75 ,$58.08 ,$115.00 , N/A ,$28.16 ,$106.25 ,$105.00 ,$28.16 ,$93.75 ,$100.00 ,$100.00 ,$28.16 ,$100.00 ,$108.75 ,$108.75 ,$108.75 ,$112.50 ,$71.88 ,$28.16 ,$125.00 ,$70.13 ,$28.16 ,$51.75 ,$11.89 ,$11.35 ,$29.59 ,$106.25 ,$78.75 ,$35.00 ,$112.50 ,$108.75 ,$100.00 ,$100.00 ,$28.16 ,$81.25 ST. FRANCIS HOSPITAL - ACUTE,30101516,80321,HC ALCOHOL BIOMARKERS 1-2 - 90,301,1 ,$202.00 ,$145.44 ,$30.54 ,$202.00 ,$116.15 ,$145.44 ,$109.89 ,$45.53 ,$56.56 , N/A ,$45.53 , N/A ,$45.53 ,$127.26 ,$127.26 ,$45.53 ,$127.26 ,$93.85 ,$185.84 , N/A ,$45.53 ,$171.70 ,$169.68 ,$45.53 ,$151.50 ,$161.60 ,$161.60 ,$45.53 ,$161.60 ,$175.74 ,$175.74 ,$175.74 ,$181.80 ,$116.15 ,$45.53 ,$202.00 ,$113.32 ,$45.53 ,$83.63 ,$32.00 ,$30.54 ,$47.80 ,$171.70 ,$127.26 ,$56.56 ,$181.80 ,$175.74 ,$161.60 ,$161.60 ,$45.53 ,$131.30 ST. FRANCIS HOSPITAL - ACUTE,30101524,83721,HC CHOLESTEROL LDL,301,1 ,$120.00 ,$86.40 ,$11.35 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$26.25 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$11.89 ,$11.35 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,30101525,82465,HC CHOLESTEROL -90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$10.88 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101526,82947,HC GLUCOSE -90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$9.83 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101527,84450,HC AST -90,301,1 ,$40.00 ,$28.80 ,$5.05 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$12.95 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$5.29 ,$5.05 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30101529,82725,HC FATTY ACIDS NONESTERIFIED-90,301,1 ,$164.00 ,$118.08 ,$11.35 ,$164.00 ,$94.30 ,$118.08 ,$89.22 ,$36.97 ,$45.92 ,$109.06 ,$36.97 ,$114.80 ,$36.97 ,$103.32 ,$103.32 ,$36.97 ,$103.32 ,$76.19 ,$150.88 ,$46.93 ,$36.97 ,$139.40 ,$137.76 ,$36.97 ,$123.00 ,$131.20 ,$131.20 ,$36.97 ,$131.20 ,$142.68 ,$142.68 ,$142.68 ,$147.60 ,$94.30 ,$36.97 ,$164.00 ,$92.00 ,$36.97 ,$67.90 ,$11.89 ,$11.35 ,$38.82 ,$139.40 ,$103.32 ,$45.92 ,$147.60 ,$142.68 ,$131.20 ,$131.20 ,$36.97 ,$106.60 ST. FRANCIS HOSPITAL - ACUTE,30101543,80074,HC HEPATITIS PANEL ACUTE,301,1 ,$222.00 ,$159.84 ,$10.35 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$147.63 ,$50.04 ,$155.40 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$119.08 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 ,$10.85 ,$10.35 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,30101549,80184,HC PHENOBARBITAL,301,1 ,$80.00 ,$57.60 ,$13.03 ,$80.00 ,$46.00 ,$57.60 ,$43.52 ,$18.03 ,$22.40 ,$53.20 ,$18.03 ,$56.00 ,$18.03 ,$50.40 ,$50.40 ,$18.03 ,$50.40 ,$37.17 ,$73.60 ,$38.25 ,$18.03 ,$68.00 ,$67.20 ,$18.03 ,$60.00 ,$64.00 ,$64.00 ,$18.03 ,$64.00 ,$69.60 ,$69.60 ,$69.60 ,$72.00 ,$46.00 ,$18.03 ,$80.00 ,$44.88 ,$18.03 ,$33.12 ,$13.65 ,$13.03 ,$18.93 ,$68.00 ,$50.40 ,$22.40 ,$72.00 ,$69.60 ,$64.00 ,$64.00 ,$18.03 ,$52.00 ST. FRANCIS HOSPITAL - ACUTE,30101552,80200,HC TOBRAMYCIN,301,1 ,$140.00 ,$100.80 ,$13.03 ,$140.00 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$93.10 ,$31.56 ,$98.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 ,$40.33 ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$13.65 ,$13.03 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,30101553,80299,HC THERAPEUTIC DRUG OTHER,301,1 ,$166.00 ,$119.52 ,$13.03 ,$166.00 ,$95.45 ,$119.52 ,$90.30 ,$37.42 ,$46.48 ,$110.39 ,$37.42 ,$116.20 ,$37.42 ,$104.58 ,$104.58 ,$37.42 ,$104.58 ,$77.12 ,$152.72 ,$46.60 ,$37.42 ,$141.10 ,$139.44 ,$37.42 ,$124.50 ,$132.80 ,$132.80 ,$37.42 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$95.45 ,$37.42 ,$166.00 ,$93.13 ,$37.42 ,$68.72 ,$13.65 ,$13.03 ,$39.29 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 ,$132.80 ,$132.80 ,$37.42 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,30101555,81479,HC IDH GENE MUTATION ASSAY - 90,301,1 ,$32.00 ,$23.04 ,$8.96 ,$42.19 , N/A ,$23.04 ,$17.41 , N/A ,$8.96 ,$21.28 , N/A ,$22.40 , N/A ,$20.16 ,$20.16 , N/A ,$20.16 , N/A ,$29.44 ,$22.40 , N/A ,$27.20 ,$26.88 , N/A ,$24.00 ,$25.60 ,$25.60 , N/A ,$25.60 ,$27.84 ,$27.84 ,$27.84 ,$28.80 , N/A , N/A ,$32.00 ,$17.95 , N/A ,$13.25 ,$42.19 ,$40.27 , N/A ,$27.20 ,$20.16 ,$8.96 ,$28.80 ,$27.84 ,$25.60 ,$25.60 , N/A ,$20.80 ST. FRANCIS HOSPITAL - ACUTE,30101556,82042,HC ALBUMIN OTHER SOURCE,301,1 ,$49.00 ,$35.28 ,$5.05 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$19.45 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$5.29 ,$5.05 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30101559,82150,HC AMYLASE,301,1 ,$158.00 ,$113.76 ,$11.35 ,$158.00 ,$90.85 ,$113.76 ,$85.95 ,$35.61 ,$44.24 ,$80.26 ,$35.61 ,$84.48 ,$35.61 ,$99.54 ,$99.54 ,$35.61 ,$99.54 ,$73.41 ,$145.36 ,$16.20 ,$35.61 ,$134.30 ,$132.72 ,$35.61 ,$118.50 ,$126.40 ,$126.40 ,$35.61 ,$126.40 ,$137.46 ,$137.46 ,$137.46 ,$142.20 ,$90.85 ,$35.61 ,$158.00 ,$88.64 ,$35.61 ,$65.41 ,$11.89 ,$11.35 ,$37.40 ,$134.30 ,$99.54 ,$44.24 ,$142.20 ,$137.46 ,$126.40 ,$126.40 ,$35.61 ,$102.70 ST. FRANCIS HOSPITAL - ACUTE,30101564,82306,HC VITAMIN D 25 OH,301,1 ,$268.00 ,$192.96 ,$30.54 ,$268.00 ,$154.10 ,$192.96 ,$145.79 ,$60.41 ,$75.04 ,$178.22 ,$60.41 ,$187.60 ,$60.41 ,$168.84 ,$168.84 ,$60.41 ,$168.84 ,$124.51 ,$246.56 ,$74.00 ,$60.41 ,$227.80 ,$225.12 ,$60.41 ,$201.00 ,$214.40 ,$214.40 ,$60.41 ,$214.40 ,$233.16 ,$233.16 ,$233.16 ,$241.20 ,$154.10 ,$60.41 ,$268.00 ,$150.35 ,$60.41 ,$110.95 ,$32.00 ,$30.54 ,$63.43 ,$227.80 ,$168.84 ,$75.04 ,$241.20 ,$233.16 ,$214.40 ,$214.40 ,$60.41 ,$174.20 ST. FRANCIS HOSPITAL - ACUTE,30101568,82378,HC CARBINOEMBRYONIC AG (CEA),301,1 ,$91.00 ,$65.52 ,$11.35 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 ,$47.40 ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 ,$11.89 ,$11.35 ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,30101571,82533,HC CORTISOL TOTAL,301,1 ,$112.00 ,$80.64 ,$25.24 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$40.75 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$27.82 ,$26.55 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30101573,82607,HC VITAMIN B12,301,1 ,$77.00 ,$55.44 ,$15.28 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 ,$37.70 ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 ,$16.01 ,$15.28 ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,30101574,82670,HC ESTRADIOL,301,1 ,$130.00 ,$93.60 ,$26.55 ,$130.00 ,$74.75 ,$93.60 ,$70.72 ,$29.30 ,$36.40 ,$86.45 ,$29.30 ,$91.00 ,$29.30 ,$81.90 ,$81.90 ,$29.30 ,$81.90 ,$60.40 ,$119.60 ,$69.85 ,$29.30 ,$110.50 ,$109.20 ,$29.30 ,$97.50 ,$104.00 ,$104.00 ,$29.30 ,$104.00 ,$113.10 ,$113.10 ,$113.10 ,$117.00 ,$74.75 ,$29.30 ,$130.00 ,$72.93 ,$29.30 ,$53.82 ,$27.82 ,$26.55 ,$30.77 ,$110.50 ,$81.90 ,$36.40 ,$117.00 ,$113.10 ,$104.00 ,$104.00 ,$29.30 ,$84.50 ST. FRANCIS HOSPITAL - ACUTE,30101576,82731,HC FETAL FIBRONECTIN,301,1 ,$407.00 ,$293.04 ,$30.54 ,$407.00 ,$234.03 ,$293.04 ,$221.41 ,$91.74 ,$113.96 ,$270.66 ,$91.74 ,$284.90 ,$91.74 ,$256.41 ,$256.41 ,$91.74 ,$256.41 ,$189.09 ,$374.44 ,$161.03 ,$91.74 ,$345.95 ,$341.88 ,$91.74 ,$305.25 ,$325.60 ,$325.60 ,$91.74 ,$325.60 ,$354.09 ,$354.09 ,$354.09 ,$366.30 ,$234.03 ,$91.74 ,$407.00 ,$228.33 ,$91.74 ,$168.50 ,$32.00 ,$30.54 ,$96.32 ,$345.95 ,$256.41 ,$113.96 ,$366.30 ,$354.09 ,$325.60 ,$325.60 ,$91.74 ,$264.55 ST. FRANCIS HOSPITAL - ACUTE,30101577,82746,HC FOLIC ACID SERUM,301,1 ,$81.00 ,$58.32 ,$11.35 ,$81.00 ,$46.58 ,$58.32 ,$44.06 ,$18.26 ,$22.68 ,$53.87 ,$18.26 ,$56.70 ,$18.26 ,$51.03 ,$51.03 ,$18.26 ,$51.03 ,$37.63 ,$74.52 ,$36.75 ,$18.26 ,$68.85 ,$68.04 ,$18.26 ,$60.75 ,$64.80 ,$64.80 ,$18.26 ,$64.80 ,$70.47 ,$70.47 ,$70.47 ,$72.90 ,$46.58 ,$18.26 ,$81.00 ,$45.44 ,$18.26 ,$33.53 ,$11.89 ,$11.35 ,$19.17 ,$68.85 ,$51.03 ,$22.68 ,$72.90 ,$70.47 ,$64.80 ,$64.80 ,$18.26 ,$52.65 ST. FRANCIS HOSPITAL - ACUTE,30101579,82784,HC GAMMAGLOBULIN,301,1 ,$55.00 ,$39.60 ,$11.35 ,$55.00 ,$31.63 ,$39.60 ,$29.92 ,$12.40 ,$15.40 ,$36.58 ,$12.40 ,$38.50 ,$12.40 ,$34.65 ,$34.65 ,$12.40 ,$34.65 ,$25.55 ,$50.60 ,$23.25 ,$12.40 ,$46.75 ,$46.20 ,$12.40 ,$41.25 ,$44.00 ,$44.00 ,$12.40 ,$44.00 ,$47.85 ,$47.85 ,$47.85 ,$49.50 ,$31.63 ,$12.40 ,$55.00 ,$30.86 ,$12.40 ,$22.77 ,$11.89 ,$11.35 ,$13.01 ,$46.75 ,$34.65 ,$15.40 ,$49.50 ,$47.85 ,$44.00 ,$44.00 ,$12.40 ,$35.75 ST. FRANCIS HOSPITAL - ACUTE,30101580,82785,HC GAMMAGLOBULIN IGE,301,1 ,$116.00 ,$83.52 ,$11.35 ,$116.00 ,$66.70 ,$83.52 ,$63.10 ,$26.15 ,$32.48 ,$77.14 ,$26.15 ,$81.20 ,$26.15 ,$73.08 ,$73.08 ,$26.15 ,$73.08 ,$53.89 ,$106.72 ,$41.15 ,$26.15 ,$98.60 ,$97.44 ,$26.15 ,$87.00 ,$92.80 ,$92.80 ,$26.15 ,$92.80 ,$100.92 ,$100.92 ,$100.92 ,$104.40 ,$66.70 ,$26.15 ,$116.00 ,$65.08 ,$26.15 ,$48.02 ,$11.89 ,$11.35 ,$27.45 ,$98.60 ,$73.08 ,$32.48 ,$104.40 ,$100.92 ,$92.80 ,$92.80 ,$26.15 ,$75.40 ST. FRANCIS HOSPITAL - ACUTE,30101581,82945,HC GLUCOSE BODY FLUID,301,1 ,$90.00 ,$64.80 ,$5.05 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$48.68 ,$20.29 ,$51.24 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 ,$82.80 ,$9.83 ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 ,$5.29 ,$5.05 ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,30101585,83001,HC FSH,301,1 ,$122.00 ,$87.84 ,$26.55 ,$122.00 ,$70.15 ,$87.84 ,$66.37 ,$27.50 ,$34.16 ,$81.13 ,$27.50 ,$85.40 ,$27.50 ,$76.86 ,$76.86 ,$27.50 ,$76.86 ,$56.68 ,$112.24 ,$46.45 ,$27.50 ,$103.70 ,$102.48 ,$27.50 ,$91.50 ,$97.60 ,$97.60 ,$27.50 ,$97.60 ,$106.14 ,$106.14 ,$106.14 ,$109.80 ,$70.15 ,$27.50 ,$122.00 ,$68.44 ,$27.50 ,$50.51 ,$27.82 ,$26.55 ,$28.87 ,$103.70 ,$76.86 ,$34.16 ,$109.80 ,$106.14 ,$97.60 ,$97.60 ,$27.50 ,$79.30 ST. FRANCIS HOSPITAL - ACUTE,30101586,83002,HC LUTEINIZING HORMONE (LH),301,1 ,$132.00 ,$95.04 ,$26.55 ,$132.00 ,$75.90 ,$95.04 ,$71.81 ,$29.75 ,$36.96 ,$87.78 ,$29.75 ,$92.40 ,$29.75 ,$83.16 ,$83.16 ,$29.75 ,$83.16 ,$61.33 ,$121.44 ,$46.30 ,$29.75 ,$112.20 ,$110.88 ,$29.75 ,$99.00 ,$105.60 ,$105.60 ,$29.75 ,$105.60 ,$114.84 ,$114.84 ,$114.84 ,$118.80 ,$75.90 ,$29.75 ,$132.00 ,$74.05 ,$29.75 ,$54.65 ,$27.82 ,$26.55 ,$31.24 ,$112.20 ,$83.16 ,$36.96 ,$118.80 ,$114.84 ,$105.60 ,$105.60 ,$29.75 ,$85.80 ST. FRANCIS HOSPITAL - ACUTE,30101589,83036,HC GLYCOSYLATED HGB -90,301,1 ,$152.00 ,$109.44 ,$11.35 ,$152.00 ,$87.40 ,$109.44 ,$82.69 ,$34.26 ,$42.56 ,$101.08 ,$34.26 ,$106.40 ,$34.26 ,$95.76 ,$95.76 ,$34.26 ,$95.76 ,$70.62 ,$139.84 ,$24.28 ,$34.26 ,$129.20 ,$127.68 ,$34.26 ,$114.00 ,$121.60 ,$121.60 ,$34.26 ,$121.60 ,$132.24 ,$132.24 ,$132.24 ,$136.80 ,$87.40 ,$34.26 ,$152.00 ,$85.27 ,$34.26 ,$62.93 ,$11.89 ,$11.35 ,$35.98 ,$129.20 ,$95.76 ,$42.56 ,$136.80 ,$132.24 ,$121.60 ,$121.60 ,$34.26 ,$98.80 ST. FRANCIS HOSPITAL - ACUTE,30101591,83090,HC HOMOCYSTEINE,301,1 ,$129.00 ,$92.88 ,$26.55 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$44.80 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$27.82 ,$26.55 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,30101594,83615,HC LACTATE DEHYDRO (LDH),301,1 ,$154.00 ,$110.88 ,$5.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$55.18 ,$34.71 ,$58.08 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$15.10 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$5.29 ,$5.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30101597,83874,HC MYOGLOBIN,301,1 ,$127.00 ,$91.44 ,$11.35 ,$127.00 ,$73.03 ,$91.44 ,$69.09 ,$28.63 ,$35.56 ,$84.46 ,$28.63 ,$88.90 ,$28.63 ,$80.01 ,$80.01 ,$28.63 ,$80.01 ,$59.00 ,$116.84 ,$32.30 ,$28.63 ,$107.95 ,$106.68 ,$28.63 ,$95.25 ,$101.60 ,$101.60 ,$28.63 ,$101.60 ,$110.49 ,$110.49 ,$110.49 ,$114.30 ,$73.03 ,$28.63 ,$127.00 ,$71.25 ,$28.63 ,$52.58 ,$11.89 ,$11.35 ,$30.06 ,$107.95 ,$80.01 ,$35.56 ,$114.30 ,$110.49 ,$101.60 ,$101.60 ,$28.63 ,$82.55 ST. FRANCIS HOSPITAL - ACUTE,30101598,83930,HC OSMOLALITY BLOOD,301,1 ,$85.00 ,$61.20 ,$5.05 ,$85.00 ,$48.88 ,$61.20 ,$46.24 ,$19.16 ,$23.80 ,$56.53 ,$19.16 ,$59.50 ,$19.16 ,$53.55 ,$53.55 ,$19.16 ,$53.55 ,$39.49 ,$78.20 ,$16.53 ,$19.16 ,$72.25 ,$71.40 ,$19.16 ,$63.75 ,$68.00 ,$68.00 ,$19.16 ,$68.00 ,$73.95 ,$73.95 ,$73.95 ,$76.50 ,$48.88 ,$19.16 ,$85.00 ,$47.69 ,$19.16 ,$35.19 ,$5.29 ,$5.05 ,$20.12 ,$72.25 ,$53.55 ,$23.80 ,$76.50 ,$73.95 ,$68.00 ,$68.00 ,$19.16 ,$55.25 ST. FRANCIS HOSPITAL - ACUTE,30101599,83935,HC OSMOLALITY URINE,301,1 ,$98.00 ,$70.56 ,$5.05 ,$98.00 ,$56.35 ,$70.56 ,$53.31 ,$22.09 ,$27.44 ,$62.36 ,$22.09 ,$65.64 ,$22.09 ,$61.74 ,$61.74 ,$22.09 ,$61.74 ,$45.53 ,$90.16 ,$17.05 ,$22.09 ,$83.30 ,$82.32 ,$22.09 ,$73.50 ,$78.40 ,$78.40 ,$22.09 ,$78.40 ,$85.26 ,$85.26 ,$85.26 ,$88.20 ,$56.35 ,$22.09 ,$98.00 ,$54.98 ,$22.09 ,$40.57 ,$5.29 ,$5.05 ,$23.20 ,$83.30 ,$61.74 ,$27.44 ,$88.20 ,$85.26 ,$78.40 ,$78.40 ,$22.09 ,$63.70 ST. FRANCIS HOSPITAL - ACUTE,30101600,83970,HC PARATHYROID HORMONE (PTH),301,1 ,$88.00 ,$63.36 ,$19.84 ,$103.20 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$103.20 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$88.00 ,$49.37 ,$19.84 ,$36.43 ,$27.82 ,$26.55 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30101605,84134,HC PREALBUMIN,301,1 ,$77.00 ,$55.44 ,$11.35 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 ,$36.48 ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 ,$11.89 ,$11.35 ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,30101606,84144,HC PROGESTERONE,301,1 ,$117.00 ,$84.24 ,$15.28 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 ,$52.15 ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$48.44 ,$16.01 ,$15.28 ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 ,$93.60 ,$93.60 ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,30101608,84146,HC PROLACTIN,301,1 ,$142.00 ,$102.24 ,$26.55 ,$142.00 ,$81.65 ,$102.24 ,$77.25 ,$32.01 ,$39.76 ,$94.43 ,$32.01 ,$99.40 ,$32.01 ,$89.46 ,$89.46 ,$32.01 ,$89.46 ,$65.97 ,$130.64 ,$48.45 ,$32.01 ,$120.70 ,$119.28 ,$32.01 ,$106.50 ,$113.60 ,$113.60 ,$32.01 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$81.65 ,$32.01 ,$142.00 ,$79.66 ,$32.01 ,$58.79 ,$27.82 ,$26.55 ,$33.60 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 ,$113.60 ,$113.60 ,$32.01 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,30101611,84155,HC PROTEIN TOTAL,301,1 ,$26.00 ,$18.72 ,$5.05 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$9.18 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$5.29 ,$5.05 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30101612,84156,HC PROTEIN TOTAL URINE,301,1 ,$25.00 ,$18.00 ,$5.05 ,$25.00 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$9.18 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$5.29 ,$5.05 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30101613,84157,HC PROTEIN TOTAL OTH SRC,301,1 ,$128.00 ,$92.16 ,$5.05 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$45.49 ,$28.85 ,$47.88 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 ,$10.00 ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 ,$5.29 ,$5.05 ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,30101614,84165,HC PROTEIN ELECTROPHORESIS,301,1 ,$75.00 ,$54.00 ,$11.35 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$26.85 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$11.89 ,$11.35 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30101615,84166,HC PROTEIN EP OTH FLUID,301,1 ,$91.00 ,$65.52 ,$11.35 ,$91.00 ,$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 ,$44.58 ,$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 ,$11.89 ,$11.35 ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,30101620,84436,HC THYROXINE (T-4) TOTAL,301,1 ,$99.00 ,$71.28 ,$15.28 ,$99.00 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$62.81 ,$22.31 ,$66.12 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$17.18 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$16.01 ,$15.28 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30101622,84466,HC TRANSFERRIN,301,1 ,$154.00 ,$110.88 ,$11.35 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$102.41 ,$34.71 ,$107.80 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$31.90 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$11.89 ,$11.35 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30101624,84480,HC T3 TOTAL,301,1 ,$102.00 ,$73.44 ,$15.28 ,$102.00 ,$58.65 ,$73.44 ,$55.49 ,$22.99 ,$28.56 ,$67.83 ,$22.99 ,$71.40 ,$22.99 ,$64.26 ,$64.26 ,$22.99 ,$64.26 ,$47.39 ,$93.84 ,$35.45 ,$22.99 ,$86.70 ,$85.68 ,$22.99 ,$76.50 ,$81.60 ,$81.60 ,$22.99 ,$81.60 ,$88.74 ,$88.74 ,$88.74 ,$91.80 ,$58.65 ,$22.99 ,$102.00 ,$57.22 ,$22.99 ,$42.23 ,$16.01 ,$15.28 ,$24.14 ,$86.70 ,$64.26 ,$28.56 ,$91.80 ,$88.74 ,$81.60 ,$81.60 ,$22.99 ,$66.30 ST. FRANCIS HOSPITAL - ACUTE,30101625,84481,HC T3 FREE,301,1 ,$102.00 ,$73.44 ,$15.28 ,$102.00 ,$58.65 ,$73.44 ,$55.49 ,$22.99 ,$28.56 ,$67.83 ,$22.99 ,$71.40 ,$22.99 ,$64.26 ,$64.26 ,$22.99 ,$64.26 ,$47.39 ,$93.84 ,$42.35 ,$22.99 ,$86.70 ,$85.68 ,$22.99 ,$76.50 ,$81.60 ,$81.60 ,$22.99 ,$81.60 ,$88.74 ,$88.74 ,$88.74 ,$91.80 ,$58.65 ,$22.99 ,$102.00 ,$57.22 ,$22.99 ,$42.23 ,$16.01 ,$15.28 ,$24.14 ,$86.70 ,$64.26 ,$28.56 ,$91.80 ,$88.74 ,$81.60 ,$81.60 ,$22.99 ,$66.30 ST. FRANCIS HOSPITAL - ACUTE,30101642,84999,HC OSMOLALITY FECAL-90,301,1 ,$24.00 ,$17.28 ,$6.72 ,$24.00 , N/A ,$17.28 ,$13.06 , N/A ,$6.72 ,$15.96 , N/A ,$16.80 , N/A ,$15.12 ,$15.12 , N/A ,$15.12 , N/A ,$22.08 ,$16.80 , N/A ,$20.40 ,$20.16 , N/A ,$18.00 ,$19.20 ,$19.20 , N/A ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 , N/A , N/A ,$24.00 ,$13.46 , N/A ,$9.94 ,$11.89 ,$11.35 , N/A ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 , N/A ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30101643,81596,HC CHRONIC HEP C VIRUS ASSAYS-90,301,1 ,$394.00 ,$283.68 ,$40.27 ,$394.00 ,$226.55 ,$283.68 ,$214.34 ,$88.81 ,$110.32 ,$262.01 ,$88.81 ,$275.80 ,$88.81 ,$248.22 ,$248.22 ,$88.81 ,$248.22 ,$183.05 ,$362.48 ,$180.48 ,$88.81 ,$334.90 ,$330.96 ,$88.81 ,$295.50 ,$315.20 ,$315.20 ,$88.81 ,$315.20 ,$342.78 ,$342.78 ,$342.78 ,$354.60 ,$226.55 ,$88.81 ,$394.00 ,$221.03 ,$88.81 ,$163.12 ,$42.19 ,$40.27 ,$93.25 ,$334.90 ,$248.22 ,$110.32 ,$354.60 ,$342.78 ,$315.20 ,$315.20 ,$88.81 ,$256.10 ST. FRANCIS HOSPITAL - ACUTE,30101645,83951,HC ONCOPROTEIN DCP-90,301,1 ,$361.00 ,$259.92 ,$35.66 ,$361.00 ,$207.58 ,$259.92 ,$196.38 ,$81.37 ,$101.08 ,$240.07 ,$81.37 ,$252.70 ,$81.37 ,$227.43 ,$227.43 ,$81.37 ,$227.43 ,$167.72 ,$332.12 ,$161.03 ,$81.37 ,$306.85 ,$303.24 ,$81.37 ,$270.75 ,$288.80 ,$288.80 ,$81.37 ,$288.80 ,$314.07 ,$314.07 ,$314.07 ,$324.90 ,$207.58 ,$81.37 ,$361.00 ,$202.52 ,$81.37 ,$149.45 ,$37.36 ,$35.66 ,$85.44 ,$306.85 ,$227.43 ,$101.08 ,$324.90 ,$314.07 ,$288.80 ,$288.80 ,$81.37 ,$234.65 ST. FRANCIS HOSPITAL - ACUTE,30101653,82642,HC DIHYDROTESTOSTERONE-90,301,1 ,$178.00 ,$128.16 ,$15.28 ,$178.00 ,$102.35 ,$128.16 ,$96.83 ,$40.12 ,$49.84 ,$118.37 ,$40.12 ,$124.60 ,$40.12 ,$112.14 ,$112.14 ,$40.12 ,$112.14 ,$82.70 ,$163.76 ,$73.20 ,$40.12 ,$151.30 ,$149.52 ,$40.12 ,$133.50 ,$142.40 ,$142.40 ,$40.12 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$102.35 ,$40.12 ,$178.00 ,$99.86 ,$40.12 ,$73.69 ,$16.01 ,$15.28 ,$42.13 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 ,$142.40 ,$142.40 ,$40.12 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,30101663,83631,HC LACTOFERRIN FECAL QN-90,301,1 ,$261.00 ,$187.92 ,$11.35 ,$261.00 ,$150.08 ,$187.92 ,$141.98 ,$58.83 ,$73.08 ,$173.57 ,$58.83 ,$182.70 ,$58.83 ,$164.43 ,$164.43 ,$58.83 ,$164.43 ,$121.26 ,$240.12 ,$49.08 ,$58.83 ,$221.85 ,$219.24 ,$58.83 ,$195.75 ,$208.80 ,$208.80 ,$58.83 ,$208.80 ,$227.07 ,$227.07 ,$227.07 ,$234.90 ,$150.08 ,$58.83 ,$261.00 ,$146.42 ,$58.83 ,$108.05 ,$11.89 ,$11.35 ,$61.77 ,$221.85 ,$164.43 ,$73.08 ,$234.90 ,$227.07 ,$208.80 ,$208.80 ,$58.83 ,$169.65 ST. FRANCIS HOSPITAL - ACUTE,30101664,80307,HC DRUG SCREEN UMBILICAL CORD-90,301,1 ,$26.00 ,$18.72 ,$5.86 ,$65.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$65.00 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$32.00 ,$30.54 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30101665,80307,HC DRUG SCREEN MECONIUM-90,301,1 ,$16.00 ,$11.52 ,$3.61 ,$40.00 ,$9.20 ,$11.52 ,$8.70 ,$3.61 ,$4.48 ,$10.64 ,$3.61 ,$11.20 ,$3.61 ,$10.08 ,$10.08 ,$3.61 ,$10.08 ,$7.43 ,$14.72 ,$40.00 ,$3.61 ,$13.60 ,$13.44 ,$3.61 ,$12.00 ,$12.80 ,$12.80 ,$3.61 ,$12.80 ,$13.92 ,$13.92 ,$13.92 ,$14.40 ,$9.20 ,$3.61 ,$16.00 ,$8.98 ,$3.61 ,$6.62 ,$32.00 ,$30.54 ,$3.78 ,$13.60 ,$10.08 ,$4.48 ,$14.40 ,$13.92 ,$12.80 ,$12.80 ,$3.61 ,$10.40 ST. FRANCIS HOSPITAL - ACUTE,30101668,83550,HC IRON BINDING CAPACITY -90,301,1 ,$119.00 ,$85.68 ,$11.35 ,$119.00 ,$68.43 ,$85.68 ,$64.74 ,$26.82 ,$33.32 ,$79.14 ,$26.82 ,$83.30 ,$26.82 ,$74.97 ,$74.97 ,$26.82 ,$74.97 ,$55.29 ,$109.48 ,$21.85 ,$26.82 ,$101.15 ,$99.96 ,$26.82 ,$89.25 ,$95.20 ,$95.20 ,$26.82 ,$95.20 ,$103.53 ,$103.53 ,$103.53 ,$107.10 ,$68.43 ,$26.82 ,$119.00 ,$66.76 ,$26.82 ,$49.27 ,$11.89 ,$11.35 ,$28.17 ,$101.15 ,$74.97 ,$33.32 ,$107.10 ,$103.53 ,$95.20 ,$95.20 ,$26.82 ,$77.35 ST. FRANCIS HOSPITAL - ACUTE,30101702,81479,HC MUTATION ANALYSIS MYD88-90,301,1 ,$597.00 ,$429.84 ,$39.90 ,$597.00 , N/A ,$429.84 ,$324.77 , N/A ,$167.16 ,$39.90 , N/A ,$42.00 , N/A ,$376.11 ,$376.11 , N/A ,$376.11 , N/A ,$500.00 ,$417.90 , N/A ,$507.45 ,$501.48 , N/A ,$447.75 ,$477.60 ,$477.60 , N/A ,$477.60 ,$519.39 ,$519.39 ,$519.39 ,$537.30 , N/A , N/A ,$597.00 ,$334.92 , N/A ,$247.16 ,$42.19 ,$40.27 , N/A ,$507.45 ,$376.11 ,$167.16 ,$537.30 ,$519.39 ,$477.60 ,$477.60 , N/A ,$388.05 ST. FRANCIS HOSPITAL - ACUTE,30101705,80145,HC DRUG ASSAY ADALIMUMAB -90,301,1 ,$450.00 ,$324.00 ,$13.03 ,$450.00 ,$258.75 ,$324.00 ,$244.80 ,$101.43 ,$126.00 ,$299.25 ,$101.43 ,$315.00 ,$101.43 ,$283.50 ,$283.50 ,$101.43 ,$283.50 ,$209.07 ,$414.00 ,$96.43 ,$101.43 ,$382.50 ,$378.00 ,$101.43 ,$337.50 ,$360.00 ,$360.00 ,$101.43 ,$360.00 ,$391.50 ,$391.50 ,$391.50 ,$405.00 ,$258.75 ,$101.43 ,$450.00 ,$252.45 ,$101.43 ,$186.30 ,$13.65 ,$13.03 ,$106.51 ,$382.50 ,$283.50 ,$126.00 ,$405.00 ,$391.50 ,$360.00 ,$360.00 ,$101.43 ,$292.50 ST. FRANCIS HOSPITAL - ACUTE,30101706,80230,HC DRUG ASSAY INFLIXIMAB-90,301,1 ,$441.00 ,$317.52 ,$13.03 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$96.43 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 ,$13.65 ,$13.03 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,30101709,80285,HC VORICONAZOLE - 90,301,1 ,$298.00 ,$214.56 ,$13.03 ,$298.00 ,$171.35 ,$214.56 ,$162.11 ,$67.17 ,$83.44 ,$198.17 ,$67.17 ,$208.60 ,$67.17 ,$187.74 ,$187.74 ,$67.17 ,$187.74 ,$138.45 ,$274.16 ,$67.78 ,$67.17 ,$253.30 ,$250.32 ,$67.17 ,$223.50 ,$238.40 ,$238.40 ,$67.17 ,$238.40 ,$259.26 ,$259.26 ,$259.26 ,$268.20 ,$171.35 ,$67.17 ,$298.00 ,$167.18 ,$67.17 ,$123.37 ,$13.65 ,$13.03 ,$70.53 ,$253.30 ,$187.74 ,$83.44 ,$268.20 ,$259.26 ,$238.40 ,$238.40 ,$67.17 ,$193.70 ST. FRANCIS HOSPITAL - ACUTE,30101770,83521,HC IMMUNOGLOBULIN LIGHT CHAINS- 90,301,1 ,$210.00 ,$151.20 ,$11.35 ,$210.00 ,$120.75 ,$151.20 ,$114.24 ,$47.33 ,$58.80 ,$139.65 ,$47.33 ,$147.00 ,$47.33 ,$132.30 ,$132.30 ,$47.33 ,$132.30 ,$97.57 ,$193.20 ,$43.18 ,$47.33 ,$178.50 ,$176.40 ,$47.33 ,$157.50 ,$168.00 ,$168.00 ,$47.33 ,$168.00 ,$182.70 ,$182.70 ,$182.70 ,$189.00 ,$120.75 ,$47.33 ,$210.00 ,$117.81 ,$47.33 ,$86.94 ,$11.89 ,$11.35 ,$49.71 ,$178.50 ,$132.30 ,$58.80 ,$189.00 ,$182.70 ,$168.00 ,$168.00 ,$47.33 ,$136.50 ST. FRANCIS HOSPITAL - ACUTE,30101771,82653,HC EL-1 FECAL QUANTITATIVE-90,301,1 ,$323.00 ,$232.56 ,$11.35 ,$323.00 ,$185.73 ,$232.56 ,$175.71 ,$72.80 ,$90.44 ,$105.56 ,$72.80 ,$111.12 ,$72.80 ,$203.49 ,$203.49 ,$72.80 ,$203.49 ,$150.07 ,$297.16 ,$57.43 ,$72.80 ,$274.55 ,$271.32 ,$72.80 ,$242.25 ,$258.40 ,$258.40 ,$72.80 ,$258.40 ,$281.01 ,$281.01 ,$281.01 ,$290.70 ,$185.73 ,$72.80 ,$323.00 ,$181.20 ,$72.80 ,$133.72 ,$11.89 ,$11.35 ,$76.44 ,$274.55 ,$203.49 ,$90.44 ,$290.70 ,$281.01 ,$258.40 ,$258.40 ,$72.80 ,$209.95 ST. FRANCIS HOSPITAL - ACUTE,30101780,80361,HC DRUG SCREENING OPIATES 1 OR MORE-90,301,1 ,$145.00 ,$104.40 ,$30.54 ,$145.00 ,$83.38 ,$104.40 ,$78.88 ,$32.68 ,$40.60 , N/A ,$32.68 , N/A ,$32.68 ,$91.35 ,$91.35 ,$32.68 ,$91.35 ,$67.37 ,$133.40 , N/A ,$32.68 ,$123.25 ,$121.80 ,$32.68 ,$108.75 ,$116.00 ,$116.00 ,$32.68 ,$116.00 ,$126.15 ,$126.15 ,$126.15 ,$130.50 ,$83.38 ,$32.68 ,$145.00 ,$81.35 ,$32.68 ,$60.03 ,$32.00 ,$30.54 ,$34.32 ,$123.25 ,$91.35 ,$40.60 ,$130.50 ,$126.15 ,$116.00 ,$116.00 ,$32.68 ,$94.25 ST. FRANCIS HOSPITAL - ACUTE,30101784,81240,HC F2 GENE ANALYSIS 20210G>A VARIANT-90,301,1 ,$76.00 ,$54.72 ,$17.13 ,$164.23 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 ,$164.23 ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 ,$42.19 ,$40.27 ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,30101794,84311,HC SPECHTROPHOTOMETRY ANLY,301,1 ,$302.00 ,$217.44 ,$11.35 ,$302.00 ,$173.65 ,$217.44 ,$164.29 ,$68.07 ,$84.56 ,$63.95 ,$68.07 ,$67.32 ,$68.07 ,$190.26 ,$190.26 ,$68.07 ,$190.26 ,$140.31 ,$277.84 ,$20.25 ,$68.07 ,$256.70 ,$253.68 ,$68.07 ,$226.50 ,$241.60 ,$241.60 ,$68.07 ,$241.60 ,$262.74 ,$262.74 ,$262.74 ,$271.80 ,$173.65 ,$68.07 ,$302.00 ,$169.42 ,$68.07 ,$125.03 ,$11.89 ,$11.35 ,$71.47 ,$256.70 ,$190.26 ,$84.56 ,$271.80 ,$262.74 ,$241.60 ,$241.60 ,$68.07 ,$196.30 ST. FRANCIS HOSPITAL - ACUTE,30101798,83519,HC RIA NONANTIBODY-90,301,1 ,"$1,250.00 ",$900.00 ,$10.16 ,"$1,250.00 ",$718.75 ,$900.00 ,$680.00 ,$281.75 ,$350.00 ,$136.34 ,$281.75 ,$143.52 ,$281.75 ,$787.50 ,$787.50 ,$281.75 ,$787.50 ,$580.75 ,$500.00 ,$46.00 ,$281.75 ,"$1,062.50 ","$1,050.00 ",$281.75 ,$937.50 ,"$1,000.00 ","$1,000.00 ",$281.75 ,"$1,000.00 ","$1,087.50 ","$1,087.50 ","$1,087.50 ","$1,125.00 ",$718.75 ,$281.75 ,"$1,250.00 ",$701.25 ,$281.75 ,$517.50 ,$10.65 ,$10.16 ,$295.84 ,"$1,062.50 ",$787.50 ,$350.00 ,"$1,125.00 ","$1,087.50 ","$1,000.00 ","$1,000.00 ",$281.75 ,$812.50 ST. FRANCIS HOSPITAL - ACUTE,30101801,83521,HC IG LIGHT CHAINS FREE EACH-90,301,1 ,$69.00 ,$49.68 ,$11.35 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$43.18 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$11.89 ,$11.35 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30101802,82379,HC ASSAY OF CARNITINE-90,301,1 ,$612.00 ,$440.64 ,$11.35 ,$612.00 ,$351.90 ,$440.64 ,$332.93 ,$137.94 ,$171.36 ,$154.36 ,$137.94 ,$162.48 ,$137.94 ,$385.56 ,$385.56 ,$137.94 ,$385.56 ,$284.34 ,$500.00 ,$42.18 ,$137.94 ,$520.20 ,$514.08 ,$137.94 ,$459.00 ,$489.60 ,$489.60 ,$137.94 ,$489.60 ,$532.44 ,$532.44 ,$532.44 ,$550.80 ,$351.90 ,$137.94 ,$612.00 ,$343.33 ,$137.94 ,$253.37 ,$11.89 ,$11.35 ,$144.84 ,$520.20 ,$385.56 ,$171.36 ,$550.80 ,$532.44 ,$489.60 ,$489.60 ,$137.94 ,$397.80 ST. FRANCIS HOSPITAL - ACUTE,30200163,86308,HC HETEROPHILE SCR MONO,302,1 ,$297.00 ,$213.84 ,$10.16 ,$297.00 ,$170.78 ,$213.84 ,$161.57 ,$66.94 ,$83.16 ,$64.07 ,$66.94 ,$67.44 ,$66.94 ,$187.11 ,$187.11 ,$66.94 ,$187.11 ,$137.99 ,$273.24 ,$12.95 ,$66.94 ,$252.45 ,$249.48 ,$66.94 ,$222.75 ,$237.60 ,$237.60 ,$66.94 ,$237.60 ,$258.39 ,$258.39 ,$258.39 ,$267.30 ,$170.78 ,$66.94 ,$297.00 ,$166.62 ,$66.94 ,$122.96 ,$10.65 ,$10.16 ,$70.30 ,$252.45 ,$187.11 ,$83.16 ,$267.30 ,$258.39 ,$237.60 ,$237.60 ,$66.94 ,$193.05 ST. FRANCIS HOSPITAL - ACUTE,30200542,86703,HC HIV 1 HIV 2 AB SGL ASSAY,302,1 ,$385.00 ,$277.20 ,$10.16 ,$385.00 ,$221.38 ,$277.20 ,$209.44 ,$86.78 ,$107.80 ,$169.75 ,$86.78 ,$178.68 ,$86.78 ,$242.55 ,$242.55 ,$86.78 ,$242.55 ,$178.87 ,$354.20 ,$34.28 ,$86.78 ,$327.25 ,$323.40 ,$86.78 ,$288.75 ,$308.00 ,$308.00 ,$86.78 ,$308.00 ,$334.95 ,$334.95 ,$334.95 ,$346.50 ,$221.38 ,$86.78 ,$385.00 ,$215.99 ,$86.78 ,$159.39 ,$10.65 ,$10.16 ,$91.12 ,$327.25 ,$242.55 ,$107.80 ,$346.50 ,$334.95 ,$308.00 ,$308.00 ,$86.78 ,$250.25 ST. FRANCIS HOSPITAL - ACUTE,30200562,86880,HC COOMBS DIRECT,302,1 ,$131.00 ,$94.32 ,$10.16 ,$143.70 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$49.25 ,$29.53 ,$51.84 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$143.70 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$10.65 ,$10.16 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30200563,86885,HC INDIRECT COOMBS,302,1 ,$201.00 ,$144.72 ,$10.16 ,$393.13 ,$115.58 ,$144.72 ,$109.34 ,$45.31 ,$56.28 ,$52.44 ,$45.31 ,$55.20 ,$45.31 ,$126.63 ,$126.63 ,$45.31 ,$126.63 ,$93.38 ,$184.92 ,$393.13 ,$45.31 ,$170.85 ,$168.84 ,$45.31 ,$150.75 ,$160.80 ,$160.80 ,$45.31 ,$160.80 ,$174.87 ,$174.87 ,$174.87 ,$180.90 ,$115.58 ,$45.31 ,$201.00 ,$112.76 ,$45.31 ,$83.21 ,$10.65 ,$10.16 ,$47.57 ,$170.85 ,$126.63 ,$56.28 ,$180.90 ,$174.87 ,$160.80 ,$160.80 ,$45.31 ,$130.65 ST. FRANCIS HOSPITAL - ACUTE,30200564,86890,HC AUTOLOGOUS PROCESSING FEE,302,1 ,$135.00 ,$97.20 ,$30.43 ,$393.13 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$393.13 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$42.98 ,$41.02 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30200565,86900,HC BLOOD TYPING ABO,302,1 ,$69.00 ,$49.68 ,$6.30 ,$290.28 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$27.36 ,$15.55 ,$28.80 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$290.28 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$6.60 ,$6.30 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30200566,86901,HC BLOOD TYPING RH,302,1 ,$99.00 ,$71.28 ,$6.30 ,$99.00 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$27.36 ,$22.31 ,$28.80 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$84.90 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$6.60 ,$6.30 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30200568,86905,HC RBC ANTIGEN OTHER THAN ABO OR RH(D) EACH,302,1 ,$112.00 ,$80.64 ,$6.30 ,$810.28 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$35.00 ,$25.24 ,$36.84 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$810.28 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$6.60 ,$6.30 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30200569,86920,HC CROSSMATCH IMMEDIATE SPIN,302,1 ,$169.00 ,$121.68 ,$6.30 ,$393.13 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 ,$155.48 ,$393.13 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 ,$6.60 ,$6.30 ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,30200571,86922,HC CROSSMATCH AHG,302,1 ,$32.00 ,$23.04 ,$7.21 ,$393.13 ,$18.40 ,$23.04 ,$17.41 ,$7.21 ,$8.96 ,$21.28 ,$7.21 ,$22.40 ,$7.21 ,$20.16 ,$20.16 ,$7.21 ,$20.16 ,$14.87 ,$29.44 ,$393.13 ,$7.21 ,$27.20 ,$26.88 ,$7.21 ,$24.00 ,$25.60 ,$25.60 ,$7.21 ,$25.60 ,$27.84 ,$27.84 ,$27.84 ,$28.80 ,$18.40 ,$7.21 ,$32.00 ,$17.95 ,$7.21 ,$13.25 ,$42.98 ,$41.02 ,$7.58 ,$27.20 ,$20.16 ,$8.96 ,$28.80 ,$27.84 ,$25.60 ,$25.60 ,$7.21 ,$20.80 ST. FRANCIS HOSPITAL - ACUTE,30200844,86001,HC RAST ALLERGEN IGG QN SQ EA-90,302,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$19.55 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$10.65 ,$10.16 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30200845,86003,HC RAST ALLERGEN IGE QN SQ EA-90,302,1 ,$22.00 ,$15.84 ,$4.96 ,$22.00 ,$12.65 ,$15.84 ,$11.97 ,$4.96 ,$6.16 ,$14.63 ,$4.96 ,$15.40 ,$4.96 ,$13.86 ,$13.86 ,$4.96 ,$13.86 ,$10.22 ,$20.24 ,$13.05 ,$4.96 ,$18.70 ,$18.48 ,$4.96 ,$16.50 ,$17.60 ,$17.60 ,$4.96 ,$17.60 ,$19.14 ,$19.14 ,$19.14 ,$19.80 ,$12.65 ,$4.96 ,$22.00 ,$12.34 ,$4.96 ,$9.11 ,$10.65 ,$10.16 ,$5.20 ,$18.70 ,$13.86 ,$6.16 ,$19.80 ,$19.14 ,$17.60 ,$17.60 ,$4.96 ,$14.30 ST. FRANCIS HOSPITAL - ACUTE,30200847,86021,HC LEUKO AB ID-90,302,1 ,$100.00 ,$72.00 ,$10.16 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$37.63 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$10.65 ,$10.16 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,30200851,86022,HC PLATELET AB ID-90,302,1 ,$69.00 ,$49.68 ,$10.16 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$45.93 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$10.65 ,$10.16 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30200858,86038,HC ANA SCREEN-90,302,1 ,$207.00 ,$149.04 ,$10.16 ,$207.00 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$110.58 ,$46.66 ,$116.40 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$30.23 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$10.65 ,$10.16 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,30200859,86039,HC ANA TITER-90,302,1 ,$66.00 ,$47.52 ,$10.16 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$27.90 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$10.65 ,$10.16 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30200861,86140,HC C-REACTIVE PROTEIN-90,302,1 ,$165.00 ,$118.80 ,$10.16 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$47.31 ,$37.19 ,$49.80 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$12.95 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$10.65 ,$10.16 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30200862,86140,HC C-REACTIVE PROTEIN,302,1 ,$165.00 ,$118.80 ,$10.16 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$47.31 ,$37.19 ,$49.80 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$12.95 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$10.65 ,$10.16 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30200863,86141,HC C-REACTIVE PROTEIN (HS)-90,302,1 ,$112.00 ,$80.64 ,$10.16 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$32.38 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$10.65 ,$10.16 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30200864,86146,HC BETA 2 GLYCO AB-90,302,1 ,$100.00 ,$72.00 ,$11.35 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$63.63 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$11.89 ,$11.35 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,30200865,86147,HC CARDIOLIPIN AB EA-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$62.50 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$62.50 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$18.35 ,$17.51 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30200866,86148,HC ANTI-PHOSPHATIDYLSERINE AB-90,302,1 ,$62.00 ,$44.64 ,$11.35 ,$62.00 ,$35.65 ,$44.64 ,$33.73 ,$13.97 ,$17.36 ,$41.23 ,$13.97 ,$43.40 ,$13.97 ,$39.06 ,$39.06 ,$13.97 ,$39.06 ,$28.81 ,$57.04 ,$40.18 ,$13.97 ,$52.70 ,$52.08 ,$13.97 ,$46.50 ,$49.60 ,$49.60 ,$13.97 ,$49.60 ,$53.94 ,$53.94 ,$53.94 ,$55.80 ,$35.65 ,$13.97 ,$62.00 ,$34.78 ,$13.97 ,$25.67 ,$11.89 ,$11.35 ,$14.67 ,$52.70 ,$39.06 ,$17.36 ,$55.80 ,$53.94 ,$49.60 ,$49.60 ,$13.97 ,$40.30 ST. FRANCIS HOSPITAL - ACUTE,30200868,86157,HC COLD AGGLUTININ TITER-90,302,1 ,$73.00 ,$52.56 ,$10.16 ,$73.00 ,$41.98 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$16.45 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$33.92 ,$67.16 ,$20.15 ,$16.45 ,$62.05 ,$61.32 ,$16.45 ,$54.75 ,$58.40 ,$58.40 ,$16.45 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$41.98 ,$16.45 ,$73.00 ,$40.95 ,$16.45 ,$30.22 ,$10.65 ,$10.16 ,$17.28 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 ,$58.40 ,$58.40 ,$16.45 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,30200869,86160,HC COMPLEMENT AG EA-90,302,1 ,$50.00 ,$36.00 ,$10.16 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$30.00 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$10.65 ,$10.16 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200870,86161,HC C1 ESTERASE INHIBITOR-90,302,1 ,$198.00 ,$142.56 ,$10.16 ,$198.00 ,$113.85 ,$142.56 ,$107.71 ,$44.63 ,$55.44 ,$109.78 ,$44.63 ,$115.56 ,$44.63 ,$124.74 ,$124.74 ,$44.63 ,$124.74 ,$91.99 ,$182.16 ,$30.00 ,$44.63 ,$168.30 ,$166.32 ,$44.63 ,$148.50 ,$158.40 ,$158.40 ,$44.63 ,$158.40 ,$172.26 ,$172.26 ,$172.26 ,$178.20 ,$113.85 ,$44.63 ,$198.00 ,$111.08 ,$44.63 ,$81.97 ,$10.65 ,$10.16 ,$46.86 ,$168.30 ,$124.74 ,$55.44 ,$178.20 ,$172.26 ,$158.40 ,$158.40 ,$44.63 ,$128.70 ST. FRANCIS HOSPITAL - ACUTE,30200871,86162,HC COMPLEMENT TOTAL-90,302,1 ,$292.00 ,$210.24 ,$10.16 ,$292.00 ,$167.90 ,$210.24 ,$158.85 ,$65.82 ,$81.76 ,$185.93 ,$65.82 ,$195.72 ,$65.82 ,$183.96 ,$183.96 ,$65.82 ,$183.96 ,$135.66 ,$268.64 ,$50.80 ,$65.82 ,$248.20 ,$245.28 ,$65.82 ,$219.00 ,$233.60 ,$233.60 ,$65.82 ,$233.60 ,$254.04 ,$254.04 ,$254.04 ,$262.80 ,$167.90 ,$65.82 ,$292.00 ,$163.81 ,$65.82 ,$120.89 ,$10.65 ,$10.16 ,$69.11 ,$248.20 ,$183.96 ,$81.76 ,$262.80 ,$254.04 ,$233.60 ,$233.60 ,$65.82 ,$189.80 ST. FRANCIS HOSPITAL - ACUTE,30200873,86200,HC CCP AB-90,302,1 ,$155.00 ,$111.60 ,$10.16 ,$155.00 ,$89.13 ,$111.60 ,$84.32 ,$34.94 ,$43.40 ,$103.08 ,$34.94 ,$108.50 ,$34.94 ,$97.65 ,$97.65 ,$34.94 ,$97.65 ,$72.01 ,$142.60 ,$32.38 ,$34.94 ,$131.75 ,$130.20 ,$34.94 ,$116.25 ,$124.00 ,$124.00 ,$34.94 ,$124.00 ,$134.85 ,$134.85 ,$134.85 ,$139.50 ,$89.13 ,$34.94 ,$155.00 ,$86.96 ,$34.94 ,$64.17 ,$10.65 ,$10.16 ,$36.68 ,$131.75 ,$97.65 ,$43.40 ,$139.50 ,$134.85 ,$124.00 ,$124.00 ,$34.94 ,$100.75 ST. FRANCIS HOSPITAL - ACUTE,30200874,86215,HC DEOXYRIBONUCLEASE AB-90,302,1 ,$140.00 ,$100.80 ,$10.16 ,$140.00 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$93.10 ,$31.56 ,$98.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 ,$33.13 ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$10.65 ,$10.16 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,30200877,86235,HC ENA AB-90,302,1 ,$120.00 ,$86.40 ,$17.51 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$44.83 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$18.35 ,$17.51 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,30200878,86255,HC FLUOR AB SCR-90,302,1 ,$205.00 ,$147.60 ,$17.51 ,$205.00 ,$117.88 ,$147.60 ,$111.52 ,$46.21 ,$57.40 ,$110.24 ,$46.21 ,$116.04 ,$46.21 ,$129.15 ,$129.15 ,$46.21 ,$129.15 ,$95.24 ,$188.60 ,$30.13 ,$46.21 ,$174.25 ,$172.20 ,$46.21 ,$153.75 ,$164.00 ,$164.00 ,$46.21 ,$164.00 ,$178.35 ,$178.35 ,$178.35 ,$184.50 ,$117.88 ,$46.21 ,$205.00 ,$115.01 ,$46.21 ,$84.87 ,$18.35 ,$17.51 ,$48.52 ,$174.25 ,$129.15 ,$57.40 ,$184.50 ,$178.35 ,$164.00 ,$164.00 ,$46.21 ,$133.25 ST. FRANCIS HOSPITAL - ACUTE,30200879,86256,HC FLUOR AB TITER-90,302,1 ,$262.00 ,$188.64 ,$17.51 ,$262.00 ,$150.65 ,$188.64 ,$142.53 ,$59.05 ,$73.36 ,$110.24 ,$59.05 ,$116.04 ,$59.05 ,$165.06 ,$165.06 ,$59.05 ,$165.06 ,$121.73 ,$241.04 ,$30.13 ,$59.05 ,$222.70 ,$220.08 ,$59.05 ,$196.50 ,$209.60 ,$209.60 ,$59.05 ,$209.60 ,$227.94 ,$227.94 ,$227.94 ,$235.80 ,$150.65 ,$59.05 ,$262.00 ,$146.98 ,$59.05 ,$108.47 ,$18.35 ,$17.51 ,$62.00 ,$222.70 ,$165.06 ,$73.36 ,$235.80 ,$227.94 ,$209.60 ,$209.60 ,$59.05 ,$170.30 ST. FRANCIS HOSPITAL - ACUTE,30200880,86300,HC TUMOR AG CA 15-3 (27.29)-90,302,1 ,$271.00 ,$195.12 ,$26.93 ,$271.00 ,$155.83 ,$195.12 ,$147.42 ,$61.08 ,$75.88 ,$180.22 ,$61.08 ,$189.70 ,$61.08 ,$170.73 ,$170.73 ,$61.08 ,$170.73 ,$125.91 ,$249.32 ,$52.03 ,$61.08 ,$230.35 ,$227.64 ,$61.08 ,$203.25 ,$216.80 ,$216.80 ,$61.08 ,$216.80 ,$235.77 ,$235.77 ,$235.77 ,$243.90 ,$155.83 ,$61.08 ,$271.00 ,$152.03 ,$61.08 ,$112.19 ,$28.22 ,$26.93 ,$64.14 ,$230.35 ,$170.73 ,$75.88 ,$243.90 ,$235.77 ,$216.80 ,$216.80 ,$61.08 ,$176.15 ST. FRANCIS HOSPITAL - ACUTE,30200881,86301,HC TUMOR AG CA 19-9 -90,302,1 ,$334.00 ,$240.48 ,$26.93 ,$334.00 ,$192.05 ,$240.48 ,$181.70 ,$75.28 ,$93.52 ,$190.49 ,$75.28 ,$200.52 ,$75.28 ,$210.42 ,$210.42 ,$75.28 ,$210.42 ,$155.18 ,$307.28 ,$52.03 ,$75.28 ,$283.90 ,$280.56 ,$75.28 ,$250.50 ,$267.20 ,$267.20 ,$75.28 ,$267.20 ,$290.58 ,$290.58 ,$290.58 ,$300.60 ,$192.05 ,$75.28 ,$334.00 ,$187.37 ,$75.28 ,$138.28 ,$28.22 ,$26.93 ,$79.05 ,$283.90 ,$210.42 ,$93.52 ,$300.60 ,$290.58 ,$267.20 ,$267.20 ,$75.28 ,$217.10 ST. FRANCIS HOSPITAL - ACUTE,30200883,86305,HC HE4 OVARIAN CANCER-90,302,1 ,$500.00 ,$360.00 ,$26.93 ,$500.00 ,$287.50 ,$360.00 ,$272.00 ,$112.70 ,$140.00 ,$190.49 ,$112.70 ,$200.52 ,$112.70 ,$315.00 ,$315.00 ,$112.70 ,$315.00 ,$232.30 ,$460.00 ,$52.03 ,$112.70 ,$425.00 ,$420.00 ,$112.70 ,$375.00 ,$400.00 ,$400.00 ,$112.70 ,$400.00 ,$435.00 ,$435.00 ,$435.00 ,$450.00 ,$287.50 ,$112.70 ,$500.00 ,$280.50 ,$112.70 ,$207.00 ,$28.22 ,$26.93 ,$118.33 ,$425.00 ,$315.00 ,$140.00 ,$450.00 ,$435.00 ,$400.00 ,$400.00 ,$112.70 ,$325.00 ST. FRANCIS HOSPITAL - ACUTE,30200887,86635,HC COCCIDIOIDES AB-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$28.68 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$28.68 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$18.35 ,$17.51 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30200888,86638,HC Q FEVER AB-90,302,1 ,$59.00 ,$42.48 ,$13.30 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$30.30 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$18.35 ,$17.51 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30200890,86644,HC CMV AB-90,302,1 ,$49.00 ,$35.28 ,$11.04 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$35.98 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$18.35 ,$17.51 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30200892,86648,HC DIPTHERIA-90,302,1 ,$60.00 ,$43.20 ,$13.52 ,$60.00 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 ,$55.20 ,$38.03 ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 ,$18.35 ,$17.51 ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,30200897,86658,HC ENTEROVIRUS AB-90,302,1 ,$81.00 ,$58.32 ,$17.51 ,$81.00 ,$46.58 ,$58.32 ,$44.06 ,$18.26 ,$22.68 ,$53.87 ,$18.26 ,$56.70 ,$18.26 ,$51.03 ,$51.03 ,$18.26 ,$51.03 ,$37.63 ,$74.52 ,$32.58 ,$18.26 ,$68.85 ,$68.04 ,$18.26 ,$60.75 ,$64.80 ,$64.80 ,$18.26 ,$64.80 ,$70.47 ,$70.47 ,$70.47 ,$72.90 ,$46.58 ,$18.26 ,$81.00 ,$45.44 ,$18.26 ,$33.53 ,$18.35 ,$17.51 ,$19.17 ,$68.85 ,$51.03 ,$22.68 ,$72.90 ,$70.47 ,$64.80 ,$64.80 ,$18.26 ,$52.65 ST. FRANCIS HOSPITAL - ACUTE,30200899,86664,HC EBV NUCLEAR AG-90,302,1 ,$93.00 ,$66.96 ,$17.51 ,$93.00 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$38.23 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$38.50 ,$18.35 ,$17.51 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 ,$74.40 ,$74.40 ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,30200900,86665,HC EBV VIRAL CAP-90,302,1 ,$93.00 ,$66.96 ,$17.51 ,$93.00 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$45.35 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$38.50 ,$18.35 ,$17.51 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 ,$74.40 ,$74.40 ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,30200901,86666,HC EHRLICHIA AB-90,302,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$25.45 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$18.35 ,$17.51 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30200903,86671,HC FUNGUS AB NOS-90,302,1 ,$199.00 ,$143.28 ,$10.16 ,$199.00 ,$114.43 ,$143.28 ,$108.26 ,$44.85 ,$55.72 ,$112.06 ,$44.85 ,$117.96 ,$44.85 ,$125.37 ,$125.37 ,$44.85 ,$125.37 ,$92.46 ,$183.08 ,$30.63 ,$44.85 ,$169.15 ,$167.16 ,$44.85 ,$149.25 ,$159.20 ,$159.20 ,$44.85 ,$159.20 ,$173.13 ,$173.13 ,$173.13 ,$179.10 ,$114.43 ,$44.85 ,$199.00 ,$111.64 ,$44.85 ,$82.39 ,$10.65 ,$10.16 ,$47.10 ,$169.15 ,$125.37 ,$55.72 ,$179.10 ,$173.13 ,$159.20 ,$159.20 ,$44.85 ,$129.35 ST. FRANCIS HOSPITAL - ACUTE,30200912,86695,HC HERPES SIMPLEX AB I-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$32.98 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$18.35 ,$17.51 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200913,86696,HC HERPES SIMPLEX AB II-90,302,1 ,$50.00 ,$36.00 ,$10.16 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$48.38 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$10.65 ,$10.16 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200914,86698,HC HISTOPLASMA AB-90,302,1 ,$108.00 ,$77.76 ,$17.51 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$71.82 ,$24.34 ,$75.60 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 ,$34.48 ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 ,$18.35 ,$17.51 ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,30200915,86701,HC HIV-1 AB-90,302,1 ,$199.00 ,$143.28 ,$10.16 ,$199.00 ,$114.43 ,$143.28 ,$108.26 ,$44.85 ,$55.72 ,$110.01 ,$44.85 ,$115.80 ,$44.85 ,$125.37 ,$125.37 ,$44.85 ,$125.37 ,$92.46 ,$183.08 ,$22.23 ,$44.85 ,$169.15 ,$167.16 ,$44.85 ,$149.25 ,$159.20 ,$159.20 ,$44.85 ,$159.20 ,$173.13 ,$173.13 ,$173.13 ,$179.10 ,$114.43 ,$44.85 ,$199.00 ,$111.64 ,$44.85 ,$82.39 ,$10.65 ,$10.16 ,$47.10 ,$169.15 ,$125.37 ,$55.72 ,$179.10 ,$173.13 ,$159.20 ,$159.20 ,$44.85 ,$129.35 ST. FRANCIS HOSPITAL - ACUTE,30200918,86702,HC HIV-2 AB-90,302,1 ,$218.00 ,$156.96 ,$10.16 ,$218.00 ,$125.35 ,$156.96 ,$118.59 ,$49.14 ,$61.04 ,$123.69 ,$49.14 ,$130.20 ,$49.14 ,$137.34 ,$137.34 ,$49.14 ,$137.34 ,$101.28 ,$200.56 ,$33.80 ,$49.14 ,$185.30 ,$183.12 ,$49.14 ,$163.50 ,$174.40 ,$174.40 ,$49.14 ,$174.40 ,$189.66 ,$189.66 ,$189.66 ,$196.20 ,$125.35 ,$49.14 ,$218.00 ,$122.30 ,$49.14 ,$90.25 ,$10.65 ,$10.16 ,$51.60 ,$185.30 ,$137.34 ,$61.04 ,$196.20 ,$189.66 ,$174.40 ,$174.40 ,$49.14 ,$141.70 ST. FRANCIS HOSPITAL - ACUTE,30200923,86707,HC HEP B E AB-90,302,1 ,$50.00 ,$36.00 ,$10.16 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$28.93 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$10.65 ,$10.16 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200924,86708,HC HEP A AB TOTAL-90,302,1 ,$106.00 ,$76.32 ,$10.16 ,$106.00 ,$60.95 ,$76.32 ,$57.66 ,$23.89 ,$29.68 ,$70.49 ,$23.89 ,$74.20 ,$23.89 ,$66.78 ,$66.78 ,$23.89 ,$66.78 ,$49.25 ,$97.52 ,$30.98 ,$23.89 ,$90.10 ,$89.04 ,$23.89 ,$79.50 ,$84.80 ,$84.80 ,$23.89 ,$84.80 ,$92.22 ,$92.22 ,$92.22 ,$95.40 ,$60.95 ,$23.89 ,$106.00 ,$59.47 ,$23.89 ,$43.88 ,$10.65 ,$10.16 ,$25.09 ,$90.10 ,$66.78 ,$29.68 ,$95.40 ,$92.22 ,$84.80 ,$84.80 ,$23.89 ,$68.90 ST. FRANCIS HOSPITAL - ACUTE,30200925,86709,HC HEP A AB IGM-90,302,1 ,$100.00 ,$72.00 ,$10.16 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$28.15 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$10.65 ,$10.16 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,30200926,86710,HC INFLUENZA AB-90,302,1 ,$46.00 ,$33.12 ,$10.16 ,$46.00 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 ,$33.88 ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 ,$10.65 ,$10.16 ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,30200929,86720,HC LEPTOSPIRA AB-90,302,1 ,$210.00 ,$151.20 ,$17.51 ,$210.00 ,$120.75 ,$151.20 ,$114.24 ,$47.33 ,$58.80 ,$120.61 ,$47.33 ,$126.96 ,$47.33 ,$132.30 ,$132.30 ,$47.33 ,$132.30 ,$97.57 ,$193.20 ,$40.50 ,$47.33 ,$178.50 ,$176.40 ,$47.33 ,$157.50 ,$168.00 ,$168.00 ,$47.33 ,$168.00 ,$182.70 ,$182.70 ,$182.70 ,$189.00 ,$120.75 ,$47.33 ,$210.00 ,$117.81 ,$47.33 ,$86.94 ,$18.35 ,$17.51 ,$49.71 ,$178.50 ,$132.30 ,$58.80 ,$189.00 ,$182.70 ,$168.00 ,$168.00 ,$47.33 ,$136.50 ST. FRANCIS HOSPITAL - ACUTE,30200932,86738,HC MYCOPLASMA AB-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$33.10 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$33.10 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$18.35 ,$17.51 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30200935,86747,HC PARVOVIRUS AB-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$37.58 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$37.58 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$18.35 ,$17.51 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30200943,86774,HC TETANUS AB-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$37.00 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$18.35 ,$17.51 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200944,86777,HC TOXOPLASMA AB-90,302,1 ,$112.00 ,$80.64 ,$17.51 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$35.98 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$18.35 ,$17.51 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30200945,86778,HC TOXOPLASMA AB IGM-90,302,1 ,$112.00 ,$80.64 ,$17.51 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$36.03 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$18.35 ,$17.51 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30200946,86780,HC TREPONEMA P AB CONFIRM-90,302,1 ,$73.00 ,$52.56 ,$16.45 ,$73.00 ,$41.98 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$16.45 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$33.92 ,$67.16 ,$33.10 ,$16.45 ,$62.05 ,$61.32 ,$16.45 ,$54.75 ,$58.40 ,$58.40 ,$16.45 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$41.98 ,$16.45 ,$73.00 ,$40.95 ,$16.45 ,$30.22 ,$18.35 ,$17.51 ,$17.28 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 ,$58.40 ,$58.40 ,$16.45 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,30200948,86787,HC VARICELLA ZOSTER AB-90,302,1 ,$50.00 ,$36.00 ,$10.16 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$32.20 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$10.65 ,$10.16 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30200949,86788,HC WEST NILE VIRUS AB IGM-90,302,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 ,$42.13 ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 ,$18.35 ,$17.51 ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,30200950,86789,HC WEST NILE AB-90,302,1 ,$43.00 ,$30.96 ,$9.69 ,$43.00 ,$24.73 ,$30.96 ,$23.39 ,$9.69 ,$12.04 ,$28.60 ,$9.69 ,$30.10 ,$9.69 ,$27.09 ,$27.09 ,$9.69 ,$27.09 ,$19.98 ,$39.56 ,$35.98 ,$9.69 ,$36.55 ,$36.12 ,$9.69 ,$32.25 ,$34.40 ,$34.40 ,$9.69 ,$34.40 ,$37.41 ,$37.41 ,$37.41 ,$38.70 ,$24.73 ,$9.69 ,$43.00 ,$24.12 ,$9.69 ,$17.80 ,$18.35 ,$17.51 ,$10.17 ,$36.55 ,$27.09 ,$12.04 ,$38.70 ,$37.41 ,$34.40 ,$34.40 ,$9.69 ,$27.95 ST. FRANCIS HOSPITAL - ACUTE,30200952,86793,HC YERSINA-90,302,1 ,$149.00 ,$107.28 ,$17.51 ,$149.00 ,$85.68 ,$107.28 ,$81.06 ,$33.58 ,$41.72 ,$99.09 ,$33.58 ,$104.30 ,$33.58 ,$93.87 ,$93.87 ,$33.58 ,$93.87 ,$69.23 ,$137.08 ,$32.98 ,$33.58 ,$126.65 ,$125.16 ,$33.58 ,$111.75 ,$119.20 ,$119.20 ,$33.58 ,$119.20 ,$129.63 ,$129.63 ,$129.63 ,$134.10 ,$85.68 ,$33.58 ,$149.00 ,$83.59 ,$33.58 ,$61.69 ,$18.35 ,$17.51 ,$35.26 ,$126.65 ,$93.87 ,$41.72 ,$134.10 ,$129.63 ,$119.20 ,$119.20 ,$33.58 ,$96.85 ST. FRANCIS HOSPITAL - ACUTE,30200953,86800,HC THYROGLOBULIN AB-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$39.78 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$39.78 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$27.82 ,$26.55 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30200960,86812,HC HLA TYPING SINGLE A/B/C-90,302,1 ,$308.00 ,$221.76 ,$41.02 ,$308.00 ,$177.10 ,$221.76 ,$167.55 ,$69.42 ,$86.24 ,$204.82 ,$69.42 ,$215.60 ,$69.42 ,$194.04 ,$194.04 ,$69.42 ,$194.04 ,$143.10 ,$283.36 ,$64.53 ,$69.42 ,$261.80 ,$258.72 ,$69.42 ,$231.00 ,$246.40 ,$246.40 ,$69.42 ,$246.40 ,$267.96 ,$267.96 ,$267.96 ,$277.20 ,$177.10 ,$69.42 ,$308.00 ,$172.79 ,$69.42 ,$127.51 ,$42.98 ,$41.02 ,$72.89 ,$261.80 ,$194.04 ,$86.24 ,$277.20 ,$267.96 ,$246.40 ,$246.40 ,$69.42 ,$200.20 ST. FRANCIS HOSPITAL - ACUTE,30200966,86850,HC AB SCREEN-90,302,1 ,$99.00 ,$71.28 ,$10.16 ,$125.35 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$65.84 ,$22.31 ,$69.30 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$125.35 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$10.65 ,$10.16 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30200970,86860,HC ELUTION-90,302,1 ,$224.00 ,$161.28 ,$10.16 ,$393.13 ,$128.80 ,$161.28 ,$121.86 ,$50.49 ,$62.72 ,$148.96 ,$50.49 ,$156.80 ,$50.49 ,$141.12 ,$141.12 ,$50.49 ,$141.12 ,$104.07 ,$206.08 ,$393.13 ,$50.49 ,$190.40 ,$188.16 ,$50.49 ,$168.00 ,$179.20 ,$179.20 ,$50.49 ,$179.20 ,$194.88 ,$194.88 ,$194.88 ,$201.60 ,$128.80 ,$50.49 ,$224.00 ,$125.66 ,$50.49 ,$92.74 ,$10.65 ,$10.16 ,$53.02 ,$190.40 ,$141.12 ,$62.72 ,$201.60 ,$194.88 ,$179.20 ,$179.20 ,$50.49 ,$145.60 ST. FRANCIS HOSPITAL - ACUTE,30200974,86870,HC RBC AB ID PANEL-90,302,1 ,$175.00 ,$126.00 ,$10.16 ,$810.28 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$116.38 ,$39.44 ,$122.50 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 ,$810.28 ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$175.00 ,$98.18 ,$39.44 ,$72.45 ,$10.65 ,$10.16 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,30200976,86880,HC COOMBS DIRECT-90,302,1 ,$131.00 ,$94.32 ,$10.16 ,$143.70 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$49.25 ,$29.53 ,$51.84 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$143.70 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$10.65 ,$10.16 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30200978,86886,HC INDIRECT TITER-90,302,1 ,$162.00 ,$116.64 ,$10.16 ,$393.13 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$47.31 ,$36.51 ,$49.80 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$393.13 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 ,$10.65 ,$10.16 ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,30200981,86900,HC BLOOD TYPING ABO-90,302,1 ,$69.00 ,$49.68 ,$6.30 ,$290.28 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$27.36 ,$15.55 ,$28.80 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$290.28 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$6.60 ,$6.30 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30200983,86901,HC BLOOD TYPING RH-90,302,1 ,$99.00 ,$71.28 ,$6.30 ,$99.00 ,$56.93 ,$71.28 ,$53.86 ,$22.31 ,$27.72 ,$27.36 ,$22.31 ,$28.80 ,$22.31 ,$62.37 ,$62.37 ,$22.31 ,$62.37 ,$46.00 ,$91.08 ,$84.90 ,$22.31 ,$84.15 ,$83.16 ,$22.31 ,$74.25 ,$79.20 ,$79.20 ,$22.31 ,$79.20 ,$86.13 ,$86.13 ,$86.13 ,$89.10 ,$56.93 ,$22.31 ,$99.00 ,$55.54 ,$22.31 ,$40.99 ,$6.60 ,$6.30 ,$23.43 ,$84.15 ,$62.37 ,$27.72 ,$89.10 ,$86.13 ,$79.20 ,$79.20 ,$22.31 ,$64.35 ST. FRANCIS HOSPITAL - ACUTE,30200998,86906,HC RH PHENOTYPE COMPLETE-90,302,1 ,$112.00 ,$80.64 ,$6.30 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$70.91 ,$25.24 ,$74.64 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$84.90 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$6.60 ,$6.30 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30201001,86940,HC HEOLYSIN AGG AUTO SCREEN-90,302,1 ,$114.00 ,$82.08 ,$17.51 ,$114.00 ,$65.55 ,$82.08 ,$62.02 ,$25.70 ,$31.92 ,$75.01 ,$25.70 ,$78.96 ,$25.70 ,$71.82 ,$71.82 ,$25.70 ,$71.82 ,$52.96 ,$104.88 ,$21.93 ,$25.70 ,$96.90 ,$95.76 ,$25.70 ,$85.50 ,$91.20 ,$91.20 ,$25.70 ,$91.20 ,$99.18 ,$99.18 ,$99.18 ,$102.60 ,$65.55 ,$25.70 ,$114.00 ,$63.95 ,$25.70 ,$47.20 ,$18.35 ,$17.51 ,$26.98 ,$96.90 ,$71.82 ,$31.92 ,$102.60 ,$99.18 ,$91.20 ,$91.20 ,$25.70 ,$74.10 ST. FRANCIS HOSPITAL - ACUTE,30201003,86970,HC RBC PRETREAT CHEM-90,302,1 ,$137.00 ,$98.64 ,$30.88 ,$137.00 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$84.90 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$42.98 ,$41.02 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,30201005,86971,HC RBC PRETREAT ENZYME-90,302,1 ,$61.00 ,$43.92 ,$13.75 ,$810.28 ,$35.08 ,$43.92 ,$33.18 ,$13.75 ,$17.08 ,$40.57 ,$13.75 ,$42.70 ,$13.75 ,$38.43 ,$38.43 ,$13.75 ,$38.43 ,$28.34 ,$56.12 ,$810.28 ,$13.75 ,$51.85 ,$51.24 ,$13.75 ,$45.75 ,$48.80 ,$48.80 ,$13.75 ,$48.80 ,$53.07 ,$53.07 ,$53.07 ,$54.90 ,$35.08 ,$13.75 ,$61.00 ,$34.22 ,$13.75 ,$25.25 ,$42.98 ,$41.02 ,$14.44 ,$51.85 ,$38.43 ,$17.08 ,$54.90 ,$53.07 ,$48.80 ,$48.80 ,$13.75 ,$39.65 ST. FRANCIS HOSPITAL - ACUTE,30201007,86972,HC RBC PRETREAT DENSITY SEP-90,302,1 ,$144.00 ,$103.68 ,$32.46 ,$393.13 ,$82.80 ,$103.68 ,$78.34 ,$32.46 ,$40.32 ,$95.76 ,$32.46 ,$100.80 ,$32.46 ,$90.72 ,$90.72 ,$32.46 ,$90.72 ,$66.90 ,$132.48 ,$393.13 ,$32.46 ,$122.40 ,$120.96 ,$32.46 ,$108.00 ,$115.20 ,$115.20 ,$32.46 ,$115.20 ,$125.28 ,$125.28 ,$125.28 ,$129.60 ,$82.80 ,$32.46 ,$144.00 ,$80.78 ,$32.46 ,$59.62 ,$42.98 ,$41.02 ,$34.08 ,$122.40 ,$90.72 ,$40.32 ,$129.60 ,$125.28 ,$115.20 ,$115.20 ,$32.46 ,$93.60 ST. FRANCIS HOSPITAL - ACUTE,30201016,86977,HC RBC PRETREAT NEUTRAL SERUM INHIBIT-90,302,1 ,$137.00 ,$98.64 ,$30.88 ,$393.13 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$393.13 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$42.98 ,$41.02 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,30201020,86978,HC RBC PRETREAT ABSOR-90,302,1 ,$112.00 ,$80.64 ,$6.30 ,$112.00 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$84.90 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$6.60 ,$6.30 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30201022,87801,HC INFECT MLT ORG AMP-90,302,1 ,$274.00 ,$197.28 ,$8.11 ,$274.00 ,$157.55 ,$197.28 ,$149.06 ,$61.76 ,$76.72 ,$182.21 ,$61.76 ,$191.80 ,$61.76 ,$172.62 ,$172.62 ,$61.76 ,$172.62 ,$127.30 ,$252.08 ,$175.50 ,$61.76 ,$232.90 ,$230.16 ,$61.76 ,$205.50 ,$219.20 ,$219.20 ,$61.76 ,$219.20 ,$238.38 ,$238.38 ,$238.38 ,$246.60 ,$157.55 ,$61.76 ,$274.00 ,$153.71 ,$61.76 ,$113.44 ,$8.49 ,$8.11 ,$64.85 ,$232.90 ,$172.62 ,$76.72 ,$246.60 ,$238.38 ,$219.20 ,$219.20 ,$61.76 ,$178.10 ST. FRANCIS HOSPITAL - ACUTE,30201025,86316,HC TUMOR AG OTHER AG QN-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$52.03 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$52.03 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$11.89 ,$11.35 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30201026,86317,HC INFECTIOUS AB QN-90,302,1 ,$8.00 ,$5.76 ,$1.80 ,$20.00 ,$4.60 ,$5.76 ,$4.35 ,$1.80 ,$2.24 ,$5.32 ,$1.80 ,$5.60 ,$1.80 ,$5.04 ,$5.04 ,$1.80 ,$5.04 ,$3.72 ,$7.36 ,$20.00 ,$1.80 ,$6.80 ,$6.72 ,$1.80 ,$6.00 ,$6.40 ,$6.40 ,$1.80 ,$6.40 ,$6.96 ,$6.96 ,$6.96 ,$7.20 ,$4.60 ,$1.80 ,$8.00 ,$4.49 ,$1.80 ,$3.31 ,$18.35 ,$17.51 ,$1.89 ,$6.80 ,$5.04 ,$2.24 ,$7.20 ,$6.96 ,$6.40 ,$6.40 ,$1.80 ,$5.20 ST. FRANCIS HOSPITAL - ACUTE,30201028,86329,HC IMMUNODIFFUSION NOS-90,302,1 ,$110.00 ,$79.20 ,$17.51 ,$110.00 ,$63.25 ,$79.20 ,$59.84 ,$24.79 ,$30.80 ,$73.15 ,$24.79 ,$77.00 ,$24.79 ,$69.30 ,$69.30 ,$24.79 ,$69.30 ,$51.11 ,$101.20 ,$35.13 ,$24.79 ,$93.50 ,$92.40 ,$24.79 ,$82.50 ,$88.00 ,$88.00 ,$24.79 ,$88.00 ,$95.70 ,$95.70 ,$95.70 ,$99.00 ,$63.25 ,$24.79 ,$110.00 ,$61.71 ,$24.79 ,$45.54 ,$18.35 ,$17.51 ,$26.04 ,$93.50 ,$69.30 ,$30.80 ,$99.00 ,$95.70 ,$88.00 ,$88.00 ,$24.79 ,$71.50 ST. FRANCIS HOSPITAL - ACUTE,30201031,86334,HC IMMUNOFIX ELECTRO SERUM -90,302,1 ,$254.00 ,$182.88 ,$17.51 ,$254.00 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$55.85 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$18.35 ,$17.51 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,30201033,86336,HC INHIBIN A-90,302,1 ,$73.00 ,$52.56 ,$11.35 ,$73.00 ,$41.98 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$16.45 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$33.92 ,$67.16 ,$38.98 ,$16.45 ,$62.05 ,$61.32 ,$16.45 ,$54.75 ,$58.40 ,$58.40 ,$16.45 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$41.98 ,$16.45 ,$73.00 ,$40.95 ,$16.45 ,$30.22 ,$11.89 ,$11.35 ,$17.28 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 ,$58.40 ,$58.40 ,$16.45 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,30201034,86337,HC INSULIN AB-90,302,1 ,$203.00 ,$146.16 ,$26.55 ,$203.00 ,$116.73 ,$146.16 ,$110.43 ,$45.76 ,$56.84 ,$135.00 ,$45.76 ,$142.10 ,$45.76 ,$127.89 ,$127.89 ,$45.76 ,$127.89 ,$94.31 ,$186.76 ,$53.53 ,$45.76 ,$172.55 ,$170.52 ,$45.76 ,$152.25 ,$162.40 ,$162.40 ,$45.76 ,$162.40 ,$176.61 ,$176.61 ,$176.61 ,$182.70 ,$116.73 ,$45.76 ,$203.00 ,$113.88 ,$45.76 ,$84.04 ,$27.82 ,$26.55 ,$48.04 ,$172.55 ,$127.89 ,$56.84 ,$182.70 ,$176.61 ,$162.40 ,$162.40 ,$45.76 ,$131.95 ST. FRANCIS HOSPITAL - ACUTE,30201035,86340,HC INTRINSIC FACTOR AB-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$37.70 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$27.82 ,$26.55 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30201036,86341,HC ISLET CELL AB-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$58.93 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$58.93 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$18.35 ,$17.51 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30201038,86352,HC CELL FUNC W/BIOMARKER-90,302,1 ,$630.00 ,$453.60 ,$17.51 ,$630.00 ,$362.25 ,$453.60 ,$342.72 ,$142.00 ,$176.40 ,$418.95 ,$142.00 ,$441.00 ,$142.00 ,$396.90 ,$396.90 ,$142.00 ,$396.90 ,$292.70 ,$500.00 ,$339.65 ,$142.00 ,$535.50 ,$529.20 ,$142.00 ,$472.50 ,$504.00 ,$504.00 ,$142.00 ,$504.00 ,$548.10 ,$548.10 ,$548.10 ,$567.00 ,$362.25 ,$142.00 ,$630.00 ,$353.43 ,$142.00 ,$260.82 ,$18.35 ,$17.51 ,$149.11 ,$535.50 ,$396.90 ,$176.40 ,$567.00 ,$548.10 ,$504.00 ,$504.00 ,$142.00 ,$409.50 ST. FRANCIS HOSPITAL - ACUTE,30201040,86355,HC B CELLS TOTAL COUNT-90,302,1 ,$271.00 ,$195.12 ,$17.51 ,$271.00 ,$155.83 ,$195.12 ,$147.42 ,$61.08 ,$75.88 ,$180.22 ,$61.08 ,$189.70 ,$61.08 ,$170.73 ,$170.73 ,$61.08 ,$170.73 ,$125.91 ,$249.32 ,$94.33 ,$61.08 ,$230.35 ,$227.64 ,$61.08 ,$203.25 ,$216.80 ,$216.80 ,$61.08 ,$216.80 ,$235.77 ,$235.77 ,$235.77 ,$243.90 ,$155.83 ,$61.08 ,$271.00 ,$152.03 ,$61.08 ,$112.19 ,$18.35 ,$17.51 ,$64.14 ,$230.35 ,$170.73 ,$75.88 ,$243.90 ,$235.77 ,$216.80 ,$216.80 ,$61.08 ,$176.15 ST. FRANCIS HOSPITAL - ACUTE,30201041,86356,HC MOL ANTIGEN QN EA-90,302,1 ,$383.00 ,$275.76 ,$17.51 ,$383.00 ,$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$244.99 ,$86.33 ,$257.88 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,$66.95 ,$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$18.35 ,$17.51 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,30201043,86359,HC T CELLS TOTAL COUNT-90,302,1 ,$45.00 ,$32.40 ,$10.14 ,$94.33 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$94.33 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$18.35 ,$17.51 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30201045,86360,HC ABS T CELLS CD4 CD8 RATIO-90,302,1 ,$49.00 ,$35.28 ,$11.04 ,$117.45 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$117.45 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$18.35 ,$17.51 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30201047,86376,HC MICROSOMAL AB-90,302,1 ,$168.00 ,$120.96 ,$26.55 ,$168.00 ,$96.60 ,$120.96 ,$91.39 ,$37.87 ,$47.04 ,$111.72 ,$37.87 ,$117.60 ,$37.87 ,$105.84 ,$105.84 ,$37.87 ,$105.84 ,$78.05 ,$154.56 ,$36.38 ,$37.87 ,$142.80 ,$141.12 ,$37.87 ,$126.00 ,$134.40 ,$134.40 ,$37.87 ,$134.40 ,$146.16 ,$146.16 ,$146.16 ,$151.20 ,$96.60 ,$37.87 ,$168.00 ,$94.25 ,$37.87 ,$69.55 ,$27.82 ,$26.55 ,$39.76 ,$142.80 ,$105.84 ,$47.04 ,$151.20 ,$146.16 ,$134.40 ,$134.40 ,$37.87 ,$109.20 ST. FRANCIS HOSPITAL - ACUTE,30201052,86431,HC RHEUMATOID FACTOR QN-90,302,1 ,$270.00 ,$194.40 ,$10.16 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$51.87 ,$60.86 ,$54.60 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$14.18 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 ,$10.65 ,$10.16 ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,30201054,86592,HC SYPHILIS VDRL RPR QL-90,302,1 ,$162.00 ,$116.64 ,$10.16 ,$162.00 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$39.10 ,$36.51 ,$41.16 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$10.68 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 ,$10.65 ,$10.16 ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,30201055,86603,HC ADENOVIRUS AB-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$32.18 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$18.35 ,$17.51 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30201056,86606,HC ASPERGILLUS AB-90,302,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$37.63 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$18.35 ,$17.51 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30201057,86609,HC BACTERIUM AB NOS-90,302,1 ,$109.00 ,$78.48 ,$24.57 ,$109.00 ,$62.68 ,$78.48 ,$59.30 ,$24.57 ,$30.52 ,$72.49 ,$24.57 ,$76.30 ,$24.57 ,$68.67 ,$68.67 ,$24.57 ,$68.67 ,$50.64 ,$100.28 ,$32.20 ,$24.57 ,$92.65 ,$91.56 ,$24.57 ,$81.75 ,$87.20 ,$87.20 ,$24.57 ,$87.20 ,$94.83 ,$94.83 ,$94.83 ,$98.10 ,$62.68 ,$24.57 ,$109.00 ,$61.15 ,$24.57 ,$45.13 ,$28.22 ,$26.93 ,$25.79 ,$92.65 ,$68.67 ,$30.52 ,$98.10 ,$94.83 ,$87.20 ,$87.20 ,$24.57 ,$70.85 ST. FRANCIS HOSPITAL - ACUTE,30201058,86611,HC BARTONELLA SCREEN AB-90,302,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$25.45 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$18.35 ,$17.51 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30201060,86612,HC BLASTOMYCES AB-90,302,1 ,$25.00 ,$18.00 ,$5.63 ,$32.25 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$32.25 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$18.35 ,$17.51 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30201062,86617,HC LYME DISEASE AB CONFIRM-90,302,1 ,$129.00 ,$92.88 ,$17.51 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$38.73 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$18.35 ,$17.51 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,30201063,86618,HC LYME AB-90,302,1 ,$131.00 ,$94.32 ,$17.51 ,$131.00 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$87.12 ,$29.53 ,$91.70 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$42.58 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$18.35 ,$17.51 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30201079,86711,HC AB JOHN CUNNINGHAM VIRUS-90,302,1 ,"$2,267.00 ","$1,632.24 ",$10.16 ,"$2,267.00 ","$1,303.53 ","$1,632.24 ","$1,233.25 ",$510.98 ,$634.76 ,$131.67 ,$510.98 ,$138.60 ,$510.98 ,"$1,428.21 ","$1,428.21 ",$510.98 ,"$1,428.21 ","$1,053.25 ",$500.00 ,$42.23 ,$510.98 ,"$1,926.95 ","$1,904.28 ",$510.98 ,"$1,700.25 ","$1,813.60 ","$1,813.60 ",$510.98 ,"$1,813.60 ","$1,972.29 ","$1,972.29 ","$1,972.29 ","$2,040.30 ","$1,303.53 ",$510.98 ,"$2,267.00 ","$1,271.79 ",$510.98 ,$938.54 ,$10.65 ,$10.16 ,$536.53 ,"$1,926.95 ","$1,428.21 ",$634.76 ,"$2,040.30 ","$1,972.29 ","$1,813.60 ","$1,813.60 ",$510.98 ,"$1,473.55 " ST. FRANCIS HOSPITAL - ACUTE,30201088,86008,HC ALLERGEN IGE QN/SEMI-QN RECOMB/COMP EA-90,302,1 ,$97.28 ,$70.04 ,$10.16 ,$97.28 ,$55.93 ,$70.04 ,$52.92 ,$21.92 ,$27.24 ,$64.69 ,$21.92 ,$68.10 ,$21.92 ,$61.29 ,$61.29 ,$21.92 ,$61.29 ,$45.19 ,$89.50 ,$44.83 ,$21.92 ,$82.69 ,$81.72 ,$21.92 ,$72.96 ,$77.82 ,$77.82 ,$21.92 ,$77.82 ,$84.63 ,$84.63 ,$84.63 ,$87.55 ,$55.93 ,$21.92 ,$97.28 ,$54.57 ,$21.92 ,$40.27 ,$10.65 ,$10.16 ,$23.02 ,$82.69 ,$61.29 ,$27.24 ,$87.55 ,$84.63 ,$77.82 ,$77.82 ,$21.92 ,$63.23 ST. FRANCIS HOSPITAL - ACUTE,30201093,86003,HC ALLERGEN IGE QN EA,302,1 ,$34.00 ,$24.48 ,$7.66 ,$34.00 ,$19.55 ,$24.48 ,$18.50 ,$7.66 ,$9.52 ,$22.61 ,$7.66 ,$23.80 ,$7.66 ,$21.42 ,$21.42 ,$7.66 ,$21.42 ,$15.80 ,$31.28 ,$13.05 ,$7.66 ,$28.90 ,$28.56 ,$7.66 ,$25.50 ,$27.20 ,$27.20 ,$7.66 ,$27.20 ,$29.58 ,$29.58 ,$29.58 ,$30.60 ,$19.55 ,$7.66 ,$34.00 ,$19.07 ,$7.66 ,$14.08 ,$10.65 ,$10.16 ,$8.05 ,$28.90 ,$21.42 ,$9.52 ,$30.60 ,$29.58 ,$27.20 ,$27.20 ,$7.66 ,$22.10 ST. FRANCIS HOSPITAL - ACUTE,30201094,86038,HC ANA SCREEN,302,1 ,$207.00 ,$149.04 ,$10.16 ,$207.00 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$110.58 ,$46.66 ,$116.40 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$30.23 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$10.65 ,$10.16 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,30201095,86060,HC ASO,302,1 ,$165.00 ,$118.80 ,$10.16 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$66.80 ,$37.19 ,$70.32 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$18.25 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$10.65 ,$10.16 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30201096,86141,HC C-REACTIVE PROTEIN (HS),302,1 ,$73.00 ,$52.56 ,$10.16 ,$73.00 ,$41.98 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$16.45 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$33.92 ,$67.16 ,$32.38 ,$16.45 ,$62.05 ,$61.32 ,$16.45 ,$54.75 ,$58.40 ,$58.40 ,$16.45 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$41.98 ,$16.45 ,$73.00 ,$40.95 ,$16.45 ,$30.22 ,$10.65 ,$10.16 ,$17.28 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 ,$58.40 ,$58.40 ,$16.45 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,30201097,86147,HC CARDIOLIPIN AB EA,302,1 ,$141.00 ,$101.52 ,$17.51 ,$141.00 ,$81.08 ,$101.52 ,$76.70 ,$31.78 ,$39.48 ,$93.77 ,$31.78 ,$98.70 ,$31.78 ,$88.83 ,$88.83 ,$31.78 ,$88.83 ,$65.51 ,$129.72 ,$63.63 ,$31.78 ,$119.85 ,$118.44 ,$31.78 ,$105.75 ,$112.80 ,$112.80 ,$31.78 ,$112.80 ,$122.67 ,$122.67 ,$122.67 ,$126.90 ,$81.08 ,$31.78 ,$141.00 ,$79.10 ,$31.78 ,$58.37 ,$18.35 ,$17.51 ,$33.37 ,$119.85 ,$88.83 ,$39.48 ,$126.90 ,$122.67 ,$112.80 ,$112.80 ,$31.78 ,$91.65 ST. FRANCIS HOSPITAL - ACUTE,30201098,86225,HC DNA DOUBLE STRAND AB,302,1 ,$334.00 ,$240.48 ,$10.16 ,$334.00 ,$192.05 ,$240.48 ,$181.70 ,$75.28 ,$93.52 ,$125.74 ,$75.28 ,$132.36 ,$75.28 ,$210.42 ,$210.42 ,$75.28 ,$210.42 ,$155.18 ,$307.28 ,$34.35 ,$75.28 ,$283.90 ,$280.56 ,$75.28 ,$250.50 ,$267.20 ,$267.20 ,$75.28 ,$267.20 ,$290.58 ,$290.58 ,$290.58 ,$300.60 ,$192.05 ,$75.28 ,$334.00 ,$187.37 ,$75.28 ,$138.28 ,$10.65 ,$10.16 ,$79.05 ,$283.90 ,$210.42 ,$93.52 ,$300.60 ,$290.58 ,$267.20 ,$267.20 ,$75.28 ,$217.10 ST. FRANCIS HOSPITAL - ACUTE,30201099,86235,HC ENA AB,302,1 ,$120.00 ,$86.40 ,$17.51 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$44.83 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$18.35 ,$17.51 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,30201101,86304,HC TUMOR AG CA 125,302,1 ,$334.00 ,$240.48 ,$26.93 ,$334.00 ,$192.05 ,$240.48 ,$181.70 ,$75.28 ,$93.52 ,$190.49 ,$75.28 ,$200.52 ,$75.28 ,$210.42 ,$210.42 ,$75.28 ,$210.42 ,$155.18 ,$307.28 ,$52.03 ,$75.28 ,$283.90 ,$280.56 ,$75.28 ,$250.50 ,$267.20 ,$267.20 ,$75.28 ,$267.20 ,$290.58 ,$290.58 ,$290.58 ,$300.60 ,$192.05 ,$75.28 ,$334.00 ,$187.37 ,$75.28 ,$138.28 ,$28.22 ,$26.93 ,$79.05 ,$283.90 ,$210.42 ,$93.52 ,$300.60 ,$290.58 ,$267.20 ,$267.20 ,$75.28 ,$217.10 ST. FRANCIS HOSPITAL - ACUTE,30201102,86334,HC IMMUNOFIX ELECTRO SERUM,302,1 ,$254.00 ,$182.88 ,$17.51 ,$254.00 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$55.85 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$18.35 ,$17.51 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,30201103,86335,HC IMMUNOFIX ELECTRO OTH,302,1 ,$254.00 ,$182.88 ,$17.51 ,$254.00 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$73.38 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$18.35 ,$17.51 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,30201104,86359,HC T CELLS TOTAL COUNT,302,1 ,$84.00 ,$60.48 ,$17.51 ,$94.33 ,$48.30 ,$60.48 ,$45.70 ,$18.93 ,$23.52 ,$55.86 ,$18.93 ,$58.80 ,$18.93 ,$52.92 ,$52.92 ,$18.93 ,$52.92 ,$39.03 ,$77.28 ,$94.33 ,$18.93 ,$71.40 ,$70.56 ,$18.93 ,$63.00 ,$67.20 ,$67.20 ,$18.93 ,$67.20 ,$73.08 ,$73.08 ,$73.08 ,$75.60 ,$48.30 ,$18.93 ,$84.00 ,$47.12 ,$18.93 ,$34.78 ,$18.35 ,$17.51 ,$19.88 ,$71.40 ,$52.92 ,$23.52 ,$75.60 ,$73.08 ,$67.20 ,$67.20 ,$18.93 ,$54.60 ST. FRANCIS HOSPITAL - ACUTE,30201105,86360,HC ABS T CELLS CD4 CD8 RATIO,302,1 ,$160.00 ,$115.20 ,$17.51 ,$160.00 ,$92.00 ,$115.20 ,$87.04 ,$36.06 ,$44.80 ,$106.40 ,$36.06 ,$112.00 ,$36.06 ,$100.80 ,$100.80 ,$36.06 ,$100.80 ,$74.34 ,$147.20 ,$117.45 ,$36.06 ,$136.00 ,$134.40 ,$36.06 ,$120.00 ,$128.00 ,$128.00 ,$36.06 ,$128.00 ,$139.20 ,$139.20 ,$139.20 ,$144.00 ,$92.00 ,$36.06 ,$160.00 ,$89.76 ,$36.06 ,$66.24 ,$18.35 ,$17.51 ,$37.87 ,$136.00 ,$100.80 ,$44.80 ,$144.00 ,$139.20 ,$128.00 ,$128.00 ,$36.06 ,$104.00 ST. FRANCIS HOSPITAL - ACUTE,30201106,86376,HC MICROSOMAL AB,302,1 ,$357.00 ,$257.04 ,$26.55 ,$357.00 ,$205.28 ,$257.04 ,$194.21 ,$80.47 ,$99.96 ,$133.04 ,$80.47 ,$140.04 ,$80.47 ,$224.91 ,$224.91 ,$80.47 ,$224.91 ,$165.86 ,$328.44 ,$36.38 ,$80.47 ,$303.45 ,$299.88 ,$80.47 ,$267.75 ,$285.60 ,$285.60 ,$80.47 ,$285.60 ,$310.59 ,$310.59 ,$310.59 ,$321.30 ,$205.28 ,$80.47 ,$357.00 ,$200.28 ,$80.47 ,$147.80 ,$27.82 ,$26.55 ,$84.50 ,$303.45 ,$224.91 ,$99.96 ,$321.30 ,$310.59 ,$285.60 ,$285.60 ,$80.47 ,$232.05 ST. FRANCIS HOSPITAL - ACUTE,30201108,86431,HC RHEUMATOID FACTOR QN,302,1 ,$270.00 ,$194.40 ,$10.16 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$51.87 ,$60.86 ,$54.60 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$14.18 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 ,$10.65 ,$10.16 ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,30201109,86480,HC TB QUANTIFERON GOLD,302,1 ,$298.00 ,$214.56 ,$17.51 ,$298.00 ,$171.35 ,$214.56 ,$162.11 ,$67.17 ,$83.44 ,$198.17 ,$67.17 ,$208.60 ,$67.17 ,$187.74 ,$187.74 ,$67.17 ,$187.74 ,$138.45 ,$274.16 ,$154.95 ,$67.17 ,$253.30 ,$250.32 ,$67.17 ,$223.50 ,$238.40 ,$238.40 ,$67.17 ,$238.40 ,$259.26 ,$259.26 ,$259.26 ,$268.20 ,$171.35 ,$67.17 ,$298.00 ,$167.18 ,$67.17 ,$123.37 ,$18.35 ,$17.51 ,$70.53 ,$253.30 ,$187.74 ,$83.44 ,$268.20 ,$259.26 ,$238.40 ,$238.40 ,$67.17 ,$193.70 ST. FRANCIS HOSPITAL - ACUTE,30201110,86592,HC SYPHILIS VDRL RPR QL,302,1 ,$162.00 ,$116.64 ,$10.16 ,$162.00 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$39.10 ,$36.51 ,$41.16 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$10.68 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 ,$10.65 ,$10.16 ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,30201111,86593,HC SYPHILIS VDRL RPR QN,302,1 ,$59.00 ,$42.48 ,$10.16 ,$59.00 ,$33.93 ,$42.48 ,$32.10 ,$13.30 ,$16.52 ,$39.24 ,$13.30 ,$41.30 ,$13.30 ,$37.17 ,$37.17 ,$13.30 ,$37.17 ,$27.41 ,$54.28 ,$11.00 ,$13.30 ,$50.15 ,$49.56 ,$13.30 ,$44.25 ,$47.20 ,$47.20 ,$13.30 ,$47.20 ,$51.33 ,$51.33 ,$51.33 ,$53.10 ,$33.93 ,$13.30 ,$59.00 ,$33.10 ,$13.30 ,$24.43 ,$10.65 ,$10.16 ,$13.95 ,$50.15 ,$37.17 ,$16.52 ,$53.10 ,$51.33 ,$47.20 ,$47.20 ,$13.30 ,$38.35 ST. FRANCIS HOSPITAL - ACUTE,30201112,86606,HC ASPERGILLUS AB,302,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 ,$37.63 ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 ,$18.35 ,$17.51 ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,30201113,86612,HC BLASTOMYCES AB,302,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 ,$32.25 ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 ,$18.35 ,$17.51 ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,30201115,86635,HC COCCIDIOIDES AB,302,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 ,$28.68 ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 ,$18.35 ,$17.51 ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,30201116,86641,HC CRYPTOCOCCAL AB,302,1 ,$249.00 ,$179.28 ,$17.51 ,$249.00 ,$143.18 ,$179.28 ,$135.46 ,$56.12 ,$69.72 ,$131.78 ,$56.12 ,$138.72 ,$56.12 ,$156.87 ,$156.87 ,$56.12 ,$156.87 ,$115.69 ,$229.08 ,$36.03 ,$56.12 ,$211.65 ,$209.16 ,$56.12 ,$186.75 ,$199.20 ,$199.20 ,$56.12 ,$199.20 ,$216.63 ,$216.63 ,$216.63 ,$224.10 ,$143.18 ,$56.12 ,$249.00 ,$139.69 ,$56.12 ,$103.09 ,$18.35 ,$17.51 ,$58.93 ,$211.65 ,$156.87 ,$69.72 ,$224.10 ,$216.63 ,$199.20 ,$199.20 ,$56.12 ,$161.85 ST. FRANCIS HOSPITAL - ACUTE,30201117,86644,HC CMV AB,302,1 ,$148.00 ,$106.56 ,$17.51 ,$148.00 ,$85.10 ,$106.56 ,$80.51 ,$33.36 ,$41.44 ,$98.42 ,$33.36 ,$103.60 ,$33.36 ,$93.24 ,$93.24 ,$33.36 ,$93.24 ,$68.76 ,$136.16 ,$35.98 ,$33.36 ,$125.80 ,$124.32 ,$33.36 ,$111.00 ,$118.40 ,$118.40 ,$33.36 ,$118.40 ,$128.76 ,$128.76 ,$128.76 ,$133.20 ,$85.10 ,$33.36 ,$148.00 ,$83.03 ,$33.36 ,$61.27 ,$18.35 ,$17.51 ,$35.03 ,$125.80 ,$93.24 ,$41.44 ,$133.20 ,$128.76 ,$118.40 ,$118.40 ,$33.36 ,$96.20 ST. FRANCIS HOSPITAL - ACUTE,30201118,86645,HC CMV AB IGM,302,1 ,$148.00 ,$106.56 ,$17.51 ,$148.00 ,$85.10 ,$106.56 ,$80.51 ,$33.36 ,$41.44 ,$98.42 ,$33.36 ,$103.60 ,$33.36 ,$93.24 ,$93.24 ,$33.36 ,$93.24 ,$68.76 ,$136.16 ,$42.13 ,$33.36 ,$125.80 ,$124.32 ,$33.36 ,$111.00 ,$118.40 ,$118.40 ,$33.36 ,$118.40 ,$128.76 ,$128.76 ,$128.76 ,$133.20 ,$85.10 ,$33.36 ,$148.00 ,$83.03 ,$33.36 ,$61.27 ,$18.35 ,$17.51 ,$35.03 ,$125.80 ,$93.24 ,$41.44 ,$133.20 ,$128.76 ,$118.40 ,$118.40 ,$33.36 ,$96.20 ST. FRANCIS HOSPITAL - ACUTE,30201119,86677,HC H PYLORI AB,302,1 ,$379.00 ,$272.88 ,$17.51 ,$379.00 ,$217.93 ,$272.88 ,$206.18 ,$85.43 ,$106.12 ,$132.70 ,$85.43 ,$139.68 ,$85.43 ,$238.77 ,$238.77 ,$85.43 ,$238.77 ,$176.08 ,$348.68 ,$42.13 ,$85.43 ,$322.15 ,$318.36 ,$85.43 ,$284.25 ,$303.20 ,$303.20 ,$85.43 ,$303.20 ,$329.73 ,$329.73 ,$329.73 ,$341.10 ,$217.93 ,$85.43 ,$379.00 ,$212.62 ,$85.43 ,$156.91 ,$18.35 ,$17.51 ,$89.70 ,$322.15 ,$238.77 ,$106.12 ,$341.10 ,$329.73 ,$303.20 ,$303.20 ,$85.43 ,$246.35 ST. FRANCIS HOSPITAL - ACUTE,30201120,86698,HC HISTOPLASMA AB,302,1 ,$108.00 ,$77.76 ,$17.51 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$71.82 ,$24.34 ,$75.60 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 ,$34.48 ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 ,$18.35 ,$17.51 ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,30201121,86704,HC HEP CORE AB,302,1 ,$58.00 ,$41.76 ,$10.16 ,$58.00 ,$33.35 ,$41.76 ,$31.55 ,$13.07 ,$16.24 ,$38.57 ,$13.07 ,$40.60 ,$13.07 ,$36.54 ,$36.54 ,$13.07 ,$36.54 ,$26.95 ,$53.36 ,$30.13 ,$13.07 ,$49.30 ,$48.72 ,$13.07 ,$43.50 ,$46.40 ,$46.40 ,$13.07 ,$46.40 ,$50.46 ,$50.46 ,$50.46 ,$52.20 ,$33.35 ,$13.07 ,$58.00 ,$32.54 ,$13.07 ,$24.01 ,$10.65 ,$10.16 ,$13.73 ,$49.30 ,$36.54 ,$16.24 ,$52.20 ,$50.46 ,$46.40 ,$46.40 ,$13.07 ,$37.70 ST. FRANCIS HOSPITAL - ACUTE,30201122,86705,HC HEP B CORE IGM,302,1 ,$212.00 ,$152.64 ,$10.16 ,$212.00 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$107.73 ,$47.78 ,$113.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$29.43 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$87.77 ,$10.65 ,$10.16 ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 ,$169.60 ,$169.60 ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,30201123,86706,HC HEP B SURFACE AB,302,1 ,$267.00 ,$192.24 ,$10.16 ,$267.00 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$98.27 ,$60.18 ,$103.44 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$26.85 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 ,$10.65 ,$10.16 ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,30201126,86735,HC MUMPS AB,302,1 ,$161.00 ,$115.92 ,$10.16 ,$161.00 ,$92.58 ,$115.92 ,$87.58 ,$36.29 ,$45.08 ,$107.07 ,$36.29 ,$112.70 ,$36.29 ,$101.43 ,$101.43 ,$36.29 ,$101.43 ,$74.80 ,$148.12 ,$32.63 ,$36.29 ,$136.85 ,$135.24 ,$36.29 ,$120.75 ,$128.80 ,$128.80 ,$36.29 ,$128.80 ,$140.07 ,$140.07 ,$140.07 ,$144.90 ,$92.58 ,$36.29 ,$161.00 ,$90.32 ,$36.29 ,$66.65 ,$10.65 ,$10.16 ,$38.10 ,$136.85 ,$101.43 ,$45.08 ,$144.90 ,$140.07 ,$128.80 ,$128.80 ,$36.29 ,$104.65 ST. FRANCIS HOSPITAL - ACUTE,30201127,86762,HC RUBELLA AB,302,1 ,$166.00 ,$119.52 ,$10.16 ,$166.00 ,$95.45 ,$119.52 ,$90.30 ,$37.42 ,$46.48 ,$110.39 ,$37.42 ,$116.20 ,$37.42 ,$104.58 ,$104.58 ,$37.42 ,$104.58 ,$77.12 ,$152.72 ,$35.98 ,$37.42 ,$141.10 ,$139.44 ,$37.42 ,$124.50 ,$132.80 ,$132.80 ,$37.42 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$95.45 ,$37.42 ,$166.00 ,$93.13 ,$37.42 ,$68.72 ,$10.65 ,$10.16 ,$39.29 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 ,$132.80 ,$132.80 ,$37.42 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,30201128,86765,HC RUBEOLA AB,302,1 ,$155.00 ,$111.60 ,$10.16 ,$155.00 ,$89.13 ,$111.60 ,$84.32 ,$34.94 ,$43.40 ,$103.08 ,$34.94 ,$108.50 ,$34.94 ,$97.65 ,$97.65 ,$34.94 ,$97.65 ,$72.01 ,$142.60 ,$32.20 ,$34.94 ,$131.75 ,$130.20 ,$34.94 ,$116.25 ,$124.00 ,$124.00 ,$34.94 ,$124.00 ,$134.85 ,$134.85 ,$134.85 ,$139.50 ,$89.13 ,$34.94 ,$155.00 ,$86.96 ,$34.94 ,$64.17 ,$10.65 ,$10.16 ,$36.68 ,$131.75 ,$97.65 ,$43.40 ,$139.50 ,$134.85 ,$124.00 ,$124.00 ,$34.94 ,$100.75 ST. FRANCIS HOSPITAL - ACUTE,30201130,86787,HC VARICELLA ZOSTER AB,302,1 ,$125.00 ,$90.00 ,$10.16 ,$125.00 ,$71.88 ,$90.00 ,$68.00 ,$28.16 ,$35.00 ,$83.13 ,$28.16 ,$87.50 ,$28.16 ,$78.75 ,$78.75 ,$28.16 ,$78.75 ,$58.08 ,$115.00 ,$32.20 ,$28.16 ,$106.25 ,$105.00 ,$28.16 ,$93.75 ,$100.00 ,$100.00 ,$28.16 ,$100.00 ,$108.75 ,$108.75 ,$108.75 ,$112.50 ,$71.88 ,$28.16 ,$125.00 ,$70.13 ,$28.16 ,$51.75 ,$10.65 ,$10.16 ,$29.59 ,$106.25 ,$78.75 ,$35.00 ,$112.50 ,$108.75 ,$100.00 ,$100.00 ,$28.16 ,$81.25 ST. FRANCIS HOSPITAL - ACUTE,30201131,86800,HC THYROGLOBULIN AB,302,1 ,$100.00 ,$72.00 ,$22.54 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$39.78 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$27.82 ,$26.55 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,30201132,86803,HC HEP C AB,302,1 ,$212.00 ,$152.64 ,$17.51 ,$212.00 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$140.98 ,$47.78 ,$148.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$35.68 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$87.77 ,$18.35 ,$17.51 ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 ,$169.60 ,$169.60 ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,30201134,86902,HC RBC AG SCR RGT SERUM T1-90,302,1 ,$112.00 ,$80.64 ,$6.30 ,$810.28 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$47.08 ,$25.24 ,$49.56 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$810.28 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$6.60 ,$6.30 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30201135,86902,HC RBC AG SCR RGT SERUM T2-90,302,1 ,$175.00 ,$126.00 ,$6.30 ,$810.28 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$47.08 ,$39.44 ,$49.56 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 ,$810.28 ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$175.00 ,$98.18 ,$39.44 ,$72.45 ,$6.60 ,$6.30 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,30201136,86902,HC RBC AG SCR RGT SERUM T3-90,302,1 ,$249.00 ,$179.28 ,$6.30 ,$810.28 ,$143.18 ,$179.28 ,$135.46 ,$56.12 ,$69.72 ,$47.08 ,$56.12 ,$49.56 ,$56.12 ,$156.87 ,$156.87 ,$56.12 ,$156.87 ,$115.69 ,$229.08 ,$810.28 ,$56.12 ,$211.65 ,$209.16 ,$56.12 ,$186.75 ,$199.20 ,$199.20 ,$56.12 ,$199.20 ,$216.63 ,$216.63 ,$216.63 ,$224.10 ,$143.18 ,$56.12 ,$249.00 ,$139.69 ,$56.12 ,$103.09 ,$6.60 ,$6.30 ,$58.93 ,$211.65 ,$156.87 ,$69.72 ,$224.10 ,$216.63 ,$199.20 ,$199.20 ,$56.12 ,$161.85 ST. FRANCIS HOSPITAL - ACUTE,30201137,86902,HC RBC AG SCR RGT SERUM T4-90,302,1 ,$373.00 ,$268.56 ,$6.30 ,$810.28 ,$214.48 ,$268.56 ,$202.91 ,$84.07 ,$104.44 ,$47.08 ,$84.07 ,$49.56 ,$84.07 ,$234.99 ,$234.99 ,$84.07 ,$234.99 ,$173.30 ,$343.16 ,$810.28 ,$84.07 ,$317.05 ,$313.32 ,$84.07 ,$279.75 ,$298.40 ,$298.40 ,$84.07 ,$298.40 ,$324.51 ,$324.51 ,$324.51 ,$335.70 ,$214.48 ,$84.07 ,$373.00 ,$209.25 ,$84.07 ,$154.42 ,$6.60 ,$6.30 ,$88.28 ,$317.05 ,$234.99 ,$104.44 ,$335.70 ,$324.51 ,$298.40 ,$298.40 ,$84.07 ,$242.45 ST. FRANCIS HOSPITAL - ACUTE,30201138,86905,HC RBC AG TYPING NON ABO/RH T1-90,302,1 ,$112.00 ,$80.64 ,$6.30 ,$810.28 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$35.00 ,$25.24 ,$36.84 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 ,$810.28 ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$6.60 ,$6.30 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,30201139,86905,HC RBC AG TYPING NON ABO/RH T2-90,302,1 ,$175.00 ,$126.00 ,$6.30 ,$810.28 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$35.00 ,$39.44 ,$36.84 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 ,$810.28 ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$175.00 ,$98.18 ,$39.44 ,$72.45 ,$6.60 ,$6.30 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,30201140,86905,HC RBC AG TYPING NON ABO/RH T3-90,302,1 ,$249.00 ,$179.28 ,$6.30 ,$810.28 ,$143.18 ,$179.28 ,$135.46 ,$56.12 ,$69.72 ,$35.00 ,$56.12 ,$36.84 ,$56.12 ,$156.87 ,$156.87 ,$56.12 ,$156.87 ,$115.69 ,$229.08 ,$810.28 ,$56.12 ,$211.65 ,$209.16 ,$56.12 ,$186.75 ,$199.20 ,$199.20 ,$56.12 ,$199.20 ,$216.63 ,$216.63 ,$216.63 ,$224.10 ,$143.18 ,$56.12 ,$249.00 ,$139.69 ,$56.12 ,$103.09 ,$6.60 ,$6.30 ,$58.93 ,$211.65 ,$156.87 ,$69.72 ,$224.10 ,$216.63 ,$199.20 ,$199.20 ,$56.12 ,$161.85 ST. FRANCIS HOSPITAL - ACUTE,30201141,86905,HC RBC AG TYPING NON ABO/RH T4-90,302,1 ,$373.00 ,$268.56 ,$6.30 ,$810.28 ,$214.48 ,$268.56 ,$202.91 ,$84.07 ,$104.44 ,$35.00 ,$84.07 ,$36.84 ,$84.07 ,$234.99 ,$234.99 ,$84.07 ,$234.99 ,$173.30 ,$343.16 ,$810.28 ,$84.07 ,$317.05 ,$313.32 ,$84.07 ,$279.75 ,$298.40 ,$298.40 ,$84.07 ,$298.40 ,$324.51 ,$324.51 ,$324.51 ,$335.70 ,$214.48 ,$84.07 ,$373.00 ,$209.25 ,$84.07 ,$154.42 ,$6.60 ,$6.30 ,$88.28 ,$317.05 ,$234.99 ,$104.44 ,$335.70 ,$324.51 ,$298.40 ,$298.40 ,$84.07 ,$242.45 ST. FRANCIS HOSPITAL - ACUTE,30201147,86870,HC RBC AB ID PANEL SERUM-90,302,1 ,$44.00 ,$31.68 ,$9.92 ,$810.28 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 ,$810.28 ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 ,$10.65 ,$10.16 ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,30201163,87427,HC SHIGA-LIKE TOXIN -90,302,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$29.95 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$10.65 ,$10.16 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30201189,86015,HC ACTIN SMOOTH MUSC ANTIBODY- 90,302,1 ,$23.00 ,$16.56 ,$5.18 ,$30.13 ,$13.23 ,$16.56 ,$12.51 ,$5.18 ,$6.44 ,$15.30 ,$5.18 ,$16.10 ,$5.18 ,$14.49 ,$14.49 ,$5.18 ,$14.49 ,$10.69 ,$21.16 ,$30.13 ,$5.18 ,$19.55 ,$19.32 ,$5.18 ,$17.25 ,$18.40 ,$18.40 ,$5.18 ,$18.40 ,$20.01 ,$20.01 ,$20.01 ,$20.70 ,$13.23 ,$5.18 ,$23.00 ,$12.90 ,$5.18 ,$9.52 ,$10.65 ,$10.16 ,$5.44 ,$19.55 ,$14.49 ,$6.44 ,$20.70 ,$20.01 ,$18.40 ,$18.40 ,$5.18 ,$14.95 ST. FRANCIS HOSPITAL - ACUTE,30201190,86036,HC ANTINEUTROPHIL CYTO ANTB SCREEN- 90,302,1 ,$105.00 ,$75.60 ,$10.16 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 ,$30.13 ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 ,$10.65 ,$10.16 ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,30201191,86037,HC ANTINEUTROPHIL CYTOPLASMIC ANTIBODY TITER- 90,302,1 ,$105.00 ,$75.60 ,$10.16 ,$105.00 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 ,$30.13 ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$43.47 ,$10.65 ,$10.16 ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 ,$84.00 ,$84.00 ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,30201192,86364,HC TISS TRANSGLUTAMINASE EA IMMUNO- 90,302,1 ,$75.00 ,$54.00 ,$10.16 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$28.83 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$10.65 ,$10.16 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30201193,86231,HC EMA EACH IG CLASS- 90,302,1 ,$36.00 ,$25.92 ,$8.11 ,$36.00 ,$20.70 ,$25.92 ,$19.58 ,$8.11 ,$10.08 ,$23.94 ,$8.11 ,$25.20 ,$8.11 ,$22.68 ,$22.68 ,$8.11 ,$22.68 ,$16.73 ,$33.12 ,$30.23 ,$8.11 ,$30.60 ,$30.24 ,$8.11 ,$27.00 ,$28.80 ,$28.80 ,$8.11 ,$28.80 ,$31.32 ,$31.32 ,$31.32 ,$32.40 ,$20.70 ,$8.11 ,$36.00 ,$20.20 ,$8.11 ,$14.90 ,$10.65 ,$10.16 ,$8.52 ,$30.60 ,$22.68 ,$10.08 ,$32.40 ,$31.32 ,$28.80 ,$28.80 ,$8.11 ,$23.40 ST. FRANCIS HOSPITAL - ACUTE,30201194,86258,HC GLIADIN ANTIBODY EA- 90,302,1 ,$24.00 ,$17.28 ,$5.41 ,$30.13 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$30.13 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$10.65 ,$10.16 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30201195,86381,HC MITOCHONDRIAL ANTIBODY- 90,302,1 ,$22.00 ,$15.84 ,$4.96 ,$55.00 ,$12.65 ,$15.84 ,$11.97 ,$4.96 ,$6.16 ,$14.63 ,$4.96 ,$15.40 ,$4.96 ,$13.86 ,$13.86 ,$4.96 ,$13.86 ,$10.22 ,$20.24 ,$55.00 ,$4.96 ,$18.70 ,$18.48 ,$4.96 ,$16.50 ,$17.60 ,$17.60 ,$4.96 ,$17.60 ,$19.14 ,$19.14 ,$19.14 ,$19.80 ,$12.65 ,$4.96 ,$22.00 ,$12.34 ,$4.96 ,$9.11 ,$10.65 ,$10.16 ,$5.20 ,$18.70 ,$13.86 ,$6.16 ,$19.80 ,$19.14 ,$17.60 ,$17.60 ,$4.96 ,$14.30 ST. FRANCIS HOSPITAL - ACUTE,30201201,86596,HC VOLTAGE GTG CALCIUM CHNL- 90,302,1 ,$140.00 ,$100.80 ,$10.16 ,$140.00 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$93.10 ,$31.56 ,$98.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 ,$30.13 ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$10.65 ,$10.16 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,30201202,86052,HC AQUAPORIN 4- 90,302,1 ,$525.00 ,$378.00 ,$10.16 ,$525.00 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 ,$30.13 ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$217.35 ,$10.65 ,$10.16 ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 ,$420.00 ,$420.00 ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,30201221,86698,HC HISTOPLASMA ANTIBODY-90,302,1 ,$15.00 ,$10.80 ,$3.38 ,$34.48 ,$8.63 ,$10.80 ,$8.16 ,$3.38 ,$4.20 ,$9.98 ,$3.38 ,$10.50 ,$3.38 ,$9.45 ,$9.45 ,$3.38 ,$9.45 ,$6.97 ,$13.80 ,$34.48 ,$3.38 ,$12.75 ,$12.60 ,$3.38 ,$11.25 ,$12.00 ,$12.00 ,$3.38 ,$12.00 ,$13.05 ,$13.05 ,$13.05 ,$13.50 ,$8.63 ,$3.38 ,$15.00 ,$8.42 ,$3.38 ,$6.21 ,$18.35 ,$17.51 ,$3.55 ,$12.75 ,$9.45 ,$4.20 ,$13.50 ,$13.05 ,$12.00 ,$12.00 ,$3.38 ,$9.75 ST. FRANCIS HOSPITAL - ACUTE,30201223,86053,HC AQAPRN-4 ANTB FLOW CYTOMETRY EA-90,302,1 ,$600.00 ,$432.00 ,$10.16 ,$600.00 ,$345.00 ,$432.00 ,$326.40 ,$135.24 ,$168.00 ,$399.00 ,$135.24 ,$420.00 ,$135.24 ,$378.00 ,$378.00 ,$135.24 ,$378.00 ,$278.76 ,$500.00 ,$94.33 ,$135.24 ,$510.00 ,$504.00 ,$135.24 ,$450.00 ,$480.00 ,$480.00 ,$135.24 ,$480.00 ,$522.00 ,$522.00 ,$522.00 ,$540.00 ,$345.00 ,$135.24 ,$600.00 ,$336.60 ,$135.24 ,$248.40 ,$10.65 ,$10.16 ,$142.00 ,$510.00 ,$378.00 ,$168.00 ,$540.00 ,$522.00 ,$480.00 ,$480.00 ,$135.24 ,$390.00 ST. FRANCIS HOSPITAL - ACUTE,30201231,86146,HC BET-2 GLYCOPROTEIN ANTIBODY-90,302,1 ,$20.00 ,$14.40 ,$4.51 ,$50.00 ,$11.50 ,$14.40 ,$10.88 ,$4.51 ,$5.60 ,$13.30 ,$4.51 ,$14.00 ,$4.51 ,$12.60 ,$12.60 ,$4.51 ,$12.60 ,$9.29 ,$18.40 ,$50.00 ,$4.51 ,$17.00 ,$16.80 ,$4.51 ,$15.00 ,$16.00 ,$16.00 ,$4.51 ,$16.00 ,$17.40 ,$17.40 ,$17.40 ,$18.00 ,$11.50 ,$4.51 ,$20.00 ,$11.22 ,$4.51 ,$8.28 ,$11.89 ,$11.35 ,$4.73 ,$17.00 ,$12.60 ,$5.60 ,$18.00 ,$17.40 ,$16.00 ,$16.00 ,$4.51 ,$13.00 ST. FRANCIS HOSPITAL - ACUTE,30201232,85306,HC CLOT INHIBIT PROTEIN S FREE-90,302,1 ,$30.00 ,$21.60 ,$6.76 ,$38.30 ,$17.25 ,$21.60 ,$16.32 ,$6.76 ,$8.40 ,$19.95 ,$6.76 ,$21.00 ,$6.76 ,$18.90 ,$18.90 ,$6.76 ,$18.90 ,$13.94 ,$27.60 ,$38.30 ,$6.76 ,$25.50 ,$25.20 ,$6.76 ,$22.50 ,$24.00 ,$24.00 ,$6.76 ,$24.00 ,$26.10 ,$26.10 ,$26.10 ,$27.00 ,$17.25 ,$6.76 ,$30.00 ,$16.83 ,$6.76 ,$12.42 ,$12.80 ,$12.22 ,$7.09 ,$25.50 ,$18.90 ,$8.40 ,$27.00 ,$26.10 ,$24.00 ,$24.00 ,$6.76 ,$19.50 ST. FRANCIS HOSPITAL - ACUTE,30500103,85007,HC BLOOD COUNT MAN DIFF WBC,305,1 ,$42.00 ,$30.24 ,$7.05 ,$42.00 ,$24.15 ,$30.24 ,$22.85 ,$9.47 ,$11.76 ,$27.93 ,$9.47 ,$29.40 ,$9.47 ,$26.46 ,$26.46 ,$9.47 ,$26.46 ,$19.51 ,$38.64 ,$9.50 ,$9.47 ,$35.70 ,$35.28 ,$9.47 ,$31.50 ,$33.60 ,$33.60 ,$9.47 ,$33.60 ,$36.54 ,$36.54 ,$36.54 ,$37.80 ,$24.15 ,$9.47 ,$42.00 ,$23.56 ,$9.47 ,$17.39 ,$7.38 ,$7.05 ,$9.94 ,$35.70 ,$26.46 ,$11.76 ,$37.80 ,$36.54 ,$33.60 ,$33.60 ,$9.47 ,$27.30 ST. FRANCIS HOSPITAL - ACUTE,30500104,85014,HC HEMATOCRIT,305,1 ,$32.00 ,$23.04 ,$2.37 ,$32.00 ,$18.40 ,$23.04 ,$17.41 ,$7.21 ,$8.96 ,$21.28 ,$7.21 ,$22.40 ,$7.21 ,$20.16 ,$20.16 ,$7.21 ,$20.16 ,$14.87 ,$29.44 ,$5.93 ,$7.21 ,$27.20 ,$26.88 ,$7.21 ,$24.00 ,$25.60 ,$25.60 ,$7.21 ,$25.60 ,$27.84 ,$27.84 ,$27.84 ,$28.80 ,$18.40 ,$7.21 ,$2.37 ,$17.95 ,$7.21 ,$13.25 ,$7.38 ,$7.05 ,$7.58 ,$27.20 ,$20.16 ,$8.96 ,$28.80 ,$27.84 ,$25.60 ,$25.60 ,$7.21 ,$20.80 ST. FRANCIS HOSPITAL - ACUTE,30500106,85018,HC HGB,305,1 ,$32.00 ,$23.04 ,$2.37 ,$32.00 ,$18.40 ,$23.04 ,$17.41 ,$7.21 ,$8.96 ,$21.28 ,$7.21 ,$22.40 ,$7.21 ,$20.16 ,$20.16 ,$7.21 ,$20.16 ,$14.87 ,$29.44 ,$5.93 ,$7.21 ,$27.20 ,$26.88 ,$7.21 ,$24.00 ,$25.60 ,$25.60 ,$7.21 ,$25.60 ,$27.84 ,$27.84 ,$27.84 ,$28.80 ,$18.40 ,$7.21 ,$2.37 ,$17.95 ,$7.21 ,$13.25 ,$7.38 ,$7.05 ,$7.58 ,$27.20 ,$20.16 ,$8.96 ,$28.80 ,$27.84 ,$25.60 ,$25.60 ,$7.21 ,$20.80 ST. FRANCIS HOSPITAL - ACUTE,30500107,85025,HC CBC AUTO W/AUTO DIFF,305,1 ,$154.00 ,$110.88 ,$7.05 ,$154.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$96.22 ,$34.71 ,$101.28 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$19.43 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$7.77 ,$86.39 ,$34.71 ,$63.76 ,$7.38 ,$7.05 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,30500108,85027,HC CBC W/O DIFF,305,1 ,$124.00 ,$89.28 ,$6.47 ,$124.00 ,$71.30 ,$89.28 ,$67.46 ,$27.95 ,$34.72 ,$80.03 ,$27.95 ,$84.24 ,$27.95 ,$78.12 ,$78.12 ,$27.95 ,$78.12 ,$57.61 ,$114.08 ,$16.18 ,$27.95 ,$105.40 ,$104.16 ,$27.95 ,$93.00 ,$99.20 ,$99.20 ,$27.95 ,$99.20 ,$107.88 ,$107.88 ,$107.88 ,$111.60 ,$71.30 ,$27.95 ,$6.47 ,$69.56 ,$27.95 ,$51.34 ,$7.38 ,$7.05 ,$29.35 ,$105.40 ,$78.12 ,$34.72 ,$111.60 ,$107.88 ,$99.20 ,$99.20 ,$27.95 ,$80.60 ST. FRANCIS HOSPITAL - ACUTE,30500112,85048,HC BLOOD COUNT LEUKO AUTO,305,1 ,$32.00 ,$23.04 ,$6.35 ,$32.00 ,$18.40 ,$23.04 ,$17.41 ,$7.21 ,$8.96 ,$21.28 ,$7.21 ,$22.40 ,$7.21 ,$20.16 ,$20.16 ,$7.21 ,$20.16 ,$14.87 ,$29.44 ,$6.35 ,$7.21 ,$27.20 ,$26.88 ,$7.21 ,$24.00 ,$25.60 ,$25.60 ,$7.21 ,$25.60 ,$27.84 ,$27.84 ,$27.84 ,$28.80 ,$18.40 ,$7.21 ,$32.00 ,$17.95 ,$7.21 ,$13.25 ,$7.38 ,$7.05 ,$7.58 ,$27.20 ,$20.16 ,$8.96 ,$28.80 ,$27.84 ,$25.60 ,$25.60 ,$7.21 ,$20.80 ST. FRANCIS HOSPITAL - ACUTE,30500113,85049,HC PLATELET COUNT AUTO,305,1 ,$70.00 ,$50.40 ,$7.05 ,$70.00 ,$40.25 ,$50.40 ,$38.08 ,$15.78 ,$19.60 ,$46.55 ,$15.78 ,$49.00 ,$15.78 ,$44.10 ,$44.10 ,$15.78 ,$44.10 ,$32.52 ,$64.40 ,$11.20 ,$15.78 ,$59.50 ,$58.80 ,$15.78 ,$52.50 ,$56.00 ,$56.00 ,$15.78 ,$56.00 ,$60.90 ,$60.90 ,$60.90 ,$63.00 ,$40.25 ,$15.78 ,$70.00 ,$39.27 ,$15.78 ,$28.98 ,$7.38 ,$7.05 ,$16.57 ,$59.50 ,$44.10 ,$19.60 ,$63.00 ,$60.90 ,$56.00 ,$56.00 ,$15.78 ,$45.50 ST. FRANCIS HOSPITAL - ACUTE,30500175,85379,HC D DIMER QN,305,1 ,$135.00 ,$97.20 ,$12.22 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$25.45 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$12.80 ,$12.22 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,30500176,85384,HC FIBRINOGEN,305,1 ,$204.00 ,$146.88 ,$4.12 ,$204.00 ,$117.30 ,$146.88 ,$110.98 ,$45.98 ,$57.12 ,$77.75 ,$45.98 ,$81.84 ,$45.98 ,$128.52 ,$128.52 ,$45.98 ,$128.52 ,$94.78 ,$187.68 ,$24.30 ,$45.98 ,$173.40 ,$171.36 ,$45.98 ,$153.00 ,$163.20 ,$163.20 ,$45.98 ,$163.20 ,$177.48 ,$177.48 ,$177.48 ,$183.60 ,$117.30 ,$45.98 ,$204.00 ,$114.44 ,$45.98 ,$84.46 ,$4.31 ,$4.12 ,$48.28 ,$173.40 ,$128.52 ,$57.12 ,$183.60 ,$177.48 ,$163.20 ,$163.20 ,$45.98 ,$132.60 ST. FRANCIS HOSPITAL - ACUTE,30500187,85520,HC HEPARIN ASSAY,305,1 ,$155.00 ,$111.60 ,$12.22 ,$155.00 ,$89.13 ,$111.60 ,$84.32 ,$34.94 ,$43.40 ,$103.08 ,$34.94 ,$108.50 ,$34.94 ,$97.65 ,$97.65 ,$34.94 ,$97.65 ,$72.01 ,$142.60 ,$32.73 ,$34.94 ,$131.75 ,$130.20 ,$34.94 ,$116.25 ,$124.00 ,$124.00 ,$34.94 ,$124.00 ,$134.85 ,$134.85 ,$134.85 ,$139.50 ,$89.13 ,$34.94 ,$155.00 ,$86.96 ,$34.94 ,$64.17 ,$12.80 ,$12.22 ,$36.68 ,$131.75 ,$97.65 ,$43.40 ,$139.50 ,$134.85 ,$124.00 ,$124.00 ,$34.94 ,$100.75 ST. FRANCIS HOSPITAL - ACUTE,30500192,85576,HC PLATELET AGGREGATION EA,305,1 ,$61.00 ,$43.92 ,$12.22 ,$62.28 ,$35.08 ,$43.92 ,$33.18 ,$13.75 ,$17.08 ,$40.57 ,$13.75 ,$42.70 ,$13.75 ,$38.43 ,$38.43 ,$13.75 ,$38.43 ,$28.34 ,$56.12 ,$62.28 ,$13.75 ,$51.85 ,$51.24 ,$13.75 ,$45.75 ,$48.80 ,$48.80 ,$13.75 ,$48.80 ,$53.07 ,$53.07 ,$53.07 ,$54.90 ,$35.08 ,$13.75 ,$61.00 ,$34.22 ,$13.75 ,$25.25 ,$12.80 ,$12.22 ,$14.44 ,$51.85 ,$38.43 ,$17.08 ,$54.90 ,$53.07 ,$48.80 ,$48.80 ,$13.75 ,$39.65 ST. FRANCIS HOSPITAL - ACUTE,30500196,85610,HC PROTHROMBIN TIME (PT),305,1 ,$70.00 ,$50.40 ,$4.12 ,$70.00 ,$40.25 ,$50.40 ,$38.08 ,$15.78 ,$19.60 ,$46.55 ,$15.78 ,$49.00 ,$15.78 ,$44.10 ,$44.10 ,$15.78 ,$44.10 ,$32.52 ,$64.40 ,$10.73 ,$15.78 ,$59.50 ,$58.80 ,$15.78 ,$52.50 ,$56.00 ,$56.00 ,$15.78 ,$56.00 ,$60.90 ,$60.90 ,$60.90 ,$63.00 ,$40.25 ,$15.78 ,$70.00 ,$39.27 ,$15.78 ,$28.98 ,$4.31 ,$4.12 ,$16.57 ,$59.50 ,$44.10 ,$19.60 ,$63.00 ,$60.90 ,$56.00 ,$56.00 ,$15.78 ,$45.50 ST. FRANCIS HOSPITAL - ACUTE,30500205,85652,HC SED RATE AUTO,305,1 ,$75.00 ,$54.00 ,$6.75 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$33.40 ,$16.90 ,$35.16 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$6.75 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$7.38 ,$7.05 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30500211,85730,HC PTT,305,1 ,$116.00 ,$83.52 ,$4.12 ,$116.00 ,$66.70 ,$83.52 ,$63.10 ,$26.15 ,$32.48 ,$74.44 ,$26.15 ,$78.36 ,$26.15 ,$73.08 ,$73.08 ,$26.15 ,$73.08 ,$53.89 ,$106.72 ,$15.03 ,$26.15 ,$98.60 ,$97.44 ,$26.15 ,$87.00 ,$92.80 ,$92.80 ,$26.15 ,$92.80 ,$100.92 ,$100.92 ,$100.92 ,$104.40 ,$66.70 ,$26.15 ,$116.00 ,$65.08 ,$26.15 ,$48.02 ,$4.31 ,$4.12 ,$27.45 ,$98.60 ,$73.08 ,$32.48 ,$104.40 ,$100.92 ,$92.80 ,$92.80 ,$26.15 ,$75.40 ST. FRANCIS HOSPITAL - ACUTE,30500234,85014,HC HEMATOCRIT-90,305,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$5.93 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$2.37 ,$5.61 ,$2.25 ,$4.14 ,$7.38 ,$7.05 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30500238,85018,HC HGB-90,305,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$5.93 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$2.37 ,$5.61 ,$2.25 ,$4.14 ,$7.38 ,$7.05 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30500244,85041,HC BLOOD COUNT RBC AUTO-90,305,1 ,$10.00 ,$7.20 ,$2.25 ,$10.00 ,$5.75 ,$7.20 ,$5.44 ,$2.25 ,$2.80 ,$6.65 ,$2.25 ,$7.00 ,$2.25 ,$6.30 ,$6.30 ,$2.25 ,$6.30 ,$4.65 ,$9.20 ,$7.55 ,$2.25 ,$8.50 ,$8.40 ,$2.25 ,$7.50 ,$8.00 ,$8.00 ,$2.25 ,$8.00 ,$8.70 ,$8.70 ,$8.70 ,$9.00 ,$5.75 ,$2.25 ,$10.00 ,$5.61 ,$2.25 ,$4.14 ,$7.38 ,$7.05 ,$2.37 ,$8.50 ,$6.30 ,$2.80 ,$9.00 ,$8.70 ,$8.00 ,$8.00 ,$2.25 ,$6.50 ST. FRANCIS HOSPITAL - ACUTE,30500249,85210,HC FACTOR II PROTHROM SPEC-90,305,1 ,$88.00 ,$63.36 ,$4.12 ,$88.00 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$32.45 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$88.00 ,$49.37 ,$19.84 ,$36.43 ,$4.31 ,$4.12 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30500250,85220,HC FACTOR V CLOTTING FACTOR-90,305,1 ,$88.00 ,$63.36 ,$12.22 ,$88.00 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$44.13 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$88.00 ,$49.37 ,$19.84 ,$36.43 ,$12.80 ,$12.22 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30500251,85230,HC FACTOR VII PROCONVERTIN-90,305,1 ,$82.00 ,$59.04 ,$12.22 ,$82.00 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$44.75 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 ,$12.80 ,$12.22 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,30500252,85240,HC FACTOR VIII AHG 1 STAGE-90,305,1 ,$222.00 ,$159.84 ,$12.22 ,$222.00 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$147.63 ,$50.04 ,$155.40 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$44.75 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$91.91 ,$12.80 ,$12.22 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 ,$177.60 ,$177.60 ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,30500253,85245,HC FACTOR VIII VW RISTOCTN-90,305,1 ,$57.00 ,$41.04 ,$12.22 ,$57.35 ,$32.78 ,$41.04 ,$31.01 ,$12.85 ,$15.96 ,$37.91 ,$12.85 ,$39.90 ,$12.85 ,$35.91 ,$35.91 ,$12.85 ,$35.91 ,$26.48 ,$52.44 ,$57.35 ,$12.85 ,$48.45 ,$47.88 ,$12.85 ,$42.75 ,$45.60 ,$45.60 ,$12.85 ,$45.60 ,$49.59 ,$49.59 ,$49.59 ,$51.30 ,$32.78 ,$12.85 ,$57.00 ,$31.98 ,$12.85 ,$23.60 ,$12.80 ,$12.22 ,$13.49 ,$48.45 ,$35.91 ,$15.96 ,$51.30 ,$49.59 ,$45.60 ,$45.60 ,$12.85 ,$37.05 ST. FRANCIS HOSPITAL - ACUTE,30500254,85246,HC FACTOR VIII VW ANTIGEN-90,305,1 ,$80.00 ,$57.60 ,$12.22 ,$80.00 ,$46.00 ,$57.60 ,$43.52 ,$18.03 ,$22.40 ,$53.20 ,$18.03 ,$56.00 ,$18.03 ,$50.40 ,$50.40 ,$18.03 ,$50.40 ,$37.17 ,$73.60 ,$57.35 ,$18.03 ,$68.00 ,$67.20 ,$18.03 ,$60.00 ,$64.00 ,$64.00 ,$18.03 ,$64.00 ,$69.60 ,$69.60 ,$69.60 ,$72.00 ,$46.00 ,$18.03 ,$80.00 ,$44.88 ,$18.03 ,$33.12 ,$12.80 ,$12.22 ,$18.93 ,$68.00 ,$50.40 ,$22.40 ,$72.00 ,$69.60 ,$64.00 ,$64.00 ,$18.03 ,$52.00 ST. FRANCIS HOSPITAL - ACUTE,30500255,85247,HC FACTOR VIII VW MULTIM ANALY-90,305,1 ,$331.00 ,$238.32 ,$12.22 ,$331.00 ,$190.33 ,$238.32 ,$180.06 ,$74.61 ,$92.68 ,$209.87 ,$74.61 ,$220.92 ,$74.61 ,$208.53 ,$208.53 ,$74.61 ,$208.53 ,$153.78 ,$304.52 ,$57.35 ,$74.61 ,$281.35 ,$278.04 ,$74.61 ,$248.25 ,$264.80 ,$264.80 ,$74.61 ,$264.80 ,$287.97 ,$287.97 ,$287.97 ,$297.90 ,$190.33 ,$74.61 ,$331.00 ,$185.69 ,$74.61 ,$137.03 ,$12.80 ,$12.22 ,$78.34 ,$281.35 ,$208.53 ,$92.68 ,$297.90 ,$287.97 ,$264.80 ,$264.80 ,$74.61 ,$215.15 ST. FRANCIS HOSPITAL - ACUTE,30500256,85250,HC FACTOR IX (PTC OR CHRISTMAS)-90,305,1 ,$72.00 ,$51.84 ,$12.22 ,$72.00 ,$41.40 ,$51.84 ,$39.17 ,$16.23 ,$20.16 ,$47.88 ,$16.23 ,$50.40 ,$16.23 ,$45.36 ,$45.36 ,$16.23 ,$45.36 ,$33.45 ,$66.24 ,$47.60 ,$16.23 ,$61.20 ,$60.48 ,$16.23 ,$54.00 ,$57.60 ,$57.60 ,$16.23 ,$57.60 ,$62.64 ,$62.64 ,$62.64 ,$64.80 ,$41.40 ,$16.23 ,$72.00 ,$40.39 ,$16.23 ,$29.81 ,$12.80 ,$12.22 ,$17.04 ,$61.20 ,$45.36 ,$20.16 ,$64.80 ,$62.64 ,$57.60 ,$57.60 ,$16.23 ,$46.80 ST. FRANCIS HOSPITAL - ACUTE,30500257,85260,HC FACTOR X (STUART-POWER)-90,305,1 ,$88.00 ,$63.36 ,$12.22 ,$88.00 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$44.75 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$88.00 ,$49.37 ,$19.84 ,$36.43 ,$12.80 ,$12.22 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30500258,85270,HC FACTOR XI (PTA)-90,305,1 ,$40.00 ,$28.80 ,$9.02 ,$44.75 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$44.75 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$12.80 ,$12.22 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30500260,85291,HC FACTOR XIII FIBRIN SCRN-90,305,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$22.78 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$12.80 ,$12.22 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30500261,85300,HC ANTITHROMBIN III ACT-90,305,1 ,$78.00 ,$56.16 ,$12.22 ,$78.00 ,$44.85 ,$56.16 ,$42.43 ,$17.58 ,$21.84 ,$51.87 ,$17.58 ,$54.60 ,$17.58 ,$49.14 ,$49.14 ,$17.58 ,$49.14 ,$36.24 ,$71.76 ,$29.63 ,$17.58 ,$66.30 ,$65.52 ,$17.58 ,$58.50 ,$62.40 ,$62.40 ,$17.58 ,$62.40 ,$67.86 ,$67.86 ,$67.86 ,$70.20 ,$44.85 ,$17.58 ,$78.00 ,$43.76 ,$17.58 ,$32.29 ,$12.80 ,$12.22 ,$18.46 ,$66.30 ,$49.14 ,$21.84 ,$70.20 ,$67.86 ,$62.40 ,$62.40 ,$17.58 ,$50.70 ST. FRANCIS HOSPITAL - ACUTE,30500262,85301,HC ANTITHROMBIN III AG-90,305,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$27.03 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$12.80 ,$12.22 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30500263,85302,HC PROTEIN C AG-90,305,1 ,$80.00 ,$57.60 ,$12.22 ,$80.00 ,$46.00 ,$57.60 ,$43.52 ,$18.03 ,$22.40 ,$53.20 ,$18.03 ,$56.00 ,$18.03 ,$50.40 ,$50.40 ,$18.03 ,$50.40 ,$37.17 ,$73.60 ,$30.03 ,$18.03 ,$68.00 ,$67.20 ,$18.03 ,$60.00 ,$64.00 ,$64.00 ,$18.03 ,$64.00 ,$69.60 ,$69.60 ,$69.60 ,$72.00 ,$46.00 ,$18.03 ,$80.00 ,$44.88 ,$18.03 ,$33.12 ,$12.80 ,$12.22 ,$18.93 ,$68.00 ,$50.40 ,$22.40 ,$72.00 ,$69.60 ,$64.00 ,$64.00 ,$18.03 ,$52.00 ST. FRANCIS HOSPITAL - ACUTE,30500264,85303,HC PROTEIN C ACTIVITY-90,305,1 ,$130.00 ,$93.60 ,$12.22 ,$130.00 ,$74.75 ,$93.60 ,$70.72 ,$29.30 ,$36.40 ,$86.45 ,$29.30 ,$91.00 ,$29.30 ,$81.90 ,$81.90 ,$29.30 ,$81.90 ,$60.40 ,$119.60 ,$34.60 ,$29.30 ,$110.50 ,$109.20 ,$29.30 ,$97.50 ,$104.00 ,$104.00 ,$29.30 ,$104.00 ,$113.10 ,$113.10 ,$113.10 ,$117.00 ,$74.75 ,$29.30 ,$130.00 ,$72.93 ,$29.30 ,$53.82 ,$12.80 ,$12.22 ,$30.77 ,$110.50 ,$81.90 ,$36.40 ,$117.00 ,$113.10 ,$104.00 ,$104.00 ,$29.30 ,$84.50 ST. FRANCIS HOSPITAL - ACUTE,30500265,85305,HC PROTEIN S TOTAL-90,305,1 ,$77.00 ,$55.44 ,$12.22 ,$77.00 ,$44.28 ,$55.44 ,$41.89 ,$17.36 ,$21.56 ,$51.21 ,$17.36 ,$53.90 ,$17.36 ,$48.51 ,$48.51 ,$17.36 ,$48.51 ,$35.77 ,$70.84 ,$29.03 ,$17.36 ,$65.45 ,$64.68 ,$17.36 ,$57.75 ,$61.60 ,$61.60 ,$17.36 ,$61.60 ,$66.99 ,$66.99 ,$66.99 ,$69.30 ,$44.28 ,$17.36 ,$77.00 ,$43.20 ,$17.36 ,$31.88 ,$12.80 ,$12.22 ,$18.23 ,$65.45 ,$48.51 ,$21.56 ,$69.30 ,$66.99 ,$61.60 ,$61.60 ,$17.36 ,$50.05 ST. FRANCIS HOSPITAL - ACUTE,30500266,85306,HC PROTEIN S FREE-90,305,1 ,$75.00 ,$54.00 ,$12.22 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$38.30 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$12.80 ,$12.22 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30500267,85307,HC ACTIVATED PROTEIN C RESIST-90,305,1 ,$50.00 ,$36.00 ,$11.27 ,$50.00 ,$28.75 ,$36.00 ,$27.20 ,$11.27 ,$14.00 ,$33.25 ,$11.27 ,$35.00 ,$11.27 ,$31.50 ,$31.50 ,$11.27 ,$31.50 ,$23.23 ,$46.00 ,$38.30 ,$11.27 ,$42.50 ,$42.00 ,$11.27 ,$37.50 ,$40.00 ,$40.00 ,$11.27 ,$40.00 ,$43.50 ,$43.50 ,$43.50 ,$45.00 ,$28.75 ,$11.27 ,$50.00 ,$28.05 ,$11.27 ,$20.70 ,$11.89 ,$11.35 ,$11.84 ,$42.50 ,$31.50 ,$14.00 ,$45.00 ,$43.50 ,$40.00 ,$40.00 ,$11.27 ,$32.50 ST. FRANCIS HOSPITAL - ACUTE,30500276,85397,HC COAGUL/FIBRINOLYSIS CLOT ACT-90,305,1 ,$212.00 ,$152.64 ,$12.22 ,$212.00 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$140.98 ,$47.78 ,$148.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$77.15 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$87.77 ,$12.80 ,$12.22 ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 ,$169.60 ,$169.60 ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,30500289,85597,HC PLATELET NEUTRALIZATION-90,305,1 ,$124.00 ,$89.28 ,$12.22 ,$124.00 ,$71.30 ,$89.28 ,$67.46 ,$27.95 ,$34.72 ,$82.46 ,$27.95 ,$86.80 ,$27.95 ,$78.12 ,$78.12 ,$27.95 ,$78.12 ,$57.61 ,$114.08 ,$44.95 ,$27.95 ,$105.40 ,$104.16 ,$27.95 ,$93.00 ,$99.20 ,$99.20 ,$27.95 ,$99.20 ,$107.88 ,$107.88 ,$107.88 ,$111.60 ,$71.30 ,$27.95 ,$124.00 ,$69.56 ,$27.95 ,$51.34 ,$12.80 ,$12.22 ,$29.35 ,$105.40 ,$78.12 ,$34.72 ,$111.60 ,$107.88 ,$99.20 ,$99.20 ,$27.95 ,$80.60 ST. FRANCIS HOSPITAL - ACUTE,30500290,85598,HC HEXAGN NEUTRALIZATION PHOSPH-90,305,1 ,$44.00 ,$31.68 ,$9.92 ,$44.95 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 ,$44.95 ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 ,$12.80 ,$12.22 ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,30500291,85598,HC HEXAGN NEUTRALIZATION PHOSPH 9 PROFILE-90,305,1 ,$24.00 ,$17.28 ,$5.41 ,$44.95 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$44.95 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$12.80 ,$12.22 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30500292,85610,HC PROTHROMBIN TIME (PT)-90,305,1 ,$70.00 ,$50.40 ,$4.12 ,$70.00 ,$40.25 ,$50.40 ,$38.08 ,$15.78 ,$19.60 ,$46.55 ,$15.78 ,$49.00 ,$15.78 ,$44.10 ,$44.10 ,$15.78 ,$44.10 ,$32.52 ,$64.40 ,$10.73 ,$15.78 ,$59.50 ,$58.80 ,$15.78 ,$52.50 ,$56.00 ,$56.00 ,$15.78 ,$56.00 ,$60.90 ,$60.90 ,$60.90 ,$63.00 ,$40.25 ,$15.78 ,$70.00 ,$39.27 ,$15.78 ,$28.98 ,$4.31 ,$4.12 ,$16.57 ,$59.50 ,$44.10 ,$19.60 ,$63.00 ,$60.90 ,$56.00 ,$56.00 ,$15.78 ,$45.50 ST. FRANCIS HOSPITAL - ACUTE,30500295,85611,HC PT MIX STUDY-90,305,1 ,$104.00 ,$74.88 ,$4.12 ,$104.00 ,$59.80 ,$74.88 ,$56.58 ,$23.44 ,$29.12 ,$36.14 ,$23.44 ,$38.04 ,$23.44 ,$65.52 ,$65.52 ,$23.44 ,$65.52 ,$48.32 ,$95.68 ,$9.85 ,$23.44 ,$88.40 ,$87.36 ,$23.44 ,$78.00 ,$83.20 ,$83.20 ,$23.44 ,$83.20 ,$90.48 ,$90.48 ,$90.48 ,$93.60 ,$59.80 ,$23.44 ,$104.00 ,$58.34 ,$23.44 ,$43.06 ,$4.31 ,$4.12 ,$24.62 ,$88.40 ,$65.52 ,$29.12 ,$93.60 ,$90.48 ,$83.20 ,$83.20 ,$23.44 ,$67.60 ST. FRANCIS HOSPITAL - ACUTE,30500297,85613,HC RUSSELL VIPER VENOM SCR T1-90,305,1 ,$60.00 ,$43.20 ,$12.22 ,$60.00 ,$34.50 ,$43.20 ,$32.64 ,$13.52 ,$16.80 ,$39.90 ,$13.52 ,$42.00 ,$13.52 ,$37.80 ,$37.80 ,$13.52 ,$37.80 ,$27.88 ,$55.20 ,$23.95 ,$13.52 ,$51.00 ,$50.40 ,$13.52 ,$45.00 ,$48.00 ,$48.00 ,$13.52 ,$48.00 ,$52.20 ,$52.20 ,$52.20 ,$54.00 ,$34.50 ,$13.52 ,$60.00 ,$33.66 ,$13.52 ,$24.84 ,$12.80 ,$12.22 ,$14.20 ,$51.00 ,$37.80 ,$16.80 ,$54.00 ,$52.20 ,$48.00 ,$48.00 ,$13.52 ,$39.00 ST. FRANCIS HOSPITAL - ACUTE,30500301,85660,HC SICKLE CELL RBC-90,305,1 ,$8.00 ,$5.76 ,$1.80 ,$13.78 ,$4.60 ,$5.76 ,$4.35 ,$1.80 ,$2.24 ,$5.32 ,$1.80 ,$5.60 ,$1.80 ,$5.04 ,$5.04 ,$1.80 ,$5.04 ,$3.72 ,$7.36 ,$13.78 ,$1.80 ,$6.80 ,$6.72 ,$1.80 ,$6.00 ,$6.40 ,$6.40 ,$1.80 ,$6.40 ,$6.96 ,$6.96 ,$6.96 ,$7.20 ,$4.60 ,$1.80 ,$8.00 ,$4.49 ,$1.80 ,$3.31 ,$7.38 ,$7.05 ,$1.89 ,$6.80 ,$5.04 ,$2.24 ,$7.20 ,$6.96 ,$6.40 ,$6.40 ,$1.80 ,$5.20 ST. FRANCIS HOSPITAL - ACUTE,30500304,85670,HC THROMBIN TIME PLASMA-90,305,1 ,$44.00 ,$31.68 ,$4.12 ,$44.00 ,$25.30 ,$31.68 ,$23.94 ,$9.92 ,$12.32 ,$29.26 ,$9.92 ,$30.80 ,$9.92 ,$27.72 ,$27.72 ,$9.92 ,$27.72 ,$20.44 ,$40.48 ,$14.43 ,$9.92 ,$37.40 ,$36.96 ,$9.92 ,$33.00 ,$35.20 ,$35.20 ,$9.92 ,$35.20 ,$38.28 ,$38.28 ,$38.28 ,$39.60 ,$25.30 ,$9.92 ,$44.00 ,$24.68 ,$9.92 ,$18.22 ,$4.31 ,$4.12 ,$10.42 ,$37.40 ,$27.72 ,$12.32 ,$39.60 ,$38.28 ,$35.20 ,$35.20 ,$9.92 ,$28.60 ST. FRANCIS HOSPITAL - ACUTE,30500305,85730,HC PTT-90,305,1 ,$49.00 ,$35.28 ,$4.12 ,$49.00 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$15.03 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$4.31 ,$4.12 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$39.20 ,$39.20 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,30500307,85732,HC PTT MIXING STUDY T1-90,305,1 ,$131.00 ,$94.32 ,$4.12 ,$131.00 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$59.17 ,$29.53 ,$62.28 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$16.18 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$4.31 ,$4.12 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30500310,85810,HC VISCOSITY-90,305,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$29.18 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$11.23 ,$10.72 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30500341,85046,HC BLOOD COUNT RETICULOCYTES AUTO,305,1 ,$85.00 ,$61.20 ,$7.05 ,$85.00 ,$48.88 ,$61.20 ,$46.24 ,$19.16 ,$23.80 ,$56.53 ,$19.16 ,$59.50 ,$19.16 ,$53.55 ,$53.55 ,$19.16 ,$53.55 ,$39.49 ,$78.20 ,$13.93 ,$19.16 ,$72.25 ,$71.40 ,$19.16 ,$63.75 ,$68.00 ,$68.00 ,$19.16 ,$68.00 ,$73.95 ,$73.95 ,$73.95 ,$76.50 ,$48.88 ,$19.16 ,$85.00 ,$47.69 ,$19.16 ,$35.19 ,$7.38 ,$7.05 ,$20.12 ,$72.25 ,$53.55 ,$23.80 ,$76.50 ,$73.95 ,$68.00 ,$68.00 ,$19.16 ,$55.25 ST. FRANCIS HOSPITAL - ACUTE,30500829,85300,HC ANTITHROMBIN III ACT,305,1 ,$102.00 ,$73.44 ,$12.22 ,$102.00 ,$58.65 ,$73.44 ,$55.49 ,$22.99 ,$28.56 ,$67.83 ,$22.99 ,$71.40 ,$22.99 ,$64.26 ,$64.26 ,$22.99 ,$64.26 ,$47.39 ,$93.84 ,$29.63 ,$22.99 ,$86.70 ,$85.68 ,$22.99 ,$76.50 ,$81.60 ,$81.60 ,$22.99 ,$81.60 ,$88.74 ,$88.74 ,$88.74 ,$91.80 ,$58.65 ,$22.99 ,$102.00 ,$57.22 ,$22.99 ,$42.23 ,$12.80 ,$12.22 ,$24.14 ,$86.70 ,$64.26 ,$28.56 ,$91.80 ,$88.74 ,$81.60 ,$81.60 ,$22.99 ,$66.30 ST. FRANCIS HOSPITAL - ACUTE,30500832,85460,HC FETAL HGB KLEIHAUER BETKE,305,1 ,$210.00 ,$151.20 ,$10.72 ,$210.00 ,$120.75 ,$151.20 ,$114.24 ,$47.33 ,$58.80 ,$70.79 ,$47.33 ,$74.52 ,$47.33 ,$132.30 ,$132.30 ,$47.33 ,$132.30 ,$97.57 ,$193.20 ,$19.33 ,$47.33 ,$178.50 ,$176.40 ,$47.33 ,$157.50 ,$168.00 ,$168.00 ,$47.33 ,$168.00 ,$182.70 ,$182.70 ,$182.70 ,$189.00 ,$120.75 ,$47.33 ,$210.00 ,$117.81 ,$47.33 ,$86.94 ,$11.23 ,$10.72 ,$49.71 ,$178.50 ,$132.30 ,$58.80 ,$189.00 ,$182.70 ,$168.00 ,$168.00 ,$47.33 ,$136.50 ST. FRANCIS HOSPITAL - ACUTE,30500833,85520,HC HEPARIN ASSAY,305,1 ,$75.00 ,$54.00 ,$12.22 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$32.73 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$12.80 ,$12.22 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30500835,85576,HC PLATELET AGGREGATION EA-90,305,1 ,$45.00 ,$32.40 ,$10.14 ,$62.28 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$62.28 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$12.80 ,$12.22 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30530180,85999,HC URINE EOSINOPHIL COUNT- 90,305,1 ,$68.00 ,$48.96 ,$7.05 ,$68.00 , N/A ,$48.96 ,$36.99 , N/A ,$19.04 ,$45.22 , N/A ,$47.60 , N/A ,$42.84 ,$42.84 , N/A ,$42.84 , N/A ,$62.56 ,$47.60 , N/A ,$57.80 ,$57.12 , N/A ,$51.00 ,$54.40 ,$54.40 , N/A ,$54.40 ,$59.16 ,$59.16 ,$59.16 ,$61.20 , N/A , N/A ,$68.00 ,$38.15 , N/A ,$28.15 ,$7.38 ,$7.05 , N/A ,$57.80 ,$42.84 ,$19.04 ,$61.20 ,$59.16 ,$54.40 ,$54.40 , N/A ,$44.20 ST. FRANCIS HOSPITAL - ACUTE,30600102,87040,HC BLOOD CULTURE,306,1 ,$436.00 ,$313.92 ,$25.80 ,$436.00 ,$250.70 ,$313.92 ,$237.18 ,$98.27 ,$122.08 ,$94.39 ,$98.27 ,$99.36 ,$98.27 ,$274.68 ,$274.68 ,$98.27 ,$274.68 ,$202.57 ,$401.12 ,$25.80 ,$98.27 ,$370.60 ,$366.24 ,$98.27 ,$327.00 ,$348.80 ,$348.80 ,$98.27 ,$348.80 ,$379.32 ,$379.32 ,$379.32 ,$392.40 ,$250.70 ,$98.27 ,$436.00 ,$244.60 ,$98.27 ,$180.50 ,$28.22 ,$26.93 ,$103.18 ,$370.60 ,$274.68 ,$122.08 ,$392.40 ,$379.32 ,$348.80 ,$348.80 ,$98.27 ,$283.40 ST. FRANCIS HOSPITAL - ACUTE,30600174,87205,HC SMEAR GRAM/GIEMSA,306,1 ,$136.00 ,$97.92 ,$8.11 ,$136.00 ,$78.20 ,$97.92 ,$73.98 ,$30.65 ,$38.08 ,$52.90 ,$30.65 ,$55.68 ,$30.65 ,$85.68 ,$85.68 ,$30.65 ,$85.68 ,$63.19 ,$125.12 ,$10.68 ,$30.65 ,$115.60 ,$114.24 ,$30.65 ,$102.00 ,$108.80 ,$108.80 ,$30.65 ,$108.80 ,$118.32 ,$118.32 ,$118.32 ,$122.40 ,$78.20 ,$30.65 ,$136.00 ,$76.30 ,$30.65 ,$56.30 ,$8.49 ,$8.11 ,$32.18 ,$115.60 ,$85.68 ,$38.08 ,$122.40 ,$118.32 ,$108.80 ,$108.80 ,$30.65 ,$88.40 ST. FRANCIS HOSPITAL - ACUTE,30600176,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$123.00 ,$88.56 ,$8.11 ,$123.00 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$66.69 ,$27.72 ,$70.20 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$13.48 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$8.49 ,$8.11 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,30600213,87324,HC EIA QL CLOS DIFF TOXIN AG,306,1 ,$129.00 ,$92.88 ,$10.16 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$29.95 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$10.65 ,$10.16 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,30600225,87400,HC EIA QL INFLUENZA A/B AG,306,1 ,$163.00 ,$117.36 ,$17.51 ,$163.00 ,$93.73 ,$117.36 ,$88.67 ,$36.74 ,$45.64 ,$108.40 ,$36.74 ,$114.10 ,$36.74 ,$102.69 ,$102.69 ,$36.74 ,$102.69 ,$75.73 ,$149.96 ,$35.33 ,$36.74 ,$138.55 ,$136.92 ,$36.74 ,$122.25 ,$130.40 ,$130.40 ,$36.74 ,$130.40 ,$141.81 ,$141.81 ,$141.81 ,$146.70 ,$93.73 ,$36.74 ,$163.00 ,$91.44 ,$36.74 ,$67.48 ,$18.35 ,$17.51 ,$38.57 ,$138.55 ,$102.69 ,$45.64 ,$146.70 ,$141.81 ,$130.40 ,$130.40 ,$36.74 ,$105.95 ST. FRANCIS HOSPITAL - ACUTE,30600226,87420,HC RSV AG QL,306,1 ,$483.00 ,$347.76 ,$26.93 ,$483.00 ,$277.73 ,$347.76 ,$262.75 ,$108.87 ,$135.24 ,$109.67 ,$108.87 ,$115.44 ,$108.87 ,$304.29 ,$304.29 ,$108.87 ,$304.29 ,$224.40 ,$444.36 ,$34.78 ,$108.87 ,$410.55 ,$405.72 ,$108.87 ,$362.25 ,$386.40 ,$386.40 ,$108.87 ,$386.40 ,$420.21 ,$420.21 ,$420.21 ,$434.70 ,$277.73 ,$108.87 ,$483.00 ,$270.96 ,$108.87 ,$199.96 ,$28.22 ,$26.93 ,$114.31 ,$410.55 ,$304.29 ,$135.24 ,$434.70 ,$420.21 ,$386.40 ,$386.40 ,$108.87 ,$313.95 ST. FRANCIS HOSPITAL - ACUTE,30600237,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$589.00 ,$424.08 ,$10.16 ,$589.00 ,$338.68 ,$424.08 ,$320.42 ,$132.76 ,$164.92 ,$321.02 ,$132.76 ,$337.92 ,$132.76 ,$371.07 ,$371.07 ,$132.76 ,$371.07 ,$273.65 ,$500.00 ,$93.18 ,$132.76 ,$500.65 ,$494.76 ,$132.76 ,$441.75 ,$471.20 ,$471.20 ,$132.76 ,$471.20 ,$512.43 ,$512.43 ,$512.43 ,$530.10 ,$338.68 ,$132.76 ,$589.00 ,$330.43 ,$132.76 ,$243.85 ,$10.65 ,$10.16 ,$139.40 ,$500.65 ,$371.07 ,$164.92 ,$530.10 ,$512.43 ,$471.20 ,$471.20 ,$132.76 ,$382.85 ST. FRANCIS HOSPITAL - ACUTE,30600269,87807,HC QL RSV,306,1 ,$541.00 ,$389.52 ,$8.11 ,$541.00 ,$311.08 ,$389.52 ,$294.30 ,$121.94 ,$151.48 ,$148.43 ,$121.94 ,$156.24 ,$121.94 ,$340.83 ,$340.83 ,$121.94 ,$340.83 ,$251.35 ,$497.72 ,$32.75 ,$121.94 ,$459.85 ,$454.44 ,$121.94 ,$405.75 ,$432.80 ,$432.80 ,$121.94 ,$432.80 ,$470.67 ,$470.67 ,$470.67 ,$486.90 ,$311.08 ,$121.94 ,$541.00 ,$303.50 ,$121.94 ,$223.97 ,$8.49 ,$8.11 ,$128.04 ,$459.85 ,$340.83 ,$151.48 ,$486.90 ,$470.67 ,$432.80 ,$432.80 ,$121.94 ,$351.65 ST. FRANCIS HOSPITAL - ACUTE,30600270,87880,HC OPTICAL STREP,306,1 ,$284.00 ,$204.48 ,$8.11 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$165.87 ,$64.01 ,$174.60 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$41.33 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$8.49 ,$8.11 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,30600283,87804,HC QL INFLUENZA A/B,306,1 ,$364.00 ,$262.08 ,$8.11 ,$364.00 ,$209.30 ,$262.08 ,$198.02 ,$82.05 ,$101.92 ,$165.98 ,$82.05 ,$174.72 ,$82.05 ,$229.32 ,$229.32 ,$82.05 ,$229.32 ,$169.11 ,$334.88 ,$41.38 ,$82.05 ,$309.40 ,$305.76 ,$82.05 ,$273.00 ,$291.20 ,$291.20 ,$82.05 ,$291.20 ,$316.68 ,$316.68 ,$316.68 ,$327.60 ,$209.30 ,$82.05 ,$364.00 ,$204.20 ,$82.05 ,$150.70 ,$8.49 ,$8.11 ,$86.15 ,$309.40 ,$229.32 ,$101.92 ,$327.60 ,$316.68 ,$291.20 ,$291.20 ,$82.05 ,$236.60 ST. FRANCIS HOSPITAL - ACUTE,30600303,87176,HC HOMOGENIZATION TISSUE,306,1 ,$90.00 ,$64.80 ,$8.11 ,$90.00 ,$51.75 ,$64.80 ,$48.96 ,$20.29 ,$25.20 ,$53.81 ,$20.29 ,$56.64 ,$20.29 ,$56.70 ,$56.70 ,$20.29 ,$56.70 ,$41.81 ,$82.80 ,$14.70 ,$20.29 ,$76.50 ,$75.60 ,$20.29 ,$67.50 ,$72.00 ,$72.00 ,$20.29 ,$72.00 ,$78.30 ,$78.30 ,$78.30 ,$81.00 ,$51.75 ,$20.29 ,$90.00 ,$50.49 ,$20.29 ,$37.26 ,$8.49 ,$8.11 ,$21.31 ,$76.50 ,$56.70 ,$25.20 ,$81.00 ,$78.30 ,$72.00 ,$72.00 ,$20.29 ,$58.50 ST. FRANCIS HOSPITAL - ACUTE,30600318,87449,HC EIA QL MLT AG INF,306,1 ,$137.00 ,$98.64 ,$10.16 ,$137.00 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$29.95 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$10.65 ,$10.16 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,30600332,87651,HC INFECT AMP (GRP A STREP),306,1 ,$111.00 ,$79.92 ,$25.02 ,$111.00 ,$63.83 ,$79.92 ,$60.38 ,$25.02 ,$31.08 ,$73.82 ,$25.02 ,$77.70 ,$25.02 ,$69.93 ,$69.93 ,$25.02 ,$69.93 ,$51.57 ,$102.12 ,$87.73 ,$25.02 ,$94.35 ,$93.24 ,$25.02 ,$83.25 ,$88.80 ,$88.80 ,$25.02 ,$88.80 ,$96.57 ,$96.57 ,$96.57 ,$99.90 ,$63.83 ,$25.02 ,$111.00 ,$62.27 ,$25.02 ,$45.95 ,$28.22 ,$26.93 ,$26.27 ,$94.35 ,$69.93 ,$31.08 ,$99.90 ,$96.57 ,$88.80 ,$88.80 ,$25.02 ,$72.15 ST. FRANCIS HOSPITAL - ACUTE,30600333,87808,HC TRICHOMONAS VAGINITIS OPTICAL,306,1 ,$185.00 ,$133.20 ,$8.11 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$123.03 ,$41.70 ,$129.50 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$38.23 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$8.49 ,$8.11 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,30600353,87015,HC CONCENTRATION INFECTIOUS AGENT-90,306,1 ,$26.00 ,$18.72 ,$5.86 ,$26.00 ,$14.95 ,$18.72 ,$14.14 ,$5.86 ,$7.28 ,$17.29 ,$5.86 ,$18.20 ,$5.86 ,$16.38 ,$16.38 ,$5.86 ,$16.38 ,$12.08 ,$23.92 ,$16.70 ,$5.86 ,$22.10 ,$21.84 ,$5.86 ,$19.50 ,$20.80 ,$20.80 ,$5.86 ,$20.80 ,$22.62 ,$22.62 ,$22.62 ,$23.40 ,$14.95 ,$5.86 ,$26.00 ,$14.59 ,$5.86 ,$10.76 ,$8.49 ,$8.11 ,$6.15 ,$22.10 ,$16.38 ,$7.28 ,$23.40 ,$22.62 ,$20.80 ,$20.80 ,$5.86 ,$16.90 ST. FRANCIS HOSPITAL - ACUTE,30600360,87081,HC CULTURE SCR PRESUMP PATHOGENS T1,306,1 ,$270.00 ,$194.40 ,$8.11 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$82.08 ,$60.86 ,$86.40 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$16.58 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 ,$8.49 ,$8.11 ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,30600366,87109,HC CULTURE MYCOPLASMA-90,306,1 ,$73.00 ,$52.56 ,$16.45 ,$73.00 ,$41.98 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$16.45 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$33.92 ,$67.16 ,$38.48 ,$16.45 ,$62.05 ,$61.32 ,$16.45 ,$54.75 ,$58.40 ,$58.40 ,$16.45 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$41.98 ,$16.45 ,$73.00 ,$40.95 ,$16.45 ,$30.22 ,$28.22 ,$26.93 ,$17.28 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 ,$58.40 ,$58.40 ,$16.45 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,30600367,87110,HC CULTURE CHLAMYDIA-90,306,1 ,$175.00 ,$126.00 ,$8.11 ,$175.00 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$116.38 ,$39.44 ,$122.50 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 ,$49.00 ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$175.00 ,$98.18 ,$39.44 ,$72.45 ,$8.49 ,$8.11 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,30600368,87116,HC CULTURE AFB/TB/MYCOBACT-90,306,1 ,$165.00 ,$118.80 ,$26.93 ,$165.00 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$98.84 ,$37.19 ,$104.04 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$27.00 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 ,$28.22 ,$26.93 ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,30600370,87140,HC CULTURE TYPE IF EA ANTISERUM-90,306,1 ,$94.00 ,$67.68 ,$13.93 ,$94.00 ,$54.05 ,$67.68 ,$51.14 ,$21.19 ,$26.32 ,$50.96 ,$21.19 ,$53.64 ,$21.19 ,$59.22 ,$59.22 ,$21.19 ,$59.22 ,$43.67 ,$86.48 ,$13.93 ,$21.19 ,$79.90 ,$78.96 ,$21.19 ,$70.50 ,$75.20 ,$75.20 ,$21.19 ,$75.20 ,$81.78 ,$81.78 ,$81.78 ,$84.60 ,$54.05 ,$21.19 ,$94.00 ,$52.73 ,$21.19 ,$38.92 ,$28.22 ,$26.93 ,$22.25 ,$79.90 ,$59.22 ,$26.32 ,$84.60 ,$81.78 ,$75.20 ,$75.20 ,$21.19 ,$61.10 ST. FRANCIS HOSPITAL - ACUTE,30600380,87177,HC SMEAR OVA PARASITE CONC/ID-90,306,1 ,$81.00 ,$58.32 ,$8.11 ,$81.00 ,$46.58 ,$58.32 ,$44.06 ,$18.26 ,$22.68 ,$53.87 ,$18.26 ,$56.70 ,$18.26 ,$51.03 ,$51.03 ,$18.26 ,$51.03 ,$37.63 ,$74.52 ,$22.25 ,$18.26 ,$68.85 ,$68.04 ,$18.26 ,$60.75 ,$64.80 ,$64.80 ,$18.26 ,$64.80 ,$70.47 ,$70.47 ,$70.47 ,$72.90 ,$46.58 ,$18.26 ,$81.00 ,$45.44 ,$18.26 ,$33.53 ,$8.49 ,$8.11 ,$19.17 ,$68.85 ,$51.03 ,$22.68 ,$72.90 ,$70.47 ,$64.80 ,$64.80 ,$18.26 ,$52.65 ST. FRANCIS HOSPITAL - ACUTE,30600381,87181,HC SENSITIVITY STUDY AGAR-90,306,1 ,$100.00 ,$72.00 ,$8.11 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$58.82 ,$22.54 ,$61.92 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$11.88 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$8.49 ,$8.11 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,30600385,87186,HC SENSITIVITY MIC FUNGUS-90,306,1 ,$174.00 ,$125.28 ,$8.11 ,$174.00 ,$100.05 ,$125.28 ,$94.66 ,$39.22 ,$48.72 ,$79.12 ,$39.22 ,$83.28 ,$39.22 ,$109.62 ,$109.62 ,$39.22 ,$109.62 ,$80.84 ,$160.08 ,$21.63 ,$39.22 ,$147.90 ,$146.16 ,$39.22 ,$130.50 ,$139.20 ,$139.20 ,$39.22 ,$139.20 ,$151.38 ,$151.38 ,$151.38 ,$156.60 ,$100.05 ,$39.22 ,$174.00 ,$97.61 ,$39.22 ,$72.04 ,$8.49 ,$8.11 ,$41.18 ,$147.90 ,$109.62 ,$48.72 ,$156.60 ,$151.38 ,$139.20 ,$139.20 ,$39.22 ,$113.10 ST. FRANCIS HOSPITAL - ACUTE,30600392,87190,HC SENSITIVITY AFB-90,306,1 ,$134.00 ,$96.48 ,$8.11 ,$134.00 ,$77.05 ,$96.48 ,$72.90 ,$30.20 ,$37.52 ,$54.15 ,$30.20 ,$57.00 ,$30.20 ,$84.42 ,$84.42 ,$30.20 ,$84.42 ,$62.26 ,$123.28 ,$18.28 ,$30.20 ,$113.90 ,$112.56 ,$30.20 ,$100.50 ,$107.20 ,$107.20 ,$30.20 ,$107.20 ,$116.58 ,$116.58 ,$116.58 ,$120.60 ,$77.05 ,$30.20 ,$134.00 ,$75.17 ,$30.20 ,$55.48 ,$8.49 ,$8.11 ,$31.71 ,$113.90 ,$84.42 ,$37.52 ,$120.60 ,$116.58 ,$107.20 ,$107.20 ,$30.20 ,$87.10 ST. FRANCIS HOSPITAL - ACUTE,30600395,87206,HC SMEAR ACID FAST/FLUOR-90,306,1 ,$82.00 ,$59.04 ,$8.11 ,$82.00 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$13.48 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 ,$8.49 ,$8.11 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,30600397,87207,HC SPECIAL STAIN INCL BODIES/PARASITES-90,306,1 ,$25.00 ,$18.00 ,$5.63 ,$25.00 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$14.98 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$8.49 ,$8.11 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30600399,87209,HC OVA AND PARASITE W/STAIN-90,306,1 ,$81.00 ,$58.32 ,$18.26 ,$81.00 ,$46.58 ,$58.32 ,$44.06 ,$18.26 ,$22.68 ,$53.87 ,$18.26 ,$56.70 ,$18.26 ,$51.03 ,$51.03 ,$18.26 ,$51.03 ,$37.63 ,$74.52 ,$44.95 ,$18.26 ,$68.85 ,$68.04 ,$18.26 ,$60.75 ,$64.80 ,$64.80 ,$18.26 ,$64.80 ,$70.47 ,$70.47 ,$70.47 ,$72.90 ,$46.58 ,$18.26 ,$81.00 ,$45.44 ,$18.26 ,$33.53 ,$28.22 ,$26.93 ,$19.17 ,$68.85 ,$51.03 ,$22.68 ,$72.90 ,$70.47 ,$64.80 ,$64.80 ,$18.26 ,$52.65 ST. FRANCIS HOSPITAL - ACUTE,30600405,87254,HC VIRUS ISOL SHELL ID-90,306,1 ,$185.00 ,$133.20 ,$26.93 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$123.03 ,$41.70 ,$129.50 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$48.90 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$28.22 ,$26.93 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,30600413,87290,HC IF VARICELLA ZOETER AG-90,306,1 ,$56.00 ,$40.32 ,$10.16 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$33.55 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$10.65 ,$10.16 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30600414,87299,HC ANTIBODY DETECT IF NOS-90,306,1 ,$56.00 ,$40.32 ,$10.16 ,$56.00 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$40.25 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 ,$10.65 ,$10.16 ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,30600415,87305,HC EIA QL ASPERGILLUS AG-90,306,1 ,$243.00 ,$174.96 ,$8.11 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$109.67 ,$54.77 ,$115.44 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$29.95 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$8.49 ,$8.11 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,30600421,87340,HC EIA QL HEPATITIS B AG-90,306,1 ,$157.00 ,$113.04 ,$10.16 ,$157.00 ,$90.28 ,$113.04 ,$85.41 ,$35.39 ,$43.96 ,$94.51 ,$35.39 ,$99.48 ,$35.39 ,$98.91 ,$98.91 ,$35.39 ,$98.91 ,$72.94 ,$144.44 ,$25.83 ,$35.39 ,$133.45 ,$131.88 ,$35.39 ,$117.75 ,$125.60 ,$125.60 ,$35.39 ,$125.60 ,$136.59 ,$136.59 ,$136.59 ,$141.30 ,$90.28 ,$35.39 ,$157.00 ,$88.08 ,$35.39 ,$65.00 ,$10.65 ,$10.16 ,$37.16 ,$133.45 ,$98.91 ,$43.96 ,$141.30 ,$136.59 ,$125.60 ,$125.60 ,$35.39 ,$102.05 ST. FRANCIS HOSPITAL - ACUTE,30600423,87341,HC EIA QL HEPATITIS B AG NEUT-90,306,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$25.83 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$10.65 ,$10.16 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30600424,87350,HC HEPATITIS BE AG QL-90,306,1 ,$81.00 ,$58.32 ,$10.16 ,$81.00 ,$46.58 ,$58.32 ,$44.06 ,$18.26 ,$22.68 ,$53.87 ,$18.26 ,$56.70 ,$18.26 ,$51.03 ,$51.03 ,$18.26 ,$51.03 ,$37.63 ,$74.52 ,$28.83 ,$18.26 ,$68.85 ,$68.04 ,$18.26 ,$60.75 ,$64.80 ,$64.80 ,$18.26 ,$64.80 ,$70.47 ,$70.47 ,$70.47 ,$72.90 ,$46.58 ,$18.26 ,$81.00 ,$45.44 ,$18.26 ,$33.53 ,$10.65 ,$10.16 ,$19.17 ,$68.85 ,$51.03 ,$22.68 ,$72.90 ,$70.47 ,$64.80 ,$64.80 ,$18.26 ,$52.65 ST. FRANCIS HOSPITAL - ACUTE,30600426,87385,HC EIA QL HISTOPLASMA AG-90,306,1 ,$67.00 ,$48.24 ,$10.16 ,$67.00 ,$38.53 ,$48.24 ,$36.45 ,$15.10 ,$18.76 ,$44.56 ,$15.10 ,$46.90 ,$15.10 ,$42.21 ,$42.21 ,$15.10 ,$42.21 ,$31.13 ,$61.64 ,$33.13 ,$15.10 ,$56.95 ,$56.28 ,$15.10 ,$50.25 ,$53.60 ,$53.60 ,$15.10 ,$53.60 ,$58.29 ,$58.29 ,$58.29 ,$60.30 ,$38.53 ,$15.10 ,$67.00 ,$37.59 ,$15.10 ,$27.74 ,$10.65 ,$10.16 ,$15.86 ,$56.95 ,$42.21 ,$18.76 ,$60.30 ,$58.29 ,$53.60 ,$53.60 ,$15.10 ,$43.55 ST. FRANCIS HOSPITAL - ACUTE,30600432,87449,HC EIA QL MLT AG INF-90,306,1 ,$204.00 ,$146.88 ,$10.16 ,$204.00 ,$117.30 ,$146.88 ,$110.98 ,$45.98 ,$57.12 ,$135.66 ,$45.98 ,$142.80 ,$45.98 ,$128.52 ,$128.52 ,$45.98 ,$128.52 ,$94.78 ,$187.68 ,$29.95 ,$45.98 ,$173.40 ,$171.36 ,$45.98 ,$153.00 ,$163.20 ,$163.20 ,$45.98 ,$163.20 ,$177.48 ,$177.48 ,$177.48 ,$183.60 ,$117.30 ,$45.98 ,$204.00 ,$114.44 ,$45.98 ,$84.46 ,$10.65 ,$10.16 ,$48.28 ,$173.40 ,$128.52 ,$57.12 ,$183.60 ,$177.48 ,$163.20 ,$163.20 ,$45.98 ,$132.60 ST. FRANCIS HOSPITAL - ACUTE,30600438,87491,HC CHLAMYDIA TRACH AMP-90,306,1 ,$123.00 ,$88.56 ,$10.16 ,$123.00 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$87.73 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$10.65 ,$10.16 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,30600440,87493,HC CLOSTRIDUM DIFFICILE-90,306,1 ,$290.00 ,$208.80 ,$10.16 ,$290.00 ,$166.75 ,$208.80 ,$157.76 ,$65.37 ,$81.20 ,$192.85 ,$65.37 ,$203.00 ,$65.37 ,$182.70 ,$182.70 ,$65.37 ,$182.70 ,$134.73 ,$266.80 ,$93.18 ,$65.37 ,$246.50 ,$243.60 ,$65.37 ,$217.50 ,$232.00 ,$232.00 ,$65.37 ,$232.00 ,$252.30 ,$252.30 ,$252.30 ,$261.00 ,$166.75 ,$65.37 ,$290.00 ,$162.69 ,$65.37 ,$120.06 ,$10.65 ,$10.16 ,$68.64 ,$246.50 ,$182.70 ,$81.20 ,$261.00 ,$252.30 ,$232.00 ,$232.00 ,$65.37 ,$188.50 ST. FRANCIS HOSPITAL - ACUTE,30600442,87496,HC INFECT AMP (CMV) MENI-90,306,1 ,$123.00 ,$88.56 ,$26.93 ,$123.00 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$87.73 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$28.22 ,$26.93 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,30600443,87497,HC CMV QN-90,306,1 ,$137.00 ,$98.64 ,$26.93 ,$137.00 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$107.10 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$28.22 ,$26.93 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,30600448,87517,HC HEPATITIS B QN-90,306,1 ,$95.00 ,$68.40 ,$21.41 ,$107.10 ,$54.63 ,$68.40 ,$51.68 ,$21.41 ,$26.60 ,$63.18 ,$21.41 ,$66.50 ,$21.41 ,$59.85 ,$59.85 ,$21.41 ,$59.85 ,$44.14 ,$87.40 ,$107.10 ,$21.41 ,$80.75 ,$79.80 ,$21.41 ,$71.25 ,$76.00 ,$76.00 ,$21.41 ,$76.00 ,$82.65 ,$82.65 ,$82.65 ,$85.50 ,$54.63 ,$21.41 ,$95.00 ,$53.30 ,$21.41 ,$39.33 ,$28.22 ,$26.93 ,$22.48 ,$80.75 ,$59.85 ,$26.60 ,$85.50 ,$82.65 ,$76.00 ,$76.00 ,$21.41 ,$61.75 ST. FRANCIS HOSPITAL - ACUTE,30600451,87522,HC HEPATITIS C QN-90,306,1 ,$389.00 ,$280.08 ,$26.93 ,$389.00 ,$223.68 ,$280.08 ,$211.62 ,$87.68 ,$108.92 ,$258.69 ,$87.68 ,$272.30 ,$87.68 ,$245.07 ,$245.07 ,$87.68 ,$245.07 ,$180.73 ,$357.88 ,$107.10 ,$87.68 ,$330.65 ,$326.76 ,$87.68 ,$291.75 ,$311.20 ,$311.20 ,$87.68 ,$311.20 ,$338.43 ,$338.43 ,$338.43 ,$350.10 ,$223.68 ,$87.68 ,$389.00 ,$218.23 ,$87.68 ,$161.05 ,$28.22 ,$26.93 ,$92.06 ,$330.65 ,$245.07 ,$108.92 ,$350.10 ,$338.43 ,$311.20 ,$311.20 ,$87.68 ,$252.85 ST. FRANCIS HOSPITAL - ACUTE,30600453,87529,HC HERPES SIMPLEX AMP-90,306,1 ,$267.00 ,$192.24 ,$26.93 ,$267.00 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$87.73 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 ,$28.22 ,$26.93 ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,30600456,87535,HC PROBE HIV-1 AMP-90,306,1 ,$287.00 ,$206.64 ,$26.93 ,$287.00 ,$165.03 ,$206.64 ,$156.13 ,$64.69 ,$80.36 ,$190.86 ,$64.69 ,$200.90 ,$64.69 ,$180.81 ,$180.81 ,$64.69 ,$180.81 ,$133.34 ,$264.04 ,$87.73 ,$64.69 ,$243.95 ,$241.08 ,$64.69 ,$215.25 ,$229.60 ,$229.60 ,$64.69 ,$229.60 ,$249.69 ,$249.69 ,$249.69 ,$258.30 ,$165.03 ,$64.69 ,$287.00 ,$161.01 ,$64.69 ,$118.82 ,$28.22 ,$26.93 ,$67.92 ,$243.95 ,$180.81 ,$80.36 ,$258.30 ,$249.69 ,$229.60 ,$229.60 ,$64.69 ,$186.55 ST. FRANCIS HOSPITAL - ACUTE,30600458,87536,HC HIV-1 QN-90,306,1 ,$814.00 ,$586.08 ,$26.93 ,$814.00 ,$468.05 ,$586.08 ,$442.82 ,$183.48 ,$227.92 ,$541.31 ,$183.48 ,$569.80 ,$183.48 ,$512.82 ,$512.82 ,$183.48 ,$512.82 ,$378.18 ,$500.00 ,$212.75 ,$183.48 ,$691.90 ,$683.76 ,$183.48 ,$610.50 ,$651.20 ,$651.20 ,$183.48 ,$651.20 ,$708.18 ,$708.18 ,$708.18 ,$732.60 ,$468.05 ,$183.48 ,$814.00 ,$456.65 ,$183.48 ,$337.00 ,$28.22 ,$26.93 ,$192.65 ,$691.90 ,$512.82 ,$227.92 ,$732.60 ,$708.18 ,$651.20 ,$651.20 ,$183.48 ,$529.10 ST. FRANCIS HOSPITAL - ACUTE,30600460,87591,HC NEISSERIA AMP-90,306,1 ,$122.00 ,$87.84 ,$26.93 ,$122.00 ,$70.15 ,$87.84 ,$66.37 ,$27.50 ,$34.16 ,$81.13 ,$27.50 ,$85.40 ,$27.50 ,$76.86 ,$76.86 ,$27.50 ,$76.86 ,$56.68 ,$112.24 ,$87.73 ,$27.50 ,$103.70 ,$102.48 ,$27.50 ,$91.50 ,$97.60 ,$97.60 ,$27.50 ,$97.60 ,$106.14 ,$106.14 ,$106.14 ,$109.80 ,$70.15 ,$27.50 ,$122.00 ,$68.44 ,$27.50 ,$50.51 ,$28.22 ,$26.93 ,$28.87 ,$103.70 ,$76.86 ,$34.16 ,$109.80 ,$106.14 ,$97.60 ,$97.60 ,$27.50 ,$79.30 ST. FRANCIS HOSPITAL - ACUTE,30600469,87661,HC TRICHOMONAS VAG AMP PROBE-90,306,1 ,$122.00 ,$87.84 ,$26.93 ,$122.00 ,$70.15 ,$87.84 ,$66.37 ,$27.50 ,$34.16 ,$81.13 ,$27.50 ,$85.40 ,$27.50 ,$76.86 ,$76.86 ,$27.50 ,$76.86 ,$56.68 ,$112.24 ,$87.73 ,$27.50 ,$103.70 ,$102.48 ,$27.50 ,$91.50 ,$97.60 ,$97.60 ,$27.50 ,$97.60 ,$106.14 ,$106.14 ,$106.14 ,$109.80 ,$70.15 ,$27.50 ,$122.00 ,$68.44 ,$27.50 ,$50.51 ,$28.22 ,$26.93 ,$28.87 ,$103.70 ,$76.86 ,$34.16 ,$109.80 ,$106.14 ,$97.60 ,$97.60 ,$27.50 ,$79.30 ST. FRANCIS HOSPITAL - ACUTE,30600471,87798,HC INFECT AMP-90,306,1 ,$246.00 ,$177.12 ,$26.93 ,$246.00 ,$141.45 ,$177.12 ,$133.82 ,$55.45 ,$68.88 ,$163.59 ,$55.45 ,$172.20 ,$55.45 ,$154.98 ,$154.98 ,$55.45 ,$154.98 ,$114.29 ,$226.32 ,$87.73 ,$55.45 ,$209.10 ,$206.64 ,$55.45 ,$184.50 ,$196.80 ,$196.80 ,$55.45 ,$196.80 ,$214.02 ,$214.02 ,$214.02 ,$221.40 ,$141.45 ,$55.45 ,$246.00 ,$138.01 ,$55.45 ,$101.84 ,$28.22 ,$26.93 ,$58.22 ,$209.10 ,$154.98 ,$68.88 ,$221.40 ,$214.02 ,$196.80 ,$196.80 ,$55.45 ,$159.90 ST. FRANCIS HOSPITAL - ACUTE,30600478,87799,HC INFECT AGENT QN-90,306,1 ,$438.00 ,$315.36 ,$26.93 ,$438.00 ,$251.85 ,$315.36 ,$238.27 ,$98.73 ,$122.64 ,$291.27 ,$98.73 ,$306.60 ,$98.73 ,$275.94 ,$275.94 ,$98.73 ,$275.94 ,$203.49 ,$402.96 ,$107.10 ,$98.73 ,$372.30 ,$367.92 ,$98.73 ,$328.50 ,$350.40 ,$350.40 ,$98.73 ,$350.40 ,$381.06 ,$381.06 ,$381.06 ,$394.20 ,$251.85 ,$98.73 ,$438.00 ,$245.72 ,$98.73 ,$181.33 ,$28.22 ,$26.93 ,$103.66 ,$372.30 ,$275.94 ,$122.64 ,$394.20 ,$381.06 ,$350.40 ,$350.40 ,$98.73 ,$284.70 ST. FRANCIS HOSPITAL - ACUTE,30600481,87900,HC PHENOTYPE INFCT AGT DRG SUS-90,306,1 ,$160.00 ,$115.20 ,$26.93 ,$325.88 ,$92.00 ,$115.20 ,$87.04 ,$36.06 ,$44.80 ,$106.40 ,$36.06 ,$112.00 ,$36.06 ,$100.80 ,$100.80 ,$36.06 ,$100.80 ,$74.34 ,$147.20 ,$325.88 ,$36.06 ,$136.00 ,$134.40 ,$36.06 ,$120.00 ,$128.00 ,$128.00 ,$36.06 ,$128.00 ,$139.20 ,$139.20 ,$139.20 ,$144.00 ,$92.00 ,$36.06 ,$160.00 ,$89.76 ,$36.06 ,$66.24 ,$28.22 ,$26.93 ,$37.87 ,$136.00 ,$100.80 ,$44.80 ,$144.00 ,$139.20 ,$128.00 ,$128.00 ,$36.06 ,$104.00 ST. FRANCIS HOSPITAL - ACUTE,30600482,87901,HC GENOTYPE HIV 1-90,306,1 ,$533.00 ,$383.76 ,$26.93 ,$643.63 ,$306.48 ,$383.76 ,$289.95 ,$120.14 ,$149.24 ,$354.45 ,$120.14 ,$373.10 ,$120.14 ,$335.79 ,$335.79 ,$120.14 ,$335.79 ,$247.63 ,$490.36 ,$643.63 ,$120.14 ,$453.05 ,$447.72 ,$120.14 ,$399.75 ,$426.40 ,$426.40 ,$120.14 ,$426.40 ,$463.71 ,$463.71 ,$463.71 ,$479.70 ,$306.48 ,$120.14 ,$533.00 ,$299.01 ,$120.14 ,$220.66 ,$28.22 ,$26.93 ,$126.15 ,$453.05 ,$335.79 ,$149.24 ,$479.70 ,$463.71 ,$426.40 ,$426.40 ,$120.14 ,$346.45 ST. FRANCIS HOSPITAL - ACUTE,30600483,87902,HC GENTOYPE HEP C-90,306,1 ,$304.00 ,$218.88 ,$26.93 ,$643.63 ,$174.80 ,$218.88 ,$165.38 ,$68.52 ,$85.12 ,$202.16 ,$68.52 ,$212.80 ,$68.52 ,$191.52 ,$191.52 ,$68.52 ,$191.52 ,$141.24 ,$279.68 ,$643.63 ,$68.52 ,$258.40 ,$255.36 ,$68.52 ,$228.00 ,$243.20 ,$243.20 ,$68.52 ,$243.20 ,$264.48 ,$264.48 ,$264.48 ,$273.60 ,$174.80 ,$68.52 ,$304.00 ,$170.54 ,$68.52 ,$125.86 ,$28.22 ,$26.93 ,$71.95 ,$258.40 ,$191.52 ,$85.12 ,$273.60 ,$264.48 ,$243.20 ,$243.20 ,$68.52 ,$197.60 ST. FRANCIS HOSPITAL - ACUTE,30600490,87272,HC IF CRYPTOSPORIDIUM AG-90,306,1 ,$40.00 ,$28.80 ,$9.02 ,$40.00 ,$23.00 ,$28.80 ,$21.76 ,$9.02 ,$11.20 ,$26.60 ,$9.02 ,$28.00 ,$9.02 ,$25.20 ,$25.20 ,$9.02 ,$25.20 ,$18.58 ,$36.80 ,$29.95 ,$9.02 ,$34.00 ,$33.60 ,$9.02 ,$30.00 ,$32.00 ,$32.00 ,$9.02 ,$32.00 ,$34.80 ,$34.80 ,$34.80 ,$36.00 ,$23.00 ,$9.02 ,$40.00 ,$22.44 ,$9.02 ,$16.56 ,$10.65 ,$10.16 ,$9.47 ,$34.00 ,$25.20 ,$11.20 ,$36.00 ,$34.80 ,$32.00 ,$32.00 ,$9.02 ,$26.00 ST. FRANCIS HOSPITAL - ACUTE,30600503,87389,HC HIV-1 AG W/HIV-1 AND HIV-2 AB-90,306,1 ,$315.00 ,$226.80 ,$10.16 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 ,$60.20 ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$130.41 ,$10.65 ,$10.16 ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 ,$252.00 ,$252.00 ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,30600504,87046,HC STOOL CULTURE ADD ISO-90,306,1 ,$29.00 ,$20.88 ,$6.54 ,$29.00 ,$16.68 ,$20.88 ,$15.78 ,$6.54 ,$8.12 ,$19.29 ,$6.54 ,$20.30 ,$6.54 ,$18.27 ,$18.27 ,$6.54 ,$18.27 ,$13.47 ,$26.68 ,$23.60 ,$6.54 ,$24.65 ,$24.36 ,$6.54 ,$21.75 ,$23.20 ,$23.20 ,$6.54 ,$23.20 ,$25.23 ,$25.23 ,$25.23 ,$26.10 ,$16.68 ,$6.54 ,$29.00 ,$16.27 ,$6.54 ,$12.01 ,$8.49 ,$8.11 ,$6.86 ,$24.65 ,$18.27 ,$8.12 ,$26.10 ,$25.23 ,$23.20 ,$23.20 ,$6.54 ,$18.85 ST. FRANCIS HOSPITAL - ACUTE,30600505,87329,HC EIA QL GIARDIA AG-90,306,1 ,$45.00 ,$32.40 ,$10.14 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$29.95 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$10.65 ,$10.16 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30600507,87541,HC INFECT AGT LEGIONELLA PNEUMOPHILA PROBE-90,306,1 ,$109.00 ,$78.48 ,$24.57 ,$109.00 ,$62.68 ,$78.48 ,$59.30 ,$24.57 ,$30.52 ,$72.49 ,$24.57 ,$76.30 ,$24.57 ,$68.67 ,$68.67 ,$24.57 ,$68.67 ,$50.64 ,$100.28 ,$87.73 ,$24.57 ,$92.65 ,$91.56 ,$24.57 ,$81.75 ,$87.20 ,$87.20 ,$24.57 ,$87.20 ,$94.83 ,$94.83 ,$94.83 ,$98.10 ,$62.68 ,$24.57 ,$109.00 ,$61.15 ,$24.57 ,$45.13 ,$28.22 ,$26.93 ,$25.79 ,$92.65 ,$68.67 ,$30.52 ,$98.10 ,$94.83 ,$87.20 ,$87.20 ,$24.57 ,$70.85 ST. FRANCIS HOSPITAL - ACUTE,30600519,87070,HC BODY FLUID CULTURE,306,1 ,$436.00 ,$313.92 ,$8.11 ,$436.00 ,$250.70 ,$313.92 ,$237.18 ,$98.27 ,$122.08 ,$106.70 ,$98.27 ,$112.32 ,$98.27 ,$274.68 ,$274.68 ,$98.27 ,$274.68 ,$202.57 ,$401.12 ,$21.55 ,$98.27 ,$370.60 ,$366.24 ,$98.27 ,$327.00 ,$348.80 ,$348.80 ,$98.27 ,$348.80 ,$379.32 ,$379.32 ,$379.32 ,$392.40 ,$250.70 ,$98.27 ,$436.00 ,$244.60 ,$98.27 ,$180.50 ,$8.49 ,$8.11 ,$103.18 ,$370.60 ,$274.68 ,$122.08 ,$392.40 ,$379.32 ,$348.80 ,$348.80 ,$98.27 ,$283.40 ST. FRANCIS HOSPITAL - ACUTE,30600522,87075,HC CULTURE ANAEROBIC,306,1 ,$539.00 ,$388.08 ,$8.11 ,$539.00 ,$309.93 ,$388.08 ,$293.22 ,$121.49 ,$150.92 ,$86.64 ,$121.49 ,$91.20 ,$121.49 ,$339.57 ,$339.57 ,$121.49 ,$339.57 ,$250.42 ,$495.88 ,$23.68 ,$121.49 ,$458.15 ,$452.76 ,$121.49 ,$404.25 ,$431.20 ,$431.20 ,$121.49 ,$431.20 ,$468.93 ,$468.93 ,$468.93 ,$485.10 ,$309.93 ,$121.49 ,$539.00 ,$302.38 ,$121.49 ,$223.15 ,$8.49 ,$8.11 ,$127.57 ,$458.15 ,$339.57 ,$150.92 ,$485.10 ,$468.93 ,$431.20 ,$431.20 ,$121.49 ,$350.35 ST. FRANCIS HOSPITAL - ACUTE,30600523,87076,HC CULTURE ANAEROBIC ID,306,1 ,$53.00 ,$38.16 ,$8.11 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 ,$20.20 ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 ,$8.49 ,$8.11 ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,30600524,87077,HC CULTURE AEROBIC ID ADDL,306,1 ,$53.00 ,$38.16 ,$8.11 ,$53.00 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 ,$20.20 ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$21.94 ,$8.49 ,$8.11 ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 ,$42.40 ,$42.40 ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,30600526,87081,HC CULTURE SCR PRESUMP PATHOGENS,306,1 ,$270.00 ,$194.40 ,$8.11 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$82.08 ,$60.86 ,$86.40 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$16.58 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 ,$8.49 ,$8.11 ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,30600527,87086,HC CULTURE URINE W/COLONY CT,306,1 ,$114.00 ,$82.08 ,$8.11 ,$114.00 ,$65.55 ,$82.08 ,$62.02 ,$25.70 ,$31.92 ,$75.81 ,$25.70 ,$79.80 ,$25.70 ,$71.82 ,$71.82 ,$25.70 ,$71.82 ,$52.96 ,$104.88 ,$20.18 ,$25.70 ,$96.90 ,$95.76 ,$25.70 ,$85.50 ,$91.20 ,$91.20 ,$25.70 ,$91.20 ,$99.18 ,$99.18 ,$99.18 ,$102.60 ,$65.55 ,$25.70 ,$114.00 ,$63.95 ,$25.70 ,$47.20 ,$8.49 ,$8.11 ,$26.98 ,$96.90 ,$71.82 ,$31.92 ,$102.60 ,$99.18 ,$91.20 ,$91.20 ,$25.70 ,$74.10 ST. FRANCIS HOSPITAL - ACUTE,30600528,87088,HC CULTURE URINE ID EA ISOL,306,1 ,$71.00 ,$51.12 ,$8.11 ,$71.00 ,$40.83 ,$51.12 ,$38.62 ,$16.00 ,$19.88 ,$47.22 ,$16.00 ,$49.70 ,$16.00 ,$44.73 ,$44.73 ,$16.00 ,$44.73 ,$32.99 ,$65.32 ,$20.23 ,$16.00 ,$60.35 ,$59.64 ,$16.00 ,$53.25 ,$56.80 ,$56.80 ,$16.00 ,$56.80 ,$61.77 ,$61.77 ,$61.77 ,$63.90 ,$40.83 ,$16.00 ,$71.00 ,$39.83 ,$16.00 ,$29.39 ,$8.49 ,$8.11 ,$16.81 ,$60.35 ,$44.73 ,$19.88 ,$63.90 ,$61.77 ,$56.80 ,$56.80 ,$16.00 ,$46.15 ST. FRANCIS HOSPITAL - ACUTE,30600529,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL -90,306,1 ,$191.00 ,$137.52 ,$8.11 ,$191.00 ,$109.83 ,$137.52 ,$103.90 ,$43.05 ,$53.48 ,$70.45 ,$43.05 ,$74.16 ,$43.05 ,$120.33 ,$120.33 ,$43.05 ,$120.33 ,$88.74 ,$175.72 ,$19.28 ,$43.05 ,$162.35 ,$160.44 ,$43.05 ,$143.25 ,$152.80 ,$152.80 ,$43.05 ,$152.80 ,$166.17 ,$166.17 ,$166.17 ,$171.90 ,$109.83 ,$43.05 ,$191.00 ,$107.15 ,$43.05 ,$79.07 ,$8.49 ,$8.11 ,$45.21 ,$162.35 ,$120.33 ,$53.48 ,$171.90 ,$166.17 ,$152.80 ,$152.80 ,$43.05 ,$124.15 ST. FRANCIS HOSPITAL - ACUTE,30600530,87101,HC CULTURE FUNGUS SKIN/HAIR/NAIL,306,1 ,$214.00 ,$154.08 ,$8.11 ,$214.00 ,$123.05 ,$154.08 ,$116.42 ,$48.24 ,$59.92 ,$70.45 ,$48.24 ,$74.16 ,$48.24 ,$134.82 ,$134.82 ,$48.24 ,$134.82 ,$99.42 ,$196.88 ,$19.28 ,$48.24 ,$181.90 ,$179.76 ,$48.24 ,$160.50 ,$171.20 ,$171.20 ,$48.24 ,$171.20 ,$186.18 ,$186.18 ,$186.18 ,$192.60 ,$123.05 ,$48.24 ,$214.00 ,$120.05 ,$48.24 ,$88.60 ,$8.49 ,$8.11 ,$50.65 ,$181.90 ,$134.82 ,$59.92 ,$192.60 ,$186.18 ,$171.20 ,$171.20 ,$48.24 ,$139.10 ST. FRANCIS HOSPITAL - ACUTE,30600531,87102,HC CULTURE FUNGUS OTHER,306,1 ,$214.00 ,$154.08 ,$8.11 ,$214.00 ,$123.05 ,$154.08 ,$116.42 ,$48.24 ,$59.92 ,$76.95 ,$48.24 ,$81.00 ,$48.24 ,$134.82 ,$134.82 ,$48.24 ,$134.82 ,$99.42 ,$196.88 ,$21.03 ,$48.24 ,$181.90 ,$179.76 ,$48.24 ,$160.50 ,$171.20 ,$171.20 ,$48.24 ,$171.20 ,$186.18 ,$186.18 ,$186.18 ,$192.60 ,$123.05 ,$48.24 ,$214.00 ,$120.05 ,$48.24 ,$88.60 ,$8.49 ,$8.11 ,$50.65 ,$181.90 ,$134.82 ,$59.92 ,$192.60 ,$186.18 ,$171.20 ,$171.20 ,$48.24 ,$139.10 ST. FRANCIS HOSPITAL - ACUTE,30600533,87106,HC CULTURE FUNGUS ID YEAST,306,1 ,$75.00 ,$54.00 ,$8.11 ,$75.00 ,$43.13 ,$54.00 ,$40.80 ,$16.90 ,$21.00 ,$49.88 ,$16.90 ,$52.50 ,$16.90 ,$47.25 ,$47.25 ,$16.90 ,$47.25 ,$34.85 ,$69.00 ,$25.80 ,$16.90 ,$63.75 ,$63.00 ,$16.90 ,$56.25 ,$60.00 ,$60.00 ,$16.90 ,$60.00 ,$65.25 ,$65.25 ,$65.25 ,$67.50 ,$43.13 ,$16.90 ,$75.00 ,$42.08 ,$16.90 ,$31.05 ,$8.49 ,$8.11 ,$17.75 ,$63.75 ,$47.25 ,$21.00 ,$67.50 ,$65.25 ,$60.00 ,$60.00 ,$16.90 ,$48.75 ST. FRANCIS HOSPITAL - ACUTE,30600534,87107,HC CULTURE FUNGUS ID MOLD,306,1 ,$111.00 ,$79.92 ,$25.02 ,$111.00 ,$63.83 ,$79.92 ,$60.38 ,$25.02 ,$31.08 ,$73.82 ,$25.02 ,$77.70 ,$25.02 ,$69.93 ,$69.93 ,$25.02 ,$69.93 ,$51.57 ,$102.12 ,$25.80 ,$25.02 ,$94.35 ,$93.24 ,$25.02 ,$83.25 ,$88.80 ,$88.80 ,$25.02 ,$88.80 ,$96.57 ,$96.57 ,$96.57 ,$99.90 ,$63.83 ,$25.02 ,$111.00 ,$62.27 ,$25.02 ,$45.95 ,$28.22 ,$26.93 ,$26.27 ,$94.35 ,$69.93 ,$31.08 ,$99.90 ,$96.57 ,$88.80 ,$88.80 ,$25.02 ,$72.15 ST. FRANCIS HOSPITAL - ACUTE,30600535,87116,HC CULTURE AFB/TB/MYCOBACT,306,1 ,$184.00 ,$132.48 ,$26.93 ,$184.00 ,$105.80 ,$132.48 ,$100.10 ,$41.47 ,$51.52 ,$98.84 ,$41.47 ,$104.04 ,$41.47 ,$115.92 ,$115.92 ,$41.47 ,$115.92 ,$85.49 ,$169.28 ,$27.00 ,$41.47 ,$156.40 ,$154.56 ,$41.47 ,$138.00 ,$147.20 ,$147.20 ,$41.47 ,$147.20 ,$160.08 ,$160.08 ,$160.08 ,$165.60 ,$105.80 ,$41.47 ,$184.00 ,$103.22 ,$41.47 ,$76.18 ,$28.22 ,$26.93 ,$43.55 ,$156.40 ,$115.92 ,$51.52 ,$165.60 ,$160.08 ,$147.20 ,$147.20 ,$41.47 ,$119.60 ST. FRANCIS HOSPITAL - ACUTE,30600536,87147,HC CULTURE TYPE SEROLOGIC,306,1 ,$41.00 ,$29.52 ,$8.11 ,$41.00 ,$23.58 ,$29.52 ,$22.30 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.70 ,$9.24 ,$25.83 ,$25.83 ,$9.24 ,$25.83 ,$19.05 ,$37.72 ,$12.95 ,$9.24 ,$34.85 ,$34.44 ,$9.24 ,$30.75 ,$32.80 ,$32.80 ,$9.24 ,$32.80 ,$35.67 ,$35.67 ,$35.67 ,$36.90 ,$23.58 ,$9.24 ,$41.00 ,$23.00 ,$9.24 ,$16.97 ,$8.49 ,$8.11 ,$9.70 ,$34.85 ,$25.83 ,$11.48 ,$36.90 ,$35.67 ,$32.80 ,$32.80 ,$9.24 ,$26.65 ST. FRANCIS HOSPITAL - ACUTE,30600537,87149,HC CULTURE TYPING ID NUCLEIC ACID,306,1 ,$375.00 ,$270.00 ,$8.11 ,$375.00 ,$215.63 ,$270.00 ,$204.00 ,$84.52 ,$105.00 ,$183.43 ,$84.52 ,$193.08 ,$84.52 ,$236.25 ,$236.25 ,$84.52 ,$236.25 ,$174.23 ,$345.00 ,$50.13 ,$84.52 ,$318.75 ,$315.00 ,$84.52 ,$281.25 ,$300.00 ,$300.00 ,$84.52 ,$300.00 ,$326.25 ,$326.25 ,$326.25 ,$337.50 ,$215.63 ,$84.52 ,$375.00 ,$210.38 ,$84.52 ,$155.25 ,$8.49 ,$8.11 ,$88.75 ,$318.75 ,$236.25 ,$105.00 ,$337.50 ,$326.25 ,$300.00 ,$300.00 ,$84.52 ,$243.75 ST. FRANCIS HOSPITAL - ACUTE,30600538,87153,HC ID NUCLEAR ACID SEQ METH PROF,306,1 ,$240.00 ,$172.80 ,$26.93 ,$288.40 ,$138.00 ,$172.80 ,$130.56 ,$54.10 ,$67.20 ,$159.60 ,$54.10 ,$168.00 ,$54.10 ,$151.20 ,$151.20 ,$54.10 ,$151.20 ,$111.50 ,$220.80 ,$288.40 ,$54.10 ,$204.00 ,$201.60 ,$54.10 ,$180.00 ,$192.00 ,$192.00 ,$54.10 ,$192.00 ,$208.80 ,$208.80 ,$208.80 ,$216.00 ,$138.00 ,$54.10 ,$240.00 ,$134.64 ,$54.10 ,$99.36 ,$28.22 ,$26.93 ,$56.80 ,$204.00 ,$151.20 ,$67.20 ,$216.00 ,$208.80 ,$192.00 ,$192.00 ,$54.10 ,$156.00 ST. FRANCIS HOSPITAL - ACUTE,30600539,87153,HC ID NUCLEAR ACID SEQ METH ID,306,1 ,$702.00 ,$505.44 ,$26.93 ,$702.00 ,$403.65 ,$505.44 ,$381.89 ,$158.23 ,$196.56 ,$466.83 ,$158.23 ,$491.40 ,$158.23 ,$442.26 ,$442.26 ,$158.23 ,$442.26 ,$326.15 ,$500.00 ,$288.40 ,$158.23 ,$596.70 ,$589.68 ,$158.23 ,$526.50 ,$561.60 ,$561.60 ,$158.23 ,$561.60 ,$610.74 ,$610.74 ,$610.74 ,$631.80 ,$403.65 ,$158.23 ,$702.00 ,$393.82 ,$158.23 ,$290.63 ,$28.22 ,$26.93 ,$166.14 ,$596.70 ,$442.26 ,$196.56 ,$631.80 ,$610.74 ,$561.60 ,$561.60 ,$158.23 ,$456.30 ST. FRANCIS HOSPITAL - ACUTE,30600541,87172,HC PINWORM EXAM,306,1 ,$69.00 ,$49.68 ,$8.11 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$10.68 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$8.49 ,$8.11 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30600544,87181,HC SENSITIVITY STUDY AGAR,306,1 ,$65.00 ,$46.80 ,$8.11 ,$65.00 ,$37.38 ,$46.80 ,$35.36 ,$14.65 ,$18.20 ,$43.23 ,$14.65 ,$45.50 ,$14.65 ,$40.95 ,$40.95 ,$14.65 ,$40.95 ,$30.20 ,$59.80 ,$11.88 ,$14.65 ,$55.25 ,$54.60 ,$14.65 ,$48.75 ,$52.00 ,$52.00 ,$14.65 ,$52.00 ,$56.55 ,$56.55 ,$56.55 ,$58.50 ,$37.38 ,$14.65 ,$65.00 ,$36.47 ,$14.65 ,$26.91 ,$8.49 ,$8.11 ,$15.39 ,$55.25 ,$40.95 ,$18.20 ,$58.50 ,$56.55 ,$52.00 ,$52.00 ,$14.65 ,$42.25 ST. FRANCIS HOSPITAL - ACUTE,30600545,87184,HC SENSITIVITY DISK KB,306,1 ,$352.00 ,$253.44 ,$8.11 ,$352.00 ,$202.40 ,$253.44 ,$191.49 ,$79.34 ,$98.56 ,$85.39 ,$79.34 ,$89.88 ,$79.34 ,$221.76 ,$221.76 ,$79.34 ,$221.76 ,$163.54 ,$323.84 ,$18.70 ,$79.34 ,$299.20 ,$295.68 ,$79.34 ,$264.00 ,$281.60 ,$281.60 ,$79.34 ,$281.60 ,$306.24 ,$306.24 ,$306.24 ,$316.80 ,$202.40 ,$79.34 ,$352.00 ,$197.47 ,$79.34 ,$145.73 ,$8.49 ,$8.11 ,$83.31 ,$299.20 ,$221.76 ,$98.56 ,$316.80 ,$306.24 ,$281.60 ,$281.60 ,$79.34 ,$228.80 ST. FRANCIS HOSPITAL - ACUTE,30600546,87185,HC BETA LACTAMASE,306,1 ,$47.00 ,$33.84 ,$8.11 ,$47.00 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$31.26 ,$10.59 ,$32.90 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 ,$11.88 ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 ,$8.49 ,$8.11 ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,30600547,87186,HC SENSITIVITY MIC,306,1 ,$315.00 ,$226.80 ,$8.11 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$79.12 ,$71.00 ,$83.28 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 ,$21.63 ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$130.41 ,$8.49 ,$8.11 ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 ,$252.00 ,$252.00 ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,30600548,87188,HC MACROTUBE DIL METH 4DRG PNL,306,1 ,$66.00 ,$47.52 ,$8.11 ,$66.00 ,$37.95 ,$47.52 ,$35.90 ,$14.88 ,$18.48 ,$43.89 ,$14.88 ,$46.20 ,$14.88 ,$41.58 ,$41.58 ,$14.88 ,$41.58 ,$30.66 ,$60.72 ,$16.60 ,$14.88 ,$56.10 ,$55.44 ,$14.88 ,$49.50 ,$52.80 ,$52.80 ,$14.88 ,$52.80 ,$57.42 ,$57.42 ,$57.42 ,$59.40 ,$37.95 ,$14.88 ,$66.00 ,$37.03 ,$14.88 ,$27.32 ,$8.49 ,$8.11 ,$15.62 ,$56.10 ,$41.58 ,$18.48 ,$59.40 ,$57.42 ,$52.80 ,$52.80 ,$14.88 ,$42.90 ST. FRANCIS HOSPITAL - ACUTE,30600549,87188,HC MACROTUBE DIL METH EA AGNT,306,1 ,$131.00 ,$94.32 ,$8.11 ,$131.00 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$60.76 ,$29.53 ,$63.96 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$16.60 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$8.49 ,$8.11 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,30600550,87190,HC SENSITIVITY AFB,306,1 ,$27.00 ,$19.44 ,$6.09 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 ,$18.28 ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 ,$8.49 ,$8.11 ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,30600552,87206,HC SMEAR ACID FAST/FLUOR,306,1 ,$92.00 ,$66.24 ,$8.11 ,$92.00 ,$52.90 ,$66.24 ,$50.05 ,$20.74 ,$25.76 ,$61.18 ,$20.74 ,$64.40 ,$20.74 ,$57.96 ,$57.96 ,$20.74 ,$57.96 ,$42.74 ,$84.64 ,$13.48 ,$20.74 ,$78.20 ,$77.28 ,$20.74 ,$69.00 ,$73.60 ,$73.60 ,$20.74 ,$73.60 ,$80.04 ,$80.04 ,$80.04 ,$82.80 ,$52.90 ,$20.74 ,$92.00 ,$51.61 ,$20.74 ,$38.09 ,$8.49 ,$8.11 ,$21.78 ,$78.20 ,$57.96 ,$25.76 ,$82.80 ,$80.04 ,$73.60 ,$73.60 ,$20.74 ,$59.80 ST. FRANCIS HOSPITAL - ACUTE,30600555,87255,HC VIRUS ID NON-IMMUNOLOGIC OTHER THAN CYTOPATHIC-90,306,1 ,$8.00 ,$5.76 ,$1.80 ,$28.22 ,$4.60 ,$5.76 ,$4.35 ,$1.80 ,$2.24 ,$5.32 ,$1.80 ,$5.60 ,$1.80 ,$5.04 ,$5.04 ,$1.80 ,$5.04 ,$3.72 ,$7.36 ,$20.00 ,$1.80 ,$6.80 ,$6.72 ,$1.80 ,$6.00 ,$6.40 ,$6.40 ,$1.80 ,$6.40 ,$6.96 ,$6.96 ,$6.96 ,$7.20 ,$4.60 ,$1.80 ,$8.00 ,$4.49 ,$1.80 ,$3.31 ,$28.22 ,$26.93 ,$1.89 ,$6.80 ,$5.04 ,$2.24 ,$7.20 ,$6.96 ,$6.40 ,$6.40 ,$1.80 ,$5.20 ST. FRANCIS HOSPITAL - ACUTE,30600558,87338,HC EIA QL H PYLORI AG STOOL,306,1 ,$329.00 ,$236.88 ,$10.16 ,$329.00 ,$189.18 ,$236.88 ,$178.98 ,$74.16 ,$92.12 ,$178.18 ,$74.16 ,$187.56 ,$74.16 ,$207.27 ,$207.27 ,$74.16 ,$207.27 ,$152.85 ,$302.68 ,$35.95 ,$74.16 ,$279.65 ,$276.36 ,$74.16 ,$246.75 ,$263.20 ,$263.20 ,$74.16 ,$263.20 ,$286.23 ,$286.23 ,$286.23 ,$296.10 ,$189.18 ,$74.16 ,$329.00 ,$184.57 ,$74.16 ,$136.21 ,$10.65 ,$10.16 ,$77.86 ,$279.65 ,$207.27 ,$92.12 ,$296.10 ,$286.23 ,$263.20 ,$263.20 ,$74.16 ,$213.85 ST. FRANCIS HOSPITAL - ACUTE,30600559,87340,HC EIA QL HEPATITIS B AG,306,1 ,$185.00 ,$133.20 ,$10.16 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$94.51 ,$41.70 ,$99.48 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$25.83 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$10.65 ,$10.16 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,30600561,87389,HC HIV-1 AG W/HIV-1 AND HIV-2 AB,306,1 ,$292.00 ,$210.24 ,$10.16 ,$292.00 ,$167.90 ,$210.24 ,$158.85 ,$65.82 ,$81.76 ,$194.18 ,$65.82 ,$204.40 ,$65.82 ,$183.96 ,$183.96 ,$65.82 ,$183.96 ,$135.66 ,$268.64 ,$60.20 ,$65.82 ,$248.20 ,$245.28 ,$65.82 ,$219.00 ,$233.60 ,$233.60 ,$65.82 ,$233.60 ,$254.04 ,$254.04 ,$254.04 ,$262.80 ,$167.90 ,$65.82 ,$292.00 ,$163.81 ,$65.82 ,$120.89 ,$10.65 ,$10.16 ,$69.11 ,$248.20 ,$183.96 ,$81.76 ,$262.80 ,$254.04 ,$233.60 ,$233.60 ,$65.82 ,$189.80 ST. FRANCIS HOSPITAL - ACUTE,30600565,87450,HC EIA QL SGL AG,306,1 ,$69.00 ,$49.68 ,$15.55 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 , N/A ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 , N/A , N/A ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30600566,87480,HC CANDIDA SPECIES DNA SCREEN,306,1 ,$46.00 ,$33.12 ,$10.16 ,$50.13 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 ,$50.13 ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 ,$10.65 ,$10.16 ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,30600567,87483,HC INFECT AMP CNS DNA/RNA 14 TARGETS,306,1 ,$396.00 ,$285.12 ,$26.93 ,$990.00 ,$227.70 ,$285.12 ,$215.42 ,$89.26 ,$110.88 ,$263.34 ,$89.26 ,$277.20 ,$89.26 ,$249.48 ,$249.48 ,$89.26 ,$249.48 ,$183.98 ,$364.32 ,$990.00 ,$89.26 ,$336.60 ,$332.64 ,$89.26 ,$297.00 ,$316.80 ,$316.80 ,$89.26 ,$316.80 ,$344.52 ,$344.52 ,$344.52 ,$356.40 ,$227.70 ,$89.26 ,$396.00 ,$222.16 ,$89.26 ,$163.94 ,$28.22 ,$26.93 ,$93.72 ,$336.60 ,$249.48 ,$110.88 ,$356.40 ,$344.52 ,$316.80 ,$316.80 ,$89.26 ,$257.40 ST. FRANCIS HOSPITAL - ACUTE,30600568,87486,HC CHLAMYDIA PNEUM AMP PROBE,306,1 ,$166.00 ,$119.52 ,$26.93 ,$166.00 ,$95.45 ,$119.52 ,$90.30 ,$37.42 ,$46.48 ,$110.39 ,$37.42 ,$116.20 ,$37.42 ,$104.58 ,$104.58 ,$37.42 ,$104.58 ,$77.12 ,$152.72 ,$87.73 ,$37.42 ,$141.10 ,$139.44 ,$37.42 ,$124.50 ,$132.80 ,$132.80 ,$37.42 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$95.45 ,$37.42 ,$166.00 ,$93.13 ,$37.42 ,$68.72 ,$28.22 ,$26.93 ,$39.29 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 ,$132.80 ,$132.80 ,$37.42 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,30600570,87491,HC CHLAMYDIA TRACH AMP,306,1 ,$133.00 ,$95.76 ,$10.16 ,$133.00 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 ,$87.73 ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 ,$10.65 ,$10.16 ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,30600571,87507,HC IF AG DNA/RNA PROBE TQ 12-25 TARGETS,306,1 ,$791.00 ,$569.52 ,$26.93 ,"$1,041.95 ",$454.83 ,$569.52 ,$430.30 ,$178.29 ,$221.48 ,$526.02 ,$178.29 ,$553.70 ,$178.29 ,$498.33 ,$498.33 ,$178.29 ,$498.33 ,$367.50 ,$500.00 ,"$1,041.95 ",$178.29 ,$672.35 ,$664.44 ,$178.29 ,$593.25 ,$632.80 ,$632.80 ,$178.29 ,$632.80 ,$688.17 ,$688.17 ,$688.17 ,$711.90 ,$454.83 ,$178.29 ,$791.00 ,$443.75 ,$178.29 ,$327.47 ,$28.22 ,$26.93 ,$187.21 ,$672.35 ,$498.33 ,$221.48 ,$711.90 ,$688.17 ,$632.80 ,$632.80 ,$178.29 ,$514.15 ST. FRANCIS HOSPITAL - ACUTE,30600572,87510,HC G VAGINALIS DNA SCREEN,306,1 ,$46.00 ,$33.12 ,$10.37 ,$50.13 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 ,$50.13 ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 ,$28.22 ,$26.93 ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,30600573,87581,HC IF AG PROBE MYCOPLASMA PNEUMONIAE,306,1 ,$166.00 ,$119.52 ,$26.93 ,$166.00 ,$95.45 ,$119.52 ,$90.30 ,$37.42 ,$46.48 ,$110.39 ,$37.42 ,$116.20 ,$37.42 ,$104.58 ,$104.58 ,$37.42 ,$104.58 ,$77.12 ,$152.72 ,$87.73 ,$37.42 ,$141.10 ,$139.44 ,$37.42 ,$124.50 ,$132.80 ,$132.80 ,$37.42 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$95.45 ,$37.42 ,$166.00 ,$93.13 ,$37.42 ,$68.72 ,$28.22 ,$26.93 ,$39.29 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 ,$132.80 ,$132.80 ,$37.42 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,30600575,87591,HC NEISSERIA AMP,306,1 ,$133.00 ,$95.76 ,$26.93 ,$133.00 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 ,$87.73 ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 ,$28.22 ,$26.93 ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,30600576,87624,HC HPV HIGH RISK ALL OTHERS,306,1 ,$347.00 ,$249.84 ,$26.93 ,$347.00 ,$199.53 ,$249.84 ,$188.77 ,$78.21 ,$97.16 ,$230.76 ,$78.21 ,$242.90 ,$78.21 ,$218.61 ,$218.61 ,$78.21 ,$218.61 ,$161.22 ,$319.24 ,$87.73 ,$78.21 ,$294.95 ,$291.48 ,$78.21 ,$260.25 ,$277.60 ,$277.60 ,$78.21 ,$277.60 ,$301.89 ,$301.89 ,$301.89 ,$312.30 ,$199.53 ,$78.21 ,$35.09 ,$194.67 ,$78.21 ,$143.66 ,$28.22 ,$26.93 ,$82.12 ,$294.95 ,$218.61 ,$97.16 ,$312.30 ,$301.89 ,$277.60 ,$277.60 ,$78.21 ,$225.55 ST. FRANCIS HOSPITAL - ACUTE,30600577,87633,HC IF AG RESP VIRUS MAP 12-25 TARGETS,306,1 ,"$1,959.00 ","$1,410.48 ",$26.93 ,"$1,959.00 ","$1,126.43 ","$1,410.48 ","$1,065.70 ",$441.56 ,$548.52 ,"$1,302.74 ",$441.56 ,"$1,371.30 ",$441.56 ,"$1,234.17 ","$1,234.17 ",$441.56 ,"$1,234.17 ",$910.15 ,$500.00 ,"$1,041.95 ",$441.56 ,"$1,665.15 ","$1,645.56 ",$441.56 ,"$1,469.25 ","$1,567.20 ","$1,567.20 ",$441.56 ,"$1,567.20 ","$1,704.33 ","$1,704.33 ","$1,704.33 ","$1,763.10 ","$1,126.43 ",$441.56 ,"$1,959.00 ","$1,099.00 ",$441.56 ,$811.03 ,$28.22 ,$26.93 ,$463.64 ,"$1,665.15 ","$1,234.17 ",$548.52 ,"$1,763.10 ","$1,704.33 ","$1,567.20 ","$1,567.20 ",$441.56 ,"$1,273.35 " ST. FRANCIS HOSPITAL - ACUTE,30600578,87641,HC MRSA AMP,306,1 ,$485.00 ,$349.20 ,$26.93 ,$485.00 ,$278.88 ,$349.20 ,$263.84 ,$109.32 ,$135.80 ,$321.02 ,$109.32 ,$337.92 ,$109.32 ,$305.55 ,$305.55 ,$109.32 ,$305.55 ,$225.33 ,$446.20 ,$87.73 ,$109.32 ,$412.25 ,$407.40 ,$109.32 ,$363.75 ,$388.00 ,$388.00 ,$109.32 ,$388.00 ,$421.95 ,$421.95 ,$421.95 ,$436.50 ,$278.88 ,$109.32 ,$485.00 ,$272.09 ,$109.32 ,$200.79 ,$28.22 ,$26.93 ,$114.79 ,$412.25 ,$305.55 ,$135.80 ,$436.50 ,$421.95 ,$388.00 ,$388.00 ,$109.32 ,$315.25 ST. FRANCIS HOSPITAL - ACUTE,30600579,87653,HC INFECT AMP (GRP B STREP),306,1 ,$541.00 ,$389.52 ,$26.93 ,$541.00 ,$311.08 ,$389.52 ,$294.30 ,$121.94 ,$151.48 ,$321.02 ,$121.94 ,$337.92 ,$121.94 ,$340.83 ,$340.83 ,$121.94 ,$340.83 ,$251.35 ,$497.72 ,$87.73 ,$121.94 ,$459.85 ,$454.44 ,$121.94 ,$405.75 ,$432.80 ,$432.80 ,$121.94 ,$432.80 ,$470.67 ,$470.67 ,$470.67 ,$486.90 ,$311.08 ,$121.94 ,$541.00 ,$303.50 ,$121.94 ,$223.97 ,$28.22 ,$26.93 ,$128.04 ,$459.85 ,$340.83 ,$151.48 ,$486.90 ,$470.67 ,$432.80 ,$432.80 ,$121.94 ,$351.65 ST. FRANCIS HOSPITAL - ACUTE,30600580,87660,HC TRICHOMONAS DNA SCREEN,306,1 ,$46.00 ,$33.12 ,$10.37 ,$50.13 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 ,$50.13 ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 ,$28.22 ,$26.93 ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,30600581,87798,HC INFECT AMP,306,1 ,$246.00 ,$177.12 ,$26.93 ,$246.00 ,$141.45 ,$177.12 ,$133.82 ,$55.45 ,$68.88 ,$163.59 ,$55.45 ,$172.20 ,$55.45 ,$154.98 ,$154.98 ,$55.45 ,$154.98 ,$114.29 ,$226.32 ,$87.73 ,$55.45 ,$209.10 ,$206.64 ,$55.45 ,$184.50 ,$196.80 ,$196.80 ,$55.45 ,$196.80 ,$214.02 ,$214.02 ,$214.02 ,$221.40 ,$141.45 ,$55.45 ,$246.00 ,$138.01 ,$55.45 ,$101.84 ,$28.22 ,$26.93 ,$58.22 ,$209.10 ,$154.98 ,$68.88 ,$221.40 ,$214.02 ,$196.80 ,$196.80 ,$55.45 ,$159.90 ST. FRANCIS HOSPITAL - ACUTE,30600582,87798,HC INFECT AMP DRUG RESIST TB,306,1 ,$246.00 ,$177.12 ,$26.93 ,$246.00 ,$141.45 ,$177.12 ,$133.82 ,$55.45 ,$68.88 ,$163.59 ,$55.45 ,$172.20 ,$55.45 ,$154.98 ,$154.98 ,$55.45 ,$154.98 ,$114.29 ,$226.32 ,$87.73 ,$55.45 ,$209.10 ,$206.64 ,$55.45 ,$184.50 ,$196.80 ,$196.80 ,$55.45 ,$196.80 ,$214.02 ,$214.02 ,$214.02 ,$221.40 ,$141.45 ,$55.45 ,$246.00 ,$138.01 ,$55.45 ,$101.84 ,$28.22 ,$26.93 ,$58.22 ,$209.10 ,$154.98 ,$68.88 ,$221.40 ,$214.02 ,$196.80 ,$196.80 ,$55.45 ,$159.90 ST. FRANCIS HOSPITAL - ACUTE,30600585,87181,HC SENSITIVITY STUDY AGAR ACID FAST,306,1 ,$278.00 ,$200.16 ,$8.11 ,$278.00 ,$159.85 ,$200.16 ,$151.23 ,$62.66 ,$77.84 ,$58.82 ,$62.66 ,$61.92 ,$62.66 ,$175.14 ,$175.14 ,$62.66 ,$175.14 ,$129.16 ,$255.76 ,$11.88 ,$62.66 ,$236.30 ,$233.52 ,$62.66 ,$208.50 ,$222.40 ,$222.40 ,$62.66 ,$222.40 ,$241.86 ,$241.86 ,$241.86 ,$250.20 ,$159.85 ,$62.66 ,$278.00 ,$155.96 ,$62.66 ,$115.09 ,$8.49 ,$8.11 ,$65.80 ,$236.30 ,$175.14 ,$77.84 ,$250.20 ,$241.86 ,$222.40 ,$222.40 ,$62.66 ,$180.70 ST. FRANCIS HOSPITAL - ACUTE,30600586,87147,HC CULTURE TYPE SEROLOGIC-91,306,1 ,$46.00 ,$33.12 ,$8.11 ,$46.00 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 ,$12.95 ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 ,$8.49 ,$8.11 ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,30600587,87186,HC SENSITIVITY MIC MYCOBACTERIA,306,1 ,$899.00 ,$647.28 ,$8.11 ,$899.00 ,$516.93 ,$647.28 ,$489.06 ,$202.63 ,$251.72 ,$79.12 ,$202.63 ,$83.28 ,$202.63 ,$566.37 ,$566.37 ,$202.63 ,$566.37 ,$417.68 ,$500.00 ,$21.63 ,$202.63 ,$764.15 ,$755.16 ,$202.63 ,$674.25 ,$719.20 ,$719.20 ,$202.63 ,$719.20 ,$782.13 ,$782.13 ,$782.13 ,$809.10 ,$516.93 ,$202.63 ,$899.00 ,$504.34 ,$202.63 ,$372.19 ,$8.49 ,$8.11 ,$212.77 ,$764.15 ,$566.37 ,$251.72 ,$809.10 ,$782.13 ,$719.20 ,$719.20 ,$202.63 ,$584.35 ST. FRANCIS HOSPITAL - ACUTE,30600593,87899,HC INFECT AGENT DETECT OPTICAL,306,1 ,$69.00 ,$49.68 ,$8.11 ,$69.00 ,$39.68 ,$49.68 ,$37.54 ,$15.55 ,$19.32 ,$45.89 ,$15.55 ,$48.30 ,$15.55 ,$43.47 ,$43.47 ,$15.55 ,$43.47 ,$32.06 ,$63.48 ,$40.18 ,$15.55 ,$58.65 ,$57.96 ,$15.55 ,$51.75 ,$55.20 ,$55.20 ,$15.55 ,$55.20 ,$60.03 ,$60.03 ,$60.03 ,$62.10 ,$39.68 ,$15.55 ,$69.00 ,$38.71 ,$15.55 ,$28.57 ,$8.49 ,$8.11 ,$16.33 ,$58.65 ,$43.47 ,$19.32 ,$62.10 ,$60.03 ,$55.20 ,$55.20 ,$15.55 ,$44.85 ST. FRANCIS HOSPITAL - ACUTE,30600599,87625,HC HPV GENOTYPE 16 18/45,306,1 ,$219.00 ,$157.68 ,$26.93 ,$219.00 ,$125.93 ,$157.68 ,$119.14 ,$49.36 ,$61.32 ,$145.64 ,$49.36 ,$153.30 ,$49.36 ,$137.97 ,$137.97 ,$49.36 ,$137.97 ,$101.75 ,$201.48 ,$101.38 ,$49.36 ,$186.15 ,$183.96 ,$49.36 ,$164.25 ,$175.20 ,$175.20 ,$49.36 ,$175.20 ,$190.53 ,$190.53 ,$190.53 ,$197.10 ,$125.93 ,$49.36 ,$40.55 ,$122.86 ,$49.36 ,$90.67 ,$28.22 ,$26.93 ,$51.83 ,$186.15 ,$137.97 ,$61.32 ,$197.10 ,$190.53 ,$175.20 ,$175.20 ,$49.36 ,$142.35 ST. FRANCIS HOSPITAL - ACUTE,30600607,87661,HC TRICHOMONAS VAG AMP PROBE,306,1 ,$24.00 ,$17.28 ,$5.41 ,$60.00 ,$13.80 ,$17.28 ,$13.06 ,$5.41 ,$6.72 ,$15.96 ,$5.41 ,$16.80 ,$5.41 ,$15.12 ,$15.12 ,$5.41 ,$15.12 ,$11.15 ,$22.08 ,$60.00 ,$5.41 ,$20.40 ,$20.16 ,$5.41 ,$18.00 ,$19.20 ,$19.20 ,$5.41 ,$19.20 ,$20.88 ,$20.88 ,$20.88 ,$21.60 ,$13.80 ,$5.41 ,$24.00 ,$13.46 ,$5.41 ,$9.94 ,$28.22 ,$26.93 ,$5.68 ,$20.40 ,$15.12 ,$6.72 ,$21.60 ,$20.88 ,$19.20 ,$19.20 ,$5.41 ,$15.60 ST. FRANCIS HOSPITAL - ACUTE,30600608,87045,HC STOOL CULTURE -90,306,1 ,$52.00 ,$37.44 ,$8.11 ,$52.00 ,$29.90 ,$37.44 ,$28.29 ,$11.72 ,$14.56 ,$34.58 ,$11.72 ,$36.40 ,$11.72 ,$32.76 ,$32.76 ,$11.72 ,$32.76 ,$24.16 ,$47.84 ,$23.60 ,$11.72 ,$44.20 ,$43.68 ,$11.72 ,$39.00 ,$41.60 ,$41.60 ,$11.72 ,$41.60 ,$45.24 ,$45.24 ,$45.24 ,$46.80 ,$29.90 ,$11.72 ,$52.00 ,$29.17 ,$11.72 ,$21.53 ,$8.49 ,$8.11 ,$12.31 ,$44.20 ,$32.76 ,$14.56 ,$46.80 ,$45.24 ,$41.60 ,$41.60 ,$11.72 ,$33.80 ST. FRANCIS HOSPITAL - ACUTE,30600613,87205,HC URINE FOR EOSINOPHILS-90,306,1 ,$25.00 ,$18.00 ,$5.63 ,$25.00 ,$14.38 ,$18.00 ,$13.60 ,$5.63 ,$7.00 ,$16.63 ,$5.63 ,$17.50 ,$5.63 ,$15.75 ,$15.75 ,$5.63 ,$15.75 ,$11.62 ,$23.00 ,$10.68 ,$5.63 ,$21.25 ,$21.00 ,$5.63 ,$18.75 ,$20.00 ,$20.00 ,$5.63 ,$20.00 ,$21.75 ,$21.75 ,$21.75 ,$22.50 ,$14.38 ,$5.63 ,$25.00 ,$14.03 ,$5.63 ,$10.35 ,$8.49 ,$8.11 ,$5.92 ,$21.25 ,$15.75 ,$7.00 ,$22.50 ,$21.75 ,$20.00 ,$20.00 ,$5.63 ,$16.25 ST. FRANCIS HOSPITAL - ACUTE,30600623,87635,HC COVID-19 LAB TEST CDC-90,306,1 ,$466.00 ,$335.52 ,$26.93 ,$466.00 ,$267.95 ,$335.52 ,$253.50 ,$105.04 ,$130.48 ,$309.89 ,$105.04 ,$326.20 ,$105.04 ,$293.58 ,$293.58 ,$105.04 ,$293.58 ,$216.50 ,$428.72 ,$128.28 ,$105.04 ,$396.10 ,$391.44 ,$105.04 ,$349.50 ,$372.80 ,$372.80 ,$105.04 ,$372.80 ,$405.42 ,$405.42 ,$405.42 ,$419.40 ,$267.95 ,$105.04 ,$51.31 ,$261.43 ,$105.04 ,$192.92 ,$28.22 ,$26.93 ,$110.29 ,$396.10 ,$293.58 ,$130.48 ,$419.40 ,$405.42 ,$372.80 ,$372.80 ,$105.04 ,$302.90 ST. FRANCIS HOSPITAL - ACUTE,30600626,87220,HC SCABIES- 90,306,1 ,$45.00 ,$32.40 ,$8.11 ,$45.00 ,$25.88 ,$32.40 ,$24.48 ,$10.14 ,$12.60 ,$29.93 ,$10.14 ,$31.50 ,$10.14 ,$28.35 ,$28.35 ,$10.14 ,$28.35 ,$20.91 ,$41.40 ,$10.68 ,$10.14 ,$38.25 ,$37.80 ,$10.14 ,$33.75 ,$36.00 ,$36.00 ,$10.14 ,$36.00 ,$39.15 ,$39.15 ,$39.15 ,$40.50 ,$25.88 ,$10.14 ,$45.00 ,$25.25 ,$10.14 ,$18.63 ,$8.49 ,$8.11 ,$10.65 ,$38.25 ,$28.35 ,$12.60 ,$40.50 ,$39.15 ,$36.00 ,$36.00 ,$10.14 ,$29.25 ST. FRANCIS HOSPITAL - ACUTE,30600630,87481,HC CANDIDA SPECIES DNA/RNA AMPLIFIED PROBE TECH,306,1 ,$21.00 ,$15.12 ,$4.73 ,$52.50 ,$12.08 ,$15.12 ,$11.42 ,$4.73 ,$5.88 ,$13.97 ,$4.73 ,$14.70 ,$4.73 ,$13.23 ,$13.23 ,$4.73 ,$13.23 ,$9.76 ,$19.32 ,$52.50 ,$4.73 ,$17.85 ,$17.64 ,$4.73 ,$15.75 ,$16.80 ,$16.80 ,$4.73 ,$16.80 ,$18.27 ,$18.27 ,$18.27 ,$18.90 ,$12.08 ,$4.73 ,$21.00 ,$11.78 ,$4.73 ,$8.69 ,$10.65 ,$10.16 ,$4.97 ,$17.85 ,$13.23 ,$5.88 ,$18.90 ,$18.27 ,$16.80 ,$16.80 ,$4.73 ,$13.65 ST. FRANCIS HOSPITAL - ACUTE,30600631,87563,HC IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH,306,1 ,$41.00 ,$29.52 ,$9.24 ,$87.73 ,$23.58 ,$29.52 ,$22.30 ,$9.24 ,$11.48 ,$27.27 ,$9.24 ,$28.70 ,$9.24 ,$25.83 ,$25.83 ,$9.24 ,$25.83 ,$19.05 ,$37.72 ,$87.73 ,$9.24 ,$34.85 ,$34.44 ,$9.24 ,$30.75 ,$32.80 ,$32.80 ,$9.24 ,$32.80 ,$35.67 ,$35.67 ,$35.67 ,$36.90 ,$23.58 ,$9.24 ,$41.00 ,$23.00 ,$9.24 ,$16.97 ,$28.22 ,$26.93 ,$9.70 ,$34.85 ,$25.83 ,$11.48 ,$36.90 ,$35.67 ,$32.80 ,$32.80 ,$9.24 ,$26.65 ST. FRANCIS HOSPITAL - ACUTE,30600632,87801,HC IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ,306,1 ,$30.00 ,$21.60 ,$6.76 ,$75.00 ,$17.25 ,$21.60 ,$16.32 ,$6.76 ,$8.40 ,$19.95 ,$6.76 ,$21.00 ,$6.76 ,$18.90 ,$18.90 ,$6.76 ,$18.90 ,$13.94 ,$27.60 ,$75.00 ,$6.76 ,$25.50 ,$25.20 ,$6.76 ,$22.50 ,$24.00 ,$24.00 ,$6.76 ,$24.00 ,$26.10 ,$26.10 ,$26.10 ,$27.00 ,$17.25 ,$6.76 ,$30.00 ,$16.83 ,$6.76 ,$12.42 ,$8.49 ,$8.11 ,$7.09 ,$25.50 ,$18.90 ,$8.40 ,$27.00 ,$26.10 ,$24.00 ,$24.00 ,$6.76 ,$19.50 ST. FRANCIS HOSPITAL - ACUTE,30600636,87811,HC COVID ANTIGEN TEST,306,1 ,$125.00 ,$90.00 ,$8.11 ,$125.00 ,$71.88 ,$90.00 ,$68.00 ,$28.16 ,$35.00 ,$83.13 ,$28.16 ,$87.50 ,$28.16 ,$78.75 ,$78.75 ,$28.16 ,$78.75 ,$58.08 ,$115.00 ,$103.45 ,$28.16 ,$106.25 ,$105.00 ,$28.16 ,$93.75 ,$100.00 ,$100.00 ,$28.16 ,$100.00 ,$108.75 ,$108.75 ,$108.75 ,$112.50 ,$71.88 ,$28.16 ,$125.00 ,$70.13 ,$28.16 ,$51.75 ,$8.49 ,$8.11 ,$29.59 ,$106.25 ,$78.75 ,$35.00 ,$112.50 ,$108.75 ,$100.00 ,$100.00 ,$28.16 ,$81.25 ST. FRANCIS HOSPITAL - ACUTE,30600637,87635,HC COVID-19 LAB PCR TEST,306,1 ,$466.00 ,$335.52 ,$26.93 ,$466.00 ,$267.95 ,$335.52 ,$253.50 ,$105.04 ,$130.48 ,$309.89 ,$105.04 ,$326.20 ,$105.04 ,$293.58 ,$293.58 ,$105.04 ,$293.58 ,$216.50 ,$428.72 ,$128.28 ,$105.04 ,$396.10 ,$391.44 ,$105.04 ,$349.50 ,$372.80 ,$372.80 ,$105.04 ,$372.80 ,$405.42 ,$405.42 ,$405.42 ,$419.40 ,$267.95 ,$105.04 ,$51.31 ,$261.43 ,$105.04 ,$192.92 ,$28.22 ,$26.93 ,$110.29 ,$396.10 ,$293.58 ,$130.48 ,$419.40 ,$405.42 ,$372.80 ,$372.80 ,$105.04 ,$302.90 ST. FRANCIS HOSPITAL - ACUTE,30600638,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION - 90,306,1 ,$88.00 ,$63.36 ,$19.84 ,$128.28 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$128.28 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$51.31 ,$49.37 ,$19.84 ,$36.43 ,$28.22 ,$26.93 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30600662,87593,HC INFECT AMP ORTHOPOXVIRUS/MONKEYPOX DNA-90,306,1 ,$113.00 ,$81.36 ,$25.47 ,$113.00 ,$64.98 ,$81.36 ,$61.47 ,$25.47 ,$31.64 ,$75.15 ,$25.47 ,$79.10 ,$25.47 ,$71.19 ,$71.19 ,$25.47 ,$71.19 ,$52.50 ,$103.96 , N/A ,$25.47 ,$96.05 ,$94.92 ,$25.47 ,$84.75 ,$90.40 ,$90.40 ,$25.47 ,$90.40 ,$98.31 ,$98.31 ,$98.31 ,$101.70 ,$64.98 ,$25.47 ,$113.00 ,$63.39 ,$25.47 ,$46.78 ,$28.22 ,$26.93 ,$26.74 ,$96.05 ,$71.19 ,$31.64 ,$101.70 ,$98.31 ,$90.40 ,$90.40 ,$25.47 ,$73.45 ST. FRANCIS HOSPITAL - ACUTE,30682004,87493,HC CLOSTRIDUM DIFFICILE,306,1 ,$15.00 ,$10.80 ,$3.38 ,$37.50 ,$8.63 ,$10.80 ,$8.16 ,$3.38 ,$4.20 ,$9.98 ,$3.38 ,$10.50 ,$3.38 ,$9.45 ,$9.45 ,$3.38 ,$9.45 ,$6.97 ,$13.80 ,$37.50 ,$3.38 ,$12.75 ,$12.60 ,$3.38 ,$11.25 ,$12.00 ,$12.00 ,$3.38 ,$12.00 ,$13.05 ,$13.05 ,$13.05 ,$13.50 ,$8.63 ,$3.38 ,$15.00 ,$8.42 ,$3.38 ,$6.21 ,$10.65 ,$10.16 ,$3.55 ,$12.75 ,$9.45 ,$4.20 ,$13.50 ,$13.05 ,$12.00 ,$12.00 ,$3.38 ,$9.75 ST. FRANCIS HOSPITAL - ACUTE,30682010,87635,HC COVID-19 LAB TEST NON-CDC-90,306,1 ,$466.00 ,$335.52 ,$26.93 ,$466.00 ,$267.95 ,$335.52 ,$253.50 ,$105.04 ,$130.48 ,$309.89 ,$105.04 ,$326.20 ,$105.04 ,$293.58 ,$293.58 ,$105.04 ,$293.58 ,$216.50 ,$428.72 ,$128.28 ,$105.04 ,$396.10 ,$391.44 ,$105.04 ,$349.50 ,$372.80 ,$372.80 ,$105.04 ,$372.80 ,$405.42 ,$405.42 ,$405.42 ,$419.40 ,$267.95 ,$105.04 ,$51.31 ,$261.43 ,$105.04 ,$192.92 ,$28.22 ,$26.93 ,$110.29 ,$396.10 ,$293.58 ,$130.48 ,$419.40 ,$405.42 ,$372.80 ,$372.80 ,$105.04 ,$302.90 ST. FRANCIS HOSPITAL - ACUTE,30682012,87635,HC COVID-19 LAB TEST,306,1 ,$466.00 ,$335.52 ,$26.93 ,$466.00 ,$267.95 ,$335.52 ,$253.50 ,$105.04 ,$130.48 ,$309.89 ,$105.04 ,$326.20 ,$105.04 ,$293.58 ,$293.58 ,$105.04 ,$293.58 ,$216.50 ,$428.72 ,$128.28 ,$105.04 ,$396.10 ,$391.44 ,$105.04 ,$349.50 ,$372.80 ,$372.80 ,$105.04 ,$372.80 ,$405.42 ,$405.42 ,$405.42 ,$419.40 ,$267.95 ,$105.04 ,$51.31 ,$261.43 ,$105.04 ,$192.92 ,$28.22 ,$26.93 ,$110.29 ,$396.10 ,$293.58 ,$130.48 ,$419.40 ,$405.42 ,$372.80 ,$372.80 ,$105.04 ,$302.90 ST. FRANCIS HOSPITAL - ACUTE,30682013,87635,HC COVID-19 LAB TEST,306,1 ,$398.00 ,$286.56 ,$26.93 ,$398.00 ,$228.85 ,$286.56 ,$216.51 ,$89.71 ,$111.44 ,$264.67 ,$89.71 ,$278.60 ,$89.71 ,$250.74 ,$250.74 ,$89.71 ,$250.74 ,$184.91 ,$366.16 ,$128.28 ,$89.71 ,$338.30 ,$334.32 ,$89.71 ,$298.50 ,$318.40 ,$318.40 ,$89.71 ,$318.40 ,$346.26 ,$346.26 ,$346.26 ,$358.20 ,$228.85 ,$89.71 ,$51.31 ,$223.28 ,$89.71 ,$164.77 ,$28.22 ,$26.93 ,$94.20 ,$338.30 ,$250.74 ,$111.44 ,$358.20 ,$346.26 ,$318.40 ,$318.40 ,$89.71 ,$258.70 ST. FRANCIS HOSPITAL - ACUTE,30682015,86769,HC SARS-COV-2 COVID-19 ANTIBODY-90,306,1 ,$146.00 ,$105.12 ,$10.16 ,$146.00 ,$83.95 ,$105.12 ,$79.42 ,$32.91 ,$40.88 ,$97.09 ,$32.91 ,$102.20 ,$32.91 ,$91.98 ,$91.98 ,$32.91 ,$91.98 ,$67.83 ,$134.32 ,$105.33 ,$32.91 ,$124.10 ,$122.64 ,$32.91 ,$109.50 ,$116.80 ,$116.80 ,$32.91 ,$116.80 ,$127.02 ,$127.02 ,$127.02 ,$131.40 ,$83.95 ,$32.91 ,$146.00 ,$81.91 ,$32.91 ,$60.44 ,$10.65 ,$10.16 ,$34.55 ,$124.10 ,$91.98 ,$40.88 ,$131.40 ,$127.02 ,$116.80 ,$116.80 ,$32.91 ,$94.90 ST. FRANCIS HOSPITAL - ACUTE,30682022,87102,HC CULTURE FUNGUS OTHER-90,306,1 ,$191.00 ,$137.52 ,$8.11 ,$191.00 ,$109.83 ,$137.52 ,$103.90 ,$43.05 ,$53.48 ,$76.95 ,$43.05 ,$81.00 ,$43.05 ,$120.33 ,$120.33 ,$43.05 ,$120.33 ,$88.74 ,$175.72 ,$21.03 ,$43.05 ,$162.35 ,$160.44 ,$43.05 ,$143.25 ,$152.80 ,$152.80 ,$43.05 ,$152.80 ,$166.17 ,$166.17 ,$166.17 ,$171.90 ,$109.83 ,$43.05 ,$191.00 ,$107.15 ,$43.05 ,$79.07 ,$8.49 ,$8.11 ,$45.21 ,$162.35 ,$120.33 ,$53.48 ,$171.90 ,$166.17 ,$152.80 ,$152.80 ,$43.05 ,$124.15 ST. FRANCIS HOSPITAL - ACUTE,30682023,87426,HC SARS COVID ANTIGEN TEST,306,1 ,$84.00 ,$60.48 ,$8.11 ,$88.33 ,$48.30 ,$60.48 ,$45.70 ,$18.93 ,$23.52 ,$55.86 ,$18.93 ,$58.80 ,$18.93 ,$52.92 ,$52.92 ,$18.93 ,$52.92 ,$39.03 ,$77.28 ,$88.33 ,$18.93 ,$71.40 ,$70.56 ,$18.93 ,$63.00 ,$67.20 ,$67.20 ,$18.93 ,$67.20 ,$73.08 ,$73.08 ,$73.08 ,$75.60 ,$48.30 ,$18.93 ,$37.79 ,$47.12 ,$18.93 ,$34.78 ,$8.49 ,$8.11 ,$19.88 ,$71.40 ,$52.92 ,$23.52 ,$75.60 ,$73.08 ,$67.20 ,$67.20 ,$18.93 ,$54.60 ST. FRANCIS HOSPITAL - ACUTE,30682024,87635,HC SARS-COV-2 COVID-19 TEST,306,1 ,$88.00 ,$63.36 ,$19.84 ,$128.28 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$128.28 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$51.31 ,$49.37 ,$19.84 ,$36.43 ,$28.22 ,$26.93 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30682025,87635,HC COVID-19 LAB TEST - 2 DAY COMPLETION,306,1 ,$88.00 ,$63.36 ,$19.84 ,$128.28 ,$50.60 ,$63.36 ,$47.87 ,$19.84 ,$24.64 ,$58.52 ,$19.84 ,$61.60 ,$19.84 ,$55.44 ,$55.44 ,$19.84 ,$55.44 ,$40.88 ,$80.96 ,$128.28 ,$19.84 ,$74.80 ,$73.92 ,$19.84 ,$66.00 ,$70.40 ,$70.40 ,$19.84 ,$70.40 ,$76.56 ,$76.56 ,$76.56 ,$79.20 ,$50.60 ,$19.84 ,$51.31 ,$49.37 ,$19.84 ,$36.43 ,$28.22 ,$26.93 ,$20.82 ,$74.80 ,$55.44 ,$24.64 ,$79.20 ,$76.56 ,$70.40 ,$70.40 ,$19.84 ,$57.20 ST. FRANCIS HOSPITAL - ACUTE,30700121,81001,HC URINALYSIS AUTO W/MICRO,307,1 ,$98.00 ,$70.56 ,$3.17 ,$98.00 ,$56.35 ,$70.56 ,$53.31 ,$22.09 ,$27.44 ,$39.33 ,$22.09 ,$41.40 ,$22.09 ,$61.74 ,$61.74 ,$22.09 ,$61.74 ,$45.53 ,$90.16 ,$7.93 ,$22.09 ,$83.30 ,$82.32 ,$22.09 ,$73.50 ,$78.40 ,$78.40 ,$22.09 ,$78.40 ,$85.26 ,$85.26 ,$85.26 ,$88.20 ,$56.35 ,$22.09 ,$3.17 ,$54.98 ,$22.09 ,$40.57 ,$4.25 ,$4.05 ,$23.20 ,$83.30 ,$61.74 ,$27.44 ,$88.20 ,$85.26 ,$78.40 ,$78.40 ,$22.09 ,$63.70 ST. FRANCIS HOSPITAL - ACUTE,30700125,81003,HC URINALYSIS AUTO W/O MICRO,307,1 ,$37.00 ,$26.64 ,$2.55 ,$37.00 ,$21.28 ,$26.64 ,$20.13 ,$8.34 ,$10.36 ,$24.61 ,$8.34 ,$25.90 ,$8.34 ,$23.31 ,$23.31 ,$8.34 ,$23.31 ,$17.19 ,$34.04 ,$5.63 ,$8.34 ,$31.45 ,$31.08 ,$8.34 ,$27.75 ,$29.60 ,$29.60 ,$8.34 ,$29.60 ,$32.19 ,$32.19 ,$32.19 ,$33.30 ,$21.28 ,$8.34 ,$37.00 ,$20.76 ,$8.34 ,$15.32 ,$2.67 ,$2.55 ,$8.76 ,$31.45 ,$23.31 ,$10.36 ,$33.30 ,$32.19 ,$29.60 ,$29.60 ,$8.34 ,$24.05 ST. FRANCIS HOSPITAL - ACUTE,30700127,81005,HC URINALYSIS QL/SEMI QN -90,307,1 ,$47.00 ,$33.84 ,$4.05 ,$47.00 ,$27.03 ,$33.84 ,$25.57 ,$10.59 ,$13.16 ,$26.79 ,$10.59 ,$28.20 ,$10.59 ,$29.61 ,$29.61 ,$10.59 ,$29.61 ,$21.84 ,$43.24 ,$5.43 ,$10.59 ,$39.95 ,$39.48 ,$10.59 ,$35.25 ,$37.60 ,$37.60 ,$10.59 ,$37.60 ,$40.89 ,$40.89 ,$40.89 ,$42.30 ,$27.03 ,$10.59 ,$47.00 ,$26.37 ,$10.59 ,$19.46 ,$4.25 ,$4.05 ,$11.12 ,$39.95 ,$29.61 ,$13.16 ,$42.30 ,$40.89 ,$37.60 ,$37.60 ,$10.59 ,$30.55 ST. FRANCIS HOSPITAL - ACUTE,30700128,81025,HC URINE PREGNANCY TEST,307,1 ,$149.00 ,$107.28 ,$4.05 ,$149.00 ,$85.68 ,$107.28 ,$81.06 ,$33.58 ,$41.72 ,$86.41 ,$33.58 ,$90.96 ,$33.58 ,$93.87 ,$93.87 ,$33.58 ,$93.87 ,$69.23 ,$137.08 ,$21.53 ,$33.58 ,$126.65 ,$125.16 ,$33.58 ,$111.75 ,$119.20 ,$119.20 ,$33.58 ,$119.20 ,$129.63 ,$129.63 ,$129.63 ,$134.10 ,$85.68 ,$33.58 ,$8.61 ,$83.59 ,$33.58 ,$61.69 ,$4.25 ,$4.05 ,$35.26 ,$126.65 ,$93.87 ,$41.72 ,$134.10 ,$129.63 ,$119.20 ,$119.20 ,$33.58 ,$96.85 ST. FRANCIS HOSPITAL - ACUTE,30700131,81050,HC VOLUME MEASUREMENT URINE,307,1 ,$27.00 ,$19.44 ,$4.05 ,$27.00 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 ,$9.10 ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 ,$4.25 ,$4.05 ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,31000128,81162,HC BRCA1 AND BRCA2 FULL SEQ/DUPE/DEL ANALYSIS -90,310,1 ,"$4,500.00 ","$3,240.00 ",$372.05 ,"$4,562.20 ","$2,587.50 ","$3,240.00 ","$2,448.00 ","$1,014.30 ","$1,260.00 ","$2,992.50 ","$1,014.30 ","$3,150.00 ","$1,014.30 ","$2,835.00 ","$2,835.00 ","$1,014.30 ","$2,835.00 ","$2,090.70 ",$500.00 ,"$4,562.20 ","$1,014.30 ","$3,825.00 ","$3,780.00 ","$1,014.30 ","$3,375.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$3,600.00 ","$3,915.00 ","$3,915.00 ","$3,915.00 ","$4,050.00 ","$2,587.50 ","$1,014.30 ","$4,500.00 ","$2,524.50 ","$1,014.30 ","$1,863.00 ",$389.76 ,$372.05 ,"$1,065.01 ","$3,825.00 ","$2,835.00 ","$1,260.00 ","$4,050.00 ","$3,915.00 ","$3,600.00 ","$3,600.00 ","$1,014.30 ","$2,925.00 " ST. FRANCIS HOSPITAL - ACUTE,31000129,81206,HC BCR/ABL1 GENE MAJOR BP QL/QN DIAG -90,310,1 ,$154.00 ,$110.88 ,$34.71 ,$385.00 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$102.41 ,$34.71 ,$107.80 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$385.00 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$63.76 ,$137.35 ,$131.10 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 ,$123.20 ,$123.20 ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,31000131,81207,HC BCR/ABL1 GENE MINOR BP DIAG -90,310,1 ,$137.00 ,$98.64 ,$30.88 ,$342.50 ,$78.78 ,$98.64 ,$74.53 ,$30.88 ,$38.36 ,$91.11 ,$30.88 ,$95.90 ,$30.88 ,$86.31 ,$86.31 ,$30.88 ,$86.31 ,$63.65 ,$126.04 ,$342.50 ,$30.88 ,$116.45 ,$115.08 ,$30.88 ,$102.75 ,$109.60 ,$109.60 ,$30.88 ,$109.60 ,$119.19 ,$119.19 ,$119.19 ,$123.30 ,$78.78 ,$30.88 ,$137.00 ,$76.86 ,$30.88 ,$56.72 ,$137.35 ,$131.10 ,$32.43 ,$116.45 ,$86.31 ,$38.36 ,$123.30 ,$119.19 ,$109.60 ,$109.60 ,$30.88 ,$89.05 ST. FRANCIS HOSPITAL - ACUTE,31000137,81220,HC CYSTIC FIBROSIS GENE COMMON VARIANTS -90,310,1 ,$101.00 ,$72.72 ,$22.77 ,$252.50 ,$58.08 ,$72.72 ,$54.94 ,$22.77 ,$28.28 ,$67.17 ,$22.77 ,$70.70 ,$22.77 ,$63.63 ,$63.63 ,$22.77 ,$63.63 ,$46.92 ,$92.92 ,$252.50 ,$22.77 ,$85.85 ,$84.84 ,$22.77 ,$75.75 ,$80.80 ,$80.80 ,$22.77 ,$80.80 ,$87.87 ,$87.87 ,$87.87 ,$90.90 ,$58.08 ,$22.77 ,$101.00 ,$56.66 ,$22.77 ,$41.81 ,$42.19 ,$40.27 ,$23.90 ,$85.85 ,$63.63 ,$28.28 ,$90.90 ,$87.87 ,$80.80 ,$80.80 ,$22.77 ,$65.65 ST. FRANCIS HOSPITAL - ACUTE,31000139,81229,HC CYTOGENOMIC MICROARRY ASSAY-90,310,1 ,"$2,262.00 ","$1,628.64 ",$372.05 ,"$2,900.00 ","$1,300.65 ","$1,628.64 ","$1,230.53 ",$509.85 ,$633.36 ,"$1,504.23 ",$509.85 ,"$1,583.40 ",$509.85 ,"$1,425.06 ","$1,425.06 ",$509.85 ,"$1,425.06 ","$1,050.93 ",$500.00 ,"$2,900.00 ",$509.85 ,"$1,922.70 ","$1,900.08 ",$509.85 ,"$1,696.50 ","$1,809.60 ","$1,809.60 ",$509.85 ,"$1,809.60 ","$1,967.94 ","$1,967.94 ","$1,967.94 ","$2,035.80 ","$1,300.65 ",$509.85 ,"$2,262.00 ","$1,268.98 ",$509.85 ,$936.47 ,$389.76 ,$372.05 ,$535.34 ,"$1,922.70 ","$1,425.06 ",$633.36 ,"$2,035.80 ","$1,967.94 ","$1,809.60 ","$1,809.60 ",$509.85 ,"$1,470.30 " ST. FRANCIS HOSPITAL - ACUTE,31000140,81225,HC CYP2C19 GENE ANYL COMMON VARIANTS-90,310,1 ,$916.00 ,$659.52 ,$131.10 ,$916.00 ,$526.70 ,$659.52 ,$498.30 ,$206.47 ,$256.48 ,$609.14 ,$206.47 ,$641.20 ,$206.47 ,$577.08 ,$577.08 ,$206.47 ,$577.08 ,$425.57 ,$500.00 ,$728.40 ,$206.47 ,$778.60 ,$769.44 ,$206.47 ,$687.00 ,$732.80 ,$732.80 ,$206.47 ,$732.80 ,$796.92 ,$796.92 ,$796.92 ,$824.40 ,$526.70 ,$206.47 ,$916.00 ,$513.88 ,$206.47 ,$379.22 ,$137.35 ,$131.10 ,$216.79 ,$778.60 ,$577.08 ,$256.48 ,$824.40 ,$796.92 ,$732.80 ,$732.80 ,$206.47 ,$595.40 ST. FRANCIS HOSPITAL - ACUTE,31000143,81240,HC F2 GENE ANAL 20210G A VAR -90,310,1 ,$581.00 ,$418.32 ,$40.27 ,$581.00 ,$334.08 ,$418.32 ,$316.06 ,$130.96 ,$162.68 ,$386.37 ,$130.96 ,$406.70 ,$130.96 ,$366.03 ,$366.03 ,$130.96 ,$366.03 ,$269.93 ,$500.00 ,$164.23 ,$130.96 ,$493.85 ,$488.04 ,$130.96 ,$435.75 ,$464.80 ,$464.80 ,$130.96 ,$464.80 ,$505.47 ,$505.47 ,$505.47 ,$522.90 ,$334.08 ,$130.96 ,$581.00 ,$325.94 ,$130.96 ,$240.53 ,$42.19 ,$40.27 ,$137.50 ,$493.85 ,$366.03 ,$162.68 ,$522.90 ,$505.47 ,$464.80 ,$464.80 ,$130.96 ,$377.65 ST. FRANCIS HOSPITAL - ACUTE,31000145,81241,HC F5 GENE ANAL LEIDEN VAR -90,310,1 ,$581.00 ,$418.32 ,$40.27 ,$581.00 ,$334.08 ,$418.32 ,$316.06 ,$130.96 ,$162.68 ,$386.37 ,$130.96 ,$406.70 ,$130.96 ,$366.03 ,$366.03 ,$130.96 ,$366.03 ,$269.93 ,$500.00 ,$183.43 ,$130.96 ,$493.85 ,$488.04 ,$130.96 ,$435.75 ,$464.80 ,$464.80 ,$130.96 ,$464.80 ,$505.47 ,$505.47 ,$505.47 ,$522.90 ,$334.08 ,$130.96 ,$581.00 ,$325.94 ,$130.96 ,$240.53 ,$42.19 ,$40.27 ,$137.50 ,$493.85 ,$366.03 ,$162.68 ,$522.90 ,$505.47 ,$464.80 ,$464.80 ,$130.96 ,$377.65 ST. FRANCIS HOSPITAL - ACUTE,31000149,81256,HC HFE GENE ANALYSIS -90,310,1 ,$321.00 ,$231.12 ,$40.27 ,$321.00 ,$184.58 ,$231.12 ,$174.62 ,$72.35 ,$89.88 ,$213.47 ,$72.35 ,$224.70 ,$72.35 ,$202.23 ,$202.23 ,$72.35 ,$202.23 ,$149.14 ,$295.32 ,$163.40 ,$72.35 ,$272.85 ,$269.64 ,$72.35 ,$240.75 ,$256.80 ,$256.80 ,$72.35 ,$256.80 ,$279.27 ,$279.27 ,$279.27 ,$288.90 ,$184.58 ,$72.35 ,$321.00 ,$180.08 ,$72.35 ,$132.89 ,$42.19 ,$40.27 ,$75.97 ,$272.85 ,$202.23 ,$89.88 ,$288.90 ,$279.27 ,$256.80 ,$256.80 ,$72.35 ,$208.65 ST. FRANCIS HOSPITAL - ACUTE,31000154,81270,HC JAK2 GENE ANALYSIS-90,310,1 ,$329.00 ,$236.88 ,$40.27 ,$329.00 ,$189.18 ,$236.88 ,$178.98 ,$74.16 ,$92.12 ,$218.79 ,$74.16 ,$230.30 ,$74.16 ,$207.27 ,$207.27 ,$74.16 ,$207.27 ,$152.85 ,$302.68 ,$229.15 ,$74.16 ,$279.65 ,$276.36 ,$74.16 ,$246.75 ,$263.20 ,$263.20 ,$74.16 ,$263.20 ,$286.23 ,$286.23 ,$286.23 ,$296.10 ,$189.18 ,$74.16 ,$329.00 ,$184.57 ,$74.16 ,$136.21 ,$42.19 ,$40.27 ,$77.86 ,$279.65 ,$207.27 ,$92.12 ,$296.10 ,$286.23 ,$263.20 ,$263.20 ,$74.16 ,$213.85 ST. FRANCIS HOSPITAL - ACUTE,31000157,81291,HC MTHFR GENE ANALYSIS-90,310,1 ,$107.00 ,$77.04 ,$24.12 ,$163.35 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$163.35 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$42.19 ,$40.27 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,31000171,81332,HC SERPINA 1 GENE ANALYSIS-90,310,1 ,$645.00 ,$464.40 ,$40.27 ,$645.00 ,$370.88 ,$464.40 ,$350.88 ,$145.38 ,$180.60 ,$399.34 ,$145.38 ,$420.36 ,$145.38 ,$406.35 ,$406.35 ,$145.38 ,$406.35 ,$299.67 ,$500.00 ,$109.13 ,$145.38 ,$548.25 ,$541.80 ,$145.38 ,$483.75 ,$516.00 ,$516.00 ,$145.38 ,$516.00 ,$561.15 ,$561.15 ,$561.15 ,$580.50 ,$370.88 ,$145.38 ,$645.00 ,$361.85 ,$145.38 ,$267.03 ,$42.19 ,$40.27 ,$152.65 ,$548.25 ,$406.35 ,$180.60 ,$580.50 ,$561.15 ,$516.00 ,$516.00 ,$145.38 ,$419.25 ST. FRANCIS HOSPITAL - ACUTE,31000176,81374,HC HLA CLS I TYPNG LW ANTGN EA-90,310,1 ,$392.00 ,$282.24 ,$40.27 ,$392.00 ,$225.40 ,$282.24 ,$213.25 ,$88.36 ,$109.76 ,$260.68 ,$88.36 ,$274.40 ,$88.36 ,$246.96 ,$246.96 ,$88.36 ,$246.96 ,$182.12 ,$360.64 ,$185.83 ,$88.36 ,$333.20 ,$329.28 ,$88.36 ,$294.00 ,$313.60 ,$313.60 ,$88.36 ,$313.60 ,$341.04 ,$341.04 ,$341.04 ,$352.80 ,$225.40 ,$88.36 ,$392.00 ,$219.91 ,$88.36 ,$162.29 ,$42.19 ,$40.27 ,$92.78 ,$333.20 ,$246.96 ,$109.76 ,$352.80 ,$341.04 ,$313.60 ,$313.60 ,$88.36 ,$254.80 ST. FRANCIS HOSPITAL - ACUTE,31000181,81400,HC MOLECULAR PATH PROC LEVEL 1-90,310,1 ,$587.00 ,$422.64 ,$40.27 ,$587.00 ,$337.53 ,$422.64 ,$319.33 ,$132.31 ,$164.36 ,$390.36 ,$132.31 ,$410.90 ,$132.31 ,$369.81 ,$369.81 ,$132.31 ,$369.81 ,$272.72 ,$500.00 ,$159.90 ,$132.31 ,$498.95 ,$493.08 ,$132.31 ,$440.25 ,$469.60 ,$469.60 ,$132.31 ,$469.60 ,$510.69 ,$510.69 ,$510.69 ,$528.30 ,$337.53 ,$132.31 ,$587.00 ,$329.31 ,$132.31 ,$243.02 ,$42.19 ,$40.27 ,$138.92 ,$498.95 ,$369.81 ,$164.36 ,$528.30 ,$510.69 ,$469.60 ,$469.60 ,$132.31 ,$381.55 ST. FRANCIS HOSPITAL - ACUTE,31000183,81401,HC MOLECULAR PATH PROC LEVEL 2-90,310,1 ,$933.00 ,$671.76 ,$40.27 ,$933.00 , N/A ,$671.76 ,$507.55 , N/A ,$261.24 ,$620.45 , N/A ,$653.10 , N/A ,$587.79 ,$587.79 , N/A ,$587.79 , N/A ,$500.00 ,$653.10 , N/A ,$793.05 ,$783.72 , N/A ,$699.75 ,$746.40 ,$746.40 , N/A ,$746.40 ,$811.71 ,$811.71 ,$811.71 ,$839.70 , N/A , N/A ,$933.00 ,$523.41 , N/A ,$386.26 ,$42.19 ,$40.27 , N/A ,$793.05 ,$587.79 ,$261.24 ,$839.70 ,$811.71 ,$746.40 ,$746.40 , N/A ,$606.45 ST. FRANCIS HOSPITAL - ACUTE,31000184,81403,HC MOLECULAR PATH PROC LEVEL 4-90,310,1 ,$367.00 ,$264.24 ,$40.27 ,$367.00 , N/A ,$264.24 ,$199.65 , N/A ,$102.76 ,$244.06 , N/A ,$256.90 , N/A ,$231.21 ,$231.21 , N/A ,$231.21 , N/A ,$337.64 ,$256.90 , N/A ,$311.95 ,$308.28 , N/A ,$275.25 ,$293.60 ,$293.60 , N/A ,$293.60 ,$319.29 ,$319.29 ,$319.29 ,$330.30 , N/A , N/A ,$367.00 ,$205.89 , N/A ,$151.94 ,$42.19 ,$40.27 , N/A ,$311.95 ,$231.21 ,$102.76 ,$330.30 ,$319.29 ,$293.60 ,$293.60 , N/A ,$238.55 ST. FRANCIS HOSPITAL - ACUTE,31000188,81406,HC MOLECULAR PATH PROC LEVEL 7-90,310,1 ,"$3,098.00 ","$2,230.56 ",$131.10 ,"$3,098.00 ", N/A ,"$2,230.56 ","$1,685.31 ", N/A ,$867.44 ,"$2,060.17 ", N/A ,"$2,168.60 ", N/A ,"$1,951.74 ","$1,951.74 ", N/A ,"$1,951.74 ", N/A ,$500.00 ,"$2,168.60 ", N/A ,"$2,633.30 ","$2,602.32 ", N/A ,"$2,323.50 ","$2,478.40 ","$2,478.40 ", N/A ,"$2,478.40 ","$2,695.26 ","$2,695.26 ","$2,695.26 ","$2,788.20 ", N/A , N/A ,"$3,098.00 ","$1,737.98 ", N/A ,"$1,282.57 ",$137.35 ,$131.10 , N/A ,"$2,633.30 ","$1,951.74 ",$867.44 ,"$2,788.20 ","$2,695.26 ","$2,478.40 ","$2,478.40 ", N/A ,"$2,013.70 " ST. FRANCIS HOSPITAL - ACUTE,31000191,81479,HC IBD CELIAC UNLISTED MOLECULAR PATH-90,310,1 ,$28.00 ,$20.16 ,$7.84 ,$42.19 , N/A ,$20.16 ,$15.23 , N/A ,$7.84 ,$18.62 , N/A ,$19.60 , N/A ,$17.64 ,$17.64 , N/A ,$17.64 , N/A ,$25.76 ,$19.60 , N/A ,$23.80 ,$23.52 , N/A ,$21.00 ,$22.40 ,$22.40 , N/A ,$22.40 ,$24.36 ,$24.36 ,$24.36 ,$25.20 , N/A , N/A ,$28.00 ,$15.71 , N/A ,$11.59 ,$42.19 ,$40.27 , N/A ,$23.80 ,$17.64 ,$7.84 ,$25.20 ,$24.36 ,$22.40 ,$22.40 , N/A ,$18.20 ST. FRANCIS HOSPITAL - ACUTE,31000200,0001U,HC RBC DNA HUMAN GENE ANLYS 35 AG 11 BLOOD GRP-90,310,1 ,$833.00 ,$599.76 ,$40.27 ,"$1,800.00 ",$478.98 ,$599.76 ,$453.15 ,$187.76 ,$233.24 ,$553.95 ,$187.76 ,$583.10 ,$187.76 ,$524.79 ,$524.79 ,$187.76 ,$524.79 ,$387.01 ,$500.00 ,"$1,800.00 ",$187.76 ,$708.05 ,$699.72 ,$187.76 ,$624.75 ,$666.40 ,$666.40 ,$187.76 ,$666.40 ,$724.71 ,$724.71 ,$724.71 ,$749.70 ,$478.98 ,$187.76 ,$833.00 ,$467.31 ,$187.76 ,$344.86 ,$42.19 ,$40.27 ,$197.15 ,$708.05 ,$524.79 ,$233.24 ,$749.70 ,$724.71 ,$666.40 ,$666.40 ,$187.76 ,$541.45 ST. FRANCIS HOSPITAL - ACUTE,31000205,81219,HC CALR GENE ANALYSIS EXON 9-90,310,1 ,$409.00 ,$294.48 ,$92.19 ,$409.00 ,$235.18 ,$294.48 ,$222.50 ,$92.19 ,$114.52 ,$271.99 ,$92.19 ,$286.30 ,$92.19 ,$257.67 ,$257.67 ,$92.19 ,$257.67 ,$190.02 ,$376.28 ,$304.08 ,$92.19 ,$347.65 ,$343.56 ,$92.19 ,$306.75 ,$327.20 ,$327.20 ,$92.19 ,$327.20 ,$355.83 ,$355.83 ,$355.83 ,$368.10 ,$235.18 ,$92.19 ,$409.00 ,$229.45 ,$92.19 ,$169.33 ,$137.35 ,$131.10 ,$96.79 ,$347.65 ,$257.67 ,$114.52 ,$368.10 ,$355.83 ,$327.20 ,$327.20 ,$92.19 ,$265.85 ST. FRANCIS HOSPITAL - ACUTE,31000208,81402,HC MOLECULAR PATHOLOGY PROC LEVEL 3-90,310,1 ,$292.00 ,$210.24 ,$40.27 ,$292.00 , N/A ,$210.24 ,$158.85 , N/A ,$81.76 ,$194.18 , N/A ,$204.40 , N/A ,$183.96 ,$183.96 , N/A ,$183.96 , N/A ,$268.64 ,$204.40 , N/A ,$248.20 ,$245.28 , N/A ,$219.00 ,$233.60 ,$233.60 , N/A ,$233.60 ,$254.04 ,$254.04 ,$254.04 ,$262.80 , N/A , N/A ,$292.00 ,$163.81 , N/A ,$120.89 ,$42.19 ,$40.27 , N/A ,$248.20 ,$183.96 ,$81.76 ,$262.80 ,$254.04 ,$233.60 ,$233.60 , N/A ,$189.80 ST. FRANCIS HOSPITAL - ACUTE,31000216,81382,HC HLA CLASS 2 HIGH RESOLUTION ONE LOCUS EA - 90,310,1 ,$964.00 ,$694.08 ,$131.10 ,$964.00 ,$554.30 ,$694.08 ,$524.42 ,$217.29 ,$269.92 ,$641.06 ,$217.29 ,$674.80 ,$217.29 ,$607.32 ,$607.32 ,$217.29 ,$607.32 ,$447.87 ,$500.00 ,$309.20 ,$217.29 ,$819.40 ,$809.76 ,$217.29 ,$723.00 ,$771.20 ,$771.20 ,$217.29 ,$771.20 ,$838.68 ,$838.68 ,$838.68 ,$867.60 ,$554.30 ,$217.29 ,$964.00 ,$540.80 ,$217.29 ,$399.10 ,$137.35 ,$131.10 ,$228.15 ,$819.40 ,$607.32 ,$269.92 ,$867.60 ,$838.68 ,$771.20 ,$771.20 ,$217.29 ,$626.60 ST. FRANCIS HOSPITAL - ACUTE,31000217,81298,HC MSH6 GENE ANALYSIS FULL SEQ -90,310,1 ,$861.00 ,$619.92 ,$131.10 ,"$1,604.63 ",$495.08 ,$619.92 ,$468.38 ,$194.07 ,$241.08 ,$572.57 ,$194.07 ,$602.70 ,$194.07 ,$542.43 ,$542.43 ,$194.07 ,$542.43 ,$400.02 ,$500.00 ,"$1,604.63 ",$194.07 ,$731.85 ,$723.24 ,$194.07 ,$645.75 ,$688.80 ,$688.80 ,$194.07 ,$688.80 ,$749.07 ,$749.07 ,$749.07 ,$774.90 ,$495.08 ,$194.07 ,$861.00 ,$483.02 ,$194.07 ,$356.45 ,$137.35 ,$131.10 ,$203.77 ,$731.85 ,$542.43 ,$241.08 ,$774.90 ,$749.07 ,$688.80 ,$688.80 ,$194.07 ,$559.65 ST. FRANCIS HOSPITAL - ACUTE,31000218,81300,HC MSH6 GENE ANALYSIS DUP/DEL VARIANTS-90,310,1 ,$511.00 ,$367.92 ,$115.18 ,$595.00 ,$293.83 ,$367.92 ,$277.98 ,$115.18 ,$143.08 ,$339.82 ,$115.18 ,$357.70 ,$115.18 ,$321.93 ,$321.93 ,$115.18 ,$321.93 ,$237.41 ,$470.12 ,$595.00 ,$115.18 ,$434.35 ,$429.24 ,$115.18 ,$383.25 ,$408.80 ,$408.80 ,$115.18 ,$408.80 ,$444.57 ,$444.57 ,$444.57 ,$459.90 ,$293.83 ,$115.18 ,$511.00 ,$286.67 ,$115.18 ,$211.55 ,$137.35 ,$131.10 ,$120.94 ,$434.35 ,$321.93 ,$143.08 ,$459.90 ,$444.57 ,$408.80 ,$408.80 ,$115.18 ,$332.15 ST. FRANCIS HOSPITAL - ACUTE,31000224,81335,HC TPMT GENE ANALYSIS COMMON VARIANTS-90,310,1 ,$825.00 ,$594.00 ,$131.10 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$500.00 ,$437.03 ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$825.00 ,$462.83 ,$185.95 ,$341.55 ,$137.35 ,$131.10 ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,31000226,81450,HC TARGET GENOMIC SEQ ANALYSIS HEMATOLYMPHOID 5-50 GENES-90,310,1 ,"$3,400.00 ","$2,448.00 ",$131.10 ,"$3,400.00 ","$1,955.00 ","$2,448.00 ","$1,849.60 ",$766.36 ,$952.00 ,"$2,261.00 ",$766.36 ,"$2,380.00 ",$766.36 ,"$2,142.00 ","$2,142.00 ",$766.36 ,"$2,142.00 ","$1,579.64 ",$500.00 ,"$1,898.83 ",$766.36 ,"$2,890.00 ","$2,856.00 ",$766.36 ,"$2,550.00 ","$2,720.00 ","$2,720.00 ",$766.36 ,"$2,720.00 ","$2,958.00 ","$2,958.00 ","$2,958.00 ","$3,060.00 ","$1,955.00 ",$766.36 ,"$3,400.00 ","$1,907.40 ",$766.36 ,"$1,407.60 ",$137.35 ,$131.10 ,$804.68 ,"$2,890.00 ","$2,142.00 ",$952.00 ,"$3,060.00 ","$2,958.00 ","$2,720.00 ","$2,720.00 ",$766.36 ,"$2,210.00 " ST. FRANCIS HOSPITAL - ACUTE,31000228,81350,HC UGT1A1 GENE ANALYSIS COM VARIANTS-90,310,1 ,$151.00 ,$108.72 ,$34.04 ,$377.50 ,$86.83 ,$108.72 ,$82.14 ,$34.04 ,$42.28 ,$100.42 ,$34.04 ,$105.70 ,$34.04 ,$95.13 ,$95.13 ,$34.04 ,$95.13 ,$70.15 ,$138.92 ,$377.50 ,$34.04 ,$128.35 ,$126.84 ,$34.04 ,$113.25 ,$120.80 ,$120.80 ,$34.04 ,$120.80 ,$131.37 ,$131.37 ,$131.37 ,$135.90 ,$86.83 ,$34.04 ,$151.00 ,$84.71 ,$34.04 ,$62.51 ,$42.19 ,$40.27 ,$35.74 ,$128.35 ,$95.13 ,$42.28 ,$135.90 ,$131.37 ,$120.80 ,$120.80 ,$34.04 ,$98.15 ST. FRANCIS HOSPITAL - ACUTE,31000242,81329,HC SMN1 GENE DOSAGE/DELETION ANALYSIS-90,310,1 ,$708.00 ,$509.76 ,$40.27 ,$708.00 ,$407.10 ,$509.76 ,$385.15 ,$159.58 ,$198.24 ,$470.82 ,$159.58 ,$495.60 ,$159.58 ,$446.04 ,$446.04 ,$159.58 ,$446.04 ,$328.94 ,$500.00 ,$342.50 ,$159.58 ,$601.80 ,$594.72 ,$159.58 ,$531.00 ,$566.40 ,$566.40 ,$159.58 ,$566.40 ,$615.96 ,$615.96 ,$615.96 ,$637.20 ,$407.10 ,$159.58 ,$708.00 ,$397.19 ,$159.58 ,$293.11 ,$42.19 ,$40.27 ,$167.56 ,$601.80 ,$446.04 ,$198.24 ,$637.20 ,$615.96 ,$566.40 ,$566.40 ,$159.58 ,$460.20 ST. FRANCIS HOSPITAL - ACUTE,31000250,81479,HC MUTATION ANALYSIS CSF3R -90,310,1 ,$504.00 ,$362.88 ,$39.90 ,$504.00 , N/A ,$362.88 ,$274.18 , N/A ,$141.12 ,$39.90 , N/A ,$42.00 , N/A ,$317.52 ,$317.52 , N/A ,$317.52 , N/A ,$463.68 ,$352.80 , N/A ,$428.40 ,$423.36 , N/A ,$378.00 ,$403.20 ,$403.20 , N/A ,$403.20 ,$438.48 ,$438.48 ,$438.48 ,$453.60 , N/A , N/A ,$504.00 ,$282.74 , N/A ,$208.66 ,$42.19 ,$40.27 , N/A ,$428.40 ,$317.52 ,$141.12 ,$453.60 ,$438.48 ,$403.20 ,$403.20 , N/A ,$327.60 ST. FRANCIS HOSPITAL - ACUTE,31000253,81420,HC FETAL CHROMOSOME ANEUPLOIDY -90,310,1 ,"$2,111.00 ","$1,519.92 ",$372.05 ,"$2,111.00 ","$1,213.83 ","$1,519.92 ","$1,148.38 ",$475.82 ,$591.08 ,"$1,403.82 ",$475.82 ,"$1,477.70 ",$475.82 ,"$1,329.93 ","$1,329.93 ",$475.82 ,"$1,329.93 ",$980.77 ,$500.00 ,"$1,897.63 ",$475.82 ,"$1,794.35 ","$1,773.24 ",$475.82 ,"$1,583.25 ","$1,688.80 ","$1,688.80 ",$475.82 ,"$1,688.80 ","$1,836.57 ","$1,836.57 ","$1,836.57 ","$1,899.90 ","$1,213.83 ",$475.82 ,"$2,111.00 ","$1,184.27 ",$475.82 ,$873.95 ,$389.76 ,$372.05 ,$499.61 ,"$1,794.35 ","$1,329.93 ",$591.08 ,"$1,899.90 ","$1,836.57 ","$1,688.80 ","$1,688.80 ",$475.82 ,"$1,372.15 " ST. FRANCIS HOSPITAL - ACUTE,31000254,81212,HC BRCA 1 AND S BREAST/OVARIAN CANCER GENE ANALYSIS-90,310,1 ,"$1,226.00 ",$882.72 ,$131.10 ,"$1,226.00 ",$704.95 ,$882.72 ,$666.94 ,$276.34 ,$343.28 ,$815.29 ,$276.34 ,$858.20 ,$276.34 ,$772.38 ,$772.38 ,$276.34 ,$772.38 ,$569.60 ,$500.00 ,"$1,100.00 ",$276.34 ,"$1,042.10 ","$1,029.84 ",$276.34 ,$919.50 ,$980.80 ,$980.80 ,$276.34 ,$980.80 ,"$1,066.62 ","$1,066.62 ","$1,066.62 ","$1,103.40 ",$704.95 ,$276.34 ,"$1,226.00 ",$687.79 ,$276.34 ,$507.56 ,$137.35 ,$131.10 ,$290.16 ,"$1,042.10 ",$772.38 ,$343.28 ,"$1,103.40 ","$1,066.62 ",$980.80 ,$980.80 ,$276.34 ,$796.90 ST. FRANCIS HOSPITAL - ACUTE,31000260,89257,HC SPERM IDENTIFICATION FROM ASPIRATION-90,310,1 ,$946.00 ,$681.12 ,$32.41 ,$946.00 ,$543.95 ,$681.12 ,$514.62 ,$213.23 ,$264.88 ,$629.09 ,$213.23 ,$662.20 ,$213.23 ,$595.98 ,$595.98 ,$213.23 ,$595.98 ,$439.51 ,$500.00 ,$125.35 ,$213.23 ,$804.10 ,$794.64 ,$213.23 ,$709.50 ,$756.80 ,$756.80 ,$213.23 ,$756.80 ,$823.02 ,$823.02 ,$823.02 ,$851.40 ,$543.95 ,$213.23 ,$946.00 ,$530.71 ,$213.23 ,$391.64 ,$33.96 ,$32.41 ,$223.89 ,$804.10 ,$595.98 ,$264.88 ,$851.40 ,$823.02 ,$756.80 ,$756.80 ,$213.23 ,$614.90 ST. FRANCIS HOSPITAL - ACUTE,31000272,81263,HC IGH VAR REG SOMATIC MUTATION ANALYSIS- 90,310,1 ,$504.00 ,$362.88 ,$113.60 ,$736.30 ,$289.80 ,$362.88 ,$274.18 ,$113.60 ,$141.12 ,$335.16 ,$113.60 ,$352.80 ,$113.60 ,$317.52 ,$317.52 ,$113.60 ,$317.52 ,$234.16 ,$463.68 ,$736.30 ,$113.60 ,$428.40 ,$423.36 ,$113.60 ,$378.00 ,$403.20 ,$403.20 ,$113.60 ,$403.20 ,$438.48 ,$438.48 ,$438.48 ,$453.60 ,$289.80 ,$113.60 ,$504.00 ,$282.74 ,$113.60 ,$208.66 ,$389.76 ,$372.05 ,$119.29 ,$428.40 ,$317.52 ,$141.12 ,$453.60 ,$438.48 ,$403.20 ,$403.20 ,$113.60 ,$327.60 ST. FRANCIS HOSPITAL - ACUTE,31000276,81479,HC T CELL RECEPTOR EXCISION CIRCLES - 90,310,1 ,"$1,226.00 ",$882.72 ,$39.90 ,"$1,226.00 ", N/A ,$882.72 ,$666.94 , N/A ,$343.28 ,$39.90 , N/A ,$42.00 , N/A ,$772.38 ,$772.38 , N/A ,$772.38 , N/A ,$500.00 ,$858.20 , N/A ,"$1,042.10 ","$1,029.84 ", N/A ,$919.50 ,$980.80 ,$980.80 , N/A ,$980.80 ,"$1,066.62 ","$1,066.62 ","$1,066.62 ","$1,103.40 ", N/A , N/A ,"$1,226.00 ",$687.79 , N/A ,$507.56 ,$42.19 ,$40.27 , N/A ,"$1,042.10 ",$772.38 ,$343.28 ,"$1,103.40 ","$1,066.62 ",$980.80 ,$980.80 , N/A ,$796.90 ST. FRANCIS HOSPITAL - ACUTE,31000280,81403,HC MOLECULAR PATHOLOGY PROC LEVEL 4-90,310,1 ,$946.00 ,$681.12 ,$40.27 ,$946.00 , N/A ,$681.12 ,$514.62 , N/A ,$264.88 ,$629.09 , N/A ,$662.20 , N/A ,$595.98 ,$595.98 , N/A ,$595.98 , N/A ,$500.00 ,$662.20 , N/A ,$804.10 ,$794.64 , N/A ,$709.50 ,$756.80 ,$756.80 , N/A ,$756.80 ,$823.02 ,$823.02 ,$823.02 ,$851.40 , N/A , N/A ,$946.00 ,$530.71 , N/A ,$391.64 ,$42.19 ,$40.27 , N/A ,$804.10 ,$595.98 ,$264.88 ,$851.40 ,$823.02 ,$756.80 ,$756.80 , N/A ,$614.90 ST. FRANCIS HOSPITAL - ACUTE,31000288,81164,HC BRCA 1 AND 2 GEN FUL DUP/DEL ANALYS- 90,310,1 ,$665.00 ,$478.80 ,$149.89 ,"$1,460.58 ",$382.38 ,$478.80 ,$361.76 ,$149.89 ,$186.20 ,$442.23 ,$149.89 ,$465.50 ,$149.89 ,$418.95 ,$418.95 ,$149.89 ,$418.95 ,$308.96 ,$500.00 ,"$1,460.58 ",$149.89 ,$565.25 ,$558.60 ,$149.89 ,$498.75 ,$532.00 ,$532.00 ,$149.89 ,$532.00 ,$578.55 ,$578.55 ,$578.55 ,$598.50 ,$382.38 ,$149.89 ,$665.00 ,$373.07 ,$149.89 ,$275.31 ,$389.76 ,$372.05 ,$157.39 ,$565.25 ,$418.95 ,$186.20 ,$598.50 ,$578.55 ,$532.00 ,$532.00 ,$149.89 ,$432.25 ST. FRANCIS HOSPITAL - ACUTE,31100244,88184,HC FLOW CYTO 1ST MARKER-90,311,1 ,$127.00 ,$91.44 ,$28.63 ,$810.28 ,$73.03 ,$91.44 ,$69.09 ,$28.63 ,$35.56 ,$84.46 ,$28.63 ,$88.90 ,$28.63 ,$80.01 ,$80.01 ,$28.63 ,$80.01 ,$59.00 ,$116.84 ,$810.28 ,$28.63 ,$107.95 ,$106.68 ,$28.63 ,$95.25 ,$101.60 ,$101.60 ,$28.63 ,$101.60 ,$110.49 ,$110.49 ,$110.49 ,$114.30 ,$73.03 ,$28.63 ,$127.00 ,$71.25 ,$28.63 ,$52.58 ,$37.36 ,$35.66 ,$30.06 ,$107.95 ,$80.01 ,$35.56 ,$114.30 ,$110.49 ,$101.60 ,$101.60 ,$28.63 ,$82.55 ST. FRANCIS HOSPITAL - ACUTE,31100246,88185,HC FLOW CYTO EA ADD MARKER-90,311,1 ,$128.00 ,$92.16 ,$28.85 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$85.12 ,$28.85 ,$89.60 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 , N/A ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 ,$37.36 ,$35.66 ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,31100249,88188,HC FLOW CYTO INT 9-15 MARKERS-90,311,1 ,$128.00 ,$92.16 ,$28.85 ,$128.00 ,$73.60 ,$92.16 ,$69.63 ,$28.85 ,$35.84 ,$85.12 ,$28.85 ,$89.60 ,$28.85 ,$80.64 ,$80.64 ,$28.85 ,$80.64 ,$59.47 ,$117.76 , N/A ,$28.85 ,$108.80 ,$107.52 ,$28.85 ,$96.00 ,$102.40 ,$102.40 ,$28.85 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$73.60 ,$28.85 ,$128.00 ,$71.81 ,$28.85 ,$52.99 ,$33.96 ,$32.41 ,$30.29 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 ,$102.40 ,$102.40 ,$28.85 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,31100262,88271,HC MCG DNA PROBE(BCR/ABL)-90,311,1 ,$100.00 ,$72.00 ,$22.54 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$53.55 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$42.19 ,$40.27 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,31100271,88275,HC MCG INTER INSIT BCR/ABL 100-90,311,1 ,$189.00 ,$136.08 ,$40.27 ,$189.00 ,$108.68 ,$136.08 ,$102.82 ,$42.60 ,$52.92 ,$125.69 ,$42.60 ,$132.30 ,$42.60 ,$119.07 ,$119.07 ,$42.60 ,$119.07 ,$87.81 ,$173.88 ,$127.98 ,$42.60 ,$160.65 ,$158.76 ,$42.60 ,$141.75 ,$151.20 ,$151.20 ,$42.60 ,$151.20 ,$164.43 ,$164.43 ,$164.43 ,$170.10 ,$108.68 ,$42.60 ,$189.00 ,$106.03 ,$42.60 ,$78.25 ,$42.19 ,$40.27 ,$44.73 ,$160.65 ,$119.07 ,$52.92 ,$170.10 ,$164.43 ,$151.20 ,$151.20 ,$42.60 ,$122.85 ST. FRANCIS HOSPITAL - ACUTE,31100275,88291,HC INTERPRETATION-90,311,1 ,$276.00 ,$198.72 ,$40.27 ,$276.00 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 , N/A ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 ,$42.19 ,$40.27 ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,31100283,88120,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC-90,311,1 ,$441.00 ,$317.52 ,$35.66 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$393.13 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 ,$37.36 ,$35.66 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,31100291,88125,HC CYTOPATH FORENSIC,311,1 ,$119.00 ,$85.68 ,$26.82 ,$125.35 ,$68.43 ,$85.68 ,$64.74 ,$26.82 ,$33.32 ,$79.14 ,$26.82 ,$83.30 ,$26.82 ,$74.97 ,$74.97 ,$26.82 ,$74.97 ,$55.29 ,$109.48 ,$125.35 ,$26.82 ,$101.15 ,$99.96 ,$26.82 ,$89.25 ,$95.20 ,$95.20 ,$26.82 ,$95.20 ,$103.53 ,$103.53 ,$103.53 ,$107.10 ,$68.43 ,$26.82 ,$119.00 ,$66.76 ,$26.82 ,$49.27 ,$33.96 ,$32.41 ,$28.17 ,$101.15 ,$74.97 ,$33.32 ,$107.10 ,$103.53 ,$95.20 ,$95.20 ,$26.82 ,$77.35 ST. FRANCIS HOSPITAL - ACUTE,31100293,88175,HC CYTOPATH PAP DIAG INIT/REDO,311,1 ,$181.00 ,$130.32 ,$20.26 ,$181.00 ,$104.08 ,$130.32 ,$98.46 ,$40.80 ,$50.68 ,$120.37 ,$40.80 ,$126.70 ,$40.80 ,$114.03 ,$114.03 ,$40.80 ,$114.03 ,$84.09 ,$166.52 ,$66.53 ,$40.80 ,$153.85 ,$152.04 ,$40.80 ,$135.75 ,$144.80 ,$144.80 ,$40.80 ,$144.80 ,$157.47 ,$157.47 ,$157.47 ,$162.90 ,$104.08 ,$40.80 ,$20.26 ,$101.54 ,$40.80 ,$74.93 ,$24.62 ,$23.50 ,$42.84 ,$153.85 ,$114.03 ,$50.68 ,$162.90 ,$157.47 ,$144.80 ,$144.80 ,$40.80 ,$117.65 ST. FRANCIS HOSPITAL - ACUTE,31100294,88184,HC FLOW CYTO 1ST MARKER,311,1 ,$127.00 ,$91.44 ,$28.63 ,$810.28 ,$73.03 ,$91.44 ,$69.09 ,$28.63 ,$35.56 ,$84.46 ,$28.63 ,$88.90 ,$28.63 ,$80.01 ,$80.01 ,$28.63 ,$80.01 ,$59.00 ,$116.84 ,$810.28 ,$28.63 ,$107.95 ,$106.68 ,$28.63 ,$95.25 ,$101.60 ,$101.60 ,$28.63 ,$101.60 ,$110.49 ,$110.49 ,$110.49 ,$114.30 ,$73.03 ,$28.63 ,$127.00 ,$71.25 ,$28.63 ,$52.58 ,$37.36 ,$35.66 ,$30.06 ,$107.95 ,$80.01 ,$35.56 ,$114.30 ,$110.49 ,$101.60 ,$101.60 ,$28.63 ,$82.55 ST. FRANCIS HOSPITAL - ACUTE,31100295,88185,HC FLOW CYTO EA ADD MARKER,311,1 ,$109.00 ,$78.48 ,$24.57 ,$109.00 ,$62.68 ,$78.48 ,$59.30 ,$24.57 ,$30.52 ,$72.49 ,$24.57 ,$76.30 ,$24.57 ,$68.67 ,$68.67 ,$24.57 ,$68.67 ,$50.64 ,$100.28 , N/A ,$24.57 ,$92.65 ,$91.56 ,$24.57 ,$81.75 ,$87.20 ,$87.20 ,$24.57 ,$87.20 ,$94.83 ,$94.83 ,$94.83 ,$98.10 ,$62.68 ,$24.57 ,$109.00 ,$61.15 ,$24.57 ,$45.13 ,$37.36 ,$35.66 ,$25.79 ,$92.65 ,$68.67 ,$30.52 ,$98.10 ,$94.83 ,$87.20 ,$87.20 ,$24.57 ,$70.85 ST. FRANCIS HOSPITAL - ACUTE,31100299,88104,HC CYTOPATH FLD SMEAR,311,1 ,$107.00 ,$77.04 ,$24.12 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$84.90 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$33.96 ,$32.41 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,31100300,88106,HC CYTOPATH FLUID SIMP FILTER,311,1 ,$100.00 ,$72.00 ,$22.54 ,$100.00 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$62.40 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$41.40 ,$33.96 ,$32.41 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 ,$80.00 ,$80.00 ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,31100301,88175,HC CYTOPATH PAP SCREEN INIT/REDO,311,1 ,$181.00 ,$130.32 ,$20.26 ,$181.00 ,$104.08 ,$130.32 ,$98.46 ,$40.80 ,$50.68 ,$120.37 ,$40.80 ,$126.70 ,$40.80 ,$114.03 ,$114.03 ,$40.80 ,$114.03 ,$84.09 ,$166.52 ,$66.53 ,$40.80 ,$153.85 ,$152.04 ,$40.80 ,$135.75 ,$144.80 ,$144.80 ,$40.80 ,$144.80 ,$157.47 ,$157.47 ,$157.47 ,$162.90 ,$104.08 ,$40.80 ,$20.26 ,$101.54 ,$40.80 ,$74.93 ,$24.62 ,$23.50 ,$42.84 ,$153.85 ,$114.03 ,$50.68 ,$162.90 ,$157.47 ,$144.80 ,$144.80 ,$40.80 ,$117.65 ST. FRANCIS HOSPITAL - ACUTE,31100310,88121,HC CYTOPATH URINE 3-5 MOL PROBES EA SPEC COMP ASSIST-90,311,1 ,$441.00 ,$317.52 ,$35.66 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$393.13 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 ,$37.36 ,$35.66 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,31100314,88142,HC THINPREP PAP,311,1 ,$162.00 ,$116.64 ,$20.26 ,$162.00 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$107.73 ,$36.51 ,$113.40 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$50.65 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$20.26 ,$90.88 ,$36.51 ,$67.07 ,$24.62 ,$23.50 ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,31200272,88346,HC IF DIRECT-90,312,1 ,$134.00 ,$96.48 ,$30.20 ,$810.28 ,$77.05 ,$96.48 ,$72.90 ,$30.20 ,$37.52 ,$89.11 ,$30.20 ,$93.80 ,$30.20 ,$84.42 ,$84.42 ,$30.20 ,$84.42 ,$62.26 ,$123.28 ,$810.28 ,$30.20 ,$113.90 ,$112.56 ,$30.20 ,$100.50 ,$107.20 ,$107.20 ,$30.20 ,$107.20 ,$116.58 ,$116.58 ,$116.58 ,$120.60 ,$77.05 ,$30.20 ,$134.00 ,$75.17 ,$30.20 ,$55.48 ,$33.96 ,$32.41 ,$31.71 ,$113.90 ,$84.42 ,$37.52 ,$120.60 ,$116.58 ,$107.20 ,$107.20 ,$30.20 ,$87.10 ST. FRANCIS HOSPITAL - ACUTE,31200274,88350,HC IMMUNOFLUOR PER SPEC EA ADDN SINGLE STAIN-90,312,1 ,$134.00 ,$96.48 ,$30.20 ,$134.00 ,$77.05 ,$96.48 ,$72.90 ,$30.20 ,$37.52 ,$89.11 ,$30.20 ,$93.80 ,$30.20 ,$84.42 ,$84.42 ,$30.20 ,$84.42 ,$62.26 ,$123.28 , N/A ,$30.20 ,$113.90 ,$112.56 ,$30.20 ,$100.50 ,$107.20 ,$107.20 ,$30.20 ,$107.20 ,$116.58 ,$116.58 ,$116.58 ,$120.60 ,$77.05 ,$30.20 ,$134.00 ,$75.17 ,$30.20 ,$55.48 ,$33.96 ,$32.41 ,$31.71 ,$113.90 ,$84.42 ,$37.52 ,$120.60 ,$116.58 ,$107.20 ,$107.20 ,$30.20 ,$87.10 ST. FRANCIS HOSPITAL - ACUTE,31200293,88332,HC CONSULT PATH SURG ADDL FROZEN,312,1 ,$175.00 ,$126.00 ,$26.21 ,$175.00 ,$100.63 ,$126.00 ,$95.20 ,$39.44 ,$49.00 ,$116.38 ,$39.44 ,$122.50 ,$39.44 ,$110.25 ,$110.25 ,$39.44 ,$110.25 ,$81.31 ,$161.00 , N/A ,$39.44 ,$148.75 ,$147.00 ,$39.44 ,$131.25 ,$140.00 ,$140.00 ,$39.44 ,$140.00 ,$152.25 ,$152.25 ,$152.25 ,$157.50 ,$100.63 ,$39.44 ,$26.21 ,$98.18 ,$39.44 ,$72.45 ,$33.96 ,$32.41 ,$41.41 ,$148.75 ,$110.25 ,$49.00 ,$157.50 ,$152.25 ,$140.00 ,$140.00 ,$39.44 ,$113.75 ST. FRANCIS HOSPITAL - ACUTE,31200294,88331,HC CONSULT PATH SURG W/FROZEN,312,1 ,$312.00 ,$224.64 ,$32.41 ,$393.13 ,$179.40 ,$224.64 ,$169.73 ,$70.32 ,$87.36 ,$207.48 ,$70.32 ,$218.40 ,$70.32 ,$196.56 ,$196.56 ,$70.32 ,$196.56 ,$144.96 ,$287.04 ,$393.13 ,$70.32 ,$265.20 ,$262.08 ,$70.32 ,$234.00 ,$249.60 ,$249.60 ,$70.32 ,$249.60 ,$271.44 ,$271.44 ,$271.44 ,$280.80 ,$179.40 ,$70.32 ,$43.37 ,$175.03 ,$70.32 ,$129.17 ,$33.96 ,$32.41 ,$73.84 ,$265.20 ,$196.56 ,$87.36 ,$280.80 ,$271.44 ,$249.60 ,$249.60 ,$70.32 ,$202.80 ST. FRANCIS HOSPITAL - ACUTE,31200295,88323,HC CONSULT/SLIDE PREP,312,1 ,$216.00 ,$155.52 ,$32.41 ,$216.00 ,$124.20 ,$155.52 ,$117.50 ,$48.69 ,$60.48 ,$143.64 ,$48.69 ,$151.20 ,$48.69 ,$136.08 ,$136.08 ,$48.69 ,$136.08 ,$100.35 ,$198.72 ,$125.35 ,$48.69 ,$183.60 ,$181.44 ,$48.69 ,$162.00 ,$172.80 ,$172.80 ,$48.69 ,$172.80 ,$187.92 ,$187.92 ,$187.92 ,$194.40 ,$124.20 ,$48.69 ,$216.00 ,$121.18 ,$48.69 ,$89.42 ,$33.96 ,$32.41 ,$51.12 ,$183.60 ,$136.08 ,$60.48 ,$194.40 ,$187.92 ,$172.80 ,$172.80 ,$48.69 ,$140.40 ST. FRANCIS HOSPITAL - ACUTE,31200296,88311,HC DECALCIFICATION,312,1 ,$76.00 ,$54.72 ,$17.13 ,$76.00 ,$43.70 ,$54.72 ,$41.34 ,$17.13 ,$21.28 ,$50.54 ,$17.13 ,$53.20 ,$17.13 ,$47.88 ,$47.88 ,$17.13 ,$47.88 ,$35.31 ,$69.92 , N/A ,$17.13 ,$64.60 ,$63.84 ,$17.13 ,$57.00 ,$60.80 ,$60.80 ,$17.13 ,$60.80 ,$66.12 ,$66.12 ,$66.12 ,$68.40 ,$43.70 ,$17.13 ,$76.00 ,$42.64 ,$17.13 ,$31.46 ,$33.96 ,$32.41 ,$17.98 ,$64.60 ,$47.88 ,$21.28 ,$68.40 ,$66.12 ,$60.80 ,$60.80 ,$17.13 ,$49.40 ST. FRANCIS HOSPITAL - ACUTE,31200297,88302,HC GROSS AND MICRO LEVEL II,312,1 ,$257.00 ,$185.04 ,$32.41 ,$257.00 ,$147.78 ,$185.04 ,$139.81 ,$57.93 ,$71.96 ,$170.91 ,$57.93 ,$179.90 ,$57.93 ,$161.91 ,$161.91 ,$57.93 ,$161.91 ,$119.40 ,$236.44 ,$62.40 ,$57.93 ,$218.45 ,$215.88 ,$57.93 ,$192.75 ,$205.60 ,$205.60 ,$57.93 ,$205.60 ,$223.59 ,$223.59 ,$223.59 ,$231.30 ,$147.78 ,$57.93 ,$257.00 ,$144.18 ,$57.93 ,$106.40 ,$33.96 ,$32.41 ,$60.83 ,$218.45 ,$161.91 ,$71.96 ,$231.30 ,$223.59 ,$205.60 ,$205.60 ,$57.93 ,$167.05 ST. FRANCIS HOSPITAL - ACUTE,31200298,88304,HC GROSS AND MICRO LEVEL III,312,1 ,$313.00 ,$225.36 ,$32.41 ,$313.00 ,$179.98 ,$225.36 ,$170.27 ,$70.55 ,$87.64 ,$208.15 ,$70.55 ,$219.10 ,$70.55 ,$197.19 ,$197.19 ,$70.55 ,$197.19 ,$145.42 ,$287.96 ,$125.35 ,$70.55 ,$266.05 ,$262.92 ,$70.55 ,$234.75 ,$250.40 ,$250.40 ,$70.55 ,$250.40 ,$272.31 ,$272.31 ,$272.31 ,$281.70 ,$179.98 ,$70.55 ,$313.00 ,$175.59 ,$70.55 ,$129.58 ,$33.96 ,$32.41 ,$74.08 ,$266.05 ,$197.19 ,$87.64 ,$281.70 ,$272.31 ,$250.40 ,$250.40 ,$70.55 ,$203.45 ST. FRANCIS HOSPITAL - ACUTE,31200299,88305,HC GROSS AND MICRO LEVEL IV,312,1 ,$387.00 ,$278.64 ,$32.41 ,$387.00 ,$222.53 ,$278.64 ,$210.53 ,$87.23 ,$108.36 ,$257.36 ,$87.23 ,$270.90 ,$87.23 ,$243.81 ,$243.81 ,$87.23 ,$243.81 ,$179.80 ,$356.04 ,$125.35 ,$87.23 ,$328.95 ,$325.08 ,$87.23 ,$290.25 ,$309.60 ,$309.60 ,$87.23 ,$309.60 ,$336.69 ,$336.69 ,$336.69 ,$348.30 ,$222.53 ,$87.23 ,$36.72 ,$217.11 ,$87.23 ,$160.22 ,$33.96 ,$32.41 ,$91.59 ,$328.95 ,$243.81 ,$108.36 ,$348.30 ,$336.69 ,$309.60 ,$309.60 ,$87.23 ,$251.55 ST. FRANCIS HOSPITAL - ACUTE,31200300,88307,HC GROSS AND MICRO LEVEL V,312,1 ,$825.00 ,$594.00 ,$35.66 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$500.00 ,$810.28 ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$220.02 ,$462.83 ,$185.95 ,$341.55 ,$37.36 ,$35.66 ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,31200301,88309,HC GROSS AND MICRO LEVEL VI,312,1 ,"$1,189.00 ",$856.08 ,$35.66 ,"$1,941.28 ",$683.68 ,$856.08 ,$646.82 ,$268.00 ,$332.92 ,$790.69 ,$268.00 ,$832.30 ,$268.00 ,$749.07 ,$749.07 ,$268.00 ,$749.07 ,$552.41 ,$500.00 ,"$1,941.28 ",$268.00 ,"$1,010.65 ",$998.76 ,$268.00 ,$891.75 ,$951.20 ,$951.20 ,$268.00 ,$951.20 ,"$1,034.43 ","$1,034.43 ","$1,034.43 ","$1,070.10 ",$683.68 ,$268.00 ,"$1,189.00 ",$667.03 ,$268.00 ,$492.25 ,$37.36 ,$35.66 ,$281.40 ,"$1,010.65 ",$749.07 ,$332.92 ,"$1,070.10 ","$1,034.43 ",$951.20 ,$951.20 ,$268.00 ,$772.85 ST. FRANCIS HOSPITAL - ACUTE,31200302,88300,HC GROSS ONLY LEVEL I,312,1 ,$122.00 ,$87.84 ,$27.50 ,$122.00 ,$70.15 ,$87.84 ,$66.37 ,$27.50 ,$34.16 ,$81.13 ,$27.50 ,$85.40 ,$27.50 ,$76.86 ,$76.86 ,$27.50 ,$76.86 ,$56.68 ,$112.24 ,$62.40 ,$27.50 ,$103.70 ,$102.48 ,$27.50 ,$91.50 ,$97.60 ,$97.60 ,$27.50 ,$97.60 ,$106.14 ,$106.14 ,$106.14 ,$109.80 ,$70.15 ,$27.50 ,$122.00 ,$68.44 ,$27.50 ,$50.51 ,$33.96 ,$32.41 ,$28.87 ,$103.70 ,$76.86 ,$34.16 ,$109.80 ,$106.14 ,$97.60 ,$97.60 ,$27.50 ,$79.30 ST. FRANCIS HOSPITAL - ACUTE,31200303,88312,HC SPECIAL STAIN I,312,1 ,$104.00 ,$74.88 ,$23.44 ,$125.35 ,$59.80 ,$74.88 ,$56.58 ,$23.44 ,$29.12 ,$69.16 ,$23.44 ,$72.80 ,$23.44 ,$65.52 ,$65.52 ,$23.44 ,$65.52 ,$48.32 ,$95.68 ,$125.35 ,$23.44 ,$88.40 ,$87.36 ,$23.44 ,$78.00 ,$83.20 ,$83.20 ,$23.44 ,$83.20 ,$90.48 ,$90.48 ,$90.48 ,$93.60 ,$59.80 ,$23.44 ,$104.00 ,$58.34 ,$23.44 ,$43.06 ,$33.96 ,$32.41 ,$24.62 ,$88.40 ,$65.52 ,$29.12 ,$93.60 ,$90.48 ,$83.20 ,$83.20 ,$23.44 ,$67.60 ST. FRANCIS HOSPITAL - ACUTE,31200304,88313,HC SPECIAL STAIN II,312,1 ,$83.00 ,$59.76 ,$18.71 ,$84.90 ,$47.73 ,$59.76 ,$45.15 ,$18.71 ,$23.24 ,$55.20 ,$18.71 ,$58.10 ,$18.71 ,$52.29 ,$52.29 ,$18.71 ,$52.29 ,$38.56 ,$76.36 ,$84.90 ,$18.71 ,$70.55 ,$69.72 ,$18.71 ,$62.25 ,$66.40 ,$66.40 ,$18.71 ,$66.40 ,$72.21 ,$72.21 ,$72.21 ,$74.70 ,$47.73 ,$18.71 ,$83.00 ,$46.56 ,$18.71 ,$34.36 ,$33.96 ,$32.41 ,$19.64 ,$70.55 ,$52.29 ,$23.24 ,$74.70 ,$72.21 ,$66.40 ,$66.40 ,$18.71 ,$53.95 ST. FRANCIS HOSPITAL - ACUTE,31200305,88342,HC IMMUNOHISOCHEMIST EA AB REPEAT,312,1 ,$340.00 ,$244.80 ,$32.41 ,$393.13 ,$195.50 ,$244.80 ,$184.96 ,$76.64 ,$95.20 ,$226.10 ,$76.64 ,$238.00 ,$76.64 ,$214.20 ,$214.20 ,$76.64 ,$214.20 ,$157.96 ,$312.80 ,$393.13 ,$76.64 ,$289.00 ,$285.60 ,$76.64 ,$255.00 ,$272.00 ,$272.00 ,$76.64 ,$272.00 ,$295.80 ,$295.80 ,$295.80 ,$306.00 ,$195.50 ,$76.64 ,$69.27 ,$190.74 ,$76.64 ,$140.76 ,$33.96 ,$32.41 ,$80.47 ,$289.00 ,$214.20 ,$95.20 ,$306.00 ,$295.80 ,$272.00 ,$272.00 ,$76.64 ,$221.00 ST. FRANCIS HOSPITAL - ACUTE,31200306,88344,HC IMMUNOHISTOCHEM EA AB STAIN,312,1 ,$765.00 ,$550.80 ,$32.41 ,$810.28 ,$439.88 ,$550.80 ,$416.16 ,$172.43 ,$214.20 ,$508.73 ,$172.43 ,$535.50 ,$172.43 ,$481.95 ,$481.95 ,$172.43 ,$481.95 ,$355.42 ,$500.00 ,$810.28 ,$172.43 ,$650.25 ,$642.60 ,$172.43 ,$573.75 ,$612.00 ,$612.00 ,$172.43 ,$612.00 ,$665.55 ,$665.55 ,$665.55 ,$688.50 ,$439.88 ,$172.43 ,$765.00 ,$429.17 ,$172.43 ,$316.71 ,$33.96 ,$32.41 ,$181.05 ,$650.25 ,$481.95 ,$214.20 ,$688.50 ,$665.55 ,$612.00 ,$612.00 ,$172.43 ,$497.25 ST. FRANCIS HOSPITAL - ACUTE,31200307,88341,HC IMMUNOHISOCHEMIS EA AD SGL STN,312,1 ,$306.00 ,$220.32 ,$32.41 ,$306.00 ,$175.95 ,$220.32 ,$166.46 ,$68.97 ,$85.68 ,$203.49 ,$68.97 ,$214.20 ,$68.97 ,$192.78 ,$192.78 ,$68.97 ,$192.78 ,$142.17 ,$281.52 , N/A ,$68.97 ,$260.10 ,$257.04 ,$68.97 ,$229.50 ,$244.80 ,$244.80 ,$68.97 ,$244.80 ,$266.22 ,$266.22 ,$266.22 ,$275.40 ,$175.95 ,$68.97 ,$61.26 ,$171.67 ,$68.97 ,$126.68 ,$33.96 ,$32.41 ,$72.42 ,$260.10 ,$192.78 ,$85.68 ,$275.40 ,$266.22 ,$244.80 ,$244.80 ,$68.97 ,$198.90 ST. FRANCIS HOSPITAL - ACUTE,31200308,88112,HC CYTOPATH CELL ENHANCE,311,1 ,$185.00 ,$133.20 ,$35.66 ,$185.00 ,$106.38 ,$133.20 ,$100.64 ,$41.70 ,$51.80 ,$123.03 ,$41.70 ,$129.50 ,$41.70 ,$116.55 ,$116.55 ,$41.70 ,$116.55 ,$85.95 ,$170.20 ,$125.35 ,$41.70 ,$157.25 ,$155.40 ,$41.70 ,$138.75 ,$148.00 ,$148.00 ,$41.70 ,$148.00 ,$160.95 ,$160.95 ,$160.95 ,$166.50 ,$106.38 ,$41.70 ,$185.00 ,$103.79 ,$41.70 ,$76.59 ,$37.36 ,$35.66 ,$43.79 ,$157.25 ,$116.55 ,$51.80 ,$166.50 ,$160.95 ,$148.00 ,$148.00 ,$41.70 ,$120.25 ST. FRANCIS HOSPITAL - ACUTE,31200309,88363,HC EXAM ARCHIVE TISS MOL ANLYS,312,1 ,$27.00 ,$19.44 ,$6.09 ,$62.40 ,$15.53 ,$19.44 ,$14.69 ,$6.09 ,$7.56 ,$17.96 ,$6.09 ,$18.90 ,$6.09 ,$17.01 ,$17.01 ,$6.09 ,$17.01 ,$12.54 ,$24.84 ,$62.40 ,$6.09 ,$22.95 ,$22.68 ,$6.09 ,$20.25 ,$21.60 ,$21.60 ,$6.09 ,$21.60 ,$23.49 ,$23.49 ,$23.49 ,$24.30 ,$15.53 ,$6.09 ,$27.00 ,$15.15 ,$6.09 ,$11.18 ,$33.96 ,$32.41 ,$6.39 ,$22.95 ,$17.01 ,$7.56 ,$24.30 ,$23.49 ,$21.60 ,$21.60 ,$6.09 ,$17.55 ST. FRANCIS HOSPITAL - ACUTE,32000009,23350,HC ARTHROGRAM INJ SHOULDER,320,1 ,$172.00 ,$123.84 ,$38.77 ,$172.00 ,$98.90 ,$123.84 ,$93.57 ,$38.77 ,$48.16 ,$114.38 ,$38.77 ,$120.40 ,$38.77 ,$108.36 ,$108.36 ,$38.77 ,$108.36 ,$79.91 ,$158.24 , N/A ,$38.77 ,$146.20 ,$144.48 ,$38.77 ,$129.00 ,$137.60 ,$137.60 ,$38.77 ,$137.60 ,$149.64 ,$149.64 ,$149.64 ,$154.80 ,$98.90 ,$38.77 ,$172.00 ,$96.49 ,$38.77 ,$71.21 , N/A , N/A ,$40.71 ,$146.20 ,$108.36 ,$48.16 ,$154.80 ,$149.64 ,$137.60 ,$137.60 ,$38.77 ,$111.80 ST. FRANCIS HOSPITAL - ACUTE,32000011,25246,HC ARTHROGRAM INJ WRIST,320,1 ,$172.00 ,$123.84 ,$38.77 ,$366.26 ,$98.90 ,$123.84 ,$93.57 ,$38.77 ,$48.16 ,$114.38 ,$38.77 ,$120.40 ,$38.77 ,$108.36 ,$108.36 ,$38.77 ,$108.36 ,$79.91 ,$158.24 , N/A ,$38.77 ,$146.20 ,$144.48 ,$38.77 ,$129.00 ,$137.60 ,$137.60 ,$38.77 ,$137.60 ,$149.64 ,$149.64 ,$149.64 ,$154.80 ,$98.90 ,$38.77 ,$172.00 ,$96.49 ,$38.77 ,$71.21 ,$366.26 ,$349.61 ,$40.71 ,$146.20 ,$108.36 ,$48.16 ,$154.80 ,$149.64 ,$137.60 ,$137.60 ,$38.77 ,$111.80 ST. FRANCIS HOSPITAL - ACUTE,32000012,27093,HC INJ ARTHROGRAM HIP W/O,320,1 ,$181.00 ,$130.32 ,$40.80 ,$366.26 ,$104.08 ,$130.32 ,$98.46 ,$40.80 ,$50.68 ,$120.37 ,$40.80 ,$126.70 ,$40.80 ,$114.03 ,$114.03 ,$40.80 ,$114.03 ,$84.09 ,$166.52 , N/A ,$40.80 ,$153.85 ,$152.04 ,$40.80 ,$135.75 ,$144.80 ,$144.80 ,$40.80 ,$144.80 ,$157.47 ,$157.47 ,$157.47 ,$162.90 ,$104.08 ,$40.80 ,$181.00 ,$101.54 ,$40.80 ,$74.93 ,$366.26 ,$349.61 ,$42.84 ,$153.85 ,$114.03 ,$50.68 ,$162.90 ,$157.47 ,$144.80 ,$144.80 ,$40.80 ,$117.65 ST. FRANCIS HOSPITAL - ACUTE,32000015,27369,HC ARTHROGRAM INJ KNEE,320,1 ,$444.00 ,$319.68 ,$100.08 ,$444.00 ,$255.30 ,$319.68 ,$241.54 ,$100.08 ,$124.32 ,$295.26 ,$100.08 ,$310.80 ,$100.08 ,$279.72 ,$279.72 ,$100.08 ,$279.72 ,$206.28 ,$408.48 , N/A ,$100.08 ,$377.40 ,$372.96 ,$100.08 ,$333.00 ,$355.20 ,$355.20 ,$100.08 ,$355.20 ,$386.28 ,$386.28 ,$386.28 ,$399.60 ,$255.30 ,$100.08 ,$444.00 ,$249.08 ,$100.08 ,$183.82 , N/A , N/A ,$105.09 ,$377.40 ,$279.72 ,$124.32 ,$399.60 ,$386.28 ,$355.20 ,$355.20 ,$100.08 ,$288.60 ST. FRANCIS HOSPITAL - ACUTE,32000019,32551,HC CHEST TUBE INSERTION 32551,320,1 ,$895.00 ,$644.40 ,$201.73 ,"$3,719.63 ",$514.63 ,$644.40 ,$486.88 ,$201.73 ,$250.60 ,$595.18 ,$201.73 ,$626.50 ,$201.73 ,$563.85 ,$563.85 ,$201.73 ,$563.85 ,$415.82 ,$800.00 ,"$3,719.63 ",$201.73 ,$760.75 ,$751.80 ,$201.73 ,$671.25 ,$716.00 ,$716.00 ,$201.73 ,$716.00 ,$778.65 ,$778.65 ,$778.65 ,$805.50 ,$514.63 ,$201.73 ,$895.00 ,$502.10 ,$201.73 ,$370.53 ,$729.83 ,$696.65 ,$211.82 ,$760.75 ,$563.85 ,$250.60 ,$805.50 ,$778.65 ,$716.00 ,$716.00 ,$201.73 ,$581.75 ST. FRANCIS HOSPITAL - ACUTE,32000026,36000,HC IV START > 3YR OLD,320,1 ,$48.00 ,$34.56 ,$10.82 ,$294.28 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 , N/A ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 ,$294.28 ,$280.91 ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,32000029,36410,HC VENIPUNCTURE > AGE 3 REQUIR MD,361,1 ,$291.00 ,$209.52 ,$48.81 ,$291.00 ,$167.33 ,$209.52 ,$158.30 ,$65.59 ,$81.48 ,$193.52 ,$65.59 ,$203.70 ,$65.59 ,$183.33 ,$183.33 ,$65.59 ,$183.33 ,$135.20 , N/A , N/A ,$65.59 ,$247.35 ,$244.44 ,$65.59 ,$218.25 ,$232.80 ,$232.80 ,$65.59 ,$232.80 ,$253.17 ,$253.17 ,$253.17 ,$261.90 ,$167.33 ,$65.59 ,$291.00 ,$163.25 ,$65.59 ,$120.47 ,$51.14 ,$48.81 ,$68.87 ,$247.35 ,$183.33 ,$81.48 ,$261.90 ,$253.17 ,$232.80 ,$232.80 ,$65.59 ,$189.15 ST. FRANCIS HOSPITAL - ACUTE,32000030,36598,HC CONTRAST INJ CV CATH W/FLUORO,320,1 ,$357.00 ,$257.04 ,$80.47 ,"$1,795.74 ",$205.28 ,$257.04 ,$194.21 ,$80.47 ,$99.96 ,$237.41 ,$80.47 ,$249.90 ,$80.47 ,$224.91 ,$224.91 ,$80.47 ,$224.91 ,$165.86 ,$328.44 ,$516.43 ,$80.47 ,$303.45 ,$299.88 ,$80.47 ,$267.75 ,$285.60 ,$285.60 ,$80.47 ,$285.60 ,$310.59 ,$310.59 ,$310.59 ,$321.30 ,$205.28 ,$80.47 ,$357.00 ,$200.28 ,$80.47 ,$147.80 ,"$1,795.74 ","$1,714.11 ",$84.50 ,$303.45 ,$224.91 ,$99.96 ,$321.30 ,$310.59 ,$285.60 ,$285.60 ,$80.47 ,$232.05 ST. FRANCIS HOSPITAL - ACUTE,32000035,43752,HC PLACE TUBE NASOGASTRIC,320,1 ,$186.00 ,$133.92 ,$41.92 ,$943.93 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 ,$943.93 ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$186.00 ,$104.35 ,$41.92 ,$77.00 ,$635.26 ,$606.39 ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 ,$148.80 ,$148.80 ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,32000060,49450,HC RPLC G/CEC/OTH TB UNDER FLUORO,320,1 ,"$2,582.00 ","$1,859.04 ",$581.98 ,"$2,582.00 ","$1,484.65 ","$1,859.04 ","$1,404.61 ",$581.98 ,$722.96 ,"$1,717.03 ",$581.98 ,"$1,807.40 ",$581.98 ,"$1,626.66 ","$1,626.66 ",$581.98 ,"$1,626.66 ","$1,199.60 ",$800.00 ,"$2,063.78 ",$581.98 ,"$2,194.70 ","$2,168.88 ",$581.98 ,"$1,936.50 ","$2,065.60 ","$2,065.60 ",$581.98 ,"$2,065.60 ","$2,246.34 ","$2,246.34 ","$2,246.34 ","$2,323.80 ","$1,484.65 ",$581.98 ,"$2,582.00 ","$1,448.50 ",$581.98 ,"$1,068.95 ",$635.26 ,$606.39 ,$611.08 ,"$2,194.70 ","$1,626.66 ",$722.96 ,"$2,323.80 ","$2,246.34 ","$2,065.60 ","$2,065.60 ",$581.98 ,"$1,678.30 " ST. FRANCIS HOSPITAL - ACUTE,32000061,49451,HC RPLC DUODEN/JEJUN TB FLUORO,320,1 ,$383.00 ,$275.76 ,$86.33 ,"$2,063.78 ",$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$254.70 ,$86.33 ,$268.10 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,"$2,063.78 ",$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$635.26 ,$606.39 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,32000062,49452,HC RPLC GASTRO-JEJUN TB FLUORO,361,1 ,$383.00 ,$275.76 ,$86.33 ,"$2,063.78 ",$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$254.70 ,$86.33 ,$268.10 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,"$2,063.78 ",$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$635.26 ,$606.39 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,32000063,49465,HC INJ CNTR W/FLUOR EVAL G/D/J TB,320,1 ,$445.00 ,$320.40 ,$100.30 ,$583.80 ,$255.88 ,$320.40 ,$242.08 ,$100.30 ,$124.60 ,$295.93 ,$100.30 ,$311.50 ,$100.30 ,$280.35 ,$280.35 ,$100.30 ,$280.35 ,$206.75 ,$409.40 ,$583.80 ,$100.30 ,$378.25 ,$373.80 ,$100.30 ,$333.75 ,$356.00 ,$356.00 ,$100.30 ,$356.00 ,$387.15 ,$387.15 ,$387.15 ,$400.50 ,$255.88 ,$100.30 ,$445.00 ,$249.65 ,$100.30 ,$184.23 ,$366.26 ,$349.61 ,$105.32 ,$378.25 ,$280.35 ,$124.60 ,$400.50 ,$387.15 ,$356.00 ,$356.00 ,$100.30 ,$289.25 ST. FRANCIS HOSPITAL - ACUTE,32000085,51600,HC INJ CYSTOGRAM,320,1 ,$172.00 ,$123.84 ,$38.77 ,$366.26 ,$98.90 ,$123.84 ,$93.57 ,$38.77 ,$48.16 ,$114.38 ,$38.77 ,$120.40 ,$38.77 ,$108.36 ,$108.36 ,$38.77 ,$108.36 ,$79.91 ,$158.24 , N/A ,$38.77 ,$146.20 ,$144.48 ,$38.77 ,$129.00 ,$137.60 ,$137.60 ,$38.77 ,$137.60 ,$149.64 ,$149.64 ,$149.64 ,$154.80 ,$98.90 ,$38.77 ,$172.00 ,$96.49 ,$38.77 ,$71.21 ,$366.26 ,$349.61 ,$40.71 ,$146.20 ,$108.36 ,$48.16 ,$154.80 ,$149.64 ,$137.60 ,$137.60 ,$38.77 ,$111.80 ST. FRANCIS HOSPITAL - ACUTE,32000086,51610,HC INJ URETHROCYSTOGRAM RETRO,320,1 ,$112.00 ,$80.64 ,$25.24 ,$366.26 ,$64.40 ,$80.64 ,$60.93 ,$25.24 ,$31.36 ,$74.48 ,$25.24 ,$78.40 ,$25.24 ,$70.56 ,$70.56 ,$25.24 ,$70.56 ,$52.04 ,$103.04 , N/A ,$25.24 ,$95.20 ,$94.08 ,$25.24 ,$84.00 ,$89.60 ,$89.60 ,$25.24 ,$89.60 ,$97.44 ,$97.44 ,$97.44 ,$100.80 ,$64.40 ,$25.24 ,$112.00 ,$62.83 ,$25.24 ,$46.37 ,$366.26 ,$349.61 ,$26.51 ,$95.20 ,$70.56 ,$31.36 ,$100.80 ,$97.44 ,$89.60 ,$89.60 ,$25.24 ,$72.80 ST. FRANCIS HOSPITAL - ACUTE,32000087,58340,HC CATH/INTRO SALINE/CONTRAST SIS,320,1 ,$172.00 ,$123.84 ,$38.77 ,$366.26 ,$98.90 ,$123.84 ,$93.57 ,$38.77 ,$48.16 ,$114.38 ,$38.77 ,$120.40 ,$38.77 ,$108.36 ,$108.36 ,$38.77 ,$108.36 ,$79.91 ,$158.24 , N/A ,$38.77 ,$146.20 ,$144.48 ,$38.77 ,$129.00 ,$137.60 ,$137.60 ,$38.77 ,$137.60 ,$149.64 ,$149.64 ,$149.64 ,$154.80 ,$98.90 ,$38.77 ,$172.00 ,$96.49 ,$38.77 ,$71.21 ,$366.26 ,$349.61 ,$40.71 ,$146.20 ,$108.36 ,$48.16 ,$154.80 ,$149.64 ,$137.60 ,$137.60 ,$38.77 ,$111.80 ST. FRANCIS HOSPITAL - ACUTE,32000098,70030,HC XRAY EYE (FOREIGN BODY),320,1 ,$698.00 ,$502.56 ,$56.05 ,$698.00 ,$401.35 ,$502.56 ,$379.71 ,$157.33 ,$195.44 ,$349.93 ,$157.33 ,$366.86 ,$157.33 ,$439.74 ,$439.74 ,$157.33 ,$439.74 ,$324.29 ,$642.16 ,$217.20 ,$157.33 ,$593.30 ,$586.32 ,$157.33 ,$523.50 ,$558.40 ,$558.40 ,$157.33 ,$558.40 ,$607.26 ,$607.26 ,$607.26 ,$628.20 ,$401.35 ,$157.33 ,$698.00 ,$391.58 ,$157.33 ,$288.97 ,$58.72 ,$56.05 ,$165.20 ,$593.30 ,$439.74 ,$195.44 ,$628.20 ,$607.26 ,$558.40 ,$558.40 ,$157.33 ,$453.70 ST. FRANCIS HOSPITAL - ACUTE,32000100,70110,HC MANDIBLE MIN 4 VIEWS,320,1 ,"$1,167.00 ",$840.24 ,$56.05 ,"$1,167.00 ",$671.03 ,$840.24 ,$634.85 ,$263.04 ,$326.76 ,$450.12 ,$263.04 ,$471.90 ,$263.04 ,$735.21 ,$735.21 ,$263.04 ,$735.21 ,$542.19 ,$800.00 ,$267.20 ,$263.04 ,$991.95 ,$980.28 ,$263.04 ,$875.25 ,$933.60 ,$933.60 ,$263.04 ,$933.60 ,"$1,015.29 ","$1,015.29 ","$1,015.29 ","$1,050.30 ",$671.03 ,$263.04 ,"$1,167.00 ",$654.69 ,$263.04 ,$483.14 ,$58.72 ,$56.05 ,$276.19 ,$991.95 ,$735.21 ,$326.76 ,"$1,050.30 ","$1,015.29 ",$933.60 ,$933.60 ,$263.04 ,$758.55 ST. FRANCIS HOSPITAL - ACUTE,32000104,70150,HC FACIAL BONES MIN 3 VIEWS,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$500.22 ,$198.58 ,$524.42 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$267.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000105,70160,HC NASAL BONES MIN 3 VIEWS,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000106,70200,HC XRAY ORBITS (EYE) (MIN 4 V),320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$500.22 ,$198.58 ,$524.42 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$267.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000107,70210,HC XRAY SINUS WATERS VIEW,320,1 ,$316.00 ,$227.52 ,$56.05 ,$316.00 ,$181.70 ,$227.52 ,$171.90 ,$71.23 ,$88.48 ,$210.14 ,$71.23 ,$221.20 ,$71.23 ,$199.08 ,$199.08 ,$71.23 ,$199.08 ,$146.81 ,$290.72 ,$217.20 ,$71.23 ,$268.60 ,$265.44 ,$71.23 ,$237.00 ,$252.80 ,$252.80 ,$71.23 ,$252.80 ,$274.92 ,$274.92 ,$274.92 ,$284.40 ,$181.70 ,$71.23 ,$316.00 ,$177.28 ,$71.23 ,$130.82 ,$58.72 ,$56.05 ,$74.78 ,$268.60 ,$199.08 ,$88.48 ,$284.40 ,$274.92 ,$252.80 ,$252.80 ,$71.23 ,$205.40 ST. FRANCIS HOSPITAL - ACUTE,32000108,70220,HC SINUSES MIN 3 VIEWS,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$443.80 ,$198.58 ,$465.27 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$217.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000110,70250,HC SKULL LESS THAN 4 VIEWS,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$267.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000112,70260,HC SKULL MIN 4 VIEWS,320,1 ,$899.00 ,$647.28 ,$56.05 ,$899.00 ,$516.93 ,$647.28 ,$489.06 ,$202.63 ,$251.72 ,$500.22 ,$202.63 ,$524.42 ,$202.63 ,$566.37 ,$566.37 ,$202.63 ,$566.37 ,$417.68 ,$800.00 ,$267.20 ,$202.63 ,$764.15 ,$755.16 ,$202.63 ,$674.25 ,$719.20 ,$719.20 ,$202.63 ,$719.20 ,$782.13 ,$782.13 ,$782.13 ,$809.10 ,$516.93 ,$202.63 ,$899.00 ,$504.34 ,$202.63 ,$372.19 ,$58.72 ,$56.05 ,$212.77 ,$764.15 ,$566.37 ,$251.72 ,$809.10 ,$782.13 ,$719.20 ,$719.20 ,$202.63 ,$584.35 ST. FRANCIS HOSPITAL - ACUTE,32000113,70330,HC TEMPOROMANDIBULAR JOINTS BILAT,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$585.87 ,$198.58 ,$616.70 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$217.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000114,70336,HC MRI TMJ,320,1 ,"$3,824.00 ","$2,753.28 ",$235.46 ,"$3,824.00 ","$2,198.80 ","$2,753.28 ","$2,080.26 ",$861.93 ,"$1,070.72 ","$2,542.96 ",$861.93 ,"$2,676.80 ",$861.93 ,"$2,409.12 ","$2,409.12 ",$861.93 ,"$2,409.12 ","$1,776.63 ",$800.00 ,$583.80 ,$861.93 ,"$3,250.40 ","$3,212.16 ",$861.93 ,"$2,868.00 ","$3,059.20 ","$3,059.20 ",$861.93 ,"$3,059.20 ","$3,326.88 ","$3,326.88 ","$3,326.88 ","$3,441.60 ","$2,198.80 ",$861.93 ,"$3,824.00 ","$2,145.26 ",$861.93 ,"$1,583.14 ",$246.68 ,$235.46 ,$905.03 ,"$3,250.40 ","$2,409.12 ","$1,070.72 ","$3,441.60 ","$3,326.88 ","$3,059.20 ","$3,059.20 ",$861.93 ,"$2,485.60 " ST. FRANCIS HOSPITAL - ACUTE,32000116,70360,HC XRAY NECK SOFT TISSUE,320,1 ,$140.00 ,$100.80 ,$31.56 ,$217.20 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$93.10 ,$31.56 ,$98.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 ,$217.20 ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$58.72 ,$56.05 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,32000121,71045,HC XR CHEST 1V,320,1 ,$351.00 ,$252.72 ,$18.51 ,$351.00 ,$201.83 ,$252.72 ,$190.94 ,$79.12 ,$98.28 ,$193.32 ,$79.12 ,$202.67 ,$79.12 ,$221.13 ,$221.13 ,$79.12 ,$221.13 ,$163.07 ,$322.92 ,$217.20 ,$79.12 ,$298.35 ,$294.84 ,$79.12 ,$263.25 ,$280.80 ,$280.80 ,$79.12 ,$280.80 ,$305.37 ,$305.37 ,$305.37 ,$315.90 ,$201.83 ,$79.12 ,$18.51 ,$196.91 ,$79.12 ,$145.31 ,$58.72 ,$56.05 ,$83.07 ,$298.35 ,$221.13 ,$98.28 ,$315.90 ,$305.37 ,$280.80 ,$280.80 ,$79.12 ,$228.15 ST. FRANCIS HOSPITAL - ACUTE,32000127,71046,HC XR CHEST 2V,320,1 ,$441.00 ,$317.52 ,$24.81 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$217.20 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$24.81 ,$247.40 ,$99.40 ,$182.57 ,$58.72 ,$56.05 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,32000130,71047,HC XR CHEST 2V W/LORDOTIC,320,1 ,$441.00 ,$317.52 ,$56.05 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$217.20 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 ,$58.72 ,$56.05 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,32000133,71048,HC XR CHEST 4+V,320,1 ,$485.00 ,$349.20 ,$56.05 ,$485.00 ,$278.88 ,$349.20 ,$263.84 ,$109.32 ,$135.80 ,$322.53 ,$109.32 ,$339.50 ,$109.32 ,$305.55 ,$305.55 ,$109.32 ,$305.55 ,$225.33 ,$446.20 ,$267.20 ,$109.32 ,$412.25 ,$407.40 ,$109.32 ,$363.75 ,$388.00 ,$388.00 ,$109.32 ,$388.00 ,$421.95 ,$421.95 ,$421.95 ,$436.50 ,$278.88 ,$109.32 ,$485.00 ,$272.09 ,$109.32 ,$200.79 ,$58.72 ,$56.05 ,$114.79 ,$412.25 ,$305.55 ,$135.80 ,$436.50 ,$421.95 ,$388.00 ,$388.00 ,$109.32 ,$315.25 ST. FRANCIS HOSPITAL - ACUTE,32000135,71046,HC XR CHEST SPECIAL VIEWS,320,1 ,$441.00 ,$317.52 ,$24.81 ,$441.00 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$217.20 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$24.81 ,$247.40 ,$99.40 ,$182.57 ,$58.72 ,$56.05 ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,32000137,71100,HC XR RIBS 2V UNI,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000138,71101,HC XR RIBS W/CXR 3+V UNI,320,1 ,$750.00 ,$540.00 ,$56.05 ,$750.00 ,$431.25 ,$540.00 ,$408.00 ,$169.05 ,$210.00 ,$437.60 ,$169.05 ,$458.77 ,$169.05 ,$472.50 ,$472.50 ,$169.05 ,$472.50 ,$348.45 ,$690.00 ,$267.20 ,$169.05 ,$637.50 ,$630.00 ,$169.05 ,$562.50 ,$600.00 ,$600.00 ,$169.05 ,$600.00 ,$652.50 ,$652.50 ,$652.50 ,$675.00 ,$431.25 ,$169.05 ,$750.00 ,$420.75 ,$169.05 ,$310.50 ,$58.72 ,$56.05 ,$177.51 ,$637.50 ,$472.50 ,$210.00 ,$675.00 ,$652.50 ,$600.00 ,$600.00 ,$169.05 ,$487.50 ST. FRANCIS HOSPITAL - ACUTE,32000139,71110,HC XR RIBS 3 V BIL,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$450.12 ,$198.58 ,$471.90 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$267.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000140,71111,HC XR RIBS W/CXR 4+V BI,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$543.99 ,$198.58 ,$570.31 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$267.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000141,71120,HC XR STERNUM 2+V,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$349.93 ,$121.72 ,$366.86 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000142,71130,HC XR STERNOCLAVIC JT 3+V,320,1 ,$716.00 ,$515.52 ,$56.05 ,$716.00 ,$411.70 ,$515.52 ,$389.50 ,$161.39 ,$200.48 ,$443.80 ,$161.39 ,$465.27 ,$161.39 ,$451.08 ,$451.08 ,$161.39 ,$451.08 ,$332.65 ,$658.72 ,$217.20 ,$161.39 ,$608.60 ,$601.44 ,$161.39 ,$537.00 ,$572.80 ,$572.80 ,$161.39 ,$572.80 ,$622.92 ,$622.92 ,$622.92 ,$644.40 ,$411.70 ,$161.39 ,$716.00 ,$401.68 ,$161.39 ,$296.42 ,$58.72 ,$56.05 ,$169.45 ,$608.60 ,$451.08 ,$200.48 ,$644.40 ,$622.92 ,$572.80 ,$572.80 ,$161.39 ,$465.40 ST. FRANCIS HOSPITAL - ACUTE,32000144,71250,HC CT CHEST W/O CONTRAST,350,1 ,"$2,513.00 ","$1,809.36 ",$139.83 ,"$2,513.00 ","$1,444.98 ","$1,809.36 ","$1,367.07 ",$566.43 ,$703.64 ,"$1,671.15 ",$566.43 ,"$1,759.10 ",$566.43 ,"$1,583.19 ","$1,583.19 ",$566.43 ,"$1,583.19 ","$1,167.54 ","$2,000.00 ",$267.20 ,$566.43 ,"$2,136.05 ","$2,110.92 ",$566.43 ,"$1,884.75 ","$2,010.40 ","$2,010.40 ",$566.43 ,"$2,010.40 ","$2,186.31 ","$2,186.31 ","$2,186.31 ","$2,261.70 ","$1,444.98 ",$566.43 ,"$2,513.00 ","$1,409.79 ",$566.43 ,"$1,040.38 ",$146.49 ,$139.83 ,$594.75 ,"$2,136.05 ","$1,583.19 ",$703.64 ,"$2,261.70 ","$2,186.31 ","$2,010.40 ","$2,010.40 ",$566.43 ,"$1,633.45 " ST. FRANCIS HOSPITAL - ACUTE,32000146,71260,HC CT CHEST W/CONTRAST,350,1 ,"$3,031.00 ","$2,182.32 ",$139.83 ,"$3,031.00 ","$1,742.83 ","$2,182.32 ","$1,648.86 ",$683.19 ,$848.68 ,"$2,015.62 ",$683.19 ,"$2,121.70 ",$683.19 ,"$1,909.53 ","$1,909.53 ",$683.19 ,"$1,909.53 ","$1,408.20 ","$2,000.00 ",$450.85 ,$683.19 ,"$2,576.35 ","$2,546.04 ",$683.19 ,"$2,273.25 ","$2,424.80 ","$2,424.80 ",$683.19 ,"$2,424.80 ","$2,636.97 ","$2,636.97 ","$2,636.97 ","$2,727.90 ","$1,742.83 ",$683.19 ,"$3,031.00 ","$1,700.39 ",$683.19 ,"$1,254.83 ",$146.49 ,$139.83 ,$717.35 ,"$2,576.35 ","$1,909.53 ",$848.68 ,"$2,727.90 ","$2,636.97 ","$2,424.80 ","$2,424.80 ",$683.19 ,"$1,970.15 " ST. FRANCIS HOSPITAL - ACUTE,32000148,71270,HC CT CHEST W AND W/O CONTRAST,350,1 ,"$3,333.00 ","$2,399.76 ",$139.83 ,"$3,333.00 ","$1,916.48 ","$2,399.76 ","$1,813.15 ",$751.26 ,$933.24 ,"$2,216.45 ",$751.26 ,"$2,333.10 ",$751.26 ,"$2,099.79 ","$2,099.79 ",$751.26 ,"$2,099.79 ","$1,548.51 ","$2,000.00 ",$450.85 ,$751.26 ,"$2,833.05 ","$2,799.72 ",$751.26 ,"$2,499.75 ","$2,666.40 ","$2,666.40 ",$751.26 ,"$2,666.40 ","$2,899.71 ","$2,899.71 ","$2,899.71 ","$2,999.70 ","$1,916.48 ",$751.26 ,"$3,333.00 ","$1,869.81 ",$751.26 ,"$1,379.86 ",$146.49 ,$139.83 ,$788.82 ,"$2,833.05 ","$2,099.79 ",$933.24 ,"$2,999.70 ","$2,899.71 ","$2,666.40 ","$2,666.40 ",$751.26 ,"$2,166.45 " ST. FRANCIS HOSPITAL - ACUTE,32000150,71275,HC CTA CHEST W AND W/O CONTRAST,350,1 ,"$3,820.00 ","$2,750.40 ",$316.01 ,"$3,820.00 ","$2,196.50 ","$2,750.40 ","$2,078.08 ",$861.03 ,"$1,069.60 ","$2,540.30 ",$861.03 ,"$2,674.00 ",$861.03 ,"$2,406.60 ","$2,406.60 ",$861.03 ,"$2,406.60 ","$1,774.77 ","$2,000.00 ",$450.85 ,$861.03 ,"$3,247.00 ","$3,208.80 ",$861.03 ,"$2,865.00 ","$3,056.00 ","$3,056.00 ",$861.03 ,"$3,056.00 ","$3,323.40 ","$3,323.40 ","$3,323.40 ","$3,438.00 ","$2,196.50 ",$861.03 ,"$3,820.00 ","$2,143.02 ",$861.03 ,"$1,581.48 ",$331.06 ,$316.01 ,$904.08 ,"$3,247.00 ","$2,406.60 ","$1,069.60 ","$3,438.00 ","$3,323.40 ","$3,056.00 ","$3,056.00 ",$861.03 ,"$2,483.00 " ST. FRANCIS HOSPITAL - ACUTE,32000151,71550,HC MRI CHEST W/O CON,610,1 ,"$3,824.00 ","$2,753.28 ",$479.59 ,"$3,824.00 ","$2,198.80 ","$2,753.28 ","$2,080.26 ",$861.93 ,"$1,070.72 ","$2,542.96 ",$861.93 ,"$2,676.80 ",$861.93 ,"$2,409.12 ","$2,409.12 ",$861.93 ,"$2,409.12 ","$1,776.63 ","$2,500.00 ",$583.80 ,$861.93 ,"$3,250.40 ","$3,212.16 ",$861.93 ,"$2,868.00 ","$3,059.20 ","$3,059.20 ",$861.93 ,"$3,059.20 ","$3,326.88 ","$3,326.88 ","$3,326.88 ","$3,441.60 ","$2,198.80 ",$861.93 ,"$3,824.00 ","$2,145.26 ",$861.93 ,"$1,583.14 ",$502.43 ,$479.59 ,$905.03 ,"$3,250.40 ","$2,409.12 ","$1,070.72 ","$3,441.60 ","$3,326.88 ","$3,059.20 ","$3,059.20 ",$861.93 ,"$2,485.60 " ST. FRANCIS HOSPITAL - ACUTE,32000152,71551,HC MRI CHEST W/CONTRAST,610,1 ,"$4,075.00 ","$2,934.00 ",$479.59 ,"$4,075.00 ","$2,343.13 ","$2,934.00 ","$2,216.80 ",$918.50 ,"$1,141.00 ","$2,709.88 ",$918.50 ,"$2,852.50 ",$918.50 ,"$2,567.25 ","$2,567.25 ",$918.50 ,"$2,567.25 ","$1,893.25 ","$2,500.00 ","$1,851.88 ",$918.50 ,"$3,463.75 ","$3,423.00 ",$918.50 ,"$3,056.25 ","$3,260.00 ","$3,260.00 ",$918.50 ,"$3,260.00 ","$3,545.25 ","$3,545.25 ","$3,545.25 ","$3,667.50 ","$2,343.13 ",$918.50 ,"$4,075.00 ","$2,286.08 ",$918.50 ,"$1,687.05 ",$502.43 ,$479.59 ,$964.43 ,"$3,463.75 ","$2,567.25 ","$1,141.00 ","$3,667.50 ","$3,545.25 ","$3,260.00 ","$3,260.00 ",$918.50 ,"$2,648.75 " ST. FRANCIS HOSPITAL - ACUTE,32000153,71552,HC MRI CHEST W AND W/O CONTRAST,610,1 ,"$4,348.00 ","$3,130.56 ",$479.59 ,"$4,348.00 ","$2,500.10 ","$3,130.56 ","$2,365.31 ",$980.04 ,"$1,217.44 ","$2,891.42 ",$980.04 ,"$3,043.60 ",$980.04 ,"$2,739.24 ","$2,739.24 ",$980.04 ,"$2,739.24 ","$2,020.08 ","$2,500.00 ",$921.08 ,$980.04 ,"$3,695.80 ","$3,652.32 ",$980.04 ,"$3,261.00 ","$3,478.40 ","$3,478.40 ",$980.04 ,"$3,478.40 ","$3,782.76 ","$3,782.76 ","$3,782.76 ","$3,913.20 ","$2,500.10 ",$980.04 ,"$4,348.00 ","$2,439.23 ",$980.04 ,"$1,800.07 ",$502.43 ,$479.59 ,"$1,029.04 ","$3,695.80 ","$2,739.24 ","$1,217.44 ","$3,913.20 ","$3,782.76 ","$3,478.40 ","$3,478.40 ",$980.04 ,"$2,826.20 " ST. FRANCIS HOSPITAL - ACUTE,32000155,72020,HC XR SPINE 1V ANY LEVEL,320,1 ,$202.00 ,$145.44 ,$45.53 ,$217.20 ,$116.15 ,$145.44 ,$109.89 ,$45.53 ,$56.56 ,$134.33 ,$45.53 ,$141.40 ,$45.53 ,$127.26 ,$127.26 ,$45.53 ,$127.26 ,$93.85 ,$185.84 ,$217.20 ,$45.53 ,$171.70 ,$169.68 ,$45.53 ,$151.50 ,$161.60 ,$161.60 ,$45.53 ,$161.60 ,$175.74 ,$175.74 ,$175.74 ,$181.80 ,$116.15 ,$45.53 ,$202.00 ,$113.32 ,$45.53 ,$83.63 ,$58.72 ,$56.05 ,$47.80 ,$171.70 ,$127.26 ,$56.56 ,$181.80 ,$175.74 ,$161.60 ,$161.60 ,$45.53 ,$131.30 ST. FRANCIS HOSPITAL - ACUTE,32000164,72040,HC XR C-SPINE 2-3V,320,1 ,$550.00 ,$396.00 ,$56.05 ,$550.00 ,$316.25 ,$396.00 ,$299.20 ,$123.97 ,$154.00 ,$365.75 ,$123.97 ,$385.00 ,$123.97 ,$346.50 ,$346.50 ,$123.97 ,$346.50 ,$255.53 ,$506.00 ,$217.20 ,$123.97 ,$467.50 ,$462.00 ,$123.97 ,$412.50 ,$440.00 ,$440.00 ,$123.97 ,$440.00 ,$478.50 ,$478.50 ,$478.50 ,$495.00 ,$316.25 ,$123.97 ,$550.00 ,$308.55 ,$123.97 ,$227.70 ,$58.72 ,$56.05 ,$130.17 ,$467.50 ,$346.50 ,$154.00 ,$495.00 ,$478.50 ,$440.00 ,$440.00 ,$123.97 ,$357.50 ST. FRANCIS HOSPITAL - ACUTE,32000168,72050,HC XR C-SPINE 4-5 VIEW,320,1 ,$881.00 ,$634.32 ,$56.05 ,$881.00 ,$506.58 ,$634.32 ,$479.26 ,$198.58 ,$246.68 ,$585.87 ,$198.58 ,$616.70 ,$198.58 ,$555.03 ,$555.03 ,$198.58 ,$555.03 ,$409.31 ,$800.00 ,$267.20 ,$198.58 ,$748.85 ,$740.04 ,$198.58 ,$660.75 ,$704.80 ,$704.80 ,$198.58 ,$704.80 ,$766.47 ,$766.47 ,$766.47 ,$792.90 ,$506.58 ,$198.58 ,$881.00 ,$494.24 ,$198.58 ,$364.73 ,$58.72 ,$56.05 ,$208.50 ,$748.85 ,$555.03 ,$246.68 ,$792.90 ,$766.47 ,$704.80 ,$704.80 ,$198.58 ,$572.65 ST. FRANCIS HOSPITAL - ACUTE,32000170,72052,HC XR C-SPINE 6+ VIEWS,320,1 ,"$1,234.00 ",$888.48 ,$56.05 ,"$1,234.00 ",$709.55 ,$888.48 ,$671.30 ,$278.14 ,$345.52 ,$669.35 ,$278.14 ,$701.74 ,$278.14 ,$777.42 ,$777.42 ,$278.14 ,$777.42 ,$573.32 ,$800.00 ,$267.20 ,$278.14 ,"$1,048.90 ","$1,036.56 ",$278.14 ,$925.50 ,$987.20 ,$987.20 ,$278.14 ,$987.20 ,"$1,073.58 ","$1,073.58 ","$1,073.58 ","$1,110.60 ",$709.55 ,$278.14 ,"$1,234.00 ",$692.27 ,$278.14 ,$510.88 ,$58.72 ,$56.05 ,$292.05 ,"$1,048.90 ",$777.42 ,$345.52 ,"$1,110.60 ","$1,073.58 ",$987.20 ,$987.20 ,$278.14 ,$802.10 ST. FRANCIS HOSPITAL - ACUTE,32000172,72070,HC XR T-SPINE 2V,320,1 ,$474.00 ,$341.28 ,$56.05 ,$474.00 ,$272.55 ,$341.28 ,$257.86 ,$106.84 ,$132.72 ,$315.21 ,$106.84 ,$331.80 ,$106.84 ,$298.62 ,$298.62 ,$106.84 ,$298.62 ,$220.22 ,$436.08 ,$267.20 ,$106.84 ,$402.90 ,$398.16 ,$106.84 ,$355.50 ,$379.20 ,$379.20 ,$106.84 ,$379.20 ,$412.38 ,$412.38 ,$412.38 ,$426.60 ,$272.55 ,$106.84 ,$474.00 ,$265.91 ,$106.84 ,$196.24 ,$58.72 ,$56.05 ,$112.18 ,$402.90 ,$298.62 ,$132.72 ,$426.60 ,$412.38 ,$379.20 ,$379.20 ,$106.84 ,$308.10 ST. FRANCIS HOSPITAL - ACUTE,32000174,72072,HC XR T-SPINE 3V,320,1 ,$530.00 ,$381.60 ,$56.05 ,$530.00 ,$304.75 ,$381.60 ,$288.32 ,$119.46 ,$148.40 ,$352.45 ,$119.46 ,$371.00 ,$119.46 ,$333.90 ,$333.90 ,$119.46 ,$333.90 ,$246.24 ,$487.60 ,$267.20 ,$119.46 ,$450.50 ,$445.20 ,$119.46 ,$397.50 ,$424.00 ,$424.00 ,$119.46 ,$424.00 ,$461.10 ,$461.10 ,$461.10 ,$477.00 ,$304.75 ,$119.46 ,$530.00 ,$297.33 ,$119.46 ,$219.42 ,$58.72 ,$56.05 ,$125.44 ,$450.50 ,$333.90 ,$148.40 ,$477.00 ,$461.10 ,$424.00 ,$424.00 ,$119.46 ,$344.50 ST. FRANCIS HOSPITAL - ACUTE,32000178,72100,HC XR L-SPINE 2-3V,320,1 ,$550.00 ,$396.00 ,$56.05 ,$550.00 ,$316.25 ,$396.00 ,$299.20 ,$123.97 ,$154.00 ,$365.75 ,$123.97 ,$385.00 ,$123.97 ,$346.50 ,$346.50 ,$123.97 ,$346.50 ,$255.53 ,$506.00 ,$267.20 ,$123.97 ,$467.50 ,$462.00 ,$123.97 ,$412.50 ,$440.00 ,$440.00 ,$123.97 ,$440.00 ,$478.50 ,$478.50 ,$478.50 ,$495.00 ,$316.25 ,$123.97 ,$550.00 ,$308.55 ,$123.97 ,$227.70 ,$58.72 ,$56.05 ,$130.17 ,$467.50 ,$346.50 ,$154.00 ,$495.00 ,$478.50 ,$440.00 ,$440.00 ,$123.97 ,$357.50 ST. FRANCIS HOSPITAL - ACUTE,32000181,72110,HC XR L-SPINE 4+V,320,1 ,"$1,123.00 ",$808.56 ,$56.05 ,"$1,123.00 ",$645.73 ,$808.56 ,$610.91 ,$253.12 ,$314.44 ,$744.62 ,$253.12 ,$780.65 ,$253.12 ,$707.49 ,$707.49 ,$253.12 ,$707.49 ,$521.75 ,$800.00 ,$267.20 ,$253.12 ,$954.55 ,$943.32 ,$253.12 ,$842.25 ,$898.40 ,$898.40 ,$253.12 ,$898.40 ,$977.01 ,$977.01 ,$977.01 ,"$1,010.70 ",$645.73 ,$253.12 ,"$1,123.00 ",$630.00 ,$253.12 ,$464.92 ,$58.72 ,$56.05 ,$265.78 ,$954.55 ,$707.49 ,$314.44 ,"$1,010.70 ",$977.01 ,$898.40 ,$898.40 ,$253.12 ,$729.95 ST. FRANCIS HOSPITAL - ACUTE,32000184,72114,HC XR L-SPINE CMPL W/BEND MIN 6 VIEW,320,1 ,"$1,396.00 ","$1,005.12 ",$56.05 ,"$1,396.00 ",$802.70 ,"$1,005.12 ",$759.42 ,$314.66 ,$390.88 ,$800.79 ,$314.66 ,$839.54 ,$314.66 ,$879.48 ,$879.48 ,$314.66 ,$879.48 ,$648.58 ,$800.00 ,$267.20 ,$314.66 ,"$1,186.60 ","$1,172.64 ",$314.66 ,"$1,047.00 ","$1,116.80 ","$1,116.80 ",$314.66 ,"$1,116.80 ","$1,214.52 ","$1,214.52 ","$1,214.52 ","$1,256.40 ",$802.70 ,$314.66 ,"$1,396.00 ",$783.16 ,$314.66 ,$577.94 ,$58.72 ,$56.05 ,$330.39 ,"$1,186.60 ",$879.48 ,$390.88 ,"$1,256.40 ","$1,214.52 ","$1,116.80 ","$1,116.80 ",$314.66 ,$907.40 ST. FRANCIS HOSPITAL - ACUTE,32000186,72170,HC XR PELVIS 1-2V,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$267.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000189,72190,HC XR PELVIS CMPL 3+V,320,1 ,$966.00 ,$695.52 ,$56.05 ,$966.00 ,$555.45 ,$695.52 ,$525.50 ,$217.74 ,$270.48 ,$481.37 ,$217.74 ,$504.66 ,$217.74 ,$608.58 ,$608.58 ,$217.74 ,$608.58 ,$448.80 ,$800.00 ,$267.20 ,$217.74 ,$821.10 ,$811.44 ,$217.74 ,$724.50 ,$772.80 ,$772.80 ,$217.74 ,$772.80 ,$840.42 ,$840.42 ,$840.42 ,$869.40 ,$555.45 ,$217.74 ,$966.00 ,$541.93 ,$217.74 ,$399.92 ,$58.72 ,$56.05 ,$228.62 ,$821.10 ,$608.58 ,$270.48 ,$869.40 ,$840.42 ,$772.80 ,$772.80 ,$217.74 ,$627.90 ST. FRANCIS HOSPITAL - ACUTE,32000190,72202,HC XR SACROILI JT 3+V,320,1 ,$716.00 ,$515.52 ,$56.05 ,$716.00 ,$411.70 ,$515.52 ,$389.50 ,$161.39 ,$200.48 ,$418.75 ,$161.39 ,$439.01 ,$161.39 ,$451.08 ,$451.08 ,$161.39 ,$451.08 ,$332.65 ,$658.72 ,$267.20 ,$161.39 ,$608.60 ,$601.44 ,$161.39 ,$537.00 ,$572.80 ,$572.80 ,$161.39 ,$572.80 ,$622.92 ,$622.92 ,$622.92 ,$644.40 ,$411.70 ,$161.39 ,$716.00 ,$401.68 ,$161.39 ,$296.42 ,$58.72 ,$56.05 ,$169.45 ,$608.60 ,$451.08 ,$200.48 ,$644.40 ,$622.92 ,$572.80 ,$572.80 ,$161.39 ,$465.40 ST. FRANCIS HOSPITAL - ACUTE,32000191,72220,HC XR SACRUM/COCCYX 2+V,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$349.93 ,$121.72 ,$366.86 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000201,73000,HC XRAY CLAVICLE,320,1 ,$520.00 ,$374.40 ,$56.05 ,$520.00 ,$299.00 ,$374.40 ,$282.88 ,$117.21 ,$145.60 ,$345.80 ,$117.21 ,$364.00 ,$117.21 ,$327.60 ,$327.60 ,$117.21 ,$327.60 ,$241.59 ,$478.40 ,$217.20 ,$117.21 ,$442.00 ,$436.80 ,$117.21 ,$390.00 ,$416.00 ,$416.00 ,$117.21 ,$416.00 ,$452.40 ,$452.40 ,$452.40 ,$468.00 ,$299.00 ,$117.21 ,$520.00 ,$291.72 ,$117.21 ,$215.28 ,$58.72 ,$56.05 ,$123.07 ,$442.00 ,$327.60 ,$145.60 ,$468.00 ,$452.40 ,$416.00 ,$416.00 ,$117.21 ,$338.00 ST. FRANCIS HOSPITAL - ACUTE,32000201,73000,HC XRAY CLAVICLE,320,1 ,"$1,027.00 ",$739.44 ,$84.06 ,"$1,027.00 ",$590.53 ,$739.44 ,$558.69 ,$231.49 ,$287.56 ,$349.93 ,$231.49 ,$366.86 ,$231.49 ,$647.01 ,$647.01 ,$231.49 ,$647.01 ,$477.14 ,$800.00 ,$217.20 ,$231.49 ,$872.95 ,$862.68 ,$231.49 ,$770.25 ,$821.60 ,$821.60 ,$231.49 ,$821.60 ,$893.49 ,$893.49 ,$893.49 ,$924.30 ,$590.53 ,$231.49 ,"$1,027.00 ",$576.15 ,$231.49 ,$425.18 ,$88.07 ,$84.06 ,$243.06 ,$872.95 ,$647.01 ,$287.56 ,$924.30 ,$893.49 ,$821.60 ,$821.60 ,$231.49 ,$667.55 ST. FRANCIS HOSPITAL - ACUTE,32000204,73010,HC XRAY SCAPULA,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$267.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000205,73020,HC XRAY SHOULDER (1 V),320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,$608.00 ,$437.76 ,$56.05 ,$608.00 ,$349.60 ,$437.76 ,$330.75 ,$137.04 ,$170.24 ,$404.32 ,$137.04 ,$425.60 ,$137.04 ,$383.04 ,$383.04 ,$137.04 ,$383.04 ,$282.48 ,$559.36 ,$217.20 ,$137.04 ,$516.80 ,$510.72 ,$137.04 ,$456.00 ,$486.40 ,$486.40 ,$137.04 ,$486.40 ,$528.96 ,$528.96 ,$528.96 ,$547.20 ,$349.60 ,$137.04 ,$608.00 ,$341.09 ,$137.04 ,$251.71 ,$58.72 ,$56.05 ,$143.89 ,$516.80 ,$383.04 ,$170.24 ,$547.20 ,$528.96 ,$486.40 ,$486.40 ,$137.04 ,$395.20 ST. FRANCIS HOSPITAL - ACUTE,32000208,73030,HC XRAY SHOULDER (MIN 2 V),320,1 ,"$1,068.00 ",$768.96 ,$84.06 ,"$1,068.00 ",$614.10 ,$768.96 ,$580.99 ,$240.73 ,$299.04 ,$451.11 ,$240.73 ,$472.94 ,$240.73 ,$672.84 ,$672.84 ,$240.73 ,$672.84 ,$496.19 ,$800.00 ,$217.20 ,$240.73 ,$907.80 ,$897.12 ,$240.73 ,$801.00 ,$854.40 ,$854.40 ,$240.73 ,$854.40 ,$929.16 ,$929.16 ,$929.16 ,$961.20 ,$614.10 ,$240.73 ,"$1,068.00 ",$599.15 ,$240.73 ,$442.15 ,$88.07 ,$84.06 ,$252.76 ,$907.80 ,$672.84 ,$299.04 ,$961.20 ,$929.16 ,$854.40 ,$854.40 ,$240.73 ,$694.20 ST. FRANCIS HOSPITAL - ACUTE,32000212,73040,HC XRAY SHOULDER ARTHRO,320,1 ,"$1,018.00 ",$732.96 ,$229.46 ,"$1,018.00 ",$585.35 ,$732.96 ,$553.79 ,$229.46 ,$285.04 ,$676.97 ,$229.46 ,$712.60 ,$229.46 ,$641.34 ,$641.34 ,$229.46 ,$641.34 ,$472.96 ,$800.00 ,$921.08 ,$229.46 ,$865.30 ,$855.12 ,$229.46 ,$763.50 ,$814.40 ,$814.40 ,$229.46 ,$814.40 ,$885.66 ,$885.66 ,$885.66 ,$916.20 ,$585.35 ,$229.46 ,"$1,018.00 ",$571.10 ,$229.46 ,$421.45 ,$334.58 ,$319.37 ,$240.93 ,$865.30 ,$641.34 ,$285.04 ,$916.20 ,$885.66 ,$814.40 ,$814.40 ,$229.46 ,$661.70 ST. FRANCIS HOSPITAL - ACUTE,32000213,73050,HC XR AC JOINTS BI W/W/O WTS,320,1 ,$716.00 ,$515.52 ,$56.05 ,$716.00 ,$411.70 ,$515.52 ,$389.50 ,$161.39 ,$200.48 ,$450.12 ,$161.39 ,$471.90 ,$161.39 ,$451.08 ,$451.08 ,$161.39 ,$451.08 ,$332.65 ,$658.72 ,$217.20 ,$161.39 ,$608.60 ,$601.44 ,$161.39 ,$537.00 ,$572.80 ,$572.80 ,$161.39 ,$572.80 ,$622.92 ,$622.92 ,$622.92 ,$644.40 ,$411.70 ,$161.39 ,$716.00 ,$401.68 ,$161.39 ,$296.42 ,$58.72 ,$56.05 ,$169.45 ,$608.60 ,$451.08 ,$200.48 ,$644.40 ,$622.92 ,$572.80 ,$572.80 ,$161.39 ,$465.40 ST. FRANCIS HOSPITAL - ACUTE,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$546.00 ,$393.12 ,$56.05 ,$546.00 ,$313.95 ,$393.12 ,$297.02 ,$123.07 ,$152.88 ,$363.09 ,$123.07 ,$382.20 ,$123.07 ,$343.98 ,$343.98 ,$123.07 ,$343.98 ,$253.67 ,$502.32 ,$217.20 ,$123.07 ,$464.10 ,$458.64 ,$123.07 ,$409.50 ,$436.80 ,$436.80 ,$123.07 ,$436.80 ,$475.02 ,$475.02 ,$475.02 ,$491.40 ,$313.95 ,$123.07 ,$546.00 ,$306.31 ,$123.07 ,$226.04 ,$58.72 ,$56.05 ,$129.22 ,$464.10 ,$343.98 ,$152.88 ,$491.40 ,$475.02 ,$436.80 ,$436.80 ,$123.07 ,$354.90 ST. FRANCIS HOSPITAL - ACUTE,32000214,73060,HC XRAY HUMERUS (2 V),320,1 ,$972.00 ,$699.84 ,$56.05 ,$972.00 ,$558.90 ,$699.84 ,$528.77 ,$219.09 ,$272.16 ,$368.65 ,$219.09 ,$386.49 ,$219.09 ,$612.36 ,$612.36 ,$219.09 ,$612.36 ,$451.59 ,$800.00 ,$217.20 ,$219.09 ,$826.20 ,$816.48 ,$219.09 ,$729.00 ,$777.60 ,$777.60 ,$219.09 ,$777.60 ,$845.64 ,$845.64 ,$845.64 ,$874.80 ,$558.90 ,$219.09 ,$972.00 ,$545.29 ,$219.09 ,$402.41 ,$58.72 ,$56.05 ,$230.05 ,$826.20 ,$612.36 ,$272.16 ,$874.80 ,$845.64 ,$777.60 ,$777.60 ,$219.09 ,$631.80 ST. FRANCIS HOSPITAL - ACUTE,32000217,73070,HC XRAY ELBOW (2 V),320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,$547.00 ,$393.84 ,$56.05 ,$547.00 ,$314.53 ,$393.84 ,$297.57 ,$123.29 ,$153.16 ,$363.76 ,$123.29 ,$382.90 ,$123.29 ,$344.61 ,$344.61 ,$123.29 ,$344.61 ,$254.14 ,$503.24 ,$217.20 ,$123.29 ,$464.95 ,$459.48 ,$123.29 ,$410.25 ,$437.60 ,$437.60 ,$123.29 ,$437.60 ,$475.89 ,$475.89 ,$475.89 ,$492.30 ,$314.53 ,$123.29 ,$547.00 ,$306.87 ,$123.29 ,$226.46 ,$58.72 ,$56.05 ,$129.46 ,$464.95 ,$344.61 ,$153.16 ,$492.30 ,$475.89 ,$437.60 ,$437.60 ,$123.29 ,$355.55 ST. FRANCIS HOSPITAL - ACUTE,32000220,73080,HC XRAY ELBOW (MIN 3 V),320,1 ,"$1,080.00 ",$777.60 ,$84.06 ,"$1,080.00 ",$621.00 ,$777.60 ,$587.52 ,$243.43 ,$302.40 ,$406.22 ,$243.43 ,$425.88 ,$243.43 ,$680.40 ,$680.40 ,$243.43 ,$680.40 ,$501.77 ,$800.00 ,$217.20 ,$243.43 ,$918.00 ,$907.20 ,$243.43 ,$810.00 ,$864.00 ,$864.00 ,$243.43 ,$864.00 ,$939.60 ,$939.60 ,$939.60 ,$972.00 ,$621.00 ,$243.43 ,"$1,080.00 ",$605.88 ,$243.43 ,$447.12 ,$88.07 ,$84.06 ,$255.60 ,$918.00 ,$680.40 ,$302.40 ,$972.00 ,$939.60 ,$864.00 ,$864.00 ,$243.43 ,$702.00 ST. FRANCIS HOSPITAL - ACUTE,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000223,73090,HC XRAY FOREARM (2 V),320,1 ,$708.00 ,$509.76 ,$84.06 ,$708.00 ,$407.10 ,$509.76 ,$385.15 ,$159.58 ,$198.24 ,$312.36 ,$159.58 ,$327.47 ,$159.58 ,$446.04 ,$446.04 ,$159.58 ,$446.04 ,$328.94 ,$651.36 ,$217.20 ,$159.58 ,$601.80 ,$594.72 ,$159.58 ,$531.00 ,$566.40 ,$566.40 ,$159.58 ,$566.40 ,$615.96 ,$615.96 ,$615.96 ,$637.20 ,$407.10 ,$159.58 ,$708.00 ,$397.19 ,$159.58 ,$293.11 ,$88.07 ,$84.06 ,$167.56 ,$601.80 ,$446.04 ,$198.24 ,$637.20 ,$615.96 ,$566.40 ,$566.40 ,$159.58 ,$460.20 ST. FRANCIS HOSPITAL - ACUTE,32000226,73092,HC XRAY INFANT UP EXTRM MIN 2V,320,1 ,$514.00 ,$370.08 ,$56.05 ,$514.00 ,$295.55 ,$370.08 ,$279.62 ,$115.86 ,$143.92 ,$341.81 ,$115.86 ,$359.80 ,$115.86 ,$323.82 ,$323.82 ,$115.86 ,$323.82 ,$238.80 ,$472.88 ,$267.20 ,$115.86 ,$436.90 ,$431.76 ,$115.86 ,$385.50 ,$411.20 ,$411.20 ,$115.86 ,$411.20 ,$447.18 ,$447.18 ,$447.18 ,$462.60 ,$295.55 ,$115.86 ,$514.00 ,$288.35 ,$115.86 ,$212.80 ,$58.72 ,$56.05 ,$121.65 ,$436.90 ,$323.82 ,$143.92 ,$462.60 ,$447.18 ,$411.20 ,$411.20 ,$115.86 ,$334.10 ST. FRANCIS HOSPITAL - ACUTE,32000229,73100,HC XRAY WRIST 2 VIEWS,320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,$535.00 ,$385.20 ,$56.05 ,$535.00 ,$307.63 ,$385.20 ,$291.04 ,$120.59 ,$149.80 ,$355.78 ,$120.59 ,$374.50 ,$120.59 ,$337.05 ,$337.05 ,$120.59 ,$337.05 ,$248.56 ,$492.20 ,$217.20 ,$120.59 ,$454.75 ,$449.40 ,$120.59 ,$401.25 ,$428.00 ,$428.00 ,$120.59 ,$428.00 ,$465.45 ,$465.45 ,$465.45 ,$481.50 ,$307.63 ,$120.59 ,$535.00 ,$300.14 ,$120.59 ,$221.49 ,$58.72 ,$56.05 ,$126.62 ,$454.75 ,$337.05 ,$149.80 ,$481.50 ,$465.45 ,$428.00 ,$428.00 ,$120.59 ,$347.75 ST. FRANCIS HOSPITAL - ACUTE,32000233,73110,HC XRAY WRIST COMP MIN 3 V,320,1 ,"$1,068.00 ",$768.96 ,$84.06 ,"$1,068.00 ",$614.10 ,$768.96 ,$580.99 ,$240.73 ,$299.04 ,$468.84 ,$240.73 ,$491.53 ,$240.73 ,$672.84 ,$672.84 ,$240.73 ,$672.84 ,$496.19 ,$800.00 ,$217.20 ,$240.73 ,$907.80 ,$897.12 ,$240.73 ,$801.00 ,$854.40 ,$854.40 ,$240.73 ,$854.40 ,$929.16 ,$929.16 ,$929.16 ,$961.20 ,$614.10 ,$240.73 ,"$1,068.00 ",$599.15 ,$240.73 ,$442.15 ,$88.07 ,$84.06 ,$252.76 ,$907.80 ,$672.84 ,$299.04 ,$961.20 ,$929.16 ,$854.40 ,$854.40 ,$240.73 ,$694.20 ST. FRANCIS HOSPITAL - ACUTE,32000236,73115,HC XRAY WRIST ARTHRO,320,1 ,"$1,148.00 ",$826.56 ,$258.76 ,"$1,148.00 ",$660.10 ,$826.56 ,$624.51 ,$258.76 ,$321.44 ,$763.42 ,$258.76 ,$803.60 ,$258.76 ,$723.24 ,$723.24 ,$258.76 ,$723.24 ,$533.36 ,$800.00 ,$921.08 ,$258.76 ,$975.80 ,$964.32 ,$258.76 ,$861.00 ,$918.40 ,$918.40 ,$258.76 ,$918.40 ,$998.76 ,$998.76 ,$998.76 ,"$1,033.20 ",$660.10 ,$258.76 ,"$1,148.00 ",$644.03 ,$258.76 ,$475.27 ,$334.58 ,$319.37 ,$271.70 ,$975.80 ,$723.24 ,$321.44 ,"$1,033.20 ",$998.76 ,$918.40 ,$918.40 ,$258.76 ,$746.20 ST. FRANCIS HOSPITAL - ACUTE,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$361.00 ,$259.92 ,$56.05 ,$361.00 ,$207.58 ,$259.92 ,$196.38 ,$81.37 ,$101.08 ,$240.07 ,$81.37 ,$252.70 ,$81.37 ,$227.43 ,$227.43 ,$81.37 ,$227.43 ,$167.72 ,$332.12 ,$267.20 ,$81.37 ,$306.85 ,$303.24 ,$81.37 ,$270.75 ,$288.80 ,$288.80 ,$81.37 ,$288.80 ,$314.07 ,$314.07 ,$314.07 ,$324.90 ,$207.58 ,$81.37 ,$361.00 ,$202.52 ,$81.37 ,$149.45 ,$58.72 ,$56.05 ,$85.44 ,$306.85 ,$227.43 ,$101.08 ,$324.90 ,$314.07 ,$288.80 ,$288.80 ,$81.37 ,$234.65 ST. FRANCIS HOSPITAL - ACUTE,32000237,73120,HC XRAY HAND 2 VIEW,320,1 ,$549.00 ,$395.28 ,$84.06 ,$549.00 ,$315.68 ,$395.28 ,$298.66 ,$123.74 ,$153.72 ,$356.13 ,$123.74 ,$373.36 ,$123.74 ,$345.87 ,$345.87 ,$123.74 ,$345.87 ,$255.07 ,$505.08 ,$267.20 ,$123.74 ,$466.65 ,$461.16 ,$123.74 ,$411.75 ,$439.20 ,$439.20 ,$123.74 ,$439.20 ,$477.63 ,$477.63 ,$477.63 ,$494.10 ,$315.68 ,$123.74 ,$549.00 ,$307.99 ,$123.74 ,$227.29 ,$88.07 ,$84.06 ,$129.93 ,$466.65 ,$345.87 ,$153.72 ,$494.10 ,$477.63 ,$439.20 ,$439.20 ,$123.74 ,$356.85 ST. FRANCIS HOSPITAL - ACUTE,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$389.00 ,$280.08 ,$56.05 ,$389.00 ,$223.68 ,$280.08 ,$211.62 ,$87.68 ,$108.92 ,$258.69 ,$87.68 ,$272.30 ,$87.68 ,$245.07 ,$245.07 ,$87.68 ,$245.07 ,$180.73 ,$357.88 ,$217.20 ,$87.68 ,$330.65 ,$326.76 ,$87.68 ,$291.75 ,$311.20 ,$311.20 ,$87.68 ,$311.20 ,$338.43 ,$338.43 ,$338.43 ,$350.10 ,$223.68 ,$87.68 ,$389.00 ,$218.23 ,$87.68 ,$161.05 ,$58.72 ,$56.05 ,$92.06 ,$330.65 ,$245.07 ,$108.92 ,$350.10 ,$338.43 ,$311.20 ,$311.20 ,$87.68 ,$252.85 ST. FRANCIS HOSPITAL - ACUTE,32000239,73130,HC XRAY HAND MIN 3 VIEW,320,1 ,$769.00 ,$553.68 ,$84.06 ,$769.00 ,$442.18 ,$553.68 ,$418.34 ,$173.33 ,$215.32 ,$412.55 ,$173.33 ,$432.51 ,$173.33 ,$484.47 ,$484.47 ,$173.33 ,$484.47 ,$357.28 ,$707.48 ,$217.20 ,$173.33 ,$653.65 ,$645.96 ,$173.33 ,$576.75 ,$615.20 ,$615.20 ,$173.33 ,$615.20 ,$669.03 ,$669.03 ,$669.03 ,$692.10 ,$442.18 ,$173.33 ,$769.00 ,$431.41 ,$173.33 ,$318.37 ,$88.07 ,$84.06 ,$182.00 ,$653.65 ,$484.47 ,$215.32 ,$692.10 ,$669.03 ,$615.20 ,$615.20 ,$173.33 ,$499.85 ST. FRANCIS HOSPITAL - ACUTE,32000241,73140,HC XRAY FINGER MIN 2 VIEWS,320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000252,73525,HC XRAY HIP ARTHRGRPHY,320,1 ,"$1,018.00 ",$732.96 ,$229.46 ,"$1,018.00 ",$585.35 ,$732.96 ,$553.79 ,$229.46 ,$285.04 ,$676.97 ,$229.46 ,$712.60 ,$229.46 ,$641.34 ,$641.34 ,$229.46 ,$641.34 ,$472.96 ,$800.00 ,$921.08 ,$229.46 ,$865.30 ,$855.12 ,$229.46 ,$763.50 ,$814.40 ,$814.40 ,$229.46 ,$814.40 ,$885.66 ,$885.66 ,$885.66 ,$916.20 ,$585.35 ,$229.46 ,"$1,018.00 ",$571.10 ,$229.46 ,$421.45 ,$334.58 ,$319.37 ,$240.93 ,$865.30 ,$641.34 ,$285.04 ,$916.20 ,$885.66 ,$814.40 ,$814.40 ,$229.46 ,$661.70 ST. FRANCIS HOSPITAL - ACUTE,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$359.00 ,$258.48 ,$56.05 ,$359.00 ,$206.43 ,$258.48 ,$195.30 ,$80.92 ,$100.52 ,$238.74 ,$80.92 ,$251.30 ,$80.92 ,$226.17 ,$226.17 ,$80.92 ,$226.17 ,$166.79 ,$330.28 ,$217.20 ,$80.92 ,$305.15 ,$301.56 ,$80.92 ,$269.25 ,$287.20 ,$287.20 ,$80.92 ,$287.20 ,$312.33 ,$312.33 ,$312.33 ,$323.10 ,$206.43 ,$80.92 ,$359.00 ,$201.40 ,$80.92 ,$148.63 ,$58.72 ,$56.05 ,$84.97 ,$305.15 ,$226.17 ,$100.52 ,$323.10 ,$312.33 ,$287.20 ,$287.20 ,$80.92 ,$233.35 ST. FRANCIS HOSPITAL - ACUTE,32000260,73560,HC XRAY KNEE (1 OR 2 V),320,1 ,$708.00 ,$509.76 ,$84.06 ,$708.00 ,$407.10 ,$509.76 ,$385.15 ,$159.58 ,$198.24 ,$409.08 ,$159.58 ,$428.87 ,$159.58 ,$446.04 ,$446.04 ,$159.58 ,$446.04 ,$328.94 ,$651.36 ,$217.20 ,$159.58 ,$601.80 ,$594.72 ,$159.58 ,$531.00 ,$566.40 ,$566.40 ,$159.58 ,$566.40 ,$615.96 ,$615.96 ,$615.96 ,$637.20 ,$407.10 ,$159.58 ,$708.00 ,$397.19 ,$159.58 ,$293.11 ,$88.07 ,$84.06 ,$167.56 ,$601.80 ,$446.04 ,$198.24 ,$637.20 ,$615.96 ,$566.40 ,$566.40 ,$159.58 ,$460.20 ST. FRANCIS HOSPITAL - ACUTE,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$543.00 ,$390.96 ,$56.05 ,$543.00 ,$312.23 ,$390.96 ,$295.39 ,$122.39 ,$152.04 ,$361.10 ,$122.39 ,$380.10 ,$122.39 ,$342.09 ,$342.09 ,$122.39 ,$342.09 ,$252.28 ,$499.56 ,$217.20 ,$122.39 ,$461.55 ,$456.12 ,$122.39 ,$407.25 ,$434.40 ,$434.40 ,$122.39 ,$434.40 ,$472.41 ,$472.41 ,$472.41 ,$488.70 ,$312.23 ,$122.39 ,$543.00 ,$304.62 ,$122.39 ,$224.80 ,$58.72 ,$56.05 ,$128.51 ,$461.55 ,$342.09 ,$152.04 ,$488.70 ,$472.41 ,$434.40 ,$434.40 ,$122.39 ,$352.95 ST. FRANCIS HOSPITAL - ACUTE,32000263,73562,HC XRAY KNEE (3 V),320,1 ,$920.00 ,$662.40 ,$84.06 ,$920.00 ,$529.00 ,$662.40 ,$500.48 ,$207.37 ,$257.60 ,$593.84 ,$207.37 ,$622.57 ,$207.37 ,$579.60 ,$579.60 ,$207.37 ,$579.60 ,$427.43 ,$800.00 ,$217.20 ,$207.37 ,$782.00 ,$772.80 ,$207.37 ,$690.00 ,$736.00 ,$736.00 ,$207.37 ,$736.00 ,$800.40 ,$800.40 ,$800.40 ,$828.00 ,$529.00 ,$207.37 ,$920.00 ,$516.12 ,$207.37 ,$380.88 ,$88.07 ,$84.06 ,$217.74 ,$782.00 ,$579.60 ,$257.60 ,$828.00 ,$800.40 ,$736.00 ,$736.00 ,$207.37 ,$598.00 ST. FRANCIS HOSPITAL - ACUTE,32000265,73564,HC XRAY KNEE (MIN 4 V),320,1 ,$736.00 ,$529.92 ,$56.05 ,$736.00 ,$423.20 ,$529.92 ,$400.38 ,$165.89 ,$206.08 ,$489.44 ,$165.89 ,$515.20 ,$165.89 ,$463.68 ,$463.68 ,$165.89 ,$463.68 ,$341.95 ,$677.12 ,$267.20 ,$165.89 ,$625.60 ,$618.24 ,$165.89 ,$552.00 ,$588.80 ,$588.80 ,$165.89 ,$588.80 ,$640.32 ,$640.32 ,$640.32 ,$662.40 ,$423.20 ,$165.89 ,$736.00 ,$412.90 ,$165.89 ,$304.70 ,$58.72 ,$56.05 ,$174.19 ,$625.60 ,$463.68 ,$206.08 ,$662.40 ,$640.32 ,$588.80 ,$588.80 ,$165.89 ,$478.40 ST. FRANCIS HOSPITAL - ACUTE,32000267,73565,HC XR KNEE STAND,320,1 ,$238.00 ,$171.36 ,$53.65 ,$238.00 ,$136.85 ,$171.36 ,$129.47 ,$53.65 ,$66.64 ,$158.27 ,$53.65 ,$166.60 ,$53.65 ,$149.94 ,$149.94 ,$53.65 ,$149.94 ,$110.57 ,$218.96 ,$217.20 ,$53.65 ,$202.30 ,$199.92 ,$53.65 ,$178.50 ,$190.40 ,$190.40 ,$53.65 ,$190.40 ,$207.06 ,$207.06 ,$207.06 ,$214.20 ,$136.85 ,$53.65 ,$238.00 ,$133.52 ,$53.65 ,$98.53 ,$58.72 ,$56.05 ,$56.33 ,$202.30 ,$149.94 ,$66.64 ,$214.20 ,$207.06 ,$190.40 ,$190.40 ,$53.65 ,$154.70 ST. FRANCIS HOSPITAL - ACUTE,32000268,73580,HC XRAY KNEE ARTHRO,320,1 ,$999.00 ,$719.28 ,$225.17 ,$999.00 ,$574.43 ,$719.28 ,$543.46 ,$225.17 ,$279.72 ,$664.34 ,$225.17 ,$699.30 ,$225.17 ,$629.37 ,$629.37 ,$225.17 ,$629.37 ,$464.14 ,$800.00 ,$921.08 ,$225.17 ,$849.15 ,$839.16 ,$225.17 ,$749.25 ,$799.20 ,$799.20 ,$225.17 ,$799.20 ,$869.13 ,$869.13 ,$869.13 ,$899.10 ,$574.43 ,$225.17 ,$999.00 ,$560.44 ,$225.17 ,$413.59 ,$334.58 ,$319.37 ,$236.43 ,$849.15 ,$629.37 ,$279.72 ,$899.10 ,$869.13 ,$799.20 ,$799.20 ,$225.17 ,$649.35 ST. FRANCIS HOSPITAL - ACUTE,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$381.00 ,$274.32 ,$56.05 ,$381.00 ,$219.08 ,$274.32 ,$207.26 ,$85.88 ,$106.68 ,$253.37 ,$85.88 ,$266.70 ,$85.88 ,$240.03 ,$240.03 ,$85.88 ,$240.03 ,$177.01 ,$350.52 ,$217.20 ,$85.88 ,$323.85 ,$320.04 ,$85.88 ,$285.75 ,$304.80 ,$304.80 ,$85.88 ,$304.80 ,$331.47 ,$331.47 ,$331.47 ,$342.90 ,$219.08 ,$85.88 ,$381.00 ,$213.74 ,$85.88 ,$157.73 ,$58.72 ,$56.05 ,$90.17 ,$323.85 ,$240.03 ,$106.68 ,$342.90 ,$331.47 ,$304.80 ,$304.80 ,$85.88 ,$247.65 ST. FRANCIS HOSPITAL - ACUTE,32000269,73590,HC XRAY TIBIA/FIBULA 2 VIEW,320,1 ,$760.00 ,$547.20 ,$84.06 ,$760.00 ,$437.00 ,$547.20 ,$413.44 ,$171.30 ,$212.80 ,$364.93 ,$171.30 ,$382.59 ,$171.30 ,$478.80 ,$478.80 ,$171.30 ,$478.80 ,$353.10 ,$699.20 ,$217.20 ,$171.30 ,$646.00 ,$638.40 ,$171.30 ,$570.00 ,$608.00 ,$608.00 ,$171.30 ,$608.00 ,$661.20 ,$661.20 ,$661.20 ,$684.00 ,$437.00 ,$171.30 ,$760.00 ,$426.36 ,$171.30 ,$314.64 ,$88.07 ,$84.06 ,$179.87 ,$646.00 ,$478.80 ,$212.80 ,$684.00 ,$661.20 ,$608.00 ,$608.00 ,$171.30 ,$494.00 ST. FRANCIS HOSPITAL - ACUTE,32000272,73592,HC XRAY INFANT LO EXTRM MIN 2V,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$345.96 ,$121.72 ,$362.70 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000274,73600,HC XRAY ANKLE (2 V),320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,$547.00 ,$393.84 ,$56.05 ,$547.00 ,$314.53 ,$393.84 ,$297.57 ,$123.29 ,$153.16 ,$363.76 ,$123.29 ,$382.90 ,$123.29 ,$344.61 ,$344.61 ,$123.29 ,$344.61 ,$254.14 ,$503.24 ,$217.20 ,$123.29 ,$464.95 ,$459.48 ,$123.29 ,$410.25 ,$437.60 ,$437.60 ,$123.29 ,$437.60 ,$475.89 ,$475.89 ,$475.89 ,$492.30 ,$314.53 ,$123.29 ,$547.00 ,$306.87 ,$123.29 ,$226.46 ,$58.72 ,$56.05 ,$129.46 ,$464.95 ,$344.61 ,$153.16 ,$492.30 ,$475.89 ,$437.60 ,$437.60 ,$123.29 ,$355.55 ST. FRANCIS HOSPITAL - ACUTE,32000276,73610,HC XRAY ANKLE (MIN 3 V),320,1 ,"$1,080.00 ",$777.60 ,$84.06 ,"$1,080.00 ",$621.00 ,$777.60 ,$587.52 ,$243.43 ,$302.40 ,$409.08 ,$243.43 ,$428.87 ,$243.43 ,$680.40 ,$680.40 ,$243.43 ,$680.40 ,$501.77 ,$800.00 ,$217.20 ,$243.43 ,$918.00 ,$907.20 ,$243.43 ,$810.00 ,$864.00 ,$864.00 ,$243.43 ,$864.00 ,$939.60 ,$939.60 ,$939.60 ,$972.00 ,$621.00 ,$243.43 ,"$1,080.00 ",$605.88 ,$243.43 ,$447.12 ,$88.07 ,$84.06 ,$255.60 ,$918.00 ,$680.40 ,$302.40 ,$972.00 ,$939.60 ,$864.00 ,$864.00 ,$243.43 ,$702.00 ST. FRANCIS HOSPITAL - ACUTE,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$359.00 ,$258.48 ,$56.05 ,$359.00 ,$206.43 ,$258.48 ,$195.30 ,$80.92 ,$100.52 ,$238.74 ,$80.92 ,$251.30 ,$80.92 ,$226.17 ,$226.17 ,$80.92 ,$226.17 ,$166.79 ,$330.28 ,$217.20 ,$80.92 ,$305.15 ,$301.56 ,$80.92 ,$269.25 ,$287.20 ,$287.20 ,$80.92 ,$287.20 ,$312.33 ,$312.33 ,$312.33 ,$323.10 ,$206.43 ,$80.92 ,$359.00 ,$201.40 ,$80.92 ,$148.63 ,$58.72 ,$56.05 ,$84.97 ,$305.15 ,$226.17 ,$100.52 ,$323.10 ,$312.33 ,$287.20 ,$287.20 ,$80.92 ,$233.35 ST. FRANCIS HOSPITAL - ACUTE,32000279,73620,HC XRAY FOOT (2 V),320,1 ,$708.00 ,$509.76 ,$84.06 ,$708.00 ,$407.10 ,$509.76 ,$385.15 ,$159.58 ,$198.24 ,$333.44 ,$159.58 ,$349.57 ,$159.58 ,$446.04 ,$446.04 ,$159.58 ,$446.04 ,$328.94 ,$651.36 ,$217.20 ,$159.58 ,$601.80 ,$594.72 ,$159.58 ,$531.00 ,$566.40 ,$566.40 ,$159.58 ,$566.40 ,$615.96 ,$615.96 ,$615.96 ,$637.20 ,$407.10 ,$159.58 ,$708.00 ,$397.19 ,$159.58 ,$293.11 ,$88.07 ,$84.06 ,$167.56 ,$601.80 ,$446.04 ,$198.24 ,$637.20 ,$615.96 ,$566.40 ,$566.40 ,$159.58 ,$460.20 ST. FRANCIS HOSPITAL - ACUTE,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,$547.00 ,$393.84 ,$56.05 ,$547.00 ,$314.53 ,$393.84 ,$297.57 ,$123.29 ,$153.16 ,$363.76 ,$123.29 ,$382.90 ,$123.29 ,$344.61 ,$344.61 ,$123.29 ,$344.61 ,$254.14 ,$503.24 ,$217.20 ,$123.29 ,$464.95 ,$459.48 ,$123.29 ,$410.25 ,$437.60 ,$437.60 ,$123.29 ,$437.60 ,$475.89 ,$475.89 ,$475.89 ,$492.30 ,$314.53 ,$123.29 ,$547.00 ,$306.87 ,$123.29 ,$226.46 ,$58.72 ,$56.05 ,$129.46 ,$464.95 ,$344.61 ,$153.16 ,$492.30 ,$475.89 ,$437.60 ,$437.60 ,$123.29 ,$355.55 ST. FRANCIS HOSPITAL - ACUTE,32000281,73630,HC XRAY FOOT (MIN 3 V),320,1 ,"$1,080.00 ",$777.60 ,$84.06 ,"$1,080.00 ",$621.00 ,$777.60 ,$587.52 ,$243.43 ,$302.40 ,$377.58 ,$243.43 ,$395.85 ,$243.43 ,$680.40 ,$680.40 ,$243.43 ,$680.40 ,$501.77 ,$800.00 ,$217.20 ,$243.43 ,$918.00 ,$907.20 ,$243.43 ,$810.00 ,$864.00 ,$864.00 ,$243.43 ,$864.00 ,$939.60 ,$939.60 ,$939.60 ,$972.00 ,$621.00 ,$243.43 ,"$1,080.00 ",$605.88 ,$243.43 ,$447.12 ,$88.07 ,$84.06 ,$255.60 ,$918.00 ,$680.40 ,$302.40 ,$972.00 ,$939.60 ,$864.00 ,$864.00 ,$243.43 ,$702.00 ST. FRANCIS HOSPITAL - ACUTE,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$359.00 ,$258.48 ,$56.05 ,$359.00 ,$206.43 ,$258.48 ,$195.30 ,$80.92 ,$100.52 ,$238.74 ,$80.92 ,$251.30 ,$80.92 ,$226.17 ,$226.17 ,$80.92 ,$226.17 ,$166.79 ,$330.28 ,$217.20 ,$80.92 ,$305.15 ,$301.56 ,$80.92 ,$269.25 ,$287.20 ,$287.20 ,$80.92 ,$287.20 ,$312.33 ,$312.33 ,$312.33 ,$323.10 ,$206.43 ,$80.92 ,$359.00 ,$201.40 ,$80.92 ,$148.63 ,$58.72 ,$56.05 ,$84.97 ,$305.15 ,$226.17 ,$100.52 ,$323.10 ,$312.33 ,$287.20 ,$287.20 ,$80.92 ,$233.35 ST. FRANCIS HOSPITAL - ACUTE,32000283,73650,HC XRAY OS CALCIS HEEL,320,1 ,$708.00 ,$509.76 ,$84.06 ,$708.00 ,$407.10 ,$509.76 ,$385.15 ,$159.58 ,$198.24 ,$345.96 ,$159.58 ,$362.70 ,$159.58 ,$446.04 ,$446.04 ,$159.58 ,$446.04 ,$328.94 ,$651.36 ,$217.20 ,$159.58 ,$601.80 ,$594.72 ,$159.58 ,$531.00 ,$566.40 ,$566.40 ,$159.58 ,$566.40 ,$615.96 ,$615.96 ,$615.96 ,$637.20 ,$407.10 ,$159.58 ,$708.00 ,$397.19 ,$159.58 ,$293.11 ,$88.07 ,$84.06 ,$167.56 ,$601.80 ,$446.04 ,$198.24 ,$637.20 ,$615.96 ,$566.40 ,$566.40 ,$159.58 ,$460.20 ST. FRANCIS HOSPITAL - ACUTE,32000286,73660,HC XRAY TOE MIN 2 VIEW,320,1 ,$355.00 ,$255.60 ,$56.05 ,$355.00 ,$204.13 ,$255.60 ,$193.12 ,$80.02 ,$99.40 ,$236.08 ,$80.02 ,$248.50 ,$80.02 ,$223.65 ,$223.65 ,$80.02 ,$223.65 ,$164.93 ,$326.60 ,$217.20 ,$80.02 ,$301.75 ,$298.20 ,$80.02 ,$266.25 ,$284.00 ,$284.00 ,$80.02 ,$284.00 ,$308.85 ,$308.85 ,$308.85 ,$319.50 ,$204.13 ,$80.02 ,$355.00 ,$199.16 ,$80.02 ,$146.97 ,$58.72 ,$56.05 ,$84.02 ,$301.75 ,$223.65 ,$99.40 ,$319.50 ,$308.85 ,$284.00 ,$284.00 ,$80.02 ,$230.75 ST. FRANCIS HOSPITAL - ACUTE,32000289,74018,HC XRAY ABDOMEN 1V,320,1 ,$421.00 ,$303.12 ,$56.05 ,$421.00 ,$242.08 ,$303.12 ,$229.02 ,$94.89 ,$117.88 ,$279.97 ,$94.89 ,$294.70 ,$94.89 ,$265.23 ,$265.23 ,$94.89 ,$265.23 ,$195.60 ,$387.32 ,$217.20 ,$94.89 ,$357.85 ,$353.64 ,$94.89 ,$315.75 ,$336.80 ,$336.80 ,$94.89 ,$336.80 ,$366.27 ,$366.27 ,$366.27 ,$378.90 ,$242.08 ,$94.89 ,$421.00 ,$236.18 ,$94.89 ,$174.29 ,$58.72 ,$56.05 ,$99.64 ,$357.85 ,$265.23 ,$117.88 ,$378.90 ,$366.27 ,$336.80 ,$336.80 ,$94.89 ,$273.65 ST. FRANCIS HOSPITAL - ACUTE,32000294,74019,HC XRAY ABDOMEN AP AND LAT (2 V OR 3 V),320,1 ,$559.00 ,$402.48 ,$56.05 ,$559.00 ,$321.43 ,$402.48 ,$304.10 ,$126.00 ,$156.52 ,$371.74 ,$126.00 ,$391.30 ,$126.00 ,$352.17 ,$352.17 ,$126.00 ,$352.17 ,$259.71 ,$514.28 ,$267.20 ,$126.00 ,$475.15 ,$469.56 ,$126.00 ,$419.25 ,$447.20 ,$447.20 ,$126.00 ,$447.20 ,$486.33 ,$486.33 ,$486.33 ,$503.10 ,$321.43 ,$126.00 ,$559.00 ,$313.60 ,$126.00 ,$231.43 ,$58.72 ,$56.05 ,$132.30 ,$475.15 ,$352.17 ,$156.52 ,$503.10 ,$486.33 ,$447.20 ,$447.20 ,$126.00 ,$363.35 ST. FRANCIS HOSPITAL - ACUTE,32000298,74022,HC XRAY ABDOMEN AP/DECUB/ERECT/CXR,320,1 ,$536.00 ,$385.92 ,$56.05 ,$536.00 ,$308.20 ,$385.92 ,$291.58 ,$120.81 ,$150.08 ,$356.44 ,$120.81 ,$375.20 ,$120.81 ,$337.68 ,$337.68 ,$120.81 ,$337.68 ,$249.03 ,$493.12 ,$267.20 ,$120.81 ,$455.60 ,$450.24 ,$120.81 ,$402.00 ,$428.80 ,$428.80 ,$120.81 ,$428.80 ,$466.32 ,$466.32 ,$466.32 ,$482.40 ,$308.20 ,$120.81 ,$536.00 ,$300.70 ,$120.81 ,$221.90 ,$58.72 ,$56.05 ,$126.85 ,$455.60 ,$337.68 ,$150.08 ,$482.40 ,$466.32 ,$428.80 ,$428.80 ,$120.81 ,$348.40 ST. FRANCIS HOSPITAL - ACUTE,32000300,74220,HC XRAY ESOPHAGUS,320,1 ,$825.00 ,$594.00 ,$56.05 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$759.00 ,$450.85 ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$825.00 ,$462.83 ,$185.95 ,$341.55 ,$58.72 ,$56.05 ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,32000301,74230,HC VIDEO FLUORO SWALLOWING,320,1 ,$825.00 ,$594.00 ,$123.25 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$759.00 ,$450.85 ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$825.00 ,$462.83 ,$185.95 ,$341.55 ,$129.12 ,$123.25 ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,32000302,74240,HC XRAY UPPER GI TRACT,320,1 ,"$1,005.00 ",$723.60 ,$123.25 ,"$1,005.00 ",$577.88 ,$723.60 ,$546.72 ,$226.53 ,$281.40 ,$668.33 ,$226.53 ,$703.50 ,$226.53 ,$633.15 ,$633.15 ,$226.53 ,$633.15 ,$466.92 ,$800.00 ,$450.85 ,$226.53 ,$854.25 ,$844.20 ,$226.53 ,$753.75 ,$804.00 ,$804.00 ,$226.53 ,$804.00 ,$874.35 ,$874.35 ,$874.35 ,$904.50 ,$577.88 ,$226.53 ,"$1,005.00 ",$563.81 ,$226.53 ,$416.07 ,$129.12 ,$123.25 ,$237.86 ,$854.25 ,$633.15 ,$281.40 ,$904.50 ,$874.35 ,$804.00 ,$804.00 ,$226.53 ,$653.25 ST. FRANCIS HOSPITAL - ACUTE,32000306,74246,HC UPPER GI TRACT - NO KUB,320,1 ,$922.00 ,$663.84 ,$123.25 ,$922.00 ,$530.15 ,$663.84 ,$501.57 ,$207.82 ,$258.16 ,$613.13 ,$207.82 ,$645.40 ,$207.82 ,$580.86 ,$580.86 ,$207.82 ,$580.86 ,$428.36 ,$800.00 ,$450.85 ,$207.82 ,$783.70 ,$774.48 ,$207.82 ,$691.50 ,$737.60 ,$737.60 ,$207.82 ,$737.60 ,$802.14 ,$802.14 ,$802.14 ,$829.80 ,$530.15 ,$207.82 ,$922.00 ,$517.24 ,$207.82 ,$381.71 ,$129.12 ,$123.25 ,$218.21 ,$783.70 ,$580.86 ,$258.16 ,$829.80 ,$802.14 ,$737.60 ,$737.60 ,$207.82 ,$599.30 ST. FRANCIS HOSPITAL - ACUTE,32000311,74250,HC XRAY SMALL BOWEL,320,1 ,$825.00 ,$594.00 ,$123.25 ,$825.00 ,$474.38 ,$594.00 ,$448.80 ,$185.95 ,$231.00 ,$548.63 ,$185.95 ,$577.50 ,$185.95 ,$519.75 ,$519.75 ,$185.95 ,$519.75 ,$383.30 ,$759.00 ,$450.85 ,$185.95 ,$701.25 ,$693.00 ,$185.95 ,$618.75 ,$660.00 ,$660.00 ,$185.95 ,$660.00 ,$717.75 ,$717.75 ,$717.75 ,$742.50 ,$474.38 ,$185.95 ,$825.00 ,$462.83 ,$185.95 ,$341.55 ,$129.12 ,$123.25 ,$195.26 ,$701.25 ,$519.75 ,$231.00 ,$742.50 ,$717.75 ,$660.00 ,$660.00 ,$185.95 ,$536.25 ST. FRANCIS HOSPITAL - ACUTE,32000315,74270,HC XRAY COLON BARIUM,320,1 ,"$1,012.00 ",$728.64 ,$123.25 ,"$1,012.00 ",$581.90 ,$728.64 ,$550.53 ,$228.10 ,$283.36 ,$672.98 ,$228.10 ,$708.40 ,$228.10 ,$637.56 ,$637.56 ,$228.10 ,$637.56 ,$470.18 ,$800.00 ,$450.85 ,$228.10 ,$860.20 ,$850.08 ,$228.10 ,$759.00 ,$809.60 ,$809.60 ,$228.10 ,$809.60 ,$880.44 ,$880.44 ,$880.44 ,$910.80 ,$581.90 ,$228.10 ,"$1,012.00 ",$567.73 ,$228.10 ,$418.97 ,$129.12 ,$123.25 ,$239.51 ,$860.20 ,$637.56 ,$283.36 ,$910.80 ,$880.44 ,$809.60 ,$809.60 ,$228.10 ,$657.80 ST. FRANCIS HOSPITAL - ACUTE,32000318,74270,HC XRAY BARM ENEMA/COLSTMY,320,1 ,"$1,012.00 ",$728.64 ,$123.25 ,"$1,012.00 ",$581.90 ,$728.64 ,$550.53 ,$228.10 ,$283.36 ,$672.98 ,$228.10 ,$708.40 ,$228.10 ,$637.56 ,$637.56 ,$228.10 ,$637.56 ,$470.18 ,$800.00 ,$450.85 ,$228.10 ,$860.20 ,$850.08 ,$228.10 ,$759.00 ,$809.60 ,$809.60 ,$228.10 ,$809.60 ,$880.44 ,$880.44 ,$880.44 ,$910.80 ,$581.90 ,$228.10 ,"$1,012.00 ",$567.73 ,$228.10 ,$418.97 ,$129.12 ,$123.25 ,$239.51 ,$860.20 ,$637.56 ,$283.36 ,$910.80 ,$880.44 ,$809.60 ,$809.60 ,$228.10 ,$657.80 ST. FRANCIS HOSPITAL - ACUTE,32000319,74270,HC XRAY BARM ENEMA WATER SOL,320,1 ,"$1,012.00 ",$728.64 ,$123.25 ,"$1,012.00 ",$581.90 ,$728.64 ,$550.53 ,$228.10 ,$283.36 ,$672.98 ,$228.10 ,$708.40 ,$228.10 ,$637.56 ,$637.56 ,$228.10 ,$637.56 ,$470.18 ,$800.00 ,$450.85 ,$228.10 ,$860.20 ,$850.08 ,$228.10 ,$759.00 ,$809.60 ,$809.60 ,$228.10 ,$809.60 ,$880.44 ,$880.44 ,$880.44 ,$910.80 ,$581.90 ,$228.10 ,"$1,012.00 ",$567.73 ,$228.10 ,$418.97 ,$129.12 ,$123.25 ,$239.51 ,$860.20 ,$637.56 ,$283.36 ,$910.80 ,$880.44 ,$809.60 ,$809.60 ,$228.10 ,$657.80 ST. FRANCIS HOSPITAL - ACUTE,32000323,74300,HC CHOLANGIOGRAPHY OPERATIVE,320,1 ,"$1,229.00 ",$884.88 ,$277.02 ,"$1,229.00 ",$706.68 ,$884.88 ,$668.58 ,$277.02 ,$344.12 ,$638.97 ,$277.02 ,$669.89 ,$277.02 ,$774.27 ,$774.27 ,$277.02 ,$774.27 ,$570.99 ,$800.00 , N/A ,$277.02 ,"$1,044.65 ","$1,032.36 ",$277.02 ,$921.75 ,$983.20 ,$983.20 ,$277.02 ,$983.20 ,"$1,069.23 ","$1,069.23 ","$1,069.23 ","$1,106.10 ",$706.68 ,$277.02 ,"$1,229.00 ",$689.47 ,$277.02 ,$508.81 ,$334.58 ,$319.37 ,$290.86 ,"$1,044.65 ",$774.27 ,$344.12 ,"$1,106.10 ","$1,069.23 ",$983.20 ,$983.20 ,$277.02 ,$798.85 ST. FRANCIS HOSPITAL - ACUTE,32000339,74420,HC XRAY UROGRAM RETROGRADE,320,1 ,$688.00 ,$495.36 ,$155.08 ,$921.08 ,$395.60 ,$495.36 ,$374.27 ,$155.08 ,$192.64 ,$457.52 ,$155.08 ,$481.60 ,$155.08 ,$433.44 ,$433.44 ,$155.08 ,$433.44 ,$319.64 ,$632.96 ,$921.08 ,$155.08 ,$584.80 ,$577.92 ,$155.08 ,$516.00 ,$550.40 ,$550.40 ,$155.08 ,$550.40 ,$598.56 ,$598.56 ,$598.56 ,$619.20 ,$395.60 ,$155.08 ,$688.00 ,$385.97 ,$155.08 ,$284.83 ,$366.26 ,$349.61 ,$162.83 ,$584.80 ,$433.44 ,$192.64 ,$619.20 ,$598.56 ,$550.40 ,$550.40 ,$155.08 ,$447.20 ST. FRANCIS HOSPITAL - ACUTE,32000343,74430,HC CYSTOGRAM 3+ VIEWS,320,1 ,$746.00 ,$537.12 ,$168.15 ,$921.08 ,$428.95 ,$537.12 ,$405.82 ,$168.15 ,$208.88 ,$396.43 ,$168.15 ,$415.61 ,$168.15 ,$469.98 ,$469.98 ,$168.15 ,$469.98 ,$346.59 ,$686.32 ,$921.08 ,$168.15 ,$634.10 ,$626.64 ,$168.15 ,$559.50 ,$596.80 ,$596.80 ,$168.15 ,$596.80 ,$649.02 ,$649.02 ,$649.02 ,$671.40 ,$428.95 ,$168.15 ,$746.00 ,$418.51 ,$168.15 ,$308.84 ,$334.58 ,$319.37 ,$176.56 ,$634.10 ,$469.98 ,$208.88 ,$671.40 ,$649.02 ,$596.80 ,$596.80 ,$168.15 ,$484.90 ST. FRANCIS HOSPITAL - ACUTE,32000344,74450,HC CYSTOURETHROGRAM RETROGRADE,320,1 ,$688.00 ,$495.36 ,$155.08 ,$688.00 ,$395.60 ,$495.36 ,$374.27 ,$155.08 ,$192.64 ,$457.52 ,$155.08 ,$481.60 ,$155.08 ,$433.44 ,$433.44 ,$155.08 ,$433.44 ,$319.64 ,$632.96 ,$583.80 ,$155.08 ,$584.80 ,$577.92 ,$155.08 ,$516.00 ,$550.40 ,$550.40 ,$155.08 ,$550.40 ,$598.56 ,$598.56 ,$598.56 ,$619.20 ,$395.60 ,$155.08 ,$688.00 ,$385.97 ,$155.08 ,$284.83 ,$334.58 ,$319.37 ,$162.83 ,$584.80 ,$433.44 ,$192.64 ,$619.20 ,$598.56 ,$550.40 ,$550.40 ,$155.08 ,$447.20 ST. FRANCIS HOSPITAL - ACUTE,32000346,74455,HC XRAY VOID CYSTOURETHGRAM,320,1 ,$936.00 ,$673.92 ,$210.97 ,$936.00 ,$538.20 ,$673.92 ,$509.18 ,$210.97 ,$262.08 ,$622.44 ,$210.97 ,$655.20 ,$210.97 ,$589.68 ,$589.68 ,$210.97 ,$589.68 ,$434.87 ,$800.00 ,$583.80 ,$210.97 ,$795.60 ,$786.24 ,$210.97 ,$702.00 ,$748.80 ,$748.80 ,$210.97 ,$748.80 ,$814.32 ,$814.32 ,$814.32 ,$842.40 ,$538.20 ,$210.97 ,$936.00 ,$525.10 ,$210.97 ,$387.50 ,$334.58 ,$319.37 ,$221.52 ,$795.60 ,$589.68 ,$262.08 ,$842.40 ,$814.32 ,$748.80 ,$748.80 ,$210.97 ,$608.40 ST. FRANCIS HOSPITAL - ACUTE,32000354,74740,HC XRAY HYSTEROSALPINGOGRAP,320,1 ,"$1,041.00 ",$749.52 ,$234.64 ,"$1,041.00 ",$598.58 ,$749.52 ,$566.30 ,$234.64 ,$291.48 ,$692.27 ,$234.64 ,$728.70 ,$234.64 ,$655.83 ,$655.83 ,$234.64 ,$655.83 ,$483.65 ,$800.00 ,$583.80 ,$234.64 ,$884.85 ,$874.44 ,$234.64 ,$780.75 ,$832.80 ,$832.80 ,$234.64 ,$832.80 ,$905.67 ,$905.67 ,$905.67 ,$936.90 ,$598.58 ,$234.64 ,"$1,041.00 ",$584.00 ,$234.64 ,$430.97 ,$334.58 ,$319.37 ,$246.37 ,$884.85 ,$655.83 ,$291.48 ,$936.90 ,$905.67 ,$832.80 ,$832.80 ,$234.64 ,$676.65 ST. FRANCIS HOSPITAL - ACUTE,32000445,75989,HC GUID FOR PERC DRAIN ABSCESS,320,1 ,"$2,199.00 ","$1,583.28 ",$319.37 ,"$2,199.00 ","$1,264.43 ","$1,583.28 ","$1,196.26 ",$495.65 ,$615.72 ,"$1,128.03 ",$495.65 ,"$1,182.61 ",$495.65 ,"$1,385.37 ","$1,385.37 ",$495.65 ,"$1,385.37 ","$1,021.66 ",$800.00 , N/A ,$495.65 ,"$1,869.15 ","$1,847.16 ",$495.65 ,"$1,649.25 ","$1,759.20 ","$1,759.20 ",$495.65 ,"$1,759.20 ","$1,913.13 ","$1,913.13 ","$1,913.13 ","$1,979.10 ","$1,264.43 ",$495.65 ,"$2,199.00 ","$1,233.64 ",$495.65 ,$910.39 ,$334.58 ,$319.37 ,$520.44 ,"$1,869.15 ","$1,385.37 ",$615.72 ,"$1,979.10 ","$1,913.13 ","$1,759.20 ","$1,759.20 ",$495.65 ,"$1,429.35 " ST. FRANCIS HOSPITAL - ACUTE,32000447,76000,HC FLUOROSCOPY UP TO 1 HR 76000,320,1 ,"$1,098.00 ",$790.56 ,$56.05 ,"$1,098.00 ",$631.35 ,$790.56 ,$597.31 ,$247.49 ,$307.44 ,$699.24 ,$247.49 ,$733.07 ,$247.49 ,$691.74 ,$691.74 ,$247.49 ,$691.74 ,$510.13 ,$800.00 ,$583.80 ,$247.49 ,$933.30 ,$922.32 ,$247.49 ,$823.50 ,$878.40 ,$878.40 ,$247.49 ,$878.40 ,$955.26 ,$955.26 ,$955.26 ,$988.20 ,$631.35 ,$247.49 ,"$1,098.00 ",$615.98 ,$247.49 ,$454.57 ,$58.72 ,$56.05 ,$259.87 ,$933.30 ,$691.74 ,$307.44 ,$988.20 ,$955.26 ,$878.40 ,$878.40 ,$247.49 ,$713.70 ST. FRANCIS HOSPITAL - ACUTE,32000464,76010,HC BABYGRAM,320,1 ,$402.00 ,$289.44 ,$56.05 ,$402.00 ,$231.15 ,$289.44 ,$218.69 ,$90.61 ,$112.56 ,$267.33 ,$90.61 ,$281.40 ,$90.61 ,$253.26 ,$253.26 ,$90.61 ,$253.26 ,$186.77 ,$369.84 ,$217.20 ,$90.61 ,$341.70 ,$337.68 ,$90.61 ,$301.50 ,$321.60 ,$321.60 ,$90.61 ,$321.60 ,$349.74 ,$349.74 ,$349.74 ,$361.80 ,$231.15 ,$90.61 ,$402.00 ,$225.52 ,$90.61 ,$166.43 ,$58.72 ,$56.05 ,$95.14 ,$341.70 ,$253.26 ,$112.56 ,$361.80 ,$349.74 ,$321.60 ,$321.60 ,$90.61 ,$261.30 ST. FRANCIS HOSPITAL - ACUTE,32000467,76098,HC RADIOLOGICAL EXAM SURG SPEC,320,1 ,$146.00 ,$105.12 ,$28.66 ,"$1,257.83 ",$83.95 ,$105.12 ,$79.42 ,$32.91 ,$40.88 ,$97.09 ,$32.91 ,$102.20 ,$32.91 ,$91.98 ,$91.98 ,$32.91 ,$91.98 ,$67.83 ,$134.32 ,"$1,257.83 ",$32.91 ,$124.10 ,$122.64 ,$32.91 ,$109.50 ,$116.80 ,$116.80 ,$32.91 ,$116.80 ,$127.02 ,$127.02 ,$127.02 ,$131.40 ,$83.95 ,$32.91 ,$28.66 ,$81.91 ,$32.91 ,$60.44 ,$58.72 ,$56.05 ,$34.55 ,$124.10 ,$91.98 ,$40.88 ,$131.40 ,$127.02 ,$116.80 ,$116.80 ,$32.91 ,$94.90 ST. FRANCIS HOSPITAL - ACUTE,32000475,77001,HC FLUORO CV ACCESS PLACEMENT,320,1 ,$460.00 ,$331.20 ,$103.68 ,$460.00 ,$264.50 ,$331.20 ,$250.24 ,$103.68 ,$128.80 ,$305.90 ,$103.68 ,$322.00 ,$103.68 ,$289.80 ,$289.80 ,$103.68 ,$289.80 ,$213.72 ,$423.20 , N/A ,$103.68 ,$391.00 ,$386.40 ,$103.68 ,$345.00 ,$368.00 ,$368.00 ,$103.68 ,$368.00 ,$400.20 ,$400.20 ,$400.20 ,$414.00 ,$264.50 ,$103.68 ,$460.00 ,$258.06 ,$103.68 ,$190.44 ,$334.58 ,$319.37 ,$108.87 ,$391.00 ,$289.80 ,$128.80 ,$414.00 ,$400.20 ,$368.00 ,$368.00 ,$103.68 ,$299.00 ST. FRANCIS HOSPITAL - ACUTE,32000476,77002,HC FLUORO NEEDLE PLACEMENT,320,1 ,$523.00 ,$376.56 ,$117.88 ,$523.00 ,$300.73 ,$376.56 ,$284.51 ,$117.88 ,$146.44 ,$347.80 ,$117.88 ,$366.10 ,$117.88 ,$329.49 ,$329.49 ,$117.88 ,$329.49 ,$242.99 ,$481.16 , N/A ,$117.88 ,$444.55 ,$439.32 ,$117.88 ,$392.25 ,$418.40 ,$418.40 ,$117.88 ,$418.40 ,$455.01 ,$455.01 ,$455.01 ,$470.70 ,$300.73 ,$117.88 ,$523.00 ,$293.40 ,$117.88 ,$216.52 ,$334.58 ,$319.37 ,$123.77 ,$444.55 ,$329.49 ,$146.44 ,$470.70 ,$455.01 ,$418.40 ,$418.40 ,$117.88 ,$339.95 ST. FRANCIS HOSPITAL - ACUTE,32000481,77003,HC FLUORO NEEDLE LOCALIZATION,320,1 ,$460.00 ,$331.20 ,$103.68 ,$460.00 ,$264.50 ,$331.20 ,$250.24 ,$103.68 ,$128.80 ,$305.90 ,$103.68 ,$322.00 ,$103.68 ,$289.80 ,$289.80 ,$103.68 ,$289.80 ,$213.72 ,$423.20 , N/A ,$103.68 ,$391.00 ,$386.40 ,$103.68 ,$345.00 ,$368.00 ,$368.00 ,$103.68 ,$368.00 ,$400.20 ,$400.20 ,$400.20 ,$414.00 ,$264.50 ,$103.68 ,$460.00 ,$258.06 ,$103.68 ,$190.44 ,$334.58 ,$319.37 ,$108.87 ,$391.00 ,$289.80 ,$128.80 ,$414.00 ,$400.20 ,$368.00 ,$368.00 ,$103.68 ,$299.00 ST. FRANCIS HOSPITAL - ACUTE,32000489,19281,HC MAMM GUIDE NDL PLACEMENT,320,1 ,"$1,728.00 ","$1,244.16 ",$120.26 ,"$3,748.88 ",$993.60 ,"$1,244.16 ",$940.03 ,$389.49 ,$483.84 ,"$1,149.12 ",$389.49 ,"$1,209.60 ",$389.49 ,"$1,088.64 ","$1,088.64 ",$389.49 ,"$1,088.64 ",$802.83 ,$800.00 ,"$3,748.88 ",$389.49 ,"$1,468.80 ","$1,451.52 ",$389.49 ,"$1,296.00 ","$1,382.40 ","$1,382.40 ",$389.49 ,"$1,382.40 ","$1,503.36 ","$1,503.36 ","$1,503.36 ","$1,555.20 ",$993.60 ,$389.49 ,$258.08 ,$969.41 ,$389.49 ,$715.39 ,$125.98 ,$120.26 ,$408.96 ,"$1,468.80 ","$1,088.64 ",$483.84 ,"$1,555.20 ","$1,503.36 ","$1,382.40 ","$1,382.40 ",$389.49 ,"$1,123.20 " ST. FRANCIS HOSPITAL - ACUTE,32000490,77053,HC GALACTOGRAM SINGLE DUCT,320,1 ,"$1,096.00 ",$789.12 ,$38.47 ,"$1,096.00 ",$630.20 ,$789.12 ,$596.22 ,$247.04 ,$306.88 ,$724.41 ,$247.04 ,$759.46 ,$247.04 ,$690.48 ,$690.48 ,$247.04 ,$690.48 ,$509.20 ,$800.00 ,$583.80 ,$247.04 ,$931.60 ,$920.64 ,$247.04 ,$822.00 ,$876.80 ,$876.80 ,$247.04 ,$876.80 ,$953.52 ,$953.52 ,$953.52 ,$986.40 ,$630.20 ,$247.04 ,$38.47 ,$614.86 ,$247.04 ,$453.74 ,$334.58 ,$319.37 ,$259.39 ,$931.60 ,$690.48 ,$306.88 ,$986.40 ,$953.52 ,$876.80 ,$876.80 ,$247.04 ,$712.40 ST. FRANCIS HOSPITAL - ACUTE,32000491,77054,HC GALACTOGRAM MULTI DUCT,320,1 ,"$1,096.00 ",$789.12 ,$247.04 ,"$1,096.00 ",$630.20 ,$789.12 ,$596.22 ,$247.04 ,$306.88 ,$728.84 ,$247.04 ,$767.20 ,$247.04 ,$690.48 ,$690.48 ,$247.04 ,$690.48 ,$509.20 ,$800.00 ,$583.80 ,$247.04 ,$931.60 ,$920.64 ,$247.04 ,$822.00 ,$876.80 ,$876.80 ,$247.04 ,$876.80 ,$953.52 ,$953.52 ,$953.52 ,$986.40 ,$630.20 ,$247.04 ,"$1,096.00 ",$614.86 ,$247.04 ,$453.74 ,$334.58 ,$319.37 ,$259.39 ,$931.60 ,$690.48 ,$306.88 ,$986.40 ,$953.52 ,$876.80 ,$876.80 ,$247.04 ,$712.40 ST. FRANCIS HOSPITAL - ACUTE,32000492,77073,HC BONE LENGTH STUDIES,320,1 ,$510.00 ,$367.20 ,$56.05 ,$510.00 ,$293.25 ,$367.20 ,$277.44 ,$114.95 ,$142.80 ,$339.15 ,$114.95 ,$357.00 ,$114.95 ,$321.30 ,$321.30 ,$114.95 ,$321.30 ,$236.95 ,$469.20 ,$267.20 ,$114.95 ,$433.50 ,$428.40 ,$114.95 ,$382.50 ,$408.00 ,$408.00 ,$114.95 ,$408.00 ,$443.70 ,$443.70 ,$443.70 ,$459.00 ,$293.25 ,$114.95 ,$510.00 ,$286.11 ,$114.95 ,$211.14 ,$58.72 ,$56.05 ,$120.71 ,$433.50 ,$321.30 ,$142.80 ,$459.00 ,$443.70 ,$408.00 ,$408.00 ,$114.95 ,$331.50 ST. FRANCIS HOSPITAL - ACUTE,32000494,77075,HC BONE SURVEY COMPLETE,320,1 ,"$1,594.00 ","$1,147.68 ",$56.05 ,"$1,594.00 ",$916.55 ,"$1,147.68 ",$867.14 ,$359.29 ,$446.32 ,"$1,060.01 ",$359.29 ,"$1,115.80 ",$359.29 ,"$1,004.22 ","$1,004.22 ",$359.29 ,"$1,004.22 ",$740.57 ,$800.00 ,$267.20 ,$359.29 ,"$1,354.90 ","$1,338.96 ",$359.29 ,"$1,195.50 ","$1,275.20 ","$1,275.20 ",$359.29 ,"$1,275.20 ","$1,386.78 ","$1,386.78 ","$1,386.78 ","$1,434.60 ",$916.55 ,$359.29 ,"$1,594.00 ",$894.23 ,$359.29 ,$659.92 ,$58.72 ,$56.05 ,$377.25 ,"$1,354.90 ","$1,004.22 ",$446.32 ,"$1,434.60 ","$1,386.78 ","$1,275.20 ","$1,275.20 ",$359.29 ,"$1,036.10 " ST. FRANCIS HOSPITAL - ACUTE,32000495,77076,HC OSSEOUS SURVEY INFANT,320,1 ,$458.00 ,$329.76 ,$56.05 ,$458.00 ,$263.35 ,$329.76 ,$249.15 ,$103.23 ,$128.24 ,$304.57 ,$103.23 ,$320.60 ,$103.23 ,$288.54 ,$288.54 ,$103.23 ,$288.54 ,$212.79 ,$421.36 ,$267.20 ,$103.23 ,$389.30 ,$384.72 ,$103.23 ,$343.50 ,$366.40 ,$366.40 ,$103.23 ,$366.40 ,$398.46 ,$398.46 ,$398.46 ,$412.20 ,$263.35 ,$103.23 ,$458.00 ,$256.94 ,$103.23 ,$189.61 ,$58.72 ,$56.05 ,$108.40 ,$389.30 ,$288.54 ,$128.24 ,$412.20 ,$398.46 ,$366.40 ,$366.40 ,$103.23 ,$297.70 ST. FRANCIS HOSPITAL - ACUTE,32000496,77080,HC BONE DENSITY DXA,320,1 ,$353.00 ,$254.16 ,$79.57 ,$353.00 ,$202.98 ,$254.16 ,$192.03 ,$79.57 ,$98.84 ,$234.75 ,$79.57 ,$247.10 ,$79.57 ,$222.39 ,$222.39 ,$79.57 ,$222.39 ,$164.00 ,$324.76 ,$267.20 ,$79.57 ,$300.05 ,$296.52 ,$79.57 ,$264.75 ,$282.40 ,$282.40 ,$79.57 ,$282.40 ,$307.11 ,$307.11 ,$307.11 ,$317.70 ,$202.98 ,$79.57 ,$353.00 ,$198.03 ,$79.57 ,$146.14 ,$92.74 ,$88.53 ,$83.54 ,$300.05 ,$222.39 ,$98.84 ,$317.70 ,$307.11 ,$282.40 ,$282.40 ,$79.57 ,$229.45 ST. FRANCIS HOSPITAL - ACUTE,32000497,77081,HC BONE DENSITY PERIPHERAL,320,1 ,$243.00 ,$174.96 ,$54.77 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$217.20 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$92.74 ,$88.53 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,32000500,76000,HC FLUOROSCOPY UP TO 1 HR SNIFF DIAPHRM,320,1 ,"$1,098.00 ",$790.56 ,$56.05 ,"$1,098.00 ",$631.35 ,$790.56 ,$597.31 ,$247.49 ,$307.44 ,$699.24 ,$247.49 ,$733.07 ,$247.49 ,$691.74 ,$691.74 ,$247.49 ,$691.74 ,$510.13 ,$800.00 ,$583.80 ,$247.49 ,$933.30 ,$922.32 ,$247.49 ,$823.50 ,$878.40 ,$878.40 ,$247.49 ,$878.40 ,$955.26 ,$955.26 ,$955.26 ,$988.20 ,$631.35 ,$247.49 ,"$1,098.00 ",$615.98 ,$247.49 ,$454.57 ,$58.72 ,$56.05 ,$259.87 ,$933.30 ,$691.74 ,$307.44 ,$988.20 ,$955.26 ,$878.40 ,$878.40 ,$247.49 ,$713.70 ST. FRANCIS HOSPITAL - ACUTE,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,$745.00 ,$536.40 ,$167.92 ,$745.00 ,$428.38 ,$536.40 ,$405.28 ,$167.92 ,$208.60 ,$495.43 ,$167.92 ,$521.50 ,$167.92 ,$469.35 ,$469.35 ,$167.92 ,$469.35 ,$346.13 ,$685.40 ,$679.73 ,$167.92 ,$633.25 ,$625.80 ,$167.92 ,$558.75 ,$596.00 ,$596.00 ,$167.92 ,$596.00 ,$648.15 ,$648.15 ,$648.15 ,$670.50 ,$428.38 ,$167.92 ,$745.00 ,$417.95 ,$167.92 ,$308.43 ,$341.51 ,$325.98 ,$176.32 ,$633.25 ,$469.35 ,$208.60 ,$670.50 ,$648.15 ,$596.00 ,$596.00 ,$167.92 ,$484.25 ST. FRANCIS HOSPITAL - ACUTE,32000504,20550,HC INJ SINGLE TENDON/LIGAMENT,320,1 ,"$1,117.00 ",$804.24 ,$251.77 ,"$1,117.00 ",$642.28 ,$804.24 ,$607.65 ,$251.77 ,$312.76 ,$742.81 ,$251.77 ,$781.90 ,$251.77 ,$703.71 ,$703.71 ,$251.77 ,$703.71 ,$518.96 ,$800.00 ,"$1,019.59 ",$251.77 ,$949.45 ,$938.28 ,$251.77 ,$837.75 ,$893.60 ,$893.60 ,$251.77 ,$893.60 ,$971.79 ,$971.79 ,$971.79 ,"$1,005.30 ",$642.28 ,$251.77 ,"$1,117.00 ",$626.64 ,$251.77 ,$462.44 ,$512.25 ,$488.96 ,$264.36 ,$949.45 ,$703.71 ,$312.76 ,"$1,005.30 ",$971.79 ,$893.60 ,$893.60 ,$251.77 ,$726.05 ST. FRANCIS HOSPITAL - ACUTE,32000505,20552,HC INJ TRIGGER PT 1-2 MUSCLE(S),320,1 ,$654.00 ,$470.88 ,$147.41 ,$679.73 ,$376.05 ,$470.88 ,$355.78 ,$147.41 ,$183.12 ,$434.91 ,$147.41 ,$457.80 ,$147.41 ,$412.02 ,$412.02 ,$147.41 ,$412.02 ,$303.85 ,$601.68 ,$679.73 ,$147.41 ,$555.90 ,$549.36 ,$147.41 ,$490.50 ,$523.20 ,$523.20 ,$147.41 ,$523.20 ,$568.98 ,$568.98 ,$568.98 ,$588.60 ,$376.05 ,$147.41 ,$654.00 ,$366.89 ,$147.41 ,$270.76 ,$341.51 ,$325.98 ,$154.78 ,$555.90 ,$412.02 ,$183.12 ,$588.60 ,$568.98 ,$523.20 ,$523.20 ,$147.41 ,$425.10 ST. FRANCIS HOSPITAL - ACUTE,32000509,77072,HC BONE AGE STUDIES,320,1 ,$238.00 ,$171.36 ,$53.65 ,$267.20 ,$136.85 ,$171.36 ,$129.47 ,$53.65 ,$66.64 ,$158.27 ,$53.65 ,$166.60 ,$53.65 ,$149.94 ,$149.94 ,$53.65 ,$149.94 ,$110.57 ,$218.96 ,$267.20 ,$53.65 ,$202.30 ,$199.92 ,$53.65 ,$178.50 ,$190.40 ,$190.40 ,$53.65 ,$190.40 ,$207.06 ,$207.06 ,$207.06 ,$214.20 ,$136.85 ,$53.65 ,$238.00 ,$133.52 ,$53.65 ,$98.53 ,$58.72 ,$56.05 ,$56.33 ,$202.30 ,$149.94 ,$66.64 ,$214.20 ,$207.06 ,$190.40 ,$190.40 ,$53.65 ,$154.70 ST. FRANCIS HOSPITAL - ACUTE,32000530,32554,HC THORACENTESIS W/O IMAGING 32554,320,1 ,$895.00 ,$644.40 ,$201.73 ,"$1,446.25 ",$514.63 ,$644.40 ,$486.88 ,$201.73 ,$250.60 ,$595.18 ,$201.73 ,$626.50 ,$201.73 ,$563.85 ,$563.85 ,$201.73 ,$563.85 ,$415.82 ,$800.00 ,"$1,446.25 ",$201.73 ,$760.75 ,$751.80 ,$201.73 ,$671.25 ,$716.00 ,$716.00 ,$201.73 ,$716.00 ,$778.65 ,$778.65 ,$778.65 ,$805.50 ,$514.63 ,$201.73 ,$895.00 ,$502.10 ,$201.73 ,$370.53 ,$729.83 ,$696.65 ,$211.82 ,$760.75 ,$563.85 ,$250.60 ,$805.50 ,$778.65 ,$716.00 ,$716.00 ,$201.73 ,$581.75 ST. FRANCIS HOSPITAL - ACUTE,32000531,32555,HC THORACENTESIS W IMAGING 32555,320,1 ,$984.00 ,$708.48 ,$221.79 ,"$1,446.25 ",$565.80 ,$708.48 ,$535.30 ,$221.79 ,$275.52 ,$654.36 ,$221.79 ,$688.80 ,$221.79 ,$619.92 ,$619.92 ,$221.79 ,$619.92 ,$457.17 ,$800.00 ,"$1,446.25 ",$221.79 ,$836.40 ,$826.56 ,$221.79 ,$738.00 ,$787.20 ,$787.20 ,$221.79 ,$787.20 ,$856.08 ,$856.08 ,$856.08 ,$885.60 ,$565.80 ,$221.79 ,$984.00 ,$552.02 ,$221.79 ,$407.38 ,$729.83 ,$696.65 ,$232.89 ,$836.40 ,$619.92 ,$275.52 ,$885.60 ,$856.08 ,$787.20 ,$787.20 ,$221.79 ,$639.60 ST. FRANCIS HOSPITAL - ACUTE,32000542,20551,HC INJ TENDON ORIGIN,320,1 ,$745.00 ,$536.40 ,$167.92 ,$745.00 ,$428.38 ,$536.40 ,$405.28 ,$167.92 ,$208.60 ,$495.43 ,$167.92 ,$521.50 ,$167.92 ,$469.35 ,$469.35 ,$167.92 ,$469.35 ,$346.13 ,$685.40 ,$679.73 ,$167.92 ,$633.25 ,$625.80 ,$167.92 ,$558.75 ,$596.00 ,$596.00 ,$167.92 ,$596.00 ,$648.15 ,$648.15 ,$648.15 ,$670.50 ,$428.38 ,$167.92 ,$745.00 ,$417.95 ,$167.92 ,$308.43 ,$341.51 ,$325.98 ,$176.32 ,$633.25 ,$469.35 ,$208.60 ,$670.50 ,$648.15 ,$596.00 ,$596.00 ,$167.92 ,$484.25 ST. FRANCIS HOSPITAL - ACUTE,32000543,72074,HC XR T-SPINE 4 + VIEWS,320,1 ,$965.00 ,$694.80 ,$56.05 ,$965.00 ,$554.88 ,$694.80 ,$524.96 ,$217.51 ,$270.20 ,$500.22 ,$217.51 ,$524.42 ,$217.51 ,$607.95 ,$607.95 ,$217.51 ,$607.95 ,$448.34 ,$800.00 ,$267.20 ,$217.51 ,$820.25 ,$810.60 ,$217.51 ,$723.75 ,$772.00 ,$772.00 ,$217.51 ,$772.00 ,$839.55 ,$839.55 ,$839.55 ,$868.50 ,$554.88 ,$217.51 ,$965.00 ,$541.37 ,$217.51 ,$399.51 ,$58.72 ,$56.05 ,$228.39 ,$820.25 ,$607.95 ,$270.20 ,$868.50 ,$839.55 ,$772.00 ,$772.00 ,$217.51 ,$627.25 ST. FRANCIS HOSPITAL - ACUTE,32000551,77077,HC XR JOINT SRVY SINGLE 2 JOINTS,320,1 ,$334.00 ,$240.48 ,$56.05 ,$334.00 ,$192.05 ,$240.48 ,$181.70 ,$75.28 ,$93.52 ,$222.11 ,$75.28 ,$233.80 ,$75.28 ,$210.42 ,$210.42 ,$75.28 ,$210.42 ,$155.18 ,$307.28 ,$267.20 ,$75.28 ,$283.90 ,$280.56 ,$75.28 ,$250.50 ,$267.20 ,$267.20 ,$75.28 ,$267.20 ,$290.58 ,$290.58 ,$290.58 ,$300.60 ,$192.05 ,$75.28 ,$334.00 ,$187.37 ,$75.28 ,$138.28 ,$58.72 ,$56.05 ,$79.05 ,$283.90 ,$210.42 ,$93.52 ,$300.60 ,$290.58 ,$267.20 ,$267.20 ,$75.28 ,$217.10 ST. FRANCIS HOSPITAL - ACUTE,32000552,70100,HC XR MANDIBLE <3V,320,1 ,$243.00 ,$174.96 ,$54.77 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$217.20 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$58.72 ,$56.05 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,32000556,77071,HC XR JOINT STRESS BY PHYS,320,1 ,$469.00 ,$337.68 ,$105.71 ,$469.00 ,$269.68 ,$337.68 ,$255.14 ,$105.71 ,$131.32 ,$311.89 ,$105.71 ,$328.30 ,$105.71 ,$295.47 ,$295.47 ,$105.71 ,$295.47 ,$217.90 ,$431.48 ,$217.20 ,$105.71 ,$398.65 ,$393.96 ,$105.71 ,$351.75 ,$375.20 ,$375.20 ,$105.71 ,$375.20 ,$408.03 ,$408.03 ,$408.03 ,$422.10 ,$269.68 ,$105.71 ,$469.00 ,$263.11 ,$105.71 ,$194.17 , N/A , N/A ,$110.99 ,$398.65 ,$295.47 ,$131.32 ,$422.10 ,$408.03 ,$375.20 ,$375.20 ,$105.71 ,$304.85 ST. FRANCIS HOSPITAL - ACUTE,32000567,70100,HC XR MANDIBLE 1-3 VIEW,320,1 ,$842.00 ,$606.24 ,$56.05 ,$842.00 ,$484.15 ,$606.24 ,$458.05 ,$189.79 ,$235.76 ,$425.07 ,$189.79 ,$445.64 ,$189.79 ,$530.46 ,$530.46 ,$189.79 ,$530.46 ,$391.19 ,$774.64 ,$217.20 ,$189.79 ,$715.70 ,$707.28 ,$189.79 ,$631.50 ,$673.60 ,$673.60 ,$189.79 ,$673.60 ,$732.54 ,$732.54 ,$732.54 ,$757.80 ,$484.15 ,$189.79 ,$842.00 ,$472.36 ,$189.79 ,$348.59 ,$58.72 ,$56.05 ,$199.27 ,$715.70 ,$530.46 ,$235.76 ,$757.80 ,$732.54 ,$673.60 ,$673.60 ,$189.79 ,$547.30 ST. FRANCIS HOSPITAL - ACUTE,32000570,72081,HC XR SPINE/CERV SCOLIOSIS 1 VW,320,1 ,$540.00 ,$388.80 ,$56.05 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$217.20 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 ,$58.72 ,$56.05 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,32000571,72082,HC XR SPINE/CERV SCOLIOSIS 2-3VW,320,1 ,$595.00 ,$428.40 ,$56.05 ,$595.00 ,$342.13 ,$428.40 ,$323.68 ,$134.11 ,$166.60 ,$395.68 ,$134.11 ,$416.50 ,$134.11 ,$374.85 ,$374.85 ,$134.11 ,$374.85 ,$276.44 ,$547.40 ,$267.20 ,$134.11 ,$505.75 ,$499.80 ,$134.11 ,$446.25 ,$476.00 ,$476.00 ,$134.11 ,$476.00 ,$517.65 ,$517.65 ,$517.65 ,$535.50 ,$342.13 ,$134.11 ,$595.00 ,$333.80 ,$134.11 ,$246.33 ,$58.72 ,$56.05 ,$140.82 ,$505.75 ,$374.85 ,$166.60 ,$535.50 ,$517.65 ,$476.00 ,$476.00 ,$134.11 ,$386.75 ST. FRANCIS HOSPITAL - ACUTE,32000574,73501,HC XR HIP W/PELVIS UNI 1VIEW,320,1 ,$420.00 ,$302.40 ,$56.05 ,$420.00 ,$241.50 ,$302.40 ,$228.48 ,$94.67 ,$117.60 ,$279.30 ,$94.67 ,$294.00 ,$94.67 ,$264.60 ,$264.60 ,$94.67 ,$264.60 ,$195.13 ,$386.40 ,$217.20 ,$94.67 ,$357.00 ,$352.80 ,$94.67 ,$315.00 ,$336.00 ,$336.00 ,$94.67 ,$336.00 ,$365.40 ,$365.40 ,$365.40 ,$378.00 ,$241.50 ,$94.67 ,$420.00 ,$235.62 ,$94.67 ,$173.88 ,$58.72 ,$56.05 ,$99.40 ,$357.00 ,$264.60 ,$117.60 ,$378.00 ,$365.40 ,$336.00 ,$336.00 ,$94.67 ,$273.00 ST. FRANCIS HOSPITAL - ACUTE,32000575,73502,HC XR HIP W/PELVIS UNI 2-3VWS,320,1 ,$716.00 ,$515.52 ,$56.05 ,$716.00 ,$411.70 ,$515.52 ,$389.50 ,$161.39 ,$200.48 ,$476.14 ,$161.39 ,$501.20 ,$161.39 ,$451.08 ,$451.08 ,$161.39 ,$451.08 ,$332.65 ,$658.72 ,$217.20 ,$161.39 ,$608.60 ,$601.44 ,$161.39 ,$537.00 ,$572.80 ,$572.80 ,$161.39 ,$572.80 ,$622.92 ,$622.92 ,$622.92 ,$644.40 ,$411.70 ,$161.39 ,$716.00 ,$401.68 ,$161.39 ,$296.42 ,$58.72 ,$56.05 ,$169.45 ,$608.60 ,$451.08 ,$200.48 ,$644.40 ,$622.92 ,$572.80 ,$572.80 ,$161.39 ,$465.40 ST. FRANCIS HOSPITAL - ACUTE,32000577,73521,HC XR HIP W/PELVIS BIL 2 VIEWS,320,1 ,$480.00 ,$345.60 ,$56.05 ,$480.00 ,$276.00 ,$345.60 ,$261.12 ,$108.19 ,$134.40 ,$319.20 ,$108.19 ,$336.00 ,$108.19 ,$302.40 ,$302.40 ,$108.19 ,$302.40 ,$223.01 ,$441.60 ,$267.20 ,$108.19 ,$408.00 ,$403.20 ,$108.19 ,$360.00 ,$384.00 ,$384.00 ,$108.19 ,$384.00 ,$417.60 ,$417.60 ,$417.60 ,$432.00 ,$276.00 ,$108.19 ,$480.00 ,$269.28 ,$108.19 ,$198.72 ,$58.72 ,$56.05 ,$113.60 ,$408.00 ,$302.40 ,$134.40 ,$432.00 ,$417.60 ,$384.00 ,$384.00 ,$108.19 ,$312.00 ST. FRANCIS HOSPITAL - ACUTE,32000578,73522,HC XR HIP W/PELVIS BIL 3-4VIEWS,320,1 ,"$1,072.00 ",$771.84 ,$56.05 ,"$1,072.00 ",$616.40 ,$771.84 ,$583.17 ,$241.63 ,$300.16 ,$604.62 ,$241.63 ,$633.88 ,$241.63 ,$675.36 ,$675.36 ,$241.63 ,$675.36 ,$498.05 ,$800.00 ,$267.20 ,$241.63 ,$911.20 ,$900.48 ,$241.63 ,$804.00 ,$857.60 ,$857.60 ,$241.63 ,$857.60 ,$932.64 ,$932.64 ,$932.64 ,$964.80 ,$616.40 ,$241.63 ,"$1,072.00 ",$601.39 ,$241.63 ,$443.81 ,$58.72 ,$56.05 ,$253.71 ,$911.20 ,$675.36 ,$300.16 ,$964.80 ,$932.64 ,$857.60 ,$857.60 ,$241.63 ,$696.80 ST. FRANCIS HOSPITAL - ACUTE,32000579,73523,HC XR HIP W/PELVIS BIL 5+VIEWS,320,1 ,"$1,311.00 ",$943.92 ,$56.05 ,"$1,311.00 ",$753.83 ,$943.92 ,$713.18 ,$295.50 ,$367.08 ,$724.41 ,$295.50 ,$759.46 ,$295.50 ,$825.93 ,$825.93 ,$295.50 ,$825.93 ,$609.09 ,$800.00 ,$267.20 ,$295.50 ,"$1,114.35 ","$1,101.24 ",$295.50 ,$983.25 ,"$1,048.80 ","$1,048.80 ",$295.50 ,"$1,048.80 ","$1,140.57 ","$1,140.57 ","$1,140.57 ","$1,179.90 ",$753.83 ,$295.50 ,"$1,311.00 ",$735.47 ,$295.50 ,$542.75 ,$58.72 ,$56.05 ,$310.28 ,"$1,114.35 ",$825.93 ,$367.08 ,"$1,179.90 ","$1,140.57 ","$1,048.80 ","$1,048.80 ",$295.50 ,$852.15 ST. FRANCIS HOSPITAL - ACUTE,32000580,73551,HC XR FEMUR 1VIEW,320,1 ,$264.00 ,$190.08 ,$56.05 ,$264.00 ,$151.80 ,$190.08 ,$143.62 ,$59.51 ,$73.92 ,$175.56 ,$59.51 ,$184.80 ,$59.51 ,$166.32 ,$166.32 ,$59.51 ,$166.32 ,$122.65 ,$242.88 ,$217.20 ,$59.51 ,$224.40 ,$221.76 ,$59.51 ,$198.00 ,$211.20 ,$211.20 ,$59.51 ,$211.20 ,$229.68 ,$229.68 ,$229.68 ,$237.60 ,$151.80 ,$59.51 ,$264.00 ,$148.10 ,$59.51 ,$109.30 ,$58.72 ,$56.05 ,$62.48 ,$224.40 ,$166.32 ,$73.92 ,$237.60 ,$229.68 ,$211.20 ,$211.20 ,$59.51 ,$171.60 ST. FRANCIS HOSPITAL - ACUTE,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,$566.00 ,$407.52 ,$56.05 ,$566.00 ,$325.45 ,$407.52 ,$307.90 ,$127.58 ,$158.48 ,$376.39 ,$127.58 ,$396.20 ,$127.58 ,$356.58 ,$356.58 ,$127.58 ,$356.58 ,$262.96 ,$520.72 ,$217.20 ,$127.58 ,$481.10 ,$475.44 ,$127.58 ,$424.50 ,$452.80 ,$452.80 ,$127.58 ,$452.80 ,$492.42 ,$492.42 ,$492.42 ,$509.40 ,$325.45 ,$127.58 ,$566.00 ,$317.53 ,$127.58 ,$234.32 ,$58.72 ,$56.05 ,$133.96 ,$481.10 ,$356.58 ,$158.48 ,$509.40 ,$492.42 ,$452.80 ,$452.80 ,$127.58 ,$367.90 ST. FRANCIS HOSPITAL - ACUTE,32000581,73552,HC XR FEMUR 2+VIEWS,320,1 ,"$1,122.00 ",$807.84 ,$84.06 ,"$1,122.00 ",$645.15 ,$807.84 ,$610.37 ,$252.90 ,$314.16 ,$421.72 ,$252.90 ,$442.13 ,$252.90 ,$706.86 ,$706.86 ,$252.90 ,$706.86 ,$521.28 ,$800.00 ,$217.20 ,$252.90 ,$953.70 ,$942.48 ,$252.90 ,$841.50 ,$897.60 ,$897.60 ,$252.90 ,$897.60 ,$976.14 ,$976.14 ,$976.14 ,"$1,009.80 ",$645.15 ,$252.90 ,"$1,122.00 ",$629.44 ,$252.90 ,$464.51 ,$88.07 ,$84.06 ,$265.54 ,$953.70 ,$706.86 ,$314.16 ,"$1,009.80 ",$976.14 ,$897.60 ,$897.60 ,$252.90 ,$729.30 ST. FRANCIS HOSPITAL - ACUTE,32000583,72200,HC XR SACROILIC JOINT <3VIEWS,320,1 ,$321.00 ,$231.12 ,$56.05 ,$321.00 ,$184.58 ,$231.12 ,$174.62 ,$72.35 ,$89.88 ,$213.47 ,$72.35 ,$224.70 ,$72.35 ,$202.23 ,$202.23 ,$72.35 ,$202.23 ,$149.14 ,$295.32 ,$267.20 ,$72.35 ,$272.85 ,$269.64 ,$72.35 ,$240.75 ,$256.80 ,$256.80 ,$72.35 ,$256.80 ,$279.27 ,$279.27 ,$279.27 ,$288.90 ,$184.58 ,$72.35 ,$321.00 ,$180.08 ,$72.35 ,$132.89 ,$58.72 ,$56.05 ,$75.97 ,$272.85 ,$202.23 ,$89.88 ,$288.90 ,$279.27 ,$256.80 ,$256.80 ,$72.35 ,$208.65 ST. FRANCIS HOSPITAL - ACUTE,32000589,74019,HC XR ABDOMEN 2V,320,1 ,$531.00 ,$382.32 ,$56.05 ,$531.00 ,$305.33 ,$382.32 ,$288.86 ,$119.69 ,$148.68 ,$353.12 ,$119.69 ,$371.70 ,$119.69 ,$334.53 ,$334.53 ,$119.69 ,$334.53 ,$246.70 ,$488.52 ,$267.20 ,$119.69 ,$451.35 ,$446.04 ,$119.69 ,$398.25 ,$424.80 ,$424.80 ,$119.69 ,$424.80 ,$461.97 ,$461.97 ,$461.97 ,$477.90 ,$305.33 ,$119.69 ,$531.00 ,$297.89 ,$119.69 ,$219.83 ,$58.72 ,$56.05 ,$125.68 ,$451.35 ,$334.53 ,$148.68 ,$477.90 ,$461.97 ,$424.80 ,$424.80 ,$119.69 ,$345.15 ST. FRANCIS HOSPITAL - ACUTE,32000595,76000,HC FLUOROSCOPY >1HR,320,1 ,"$1,098.00 ",$790.56 ,$56.05 ,"$1,098.00 ",$631.35 ,$790.56 ,$597.31 ,$247.49 ,$307.44 ,$699.24 ,$247.49 ,$733.07 ,$247.49 ,$691.74 ,$691.74 ,$247.49 ,$691.74 ,$510.13 ,$800.00 ,$583.80 ,$247.49 ,$933.30 ,$922.32 ,$247.49 ,$823.50 ,$878.40 ,$878.40 ,$247.49 ,$878.40 ,$955.26 ,$955.26 ,$955.26 ,$988.20 ,$631.35 ,$247.49 ,"$1,098.00 ",$615.98 ,$247.49 ,$454.57 ,$58.72 ,$56.05 ,$259.87 ,$933.30 ,$691.74 ,$307.44 ,$988.20 ,$955.26 ,$878.40 ,$878.40 ,$247.49 ,$713.70 ST. FRANCIS HOSPITAL - ACUTE,32000605,71045,HC XR CHEST 1V W/PICC INS,320,1 ,$371.00 ,$267.12 ,$18.51 ,$371.00 ,$213.33 ,$267.12 ,$201.82 ,$83.62 ,$103.88 ,$193.32 ,$83.62 ,$202.67 ,$83.62 ,$233.73 ,$233.73 ,$83.62 ,$233.73 ,$172.37 ,$341.32 ,$217.20 ,$83.62 ,$315.35 ,$311.64 ,$83.62 ,$278.25 ,$296.80 ,$296.80 ,$83.62 ,$296.80 ,$322.77 ,$322.77 ,$322.77 ,$333.90 ,$213.33 ,$83.62 ,$18.51 ,$208.13 ,$83.62 ,$153.59 ,$58.72 ,$56.05 ,$87.81 ,$315.35 ,$233.73 ,$103.88 ,$333.90 ,$322.77 ,$296.80 ,$296.80 ,$83.62 ,$241.15 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,32000612,74248,HC XRAY SMALL INTESTINE FOLLOW THRU STUDY,320,1 ,"$1,252.00 ",$901.44 ,$56.05 ,"$1,252.00 ",$719.90 ,$901.44 ,$681.09 ,$282.20 ,$350.56 ,$832.58 ,$282.20 ,$876.40 ,$282.20 ,$788.76 ,$788.76 ,$282.20 ,$788.76 ,$581.68 ,$800.00 , N/A ,$282.20 ,"$1,064.20 ","$1,051.68 ",$282.20 ,$939.00 ,"$1,001.60 ","$1,001.60 ",$282.20 ,"$1,001.60 ","$1,089.24 ","$1,089.24 ","$1,089.24 ","$1,126.80 ",$719.90 ,$282.20 ,"$1,252.00 ",$702.37 ,$282.20 ,$518.33 ,$58.72 ,$56.05 ,$296.31 ,"$1,064.20 ",$788.76 ,$350.56 ,"$1,126.80 ","$1,089.24 ","$1,001.60 ","$1,001.60 ",$282.20 ,$813.80 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,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 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 ,$0.01 , N/A ,$0.01 , N/A ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A , N/A ,$0.01 ,$0.01 , N/A , N/A , N/A , N/A , N/A ,$0.01 ,$0.01 , N/A ,$0.01 ,$0.01 ,$0.01 ,$0.01 , N/A ,$0.01 ST. FRANCIS HOSPITAL - ACUTE,33100001,96405,HC CHEMO IV INTRALESION UP TO 7 LESIONS,331,1 ,$616.00 ,$443.52 ,$138.85 ,$616.00 ,$354.20 ,$443.52 ,$335.10 ,$138.85 ,$172.48 ,$409.64 ,$138.85 ,$431.20 ,$138.85 ,$388.08 ,$388.08 ,$138.85 ,$388.08 ,$286.19 ,$566.72 ,$168.68 ,$138.85 ,$523.60 ,$517.44 ,$138.85 ,$462.00 ,$492.80 ,$492.80 ,$138.85 ,$492.80 ,$535.92 ,$535.92 ,$535.92 ,$554.40 ,$354.20 ,$138.85 ,$616.00 ,$345.58 ,$138.85 ,$255.02 ,$323.48 ,$308.77 ,$145.78 ,$523.60 ,$388.08 ,$172.48 ,$554.40 ,$535.92 ,$492.80 ,$492.80 ,$138.85 ,$400.40 ST. FRANCIS HOSPITAL - ACUTE,33100002,96406,HC CHEMO IV INTRALESION >7 LESIONS,331,1 ,$573.00 ,$412.56 ,$129.15 ,$573.00 ,$329.48 ,$412.56 ,$311.71 ,$129.15 ,$160.44 ,$381.05 ,$129.15 ,$401.10 ,$129.15 ,$360.99 ,$360.99 ,$129.15 ,$360.99 ,$266.22 ,$527.16 ,$516.43 ,$129.15 ,$487.05 ,$481.32 ,$129.15 ,$429.75 ,$458.40 ,$458.40 ,$129.15 ,$458.40 ,$498.51 ,$498.51 ,$498.51 ,$515.70 ,$329.48 ,$129.15 ,$573.00 ,$321.45 ,$129.15 ,$237.22 ,$323.48 ,$308.77 ,$135.61 ,$487.05 ,$360.99 ,$160.44 ,$515.70 ,$498.51 ,$458.40 ,$458.40 ,$129.15 ,$372.45 ST. FRANCIS HOSPITAL - ACUTE,33100003,96420,HC CHEMO IV INTRA ART PUSH TECH,331,1 ,$377.00 ,$271.44 ,$84.98 ,$831.55 ,$216.78 ,$271.44 ,$205.09 ,$84.98 ,$105.56 ,$250.71 ,$84.98 ,$263.90 ,$84.98 ,$237.51 ,$237.51 ,$84.98 ,$237.51 ,$175.15 ,$346.84 ,$831.55 ,$84.98 ,$320.45 ,$316.68 ,$84.98 ,$282.75 ,$301.60 ,$301.60 ,$84.98 ,$301.60 ,$327.99 ,$327.99 ,$327.99 ,$339.30 ,$216.78 ,$84.98 ,$377.00 ,$211.50 ,$84.98 ,$156.08 , N/A , N/A ,$89.23 ,$320.45 ,$237.51 ,$105.56 ,$339.30 ,$327.99 ,$301.60 ,$301.60 ,$84.98 ,$245.05 ST. FRANCIS HOSPITAL - ACUTE,33500002,96401,HC CHEMO SQ/IM NON ANTI-NEOPLAST,335,1 ,$298.00 ,$214.56 ,$67.17 ,$298.00 ,$171.35 ,$214.56 ,$162.11 ,$67.17 ,$83.44 ,$198.17 ,$67.17 ,$208.60 ,$67.17 ,$187.74 ,$187.74 ,$67.17 ,$187.74 ,$138.45 ,$274.16 ,$168.68 ,$67.17 ,$253.30 ,$250.32 ,$67.17 ,$223.50 ,$238.40 ,$238.40 ,$67.17 ,$238.40 ,$259.26 ,$259.26 ,$259.26 ,$268.20 ,$171.35 ,$67.17 ,$298.00 ,$167.18 ,$67.17 ,$123.37 , N/A , N/A ,$70.53 ,$253.30 ,$187.74 ,$83.44 ,$268.20 ,$259.26 ,$238.40 ,$238.40 ,$67.17 ,$193.70 ST. FRANCIS HOSPITAL - ACUTE,33500003,96409,HC CHEMO IV PUSH SINGLE/INIT,335,1 ,$426.00 ,$306.72 ,$96.02 ,$516.43 ,$244.95 ,$306.72 ,$231.74 ,$96.02 ,$119.28 ,$283.29 ,$96.02 ,$298.20 ,$96.02 ,$268.38 ,$268.38 ,$96.02 ,$268.38 ,$197.92 ,$391.92 ,$516.43 ,$96.02 ,$362.10 ,$357.84 ,$96.02 ,$319.50 ,$340.80 ,$340.80 ,$96.02 ,$340.80 ,$370.62 ,$370.62 ,$370.62 ,$383.40 ,$244.95 ,$96.02 ,$426.00 ,$238.99 ,$96.02 ,$176.36 , N/A , N/A ,$100.82 ,$362.10 ,$268.38 ,$119.28 ,$383.40 ,$370.62 ,$340.80 ,$340.80 ,$96.02 ,$276.90 ST. FRANCIS HOSPITAL - ACUTE,33500004,96411,HC CHEMO IV PUSH ADDL DRUG,335,1 ,$377.00 ,$271.44 ,$84.98 ,$377.00 ,$216.78 ,$271.44 ,$205.09 ,$84.98 ,$105.56 ,$250.71 ,$84.98 ,$263.90 ,$84.98 ,$237.51 ,$237.51 ,$84.98 ,$237.51 ,$175.15 ,$346.84 ,$168.68 ,$84.98 ,$320.45 ,$316.68 ,$84.98 ,$282.75 ,$301.60 ,$301.60 ,$84.98 ,$301.60 ,$327.99 ,$327.99 ,$327.99 ,$339.30 ,$216.78 ,$84.98 ,$377.00 ,$211.50 ,$84.98 ,$156.08 , N/A , N/A ,$89.23 ,$320.45 ,$237.51 ,$105.56 ,$339.30 ,$327.99 ,$301.60 ,$301.60 ,$84.98 ,$245.05 ST. FRANCIS HOSPITAL - ACUTE,33500005,96413,HC CHEMO IV INFUSION SGL/INIT<1H,335,1 ,$555.00 ,$399.60 ,$125.10 ,$831.55 ,$319.13 ,$399.60 ,$301.92 ,$125.10 ,$155.40 ,$369.08 ,$125.10 ,$388.50 ,$125.10 ,$349.65 ,$349.65 ,$125.10 ,$349.65 ,$257.85 ,$510.60 ,$831.55 ,$125.10 ,$471.75 ,$466.20 ,$125.10 ,$416.25 ,$444.00 ,$444.00 ,$125.10 ,$444.00 ,$482.85 ,$482.85 ,$482.85 ,$499.50 ,$319.13 ,$125.10 ,$555.00 ,$311.36 ,$125.10 ,$229.77 ,$330.08 ,$315.07 ,$131.35 ,$471.75 ,$349.65 ,$155.40 ,$499.50 ,$482.85 ,$444.00 ,$444.00 ,$125.10 ,$360.75 ST. FRANCIS HOSPITAL - ACUTE,33500006,96415,HC CHEMO IV INFUSION ADDL HR,335,1 ,$383.00 ,$275.76 ,$86.33 ,$516.01 ,$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$254.70 ,$86.33 ,$268.10 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,$168.68 ,$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$516.01 ,$492.56 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,33500007,96416,HC CHEMO ADMIN INTRAV INFUS >8HR,335,1 ,"$3,105.00 ","$2,235.60 ",$492.56 ,"$3,105.00 ","$1,785.38 ","$2,235.60 ","$1,689.12 ",$699.87 ,$869.40 ,"$2,064.83 ",$699.87 ,"$2,173.50 ",$699.87 ,"$1,956.15 ","$1,956.15 ",$699.87 ,"$1,956.15 ","$1,442.58 ","$2,856.60 ",$831.55 ,$699.87 ,"$2,639.25 ","$2,608.20 ",$699.87 ,"$2,328.75 ","$2,484.00 ","$2,484.00 ",$699.87 ,"$2,484.00 ","$2,701.35 ","$2,701.35 ","$2,701.35 ","$2,794.50 ","$1,785.38 ",$699.87 ,"$3,105.00 ","$1,741.91 ",$699.87 ,"$1,285.47 ",$516.01 ,$492.56 ,$734.86 ,"$2,639.25 ","$1,956.15 ",$869.40 ,"$2,794.50 ","$2,701.35 ","$2,484.00 ","$2,484.00 ",$699.87 ,"$2,018.25 " ST. FRANCIS HOSPITAL - ACUTE,33500008,96417,HC CHEMO IV INFUSION EA ADDL <1H,335,1 ,$383.00 ,$275.76 ,$86.33 ,$383.00 ,$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$254.70 ,$86.33 ,$268.10 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,$168.68 ,$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$330.08 ,$315.07 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,33500009,96422,HC CHEMO ADMIN INTRA-ARTR INFUS<1HR,335,1 ,$555.00 ,$399.60 ,$125.10 ,$555.00 ,$319.13 ,$399.60 ,$301.92 ,$125.10 ,$155.40 ,$369.08 ,$125.10 ,$388.50 ,$125.10 ,$349.65 ,$349.65 ,$125.10 ,$349.65 ,$257.85 ,$510.60 ,$516.43 ,$125.10 ,$471.75 ,$466.20 ,$125.10 ,$416.25 ,$444.00 ,$444.00 ,$125.10 ,$444.00 ,$482.85 ,$482.85 ,$482.85 ,$499.50 ,$319.13 ,$125.10 ,$555.00 ,$311.36 ,$125.10 ,$229.77 ,$330.08 ,$315.07 ,$131.35 ,$471.75 ,$349.65 ,$155.40 ,$499.50 ,$482.85 ,$444.00 ,$444.00 ,$125.10 ,$360.75 ST. FRANCIS HOSPITAL - ACUTE,33500010,96423,HC CHEMO ADMN INTR-ARTR EA ADD HR,335,1 ,$383.00 ,$275.76 ,$86.33 ,$516.01 ,$220.23 ,$275.76 ,$208.35 ,$86.33 ,$107.24 ,$254.70 ,$86.33 ,$268.10 ,$86.33 ,$241.29 ,$241.29 ,$86.33 ,$241.29 ,$177.94 ,$352.36 ,$105.93 ,$86.33 ,$325.55 ,$321.72 ,$86.33 ,$287.25 ,$306.40 ,$306.40 ,$86.33 ,$306.40 ,$333.21 ,$333.21 ,$333.21 ,$344.70 ,$220.23 ,$86.33 ,$383.00 ,$214.86 ,$86.33 ,$158.56 ,$516.01 ,$492.56 ,$90.64 ,$325.55 ,$241.29 ,$107.24 ,$344.70 ,$333.21 ,$306.40 ,$306.40 ,$86.33 ,$248.95 ST. FRANCIS HOSPITAL - ACUTE,33500011,96446,HC CHEMO PERITONEAL CAVITY,335,1 ,$573.00 ,$412.56 ,$129.15 ,$831.55 ,$329.48 ,$412.56 ,$311.71 ,$129.15 ,$160.44 ,$381.05 ,$129.15 ,$401.10 ,$129.15 ,$360.99 ,$360.99 ,$129.15 ,$360.99 ,$266.22 ,$527.16 ,$831.55 ,$129.15 ,$487.05 ,$481.32 ,$129.15 ,$429.75 ,$458.40 ,$458.40 ,$129.15 ,$458.40 ,$498.51 ,$498.51 ,$498.51 ,$515.70 ,$329.48 ,$129.15 ,$573.00 ,$321.45 ,$129.15 ,$237.22 ,$330.08 ,$315.07 ,$135.61 ,$487.05 ,$360.99 ,$160.44 ,$515.70 ,$498.51 ,$458.40 ,$458.40 ,$129.15 ,$372.45 ST. FRANCIS HOSPITAL - ACUTE,33500012,96450,HC CHEMO CNS,335,1 ,"$1,254.00 ",$902.88 ,$282.65 ,"$1,254.00 ",$721.05 ,$902.88 ,$682.18 ,$282.65 ,$351.12 ,$833.91 ,$282.65 ,$877.80 ,$282.65 ,$790.02 ,$790.02 ,$282.65 ,$790.02 ,$582.61 ,"$1,153.68 ",$831.55 ,$282.65 ,"$1,065.90 ","$1,053.36 ",$282.65 ,$940.50 ,"$1,003.20 ","$1,003.20 ",$282.65 ,"$1,003.20 ","$1,090.98 ","$1,090.98 ","$1,090.98 ","$1,128.60 ",$721.05 ,$282.65 ,"$1,254.00 ",$703.49 ,$282.65 ,$519.16 ,$516.01 ,$492.56 ,$296.78 ,"$1,065.90 ",$790.02 ,$351.12 ,"$1,128.60 ","$1,090.98 ","$1,003.20 ","$1,003.20 ",$282.65 ,$815.10 ST. FRANCIS HOSPITAL - ACUTE,33500013,96402,HC CHEMOTHERAPY INJECTION-HORMONAL ANTI-NEO,335,1 ,$298.00 ,$214.56 ,$67.17 ,$298.00 ,$171.35 ,$214.56 ,$162.11 ,$67.17 ,$83.44 ,$198.17 ,$67.17 ,$208.60 ,$67.17 ,$187.74 ,$187.74 ,$67.17 ,$187.74 ,$138.45 ,$274.16 ,$168.68 ,$67.17 ,$253.30 ,$250.32 ,$67.17 ,$223.50 ,$238.40 ,$238.40 ,$67.17 ,$238.40 ,$259.26 ,$259.26 ,$259.26 ,$268.20 ,$171.35 ,$67.17 ,$298.00 ,$167.18 ,$67.17 ,$123.37 , N/A , N/A ,$70.53 ,$253.30 ,$187.74 ,$83.44 ,$268.20 ,$259.26 ,$238.40 ,$238.40 ,$67.17 ,$193.70 ST. FRANCIS HOSPITAL - ACUTE,33500014,96521,HC REFILLING/MAINTENANCE PORTABLE PUMP,335,1 ,$658.00 ,$473.76 ,$120.26 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 , N/A ,$516.43 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 ,$125.98 ,$120.26 ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,33500027,96425,HC CHEMO INTRA-ART PROLONGED INFUSION W/PUMP,335,1 ,"$1,159.00 ",$834.48 ,$261.24 ,"$1,159.00 ",$666.43 ,$834.48 ,$630.50 ,$261.24 ,$324.52 ,$770.74 ,$261.24 ,$811.30 ,$261.24 ,$730.17 ,$730.17 ,$261.24 ,$730.17 ,$538.47 ,"$1,066.28 ",$831.55 ,$261.24 ,$985.15 ,$973.56 ,$261.24 ,$869.25 ,$927.20 ,$927.20 ,$261.24 ,$927.20 ,"$1,008.33 ","$1,008.33 ","$1,008.33 ","$1,043.10 ",$666.43 ,$261.24 ,"$1,159.00 ",$650.20 ,$261.24 ,$479.83 ,$516.01 ,$492.56 ,$274.30 ,$985.15 ,$730.17 ,$324.52 ,"$1,043.10 ","$1,008.33 ",$927.20 ,$927.20 ,$261.24 ,$753.35 ST. FRANCIS HOSPITAL - ACUTE,33500028,96440,HC CHEMO ADMIN PLEURAL CAVITY W/THORACENTESIS,335,1 ,$616.00 ,$443.52 ,$138.85 ,$831.55 ,$354.20 ,$443.52 ,$335.10 ,$138.85 ,$172.48 ,$409.64 ,$138.85 ,$431.20 ,$138.85 ,$388.08 ,$388.08 ,$138.85 ,$388.08 ,$286.19 ,$566.72 ,$831.55 ,$138.85 ,$523.60 ,$517.44 ,$138.85 ,$462.00 ,$492.80 ,$492.80 ,$138.85 ,$492.80 ,$535.92 ,$535.92 ,$535.92 ,$554.40 ,$354.20 ,$138.85 ,$616.00 ,$345.58 ,$138.85 ,$255.02 ,$729.83 ,$696.65 ,$145.78 ,$523.60 ,$388.08 ,$172.48 ,$554.40 ,$535.92 ,$492.80 ,$492.80 ,$138.85 ,$400.40 ST. FRANCIS HOSPITAL - ACUTE,33500029,96522,HC PUMP MAINT SYSTEMIC,335,1 ,$658.00 ,$473.76 ,$120.26 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 , N/A ,$516.43 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 ,$125.98 ,$120.26 ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,34000006,78013,HC NM THYROID SCAN,340,1 ,$564.00 ,$406.08 ,$127.13 ,$971.70 ,$324.30 ,$406.08 ,$306.82 ,$127.13 ,$157.92 ,$375.06 ,$127.13 ,$394.80 ,$127.13 ,$355.32 ,$355.32 ,$127.13 ,$355.32 ,$262.03 ,$518.88 ,$971.70 ,$127.13 ,$479.40 ,$473.76 ,$127.13 ,$423.00 ,$451.20 ,$451.20 ,$127.13 ,$451.20 ,$490.68 ,$490.68 ,$490.68 ,$507.60 ,$324.30 ,$127.13 ,$564.00 ,$316.40 ,$127.13 ,$233.50 ,$443.97 ,$423.79 ,$133.49 ,$479.40 ,$355.32 ,$157.92 ,$507.60 ,$490.68 ,$451.20 ,$451.20 ,$127.13 ,$366.60 ST. FRANCIS HOSPITAL - ACUTE,34000009,78070,HC PARATHRYOID IMAGING 78070,340,1 ,"$1,219.00 ",$877.68 ,$274.76 ,"$1,219.00 ",$700.93 ,$877.68 ,$663.14 ,$274.76 ,$341.32 ,$810.64 ,$274.76 ,$853.30 ,$274.76 ,$767.97 ,$767.97 ,$274.76 ,$767.97 ,$566.35 ,"$1,121.48 ",$971.70 ,$274.76 ,"$1,036.15 ","$1,023.96 ",$274.76 ,$914.25 ,$975.20 ,$975.20 ,$274.76 ,$975.20 ,"$1,060.53 ","$1,060.53 ","$1,060.53 ","$1,097.10 ",$700.93 ,$274.76 ,"$1,219.00 ",$683.86 ,$274.76 ,$504.67 ,$396.23 ,$378.22 ,$288.50 ,"$1,036.15 ",$767.97 ,$341.32 ,"$1,097.10 ","$1,060.53 ",$975.20 ,$975.20 ,$274.76 ,$792.35 ST. FRANCIS HOSPITAL - ACUTE,34000014,78195,HC LYMPH NODE IMAGING,340,1 ,"$2,205.00 ","$1,587.60 ",$423.79 ,"$2,205.00 ","$1,267.88 ","$1,587.60 ","$1,199.52 ",$497.01 ,$617.40 ,"$1,466.33 ",$497.01 ,"$1,543.50 ",$497.01 ,"$1,389.15 ","$1,389.15 ",$497.01 ,"$1,389.15 ","$1,024.44 ","$2,028.60 ","$1,261.25 ",$497.01 ,"$1,874.25 ","$1,852.20 ",$497.01 ,"$1,653.75 ","$1,764.00 ","$1,764.00 ",$497.01 ,"$1,764.00 ","$1,918.35 ","$1,918.35 ","$1,918.35 ","$1,984.50 ","$1,267.88 ",$497.01 ,"$2,205.00 ","$1,237.01 ",$497.01 ,$912.87 ,$443.97 ,$423.79 ,$521.86 ,"$1,874.25 ","$1,389.15 ",$617.40 ,"$1,984.50 ","$1,918.35 ","$1,764.00 ","$1,764.00 ",$497.01 ,"$1,433.25 " ST. FRANCIS HOSPITAL - ACUTE,34000019,78215,HC LIVER SPLEEN STATIC,340,1 ,"$1,405.00 ","$1,011.60 ",$316.69 ,"$1,405.00 ",$807.88 ,"$1,011.60 ",$764.32 ,$316.69 ,$393.40 ,$934.33 ,$316.69 ,$983.50 ,$316.69 ,$885.15 ,$885.15 ,$316.69 ,$885.15 ,$652.76 ,"$1,292.60 ",$971.70 ,$316.69 ,"$1,194.25 ","$1,180.20 ",$316.69 ,"$1,053.75 ","$1,124.00 ","$1,124.00 ",$316.69 ,"$1,124.00 ","$1,222.35 ","$1,222.35 ","$1,222.35 ","$1,264.50 ",$807.88 ,$316.69 ,"$1,405.00 ",$788.21 ,$316.69 ,$581.67 ,$396.23 ,$378.22 ,$332.52 ,"$1,194.25 ",$885.15 ,$393.40 ,"$1,264.50 ","$1,222.35 ","$1,124.00 ","$1,124.00 ",$316.69 ,$913.25 ST. FRANCIS HOSPITAL - ACUTE,34000022,78226,HC HEPATOBILIARY SCAN,340,1 ,"$1,424.00 ","$1,025.28 ",$320.97 ,"$1,424.00 ",$818.80 ,"$1,025.28 ",$774.66 ,$320.97 ,$398.72 ,$946.96 ,$320.97 ,$996.80 ,$320.97 ,$897.12 ,$897.12 ,$320.97 ,$897.12 ,$661.59 ,"$1,310.08 ",$971.70 ,$320.97 ,"$1,210.40 ","$1,196.16 ",$320.97 ,"$1,068.00 ","$1,139.20 ","$1,139.20 ",$320.97 ,"$1,139.20 ","$1,238.88 ","$1,238.88 ","$1,238.88 ","$1,281.60 ",$818.80 ,$320.97 ,"$1,424.00 ",$798.86 ,$320.97 ,$589.54 ,$443.97 ,$423.79 ,$337.02 ,"$1,210.40 ",$897.12 ,$398.72 ,"$1,281.60 ","$1,238.88 ","$1,139.20 ","$1,139.20 ",$320.97 ,$925.60 ST. FRANCIS HOSPITAL - ACUTE,34000026,78264,HC GASTRIC EMPTYING STUDY,340,1 ,"$1,026.00 ",$738.72 ,$231.26 ,"$1,026.00 ",$589.95 ,$738.72 ,$558.14 ,$231.26 ,$287.28 ,$682.29 ,$231.26 ,$718.20 ,$231.26 ,$646.38 ,$646.38 ,$231.26 ,$646.38 ,$476.68 ,$943.92 ,$971.70 ,$231.26 ,$872.10 ,$861.84 ,$231.26 ,$769.50 ,$820.80 ,$820.80 ,$231.26 ,$820.80 ,$892.62 ,$892.62 ,$892.62 ,$923.40 ,$589.95 ,$231.26 ,"$1,026.00 ",$575.59 ,$231.26 ,$424.76 ,$443.97 ,$423.79 ,$242.82 ,$872.10 ,$646.38 ,$287.28 ,$923.40 ,$892.62 ,$820.80 ,$820.80 ,$231.26 ,$666.90 ST. FRANCIS HOSPITAL - ACUTE,34000027,78278,HC GI BLEED SCAN,340,1 ,"$1,258.00 ",$905.76 ,$283.55 ,"$1,258.00 ",$723.35 ,$905.76 ,$684.35 ,$283.55 ,$352.24 ,$836.57 ,$283.55 ,$880.60 ,$283.55 ,$792.54 ,$792.54 ,$283.55 ,$792.54 ,$584.47 ,"$1,157.36 ",$971.70 ,$283.55 ,"$1,069.30 ","$1,056.72 ",$283.55 ,$943.50 ,"$1,006.40 ","$1,006.40 ",$283.55 ,"$1,006.40 ","$1,094.46 ","$1,094.46 ","$1,094.46 ","$1,132.20 ",$723.35 ,$283.55 ,"$1,258.00 ",$705.74 ,$283.55 ,$520.81 ,$443.97 ,$423.79 ,$297.73 ,"$1,069.30 ",$792.54 ,$352.24 ,"$1,132.20 ","$1,094.46 ","$1,006.40 ","$1,006.40 ",$283.55 ,$817.70 ST. FRANCIS HOSPITAL - ACUTE,34000028,78290,HC SM BOWEL MECKEL'S SCAN,340,1 ,"$1,040.00 ",$748.80 ,$234.42 ,"$1,040.00 ",$598.00 ,$748.80 ,$565.76 ,$234.42 ,$291.20 ,$691.60 ,$234.42 ,$728.00 ,$234.42 ,$655.20 ,$655.20 ,$234.42 ,$655.20 ,$483.18 ,$956.80 ,$971.70 ,$234.42 ,$884.00 ,$873.60 ,$234.42 ,$780.00 ,$832.00 ,$832.00 ,$234.42 ,$832.00 ,$904.80 ,$904.80 ,$904.80 ,$936.00 ,$598.00 ,$234.42 ,"$1,040.00 ",$583.44 ,$234.42 ,$430.56 ,$396.23 ,$378.22 ,$246.14 ,$884.00 ,$655.20 ,$291.20 ,$936.00 ,$904.80 ,$832.00 ,$832.00 ,$234.42 ,$676.00 ST. FRANCIS HOSPITAL - ACUTE,34000029,78300,HC BONE SCAN LIMITED,340,1 ,"$1,444.00 ","$1,039.68 ",$325.48 ,"$1,444.00 ",$830.30 ,"$1,039.68 ",$785.54 ,$325.48 ,$404.32 ,$960.26 ,$325.48 ,"$1,010.80 ",$325.48 ,$909.72 ,$909.72 ,$325.48 ,$909.72 ,$670.88 ,"$1,328.48 ",$971.70 ,$325.48 ,"$1,227.40 ","$1,212.96 ",$325.48 ,"$1,083.00 ","$1,155.20 ","$1,155.20 ",$325.48 ,"$1,155.20 ","$1,256.28 ","$1,256.28 ","$1,256.28 ","$1,299.60 ",$830.30 ,$325.48 ,"$1,444.00 ",$810.08 ,$325.48 ,$597.82 ,$396.23 ,$378.22 ,$341.76 ,"$1,227.40 ",$909.72 ,$404.32 ,"$1,299.60 ","$1,256.28 ","$1,155.20 ","$1,155.20 ",$325.48 ,$938.60 ST. FRANCIS HOSPITAL - ACUTE,34000030,78305,HC BONE SCAN MULTIPLE,340,1 ,"$1,444.00 ","$1,039.68 ",$325.48 ,"$1,444.00 ",$830.30 ,"$1,039.68 ",$785.54 ,$325.48 ,$404.32 ,$960.26 ,$325.48 ,"$1,010.80 ",$325.48 ,$909.72 ,$909.72 ,$325.48 ,$909.72 ,$670.88 ,"$1,328.48 ",$971.70 ,$325.48 ,"$1,227.40 ","$1,212.96 ",$325.48 ,"$1,083.00 ","$1,155.20 ","$1,155.20 ",$325.48 ,"$1,155.20 ","$1,256.28 ","$1,256.28 ","$1,256.28 ","$1,299.60 ",$830.30 ,$325.48 ,"$1,444.00 ",$810.08 ,$325.48 ,$597.82 ,$396.23 ,$378.22 ,$341.76 ,"$1,227.40 ",$909.72 ,$404.32 ,"$1,299.60 ","$1,256.28 ","$1,155.20 ","$1,155.20 ",$325.48 ,$938.60 ST. FRANCIS HOSPITAL - ACUTE,34000031,78306,HC BONE SCAN WHOLE BODY,340,1 ,"$1,444.00 ","$1,039.68 ",$325.48 ,"$1,444.00 ",$830.30 ,"$1,039.68 ",$785.54 ,$325.48 ,$404.32 ,$960.26 ,$325.48 ,"$1,010.80 ",$325.48 ,$909.72 ,$909.72 ,$325.48 ,$909.72 ,$670.88 ,"$1,328.48 ",$971.70 ,$325.48 ,"$1,227.40 ","$1,212.96 ",$325.48 ,"$1,083.00 ","$1,155.20 ","$1,155.20 ",$325.48 ,"$1,155.20 ","$1,256.28 ","$1,256.28 ","$1,256.28 ","$1,299.60 ",$830.30 ,$325.48 ,"$1,444.00 ",$810.08 ,$325.48 ,$597.82 ,$396.23 ,$378.22 ,$341.76 ,"$1,227.40 ",$909.72 ,$404.32 ,"$1,299.60 ","$1,256.28 ","$1,155.20 ","$1,155.20 ",$325.48 ,$938.60 ST. FRANCIS HOSPITAL - ACUTE,34000033,78315,HC BONE SCAN/3 PHASE,340,1 ,"$1,444.00 ","$1,039.68 ",$325.48 ,"$1,444.00 ",$830.30 ,"$1,039.68 ",$785.54 ,$325.48 ,$404.32 ,$960.26 ,$325.48 ,"$1,010.80 ",$325.48 ,$909.72 ,$909.72 ,$325.48 ,$909.72 ,$670.88 ,"$1,328.48 ",$971.70 ,$325.48 ,"$1,227.40 ","$1,212.96 ",$325.48 ,"$1,083.00 ","$1,155.20 ","$1,155.20 ",$325.48 ,"$1,155.20 ","$1,256.28 ","$1,256.28 ","$1,256.28 ","$1,299.60 ",$830.30 ,$325.48 ,"$1,444.00 ",$810.08 ,$325.48 ,$597.82 ,$396.23 ,$378.22 ,$341.76 ,"$1,227.40 ",$909.72 ,$404.32 ,"$1,299.60 ","$1,256.28 ","$1,155.20 ","$1,155.20 ",$325.48 ,$938.60 ST. FRANCIS HOSPITAL - ACUTE,34000035,78451,HC HT MUSCLE IMAGE SPECT SINGLE,340,1 ,"$3,976.00 ","$2,862.72 ",$423.79 ,"$3,976.00 ","$2,286.20 ","$2,862.72 ","$2,162.94 ",$896.19 ,"$1,113.28 ","$2,644.04 ",$896.19 ,"$2,783.20 ",$896.19 ,"$2,504.88 ","$2,504.88 ",$896.19 ,"$2,504.88 ","$1,847.25 ","$3,657.92 ","$3,318.18 ",$896.19 ,"$3,379.60 ","$3,339.84 ",$896.19 ,"$2,982.00 ","$3,180.80 ","$3,180.80 ",$896.19 ,"$3,180.80 ","$3,459.12 ","$3,459.12 ","$3,459.12 ","$3,578.40 ","$2,286.20 ",$896.19 ,"$3,976.00 ","$2,230.54 ",$896.19 ,"$1,646.06 ",$443.97 ,$423.79 ,$941.00 ,"$3,379.60 ","$2,504.88 ","$1,113.28 ","$3,578.40 ","$3,459.12 ","$3,180.80 ","$3,180.80 ",$896.19 ,"$2,584.40 " ST. FRANCIS HOSPITAL - ACUTE,34000037,78452,HC HT MUSCLE IMAGE SPECT MULTI,340,1 ,"$5,055.00 ","$3,639.60 ",$927.87 ,"$5,055.00 ","$2,906.63 ","$3,639.60 ","$2,749.92 ","$1,139.40 ","$1,415.40 ","$3,361.58 ","$1,139.40 ","$3,538.50 ","$1,139.40 ","$3,184.65 ","$3,184.65 ","$1,139.40 ","$3,184.65 ","$2,348.55 ","$4,650.60 ","$3,318.18 ","$1,139.40 ","$4,296.75 ","$4,246.20 ","$1,139.40 ","$3,791.25 ","$4,044.00 ","$4,044.00 ","$1,139.40 ","$4,044.00 ","$4,397.85 ","$4,397.85 ","$4,397.85 ","$4,549.50 ","$2,906.63 ","$1,139.40 ","$5,055.00 ","$2,835.86 ","$1,139.40 ","$2,092.77 ",$972.06 ,$927.87 ,"$1,196.36 ","$4,296.75 ","$3,184.65 ","$1,415.40 ","$4,549.50 ","$4,397.85 ","$4,044.00 ","$4,044.00 ","$1,139.40 ","$3,285.75 " ST. FRANCIS HOSPITAL - ACUTE,34000044,78472,HC MUGA RESTING SGL,340,1 ,"$1,258.00 ",$905.76 ,$283.55 ,"$1,258.00 ",$723.35 ,$905.76 ,$684.35 ,$283.55 ,$352.24 ,$836.57 ,$283.55 ,$880.60 ,$283.55 ,$792.54 ,$792.54 ,$283.55 ,$792.54 ,$584.47 ,"$1,157.36 ",$971.70 ,$283.55 ,"$1,069.30 ","$1,056.72 ",$283.55 ,$943.50 ,"$1,006.40 ","$1,006.40 ",$283.55 ,"$1,006.40 ","$1,094.46 ","$1,094.46 ","$1,094.46 ","$1,132.20 ",$723.35 ,$283.55 ,"$1,258.00 ",$705.74 ,$283.55 ,$520.81 ,$396.23 ,$378.22 ,$297.73 ,"$1,069.30 ",$792.54 ,$352.24 ,"$1,132.20 ","$1,094.46 ","$1,006.40 ","$1,006.40 ",$283.55 ,$817.70 ST. FRANCIS HOSPITAL - ACUTE,34000047,78580,HC LUNG PERFUS,340,1 ,"$2,110.00 ","$1,519.20 ",$423.79 ,"$2,110.00 ","$1,213.25 ","$1,519.20 ","$1,147.84 ",$475.59 ,$590.80 ,"$1,403.15 ",$475.59 ,"$1,477.00 ",$475.59 ,"$1,329.30 ","$1,329.30 ",$475.59 ,"$1,329.30 ",$980.31 ,"$1,941.20 ",$971.70 ,$475.59 ,"$1,793.50 ","$1,772.40 ",$475.59 ,"$1,582.50 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,688.00 ","$1,835.70 ","$1,835.70 ","$1,835.70 ","$1,899.00 ","$1,213.25 ",$475.59 ,"$2,110.00 ","$1,183.71 ",$475.59 ,$873.54 ,$443.97 ,$423.79 ,$499.38 ,"$1,793.50 ","$1,329.30 ",$590.80 ,"$1,899.00 ","$1,835.70 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,371.50 " ST. FRANCIS HOSPITAL - ACUTE,34000048,78582,HC LUNG SCAN-VENT/PERF,340,1 ,"$3,193.00 ","$2,298.96 ",$423.79 ,"$3,193.00 ","$1,835.98 ","$2,298.96 ","$1,736.99 ",$719.70 ,$894.04 ,"$2,123.35 ",$719.70 ,"$2,235.10 ",$719.70 ,"$2,011.59 ","$2,011.59 ",$719.70 ,"$2,011.59 ","$1,483.47 ","$2,937.56 ","$1,261.25 ",$719.70 ,"$2,714.05 ","$2,682.12 ",$719.70 ,"$2,394.75 ","$2,554.40 ","$2,554.40 ",$719.70 ,"$2,554.40 ","$2,777.91 ","$2,777.91 ","$2,777.91 ","$2,873.70 ","$1,835.98 ",$719.70 ,"$3,193.00 ","$1,791.27 ",$719.70 ,"$1,321.90 ",$443.97 ,$423.79 ,$755.69 ,"$2,714.05 ","$2,011.59 ",$894.04 ,"$2,873.70 ","$2,777.91 ","$2,554.40 ","$2,554.40 ",$719.70 ,"$2,075.45 " ST. FRANCIS HOSPITAL - ACUTE,34000060,78700,HC KIDNEY SCAN,340,1 ,$955.00 ,$687.60 ,$215.26 ,$971.70 ,$549.13 ,$687.60 ,$519.52 ,$215.26 ,$267.40 ,$635.08 ,$215.26 ,$668.50 ,$215.26 ,$601.65 ,$601.65 ,$215.26 ,$601.65 ,$443.69 ,$878.60 ,$971.70 ,$215.26 ,$811.75 ,$802.20 ,$215.26 ,$716.25 ,$764.00 ,$764.00 ,$215.26 ,$764.00 ,$830.85 ,$830.85 ,$830.85 ,$859.50 ,$549.13 ,$215.26 ,$955.00 ,$535.76 ,$215.26 ,$395.37 ,$396.23 ,$378.22 ,$226.02 ,$811.75 ,$601.65 ,$267.40 ,$859.50 ,$830.85 ,$764.00 ,$764.00 ,$215.26 ,$620.75 ST. FRANCIS HOSPITAL - ACUTE,34000061,78701,HC KIDNEY SCAN W/FLOW,340,1 ,"$1,461.00 ","$1,051.92 ",$329.31 ,"$1,461.00 ",$840.08 ,"$1,051.92 ",$794.78 ,$329.31 ,$409.08 ,$971.57 ,$329.31 ,"$1,022.70 ",$329.31 ,$920.43 ,$920.43 ,$329.31 ,$920.43 ,$678.78 ,"$1,344.12 ",$971.70 ,$329.31 ,"$1,241.85 ","$1,227.24 ",$329.31 ,"$1,095.75 ","$1,168.80 ","$1,168.80 ",$329.31 ,"$1,168.80 ","$1,271.07 ","$1,271.07 ","$1,271.07 ","$1,314.90 ",$840.08 ,$329.31 ,"$1,461.00 ",$819.62 ,$329.31 ,$604.85 ,$396.23 ,$378.22 ,$345.77 ,"$1,241.85 ",$920.43 ,$409.08 ,"$1,314.90 ","$1,271.07 ","$1,168.80 ","$1,168.80 ",$329.31 ,$949.65 ST. FRANCIS HOSPITAL - ACUTE,34000063,78708,HC KIDNEY W/PHARMACLGCL INTER,340,1 ,"$1,461.00 ","$1,051.92 ",$329.31 ,"$1,461.00 ",$840.08 ,"$1,051.92 ",$794.78 ,$329.31 ,$409.08 ,$971.57 ,$329.31 ,"$1,022.70 ",$329.31 ,$920.43 ,$920.43 ,$329.31 ,$920.43 ,$678.78 ,"$1,344.12 ","$1,261.25 ",$329.31 ,"$1,241.85 ","$1,227.24 ",$329.31 ,"$1,095.75 ","$1,168.80 ","$1,168.80 ",$329.31 ,"$1,168.80 ","$1,271.07 ","$1,271.07 ","$1,271.07 ","$1,314.90 ",$840.08 ,$329.31 ,"$1,461.00 ",$819.62 ,$329.31 ,$604.85 ,$396.23 ,$378.22 ,$345.77 ,"$1,241.85 ",$920.43 ,$409.08 ,"$1,314.90 ","$1,271.07 ","$1,168.80 ","$1,168.80 ",$329.31 ,$949.65 ST. FRANCIS HOSPITAL - ACUTE,34000065,78709,HC KIDNEY W AND W/O PHARM INTERVEN,340,1 ,"$2,107.00 ","$1,517.04 ",$378.22 ,"$2,107.00 ","$1,211.53 ","$1,517.04 ","$1,146.21 ",$474.92 ,$589.96 ,"$1,401.16 ",$474.92 ,"$1,474.90 ",$474.92 ,"$1,327.41 ","$1,327.41 ",$474.92 ,"$1,327.41 ",$978.91 ,"$1,938.44 ","$1,261.25 ",$474.92 ,"$1,790.95 ","$1,769.88 ",$474.92 ,"$1,580.25 ","$1,685.60 ","$1,685.60 ",$474.92 ,"$1,685.60 ","$1,833.09 ","$1,833.09 ","$1,833.09 ","$1,896.30 ","$1,211.53 ",$474.92 ,"$2,107.00 ","$1,182.03 ",$474.92 ,$872.30 ,$396.23 ,$378.22 ,$498.66 ,"$1,790.95 ","$1,327.41 ",$589.96 ,"$1,896.30 ","$1,833.09 ","$1,685.60 ","$1,685.60 ",$474.92 ,"$1,369.55 " ST. FRANCIS HOSPITAL - ACUTE,34000068,78800,HC TUMOR LOCAL LIMITED,340,1 ,"$2,547.00 ","$1,833.84 ",$423.79 ,"$2,547.00 ","$1,464.53 ","$1,833.84 ","$1,385.57 ",$574.09 ,$713.16 ,"$1,693.76 ",$574.09 ,"$1,782.90 ",$574.09 ,"$1,604.61 ","$1,604.61 ",$574.09 ,"$1,604.61 ","$1,183.34 ","$2,343.24 ",$971.70 ,$574.09 ,"$2,164.95 ","$2,139.48 ",$574.09 ,"$1,910.25 ","$2,037.60 ","$2,037.60 ",$574.09 ,"$2,037.60 ","$2,215.89 ","$2,215.89 ","$2,215.89 ","$2,292.30 ","$1,464.53 ",$574.09 ,"$2,547.00 ","$1,428.87 ",$574.09 ,"$1,054.46 ",$443.97 ,$423.79 ,$602.80 ,"$2,164.95 ","$1,604.61 ",$713.16 ,"$2,292.30 ","$2,215.89 ","$2,037.60 ","$2,037.60 ",$574.09 ,"$1,655.55 " ST. FRANCIS HOSPITAL - ACUTE,34000069,78801,HC TUMOR LOCAL MULTIPLE,340,1 ,"$2,852.00 ","$2,053.44 ",$423.79 ,"$2,852.00 ","$1,639.90 ","$2,053.44 ","$1,551.49 ",$642.84 ,$798.56 ,"$1,896.58 ",$642.84 ,"$1,996.40 ",$642.84 ,"$1,796.76 ","$1,796.76 ",$642.84 ,"$1,796.76 ","$1,325.04 ","$2,623.84 ",$971.70 ,$642.84 ,"$2,424.20 ","$2,395.68 ",$642.84 ,"$2,139.00 ","$2,281.60 ","$2,281.60 ",$642.84 ,"$2,281.60 ","$2,481.24 ","$2,481.24 ","$2,481.24 ","$2,566.80 ","$1,639.90 ",$642.84 ,"$2,852.00 ","$1,599.97 ",$642.84 ,"$1,180.73 ",$443.97 ,$423.79 ,$674.98 ,"$2,424.20 ","$1,796.76 ",$798.56 ,"$2,566.80 ","$2,481.24 ","$2,281.60 ","$2,281.60 ",$642.84 ,"$1,853.80 " ST. FRANCIS HOSPITAL - ACUTE,34000070,78802,HC TUMOR IMAGE-WHOLE BODY-1 DAY,340,1 ,"$3,606.00 ","$2,596.32 ",$812.79 ,"$3,606.00 ","$2,073.45 ","$2,596.32 ","$1,961.66 ",$812.79 ,"$1,009.68 ","$2,397.99 ",$812.79 ,"$2,524.20 ",$812.79 ,"$2,271.78 ","$2,271.78 ",$812.79 ,"$2,271.78 ","$1,675.35 ","$3,317.52 ","$3,318.18 ",$812.79 ,"$3,065.10 ","$3,029.04 ",$812.79 ,"$2,704.50 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,884.80 ","$3,137.22 ","$3,137.22 ","$3,137.22 ","$3,245.40 ","$2,073.45 ",$812.79 ,"$3,606.00 ","$2,022.97 ",$812.79 ,"$1,492.88 ",$972.06 ,$927.87 ,$853.43 ,"$3,065.10 ","$2,271.78 ","$1,009.68 ","$3,245.40 ","$3,137.22 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,343.90 " ST. FRANCIS HOSPITAL - ACUTE,34000071,78803,HC TUMOR IMAGING (SPECT),340,1 ,"$3,606.00 ","$2,596.32 ",$812.79 ,"$3,606.00 ","$2,073.45 ","$2,596.32 ","$1,961.66 ",$812.79 ,"$1,009.68 ","$2,397.99 ",$812.79 ,"$2,524.20 ",$812.79 ,"$2,271.78 ","$2,271.78 ",$812.79 ,"$2,271.78 ","$1,675.35 ","$3,317.52 ","$3,318.18 ",$812.79 ,"$3,065.10 ","$3,029.04 ",$812.79 ,"$2,704.50 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,884.80 ","$3,137.22 ","$3,137.22 ","$3,137.22 ","$3,245.40 ","$2,073.45 ",$812.79 ,"$3,606.00 ","$2,022.97 ",$812.79 ,"$1,492.88 ",$972.06 ,$927.87 ,$853.43 ,"$3,065.10 ","$2,271.78 ","$1,009.68 ","$3,245.40 ","$3,137.22 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,343.90 " ST. FRANCIS HOSPITAL - ACUTE,34000077,78804,HC TUMOR/INF-WHOLE BODY-MULT DAY,340,1 ,"$3,606.00 ","$2,596.32 ",$812.79 ,"$3,606.00 ","$2,073.45 ","$2,596.32 ","$1,961.66 ",$812.79 ,"$1,009.68 ","$2,397.99 ",$812.79 ,"$2,524.20 ",$812.79 ,"$2,271.78 ","$2,271.78 ",$812.79 ,"$2,271.78 ","$1,675.35 ","$3,317.52 ","$3,318.18 ",$812.79 ,"$3,065.10 ","$3,029.04 ",$812.79 ,"$2,704.50 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,884.80 ","$3,137.22 ","$3,137.22 ","$3,137.22 ","$3,245.40 ","$2,073.45 ",$812.79 ,"$3,606.00 ","$2,022.97 ",$812.79 ,"$1,492.88 ",$972.06 ,$927.87 ,$853.43 ,"$3,065.10 ","$2,271.78 ","$1,009.68 ","$3,245.40 ","$3,137.22 ","$2,884.80 ","$2,884.80 ",$812.79 ,"$2,343.90 " ST. FRANCIS HOSPITAL - ACUTE,34000090,78597,HC PULM PERF DIFF W/IMG,340,1 ,"$3,149.00 ","$2,267.28 ",$423.79 ,"$3,149.00 ","$1,810.68 ","$2,267.28 ","$1,713.06 ",$709.78 ,$881.72 ,"$2,094.09 ",$709.78 ,"$2,204.30 ",$709.78 ,"$1,983.87 ","$1,983.87 ",$709.78 ,"$1,983.87 ","$1,463.03 ","$2,897.08 ",$971.70 ,$709.78 ,"$2,676.65 ","$2,645.16 ",$709.78 ,"$2,361.75 ","$2,519.20 ","$2,519.20 ",$709.78 ,"$2,519.20 ","$2,739.63 ","$2,739.63 ","$2,739.63 ","$2,834.10 ","$1,810.68 ",$709.78 ,"$3,149.00 ","$1,766.59 ",$709.78 ,"$1,303.69 ",$443.97 ,$423.79 ,$745.27 ,"$2,676.65 ","$1,983.87 ",$881.72 ,"$2,834.10 ","$2,739.63 ","$2,519.20 ","$2,519.20 ",$709.78 ,"$2,046.85 " ST. FRANCIS HOSPITAL - ACUTE,34000091,78598,HC NM PULM VENT AND PERF DIFF W/IMG,340,1 ,"$2,110.00 ","$1,519.20 ",$423.79 ,"$2,110.00 ","$1,213.25 ","$1,519.20 ","$1,147.84 ",$475.59 ,$590.80 ,"$1,403.15 ",$475.59 ,"$1,477.00 ",$475.59 ,"$1,329.30 ","$1,329.30 ",$475.59 ,"$1,329.30 ",$980.31 ,"$1,941.20 ","$1,261.25 ",$475.59 ,"$1,793.50 ","$1,772.40 ",$475.59 ,"$1,582.50 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,688.00 ","$1,835.70 ","$1,835.70 ","$1,835.70 ","$1,899.00 ","$1,213.25 ",$475.59 ,"$2,110.00 ","$1,183.71 ",$475.59 ,$873.54 ,$443.97 ,$423.79 ,$499.38 ,"$1,793.50 ","$1,329.30 ",$590.80 ,"$1,899.00 ","$1,835.70 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,371.50 " ST. FRANCIS HOSPITAL - ACUTE,34000092,78227,HC NM HEPATOBILIARY DUCTS W/PHARM,340,1 ,"$2,310.00 ","$1,663.20 ",$423.79 ,"$2,310.00 ","$1,328.25 ","$1,663.20 ","$1,256.64 ",$520.67 ,$646.80 ,"$1,536.15 ",$520.67 ,"$1,617.00 ",$520.67 ,"$1,455.30 ","$1,455.30 ",$520.67 ,"$1,455.30 ","$1,073.23 ","$2,125.20 ","$1,261.25 ",$520.67 ,"$1,963.50 ","$1,940.40 ",$520.67 ,"$1,732.50 ","$1,848.00 ","$1,848.00 ",$520.67 ,"$1,848.00 ","$2,009.70 ","$2,009.70 ","$2,009.70 ","$2,079.00 ","$1,328.25 ",$520.67 ,"$2,310.00 ","$1,295.91 ",$520.67 ,$956.34 ,$443.97 ,$423.79 ,$546.71 ,"$1,963.50 ","$1,455.30 ",$646.80 ,"$2,079.00 ","$2,009.70 ","$1,848.00 ","$1,848.00 ",$520.67 ,"$1,501.50 " ST. FRANCIS HOSPITAL - ACUTE,34000093,78071,HC PARATHYROID IMG W/SPECT 78071,340,1 ,"$1,341.00 ",$965.52 ,$302.26 ,"$1,341.00 ",$771.08 ,$965.52 ,$729.50 ,$302.26 ,$375.48 ,$891.77 ,$302.26 ,$938.70 ,$302.26 ,$844.83 ,$844.83 ,$302.26 ,$844.83 ,$623.03 ,"$1,233.72 ",$971.70 ,$302.26 ,"$1,139.85 ","$1,126.44 ",$302.26 ,"$1,005.75 ","$1,072.80 ","$1,072.80 ",$302.26 ,"$1,072.80 ","$1,166.67 ","$1,166.67 ","$1,166.67 ","$1,206.90 ",$771.08 ,$302.26 ,"$1,341.00 ",$752.30 ,$302.26 ,$555.17 ,$396.23 ,$378.22 ,$317.37 ,"$1,139.85 ",$844.83 ,$375.48 ,"$1,206.90 ","$1,166.67 ","$1,072.80 ","$1,072.80 ",$302.26 ,$871.65 ST. FRANCIS HOSPITAL - ACUTE,34100032,78494,HC MUGA RESTING W/SPECT,341,1 ,"$1,241.00 ",$893.52 ,$279.72 ,"$1,241.00 ",$713.58 ,$893.52 ,$675.10 ,$279.72 ,$347.48 ,$825.27 ,$279.72 ,$868.70 ,$279.72 ,$781.83 ,$781.83 ,$279.72 ,$781.83 ,$576.57 ,"$1,141.72 ",$971.70 ,$279.72 ,"$1,054.85 ","$1,042.44 ",$279.72 ,$930.75 ,$992.80 ,$992.80 ,$279.72 ,$992.80 ,"$1,079.67 ","$1,079.67 ","$1,079.67 ","$1,116.90 ",$713.58 ,$279.72 ,"$1,241.00 ",$696.20 ,$279.72 ,$513.77 ,$972.06 ,$927.87 ,$293.71 ,"$1,054.85 ",$781.83 ,$347.48 ,"$1,116.90 ","$1,079.67 ",$992.80 ,$992.80 ,$279.72 ,$806.65 ST. FRANCIS HOSPITAL - ACUTE,34300002,A9500,HC DIAGNUCLIDE CARDIO UP TO 40MCI,343,1 ,$458.00 ,$329.76 ,$103.23 ,$458.00 ,$263.35 ,$329.76 ,$249.15 ,$103.23 ,$128.24 ,$304.57 ,$103.23 ,$320.60 ,$103.23 ,$288.54 ,$288.54 ,$103.23 ,$288.54 ,$212.79 , N/A , N/A ,$103.23 ,$389.30 ,$384.72 ,$103.23 ,$343.50 ,$366.40 ,$366.40 ,$103.23 ,$366.40 ,$398.46 ,$398.46 ,$398.46 ,$412.20 ,$263.35 ,$103.23 ,$458.00 ,$256.94 ,$103.23 ,$189.61 , N/A , N/A ,$108.40 ,$389.30 ,$288.54 ,$128.24 ,$412.20 ,$398.46 ,$458.00 ,$458.00 ,$103.23 ,$297.70 ST. FRANCIS HOSPITAL - ACUTE,34300004,A9503,HC DIAGNUCLIDE MDP UP TO 30MCI,343,1 ,$101.00 ,$72.72 ,$22.77 ,$101.00 ,$58.08 ,$72.72 ,$54.94 ,$22.77 ,$28.28 ,$67.17 ,$22.77 ,$70.70 ,$22.77 ,$63.63 ,$63.63 ,$22.77 ,$63.63 ,$46.92 , N/A , N/A ,$22.77 ,$85.85 ,$84.84 ,$22.77 ,$75.75 ,$80.80 ,$80.80 ,$22.77 ,$80.80 ,$87.87 ,$87.87 ,$87.87 ,$90.90 ,$58.08 ,$22.77 ,$101.00 ,$56.66 ,$22.77 ,$41.81 , N/A , N/A ,$23.90 ,$85.85 ,$63.63 ,$28.28 ,$90.90 ,$87.87 ,$33.54 ,$33.54 ,$22.77 ,$65.65 ST. FRANCIS HOSPITAL - ACUTE,34300006,A9505,HC DIAGNUCLIDE THALL 201 PER MCI,343,1 ,$506.00 ,$364.32 ,$114.05 ,$506.00 ,$290.95 ,$364.32 ,$275.26 ,$114.05 ,$141.68 ,$336.49 ,$114.05 ,$354.20 ,$114.05 ,$318.78 ,$318.78 ,$114.05 ,$318.78 ,$235.09 , N/A , N/A ,$114.05 ,$430.10 ,$425.04 ,$114.05 ,$379.50 ,$404.80 ,$404.80 ,$114.05 ,$404.80 ,$440.22 ,$440.22 ,$440.22 ,$455.40 ,$290.95 ,$114.05 ,$506.00 ,$283.87 ,$114.05 ,$209.48 , N/A , N/A ,$119.76 ,$430.10 ,$318.78 ,$141.68 ,$455.40 ,$440.22 ,$199.06 ,$199.06 ,$114.05 ,$328.90 ST. FRANCIS HOSPITAL - ACUTE,34300009,A9512,HC TECHNETIUM TC99 PERTECH PER MCI,343,1 ,$2.88 ,$2.07 ,$0.65 ,$2.88 ,$1.65 ,$2.07 ,$1.57 ,$0.65 ,$0.81 ,$1.92 ,$0.65 ,$2.02 ,$0.65 ,$1.81 ,$1.81 ,$0.65 ,$1.81 ,$1.33 , N/A , N/A ,$0.65 ,$2.45 ,$2.42 ,$0.65 ,$2.16 ,$2.30 ,$2.30 ,$0.65 ,$2.30 ,$2.51 ,$2.51 ,$2.51 ,$2.59 ,$1.65 ,$0.65 ,$2.88 ,$1.62 ,$0.65 ,$1.19 , N/A , N/A ,$0.68 ,$2.45 ,$1.81 ,$0.81 ,$2.59 ,$2.51 ,$2.88 ,$2.88 ,$0.65 ,$1.87 ST. FRANCIS HOSPITAL - ACUTE,34300010,A9516,HC DIAGNUCLIDE I123 CAPS 100 MICR,343,1 ,$144.00 ,$103.68 ,$32.46 ,$144.00 ,$82.80 ,$103.68 ,$78.34 ,$32.46 ,$40.32 ,$95.76 ,$32.46 ,$100.80 ,$32.46 ,$90.72 ,$90.72 ,$32.46 ,$90.72 ,$66.90 , N/A , N/A ,$32.46 ,$122.40 ,$120.96 ,$32.46 ,$108.00 ,$115.20 ,$115.20 ,$32.46 ,$115.20 ,$125.28 ,$125.28 ,$125.28 ,$129.60 ,$82.80 ,$32.46 ,$144.00 ,$80.78 ,$32.46 ,$59.62 , N/A , N/A ,$34.08 ,$122.40 ,$90.72 ,$40.32 ,$129.60 ,$125.28 ,$144.00 ,$144.00 ,$32.46 ,$93.60 ST. FRANCIS HOSPITAL - ACUTE,34300014,A9528,HC DIAGNUCLIDE I131 NECK/CHST,343,1 ,$87.00 ,$62.64 ,$19.61 ,$87.00 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 , N/A , N/A ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$87.00 ,$87.00 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,34300015,A9530,HC THERAPEUTIC ISOTOPE SOLUTION PER MCI,343,1 ,$49.00 ,$35.28 ,$11.04 ,$336.93 ,$28.18 ,$35.28 ,$26.66 ,$11.04 ,$13.72 ,$32.59 ,$11.04 ,$34.30 ,$11.04 ,$30.87 ,$30.87 ,$11.04 ,$30.87 ,$22.77 ,$45.08 ,$56.78 ,$11.04 ,$41.65 ,$41.16 ,$11.04 ,$36.75 ,$39.20 ,$39.20 ,$11.04 ,$39.20 ,$42.63 ,$42.63 ,$42.63 ,$44.10 ,$28.18 ,$11.04 ,$49.00 ,$27.49 ,$11.04 ,$20.29 ,$336.93 ,$321.62 ,$11.59 ,$41.65 ,$30.87 ,$13.72 ,$44.10 ,$42.63 ,$37.47 ,$37.47 ,$11.04 ,$31.85 ST. FRANCIS HOSPITAL - ACUTE,34300016,A9537,HC DIAGNUCLIDE CHOLETEC HEPAT PER DOSE,343,1 ,$159.00 ,$114.48 ,$35.84 ,$159.00 ,$91.43 ,$114.48 ,$86.50 ,$35.84 ,$44.52 ,$105.74 ,$35.84 ,$111.30 ,$35.84 ,$100.17 ,$100.17 ,$35.84 ,$100.17 ,$73.87 , N/A , N/A ,$35.84 ,$135.15 ,$133.56 ,$35.84 ,$119.25 ,$127.20 ,$127.20 ,$35.84 ,$127.20 ,$138.33 ,$138.33 ,$138.33 ,$143.10 ,$91.43 ,$35.84 ,$159.00 ,$89.20 ,$35.84 ,$65.83 , N/A , N/A ,$37.63 ,$135.15 ,$100.17 ,$44.52 ,$143.10 ,$138.33 ,$159.00 ,$159.00 ,$35.84 ,$103.35 ST. FRANCIS HOSPITAL - ACUTE,34300018,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$720.00 ,$518.40 ,$54.80 ,$720.00 ,$414.00 ,$518.40 ,$391.68 ,$162.29 ,$201.60 ,$446.40 ,$162.29 ,$468.00 ,$162.29 ,$453.60 ,$453.60 ,$162.29 ,$453.60 ,$334.51 , N/A , N/A ,$162.29 ,$612.00 ,$604.80 ,$162.29 ,$540.00 ,$576.00 ,$576.00 ,$162.29 ,$576.00 ,$626.40 ,$626.40 ,$626.40 ,$648.00 ,$414.00 ,$162.29 ,$720.00 ,$403.92 ,$162.29 ,$298.08 , N/A , N/A ,$170.40 ,$612.00 ,$453.60 ,$201.60 ,$648.00 ,$626.40 ,$54.80 ,$54.80 ,$162.29 ,$468.00 ST. FRANCIS HOSPITAL - ACUTE,34300019,A9540,HC DIAGNUCLIDE MAA LUNG SCAN PER DOSE<10MCI,343,1 ,$720.00 ,$518.40 ,$54.80 ,$720.00 ,$414.00 ,$518.40 ,$391.68 ,$162.29 ,$201.60 ,$446.40 ,$162.29 ,$468.00 ,$162.29 ,$453.60 ,$453.60 ,$162.29 ,$453.60 ,$334.51 , N/A , N/A ,$162.29 ,$612.00 ,$604.80 ,$162.29 ,$540.00 ,$576.00 ,$576.00 ,$162.29 ,$576.00 ,$626.40 ,$626.40 ,$626.40 ,$648.00 ,$414.00 ,$162.29 ,$720.00 ,$403.92 ,$162.29 ,$298.08 , N/A , N/A ,$170.40 ,$612.00 ,$453.60 ,$201.60 ,$648.00 ,$626.40 ,$54.80 ,$54.80 ,$162.29 ,$468.00 ST. FRANCIS HOSPITAL - ACUTE,34300020,A9541,HC DIAGNUCLIDE SULFUR COLLOID UP TO 20MCI,343,1 ,"$1,193.00 ",$858.96 ,$268.90 ,"$1,193.00 ",$685.98 ,$858.96 ,$648.99 ,$268.90 ,$334.04 ,$793.35 ,$268.90 ,$834.21 ,$268.90 ,$751.59 ,$751.59 ,$268.90 ,$751.59 ,$554.27 , N/A , N/A ,$268.90 ,"$1,014.05 ","$1,002.12 ",$268.90 ,$894.75 ,$954.40 ,$954.40 ,$268.90 ,$954.40 ,"$1,037.91 ","$1,037.91 ","$1,037.91 ","$1,073.70 ",$685.98 ,$268.90 ,"$1,193.00 ",$669.27 ,$268.90 ,$493.90 , N/A , N/A ,$282.35 ,"$1,014.05 ",$751.59 ,$334.04 ,"$1,073.70 ","$1,037.91 ",$459.05 ,$459.05 ,$268.90 ,$775.45 ST. FRANCIS HOSPITAL - ACUTE,34300024,A9547,HC DIAGNUCLIDE IN OXINE .5 MCI,343,1 ,"$1,366.00 ",$983.52 ,$307.90 ,"$1,366.00 ",$785.45 ,$983.52 ,$743.10 ,$307.90 ,$382.48 ,$908.39 ,$307.90 ,$956.20 ,$307.90 ,$860.58 ,$860.58 ,$307.90 ,$860.58 ,$634.64 , N/A , N/A ,$307.90 ,"$1,161.10 ","$1,147.44 ",$307.90 ,"$1,024.50 ","$1,092.80 ","$1,092.80 ",$307.90 ,"$1,092.80 ","$1,188.42 ","$1,188.42 ","$1,188.42 ","$1,229.40 ",$785.45 ,$307.90 ,"$1,366.00 ",$766.33 ,$307.90 ,$565.52 , N/A , N/A ,$323.29 ,"$1,161.10 ",$860.58 ,$382.48 ,"$1,229.40 ","$1,188.42 ",$511.05 ,$511.05 ,$307.90 ,$887.90 ST. FRANCIS HOSPITAL - ACUTE,34300028,A9551,HC DIAGNUCLIDE DMSA,343,1 ,"$2,305.00 ","$1,659.60 ",$519.55 ,"$2,305.00 ","$1,325.38 ","$1,659.60 ","$1,253.92 ",$519.55 ,$645.40 ,"$1,532.83 ",$519.55 ,"$1,613.50 ",$519.55 ,"$1,452.15 ","$1,452.15 ",$519.55 ,"$1,452.15 ","$1,070.90 ", N/A , N/A ,$519.55 ,"$1,959.25 ","$1,936.20 ",$519.55 ,"$1,728.75 ","$1,844.00 ","$1,844.00 ",$519.55 ,"$1,844.00 ","$2,005.35 ","$2,005.35 ","$2,005.35 ","$2,074.50 ","$1,325.38 ",$519.55 ,"$2,305.00 ","$1,293.11 ",$519.55 ,$954.27 , N/A , N/A ,$545.53 ,"$1,959.25 ","$1,452.15 ",$645.40 ,"$2,074.50 ","$2,005.35 ","$1,118.27 ","$1,118.27 ",$519.55 ,"$1,498.25 " ST. FRANCIS HOSPITAL - ACUTE,34300029,A9552,HC DIAGNUCLIDE 18FDG,343,1 ,"$1,224.00 ",$881.28 ,$275.89 ,"$1,224.00 ",$703.80 ,$881.28 ,$665.86 ,$275.89 ,$342.72 ,$813.96 ,$275.89 ,$856.80 ,$275.89 ,$771.12 ,$771.12 ,$275.89 ,$771.12 ,$568.67 , N/A , N/A ,$275.89 ,"$1,040.40 ","$1,028.16 ",$275.89 ,$918.00 ,$979.20 ,$979.20 ,$275.89 ,$979.20 ,"$1,064.88 ","$1,064.88 ","$1,064.88 ","$1,101.60 ",$703.80 ,$275.89 ,"$1,224.00 ",$686.66 ,$275.89 ,$506.74 , N/A , N/A ,$289.69 ,"$1,040.40 ",$771.12 ,$342.72 ,"$1,101.60 ","$1,064.88 ",$599.96 ,$599.96 ,$275.89 ,$795.60 ST. FRANCIS HOSPITAL - ACUTE,34300033,A9558,HC DIAGNUCLIDE XE133 10 MCI,343,1 ,$836.00 ,$601.92 ,$188.43 ,$836.00 ,$480.70 ,$601.92 ,$454.78 ,$188.43 ,$234.08 ,$555.94 ,$188.43 ,$585.20 ,$188.43 ,$526.68 ,$526.68 ,$188.43 ,$526.68 ,$388.41 , N/A , N/A ,$188.43 ,$710.60 ,$702.24 ,$188.43 ,$627.00 ,$668.80 ,$668.80 ,$188.43 ,$668.80 ,$727.32 ,$727.32 ,$727.32 ,$752.40 ,$480.70 ,$188.43 ,$836.00 ,$469.00 ,$188.43 ,$346.10 , N/A , N/A ,$197.85 ,$710.60 ,$526.68 ,$234.08 ,$752.40 ,$727.32 ,$350.58 ,$350.58 ,$188.43 ,$543.40 ST. FRANCIS HOSPITAL - ACUTE,34300035,A9560,HC TC99M GI BLD MUGA UP TO 30MCI,343,1 ,$989.00 ,$712.08 ,$172.21 ,$989.00 ,$568.68 ,$712.08 ,$538.02 ,$222.92 ,$276.92 ,$657.69 ,$222.92 ,$692.30 ,$222.92 ,$623.07 ,$623.07 ,$222.92 ,$623.07 ,$459.49 , N/A , N/A ,$222.92 ,$840.65 ,$830.76 ,$222.92 ,$741.75 ,$791.20 ,$791.20 ,$222.92 ,$791.20 ,$860.43 ,$860.43 ,$860.43 ,$890.10 ,$568.68 ,$222.92 ,$989.00 ,$554.83 ,$222.92 ,$409.45 , N/A , N/A ,$234.06 ,$840.65 ,$623.07 ,$276.92 ,$890.10 ,$860.43 ,$172.21 ,$172.21 ,$222.92 ,$642.85 ST. FRANCIS HOSPITAL - ACUTE,34300036,A9560,HC RBC TAG KIT WITH TC99,343,1 ,$989.00 ,$712.08 ,$172.21 ,$989.00 ,$568.68 ,$712.08 ,$538.02 ,$222.92 ,$276.92 ,$657.69 ,$222.92 ,$692.30 ,$222.92 ,$623.07 ,$623.07 ,$222.92 ,$623.07 ,$459.49 , N/A , N/A ,$222.92 ,$840.65 ,$830.76 ,$222.92 ,$741.75 ,$791.20 ,$791.20 ,$222.92 ,$791.20 ,$860.43 ,$860.43 ,$860.43 ,$890.10 ,$568.68 ,$222.92 ,$989.00 ,$554.83 ,$222.92 ,$409.45 , N/A , N/A ,$234.06 ,$840.65 ,$623.07 ,$276.92 ,$890.10 ,$860.43 ,$172.21 ,$172.21 ,$222.92 ,$642.85 ST. FRANCIS HOSPITAL - ACUTE,34300037,A9562,HC DIAG NUCLDE MAG 3 PER DOSE,343,1 ,"$1,122.00 ",$807.84 ,$252.90 ,"$1,122.00 ",$645.15 ,$807.84 ,$610.37 ,$252.90 ,$314.16 ,$746.13 ,$252.90 ,$785.40 ,$252.90 ,$706.86 ,$706.86 ,$252.90 ,$706.86 ,$521.28 , N/A , N/A ,$252.90 ,$953.70 ,$942.48 ,$252.90 ,$841.50 ,$897.60 ,$897.60 ,$252.90 ,$897.60 ,$976.14 ,$976.14 ,$976.14 ,"$1,009.80 ",$645.15 ,$252.90 ,"$1,122.00 ",$629.44 ,$252.90 ,$464.51 , N/A , N/A ,$265.54 ,$953.70 ,$706.86 ,$314.16 ,"$1,009.80 ",$976.14 ,"$1,122.00 ","$1,122.00 ",$252.90 ,$729.30 ST. FRANCIS HOSPITAL - ACUTE,34300038,A9572,HC DIAGNUCLIDE OCTREOTIDE PER DOSE UP TO 6MCI,343,1 ,"$17,248.00 ","$12,418.56 ","$3,887.70 ","$17,248.00 ","$9,917.60 ","$12,418.56 ","$9,382.91 ","$3,887.70 ","$4,829.44 ","$11,469.92 ","$3,887.70 ","$12,073.60 ","$3,887.70 ","$10,866.24 ","$10,866.24 ","$3,887.70 ","$10,866.24 ","$8,013.42 ", N/A , N/A ,"$3,887.70 ","$14,660.80 ","$14,488.32 ","$3,887.70 ","$12,936.00 ","$13,798.40 ","$13,798.40 ","$3,887.70 ","$13,798.40 ","$15,005.76 ","$15,005.76 ","$15,005.76 ","$15,523.20 ","$9,917.60 ","$3,887.70 ","$17,248.00 ","$9,676.13 ","$3,887.70 ","$7,140.67 ", N/A , N/A ,"$4,082.08 ","$14,660.80 ","$10,866.24 ","$4,829.44 ","$15,523.20 ","$15,005.76 ","$10,028.72 ","$10,028.72 ","$3,887.70 ","$11,211.20 " ST. FRANCIS HOSPITAL - ACUTE,34300039,A9582,HC DIAGNUCLIDE I 123 MIBG,343,1 ,"$17,968.00 ","$12,936.96 ","$3,745.67 ","$17,968.00 ","$10,331.60 ","$12,936.96 ","$9,774.59 ","$4,049.99 ","$5,031.04 ","$11,948.72 ","$4,049.99 ","$12,577.60 ","$4,049.99 ","$11,319.84 ","$11,319.84 ","$4,049.99 ","$11,319.84 ","$8,347.93 ", N/A , N/A ,"$4,049.99 ","$15,272.80 ","$15,093.12 ","$4,049.99 ","$13,476.00 ","$14,374.40 ","$14,374.40 ","$4,049.99 ","$14,374.40 ","$15,632.16 ","$15,632.16 ","$15,632.16 ","$16,171.20 ","$10,331.60 ","$4,049.99 ","$17,968.00 ","$10,080.05 ","$4,049.99 ","$7,438.75 ", N/A , N/A ,"$4,252.48 ","$15,272.80 ","$11,319.84 ","$5,031.04 ","$16,171.20 ","$15,632.16 ","$3,745.67 ","$3,745.67 ","$4,049.99 ","$11,679.20 " ST. FRANCIS HOSPITAL - ACUTE,34300041,J2805,HC DIAGNUCLIDE CCK,636,1 ,$465.92 ,$335.46 ,$105.02 ,$465.92 ,$267.90 ,$335.46 ,$253.46 ,$105.02 ,$130.46 ,$309.84 ,$105.02 ,$326.14 ,$105.02 ,$293.53 ,$293.53 ,$105.02 ,$293.53 ,$216.46 ,$428.65 , N/A ,$105.02 ,$396.03 ,$391.37 ,$105.02 ,$349.44 ,$372.74 ,$372.74 ,$105.02 ,$372.74 ,$405.35 ,$405.35 ,$405.35 ,$419.33 ,$267.90 ,$105.02 ,$465.92 ,$261.38 ,$105.02 ,$192.89 ,$144.01 ,$137.47 ,$110.27 ,$396.03 ,$293.53 ,$130.46 ,$419.33 ,$405.35 ,$203.10 ,$203.10 ,$105.02 ,$302.85 ST. FRANCIS HOSPITAL - ACUTE,34300049,A9509,HC DIAGNUCLIDE I123 CAP PER MILLICURIE,343,1 ,$453.00 ,$326.16 ,$102.11 ,$453.00 ,$260.48 ,$326.16 ,$246.43 ,$102.11 ,$126.84 ,$301.25 ,$102.11 ,$317.10 ,$102.11 ,$285.39 ,$285.39 ,$102.11 ,$285.39 ,$210.46 , N/A , N/A ,$102.11 ,$385.05 ,$380.52 ,$102.11 ,$339.75 ,$362.40 ,$362.40 ,$102.11 ,$362.40 ,$394.11 ,$394.11 ,$394.11 ,$407.70 ,$260.48 ,$102.11 ,$453.00 ,$254.13 ,$102.11 ,$187.54 , N/A , N/A ,$107.21 ,$385.05 ,$285.39 ,$126.84 ,$407.70 ,$394.11 ,$309.77 ,$309.77 ,$102.11 ,$294.45 ST. FRANCIS HOSPITAL - ACUTE,34300052,A9539,HC DIAGNUCLIDE DTPA AEROSOL,343,1 ,$389.00 ,$280.08 ,$50.89 ,$389.00 ,$223.68 ,$280.08 ,$211.62 ,$87.68 ,$108.92 ,$258.69 ,$87.68 ,$272.30 ,$87.68 ,$245.07 ,$245.07 ,$87.68 ,$245.07 ,$180.73 , N/A , N/A ,$87.68 ,$330.65 ,$326.76 ,$87.68 ,$291.75 ,$311.20 ,$311.20 ,$87.68 ,$311.20 ,$338.43 ,$338.43 ,$338.43 ,$350.10 ,$223.68 ,$87.68 ,$389.00 ,$218.23 ,$87.68 ,$161.05 , N/A , N/A ,$92.06 ,$330.65 ,$245.07 ,$108.92 ,$350.10 ,$338.43 ,$50.89 ,$50.89 ,$87.68 ,$252.85 ST. FRANCIS HOSPITAL - ACUTE,34300058,A9500,HC SESTAMIBI PER STUDY DOSE,343,1 ,$198.00 ,$142.56 ,$44.63 ,$198.00 ,$113.85 ,$142.56 ,$107.71 ,$44.63 ,$55.44 ,$131.67 ,$44.63 ,$138.60 ,$44.63 ,$124.74 ,$124.74 ,$44.63 ,$124.74 ,$91.99 , N/A , N/A ,$44.63 ,$168.30 ,$166.32 ,$44.63 ,$148.50 ,$158.40 ,$158.40 ,$44.63 ,$158.40 ,$172.26 ,$172.26 ,$172.26 ,$178.20 ,$113.85 ,$44.63 ,$198.00 ,$111.08 ,$44.63 ,$81.97 , N/A , N/A ,$46.86 ,$168.30 ,$124.74 ,$55.44 ,$178.20 ,$172.26 ,$198.00 ,$198.00 ,$44.63 ,$128.70 ST. FRANCIS HOSPITAL - ACUTE,34300060,A9520,HC DIAGNUCLIDE TC-99 TILMANOCEPT DIAG UP TO 0.5 MCI,343,1 ,"$2,535.00 ","$1,825.20 ",$571.39 ,"$2,535.00 ","$1,457.63 ","$1,825.20 ","$1,379.04 ",$571.39 ,$709.80 ,"$1,685.78 ",$571.39 ,"$1,774.50 ",$571.39 ,"$1,597.05 ","$1,597.05 ",$571.39 ,"$1,597.05 ","$1,177.76 ", N/A , N/A ,$571.39 ,"$2,154.75 ","$2,129.40 ",$571.39 ,"$1,901.25 ","$2,028.00 ","$2,028.00 ",$571.39 ,"$2,028.00 ","$2,205.45 ","$2,205.45 ","$2,205.45 ","$2,281.50 ","$1,457.63 ",$571.39 ,"$2,535.00 ","$1,422.14 ",$571.39 ,"$1,049.49 ", N/A , N/A ,$599.96 ,"$2,154.75 ","$1,597.05 ",$709.80 ,"$2,281.50 ","$2,205.45 ", N/A , N/A ,$571.39 ,"$1,647.75 " ST. FRANCIS HOSPITAL - ACUTE,34300061,A9557,HC DIAGNUCLIDE TC-99 BICISATE PER STUDY UP TO 25MCI,343,1 ,"$3,642.00 ","$2,622.24 ",$689.42 ,"$3,642.00 ","$2,094.15 ","$2,622.24 ","$1,981.25 ",$820.91 ,"$1,019.76 ","$2,421.93 ",$820.91 ,"$2,549.40 ",$820.91 ,"$2,294.46 ","$2,294.46 ",$820.91 ,"$2,294.46 ","$1,692.07 ", N/A , N/A ,$820.91 ,"$3,095.70 ","$3,059.28 ",$820.91 ,"$2,731.50 ","$2,913.60 ","$2,913.60 ",$820.91 ,"$2,913.60 ","$3,168.54 ","$3,168.54 ","$3,168.54 ","$3,277.80 ","$2,094.15 ",$820.91 ,"$3,642.00 ","$2,043.16 ",$820.91 ,"$1,507.79 ", N/A , N/A ,$861.95 ,"$3,095.70 ","$2,294.46 ","$1,019.76 ","$3,277.80 ","$3,168.54 ",$689.42 ,$689.42 ,$820.91 ,"$2,367.30 " ST. FRANCIS HOSPITAL - ACUTE,34300062,A9562,HC DIAGNUCLIDE TC-99 MERTIATIDE PER STUDY UP TO 15MCI,343,1 ,"$1,473.00 ","$1,060.56 ",$332.01 ,"$1,473.00 ",$846.98 ,"$1,060.56 ",$801.31 ,$332.01 ,$412.44 ,$979.55 ,$332.01 ,"$1,031.10 ",$332.01 ,$927.99 ,$927.99 ,$332.01 ,$927.99 ,$684.36 , N/A , N/A ,$332.01 ,"$1,252.05 ","$1,237.32 ",$332.01 ,"$1,104.75 ","$1,178.40 ","$1,178.40 ",$332.01 ,"$1,178.40 ","$1,281.51 ","$1,281.51 ","$1,281.51 ","$1,325.70 ",$846.98 ,$332.01 ,"$1,473.00 ",$826.35 ,$332.01 ,$609.82 , N/A , N/A ,$348.62 ,"$1,252.05 ",$927.99 ,$412.44 ,"$1,325.70 ","$1,281.51 ","$1,327.95 ","$1,327.95 ",$332.01 ,$957.45 ST. FRANCIS HOSPITAL - ACUTE,35000018,47000,HC BX LIVER NEEDLE PERC,350,1 ,"$2,301.00 ","$1,656.72 ",$518.65 ,"$3,748.88 ","$1,323.08 ","$1,656.72 ","$1,251.74 ",$518.65 ,$644.28 ,"$1,530.17 ",$518.65 ,"$1,610.70 ",$518.65 ,"$1,449.63 ","$1,449.63 ",$518.65 ,"$1,449.63 ","$1,069.04 ",$800.00 ,"$3,748.88 ",$518.65 ,"$1,955.85 ","$1,932.84 ",$518.65 ,"$1,725.75 ","$1,840.80 ","$1,840.80 ",$518.65 ,"$1,840.80 ","$2,001.87 ","$2,001.87 ","$2,001.87 ","$2,070.90 ","$1,323.08 ",$518.65 ,"$2,301.00 ","$1,290.86 ",$518.65 ,$952.61 ,$729.83 ,$696.65 ,$544.58 ,"$1,955.85 ","$1,449.63 ",$644.28 ,"$2,070.90 ","$2,001.87 ","$1,840.80 ","$1,840.80 ",$518.65 ,"$1,495.65 " ST. FRANCIS HOSPITAL - ACUTE,35000032,64430,HC INJ ANEST AGENT PUDENDAL NERVE,350,1 ,"$2,624.00 ","$1,889.28 ",$442.87 ,"$2,624.00 ","$1,508.80 ","$1,889.28 ","$1,427.46 ",$591.45 ,$734.72 ,"$1,744.96 ",$591.45 ,"$1,836.80 ",$591.45 ,"$1,653.12 ","$1,653.12 ",$591.45 ,"$1,653.12 ","$1,219.11 ",$800.00 ,"$2,130.45 ",$591.45 ,"$2,230.40 ","$2,204.16 ",$591.45 ,"$1,968.00 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$2,099.20 ","$2,282.88 ","$2,282.88 ","$2,282.88 ","$2,361.60 ","$1,508.80 ",$591.45 ,"$2,624.00 ","$1,472.06 ",$591.45 ,"$1,086.34 ",$463.96 ,$442.87 ,$621.03 ,"$2,230.40 ","$1,653.12 ",$734.72 ,"$2,361.60 ","$2,282.88 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$1,705.60 " ST. FRANCIS HOSPITAL - ACUTE,35000036,70450,HC CT HEAD/BRAIN W/O CONTRAST,350,1 ,"$2,389.00 ","$1,720.08 ",$267.20 ,"$2,389.00 ","$1,373.68 ","$1,720.08 ","$1,299.62 ",$538.48 ,$668.92 ,"$1,301.88 ",$538.48 ,"$1,364.87 ",$538.48 ,"$1,505.07 ","$1,505.07 ",$538.48 ,"$1,505.07 ","$1,109.93 ","$2,000.00 ",$267.20 ,$538.48 ,"$2,030.65 ","$2,006.76 ",$538.48 ,"$1,791.75 ","$1,911.20 ","$1,911.20 ",$538.48 ,"$1,911.20 ","$2,078.43 ","$2,078.43 ","$2,078.43 ","$2,150.10 ","$1,373.68 ",$538.48 ,"$2,389.00 ","$1,340.23 ",$538.48 ,$989.05 ,$301.47 ,$287.76 ,$565.40 ,"$2,030.65 ","$1,505.07 ",$668.92 ,"$2,150.10 ","$2,078.43 ","$1,911.20 ","$1,911.20 ",$538.48 ,"$1,552.85 " ST. FRANCIS HOSPITAL - ACUTE,35000037,70460,HC CT HEAD/BRAIN W/CONTRAST,350,1 ,"$3,026.00 ","$2,178.72 ",$287.76 ,"$3,026.00 ","$1,739.95 ","$2,178.72 ","$1,646.14 ",$682.06 ,$847.28 ,"$1,884.43 ",$682.06 ,"$1,975.61 ",$682.06 ,"$1,906.38 ","$1,906.38 ",$682.06 ,"$1,906.38 ","$1,405.88 ","$2,000.00 ",$450.85 ,$682.06 ,"$2,572.10 ","$2,541.84 ",$682.06 ,"$2,269.50 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$2,420.80 ","$2,632.62 ","$2,632.62 ","$2,632.62 ","$2,723.40 ","$1,739.95 ",$682.06 ,"$3,026.00 ","$1,697.59 ",$682.06 ,"$1,252.76 ",$301.47 ,$287.76 ,$716.16 ,"$2,572.10 ","$1,906.38 ",$847.28 ,"$2,723.40 ","$2,632.62 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$1,966.90 " ST. FRANCIS HOSPITAL - ACUTE,35000038,70470,HC CT HEAD/BRAIN W AND W/O CONTRAST,350,1 ,"$3,329.00 ","$2,396.88 ",$287.76 ,"$3,329.00 ","$1,914.18 ","$2,396.88 ","$1,810.98 ",$750.36 ,$932.12 ,"$2,213.79 ",$750.36 ,"$2,330.30 ",$750.36 ,"$2,097.27 ","$2,097.27 ",$750.36 ,"$2,097.27 ","$1,546.65 ","$2,000.00 ",$450.85 ,$750.36 ,"$2,829.65 ","$2,796.36 ",$750.36 ,"$2,496.75 ","$2,663.20 ","$2,663.20 ",$750.36 ,"$2,663.20 ","$2,896.23 ","$2,896.23 ","$2,896.23 ","$2,996.10 ","$1,914.18 ",$750.36 ,"$3,329.00 ","$1,867.57 ",$750.36 ,"$1,378.21 ",$301.47 ,$287.76 ,$787.87 ,"$2,829.65 ","$2,097.27 ",$932.12 ,"$2,996.10 ","$2,896.23 ","$2,663.20 ","$2,663.20 ",$750.36 ,"$2,163.85 " ST. FRANCIS HOSPITAL - ACUTE,35000039,70480,HC CT ORBIT/IAC/EAR W/O CONTRAST,350,1 ,"$2,389.00 ","$1,720.08 ",$139.83 ,"$2,389.00 ","$1,373.68 ","$1,720.08 ","$1,299.62 ",$538.48 ,$668.92 ,"$1,588.69 ",$538.48 ,"$1,672.30 ",$538.48 ,"$1,505.07 ","$1,505.07 ",$538.48 ,"$1,505.07 ","$1,109.93 ","$2,000.00 ",$267.20 ,$538.48 ,"$2,030.65 ","$2,006.76 ",$538.48 ,"$1,791.75 ","$1,911.20 ","$1,911.20 ",$538.48 ,"$1,911.20 ","$2,078.43 ","$2,078.43 ","$2,078.43 ","$2,150.10 ","$1,373.68 ",$538.48 ,"$2,389.00 ","$1,340.23 ",$538.48 ,$989.05 ,$146.49 ,$139.83 ,$565.40 ,"$2,030.65 ","$1,505.07 ",$668.92 ,"$2,150.10 ","$2,078.43 ","$1,911.20 ","$1,911.20 ",$538.48 ,"$1,552.85 " ST. FRANCIS HOSPITAL - ACUTE,35000041,70481,HC CT ORBIT/IAC/EAR W/CONTRAST,350,1 ,"$3,026.00 ","$2,178.72 ",$139.83 ,"$3,026.00 ","$1,739.95 ","$2,178.72 ","$1,646.14 ",$682.06 ,$847.28 ,"$2,012.29 ",$682.06 ,"$2,118.20 ",$682.06 ,"$1,906.38 ","$1,906.38 ",$682.06 ,"$1,906.38 ","$1,405.88 ","$2,000.00 ",$450.85 ,$682.06 ,"$2,572.10 ","$2,541.84 ",$682.06 ,"$2,269.50 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$2,420.80 ","$2,632.62 ","$2,632.62 ","$2,632.62 ","$2,723.40 ","$1,739.95 ",$682.06 ,"$3,026.00 ","$1,697.59 ",$682.06 ,"$1,252.76 ",$146.49 ,$139.83 ,$716.16 ,"$2,572.10 ","$1,906.38 ",$847.28 ,"$2,723.40 ","$2,632.62 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$1,966.90 " ST. FRANCIS HOSPITAL - ACUTE,35000042,70482,HC CT ORBIT/IAC/EAR W AND W/O CONTRAST,350,1 ,"$3,026.00 ","$2,178.72 ",$139.83 ,"$3,026.00 ","$1,739.95 ","$2,178.72 ","$1,646.14 ",$682.06 ,$847.28 ,"$2,012.29 ",$682.06 ,"$2,118.20 ",$682.06 ,"$1,906.38 ","$1,906.38 ",$682.06 ,"$1,906.38 ","$1,405.88 ","$2,000.00 ",$450.85 ,$682.06 ,"$2,572.10 ","$2,541.84 ",$682.06 ,"$2,269.50 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$2,420.80 ","$2,632.62 ","$2,632.62 ","$2,632.62 ","$2,723.40 ","$1,739.95 ",$682.06 ,"$3,026.00 ","$1,697.59 ",$682.06 ,"$1,252.76 ",$146.49 ,$139.83 ,$716.16 ,"$2,572.10 ","$1,906.38 ",$847.28 ,"$2,723.40 ","$2,632.62 ","$2,420.80 ","$2,420.80 ",$682.06 ,"$1,966.90 " ST. FRANCIS HOSPITAL - ACUTE,35000043,70486,HC CT MAX/FACIAL W/O CONTRAST,350,1 ,"$2,004.00 ","$1,442.88 ",$139.83 ,"$2,004.00 ","$1,152.30 ","$1,442.88 ","$1,090.18 ",$451.70 ,$561.12 ,"$1,332.66 ",$451.70 ,"$1,402.80 ",$451.70 ,"$1,262.52 ","$1,262.52 ",$451.70 ,"$1,262.52 ",$931.06 ,"$2,000.00 ",$267.20 ,$451.70 ,"$1,703.40 ","$1,683.36 ",$451.70 ,"$1,503.00 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,603.20 ","$1,743.48 ","$1,743.48 ","$1,743.48 ","$1,803.60 ","$1,152.30 ",$451.70 ,"$2,004.00 ","$1,124.24 ",$451.70 ,$829.66 ,$146.49 ,$139.83 ,$474.29 ,"$1,703.40 ","$1,262.52 ",$561.12 ,"$1,803.60 ","$1,743.48 ","$1,603.20 ","$1,603.20 ",$451.70 ,"$1,302.60 " ST. FRANCIS HOSPITAL - ACUTE,35000045,70487,HC CT MAX/FACIAL W/CONTRAST,350,1 ,"$2,204.00 ","$1,586.88 ",$139.83 ,"$2,204.00 ","$1,267.30 ","$1,586.88 ","$1,198.98 ",$496.78 ,$617.12 ,"$1,465.66 ",$496.78 ,"$1,542.80 ",$496.78 ,"$1,388.52 ","$1,388.52 ",$496.78 ,"$1,388.52 ","$1,023.98 ","$2,000.00 ",$450.85 ,$496.78 ,"$1,873.40 ","$1,851.36 ",$496.78 ,"$1,653.00 ","$1,763.20 ","$1,763.20 ",$496.78 ,"$1,763.20 ","$1,917.48 ","$1,917.48 ","$1,917.48 ","$1,983.60 ","$1,267.30 ",$496.78 ,"$2,204.00 ","$1,236.44 ",$496.78 ,$912.46 ,$146.49 ,$139.83 ,$521.62 ,"$1,873.40 ","$1,388.52 ",$617.12 ,"$1,983.60 ","$1,917.48 ","$1,763.20 ","$1,763.20 ",$496.78 ,"$1,432.60 " ST. FRANCIS HOSPITAL - ACUTE,35000046,70488,HC CT MAX/FACIAL W AND W/O CONTRAST,350,1 ,"$2,204.00 ","$1,586.88 ",$139.83 ,"$2,204.00 ","$1,267.30 ","$1,586.88 ","$1,198.98 ",$496.78 ,$617.12 ,"$1,465.66 ",$496.78 ,"$1,542.80 ",$496.78 ,"$1,388.52 ","$1,388.52 ",$496.78 ,"$1,388.52 ","$1,023.98 ","$2,000.00 ",$450.85 ,$496.78 ,"$1,873.40 ","$1,851.36 ",$496.78 ,"$1,653.00 ","$1,763.20 ","$1,763.20 ",$496.78 ,"$1,763.20 ","$1,917.48 ","$1,917.48 ","$1,917.48 ","$1,983.60 ","$1,267.30 ",$496.78 ,"$2,204.00 ","$1,236.44 ",$496.78 ,$912.46 ,$146.49 ,$139.83 ,$521.62 ,"$1,873.40 ","$1,388.52 ",$617.12 ,"$1,983.60 ","$1,917.48 ","$1,763.20 ","$1,763.20 ",$496.78 ,"$1,432.60 " ST. FRANCIS HOSPITAL - ACUTE,35000047,70490,HC CT NECK SFT TISS W/O CONTRAST,350,1 ,"$2,649.00 ","$1,907.28 ",$139.83 ,"$2,649.00 ","$1,523.18 ","$1,907.28 ","$1,441.06 ",$597.08 ,$741.72 ,"$1,761.59 ",$597.08 ,"$1,854.30 ",$597.08 ,"$1,668.87 ","$1,668.87 ",$597.08 ,"$1,668.87 ","$1,230.73 ","$2,000.00 ",$267.20 ,$597.08 ,"$2,251.65 ","$2,225.16 ",$597.08 ,"$1,986.75 ","$2,119.20 ","$2,119.20 ",$597.08 ,"$2,119.20 ","$2,304.63 ","$2,304.63 ","$2,304.63 ","$2,384.10 ","$1,523.18 ",$597.08 ,"$2,649.00 ","$1,486.09 ",$597.08 ,"$1,096.69 ",$146.49 ,$139.83 ,$626.94 ,"$2,251.65 ","$1,668.87 ",$741.72 ,"$2,384.10 ","$2,304.63 ","$2,119.20 ","$2,119.20 ",$597.08 ,"$1,721.85 " ST. FRANCIS HOSPITAL - ACUTE,35000048,70491,HC CT NECK SFT TISS W/CONTRAST,350,1 ,"$3,208.00 ","$2,309.76 ",$139.83 ,"$3,208.00 ","$1,844.60 ","$2,309.76 ","$1,745.15 ",$723.08 ,$898.24 ,"$2,133.32 ",$723.08 ,"$2,245.60 ",$723.08 ,"$2,021.04 ","$2,021.04 ",$723.08 ,"$2,021.04 ","$1,490.44 ","$2,000.00 ",$450.85 ,$723.08 ,"$2,726.80 ","$2,694.72 ",$723.08 ,"$2,406.00 ","$2,566.40 ","$2,566.40 ",$723.08 ,"$2,566.40 ","$2,790.96 ","$2,790.96 ","$2,790.96 ","$2,887.20 ","$1,844.60 ",$723.08 ,"$3,208.00 ","$1,799.69 ",$723.08 ,"$1,328.11 ",$146.49 ,$139.83 ,$759.24 ,"$2,726.80 ","$2,021.04 ",$898.24 ,"$2,887.20 ","$2,790.96 ","$2,566.40 ","$2,566.40 ",$723.08 ,"$2,085.20 " ST. FRANCIS HOSPITAL - ACUTE,35000049,70492,HC CT NECK SFT TISS W AND WO CONTRAST,350,1 ,"$4,164.00 ","$2,998.08 ",$139.83 ,"$4,164.00 ","$2,394.30 ","$2,998.08 ","$2,265.22 ",$938.57 ,"$1,165.92 ","$2,769.06 ",$938.57 ,"$2,914.80 ",$938.57 ,"$2,623.32 ","$2,623.32 ",$938.57 ,"$2,623.32 ","$1,934.59 ","$2,000.00 ",$450.85 ,$938.57 ,"$3,539.40 ","$3,497.76 ",$938.57 ,"$3,123.00 ","$3,331.20 ","$3,331.20 ",$938.57 ,"$3,331.20 ","$3,622.68 ","$3,622.68 ","$3,622.68 ","$3,747.60 ","$2,394.30 ",$938.57 ,"$4,164.00 ","$2,336.00 ",$938.57 ,"$1,723.90 ",$146.49 ,$139.83 ,$985.50 ,"$3,539.40 ","$2,623.32 ","$1,165.92 ","$3,747.60 ","$3,622.68 ","$3,331.20 ","$3,331.20 ",$938.57 ,"$2,706.60 " ST. FRANCIS HOSPITAL - ACUTE,35000050,70496,HC CT ANGIO HEAD W/WO,350,1 ,"$3,097.00 ","$2,229.84 ",$368.56 ,"$3,097.00 ","$1,780.78 ","$2,229.84 ","$1,684.77 ",$698.06 ,$867.16 ,"$2,059.51 ",$698.06 ,"$2,167.90 ",$698.06 ,"$1,951.11 ","$1,951.11 ",$698.06 ,"$1,951.11 ","$1,438.87 ","$2,000.00 ",$450.85 ,$698.06 ,"$2,632.45 ","$2,601.48 ",$698.06 ,"$2,322.75 ","$2,477.60 ","$2,477.60 ",$698.06 ,"$2,477.60 ","$2,694.39 ","$2,694.39 ","$2,694.39 ","$2,787.30 ","$1,780.78 ",$698.06 ,"$3,097.00 ","$1,737.42 ",$698.06 ,"$1,282.16 ",$386.11 ,$368.56 ,$732.97 ,"$2,632.45 ","$1,951.11 ",$867.16 ,"$2,787.30 ","$2,694.39 ","$2,477.60 ","$2,477.60 ",$698.06 ,"$2,013.05 " ST. FRANCIS HOSPITAL - ACUTE,35000051,70498,HC CT ANGIO NECK W/WO CONTRAST,350,1 ,"$3,353.00 ","$2,414.16 ",$139.83 ,"$3,353.00 ","$1,927.98 ","$2,414.16 ","$1,824.03 ",$755.77 ,$938.84 ,"$2,229.75 ",$755.77 ,"$2,347.10 ",$755.77 ,"$2,112.39 ","$2,112.39 ",$755.77 ,"$2,112.39 ","$1,557.80 ","$2,000.00 ",$450.85 ,$755.77 ,"$2,850.05 ","$2,816.52 ",$755.77 ,"$2,514.75 ","$2,682.40 ","$2,682.40 ",$755.77 ,"$2,682.40 ","$2,917.11 ","$2,917.11 ","$2,917.11 ","$3,017.70 ","$1,927.98 ",$755.77 ,"$3,353.00 ","$1,881.03 ",$755.77 ,"$1,388.14 ",$146.49 ,$139.83 ,$793.55 ,"$2,850.05 ","$2,112.39 ",$938.84 ,"$3,017.70 ","$2,917.11 ","$2,682.40 ","$2,682.40 ",$755.77 ,"$2,179.45 " ST. FRANCIS HOSPITAL - ACUTE,35000052,70540,HC MRI ORBIT/FACE/NECK W/O CON,610,1 ,"$3,961.00 ","$2,851.92 ",$348.86 ,"$3,961.00 ","$2,277.58 ","$2,851.92 ","$2,154.78 ",$892.81 ,"$1,109.08 ","$2,634.07 ",$892.81 ,"$2,772.70 ",$892.81 ,"$2,495.43 ","$2,495.43 ",$892.81 ,"$2,495.43 ","$1,840.28 ","$2,500.00 ",$583.80 ,$892.81 ,"$3,366.85 ","$3,327.24 ",$892.81 ,"$2,970.75 ","$3,168.80 ","$3,168.80 ",$892.81 ,"$3,168.80 ","$3,446.07 ","$3,446.07 ","$3,446.07 ","$3,564.90 ","$2,277.58 ",$892.81 ,"$3,961.00 ","$2,222.12 ",$892.81 ,"$1,639.85 ",$365.48 ,$348.86 ,$937.45 ,"$3,366.85 ","$2,495.43 ","$1,109.08 ","$3,564.90 ","$3,446.07 ","$3,168.80 ","$3,168.80 ",$892.81 ,"$2,574.65 " ST. FRANCIS HOSPITAL - ACUTE,35000053,72125,HC CT C-SPINE W/O CONTRAST,350,1 ,"$2,919.00 ","$2,101.68 ",$158.72 ,"$2,919.00 ","$1,678.43 ","$2,101.68 ","$1,587.94 ",$657.94 ,$817.32 ,"$1,941.14 ",$657.94 ,"$2,043.30 ",$657.94 ,"$1,838.97 ","$1,838.97 ",$657.94 ,"$1,838.97 ","$1,356.17 ","$2,000.00 ",$267.20 ,$657.94 ,"$2,481.15 ","$2,451.96 ",$657.94 ,"$2,189.25 ","$2,335.20 ","$2,335.20 ",$657.94 ,"$2,335.20 ","$2,539.53 ","$2,539.53 ","$2,539.53 ","$2,627.10 ","$1,678.43 ",$657.94 ,"$2,919.00 ","$1,637.56 ",$657.94 ,"$1,208.47 ",$166.28 ,$158.72 ,$690.84 ,"$2,481.15 ","$1,838.97 ",$817.32 ,"$2,627.10 ","$2,539.53 ","$2,335.20 ","$2,335.20 ",$657.94 ,"$1,897.35 " ST. FRANCIS HOSPITAL - ACUTE,35000055,72126,HC CT C-SPINE W/CONTRAST,350,1 ,"$3,593.00 ","$2,586.96 ",$158.72 ,"$3,593.00 ","$2,065.98 ","$2,586.96 ","$1,954.59 ",$809.86 ,"$1,006.04 ","$2,389.35 ",$809.86 ,"$2,515.10 ",$809.86 ,"$2,263.59 ","$2,263.59 ",$809.86 ,"$2,263.59 ","$1,669.31 ","$2,000.00 ",$921.08 ,$809.86 ,"$3,054.05 ","$3,018.12 ",$809.86 ,"$2,694.75 ","$2,874.40 ","$2,874.40 ",$809.86 ,"$2,874.40 ","$3,125.91 ","$3,125.91 ","$3,125.91 ","$3,233.70 ","$2,065.98 ",$809.86 ,"$3,593.00 ","$2,015.67 ",$809.86 ,"$1,487.50 ",$166.28 ,$158.72 ,$850.36 ,"$3,054.05 ","$2,263.59 ","$1,006.04 ","$3,233.70 ","$3,125.91 ","$2,874.40 ","$2,874.40 ",$809.86 ,"$2,335.45 " ST. FRANCIS HOSPITAL - ACUTE,35000056,72127,HC CT C-SPINE W AND W/O CONTRAST,350,1 ,"$3,820.00 ","$2,750.40 ",$158.72 ,"$3,820.00 ","$2,196.50 ","$2,750.40 ","$2,078.08 ",$861.03 ,"$1,069.60 ","$2,540.30 ",$861.03 ,"$2,674.00 ",$861.03 ,"$2,406.60 ","$2,406.60 ",$861.03 ,"$2,406.60 ","$1,774.77 ","$2,000.00 ",$450.85 ,$861.03 ,"$3,247.00 ","$3,208.80 ",$861.03 ,"$2,865.00 ","$3,056.00 ","$3,056.00 ",$861.03 ,"$3,056.00 ","$3,323.40 ","$3,323.40 ","$3,323.40 ","$3,438.00 ","$2,196.50 ",$861.03 ,"$3,820.00 ","$2,143.02 ",$861.03 ,"$1,581.48 ",$166.28 ,$158.72 ,$904.08 ,"$3,247.00 ","$2,406.60 ","$1,069.60 ","$3,438.00 ","$3,323.40 ","$3,056.00 ","$3,056.00 ",$861.03 ,"$2,483.00 " ST. FRANCIS HOSPITAL - ACUTE,35000057,72128,HC CT T-SPINE W/O CONTRAST,350,1 ,"$2,110.00 ","$1,519.20 ",$158.72 ,"$2,110.00 ","$1,213.25 ","$1,519.20 ","$1,147.84 ",$475.59 ,$590.80 ,"$1,403.15 ",$475.59 ,"$1,477.00 ",$475.59 ,"$1,329.30 ","$1,329.30 ",$475.59 ,"$1,329.30 ",$980.31 ,"$2,000.00 ",$267.20 ,$475.59 ,"$1,793.50 ","$1,772.40 ",$475.59 ,"$1,582.50 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,688.00 ","$1,835.70 ","$1,835.70 ","$1,835.70 ","$1,899.00 ","$1,213.25 ",$475.59 ,"$2,110.00 ","$1,183.71 ",$475.59 ,$873.54 ,$166.28 ,$158.72 ,$499.38 ,"$1,793.50 ","$1,329.30 ",$590.80 ,"$1,899.00 ","$1,835.70 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,371.50 " ST. FRANCIS HOSPITAL - ACUTE,35000059,72129,HC CT T-SPINE W/CONTRAST,350,1 ,"$2,891.00 ","$2,081.52 ",$158.72 ,"$2,891.00 ","$1,662.33 ","$2,081.52 ","$1,572.70 ",$651.63 ,$809.48 ,"$1,922.52 ",$651.63 ,"$2,023.70 ",$651.63 ,"$1,821.33 ","$1,821.33 ",$651.63 ,"$1,821.33 ","$1,343.16 ","$2,000.00 ",$450.85 ,$651.63 ,"$2,457.35 ","$2,428.44 ",$651.63 ,"$2,168.25 ","$2,312.80 ","$2,312.80 ",$651.63 ,"$2,312.80 ","$2,515.17 ","$2,515.17 ","$2,515.17 ","$2,601.90 ","$1,662.33 ",$651.63 ,"$2,891.00 ","$1,621.85 ",$651.63 ,"$1,196.87 ",$166.28 ,$158.72 ,$684.22 ,"$2,457.35 ","$1,821.33 ",$809.48 ,"$2,601.90 ","$2,515.17 ","$2,312.80 ","$2,312.80 ",$651.63 ,"$1,879.15 " ST. FRANCIS HOSPITAL - ACUTE,35000060,72130,HC CT T-SPINE W AND W/O CONTRAST,350,1 ,"$3,313.00 ","$2,385.36 ",$158.72 ,"$3,313.00 ","$1,904.98 ","$2,385.36 ","$1,802.27 ",$746.75 ,$927.64 ,"$2,203.15 ",$746.75 ,"$2,319.10 ",$746.75 ,"$2,087.19 ","$2,087.19 ",$746.75 ,"$2,087.19 ","$1,539.22 ","$2,000.00 ",$450.85 ,$746.75 ,"$2,816.05 ","$2,782.92 ",$746.75 ,"$2,484.75 ","$2,650.40 ","$2,650.40 ",$746.75 ,"$2,650.40 ","$2,882.31 ","$2,882.31 ","$2,882.31 ","$2,981.70 ","$1,904.98 ",$746.75 ,"$3,313.00 ","$1,858.59 ",$746.75 ,"$1,371.58 ",$166.28 ,$158.72 ,$784.09 ,"$2,816.05 ","$2,087.19 ",$927.64 ,"$2,981.70 ","$2,882.31 ","$2,650.40 ","$2,650.40 ",$746.75 ,"$2,153.45 " ST. FRANCIS HOSPITAL - ACUTE,35000061,72131,HC CT L-SPINE W/O CONTRAST,350,1 ,"$2,110.00 ","$1,519.20 ",$158.72 ,"$2,110.00 ","$1,213.25 ","$1,519.20 ","$1,147.84 ",$475.59 ,$590.80 ,"$1,403.15 ",$475.59 ,"$1,477.00 ",$475.59 ,"$1,329.30 ","$1,329.30 ",$475.59 ,"$1,329.30 ",$980.31 ,"$2,000.00 ",$267.20 ,$475.59 ,"$1,793.50 ","$1,772.40 ",$475.59 ,"$1,582.50 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,688.00 ","$1,835.70 ","$1,835.70 ","$1,835.70 ","$1,899.00 ","$1,213.25 ",$475.59 ,"$2,110.00 ","$1,183.71 ",$475.59 ,$873.54 ,$166.28 ,$158.72 ,$499.38 ,"$1,793.50 ","$1,329.30 ",$590.80 ,"$1,899.00 ","$1,835.70 ","$1,688.00 ","$1,688.00 ",$475.59 ,"$1,371.50 " ST. FRANCIS HOSPITAL - ACUTE,35000062,72132,HC CT L-SPINE W/CONTRAST,350,1 ,"$2,235.00 ","$1,609.20 ",$158.72 ,"$2,235.00 ","$1,285.13 ","$1,609.20 ","$1,215.84 ",$503.77 ,$625.80 ,"$1,486.28 ",$503.77 ,"$1,564.50 ",$503.77 ,"$1,408.05 ","$1,408.05 ",$503.77 ,"$1,408.05 ","$1,038.38 ","$2,000.00 ",$921.08 ,$503.77 ,"$1,899.75 ","$1,877.40 ",$503.77 ,"$1,676.25 ","$1,788.00 ","$1,788.00 ",$503.77 ,"$1,788.00 ","$1,944.45 ","$1,944.45 ","$1,944.45 ","$2,011.50 ","$1,285.13 ",$503.77 ,"$2,235.00 ","$1,253.84 ",$503.77 ,$925.29 ,$166.28 ,$158.72 ,$528.95 ,"$1,899.75 ","$1,408.05 ",$625.80 ,"$2,011.50 ","$1,944.45 ","$1,788.00 ","$1,788.00 ",$503.77 ,"$1,452.75 " ST. FRANCIS HOSPITAL - ACUTE,35000063,72133,HC CT L-SPINE W AND W/O CONTRAST,350,1 ,"$2,435.00 ","$1,753.20 ",$158.72 ,"$2,435.00 ","$1,400.13 ","$1,753.20 ","$1,324.64 ",$548.85 ,$681.80 ,"$1,619.28 ",$548.85 ,"$1,704.50 ",$548.85 ,"$1,534.05 ","$1,534.05 ",$548.85 ,"$1,534.05 ","$1,131.30 ","$2,000.00 ",$450.85 ,$548.85 ,"$2,069.75 ","$2,045.40 ",$548.85 ,"$1,826.25 ","$1,948.00 ","$1,948.00 ",$548.85 ,"$1,948.00 ","$2,118.45 ","$2,118.45 ","$2,118.45 ","$2,191.50 ","$1,400.13 ",$548.85 ,"$2,435.00 ","$1,366.04 ",$548.85 ,"$1,008.09 ",$166.28 ,$158.72 ,$576.29 ,"$2,069.75 ","$1,534.05 ",$681.80 ,"$2,191.50 ","$2,118.45 ","$1,948.00 ","$1,948.00 ",$548.85 ,"$1,582.75 " ST. FRANCIS HOSPITAL - ACUTE,35000064,72191,HC CTA PELVIS W AND W/O CONTRAST,350,1 ,"$3,299.00 ","$2,375.28 ",$316.01 ,"$3,299.00 ","$1,896.93 ","$2,375.28 ","$1,794.66 ",$743.59 ,$923.72 ,"$2,193.84 ",$743.59 ,"$2,309.30 ",$743.59 ,"$2,078.37 ","$2,078.37 ",$743.59 ,"$2,078.37 ","$1,532.72 ","$2,000.00 ",$450.85 ,$743.59 ,"$2,804.15 ","$2,771.16 ",$743.59 ,"$2,474.25 ","$2,639.20 ","$2,639.20 ",$743.59 ,"$2,639.20 ","$2,870.13 ","$2,870.13 ","$2,870.13 ","$2,969.10 ","$1,896.93 ",$743.59 ,"$3,299.00 ","$1,850.74 ",$743.59 ,"$1,365.79 ",$331.06 ,$316.01 ,$780.78 ,"$2,804.15 ","$2,078.37 ",$923.72 ,"$2,969.10 ","$2,870.13 ","$2,639.20 ","$2,639.20 ",$743.59 ,"$2,144.35 " ST. FRANCIS HOSPITAL - ACUTE,35000065,72192,HC CT PELVIS W/O CONTRAST,350,1 ,"$2,479.00 ","$1,784.88 ",$267.20 ,"$2,479.00 ","$1,425.43 ","$1,784.88 ","$1,348.58 ",$558.77 ,$694.12 ,"$1,648.54 ",$558.77 ,"$1,735.30 ",$558.77 ,"$1,561.77 ","$1,561.77 ",$558.77 ,"$1,561.77 ","$1,151.74 ","$2,000.00 ",$267.20 ,$558.77 ,"$2,107.15 ","$2,082.36 ",$558.77 ,"$1,859.25 ","$1,983.20 ","$1,983.20 ",$558.77 ,"$1,983.20 ","$2,156.73 ","$2,156.73 ","$2,156.73 ","$2,231.10 ","$1,425.43 ",$558.77 ,"$2,479.00 ","$1,390.72 ",$558.77 ,"$1,026.31 ",$331.38 ,$316.31 ,$586.71 ,"$2,107.15 ","$1,561.77 ",$694.12 ,"$2,231.10 ","$2,156.73 ","$1,983.20 ","$1,983.20 ",$558.77 ,"$1,611.35 " ST. FRANCIS HOSPITAL - ACUTE,35000066,72193,HC CT PELVIS W/CONTRAST,350,1 ,"$2,706.00 ","$1,948.32 ",$316.31 ,"$2,706.00 ","$1,555.95 ","$1,948.32 ","$1,472.06 ",$609.93 ,$757.68 ,"$1,799.49 ",$609.93 ,"$1,894.20 ",$609.93 ,"$1,704.78 ","$1,704.78 ",$609.93 ,"$1,704.78 ","$1,257.21 ","$2,000.00 ",$450.85 ,$609.93 ,"$2,300.10 ","$2,273.04 ",$609.93 ,"$2,029.50 ","$2,164.80 ","$2,164.80 ",$609.93 ,"$2,164.80 ","$2,354.22 ","$2,354.22 ","$2,354.22 ","$2,435.40 ","$1,555.95 ",$609.93 ,"$2,706.00 ","$1,518.07 ",$609.93 ,"$1,120.28 ",$331.38 ,$316.31 ,$640.43 ,"$2,300.10 ","$1,704.78 ",$757.68 ,"$2,435.40 ","$2,354.22 ","$2,164.80 ","$2,164.80 ",$609.93 ,"$1,758.90 " ST. FRANCIS HOSPITAL - ACUTE,35000067,72194,HC CT PELVIS W AND W/O CONTRAST,350,1 ,"$3,204.00 ","$2,306.88 ",$316.31 ,"$3,204.00 ","$1,842.30 ","$2,306.88 ","$1,742.98 ",$722.18 ,$897.12 ,"$2,130.66 ",$722.18 ,"$2,242.80 ",$722.18 ,"$2,018.52 ","$2,018.52 ",$722.18 ,"$2,018.52 ","$1,488.58 ","$2,000.00 ",$450.85 ,$722.18 ,"$2,723.40 ","$2,691.36 ",$722.18 ,"$2,403.00 ","$2,563.20 ","$2,563.20 ",$722.18 ,"$2,563.20 ","$2,787.48 ","$2,787.48 ","$2,787.48 ","$2,883.60 ","$1,842.30 ",$722.18 ,"$3,204.00 ","$1,797.44 ",$722.18 ,"$1,326.46 ",$331.38 ,$316.31 ,$758.29 ,"$2,723.40 ","$2,018.52 ",$897.12 ,"$2,883.60 ","$2,787.48 ","$2,563.20 ","$2,563.20 ",$722.18 ,"$2,082.60 " ST. FRANCIS HOSPITAL - ACUTE,35000069,73200,HC CT UPPER EXTRM WO CONT,350,1 ,"$2,175.00 ","$1,566.00 ",$139.83 ,"$2,175.00 ","$1,250.63 ","$1,566.00 ","$1,183.20 ",$490.24 ,$609.00 ,"$1,446.38 ",$490.24 ,"$1,522.50 ",$490.24 ,"$1,370.25 ","$1,370.25 ",$490.24 ,"$1,370.25 ","$1,010.51 ","$2,000.00 ",$267.20 ,$490.24 ,"$1,848.75 ","$1,827.00 ",$490.24 ,"$1,631.25 ","$1,740.00 ","$1,740.00 ",$490.24 ,"$1,740.00 ","$1,892.25 ","$1,892.25 ","$1,892.25 ","$1,957.50 ","$1,250.63 ",$490.24 ,"$2,175.00 ","$1,220.18 ",$490.24 ,$900.45 ,$146.49 ,$139.83 ,$514.75 ,"$1,848.75 ","$1,370.25 ",$609.00 ,"$1,957.50 ","$1,892.25 ","$1,740.00 ","$1,740.00 ",$490.24 ,"$1,413.75 " ST. FRANCIS HOSPITAL - ACUTE,35000071,73201,HC CT UPPER EXTRM W CONT,350,1 ,"$3,051.00 ","$2,196.72 ",$139.83 ,"$3,051.00 ","$1,754.33 ","$2,196.72 ","$1,659.74 ",$687.70 ,$854.28 ,"$2,028.92 ",$687.70 ,"$2,135.70 ",$687.70 ,"$1,922.13 ","$1,922.13 ",$687.70 ,"$1,922.13 ","$1,417.49 ","$2,000.00 ",$921.08 ,$687.70 ,"$2,593.35 ","$2,562.84 ",$687.70 ,"$2,288.25 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$2,440.80 ","$2,654.37 ","$2,654.37 ","$2,654.37 ","$2,745.90 ","$1,754.33 ",$687.70 ,"$3,051.00 ","$1,711.61 ",$687.70 ,"$1,263.11 ",$146.49 ,$139.83 ,$722.08 ,"$2,593.35 ","$1,922.13 ",$854.28 ,"$2,745.90 ","$2,654.37 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$1,983.15 " ST. FRANCIS HOSPITAL - ACUTE,35000072,73202,HC CT UPPER EXTR W/WO CONTR,350,1 ,"$3,051.00 ","$2,196.72 ",$139.83 ,"$3,051.00 ","$1,754.33 ","$2,196.72 ","$1,659.74 ",$687.70 ,$854.28 ,"$2,028.92 ",$687.70 ,"$2,135.70 ",$687.70 ,"$1,922.13 ","$1,922.13 ",$687.70 ,"$1,922.13 ","$1,417.49 ","$2,000.00 ",$450.85 ,$687.70 ,"$2,593.35 ","$2,562.84 ",$687.70 ,"$2,288.25 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$2,440.80 ","$2,654.37 ","$2,654.37 ","$2,654.37 ","$2,745.90 ","$1,754.33 ",$687.70 ,"$3,051.00 ","$1,711.61 ",$687.70 ,"$1,263.11 ",$146.49 ,$139.83 ,$722.08 ,"$2,593.35 ","$1,922.13 ",$854.28 ,"$2,745.90 ","$2,654.37 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$1,983.15 " ST. FRANCIS HOSPITAL - ACUTE,35000073,73206,HC CT ANGIO UPPER EXTREM W/WO CONT,350,1 ,"$3,051.00 ","$2,196.72 ",$316.01 ,"$3,051.00 ","$1,754.33 ","$2,196.72 ","$1,659.74 ",$687.70 ,$854.28 ,"$2,028.92 ",$687.70 ,"$2,135.70 ",$687.70 ,"$1,922.13 ","$1,922.13 ",$687.70 ,"$1,922.13 ","$1,417.49 ","$2,000.00 ",$450.85 ,$687.70 ,"$2,593.35 ","$2,562.84 ",$687.70 ,"$2,288.25 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$2,440.80 ","$2,654.37 ","$2,654.37 ","$2,654.37 ","$2,745.90 ","$1,754.33 ",$687.70 ,"$3,051.00 ","$1,711.61 ",$687.70 ,"$1,263.11 ",$331.06 ,$316.01 ,$722.08 ,"$2,593.35 ","$1,922.13 ",$854.28 ,"$2,745.90 ","$2,654.37 ","$2,440.80 ","$2,440.80 ",$687.70 ,"$1,983.15 " ST. FRANCIS HOSPITAL - ACUTE,35000074,73700,HC CT LOWER EXTRM WO CONT,350,1 ,"$2,364.00 ","$1,702.08 ",$139.83 ,"$2,364.00 ","$1,359.30 ","$1,702.08 ","$1,286.02 ",$532.85 ,$661.92 ,"$1,572.06 ",$532.85 ,"$1,654.80 ",$532.85 ,"$1,489.32 ","$1,489.32 ",$532.85 ,"$1,489.32 ","$1,098.31 ","$2,000.00 ",$267.20 ,$532.85 ,"$2,009.40 ","$1,985.76 ",$532.85 ,"$1,773.00 ","$1,891.20 ","$1,891.20 ",$532.85 ,"$1,891.20 ","$2,056.68 ","$2,056.68 ","$2,056.68 ","$2,127.60 ","$1,359.30 ",$532.85 ,"$2,364.00 ","$1,326.20 ",$532.85 ,$978.70 ,$146.49 ,$139.83 ,$559.49 ,"$2,009.40 ","$1,489.32 ",$661.92 ,"$2,127.60 ","$2,056.68 ","$1,891.20 ","$1,891.20 ",$532.85 ,"$1,536.60 " ST. FRANCIS HOSPITAL - ACUTE,35000075,73701,HC CT LOWER EXTREMITY W/CON,350,1 ,"$2,709.00 ","$1,950.48 ",$139.83 ,"$2,709.00 ","$1,557.68 ","$1,950.48 ","$1,473.70 ",$610.61 ,$758.52 ,"$1,801.49 ",$610.61 ,"$1,896.30 ",$610.61 ,"$1,706.67 ","$1,706.67 ",$610.61 ,"$1,706.67 ","$1,258.60 ","$2,000.00 ",$450.85 ,$610.61 ,"$2,302.65 ","$2,275.56 ",$610.61 ,"$2,031.75 ","$2,167.20 ","$2,167.20 ",$610.61 ,"$2,167.20 ","$2,356.83 ","$2,356.83 ","$2,356.83 ","$2,438.10 ","$1,557.68 ",$610.61 ,"$2,709.00 ","$1,519.75 ",$610.61 ,"$1,121.53 ",$146.49 ,$139.83 ,$641.14 ,"$2,302.65 ","$1,706.67 ",$758.52 ,"$2,438.10 ","$2,356.83 ","$2,167.20 ","$2,167.20 ",$610.61 ,"$1,760.85 " ST. FRANCIS HOSPITAL - ACUTE,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$2,039.00 ","$1,468.08 ",$316.01 ,"$2,039.00 ","$1,172.43 ","$1,468.08 ","$1,109.22 ",$459.59 ,$570.92 ,"$1,355.94 ",$459.59 ,"$1,427.30 ",$459.59 ,"$1,284.57 ","$1,284.57 ",$459.59 ,"$1,284.57 ",$947.32 ,"$2,000.00 ",$450.85 ,$459.59 ,"$1,733.15 ","$1,712.76 ",$459.59 ,"$1,529.25 ","$1,631.20 ","$1,631.20 ",$459.59 ,"$1,631.20 ","$1,773.93 ","$1,773.93 ","$1,773.93 ","$1,835.10 ","$1,172.43 ",$459.59 ,"$2,039.00 ","$1,143.88 ",$459.59 ,$844.15 ,$331.06 ,$316.01 ,$482.57 ,"$1,733.15 ","$1,284.57 ",$570.92 ,"$1,835.10 ","$1,773.93 ","$1,631.20 ","$1,631.20 ",$459.59 ,"$1,325.35 " ST. FRANCIS HOSPITAL - ACUTE,35000078,73706,HC CT ANGIO LOWER EXTREM W/WO CONTR,350,1 ,"$2,239.00 ","$1,612.08 ",$474.01 ,"$2,239.00 ","$1,287.43 ","$1,612.08 ","$1,218.02 ",$504.67 ,$626.92 ,"$1,488.94 ",$504.67 ,"$1,567.30 ",$504.67 ,"$1,410.57 ","$1,410.57 ",$504.67 ,"$1,410.57 ","$1,040.24 ","$2,000.00 ","$1,085.40 ",$504.67 ,"$1,903.15 ","$1,880.76 ",$504.67 ,"$1,679.25 ","$1,791.20 ","$1,791.20 ",$504.67 ,"$1,791.20 ","$1,947.93 ","$1,947.93 ","$1,947.93 ","$2,015.10 ","$1,287.43 ",$504.67 ,"$2,239.00 ","$1,256.08 ",$504.67 ,$926.95 ,$496.58 ,$474.01 ,$529.91 ,"$1,903.15 ","$1,410.57 ",$626.92 ,"$2,015.10 ","$1,947.93 ","$1,791.20 ","$1,791.20 ",$504.67 ,"$1,455.35 " ST. FRANCIS HOSPITAL - ACUTE,35000079,74150,HC CT ABD W/O CONTRAST,350,1 ,"$2,393.00 ","$1,722.96 ",$267.20 ,"$2,393.00 ","$1,375.98 ","$1,722.96 ","$1,301.79 ",$539.38 ,$670.04 ,"$1,591.35 ",$539.38 ,"$1,675.10 ",$539.38 ,"$1,507.59 ","$1,507.59 ",$539.38 ,"$1,507.59 ","$1,111.79 ",$800.00 ,$267.20 ,$539.38 ,"$2,034.05 ","$2,010.12 ",$539.38 ,"$1,794.75 ","$1,914.40 ","$1,914.40 ",$539.38 ,"$1,914.40 ","$2,081.91 ","$2,081.91 ","$2,081.91 ","$2,153.70 ","$1,375.98 ",$539.38 ,"$2,393.00 ","$1,342.47 ",$539.38 ,$990.70 ,$331.38 ,$316.31 ,$566.35 ,"$2,034.05 ","$1,507.59 ",$670.04 ,"$2,153.70 ","$2,081.91 ","$1,914.40 ","$1,914.40 ",$539.38 ,"$1,555.45 " ST. FRANCIS HOSPITAL - ACUTE,35000080,74160,HC CT ABDOMEN W/CONTRAST,350,1 ,"$3,227.00 ","$2,323.44 ",$316.31 ,"$3,227.00 ","$1,855.53 ","$2,323.44 ","$1,755.49 ",$727.37 ,$903.56 ,"$2,145.96 ",$727.37 ,"$2,258.90 ",$727.37 ,"$2,033.01 ","$2,033.01 ",$727.37 ,"$2,033.01 ","$1,499.26 ","$2,000.00 ",$450.85 ,$727.37 ,"$2,742.95 ","$2,710.68 ",$727.37 ,"$2,420.25 ","$2,581.60 ","$2,581.60 ",$727.37 ,"$2,581.60 ","$2,807.49 ","$2,807.49 ","$2,807.49 ","$2,904.30 ","$1,855.53 ",$727.37 ,"$3,227.00 ","$1,810.35 ",$727.37 ,"$1,335.98 ",$331.38 ,$316.31 ,$763.73 ,"$2,742.95 ","$2,033.01 ",$903.56 ,"$2,904.30 ","$2,807.49 ","$2,581.60 ","$2,581.60 ",$727.37 ,"$2,097.55 " ST. FRANCIS HOSPITAL - ACUTE,35000081,74170,HC CT ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,528.00 ","$2,540.16 ",$316.31 ,"$3,528.00 ","$2,028.60 ","$2,540.16 ","$1,919.23 ",$795.21 ,$987.84 ,"$2,346.12 ",$795.21 ,"$2,469.60 ",$795.21 ,"$2,222.64 ","$2,222.64 ",$795.21 ,"$2,222.64 ","$1,639.11 ","$2,000.00 ",$450.85 ,$795.21 ,"$2,998.80 ","$2,963.52 ",$795.21 ,"$2,646.00 ","$2,822.40 ","$2,822.40 ",$795.21 ,"$2,822.40 ","$3,069.36 ","$3,069.36 ","$3,069.36 ","$3,175.20 ","$2,028.60 ",$795.21 ,"$3,528.00 ","$1,979.21 ",$795.21 ,"$1,460.59 ",$331.38 ,$316.31 ,$834.97 ,"$2,998.80 ","$2,222.64 ",$987.84 ,"$3,175.20 ","$3,069.36 ","$2,822.40 ","$2,822.40 ",$795.21 ,"$2,293.20 " ST. FRANCIS HOSPITAL - ACUTE,35000082,74175,HC CTA ABDOMEN W AND W/O CONTRAST,350,1 ,"$3,499.00 ","$2,519.28 ",$316.01 ,"$3,499.00 ","$2,011.93 ","$2,519.28 ","$1,903.46 ",$788.67 ,$979.72 ,"$2,326.84 ",$788.67 ,"$2,449.30 ",$788.67 ,"$2,204.37 ","$2,204.37 ",$788.67 ,"$2,204.37 ","$1,625.64 ","$2,000.00 ",$450.85 ,$788.67 ,"$2,974.15 ","$2,939.16 ",$788.67 ,"$2,624.25 ","$2,799.20 ","$2,799.20 ",$788.67 ,"$2,799.20 ","$3,044.13 ","$3,044.13 ","$3,044.13 ","$3,149.10 ","$2,011.93 ",$788.67 ,"$3,499.00 ","$1,962.94 ",$788.67 ,"$1,448.59 ",$331.06 ,$316.01 ,$828.11 ,"$2,974.15 ","$2,204.37 ",$979.72 ,"$3,149.10 ","$3,044.13 ","$2,799.20 ","$2,799.20 ",$788.67 ,"$2,274.35 " ST. FRANCIS HOSPITAL - ACUTE,35000083,74176,HC CT ABDOMEN/PELVIS W/O CONTRAST,350,1 ,"$4,871.00 ","$3,507.12 ",$316.31 ,"$4,871.00 ","$2,800.83 ","$3,507.12 ","$2,649.82 ","$1,097.92 ","$1,363.88 ","$2,545.35 ","$1,097.92 ","$2,668.51 ","$1,097.92 ","$3,068.73 ","$3,068.73 ","$1,097.92 ","$3,068.73 ","$2,263.07 ","$2,000.00 ",$583.80 ,"$1,097.92 ","$4,140.35 ","$4,091.64 ","$1,097.92 ","$3,653.25 ","$3,896.80 ","$3,896.80 ","$1,097.92 ","$3,896.80 ","$4,237.77 ","$4,237.77 ","$4,237.77 ","$4,383.90 ","$2,800.83 ","$1,097.92 ","$4,871.00 ","$2,732.63 ","$1,097.92 ","$2,016.59 ",$331.38 ,$316.31 ,"$1,152.82 ","$4,140.35 ","$3,068.73 ","$1,363.88 ","$4,383.90 ","$4,237.77 ","$3,896.80 ","$3,896.80 ","$1,097.92 ","$3,166.15 " ST. FRANCIS HOSPITAL - ACUTE,35000084,74177,HC CT ABDOMEN/PELVIS W/CONTRAST,350,1 ,"$5,932.00 ","$4,271.04 ",$316.31 ,"$5,932.00 ","$3,410.90 ","$4,271.04 ","$3,227.01 ","$1,337.07 ","$1,660.96 ","$3,944.78 ","$1,337.07 ","$4,152.40 ","$1,337.07 ","$3,737.16 ","$3,737.16 ","$1,337.07 ","$3,737.16 ","$2,756.01 ","$2,000.00 ",$921.08 ,"$1,337.07 ","$5,042.20 ","$4,982.88 ","$1,337.07 ","$4,449.00 ","$4,745.60 ","$4,745.60 ","$1,337.07 ","$4,745.60 ","$5,160.84 ","$5,160.84 ","$5,160.84 ","$5,338.80 ","$3,410.90 ","$1,337.07 ","$5,932.00 ","$3,327.85 ","$1,337.07 ","$2,455.85 ",$331.38 ,$316.31 ,"$1,403.93 ","$5,042.20 ","$3,737.16 ","$1,660.96 ","$5,338.80 ","$5,160.84 ","$4,745.60 ","$4,745.60 ","$1,337.07 ","$3,855.80 " ST. FRANCIS HOSPITAL - ACUTE,35000085,74178,HC CT ABDOMEN/PELVIS W AND W/O CONTR,350,1 ,"$6,301.00 ","$4,536.72 ",$316.31 ,"$6,301.00 ","$3,623.08 ","$4,536.72 ","$3,427.74 ","$1,420.25 ","$1,764.28 ","$4,190.17 ","$1,420.25 ","$4,410.70 ","$1,420.25 ","$3,969.63 ","$3,969.63 ","$1,420.25 ","$3,969.63 ","$2,927.44 ","$2,000.00 ",$921.08 ,"$1,420.25 ","$5,355.85 ","$5,292.84 ","$1,420.25 ","$4,725.75 ","$5,040.80 ","$5,040.80 ","$1,420.25 ","$5,040.80 ","$5,481.87 ","$5,481.87 ","$5,481.87 ","$5,670.90 ","$3,623.08 ","$1,420.25 ","$6,301.00 ","$3,534.86 ","$1,420.25 ","$2,608.61 ",$331.38 ,$316.31 ,"$1,491.26 ","$5,355.85 ","$3,969.63 ","$1,764.28 ","$5,670.90 ","$5,481.87 ","$5,040.80 ","$5,040.80 ","$1,420.25 ","$4,095.65 " ST. FRANCIS HOSPITAL - ACUTE,35000098,75635,HC CTA ABDOMEN AORTA ILIOFEM RUNOFF,350,1 ,"$3,856.00 ","$2,776.32 ",$316.01 ,"$3,856.00 ","$2,217.20 ","$2,776.32 ","$2,097.66 ",$869.14 ,"$1,079.68 ","$2,564.24 ",$869.14 ,"$2,699.20 ",$869.14 ,"$2,429.28 ","$2,429.28 ",$869.14 ,"$2,429.28 ","$1,791.50 ","$2,000.00 ",$450.85 ,$869.14 ,"$3,277.60 ","$3,239.04 ",$869.14 ,"$2,892.00 ","$3,084.80 ","$3,084.80 ",$869.14 ,"$3,084.80 ","$3,354.72 ","$3,354.72 ","$3,354.72 ","$3,470.40 ","$2,217.20 ",$869.14 ,"$3,856.00 ","$2,163.22 ",$869.14 ,"$1,596.38 ",$331.06 ,$316.01 ,$912.60 ,"$3,277.60 ","$2,429.28 ","$1,079.68 ","$3,470.40 ","$3,354.72 ","$3,084.80 ","$3,084.80 ",$869.14 ,"$2,506.40 " ST. FRANCIS HOSPITAL - ACUTE,35000099,76376,HC 3D RENDER CT NOT REQUIRE INDEP,350,1 ,"$1,162.00 ",$836.64 ,$261.91 ,"$1,162.00 ",$668.15 ,$836.64 ,$632.13 ,$261.91 ,$325.36 ,$308.26 ,$261.91 ,$323.18 ,$261.91 ,$732.06 ,$732.06 ,$261.91 ,$732.06 ,$539.87 ,$800.00 , N/A ,$261.91 ,$987.70 ,$976.08 ,$261.91 ,$871.50 ,$929.60 ,$929.60 ,$261.91 ,$929.60 ,"$1,010.94 ","$1,010.94 ","$1,010.94 ","$1,045.80 ",$668.15 ,$261.91 ,"$1,162.00 ",$651.88 ,$261.91 ,$481.07 , N/A , N/A ,$275.01 ,$987.70 ,$732.06 ,$325.36 ,"$1,045.80 ","$1,010.94 ",$929.60 ,$929.60 ,$261.91 ,$755.30 ST. FRANCIS HOSPITAL - ACUTE,35000100,76377,HC 3D RENDER CT REQUIRES INDEPENDENT,350,1 ,$605.00 ,$435.60 ,$136.37 ,$605.00 ,$347.88 ,$435.60 ,$329.12 ,$136.37 ,$169.40 ,$402.33 ,$136.37 ,$423.50 ,$136.37 ,$381.15 ,$381.15 ,$136.37 ,$381.15 ,$281.08 ,$556.60 , N/A ,$136.37 ,$514.25 ,$508.20 ,$136.37 ,$453.75 ,$484.00 ,$484.00 ,$136.37 ,$484.00 ,$526.35 ,$526.35 ,$526.35 ,$544.50 ,$347.88 ,$136.37 ,$605.00 ,$339.41 ,$136.37 ,$250.47 , N/A , N/A ,$143.19 ,$514.25 ,$381.15 ,$169.40 ,$544.50 ,$526.35 ,$484.00 ,$484.00 ,$136.37 ,$393.25 ST. FRANCIS HOSPITAL - ACUTE,35000106,77012,HC CT GUIDED NEEDLE PLACEMENT,350,1 ,"$2,341.00 ","$1,685.52 ",$107.85 ,"$2,341.00 ","$1,346.08 ","$1,685.52 ","$1,273.50 ",$527.66 ,$655.48 ,"$1,514.04 ",$527.66 ,"$1,587.30 ",$527.66 ,"$1,474.83 ","$1,474.83 ",$527.66 ,"$1,474.83 ","$1,087.63 ","$2,000.00 ", N/A ,$527.66 ,"$1,989.85 ","$1,966.44 ",$527.66 ,"$1,755.75 ","$1,872.80 ","$1,872.80 ",$527.66 ,"$1,872.80 ","$2,036.67 ","$2,036.67 ","$2,036.67 ","$2,106.90 ","$1,346.08 ",$527.66 ,"$2,341.00 ","$1,313.30 ",$527.66 ,$969.17 ,$112.98 ,$107.85 ,$554.04 ,"$1,989.85 ","$1,474.83 ",$655.48 ,"$2,106.90 ","$2,036.67 ","$1,872.80 ","$1,872.80 ",$527.66 ,"$1,521.65 " ST. FRANCIS HOSPITAL - ACUTE,35000110,77014,HC CT GUIDED THRPY PLACEMENT,350,1 ,"$1,720.00 ","$1,238.40 ",$107.85 ,"$1,720.00 ",$989.00 ,"$1,238.40 ",$935.68 ,$387.69 ,$481.60 ,"$1,143.80 ",$387.69 ,"$1,204.00 ",$387.69 ,"$1,083.60 ","$1,083.60 ",$387.69 ,"$1,083.60 ",$799.11 ,"$1,720.00 ", N/A ,$387.69 ,"$1,462.00 ","$1,444.80 ",$387.69 ,"$1,290.00 ","$1,376.00 ","$1,376.00 ",$387.69 ,"$1,376.00 ","$1,496.40 ","$1,496.40 ","$1,496.40 ","$1,548.00 ",$989.00 ,$387.69 ,"$1,720.00 ",$964.92 ,$387.69 ,$712.08 ,$112.98 ,$107.85 ,$407.07 ,"$1,462.00 ","$1,083.60 ",$481.60 ,"$1,548.00 ","$1,496.40 ","$1,376.00 ","$1,376.00 ",$387.69 ,"$1,118.00 " ST. FRANCIS HOSPITAL - ACUTE,35000111,77014,HC CT GUIDED THRPY PLACEMENT UNENHAN,350,1 ,$490.00 ,$352.80 ,$107.85 ,$490.00 ,$281.75 ,$352.80 ,$266.56 ,$110.45 ,$137.20 ,$325.85 ,$110.45 ,$343.00 ,$110.45 ,$308.70 ,$308.70 ,$110.45 ,$308.70 ,$227.65 ,$490.00 , N/A ,$110.45 ,$416.50 ,$411.60 ,$110.45 ,$367.50 ,$392.00 ,$392.00 ,$110.45 ,$392.00 ,$426.30 ,$426.30 ,$426.30 ,$441.00 ,$281.75 ,$110.45 ,$490.00 ,$274.89 ,$110.45 ,$202.86 ,$112.98 ,$107.85 ,$115.97 ,$416.50 ,$308.70 ,$137.20 ,$441.00 ,$426.30 ,$392.00 ,$392.00 ,$110.45 ,$318.50 ST. FRANCIS HOSPITAL - ACUTE,35000120,74174,HC CT ANGIO ABD/PELV W AND WO CONTRAST,350,1 ,"$6,301.00 ","$4,536.72 ",$316.31 ,"$6,301.00 ","$3,623.08 ","$4,536.72 ","$3,427.74 ","$1,420.25 ","$1,764.28 ","$4,190.17 ","$1,420.25 ","$4,410.70 ","$1,420.25 ","$3,969.63 ","$3,969.63 ","$1,420.25 ","$3,969.63 ","$2,927.44 ","$2,000.00 ",$921.08 ,"$1,420.25 ","$5,355.85 ","$5,292.84 ","$1,420.25 ","$4,725.75 ","$5,040.80 ","$5,040.80 ","$1,420.25 ","$5,040.80 ","$5,481.87 ","$5,481.87 ","$5,481.87 ","$5,670.90 ","$3,623.08 ","$1,420.25 ","$6,301.00 ","$3,534.86 ","$1,420.25 ","$2,608.61 ",$331.38 ,$316.31 ,"$1,491.26 ","$5,355.85 ","$3,969.63 ","$1,764.28 ","$5,670.90 ","$5,481.87 ","$5,040.80 ","$5,040.80 ","$1,420.25 ","$4,095.65 " ST. FRANCIS HOSPITAL - ACUTE,35000154,71271,HC CT THORAX LOW DOSE LUNG SCN W/O CONTAST,350,1 ,$419.00 ,$301.68 ,$94.44 ,$419.00 ,$240.93 ,$301.68 ,$227.94 ,$94.44 ,$117.32 ,$278.64 ,$94.44 ,$293.30 ,$94.44 ,$263.97 ,$263.97 ,$94.44 ,$263.97 ,$194.67 ,$419.00 ,$267.20 ,$94.44 ,$356.15 ,$351.96 ,$94.44 ,$314.25 ,$335.20 ,$335.20 ,$94.44 ,$335.20 ,$364.53 ,$364.53 ,$364.53 ,$377.10 ,$240.93 ,$94.44 ,$419.00 ,$235.06 ,$94.44 ,$173.47 ,$146.49 ,$139.83 ,$99.17 ,$356.15 ,$263.97 ,$117.32 ,$377.10 ,$364.53 ,$335.20 ,$335.20 ,$94.44 ,$272.35 ST. FRANCIS HOSPITAL - ACUTE,36000025,10021,HC ASP FINE NDL W/O IMAGING GUIDE,360,1 ,$344.00 ,$247.68 ,$77.54 ,$932.68 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$932.68 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$110.26 ,$192.98 ,$77.54 ,$142.42 ,$641.73 ,$612.56 ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,36000027,10060,HC I AND D ABSC SMP FAC,360,1 ,$344.00 ,$247.68 ,$77.54 ,$451.45 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$451.45 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 ,$317.01 ,$302.60 ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,36000029,10140,HC I AND D HEMATOMA/SEROMA/FLUID,360,1 ,$394.00 ,$283.68 ,$88.81 ,"$3,748.88 ",$226.55 ,$283.68 ,$214.34 ,$88.81 ,$110.32 ,$262.01 ,$88.81 ,$275.80 ,$88.81 ,$248.22 ,$248.22 ,$88.81 ,$248.22 ,$183.05 ,$362.48 ,"$3,748.88 ",$88.81 ,$334.90 ,$330.96 ,$88.81 ,$295.50 ,$315.20 ,$315.20 ,$88.81 ,$315.20 ,$342.78 ,$342.78 ,$342.78 ,$354.60 ,$226.55 ,$88.81 ,$394.00 ,$221.03 ,$88.81 ,$163.12 ,"$1,105.69 ","$1,055.43 ",$93.25 ,$334.90 ,$248.22 ,$110.32 ,$354.60 ,$342.78 ,$315.20 ,$315.20 ,$88.81 ,$256.10 ST. FRANCIS HOSPITAL - ACUTE,36000030,10160,HC ASP ABSC/HEMA/CYST/BULLA FAC,360,1 ,$299.00 ,$215.28 ,$67.39 ,$932.68 ,$171.93 ,$215.28 ,$162.66 ,$67.39 ,$83.72 ,$198.84 ,$67.39 ,$209.30 ,$67.39 ,$188.37 ,$188.37 ,$67.39 ,$188.37 ,$138.92 ,$275.08 ,$932.68 ,$67.39 ,$254.15 ,$251.16 ,$67.39 ,$224.25 ,$239.20 ,$239.20 ,$67.39 ,$239.20 ,$260.13 ,$260.13 ,$260.13 ,$269.10 ,$171.93 ,$67.39 ,$299.00 ,$167.74 ,$67.39 ,$123.79 ,$317.01 ,$302.60 ,$70.77 ,$254.15 ,$188.37 ,$83.72 ,$269.10 ,$260.13 ,$239.20 ,$239.20 ,$67.39 ,$194.35 ST. FRANCIS HOSPITAL - ACUTE,36000078,19000,HC ASP CYST BREAST,360,1 ,"$1,557.00 ","$1,121.04 ",$109.83 ,"$1,622.43 ",$895.28 ,"$1,121.04 ",$847.01 ,$350.95 ,$435.96 ,"$1,035.41 ",$350.95 ,"$1,089.90 ",$350.95 ,$980.91 ,$980.91 ,$350.95 ,$980.91 ,$723.38 ,"$1,432.44 ","$1,622.43 ",$350.95 ,"$1,323.45 ","$1,307.88 ",$350.95 ,"$1,167.75 ","$1,245.60 ","$1,245.60 ",$350.95 ,"$1,245.60 ","$1,354.59 ","$1,354.59 ","$1,354.59 ","$1,401.30 ",$895.28 ,$350.95 ,$109.83 ,$873.48 ,$350.95 ,$644.60 ,$641.73 ,$612.56 ,$368.50 ,"$1,323.45 ",$980.91 ,$435.96 ,"$1,401.30 ","$1,354.59 ","$1,245.60 ","$1,245.60 ",$350.95 ,"$1,012.05 " ST. FRANCIS HOSPITAL - ACUTE,36000079,19001,HC ASP CYST BREAST EA ADDL,360,1 ,$778.00 ,$560.16 ,$28.20 ,$778.00 ,$447.35 ,$560.16 ,$423.23 ,$175.36 ,$217.84 ,$517.37 ,$175.36 ,$544.60 ,$175.36 ,$490.14 ,$490.14 ,$175.36 ,$490.14 ,$361.46 ,$715.76 , N/A ,$175.36 ,$661.30 ,$653.52 ,$175.36 ,$583.50 ,$622.40 ,$622.40 ,$175.36 ,$622.40 ,$676.86 ,$676.86 ,$676.86 ,$700.20 ,$447.35 ,$175.36 ,$28.20 ,$436.46 ,$175.36 ,$322.09 ,$641.73 ,$612.56 ,$184.13 ,$661.30 ,$490.14 ,$217.84 ,$700.20 ,$676.86 ,$622.40 ,$622.40 ,$175.36 ,$505.70 ST. FRANCIS HOSPITAL - ACUTE,36000080,19020,HC BREAST ABSCESS DRAINAGE,360,1 ,"$4,171.00 ","$3,003.12 ",$940.14 ,"$4,171.00 ","$2,398.33 ","$3,003.12 ","$2,269.02 ",$940.14 ,"$1,167.88 ","$2,773.72 ",$940.14 ,"$2,919.70 ",$940.14 ,"$2,627.73 ","$2,627.73 ",$940.14 ,"$2,627.73 ","$1,937.85 ","$3,837.32 ","$3,748.88 ",$940.14 ,"$3,545.35 ","$3,503.64 ",$940.14 ,"$3,128.25 ","$3,336.80 ","$3,336.80 ",$940.14 ,"$3,336.80 ","$3,628.77 ","$3,628.77 ","$3,628.77 ","$3,753.90 ","$2,398.33 ",$940.14 ,"$4,171.00 ","$2,339.93 ",$940.14 ,"$1,726.79 ","$1,105.69 ","$1,055.43 ",$987.15 ,"$3,545.35 ","$2,627.73 ","$1,167.88 ","$3,753.90 ","$3,628.77 ","$3,336.80 ","$3,336.80 ",$940.14 ,"$2,711.15 " ST. FRANCIS HOSPITAL - ACUTE,36000081,19030,HC INJECTION GALACTOGRAM,360,1 ,"$1,347.00 ",$969.84 ,$303.61 ,"$1,347.00 ",$774.53 ,$969.84 ,$732.77 ,$303.61 ,$377.16 ,$895.76 ,$303.61 ,$942.90 ,$303.61 ,$848.61 ,$848.61 ,$303.61 ,$848.61 ,$625.82 ,"$1,239.24 ", N/A ,$303.61 ,"$1,144.95 ","$1,131.48 ",$303.61 ,"$1,010.25 ","$1,077.60 ","$1,077.60 ",$303.61 ,"$1,077.60 ","$1,171.89 ","$1,171.89 ","$1,171.89 ","$1,212.30 ",$774.53 ,$303.61 ,"$1,347.00 ",$755.67 ,$303.61 ,$557.66 , N/A , N/A ,$318.79 ,"$1,144.95 ",$848.61 ,$377.16 ,"$1,212.30 ","$1,171.89 ","$1,077.60 ","$1,077.60 ",$303.61 ,$875.55 ST. FRANCIS HOSPITAL - ACUTE,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,614.00 ","$2,602.08 ",$538.44 ,"$3,748.88 ","$2,078.05 ","$2,602.08 ","$1,966.02 ",$814.60 ,"$1,011.92 ","$2,403.31 ",$814.60 ,"$2,529.80 ",$814.60 ,"$2,276.82 ","$2,276.82 ",$814.60 ,"$2,276.82 ","$1,679.06 ","$3,324.88 ","$3,748.88 ",$814.60 ,"$3,071.90 ","$3,035.76 ",$814.60 ,"$2,710.50 ","$2,891.20 ","$2,891.20 ",$814.60 ,"$2,891.20 ","$3,144.18 ","$3,144.18 ","$3,144.18 ","$3,252.60 ","$2,078.05 ",$814.60 ,$538.44 ,"$2,027.45 ",$814.60 ,"$1,496.20 ","$1,300.50 ","$1,241.38 ",$855.32 ,"$3,071.90 ","$2,276.82 ","$1,011.92 ","$3,252.60 ","$3,144.18 ","$2,891.20 ","$2,891.20 ",$814.60 ,"$2,349.10 " ST. FRANCIS HOSPITAL - ACUTE,36000082,19083,HC BREAST BIOPSY W/IMAG GUIDE ULTRA,360,1 ,"$3,995.00 ","$2,876.40 ",$538.44 ,"$6,458.13 ","$2,297.13 ","$2,876.40 ","$2,173.28 ",$900.47 ,"$1,118.60 ","$2,656.68 ",$900.47 ,"$2,796.50 ",$900.47 ,"$2,516.85 ","$2,516.85 ",$900.47 ,"$2,516.85 ","$1,856.08 ","$3,675.40 ","$6,458.13 ",$900.47 ,"$3,395.75 ","$3,355.80 ",$900.47 ,"$2,996.25 ","$3,196.00 ","$3,196.00 ",$900.47 ,"$3,196.00 ","$3,475.65 ","$3,475.65 ","$3,475.65 ","$3,595.50 ","$2,297.13 ",$900.47 ,$538.44 ,"$2,241.20 ",$900.47 ,"$1,653.93 ","$1,950.75 ","$1,862.08 ",$945.49 ,"$3,395.75 ","$2,516.85 ","$1,118.60 ","$3,595.50 ","$3,475.65 ","$3,196.00 ","$3,196.00 ",$900.47 ,"$2,596.75 " ST. FRANCIS HOSPITAL - ACUTE,36000085,19285,HC PLCMNT NEEDLE LOC WIRE BRST ULTRA,360,1 ,"$3,143.00 ","$2,262.96 ",$120.26 ,"$3,143.00 ","$1,807.23 ","$2,262.96 ","$1,709.79 ",$708.43 ,$880.04 ,"$2,090.10 ",$708.43 ,"$2,200.10 ",$708.43 ,"$1,980.09 ","$1,980.09 ",$708.43 ,"$1,980.09 ","$1,460.24 ","$2,891.56 ","$1,622.43 ",$708.43 ,"$2,671.55 ","$2,640.12 ",$708.43 ,"$2,357.25 ","$2,514.40 ","$2,514.40 ",$708.43 ,"$2,514.40 ","$2,734.41 ","$2,734.41 ","$2,734.41 ","$2,828.70 ","$1,807.23 ",$708.43 ,$397.29 ,"$1,763.22 ",$708.43 ,"$1,301.20 ",$125.98 ,$120.26 ,$743.85 ,"$2,671.55 ","$1,980.09 ",$880.04 ,"$2,828.70 ","$2,734.41 ","$2,514.40 ","$2,514.40 ",$708.43 ,"$2,042.95 " ST. FRANCIS HOSPITAL - ACUTE,36000088,20206,HC BX MUSCLE NEEDLE PERC,360,1 ,"$1,687.00 ","$1,214.64 ",$380.25 ,"$3,748.88 ",$970.03 ,"$1,214.64 ",$917.73 ,$380.25 ,$472.36 ,"$1,121.86 ",$380.25 ,"$1,180.90 ",$380.25 ,"$1,062.81 ","$1,062.81 ",$380.25 ,"$1,062.81 ",$783.78 ,"$1,552.04 ","$3,748.88 ",$380.25 ,"$1,433.95 ","$1,417.08 ",$380.25 ,"$1,265.25 ","$1,349.60 ","$1,349.60 ",$380.25 ,"$1,349.60 ","$1,467.69 ","$1,467.69 ","$1,467.69 ","$1,518.30 ",$970.03 ,$380.25 ,"$1,687.00 ",$946.41 ,$380.25 ,$698.42 ,$641.73 ,$612.56 ,$399.26 ,"$1,433.95 ","$1,062.81 ",$472.36 ,"$1,518.30 ","$1,467.69 ","$1,349.60 ","$1,349.60 ",$380.25 ,"$1,096.55 " ST. FRANCIS HOSPITAL - ACUTE,36000089,20220,HC BX BONE NEEDLE SUPERFIC FAC,360,1 ,"$1,566.00 ","$1,127.52 ",$352.98 ,"$3,748.88 ",$900.45 ,"$1,127.52 ",$851.90 ,$352.98 ,$438.48 ,"$1,041.39 ",$352.98 ,"$1,096.20 ",$352.98 ,$986.58 ,$986.58 ,$352.98 ,$986.58 ,$727.56 ,"$1,440.72 ","$3,748.88 ",$352.98 ,"$1,331.10 ","$1,315.44 ",$352.98 ,"$1,174.50 ","$1,252.80 ","$1,252.80 ",$352.98 ,"$1,252.80 ","$1,362.42 ","$1,362.42 ","$1,362.42 ","$1,409.40 ",$900.45 ,$352.98 ,"$1,566.00 ",$878.53 ,$352.98 ,$648.32 ,$679.87 ,$648.96 ,$370.63 ,"$1,331.10 ",$986.58 ,$438.48 ,"$1,409.40 ","$1,362.42 ","$1,252.80 ","$1,252.80 ",$352.98 ,"$1,017.90 " ST. FRANCIS HOSPITAL - ACUTE,36000101,29085,HC CAST APPL; HAND AND FOREARM,360,1 ,$448.00 ,$322.56 ,$100.98 ,$448.00 ,$257.60 ,$322.56 ,$243.71 ,$100.98 ,$125.44 ,$297.92 ,$100.98 ,$313.60 ,$100.98 ,$282.24 ,$282.24 ,$100.98 ,$282.24 ,$208.14 ,$412.16 ,$364.40 ,$100.98 ,$380.80 ,$376.32 ,$100.98 ,$336.00 ,$358.40 ,$358.40 ,$100.98 ,$358.40 ,$389.76 ,$389.76 ,$389.76 ,$403.20 ,$257.60 ,$100.98 ,$448.00 ,$251.33 ,$100.98 ,$185.47 ,$343.00 ,$327.41 ,$106.03 ,$380.80 ,$282.24 ,$125.44 ,$403.20 ,$389.76 ,$358.40 ,$358.40 ,$100.98 ,$291.20 ST. FRANCIS HOSPITAL - ACUTE,36000109,19084,HC BREAST LOC BX ULTRA ADDN LESION,360,1 ,$889.00 ,$640.08 ,$200.38 ,"$1,300.50 ",$511.18 ,$640.08 ,$483.62 ,$200.38 ,$248.92 ,$591.19 ,$200.38 ,$622.30 ,$200.38 ,$560.07 ,$560.07 ,$200.38 ,$560.07 ,$413.03 ,$817.88 , N/A ,$200.38 ,$755.65 ,$746.76 ,$200.38 ,$666.75 ,$711.20 ,$711.20 ,$200.38 ,$711.20 ,$773.43 ,$773.43 ,$773.43 ,$800.10 ,$511.18 ,$200.38 ,$410.06 ,$498.73 ,$200.38 ,$368.05 ,"$1,300.50 ","$1,241.38 ",$210.40 ,$755.65 ,$560.07 ,$248.92 ,$800.10 ,$773.43 ,$711.20 ,$711.20 ,$200.38 ,$577.85 ST. FRANCIS HOSPITAL - ACUTE,36000114,19282,HC BREAST NDL LOC BX ADDN LESION,360,1 ,"$1,107.00 ",$797.04 ,$120.26 ,"$1,107.00 ",$636.53 ,$797.04 ,$602.21 ,$249.52 ,$309.96 ,$736.16 ,$249.52 ,$774.90 ,$249.52 ,$697.41 ,$697.41 ,$249.52 ,$697.41 ,$514.31 ,"$1,018.44 ", N/A ,$249.52 ,$940.95 ,$929.88 ,$249.52 ,$830.25 ,$885.60 ,$885.60 ,$249.52 ,$885.60 ,$963.09 ,$963.09 ,$963.09 ,$996.30 ,$636.53 ,$249.52 ,$182.91 ,$621.03 ,$249.52 ,$458.30 ,$125.98 ,$120.26 ,$261.99 ,$940.95 ,$697.41 ,$309.96 ,$996.30 ,$963.09 ,$885.60 ,$885.60 ,$249.52 ,$719.55 ST. FRANCIS HOSPITAL - ACUTE,36000123,36556,HC INS CATH CV NON-TUNL >5 YR,360,1 ,$737.00 ,$530.64 ,$166.12 ,"$7,447.43 ",$423.78 ,$530.64 ,$400.93 ,$166.12 ,$206.36 ,$490.11 ,$166.12 ,$515.90 ,$166.12 ,$464.31 ,$464.31 ,$166.12 ,$464.31 ,$342.41 ,$678.04 ,"$7,447.43 ",$166.12 ,$626.45 ,$619.08 ,$166.12 ,$552.75 ,$589.60 ,$589.60 ,$166.12 ,$589.60 ,$641.19 ,$641.19 ,$641.19 ,$663.30 ,$423.78 ,$166.12 ,$737.00 ,$413.46 ,$166.12 ,$305.12 ,"$1,795.74 ","$1,714.11 ",$174.43 ,$626.45 ,$464.31 ,$206.36 ,$663.30 ,$641.19 ,$589.60 ,$589.60 ,$166.12 ,$479.05 ST. FRANCIS HOSPITAL - ACUTE,36000131,36568,HC INS CATH PERIPH CV W/O PORT <5,360,1 ,"$1,043.00 ",$750.96 ,$235.09 ,"$3,719.63 ",$599.73 ,$750.96 ,$567.39 ,$235.09 ,$292.04 ,$693.60 ,$235.09 ,$730.10 ,$235.09 ,$657.09 ,$657.09 ,$235.09 ,$657.09 ,$484.58 ,$959.56 ,"$3,719.63 ",$235.09 ,$886.55 ,$876.12 ,$235.09 ,$782.25 ,$834.40 ,$834.40 ,$235.09 ,$834.40 ,$907.41 ,$907.41 ,$907.41 ,$938.70 ,$599.73 ,$235.09 ,"$1,043.00 ",$585.12 ,$235.09 ,$431.80 , N/A , N/A ,$246.84 ,$886.55 ,$657.09 ,$292.04 ,$938.70 ,$907.41 ,$834.40 ,$834.40 ,$235.09 ,$677.95 ST. FRANCIS HOSPITAL - ACUTE,36000132,36569,HC INS PER CV CATH W/O PORT 5>,360,1 ,$861.00 ,$619.92 ,$194.07 ,"$3,719.63 ",$495.08 ,$619.92 ,$468.38 ,$194.07 ,$241.08 ,$572.57 ,$194.07 ,$602.70 ,$194.07 ,$542.43 ,$542.43 ,$194.07 ,$542.43 ,$400.02 ,$792.12 ,"$3,719.63 ",$194.07 ,$731.85 ,$723.24 ,$194.07 ,$645.75 ,$688.80 ,$688.80 ,$194.07 ,$688.80 ,$749.07 ,$749.07 ,$749.07 ,$774.90 ,$495.08 ,$194.07 ,$861.00 ,$483.02 ,$194.07 ,$356.45 ,$522.73 ,$498.97 ,$203.77 ,$731.85 ,$542.43 ,$241.08 ,$774.90 ,$749.07 ,$688.80 ,$688.80 ,$194.07 ,$559.65 ST. FRANCIS HOSPITAL - ACUTE,36000139,36584,HC REPL PICC W/O PORT/PUMP,360,1 ,"$3,594.00 ","$2,587.68 ",$142.82 ,"$3,719.63 ","$2,066.55 ","$2,587.68 ","$1,955.14 ",$810.09 ,"$1,006.32 ","$2,390.01 ",$810.09 ,"$2,515.80 ",$810.09 ,"$2,264.22 ","$2,264.22 ",$810.09 ,"$2,264.22 ","$1,669.77 ","$3,306.48 ","$3,719.63 ",$810.09 ,"$3,054.90 ","$3,018.96 ",$810.09 ,"$2,695.50 ","$2,875.20 ","$2,875.20 ",$810.09 ,"$2,875.20 ","$3,126.78 ","$3,126.78 ","$3,126.78 ","$3,234.60 ","$2,066.55 ",$810.09 ,"$3,594.00 ","$2,016.23 ",$810.09 ,"$1,487.92 ",$149.62 ,$142.82 ,$850.59 ,"$3,054.90 ","$2,264.22 ","$1,006.32 ","$3,234.60 ","$3,126.78 ","$2,875.20 ","$2,875.20 ",$810.09 ,"$2,336.10 " ST. FRANCIS HOSPITAL - ACUTE,36000159,38505,HC LYMPH NODE BIOPSY SUPERFICIAL,360,1 ,"$3,301.00 ","$2,376.72 ",$648.96 ,"$3,748.88 ","$1,898.08 ","$2,376.72 ","$1,795.74 ",$744.05 ,$924.28 ,"$2,195.17 ",$744.05 ,"$2,310.70 ",$744.05 ,"$2,079.63 ","$2,079.63 ",$744.05 ,"$2,079.63 ","$1,533.64 ","$3,036.92 ","$3,748.88 ",$744.05 ,"$2,805.85 ","$2,772.84 ",$744.05 ,"$2,475.75 ","$2,640.80 ","$2,640.80 ",$744.05 ,"$2,640.80 ","$2,871.87 ","$2,871.87 ","$2,871.87 ","$2,970.90 ","$1,898.08 ",$744.05 ,"$3,301.00 ","$1,851.86 ",$744.05 ,"$1,366.61 ",$679.87 ,$648.96 ,$781.25 ,"$2,805.85 ","$2,079.63 ",$924.28 ,"$2,970.90 ","$2,871.87 ","$2,640.80 ","$2,640.80 ",$744.05 ,"$2,145.65 " ST. FRANCIS HOSPITAL - ACUTE,36000161,38792,HC INJ LYMPH NODE NO IMAGING,360,1 ,"$2,184.00 ","$1,572.48 ",$492.27 ,"$2,184.00 ","$1,255.80 ","$1,572.48 ","$1,188.10 ",$492.27 ,$611.52 ,"$1,452.36 ",$492.27 ,"$1,528.80 ",$492.27 ,"$1,375.92 ","$1,375.92 ",$492.27 ,"$1,375.92 ","$1,014.69 ","$2,009.28 ",$971.70 ,$492.27 ,"$1,856.40 ","$1,834.56 ",$492.27 ,"$1,638.00 ","$1,747.20 ","$1,747.20 ",$492.27 ,"$1,747.20 ","$1,900.08 ","$1,900.08 ","$1,900.08 ","$1,965.60 ","$1,255.80 ",$492.27 ,"$2,184.00 ","$1,225.22 ",$492.27 ,$904.18 , N/A , N/A ,$516.89 ,"$1,856.40 ","$1,375.92 ",$611.52 ,"$1,965.60 ","$1,900.08 ","$1,747.20 ","$1,747.20 ",$492.27 ,"$1,419.60 " ST. FRANCIS HOSPITAL - ACUTE,36000187,54150,HC CIRCUMCISION OP,360,1 ,$906.00 ,$652.32 ,$204.21 ,"$4,637.20 ",$520.95 ,$652.32 ,$492.86 ,$204.21 ,$253.68 ,$602.49 ,$204.21 ,$634.20 ,$204.21 ,$570.78 ,$570.78 ,$204.21 ,$570.78 ,$420.93 ,$833.52 ,"$4,637.20 ",$204.21 ,$770.10 ,$761.04 ,$204.21 ,$679.50 ,$724.80 ,$724.80 ,$204.21 ,$724.80 ,$788.22 ,$788.22 ,$788.22 ,$815.40 ,$520.95 ,$204.21 ,$906.00 ,$508.27 ,$204.21 ,$375.08 ,"$1,581.39 ","$1,509.51 ",$214.42 ,$770.10 ,$570.78 ,$253.68 ,$815.40 ,$788.22 ,$724.80 ,$724.80 ,$204.21 ,$588.90 ST. FRANCIS HOSPITAL - ACUTE,36000188,55700,HC BX PROSTATE NEEDLE/PUNCH,360,1 ,$368.00 ,$264.96 ,$82.95 ,"$4,637.20 ",$211.60 ,$264.96 ,$200.19 ,$82.95 ,$103.04 ,$244.72 ,$82.95 ,$257.60 ,$82.95 ,$231.84 ,$231.84 ,$82.95 ,$231.84 ,$170.97 ,$338.56 ,"$4,637.20 ",$82.95 ,$312.80 ,$309.12 ,$82.95 ,$276.00 ,$294.40 ,$294.40 ,$82.95 ,$294.40 ,$320.16 ,$320.16 ,$320.16 ,$331.20 ,$211.60 ,$82.95 ,$368.00 ,$206.45 ,$82.95 ,$152.35 ,"$1,218.22 ","$1,162.84 ",$87.09 ,$312.80 ,$231.84 ,$103.04 ,$331.20 ,$320.16 ,$294.40 ,$294.40 ,$82.95 ,$239.20 ST. FRANCIS HOSPITAL - ACUTE,36000194,62270,HC LUMBAR PUNCTURE,360,1 ,"$1,041.00 ",$749.52 ,$234.64 ,"$1,610.85 ",$598.58 ,$749.52 ,$566.30 ,$234.64 ,$291.48 ,$692.27 ,$234.64 ,$728.70 ,$234.64 ,$655.83 ,$655.83 ,$234.64 ,$655.83 ,$483.65 ,$957.72 ,"$1,610.85 ",$234.64 ,$884.85 ,$874.44 ,$234.64 ,$780.75 ,$832.80 ,$832.80 ,$234.64 ,$832.80 ,$905.67 ,$905.67 ,$905.67 ,$936.90 ,$598.58 ,$234.64 ,"$1,041.00 ",$584.00 ,$234.64 ,$430.97 ,$545.07 ,$520.30 ,$246.37 ,$884.85 ,$655.83 ,$291.48 ,$936.90 ,$905.67 ,$832.80 ,$832.80 ,$234.64 ,$676.65 ST. FRANCIS HOSPITAL - ACUTE,36000319,20526,HC INJECTION;CARPAL TUNNEL,360,1 ,$276.00 ,$198.72 ,$62.21 ,$679.73 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 ,$679.73 ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 ,$341.51 ,$325.98 ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,36000326,64405,HC NERVE BLOCK; OCCIPITAL,360,1 ,$187.00 ,$134.64 ,$42.15 ,$679.73 ,$107.53 ,$134.64 ,$101.73 ,$42.15 ,$52.36 ,$124.36 ,$42.15 ,$130.90 ,$42.15 ,$117.81 ,$117.81 ,$42.15 ,$117.81 ,$86.88 ,$172.04 ,$679.73 ,$42.15 ,$158.95 ,$157.08 ,$42.15 ,$140.25 ,$149.60 ,$149.60 ,$42.15 ,$149.60 ,$162.69 ,$162.69 ,$162.69 ,$168.30 ,$107.53 ,$42.15 ,$187.00 ,$104.91 ,$42.15 ,$77.42 ,$463.96 ,$442.87 ,$44.26 ,$158.95 ,$117.81 ,$52.36 ,$168.30 ,$162.69 ,$149.60 ,$149.60 ,$42.15 ,$121.55 ST. FRANCIS HOSPITAL - ACUTE,36000327,64445,HC NERVE BLOCK;SCIATIC SINGLE,360,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,100.00 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$1,610.85 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,36000419,26727,HC TX FX FINGER/THUMB W/MANIP EACH,360,1 ,"$3,471.00 ","$2,499.12 ",$782.36 ,"$7,441.65 ","$1,995.83 ","$2,499.12 ","$1,888.22 ",$782.36 ,$971.88 ,"$2,308.22 ",$782.36 ,"$2,429.70 ",$782.36 ,"$2,186.73 ","$2,186.73 ",$782.36 ,"$2,186.73 ","$1,612.63 ","$3,193.32 ","$7,441.65 ",$782.36 ,"$2,950.35 ","$2,915.64 ",$782.36 ,"$2,603.25 ","$2,776.80 ","$2,776.80 ",$782.36 ,"$2,776.80 ","$3,019.77 ","$3,019.77 ","$3,019.77 ","$3,123.90 ","$1,995.83 ",$782.36 ,"$3,471.00 ","$1,947.23 ",$782.36 ,"$1,436.99 ","$4,728.65 ","$4,513.71 ",$821.48 ,"$2,950.35 ","$2,186.73 ",$971.88 ,"$3,123.90 ","$3,019.77 ","$2,776.80 ","$2,776.80 ",$782.36 ,"$2,256.15 " ST. FRANCIS HOSPITAL - ACUTE,36000420,26735,HC TX FX OPEN SHAFT FINGER/THUMB W/INT FIX EACH,360,1 ,"$9,779.00 ","$7,040.88 ","$2,204.19 ","$9,779.00 ","$5,622.93 ","$7,040.88 ","$5,319.78 ","$2,204.19 ","$2,738.12 ","$6,503.04 ","$2,204.19 ","$6,845.30 ","$2,204.19 ","$6,160.77 ","$6,160.77 ","$2,204.19 ","$6,160.77 ","$4,543.32 ","$8,996.68 ","$7,441.65 ","$2,204.19 ","$8,312.15 ","$8,214.36 ","$2,204.19 ","$7,334.25 ","$7,823.20 ","$7,823.20 ","$2,204.19 ","$7,823.20 ","$7,439.00 ","$7,439.00 ","$7,439.00 ","$8,801.10 ","$5,622.93 ","$2,204.19 ","$9,779.00 ","$5,486.02 ","$2,204.19 ","$4,048.51 ","$4,728.65 ","$4,513.71 ","$2,314.40 ","$8,312.15 ","$6,160.77 ","$2,738.12 ","$8,801.10 ","$7,439.00 ","$7,823.20 ","$7,823.20 ","$2,204.19 ","$6,356.35 " ST. FRANCIS HOSPITAL - ACUTE,36000441,37618,HC LIGATION ARTERY EXTREMITY,360,1 ,"$1,478.00 ","$1,064.16 ",$333.14 ,"$2,173.36 ",$849.85 ,"$1,064.16 ",$804.03 ,$333.14 ,$413.84 ,$982.87 ,$333.14 ,"$1,034.60 ",$333.14 ,$931.14 ,$931.14 ,$333.14 ,$931.14 ,$686.68 ,"$1,359.76 ", N/A ,$333.14 ,"$1,256.30 ","$1,241.52 ",$333.14 ,"$1,108.50 ","$1,182.40 ","$1,182.40 ",$333.14 ,"$1,182.40 ","$1,285.86 ","$1,285.86 ","$1,285.86 ","$1,330.20 ",$849.85 ,$333.14 ,"$1,478.00 ",$829.16 ,$333.14 ,$611.89 ,"$2,173.36 ","$2,074.57 ",$349.80 ,"$1,256.30 ",$931.14 ,$413.84 ,"$1,330.20 ","$1,285.86 ","$1,182.40 ","$1,182.40 ",$333.14 ,$960.70 ST. FRANCIS HOSPITAL - ACUTE,36000546,11750,HC REMOVE NAIL BED,360,1 ,"$1,500.00 ","$1,080.00 ",$338.10 ,"$1,500.00 ",$862.50 ,"$1,080.00 ",$816.00 ,$338.10 ,$420.00 ,$997.50 ,$338.10 ,"$1,050.00 ",$338.10 ,$945.00 ,$945.00 ,$338.10 ,$945.00 ,$696.90 ,"$1,380.00 ",$932.68 ,$338.10 ,"$1,275.00 ","$1,260.00 ",$338.10 ,"$1,125.00 ","$1,200.00 ","$1,200.00 ",$338.10 ,"$1,200.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ","$1,350.00 ",$862.50 ,$338.10 ,"$1,500.00 ",$841.50 ,$338.10 ,$621.00 ,$679.87 ,$648.96 ,$355.00 ,"$1,275.00 ",$945.00 ,$420.00 ,"$1,350.00 ","$1,305.00 ","$1,200.00 ","$1,200.00 ",$338.10 ,$975.00 ST. FRANCIS HOSPITAL - ACUTE,36060013,N/A,HC OR LEVEL 1 INITIAL 15MIN,360,1 ,$840.00 ,$604.80 ,$189.34 ,$840.00 ,$483.00 ,$604.80 ,$456.96 ,$189.34 ,$235.20 ,$558.60 ,$189.34 ,$588.00 ,$189.34 ,$529.20 ,$529.20 ,$189.34 ,$529.20 ,$390.26 ,$772.80 , N/A ,$189.34 ,$714.00 ,$705.60 ,$189.34 ,$630.00 ,$672.00 ,$672.00 ,$189.34 ,$672.00 ,$730.80 ,$730.80 ,$730.80 ,$756.00 ,$483.00 ,$189.34 ,$840.00 ,$471.24 ,$189.34 ,$347.76 , N/A , N/A ,$198.80 ,$714.00 ,$529.20 ,$235.20 ,$756.00 ,$730.80 ,$672.00 ,$672.00 ,$189.34 ,$546.00 ST. FRANCIS HOSPITAL - ACUTE,36060014,N/A,HC OR LEVEL 1 ADDL 15MIN,360,1 ,$417.00 ,$300.24 ,$93.99 ,$417.00 ,$239.78 ,$300.24 ,$226.85 ,$93.99 ,$116.76 ,$277.31 ,$93.99 ,$291.90 ,$93.99 ,$262.71 ,$262.71 ,$93.99 ,$262.71 ,$193.74 ,$383.64 , N/A ,$93.99 ,$354.45 ,$350.28 ,$93.99 ,$312.75 ,$333.60 ,$333.60 ,$93.99 ,$333.60 ,$362.79 ,$362.79 ,$362.79 ,$375.30 ,$239.78 ,$93.99 ,$417.00 ,$233.94 ,$93.99 ,$172.64 , N/A , N/A ,$98.70 ,$354.45 ,$262.71 ,$116.76 ,$375.30 ,$362.79 ,$333.60 ,$333.60 ,$93.99 ,$271.05 ST. FRANCIS HOSPITAL - ACUTE,36060015,N/A,HC OR LEVEL 2 INITIAL 15MIN,360,1 ,"$2,960.00 ","$2,131.20 ",$667.18 ,"$2,960.00 ","$1,702.00 ","$2,131.20 ","$1,610.24 ",$667.18 ,$828.80 ,"$1,968.40 ",$667.18 ,"$2,072.00 ",$667.18 ,"$1,864.80 ","$1,864.80 ",$667.18 ,"$1,864.80 ","$1,375.22 ","$2,723.20 ", N/A ,$667.18 ,"$2,516.00 ","$2,486.40 ",$667.18 ,"$2,220.00 ","$2,368.00 ","$2,368.00 ",$667.18 ,"$2,368.00 ","$2,575.20 ","$2,575.20 ","$2,575.20 ","$2,664.00 ","$1,702.00 ",$667.18 ,"$2,960.00 ","$1,660.56 ",$667.18 ,"$1,225.44 ", N/A , N/A ,$700.54 ,"$2,516.00 ","$1,864.80 ",$828.80 ,"$2,664.00 ","$2,575.20 ","$2,368.00 ","$2,368.00 ",$667.18 ,"$1,924.00 " ST. FRANCIS HOSPITAL - ACUTE,36060016,N/A,HC OR LEVEL 2 ADDL 15MIN,360,1 ,$740.00 ,$532.80 ,$166.80 ,$740.00 ,$425.50 ,$532.80 ,$402.56 ,$166.80 ,$207.20 ,$492.10 ,$166.80 ,$518.00 ,$166.80 ,$466.20 ,$466.20 ,$166.80 ,$466.20 ,$343.80 ,$680.80 , N/A ,$166.80 ,$629.00 ,$621.60 ,$166.80 ,$555.00 ,$592.00 ,$592.00 ,$166.80 ,$592.00 ,$643.80 ,$643.80 ,$643.80 ,$666.00 ,$425.50 ,$166.80 ,$740.00 ,$415.14 ,$166.80 ,$306.36 , N/A , N/A ,$175.14 ,$629.00 ,$466.20 ,$207.20 ,$666.00 ,$643.80 ,$592.00 ,$592.00 ,$166.80 ,$481.00 ST. FRANCIS HOSPITAL - ACUTE,36060017,N/A,HC OR LEVEL 3 INITIAL 15MIN,360,1 ,"$3,262.00 ","$2,348.64 ",$735.25 ,"$3,262.00 ","$1,875.65 ","$2,348.64 ","$1,774.53 ",$735.25 ,$913.36 ,"$2,169.23 ",$735.25 ,"$2,283.40 ",$735.25 ,"$2,055.06 ","$2,055.06 ",$735.25 ,"$2,055.06 ","$1,515.53 ","$3,001.04 ", N/A ,$735.25 ,"$2,772.70 ","$2,740.08 ",$735.25 ,"$2,446.50 ","$2,609.60 ","$2,609.60 ",$735.25 ,"$2,609.60 ","$2,837.94 ","$2,837.94 ","$2,837.94 ","$2,935.80 ","$1,875.65 ",$735.25 ,"$3,262.00 ","$1,829.98 ",$735.25 ,"$1,350.47 ", N/A , N/A ,$772.01 ,"$2,772.70 ","$2,055.06 ",$913.36 ,"$2,935.80 ","$2,837.94 ","$2,609.60 ","$2,609.60 ",$735.25 ,"$2,120.30 " ST. FRANCIS HOSPITAL - ACUTE,36060018,N/A,HC OR LEVEL 3 ADDL 15MIN,360,1 ,$815.00 ,$586.80 ,$183.70 ,$815.00 ,$468.63 ,$586.80 ,$443.36 ,$183.70 ,$228.20 ,$541.98 ,$183.70 ,$570.50 ,$183.70 ,$513.45 ,$513.45 ,$183.70 ,$513.45 ,$378.65 ,$749.80 , N/A ,$183.70 ,$692.75 ,$684.60 ,$183.70 ,$611.25 ,$652.00 ,$652.00 ,$183.70 ,$652.00 ,$709.05 ,$709.05 ,$709.05 ,$733.50 ,$468.63 ,$183.70 ,$815.00 ,$457.22 ,$183.70 ,$337.41 , N/A , N/A ,$192.88 ,$692.75 ,$513.45 ,$228.20 ,$733.50 ,$709.05 ,$652.00 ,$652.00 ,$183.70 ,$529.75 ST. FRANCIS HOSPITAL - ACUTE,36060019,N/A,HC OR LEVEL 4 INITIAL 15MIN,360,1 ,"$3,565.00 ","$2,566.80 ",$803.55 ,"$3,565.00 ","$2,049.88 ","$2,566.80 ","$1,939.36 ",$803.55 ,$998.20 ,"$2,370.73 ",$803.55 ,"$2,495.50 ",$803.55 ,"$2,245.95 ","$2,245.95 ",$803.55 ,"$2,245.95 ","$1,656.30 ","$3,279.80 ", N/A ,$803.55 ,"$3,030.25 ","$2,994.60 ",$803.55 ,"$2,673.75 ","$2,852.00 ","$2,852.00 ",$803.55 ,"$2,852.00 ","$3,101.55 ","$3,101.55 ","$3,101.55 ","$3,208.50 ","$2,049.88 ",$803.55 ,"$3,565.00 ","$1,999.97 ",$803.55 ,"$1,475.91 ", N/A , N/A ,$843.73 ,"$3,030.25 ","$2,245.95 ",$998.20 ,"$3,208.50 ","$3,101.55 ","$2,852.00 ","$2,852.00 ",$803.55 ,"$2,317.25 " ST. FRANCIS HOSPITAL - ACUTE,36060020,N/A,HC OR LEVEL 4 ADDL 15MIN,360,1 ,$891.00 ,$641.52 ,$200.83 ,$891.00 ,$512.33 ,$641.52 ,$484.70 ,$200.83 ,$249.48 ,$592.52 ,$200.83 ,$623.70 ,$200.83 ,$561.33 ,$561.33 ,$200.83 ,$561.33 ,$413.96 ,$819.72 , N/A ,$200.83 ,$757.35 ,$748.44 ,$200.83 ,$668.25 ,$712.80 ,$712.80 ,$200.83 ,$712.80 ,$775.17 ,$775.17 ,$775.17 ,$801.90 ,$512.33 ,$200.83 ,$891.00 ,$499.85 ,$200.83 ,$368.87 , N/A , N/A ,$210.88 ,$757.35 ,$561.33 ,$249.48 ,$801.90 ,$775.17 ,$712.80 ,$712.80 ,$200.83 ,$579.15 ST. FRANCIS HOSPITAL - ACUTE,36060021,N/A,HC OR LEVEL 5 INITIAL 15MIN,360,1 ,"$3,868.00 ","$2,784.96 ",$871.85 ,"$3,868.00 ","$2,224.10 ","$2,784.96 ","$2,104.19 ",$871.85 ,"$1,083.04 ","$2,572.22 ",$871.85 ,"$2,707.60 ",$871.85 ,"$2,436.84 ","$2,436.84 ",$871.85 ,"$2,436.84 ","$1,797.07 ","$3,558.56 ", N/A ,$871.85 ,"$3,287.80 ","$3,249.12 ",$871.85 ,"$2,901.00 ","$3,094.40 ","$3,094.40 ",$871.85 ,"$3,094.40 ","$3,365.16 ","$3,365.16 ","$3,365.16 ","$3,481.20 ","$2,224.10 ",$871.85 ,"$3,868.00 ","$2,169.95 ",$871.85 ,"$1,601.35 ", N/A , N/A ,$915.44 ,"$3,287.80 ","$2,436.84 ","$1,083.04 ","$3,481.20 ","$3,365.16 ","$3,094.40 ","$3,094.40 ",$871.85 ,"$2,514.20 " ST. FRANCIS HOSPITAL - ACUTE,36060022,N/A,HC OR LEVEL 5 ADDL 15MIN,360,1 ,$967.00 ,$696.24 ,$217.96 ,$967.00 ,$556.03 ,$696.24 ,$526.05 ,$217.96 ,$270.76 ,$643.06 ,$217.96 ,$676.90 ,$217.96 ,$609.21 ,$609.21 ,$217.96 ,$609.21 ,$449.27 ,$889.64 , N/A ,$217.96 ,$821.95 ,$812.28 ,$217.96 ,$725.25 ,$773.60 ,$773.60 ,$217.96 ,$773.60 ,$841.29 ,$841.29 ,$841.29 ,$870.30 ,$556.03 ,$217.96 ,$967.00 ,$542.49 ,$217.96 ,$400.34 , N/A , N/A ,$228.86 ,$821.95 ,$609.21 ,$270.76 ,$870.30 ,$841.29 ,$773.60 ,$773.60 ,$217.96 ,$628.55 ST. FRANCIS HOSPITAL - ACUTE,36060023,N/A,HC OR LEVEL 6 INITIAL 15MIN,360,1 ,"$4,170.00 ","$3,002.40 ",$939.92 ,"$4,170.00 ","$2,397.75 ","$3,002.40 ","$2,268.48 ",$939.92 ,"$1,167.60 ","$2,773.05 ",$939.92 ,"$2,919.00 ",$939.92 ,"$2,627.10 ","$2,627.10 ",$939.92 ,"$2,627.10 ","$1,937.38 ","$3,836.40 ", N/A ,$939.92 ,"$3,544.50 ","$3,502.80 ",$939.92 ,"$3,127.50 ","$3,336.00 ","$3,336.00 ",$939.92 ,"$3,336.00 ","$3,627.90 ","$3,627.90 ","$3,627.90 ","$3,753.00 ","$2,397.75 ",$939.92 ,"$4,170.00 ","$2,339.37 ",$939.92 ,"$1,726.38 ", N/A , N/A ,$986.92 ,"$3,544.50 ","$2,627.10 ","$1,167.60 ","$3,753.00 ","$3,627.90 ","$3,336.00 ","$3,336.00 ",$939.92 ,"$2,710.50 " ST. FRANCIS HOSPITAL - ACUTE,36060024,N/A,HC OR LEVEL 6 ADDL 15MIN,360,1 ,"$1,043.00 ",$750.96 ,$235.09 ,"$1,043.00 ",$599.73 ,$750.96 ,$567.39 ,$235.09 ,$292.04 ,$693.60 ,$235.09 ,$730.10 ,$235.09 ,$657.09 ,$657.09 ,$235.09 ,$657.09 ,$484.58 ,$959.56 , N/A ,$235.09 ,$886.55 ,$876.12 ,$235.09 ,$782.25 ,$834.40 ,$834.40 ,$235.09 ,$834.40 ,$907.41 ,$907.41 ,$907.41 ,$938.70 ,$599.73 ,$235.09 ,"$1,043.00 ",$585.12 ,$235.09 ,$431.80 , N/A , N/A ,$246.84 ,$886.55 ,$657.09 ,$292.04 ,$938.70 ,$907.41 ,$834.40 ,$834.40 ,$235.09 ,$677.95 ST. FRANCIS HOSPITAL - ACUTE,36080006,64400,HC NERVE BLOCK TRIGEMINAL,360,1 ,$833.00 ,$599.76 ,$187.76 ,$833.00 ,$478.98 ,$599.76 ,$453.15 ,$187.76 ,$233.24 ,$553.95 ,$187.76 ,$583.10 ,$187.76 ,$524.79 ,$524.79 ,$187.76 ,$524.79 ,$387.01 ,$766.36 ,$679.73 ,$187.76 ,$708.05 ,$699.72 ,$187.76 ,$624.75 ,$666.40 ,$666.40 ,$187.76 ,$666.40 ,$724.71 ,$724.71 ,$724.71 ,$749.70 ,$478.98 ,$187.76 ,$833.00 ,$467.31 ,$187.76 ,$344.86 ,$463.96 ,$442.87 ,$197.15 ,$708.05 ,$524.79 ,$233.24 ,$749.70 ,$724.71 ,$666.40 ,$666.40 ,$187.76 ,$541.45 ST. FRANCIS HOSPITAL - ACUTE,36080008,64417,HC NERVE BLOCK AXILLARY NERVE,360,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,130.45 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$2,130.45 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,36080010,64455,HC INJ ANES AGENT DIGITAL NERVES,360,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,100.00 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ",$679.73 ,$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,36100042,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-BIL,361,1 ,"$1,213.00 ",$873.36 ,$273.41 ,"$1,213.00 ",$697.48 ,$873.36 ,$659.87 ,$273.41 ,$339.64 ,$806.65 ,$273.41 ,$849.10 ,$273.41 ,$764.19 ,$764.19 ,$273.41 ,$764.19 ,$563.56 ,"$1,115.96 ","$1,019.59 ",$273.41 ,"$1,031.05 ","$1,018.92 ",$273.41 ,$909.75 ,$970.40 ,$970.40 ,$273.41 ,$970.40 ,"$1,055.31 ","$1,055.31 ","$1,055.31 ","$1,091.70 ",$697.48 ,$273.41 ,"$1,213.00 ",$680.49 ,$273.41 ,$502.18 ,$512.25 ,$488.96 ,$287.08 ,"$1,031.05 ",$764.19 ,$339.64 ,"$1,091.70 ","$1,055.31 ",$970.40 ,$970.40 ,$273.41 ,$788.45 ST. FRANCIS HOSPITAL - ACUTE,36100043,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-BIL,361,1 ,"$1,366.00 ",$983.52 ,$307.90 ,"$1,366.00 ",$785.45 ,$983.52 ,$743.10 ,$307.90 ,$382.48 ,$908.39 ,$307.90 ,$956.20 ,$307.90 ,$860.58 ,$860.58 ,$307.90 ,$860.58 ,$634.64 ,"$1,256.72 ","$1,019.59 ",$307.90 ,"$1,161.10 ","$1,147.44 ",$307.90 ,"$1,024.50 ","$1,092.80 ","$1,092.80 ",$307.90 ,"$1,092.80 ","$1,188.42 ","$1,188.42 ","$1,188.42 ","$1,229.40 ",$785.45 ,$307.90 ,"$1,366.00 ",$766.33 ,$307.90 ,$565.52 ,$512.25 ,$488.96 ,$323.29 ,"$1,161.10 ",$860.58 ,$382.48 ,"$1,229.40 ","$1,188.42 ","$1,092.80 ","$1,092.80 ",$307.90 ,$887.90 ST. FRANCIS HOSPITAL - ACUTE,36100044,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-BIL,361,1 ,"$1,704.00 ","$1,226.88 ",$384.08 ,"$1,704.00 ",$979.80 ,"$1,226.88 ",$926.98 ,$384.08 ,$477.12 ,"$1,133.16 ",$384.08 ,"$1,192.80 ",$384.08 ,"$1,073.52 ","$1,073.52 ",$384.08 ,"$1,073.52 ",$791.68 ,"$1,567.68 ","$1,019.59 ",$384.08 ,"$1,448.40 ","$1,431.36 ",$384.08 ,"$1,278.00 ","$1,363.20 ","$1,363.20 ",$384.08 ,"$1,363.20 ","$1,482.48 ","$1,482.48 ","$1,482.48 ","$1,533.60 ",$979.80 ,$384.08 ,"$1,704.00 ",$955.94 ,$384.08 ,$705.46 ,$512.25 ,$488.96 ,$403.29 ,"$1,448.40 ","$1,073.52 ",$477.12 ,"$1,533.60 ","$1,482.48 ","$1,363.20 ","$1,363.20 ",$384.08 ,"$1,107.60 " ST. FRANCIS HOSPITAL - ACUTE,36100046,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-LT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$4,314.65 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 ,"$4,314.65 ",$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100047,15271,HC APPL SKIN SUB TAL <100 INIT 25CM-RT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$4,314.65 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 ,"$4,314.65 ",$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100048,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-LT,361,1 ,$320.00 ,$230.40 ,$72.13 ,"$1,671.13 ",$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 , N/A ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$320.00 ,$179.52 ,$72.13 ,$132.48 ,"$1,671.13 ","$1,595.17 ",$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,36100049,15272,HC APPL SKIN SUB TAL <100 ADDL 25CM-RT,361,1 ,$320.00 ,$230.40 ,$72.13 ,"$1,671.13 ",$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 , N/A ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$320.00 ,$179.52 ,$72.13 ,$132.48 ,"$1,671.13 ","$1,595.17 ",$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,36100050,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-LT,361,1 ,"$1,334.00 ",$960.48 ,$300.68 ,"$8,132.60 ",$767.05 ,$960.48 ,$725.70 ,$300.68 ,$373.52 ,$887.11 ,$300.68 ,$933.80 ,$300.68 ,$840.42 ,$840.42 ,$300.68 ,$840.42 ,$619.78 ,"$1,227.28 ","$8,132.60 ",$300.68 ,"$1,133.90 ","$1,120.56 ",$300.68 ,"$1,000.50 ","$1,067.20 ","$1,067.20 ",$300.68 ,"$1,067.20 ","$1,160.58 ","$1,160.58 ","$1,160.58 ","$1,200.60 ",$767.05 ,$300.68 ,"$1,334.00 ",$748.37 ,$300.68 ,$552.28 ,"$1,671.13 ","$1,595.17 ",$315.72 ,"$1,133.90 ",$840.42 ,$373.52 ,"$1,200.60 ","$1,160.58 ","$1,067.20 ","$1,067.20 ",$300.68 ,$867.10 ST. FRANCIS HOSPITAL - ACUTE,36100051,15273,HC APPL SKIN SUB TAL >100 INIT 100CM-RT,361,1 ,"$1,334.00 ",$960.48 ,$300.68 ,"$8,132.60 ",$767.05 ,$960.48 ,$725.70 ,$300.68 ,$373.52 ,$887.11 ,$300.68 ,$933.80 ,$300.68 ,$840.42 ,$840.42 ,$300.68 ,$840.42 ,$619.78 ,"$1,227.28 ","$8,132.60 ",$300.68 ,"$1,133.90 ","$1,120.56 ",$300.68 ,"$1,000.50 ","$1,067.20 ","$1,067.20 ",$300.68 ,"$1,067.20 ","$1,160.58 ","$1,160.58 ","$1,160.58 ","$1,200.60 ",$767.05 ,$300.68 ,"$1,334.00 ",$748.37 ,$300.68 ,$552.28 ,"$1,671.13 ","$1,595.17 ",$315.72 ,"$1,133.90 ",$840.42 ,$373.52 ,"$1,200.60 ","$1,160.58 ","$1,067.20 ","$1,067.20 ",$300.68 ,$867.10 ST. FRANCIS HOSPITAL - ACUTE,36100052,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-LT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$1,671.13 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 , N/A ,$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100053,15274,HC APPL SKIN SUB TAL >100 ADDL 100CM-RT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$1,671.13 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 , N/A ,$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100054,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-LT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$4,314.65 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 ,"$4,314.65 ",$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100055,15275,HC APPL SKIN SUB OTH <100 INIT 25CM-RT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$4,314.65 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 ,"$4,314.65 ",$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100056,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-LT,361,1 ,$320.00 ,$230.40 ,$72.13 ,"$1,671.13 ",$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 , N/A ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$320.00 ,$179.52 ,$72.13 ,$132.48 ,"$1,671.13 ","$1,595.17 ",$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,36100057,15276,HC APPL SKIN SUB OTH <100 ADDL 25CM-RT,361,1 ,$320.00 ,$230.40 ,$72.13 ,"$1,671.13 ",$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 , N/A ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$320.00 ,$179.52 ,$72.13 ,$132.48 ,"$1,671.13 ","$1,595.17 ",$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,36100058,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-LT,361,1 ,"$1,334.00 ",$960.48 ,$300.68 ,"$4,314.65 ",$767.05 ,$960.48 ,$725.70 ,$300.68 ,$373.52 ,$887.11 ,$300.68 ,$933.80 ,$300.68 ,$840.42 ,$840.42 ,$300.68 ,$840.42 ,$619.78 ,"$1,227.28 ","$4,314.65 ",$300.68 ,"$1,133.90 ","$1,120.56 ",$300.68 ,"$1,000.50 ","$1,067.20 ","$1,067.20 ",$300.68 ,"$1,067.20 ","$1,160.58 ","$1,160.58 ","$1,160.58 ","$1,200.60 ",$767.05 ,$300.68 ,"$1,334.00 ",$748.37 ,$300.68 ,$552.28 ,"$1,671.13 ","$1,595.17 ",$315.72 ,"$1,133.90 ",$840.42 ,$373.52 ,"$1,200.60 ","$1,160.58 ","$1,067.20 ","$1,067.20 ",$300.68 ,$867.10 ST. FRANCIS HOSPITAL - ACUTE,36100059,15277,HC APPL SKIN SUB OTH >100 INIT 100CM-RT,361,1 ,"$1,334.00 ",$960.48 ,$300.68 ,"$4,314.65 ",$767.05 ,$960.48 ,$725.70 ,$300.68 ,$373.52 ,$887.11 ,$300.68 ,$933.80 ,$300.68 ,$840.42 ,$840.42 ,$300.68 ,$840.42 ,$619.78 ,"$1,227.28 ","$4,314.65 ",$300.68 ,"$1,133.90 ","$1,120.56 ",$300.68 ,"$1,000.50 ","$1,067.20 ","$1,067.20 ",$300.68 ,"$1,067.20 ","$1,160.58 ","$1,160.58 ","$1,160.58 ","$1,200.60 ",$767.05 ,$300.68 ,"$1,334.00 ",$748.37 ,$300.68 ,$552.28 ,"$1,671.13 ","$1,595.17 ",$315.72 ,"$1,133.90 ",$840.42 ,$373.52 ,"$1,200.60 ","$1,160.58 ","$1,067.20 ","$1,067.20 ",$300.68 ,$867.10 ST. FRANCIS HOSPITAL - ACUTE,36100060,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-LT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$1,671.13 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 , N/A ,$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100061,15278,HC APPL SKIN SUB OTH >100 ADDL 100CM-RT,361,1 ,$875.00 ,$630.00 ,$197.22 ,"$1,671.13 ",$503.13 ,$630.00 ,$476.00 ,$197.22 ,$245.00 ,$581.88 ,$197.22 ,$612.50 ,$197.22 ,$551.25 ,$551.25 ,$197.22 ,$551.25 ,$406.53 ,$805.00 , N/A ,$197.22 ,$743.75 ,$735.00 ,$197.22 ,$656.25 ,$700.00 ,$700.00 ,$197.22 ,$700.00 ,$761.25 ,$761.25 ,$761.25 ,$787.50 ,$503.13 ,$197.22 ,$875.00 ,$490.88 ,$197.22 ,$362.25 ,"$1,671.13 ","$1,595.17 ",$207.08 ,$743.75 ,$551.25 ,$245.00 ,$787.50 ,$761.25 ,$700.00 ,$700.00 ,$197.22 ,$568.75 ST. FRANCIS HOSPITAL - ACUTE,36100063,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-LT,361,1 ,$808.00 ,$581.76 ,$182.12 ,$808.00 ,$464.60 ,$581.76 ,$439.55 ,$182.12 ,$226.24 ,$537.32 ,$182.12 ,$565.60 ,$182.12 ,$509.04 ,$509.04 ,$182.12 ,$509.04 ,$375.40 ,$743.36 ,$679.73 ,$182.12 ,$686.80 ,$678.72 ,$182.12 ,$606.00 ,$646.40 ,$646.40 ,$182.12 ,$646.40 ,$702.96 ,$702.96 ,$702.96 ,$727.20 ,$464.60 ,$182.12 ,$808.00 ,$453.29 ,$182.12 ,$334.51 ,$341.51 ,$325.98 ,$191.23 ,$686.80 ,$509.04 ,$226.24 ,$727.20 ,$702.96 ,$646.40 ,$646.40 ,$182.12 ,$525.20 ST. FRANCIS HOSPITAL - ACUTE,36100064,20600,HC ARTHROCNT/ASP/INJ JNT SMALL W/O US GUID-RT,361,1 ,$808.00 ,$581.76 ,$182.12 ,$808.00 ,$464.60 ,$581.76 ,$439.55 ,$182.12 ,$226.24 ,$537.32 ,$182.12 ,$565.60 ,$182.12 ,$509.04 ,$509.04 ,$182.12 ,$509.04 ,$375.40 ,$743.36 ,$679.73 ,$182.12 ,$686.80 ,$678.72 ,$182.12 ,$606.00 ,$646.40 ,$646.40 ,$182.12 ,$646.40 ,$702.96 ,$702.96 ,$702.96 ,$727.20 ,$464.60 ,$182.12 ,$808.00 ,$453.29 ,$182.12 ,$334.51 ,$341.51 ,$325.98 ,$191.23 ,$686.80 ,$509.04 ,$226.24 ,$727.20 ,$702.96 ,$646.40 ,$646.40 ,$182.12 ,$525.20 ST. FRANCIS HOSPITAL - ACUTE,36100065,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-LT,361,1 ,$911.00 ,$655.92 ,$205.34 ,$911.00 ,$523.83 ,$655.92 ,$495.58 ,$205.34 ,$255.08 ,$605.82 ,$205.34 ,$637.70 ,$205.34 ,$573.93 ,$573.93 ,$205.34 ,$573.93 ,$423.25 ,$838.12 ,$679.73 ,$205.34 ,$774.35 ,$765.24 ,$205.34 ,$683.25 ,$728.80 ,$728.80 ,$205.34 ,$728.80 ,$792.57 ,$792.57 ,$792.57 ,$819.90 ,$523.83 ,$205.34 ,$911.00 ,$511.07 ,$205.34 ,$377.15 ,$341.51 ,$325.98 ,$215.61 ,$774.35 ,$573.93 ,$255.08 ,$819.90 ,$792.57 ,$728.80 ,$728.80 ,$205.34 ,$592.15 ST. FRANCIS HOSPITAL - ACUTE,36100066,20605,HC ARTHROCNT/ASP/INJ JNT INTRM W/O US GUID-RT,361,1 ,$911.00 ,$655.92 ,$205.34 ,$911.00 ,$523.83 ,$655.92 ,$495.58 ,$205.34 ,$255.08 ,$605.82 ,$205.34 ,$637.70 ,$205.34 ,$573.93 ,$573.93 ,$205.34 ,$573.93 ,$423.25 ,$838.12 ,$679.73 ,$205.34 ,$774.35 ,$765.24 ,$205.34 ,$683.25 ,$728.80 ,$728.80 ,$205.34 ,$728.80 ,$792.57 ,$792.57 ,$792.57 ,$819.90 ,$523.83 ,$205.34 ,$911.00 ,$511.07 ,$205.34 ,$377.15 ,$341.51 ,$325.98 ,$215.61 ,$774.35 ,$573.93 ,$255.08 ,$819.90 ,$792.57 ,$728.80 ,$728.80 ,$205.34 ,$592.15 ST. FRANCIS HOSPITAL - ACUTE,36100067,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-LT,361,1 ,"$1,137.00 ",$818.64 ,$256.28 ,"$1,137.00 ",$653.78 ,$818.64 ,$618.53 ,$256.28 ,$318.36 ,$756.11 ,$256.28 ,$795.90 ,$256.28 ,$716.31 ,$716.31 ,$256.28 ,$716.31 ,$528.25 ,"$1,046.04 ",$679.73 ,$256.28 ,$966.45 ,$955.08 ,$256.28 ,$852.75 ,$909.60 ,$909.60 ,$256.28 ,$909.60 ,$989.19 ,$989.19 ,$989.19 ,"$1,023.30 ",$653.78 ,$256.28 ,"$1,137.00 ",$637.86 ,$256.28 ,$470.72 ,$341.51 ,$325.98 ,$269.10 ,$966.45 ,$716.31 ,$318.36 ,"$1,023.30 ",$989.19 ,$909.60 ,$909.60 ,$256.28 ,$739.05 ST. FRANCIS HOSPITAL - ACUTE,36100068,20610,HC ARTHROCNT/ASP/INJ JNT MAJOR W/O US GUID-RT,361,1 ,"$1,137.00 ",$818.64 ,$256.28 ,"$1,137.00 ",$653.78 ,$818.64 ,$618.53 ,$256.28 ,$318.36 ,$756.11 ,$256.28 ,$795.90 ,$256.28 ,$716.31 ,$716.31 ,$256.28 ,$716.31 ,$528.25 ,"$1,046.04 ",$679.73 ,$256.28 ,$966.45 ,$955.08 ,$256.28 ,$852.75 ,$909.60 ,$909.60 ,$256.28 ,$909.60 ,$989.19 ,$989.19 ,$989.19 ,"$1,023.30 ",$653.78 ,$256.28 ,"$1,137.00 ",$637.86 ,$256.28 ,$470.72 ,$341.51 ,$325.98 ,$269.10 ,$966.45 ,$716.31 ,$318.36 ,"$1,023.30 ",$989.19 ,$909.60 ,$909.60 ,$256.28 ,$739.05 ST. FRANCIS HOSPITAL - ACUTE,36100076,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-LT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A ,"$1,452.38 ",$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100077,C5271,HC APPL SKIN SUB TAL LOW <100 INIT 25CM-RT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A ,"$1,452.38 ",$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100078,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$235.44 ,$73.71 ,"$1,671.13 ",$188.03 ,$235.44 ,$177.89 ,$73.71 ,$91.56 ,$217.46 ,$73.71 ,$228.90 ,$73.71 ,$206.01 ,$206.01 ,$73.71 ,$206.01 ,$151.92 , N/A , N/A ,$73.71 ,$277.95 ,$274.68 ,$73.71 ,$245.25 ,$261.60 ,$261.60 ,$73.71 ,$261.60 ,$284.49 ,$284.49 ,$284.49 ,$294.30 ,$188.03 ,$73.71 ,$327.00 ,$183.45 ,$73.71 ,$135.38 ,"$1,671.13 ","$1,595.17 ",$77.39 ,$277.95 ,$206.01 ,$91.56 ,$294.30 ,$284.49 ,$261.60 ,$261.60 ,$73.71 ,$212.55 ST. FRANCIS HOSPITAL - ACUTE,36100079,C5272,HC APPL SKIN SUB TAL LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$235.44 ,$73.71 ,"$1,671.13 ",$188.03 ,$235.44 ,$177.89 ,$73.71 ,$91.56 ,$217.46 ,$73.71 ,$228.90 ,$73.71 ,$206.01 ,$206.01 ,$73.71 ,$206.01 ,$151.92 , N/A , N/A ,$73.71 ,$277.95 ,$274.68 ,$73.71 ,$245.25 ,$261.60 ,$261.60 ,$73.71 ,$261.60 ,$284.49 ,$284.49 ,$284.49 ,$294.30 ,$188.03 ,$73.71 ,$327.00 ,$183.45 ,$73.71 ,$135.38 ,"$1,671.13 ","$1,595.17 ",$77.39 ,$277.95 ,$206.01 ,$91.56 ,$294.30 ,$284.49 ,$261.60 ,$261.60 ,$73.71 ,$212.55 ST. FRANCIS HOSPITAL - ACUTE,36100080,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$979.20 ,$306.54 ,"$4,314.65 ",$782.00 ,$979.20 ,$739.84 ,$306.54 ,$380.80 ,$904.40 ,$306.54 ,$952.00 ,$306.54 ,$856.80 ,$856.80 ,$306.54 ,$856.80 ,$631.86 , N/A ,"$4,314.65 ",$306.54 ,"$1,156.00 ","$1,142.40 ",$306.54 ,"$1,020.00 ","$1,088.00 ","$1,088.00 ",$306.54 ,"$1,088.00 ","$1,183.20 ","$1,183.20 ","$1,183.20 ","$1,224.00 ",$782.00 ,$306.54 ,"$1,360.00 ",$762.96 ,$306.54 ,$563.04 ,"$1,671.13 ","$1,595.17 ",$321.87 ,"$1,156.00 ",$856.80 ,$380.80 ,"$1,224.00 ","$1,183.20 ","$1,088.00 ","$1,088.00 ",$306.54 ,$884.00 ST. FRANCIS HOSPITAL - ACUTE,36100081,C5273,HC APPL SKIN SUB TAL LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$979.20 ,$306.54 ,"$4,314.65 ",$782.00 ,$979.20 ,$739.84 ,$306.54 ,$380.80 ,$904.40 ,$306.54 ,$952.00 ,$306.54 ,$856.80 ,$856.80 ,$306.54 ,$856.80 ,$631.86 , N/A ,"$4,314.65 ",$306.54 ,"$1,156.00 ","$1,142.40 ",$306.54 ,"$1,020.00 ","$1,088.00 ","$1,088.00 ",$306.54 ,"$1,088.00 ","$1,183.20 ","$1,183.20 ","$1,183.20 ","$1,224.00 ",$782.00 ,$306.54 ,"$1,360.00 ",$762.96 ,$306.54 ,$563.04 ,"$1,671.13 ","$1,595.17 ",$321.87 ,"$1,156.00 ",$856.80 ,$380.80 ,"$1,224.00 ","$1,183.20 ","$1,088.00 ","$1,088.00 ",$306.54 ,$884.00 ST. FRANCIS HOSPITAL - ACUTE,36100082,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A , N/A ,$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100083,C5274,HC APPL SKIN SUB TAL LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A , N/A ,$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100084,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-LT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A ,"$1,452.38 ",$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100085,C5275,HC APPL SKIN SUB OTH LOW<100 INIT 25CM-RT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A ,"$1,452.38 ",$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100086,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-LT,361,1 ,$327.00 ,$235.44 ,$73.71 ,"$1,671.13 ",$188.03 ,$235.44 ,$177.89 ,$73.71 ,$91.56 ,$217.46 ,$73.71 ,$228.90 ,$73.71 ,$206.01 ,$206.01 ,$73.71 ,$206.01 ,$151.92 , N/A , N/A ,$73.71 ,$277.95 ,$274.68 ,$73.71 ,$245.25 ,$261.60 ,$261.60 ,$73.71 ,$261.60 ,$284.49 ,$284.49 ,$284.49 ,$294.30 ,$188.03 ,$73.71 ,$327.00 ,$183.45 ,$73.71 ,$135.38 ,"$1,671.13 ","$1,595.17 ",$77.39 ,$277.95 ,$206.01 ,$91.56 ,$294.30 ,$284.49 ,$261.60 ,$261.60 ,$73.71 ,$212.55 ST. FRANCIS HOSPITAL - ACUTE,36100087,C5276,HC APPL SKIN SUB OTH LOW<100 ADDL 25CM-RT,361,1 ,$327.00 ,$235.44 ,$73.71 ,"$1,671.13 ",$188.03 ,$235.44 ,$177.89 ,$73.71 ,$91.56 ,$217.46 ,$73.71 ,$228.90 ,$73.71 ,$206.01 ,$206.01 ,$73.71 ,$206.01 ,$151.92 , N/A , N/A ,$73.71 ,$277.95 ,$274.68 ,$73.71 ,$245.25 ,$261.60 ,$261.60 ,$73.71 ,$261.60 ,$284.49 ,$284.49 ,$284.49 ,$294.30 ,$188.03 ,$73.71 ,$327.00 ,$183.45 ,$73.71 ,$135.38 ,"$1,671.13 ","$1,595.17 ",$77.39 ,$277.95 ,$206.01 ,$91.56 ,$294.30 ,$284.49 ,$261.60 ,$261.60 ,$73.71 ,$212.55 ST. FRANCIS HOSPITAL - ACUTE,36100088,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-LT,361,1 ,"$1,360.00 ",$979.20 ,$306.54 ,"$1,671.13 ",$782.00 ,$979.20 ,$739.84 ,$306.54 ,$380.80 ,$904.40 ,$306.54 ,$952.00 ,$306.54 ,$856.80 ,$856.80 ,$306.54 ,$856.80 ,$631.86 , N/A ,"$1,452.38 ",$306.54 ,"$1,156.00 ","$1,142.40 ",$306.54 ,"$1,020.00 ","$1,088.00 ","$1,088.00 ",$306.54 ,"$1,088.00 ","$1,183.20 ","$1,183.20 ","$1,183.20 ","$1,224.00 ",$782.00 ,$306.54 ,"$1,360.00 ",$762.96 ,$306.54 ,$563.04 ,"$1,671.13 ","$1,595.17 ",$321.87 ,"$1,156.00 ",$856.80 ,$380.80 ,"$1,224.00 ","$1,183.20 ","$1,088.00 ","$1,088.00 ",$306.54 ,$884.00 ST. FRANCIS HOSPITAL - ACUTE,36100089,C5277,HC APPL SKIN SUB OTH LOW>100 INIT 100CM-RT,361,1 ,"$1,360.00 ",$979.20 ,$306.54 ,"$1,671.13 ",$782.00 ,$979.20 ,$739.84 ,$306.54 ,$380.80 ,$904.40 ,$306.54 ,$952.00 ,$306.54 ,$856.80 ,$856.80 ,$306.54 ,$856.80 ,$631.86 , N/A ,"$1,452.38 ",$306.54 ,"$1,156.00 ","$1,142.40 ",$306.54 ,"$1,020.00 ","$1,088.00 ","$1,088.00 ",$306.54 ,"$1,088.00 ","$1,183.20 ","$1,183.20 ","$1,183.20 ","$1,224.00 ",$782.00 ,$306.54 ,"$1,360.00 ",$762.96 ,$306.54 ,$563.04 ,"$1,671.13 ","$1,595.17 ",$321.87 ,"$1,156.00 ",$856.80 ,$380.80 ,"$1,224.00 ","$1,183.20 ","$1,088.00 ","$1,088.00 ",$306.54 ,$884.00 ST. FRANCIS HOSPITAL - ACUTE,36100090,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-LT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A , N/A ,$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100091,C5278,HC APPL SKIN SUB OTH LOW>100 ADDL 100CM-RT,361,1 ,$892.00 ,$642.24 ,$201.06 ,"$1,671.13 ",$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 , N/A , N/A ,$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 ,"$1,671.13 ","$1,595.17 ",$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,36100106,62326,HC INJ W/CATH LUM/SAC W/O GUIDE,361,1 ,"$1,999.00 ","$1,439.28 ",$450.57 ,"$2,130.45 ","$1,149.43 ","$1,439.28 ","$1,087.46 ",$450.57 ,$559.72 ,"$1,329.34 ",$450.57 ,"$1,399.30 ",$450.57 ,"$1,259.37 ","$1,259.37 ",$450.57 ,"$1,259.37 ",$928.74 ,"$1,839.08 ","$2,130.45 ",$450.57 ,"$1,699.15 ","$1,679.16 ",$450.57 ,"$1,499.25 ","$1,599.20 ","$1,599.20 ",$450.57 ,"$1,599.20 ","$1,739.13 ","$1,739.13 ","$1,739.13 ","$1,799.10 ","$1,149.43 ",$450.57 ,"$1,999.00 ","$1,121.44 ",$450.57 ,$827.59 ,$841.45 ,$803.20 ,$473.10 ,"$1,699.15 ","$1,259.37 ",$559.72 ,"$1,799.10 ","$1,739.13 ","$1,599.20 ","$1,599.20 ",$450.57 ,"$1,299.35 " ST. FRANCIS HOSPITAL - ACUTE,36100108,29445,HC APPL CAST LEG RIGID CONTACT -BIL,361,1 ,$965.00 ,$694.80 ,$217.51 ,$965.00 ,$554.88 ,$694.80 ,$524.96 ,$217.51 ,$270.20 ,$641.73 ,$217.51 ,$675.50 ,$217.51 ,$607.95 ,$607.95 ,$217.51 ,$607.95 ,$448.34 ,$887.80 ,$899.66 ,$217.51 ,$820.25 ,$810.60 ,$217.51 ,$723.75 ,$772.00 ,$772.00 ,$217.51 ,$772.00 ,$839.55 ,$839.55 ,$839.55 ,$868.50 ,$554.88 ,$217.51 ,$965.00 ,$541.37 ,$217.51 ,$399.51 ,$514.50 ,$491.12 ,$228.39 ,$820.25 ,$607.95 ,$270.20 ,$868.50 ,$839.55 ,$772.00 ,$772.00 ,$217.51 ,$627.25 ST. FRANCIS HOSPITAL - ACUTE,36100109,29445,HC APPL CAST LEG RIGID CONTACT -LT,361,1 ,$643.00 ,$462.96 ,$144.93 ,$643.00 ,$369.73 ,$462.96 ,$349.79 ,$144.93 ,$180.04 ,$427.60 ,$144.93 ,$450.10 ,$144.93 ,$405.09 ,$405.09 ,$144.93 ,$405.09 ,$298.74 ,$591.56 ,$599.78 ,$144.93 ,$546.55 ,$540.12 ,$144.93 ,$482.25 ,$514.40 ,$514.40 ,$144.93 ,$514.40 ,$559.41 ,$559.41 ,$559.41 ,$578.70 ,$369.73 ,$144.93 ,$643.00 ,$360.72 ,$144.93 ,$266.20 ,$343.00 ,$327.41 ,$152.17 ,$546.55 ,$405.09 ,$180.04 ,$578.70 ,$559.41 ,$514.40 ,$514.40 ,$144.93 ,$417.95 ST. FRANCIS HOSPITAL - ACUTE,36100110,29445,HC APPL CAST LEG RIGID CONTACT -RT,361,1 ,$643.00 ,$462.96 ,$144.93 ,$643.00 ,$369.73 ,$462.96 ,$349.79 ,$144.93 ,$180.04 ,$427.60 ,$144.93 ,$450.10 ,$144.93 ,$405.09 ,$405.09 ,$144.93 ,$405.09 ,$298.74 ,$591.56 ,$599.78 ,$144.93 ,$546.55 ,$540.12 ,$144.93 ,$482.25 ,$514.40 ,$514.40 ,$144.93 ,$514.40 ,$559.41 ,$559.41 ,$559.41 ,$578.70 ,$369.73 ,$144.93 ,$643.00 ,$360.72 ,$144.93 ,$266.20 ,$343.00 ,$327.41 ,$152.17 ,$546.55 ,$405.09 ,$180.04 ,$578.70 ,$559.41 ,$514.40 ,$514.40 ,$144.93 ,$417.95 ST. FRANCIS HOSPITAL - ACUTE,36100146,51720,HC INSTILL ANTICARCINOG BLADDER,361,1 ,$688.00 ,$495.36 ,$155.08 ,"$1,563.35 ",$395.60 ,$495.36 ,$374.27 ,$155.08 ,$192.64 ,$457.52 ,$155.08 ,$481.60 ,$155.08 ,$433.44 ,$433.44 ,$155.08 ,$433.44 ,$319.64 ,$632.96 ,"$1,563.35 ",$155.08 ,$584.80 ,$577.92 ,$155.08 ,$516.00 ,$550.40 ,$550.40 ,$155.08 ,$550.40 ,$598.56 ,$598.56 ,$598.56 ,$619.20 ,$395.60 ,$155.08 ,$688.00 ,$385.97 ,$155.08 ,$284.83 ,"$1,145.13 ","$1,093.08 ",$162.83 ,$584.80 ,$433.44 ,$192.64 ,$619.20 ,$598.56 ,$550.40 ,$550.40 ,$155.08 ,$447.20 ST. FRANCIS HOSPITAL - ACUTE,36100196,64447,HC FEMORAL NERVE BLOCK SINGLE,361,1 ,"$4,268.00 ","$3,072.96 ",$442.87 ,"$4,268.00 ","$2,454.10 ","$3,072.96 ","$2,321.79 ",$962.01 ,"$1,195.04 ","$2,838.22 ",$962.01 ,"$2,987.60 ",$962.01 ,"$2,688.84 ","$2,688.84 ",$962.01 ,"$2,688.84 ","$1,982.91 ","$3,926.56 ","$1,610.85 ",$962.01 ,"$3,627.80 ","$3,585.12 ",$962.01 ,"$3,201.00 ","$3,414.40 ","$3,414.40 ",$962.01 ,"$3,414.40 ","$3,713.16 ","$3,713.16 ","$3,713.16 ","$3,841.20 ","$2,454.10 ",$962.01 ,"$4,268.00 ","$2,394.35 ",$962.01 ,"$1,766.95 ",$463.96 ,$442.87 ,"$1,010.11 ","$3,627.80 ","$2,688.84 ","$1,195.04 ","$3,841.20 ","$3,713.16 ","$3,414.40 ","$3,414.40 ",$962.01 ,"$2,774.20 " ST. FRANCIS HOSPITAL - ACUTE,36100198,64480,HC INJ TRANSF CERV/THORACIC ADDL-LT,361,1 ,$958.00 ,$689.76 ,$215.93 ,$958.00 ,$550.85 ,$689.76 ,$521.15 ,$215.93 ,$268.24 ,$637.07 ,$215.93 ,$670.60 ,$215.93 ,$603.54 ,$603.54 ,$215.93 ,$603.54 ,$445.09 ,$881.36 , N/A ,$215.93 ,$814.30 ,$804.72 ,$215.93 ,$718.50 ,$766.40 ,$766.40 ,$215.93 ,$766.40 ,$833.46 ,$833.46 ,$833.46 ,$862.20 ,$550.85 ,$215.93 ,$958.00 ,$537.44 ,$215.93 ,$396.61 ,$841.45 ,$803.20 ,$226.73 ,$814.30 ,$603.54 ,$268.24 ,$862.20 ,$833.46 ,$766.40 ,$766.40 ,$215.93 ,$622.70 ST. FRANCIS HOSPITAL - ACUTE,36100199,64480,HC INJ TRANSF CERV/THORACIC ADDL-RT,361,1 ,$958.00 ,$689.76 ,$215.93 ,$958.00 ,$550.85 ,$689.76 ,$521.15 ,$215.93 ,$268.24 ,$637.07 ,$215.93 ,$670.60 ,$215.93 ,$603.54 ,$603.54 ,$215.93 ,$603.54 ,$445.09 ,$881.36 , N/A ,$215.93 ,$814.30 ,$804.72 ,$215.93 ,$718.50 ,$766.40 ,$766.40 ,$215.93 ,$766.40 ,$833.46 ,$833.46 ,$833.46 ,$862.20 ,$550.85 ,$215.93 ,$958.00 ,$537.44 ,$215.93 ,$396.61 ,$841.45 ,$803.20 ,$226.73 ,$814.30 ,$603.54 ,$268.24 ,$862.20 ,$833.46 ,$766.40 ,$766.40 ,$215.93 ,$622.70 ST. FRANCIS HOSPITAL - ACUTE,36100232,11103,HC BIOPSY SKIN TANGENTIAL ADDL LESN,361,1 ,$276.00 ,$198.72 ,$62.21 ,$679.87 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 , N/A ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$114.26 ,$679.87 ,$648.96 ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 ,$220.80 ,$220.80 ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,36100233,11105,HC BIOPSY SKIN PUNCH ADDL LESN,361,1 ,$291.00 ,$209.52 ,$65.59 ,$679.87 ,$167.33 ,$209.52 ,$158.30 ,$65.59 ,$81.48 ,$193.52 ,$65.59 ,$203.70 ,$65.59 ,$183.33 ,$183.33 ,$65.59 ,$183.33 ,$135.20 ,$267.72 , N/A ,$65.59 ,$247.35 ,$244.44 ,$65.59 ,$218.25 ,$232.80 ,$232.80 ,$65.59 ,$232.80 ,$253.17 ,$253.17 ,$253.17 ,$261.90 ,$167.33 ,$65.59 ,$291.00 ,$163.25 ,$65.59 ,$120.47 ,$679.87 ,$648.96 ,$68.87 ,$247.35 ,$183.33 ,$81.48 ,$261.90 ,$253.17 ,$232.80 ,$232.80 ,$65.59 ,$189.15 ST. FRANCIS HOSPITAL - ACUTE,36100234,11107,HC BIOPSY SKIN INCISIONAL ADDL LESN,361,1 ,$261.00 ,$187.92 ,$58.83 ,$679.87 ,$150.08 ,$187.92 ,$141.98 ,$58.83 ,$73.08 ,$173.57 ,$58.83 ,$182.70 ,$58.83 ,$164.43 ,$164.43 ,$58.83 ,$164.43 ,$121.26 ,$240.12 , N/A ,$58.83 ,$221.85 ,$219.24 ,$58.83 ,$195.75 ,$208.80 ,$208.80 ,$58.83 ,$208.80 ,$227.07 ,$227.07 ,$227.07 ,$234.90 ,$150.08 ,$58.83 ,$261.00 ,$146.42 ,$58.83 ,$108.05 ,$679.87 ,$648.96 ,$61.77 ,$221.85 ,$164.43 ,$73.08 ,$234.90 ,$227.07 ,$208.80 ,$208.80 ,$58.83 ,$169.65 ST. FRANCIS HOSPITAL - ACUTE,36100235,11102,HC BIOPSY SKIN TANGENTIAL INIT LESN,361,1 ,"$2,500.00 ","$1,800.00 ",$451.45 ,"$2,500.00 ","$1,437.50 ","$1,800.00 ","$1,360.00 ",$563.50 ,$700.00 ,"$1,662.50 ",$563.50 ,"$1,750.00 ",$563.50 ,"$1,575.00 ","$1,575.00 ",$563.50 ,"$1,575.00 ","$1,161.50 ","$2,300.00 ",$451.45 ,$563.50 ,"$2,125.00 ","$2,100.00 ",$563.50 ,"$1,875.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$2,000.00 ","$2,175.00 ","$2,175.00 ","$2,175.00 ","$2,250.00 ","$1,437.50 ",$563.50 ,"$2,500.00 ","$1,402.50 ",$563.50 ,"$1,035.00 ",$679.87 ,$648.96 ,$591.67 ,"$2,125.00 ","$1,575.00 ",$700.00 ,"$2,250.00 ","$2,175.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$1,625.00 " ST. FRANCIS HOSPITAL - ACUTE,36100236,11104,HC BIOPSY SKIN PUNCH INIT LESN,361,1 ,"$2,500.00 ","$1,800.00 ",$563.50 ,"$2,500.00 ","$1,437.50 ","$1,800.00 ","$1,360.00 ",$563.50 ,$700.00 ,"$1,662.50 ",$563.50 ,"$1,750.00 ",$563.50 ,"$1,575.00 ","$1,575.00 ",$563.50 ,"$1,575.00 ","$1,161.50 ","$2,300.00 ",$932.68 ,$563.50 ,"$2,125.00 ","$2,100.00 ",$563.50 ,"$1,875.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$2,000.00 ","$2,175.00 ","$2,175.00 ","$2,175.00 ","$2,250.00 ","$1,437.50 ",$563.50 ,"$2,500.00 ","$1,402.50 ",$563.50 ,"$1,035.00 ",$679.87 ,$648.96 ,$591.67 ,"$2,125.00 ","$1,575.00 ",$700.00 ,"$2,250.00 ","$2,175.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$1,625.00 " ST. FRANCIS HOSPITAL - ACUTE,36100237,11106,HC BIOPSY SKIN INCISIONAL INIT LESN,361,1 ,"$2,500.00 ","$1,800.00 ",$563.50 ,"$2,500.00 ","$1,437.50 ","$1,800.00 ","$1,360.00 ",$563.50 ,$700.00 ,"$1,662.50 ",$563.50 ,"$1,750.00 ",$563.50 ,"$1,575.00 ","$1,575.00 ",$563.50 ,"$1,575.00 ","$1,161.50 ","$2,300.00 ","$1,452.38 ",$563.50 ,"$2,125.00 ","$2,100.00 ",$563.50 ,"$1,875.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$2,000.00 ","$2,175.00 ","$2,175.00 ","$2,175.00 ","$2,250.00 ","$1,437.50 ",$563.50 ,"$2,500.00 ","$1,402.50 ",$563.50 ,"$1,035.00 ",$679.87 ,$648.96 ,$591.67 ,"$2,125.00 ","$1,575.00 ",$700.00 ,"$2,250.00 ","$2,175.00 ","$2,000.00 ","$2,000.00 ",$563.50 ,"$1,625.00 " ST. FRANCIS HOSPITAL - ACUTE,36100247,36573,HC INS PER CV CATH W/O PORT W/GUIDANCE 5>,361,1 ,"$5,013.00 ","$3,609.36 ",$498.97 ,"$5,013.00 ","$2,882.48 ","$3,609.36 ","$2,727.07 ","$1,129.93 ","$1,403.64 ","$3,333.65 ","$1,129.93 ","$3,509.10 ","$1,129.93 ","$3,158.19 ","$3,158.19 ","$1,129.93 ","$3,158.19 ","$2,329.04 ","$4,611.96 ","$3,719.63 ","$1,129.93 ","$4,261.05 ","$4,210.92 ","$1,129.93 ","$3,759.75 ","$4,010.40 ","$4,010.40 ","$1,129.93 ","$4,010.40 ","$4,361.31 ","$4,361.31 ","$4,361.31 ","$4,511.70 ","$2,882.48 ","$1,129.93 ","$5,013.00 ","$2,812.29 ","$1,129.93 ","$2,075.38 ",$522.73 ,$498.97 ,"$1,186.43 ","$4,261.05 ","$3,158.19 ","$1,403.64 ","$4,511.70 ","$4,361.31 ","$4,010.40 ","$4,010.40 ","$1,129.93 ","$3,258.45 " ST. FRANCIS HOSPITAL - ACUTE,36100284,53060,HC DRAIN OF SKENE GLAND ABS OR CYST,450,1 ,"$5,718.00 ","$4,116.96 ","$1,288.84 ","$5,718.00 ","$3,287.85 ","$4,116.96 ","$3,110.59 ","$1,288.84 ","$1,601.04 ","$3,802.47 ","$1,288.84 ","$4,002.60 ","$1,288.84 ","$3,602.34 ","$3,602.34 ","$1,288.84 ","$3,602.34 ","$2,656.58 ","$5,260.56 ","$4,637.20 ","$1,288.84 ","$4,860.30 ","$4,803.12 ","$1,288.84 ","$4,288.50 ","$4,574.40 ","$4,574.40 ","$1,288.84 ","$4,574.40 ","$4,974.66 ","$4,974.66 ","$4,974.66 ","$5,146.20 ","$3,287.85 ","$1,288.84 ","$5,718.00 ","$3,207.80 ","$1,288.84 ","$2,367.25 ", N/A , N/A ,"$1,353.28 ","$4,860.30 ","$3,602.34 ","$1,601.04 ","$5,146.20 ","$4,974.66 ","$4,574.40 ","$4,574.40 ","$1,288.84 ","$3,716.70 " ST. FRANCIS HOSPITAL - ACUTE,37000013,31500,HC INTUBATION ENDOTRACHEAL,361,1 ,$684.00 ,$492.48 ,$154.17 ,$712.59 ,$393.30 ,$492.48 ,$372.10 ,$154.17 ,$191.52 ,$454.86 ,$154.17 ,$478.80 ,$154.17 ,$430.92 ,$430.92 ,$154.17 ,$430.92 ,$317.79 ,$629.28 ,$519.58 ,$154.17 ,$581.40 ,$574.56 ,$154.17 ,$513.00 ,$547.20 ,$547.20 ,$154.17 ,$547.20 ,$595.08 ,$595.08 ,$595.08 ,$615.60 ,$393.30 ,$154.17 ,$684.00 ,$383.72 ,$154.17 ,$283.18 ,$712.59 ,$680.20 ,$161.89 ,$581.40 ,$430.92 ,$191.52 ,$615.60 ,$595.08 ,$547.20 ,$547.20 ,$154.17 ,$444.60 ST. FRANCIS HOSPITAL - ACUTE,37000014,64448,HC FEMORAL NERVE BLOCK CONTINUOUS,370,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,130.45 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$2,130.45 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,37000017,99153,HC MODERATE SEDATION SAME PHY EA ADDL 15MIN,370,1 ,$242.00 ,$174.24 ,$23.75 ,$242.00 ,$139.15 ,$174.24 ,$131.65 ,$54.55 ,$67.76 ,$157.74 ,$54.55 ,$166.04 ,$54.55 ,$152.46 ,$152.46 ,$54.55 ,$152.46 ,$112.43 ,$222.64 , N/A ,$54.55 ,$205.70 ,$203.28 ,$54.55 ,$181.50 ,$193.60 ,$193.60 ,$54.55 ,$193.60 ,$210.54 ,$210.54 ,$210.54 ,$217.80 ,$139.15 ,$54.55 ,$242.00 ,$135.76 ,$54.55 ,$100.19 ,$24.88 ,$23.75 ,$57.27 ,$205.70 ,$152.46 ,$67.76 ,$217.80 ,$210.54 ,$193.60 ,$193.60 ,$54.55 ,$157.30 ST. FRANCIS HOSPITAL - ACUTE,37000020,99157,HC MODERATE SEDATION DIFF PHY EA ADDL 15MIN,370,1 ,$214.00 ,$154.08 ,$23.75 ,$214.00 ,$123.05 ,$154.08 ,$116.42 ,$48.24 ,$59.92 ,$142.31 ,$48.24 ,$149.80 ,$48.24 ,$134.82 ,$134.82 ,$48.24 ,$134.82 ,$99.42 ,$196.88 , N/A ,$48.24 ,$181.90 ,$179.76 ,$48.24 ,$160.50 ,$171.20 ,$171.20 ,$48.24 ,$171.20 ,$186.18 ,$186.18 ,$186.18 ,$192.60 ,$123.05 ,$48.24 ,$200.00 ,$120.05 ,$48.24 ,$88.60 ,$24.88 ,$23.75 ,$50.65 ,$181.90 ,$134.82 ,$59.92 ,$192.60 ,$186.18 ,$171.20 ,$171.20 ,$48.24 ,$139.10 ST. FRANCIS HOSPITAL - ACUTE,37000021,64447,HC FEMORAL NERVE BLOCK SINGLE,370,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,100.00 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$1,610.85 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,37000023,64416,HC INTRASCALENE BLOCK CONTINUOUS,370,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,130.45 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$2,130.45 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,37000024,N/A,HC EPIDURAL NERVE BLOCK,370,1 ,"$1,925.00 ","$1,386.00 ",$433.89 ,"$1,925.00 ","$1,106.88 ","$1,386.00 ","$1,047.20 ",$433.89 ,$539.00 ,"$1,280.13 ",$433.89 ,"$1,347.50 ",$433.89 ,"$1,212.75 ","$1,212.75 ",$433.89 ,"$1,212.75 ",$894.36 ,"$1,771.00 ", N/A ,$433.89 ,"$1,636.25 ","$1,617.00 ",$433.89 ,"$1,443.75 ","$1,540.00 ","$1,540.00 ",$433.89 ,"$1,540.00 ","$1,674.75 ","$1,674.75 ","$1,674.75 ","$1,732.50 ","$1,106.88 ",$433.89 ,"$1,925.00 ","$1,079.93 ",$433.89 ,$796.95 , N/A , N/A ,$455.59 ,"$1,636.25 ","$1,212.75 ",$539.00 ,"$1,732.50 ","$1,674.75 ","$1,540.00 ","$1,540.00 ",$433.89 ,"$1,251.25 " ST. FRANCIS HOSPITAL - ACUTE,37000061,N/A,HC ANESTHESIA GENERAL INITIAL 15MIN,370,1 ,"$3,466.00 ","$2,495.52 ",$781.24 ,"$3,466.00 ","$1,992.95 ","$2,495.52 ","$1,885.50 ",$781.24 ,$970.48 ,"$2,304.89 ",$781.24 ,"$2,426.20 ",$781.24 ,"$2,183.58 ","$2,183.58 ",$781.24 ,"$2,183.58 ","$1,610.30 ","$3,188.72 ", N/A ,$781.24 ,"$2,946.10 ","$2,911.44 ",$781.24 ,"$2,599.50 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,772.80 ","$3,015.42 ","$3,015.42 ","$3,015.42 ","$3,119.40 ","$1,992.95 ",$781.24 ,"$3,466.00 ","$1,944.43 ",$781.24 ,"$1,434.92 ", N/A , N/A ,$820.30 ,"$2,946.10 ","$2,183.58 ",$970.48 ,"$3,119.40 ","$3,015.42 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,252.90 " ST. FRANCIS HOSPITAL - ACUTE,37000062,N/A,HC ANESTHESIA GENERAL ADDL 15MIN,370,1 ,$268.00 ,$192.96 ,$60.41 ,$268.00 ,$154.10 ,$192.96 ,$145.79 ,$60.41 ,$75.04 ,$178.22 ,$60.41 ,$187.60 ,$60.41 ,$168.84 ,$168.84 ,$60.41 ,$168.84 ,$124.51 ,$246.56 , N/A ,$60.41 ,$227.80 ,$225.12 ,$60.41 ,$201.00 ,$214.40 ,$214.40 ,$60.41 ,$214.40 ,$233.16 ,$233.16 ,$233.16 ,$241.20 ,$154.10 ,$60.41 ,$268.00 ,$150.35 ,$60.41 ,$110.95 , N/A , N/A ,$63.43 ,$227.80 ,$168.84 ,$75.04 ,$241.20 ,$233.16 ,$214.40 ,$214.40 ,$60.41 ,$174.20 ST. FRANCIS HOSPITAL - ACUTE,37000063,N/A,HC ANESTHESIA REGIONAL BLOCK INITIAL 15MIN,370,1 ,"$3,466.00 ","$2,495.52 ",$781.24 ,"$3,466.00 ","$1,992.95 ","$2,495.52 ","$1,885.50 ",$781.24 ,$970.48 ,"$2,304.89 ",$781.24 ,"$2,426.20 ",$781.24 ,"$2,183.58 ","$2,183.58 ",$781.24 ,"$2,183.58 ","$1,610.30 ","$3,188.72 ", N/A ,$781.24 ,"$2,946.10 ","$2,911.44 ",$781.24 ,"$2,599.50 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,772.80 ","$3,015.42 ","$3,015.42 ","$3,015.42 ","$3,119.40 ","$1,992.95 ",$781.24 ,"$3,466.00 ","$1,944.43 ",$781.24 ,"$1,434.92 ", N/A , N/A ,$820.30 ,"$2,946.10 ","$2,183.58 ",$970.48 ,"$3,119.40 ","$3,015.42 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,252.90 " ST. FRANCIS HOSPITAL - ACUTE,37000064,N/A,HC ANESTHESIA REGIONAL BLOCK ADDL 15MIN,370,1 ,$268.00 ,$192.96 ,$60.41 ,$268.00 ,$154.10 ,$192.96 ,$145.79 ,$60.41 ,$75.04 ,$178.22 ,$60.41 ,$187.60 ,$60.41 ,$168.84 ,$168.84 ,$60.41 ,$168.84 ,$124.51 ,$246.56 , N/A ,$60.41 ,$227.80 ,$225.12 ,$60.41 ,$201.00 ,$214.40 ,$214.40 ,$60.41 ,$214.40 ,$233.16 ,$233.16 ,$233.16 ,$241.20 ,$154.10 ,$60.41 ,$268.00 ,$150.35 ,$60.41 ,$110.95 , N/A , N/A ,$63.43 ,$227.80 ,$168.84 ,$75.04 ,$241.20 ,$233.16 ,$214.40 ,$214.40 ,$60.41 ,$174.20 ST. FRANCIS HOSPITAL - ACUTE,37000072,99151,HC MODERATE SEDATION SAME PHY <5YR 1ST 15MIN,370,1 ,$918.00 ,$660.96 ,$23.75 ,$918.00 ,$527.85 ,$660.96 ,$499.39 ,$206.92 ,$257.04 ,$361.63 ,$206.92 ,$380.66 ,$206.92 ,$578.34 ,$578.34 ,$206.92 ,$578.34 ,$426.50 ,$844.56 , N/A ,$206.92 ,$780.30 ,$771.12 ,$206.92 ,$688.50 ,$734.40 ,$734.40 ,$206.92 ,$734.40 ,$798.66 ,$798.66 ,$798.66 ,$826.20 ,$527.85 ,$206.92 ,$918.00 ,$515.00 ,$206.92 ,$380.05 ,$24.88 ,$23.75 ,$217.27 ,$780.30 ,$578.34 ,$257.04 ,$826.20 ,$798.66 ,$734.40 ,$734.40 ,$206.92 ,$596.70 ST. FRANCIS HOSPITAL - ACUTE,37000073,99152,HC MODERATE SEDATION SAME PHY >5YR 1ST 15MIN,370,1 ,$918.00 ,$660.96 ,$23.75 ,$918.00 ,$527.85 ,$660.96 ,$499.39 ,$206.92 ,$257.04 ,$187.93 ,$206.92 ,$197.82 ,$206.92 ,$578.34 ,$578.34 ,$206.92 ,$578.34 ,$426.50 ,$844.56 , N/A ,$206.92 ,$780.30 ,$771.12 ,$206.92 ,$688.50 ,$734.40 ,$734.40 ,$206.92 ,$734.40 ,$798.66 ,$798.66 ,$798.66 ,$826.20 ,$527.85 ,$206.92 ,$918.00 ,$515.00 ,$206.92 ,$380.05 ,$24.88 ,$23.75 ,$217.27 ,$780.30 ,$578.34 ,$257.04 ,$826.20 ,$798.66 ,$734.40 ,$734.40 ,$206.92 ,$596.70 ST. FRANCIS HOSPITAL - ACUTE,37000074,99155,HC MODERATE SEDATION DIFF PHY <5YR 1ST 15MIN,370,1 ,$947.00 ,$681.84 ,$23.75 ,$947.00 ,$544.53 ,$681.84 ,$515.17 ,$213.45 ,$265.16 ,$629.76 ,$213.45 ,$662.90 ,$213.45 ,$596.61 ,$596.61 ,$213.45 ,$596.61 ,$439.98 ,$871.24 , N/A ,$213.45 ,$804.95 ,$795.48 ,$213.45 ,$710.25 ,$757.60 ,$757.60 ,$213.45 ,$757.60 ,$823.89 ,$823.89 ,$823.89 ,$852.30 ,$544.53 ,$213.45 ,$947.00 ,$531.27 ,$213.45 ,$392.06 ,$24.88 ,$23.75 ,$224.13 ,$804.95 ,$596.61 ,$265.16 ,$852.30 ,$823.89 ,$757.60 ,$757.60 ,$213.45 ,$615.55 ST. FRANCIS HOSPITAL - ACUTE,37000075,99156,HC MODERATE SEDATION DIFF PHY >5YR 1ST 15MIN,370,1 ,$947.00 ,$681.84 ,$23.75 ,$947.00 ,$544.53 ,$681.84 ,$515.17 ,$213.45 ,$265.16 ,$629.76 ,$213.45 ,$662.90 ,$213.45 ,$596.61 ,$596.61 ,$213.45 ,$596.61 ,$439.98 ,$871.24 , N/A ,$213.45 ,$804.95 ,$795.48 ,$213.45 ,$710.25 ,$757.60 ,$757.60 ,$213.45 ,$757.60 ,$823.89 ,$823.89 ,$823.89 ,$852.30 ,$544.53 ,$213.45 ,$200.00 ,$531.27 ,$213.45 ,$392.06 ,$24.88 ,$23.75 ,$224.13 ,$804.95 ,$596.61 ,$265.16 ,$852.30 ,$823.89 ,$757.60 ,$757.60 ,$213.45 ,$615.55 ST. FRANCIS HOSPITAL - ACUTE,37000076,N/A,HC MONITORED ANESTHESIA INITIAL 15 MINS,370,1 ,"$3,466.00 ","$2,495.52 ",$781.24 ,"$3,466.00 ","$1,992.95 ","$2,495.52 ","$1,885.50 ",$781.24 ,$970.48 ,"$2,304.89 ",$781.24 ,"$2,426.20 ",$781.24 ,"$2,183.58 ","$2,183.58 ",$781.24 ,"$2,183.58 ","$1,610.30 ","$3,188.72 ", N/A ,$781.24 ,"$2,946.10 ","$2,911.44 ",$781.24 ,"$2,599.50 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,772.80 ","$3,015.42 ","$3,015.42 ","$3,015.42 ","$3,119.40 ","$1,992.95 ",$781.24 ,"$3,466.00 ","$1,944.43 ",$781.24 ,"$1,434.92 ", N/A , N/A ,$820.30 ,"$2,946.10 ","$2,183.58 ",$970.48 ,"$3,119.40 ","$3,015.42 ","$2,772.80 ","$2,772.80 ",$781.24 ,"$2,252.90 " ST. FRANCIS HOSPITAL - ACUTE,37000077,N/A,HC MONITORED ANESTHESIA ADDL 15 MINS,370,1 ,$268.00 ,$192.96 ,$60.41 ,$268.00 ,$154.10 ,$192.96 ,$145.79 ,$60.41 ,$75.04 ,$178.22 ,$60.41 ,$187.60 ,$60.41 ,$168.84 ,$168.84 ,$60.41 ,$168.84 ,$124.51 ,$246.56 , N/A ,$60.41 ,$227.80 ,$225.12 ,$60.41 ,$201.00 ,$214.40 ,$214.40 ,$60.41 ,$214.40 ,$233.16 ,$233.16 ,$233.16 ,$241.20 ,$154.10 ,$60.41 ,$268.00 ,$150.35 ,$60.41 ,$110.95 , N/A , N/A ,$63.43 ,$227.80 ,$168.84 ,$75.04 ,$241.20 ,$233.16 ,$214.40 ,$214.40 ,$60.41 ,$174.20 ST. FRANCIS HOSPITAL - ACUTE,37080001,64415,HC INTRASCALENE BLOCK SINGLE,360,1 ,"$2,100.00 ","$1,512.00 ",$442.87 ,"$2,130.45 ","$1,207.50 ","$1,512.00 ","$1,142.40 ",$473.34 ,$588.00 ,"$1,396.50 ",$473.34 ,"$1,470.00 ",$473.34 ,"$1,323.00 ","$1,323.00 ",$473.34 ,"$1,323.00 ",$975.66 ,"$1,932.00 ","$2,130.45 ",$473.34 ,"$1,785.00 ","$1,764.00 ",$473.34 ,"$1,575.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,680.00 ","$1,827.00 ","$1,827.00 ","$1,827.00 ","$1,890.00 ","$1,207.50 ",$473.34 ,"$2,100.00 ","$1,178.10 ",$473.34 ,$869.40 ,$463.96 ,$442.87 ,$497.01 ,"$1,785.00 ","$1,323.00 ",$588.00 ,"$1,890.00 ","$1,827.00 ","$1,680.00 ","$1,680.00 ",$473.34 ,"$1,365.00 " ST. FRANCIS HOSPITAL - ACUTE,39000143,86945,HC BLOOD PRODUCT IRRADIATION,390,1 ,$131.00 ,$94.32 ,$6.30 ,$131.00 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$87.12 ,$29.53 ,$91.70 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$84.90 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$6.60 ,$6.30 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,39000148,P9017,HC FRESH FROZEN PLASMA EA,390,1 ,$123.00 ,$88.56 ,$27.72 ,$700.32 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$213.68 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$700.32 ,$668.48 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,39000151,P9031,HC PLATELETS LEUKO RD EA UNIT,390,1 ,$177.00 ,$127.44 ,$39.90 ,$700.32 ,$101.78 ,$127.44 ,$96.29 ,$39.90 ,$49.56 ,$117.71 ,$39.90 ,$123.90 ,$39.90 ,$111.51 ,$111.51 ,$39.90 ,$111.51 ,$82.23 ,$162.84 ,$327.23 ,$39.90 ,$150.45 ,$148.68 ,$39.90 ,$132.75 ,$141.60 ,$141.60 ,$39.90 ,$141.60 ,$153.99 ,$153.99 ,$153.99 ,$159.30 ,$101.78 ,$39.90 ,$177.00 ,$99.30 ,$39.90 ,$73.28 ,$700.32 ,$668.48 ,$41.89 ,$150.45 ,$111.51 ,$49.56 ,$159.30 ,$153.99 ,$141.60 ,$141.60 ,$39.90 ,$115.05 ST. FRANCIS HOSPITAL - ACUTE,39000152,P9033,HC PLATELETS L/R IRR EA,390,1 ,"$1,283.00 ",$923.76 ,$289.19 ,"$1,283.00 ",$737.73 ,$923.76 ,$697.95 ,$289.19 ,$359.24 ,$853.20 ,$289.19 ,$898.10 ,$289.19 ,$808.29 ,$808.29 ,$289.19 ,$808.29 ,$596.08 ,"$1,180.36 ",$670.90 ,$289.19 ,"$1,090.55 ","$1,077.72 ",$289.19 ,$962.25 ,"$1,026.40 ","$1,026.40 ",$289.19 ,"$1,026.40 ","$1,116.21 ","$1,116.21 ","$1,116.21 ","$1,154.70 ",$737.73 ,$289.19 ,"$1,283.00 ",$719.76 ,$289.19 ,$531.16 ,$700.32 ,$668.48 ,$303.64 ,"$1,090.55 ",$808.29 ,$359.24 ,"$1,154.70 ","$1,116.21 ","$1,026.40 ","$1,026.40 ",$289.19 ,$833.95 ST. FRANCIS HOSPITAL - ACUTE,39000157,P9052,HC PLT APHER/PHER L/R HLA EA,390,1 ,"$1,421.00 ","$1,023.12 ",$320.29 ,"$2,071.40 ",$817.08 ,"$1,023.12 ",$773.02 ,$320.29 ,$397.88 ,$944.97 ,$320.29 ,$994.70 ,$320.29 ,$895.23 ,$895.23 ,$320.29 ,$895.23 ,$660.20 ,"$1,307.32 ","$2,071.40 ",$320.29 ,"$1,207.85 ","$1,193.64 ",$320.29 ,"$1,065.75 ","$1,136.80 ","$1,136.80 ",$320.29 ,"$1,136.80 ","$1,236.27 ","$1,236.27 ","$1,236.27 ","$1,278.90 ",$817.08 ,$320.29 ,"$1,421.00 ",$797.18 ,$320.29 ,$588.29 ,$700.32 ,$668.48 ,$336.31 ,"$1,207.85 ",$895.23 ,$397.88 ,"$1,278.90 ","$1,236.27 ","$1,136.80 ","$1,136.80 ",$320.29 ,$923.65 ST. FRANCIS HOSPITAL - ACUTE,39000160,P9059,HC PLASMA FROZEN 8-24 HRS EA UNIT,390,1 ,$149.00 ,$107.28 ,$33.58 ,$700.32 ,$85.68 ,$107.28 ,$81.06 ,$33.58 ,$41.72 ,$99.09 ,$33.58 ,$104.30 ,$33.58 ,$93.87 ,$93.87 ,$33.58 ,$93.87 ,$69.23 ,$137.08 ,$190.50 ,$33.58 ,$126.65 ,$125.16 ,$33.58 ,$111.75 ,$119.20 ,$119.20 ,$33.58 ,$119.20 ,$129.63 ,$129.63 ,$129.63 ,$134.10 ,$85.68 ,$33.58 ,$149.00 ,$83.59 ,$33.58 ,$61.69 ,$700.32 ,$668.48 ,$35.26 ,$126.65 ,$93.87 ,$41.72 ,$134.10 ,$129.63 ,$119.20 ,$119.20 ,$33.58 ,$96.85 ST. FRANCIS HOSPITAL - ACUTE,39000162,P9012,HC CRYOPRECIPITATE EA UNIT T1,390,1 ,$133.00 ,$95.76 ,$29.98 ,$700.32 ,$76.48 ,$95.76 ,$72.35 ,$29.98 ,$37.24 ,$88.45 ,$29.98 ,$93.10 ,$29.98 ,$83.79 ,$83.79 ,$29.98 ,$83.79 ,$61.79 ,$122.36 ,$185.98 ,$29.98 ,$113.05 ,$111.72 ,$29.98 ,$99.75 ,$106.40 ,$106.40 ,$29.98 ,$106.40 ,$115.71 ,$115.71 ,$115.71 ,$119.70 ,$76.48 ,$29.98 ,$133.00 ,$74.61 ,$29.98 ,$55.06 ,$700.32 ,$668.48 ,$31.48 ,$113.05 ,$83.79 ,$37.24 ,$119.70 ,$115.71 ,$106.40 ,$106.40 ,$29.98 ,$86.45 ST. FRANCIS HOSPITAL - ACUTE,39000164,P9016,HC RED CELLS L/R EA T1,390,1 ,"$1,261.00 ",$907.92 ,$284.23 ,"$1,261.00 ",$725.08 ,$907.92 ,$685.98 ,$284.23 ,$353.08 ,$838.57 ,$284.23 ,$882.70 ,$284.23 ,$794.43 ,$794.43 ,$284.23 ,$794.43 ,$585.86 ,"$1,160.12 ",$473.03 ,$284.23 ,"$1,071.85 ","$1,059.24 ",$284.23 ,$945.75 ,"$1,008.80 ","$1,008.80 ",$284.23 ,"$1,008.80 ","$1,097.07 ","$1,097.07 ","$1,097.07 ","$1,134.90 ",$725.08 ,$284.23 ,"$1,261.00 ",$707.42 ,$284.23 ,$522.05 ,$700.32 ,$668.48 ,$298.44 ,"$1,071.85 ",$794.43 ,$353.08 ,"$1,134.90 ","$1,097.07 ","$1,008.80 ","$1,008.80 ",$284.23 ,$819.65 ST. FRANCIS HOSPITAL - ACUTE,39000173,P9035,HC PLATELETS PHER L/R EA T1,390,1 ,"$1,220.00 ",$878.40 ,$274.99 ,"$1,220.00 ",$701.50 ,$878.40 ,$663.68 ,$274.99 ,$341.60 ,$811.30 ,$274.99 ,$854.00 ,$274.99 ,$768.60 ,$768.60 ,$274.99 ,$768.60 ,$566.81 ,"$1,122.40 ","$1,214.15 ",$274.99 ,"$1,037.00 ","$1,024.80 ",$274.99 ,$915.00 ,$976.00 ,$976.00 ,$274.99 ,$976.00 ,"$1,061.40 ","$1,061.40 ","$1,061.40 ","$1,098.00 ",$701.50 ,$274.99 ,"$1,220.00 ",$684.42 ,$274.99 ,$505.08 ,$700.32 ,$668.48 ,$288.74 ,"$1,037.00 ",$768.60 ,$341.60 ,"$1,098.00 ","$1,061.40 ",$976.00 ,$976.00 ,$274.99 ,$793.00 ST. FRANCIS HOSPITAL - ACUTE,39000179,P9037,HC PLATELETS PHER L/R IRR EA T1,390,1 ,"$1,283.00 ",$923.76 ,$289.19 ,"$1,595.48 ",$737.73 ,$923.76 ,$697.95 ,$289.19 ,$359.24 ,$853.20 ,$289.19 ,$898.10 ,$289.19 ,$808.29 ,$808.29 ,$289.19 ,$808.29 ,$596.08 ,"$1,180.36 ","$1,595.48 ",$289.19 ,"$1,090.55 ","$1,077.72 ",$289.19 ,$962.25 ,"$1,026.40 ","$1,026.40 ",$289.19 ,"$1,026.40 ","$1,116.21 ","$1,116.21 ","$1,116.21 ","$1,154.70 ",$737.73 ,$289.19 ,"$1,283.00 ",$719.76 ,$289.19 ,$531.16 ,$700.32 ,$668.48 ,$303.64 ,"$1,090.55 ",$808.29 ,$359.24 ,"$1,154.70 ","$1,116.21 ","$1,026.40 ","$1,026.40 ",$289.19 ,$833.95 ST. FRANCIS HOSPITAL - ACUTE,39000187,P9040,HC RED CELLS L/R IRR EA T1,390,1 ,"$1,327.00 ",$955.44 ,$299.11 ,"$1,327.00 ",$763.03 ,$955.44 ,$721.89 ,$299.11 ,$371.56 ,$882.46 ,$299.11 ,$928.90 ,$299.11 ,$836.01 ,$836.01 ,$299.11 ,$836.01 ,$616.52 ,"$1,220.84 ",$647.80 ,$299.11 ,"$1,127.95 ","$1,114.68 ",$299.11 ,$995.25 ,"$1,061.60 ","$1,061.60 ",$299.11 ,"$1,061.60 ","$1,154.49 ","$1,154.49 ","$1,154.49 ","$1,194.30 ",$763.03 ,$299.11 ,"$1,327.00 ",$744.45 ,$299.11 ,$549.38 ,$700.32 ,$668.48 ,$314.06 ,"$1,127.95 ",$836.01 ,$371.56 ,"$1,194.30 ","$1,154.49 ","$1,061.60 ","$1,061.60 ",$299.11 ,$862.55 ST. FRANCIS HOSPITAL - ACUTE,39000193,P9054,HC BLOOD L/R DEG WASH EA UN T1,390,1 ,$729.00 ,$524.88 ,$164.32 ,$742.20 ,$419.18 ,$524.88 ,$396.58 ,$164.32 ,$204.12 ,$484.79 ,$164.32 ,$510.30 ,$164.32 ,$459.27 ,$459.27 ,$164.32 ,$459.27 ,$338.69 ,$670.68 ,$742.20 ,$164.32 ,$619.65 ,$612.36 ,$164.32 ,$546.75 ,$583.20 ,$583.20 ,$164.32 ,$583.20 ,$634.23 ,$634.23 ,$634.23 ,$656.10 ,$419.18 ,$164.32 ,$729.00 ,$408.97 ,$164.32 ,$301.81 ,$700.32 ,$668.48 ,$172.53 ,$619.65 ,$459.27 ,$204.12 ,$656.10 ,$634.23 ,$583.20 ,$583.20 ,$164.32 ,$473.85 ST. FRANCIS HOSPITAL - ACUTE,39100001,36430,HC BLOOD PROD ADMIN,391,1 ,"$1,690.00 ","$1,216.80 ",$380.93 ,"$1,690.00 ",$971.75 ,"$1,216.80 ",$919.36 ,$380.93 ,$473.20 ,"$1,123.85 ",$380.93 ,"$1,183.00 ",$380.93 ,"$1,064.70 ","$1,064.70 ",$380.93 ,"$1,064.70 ",$785.17 ,"$1,554.80 ","$1,019.38 ",$380.93 ,"$1,436.50 ","$1,419.60 ",$380.93 ,"$1,267.50 ","$1,352.00 ","$1,352.00 ",$380.93 ,"$1,352.00 ","$1,470.30 ","$1,470.30 ","$1,470.30 ","$1,521.00 ",$971.75 ,$380.93 ,"$1,690.00 ",$948.09 ,$380.93 ,$699.66 ,$700.32 ,$668.48 ,$399.98 ,"$1,436.50 ","$1,064.70 ",$473.20 ,"$1,521.00 ","$1,470.30 ","$1,352.00 ","$1,352.00 ",$380.93 ,"$1,098.50 " ST. FRANCIS HOSPITAL - ACUTE,40100003,77066,HC MAMMOGRAM DIAG BILAT W/CAD,401,1 ,$705.00 ,$507.60 ,$69.57 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 ,$263.83 ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$117.23 ,$395.51 ,$158.91 ,$291.87 ,$72.89 ,$69.57 ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,40100004,77066,HC MAMMOGRAM DIAG BILAT W/CAD ADDNT VIEW,401,1 ,$705.00 ,$507.60 ,$69.57 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 ,$263.83 ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$117.23 ,$395.51 ,$158.91 ,$291.87 ,$72.89 ,$69.57 ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,40100005,77066,HC MAMMOGRAM DIAG BILAT W/CAD IMPLANT,401,1 ,$705.00 ,$507.60 ,$69.57 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 ,$263.83 ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$117.23 ,$395.51 ,$158.91 ,$291.87 ,$72.89 ,$69.57 ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,40100006,77066,HC MAMMOGRAM DIAG W/CAD UPGRADE BIL,401,1 ,$705.00 ,$507.60 ,$69.57 ,$705.00 ,$405.38 ,$507.60 ,$383.52 ,$158.91 ,$197.40 ,$468.83 ,$158.91 ,$493.50 ,$158.91 ,$444.15 ,$444.15 ,$158.91 ,$444.15 ,$327.54 ,$648.60 ,$263.83 ,$158.91 ,$599.25 ,$592.20 ,$158.91 ,$528.75 ,$564.00 ,$564.00 ,$158.91 ,$564.00 ,$613.35 ,$613.35 ,$613.35 ,$634.50 ,$405.38 ,$158.91 ,$117.23 ,$395.51 ,$158.91 ,$291.87 ,$72.89 ,$69.57 ,$166.85 ,$599.25 ,$444.15 ,$197.40 ,$634.50 ,$613.35 ,$564.00 ,$564.00 ,$158.91 ,$458.25 ST. FRANCIS HOSPITAL - ACUTE,40100007,77065,HC MAMMOGRAM DIAG UNIL W/CAD,401,1 ,$495.00 ,$356.40 ,$69.57 ,$495.00 ,$284.63 ,$356.40 ,$269.28 ,$111.57 ,$138.60 ,$329.18 ,$111.57 ,$346.50 ,$111.57 ,$311.85 ,$311.85 ,$111.57 ,$311.85 ,$229.98 ,$455.40 ,$207.10 ,$111.57 ,$420.75 ,$415.80 ,$111.57 ,$371.25 ,$396.00 ,$396.00 ,$111.57 ,$396.00 ,$430.65 ,$430.65 ,$430.65 ,$445.50 ,$284.63 ,$111.57 ,$92.02 ,$277.70 ,$111.57 ,$204.93 ,$72.89 ,$69.57 ,$117.15 ,$420.75 ,$311.85 ,$138.60 ,$445.50 ,$430.65 ,$396.00 ,$396.00 ,$111.57 ,$321.75 ST. FRANCIS HOSPITAL - ACUTE,40100008,77065,HC MAMMOGRAM DIAG UNIL W/CAD ADDNT VIEW,401,1 ,$495.00 ,$356.40 ,$69.57 ,$495.00 ,$284.63 ,$356.40 ,$269.28 ,$111.57 ,$138.60 ,$329.18 ,$111.57 ,$346.50 ,$111.57 ,$311.85 ,$311.85 ,$111.57 ,$311.85 ,$229.98 ,$455.40 ,$207.10 ,$111.57 ,$420.75 ,$415.80 ,$111.57 ,$371.25 ,$396.00 ,$396.00 ,$111.57 ,$396.00 ,$430.65 ,$430.65 ,$430.65 ,$445.50 ,$284.63 ,$111.57 ,$92.02 ,$277.70 ,$111.57 ,$204.93 ,$72.89 ,$69.57 ,$117.15 ,$420.75 ,$311.85 ,$138.60 ,$445.50 ,$430.65 ,$396.00 ,$396.00 ,$111.57 ,$321.75 ST. FRANCIS HOSPITAL - ACUTE,40100009,77065,HC MAMMOGRAM DIAG UNIL W/CAD IMPLANT,401,1 ,$495.00 ,$356.40 ,$69.57 ,$495.00 ,$284.63 ,$356.40 ,$269.28 ,$111.57 ,$138.60 ,$329.18 ,$111.57 ,$346.50 ,$111.57 ,$311.85 ,$311.85 ,$111.57 ,$311.85 ,$229.98 ,$455.40 ,$207.10 ,$111.57 ,$420.75 ,$415.80 ,$111.57 ,$371.25 ,$396.00 ,$396.00 ,$111.57 ,$396.00 ,$430.65 ,$430.65 ,$430.65 ,$445.50 ,$284.63 ,$111.57 ,$92.02 ,$277.70 ,$111.57 ,$204.93 ,$72.89 ,$69.57 ,$117.15 ,$420.75 ,$311.85 ,$138.60 ,$445.50 ,$430.65 ,$396.00 ,$396.00 ,$111.57 ,$321.75 ST. FRANCIS HOSPITAL - ACUTE,40100010,77065,HC MAMMOGRAM DIAG UNIL W/CAD UPGRADE,401,1 ,$495.00 ,$356.40 ,$69.57 ,$495.00 ,$284.63 ,$356.40 ,$269.28 ,$111.57 ,$138.60 ,$329.18 ,$111.57 ,$346.50 ,$111.57 ,$311.85 ,$311.85 ,$111.57 ,$311.85 ,$229.98 ,$455.40 ,$207.10 ,$111.57 ,$420.75 ,$415.80 ,$111.57 ,$371.25 ,$396.00 ,$396.00 ,$111.57 ,$396.00 ,$430.65 ,$430.65 ,$430.65 ,$445.50 ,$284.63 ,$111.57 ,$92.02 ,$277.70 ,$111.57 ,$204.93 ,$72.89 ,$69.57 ,$117.15 ,$420.75 ,$311.85 ,$138.60 ,$445.50 ,$430.65 ,$396.00 ,$396.00 ,$111.57 ,$321.75 ST. FRANCIS HOSPITAL - ACUTE,40100014,G0279,HC DIAGNOSTIC DIGITAL BREAST TOMOSYTH UNI/BIL,401,1 ,$107.00 ,$77.04 ,$24.12 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$56.73 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$25.20 ,$60.03 ,$24.12 ,$44.30 ,$72.89 ,$69.57 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,40200007,51798,HC US BLADDER SCAN,402,1 ,"$1,195.00 ",$860.40 ,$120.26 ,"$1,195.00 ",$687.13 ,$860.40 ,$650.08 ,$269.35 ,$334.60 ,$794.68 ,$269.35 ,$836.50 ,$269.35 ,$752.85 ,$752.85 ,$269.35 ,$752.85 ,$555.20 ,$800.00 ,$143.70 ,$269.35 ,"$1,015.75 ","$1,003.80 ",$269.35 ,$896.25 ,$956.00 ,$956.00 ,$269.35 ,$956.00 ,"$1,039.65 ","$1,039.65 ","$1,039.65 ","$1,075.50 ",$687.13 ,$269.35 ,"$1,195.00 ",$670.40 ,$269.35 ,$494.73 ,$125.98 ,$120.26 ,$282.82 ,"$1,015.75 ",$752.85 ,$334.60 ,"$1,075.50 ","$1,039.65 ",$956.00 ,$956.00 ,$269.35 ,$776.75 ST. FRANCIS HOSPITAL - ACUTE,40200013,76536,HC US SOFT TISSUE HEAD/NECK,402,1 ,$903.00 ,$650.16 ,$153.17 ,$903.00 ,$519.23 ,$650.16 ,$491.23 ,$203.54 ,$252.84 ,$600.50 ,$203.54 ,$632.10 ,$203.54 ,$568.89 ,$568.89 ,$203.54 ,$568.89 ,$419.53 ,$800.00 ,$267.20 ,$203.54 ,$767.55 ,$758.52 ,$203.54 ,$677.25 ,$722.40 ,$722.40 ,$203.54 ,$722.40 ,$785.61 ,$785.61 ,$785.61 ,$812.70 ,$519.23 ,$203.54 ,$903.00 ,$506.58 ,$203.54 ,$373.84 ,$160.47 ,$153.17 ,$213.71 ,$767.55 ,$568.89 ,$252.84 ,$812.70 ,$785.61 ,$722.40 ,$722.40 ,$203.54 ,$586.95 ST. FRANCIS HOSPITAL - ACUTE,40200014,76604,HC US CHEST,402,1 ,"$1,045.00 ",$752.40 ,$153.17 ,"$1,045.00 ",$600.88 ,$752.40 ,$568.48 ,$235.54 ,$292.60 ,$694.93 ,$235.54 ,$731.50 ,$235.54 ,$658.35 ,$658.35 ,$235.54 ,$658.35 ,$485.51 ,$800.00 ,$267.20 ,$235.54 ,$888.25 ,$877.80 ,$235.54 ,$783.75 ,$836.00 ,$836.00 ,$235.54 ,$836.00 ,$909.15 ,$909.15 ,$909.15 ,$940.50 ,$600.88 ,$235.54 ,"$1,045.00 ",$586.25 ,$235.54 ,$432.63 ,$160.47 ,$153.17 ,$247.32 ,$888.25 ,$658.35 ,$292.60 ,$940.50 ,$909.15 ,$836.00 ,$836.00 ,$235.54 ,$679.25 ST. FRANCIS HOSPITAL - ACUTE,40200015,76641,HC US BREAST COMPLETE,402,1 ,"$1,120.00 ",$806.40 ,$72.77 ,"$1,120.00 ",$644.00 ,$806.40 ,$609.28 ,$252.45 ,$313.60 ,$744.80 ,$252.45 ,$784.00 ,$252.45 ,$705.60 ,$705.60 ,$252.45 ,$705.60 ,$520.35 ,$800.00 ,$267.20 ,$252.45 ,$952.00 ,$940.80 ,$252.45 ,$840.00 ,$896.00 ,$896.00 ,$252.45 ,$896.00 ,$974.40 ,$974.40 ,$974.40 ,"$1,008.00 ",$644.00 ,$252.45 ,$72.77 ,$628.32 ,$252.45 ,$463.68 ,$160.47 ,$153.17 ,$265.07 ,$952.00 ,$705.60 ,$313.60 ,"$1,008.00 ",$974.40 ,$896.00 ,$896.00 ,$252.45 ,$728.00 ST. FRANCIS HOSPITAL - ACUTE,40200016,76642,HC US BREAST LIMITED,402,1 ,"$1,024.00 ",$737.28 ,$55.97 ,"$1,024.00 ",$588.80 ,$737.28 ,$557.06 ,$230.81 ,$286.72 ,$680.96 ,$230.81 ,$716.80 ,$230.81 ,$645.12 ,$645.12 ,$230.81 ,$645.12 ,$475.75 ,$800.00 ,$217.20 ,$230.81 ,$870.40 ,$860.16 ,$230.81 ,$768.00 ,$819.20 ,$819.20 ,$230.81 ,$819.20 ,$890.88 ,$890.88 ,$890.88 ,$921.60 ,$588.80 ,$230.81 ,$55.97 ,$574.46 ,$230.81 ,$423.94 ,$160.47 ,$153.17 ,$242.35 ,$870.40 ,$645.12 ,$286.72 ,$921.60 ,$890.88 ,$819.20 ,$819.20 ,$230.81 ,$665.60 ST. FRANCIS HOSPITAL - ACUTE,40200017,76700,HC US ABDOMEN CMPL,402,1 ,"$1,566.00 ","$1,127.52 ",$153.17 ,"$1,566.00 ",$900.45 ,"$1,127.52 ",$851.90 ,$352.98 ,$438.48 ,"$1,041.39 ",$352.98 ,"$1,096.20 ",$352.98 ,$986.58 ,$986.58 ,$352.98 ,$986.58 ,$727.56 ,$800.00 ,$267.20 ,$352.98 ,"$1,331.10 ","$1,315.44 ",$352.98 ,"$1,174.50 ","$1,252.80 ","$1,252.80 ",$352.98 ,"$1,252.80 ","$1,362.42 ","$1,362.42 ","$1,362.42 ","$1,409.40 ",$900.45 ,$352.98 ,"$1,566.00 ",$878.53 ,$352.98 ,$648.32 ,$160.47 ,$153.17 ,$370.63 ,"$1,331.10 ",$986.58 ,$438.48 ,"$1,409.40 ","$1,362.42 ","$1,252.80 ","$1,252.80 ",$352.98 ,"$1,017.90 " ST. FRANCIS HOSPITAL - ACUTE,40200018,76705,HC US ABDOMEN LTD,402,1 ,"$1,407.00 ","$1,013.04 ",$153.17 ,"$1,407.00 ",$809.03 ,"$1,013.04 ",$765.41 ,$317.14 ,$393.96 ,$935.66 ,$317.14 ,$984.90 ,$317.14 ,$886.41 ,$886.41 ,$317.14 ,$886.41 ,$653.69 ,$800.00 ,$267.20 ,$317.14 ,"$1,195.95 ","$1,181.88 ",$317.14 ,"$1,055.25 ","$1,125.60 ","$1,125.60 ",$317.14 ,"$1,125.60 ","$1,224.09 ","$1,224.09 ","$1,224.09 ","$1,266.30 ",$809.03 ,$317.14 ,"$1,407.00 ",$789.33 ,$317.14 ,$582.50 ,$160.47 ,$153.17 ,$332.99 ,"$1,195.95 ",$886.41 ,$393.96 ,"$1,266.30 ","$1,224.09 ","$1,125.60 ","$1,125.60 ",$317.14 ,$914.55 ST. FRANCIS HOSPITAL - ACUTE,40200019,76770,HC US RETROPERITIONEAL,402,1 ,"$1,424.00 ","$1,025.28 ",$153.17 ,"$1,424.00 ",$818.80 ,"$1,025.28 ",$774.66 ,$320.97 ,$398.72 ,$946.96 ,$320.97 ,$996.80 ,$320.97 ,$897.12 ,$897.12 ,$320.97 ,$897.12 ,$661.59 ,$800.00 ,$267.20 ,$320.97 ,"$1,210.40 ","$1,196.16 ",$320.97 ,"$1,068.00 ","$1,139.20 ","$1,139.20 ",$320.97 ,"$1,139.20 ","$1,238.88 ","$1,238.88 ","$1,238.88 ","$1,281.60 ",$818.80 ,$320.97 ,"$1,424.00 ",$798.86 ,$320.97 ,$589.54 ,$160.47 ,$153.17 ,$337.02 ,"$1,210.40 ",$897.12 ,$398.72 ,"$1,281.60 ","$1,238.88 ","$1,139.20 ","$1,139.20 ",$320.97 ,$925.60 ST. FRANCIS HOSPITAL - ACUTE,40200020,76775,HC US RETROPERITONEAL LTD,402,1 ,"$1,109.00 ",$798.48 ,$153.17 ,"$1,109.00 ",$637.68 ,$798.48 ,$603.30 ,$249.97 ,$310.52 ,$665.26 ,$249.97 ,$697.45 ,$249.97 ,$698.67 ,$698.67 ,$249.97 ,$698.67 ,$515.24 ,$800.00 ,$267.20 ,$249.97 ,$942.65 ,$931.56 ,$249.97 ,$831.75 ,$887.20 ,$887.20 ,$249.97 ,$887.20 ,$964.83 ,$964.83 ,$964.83 ,$998.10 ,$637.68 ,$249.97 ,"$1,109.00 ",$622.15 ,$249.97 ,$459.13 ,$160.47 ,$153.17 ,$262.46 ,$942.65 ,$698.67 ,$310.52 ,$998.10 ,$964.83 ,$887.20 ,$887.20 ,$249.97 ,$720.85 ST. FRANCIS HOSPITAL - ACUTE,40200021,76776,HC US KIDNEY TRANSPLANT W/DOPPLER,402,1 ,"$1,412.00 ","$1,016.64 ",$153.17 ,"$1,412.00 ",$811.90 ,"$1,016.64 ",$768.13 ,$318.26 ,$395.36 ,$938.98 ,$318.26 ,$988.40 ,$318.26 ,$889.56 ,$889.56 ,$318.26 ,$889.56 ,$656.02 ,$800.00 ,$267.20 ,$318.26 ,"$1,200.20 ","$1,186.08 ",$318.26 ,"$1,059.00 ","$1,129.60 ","$1,129.60 ",$318.26 ,"$1,129.60 ","$1,228.44 ","$1,228.44 ","$1,228.44 ","$1,270.80 ",$811.90 ,$318.26 ,"$1,412.00 ",$792.13 ,$318.26 ,$584.57 ,$160.47 ,$153.17 ,$334.18 ,"$1,200.20 ",$889.56 ,$395.36 ,"$1,270.80 ","$1,228.44 ","$1,129.60 ","$1,129.60 ",$318.26 ,$917.80 ST. FRANCIS HOSPITAL - ACUTE,40200023,76801,HC US PREGNANCY <14 WEEKS SGL,402,1 ,"$1,133.00 ",$815.76 ,$255.38 ,"$1,133.00 ",$651.48 ,$815.76 ,$616.35 ,$255.38 ,$317.24 ,$753.45 ,$255.38 ,$793.10 ,$255.38 ,$713.79 ,$713.79 ,$255.38 ,$713.79 ,$526.39 ,$800.00 ,$267.20 ,$255.38 ,$963.05 ,$951.72 ,$255.38 ,$849.75 ,$906.40 ,$906.40 ,$255.38 ,$906.40 ,$985.71 ,$985.71 ,$985.71 ,"$1,019.70 ",$651.48 ,$255.38 ,"$1,133.00 ",$635.61 ,$255.38 ,$469.06 , N/A , N/A ,$268.15 ,$963.05 ,$713.79 ,$317.24 ,"$1,019.70 ",$985.71 ,$906.40 ,$906.40 ,$255.38 ,$736.45 ST. FRANCIS HOSPITAL - ACUTE,40200024,76802,HC US PREGNANCY <14 WEEKS ADDL,402,1 ,$435.00 ,$313.20 ,$98.05 ,$435.00 ,$250.13 ,$313.20 ,$236.64 ,$98.05 ,$121.80 ,$289.28 ,$98.05 ,$304.50 ,$98.05 ,$274.05 ,$274.05 ,$98.05 ,$274.05 ,$202.10 ,$400.20 , N/A ,$98.05 ,$369.75 ,$365.40 ,$98.05 ,$326.25 ,$348.00 ,$348.00 ,$98.05 ,$348.00 ,$378.45 ,$378.45 ,$378.45 ,$391.50 ,$250.13 ,$98.05 ,$435.00 ,$244.04 ,$98.05 ,$180.09 , N/A , N/A ,$102.95 ,$369.75 ,$274.05 ,$121.80 ,$391.50 ,$378.45 ,$348.00 ,$348.00 ,$98.05 ,$282.75 ST. FRANCIS HOSPITAL - ACUTE,40200025,76805,HC US PREGNANCY >14 WEEKS SGL,402,1 ,$989.00 ,$712.08 ,$222.92 ,$989.00 ,$568.68 ,$712.08 ,$538.02 ,$222.92 ,$276.92 ,$657.69 ,$222.92 ,$692.30 ,$222.92 ,$623.07 ,$623.07 ,$222.92 ,$623.07 ,$459.49 ,$800.00 ,$267.20 ,$222.92 ,$840.65 ,$830.76 ,$222.92 ,$741.75 ,$791.20 ,$791.20 ,$222.92 ,$791.20 ,$860.43 ,$860.43 ,$860.43 ,$890.10 ,$568.68 ,$222.92 ,$989.00 ,$554.83 ,$222.92 ,$409.45 , N/A , N/A ,$234.06 ,$840.65 ,$623.07 ,$276.92 ,$890.10 ,$860.43 ,$791.20 ,$791.20 ,$222.92 ,$642.85 ST. FRANCIS HOSPITAL - ACUTE,40200027,76810,HC US PREGNANCY >14 WEEKS ADDL,402,1 ,"$1,509.00 ","$1,086.48 ",$340.13 ,"$1,509.00 ",$867.68 ,"$1,086.48 ",$820.90 ,$340.13 ,$422.52 ,$775.74 ,$340.13 ,$813.28 ,$340.13 ,$950.67 ,$950.67 ,$340.13 ,$950.67 ,$701.08 ,$800.00 , N/A ,$340.13 ,"$1,282.65 ","$1,267.56 ",$340.13 ,"$1,131.75 ","$1,207.20 ","$1,207.20 ",$340.13 ,"$1,207.20 ","$1,312.83 ","$1,312.83 ","$1,312.83 ","$1,358.10 ",$867.68 ,$340.13 ,"$1,509.00 ",$846.55 ,$340.13 ,$624.73 , N/A , N/A ,$357.13 ,"$1,282.65 ",$950.67 ,$422.52 ,"$1,358.10 ","$1,312.83 ","$1,207.20 ","$1,207.20 ",$340.13 ,$980.85 ST. FRANCIS HOSPITAL - ACUTE,40200028,76811,HC US PREGNANCY DETAILED SGL,402,1 ,"$1,259.00 ",$906.48 ,$283.78 ,"$1,259.00 ",$723.93 ,$906.48 ,$684.90 ,$283.78 ,$352.52 ,$837.24 ,$283.78 ,$881.30 ,$283.78 ,$793.17 ,$793.17 ,$283.78 ,$793.17 ,$584.93 ,$800.00 ,$583.80 ,$283.78 ,"$1,070.15 ","$1,057.56 ",$283.78 ,$944.25 ,"$1,007.20 ","$1,007.20 ",$283.78 ,"$1,007.20 ","$1,095.33 ","$1,095.33 ","$1,095.33 ","$1,133.10 ",$723.93 ,$283.78 ,"$1,259.00 ",$706.30 ,$283.78 ,$521.23 , N/A , N/A ,$297.97 ,"$1,070.15 ",$793.17 ,$352.52 ,"$1,133.10 ","$1,095.33 ","$1,007.20 ","$1,007.20 ",$283.78 ,$818.35 ST. FRANCIS HOSPITAL - ACUTE,40200029,76812,HC US PREGNANCY DETAILED ADDL,402,1 ,$906.00 ,$652.32 ,$204.21 ,$906.00 ,$520.95 ,$652.32 ,$492.86 ,$204.21 ,$253.68 ,$602.49 ,$204.21 ,$634.20 ,$204.21 ,$570.78 ,$570.78 ,$204.21 ,$570.78 ,$420.93 ,$800.00 , N/A ,$204.21 ,$770.10 ,$761.04 ,$204.21 ,$679.50 ,$724.80 ,$724.80 ,$204.21 ,$724.80 ,$788.22 ,$788.22 ,$788.22 ,$815.40 ,$520.95 ,$204.21 ,$906.00 ,$508.27 ,$204.21 ,$375.08 , N/A , N/A ,$214.42 ,$770.10 ,$570.78 ,$253.68 ,$815.40 ,$788.22 ,$724.80 ,$724.80 ,$204.21 ,$588.90 ST. FRANCIS HOSPITAL - ACUTE,40200030,76816,HC US OB GROWTH FOLLOWUP,402,1 ,$719.00 ,$517.68 ,$162.06 ,$719.00 ,$413.43 ,$517.68 ,$391.14 ,$162.06 ,$201.32 ,$478.14 ,$162.06 ,$503.30 ,$162.06 ,$452.97 ,$452.97 ,$162.06 ,$452.97 ,$334.05 ,$661.48 ,$267.20 ,$162.06 ,$611.15 ,$603.96 ,$162.06 ,$539.25 ,$575.20 ,$575.20 ,$162.06 ,$575.20 ,$625.53 ,$625.53 ,$625.53 ,$647.10 ,$413.43 ,$162.06 ,$719.00 ,$403.36 ,$162.06 ,$297.67 , N/A , N/A ,$170.17 ,$611.15 ,$452.97 ,$201.32 ,$647.10 ,$625.53 ,$575.20 ,$575.20 ,$162.06 ,$467.35 ST. FRANCIS HOSPITAL - ACUTE,40200031,76815,HC US FETAL HEART BEAT,402,1 ,$646.00 ,$465.12 ,$145.61 ,$646.00 ,$371.45 ,$465.12 ,$351.42 ,$145.61 ,$180.88 ,$429.59 ,$145.61 ,$452.20 ,$145.61 ,$406.98 ,$406.98 ,$145.61 ,$406.98 ,$300.13 ,$594.32 ,$267.20 ,$145.61 ,$549.10 ,$542.64 ,$145.61 ,$484.50 ,$516.80 ,$516.80 ,$145.61 ,$516.80 ,$562.02 ,$562.02 ,$562.02 ,$581.40 ,$371.45 ,$145.61 ,$646.00 ,$362.41 ,$145.61 ,$267.44 , N/A , N/A ,$152.89 ,$549.10 ,$406.98 ,$180.88 ,$581.40 ,$562.02 ,$516.80 ,$516.80 ,$145.61 ,$419.90 ST. FRANCIS HOSPITAL - ACUTE,40200032,76817,HC US PREGNANCY TRANSVAGINAL,402,1 ,$456.00 ,$328.32 ,$102.78 ,$456.00 ,$262.20 ,$328.32 ,$248.06 ,$102.78 ,$127.68 ,$303.24 ,$102.78 ,$319.20 ,$102.78 ,$287.28 ,$287.28 ,$102.78 ,$287.28 ,$211.86 ,$419.52 ,$267.20 ,$102.78 ,$387.60 ,$383.04 ,$102.78 ,$342.00 ,$364.80 ,$364.80 ,$102.78 ,$364.80 ,$396.72 ,$396.72 ,$396.72 ,$410.40 ,$262.20 ,$102.78 ,$456.00 ,$255.82 ,$102.78 ,$188.78 , N/A , N/A ,$107.92 ,$387.60 ,$287.28 ,$127.68 ,$410.40 ,$396.72 ,$364.80 ,$364.80 ,$102.78 ,$296.40 ST. FRANCIS HOSPITAL - ACUTE,40200033,76818,HC US FETAL BIO PROFILE W/NST,402,1 ,$304.00 ,$218.88 ,$68.52 ,$304.00 ,$174.80 ,$218.88 ,$165.38 ,$68.52 ,$85.12 ,$202.16 ,$68.52 ,$212.80 ,$68.52 ,$191.52 ,$191.52 ,$68.52 ,$191.52 ,$141.24 ,$279.68 ,$267.20 ,$68.52 ,$258.40 ,$255.36 ,$68.52 ,$228.00 ,$243.20 ,$243.20 ,$68.52 ,$243.20 ,$264.48 ,$264.48 ,$264.48 ,$273.60 ,$174.80 ,$68.52 ,$304.00 ,$170.54 ,$68.52 ,$125.86 , N/A , N/A ,$71.95 ,$258.40 ,$191.52 ,$85.12 ,$273.60 ,$264.48 ,$243.20 ,$243.20 ,$68.52 ,$197.60 ST. FRANCIS HOSPITAL - ACUTE,40200034,76819,HC US FETAL BIO PROFILE W/O NST,402,1 ,"$1,166.00 ",$839.52 ,$262.82 ,"$1,166.00 ",$670.45 ,$839.52 ,$634.30 ,$262.82 ,$326.48 ,$775.39 ,$262.82 ,$816.20 ,$262.82 ,$734.58 ,$734.58 ,$262.82 ,$734.58 ,$541.72 ,$800.00 ,$267.20 ,$262.82 ,$991.10 ,$979.44 ,$262.82 ,$874.50 ,$932.80 ,$932.80 ,$262.82 ,$932.80 ,"$1,014.42 ","$1,014.42 ","$1,014.42 ","$1,049.40 ",$670.45 ,$262.82 ,"$1,166.00 ",$654.13 ,$262.82 ,$482.72 , N/A , N/A ,$275.96 ,$991.10 ,$734.58 ,$326.48 ,"$1,049.40 ","$1,014.42 ",$932.80 ,$932.80 ,$262.82 ,$757.90 ST. FRANCIS HOSPITAL - ACUTE,40200036,76820,HC US FETAL DOPLR VELO UMB,402,1 ,$401.00 ,$288.72 ,$90.39 ,$401.00 ,$230.58 ,$288.72 ,$218.14 ,$90.39 ,$112.28 ,$266.67 ,$90.39 ,$280.70 ,$90.39 ,$252.63 ,$252.63 ,$90.39 ,$252.63 ,$186.30 ,$368.92 ,$267.20 ,$90.39 ,$340.85 ,$336.84 ,$90.39 ,$300.75 ,$320.80 ,$320.80 ,$90.39 ,$320.80 ,$348.87 ,$348.87 ,$348.87 ,$360.90 ,$230.58 ,$90.39 ,$401.00 ,$224.96 ,$90.39 ,$166.01 , N/A , N/A ,$94.90 ,$340.85 ,$252.63 ,$112.28 ,$360.90 ,$348.87 ,$320.80 ,$320.80 ,$90.39 ,$260.65 ST. FRANCIS HOSPITAL - ACUTE,40200038,76830,HC US TRANSVAGINAL,402,1 ,$815.00 ,$586.80 ,$153.17 ,$815.00 ,$468.63 ,$586.80 ,$443.36 ,$183.70 ,$228.20 ,$541.98 ,$183.70 ,$570.50 ,$183.70 ,$513.45 ,$513.45 ,$183.70 ,$513.45 ,$378.65 ,$749.80 ,$267.20 ,$183.70 ,$692.75 ,$684.60 ,$183.70 ,$611.25 ,$652.00 ,$652.00 ,$183.70 ,$652.00 ,$709.05 ,$709.05 ,$709.05 ,$733.50 ,$468.63 ,$183.70 ,$815.00 ,$457.22 ,$183.70 ,$337.41 ,$160.47 ,$153.17 ,$192.88 ,$692.75 ,$513.45 ,$228.20 ,$733.50 ,$709.05 ,$652.00 ,$652.00 ,$183.70 ,$529.75 ST. FRANCIS HOSPITAL - ACUTE,40200039,76831,HC US HYSTEROSONOGRAM,402,1 ,$923.00 ,$664.56 ,$208.04 ,$923.00 ,$530.73 ,$664.56 ,$502.11 ,$208.04 ,$258.44 ,$613.80 ,$208.04 ,$646.10 ,$208.04 ,$581.49 ,$581.49 ,$208.04 ,$581.49 ,$428.83 ,$800.00 ,$583.80 ,$208.04 ,$784.55 ,$775.32 ,$208.04 ,$692.25 ,$738.40 ,$738.40 ,$208.04 ,$738.40 ,$803.01 ,$803.01 ,$803.01 ,$830.70 ,$530.73 ,$208.04 ,$923.00 ,$517.80 ,$208.04 ,$382.12 ,$366.26 ,$349.61 ,$218.44 ,$784.55 ,$581.49 ,$258.44 ,$830.70 ,$803.01 ,$738.40 ,$738.40 ,$208.04 ,$599.95 ST. FRANCIS HOSPITAL - ACUTE,40200040,76856,HC US PELVIS NON OB,402,1 ,"$1,166.00 ",$839.52 ,$77.32 ,"$1,166.00 ",$670.45 ,$839.52 ,$634.30 ,$262.82 ,$326.48 ,$775.39 ,$262.82 ,$816.20 ,$262.82 ,$734.58 ,$734.58 ,$262.82 ,$734.58 ,$541.72 ,$800.00 ,$267.20 ,$262.82 ,$991.10 ,$979.44 ,$262.82 ,$874.50 ,$932.80 ,$932.80 ,$262.82 ,$932.80 ,"$1,014.42 ","$1,014.42 ","$1,014.42 ","$1,049.40 ",$670.45 ,$262.82 ,$77.32 ,$654.13 ,$262.82 ,$482.72 ,$160.47 ,$153.17 ,$275.96 ,$991.10 ,$734.58 ,$326.48 ,"$1,049.40 ","$1,014.42 ",$932.80 ,$932.80 ,$262.82 ,$757.90 ST. FRANCIS HOSPITAL - ACUTE,40200041,76857,HC US PELVIS NON-OB LTD,402,1 ,$934.00 ,$672.48 ,$153.17 ,$934.00 ,$537.05 ,$672.48 ,$508.10 ,$210.52 ,$261.52 ,$538.28 ,$210.52 ,$564.33 ,$210.52 ,$588.42 ,$588.42 ,$210.52 ,$588.42 ,$433.94 ,$800.00 ,$267.20 ,$210.52 ,$793.90 ,$784.56 ,$210.52 ,$700.50 ,$747.20 ,$747.20 ,$210.52 ,$747.20 ,$812.58 ,$812.58 ,$812.58 ,$840.60 ,$537.05 ,$210.52 ,$934.00 ,$523.97 ,$210.52 ,$386.68 ,$160.47 ,$153.17 ,$221.05 ,$793.90 ,$588.42 ,$261.52 ,$840.60 ,$812.58 ,$747.20 ,$747.20 ,$210.52 ,$607.10 ST. FRANCIS HOSPITAL - ACUTE,40200042,76870,HC US SCROTUM,402,1 ,"$1,166.00 ",$839.52 ,$153.17 ,"$1,166.00 ",$670.45 ,$839.52 ,$634.30 ,$262.82 ,$326.48 ,$775.39 ,$262.82 ,$816.20 ,$262.82 ,$734.58 ,$734.58 ,$262.82 ,$734.58 ,$541.72 ,$800.00 ,$267.20 ,$262.82 ,$991.10 ,$979.44 ,$262.82 ,$874.50 ,$932.80 ,$932.80 ,$262.82 ,$932.80 ,"$1,014.42 ","$1,014.42 ","$1,014.42 ","$1,049.40 ",$670.45 ,$262.82 ,"$1,166.00 ",$654.13 ,$262.82 ,$482.72 ,$160.47 ,$153.17 ,$275.96 ,$991.10 ,$734.58 ,$326.48 ,"$1,049.40 ","$1,014.42 ",$932.80 ,$932.80 ,$262.82 ,$757.90 ST. FRANCIS HOSPITAL - ACUTE,40200043,76872,HC ULTRA BX PROS,402,1 ,"$1,166.00 ",$839.52 ,$153.17 ,"$1,166.00 ",$670.45 ,$839.52 ,$634.30 ,$262.82 ,$326.48 ,$775.39 ,$262.82 ,$816.20 ,$262.82 ,$734.58 ,$734.58 ,$262.82 ,$734.58 ,$541.72 ,$800.00 ,$267.20 ,$262.82 ,$991.10 ,$979.44 ,$262.82 ,$874.50 ,$932.80 ,$932.80 ,$262.82 ,$932.80 ,"$1,014.42 ","$1,014.42 ","$1,014.42 ","$1,049.40 ",$670.45 ,$262.82 ,"$1,166.00 ",$654.13 ,$262.82 ,$482.72 ,$160.47 ,$153.17 ,$275.96 ,$991.10 ,$734.58 ,$326.48 ,"$1,049.40 ","$1,014.42 ",$932.80 ,$932.80 ,$262.82 ,$757.90 ST. FRANCIS HOSPITAL - ACUTE,40200045,76881,HC US EXTREMITY NON VASCULAR COMP,402,1 ,$779.00 ,$560.88 ,$153.17 ,$779.00 ,$447.93 ,$560.88 ,$423.78 ,$175.59 ,$218.12 ,$518.04 ,$175.59 ,$545.30 ,$175.59 ,$490.77 ,$490.77 ,$175.59 ,$490.77 ,$361.92 ,$716.68 ,$267.20 ,$175.59 ,$662.15 ,$654.36 ,$175.59 ,$584.25 ,$623.20 ,$623.20 ,$175.59 ,$623.20 ,$677.73 ,$677.73 ,$677.73 ,$701.10 ,$447.93 ,$175.59 ,$779.00 ,$437.02 ,$175.59 ,$322.51 ,$160.47 ,$153.17 ,$184.37 ,$662.15 ,$490.77 ,$218.12 ,$701.10 ,$677.73 ,$623.20 ,$623.20 ,$175.59 ,$506.35 ST. FRANCIS HOSPITAL - ACUTE,40200046,76882,HC US EXTREMITY NON VASCULAR LMTD,402,1 ,$466.00 ,$335.52 ,$105.04 ,$466.00 ,$267.95 ,$335.52 ,$253.50 ,$105.04 ,$130.48 ,$309.89 ,$105.04 ,$326.20 ,$105.04 ,$293.58 ,$293.58 ,$105.04 ,$293.58 ,$216.50 ,$428.72 ,$267.20 ,$105.04 ,$396.10 ,$391.44 ,$105.04 ,$349.50 ,$372.80 ,$372.80 ,$105.04 ,$372.80 ,$405.42 ,$405.42 ,$405.42 ,$419.40 ,$267.95 ,$105.04 ,$466.00 ,$261.43 ,$105.04 ,$192.92 ,$160.47 ,$153.17 ,$110.29 ,$396.10 ,$293.58 ,$130.48 ,$419.40 ,$405.42 ,$372.80 ,$372.80 ,$105.04 ,$302.90 ST. FRANCIS HOSPITAL - ACUTE,40200051,76937,HC US GUIDED VASCULAR ACCESS 76937,402,1 ,$147.00 ,$105.84 ,$33.13 ,$147.00 ,$84.53 ,$105.84 ,$79.97 ,$33.13 ,$41.16 ,$97.76 ,$33.13 ,$102.90 ,$33.13 ,$92.61 ,$92.61 ,$33.13 ,$92.61 ,$68.30 ,$135.24 , N/A ,$33.13 ,$124.95 ,$123.48 ,$33.13 ,$110.25 ,$117.60 ,$117.60 ,$33.13 ,$117.60 ,$127.89 ,$127.89 ,$127.89 ,$132.30 ,$84.53 ,$33.13 ,$147.00 ,$82.47 ,$33.13 ,$60.86 ,$117.10 ,$111.77 ,$34.79 ,$124.95 ,$92.61 ,$41.16 ,$132.30 ,$127.89 ,$117.60 ,$117.60 ,$33.13 ,$95.55 ST. FRANCIS HOSPITAL - ACUTE,40200053,76942,HC US GUIDED NEEDLE PLCMT,402,1 ,$202.00 ,$145.44 ,$29.71 ,$202.00 ,$116.15 ,$145.44 ,$109.89 ,$45.53 ,$56.56 ,$134.33 ,$45.53 ,$141.40 ,$45.53 ,$127.26 ,$127.26 ,$45.53 ,$127.26 ,$93.85 ,$185.84 , N/A ,$45.53 ,$171.70 ,$169.68 ,$45.53 ,$151.50 ,$161.60 ,$161.60 ,$45.53 ,$161.60 ,$175.74 ,$175.74 ,$175.74 ,$181.80 ,$116.15 ,$45.53 ,$29.71 ,$113.32 ,$45.53 ,$83.63 ,$117.10 ,$111.77 ,$47.80 ,$171.70 ,$127.26 ,$56.56 ,$181.80 ,$175.74 ,$161.60 ,$161.60 ,$45.53 ,$131.30 ST. FRANCIS HOSPITAL - ACUTE,40200059,76946,HC US GUIDED AMNIOCENTESIS,402,1 ,"$1,536.00 ","$1,105.92 ",$111.77 ,"$1,536.00 ",$883.20 ,"$1,105.92 ",$835.58 ,$346.21 ,$430.08 ,$238.82 ,$346.21 ,$250.38 ,$346.21 ,$967.68 ,$967.68 ,$346.21 ,$967.68 ,$713.63 ,$800.00 , N/A ,$346.21 ,"$1,305.60 ","$1,290.24 ",$346.21 ,"$1,152.00 ","$1,228.80 ","$1,228.80 ",$346.21 ,"$1,228.80 ","$1,336.32 ","$1,336.32 ","$1,336.32 ","$1,382.40 ",$883.20 ,$346.21 ,"$1,536.00 ",$861.70 ,$346.21 ,$635.90 ,$117.10 ,$111.77 ,$363.52 ,"$1,305.60 ",$967.68 ,$430.08 ,"$1,382.40 ","$1,336.32 ","$1,228.80 ","$1,228.80 ",$346.21 ,$998.40 ST. FRANCIS HOSPITAL - ACUTE,40200062,76998,HC US INTRAOPERATIVE,402,1 ,$646.00 ,$465.12 ,$111.77 ,$646.00 ,$371.45 ,$465.12 ,$351.42 ,$145.61 ,$180.88 ,$429.59 ,$145.61 ,$452.20 ,$145.61 ,$406.98 ,$406.98 ,$145.61 ,$406.98 ,$300.13 ,$594.32 , N/A ,$145.61 ,$549.10 ,$542.64 ,$145.61 ,$484.50 ,$516.80 ,$516.80 ,$145.61 ,$516.80 ,$562.02 ,$562.02 ,$562.02 ,$581.40 ,$371.45 ,$145.61 ,$646.00 ,$362.41 ,$145.61 ,$267.44 ,$117.10 ,$111.77 ,$152.89 ,$549.10 ,$406.98 ,$180.88 ,$581.40 ,$562.02 ,$516.80 ,$516.80 ,$145.61 ,$419.90 ST. FRANCIS HOSPITAL - ACUTE,40200064,93975,HC DUPLEX ABD/PEL/RETRO CMPL,402,1 ,"$1,716.00 ","$1,235.52 ",$153.17 ,"$1,716.00 ",$986.70 ,"$1,235.52 ",$933.50 ,$386.79 ,$480.48 ,"$1,141.14 ",$386.79 ,"$1,201.20 ",$386.79 ,"$1,081.08 ","$1,081.08 ",$386.79 ,"$1,081.08 ",$797.25 ,$800.00 ,$583.80 ,$386.79 ,"$1,458.60 ","$1,441.44 ",$386.79 ,"$1,287.00 ","$1,372.80 ","$1,372.80 ",$386.79 ,"$1,372.80 ","$1,492.92 ","$1,492.92 ","$1,492.92 ","$1,544.40 ",$986.70 ,$386.79 ,"$1,716.00 ",$962.68 ,$386.79 ,$710.42 ,$160.47 ,$153.17 ,$406.12 ,"$1,458.60 ","$1,081.08 ",$480.48 ,"$1,544.40 ","$1,492.92 ","$1,372.80 ","$1,372.80 ",$386.79 ,"$1,115.40 " ST. FRANCIS HOSPITAL - ACUTE,40200071,93976,HC DUPLEX ABD/PEL/RETRO SCAN LTD AORTA,402,1 ,"$1,089.00 ",$784.08 ,$153.17 ,"$1,089.00 ",$626.18 ,$784.08 ,$592.42 ,$245.46 ,$304.92 ,$724.19 ,$245.46 ,$762.30 ,$245.46 ,$686.07 ,$686.07 ,$245.46 ,$686.07 ,$505.95 ,$800.00 ,$267.20 ,$245.46 ,$925.65 ,$914.76 ,$245.46 ,$816.75 ,$871.20 ,$871.20 ,$245.46 ,$871.20 ,$947.43 ,$947.43 ,$947.43 ,$980.10 ,$626.18 ,$245.46 ,"$1,089.00 ",$610.93 ,$245.46 ,$450.85 ,$160.47 ,$153.17 ,$257.73 ,$925.65 ,$686.07 ,$304.92 ,$980.10 ,$947.43 ,$871.20 ,$871.20 ,$245.46 ,$707.85 ST. FRANCIS HOSPITAL - ACUTE,40200073,93978,HC DUPLEX AORTA/IVC/GRAFT CMPL,921,1 ,"$1,544.00 ","$1,111.68 ",$153.17 ,"$1,544.00 ",$887.80 ,"$1,111.68 ",$839.94 ,$348.02 ,$432.32 ,"$1,026.76 ",$348.02 ,"$1,080.80 ",$348.02 ,$972.72 ,$972.72 ,$348.02 ,$972.72 ,$717.34 ,"$1,420.48 ",$583.80 ,$348.02 ,"$1,312.40 ","$1,296.96 ",$348.02 ,"$1,158.00 ","$1,235.20 ","$1,235.20 ",$348.02 ,"$1,235.20 ","$1,343.28 ","$1,343.28 ","$1,343.28 ","$1,389.60 ",$887.80 ,$348.02 ,"$1,544.00 ",$866.18 ,$348.02 ,$639.22 ,$160.47 ,$153.17 ,$365.42 ,"$1,312.40 ",$972.72 ,$432.32 ,"$1,389.60 ","$1,343.28 ","$1,235.20 ","$1,235.20 ",$348.02 ,"$1,003.60 " ST. FRANCIS HOSPITAL - ACUTE,40200074,93979,HC DUPLEX AORTA/IVC/GRAFT LTD,402,1 ,$327.00 ,$235.44 ,$73.71 ,$327.00 ,$188.03 ,$235.44 ,$177.89 ,$73.71 ,$91.56 ,$217.46 ,$73.71 ,$228.90 ,$73.71 ,$206.01 ,$206.01 ,$73.71 ,$206.01 ,$151.92 ,$300.84 ,$267.20 ,$73.71 ,$277.95 ,$274.68 ,$73.71 ,$245.25 ,$261.60 ,$261.60 ,$73.71 ,$261.60 ,$284.49 ,$284.49 ,$284.49 ,$294.30 ,$188.03 ,$73.71 ,$327.00 ,$183.45 ,$73.71 ,$135.38 ,$160.47 ,$153.17 ,$77.39 ,$277.95 ,$206.01 ,$91.56 ,$294.30 ,$284.49 ,$261.60 ,$261.60 ,$73.71 ,$212.55 ST. FRANCIS HOSPITAL - ACUTE,40200075,76706,HC US AORTA (SCREENING),402,1 ,$998.00 ,$718.56 ,$153.17 ,$998.00 ,$573.85 ,$718.56 ,$542.91 ,$224.95 ,$279.44 ,$663.67 ,$224.95 ,$698.60 ,$224.95 ,$628.74 ,$628.74 ,$224.95 ,$628.74 ,$463.67 ,$800.00 ,$267.20 ,$224.95 ,$848.30 ,$838.32 ,$224.95 ,$748.50 ,$798.40 ,$798.40 ,$224.95 ,$798.40 ,$868.26 ,$868.26 ,$868.26 ,$898.20 ,$573.85 ,$224.95 ,$998.00 ,$559.88 ,$224.95 ,$413.17 ,$160.47 ,$153.17 ,$236.20 ,$848.30 ,$628.74 ,$279.44 ,$898.20 ,$868.26 ,$798.40 ,$798.40 ,$224.95 ,$648.70 ST. FRANCIS HOSPITAL - ACUTE,40300003,77067,HC MAMMOGRAM SCREEN DIGI W/CAD,403,1 ,$603.00 ,$434.16 ,$69.57 ,$603.00 ,$218.93 ,$434.16 ,$328.03 ,$85.82 ,$168.84 ,$401.00 ,$85.82 ,$422.10 ,$85.82 ,$379.89 ,$379.89 ,$85.82 ,$379.89 ,$176.89 ,$554.76 ,$218.93 ,$85.82 ,$512.55 ,$506.52 ,$85.82 ,$452.25 ,$482.40 ,$482.40 ,$85.82 ,$482.40 ,$524.61 ,$524.61 ,$524.61 ,$542.70 ,$218.93 ,$85.82 ,$97.27 ,$338.28 ,$85.82 ,$249.64 ,$72.89 ,$69.57 ,$90.11 ,$512.55 ,$379.89 ,$168.84 ,$542.70 ,$524.61 ,$482.40 ,$482.40 ,$85.82 ,$391.95 ST. FRANCIS HOSPITAL - ACUTE,40300005,77067,HC MAMMOGRAM SCREEN W/CAD IMPLANT,403,1 ,$603.00 ,$434.16 ,$69.57 ,$603.00 ,$218.93 ,$434.16 ,$328.03 ,$85.82 ,$168.84 ,$401.00 ,$85.82 ,$422.10 ,$85.82 ,$379.89 ,$379.89 ,$85.82 ,$379.89 ,$176.89 ,$554.76 ,$218.93 ,$85.82 ,$512.55 ,$506.52 ,$85.82 ,$452.25 ,$482.40 ,$482.40 ,$85.82 ,$482.40 ,$524.61 ,$524.61 ,$524.61 ,$542.70 ,$218.93 ,$85.82 ,$97.27 ,$338.28 ,$85.82 ,$249.64 ,$72.89 ,$69.57 ,$90.11 ,$512.55 ,$379.89 ,$168.84 ,$542.70 ,$524.61 ,$482.40 ,$482.40 ,$85.82 ,$391.95 ST. FRANCIS HOSPITAL - ACUTE,40300006,77063,HC SCREEN DIGITAL BREAST TOMOSYTH BIL,403,1 ,$109.00 ,$78.48 ,$22.24 ,$109.00 ,$62.68 ,$78.48 ,$59.30 ,$22.24 ,$30.52 ,$72.49 ,$24.57 ,$76.30 ,$24.57 ,$68.67 ,$68.67 ,$24.57 ,$68.67 ,$50.64 ,$100.28 ,$56.73 ,$24.57 ,$92.65 ,$91.56 ,$24.57 ,$81.75 ,$87.20 ,$87.20 ,$24.57 ,$87.20 ,$94.83 ,$94.83 ,$94.83 ,$98.10 ,$62.68 ,$24.57 ,$25.20 ,$61.15 ,$24.57 ,$45.13 ,$72.89 ,$69.57 ,$25.79 ,$92.65 ,$68.67 ,$30.52 ,$98.10 ,$94.83 ,$87.20 ,$87.20 ,$24.57 ,$70.85 ST. FRANCIS HOSPITAL - ACUTE,40300007,77063,HC SCREEN DIG BREAST TOMO BIL-52,403,1 ,$82.00 ,$59.04 ,$18.48 ,$82.00 ,$47.15 ,$59.04 ,$44.61 ,$22.24 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$56.73 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$25.20 ,$46.00 ,$18.48 ,$33.95 ,$36.44 ,$34.79 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,41000005,92950,HC CPR,480,1 ,"$1,027.00 ",$739.44 ,$231.49 ,"$1,027.00 ",$590.53 ,$739.44 ,$558.69 ,$231.49 ,$287.56 ,$682.96 ,$231.49 ,$718.90 ,$231.49 ,$647.01 ,$647.01 ,$231.49 ,$647.01 ,$477.14 ,$944.84 ,$700.15 ,$231.49 ,$872.95 ,$862.68 ,$231.49 ,$770.25 ,$821.60 ,$821.60 ,$231.49 ,$821.60 ,$893.49 ,$893.49 ,$893.49 ,$924.30 ,$590.53 ,$231.49 ,"$1,027.00 ",$576.15 ,$231.49 ,$425.18 ,$712.59 ,$680.20 ,$243.06 ,$872.95 ,$647.01 ,$287.56 ,$924.30 ,$893.49 ,$821.60 ,$821.60 ,$231.49 ,$667.55 ST. FRANCIS HOSPITAL - ACUTE,41000009,94002,HC VENT MANGMNT INPT/OBS INIT DAY,410,1 ,"$1,550.00 ","$1,116.00 ",$349.37 ,"$1,550.00 ",$891.25 ,"$1,116.00 ",$843.20 ,$349.37 ,$434.00 ,"$1,030.75 ",$349.37 ,"$1,085.00 ",$349.37 ,$976.50 ,$976.50 ,$349.37 ,$976.50 ,$720.13 ,"$1,426.00 ","$1,391.80 ",$349.37 ,"$1,317.50 ","$1,302.00 ",$349.37 ,"$1,162.50 ","$1,240.00 ","$1,240.00 ",$349.37 ,"$1,240.00 ","$1,348.50 ","$1,348.50 ","$1,348.50 ","$1,395.00 ",$891.25 ,$349.37 ,"$1,550.00 ",$869.55 ,$349.37 ,$641.70 ,$772.61 ,$737.49 ,$366.84 ,"$1,317.50 ",$976.50 ,$434.00 ,"$1,395.00 ","$1,348.50 ","$1,240.00 ","$1,240.00 ",$349.37 ,"$1,007.50 " ST. FRANCIS HOSPITAL - ACUTE,41000013,94660,HC VENT NONINVAS ADULT INTL DAY,410,1 ,$982.00 ,$707.04 ,$221.34 ,$982.00 ,$564.65 ,$707.04 ,$534.21 ,$221.34 ,$274.96 ,$653.03 ,$221.34 ,$687.40 ,$221.34 ,$618.66 ,$618.66 ,$221.34 ,$618.66 ,$456.24 ,$903.44 ,$478.75 ,$221.34 ,$834.70 ,$824.88 ,$221.34 ,$736.50 ,$785.60 ,$785.60 ,$221.34 ,$785.60 ,$854.34 ,$854.34 ,$854.34 ,$883.80 ,$564.65 ,$221.34 ,$982.00 ,$550.90 ,$221.34 ,$406.55 ,$772.61 ,$737.49 ,$232.41 ,$834.70 ,$618.66 ,$274.96 ,$883.80 ,$854.34 ,$785.60 ,$785.60 ,$221.34 ,$638.30 ST. FRANCIS HOSPITAL - ACUTE,41000027,94003,HC VENT MANGMNT INPT/OBS SUBS DAY,410,1 ,"$1,341.00 ",$965.52 ,$302.26 ,"$1,391.80 ",$771.08 ,$965.52 ,$729.50 ,$302.26 ,$375.48 ,$891.77 ,$302.26 ,$938.70 ,$302.26 ,$844.83 ,$844.83 ,$302.26 ,$844.83 ,$623.03 ,"$1,233.72 ","$1,391.80 ",$302.26 ,"$1,139.85 ","$1,126.44 ",$302.26 ,"$1,005.75 ","$1,072.80 ","$1,072.80 ",$302.26 ,"$1,072.80 ","$1,166.67 ","$1,166.67 ","$1,166.67 ","$1,206.90 ",$771.08 ,$302.26 ,"$1,341.00 ",$752.30 ,$302.26 ,$555.17 ,$772.61 ,$737.49 ,$317.37 ,"$1,139.85 ",$844.83 ,$375.48 ,"$1,206.90 ","$1,166.67 ","$1,072.80 ","$1,072.80 ",$302.26 ,$871.65 ST. FRANCIS HOSPITAL - ACUTE,41000029,94660,HC VENT NONINVAS ADLT SUBQ DAY,410,1 ,$414.00 ,$298.08 ,$93.32 ,$772.61 ,$238.05 ,$298.08 ,$225.22 ,$93.32 ,$115.92 ,$275.31 ,$93.32 ,$289.80 ,$93.32 ,$260.82 ,$260.82 ,$93.32 ,$260.82 ,$192.34 ,$380.88 ,$478.75 ,$93.32 ,$351.90 ,$347.76 ,$93.32 ,$310.50 ,$331.20 ,$331.20 ,$93.32 ,$331.20 ,$360.18 ,$360.18 ,$360.18 ,$372.60 ,$238.05 ,$93.32 ,$414.00 ,$232.25 ,$93.32 ,$171.40 ,$772.61 ,$737.49 ,$97.98 ,$351.90 ,$260.82 ,$115.92 ,$372.60 ,$360.18 ,$331.20 ,$331.20 ,$93.32 ,$269.10 ST. FRANCIS HOSPITAL - ACUTE,41000034,94640,HC IPPB,410,1 ,$381.00 ,$274.32 ,$85.88 ,$478.75 ,$219.08 ,$274.32 ,$207.26 ,$85.88 ,$106.68 ,$253.37 ,$85.88 ,$266.70 ,$85.88 ,$240.03 ,$240.03 ,$85.88 ,$240.03 ,$177.01 ,$350.52 ,$478.75 ,$85.88 ,$323.85 ,$320.04 ,$85.88 ,$285.75 ,$304.80 ,$304.80 ,$85.88 ,$304.80 ,$331.47 ,$331.47 ,$331.47 ,$342.90 ,$219.08 ,$85.88 ,$381.00 ,$213.74 ,$85.88 ,$157.73 ,$255.88 ,$244.25 ,$90.17 ,$323.85 ,$240.03 ,$106.68 ,$342.90 ,$331.47 ,$304.80 ,$304.80 ,$85.88 ,$247.65 ST. FRANCIS HOSPITAL - ACUTE,41000035,94640,HC NEBULIZER TREATMENT EACH,410,1 ,$244.00 ,$175.68 ,$55.00 ,$478.75 ,$140.30 ,$175.68 ,$132.74 ,$55.00 ,$68.32 ,$162.26 ,$55.00 ,$170.80 ,$55.00 ,$153.72 ,$153.72 ,$55.00 ,$153.72 ,$113.36 ,$224.48 ,$478.75 ,$55.00 ,$207.40 ,$204.96 ,$55.00 ,$183.00 ,$195.20 ,$195.20 ,$55.00 ,$195.20 ,$212.28 ,$212.28 ,$212.28 ,$219.60 ,$140.30 ,$55.00 ,$244.00 ,$136.88 ,$55.00 ,$101.02 ,$255.88 ,$244.25 ,$57.75 ,$207.40 ,$153.72 ,$68.32 ,$219.60 ,$212.28 ,$195.20 ,$195.20 ,$55.00 ,$158.60 ST. FRANCIS HOSPITAL - ACUTE,41000038,94640,HC AEROSOL GENTR SHORT-TERM,410,1 ,$254.00 ,$182.88 ,$57.25 ,$478.75 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$478.75 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$255.88 ,$244.25 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,41000041,94640,HC MDI/DPI TX INITIAL,410,1 ,$217.00 ,$156.24 ,$48.91 ,$478.75 ,$124.78 ,$156.24 ,$118.05 ,$48.91 ,$60.76 ,$144.31 ,$48.91 ,$151.90 ,$48.91 ,$136.71 ,$136.71 ,$48.91 ,$136.71 ,$100.82 ,$199.64 ,$478.75 ,$48.91 ,$184.45 ,$182.28 ,$48.91 ,$162.75 ,$173.60 ,$173.60 ,$48.91 ,$173.60 ,$188.79 ,$188.79 ,$188.79 ,$195.30 ,$124.78 ,$48.91 ,$217.00 ,$121.74 ,$48.91 ,$89.84 ,$255.88 ,$244.25 ,$51.36 ,$184.45 ,$136.71 ,$60.76 ,$195.30 ,$188.79 ,$173.60 ,$173.60 ,$48.91 ,$141.05 ST. FRANCIS HOSPITAL - ACUTE,41000046,94640,HC HIGH EFF NEB AERO EACH,410,1 ,$254.00 ,$182.88 ,$57.25 ,$478.75 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$478.75 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$255.88 ,$244.25 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,41000047,94640,HC HIGH EFF NEB AERO W/INSTR/TEACH DEVICE,410,1 ,$254.00 ,$182.88 ,$57.25 ,$478.75 ,$146.05 ,$182.88 ,$138.18 ,$57.25 ,$71.12 ,$168.91 ,$57.25 ,$177.80 ,$57.25 ,$160.02 ,$160.02 ,$57.25 ,$160.02 ,$118.01 ,$233.68 ,$478.75 ,$57.25 ,$215.90 ,$213.36 ,$57.25 ,$190.50 ,$203.20 ,$203.20 ,$57.25 ,$203.20 ,$220.98 ,$220.98 ,$220.98 ,$228.60 ,$146.05 ,$57.25 ,$254.00 ,$142.49 ,$57.25 ,$105.16 ,$255.88 ,$244.25 ,$60.11 ,$215.90 ,$160.02 ,$71.12 ,$228.60 ,$220.98 ,$203.20 ,$203.20 ,$57.25 ,$165.10 ST. FRANCIS HOSPITAL - ACUTE,41000050,94644,HC AEROSOL CONTINUOUS 1ST HR,410,1 ,$789.00 ,$568.08 ,$75.31 ,$789.00 ,$453.68 ,$568.08 ,$429.22 ,$177.84 ,$220.92 ,$524.69 ,$177.84 ,$552.30 ,$177.84 ,$497.07 ,$497.07 ,$177.84 ,$497.07 ,$366.57 ,$725.88 ,$290.28 ,$177.84 ,$670.65 ,$662.76 ,$177.84 ,$591.75 ,$631.20 ,$631.20 ,$177.84 ,$631.20 ,$686.43 ,$686.43 ,$686.43 ,$710.10 ,$453.68 ,$177.84 ,$789.00 ,$442.63 ,$177.84 ,$326.65 ,$78.89 ,$75.31 ,$186.73 ,$670.65 ,$497.07 ,$220.92 ,$710.10 ,$686.43 ,$631.20 ,$631.20 ,$177.84 ,$512.85 ST. FRANCIS HOSPITAL - ACUTE,41000051,94645,HC AEROSOL CONTINUOUS ADDL HR,410,1 ,$236.00 ,$169.92 ,$53.19 ,$236.00 ,$135.70 ,$169.92 ,$128.38 ,$53.19 ,$66.08 ,$156.94 ,$53.19 ,$165.20 ,$53.19 ,$148.68 ,$148.68 ,$53.19 ,$148.68 ,$109.65 ,$217.12 , N/A ,$53.19 ,$200.60 ,$198.24 ,$53.19 ,$177.00 ,$188.80 ,$188.80 ,$53.19 ,$188.80 ,$205.32 ,$205.32 ,$205.32 ,$212.40 ,$135.70 ,$53.19 ,$236.00 ,$132.40 ,$53.19 ,$97.70 ,$78.89 ,$75.31 ,$55.85 ,$200.60 ,$148.68 ,$66.08 ,$212.40 ,$205.32 ,$188.80 ,$188.80 ,$53.19 ,$153.40 ST. FRANCIS HOSPITAL - ACUTE,41000052,94660,HC CPAP,410,1 ,$782.00 ,$563.04 ,$176.26 ,$782.00 ,$449.65 ,$563.04 ,$425.41 ,$176.26 ,$218.96 ,$520.03 ,$176.26 ,$547.40 ,$176.26 ,$492.66 ,$492.66 ,$176.26 ,$492.66 ,$363.32 ,$719.44 ,$478.75 ,$176.26 ,$664.70 ,$656.88 ,$176.26 ,$586.50 ,$625.60 ,$625.60 ,$176.26 ,$625.60 ,$680.34 ,$680.34 ,$680.34 ,$703.80 ,$449.65 ,$176.26 ,$782.00 ,$438.70 ,$176.26 ,$323.75 ,$772.61 ,$737.49 ,$185.07 ,$664.70 ,$492.66 ,$218.96 ,$703.80 ,$680.34 ,$625.60 ,$625.60 ,$176.26 ,$508.30 ST. FRANCIS HOSPITAL - ACUTE,41000057,94664,HC DEMO/EVAL/MDI/NEB DAILY,410,1 ,$286.00 ,$205.92 ,$36.34 ,$478.75 ,$164.45 ,$205.92 ,$155.58 ,$64.46 ,$80.08 ,$190.19 ,$64.46 ,$200.20 ,$64.46 ,$180.18 ,$180.18 ,$64.46 ,$180.18 ,$132.88 ,$263.12 ,$478.75 ,$64.46 ,$243.10 ,$240.24 ,$64.46 ,$214.50 ,$228.80 ,$228.80 ,$64.46 ,$228.80 ,$248.82 ,$248.82 ,$248.82 ,$257.40 ,$164.45 ,$64.46 ,$286.00 ,$160.45 ,$64.46 ,$118.40 ,$38.07 ,$36.34 ,$67.69 ,$243.10 ,$180.18 ,$80.08 ,$257.40 ,$248.82 ,$228.80 ,$228.80 ,$64.46 ,$185.90 ST. FRANCIS HOSPITAL - ACUTE,41000058,94667,HC CHEST PHYSIOTHRPY INIT,410,1 ,$195.00 ,$140.40 ,$43.95 ,$290.28 ,$112.13 ,$140.40 ,$106.08 ,$43.95 ,$54.60 ,$129.68 ,$43.95 ,$136.50 ,$43.95 ,$122.85 ,$122.85 ,$43.95 ,$122.85 ,$90.60 ,$179.40 ,$290.28 ,$43.95 ,$165.75 ,$163.80 ,$43.95 ,$146.25 ,$156.00 ,$156.00 ,$43.95 ,$156.00 ,$169.65 ,$169.65 ,$169.65 ,$175.50 ,$112.13 ,$43.95 ,$195.00 ,$109.40 ,$43.95 ,$80.73 ,$255.88 ,$244.25 ,$46.15 ,$165.75 ,$122.85 ,$54.60 ,$175.50 ,$169.65 ,$156.00 ,$156.00 ,$43.95 ,$126.75 ST. FRANCIS HOSPITAL - ACUTE,41000059,94667,HC CHEST PHYSIOTHRPY INIT ACAPELLA,410,1 ,$176.00 ,$126.72 ,$39.67 ,$290.28 ,$101.20 ,$126.72 ,$95.74 ,$39.67 ,$49.28 ,$117.04 ,$39.67 ,$123.20 ,$39.67 ,$110.88 ,$110.88 ,$39.67 ,$110.88 ,$81.77 ,$161.92 ,$290.28 ,$39.67 ,$149.60 ,$147.84 ,$39.67 ,$132.00 ,$140.80 ,$140.80 ,$39.67 ,$140.80 ,$153.12 ,$153.12 ,$153.12 ,$158.40 ,$101.20 ,$39.67 ,$176.00 ,$98.74 ,$39.67 ,$72.86 ,$255.88 ,$244.25 ,$41.65 ,$149.60 ,$110.88 ,$49.28 ,$158.40 ,$153.12 ,$140.80 ,$140.80 ,$39.67 ,$114.40 ST. FRANCIS HOSPITAL - ACUTE,41000060,94668,HC CHEST PHYSIOTHRPY SUBSQ,410,1 ,$179.00 ,$128.88 ,$40.35 ,$290.28 ,$102.93 ,$128.88 ,$97.38 ,$40.35 ,$50.12 ,$119.04 ,$40.35 ,$125.30 ,$40.35 ,$112.77 ,$112.77 ,$40.35 ,$112.77 ,$83.16 ,$164.68 ,$290.28 ,$40.35 ,$152.15 ,$150.36 ,$40.35 ,$134.25 ,$143.20 ,$143.20 ,$40.35 ,$143.20 ,$155.73 ,$155.73 ,$155.73 ,$161.10 ,$102.93 ,$40.35 ,$179.00 ,$100.42 ,$40.35 ,$74.11 ,$255.88 ,$244.25 ,$42.37 ,$152.15 ,$112.77 ,$50.12 ,$161.10 ,$155.73 ,$143.20 ,$143.20 ,$40.35 ,$116.35 ST. FRANCIS HOSPITAL - ACUTE,41000061,94668,HC CHEST PHYSIOTHRPY SUBSQ ACAPELLA,410,1 ,$163.00 ,$117.36 ,$36.74 ,$290.28 ,$93.73 ,$117.36 ,$88.67 ,$36.74 ,$45.64 ,$108.40 ,$36.74 ,$114.10 ,$36.74 ,$102.69 ,$102.69 ,$36.74 ,$102.69 ,$75.73 ,$149.96 ,$290.28 ,$36.74 ,$138.55 ,$136.92 ,$36.74 ,$122.25 ,$130.40 ,$130.40 ,$36.74 ,$130.40 ,$141.81 ,$141.81 ,$141.81 ,$146.70 ,$93.73 ,$36.74 ,$163.00 ,$91.44 ,$36.74 ,$67.48 ,$255.88 ,$244.25 ,$38.57 ,$138.55 ,$102.69 ,$45.64 ,$146.70 ,$141.81 ,$130.40 ,$130.40 ,$36.74 ,$105.95 ST. FRANCIS HOSPITAL - ACUTE,41000068,G0237,HC RESP STRENGTH/ENDURANCE,410,1 ,$82.00 ,$59.04 ,$18.48 ,$255.88 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$62.40 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 ,$255.88 ,$244.25 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,41000069,G0238,HC RESP THRP FUNCTION,410,1 ,$82.00 ,$59.04 ,$18.48 ,$255.88 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$62.40 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 ,$255.88 ,$244.25 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,41000070,G0239,HC THERAPEUTIC RT EXERCISE GROUP,410,1 ,$120.00 ,$86.40 ,$2.37 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$84.90 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 ,$2.49 ,$2.37 ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,41000074,94640,HC IPPB SUBSQ,410,1 ,$338.00 ,$243.36 ,$76.19 ,$478.75 ,$194.35 ,$243.36 ,$183.87 ,$76.19 ,$94.64 ,$224.77 ,$76.19 ,$236.60 ,$76.19 ,$212.94 ,$212.94 ,$76.19 ,$212.94 ,$157.03 ,$310.96 ,$478.75 ,$76.19 ,$287.30 ,$283.92 ,$76.19 ,$253.50 ,$270.40 ,$270.40 ,$76.19 ,$270.40 ,$294.06 ,$294.06 ,$294.06 ,$304.20 ,$194.35 ,$76.19 ,$338.00 ,$189.62 ,$76.19 ,$139.93 ,$255.88 ,$244.25 ,$80.00 ,$287.30 ,$212.94 ,$94.64 ,$304.20 ,$294.06 ,$270.40 ,$270.40 ,$76.19 ,$219.70 ST. FRANCIS HOSPITAL - ACUTE,41000076,94640,HC NEBULIZER SUBSQ,410,1 ,$199.00 ,$143.28 ,$44.85 ,$478.75 ,$114.43 ,$143.28 ,$108.26 ,$44.85 ,$55.72 ,$132.34 ,$44.85 ,$139.30 ,$44.85 ,$125.37 ,$125.37 ,$44.85 ,$125.37 ,$92.46 ,$183.08 ,$478.75 ,$44.85 ,$169.15 ,$167.16 ,$44.85 ,$149.25 ,$159.20 ,$159.20 ,$44.85 ,$159.20 ,$173.13 ,$173.13 ,$173.13 ,$179.10 ,$114.43 ,$44.85 ,$199.00 ,$111.64 ,$44.85 ,$82.39 ,$255.88 ,$244.25 ,$47.10 ,$169.15 ,$125.37 ,$55.72 ,$179.10 ,$173.13 ,$159.20 ,$159.20 ,$44.85 ,$129.35 ST. FRANCIS HOSPITAL - ACUTE,41000083,94660,HC CPAP/BIPAP SUBSQ,410,1 ,$782.00 ,$563.04 ,$176.26 ,$782.00 ,$449.65 ,$563.04 ,$425.41 ,$176.26 ,$218.96 ,$520.03 ,$176.26 ,$547.40 ,$176.26 ,$492.66 ,$492.66 ,$176.26 ,$492.66 ,$363.32 ,$719.44 ,$478.75 ,$176.26 ,$664.70 ,$656.88 ,$176.26 ,$586.50 ,$625.60 ,$625.60 ,$176.26 ,$625.60 ,$680.34 ,$680.34 ,$680.34 ,$703.80 ,$449.65 ,$176.26 ,$782.00 ,$438.70 ,$176.26 ,$323.75 ,$772.61 ,$737.49 ,$185.07 ,$664.70 ,$492.66 ,$218.96 ,$703.80 ,$680.34 ,$625.60 ,$625.60 ,$176.26 ,$508.30 ST. FRANCIS HOSPITAL - ACUTE,41000090,94640,HC MDI/DPI INHAL TX SUBSQ,410,1 ,$217.00 ,$156.24 ,$48.91 ,$478.75 ,$124.78 ,$156.24 ,$118.05 ,$48.91 ,$60.76 ,$144.31 ,$48.91 ,$151.90 ,$48.91 ,$136.71 ,$136.71 ,$48.91 ,$136.71 ,$100.82 ,$199.64 ,$478.75 ,$48.91 ,$184.45 ,$182.28 ,$48.91 ,$162.75 ,$173.60 ,$173.60 ,$48.91 ,$173.60 ,$188.79 ,$188.79 ,$188.79 ,$195.30 ,$124.78 ,$48.91 ,$217.00 ,$121.74 ,$48.91 ,$89.84 ,$255.88 ,$244.25 ,$51.36 ,$184.45 ,$136.71 ,$60.76 ,$195.30 ,$188.79 ,$173.60 ,$173.60 ,$48.91 ,$141.05 ST. FRANCIS HOSPITAL - ACUTE,41300000,99183,HC HYPERBARIC O2 PER SESSION,413,1 ,$880.00 ,$633.60 ,$198.35 ,$880.00 ,$506.00 ,$633.60 ,$478.72 ,$198.35 ,$246.40 ,$585.20 ,$198.35 ,$616.00 ,$198.35 ,$554.40 ,$554.40 ,$198.35 ,$554.40 ,$408.85 ,$809.60 , N/A ,$198.35 ,$748.00 ,$739.20 ,$198.35 ,$660.00 ,$704.00 ,$704.00 ,$198.35 ,$704.00 ,$765.60 ,$765.60 ,$765.60 ,$792.00 ,$506.00 ,$198.35 ,$880.00 ,$493.68 ,$198.35 ,$364.32 , N/A , N/A ,$208.27 ,$748.00 ,$554.40 ,$246.40 ,$792.00 ,$765.60 ,$704.00 ,$704.00 ,$198.35 ,$572.00 ST. FRANCIS HOSPITAL - ACUTE,42000008,95992,HC CANALITH REPOSITIONING,420,1 ,$204.00 ,$146.88 ,$45.98 ,$356.52 ,$117.30 ,$146.88 ,$110.98 ,$45.98 ,$57.12 ,$135.66 ,$45.98 ,$142.80 ,$45.98 ,$128.52 ,$128.52 ,$45.98 ,$128.52 ,$94.78 ,$187.68 ,$108.78 ,$45.98 ,$173.40 ,$171.36 ,$45.98 ,$153.00 ,$163.20 ,$163.20 ,$45.98 ,$163.20 ,$177.48 ,$177.48 ,$177.48 ,$183.60 ,$117.30 ,$45.98 ,$204.00 ,$114.44 ,$45.98 ,$84.46 ,$356.52 ,$340.32 ,$48.28 ,$173.40 ,$128.52 ,$57.12 ,$183.60 ,$177.48 ,$163.20 ,$163.20 ,$45.98 ,$132.60 ST. FRANCIS HOSPITAL - ACUTE,42000025,97032,HC ELECTRIC STIM EACH 15 MIN,420,1 ,$166.00 ,$119.52 ,$36.03 ,$356.52 ,$95.45 ,$119.52 ,$90.30 ,$37.42 ,$46.48 ,$110.39 ,$37.42 ,$116.20 ,$37.42 ,$104.58 ,$104.58 ,$37.42 ,$104.58 ,$77.12 ,$152.72 ,$36.03 ,$37.42 ,$141.10 ,$139.44 ,$37.42 ,$124.50 ,$132.80 ,$132.80 ,$37.42 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$95.45 ,$37.42 ,$166.00 ,$93.13 ,$37.42 ,$68.72 ,$356.52 ,$340.32 ,$39.29 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 ,$132.80 ,$132.80 ,$37.42 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,42000031,97033,HC IONTOPHORESIS; EA 15 MIN,420,1 ,$184.00 ,$132.48 ,$41.47 ,$356.52 ,$105.80 ,$132.48 ,$100.10 ,$41.47 ,$51.52 ,$122.36 ,$41.47 ,$128.80 ,$41.47 ,$115.92 ,$115.92 ,$41.47 ,$115.92 ,$85.49 ,$169.28 ,$48.70 ,$41.47 ,$156.40 ,$154.56 ,$41.47 ,$138.00 ,$147.20 ,$147.20 ,$41.47 ,$147.20 ,$160.08 ,$160.08 ,$160.08 ,$165.60 ,$105.80 ,$41.47 ,$184.00 ,$103.22 ,$41.47 ,$76.18 ,$356.52 ,$340.32 ,$43.55 ,$156.40 ,$115.92 ,$51.52 ,$165.60 ,$160.08 ,$147.20 ,$147.20 ,$41.47 ,$119.60 ST. FRANCIS HOSPITAL - ACUTE,42000033,97035,HC ULTRASOUND EA 15MIN,420,1 ,$208.00 ,$149.76 ,$35.80 ,$356.52 ,$119.60 ,$149.76 ,$113.15 ,$46.88 ,$58.24 ,$138.32 ,$46.88 ,$145.60 ,$46.88 ,$131.04 ,$131.04 ,$46.88 ,$131.04 ,$96.64 ,$191.36 ,$35.80 ,$46.88 ,$176.80 ,$174.72 ,$46.88 ,$156.00 ,$166.40 ,$166.40 ,$46.88 ,$166.40 ,$180.96 ,$180.96 ,$180.96 ,$187.20 ,$119.60 ,$46.88 ,$208.00 ,$116.69 ,$46.88 ,$86.11 ,$356.52 ,$340.32 ,$49.23 ,$176.80 ,$131.04 ,$58.24 ,$187.20 ,$180.96 ,$166.40 ,$166.40 ,$46.88 ,$135.20 ST. FRANCIS HOSPITAL - ACUTE,42000037,97110,HC THERA EXER; EA 15 MIN,420,1 ,$187.00 ,$134.64 ,$42.15 ,$356.52 ,$107.53 ,$134.64 ,$101.73 ,$42.15 ,$52.36 ,$124.36 ,$42.15 ,$130.90 ,$42.15 ,$117.81 ,$117.81 ,$42.15 ,$117.81 ,$86.88 ,$172.04 ,$72.68 ,$42.15 ,$158.95 ,$157.08 ,$42.15 ,$140.25 ,$149.60 ,$149.60 ,$42.15 ,$149.60 ,$162.69 ,$162.69 ,$162.69 ,$168.30 ,$107.53 ,$42.15 ,$187.00 ,$104.91 ,$42.15 ,$77.42 ,$356.52 ,$340.32 ,$44.26 ,$158.95 ,$117.81 ,$52.36 ,$168.30 ,$162.69 ,$149.60 ,$149.60 ,$42.15 ,$121.55 ST. FRANCIS HOSPITAL - ACUTE,42000045,97112,HC NEUROMUSCULAR RE ED EA 15 MIN,420,1 ,$131.00 ,$94.32 ,$29.53 ,$356.52 ,$75.33 ,$94.32 ,$71.26 ,$29.53 ,$36.68 ,$87.12 ,$29.53 ,$91.70 ,$29.53 ,$82.53 ,$82.53 ,$29.53 ,$82.53 ,$60.86 ,$120.52 ,$83.23 ,$29.53 ,$111.35 ,$110.04 ,$29.53 ,$98.25 ,$104.80 ,$104.80 ,$29.53 ,$104.80 ,$113.97 ,$113.97 ,$113.97 ,$117.90 ,$75.33 ,$29.53 ,$131.00 ,$73.49 ,$29.53 ,$54.23 ,$356.52 ,$340.32 ,$31.01 ,$111.35 ,$82.53 ,$36.68 ,$117.90 ,$113.97 ,$104.80 ,$104.80 ,$29.53 ,$85.15 ST. FRANCIS HOSPITAL - ACUTE,42000049,97116,HC AMBULATION GAIT TRAIN EA 15 MIN,420,1 ,$129.00 ,$92.88 ,$29.08 ,$356.52 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$72.68 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$356.52 ,$340.32 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,42000053,97124,HC THERAPEUTIC MASSAGE EA 15 MIN,420,1 ,$179.00 ,$128.88 ,$40.35 ,$356.52 ,$102.93 ,$128.88 ,$97.38 ,$40.35 ,$50.12 ,$119.04 ,$40.35 ,$125.30 ,$40.35 ,$112.77 ,$112.77 ,$40.35 ,$112.77 ,$83.16 ,$164.68 ,$73.65 ,$40.35 ,$152.15 ,$150.36 ,$40.35 ,$134.25 ,$143.20 ,$143.20 ,$40.35 ,$143.20 ,$155.73 ,$155.73 ,$155.73 ,$161.10 ,$102.93 ,$40.35 ,$179.00 ,$100.42 ,$40.35 ,$74.11 ,$356.52 ,$340.32 ,$42.37 ,$152.15 ,$112.77 ,$50.12 ,$161.10 ,$155.73 ,$143.20 ,$143.20 ,$40.35 ,$116.35 ST. FRANCIS HOSPITAL - ACUTE,42000056,97140,HC MANUAL THERAPY EA 15 MIN,420,1 ,$188.00 ,$135.36 ,$42.38 ,$356.52 ,$108.10 ,$135.36 ,$102.27 ,$42.38 ,$52.64 ,$125.02 ,$42.38 ,$131.60 ,$42.38 ,$118.44 ,$118.44 ,$42.38 ,$118.44 ,$87.34 ,$172.96 ,$67.05 ,$42.38 ,$159.80 ,$157.92 ,$42.38 ,$141.00 ,$150.40 ,$150.40 ,$42.38 ,$150.40 ,$163.56 ,$163.56 ,$163.56 ,$169.20 ,$108.10 ,$42.38 ,$188.00 ,$105.47 ,$42.38 ,$77.83 ,$356.52 ,$340.32 ,$44.49 ,$159.80 ,$118.44 ,$52.64 ,$169.20 ,$163.56 ,$150.40 ,$150.40 ,$42.38 ,$122.20 ST. FRANCIS HOSPITAL - ACUTE,42000065,97530,HC THERAPEUTIC ACTIVITIES EA 15 MIN,420,1 ,$187.00 ,$134.64 ,$42.15 ,$356.52 ,$107.53 ,$134.64 ,$101.73 ,$42.15 ,$52.36 ,$124.36 ,$42.15 ,$130.90 ,$42.15 ,$117.81 ,$117.81 ,$42.15 ,$117.81 ,$86.88 ,$172.04 ,$90.73 ,$42.15 ,$158.95 ,$157.08 ,$42.15 ,$140.25 ,$149.60 ,$149.60 ,$42.15 ,$149.60 ,$162.69 ,$162.69 ,$162.69 ,$168.30 ,$107.53 ,$42.15 ,$187.00 ,$104.91 ,$42.15 ,$77.42 ,$356.52 ,$340.32 ,$44.26 ,$158.95 ,$117.81 ,$52.36 ,$168.30 ,$162.69 ,$149.60 ,$149.60 ,$42.15 ,$121.55 ST. FRANCIS HOSPITAL - ACUTE,42000083,97598,HC DEBR SKIN PART THICKNESS EA ADDN>20CM FACIL,420,1 ,$369.00 ,$265.68 ,$83.17 ,$369.00 ,$212.18 ,$265.68 ,$200.74 ,$83.17 ,$103.32 ,$144.97 ,$83.17 ,$152.60 ,$83.17 ,$232.47 ,$232.47 ,$83.17 ,$232.47 ,$171.44 ,$339.48 , N/A ,$83.17 ,$313.65 ,$309.96 ,$83.17 ,$276.75 ,$295.20 ,$295.20 ,$83.17 ,$295.20 ,$321.03 ,$321.03 ,$321.03 ,$332.10 ,$212.18 ,$83.17 ,$369.00 ,$207.01 ,$83.17 ,$152.77 ,$125.98 ,$120.26 ,$87.33 ,$313.65 ,$232.47 ,$103.32 ,$332.10 ,$321.03 ,$295.20 ,$295.20 ,$83.17 ,$239.85 ST. FRANCIS HOSPITAL - ACUTE,42000084,97602,HC DEBRIDEMENT NONSELECTIVE,420,1 ,$369.00 ,$265.68 ,$83.17 ,$369.00 ,$212.18 ,$265.68 ,$200.74 ,$83.17 ,$103.32 ,$245.39 ,$83.17 ,$258.30 ,$83.17 ,$232.47 ,$232.47 ,$83.17 ,$232.47 ,$171.44 ,$339.48 , N/A ,$83.17 ,$313.65 ,$309.96 ,$83.17 ,$276.75 ,$295.20 ,$295.20 ,$83.17 ,$295.20 ,$321.03 ,$321.03 ,$321.03 ,$332.10 ,$212.18 ,$83.17 ,$369.00 ,$207.01 ,$83.17 ,$152.77 ,$303.49 ,$289.70 ,$87.33 ,$313.65 ,$232.47 ,$103.32 ,$332.10 ,$321.03 ,$295.20 ,$295.20 ,$83.17 ,$239.85 ST. FRANCIS HOSPITAL - ACUTE,42000085,97605,HC NWPT <50 SQ CM FAC,420,1 ,$268.00 ,$192.96 ,$60.41 ,$303.49 ,$154.10 ,$192.96 ,$145.79 ,$60.41 ,$75.04 ,$178.22 ,$60.41 ,$187.60 ,$60.41 ,$168.84 ,$168.84 ,$60.41 ,$168.84 ,$124.51 ,$246.56 ,$104.00 ,$60.41 ,$227.80 ,$225.12 ,$60.41 ,$201.00 ,$214.40 ,$214.40 ,$60.41 ,$214.40 ,$233.16 ,$233.16 ,$233.16 ,$241.20 ,$154.10 ,$60.41 ,$268.00 ,$150.35 ,$60.41 ,$110.95 ,$303.49 ,$289.70 ,$63.43 ,$227.80 ,$168.84 ,$75.04 ,$241.20 ,$233.16 ,$214.40 ,$214.40 ,$60.41 ,$174.20 ST. FRANCIS HOSPITAL - ACUTE,42000089,97606,HC NWPT >50 SQ CM FAC,420,1 ,$405.00 ,$291.60 ,$91.29 ,$405.00 ,$232.88 ,$291.60 ,$220.32 ,$91.29 ,$113.40 ,$269.33 ,$91.29 ,$283.50 ,$91.29 ,$255.15 ,$255.15 ,$91.29 ,$255.15 ,$188.16 ,$372.60 ,$123.98 ,$91.29 ,$344.25 ,$340.20 ,$91.29 ,$303.75 ,$324.00 ,$324.00 ,$91.29 ,$324.00 ,$352.35 ,$352.35 ,$352.35 ,$364.50 ,$232.88 ,$91.29 ,$405.00 ,$227.21 ,$91.29 ,$167.67 ,$303.49 ,$289.70 ,$95.85 ,$344.25 ,$255.15 ,$113.40 ,$364.50 ,$352.35 ,$324.00 ,$324.00 ,$91.29 ,$263.25 ST. FRANCIS HOSPITAL - ACUTE,42000093,97750,HC PHYSICAL PERFORMANCE TST EA 15 MIN,420,1 ,$87.00 ,$62.64 ,$19.61 ,$356.52 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$82.93 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 ,$356.52 ,$340.32 ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,42000094,97761,HC PROSTHETIC TRAINING EA 15 MIN,420,1 ,$206.00 ,$148.32 ,$46.43 ,$356.52 ,$118.45 ,$148.32 ,$112.06 ,$46.43 ,$57.68 ,$136.99 ,$46.43 ,$144.20 ,$46.43 ,$129.78 ,$129.78 ,$46.43 ,$129.78 ,$95.71 ,$189.52 ,$102.13 ,$46.43 ,$175.10 ,$173.04 ,$46.43 ,$154.50 ,$164.80 ,$164.80 ,$46.43 ,$164.80 ,$179.22 ,$179.22 ,$179.22 ,$185.40 ,$118.45 ,$46.43 ,$206.00 ,$115.57 ,$46.43 ,$85.28 ,$356.52 ,$340.32 ,$48.75 ,$175.10 ,$129.78 ,$57.68 ,$185.40 ,$179.22 ,$164.80 ,$164.80 ,$46.43 ,$133.90 ST. FRANCIS HOSPITAL - ACUTE,42000204,97010,HC HOT/COLD PACK 15MIN,420,1 ,$140.00 ,$100.80 ,$27.80 ,$140.00 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$39.90 ,$31.56 ,$42.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 , N/A ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$29.13 ,$27.80 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,42000205,97010,HC HOT/COLD PACK 30MIN,420,1 ,$140.00 ,$100.80 ,$27.80 ,$140.00 ,$80.50 ,$100.80 ,$76.16 ,$31.56 ,$39.20 ,$39.90 ,$31.56 ,$42.00 ,$31.56 ,$88.20 ,$88.20 ,$31.56 ,$88.20 ,$65.04 ,$128.80 , N/A ,$31.56 ,$119.00 ,$117.60 ,$31.56 ,$105.00 ,$112.00 ,$112.00 ,$31.56 ,$112.00 ,$121.80 ,$121.80 ,$121.80 ,$126.00 ,$80.50 ,$31.56 ,$140.00 ,$78.54 ,$31.56 ,$57.96 ,$29.13 ,$27.80 ,$33.13 ,$119.00 ,$88.20 ,$39.20 ,$126.00 ,$121.80 ,$112.00 ,$112.00 ,$31.56 ,$91.00 ST. FRANCIS HOSPITAL - ACUTE,42000206,G0283,HC ELECT STIM (UNATTEND) OTHER 15MIN,420,1 ,$206.00 ,$148.32 ,$27.80 ,$206.00 ,$118.45 ,$148.32 ,$112.06 ,$46.43 ,$57.68 ,$133.00 ,$46.43 ,$140.00 ,$46.43 ,$129.78 ,$129.78 ,$46.43 ,$129.78 ,$95.71 ,$189.52 ,$30.10 ,$46.43 ,$175.10 ,$173.04 ,$46.43 ,$154.50 ,$164.80 ,$164.80 ,$46.43 ,$164.80 ,$179.22 ,$179.22 ,$179.22 ,$185.40 ,$118.45 ,$46.43 ,$206.00 ,$115.57 ,$46.43 ,$85.28 ,$29.13 ,$27.80 ,$48.75 ,$175.10 ,$129.78 ,$57.68 ,$185.40 ,$179.22 ,$164.80 ,$164.80 ,$46.43 ,$133.90 ST. FRANCIS HOSPITAL - ACUTE,42000207,G0283,HC ELECT STIM (UNATTEND) OTHER 30MIN,420,1 ,$289.00 ,$208.08 ,$27.80 ,$289.00 ,$166.18 ,$208.08 ,$157.22 ,$65.14 ,$80.92 ,$133.00 ,$65.14 ,$140.00 ,$65.14 ,$182.07 ,$182.07 ,$65.14 ,$182.07 ,$134.27 ,$265.88 ,$30.10 ,$65.14 ,$245.65 ,$242.76 ,$65.14 ,$216.75 ,$231.20 ,$231.20 ,$65.14 ,$231.20 ,$251.43 ,$251.43 ,$251.43 ,$260.10 ,$166.18 ,$65.14 ,$289.00 ,$162.13 ,$65.14 ,$119.65 ,$29.13 ,$27.80 ,$68.39 ,$245.65 ,$182.07 ,$80.92 ,$260.10 ,$251.43 ,$231.20 ,$231.20 ,$65.14 ,$187.85 ST. FRANCIS HOSPITAL - ACUTE,42000208,G0283,HC ELECT STIM (UNATTEND) OTHER 45MIN,420,1 ,$365.00 ,$262.80 ,$27.80 ,$365.00 ,$209.88 ,$262.80 ,$198.56 ,$82.27 ,$102.20 ,$133.00 ,$82.27 ,$140.00 ,$82.27 ,$229.95 ,$229.95 ,$82.27 ,$229.95 ,$169.58 ,$335.80 ,$30.10 ,$82.27 ,$310.25 ,$306.60 ,$82.27 ,$273.75 ,$292.00 ,$292.00 ,$82.27 ,$292.00 ,$317.55 ,$317.55 ,$317.55 ,$328.50 ,$209.88 ,$82.27 ,$365.00 ,$204.77 ,$82.27 ,$151.11 ,$29.13 ,$27.80 ,$86.39 ,$310.25 ,$229.95 ,$102.20 ,$328.50 ,$317.55 ,$292.00 ,$292.00 ,$82.27 ,$237.25 ST. FRANCIS HOSPITAL - ACUTE,42000209,G0283,HC ELECT STIM (UNATTEND) OTHER 60MIN,420,1 ,$440.00 ,$316.80 ,$27.80 ,$440.00 ,$253.00 ,$316.80 ,$239.36 ,$99.18 ,$123.20 ,$133.00 ,$99.18 ,$140.00 ,$99.18 ,$277.20 ,$277.20 ,$99.18 ,$277.20 ,$204.42 ,$404.80 ,$30.10 ,$99.18 ,$374.00 ,$369.60 ,$99.18 ,$330.00 ,$352.00 ,$352.00 ,$99.18 ,$352.00 ,$382.80 ,$382.80 ,$382.80 ,$396.00 ,$253.00 ,$99.18 ,$440.00 ,$246.84 ,$99.18 ,$182.16 ,$29.13 ,$27.80 ,$104.13 ,$374.00 ,$277.20 ,$123.20 ,$396.00 ,$382.80 ,$352.00 ,$352.00 ,$99.18 ,$286.00 ST. FRANCIS HOSPITAL - ACUTE,42000210,97016,HC APPLY VASOPNEUMATIC DEVICE 15MIN,420,1 ,$129.00 ,$92.88 ,$27.80 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$29.33 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$29.13 ,$27.80 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,42000211,97016,HC APPLY VASOPNEUMATIC DEVICE 30MIN,420,1 ,$129.00 ,$92.88 ,$27.80 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$29.33 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$29.13 ,$27.80 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,42000212,97016,HC APPLY VASOPNEUMATIC DEVICE 45MIN,420,1 ,$129.00 ,$92.88 ,$27.80 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$29.33 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$29.13 ,$27.80 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,42000213,97016,HC APPLY VASOPNEUMATIC DEVICE 60MIN,420,1 ,$129.00 ,$92.88 ,$27.80 ,$129.00 ,$74.18 ,$92.88 ,$70.18 ,$29.08 ,$36.12 ,$85.79 ,$29.08 ,$90.30 ,$29.08 ,$81.27 ,$81.27 ,$29.08 ,$81.27 ,$59.93 ,$118.68 ,$29.33 ,$29.08 ,$109.65 ,$108.36 ,$29.08 ,$96.75 ,$103.20 ,$103.20 ,$29.08 ,$103.20 ,$112.23 ,$112.23 ,$112.23 ,$116.10 ,$74.18 ,$29.08 ,$129.00 ,$72.37 ,$29.08 ,$53.41 ,$29.13 ,$27.80 ,$30.53 ,$109.65 ,$81.27 ,$36.12 ,$116.10 ,$112.23 ,$103.20 ,$103.20 ,$29.08 ,$83.85 ST. FRANCIS HOSPITAL - ACUTE,42000214,97012,HC TRACTION MECHANICAL APPL 15 MIN,420,1 ,$139.00 ,$100.08 ,$27.80 ,$139.00 ,$79.93 ,$100.08 ,$75.62 ,$31.33 ,$38.92 ,$92.44 ,$31.33 ,$97.30 ,$31.33 ,$87.57 ,$87.57 ,$31.33 ,$87.57 ,$64.58 ,$127.88 ,$36.03 ,$31.33 ,$118.15 ,$116.76 ,$31.33 ,$104.25 ,$111.20 ,$111.20 ,$31.33 ,$111.20 ,$120.93 ,$120.93 ,$120.93 ,$125.10 ,$79.93 ,$31.33 ,$139.00 ,$77.98 ,$31.33 ,$57.55 ,$29.13 ,$27.80 ,$32.90 ,$118.15 ,$87.57 ,$38.92 ,$125.10 ,$120.93 ,$111.20 ,$111.20 ,$31.33 ,$90.35 ST. FRANCIS HOSPITAL - ACUTE,42000215,97012,HC TRACTION MECHANICAL APPL 30 MIN,420,1 ,$139.00 ,$100.08 ,$27.80 ,$139.00 ,$79.93 ,$100.08 ,$75.62 ,$31.33 ,$38.92 ,$92.44 ,$31.33 ,$97.30 ,$31.33 ,$87.57 ,$87.57 ,$31.33 ,$87.57 ,$64.58 ,$127.88 ,$36.03 ,$31.33 ,$118.15 ,$116.76 ,$31.33 ,$104.25 ,$111.20 ,$111.20 ,$31.33 ,$111.20 ,$120.93 ,$120.93 ,$120.93 ,$125.10 ,$79.93 ,$31.33 ,$139.00 ,$77.98 ,$31.33 ,$57.55 ,$29.13 ,$27.80 ,$32.90 ,$118.15 ,$87.57 ,$38.92 ,$125.10 ,$120.93 ,$111.20 ,$111.20 ,$31.33 ,$90.35 ST. FRANCIS HOSPITAL - ACUTE,42400043,97161,HC PT EVAL LOW COMPLEXITY 15MIN,424,1 ,$243.00 ,$174.96 ,$54.77 ,$356.52 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$248.18 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$356.52 ,$340.32 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,42400044,97161,HC PT EVAL LOW COMPLEXITY 30MIN,424,1 ,$243.00 ,$174.96 ,$54.77 ,$356.52 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$248.18 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$356.52 ,$340.32 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,42400045,97161,HC PT EVAL LOW COMPLEXITY 45MIN,424,1 ,$243.00 ,$174.96 ,$54.77 ,$356.52 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$248.18 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$356.52 ,$340.32 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,42400046,97161,HC PT EVAL LOW COMPLEXITY 60MIN,424,1 ,$243.00 ,$174.96 ,$54.77 ,$356.52 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$161.60 ,$54.77 ,$170.10 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 ,$248.18 ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$356.52 ,$340.32 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,42400055,97162,HC PT EVAL MOD COMPLEXITY 15MIN,424,1 ,$303.00 ,$218.16 ,$68.30 ,$356.52 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$248.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 ,$356.52 ,$340.32 ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,42400056,97162,HC PT EVAL MOD COMPLEXITY 30MIN,424,1 ,$303.00 ,$218.16 ,$68.30 ,$356.52 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$248.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 ,$356.52 ,$340.32 ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,42400057,97162,HC PT EVAL MOD COMPLEXITY 45MIN,424,1 ,$303.00 ,$218.16 ,$68.30 ,$356.52 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$248.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 ,$356.52 ,$340.32 ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,42400058,97162,HC PT EVAL MOD COMPLEXITY 60MIN,424,1 ,$303.00 ,$218.16 ,$68.30 ,$356.52 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$248.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 ,$356.52 ,$340.32 ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,42400079,97164,HC PT RE-EVAL 15MIN,424,1 ,$207.00 ,$149.04 ,$46.66 ,$356.52 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$137.66 ,$46.66 ,$144.90 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$172.25 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$356.52 ,$340.32 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,42400080,97164,HC PT RE-EVAL 30MIN,424,1 ,$207.00 ,$149.04 ,$46.66 ,$356.52 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$137.66 ,$46.66 ,$144.90 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$172.25 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$356.52 ,$340.32 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,42400081,97164,HC PT RE-EVAL 45MIN,424,1 ,$207.00 ,$149.04 ,$46.66 ,$356.52 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$137.66 ,$46.66 ,$144.90 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$172.25 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$356.52 ,$340.32 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,42400082,97164,HC PT RE-EVAL 60MIN,424,1 ,$207.00 ,$149.04 ,$46.66 ,$356.52 ,$119.03 ,$149.04 ,$112.61 ,$46.66 ,$57.96 ,$137.66 ,$46.66 ,$144.90 ,$46.66 ,$130.41 ,$130.41 ,$46.66 ,$130.41 ,$96.17 ,$190.44 ,$172.25 ,$46.66 ,$175.95 ,$173.88 ,$46.66 ,$155.25 ,$165.60 ,$165.60 ,$46.66 ,$165.60 ,$180.09 ,$180.09 ,$180.09 ,$186.30 ,$119.03 ,$46.66 ,$207.00 ,$116.13 ,$46.66 ,$85.70 ,$356.52 ,$340.32 ,$48.99 ,$175.95 ,$130.41 ,$57.96 ,$186.30 ,$180.09 ,$165.60 ,$165.60 ,$46.66 ,$134.55 ST. FRANCIS HOSPITAL - ACUTE,43000016,97535,HC SELF CARE ADL TRAINING EA 15MIN,430,1 ,$164.00 ,$118.08 ,$36.97 ,$567.15 ,$94.30 ,$118.08 ,$89.22 ,$36.97 ,$45.92 ,$109.06 ,$36.97 ,$114.80 ,$36.97 ,$103.32 ,$103.32 ,$36.97 ,$103.32 ,$76.19 ,$150.88 ,$80.55 ,$36.97 ,$139.40 ,$137.76 ,$36.97 ,$123.00 ,$131.20 ,$131.20 ,$36.97 ,$131.20 ,$142.68 ,$142.68 ,$142.68 ,$147.60 ,$94.30 ,$36.97 ,$164.00 ,$92.00 ,$36.97 ,$67.90 ,$567.15 ,$541.37 ,$38.82 ,$139.40 ,$103.32 ,$45.92 ,$147.60 ,$142.68 ,$131.20 ,$131.20 ,$36.97 ,$106.60 ST. FRANCIS HOSPITAL - ACUTE,43000027,97760,HC ORTHOTICS FABRICATION EA 15 MIN,430,1 ,$180.00 ,$129.60 ,$40.57 ,$356.52 ,$103.50 ,$129.60 ,$97.92 ,$40.57 ,$50.40 ,$119.70 ,$40.57 ,$126.00 ,$40.57 ,$113.40 ,$113.40 ,$40.57 ,$113.40 ,$83.63 ,$165.60 ,$117.88 ,$40.57 ,$153.00 ,$151.20 ,$40.57 ,$135.00 ,$144.00 ,$144.00 ,$40.57 ,$144.00 ,$156.60 ,$156.60 ,$156.60 ,$162.00 ,$103.50 ,$40.57 ,$180.00 ,$100.98 ,$40.57 ,$74.52 ,$356.52 ,$340.32 ,$42.60 ,$153.00 ,$113.40 ,$50.40 ,$162.00 ,$156.60 ,$144.00 ,$144.00 ,$40.57 ,$117.00 ST. FRANCIS HOSPITAL - ACUTE,43000038,97018,HC PARAFFIN BATH THERAPY 15MIN,430,1 ,$107.00 ,$77.04 ,$14.43 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$14.43 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$29.13 ,$27.80 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,43000039,97018,HC PARAFFIN BATH THERAPY 30MIN,430,1 ,$107.00 ,$77.04 ,$14.43 ,$107.00 ,$61.53 ,$77.04 ,$58.21 ,$24.12 ,$29.96 ,$71.16 ,$24.12 ,$74.90 ,$24.12 ,$67.41 ,$67.41 ,$24.12 ,$67.41 ,$49.71 ,$98.44 ,$14.43 ,$24.12 ,$90.95 ,$89.88 ,$24.12 ,$80.25 ,$85.60 ,$85.60 ,$24.12 ,$85.60 ,$93.09 ,$93.09 ,$93.09 ,$96.30 ,$61.53 ,$24.12 ,$107.00 ,$60.03 ,$24.12 ,$44.30 ,$29.13 ,$27.80 ,$25.32 ,$90.95 ,$67.41 ,$29.96 ,$96.30 ,$93.09 ,$85.60 ,$85.60 ,$24.12 ,$69.55 ST. FRANCIS HOSPITAL - ACUTE,43000061,97129,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION INITIAL 15 MIN,430,1 ,$196.00 ,$141.12 ,$27.80 ,$196.00 ,$112.70 ,$141.12 ,$106.62 ,$44.18 ,$54.88 ,$130.34 ,$44.18 ,$137.20 ,$44.18 ,$123.48 ,$123.48 ,$44.18 ,$123.48 ,$91.06 ,$180.32 ,$56.43 ,$44.18 ,$166.60 ,$164.64 ,$44.18 ,$147.00 ,$156.80 ,$156.80 ,$44.18 ,$156.80 ,$170.52 ,$170.52 ,$170.52 ,$176.40 ,$112.70 ,$44.18 ,$196.00 ,$109.96 ,$44.18 ,$81.14 ,$29.13 ,$27.80 ,$46.38 ,$166.60 ,$123.48 ,$54.88 ,$176.40 ,$170.52 ,$156.80 ,$156.80 ,$44.18 ,$127.40 ST. FRANCIS HOSPITAL - ACUTE,43000062,97130,HC COGNITIVE FUNCTION THERAPEUTIC INTERVENTION ADDL 15 MIN,430,1 ,$135.00 ,$97.20 ,$27.80 ,$135.00 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$53.95 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 ,$29.13 ,$27.80 ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,43400034,97165,HC OT EVAL LOW COMPLEXITY 15MIN,434,1 ,$281.00 ,$202.32 ,$63.34 ,$567.15 ,$161.58 ,$202.32 ,$152.86 ,$63.34 ,$78.68 ,$186.87 ,$63.34 ,$196.70 ,$63.34 ,$177.03 ,$177.03 ,$63.34 ,$177.03 ,$130.55 ,$258.52 ,$248.18 ,$63.34 ,$238.85 ,$236.04 ,$63.34 ,$210.75 ,$224.80 ,$224.80 ,$63.34 ,$224.80 ,$244.47 ,$244.47 ,$244.47 ,$252.90 ,$161.58 ,$63.34 ,$281.00 ,$157.64 ,$63.34 ,$116.33 ,$567.15 ,$541.37 ,$66.50 ,$238.85 ,$177.03 ,$78.68 ,$252.90 ,$244.47 ,$224.80 ,$224.80 ,$63.34 ,$182.65 ST. FRANCIS HOSPITAL - ACUTE,43400035,97165,HC OT EVAL LOW COMPLEXITY 30MIN,434,1 ,$280.00 ,$201.60 ,$63.11 ,$567.15 ,$161.00 ,$201.60 ,$152.32 ,$63.11 ,$78.40 ,$186.20 ,$63.11 ,$196.00 ,$63.11 ,$176.40 ,$176.40 ,$63.11 ,$176.40 ,$130.09 ,$257.60 ,$248.18 ,$63.11 ,$238.00 ,$235.20 ,$63.11 ,$210.00 ,$224.00 ,$224.00 ,$63.11 ,$224.00 ,$243.60 ,$243.60 ,$243.60 ,$252.00 ,$161.00 ,$63.11 ,$280.00 ,$157.08 ,$63.11 ,$115.92 ,$567.15 ,$541.37 ,$66.27 ,$238.00 ,$176.40 ,$78.40 ,$252.00 ,$243.60 ,$224.00 ,$224.00 ,$63.11 ,$182.00 ST. FRANCIS HOSPITAL - ACUTE,43400036,97165,HC OT EVAL LOW COMPLEXITY 45MIN,434,1 ,$280.00 ,$201.60 ,$63.11 ,$567.15 ,$161.00 ,$201.60 ,$152.32 ,$63.11 ,$78.40 ,$186.20 ,$63.11 ,$196.00 ,$63.11 ,$176.40 ,$176.40 ,$63.11 ,$176.40 ,$130.09 ,$257.60 ,$248.18 ,$63.11 ,$238.00 ,$235.20 ,$63.11 ,$210.00 ,$224.00 ,$224.00 ,$63.11 ,$224.00 ,$243.60 ,$243.60 ,$243.60 ,$252.00 ,$161.00 ,$63.11 ,$280.00 ,$157.08 ,$63.11 ,$115.92 ,$567.15 ,$541.37 ,$66.27 ,$238.00 ,$176.40 ,$78.40 ,$252.00 ,$243.60 ,$224.00 ,$224.00 ,$63.11 ,$182.00 ST. FRANCIS HOSPITAL - ACUTE,43400037,97165,HC OT EVAL LOW COMPLEXITY 60MIN,434,1 ,$280.00 ,$201.60 ,$63.11 ,$567.15 ,$161.00 ,$201.60 ,$152.32 ,$63.11 ,$78.40 ,$186.20 ,$63.11 ,$196.00 ,$63.11 ,$176.40 ,$176.40 ,$63.11 ,$176.40 ,$130.09 ,$257.60 ,$248.18 ,$63.11 ,$238.00 ,$235.20 ,$63.11 ,$210.00 ,$224.00 ,$224.00 ,$63.11 ,$224.00 ,$243.60 ,$243.60 ,$243.60 ,$252.00 ,$161.00 ,$63.11 ,$280.00 ,$157.08 ,$63.11 ,$115.92 ,$567.15 ,$541.37 ,$66.27 ,$238.00 ,$176.40 ,$78.40 ,$252.00 ,$243.60 ,$224.00 ,$224.00 ,$63.11 ,$182.00 ST. FRANCIS HOSPITAL - ACUTE,43400046,97166,HC OT EVAL MOD COMPLEXITY 15MIN,434,1 ,$350.00 ,$252.00 ,$78.89 ,$567.15 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 ,$248.18 ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$144.90 ,$567.15 ,$541.37 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 ,$280.00 ,$280.00 ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,43400047,97166,HC OT EVAL MOD COMPLEXITY 30MIN,434,1 ,$350.00 ,$252.00 ,$78.89 ,$567.15 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 ,$248.18 ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$144.90 ,$567.15 ,$541.37 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 ,$280.00 ,$280.00 ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,43400048,97166,HC OT EVAL MOD COMPLEXITY 45MIN,434,1 ,$350.00 ,$252.00 ,$78.89 ,$567.15 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 ,$248.18 ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$144.90 ,$567.15 ,$541.37 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 ,$280.00 ,$280.00 ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,43400049,97166,HC OT EVAL MOD COMPLEXITY 60MIN,434,1 ,$350.00 ,$252.00 ,$78.89 ,$567.15 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 ,$248.18 ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$144.90 ,$567.15 ,$541.37 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 ,$280.00 ,$280.00 ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,43400070,97168,HC OT RE-EVAL 15MIN,434,1 ,$183.00 ,$131.76 ,$41.25 ,$567.15 ,$105.23 ,$131.76 ,$99.55 ,$41.25 ,$51.24 ,$121.70 ,$41.25 ,$128.10 ,$41.25 ,$115.29 ,$115.29 ,$41.25 ,$115.29 ,$85.02 ,$168.36 ,$171.48 ,$41.25 ,$155.55 ,$153.72 ,$41.25 ,$137.25 ,$146.40 ,$146.40 ,$41.25 ,$146.40 ,$159.21 ,$159.21 ,$159.21 ,$164.70 ,$105.23 ,$41.25 ,$183.00 ,$102.66 ,$41.25 ,$75.76 ,$567.15 ,$541.37 ,$43.31 ,$155.55 ,$115.29 ,$51.24 ,$164.70 ,$159.21 ,$146.40 ,$146.40 ,$41.25 ,$118.95 ST. FRANCIS HOSPITAL - ACUTE,43400071,97168,HC OT RE-EVAL 30MIN,434,1 ,$183.00 ,$131.76 ,$41.25 ,$567.15 ,$105.23 ,$131.76 ,$99.55 ,$41.25 ,$51.24 ,$121.70 ,$41.25 ,$128.10 ,$41.25 ,$115.29 ,$115.29 ,$41.25 ,$115.29 ,$85.02 ,$168.36 ,$171.48 ,$41.25 ,$155.55 ,$153.72 ,$41.25 ,$137.25 ,$146.40 ,$146.40 ,$41.25 ,$146.40 ,$159.21 ,$159.21 ,$159.21 ,$164.70 ,$105.23 ,$41.25 ,$183.00 ,$102.66 ,$41.25 ,$75.76 ,$567.15 ,$541.37 ,$43.31 ,$155.55 ,$115.29 ,$51.24 ,$164.70 ,$159.21 ,$146.40 ,$146.40 ,$41.25 ,$118.95 ST. FRANCIS HOSPITAL - ACUTE,43400072,97168,HC OT RE-EVAL 45MIN,434,1 ,$183.00 ,$131.76 ,$41.25 ,$567.15 ,$105.23 ,$131.76 ,$99.55 ,$41.25 ,$51.24 ,$121.70 ,$41.25 ,$128.10 ,$41.25 ,$115.29 ,$115.29 ,$41.25 ,$115.29 ,$85.02 ,$168.36 ,$171.48 ,$41.25 ,$155.55 ,$153.72 ,$41.25 ,$137.25 ,$146.40 ,$146.40 ,$41.25 ,$146.40 ,$159.21 ,$159.21 ,$159.21 ,$164.70 ,$105.23 ,$41.25 ,$183.00 ,$102.66 ,$41.25 ,$75.76 ,$567.15 ,$541.37 ,$43.31 ,$155.55 ,$115.29 ,$51.24 ,$164.70 ,$159.21 ,$146.40 ,$146.40 ,$41.25 ,$118.95 ST. FRANCIS HOSPITAL - ACUTE,43400073,97168,HC OT RE-EVAL 60MIN,434,1 ,$183.00 ,$131.76 ,$41.25 ,$567.15 ,$105.23 ,$131.76 ,$99.55 ,$41.25 ,$51.24 ,$121.70 ,$41.25 ,$128.10 ,$41.25 ,$115.29 ,$115.29 ,$41.25 ,$115.29 ,$85.02 ,$168.36 ,$171.48 ,$41.25 ,$155.55 ,$153.72 ,$41.25 ,$137.25 ,$146.40 ,$146.40 ,$41.25 ,$146.40 ,$159.21 ,$159.21 ,$159.21 ,$164.70 ,$105.23 ,$41.25 ,$183.00 ,$102.66 ,$41.25 ,$75.76 ,$567.15 ,$541.37 ,$43.31 ,$155.55 ,$115.29 ,$51.24 ,$164.70 ,$159.21 ,$146.40 ,$146.40 ,$41.25 ,$118.95 ST. FRANCIS HOSPITAL - ACUTE,44000000,92507,HC SPEECH THERAPY TREATMENT 15MIN,440,1 ,$284.00 ,$204.48 ,$64.01 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$188.86 ,$64.01 ,$198.80 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$190.03 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$263.53 ,$251.55 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,44000001,92507,HC SPEECH THERAPY TREATMENT 30MIN,440,1 ,$284.00 ,$204.48 ,$64.01 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$188.86 ,$64.01 ,$198.80 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$190.03 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$263.53 ,$251.55 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,44000002,92507,HC SPEECH THERAPY TREATMENT 45MIN,440,1 ,$284.00 ,$204.48 ,$64.01 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$188.86 ,$64.01 ,$198.80 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$190.03 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$263.53 ,$251.55 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,44000003,92507,HC SPEECH THERAPY TREATMENT 60MIN,440,1 ,$284.00 ,$204.48 ,$64.01 ,$284.00 ,$163.30 ,$204.48 ,$154.50 ,$64.01 ,$79.52 ,$188.86 ,$64.01 ,$198.80 ,$64.01 ,$178.92 ,$178.92 ,$64.01 ,$178.92 ,$131.95 ,$261.28 ,$190.03 ,$64.01 ,$241.40 ,$238.56 ,$64.01 ,$213.00 ,$227.20 ,$227.20 ,$64.01 ,$227.20 ,$247.08 ,$247.08 ,$247.08 ,$255.60 ,$163.30 ,$64.01 ,$284.00 ,$159.32 ,$64.01 ,$117.58 ,$263.53 ,$251.55 ,$67.22 ,$241.40 ,$178.92 ,$79.52 ,$255.60 ,$247.08 ,$227.20 ,$227.20 ,$64.01 ,$184.60 ST. FRANCIS HOSPITAL - ACUTE,44000009,92526,HC DYSPHAGIA TREATMENT 15MIN,440,1 ,$156.00 ,$112.32 ,$35.16 ,$263.53 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$209.98 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 ,$263.53 ,$251.55 ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,44000037,92526,HC SPEECH THERAPY TREATMENT DYSPHAGIA 90MIN,440,1 ,$938.00 ,$675.36 ,$209.98 ,$938.00 ,$539.35 ,$675.36 ,$510.27 ,$211.43 ,$262.64 ,$623.77 ,$211.43 ,$656.60 ,$211.43 ,$590.94 ,$590.94 ,$211.43 ,$590.94 ,$435.79 ,$862.96 ,$209.98 ,$211.43 ,$797.30 ,$787.92 ,$211.43 ,$703.50 ,$750.40 ,$750.40 ,$211.43 ,$750.40 ,$816.06 ,$816.06 ,$816.06 ,$844.20 ,$539.35 ,$211.43 ,$938.00 ,$526.22 ,$211.43 ,$388.33 ,$263.53 ,$251.55 ,$222.00 ,$797.30 ,$590.94 ,$262.64 ,$844.20 ,$816.06 ,$750.40 ,$750.40 ,$211.43 ,$609.70 ST. FRANCIS HOSPITAL - ACUTE,44400017,92610,HC DYSPHAGIA EVALUATION 15MIN,444,1 ,$294.00 ,$211.68 ,$66.27 ,$294.00 ,$169.05 ,$211.68 ,$159.94 ,$66.27 ,$82.32 ,$195.51 ,$66.27 ,$205.80 ,$66.27 ,$185.22 ,$185.22 ,$66.27 ,$185.22 ,$136.59 ,$270.48 ,$209.73 ,$66.27 ,$249.90 ,$246.96 ,$66.27 ,$220.50 ,$235.20 ,$235.20 ,$66.27 ,$235.20 ,$255.78 ,$255.78 ,$255.78 ,$264.60 ,$169.05 ,$66.27 ,$294.00 ,$164.93 ,$66.27 ,$121.72 ,$263.53 ,$251.55 ,$69.58 ,$249.90 ,$185.22 ,$82.32 ,$264.60 ,$255.78 ,$235.20 ,$235.20 ,$66.27 ,$191.10 ST. FRANCIS HOSPITAL - ACUTE,44400018,92610,HC DYSPHAGIA EVALUATION 30MIN,444,1 ,$352.00 ,$253.44 ,$79.34 ,$352.00 ,$202.40 ,$253.44 ,$191.49 ,$79.34 ,$98.56 ,$234.08 ,$79.34 ,$246.40 ,$79.34 ,$221.76 ,$221.76 ,$79.34 ,$221.76 ,$163.54 ,$323.84 ,$209.73 ,$79.34 ,$299.20 ,$295.68 ,$79.34 ,$264.00 ,$281.60 ,$281.60 ,$79.34 ,$281.60 ,$306.24 ,$306.24 ,$306.24 ,$316.80 ,$202.40 ,$79.34 ,$352.00 ,$197.47 ,$79.34 ,$145.73 ,$263.53 ,$251.55 ,$83.31 ,$299.20 ,$221.76 ,$98.56 ,$316.80 ,$306.24 ,$281.60 ,$281.60 ,$79.34 ,$228.80 ST. FRANCIS HOSPITAL - ACUTE,44400019,92610,HC DYSPHAGIA EVALUATION 45MIN,444,1 ,$423.00 ,$304.56 ,$95.34 ,$423.00 ,$243.23 ,$304.56 ,$230.11 ,$95.34 ,$118.44 ,$281.30 ,$95.34 ,$296.10 ,$95.34 ,$266.49 ,$266.49 ,$95.34 ,$266.49 ,$196.53 ,$389.16 ,$209.73 ,$95.34 ,$359.55 ,$355.32 ,$95.34 ,$317.25 ,$338.40 ,$338.40 ,$95.34 ,$338.40 ,$368.01 ,$368.01 ,$368.01 ,$380.70 ,$243.23 ,$95.34 ,$423.00 ,$237.30 ,$95.34 ,$175.12 ,$263.53 ,$251.55 ,$100.11 ,$359.55 ,$266.49 ,$118.44 ,$380.70 ,$368.01 ,$338.40 ,$338.40 ,$95.34 ,$274.95 ST. FRANCIS HOSPITAL - ACUTE,44400020,92610,HC DYSPHAGIA EVALUATION 60MIN,444,1 ,$507.00 ,$365.04 ,$114.28 ,$507.00 ,$291.53 ,$365.04 ,$275.81 ,$114.28 ,$141.96 ,$337.16 ,$114.28 ,$354.90 ,$114.28 ,$319.41 ,$319.41 ,$114.28 ,$319.41 ,$235.55 ,$466.44 ,$209.73 ,$114.28 ,$430.95 ,$425.88 ,$114.28 ,$380.25 ,$405.60 ,$405.60 ,$114.28 ,$405.60 ,$441.09 ,$441.09 ,$441.09 ,$456.30 ,$291.53 ,$114.28 ,$507.00 ,$284.43 ,$114.28 ,$209.90 ,$263.53 ,$251.55 ,$119.99 ,$430.95 ,$319.41 ,$141.96 ,$456.30 ,$441.09 ,$405.60 ,$405.60 ,$114.28 ,$329.55 ST. FRANCIS HOSPITAL - ACUTE,44400033,92611,HC DYSPHAGIA EVAL-VIDEO,444,1 ,$280.00 ,$201.60 ,$56.05 ,$280.00 ,$161.00 ,$201.60 ,$152.32 ,$63.11 ,$78.40 ,$186.20 ,$63.11 ,$196.00 ,$63.11 ,$176.40 ,$176.40 ,$63.11 ,$176.40 ,$130.09 ,$257.60 ,$228.40 ,$63.11 ,$238.00 ,$235.20 ,$63.11 ,$210.00 ,$224.00 ,$224.00 ,$63.11 ,$224.00 ,$243.60 ,$243.60 ,$243.60 ,$252.00 ,$161.00 ,$63.11 ,$280.00 ,$157.08 ,$63.11 ,$115.92 ,$58.72 ,$56.05 ,$66.27 ,$238.00 ,$176.40 ,$78.40 ,$252.00 ,$243.60 ,$224.00 ,$224.00 ,$63.11 ,$182.00 ST. FRANCIS HOSPITAL - ACUTE,44400042,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 15MIN,444,1 ,$465.00 ,$334.80 ,$104.81 ,$564.45 ,$267.38 ,$334.80 ,$252.96 ,$104.81 ,$130.20 ,$309.23 ,$104.81 ,$325.50 ,$104.81 ,$292.95 ,$292.95 ,$104.81 ,$292.95 ,$216.04 ,$427.80 ,$564.45 ,$104.81 ,$395.25 ,$390.60 ,$104.81 ,$348.75 ,$372.00 ,$372.00 ,$104.81 ,$372.00 ,$404.55 ,$404.55 ,$404.55 ,$418.50 ,$267.38 ,$104.81 ,$465.00 ,$260.87 ,$104.81 ,$192.51 ,$263.53 ,$251.55 ,$110.05 ,$395.25 ,$292.95 ,$130.20 ,$418.50 ,$404.55 ,$372.00 ,$372.00 ,$104.81 ,$302.25 ST. FRANCIS HOSPITAL - ACUTE,44400058,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 30MIN,444,1 ,$465.00 ,$334.80 ,$104.81 ,$564.45 ,$267.38 ,$334.80 ,$252.96 ,$104.81 ,$130.20 ,$309.23 ,$104.81 ,$325.50 ,$104.81 ,$292.95 ,$292.95 ,$104.81 ,$292.95 ,$216.04 ,$427.80 ,$564.45 ,$104.81 ,$395.25 ,$390.60 ,$104.81 ,$348.75 ,$372.00 ,$372.00 ,$104.81 ,$372.00 ,$404.55 ,$404.55 ,$404.55 ,$418.50 ,$267.38 ,$104.81 ,$465.00 ,$260.87 ,$104.81 ,$192.51 ,$263.53 ,$251.55 ,$110.05 ,$395.25 ,$292.95 ,$130.20 ,$418.50 ,$404.55 ,$372.00 ,$372.00 ,$104.81 ,$302.25 ST. FRANCIS HOSPITAL - ACUTE,44400060,92523,HC SPEECH SOUND LANGUAGE COMPRHEN 60MIN,444,1 ,$465.00 ,$334.80 ,$104.81 ,$564.45 ,$267.38 ,$334.80 ,$252.96 ,$104.81 ,$130.20 ,$309.23 ,$104.81 ,$325.50 ,$104.81 ,$292.95 ,$292.95 ,$104.81 ,$292.95 ,$216.04 ,$427.80 ,$564.45 ,$104.81 ,$395.25 ,$390.60 ,$104.81 ,$348.75 ,$372.00 ,$372.00 ,$104.81 ,$372.00 ,$404.55 ,$404.55 ,$404.55 ,$418.50 ,$267.38 ,$104.81 ,$465.00 ,$260.87 ,$104.81 ,$192.51 ,$263.53 ,$251.55 ,$110.05 ,$395.25 ,$292.95 ,$130.20 ,$418.50 ,$404.55 ,$372.00 ,$372.00 ,$104.81 ,$302.25 ST. FRANCIS HOSPITAL - ACUTE,44400086,92610,HC DYSPHAGIA EVALUATION 75MIN,444,1 ,$609.00 ,$438.48 ,$137.27 ,$609.00 ,$350.18 ,$438.48 ,$331.30 ,$137.27 ,$170.52 ,$404.99 ,$137.27 ,$426.30 ,$137.27 ,$383.67 ,$383.67 ,$137.27 ,$383.67 ,$282.94 ,$560.28 ,$209.73 ,$137.27 ,$517.65 ,$511.56 ,$137.27 ,$456.75 ,$487.20 ,$487.20 ,$137.27 ,$487.20 ,$529.83 ,$529.83 ,$529.83 ,$548.10 ,$350.18 ,$137.27 ,$609.00 ,$341.65 ,$137.27 ,$252.13 ,$263.53 ,$251.55 ,$144.13 ,$517.65 ,$383.67 ,$170.52 ,$548.10 ,$529.83 ,$487.20 ,$487.20 ,$137.27 ,$395.85 ST. FRANCIS HOSPITAL - ACUTE,44400094,92597,HC VOICE PROST EVAL/FITTING 15MIN,444,1 ,$156.00 ,$112.32 ,$35.16 ,$263.53 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$178.78 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 ,$263.53 ,$251.55 ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,44400095,92597,HC VOICE PROST EVAL/FITTING 30MIN,444,1 ,$156.00 ,$112.32 ,$35.16 ,$263.53 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$178.78 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 ,$263.53 ,$251.55 ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,44400096,92597,HC VOICE PROST EVAL/FITTING 45MIN,444,1 ,$156.00 ,$112.32 ,$35.16 ,$263.53 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$178.78 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 ,$263.53 ,$251.55 ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,44400097,92597,HC VOICE PROST EVAL/FITTING 60MIN,444,1 ,$156.00 ,$112.32 ,$35.16 ,$263.53 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$178.78 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 ,$263.53 ,$251.55 ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,45000002,10061,HC I AND D ABSC CMPLX,450,1 ,$394.00 ,$283.68 ,$88.81 ,$932.68 ,$226.55 ,$283.68 ,$214.34 ,$88.81 ,$110.32 ,$262.01 ,$88.81 ,$275.80 ,$88.81 ,$248.22 ,$248.22 ,$88.81 ,$248.22 ,$183.05 ,$362.48 ,$932.68 ,$88.81 ,$334.90 ,$330.96 ,$88.81 ,$295.50 ,$315.20 ,$315.20 ,$88.81 ,$315.20 ,$342.78 ,$342.78 ,$342.78 ,$354.60 ,$226.55 ,$88.81 ,$394.00 ,$221.03 ,$88.81 ,$163.12 , N/A , N/A ,$93.25 ,$334.90 ,$248.22 ,$110.32 ,$354.60 ,$342.78 ,$315.20 ,$315.20 ,$88.81 ,$256.10 ST. FRANCIS HOSPITAL - ACUTE,45000003,10080,HC I AND D CYST PILONIDAL SMP,450,1 ,$344.00 ,$247.68 ,$77.54 ,"$1,622.43 ",$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,"$1,622.43 ",$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000004,10081,HC I AND D CYST PILONIDAL CPLX,450,1 ,"$2,107.00 ","$1,517.04 ",$474.92 ,"$2,107.00 ","$1,211.53 ","$1,517.04 ","$1,146.21 ",$474.92 ,$589.96 ,"$1,401.16 ",$474.92 ,"$1,474.90 ",$474.92 ,"$1,327.41 ","$1,327.41 ",$474.92 ,"$1,327.41 ",$978.91 ,"$1,938.44 ","$1,622.43 ",$474.92 ,"$1,790.95 ","$1,769.88 ",$474.92 ,"$1,580.25 ","$1,685.60 ","$1,685.60 ",$474.92 ,"$1,685.60 ","$1,833.09 ","$1,833.09 ","$1,833.09 ","$1,896.30 ","$1,211.53 ",$474.92 ,"$2,107.00 ","$1,182.03 ",$474.92 ,$872.30 , N/A , N/A ,$498.66 ,"$1,790.95 ","$1,327.41 ",$589.96 ,"$1,896.30 ","$1,833.09 ","$1,685.60 ","$1,685.60 ",$474.92 ,"$1,369.55 " ST. FRANCIS HOSPITAL - ACUTE,45000005,10120,HC INCISION/REM FB SUBQ SMP,450,1 ,$291.00 ,$209.52 ,$65.59 ,$932.68 ,$167.33 ,$209.52 ,$158.30 ,$65.59 ,$81.48 ,$193.52 ,$65.59 ,$203.70 ,$65.59 ,$183.33 ,$183.33 ,$65.59 ,$183.33 ,$135.20 ,$267.72 ,$932.68 ,$65.59 ,$247.35 ,$244.44 ,$65.59 ,$218.25 ,$232.80 ,$232.80 ,$65.59 ,$232.80 ,$253.17 ,$253.17 ,$253.17 ,$261.90 ,$167.33 ,$65.59 ,$291.00 ,$163.25 ,$65.59 ,$120.47 , N/A , N/A ,$68.87 ,$247.35 ,$183.33 ,$81.48 ,$261.90 ,$253.17 ,$232.80 ,$232.80 ,$65.59 ,$189.15 ST. FRANCIS HOSPITAL - ACUTE,45000009,11730,HC AVULSION NAIL PLATE SINGLE FAC,450,1 ,$441.00 ,$317.52 ,$99.40 ,$451.45 ,$253.58 ,$317.52 ,$239.90 ,$99.40 ,$123.48 ,$293.27 ,$99.40 ,$308.70 ,$99.40 ,$277.83 ,$277.83 ,$99.40 ,$277.83 ,$204.89 ,$405.72 ,$451.45 ,$99.40 ,$374.85 ,$370.44 ,$99.40 ,$330.75 ,$352.80 ,$352.80 ,$99.40 ,$352.80 ,$383.67 ,$383.67 ,$383.67 ,$396.90 ,$253.58 ,$99.40 ,$441.00 ,$247.40 ,$99.40 ,$182.57 , N/A , N/A ,$104.37 ,$374.85 ,$277.83 ,$123.48 ,$396.90 ,$383.67 ,$352.80 ,$352.80 ,$99.40 ,$286.65 ST. FRANCIS HOSPITAL - ACUTE,45000010,11732,HC AVULSION NAIL PL PT/CO EA ADDL FAC,450,1 ,$264.00 ,$190.08 ,$59.51 ,$264.00 ,$151.80 ,$190.08 ,$143.62 ,$59.51 ,$73.92 ,$175.56 ,$59.51 ,$184.80 ,$59.51 ,$166.32 ,$166.32 ,$59.51 ,$166.32 ,$122.65 ,$242.88 , N/A ,$59.51 ,$224.40 ,$221.76 ,$59.51 ,$198.00 ,$211.20 ,$211.20 ,$59.51 ,$211.20 ,$229.68 ,$229.68 ,$229.68 ,$237.60 ,$151.80 ,$59.51 ,$264.00 ,$148.10 ,$59.51 ,$109.30 , N/A , N/A ,$62.48 ,$224.40 ,$166.32 ,$73.92 ,$237.60 ,$229.68 ,$211.20 ,$211.20 ,$59.51 ,$171.60 ST. FRANCIS HOSPITAL - ACUTE,45000011,11740,HC EVAC HEMATOMA SUBUNGAL,450,1 ,$170.00 ,$122.40 ,$38.32 ,$290.28 ,$97.75 ,$122.40 ,$92.48 ,$38.32 ,$47.60 ,$113.05 ,$38.32 ,$119.00 ,$38.32 ,$107.10 ,$107.10 ,$38.32 ,$107.10 ,$78.98 ,$156.40 ,$290.28 ,$38.32 ,$144.50 ,$142.80 ,$38.32 ,$127.50 ,$136.00 ,$136.00 ,$38.32 ,$136.00 ,$147.90 ,$147.90 ,$147.90 ,$153.00 ,$97.75 ,$38.32 ,$170.00 ,$95.37 ,$38.32 ,$70.38 , N/A , N/A ,$40.24 ,$144.50 ,$107.10 ,$47.60 ,$153.00 ,$147.90 ,$136.00 ,$136.00 ,$38.32 ,$110.50 ST. FRANCIS HOSPITAL - ACUTE,45000012,11760,HC REPAIR NAIL BED,450,1 ,$353.00 ,$254.16 ,$79.57 ,"$1,452.38 ",$202.98 ,$254.16 ,$192.03 ,$79.57 ,$98.84 ,$234.75 ,$79.57 ,$247.10 ,$79.57 ,$222.39 ,$222.39 ,$79.57 ,$222.39 ,$164.00 ,$324.76 ,"$1,452.38 ",$79.57 ,$300.05 ,$296.52 ,$79.57 ,$264.75 ,$282.40 ,$282.40 ,$79.57 ,$282.40 ,$307.11 ,$307.11 ,$307.11 ,$317.70 ,$202.98 ,$79.57 ,$353.00 ,$198.03 ,$79.57 ,$146.14 , N/A , N/A ,$83.54 ,$300.05 ,$222.39 ,$98.84 ,$317.70 ,$307.11 ,$282.40 ,$282.40 ,$79.57 ,$229.45 ST. FRANCIS HOSPITAL - ACUTE,45000013,11765,HC EXC WEDGE SKIN NAIL FOLD,450,1 ,"$1,059.00 ",$762.48 ,$238.70 ,"$1,059.00 ",$608.93 ,$762.48 ,$576.10 ,$238.70 ,$296.52 ,$704.24 ,$238.70 ,$741.30 ,$238.70 ,$667.17 ,$667.17 ,$238.70 ,$667.17 ,$492.01 ,$974.28 ,$932.68 ,$238.70 ,$900.15 ,$889.56 ,$238.70 ,$794.25 ,$847.20 ,$847.20 ,$238.70 ,$847.20 ,$921.33 ,$921.33 ,$921.33 ,$953.10 ,$608.93 ,$238.70 ,"$1,059.00 ",$594.10 ,$238.70 ,$438.43 , N/A , N/A ,$250.63 ,$900.15 ,$667.17 ,$296.52 ,$953.10 ,$921.33 ,$847.20 ,$847.20 ,$238.70 ,$688.35 ST. FRANCIS HOSPITAL - ACUTE,45000014,12001,HC SIMP S/N/AX/GN/TRK/EXT 2.5CM <,450,1 ,$87.00 ,$62.64 ,$19.61 ,$451.45 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$451.45 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000015,12002,HC SIMP S/N/AX/GN/TRK/EXT 2.6-7.5,450,1 ,$87.00 ,$62.64 ,$19.61 ,$451.45 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$451.45 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000016,12004,HC SIMP S/N/AX/GN/TRK/EXT7.6-12.5,450,1 ,$106.00 ,$76.32 ,$23.89 ,$451.45 ,$60.95 ,$76.32 ,$57.66 ,$23.89 ,$29.68 ,$70.49 ,$23.89 ,$74.20 ,$23.89 ,$66.78 ,$66.78 ,$23.89 ,$66.78 ,$49.25 ,$97.52 ,$451.45 ,$23.89 ,$90.10 ,$89.04 ,$23.89 ,$79.50 ,$84.80 ,$84.80 ,$23.89 ,$84.80 ,$92.22 ,$92.22 ,$92.22 ,$95.40 ,$60.95 ,$23.89 ,$106.00 ,$59.47 ,$23.89 ,$43.88 , N/A , N/A ,$25.09 ,$90.10 ,$66.78 ,$29.68 ,$95.40 ,$92.22 ,$84.80 ,$84.80 ,$23.89 ,$68.90 ST. FRANCIS HOSPITAL - ACUTE,45000017,12005,HC SIMP S/N/AX/GN/TRK/EXT 12.6-20,450,1 ,$151.00 ,$108.72 ,$34.04 ,$932.68 ,$86.83 ,$108.72 ,$82.14 ,$34.04 ,$42.28 ,$100.42 ,$34.04 ,$105.70 ,$34.04 ,$95.13 ,$95.13 ,$34.04 ,$95.13 ,$70.15 ,$138.92 ,$932.68 ,$34.04 ,$128.35 ,$126.84 ,$34.04 ,$113.25 ,$120.80 ,$120.80 ,$34.04 ,$120.80 ,$131.37 ,$131.37 ,$131.37 ,$135.90 ,$86.83 ,$34.04 ,$151.00 ,$84.71 ,$34.04 ,$62.51 , N/A , N/A ,$35.74 ,$128.35 ,$95.13 ,$42.28 ,$135.90 ,$131.37 ,$120.80 ,$120.80 ,$34.04 ,$98.15 ST. FRANCIS HOSPITAL - ACUTE,45000018,12006,HC SIMP S/N/AX/GN/TRK/EXT 20.1-30,450,1 ,$165.00 ,$118.80 ,$37.19 ,$932.68 ,$94.88 ,$118.80 ,$89.76 ,$37.19 ,$46.20 ,$109.73 ,$37.19 ,$115.50 ,$37.19 ,$103.95 ,$103.95 ,$37.19 ,$103.95 ,$76.66 ,$151.80 ,$932.68 ,$37.19 ,$140.25 ,$138.60 ,$37.19 ,$123.75 ,$132.00 ,$132.00 ,$37.19 ,$132.00 ,$143.55 ,$143.55 ,$143.55 ,$148.50 ,$94.88 ,$37.19 ,$165.00 ,$92.57 ,$37.19 ,$68.31 , N/A , N/A ,$39.05 ,$140.25 ,$103.95 ,$46.20 ,$148.50 ,$143.55 ,$132.00 ,$132.00 ,$37.19 ,$107.25 ST. FRANCIS HOSPITAL - ACUTE,45000019,12007,HC SIMP S/N/AX/GN/TRK/EXT > 30CM,450,1 ,$542.00 ,$390.24 ,$122.17 ,$542.00 ,$311.65 ,$390.24 ,$294.85 ,$122.17 ,$151.76 ,$360.43 ,$122.17 ,$379.40 ,$122.17 ,$341.46 ,$341.46 ,$122.17 ,$341.46 ,$251.81 ,$498.64 ,$451.45 ,$122.17 ,$460.70 ,$455.28 ,$122.17 ,$406.50 ,$433.60 ,$433.60 ,$122.17 ,$433.60 ,$471.54 ,$471.54 ,$471.54 ,$487.80 ,$311.65 ,$122.17 ,$542.00 ,$304.06 ,$122.17 ,$224.39 , N/A , N/A ,$128.27 ,$460.70 ,$341.46 ,$151.76 ,$487.80 ,$471.54 ,$433.60 ,$433.60 ,$122.17 ,$352.30 ST. FRANCIS HOSPITAL - ACUTE,45000020,12011,HC SIMP F/E/E/N/L/MM 2.5CM OR <,450,1 ,$87.00 ,$62.64 ,$19.61 ,$451.45 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$451.45 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000021,12013,HC SIMP F/E/E/N/L/MM 2.6CM TO 5CM,450,1 ,$97.00 ,$69.84 ,$21.86 ,$451.45 ,$55.78 ,$69.84 ,$52.77 ,$21.86 ,$27.16 ,$64.51 ,$21.86 ,$67.90 ,$21.86 ,$61.11 ,$61.11 ,$21.86 ,$61.11 ,$45.07 ,$89.24 ,$451.45 ,$21.86 ,$82.45 ,$81.48 ,$21.86 ,$72.75 ,$77.60 ,$77.60 ,$21.86 ,$77.60 ,$84.39 ,$84.39 ,$84.39 ,$87.30 ,$55.78 ,$21.86 ,$97.00 ,$54.42 ,$21.86 ,$40.16 , N/A , N/A ,$22.96 ,$82.45 ,$61.11 ,$27.16 ,$87.30 ,$84.39 ,$77.60 ,$77.60 ,$21.86 ,$63.05 ST. FRANCIS HOSPITAL - ACUTE,45000022,12014,HC SIMP F/E/E/N/L/MM 5.1-7.5CM,450,1 ,$106.00 ,$76.32 ,$23.89 ,$451.45 ,$60.95 ,$76.32 ,$57.66 ,$23.89 ,$29.68 ,$70.49 ,$23.89 ,$74.20 ,$23.89 ,$66.78 ,$66.78 ,$23.89 ,$66.78 ,$49.25 ,$97.52 ,$451.45 ,$23.89 ,$90.10 ,$89.04 ,$23.89 ,$79.50 ,$84.80 ,$84.80 ,$23.89 ,$84.80 ,$92.22 ,$92.22 ,$92.22 ,$95.40 ,$60.95 ,$23.89 ,$106.00 ,$59.47 ,$23.89 ,$43.88 , N/A , N/A ,$25.09 ,$90.10 ,$66.78 ,$29.68 ,$95.40 ,$92.22 ,$84.80 ,$84.80 ,$23.89 ,$68.90 ST. FRANCIS HOSPITAL - ACUTE,45000023,12015,HC SIMP F/E/E/N/L/MM 7.6 -12.5CM,450,1 ,$116.00 ,$83.52 ,$26.15 ,$451.45 ,$66.70 ,$83.52 ,$63.10 ,$26.15 ,$32.48 ,$77.14 ,$26.15 ,$81.20 ,$26.15 ,$73.08 ,$73.08 ,$26.15 ,$73.08 ,$53.89 ,$106.72 ,$451.45 ,$26.15 ,$98.60 ,$97.44 ,$26.15 ,$87.00 ,$92.80 ,$92.80 ,$26.15 ,$92.80 ,$100.92 ,$100.92 ,$100.92 ,$104.40 ,$66.70 ,$26.15 ,$116.00 ,$65.08 ,$26.15 ,$48.02 , N/A , N/A ,$27.45 ,$98.60 ,$73.08 ,$32.48 ,$104.40 ,$100.92 ,$92.80 ,$92.80 ,$26.15 ,$75.40 ST. FRANCIS HOSPITAL - ACUTE,45000029,12031,HC INTRM S/A/T/EXT 2.5CM OR <,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000030,12032,HC INTRM S/A/T/EXT 2.6-7.5CM,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000031,12034,HC INTRM S/A/T/EXT 7.6-12.5CM,450,1 ,$106.00 ,$76.32 ,$23.89 ,$932.68 ,$60.95 ,$76.32 ,$57.66 ,$23.89 ,$29.68 ,$70.49 ,$23.89 ,$74.20 ,$23.89 ,$66.78 ,$66.78 ,$23.89 ,$66.78 ,$49.25 ,$97.52 ,$932.68 ,$23.89 ,$90.10 ,$89.04 ,$23.89 ,$79.50 ,$84.80 ,$84.80 ,$23.89 ,$84.80 ,$92.22 ,$92.22 ,$92.22 ,$95.40 ,$60.95 ,$23.89 ,$106.00 ,$59.47 ,$23.89 ,$43.88 , N/A , N/A ,$25.09 ,$90.10 ,$66.78 ,$29.68 ,$95.40 ,$92.22 ,$84.80 ,$84.80 ,$23.89 ,$68.90 ST. FRANCIS HOSPITAL - ACUTE,45000035,12041,HC INTRM N/H/F/GEN 2.5CM OR <,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000036,12042,HC INTRM N/H/F/GEN 2.6-7.5CM,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000037,12044,HC INTRM N/H/F/GEN 7.6-12.5CM,450,1 ,$98.00 ,$70.56 ,$22.09 ,"$1,452.38 ",$56.35 ,$70.56 ,$53.31 ,$22.09 ,$27.44 ,$65.17 ,$22.09 ,$68.60 ,$22.09 ,$61.74 ,$61.74 ,$22.09 ,$61.74 ,$45.53 ,$90.16 ,"$1,452.38 ",$22.09 ,$83.30 ,$82.32 ,$22.09 ,$73.50 ,$78.40 ,$78.40 ,$22.09 ,$78.40 ,$85.26 ,$85.26 ,$85.26 ,$88.20 ,$56.35 ,$22.09 ,$98.00 ,$54.98 ,$22.09 ,$40.57 , N/A , N/A ,$23.20 ,$83.30 ,$61.74 ,$27.44 ,$88.20 ,$85.26 ,$78.40 ,$78.40 ,$22.09 ,$63.70 ST. FRANCIS HOSPITAL - ACUTE,45000041,12051,HC INTRM F/E/E/N/L/MM 2.5CM OR <,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000042,12052,HC INTRM F/E/E/N/L/MM 2.6-5.0CM,450,1 ,$87.00 ,$62.64 ,$19.61 ,$932.68 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$932.68 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000051,13120,HC CMPLX S/A/L 1.1-2.5 CM,450,1 ,$87.00 ,$62.64 ,$19.61 ,"$1,452.38 ",$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,"$1,452.38 ",$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$36.02 , N/A , N/A ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 ,$69.60 ,$69.60 ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,45000052,13121,HC CMPLX S/A/L 2.6-7.5 CM,450,1 ,$91.00 ,$65.52 ,$20.51 ,"$1,452.38 ",$52.33 ,$65.52 ,$49.50 ,$20.51 ,$25.48 ,$60.52 ,$20.51 ,$63.70 ,$20.51 ,$57.33 ,$57.33 ,$20.51 ,$57.33 ,$42.28 ,$83.72 ,"$1,452.38 ",$20.51 ,$77.35 ,$76.44 ,$20.51 ,$68.25 ,$72.80 ,$72.80 ,$20.51 ,$72.80 ,$79.17 ,$79.17 ,$79.17 ,$81.90 ,$52.33 ,$20.51 ,$91.00 ,$51.05 ,$20.51 ,$37.67 , N/A , N/A ,$21.54 ,$77.35 ,$57.33 ,$25.48 ,$81.90 ,$79.17 ,$72.80 ,$72.80 ,$20.51 ,$59.15 ST. FRANCIS HOSPITAL - ACUTE,45000054,13131,HC CMPLX F/C/C/M/N/A/G/H/F 1.1-2.5 CM,450,1 ,$120.00 ,$86.40 ,$27.05 ,$932.68 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$932.68 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,45000055,13132,HC CMPLX F/C/C/M/N/A/G/H/F 2.6-7.5 CM,450,1 ,$120.00 ,$86.40 ,$27.05 ,"$1,452.38 ",$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,"$1,452.38 ",$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,45000058,13151,HC CMPLX E/N/E/L 1.1-2.5 CM,450,1 ,$120.00 ,$86.40 ,$27.05 ,"$1,452.38 ",$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,"$1,452.38 ",$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,45000059,13152,HC CMPLX E/N/E/L 2.6-7.5 CM,450,1 ,$120.00 ,$86.40 ,$27.05 ,"$1,452.38 ",$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,"$1,452.38 ",$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,45000061,16000,HC TX BURN 1ST DEGREE INIT,450,1 ,$212.00 ,$152.64 ,$47.78 ,$451.45 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$140.98 ,$47.78 ,$148.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$451.45 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$87.77 , N/A , N/A ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 ,$169.60 ,$169.60 ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,45000062,16020,HC DRESS/DEB BURN <5% TOTAL SM,450,1 ,$156.00 ,$112.32 ,$35.16 ,$451.45 ,$89.70 ,$112.32 ,$84.86 ,$35.16 ,$43.68 ,$103.74 ,$35.16 ,$109.20 ,$35.16 ,$98.28 ,$98.28 ,$35.16 ,$98.28 ,$72.48 ,$143.52 ,$451.45 ,$35.16 ,$132.60 ,$131.04 ,$35.16 ,$117.00 ,$124.80 ,$124.80 ,$35.16 ,$124.80 ,$135.72 ,$135.72 ,$135.72 ,$140.40 ,$89.70 ,$35.16 ,$156.00 ,$87.52 ,$35.16 ,$64.58 , N/A , N/A ,$36.92 ,$132.60 ,$98.28 ,$43.68 ,$140.40 ,$135.72 ,$124.80 ,$124.80 ,$35.16 ,$101.40 ST. FRANCIS HOSPITAL - ACUTE,45000063,16025,HC DRESS/DEB BURN 5-10% TOTAL MED,450,1 ,$346.00 ,$249.12 ,$77.99 ,$451.45 ,$198.95 ,$249.12 ,$188.22 ,$77.99 ,$96.88 ,$230.09 ,$77.99 ,$242.20 ,$77.99 ,$217.98 ,$217.98 ,$77.99 ,$217.98 ,$160.75 ,$318.32 ,$451.45 ,$77.99 ,$294.10 ,$290.64 ,$77.99 ,$259.50 ,$276.80 ,$276.80 ,$77.99 ,$276.80 ,$301.02 ,$301.02 ,$301.02 ,$311.40 ,$198.95 ,$77.99 ,$346.00 ,$194.11 ,$77.99 ,$143.24 , N/A , N/A ,$81.89 ,$294.10 ,$217.98 ,$96.88 ,$311.40 ,$301.02 ,$276.80 ,$276.80 ,$77.99 ,$224.90 ST. FRANCIS HOSPITAL - ACUTE,45000064,16030,HC DRESS/DEBR BURN >10% TOTAL LRG,450,1 ,$287.00 ,$206.64 ,$64.69 ,$932.68 ,$165.03 ,$206.64 ,$156.13 ,$64.69 ,$80.36 ,$190.86 ,$64.69 ,$200.90 ,$64.69 ,$180.81 ,$180.81 ,$64.69 ,$180.81 ,$133.34 ,$264.04 ,$932.68 ,$64.69 ,$243.95 ,$241.08 ,$64.69 ,$215.25 ,$229.60 ,$229.60 ,$64.69 ,$229.60 ,$249.69 ,$249.69 ,$249.69 ,$258.30 ,$165.03 ,$64.69 ,$287.00 ,$161.01 ,$64.69 ,$118.82 , N/A , N/A ,$67.92 ,$243.95 ,$180.81 ,$80.36 ,$258.30 ,$249.69 ,$229.60 ,$229.60 ,$64.69 ,$186.55 ST. FRANCIS HOSPITAL - ACUTE,45000067,17250,HC CAUT CHEM TISSUE GRANULATION,450,1 ,$169.00 ,$121.68 ,$38.09 ,$451.45 ,$97.18 ,$121.68 ,$91.94 ,$38.09 ,$47.32 ,$112.39 ,$38.09 ,$118.30 ,$38.09 ,$106.47 ,$106.47 ,$38.09 ,$106.47 ,$78.52 ,$155.48 ,$451.45 ,$38.09 ,$143.65 ,$141.96 ,$38.09 ,$126.75 ,$135.20 ,$135.20 ,$38.09 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$97.18 ,$38.09 ,$169.00 ,$94.81 ,$38.09 ,$69.97 , N/A , N/A ,$39.99 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 ,$135.20 ,$135.20 ,$38.09 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,45000069,20600,HC ARTHROCENT ASP/INJ JT SMALL,450,1 ,$808.00 ,$581.76 ,$182.12 ,$808.00 ,$464.60 ,$581.76 ,$439.55 ,$182.12 ,$226.24 ,$537.32 ,$182.12 ,$565.60 ,$182.12 ,$509.04 ,$509.04 ,$182.12 ,$509.04 ,$375.40 ,$743.36 ,$679.73 ,$182.12 ,$686.80 ,$678.72 ,$182.12 ,$606.00 ,$646.40 ,$646.40 ,$182.12 ,$646.40 ,$702.96 ,$702.96 ,$702.96 ,$727.20 ,$464.60 ,$182.12 ,$808.00 ,$453.29 ,$182.12 ,$334.51 , N/A , N/A ,$191.23 ,$686.80 ,$509.04 ,$226.24 ,$727.20 ,$702.96 ,$646.40 ,$646.40 ,$182.12 ,$525.20 ST. FRANCIS HOSPITAL - ACUTE,45000070,20605,HC ARTHROCNT ASP/INJ JT INTRM,450,1 ,"$1,137.00 ",$818.64 ,$256.28 ,"$1,137.00 ",$653.78 ,$818.64 ,$618.53 ,$256.28 ,$318.36 ,$756.11 ,$256.28 ,$795.90 ,$256.28 ,$716.31 ,$716.31 ,$256.28 ,$716.31 ,$528.25 ,"$1,046.04 ",$679.73 ,$256.28 ,$966.45 ,$955.08 ,$256.28 ,$852.75 ,$909.60 ,$909.60 ,$256.28 ,$909.60 ,$989.19 ,$989.19 ,$989.19 ,"$1,023.30 ",$653.78 ,$256.28 ,"$1,137.00 ",$637.86 ,$256.28 ,$470.72 , N/A , N/A ,$269.10 ,$966.45 ,$716.31 ,$318.36 ,"$1,023.30 ",$989.19 ,$909.60 ,$909.60 ,$256.28 ,$739.05 ST. FRANCIS HOSPITAL - ACUTE,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,137.00 ",$818.64 ,$256.28 ,"$1,137.00 ",$653.78 ,$818.64 ,$618.53 ,$256.28 ,$318.36 ,$756.11 ,$256.28 ,$795.90 ,$256.28 ,$716.31 ,$716.31 ,$256.28 ,$716.31 ,$528.25 ,"$1,046.04 ",$679.73 ,$256.28 ,$966.45 ,$955.08 ,$256.28 ,$852.75 ,$909.60 ,$909.60 ,$256.28 ,$909.60 ,$989.19 ,$989.19 ,$989.19 ,"$1,023.30 ",$653.78 ,$256.28 ,"$1,137.00 ",$637.86 ,$256.28 ,$470.72 , N/A , N/A ,$269.10 ,$966.45 ,$716.31 ,$318.36 ,"$1,023.30 ",$989.19 ,$909.60 ,$909.60 ,$256.28 ,$739.05 ST. FRANCIS HOSPITAL - ACUTE,45000071,20610,HC ASPIR/INJECT MAJOR JOINT OR BURSA,450,1 ,"$1,704.00 ","$1,226.88 ",$384.08 ,"$1,704.00 ",$979.80 ,"$1,226.88 ",$926.98 ,$384.08 ,$477.12 ,"$1,133.16 ",$384.08 ,"$1,192.80 ",$384.08 ,"$1,073.52 ","$1,073.52 ",$384.08 ,"$1,073.52 ",$791.68 ,"$1,567.68 ","$1,019.59 ",$384.08 ,"$1,448.40 ","$1,431.36 ",$384.08 ,"$1,278.00 ","$1,363.20 ","$1,363.20 ",$384.08 ,"$1,363.20 ","$1,482.48 ","$1,482.48 ","$1,482.48 ","$1,533.60 ",$979.80 ,$384.08 ,"$1,704.00 ",$955.94 ,$384.08 ,$705.46 , N/A , N/A ,$403.29 ,"$1,448.40 ","$1,073.52 ",$477.12 ,"$1,533.60 ","$1,482.48 ","$1,363.20 ","$1,363.20 ",$384.08 ,"$1,107.60 " ST. FRANCIS HOSPITAL - ACUTE,45000072,20612,HC INJ GANGLION CYST,450,1 ,$483.00 ,$347.76 ,$108.87 ,$679.73 ,$277.73 ,$347.76 ,$262.75 ,$108.87 ,$135.24 ,$321.20 ,$108.87 ,$338.10 ,$108.87 ,$304.29 ,$304.29 ,$108.87 ,$304.29 ,$224.40 ,$444.36 ,$679.73 ,$108.87 ,$410.55 ,$405.72 ,$108.87 ,$362.25 ,$386.40 ,$386.40 ,$108.87 ,$386.40 ,$420.21 ,$420.21 ,$420.21 ,$434.70 ,$277.73 ,$108.87 ,$483.00 ,$270.96 ,$108.87 ,$199.96 , N/A , N/A ,$114.31 ,$410.55 ,$304.29 ,$135.24 ,$434.70 ,$420.21 ,$386.40 ,$386.40 ,$108.87 ,$313.95 ST. FRANCIS HOSPITAL - ACUTE,45000072,20612,HC INJ GANGLION CYST,450,1 ,$723.00 ,$520.56 ,$162.96 ,$723.00 ,$415.73 ,$520.56 ,$393.31 ,$162.96 ,$202.44 ,$480.80 ,$162.96 ,$506.10 ,$162.96 ,$455.49 ,$455.49 ,$162.96 ,$455.49 ,$335.91 ,$665.16 ,$679.73 ,$162.96 ,$614.55 ,$607.32 ,$162.96 ,$542.25 ,$578.40 ,$578.40 ,$162.96 ,$578.40 ,$629.01 ,$629.01 ,$629.01 ,$650.70 ,$415.73 ,$162.96 ,$723.00 ,$405.60 ,$162.96 ,$299.32 , N/A , N/A ,$171.11 ,$614.55 ,$455.49 ,$202.44 ,$650.70 ,$629.01 ,$578.40 ,$578.40 ,$162.96 ,$469.95 ST. FRANCIS HOSPITAL - ACUTE,45000074,23650,HC TX DISL SHLDR W/MAN CLS,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000075,23655,HC TX DISL SHLDR W/MAN/ANES CLS,450,1 ,$785.00 ,$565.20 ,$176.94 ,"$3,586.30 ",$451.38 ,$565.20 ,$427.04 ,$176.94 ,$219.80 ,$522.03 ,$176.94 ,$549.50 ,$176.94 ,$494.55 ,$494.55 ,$176.94 ,$494.55 ,$364.71 ,$722.20 ,"$3,586.30 ",$176.94 ,$667.25 ,$659.40 ,$176.94 ,$588.75 ,$628.00 ,$628.00 ,$176.94 ,$628.00 ,$682.95 ,$682.95 ,$682.95 ,$706.50 ,$451.38 ,$176.94 ,$785.00 ,$440.39 ,$176.94 ,$324.99 , N/A , N/A ,$185.79 ,$667.25 ,$494.55 ,$219.80 ,$706.50 ,$682.95 ,$628.00 ,$628.00 ,$176.94 ,$510.25 ST. FRANCIS HOSPITAL - ACUTE,45000076,24600,HC TX DISL ELBOW W/O ANES CLS,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000079,24640,HC DISLOCATION NURSEMAID ELBOW,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000082,25605,HC CL TX DIS RADIAL FX/EPIP SEP,450,1 ,"$3,442.00 ","$2,478.24 ",$775.83 ,"$3,586.30 ","$1,979.15 ","$2,478.24 ","$1,872.45 ",$775.83 ,$963.76 ,"$2,288.93 ",$775.83 ,"$2,409.40 ",$775.83 ,"$2,168.46 ","$2,168.46 ",$775.83 ,"$2,168.46 ","$1,599.15 ","$3,166.64 ","$3,586.30 ",$775.83 ,"$2,925.70 ","$2,891.28 ",$775.83 ,"$2,581.50 ","$2,753.60 ","$2,753.60 ",$775.83 ,"$2,753.60 ","$2,994.54 ","$2,994.54 ","$2,994.54 ","$3,097.80 ","$1,979.15 ",$775.83 ,"$3,442.00 ","$1,930.96 ",$775.83 ,"$1,424.99 ", N/A , N/A ,$814.62 ,"$2,925.70 ","$2,168.46 ",$963.76 ,"$3,097.80 ","$2,994.54 ","$2,753.60 ","$2,753.60 ",$775.83 ,"$2,237.30 " ST. FRANCIS HOSPITAL - ACUTE,45000083,26010,HC DRAIN ABSC FINGER SIMPLE,450,1 ,"$1,175.00 ",$846.00 ,$264.84 ,"$1,175.00 ",$675.63 ,$846.00 ,$639.20 ,$264.84 ,$329.00 ,$781.38 ,$264.84 ,$822.50 ,$264.84 ,$740.25 ,$740.25 ,$264.84 ,$740.25 ,$545.91 ,"$1,081.00 ",$451.45 ,$264.84 ,$998.75 ,$987.00 ,$264.84 ,$881.25 ,$940.00 ,$940.00 ,$264.84 ,$940.00 ,"$1,022.25 ","$1,022.25 ","$1,022.25 ","$1,057.50 ",$675.63 ,$264.84 ,"$1,175.00 ",$659.18 ,$264.84 ,$486.45 , N/A , N/A ,$278.08 ,$998.75 ,$740.25 ,$329.00 ,"$1,057.50 ","$1,022.25 ",$940.00 ,$940.00 ,$264.84 ,$763.75 ST. FRANCIS HOSPITAL - ACUTE,45000084,26011,HC DRAIN ABSC FINGER COMPLCD,450,1 ,"$4,487.00 ","$3,230.64 ","$1,011.37 ","$4,487.00 ","$2,580.03 ","$3,230.64 ","$2,440.93 ","$1,011.37 ","$1,256.36 ","$2,983.86 ","$1,011.37 ","$3,140.90 ","$1,011.37 ","$2,826.81 ","$2,826.81 ","$1,011.37 ","$2,826.81 ","$2,084.66 ","$4,128.04 ","$3,748.88 ","$1,011.37 ","$3,813.95 ","$3,769.08 ","$1,011.37 ","$3,365.25 ","$3,589.60 ","$3,589.60 ","$1,011.37 ","$3,589.60 ","$3,903.69 ","$3,903.69 ","$3,903.69 ","$4,038.30 ","$2,580.03 ","$1,011.37 ","$4,487.00 ","$2,517.21 ","$1,011.37 ","$1,857.62 ", N/A , N/A ,"$1,061.94 ","$3,813.95 ","$2,826.81 ","$1,256.36 ","$4,038.30 ","$3,903.69 ","$3,589.60 ","$3,589.60 ","$1,011.37 ","$2,916.55 " ST. FRANCIS HOSPITAL - ACUTE,45000087,26725,HC TX FX PHALANX PROX W/MAN CLS,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000090,26770,HC TX DISL (I-P) HAND W/O ANES,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000091,26951,HC AMPUT FINGER/THUMB SGL CLSR,450,1 ,"$6,289.00 ","$4,528.08 ","$1,417.54 ","$7,441.65 ","$3,616.18 ","$4,528.08 ","$3,421.22 ","$1,417.54 ","$1,760.92 ","$4,182.19 ","$1,417.54 ","$4,402.30 ","$1,417.54 ","$3,962.07 ","$3,962.07 ","$1,417.54 ","$3,962.07 ","$2,921.87 ","$5,785.88 ","$7,441.65 ","$1,417.54 ","$5,345.65 ","$5,282.76 ","$1,417.54 ","$4,716.75 ","$5,031.20 ","$5,031.20 ","$1,417.54 ","$5,031.20 ","$5,471.43 ","$5,471.43 ","$5,471.43 ","$5,660.10 ","$3,616.18 ","$1,417.54 ","$6,289.00 ","$3,528.13 ","$1,417.54 ","$2,603.65 ", N/A , N/A ,"$1,488.41 ","$5,345.65 ","$3,962.07 ","$1,760.92 ","$5,660.10 ","$5,471.43 ","$5,031.20 ","$5,031.20 ","$1,417.54 ","$4,087.85 " ST. FRANCIS HOSPITAL - ACUTE,45000094,27265,HC CL TX POST HIP ARTHROPLASTY DISLOCAT,450,1 ,$437.00 ,$314.64 ,$98.50 ,$517.53 ,$251.28 ,$314.64 ,$237.73 ,$98.50 ,$122.36 ,$290.61 ,$98.50 ,$305.90 ,$98.50 ,$275.31 ,$275.31 ,$98.50 ,$275.31 ,$203.03 ,$402.04 ,$517.53 ,$98.50 ,$371.45 ,$367.08 ,$98.50 ,$327.75 ,$349.60 ,$349.60 ,$98.50 ,$349.60 ,$380.19 ,$380.19 ,$380.19 ,$393.30 ,$251.28 ,$98.50 ,$437.00 ,$245.16 ,$98.50 ,$180.92 , N/A , N/A ,$103.43 ,$371.45 ,$275.31 ,$122.36 ,$393.30 ,$380.19 ,$349.60 ,$349.60 ,$98.50 ,$284.05 ST. FRANCIS HOSPITAL - ACUTE,45000096,27560,HC TX DSL PTLR W/O ANS CL,450,1 ,$318.00 ,$228.96 ,$71.68 ,$517.53 ,$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,$517.53 ,$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$131.65 , N/A , N/A ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 ,$254.40 ,$254.40 ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,$306.00 ,$220.32 ,$68.97 ,"$1,622.43 ",$175.95 ,$220.32 ,$166.46 ,$68.97 ,$85.68 ,$203.49 ,$68.97 ,$214.20 ,$68.97 ,$192.78 ,$192.78 ,$68.97 ,$192.78 ,$142.17 ,$281.52 ,"$1,622.43 ",$68.97 ,$260.10 ,$257.04 ,$68.97 ,$229.50 ,$244.80 ,$244.80 ,$68.97 ,$244.80 ,$266.22 ,$266.22 ,$266.22 ,$275.40 ,$175.95 ,$68.97 ,$306.00 ,$171.67 ,$68.97 ,$126.68 , N/A , N/A ,$72.42 ,$260.10 ,$192.78 ,$85.68 ,$275.40 ,$266.22 ,$244.80 ,$244.80 ,$68.97 ,$198.90 ST. FRANCIS HOSPITAL - ACUTE,45000097,28190,HC REM FB FOOT SUBQ,450,1 ,$613.00 ,$441.36 ,$138.17 ,"$2,433.64 ",$352.48 ,$441.36 ,$333.47 ,$138.17 ,$171.64 ,$407.65 ,$138.17 ,$429.10 ,$138.17 ,$386.19 ,$386.19 ,$138.17 ,$386.19 ,$284.80 ,$563.96 ,"$2,433.64 ",$138.17 ,$521.05 ,$514.92 ,$138.17 ,$459.75 ,$490.40 ,$490.40 ,$138.17 ,$490.40 ,$533.31 ,$533.31 ,$533.31 ,$551.70 ,$352.48 ,$138.17 ,$613.00 ,$343.89 ,$138.17 ,$253.78 , N/A , N/A ,$145.08 ,$521.05 ,$386.19 ,$171.64 ,$551.70 ,$533.31 ,$490.40 ,$490.40 ,$138.17 ,$398.45 ST. FRANCIS HOSPITAL - ACUTE,45000098,29065,HC APPL CAST ARM LONG,450,1 ,$429.00 ,$308.88 ,$96.70 ,$599.78 ,$246.68 ,$308.88 ,$233.38 ,$96.70 ,$120.12 ,$285.29 ,$96.70 ,$300.30 ,$96.70 ,$270.27 ,$270.27 ,$96.70 ,$270.27 ,$199.31 ,$394.68 ,$599.78 ,$96.70 ,$364.65 ,$360.36 ,$96.70 ,$321.75 ,$343.20 ,$343.20 ,$96.70 ,$343.20 ,$373.23 ,$373.23 ,$373.23 ,$386.10 ,$246.68 ,$96.70 ,$429.00 ,$240.67 ,$96.70 ,$177.61 , N/A , N/A ,$101.53 ,$364.65 ,$270.27 ,$120.12 ,$386.10 ,$373.23 ,$343.20 ,$343.20 ,$96.70 ,$278.85 ST. FRANCIS HOSPITAL - ACUTE,45000099,29075,HC CAST APPL; ELBOW TO FINGERS,450,1 ,$595.00 ,$428.40 ,$134.11 ,$599.78 ,$342.13 ,$428.40 ,$323.68 ,$134.11 ,$166.60 ,$395.68 ,$134.11 ,$416.50 ,$134.11 ,$374.85 ,$374.85 ,$134.11 ,$374.85 ,$276.44 ,$547.40 ,$599.78 ,$134.11 ,$505.75 ,$499.80 ,$134.11 ,$446.25 ,$476.00 ,$476.00 ,$134.11 ,$476.00 ,$517.65 ,$517.65 ,$517.65 ,$535.50 ,$342.13 ,$134.11 ,$595.00 ,$333.80 ,$134.11 ,$246.33 , N/A , N/A ,$140.82 ,$505.75 ,$374.85 ,$166.60 ,$535.50 ,$517.65 ,$476.00 ,$476.00 ,$134.11 ,$386.75 ST. FRANCIS HOSPITAL - ACUTE,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$270.00 ,$194.40 ,$60.86 ,$364.40 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$364.40 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000100,29105,HC APPL SPLNT ARM LONG,450,1 ,$535.00 ,$385.20 ,$120.59 ,$546.60 ,$307.63 ,$385.20 ,$291.04 ,$120.59 ,$149.80 ,$355.78 ,$120.59 ,$374.50 ,$120.59 ,$337.05 ,$337.05 ,$120.59 ,$337.05 ,$248.56 ,$492.20 ,$546.60 ,$120.59 ,$454.75 ,$449.40 ,$120.59 ,$401.25 ,$428.00 ,$428.00 ,$120.59 ,$428.00 ,$465.45 ,$465.45 ,$465.45 ,$481.50 ,$307.63 ,$120.59 ,$535.00 ,$300.14 ,$120.59 ,$221.49 , N/A , N/A ,$126.62 ,$454.75 ,$337.05 ,$149.80 ,$481.50 ,$465.45 ,$428.00 ,$428.00 ,$120.59 ,$347.75 ST. FRANCIS HOSPITAL - ACUTE,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$270.00 ,$194.40 ,$60.86 ,$290.28 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$290.28 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000101,29125,HC APPL SPLINT ARM SHORT STATIC,450,1 ,$540.00 ,$388.80 ,$121.72 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$290.28 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 , N/A , N/A ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$535.00 ,$385.20 ,$120.59 ,$535.00 ,$307.63 ,$385.20 ,$291.04 ,$120.59 ,$149.80 ,$355.78 ,$120.59 ,$374.50 ,$120.59 ,$337.05 ,$337.05 ,$120.59 ,$337.05 ,$248.56 ,$492.20 ,$290.28 ,$120.59 ,$454.75 ,$449.40 ,$120.59 ,$401.25 ,$428.00 ,$428.00 ,$120.59 ,$428.00 ,$465.45 ,$465.45 ,$465.45 ,$481.50 ,$307.63 ,$120.59 ,$535.00 ,$300.14 ,$120.59 ,$221.49 , N/A , N/A ,$126.62 ,$454.75 ,$337.05 ,$149.80 ,$481.50 ,$465.45 ,$428.00 ,$428.00 ,$120.59 ,$347.75 ST. FRANCIS HOSPITAL - ACUTE,45000102,29126,HC APPL SHRT ARM SPLNT DYNAM,450,1 ,$540.00 ,$388.80 ,$121.72 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$290.28 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 , N/A , N/A ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$267.00 ,$192.24 ,$60.18 ,$290.28 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$290.28 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 , N/A , N/A ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,45000103,29130,HC APPL SPLNT FINGER STATIC,450,1 ,$540.00 ,$388.80 ,$121.72 ,$540.00 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$290.28 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$223.56 , N/A , N/A ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 ,$432.00 ,$432.00 ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,45000104,29131,HC APPL FINGER SPLINT DYNAMIC,450,1 ,$267.00 ,$192.24 ,$60.18 ,$267.00 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$143.70 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 , N/A , N/A ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,45000105,29240,HC STRAPPING SHLDR,450,1 ,$270.00 ,$194.40 ,$60.86 ,$290.28 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$290.28 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000106,29405,HC APPL CAST SHORT LEG,450,1 ,$626.00 ,$450.72 ,$141.10 ,$626.00 ,$359.95 ,$450.72 ,$340.54 ,$141.10 ,$175.28 ,$416.29 ,$141.10 ,$438.20 ,$141.10 ,$394.38 ,$394.38 ,$141.10 ,$394.38 ,$290.84 ,$575.92 ,$599.78 ,$141.10 ,$532.10 ,$525.84 ,$141.10 ,$469.50 ,$500.80 ,$500.80 ,$141.10 ,$500.80 ,$544.62 ,$544.62 ,$544.62 ,$563.40 ,$359.95 ,$141.10 ,$626.00 ,$351.19 ,$141.10 ,$259.16 , N/A , N/A ,$148.16 ,$532.10 ,$394.38 ,$175.28 ,$563.40 ,$544.62 ,$500.80 ,$500.80 ,$141.10 ,$406.90 ST. FRANCIS HOSPITAL - ACUTE,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$267.00 ,$192.24 ,$60.18 ,$364.40 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$364.40 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 , N/A , N/A ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,45000107,29505,HC APPL LONG LEG SPLNT,450,1 ,$535.00 ,$385.20 ,$120.59 ,$546.60 ,$307.63 ,$385.20 ,$291.04 ,$120.59 ,$149.80 ,$355.78 ,$120.59 ,$374.50 ,$120.59 ,$337.05 ,$337.05 ,$120.59 ,$337.05 ,$248.56 ,$492.20 ,$546.60 ,$120.59 ,$454.75 ,$449.40 ,$120.59 ,$401.25 ,$428.00 ,$428.00 ,$120.59 ,$428.00 ,$465.45 ,$465.45 ,$465.45 ,$481.50 ,$307.63 ,$120.59 ,$535.00 ,$300.14 ,$120.59 ,$221.49 , N/A , N/A ,$126.62 ,$454.75 ,$337.05 ,$149.80 ,$481.50 ,$465.45 ,$428.00 ,$428.00 ,$120.59 ,$347.75 ST. FRANCIS HOSPITAL - ACUTE,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$267.00 ,$192.24 ,$60.18 ,$364.40 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$364.40 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 , N/A , N/A ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,45000108,29515,HC APPL SHRT LEG SPLNT FAC,450,1 ,$535.00 ,$385.20 ,$120.59 ,$546.60 ,$307.63 ,$385.20 ,$291.04 ,$120.59 ,$149.80 ,$355.78 ,$120.59 ,$374.50 ,$120.59 ,$337.05 ,$337.05 ,$120.59 ,$337.05 ,$248.56 ,$492.20 ,$546.60 ,$120.59 ,$454.75 ,$449.40 ,$120.59 ,$401.25 ,$428.00 ,$428.00 ,$120.59 ,$428.00 ,$465.45 ,$465.45 ,$465.45 ,$481.50 ,$307.63 ,$120.59 ,$535.00 ,$300.14 ,$120.59 ,$221.49 , N/A , N/A ,$126.62 ,$454.75 ,$337.05 ,$149.80 ,$481.50 ,$465.45 ,$428.00 ,$428.00 ,$120.59 ,$347.75 ST. FRANCIS HOSPITAL - ACUTE,45000110,30300,HC REM FB INTRANASAL,450,1 ,$136.00 ,$97.92 ,$30.65 ,$290.28 ,$78.20 ,$97.92 ,$73.98 ,$30.65 ,$38.08 ,$90.44 ,$30.65 ,$95.20 ,$30.65 ,$85.68 ,$85.68 ,$30.65 ,$85.68 ,$63.19 ,$125.12 ,$290.28 ,$30.65 ,$115.60 ,$114.24 ,$30.65 ,$102.00 ,$108.80 ,$108.80 ,$30.65 ,$108.80 ,$118.32 ,$118.32 ,$118.32 ,$122.40 ,$78.20 ,$30.65 ,$136.00 ,$76.30 ,$30.65 ,$56.30 , N/A , N/A ,$32.18 ,$115.60 ,$85.68 ,$38.08 ,$122.40 ,$118.32 ,$108.80 ,$108.80 ,$30.65 ,$88.40 ST. FRANCIS HOSPITAL - ACUTE,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$82.00 ,$59.04 ,$18.48 ,$290.28 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$290.28 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$33.95 , N/A , N/A ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 ,$65.60 ,$65.60 ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,45000111,30901,HC CNTRL NOSEBLEED ANT SMP,450,1 ,$162.00 ,$116.64 ,$36.51 ,$290.28 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$107.73 ,$36.51 ,$113.40 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$290.28 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 , N/A , N/A ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$199.00 ,$143.28 ,$44.85 ,$290.28 ,$114.43 ,$143.28 ,$108.26 ,$44.85 ,$55.72 ,$132.34 ,$44.85 ,$139.30 ,$44.85 ,$125.37 ,$125.37 ,$44.85 ,$125.37 ,$92.46 ,$183.08 ,$290.28 ,$44.85 ,$169.15 ,$167.16 ,$44.85 ,$149.25 ,$159.20 ,$159.20 ,$44.85 ,$159.20 ,$173.13 ,$173.13 ,$173.13 ,$179.10 ,$114.43 ,$44.85 ,$199.00 ,$111.64 ,$44.85 ,$82.39 , N/A , N/A ,$47.10 ,$169.15 ,$125.37 ,$55.72 ,$179.10 ,$173.13 ,$159.20 ,$159.20 ,$44.85 ,$129.35 ST. FRANCIS HOSPITAL - ACUTE,45000112,30903,HC CNTRL NOSEBLEED ANT CPLX,450,1 ,$399.00 ,$287.28 ,$89.93 ,$435.41 ,$229.43 ,$287.28 ,$217.06 ,$89.93 ,$111.72 ,$265.34 ,$89.93 ,$279.30 ,$89.93 ,$251.37 ,$251.37 ,$89.93 ,$251.37 ,$185.38 ,$367.08 ,$435.41 ,$89.93 ,$339.15 ,$335.16 ,$89.93 ,$299.25 ,$319.20 ,$319.20 ,$89.93 ,$319.20 ,$347.13 ,$347.13 ,$347.13 ,$359.10 ,$229.43 ,$89.93 ,$399.00 ,$223.84 ,$89.93 ,$165.19 , N/A , N/A ,$94.43 ,$339.15 ,$251.37 ,$111.72 ,$359.10 ,$347.13 ,$319.20 ,$319.20 ,$89.93 ,$259.35 ST. FRANCIS HOSPITAL - ACUTE,45000113,30905,HC CNTRL NOSEBLEED POST INIT,450,1 ,$162.00 ,$116.64 ,$36.51 ,$290.28 ,$93.15 ,$116.64 ,$88.13 ,$36.51 ,$45.36 ,$107.73 ,$36.51 ,$113.40 ,$36.51 ,$102.06 ,$102.06 ,$36.51 ,$102.06 ,$75.27 ,$149.04 ,$290.28 ,$36.51 ,$137.70 ,$136.08 ,$36.51 ,$121.50 ,$129.60 ,$129.60 ,$36.51 ,$129.60 ,$140.94 ,$140.94 ,$140.94 ,$145.80 ,$93.15 ,$36.51 ,$162.00 ,$90.88 ,$36.51 ,$67.07 , N/A , N/A ,$38.34 ,$137.70 ,$102.06 ,$45.36 ,$145.80 ,$140.94 ,$129.60 ,$129.60 ,$36.51 ,$105.30 ST. FRANCIS HOSPITAL - ACUTE,45000132,36680,HC PLACE NDL INFS INTRAOSSEOUS,450,1 ,$339.00 ,$244.08 ,$76.41 ,$943.93 ,$194.93 ,$244.08 ,$184.42 ,$76.41 ,$94.92 ,$225.44 ,$76.41 ,$237.30 ,$76.41 ,$213.57 ,$213.57 ,$76.41 ,$213.57 ,$157.50 ,$311.88 ,$943.93 ,$76.41 ,$288.15 ,$284.76 ,$76.41 ,$254.25 ,$271.20 ,$271.20 ,$76.41 ,$271.20 ,$294.93 ,$294.93 ,$294.93 ,$305.10 ,$194.93 ,$76.41 ,$339.00 ,$190.18 ,$76.41 ,$140.35 , N/A , N/A ,$80.23 ,$288.15 ,$213.57 ,$94.92 ,$305.10 ,$294.93 ,$271.20 ,$271.20 ,$76.41 ,$220.35 ST. FRANCIS HOSPITAL - ACUTE,45000136,40800,HC DRAINAGE MOUTH LESION,450,1 ,$157.00 ,$113.04 ,$35.39 ,"$1,622.43 ",$90.28 ,$113.04 ,$85.41 ,$35.39 ,$43.96 ,$104.41 ,$35.39 ,$109.90 ,$35.39 ,$98.91 ,$98.91 ,$35.39 ,$98.91 ,$72.94 ,$144.44 ,"$1,622.43 ",$35.39 ,$133.45 ,$131.88 ,$35.39 ,$117.75 ,$125.60 ,$125.60 ,$35.39 ,$125.60 ,$136.59 ,$136.59 ,$136.59 ,$141.30 ,$90.28 ,$35.39 ,$157.00 ,$88.08 ,$35.39 ,$65.00 , N/A , N/A ,$37.16 ,$133.45 ,$98.91 ,$43.96 ,$141.30 ,$136.59 ,$125.60 ,$125.60 ,$35.39 ,$102.05 ST. FRANCIS HOSPITAL - ACUTE,45000137,40830,HC LAC REPAIR VESTIBULE MOUTH 2.5 CM OR LESS,450,1 ,$659.00 ,$474.48 ,$148.54 ,$659.00 ,$378.93 ,$474.48 ,$358.50 ,$148.54 ,$184.52 ,$438.24 ,$148.54 ,$461.30 ,$148.54 ,$415.17 ,$415.17 ,$148.54 ,$415.17 ,$306.17 ,$606.28 ,$519.58 ,$148.54 ,$560.15 ,$553.56 ,$148.54 ,$494.25 ,$527.20 ,$527.20 ,$148.54 ,$527.20 ,$573.33 ,$573.33 ,$573.33 ,$593.10 ,$378.93 ,$148.54 ,$659.00 ,$369.70 ,$148.54 ,$272.83 , N/A , N/A ,$155.97 ,$560.15 ,$415.17 ,$184.52 ,$593.10 ,$573.33 ,$527.20 ,$527.20 ,$148.54 ,$428.35 ST. FRANCIS HOSPITAL - ACUTE,45000138,41250,HC RPR LAC MOUTH/TONGUE <2.5CM,450,1 ,$323.00 ,$232.56 ,$72.80 ,$943.93 ,$185.73 ,$232.56 ,$175.71 ,$72.80 ,$90.44 ,$214.80 ,$72.80 ,$226.10 ,$72.80 ,$203.49 ,$203.49 ,$72.80 ,$203.49 ,$150.07 ,$297.16 ,$943.93 ,$72.80 ,$274.55 ,$271.32 ,$72.80 ,$242.25 ,$258.40 ,$258.40 ,$72.80 ,$258.40 ,$281.01 ,$281.01 ,$281.01 ,$290.70 ,$185.73 ,$72.80 ,$323.00 ,$181.20 ,$72.80 ,$133.72 , N/A , N/A ,$76.44 ,$274.55 ,$203.49 ,$90.44 ,$290.70 ,$281.01 ,$258.40 ,$258.40 ,$72.80 ,$209.95 ST. FRANCIS HOSPITAL - ACUTE,45000139,41800,HC DRAIN ABSC/CYST DENTOALVLR,450,1 ,$170.00 ,$122.40 ,$38.32 ,$290.28 ,$97.75 ,$122.40 ,$92.48 ,$38.32 ,$47.60 ,$113.05 ,$38.32 ,$119.00 ,$38.32 ,$107.10 ,$107.10 ,$38.32 ,$107.10 ,$78.98 ,$156.40 ,$290.28 ,$38.32 ,$144.50 ,$142.80 ,$38.32 ,$127.50 ,$136.00 ,$136.00 ,$38.32 ,$136.00 ,$147.90 ,$147.90 ,$147.90 ,$153.00 ,$97.75 ,$38.32 ,$170.00 ,$95.37 ,$38.32 ,$70.38 , N/A , N/A ,$40.24 ,$144.50 ,$107.10 ,$47.60 ,$153.00 ,$147.90 ,$136.00 ,$136.00 ,$38.32 ,$110.50 ST. FRANCIS HOSPITAL - ACUTE,45000143,43753,HC GASTRIC LAVAGE,450,1 ,$844.00 ,$607.68 ,$190.24 ,$844.00 ,$485.30 ,$607.68 ,$459.14 ,$190.24 ,$236.32 ,$561.26 ,$190.24 ,$590.80 ,$190.24 ,$531.72 ,$531.72 ,$190.24 ,$531.72 ,$392.12 ,$776.48 ,$700.15 ,$190.24 ,$717.40 ,$708.96 ,$190.24 ,$633.00 ,$675.20 ,$675.20 ,$190.24 ,$675.20 ,$734.28 ,$734.28 ,$734.28 ,$759.60 ,$485.30 ,$190.24 ,$844.00 ,$473.48 ,$190.24 ,$349.42 , N/A , N/A ,$199.75 ,$717.40 ,$531.72 ,$236.32 ,$759.60 ,$734.28 ,$675.20 ,$675.20 ,$190.24 ,$548.60 ST. FRANCIS HOSPITAL - ACUTE,45000146,46040,HC INCISION RECTAL ABSCESS,450,1 ,"$3,704.00 ","$2,666.88 ",$834.88 ,"$3,704.00 ","$2,129.80 ","$2,666.88 ","$2,014.98 ",$834.88 ,"$1,037.12 ","$2,463.16 ",$834.88 ,"$2,592.80 ",$834.88 ,"$2,333.52 ","$2,333.52 ",$834.88 ,"$2,333.52 ","$1,720.88 ","$3,407.68 ","$2,707.28 ",$834.88 ,"$3,148.40 ","$3,111.36 ",$834.88 ,"$2,778.00 ","$2,963.20 ","$2,963.20 ",$834.88 ,"$2,963.20 ","$3,222.48 ","$3,222.48 ","$3,222.48 ","$3,333.60 ","$2,129.80 ",$834.88 ,"$3,704.00 ","$2,077.94 ",$834.88 ,"$1,533.46 ", N/A , N/A ,$876.63 ,"$3,148.40 ","$2,333.52 ","$1,037.12 ","$3,333.60 ","$3,222.48 ","$2,963.20 ","$2,963.20 ",$834.88 ,"$2,407.60 " ST. FRANCIS HOSPITAL - ACUTE,45000147,46050,HC I AND D ABSC PERIANAL SUPFIC,450,1 ,$344.00 ,$247.68 ,$77.54 ,"$2,077.60 ",$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,"$2,077.60 ",$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000148,46083,HC INC HEMORRHOID EXTERNAL,450,1 ,$170.00 ,$122.40 ,$38.32 ,$537.18 ,$97.75 ,$122.40 ,$92.48 ,$38.32 ,$47.60 ,$113.05 ,$38.32 ,$119.00 ,$38.32 ,$107.10 ,$107.10 ,$38.32 ,$107.10 ,$78.98 ,$156.40 ,$537.18 ,$38.32 ,$144.50 ,$142.80 ,$38.32 ,$127.50 ,$136.00 ,$136.00 ,$38.32 ,$136.00 ,$147.90 ,$147.90 ,$147.90 ,$153.00 ,$97.75 ,$38.32 ,$170.00 ,$95.37 ,$38.32 ,$70.38 , N/A , N/A ,$40.24 ,$144.50 ,$107.10 ,$47.60 ,$153.00 ,$147.90 ,$136.00 ,$136.00 ,$38.32 ,$110.50 ST. FRANCIS HOSPITAL - ACUTE,45000156,51700,HC IRRIG/LAVG/INSTL BLADDER,450,1 ,$390.00 ,$280.80 ,$87.91 ,$537.18 ,$224.25 ,$280.80 ,$212.16 ,$87.91 ,$109.20 ,$259.35 ,$87.91 ,$273.00 ,$87.91 ,$245.70 ,$245.70 ,$87.91 ,$245.70 ,$181.19 ,$358.80 ,$537.18 ,$87.91 ,$331.50 ,$327.60 ,$87.91 ,$292.50 ,$312.00 ,$312.00 ,$87.91 ,$312.00 ,$339.30 ,$339.30 ,$339.30 ,$351.00 ,$224.25 ,$87.91 ,$390.00 ,$218.79 ,$87.91 ,$161.46 , N/A , N/A ,$92.31 ,$331.50 ,$245.70 ,$109.20 ,$351.00 ,$339.30 ,$312.00 ,$312.00 ,$87.91 ,$253.50 ST. FRANCIS HOSPITAL - ACUTE,45000157,51705,HC CHG TUBE CYSTOSTOMY SMP,450,1 ,$816.00 ,$587.52 ,$183.93 ,$816.00 ,$469.20 ,$587.52 ,$443.90 ,$183.93 ,$228.48 ,$542.64 ,$183.93 ,$571.20 ,$183.93 ,$514.08 ,$514.08 ,$183.93 ,$514.08 ,$379.11 ,$750.72 ,$537.18 ,$183.93 ,$693.60 ,$685.44 ,$183.93 ,$612.00 ,$652.80 ,$652.80 ,$183.93 ,$652.80 ,$709.92 ,$709.92 ,$709.92 ,$734.40 ,$469.20 ,$183.93 ,$816.00 ,$457.78 ,$183.93 ,$337.82 , N/A , N/A ,$193.12 ,$693.60 ,$514.08 ,$228.48 ,$734.40 ,$709.92 ,$652.80 ,$652.80 ,$183.93 ,$530.40 ST. FRANCIS HOSPITAL - ACUTE,45000159,54220,HC IRRIG CORPORA CAVNOSA,450,1 ,$728.00 ,$524.16 ,$164.09 ,$728.00 ,$418.60 ,$524.16 ,$396.03 ,$164.09 ,$203.84 ,$484.12 ,$164.09 ,$509.60 ,$164.09 ,$458.64 ,$458.64 ,$164.09 ,$458.64 ,$338.23 ,$669.76 ,$537.18 ,$164.09 ,$618.80 ,$611.52 ,$164.09 ,$546.00 ,$582.40 ,$582.40 ,$164.09 ,$582.40 ,$633.36 ,$633.36 ,$633.36 ,$655.20 ,$418.60 ,$164.09 ,$728.00 ,$408.41 ,$164.09 ,$301.39 , N/A , N/A ,$172.29 ,$618.80 ,$458.64 ,$203.84 ,$655.20 ,$633.36 ,$582.40 ,$582.40 ,$164.09 ,$473.20 ST. FRANCIS HOSPITAL - ACUTE,45000163,56405,HC I AND D ABSC VULVA/PERINEAL,450,1 ,$394.00 ,$283.68 ,$88.81 ,$729.90 ,$226.55 ,$283.68 ,$214.34 ,$88.81 ,$110.32 ,$262.01 ,$88.81 ,$275.80 ,$88.81 ,$248.22 ,$248.22 ,$88.81 ,$248.22 ,$183.05 ,$362.48 ,$729.90 ,$88.81 ,$334.90 ,$330.96 ,$88.81 ,$295.50 ,$315.20 ,$315.20 ,$88.81 ,$315.20 ,$342.78 ,$342.78 ,$342.78 ,$354.60 ,$226.55 ,$88.81 ,$394.00 ,$221.03 ,$88.81 ,$163.12 , N/A , N/A ,$93.25 ,$334.90 ,$248.22 ,$110.32 ,$354.60 ,$342.78 ,$315.20 ,$315.20 ,$88.81 ,$256.10 ST. FRANCIS HOSPITAL - ACUTE,45000164,56420,HC I AND D ABSC GLAND BARTHOLIN'S,450,1 ,$543.00 ,$390.96 ,$122.39 ,$543.00 ,$312.23 ,$390.96 ,$295.39 ,$122.39 ,$152.04 ,$361.10 ,$122.39 ,$380.10 ,$122.39 ,$342.09 ,$342.09 ,$122.39 ,$342.09 ,$252.28 ,$499.56 ,$445.33 ,$122.39 ,$461.55 ,$456.12 ,$122.39 ,$407.25 ,$434.40 ,$434.40 ,$122.39 ,$434.40 ,$472.41 ,$472.41 ,$472.41 ,$488.70 ,$312.23 ,$122.39 ,$543.00 ,$304.62 ,$122.39 ,$224.80 , N/A , N/A ,$128.51 ,$461.55 ,$342.09 ,$152.04 ,$488.70 ,$472.41 ,$434.40 ,$434.40 ,$122.39 ,$352.95 ST. FRANCIS HOSPITAL - ACUTE,45000165,58301,HC REM DVC INTRAUTERINE,450,1 ,$159.00 ,$114.48 ,$35.84 ,$729.90 ,$91.43 ,$114.48 ,$86.50 ,$35.84 ,$44.52 ,$105.74 ,$35.84 ,$111.30 ,$35.84 ,$100.17 ,$100.17 ,$35.84 ,$100.17 ,$73.87 ,$146.28 ,$729.90 ,$35.84 ,$135.15 ,$133.56 ,$35.84 ,$119.25 ,$127.20 ,$127.20 ,$35.84 ,$127.20 ,$138.33 ,$138.33 ,$138.33 ,$143.10 ,$91.43 ,$35.84 ,$159.00 ,$89.20 ,$35.84 ,$65.83 , N/A , N/A ,$37.63 ,$135.15 ,$100.17 ,$44.52 ,$143.10 ,$138.33 ,$127.20 ,$127.20 ,$35.84 ,$103.35 ST. FRANCIS HOSPITAL - ACUTE,45000168,64400,HC DENTAL BLOCK,450,1 ,$597.00 ,$429.84 ,$134.56 ,$679.73 ,$343.28 ,$429.84 ,$324.77 ,$134.56 ,$167.16 ,$397.01 ,$134.56 ,$417.90 ,$134.56 ,$376.11 ,$376.11 ,$134.56 ,$376.11 ,$277.37 ,$549.24 ,$679.73 ,$134.56 ,$507.45 ,$501.48 ,$134.56 ,$447.75 ,$477.60 ,$477.60 ,$134.56 ,$477.60 ,$519.39 ,$519.39 ,$519.39 ,$537.30 ,$343.28 ,$134.56 ,$597.00 ,$334.92 ,$134.56 ,$247.16 , N/A , N/A ,$141.30 ,$507.45 ,$376.11 ,$167.16 ,$537.30 ,$519.39 ,$477.60 ,$477.60 ,$134.56 ,$388.05 ST. FRANCIS HOSPITAL - ACUTE,45000168,64400,HC DENTAL BLOCK,450,1 ,"$1,294.00 ",$931.68 ,$291.67 ,"$1,294.00 ",$744.05 ,$931.68 ,$703.94 ,$291.67 ,$362.32 ,$860.51 ,$291.67 ,$905.80 ,$291.67 ,$815.22 ,$815.22 ,$291.67 ,$815.22 ,$601.19 ,"$1,190.48 ","$1,019.59 ",$291.67 ,"$1,099.90 ","$1,086.96 ",$291.67 ,$970.50 ,"$1,035.20 ","$1,035.20 ",$291.67 ,"$1,035.20 ","$1,125.78 ","$1,125.78 ","$1,125.78 ","$1,164.60 ",$744.05 ,$291.67 ,"$1,294.00 ",$725.93 ,$291.67 ,$535.72 , N/A , N/A ,$306.25 ,"$1,099.90 ",$815.22 ,$362.32 ,"$1,164.60 ","$1,125.78 ","$1,035.20 ","$1,035.20 ",$291.67 ,$841.10 ST. FRANCIS HOSPITAL - ACUTE,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,$661.00 ,$475.92 ,$148.99 ,$679.73 ,$380.08 ,$475.92 ,$359.58 ,$148.99 ,$185.08 ,$439.57 ,$148.99 ,$462.70 ,$148.99 ,$416.43 ,$416.43 ,$148.99 ,$416.43 ,$307.10 ,$608.12 ,$679.73 ,$148.99 ,$561.85 ,$555.24 ,$148.99 ,$495.75 ,$528.80 ,$528.80 ,$148.99 ,$528.80 ,$575.07 ,$575.07 ,$575.07 ,$594.90 ,$380.08 ,$148.99 ,$661.00 ,$370.82 ,$148.99 ,$273.65 , N/A , N/A ,$156.44 ,$561.85 ,$416.43 ,$185.08 ,$594.90 ,$575.07 ,$528.80 ,$528.80 ,$148.99 ,$429.65 ST. FRANCIS HOSPITAL - ACUTE,45000169,64999,HC INJECTION FACIAL NERVE,450,1 ,"$1,309.00 ",$942.48 ,$295.05 ,"$1,309.00 ",$752.68 ,$942.48 ,$712.10 ,$295.05 ,$366.52 ,$870.49 ,$295.05 ,$916.30 ,$295.05 ,$824.67 ,$824.67 ,$295.05 ,$824.67 ,$608.16 ,"$1,204.28 ",$679.73 ,$295.05 ,"$1,112.65 ","$1,099.56 ",$295.05 ,$981.75 ,"$1,047.20 ","$1,047.20 ",$295.05 ,"$1,047.20 ","$1,138.83 ","$1,138.83 ","$1,138.83 ","$1,178.10 ",$752.68 ,$295.05 ,"$1,309.00 ",$734.35 ,$295.05 ,$541.93 , N/A , N/A ,$309.80 ,"$1,112.65 ",$824.67 ,$366.52 ,"$1,178.10 ","$1,138.83 ","$1,047.20 ","$1,047.20 ",$295.05 ,$850.85 ST. FRANCIS HOSPITAL - ACUTE,45000170,64450,HC INJ ANES NERVE PERIPHERAL,450,1 ,"$1,999.00 ","$1,439.28 ",$450.57 ,"$1,999.00 ","$1,149.43 ","$1,439.28 ","$1,087.46 ",$450.57 ,$559.72 ,"$1,329.34 ",$450.57 ,"$1,399.30 ",$450.57 ,"$1,259.37 ","$1,259.37 ",$450.57 ,"$1,259.37 ",$928.74 ,"$1,839.08 ","$1,610.85 ",$450.57 ,"$1,699.15 ","$1,679.16 ",$450.57 ,"$1,499.25 ","$1,599.20 ","$1,599.20 ",$450.57 ,"$1,599.20 ","$1,739.13 ","$1,739.13 ","$1,739.13 ","$1,799.10 ","$1,149.43 ",$450.57 ,"$1,999.00 ","$1,121.44 ",$450.57 ,$827.59 , N/A , N/A ,$473.10 ,"$1,699.15 ","$1,259.37 ",$559.72 ,"$1,799.10 ","$1,739.13 ","$1,599.20 ","$1,599.20 ",$450.57 ,"$1,299.35 " ST. FRANCIS HOSPITAL - ACUTE,45000171,65205,HC REM EYE FB CONJUCT SUPER,450,1 ,$79.00 ,$56.88 ,$17.81 ,$290.28 ,$45.43 ,$56.88 ,$42.98 ,$17.81 ,$22.12 ,$52.54 ,$17.81 ,$55.30 ,$17.81 ,$49.77 ,$49.77 ,$17.81 ,$49.77 ,$36.70 ,$72.68 ,$290.28 ,$17.81 ,$67.15 ,$66.36 ,$17.81 ,$59.25 ,$63.20 ,$63.20 ,$17.81 ,$63.20 ,$68.73 ,$68.73 ,$68.73 ,$71.10 ,$45.43 ,$17.81 ,$79.00 ,$44.32 ,$17.81 ,$32.71 , N/A , N/A ,$18.70 ,$67.15 ,$49.77 ,$22.12 ,$71.10 ,$68.73 ,$63.20 ,$63.20 ,$17.81 ,$51.35 ST. FRANCIS HOSPITAL - ACUTE,45000173,65220,HC REM FB CORNL W/O SLIT LA,450,1 ,$309.00 ,$222.48 ,$69.65 ,$943.93 ,$177.68 ,$222.48 ,$168.10 ,$69.65 ,$86.52 ,$205.49 ,$69.65 ,$216.30 ,$69.65 ,$194.67 ,$194.67 ,$69.65 ,$194.67 ,$143.56 ,$284.28 ,$943.93 ,$69.65 ,$262.65 ,$259.56 ,$69.65 ,$231.75 ,$247.20 ,$247.20 ,$69.65 ,$247.20 ,$268.83 ,$268.83 ,$268.83 ,$278.10 ,$177.68 ,$69.65 ,$309.00 ,$173.35 ,$69.65 ,$127.93 , N/A , N/A ,$73.13 ,$262.65 ,$194.67 ,$86.52 ,$278.10 ,$268.83 ,$247.20 ,$247.20 ,$69.65 ,$200.85 ST. FRANCIS HOSPITAL - ACUTE,45000174,65222,HC REM FB CORNL W/ SLIT LA,450,1 ,$321.00 ,$231.12 ,$72.35 ,$321.00 ,$184.58 ,$231.12 ,$174.62 ,$72.35 ,$89.88 ,$213.47 ,$72.35 ,$224.70 ,$72.35 ,$202.23 ,$202.23 ,$72.35 ,$202.23 ,$149.14 ,$295.32 ,$290.28 ,$72.35 ,$272.85 ,$269.64 ,$72.35 ,$240.75 ,$256.80 ,$256.80 ,$72.35 ,$256.80 ,$279.27 ,$279.27 ,$279.27 ,$288.90 ,$184.58 ,$72.35 ,$321.00 ,$180.08 ,$72.35 ,$132.89 , N/A , N/A ,$75.97 ,$272.85 ,$202.23 ,$89.88 ,$288.90 ,$279.27 ,$256.80 ,$256.80 ,$72.35 ,$208.65 ST. FRANCIS HOSPITAL - ACUTE,45000177,67700,HC I AND D ABSCESS EYELID,450,1 ,$380.00 ,$273.60 ,$85.65 ,$661.78 ,$218.50 ,$273.60 ,$206.72 ,$85.65 ,$106.40 ,$252.70 ,$85.65 ,$266.00 ,$85.65 ,$239.40 ,$239.40 ,$85.65 ,$239.40 ,$176.55 ,$349.60 ,$661.78 ,$85.65 ,$323.00 ,$319.20 ,$85.65 ,$285.00 ,$304.00 ,$304.00 ,$85.65 ,$304.00 ,$330.60 ,$330.60 ,$330.60 ,$342.00 ,$218.50 ,$85.65 ,$380.00 ,$213.18 ,$85.65 ,$157.32 , N/A , N/A ,$89.93 ,$323.00 ,$239.40 ,$106.40 ,$342.00 ,$330.60 ,$304.00 ,$304.00 ,$85.65 ,$247.00 ST. FRANCIS HOSPITAL - ACUTE,45000178,67938,HC REMOVE EMBEDDED FB EYELID,450,1 ,$178.00 ,$128.16 ,$40.12 ,$661.78 ,$102.35 ,$128.16 ,$96.83 ,$40.12 ,$49.84 ,$118.37 ,$40.12 ,$124.60 ,$40.12 ,$112.14 ,$112.14 ,$40.12 ,$112.14 ,$82.70 ,$163.76 ,$661.78 ,$40.12 ,$151.30 ,$149.52 ,$40.12 ,$133.50 ,$142.40 ,$142.40 ,$40.12 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$102.35 ,$40.12 ,$178.00 ,$99.86 ,$40.12 ,$73.69 , N/A , N/A ,$42.13 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 ,$142.40 ,$142.40 ,$40.12 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,45000181,69200,HC FB REMOVAL EAR,450,1 ,$386.00 ,$277.92 ,$87.00 ,$386.00 ,$221.95 ,$277.92 ,$209.98 ,$87.00 ,$108.08 ,$256.69 ,$87.00 ,$270.20 ,$87.00 ,$243.18 ,$243.18 ,$87.00 ,$243.18 ,$179.34 ,$355.12 ,$290.28 ,$87.00 ,$328.10 ,$324.24 ,$87.00 ,$289.50 ,$308.80 ,$308.80 ,$87.00 ,$308.80 ,$335.82 ,$335.82 ,$335.82 ,$347.40 ,$221.95 ,$87.00 ,$386.00 ,$216.55 ,$87.00 ,$159.80 , N/A , N/A ,$91.36 ,$328.10 ,$243.18 ,$108.08 ,$347.40 ,$335.82 ,$308.80 ,$308.80 ,$87.00 ,$250.90 ST. FRANCIS HOSPITAL - ACUTE,45000183,69210,HC REMOVE CERUMEN IMPACTED BY INSTRUMENTATION,450,1 ,$86.00 ,$61.92 ,$19.38 ,$143.70 ,$49.45 ,$61.92 ,$46.78 ,$19.38 ,$24.08 ,$57.19 ,$19.38 ,$60.20 ,$19.38 ,$54.18 ,$54.18 ,$19.38 ,$54.18 ,$39.96 ,$79.12 ,$143.70 ,$19.38 ,$73.10 ,$72.24 ,$19.38 ,$64.50 ,$68.80 ,$68.80 ,$19.38 ,$68.80 ,$74.82 ,$74.82 ,$74.82 ,$77.40 ,$49.45 ,$19.38 ,$86.00 ,$48.25 ,$19.38 ,$35.60 , N/A , N/A ,$20.35 ,$73.10 ,$54.18 ,$24.08 ,$77.40 ,$74.82 ,$68.80 ,$68.80 ,$19.38 ,$55.90 ST. FRANCIS HOSPITAL - ACUTE,45000188,99281,HC ER LEVEL 1,450,1 ,$220.00 ,$158.40 ,$49.59 ,$220.00 ,$126.50 ,$158.40 ,$119.68 ,$49.59 ,$61.60 ,$146.30 ,$49.59 ,$154.00 ,$49.59 ,$138.60 ,$138.60 ,$49.59 ,$138.60 ,$102.21 ,$202.40 ,$187.73 ,$49.59 ,$187.00 ,$184.80 ,$49.59 ,$165.00 ,$176.00 ,$176.00 ,$49.59 ,$176.00 ,$191.40 ,$191.40 ,$191.40 ,$198.00 ,$126.50 ,$49.59 ,$220.00 ,$123.42 ,$49.59 ,$91.08 , N/A , N/A ,$52.07 ,$187.00 ,$138.60 ,$61.60 ,$198.00 ,$191.40 ,$176.00 ,$176.00 ,$49.59 ,$143.00 ST. FRANCIS HOSPITAL - ACUTE,45000189,99282,HC ER LEVEL 2,450,1 ,$436.00 ,$313.92 ,$98.27 ,$436.00 ,$250.70 ,$313.92 ,$237.18 ,$98.27 ,$122.08 ,$289.94 ,$98.27 ,$305.20 ,$98.27 ,$274.68 ,$274.68 ,$98.27 ,$274.68 ,$202.57 ,$401.12 ,$349.23 ,$98.27 ,$370.60 ,$366.24 ,$98.27 ,$327.00 ,$348.80 ,$348.80 ,$98.27 ,$348.80 ,$379.32 ,$379.32 ,$379.32 ,$392.40 ,$250.70 ,$98.27 ,$436.00 ,$244.60 ,$98.27 ,$180.50 , N/A , N/A ,$103.18 ,$370.60 ,$274.68 ,$122.08 ,$392.40 ,$379.32 ,$348.80 ,$348.80 ,$98.27 ,$283.40 ST. FRANCIS HOSPITAL - ACUTE,45000190,99283,HC ER LEVEL 3,450,1 ,$636.00 ,$457.92 ,$143.35 ,$636.00 ,$365.70 ,$457.92 ,$345.98 ,$143.35 ,$178.08 ,$422.94 ,$143.35 ,$445.20 ,$143.35 ,$400.68 ,$400.68 ,$143.35 ,$400.68 ,$295.49 ,$585.12 ,$612.58 ,$143.35 ,$540.60 ,$534.24 ,$143.35 ,$477.00 ,$508.80 ,$508.80 ,$143.35 ,$508.80 ,$553.32 ,$553.32 ,$553.32 ,$572.40 ,$365.70 ,$143.35 ,$636.00 ,$356.80 ,$143.35 ,$263.30 , N/A , N/A ,$150.52 ,$540.60 ,$400.68 ,$178.08 ,$572.40 ,$553.32 ,$508.80 ,$508.80 ,$143.35 ,$413.40 ST. FRANCIS HOSPITAL - ACUTE,45000191,99284,HC ER LEVEL 4,450,1 ,"$1,000.00 ",$720.00 ,$141.57 ,"$1,000.00 ",$575.00 ,$720.00 ,$544.00 ,$225.40 ,$280.00 ,$665.00 ,$225.40 ,$700.00 ,$225.40 ,$630.00 ,$630.00 ,$225.40 ,$630.00 ,$464.60 ,$920.00 ,$954.03 ,$225.40 ,$850.00 ,$840.00 ,$225.40 ,$750.00 ,$800.00 ,$800.00 ,$225.40 ,$800.00 ,$870.00 ,$870.00 ,$870.00 ,$900.00 ,$575.00 ,$225.40 ,"$1,000.00 ",$561.00 ,$225.40 ,$414.00 ,$148.31 ,$141.57 ,$236.67 ,$850.00 ,$630.00 ,$280.00 ,$900.00 ,$870.00 ,$800.00 ,$800.00 ,$225.40 ,$650.00 ST. FRANCIS HOSPITAL - ACUTE,45000192,99285,HC ER LEVEL 5,450,1 ,"$1,764.00 ","$1,270.08 ",$141.57 ,"$1,764.00 ","$1,014.30 ","$1,270.08 ",$959.62 ,$397.61 ,$493.92 ,"$1,173.06 ",$397.61 ,"$1,234.80 ",$397.61 ,"$1,111.32 ","$1,111.32 ",$397.61 ,"$1,111.32 ",$819.55 ,"$1,622.88 ","$1,370.28 ",$397.61 ,"$1,499.40 ","$1,481.76 ",$397.61 ,"$1,323.00 ","$1,411.20 ","$1,411.20 ",$397.61 ,"$1,411.20 ","$1,534.68 ","$1,534.68 ","$1,534.68 ","$1,587.60 ","$1,014.30 ",$397.61 ,"$1,764.00 ",$989.60 ,$397.61 ,$730.30 ,$148.31 ,$141.57 ,$417.49 ,"$1,499.40 ","$1,111.32 ",$493.92 ,"$1,587.60 ","$1,534.68 ","$1,411.20 ","$1,411.20 ",$397.61 ,"$1,146.60 " ST. FRANCIS HOSPITAL - ACUTE,45000193,99291,HC CRITICAL CARE 30-74 MIN,450,1 ,"$2,488.00 ","$1,791.36 ",$141.57 ,"$2,488.00 ","$1,430.60 ","$1,791.36 ","$1,353.47 ",$560.80 ,$696.64 ,"$1,654.52 ",$560.80 ,"$1,741.60 ",$560.80 ,"$1,567.44 ","$1,567.44 ",$560.80 ,"$1,567.44 ","$1,155.92 ","$2,288.96 ","$1,919.30 ",$560.80 ,"$2,114.80 ","$2,089.92 ",$560.80 ,"$1,866.00 ","$1,990.40 ","$1,990.40 ",$560.80 ,"$1,990.40 ","$2,164.56 ","$2,164.56 ","$2,164.56 ","$2,239.20 ","$1,430.60 ",$560.80 ,"$2,488.00 ","$1,395.77 ",$560.80 ,"$1,030.03 ",$148.31 ,$141.57 ,$588.83 ,"$2,114.80 ","$1,567.44 ",$696.64 ,"$2,239.20 ","$2,164.56 ","$1,990.40 ","$1,990.40 ",$560.80 ,"$1,617.20 " ST. FRANCIS HOSPITAL - ACUTE,45000195,99292,HC CRITICAL CARE EA ADDN'T 30 MIN,450,1 ,$775.00 ,$558.00 ,$174.68 ,$775.00 ,$445.63 ,$558.00 ,$421.60 ,$174.68 ,$217.00 ,$515.38 ,$174.68 ,$542.50 ,$174.68 ,$488.25 ,$488.25 ,$174.68 ,$488.25 ,$360.07 ,$713.00 , N/A ,$174.68 ,$658.75 ,$651.00 ,$174.68 ,$581.25 ,$620.00 ,$620.00 ,$174.68 ,$620.00 ,$674.25 ,$674.25 ,$674.25 ,$697.50 ,$445.63 ,$174.68 ,$775.00 ,$434.78 ,$174.68 ,$320.85 , N/A , N/A ,$183.42 ,$658.75 ,$488.25 ,$217.00 ,$697.50 ,$674.25 ,$620.00 ,$620.00 ,$174.68 ,$503.75 ST. FRANCIS HOSPITAL - ACUTE,45000196,27810,HC TX FX BIM ANKLE W/MAN CLS,450,1 ,$655.00 ,$471.60 ,$147.64 ,"$3,586.30 ",$376.63 ,$471.60 ,$356.32 ,$147.64 ,$183.40 ,$435.58 ,$147.64 ,$458.50 ,$147.64 ,$412.65 ,$412.65 ,$147.64 ,$412.65 ,$304.31 ,$602.60 ,"$3,586.30 ",$147.64 ,$556.75 ,$550.20 ,$147.64 ,$491.25 ,$524.00 ,$524.00 ,$147.64 ,$524.00 ,$569.85 ,$569.85 ,$569.85 ,$589.50 ,$376.63 ,$147.64 ,$655.00 ,$367.46 ,$147.64 ,$271.17 , N/A , N/A ,$155.02 ,$556.75 ,$412.65 ,$183.40 ,$589.50 ,$569.85 ,$524.00 ,$524.00 ,$147.64 ,$425.75 ST. FRANCIS HOSPITAL - ACUTE,45000198,21480,HC TX DISL JAW CLS-UNI,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000200,35206,HC RPR VESSEL EXTREM UPR,450,1 ,"$3,343.00 ","$2,406.96 ",$753.51 ,"$7,447.43 ","$1,922.23 ","$2,406.96 ","$1,818.59 ",$753.51 ,$936.04 ,"$2,223.10 ",$753.51 ,"$2,340.10 ",$753.51 ,"$2,106.09 ","$2,106.09 ",$753.51 ,"$2,106.09 ","$1,553.16 ","$3,075.56 ","$7,447.43 ",$753.51 ,"$2,841.55 ","$2,808.12 ",$753.51 ,"$2,507.25 ","$2,674.40 ","$2,674.40 ",$753.51 ,"$2,674.40 ","$2,908.41 ","$2,908.41 ","$2,908.41 ","$3,008.70 ","$1,922.23 ",$753.51 ,"$3,343.00 ","$1,875.42 ",$753.51 ,"$1,384.00 ", N/A , N/A ,$791.18 ,"$2,841.55 ","$2,106.09 ",$936.04 ,"$3,008.70 ","$2,908.41 ","$2,674.40 ","$2,674.40 ",$753.51 ,"$2,172.95 " ST. FRANCIS HOSPITAL - ACUTE,45000203,27840,HC TX DISL ANKLE W/O ANES CLS,450,1 ,$698.00 ,$502.56 ,$157.33 ,$698.00 ,$401.35 ,$502.56 ,$379.71 ,$157.33 ,$195.44 ,$464.17 ,$157.33 ,$488.60 ,$157.33 ,$439.74 ,$439.74 ,$157.33 ,$439.74 ,$324.29 ,$642.16 ,$517.53 ,$157.33 ,$593.30 ,$586.32 ,$157.33 ,$523.50 ,$558.40 ,$558.40 ,$157.33 ,$558.40 ,$607.26 ,$607.26 ,$607.26 ,$628.20 ,$401.35 ,$157.33 ,$698.00 ,$391.58 ,$157.33 ,$288.97 , N/A , N/A ,$165.20 ,$593.30 ,$439.74 ,$195.44 ,$628.20 ,$607.26 ,$558.40 ,$558.40 ,$157.33 ,$453.70 ST. FRANCIS HOSPITAL - ACUTE,45000204,23931,HC I AND D BURSA ELBOW/ARM,450,1 ,$204.00 ,$146.88 ,$45.98 ,"$3,748.88 ",$117.30 ,$146.88 ,$110.98 ,$45.98 ,$57.12 ,$135.66 ,$45.98 ,$142.80 ,$45.98 ,$128.52 ,$128.52 ,$45.98 ,$128.52 ,$94.78 ,$187.68 ,"$3,748.88 ",$45.98 ,$173.40 ,$171.36 ,$45.98 ,$153.00 ,$163.20 ,$163.20 ,$45.98 ,$163.20 ,$177.48 ,$177.48 ,$177.48 ,$183.60 ,$117.30 ,$45.98 ,$204.00 ,$114.44 ,$45.98 ,$84.46 , N/A , N/A ,$48.28 ,$173.40 ,$128.52 ,$57.12 ,$183.60 ,$177.48 ,$163.20 ,$163.20 ,$45.98 ,$132.60 ST. FRANCIS HOSPITAL - ACUTE,45000210,25680,HC CLSD WRIST FX W/MANIP,450,1 ,$296.00 ,$213.12 ,$66.72 ,$517.53 ,$170.20 ,$213.12 ,$161.02 ,$66.72 ,$82.88 ,$196.84 ,$66.72 ,$207.20 ,$66.72 ,$186.48 ,$186.48 ,$66.72 ,$186.48 ,$137.52 ,$272.32 ,$517.53 ,$66.72 ,$251.60 ,$248.64 ,$66.72 ,$222.00 ,$236.80 ,$236.80 ,$66.72 ,$236.80 ,$257.52 ,$257.52 ,$257.52 ,$266.40 ,$170.20 ,$66.72 ,$296.00 ,$166.06 ,$66.72 ,$122.54 , N/A , N/A ,$70.05 ,$251.60 ,$186.48 ,$82.88 ,$266.40 ,$257.52 ,$236.80 ,$236.80 ,$66.72 ,$192.40 ST. FRANCIS HOSPITAL - ACUTE,45000212,25690,HC CLSD WRIST DISLOC,450,1 ,"$4,441.00 ","$3,197.52 ","$1,001.00 ","$4,441.00 ","$2,553.58 ","$3,197.52 ","$2,415.90 ","$1,001.00 ","$1,243.48 ","$2,953.27 ","$1,001.00 ","$3,108.70 ","$1,001.00 ","$2,797.83 ","$2,797.83 ","$1,001.00 ","$2,797.83 ","$2,063.29 ","$4,085.72 ","$3,586.30 ","$1,001.00 ","$3,774.85 ","$3,730.44 ","$1,001.00 ","$3,330.75 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$3,552.80 ","$3,863.67 ","$3,863.67 ","$3,863.67 ","$3,996.90 ","$2,553.58 ","$1,001.00 ","$4,441.00 ","$2,491.40 ","$1,001.00 ","$1,838.57 ", N/A , N/A ,"$1,051.05 ","$3,774.85 ","$2,797.83 ","$1,243.48 ","$3,996.90 ","$3,863.67 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$2,886.65 " ST. FRANCIS HOSPITAL - ACUTE,45000213,26720,HC FINGER FX W/O MANIP,450,1 ,"$1,450.00 ","$1,044.00 ",$326.83 ,"$1,450.00 ",$833.75 ,"$1,044.00 ",$788.80 ,$326.83 ,$406.00 ,$964.25 ,$326.83 ,"$1,015.00 ",$326.83 ,$913.50 ,$913.50 ,$326.83 ,$913.50 ,$673.67 ,"$1,334.00 ",$517.53 ,$326.83 ,"$1,232.50 ","$1,218.00 ",$326.83 ,"$1,087.50 ","$1,160.00 ","$1,160.00 ",$326.83 ,"$1,160.00 ","$1,261.50 ","$1,261.50 ","$1,261.50 ","$1,305.00 ",$833.75 ,$326.83 ,"$1,450.00 ",$813.45 ,$326.83 ,$600.30 , N/A , N/A ,$343.18 ,"$1,232.50 ",$913.50 ,$406.00 ,"$1,305.00 ","$1,261.50 ","$1,160.00 ","$1,160.00 ",$326.83 ,$942.50 ST. FRANCIS HOSPITAL - ACUTE,45000214,37195,HC THROMBOLYSIS;CEREB IV,450,1 ,$893.00 ,$642.96 ,$201.28 ,$893.00 ,$513.48 ,$642.96 ,$485.79 ,$201.28 ,$250.04 ,$593.85 ,$201.28 ,$625.10 ,$201.28 ,$562.59 ,$562.59 ,$201.28 ,$562.59 ,$414.89 ,$821.56 ,$831.55 ,$201.28 ,$759.05 ,$750.12 ,$201.28 ,$669.75 ,$714.40 ,$714.40 ,$201.28 ,$714.40 ,$776.91 ,$776.91 ,$776.91 ,$803.70 ,$513.48 ,$201.28 ,$893.00 ,$500.97 ,$201.28 ,$369.70 , N/A , N/A ,$211.35 ,$759.05 ,$562.59 ,$250.04 ,$803.70 ,$776.91 ,$714.40 ,$714.40 ,$201.28 ,$580.45 ST. FRANCIS HOSPITAL - ACUTE,45000215,27786,HC DIST FIB FX W/O MANIP,450,1 ,"$2,285.00 ","$1,645.20 ",$515.04 ,"$2,285.00 ","$1,313.88 ","$1,645.20 ","$1,243.04 ",$515.04 ,$639.80 ,"$1,519.53 ",$515.04 ,"$1,599.50 ",$515.04 ,"$1,439.55 ","$1,439.55 ",$515.04 ,"$1,439.55 ","$1,061.61 ","$2,102.20 ",$517.53 ,$515.04 ,"$1,942.25 ","$1,919.40 ",$515.04 ,"$1,713.75 ","$1,828.00 ","$1,828.00 ",$515.04 ,"$1,828.00 ","$1,987.95 ","$1,987.95 ","$1,987.95 ","$2,056.50 ","$1,313.88 ",$515.04 ,"$2,285.00 ","$1,281.89 ",$515.04 ,$945.99 , N/A , N/A ,$540.79 ,"$1,942.25 ","$1,439.55 ",$639.80 ,"$2,056.50 ","$1,987.95 ","$1,828.00 ","$1,828.00 ",$515.04 ,"$1,485.25 " ST. FRANCIS HOSPITAL - ACUTE,45000216,41899,HC DENTOALVEOLAR STRUCT PROC,450,1 ,$437.00 ,$314.64 ,$98.50 ,$519.58 ,$251.28 ,$314.64 ,$237.73 ,$98.50 ,$122.36 ,$290.61 ,$98.50 ,$305.90 ,$98.50 ,$275.31 ,$275.31 ,$98.50 ,$275.31 ,$203.03 ,$402.04 ,$519.58 ,$98.50 ,$371.45 ,$367.08 ,$98.50 ,$327.75 ,$349.60 ,$349.60 ,$98.50 ,$349.60 ,$380.19 ,$380.19 ,$380.19 ,$393.30 ,$251.28 ,$98.50 ,$437.00 ,$245.16 ,$98.50 ,$180.92 , N/A , N/A ,$103.43 ,$371.45 ,$275.31 ,$122.36 ,$393.30 ,$380.19 ,$349.60 ,$349.60 ,$98.50 ,$284.05 ST. FRANCIS HOSPITAL - ACUTE,45000218,23500,HC CLOSED TREATMENT CLAVICLE FX,450,1 ,"$1,622.00 ","$1,167.84 ",$365.60 ,"$1,622.00 ",$932.65 ,"$1,167.84 ",$882.37 ,$365.60 ,$454.16 ,"$1,078.63 ",$365.60 ,"$1,135.40 ",$365.60 ,"$1,021.86 ","$1,021.86 ",$365.60 ,"$1,021.86 ",$753.58 ,"$1,492.24 ",$517.53 ,$365.60 ,"$1,378.70 ","$1,362.48 ",$365.60 ,"$1,216.50 ","$1,297.60 ","$1,297.60 ",$365.60 ,"$1,297.60 ","$1,411.14 ","$1,411.14 ","$1,411.14 ","$1,459.80 ",$932.65 ,$365.60 ,"$1,622.00 ",$909.94 ,$365.60 ,$671.51 , N/A , N/A ,$383.88 ,"$1,378.70 ","$1,021.86 ",$454.16 ,"$1,459.80 ","$1,411.14 ","$1,297.60 ","$1,297.60 ",$365.60 ,"$1,054.30 " ST. FRANCIS HOSPITAL - ACUTE,45000219,27818,HC TRIMALLEOLAR ANKLE FX W/MANIP,450,1 ,$411.00 ,$295.92 ,$92.64 ,"$3,586.30 ",$236.33 ,$295.92 ,$223.58 ,$92.64 ,$115.08 ,$273.32 ,$92.64 ,$287.70 ,$92.64 ,$258.93 ,$258.93 ,$92.64 ,$258.93 ,$190.95 ,$378.12 ,"$3,586.30 ",$92.64 ,$349.35 ,$345.24 ,$92.64 ,$308.25 ,$328.80 ,$328.80 ,$92.64 ,$328.80 ,$357.57 ,$357.57 ,$357.57 ,$369.90 ,$236.33 ,$92.64 ,$411.00 ,$230.57 ,$92.64 ,$170.15 , N/A , N/A ,$97.27 ,$349.35 ,$258.93 ,$115.08 ,$369.90 ,$357.57 ,$328.80 ,$328.80 ,$92.64 ,$267.15 ST. FRANCIS HOSPITAL - ACUTE,45000220,29280,HC STRAPPING HAND/FINGER,450,1 ,$270.00 ,$194.40 ,$60.86 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$143.70 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000221,10121,HC RM FB SUBQ W/INC COMPL,450,1 ,"$1,059.00 ",$762.48 ,$238.70 ,"$3,748.88 ",$608.93 ,$762.48 ,$576.10 ,$238.70 ,$296.52 ,$704.24 ,$238.70 ,$741.30 ,$238.70 ,$667.17 ,$667.17 ,$238.70 ,$667.17 ,$492.01 ,$974.28 ,"$3,748.88 ",$238.70 ,$900.15 ,$889.56 ,$238.70 ,$794.25 ,$847.20 ,$847.20 ,$238.70 ,$847.20 ,$921.33 ,$921.33 ,$921.33 ,$953.10 ,$608.93 ,$238.70 ,"$1,059.00 ",$594.10 ,$238.70 ,$438.43 , N/A , N/A ,$250.63 ,$900.15 ,$667.17 ,$296.52 ,$953.10 ,$921.33 ,$847.20 ,$847.20 ,$238.70 ,$688.35 ST. FRANCIS HOSPITAL - ACUTE,45000224,25630,HC CLSD CARPAL BONE FX,450,1 ,"$2,230.00 ","$1,605.60 ",$502.64 ,"$2,230.00 ","$1,282.25 ","$1,605.60 ","$1,213.12 ",$502.64 ,$624.40 ,"$1,482.95 ",$502.64 ,"$1,561.00 ",$502.64 ,"$1,404.90 ","$1,404.90 ",$502.64 ,"$1,404.90 ","$1,036.06 ","$2,051.60 ",$517.53 ,$502.64 ,"$1,895.50 ","$1,873.20 ",$502.64 ,"$1,672.50 ","$1,784.00 ","$1,784.00 ",$502.64 ,"$1,784.00 ","$1,940.10 ","$1,940.10 ","$1,940.10 ","$2,007.00 ","$1,282.25 ",$502.64 ,"$2,230.00 ","$1,251.03 ",$502.64 ,$923.22 , N/A , N/A ,$527.78 ,"$1,895.50 ","$1,404.90 ",$624.40 ,"$2,007.00 ","$1,940.10 ","$1,784.00 ","$1,784.00 ",$502.64 ,"$1,449.50 " ST. FRANCIS HOSPITAL - ACUTE,45000227,25600,HC CLSD DIS.RADIUS W/O MANIP,450,1 ,$595.00 ,$428.40 ,$134.11 ,$595.00 ,$342.13 ,$428.40 ,$323.68 ,$134.11 ,$166.60 ,$395.68 ,$134.11 ,$416.50 ,$134.11 ,$374.85 ,$374.85 ,$134.11 ,$374.85 ,$276.44 ,$547.40 ,$517.53 ,$134.11 ,$505.75 ,$499.80 ,$134.11 ,$446.25 ,$476.00 ,$476.00 ,$134.11 ,$476.00 ,$517.65 ,$517.65 ,$517.65 ,$535.50 ,$342.13 ,$134.11 ,$595.00 ,$333.80 ,$134.11 ,$246.33 , N/A , N/A ,$140.82 ,$505.75 ,$374.85 ,$166.60 ,$535.50 ,$517.65 ,$476.00 ,$476.00 ,$134.11 ,$386.75 ST. FRANCIS HOSPITAL - ACUTE,45000228,26750,HC CLSD DIST PHALANGEAL W/O MANIP,450,1 ,"$1,362.00 ",$980.64 ,$306.99 ,"$1,362.00 ",$783.15 ,$980.64 ,$740.93 ,$306.99 ,$381.36 ,$905.73 ,$306.99 ,$953.40 ,$306.99 ,$858.06 ,$858.06 ,$306.99 ,$858.06 ,$632.79 ,"$1,253.04 ",$517.53 ,$306.99 ,"$1,157.70 ","$1,144.08 ",$306.99 ,"$1,021.50 ","$1,089.60 ","$1,089.60 ",$306.99 ,"$1,089.60 ","$1,184.94 ","$1,184.94 ","$1,184.94 ","$1,225.80 ",$783.15 ,$306.99 ,"$1,362.00 ",$764.08 ,$306.99 ,$563.87 , N/A , N/A ,$322.34 ,"$1,157.70 ",$858.06 ,$381.36 ,"$1,225.80 ","$1,184.94 ","$1,089.60 ","$1,089.60 ",$306.99 ,$885.30 ST. FRANCIS HOSPITAL - ACUTE,45000229,25500,HC RADIUS FX W/O MANIP,450,1 ,"$2,067.00 ","$1,488.24 ",$465.90 ,"$2,067.00 ","$1,188.53 ","$1,488.24 ","$1,124.45 ",$465.90 ,$578.76 ,"$1,374.56 ",$465.90 ,"$1,446.90 ",$465.90 ,"$1,302.21 ","$1,302.21 ",$465.90 ,"$1,302.21 ",$960.33 ,"$1,901.64 ",$517.53 ,$465.90 ,"$1,756.95 ","$1,736.28 ",$465.90 ,"$1,550.25 ","$1,653.60 ","$1,653.60 ",$465.90 ,"$1,653.60 ","$1,798.29 ","$1,798.29 ","$1,798.29 ","$1,860.30 ","$1,188.53 ",$465.90 ,"$2,067.00 ","$1,159.59 ",$465.90 ,$855.74 , N/A , N/A ,$489.20 ,"$1,756.95 ","$1,302.21 ",$578.76 ,"$1,860.30 ","$1,798.29 ","$1,653.60 ","$1,653.60 ",$465.90 ,"$1,343.55 " ST. FRANCIS HOSPITAL - ACUTE,45000230,26605,HC CLSD METACARPAL FX W/MANIP,450,1 ,$344.00 ,$247.68 ,$77.54 ,$517.53 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$517.53 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000231,25505,HC RADIUS FX W MANIP,450,1 ,"$4,017.00 ","$2,892.24 ",$905.43 ,"$4,017.00 ","$2,309.78 ","$2,892.24 ","$2,185.25 ",$905.43 ,"$1,124.76 ","$2,671.31 ",$905.43 ,"$2,811.90 ",$905.43 ,"$2,530.71 ","$2,530.71 ",$905.43 ,"$2,530.71 ","$1,866.30 ","$3,695.64 ","$3,586.30 ",$905.43 ,"$3,414.45 ","$3,374.28 ",$905.43 ,"$3,012.75 ","$3,213.60 ","$3,213.60 ",$905.43 ,"$3,213.60 ","$3,494.79 ","$3,494.79 ","$3,494.79 ","$3,615.30 ","$2,309.78 ",$905.43 ,"$4,017.00 ","$2,253.54 ",$905.43 ,"$1,663.04 ", N/A , N/A ,$950.71 ,"$3,414.45 ","$2,530.71 ","$1,124.76 ","$3,615.30 ","$3,494.79 ","$3,213.60 ","$3,213.60 ",$905.43 ,"$2,611.05 " ST. FRANCIS HOSPITAL - ACUTE,45000232,26600,HC CLSD METACARPAL W/O MANIP,450,1 ,"$2,178.00 ","$1,568.16 ",$490.92 ,"$2,178.00 ","$1,252.35 ","$1,568.16 ","$1,184.83 ",$490.92 ,$609.84 ,"$1,448.37 ",$490.92 ,"$1,524.60 ",$490.92 ,"$1,372.14 ","$1,372.14 ",$490.92 ,"$1,372.14 ","$1,011.90 ","$2,003.76 ",$517.53 ,$490.92 ,"$1,851.30 ","$1,829.52 ",$490.92 ,"$1,633.50 ","$1,742.40 ","$1,742.40 ",$490.92 ,"$1,742.40 ","$1,894.86 ","$1,894.86 ","$1,894.86 ","$1,960.20 ","$1,252.35 ",$490.92 ,"$2,178.00 ","$1,221.86 ",$490.92 ,$901.69 , N/A , N/A ,$515.47 ,"$1,851.30 ","$1,372.14 ",$609.84 ,"$1,960.20 ","$1,894.86 ","$1,742.40 ","$1,742.40 ",$490.92 ,"$1,415.70 " ST. FRANCIS HOSPITAL - ACUTE,45000233,25530,HC ULNAR FX CLSD W/O MANIP,450,1 ,"$1,902.00 ","$1,369.44 ",$428.71 ,"$1,902.00 ","$1,093.65 ","$1,369.44 ","$1,034.69 ",$428.71 ,$532.56 ,"$1,264.83 ",$428.71 ,"$1,331.40 ",$428.71 ,"$1,198.26 ","$1,198.26 ",$428.71 ,"$1,198.26 ",$883.67 ,"$1,749.84 ",$517.53 ,$428.71 ,"$1,616.70 ","$1,597.68 ",$428.71 ,"$1,426.50 ","$1,521.60 ","$1,521.60 ",$428.71 ,"$1,521.60 ","$1,654.74 ","$1,654.74 ","$1,654.74 ","$1,711.80 ","$1,093.65 ",$428.71 ,"$1,902.00 ","$1,067.02 ",$428.71 ,$787.43 , N/A , N/A ,$450.14 ,"$1,616.70 ","$1,198.26 ",$532.56 ,"$1,711.80 ","$1,654.74 ","$1,521.60 ","$1,521.60 ",$428.71 ,"$1,236.30 " ST. FRANCIS HOSPITAL - ACUTE,45000234,25560,HC RADIUS AND ULNA FX W/O MANIP,450,1 ,$727.00 ,$523.44 ,$163.87 ,$727.00 ,$418.03 ,$523.44 ,$395.49 ,$163.87 ,$203.56 ,$483.46 ,$163.87 ,$508.90 ,$163.87 ,$458.01 ,$458.01 ,$163.87 ,$458.01 ,$337.76 ,$668.84 ,$517.53 ,$163.87 ,$617.95 ,$610.68 ,$163.87 ,$545.25 ,$581.60 ,$581.60 ,$163.87 ,$581.60 ,$632.49 ,$632.49 ,$632.49 ,$654.30 ,$418.03 ,$163.87 ,$727.00 ,$407.85 ,$163.87 ,$300.98 , N/A , N/A ,$172.06 ,$617.95 ,$458.01 ,$203.56 ,$654.30 ,$632.49 ,$581.60 ,$581.60 ,$163.87 ,$472.55 ST. FRANCIS HOSPITAL - ACUTE,45000235,28470,HC CLSD METATARSAL W/O MANIP,450,1 ,"$1,557.00 ","$1,121.04 ",$350.95 ,"$1,557.00 ",$895.28 ,"$1,121.04 ",$847.01 ,$350.95 ,$435.96 ,"$1,035.41 ",$350.95 ,"$1,089.90 ",$350.95 ,$980.91 ,$980.91 ,$350.95 ,$980.91 ,$723.38 ,"$1,432.44 ",$517.53 ,$350.95 ,"$1,323.45 ","$1,307.88 ",$350.95 ,"$1,167.75 ","$1,245.60 ","$1,245.60 ",$350.95 ,"$1,245.60 ","$1,354.59 ","$1,354.59 ","$1,354.59 ","$1,401.30 ",$895.28 ,$350.95 ,"$1,557.00 ",$873.48 ,$350.95 ,$644.60 , N/A , N/A ,$368.50 ,"$1,323.45 ",$980.91 ,$435.96 ,"$1,401.30 ","$1,354.59 ","$1,245.60 ","$1,245.60 ",$350.95 ,"$1,012.05 " ST. FRANCIS HOSPITAL - ACUTE,45000237,25622,HC WRIST FX W/O MANIP,450,1 ,"$2,234.00 ","$1,608.48 ",$503.54 ,"$2,234.00 ","$1,284.55 ","$1,608.48 ","$1,215.30 ",$503.54 ,$625.52 ,"$1,485.61 ",$503.54 ,"$1,563.80 ",$503.54 ,"$1,407.42 ","$1,407.42 ",$503.54 ,"$1,407.42 ","$1,037.92 ","$2,055.28 ",$517.53 ,$503.54 ,"$1,898.90 ","$1,876.56 ",$503.54 ,"$1,675.50 ","$1,787.20 ","$1,787.20 ",$503.54 ,"$1,787.20 ","$1,943.58 ","$1,943.58 ","$1,943.58 ","$2,010.60 ","$1,284.55 ",$503.54 ,"$2,234.00 ","$1,253.27 ",$503.54 ,$924.88 , N/A , N/A ,$528.72 ,"$1,898.90 ","$1,407.42 ",$625.52 ,"$2,010.60 ","$1,943.58 ","$1,787.20 ","$1,787.20 ",$503.54 ,"$1,452.10 " ST. FRANCIS HOSPITAL - ACUTE,45000238,26670,HC HAND DISL W/MANIP W/O ANES,450,1 ,$771.00 ,$555.12 ,$173.78 ,$771.00 ,$443.33 ,$555.12 ,$419.42 ,$173.78 ,$215.88 ,$512.72 ,$173.78 ,$539.70 ,$173.78 ,$485.73 ,$485.73 ,$173.78 ,$485.73 ,$358.21 ,$709.32 ,$517.53 ,$173.78 ,$655.35 ,$647.64 ,$173.78 ,$578.25 ,$616.80 ,$616.80 ,$173.78 ,$616.80 ,$670.77 ,$670.77 ,$670.77 ,$693.90 ,$443.33 ,$173.78 ,$771.00 ,$432.53 ,$173.78 ,$319.19 , N/A , N/A ,$182.48 ,$655.35 ,$485.73 ,$215.88 ,$693.90 ,$670.77 ,$616.80 ,$616.80 ,$173.78 ,$501.15 ST. FRANCIS HOSPITAL - ACUTE,45000241,27780,HC PROX FIBULA W/O MANIP,450,1 ,"$2,253.00 ","$1,622.16 ",$507.83 ,"$2,253.00 ","$1,295.48 ","$1,622.16 ","$1,225.63 ",$507.83 ,$630.84 ,"$1,498.25 ",$507.83 ,"$1,577.10 ",$507.83 ,"$1,419.39 ","$1,419.39 ",$507.83 ,"$1,419.39 ","$1,046.74 ","$2,072.76 ",$517.53 ,$507.83 ,"$1,915.05 ","$1,892.52 ",$507.83 ,"$1,689.75 ","$1,802.40 ","$1,802.40 ",$507.83 ,"$1,802.40 ","$1,960.11 ","$1,960.11 ","$1,960.11 ","$2,027.70 ","$1,295.48 ",$507.83 ,"$2,253.00 ","$1,263.93 ",$507.83 ,$932.74 , N/A , N/A ,$533.22 ,"$1,915.05 ","$1,419.39 ",$630.84 ,"$2,027.70 ","$1,960.11 ","$1,802.40 ","$1,802.40 ",$507.83 ,"$1,464.45 " ST. FRANCIS HOSPITAL - ACUTE,45000245,28490,HC GREAT TOE W/O RED FX,450,1 ,$998.00 ,$718.56 ,$224.95 ,$998.00 ,$573.85 ,$718.56 ,$542.91 ,$224.95 ,$279.44 ,$663.67 ,$224.95 ,$698.60 ,$224.95 ,$628.74 ,$628.74 ,$224.95 ,$628.74 ,$463.67 ,$918.16 ,$517.53 ,$224.95 ,$848.30 ,$838.32 ,$224.95 ,$748.50 ,$798.40 ,$798.40 ,$224.95 ,$798.40 ,$868.26 ,$868.26 ,$868.26 ,$898.20 ,$573.85 ,$224.95 ,$998.00 ,$559.88 ,$224.95 ,$413.17 , N/A , N/A ,$236.20 ,$848.30 ,$628.74 ,$279.44 ,$898.20 ,$868.26 ,$798.40 ,$798.40 ,$224.95 ,$648.70 ST. FRANCIS HOSPITAL - ACUTE,45000248,28475,HC CLSD METATARSAL W/MANIP,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45000250,28510,HC TOE FX W/O MANIP EACH,450,1 ,$844.00 ,$607.68 ,$190.24 ,$844.00 ,$485.30 ,$607.68 ,$459.14 ,$190.24 ,$236.32 ,$561.26 ,$190.24 ,$590.80 ,$190.24 ,$531.72 ,$531.72 ,$190.24 ,$531.72 ,$392.12 ,$776.48 ,$517.53 ,$190.24 ,$717.40 ,$708.96 ,$190.24 ,$633.00 ,$675.20 ,$675.20 ,$190.24 ,$675.20 ,$734.28 ,$734.28 ,$734.28 ,$759.60 ,$485.30 ,$190.24 ,$844.00 ,$473.48 ,$190.24 ,$349.42 , N/A , N/A ,$199.75 ,$717.40 ,$531.72 ,$236.32 ,$759.60 ,$734.28 ,$675.20 ,$675.20 ,$190.24 ,$548.60 ST. FRANCIS HOSPITAL - ACUTE,45000251,24650,HC RADIAL HEAD W/O RED;ADULT,450,1 ,"$1,907.00 ","$1,373.04 ",$429.84 ,"$1,907.00 ","$1,096.53 ","$1,373.04 ","$1,037.41 ",$429.84 ,$533.96 ,"$1,268.16 ",$429.84 ,"$1,334.90 ",$429.84 ,"$1,201.41 ","$1,201.41 ",$429.84 ,"$1,201.41 ",$885.99 ,"$1,754.44 ",$517.53 ,$429.84 ,"$1,620.95 ","$1,601.88 ",$429.84 ,"$1,430.25 ","$1,525.60 ","$1,525.60 ",$429.84 ,"$1,525.60 ","$1,659.09 ","$1,659.09 ","$1,659.09 ","$1,716.30 ","$1,096.53 ",$429.84 ,"$1,907.00 ","$1,069.83 ",$429.84 ,$789.50 , N/A , N/A ,$451.33 ,"$1,620.95 ","$1,201.41 ",$533.96 ,"$1,716.30 ","$1,659.09 ","$1,525.60 ","$1,525.60 ",$429.84 ,"$1,239.55 " ST. FRANCIS HOSPITAL - ACUTE,45000252,20520,HC MUSCLE FB REM W/ INC,450,1 ,$309.00 ,$222.48 ,$69.65 ,"$3,748.88 ",$177.68 ,$222.48 ,$168.10 ,$69.65 ,$86.52 ,$205.49 ,$69.65 ,$216.30 ,$69.65 ,$194.67 ,$194.67 ,$69.65 ,$194.67 ,$143.56 ,$284.28 ,"$3,748.88 ",$69.65 ,$262.65 ,$259.56 ,$69.65 ,$231.75 ,$247.20 ,$247.20 ,$69.65 ,$247.20 ,$268.83 ,$268.83 ,$268.83 ,$278.10 ,$177.68 ,$69.65 ,$309.00 ,$173.35 ,$69.65 ,$127.93 , N/A , N/A ,$73.13 ,$262.65 ,$194.67 ,$86.52 ,$278.10 ,$268.83 ,$247.20 ,$247.20 ,$69.65 ,$200.85 ST. FRANCIS HOSPITAL - ACUTE,45000255,28450,HC CLSD TARSAL W/O MANIP,450,1 ,"$1,508.00 ","$1,085.76 ",$339.90 ,"$1,508.00 ",$867.10 ,"$1,085.76 ",$820.35 ,$339.90 ,$422.24 ,"$1,002.82 ",$339.90 ,"$1,055.60 ",$339.90 ,$950.04 ,$950.04 ,$339.90 ,$950.04 ,$700.62 ,"$1,387.36 ",$517.53 ,$339.90 ,"$1,281.80 ","$1,266.72 ",$339.90 ,"$1,131.00 ","$1,206.40 ","$1,206.40 ",$339.90 ,"$1,206.40 ","$1,311.96 ","$1,311.96 ","$1,311.96 ","$1,357.20 ",$867.10 ,$339.90 ,"$1,508.00 ",$845.99 ,$339.90 ,$624.31 , N/A , N/A ,$356.90 ,"$1,281.80 ",$950.04 ,$422.24 ,"$1,357.20 ","$1,311.96 ","$1,206.40 ","$1,206.40 ",$339.90 ,$980.20 ST. FRANCIS HOSPITAL - ACUTE,45000258,29345,HC LONG LEG CAST,450,1 ,$492.00 ,$354.24 ,$110.90 ,$599.78 ,$282.90 ,$354.24 ,$267.65 ,$110.90 ,$137.76 ,$327.18 ,$110.90 ,$344.40 ,$110.90 ,$309.96 ,$309.96 ,$110.90 ,$309.96 ,$228.58 ,$452.64 ,$599.78 ,$110.90 ,$418.20 ,$413.28 ,$110.90 ,$369.00 ,$393.60 ,$393.60 ,$110.90 ,$393.60 ,$428.04 ,$428.04 ,$428.04 ,$442.80 ,$282.90 ,$110.90 ,$492.00 ,$276.01 ,$110.90 ,$203.69 , N/A , N/A ,$116.44 ,$418.20 ,$309.96 ,$137.76 ,$442.80 ,$428.04 ,$393.60 ,$393.60 ,$110.90 ,$319.80 ST. FRANCIS HOSPITAL - ACUTE,45000264,11400,HC EXC LESION 0.5<,450,1 ,"$1,947.00 ","$1,401.84 ",$438.85 ,"$1,947.00 ","$1,119.53 ","$1,401.84 ","$1,059.17 ",$438.85 ,$545.16 ,"$1,294.76 ",$438.85 ,"$1,362.90 ",$438.85 ,"$1,226.61 ","$1,226.61 ",$438.85 ,"$1,226.61 ",$904.58 ,"$1,791.24 ","$1,622.43 ",$438.85 ,"$1,654.95 ","$1,635.48 ",$438.85 ,"$1,460.25 ","$1,557.60 ","$1,557.60 ",$438.85 ,"$1,557.60 ","$1,693.89 ","$1,693.89 ","$1,693.89 ","$1,752.30 ","$1,119.53 ",$438.85 ,"$1,947.00 ","$1,092.27 ",$438.85 ,$806.06 , N/A , N/A ,$460.80 ,"$1,654.95 ","$1,226.61 ",$545.16 ,"$1,752.30 ","$1,693.89 ","$1,557.60 ","$1,557.60 ",$438.85 ,"$1,265.55 " ST. FRANCIS HOSPITAL - ACUTE,45000272,20611,HC ARTHROCNT ASP/INJ JT MAJOR W/ ULTRA,450,1 ,"$1,522.00 ","$1,095.84 ",$343.06 ,"$1,522.00 ",$875.15 ,"$1,095.84 ",$827.97 ,$343.06 ,$426.16 ,"$1,012.13 ",$343.06 ,"$1,065.40 ",$343.06 ,$958.86 ,$958.86 ,$343.06 ,$958.86 ,$707.12 ,"$1,400.24 ",$679.73 ,$343.06 ,"$1,293.70 ","$1,278.48 ",$343.06 ,"$1,141.50 ","$1,217.60 ","$1,217.60 ",$343.06 ,"$1,217.60 ","$1,324.14 ","$1,324.14 ","$1,324.14 ","$1,369.80 ",$875.15 ,$343.06 ,"$1,522.00 ",$853.84 ,$343.06 ,$630.11 , N/A , N/A ,$360.21 ,"$1,293.70 ",$958.86 ,$426.16 ,"$1,369.80 ","$1,324.14 ","$1,217.60 ","$1,217.60 ",$343.06 ,$989.30 ST. FRANCIS HOSPITAL - ACUTE,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$135.00 ,$97.20 ,$30.43 ,$143.70 ,$77.63 ,$97.20 ,$73.44 ,$30.43 ,$37.80 ,$89.78 ,$30.43 ,$94.50 ,$30.43 ,$85.05 ,$85.05 ,$30.43 ,$85.05 ,$62.72 ,$124.20 ,$143.70 ,$30.43 ,$114.75 ,$113.40 ,$30.43 ,$101.25 ,$108.00 ,$108.00 ,$30.43 ,$108.00 ,$117.45 ,$117.45 ,$117.45 ,$121.50 ,$77.63 ,$30.43 ,$135.00 ,$75.74 ,$30.43 ,$55.89 , N/A , N/A ,$31.95 ,$114.75 ,$85.05 ,$37.80 ,$121.50 ,$117.45 ,$108.00 ,$108.00 ,$30.43 ,$87.75 ST. FRANCIS HOSPITAL - ACUTE,45000273,69209,HC REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE UNI,450,1 ,$266.00 ,$191.52 ,$59.96 ,$266.00 ,$152.95 ,$191.52 ,$144.70 ,$59.96 ,$74.48 ,$176.89 ,$59.96 ,$186.20 ,$59.96 ,$167.58 ,$167.58 ,$59.96 ,$167.58 ,$123.58 ,$244.72 ,$143.70 ,$59.96 ,$226.10 ,$223.44 ,$59.96 ,$199.50 ,$212.80 ,$212.80 ,$59.96 ,$212.80 ,$231.42 ,$231.42 ,$231.42 ,$239.40 ,$152.95 ,$59.96 ,$266.00 ,$149.23 ,$59.96 ,$110.12 , N/A , N/A ,$62.96 ,$226.10 ,$167.58 ,$74.48 ,$239.40 ,$231.42 ,$212.80 ,$212.80 ,$59.96 ,$172.90 ST. FRANCIS HOSPITAL - ACUTE,45000287,11402,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,450,1 ,"$1,538.00 ","$1,107.36 ",$346.67 ,"$1,622.43 ",$884.35 ,"$1,107.36 ",$836.67 ,$346.67 ,$430.64 ,"$1,022.77 ",$346.67 ,"$1,076.60 ",$346.67 ,$968.94 ,$968.94 ,$346.67 ,$968.94 ,$714.55 ,"$1,414.96 ","$1,622.43 ",$346.67 ,"$1,307.30 ","$1,291.92 ",$346.67 ,"$1,153.50 ","$1,230.40 ","$1,230.40 ",$346.67 ,"$1,230.40 ","$1,338.06 ","$1,338.06 ","$1,338.06 ","$1,384.20 ",$884.35 ,$346.67 ,"$1,538.00 ",$862.82 ,$346.67 ,$636.73 , N/A , N/A ,$364.00 ,"$1,307.30 ",$968.94 ,$430.64 ,"$1,384.20 ","$1,338.06 ","$1,230.40 ","$1,230.40 ",$346.67 ,$999.70 ST. FRANCIS HOSPITAL - ACUTE,45000288,11403,HC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,450,1 ,"$2,243.00 ","$1,614.96 ",$505.57 ,"$2,243.00 ","$1,289.73 ","$1,614.96 ","$1,220.19 ",$505.57 ,$628.04 ,"$1,491.60 ",$505.57 ,"$1,570.10 ",$505.57 ,"$1,413.09 ","$1,413.09 ",$505.57 ,"$1,413.09 ","$1,042.10 ","$2,063.56 ","$1,622.43 ",$505.57 ,"$1,906.55 ","$1,884.12 ",$505.57 ,"$1,682.25 ","$1,794.40 ","$1,794.40 ",$505.57 ,"$1,794.40 ","$1,951.41 ","$1,951.41 ","$1,951.41 ","$2,018.70 ","$1,289.73 ",$505.57 ,"$2,243.00 ","$1,258.32 ",$505.57 ,$928.60 , N/A , N/A ,$530.85 ,"$1,906.55 ","$1,413.09 ",$628.04 ,"$2,018.70 ","$1,951.41 ","$1,794.40 ","$1,794.40 ",$505.57 ,"$1,457.95 " ST. FRANCIS HOSPITAL - ACUTE,45000290,11420,HC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET <0.5CM,450,1 ,"$1,826.00 ","$1,314.72 ",$411.58 ,"$3,748.88 ","$1,049.95 ","$1,314.72 ",$993.34 ,$411.58 ,$511.28 ,"$1,214.29 ",$411.58 ,"$1,278.20 ",$411.58 ,"$1,150.38 ","$1,150.38 ",$411.58 ,"$1,150.38 ",$848.36 ,"$1,679.92 ","$3,748.88 ",$411.58 ,"$1,552.10 ","$1,533.84 ",$411.58 ,"$1,369.50 ","$1,460.80 ","$1,460.80 ",$411.58 ,"$1,460.80 ","$1,588.62 ","$1,588.62 ","$1,588.62 ","$1,643.40 ","$1,049.95 ",$411.58 ,"$1,826.00 ","$1,024.39 ",$411.58 ,$755.96 , N/A , N/A ,$432.16 ,"$1,552.10 ","$1,150.38 ",$511.28 ,"$1,643.40 ","$1,588.62 ","$1,460.80 ","$1,460.80 ",$411.58 ,"$1,186.90 " ST. FRANCIS HOSPITAL - ACUTE,45000301,24200,HC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,450,1 ,"$1,575.00 ","$1,134.00 ",$355.00 ,"$3,748.88 ",$905.63 ,"$1,134.00 ",$856.80 ,$355.00 ,$441.00 ,"$1,047.38 ",$355.00 ,"$1,102.50 ",$355.00 ,$992.25 ,$992.25 ,$355.00 ,$992.25 ,$731.75 ,"$1,449.00 ","$3,748.88 ",$355.00 ,"$1,338.75 ","$1,323.00 ",$355.00 ,"$1,181.25 ","$1,260.00 ","$1,260.00 ",$355.00 ,"$1,260.00 ","$1,370.25 ","$1,370.25 ","$1,370.25 ","$1,417.50 ",$905.63 ,$355.00 ,"$1,575.00 ",$883.58 ,$355.00 ,$652.05 , N/A , N/A ,$372.75 ,"$1,338.75 ",$992.25 ,$441.00 ,"$1,417.50 ","$1,370.25 ","$1,260.00 ","$1,260.00 ",$355.00 ,"$1,023.75 " ST. FRANCIS HOSPITAL - ACUTE,45000309,28660,HC CLOSED TX I-P JOINT DISLOCATION W/O ANES,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45000310,31505,HC LARYNGOSCOPY INDIRECT,450,1 ,$494.00 ,$355.68 ,$111.35 ,$494.00 ,$284.05 ,$355.68 ,$268.74 ,$111.35 ,$138.32 ,$328.51 ,$111.35 ,$345.80 ,$111.35 ,$311.22 ,$311.22 ,$111.35 ,$311.22 ,$229.51 ,$454.48 ,$446.88 ,$111.35 ,$419.90 ,$414.96 ,$111.35 ,$370.50 ,$395.20 ,$395.20 ,$111.35 ,$395.20 ,$429.78 ,$429.78 ,$429.78 ,$444.60 ,$284.05 ,$111.35 ,$494.00 ,$277.13 ,$111.35 ,$204.52 , N/A , N/A ,$116.91 ,$419.90 ,$311.22 ,$138.32 ,$444.60 ,$429.78 ,$395.20 ,$395.20 ,$111.35 ,$321.10 ST. FRANCIS HOSPITAL - ACUTE,45000323,23620,HC CLOSED TX GR TUBER HUM FX W/O MANIP,450,1 ,"$1,974.00 ","$1,421.28 ",$444.94 ,"$1,974.00 ","$1,135.05 ","$1,421.28 ","$1,073.86 ",$444.94 ,$552.72 ,"$1,312.71 ",$444.94 ,"$1,381.80 ",$444.94 ,"$1,243.62 ","$1,243.62 ",$444.94 ,"$1,243.62 ",$917.12 ,"$1,816.08 ",$517.53 ,$444.94 ,"$1,677.90 ","$1,658.16 ",$444.94 ,"$1,480.50 ","$1,579.20 ","$1,579.20 ",$444.94 ,"$1,579.20 ","$1,717.38 ","$1,717.38 ","$1,717.38 ","$1,776.60 ","$1,135.05 ",$444.94 ,"$1,974.00 ","$1,107.41 ",$444.94 ,$817.24 , N/A , N/A ,$467.19 ,"$1,677.90 ","$1,243.62 ",$552.72 ,"$1,776.60 ","$1,717.38 ","$1,579.20 ","$1,579.20 ",$444.94 ,"$1,283.10 " ST. FRANCIS HOSPITAL - ACUTE,45000326,24670,HC CLOSED TX FX ULNAR PROX END W/MANIP,450,1 ,"$2,132.00 ","$1,535.04 ",$480.55 ,"$2,132.00 ","$1,225.90 ","$1,535.04 ","$1,159.81 ",$480.55 ,$596.96 ,"$1,417.78 ",$480.55 ,"$1,492.40 ",$480.55 ,"$1,343.16 ","$1,343.16 ",$480.55 ,"$1,343.16 ",$990.53 ,"$1,961.44 ",$517.53 ,$480.55 ,"$1,812.20 ","$1,790.88 ",$480.55 ,"$1,599.00 ","$1,705.60 ","$1,705.60 ",$480.55 ,"$1,705.60 ","$1,854.84 ","$1,854.84 ","$1,854.84 ","$1,918.80 ","$1,225.90 ",$480.55 ,"$2,132.00 ","$1,196.05 ",$480.55 ,$882.65 , N/A , N/A ,$504.58 ,"$1,812.20 ","$1,343.16 ",$596.96 ,"$1,918.80 ","$1,854.84 ","$1,705.60 ","$1,705.60 ",$480.55 ,"$1,385.80 " ST. FRANCIS HOSPITAL - ACUTE,45000328,27550,HC CLSD TX KNEE DISLOC W/O ANESTH,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45000329,27752,HC CLSD TX FX TIBIAL SHAFT W/MANIP,450,1 ,$437.00 ,$314.64 ,$98.50 ,"$3,586.30 ",$251.28 ,$314.64 ,$237.73 ,$98.50 ,$122.36 ,$290.61 ,$98.50 ,$305.90 ,$98.50 ,$275.31 ,$275.31 ,$98.50 ,$275.31 ,$203.03 ,$402.04 ,"$3,586.30 ",$98.50 ,$371.45 ,$367.08 ,$98.50 ,$327.75 ,$349.60 ,$349.60 ,$98.50 ,$349.60 ,$380.19 ,$380.19 ,$380.19 ,$393.30 ,$251.28 ,$98.50 ,$437.00 ,$245.16 ,$98.50 ,$180.92 , N/A , N/A ,$103.43 ,$371.45 ,$275.31 ,$122.36 ,$393.30 ,$380.19 ,$349.60 ,$349.60 ,$98.50 ,$284.05 ST. FRANCIS HOSPITAL - ACUTE,45000331,27788,HC CLOSED TX FX DISTAL FIBULAR W/MANIP,450,1 ,$771.00 ,$555.12 ,$173.78 ,$771.00 ,$443.33 ,$555.12 ,$419.42 ,$173.78 ,$215.88 ,$512.72 ,$173.78 ,$539.70 ,$173.78 ,$485.73 ,$485.73 ,$173.78 ,$485.73 ,$358.21 ,$709.32 ,$517.53 ,$173.78 ,$655.35 ,$647.64 ,$173.78 ,$578.25 ,$616.80 ,$616.80 ,$173.78 ,$616.80 ,$670.77 ,$670.77 ,$670.77 ,$693.90 ,$443.33 ,$173.78 ,$771.00 ,$432.53 ,$173.78 ,$319.19 , N/A , N/A ,$182.48 ,$655.35 ,$485.73 ,$215.88 ,$693.90 ,$670.77 ,$616.80 ,$616.80 ,$173.78 ,$501.15 ST. FRANCIS HOSPITAL - ACUTE,45000334,29260,HC STRAPPING ELBOW/WRIST,450,1 ,$270.00 ,$194.40 ,$60.86 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$143.70 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000335,29530,HC STRAPPING KNEE,450,1 ,$320.00 ,$230.40 ,$72.13 ,$320.00 ,$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 ,$290.28 ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$320.00 ,$179.52 ,$72.13 ,$132.48 , N/A , N/A ,$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,45000336,29550,HC STRAPPING TOES,450,1 ,$270.00 ,$194.40 ,$60.86 ,$270.00 ,$155.25 ,$194.40 ,$146.88 ,$60.86 ,$75.60 ,$179.55 ,$60.86 ,$189.00 ,$60.86 ,$170.10 ,$170.10 ,$60.86 ,$170.10 ,$125.44 ,$248.40 ,$143.70 ,$60.86 ,$229.50 ,$226.80 ,$60.86 ,$202.50 ,$216.00 ,$216.00 ,$60.86 ,$216.00 ,$234.90 ,$234.90 ,$234.90 ,$243.00 ,$155.25 ,$60.86 ,$270.00 ,$151.47 ,$60.86 ,$111.78 , N/A , N/A ,$63.91 ,$229.50 ,$170.10 ,$75.60 ,$243.00 ,$234.90 ,$216.00 ,$216.00 ,$60.86 ,$175.50 ST. FRANCIS HOSPITAL - ACUTE,45000338,30906,HC CONTROL NASAL HEMORRHAGE SUBSQ,450,1 ,$628.00 ,$452.16 ,$141.55 ,$628.00 ,$361.10 ,$452.16 ,$341.63 ,$141.55 ,$175.84 ,$417.62 ,$141.55 ,$439.60 ,$141.55 ,$395.64 ,$395.64 ,$141.55 ,$395.64 ,$291.77 ,$577.76 ,$519.58 ,$141.55 ,$533.80 ,$527.52 ,$141.55 ,$471.00 ,$502.40 ,$502.40 ,$141.55 ,$502.40 ,$546.36 ,$546.36 ,$546.36 ,$565.20 ,$361.10 ,$141.55 ,$628.00 ,$352.31 ,$141.55 ,$259.99 , N/A , N/A ,$148.63 ,$533.80 ,$395.64 ,$175.84 ,$565.20 ,$546.36 ,$502.40 ,$502.40 ,$141.55 ,$408.20 ST. FRANCIS HOSPITAL - ACUTE,45000346,23625,HC CLOSED TX GR TUBER HUM FX W/MANIP,450,1 ,"$4,974.00 ","$3,581.28 ","$1,121.14 ","$4,974.00 ","$2,860.05 ","$3,581.28 ","$2,705.86 ","$1,121.14 ","$1,392.72 ","$3,307.71 ","$1,121.14 ","$3,481.80 ","$1,121.14 ","$3,133.62 ","$3,133.62 ","$1,121.14 ","$3,133.62 ","$2,310.92 ","$4,576.08 ","$3,586.30 ","$1,121.14 ","$4,227.90 ","$4,178.16 ","$1,121.14 ","$3,730.50 ","$3,979.20 ","$3,979.20 ","$1,121.14 ","$3,979.20 ","$4,327.38 ","$4,327.38 ","$4,327.38 ","$4,476.60 ","$2,860.05 ","$1,121.14 ","$4,974.00 ","$2,790.41 ","$1,121.14 ","$2,059.24 ", N/A , N/A ,"$1,177.20 ","$4,227.90 ","$3,133.62 ","$1,392.72 ","$4,476.60 ","$4,327.38 ","$3,979.20 ","$3,979.20 ","$1,121.14 ","$3,233.10 " ST. FRANCIS HOSPITAL - ACUTE,45000451,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-LT,450,1 ,"$1,480.00 ","$1,065.60 ",$333.59 ,"$1,622.43 ",$851.00 ,"$1,065.60 ",$805.12 ,$333.59 ,$414.40 ,$984.20 ,$333.59 ,"$1,036.00 ",$333.59 ,$932.40 ,$932.40 ,$333.59 ,$932.40 ,$687.61 ,"$1,361.60 ","$1,622.43 ",$333.59 ,"$1,258.00 ","$1,243.20 ",$333.59 ,"$1,110.00 ","$1,184.00 ","$1,184.00 ",$333.59 ,"$1,184.00 ","$1,287.60 ","$1,287.60 ","$1,287.60 ","$1,332.00 ",$851.00 ,$333.59 ,"$1,480.00 ",$830.28 ,$333.59 ,$612.72 , N/A , N/A ,$350.27 ,"$1,258.00 ",$932.40 ,$414.40 ,"$1,332.00 ","$1,287.60 ","$1,184.00 ","$1,184.00 ",$333.59 ,$962.00 ST. FRANCIS HOSPITAL - ACUTE,45000452,69000,HC DRAIN ABSC/HEMA EAR EXT SMP-RT,450,1 ,"$1,480.00 ","$1,065.60 ",$333.59 ,"$1,622.43 ",$851.00 ,"$1,065.60 ",$805.12 ,$333.59 ,$414.40 ,$984.20 ,$333.59 ,"$1,036.00 ",$333.59 ,$932.40 ,$932.40 ,$333.59 ,$932.40 ,$687.61 ,"$1,361.60 ","$1,622.43 ",$333.59 ,"$1,258.00 ","$1,243.20 ",$333.59 ,"$1,110.00 ","$1,184.00 ","$1,184.00 ",$333.59 ,"$1,184.00 ","$1,287.60 ","$1,287.60 ","$1,287.60 ","$1,332.00 ",$851.00 ,$333.59 ,"$1,480.00 ",$830.28 ,$333.59 ,$612.72 , N/A , N/A ,$350.27 ,"$1,258.00 ",$932.40 ,$414.40 ,"$1,332.00 ","$1,287.60 ","$1,184.00 ","$1,184.00 ",$333.59 ,$962.00 ST. FRANCIS HOSPITAL - ACUTE,45000457,29365,HC APPL CAST CYCLINDER THIGH TO ANKLE,450,1 ,$706.00 ,$508.32 ,$159.13 ,$706.00 ,$405.95 ,$508.32 ,$384.06 ,$159.13 ,$197.68 ,$469.49 ,$159.13 ,$494.20 ,$159.13 ,$444.78 ,$444.78 ,$159.13 ,$444.78 ,$328.01 ,$649.52 ,$599.78 ,$159.13 ,$600.10 ,$593.04 ,$159.13 ,$529.50 ,$564.80 ,$564.80 ,$159.13 ,$564.80 ,$614.22 ,$614.22 ,$614.22 ,$635.40 ,$405.95 ,$159.13 ,$706.00 ,$396.07 ,$159.13 ,$292.28 , N/A , N/A ,$167.09 ,$600.10 ,$444.78 ,$197.68 ,$635.40 ,$614.22 ,$564.80 ,$564.80 ,$159.13 ,$458.90 ST. FRANCIS HOSPITAL - ACUTE,45000493,36600,HC ARTERIAL PUNCTURE,450,1 ,$83.00 ,$59.76 ,$18.71 ,$290.28 ,$47.73 ,$59.76 ,$45.15 ,$18.71 ,$23.24 ,$55.20 ,$18.71 ,$58.10 ,$18.71 ,$52.29 ,$52.29 ,$18.71 ,$52.29 ,$38.56 ,$76.36 ,$290.28 ,$18.71 ,$70.55 ,$69.72 ,$18.71 ,$62.25 ,$66.40 ,$66.40 ,$18.71 ,$66.40 ,$72.21 ,$72.21 ,$72.21 ,$74.70 ,$47.73 ,$18.71 ,$83.00 ,$46.56 ,$18.71 ,$34.36 , N/A , N/A ,$19.64 ,$70.55 ,$52.29 ,$23.24 ,$74.70 ,$72.21 ,$66.40 ,$66.40 ,$18.71 ,$53.95 ST. FRANCIS HOSPITAL - ACUTE,45000513,29580,HC APPLY UNNA BOOT-LT,450,1 ,$309.00 ,$222.48 ,$69.65 ,$364.40 ,$177.68 ,$222.48 ,$168.10 ,$69.65 ,$86.52 ,$205.49 ,$69.65 ,$216.30 ,$69.65 ,$194.67 ,$194.67 ,$69.65 ,$194.67 ,$143.56 ,$284.28 ,$364.40 ,$69.65 ,$262.65 ,$259.56 ,$69.65 ,$231.75 ,$247.20 ,$247.20 ,$69.65 ,$247.20 ,$268.83 ,$268.83 ,$268.83 ,$278.10 ,$177.68 ,$69.65 ,$309.00 ,$173.35 ,$69.65 ,$127.93 , N/A , N/A ,$73.13 ,$262.65 ,$194.67 ,$86.52 ,$278.10 ,$268.83 ,$247.20 ,$247.20 ,$69.65 ,$200.85 ST. FRANCIS HOSPITAL - ACUTE,45000514,29580,HC APPLY UNNA BOOT-RT,450,1 ,$309.00 ,$222.48 ,$69.65 ,$364.40 ,$177.68 ,$222.48 ,$168.10 ,$69.65 ,$86.52 ,$205.49 ,$69.65 ,$216.30 ,$69.65 ,$194.67 ,$194.67 ,$69.65 ,$194.67 ,$143.56 ,$284.28 ,$364.40 ,$69.65 ,$262.65 ,$259.56 ,$69.65 ,$231.75 ,$247.20 ,$247.20 ,$69.65 ,$247.20 ,$268.83 ,$268.83 ,$268.83 ,$278.10 ,$177.68 ,$69.65 ,$309.00 ,$173.35 ,$69.65 ,$127.93 , N/A , N/A ,$73.13 ,$262.65 ,$194.67 ,$86.52 ,$278.10 ,$268.83 ,$247.20 ,$247.20 ,$69.65 ,$200.85 ST. FRANCIS HOSPITAL - ACUTE,45000515,32551,HC TUBE THORACOSTOMY-BIL,450,1 ,$895.00 ,$644.40 ,$201.73 ,"$7,447.43 ",$514.63 ,$644.40 ,$486.88 ,$201.73 ,$250.60 ,$595.18 ,$201.73 ,$626.50 ,$201.73 ,$563.85 ,$563.85 ,$201.73 ,$563.85 ,$415.82 ,$823.40 ,"$7,447.43 ",$201.73 ,$760.75 ,$751.80 ,$201.73 ,$671.25 ,$716.00 ,$716.00 ,$201.73 ,$716.00 ,$778.65 ,$778.65 ,$778.65 ,$805.50 ,$514.63 ,$201.73 ,$895.00 ,$502.10 ,$201.73 ,$370.53 , N/A , N/A ,$211.82 ,$760.75 ,$563.85 ,$250.60 ,$805.50 ,$778.65 ,$716.00 ,$716.00 ,$201.73 ,$581.75 ST. FRANCIS HOSPITAL - ACUTE,45000526,23600,HC TX FX HUMERUS PROXIMAL W/O MANIP CLOSED,450,1 ,"$2,424.00 ","$1,745.28 ",$517.53 ,"$2,424.00 ","$1,393.80 ","$1,745.28 ","$1,318.66 ",$546.37 ,$678.72 ,"$1,611.96 ",$546.37 ,"$1,696.80 ",$546.37 ,"$1,527.12 ","$1,527.12 ",$546.37 ,"$1,527.12 ","$1,126.19 ","$2,230.08 ",$517.53 ,$546.37 ,"$2,060.40 ","$2,036.16 ",$546.37 ,"$1,818.00 ","$1,939.20 ","$1,939.20 ",$546.37 ,"$1,939.20 ","$2,108.88 ","$2,108.88 ","$2,108.88 ","$2,181.60 ","$1,393.80 ",$546.37 ,"$2,424.00 ","$1,359.86 ",$546.37 ,"$1,003.54 ", N/A , N/A ,$573.69 ,"$2,060.40 ","$1,527.12 ",$678.72 ,"$2,181.60 ","$2,108.88 ","$1,939.20 ","$1,939.20 ",$546.37 ,"$1,575.60 " ST. FRANCIS HOSPITAL - ACUTE,45000532,23575,HC TX FX SCAPULA CLOSED W/MANIP W/W/O TRACTION,450,1 ,$344.00 ,$247.68 ,$77.54 ,"$3,586.30 ",$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,"$3,586.30 ",$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45000533,28430,HC TX FX TALUS W/O MAN CLOSED,450,1 ,"$1,724.00 ","$1,241.28 ",$388.59 ,"$1,724.00 ",$991.30 ,"$1,241.28 ",$937.86 ,$388.59 ,$482.72 ,"$1,146.46 ",$388.59 ,"$1,206.80 ",$388.59 ,"$1,086.12 ","$1,086.12 ",$388.59 ,"$1,086.12 ",$800.97 ,"$1,586.08 ",$517.53 ,$388.59 ,"$1,465.40 ","$1,448.16 ",$388.59 ,"$1,293.00 ","$1,379.20 ","$1,379.20 ",$388.59 ,"$1,379.20 ","$1,499.88 ","$1,499.88 ","$1,499.88 ","$1,551.60 ",$991.30 ,$388.59 ,"$1,724.00 ",$967.16 ,$388.59 ,$713.74 , N/A , N/A ,$408.02 ,"$1,465.40 ","$1,086.12 ",$482.72 ,"$1,551.60 ","$1,499.88 ","$1,379.20 ","$1,379.20 ",$388.59 ,"$1,120.60 " ST. FRANCIS HOSPITAL - ACUTE,45000538,27530,HC TX FX TIBIAL W/O MANIP CLOSED,450,1 ,$831.00 ,$598.32 ,$187.31 ,$831.00 ,$477.83 ,$598.32 ,$452.06 ,$187.31 ,$232.68 ,$552.62 ,$187.31 ,$581.70 ,$187.31 ,$523.53 ,$523.53 ,$187.31 ,$523.53 ,$386.08 ,$764.52 ,$517.53 ,$187.31 ,$706.35 ,$698.04 ,$187.31 ,$623.25 ,$664.80 ,$664.80 ,$187.31 ,$664.80 ,$722.97 ,$722.97 ,$722.97 ,$747.90 ,$477.83 ,$187.31 ,$831.00 ,$466.19 ,$187.31 ,$344.03 , N/A , N/A ,$196.68 ,$706.35 ,$523.53 ,$232.68 ,$747.90 ,$722.97 ,$664.80 ,$664.80 ,$187.31 ,$540.15 ST. FRANCIS HOSPITAL - ACUTE,45000548,29425,HC APPLY SHORT LEG CAST WALKING,450,1 ,$486.00 ,$349.92 ,$109.54 ,$599.78 ,$279.45 ,$349.92 ,$264.38 ,$109.54 ,$136.08 ,$323.19 ,$109.54 ,$340.20 ,$109.54 ,$306.18 ,$306.18 ,$109.54 ,$306.18 ,$225.80 ,$447.12 ,$599.78 ,$109.54 ,$413.10 ,$408.24 ,$109.54 ,$364.50 ,$388.80 ,$388.80 ,$109.54 ,$388.80 ,$422.82 ,$422.82 ,$422.82 ,$437.40 ,$279.45 ,$109.54 ,$486.00 ,$272.65 ,$109.54 ,$201.20 , N/A , N/A ,$115.02 ,$413.10 ,$306.18 ,$136.08 ,$437.40 ,$422.82 ,$388.80 ,$388.80 ,$109.54 ,$315.90 ST. FRANCIS HOSPITAL - ACUTE,45000554,29581,HC APPLY MULTI COMP LOWER LEG-LT,450,1 ,$324.00 ,$233.28 ,$73.03 ,$364.40 ,$186.30 ,$233.28 ,$176.26 ,$73.03 ,$90.72 ,$215.46 ,$73.03 ,$226.80 ,$73.03 ,$204.12 ,$204.12 ,$73.03 ,$204.12 ,$150.53 ,$298.08 ,$364.40 ,$73.03 ,$275.40 ,$272.16 ,$73.03 ,$243.00 ,$259.20 ,$259.20 ,$73.03 ,$259.20 ,$281.88 ,$281.88 ,$281.88 ,$291.60 ,$186.30 ,$73.03 ,$324.00 ,$181.76 ,$73.03 ,$134.14 , N/A , N/A ,$76.68 ,$275.40 ,$204.12 ,$90.72 ,$291.60 ,$281.88 ,$259.20 ,$259.20 ,$73.03 ,$210.60 ST. FRANCIS HOSPITAL - ACUTE,45000555,29581,HC APPLY MULTI COMP LOWER LEG-RT,450,1 ,$324.00 ,$233.28 ,$73.03 ,$364.40 ,$186.30 ,$233.28 ,$176.26 ,$73.03 ,$90.72 ,$215.46 ,$73.03 ,$226.80 ,$73.03 ,$204.12 ,$204.12 ,$73.03 ,$204.12 ,$150.53 ,$298.08 ,$364.40 ,$73.03 ,$275.40 ,$272.16 ,$73.03 ,$243.00 ,$259.20 ,$259.20 ,$73.03 ,$259.20 ,$281.88 ,$281.88 ,$281.88 ,$291.60 ,$186.30 ,$73.03 ,$324.00 ,$181.76 ,$73.03 ,$134.14 , N/A , N/A ,$76.68 ,$275.40 ,$204.12 ,$90.72 ,$291.60 ,$281.88 ,$259.20 ,$259.20 ,$73.03 ,$210.60 ST. FRANCIS HOSPITAL - ACUTE,45000569,26705,HC TX DISLOC (M-P) W/ANES CLOSED,450,1 ,$443.00 ,$318.96 ,$99.85 ,"$3,586.30 ",$254.73 ,$318.96 ,$240.99 ,$99.85 ,$124.04 ,$294.60 ,$99.85 ,$310.10 ,$99.85 ,$279.09 ,$279.09 ,$99.85 ,$279.09 ,$205.82 ,$407.56 ,"$3,586.30 ",$99.85 ,$376.55 ,$372.12 ,$99.85 ,$332.25 ,$354.40 ,$354.40 ,$99.85 ,$354.40 ,$385.41 ,$385.41 ,$385.41 ,$398.70 ,$254.73 ,$99.85 ,$443.00 ,$248.52 ,$99.85 ,$183.40 , N/A , N/A ,$104.84 ,$376.55 ,$279.09 ,$124.04 ,$398.70 ,$385.41 ,$354.40 ,$354.40 ,$99.85 ,$287.95 ST. FRANCIS HOSPITAL - ACUTE,45000582,25600,HC DISTAL RADIUS W/O MANIP CLOSED - RT,450,1 ,$528.00 ,$380.16 ,$119.01 ,$528.00 ,$303.60 ,$380.16 ,$287.23 ,$119.01 ,$147.84 ,$351.12 ,$119.01 ,$369.60 ,$119.01 ,$332.64 ,$332.64 ,$119.01 ,$332.64 ,$245.31 ,$485.76 ,$517.53 ,$119.01 ,$448.80 ,$443.52 ,$119.01 ,$396.00 ,$422.40 ,$422.40 ,$119.01 ,$422.40 ,$459.36 ,$459.36 ,$459.36 ,$475.20 ,$303.60 ,$119.01 ,$528.00 ,$296.21 ,$119.01 ,$218.59 , N/A , N/A ,$124.96 ,$448.80 ,$332.64 ,$147.84 ,$475.20 ,$459.36 ,$422.40 ,$422.40 ,$119.01 ,$343.20 ST. FRANCIS HOSPITAL - ACUTE,45000762,24560,HC TX FX HUMEROUS EPICONDYLR CLOSED W/O MANIP,450,1 ,"$2,422.00 ","$1,743.84 ",$517.53 ,"$2,422.00 ","$1,392.65 ","$1,743.84 ","$1,317.57 ",$545.92 ,$678.16 ,"$1,610.63 ",$545.92 ,"$1,695.40 ",$545.92 ,"$1,525.86 ","$1,525.86 ",$545.92 ,"$1,525.86 ","$1,125.26 ","$2,228.24 ",$517.53 ,$545.92 ,"$2,058.70 ","$2,034.48 ",$545.92 ,"$1,816.50 ","$1,937.60 ","$1,937.60 ",$545.92 ,"$1,937.60 ","$2,107.14 ","$2,107.14 ","$2,107.14 ","$2,179.80 ","$1,392.65 ",$545.92 ,"$2,422.00 ","$1,358.74 ",$545.92 ,"$1,002.71 ", N/A , N/A ,$573.21 ,"$2,058.70 ","$1,525.86 ",$678.16 ,"$2,179.80 ","$2,107.14 ","$1,937.60 ","$1,937.60 ",$545.92 ,"$1,574.30 " ST. FRANCIS HOSPITAL - ACUTE,45000784,25607,HC TX FX RADIAL EX ARTICULAR W/FIXATION,450,1 ,"$5,440.00 ","$3,916.80 ","$1,226.18 ","$16,536.58 ","$3,128.00 ","$3,916.80 ","$2,959.36 ","$1,226.18 ","$1,523.20 ","$3,617.60 ","$1,226.18 ","$3,808.00 ","$1,226.18 ","$3,427.20 ","$3,427.20 ","$1,226.18 ","$3,427.20 ","$2,527.42 ","$5,004.80 ","$16,536.58 ","$1,226.18 ","$4,624.00 ","$4,569.60 ","$1,226.18 ","$4,080.00 ","$4,352.00 ","$4,352.00 ","$1,226.18 ","$4,352.00 ","$4,732.80 ","$4,732.80 ","$4,732.80 ","$4,896.00 ","$3,128.00 ","$1,226.18 ","$5,440.00 ","$3,051.84 ","$1,226.18 ","$2,252.16 ", N/A , N/A ,"$1,287.48 ","$4,624.00 ","$3,427.20 ","$1,523.20 ","$4,896.00 ","$4,732.80 ","$4,352.00 ","$4,352.00 ","$1,226.18 ","$3,536.00 " ST. FRANCIS HOSPITAL - ACUTE,45000791,25680,HC TX FX CLOSED WRIST W/MANIP-LT,450,1 ,$296.00 ,$213.12 ,$66.72 ,$517.53 ,$170.20 ,$213.12 ,$161.02 ,$66.72 ,$82.88 ,$196.84 ,$66.72 ,$207.20 ,$66.72 ,$186.48 ,$186.48 ,$66.72 ,$186.48 ,$137.52 ,$272.32 ,$517.53 ,$66.72 ,$251.60 ,$248.64 ,$66.72 ,$222.00 ,$236.80 ,$236.80 ,$66.72 ,$236.80 ,$257.52 ,$257.52 ,$257.52 ,$266.40 ,$170.20 ,$66.72 ,$296.00 ,$166.06 ,$66.72 ,$122.54 , N/A , N/A ,$70.05 ,$251.60 ,$186.48 ,$82.88 ,$266.40 ,$257.52 ,$236.80 ,$236.80 ,$66.72 ,$192.40 ST. FRANCIS HOSPITAL - ACUTE,45000832,26608,HC FIXATION PERC METACARPAL FX,450,1 ,"$3,531.00 ","$2,542.32 ",$795.89 ,"$7,441.65 ","$2,030.33 ","$2,542.32 ","$1,920.86 ",$795.89 ,$988.68 ,"$2,348.12 ",$795.89 ,"$2,471.70 ",$795.89 ,"$2,224.53 ","$2,224.53 ",$795.89 ,"$2,224.53 ","$1,640.50 ","$3,248.52 ","$7,441.65 ",$795.89 ,"$3,001.35 ","$2,966.04 ",$795.89 ,"$2,648.25 ","$2,824.80 ","$2,824.80 ",$795.89 ,"$2,824.80 ","$3,071.97 ","$3,071.97 ","$3,071.97 ","$3,177.90 ","$2,030.33 ",$795.89 ,"$3,531.00 ","$1,980.89 ",$795.89 ,"$1,461.83 ", N/A , N/A ,$835.69 ,"$3,001.35 ","$2,224.53 ",$988.68 ,"$3,177.90 ","$3,071.97 ","$2,824.80 ","$2,824.80 ",$795.89 ,"$2,295.15 " ST. FRANCIS HOSPITAL - ACUTE,45001024,27768,HC CLSD TX POSTERIOR WITH MANIP,450,1 ,"$4,441.00 ","$3,197.52 ","$1,001.00 ","$4,441.00 ","$2,553.58 ","$3,197.52 ","$2,415.90 ","$1,001.00 ","$1,243.48 ","$2,953.27 ","$1,001.00 ","$3,108.70 ","$1,001.00 ","$2,797.83 ","$2,797.83 ","$1,001.00 ","$2,797.83 ","$2,063.29 ","$4,085.72 ","$3,586.30 ","$1,001.00 ","$3,774.85 ","$3,730.44 ","$1,001.00 ","$3,330.75 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$3,552.80 ","$3,863.67 ","$3,863.67 ","$3,863.67 ","$3,996.90 ","$2,553.58 ","$1,001.00 ","$4,441.00 ","$2,491.40 ","$1,001.00 ","$1,838.57 ", N/A , N/A ,"$1,051.05 ","$3,774.85 ","$2,797.83 ","$1,243.48 ","$3,996.90 ","$3,863.67 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$2,886.65 " ST. FRANCIS HOSPITAL - ACUTE,45001046,28400,HC TX FX CLOSED CALCANEAL W/O MANIP,450,1 ,"$1,772.00 ","$1,275.84 ",$399.41 ,"$1,772.00 ","$1,018.90 ","$1,275.84 ",$963.97 ,$399.41 ,$496.16 ,"$1,178.38 ",$399.41 ,"$1,240.40 ",$399.41 ,"$1,116.36 ","$1,116.36 ",$399.41 ,"$1,116.36 ",$823.27 ,"$1,630.24 ",$517.53 ,$399.41 ,"$1,506.20 ","$1,488.48 ",$399.41 ,"$1,329.00 ","$1,417.60 ","$1,417.60 ",$399.41 ,"$1,417.60 ","$1,541.64 ","$1,541.64 ","$1,541.64 ","$1,594.80 ","$1,018.90 ",$399.41 ,"$1,772.00 ",$994.09 ,$399.41 ,$733.61 , N/A , N/A ,$419.38 ,"$1,506.20 ","$1,116.36 ",$496.16 ,"$1,594.80 ","$1,541.64 ","$1,417.60 ","$1,417.60 ",$399.41 ,"$1,151.80 " ST. FRANCIS HOSPITAL - ACUTE,45001162,43830,HC GASTROSTOMY CONSTRUCT G-TUBE OPEN,450,1 ,"$1,217.00 ",$876.24 ,$274.31 ,"$4,353.98 ",$699.78 ,$876.24 ,$662.05 ,$274.31 ,$340.76 ,$809.31 ,$274.31 ,$851.90 ,$274.31 ,$766.71 ,$766.71 ,$274.31 ,$766.71 ,$565.42 ,"$1,119.64 ","$4,353.98 ",$274.31 ,"$1,034.45 ","$1,022.28 ",$274.31 ,$912.75 ,$973.60 ,$973.60 ,$274.31 ,$973.60 ,"$1,058.79 ","$1,058.79 ","$1,058.79 ","$1,095.30 ",$699.78 ,$274.31 ,"$1,217.00 ",$682.74 ,$274.31 ,$503.84 , N/A , N/A ,$288.03 ,"$1,034.45 ",$766.71 ,$340.76 ,"$1,095.30 ","$1,058.79 ",$973.60 ,$973.60 ,$274.31 ,$791.05 ST. FRANCIS HOSPITAL - ACUTE,45001168,52281,HC CYSTOURETHROSCOPY W/CALIBRATION/DILATION,450,1 ,"$5,379.00 ","$3,872.88 ","$1,212.43 ","$5,379.00 ","$3,092.93 ","$3,872.88 ","$2,926.18 ","$1,212.43 ","$1,506.12 ","$3,577.04 ","$1,212.43 ","$3,765.30 ","$1,212.43 ","$3,388.77 ","$3,388.77 ","$1,212.43 ","$3,388.77 ","$2,499.08 ","$4,948.68 ","$4,637.20 ","$1,212.43 ","$4,572.15 ","$4,518.36 ","$1,212.43 ","$4,034.25 ","$4,303.20 ","$4,303.20 ","$1,212.43 ","$4,303.20 ","$4,679.73 ","$4,679.73 ","$4,679.73 ","$4,841.10 ","$3,092.93 ","$1,212.43 ","$5,379.00 ","$3,017.62 ","$1,212.43 ","$2,226.91 ", N/A , N/A ,"$1,273.05 ","$4,572.15 ","$3,388.77 ","$1,506.12 ","$4,841.10 ","$4,679.73 ","$4,303.20 ","$4,303.20 ","$1,212.43 ","$3,496.35 " ST. FRANCIS HOSPITAL - ACUTE,45001169,54235,HC INJ PENILE W/RX AGENT,450,1 ,$849.00 ,$611.28 ,$191.36 ,$849.00 ,$488.18 ,$611.28 ,$461.86 ,$191.36 ,$237.72 ,$564.59 ,$191.36 ,$594.30 ,$191.36 ,$534.87 ,$534.87 ,$191.36 ,$534.87 ,$394.45 ,$781.08 ,$537.18 ,$191.36 ,$721.65 ,$713.16 ,$191.36 ,$636.75 ,$679.20 ,$679.20 ,$191.36 ,$679.20 ,$738.63 ,$738.63 ,$738.63 ,$764.10 ,$488.18 ,$191.36 ,$849.00 ,$476.29 ,$191.36 ,$351.49 , N/A , N/A ,$200.93 ,$721.65 ,$534.87 ,$237.72 ,$764.10 ,$738.63 ,$679.20 ,$679.20 ,$191.36 ,$551.85 ST. FRANCIS HOSPITAL - ACUTE,45001229,69100,HC BIOPSY EXTERNAL EAR,450,1 ,$892.00 ,$642.24 ,$201.06 ,$892.00 ,$512.90 ,$642.24 ,$485.25 ,$201.06 ,$249.76 ,$593.18 ,$201.06 ,$624.40 ,$201.06 ,$561.96 ,$561.96 ,$201.06 ,$561.96 ,$414.42 ,$820.64 ,$519.58 ,$201.06 ,$758.20 ,$749.28 ,$201.06 ,$669.00 ,$713.60 ,$713.60 ,$201.06 ,$713.60 ,$776.04 ,$776.04 ,$776.04 ,$802.80 ,$512.90 ,$201.06 ,$892.00 ,$500.41 ,$201.06 ,$369.29 , N/A , N/A ,$211.11 ,$758.20 ,$561.96 ,$249.76 ,$802.80 ,$776.04 ,$713.60 ,$713.60 ,$201.06 ,$579.80 ST. FRANCIS HOSPITAL - ACUTE,45001265,23545,HC TX ACROMIOCLAVICULAR DISLOC W/MANIP CLOSED,450,1 ,$174.00 ,$125.28 ,$39.22 ,$517.53 ,$100.05 ,$125.28 ,$94.66 ,$39.22 ,$48.72 ,$115.71 ,$39.22 ,$121.80 ,$39.22 ,$109.62 ,$109.62 ,$39.22 ,$109.62 ,$80.84 ,$160.08 ,$517.53 ,$39.22 ,$147.90 ,$146.16 ,$39.22 ,$130.50 ,$139.20 ,$139.20 ,$39.22 ,$139.20 ,$151.38 ,$151.38 ,$151.38 ,$156.60 ,$100.05 ,$39.22 ,$174.00 ,$97.61 ,$39.22 ,$72.04 , N/A , N/A ,$41.18 ,$147.90 ,$109.62 ,$48.72 ,$156.60 ,$151.38 ,$139.20 ,$139.20 ,$39.22 ,$113.10 ST. FRANCIS HOSPITAL - ACUTE,45001272,23665,HC TX FX DISLOC SHOULDER HUMERW/MANIP,450,1 ,$318.00 ,$228.96 ,$71.68 ,"$3,586.30 ",$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,"$3,586.30 ",$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$131.65 , N/A , N/A ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 ,$254.40 ,$254.40 ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,45001273,23675,HC TX FX DISLOC SHOULDER W/PROX HUM W/MANIP,450,1 ,$344.00 ,$247.68 ,$77.54 ,"$3,586.30 ",$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,"$3,586.30 ",$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$142.42 , N/A , N/A ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 ,$275.20 ,$275.20 ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,45001275,24530,HC TX FX HUMERAL SUPRACONDYLAR CLOSED W/O MANIP,450,1 ,"$2,786.00 ","$2,005.92 ",$517.53 ,"$2,786.00 ","$1,601.95 ","$2,005.92 ","$1,515.58 ",$627.96 ,$780.08 ,"$1,852.69 ",$627.96 ,"$1,950.20 ",$627.96 ,"$1,755.18 ","$1,755.18 ",$627.96 ,"$1,755.18 ","$1,294.38 ","$2,563.12 ",$517.53 ,$627.96 ,"$2,368.10 ","$2,340.24 ",$627.96 ,"$2,089.50 ","$2,228.80 ","$2,228.80 ",$627.96 ,"$2,228.80 ","$2,423.82 ","$2,423.82 ","$2,423.82 ","$2,507.40 ","$1,601.95 ",$627.96 ,"$2,786.00 ","$1,562.95 ",$627.96 ,"$1,153.40 ", N/A , N/A ,$659.36 ,"$2,368.10 ","$1,755.18 ",$780.08 ,"$2,507.40 ","$2,423.82 ","$2,228.80 ","$2,228.80 ",$627.96 ,"$1,810.90 " ST. FRANCIS HOSPITAL - ACUTE,45001277,24577,HC TX FX HUMERUS CONDYLAR W/MANIP CLOSED,450,1 ,"$4,441.00 ","$3,197.52 ","$1,001.00 ","$4,441.00 ","$2,553.58 ","$3,197.52 ","$2,415.90 ","$1,001.00 ","$1,243.48 ","$2,953.27 ","$1,001.00 ","$3,108.70 ","$1,001.00 ","$2,797.83 ","$2,797.83 ","$1,001.00 ","$2,797.83 ","$2,063.29 ","$4,085.72 ","$3,586.30 ","$1,001.00 ","$3,774.85 ","$3,730.44 ","$1,001.00 ","$3,330.75 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$3,552.80 ","$3,863.67 ","$3,863.67 ","$3,863.67 ","$3,996.90 ","$2,553.58 ","$1,001.00 ","$4,441.00 ","$2,491.40 ","$1,001.00 ","$1,838.57 ", N/A , N/A ,"$1,051.05 ","$3,774.85 ","$2,797.83 ","$1,243.48 ","$3,996.90 ","$3,863.67 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$2,886.65 " ST. FRANCIS HOSPITAL - ACUTE,45001281,25520,HC TX FX RADIUS SHAFT W/DISLOC CLOSED,450,1 ,"$4,805.00 ","$3,459.60 ","$1,083.05 ","$4,805.00 ","$2,762.88 ","$3,459.60 ","$2,613.92 ","$1,083.05 ","$1,345.40 ","$3,195.33 ","$1,083.05 ","$3,363.50 ","$1,083.05 ","$3,027.15 ","$3,027.15 ","$1,083.05 ","$3,027.15 ","$2,232.40 ","$4,420.60 ","$3,586.30 ","$1,083.05 ","$4,084.25 ","$4,036.20 ","$1,083.05 ","$3,603.75 ","$3,844.00 ","$3,844.00 ","$1,083.05 ","$3,844.00 ","$4,180.35 ","$4,180.35 ","$4,180.35 ","$4,324.50 ","$2,762.88 ","$1,083.05 ","$4,805.00 ","$2,695.61 ","$1,083.05 ","$1,989.27 ", N/A , N/A ,"$1,137.20 ","$4,084.25 ","$3,027.15 ","$1,345.40 ","$4,324.50 ","$4,180.35 ","$3,844.00 ","$3,844.00 ","$1,083.05 ","$3,123.25 " ST. FRANCIS HOSPITAL - ACUTE,45001282,25535,HC TX FX ULNAR CLOSED W/MANIP,450,1 ,$318.00 ,$228.96 ,$71.68 ,$517.53 ,$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,$517.53 ,$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$131.65 , N/A , N/A ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 ,$254.40 ,$254.40 ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,45001296,27762,HC TX FX CLOSED MEDIAL MALLEOLUS W/MANIP,450,1 ,"$4,441.00 ","$3,197.52 ","$1,001.00 ","$4,441.00 ","$2,553.58 ","$3,197.52 ","$2,415.90 ","$1,001.00 ","$1,243.48 ","$2,953.27 ","$1,001.00 ","$3,108.70 ","$1,001.00 ","$2,797.83 ","$2,797.83 ","$1,001.00 ","$2,797.83 ","$2,063.29 ","$4,085.72 ","$3,586.30 ","$1,001.00 ","$3,774.85 ","$3,730.44 ","$1,001.00 ","$3,330.75 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$3,552.80 ","$3,863.67 ","$3,863.67 ","$3,863.67 ","$3,996.90 ","$2,553.58 ","$1,001.00 ","$4,441.00 ","$2,491.40 ","$1,001.00 ","$1,838.57 ", N/A , N/A ,"$1,051.05 ","$3,774.85 ","$2,797.83 ","$1,243.48 ","$3,996.90 ","$3,863.67 ","$3,552.80 ","$3,552.80 ","$1,001.00 ","$2,886.65 " ST. FRANCIS HOSPITAL - ACUTE,45001298,27816,HC TX FX CLOSED TRIMALLEOLAR ANKLE W/O MANIP,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45001317,67935,HC REPAIR EYELID WOUND FULL THICKNESS,450,1 ,"$3,386.00 ","$2,437.92 ",$763.20 ,"$5,285.55 ","$1,946.95 ","$2,437.92 ","$1,841.98 ",$763.20 ,$948.08 ,"$2,251.69 ",$763.20 ,"$2,370.20 ",$763.20 ,"$2,133.18 ","$2,133.18 ",$763.20 ,"$2,133.18 ","$1,573.14 ","$3,115.12 ","$5,285.55 ",$763.20 ,"$2,878.10 ","$2,844.24 ",$763.20 ,"$2,539.50 ","$2,708.80 ","$2,708.80 ",$763.20 ,"$2,708.80 ","$2,945.82 ","$2,945.82 ","$2,945.82 ","$3,047.40 ","$1,946.95 ",$763.20 ,"$3,386.00 ","$1,899.55 ",$763.20 ,"$1,401.80 ", N/A , N/A ,$801.37 ,"$2,878.10 ","$2,133.18 ",$948.08 ,"$3,047.40 ","$2,945.82 ","$2,708.80 ","$2,708.80 ",$763.20 ,"$2,200.90 " ST. FRANCIS HOSPITAL - ACUTE,45001331,43762,HC REPLACE GASTRO TUBE PERC,450,1 ,$856.00 ,$616.32 ,$192.94 ,$856.00 ,$492.20 ,$616.32 ,$465.66 ,$192.94 ,$239.68 ,$569.24 ,$192.94 ,$599.20 ,$192.94 ,$539.28 ,$539.28 ,$192.94 ,$539.28 ,$397.70 ,$787.52 ,$537.18 ,$192.94 ,$727.60 ,$719.04 ,$192.94 ,$642.00 ,$684.80 ,$684.80 ,$192.94 ,$684.80 ,$744.72 ,$744.72 ,$744.72 ,$770.40 ,$492.20 ,$192.94 ,$856.00 ,$480.22 ,$192.94 ,$354.38 , N/A , N/A ,$202.59 ,$727.60 ,$539.28 ,$239.68 ,$770.40 ,$744.72 ,$684.80 ,$684.80 ,$192.94 ,$556.40 ST. FRANCIS HOSPITAL - ACUTE,45001341,42720,HC I AND D ABSCESS PHARYNGEAL INTRAORAL APPROACH,450,1 ,"$9,775.00 ","$7,038.00 ","$2,203.28 ","$9,775.00 ","$5,620.63 ","$7,038.00 ","$5,317.60 ","$2,203.28 ","$2,737.00 ","$5,092.00 ","$2,203.28 ","$5,360.00 ","$2,203.28 ","$4,824.00 ","$4,824.00 ","$2,203.28 ","$4,824.00 ","$4,541.47 ","$8,993.00 ","$7,112.58 ","$2,203.28 ","$8,308.75 ","$8,211.00 ","$2,203.28 ","$7,331.25 ","$7,820.00 ","$7,820.00 ","$2,203.28 ","$7,820.00 ","$8,504.25 ","$8,504.25 ","$8,504.25 ","$8,797.50 ","$5,620.63 ","$2,203.28 ","$9,775.00 ","$5,483.78 ","$2,203.28 ","$4,046.85 ", N/A , N/A ,"$2,313.45 ","$8,308.75 ","$4,824.00 ","$2,737.00 ","$8,797.50 ","$8,504.25 ","$7,820.00 ","$7,820.00 ","$2,203.28 ","$6,353.75 " ST. FRANCIS HOSPITAL - ACUTE,45001352,26545,HC RECONSTRUCT FINGER JOINT,450,1 ,"$9,779.00 ","$7,040.88 ","$2,204.19 ","$9,779.00 ","$5,622.93 ","$7,040.88 ","$5,319.78 ","$2,204.19 ","$2,738.12 ","$5,092.00 ","$2,204.19 ","$5,360.00 ","$2,204.19 ","$4,824.00 ","$4,824.00 ","$2,204.19 ","$4,824.00 ","$4,543.32 ","$8,996.68 ","$7,441.65 ","$2,204.19 ","$8,312.15 ","$8,214.36 ","$2,204.19 ","$7,334.25 ","$7,823.20 ","$7,823.20 ","$2,204.19 ","$7,823.20 ","$8,507.73 ","$8,507.73 ","$8,507.73 ","$8,801.10 ","$5,622.93 ","$2,204.19 ","$9,779.00 ","$5,486.02 ","$2,204.19 ","$4,048.51 ", N/A , N/A ,"$2,314.40 ","$8,312.15 ","$4,824.00 ","$2,738.12 ","$8,801.10 ","$8,507.73 ","$7,823.20 ","$7,823.20 ","$2,204.19 ","$6,356.35 " ST. FRANCIS HOSPITAL - ACUTE,45001354,42650,HC DILATION OF SALIVARY DUCT,450,1 ,"$4,821.00 ","$3,471.12 ","$1,086.65 ","$4,821.00 ","$2,772.08 ","$3,471.12 ","$2,622.62 ","$1,086.65 ","$1,349.88 ","$3,205.97 ","$1,086.65 ","$3,374.70 ","$1,086.65 ","$3,037.23 ","$3,037.23 ","$1,086.65 ","$3,037.23 ","$2,239.84 ","$4,435.32 ","$3,470.35 ","$1,086.65 ","$4,097.85 ","$4,049.64 ","$1,086.65 ","$3,615.75 ","$3,856.80 ","$3,856.80 ","$1,086.65 ","$3,856.80 ","$4,194.27 ","$4,194.27 ","$4,194.27 ","$4,338.90 ","$2,772.08 ","$1,086.65 ","$4,821.00 ","$2,704.58 ","$1,086.65 ","$1,995.89 ", N/A , N/A ,"$1,140.98 ","$4,097.85 ","$3,037.23 ","$1,349.88 ","$4,338.90 ","$4,194.27 ","$3,856.80 ","$3,856.80 ","$1,086.65 ","$3,133.65 " ST. FRANCIS HOSPITAL - ACUTE,45001355,25660,HC CLTX RDCRPL/INTERCARPL DISLC 1 >BONES W MAN,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45001360,31577,HC LARYNGOSCOPY FLX RMVL FOREIGN BODY(S),450,1 ,"$1,130.00 ",$813.60 ,$254.70 ,"$1,130.00 ",$649.75 ,$813.60 ,$614.72 ,$254.70 ,$316.40 ,$751.45 ,$254.70 ,$791.00 ,$254.70 ,$711.90 ,$711.90 ,$254.70 ,$711.90 ,$525.00 ,"$1,039.60 ",$942.85 ,$254.70 ,$960.50 ,$949.20 ,$254.70 ,$847.50 ,$904.00 ,$904.00 ,$254.70 ,$904.00 ,$983.10 ,$983.10 ,$983.10 ,"$1,017.00 ",$649.75 ,$254.70 ,"$1,130.00 ",$633.93 ,$254.70 ,$467.82 , N/A , N/A ,$267.44 ,$960.50 ,$711.90 ,$316.40 ,"$1,017.00 ",$983.10 ,$904.00 ,$904.00 ,$254.70 ,$734.50 ST. FRANCIS HOSPITAL - ACUTE,45001361,27256,HC TX SPONT HIP DISC,450,1 ,$658.00 ,$473.76 ,$148.31 ,$658.00 ,$378.35 ,$473.76 ,$357.95 ,$148.31 ,$184.24 ,$437.57 ,$148.31 ,$460.60 ,$148.31 ,$414.54 ,$414.54 ,$148.31 ,$414.54 ,$305.71 ,$605.36 ,$517.53 ,$148.31 ,$559.30 ,$552.72 ,$148.31 ,$493.50 ,$526.40 ,$526.40 ,$148.31 ,$526.40 ,$572.46 ,$572.46 ,$572.46 ,$592.20 ,$378.35 ,$148.31 ,$658.00 ,$369.14 ,$148.31 ,$272.41 , N/A , N/A ,$155.73 ,$559.30 ,$414.54 ,$184.24 ,$592.20 ,$572.46 ,$526.40 ,$526.40 ,$148.31 ,$427.70 ST. FRANCIS HOSPITAL - ACUTE,45001366,27520,HC CLOSED RX PATELLA FX,450,1 ,"$2,371.00 ","$1,707.12 ",$517.53 ,"$2,371.00 ","$1,363.33 ","$1,707.12 ","$1,289.82 ",$534.42 ,$663.88 ,"$1,576.72 ",$534.42 ,"$1,659.70 ",$534.42 ,"$1,493.73 ","$1,493.73 ",$534.42 ,"$1,493.73 ","$1,101.57 ","$2,181.32 ",$517.53 ,$534.42 ,"$2,015.35 ","$1,991.64 ",$534.42 ,"$1,778.25 ","$1,896.80 ","$1,896.80 ",$534.42 ,"$1,896.80 ","$2,062.77 ","$2,062.77 ","$2,062.77 ","$2,133.90 ","$1,363.33 ",$534.42 ,"$2,371.00 ","$1,330.13 ",$534.42 ,$981.59 , N/A , N/A ,$561.15 ,"$2,015.35 ","$1,493.73 ",$663.88 ,"$2,133.90 ","$2,062.77 ","$1,896.80 ","$1,896.80 ",$534.42 ,"$1,541.15 " ST. FRANCIS HOSPITAL - ACUTE,45001367,15853,HC REMOVAL SUTURES OR STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.23 ,$1.00 ,$0.58 ,$0.72 ,$0.54 ,$0.23 ,$0.28 ,$0.67 ,$0.23 ,$0.70 ,$0.23 ,$0.63 ,$0.63 ,$0.23 ,$0.63 ,$0.46 ,$0.92 , N/A ,$0.23 ,$0.85 ,$0.84 ,$0.23 ,$0.75 ,$0.80 ,$0.80 ,$0.23 ,$0.80 ,$0.87 ,$0.87 ,$0.87 ,$0.90 ,$0.58 ,$0.23 ,$1.00 ,$0.56 ,$0.23 ,$0.41 , N/A , N/A ,$0.24 ,$0.85 ,$0.63 ,$0.28 ,$0.90 ,$0.87 ,$0.80 ,$0.80 ,$0.23 ,$0.65 ST. FRANCIS HOSPITAL - ACUTE,45001368,15854,HC REMOVAL SUTURES AND STAPLES NOT REQ ANESTH,450,1 ,$1.00 ,$0.72 ,$0.23 ,$1.00 ,$0.58 ,$0.72 ,$0.54 ,$0.23 ,$0.28 ,$0.67 ,$0.23 ,$0.70 ,$0.23 ,$0.63 ,$0.63 ,$0.23 ,$0.63 ,$0.46 ,$0.92 , N/A ,$0.23 ,$0.85 ,$0.84 ,$0.23 ,$0.75 ,$0.80 ,$0.80 ,$0.23 ,$0.80 ,$0.87 ,$0.87 ,$0.87 ,$0.90 ,$0.58 ,$0.23 ,$1.00 ,$0.56 ,$0.23 ,$0.41 , N/A , N/A ,$0.24 ,$0.85 ,$0.63 ,$0.28 ,$0.90 ,$0.87 ,$0.80 ,$0.80 ,$0.23 ,$0.65 ST. FRANCIS HOSPITAL - ACUTE,45080004,23605,HC CLOSED RX PROX HUMERUS FX MANIP,450,1 ,$318.00 ,$228.96 ,$71.68 ,"$3,586.30 ",$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,"$3,586.30 ",$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$131.65 , N/A , N/A ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 ,$254.40 ,$254.40 ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,46000002,94010,HC SPIROMETRY/PFT PKG,460,1 ,$350.00 ,$252.00 ,$75.31 ,$363.58 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 ,$363.58 ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$144.90 ,$78.89 ,$75.31 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 ,$280.00 ,$280.00 ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,46000004,94060,HC SPIROMETRY/PFT PRE AND POST,460,1 ,"$1,078.00 ",$776.16 ,$75.31 ,"$1,078.00 ",$619.85 ,$776.16 ,$586.43 ,$242.98 ,$301.84 ,$716.87 ,$242.98 ,$754.60 ,$242.98 ,$679.14 ,$679.14 ,$242.98 ,$679.14 ,$500.84 ,$991.76 ,$700.15 ,$242.98 ,$916.30 ,$905.52 ,$242.98 ,$808.50 ,$862.40 ,$862.40 ,$242.98 ,$862.40 ,$937.86 ,$937.86 ,$937.86 ,$970.20 ,$619.85 ,$242.98 ,"$1,078.00 ",$604.76 ,$242.98 ,$446.29 ,$78.89 ,$75.31 ,$255.13 ,$916.30 ,$679.14 ,$301.84 ,$970.20 ,$937.86 ,$862.40 ,$862.40 ,$242.98 ,$700.70 ST. FRANCIS HOSPITAL - ACUTE,46000013,94726,HC PLETHYSMOGRAPHY,460,1 ,$447.00 ,$321.84 ,$75.31 ,$700.15 ,$257.03 ,$321.84 ,$243.17 ,$100.75 ,$125.16 ,$297.26 ,$100.75 ,$312.90 ,$100.75 ,$281.61 ,$281.61 ,$100.75 ,$281.61 ,$207.68 ,$411.24 ,$700.15 ,$100.75 ,$379.95 ,$375.48 ,$100.75 ,$335.25 ,$357.60 ,$357.60 ,$100.75 ,$357.60 ,$388.89 ,$388.89 ,$388.89 ,$402.30 ,$257.03 ,$100.75 ,$447.00 ,$250.77 ,$100.75 ,$185.06 ,$78.89 ,$75.31 ,$105.79 ,$379.95 ,$281.61 ,$125.16 ,$402.30 ,$388.89 ,$357.60 ,$357.60 ,$100.75 ,$290.55 ST. FRANCIS HOSPITAL - ACUTE,46000014,94618,HC WALK TEST 6 MIN,460,1 ,$628.00 ,$452.16 ,$141.55 ,$628.00 ,$361.10 ,$452.16 ,$341.63 ,$141.55 ,$175.84 ,$232.75 ,$141.55 ,$245.00 ,$141.55 ,$395.64 ,$395.64 ,$141.55 ,$395.64 ,$291.77 ,$577.76 ,$290.28 ,$141.55 ,$533.80 ,$527.52 ,$141.55 ,$471.00 ,$502.40 ,$502.40 ,$141.55 ,$502.40 ,$546.36 ,$546.36 ,$546.36 ,$565.20 ,$361.10 ,$141.55 ,$628.00 ,$352.31 ,$141.55 ,$259.99 ,$241.05 ,$230.10 ,$148.63 ,$533.80 ,$395.64 ,$175.84 ,$565.20 ,$546.36 ,$502.40 ,$502.40 ,$141.55 ,$408.20 ST. FRANCIS HOSPITAL - ACUTE,46000017,94729,HC CARBON MONOXIDE DIFF (DLCO),460,1 ,$447.00 ,$321.84 ,$75.31 ,$447.00 ,$257.03 ,$321.84 ,$243.17 ,$100.75 ,$125.16 ,$297.26 ,$100.75 ,$312.90 ,$100.75 ,$281.61 ,$281.61 ,$100.75 ,$281.61 ,$207.68 ,$411.24 , N/A ,$100.75 ,$379.95 ,$375.48 ,$100.75 ,$335.25 ,$357.60 ,$357.60 ,$100.75 ,$357.60 ,$388.89 ,$388.89 ,$388.89 ,$402.30 ,$257.03 ,$100.75 ,$447.00 ,$250.77 ,$100.75 ,$185.06 ,$78.89 ,$75.31 ,$105.79 ,$379.95 ,$281.61 ,$125.16 ,$402.30 ,$388.89 ,$357.60 ,$357.60 ,$100.75 ,$290.55 ST. FRANCIS HOSPITAL - ACUTE,46000021,94760,HC PULSE OX SINGLE,460,1 ,$127.00 ,$91.44 ,$28.63 ,$127.00 ,$73.03 ,$91.44 ,$69.09 ,$28.63 ,$35.56 ,$62.78 ,$28.63 ,$66.08 ,$28.63 ,$80.01 ,$80.01 ,$28.63 ,$80.01 ,$59.00 ,$116.84 , N/A ,$28.63 ,$107.95 ,$106.68 ,$28.63 ,$95.25 ,$101.60 ,$101.60 ,$28.63 ,$101.60 ,$110.49 ,$110.49 ,$110.49 ,$114.30 ,$73.03 ,$28.63 ,$127.00 ,$71.25 ,$28.63 ,$52.58 , N/A , N/A ,$30.06 ,$107.95 ,$80.01 ,$35.56 ,$114.30 ,$110.49 ,$101.60 ,$101.60 ,$28.63 ,$82.55 ST. FRANCIS HOSPITAL - ACUTE,47100009,92558,HC AUD EVOKED OTOACOUS EMISSIONS SCREENING,471,1 ,$168.00 ,$120.96 ,$37.87 ,$168.00 ,$96.60 ,$120.96 ,$91.39 ,$37.87 ,$47.04 ,$111.72 ,$37.87 ,$117.60 ,$37.87 ,$105.84 ,$105.84 ,$37.87 ,$105.84 ,$78.05 ,$154.56 , N/A ,$37.87 ,$142.80 ,$141.12 ,$37.87 ,$126.00 ,$134.40 ,$134.40 ,$37.87 ,$134.40 ,$146.16 ,$146.16 ,$146.16 ,$151.20 ,$96.60 ,$37.87 ,$168.00 ,$94.25 ,$37.87 ,$69.55 ,$145.64 ,$139.02 ,$39.76 ,$142.80 ,$105.84 ,$47.04 ,$151.20 ,$146.16 ,$134.40 ,$134.40 ,$37.87 ,$109.20 ST. FRANCIS HOSPITAL - ACUTE,48000005,92960,HC CARDIOVERSION EXTERNAL,480,1 ,"$1,792.00 ","$1,290.24 ",$403.92 ,"$1,792.00 ","$1,030.40 ","$1,290.24 ",$974.85 ,$403.92 ,$501.76 ,"$1,191.68 ",$403.92 ,"$1,254.40 ",$403.92 ,"$1,128.96 ","$1,128.96 ",$403.92 ,"$1,128.96 ",$832.56 ,"$1,648.64 ","$1,470.35 ",$403.92 ,"$1,523.20 ","$1,505.28 ",$403.92 ,"$1,344.00 ","$1,433.60 ","$1,433.60 ",$403.92 ,"$1,433.60 ","$1,559.04 ","$1,559.04 ","$1,559.04 ","$1,612.80 ","$1,030.40 ",$403.92 ,"$1,792.00 ","$1,005.31 ",$403.92 ,$741.89 ,$642.77 ,$613.56 ,$424.11 ,"$1,523.20 ","$1,128.96 ",$501.76 ,"$1,612.80 ","$1,559.04 ","$1,433.60 ","$1,433.60 ",$403.92 ,"$1,164.80 " ST. FRANCIS HOSPITAL - ACUTE,48000024,93668,HC PAD REHAB PER SESSION,480,1 ,$171.00 ,$123.12 ,$38.54 ,$322.04 ,$98.33 ,$123.12 ,$93.02 ,$38.54 ,$47.88 ,$113.72 ,$38.54 ,$119.70 ,$38.54 ,$107.73 ,$107.73 ,$38.54 ,$107.73 ,$79.45 ,$157.32 ,$143.70 ,$38.54 ,$145.35 ,$143.64 ,$38.54 ,$128.25 ,$136.80 ,$136.80 ,$38.54 ,$136.80 ,$148.77 ,$148.77 ,$148.77 ,$153.90 ,$98.33 ,$38.54 ,$171.00 ,$95.93 ,$38.54 ,$70.79 ,$322.04 ,$307.40 ,$40.47 ,$145.35 ,$107.73 ,$47.88 ,$153.90 ,$148.77 ,$136.80 ,$136.80 ,$38.54 ,$111.15 ST. FRANCIS HOSPITAL - ACUTE,48200000,93017,HC STRESS TEST TRACING ONLY,482,1 ,"$1,239.00 ",$892.08 ,$279.27 ,"$1,239.00 ",$712.43 ,$892.08 ,$674.02 ,$279.27 ,$346.92 ,$773.79 ,$279.27 ,$814.52 ,$279.27 ,$780.57 ,$780.57 ,$279.27 ,$780.57 ,$575.64 ,"$1,139.88 ",$700.15 ,$279.27 ,"$1,053.15 ","$1,040.76 ",$279.27 ,$929.25 ,$991.20 ,$991.20 ,$279.27 ,$991.20 ,"$1,077.93 ","$1,077.93 ","$1,077.93 ","$1,115.10 ",$712.43 ,$279.27 ,"$1,239.00 ",$695.08 ,$279.27 ,$512.95 ,$322.04 ,$307.40 ,$293.24 ,"$1,053.15 ",$780.57 ,$346.92 ,"$1,115.10 ","$1,077.93 ",$991.20 ,$991.20 ,$279.27 ,$805.35 ST. FRANCIS HOSPITAL - ACUTE,48300000,93306,HC ECHO/CARDIAC DOP/COLOR FLOW,483,1 ,"$3,129.00 ","$2,252.88 ",$488.57 ,"$3,129.00 ","$1,799.18 ","$2,252.88 ","$1,702.18 ",$705.28 ,$876.12 ,"$2,080.79 ",$705.28 ,"$2,190.30 ",$705.28 ,"$1,971.27 ","$1,971.27 ",$705.28 ,"$1,971.27 ","$1,453.73 ","$2,878.68 ","$1,257.83 ",$705.28 ,"$2,659.65 ","$2,628.36 ",$705.28 ,"$2,346.75 ","$2,503.20 ","$2,503.20 ",$705.28 ,"$2,503.20 ","$2,722.23 ","$2,722.23 ","$2,722.23 ","$2,816.10 ","$1,799.18 ",$705.28 ,"$3,129.00 ","$1,755.37 ",$705.28 ,"$1,295.41 ",$511.83 ,$488.57 ,$740.54 ,"$2,659.65 ","$1,971.27 ",$876.12 ,"$2,816.10 ","$2,722.23 ","$2,503.20 ","$2,503.20 ",$705.28 ,"$2,033.85 " ST. FRANCIS HOSPITAL - ACUTE,48300002,93308,HC ECHO 2D W/W/O M-MODE LTD,483,1 ,$341.00 ,$245.52 ,$76.86 ,$583.80 ,$196.08 ,$245.52 ,$185.50 ,$76.86 ,$95.48 ,$226.77 ,$76.86 ,$238.70 ,$76.86 ,$214.83 ,$214.83 ,$76.86 ,$214.83 ,$158.43 ,$313.72 ,$583.80 ,$76.86 ,$289.85 ,$286.44 ,$76.86 ,$255.75 ,$272.80 ,$272.80 ,$76.86 ,$272.80 ,$296.67 ,$296.67 ,$296.67 ,$306.90 ,$196.08 ,$76.86 ,$341.00 ,$191.30 ,$76.86 ,$141.17 ,$511.83 ,$488.57 ,$80.70 ,$289.85 ,$214.83 ,$95.48 ,$306.90 ,$296.67 ,$272.80 ,$272.80 ,$76.86 ,$221.65 ST. FRANCIS HOSPITAL - ACUTE,48300006,93325,HC ECHO COLOR FLOW MAPPING,483,1 ,$826.00 ,$594.72 ,$186.18 ,$826.00 ,$474.95 ,$594.72 ,$449.34 ,$186.18 ,$231.28 ,$506.07 ,$186.18 ,$532.70 ,$186.18 ,$520.38 ,$520.38 ,$186.18 ,$520.38 ,$383.76 ,$759.92 , N/A ,$186.18 ,$702.10 ,$693.84 ,$186.18 ,$619.50 ,$660.80 ,$660.80 ,$186.18 ,$660.80 ,$718.62 ,$718.62 ,$718.62 ,$743.40 ,$474.95 ,$186.18 ,$826.00 ,$463.39 ,$186.18 ,$341.96 ,$511.83 ,$488.57 ,$195.49 ,$702.10 ,$520.38 ,$231.28 ,$743.40 ,$718.62 ,$660.80 ,$660.80 ,$186.18 ,$536.90 ST. FRANCIS HOSPITAL - ACUTE,48300010,93321,HC ECHO DOPPLER LMTD,483,1 ,$249.00 ,$179.28 ,$56.12 ,$511.83 ,$143.18 ,$179.28 ,$135.46 ,$56.12 ,$69.72 ,$165.59 ,$56.12 ,$174.30 ,$56.12 ,$156.87 ,$156.87 ,$56.12 ,$156.87 ,$115.69 ,$229.08 , N/A ,$56.12 ,$211.65 ,$209.16 ,$56.12 ,$186.75 ,$199.20 ,$199.20 ,$56.12 ,$199.20 ,$216.63 ,$216.63 ,$216.63 ,$224.10 ,$143.18 ,$56.12 ,$249.00 ,$139.69 ,$56.12 ,$103.09 ,$511.83 ,$488.57 ,$58.93 ,$211.65 ,$156.87 ,$69.72 ,$224.10 ,$216.63 ,$199.20 ,$199.20 ,$56.12 ,$161.85 ST. FRANCIS HOSPITAL - ACUTE,48300016,C8924,HC ECHO TTE W/W/O CONT AND W/CONT LIMIT,483,1 ,$457.00 ,$329.04 ,$103.01 ,$921.08 ,$262.78 ,$329.04 ,$248.61 ,$103.01 ,$127.96 ,$303.91 ,$103.01 ,$319.90 ,$103.01 ,$287.91 ,$287.91 ,$103.01 ,$287.91 ,$212.32 ,$420.44 ,$921.08 ,$103.01 ,$388.45 ,$383.88 ,$103.01 ,$342.75 ,$365.60 ,$365.60 ,$103.01 ,$365.60 ,$397.59 ,$397.59 ,$397.59 ,$411.30 ,$262.78 ,$103.01 ,$457.00 ,$256.38 ,$103.01 ,$189.20 ,$511.83 ,$488.57 ,$108.16 ,$388.45 ,$287.91 ,$127.96 ,$411.30 ,$397.59 ,$365.60 ,$365.60 ,$103.01 ,$297.05 ST. FRANCIS HOSPITAL - ACUTE,48300019,C8929,HC ECHO TTE 2D W/DOPPLER W/W/O CONT AND W/CONT,483,1 ,"$3,869.00 ","$2,785.68 ",$488.57 ,"$3,869.00 ","$2,224.68 ","$2,785.68 ","$2,104.74 ",$872.07 ,"$1,083.32 ","$2,572.89 ",$872.07 ,"$2,708.30 ",$872.07 ,"$2,437.47 ","$2,437.47 ",$872.07 ,"$2,437.47 ","$1,797.54 ","$3,559.48 ","$1,851.88 ",$872.07 ,"$3,288.65 ","$3,249.96 ",$872.07 ,"$2,901.75 ","$3,095.20 ","$3,095.20 ",$872.07 ,"$3,095.20 ","$3,366.03 ","$3,366.03 ","$3,366.03 ","$3,482.10 ","$2,224.68 ",$872.07 ,"$3,869.00 ","$2,170.51 ",$872.07 ,"$1,601.77 ",$511.83 ,$488.57 ,$915.67 ,"$3,288.65 ","$2,437.47 ","$1,083.32 ","$3,482.10 ","$3,366.03 ","$3,095.20 ","$3,095.20 ",$872.07 ,"$2,514.85 " ST. FRANCIS HOSPITAL - ACUTE,51000002,95117,HC ALLERGY SHOTS 2 OR MORE,510,1 ,$123.00 ,$88.56 ,$24.75 ,$123.00 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$105.93 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$50.92 ,$25.93 ,$24.75 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 ,$98.40 ,$98.40 ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,51000003,10180,HC I AND D WOUND POST OP COMPLEX,510,1 ,"$7,265.00 ","$5,230.80 ","$1,055.43 ","$7,265.00 ","$4,177.38 ","$5,230.80 ","$3,952.16 ","$1,637.53 ","$2,034.20 ","$4,831.23 ","$1,637.53 ","$5,085.50 ","$1,637.53 ","$4,576.95 ","$4,576.95 ","$1,637.53 ","$4,576.95 ","$3,375.32 ","$6,683.80 ","$6,458.13 ","$1,637.53 ","$6,175.25 ","$6,102.60 ","$1,637.53 ","$5,448.75 ","$5,812.00 ","$5,812.00 ","$1,637.53 ","$5,812.00 ","$6,320.55 ","$6,320.55 ","$6,320.55 ","$6,538.50 ","$4,177.38 ","$1,637.53 ","$7,265.00 ","$4,075.67 ","$1,637.53 ","$3,007.71 ","$1,105.69 ","$1,055.43 ","$1,719.41 ","$6,175.25 ","$4,576.95 ","$2,034.20 ","$6,538.50 ","$6,320.55 ","$5,812.00 ","$5,812.00 ","$1,637.53 ","$4,722.25 " ST. FRANCIS HOSPITAL - ACUTE,51000005,11042,HC DEBR SKIN/SUBQ TISS INIT 20CM FAC,510,1 ,"$1,095.00 ",$788.40 ,$246.81 ,"$1,095.00 ",$629.63 ,$788.40 ,$595.68 ,$246.81 ,$306.60 ,$728.18 ,$246.81 ,$766.50 ,$246.81 ,$689.85 ,$689.85 ,$246.81 ,$689.85 ,$508.74 ,"$1,007.40 ",$932.68 ,$246.81 ,$930.75 ,$919.80 ,$246.81 ,$821.25 ,$876.00 ,$876.00 ,$246.81 ,$876.00 ,$952.65 ,$952.65 ,$952.65 ,$985.50 ,$629.63 ,$246.81 ,"$1,095.00 ",$614.30 ,$246.81 ,$453.33 ,$323.48 ,$308.77 ,$259.15 ,$930.75 ,$689.85 ,$306.60 ,$985.50 ,$952.65 ,$876.00 ,$876.00 ,$246.81 ,$711.75 ST. FRANCIS HOSPITAL - ACUTE,51000006,11043,HC DEBR SKIN/SUBQ TISSUE/MUSCLE FAC,510,1 ,"$1,619.00 ","$1,165.68 ",$364.92 ,"$1,619.00 ",$930.93 ,"$1,165.68 ",$880.74 ,$364.92 ,$453.32 ,"$1,076.64 ",$364.92 ,"$1,133.30 ",$364.92 ,"$1,019.97 ","$1,019.97 ",$364.92 ,"$1,019.97 ",$752.19 ,"$1,489.48 ","$1,452.38 ",$364.92 ,"$1,376.15 ","$1,359.96 ",$364.92 ,"$1,214.25 ","$1,295.20 ","$1,295.20 ",$364.92 ,"$1,295.20 ","$1,408.53 ","$1,408.53 ","$1,408.53 ","$1,457.10 ",$930.93 ,$364.92 ,"$1,619.00 ",$908.26 ,$364.92 ,$670.27 ,$880.04 ,$840.04 ,$383.17 ,"$1,376.15 ","$1,019.97 ",$453.32 ,"$1,457.10 ","$1,408.53 ","$1,295.20 ","$1,295.20 ",$364.92 ,"$1,052.35 " ST. FRANCIS HOSPITAL - ACUTE,51000007,11044,HC DEBR SKIN/SUB TIS/MUS/BONE INT 20 FAC,510,1 ,"$2,652.00 ","$1,909.44 ",$597.76 ,"$3,748.88 ","$1,524.90 ","$1,909.44 ","$1,442.69 ",$597.76 ,$742.56 ,"$1,763.58 ",$597.76 ,"$1,856.40 ",$597.76 ,"$1,670.76 ","$1,670.76 ",$597.76 ,"$1,670.76 ","$1,232.12 ","$2,439.84 ","$3,748.88 ",$597.76 ,"$2,254.20 ","$2,227.68 ",$597.76 ,"$1,989.00 ","$2,121.60 ","$2,121.60 ",$597.76 ,"$2,121.60 ","$2,307.24 ","$2,307.24 ","$2,307.24 ","$2,386.80 ","$1,524.90 ",$597.76 ,"$2,652.00 ","$1,487.77 ",$597.76 ,"$1,097.93 ","$1,263.21 ","$1,205.79 ",$627.65 ,"$2,254.20 ","$1,670.76 ",$742.56 ,"$2,386.80 ","$2,307.24 ","$2,121.60 ","$2,121.60 ",$597.76 ,"$1,723.80 " ST. FRANCIS HOSPITAL - ACUTE,51000009,11045,HC DEBR SKIN/SUBQ TIS EA ADL 20CM FAC,510,1 ,$763.00 ,$549.36 ,$171.98 ,$880.04 ,$438.73 ,$549.36 ,$415.07 ,$171.98 ,$213.64 ,$507.40 ,$171.98 ,$534.10 ,$171.98 ,$480.69 ,$480.69 ,$171.98 ,$480.69 ,$354.49 ,$701.96 , N/A ,$171.98 ,$648.55 ,$640.92 ,$171.98 ,$572.25 ,$610.40 ,$610.40 ,$171.98 ,$610.40 ,$663.81 ,$663.81 ,$663.81 ,$686.70 ,$438.73 ,$171.98 ,$763.00 ,$428.04 ,$171.98 ,$315.88 ,$880.04 ,$840.04 ,$180.57 ,$648.55 ,$480.69 ,$213.64 ,$686.70 ,$663.81 ,$610.40 ,$610.40 ,$171.98 ,$495.95 ST. FRANCIS HOSPITAL - ACUTE,51000010,11046,HC DEBR SKIN/SUBQ MUS/FAS ADL 20C FAC,510,1 ,$826.00 ,$594.72 ,$186.18 ,$880.04 ,$474.95 ,$594.72 ,$449.34 ,$186.18 ,$231.28 ,$549.29 ,$186.18 ,$578.20 ,$186.18 ,$520.38 ,$520.38 ,$186.18 ,$520.38 ,$383.76 ,$759.92 , N/A ,$186.18 ,$702.10 ,$693.84 ,$186.18 ,$619.50 ,$660.80 ,$660.80 ,$186.18 ,$660.80 ,$718.62 ,$718.62 ,$718.62 ,$743.40 ,$474.95 ,$186.18 ,$826.00 ,$463.39 ,$186.18 ,$341.96 ,$880.04 ,$840.04 ,$195.49 ,$702.10 ,$520.38 ,$231.28 ,$743.40 ,$718.62 ,$660.80 ,$660.80 ,$186.18 ,$536.90 ST. FRANCIS HOSPITAL - ACUTE,51000011,11047,HC DEBR SKIN/SUB TIS/MUS/BN ADL 20C FAC,510,1 ,"$2,078.00 ","$1,496.16 ",$468.38 ,"$2,078.00 ","$1,194.85 ","$1,496.16 ","$1,130.43 ",$468.38 ,$581.84 ,"$1,381.87 ",$468.38 ,"$1,454.60 ",$468.38 ,"$1,309.14 ","$1,309.14 ",$468.38 ,"$1,309.14 ",$965.44 ,"$1,911.76 ", N/A ,$468.38 ,"$1,766.30 ","$1,745.52 ",$468.38 ,"$1,558.50 ","$1,662.40 ","$1,662.40 ",$468.38 ,"$1,662.40 ","$1,807.86 ","$1,807.86 ","$1,807.86 ","$1,870.20 ","$1,194.85 ",$468.38 ,"$2,078.00 ","$1,165.76 ",$468.38 ,$860.29 ,"$1,263.21 ","$1,205.79 ",$491.80 ,"$1,766.30 ","$1,309.14 ",$581.84 ,"$1,870.20 ","$1,807.86 ","$1,662.40 ","$1,662.40 ",$468.38 ,"$1,350.70 " ST. FRANCIS HOSPITAL - ACUTE,51000012,11055,HC PARING LESN BENIGN 1 FAC,510,1 ,$229.00 ,$164.88 ,$51.62 ,$451.45 ,$131.68 ,$164.88 ,$124.58 ,$51.62 ,$64.12 ,$152.29 ,$51.62 ,$160.30 ,$51.62 ,$144.27 ,$144.27 ,$51.62 ,$144.27 ,$106.39 ,$210.68 ,$451.45 ,$51.62 ,$194.65 ,$192.36 ,$51.62 ,$171.75 ,$183.20 ,$183.20 ,$51.62 ,$183.20 ,$199.23 ,$199.23 ,$199.23 ,$206.10 ,$131.68 ,$51.62 ,$229.00 ,$128.47 ,$51.62 ,$94.81 ,$323.48 ,$308.77 ,$54.19 ,$194.65 ,$144.27 ,$64.12 ,$206.10 ,$199.23 ,$183.20 ,$183.20 ,$51.62 ,$148.85 ST. FRANCIS HOSPITAL - ACUTE,51000014,11056,HC PARING LESN BENIGN 2-4 FAC,510,1 ,$252.00 ,$181.44 ,$56.80 ,$451.45 ,$144.90 ,$181.44 ,$137.09 ,$56.80 ,$70.56 ,$167.58 ,$56.80 ,$176.40 ,$56.80 ,$158.76 ,$158.76 ,$56.80 ,$158.76 ,$117.08 ,$231.84 ,$451.45 ,$56.80 ,$214.20 ,$211.68 ,$56.80 ,$189.00 ,$201.60 ,$201.60 ,$56.80 ,$201.60 ,$219.24 ,$219.24 ,$219.24 ,$226.80 ,$144.90 ,$56.80 ,$252.00 ,$141.37 ,$56.80 ,$104.33 ,$323.48 ,$308.77 ,$59.64 ,$214.20 ,$158.76 ,$70.56 ,$226.80 ,$219.24 ,$201.60 ,$201.60 ,$56.80 ,$163.80 ST. FRANCIS HOSPITAL - ACUTE,51000021,11719,HC TRIM NAILS NONDYSTROPHIC FAC,510,1 ,$173.00 ,$124.56 ,$38.99 ,$173.00 ,$99.48 ,$124.56 ,$94.11 ,$38.99 ,$48.44 ,$115.05 ,$38.99 ,$121.10 ,$38.99 ,$108.99 ,$108.99 ,$38.99 ,$108.99 ,$80.38 ,$159.16 ,$143.70 ,$38.99 ,$147.05 ,$145.32 ,$38.99 ,$129.75 ,$138.40 ,$138.40 ,$38.99 ,$138.40 ,$150.51 ,$150.51 ,$150.51 ,$155.70 ,$99.48 ,$38.99 ,$173.00 ,$97.05 ,$38.99 ,$71.62 ,$86.54 ,$82.60 ,$40.94 ,$147.05 ,$108.99 ,$48.44 ,$155.70 ,$150.51 ,$138.40 ,$138.40 ,$38.99 ,$112.45 ST. FRANCIS HOSPITAL - ACUTE,51000023,11720,HC DEBR NAIL(S) UP TO 5,510,1 ,$197.00 ,$141.84 ,$44.40 ,$197.00 ,$113.28 ,$141.84 ,$107.17 ,$44.40 ,$55.16 ,$131.01 ,$44.40 ,$137.90 ,$44.40 ,$124.11 ,$124.11 ,$44.40 ,$124.11 ,$91.53 ,$181.24 ,$143.70 ,$44.40 ,$167.45 ,$165.48 ,$44.40 ,$147.75 ,$157.60 ,$157.60 ,$44.40 ,$157.60 ,$171.39 ,$171.39 ,$171.39 ,$177.30 ,$113.28 ,$44.40 ,$197.00 ,$110.52 ,$44.40 ,$81.56 ,$86.54 ,$82.60 ,$46.63 ,$167.45 ,$124.11 ,$55.16 ,$177.30 ,$171.39 ,$157.60 ,$157.60 ,$44.40 ,$128.05 ST. FRANCIS HOSPITAL - ACUTE,51000024,11721,HC DEBR NAIL(S) 6 OR MORE,510,1 ,$318.00 ,$228.96 ,$71.68 ,$318.00 ,$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,$143.70 ,$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$131.65 ,$86.54 ,$82.60 ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 ,$254.40 ,$254.40 ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,51000025,11750,HC REMOVE NAIL BED FACIL,510,1 ,$929.00 ,$668.88 ,$209.40 ,$932.68 ,$534.18 ,$668.88 ,$505.38 ,$209.40 ,$260.12 ,$617.79 ,$209.40 ,$650.30 ,$209.40 ,$585.27 ,$585.27 ,$209.40 ,$585.27 ,$431.61 ,$854.68 ,$932.68 ,$209.40 ,$789.65 ,$780.36 ,$209.40 ,$696.75 ,$743.20 ,$743.20 ,$209.40 ,$743.20 ,$808.23 ,$808.23 ,$808.23 ,$836.10 ,$534.18 ,$209.40 ,$929.00 ,$521.17 ,$209.40 ,$384.61 ,$679.87 ,$648.96 ,$219.86 ,$789.65 ,$585.27 ,$260.12 ,$836.10 ,$808.23 ,$743.20 ,$743.20 ,$209.40 ,$603.85 ST. FRANCIS HOSPITAL - ACUTE,51000045,36593,HC DECLOTTING/ACCESS DEVICE/CATH,510,1 ,$751.00 ,$540.72 ,$120.26 ,$831.55 ,$431.83 ,$540.72 ,$408.54 ,$169.28 ,$210.28 ,$499.42 ,$169.28 ,$525.70 ,$169.28 ,$473.13 ,$473.13 ,$169.28 ,$473.13 ,$348.91 ,$690.92 ,$831.55 ,$169.28 ,$638.35 ,$630.84 ,$169.28 ,$563.25 ,$600.80 ,$600.80 ,$169.28 ,$600.80 ,$653.37 ,$653.37 ,$653.37 ,$675.90 ,$431.83 ,$169.28 ,$751.00 ,$421.31 ,$169.28 ,$310.91 ,$125.98 ,$120.26 ,$177.74 ,$638.35 ,$473.13 ,$210.28 ,$675.90 ,$653.37 ,$600.80 ,$600.80 ,$169.28 ,$488.15 ST. FRANCIS HOSPITAL - ACUTE,51000051,20240,HC BX BN OPEN-SUPERFICIAL,510,1 ,"$4,377.00 ","$3,151.44 ",$986.58 ,"$6,458.13 ","$2,516.78 ","$3,151.44 ","$2,381.09 ",$986.58 ,"$1,225.56 ","$2,910.71 ",$986.58 ,"$3,063.90 ",$986.58 ,"$2,757.51 ","$2,757.51 ",$986.58 ,"$2,757.51 ","$2,033.55 ","$4,026.84 ","$6,458.13 ",$986.58 ,"$3,720.45 ","$3,676.68 ",$986.58 ,"$3,282.75 ","$3,501.60 ","$3,501.60 ",$986.58 ,"$3,501.60 ","$3,807.99 ","$3,807.99 ","$3,807.99 ","$3,939.30 ","$2,516.78 ",$986.58 ,"$4,377.00 ","$2,455.50 ",$986.58 ,"$1,812.08 ","$1,359.74 ","$1,297.94 ","$1,035.91 ","$3,720.45 ","$2,757.51 ","$1,225.56 ","$3,939.30 ","$3,807.99 ","$3,501.60 ","$3,501.60 ",$986.58 ,"$2,845.05 " ST. FRANCIS HOSPITAL - ACUTE,51000063,96372,HC INJECTION IM/SUBQ,260,1 ,$234.00 ,$168.48 ,$52.74 ,$234.00 ,$134.55 ,$168.48 ,$127.30 ,$52.74 ,$65.52 ,$155.61 ,$52.74 ,$163.80 ,$52.74 ,$147.42 ,$147.42 ,$52.74 ,$147.42 ,$108.72 , N/A ,$168.68 ,$52.74 ,$198.90 ,$196.56 ,$52.74 ,$175.50 ,$187.20 ,$187.20 ,$52.74 ,$187.20 ,$203.58 ,$203.58 ,$203.58 ,$210.60 ,$134.55 ,$52.74 ,$234.00 ,$131.27 ,$52.74 ,$96.88 , N/A , N/A ,$55.38 ,$198.90 ,$147.42 ,$65.52 ,$210.60 ,$203.58 ,$187.20 ,$187.20 ,$52.74 ,$152.10 ST. FRANCIS HOSPITAL - ACUTE,51000065,96374,HC INJ IV PUSH SINGL/INITIAL,260,1 ,$245.00 ,$176.40 ,$55.22 ,$516.43 ,$140.88 ,$176.40 ,$133.28 ,$55.22 ,$68.60 ,$162.93 ,$55.22 ,$171.50 ,$55.22 ,$154.35 ,$154.35 ,$55.22 ,$154.35 ,$113.83 , N/A ,$516.43 ,$55.22 ,$208.25 ,$205.80 ,$55.22 ,$183.75 ,$196.00 ,$196.00 ,$55.22 ,$196.00 ,$213.15 ,$213.15 ,$213.15 ,$220.50 ,$140.88 ,$55.22 ,$245.00 ,$137.45 ,$55.22 ,$101.43 , N/A , N/A ,$57.99 ,$208.25 ,$154.35 ,$68.60 ,$220.50 ,$213.15 ,$196.00 ,$196.00 ,$55.22 ,$159.25 ST. FRANCIS HOSPITAL - ACUTE,51000066,96375,HC INJ IV PUSH ADDL NEW DRUG,260,1 ,$245.00 ,$176.40 ,$55.22 ,$245.00 ,$140.88 ,$176.40 ,$133.28 ,$55.22 ,$68.60 ,$162.93 ,$55.22 ,$171.50 ,$55.22 ,$154.35 ,$154.35 ,$55.22 ,$154.35 ,$113.83 , N/A ,$105.93 ,$55.22 ,$208.25 ,$205.80 ,$55.22 ,$183.75 ,$196.00 ,$196.00 ,$55.22 ,$196.00 ,$213.15 ,$213.15 ,$213.15 ,$220.50 ,$140.88 ,$55.22 ,$245.00 ,$137.45 ,$55.22 ,$101.43 , N/A , N/A ,$57.99 ,$208.25 ,$154.35 ,$68.60 ,$220.50 ,$213.15 ,$196.00 ,$196.00 ,$55.22 ,$159.25 ST. FRANCIS HOSPITAL - ACUTE,51000067,96376,HC INJ IV PUSH SAME DRUG >30MIN,260,1 ,$245.00 ,$176.40 ,$55.22 ,$245.00 ,$140.88 ,$176.40 ,$133.28 ,$55.22 ,$68.60 ,$162.93 ,$55.22 ,$171.50 ,$55.22 ,$154.35 ,$154.35 ,$55.22 ,$154.35 ,$113.83 , N/A , N/A ,$55.22 ,$208.25 ,$205.80 ,$55.22 ,$183.75 ,$196.00 ,$196.00 ,$55.22 ,$196.00 ,$213.15 ,$213.15 ,$213.15 ,$220.50 ,$140.88 ,$55.22 ,$245.00 ,$137.45 ,$55.22 ,$101.43 , N/A , N/A ,$57.99 ,$208.25 ,$154.35 ,$68.60 ,$220.50 ,$213.15 ,$196.00 ,$196.00 ,$55.22 ,$159.25 ST. FRANCIS HOSPITAL - ACUTE,51000068,96523,HC IRRIGAT IMPLANT VEN ACCESS DEV,510,1 ,$226.00 ,$162.72 ,$50.94 ,$226.00 ,$129.95 ,$162.72 ,$122.94 ,$50.94 ,$63.28 ,$150.29 ,$50.94 ,$158.20 ,$50.94 ,$142.38 ,$142.38 ,$50.94 ,$142.38 ,$105.00 , N/A ,$143.70 ,$50.94 ,$192.10 ,$189.84 ,$50.94 ,$169.50 ,$180.80 ,$180.80 ,$50.94 ,$180.80 ,$196.62 ,$196.62 ,$196.62 ,$203.40 ,$129.95 ,$50.94 ,$226.00 ,$126.79 ,$50.94 ,$93.56 ,$125.98 ,$120.26 ,$53.49 ,$192.10 ,$142.38 ,$63.28 ,$203.40 ,$196.62 ,$180.80 ,$180.80 ,$50.94 ,$146.90 ST. FRANCIS HOSPITAL - ACUTE,51000072,97597,HC DEBR SKIN PART THICKNESS <20CM FAC,510,1 ,$415.00 ,$298.80 ,$93.54 ,$451.45 ,$238.63 ,$298.80 ,$225.76 ,$93.54 ,$116.20 ,$275.98 ,$93.54 ,$290.50 ,$93.54 ,$261.45 ,$261.45 ,$93.54 ,$261.45 ,$192.81 ,$381.80 ,$451.45 ,$93.54 ,$352.75 ,$348.60 ,$93.54 ,$311.25 ,$332.00 ,$332.00 ,$93.54 ,$332.00 ,$361.05 ,$361.05 ,$361.05 ,$373.50 ,$238.63 ,$93.54 ,$415.00 ,$232.82 ,$93.54 ,$171.81 ,$125.98 ,$120.26 ,$98.22 ,$352.75 ,$261.45 ,$116.20 ,$373.50 ,$361.05 ,$332.00 ,$332.00 ,$93.54 ,$269.75 ST. FRANCIS HOSPITAL - ACUTE,51000101,99202,HC CLINIC VISIT LIMITED NEW,510,1 ,$440.00 ,$316.80 ,$76.98 ,$440.00 ,$253.00 ,$316.80 ,$239.36 ,$99.18 ,$123.20 ,$292.60 ,$99.18 ,$308.00 ,$99.18 ,$277.20 ,$277.20 ,$99.18 ,$277.20 ,$204.42 ,$404.80 , N/A ,$99.18 ,$374.00 ,$369.60 ,$99.18 ,$330.00 ,$352.00 ,$352.00 ,$99.18 ,$352.00 ,$382.80 ,$382.80 ,$382.80 ,$396.00 ,$253.00 ,$99.18 ,$76.98 ,$246.84 ,$99.18 ,$182.16 ,$148.31 ,$141.57 ,$104.13 ,$374.00 ,$277.20 ,$123.20 ,$396.00 ,$382.80 ,$352.00 ,$352.00 ,$99.18 ,$286.00 ST. FRANCIS HOSPITAL - ACUTE,51000104,99203,HC CLINIC VISIT INTERM NEW,510,1 ,$557.00 ,$401.04 ,$120.52 ,$557.00 ,$320.28 ,$401.04 ,$303.01 ,$125.55 ,$155.96 ,$370.41 ,$125.55 ,$389.90 ,$125.55 ,$350.91 ,$350.91 ,$125.55 ,$350.91 ,$258.78 ,$512.44 , N/A ,$125.55 ,$473.45 ,$467.88 ,$125.55 ,$417.75 ,$445.60 ,$445.60 ,$125.55 ,$445.60 ,$484.59 ,$484.59 ,$484.59 ,$501.30 ,$320.28 ,$125.55 ,$120.52 ,$312.48 ,$125.55 ,$230.60 ,$148.31 ,$141.57 ,$131.83 ,$473.45 ,$350.91 ,$155.96 ,$501.30 ,$484.59 ,$445.60 ,$445.60 ,$125.55 ,$362.05 ST. FRANCIS HOSPITAL - ACUTE,51000107,99211,HC DRESSING CHANGE/ENEMA MINOR,510,1 ,$627.00 ,$451.44 ,$140.71 ,$627.00 ,$360.53 ,$451.44 ,$341.09 ,$141.33 ,$175.56 ,$140.71 ,$141.33 ,$148.12 ,$141.33 ,$395.01 ,$395.01 ,$141.33 ,$395.01 ,$291.30 ,$576.84 , N/A ,$141.33 ,$532.95 ,$526.68 ,$141.33 ,$470.25 ,$501.60 ,$501.60 ,$141.33 ,$501.60 ,$545.49 ,$545.49 ,$545.49 ,$564.30 ,$360.53 ,$141.33 ,$627.00 ,$351.75 ,$141.33 ,$259.58 ,$148.31 ,$141.57 ,$148.39 ,$532.95 ,$395.01 ,$175.56 ,$564.30 ,$545.49 ,$501.60 ,$501.60 ,$141.33 ,$407.55 ST. FRANCIS HOSPITAL - ACUTE,51000109,99204,HC CLINIC VISIT COMPLEX NEW,510,1 ,$744.00 ,$535.68 ,$141.57 ,$744.00 ,$427.80 ,$535.68 ,$404.74 ,$167.70 ,$208.32 ,$494.76 ,$167.70 ,$520.80 ,$167.70 ,$468.72 ,$468.72 ,$167.70 ,$468.72 ,$345.66 ,$684.48 , N/A ,$167.70 ,$632.40 ,$624.96 ,$167.70 ,$558.00 ,$595.20 ,$595.20 ,$167.70 ,$595.20 ,$647.28 ,$647.28 ,$647.28 ,$669.60 ,$427.80 ,$167.70 ,$177.92 ,$417.38 ,$167.70 ,$308.02 ,$148.31 ,$141.57 ,$176.09 ,$632.40 ,$468.72 ,$208.32 ,$669.60 ,$647.28 ,$595.20 ,$595.20 ,$167.70 ,$483.60 ST. FRANCIS HOSPITAL - ACUTE,51000113,99205,HC CLINIC VISIT COMPREH NEW,510,1 ,$925.00 ,$666.00 ,$141.57 ,$925.00 ,$531.88 ,$666.00 ,$503.20 ,$208.49 ,$259.00 ,$615.13 ,$208.49 ,$647.50 ,$208.49 ,$582.75 ,$582.75 ,$208.49 ,$582.75 ,$429.76 ,$851.00 , N/A ,$208.49 ,$786.25 ,$777.00 ,$208.49 ,$693.75 ,$740.00 ,$740.00 ,$208.49 ,$740.00 ,$804.75 ,$804.75 ,$804.75 ,$832.50 ,$531.88 ,$208.49 ,$234.97 ,$518.93 ,$208.49 ,$382.95 ,$148.31 ,$141.57 ,$218.92 ,$786.25 ,$582.75 ,$259.00 ,$832.50 ,$804.75 ,$740.00 ,$740.00 ,$208.49 ,$601.25 ST. FRANCIS HOSPITAL - ACUTE,51000114,99211,HC CLINIC VISIT BRIEF EST,510,1 ,$243.00 ,$174.96 ,$54.77 ,$243.00 ,$139.73 ,$174.96 ,$132.19 ,$54.77 ,$68.04 ,$140.71 ,$54.77 ,$148.12 ,$54.77 ,$153.09 ,$153.09 ,$54.77 ,$153.09 ,$112.90 ,$223.56 , N/A ,$54.77 ,$206.55 ,$204.12 ,$54.77 ,$182.25 ,$194.40 ,$194.40 ,$54.77 ,$194.40 ,$211.41 ,$211.41 ,$211.41 ,$218.70 ,$139.73 ,$54.77 ,$243.00 ,$136.32 ,$54.77 ,$100.60 ,$148.31 ,$141.57 ,$57.51 ,$206.55 ,$153.09 ,$68.04 ,$218.70 ,$211.41 ,$194.40 ,$194.40 ,$54.77 ,$157.95 ST. FRANCIS HOSPITAL - ACUTE,51000120,99212,HC CLINIC VISIT LIMIT EST,510,1 ,$320.00 ,$230.40 ,$60.09 ,$320.00 ,$184.00 ,$230.40 ,$174.08 ,$72.13 ,$89.60 ,$212.80 ,$72.13 ,$224.00 ,$72.13 ,$201.60 ,$201.60 ,$72.13 ,$201.60 ,$148.67 ,$294.40 , N/A ,$72.13 ,$272.00 ,$268.80 ,$72.13 ,$240.00 ,$256.00 ,$256.00 ,$72.13 ,$256.00 ,$278.40 ,$278.40 ,$278.40 ,$288.00 ,$184.00 ,$72.13 ,$60.09 ,$179.52 ,$72.13 ,$132.48 ,$148.31 ,$141.57 ,$75.73 ,$272.00 ,$201.60 ,$89.60 ,$288.00 ,$278.40 ,$256.00 ,$256.00 ,$72.13 ,$208.00 ST. FRANCIS HOSPITAL - ACUTE,51000131,99213,HC CLINIC VISIT INTERM EST,510,1 ,$375.00 ,$270.00 ,$84.52 ,$375.00 ,$215.63 ,$270.00 ,$204.00 ,$84.52 ,$105.00 ,$249.38 ,$84.52 ,$262.50 ,$84.52 ,$236.25 ,$236.25 ,$84.52 ,$236.25 ,$174.23 ,$345.00 , N/A ,$84.52 ,$318.75 ,$315.00 ,$84.52 ,$281.25 ,$300.00 ,$300.00 ,$84.52 ,$300.00 ,$326.25 ,$326.25 ,$326.25 ,$337.50 ,$215.63 ,$84.52 ,$95.85 ,$210.38 ,$84.52 ,$155.25 ,$148.31 ,$141.57 ,$88.75 ,$318.75 ,$236.25 ,$105.00 ,$337.50 ,$326.25 ,$300.00 ,$300.00 ,$84.52 ,$243.75 ST. FRANCIS HOSPITAL - ACUTE,51000136,99214,HC CLINIC VISIT COMPLX EST,510,1 ,$585.00 ,$421.20 ,$131.86 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 , N/A ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 ,$148.31 ,$141.57 ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,51000139,99215,HC CLINIC VISIT COMPRH EST,510,1 ,$681.00 ,$490.32 ,$141.57 ,$681.00 ,$391.58 ,$490.32 ,$370.46 ,$153.50 ,$190.68 ,$452.87 ,$153.50 ,$476.70 ,$153.50 ,$429.03 ,$429.03 ,$153.50 ,$429.03 ,$316.39 ,$626.52 , N/A ,$153.50 ,$578.85 ,$572.04 ,$153.50 ,$510.75 ,$544.80 ,$544.80 ,$153.50 ,$544.80 ,$592.47 ,$592.47 ,$592.47 ,$612.90 ,$391.58 ,$153.50 ,$681.00 ,$382.04 ,$153.50 ,$281.93 ,$148.31 ,$141.57 ,$161.17 ,$578.85 ,$429.03 ,$190.68 ,$612.90 ,$592.47 ,$544.80 ,$544.80 ,$153.50 ,$442.65 ST. FRANCIS HOSPITAL - ACUTE,51000147,P9612,HC CATH FOR SPECIMEN COLLECTION,300,1 ,$115.00 ,$82.80 ,$21.43 ,$115.00 ,$66.13 ,$82.80 ,$62.56 ,$25.92 ,$32.20 ,$22.23 ,$25.92 ,$23.40 ,$25.92 ,$72.45 ,$72.45 ,$25.92 ,$72.45 ,$53.43 ,$105.80 ,$21.43 ,$25.92 ,$97.75 ,$96.60 ,$25.92 ,$86.25 ,$92.00 ,$92.00 ,$25.92 ,$92.00 ,$100.05 ,$100.05 ,$100.05 ,$103.50 ,$66.13 ,$25.92 ,$115.00 ,$64.52 ,$25.92 ,$47.61 , N/A , N/A ,$27.21 ,$97.75 ,$72.45 ,$32.20 ,$103.50 ,$100.05 ,$92.00 ,$92.00 ,$25.92 ,$74.75 ST. FRANCIS HOSPITAL - ACUTE,51000171,51701,HC CATH BLADDER NON-INDWELLING,510,1 ,$417.00 ,$300.24 ,$93.99 ,$417.00 ,$239.78 ,$300.24 ,$226.85 ,$93.99 ,$116.76 ,$277.31 ,$93.99 ,$291.90 ,$93.99 ,$262.71 ,$262.71 ,$93.99 ,$262.71 ,$193.74 ,$383.64 ,$290.28 ,$93.99 ,$354.45 ,$350.28 ,$93.99 ,$312.75 ,$333.60 ,$333.60 ,$93.99 ,$333.60 ,$362.79 ,$362.79 ,$362.79 ,$375.30 ,$239.78 ,$93.99 ,$417.00 ,$233.94 ,$93.99 ,$172.64 ,$125.98 ,$120.26 ,$98.70 ,$354.45 ,$262.71 ,$116.76 ,$375.30 ,$362.79 ,$333.60 ,$333.60 ,$93.99 ,$271.05 ST. FRANCIS HOSPITAL - ACUTE,51000172,51702,HC CATH BLADDER SMP,510,1 ,$500.00 ,$360.00 ,$112.70 ,$500.00 ,$287.50 ,$360.00 ,$272.00 ,$112.70 ,$140.00 ,$332.50 ,$112.70 ,$350.00 ,$112.70 ,$315.00 ,$315.00 ,$112.70 ,$315.00 ,$232.30 ,$460.00 ,$290.28 ,$112.70 ,$425.00 ,$420.00 ,$112.70 ,$375.00 ,$400.00 ,$400.00 ,$112.70 ,$400.00 ,$435.00 ,$435.00 ,$435.00 ,$450.00 ,$287.50 ,$112.70 ,$500.00 ,$280.50 ,$112.70 ,$207.00 ,$125.98 ,$120.26 ,$118.33 ,$425.00 ,$315.00 ,$140.00 ,$450.00 ,$435.00 ,$400.00 ,$400.00 ,$112.70 ,$325.00 ST. FRANCIS HOSPITAL - ACUTE,51000173,51703,HC CATH BLADDER CPLX,510,1 ,$550.00 ,$396.00 ,$120.26 ,$550.00 ,$316.25 ,$396.00 ,$299.20 ,$123.97 ,$154.00 ,$365.75 ,$123.97 ,$385.00 ,$123.97 ,$346.50 ,$346.50 ,$123.97 ,$346.50 ,$255.53 ,$506.00 ,$363.58 ,$123.97 ,$467.50 ,$462.00 ,$123.97 ,$412.50 ,$440.00 ,$440.00 ,$123.97 ,$440.00 ,$478.50 ,$478.50 ,$478.50 ,$495.00 ,$316.25 ,$123.97 ,$550.00 ,$308.55 ,$123.97 ,$227.70 ,$125.98 ,$120.26 ,$130.17 ,$467.50 ,$346.50 ,$154.00 ,$495.00 ,$478.50 ,$440.00 ,$440.00 ,$123.97 ,$357.50 ST. FRANCIS HOSPITAL - ACUTE,51000175,94780,HC CARSEAT ANALYSIS FIRST 60MIN,510,1 ,$286.00 ,$205.92 ,$64.46 ,$286.00 ,$164.45 ,$205.92 ,$155.58 ,$64.46 ,$80.08 ,$190.19 ,$64.46 ,$200.20 ,$64.46 ,$180.18 ,$180.18 ,$64.46 ,$180.18 ,$132.88 ,$263.12 ,$84.90 ,$64.46 ,$243.10 ,$240.24 ,$64.46 ,$214.50 ,$228.80 ,$228.80 ,$64.46 ,$228.80 ,$248.82 ,$248.82 ,$248.82 ,$257.40 ,$164.45 ,$64.46 ,$286.00 ,$160.45 ,$64.46 ,$118.40 ,$78.89 ,$75.31 ,$67.69 ,$243.10 ,$180.18 ,$80.08 ,$257.40 ,$248.82 ,$228.80 ,$228.80 ,$64.46 ,$185.90 ST. FRANCIS HOSPITAL - ACUTE,51000201,29799,HC REMOVAL REVISION LEGCAST FACILITY,510,1 ,$190.00 ,$136.80 ,$42.83 ,$364.40 ,$109.25 ,$136.80 ,$103.36 ,$42.83 ,$53.20 ,$126.35 ,$42.83 ,$133.00 ,$42.83 ,$119.70 ,$119.70 ,$42.83 ,$119.70 ,$88.27 ,$174.80 ,$364.40 ,$42.83 ,$161.50 ,$159.60 ,$42.83 ,$142.50 ,$152.00 ,$152.00 ,$42.83 ,$152.00 ,$165.30 ,$165.30 ,$165.30 ,$171.00 ,$109.25 ,$42.83 ,$190.00 ,$106.59 ,$42.83 ,$78.66 ,$265.87 ,$253.79 ,$44.97 ,$161.50 ,$119.70 ,$53.20 ,$171.00 ,$165.30 ,$152.00 ,$152.00 ,$42.83 ,$123.50 ST. FRANCIS HOSPITAL - ACUTE,51000207,52000,HC CYSTOURETHROSCOPY,510,1 ,"$7,870.00 ","$5,666.40 ","$1,093.08 ","$7,870.00 ","$4,525.25 ","$5,666.40 ","$4,281.28 ","$1,773.90 ","$2,203.60 ","$5,233.55 ","$1,773.90 ","$5,509.00 ","$1,773.90 ","$4,958.10 ","$4,958.10 ","$1,773.90 ","$4,958.10 ","$3,656.40 ","$7,240.40 ","$1,563.35 ","$1,773.90 ","$6,689.50 ","$6,610.80 ","$1,773.90 ","$5,902.50 ","$6,296.00 ","$6,296.00 ","$1,773.90 ","$6,296.00 ","$6,846.90 ","$6,846.90 ","$6,846.90 ","$7,083.00 ","$4,525.25 ","$1,773.90 ","$7,870.00 ","$4,415.07 ","$1,773.90 ","$3,258.18 ","$1,145.13 ","$1,093.08 ","$1,862.60 ","$6,689.50 ","$4,958.10 ","$2,203.60 ","$7,083.00 ","$6,846.90 ","$6,296.00 ","$6,296.00 ","$1,773.90 ","$5,115.50 " ST. FRANCIS HOSPITAL - ACUTE,51000320,94781,HC CARSEAT ANALYSIS EA ADDN 30MIN,510,1 ,$142.00 ,$102.24 ,$32.01 ,$142.00 ,$81.65 ,$102.24 ,$77.25 ,$32.01 ,$39.76 ,$94.43 ,$32.01 ,$99.40 ,$32.01 ,$89.46 ,$89.46 ,$32.01 ,$89.46 ,$65.97 ,$130.64 , N/A ,$32.01 ,$120.70 ,$119.28 ,$32.01 ,$106.50 ,$113.60 ,$113.60 ,$32.01 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$81.65 ,$32.01 ,$142.00 ,$79.66 ,$32.01 ,$58.79 ,$78.89 ,$75.31 ,$33.60 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 ,$113.60 ,$113.60 ,$32.01 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,51000352,11057,HC PARING LESN BENIGN >4 FAC,510,1 ,$236.00 ,$169.92 ,$53.19 ,$451.45 ,$135.70 ,$169.92 ,$128.38 ,$53.19 ,$66.08 ,$156.94 ,$53.19 ,$165.20 ,$53.19 ,$148.68 ,$148.68 ,$53.19 ,$148.68 ,$109.65 ,$217.12 ,$451.45 ,$53.19 ,$200.60 ,$198.24 ,$53.19 ,$177.00 ,$188.80 ,$188.80 ,$53.19 ,$188.80 ,$205.32 ,$205.32 ,$205.32 ,$212.40 ,$135.70 ,$53.19 ,$236.00 ,$132.40 ,$53.19 ,$97.70 ,$323.48 ,$308.77 ,$55.85 ,$200.60 ,$148.68 ,$66.08 ,$212.40 ,$205.32 ,$188.80 ,$188.80 ,$53.19 ,$153.40 ST. FRANCIS HOSPITAL - ACUTE,51000400,29580,HC APPLY UNNA BOOT BILAT FAC,510,1 ,$486.00 ,$349.92 ,$109.54 ,$546.60 ,$279.45 ,$349.92 ,$264.38 ,$109.54 ,$136.08 ,$323.19 ,$109.54 ,$340.20 ,$109.54 ,$306.18 ,$306.18 ,$109.54 ,$306.18 ,$225.80 ,$447.12 ,$546.60 ,$109.54 ,$413.10 ,$408.24 ,$109.54 ,$364.50 ,$388.80 ,$388.80 ,$109.54 ,$388.80 ,$422.82 ,$422.82 ,$422.82 ,$437.40 ,$279.45 ,$109.54 ,$486.00 ,$272.65 ,$109.54 ,$201.20 ,$398.82 ,$380.69 ,$115.02 ,$413.10 ,$306.18 ,$136.08 ,$437.40 ,$422.82 ,$388.80 ,$388.80 ,$109.54 ,$315.90 ST. FRANCIS HOSPITAL - ACUTE,51000401,29581,HC APPLY MULTI COMP LWR LEG BIL FAC,510,1 ,$512.00 ,$368.64 ,$115.40 ,$546.60 ,$294.40 ,$368.64 ,$278.53 ,$115.40 ,$143.36 ,$340.48 ,$115.40 ,$358.40 ,$115.40 ,$322.56 ,$322.56 ,$115.40 ,$322.56 ,$237.88 ,$471.04 ,$546.60 ,$115.40 ,$435.20 ,$430.08 ,$115.40 ,$384.00 ,$409.60 ,$409.60 ,$115.40 ,$409.60 ,$445.44 ,$445.44 ,$445.44 ,$460.80 ,$294.40 ,$115.40 ,$512.00 ,$287.23 ,$115.40 ,$211.97 ,$398.82 ,$380.69 ,$121.18 ,$435.20 ,$322.56 ,$143.36 ,$460.80 ,$445.44 ,$409.60 ,$409.60 ,$115.40 ,$332.80 ST. FRANCIS HOSPITAL - ACUTE,51000425,15110,HC EPIDRM A-GRFT TRNK/ARM/LEG CM,510,1 ,"$5,248.00 ","$3,778.56 ","$1,182.90 ","$5,248.00 ","$3,017.60 ","$3,778.56 ","$2,854.91 ","$1,182.90 ","$1,469.44 ","$3,489.92 ","$1,182.90 ","$3,673.60 ","$1,182.90 ","$3,306.24 ","$3,306.24 ","$1,182.90 ","$3,306.24 ","$2,438.22 ","$4,828.16 ","$4,314.65 ","$1,182.90 ","$4,460.80 ","$4,408.32 ","$1,182.90 ","$3,936.00 ","$4,198.40 ","$4,198.40 ","$1,182.90 ","$4,198.40 ","$4,565.76 ","$4,565.76 ","$4,565.76 ","$4,723.20 ","$3,017.60 ","$1,182.90 ","$5,248.00 ","$2,944.13 ","$1,182.90 ","$2,172.67 ","$1,849.10 ","$1,765.05 ","$1,242.04 ","$4,460.80 ","$3,306.24 ","$1,469.44 ","$4,723.20 ","$4,565.76 ","$4,198.40 ","$4,198.40 ","$1,182.90 ","$3,411.20 " ST. FRANCIS HOSPITAL - ACUTE,51000428,15111,HC EPIDRM A-GRFT TRNK/ARM/LEG CM ADDN 100,510,1 ,"$2,624.00 ","$1,889.28 ",$591.45 ,"$2,624.00 ","$1,508.80 ","$1,889.28 ","$1,427.46 ",$591.45 ,$734.72 ,"$1,744.96 ",$591.45 ,"$1,836.80 ",$591.45 ,"$1,653.12 ","$1,653.12 ",$591.45 ,"$1,653.12 ","$1,219.11 ","$2,414.08 ", N/A ,$591.45 ,"$2,230.40 ","$2,204.16 ",$591.45 ,"$1,968.00 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$2,099.20 ","$2,282.88 ","$2,282.88 ","$2,282.88 ","$2,361.60 ","$1,508.80 ",$591.45 ,"$2,624.00 ","$1,472.06 ",$591.45 ,"$1,086.34 ","$1,849.10 ","$1,765.05 ",$621.03 ,"$2,230.40 ","$1,653.12 ",$734.72 ,"$2,361.60 ","$2,282.88 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$1,705.60 " ST. FRANCIS HOSPITAL - ACUTE,51000429,15116,HC EPIDRM A-GRFT FACE/NCK/HF/G CM ADDN 100,510,1 ,"$2,624.00 ","$1,889.28 ",$591.45 ,"$2,624.00 ","$1,508.80 ","$1,889.28 ","$1,427.46 ",$591.45 ,$734.72 ,"$1,744.96 ",$591.45 ,"$1,836.80 ",$591.45 ,"$1,653.12 ","$1,653.12 ",$591.45 ,"$1,653.12 ","$1,219.11 ","$2,414.08 ", N/A ,$591.45 ,"$2,230.40 ","$2,204.16 ",$591.45 ,"$1,968.00 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$2,099.20 ","$2,282.88 ","$2,282.88 ","$2,282.88 ","$2,361.60 ","$1,508.80 ",$591.45 ,"$2,624.00 ","$1,472.06 ",$591.45 ,"$1,086.34 ","$1,671.13 ","$1,595.17 ",$621.03 ,"$2,230.40 ","$1,653.12 ",$734.72 ,"$2,361.60 ","$2,282.88 ","$2,099.20 ","$2,099.20 ",$591.45 ,"$1,705.60 " ST. FRANCIS HOSPITAL - ACUTE,51000431,15115,HC EPIDRM A-GRFT FACE SCLP HAND ETC FIRST 100CM W/PROC,510,1 ,"$5,248.00 ","$3,778.56 ","$1,182.90 ","$5,248.00 ","$3,017.60 ","$3,778.56 ","$2,854.91 ","$1,182.90 ","$1,469.44 ","$3,489.92 ","$1,182.90 ","$3,673.60 ","$1,182.90 ","$3,306.24 ","$3,306.24 ","$1,182.90 ","$3,306.24 ","$2,438.22 ","$4,828.16 ","$4,314.65 ","$1,182.90 ","$4,460.80 ","$4,408.32 ","$1,182.90 ","$3,936.00 ","$4,198.40 ","$4,198.40 ","$1,182.90 ","$4,198.40 ","$4,565.76 ","$4,565.76 ","$4,565.76 ","$4,723.20 ","$3,017.60 ","$1,182.90 ","$5,248.00 ","$2,944.13 ","$1,182.90 ","$2,172.67 ","$1,849.10 ","$1,765.05 ","$1,242.04 ","$4,460.80 ","$3,306.24 ","$1,469.44 ","$4,723.20 ","$4,565.76 ","$4,198.40 ","$4,198.40 ","$1,182.90 ","$3,411.20 " ST. FRANCIS HOSPITAL - ACUTE,51000434,11606,HC EXC MAL LESION >4CM TRUNK/ARM/LEG,510,1 ,"$4,128.00 ","$2,972.16 ",$930.45 ,"$4,128.00 ","$2,373.60 ","$2,972.16 ","$2,245.63 ",$930.45 ,"$1,155.84 ","$2,745.12 ",$930.45 ,"$2,889.60 ",$930.45 ,"$2,600.64 ","$2,600.64 ",$930.45 ,"$2,600.64 ","$1,917.87 ","$3,797.76 ","$3,748.88 ",$930.45 ,"$3,508.80 ","$3,467.52 ",$930.45 ,"$3,096.00 ","$3,302.40 ","$3,302.40 ",$930.45 ,"$3,302.40 ","$3,591.36 ","$3,591.36 ","$3,591.36 ","$3,715.20 ","$2,373.60 ",$930.45 ,"$4,128.00 ","$2,315.81 ",$930.45 ,"$1,708.99 ","$1,359.74 ","$1,297.94 ",$976.97 ,"$3,508.80 ","$2,600.64 ","$1,155.84 ","$3,715.20 ","$3,591.36 ","$3,302.40 ","$3,302.40 ",$930.45 ,"$2,683.20 " ST. FRANCIS HOSPITAL - ACUTE,51000435,11604,HC EXC MAL LESION 3.1-4CM TRUNK/ARM/LEG,510,1 ,$930.00 ,$669.60 ,$209.62 ,"$1,622.43 ",$534.75 ,$669.60 ,$505.92 ,$209.62 ,$260.40 ,$618.45 ,$209.62 ,$651.00 ,$209.62 ,$585.90 ,$585.90 ,$209.62 ,$585.90 ,$432.08 ,$855.60 ,"$1,622.43 ",$209.62 ,$790.50 ,$781.20 ,$209.62 ,$697.50 ,$744.00 ,$744.00 ,$209.62 ,$744.00 ,$809.10 ,$809.10 ,$809.10 ,$837.00 ,$534.75 ,$209.62 ,$930.00 ,$521.73 ,$209.62 ,$385.02 ,$679.87 ,$648.96 ,$220.11 ,$790.50 ,$585.90 ,$260.40 ,$837.00 ,$809.10 ,$744.00 ,$744.00 ,$209.62 ,$604.50 ST. FRANCIS HOSPITAL - ACUTE,51000462,11900,HC INJECT SKIN LESIONS 6YRS -52,740,1 ,"$4,905.00 ","$3,531.60 ",$386.36 ,"$4,905.00 ","$2,820.38 ","$3,531.60 ","$2,668.32 ","$1,105.59 ","$1,373.40 ","$3,261.83 ","$1,105.59 ","$3,433.50 ","$1,105.59 ","$3,090.15 ","$3,090.15 ","$1,105.59 ","$3,090.15 ","$2,278.86 ","$4,512.60 ","$1,167.98 ","$1,105.59 ","$4,169.25 ","$4,120.20 ","$1,105.59 ","$3,678.75 ","$3,924.00 ","$3,924.00 ","$1,105.59 ","$3,924.00 ","$4,267.35 ","$4,267.35 ","$4,267.35 ","$4,414.50 ","$2,820.38 ","$1,105.59 ","$4,905.00 ","$2,751.71 ","$1,105.59 ","$2,030.67 ",$404.76 ,$386.36 ,"$1,160.87 ","$4,169.25 ","$3,090.15 ","$1,373.40 ","$4,414.50 ","$4,267.35 ","$3,924.00 ","$3,924.00 ","$1,105.59 ","$3,188.25 " ST. FRANCIS HOSPITAL - ACUTE,75000098,49083,HC PARACENTESIS W/IMAGING,750,1 ,$380.00 ,$273.60 ,$85.65 ,"$2,063.78 ",$218.50 ,$273.60 ,$206.72 ,$85.65 ,$106.40 ,$252.70 ,$85.65 ,$266.00 ,$85.65 ,$239.40 ,$239.40 ,$85.65 ,$239.40 ,$176.55 ,$349.60 ,"$2,063.78 ",$85.65 ,$323.00 ,$319.20 ,$85.65 ,$285.00 ,$304.00 ,$304.00 ,$85.65 ,$304.00 ,$330.60 ,$330.60 ,$330.60 ,$342.00 ,$218.50 ,$85.65 ,$380.00 ,$213.18 ,$85.65 ,$157.32 ,$729.83 ,$696.65 ,$89.93 ,$323.00 ,$239.40 ,$106.40 ,$342.00 ,$330.60 ,$304.00 ,$304.00 ,$85.65 ,$247.00 ST. FRANCIS HOSPITAL - ACUTE,75001066,N/A,HC ESOPHAGOSCOPY FLEXIBLE DX W/BRUSH/WASH -43200,750,1 ,"$2,526.00 ","$1,818.72 ",$569.36 ,"$2,526.00 ","$1,452.45 ","$1,818.72 ","$1,374.14 ",$569.36 ,$707.28 ,"$1,679.79 ",$569.36 ,"$1,768.20 ",$569.36 ,"$1,591.38 ","$1,591.38 ",$569.36 ,"$1,591.38 ","$1,173.58 ","$2,323.92 ", N/A ,$569.36 ,"$2,147.10 ","$2,121.84 ",$569.36 ,"$1,894.50 ","$2,020.80 ","$2,020.80 ",$569.36 ,"$2,020.80 ","$2,197.62 ","$2,197.62 ","$2,197.62 ","$2,273.40 ","$1,452.45 ",$569.36 ,"$2,526.00 ","$1,417.09 ",$569.36 ,"$1,045.76 ", N/A , N/A ,$597.83 ,"$2,147.10 ","$1,591.38 ",$707.28 ,"$2,273.40 ","$2,197.62 ","$2,020.80 ","$2,020.80 ",$569.36 ,"$1,641.90 " ST. FRANCIS HOSPITAL - ACUTE,75001071,N/A,HC EGD W/BALLOON DILAT >30MM - 43233,750,1 ,"$3,433.00 ","$2,471.76 ",$773.80 ,"$3,433.00 ","$1,973.98 ","$2,471.76 ","$1,867.55 ",$773.80 ,$961.24 ,"$2,282.95 ",$773.80 ,"$2,403.10 ",$773.80 ,"$2,162.79 ","$2,162.79 ",$773.80 ,"$2,162.79 ","$1,594.97 ","$3,158.36 ", N/A ,$773.80 ,"$2,918.05 ","$2,883.72 ",$773.80 ,"$2,574.75 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,746.40 ","$2,986.71 ","$2,986.71 ","$2,986.71 ","$3,089.70 ","$1,973.98 ",$773.80 ,"$3,433.00 ","$1,925.91 ",$773.80 ,"$1,421.26 ", N/A , N/A ,$812.49 ,"$2,918.05 ","$2,162.79 ",$961.24 ,"$3,089.70 ","$2,986.71 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,231.45 " ST. FRANCIS HOSPITAL - ACUTE,75001072,N/A,HC EGD W/BRUSH/WASH - 43235,750,1 ,"$3,036.00 ","$2,185.92 ",$684.31 ,"$3,036.00 ","$1,745.70 ","$2,185.92 ","$1,651.58 ",$684.31 ,$850.08 ,"$2,018.94 ",$684.31 ,"$2,125.20 ",$684.31 ,"$1,912.68 ","$1,912.68 ",$684.31 ,"$1,912.68 ","$1,410.53 ","$2,793.12 ", N/A ,$684.31 ,"$2,580.60 ","$2,550.24 ",$684.31 ,"$2,277.00 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$2,428.80 ","$2,641.32 ","$2,641.32 ","$2,641.32 ","$2,732.40 ","$1,745.70 ",$684.31 ,"$3,036.00 ","$1,703.20 ",$684.31 ,"$1,256.90 ", N/A , N/A ,$718.53 ,"$2,580.60 ","$1,912.68 ",$850.08 ,"$2,732.40 ","$2,641.32 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$1,973.40 " ST. FRANCIS HOSPITAL - ACUTE,75001076,N/A,HC EGD W/BIOPSY SGL/MULT - 43239,750,1 ,"$3,036.00 ","$2,185.92 ",$684.31 ,"$3,036.00 ","$1,745.70 ","$2,185.92 ","$1,651.58 ",$684.31 ,$850.08 ,"$2,018.94 ",$684.31 ,"$2,125.20 ",$684.31 ,"$1,912.68 ","$1,912.68 ",$684.31 ,"$1,912.68 ","$1,410.53 ","$2,793.12 ", N/A ,$684.31 ,"$2,580.60 ","$2,550.24 ",$684.31 ,"$2,277.00 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$2,428.80 ","$2,641.32 ","$2,641.32 ","$2,641.32 ","$2,732.40 ","$1,745.70 ",$684.31 ,"$3,036.00 ","$1,703.20 ",$684.31 ,"$1,256.90 ", N/A , N/A ,$718.53 ,"$2,580.60 ","$1,912.68 ",$850.08 ,"$2,732.40 ","$2,641.32 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$1,973.40 " ST. FRANCIS HOSPITAL - ACUTE,75001081,N/A,HC EGD W/DILAT STRICTURE - 43245,750,1 ,"$3,270.00 ","$2,354.40 ",$737.06 ,"$3,270.00 ","$1,880.25 ","$2,354.40 ","$1,778.88 ",$737.06 ,$915.60 ,"$2,174.55 ",$737.06 ,"$2,289.00 ",$737.06 ,"$2,060.10 ","$2,060.10 ",$737.06 ,"$2,060.10 ","$1,519.24 ","$3,008.40 ", N/A ,$737.06 ,"$2,779.50 ","$2,746.80 ",$737.06 ,"$2,452.50 ","$2,616.00 ","$2,616.00 ",$737.06 ,"$2,616.00 ","$2,844.90 ","$2,844.90 ","$2,844.90 ","$2,943.00 ","$1,880.25 ",$737.06 ,"$3,270.00 ","$1,834.47 ",$737.06 ,"$1,353.78 ", N/A , N/A ,$773.92 ,"$2,779.50 ","$2,060.10 ",$915.60 ,"$2,943.00 ","$2,844.90 ","$2,616.00 ","$2,616.00 ",$737.06 ,"$2,125.50 " ST. FRANCIS HOSPITAL - ACUTE,75001082,N/A,HC EGD W/PLACEMENT G-TUBE - 43246,750,1 ,"$1,945.00 ","$1,400.40 ",$438.40 ,"$1,945.00 ","$1,118.38 ","$1,400.40 ","$1,058.08 ",$438.40 ,$544.60 ,"$1,293.43 ",$438.40 ,"$1,361.50 ",$438.40 ,"$1,225.35 ","$1,225.35 ",$438.40 ,"$1,225.35 ",$903.65 ,"$1,789.40 ", N/A ,$438.40 ,"$1,653.25 ","$1,633.80 ",$438.40 ,"$1,458.75 ","$1,556.00 ","$1,556.00 ",$438.40 ,"$1,556.00 ","$1,692.15 ","$1,692.15 ","$1,692.15 ","$1,750.50 ","$1,118.38 ",$438.40 ,"$1,945.00 ","$1,091.15 ",$438.40 ,$805.23 , N/A , N/A ,$460.33 ,"$1,653.25 ","$1,225.35 ",$544.60 ,"$1,750.50 ","$1,692.15 ","$1,556.00 ","$1,556.00 ",$438.40 ,"$1,264.25 " ST. FRANCIS HOSPITAL - ACUTE,75001083,N/A,HC EGD W/FB REMOVAL - 43247,750,1 ,"$3,584.00 ","$2,580.48 ",$807.83 ,"$3,584.00 ","$2,060.80 ","$2,580.48 ","$1,949.70 ",$807.83 ,"$1,003.52 ","$2,383.36 ",$807.83 ,"$2,508.80 ",$807.83 ,"$2,257.92 ","$2,257.92 ",$807.83 ,"$2,257.92 ","$1,665.13 ","$3,297.28 ", N/A ,$807.83 ,"$3,046.40 ","$3,010.56 ",$807.83 ,"$2,688.00 ","$2,867.20 ","$2,867.20 ",$807.83 ,"$2,867.20 ","$3,118.08 ","$3,118.08 ","$3,118.08 ","$3,225.60 ","$2,060.80 ",$807.83 ,"$3,584.00 ","$2,010.62 ",$807.83 ,"$1,483.78 ", N/A , N/A ,$848.23 ,"$3,046.40 ","$2,257.92 ","$1,003.52 ","$3,225.60 ","$3,118.08 ","$2,867.20 ","$2,867.20 ",$807.83 ,"$2,329.60 " ST. FRANCIS HOSPITAL - ACUTE,75001084,N/A,HC EGD W/INSERT GUIDEWIRE - 43248,750,1 ,"$3,054.00 ","$2,198.88 ",$688.37 ,"$3,054.00 ","$1,756.05 ","$2,198.88 ","$1,661.38 ",$688.37 ,$855.12 ,"$2,030.91 ",$688.37 ,"$2,137.80 ",$688.37 ,"$1,924.02 ","$1,924.02 ",$688.37 ,"$1,924.02 ","$1,418.89 ","$2,809.68 ", N/A ,$688.37 ,"$2,595.90 ","$2,565.36 ",$688.37 ,"$2,290.50 ","$2,443.20 ","$2,443.20 ",$688.37 ,"$2,443.20 ","$2,656.98 ","$2,656.98 ","$2,656.98 ","$2,748.60 ","$1,756.05 ",$688.37 ,"$3,054.00 ","$1,713.29 ",$688.37 ,"$1,264.36 ", N/A , N/A ,$722.79 ,"$2,595.90 ","$1,924.02 ",$855.12 ,"$2,748.60 ","$2,656.98 ","$2,443.20 ","$2,443.20 ",$688.37 ,"$1,985.10 " ST. FRANCIS HOSPITAL - ACUTE,75001085,N/A,HC EGD W/BALLOON DILAT <30MM - 43249,750,1 ,"$3,433.00 ","$2,471.76 ",$773.80 ,"$3,433.00 ","$1,973.98 ","$2,471.76 ","$1,867.55 ",$773.80 ,$961.24 ,"$2,282.95 ",$773.80 ,"$2,403.10 ",$773.80 ,"$2,162.79 ","$2,162.79 ",$773.80 ,"$2,162.79 ","$1,594.97 ","$3,158.36 ", N/A ,$773.80 ,"$2,918.05 ","$2,883.72 ",$773.80 ,"$2,574.75 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,746.40 ","$2,986.71 ","$2,986.71 ","$2,986.71 ","$3,089.70 ","$1,973.98 ",$773.80 ,"$3,433.00 ","$1,925.91 ",$773.80 ,"$1,421.26 ", N/A , N/A ,$812.49 ,"$2,918.05 ","$2,162.79 ",$961.24 ,"$3,089.70 ","$2,986.71 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,231.45 " ST. FRANCIS HOSPITAL - ACUTE,75001086,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN HOT BIOPSY - 43250,750,1 ,"$3,433.00 ","$2,471.76 ",$773.80 ,"$3,433.00 ","$1,973.98 ","$2,471.76 ","$1,867.55 ",$773.80 ,$961.24 ,"$2,282.95 ",$773.80 ,"$2,403.10 ",$773.80 ,"$2,162.79 ","$2,162.79 ",$773.80 ,"$2,162.79 ","$1,594.97 ","$3,158.36 ", N/A ,$773.80 ,"$2,918.05 ","$2,883.72 ",$773.80 ,"$2,574.75 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,746.40 ","$2,986.71 ","$2,986.71 ","$2,986.71 ","$3,089.70 ","$1,973.98 ",$773.80 ,"$3,433.00 ","$1,925.91 ",$773.80 ,"$1,421.26 ", N/A , N/A ,$812.49 ,"$2,918.05 ","$2,162.79 ",$961.24 ,"$3,089.70 ","$2,986.71 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,231.45 " ST. FRANCIS HOSPITAL - ACUTE,75001087,N/A,HC EGD W/REMOVAL TUMOR/POLYP/LESN SNARE TECH - 43251,750,1 ,"$3,036.00 ","$2,185.92 ",$684.31 ,"$3,036.00 ","$1,745.70 ","$2,185.92 ","$1,651.58 ",$684.31 ,$850.08 ,"$2,018.94 ",$684.31 ,"$2,125.20 ",$684.31 ,"$1,912.68 ","$1,912.68 ",$684.31 ,"$1,912.68 ","$1,410.53 ","$2,793.12 ", N/A ,$684.31 ,"$2,580.60 ","$2,550.24 ",$684.31 ,"$2,277.00 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$2,428.80 ","$2,641.32 ","$2,641.32 ","$2,641.32 ","$2,732.40 ","$1,745.70 ",$684.31 ,"$3,036.00 ","$1,703.20 ",$684.31 ,"$1,256.90 ", N/A , N/A ,$718.53 ,"$2,580.60 ","$1,912.68 ",$850.08 ,"$2,732.40 ","$2,641.32 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$1,973.40 " ST. FRANCIS HOSPITAL - ACUTE,75001090,N/A,HC EGD W/CONTROL BLEEDING - 43255,750,1 ,"$5,071.00 ","$3,651.12 ","$1,143.00 ","$5,071.00 ","$2,915.83 ","$3,651.12 ","$2,758.62 ","$1,143.00 ","$1,419.88 ","$3,372.22 ","$1,143.00 ","$3,549.70 ","$1,143.00 ","$3,194.73 ","$3,194.73 ","$1,143.00 ","$3,194.73 ","$2,355.99 ","$4,665.32 ", N/A ,"$1,143.00 ","$4,310.35 ","$4,259.64 ","$1,143.00 ","$3,803.25 ","$4,056.80 ","$4,056.80 ","$1,143.00 ","$4,056.80 ","$4,411.77 ","$4,411.77 ","$4,411.77 ","$4,563.90 ","$2,915.83 ","$1,143.00 ","$5,071.00 ","$2,844.83 ","$1,143.00 ","$2,099.39 ", N/A , N/A ,"$1,200.16 ","$4,310.35 ","$3,194.73 ","$1,419.88 ","$4,563.90 ","$4,411.77 ","$4,056.80 ","$4,056.80 ","$1,143.00 ","$3,296.15 " ST. FRANCIS HOSPITAL - ACUTE,75001096,N/A,HC ERCP W/SPHINCTEROTOMY - 43262,750,1 ,"$9,408.00 ","$6,773.76 ","$2,120.56 ","$9,408.00 ","$5,409.60 ","$6,773.76 ","$5,117.95 ","$2,120.56 ","$2,634.24 ","$6,256.32 ","$2,120.56 ","$6,585.60 ","$2,120.56 ","$5,927.04 ","$5,927.04 ","$2,120.56 ","$5,927.04 ","$4,370.96 ","$8,655.36 ", N/A ,"$2,120.56 ","$7,996.80 ","$7,902.72 ","$2,120.56 ","$7,056.00 ","$7,526.40 ","$7,526.40 ","$2,120.56 ","$7,526.40 ","$7,439.00 ","$7,439.00 ","$7,439.00 ","$8,467.20 ","$5,409.60 ","$2,120.56 ","$9,408.00 ","$5,277.89 ","$2,120.56 ","$3,894.91 ", N/A , N/A ,"$2,226.59 ","$7,996.80 ","$5,927.04 ","$2,634.24 ","$8,467.20 ","$7,439.00 ","$7,526.40 ","$7,526.40 ","$2,120.56 ","$6,115.20 " ST. FRANCIS HOSPITAL - ACUTE,75001106,N/A,HC ESOPHAGUS DILATION UNGUIDED SGL/MULT PASS - 43450,750,1 ,"$2,890.00 ","$2,080.80 ",$651.41 ,"$2,890.00 ","$1,661.75 ","$2,080.80 ","$1,572.16 ",$651.41 ,$809.20 ,"$1,921.85 ",$651.41 ,"$2,023.00 ",$651.41 ,"$1,820.70 ","$1,820.70 ",$651.41 ,"$1,820.70 ","$1,342.69 ","$2,658.80 ", N/A ,$651.41 ,"$2,456.50 ","$2,427.60 ",$651.41 ,"$2,167.50 ","$2,312.00 ","$2,312.00 ",$651.41 ,"$2,312.00 ","$2,514.30 ","$2,514.30 ","$2,514.30 ","$2,601.00 ","$1,661.75 ",$651.41 ,"$2,890.00 ","$1,621.29 ",$651.41 ,"$1,196.46 ", N/A , N/A ,$683.98 ,"$2,456.50 ","$1,820.70 ",$809.20 ,"$2,601.00 ","$2,514.30 ","$2,312.00 ","$2,312.00 ",$651.41 ,"$1,878.50 " ST. FRANCIS HOSPITAL - ACUTE,75001126,N/A,HC COLONOSCOPY STOMA W/BX SGL/MULT - 44389,750,1 ,"$5,277.00 ","$3,799.44 ","$1,189.44 ","$5,277.00 ","$3,034.28 ","$3,799.44 ","$2,870.69 ","$1,189.44 ","$1,477.56 ","$3,509.21 ","$1,189.44 ","$3,693.90 ","$1,189.44 ","$3,324.51 ","$3,324.51 ","$1,189.44 ","$3,324.51 ","$2,451.69 ","$4,854.84 ", N/A ,"$1,189.44 ","$4,485.45 ","$4,432.68 ","$1,189.44 ","$3,957.75 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$4,221.60 ","$4,590.99 ","$4,590.99 ","$4,590.99 ","$4,749.30 ","$3,034.28 ","$1,189.44 ","$5,277.00 ","$2,960.40 ","$1,189.44 ","$2,184.68 ", N/A , N/A ,"$1,248.91 ","$4,485.45 ","$3,324.51 ","$1,477.56 ","$4,749.30 ","$4,590.99 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$3,430.05 " ST. FRANCIS HOSPITAL - ACUTE,75001129,N/A,HC COLONOSCOPY STOMA W/REM TUMOR HOT BX - 44392,750,1 ,"$5,614.00 ","$4,042.08 ","$1,265.40 ","$5,614.00 ","$3,228.05 ","$4,042.08 ","$3,054.02 ","$1,265.40 ","$1,571.92 ","$3,733.31 ","$1,265.40 ","$3,929.80 ","$1,265.40 ","$3,536.82 ","$3,536.82 ","$1,265.40 ","$3,536.82 ","$2,608.26 ","$5,164.88 ", N/A ,"$1,265.40 ","$4,771.90 ","$4,715.76 ","$1,265.40 ","$4,210.50 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$4,491.20 ","$4,884.18 ","$4,884.18 ","$4,884.18 ","$5,052.60 ","$3,228.05 ","$1,265.40 ","$5,614.00 ","$3,149.45 ","$1,265.40 ","$2,324.20 ", N/A , N/A ,"$1,328.66 ","$4,771.90 ","$3,536.82 ","$1,571.92 ","$5,052.60 ","$4,884.18 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$3,649.10 " ST. FRANCIS HOSPITAL - ACUTE,75001130,N/A,HC COLONOSCOPY STOMA W/REM TUMOR SNARE TECH - 44394,750,1 ,"$2,887.00 ","$2,078.64 ",$650.73 ,"$2,887.00 ","$1,660.03 ","$2,078.64 ","$1,570.53 ",$650.73 ,$808.36 ,"$1,919.86 ",$650.73 ,"$2,020.90 ",$650.73 ,"$1,818.81 ","$1,818.81 ",$650.73 ,"$1,818.81 ","$1,341.30 ","$2,656.04 ", N/A ,$650.73 ,"$2,453.95 ","$2,425.08 ",$650.73 ,"$2,165.25 ","$2,309.60 ","$2,309.60 ",$650.73 ,"$2,309.60 ","$2,511.69 ","$2,511.69 ","$2,511.69 ","$2,598.30 ","$1,660.03 ",$650.73 ,"$2,887.00 ","$1,619.61 ",$650.73 ,"$1,195.22 ", N/A , N/A ,$683.27 ,"$2,453.95 ","$1,818.81 ",$808.36 ,"$2,598.30 ","$2,511.69 ","$2,309.60 ","$2,309.60 ",$650.73 ,"$1,876.55 " ST. FRANCIS HOSPITAL - ACUTE,75001139,N/A,HC PROCTOSIGMOIDOSCOPY RIGID DX W/W/O SPECIMEN - 45300,750,1 ,$823.00 ,$592.56 ,$185.50 ,$823.00 ,$473.23 ,$592.56 ,$447.71 ,$185.50 ,$230.44 ,$547.30 ,$185.50 ,$576.10 ,$185.50 ,$518.49 ,$518.49 ,$185.50 ,$518.49 ,$382.37 ,$757.16 , N/A ,$185.50 ,$699.55 ,$691.32 ,$185.50 ,$617.25 ,$658.40 ,$658.40 ,$185.50 ,$658.40 ,$716.01 ,$716.01 ,$716.01 ,$740.70 ,$473.23 ,$185.50 ,$823.00 ,$461.70 ,$185.50 ,$340.72 , N/A , N/A ,$194.77 ,$699.55 ,$518.49 ,$230.44 ,$740.70 ,$716.01 ,$658.40 ,$658.40 ,$185.50 ,$534.95 ST. FRANCIS HOSPITAL - ACUTE,75001140,N/A,HC PROCTOSIGMOIDOSCOPY RIGID W/FB REMOVAL - 45307,750,1 ,$823.00 ,$592.56 ,$185.50 ,$823.00 ,$473.23 ,$592.56 ,$447.71 ,$185.50 ,$230.44 ,$547.30 ,$185.50 ,$576.10 ,$185.50 ,$518.49 ,$518.49 ,$185.50 ,$518.49 ,$382.37 ,$757.16 , N/A ,$185.50 ,$699.55 ,$691.32 ,$185.50 ,$617.25 ,$658.40 ,$658.40 ,$185.50 ,$658.40 ,$716.01 ,$716.01 ,$716.01 ,$740.70 ,$473.23 ,$185.50 ,$823.00 ,$461.70 ,$185.50 ,$340.72 , N/A , N/A ,$194.77 ,$699.55 ,$518.49 ,$230.44 ,$740.70 ,$716.01 ,$658.40 ,$658.40 ,$185.50 ,$534.95 ST. FRANCIS HOSPITAL - ACUTE,75001143,N/A,HC SIGMOIDOSCOPY W/BIOPSY SGL/MULT -45331,750,1 ,"$2,476.00 ","$1,782.72 ",$558.09 ,"$2,476.00 ","$1,423.70 ","$1,782.72 ","$1,346.94 ",$558.09 ,$693.28 ,"$1,646.54 ",$558.09 ,"$1,733.20 ",$558.09 ,"$1,559.88 ","$1,559.88 ",$558.09 ,"$1,559.88 ","$1,150.35 ","$2,277.92 ", N/A ,$558.09 ,"$2,104.60 ","$2,079.84 ",$558.09 ,"$1,857.00 ","$1,980.80 ","$1,980.80 ",$558.09 ,"$1,980.80 ","$2,154.12 ","$2,154.12 ","$2,154.12 ","$2,228.40 ","$1,423.70 ",$558.09 ,"$2,476.00 ","$1,389.04 ",$558.09 ,"$1,025.06 ", N/A , N/A ,$585.99 ,"$2,104.60 ","$1,559.88 ",$693.28 ,"$2,228.40 ","$2,154.12 ","$1,980.80 ","$1,980.80 ",$558.09 ,"$1,609.40 " ST. FRANCIS HOSPITAL - ACUTE,75001144,N/A,HC SIGMOIDOSCOPY W/FB REMOVAL -45332,750,1 ,"$3,111.00 ","$2,239.92 ",$701.22 ,"$3,111.00 ","$1,788.83 ","$2,239.92 ","$1,692.38 ",$701.22 ,$871.08 ,"$2,068.82 ",$701.22 ,"$2,177.70 ",$701.22 ,"$1,959.93 ","$1,959.93 ",$701.22 ,"$1,959.93 ","$1,445.37 ","$2,862.12 ", N/A ,$701.22 ,"$2,644.35 ","$2,613.24 ",$701.22 ,"$2,333.25 ","$2,488.80 ","$2,488.80 ",$701.22 ,"$2,488.80 ","$2,706.57 ","$2,706.57 ","$2,706.57 ","$2,799.90 ","$1,788.83 ",$701.22 ,"$3,111.00 ","$1,745.27 ",$701.22 ,"$1,287.95 ", N/A , N/A ,$736.28 ,"$2,644.35 ","$1,959.93 ",$871.08 ,"$2,799.90 ","$2,706.57 ","$2,488.80 ","$2,488.80 ",$701.22 ,"$2,022.15 " ST. FRANCIS HOSPITAL - ACUTE,75001145,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY -45333,750,1 ,"$2,476.00 ","$1,782.72 ",$558.09 ,"$2,476.00 ","$1,423.70 ","$1,782.72 ","$1,346.94 ",$558.09 ,$693.28 ,"$1,646.54 ",$558.09 ,"$1,733.20 ",$558.09 ,"$1,559.88 ","$1,559.88 ",$558.09 ,"$1,559.88 ","$1,150.35 ","$2,277.92 ", N/A ,$558.09 ,"$2,104.60 ","$2,079.84 ",$558.09 ,"$1,857.00 ","$1,980.80 ","$1,980.80 ",$558.09 ,"$1,980.80 ","$2,154.12 ","$2,154.12 ","$2,154.12 ","$2,228.40 ","$1,423.70 ",$558.09 ,"$2,476.00 ","$1,389.04 ",$558.09 ,"$1,025.06 ", N/A , N/A ,$585.99 ,"$2,104.60 ","$1,559.88 ",$693.28 ,"$2,228.40 ","$2,154.12 ","$1,980.80 ","$1,980.80 ",$558.09 ,"$1,609.40 " ST. FRANCIS HOSPITAL - ACUTE,75001149,N/A,HC SIGMOIDOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45338,750,1 ,"$3,235.00 ","$2,329.20 ",$729.17 ,"$3,235.00 ","$1,860.13 ","$2,329.20 ","$1,759.84 ",$729.17 ,$905.80 ,"$2,151.28 ",$729.17 ,"$2,264.50 ",$729.17 ,"$2,038.05 ","$2,038.05 ",$729.17 ,"$2,038.05 ","$1,502.98 ","$2,976.20 ", N/A ,$729.17 ,"$2,749.75 ","$2,717.40 ",$729.17 ,"$2,426.25 ","$2,588.00 ","$2,588.00 ",$729.17 ,"$2,588.00 ","$2,814.45 ","$2,814.45 ","$2,814.45 ","$2,911.50 ","$1,860.13 ",$729.17 ,"$3,235.00 ","$1,814.84 ",$729.17 ,"$1,339.29 ", N/A , N/A ,$765.62 ,"$2,749.75 ","$2,038.05 ",$905.80 ,"$2,911.50 ","$2,814.45 ","$2,588.00 ","$2,588.00 ",$729.17 ,"$2,102.75 " ST. FRANCIS HOSPITAL - ACUTE,75001153,N/A,HC SIGMOIDOSCOPY W/ABLATION TUMOR - 45346,750,1 ,"$3,298.00 ","$2,374.56 ",$743.37 ,"$3,298.00 ","$1,896.35 ","$2,374.56 ","$1,794.11 ",$743.37 ,$923.44 ,"$2,193.17 ",$743.37 ,"$2,308.60 ",$743.37 ,"$2,077.74 ","$2,077.74 ",$743.37 ,"$2,077.74 ","$1,532.25 ","$3,034.16 ", N/A ,$743.37 ,"$2,803.30 ","$2,770.32 ",$743.37 ,"$2,473.50 ","$2,638.40 ","$2,638.40 ",$743.37 ,"$2,638.40 ","$2,869.26 ","$2,869.26 ","$2,869.26 ","$2,968.20 ","$1,896.35 ",$743.37 ,"$3,298.00 ","$1,850.18 ",$743.37 ,"$1,365.37 ", N/A , N/A ,$780.54 ,"$2,803.30 ","$2,077.74 ",$923.44 ,"$2,968.20 ","$2,869.26 ","$2,638.40 ","$2,638.40 ",$743.37 ,"$2,143.70 " ST. FRANCIS HOSPITAL - ACUTE,75001157,N/A,HC COLONOSCOPY DX W/SPECIMEN BRUSH/WASH - 45378,750,1 ,"$4,679.00 ","$3,368.88 ","$1,054.65 ","$4,679.00 ","$2,690.43 ","$3,368.88 ","$2,545.38 ","$1,054.65 ","$1,310.12 ","$3,111.54 ","$1,054.65 ","$3,275.30 ","$1,054.65 ","$2,947.77 ","$2,947.77 ","$1,054.65 ","$2,947.77 ","$2,173.86 ","$4,304.68 ", N/A ,"$1,054.65 ","$3,977.15 ","$3,930.36 ","$1,054.65 ","$3,509.25 ","$3,743.20 ","$3,743.20 ","$1,054.65 ","$3,743.20 ","$4,070.73 ","$4,070.73 ","$4,070.73 ","$4,211.10 ","$2,690.43 ","$1,054.65 ","$4,679.00 ","$2,624.92 ","$1,054.65 ","$1,937.11 ", N/A , N/A ,"$1,107.38 ","$3,977.15 ","$2,947.77 ","$1,310.12 ","$4,211.10 ","$4,070.73 ","$3,743.20 ","$3,743.20 ","$1,054.65 ","$3,041.35 " ST. FRANCIS HOSPITAL - ACUTE,75001159,N/A,HC COLONOSCOPY W/BIOPSY SGL/MULT - 45380,750,1 ,"$5,277.00 ","$3,799.44 ","$1,189.44 ","$5,277.00 ","$3,034.28 ","$3,799.44 ","$2,870.69 ","$1,189.44 ","$1,477.56 ","$3,509.21 ","$1,189.44 ","$3,693.90 ","$1,189.44 ","$3,324.51 ","$3,324.51 ","$1,189.44 ","$3,324.51 ","$2,451.69 ","$4,854.84 ", N/A ,"$1,189.44 ","$4,485.45 ","$4,432.68 ","$1,189.44 ","$3,957.75 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$4,221.60 ","$4,590.99 ","$4,590.99 ","$4,590.99 ","$4,749.30 ","$3,034.28 ","$1,189.44 ","$5,277.00 ","$2,960.40 ","$1,189.44 ","$2,184.68 ", N/A , N/A ,"$1,248.91 ","$4,485.45 ","$3,324.51 ","$1,477.56 ","$4,749.30 ","$4,590.99 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$3,430.05 " ST. FRANCIS HOSPITAL - ACUTE,75001160,N/A,HC COLONOSCOPY W/SUBMUCOSAL INJ - 45381,750,1 ,"$5,614.00 ","$4,042.08 ","$1,265.40 ","$5,614.00 ","$3,228.05 ","$4,042.08 ","$3,054.02 ","$1,265.40 ","$1,571.92 ","$3,733.31 ","$1,265.40 ","$3,929.80 ","$1,265.40 ","$3,536.82 ","$3,536.82 ","$1,265.40 ","$3,536.82 ","$2,608.26 ","$5,164.88 ", N/A ,"$1,265.40 ","$4,771.90 ","$4,715.76 ","$1,265.40 ","$4,210.50 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$4,491.20 ","$4,884.18 ","$4,884.18 ","$4,884.18 ","$5,052.60 ","$3,228.05 ","$1,265.40 ","$5,614.00 ","$3,149.45 ","$1,265.40 ","$2,324.20 ", N/A , N/A ,"$1,328.66 ","$4,771.90 ","$3,536.82 ","$1,571.92 ","$5,052.60 ","$4,884.18 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$3,649.10 " ST. FRANCIS HOSPITAL - ACUTE,75001161,N/A,HC COLONOSCOPY W/CONTROL BLEEDING - 45382,750,1 ,"$5,277.00 ","$3,799.44 ","$1,189.44 ","$5,277.00 ","$3,034.28 ","$3,799.44 ","$2,870.69 ","$1,189.44 ","$1,477.56 ","$3,509.21 ","$1,189.44 ","$3,693.90 ","$1,189.44 ","$3,324.51 ","$3,324.51 ","$1,189.44 ","$3,324.51 ","$2,451.69 ","$4,854.84 ", N/A ,"$1,189.44 ","$4,485.45 ","$4,432.68 ","$1,189.44 ","$3,957.75 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$4,221.60 ","$4,590.99 ","$4,590.99 ","$4,590.99 ","$4,749.30 ","$3,034.28 ","$1,189.44 ","$5,277.00 ","$2,960.40 ","$1,189.44 ","$2,184.68 ", N/A , N/A ,"$1,248.91 ","$4,485.45 ","$3,324.51 ","$1,477.56 ","$4,749.30 ","$4,590.99 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$3,430.05 " ST. FRANCIS HOSPITAL - ACUTE,75001162,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN HOT BIOPSY - 45384,750,1 ,"$5,277.00 ","$3,799.44 ","$1,189.44 ","$5,277.00 ","$3,034.28 ","$3,799.44 ","$2,870.69 ","$1,189.44 ","$1,477.56 ","$3,509.21 ","$1,189.44 ","$3,693.90 ","$1,189.44 ","$3,324.51 ","$3,324.51 ","$1,189.44 ","$3,324.51 ","$2,451.69 ","$4,854.84 ", N/A ,"$1,189.44 ","$4,485.45 ","$4,432.68 ","$1,189.44 ","$3,957.75 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$4,221.60 ","$4,590.99 ","$4,590.99 ","$4,590.99 ","$4,749.30 ","$3,034.28 ","$1,189.44 ","$5,277.00 ","$2,960.40 ","$1,189.44 ","$2,184.68 ", N/A , N/A ,"$1,248.91 ","$4,485.45 ","$3,324.51 ","$1,477.56 ","$4,749.30 ","$4,590.99 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$3,430.05 " ST. FRANCIS HOSPITAL - ACUTE,75001163,N/A,HC COLONOSCOPY W/REM TUMOR/POLYP/LESN SNARE TECH - 45385,750,1 ,"$5,614.00 ","$4,042.08 ","$1,265.40 ","$5,614.00 ","$3,228.05 ","$4,042.08 ","$3,054.02 ","$1,265.40 ","$1,571.92 ","$3,733.31 ","$1,265.40 ","$3,929.80 ","$1,265.40 ","$3,536.82 ","$3,536.82 ","$1,265.40 ","$3,536.82 ","$2,608.26 ","$5,164.88 ", N/A ,"$1,265.40 ","$4,771.90 ","$4,715.76 ","$1,265.40 ","$4,210.50 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$4,491.20 ","$4,884.18 ","$4,884.18 ","$4,884.18 ","$5,052.60 ","$3,228.05 ","$1,265.40 ","$5,614.00 ","$3,149.45 ","$1,265.40 ","$2,324.20 ", N/A , N/A ,"$1,328.66 ","$4,771.90 ","$3,536.82 ","$1,571.92 ","$5,052.60 ","$4,884.18 ","$4,491.20 ","$4,491.20 ","$1,265.40 ","$3,649.10 " ST. FRANCIS HOSPITAL - ACUTE,75001164,N/A,HC COLONOSCOPY W/BALLOON DILATION - 45386,750,1 ,"$3,177.00 ","$2,287.44 ",$716.10 ,"$3,177.00 ","$1,826.78 ","$2,287.44 ","$1,728.29 ",$716.10 ,$889.56 ,"$2,112.71 ",$716.10 ,"$2,223.90 ",$716.10 ,"$2,001.51 ","$2,001.51 ",$716.10 ,"$2,001.51 ","$1,476.03 ","$2,922.84 ", N/A ,$716.10 ,"$2,700.45 ","$2,668.68 ",$716.10 ,"$2,382.75 ","$2,541.60 ","$2,541.60 ",$716.10 ,"$2,541.60 ","$2,763.99 ","$2,763.99 ","$2,763.99 ","$2,859.30 ","$1,826.78 ",$716.10 ,"$3,177.00 ","$1,782.30 ",$716.10 ,"$1,315.28 ", N/A , N/A ,$751.90 ,"$2,700.45 ","$2,001.51 ",$889.56 ,"$2,859.30 ","$2,763.99 ","$2,541.60 ","$2,541.60 ",$716.10 ,"$2,065.05 " ST. FRANCIS HOSPITAL - ACUTE,75001165,N/A,HC COLONOSCOPY W/ABLATION TUMOR - 45388,750,1 ,"$5,277.00 ","$3,799.44 ","$1,189.44 ","$5,277.00 ","$3,034.28 ","$3,799.44 ","$2,870.69 ","$1,189.44 ","$1,477.56 ","$3,509.21 ","$1,189.44 ","$3,693.90 ","$1,189.44 ","$3,324.51 ","$3,324.51 ","$1,189.44 ","$3,324.51 ","$2,451.69 ","$4,854.84 ", N/A ,"$1,189.44 ","$4,485.45 ","$4,432.68 ","$1,189.44 ","$3,957.75 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$4,221.60 ","$4,590.99 ","$4,590.99 ","$4,590.99 ","$4,749.30 ","$3,034.28 ","$1,189.44 ","$5,277.00 ","$2,960.40 ","$1,189.44 ","$2,184.68 ", N/A , N/A ,"$1,248.91 ","$4,485.45 ","$3,324.51 ","$1,477.56 ","$4,749.30 ","$4,590.99 ","$4,221.60 ","$4,221.60 ","$1,189.44 ","$3,430.05 " ST. FRANCIS HOSPITAL - ACUTE,75001167,N/A,HC COLONOSCOPY W/MUCOSAL RESECTION - 45390,750,1 ,"$4,646.00 ","$3,345.12 ","$1,047.21 ","$4,646.00 ","$2,671.45 ","$3,345.12 ","$2,527.42 ","$1,047.21 ","$1,300.88 ","$3,089.59 ","$1,047.21 ","$3,252.20 ","$1,047.21 ","$2,926.98 ","$2,926.98 ","$1,047.21 ","$2,926.98 ","$2,158.53 ","$4,274.32 ", N/A ,"$1,047.21 ","$3,949.10 ","$3,902.64 ","$1,047.21 ","$3,484.50 ","$3,716.80 ","$3,716.80 ","$1,047.21 ","$3,716.80 ","$4,042.02 ","$4,042.02 ","$4,042.02 ","$4,181.40 ","$2,671.45 ","$1,047.21 ","$4,646.00 ","$2,606.41 ","$1,047.21 ","$1,923.44 ", N/A , N/A ,"$1,099.57 ","$3,949.10 ","$2,926.98 ","$1,300.88 ","$4,181.40 ","$4,042.02 ","$3,716.80 ","$3,716.80 ","$1,047.21 ","$3,019.90 " ST. FRANCIS HOSPITAL - ACUTE,75001171,N/A,HC COLONOSCOPY W/BAND LIGATION - 45398,750,1 ,"$4,679.00 ","$3,368.88 ","$1,054.65 ","$4,679.00 ","$2,690.43 ","$3,368.88 ","$2,545.38 ","$1,054.65 ","$1,310.12 ","$3,111.54 ","$1,054.65 ","$3,275.30 ","$1,054.65 ","$2,947.77 ","$2,947.77 ","$1,054.65 ","$2,947.77 ","$2,173.86 ","$4,304.68 ", N/A ,"$1,054.65 ","$3,977.15 ","$3,930.36 ","$1,054.65 ","$3,509.25 ","$3,743.20 ","$3,743.20 ","$1,054.65 ","$3,743.20 ","$4,070.73 ","$4,070.73 ","$4,070.73 ","$4,211.10 ","$2,690.43 ","$1,054.65 ","$4,679.00 ","$2,624.92 ","$1,054.65 ","$1,937.11 ", N/A , N/A ,"$1,107.38 ","$3,977.15 ","$2,947.77 ","$1,310.12 ","$4,211.10 ","$4,070.73 ","$3,743.20 ","$3,743.20 ","$1,054.65 ","$3,041.35 " ST. FRANCIS HOSPITAL - ACUTE,75001173,N/A,HC HERMORRHOIDECTOMY INTERNAL W/LIGATION - 46221,750,1 ,"$2,288.00 ","$1,647.36 ",$515.72 ,"$2,288.00 ","$1,315.60 ","$1,647.36 ","$1,244.67 ",$515.72 ,$640.64 ,"$1,521.52 ",$515.72 ,"$1,601.60 ",$515.72 ,"$1,441.44 ","$1,441.44 ",$515.72 ,"$1,441.44 ","$1,063.00 ","$2,104.96 ", N/A ,$515.72 ,"$1,944.80 ","$1,921.92 ",$515.72 ,"$1,716.00 ","$1,830.40 ","$1,830.40 ",$515.72 ,"$1,830.40 ","$1,990.56 ","$1,990.56 ","$1,990.56 ","$2,059.20 ","$1,315.60 ",$515.72 ,"$2,288.00 ","$1,283.57 ",$515.72 ,$947.23 , N/A , N/A ,$541.50 ,"$1,944.80 ","$1,441.44 ",$640.64 ,"$2,059.20 ","$1,990.56 ","$1,830.40 ","$1,830.40 ",$515.72 ,"$1,487.20 " ST. FRANCIS HOSPITAL - ACUTE,75001176,N/A,HC ANOSCOPY W/BIOPSY SGL/MULT - 46606,750,1 ,"$3,178.00 ","$2,288.16 ",$716.32 ,"$3,178.00 ","$1,827.35 ","$2,288.16 ","$1,728.83 ",$716.32 ,$889.84 ,"$2,113.37 ",$716.32 ,"$2,224.60 ",$716.32 ,"$2,002.14 ","$2,002.14 ",$716.32 ,"$2,002.14 ","$1,476.50 ","$2,923.76 ", N/A ,$716.32 ,"$2,701.30 ","$2,669.52 ",$716.32 ,"$2,383.50 ","$2,542.40 ","$2,542.40 ",$716.32 ,"$2,542.40 ","$2,764.86 ","$2,764.86 ","$2,764.86 ","$2,860.20 ","$1,827.35 ",$716.32 ,"$3,178.00 ","$1,782.86 ",$716.32 ,"$1,315.69 ", N/A , N/A ,$752.14 ,"$2,701.30 ","$2,002.14 ",$889.84 ,"$2,860.20 ","$2,764.86 ","$2,542.40 ","$2,542.40 ",$716.32 ,"$2,065.70 " ST. FRANCIS HOSPITAL - ACUTE,75001181,N/A,HC CYSTOURETHROSCOPY - 52000,750,1 ,"$3,036.00 ","$2,185.92 ",$684.31 ,"$3,036.00 ","$1,745.70 ","$2,185.92 ","$1,651.58 ",$684.31 ,$850.08 ,"$2,018.94 ",$684.31 ,"$2,125.20 ",$684.31 ,"$1,912.68 ","$1,912.68 ",$684.31 ,"$1,912.68 ","$1,410.53 ","$2,793.12 ", N/A ,$684.31 ,"$2,580.60 ","$2,550.24 ",$684.31 ,"$2,277.00 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$2,428.80 ","$2,641.32 ","$2,641.32 ","$2,641.32 ","$2,732.40 ","$1,745.70 ",$684.31 ,"$3,036.00 ","$1,703.20 ",$684.31 ,"$1,256.90 ", N/A , N/A ,$718.53 ,"$2,580.60 ","$1,912.68 ",$850.08 ,"$2,732.40 ","$2,641.32 ","$2,428.80 ","$2,428.80 ",$684.31 ,"$1,973.40 " ST. FRANCIS HOSPITAL - ACUTE,75001183,N/A,HC CYSTOURETHROSCOPY W/INS URETERAL STENT - 52332,750,1 ,"$4,144.00 ","$2,983.68 ",$934.06 ,"$4,144.00 ","$2,382.80 ","$2,983.68 ","$2,254.34 ",$934.06 ,"$1,160.32 ","$2,755.76 ",$934.06 ,"$2,900.80 ",$934.06 ,"$2,610.72 ","$2,610.72 ",$934.06 ,"$2,610.72 ","$1,925.30 ","$3,812.48 ", N/A ,$934.06 ,"$3,522.40 ","$3,480.96 ",$934.06 ,"$3,108.00 ","$3,315.20 ","$3,315.20 ",$934.06 ,"$3,315.20 ","$3,605.28 ","$3,605.28 ","$3,605.28 ","$3,729.60 ","$2,382.80 ",$934.06 ,"$4,144.00 ","$2,324.78 ",$934.06 ,"$1,715.62 ", N/A , N/A ,$980.76 ,"$3,522.40 ","$2,610.72 ","$1,160.32 ","$3,729.60 ","$3,605.28 ","$3,315.20 ","$3,315.20 ",$934.06 ,"$2,693.60 " ST. FRANCIS HOSPITAL - ACUTE,75001184,N/A,HC CYSTOURETHROSCOPY W/STONE REMOVAL - 52352,750,1 ,"$4,282.00 ","$3,083.04 ",$965.16 ,"$4,282.00 ","$2,462.15 ","$3,083.04 ","$2,329.41 ",$965.16 ,"$1,198.96 ","$2,847.53 ",$965.16 ,"$2,997.40 ",$965.16 ,"$2,697.66 ","$2,697.66 ",$965.16 ,"$2,697.66 ","$1,989.42 ","$3,939.44 ", N/A ,$965.16 ,"$3,639.70 ","$3,596.88 ",$965.16 ,"$3,211.50 ","$3,425.60 ","$3,425.60 ",$965.16 ,"$3,425.60 ","$3,725.34 ","$3,725.34 ","$3,725.34 ","$3,853.80 ","$2,462.15 ",$965.16 ,"$4,282.00 ","$2,402.20 ",$965.16 ,"$1,772.75 ", N/A , N/A ,"$1,013.42 ","$3,639.70 ","$2,697.66 ","$1,198.96 ","$3,853.80 ","$3,725.34 ","$3,425.60 ","$3,425.60 ",$965.16 ,"$2,783.30 " ST. FRANCIS HOSPITAL - ACUTE,75001185,N/A,HC CYSTOURETHROSCOPY W/LITHOTRIPSY - 52353,750,1 ,"$4,282.00 ","$3,083.04 ",$965.16 ,"$4,282.00 ","$2,462.15 ","$3,083.04 ","$2,329.41 ",$965.16 ,"$1,198.96 ","$2,847.53 ",$965.16 ,"$2,997.40 ",$965.16 ,"$2,697.66 ","$2,697.66 ",$965.16 ,"$2,697.66 ","$1,989.42 ","$3,939.44 ", N/A ,$965.16 ,"$3,639.70 ","$3,596.88 ",$965.16 ,"$3,211.50 ","$3,425.60 ","$3,425.60 ",$965.16 ,"$3,425.60 ","$3,725.34 ","$3,725.34 ","$3,725.34 ","$3,853.80 ","$2,462.15 ",$965.16 ,"$4,282.00 ","$2,402.20 ",$965.16 ,"$1,772.75 ", N/A , N/A ,"$1,013.42 ","$3,639.70 ","$2,697.66 ","$1,198.96 ","$3,853.80 ","$3,725.34 ","$3,425.60 ","$3,425.60 ",$965.16 ,"$2,783.30 " ST. FRANCIS HOSPITAL - ACUTE,75001193,91035,HC ACID REFLUX TEST MUCOSAL ELECTRODE- 91035,750,1 ,"$3,757.00 ","$2,705.04 ",$606.39 ,"$3,757.00 ","$2,160.28 ","$2,705.04 ","$2,043.81 ",$846.83 ,"$1,051.96 ","$2,498.41 ",$846.83 ,"$2,629.90 ",$846.83 ,"$2,366.91 ","$2,366.91 ",$846.83 ,"$2,366.91 ","$1,745.50 ","$3,456.44 ","$1,208.58 ",$846.83 ,"$3,193.45 ","$3,155.88 ",$846.83 ,"$2,817.75 ","$3,005.60 ","$3,005.60 ",$846.83 ,"$3,005.60 ","$3,268.59 ","$3,268.59 ","$3,268.59 ","$3,381.30 ","$2,160.28 ",$846.83 ,"$3,757.00 ","$2,107.68 ",$846.83 ,"$1,555.40 ",$635.26 ,$606.39 ,$889.17 ,"$3,193.45 ","$2,366.91 ","$1,051.96 ","$3,381.30 ","$3,268.59 ","$3,005.60 ","$3,005.60 ",$846.83 ,"$2,442.05 " ST. FRANCIS HOSPITAL - ACUTE,75001196,91110,HC IMAGE GI TRACT ESPOH THRU ILIEM W/REPORT- 91110,750,1 ,"$2,480.00 ","$1,785.60 ",$558.99 ,"$2,480.00 ","$1,426.00 ","$1,785.60 ","$1,349.12 ",$558.99 ,$694.40 ,"$1,649.20 ",$558.99 ,"$1,736.00 ",$558.99 ,"$1,562.40 ","$1,562.40 ",$558.99 ,"$1,562.40 ","$1,152.21 ","$2,281.60 ","$2,063.78 ",$558.99 ,"$2,108.00 ","$2,083.20 ",$558.99 ,"$1,860.00 ","$1,984.00 ","$1,984.00 ",$558.99 ,"$1,984.00 ","$2,157.60 ","$2,157.60 ","$2,157.60 ","$2,232.00 ","$1,426.00 ",$558.99 ,"$2,480.00 ","$1,391.28 ",$558.99 ,"$1,026.72 ","$2,410.10 ","$2,300.55 ",$586.94 ,"$2,108.00 ","$1,562.40 ",$694.40 ,"$2,232.00 ","$2,157.60 ","$1,984.00 ","$1,984.00 ",$558.99 ,"$1,612.00 " ST. FRANCIS HOSPITAL - ACUTE,75001200,G0104,HC COLONOSCOPY SCREEN W/FLEX SIGMOID - G0104,750,1 ,"$3,896.00 ","$2,805.12 ",$660.57 ,"$3,896.00 ","$2,240.20 ","$2,805.12 ","$2,119.42 ",$878.16 ,"$1,090.88 ","$1,260.71 ",$878.16 ,"$1,327.06 ",$878.16 ,"$2,454.48 ","$2,454.48 ",$878.16 ,"$2,454.48 ","$1,810.08 ","$3,584.32 ","$2,077.60 ",$878.16 ,"$3,311.60 ","$3,272.64 ",$878.16 ,"$2,922.00 ","$3,116.80 ","$3,116.80 ",$878.16 ,"$3,116.80 ","$3,389.52 ","$3,389.52 ","$3,389.52 ","$3,506.40 ","$2,240.20 ",$878.16 ,"$3,896.00 ","$2,185.66 ",$878.16 ,"$1,612.94 ",$692.02 ,$660.57 ,$922.06 ,"$3,311.60 ","$2,454.48 ","$1,090.88 ","$3,506.40 ","$3,389.52 ","$3,116.80 ","$3,116.80 ",$878.16 ,"$2,532.40 " ST. FRANCIS HOSPITAL - ACUTE,75001223,N/A,HC SMALL BOWEL ENDOSCOPY- 44378,750,1 ,"$5,071.00 ","$3,651.12 ","$1,143.00 ","$5,071.00 ","$2,915.83 ","$3,651.12 ","$2,758.62 ","$1,143.00 ","$1,419.88 ","$3,372.22 ","$1,143.00 ","$3,549.70 ","$1,143.00 ","$3,194.73 ","$3,194.73 ","$1,143.00 ","$3,194.73 ","$2,355.99 ","$4,665.32 ", N/A ,"$1,143.00 ","$4,310.35 ","$4,259.64 ","$1,143.00 ","$3,803.25 ","$4,056.80 ","$4,056.80 ","$1,143.00 ","$4,056.80 ","$4,411.77 ","$4,411.77 ","$4,411.77 ","$4,563.90 ","$2,915.83 ","$1,143.00 ","$5,071.00 ","$2,844.83 ","$1,143.00 ","$2,099.39 ", N/A , N/A ,"$1,200.16 ","$4,310.35 ","$3,194.73 ","$1,419.88 ","$4,563.90 ","$4,411.77 ","$4,056.80 ","$4,056.80 ","$1,143.00 ","$3,296.15 " ST. FRANCIS HOSPITAL - ACUTE,76000014,62273,HC INJ EPIDURAL BLD/CLOT PATCH,760,1 ,$787.00 ,$566.64 ,$177.39 ,"$1,610.85 ",$452.53 ,$566.64 ,$428.13 ,$177.39 ,$220.36 ,$523.36 ,$177.39 ,$550.90 ,$177.39 ,$495.81 ,$495.81 ,$177.39 ,$495.81 ,$365.64 ,$724.04 ,"$1,610.85 ",$177.39 ,$668.95 ,$661.08 ,$177.39 ,$590.25 ,$629.60 ,$629.60 ,$177.39 ,$629.60 ,$684.69 ,$684.69 ,$684.69 ,$708.30 ,$452.53 ,$177.39 ,$787.00 ,$441.51 ,$177.39 ,$325.82 ,$841.45 ,$803.20 ,$186.26 ,$668.95 ,$495.81 ,$220.36 ,$708.30 ,$684.69 ,$629.60 ,$629.60 ,$177.39 ,$511.55 ST. FRANCIS HOSPITAL - ACUTE,76100022,64484,HC INJ EPID LUMBAR/SACRAL ADDL-LT,761,1 ,$796.00 ,$573.12 ,$179.42 ,$841.45 ,$457.70 ,$573.12 ,$433.02 ,$179.42 ,$222.88 ,$529.34 ,$179.42 ,$557.20 ,$179.42 ,$501.48 ,$501.48 ,$179.42 ,$501.48 ,$369.82 ,$732.32 , N/A ,$179.42 ,$676.60 ,$668.64 ,$179.42 ,$597.00 ,$636.80 ,$636.80 ,$179.42 ,$636.80 ,$692.52 ,$692.52 ,$692.52 ,$716.40 ,$457.70 ,$179.42 ,$796.00 ,$446.56 ,$179.42 ,$329.54 ,$841.45 ,$803.20 ,$188.39 ,$676.60 ,$501.48 ,$222.88 ,$716.40 ,$692.52 ,$636.80 ,$636.80 ,$179.42 ,$517.40 ST. FRANCIS HOSPITAL - ACUTE,76100023,64484,HC INJ EPID LUMBAR/SACRAL ADDL-RT,761,1 ,$796.00 ,$573.12 ,$179.42 ,$841.45 ,$457.70 ,$573.12 ,$433.02 ,$179.42 ,$222.88 ,$529.34 ,$179.42 ,$557.20 ,$179.42 ,$501.48 ,$501.48 ,$179.42 ,$501.48 ,$369.82 ,$732.32 , N/A ,$179.42 ,$676.60 ,$668.64 ,$179.42 ,$597.00 ,$636.80 ,$636.80 ,$179.42 ,$636.80 ,$692.52 ,$692.52 ,$692.52 ,$716.40 ,$457.70 ,$179.42 ,$796.00 ,$446.56 ,$179.42 ,$329.54 ,$841.45 ,$803.20 ,$188.39 ,$676.60 ,$501.48 ,$222.88 ,$716.40 ,$692.52 ,$636.80 ,$636.80 ,$179.42 ,$517.40 ST. FRANCIS HOSPITAL - ACUTE,76100024,64483,HC INJ EPID LUMBAR/SACRAL SGL-BI,761,1 ,"$1,747.00 ","$1,257.84 ",$393.77 ,"$3,195.68 ","$1,004.53 ","$1,257.84 ",$950.37 ,$393.77 ,$489.16 ,"$1,161.76 ",$393.77 ,"$1,222.90 ",$393.77 ,"$1,100.61 ","$1,100.61 ",$393.77 ,"$1,100.61 ",$811.66 ,"$1,607.24 ","$3,195.68 ",$393.77 ,"$1,484.95 ","$1,467.48 ",$393.77 ,"$1,310.25 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,397.60 ","$1,519.89 ","$1,519.89 ","$1,519.89 ","$1,572.30 ","$1,004.53 ",$393.77 ,"$1,747.00 ",$980.07 ,$393.77 ,$723.26 ,"$1,262.16 ","$1,204.79 ",$413.46 ,"$1,484.95 ","$1,100.61 ",$489.16 ,"$1,572.30 ","$1,519.89 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,135.55 " ST. FRANCIS HOSPITAL - ACUTE,76100025,64483,HC INJ EPID LUMBAR/SACRAL SGL-LT,761,1 ,"$1,747.00 ","$1,257.84 ",$393.77 ,"$2,130.45 ","$1,004.53 ","$1,257.84 ",$950.37 ,$393.77 ,$489.16 ,"$1,161.76 ",$393.77 ,"$1,222.90 ",$393.77 ,"$1,100.61 ","$1,100.61 ",$393.77 ,"$1,100.61 ",$811.66 ,"$1,607.24 ","$2,130.45 ",$393.77 ,"$1,484.95 ","$1,467.48 ",$393.77 ,"$1,310.25 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,397.60 ","$1,519.89 ","$1,519.89 ","$1,519.89 ","$1,572.30 ","$1,004.53 ",$393.77 ,"$1,747.00 ",$980.07 ,$393.77 ,$723.26 ,$841.45 ,$803.20 ,$413.46 ,"$1,484.95 ","$1,100.61 ",$489.16 ,"$1,572.30 ","$1,519.89 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,135.55 " ST. FRANCIS HOSPITAL - ACUTE,76100026,64483,HC INJ EPID LUMBAR/SACRAL SGL-RT,761,1 ,"$1,747.00 ","$1,257.84 ",$393.77 ,"$2,130.45 ","$1,004.53 ","$1,257.84 ",$950.37 ,$393.77 ,$489.16 ,"$1,161.76 ",$393.77 ,"$1,222.90 ",$393.77 ,"$1,100.61 ","$1,100.61 ",$393.77 ,"$1,100.61 ",$811.66 ,"$1,607.24 ","$2,130.45 ",$393.77 ,"$1,484.95 ","$1,467.48 ",$393.77 ,"$1,310.25 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,397.60 ","$1,519.89 ","$1,519.89 ","$1,519.89 ","$1,572.30 ","$1,004.53 ",$393.77 ,"$1,747.00 ",$980.07 ,$393.77 ,$723.26 ,$841.45 ,$803.20 ,$413.46 ,"$1,484.95 ","$1,100.61 ",$489.16 ,"$1,572.30 ","$1,519.89 ","$1,397.60 ","$1,397.60 ",$393.77 ,"$1,135.55 " ST. FRANCIS HOSPITAL - ACUTE,76100027,64479,HC INJ EPIDURAL CREV/THOR SGL-BI,761,1 ,"$1,886.00 ","$1,357.92 ",$425.10 ,"$3,195.68 ","$1,084.45 ","$1,357.92 ","$1,025.98 ",$425.10 ,$528.08 ,"$1,254.19 ",$425.10 ,"$1,320.20 ",$425.10 ,"$1,188.18 ","$1,188.18 ",$425.10 ,"$1,188.18 ",$876.24 ,"$1,735.12 ","$3,195.68 ",$425.10 ,"$1,603.10 ","$1,584.24 ",$425.10 ,"$1,414.50 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,508.80 ","$1,640.82 ","$1,640.82 ","$1,640.82 ","$1,697.40 ","$1,084.45 ",$425.10 ,"$1,886.00 ","$1,058.05 ",$425.10 ,$780.80 ,"$1,262.16 ","$1,204.79 ",$446.36 ,"$1,603.10 ","$1,188.18 ",$528.08 ,"$1,697.40 ","$1,640.82 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,225.90 " ST. FRANCIS HOSPITAL - ACUTE,76100028,64479,HC INJ EPIDURAL CREV/THOR SGL-LT,761,1 ,"$1,886.00 ","$1,357.92 ",$425.10 ,"$2,130.45 ","$1,084.45 ","$1,357.92 ","$1,025.98 ",$425.10 ,$528.08 ,"$1,254.19 ",$425.10 ,"$1,320.20 ",$425.10 ,"$1,188.18 ","$1,188.18 ",$425.10 ,"$1,188.18 ",$876.24 ,"$1,735.12 ","$2,130.45 ",$425.10 ,"$1,603.10 ","$1,584.24 ",$425.10 ,"$1,414.50 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,508.80 ","$1,640.82 ","$1,640.82 ","$1,640.82 ","$1,697.40 ","$1,084.45 ",$425.10 ,"$1,886.00 ","$1,058.05 ",$425.10 ,$780.80 ,$841.45 ,$803.20 ,$446.36 ,"$1,603.10 ","$1,188.18 ",$528.08 ,"$1,697.40 ","$1,640.82 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,225.90 " ST. FRANCIS HOSPITAL - ACUTE,76100029,64479,HC INJ EPIDURAL CREV/THOR SGL-RT,761,1 ,"$1,886.00 ","$1,357.92 ",$425.10 ,"$2,130.45 ","$1,084.45 ","$1,357.92 ","$1,025.98 ",$425.10 ,$528.08 ,"$1,254.19 ",$425.10 ,"$1,320.20 ",$425.10 ,"$1,188.18 ","$1,188.18 ",$425.10 ,"$1,188.18 ",$876.24 ,"$1,735.12 ","$2,130.45 ",$425.10 ,"$1,603.10 ","$1,584.24 ",$425.10 ,"$1,414.50 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,508.80 ","$1,640.82 ","$1,640.82 ","$1,640.82 ","$1,697.40 ","$1,084.45 ",$425.10 ,"$1,886.00 ","$1,058.05 ",$425.10 ,$780.80 ,$841.45 ,$803.20 ,$446.36 ,"$1,603.10 ","$1,188.18 ",$528.08 ,"$1,697.40 ","$1,640.82 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,225.90 " ST. FRANCIS HOSPITAL - ACUTE,76100030,64490,HC INJ PARAVERT F JNT C/T 1 LV-BI,761,1 ,"$1,353.00 ",$974.16 ,$304.97 ,"$3,195.68 ",$777.98 ,$974.16 ,$736.03 ,$304.97 ,$378.84 ,$899.75 ,$304.97 ,$947.10 ,$304.97 ,$852.39 ,$852.39 ,$304.97 ,$852.39 ,$628.60 ,"$1,244.76 ","$3,195.68 ",$304.97 ,"$1,150.05 ","$1,136.52 ",$304.97 ,"$1,014.75 ","$1,082.40 ","$1,082.40 ",$304.97 ,"$1,082.40 ","$1,177.11 ","$1,177.11 ","$1,177.11 ","$1,217.70 ",$777.98 ,$304.97 ,"$1,353.00 ",$759.03 ,$304.97 ,$560.14 ,"$1,262.16 ","$1,204.79 ",$320.21 ,"$1,150.05 ",$852.39 ,$378.84 ,"$1,217.70 ","$1,177.11 ","$1,082.40 ","$1,082.40 ",$304.97 ,$879.45 ST. FRANCIS HOSPITAL - ACUTE,76100031,64490,HC INJ PARAVERT F JNT C/T 1 LV-LT,761,1 ,"$1,353.00 ",$974.16 ,$304.97 ,"$2,130.45 ",$777.98 ,$974.16 ,$736.03 ,$304.97 ,$378.84 ,$899.75 ,$304.97 ,$947.10 ,$304.97 ,$852.39 ,$852.39 ,$304.97 ,$852.39 ,$628.60 ,"$1,244.76 ","$2,130.45 ",$304.97 ,"$1,150.05 ","$1,136.52 ",$304.97 ,"$1,014.75 ","$1,082.40 ","$1,082.40 ",$304.97 ,"$1,082.40 ","$1,177.11 ","$1,177.11 ","$1,177.11 ","$1,217.70 ",$777.98 ,$304.97 ,"$1,353.00 ",$759.03 ,$304.97 ,$560.14 ,$841.45 ,$803.20 ,$320.21 ,"$1,150.05 ",$852.39 ,$378.84 ,"$1,217.70 ","$1,177.11 ","$1,082.40 ","$1,082.40 ",$304.97 ,$879.45 ST. FRANCIS HOSPITAL - ACUTE,76100032,64490,HC INJ PARAVERT F JNT C/T 1 LV-RT,761,1 ,"$1,353.00 ",$974.16 ,$304.97 ,"$2,130.45 ",$777.98 ,$974.16 ,$736.03 ,$304.97 ,$378.84 ,$899.75 ,$304.97 ,$947.10 ,$304.97 ,$852.39 ,$852.39 ,$304.97 ,$852.39 ,$628.60 ,"$1,244.76 ","$2,130.45 ",$304.97 ,"$1,150.05 ","$1,136.52 ",$304.97 ,"$1,014.75 ","$1,082.40 ","$1,082.40 ",$304.97 ,"$1,082.40 ","$1,177.11 ","$1,177.11 ","$1,177.11 ","$1,217.70 ",$777.98 ,$304.97 ,"$1,353.00 ",$759.03 ,$304.97 ,$560.14 ,$841.45 ,$803.20 ,$320.21 ,"$1,150.05 ",$852.39 ,$378.84 ,"$1,217.70 ","$1,177.11 ","$1,082.40 ","$1,082.40 ",$304.97 ,$879.45 ST. FRANCIS HOSPITAL - ACUTE,76100034,64491,HC INJ PARAVERT F JNT C/T 2 LV-LT,761,1 ,$687.00 ,$494.64 ,$154.85 ,$841.45 ,$395.03 ,$494.64 ,$373.73 ,$154.85 ,$192.36 ,$456.86 ,$154.85 ,$480.90 ,$154.85 ,$432.81 ,$432.81 ,$154.85 ,$432.81 ,$319.18 ,$632.04 , N/A ,$154.85 ,$583.95 ,$577.08 ,$154.85 ,$515.25 ,$549.60 ,$549.60 ,$154.85 ,$549.60 ,$597.69 ,$597.69 ,$597.69 ,$618.30 ,$395.03 ,$154.85 ,$687.00 ,$385.41 ,$154.85 ,$284.42 ,$841.45 ,$803.20 ,$162.59 ,$583.95 ,$432.81 ,$192.36 ,$618.30 ,$597.69 ,$549.60 ,$549.60 ,$154.85 ,$446.55 ST. FRANCIS HOSPITAL - ACUTE,76100035,64491,HC INJ PARAVERT F JNT C/T 2 LV-RT,761,1 ,$687.00 ,$494.64 ,$154.85 ,$841.45 ,$395.03 ,$494.64 ,$373.73 ,$154.85 ,$192.36 ,$456.86 ,$154.85 ,$480.90 ,$154.85 ,$432.81 ,$432.81 ,$154.85 ,$432.81 ,$319.18 ,$632.04 , N/A ,$154.85 ,$583.95 ,$577.08 ,$154.85 ,$515.25 ,$549.60 ,$549.60 ,$154.85 ,$549.60 ,$597.69 ,$597.69 ,$597.69 ,$618.30 ,$395.03 ,$154.85 ,$687.00 ,$385.41 ,$154.85 ,$284.42 ,$841.45 ,$803.20 ,$162.59 ,$583.95 ,$432.81 ,$192.36 ,$618.30 ,$597.69 ,$549.60 ,$549.60 ,$154.85 ,$446.55 ST. FRANCIS HOSPITAL - ACUTE,76100039,64493,HC INJ PARAVERT F JNT L/S 1 LV-BI,761,1 ,"$1,230.00 ",$885.60 ,$277.24 ,"$3,195.68 ",$707.25 ,$885.60 ,$669.12 ,$277.24 ,$344.40 ,$817.95 ,$277.24 ,$861.00 ,$277.24 ,$774.90 ,$774.90 ,$277.24 ,$774.90 ,$571.46 ,"$1,131.60 ","$3,195.68 ",$277.24 ,"$1,045.50 ","$1,033.20 ",$277.24 ,$922.50 ,$984.00 ,$984.00 ,$277.24 ,$984.00 ,"$1,070.10 ","$1,070.10 ","$1,070.10 ","$1,107.00 ",$707.25 ,$277.24 ,"$1,230.00 ",$690.03 ,$277.24 ,$509.22 ,"$1,262.16 ","$1,204.79 ",$291.11 ,"$1,045.50 ",$774.90 ,$344.40 ,"$1,107.00 ","$1,070.10 ",$984.00 ,$984.00 ,$277.24 ,$799.50 ST. FRANCIS HOSPITAL - ACUTE,76100040,64493,HC INJ PARAVERT F JNT L/S 1 LV-LT,761,1 ,"$1,230.00 ",$885.60 ,$277.24 ,"$2,130.45 ",$707.25 ,$885.60 ,$669.12 ,$277.24 ,$344.40 ,$817.95 ,$277.24 ,$861.00 ,$277.24 ,$774.90 ,$774.90 ,$277.24 ,$774.90 ,$571.46 ,"$1,131.60 ","$2,130.45 ",$277.24 ,"$1,045.50 ","$1,033.20 ",$277.24 ,$922.50 ,$984.00 ,$984.00 ,$277.24 ,$984.00 ,"$1,070.10 ","$1,070.10 ","$1,070.10 ","$1,107.00 ",$707.25 ,$277.24 ,"$1,230.00 ",$690.03 ,$277.24 ,$509.22 ,$841.45 ,$803.20 ,$291.11 ,"$1,045.50 ",$774.90 ,$344.40 ,"$1,107.00 ","$1,070.10 ",$984.00 ,$984.00 ,$277.24 ,$799.50 ST. FRANCIS HOSPITAL - ACUTE,76100041,64493,HC INJ PARAVERT F JNT L/S 1 LV-RT,761,1 ,"$1,230.00 ",$885.60 ,$277.24 ,"$2,130.45 ",$707.25 ,$885.60 ,$669.12 ,$277.24 ,$344.40 ,$817.95 ,$277.24 ,$861.00 ,$277.24 ,$774.90 ,$774.90 ,$277.24 ,$774.90 ,$571.46 ,"$1,131.60 ","$2,130.45 ",$277.24 ,"$1,045.50 ","$1,033.20 ",$277.24 ,$922.50 ,$984.00 ,$984.00 ,$277.24 ,$984.00 ,"$1,070.10 ","$1,070.10 ","$1,070.10 ","$1,107.00 ",$707.25 ,$277.24 ,"$1,230.00 ",$690.03 ,$277.24 ,$509.22 ,$841.45 ,$803.20 ,$291.11 ,"$1,045.50 ",$774.90 ,$344.40 ,"$1,107.00 ","$1,070.10 ",$984.00 ,$984.00 ,$277.24 ,$799.50 ST. FRANCIS HOSPITAL - ACUTE,76100043,64494,HC INJ PARAVERT F JNT L/S 2 LV-LT,761,1 ,$645.00 ,$464.40 ,$145.38 ,$841.45 ,$370.88 ,$464.40 ,$350.88 ,$145.38 ,$180.60 ,$428.93 ,$145.38 ,$451.50 ,$145.38 ,$406.35 ,$406.35 ,$145.38 ,$406.35 ,$299.67 ,$593.40 , N/A ,$145.38 ,$548.25 ,$541.80 ,$145.38 ,$483.75 ,$516.00 ,$516.00 ,$145.38 ,$516.00 ,$561.15 ,$561.15 ,$561.15 ,$580.50 ,$370.88 ,$145.38 ,$645.00 ,$361.85 ,$145.38 ,$267.03 ,$841.45 ,$803.20 ,$152.65 ,$548.25 ,$406.35 ,$180.60 ,$580.50 ,$561.15 ,$516.00 ,$516.00 ,$145.38 ,$419.25 ST. FRANCIS HOSPITAL - ACUTE,76100044,64494,HC INJ PARAVERT F JNT L/S 2 LV-RT,761,1 ,$645.00 ,$464.40 ,$145.38 ,$841.45 ,$370.88 ,$464.40 ,$350.88 ,$145.38 ,$180.60 ,$428.93 ,$145.38 ,$451.50 ,$145.38 ,$406.35 ,$406.35 ,$145.38 ,$406.35 ,$299.67 ,$593.40 , N/A ,$145.38 ,$548.25 ,$541.80 ,$145.38 ,$483.75 ,$516.00 ,$516.00 ,$145.38 ,$516.00 ,$561.15 ,$561.15 ,$561.15 ,$580.50 ,$370.88 ,$145.38 ,$645.00 ,$361.85 ,$145.38 ,$267.03 ,$841.45 ,$803.20 ,$152.65 ,$548.25 ,$406.35 ,$180.60 ,$580.50 ,$561.15 ,$516.00 ,$516.00 ,$145.38 ,$419.25 ST. FRANCIS HOSPITAL - ACUTE,76100046,64495,HC INJ PARAVRT F JNT L/S 3+ LV-LT,761,1 ,$643.00 ,$462.96 ,$144.93 ,$841.45 ,$369.73 ,$462.96 ,$349.79 ,$144.93 ,$180.04 ,$427.60 ,$144.93 ,$450.10 ,$144.93 ,$405.09 ,$405.09 ,$144.93 ,$405.09 ,$298.74 ,$591.56 , N/A ,$144.93 ,$546.55 ,$540.12 ,$144.93 ,$482.25 ,$514.40 ,$514.40 ,$144.93 ,$514.40 ,$559.41 ,$559.41 ,$559.41 ,$578.70 ,$369.73 ,$144.93 ,$643.00 ,$360.72 ,$144.93 ,$266.20 ,$841.45 ,$803.20 ,$152.17 ,$546.55 ,$405.09 ,$180.04 ,$578.70 ,$559.41 ,$514.40 ,$514.40 ,$144.93 ,$417.95 ST. FRANCIS HOSPITAL - ACUTE,76100047,64495,HC INJ PARAVRT F JNT L/S 3+ LV-RT,761,1 ,$643.00 ,$462.96 ,$144.93 ,$841.45 ,$369.73 ,$462.96 ,$349.79 ,$144.93 ,$180.04 ,$427.60 ,$144.93 ,$450.10 ,$144.93 ,$405.09 ,$405.09 ,$144.93 ,$405.09 ,$298.74 ,$591.56 , N/A ,$144.93 ,$546.55 ,$540.12 ,$144.93 ,$482.25 ,$514.40 ,$514.40 ,$144.93 ,$514.40 ,$559.41 ,$559.41 ,$559.41 ,$578.70 ,$369.73 ,$144.93 ,$643.00 ,$360.72 ,$144.93 ,$266.20 ,$841.45 ,$803.20 ,$152.17 ,$546.55 ,$405.09 ,$180.04 ,$578.70 ,$559.41 ,$514.40 ,$514.40 ,$144.93 ,$417.95 ST. FRANCIS HOSPITAL - ACUTE,76100048,97607,HC NEG PRESS WOUND THERAPY WO DME<50CM,761,1 ,$895.00 ,$644.40 ,$201.73 ,$932.68 ,$514.63 ,$644.40 ,$486.88 ,$201.73 ,$250.60 ,$595.18 ,$201.73 ,$626.50 ,$201.73 ,$563.85 ,$563.85 ,$201.73 ,$563.85 ,$415.82 ,$823.40 ,$932.68 ,$201.73 ,$760.75 ,$751.80 ,$201.73 ,$671.25 ,$716.00 ,$716.00 ,$201.73 ,$716.00 ,$778.65 ,$778.65 ,$778.65 ,$805.50 ,$514.63 ,$201.73 ,$895.00 ,$502.10 ,$201.73 ,$370.53 ,$303.49 ,$289.70 ,$211.82 ,$760.75 ,$563.85 ,$250.60 ,$805.50 ,$778.65 ,$716.00 ,$716.00 ,$201.73 ,$581.75 ST. FRANCIS HOSPITAL - ACUTE,76100049,97608,HC NEG PRESS WOUND THERAPY WO DME>50CM,761,1 ,$895.00 ,$644.40 ,$201.73 ,$932.68 ,$514.63 ,$644.40 ,$486.88 ,$201.73 ,$250.60 ,$595.18 ,$201.73 ,$626.50 ,$201.73 ,$563.85 ,$563.85 ,$201.73 ,$563.85 ,$415.82 ,$823.40 ,$932.68 ,$201.73 ,$760.75 ,$751.80 ,$201.73 ,$671.25 ,$716.00 ,$716.00 ,$201.73 ,$716.00 ,$778.65 ,$778.65 ,$778.65 ,$805.50 ,$514.63 ,$201.73 ,$895.00 ,$502.10 ,$201.73 ,$370.53 ,$303.49 ,$289.70 ,$211.82 ,$760.75 ,$563.85 ,$250.60 ,$805.50 ,$778.65 ,$716.00 ,$716.00 ,$201.73 ,$581.75 ST. FRANCIS HOSPITAL - ACUTE,76100055,99211,HC EXAM PELVIC STERILE,761,1 ,$449.00 ,$323.28 ,$101.20 ,$449.00 ,$258.18 ,$323.28 ,$244.26 ,$101.20 ,$125.72 ,$140.71 ,$101.20 ,$148.12 ,$101.20 ,$282.87 ,$282.87 ,$101.20 ,$282.87 ,$208.61 ,$413.08 , N/A ,$101.20 ,$381.65 ,$377.16 ,$101.20 ,$336.75 ,$359.20 ,$359.20 ,$101.20 ,$359.20 ,$390.63 ,$390.63 ,$390.63 ,$404.10 ,$258.18 ,$101.20 ,$449.00 ,$251.89 ,$101.20 ,$185.89 ,$148.31 ,$141.57 ,$106.26 ,$381.65 ,$282.87 ,$125.72 ,$404.10 ,$390.63 ,$359.20 ,$359.20 ,$101.20 ,$291.85 ST. FRANCIS HOSPITAL - ACUTE,76200008,G0379,HC OBSERVATION DIRECT ADMIT,762,1 ,$86.00 ,$61.92 ,$19.38 ,$86.00 ,$49.45 ,$61.92 ,$46.78 ,$19.38 ,$24.08 ,$57.19 ,$19.38 ,$60.20 ,$19.38 ,$54.18 ,$54.18 ,$19.38 ,$54.18 ,$39.96 ,$79.12 , N/A ,$19.38 ,$73.10 ,$72.24 ,$19.38 ,$64.50 ,$68.80 ,$68.80 ,$19.38 ,$68.80 ,$74.82 ,$74.82 ,$74.82 ,$77.40 ,$49.45 ,$19.38 ,$86.00 ,$48.25 ,$19.38 ,$35.60 , N/A , N/A ,$20.35 ,$73.10 ,$54.18 ,$24.08 ,$77.40 ,$74.82 ,$68.80 ,$68.80 ,$19.38 ,$55.90 ST. FRANCIS HOSPITAL - ACUTE,76200009,G0378,HC OBSERVATION HOURLY,762,1 ,$86.00 ,$61.92 ,$19.38 ,$86.00 ,$49.45 ,$61.92 ,$46.78 ,$19.38 ,$24.08 ,$57.19 ,$19.38 ,$60.20 ,$19.38 ,$54.18 ,$54.18 ,$19.38 ,$54.18 ,$39.96 ,$79.12 , N/A ,$19.38 ,$73.10 ,$72.24 ,$19.38 ,$64.50 ,$68.80 ,$68.80 ,$19.38 ,$68.80 ,$74.82 ,$74.82 ,$74.82 ,$77.40 ,$49.45 ,$19.38 ,$86.00 ,$48.25 ,$19.38 ,$35.60 , N/A , N/A ,$20.35 ,$73.10 ,$54.18 ,$24.08 ,$77.40 ,$74.82 ,$68.80 ,$68.80 ,$19.38 ,$55.90 ST. FRANCIS HOSPITAL - ACUTE,76200020,G0378,HC OBSERVATION W/INTENSIVE CARE PER HR,762,1 ,$148.00 ,$106.56 ,$33.36 ,$148.00 ,$85.10 ,$106.56 ,$80.51 ,$33.36 ,$41.44 ,$98.42 ,$33.36 ,$103.60 ,$33.36 ,$93.24 ,$93.24 ,$33.36 ,$93.24 ,$68.76 ,$136.16 , N/A ,$33.36 ,$125.80 ,$124.32 ,$33.36 ,$111.00 ,$118.40 ,$118.40 ,$33.36 ,$118.40 ,$128.76 ,$128.76 ,$128.76 ,$133.20 ,$85.10 ,$33.36 ,$148.00 ,$83.03 ,$33.36 ,$61.27 , N/A , N/A ,$35.03 ,$125.80 ,$93.24 ,$41.44 ,$133.20 ,$128.76 ,$118.40 ,$118.40 ,$33.36 ,$96.20 ST. FRANCIS HOSPITAL - ACUTE,77100000,90471,HC IMMUN ADMIN ONE VACC,771,1 ,$85.00 ,$61.20 ,$19.16 ,$168.68 ,$48.88 ,$61.20 ,$46.24 ,$19.16 ,$23.80 ,$56.53 ,$19.16 ,$59.50 ,$19.16 ,$53.55 ,$53.55 ,$19.16 ,$53.55 ,$39.49 ,$78.20 ,$168.68 ,$19.16 ,$72.25 ,$71.40 ,$19.16 ,$63.75 ,$68.00 ,$68.00 ,$19.16 ,$68.00 ,$73.95 ,$73.95 ,$73.95 ,$76.50 ,$48.88 ,$19.16 ,$85.00 ,$47.69 ,$19.16 ,$35.19 , N/A , N/A ,$20.12 ,$72.25 ,$53.55 ,$23.80 ,$76.50 ,$73.95 ,$68.00 ,$68.00 ,$19.16 ,$55.25 ST. FRANCIS HOSPITAL - ACUTE,77100002,90472,HC IMMUN ADMIN EA ADD VACC,771,1 ,$48.00 ,$34.56 ,$10.82 ,$48.00 ,$27.60 ,$34.56 ,$26.11 ,$10.82 ,$13.44 ,$31.92 ,$10.82 ,$33.60 ,$10.82 ,$30.24 ,$30.24 ,$10.82 ,$30.24 ,$22.30 ,$44.16 , N/A ,$10.82 ,$40.80 ,$40.32 ,$10.82 ,$36.00 ,$38.40 ,$38.40 ,$10.82 ,$38.40 ,$41.76 ,$41.76 ,$41.76 ,$43.20 ,$27.60 ,$10.82 ,$48.00 ,$26.93 ,$10.82 ,$19.87 , N/A , N/A ,$11.36 ,$40.80 ,$30.24 ,$13.44 ,$43.20 ,$41.76 ,$38.40 ,$38.40 ,$10.82 ,$31.20 ST. FRANCIS HOSPITAL - ACUTE,77100003,G0008,HC ADMIN INFLUENZA VACCINE,771,1 ,$56.00 ,$40.32 ,$15.68 ,$105.93 , N/A ,$40.32 ,$30.46 , N/A ,$15.68 ,$37.24 , N/A ,$39.20 , N/A ,$35.28 ,$35.28 , N/A ,$35.28 , N/A ,$51.52 ,$105.93 , N/A ,$47.60 ,$47.04 , N/A ,$42.00 ,$44.80 ,$44.80 , N/A ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 , N/A , N/A ,$56.00 ,$31.42 , N/A ,$23.18 , N/A , N/A , N/A ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 , N/A ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,77100005,G0009,HC ADMIN PNEUMOCOCCAL VACCINE,771,1 ,$56.00 ,$40.32 ,$15.68 ,$105.93 , N/A ,$40.32 ,$30.46 , N/A ,$15.68 ,$37.24 , N/A ,$39.20 , N/A ,$35.28 ,$35.28 , N/A ,$35.28 , N/A ,$51.52 ,$105.93 , N/A ,$47.60 ,$47.04 , N/A ,$42.00 ,$44.80 ,$44.80 , N/A ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 , N/A , N/A ,$56.00 ,$31.42 , N/A ,$23.18 , N/A , N/A , N/A ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 , N/A ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,77100006,G0010,HC INJECTION-HEPATITIS B VACCINE,771,1 ,$56.00 ,$40.32 ,$12.62 ,$105.93 ,$32.20 ,$40.32 ,$30.46 ,$12.62 ,$15.68 ,$37.24 ,$12.62 ,$39.20 ,$12.62 ,$35.28 ,$35.28 ,$12.62 ,$35.28 ,$26.02 ,$51.52 ,$105.93 ,$12.62 ,$47.60 ,$47.04 ,$12.62 ,$42.00 ,$44.80 ,$44.80 ,$12.62 ,$44.80 ,$48.72 ,$48.72 ,$48.72 ,$50.40 ,$32.20 ,$12.62 ,$56.00 ,$31.42 ,$12.62 ,$23.18 , N/A , N/A ,$13.25 ,$47.60 ,$35.28 ,$15.68 ,$50.40 ,$48.72 ,$44.80 ,$44.80 ,$12.62 ,$36.40 ST. FRANCIS HOSPITAL - ACUTE,77100009,0001A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100010,0002A,HC ADMINISTRATION SARS-COV-2 VACCINE 30 MCG/0.3ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100011,0011A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100012,0012A,HC ADMINISTRATION SARS-COV-2 VACCINE 100 MCG/0.5M SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100013,0021A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 , N/A ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100014,0022A,HC ADMINISTRATION SARS-COV-2 VACCINE 5X10 VIRAL PARTICLES/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 , N/A ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100015,0031A,HC ADMINISTRATION SARS-COV-2 VACCINE AD26 5X10 VIRAL PARTICLES/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100016,0041A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML FIRST DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100017,0042A,HC ADMIN SARS-COV-2 VACCINE 5 MCG/0.5ML SECOND DOSE,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100019,0013A,HC ADM SARSCOV2 100MCG/0.5ML 3RD - MODERNA,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100020,0051A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, FIRST DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100021,0052A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, SECOND DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100022,0053A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, THIRD DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100023,0004A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, DILUENT RECONSTITUTED, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100024,0054A,"HC ADMIN SARS-COV-2 VACCINE 30MCG/0.3ML, TRIS-SUCROSE, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100025,0064A,"HC ADMIN SARS-COV-2 VACCINE 50MCG/0.25ML, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100026,0071A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, FIRST DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100027,0072A,"HC ADMIN SARS-COV-2 VACCINE 10MCG/0.2ML, TRIS-SUCROSE, SECOND DOSE (CHILD 5-11)",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100028,0034A,"HC ADMIN SARS-COV-2 VACCINE JOHNSON AND JOHNSON, BOOSTER DOSE",771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100029,M0220,"HC INTRAVENOUS INFUSION, TIXAGEVIMAB AND CILGAVIMAB ADMINISTRATION",771,1 ,$120.00 ,$86.40 ,$27.05 ,$376.25 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$376.25 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100036,0134A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 50MCG/0.5ML,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100037,0144A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT 25MCG/0.25ML,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100038,0124A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 30MCG/0.3ML,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,77100039,0154A,HC ADMIN SARS-COV-2 VACCINE SPIKE PROTEIN BIVALENT TRI-SUCROSE 10MCG/0.2ML,771,1 ,$120.00 ,$86.40 ,$27.05 ,$120.00 ,$69.00 ,$86.40 ,$65.28 ,$27.05 ,$33.60 ,$79.80 ,$27.05 ,$84.00 ,$27.05 ,$75.60 ,$75.60 ,$27.05 ,$75.60 ,$55.75 ,$110.40 ,$103.80 ,$27.05 ,$102.00 ,$100.80 ,$27.05 ,$90.00 ,$96.00 ,$96.00 ,$27.05 ,$96.00 ,$104.40 ,$104.40 ,$104.40 ,$108.00 ,$69.00 ,$27.05 ,$120.00 ,$67.32 ,$27.05 ,$49.68 , N/A , N/A ,$28.40 ,$102.00 ,$75.60 ,$33.60 ,$108.00 ,$104.40 ,$96.00 ,$96.00 ,$27.05 ,$78.00 ST. FRANCIS HOSPITAL - ACUTE,78000001,Q3014,HC TELEHEALTH ORIGINATING FAC FEE,780,1 ,$108.00 ,$77.76 ,$14.71 ,$108.00 ,$62.10 ,$77.76 ,$58.75 ,$24.34 ,$30.24 ,$71.82 ,$24.34 ,$75.60 ,$24.34 ,$68.04 ,$68.04 ,$24.34 ,$68.04 ,$50.18 ,$99.36 ,$71.60 ,$24.34 ,$91.80 ,$90.72 ,$24.34 ,$81.00 ,$86.40 ,$86.40 ,$24.34 ,$86.40 ,$93.96 ,$93.96 ,$93.96 ,$97.20 ,$62.10 ,$24.34 ,$108.00 ,$60.59 ,$24.34 ,$44.71 ,$15.41 ,$14.71 ,$25.56 ,$91.80 ,$68.04 ,$30.24 ,$97.20 ,$93.96 ,$86.40 ,$86.40 ,$24.34 ,$70.20 ST. FRANCIS HOSPITAL - ACUTE,78000098,99221,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 1 LOW 40MIN - 95,960,1 ,$312.00 ,$224.64 ,$70.32 ,$312.00 ,$179.40 ,$224.64 ,$169.73 ,$70.32 ,$87.36 ,$207.48 ,$70.32 ,$218.40 ,$70.32 ,$196.56 ,$196.56 ,$70.32 ,$196.56 ,$144.96 ,$287.04 , N/A ,$70.32 ,$265.20 ,$262.08 ,$70.32 ,$234.00 ,$249.60 ,$249.60 ,$70.32 ,$249.60 ,$271.44 ,$271.44 ,$271.44 ,$280.80 ,$179.40 ,$70.32 ,$312.00 ,$175.03 ,$70.32 ,$141.83 , N/A , N/A ,$73.84 ,$265.20 ,$196.56 ,$87.36 ,$280.80 ,$271.44 , N/A , N/A ,$70.32 ,$202.80 ST. FRANCIS HOSPITAL - ACUTE,78000099,99222,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 2 MODERATE 55 MIN -95,960,1 ,$415.00 ,$298.80 ,$93.54 ,$415.00 ,$238.63 ,$298.80 ,$225.76 ,$93.54 ,$116.20 ,$275.98 ,$93.54 ,$290.50 ,$93.54 ,$261.45 ,$261.45 ,$93.54 ,$261.45 ,$192.81 ,$381.80 , N/A ,$93.54 ,$352.75 ,$348.60 ,$93.54 ,$311.25 ,$332.00 ,$332.00 ,$93.54 ,$332.00 ,$361.05 ,$361.05 ,$361.05 ,$373.50 ,$238.63 ,$93.54 ,$415.00 ,$232.82 ,$93.54 ,$191.13 , N/A , N/A ,$98.22 ,$352.75 ,$261.45 ,$116.20 ,$373.50 ,$361.05 , N/A , N/A ,$93.54 ,$269.75 ST. FRANCIS HOSPITAL - ACUTE,78000100,99223,PC TELEHEALTH INITIAL HOSP INP/OBS CARE LVL 3 HIGH 75 MIN -95,960,1 ,$605.00 ,$435.60 ,$136.37 ,$605.00 ,$347.88 ,$435.60 ,$329.12 ,$136.37 ,$169.40 ,$402.33 ,$136.37 ,$423.50 ,$136.37 ,$381.15 ,$381.15 ,$136.37 ,$381.15 ,$281.08 ,$556.60 , N/A ,$136.37 ,$514.25 ,$508.20 ,$136.37 ,$453.75 ,$484.00 ,$484.00 ,$136.37 ,$484.00 ,$526.35 ,$526.35 ,$526.35 ,$544.50 ,$347.88 ,$136.37 ,$605.00 ,$339.41 ,$136.37 ,$280.08 , N/A , N/A ,$143.19 ,$514.25 ,$381.15 ,$169.40 ,$544.50 ,$526.35 , N/A , N/A ,$136.37 ,$393.25 ST. FRANCIS HOSPITAL - ACUTE,78000104,99231,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE LVL 1 LOW 25 MIN - 95,960,1 ,$117.00 ,$84.24 ,$26.37 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 , N/A ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$54.56 , N/A , N/A ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 , N/A , N/A ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,78000105,99232,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE LVL 2 MODERATE 35 MIN - 95,960,1 ,$216.00 ,$155.52 ,$48.69 ,$216.00 ,$124.20 ,$155.52 ,$117.50 ,$48.69 ,$60.48 ,$143.64 ,$48.69 ,$151.20 ,$48.69 ,$136.08 ,$136.08 ,$48.69 ,$136.08 ,$100.35 ,$198.72 , N/A ,$48.69 ,$183.60 ,$181.44 ,$48.69 ,$162.00 ,$172.80 ,$172.80 ,$48.69 ,$172.80 ,$187.92 ,$187.92 ,$187.92 ,$194.40 ,$124.20 ,$48.69 ,$216.00 ,$121.18 ,$48.69 ,$99.97 , N/A , N/A ,$51.12 ,$183.60 ,$136.08 ,$60.48 ,$194.40 ,$187.92 , N/A , N/A ,$48.69 ,$140.40 ST. FRANCIS HOSPITAL - ACUTE,78000106,99233,PC TELEHEALTH SUBSQ HOSP INP/OBS CARE LVL 3 HIGH 50 MIN - 95,960,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$144.07 , N/A , N/A ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 , N/A , N/A ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,78000107,99234,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE LOW 45 MIN- 95,960,1 ,$323.00 ,$232.56 ,$72.80 ,$323.00 ,$185.73 ,$232.56 ,$175.71 ,$72.80 ,$90.44 ,$214.80 ,$72.80 ,$226.10 ,$72.80 ,$203.49 ,$203.49 ,$72.80 ,$203.49 ,$150.07 ,$297.16 , N/A ,$72.80 ,$274.55 ,$271.32 ,$72.80 ,$242.25 ,$258.40 ,$258.40 ,$72.80 ,$258.40 ,$281.01 ,$281.01 ,$281.01 ,$290.70 ,$185.73 ,$72.80 ,$323.00 ,$181.20 ,$72.80 ,$185.32 ,$148.31 ,$141.57 ,$76.44 ,$274.55 ,$203.49 ,$90.44 ,$290.70 ,$281.01 , N/A , N/A ,$72.80 ,$209.95 ST. FRANCIS HOSPITAL - ACUTE,78000108,99235,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE MODERATE 70 MIN-95,960,1 ,$505.00 ,$363.60 ,$113.83 ,$505.00 ,$290.38 ,$363.60 ,$274.72 ,$113.83 ,$141.40 ,$335.83 ,$113.83 ,$353.50 ,$113.83 ,$318.15 ,$318.15 ,$113.83 ,$318.15 ,$234.62 ,$464.60 , N/A ,$113.83 ,$429.25 ,$424.20 ,$113.83 ,$378.75 ,$404.00 ,$404.00 ,$113.83 ,$404.00 ,$439.35 ,$439.35 ,$439.35 ,$454.50 ,$290.38 ,$113.83 ,$505.00 ,$283.31 ,$113.83 ,$233.98 ,$148.31 ,$141.57 ,$119.52 ,$429.25 ,$318.15 ,$141.40 ,$454.50 ,$439.35 , N/A , N/A ,$113.83 ,$328.25 ST. FRANCIS HOSPITAL - ACUTE,78000109,99236,PC TELEHEALTH HOSP INP/OBS CARE SAME DATE HIGH 85 MIN-95,960,1 ,$565.00 ,$406.80 ,$127.35 ,$565.00 ,$324.88 ,$406.80 ,$307.36 ,$127.35 ,$158.20 ,$375.73 ,$127.35 ,$395.50 ,$127.35 ,$355.95 ,$355.95 ,$127.35 ,$355.95 ,$262.50 ,$519.80 , N/A ,$127.35 ,$480.25 ,$474.60 ,$127.35 ,$423.75 ,$452.00 ,$452.00 ,$127.35 ,$452.00 ,$491.55 ,$491.55 ,$491.55 ,$508.50 ,$324.88 ,$127.35 ,$565.00 ,$316.97 ,$127.35 ,$301.36 ,$148.31 ,$141.57 ,$133.72 ,$480.25 ,$355.95 ,$158.20 ,$508.50 ,$491.55 , N/A , N/A ,$127.35 ,$367.25 ST. FRANCIS HOSPITAL - ACUTE,78000110,99238,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY <31MIN- 95,960,1 ,$218.00 ,$156.96 ,$49.14 ,$218.00 ,$125.35 ,$156.96 ,$118.59 ,$49.14 ,$61.04 ,$144.97 ,$49.14 ,$152.60 ,$49.14 ,$137.34 ,$137.34 ,$49.14 ,$137.34 ,$101.28 ,$200.56 , N/A ,$49.14 ,$185.30 ,$183.12 ,$49.14 ,$163.50 ,$174.40 ,$174.40 ,$49.14 ,$174.40 ,$189.66 ,$189.66 ,$189.66 ,$196.20 ,$125.35 ,$49.14 ,$218.00 ,$122.30 ,$49.14 ,$100.42 , N/A , N/A ,$51.60 ,$185.30 ,$137.34 ,$61.04 ,$196.20 ,$189.66 , N/A , N/A ,$49.14 ,$141.70 ST. FRANCIS HOSPITAL - ACUTE,78000111,99239,PC TELEHEALTH HOSP INP/OBS DISCHARGE DAY >30MIN- 95,960,1 ,$265.00 ,$190.80 ,$59.73 ,$265.00 ,$152.38 ,$190.80 ,$144.16 ,$59.73 ,$74.20 ,$176.23 ,$59.73 ,$185.50 ,$59.73 ,$166.95 ,$166.95 ,$59.73 ,$166.95 ,$123.12 ,$243.80 , N/A ,$59.73 ,$225.25 ,$222.60 ,$59.73 ,$198.75 ,$212.00 ,$212.00 ,$59.73 ,$212.00 ,$230.55 ,$230.55 ,$230.55 ,$238.50 ,$152.38 ,$59.73 ,$265.00 ,$148.67 ,$59.73 ,$147.15 , N/A , N/A ,$62.72 ,$225.25 ,$166.95 ,$74.20 ,$238.50 ,$230.55 , N/A , N/A ,$59.73 ,$172.25 ST. FRANCIS HOSPITAL - ACUTE,78000176,G0425,PC TELEHEALTH ED/IP CONSULT 30 MIN - 95,960,1 ,$350.00 ,$252.00 ,$78.89 ,$350.00 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 , N/A ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$198.87 ,$148.31 ,$141.57 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 , N/A , N/A ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,78000177,G0426,PC TELEHEALTH ED/IP CONSULT 50 MIN - 95,960,1 ,$450.00 ,$324.00 ,$101.43 ,$450.00 ,$258.75 ,$324.00 ,$244.80 ,$101.43 ,$126.00 ,$299.25 ,$101.43 ,$315.00 ,$101.43 ,$283.50 ,$283.50 ,$101.43 ,$283.50 ,$209.07 ,$414.00 , N/A ,$101.43 ,$382.50 ,$378.00 ,$101.43 ,$337.50 ,$360.00 ,$360.00 ,$101.43 ,$360.00 ,$391.50 ,$391.50 ,$391.50 ,$405.00 ,$258.75 ,$101.43 ,$450.00 ,$252.45 ,$101.43 ,$269.77 ,$148.31 ,$141.57 ,$106.51 ,$382.50 ,$283.50 ,$126.00 ,$405.00 ,$391.50 , N/A , N/A ,$101.43 ,$292.50 ST. FRANCIS HOSPITAL - ACUTE,78000178,G0427,PC TELEHEALTH ED/IP CONSULT 70 MIN - 95,960,1 ,$550.00 ,$396.00 ,$123.97 ,$550.00 ,$316.25 ,$396.00 ,$299.20 ,$123.97 ,$154.00 ,$365.75 ,$123.97 ,$385.00 ,$123.97 ,$346.50 ,$346.50 ,$123.97 ,$346.50 ,$255.53 ,$506.00 , N/A ,$123.97 ,$467.50 ,$462.00 ,$123.97 ,$412.50 ,$440.00 ,$440.00 ,$123.97 ,$440.00 ,$478.50 ,$478.50 ,$478.50 ,$495.00 ,$316.25 ,$123.97 ,$550.00 ,$308.55 ,$123.97 ,$400.27 ,$148.31 ,$141.57 ,$130.17 ,$467.50 ,$346.50 ,$154.00 ,$495.00 ,$478.50 , N/A , N/A ,$123.97 ,$357.50 ST. FRANCIS HOSPITAL - ACUTE,78000191,G0508,PC TELEHEALTH CRITICAL CARE CONSULT 60 MIN - 95,960,1 ,$650.00 ,$468.00 ,$141.57 ,$650.00 ,$373.75 ,$468.00 ,$353.60 ,$146.51 ,$182.00 ,$432.25 ,$146.51 ,$455.00 ,$146.51 ,$409.50 ,$409.50 ,$146.51 ,$409.50 ,$301.99 ,$598.00 , N/A ,$146.51 ,$552.50 ,$546.00 ,$146.51 ,$487.50 ,$520.00 ,$520.00 ,$146.51 ,$520.00 ,$565.50 ,$565.50 ,$565.50 ,$585.00 ,$373.75 ,$146.51 ,$650.00 ,$364.65 ,$146.51 ,$419.54 ,$148.31 ,$141.57 ,$153.84 ,$552.50 ,$409.50 ,$182.00 ,$585.00 ,$565.50 , N/A , N/A ,$146.51 ,$422.50 ST. FRANCIS HOSPITAL - ACUTE,78000192,G0509,PC TELEHEALTH CRITICAL CARE CONSULT 50 MIN - 95,960,1 ,$650.00 ,$468.00 ,$141.57 ,$650.00 ,$373.75 ,$468.00 ,$353.60 ,$146.51 ,$182.00 ,$432.25 ,$146.51 ,$455.00 ,$146.51 ,$409.50 ,$409.50 ,$146.51 ,$409.50 ,$301.99 ,$598.00 , N/A ,$146.51 ,$552.50 ,$546.00 ,$146.51 ,$487.50 ,$520.00 ,$520.00 ,$146.51 ,$520.00 ,$565.50 ,$565.50 ,$565.50 ,$585.00 ,$373.75 ,$146.51 ,$650.00 ,$364.65 ,$146.51 ,$388.37 ,$148.31 ,$141.57 ,$153.84 ,$552.50 ,$409.50 ,$182.00 ,$585.00 ,$565.50 , N/A , N/A ,$146.51 ,$422.50 ST. FRANCIS HOSPITAL - ACUTE,78000224,G0425,PC TELEHEALTH STROKE ED/IP CONSULT 30 MIN - G0,960,1 ,$350.00 ,$252.00 ,$78.89 ,$350.00 ,$201.25 ,$252.00 ,$190.40 ,$78.89 ,$98.00 ,$232.75 ,$78.89 ,$245.00 ,$78.89 ,$220.50 ,$220.50 ,$78.89 ,$220.50 ,$162.61 ,$322.00 , N/A ,$78.89 ,$297.50 ,$294.00 ,$78.89 ,$262.50 ,$280.00 ,$280.00 ,$78.89 ,$280.00 ,$304.50 ,$304.50 ,$304.50 ,$315.00 ,$201.25 ,$78.89 ,$350.00 ,$196.35 ,$78.89 ,$198.87 ,$148.31 ,$141.57 ,$82.84 ,$297.50 ,$220.50 ,$98.00 ,$315.00 ,$304.50 , N/A , N/A ,$78.89 ,$227.50 ST. FRANCIS HOSPITAL - ACUTE,78000225,G0426,PC TELEHEALTH STROKE ED/IP CONSULT 50 MIN - G0,960,1 ,$450.00 ,$324.00 ,$101.43 ,$450.00 ,$258.75 ,$324.00 ,$244.80 ,$101.43 ,$126.00 ,$299.25 ,$101.43 ,$315.00 ,$101.43 ,$283.50 ,$283.50 ,$101.43 ,$283.50 ,$209.07 ,$414.00 , N/A ,$101.43 ,$382.50 ,$378.00 ,$101.43 ,$337.50 ,$360.00 ,$360.00 ,$101.43 ,$360.00 ,$391.50 ,$391.50 ,$391.50 ,$405.00 ,$258.75 ,$101.43 ,$450.00 ,$252.45 ,$101.43 ,$269.77 ,$148.31 ,$141.57 ,$106.51 ,$382.50 ,$283.50 ,$126.00 ,$405.00 ,$391.50 , N/A , N/A ,$101.43 ,$292.50 ST. FRANCIS HOSPITAL - ACUTE,78000226,G0427,PC TELEHEALTH STROKE ED/IP CONSULT 70 MIN - G0,960,1 ,$550.00 ,$396.00 ,$123.97 ,$550.00 ,$316.25 ,$396.00 ,$299.20 ,$123.97 ,$154.00 ,$365.75 ,$123.97 ,$385.00 ,$123.97 ,$346.50 ,$346.50 ,$123.97 ,$346.50 ,$255.53 ,$506.00 , N/A ,$123.97 ,$467.50 ,$462.00 ,$123.97 ,$412.50 ,$440.00 ,$440.00 ,$123.97 ,$440.00 ,$478.50 ,$478.50 ,$478.50 ,$495.00 ,$316.25 ,$123.97 ,$550.00 ,$308.55 ,$123.97 ,$400.27 ,$148.31 ,$141.57 ,$130.17 ,$467.50 ,$346.50 ,$154.00 ,$495.00 ,$478.50 , N/A , N/A ,$123.97 ,$357.50 ST. FRANCIS HOSPITAL - ACUTE,78000227,G0508,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 60 MIN - G0,960,1 ,$650.00 ,$468.00 ,$141.57 ,$650.00 ,$373.75 ,$468.00 ,$353.60 ,$146.51 ,$182.00 ,$432.25 ,$146.51 ,$455.00 ,$146.51 ,$409.50 ,$409.50 ,$146.51 ,$409.50 ,$301.99 ,$598.00 , N/A ,$146.51 ,$552.50 ,$546.00 ,$146.51 ,$487.50 ,$520.00 ,$520.00 ,$146.51 ,$520.00 ,$565.50 ,$565.50 ,$565.50 ,$585.00 ,$373.75 ,$146.51 ,$650.00 ,$364.65 ,$146.51 ,$419.54 ,$148.31 ,$141.57 ,$153.84 ,$552.50 ,$409.50 ,$182.00 ,$585.00 ,$565.50 , N/A , N/A ,$146.51 ,$422.50 ST. FRANCIS HOSPITAL - ACUTE,78000228,G0509,PC TELEHEALTH STROKE CRITICAL CARE CONSULT 50 MIN -G0,960,1 ,$650.00 ,$468.00 ,$141.57 ,$650.00 ,$373.75 ,$468.00 ,$353.60 ,$146.51 ,$182.00 ,$432.25 ,$146.51 ,$455.00 ,$146.51 ,$409.50 ,$409.50 ,$146.51 ,$409.50 ,$301.99 ,$598.00 , N/A ,$146.51 ,$552.50 ,$546.00 ,$146.51 ,$487.50 ,$520.00 ,$520.00 ,$146.51 ,$520.00 ,$565.50 ,$565.50 ,$565.50 ,$585.00 ,$373.75 ,$146.51 ,$650.00 ,$364.65 ,$146.51 ,$388.37 ,$148.31 ,$141.57 ,$153.84 ,$552.50 ,$409.50 ,$182.00 ,$585.00 ,$565.50 , N/A , N/A ,$146.51 ,$422.50 ST. FRANCIS HOSPITAL - ACUTE,92000002,59025,HC TEST NON STRESS FETAL,920,1 ,"$1,379.00 ",$992.88 ,$310.83 ,"$1,379.00 ",$792.93 ,$992.88 ,$750.18 ,$310.83 ,$386.12 ,$917.04 ,$310.83 ,$965.30 ,$310.83 ,$868.77 ,$868.77 ,$310.83 ,$868.77 ,$640.68 ,"$1,268.68 ",$445.33 ,$310.83 ,"$1,172.15 ","$1,158.36 ",$310.83 ,"$1,034.25 ","$1,103.20 ","$1,103.20 ",$310.83 ,"$1,103.20 ","$1,199.73 ","$1,199.73 ","$1,199.73 ","$1,241.10 ",$792.93 ,$310.83 ,"$1,379.00 ",$773.62 ,$310.83 ,$570.91 , N/A , N/A ,$326.37 ,"$1,172.15 ",$868.77 ,$386.12 ,"$1,241.10 ","$1,199.73 ","$1,103.20 ","$1,103.20 ",$310.83 ,$896.35 ST. FRANCIS HOSPITAL - ACUTE,92000031,59025,HC TEST NON STRESS FETAL EXTENDED,920,1 ,$496.00 ,$357.12 ,$111.80 ,$496.00 ,$285.20 ,$357.12 ,$269.82 ,$111.80 ,$138.88 ,$329.84 ,$111.80 ,$347.20 ,$111.80 ,$312.48 ,$312.48 ,$111.80 ,$312.48 ,$230.44 ,$456.32 ,$445.33 ,$111.80 ,$421.60 ,$416.64 ,$111.80 ,$372.00 ,$396.80 ,$396.80 ,$111.80 ,$396.80 ,$431.52 ,$431.52 ,$431.52 ,$446.40 ,$285.20 ,$111.80 ,$496.00 ,$278.26 ,$111.80 ,$205.34 , N/A , N/A ,$117.38 ,$421.60 ,$312.48 ,$138.88 ,$446.40 ,$431.52 ,$396.80 ,$396.80 ,$111.80 ,$322.40 ST. FRANCIS HOSPITAL - ACUTE,92100002,93880,HC DUPLEX CAROTID BILAT,921,1 ,"$1,542.00 ","$1,110.24 ",$153.17 ,"$1,542.00 ",$886.65 ,"$1,110.24 ",$838.85 ,$347.57 ,$431.76 ,"$1,025.43 ",$347.57 ,"$1,079.40 ",$347.57 ,$971.46 ,$971.46 ,$347.57 ,$971.46 ,$716.41 ,"$1,418.64 ",$583.80 ,$347.57 ,"$1,310.70 ","$1,295.28 ",$347.57 ,"$1,156.50 ","$1,233.60 ","$1,233.60 ",$347.57 ,"$1,233.60 ","$1,341.54 ","$1,341.54 ","$1,341.54 ","$1,387.80 ",$886.65 ,$347.57 ,"$1,542.00 ",$865.06 ,$347.57 ,$638.39 ,$160.47 ,$153.17 ,$364.94 ,"$1,310.70 ",$971.46 ,$431.76 ,"$1,387.80 ","$1,341.54 ","$1,233.60 ","$1,233.60 ",$347.57 ,"$1,002.30 " ST. FRANCIS HOSPITAL - ACUTE,92100003,93882,HC DUPLEX CAROTID UNI,921,1 ,$771.00 ,$555.12 ,$153.17 ,$771.00 ,$443.33 ,$555.12 ,$419.42 ,$173.78 ,$215.88 ,$512.72 ,$173.78 ,$539.70 ,$173.78 ,$485.73 ,$485.73 ,$173.78 ,$485.73 ,$358.21 ,$709.32 ,$267.20 ,$173.78 ,$655.35 ,$647.64 ,$173.78 ,$578.25 ,$616.80 ,$616.80 ,$173.78 ,$616.80 ,$670.77 ,$670.77 ,$670.77 ,$693.90 ,$443.33 ,$173.78 ,$771.00 ,$432.53 ,$173.78 ,$319.19 ,$160.47 ,$153.17 ,$182.48 ,$655.35 ,$485.73 ,$215.88 ,$693.90 ,$670.77 ,$616.80 ,$616.80 ,$173.78 ,$501.15 ST. FRANCIS HOSPITAL - ACUTE,92100005,93922,HC ABI/PPG SINGLE LEVEL,921,1 ,$695.00 ,$500.40 ,$142.82 ,$695.00 ,$399.63 ,$500.40 ,$378.08 ,$156.65 ,$194.60 ,$462.18 ,$156.65 ,$486.50 ,$156.65 ,$437.85 ,$437.85 ,$156.65 ,$437.85 ,$322.90 ,$639.40 ,$290.28 ,$156.65 ,$590.75 ,$583.80 ,$156.65 ,$521.25 ,$556.00 ,$556.00 ,$156.65 ,$556.00 ,$604.65 ,$604.65 ,$604.65 ,$625.50 ,$399.63 ,$156.65 ,$695.00 ,$389.90 ,$156.65 ,$287.73 ,$149.62 ,$142.82 ,$164.48 ,$590.75 ,$437.85 ,$194.60 ,$625.50 ,$604.65 ,$556.00 ,$556.00 ,$156.65 ,$451.75 ST. FRANCIS HOSPITAL - ACUTE,92100011,93922,HC TCPO2 UNLIATERAL 1-2 LEVEL - 93922-52,921,1 ,$639.00 ,$460.08 ,$71.41 ,$639.00 ,$367.43 ,$460.08 ,$347.62 ,$144.03 ,$178.92 ,$424.94 ,$144.03 ,$447.30 ,$144.03 ,$402.57 ,$402.57 ,$144.03 ,$402.57 ,$296.88 ,$587.88 ,$145.14 ,$144.03 ,$543.15 ,$536.76 ,$144.03 ,$479.25 ,$511.20 ,$511.20 ,$144.03 ,$511.20 ,$555.93 ,$555.93 ,$555.93 ,$575.10 ,$367.43 ,$144.03 ,$639.00 ,$358.48 ,$144.03 ,$264.55 ,$74.81 ,$71.41 ,$151.23 ,$543.15 ,$402.57 ,$178.92 ,$575.10 ,$555.93 ,$511.20 ,$511.20 ,$144.03 ,$415.35 ST. FRANCIS HOSPITAL - ACUTE,92100030,93923,HC RESTING ARTERIAL LOWER BILATERAL,921,1 ,"$1,594.00 ","$1,147.68 ",$142.82 ,"$1,594.00 ",$916.55 ,"$1,147.68 ",$867.14 ,$359.29 ,$446.32 ,"$1,060.01 ",$359.29 ,"$1,115.80 ",$359.29 ,"$1,004.22 ","$1,004.22 ",$359.29 ,"$1,004.22 ",$740.57 ,"$1,466.48 ",$363.58 ,$359.29 ,"$1,354.90 ","$1,338.96 ",$359.29 ,"$1,195.50 ","$1,275.20 ","$1,275.20 ",$359.29 ,"$1,275.20 ","$1,386.78 ","$1,386.78 ","$1,386.78 ","$1,434.60 ",$916.55 ,$359.29 ,"$1,594.00 ",$894.23 ,$359.29 ,$659.92 ,$149.62 ,$142.82 ,$377.25 ,"$1,354.90 ","$1,004.22 ",$446.32 ,"$1,434.60 ","$1,386.78 ","$1,275.20 ","$1,275.20 ",$359.29 ,"$1,036.10 " ST. FRANCIS HOSPITAL - ACUTE,92100032,93924,HC DOPPLER ARTERY LWR EXT STRESS,921,1 ,"$2,081.00 ","$1,498.32 ",$142.82 ,"$2,081.00 ","$1,196.58 ","$1,498.32 ","$1,132.06 ",$469.06 ,$582.68 ,"$1,383.87 ",$469.06 ,"$1,456.70 ",$469.06 ,"$1,311.03 ","$1,311.03 ",$469.06 ,"$1,311.03 ",$966.83 ,"$1,914.52 ",$700.15 ,$469.06 ,"$1,768.85 ","$1,748.04 ",$469.06 ,"$1,560.75 ","$1,664.80 ","$1,664.80 ",$469.06 ,"$1,664.80 ","$1,810.47 ","$1,810.47 ","$1,810.47 ","$1,872.90 ","$1,196.58 ",$469.06 ,"$2,081.00 ","$1,167.44 ",$469.06 ,$861.53 ,$149.62 ,$142.82 ,$492.51 ,"$1,768.85 ","$1,311.03 ",$582.68 ,"$1,872.90 ","$1,810.47 ","$1,664.80 ","$1,664.80 ",$469.06 ,"$1,352.65 " ST. FRANCIS HOSPITAL - ACUTE,92100034,93925,HC DUPLEX ARTERIAL LWR EXT BI,921,1 ,"$1,476.00 ","$1,062.72 ",$201.61 ,"$1,476.00 ",$848.70 ,"$1,062.72 ",$802.94 ,$332.69 ,$413.28 ,$981.54 ,$332.69 ,"$1,033.20 ",$332.69 ,$929.88 ,$929.88 ,$332.69 ,$929.88 ,$685.75 ,"$1,357.92 ",$583.80 ,$332.69 ,"$1,254.60 ","$1,239.84 ",$332.69 ,"$1,107.00 ","$1,180.80 ","$1,180.80 ",$332.69 ,"$1,180.80 ","$1,284.12 ","$1,284.12 ","$1,284.12 ","$1,328.40 ",$848.70 ,$332.69 ,"$1,476.00 ",$828.04 ,$332.69 ,$611.06 ,$211.21 ,$201.61 ,$349.32 ,"$1,254.60 ",$929.88 ,$413.28 ,"$1,328.40 ","$1,284.12 ","$1,180.80 ","$1,180.80 ",$332.69 ,$959.40 ST. FRANCIS HOSPITAL - ACUTE,92100035,93926,HC DUPLEX ARTRL LWR EXT UNI/LMT,921,1 ,$776.00 ,$558.72 ,$174.91 ,$776.00 ,$446.20 ,$558.72 ,$422.14 ,$174.91 ,$217.28 ,$516.04 ,$174.91 ,$543.20 ,$174.91 ,$488.88 ,$488.88 ,$174.91 ,$488.88 ,$360.53 ,$713.92 ,$267.20 ,$174.91 ,$659.60 ,$651.84 ,$174.91 ,$582.00 ,$620.80 ,$620.80 ,$174.91 ,$620.80 ,$675.12 ,$675.12 ,$675.12 ,$698.40 ,$446.20 ,$174.91 ,$776.00 ,$435.34 ,$174.91 ,$321.26 ,$211.21 ,$201.61 ,$183.65 ,$659.60 ,$488.88 ,$217.28 ,$698.40 ,$675.12 ,$620.80 ,$620.80 ,$174.91 ,$504.40 ST. FRANCIS HOSPITAL - ACUTE,92100037,93930,HC DUPLEX ARTERIAL UPR EXT BI,921,1 ,"$1,301.00 ",$936.72 ,$153.17 ,"$1,301.00 ",$748.08 ,$936.72 ,$707.74 ,$293.25 ,$364.28 ,$865.17 ,$293.25 ,$910.70 ,$293.25 ,$819.63 ,$819.63 ,$293.25 ,$819.63 ,$604.44 ,"$1,196.92 ",$583.80 ,$293.25 ,"$1,105.85 ","$1,092.84 ",$293.25 ,$975.75 ,"$1,040.80 ","$1,040.80 ",$293.25 ,"$1,040.80 ","$1,131.87 ","$1,131.87 ","$1,131.87 ","$1,170.90 ",$748.08 ,$293.25 ,"$1,301.00 ",$729.86 ,$293.25 ,$538.61 ,$160.47 ,$153.17 ,$307.91 ,"$1,105.85 ",$819.63 ,$364.28 ,"$1,170.90 ","$1,131.87 ","$1,040.80 ","$1,040.80 ",$293.25 ,$845.65 ST. FRANCIS HOSPITAL - ACUTE,92100038,93931,HC DUPLEX ARTRL UPR EXT UNI/LMT,921,1 ,$776.00 ,$558.72 ,$153.17 ,$776.00 ,$446.20 ,$558.72 ,$422.14 ,$174.91 ,$217.28 ,$516.04 ,$174.91 ,$543.20 ,$174.91 ,$488.88 ,$488.88 ,$174.91 ,$488.88 ,$360.53 ,$713.92 ,$267.20 ,$174.91 ,$659.60 ,$651.84 ,$174.91 ,$582.00 ,$620.80 ,$620.80 ,$174.91 ,$620.80 ,$675.12 ,$675.12 ,$675.12 ,$698.40 ,$446.20 ,$174.91 ,$776.00 ,$435.34 ,$174.91 ,$321.26 ,$160.47 ,$153.17 ,$183.65 ,$659.60 ,$488.88 ,$217.28 ,$698.40 ,$675.12 ,$620.80 ,$620.80 ,$174.91 ,$504.40 ST. FRANCIS HOSPITAL - ACUTE,92100041,93970,HC DUPLEX VENOUS EXT BI,921,1 ,"$1,856.00 ","$1,336.32 ",$201.61 ,"$1,856.00 ","$1,067.20 ","$1,336.32 ","$1,009.66 ",$418.34 ,$519.68 ,"$1,234.24 ",$418.34 ,"$1,299.20 ",$418.34 ,"$1,169.28 ","$1,169.28 ",$418.34 ,"$1,169.28 ",$862.30 ,"$1,707.52 ",$583.80 ,$418.34 ,"$1,577.60 ","$1,559.04 ",$418.34 ,"$1,392.00 ","$1,484.80 ","$1,484.80 ",$418.34 ,"$1,484.80 ","$1,614.72 ","$1,614.72 ","$1,614.72 ","$1,670.40 ","$1,067.20 ",$418.34 ,"$1,856.00 ","$1,041.22 ",$418.34 ,$768.38 ,$211.21 ,$201.61 ,$439.26 ,"$1,577.60 ","$1,169.28 ",$519.68 ,"$1,670.40 ","$1,614.72 ","$1,484.80 ","$1,484.80 ",$418.34 ,"$1,206.40 " ST. FRANCIS HOSPITAL - ACUTE,92100043,93971,HC DUPLEX VENOUS EXT UNI/LMTD,921,1 ,$890.00 ,$640.80 ,$200.61 ,$890.00 ,$511.75 ,$640.80 ,$484.16 ,$200.61 ,$249.20 ,$591.85 ,$200.61 ,$623.00 ,$200.61 ,$560.70 ,$560.70 ,$200.61 ,$560.70 ,$413.49 ,$818.80 ,$267.20 ,$200.61 ,$756.50 ,$747.60 ,$200.61 ,$667.50 ,$712.00 ,$712.00 ,$200.61 ,$712.00 ,$774.30 ,$774.30 ,$774.30 ,$801.00 ,$511.75 ,$200.61 ,$890.00 ,$499.29 ,$200.61 ,$368.46 ,$211.21 ,$201.61 ,$210.64 ,$756.50 ,$560.70 ,$249.20 ,$801.00 ,$774.30 ,$712.00 ,$712.00 ,$200.61 ,$578.50 ST. FRANCIS HOSPITAL - ACUTE,92100049,93923,HC RESTING ARTERIAL EXTREMITY COMP -52,921,1 ,$585.00 ,$421.20 ,$71.41 ,$585.00 ,$336.38 ,$421.20 ,$318.24 ,$131.86 ,$163.80 ,$389.03 ,$131.86 ,$409.50 ,$131.86 ,$368.55 ,$368.55 ,$131.86 ,$368.55 ,$271.79 ,$538.20 ,$181.79 ,$131.86 ,$497.25 ,$491.40 ,$131.86 ,$438.75 ,$468.00 ,$468.00 ,$131.86 ,$468.00 ,$508.95 ,$508.95 ,$508.95 ,$526.50 ,$336.38 ,$131.86 ,$585.00 ,$328.19 ,$131.86 ,$242.19 ,$74.81 ,$71.41 ,$138.45 ,$497.25 ,$368.55 ,$163.80 ,$526.50 ,$508.95 ,$468.00 ,$468.00 ,$131.86 ,$380.25 ST. FRANCIS HOSPITAL - ACUTE,92100051,93701,HC BIOIMPEDANCE DERIVED PHYSIO CV ANALYSIS,921,1 ,$287.00 ,$206.64 ,$2.37 ,$290.28 ,$165.03 ,$206.64 ,$156.13 ,$64.69 ,$80.36 ,$190.86 ,$64.69 ,$200.90 ,$64.69 ,$180.81 ,$180.81 ,$64.69 ,$180.81 ,$133.34 ,$264.04 ,$290.28 ,$64.69 ,$243.95 ,$241.08 ,$64.69 ,$215.25 ,$229.60 ,$229.60 ,$64.69 ,$229.60 ,$249.69 ,$249.69 ,$249.69 ,$258.30 ,$165.03 ,$64.69 ,$287.00 ,$161.01 ,$64.69 ,$118.82 ,$2.49 ,$2.37 ,$67.92 ,$243.95 ,$180.81 ,$80.36 ,$258.30 ,$249.69 ,$229.60 ,$229.60 ,$64.69 ,$186.55 ST. FRANCIS HOSPITAL - ACUTE,92200011,95886,HC EMG ADD ON >5 MUSCLES,922,1 ,$696.00 ,$501.12 ,$156.88 ,$696.00 ,$400.20 ,$501.12 ,$378.62 ,$156.88 ,$194.88 ,$462.84 ,$156.88 ,$487.20 ,$156.88 ,$438.48 ,$438.48 ,$156.88 ,$438.48 ,$323.36 ,$640.32 , N/A ,$156.88 ,$591.60 ,$584.64 ,$156.88 ,$522.00 ,$556.80 ,$556.80 ,$156.88 ,$556.80 ,$605.52 ,$605.52 ,$605.52 ,$626.40 ,$400.20 ,$156.88 ,$696.00 ,$390.46 ,$156.88 ,$288.14 ,$346.40 ,$330.66 ,$164.72 ,$591.60 ,$438.48 ,$194.88 ,$626.40 ,$605.52 ,$556.80 ,$556.80 ,$156.88 ,$452.40 ST. FRANCIS HOSPITAL - ACUTE,92200022,95908,HC NVR CNDJ TST 3-4 STUDIES,922,1 ,$798.00 ,$574.56 ,$179.87 ,$798.00 ,$458.85 ,$574.56 ,$434.11 ,$179.87 ,$223.44 ,$530.67 ,$179.87 ,$558.60 ,$179.87 ,$502.74 ,$502.74 ,$179.87 ,$502.74 ,$370.75 ,$734.16 ,$700.15 ,$179.87 ,$678.30 ,$670.32 ,$179.87 ,$598.50 ,$638.40 ,$638.40 ,$179.87 ,$638.40 ,$694.26 ,$694.26 ,$694.26 ,$718.20 ,$458.85 ,$179.87 ,$798.00 ,$447.68 ,$179.87 ,$330.37 ,$346.40 ,$330.66 ,$188.87 ,$678.30 ,$502.74 ,$223.44 ,$718.20 ,$694.26 ,$638.40 ,$638.40 ,$179.87 ,$518.70 ST. FRANCIS HOSPITAL - ACUTE,92200023,95909,HC NVR CNDJ TST 5-6 STUDIES,922,1 ,$958.00 ,$689.76 ,$215.93 ,$958.00 ,$550.85 ,$689.76 ,$521.15 ,$215.93 ,$268.24 ,$637.07 ,$215.93 ,$670.60 ,$215.93 ,$603.54 ,$603.54 ,$215.93 ,$603.54 ,$445.09 ,$881.36 ,$700.15 ,$215.93 ,$814.30 ,$804.72 ,$215.93 ,$718.50 ,$766.40 ,$766.40 ,$215.93 ,$766.40 ,$833.46 ,$833.46 ,$833.46 ,$862.20 ,$550.85 ,$215.93 ,$958.00 ,$537.44 ,$215.93 ,$396.61 ,$346.40 ,$330.66 ,$226.73 ,$814.30 ,$603.54 ,$268.24 ,$862.20 ,$833.46 ,$766.40 ,$766.40 ,$215.93 ,$622.70 ST. FRANCIS HOSPITAL - ACUTE,92200024,95910,HC NVR CNDJ TST 7-8 STUDIES,922,1 ,"$1,253.00 ",$902.16 ,$282.43 ,"$1,253.00 ",$720.48 ,$902.16 ,$681.63 ,$282.43 ,$350.84 ,$833.25 ,$282.43 ,$877.10 ,$282.43 ,$789.39 ,$789.39 ,$282.43 ,$789.39 ,$582.14 ,"$1,152.76 ",$700.15 ,$282.43 ,"$1,065.05 ","$1,052.52 ",$282.43 ,$939.75 ,"$1,002.40 ","$1,002.40 ",$282.43 ,"$1,002.40 ","$1,090.11 ","$1,090.11 ","$1,090.11 ","$1,127.70 ",$720.48 ,$282.43 ,"$1,253.00 ",$702.93 ,$282.43 ,$518.74 ,$346.40 ,$330.66 ,$296.55 ,"$1,065.05 ",$789.39 ,$350.84 ,"$1,127.70 ","$1,090.11 ","$1,002.40 ","$1,002.40 ",$282.43 ,$814.45 ST. FRANCIS HOSPITAL - ACUTE,92200025,95911,HC NVR CNDJ TST 9-10 STUDIES,922,1 ,"$1,506.00 ","$1,084.32 ",$330.66 ,"$1,506.00 ",$865.95 ,"$1,084.32 ",$819.26 ,$339.45 ,$421.68 ,"$1,001.49 ",$339.45 ,"$1,054.20 ",$339.45 ,$948.78 ,$948.78 ,$339.45 ,$948.78 ,$699.69 ,"$1,385.52 ","$1,208.58 ",$339.45 ,"$1,280.10 ","$1,265.04 ",$339.45 ,"$1,129.50 ","$1,204.80 ","$1,204.80 ",$339.45 ,"$1,204.80 ","$1,310.22 ","$1,310.22 ","$1,310.22 ","$1,355.40 ",$865.95 ,$339.45 ,"$1,506.00 ",$844.87 ,$339.45 ,$623.48 ,$346.40 ,$330.66 ,$356.43 ,"$1,280.10 ",$948.78 ,$421.68 ,"$1,355.40 ","$1,310.22 ","$1,204.80 ","$1,204.80 ",$339.45 ,$978.90 ST. FRANCIS HOSPITAL - ACUTE,92200027,95913,HC NVR CNDJ TST 13 AND > STUDIES,922,1 ,"$2,032.00 ","$1,463.04 ",$330.66 ,"$2,032.00 ","$1,168.40 ","$1,463.04 ","$1,105.41 ",$458.01 ,$568.96 ,"$1,351.28 ",$458.01 ,"$1,422.40 ",$458.01 ,"$1,280.16 ","$1,280.16 ",$458.01 ,"$1,280.16 ",$944.07 ,"$1,869.44 ","$1,208.58 ",$458.01 ,"$1,727.20 ","$1,706.88 ",$458.01 ,"$1,524.00 ","$1,625.60 ","$1,625.60 ",$458.01 ,"$1,625.60 ","$1,767.84 ","$1,767.84 ","$1,767.84 ","$1,828.80 ","$1,168.40 ",$458.01 ,"$2,032.00 ","$1,139.95 ",$458.01 ,$841.25 ,$346.40 ,$330.66 ,$480.92 ,"$1,727.20 ","$1,280.16 ",$568.96 ,"$1,828.80 ","$1,767.84 ","$1,625.60 ","$1,625.60 ",$458.01 ,"$1,320.80 " ST. FRANCIS HOSPITAL - ACUTE,94000101,99195,HC PHLEBOTOMY THERAPEUTIC,940,1 ,$267.00 ,$192.24 ,$60.18 ,$290.28 ,$153.53 ,$192.24 ,$145.25 ,$60.18 ,$74.76 ,$177.56 ,$60.18 ,$186.90 ,$60.18 ,$168.21 ,$168.21 ,$60.18 ,$168.21 ,$124.05 ,$245.64 ,$290.28 ,$60.18 ,$226.95 ,$224.28 ,$60.18 ,$200.25 ,$213.60 ,$213.60 ,$60.18 ,$213.60 ,$232.29 ,$232.29 ,$232.29 ,$240.30 ,$153.53 ,$60.18 ,$267.00 ,$149.79 ,$60.18 ,$110.54 ,$93.46 ,$89.21 ,$63.19 ,$226.95 ,$168.21 ,$74.76 ,$240.30 ,$232.29 ,$213.60 ,$213.60 ,$60.18 ,$173.55 ST. FRANCIS HOSPITAL - ACUTE,94000111,96373,HC INJ TX/PROPH/DIAG INTRA-ARTERIAL,940,1 ,$244.00 ,$175.68 ,$55.00 ,$516.43 ,$140.30 ,$175.68 ,$132.74 ,$55.00 ,$68.32 ,$162.26 ,$55.00 ,$170.80 ,$55.00 ,$153.72 ,$153.72 ,$55.00 ,$153.72 ,$113.36 , N/A ,$516.43 ,$55.00 ,$207.40 ,$204.96 ,$55.00 ,$183.00 ,$195.20 ,$195.20 ,$55.00 ,$195.20 ,$212.28 ,$212.28 ,$212.28 ,$219.60 ,$140.30 ,$55.00 ,$244.00 ,$136.88 ,$55.00 ,$101.02 , N/A , N/A ,$57.75 ,$207.40 ,$153.72 ,$68.32 ,$219.60 ,$212.28 ,$195.20 ,$195.20 ,$55.00 ,$158.60 ST. FRANCIS HOSPITAL - ACUTE,94000112,E0202,HC PHOTO THERAPY PER HOUR,940,1 ,$36.00 ,$25.92 ,$8.11 ,$36.00 ,$20.70 ,$25.92 ,$19.58 ,$8.11 ,$10.08 ,$23.94 ,$8.11 ,$25.20 ,$8.11 ,$22.68 ,$22.68 ,$8.11 ,$22.68 ,$16.73 ,$33.12 ,$18.00 ,$8.11 ,$30.60 ,$30.24 ,$8.11 ,$27.00 ,$28.80 ,$28.80 ,$8.11 ,$28.80 ,$31.32 ,$31.32 ,$31.32 ,$32.40 ,$20.70 ,$8.11 ,$36.00 ,$20.20 ,$8.11 ,$14.90 , N/A , N/A ,$8.52 ,$30.60 ,$22.68 ,$10.08 ,$32.40 ,$31.32 ,$28.80 ,$28.80 ,$8.11 ,$23.40 ST. FRANCIS HOSPITAL - ACUTE,94000114,20560,HC NEEDLE INSERTION W/O INJECTION 1-2 MUSCLES,940,1 ,$232.00 ,$167.04 ,$27.80 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$154.28 ,$52.29 ,$162.40 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$62.40 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$29.13 ,$27.80 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,94000115,20561,HC NEEDLE INSERTION W/O INJECTION 3+ MUSCLES,940,1 ,$232.00 ,$167.04 ,$27.80 ,$232.00 ,$133.40 ,$167.04 ,$126.21 ,$52.29 ,$64.96 ,$154.28 ,$52.29 ,$162.40 ,$52.29 ,$146.16 ,$146.16 ,$52.29 ,$146.16 ,$107.79 ,$213.44 ,$62.40 ,$52.29 ,$197.20 ,$194.88 ,$52.29 ,$174.00 ,$185.60 ,$185.60 ,$52.29 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$133.40 ,$52.29 ,$232.00 ,$130.15 ,$52.29 ,$96.05 ,$29.13 ,$27.80 ,$54.91 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 ,$185.60 ,$185.60 ,$52.29 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,94200005,97802,HC NUTRITION THRPY EVAL 15 MIN,942,1 ,$103.00 ,$74.16 ,$23.22 ,$103.00 ,$59.23 ,$74.16 ,$56.03 ,$23.22 ,$28.84 ,$68.50 ,$23.22 ,$72.10 ,$23.22 ,$64.89 ,$64.89 ,$23.22 ,$64.89 ,$47.85 ,$94.76 ,$89.70 ,$23.22 ,$87.55 ,$86.52 ,$23.22 ,$77.25 ,$82.40 ,$82.40 ,$23.22 ,$82.40 ,$89.61 ,$89.61 ,$89.61 ,$92.70 ,$59.23 ,$23.22 ,$103.00 ,$57.78 ,$23.22 ,$42.64 , N/A , N/A ,$24.37 ,$87.55 ,$64.89 ,$28.84 ,$92.70 ,$89.61 ,$82.40 ,$82.40 ,$23.22 ,$66.95 ST. FRANCIS HOSPITAL - ACUTE,94200019,N/A,HC LACTATION CONSULT 30 MIN,942,1 ,$168.00 ,$120.96 ,$37.87 ,$168.00 ,$96.60 ,$120.96 ,$91.39 ,$37.87 ,$47.04 ,$111.72 ,$37.87 ,$117.60 ,$37.87 ,$105.84 ,$105.84 ,$37.87 ,$105.84 ,$78.05 ,$154.56 , N/A ,$37.87 ,$142.80 ,$141.12 ,$37.87 ,$126.00 ,$134.40 ,$134.40 ,$37.87 ,$134.40 ,$146.16 ,$146.16 ,$146.16 ,$151.20 ,$96.60 ,$37.87 ,$168.00 ,$94.25 ,$37.87 ,$69.55 , N/A , N/A ,$39.76 ,$142.80 ,$105.84 ,$47.04 ,$151.20 ,$146.16 ,$134.40 ,$134.40 ,$37.87 ,$109.20 ST. FRANCIS HOSPITAL - ACUTE,94200020,N/A,HC LACTATION CONSULT 45 MIN,942,1 ,$236.00 ,$169.92 ,$53.19 ,$236.00 ,$135.70 ,$169.92 ,$128.38 ,$53.19 ,$66.08 ,$156.94 ,$53.19 ,$165.20 ,$53.19 ,$148.68 ,$148.68 ,$53.19 ,$148.68 ,$109.65 ,$217.12 , N/A ,$53.19 ,$200.60 ,$198.24 ,$53.19 ,$177.00 ,$188.80 ,$188.80 ,$53.19 ,$188.80 ,$205.32 ,$205.32 ,$205.32 ,$212.40 ,$135.70 ,$53.19 ,$236.00 ,$132.40 ,$53.19 ,$97.70 , N/A , N/A ,$55.85 ,$200.60 ,$148.68 ,$66.08 ,$212.40 ,$205.32 ,$188.80 ,$188.80 ,$53.19 ,$153.40 ST. FRANCIS HOSPITAL - ACUTE,94200021,N/A,HC LACTATION CONSULT 60 MIN,942,1 ,$303.00 ,$218.16 ,$68.30 ,$303.00 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 , N/A ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 , N/A , N/A ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,94300004,93797,HC CARDIAC REHAB W/O EKG SESSION,943,1 ,$303.00 ,$218.16 ,$68.30 ,$303.00 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$300.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 , N/A , N/A ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,94300009,93798,HC CARDIAC REHAB W/EKG SESSION (ASSESSMENT),943,1 ,$303.00 ,$218.16 ,$68.30 ,$303.00 ,$174.23 ,$218.16 ,$164.83 ,$68.30 ,$84.84 ,$201.50 ,$68.30 ,$212.10 ,$68.30 ,$190.89 ,$190.89 ,$68.30 ,$190.89 ,$140.77 ,$278.76 ,$300.18 ,$68.30 ,$257.55 ,$254.52 ,$68.30 ,$227.25 ,$242.40 ,$242.40 ,$68.30 ,$242.40 ,$263.61 ,$263.61 ,$263.61 ,$272.70 ,$174.23 ,$68.30 ,$303.00 ,$169.98 ,$68.30 ,$125.44 , N/A , N/A ,$71.71 ,$257.55 ,$190.89 ,$84.84 ,$272.70 ,$263.61 ,$242.40 ,$242.40 ,$68.30 ,$196.95 ST. FRANCIS HOSPITAL - ACUTE,94300019,N/A,HC CARDIAC REHAB PHASE 3 FULL MONTH,943,1 ,$46.00 ,$33.12 ,$10.37 ,$46.00 ,$26.45 ,$33.12 ,$25.02 ,$10.37 ,$12.88 ,$30.59 ,$10.37 ,$32.20 ,$10.37 ,$28.98 ,$28.98 ,$10.37 ,$28.98 ,$21.37 ,$42.32 , N/A ,$10.37 ,$39.10 ,$38.64 ,$10.37 ,$34.50 ,$36.80 ,$36.80 ,$10.37 ,$36.80 ,$40.02 ,$40.02 ,$40.02 ,$41.40 ,$26.45 ,$10.37 ,$46.00 ,$25.81 ,$10.37 ,$19.04 , N/A , N/A ,$10.89 ,$39.10 ,$28.98 ,$12.88 ,$41.40 ,$40.02 ,$36.80 ,$36.80 ,$10.37 ,$29.90 ST. FRANCIS HOSPITAL - ACUTE,94300021,N/A,HC CARDIAC REHAB EXERCISE PER VISIT,943,1 ,$5.00 ,$3.60 ,$1.13 ,$5.00 ,$2.88 ,$3.60 ,$2.72 ,$1.13 ,$1.40 ,$3.33 ,$1.13 ,$3.50 ,$1.13 ,$3.15 ,$3.15 ,$1.13 ,$3.15 ,$2.32 ,$4.60 , N/A ,$1.13 ,$4.25 ,$4.20 ,$1.13 ,$3.75 ,$4.00 ,$4.00 ,$1.13 ,$4.00 ,$4.35 ,$4.35 ,$4.35 ,$4.50 ,$2.88 ,$1.13 ,$5.00 ,$2.81 ,$1.13 ,$2.07 , N/A , N/A ,$1.19 ,$4.25 ,$3.15 ,$1.40 ,$4.50 ,$4.35 ,$4.00 ,$4.00 ,$1.13 ,$3.25 ST. FRANCIS HOSPITAL - ACUTE,94300030,G0422,HC INTENSIVE CARDIAC REHAB W/EXERCISE PER HOUR,943,1 ,$360.00 ,$259.20 ,$81.14 ,$360.00 ,$207.00 ,$259.20 ,$195.84 ,$81.14 ,$100.80 ,$239.40 ,$81.14 ,$252.00 ,$81.14 ,$226.80 ,$226.80 ,$81.14 ,$226.80 ,$167.26 ,$331.20 ,$300.18 ,$81.14 ,$306.00 ,$302.40 ,$81.14 ,$270.00 ,$288.00 ,$288.00 ,$81.14 ,$288.00 ,$313.20 ,$313.20 ,$313.20 ,$324.00 ,$207.00 ,$81.14 ,$360.00 ,$201.96 ,$81.14 ,$149.04 , N/A , N/A ,$85.20 ,$306.00 ,$226.80 ,$100.80 ,$324.00 ,$313.20 ,$288.00 ,$288.00 ,$81.14 ,$234.00 ST. FRANCIS HOSPITAL - ACUTE,94300031,G0423,HC INTENSIVE CARDIAC REHAB W/O EXERCISE PER HOUR,943,1 ,$360.00 ,$259.20 ,$81.14 ,$360.00 ,$207.00 ,$259.20 ,$195.84 ,$81.14 ,$100.80 ,$239.40 ,$81.14 ,$252.00 ,$81.14 ,$226.80 ,$226.80 ,$81.14 ,$226.80 ,$167.26 ,$331.20 ,$300.18 ,$81.14 ,$306.00 ,$302.40 ,$81.14 ,$270.00 ,$288.00 ,$288.00 ,$81.14 ,$288.00 ,$313.20 ,$313.20 ,$313.20 ,$324.00 ,$207.00 ,$81.14 ,$360.00 ,$201.96 ,$81.14 ,$149.04 , N/A , N/A ,$85.20 ,$306.00 ,$226.80 ,$100.80 ,$324.00 ,$313.20 ,$288.00 ,$288.00 ,$81.14 ,$234.00 ST. FRANCIS HOSPITAL - ACUTE,94800001,94625,HC PHY/QHP OP PULM RHB W/O MNTR,948,1 ,$161.00 ,$115.92 ,$36.29 ,$161.00 ,$92.58 ,$115.92 ,$87.58 ,$36.29 ,$45.08 ,$107.07 ,$36.29 ,$112.70 ,$36.29 ,$101.43 ,$101.43 ,$36.29 ,$101.43 ,$74.80 ,$148.12 ,$143.70 ,$36.29 ,$136.85 ,$135.24 ,$36.29 ,$120.75 ,$128.80 ,$128.80 ,$36.29 ,$128.80 ,$140.07 ,$140.07 ,$140.07 ,$144.90 ,$92.58 ,$36.29 ,$161.00 ,$90.32 ,$36.29 ,$66.65 , N/A , N/A ,$38.10 ,$136.85 ,$101.43 ,$45.08 ,$144.90 ,$140.07 ,$128.80 ,$128.80 ,$36.29 ,$104.65 ST. FRANCIS HOSPITAL - ACUTE,97500073,43239,PC EGD W/BIOPSY SGL/MULT,975,1 ,"$1,172.00 ",$843.84 ,$261.63 ,"$2,063.78 ",$673.90 ,$843.84 ,$637.57 ,$264.17 ,$328.16 ,$779.38 ,$264.17 ,$820.40 ,$264.17 ,$738.36 ,$738.36 ,$264.17 ,$738.36 ,$544.51 ,"$1,078.24 ","$2,063.78 ",$264.17 ,$996.20 ,$984.48 ,$264.17 ,$879.00 ,$937.60 ,$937.60 ,$264.17 ,$937.60 ,"$1,019.64 ","$1,019.64 ","$1,019.64 ","$1,054.80 ",$673.90 ,$264.17 ,"$1,172.00 ",$657.49 ,$264.17 ,$261.63 ,$825.70 ,$788.17 ,$277.38 ,$996.20 ,$738.36 ,$328.16 ,"$1,054.80 ","$1,019.64 ", N/A , N/A ,$264.17 ,$761.80 ST. FRANCIS HOSPITAL - ACUTE,97500081,43235,PC EGD W/BRUSH/WASH,975,1 ,$920.00 ,$662.40 ,$207.37 ,"$2,063.78 ",$529.00 ,$662.40 ,$500.48 ,$207.37 ,$257.60 ,$611.80 ,$207.37 ,$644.00 ,$207.37 ,$579.60 ,$579.60 ,$207.37 ,$579.60 ,$427.43 ,$846.40 ,"$2,063.78 ",$207.37 ,$782.00 ,$772.80 ,$207.37 ,$690.00 ,$736.00 ,$736.00 ,$207.37 ,$736.00 ,$800.40 ,$800.40 ,$800.40 ,$828.00 ,$529.00 ,$207.37 ,$920.00 ,$516.12 ,$207.37 ,$232.17 ,$825.70 ,$788.17 ,$217.74 ,$782.00 ,$579.60 ,$257.60 ,$828.00 ,$800.40 , N/A , N/A ,$207.37 ,$598.00 ST. FRANCIS HOSPITAL - ACUTE,97500104,11008,PC REMOVE PROSTEHTIC/MESH FROM ADBOMINAL WALL,975,1 ,$911.00 ,$655.92 ,$205.34 ,$911.00 ,$523.83 ,$655.92 ,$495.58 ,$205.34 ,$255.08 ,$605.82 ,$205.34 ,$637.70 ,$205.34 ,$573.93 ,$573.93 ,$205.34 ,$573.93 ,$423.25 ,$838.12 , N/A ,$205.34 ,$774.35 ,$765.24 ,$205.34 ,$683.25 ,$728.80 ,$728.80 ,$205.34 ,$728.80 ,$792.57 ,$792.57 ,$792.57 ,$819.90 ,$523.83 ,$205.34 ,$911.00 ,$511.07 ,$205.34 ,$536.23 , N/A , N/A ,$215.61 ,$774.35 ,$573.93 ,$255.08 ,$819.90 ,$792.57 , N/A , N/A ,$205.34 ,$592.15 ST. FRANCIS HOSPITAL - ACUTE,97500105,47379,PC LAPAROSCOPIC PROCEDURE LIVER UNLISTED,975,1 ,"$2,845.00 ","$2,048.40 ",$641.26 ,"$13,030.38 ","$1,635.88 ","$2,048.40 ","$1,547.68 ",$641.26 ,$796.60 ,"$1,891.93 ",$641.26 ,"$1,991.50 ",$641.26 ,"$1,792.35 ","$1,792.35 ",$641.26 ,"$1,792.35 ","$1,321.79 ","$2,617.40 ","$13,030.38 ",$641.26 ,"$2,418.25 ","$2,389.80 ",$641.26 ,"$2,133.75 ","$2,276.00 ","$2,276.00 ",$641.26 ,"$2,276.00 ","$2,475.15 ","$2,475.15 ","$2,475.15 ","$2,560.50 ","$1,635.88 ",$641.26 ,"$2,845.00 ","$1,596.05 ",$641.26 ,"$1,991.50 ","$3,065.41 ","$2,926.08 ",$673.33 ,"$2,418.25 ","$1,792.35 ",$796.60 ,"$2,560.50 ","$2,475.15 ", N/A , N/A ,$641.26 ,"$1,849.25 " ST. FRANCIS HOSPITAL - ACUTE,97500106,47562,PC LAPAROSCOPY W/CHOLECYSTECTOMY,975,1 ,"$2,190.00 ","$1,576.80 ",$493.63 ,"$13,030.38 ","$1,259.25 ","$1,576.80 ","$1,191.36 ",$493.63 ,$613.20 ,"$1,456.35 ",$493.63 ,"$1,533.00 ",$493.63 ,"$1,379.70 ","$1,379.70 ",$493.63 ,"$1,379.70 ","$1,017.47 ","$2,014.80 ","$13,030.38 ",$493.63 ,"$1,861.50 ","$1,839.60 ",$493.63 ,"$1,642.50 ","$1,752.00 ","$1,752.00 ",$493.63 ,"$1,752.00 ","$1,905.30 ","$1,905.30 ","$1,905.30 ","$1,971.00 ","$1,259.25 ",$493.63 ,"$2,190.00 ","$1,228.59 ",$493.63 ,"$1,273.99 ","$3,892.63 ","$3,715.69 ",$518.31 ,"$1,861.50 ","$1,379.70 ",$613.20 ,"$1,971.00 ","$1,905.30 ", N/A , N/A ,$493.63 ,"$1,423.50 " ST. FRANCIS HOSPITAL - ACUTE,97500107,47563,PC LAPAROSCOPY W/CHOLECYSTECTOMY/CHOLANGIOGRAPHY,975,1 ,"$2,384.00 ","$1,716.48 ",$537.35 ,"$13,030.38 ","$1,370.80 ","$1,716.48 ","$1,296.90 ",$537.35 ,$667.52 ,"$1,585.36 ",$537.35 ,"$1,668.80 ",$537.35 ,"$1,501.92 ","$1,501.92 ",$537.35 ,"$1,501.92 ","$1,107.61 ","$2,193.28 ","$13,030.38 ",$537.35 ,"$2,026.40 ","$2,002.56 ",$537.35 ,"$1,788.00 ","$1,907.20 ","$1,907.20 ",$537.35 ,"$1,907.20 ","$2,074.08 ","$2,074.08 ","$2,074.08 ","$2,145.60 ","$1,370.80 ",$537.35 ,"$2,384.00 ","$1,337.42 ",$537.35 ,"$1,387.60 ","$4,880.89 ","$4,659.03 ",$564.23 ,"$2,026.40 ","$1,501.92 ",$667.52 ,"$2,145.60 ","$2,074.08 ", N/A , N/A ,$537.35 ,"$1,549.60 " ST. FRANCIS HOSPITAL - ACUTE,97500108,49505,PC REPAIR INIT INGUINAL HERNA REDUCIBLE 5YRS >,975,1 ,"$1,727.00 ","$1,243.44 ",$389.27 ,"$8,854.83 ",$993.03 ,"$1,243.44 ",$939.49 ,$389.27 ,$483.56 ,"$1,148.46 ",$389.27 ,"$1,208.90 ",$389.27 ,"$1,088.01 ","$1,088.01 ",$389.27 ,"$1,088.01 ",$802.36 ,"$1,588.84 ","$8,854.83 ",$389.27 ,"$1,467.95 ","$1,450.68 ",$389.27 ,"$1,295.25 ","$1,381.60 ","$1,381.60 ",$389.27 ,"$1,381.60 ","$1,502.49 ","$1,502.49 ","$1,502.49 ","$1,554.30 ",$993.03 ,$389.27 ,"$1,727.00 ",$968.85 ,$389.27 ,"$1,003.74 ","$2,461.50 ","$2,349.62 ",$408.73 ,"$1,467.95 ","$1,088.01 ",$483.56 ,"$1,554.30 ","$1,502.49 ", N/A , N/A ,$389.27 ,"$1,122.55 " ST. FRANCIS HOSPITAL - ACUTE,97500109,49520,PC RPR RECURRENT INGUINAL HERNA REDUCIBLE ANY AGE,975,1 ,"$2,101.00 ","$1,512.72 ",$473.57 ,"$8,854.83 ","$1,208.08 ","$1,512.72 ","$1,142.94 ",$473.57 ,$588.28 ,"$1,397.17 ",$473.57 ,"$1,470.70 ",$473.57 ,"$1,323.63 ","$1,323.63 ",$473.57 ,"$1,323.63 ",$976.12 ,"$1,932.92 ","$8,854.83 ",$473.57 ,"$1,785.85 ","$1,764.84 ",$473.57 ,"$1,575.75 ","$1,680.80 ","$1,680.80 ",$473.57 ,"$1,680.80 ","$1,827.87 ","$1,827.87 ","$1,827.87 ","$1,890.90 ","$1,208.08 ",$473.57 ,"$2,101.00 ","$1,178.66 ",$473.57 ,"$1,220.77 ","$2,957.53 ","$2,823.09 ",$497.24 ,"$1,785.85 ","$1,323.63 ",$588.28 ,"$1,890.90 ","$1,827.87 ", N/A , N/A ,$473.57 ,"$1,365.65 " ST. FRANCIS HOSPITAL - ACUTE,97500110,49560,PC RPR INIT INCISIONAL/VENTRAL HERNIA REDUCIBLE,975,1 ,"$2,445.00 ","$1,760.40 ",$551.10 ,"$2,445.00 ","$1,405.88 ","$1,760.40 ","$1,330.08 ",$551.10 ,$684.60 ,"$1,625.93 ",$551.10 ,"$1,711.50 ",$551.10 ,"$1,540.35 ","$1,540.35 ",$551.10 ,"$1,540.35 ","$1,135.95 ","$2,249.40 ", N/A ,$551.10 ,"$2,078.25 ","$2,053.80 ",$551.10 ,"$1,833.75 ","$1,956.00 ","$1,956.00 ",$551.10 ,"$1,956.00 ","$2,127.15 ","$2,127.15 ","$2,127.15 ","$2,200.50 ","$1,405.88 ",$551.10 ,"$2,445.00 ","$1,371.65 ",$551.10 ,"$1,428.39 ", N/A , N/A ,$578.66 ,"$2,078.25 ","$1,540.35 ",$684.60 ,"$2,200.50 ","$2,127.15 ", N/A , N/A ,$551.10 ,"$1,589.25 " ST. FRANCIS HOSPITAL - ACUTE,97500111,49585,PC RPR UMBILICAL HERNIA REDUCIBLE 5YRS >,975,1 ,"$1,472.00 ","$1,059.84 ",$331.79 ,"$1,472.00 ",$846.40 ,"$1,059.84 ",$800.77 ,$331.79 ,$412.16 ,$978.88 ,$331.79 ,"$1,030.40 ",$331.79 ,$927.36 ,$927.36 ,$331.79 ,$927.36 ,$683.89 ,"$1,354.24 ", N/A ,$331.79 ,"$1,251.20 ","$1,236.48 ",$331.79 ,"$1,104.00 ","$1,177.60 ","$1,177.60 ",$331.79 ,"$1,177.60 ","$1,280.64 ","$1,280.64 ","$1,280.64 ","$1,324.80 ",$846.40 ,$331.79 ,"$1,472.00 ",$825.79 ,$331.79 ,$855.14 , N/A , N/A ,$348.38 ,"$1,251.20 ",$927.36 ,$412.16 ,"$1,324.80 ","$1,280.64 ", N/A , N/A ,$331.79 ,$956.80 ST. FRANCIS HOSPITAL - ACUTE,97500112,49587,PC RPR UMBILICAL HERNIA INCARCTD/STRANGULTD 5YRS >,975,1 ,"$1,572.00 ","$1,131.84 ",$354.33 ,"$1,572.00 ",$903.90 ,"$1,131.84 ",$855.17 ,$354.33 ,$440.16 ,"$1,045.38 ",$354.33 ,"$1,100.40 ",$354.33 ,$990.36 ,$990.36 ,$354.33 ,$990.36 ,$730.35 ,"$1,446.24 ", N/A ,$354.33 ,"$1,336.20 ","$1,320.48 ",$354.33 ,"$1,179.00 ","$1,257.60 ","$1,257.60 ",$354.33 ,"$1,257.60 ","$1,367.64 ","$1,367.64 ","$1,367.64 ","$1,414.80 ",$903.90 ,$354.33 ,"$1,572.00 ",$881.89 ,$354.33 ,$915.12 , N/A , N/A ,$372.05 ,"$1,336.20 ",$990.36 ,$440.16 ,"$1,414.80 ","$1,367.64 ", N/A , N/A ,$354.33 ,"$1,021.80 " ST. FRANCIS HOSPITAL - ACUTE,97500113,49650,PC LAPAROSCOPY SURG REPAIR INIT INGUINAL HERNIA,975,1 ,"$1,422.00 ","$1,023.84 ",$320.52 ,"$13,030.38 ",$817.65 ,"$1,023.84 ",$773.57 ,$320.52 ,$398.16 ,$945.63 ,$320.52 ,$995.40 ,$320.52 ,$895.86 ,$895.86 ,$320.52 ,$895.86 ,$660.66 ,"$1,308.24 ","$13,030.38 ",$320.52 ,"$1,208.70 ","$1,194.48 ",$320.52 ,"$1,066.50 ","$1,137.60 ","$1,137.60 ",$320.52 ,"$1,137.60 ","$1,237.14 ","$1,237.14 ","$1,237.14 ","$1,279.80 ",$817.65 ,$320.52 ,"$1,422.00 ",$797.74 ,$320.52 ,$825.09 ,"$3,892.63 ","$3,715.69 ",$336.54 ,"$1,208.70 ",$895.86 ,$398.16 ,"$1,279.80 ","$1,237.14 ", N/A , N/A ,$320.52 ,$924.30 ST. FRANCIS HOSPITAL - ACUTE,97500114,49651,PC LAPAROSCOPY SURG REPAIR RECURRENT INGUINAL HERNIA,975,1 ,"$1,859.00 ","$1,338.48 ",$419.02 ,"$13,030.38 ","$1,068.93 ","$1,338.48 ","$1,011.30 ",$419.02 ,$520.52 ,"$1,236.24 ",$419.02 ,"$1,301.30 ",$419.02 ,"$1,171.17 ","$1,171.17 ",$419.02 ,"$1,171.17 ",$863.69 ,"$1,710.28 ","$13,030.38 ",$419.02 ,"$1,580.15 ","$1,561.56 ",$419.02 ,"$1,394.25 ","$1,487.20 ","$1,487.20 ",$419.02 ,"$1,487.20 ","$1,617.33 ","$1,617.33 ","$1,617.33 ","$1,673.10 ","$1,068.93 ",$419.02 ,"$1,859.00 ","$1,042.90 ",$419.02 ,"$1,075.38 ","$3,892.63 ","$3,715.69 ",$439.97 ,"$1,580.15 ","$1,171.17 ",$520.52 ,"$1,673.10 ","$1,617.33 ", N/A , N/A ,$419.02 ,"$1,208.35 " ST. FRANCIS HOSPITAL - ACUTE,97500115,49652,PC LAPAROSCOPY VENTRAL/UMBIL/ABD HERNIA RPR REDUCIBLE,975,1 ,"$2,467.00 ","$1,776.24 ",$556.06 ,"$2,467.00 ","$1,418.53 ","$1,776.24 ","$1,342.05 ",$556.06 ,$690.76 ,"$1,640.56 ",$556.06 ,"$1,726.90 ",$556.06 ,"$1,554.21 ","$1,554.21 ",$556.06 ,"$1,554.21 ","$1,146.17 ","$2,269.64 ", N/A ,$556.06 ,"$2,096.95 ","$2,072.28 ",$556.06 ,"$1,850.25 ","$1,973.60 ","$1,973.60 ",$556.06 ,"$1,973.60 ","$2,146.29 ","$2,146.29 ","$2,146.29 ","$2,220.30 ","$1,418.53 ",$556.06 ,"$2,467.00 ","$1,383.99 ",$556.06 ,"$1,440.71 ", N/A , N/A ,$583.86 ,"$2,096.95 ","$1,554.21 ",$690.76 ,"$2,220.30 ","$2,146.29 ", N/A , N/A ,$556.06 ,"$1,603.55 " ST. FRANCIS HOSPITAL - ACUTE,97500116,49653,PC LAPAROSCOPY VENTRAL/UMBIL/ABD HERNIA RPR INCARCTD/STRANGLULTD,975,1 ,"$3,093.00 ","$2,226.96 ",$697.16 ,"$3,093.00 ","$1,778.48 ","$2,226.96 ","$1,682.59 ",$697.16 ,$866.04 ,"$2,056.85 ",$697.16 ,"$2,165.10 ",$697.16 ,"$1,948.59 ","$1,948.59 ",$697.16 ,"$1,948.59 ","$1,437.01 ","$2,845.56 ", N/A ,$697.16 ,"$2,629.05 ","$2,598.12 ",$697.16 ,"$2,319.75 ","$2,474.40 ","$2,474.40 ",$697.16 ,"$2,474.40 ","$2,690.91 ","$2,690.91 ","$2,690.91 ","$2,783.70 ","$1,778.48 ",$697.16 ,"$3,093.00 ","$1,735.17 ",$697.16 ,"$1,799.32 ", N/A , N/A ,$732.02 ,"$2,629.05 ","$1,948.59 ",$866.04 ,"$2,783.70 ","$2,690.91 ", N/A , N/A ,$697.16 ,"$2,010.45 " ST. FRANCIS HOSPITAL - ACUTE,97500117,49655,PC LAPAROSCOPY RPR INCISIONAL HERNIA INCARCTD/STRANGULTD,975,1 ,"$3,437.00 ","$2,474.64 ",$774.70 ,"$3,437.00 ","$1,976.28 ","$2,474.64 ","$1,869.73 ",$774.70 ,$962.36 ,"$2,285.61 ",$774.70 ,"$2,405.90 ",$774.70 ,"$2,165.31 ","$2,165.31 ",$774.70 ,"$2,165.31 ","$1,596.83 ","$3,162.04 ", N/A ,$774.70 ,"$2,921.45 ","$2,887.08 ",$774.70 ,"$2,577.75 ","$2,749.60 ","$2,749.60 ",$774.70 ,"$2,749.60 ","$2,990.19 ","$2,990.19 ","$2,990.19 ","$3,093.30 ","$1,976.28 ",$774.70 ,"$3,437.00 ","$1,928.16 ",$774.70 ,"$2,003.49 ", N/A , N/A ,$813.44 ,"$2,921.45 ","$2,165.31 ",$962.36 ,"$3,093.30 ","$2,990.19 ", N/A , N/A ,$774.70 ,"$2,234.05 " ST. FRANCIS HOSPITAL - ACUTE,97500118,49659,PC LAPAROSCOPY UNLISTED HERNIOPLASTY/HERNIORRHAPHY/HERNIOTOMY,975,1 ,"$2,221.00 ","$1,599.12 ",$500.61 ,"$13,030.38 ","$1,277.08 ","$1,599.12 ","$1,208.22 ",$500.61 ,$621.88 ,"$1,476.97 ",$500.61 ,"$1,554.70 ",$500.61 ,"$1,399.23 ","$1,399.23 ",$500.61 ,"$1,399.23 ","$1,031.88 ","$2,043.32 ","$13,030.38 ",$500.61 ,"$1,887.85 ","$1,865.64 ",$500.61 ,"$1,665.75 ","$1,776.80 ","$1,776.80 ",$500.61 ,"$1,776.80 ","$1,932.27 ","$1,932.27 ","$1,932.27 ","$1,998.90 ","$1,277.08 ",$500.61 ,"$2,221.00 ","$1,245.98 ",$500.61 ,"$1,554.70 ","$3,065.41 ","$2,926.08 ",$525.64 ,"$1,887.85 ","$1,399.23 ",$621.88 ,"$1,998.90 ","$1,932.27 ", N/A , N/A ,$500.61 ,"$1,443.65 " ST. FRANCIS HOSPITAL - ACUTE,97500119,49905,PC OMENTAL FLAP INTRA-ABDOMINAL,975,1 ,"$1,168.00 ",$840.96 ,$263.27 ,"$1,776.08 ",$671.60 ,$840.96 ,$635.39 ,$263.27 ,$327.04 ,$776.72 ,$263.27 ,$817.60 ,$263.27 ,$735.84 ,$735.84 ,$263.27 ,$735.84 ,$542.65 ,"$1,074.56 ", N/A ,$263.27 ,$992.80 ,$981.12 ,$263.27 ,$876.00 ,$934.40 ,$934.40 ,$263.27 ,$934.40 ,"$1,016.16 ","$1,016.16 ","$1,016.16 ","$1,051.20 ",$671.60 ,$263.27 ,"$1,168.00 ",$655.25 ,$263.27 ,$690.21 ,"$1,776.08 ","$1,695.35 ",$276.43 ,$992.80 ,$735.84 ,$327.04 ,"$1,051.20 ","$1,016.16 ", N/A , N/A ,$263.27 ,$759.20 ST. FRANCIS HOSPITAL - ACUTE,97500120,58662,PC LAPAROSCOPY FULG/EXC OVARY/GROWTH PELVIS,975,1 ,"$2,292.00 ","$1,650.24 ",$516.62 ,"$13,030.38 ","$1,317.90 ","$1,650.24 ","$1,246.85 ",$516.62 ,$641.76 ,"$1,524.18 ",$516.62 ,"$1,604.40 ",$516.62 ,"$1,443.96 ","$1,443.96 ",$516.62 ,"$1,443.96 ","$1,064.86 ","$2,108.64 ","$13,030.38 ",$516.62 ,"$1,948.20 ","$1,925.28 ",$516.62 ,"$1,719.00 ","$1,833.60 ","$1,833.60 ",$516.62 ,"$1,833.60 ","$1,994.04 ","$1,994.04 ","$1,994.04 ","$2,062.80 ","$1,317.90 ",$516.62 ,"$2,292.00 ","$1,285.81 ",$516.62 ,"$1,361.09 ","$4,880.89 ","$4,659.03 ",$542.45 ,"$1,948.20 ","$1,443.96 ",$641.76 ,"$2,062.80 ","$1,994.04 ", N/A , N/A ,$516.62 ,"$1,489.80 " ST. FRANCIS HOSPITAL - ACUTE,97500121,60650,PC LAPARSCOPCY ADRENALECTOMY,975,1 ,"$3,890.00 ","$2,800.80 ",$876.81 ,"$3,890.00 ","$2,236.75 ","$2,800.80 ","$2,116.16 ",$876.81 ,"$1,089.20 ","$2,586.85 ",$876.81 ,"$2,723.00 ",$876.81 ,"$2,450.70 ","$2,450.70 ",$876.81 ,"$2,450.70 ","$1,807.29 ","$3,578.80 ", N/A ,$876.81 ,"$3,306.50 ","$3,267.60 ",$876.81 ,"$2,917.50 ","$3,112.00 ","$3,112.00 ",$876.81 ,"$3,112.00 ","$3,384.30 ","$3,384.30 ","$3,384.30 ","$3,501.00 ","$2,236.75 ",$876.81 ,"$3,890.00 ","$2,182.29 ",$876.81 ,"$2,301.97 ", N/A , N/A ,$920.65 ,"$3,306.50 ","$2,450.70 ","$1,089.20 ","$3,501.00 ","$3,384.30 ", N/A , N/A ,$876.81 ,"$2,528.50 " ST. FRANCIS HOSPITAL - ACUTE,97500122,49591,PC INITIAL HERNIA RPR ABDOMINAL REDUCIBLE < 3 CM,975,1 ,"$1,096.00 ",$789.12 ,$247.04 ,"$8,854.83 ",$630.20 ,$789.12 ,$596.22 ,$247.04 ,$306.88 ,$728.84 ,$247.04 ,$767.20 ,$247.04 ,$690.48 ,$690.48 ,$247.04 ,$690.48 ,$509.20 ,"$1,008.32 ","$8,854.83 ",$247.04 ,$931.60 ,$920.64 ,$247.04 ,$822.00 ,$876.80 ,$876.80 ,$247.04 ,$876.80 ,$953.52 ,$953.52 ,$953.52 ,$986.40 ,$630.20 ,$247.04 ,"$1,096.00 ",$614.86 ,$247.04 ,$767.20 ,"$2,461.50 ","$2,349.62 ",$259.39 ,$931.60 ,$690.48 ,$306.88 ,$986.40 ,$953.52 , N/A , N/A ,$247.04 ,$712.40 ST. FRANCIS HOSPITAL - ACUTE,97500123,49592,PC INITIAL HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD < 3 CM,975,1 ,"$1,531.00 ","$1,102.32 ",$345.09 ,"$13,030.38 ",$880.33 ,"$1,102.32 ",$832.86 ,$345.09 ,$428.68 ,"$1,018.12 ",$345.09 ,"$1,071.70 ",$345.09 ,$964.53 ,$964.53 ,$345.09 ,$964.53 ,$711.30 ,"$1,408.52 ","$13,030.38 ",$345.09 ,"$1,301.35 ","$1,286.04 ",$345.09 ,"$1,148.25 ","$1,224.80 ","$1,224.80 ",$345.09 ,"$1,224.80 ","$1,331.97 ","$1,331.97 ","$1,331.97 ","$1,377.90 ",$880.33 ,$345.09 ,"$1,531.00 ",$858.89 ,$345.09 ,"$1,071.70 ","$2,461.50 ","$2,349.62 ",$362.35 ,"$1,301.35 ",$964.53 ,$428.68 ,"$1,377.90 ","$1,331.97 ", N/A , N/A ,$345.09 ,$995.15 ST. FRANCIS HOSPITAL - ACUTE,97500124,49593,PC INITIAL HERNIA RPR ABDOMINAL REDUCIBLE 3-10 CM,975,1 ,"$1,841.00 ","$1,325.52 ",$414.96 ,"$8,854.83 ","$1,058.58 ","$1,325.52 ","$1,001.50 ",$414.96 ,$515.48 ,"$1,224.27 ",$414.96 ,"$1,288.70 ",$414.96 ,"$1,159.83 ","$1,159.83 ",$414.96 ,"$1,159.83 ",$855.33 ,"$1,693.72 ","$8,854.83 ",$414.96 ,"$1,564.85 ","$1,546.44 ",$414.96 ,"$1,380.75 ","$1,472.80 ","$1,472.80 ",$414.96 ,"$1,472.80 ","$1,601.67 ","$1,601.67 ","$1,601.67 ","$1,656.90 ","$1,058.58 ",$414.96 ,"$1,841.00 ","$1,032.80 ",$414.96 ,"$1,288.70 ","$2,461.50 ","$2,349.62 ",$435.71 ,"$1,564.85 ","$1,159.83 ",$515.48 ,"$1,656.90 ","$1,601.67 ", N/A , N/A ,$414.96 ,"$1,196.65 " ST. FRANCIS HOSPITAL - ACUTE,97500125,49594,PC INITIAL HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD 3-10 CM,975,1 ,"$2,405.00 ","$1,731.60 ",$542.09 ,"$13,030.38 ","$1,382.88 ","$1,731.60 ","$1,308.32 ",$542.09 ,$673.40 ,"$1,599.33 ",$542.09 ,"$1,683.50 ",$542.09 ,"$1,515.15 ","$1,515.15 ",$542.09 ,"$1,515.15 ","$1,117.36 ","$2,212.60 ","$13,030.38 ",$542.09 ,"$2,044.25 ","$2,020.20 ",$542.09 ,"$1,803.75 ","$1,924.00 ","$1,924.00 ",$542.09 ,"$1,924.00 ","$2,092.35 ","$2,092.35 ","$2,092.35 ","$2,164.50 ","$1,382.88 ",$542.09 ,"$2,405.00 ","$1,349.21 ",$542.09 ,"$1,683.50 ","$2,461.50 ","$2,349.62 ",$569.19 ,"$2,044.25 ","$1,515.15 ",$673.40 ,"$2,164.50 ","$2,092.35 ", N/A , N/A ,$542.09 ,"$1,563.25 " ST. FRANCIS HOSPITAL - ACUTE,97500126,49595,PC INITIAL HERNIA RPR ABDOMINAL REDUCIBLE > 10 CM,975,1 ,"$2,477.00 ","$1,783.44 ",$558.32 ,"$8,854.83 ","$1,424.28 ","$1,783.44 ","$1,347.49 ",$558.32 ,$693.56 ,"$1,647.21 ",$558.32 ,"$1,733.90 ",$558.32 ,"$1,560.51 ","$1,560.51 ",$558.32 ,"$1,560.51 ","$1,150.81 ","$2,278.84 ","$8,854.83 ",$558.32 ,"$2,105.45 ","$2,080.68 ",$558.32 ,"$1,857.75 ","$1,981.60 ","$1,981.60 ",$558.32 ,"$1,981.60 ","$2,154.99 ","$2,154.99 ","$2,154.99 ","$2,229.30 ","$1,424.28 ",$558.32 ,"$2,477.00 ","$1,389.60 ",$558.32 ,"$1,733.90 ","$2,461.50 ","$2,349.62 ",$586.24 ,"$2,105.45 ","$1,560.51 ",$693.56 ,"$2,229.30 ","$2,154.99 ", N/A , N/A ,$558.32 ,"$1,610.05 " ST. FRANCIS HOSPITAL - ACUTE,97500127,49596,PC INITIAL HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD > 10 CM,975,1 ,"$3,290.00 ","$2,368.80 ",$741.57 ,"$3,290.00 ","$1,891.75 ","$2,368.80 ","$1,789.76 ",$741.57 ,$921.20 ,"$2,187.85 ",$741.57 ,"$2,303.00 ",$741.57 ,"$2,072.70 ","$2,072.70 ",$741.57 ,"$2,072.70 ","$1,528.53 ","$3,026.80 ", N/A ,$741.57 ,"$2,796.50 ","$2,763.60 ",$741.57 ,"$2,467.50 ","$2,632.00 ","$2,632.00 ",$741.57 ,"$2,632.00 ","$2,862.30 ","$2,862.30 ","$2,862.30 ","$2,961.00 ","$1,891.75 ",$741.57 ,"$3,290.00 ","$1,845.69 ",$741.57 ,"$2,303.00 ","$2,461.50 ","$2,349.62 ",$778.65 ,"$2,796.50 ","$2,072.70 ",$921.20 ,"$2,961.00 ","$2,862.30 ", N/A , N/A ,$741.57 ,"$2,138.50 " ST. FRANCIS HOSPITAL - ACUTE,97500128,49613,PC RECURRENT HERNIA RPR ABDOMINAL REDUCIBLE < 3 CM,975,1 ,"$1,350.00 ",$972.00 ,$304.29 ,"$8,854.83 ",$776.25 ,$972.00 ,$734.40 ,$304.29 ,$378.00 ,$897.75 ,$304.29 ,$945.00 ,$304.29 ,$850.50 ,$850.50 ,$304.29 ,$850.50 ,$627.21 ,"$1,242.00 ","$8,854.83 ",$304.29 ,"$1,147.50 ","$1,134.00 ",$304.29 ,"$1,012.50 ","$1,080.00 ","$1,080.00 ",$304.29 ,"$1,080.00 ","$1,174.50 ","$1,174.50 ","$1,174.50 ","$1,215.00 ",$776.25 ,$304.29 ,"$1,350.00 ",$757.35 ,$304.29 ,$945.00 ,"$2,461.50 ","$2,349.62 ",$319.51 ,"$1,147.50 ",$850.50 ,$378.00 ,"$1,215.00 ","$1,174.50 ", N/A , N/A ,$304.29 ,$877.50 ST. FRANCIS HOSPITAL - ACUTE,97500129,49614,PC RECURRENT HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD < 3 CM,975,1 ,"$1,837.00 ","$1,322.64 ",$414.06 ,"$13,030.38 ","$1,056.28 ","$1,322.64 ",$999.33 ,$414.06 ,$514.36 ,"$1,221.61 ",$414.06 ,"$1,285.90 ",$414.06 ,"$1,157.31 ","$1,157.31 ",$414.06 ,"$1,157.31 ",$853.47 ,"$1,690.04 ","$13,030.38 ",$414.06 ,"$1,561.45 ","$1,543.08 ",$414.06 ,"$1,377.75 ","$1,469.60 ","$1,469.60 ",$414.06 ,"$1,469.60 ","$1,598.19 ","$1,598.19 ","$1,598.19 ","$1,653.30 ","$1,056.28 ",$414.06 ,"$1,837.00 ","$1,030.56 ",$414.06 ,"$1,285.90 ","$2,461.50 ","$2,349.62 ",$434.77 ,"$1,561.45 ","$1,157.31 ",$514.36 ,"$1,653.30 ","$1,598.19 ", N/A , N/A ,$414.06 ,"$1,194.05 " ST. FRANCIS HOSPITAL - ACUTE,97500130,49615,PC RECURRENT HERNIA RPR ABDOMINAL REDUCIBLE 3-10 CM,975,1 ,"$2,056.00 ","$1,480.32 ",$463.42 ,"$8,854.83 ","$1,182.20 ","$1,480.32 ","$1,118.46 ",$463.42 ,$575.68 ,"$1,367.24 ",$463.42 ,"$1,439.20 ",$463.42 ,"$1,295.28 ","$1,295.28 ",$463.42 ,"$1,295.28 ",$955.22 ,"$1,891.52 ","$8,854.83 ",$463.42 ,"$1,747.60 ","$1,727.04 ",$463.42 ,"$1,542.00 ","$1,644.80 ","$1,644.80 ",$463.42 ,"$1,644.80 ","$1,788.72 ","$1,788.72 ","$1,788.72 ","$1,850.40 ","$1,182.20 ",$463.42 ,"$2,056.00 ","$1,153.42 ",$463.42 ,"$1,439.20 ","$2,461.50 ","$2,349.62 ",$486.59 ,"$1,747.60 ","$1,295.28 ",$575.68 ,"$1,850.40 ","$1,788.72 ", N/A , N/A ,$463.42 ,"$1,336.40 " ST. FRANCIS HOSPITAL - ACUTE,97500131,49616,PC RECURRENT HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD 3-10 CM,975,1 ,"$2,768.00 ","$1,992.96 ",$623.91 ,"$2,768.00 ","$1,591.60 ","$1,992.96 ","$1,505.79 ",$623.91 ,$775.04 ,"$1,840.72 ",$623.91 ,"$1,937.60 ",$623.91 ,"$1,743.84 ","$1,743.84 ",$623.91 ,"$1,743.84 ","$1,286.01 ","$2,546.56 ", N/A ,$623.91 ,"$2,352.80 ","$2,325.12 ",$623.91 ,"$2,076.00 ","$2,214.40 ","$2,214.40 ",$623.91 ,"$2,214.40 ","$2,408.16 ","$2,408.16 ","$2,408.16 ","$2,491.20 ","$1,591.60 ",$623.91 ,"$2,768.00 ","$1,552.85 ",$623.91 ,"$1,937.60 ","$2,461.50 ","$2,349.62 ",$655.10 ,"$2,352.80 ","$1,743.84 ",$775.04 ,"$2,491.20 ","$2,408.16 ", N/A , N/A ,$623.91 ,"$1,799.20 " ST. FRANCIS HOSPITAL - ACUTE,97500132,49617,PC RECURRENT HERNIA RPR ABDOMINAL REDUCIBLE > 10 CM,975,1 ,"$2,842.00 ","$2,046.24 ",$640.59 ,"$2,842.00 ","$1,634.15 ","$2,046.24 ","$1,546.05 ",$640.59 ,$795.76 ,"$1,889.93 ",$640.59 ,"$1,989.40 ",$640.59 ,"$1,790.46 ","$1,790.46 ",$640.59 ,"$1,790.46 ","$1,320.39 ","$2,614.64 ", N/A ,$640.59 ,"$2,415.70 ","$2,387.28 ",$640.59 ,"$2,131.50 ","$2,273.60 ","$2,273.60 ",$640.59 ,"$2,273.60 ","$2,472.54 ","$2,472.54 ","$2,472.54 ","$2,557.80 ","$1,634.15 ",$640.59 ,"$2,842.00 ","$1,594.36 ",$640.59 ,"$1,989.40 ","$2,461.50 ","$2,349.62 ",$672.61 ,"$2,415.70 ","$1,790.46 ",$795.76 ,"$2,557.80 ","$2,472.54 ", N/A , N/A ,$640.59 ,"$1,847.30 " ST. FRANCIS HOSPITAL - ACUTE,97500133,49618,PC RECURRENT HERNIA RPR ABDOMINAL INCARCTD/STRANGLTD > 10 CM,975,1 ,"$3,990.00 ","$2,872.80 ",$899.35 ,"$3,990.00 ","$2,294.25 ","$2,872.80 ","$2,170.56 ",$899.35 ,"$1,117.20 ","$2,653.35 ",$899.35 ,"$2,793.00 ",$899.35 ,"$2,513.70 ","$2,513.70 ",$899.35 ,"$2,513.70 ","$1,853.75 ","$3,670.80 ", N/A ,$899.35 ,"$3,391.50 ","$3,351.60 ",$899.35 ,"$2,992.50 ","$3,192.00 ","$3,192.00 ",$899.35 ,"$3,192.00 ","$3,471.30 ","$3,471.30 ","$3,471.30 ","$3,591.00 ","$2,294.25 ",$899.35 ,"$3,990.00 ","$2,238.39 ",$899.35 ,"$2,793.00 ","$2,461.50 ","$2,349.62 ",$944.32 ,"$3,391.50 ","$2,513.70 ","$1,117.20 ","$3,591.00 ","$3,471.30 ", N/A , N/A ,$899.35 ,"$2,593.50 " ST. FRANCIS HOSPITAL - ACUTE,98180003,10061,PC DRAIN SKIN ABSCESS COMPLIC,981,1 ,$496.00 ,$357.12 ,$138.88 ,$932.68 ,$521.53 ,$357.12 ,$269.82 ,$204.44 ,$138.88 ,$329.84 ,$204.44 ,$347.20 ,$204.44 ,$312.48 ,$312.48 ,$204.44 ,$312.48 ,$421.39 ,$456.32 ,$932.68 ,$204.44 ,$421.60 ,$416.64 ,$204.44 ,$372.00 ,$396.80 ,$396.80 ,$204.44 ,$396.80 ,$431.52 ,$431.52 ,$431.52 ,$446.40 ,$521.53 ,$204.44 ,$496.00 ,$278.26 ,$204.44 ,$337.03 ,$317.01 ,$302.60 ,$214.66 ,$421.60 ,$312.48 ,$138.88 ,$446.40 ,$431.52 , N/A , N/A ,$204.44 ,$322.40 ST. FRANCIS HOSPITAL - ACUTE,98180007,10121,PC REMOVE FOREIGN BODY COMPLIC,981,1 ,$817.00 ,$588.24 ,$207.55 ,"$3,748.88 ",$529.48 ,$588.24 ,$444.45 ,$207.55 ,$228.76 ,$543.31 ,$207.55 ,$571.90 ,$207.55 ,$514.71 ,$514.71 ,$207.55 ,$514.71 ,$427.82 ,$751.64 ,"$3,748.88 ",$207.55 ,$694.45 ,$686.28 ,$207.55 ,$612.75 ,$653.60 ,$653.60 ,$207.55 ,$653.60 ,$710.79 ,$710.79 ,$710.79 ,$735.30 ,$529.48 ,$207.55 ,$817.00 ,$458.34 ,$207.55 ,$347.63 ,$679.87 ,$648.96 ,$217.93 ,$694.45 ,$514.71 ,$228.76 ,$735.30 ,$710.79 , N/A , N/A ,$207.55 ,$531.05 ST. FRANCIS HOSPITAL - ACUTE,98180010,10180,"PC COMPLEX DRAINAGE, WOUND",981,1 ,$822.00 ,$591.84 ,$205.74 ,"$6,458.13 ",$524.85 ,$591.84 ,$447.17 ,$205.74 ,$230.16 ,$546.63 ,$205.74 ,$575.40 ,$205.74 ,$517.86 ,$517.86 ,$205.74 ,$517.86 ,$424.08 ,$756.24 ,"$6,458.13 ",$205.74 ,$698.70 ,$690.48 ,$205.74 ,$616.50 ,$657.60 ,$657.60 ,$205.74 ,$657.60 ,$715.14 ,$715.14 ,$715.14 ,$739.80 ,$524.85 ,$205.74 ,$822.00 ,$461.14 ,$205.74 ,$333.26 ,"$1,105.69 ","$1,055.43 ",$216.03 ,$698.70 ,$517.86 ,$230.16 ,$739.80 ,$715.14 , N/A , N/A ,$205.74 ,$534.30 ST. FRANCIS HOSPITAL - ACUTE,98180016,11010,PC DEBRIDE ASSOC FX/DISLOC SKIN/SUBQ,981,1 ,"$1,410.00 ","$1,015.20 ",$317.41 ,"$1,622.43 ",$809.73 ,"$1,015.20 ",$767.04 ,$317.41 ,$394.80 ,$937.65 ,$317.41 ,$987.00 ,$317.41 ,$888.30 ,$888.30 ,$317.41 ,$888.30 ,$654.26 ,"$1,297.20 ","$1,622.43 ",$317.41 ,"$1,198.50 ","$1,184.40 ",$317.41 ,"$1,057.50 ","$1,128.00 ","$1,128.00 ",$317.41 ,"$1,128.00 ","$1,226.70 ","$1,226.70 ","$1,226.70 ","$1,269.00 ",$809.73 ,$317.41 ,"$1,410.00 ",$791.01 ,$317.41 ,$521.72 ,"$1,359.74 ","$1,297.94 ",$333.28 ,"$1,198.50 ",$888.30 ,$394.80 ,"$1,269.00 ","$1,226.70 ", N/A , N/A ,$317.41 ,$916.50 ST. FRANCIS HOSPITAL - ACUTE,98180018,11012,PC DEBRIDE ASSOC FX/DISLO SKIN/MUS/BONE,981,1 ,"$2,036.00 ","$1,465.92 ",$483.73 ,"$6,458.13 ","$1,234.00 ","$1,465.92 ","$1,107.58 ",$483.73 ,$570.08 ,"$1,353.94 ",$483.73 ,"$1,425.20 ",$483.73 ,"$1,282.68 ","$1,282.68 ",$483.73 ,"$1,282.68 ",$997.07 ,"$1,873.12 ","$6,458.13 ",$483.73 ,"$1,730.60 ","$1,710.24 ",$483.73 ,"$1,527.00 ","$1,628.80 ","$1,628.80 ",$483.73 ,"$1,628.80 ","$1,771.32 ","$1,771.32 ","$1,771.32 ","$1,832.40 ","$1,234.00 ",$483.73 ,"$2,036.00 ","$1,142.20 ",$483.73 ,$798.32 ,"$1,359.74 ","$1,297.94 ",$507.91 ,"$1,730.60 ","$1,282.68 ",$570.08 ,"$1,832.40 ","$1,771.32 ", N/A , N/A ,$483.73 ,"$1,323.40 " ST. FRANCIS HOSPITAL - ACUTE,98180029,11750,PC REMOVAL OF NAIL BED,981,1 ,$631.00 ,$454.32 ,$111.07 ,$932.68 ,$283.35 ,$454.32 ,$343.26 ,$111.07 ,$176.68 ,$419.62 ,$111.07 ,$441.70 ,$111.07 ,$397.53 ,$397.53 ,$111.07 ,$397.53 ,$228.95 ,$580.52 ,$932.68 ,$111.07 ,$536.35 ,$530.04 ,$111.07 ,$473.25 ,$504.80 ,$504.80 ,$111.07 ,$504.80 ,$548.97 ,$548.97 ,$548.97 ,$567.90 ,$283.35 ,$111.07 ,$631.00 ,$353.99 ,$111.07 ,$188.34 ,$679.87 ,$648.96 ,$116.63 ,$536.35 ,$397.53 ,$176.68 ,$567.90 ,$548.97 , N/A , N/A ,$111.07 ,$410.15 ST. FRANCIS HOSPITAL - ACUTE,98180047,12031,"PC LAYR CLOS WND TRUNK,ARM,LEG <2.5CM",981,1 ,$803.00 ,$578.16 ,$168.59 ,$932.68 ,$430.08 ,$578.16 ,$436.83 ,$168.59 ,$224.84 ,$534.00 ,$168.59 ,$562.10 ,$168.59 ,$505.89 ,$505.89 ,$168.59 ,$505.89 ,$347.50 ,$738.76 ,$932.68 ,$168.59 ,$682.55 ,$674.52 ,$168.59 ,$602.25 ,$642.40 ,$642.40 ,$168.59 ,$642.40 ,$698.61 ,$698.61 ,$698.61 ,$722.70 ,$430.08 ,$168.59 ,$803.00 ,$450.48 ,$168.59 ,$281.62 ,$303.49 ,$289.70 ,$177.02 ,$682.55 ,$505.89 ,$224.84 ,$722.70 ,$698.61 , N/A , N/A ,$168.59 ,$521.95 ST. FRANCIS HOSPITAL - ACUTE,98180048,12032,"PC LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5",981,1 ,$918.00 ,$660.96 ,$210.21 ,$932.68 ,$536.25 ,$660.96 ,$499.39 ,$210.21 ,$257.04 ,$610.47 ,$210.21 ,$642.60 ,$210.21 ,$578.34 ,$578.34 ,$210.21 ,$578.34 ,$433.29 ,$844.56 ,$932.68 ,$210.21 ,$780.30 ,$771.12 ,$210.21 ,$688.50 ,$734.40 ,$734.40 ,$210.21 ,$734.40 ,$798.66 ,$798.66 ,$798.66 ,$826.20 ,$536.25 ,$210.21 ,$918.00 ,$515.00 ,$210.21 ,$351.73 ,$303.49 ,$289.70 ,$220.73 ,$780.30 ,$578.34 ,$257.04 ,$826.20 ,$798.66 , N/A , N/A ,$210.21 ,$596.70 ST. FRANCIS HOSPITAL - ACUTE,98180053,12041,PC LAYR CLOS WND REST BODY <2.5CM,981,1 ,$807.00 ,$581.04 ,$162.23 ,$932.68 ,$413.85 ,$581.04 ,$439.01 ,$162.23 ,$225.96 ,$536.66 ,$162.23 ,$564.90 ,$162.23 ,$508.41 ,$508.41 ,$162.23 ,$508.41 ,$334.39 ,$742.44 ,$932.68 ,$162.23 ,$685.95 ,$677.88 ,$162.23 ,$605.25 ,$645.60 ,$645.60 ,$162.23 ,$645.60 ,$702.09 ,$702.09 ,$702.09 ,$726.30 ,$413.85 ,$162.23 ,$807.00 ,$452.73 ,$162.23 ,$273.84 ,$303.49 ,$289.70 ,$170.34 ,$685.95 ,$508.41 ,$225.96 ,$726.30 ,$702.09 , N/A , N/A ,$162.23 ,$524.55 ST. FRANCIS HOSPITAL - ACUTE,98180059,12051,"PC LAYR CLOS WND FACE,FACIAL <2.5CM",981,1 ,$867.00 ,$624.24 ,$189.25 ,$932.68 ,$482.78 ,$624.24 ,$471.65 ,$189.25 ,$242.76 ,$576.56 ,$189.25 ,$606.90 ,$189.25 ,$546.21 ,$546.21 ,$189.25 ,$546.21 ,$390.08 ,$797.64 ,$932.68 ,$189.25 ,$736.95 ,$728.28 ,$189.25 ,$650.25 ,$693.60 ,$693.60 ,$189.25 ,$693.60 ,$754.29 ,$754.29 ,$754.29 ,$780.30 ,$482.78 ,$189.25 ,$867.00 ,$486.39 ,$189.25 ,$313.69 ,$303.49 ,$289.70 ,$198.71 ,$736.95 ,$546.21 ,$242.76 ,$780.30 ,$754.29 , N/A , N/A ,$189.25 ,$563.55 ST. FRANCIS HOSPITAL - ACUTE,98180071,13131,"PC REPR CMPL WND HEAD,FAC,HAND 1.1-2.5",981,1 ,"$1,187.00 ",$854.64 ,$270.36 ,"$1,187.00 ",$689.70 ,$854.64 ,$645.73 ,$270.36 ,$332.36 ,$789.36 ,$270.36 ,$830.90 ,$270.36 ,$747.81 ,$747.81 ,$270.36 ,$747.81 ,$557.28 ,"$1,092.04 ",$932.68 ,$270.36 ,"$1,008.95 ",$997.08 ,$270.36 ,$890.25 ,$949.60 ,$949.60 ,$270.36 ,$949.60 ,"$1,032.69 ","$1,032.69 ","$1,032.69 ","$1,068.30 ",$689.70 ,$270.36 ,"$1,187.00 ",$665.91 ,$270.36 ,$457.71 ,$303.49 ,$289.70 ,$283.88 ,"$1,008.95 ",$747.81 ,$332.36 ,"$1,068.30 ","$1,032.69 ", N/A , N/A ,$270.36 ,$771.55 ST. FRANCIS HOSPITAL - ACUTE,98180092,20600,PC DRAIN/INJECT SMALL JOINT/BURSA,981,1 ,$164.00 ,$118.08 ,$40.41 ,$679.73 ,$103.08 ,$118.08 ,$89.22 ,$40.41 ,$45.92 ,$109.06 ,$40.41 ,$114.80 ,$40.41 ,$103.32 ,$103.32 ,$40.41 ,$103.32 ,$83.28 ,$150.88 ,$679.73 ,$40.41 ,$139.40 ,$137.76 ,$40.41 ,$123.00 ,$131.20 ,$131.20 ,$40.41 ,$131.20 ,$142.68 ,$142.68 ,$142.68 ,$147.60 ,$103.08 ,$40.41 ,$164.00 ,$92.00 ,$40.41 ,$68.72 ,$341.51 ,$325.98 ,$42.42 ,$139.40 ,$103.32 ,$45.92 ,$147.60 ,$142.68 , N/A , N/A ,$40.41 ,$106.60 ST. FRANCIS HOSPITAL - ACUTE,98180093,20605,PC DRAIN/INJECT MEDIUM JOINT/BURSA,981,1 ,$169.00 ,$121.68 ,$42.78 ,$679.73 ,$109.13 ,$121.68 ,$91.94 ,$42.78 ,$47.32 ,$112.39 ,$42.78 ,$118.30 ,$42.78 ,$106.47 ,$106.47 ,$42.78 ,$106.47 ,$88.17 ,$155.48 ,$679.73 ,$42.78 ,$143.65 ,$141.96 ,$42.78 ,$126.75 ,$135.20 ,$135.20 ,$42.78 ,$135.20 ,$147.03 ,$147.03 ,$147.03 ,$152.10 ,$109.13 ,$42.78 ,$169.00 ,$94.81 ,$42.78 ,$71.27 ,$341.51 ,$325.98 ,$44.91 ,$143.65 ,$106.47 ,$47.32 ,$152.10 ,$147.03 , N/A , N/A ,$42.78 ,$109.85 ST. FRANCIS HOSPITAL - ACUTE,98180094,20610,PC DRAIN/INJECT LARGE JOINT/BURSA,981,1 ,$201.00 ,$144.72 ,$51.95 ,$679.73 ,$132.53 ,$144.72 ,$109.34 ,$51.95 ,$56.28 ,$133.67 ,$51.95 ,$140.70 ,$51.95 ,$126.63 ,$126.63 ,$51.95 ,$126.63 ,$107.08 ,$184.92 ,$679.73 ,$51.95 ,$170.85 ,$168.84 ,$51.95 ,$150.75 ,$160.80 ,$160.80 ,$51.95 ,$160.80 ,$174.87 ,$174.87 ,$174.87 ,$180.90 ,$132.53 ,$51.95 ,$201.00 ,$112.76 ,$51.95 ,$87.06 ,$341.51 ,$325.98 ,$54.55 ,$170.85 ,$126.63 ,$56.28 ,$180.90 ,$174.87 , N/A , N/A ,$51.95 ,$130.65 ST. FRANCIS HOSPITAL - ACUTE,98180108,23500,PC CLOSED RX CLAVICLE FRACTURE,981,1 ,$699.00 ,$503.28 ,$195.72 ,$699.00 ,$669.90 ,$503.28 ,$380.26 ,$262.60 ,$195.72 ,$464.84 ,$262.60 ,$489.30 ,$262.60 ,$440.37 ,$440.37 ,$262.60 ,$440.37 ,$541.28 ,$643.08 ,$517.53 ,$262.60 ,$594.15 ,$587.16 ,$262.60 ,$524.25 ,$559.20 ,$559.20 ,$262.60 ,$559.20 ,$608.13 ,$608.13 ,$608.13 ,$629.10 ,$669.90 ,$262.60 ,$699.00 ,$392.14 ,$262.60 ,$413.28 ,$599.02 ,$571.79 ,$275.73 ,$594.15 ,$440.37 ,$195.72 ,$629.10 ,$608.13 , N/A , N/A ,$262.60 ,$454.35 ST. FRANCIS HOSPITAL - ACUTE,98180115,23600,PC CLOSED RX PROX HUMERUS FRACTURE,981,1 ,"$1,045.00 ",$752.40 ,$292.60 ,"$1,045.00 ",$922.15 ,$752.40 ,$568.48 ,$361.48 ,$292.60 ,$694.93 ,$361.48 ,$731.50 ,$361.48 ,$658.35 ,$658.35 ,$361.48 ,$658.35 ,$745.10 ,$961.40 ,$517.53 ,$361.48 ,$888.25 ,$877.80 ,$361.48 ,$783.75 ,$836.00 ,$836.00 ,$361.48 ,$836.00 ,$909.15 ,$909.15 ,$909.15 ,$940.50 ,$922.15 ,$361.48 ,"$1,045.00 ",$586.25 ,$361.48 ,$570.77 ,$608.75 ,$581.08 ,$379.55 ,$888.25 ,$658.35 ,$292.60 ,$940.50 ,$909.15 , N/A , N/A ,$361.48 ,$679.25 ST. FRANCIS HOSPITAL - ACUTE,98180117,23620,PC CLOSED RX GR TUBEROSITY HUM FX,981,1 ,$851.00 ,$612.72 ,$238.28 ,$851.00 ,$762.28 ,$612.72 ,$462.94 ,$298.81 ,$238.28 ,$565.92 ,$298.81 ,$595.70 ,$298.81 ,$536.13 ,$536.13 ,$298.81 ,$536.13 ,$615.92 ,$782.92 ,$517.53 ,$298.81 ,$723.35 ,$714.84 ,$298.81 ,$638.25 ,$680.80 ,$680.80 ,$298.81 ,$680.80 ,$740.37 ,$740.37 ,$740.37 ,$765.90 ,$762.28 ,$298.81 ,$851.00 ,$477.41 ,$298.81 ,$474.17 ,$608.75 ,$581.08 ,$313.76 ,$723.35 ,$536.13 ,$238.28 ,$765.90 ,$740.37 , N/A , N/A ,$298.81 ,$553.15 ST. FRANCIS HOSPITAL - ACUTE,98180123,23700,PC MANIPULATN SHLDR JT W ANESTHESIA,981,1 ,$624.00 ,$449.28 ,$174.72 ,"$3,586.30 ",$576.20 ,$449.28 ,$339.46 ,$225.87 ,$174.72 ,$414.96 ,$225.87 ,$436.80 ,$225.87 ,$393.12 ,$393.12 ,$225.87 ,$393.12 ,$465.57 ,$574.08 ,"$3,586.30 ",$225.87 ,$530.40 ,$524.16 ,$225.87 ,$468.00 ,$499.20 ,$499.20 ,$225.87 ,$499.20 ,$542.88 ,$542.88 ,$542.88 ,$561.60 ,$576.20 ,$225.87 ,$624.00 ,$350.06 ,$225.87 ,$366.45 ,"$1,070.55 ","$1,021.89 ",$237.16 ,$530.40 ,$393.12 ,$174.72 ,$561.60 ,$542.88 , N/A , N/A ,$225.87 ,$405.60 ST. FRANCIS HOSPITAL - ACUTE,98180124,23930,"PC INCIS/DRAIN ARM,DEEP ABSC/HEMATOMA",981,1 ,"$1,131.00 ",$814.32 ,$250.81 ,"$6,458.13 ",$639.83 ,$814.32 ,$615.26 ,$250.81 ,$316.68 ,$752.12 ,$250.81 ,$791.70 ,$250.81 ,$712.53 ,$712.53 ,$250.81 ,$712.53 ,$516.98 ,"$1,040.52 ","$6,458.13 ",$250.81 ,$961.35 ,$950.04 ,$250.81 ,$848.25 ,$904.80 ,$904.80 ,$250.81 ,$904.80 ,$983.97 ,$983.97 ,$983.97 ,"$1,017.90 ",$639.83 ,$250.81 ,"$1,131.00 ",$634.49 ,$250.81 ,$400.13 ,"$1,105.69 ","$1,055.43 ",$263.36 ,$961.35 ,$712.53 ,$316.68 ,"$1,017.90 ",$983.97 , N/A , N/A ,$250.81 ,$735.15 ST. FRANCIS HOSPITAL - ACUTE,98180129,24530,PC CLOSED RX HUMERAL SUPRACONDYLAR FX,981,1 ,"$1,201.00 ",$864.72 ,$336.28 ,"$1,201.00 ","$1,032.58 ",$864.72 ,$653.34 ,$404.77 ,$336.28 ,$798.67 ,$404.77 ,$840.70 ,$404.77 ,$756.63 ,$756.63 ,$404.77 ,$756.63 ,$834.32 ,"$1,104.92 ",$517.53 ,$404.77 ,"$1,020.85 ","$1,008.84 ",$404.77 ,$900.75 ,$960.80 ,$960.80 ,$404.77 ,$960.80 ,"$1,044.87 ","$1,044.87 ","$1,044.87 ","$1,080.90 ","$1,032.58 ",$404.77 ,"$1,201.00 ",$673.76 ,$404.77 ,$640.40 ,$608.75 ,$581.08 ,$425.01 ,"$1,020.85 ",$756.63 ,$336.28 ,"$1,080.90 ","$1,044.87 ", N/A , N/A ,$404.77 ,$780.65 ST. FRANCIS HOSPITAL - ACUTE,98180131,24560,PC CLOSED RX HUMER EPICONDYLR FX,981,1 ,"$1,044.00 ",$751.68 ,$292.32 ,"$1,044.00 ",$866.43 ,$751.68 ,$567.94 ,$339.64 ,$292.32 ,$694.26 ,$339.64 ,$730.80 ,$339.64 ,$657.72 ,$657.72 ,$339.64 ,$657.72 ,$700.07 ,$960.48 ,$517.53 ,$339.64 ,$887.40 ,$876.96 ,$339.64 ,$783.00 ,$835.20 ,$835.20 ,$339.64 ,$835.20 ,$908.28 ,$908.28 ,$908.28 ,$939.60 ,$866.43 ,$339.64 ,"$1,044.00 ",$585.68 ,$339.64 ,$539.59 ,$608.75 ,$581.08 ,$356.62 ,$887.40 ,$657.72 ,$292.32 ,$939.60 ,$908.28 , N/A , N/A ,$339.64 ,$678.60 ST. FRANCIS HOSPITAL - ACUTE,98180139,24650,PC CLOSED RX RADIAL HEAD/NECK FX,981,1 ,$822.00 ,$591.84 ,$230.16 ,$822.00 ,$717.33 ,$591.84 ,$447.17 ,$281.19 ,$230.16 ,$546.63 ,$281.19 ,$575.40 ,$281.19 ,$517.86 ,$517.86 ,$281.19 ,$517.86 ,$579.60 ,$756.24 ,$517.53 ,$281.19 ,$698.70 ,$690.48 ,$281.19 ,$616.50 ,$657.60 ,$657.60 ,$281.19 ,$657.60 ,$715.14 ,$715.14 ,$715.14 ,$739.80 ,$717.33 ,$281.19 ,$822.00 ,$461.14 ,$281.19 ,$445.09 ,$608.75 ,$581.08 ,$295.25 ,$698.70 ,$517.86 ,$230.16 ,$739.80 ,$715.14 , N/A , N/A ,$281.19 ,$534.30 ST. FRANCIS HOSPITAL - ACUTE,98180141,24670,PC CLOSED RX PROX ULNA FRACTURE,981,1 ,$919.00 ,$661.68 ,$257.32 ,$919.00 ,$786.63 ,$661.68 ,$499.94 ,$308.36 ,$257.32 ,$611.14 ,$308.36 ,$643.30 ,$308.36 ,$578.97 ,$578.97 ,$308.36 ,$578.97 ,$635.59 ,$845.48 ,$517.53 ,$308.36 ,$781.15 ,$771.96 ,$308.36 ,$689.25 ,$735.20 ,$735.20 ,$308.36 ,$735.20 ,$799.53 ,$799.53 ,$799.53 ,$827.10 ,$786.63 ,$308.36 ,$919.00 ,$515.56 ,$308.36 ,$488.91 ,$608.75 ,$581.08 ,$323.77 ,$781.15 ,$578.97 ,$257.32 ,$827.10 ,$799.53 , N/A , N/A ,$308.36 ,$597.35 ST. FRANCIS HOSPITAL - ACUTE,98180145,25500,PC CLOSED RX RADIAL SHAFT FX,981,1 ,$891.00 ,$641.52 ,$249.48 ,$891.00 ,$754.78 ,$641.52 ,$484.70 ,$295.87 ,$249.48 ,$592.52 ,$295.87 ,$623.70 ,$295.87 ,$561.33 ,$561.33 ,$295.87 ,$561.33 ,$609.86 ,$819.72 ,$517.53 ,$295.87 ,$757.35 ,$748.44 ,$295.87 ,$668.25 ,$712.80 ,$712.80 ,$295.87 ,$712.80 ,$775.17 ,$775.17 ,$775.17 ,$801.90 ,$754.78 ,$295.87 ,$891.00 ,$499.85 ,$295.87 ,$465.12 ,$608.75 ,$581.08 ,$310.67 ,$757.35 ,$561.33 ,$249.48 ,$801.90 ,$775.17 , N/A , N/A ,$295.87 ,$579.15 ST. FRANCIS HOSPITAL - ACUTE,98180149,25530,PC CLOSED RX ULNA SHAFT FX,981,1 ,$820.00 ,$590.40 ,$229.60 ,$820.00 ,$708.18 ,$590.40 ,$446.08 ,$277.60 ,$229.60 ,$545.30 ,$277.60 ,$574.00 ,$277.60 ,$516.60 ,$516.60 ,$277.60 ,$516.60 ,$572.21 ,$754.40 ,$517.53 ,$277.60 ,$697.00 ,$688.80 ,$277.60 ,$615.00 ,$656.00 ,$656.00 ,$277.60 ,$656.00 ,$713.40 ,$713.40 ,$713.40 ,$738.00 ,$708.18 ,$277.60 ,$820.00 ,$460.02 ,$277.60 ,$439.64 ,$608.75 ,$581.08 ,$291.48 ,$697.00 ,$516.60 ,$229.60 ,$738.00 ,$713.40 , N/A , N/A ,$277.60 ,$533.00 ST. FRANCIS HOSPITAL - ACUTE,98180151,25560,PC CLOSED RX RAD/ULNA SHAFT FX,981,1 ,$908.00 ,$653.76 ,$254.24 ,$908.00 ,$759.90 ,$653.76 ,$493.95 ,$297.88 ,$254.24 ,$603.82 ,$297.88 ,$635.60 ,$297.88 ,$572.04 ,$572.04 ,$297.88 ,$572.04 ,$614.00 ,$835.36 ,$517.53 ,$297.88 ,$771.80 ,$762.72 ,$297.88 ,$681.00 ,$726.40 ,$726.40 ,$297.88 ,$726.40 ,$789.96 ,$789.96 ,$789.96 ,$817.20 ,$759.90 ,$297.88 ,$908.00 ,$509.39 ,$297.88 ,$468.72 ,$608.75 ,$581.08 ,$312.78 ,$771.80 ,$572.04 ,$254.24 ,$817.20 ,$789.96 , N/A , N/A ,$297.88 ,$590.20 ST. FRANCIS HOSPITAL - ACUTE,98180153,25600,PC CLOSED RX DIST RAD/ULNA FX,981,1 ,"$1,054.00 ",$758.88 ,$295.12 ,"$1,054.00 ",$940.63 ,$758.88 ,$573.38 ,$368.72 ,$295.12 ,$700.91 ,$368.72 ,$737.80 ,$368.72 ,$664.02 ,$664.02 ,$368.72 ,$664.02 ,$760.03 ,$969.68 ,$517.53 ,$368.72 ,$895.90 ,$885.36 ,$368.72 ,$790.50 ,$843.20 ,$843.20 ,$368.72 ,$843.20 ,$916.98 ,$916.98 ,$916.98 ,$948.60 ,$940.63 ,$368.72 ,"$1,054.00 ",$591.29 ,$368.72 ,$577.14 ,$608.75 ,$581.08 ,$387.16 ,$895.90 ,$664.02 ,$295.12 ,$948.60 ,$916.98 , N/A , N/A ,$368.72 ,$685.10 ST. FRANCIS HOSPITAL - ACUTE,98180154,25605,"PC CLOSED RX DIST RAD/ULNA FX,MANIPUL",981,1 ,"$1,720.00 ","$1,238.40 ",$481.60 ,"$3,586.30 ","$1,514.80 ","$1,238.40 ",$935.68 ,$593.80 ,$481.60 ,"$1,143.80 ",$593.80 ,"$1,204.00 ",$593.80 ,"$1,083.60 ","$1,083.60 ",$593.80 ,"$1,083.60 ","$1,223.96 ","$1,582.40 ","$3,586.30 ",$593.80 ,"$1,462.00 ","$1,444.80 ",$593.80 ,"$1,290.00 ","$1,376.00 ","$1,376.00 ",$593.80 ,"$1,376.00 ","$1,496.40 ","$1,496.40 ","$1,496.40 ","$1,548.00 ","$1,514.80 ",$593.80 ,"$1,720.00 ",$964.92 ,$593.80 ,$955.32 ,$608.75 ,$581.08 ,$623.50 ,"$1,462.00 ","$1,083.60 ",$481.60 ,"$1,548.00 ","$1,496.40 ", N/A , N/A ,$593.80 ,"$1,118.00 " ST. FRANCIS HOSPITAL - ACUTE,98180156,25607,PC OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP,981,1 ,"$2,345.00 ","$1,688.40 ",$656.60 ,"$16,536.58 ","$2,176.68 ","$1,688.40 ","$1,275.68 ",$853.26 ,$656.60 ,"$1,559.43 ",$853.26 ,"$1,641.50 ",$853.26 ,"$1,477.35 ","$1,477.35 ",$853.26 ,"$1,477.35 ","$1,758.75 ","$2,157.40 ","$16,536.58 ",$853.26 ,"$1,993.25 ","$1,969.80 ",$853.26 ,"$1,758.75 ","$1,876.00 ","$1,876.00 ",$853.26 ,"$1,876.00 ","$2,040.15 ","$2,040.15 ","$2,040.15 ","$2,110.50 ","$2,176.68 ",$853.26 ,"$2,345.00 ","$1,315.55 ",$853.26 ,"$1,378.38 ","$4,728.65 ","$4,513.71 ",$895.92 ,"$1,993.25 ","$1,477.35 ",$656.60 ,"$2,110.50 ","$2,040.15 ", N/A , N/A ,$853.26 ,"$1,524.25 " ST. FRANCIS HOSPITAL - ACUTE,98180157,25608,PC OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG,981,1 ,"$2,634.00 ","$1,896.48 ",$737.52 ,"$16,536.58 ","$2,437.20 ","$1,896.48 ","$1,432.90 ",$955.38 ,$737.52 ,"$1,751.61 ",$955.38 ,"$1,843.80 ",$955.38 ,"$1,659.42 ","$1,659.42 ",$955.38 ,"$1,659.42 ","$1,969.26 ","$2,423.28 ","$16,536.58 ",$955.38 ,"$2,238.90 ","$2,212.56 ",$955.38 ,"$1,975.50 ","$2,107.20 ","$2,107.20 ",$955.38 ,"$2,107.20 ","$2,291.58 ","$2,291.58 ","$2,291.58 ","$2,370.60 ","$2,437.20 ",$955.38 ,"$2,634.00 ","$1,477.67 ",$955.38 ,"$1,549.19 ","$4,728.65 ","$4,513.71 ","$1,003.15 ","$2,238.90 ","$1,659.42 ",$737.52 ,"$2,370.60 ","$2,291.58 ", N/A , N/A ,$955.38 ,"$1,712.10 " ST. FRANCIS HOSPITAL - ACUTE,98180160,25622,PC CLOSED RX NAVICULAR FX,981,1 ,$963.00 ,$693.36 ,$269.64 ,$963.00 ,$832.30 ,$693.36 ,$523.87 ,$326.26 ,$269.64 ,$640.40 ,$326.26 ,$674.10 ,$326.26 ,$606.69 ,$606.69 ,$326.26 ,$606.69 ,$672.50 ,$885.96 ,$517.53 ,$326.26 ,$818.55 ,$808.92 ,$326.26 ,$722.25 ,$770.40 ,$770.40 ,$326.26 ,$770.40 ,$837.81 ,$837.81 ,$837.81 ,$866.70 ,$832.30 ,$326.26 ,$963.00 ,$540.24 ,$326.26 ,$516.88 ,$608.75 ,$581.08 ,$342.58 ,$818.55 ,$606.69 ,$269.64 ,$866.70 ,$837.81 , N/A , N/A ,$326.26 ,$625.95 ST. FRANCIS HOSPITAL - ACUTE,98180161,25630,PC CLOSED RX CARPAL FX,981,1 ,$961.00 ,$691.92 ,$269.08 ,$961.00 ,$837.65 ,$691.92 ,$522.78 ,$328.36 ,$269.08 ,$639.07 ,$328.36 ,$672.70 ,$328.36 ,$605.43 ,$605.43 ,$328.36 ,$605.43 ,$676.82 ,$884.12 ,$517.53 ,$328.36 ,$816.85 ,$807.24 ,$328.36 ,$720.75 ,$768.80 ,$768.80 ,$328.36 ,$768.80 ,$836.07 ,$836.07 ,$836.07 ,$864.90 ,$837.65 ,$328.36 ,$961.00 ,$539.12 ,$328.36 ,$522.62 ,$608.75 ,$581.08 ,$344.77 ,$816.85 ,$605.43 ,$269.08 ,$864.90 ,$836.07 , N/A , N/A ,$328.36 ,$624.65 ST. FRANCIS HOSPITAL - ACUTE,98180171,26020,PC DRAIN HAND TENDON SHEATH,981,1 ,"$1,761.00 ","$1,267.92 ",$493.08 ,"$7,441.65 ","$1,628.63 ","$1,267.92 ",$957.98 ,$638.42 ,$493.08 ,"$1,171.07 ",$638.42 ,"$1,232.70 ",$638.42 ,"$1,109.43 ","$1,109.43 ",$638.42 ,"$1,109.43 ","$1,315.93 ","$1,620.12 ","$7,441.65 ",$638.42 ,"$1,496.85 ","$1,479.24 ",$638.42 ,"$1,320.75 ","$1,408.80 ","$1,408.80 ",$638.42 ,"$1,408.80 ","$1,532.07 ","$1,532.07 ","$1,532.07 ","$1,584.90 ","$1,628.63 ",$638.42 ,"$1,761.00 ",$987.92 ,$638.42 ,"$1,033.74 ","$1,223.05 ","$1,167.45 ",$670.34 ,"$1,496.85 ","$1,109.43 ",$493.08 ,"$1,584.90 ","$1,532.07 ", N/A , N/A ,$638.42 ,"$1,144.65 " ST. FRANCIS HOSPITAL - ACUTE,98180175,26600,PC CLOSED RX METACARPAL FX,981,1 ,$939.00 ,$676.08 ,$262.92 ,$939.00 ,$834.20 ,$676.08 ,$510.82 ,$327.01 ,$262.92 ,$624.44 ,$327.01 ,$657.30 ,$327.01 ,$591.57 ,$591.57 ,$327.01 ,$591.57 ,$674.03 ,$863.88 ,$517.53 ,$327.01 ,$798.15 ,$788.76 ,$327.01 ,$704.25 ,$751.20 ,$751.20 ,$327.01 ,$751.20 ,$816.93 ,$816.93 ,$816.93 ,$845.10 ,$834.20 ,$327.01 ,$939.00 ,$526.78 ,$327.01 ,$514.47 ,$608.75 ,$581.08 ,$343.35 ,$798.15 ,$591.57 ,$262.92 ,$845.10 ,$816.93 , N/A , N/A ,$327.01 ,$610.35 ST. FRANCIS HOSPITAL - ACUTE,98180178,26608,"PC CLOSED RX METACARPAL FX,PERCUT",981,1 ,"$1,522.00 ","$1,095.84 ",$426.16 ,"$7,441.65 ","$1,411.15 ","$1,095.84 ",$827.97 ,$553.17 ,$426.16 ,"$1,012.13 ",$553.17 ,"$1,065.40 ",$553.17 ,$958.86 ,$958.86 ,$553.17 ,$958.86 ,"$1,140.21 ","$1,400.24 ","$7,441.65 ",$553.17 ,"$1,293.70 ","$1,278.48 ",$553.17 ,"$1,141.50 ","$1,217.60 ","$1,217.60 ",$553.17 ,"$1,217.60 ","$1,324.14 ","$1,324.14 ","$1,324.14 ","$1,369.80 ","$1,411.15 ",$553.17 ,"$1,522.00 ",$853.84 ,$553.17 ,$890.67 ,"$4,728.65 ","$4,513.71 ",$580.83 ,"$1,293.70 ",$958.86 ,$426.16 ,"$1,369.80 ","$1,324.14 ", N/A , N/A ,$553.17 ,$989.30 ST. FRANCIS HOSPITAL - ACUTE,98180179,26615,"PC CLOSED RX METACARPAL FX,OPEN",981,1 ,"$1,819.00 ","$1,309.68 ",$509.32 ,"$7,441.65 ","$1,684.35 ","$1,309.68 ",$989.54 ,$660.27 ,$509.32 ,"$1,209.64 ",$660.27 ,"$1,273.30 ",$660.27 ,"$1,145.97 ","$1,145.97 ",$660.27 ,"$1,145.97 ","$1,360.95 ","$1,673.48 ","$7,441.65 ",$660.27 ,"$1,546.15 ","$1,527.96 ",$660.27 ,"$1,364.25 ","$1,455.20 ","$1,455.20 ",$660.27 ,"$1,455.20 ","$1,582.53 ","$1,582.53 ","$1,582.53 ","$1,637.10 ","$1,684.35 ",$660.27 ,"$1,819.00 ","$1,020.46 ",$660.27 ,"$1,071.71 ","$4,728.65 ","$4,513.71 ",$693.28 ,"$1,546.15 ","$1,145.97 ",$509.32 ,"$1,637.10 ","$1,582.53 ", N/A , N/A ,$660.27 ,"$1,182.35 " ST. FRANCIS HOSPITAL - ACUTE,98180189,26720,PC CLOSE RX PROX/MID FING SHFT FX,981,1 ,$625.00 ,$450.00 ,$175.00 ,$625.00 ,$551.70 ,$450.00 ,$340.00 ,$216.27 ,$175.00 ,$415.63 ,$216.27 ,$437.50 ,$216.27 ,$393.75 ,$393.75 ,$216.27 ,$393.75 ,$445.77 ,$575.00 ,$517.53 ,$216.27 ,$531.25 ,$525.00 ,$216.27 ,$468.75 ,$500.00 ,$500.00 ,$216.27 ,$500.00 ,$543.75 ,$543.75 ,$543.75 ,$562.50 ,$551.70 ,$216.27 ,$625.00 ,$350.63 ,$216.27 ,$339.88 ,$599.02 ,$571.79 ,$227.08 ,$531.25 ,$393.75 ,$175.00 ,$562.50 ,$543.75 , N/A , N/A ,$216.27 ,$406.25 ST. FRANCIS HOSPITAL - ACUTE,98180190,26725,"PC CLOSE RX PROX/MID FING SHFT FX,MANIP",981,1 ,"$1,078.00 ",$776.16 ,$301.84 ,"$1,078.00 ",$900.38 ,$776.16 ,$586.43 ,$352.95 ,$301.84 ,$716.87 ,$352.95 ,$754.60 ,$352.95 ,$679.14 ,$679.14 ,$352.95 ,$679.14 ,$727.50 ,$991.76 ,$517.53 ,$352.95 ,$916.30 ,$905.52 ,$352.95 ,$808.50 ,$862.40 ,$862.40 ,$352.95 ,$862.40 ,$937.86 ,$937.86 ,$937.86 ,$970.20 ,$900.38 ,$352.95 ,"$1,078.00 ",$604.76 ,$352.95 ,$563.17 ,$599.02 ,$571.79 ,$370.60 ,$916.30 ,$679.14 ,$301.84 ,$970.20 ,$937.86 , N/A , N/A ,$352.95 ,$700.70 ST. FRANCIS HOSPITAL - ACUTE,98180191,26727,PC PERCUT RX PROX/MID FING SHFT FX,981,1 ,"$1,496.00 ","$1,077.12 ",$418.88 ,"$7,441.65 ","$1,387.10 ","$1,077.12 ",$813.82 ,$543.74 ,$418.88 ,$994.84 ,$543.74 ,"$1,047.20 ",$543.74 ,$942.48 ,$942.48 ,$543.74 ,$942.48 ,"$1,120.78 ","$1,376.32 ","$7,441.65 ",$543.74 ,"$1,271.60 ","$1,256.64 ",$543.74 ,"$1,122.00 ","$1,196.80 ","$1,196.80 ",$543.74 ,"$1,196.80 ","$1,301.52 ","$1,301.52 ","$1,301.52 ","$1,346.40 ","$1,387.10 ",$543.74 ,"$1,496.00 ",$839.26 ,$543.74 ,$874.39 ,"$4,728.65 ","$4,513.71 ",$570.93 ,"$1,271.60 ",$942.48 ,$418.88 ,"$1,346.40 ","$1,301.52 ", N/A , N/A ,$543.74 ,$972.40 ST. FRANCIS HOSPITAL - ACUTE,98180194,26750,PC CLOSE RX DIST FINGR FX,981,1 ,$587.00 ,$422.64 ,$164.36 ,$599.02 ,$555.38 ,$422.64 ,$319.33 ,$217.71 ,$164.36 ,$390.36 ,$217.71 ,$410.90 ,$217.71 ,$369.81 ,$369.81 ,$217.71 ,$369.81 ,$448.74 ,$540.04 ,$517.53 ,$217.71 ,$498.95 ,$493.08 ,$217.71 ,$440.25 ,$469.60 ,$469.60 ,$217.71 ,$469.60 ,$510.69 ,$510.69 ,$510.69 ,$528.30 ,$555.38 ,$217.71 ,$587.00 ,$329.31 ,$217.71 ,$342.30 ,$599.02 ,$571.79 ,$228.59 ,$498.95 ,$369.81 ,$164.36 ,$528.30 ,$510.69 , N/A , N/A ,$217.71 ,$381.55 ST. FRANCIS HOSPITAL - ACUTE,98180225,27520,PC CLOSED RX PATELLA FX,981,1 ,"$1,022.00 ",$735.84 ,$286.16 ,"$1,022.00 ",$882.60 ,$735.84 ,$555.97 ,$345.98 ,$286.16 ,$679.63 ,$345.98 ,$715.40 ,$345.98 ,$643.86 ,$643.86 ,$345.98 ,$643.86 ,$713.14 ,$940.24 ,$517.53 ,$345.98 ,$868.70 ,$858.48 ,$345.98 ,$766.50 ,$817.60 ,$817.60 ,$345.98 ,$817.60 ,$889.14 ,$889.14 ,$889.14 ,$919.80 ,$882.60 ,$345.98 ,"$1,022.00 ",$573.34 ,$345.98 ,$547.84 ,$608.75 ,$581.08 ,$363.28 ,$868.70 ,$643.86 ,$286.16 ,$919.80 ,$889.14 , N/A , N/A ,$345.98 ,$664.30 ST. FRANCIS HOSPITAL - ACUTE,98180226,27530,PC CLOSED RX TIBIAL PLATEAU FX,981,1 ,$964.00 ,$694.08 ,$269.92 ,$964.00 ,$841.35 ,$694.08 ,$524.42 ,$329.81 ,$269.92 ,$641.06 ,$329.81 ,$674.80 ,$329.81 ,$607.32 ,$607.32 ,$329.81 ,$607.32 ,$679.81 ,$886.88 ,$517.53 ,$329.81 ,$819.40 ,$809.76 ,$329.81 ,$723.00 ,$771.20 ,$771.20 ,$329.81 ,$771.20 ,$838.68 ,$838.68 ,$838.68 ,$867.60 ,$841.35 ,$329.81 ,$964.00 ,$540.80 ,$329.81 ,$520.79 ,$608.75 ,$581.08 ,$346.30 ,$819.40 ,$607.32 ,$269.92 ,$867.60 ,$838.68 , N/A , N/A ,$329.81 ,$626.60 ST. FRANCIS HOSPITAL - ACUTE,98180233,27570,PC MANIPULATN KNEE JT+ANESTHESIA,981,1 ,$482.00 ,$347.04 ,$134.96 ,"$3,586.30 ",$447.55 ,$347.04 ,$262.21 ,$175.44 ,$134.96 ,$320.53 ,$175.44 ,$337.40 ,$175.44 ,$303.66 ,$303.66 ,$175.44 ,$303.66 ,$361.62 ,$443.44 ,"$3,586.30 ",$175.44 ,$409.70 ,$404.88 ,$175.44 ,$361.50 ,$385.60 ,$385.60 ,$175.44 ,$385.60 ,$419.34 ,$419.34 ,$419.34 ,$433.80 ,$447.55 ,$175.44 ,$482.00 ,$270.40 ,$175.44 ,$280.90 ,"$1,070.55 ","$1,021.89 ",$184.21 ,$409.70 ,$303.66 ,$134.96 ,$433.80 ,$419.34 , N/A , N/A ,$175.44 ,$313.30 ST. FRANCIS HOSPITAL - ACUTE,98180238,27762,"PC CLOSED RX MED MALLEOLUS FX,MANIP",981,1 ,"$1,531.00 ","$1,102.32 ",$428.68 ,"$3,586.30 ","$1,294.13 ","$1,102.32 ",$832.86 ,$507.30 ,$428.68 ,"$1,018.12 ",$507.30 ,"$1,071.70 ",$507.30 ,$964.53 ,$964.53 ,$507.30 ,$964.53 ,"$1,045.65 ","$1,408.52 ","$3,586.30 ",$507.30 ,"$1,301.35 ","$1,286.04 ",$507.30 ,"$1,148.25 ","$1,224.80 ","$1,224.80 ",$507.30 ,"$1,224.80 ","$1,331.97 ","$1,331.97 ","$1,331.97 ","$1,377.90 ","$1,294.13 ",$507.30 ,"$1,531.00 ",$858.89 ,$507.30 ,$810.78 ,$608.75 ,$581.08 ,$532.66 ,"$1,301.35 ",$964.53 ,$428.68 ,"$1,377.90 ","$1,331.97 ", N/A , N/A ,$507.30 ,$995.15 ST. FRANCIS HOSPITAL - ACUTE,98180241,27780,PC CLOSED RX PROX/SHAFT FIBULA FX,981,1 ,$971.00 ,$699.12 ,$271.88 ,$971.00 ,$833.30 ,$699.12 ,$528.22 ,$326.65 ,$271.88 ,$645.72 ,$326.65 ,$679.70 ,$326.65 ,$611.73 ,$611.73 ,$326.65 ,$611.73 ,$673.31 ,$893.32 ,$517.53 ,$326.65 ,$825.35 ,$815.64 ,$326.65 ,$728.25 ,$776.80 ,$776.80 ,$326.65 ,$776.80 ,$844.77 ,$844.77 ,$844.77 ,$873.90 ,$833.30 ,$326.65 ,$971.00 ,$544.73 ,$326.65 ,$517.90 ,$608.75 ,$581.08 ,$342.99 ,$825.35 ,$611.73 ,$271.88 ,$873.90 ,$844.77 , N/A , N/A ,$326.65 ,$631.15 ST. FRANCIS HOSPITAL - ACUTE,98180242,27786,PC CLOSED RX DIST FIBULA FX,981,1 ,$985.00 ,$709.20 ,$275.80 ,$985.00 ,$839.85 ,$709.20 ,$535.84 ,$329.22 ,$275.80 ,$655.03 ,$329.22 ,$689.50 ,$329.22 ,$620.55 ,$620.55 ,$329.22 ,$620.55 ,$678.60 ,$906.20 ,$517.53 ,$329.22 ,$837.25 ,$827.40 ,$329.22 ,$738.75 ,$788.00 ,$788.00 ,$329.22 ,$788.00 ,$856.95 ,$856.95 ,$856.95 ,$886.50 ,$839.85 ,$329.22 ,$985.00 ,$552.59 ,$329.22 ,$529.51 ,$608.75 ,$581.08 ,$345.69 ,$837.25 ,$620.55 ,$275.80 ,$886.50 ,$856.95 , N/A , N/A ,$329.22 ,$640.25 ST. FRANCIS HOSPITAL - ACUTE,98180253,28400,PC CLOSED RX HEEL FX,981,1 ,$764.00 ,$550.08 ,$213.92 ,$764.00 ,$661.00 ,$550.08 ,$415.62 ,$259.11 ,$213.92 ,$508.06 ,$259.11 ,$534.80 ,$259.11 ,$481.32 ,$481.32 ,$259.11 ,$481.32 ,$534.09 ,$702.88 ,$517.53 ,$259.11 ,$649.40 ,$641.76 ,$259.11 ,$573.00 ,$611.20 ,$611.20 ,$259.11 ,$611.20 ,$664.68 ,$664.68 ,$664.68 ,$687.60 ,$661.00 ,$259.11 ,$764.00 ,$428.60 ,$259.11 ,$418.82 ,$608.75 ,$581.08 ,$272.07 ,$649.40 ,$481.32 ,$213.92 ,$687.60 ,$664.68 , N/A , N/A ,$259.11 ,$496.60 ST. FRANCIS HOSPITAL - ACUTE,98180256,28430,PC CLOSED RX TALUS FX,981,1 ,$743.00 ,$534.96 ,$208.04 ,$743.00 ,$608.48 ,$534.96 ,$404.19 ,$238.52 ,$208.04 ,$494.10 ,$238.52 ,$520.10 ,$238.52 ,$468.09 ,$468.09 ,$238.52 ,$468.09 ,$491.65 ,$683.56 ,$517.53 ,$238.52 ,$631.55 ,$624.12 ,$238.52 ,$557.25 ,$594.40 ,$594.40 ,$238.52 ,$594.40 ,$646.41 ,$646.41 ,$646.41 ,$668.70 ,$608.48 ,$238.52 ,$743.00 ,$416.82 ,$238.52 ,$386.26 ,$608.75 ,$581.08 ,$250.45 ,$631.55 ,$468.09 ,$208.04 ,$668.70 ,$646.41 , N/A , N/A ,$238.52 ,$482.95 ST. FRANCIS HOSPITAL - ACUTE,98180259,28450,"PC CLOSED RX TARSAL FX,EACH",981,1 ,$650.00 ,$468.00 ,$182.00 ,$650.00 ,$545.60 ,$468.00 ,$353.60 ,$213.88 ,$182.00 ,$432.25 ,$213.88 ,$455.00 ,$213.88 ,$409.50 ,$409.50 ,$213.88 ,$409.50 ,$440.84 ,$598.00 ,$517.53 ,$213.88 ,$552.50 ,$546.00 ,$213.88 ,$487.50 ,$520.00 ,$520.00 ,$213.88 ,$520.00 ,$565.50 ,$565.50 ,$565.50 ,$585.00 ,$545.60 ,$213.88 ,$650.00 ,$364.65 ,$213.88 ,$349.79 ,$608.75 ,$581.08 ,$224.57 ,$552.50 ,$409.50 ,$182.00 ,$585.00 ,$565.50 , N/A , N/A ,$213.88 ,$422.50 ST. FRANCIS HOSPITAL - ACUTE,98180262,28470,PC CLOSED RX METATARSAL FX,981,1 ,$671.00 ,$483.12 ,$187.88 ,$671.00 ,$583.55 ,$483.12 ,$365.02 ,$228.75 ,$187.88 ,$446.22 ,$228.75 ,$469.70 ,$228.75 ,$422.73 ,$422.73 ,$228.75 ,$422.73 ,$471.51 ,$617.32 ,$517.53 ,$228.75 ,$570.35 ,$563.64 ,$228.75 ,$503.25 ,$536.80 ,$536.80 ,$228.75 ,$536.80 ,$583.77 ,$583.77 ,$583.77 ,$603.90 ,$583.55 ,$228.75 ,$671.00 ,$376.43 ,$228.75 ,$373.31 ,$608.75 ,$581.08 ,$240.19 ,$570.35 ,$422.73 ,$187.88 ,$603.90 ,$583.77 , N/A , N/A ,$228.75 ,$436.15 ST. FRANCIS HOSPITAL - ACUTE,98180264,28490,PC CLOSED RX BIG TOE FRACTURE,981,1 ,$430.00 ,$309.60 ,$120.40 ,$599.02 ,$355.88 ,$309.60 ,$233.92 ,$139.50 ,$120.40 ,$285.95 ,$139.50 ,$301.00 ,$139.50 ,$270.90 ,$270.90 ,$139.50 ,$270.90 ,$287.55 ,$395.60 ,$517.53 ,$139.50 ,$365.50 ,$361.20 ,$139.50 ,$322.50 ,$344.00 ,$344.00 ,$139.50 ,$344.00 ,$374.10 ,$374.10 ,$374.10 ,$387.00 ,$355.88 ,$139.50 ,$430.00 ,$241.23 ,$139.50 ,$225.78 ,$599.02 ,$571.79 ,$146.48 ,$365.50 ,$270.90 ,$120.40 ,$387.00 ,$374.10 , N/A , N/A ,$139.50 ,$279.50 ST. FRANCIS HOSPITAL - ACUTE,98180267,28510,PC CLOSED RX TOE FX,981,1 ,$364.00 ,$262.08 ,$101.92 ,$599.02 ,$340.40 ,$262.08 ,$198.02 ,$133.44 ,$101.92 ,$242.06 ,$133.44 ,$254.80 ,$133.44 ,$229.32 ,$229.32 ,$133.44 ,$229.32 ,$275.04 ,$334.88 ,$517.53 ,$133.44 ,$309.40 ,$305.76 ,$133.44 ,$273.00 ,$291.20 ,$291.20 ,$133.44 ,$291.20 ,$316.68 ,$316.68 ,$316.68 ,$327.60 ,$340.40 ,$133.44 ,$364.00 ,$204.20 ,$133.44 ,$216.70 ,$599.02 ,$571.79 ,$140.11 ,$309.40 ,$229.32 ,$101.92 ,$327.60 ,$316.68 , N/A , N/A ,$133.44 ,$236.60 ST. FRANCIS HOSPITAL - ACUTE,98180283,29065,PC APPLY LONG ARM CAST,981,1 ,$295.00 ,$212.40 ,$78.14 ,$599.78 ,$199.33 ,$212.40 ,$160.48 ,$78.14 ,$82.60 ,$196.18 ,$78.14 ,$206.50 ,$78.14 ,$185.85 ,$185.85 ,$78.14 ,$185.85 ,$161.05 ,$271.40 ,$599.78 ,$78.14 ,$250.75 ,$247.80 ,$78.14 ,$221.25 ,$236.00 ,$236.00 ,$78.14 ,$236.00 ,$256.65 ,$256.65 ,$256.65 ,$265.50 ,$199.33 ,$78.14 ,$295.00 ,$165.50 ,$78.14 ,$126.63 ,$343.00 ,$327.41 ,$82.05 ,$250.75 ,$185.85 ,$82.60 ,$265.50 ,$256.65 , N/A , N/A ,$78.14 ,$191.75 ST. FRANCIS HOSPITAL - ACUTE,98180284,29075,PC APPLY FOREARM CAST,981,1 ,$263.00 ,$189.36 ,$72.05 ,$599.78 ,$183.80 ,$189.36 ,$143.07 ,$72.05 ,$73.64 ,$174.90 ,$72.05 ,$184.10 ,$72.05 ,$165.69 ,$165.69 ,$72.05 ,$165.69 ,$148.51 ,$241.96 ,$599.78 ,$72.05 ,$223.55 ,$220.92 ,$72.05 ,$197.25 ,$210.40 ,$210.40 ,$72.05 ,$210.40 ,$228.81 ,$228.81 ,$228.81 ,$236.70 ,$183.80 ,$72.05 ,$263.00 ,$147.54 ,$72.05 ,$113.94 ,$343.00 ,$327.41 ,$75.66 ,$223.55 ,$165.69 ,$73.64 ,$236.70 ,$228.81 , N/A , N/A ,$72.05 ,$170.95 ST. FRANCIS HOSPITAL - ACUTE,98180286,29105,PC APPLY LONG ARM SPLINT,981,1 ,$249.00 ,$179.28 ,$50.69 ,$364.40 ,$129.30 ,$179.28 ,$135.46 ,$50.69 ,$69.72 ,$165.59 ,$50.69 ,$174.30 ,$50.69 ,$156.87 ,$156.87 ,$50.69 ,$156.87 ,$104.47 ,$229.08 ,$364.40 ,$50.69 ,$211.65 ,$209.16 ,$50.69 ,$186.75 ,$199.20 ,$199.20 ,$50.69 ,$199.20 ,$216.63 ,$216.63 ,$216.63 ,$224.10 ,$129.30 ,$50.69 ,$249.00 ,$139.69 ,$50.69 ,$80.60 ,$265.87 ,$253.79 ,$53.22 ,$211.65 ,$156.87 ,$69.72 ,$224.10 ,$216.63 , N/A , N/A ,$50.69 ,$161.85 ST. FRANCIS HOSPITAL - ACUTE,98180287,29125,"PC APPLY FOREARM SPLINT,STATIC",981,1 ,$197.00 ,$141.84 ,$46.11 ,$290.28 ,$117.63 ,$141.84 ,$107.17 ,$46.11 ,$55.16 ,$131.01 ,$46.11 ,$137.90 ,$46.11 ,$124.11 ,$124.11 ,$46.11 ,$124.11 ,$95.04 ,$181.24 ,$290.28 ,$46.11 ,$167.45 ,$165.48 ,$46.11 ,$147.75 ,$157.60 ,$157.60 ,$46.11 ,$157.60 ,$171.39 ,$171.39 ,$171.39 ,$177.30 ,$117.63 ,$46.11 ,$197.00 ,$110.52 ,$46.11 ,$73.31 ,$265.87 ,$253.79 ,$48.41 ,$167.45 ,$124.11 ,$55.16 ,$177.30 ,$171.39 , N/A , N/A ,$46.11 ,$128.05 ST. FRANCIS HOSPITAL - ACUTE,98180288,29126,"PC APPLY FOREARM SPLINT,DYNAMIC",981,1 ,$233.00 ,$167.76 ,$55.58 ,$290.28 ,$141.78 ,$167.76 ,$126.75 ,$55.58 ,$65.24 ,$154.95 ,$55.58 ,$163.10 ,$55.58 ,$146.79 ,$146.79 ,$55.58 ,$146.79 ,$114.55 ,$214.36 ,$290.28 ,$55.58 ,$198.05 ,$195.72 ,$55.58 ,$174.75 ,$186.40 ,$186.40 ,$55.58 ,$186.40 ,$202.71 ,$202.71 ,$202.71 ,$209.70 ,$141.78 ,$55.58 ,$233.00 ,$130.71 ,$55.58 ,$90.76 ,$265.87 ,$253.79 ,$58.36 ,$198.05 ,$146.79 ,$65.24 ,$209.70 ,$202.71 , N/A , N/A ,$55.58 ,$151.45 ST. FRANCIS HOSPITAL - ACUTE,98180294,29345,PC APPLY LONG LEG CAST,981,1 ,$417.00 ,$300.24 ,$114.35 ,$599.78 ,$291.70 ,$300.24 ,$226.85 ,$114.35 ,$116.76 ,$277.31 ,$114.35 ,$291.90 ,$114.35 ,$262.71 ,$262.71 ,$114.35 ,$262.71 ,$235.69 ,$383.64 ,$599.78 ,$114.35 ,$354.45 ,$350.28 ,$114.35 ,$312.75 ,$333.60 ,$333.60 ,$114.35 ,$333.60 ,$362.79 ,$362.79 ,$362.79 ,$375.30 ,$291.70 ,$114.35 ,$417.00 ,$233.94 ,$114.35 ,$187.68 ,$343.00 ,$327.41 ,$120.06 ,$354.45 ,$262.71 ,$116.76 ,$375.30 ,$362.79 , N/A , N/A ,$114.35 ,$271.05 ST. FRANCIS HOSPITAL - ACUTE,98180298,29405,PC APPLY SHORT LEG CAST,981,1 ,$242.00 ,$174.24 ,$65.82 ,$599.78 ,$167.90 ,$174.24 ,$131.65 ,$65.82 ,$67.76 ,$160.93 ,$65.82 ,$169.40 ,$65.82 ,$152.46 ,$152.46 ,$65.82 ,$152.46 ,$135.66 ,$222.64 ,$599.78 ,$65.82 ,$205.70 ,$203.28 ,$65.82 ,$181.50 ,$193.60 ,$193.60 ,$65.82 ,$193.60 ,$210.54 ,$210.54 ,$210.54 ,$217.80 ,$167.90 ,$65.82 ,$242.00 ,$135.76 ,$65.82 ,$109.66 ,$343.00 ,$327.41 ,$69.11 ,$205.70 ,$152.46 ,$67.76 ,$217.80 ,$210.54 , N/A , N/A ,$65.82 ,$157.30 ST. FRANCIS HOSPITAL - ACUTE,98180299,29425,"PC APPLY SHORT LEG CAST,WALKER",981,1 ,$227.00 ,$163.44 ,$60.72 ,$599.78 ,$154.90 ,$163.44 ,$123.49 ,$60.72 ,$63.56 ,$150.96 ,$60.72 ,$158.90 ,$60.72 ,$143.01 ,$143.01 ,$60.72 ,$143.01 ,$125.16 ,$208.84 ,$599.78 ,$60.72 ,$192.95 ,$190.68 ,$60.72 ,$170.25 ,$181.60 ,$181.60 ,$60.72 ,$181.60 ,$197.49 ,$197.49 ,$197.49 ,$204.30 ,$154.90 ,$60.72 ,$227.00 ,$127.35 ,$60.72 ,$103.38 ,$343.00 ,$327.41 ,$63.76 ,$192.95 ,$143.01 ,$63.56 ,$204.30 ,$197.49 , N/A , N/A ,$60.72 ,$147.55 ST. FRANCIS HOSPITAL - ACUTE,98180305,29515,PC APPLY LOWER LEG SPLINT,981,1 ,$216.00 ,$155.52 ,$55.99 ,$364.40 ,$142.83 ,$155.52 ,$117.50 ,$55.99 ,$60.48 ,$143.64 ,$55.99 ,$151.20 ,$55.99 ,$136.08 ,$136.08 ,$55.99 ,$136.08 ,$115.40 ,$198.72 ,$364.40 ,$55.99 ,$183.60 ,$181.44 ,$55.99 ,$162.00 ,$172.80 ,$172.80 ,$55.99 ,$172.80 ,$187.92 ,$187.92 ,$187.92 ,$194.40 ,$142.83 ,$55.99 ,$216.00 ,$121.18 ,$55.99 ,$92.63 ,$265.87 ,$253.79 ,$58.79 ,$183.60 ,$136.08 ,$60.48 ,$194.40 ,$187.92 , N/A , N/A ,$55.99 ,$140.40 ST. FRANCIS HOSPITAL - ACUTE,98180480,11055,PC PARING LESION BENIGN SINGLE,981,1 ,$128.00 ,$92.16 ,$18.36 ,$451.45 ,$46.83 ,$92.16 ,$69.63 ,$18.36 ,$35.84 ,$85.12 ,$18.36 ,$89.60 ,$18.36 ,$80.64 ,$80.64 ,$18.36 ,$80.64 ,$37.83 ,$117.76 ,$451.45 ,$18.36 ,$108.80 ,$107.52 ,$18.36 ,$96.00 ,$102.40 ,$102.40 ,$18.36 ,$102.40 ,$111.36 ,$111.36 ,$111.36 ,$115.20 ,$46.83 ,$18.36 ,$128.00 ,$71.81 ,$18.36 ,$30.54 ,$323.48 ,$308.77 ,$19.28 ,$108.80 ,$80.64 ,$35.84 ,$115.20 ,$111.36 , N/A , N/A ,$18.36 ,$83.20 ST. FRANCIS HOSPITAL - ACUTE,98180481,11056,PC PARING LESION BENIGN 2-4 LESIONS,981,1 ,$154.00 ,$110.88 ,$24.97 ,$451.45 ,$63.70 ,$110.88 ,$83.78 ,$24.97 ,$43.12 ,$102.41 ,$24.97 ,$107.80 ,$24.97 ,$97.02 ,$97.02 ,$24.97 ,$97.02 ,$51.47 ,$141.68 ,$451.45 ,$24.97 ,$130.90 ,$129.36 ,$24.97 ,$115.50 ,$123.20 ,$123.20 ,$24.97 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$63.70 ,$24.97 ,$154.00 ,$86.39 ,$24.97 ,$44.54 ,$323.48 ,$308.77 ,$26.21 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 , N/A , N/A ,$24.97 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,98180482,11057,PC PARING LESION BENIGN 4+ LESIONS,981,1 ,$183.00 ,$131.76 ,$31.93 ,$451.45 ,$81.45 ,$131.76 ,$99.55 ,$31.93 ,$51.24 ,$121.70 ,$31.93 ,$128.10 ,$31.93 ,$115.29 ,$115.29 ,$31.93 ,$115.29 ,$65.81 ,$168.36 ,$451.45 ,$31.93 ,$155.55 ,$153.72 ,$31.93 ,$137.25 ,$146.40 ,$146.40 ,$31.93 ,$146.40 ,$159.21 ,$159.21 ,$159.21 ,$164.70 ,$81.45 ,$31.93 ,$183.00 ,$102.66 ,$31.93 ,$56.34 ,$323.48 ,$308.77 ,$33.53 ,$155.55 ,$115.29 ,$51.24 ,$164.70 ,$159.21 , N/A , N/A ,$31.93 ,$118.95 ST. FRANCIS HOSPITAL - ACUTE,98180487,11402,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 1.1-2.0CM,981,1 ,$526.00 ,$378.72 ,$128.71 ,"$1,622.43 ",$328.35 ,$378.72 ,$286.14 ,$128.71 ,$147.28 ,$349.79 ,$128.71 ,$368.20 ,$128.71 ,$331.38 ,$331.38 ,$128.71 ,$331.38 ,$265.31 ,$483.92 ,"$1,622.43 ",$128.71 ,$447.10 ,$441.84 ,$128.71 ,$394.50 ,$420.80 ,$420.80 ,$128.71 ,$420.80 ,$457.62 ,$457.62 ,$457.62 ,$473.40 ,$328.35 ,$128.71 ,$526.00 ,$295.09 ,$128.71 ,$210.84 ,$679.87 ,$648.96 ,$135.15 ,$447.10 ,$331.38 ,$147.28 ,$473.40 ,$457.62 , N/A , N/A ,$128.71 ,$341.90 ST. FRANCIS HOSPITAL - ACUTE,98180488,11403,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 2.1-3.0CM,981,1 ,$606.00 ,$436.32 ,$166.68 ,"$1,622.43 ",$425.20 ,$436.32 ,$329.66 ,$166.68 ,$169.68 ,$402.99 ,$166.68 ,$424.20 ,$166.68 ,$381.78 ,$381.78 ,$166.68 ,$381.78 ,$343.56 ,$557.52 ,"$1,622.43 ",$166.68 ,$515.10 ,$509.04 ,$166.68 ,$454.50 ,$484.80 ,$484.80 ,$166.68 ,$484.80 ,$527.22 ,$527.22 ,$527.22 ,$545.40 ,$425.20 ,$166.68 ,$606.00 ,$339.97 ,$166.68 ,$273.18 ,$679.87 ,$648.96 ,$175.01 ,$515.10 ,$381.78 ,$169.68 ,$545.40 ,$527.22 , N/A , N/A ,$166.68 ,$393.90 ST. FRANCIS HOSPITAL - ACUTE,98180489,11404,PC EXCISION LESION BENIGN TRUNK/ARM/LEG 3.1-4.0CM,981,1 ,$693.00 ,$498.96 ,$185.66 ,"$3,748.88 ",$473.63 ,$498.96 ,$376.99 ,$185.66 ,$194.04 ,$460.85 ,$185.66 ,$485.10 ,$185.66 ,$436.59 ,$436.59 ,$185.66 ,$436.59 ,$382.69 ,$637.56 ,"$3,748.88 ",$185.66 ,$589.05 ,$582.12 ,$185.66 ,$519.75 ,$554.40 ,$554.40 ,$185.66 ,$554.40 ,$602.91 ,$602.91 ,$602.91 ,$623.70 ,$473.63 ,$185.66 ,$693.00 ,$388.77 ,$185.66 ,$302.18 ,$679.87 ,$648.96 ,$194.94 ,$589.05 ,$436.59 ,$194.04 ,$623.70 ,$602.91 , N/A , N/A ,$185.66 ,$450.45 ST. FRANCIS HOSPITAL - ACUTE,98180491,11421,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 0.6-1.0CM,981,1 ,$488.00 ,$351.36 ,$122.25 ,"$1,622.43 ",$311.88 ,$351.36 ,$265.47 ,$122.25 ,$136.64 ,$324.52 ,$122.25 ,$341.60 ,$122.25 ,$307.44 ,$307.44 ,$122.25 ,$307.44 ,$252.00 ,$448.96 ,"$1,622.43 ",$122.25 ,$414.80 ,$409.92 ,$122.25 ,$366.00 ,$390.40 ,$390.40 ,$122.25 ,$390.40 ,$424.56 ,$424.56 ,$424.56 ,$439.20 ,$311.88 ,$122.25 ,$488.00 ,$273.77 ,$122.25 ,$202.24 ,$679.87 ,$648.96 ,$128.37 ,$414.80 ,$307.44 ,$136.64 ,$439.20 ,$424.56 , N/A , N/A ,$122.25 ,$317.20 ST. FRANCIS HOSPITAL - ACUTE,98180492,11422,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 1.1-2.0CM,981,1 ,$549.00 ,$395.28 ,$150.95 ,"$3,748.88 ",$385.08 ,$395.28 ,$298.66 ,$150.95 ,$153.72 ,$365.09 ,$150.95 ,$384.30 ,$150.95 ,$345.87 ,$345.87 ,$150.95 ,$345.87 ,$311.14 ,$505.08 ,"$3,748.88 ",$150.95 ,$466.65 ,$461.16 ,$150.95 ,$411.75 ,$439.20 ,$439.20 ,$150.95 ,$439.20 ,$477.63 ,$477.63 ,$477.63 ,$494.10 ,$385.08 ,$150.95 ,$549.00 ,$307.99 ,$150.95 ,$250.03 ,$679.87 ,$648.96 ,$158.50 ,$466.65 ,$345.87 ,$153.72 ,$494.10 ,$477.63 , N/A , N/A ,$150.95 ,$356.85 ST. FRANCIS HOSPITAL - ACUTE,98180493,11423,PC EXCISION LESION BENIGN SCALP/NECK/HAND/FEET 2.1-3.0CM,981,1 ,$629.00 ,$452.88 ,$174.52 ,"$3,748.88 ",$445.20 ,$452.88 ,$342.18 ,$174.52 ,$176.12 ,$418.29 ,$174.52 ,$440.30 ,$174.52 ,$396.27 ,$396.27 ,$174.52 ,$396.27 ,$359.72 ,$578.68 ,"$3,748.88 ",$174.52 ,$534.65 ,$528.36 ,$174.52 ,$471.75 ,$503.20 ,$503.20 ,$174.52 ,$503.20 ,$547.23 ,$547.23 ,$547.23 ,$566.10 ,$445.20 ,$174.52 ,$629.00 ,$352.87 ,$174.52 ,$287.81 ,$679.87 ,$648.96 ,$183.24 ,$534.65 ,$396.27 ,$176.12 ,$566.10 ,$547.23 , N/A , N/A ,$174.52 ,$408.85 ST. FRANCIS HOSPITAL - ACUTE,98180497,11732,PC AVULSION NAIL PLATE EA ADDL,981,1 ,$116.00 ,$83.52 ,$19.82 ,$303.49 ,$50.55 ,$83.52 ,$63.10 ,$19.82 ,$32.48 ,$77.14 ,$19.82 ,$81.20 ,$19.82 ,$73.08 ,$73.08 ,$19.82 ,$73.08 ,$40.84 ,$106.72 , N/A ,$19.82 ,$98.60 ,$97.44 ,$19.82 ,$87.00 ,$92.80 ,$92.80 ,$19.82 ,$92.80 ,$100.92 ,$100.92 ,$100.92 ,$104.40 ,$50.55 ,$19.82 ,$116.00 ,$65.08 ,$19.82 ,$33.14 ,$303.49 ,$289.70 ,$20.81 ,$98.60 ,$73.08 ,$32.48 ,$104.40 ,$100.92 , N/A , N/A ,$19.82 ,$75.40 ST. FRANCIS HOSPITAL - ACUTE,98180506,20550,PC INJ SINGLE TENDON/LIGAMENT,981,1 ,$178.00 ,$128.16 ,$45.02 ,$679.73 ,$114.85 ,$128.16 ,$96.83 ,$45.02 ,$49.84 ,$118.37 ,$45.02 ,$124.60 ,$45.02 ,$112.14 ,$112.14 ,$45.02 ,$112.14 ,$92.80 ,$163.76 ,$679.73 ,$45.02 ,$151.30 ,$149.52 ,$45.02 ,$133.50 ,$142.40 ,$142.40 ,$45.02 ,$142.40 ,$154.86 ,$154.86 ,$154.86 ,$160.20 ,$114.85 ,$45.02 ,$178.00 ,$99.86 ,$45.02 ,$74.70 ,$341.51 ,$325.98 ,$47.28 ,$151.30 ,$112.14 ,$49.84 ,$160.20 ,$154.86 , N/A , N/A ,$45.02 ,$115.70 ST. FRANCIS HOSPITAL - ACUTE,98180507,20552,PC INJ TRIGGER PT 1-2 MUSCLE,981,1 ,$166.00 ,$119.52 ,$42.13 ,$679.73 ,$107.48 ,$119.52 ,$90.30 ,$42.13 ,$46.48 ,$110.39 ,$42.13 ,$116.20 ,$42.13 ,$104.58 ,$104.58 ,$42.13 ,$104.58 ,$86.84 ,$152.72 ,$679.73 ,$42.13 ,$141.10 ,$139.44 ,$42.13 ,$124.50 ,$132.80 ,$132.80 ,$42.13 ,$132.80 ,$144.42 ,$144.42 ,$144.42 ,$149.40 ,$107.48 ,$42.13 ,$166.00 ,$93.13 ,$42.13 ,$72.98 ,$341.51 ,$325.98 ,$44.24 ,$141.10 ,$104.58 ,$46.48 ,$149.40 ,$144.42 , N/A , N/A ,$42.13 ,$107.90 ST. FRANCIS HOSPITAL - ACUTE,98180509,20612,PC INJ GANGLION CYST,981,1 ,$197.00 ,$141.84 ,$46.98 ,$679.73 ,$119.85 ,$141.84 ,$107.17 ,$46.98 ,$55.16 ,$131.01 ,$46.98 ,$137.90 ,$46.98 ,$124.11 ,$124.11 ,$46.98 ,$124.11 ,$96.84 ,$181.24 ,$679.73 ,$46.98 ,$167.45 ,$165.48 ,$46.98 ,$147.75 ,$157.60 ,$157.60 ,$46.98 ,$157.60 ,$171.39 ,$171.39 ,$171.39 ,$177.30 ,$119.85 ,$46.98 ,$197.00 ,$110.52 ,$46.98 ,$78.08 ,$341.51 ,$325.98 ,$49.33 ,$167.45 ,$124.11 ,$55.16 ,$177.30 ,$171.39 , N/A , N/A ,$46.98 ,$128.05 ST. FRANCIS HOSPITAL - ACUTE,98180511,24200,PC REMOVE FOREIGN BODY UPPER ARM/ELBOW SUBQ,981,1 ,$679.00 ,$488.88 ,$158.79 ,"$3,748.88 ",$405.08 ,$488.88 ,$369.38 ,$158.79 ,$190.12 ,$451.54 ,$158.79 ,$475.30 ,$158.79 ,$427.77 ,$427.77 ,$158.79 ,$427.77 ,$327.30 ,$624.68 ,"$3,748.88 ",$158.79 ,$577.15 ,$570.36 ,$158.79 ,$509.25 ,$543.20 ,$543.20 ,$158.79 ,$543.20 ,$590.73 ,$590.73 ,$590.73 ,$611.10 ,$405.08 ,$158.79 ,$679.00 ,$380.92 ,$158.79 ,$262.60 ,$679.87 ,$648.96 ,$166.73 ,$577.15 ,$427.77 ,$190.12 ,$611.10 ,$590.73 , N/A , N/A ,$158.79 ,$441.35 ST. FRANCIS HOSPITAL - ACUTE,98180513,26951,PC AMPUT FINGER/THUMB SGL CLSR,981,1 ,"$2,194.00 ","$1,579.68 ",$614.32 ,"$7,441.65 ","$2,008.10 ","$1,579.68 ","$1,193.54 ",$787.18 ,$614.32 ,"$1,459.01 ",$787.18 ,"$1,535.80 ",$787.18 ,"$1,382.22 ","$1,382.22 ",$787.18 ,"$1,382.22 ","$1,622.54 ","$2,018.48 ","$7,441.65 ",$787.18 ,"$1,864.90 ","$1,842.96 ",$787.18 ,"$1,645.50 ","$1,755.20 ","$1,755.20 ",$787.18 ,"$1,755.20 ","$1,908.78 ","$1,908.78 ","$1,908.78 ","$1,974.60 ","$2,008.10 ",$787.18 ,"$2,194.00 ","$1,230.83 ",$787.18 ,"$1,221.57 ","$1,223.05 ","$1,167.45 ",$826.53 ,"$1,864.90 ","$1,382.22 ",$614.32 ,"$1,974.60 ","$1,908.78 ", N/A , N/A ,$787.18 ,"$1,426.10 " ST. FRANCIS HOSPITAL - ACUTE,98180603,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT,981,1 ,$142.00 ,$102.24 ,$37.50 ,$143.70 ,$95.68 ,$102.24 ,$77.25 ,$37.50 ,$39.76 ,$94.43 ,$37.50 ,$99.40 ,$37.50 ,$89.46 ,$89.46 ,$37.50 ,$89.46 ,$77.31 ,$130.64 ,$143.70 ,$37.50 ,$120.70 ,$119.28 ,$37.50 ,$106.50 ,$113.60 ,$113.60 ,$37.50 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$95.68 ,$37.50 ,$142.00 ,$79.66 ,$37.50 ,$63.56 ,$125.98 ,$120.26 ,$39.38 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 , N/A , N/A ,$37.50 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,98180867,26236,PC EXCISION BONE FINGER PARTIAL,981,1 ,"$1,400.00 ","$1,008.00 ",$392.00 ,"$3,586.30 ","$1,293.68 ","$1,008.00 ",$761.60 ,$507.12 ,$392.00 ,$931.00 ,$507.12 ,$980.00 ,$507.12 ,$882.00 ,$882.00 ,$507.12 ,$882.00 ,"$1,045.29 ","$1,288.00 ","$3,586.30 ",$507.12 ,"$1,190.00 ","$1,176.00 ",$507.12 ,"$1,050.00 ","$1,120.00 ","$1,120.00 ",$507.12 ,"$1,120.00 ","$1,218.00 ","$1,218.00 ","$1,218.00 ","$1,260.00 ","$1,293.68 ",$507.12 ,"$1,400.00 ",$785.40 ,$507.12 ,$822.60 ,"$1,223.05 ","$1,167.45 ",$532.47 ,"$1,190.00 ",$882.00 ,$392.00 ,"$1,260.00 ","$1,218.00 ", N/A , N/A ,$507.12 ,$910.00 ST. FRANCIS HOSPITAL - ACUTE,98180944,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT-LT,981,1 ,$142.00 ,$102.24 ,$37.50 ,$143.70 ,$95.68 ,$102.24 ,$77.25 ,$37.50 ,$39.76 ,$94.43 ,$37.50 ,$99.40 ,$37.50 ,$89.46 ,$89.46 ,$37.50 ,$89.46 ,$77.31 ,$130.64 ,$143.70 ,$37.50 ,$120.70 ,$119.28 ,$37.50 ,$106.50 ,$113.60 ,$113.60 ,$37.50 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$95.68 ,$37.50 ,$142.00 ,$79.66 ,$37.50 ,$63.56 ,$125.98 ,$120.26 ,$39.38 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 , N/A , N/A ,$37.50 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,98180945,69210,PC REMOVE CERUMEN IMPACTED W/INSTRUMENT-RT,981,1 ,$142.00 ,$102.24 ,$37.50 ,$143.70 ,$95.68 ,$102.24 ,$77.25 ,$37.50 ,$39.76 ,$94.43 ,$37.50 ,$99.40 ,$37.50 ,$89.46 ,$89.46 ,$37.50 ,$89.46 ,$77.31 ,$130.64 ,$143.70 ,$37.50 ,$120.70 ,$119.28 ,$37.50 ,$106.50 ,$113.60 ,$113.60 ,$37.50 ,$113.60 ,$123.54 ,$123.54 ,$123.54 ,$127.80 ,$95.68 ,$37.50 ,$142.00 ,$79.66 ,$37.50 ,$63.56 ,$125.98 ,$120.26 ,$39.38 ,$120.70 ,$89.46 ,$39.76 ,$127.80 ,$123.54 , N/A , N/A ,$37.50 ,$92.30 ST. FRANCIS HOSPITAL - ACUTE,98180952,64450,PC INJ ANES OTHER THAN PERIPHERAL,981,1 ,$232.00 ,$167.04 ,$47.21 ,"$1,610.85 ",$120.43 ,$167.04 ,$126.21 ,$47.21 ,$64.96 ,$154.28 ,$47.21 ,$162.40 ,$47.21 ,$146.16 ,$146.16 ,$47.21 ,$146.16 ,$97.30 ,$213.44 ,"$1,610.85 ",$47.21 ,$197.20 ,$194.88 ,$47.21 ,$174.00 ,$185.60 ,$185.60 ,$47.21 ,$185.60 ,$201.84 ,$201.84 ,$201.84 ,$208.80 ,$120.43 ,$47.21 ,$232.00 ,$130.15 ,$47.21 ,$80.80 ,$463.96 ,$442.87 ,$49.57 ,$197.20 ,$146.16 ,$64.96 ,$208.80 ,$201.84 , N/A , N/A ,$47.21 ,$150.80 ST. FRANCIS HOSPITAL - ACUTE,98180960,11105,PC BIOPSY SKIN PUNCH ADDL LESN,981,1 ,$89.00 ,$64.08 ,$24.92 ,$679.87 ,$74.58 ,$64.08 ,$48.42 ,$29.23 ,$24.92 ,$59.19 ,$29.23 ,$62.30 ,$29.23 ,$56.07 ,$56.07 ,$29.23 ,$56.07 ,$60.26 ,$81.88 , N/A ,$29.23 ,$75.65 ,$74.76 ,$29.23 ,$66.75 ,$71.20 ,$71.20 ,$29.23 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$74.58 ,$29.23 ,$89.00 ,$49.93 ,$29.23 ,$49.74 ,$679.87 ,$648.96 ,$30.69 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 , N/A , N/A ,$29.23 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,98180963,11104,PC BIOPSY SKIN PUNCH INIT LESN,981,1 ,$342.00 ,$246.24 ,$53.19 ,$932.68 ,$135.70 ,$246.24 ,$186.05 ,$53.19 ,$95.76 ,$227.43 ,$53.19 ,$239.40 ,$53.19 ,$215.46 ,$215.46 ,$53.19 ,$215.46 ,$109.65 ,$314.64 ,$932.68 ,$53.19 ,$290.70 ,$287.28 ,$53.19 ,$256.50 ,$273.60 ,$273.60 ,$53.19 ,$273.60 ,$297.54 ,$297.54 ,$297.54 ,$307.80 ,$135.70 ,$53.19 ,$342.00 ,$191.86 ,$53.19 ,$91.60 ,$679.87 ,$648.96 ,$55.85 ,$290.70 ,$215.46 ,$95.76 ,$307.80 ,$297.54 , N/A , N/A ,$53.19 ,$222.30 ST. FRANCIS HOSPITAL - ACUTE,98180975,20551,PC INJECTION SINGLE TENDON ORIGIN/INSERTION,981,1 ,$179.00 ,$128.88 ,$45.02 ,$679.73 ,$114.85 ,$128.88 ,$97.38 ,$45.02 ,$50.12 ,$119.04 ,$45.02 ,$125.30 ,$45.02 ,$112.77 ,$112.77 ,$45.02 ,$112.77 ,$92.80 ,$164.68 ,$679.73 ,$45.02 ,$152.15 ,$150.36 ,$45.02 ,$134.25 ,$143.20 ,$143.20 ,$45.02 ,$143.20 ,$155.73 ,$155.73 ,$155.73 ,$161.10 ,$114.85 ,$45.02 ,$179.00 ,$100.42 ,$45.02 ,$75.92 ,$341.51 ,$325.98 ,$47.28 ,$152.15 ,$112.77 ,$50.12 ,$161.10 ,$155.73 , N/A , N/A ,$45.02 ,$116.35 ST. FRANCIS HOSPITAL - ACUTE,98180977,20611,PC ARTHROCENTESIS ASPIR AND /INJ MAJOR JT/BURSA W/US,981,1 ,$306.00 ,$220.32 ,$69.44 ,$679.73 ,$177.15 ,$220.32 ,$166.46 ,$69.44 ,$85.68 ,$203.49 ,$69.44 ,$214.20 ,$69.44 ,$192.78 ,$192.78 ,$69.44 ,$192.78 ,$143.14 ,$281.52 ,$679.73 ,$69.44 ,$260.10 ,$257.04 ,$69.44 ,$229.50 ,$244.80 ,$244.80 ,$69.44 ,$244.80 ,$266.22 ,$266.22 ,$266.22 ,$275.40 ,$177.15 ,$69.44 ,$306.00 ,$171.67 ,$69.44 ,$113.95 ,$341.51 ,$325.98 ,$72.91 ,$260.10 ,$192.78 ,$85.68 ,$275.40 ,$266.22 , N/A , N/A ,$69.44 ,$198.90 ST. FRANCIS HOSPITAL - ACUTE,98180982,11406,PC EXCISION LESION BENIGN TRUNK/ARM/LEG >4.0CM,981,1 ,"$1,000.00 ",$720.00 ,$280.00 ,"$3,748.88 ",$724.40 ,$720.00 ,$544.00 ,$283.96 ,$280.00 ,$665.00 ,$283.96 ,$700.00 ,$283.96 ,$630.00 ,$630.00 ,$283.96 ,$630.00 ,$585.32 ,$920.00 ,"$3,748.88 ",$283.96 ,$850.00 ,$840.00 ,$283.96 ,$750.00 ,$800.00 ,$800.00 ,$283.96 ,$800.00 ,$870.00 ,$870.00 ,$870.00 ,$900.00 ,$724.40 ,$283.96 ,"$1,000.00 ",$561.00 ,$283.96 ,$463.48 ,"$1,359.74 ","$1,297.94 ",$298.16 ,$850.00 ,$630.00 ,$280.00 ,$900.00 ,$870.00 , N/A , N/A ,$283.96 ,$650.00 ST. FRANCIS HOSPITAL - ACUTE,98180983,11441,PC EXCISION LESION BENIGN FACE/EAR 0.6-1.0CM,981,1 ,$533.00 ,$383.76 ,$146.91 ,"$1,622.43 ",$374.78 ,$383.76 ,$289.95 ,$146.91 ,$149.24 ,$354.45 ,$146.91 ,$373.10 ,$146.91 ,$335.79 ,$335.79 ,$146.91 ,$335.79 ,$302.82 ,$490.36 ,"$1,622.43 ",$146.91 ,$453.05 ,$447.72 ,$146.91 ,$399.75 ,$426.40 ,$426.40 ,$146.91 ,$426.40 ,$463.71 ,$463.71 ,$463.71 ,$479.70 ,$374.78 ,$146.91 ,$533.00 ,$299.01 ,$146.91 ,$239.32 ,$679.87 ,$648.96 ,$154.26 ,$453.05 ,$335.79 ,$149.24 ,$479.70 ,$463.71 , N/A , N/A ,$146.91 ,$346.45 ST. FRANCIS HOSPITAL - ACUTE,98200002,99202,PC CLINIC VISIT LIMITED NEW PRO,982,1 ,$153.00 ,$110.16 ,$34.49 ,$153.00 ,$87.98 ,$110.16 ,$83.23 ,$34.49 ,$42.84 ,$101.75 ,$34.49 ,$107.10 ,$34.49 ,$96.39 ,$96.39 ,$34.49 ,$96.39 ,$71.08 ,$140.76 , N/A ,$34.49 ,$130.05 ,$128.52 ,$34.49 ,$114.75 ,$122.40 ,$122.40 ,$34.49 ,$122.40 ,$133.11 ,$133.11 ,$133.11 ,$137.70 ,$87.98 ,$34.49 ,$76.98 ,$85.83 ,$34.49 ,$70.27 ,$148.31 ,$141.57 ,$36.21 ,$130.05 ,$96.39 ,$42.84 ,$137.70 ,$133.11 , N/A , N/A ,$34.49 ,$99.45 ST. FRANCIS HOSPITAL - ACUTE,98200003,99203,PC CLINIC VISIT INTERM NEW PRO,982,1 ,$233.00 ,$167.76 ,$52.52 ,$233.00 ,$133.98 ,$167.76 ,$126.75 ,$52.52 ,$65.24 ,$154.95 ,$52.52 ,$163.10 ,$52.52 ,$146.79 ,$146.79 ,$52.52 ,$146.79 ,$108.25 ,$214.36 , N/A ,$52.52 ,$198.05 ,$195.72 ,$52.52 ,$174.75 ,$186.40 ,$186.40 ,$52.52 ,$186.40 ,$202.71 ,$202.71 ,$202.71 ,$209.70 ,$133.98 ,$52.52 ,$120.52 ,$130.71 ,$52.52 ,$105.21 ,$148.31 ,$141.57 ,$55.14 ,$198.05 ,$146.79 ,$65.24 ,$209.70 ,$202.71 , N/A , N/A ,$52.52 ,$151.45 ST. FRANCIS HOSPITAL - ACUTE,98200004,99204,PC CLINIC VISIT COMPLEX NEW PRO,982,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$177.92 ,$176.72 ,$71.00 ,$179.90 ,$148.31 ,$141.57 ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 , N/A , N/A ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,98200005,99205,PC CLINIC VISIT COMPREH NEW PRO,982,1 ,$414.00 ,$298.08 ,$93.32 ,$414.00 ,$238.05 ,$298.08 ,$225.22 ,$93.32 ,$115.92 ,$275.31 ,$93.32 ,$289.80 ,$93.32 ,$260.82 ,$260.82 ,$93.32 ,$260.82 ,$192.34 ,$380.88 , N/A ,$93.32 ,$351.90 ,$347.76 ,$93.32 ,$310.50 ,$331.20 ,$331.20 ,$93.32 ,$331.20 ,$360.18 ,$360.18 ,$360.18 ,$372.60 ,$238.05 ,$93.32 ,$234.97 ,$232.25 ,$93.32 ,$234.84 ,$148.31 ,$141.57 ,$97.98 ,$351.90 ,$260.82 ,$115.92 ,$372.60 ,$360.18 , N/A , N/A ,$93.32 ,$269.10 ST. FRANCIS HOSPITAL - ACUTE,98200006,99211,PC CLINIC VISIT BRIEF EST PRO,982,1 ,$68.00 ,$48.96 ,$12.73 ,$148.31 ,$39.10 ,$48.96 ,$36.99 ,$15.33 ,$19.04 ,$45.22 ,$15.33 ,$47.60 ,$15.33 ,$42.84 ,$42.84 ,$15.33 ,$42.84 ,$31.59 ,$62.56 , N/A ,$15.33 ,$57.80 ,$57.12 ,$15.33 ,$51.00 ,$54.40 ,$54.40 ,$15.33 ,$54.40 ,$59.16 ,$59.16 ,$59.16 ,$61.20 ,$39.10 ,$15.33 ,$68.00 ,$38.15 ,$15.33 ,$12.73 ,$148.31 ,$141.57 ,$16.09 ,$57.80 ,$42.84 ,$19.04 ,$61.20 ,$59.16 , N/A , N/A ,$15.33 ,$44.20 ST. FRANCIS HOSPITAL - ACUTE,98200007,99212,PC CLINIC VISIT LIMIT EST PRO,982,1 ,$113.00 ,$81.36 ,$25.47 ,$148.31 ,$64.98 ,$81.36 ,$61.47 ,$25.47 ,$31.64 ,$75.15 ,$25.47 ,$79.10 ,$25.47 ,$71.19 ,$71.19 ,$25.47 ,$71.19 ,$52.50 ,$103.96 , N/A ,$25.47 ,$96.05 ,$94.92 ,$25.47 ,$84.75 ,$90.40 ,$90.40 ,$25.47 ,$90.40 ,$98.31 ,$98.31 ,$98.31 ,$101.70 ,$64.98 ,$25.47 ,$60.09 ,$63.39 ,$25.47 ,$35.95 ,$148.31 ,$141.57 ,$26.74 ,$96.05 ,$71.19 ,$31.64 ,$101.70 ,$98.31 , N/A , N/A ,$25.47 ,$73.45 ST. FRANCIS HOSPITAL - ACUTE,98200008,99213,PC CLINIC VISIT INTERM EST PRO,982,1 ,$186.00 ,$133.92 ,$41.92 ,$186.00 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 , N/A ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$95.85 ,$104.35 ,$41.92 ,$71.20 ,$148.31 ,$141.57 ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 , N/A , N/A ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,98200009,99214,PC CLINIC VISIT COMPLX EST PRO,982,1 ,$278.00 ,$200.16 ,$62.66 ,$278.00 ,$159.85 ,$200.16 ,$151.23 ,$62.66 ,$77.84 ,$184.87 ,$62.66 ,$194.60 ,$62.66 ,$175.14 ,$175.14 ,$62.66 ,$175.14 ,$129.16 ,$255.76 , N/A ,$62.66 ,$236.30 ,$233.52 ,$62.66 ,$208.50 ,$222.40 ,$222.40 ,$62.66 ,$222.40 ,$241.86 ,$241.86 ,$241.86 ,$250.20 ,$159.85 ,$62.66 ,$278.00 ,$155.96 ,$62.66 ,$109.36 ,$148.31 ,$141.57 ,$65.80 ,$236.30 ,$175.14 ,$77.84 ,$250.20 ,$241.86 , N/A , N/A ,$62.66 ,$180.70 ST. FRANCIS HOSPITAL - ACUTE,98200010,99215,PC CLINIC VISIT COMPRH EST PRO,982,1 ,$335.00 ,$241.20 ,$75.51 ,$335.00 ,$192.63 ,$241.20 ,$182.24 ,$75.51 ,$93.80 ,$222.78 ,$75.51 ,$234.50 ,$75.51 ,$211.05 ,$211.05 ,$75.51 ,$211.05 ,$155.64 ,$308.20 , N/A ,$75.51 ,$284.75 ,$281.40 ,$75.51 ,$251.25 ,$268.00 ,$268.00 ,$75.51 ,$268.00 ,$291.45 ,$291.45 ,$291.45 ,$301.50 ,$192.63 ,$75.51 ,$335.00 ,$187.94 ,$75.51 ,$154.37 ,$148.31 ,$141.57 ,$79.28 ,$284.75 ,$211.05 ,$93.80 ,$301.50 ,$291.45 , N/A , N/A ,$75.51 ,$217.75 ST. FRANCIS HOSPITAL - ACUTE,98200011,93922,PC DOPPLER ARTERIAL EXTREMITY LIMITED- 26,982,1 ,$67.00 ,$48.24 ,$15.10 ,$290.28 ,$38.53 ,$48.24 ,$36.45 ,$15.10 ,$18.76 ,$44.56 ,$15.10 ,$46.90 ,$15.10 ,$42.21 ,$42.21 ,$15.10 ,$42.21 ,$31.13 ,$61.64 ,$290.28 ,$15.10 ,$56.95 ,$56.28 ,$15.10 ,$50.25 ,$53.60 ,$53.60 ,$15.10 ,$53.60 ,$58.29 ,$58.29 ,$58.29 ,$60.30 ,$38.53 ,$15.10 ,$67.00 ,$37.59 ,$15.10 ,$25.68 ,$149.62 ,$142.82 ,$15.86 ,$56.95 ,$42.21 ,$18.76 ,$60.30 ,$58.29 , N/A , N/A ,$15.10 ,$43.55 ST. FRANCIS HOSPITAL - ACUTE,98200012,93923,PC DOPPLER ARTERIAL EXTREMITY COMPLETE-26,982,1 ,$94.00 ,$67.68 ,$21.19 ,$363.58 ,$54.05 ,$67.68 ,$51.14 ,$21.19 ,$26.32 ,$62.51 ,$21.19 ,$65.80 ,$21.19 ,$59.22 ,$59.22 ,$21.19 ,$59.22 ,$43.67 ,$86.48 ,$363.58 ,$21.19 ,$79.90 ,$78.96 ,$21.19 ,$70.50 ,$75.20 ,$75.20 ,$21.19 ,$75.20 ,$81.78 ,$81.78 ,$81.78 ,$84.60 ,$54.05 ,$21.19 ,$94.00 ,$52.73 ,$21.19 ,$44.97 ,$149.62 ,$142.82 ,$22.25 ,$79.90 ,$59.22 ,$26.32 ,$84.60 ,$81.78 , N/A , N/A ,$21.19 ,$61.10 ST. FRANCIS HOSPITAL - ACUTE,98200013,93922,PC DOPPLER ARTERIAL EXTREMITY LIMITED,982,1 ,$67.00 ,$48.24 ,$15.10 ,$290.28 ,$38.53 ,$48.24 ,$36.45 ,$15.10 ,$18.76 ,$44.56 ,$15.10 ,$46.90 ,$15.10 ,$42.21 ,$42.21 ,$15.10 ,$42.21 ,$31.13 ,$61.64 ,$290.28 ,$15.10 ,$56.95 ,$56.28 ,$15.10 ,$50.25 ,$53.60 ,$53.60 ,$15.10 ,$53.60 ,$58.29 ,$58.29 ,$58.29 ,$60.30 ,$38.53 ,$15.10 ,$67.00 ,$37.59 ,$15.10 ,$67.00 ,$149.62 ,$142.82 ,$15.86 ,$56.95 ,$42.21 ,$18.76 ,$60.30 ,$58.29 , N/A , N/A ,$15.10 ,$43.55 ST. FRANCIS HOSPITAL - ACUTE,98200033,64479,PC INJ EPIDURAL CREV/THOR SGL-BI,982,1 ,$813.00 ,$585.36 ,$183.25 ,"$2,130.45 ",$467.48 ,$585.36 ,$442.27 ,$183.25 ,$227.64 ,$540.65 ,$183.25 ,$569.10 ,$183.25 ,$512.19 ,$512.19 ,$183.25 ,$512.19 ,$377.72 ,$747.96 ,"$2,130.45 ",$183.25 ,$691.05 ,$682.92 ,$183.25 ,$609.75 ,$650.40 ,$650.40 ,$183.25 ,$650.40 ,$707.31 ,$707.31 ,$707.31 ,$731.70 ,$467.48 ,$183.25 ,$813.00 ,$456.09 ,$183.25 ,$246.56 ,$841.45 ,$803.20 ,$192.41 ,$691.05 ,$512.19 ,$227.64 ,$731.70 ,$707.31 , N/A , N/A ,$183.25 ,$528.45 ST. FRANCIS HOSPITAL - ACUTE,98200034,64479,PC INJ EPIDURAL CREV/THOR SGL-LT,982,1 ,$813.00 ,$585.36 ,$183.25 ,"$2,130.45 ",$467.48 ,$585.36 ,$442.27 ,$183.25 ,$227.64 ,$540.65 ,$183.25 ,$569.10 ,$183.25 ,$512.19 ,$512.19 ,$183.25 ,$512.19 ,$377.72 ,$747.96 ,"$2,130.45 ",$183.25 ,$691.05 ,$682.92 ,$183.25 ,$609.75 ,$650.40 ,$650.40 ,$183.25 ,$650.40 ,$707.31 ,$707.31 ,$707.31 ,$731.70 ,$467.48 ,$183.25 ,$813.00 ,$456.09 ,$183.25 ,$246.56 ,$841.45 ,$803.20 ,$192.41 ,$691.05 ,$512.19 ,$227.64 ,$731.70 ,$707.31 , N/A , N/A ,$183.25 ,$528.45 ST. FRANCIS HOSPITAL - ACUTE,98200035,64479,PC INJ EPIDURAL CREV/THOR SGL-RT,982,1 ,$813.00 ,$585.36 ,$183.25 ,"$2,130.45 ",$467.48 ,$585.36 ,$442.27 ,$183.25 ,$227.64 ,$540.65 ,$183.25 ,$569.10 ,$183.25 ,$512.19 ,$512.19 ,$183.25 ,$512.19 ,$377.72 ,$747.96 ,"$2,130.45 ",$183.25 ,$691.05 ,$682.92 ,$183.25 ,$609.75 ,$650.40 ,$650.40 ,$183.25 ,$650.40 ,$707.31 ,$707.31 ,$707.31 ,$731.70 ,$467.48 ,$183.25 ,$813.00 ,$456.09 ,$183.25 ,$246.56 ,$841.45 ,$803.20 ,$192.41 ,$691.05 ,$512.19 ,$227.64 ,$731.70 ,$707.31 , N/A , N/A ,$183.25 ,$528.45 ST. FRANCIS HOSPITAL - ACUTE,98200036,64480,PC INJ TRANSF CERV/THORACIC ADDL-LT,982,1 ,$413.00 ,$297.36 ,$93.09 ,$841.45 ,$237.48 ,$297.36 ,$224.67 ,$93.09 ,$115.64 ,$274.65 ,$93.09 ,$289.10 ,$93.09 ,$260.19 ,$260.19 ,$93.09 ,$260.19 ,$191.88 ,$379.96 , N/A ,$93.09 ,$351.05 ,$346.92 ,$93.09 ,$309.75 ,$330.40 ,$330.40 ,$93.09 ,$330.40 ,$359.31 ,$359.31 ,$359.31 ,$371.70 ,$237.48 ,$93.09 ,$413.00 ,$231.69 ,$93.09 ,$118.59 ,$841.45 ,$803.20 ,$97.75 ,$351.05 ,$260.19 ,$115.64 ,$371.70 ,$359.31 , N/A , N/A ,$93.09 ,$268.45 ST. FRANCIS HOSPITAL - ACUTE,98200037,64480,PC INJ TRANSF CERV/THORACIC ADDL-RT,982,1 ,$413.00 ,$297.36 ,$93.09 ,$841.45 ,$237.48 ,$297.36 ,$224.67 ,$93.09 ,$115.64 ,$274.65 ,$93.09 ,$289.10 ,$93.09 ,$260.19 ,$260.19 ,$93.09 ,$260.19 ,$191.88 ,$379.96 , N/A ,$93.09 ,$351.05 ,$346.92 ,$93.09 ,$309.75 ,$330.40 ,$330.40 ,$93.09 ,$330.40 ,$359.31 ,$359.31 ,$359.31 ,$371.70 ,$237.48 ,$93.09 ,$413.00 ,$231.69 ,$93.09 ,$118.59 ,$841.45 ,$803.20 ,$97.75 ,$351.05 ,$260.19 ,$115.64 ,$371.70 ,$359.31 , N/A , N/A ,$93.09 ,$268.45 ST. FRANCIS HOSPITAL - ACUTE,98200038,64483,PC INJ EPID LUMBAR/SACRAL SGL-BI,982,1 ,$753.00 ,$542.16 ,$169.73 ,"$2,130.45 ",$432.98 ,$542.16 ,$409.63 ,$169.73 ,$210.84 ,$500.75 ,$169.73 ,$527.10 ,$169.73 ,$474.39 ,$474.39 ,$169.73 ,$474.39 ,$349.84 ,$692.76 ,"$2,130.45 ",$169.73 ,$640.05 ,$632.52 ,$169.73 ,$564.75 ,$602.40 ,$602.40 ,$169.73 ,$602.40 ,$655.11 ,$655.11 ,$655.11 ,$677.70 ,$432.98 ,$169.73 ,$753.00 ,$422.43 ,$169.73 ,$209.52 ,$841.45 ,$803.20 ,$178.21 ,$640.05 ,$474.39 ,$210.84 ,$677.70 ,$655.11 , N/A , N/A ,$169.73 ,$489.45 ST. FRANCIS HOSPITAL - ACUTE,98200039,64483,PC INJ EPID LUMBAR/SACRAL SGL-LT,982,1 ,$753.00 ,$542.16 ,$169.73 ,"$2,130.45 ",$432.98 ,$542.16 ,$409.63 ,$169.73 ,$210.84 ,$500.75 ,$169.73 ,$527.10 ,$169.73 ,$474.39 ,$474.39 ,$169.73 ,$474.39 ,$349.84 ,$692.76 ,"$2,130.45 ",$169.73 ,$640.05 ,$632.52 ,$169.73 ,$564.75 ,$602.40 ,$602.40 ,$169.73 ,$602.40 ,$655.11 ,$655.11 ,$655.11 ,$677.70 ,$432.98 ,$169.73 ,$753.00 ,$422.43 ,$169.73 ,$209.52 ,$841.45 ,$803.20 ,$178.21 ,$640.05 ,$474.39 ,$210.84 ,$677.70 ,$655.11 , N/A , N/A ,$169.73 ,$489.45 ST. FRANCIS HOSPITAL - ACUTE,98200040,64483,PC INJ EPID LUMBAR/SACRAL SGL-RT,982,1 ,$753.00 ,$542.16 ,$169.73 ,"$2,130.45 ",$432.98 ,$542.16 ,$409.63 ,$169.73 ,$210.84 ,$500.75 ,$169.73 ,$527.10 ,$169.73 ,$474.39 ,$474.39 ,$169.73 ,$474.39 ,$349.84 ,$692.76 ,"$2,130.45 ",$169.73 ,$640.05 ,$632.52 ,$169.73 ,$564.75 ,$602.40 ,$602.40 ,$169.73 ,$602.40 ,$655.11 ,$655.11 ,$655.11 ,$677.70 ,$432.98 ,$169.73 ,$753.00 ,$422.43 ,$169.73 ,$209.52 ,$841.45 ,$803.20 ,$178.21 ,$640.05 ,$474.39 ,$210.84 ,$677.70 ,$655.11 , N/A , N/A ,$169.73 ,$489.45 ST. FRANCIS HOSPITAL - ACUTE,98200041,64484,PC INJ EPID LUMBAR/SACRAL ADDL-LT,982,1 ,$343.00 ,$246.96 ,$77.31 ,$841.45 ,$197.23 ,$246.96 ,$186.59 ,$77.31 ,$96.04 ,$228.10 ,$77.31 ,$240.10 ,$77.31 ,$216.09 ,$216.09 ,$77.31 ,$216.09 ,$159.36 ,$315.56 , N/A ,$77.31 ,$291.55 ,$288.12 ,$77.31 ,$257.25 ,$274.40 ,$274.40 ,$77.31 ,$274.40 ,$298.41 ,$298.41 ,$298.41 ,$308.70 ,$197.23 ,$77.31 ,$343.00 ,$192.42 ,$77.31 ,$98.64 ,$841.45 ,$803.20 ,$81.17 ,$291.55 ,$216.09 ,$96.04 ,$308.70 ,$298.41 , N/A , N/A ,$77.31 ,$222.95 ST. FRANCIS HOSPITAL - ACUTE,98200042,64484,PC INJ EPID LUMBAR/SACRAL ADDL-RT,982,1 ,$343.00 ,$246.96 ,$77.31 ,$841.45 ,$197.23 ,$246.96 ,$186.59 ,$77.31 ,$96.04 ,$228.10 ,$77.31 ,$240.10 ,$77.31 ,$216.09 ,$216.09 ,$77.31 ,$216.09 ,$159.36 ,$315.56 , N/A ,$77.31 ,$291.55 ,$288.12 ,$77.31 ,$257.25 ,$274.40 ,$274.40 ,$77.31 ,$274.40 ,$298.41 ,$298.41 ,$298.41 ,$308.70 ,$197.23 ,$77.31 ,$343.00 ,$192.42 ,$77.31 ,$98.64 ,$841.45 ,$803.20 ,$81.17 ,$291.55 ,$216.09 ,$96.04 ,$308.70 ,$298.41 , N/A , N/A ,$77.31 ,$222.95 ST. FRANCIS HOSPITAL - ACUTE,98200043,64490,PC INJ PARAVERT F JNT C/T 1 LV-BI,982,1 ,$583.00 ,$419.76 ,$131.41 ,"$2,130.45 ",$335.23 ,$419.76 ,$317.15 ,$131.41 ,$163.24 ,$387.70 ,$131.41 ,$408.10 ,$131.41 ,$367.29 ,$367.29 ,$131.41 ,$367.29 ,$270.86 ,$536.36 ,"$2,130.45 ",$131.41 ,$495.55 ,$489.72 ,$131.41 ,$437.25 ,$466.40 ,$466.40 ,$131.41 ,$466.40 ,$507.21 ,$507.21 ,$507.21 ,$524.70 ,$335.23 ,$131.41 ,$583.00 ,$327.06 ,$131.41 ,$198.71 ,$841.45 ,$803.20 ,$137.97 ,$495.55 ,$367.29 ,$163.24 ,$524.70 ,$507.21 , N/A , N/A ,$131.41 ,$378.95 ST. FRANCIS HOSPITAL - ACUTE,98200044,64490,PC INJ PARAVERT F JNT C/T 1 LV-RT,982,1 ,$583.00 ,$419.76 ,$131.41 ,"$2,130.45 ",$335.23 ,$419.76 ,$317.15 ,$131.41 ,$163.24 ,$387.70 ,$131.41 ,$408.10 ,$131.41 ,$367.29 ,$367.29 ,$131.41 ,$367.29 ,$270.86 ,$536.36 ,"$2,130.45 ",$131.41 ,$495.55 ,$489.72 ,$131.41 ,$437.25 ,$466.40 ,$466.40 ,$131.41 ,$466.40 ,$507.21 ,$507.21 ,$507.21 ,$524.70 ,$335.23 ,$131.41 ,$583.00 ,$327.06 ,$131.41 ,$198.71 ,$841.45 ,$803.20 ,$137.97 ,$495.55 ,$367.29 ,$163.24 ,$524.70 ,$507.21 , N/A , N/A ,$131.41 ,$378.95 ST. FRANCIS HOSPITAL - ACUTE,98200045,64490,PC INJ PARAVERT F JNT C/T 1 LV-LT,982,1 ,$583.00 ,$419.76 ,$131.41 ,"$2,130.45 ",$335.23 ,$419.76 ,$317.15 ,$131.41 ,$163.24 ,$387.70 ,$131.41 ,$408.10 ,$131.41 ,$367.29 ,$367.29 ,$131.41 ,$367.29 ,$270.86 ,$536.36 ,"$2,130.45 ",$131.41 ,$495.55 ,$489.72 ,$131.41 ,$437.25 ,$466.40 ,$466.40 ,$131.41 ,$466.40 ,$507.21 ,$507.21 ,$507.21 ,$524.70 ,$335.23 ,$131.41 ,$583.00 ,$327.06 ,$131.41 ,$198.71 ,$841.45 ,$803.20 ,$137.97 ,$495.55 ,$367.29 ,$163.24 ,$524.70 ,$507.21 , N/A , N/A ,$131.41 ,$378.95 ST. FRANCIS HOSPITAL - ACUTE,98200046,64491,PC INJ PARAVERT F JNT C/T 2 LV-LT,982,1 ,$296.00 ,$213.12 ,$66.72 ,$841.45 ,$170.20 ,$213.12 ,$161.02 ,$66.72 ,$82.88 ,$196.84 ,$66.72 ,$207.20 ,$66.72 ,$186.48 ,$186.48 ,$66.72 ,$186.48 ,$137.52 ,$272.32 , N/A ,$66.72 ,$251.60 ,$248.64 ,$66.72 ,$222.00 ,$236.80 ,$236.80 ,$66.72 ,$236.80 ,$257.52 ,$257.52 ,$257.52 ,$266.40 ,$170.20 ,$66.72 ,$296.00 ,$166.06 ,$66.72 ,$113.92 ,$841.45 ,$803.20 ,$70.05 ,$251.60 ,$186.48 ,$82.88 ,$266.40 ,$257.52 , N/A , N/A ,$66.72 ,$192.40 ST. FRANCIS HOSPITAL - ACUTE,98200047,64491,PC INJ PARAVERT F JNT C/T 2 LV-RT,982,1 ,$296.00 ,$213.12 ,$66.72 ,$841.45 ,$170.20 ,$213.12 ,$161.02 ,$66.72 ,$82.88 ,$196.84 ,$66.72 ,$207.20 ,$66.72 ,$186.48 ,$186.48 ,$66.72 ,$186.48 ,$137.52 ,$272.32 , N/A ,$66.72 ,$251.60 ,$248.64 ,$66.72 ,$222.00 ,$236.80 ,$236.80 ,$66.72 ,$236.80 ,$257.52 ,$257.52 ,$257.52 ,$266.40 ,$170.20 ,$66.72 ,$296.00 ,$166.06 ,$66.72 ,$113.92 ,$841.45 ,$803.20 ,$70.05 ,$251.60 ,$186.48 ,$82.88 ,$266.40 ,$257.52 , N/A , N/A ,$66.72 ,$192.40 ST. FRANCIS HOSPITAL - ACUTE,98200050,64493,PC INJ PARAVERT F JNT L/S 1 LV-BI,982,1 ,$530.00 ,$381.60 ,$119.46 ,"$2,130.45 ",$304.75 ,$381.60 ,$288.32 ,$119.46 ,$148.40 ,$352.45 ,$119.46 ,$371.00 ,$119.46 ,$333.90 ,$333.90 ,$119.46 ,$333.90 ,$246.24 ,$487.60 ,"$2,130.45 ",$119.46 ,$450.50 ,$445.20 ,$119.46 ,$397.50 ,$424.00 ,$424.00 ,$119.46 ,$424.00 ,$461.10 ,$461.10 ,$461.10 ,$477.00 ,$304.75 ,$119.46 ,$530.00 ,$297.33 ,$119.46 ,$168.09 ,$841.45 ,$803.20 ,$125.44 ,$450.50 ,$333.90 ,$148.40 ,$477.00 ,$461.10 , N/A , N/A ,$119.46 ,$344.50 ST. FRANCIS HOSPITAL - ACUTE,98200051,64493,PC INJ PARAVERT F JNT L/S 1 LV-LT,982,1 ,$530.00 ,$381.60 ,$119.46 ,"$2,130.45 ",$304.75 ,$381.60 ,$288.32 ,$119.46 ,$148.40 ,$352.45 ,$119.46 ,$371.00 ,$119.46 ,$333.90 ,$333.90 ,$119.46 ,$333.90 ,$246.24 ,$487.60 ,"$2,130.45 ",$119.46 ,$450.50 ,$445.20 ,$119.46 ,$397.50 ,$424.00 ,$424.00 ,$119.46 ,$424.00 ,$461.10 ,$461.10 ,$461.10 ,$477.00 ,$304.75 ,$119.46 ,$530.00 ,$297.33 ,$119.46 ,$168.09 ,$841.45 ,$803.20 ,$125.44 ,$450.50 ,$333.90 ,$148.40 ,$477.00 ,$461.10 , N/A , N/A ,$119.46 ,$344.50 ST. FRANCIS HOSPITAL - ACUTE,98200052,64493,PC INJ PARAVERT F JNT L/S 1 LV-RT,982,1 ,$530.00 ,$381.60 ,$119.46 ,"$2,130.45 ",$304.75 ,$381.60 ,$288.32 ,$119.46 ,$148.40 ,$352.45 ,$119.46 ,$371.00 ,$119.46 ,$333.90 ,$333.90 ,$119.46 ,$333.90 ,$246.24 ,$487.60 ,"$2,130.45 ",$119.46 ,$450.50 ,$445.20 ,$119.46 ,$397.50 ,$424.00 ,$424.00 ,$119.46 ,$424.00 ,$461.10 ,$461.10 ,$461.10 ,$477.00 ,$304.75 ,$119.46 ,$530.00 ,$297.33 ,$119.46 ,$168.09 ,$841.45 ,$803.20 ,$125.44 ,$450.50 ,$333.90 ,$148.40 ,$477.00 ,$461.10 , N/A , N/A ,$119.46 ,$344.50 ST. FRANCIS HOSPITAL - ACUTE,98200053,64494,PC INJ PARAVERT F JNT L/S 2 LV-LT,982,1 ,$278.00 ,$200.16 ,$62.66 ,$841.45 ,$159.85 ,$200.16 ,$151.23 ,$62.66 ,$77.84 ,$184.87 ,$62.66 ,$194.60 ,$62.66 ,$175.14 ,$175.14 ,$62.66 ,$175.14 ,$129.16 ,$255.76 , N/A ,$62.66 ,$236.30 ,$233.52 ,$62.66 ,$208.50 ,$222.40 ,$222.40 ,$62.66 ,$222.40 ,$241.86 ,$241.86 ,$241.86 ,$250.20 ,$159.85 ,$62.66 ,$278.00 ,$155.96 ,$62.66 ,$98.03 ,$841.45 ,$803.20 ,$65.80 ,$236.30 ,$175.14 ,$77.84 ,$250.20 ,$241.86 , N/A , N/A ,$62.66 ,$180.70 ST. FRANCIS HOSPITAL - ACUTE,98200054,64494,PC INJ PARAVERT F JNT L/S 2 LV-RT,982,1 ,$278.00 ,$200.16 ,$62.66 ,$841.45 ,$159.85 ,$200.16 ,$151.23 ,$62.66 ,$77.84 ,$184.87 ,$62.66 ,$194.60 ,$62.66 ,$175.14 ,$175.14 ,$62.66 ,$175.14 ,$129.16 ,$255.76 , N/A ,$62.66 ,$236.30 ,$233.52 ,$62.66 ,$208.50 ,$222.40 ,$222.40 ,$62.66 ,$222.40 ,$241.86 ,$241.86 ,$241.86 ,$250.20 ,$159.85 ,$62.66 ,$278.00 ,$155.96 ,$62.66 ,$98.03 ,$841.45 ,$803.20 ,$65.80 ,$236.30 ,$175.14 ,$77.84 ,$250.20 ,$241.86 , N/A , N/A ,$62.66 ,$180.70 ST. FRANCIS HOSPITAL - ACUTE,98200055,64495,PC INJ PARAVRT F JNT L/S 3+ LV-LT,982,1 ,$277.00 ,$199.44 ,$62.44 ,$841.45 ,$159.28 ,$199.44 ,$150.69 ,$62.44 ,$77.56 ,$184.21 ,$62.44 ,$193.90 ,$62.44 ,$174.51 ,$174.51 ,$62.44 ,$174.51 ,$128.69 ,$254.84 , N/A ,$62.44 ,$235.45 ,$232.68 ,$62.44 ,$207.75 ,$221.60 ,$221.60 ,$62.44 ,$221.60 ,$240.99 ,$240.99 ,$240.99 ,$249.30 ,$159.28 ,$62.44 ,$277.00 ,$155.40 ,$62.44 ,$99.25 ,$841.45 ,$803.20 ,$65.56 ,$235.45 ,$174.51 ,$77.56 ,$249.30 ,$240.99 , N/A , N/A ,$62.44 ,$180.05 ST. FRANCIS HOSPITAL - ACUTE,98200056,64495,PC INJ PARAVRT F JNT L/S 3+ LV-RT,982,1 ,$277.00 ,$199.44 ,$62.44 ,$841.45 ,$159.28 ,$199.44 ,$150.69 ,$62.44 ,$77.56 ,$184.21 ,$62.44 ,$193.90 ,$62.44 ,$174.51 ,$174.51 ,$62.44 ,$174.51 ,$128.69 ,$254.84 , N/A ,$62.44 ,$235.45 ,$232.68 ,$62.44 ,$207.75 ,$221.60 ,$221.60 ,$62.44 ,$221.60 ,$240.99 ,$240.99 ,$240.99 ,$249.30 ,$159.28 ,$62.44 ,$277.00 ,$155.40 ,$62.44 ,$99.25 ,$841.45 ,$803.20 ,$65.56 ,$235.45 ,$174.51 ,$77.56 ,$249.30 ,$240.99 , N/A , N/A ,$62.44 ,$180.05 ST. FRANCIS HOSPITAL - ACUTE,98200082,15734,PC MUSCLE GRAFT TO TRUNK,982,1 ,"$4,857.00 ","$3,497.04 ","$1,094.77 ","$8,132.60 ","$2,792.78 ","$3,497.04 ","$2,642.21 ","$1,094.77 ","$1,359.96 ","$3,229.91 ","$1,094.77 ","$3,399.90 ","$1,094.77 ","$3,059.91 ","$3,059.91 ","$1,094.77 ","$3,059.91 ","$2,256.56 ","$4,468.44 ","$8,132.60 ","$1,094.77 ","$4,128.45 ","$4,079.88 ","$1,094.77 ","$3,642.75 ","$3,885.60 ","$3,885.60 ","$1,094.77 ","$3,885.60 ","$4,225.59 ","$4,225.59 ","$4,225.59 ","$4,371.30 ","$2,792.78 ","$1,094.77 ","$4,857.00 ","$2,724.78 ","$1,094.77 ","$2,872.74 ","$1,849.10 ","$1,765.05 ","$1,149.51 ","$4,128.45 ","$3,059.91 ","$1,359.96 ","$4,371.30 ","$4,225.59 ", N/A , N/A ,"$1,094.77 ","$3,157.05 " ST. FRANCIS HOSPITAL - ACUTE,98200083,21552,PC EXCISION SOFT TISSUE NECK/ANTERIOR CHEST 3.0 CM >,982,1 ,"$1,453.00 ","$1,046.16 ",$327.51 ,"$6,458.13 ",$835.48 ,"$1,046.16 ",$790.43 ,$327.51 ,$406.84 ,$966.25 ,$327.51 ,"$1,017.10 ",$327.51 ,$915.39 ,$915.39 ,$327.51 ,$915.39 ,$675.06 ,"$1,336.76 ","$6,458.13 ",$327.51 ,"$1,235.05 ","$1,220.52 ",$327.51 ,"$1,089.75 ","$1,162.40 ","$1,162.40 ",$327.51 ,"$1,162.40 ","$1,264.11 ","$1,264.11 ","$1,264.11 ","$1,307.70 ",$835.48 ,$327.51 ,"$1,453.00 ",$815.13 ,$327.51 ,$848.09 ,$679.87 ,$648.96 ,$343.88 ,"$1,235.05 ",$915.39 ,$406.84 ,"$1,307.70 ","$1,264.11 ", N/A , N/A ,$327.51 ,$944.45 ST. FRANCIS HOSPITAL - ACUTE,98200084,21931,PC EXCISION SOFT TISSUE BACK/FLANK 3.0 CM >,982,1 ,"$1,533.00 ","$1,103.76 ",$345.54 ,"$3,748.88 ",$881.48 ,"$1,103.76 ",$833.95 ,$345.54 ,$429.24 ,"$1,019.45 ",$345.54 ,"$1,073.10 ",$345.54 ,$965.79 ,$965.79 ,$345.54 ,$965.79 ,$712.23 ,"$1,410.36 ","$3,748.88 ",$345.54 ,"$1,303.05 ","$1,287.72 ",$345.54 ,"$1,149.75 ","$1,226.40 ","$1,226.40 ",$345.54 ,"$1,226.40 ","$1,333.71 ","$1,333.71 ","$1,333.71 ","$1,379.70 ",$881.48 ,$345.54 ,"$1,533.00 ",$860.01 ,$345.54 ,$897.34 ,"$1,359.74 ","$1,297.94 ",$362.82 ,"$1,303.05 ",$965.79 ,$429.24 ,"$1,379.70 ","$1,333.71 ", N/A , N/A ,$345.54 ,$996.45 ST. FRANCIS HOSPITAL - ACUTE,98200085,22902,PC EXCISION SOFT TISSUE ABDOMINAL WALL SUBCUT < 3.0 CM,982,1 ,"$1,500.00 ","$1,080.00 ",$338.10 ,"$3,748.88 ",$862.50 ,"$1,080.00 ",$816.00 ,$338.10 ,$420.00 ,$997.50 ,$338.10 ,"$1,050.00 ",$338.10 ,$945.00 ,$945.00 ,$338.10 ,$945.00 ,$696.90 ,"$1,380.00 ","$3,748.88 ",$338.10 ,"$1,275.00 ","$1,260.00 ",$338.10 ,"$1,125.00 ","$1,200.00 ","$1,200.00 ",$338.10 ,"$1,200.00 ","$1,305.00 ","$1,305.00 ","$1,305.00 ","$1,350.00 ",$862.50 ,$338.10 ,"$1,500.00 ",$841.50 ,$338.10 ,$626.47 ,"$1,359.74 ","$1,297.94 ",$355.00 ,"$1,275.00 ",$945.00 ,$420.00 ,"$1,350.00 ","$1,305.00 ", N/A , N/A ,$338.10 ,$975.00 ST. FRANCIS HOSPITAL - ACUTE,98200086,24071,PC EXCISION SOFT TISSUE UPPER ARM/ELBOW SUBCUT 3.0 CM >,982,1 ,"$1,315.00 ",$946.80 ,$296.40 ,"$6,458.13 ",$756.13 ,$946.80 ,$715.36 ,$296.40 ,$368.20 ,$874.48 ,$296.40 ,$920.50 ,$296.40 ,$828.45 ,$828.45 ,$296.40 ,$828.45 ,$610.95 ,"$1,209.80 ","$6,458.13 ",$296.40 ,"$1,117.75 ","$1,104.60 ",$296.40 ,$986.25 ,"$1,052.00 ","$1,052.00 ",$296.40 ,"$1,052.00 ","$1,144.05 ","$1,144.05 ","$1,144.05 ","$1,183.50 ",$756.13 ,$296.40 ,"$1,315.00 ",$737.72 ,$296.40 ,$769.67 ,$679.87 ,$648.96 ,$311.22 ,"$1,117.75 ",$828.45 ,$368.20 ,"$1,183.50 ","$1,144.05 ", N/A , N/A ,$296.40 ,$854.75 ST. FRANCIS HOSPITAL - ACUTE,98200087,24073,PC EXCISION SOFT TISSUE UPPER ARM/ELBOW SUBFASCIAL 5.0 CM >,982,1 ,"$2,243.00 ","$1,614.96 ",$505.57 ,"$6,458.13 ","$1,289.73 ","$1,614.96 ","$1,220.19 ",$505.57 ,$628.04 ,"$1,491.60 ",$505.57 ,"$1,570.10 ",$505.57 ,"$1,413.09 ","$1,413.09 ",$505.57 ,"$1,413.09 ","$1,042.10 ","$2,063.56 ","$6,458.13 ",$505.57 ,"$1,906.55 ","$1,884.12 ",$505.57 ,"$1,682.25 ","$1,794.40 ","$1,794.40 ",$505.57 ,"$1,794.40 ","$1,951.41 ","$1,951.41 ","$1,951.41 ","$2,018.70 ","$1,289.73 ",$505.57 ,"$2,243.00 ","$1,258.32 ",$505.57 ,"$1,322.44 ",$679.87 ,$648.96 ,$530.85 ,"$1,906.55 ","$1,413.09 ",$628.04 ,"$2,018.70 ","$1,951.41 ", N/A , N/A ,$505.57 ,"$1,457.95 " ST. FRANCIS HOSPITAL - ACUTE,98200088,27337,PC EXCISION SOFT TISSUE THIGH/KNEE SUBCUT 3.0 CM >,982,1 ,"$1,362.00 ",$980.64 ,$306.99 ,"$6,458.13 ",$783.15 ,$980.64 ,$740.93 ,$306.99 ,$381.36 ,$905.73 ,$306.99 ,$953.40 ,$306.99 ,$858.06 ,$858.06 ,$306.99 ,$858.06 ,$632.79 ,"$1,253.04 ","$6,458.13 ",$306.99 ,"$1,157.70 ","$1,144.08 ",$306.99 ,"$1,021.50 ","$1,089.60 ","$1,089.60 ",$306.99 ,"$1,089.60 ","$1,184.94 ","$1,184.94 ","$1,184.94 ","$1,225.80 ",$783.15 ,$306.99 ,"$1,362.00 ",$764.08 ,$306.99 ,$795.29 ,"$3,035.57 ","$2,897.59 ",$322.34 ,"$1,157.70 ",$858.06 ,$381.36 ,"$1,225.80 ","$1,184.94 ", N/A , N/A ,$306.99 ,$885.30 ST. FRANCIS HOSPITAL - ACUTE,98200089,36561,PC INSERT TUNNELED CV CATH>5YR W/PORT,982,1 ,"$3,103.00 ","$2,234.16 ",$642.99 ,"$7,447.43 ","$1,784.23 ","$2,234.16 ","$1,688.03 ",$699.42 ,$868.84 ,"$2,063.50 ",$699.42 ,"$2,172.10 ",$699.42 ,"$1,954.89 ","$1,954.89 ",$699.42 ,"$1,954.89 ","$1,441.65 ","$2,854.76 ","$7,447.43 ",$699.42 ,"$2,637.55 ","$2,606.52 ",$699.42 ,"$2,327.25 ","$2,482.40 ","$2,482.40 ",$699.42 ,"$2,482.40 ","$2,699.61 ","$2,699.61 ","$2,699.61 ","$2,792.70 ","$1,784.23 ",$699.42 ,"$3,103.00 ","$1,740.78 ",$699.42 ,$642.99 ,"$1,795.74 ","$1,714.11 ",$734.38 ,"$2,637.55 ","$1,954.89 ",$868.84 ,"$2,792.70 ","$2,699.61 ", N/A , N/A ,$699.42 ,"$2,016.95 " ST. FRANCIS HOSPITAL - ACUTE,98200090,36576,PC REPAIR CV CATH/DEVICE W/PORT/PUMP,982,1 ,"$1,099.00 ",$791.28 ,$247.71 ,"$3,719.63 ",$631.93 ,$791.28 ,$597.86 ,$247.71 ,$307.72 ,$730.84 ,$247.71 ,$769.30 ,$247.71 ,$692.37 ,$692.37 ,$247.71 ,$692.37 ,$510.60 ,"$1,011.08 ","$3,719.63 ",$247.71 ,$934.15 ,$923.16 ,$247.71 ,$824.25 ,$879.20 ,$879.20 ,$247.71 ,$879.20 ,$956.13 ,$956.13 ,$956.13 ,$989.10 ,$631.93 ,$247.71 ,"$1,099.00 ",$616.54 ,$247.71 ,$353.03 ,$522.73 ,$498.97 ,$260.10 ,$934.15 ,$692.37 ,$307.72 ,$989.10 ,$956.13 , N/A , N/A ,$247.71 ,$714.35 ST. FRANCIS HOSPITAL - ACUTE,98200091,36590,PC REMOVE TUNNELED CV DEVICE W/PORT/PUMP,982,1 ,$716.00 ,$515.52 ,$161.39 ,"$3,719.63 ",$411.70 ,$515.52 ,$389.50 ,$161.39 ,$200.48 ,$476.14 ,$161.39 ,$501.20 ,$161.39 ,$451.08 ,$451.08 ,$161.39 ,$451.08 ,$332.65 ,$658.72 ,"$3,719.63 ",$161.39 ,$608.60 ,$601.44 ,$161.39 ,$537.00 ,$572.80 ,$572.80 ,$161.39 ,$572.80 ,$622.92 ,$622.92 ,$622.92 ,$644.40 ,$411.70 ,$161.39 ,$716.00 ,$401.68 ,$161.39 ,$363.02 ,"$1,359.74 ","$1,297.94 ",$169.45 ,$608.60 ,$451.08 ,$200.48 ,$644.40 ,$622.92 , N/A , N/A ,$161.39 ,$465.40 ST. FRANCIS HOSPITAL - ACUTE,98200092,38500,PC BIOPSY/EXCISION LYMPH NODES OPEN SUPERFICIAL,982,1 ,"$1,080.00 ",$777.60 ,$243.43 ,"$8,594.50 ",$621.00 ,$777.60 ,$587.52 ,$243.43 ,$302.40 ,$718.20 ,$243.43 ,$756.00 ,$243.43 ,$680.40 ,$680.40 ,$243.43 ,$680.40 ,$501.77 ,$993.60 ,"$8,594.50 ",$243.43 ,$918.00 ,$907.20 ,$243.43 ,$810.00 ,$864.00 ,$864.00 ,$243.43 ,$864.00 ,$939.60 ,$939.60 ,$939.60 ,$972.00 ,$621.00 ,$243.43 ,"$1,080.00 ",$605.88 ,$243.43 ,$486.74 ,"$2,553.27 ","$2,437.21 ",$255.60 ,$918.00 ,$680.40 ,$302.40 ,$972.00 ,$939.60 , N/A , N/A ,$243.43 ,$702.00 ST. FRANCIS HOSPITAL - ACUTE,98200093,11621,PC EXC SKIN MALIG 0.6-1CM REMAINDR BODY,982,1 ,$699.00 ,$503.28 ,$157.55 ,"$1,622.43 ",$401.93 ,$503.28 ,$380.26 ,$157.55 ,$195.72 ,$464.84 ,$157.55 ,$489.30 ,$157.55 ,$440.37 ,$440.37 ,$157.55 ,$440.37 ,$324.76 ,$643.08 ,"$1,622.43 ",$157.55 ,$594.15 ,$587.16 ,$157.55 ,$524.25 ,$559.20 ,$559.20 ,$157.55 ,$559.20 ,$608.13 ,$608.13 ,$608.13 ,$629.10 ,$401.93 ,$157.55 ,$699.00 ,$392.14 ,$157.55 ,$276.59 ,$679.87 ,$648.96 ,$165.43 ,$594.15 ,$440.37 ,$195.72 ,$629.10 ,$608.13 , N/A , N/A ,$157.55 ,$454.35 ST. FRANCIS HOSPITAL - ACUTE,98200094,11981,PC INSERT DRUG IMPLANT DEVICE,982,1 ,$318.00 ,$228.96 ,$71.68 ,$318.00 ,$182.85 ,$228.96 ,$172.99 ,$71.68 ,$89.04 ,$211.47 ,$71.68 ,$222.60 ,$71.68 ,$200.34 ,$200.34 ,$71.68 ,$200.34 ,$147.74 ,$292.56 ,$290.28 ,$71.68 ,$270.30 ,$267.12 ,$71.68 ,$238.50 ,$254.40 ,$254.40 ,$71.68 ,$254.40 ,$276.66 ,$276.66 ,$276.66 ,$286.20 ,$182.85 ,$71.68 ,$318.00 ,$178.40 ,$71.68 ,$123.77 ,$317.01 ,$302.60 ,$75.26 ,$270.30 ,$200.34 ,$89.04 ,$286.20 ,$276.66 , N/A , N/A ,$71.68 ,$206.70 ST. FRANCIS HOSPITAL - ACUTE,98200095,20245,PC BONE BIOPSY EXCISIONAL DEEP,982,1 ,"$1,114.00 ",$802.08 ,$251.10 ,"$6,458.13 ",$640.55 ,$802.08 ,$606.02 ,$251.10 ,$311.92 ,$740.81 ,$251.10 ,$779.80 ,$251.10 ,$701.82 ,$701.82 ,$251.10 ,$701.82 ,$517.56 ,"$1,024.88 ","$6,458.13 ",$251.10 ,$946.90 ,$935.76 ,$251.10 ,$835.50 ,$891.20 ,$891.20 ,$251.10 ,$891.20 ,$969.18 ,$969.18 ,$969.18 ,"$1,002.60 ",$640.55 ,$251.10 ,"$1,114.00 ",$624.95 ,$251.10 ,$665.01 ,"$3,316.86 ","$3,166.10 ",$263.65 ,$946.90 ,$701.82 ,$311.92 ,"$1,002.60 ",$969.18 , N/A , N/A ,$251.10 ,$724.10 ST. FRANCIS HOSPITAL - ACUTE,98200096,20526,PC THER INJECTION CARPAL TUNNEL,982,1 ,$258.00 ,$185.76 ,$58.15 ,$679.73 ,$148.35 ,$185.76 ,$140.35 ,$58.15 ,$72.24 ,$171.57 ,$58.15 ,$180.60 ,$58.15 ,$162.54 ,$162.54 ,$58.15 ,$162.54 ,$119.87 ,$237.36 ,$679.73 ,$58.15 ,$219.30 ,$216.72 ,$58.15 ,$193.50 ,$206.40 ,$206.40 ,$58.15 ,$206.40 ,$224.46 ,$224.46 ,$224.46 ,$232.20 ,$148.35 ,$58.15 ,$258.00 ,$144.74 ,$58.15 ,$108.74 ,$341.51 ,$325.98 ,$61.06 ,$219.30 ,$162.54 ,$72.24 ,$232.20 ,$224.46 , N/A , N/A ,$58.15 ,$167.70 ST. FRANCIS HOSPITAL - ACUTE,98200097,20670,PC REMOVAL SUPERFICIAL IMPLANT,982,1 ,"$1,088.00 ",$783.36 ,$245.24 ,"$3,748.88 ",$625.60 ,$783.36 ,$591.87 ,$245.24 ,$304.64 ,$723.52 ,$245.24 ,$761.60 ,$245.24 ,$685.44 ,$685.44 ,$245.24 ,$685.44 ,$505.48 ,"$1,000.96 ","$3,748.88 ",$245.24 ,$924.80 ,$913.92 ,$245.24 ,$816.00 ,$870.40 ,$870.40 ,$245.24 ,$870.40 ,$946.56 ,$946.56 ,$946.56 ,$979.20 ,$625.60 ,$245.24 ,"$1,088.00 ",$610.37 ,$245.24 ,$269.85 ,"$1,359.74 ","$1,297.94 ",$257.49 ,$924.80 ,$685.44 ,$304.64 ,$979.20 ,$946.56 , N/A , N/A ,$245.24 ,$707.20 ST. FRANCIS HOSPITAL - ACUTE,98200098,20680,PC REMOVAL DEEP IMPLANT,982,1 ,"$1,872.00 ","$1,347.84 ",$421.95 ,"$6,458.13 ","$1,076.40 ","$1,347.84 ","$1,018.37 ",$421.95 ,$524.16 ,"$1,244.88 ",$421.95 ,"$1,310.40 ",$421.95 ,"$1,179.36 ","$1,179.36 ",$421.95 ,"$1,179.36 ",$869.73 ,"$1,722.24 ","$6,458.13 ",$421.95 ,"$1,591.20 ","$1,572.48 ",$421.95 ,"$1,404.00 ","$1,497.60 ","$1,497.60 ",$421.95 ,"$1,497.60 ","$1,628.64 ","$1,628.64 ","$1,628.64 ","$1,684.80 ","$1,076.40 ",$421.95 ,"$1,872.00 ","$1,050.19 ",$421.95 ,$790.85 ,"$1,359.74 ","$1,297.94 ",$443.05 ,"$1,591.20 ","$1,179.36 ",$524.16 ,"$1,684.80 ","$1,628.64 ", N/A , N/A ,$421.95 ,"$1,216.80 " ST. FRANCIS HOSPITAL - ACUTE,98200099,20700,PC MNL PREP AND INSJ DP RX DLVR DEV,982,1 ,$276.00 ,$198.72 ,$62.21 ,$276.00 ,$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 , N/A ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$162.04 , N/A , N/A ,$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 , N/A , N/A ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,98200100,23120,PC PARTIAL REMOVAL CLAVICLE,982,1 ,"$1,868.00 ","$1,344.96 ",$421.05 ,"$7,441.65 ","$1,074.10 ","$1,344.96 ","$1,016.19 ",$421.05 ,$523.04 ,"$1,242.22 ",$421.05 ,"$1,307.60 ",$421.05 ,"$1,176.84 ","$1,176.84 ",$421.05 ,"$1,176.84 ",$867.87 ,"$1,718.56 ","$7,441.65 ",$421.05 ,"$1,587.80 ","$1,569.12 ",$421.05 ,"$1,401.00 ","$1,494.40 ","$1,494.40 ",$421.05 ,"$1,494.40 ","$1,625.16 ","$1,625.16 ","$1,625.16 ","$1,681.20 ","$1,074.10 ",$421.05 ,"$1,868.00 ","$1,047.95 ",$421.05 ,"$1,094.98 ","$3,035.57 ","$2,897.59 ",$442.10 ,"$1,587.80 ","$1,176.84 ",$523.04 ,"$1,681.20 ","$1,625.16 ", N/A , N/A ,$421.05 ,"$1,214.20 " ST. FRANCIS HOSPITAL - ACUTE,98200101,23335,PC REMOVAL OF PROSTHESIS HUMERAL AND GLENOID COMP,982,1 ,"$4,065.00 ","$2,926.80 ",$916.25 ,"$4,065.00 ","$2,337.38 ","$2,926.80 ","$2,211.36 ",$916.25 ,"$1,138.20 ","$2,703.23 ",$916.25 ,"$2,845.50 ",$916.25 ,"$2,560.95 ","$2,560.95 ",$916.25 ,"$2,560.95 ","$1,888.60 ","$3,739.80 ", N/A ,$916.25 ,"$3,455.25 ","$3,414.60 ",$916.25 ,"$3,048.75 ","$3,252.00 ","$3,252.00 ",$916.25 ,"$3,252.00 ","$3,536.55 ","$3,536.55 ","$3,536.55 ","$3,658.50 ","$2,337.38 ",$916.25 ,"$4,065.00 ","$2,280.47 ",$916.25 ,"$2,412.42 ","$3,316.86 ","$3,166.10 ",$962.07 ,"$3,455.25 ","$2,560.95 ","$1,138.20 ","$3,658.50 ","$3,536.55 ", N/A , N/A ,$916.25 ,"$2,642.25 " ST. FRANCIS HOSPITAL - ACUTE,98200102,23430,PC REPAIR BICEPS LONG TENDON,982,1 ,"$2,378.00 ","$1,712.16 ",$536.00 ,"$16,536.58 ","$1,367.35 ","$1,712.16 ","$1,293.63 ",$536.00 ,$665.84 ,"$1,581.37 ",$536.00 ,"$1,664.60 ",$536.00 ,"$1,498.14 ","$1,498.14 ",$536.00 ,"$1,498.14 ","$1,104.82 ","$2,187.76 ","$16,536.58 ",$536.00 ,"$2,021.30 ","$1,997.52 ",$536.00 ,"$1,783.50 ","$1,902.40 ","$1,902.40 ",$536.00 ,"$1,902.40 ","$2,068.86 ","$2,068.86 ","$2,068.86 ","$2,140.20 ","$1,367.35 ",$536.00 ,"$2,378.00 ","$1,334.06 ",$536.00 ,"$1,402.05 ","$3,035.57 ","$2,897.59 ",$562.80 ,"$2,021.30 ","$1,498.14 ",$665.84 ,"$2,140.20 ","$2,068.86 ", N/A , N/A ,$536.00 ,"$1,545.70 " ST. FRANCIS HOSPITAL - ACUTE,98200103,23472,PC RECONSTR TOTAL SHOULDER IMPLANT,982,1 ,"$4,650.00 ","$3,348.00 ","$1,048.11 ","$32,620.20 ","$2,673.75 ","$3,348.00 ","$2,529.60 ","$1,048.11 ","$1,302.00 ","$3,092.25 ","$1,048.11 ","$3,255.00 ","$1,048.11 ","$2,929.50 ","$2,929.50 ","$1,048.11 ","$2,929.50 ","$2,160.39 ","$4,278.00 ","$32,620.20 ","$1,048.11 ","$3,952.50 ","$3,906.00 ","$1,048.11 ","$3,487.50 ","$3,720.00 ","$3,720.00 ","$1,048.11 ","$3,720.00 ","$4,045.50 ","$4,045.50 ","$4,045.50 ","$4,185.00 ","$2,673.75 ","$1,048.11 ","$4,650.00 ","$2,608.65 ","$1,048.11 ","$2,759.67 ","$9,210.17 ","$8,791.52 ","$1,100.52 ","$3,952.50 ","$2,929.50 ","$1,302.00 ","$4,185.00 ","$4,045.50 ", N/A , N/A ,"$1,048.11 ","$3,022.50 " ST. FRANCIS HOSPITAL - ACUTE,98200104,23474,PC REVISION TOTAL SHOULDER ARTHROPLASTY HUMERAL AND GLENOID,982,1 ,"$5,603.00 ","$4,034.16 ","$1,262.92 ","$9,210.17 ","$3,221.73 ","$4,034.16 ","$3,048.03 ","$1,262.92 ","$1,568.84 ","$3,726.00 ","$1,262.92 ","$3,922.10 ","$1,262.92 ","$3,529.89 ","$3,529.89 ","$1,262.92 ","$3,529.89 ","$2,603.15 ","$5,154.76 ", N/A ,"$1,262.92 ","$4,762.55 ","$4,706.52 ","$1,262.92 ","$4,202.25 ","$4,482.40 ","$4,482.40 ","$1,262.92 ","$4,482.40 ","$4,874.61 ","$4,874.61 ","$4,874.61 ","$5,042.70 ","$3,221.73 ","$1,262.92 ","$5,603.00 ","$3,143.28 ","$1,262.92 ","$3,331.39 ","$9,210.17 ","$8,791.52 ","$1,326.06 ","$4,762.55 ","$3,529.89 ","$1,568.84 ","$5,042.70 ","$4,874.61 ", N/A , N/A ,"$1,262.92 ","$3,641.95 " ST. FRANCIS HOSPITAL - ACUTE,98200105,23515,PC OPEN REPAIR CLAVICLE FRACTURE,982,1 ,"$2,299.00 ","$1,655.28 ",$518.19 ,"$16,536.58 ","$1,321.93 ","$1,655.28 ","$1,250.66 ",$518.19 ,$643.72 ,"$1,528.84 ",$518.19 ,"$1,609.30 ",$518.19 ,"$1,448.37 ","$1,448.37 ",$518.19 ,"$1,448.37 ","$1,068.12 ","$2,115.08 ","$16,536.58 ",$518.19 ,"$1,954.15 ","$1,931.16 ",$518.19 ,"$1,724.25 ","$1,839.20 ","$1,839.20 ",$518.19 ,"$1,839.20 ","$2,000.13 ","$2,000.13 ","$2,000.13 ","$2,069.10 ","$1,321.93 ",$518.19 ,"$2,299.00 ","$1,289.74 ",$518.19 ,"$1,354.39 ","$4,728.65 ","$4,513.71 ",$544.11 ,"$1,954.15 ","$1,448.37 ",$643.72 ,"$2,069.10 ","$2,000.13 ", N/A , N/A ,$518.19 ,"$1,494.35 " ST. FRANCIS HOSPITAL - ACUTE,98200106,23615,PC OPEN RX PROX HUMERUS FX,982,1 ,"$2,828.00 ","$2,036.16 ",$637.43 ,"$32,620.20 ","$1,626.10 ","$2,036.16 ","$1,538.43 ",$637.43 ,$791.84 ,"$1,880.62 ",$637.43 ,"$1,979.60 ",$637.43 ,"$1,781.64 ","$1,781.64 ",$637.43 ,"$1,781.64 ","$1,313.89 ","$2,601.76 ","$32,620.20 ",$637.43 ,"$2,403.80 ","$2,375.52 ",$637.43 ,"$2,121.00 ","$2,262.40 ","$2,262.40 ",$637.43 ,"$2,262.40 ","$2,460.36 ","$2,460.36 ","$2,460.36 ","$2,545.20 ","$1,626.10 ",$637.43 ,"$2,828.00 ","$1,586.51 ",$637.43 ,"$1,666.41 ","$4,728.65 ","$4,513.71 ",$669.30 ,"$2,403.80 ","$1,781.64 ",$791.84 ,"$2,545.20 ","$2,460.36 ", N/A , N/A ,$637.43 ,"$1,838.20 " ST. FRANCIS HOSPITAL - ACUTE,98200107,24120,PC EXCIS/CURET BENIGN ELBOW LESN,982,1 ,"$1,696.00 ","$1,221.12 ",$382.28 ,"$7,441.65 ",$975.20 ,"$1,221.12 ",$922.62 ,$382.28 ,$474.88 ,"$1,127.84 ",$382.28 ,"$1,187.20 ",$382.28 ,"$1,068.48 ","$1,068.48 ",$382.28 ,"$1,068.48 ",$787.96 ,"$1,560.32 ","$7,441.65 ",$382.28 ,"$1,441.60 ","$1,424.64 ",$382.28 ,"$1,272.00 ","$1,356.80 ","$1,356.80 ",$382.28 ,"$1,356.80 ","$1,475.52 ","$1,475.52 ","$1,475.52 ","$1,526.40 ",$975.20 ,$382.28 ,"$1,696.00 ",$951.46 ,$382.28 ,$996.78 ,"$1,877.96 ","$1,792.60 ",$401.39 ,"$1,441.60 ","$1,068.48 ",$474.88 ,"$1,526.40 ","$1,475.52 ", N/A , N/A ,$382.28 ,"$1,102.40 " ST. FRANCIS HOSPITAL - ACUTE,98200108,24138,PC SEQUESTRECTOMY OLECRANNON PROCESS,982,1 ,"$2,188.00 ","$1,575.36 ",$493.18 ,"$16,536.58 ","$1,258.10 ","$1,575.36 ","$1,190.27 ",$493.18 ,$612.64 ,"$1,455.02 ",$493.18 ,"$1,531.60 ",$493.18 ,"$1,378.44 ","$1,378.44 ",$493.18 ,"$1,378.44 ","$1,016.54 ","$2,012.96 ","$16,536.58 ",$493.18 ,"$1,859.80 ","$1,837.92 ",$493.18 ,"$1,641.00 ","$1,750.40 ","$1,750.40 ",$493.18 ,"$1,750.40 ","$1,903.56 ","$1,903.56 ","$1,903.56 ","$1,969.20 ","$1,258.10 ",$493.18 ,"$2,188.00 ","$1,227.47 ",$493.18 ,"$1,273.97 ","$3,035.57 ","$2,897.59 ",$517.83 ,"$1,859.80 ","$1,378.44 ",$612.64 ,"$1,969.20 ","$1,903.56 ", N/A , N/A ,$493.18 ,"$1,422.20 " ST. FRANCIS HOSPITAL - ACUTE,98200109,24341,PC REPAIR TENDON/MUSCLE UPPR ARM/ELBOW,982,1 ,"$2,361.00 ","$1,699.92 ",$532.17 ,"$16,536.58 ","$1,357.58 ","$1,699.92 ","$1,284.38 ",$532.17 ,$661.08 ,"$1,570.07 ",$532.17 ,"$1,652.70 ",$532.17 ,"$1,487.43 ","$1,487.43 ",$532.17 ,"$1,487.43 ","$1,096.92 ","$2,172.12 ","$16,536.58 ",$532.17 ,"$2,006.85 ","$1,983.24 ",$532.17 ,"$1,770.75 ","$1,888.80 ","$1,888.80 ",$532.17 ,"$1,888.80 ","$2,054.07 ","$2,054.07 ","$2,054.07 ","$2,124.90 ","$1,357.58 ",$532.17 ,"$2,361.00 ","$1,324.52 ",$532.17 ,"$1,394.43 ","$3,035.57 ","$2,897.59 ",$558.78 ,"$2,006.85 ","$1,487.43 ",$661.08 ,"$2,124.90 ","$2,054.07 ", N/A , N/A ,$532.17 ,"$1,534.65 " ST. FRANCIS HOSPITAL - ACUTE,98200110,24342,PC REINSERT BI/TRICEPS TENDON DISTAL,982,1 ,"$2,481.00 ","$1,786.32 ",$559.22 ,"$16,536.58 ","$1,426.58 ","$1,786.32 ","$1,349.66 ",$559.22 ,$694.68 ,"$1,649.87 ",$559.22 ,"$1,736.70 ",$559.22 ,"$1,563.03 ","$1,563.03 ",$559.22 ,"$1,563.03 ","$1,152.67 ","$2,282.52 ","$16,536.58 ",$559.22 ,"$2,108.85 ","$2,084.04 ",$559.22 ,"$1,860.75 ","$1,984.80 ","$1,984.80 ",$559.22 ,"$1,984.80 ","$2,158.47 ","$2,158.47 ","$2,158.47 ","$2,232.90 ","$1,426.58 ",$559.22 ,"$2,481.00 ","$1,391.84 ",$559.22 ,"$1,462.40 ","$3,035.57 ","$2,897.59 ",$587.18 ,"$2,108.85 ","$1,563.03 ",$694.68 ,"$2,232.90 ","$2,158.47 ", N/A , N/A ,$559.22 ,"$1,612.65 " ST. FRANCIS HOSPITAL - ACUTE,98200111,24357,PC TENOTOMY ELBOW LATERAL,982,1 ,"$1,310.00 ",$943.20 ,$295.27 ,"$7,441.65 ",$753.25 ,$943.20 ,$712.64 ,$295.27 ,$366.80 ,$871.15 ,$295.27 ,$917.00 ,$295.27 ,$825.30 ,$825.30 ,$295.27 ,$825.30 ,$608.63 ,"$1,205.20 ","$7,441.65 ",$295.27 ,"$1,113.50 ","$1,100.40 ",$295.27 ,$982.50 ,"$1,048.00 ","$1,048.00 ",$295.27 ,"$1,048.00 ","$1,139.70 ","$1,139.70 ","$1,139.70 ","$1,179.00 ",$753.25 ,$295.27 ,"$1,310.00 ",$734.91 ,$295.27 ,$773.61 ,"$3,035.57 ","$2,897.59 ",$310.04 ,"$1,113.50 ",$825.30 ,$366.80 ,"$1,179.00 ","$1,139.70 ", N/A , N/A ,$295.27 ,$851.50 ST. FRANCIS HOSPITAL - ACUTE,98200112,24358,PC TENOTOMY ELBOW DEBRIDEMENT,982,1 ,"$1,680.00 ","$1,209.60 ",$378.67 ,"$7,441.65 ",$966.00 ,"$1,209.60 ",$913.92 ,$378.67 ,$470.40 ,"$1,117.20 ",$378.67 ,"$1,176.00 ",$378.67 ,"$1,058.40 ","$1,058.40 ",$378.67 ,"$1,058.40 ",$780.53 ,"$1,545.60 ","$7,441.65 ",$378.67 ,"$1,428.00 ","$1,411.20 ",$378.67 ,"$1,260.00 ","$1,344.00 ","$1,344.00 ",$378.67 ,"$1,344.00 ","$1,461.60 ","$1,461.60 ","$1,461.60 ","$1,512.00 ",$966.00 ,$378.67 ,"$1,680.00 ",$942.48 ,$378.67 ,$984.60 ,"$3,035.57 ","$2,897.59 ",$397.61 ,"$1,428.00 ","$1,058.40 ",$470.40 ,"$1,512.00 ","$1,461.60 ", N/A , N/A ,$378.67 ,"$1,092.00 " ST. FRANCIS HOSPITAL - ACUTE,98200113,24515,PC OPEN FIXATN MID HUMERUS FRACTURE,982,1 ,"$2,819.00 ","$2,029.68 ",$635.40 ,"$32,620.20 ","$1,620.93 ","$2,029.68 ","$1,533.54 ",$635.40 ,$789.32 ,"$1,874.64 ",$635.40 ,"$1,973.30 ",$635.40 ,"$1,775.97 ","$1,775.97 ",$635.40 ,"$1,775.97 ","$1,309.71 ","$2,593.48 ","$32,620.20 ",$635.40 ,"$2,396.15 ","$2,367.96 ",$635.40 ,"$2,114.25 ","$2,255.20 ","$2,255.20 ",$635.40 ,"$2,255.20 ","$2,452.53 ","$2,452.53 ","$2,452.53 ","$2,537.10 ","$1,620.93 ",$635.40 ,"$2,819.00 ","$1,581.46 ",$635.40 ,"$1,656.93 ","$4,728.65 ","$4,513.71 ",$667.17 ,"$2,396.15 ","$1,775.97 ",$789.32 ,"$2,537.10 ","$2,452.53 ", N/A , N/A ,$635.40 ,"$1,832.35 " ST. FRANCIS HOSPITAL - ACUTE,98200114,24538,PC PERCUT FIX HUM SUPRACONDYLAR FX,982,1 ,"$2,521.00 ","$1,815.12 ",$568.23 ,"$16,536.58 ","$1,449.58 ","$1,815.12 ","$1,371.42 ",$568.23 ,$705.88 ,"$1,676.47 ",$568.23 ,"$1,764.70 ",$568.23 ,"$1,588.23 ","$1,588.23 ",$568.23 ,"$1,588.23 ","$1,171.26 ","$2,319.32 ","$16,536.58 ",$568.23 ,"$2,142.85 ","$2,117.64 ",$568.23 ,"$1,890.75 ","$2,016.80 ","$2,016.80 ",$568.23 ,"$2,016.80 ","$2,193.27 ","$2,193.27 ","$2,193.27 ","$2,268.90 ","$1,449.58 ",$568.23 ,"$2,521.00 ","$1,414.28 ",$568.23 ,"$1,431.49 ","$4,728.65 ","$4,513.71 ",$596.64 ,"$2,142.85 ","$1,588.23 ",$705.88 ,"$2,268.90 ","$2,193.27 ", N/A , N/A ,$568.23 ,"$1,638.65 " ST. FRANCIS HOSPITAL - ACUTE,98200115,24545,PC OPEN RX HUMERAL SUPRACONDYLAR FX,982,1 ,"$2,975.00 ","$2,142.00 ",$670.56 ,"$32,620.20 ","$1,710.63 ","$2,142.00 ","$1,618.40 ",$670.56 ,$833.00 ,"$1,978.38 ",$670.56 ,"$2,082.50 ",$670.56 ,"$1,874.25 ","$1,874.25 ",$670.56 ,"$1,874.25 ","$1,382.19 ","$2,737.00 ","$32,620.20 ",$670.56 ,"$2,528.75 ","$2,499.00 ",$670.56 ,"$2,231.25 ","$2,380.00 ","$2,380.00 ",$670.56 ,"$2,380.00 ","$2,588.25 ","$2,588.25 ","$2,588.25 ","$2,677.50 ","$1,710.63 ",$670.56 ,"$2,975.00 ","$1,668.98 ",$670.56 ,"$1,756.14 ","$4,728.65 ","$4,513.71 ",$704.09 ,"$2,528.75 ","$1,874.25 ",$833.00 ,"$2,677.50 ","$2,588.25 ", N/A , N/A ,$670.56 ,"$1,933.75 " ST. FRANCIS HOSPITAL - ACUTE,98200116,24575,PC OPEN RX HUMERAL EPICONDYLAR FX,982,1 ,"$2,335.00 ","$1,681.20 ",$526.31 ,"$32,620.20 ","$1,342.63 ","$1,681.20 ","$1,270.24 ",$526.31 ,$653.80 ,"$1,552.78 ",$526.31 ,"$1,634.50 ",$526.31 ,"$1,471.05 ","$1,471.05 ",$526.31 ,"$1,471.05 ","$1,084.84 ","$2,148.20 ","$32,620.20 ",$526.31 ,"$1,984.75 ","$1,961.40 ",$526.31 ,"$1,751.25 ","$1,868.00 ","$1,868.00 ",$526.31 ,"$1,868.00 ","$2,031.45 ","$2,031.45 ","$2,031.45 ","$2,101.50 ","$1,342.63 ",$526.31 ,"$2,335.00 ","$1,309.94 ",$526.31 ,"$1,376.06 ","$4,728.65 ","$4,513.71 ",$552.62 ,"$1,984.75 ","$1,471.05 ",$653.80 ,"$2,101.50 ","$2,031.45 ", N/A , N/A ,$526.31 ,"$1,517.75 " ST. FRANCIS HOSPITAL - ACUTE,98200117,24685,PC OPEN RX PROX ULNA FRACTURE,982,1 ,"$2,079.00 ","$1,496.88 ",$468.61 ,"$16,536.58 ","$1,195.43 ","$1,496.88 ","$1,130.98 ",$468.61 ,$582.12 ,"$1,382.54 ",$468.61 ,"$1,455.30 ",$468.61 ,"$1,309.77 ","$1,309.77 ",$468.61 ,"$1,309.77 ",$965.90 ,"$1,912.68 ","$16,536.58 ",$468.61 ,"$1,767.15 ","$1,746.36 ",$468.61 ,"$1,559.25 ","$1,663.20 ","$1,663.20 ",$468.61 ,"$1,663.20 ","$1,808.73 ","$1,808.73 ","$1,808.73 ","$1,871.10 ","$1,195.43 ",$468.61 ,"$2,079.00 ","$1,166.32 ",$468.61 ,"$1,224.42 ","$4,728.65 ","$4,513.71 ",$492.04 ,"$1,767.15 ","$1,309.77 ",$582.12 ,"$1,871.10 ","$1,808.73 ", N/A , N/A ,$468.61 ,"$1,351.35 " ST. FRANCIS HOSPITAL - ACUTE,98200118,25000,PC INCIS TENDON SHEATH RADIAL STYLOID,982,1 ,"$1,078.00 ",$776.16 ,$242.98 ,"$3,586.30 ",$619.85 ,$776.16 ,$586.43 ,$242.98 ,$301.84 ,$716.87 ,$242.98 ,$754.60 ,$242.98 ,$679.14 ,$679.14 ,$242.98 ,$679.14 ,$500.84 ,$991.76 ,"$3,586.30 ",$242.98 ,$916.30 ,$905.52 ,$242.98 ,$808.50 ,$862.40 ,$862.40 ,$242.98 ,$862.40 ,$937.86 ,$937.86 ,$937.86 ,$970.20 ,$619.85 ,$242.98 ,"$1,078.00 ",$604.76 ,$242.98 ,$624.91 ,"$1,877.96 ","$1,792.60 ",$255.13 ,$916.30 ,$679.14 ,$301.84 ,$970.20 ,$937.86 , N/A , N/A ,$242.98 ,$700.70 ST. FRANCIS HOSPITAL - ACUTE,98200119,25020,PC DECOMPRESS FOREARM 1 SPACE,982,1 ,"$2,323.00 ","$1,672.56 ",$523.60 ,"$3,586.30 ","$1,335.73 ","$1,672.56 ","$1,263.71 ",$523.60 ,$650.44 ,"$1,544.80 ",$523.60 ,"$1,626.10 ",$523.60 ,"$1,463.49 ","$1,463.49 ",$523.60 ,"$1,463.49 ","$1,079.27 ","$2,137.16 ","$3,586.30 ",$523.60 ,"$1,974.55 ","$1,951.32 ",$523.60 ,"$1,742.25 ","$1,858.40 ","$1,858.40 ",$523.60 ,"$1,858.40 ","$2,021.01 ","$2,021.01 ","$2,021.01 ","$2,090.70 ","$1,335.73 ",$523.60 ,"$2,323.00 ","$1,303.20 ",$523.60 ,"$1,172.63 ","$1,877.96 ","$1,792.60 ",$549.78 ,"$1,974.55 ","$1,463.49 ",$650.44 ,"$2,090.70 ","$2,021.01 ", N/A , N/A ,$523.60 ,"$1,509.95 " ST. FRANCIS HOSPITAL - ACUTE,98200120,25028,PC INCIS/DRAIN FOREARM DEEP ABSCESS,982,1 ,"$2,181.00 ","$1,570.32 ",$491.60 ,"$7,441.65 ","$1,254.08 ","$1,570.32 ","$1,186.46 ",$491.60 ,$610.68 ,"$1,450.37 ",$491.60 ,"$1,526.70 ",$491.60 ,"$1,374.03 ","$1,374.03 ",$491.60 ,"$1,374.03 ","$1,013.29 ","$2,006.52 ","$7,441.65 ",$491.60 ,"$1,853.85 ","$1,832.04 ",$491.60 ,"$1,635.75 ","$1,744.80 ","$1,744.80 ",$491.60 ,"$1,744.80 ","$1,897.47 ","$1,897.47 ","$1,897.47 ","$1,962.90 ","$1,254.08 ",$491.60 ,"$2,181.00 ","$1,223.54 ",$491.60 ,"$1,089.36 ","$3,035.57 ","$2,897.59 ",$516.18 ,"$1,853.85 ","$1,374.03 ",$610.68 ,"$1,962.90 ","$1,897.47 ", N/A , N/A ,$491.60 ,"$1,417.65 " ST. FRANCIS HOSPITAL - ACUTE,98200121,25076,PC REMOVE FOREARM LESION DEEP,982,1 ,"$1,643.00 ","$1,182.96 ",$370.33 ,"$3,748.88 ",$944.73 ,"$1,182.96 ",$893.79 ,$370.33 ,$460.04 ,"$1,092.60 ",$370.33 ,"$1,150.10 ",$370.33 ,"$1,035.09 ","$1,035.09 ",$370.33 ,"$1,035.09 ",$763.34 ,"$1,511.56 ","$3,748.88 ",$370.33 ,"$1,396.55 ","$1,380.12 ",$370.33 ,"$1,232.25 ","$1,314.40 ","$1,314.40 ",$370.33 ,"$1,314.40 ","$1,429.41 ","$1,429.41 ","$1,429.41 ","$1,478.70 ",$944.73 ,$370.33 ,"$1,643.00 ",$921.72 ,$370.33 ,$969.21 ,"$1,359.74 ","$1,297.94 ",$388.84 ,"$1,396.55 ","$1,035.09 ",$460.04 ,"$1,478.70 ","$1,429.41 ", N/A , N/A ,$370.33 ,"$1,067.95 " ST. FRANCIS HOSPITAL - ACUTE,98200122,25111,PC EXCIS PRIMARY GANGLION WRIST,982,1 ,"$1,017.00 ",$732.24 ,$229.23 ,"$3,586.30 ",$584.78 ,$732.24 ,$553.25 ,$229.23 ,$284.76 ,$676.31 ,$229.23 ,$711.90 ,$229.23 ,$640.71 ,$640.71 ,$229.23 ,$640.71 ,$472.50 ,$935.64 ,"$3,586.30 ",$229.23 ,$864.45 ,$854.28 ,$229.23 ,$762.75 ,$813.60 ,$813.60 ,$229.23 ,$813.60 ,$884.79 ,$884.79 ,$884.79 ,$915.30 ,$584.78 ,$229.23 ,"$1,017.00 ",$570.54 ,$229.23 ,$594.52 ,"$1,223.05 ","$1,167.45 ",$240.70 ,$864.45 ,$640.71 ,$284.76 ,$915.30 ,$884.79 , N/A , N/A ,$229.23 ,$661.05 ST. FRANCIS HOSPITAL - ACUTE,98200123,25447,PC REPAIR INTERCARP/CARP-METACARP JT,982,1 ,"$2,634.00 ","$1,896.48 ",$593.70 ,"$7,441.65 ","$1,514.55 ","$1,896.48 ","$1,432.90 ",$593.70 ,$737.52 ,"$1,751.61 ",$593.70 ,"$1,843.80 ",$593.70 ,"$1,659.42 ","$1,659.42 ",$593.70 ,"$1,659.42 ","$1,223.76 ","$2,423.28 ","$7,441.65 ",$593.70 ,"$2,238.90 ","$2,212.56 ",$593.70 ,"$1,975.50 ","$2,107.20 ","$2,107.20 ",$593.70 ,"$2,107.20 ","$2,291.58 ","$2,291.58 ","$2,291.58 ","$2,370.60 ","$1,514.55 ",$593.70 ,"$2,634.00 ","$1,477.67 ",$593.70 ,"$1,553.82 ","$2,609.63 ","$2,491.01 ",$623.39 ,"$2,238.90 ","$1,659.42 ",$737.52 ,"$2,370.60 ","$2,291.58 ", N/A , N/A ,$593.70 ,"$1,712.10 " ST. FRANCIS HOSPITAL - ACUTE,98200124,25545,PC OPEN RX ULNA SHAFT FX,982,1 ,"$1,985.00 ","$1,429.20 ",$447.42 ,"$16,536.58 ","$1,141.38 ","$1,429.20 ","$1,079.84 ",$447.42 ,$555.80 ,"$1,320.03 ",$447.42 ,"$1,389.50 ",$447.42 ,"$1,250.55 ","$1,250.55 ",$447.42 ,"$1,250.55 ",$922.23 ,"$1,826.20 ","$16,536.58 ",$447.42 ,"$1,687.25 ","$1,667.40 ",$447.42 ,"$1,488.75 ","$1,588.00 ","$1,588.00 ",$447.42 ,"$1,588.00 ","$1,726.95 ","$1,726.95 ","$1,726.95 ","$1,786.50 ","$1,141.38 ",$447.42 ,"$1,985.00 ","$1,113.59 ",$447.42 ,"$1,165.15 ","$4,728.65 ","$4,513.71 ",$469.79 ,"$1,687.25 ","$1,250.55 ",$555.80 ,"$1,786.50 ","$1,726.95 ", N/A , N/A ,$447.42 ,"$1,290.25 " ST. FRANCIS HOSPITAL - ACUTE,98200125,25575,PC OPEN RX RAD/ULNA SHAFT FX+FIX BOTH,982,1 ,"$2,887.00 ","$2,078.64 ",$650.73 ,"$16,536.58 ","$1,660.03 ","$2,078.64 ","$1,570.53 ",$650.73 ,$808.36 ,"$1,919.86 ",$650.73 ,"$2,020.90 ",$650.73 ,"$1,818.81 ","$1,818.81 ",$650.73 ,"$1,818.81 ","$1,341.30 ","$2,656.04 ","$16,536.58 ",$650.73 ,"$2,453.95 ","$2,425.08 ",$650.73 ,"$2,165.25 ","$2,309.60 ","$2,309.60 ",$650.73 ,"$2,309.60 ","$2,511.69 ","$2,511.69 ","$2,511.69 ","$2,598.30 ","$1,660.03 ",$650.73 ,"$2,887.00 ","$1,619.61 ",$650.73 ,"$1,696.26 ","$4,728.65 ","$4,513.71 ",$683.27 ,"$2,453.95 ","$1,818.81 ",$808.36 ,"$2,598.30 ","$2,511.69 ", N/A , N/A ,$650.73 ,"$1,876.55 " ST. FRANCIS HOSPITAL - ACUTE,98200126,26055,PC INCISE FINGER TENDON SHEATH,982,1 ,"$1,819.00 ","$1,309.68 ",$410.00 ,"$3,586.30 ","$1,045.93 ","$1,309.68 ",$989.54 ,$410.00 ,$509.32 ,"$1,209.64 ",$410.00 ,"$1,273.30 ",$410.00 ,"$1,145.97 ","$1,145.97 ",$410.00 ,"$1,145.97 ",$845.11 ,"$1,673.48 ","$3,586.30 ",$410.00 ,"$1,546.15 ","$1,527.96 ",$410.00 ,"$1,364.25 ","$1,455.20 ","$1,455.20 ",$410.00 ,"$1,455.20 ","$1,582.53 ","$1,582.53 ","$1,582.53 ","$1,637.10 ","$1,045.93 ",$410.00 ,"$1,819.00 ","$1,020.46 ",$410.00 ,$534.04 ,"$1,223.05 ","$1,167.45 ",$430.50 ,"$1,546.15 ","$1,145.97 ",$509.32 ,"$1,637.10 ","$1,582.53 ", N/A , N/A ,$410.00 ,"$1,182.35 " ST. FRANCIS HOSPITAL - ACUTE,98200127,26115,PC REMOVE HAND LESION SUBCUT,982,1 ,"$1,699.00 ","$1,223.28 ",$382.95 ,"$3,748.88 ",$976.93 ,"$1,223.28 ",$924.26 ,$382.95 ,$475.72 ,"$1,129.84 ",$382.95 ,"$1,189.30 ",$382.95 ,"$1,070.37 ","$1,070.37 ",$382.95 ,"$1,070.37 ",$789.36 ,"$1,563.08 ","$3,748.88 ",$382.95 ,"$1,444.15 ","$1,427.16 ",$382.95 ,"$1,274.25 ","$1,359.20 ","$1,359.20 ",$382.95 ,"$1,359.20 ","$1,478.13 ","$1,478.13 ","$1,478.13 ","$1,529.10 ",$976.93 ,$382.95 ,"$1,699.00 ",$953.14 ,$382.95 ,$614.49 ,"$1,359.74 ","$1,297.94 ",$402.10 ,"$1,444.15 ","$1,070.37 ",$475.72 ,"$1,529.10 ","$1,478.13 ", N/A , N/A ,$382.95 ,"$1,104.35 " ST. FRANCIS HOSPITAL - ACUTE,98200128,26160,PC REMOVE TENDON SHEATH LESION,982,1 ,"$1,897.00 ","$1,365.84 ",$427.58 ,"$3,586.30 ","$1,090.78 ","$1,365.84 ","$1,031.97 ",$427.58 ,$531.16 ,"$1,261.51 ",$427.58 ,"$1,327.90 ",$427.58 ,"$1,195.11 ","$1,195.11 ",$427.58 ,"$1,195.11 ",$881.35 ,"$1,745.24 ","$3,586.30 ",$427.58 ,"$1,612.45 ","$1,593.48 ",$427.58 ,"$1,422.75 ","$1,517.60 ","$1,517.60 ",$427.58 ,"$1,517.60 ","$1,650.39 ","$1,650.39 ","$1,650.39 ","$1,707.30 ","$1,090.78 ",$427.58 ,"$1,897.00 ","$1,064.22 ",$427.58 ,$582.38 ,"$1,223.05 ","$1,167.45 ",$448.97 ,"$1,612.45 ","$1,195.11 ",$531.16 ,"$1,707.30 ","$1,650.39 ", N/A , N/A ,$427.58 ,"$1,233.05 " ST. FRANCIS HOSPITAL - ACUTE,98200129,26200,"PC EXCIS BENIGN BONE LESN,METACARPAL",982,1 ,"$1,422.00 ","$1,023.84 ",$320.52 ,"$3,586.30 ",$817.65 ,"$1,023.84 ",$773.57 ,$320.52 ,$398.16 ,$945.63 ,$320.52 ,$995.40 ,$320.52 ,$895.86 ,$895.86 ,$320.52 ,$895.86 ,$660.66 ,"$1,308.24 ","$3,586.30 ",$320.52 ,"$1,208.70 ","$1,194.48 ",$320.52 ,"$1,066.50 ","$1,137.60 ","$1,137.60 ",$320.52 ,"$1,137.60 ","$1,237.14 ","$1,237.14 ","$1,237.14 ","$1,279.80 ",$817.65 ,$320.52 ,"$1,422.00 ",$797.74 ,$320.52 ,$843.47 ,"$1,223.05 ","$1,167.45 ",$336.54 ,"$1,208.70 ",$895.86 ,$398.16 ,"$1,279.80 ","$1,237.14 ", N/A , N/A ,$320.52 ,$924.30 ST. FRANCIS HOSPITAL - ACUTE,98200130,26410,PC FIX EXTEN TENDON DORSUM HAND EA,982,1 ,"$1,886.00 ","$1,357.92 ",$425.10 ,"$3,586.30 ","$1,084.45 ","$1,357.92 ","$1,025.98 ",$425.10 ,$528.08 ,"$1,254.19 ",$425.10 ,"$1,320.20 ",$425.10 ,"$1,188.18 ","$1,188.18 ",$425.10 ,"$1,188.18 ",$876.24 ,"$1,735.12 ","$3,586.30 ",$425.10 ,"$1,603.10 ","$1,584.24 ",$425.10 ,"$1,414.50 ","$1,508.80 ","$1,508.80 ",$425.10 ,"$1,508.80 ","$1,640.82 ","$1,640.82 ","$1,640.82 ","$1,697.40 ","$1,084.45 ",$425.10 ,"$1,886.00 ","$1,058.05 ",$425.10 ,"$1,051.49 ","$1,223.05 ","$1,167.45 ",$446.36 ,"$1,603.10 ","$1,188.18 ",$528.08 ,"$1,697.40 ","$1,640.82 ", N/A , N/A ,$425.10 ,"$1,225.90 " ST. FRANCIS HOSPITAL - ACUTE,98200131,26735,PC OPEN RX PROX/MID FING SHFT FX,982,1 ,"$1,882.00 ","$1,355.04 ",$424.20 ,"$7,441.65 ","$1,082.15 ","$1,355.04 ","$1,023.81 ",$424.20 ,$526.96 ,"$1,251.53 ",$424.20 ,"$1,317.40 ",$424.20 ,"$1,185.66 ","$1,185.66 ",$424.20 ,"$1,185.66 ",$874.38 ,"$1,731.44 ","$7,441.65 ",$424.20 ,"$1,599.70 ","$1,580.88 ",$424.20 ,"$1,411.50 ","$1,505.60 ","$1,505.60 ",$424.20 ,"$1,505.60 ","$1,637.34 ","$1,637.34 ","$1,637.34 ","$1,693.80 ","$1,082.15 ",$424.20 ,"$1,882.00 ","$1,055.80 ",$424.20 ,"$1,108.71 ","$4,728.65 ","$4,513.71 ",$445.41 ,"$1,599.70 ","$1,185.66 ",$526.96 ,"$1,693.80 ","$1,637.34 ", N/A , N/A ,$424.20 ,"$1,223.30 " ST. FRANCIS HOSPITAL - ACUTE,98200132,26765,PC OPEN RX DIST FINGR FX,982,1 ,"$1,582.00 ","$1,139.04 ",$356.58 ,"$7,441.65 ",$909.65 ,"$1,139.04 ",$860.61 ,$356.58 ,$442.96 ,"$1,052.03 ",$356.58 ,"$1,107.40 ",$356.58 ,$996.66 ,$996.66 ,$356.58 ,$996.66 ,$735.00 ,"$1,455.44 ","$7,441.65 ",$356.58 ,"$1,344.70 ","$1,328.88 ",$356.58 ,"$1,186.50 ","$1,265.60 ","$1,265.60 ",$356.58 ,"$1,265.60 ","$1,376.34 ","$1,376.34 ","$1,376.34 ","$1,423.80 ",$909.65 ,$356.58 ,"$1,582.00 ",$887.50 ,$356.58 ,$930.73 ,"$4,728.65 ","$4,513.71 ",$374.41 ,"$1,344.70 ",$996.66 ,$442.96 ,"$1,423.80 ","$1,376.34 ", N/A , N/A ,$356.58 ,"$1,028.30 " ST. FRANCIS HOSPITAL - ACUTE,98200133,27125,PC PARTIAL HIP REPLACEMENT,982,1 ,"$3,635.00 ","$2,617.20 ",$819.33 ,"$9,210.17 ","$2,090.13 ","$2,617.20 ","$1,977.44 ",$819.33 ,"$1,017.80 ","$2,417.28 ",$819.33 ,"$2,544.50 ",$819.33 ,"$2,290.05 ","$2,290.05 ",$819.33 ,"$2,290.05 ","$1,688.82 ","$3,344.20 ", N/A ,$819.33 ,"$3,089.75 ","$3,053.40 ",$819.33 ,"$2,726.25 ","$2,908.00 ","$2,908.00 ",$819.33 ,"$2,908.00 ","$3,162.45 ","$3,162.45 ","$3,162.45 ","$3,271.50 ","$2,090.13 ",$819.33 ,"$3,635.00 ","$2,039.24 ",$819.33 ,"$2,146.85 ","$9,210.17 ","$8,791.52 ",$860.29 ,"$3,089.75 ","$2,290.05 ","$1,017.80 ","$3,271.50 ","$3,162.45 ", N/A , N/A ,$819.33 ,"$2,362.75 " ST. FRANCIS HOSPITAL - ACUTE,98200134,27130,PC TOTAL HIP ARTHROPLASTY,982,1 ,"$4,136.00 ","$2,977.92 ",$932.25 ,"$32,620.20 ","$2,378.20 ","$2,977.92 ","$2,249.98 ",$932.25 ,"$1,158.08 ","$2,750.44 ",$932.25 ,"$2,895.20 ",$932.25 ,"$2,605.68 ","$2,605.68 ",$932.25 ,"$2,605.68 ","$1,921.59 ","$3,805.12 ","$32,620.20 ",$932.25 ,"$3,515.60 ","$3,474.24 ",$932.25 ,"$3,102.00 ","$3,308.80 ","$3,308.80 ",$932.25 ,"$3,308.80 ","$3,598.32 ","$3,598.32 ","$3,598.32 ","$3,722.40 ","$2,378.20 ",$932.25 ,"$4,136.00 ","$2,320.30 ",$932.25 ,"$2,580.81 ","$9,210.17 ","$8,791.52 ",$978.86 ,"$3,515.60 ","$2,605.68 ","$1,158.08 ","$3,722.40 ","$3,598.32 ", N/A , N/A ,$932.25 ,"$2,688.40 " ST. FRANCIS HOSPITAL - ACUTE,98200135,27235,PC PERCUT FIX PROX/NECK FEMUR,982,1 ,"$2,913.00 ","$2,097.36 ",$656.59 ,"$16,536.58 ","$1,674.98 ","$2,097.36 ","$1,584.67 ",$656.59 ,$815.64 ,"$1,937.15 ",$656.59 ,"$2,039.10 ",$656.59 ,"$1,835.19 ","$1,835.19 ",$656.59 ,"$1,835.19 ","$1,353.38 ","$2,679.96 ","$16,536.58 ",$656.59 ,"$2,476.05 ","$2,446.92 ",$656.59 ,"$2,184.75 ","$2,330.40 ","$2,330.40 ",$656.59 ,"$2,330.40 ","$2,534.31 ","$2,534.31 ","$2,534.31 ","$2,621.70 ","$1,674.98 ",$656.59 ,"$2,913.00 ","$1,634.19 ",$656.59 ,"$1,718.14 ","$4,330.39 ","$4,133.56 ",$689.42 ,"$2,476.05 ","$1,835.19 ",$815.64 ,"$2,621.70 ","$2,534.31 ", N/A , N/A ,$656.59 ,"$1,893.45 " ST. FRANCIS HOSPITAL - ACUTE,98200136,27236,PC FEMORAL FX OPEN TX,982,1 ,"$3,834.00 ","$2,760.48 ",$864.18 ,"$3,834.00 ","$2,204.55 ","$2,760.48 ","$2,085.70 ",$864.18 ,"$1,073.52 ","$2,549.61 ",$864.18 ,"$2,683.80 ",$864.18 ,"$2,415.42 ","$2,415.42 ",$864.18 ,"$2,415.42 ","$1,781.28 ","$3,527.28 ", N/A ,$864.18 ,"$3,258.90 ","$3,220.56 ",$864.18 ,"$2,875.50 ","$3,067.20 ","$3,067.20 ",$864.18 ,"$3,067.20 ","$3,335.58 ","$3,335.58 ","$3,335.58 ","$3,450.60 ","$2,204.55 ",$864.18 ,"$3,834.00 ","$2,150.87 ",$864.18 ,"$2,266.07 ", N/A , N/A ,$907.39 ,"$3,258.90 ","$2,415.42 ","$1,073.52 ","$3,450.60 ","$3,335.58 ", N/A , N/A ,$864.18 ,"$2,492.10 " ST. FRANCIS HOSPITAL - ACUTE,98200137,27245,"PC OPEN FIX INTER/SUBTROCH FX,IMPLNT",982,1 ,"$3,941.00 ","$2,837.52 ",$888.30 ,"$3,941.00 ","$2,266.08 ","$2,837.52 ","$2,143.90 ",$888.30 ,"$1,103.48 ","$2,620.77 ",$888.30 ,"$2,758.70 ",$888.30 ,"$2,482.83 ","$2,482.83 ",$888.30 ,"$2,482.83 ","$1,830.99 ","$3,625.72 ", N/A ,$888.30 ,"$3,349.85 ","$3,310.44 ",$888.30 ,"$2,955.75 ","$3,152.80 ","$3,152.80 ",$888.30 ,"$3,152.80 ","$3,428.67 ","$3,428.67 ","$3,428.67 ","$3,546.90 ","$2,266.08 ",$888.30 ,"$3,941.00 ","$2,210.90 ",$888.30 ,"$2,330.20 ", N/A , N/A ,$932.71 ,"$3,349.85 ","$2,482.83 ","$1,103.48 ","$3,546.90 ","$3,428.67 ", N/A , N/A ,$888.30 ,"$2,561.65 " ST. FRANCIS HOSPITAL - ACUTE,98200138,27310,PC EXPLOR/DRAIN KNEE INFECTN,982,1 ,"$2,344.00 ","$1,687.68 ",$528.34 ,"$7,441.65 ","$1,347.80 ","$1,687.68 ","$1,275.14 ",$528.34 ,$656.32 ,"$1,558.76 ",$528.34 ,"$1,640.80 ",$528.34 ,"$1,476.72 ","$1,476.72 ",$528.34 ,"$1,476.72 ","$1,089.02 ","$2,156.48 ","$7,441.65 ",$528.34 ,"$1,992.40 ","$1,968.96 ",$528.34 ,"$1,758.00 ","$1,875.20 ","$1,875.20 ",$528.34 ,"$1,875.20 ","$2,039.28 ","$2,039.28 ","$2,039.28 ","$2,109.60 ","$1,347.80 ",$528.34 ,"$2,344.00 ","$1,314.98 ",$528.34 ,"$1,378.32 ","$3,035.57 ","$2,897.59 ",$554.76 ,"$1,992.40 ","$1,476.72 ",$656.32 ,"$2,109.60 ","$2,039.28 ", N/A , N/A ,$528.34 ,"$1,523.60 " ST. FRANCIS HOSPITAL - ACUTE,98200139,27340,PC REMOVAL PREPATELLA BURSA,982,1 ,"$1,189.00 ",$856.08 ,$268.00 ,"$7,441.65 ",$683.68 ,$856.08 ,$646.82 ,$268.00 ,$332.92 ,$790.69 ,$268.00 ,$832.30 ,$268.00 ,$749.07 ,$749.07 ,$268.00 ,$749.07 ,$552.41 ,"$1,093.88 ","$7,441.65 ",$268.00 ,"$1,010.65 ",$998.76 ,$268.00 ,$891.75 ,$951.20 ,$951.20 ,$268.00 ,$951.20 ,"$1,034.43 ","$1,034.43 ","$1,034.43 ","$1,070.10 ",$683.68 ,$268.00 ,"$1,189.00 ",$667.03 ,$268.00 ,$691.78 ,"$1,877.96 ","$1,792.60 ",$281.40 ,"$1,010.65 ",$749.07 ,$332.92 ,"$1,070.10 ","$1,034.43 ", N/A , N/A ,$268.00 ,$772.85 ST. FRANCIS HOSPITAL - ACUTE,98200140,27345,PC REMOVAL SYNOVIAL CYST KNEE,982,1 ,"$1,548.00 ","$1,114.56 ",$348.92 ,"$7,441.65 ",$890.10 ,"$1,114.56 ",$842.11 ,$348.92 ,$433.44 ,"$1,029.42 ",$348.92 ,"$1,083.60 ",$348.92 ,$975.24 ,$975.24 ,$348.92 ,$975.24 ,$719.20 ,"$1,424.16 ","$7,441.65 ",$348.92 ,"$1,315.80 ","$1,300.32 ",$348.92 ,"$1,161.00 ","$1,238.40 ","$1,238.40 ",$348.92 ,"$1,238.40 ","$1,346.76 ","$1,346.76 ","$1,346.76 ","$1,393.20 ",$890.10 ,$348.92 ,"$1,548.00 ",$868.43 ,$348.92 ,$905.37 ,"$1,877.96 ","$1,792.60 ",$366.36 ,"$1,315.80 ",$975.24 ,$433.44 ,"$1,393.20 ","$1,346.76 ", N/A , N/A ,$348.92 ,"$1,006.20 " ST. FRANCIS HOSPITAL - ACUTE,98200141,27385,"PC FIX QUAD/HAMSTR MUSC RUPT,PRIMARY",982,1 ,"$1,926.00 ","$1,386.72 ",$434.12 ,"$16,536.58 ","$1,107.45 ","$1,386.72 ","$1,047.74 ",$434.12 ,$539.28 ,"$1,280.79 ",$434.12 ,"$1,348.20 ",$434.12 ,"$1,213.38 ","$1,213.38 ",$434.12 ,"$1,213.38 ",$894.82 ,"$1,771.92 ","$16,536.58 ",$434.12 ,"$1,637.10 ","$1,617.84 ",$434.12 ,"$1,444.50 ","$1,540.80 ","$1,540.80 ",$434.12 ,"$1,540.80 ","$1,675.62 ","$1,675.62 ","$1,675.62 ","$1,733.40 ","$1,107.45 ",$434.12 ,"$1,926.00 ","$1,080.49 ",$434.12 ,"$1,097.68 ","$3,035.57 ","$2,897.59 ",$455.83 ,"$1,637.10 ","$1,213.38 ",$539.28 ,"$1,733.40 ","$1,675.62 ", N/A , N/A ,$434.12 ,"$1,251.90 " ST. FRANCIS HOSPITAL - ACUTE,98200142,27386,"PC FIX QUAD/HAMSTR MUSC RUPT,SECOND",982,1 ,"$2,743.00 ","$1,974.96 ",$618.27 ,"$16,536.58 ","$1,577.23 ","$1,974.96 ","$1,492.19 ",$618.27 ,$768.04 ,"$1,824.10 ",$618.27 ,"$1,920.10 ",$618.27 ,"$1,728.09 ","$1,728.09 ",$618.27 ,"$1,728.09 ","$1,274.40 ","$2,523.56 ","$16,536.58 ",$618.27 ,"$2,331.55 ","$2,304.12 ",$618.27 ,"$2,057.25 ","$2,194.40 ","$2,194.40 ",$618.27 ,"$2,194.40 ","$2,386.41 ","$2,386.41 ","$2,386.41 ","$2,468.70 ","$1,577.23 ",$618.27 ,"$2,743.00 ","$1,538.82 ",$618.27 ,"$1,588.17 ","$4,330.39 ","$4,133.56 ",$649.18 ,"$2,331.55 ","$1,728.09 ",$768.04 ,"$2,468.70 ","$2,386.41 ", N/A , N/A ,$618.27 ,"$1,782.95 " ST. FRANCIS HOSPITAL - ACUTE,98200143,27392,"PC TENOTOMY,BI HAMSTR,KNEE-THIGH,MULTI",982,1 ,"$2,285.00 ","$1,645.20 ",$515.04 ,"$7,441.65 ","$1,313.88 ","$1,645.20 ","$1,243.04 ",$515.04 ,$639.80 ,"$1,519.53 ",$515.04 ,"$1,599.50 ",$515.04 ,"$1,439.55 ","$1,439.55 ",$515.04 ,"$1,439.55 ","$1,061.61 ","$2,102.20 ","$7,441.65 ",$515.04 ,"$1,942.25 ","$1,919.40 ",$515.04 ,"$1,713.75 ","$1,828.00 ","$1,828.00 ",$515.04 ,"$1,828.00 ","$1,987.95 ","$1,987.95 ","$1,987.95 ","$2,056.50 ","$1,313.88 ",$515.04 ,"$2,285.00 ","$1,281.89 ",$515.04 ,"$1,341.82 ","$3,035.57 ","$2,897.59 ",$540.79 ,"$1,942.25 ","$1,439.55 ",$639.80 ,"$2,056.50 ","$1,987.95 ", N/A , N/A ,$515.04 ,"$1,485.25 " ST. FRANCIS HOSPITAL - ACUTE,98200144,27415,"PC OSTEOCHONDRAL ALLOGRAFT, KNEE, OPEN",982,1 ,"$4,404.00 ","$3,170.88 ",$992.66 ,"$32,620.20 ","$2,532.30 ","$3,170.88 ","$2,395.78 ",$992.66 ,"$1,233.12 ","$2,928.66 ",$992.66 ,"$3,082.80 ",$992.66 ,"$2,774.52 ","$2,774.52 ",$992.66 ,"$2,774.52 ","$2,046.10 ","$4,051.68 ","$32,620.20 ",$992.66 ,"$3,743.40 ","$3,699.36 ",$992.66 ,"$3,303.00 ","$3,523.20 ","$3,523.20 ",$992.66 ,"$3,523.20 ","$3,831.48 ","$3,831.48 ","$3,831.48 ","$3,963.60 ","$2,532.30 ",$992.66 ,"$4,404.00 ","$2,470.64 ",$992.66 ,"$2,602.21 ","$5,168.77 ","$4,933.82 ","$1,042.30 ","$3,743.40 ","$2,774.52 ","$1,233.12 ","$3,963.60 ","$3,831.48 ", N/A , N/A ,$992.66 ,"$2,862.60 " ST. FRANCIS HOSPITAL - ACUTE,98200145,27416,PC OSTEOCHONDRAL AUTOGRAFTS KNEE OPEN,982,1 ,"$3,152.00 ","$2,269.44 ",$710.46 ,"$16,536.58 ","$1,812.40 ","$2,269.44 ","$1,714.69 ",$710.46 ,$882.56 ,"$2,096.08 ",$710.46 ,"$2,206.40 ",$710.46 ,"$1,985.76 ","$1,985.76 ",$710.46 ,"$1,985.76 ","$1,464.42 ","$2,899.84 ","$16,536.58 ",$710.46 ,"$2,679.20 ","$2,647.68 ",$710.46 ,"$2,364.00 ","$2,521.60 ","$2,521.60 ",$710.46 ,"$2,521.60 ","$2,742.24 ","$2,742.24 ","$2,742.24 ","$2,836.80 ","$1,812.40 ",$710.46 ,"$3,152.00 ","$1,768.27 ",$710.46 ,"$1,857.38 ","$4,330.39 ","$4,133.56 ",$745.99 ,"$2,679.20 ","$1,985.76 ",$882.56 ,"$2,836.80 ","$2,742.24 ", N/A , N/A ,$710.46 ,"$2,048.80 " ST. FRANCIS HOSPITAL - ACUTE,98200146,27420,PC REVISION OF UNSTABLE PATELLA,982,1 ,"$2,376.00 ","$1,710.72 ",$535.55 ,"$16,536.58 ","$1,366.20 ","$1,710.72 ","$1,292.54 ",$535.55 ,$665.28 ,"$1,580.04 ",$535.55 ,"$1,663.20 ",$535.55 ,"$1,496.88 ","$1,496.88 ",$535.55 ,"$1,496.88 ","$1,103.89 ","$2,185.92 ","$16,536.58 ",$535.55 ,"$2,019.60 ","$1,995.84 ",$535.55 ,"$1,782.00 ","$1,900.80 ","$1,900.80 ",$535.55 ,"$1,900.80 ","$2,067.12 ","$2,067.12 ","$2,067.12 ","$2,138.40 ","$1,366.20 ",$535.55 ,"$2,376.00 ","$1,332.94 ",$535.55 ,"$1,402.08 ","$3,035.57 ","$2,897.59 ",$562.32 ,"$2,019.60 ","$1,496.88 ",$665.28 ,"$2,138.40 ","$2,067.12 ", N/A , N/A ,$535.55 ,"$1,544.40 " ST. FRANCIS HOSPITAL - ACUTE,98200147,27427,"PC LIGMT REVISION,KNEE,EXTRA-ARTIC",982,1 ,"$2,274.00 ","$1,637.28 ",$512.56 ,"$16,536.58 ","$1,307.55 ","$1,637.28 ","$1,237.06 ",$512.56 ,$636.72 ,"$1,512.21 ",$512.56 ,"$1,591.80 ",$512.56 ,"$1,432.62 ","$1,432.62 ",$512.56 ,"$1,432.62 ","$1,056.50 ","$2,092.08 ","$16,536.58 ",$512.56 ,"$1,932.90 ","$1,910.16 ",$512.56 ,"$1,705.50 ","$1,819.20 ","$1,819.20 ",$512.56 ,"$1,819.20 ","$1,978.38 ","$1,978.38 ","$1,978.38 ","$2,046.60 ","$1,307.55 ",$512.56 ,"$2,274.00 ","$1,275.71 ",$512.56 ,"$1,339.96 ","$3,035.57 ","$2,897.59 ",$538.19 ,"$1,932.90 ","$1,432.62 ",$636.72 ,"$2,046.60 ","$1,978.38 ", N/A , N/A ,$512.56 ,"$1,478.10 " ST. FRANCIS HOSPITAL - ACUTE,98200148,27446,"PC PLASTY KNEE,MED OR LAT COMPARTMT",982,1 ,"$3,714.00 ","$2,674.08 ",$837.14 ,"$32,620.20 ","$2,135.55 ","$2,674.08 ","$2,020.42 ",$837.14 ,"$1,039.92 ","$2,469.81 ",$837.14 ,"$2,599.80 ",$837.14 ,"$2,339.82 ","$2,339.82 ",$837.14 ,"$2,339.82 ","$1,725.52 ","$3,416.88 ","$32,620.20 ",$837.14 ,"$3,156.90 ","$3,119.76 ",$837.14 ,"$2,785.50 ","$2,971.20 ","$2,971.20 ",$837.14 ,"$2,971.20 ","$3,231.18 ","$3,231.18 ","$3,231.18 ","$3,342.60 ","$2,135.55 ",$837.14 ,"$3,714.00 ","$2,083.55 ",$837.14 ,"$2,201.80 ","$9,210.17 ","$8,791.52 ",$878.99 ,"$3,156.90 ","$2,339.82 ","$1,039.92 ","$3,342.60 ","$3,231.18 ", N/A , N/A ,$837.14 ,"$2,414.10 " ST. FRANCIS HOSPITAL - ACUTE,98200149,27447,PC TOTAL KNEE ARTHROPLASTY,982,1 ,"$4,131.00 ","$2,974.32 ",$931.13 ,"$32,620.20 ","$2,375.33 ","$2,974.32 ","$2,247.26 ",$931.13 ,"$1,156.68 ","$2,747.12 ",$931.13 ,"$2,891.70 ",$931.13 ,"$2,602.53 ","$2,602.53 ",$931.13 ,"$2,602.53 ","$1,919.26 ","$3,800.52 ","$32,620.20 ",$931.13 ,"$3,511.35 ","$3,470.04 ",$931.13 ,"$3,098.25 ","$3,304.80 ","$3,304.80 ",$931.13 ,"$3,304.80 ","$3,593.97 ","$3,593.97 ","$3,593.97 ","$3,717.90 ","$2,375.33 ",$931.13 ,"$4,131.00 ","$2,317.49 ",$931.13 ,"$2,577.39 ","$9,210.17 ","$8,791.52 ",$977.69 ,"$3,511.35 ","$2,602.53 ","$1,156.68 ","$3,717.90 ","$3,593.97 ", N/A , N/A ,$931.13 ,"$2,685.15 " ST. FRANCIS HOSPITAL - ACUTE,98200150,27486,"PC REVISE KNEE JOINT REPLACE,1 PART",982,1 ,"$4,514.00 ","$3,250.08 ","$1,017.46 ","$9,210.17 ","$2,595.55 ","$3,250.08 ","$2,455.62 ","$1,017.46 ","$1,263.92 ","$3,001.81 ","$1,017.46 ","$3,159.80 ","$1,017.46 ","$2,843.82 ","$2,843.82 ","$1,017.46 ","$2,843.82 ","$2,097.20 ","$4,152.88 ", N/A ,"$1,017.46 ","$3,836.90 ","$3,791.76 ","$1,017.46 ","$3,385.50 ","$3,611.20 ","$3,611.20 ","$1,017.46 ","$3,611.20 ","$3,927.18 ","$3,927.18 ","$3,927.18 ","$4,062.60 ","$2,595.55 ","$1,017.46 ","$4,514.00 ","$2,532.35 ","$1,017.46 ","$2,673.53 ","$9,210.17 ","$8,791.52 ","$1,068.33 ","$3,836.90 ","$2,843.82 ","$1,263.92 ","$4,062.60 ","$3,927.18 ", N/A , N/A ,"$1,017.46 ","$2,934.10 " ST. FRANCIS HOSPITAL - ACUTE,98200151,27487,"PC REVISE KNEE JOINT REPLACE,ALL PARTS",982,1 ,"$5,649.00 ","$4,067.28 ","$1,273.28 ","$5,649.00 ","$3,248.18 ","$4,067.28 ","$3,073.06 ","$1,273.28 ","$1,581.72 ","$3,756.59 ","$1,273.28 ","$3,954.30 ","$1,273.28 ","$3,558.87 ","$3,558.87 ","$1,273.28 ","$3,558.87 ","$2,624.53 ","$5,197.08 ", N/A ,"$1,273.28 ","$4,801.65 ","$4,745.16 ","$1,273.28 ","$4,236.75 ","$4,519.20 ","$4,519.20 ","$1,273.28 ","$4,519.20 ","$4,914.63 ","$4,914.63 ","$4,914.63 ","$5,084.10 ","$3,248.18 ","$1,273.28 ","$5,649.00 ","$3,169.09 ","$1,273.28 ","$3,350.49 ", N/A , N/A ,"$1,336.95 ","$4,801.65 ","$3,558.87 ","$1,581.72 ","$5,084.10 ","$4,914.63 ", N/A , N/A ,"$1,273.28 ","$3,671.85 " ST. FRANCIS HOSPITAL - ACUTE,98200152,27507,PC OPEN RX FEMUR FX+PLATE/SCREW,982,1 ,"$3,118.00 ","$2,244.96 ",$702.80 ,"$3,118.00 ","$1,792.85 ","$2,244.96 ","$1,696.19 ",$702.80 ,$873.04 ,"$2,073.47 ",$702.80 ,"$2,182.60 ",$702.80 ,"$1,964.34 ","$1,964.34 ",$702.80 ,"$1,964.34 ","$1,448.62 ","$2,868.56 ", N/A ,$702.80 ,"$2,650.30 ","$2,619.12 ",$702.80 ,"$2,338.50 ","$2,494.40 ","$2,494.40 ",$702.80 ,"$2,494.40 ","$2,712.66 ","$2,712.66 ","$2,712.66 ","$2,806.20 ","$1,792.85 ",$702.80 ,"$3,118.00 ","$1,749.20 ",$702.80 ,"$1,843.89 ", N/A , N/A ,$737.94 ,"$2,650.30 ","$1,964.34 ",$873.04 ,"$2,806.20 ","$2,712.66 ", N/A , N/A ,$702.80 ,"$2,026.70 " ST. FRANCIS HOSPITAL - ACUTE,98200153,27511,PC OPEN RX CONDYLAR FX FEMUR,982,1 ,"$3,208.00 ","$2,309.76 ",$723.08 ,"$3,208.00 ","$1,844.60 ","$2,309.76 ","$1,745.15 ",$723.08 ,$898.24 ,"$2,133.32 ",$723.08 ,"$2,245.60 ",$723.08 ,"$2,021.04 ","$2,021.04 ",$723.08 ,"$2,021.04 ","$1,490.44 ","$2,951.36 ", N/A ,$723.08 ,"$2,726.80 ","$2,694.72 ",$723.08 ,"$2,406.00 ","$2,566.40 ","$2,566.40 ",$723.08 ,"$2,566.40 ","$2,790.96 ","$2,790.96 ","$2,790.96 ","$2,887.20 ","$1,844.60 ",$723.08 ,"$3,208.00 ","$1,799.69 ",$723.08 ,"$1,899.78 ", N/A , N/A ,$759.24 ,"$2,726.80 ","$2,021.04 ",$898.24 ,"$2,887.20 ","$2,790.96 ", N/A , N/A ,$723.08 ,"$2,085.20 " ST. FRANCIS HOSPITAL - ACUTE,98200154,27514,"PC OPEN RX FEMUR,DISTAL END",982,1 ,"$3,114.00 ","$2,242.08 ",$701.90 ,"$4,728.65 ","$1,790.55 ","$2,242.08 ","$1,694.02 ",$701.90 ,$871.92 ,"$2,070.81 ",$701.90 ,"$2,179.80 ",$701.90 ,"$1,961.82 ","$1,961.82 ",$701.90 ,"$1,961.82 ","$1,446.76 ","$2,864.88 ", N/A ,$701.90 ,"$2,646.90 ","$2,615.76 ",$701.90 ,"$2,335.50 ","$2,491.20 ","$2,491.20 ",$701.90 ,"$2,491.20 ","$2,709.18 ","$2,709.18 ","$2,709.18 ","$2,802.60 ","$1,790.55 ",$701.90 ,"$3,114.00 ","$1,746.95 ",$701.90 ,"$1,839.87 ","$4,728.65 ","$4,513.71 ",$736.99 ,"$2,646.90 ","$1,961.82 ",$871.92 ,"$2,802.60 ","$2,709.18 ", N/A , N/A ,$701.90 ,"$2,024.10 " ST. FRANCIS HOSPITAL - ACUTE,98200155,27535,PC OPEN RX UNI TIB PLAT FX,982,1 ,"$2,888.00 ","$2,079.36 ",$650.96 ,"$4,728.65 ","$1,660.60 ","$2,079.36 ","$1,571.07 ",$650.96 ,$808.64 ,"$1,920.52 ",$650.96 ,"$2,021.60 ",$650.96 ,"$1,819.44 ","$1,819.44 ",$650.96 ,"$1,819.44 ","$1,341.76 ","$2,656.96 ", N/A ,$650.96 ,"$2,454.80 ","$2,425.92 ",$650.96 ,"$2,166.00 ","$2,310.40 ","$2,310.40 ",$650.96 ,"$2,310.40 ","$2,512.56 ","$2,512.56 ","$2,512.56 ","$2,599.20 ","$1,660.60 ",$650.96 ,"$2,888.00 ","$1,620.17 ",$650.96 ,"$1,705.09 ","$4,728.65 ","$4,513.71 ",$683.50 ,"$2,454.80 ","$1,819.44 ",$808.64 ,"$2,599.20 ","$2,512.56 ", N/A , N/A ,$650.96 ,"$1,877.20 " ST. FRANCIS HOSPITAL - ACUTE,98200156,27536,PC OPEN RX BILAT TIB PLAT FX,982,1 ,"$3,811.00 ","$2,743.92 ",$859.00 ,"$4,728.65 ","$2,191.33 ","$2,743.92 ","$2,073.18 ",$859.00 ,"$1,067.08 ","$2,534.32 ",$859.00 ,"$2,667.70 ",$859.00 ,"$2,400.93 ","$2,400.93 ",$859.00 ,"$2,400.93 ","$1,770.59 ","$3,506.12 ", N/A ,$859.00 ,"$3,239.35 ","$3,201.24 ",$859.00 ,"$2,858.25 ","$3,048.80 ","$3,048.80 ",$859.00 ,"$3,048.80 ","$3,315.57 ","$3,315.57 ","$3,315.57 ","$3,429.90 ","$2,191.33 ",$859.00 ,"$3,811.00 ","$2,137.97 ",$859.00 ,"$2,252.89 ","$4,728.65 ","$4,513.71 ",$901.95 ,"$3,239.35 ","$2,400.93 ","$1,067.08 ","$3,429.90 ","$3,315.57 ", N/A , N/A ,$859.00 ,"$2,477.15 " ST. FRANCIS HOSPITAL - ACUTE,98200157,27601,PC DECOMPRESS POST LEG COMPARTMT,982,1 ,"$1,429.00 ","$1,028.88 ",$322.10 ,"$7,441.65 ",$821.68 ,"$1,028.88 ",$777.38 ,$322.10 ,$400.12 ,$950.29 ,$322.10 ,"$1,000.30 ",$322.10 ,$900.27 ,$900.27 ,$322.10 ,$900.27 ,$663.91 ,"$1,314.68 ","$7,441.65 ",$322.10 ,"$1,214.65 ","$1,200.36 ",$322.10 ,"$1,071.75 ","$1,143.20 ","$1,143.20 ",$322.10 ,"$1,143.20 ","$1,243.23 ","$1,243.23 ","$1,243.23 ","$1,286.10 ",$821.68 ,$322.10 ,"$1,429.00 ",$801.67 ,$322.10 ,$840.20 ,"$1,877.96 ","$1,792.60 ",$338.20 ,"$1,214.65 ",$900.27 ,$400.12 ,"$1,286.10 ","$1,243.23 ", N/A , N/A ,$322.10 ,$928.85 ST. FRANCIS HOSPITAL - ACUTE,98200158,27640,PC PARTIAL REMOVAL OF TIBIA,982,1 ,"$2,655.00 ","$1,911.60 ",$598.44 ,"$7,441.65 ","$1,526.63 ","$1,911.60 ","$1,444.32 ",$598.44 ,$743.40 ,"$1,765.58 ",$598.44 ,"$1,858.50 ",$598.44 ,"$1,672.65 ","$1,672.65 ",$598.44 ,"$1,672.65 ","$1,233.51 ","$2,442.60 ","$7,441.65 ",$598.44 ,"$2,256.75 ","$2,230.20 ",$598.44 ,"$1,991.25 ","$2,124.00 ","$2,124.00 ",$598.44 ,"$2,124.00 ","$2,309.85 ","$2,309.85 ","$2,309.85 ","$2,389.50 ","$1,526.63 ",$598.44 ,"$2,655.00 ","$1,489.46 ",$598.44 ,"$1,570.00 ","$4,330.39 ","$4,133.56 ",$628.36 ,"$2,256.75 ","$1,672.65 ",$743.40 ,"$2,389.50 ","$2,309.85 ", N/A , N/A ,$598.44 ,"$1,725.75 " ST. FRANCIS HOSPITAL - ACUTE,98200159,27695,PC REPAIR 1 COLLAT ANKLE LIGMNT PRIMARY,982,1 ,"$1,507.00 ","$1,085.04 ",$339.68 ,"$16,536.58 ",$866.53 ,"$1,085.04 ",$819.81 ,$339.68 ,$421.96 ,"$1,002.16 ",$339.68 ,"$1,054.90 ",$339.68 ,$949.41 ,$949.41 ,$339.68 ,$949.41 ,$700.15 ,"$1,386.44 ","$16,536.58 ",$339.68 ,"$1,280.95 ","$1,265.88 ",$339.68 ,"$1,130.25 ","$1,205.60 ","$1,205.60 ",$339.68 ,"$1,205.60 ","$1,311.09 ","$1,311.09 ","$1,311.09 ","$1,356.30 ",$866.53 ,$339.68 ,"$1,507.00 ",$845.43 ,$339.68 ,$887.27 ,"$3,035.57 ","$2,897.59 ",$356.66 ,"$1,280.95 ",$949.41 ,$421.96 ,"$1,356.30 ","$1,311.09 ", N/A , N/A ,$339.68 ,$979.55 ST. FRANCIS HOSPITAL - ACUTE,98200160,27698,PC REPAIR COLLAT ANKLE LIGMNT SECONDARY,982,1 ,"$2,016.00 ","$1,451.52 ",$454.41 ,"$16,536.58 ","$1,159.20 ","$1,451.52 ","$1,096.70 ",$454.41 ,$564.48 ,"$1,340.64 ",$454.41 ,"$1,411.20 ",$454.41 ,"$1,270.08 ","$1,270.08 ",$454.41 ,"$1,270.08 ",$936.63 ,"$1,854.72 ","$16,536.58 ",$454.41 ,"$1,713.60 ","$1,693.44 ",$454.41 ,"$1,512.00 ","$1,612.80 ","$1,612.80 ",$454.41 ,"$1,612.80 ","$1,753.92 ","$1,753.92 ","$1,753.92 ","$1,814.40 ","$1,159.20 ",$454.41 ,"$2,016.00 ","$1,130.98 ",$454.41 ,"$1,200.41 ","$3,035.57 ","$2,897.59 ",$477.12 ,"$1,713.60 ","$1,270.08 ",$564.48 ,"$1,814.40 ","$1,753.92 ", N/A , N/A ,$454.41 ,"$1,310.40 " ST. FRANCIS HOSPITAL - ACUTE,98200161,27766,PC OPEN RX MED MALLEOLUS FX,982,1 ,"$1,920.00 ","$1,382.40 ",$432.77 ,"$16,536.58 ","$1,104.00 ","$1,382.40 ","$1,044.48 ",$432.77 ,$537.60 ,"$1,276.80 ",$432.77 ,"$1,344.00 ",$432.77 ,"$1,209.60 ","$1,209.60 ",$432.77 ,"$1,209.60 ",$892.03 ,"$1,766.40 ","$16,536.58 ",$432.77 ,"$1,632.00 ","$1,612.80 ",$432.77 ,"$1,440.00 ","$1,536.00 ","$1,536.00 ",$432.77 ,"$1,536.00 ","$1,670.40 ","$1,670.40 ","$1,670.40 ","$1,728.00 ","$1,104.00 ",$432.77 ,"$1,920.00 ","$1,077.12 ",$432.77 ,"$1,131.47 ","$4,728.65 ","$4,513.71 ",$454.41 ,"$1,632.00 ","$1,209.60 ",$537.60 ,"$1,728.00 ","$1,670.40 ", N/A , N/A ,$432.77 ,"$1,248.00 " ST. FRANCIS HOSPITAL - ACUTE,98200162,27792,PC OPEN RX LAT MALLEOLUS FX,982,1 ,"$2,053.00 ","$1,478.16 ",$462.75 ,"$16,536.58 ","$1,180.48 ","$1,478.16 ","$1,116.83 ",$462.75 ,$574.84 ,"$1,365.25 ",$462.75 ,"$1,437.10 ",$462.75 ,"$1,293.39 ","$1,293.39 ",$462.75 ,"$1,293.39 ",$953.82 ,"$1,888.76 ","$16,536.58 ",$462.75 ,"$1,745.05 ","$1,724.52 ",$462.75 ,"$1,539.75 ","$1,642.40 ","$1,642.40 ",$462.75 ,"$1,642.40 ","$1,786.11 ","$1,786.11 ","$1,786.11 ","$1,847.70 ","$1,180.48 ",$462.75 ,"$2,053.00 ","$1,151.73 ",$462.75 ,"$1,215.21 ","$4,728.65 ","$4,513.71 ",$485.88 ,"$1,745.05 ","$1,293.39 ",$574.84 ,"$1,847.70 ","$1,786.11 ", N/A , N/A ,$462.75 ,"$1,334.45 " ST. FRANCIS HOSPITAL - ACUTE,98200163,27814,PC OPEN RX BIMALLEOLAR FX,982,1 ,"$2,441.00 ","$1,757.52 ",$550.20 ,"$16,536.58 ","$1,403.58 ","$1,757.52 ","$1,327.90 ",$550.20 ,$683.48 ,"$1,623.27 ",$550.20 ,"$1,708.70 ",$550.20 ,"$1,537.83 ","$1,537.83 ",$550.20 ,"$1,537.83 ","$1,134.09 ","$2,245.72 ","$16,536.58 ",$550.20 ,"$2,074.85 ","$2,050.44 ",$550.20 ,"$1,830.75 ","$1,952.80 ","$1,952.80 ",$550.20 ,"$1,952.80 ","$2,123.67 ","$2,123.67 ","$2,123.67 ","$2,196.90 ","$1,403.58 ",$550.20 ,"$2,441.00 ","$1,369.40 ",$550.20 ,"$1,444.30 ","$4,728.65 ","$4,513.71 ",$577.71 ,"$2,074.85 ","$1,537.83 ",$683.48 ,"$2,196.90 ","$2,123.67 ", N/A , N/A ,$550.20 ,"$1,586.65 " ST. FRANCIS HOSPITAL - ACUTE,98200164,27822,PC OPEN RX TRIMALLEOLAR FX,982,1 ,"$2,789.00 ","$2,008.08 ",$628.64 ,"$16,536.58 ","$1,603.68 ","$2,008.08 ","$1,517.22 ",$628.64 ,$780.92 ,"$1,854.69 ",$628.64 ,"$1,952.30 ",$628.64 ,"$1,757.07 ","$1,757.07 ",$628.64 ,"$1,757.07 ","$1,295.77 ","$2,565.88 ","$16,536.58 ",$628.64 ,"$2,370.65 ","$2,342.76 ",$628.64 ,"$2,091.75 ","$2,231.20 ","$2,231.20 ",$628.64 ,"$2,231.20 ","$2,426.43 ","$2,426.43 ","$2,426.43 ","$2,510.10 ","$1,603.68 ",$628.64 ,"$2,789.00 ","$1,564.63 ",$628.64 ,"$1,623.08 ","$4,728.65 ","$4,513.71 ",$660.07 ,"$2,370.65 ","$1,757.07 ",$780.92 ,"$2,510.10 ","$2,426.43 ", N/A , N/A ,$628.64 ,"$1,812.85 " ST. FRANCIS HOSPITAL - ACUTE,98200165,27823,PC OPEN RX TRIMALLEOLAR FX FIX POST LIP,982,1 ,"$3,143.00 ","$2,262.96 ",$708.43 ,"$16,536.58 ","$1,807.23 ","$2,262.96 ","$1,709.79 ",$708.43 ,$880.04 ,"$2,090.10 ",$708.43 ,"$2,200.10 ",$708.43 ,"$1,980.09 ","$1,980.09 ",$708.43 ,"$1,980.09 ","$1,460.24 ","$2,891.56 ","$16,536.58 ",$708.43 ,"$2,671.55 ","$2,640.12 ",$708.43 ,"$2,357.25 ","$2,514.40 ","$2,514.40 ",$708.43 ,"$2,514.40 ","$2,734.41 ","$2,734.41 ","$2,734.41 ","$2,828.70 ","$1,807.23 ",$708.43 ,"$3,143.00 ","$1,763.22 ",$708.43 ,"$1,841.04 ","$4,728.65 ","$4,513.71 ",$743.85 ,"$2,671.55 ","$1,980.09 ",$880.04 ,"$2,828.70 ","$2,734.41 ", N/A , N/A ,$708.43 ,"$2,042.95 " ST. FRANCIS HOSPITAL - ACUTE,98200166,27827,PC OPEN RX WEIGHTBEAR TIB FIX TIB ONLY,982,1 ,"$3,575.00 ","$2,574.00 ",$805.80 ,"$32,620.20 ","$2,055.63 ","$2,574.00 ","$1,944.80 ",$805.80 ,"$1,001.00 ","$2,377.38 ",$805.80 ,"$2,502.50 ",$805.80 ,"$2,252.25 ","$2,252.25 ",$805.80 ,"$2,252.25 ","$1,660.95 ","$3,289.00 ","$32,620.20 ",$805.80 ,"$3,038.75 ","$3,003.00 ",$805.80 ,"$2,681.25 ","$2,860.00 ","$2,860.00 ",$805.80 ,"$2,860.00 ","$3,110.25 ","$3,110.25 ","$3,110.25 ","$3,217.50 ","$2,055.63 ",$805.80 ,"$3,575.00 ","$2,005.58 ",$805.80 ,"$2,087.91 ","$4,728.65 ","$4,513.71 ",$846.09 ,"$3,038.75 ","$2,252.25 ","$1,001.00 ","$3,217.50 ","$3,110.25 ", N/A , N/A ,$805.80 ,"$2,323.75 " ST. FRANCIS HOSPITAL - ACUTE,98200167,27829,PC OPEN RX DIST TIB/FIB JT DISRUPT,982,1 ,"$2,246.00 ","$1,617.12 ",$506.25 ,"$16,536.58 ","$1,291.45 ","$1,617.12 ","$1,221.82 ",$506.25 ,$628.88 ,"$1,493.59 ",$506.25 ,"$1,572.20 ",$506.25 ,"$1,414.98 ","$1,414.98 ",$506.25 ,"$1,414.98 ","$1,043.49 ","$2,066.32 ","$16,536.58 ",$506.25 ,"$1,909.10 ","$1,886.64 ",$506.25 ,"$1,684.50 ","$1,796.80 ","$1,796.80 ",$506.25 ,"$1,796.80 ","$1,954.02 ","$1,954.02 ","$1,954.02 ","$2,021.40 ","$1,291.45 ",$506.25 ,"$2,246.00 ","$1,260.01 ",$506.25 ,"$1,309.68 ","$4,728.65 ","$4,513.71 ",$531.56 ,"$1,909.10 ","$1,414.98 ",$628.88 ,"$2,021.40 ","$1,954.02 ", N/A , N/A ,$506.25 ,"$1,459.90 " ST. FRANCIS HOSPITAL - ACUTE,98200168,27880,PC AMPUTATION LOW LEG THRU TIB/FIB,982,1 ,"$2,979.00 ","$2,144.88 ",$671.47 ,"$2,979.00 ","$1,712.93 ","$2,144.88 ","$1,620.58 ",$671.47 ,$834.12 ,"$1,981.04 ",$671.47 ,"$2,085.30 ",$671.47 ,"$1,876.77 ","$1,876.77 ",$671.47 ,"$1,876.77 ","$1,384.04 ","$2,740.68 ", N/A ,$671.47 ,"$2,532.15 ","$2,502.36 ",$671.47 ,"$2,234.25 ","$2,383.20 ","$2,383.20 ",$671.47 ,"$2,383.20 ","$2,591.73 ","$2,591.73 ","$2,591.73 ","$2,681.10 ","$1,712.93 ",$671.47 ,"$2,979.00 ","$1,671.22 ",$671.47 ,"$1,755.95 ", N/A , N/A ,$705.04 ,"$2,532.15 ","$1,876.77 ",$834.12 ,"$2,681.10 ","$2,591.73 ", N/A , N/A ,$671.47 ,"$1,936.35 " ST. FRANCIS HOSPITAL - ACUTE,98200169,28002,PC DEEP DISSEC FOOT INFEC 1 BURSA,982,1 ,$764.00 ,$550.08 ,$172.21 ,"$3,586.30 ",$439.30 ,$550.08 ,$415.62 ,$172.21 ,$213.92 ,$508.06 ,$172.21 ,$534.80 ,$172.21 ,$481.32 ,$481.32 ,$172.21 ,$481.32 ,$354.95 ,$702.88 ,"$3,586.30 ",$172.21 ,$649.40 ,$641.76 ,$172.21 ,$573.00 ,$611.20 ,$611.20 ,$172.21 ,$611.20 ,$664.68 ,$664.68 ,$664.68 ,$687.60 ,$439.30 ,$172.21 ,$764.00 ,$428.60 ,$172.21 ,$601.32 ,"$1,105.69 ","$1,055.43 ",$180.82 ,$649.40 ,$481.32 ,$213.92 ,$687.60 ,$664.68 , N/A , N/A ,$172.21 ,$496.60 ST. FRANCIS HOSPITAL - ACUTE,98200170,28118,PC REMOVAL OF HEEL BONE,982,1 ,"$1,846.00 ","$1,329.12 ",$416.09 ,"$7,441.65 ","$1,061.45 ","$1,329.12 ","$1,004.22 ",$416.09 ,$516.88 ,"$1,227.59 ",$416.09 ,"$1,292.20 ",$416.09 ,"$1,162.98 ","$1,162.98 ",$416.09 ,"$1,162.98 ",$857.65 ,"$1,698.32 ","$7,441.65 ",$416.09 ,"$1,569.10 ","$1,550.64 ",$416.09 ,"$1,384.50 ","$1,476.80 ","$1,476.80 ",$416.09 ,"$1,476.80 ","$1,606.02 ","$1,606.02 ","$1,606.02 ","$1,661.40 ","$1,061.45 ",$416.09 ,"$1,846.00 ","$1,035.61 ",$416.09 ,$782.42 ,"$1,990.89 ","$1,900.40 ",$436.89 ,"$1,569.10 ","$1,162.98 ",$516.88 ,"$1,661.40 ","$1,606.02 ", N/A , N/A ,$416.09 ,"$1,199.90 " ST. FRANCIS HOSPITAL - ACUTE,98200171,28120,PC PART REMV TALUS OR CALCANEUS,982,1 ,"$2,068.00 ","$1,488.96 ",$466.13 ,"$7,441.65 ","$1,189.10 ","$1,488.96 ","$1,124.99 ",$466.13 ,$579.04 ,"$1,375.22 ",$466.13 ,"$1,447.60 ",$466.13 ,"$1,302.84 ","$1,302.84 ",$466.13 ,"$1,302.84 ",$960.79 ,"$1,902.56 ","$7,441.65 ",$466.13 ,"$1,757.80 ","$1,737.12 ",$466.13 ,"$1,551.00 ","$1,654.40 ","$1,654.40 ",$466.13 ,"$1,654.40 ","$1,799.16 ","$1,799.16 ","$1,799.16 ","$1,861.20 ","$1,189.10 ",$466.13 ,"$2,068.00 ","$1,160.15 ",$466.13 ,$931.49 ,"$1,990.89 ","$1,900.40 ",$489.43 ,"$1,757.80 ","$1,302.84 ",$579.04 ,"$1,861.20 ","$1,799.16 ", N/A , N/A ,$466.13 ,"$1,344.20 " ST. FRANCIS HOSPITAL - ACUTE,98200172,28476,PC PERCUT RX METATARSAL FX,982,1 ,"$1,201.00 ",$864.72 ,$270.71 ,"$7,441.65 ",$690.58 ,$864.72 ,$653.34 ,$270.71 ,$336.28 ,$798.67 ,$270.71 ,$840.70 ,$270.71 ,$756.63 ,$756.63 ,$270.71 ,$756.63 ,$557.98 ,"$1,104.92 ","$7,441.65 ",$270.71 ,"$1,020.85 ","$1,008.84 ",$270.71 ,$900.75 ,$960.80 ,$960.80 ,$270.71 ,$960.80 ,"$1,044.87 ","$1,044.87 ","$1,044.87 ","$1,080.90 ",$690.58 ,$270.71 ,"$1,201.00 ",$673.76 ,$270.71 ,$674.04 ,"$4,728.65 ","$4,513.71 ",$284.24 ,"$1,020.85 ",$756.63 ,$336.28 ,"$1,080.90 ","$1,044.87 ", N/A , N/A ,$270.71 ,$780.65 ST. FRANCIS HOSPITAL - ACUTE,98200173,28485,PC OPEN RX METATARSAL FRACTURE,982,1 ,"$1,745.00 ","$1,256.40 ",$393.32 ,"$16,536.58 ","$1,003.38 ","$1,256.40 ",$949.28 ,$393.32 ,$488.60 ,"$1,160.43 ",$393.32 ,"$1,221.50 ",$393.32 ,"$1,099.35 ","$1,099.35 ",$393.32 ,"$1,099.35 ",$810.73 ,"$1,605.40 ","$16,536.58 ",$393.32 ,"$1,483.25 ","$1,465.80 ",$393.32 ,"$1,308.75 ","$1,396.00 ","$1,396.00 ",$393.32 ,"$1,396.00 ","$1,518.15 ","$1,518.15 ","$1,518.15 ","$1,570.50 ","$1,003.38 ",$393.32 ,"$1,745.00 ",$978.95 ,$393.32 ,"$1,026.70 ","$4,728.65 ","$4,513.71 ",$412.99 ,"$1,483.25 ","$1,099.35 ",$488.60 ,"$1,570.50 ","$1,518.15 ", N/A , N/A ,$393.32 ,"$1,134.25 " ST. FRANCIS HOSPITAL - ACUTE,98200174,28820,PC AMPUTATION TOE MT-P JT,982,1 ,$925.00 ,$666.00 ,$208.49 ,"$7,441.65 ",$531.88 ,$666.00 ,$503.20 ,$208.49 ,$259.00 ,$615.13 ,$208.49 ,$647.50 ,$208.49 ,$582.75 ,$582.75 ,$208.49 ,$582.75 ,$429.76 ,$851.00 ,"$7,441.65 ",$208.49 ,$786.25 ,$777.00 ,$208.49 ,$693.75 ,$740.00 ,$740.00 ,$208.49 ,$740.00 ,$804.75 ,$804.75 ,$804.75 ,$832.50 ,$531.88 ,$208.49 ,$925.00 ,$518.93 ,$208.49 ,$735.28 ,"$1,990.89 ","$1,900.40 ",$218.92 ,$786.25 ,$582.75 ,$259.00 ,$832.50 ,$804.75 , N/A , N/A ,$208.49 ,$601.25 ST. FRANCIS HOSPITAL - ACUTE,98200175,28825,PC AMPUTATION TOE I-P JT,982,1 ,$906.00 ,$652.32 ,$204.21 ,"$7,441.65 ",$520.95 ,$652.32 ,$492.86 ,$204.21 ,$253.68 ,$602.49 ,$204.21 ,$634.20 ,$204.21 ,$570.78 ,$570.78 ,$204.21 ,$570.78 ,$420.93 ,$833.52 ,"$7,441.65 ",$204.21 ,$770.10 ,$761.04 ,$204.21 ,$679.50 ,$724.80 ,$724.80 ,$204.21 ,$724.80 ,$788.22 ,$788.22 ,$788.22 ,$815.40 ,$520.95 ,$204.21 ,$906.00 ,$508.27 ,$204.21 ,$687.66 ,"$1,990.89 ","$1,900.40 ",$214.42 ,$770.10 ,$570.78 ,$253.68 ,$815.40 ,$788.22 , N/A , N/A ,$204.21 ,$588.90 ST. FRANCIS HOSPITAL - ACUTE,98200176,29824,PC SHOULDER ARTHROSCOPY/CLAVICULECTOMY,982,1 ,"$2,158.00 ","$1,553.76 ",$486.41 ,"$7,441.65 ","$1,240.85 ","$1,553.76 ","$1,173.95 ",$486.41 ,$604.24 ,"$1,435.07 ",$486.41 ,"$1,510.60 ",$486.41 ,"$1,359.54 ","$1,359.54 ",$486.41 ,"$1,359.54 ","$1,002.61 ","$1,985.36 ","$7,441.65 ",$486.41 ,"$1,834.30 ","$1,812.72 ",$486.41 ,"$1,618.50 ","$1,726.40 ","$1,726.40 ",$486.41 ,"$1,726.40 ","$1,877.46 ","$1,877.46 ","$1,877.46 ","$1,942.20 ","$1,240.85 ",$486.41 ,"$2,158.00 ","$1,210.64 ",$486.41 ,"$1,267.27 ","$2,166.04 ","$2,067.59 ",$510.74 ,"$1,834.30 ","$1,359.54 ",$604.24 ,"$1,942.20 ","$1,877.46 ", N/A , N/A ,$486.41 ,"$1,402.70 " ST. FRANCIS HOSPITAL - ACUTE,98200177,29825,PC SHLDR ARTHROSCOP LYSIS ADHESNS,982,1 ,"$1,871.00 ","$1,347.12 ",$421.72 ,"$7,441.65 ","$1,075.83 ","$1,347.12 ","$1,017.82 ",$421.72 ,$523.88 ,"$1,244.22 ",$421.72 ,"$1,309.70 ",$421.72 ,"$1,178.73 ","$1,178.73 ",$421.72 ,"$1,178.73 ",$869.27 ,"$1,721.32 ","$7,441.65 ",$421.72 ,"$1,590.35 ","$1,571.64 ",$421.72 ,"$1,403.25 ","$1,496.80 ","$1,496.80 ",$421.72 ,"$1,496.80 ","$1,627.77 ","$1,627.77 ","$1,627.77 ","$1,683.90 ","$1,075.83 ",$421.72 ,"$1,871.00 ","$1,049.63 ",$421.72 ,"$1,101.56 ","$2,166.04 ","$2,067.59 ",$442.81 ,"$1,590.35 ","$1,178.73 ",$523.88 ,"$1,683.90 ","$1,627.77 ", N/A , N/A ,$421.72 ,"$1,216.15 " ST. FRANCIS HOSPITAL - ACUTE,98200178,29826,PC SHLDR ARTHROSCOP PART ACROMIOPLASTY,982,1 ,$562.00 ,$404.64 ,$126.67 ,"$2,166.04 ",$323.15 ,$404.64 ,$305.73 ,$126.67 ,$157.36 ,$373.73 ,$126.67 ,$393.40 ,$126.67 ,$354.06 ,$354.06 ,$126.67 ,$354.06 ,$261.11 ,$517.04 , N/A ,$126.67 ,$477.70 ,$472.08 ,$126.67 ,$421.50 ,$449.60 ,$449.60 ,$126.67 ,$449.60 ,$488.94 ,$488.94 ,$488.94 ,$505.80 ,$323.15 ,$126.67 ,$562.00 ,$315.28 ,$126.67 ,$335.00 ,"$2,166.04 ","$2,067.59 ",$133.01 ,$477.70 ,$354.06 ,$157.36 ,$505.80 ,$488.94 , N/A , N/A ,$126.67 ,$365.30 ST. FRANCIS HOSPITAL - ACUTE,98200179,29827,PC SHLDR ARTHROSCOP W/ROTATATOR CUFF REPAIR,982,1 ,"$3,423.00 ","$2,464.56 ",$771.54 ,"$16,536.58 ","$1,968.23 ","$2,464.56 ","$1,862.11 ",$771.54 ,$958.44 ,"$2,276.30 ",$771.54 ,"$2,396.10 ",$771.54 ,"$2,156.49 ","$2,156.49 ",$771.54 ,"$2,156.49 ","$1,590.33 ","$3,149.16 ","$16,536.58 ",$771.54 ,"$2,909.55 ","$2,875.32 ",$771.54 ,"$2,567.25 ","$2,738.40 ","$2,738.40 ",$771.54 ,"$2,738.40 ","$2,978.01 ","$2,978.01 ","$2,978.01 ","$3,080.70 ","$1,968.23 ",$771.54 ,"$3,423.00 ","$1,920.30 ",$771.54 ,"$2,025.52 ","$5,168.77 ","$4,933.82 ",$810.12 ,"$2,909.55 ","$2,156.49 ",$958.44 ,"$3,080.70 ","$2,978.01 ", N/A , N/A ,$771.54 ,"$2,224.95 " ST. FRANCIS HOSPITAL - ACUTE,98200180,29828,PC SHLDR ARTHROSCOP BICEPS TENODESIS,982,1 ,"$2,936.00 ","$2,113.92 ",$661.77 ,"$16,536.58 ","$1,688.20 ","$2,113.92 ","$1,597.18 ",$661.77 ,$822.08 ,"$1,952.44 ",$661.77 ,"$2,055.20 ",$661.77 ,"$1,849.68 ","$1,849.68 ",$661.77 ,"$1,849.68 ","$1,364.07 ","$2,701.12 ","$16,536.58 ",$661.77 ,"$2,495.60 ","$2,466.24 ",$661.77 ,"$2,202.00 ","$2,348.80 ","$2,348.80 ",$661.77 ,"$2,348.80 ","$2,554.32 ","$2,554.32 ","$2,554.32 ","$2,642.40 ","$1,688.20 ",$661.77 ,"$2,936.00 ","$1,647.10 ",$661.77 ,"$1,735.96 ","$2,166.04 ","$2,067.59 ",$694.86 ,"$2,495.60 ","$1,849.68 ",$822.08 ,"$2,642.40 ","$2,554.32 ", N/A , N/A ,$661.77 ,"$1,908.40 " ST. FRANCIS HOSPITAL - ACUTE,98200181,29866,PC KNEE ARTHROSCOP SURG OSTEOCHONDRAL AUTOGRAFT(S) W/HARVEST,982,1 ,"$3,368.00 ","$2,424.96 ",$759.15 ,"$16,536.58 ","$1,936.60 ","$2,424.96 ","$1,832.19 ",$759.15 ,$943.04 ,"$2,239.72 ",$759.15 ,"$2,357.60 ",$759.15 ,"$2,121.84 ","$2,121.84 ",$759.15 ,"$2,121.84 ","$1,564.77 ","$3,098.56 ","$16,536.58 ",$759.15 ,"$2,862.80 ","$2,829.12 ",$759.15 ,"$2,526.00 ","$2,694.40 ","$2,694.40 ",$759.15 ,"$2,694.40 ","$2,930.16 ","$2,930.16 ","$2,930.16 ","$3,031.20 ","$1,936.60 ",$759.15 ,"$3,368.00 ","$1,889.45 ",$759.15 ,"$1,983.93 ","$5,168.77 ","$4,933.82 ",$797.10 ,"$2,862.80 ","$2,121.84 ",$943.04 ,"$3,031.20 ","$2,930.16 ", N/A , N/A ,$759.15 ,"$2,189.20 " ST. FRANCIS HOSPITAL - ACUTE,98200182,29867,PC KNEE ARTHROSCOP OSTEOCHONDRAL ALLOGRAFT,982,1 ,"$4,100.00 ","$2,952.00 ",$924.14 ,"$32,620.20 ","$2,357.50 ","$2,952.00 ","$2,230.40 ",$924.14 ,"$1,148.00 ","$2,726.50 ",$924.14 ,"$2,870.00 ",$924.14 ,"$2,583.00 ","$2,583.00 ",$924.14 ,"$2,583.00 ","$1,904.86 ","$3,772.00 ","$32,620.20 ",$924.14 ,"$3,485.00 ","$3,444.00 ",$924.14 ,"$3,075.00 ","$3,280.00 ","$3,280.00 ",$924.14 ,"$3,280.00 ","$3,567.00 ","$3,567.00 ","$3,567.00 ","$3,690.00 ","$2,357.50 ",$924.14 ,"$4,100.00 ","$2,300.10 ",$924.14 ,"$2,419.56 ","$5,168.77 ","$4,933.82 ",$970.35 ,"$3,485.00 ","$2,583.00 ","$1,148.00 ","$3,690.00 ","$3,567.00 ", N/A , N/A ,$924.14 ,"$2,665.00 " ST. FRANCIS HOSPITAL - ACUTE,98200183,29870,PC KNEE ARTHROSCOP DIAGNOSTIC,982,1 ,"$1,720.00 ","$1,238.40 ",$387.69 ,"$7,441.65 ",$989.00 ,"$1,238.40 ",$935.68 ,$387.69 ,$481.60 ,"$1,143.80 ",$387.69 ,"$1,204.00 ",$387.69 ,"$1,083.60 ","$1,083.60 ",$387.69 ,"$1,083.60 ",$799.11 ,"$1,582.40 ","$7,441.65 ",$387.69 ,"$1,462.00 ","$1,444.80 ",$387.69 ,"$1,290.00 ","$1,376.00 ","$1,376.00 ",$387.69 ,"$1,376.00 ","$1,496.40 ","$1,496.40 ","$1,496.40 ","$1,548.00 ",$989.00 ,$387.69 ,"$1,720.00 ",$964.92 ,$387.69 ,$766.49 ,"$2,166.04 ","$2,067.59 ",$407.07 ,"$1,462.00 ","$1,083.60 ",$481.60 ,"$1,548.00 ","$1,496.40 ", N/A , N/A ,$387.69 ,"$1,118.00 " ST. FRANCIS HOSPITAL - ACUTE,98200184,29873,PC KNEE ARTHROSCOP SURG W/LATERAL RELEASE,982,1 ,"$1,699.00 ","$1,223.28 ",$382.95 ,"$7,441.65 ",$976.93 ,"$1,223.28 ",$924.26 ,$382.95 ,$475.72 ,"$1,129.84 ",$382.95 ,"$1,189.30 ",$382.95 ,"$1,070.37 ","$1,070.37 ",$382.95 ,"$1,070.37 ",$789.36 ,"$1,563.08 ","$7,441.65 ",$382.95 ,"$1,444.15 ","$1,427.16 ",$382.95 ,"$1,274.25 ","$1,359.20 ","$1,359.20 ",$382.95 ,"$1,359.20 ","$1,478.13 ","$1,478.13 ","$1,478.13 ","$1,529.10 ",$976.93 ,$382.95 ,"$1,699.00 ",$953.14 ,$382.95 ,$985.96 ,"$2,166.04 ","$2,067.59 ",$402.10 ,"$1,444.15 ","$1,070.37 ",$475.72 ,"$1,529.10 ","$1,478.13 ", N/A , N/A ,$382.95 ,"$1,104.35 " ST. FRANCIS HOSPITAL - ACUTE,98200185,29874,PC KNEE ARTHROSCOP REMOVAL LOOSE BODY,982,1 ,"$1,710.00 ","$1,231.20 ",$385.43 ,"$7,441.65 ",$983.25 ,"$1,231.20 ",$930.24 ,$385.43 ,$478.80 ,"$1,137.15 ",$385.43 ,"$1,197.00 ",$385.43 ,"$1,077.30 ","$1,077.30 ",$385.43 ,"$1,077.30 ",$794.47 ,"$1,573.20 ","$7,441.65 ",$385.43 ,"$1,453.50 ","$1,436.40 ",$385.43 ,"$1,282.50 ","$1,368.00 ","$1,368.00 ",$385.43 ,"$1,368.00 ","$1,487.70 ","$1,487.70 ","$1,487.70 ","$1,539.00 ",$983.25 ,$385.43 ,"$1,710.00 ",$959.31 ,$385.43 ,"$1,010.88 ","$2,166.04 ","$2,067.59 ",$404.71 ,"$1,453.50 ","$1,077.30 ",$478.80 ,"$1,539.00 ","$1,487.70 ", N/A , N/A ,$385.43 ,"$1,111.50 " ST. FRANCIS HOSPITAL - ACUTE,98200186,29875,PC KNEE ARTHROSCOP PART SYNOVECTOMY,982,1 ,"$1,581.00 ","$1,138.32 ",$356.36 ,"$7,441.65 ",$909.08 ,"$1,138.32 ",$860.06 ,$356.36 ,$442.68 ,"$1,051.37 ",$356.36 ,"$1,106.70 ",$356.36 ,$996.03 ,$996.03 ,$356.36 ,$996.03 ,$734.53 ,"$1,454.52 ","$7,441.65 ",$356.36 ,"$1,343.85 ","$1,328.04 ",$356.36 ,"$1,185.75 ","$1,264.80 ","$1,264.80 ",$356.36 ,"$1,264.80 ","$1,375.47 ","$1,375.47 ","$1,375.47 ","$1,422.90 ",$909.08 ,$356.36 ,"$1,581.00 ",$886.94 ,$356.36 ,$931.04 ,"$2,166.04 ","$2,067.59 ",$374.17 ,"$1,343.85 ",$996.03 ,$442.68 ,"$1,422.90 ","$1,375.47 ", N/A , N/A ,$356.36 ,"$1,027.65 " ST. FRANCIS HOSPITAL - ACUTE,98200187,29879,PC KNEE ARTHROSCOP ABRASION ARTHROPLASTY,982,1 ,"$2,114.00 ","$1,522.08 ",$476.50 ,"$7,441.65 ","$1,215.55 ","$1,522.08 ","$1,150.02 ",$476.50 ,$591.92 ,"$1,405.81 ",$476.50 ,"$1,479.80 ",$476.50 ,"$1,331.82 ","$1,331.82 ",$476.50 ,"$1,331.82 ",$982.16 ,"$1,944.88 ","$7,441.65 ",$476.50 ,"$1,796.90 ","$1,775.76 ",$476.50 ,"$1,585.50 ","$1,691.20 ","$1,691.20 ",$476.50 ,"$1,691.20 ","$1,839.18 ","$1,839.18 ","$1,839.18 ","$1,902.60 ","$1,215.55 ",$476.50 ,"$2,114.00 ","$1,185.95 ",$476.50 ,"$1,245.53 ","$2,166.04 ","$2,067.59 ",$500.32 ,"$1,796.90 ","$1,331.82 ",$591.92 ,"$1,902.60 ","$1,839.18 ", N/A , N/A ,$476.50 ,"$1,374.10 " ST. FRANCIS HOSPITAL - ACUTE,98200188,29880,PC KNEE SCOPE MEDIAL AND LATERAL MENISECTOMY,982,1 ,"$1,791.00 ","$1,289.52 ",$403.69 ,"$7,441.65 ","$1,029.83 ","$1,289.52 ",$974.30 ,$403.69 ,$501.48 ,"$1,191.02 ",$403.69 ,"$1,253.70 ",$403.69 ,"$1,128.33 ","$1,128.33 ",$403.69 ,"$1,128.33 ",$832.10 ,"$1,647.72 ","$7,441.65 ",$403.69 ,"$1,522.35 ","$1,504.44 ",$403.69 ,"$1,343.25 ","$1,432.80 ","$1,432.80 ",$403.69 ,"$1,432.80 ","$1,558.17 ","$1,558.17 ","$1,558.17 ","$1,611.90 ","$1,029.83 ",$403.69 ,"$1,791.00 ","$1,004.75 ",$403.69 ,"$1,053.98 ","$2,166.04 ","$2,067.59 ",$423.88 ,"$1,522.35 ","$1,128.33 ",$501.48 ,"$1,611.90 ","$1,558.17 ", N/A , N/A ,$403.69 ,"$1,164.15 " ST. FRANCIS HOSPITAL - ACUTE,98200189,29881,PC KNEE SCOPE MEDIAL OR LATERAL MENISECTOMY,982,1 ,"$1,724.00 ","$1,241.28 ",$388.59 ,"$7,441.65 ",$991.30 ,"$1,241.28 ",$937.86 ,$388.59 ,$482.72 ,"$1,146.46 ",$388.59 ,"$1,206.80 ",$388.59 ,"$1,086.12 ","$1,086.12 ",$388.59 ,"$1,086.12 ",$800.97 ,"$1,586.08 ","$7,441.65 ",$388.59 ,"$1,465.40 ","$1,448.16 ",$388.59 ,"$1,293.00 ","$1,379.20 ","$1,379.20 ",$388.59 ,"$1,379.20 ","$1,499.88 ","$1,499.88 ","$1,499.88 ","$1,551.60 ",$991.30 ,$388.59 ,"$1,724.00 ",$967.16 ,$388.59 ,"$1,014.91 ","$2,166.04 ","$2,067.59 ",$408.02 ,"$1,465.40 ","$1,086.12 ",$482.72 ,"$1,551.60 ","$1,499.88 ", N/A , N/A ,$388.59 ,"$1,120.60 " ST. FRANCIS HOSPITAL - ACUTE,98200190,29882,PC KNEE SCOPE MEDIAL OR LAT MENISCUS REPAIR,982,1 ,"$2,199.00 ","$1,583.28 ",$495.65 ,"$7,441.65 ","$1,264.43 ","$1,583.28 ","$1,196.26 ",$495.65 ,$615.72 ,"$1,462.34 ",$495.65 ,"$1,539.30 ",$495.65 ,"$1,385.37 ","$1,385.37 ",$495.65 ,"$1,385.37 ","$1,021.66 ","$2,023.08 ","$7,441.65 ",$495.65 ,"$1,869.15 ","$1,847.16 ",$495.65 ,"$1,649.25 ","$1,759.20 ","$1,759.20 ",$495.65 ,"$1,759.20 ","$1,913.13 ","$1,913.13 ","$1,913.13 ","$1,979.10 ","$1,264.43 ",$495.65 ,"$2,199.00 ","$1,233.64 ",$495.65 ,"$1,305.02 ","$2,166.04 ","$2,067.59 ",$520.44 ,"$1,869.15 ","$1,385.37 ",$615.72 ,"$1,979.10 ","$1,913.13 ", N/A , N/A ,$495.65 ,"$1,429.35 " ST. FRANCIS HOSPITAL - ACUTE,98200191,29888,PC KNEE SCOPE AIDED ANTERIOR CRUCIATE REPAIR,982,1 ,"$3,130.00 ","$2,253.60 ",$705.50 ,"$16,536.58 ","$1,799.75 ","$2,253.60 ","$1,702.72 ",$705.50 ,$876.40 ,"$2,081.45 ",$705.50 ,"$2,191.00 ",$705.50 ,"$1,971.90 ","$1,971.90 ",$705.50 ,"$1,971.90 ","$1,454.20 ","$2,879.60 ","$16,536.58 ",$705.50 ,"$2,660.50 ","$2,629.20 ",$705.50 ,"$2,347.50 ","$2,504.00 ","$2,504.00 ",$705.50 ,"$2,504.00 ","$2,723.10 ","$2,723.10 ","$2,723.10 ","$2,817.00 ","$1,799.75 ",$705.50 ,"$3,130.00 ","$1,755.93 ",$705.50 ,"$1,855.70 ","$5,168.77 ","$4,933.82 ",$740.78 ,"$2,660.50 ","$1,971.90 ",$876.40 ,"$2,817.00 ","$2,723.10 ", N/A , N/A ,$705.50 ,"$2,034.50 " ST. FRANCIS HOSPITAL - ACUTE,98200192,29898,PC ANKLE ARTHROSCOPY EXTENSIVE DEBRIDEMENT,982,1 ,"$1,772.00 ","$1,275.84 ",$399.41 ,"$7,441.65 ","$1,018.90 ","$1,275.84 ",$963.97 ,$399.41 ,$496.16 ,"$1,178.38 ",$399.41 ,"$1,240.40 ",$399.41 ,"$1,116.36 ","$1,116.36 ",$399.41 ,"$1,116.36 ",$823.27 ,"$1,630.24 ","$7,441.65 ",$399.41 ,"$1,506.20 ","$1,488.48 ",$399.41 ,"$1,329.00 ","$1,417.60 ","$1,417.60 ",$399.41 ,"$1,417.60 ","$1,541.64 ","$1,541.64 ","$1,541.64 ","$1,594.80 ","$1,018.90 ",$399.41 ,"$1,772.00 ",$994.09 ,$399.41 ,"$1,059.83 ","$2,166.04 ","$2,067.59 ",$419.38 ,"$1,506.20 ","$1,116.36 ",$496.16 ,"$1,594.80 ","$1,541.64 ", N/A , N/A ,$399.41 ,"$1,151.80 " ST. FRANCIS HOSPITAL - ACUTE,98200193,29999,PC ARTHROSCOPY OF JOINT UNLISTED,982,1 ,"$2,705.00 ","$1,947.60 ",$517.53 ,"$2,705.00 ","$1,555.38 ","$1,947.60 ","$1,471.52 ",$609.71 ,$757.40 ,"$1,798.83 ",$609.71 ,"$1,893.50 ",$609.71 ,"$1,704.15 ","$1,704.15 ",$609.71 ,"$1,704.15 ","$1,256.74 ","$2,488.60 ",$517.53 ,$609.71 ,"$2,299.25 ","$2,272.20 ",$609.71 ,"$2,028.75 ","$2,164.00 ","$2,164.00 ",$609.71 ,"$2,164.00 ","$2,353.35 ","$2,353.35 ","$2,353.35 ","$2,434.50 ","$1,555.38 ",$609.71 ,"$2,705.00 ","$1,517.51 ",$609.71 ,"$1,893.50 ","$2,166.04 ","$2,067.59 ",$640.19 ,"$2,299.25 ","$1,704.15 ",$757.40 ,"$2,434.50 ","$2,353.35 ", N/A , N/A ,$609.71 ,"$1,758.25 " ST. FRANCIS HOSPITAL - ACUTE,98200194,38232,PC AUTOLOGOUS BONE MARROW HARVESTING,982,1 ,$634.00 ,$456.48 ,$142.90 ,"$10,400.00 ",$364.55 ,$456.48 ,$344.90 ,$142.90 ,$177.52 ,$421.61 ,$142.90 ,$443.80 ,$142.90 ,$399.42 ,$399.42 ,$142.90 ,$399.42 ,$294.56 ,$583.28 ,"$10,400.00 ",$142.90 ,$538.90 ,$532.56 ,$142.90 ,$475.50 ,$507.20 ,$507.20 ,$142.90 ,$507.20 ,$551.58 ,$551.58 ,$551.58 ,$570.60 ,$364.55 ,$142.90 ,$634.00 ,$355.67 ,$142.90 ,$380.86 ,"$2,728.23 ","$2,604.22 ",$150.05 ,$538.90 ,$399.42 ,$177.52 ,$570.60 ,$551.58 , N/A , N/A ,$142.90 ,$412.10 ST. FRANCIS HOSPITAL - ACUTE,98200195,64455,PC INJ ANE AGENT OR STEROID DIGITAL NERVES,982,1 ,$154.00 ,$110.88 ,$34.71 ,$679.73 ,$88.55 ,$110.88 ,$83.78 ,$34.71 ,$43.12 ,$102.41 ,$34.71 ,$107.80 ,$34.71 ,$97.02 ,$97.02 ,$34.71 ,$97.02 ,$71.55 ,$141.68 ,$679.73 ,$34.71 ,$130.90 ,$129.36 ,$34.71 ,$115.50 ,$123.20 ,$123.20 ,$34.71 ,$123.20 ,$133.98 ,$133.98 ,$133.98 ,$138.60 ,$88.55 ,$34.71 ,$154.00 ,$86.39 ,$34.71 ,$66.23 ,$463.96 ,$442.87 ,$36.45 ,$130.90 ,$97.02 ,$43.12 ,$138.60 ,$133.98 , N/A , N/A ,$34.71 ,$100.10 ST. FRANCIS HOSPITAL - ACUTE,98200196,64708,PC REVISE/REPAIR ARM/LEG NERVE,982,1 ,"$1,585.00 ","$1,141.20 ",$357.26 ,"$4,493.80 ",$911.38 ,"$1,141.20 ",$862.24 ,$357.26 ,$443.80 ,"$1,054.03 ",$357.26 ,"$1,109.50 ",$357.26 ,$998.55 ,$998.55 ,$357.26 ,$998.55 ,$736.39 ,"$1,458.20 ","$4,493.80 ",$357.26 ,"$1,347.25 ","$1,331.40 ",$357.26 ,"$1,188.75 ","$1,268.00 ","$1,268.00 ",$357.26 ,"$1,268.00 ","$1,378.95 ","$1,378.95 ","$1,378.95 ","$1,426.50 ",$911.38 ,$357.26 ,"$1,585.00 ",$889.19 ,$357.26 ,$941.60 ,"$1,128.81 ","$1,077.50 ",$375.12 ,"$1,347.25 ",$998.55 ,$443.80 ,"$1,426.50 ","$1,378.95 ", N/A , N/A ,$357.26 ,"$1,030.25 " ST. FRANCIS HOSPITAL - ACUTE,98200197,64718,PC REVISE ULNAR NERVE AT ELBOW,982,1 ,"$1,898.00 ","$1,366.56 ",$427.81 ,"$4,493.80 ","$1,091.35 ","$1,366.56 ","$1,032.51 ",$427.81 ,$531.44 ,"$1,262.17 ",$427.81 ,"$1,328.60 ",$427.81 ,"$1,195.74 ","$1,195.74 ",$427.81 ,"$1,195.74 ",$881.81 ,"$1,746.16 ","$4,493.80 ",$427.81 ,"$1,613.30 ","$1,594.32 ",$427.81 ,"$1,423.50 ","$1,518.40 ","$1,518.40 ",$427.81 ,"$1,518.40 ","$1,651.26 ","$1,651.26 ","$1,651.26 ","$1,708.20 ","$1,091.35 ",$427.81 ,"$1,898.00 ","$1,064.78 ",$427.81 ,"$1,111.13 ","$1,128.81 ","$1,077.50 ",$449.20 ,"$1,613.30 ","$1,195.74 ",$531.44 ,"$1,708.20 ","$1,651.26 ", N/A , N/A ,$427.81 ,"$1,233.70 " ST. FRANCIS HOSPITAL - ACUTE,98200198,64721,PC REVISE MEDIAN N/CARPAL TUNNEL SURG,982,1 ,"$1,397.00 ","$1,005.84 ",$314.88 ,"$4,493.80 ",$803.28 ,"$1,005.84 ",$759.97 ,$314.88 ,$391.16 ,$929.01 ,$314.88 ,$977.90 ,$314.88 ,$880.11 ,$880.11 ,$314.88 ,$880.11 ,$649.05 ,"$1,285.24 ","$4,493.80 ",$314.88 ,"$1,187.45 ","$1,173.48 ",$314.88 ,"$1,047.75 ","$1,117.60 ","$1,117.60 ",$314.88 ,"$1,117.60 ","$1,215.39 ","$1,215.39 ","$1,215.39 ","$1,257.30 ",$803.28 ,$314.88 ,"$1,397.00 ",$783.72 ,$314.88 ,$799.20 ,"$1,128.81 ","$1,077.50 ",$330.63 ,"$1,187.45 ",$880.11 ,$391.16 ,"$1,257.30 ","$1,215.39 ", N/A , N/A ,$314.88 ,$908.05 ST. FRANCIS HOSPITAL - ACUTE,98200199,64788,PC EXCISE CUTANEOUS NEUROFIBROMA,982,1 ,"$1,290.00 ",$928.80 ,$290.77 ,"$4,493.80 ",$741.75 ,$928.80 ,$701.76 ,$290.77 ,$361.20 ,$857.85 ,$290.77 ,$903.00 ,$290.77 ,$812.70 ,$812.70 ,$290.77 ,$812.70 ,$599.33 ,"$1,186.80 ","$4,493.80 ",$290.77 ,"$1,096.50 ","$1,083.60 ",$290.77 ,$967.50 ,"$1,032.00 ","$1,032.00 ",$290.77 ,"$1,032.00 ","$1,122.30 ","$1,122.30 ","$1,122.30 ","$1,161.00 ",$741.75 ,$290.77 ,"$1,290.00 ",$723.69 ,$290.77 ,$755.46 ,"$1,128.81 ","$1,077.50 ",$305.31 ,"$1,096.50 ",$812.70 ,$361.20 ,"$1,161.00 ","$1,122.30 ", N/A , N/A ,$290.77 ,$838.50 ST. FRANCIS HOSPITAL - ACUTE,98200200,95886,PC COMPLETE FIVE OR MORE MUSCLES STUDIED INNERVATED,982,1 ,$300.00 ,$216.00 ,$67.62 ,$346.40 ,$172.50 ,$216.00 ,$163.20 ,$67.62 ,$84.00 ,$199.50 ,$67.62 ,$210.00 ,$67.62 ,$189.00 ,$189.00 ,$67.62 ,$189.00 ,$139.38 ,$276.00 , N/A ,$67.62 ,$255.00 ,$252.00 ,$67.62 ,$225.00 ,$240.00 ,$240.00 ,$67.62 ,$240.00 ,$261.00 ,$261.00 ,$261.00 ,$270.00 ,$172.50 ,$67.62 ,$300.00 ,$168.30 ,$67.62 ,$185.92 ,$346.40 ,$330.66 ,$71.00 ,$255.00 ,$189.00 ,$84.00 ,$270.00 ,$261.00 , N/A , N/A ,$67.62 ,$195.00 ST. FRANCIS HOSPITAL - ACUTE,98200201,95908,PC NERVE CONDUCTION 3-4 STUDIES,982,1 ,$344.00 ,$247.68 ,$77.54 ,$700.15 ,$197.80 ,$247.68 ,$187.14 ,$77.54 ,$96.32 ,$228.76 ,$77.54 ,$240.80 ,$77.54 ,$216.72 ,$216.72 ,$77.54 ,$216.72 ,$159.82 ,$316.48 ,$700.15 ,$77.54 ,$292.40 ,$288.96 ,$77.54 ,$258.00 ,$275.20 ,$275.20 ,$77.54 ,$275.20 ,$299.28 ,$299.28 ,$299.28 ,$309.60 ,$197.80 ,$77.54 ,$344.00 ,$192.98 ,$77.54 ,$234.06 ,$346.40 ,$330.66 ,$81.42 ,$292.40 ,$216.72 ,$96.32 ,$309.60 ,$299.28 , N/A , N/A ,$77.54 ,$223.60 ST. FRANCIS HOSPITAL - ACUTE,98200202,95909,PC NERVE CONDUCTION 5-6 STUDIES,982,1 ,$413.00 ,$297.36 ,$93.09 ,$700.15 ,$237.48 ,$297.36 ,$224.67 ,$93.09 ,$115.64 ,$274.65 ,$93.09 ,$289.10 ,$93.09 ,$260.19 ,$260.19 ,$93.09 ,$260.19 ,$191.88 ,$379.96 ,$700.15 ,$93.09 ,$351.05 ,$346.92 ,$93.09 ,$309.75 ,$330.40 ,$330.40 ,$93.09 ,$330.40 ,$359.31 ,$359.31 ,$359.31 ,$371.70 ,$237.48 ,$93.09 ,$413.00 ,$231.69 ,$93.09 ,$280.31 ,$346.40 ,$330.66 ,$97.75 ,$351.05 ,$260.19 ,$115.64 ,$371.70 ,$359.31 , N/A , N/A ,$93.09 ,$268.45 ST. FRANCIS HOSPITAL - ACUTE,98200203,95910,PC NERVE CONDUCTION 7-8 STUDIES,982,1 ,$540.00 ,$388.80 ,$121.72 ,$700.15 ,$310.50 ,$388.80 ,$293.76 ,$121.72 ,$151.20 ,$359.10 ,$121.72 ,$378.00 ,$121.72 ,$340.20 ,$340.20 ,$121.72 ,$340.20 ,$250.88 ,$496.80 ,$700.15 ,$121.72 ,$459.00 ,$453.60 ,$121.72 ,$405.00 ,$432.00 ,$432.00 ,$121.72 ,$432.00 ,$469.80 ,$469.80 ,$469.80 ,$486.00 ,$310.50 ,$121.72 ,$540.00 ,$302.94 ,$121.72 ,$369.07 ,$346.40 ,$330.66 ,$127.80 ,$459.00 ,$340.20 ,$151.20 ,$486.00 ,$469.80 , N/A , N/A ,$121.72 ,$351.00 ST. FRANCIS HOSPITAL - ACUTE,98200204,95911,PC NERVE CONDUCTION 9-10 STUDIES,982,1 ,$649.00 ,$467.28 ,$146.28 ,"$1,208.58 ",$373.18 ,$467.28 ,$353.06 ,$146.28 ,$181.72 ,$431.59 ,$146.28 ,$454.30 ,$146.28 ,$408.87 ,$408.87 ,$146.28 ,$408.87 ,$301.53 ,$597.08 ,"$1,208.58 ",$146.28 ,$551.65 ,$545.16 ,$146.28 ,$486.75 ,$519.20 ,$519.20 ,$146.28 ,$519.20 ,$564.63 ,$564.63 ,$564.63 ,$584.10 ,$373.18 ,$146.28 ,$649.00 ,$364.09 ,$146.28 ,$442.17 ,$346.40 ,$330.66 ,$153.60 ,$551.65 ,$408.87 ,$181.72 ,$584.10 ,$564.63 , N/A , N/A ,$146.28 ,$421.85 ST. FRANCIS HOSPITAL - ACUTE,98200205,95913,PC NERVE CONDUCTION 13 STUDIES,982,1 ,$876.00 ,$630.72 ,$197.45 ,"$1,208.58 ",$503.70 ,$630.72 ,$476.54 ,$197.45 ,$245.28 ,$582.54 ,$197.45 ,$613.20 ,$197.45 ,$551.88 ,$551.88 ,$197.45 ,$551.88 ,$406.99 ,$805.92 ,"$1,208.58 ",$197.45 ,$744.60 ,$735.84 ,$197.45 ,$657.00 ,$700.80 ,$700.80 ,$197.45 ,$700.80 ,$762.12 ,$762.12 ,$762.12 ,$788.40 ,$503.70 ,$197.45 ,$876.00 ,$491.44 ,$197.45 ,$587.76 ,$346.40 ,$330.66 ,$207.32 ,$744.60 ,$551.88 ,$245.28 ,$788.40 ,$762.12 , N/A , N/A ,$197.45 ,$569.40 ST. FRANCIS HOSPITAL - ACUTE,98200206,28805,PC AMPUTATION FOOT TRANSMETATARSAL,982,1 ,"$2,251.00 ","$1,620.72 ",$507.38 ,"$7,441.65 ","$1,294.33 ","$1,620.72 ","$1,224.54 ",$507.38 ,$630.28 ,"$1,496.92 ",$507.38 ,"$1,575.70 ",$507.38 ,"$1,418.13 ","$1,418.13 ",$507.38 ,"$1,418.13 ","$1,045.81 ","$2,070.92 ","$7,441.65 ",$507.38 ,"$1,913.35 ","$1,890.84 ",$507.38 ,"$1,688.25 ","$1,800.80 ","$1,800.80 ",$507.38 ,"$1,800.80 ","$1,958.37 ","$1,958.37 ","$1,958.37 ","$2,025.90 ","$1,294.33 ",$507.38 ,"$2,251.00 ","$1,262.81 ",$507.38 ,"$1,373.96 ","$4,630.10 ","$4,419.64 ",$532.75 ,"$1,913.35 ","$1,418.13 ",$630.28 ,"$2,025.90 ","$1,958.37 ", N/A , N/A ,$507.38 ,"$1,463.15 " ST. FRANCIS HOSPITAL - ACUTE,98200207,28810,PC AMPUTATION METATARSAL TOE SINGLE,982,1 ,"$1,345.00 ",$968.40 ,$303.16 ,"$7,441.65 ",$773.38 ,$968.40 ,$731.68 ,$303.16 ,$376.60 ,$894.43 ,$303.16 ,$941.50 ,$303.16 ,$847.35 ,$847.35 ,$303.16 ,$847.35 ,$624.89 ,"$1,237.40 ","$7,441.65 ",$303.16 ,"$1,143.25 ","$1,129.80 ",$303.16 ,"$1,008.75 ","$1,076.00 ","$1,076.00 ",$303.16 ,"$1,076.00 ","$1,170.15 ","$1,170.15 ","$1,170.15 ","$1,210.50 ",$773.38 ,$303.16 ,"$1,345.00 ",$754.55 ,$303.16 ,$810.75 ,"$4,630.10 ","$4,419.64 ",$318.32 ,"$1,143.25 ",$847.35 ,$376.60 ,"$1,210.50 ","$1,170.15 ", N/A , N/A ,$303.16 ,$874.25 ST. FRANCIS HOSPITAL - ACUTE,98200208,29806,PC SHOULDER ARTHROSCOPY/RPR SLAP LESION,982,1 ,"$3,391.00 ","$2,441.52 ",$764.33 ,"$16,536.58 ","$1,949.83 ","$2,441.52 ","$1,844.70 ",$764.33 ,$949.48 ,"$2,255.02 ",$764.33 ,"$2,373.70 ",$764.33 ,"$2,136.33 ","$2,136.33 ",$764.33 ,"$2,136.33 ","$1,575.46 ","$3,119.72 ","$16,536.58 ",$764.33 ,"$2,882.35 ","$2,848.44 ",$764.33 ,"$2,543.25 ","$2,712.80 ","$2,712.80 ",$764.33 ,"$2,712.80 ","$2,950.17 ","$2,950.17 ","$2,950.17 ","$3,051.90 ","$1,949.83 ",$764.33 ,"$3,391.00 ","$1,902.35 ",$764.33 ,"$1,999.17 ","$5,168.77 ","$4,933.82 ",$802.55 ,"$2,882.35 ","$2,136.33 ",$949.48 ,"$3,051.90 ","$2,950.17 ", N/A , N/A ,$764.33 ,"$2,204.15 " ST. FRANCIS HOSPITAL - ACUTE,98200209,29807,PC SHOULDER ARTHROSCOPY/CAPSULORRHAPHY,982,1 ,"$3,306.00 ","$2,380.32 ",$745.17 ,"$16,536.58 ","$1,900.95 ","$2,380.32 ","$1,798.46 ",$745.17 ,$925.68 ,"$2,198.49 ",$745.17 ,"$2,314.20 ",$745.17 ,"$2,082.78 ","$2,082.78 ",$745.17 ,"$2,082.78 ","$1,535.97 ","$3,041.52 ","$16,536.58 ",$745.17 ,"$2,810.10 ","$2,777.04 ",$745.17 ,"$2,479.50 ","$2,644.80 ","$2,644.80 ",$745.17 ,"$2,644.80 ","$2,876.22 ","$2,876.22 ","$2,876.22 ","$2,975.40 ","$1,900.95 ",$745.17 ,"$3,306.00 ","$1,854.67 ",$745.17 ,"$1,954.42 ","$5,168.77 ","$4,933.82 ",$782.43 ,"$2,810.10 ","$2,082.78 ",$925.68 ,"$2,975.40 ","$2,876.22 ", N/A , N/A ,$745.17 ,"$2,148.90 " ST. FRANCIS HOSPITAL - ACUTE,98200210,29822,PC SHLDR ARTHROSCOP PART DEBRIDE,982,1 ,"$1,723.00 ","$1,240.56 ",$388.36 ,"$7,441.65 ",$990.73 ,"$1,240.56 ",$937.31 ,$388.36 ,$482.44 ,"$1,145.80 ",$388.36 ,"$1,206.10 ",$388.36 ,"$1,085.49 ","$1,085.49 ",$388.36 ,"$1,085.49 ",$800.51 ,"$1,585.16 ","$7,441.65 ",$388.36 ,"$1,464.55 ","$1,447.32 ",$388.36 ,"$1,292.25 ","$1,378.40 ","$1,378.40 ",$388.36 ,"$1,378.40 ","$1,499.01 ","$1,499.01 ","$1,499.01 ","$1,550.70 ",$990.73 ,$388.36 ,"$1,723.00 ",$966.60 ,$388.36 ,"$1,082.70 ","$2,166.04 ","$2,067.59 ",$407.78 ,"$1,464.55 ","$1,085.49 ",$482.44 ,"$1,550.70 ","$1,499.01 ", N/A , N/A ,$388.36 ,"$1,119.95 " ST. FRANCIS HOSPITAL - ACUTE,98200211,29823,PC SHLDR ARTHROSCOP EXTEN DEBRIDE,982,1 ,"$1,890.00 ","$1,360.80 ",$426.01 ,"$7,441.65 ","$1,086.75 ","$1,360.80 ","$1,028.16 ",$426.01 ,$529.20 ,"$1,256.85 ",$426.01 ,"$1,323.00 ",$426.01 ,"$1,190.70 ","$1,190.70 ",$426.01 ,"$1,190.70 ",$878.09 ,"$1,738.80 ","$7,441.65 ",$426.01 ,"$1,606.50 ","$1,587.60 ",$426.01 ,"$1,417.50 ","$1,512.00 ","$1,512.00 ",$426.01 ,"$1,512.00 ","$1,644.30 ","$1,644.30 ","$1,644.30 ","$1,701.00 ","$1,086.75 ",$426.01 ,"$1,890.00 ","$1,060.29 ",$426.01 ,"$1,179.29 ","$2,166.04 ","$2,067.59 ",$447.31 ,"$1,606.50 ","$1,190.70 ",$529.20 ,"$1,701.00 ","$1,644.30 ", N/A , N/A ,$426.01 ,"$1,228.50 " ST. FRANCIS HOSPITAL - ACUTE,98200212,27062,PC REMOVE TROCH BURSA/CALCIFICATN,982,1 ,"$1,450.00 ","$1,044.00 ",$326.83 ,"$7,441.65 ",$833.75 ,"$1,044.00 ",$788.80 ,$326.83 ,$406.00 ,$964.25 ,$326.83 ,"$1,015.00 ",$326.83 ,$913.50 ,$913.50 ,$326.83 ,$913.50 ,$673.67 ,"$1,334.00 ","$7,441.65 ",$326.83 ,"$1,232.50 ","$1,218.00 ",$326.83 ,"$1,087.50 ","$1,160.00 ","$1,160.00 ",$326.83 ,"$1,160.00 ","$1,261.50 ","$1,261.50 ","$1,261.50 ","$1,305.00 ",$833.75 ,$326.83 ,"$1,450.00 ",$813.45 ,$326.83 ,$850.39 ,"$1,877.96 ","$1,792.60 ",$343.18 ,"$1,232.50 ",$913.50 ,$406.00 ,"$1,305.00 ","$1,261.50 ", N/A , N/A ,$326.83 ,$942.50 ST. FRANCIS HOSPITAL - ACUTE,98200213,27071,PC PART REMV PELV/HIP DEEP,982,1 ,"$3,111.00 ","$2,239.92 ",$701.22 ,"$3,111.00 ","$1,788.83 ","$2,239.92 ","$1,692.38 ",$701.22 ,$871.08 ,"$2,068.82 ",$701.22 ,"$2,177.70 ",$701.22 ,"$1,959.93 ","$1,959.93 ",$701.22 ,"$1,959.93 ","$1,445.37 ","$2,862.12 ", N/A ,$701.22 ,"$2,644.35 ","$2,613.24 ",$701.22 ,"$2,333.25 ","$2,488.80 ","$2,488.80 ",$701.22 ,"$2,488.80 ","$2,706.57 ","$2,706.57 ","$2,706.57 ","$2,799.90 ","$1,788.83 ",$701.22 ,"$3,111.00 ","$1,745.27 ",$701.22 ,"$1,776.66 ", N/A , N/A ,$736.28 ,"$2,644.35 ","$1,959.93 ",$871.08 ,"$2,799.90 ","$2,706.57 ", N/A , N/A ,$701.22 ,"$2,022.15 " ST. FRANCIS HOSPITAL - ACUTE,98200216,27870,PC FUSION OF ANKLE JOINT,982,1 ,"$3,102.00 ","$2,233.44 ",$699.19 ,"$32,620.20 ","$1,783.65 ","$2,233.44 ","$1,687.49 ",$699.19 ,$868.56 ,"$2,062.83 ",$699.19 ,"$2,171.40 ",$699.19 ,"$1,954.26 ","$1,954.26 ",$699.19 ,"$1,954.26 ","$1,441.19 ","$2,853.84 ","$32,620.20 ",$699.19 ,"$2,636.70 ","$2,605.68 ",$699.19 ,"$2,326.50 ","$2,481.60 ","$2,481.60 ",$699.19 ,"$2,481.60 ","$2,698.74 ","$2,698.74 ","$2,698.74 ","$2,791.80 ","$1,783.65 ",$699.19 ,"$3,102.00 ","$1,740.22 ",$699.19 ,"$1,933.47 ","$4,330.39 ","$4,133.56 ",$734.15 ,"$2,636.70 ","$1,954.26 ",$868.56 ,"$2,791.80 ","$2,698.74 ", N/A , N/A ,$699.19 ,"$2,016.30 " ST. FRANCIS HOSPITAL - ACUTE,98200217,28715,PC FUSION FOOT BONES TRIPLE,982,1 ,"$2,870.00 ","$2,066.40 ",$646.90 ,"$32,620.20 ","$1,650.25 ","$2,066.40 ","$1,561.28 ",$646.90 ,$803.60 ,"$1,908.55 ",$646.90 ,"$2,009.00 ",$646.90 ,"$1,808.10 ","$1,808.10 ",$646.90 ,"$1,808.10 ","$1,333.40 ","$2,640.40 ","$32,620.20 ",$646.90 ,"$2,439.50 ","$2,410.80 ",$646.90 ,"$2,152.50 ","$2,296.00 ","$2,296.00 ",$646.90 ,"$2,296.00 ","$2,496.90 ","$2,496.90 ","$2,496.90 ","$2,583.00 ","$1,650.25 ",$646.90 ,"$2,870.00 ","$1,610.07 ",$646.90 ,"$1,768.95 ","$4,630.10 ","$4,419.64 ",$679.25 ,"$2,439.50 ","$1,808.10 ",$803.60 ,"$2,583.00 ","$2,496.90 ", N/A , N/A ,$646.90 ,"$1,865.50 " ST. FRANCIS HOSPITAL - ACUTE,98200218,28725,PC FUSION FOOT BONES SUBTALAR,982,1 ,"$2,368.00 ","$1,704.96 ",$533.75 ,"$32,620.20 ","$1,361.60 ","$1,704.96 ","$1,288.19 ",$533.75 ,$663.04 ,"$1,574.72 ",$533.75 ,"$1,657.60 ",$533.75 ,"$1,491.84 ","$1,491.84 ",$533.75 ,"$1,491.84 ","$1,100.17 ","$2,178.56 ","$32,620.20 ",$533.75 ,"$2,012.80 ","$1,989.12 ",$533.75 ,"$1,776.00 ","$1,894.40 ","$1,894.40 ",$533.75 ,"$1,894.40 ","$2,060.16 ","$2,060.16 ","$2,060.16 ","$2,131.20 ","$1,361.60 ",$533.75 ,"$2,368.00 ","$1,328.45 ",$533.75 ,"$1,465.02 ","$4,630.10 ","$4,419.64 ",$560.43 ,"$2,012.80 ","$1,491.84 ",$663.04 ,"$2,131.20 ","$2,060.16 ", N/A , N/A ,$533.75 ,"$1,539.20 " ST. FRANCIS HOSPITAL - ACUTE,98200219,28730,PC FUSION FOOT BONES MIDTARSAL MULTI,982,1 ,"$2,211.00 ","$1,591.92 ",$498.36 ,"$32,620.20 ","$1,271.33 ","$1,591.92 ","$1,202.78 ",$498.36 ,$619.08 ,"$1,470.32 ",$498.36 ,"$1,547.70 ",$498.36 ,"$1,392.93 ","$1,392.93 ",$498.36 ,"$1,392.93 ","$1,027.23 ","$2,034.12 ","$32,620.20 ",$498.36 ,"$1,879.35 ","$1,857.24 ",$498.36 ,"$1,658.25 ","$1,768.80 ","$1,768.80 ",$498.36 ,"$1,768.80 ","$1,923.57 ","$1,923.57 ","$1,923.57 ","$1,989.90 ","$1,271.33 ",$498.36 ,"$2,211.00 ","$1,240.37 ",$498.36 ,"$1,382.20 ","$4,630.10 ","$4,419.64 ",$523.28 ,"$1,879.35 ","$1,392.93 ",$619.08 ,"$1,989.90 ","$1,923.57 ", N/A , N/A ,$498.36 ,"$1,437.15 " ST. FRANCIS HOSPITAL - ACUTE,98200220,28735,PC FUSION FOOT BONES MIDTARSAL OSTEOMY,982,1 ,"$2,375.00 ","$1,710.00 ",$535.32 ,"$32,620.20 ","$1,365.63 ","$1,710.00 ","$1,292.00 ",$535.32 ,$665.00 ,"$1,579.38 ",$535.32 ,"$1,662.50 ",$535.32 ,"$1,496.25 ","$1,496.25 ",$535.32 ,"$1,496.25 ","$1,103.43 ","$2,185.00 ","$32,620.20 ",$535.32 ,"$2,018.75 ","$1,995.00 ",$535.32 ,"$1,781.25 ","$1,900.00 ","$1,900.00 ",$535.32 ,"$1,900.00 ","$2,066.25 ","$2,066.25 ","$2,066.25 ","$2,137.50 ","$1,365.63 ",$535.32 ,"$2,375.00 ","$1,332.38 ",$535.32 ,"$1,462.95 ","$4,630.10 ","$4,419.64 ",$562.09 ,"$2,018.75 ","$1,496.25 ",$665.00 ,"$2,137.50 ","$2,066.25 ", N/A , N/A ,$535.32 ,"$1,543.75 " ST. FRANCIS HOSPITAL - ACUTE,98200221,28740,PC FUSION FOOT BONE MIDTARSAL 1 JT,982,1 ,"$2,443.00 ","$1,758.96 ",$550.65 ,"$16,536.58 ","$1,404.73 ","$1,758.96 ","$1,328.99 ",$550.65 ,$684.04 ,"$1,624.60 ",$550.65 ,"$1,710.10 ",$550.65 ,"$1,539.09 ","$1,539.09 ",$550.65 ,"$1,539.09 ","$1,135.02 ","$2,247.56 ","$16,536.58 ",$550.65 ,"$2,076.55 ","$2,052.12 ",$550.65 ,"$1,832.25 ","$1,954.40 ","$1,954.40 ",$550.65 ,"$1,954.40 ","$2,125.41 ","$2,125.41 ","$2,125.41 ","$2,198.70 ","$1,404.73 ",$550.65 ,"$2,443.00 ","$1,370.52 ",$550.65 ,"$1,165.62 ","$4,630.10 ","$4,419.64 ",$578.18 ,"$2,076.55 ","$1,539.09 ",$684.04 ,"$2,198.70 ","$2,125.41 ", N/A , N/A ,$550.65 ,"$1,587.95 " ST. FRANCIS HOSPITAL - ACUTE,98200222,28750,PC FUSION BIG TOE MT-P JT,982,1 ,"$2,302.00 ","$1,657.44 ",$518.87 ,"$16,536.58 ","$1,323.65 ","$1,657.44 ","$1,252.29 ",$518.87 ,$644.56 ,"$1,530.83 ",$518.87 ,"$1,611.40 ",$518.87 ,"$1,450.26 ","$1,450.26 ",$518.87 ,"$1,450.26 ","$1,069.51 ","$2,117.84 ","$16,536.58 ",$518.87 ,"$1,956.70 ","$1,933.68 ",$518.87 ,"$1,726.50 ","$1,841.60 ","$1,841.60 ",$518.87 ,"$1,841.60 ","$2,002.74 ","$2,002.74 ","$2,002.74 ","$2,071.80 ","$1,323.65 ",$518.87 ,"$2,302.00 ","$1,291.42 ",$518.87 ,"$1,093.33 ","$4,630.10 ","$4,419.64 ",$544.81 ,"$1,956.70 ","$1,450.26 ",$644.56 ,"$2,071.80 ","$2,002.74 ", N/A , N/A ,$518.87 ,"$1,496.30 " ST. FRANCIS HOSPITAL - ACUTE,98200223,28755,PC FUSION BIG TOE I-P JOINT,982,1 ,"$1,463.00 ","$1,053.36 ",$329.76 ,"$16,536.58 ",$841.23 ,"$1,053.36 ",$795.87 ,$329.76 ,$409.64 ,$972.90 ,$329.76 ,"$1,024.10 ",$329.76 ,$921.69 ,$921.69 ,$329.76 ,$921.69 ,$679.71 ,"$1,345.96 ","$16,536.58 ",$329.76 ,"$1,243.55 ","$1,228.92 ",$329.76 ,"$1,097.25 ","$1,170.40 ","$1,170.40 ",$329.76 ,"$1,170.40 ","$1,272.81 ","$1,272.81 ","$1,272.81 ","$1,316.70 ",$841.23 ,$329.76 ,"$1,463.00 ",$820.74 ,$329.76 ,$620.93 ,"$1,990.89 ","$1,900.40 ",$346.24 ,"$1,243.55 ",$921.69 ,$409.64 ,"$1,316.70 ","$1,272.81 ", N/A , N/A ,$329.76 ,$950.95 ST. FRANCIS HOSPITAL - ACUTE,98200224,28760,PC FUSION BIG TOE I-P JT+TENDN XFER,982,1 ,"$2,226.00 ","$1,602.72 ",$501.74 ,"$16,536.58 ","$1,279.95 ","$1,602.72 ","$1,210.94 ",$501.74 ,$623.28 ,"$1,480.29 ",$501.74 ,"$1,558.20 ",$501.74 ,"$1,402.38 ","$1,402.38 ",$501.74 ,"$1,402.38 ","$1,034.20 ","$2,047.92 ","$16,536.58 ",$501.74 ,"$1,892.10 ","$1,869.84 ",$501.74 ,"$1,669.50 ","$1,780.80 ","$1,780.80 ",$501.74 ,"$1,780.80 ","$1,936.62 ","$1,936.62 ","$1,936.62 ","$2,003.40 ","$1,279.95 ",$501.74 ,"$2,226.00 ","$1,248.79 ",$501.74 ,"$1,081.12 ","$4,630.10 ","$4,419.64 ",$526.83 ,"$1,892.10 ","$1,402.38 ",$623.28 ,"$2,003.40 ","$1,936.62 ", N/A , N/A ,$501.74 ,"$1,446.90 " ST. FRANCIS HOSPITAL - ACUTE,98200225,28292,PC CORRECTION HALLUX VALGUS BUNIONECTOMY,982,1 ,"$2,017.00 ","$1,452.24 ",$454.63 ,"$7,441.65 ","$1,159.78 ","$1,452.24 ","$1,097.25 ",$454.63 ,$564.76 ,"$1,341.31 ",$454.63 ,"$1,411.90 ",$454.63 ,"$1,270.71 ","$1,270.71 ",$454.63 ,"$1,270.71 ",$937.10 ,"$1,855.64 ","$7,441.65 ",$454.63 ,"$1,714.45 ","$1,694.28 ",$454.63 ,"$1,512.75 ","$1,613.60 ","$1,613.60 ",$454.63 ,"$1,613.60 ","$1,754.79 ","$1,754.79 ","$1,754.79 ","$1,815.30 ","$1,159.78 ",$454.63 ,"$2,017.00 ","$1,131.54 ",$454.63 ,$903.58 ,"$2,970.91 ","$2,835.87 ",$477.37 ,"$1,714.45 ","$1,270.71 ",$564.76 ,"$1,815.30 ","$1,754.79 ", N/A , N/A ,$454.63 ,"$1,311.05 " ST. FRANCIS HOSPITAL - ACUTE,98200226,28295,PC CORRECTION HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT,982,1 ,"$3,108.00 ","$2,237.76 ",$700.54 ,"$7,441.65 ","$1,787.10 ","$2,237.76 ","$1,690.75 ",$700.54 ,$870.24 ,"$2,066.82 ",$700.54 ,"$2,175.60 ",$700.54 ,"$1,958.04 ","$1,958.04 ",$700.54 ,"$1,958.04 ","$1,443.98 ","$2,859.36 ","$7,441.65 ",$700.54 ,"$2,641.80 ","$2,610.72 ",$700.54 ,"$2,331.00 ","$2,486.40 ","$2,486.40 ",$700.54 ,"$2,486.40 ","$2,703.96 ","$2,703.96 ","$2,703.96 ","$2,797.20 ","$1,787.10 ",$700.54 ,"$3,108.00 ","$1,743.59 ",$700.54 ,"$1,050.21 ","$2,970.91 ","$2,835.87 ",$735.57 ,"$2,641.80 ","$1,958.04 ",$870.24 ,"$2,797.20 ","$2,703.96 ", N/A , N/A ,$700.54 ,"$2,020.20 " ST. FRANCIS HOSPITAL - ACUTE,98200227,28296,PC CORRECTION HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT,982,1 ,"$2,548.00 ","$1,834.56 ",$574.32 ,"$7,441.65 ","$1,465.10 ","$1,834.56 ","$1,386.11 ",$574.32 ,$713.44 ,"$1,694.42 ",$574.32 ,"$1,783.60 ",$574.32 ,"$1,605.24 ","$1,605.24 ",$574.32 ,"$1,605.24 ","$1,183.80 ","$2,344.16 ","$7,441.65 ",$574.32 ,"$2,165.80 ","$2,140.32 ",$574.32 ,"$1,911.00 ","$2,038.40 ","$2,038.40 ",$574.32 ,"$2,038.40 ","$2,216.76 ","$2,216.76 ","$2,216.76 ","$2,293.20 ","$1,465.10 ",$574.32 ,"$2,548.00 ","$1,429.43 ",$574.32 ,$962.46 ,"$2,970.91 ","$2,835.87 ",$603.03 ,"$2,165.80 ","$1,605.24 ",$713.44 ,"$2,293.20 ","$2,216.76 ", N/A , N/A ,$574.32 ,"$1,656.20 " ST. FRANCIS HOSPITAL - ACUTE,98200228,28297,PC CORRECTION HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF,982,1 ,"$2,982.00 ","$2,147.04 ",$672.14 ,"$16,536.58 ","$1,714.65 ","$2,147.04 ","$1,622.21 ",$672.14 ,$834.96 ,"$1,983.03 ",$672.14 ,"$2,087.40 ",$672.14 ,"$1,878.66 ","$1,878.66 ",$672.14 ,"$1,878.66 ","$1,385.44 ","$2,743.44 ","$16,536.58 ",$672.14 ,"$2,534.70 ","$2,504.88 ",$672.14 ,"$2,236.50 ","$2,385.60 ","$2,385.60 ",$672.14 ,"$2,385.60 ","$2,594.34 ","$2,594.34 ","$2,594.34 ","$2,683.80 ","$1,714.65 ",$672.14 ,"$2,982.00 ","$1,672.90 ",$672.14 ,"$1,132.19 ","$2,970.91 ","$2,835.87 ",$705.75 ,"$2,534.70 ","$1,878.66 ",$834.96 ,"$2,683.80 ","$2,594.34 ", N/A , N/A ,$672.14 ,"$1,938.30 " ST. FRANCIS HOSPITAL - ACUTE,98200229,28298,PC CORRECTION HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT,982,1 ,"$2,414.00 ","$1,738.08 ",$544.12 ,"$16,536.58 ","$1,388.05 ","$1,738.08 ","$1,313.22 ",$544.12 ,$675.92 ,"$1,605.31 ",$544.12 ,"$1,689.80 ",$544.12 ,"$1,520.82 ","$1,520.82 ",$544.12 ,"$1,520.82 ","$1,121.54 ","$2,220.88 ","$16,536.58 ",$544.12 ,"$2,051.90 ","$2,027.76 ",$544.12 ,"$1,810.50 ","$1,931.20 ","$1,931.20 ",$544.12 ,"$1,931.20 ","$2,100.18 ","$2,100.18 ","$2,100.18 ","$2,172.60 ","$1,388.05 ",$544.12 ,"$2,414.00 ","$1,354.25 ",$544.12 ,$932.70 ,"$2,970.91 ","$2,835.87 ",$571.32 ,"$2,051.90 ","$1,520.82 ",$675.92 ,"$2,172.60 ","$2,100.18 ", N/A , N/A ,$544.12 ,"$1,569.10 " ST. FRANCIS HOSPITAL - ACUTE,98200230,28299,PC CORRECTION HALLUX VALGUS W/SESMDC W/2 OSTEOT,982,1 ,"$2,917.00 ","$2,100.24 ",$657.49 ,"$16,536.58 ","$1,677.28 ","$2,100.24 ","$1,586.85 ",$657.49 ,$816.76 ,"$1,939.81 ",$657.49 ,"$2,041.90 ",$657.49 ,"$1,837.71 ","$1,837.71 ",$657.49 ,"$1,837.71 ","$1,355.24 ","$2,683.64 ","$16,536.58 ",$657.49 ,"$2,479.45 ","$2,450.28 ",$657.49 ,"$2,187.75 ","$2,333.60 ","$2,333.60 ",$657.49 ,"$2,333.60 ","$2,537.79 ","$2,537.79 ","$2,537.79 ","$2,625.30 ","$1,677.28 ",$657.49 ,"$2,917.00 ","$1,636.44 ",$657.49 ,"$1,093.22 ","$2,970.91 ","$2,835.87 ",$690.37 ,"$2,479.45 ","$1,837.71 ",$816.76 ,"$2,625.30 ","$2,537.79 ", N/A , N/A ,$657.49 ,"$1,896.05 " ST. FRANCIS HOSPITAL - ACUTE,98200231,28285,PC REPAIR OF HAMMERTOE ONE,982,1 ,"$1,560.00 ","$1,123.20 ",$351.62 ,"$7,441.65 ",$897.00 ,"$1,123.20 ",$848.64 ,$351.62 ,$436.80 ,"$1,037.40 ",$351.62 ,"$1,092.00 ",$351.62 ,$982.80 ,$982.80 ,$351.62 ,$982.80 ,$724.78 ,"$1,435.20 ","$7,441.65 ",$351.62 ,"$1,326.00 ","$1,310.40 ",$351.62 ,"$1,170.00 ","$1,248.00 ","$1,248.00 ",$351.62 ,"$1,248.00 ","$1,357.20 ","$1,357.20 ","$1,357.20 ","$1,404.00 ",$897.00 ,$351.62 ,"$1,560.00 ",$875.16 ,$351.62 ,$708.29 ,"$1,990.89 ","$1,900.40 ",$369.21 ,"$1,326.00 ",$982.80 ,$436.80 ,"$1,404.00 ","$1,357.20 ", N/A , N/A ,$351.62 ,"$1,014.00 " ST. FRANCIS HOSPITAL - ACUTE,98200232,27826,PC OPEN RX WEIGHTBEAR TIB FIX FIB ONLY,982,1 ,"$2,609.00 ","$1,878.48 ",$588.07 ,"$16,536.58 ","$1,500.18 ","$1,878.48 ","$1,419.30 ",$588.07 ,$730.52 ,"$1,734.99 ",$588.07 ,"$1,826.30 ",$588.07 ,"$1,643.67 ","$1,643.67 ",$588.07 ,"$1,643.67 ","$1,212.14 ","$2,400.28 ","$16,536.58 ",$588.07 ,"$2,217.65 ","$2,191.56 ",$588.07 ,"$1,956.75 ","$2,087.20 ","$2,087.20 ",$588.07 ,"$2,087.20 ","$2,269.83 ","$2,269.83 ","$2,269.83 ","$2,348.10 ","$1,500.18 ",$588.07 ,"$2,609.00 ","$1,463.65 ",$588.07 ,"$1,594.78 ","$4,728.65 ","$4,513.71 ",$617.47 ,"$2,217.65 ","$1,643.67 ",$730.52 ,"$2,348.10 ","$2,269.83 ", N/A , N/A ,$588.07 ,"$1,695.85 " ST. FRANCIS HOSPITAL - ACUTE,98200233,27828,PC OPEN RX WEIGHTBEAR TIB FIX TIB/FIB,982,1 ,"$4,086.00 ","$2,941.92 ",$920.98 ,"$32,620.20 ","$2,349.45 ","$2,941.92 ","$2,222.78 ",$920.98 ,"$1,144.08 ","$2,717.19 ",$920.98 ,"$2,860.20 ",$920.98 ,"$2,574.18 ","$2,574.18 ",$920.98 ,"$2,574.18 ","$1,898.36 ","$3,759.12 ","$32,620.20 ",$920.98 ,"$3,473.10 ","$3,432.24 ",$920.98 ,"$3,064.50 ","$3,268.80 ","$3,268.80 ",$920.98 ,"$3,268.80 ","$3,554.82 ","$3,554.82 ","$3,554.82 ","$3,677.40 ","$2,349.45 ",$920.98 ,"$4,086.00 ","$2,292.25 ",$920.98 ,"$2,489.26 ","$4,728.65 ","$4,513.71 ",$967.03 ,"$3,473.10 ","$2,574.18 ","$1,144.08 ","$3,677.40 ","$3,554.82 ", N/A , N/A ,$920.98 ,"$2,655.90 " ST. FRANCIS HOSPITAL - ACUTE,98200234,28415,PC OPEN RX HEEL FRACTURE,982,1 ,"$3,433.00 ","$2,471.76 ",$773.80 ,"$16,536.58 ","$1,973.98 ","$2,471.76 ","$1,867.55 ",$773.80 ,$961.24 ,"$2,282.95 ",$773.80 ,"$2,403.10 ",$773.80 ,"$2,162.79 ","$2,162.79 ",$773.80 ,"$2,162.79 ","$1,594.97 ","$3,158.36 ","$16,536.58 ",$773.80 ,"$2,918.05 ","$2,883.72 ",$773.80 ,"$2,574.75 ","$2,746.40 ","$2,746.40 ",$773.80 ,"$2,746.40 ","$2,986.71 ","$2,986.71 ","$2,986.71 ","$3,089.70 ","$1,973.98 ",$773.80 ,"$3,433.00 ","$1,925.91 ",$773.80 ,"$2,105.66 ","$4,728.65 ","$4,513.71 ",$812.49 ,"$2,918.05 ","$2,162.79 ",$961.24 ,"$3,089.70 ","$2,986.71 ", N/A , N/A ,$773.80 ,"$2,231.45 " ST. FRANCIS HOSPITAL - ACUTE,98200235,28110,PC OSTECTOMY PRTL 5TH METAR HEAD SPX,982,1 ,"$1,323.00 ",$952.56 ,$298.20 ,"$7,441.65 ",$760.73 ,$952.56 ,$719.71 ,$298.20 ,$370.44 ,$879.80 ,$298.20 ,$926.10 ,$298.20 ,$833.49 ,$833.49 ,$298.20 ,$833.49 ,$614.67 ,"$1,217.16 ","$7,441.65 ",$298.20 ,"$1,124.55 ","$1,111.32 ",$298.20 ,$992.25 ,"$1,058.40 ","$1,058.40 ",$298.20 ,"$1,058.40 ","$1,151.01 ","$1,151.01 ","$1,151.01 ","$1,190.70 ",$760.73 ,$298.20 ,"$1,323.00 ",$742.20 ,$298.20 ,$540.26 ,"$2,970.91 ","$2,835.87 ",$313.11 ,"$1,124.55 ",$833.49 ,$370.44 ,"$1,190.70 ","$1,151.01 ", N/A , N/A ,$298.20 ,$859.95 ST. FRANCIS HOSPITAL - ACUTE,98200236,28300,PC OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION,982,1 ,"$1,988.00 ","$1,431.36 ",$448.10 ,"$16,536.58 ","$1,143.10 ","$1,431.36 ","$1,081.47 ",$448.10 ,$556.64 ,"$1,322.02 ",$448.10 ,"$1,391.60 ",$448.10 ,"$1,252.44 ","$1,252.44 ",$448.10 ,"$1,252.44 ",$923.62 ,"$1,828.96 ","$16,536.58 ",$448.10 ,"$1,689.80 ","$1,669.92 ",$448.10 ,"$1,491.00 ","$1,590.40 ","$1,590.40 ",$448.10 ,"$1,590.40 ","$1,729.56 ","$1,729.56 ","$1,729.56 ","$1,789.20 ","$1,143.10 ",$448.10 ,"$1,988.00 ","$1,115.27 ",$448.10 ,"$1,226.33 ","$4,630.10 ","$4,419.64 ",$470.50 ,"$1,689.80 ","$1,252.44 ",$556.64 ,"$1,789.20 ","$1,729.56 ", N/A , N/A ,$448.10 ,"$1,292.20 " ST. FRANCIS HOSPITAL - ACUTE,98200237,28307,PC OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE,982,1 ,"$2,323.00 ","$1,672.56 ",$523.60 ,"$16,536.58 ","$1,335.73 ","$1,672.56 ","$1,263.71 ",$523.60 ,$650.44 ,"$1,544.80 ",$523.60 ,"$1,626.10 ",$523.60 ,"$1,463.49 ","$1,463.49 ",$523.60 ,"$1,463.49 ","$1,079.27 ","$2,137.16 ","$16,536.58 ",$523.60 ,"$1,974.55 ","$1,951.32 ",$523.60 ,"$1,742.25 ","$1,858.40 ","$1,858.40 ",$523.60 ,"$1,858.40 ","$2,021.01 ","$2,021.01 ","$2,021.01 ","$2,090.70 ","$1,335.73 ",$523.60 ,"$2,323.00 ","$1,303.20 ",$523.60 ,$777.99 ,"$4,630.10 ","$4,419.64 ",$549.78 ,"$1,974.55 ","$1,463.49 ",$650.44 ,"$2,090.70 ","$2,021.01 ", N/A , N/A ,$523.60 ,"$1,509.95 " ST. FRANCIS HOSPITAL - ACUTE,98200238,23473,"PC REVISION TOTAL SHOULDER ARTHROPLASTY, HUMERAL OR GLENOID",982,1 ,"$5,111.00 ","$3,679.92 ","$1,152.02 ","$32,620.20 ","$2,938.83 ","$3,679.92 ","$2,780.38 ","$1,152.02 ","$1,431.08 ","$3,398.82 ","$1,152.02 ","$3,577.70 ","$1,152.02 ","$3,219.93 ","$3,219.93 ","$1,152.02 ","$3,219.93 ","$2,374.57 ","$4,702.12 ","$32,620.20 ","$1,152.02 ","$4,344.35 ","$4,293.24 ","$1,152.02 ","$3,833.25 ","$4,088.80 ","$4,088.80 ","$1,152.02 ","$4,088.80 ","$4,446.57 ","$4,446.57 ","$4,446.57 ","$4,599.90 ","$2,938.83 ","$1,152.02 ","$5,111.00 ","$2,867.27 ","$1,152.02 ","$3,081.57 ","$9,210.17 ","$8,791.52 ","$1,209.62 ","$4,344.35 ","$3,219.93 ","$1,431.08 ","$4,599.90 ","$4,446.57 ", N/A , N/A ,"$1,152.02 ","$3,322.15 " ST. FRANCIS HOSPITAL - ACUTE,98200239,27524,PC OPEN RX PATELLA FX,982,1 ,"$2,385.00 ","$1,717.20 ",$537.58 ,"$16,536.58 ","$1,371.38 ","$1,717.20 ","$1,297.44 ",$537.58 ,$667.80 ,"$1,586.03 ",$537.58 ,"$1,669.50 ",$537.58 ,"$1,502.55 ","$1,502.55 ",$537.58 ,"$1,502.55 ","$1,108.07 ","$2,194.20 ","$16,536.58 ",$537.58 ,"$2,027.25 ","$2,003.40 ",$537.58 ,"$1,788.75 ","$1,908.00 ","$1,908.00 ",$537.58 ,"$1,908.00 ","$2,074.95 ","$2,074.95 ","$2,074.95 ","$2,146.50 ","$1,371.38 ",$537.58 ,"$2,385.00 ","$1,337.99 ",$537.58 ,"$1,419.27 ","$4,728.65 ","$4,513.71 ",$564.46 ,"$2,027.25 ","$1,502.55 ",$667.80 ,"$2,146.50 ","$2,074.95 ", N/A , N/A ,$537.58 ,"$1,550.25 " ST. FRANCIS HOSPITAL - ACUTE,98200240,26546,PC FIX NONUNION METACARPAL/PHALANX,982,1 ,"$3,216.00 ","$2,315.52 ",$724.89 ,"$16,536.58 ","$1,849.20 ","$2,315.52 ","$1,749.50 ",$724.89 ,$900.48 ,"$2,138.64 ",$724.89 ,"$2,251.20 ",$724.89 ,"$2,026.08 ","$2,026.08 ",$724.89 ,"$2,026.08 ","$1,494.15 ","$2,958.72 ","$16,536.58 ",$724.89 ,"$2,733.60 ","$2,701.44 ",$724.89 ,"$2,412.00 ","$2,572.80 ","$2,572.80 ",$724.89 ,"$2,572.80 ","$2,797.92 ","$2,797.92 ","$2,797.92 ","$2,894.40 ","$1,849.20 ",$724.89 ,"$3,216.00 ","$1,804.18 ",$724.89 ,"$1,859.80 ","$2,008.26 ","$1,916.97 ",$761.13 ,"$2,733.60 ","$2,026.08 ",$900.48 ,"$2,894.40 ","$2,797.92 ", N/A , N/A ,$724.89 ,"$2,090.40 " ST. FRANCIS HOSPITAL - ACUTE,98200241,27506,PC OPEN RX FEMUR FX+INTRAMED ROD,982,1 ,"$4,243.00 ","$3,054.96 ",$956.37 ,"$4,243.00 ","$2,439.73 ","$3,054.96 ","$2,308.19 ",$956.37 ,"$1,188.04 ","$2,821.60 ",$956.37 ,"$2,970.10 ",$956.37 ,"$2,673.09 ","$2,673.09 ",$956.37 ,"$2,673.09 ","$1,971.30 ","$3,903.56 ", N/A ,$956.37 ,"$3,606.55 ","$3,564.12 ",$956.37 ,"$3,182.25 ","$3,394.40 ","$3,394.40 ",$956.37 ,"$3,394.40 ","$3,691.41 ","$3,691.41 ","$3,691.41 ","$3,818.70 ","$2,439.73 ",$956.37 ,"$4,243.00 ","$2,380.32 ",$956.37 ,"$2,535.28 ", N/A , N/A ,"$1,004.19 ","$3,606.55 ","$2,673.09 ","$1,188.04 ","$3,818.70 ","$3,691.41 ", N/A , N/A ,$956.37 ,"$2,757.95 " ST. FRANCIS HOSPITAL - ACUTE,98200242,24105,PC REMOVAL OF ELBOW BURSA,982,1 ,"$1,122.00 ",$807.84 ,$252.90 ,"$7,441.65 ",$645.15 ,$807.84 ,$610.37 ,$252.90 ,$314.16 ,$746.13 ,$252.90 ,$785.40 ,$252.90 ,$706.86 ,$706.86 ,$252.90 ,$706.86 ,$521.28 ,"$1,032.24 ","$7,441.65 ",$252.90 ,$953.70 ,$942.48 ,$252.90 ,$841.50 ,$897.60 ,$897.60 ,$252.90 ,$897.60 ,$976.14 ,$976.14 ,$976.14 ,"$1,009.80 ",$645.15 ,$252.90 ,"$1,122.00 ",$629.44 ,$252.90 ,$654.86 ,"$1,877.96 ","$1,792.60 ",$265.54 ,$953.70 ,$706.86 ,$314.16 ,"$1,009.80 ",$976.14 , N/A , N/A ,$252.90 ,$729.30 ST. FRANCIS HOSPITAL - ACUTE,98200243,27650,"PC REPAIR ACHILLES TENDON,PRIMARY",982,1 ,"$2,047.00 ","$1,473.84 ",$461.39 ,"$16,536.58 ","$1,177.03 ","$1,473.84 ","$1,113.57 ",$461.39 ,$573.16 ,"$1,361.26 ",$461.39 ,"$1,432.90 ",$461.39 ,"$1,289.61 ","$1,289.61 ",$461.39 ,"$1,289.61 ",$951.04 ,"$1,883.24 ","$16,536.58 ",$461.39 ,"$1,739.95 ","$1,719.48 ",$461.39 ,"$1,535.25 ","$1,637.60 ","$1,637.60 ",$461.39 ,"$1,637.60 ","$1,780.89 ","$1,780.89 ","$1,780.89 ","$1,842.30 ","$1,177.03 ",$461.39 ,"$2,047.00 ","$1,148.37 ",$461.39 ,"$1,232.11 ","$3,035.57 ","$2,897.59 ",$484.46 ,"$1,739.95 ","$1,289.61 ",$573.16 ,"$1,842.30 ","$1,780.89 ", N/A , N/A ,$461.39 ,"$1,330.55 " ST. FRANCIS HOSPITAL - ACUTE,98280000,99217,PC OBSERVATION CARE DISCHARGE,982,1 ,$217.00 ,$156.24 ,$48.91 ,$217.00 ,$124.78 ,$156.24 ,$118.05 ,$48.91 ,$60.76 ,$144.31 ,$48.91 ,$151.90 ,$48.91 ,$136.71 ,$136.71 ,$48.91 ,$136.71 ,$100.82 ,$199.64 , N/A ,$48.91 ,$184.45 ,$182.28 ,$48.91 ,$162.75 ,$173.60 ,$173.60 ,$48.91 ,$173.60 ,$188.79 ,$188.79 ,$188.79 ,$195.30 ,$124.78 ,$48.91 ,$217.00 ,$121.74 ,$48.91 ,$99.97 , N/A , N/A ,$51.36 ,$184.45 ,$136.71 ,$60.76 ,$195.30 ,$188.79 , N/A , N/A ,$48.91 ,$141.05 ST. FRANCIS HOSPITAL - ACUTE,98280002,99242,PC OFFICE CONSULT NEW/ESTAB PT SF MED DEC LEVEL 2 - 20 MIN,982,1 ,$200.00 ,$144.00 ,$45.08 ,$200.00 ,$115.00 ,$144.00 ,$108.80 ,$45.08 ,$56.00 ,$133.00 ,$45.08 ,$140.00 ,$45.08 ,$126.00 ,$126.00 ,$45.08 ,$126.00 ,$92.92 ,$184.00 , N/A ,$45.08 ,$170.00 ,$168.00 ,$45.08 ,$150.00 ,$160.00 ,$160.00 ,$45.08 ,$160.00 ,$174.00 ,$174.00 ,$174.00 ,$180.00 ,$115.00 ,$45.08 ,$200.00 ,$112.20 ,$45.08 ,$96.40 ,$148.31 ,$141.57 ,$47.33 ,$170.00 ,$126.00 ,$56.00 ,$180.00 ,$174.00 , N/A , N/A ,$45.08 ,$130.00 ST. FRANCIS HOSPITAL - ACUTE,98280003,99243,PC OFFICE CONSULT NEW/ESTAB PT LOW MED DEC LEVEL 3 - 30 MIN,982,1 ,$299.00 ,$215.28 ,$67.39 ,$299.00 ,$171.93 ,$215.28 ,$162.66 ,$67.39 ,$83.72 ,$198.84 ,$67.39 ,$209.30 ,$67.39 ,$188.37 ,$188.37 ,$67.39 ,$188.37 ,$138.92 ,$275.08 , N/A ,$67.39 ,$254.15 ,$251.16 ,$67.39 ,$224.25 ,$239.20 ,$239.20 ,$67.39 ,$239.20 ,$260.13 ,$260.13 ,$260.13 ,$269.10 ,$171.93 ,$67.39 ,$299.00 ,$167.74 ,$67.39 ,$134.73 ,$148.31 ,$141.57 ,$70.77 ,$254.15 ,$188.37 ,$83.72 ,$269.10 ,$260.13 , N/A , N/A ,$67.39 ,$194.35 ST. FRANCIS HOSPITAL - ACUTE,98280004,99244,PC OFFICE CONSULT NEW/ESTAB PT MOD MED DEC LEVEL 4 - 40 MIN,982,1 ,$391.00 ,$281.52 ,$88.13 ,$391.00 ,$224.83 ,$281.52 ,$212.70 ,$88.13 ,$109.48 ,$260.02 ,$88.13 ,$273.70 ,$88.13 ,$246.33 ,$246.33 ,$88.13 ,$246.33 ,$181.66 ,$359.72 , N/A ,$88.13 ,$332.35 ,$328.44 ,$88.13 ,$293.25 ,$312.80 ,$312.80 ,$88.13 ,$312.80 ,$340.17 ,$340.17 ,$340.17 ,$351.90 ,$224.83 ,$88.13 ,$391.00 ,$219.35 ,$88.13 ,$216.95 ,$148.31 ,$141.57 ,$92.54 ,$332.35 ,$246.33 ,$109.48 ,$351.90 ,$340.17 , N/A , N/A ,$88.13 ,$254.15 ST. FRANCIS HOSPITAL - ACUTE,98280005,99245,PC OFFICE CONSULT NEW/ESTAB PT HIGH MED DEC LEVEL 5 - 55 MIN,982,1 ,$533.00 ,$383.76 ,$120.14 ,$533.00 ,$306.48 ,$383.76 ,$289.95 ,$120.14 ,$149.24 ,$354.45 ,$120.14 ,$373.10 ,$120.14 ,$335.79 ,$335.79 ,$120.14 ,$335.79 ,$247.63 ,$490.36 , N/A ,$120.14 ,$453.05 ,$447.72 ,$120.14 ,$399.75 ,$426.40 ,$426.40 ,$120.14 ,$426.40 ,$463.71 ,$463.71 ,$463.71 ,$479.70 ,$306.48 ,$120.14 ,$533.00 ,$299.01 ,$120.14 ,$268.14 ,$148.31 ,$141.57 ,$126.15 ,$453.05 ,$335.79 ,$149.24 ,$479.70 ,$463.71 , N/A , N/A ,$120.14 ,$346.45 ST. FRANCIS HOSPITAL - ACUTE,98280006,99406,PC SMOKING/TOBACCO COUNSELING 3 TO 10 MIN.,982,1 ,$30.00 ,$21.60 ,$6.76 ,$74.20 ,$17.25 ,$21.60 ,$16.32 ,$6.76 ,$8.40 ,$19.95 ,$6.76 ,$21.00 ,$6.76 ,$18.90 ,$18.90 ,$6.76 ,$18.90 ,$13.94 ,$27.60 ,$74.20 ,$6.76 ,$25.50 ,$25.20 ,$6.76 ,$22.50 ,$24.00 ,$24.00 ,$6.76 ,$24.00 ,$26.10 ,$26.10 ,$26.10 ,$27.00 ,$17.25 ,$6.76 ,$30.00 ,$16.83 ,$6.76 ,$17.22 ,$34.16 ,$32.60 ,$7.09 ,$25.50 ,$18.90 ,$8.40 ,$27.00 ,$26.10 , N/A , N/A ,$6.76 ,$19.50 ST. FRANCIS HOSPITAL - ACUTE,98280007,99407,PC SMOKING CESSATION > 10 MINUTES,982,1 ,$54.00 ,$38.88 ,$12.17 ,$74.20 ,$31.05 ,$38.88 ,$29.38 ,$12.17 ,$15.12 ,$35.91 ,$12.17 ,$37.80 ,$12.17 ,$34.02 ,$34.02 ,$12.17 ,$34.02 ,$25.09 ,$49.68 ,$74.20 ,$12.17 ,$45.90 ,$45.36 ,$12.17 ,$40.50 ,$43.20 ,$43.20 ,$12.17 ,$43.20 ,$46.98 ,$46.98 ,$46.98 ,$48.60 ,$31.05 ,$12.17 ,$54.00 ,$30.29 ,$12.17 ,$36.49 ,$34.16 ,$32.60 ,$12.78 ,$45.90 ,$34.02 ,$15.12 ,$48.60 ,$46.98 , N/A , N/A ,$12.17 ,$35.10 ST. FRANCIS HOSPITAL - ACUTE,98300001,10060,PC I AND D ABSC SMP PRO,983,1 ,$323.00 ,$232.56 ,$72.80 ,$451.45 ,$185.73 ,$232.56 ,$175.71 ,$72.80 ,$90.44 ,$214.80 ,$72.80 ,$226.10 ,$72.80 ,$203.49 ,$203.49 ,$72.80 ,$203.49 ,$150.07 ,$297.16 ,$451.45 ,$72.80 ,$274.55 ,$271.32 ,$72.80 ,$242.25 ,$258.40 ,$258.40 ,$72.80 ,$258.40 ,$281.01 ,$281.01 ,$281.01 ,$290.70 ,$185.73 ,$72.80 ,$323.00 ,$181.20 ,$72.80 ,$184.08 ,$317.01 ,$302.60 ,$76.44 ,$274.55 ,$203.49 ,$90.44 ,$290.70 ,$281.01 , N/A , N/A ,$72.80 ,$209.95 ST. FRANCIS HOSPITAL - ACUTE,98300003,10160,PC ASP ABSC/HEMA/CYST/BULLA PRO,983,1 ,$394.00 ,$283.68 ,$88.81 ,$932.68 ,$226.55 ,$283.68 ,$214.34 ,$88.81 ,$110.32 ,$262.01 ,$88.81 ,$275.80 ,$88.81 ,$248.22 ,$248.22 ,$88.81 ,$248.22 ,$183.05 ,$362.48 ,$932.68 ,$88.81 ,$334.90 ,$330.96 ,$88.81 ,$295.50 ,$315.20 ,$315.20 ,$88.81 ,$315.20 ,$342.78 ,$342.78 ,$342.78 ,$354.60 ,$226.55 ,$88.81 ,$394.00 ,$221.03 ,$88.81 ,$174.87 ,$317.01 ,$302.60 ,$93.25 ,$334.90 ,$248.22 ,$110.32 ,$354.60 ,$342.78 , N/A , N/A ,$88.81 ,$256.10 ST. FRANCIS HOSPITAL - ACUTE,98300004,11042,PC DEBR SKIN/SUBQ TISS INIT 20CM PRO,983,1 ,$291.00 ,$209.52 ,$65.59 ,$932.68 ,$167.33 ,$209.52 ,$158.30 ,$65.59 ,$81.48 ,$193.52 ,$65.59 ,$203.70 ,$65.59 ,$183.33 ,$183.33 ,$65.59 ,$183.33 ,$135.20 ,$267.72 ,$932.68 ,$65.59 ,$247.35 ,$244.44 ,$65.59 ,$218.25 ,$232.80 ,$232.80 ,$65.59 ,$232.80 ,$253.17 ,$253.17 ,$253.17 ,$261.90 ,$167.33 ,$65.59 ,$291.00 ,$163.25 ,$65.59 ,$114.48 ,$323.48 ,$308.77 ,$68.87 ,$247.35 ,$183.33 ,$81.48 ,$261.90 ,$253.17 , N/A , N/A ,$65.59 ,$189.15 ST. FRANCIS HOSPITAL - ACUTE,98300006,11043,PC DEBR SKIN/SUBQ TISSUE/MUSCLE PRO,983,1 ,$570.00 ,$410.40 ,$128.48 ,"$1,452.38 ",$327.75 ,$410.40 ,$310.08 ,$128.48 ,$159.60 ,$379.05 ,$128.48 ,$399.00 ,$128.48 ,$359.10 ,$359.10 ,$128.48 ,$359.10 ,$264.82 ,$524.40 ,"$1,452.38 ",$128.48 ,$484.50 ,$478.80 ,$128.48 ,$427.50 ,$456.00 ,$456.00 ,$128.48 ,$456.00 ,$495.90 ,$495.90 ,$495.90 ,$513.00 ,$327.75 ,$128.48 ,$570.00 ,$319.77 ,$128.48 ,$295.20 ,$880.04 ,$840.04 ,$134.91 ,$484.50 ,$359.10 ,$159.60 ,$513.00 ,$495.90 , N/A , N/A ,$128.48 ,$370.50 ST. FRANCIS HOSPITAL - ACUTE,98300008,11044,PC DEBR SKIN/SUB TIS/MUS/BONE INT 20 PRO,983,1 ,$994.00 ,$715.68 ,$224.05 ,"$3,748.88 ",$571.55 ,$715.68 ,$540.74 ,$224.05 ,$278.32 ,$661.01 ,$224.05 ,$695.80 ,$224.05 ,$626.22 ,$626.22 ,$224.05 ,$626.22 ,$461.81 ,$914.48 ,"$3,748.88 ",$224.05 ,$844.90 ,$834.96 ,$224.05 ,$745.50 ,$795.20 ,$795.20 ,$224.05 ,$795.20 ,$864.78 ,$864.78 ,$864.78 ,$894.60 ,$571.55 ,$224.05 ,$994.00 ,$557.63 ,$224.05 ,$434.44 ,"$1,263.21 ","$1,205.79 ",$235.25 ,$844.90 ,$626.22 ,$278.32 ,$894.60 ,$864.78 , N/A , N/A ,$224.05 ,$646.10 ST. FRANCIS HOSPITAL - ACUTE,98300010,11045,PC DEBR SKIN/SUBQ TIS EA ADL 20CM PRO,983,1 ,$105.00 ,$75.60 ,$23.67 ,$880.04 ,$60.38 ,$75.60 ,$57.12 ,$23.67 ,$29.40 ,$69.83 ,$23.67 ,$73.50 ,$23.67 ,$66.15 ,$66.15 ,$23.67 ,$66.15 ,$48.78 ,$96.60 , N/A ,$23.67 ,$89.25 ,$88.20 ,$23.67 ,$78.75 ,$84.00 ,$84.00 ,$23.67 ,$84.00 ,$91.35 ,$91.35 ,$91.35 ,$94.50 ,$60.38 ,$23.67 ,$105.00 ,$58.91 ,$23.67 ,$51.37 ,$880.04 ,$840.04 ,$24.85 ,$89.25 ,$66.15 ,$29.40 ,$94.50 ,$91.35 , N/A , N/A ,$23.67 ,$68.25 ST. FRANCIS HOSPITAL - ACUTE,98300011,11046,PC DEBR SKIN/SUBQ MUS/FAS ADL 20C PRO,983,1 ,$147.00 ,$105.84 ,$33.13 ,$880.04 ,$84.53 ,$105.84 ,$79.97 ,$33.13 ,$41.16 ,$97.76 ,$33.13 ,$102.90 ,$33.13 ,$92.61 ,$92.61 ,$33.13 ,$92.61 ,$68.30 ,$135.24 , N/A ,$33.13 ,$124.95 ,$123.48 ,$33.13 ,$110.25 ,$117.60 ,$117.60 ,$33.13 ,$117.60 ,$127.89 ,$127.89 ,$127.89 ,$132.30 ,$84.53 ,$33.13 ,$147.00 ,$82.47 ,$33.13 ,$107.98 ,$880.04 ,$840.04 ,$34.79 ,$124.95 ,$92.61 ,$41.16 ,$132.30 ,$127.89 , N/A , N/A ,$33.13 ,$95.55 ST. FRANCIS HOSPITAL - ACUTE,98300012,11047,PC DEBR SKIN/SUB TIS/MUS/BN ADL 20C PRO,983,1 ,$276.00 ,$198.72 ,$62.21 ,"$1,263.21 ",$158.70 ,$198.72 ,$150.14 ,$62.21 ,$77.28 ,$183.54 ,$62.21 ,$193.20 ,$62.21 ,$173.88 ,$173.88 ,$62.21 ,$173.88 ,$128.23 ,$253.92 , N/A ,$62.21 ,$234.60 ,$231.84 ,$62.21 ,$207.00 ,$220.80 ,$220.80 ,$62.21 ,$220.80 ,$240.12 ,$240.12 ,$240.12 ,$248.40 ,$158.70 ,$62.21 ,$276.00 ,$154.84 ,$62.21 ,$190.79 ,"$1,263.21 ","$1,205.79 ",$65.32 ,$234.60 ,$173.88 ,$77.28 ,$248.40 ,$240.12 , N/A , N/A ,$62.21 ,$179.40 ST. FRANCIS HOSPITAL - ACUTE,98300015,11100,PC BX LESN SKIN/SUBQ/MUCOUS SGL PRO,983,1 ,$342.00 ,$246.24 ,$77.09 ,$342.00 ,$196.65 ,$246.24 ,$186.05 ,$77.09 ,$95.76 ,$227.43 ,$77.09 ,$239.40 ,$77.09 ,$215.46 ,$215.46 ,$77.09 ,$215.46 ,$158.89 ,$314.64 , N/A ,$77.09 ,$290.70 ,$287.28 ,$77.09 ,$256.50 ,$273.60 ,$273.60 ,$77.09 ,$273.60 ,$297.54 ,$297.54 ,$297.54 ,$307.80 ,$196.65 ,$77.09 ,$342.00 ,$191.86 ,$77.09 ,$239.40 , N/A , N/A ,$80.94 ,$290.70 ,$215.46 ,$95.76 ,$307.80 ,$297.54 , N/A , N/A ,$77.09 ,$222.30 ST. FRANCIS HOSPITAL - ACUTE,98300017,11101,PC PUNCH BIOPSY EA ADD PRO,983,1 ,$89.00 ,$64.08 ,$20.06 ,$89.00 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 , N/A ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$62.30 , N/A , N/A ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 , N/A , N/A ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,98300018,11719,PC TRIM NAILS NONDYSTROPHIC PRO,983,1 ,$9.00 ,$6.48 ,$2.03 ,$143.70 ,$5.18 ,$6.48 ,$4.90 ,$2.03 ,$2.52 ,$5.99 ,$2.03 ,$6.30 ,$2.03 ,$5.67 ,$5.67 ,$2.03 ,$5.67 ,$4.18 ,$8.28 ,$143.70 ,$2.03 ,$7.65 ,$7.56 ,$2.03 ,$6.75 ,$7.20 ,$7.20 ,$2.03 ,$7.20 ,$7.83 ,$7.83 ,$7.83 ,$8.10 ,$5.18 ,$2.03 ,$9.00 ,$5.05 ,$2.03 ,$9.00 ,$86.54 ,$82.60 ,$2.13 ,$7.65 ,$5.67 ,$2.52 ,$8.10 ,$7.83 , N/A , N/A ,$2.03 ,$5.85 ST. FRANCIS HOSPITAL - ACUTE,98300028,16020,PC BURN DRESS AND /OR DEBRIDE PRO <5%,983,1 ,$212.00 ,$152.64 ,$47.78 ,$451.45 ,$121.90 ,$152.64 ,$115.33 ,$47.78 ,$59.36 ,$140.98 ,$47.78 ,$148.40 ,$47.78 ,$133.56 ,$133.56 ,$47.78 ,$133.56 ,$98.50 ,$195.04 ,$451.45 ,$47.78 ,$180.20 ,$178.08 ,$47.78 ,$159.00 ,$169.60 ,$169.60 ,$47.78 ,$169.60 ,$184.44 ,$184.44 ,$184.44 ,$190.80 ,$121.90 ,$47.78 ,$212.00 ,$118.93 ,$47.78 ,$101.05 ,$149.89 ,$143.07 ,$50.18 ,$180.20 ,$133.56 ,$59.36 ,$190.80 ,$184.44 , N/A , N/A ,$47.78 ,$137.80 ST. FRANCIS HOSPITAL - ACUTE,98300031,17250,PC CHEM CAUTERY PRO,983,1 ,$199.00 ,$143.28 ,$44.85 ,$451.45 ,$114.43 ,$143.28 ,$108.26 ,$44.85 ,$55.72 ,$132.34 ,$44.85 ,$139.30 ,$44.85 ,$125.37 ,$125.37 ,$44.85 ,$125.37 ,$92.46 ,$183.08 ,$451.45 ,$44.85 ,$169.15 ,$167.16 ,$44.85 ,$149.25 ,$159.20 ,$159.20 ,$44.85 ,$159.20 ,$173.13 ,$173.13 ,$173.13 ,$179.10 ,$114.43 ,$44.85 ,$199.00 ,$111.64 ,$44.85 ,$69.65 ,$323.48 ,$308.77 ,$47.10 ,$169.15 ,$125.37 ,$55.72 ,$179.10 ,$173.13 , N/A , N/A ,$44.85 ,$129.35 ST. FRANCIS HOSPITAL - ACUTE,98300036,29580,PC UNNA BOOT APPLICATION PRO,983,1 ,$87.00 ,$62.64 ,$19.61 ,$364.40 ,$50.03 ,$62.64 ,$47.33 ,$19.61 ,$24.36 ,$57.86 ,$19.61 ,$60.90 ,$19.61 ,$54.81 ,$54.81 ,$19.61 ,$54.81 ,$40.42 ,$80.04 ,$364.40 ,$19.61 ,$73.95 ,$73.08 ,$19.61 ,$65.25 ,$69.60 ,$69.60 ,$19.61 ,$69.60 ,$75.69 ,$75.69 ,$75.69 ,$78.30 ,$50.03 ,$19.61 ,$87.00 ,$48.81 ,$19.61 ,$52.69 ,$265.87 ,$253.79 ,$20.59 ,$73.95 ,$54.81 ,$24.36 ,$78.30 ,$75.69 , N/A , N/A ,$19.61 ,$56.55 ST. FRANCIS HOSPITAL - ACUTE,98300037,29580,PC BILATERAL UNNA BOOT APPL PRO -50,983,1 ,$115.00 ,$82.80 ,$25.92 ,$546.60 ,$66.13 ,$82.80 ,$62.56 ,$25.92 ,$32.20 ,$76.48 ,$25.92 ,$80.50 ,$25.92 ,$72.45 ,$72.45 ,$25.92 ,$72.45 ,$53.43 ,$105.80 ,$546.60 ,$25.92 ,$97.75 ,$96.60 ,$25.92 ,$86.25 ,$92.00 ,$92.00 ,$25.92 ,$92.00 ,$100.05 ,$100.05 ,$100.05 ,$103.50 ,$66.13 ,$25.92 ,$115.00 ,$64.52 ,$25.92 ,$52.69 ,$398.82 ,$380.69 ,$27.21 ,$97.75 ,$72.45 ,$32.20 ,$103.50 ,$100.05 , N/A , N/A ,$25.92 ,$74.75 ST. FRANCIS HOSPITAL - ACUTE,98300038,29581,PC APPL MULTI COMP LOWER LEG PRO,983,1 ,$123.00 ,$88.56 ,$27.72 ,$364.40 ,$70.73 ,$88.56 ,$66.91 ,$27.72 ,$34.44 ,$81.80 ,$27.72 ,$86.10 ,$27.72 ,$77.49 ,$77.49 ,$27.72 ,$77.49 ,$57.15 ,$113.16 ,$364.40 ,$27.72 ,$104.55 ,$103.32 ,$27.72 ,$92.25 ,$98.40 ,$98.40 ,$27.72 ,$98.40 ,$107.01 ,$107.01 ,$107.01 ,$110.70 ,$70.73 ,$27.72 ,$123.00 ,$69.00 ,$27.72 ,$52.46 ,$265.87 ,$253.79 ,$29.11 ,$104.55 ,$77.49 ,$34.44 ,$110.70 ,$107.01 , N/A , N/A ,$27.72 ,$79.95 ST. FRANCIS HOSPITAL - ACUTE,98300039,29581,PC APPL BIL MULT COMP LOWLEG PRO,983,1 ,$163.00 ,$117.36 ,$36.74 ,$546.60 ,$93.73 ,$117.36 ,$88.67 ,$36.74 ,$45.64 ,$108.40 ,$36.74 ,$114.10 ,$36.74 ,$102.69 ,$102.69 ,$36.74 ,$102.69 ,$75.73 ,$149.96 ,$546.60 ,$36.74 ,$138.55 ,$136.92 ,$36.74 ,$122.25 ,$130.40 ,$130.40 ,$36.74 ,$130.40 ,$141.81 ,$141.81 ,$141.81 ,$146.70 ,$93.73 ,$36.74 ,$163.00 ,$91.44 ,$36.74 ,$52.46 ,$398.82 ,$380.69 ,$38.57 ,$138.55 ,$102.69 ,$45.64 ,$146.70 ,$141.81 , N/A , N/A ,$36.74 ,$105.95 ST. FRANCIS HOSPITAL - ACUTE,98300043,97597,PC DEBR SKIN INTL 20CM PRO,983,1 ,$192.00 ,$138.24 ,$43.28 ,$451.45 ,$110.40 ,$138.24 ,$104.45 ,$43.28 ,$53.76 ,$127.68 ,$43.28 ,$134.40 ,$43.28 ,$120.96 ,$120.96 ,$43.28 ,$120.96 ,$89.20 ,$176.64 ,$451.45 ,$43.28 ,$163.20 ,$161.28 ,$43.28 ,$144.00 ,$153.60 ,$153.60 ,$43.28 ,$153.60 ,$167.04 ,$167.04 ,$167.04 ,$172.80 ,$110.40 ,$43.28 ,$192.00 ,$107.71 ,$43.28 ,$69.38 ,$125.98 ,$120.26 ,$45.44 ,$163.20 ,$120.96 ,$53.76 ,$172.80 ,$167.04 , N/A , N/A ,$43.28 ,$124.80 ST. FRANCIS HOSPITAL - ACUTE,98300049,97598,PC DEBR SKIN PART THICKNESS EA ADDN>20CM PRO,983,1 ,$203.00 ,$146.16 ,$45.76 ,$203.00 ,$116.73 ,$146.16 ,$110.43 ,$45.76 ,$56.84 ,$135.00 ,$45.76 ,$142.10 ,$45.76 ,$127.89 ,$127.89 ,$45.76 ,$127.89 ,$94.31 ,$186.76 , N/A ,$45.76 ,$172.55 ,$170.52 ,$45.76 ,$152.25 ,$162.40 ,$162.40 ,$45.76 ,$162.40 ,$176.61 ,$176.61 ,$176.61 ,$182.70 ,$116.73 ,$45.76 ,$203.00 ,$113.88 ,$45.76 ,$48.99 ,$125.98 ,$120.26 ,$48.04 ,$172.55 ,$127.89 ,$56.84 ,$182.70 ,$176.61 , N/A , N/A ,$45.76 ,$131.95 ST. FRANCIS HOSPITAL - ACUTE,98300050,97605,PC NWPT <50 SQ CM PRO,983,1 ,$95.00 ,$68.40 ,$21.41 ,$451.45 ,$54.63 ,$68.40 ,$51.68 ,$21.41 ,$26.60 ,$63.18 ,$21.41 ,$66.50 ,$21.41 ,$59.85 ,$59.85 ,$21.41 ,$59.85 ,$44.14 ,$87.40 ,$451.45 ,$21.41 ,$80.75 ,$79.80 ,$21.41 ,$71.25 ,$76.00 ,$76.00 ,$21.41 ,$76.00 ,$82.65 ,$82.65 ,$82.65 ,$85.50 ,$54.63 ,$21.41 ,$95.00 ,$53.30 ,$21.41 ,$52.18 ,$303.49 ,$289.70 ,$22.48 ,$80.75 ,$59.85 ,$26.60 ,$85.50 ,$82.65 , N/A , N/A ,$21.41 ,$61.75 ST. FRANCIS HOSPITAL - ACUTE,98300051,97606,PC NWPT >50 SQ CM PRO,983,1 ,$93.00 ,$66.96 ,$20.96 ,$932.68 ,$53.48 ,$66.96 ,$50.59 ,$20.96 ,$26.04 ,$61.85 ,$20.96 ,$65.10 ,$20.96 ,$58.59 ,$58.59 ,$20.96 ,$58.59 ,$43.21 ,$85.56 ,$932.68 ,$20.96 ,$79.05 ,$78.12 ,$20.96 ,$69.75 ,$74.40 ,$74.40 ,$20.96 ,$74.40 ,$80.91 ,$80.91 ,$80.91 ,$83.70 ,$53.48 ,$20.96 ,$93.00 ,$52.17 ,$20.96 ,$56.41 ,$303.49 ,$289.70 ,$22.01 ,$79.05 ,$58.59 ,$26.04 ,$83.70 ,$80.91 , N/A , N/A ,$20.96 ,$60.45 ST. FRANCIS HOSPITAL - ACUTE,98300075,99183,PC HYPERBARIC 02 HSHS PRO FEE,983,1 ,$451.00 ,$324.72 ,$101.66 ,$451.00 ,$259.33 ,$324.72 ,$245.34 ,$101.66 ,$126.28 ,$299.92 ,$101.66 ,$315.70 ,$101.66 ,$284.13 ,$284.13 ,$101.66 ,$284.13 ,$209.53 ,$414.92 , N/A ,$101.66 ,$383.35 ,$378.84 ,$101.66 ,$338.25 ,$360.80 ,$360.80 ,$101.66 ,$360.80 ,$392.37 ,$392.37 ,$392.37 ,$405.90 ,$259.33 ,$101.66 ,$451.00 ,$253.01 ,$101.66 ,$225.07 , N/A , N/A ,$106.74 ,$383.35 ,$284.13 ,$126.28 ,$405.90 ,$392.37 , N/A , N/A ,$101.66 ,$293.15 ST. FRANCIS HOSPITAL - ACUTE,98300080,15271,PC APL SKIN SUB TAL<100 INT 25CM PRO,983,1 ,$806.00 ,$580.32 ,$161.91 ,"$4,314.65 ",$463.45 ,$580.32 ,$438.46 ,$181.67 ,$225.68 ,$535.99 ,$181.67 ,$564.20 ,$181.67 ,$507.78 ,$507.78 ,$181.67 ,$507.78 ,$374.47 ,$741.52 ,"$4,314.65 ",$181.67 ,$685.10 ,$677.04 ,$181.67 ,$604.50 ,$644.80 ,$644.80 ,$181.67 ,$644.80 ,$701.22 ,$701.22 ,$701.22 ,$725.40 ,$463.45 ,$181.67 ,$806.00 ,$452.17 ,$181.67 ,$161.91 ,"$1,671.13 ","$1,595.17 ",$190.76 ,$685.10 ,$507.78 ,$225.68 ,$725.40 ,$701.22 , N/A , N/A ,$181.67 ,$523.90 ST. FRANCIS HOSPITAL - ACUTE,98300082,15272,PC APL SKIN SUB TAL<100 ADL 25CM PRO,983,1 ,$138.00 ,$99.36 ,$31.11 ,"$1,671.13 ",$79.35 ,$99.36 ,$75.07 ,$31.11 ,$38.64 ,$91.77 ,$31.11 ,$96.60 ,$31.11 ,$86.94 ,$86.94 ,$31.11 ,$86.94 ,$64.11 ,$126.96 , N/A ,$31.11 ,$117.30 ,$115.92 ,$31.11 ,$103.50 ,$110.40 ,$110.40 ,$31.11 ,$110.40 ,$120.06 ,$120.06 ,$120.06 ,$124.20 ,$79.35 ,$31.11 ,$138.00 ,$77.42 ,$31.11 ,$34.03 ,"$1,671.13 ","$1,595.17 ",$32.66 ,$117.30 ,$86.94 ,$38.64 ,$124.20 ,$120.06 , N/A , N/A ,$31.11 ,$89.70 ST. FRANCIS HOSPITAL - ACUTE,98300083,15273,PC APL SKIN SUB TAL>100 INT 100CM PRO,983,1 ,"$1,006.00 ",$724.32 ,$226.75 ,"$8,132.60 ",$578.45 ,$724.32 ,$547.26 ,$226.75 ,$281.68 ,$668.99 ,$226.75 ,$704.20 ,$226.75 ,$633.78 ,$633.78 ,$226.75 ,$633.78 ,$467.39 ,$925.52 ,"$8,132.60 ",$226.75 ,$855.10 ,$845.04 ,$226.75 ,$754.50 ,$804.80 ,$804.80 ,$226.75 ,$804.80 ,$875.22 ,$875.22 ,$875.22 ,$905.40 ,$578.45 ,$226.75 ,"$1,006.00 ",$564.37 ,$226.75 ,$385.82 ,"$1,671.13 ","$1,595.17 ",$238.09 ,$855.10 ,$633.78 ,$281.68 ,$905.40 ,$875.22 , N/A , N/A ,$226.75 ,$653.90 ST. FRANCIS HOSPITAL - ACUTE,98300085,15274,PC APL SKIN SUB TAL>100 ADL 100CM PRO,983,1 ,$210.00 ,$151.20 ,$47.33 ,"$1,671.13 ",$120.75 ,$151.20 ,$114.24 ,$47.33 ,$58.80 ,$139.65 ,$47.33 ,$147.00 ,$47.33 ,$132.30 ,$132.30 ,$47.33 ,$132.30 ,$97.57 ,$193.20 , N/A ,$47.33 ,$178.50 ,$176.40 ,$47.33 ,$157.50 ,$168.00 ,$168.00 ,$47.33 ,$168.00 ,$182.70 ,$182.70 ,$182.70 ,$189.00 ,$120.75 ,$47.33 ,$210.00 ,$117.81 ,$47.33 ,$87.86 ,"$1,671.13 ","$1,595.17 ",$49.71 ,$178.50 ,$132.30 ,$58.80 ,$189.00 ,$182.70 , N/A , N/A ,$47.33 ,$136.50 ST. FRANCIS HOSPITAL - ACUTE,98300086,15275,PC APL SKIN SUB OTH<100 INT 25CM PRO,983,1 ,$806.00 ,$580.32 ,$181.29 ,"$4,314.65 ",$463.45 ,$580.32 ,$438.46 ,$181.67 ,$225.68 ,$535.99 ,$181.67 ,$564.20 ,$181.67 ,$507.78 ,$507.78 ,$181.67 ,$507.78 ,$374.47 ,$741.52 ,"$4,314.65 ",$181.67 ,$685.10 ,$677.04 ,$181.67 ,$604.50 ,$644.80 ,$644.80 ,$181.67 ,$644.80 ,$701.22 ,$701.22 ,$701.22 ,$725.40 ,$463.45 ,$181.67 ,$806.00 ,$452.17 ,$181.67 ,$181.29 ,"$1,671.13 ","$1,595.17 ",$190.76 ,$685.10 ,$507.78 ,$225.68 ,$725.40 ,$701.22 , N/A , N/A ,$181.67 ,$523.90 ST. FRANCIS HOSPITAL - ACUTE,98300088,15276,PC APL SKIN SUB OTH<100 ADL 25CM PRO,983,1 ,$125.00 ,$90.00 ,$28.16 ,"$1,671.13 ",$71.88 ,$90.00 ,$68.00 ,$28.16 ,$35.00 ,$83.13 ,$28.16 ,$87.50 ,$28.16 ,$78.75 ,$78.75 ,$28.16 ,$78.75 ,$58.08 ,$115.00 , N/A ,$28.16 ,$106.25 ,$105.00 ,$28.16 ,$93.75 ,$100.00 ,$100.00 ,$28.16 ,$100.00 ,$108.75 ,$108.75 ,$108.75 ,$112.50 ,$71.88 ,$28.16 ,$125.00 ,$70.13 ,$28.16 ,$49.97 ,"$1,671.13 ","$1,595.17 ",$29.59 ,$106.25 ,$78.75 ,$35.00 ,$112.50 ,$108.75 , N/A , N/A ,$28.16 ,$81.25 ST. FRANCIS HOSPITAL - ACUTE,98300089,15277,PC APL SKIN SUB OTH>100 INT 100CM PRO,983,1 ,$914.00 ,$658.08 ,$206.02 ,"$4,314.65 ",$525.55 ,$658.08 ,$497.22 ,$206.02 ,$255.92 ,$607.81 ,$206.02 ,$639.80 ,$206.02 ,$575.82 ,$575.82 ,$206.02 ,$575.82 ,$424.64 ,$840.88 ,"$4,314.65 ",$206.02 ,$776.90 ,$767.76 ,$206.02 ,$685.50 ,$731.20 ,$731.20 ,$206.02 ,$731.20 ,$795.18 ,$795.18 ,$795.18 ,$822.60 ,$525.55 ,$206.02 ,$914.00 ,$512.75 ,$206.02 ,$437.43 ,"$1,671.13 ","$1,595.17 ",$216.32 ,$776.90 ,$575.82 ,$255.92 ,$822.60 ,$795.18 , N/A , N/A ,$206.02 ,$594.10 ST. FRANCIS HOSPITAL - ACUTE,98300091,15278,PC APL SKIN SUB OTH>100 ADL 100CM PRO,983,1 ,$210.00 ,$151.20 ,$47.33 ,"$1,671.13 ",$120.75 ,$151.20 ,$114.24 ,$47.33 ,$58.80 ,$139.65 ,$47.33 ,$147.00 ,$47.33 ,$132.30 ,$132.30 ,$47.33 ,$132.30 ,$97.57 ,$193.20 , N/A ,$47.33 ,$178.50 ,$176.40 ,$47.33 ,$157.50 ,$168.00 ,$168.00 ,$47.33 ,$168.00 ,$182.70 ,$182.70 ,$182.70 ,$189.00 ,$120.75 ,$47.33 ,$210.00 ,$117.81 ,$47.33 ,$111.22 ,"$1,671.13 ","$1,595.17 ",$49.71 ,$178.50 ,$132.30 ,$58.80 ,$189.00 ,$182.70 , N/A , N/A ,$47.33 ,$136.50 ST. FRANCIS HOSPITAL - ACUTE,98300092,10140,PC I AND D HEMATOMA/SEROMA/FLUID PRO,983,1 ,$521.00 ,$375.12 ,$117.43 ,"$3,748.88 ",$299.58 ,$375.12 ,$283.42 ,$117.43 ,$145.88 ,$346.47 ,$117.43 ,$364.70 ,$117.43 ,$328.23 ,$328.23 ,$117.43 ,$328.23 ,$242.06 ,$479.32 ,"$3,748.88 ",$117.43 ,$442.85 ,$437.64 ,$117.43 ,$390.75 ,$416.80 ,$416.80 ,$117.43 ,$416.80 ,$453.27 ,$453.27 ,$453.27 ,$468.90 ,$299.58 ,$117.43 ,$521.00 ,$292.28 ,$117.43 ,$220.66 ,"$1,105.69 ","$1,055.43 ",$123.30 ,$442.85 ,$328.23 ,$145.88 ,$468.90 ,$453.27 , N/A , N/A ,$117.43 ,$338.65 ST. FRANCIS HOSPITAL - ACUTE,98300093,16030,PC BURN DRESS AND /OR DEBRIDE PRO >10%,983,1 ,$222.00 ,$159.84 ,$50.04 ,$932.68 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$147.63 ,$50.04 ,$155.40 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$932.68 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$222.00 ,$149.89 ,$143.07 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 , N/A , N/A ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,98300094,16025,PC BURN DRESS AND /OR DEBRIDE PRO 5-10%,983,1 ,$222.00 ,$159.84 ,$50.04 ,$451.45 ,$127.65 ,$159.84 ,$120.77 ,$50.04 ,$62.16 ,$147.63 ,$50.04 ,$155.40 ,$50.04 ,$139.86 ,$139.86 ,$50.04 ,$139.86 ,$103.14 ,$204.24 ,$451.45 ,$50.04 ,$188.70 ,$186.48 ,$50.04 ,$166.50 ,$177.60 ,$177.60 ,$50.04 ,$177.60 ,$193.14 ,$193.14 ,$193.14 ,$199.80 ,$127.65 ,$50.04 ,$222.00 ,$124.54 ,$50.04 ,$208.65 ,$149.89 ,$143.07 ,$52.54 ,$188.70 ,$139.86 ,$62.16 ,$199.80 ,$193.14 , N/A , N/A ,$50.04 ,$144.30 ST. FRANCIS HOSPITAL - ACUTE,98300096,11200,PC REMOVAL SKIN TAG LESIONS <=15 PRO,983,1 ,$273.00 ,$196.56 ,$61.53 ,$451.45 ,$156.98 ,$196.56 ,$148.51 ,$61.53 ,$76.44 ,$181.55 ,$61.53 ,$191.10 ,$61.53 ,$171.99 ,$171.99 ,$61.53 ,$171.99 ,$126.84 ,$251.16 ,$451.45 ,$61.53 ,$232.05 ,$229.32 ,$61.53 ,$204.75 ,$218.40 ,$218.40 ,$61.53 ,$218.40 ,$237.51 ,$237.51 ,$237.51 ,$245.70 ,$156.98 ,$61.53 ,$273.00 ,$153.15 ,$61.53 ,$134.19 ,$323.48 ,$308.77 ,$64.61 ,$232.05 ,$171.99 ,$76.44 ,$245.70 ,$237.51 , N/A , N/A ,$61.53 ,$177.45 ST. FRANCIS HOSPITAL - ACUTE,98300099,15110,PC EPIDERMAL GRAFT TRNK ARMS LEGS FIRST 100CM PRO,983,1 ,"$2,281.00 ","$1,642.32 ",$514.14 ,"$4,314.65 ","$1,311.58 ","$1,642.32 ","$1,240.86 ",$514.14 ,$638.68 ,"$1,516.87 ",$514.14 ,"$1,596.70 ",$514.14 ,"$1,437.03 ","$1,437.03 ",$514.14 ,"$1,437.03 ","$1,059.75 ","$2,098.52 ","$4,314.65 ",$514.14 ,"$1,938.85 ","$1,916.04 ",$514.14 ,"$1,710.75 ","$1,824.80 ","$1,824.80 ",$514.14 ,"$1,824.80 ","$1,984.47 ","$1,984.47 ","$1,984.47 ","$2,052.90 ","$1,311.58 ",$514.14 ,"$2,281.00 ","$1,279.64 ",$514.14 ,"$1,312.88 ","$1,849.10 ","$1,765.05 ",$539.84 ,"$1,938.85 ","$1,437.03 ",$638.68 ,"$2,052.90 ","$1,984.47 ", N/A , N/A ,$514.14 ,"$1,482.65 " ST. FRANCIS HOSPITAL - ACUTE,98300100,15111,PC EPIDERMAL GRAFT TRNK ARM LEG EA ADDNT 100CM PRO,983,1 ,$336.00 ,$241.92 ,$75.73 ,"$1,849.10 ",$193.20 ,$241.92 ,$182.78 ,$75.73 ,$94.08 ,$223.44 ,$75.73 ,$235.20 ,$75.73 ,$211.68 ,$211.68 ,$75.73 ,$211.68 ,$156.11 ,$309.12 , N/A ,$75.73 ,$285.60 ,$282.24 ,$75.73 ,$252.00 ,$268.80 ,$268.80 ,$75.73 ,$268.80 ,$292.32 ,$292.32 ,$292.32 ,$302.40 ,$193.20 ,$75.73 ,$336.00 ,$188.50 ,$75.73 ,$202.30 ,"$1,849.10 ","$1,765.05 ",$79.52 ,$285.60 ,$211.68 ,$94.08 ,$302.40 ,$292.32 , N/A , N/A ,$75.73 ,$218.40 ST. FRANCIS HOSPITAL - ACUTE,98300101,15115,PC EPIDERMAL GRAFT FACE SCLP HAND ETC FIRST 100CM PRO,983,1 ,"$2,189.00 ","$1,576.08 ",$493.40 ,"$4,314.65 ","$1,258.68 ","$1,576.08 ","$1,190.82 ",$493.40 ,$612.92 ,"$1,455.69 ",$493.40 ,"$1,532.30 ",$493.40 ,"$1,379.07 ","$1,379.07 ",$493.40 ,"$1,379.07 ","$1,017.01 ","$2,013.88 ","$4,314.65 ",$493.40 ,"$1,860.65 ","$1,838.76 ",$493.40 ,"$1,641.75 ","$1,751.20 ","$1,751.20 ",$493.40 ,"$1,751.20 ","$1,904.43 ","$1,904.43 ","$1,904.43 ","$1,970.10 ","$1,258.68 ",$493.40 ,"$2,189.00 ","$1,228.03 ",$493.40 ,"$1,290.61 ","$1,849.10 ","$1,765.05 ",$518.07 ,"$1,860.65 ","$1,379.07 ",$612.92 ,"$1,970.10 ","$1,904.43 ", N/A , N/A ,$493.40 ,"$1,422.85 " ST. FRANCIS HOSPITAL - ACUTE,98300124,11730,PC AVULSION NAIL PLATE SINGLE PRO,983,1 ,$253.00 ,$182.16 ,$57.03 ,$451.45 ,$145.48 ,$182.16 ,$137.63 ,$57.03 ,$70.84 ,$168.25 ,$57.03 ,$177.10 ,$57.03 ,$159.39 ,$159.39 ,$57.03 ,$159.39 ,$117.54 ,$232.76 ,$451.45 ,$57.03 ,$215.05 ,$212.52 ,$57.03 ,$189.75 ,$202.40 ,$202.40 ,$57.03 ,$202.40 ,$220.11 ,$220.11 ,$220.11 ,$227.70 ,$145.48 ,$57.03 ,$253.00 ,$141.93 ,$57.03 ,$103.19 ,$303.49 ,$289.70 ,$59.88 ,$215.05 ,$159.39 ,$70.84 ,$227.70 ,$220.11 , N/A , N/A ,$57.03 ,$164.45 ST. FRANCIS HOSPITAL - ACUTE,98300131,29445,PC APPL CAST LEG RIGID CONTACT,983,1 ,$525.00 ,$378.00 ,$118.33 ,$599.78 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 ,$599.78 ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$193.14 ,$343.00 ,$327.41 ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 , N/A , N/A ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,98300132,29445,PC APPL CAST LEG RIGID CONTACT -RT,983,1 ,$525.00 ,$378.00 ,$118.33 ,$599.78 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 ,$599.78 ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$193.14 ,$343.00 ,$327.41 ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 , N/A , N/A ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,98300134,99202,PC CLINIC VISIT LIMITED NEW -25,983,1 ,$153.00 ,$110.16 ,$34.49 ,$153.00 ,$87.98 ,$110.16 ,$83.23 ,$34.49 ,$42.84 ,$101.75 ,$34.49 ,$107.10 ,$34.49 ,$96.39 ,$96.39 ,$34.49 ,$96.39 ,$71.08 ,$140.76 , N/A ,$34.49 ,$130.05 ,$128.52 ,$34.49 ,$114.75 ,$122.40 ,$122.40 ,$34.49 ,$122.40 ,$133.11 ,$133.11 ,$133.11 ,$137.70 ,$87.98 ,$34.49 ,$76.98 ,$85.83 ,$34.49 ,$70.27 ,$148.31 ,$141.57 ,$36.21 ,$130.05 ,$96.39 ,$42.84 ,$137.70 ,$133.11 , N/A , N/A ,$34.49 ,$99.45 ST. FRANCIS HOSPITAL - ACUTE,98300135,99203,PC CLINIC VISIT INTERM NEW -25,983,1 ,$233.00 ,$167.76 ,$52.52 ,$233.00 ,$133.98 ,$167.76 ,$126.75 ,$52.52 ,$65.24 ,$154.95 ,$52.52 ,$163.10 ,$52.52 ,$146.79 ,$146.79 ,$52.52 ,$146.79 ,$108.25 ,$214.36 , N/A ,$52.52 ,$198.05 ,$195.72 ,$52.52 ,$174.75 ,$186.40 ,$186.40 ,$52.52 ,$186.40 ,$202.71 ,$202.71 ,$202.71 ,$209.70 ,$133.98 ,$52.52 ,$120.52 ,$130.71 ,$52.52 ,$105.21 ,$148.31 ,$141.57 ,$55.14 ,$198.05 ,$146.79 ,$65.24 ,$209.70 ,$202.71 , N/A , N/A ,$52.52 ,$151.45 ST. FRANCIS HOSPITAL - ACUTE,98300136,99204,PC CLINIC VISIT COMPLEX NEW -25,983,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$177.92 ,$176.72 ,$71.00 ,$179.90 ,$148.31 ,$141.57 ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 , N/A , N/A ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,98300137,99205,PC CLINIC VISIT COMPREH NEW -25,983,1 ,$414.00 ,$298.08 ,$93.32 ,$414.00 ,$238.05 ,$298.08 ,$225.22 ,$93.32 ,$115.92 ,$275.31 ,$93.32 ,$289.80 ,$93.32 ,$260.82 ,$260.82 ,$93.32 ,$260.82 ,$192.34 ,$380.88 , N/A ,$93.32 ,$351.90 ,$347.76 ,$93.32 ,$310.50 ,$331.20 ,$331.20 ,$93.32 ,$331.20 ,$360.18 ,$360.18 ,$360.18 ,$372.60 ,$238.05 ,$93.32 ,$234.97 ,$232.25 ,$93.32 ,$234.84 ,$148.31 ,$141.57 ,$97.98 ,$351.90 ,$260.82 ,$115.92 ,$372.60 ,$360.18 , N/A , N/A ,$93.32 ,$269.10 ST. FRANCIS HOSPITAL - ACUTE,98300138,99211,PC CLINIC VISIT BRIEF ESTAB -25,983,1 ,$53.00 ,$38.16 ,$11.95 ,$148.31 ,$30.48 ,$38.16 ,$28.83 ,$11.95 ,$14.84 ,$35.25 ,$11.95 ,$37.10 ,$11.95 ,$33.39 ,$33.39 ,$11.95 ,$33.39 ,$24.62 ,$48.76 , N/A ,$11.95 ,$45.05 ,$44.52 ,$11.95 ,$39.75 ,$42.40 ,$42.40 ,$11.95 ,$42.40 ,$46.11 ,$46.11 ,$46.11 ,$47.70 ,$30.48 ,$11.95 ,$53.00 ,$29.73 ,$11.95 ,$12.73 ,$148.31 ,$141.57 ,$12.54 ,$45.05 ,$33.39 ,$14.84 ,$47.70 ,$46.11 , N/A , N/A ,$11.95 ,$34.45 ST. FRANCIS HOSPITAL - ACUTE,98300139,99212,PC CLINIC VISIT LIMITED ESTAB -25,983,1 ,$113.00 ,$81.36 ,$25.47 ,$148.31 ,$64.98 ,$81.36 ,$61.47 ,$25.47 ,$31.64 ,$75.15 ,$25.47 ,$79.10 ,$25.47 ,$71.19 ,$71.19 ,$25.47 ,$71.19 ,$52.50 ,$103.96 , N/A ,$25.47 ,$96.05 ,$94.92 ,$25.47 ,$84.75 ,$90.40 ,$90.40 ,$25.47 ,$90.40 ,$98.31 ,$98.31 ,$98.31 ,$101.70 ,$64.98 ,$25.47 ,$60.09 ,$63.39 ,$25.47 ,$35.95 ,$148.31 ,$141.57 ,$26.74 ,$96.05 ,$71.19 ,$31.64 ,$101.70 ,$98.31 , N/A , N/A ,$25.47 ,$73.45 ST. FRANCIS HOSPITAL - ACUTE,98300140,99213,PC CLINIC VISIT INTERM ESTAB -25,983,1 ,$186.00 ,$133.92 ,$41.92 ,$186.00 ,$106.95 ,$133.92 ,$101.18 ,$41.92 ,$52.08 ,$123.69 ,$41.92 ,$130.20 ,$41.92 ,$117.18 ,$117.18 ,$41.92 ,$117.18 ,$86.42 ,$171.12 , N/A ,$41.92 ,$158.10 ,$156.24 ,$41.92 ,$139.50 ,$148.80 ,$148.80 ,$41.92 ,$148.80 ,$161.82 ,$161.82 ,$161.82 ,$167.40 ,$106.95 ,$41.92 ,$95.85 ,$104.35 ,$41.92 ,$71.20 ,$148.31 ,$141.57 ,$44.02 ,$158.10 ,$117.18 ,$52.08 ,$167.40 ,$161.82 , N/A , N/A ,$41.92 ,$120.90 ST. FRANCIS HOSPITAL - ACUTE,98300141,99214,PC CLINIC VISIT COMPLEX ESTAB -25,983,1 ,$278.00 ,$200.16 ,$62.66 ,$278.00 ,$159.85 ,$200.16 ,$151.23 ,$62.66 ,$77.84 ,$184.87 ,$62.66 ,$194.60 ,$62.66 ,$175.14 ,$175.14 ,$62.66 ,$175.14 ,$129.16 ,$255.76 , N/A ,$62.66 ,$236.30 ,$233.52 ,$62.66 ,$208.50 ,$222.40 ,$222.40 ,$62.66 ,$222.40 ,$241.86 ,$241.86 ,$241.86 ,$250.20 ,$159.85 ,$62.66 ,$278.00 ,$155.96 ,$62.66 ,$109.36 ,$148.31 ,$141.57 ,$65.80 ,$236.30 ,$175.14 ,$77.84 ,$250.20 ,$241.86 , N/A , N/A ,$62.66 ,$180.70 ST. FRANCIS HOSPITAL - ACUTE,98300142,99215,PC CLINIC VISIT COMPREH ESTAB -25,983,1 ,$335.00 ,$241.20 ,$75.51 ,$335.00 ,$192.63 ,$241.20 ,$182.24 ,$75.51 ,$93.80 ,$222.78 ,$75.51 ,$234.50 ,$75.51 ,$211.05 ,$211.05 ,$75.51 ,$211.05 ,$155.64 ,$308.20 , N/A ,$75.51 ,$284.75 ,$281.40 ,$75.51 ,$251.25 ,$268.00 ,$268.00 ,$75.51 ,$268.00 ,$291.45 ,$291.45 ,$291.45 ,$301.50 ,$192.63 ,$75.51 ,$335.00 ,$187.94 ,$75.51 ,$154.37 ,$148.31 ,$141.57 ,$79.28 ,$284.75 ,$211.05 ,$93.80 ,$301.50 ,$291.45 , N/A , N/A ,$75.51 ,$217.75 ST. FRANCIS HOSPITAL - ACUTE,98300143,11721,PC DEBR NAIL(S) 6 OR MORE,983,1 ,$113.00 ,$81.36 ,$25.47 ,$143.70 ,$64.98 ,$81.36 ,$61.47 ,$25.47 ,$31.64 ,$75.15 ,$25.47 ,$79.10 ,$25.47 ,$71.19 ,$71.19 ,$25.47 ,$71.19 ,$52.50 ,$103.96 ,$143.70 ,$25.47 ,$96.05 ,$94.92 ,$25.47 ,$84.75 ,$90.40 ,$90.40 ,$25.47 ,$90.40 ,$98.31 ,$98.31 ,$98.31 ,$101.70 ,$64.98 ,$25.47 ,$113.00 ,$63.39 ,$25.47 ,$47.81 ,$86.54 ,$82.60 ,$26.74 ,$96.05 ,$71.19 ,$31.64 ,$101.70 ,$98.31 , N/A , N/A ,$25.47 ,$73.45 ST. FRANCIS HOSPITAL - ACUTE,98300144,11720,PC DEBR NAIL(S) UP TO 5,983,1 ,$82.00 ,$59.04 ,$18.48 ,$143.70 ,$47.15 ,$59.04 ,$44.61 ,$18.48 ,$22.96 ,$54.53 ,$18.48 ,$57.40 ,$18.48 ,$51.66 ,$51.66 ,$18.48 ,$51.66 ,$38.10 ,$75.44 ,$143.70 ,$18.48 ,$69.70 ,$68.88 ,$18.48 ,$61.50 ,$65.60 ,$65.60 ,$18.48 ,$65.60 ,$71.34 ,$71.34 ,$71.34 ,$73.80 ,$47.15 ,$18.48 ,$82.00 ,$46.00 ,$18.48 ,$27.93 ,$86.54 ,$82.60 ,$19.40 ,$69.70 ,$51.66 ,$22.96 ,$73.80 ,$71.34 , N/A , N/A ,$18.48 ,$53.30 ST. FRANCIS HOSPITAL - ACUTE,98300145,11102,PC BIOPSY SKIN TANGENTIAL INIT LESN,983,1 ,$342.00 ,$246.24 ,$73.41 ,$679.87 ,$196.65 ,$246.24 ,$186.05 ,$77.09 ,$95.76 ,$227.43 ,$77.09 ,$239.40 ,$77.09 ,$215.46 ,$215.46 ,$77.09 ,$215.46 ,$158.89 ,$314.64 ,$451.45 ,$77.09 ,$290.70 ,$287.28 ,$77.09 ,$256.50 ,$273.60 ,$273.60 ,$77.09 ,$273.60 ,$297.54 ,$297.54 ,$297.54 ,$307.80 ,$196.65 ,$77.09 ,$342.00 ,$191.86 ,$77.09 ,$73.41 ,$679.87 ,$648.96 ,$80.94 ,$290.70 ,$215.46 ,$95.76 ,$307.80 ,$297.54 , N/A , N/A ,$77.09 ,$222.30 ST. FRANCIS HOSPITAL - ACUTE,98300147,11106,PC BIOPSY SKIN INCISIONAL INIT LESN,983,1 ,$342.00 ,$246.24 ,$77.09 ,"$1,452.38 ",$196.65 ,$246.24 ,$186.05 ,$77.09 ,$95.76 ,$227.43 ,$77.09 ,$239.40 ,$77.09 ,$215.46 ,$215.46 ,$77.09 ,$215.46 ,$158.89 ,$314.64 ,"$1,452.38 ",$77.09 ,$290.70 ,$287.28 ,$77.09 ,$256.50 ,$273.60 ,$273.60 ,$77.09 ,$273.60 ,$297.54 ,$297.54 ,$297.54 ,$307.80 ,$196.65 ,$77.09 ,$342.00 ,$191.86 ,$77.09 ,$110.27 ,$679.87 ,$648.96 ,$80.94 ,$290.70 ,$215.46 ,$95.76 ,$307.80 ,$297.54 , N/A , N/A ,$77.09 ,$222.30 ST. FRANCIS HOSPITAL - ACUTE,98300148,11103,PC BIOPSY SKIN TANGENTIAL ADDL LESN,983,1 ,$89.00 ,$64.08 ,$20.06 ,$679.87 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 , N/A ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$42.65 ,$679.87 ,$648.96 ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 , N/A , N/A ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,98300150,11107,PC BIOPSY SKIN INCISIONAL ADDL LESN,983,1 ,$89.00 ,$64.08 ,$20.06 ,$679.87 ,$51.18 ,$64.08 ,$48.42 ,$20.06 ,$24.92 ,$59.19 ,$20.06 ,$62.30 ,$20.06 ,$56.07 ,$56.07 ,$20.06 ,$56.07 ,$41.35 ,$81.88 , N/A ,$20.06 ,$75.65 ,$74.76 ,$20.06 ,$66.75 ,$71.20 ,$71.20 ,$20.06 ,$71.20 ,$77.43 ,$77.43 ,$77.43 ,$80.10 ,$51.18 ,$20.06 ,$89.00 ,$49.93 ,$20.06 ,$59.38 ,$679.87 ,$648.96 ,$21.06 ,$75.65 ,$56.07 ,$24.92 ,$80.10 ,$77.43 , N/A , N/A ,$20.06 ,$57.85 ST. FRANCIS HOSPITAL - ACUTE,98300156,97602,PC DEBRIDEMENT NONSELECTIVE,983,1 ,$100.00 ,$72.00 ,$22.54 ,$451.45 ,$57.50 ,$72.00 ,$54.40 ,$22.54 ,$28.00 ,$66.50 ,$22.54 ,$70.00 ,$22.54 ,$63.00 ,$63.00 ,$22.54 ,$63.00 ,$46.46 ,$92.00 ,$451.45 ,$22.54 ,$85.00 ,$84.00 ,$22.54 ,$75.00 ,$80.00 ,$80.00 ,$22.54 ,$80.00 ,$87.00 ,$87.00 ,$87.00 ,$90.00 ,$57.50 ,$22.54 ,$100.00 ,$56.10 ,$22.54 ,$70.00 ,$303.49 ,$289.70 ,$23.67 ,$85.00 ,$63.00 ,$28.00 ,$90.00 ,$87.00 , N/A , N/A ,$22.54 ,$65.00 ST. FRANCIS HOSPITAL - ACUTE,98300159,29445,PC APPL CAST LEG RIGID CONTACT- LT,983,1 ,$525.00 ,$378.00 ,$118.33 ,$599.78 ,$301.88 ,$378.00 ,$285.60 ,$118.33 ,$147.00 ,$349.13 ,$118.33 ,$367.50 ,$118.33 ,$330.75 ,$330.75 ,$118.33 ,$330.75 ,$243.92 ,$483.00 ,$599.78 ,$118.33 ,$446.25 ,$441.00 ,$118.33 ,$393.75 ,$420.00 ,$420.00 ,$118.33 ,$420.00 ,$456.75 ,$456.75 ,$456.75 ,$472.50 ,$301.88 ,$118.33 ,$525.00 ,$294.53 ,$118.33 ,$193.14 ,$343.00 ,$327.41 ,$124.25 ,$446.25 ,$330.75 ,$147.00 ,$472.50 ,$456.75 , N/A , N/A ,$118.33 ,$341.25 ST. FRANCIS HOSPITAL - ACUTE,98300160,11604,PC EXC MAL LESION 3.1-4CM TRUNK/ARM/LEG,983,1 ,$656.00 ,$472.32 ,$147.86 ,"$1,622.43 ",$377.20 ,$472.32 ,$356.86 ,$147.86 ,$183.68 ,$436.24 ,$147.86 ,$459.20 ,$147.86 ,$413.28 ,$413.28 ,$147.86 ,$413.28 ,$304.78 ,$603.52 ,"$1,622.43 ",$147.86 ,$557.60 ,$551.04 ,$147.86 ,$492.00 ,$524.80 ,$524.80 ,$147.86 ,$524.80 ,$570.72 ,$570.72 ,$570.72 ,$590.40 ,$377.20 ,$147.86 ,$656.00 ,$368.02 ,$147.86 ,$398.17 ,$679.87 ,$648.96 ,$155.25 ,$557.60 ,$413.28 ,$183.68 ,$590.40 ,$570.72 , N/A , N/A ,$147.86 ,$426.40 ST. FRANCIS HOSPITAL - ACUTE,98300161,11606,PC EXC MAL LESION >4CM TRUNK/ARM/LEG,983,1 ,"$1,004.00 ",$722.88 ,$226.30 ,"$3,748.88 ",$577.30 ,$722.88 ,$546.18 ,$226.30 ,$281.12 ,$667.66 ,$226.30 ,$702.80 ,$226.30 ,$632.52 ,$632.52 ,$226.30 ,$632.52 ,$466.46 ,$923.68 ,"$3,748.88 ",$226.30 ,$853.40 ,$843.36 ,$226.30 ,$753.00 ,$803.20 ,$803.20 ,$226.30 ,$803.20 ,$873.48 ,$873.48 ,$873.48 ,$903.60 ,$577.30 ,$226.30 ,"$1,004.00 ",$563.24 ,$226.30 ,$600.15 ,"$1,359.74 ","$1,297.94 ",$237.62 ,$853.40 ,$632.52 ,$281.12 ,$903.60 ,$873.48 , N/A , N/A ,$226.30 ,$652.60 ST. FRANCIS HOSPITAL - ACUTE,98500000,93010,PC EKG INTER AND REPORT PRO,985,1 ,$73.00 ,$52.56 ,$8.08 ,$73.00 ,$20.60 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$8.08 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$16.64 ,$67.16 , N/A ,$8.08 ,$62.05 ,$61.32 ,$8.08 ,$54.75 ,$58.40 ,$58.40 ,$8.08 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$20.60 ,$8.08 ,$73.00 ,$40.95 ,$8.08 ,$16.94 ,$27.17 ,$25.94 ,$8.48 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 , N/A , N/A ,$8.08 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,98500003,93018,PC CARDIOVASCULAR STRESS TEST,985,1 ,$73.00 ,$52.56 ,$13.62 ,$322.04 ,$34.75 ,$52.56 ,$39.71 ,$16.45 ,$20.44 ,$48.55 ,$13.62 ,$51.10 ,$16.45 ,$45.99 ,$45.99 ,$16.45 ,$45.99 ,$28.08 ,$67.16 , N/A ,$13.62 ,$62.05 ,$61.32 ,$13.62 ,$54.75 ,$58.40 ,$58.40 ,$13.62 ,$58.40 ,$63.51 ,$63.51 ,$63.51 ,$65.70 ,$34.75 ,$13.62 ,$73.00 ,$40.95 ,$13.62 ,$29.52 ,$322.04 ,$307.40 ,$14.31 ,$62.05 ,$45.99 ,$20.44 ,$65.70 ,$63.51 , N/A , N/A ,$13.62 ,$47.45 ST. FRANCIS HOSPITAL - ACUTE,98780003,99234,PC HOSP INP/OBS CARE SAME DATE LOW 45 MIN,987,1 ,$323.00 ,$232.56 ,$72.80 ,$323.00 ,$185.73 ,$232.56 ,$175.71 ,$72.80 ,$90.44 ,$214.80 ,$72.80 ,$226.10 ,$72.80 ,$203.49 ,$203.49 ,$72.80 ,$203.49 ,$150.07 ,$297.16 , N/A ,$72.80 ,$274.55 ,$271.32 ,$72.80 ,$242.25 ,$258.40 ,$258.40 ,$72.80 ,$258.40 ,$281.01 ,$281.01 ,$281.01 ,$290.70 ,$185.73 ,$72.80 ,$323.00 ,$181.20 ,$72.80 ,$185.32 ,$148.31 ,$141.57 ,$76.44 ,$274.55 ,$203.49 ,$90.44 ,$290.70 ,$281.01 , N/A , N/A ,$72.80 ,$209.95 ST. FRANCIS HOSPITAL - ACUTE,98780004,99235,PC HOSP INP/OBS CARE SAME DATE MODERATE 70 MIN,987,1 ,$505.00 ,$363.60 ,$113.83 ,$505.00 ,$290.38 ,$363.60 ,$274.72 ,$113.83 ,$141.40 ,$335.83 ,$113.83 ,$353.50 ,$113.83 ,$318.15 ,$318.15 ,$113.83 ,$318.15 ,$234.62 ,$464.60 , N/A ,$113.83 ,$429.25 ,$424.20 ,$113.83 ,$378.75 ,$404.00 ,$404.00 ,$113.83 ,$404.00 ,$439.35 ,$439.35 ,$439.35 ,$454.50 ,$290.38 ,$113.83 ,$505.00 ,$283.31 ,$113.83 ,$233.98 ,$148.31 ,$141.57 ,$119.52 ,$429.25 ,$318.15 ,$141.40 ,$454.50 ,$439.35 , N/A , N/A ,$113.83 ,$328.25 ST. FRANCIS HOSPITAL - ACUTE,98780005,99236,PC HOSP INP/OBS CARE SAME DATE HIGH 85 MIN,987,1 ,$565.00 ,$406.80 ,$127.35 ,$565.00 ,$324.88 ,$406.80 ,$307.36 ,$127.35 ,$158.20 ,$375.73 ,$127.35 ,$395.50 ,$127.35 ,$355.95 ,$355.95 ,$127.35 ,$355.95 ,$262.50 ,$519.80 , N/A ,$127.35 ,$480.25 ,$474.60 ,$127.35 ,$423.75 ,$452.00 ,$452.00 ,$127.35 ,$452.00 ,$491.55 ,$491.55 ,$491.55 ,$508.50 ,$324.88 ,$127.35 ,$565.00 ,$316.97 ,$127.35 ,$301.36 ,$148.31 ,$141.57 ,$133.72 ,$480.25 ,$355.95 ,$158.20 ,$508.50 ,$491.55 , N/A , N/A ,$127.35 ,$367.25 ST. FRANCIS HOSPITAL - ACUTE,98780006,99238,PC HOSPITAL INP/OBSERV DISCHARGE DAY <31MIN,987,1 ,$218.00 ,$156.96 ,$49.14 ,$218.00 ,$125.35 ,$156.96 ,$118.59 ,$49.14 ,$61.04 ,$144.97 ,$49.14 ,$152.60 ,$49.14 ,$137.34 ,$137.34 ,$49.14 ,$137.34 ,$101.28 ,$200.56 , N/A ,$49.14 ,$185.30 ,$183.12 ,$49.14 ,$163.50 ,$174.40 ,$174.40 ,$49.14 ,$174.40 ,$189.66 ,$189.66 ,$189.66 ,$196.20 ,$125.35 ,$49.14 ,$218.00 ,$122.30 ,$49.14 ,$100.42 , N/A , N/A ,$51.60 ,$185.30 ,$137.34 ,$61.04 ,$196.20 ,$189.66 , N/A , N/A ,$49.14 ,$141.70 ST. FRANCIS HOSPITAL - ACUTE,98780007,99239,PC HOSPITAL INP/OBSERV DISCHARGE DAY >30MIN,987,1 ,$265.00 ,$190.80 ,$59.73 ,$265.00 ,$152.38 ,$190.80 ,$144.16 ,$59.73 ,$74.20 ,$176.23 ,$59.73 ,$185.50 ,$59.73 ,$166.95 ,$166.95 ,$59.73 ,$166.95 ,$123.12 ,$243.80 , N/A ,$59.73 ,$225.25 ,$222.60 ,$59.73 ,$198.75 ,$212.00 ,$212.00 ,$59.73 ,$212.00 ,$230.55 ,$230.55 ,$230.55 ,$238.50 ,$152.38 ,$59.73 ,$265.00 ,$148.67 ,$59.73 ,$147.15 , N/A , N/A ,$62.72 ,$225.25 ,$166.95 ,$74.20 ,$238.50 ,$230.55 , N/A , N/A ,$59.73 ,$172.25 ST. FRANCIS HOSPITAL - ACUTE,98800013,99221,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 1 LOW 40MIN,987,1 ,$312.00 ,$224.64 ,$70.32 ,$312.00 ,$179.40 ,$224.64 ,$169.73 ,$70.32 ,$87.36 ,$207.48 ,$70.32 ,$218.40 ,$70.32 ,$196.56 ,$196.56 ,$70.32 ,$196.56 ,$144.96 ,$287.04 , N/A ,$70.32 ,$265.20 ,$262.08 ,$70.32 ,$234.00 ,$249.60 ,$249.60 ,$70.32 ,$249.60 ,$271.44 ,$271.44 ,$271.44 ,$280.80 ,$179.40 ,$70.32 ,$312.00 ,$175.03 ,$70.32 ,$141.83 , N/A , N/A ,$73.84 ,$265.20 ,$196.56 ,$87.36 ,$280.80 ,$271.44 , N/A , N/A ,$70.32 ,$202.80 ST. FRANCIS HOSPITAL - ACUTE,98800015,99222,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 2 MODERATE 55 MIN,987,1 ,$415.00 ,$298.80 ,$93.54 ,$415.00 ,$238.63 ,$298.80 ,$225.76 ,$93.54 ,$116.20 ,$275.98 ,$93.54 ,$290.50 ,$93.54 ,$261.45 ,$261.45 ,$93.54 ,$261.45 ,$192.81 ,$381.80 , N/A ,$93.54 ,$352.75 ,$348.60 ,$93.54 ,$311.25 ,$332.00 ,$332.00 ,$93.54 ,$332.00 ,$361.05 ,$361.05 ,$361.05 ,$373.50 ,$238.63 ,$93.54 ,$415.00 ,$232.82 ,$93.54 ,$191.13 , N/A , N/A ,$98.22 ,$352.75 ,$261.45 ,$116.20 ,$373.50 ,$361.05 , N/A , N/A ,$93.54 ,$269.75 ST. FRANCIS HOSPITAL - ACUTE,98800016,99223,PC INITIAL HOSPITAL INP/OBSERV CARE LVL 3 HIGH 75 MIN,987,1 ,$605.00 ,$435.60 ,$136.37 ,$605.00 ,$347.88 ,$435.60 ,$329.12 ,$136.37 ,$169.40 ,$402.33 ,$136.37 ,$423.50 ,$136.37 ,$381.15 ,$381.15 ,$136.37 ,$381.15 ,$281.08 ,$556.60 , N/A ,$136.37 ,$514.25 ,$508.20 ,$136.37 ,$453.75 ,$484.00 ,$484.00 ,$136.37 ,$484.00 ,$526.35 ,$526.35 ,$526.35 ,$544.50 ,$347.88 ,$136.37 ,$605.00 ,$339.41 ,$136.37 ,$280.08 , N/A , N/A ,$143.19 ,$514.25 ,$381.15 ,$169.40 ,$544.50 ,$526.35 , N/A , N/A ,$136.37 ,$393.25 ST. FRANCIS HOSPITAL - ACUTE,98800017,99231,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 1 LOW 25 MIN,987,1 ,$117.00 ,$84.24 ,$26.37 ,$117.00 ,$67.28 ,$84.24 ,$63.65 ,$26.37 ,$32.76 ,$77.81 ,$26.37 ,$81.90 ,$26.37 ,$73.71 ,$73.71 ,$26.37 ,$73.71 ,$54.36 ,$107.64 , N/A ,$26.37 ,$99.45 ,$98.28 ,$26.37 ,$87.75 ,$93.60 ,$93.60 ,$26.37 ,$93.60 ,$101.79 ,$101.79 ,$101.79 ,$105.30 ,$67.28 ,$26.37 ,$117.00 ,$65.64 ,$26.37 ,$54.56 , N/A , N/A ,$27.69 ,$99.45 ,$73.71 ,$32.76 ,$105.30 ,$101.79 , N/A , N/A ,$26.37 ,$76.05 ST. FRANCIS HOSPITAL - ACUTE,98800018,99232,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 2 MODERATE 35 MIN,987,1 ,$216.00 ,$155.52 ,$48.69 ,$216.00 ,$124.20 ,$155.52 ,$117.50 ,$48.69 ,$60.48 ,$143.64 ,$48.69 ,$151.20 ,$48.69 ,$136.08 ,$136.08 ,$48.69 ,$136.08 ,$100.35 ,$198.72 , N/A ,$48.69 ,$183.60 ,$181.44 ,$48.69 ,$162.00 ,$172.80 ,$172.80 ,$48.69 ,$172.80 ,$187.92 ,$187.92 ,$187.92 ,$194.40 ,$124.20 ,$48.69 ,$216.00 ,$121.18 ,$48.69 ,$99.97 , N/A , N/A ,$51.12 ,$183.60 ,$136.08 ,$60.48 ,$194.40 ,$187.92 , N/A , N/A ,$48.69 ,$140.40 ST. FRANCIS HOSPITAL - ACUTE,98800019,99233,PC SUBSQ HOSPITAL INP/OBSERV CARE LVL 3 HIGH 50 MIN,987,1 ,$315.00 ,$226.80 ,$71.00 ,$315.00 ,$181.13 ,$226.80 ,$171.36 ,$71.00 ,$88.20 ,$209.48 ,$71.00 ,$220.50 ,$71.00 ,$198.45 ,$198.45 ,$71.00 ,$198.45 ,$146.35 ,$289.80 , N/A ,$71.00 ,$267.75 ,$264.60 ,$71.00 ,$236.25 ,$252.00 ,$252.00 ,$71.00 ,$252.00 ,$274.05 ,$274.05 ,$274.05 ,$283.50 ,$181.13 ,$71.00 ,$315.00 ,$176.72 ,$71.00 ,$144.07 , N/A , N/A ,$74.55 ,$267.75 ,$198.45 ,$88.20 ,$283.50 ,$274.05 , N/A , N/A ,$71.00 ,$204.75 ST. FRANCIS HOSPITAL - ACUTE,98880001,99252,PC INP/OBSERV CONSULT NEW/ESTAB SF MED DEC PT LEVEL 2 - 35 MIN,988,1 ,$206.00 ,$148.32 ,$46.43 ,$206.00 ,$118.45 ,$148.32 ,$112.06 ,$46.43 ,$57.68 ,$136.99 ,$46.43 ,$144.20 ,$46.43 ,$129.78 ,$129.78 ,$46.43 ,$129.78 ,$95.71 ,$189.52 , N/A ,$46.43 ,$175.10 ,$173.04 ,$46.43 ,$154.50 ,$164.80 ,$164.80 ,$46.43 ,$164.80 ,$179.22 ,$179.22 ,$179.22 ,$185.40 ,$118.45 ,$46.43 ,$206.00 ,$115.57 ,$46.43 ,$104.81 , N/A , N/A ,$48.75 ,$175.10 ,$129.78 ,$57.68 ,$185.40 ,$179.22 , N/A , N/A ,$46.43 ,$133.90 ST. FRANCIS HOSPITAL - ACUTE,98880002,99253,PC INP/OBSERV CONSULT NEW/ESTAB LOW MED DEC PT LEVEL 3 - 45 MIN,988,1 ,$302.00 ,$217.44 ,$68.07 ,$302.00 ,$173.65 ,$217.44 ,$164.29 ,$68.07 ,$84.56 ,$200.83 ,$68.07 ,$211.40 ,$68.07 ,$190.26 ,$190.26 ,$68.07 ,$190.26 ,$140.31 ,$277.84 , N/A ,$68.07 ,$256.70 ,$253.68 ,$68.07 ,$226.50 ,$241.60 ,$241.60 ,$68.07 ,$241.60 ,$262.74 ,$262.74 ,$262.74 ,$271.80 ,$173.65 ,$68.07 ,$302.00 ,$169.42 ,$68.07 ,$161.83 , N/A , N/A ,$71.47 ,$256.70 ,$190.26 ,$84.56 ,$271.80 ,$262.74 , N/A , N/A ,$68.07 ,$196.30 ST. FRANCIS HOSPITAL - ACUTE,98880003,99254,PC INP/OBSERV CONSULT NEW/ESTAB MOD MED DEC PT LEVEL 4 - 60 MIN,988,1 ,$400.00 ,$288.00 ,$90.16 ,$400.00 ,$230.00 ,$288.00 ,$217.60 ,$90.16 ,$112.00 ,$266.00 ,$90.16 ,$280.00 ,$90.16 ,$252.00 ,$252.00 ,$90.16 ,$252.00 ,$185.84 ,$368.00 , N/A ,$90.16 ,$340.00 ,$336.00 ,$90.16 ,$300.00 ,$320.00 ,$320.00 ,$90.16 ,$320.00 ,$348.00 ,$348.00 ,$348.00 ,$360.00 ,$230.00 ,$90.16 ,$400.00 ,$224.40 ,$90.16 ,$235.66 , N/A , N/A ,$94.67 ,$340.00 ,$252.00 ,$112.00 ,$360.00 ,$348.00 , N/A , N/A ,$90.16 ,$260.00 ST. FRANCIS HOSPITAL - ACUTE,98880004,99255,PC INP/OBSERV CONSULT NEW/ESTAB HIGH MED DEC PT LEVEL 5 - 80 MIN,988,1 ,$560.00 ,$403.20 ,$126.22 ,$560.00 ,$322.00 ,$403.20 ,$304.64 ,$126.22 ,$156.80 ,$372.40 ,$126.22 ,$392.00 ,$126.22 ,$352.80 ,$352.80 ,$126.22 ,$352.80 ,$260.18 ,$515.20 , N/A ,$126.22 ,$476.00 ,$470.40 ,$126.22 ,$420.00 ,$448.00 ,$448.00 ,$126.22 ,$448.00 ,$487.20 ,$487.20 ,$487.20 ,$504.00 ,$322.00 ,$126.22 ,$560.00 ,$314.16 ,$126.22 ,$283.50 , N/A , N/A ,$132.54 ,$476.00 ,$352.80 ,$156.80 ,$504.00 ,$487.20 , N/A , N/A ,$126.22 ,$364.00